The Bridge Breast Network
THE BRIDGEBREAST NETWORKANNUAL REPORT2014-2015
Together We Are Saving LivesTable of ContentsIntroduction3Message from the Board President4Who We Are and Why We Serve5Our Medical Partners7What We Do8Who We Serve9Faces of the BBN and Client Demographics10Financial Statements for FY 2014-1511Get Involved13How Your 1 Donation Becomes 10 in Life-Saving TreatmentProcedureScreening MammogramDiagnostic Mammogram & UltrasoundNeedle Biopsy & TestingSurgeryPathologyLaboratory TestsChemotherapy & Chemo DrugsImagingRadiation OncologyFollow-upTotalBilledBridge BreastAmountNetwork Cost 484 145 864 265 3,800 1,050 20,000 2,500 4,500 1,500 3,000 450 120,000 8,000 6,000 1,200 40,000 4,000 3,500 1,000 202,148 20,1102
IntroductionThe Bridge Breast Network (BBN) plays a critical role in the fight against breast cancer byproviding access to breast health services and information in a timely manner to women (and men)who would otherwise have no recourse and would suffer in silence. The BBN provides lowincome, uninsured and under-insured North Texans with access to early detection, diagnostic andtreatment services for breast cancer. Our case management team and extensive network of medicaland community partners work hand-in-hand to provide a continuum of care through all stages ofthe breast cancer journey.The BBN provides access to the following services:Early Detection Screening Mammograms (limited service area) Diagnostic Mammogram Sonograms BiopsiesTreatment Surgery Medical Oncology (chemotherapy) Radiation Oncology One year follow-upThis report will provide a closer look at who we are, what we do, who we serve, and how weachieve our mission. If you have questions about our program, please call 214-821-3820 or emailinfo@bridgebreast.org. If you have comments that relate specifically to the 2014-15 AnnualReport, please email terry@bridgebreast.org.3
Bridging the Gap - Our PresidentDear Friends,2015 marked the 23rd anniversary of TheBridge Breast Network. Since its founding in1992 by Dr. Sally Knox, the organization hasprovided over 150,000 North Texans withbreast cancer education, diagnostic andtreatment services. The Bridge Breast Networksaves the lives of uninsured and underinsuredwomen by bridging the gap between a breastcancer diagnosis and necessary life savingtreatment.One in eight women will be diagnosed withbreast cancer in her lifetime. Those women can survive if they have access to treatment.Unfortunately, we at The Bridge Breast Network know that many are not so fortunate and diefrom the disease solely because they could not afford diagnostic services like mammograms tocatch the disease in its early stages nor the life-saving treatment once it is diagnosed. Last year withyour help, we provided 1,667 women with access to breast health services, and life-saving treatmentto 131 women.We could not have accomplished this without you. We could not have saved these 131 lives. Ourdonors, supporters and medical partners are heroes. Thank you for helping us to build a bridgefrom diagnosis to treatment and together we are saving lives.Jessica Hoffmann, Board President4
Who We Are and Why We Serve Income or circumstance should not be a factor in a woman’s fight against breast cancer.Cancer does not care whether a woman is Asian or Caucasian, 16 or 60, insured oruninsured. The access to treatment should not discriminate.Our VisionNo one with breast cancer will be denied medical services and a quality client experiencedelivered through our diverse provider network.Our MissionThe Bridge Breast Network saves lives by providing access to diagnostic and treatmentservices for breast cancer to low income, uninsured, and underinsured individuals.Our ValuesCore Values: Integrity, Compassion, Resourcefulness, InnovationAdded values: Collaboration, Empowerment, Accessibility, Quality care,Stewardship, Dignity, Empathy/compassion, Supportive environment, Respect,and ProfessionalismThe Bridge Breast NetworkEducationDiagnosisTreatmentSurvivorship Breast SelfAwarenessNutrition andExercise MammogramsDigital ImagesBiopsies SurgeryMedicalOncologyRadiationOncology onalSupportMental Healthand SupportGroup Referrals5
Our BoardsBoard of DirectorsThe Board of Directors is comprised of compassionate and dedicated community leaders who setpolicy, evaluate the program, and provide oversight for fiscal and fundraising activities.Jessica Hoffmann, PresidentNaomi PorterSheila Taylor, Vice PresidentEthel RandallVan K. Williamson, SecretaryMary ScottRobin Long, TreasurerHedy RittenmeyerSylvia DykeDr. Walton Taylor, MDAdvisory BoardThe Advisory Board consists of a diverse array of stakeholders who provide broad vision andguidance to the Board of Directors and the staff.Dr. Stephen CliffordHenda SalmeronSue Ann GilmanAmy SchislerSusan HartmanDr. Joseph SpigelSally HoglundDiane TaheriLynn JenkinsJill TilleryStephanie JohnsonDr. Michelle WaltersDr. Sally Knox - FounderRoberta WilliamsonPhyllis KubeckLinda Perez YaterKimberly YoungOur Board of Directors, Advisory Board andstaff work together to promote the mission,raise awareness and increase funding for thesustainability of the program. At our annualBridge Builders Breakfast, we provide ourmajor donors, community and medical partnerswith an overview of our accomplishmentsduring the year and vision for the future.Because of their support we are buildingbridges of hope for thousands of women inNorth Texas.6
Our Medical PartnersANESTHESIOLOGY GROUPS Allen AnesthesiaAnesthesia Consultants of DallasDallas Anesthesiology Assoc.Garland AnesthesiaMetropolitan Anesthesia ConsultantsNorthStar Anesthesia, PAPinnacle Anesthesia ConsultantsSWMDADenton Oncology CenterGDAS Cancer ClinicMagnolia Cancer CenterNexGen OncologyNorth Point Cancer CenterNorth Texas Cancer CenterPremier Cancer CenterTexas Oncology - Baylor PlanoTexas Oncology - Baylor SammonsTexas Oncology - Presbyterian DallasTexas Oncology - Denton NorthTexas Oncology - Denton SouthTexas Oncology - Flower MoundTexas Oncology – Ft. Worth 8th AveTexas Oncology - FriscoTexas Oncology - GarlandTexas Oncology - GreenvilleTexas Oncology – McKinneyTexas Oncology - MesquiteTexas Oncology - Methodist CharltonTexas Oncology - Methodist DallasTexas Oncology - ParisTexas Oncology - Plano EastTexas Oncology - Plano WestTexas Oncology - ShermanThe Center for Cancer & Blood Disorders Burleson The Center for Cancer & Blood Disorders Cleburne The Center for Cancer & Blood Disorders Ft. Worth The Center for Cancer & Blood Disorders –Weatherford Verity Radiation TherapyCLINICS Noble AnesthesiaCANCER CENTERS RADIOLOGY/ IMAGING CENTERSAsian Breast Health ServicesThe After Hours MD ClinicBaylor Community Care - GarlandBaylor DHWI Family Health CenterBaylor Family Medicine -Worth StreetCCA Adult Health CenterCity SquareGolden Cross ClinicGrayson County Health ClinicHelping Hands of RockwallHope Clinic GarlandLos Barrios Unidos Comm. ClinicProject Access Collin CountyProject Access Tarrant CountyUTSW Genetic TestingPearl Medical ClinicWomen’s Specialty ClinicAgape ClinicForest Medical Care – Dr. Ramon GarciaPrimary Care of North Texas - DallasPrimary Care of North Texas - LewisvillePrimary Care of North Texas - PlanoMetrocrest Community ClinicCommunity Health Clinic - McKinney Advanced ImagingAmerican Radiology ConsultantsARISBaylor Plano Women’s ImagingBaylor Women’s Imaging Center North DallasBaylor DGC Women’s ImagingCrown ImagingDenton RadiologyDigital Mammography of NE TexasDr. Dee Martinez, MDDr. Elizabeth Jekot, MDEnvision ImagingGMN AssociatesGrapevine Radiology Assoc.Health Imaging PartnersImaging Consultants of GarlandIrving Radiological AssociatesLake Pointe MedicalLake Point Radiology AssocLone Star RadiologyMedical Imaging of DallasNorth Texas Cardiovascular Assoc.North Texas Imaging CenterPET Imaging - DallasPET/CT Center of RichardsonPreferred ImagingRed River Valley Radiology AssociatesRadiological Consultants Assoc.Radiology Assoc. of North TexasSherman Radiology Assoc.Solis Mammography – ArlingtonSolis Mammography –All-Saints Hosp.Solis Mammography – DentonSolis Mammography – FriscoSolis Mammography – HEBSolis Mammography – Las ColinasSolis Mammography – LewisvilleSolis Mammography – McKinneySolis Mammography – Central PlanoSolis Mammography - West PlanoSolis-Women’s Health - WeatherfordTexas Radiology AssociatesTX Health Dallas Breast CenterTX Health Allen Women’s CenterTouchstone ImagingMCP Women’s LinkLABORATORY and PATHOLOGYGROUPS Affiliated PathologistAmeripathAnatomical Medical LabArlington Pathology Assoc.Avero DiagnosticClarient Diagnostic ServicesClearpoint DiagnosticClinical Pathology LabDermpath DiagnosticDFW 5.01 A CorpGenomic Health, Inc.HUB Care PathologyLabCorpLaboratory Physicians AssociationMattison Pathology, LLPM.D. PathologyMosaic DiagnosticNeogenomics LaboratoriesLABORATORY and PATHOLOGYGROUPS Pathology AssociatesPathologist Bio-Medical (PBM)PropathQuest DiagnosticsRed River Valley PathologyR. I. Morgan M.D., PATarrant Pathology Assoc.USA PathologyMEDICALONCOLOGISTS Ashwani Agarwal, M.D.Mammo Amare, M.D.Ahad Athar, M.D.Sandhya Bejjanki, M.D.Anil Bhogaraju, M.D.Samer Bibawi, M.D.JoAnne Blum, M.D.Sreeni Chittoor, M.D.Jolanta Cichon, M.D.Charles Connor, M.D.Dennis Costa, M.D.Amy Cripps, M.D.Alex Eshan, M.D.Amir Faridi, M.D.Korie Flippo, M.D.Darshan Gandhi, M.D.Prasanthi Ganesa, M.D.Shaachi Gupta, M.D.Sheila Haffar, M.D.Cheryl Harth, M.D.Victor Horadam, M.D.Sushama Jasti, M.D.Monte Jones, M.D.Jaya Juturi, M.D.Lakshmi Priya Kannan, M.D.Siobhan Lynch, M.D.Atisha Manhas, M.D.Shadan Mansoor, M.D.Gavin Melmed, M.D.Srinivasu Moparty, M.D.Jairo Olivares, M.D.Joyce O’Shaughnessy, M.D.Jonathan C. Oh, M.D.Douglas Orr, M.D.Cynthia Osborne, M.D.Michael Park, M.D.John Pippen , M.D.Vinaya Potluri, M.D.Sucharu Prakash, M.D.Mohammed Qasim, M.D.Nandita Rao, M.D.Sashidhar Reddy, M.D.Tammy Roque, M.D.RADIATION ONCOLOGISTS Chad Amosson, M.D.Jessamy Boyd , M.D.Michela Caruso, M.D.Matthew Cavey, M.D.Brennen “Scott” Cheek, M.D.Mark Engleman, M.D.Edward Gilbert, M.D.Arve Gillette, M.D.Jeffrey Greenberg, M.D.Kesha Harris-Henderson M.D.Wilhelm J. Lubbe, M.D.Jeffrey Morton, M.D.Timothy Nichols, M.D.James Petrikas, M.D.Tahir Rana, M.D.Granger Scruggs, M.D.Kathleen Shide, M.D.Anand Shivani, M.D.Alan Slomowitz, M.D.Alan Trumbly, M.D.Barry Wilcox, M.D.Gary Young, M.D.SURGEONS Scott Allen, M.D.Beth Anglin, M.D.Peter Beitsch, M.D.Benjamin Bowers M.D.Anita Chow, M.D.Victor Cobos, M.D.Tuoc Dao, M.D.Allison DiPasquale, M.D.Ernest Dunn, M.D.David Dyslin , M.D.Golden Cross Surgical ClinicValerie Gorman, M.D.Joseph Heyne, M.D.Michael R. Spivey, M.D.Christopher Stokoe, M.D.Scott Stone, M.D.Carlos Taboada, M.D.Baylor Uptown TX Health RockwallBaylor GrapevineBaylor WaxahachieBaylor PlanoBaylor CarrolltonBaylor SurgicareBaylor University Medical Center atDallasDallas Medical CenterDenton Regional Medical CtrHuguley MemorialHunt Regional Medical CenterIrving Coppell Surgical Hosp.Las Colinas Medical CenterLake Point Medical CenterMedical Center of ArlingtonMedical Center of LewisvilleMedical Center of McKinneyMedical Center of PlanoMedical City DallasMethodist - CharltonMethodist – DallasMethodist – RichardsonNorth Central Surgical CenterTX Health AllenTX Health ArlingtonTX Health DallasTX Health DentonTexas Health Harris MethodistTX Health PlanoTX Health Plano Center forDiagnostics & SurgeryTexoma Medical Center - DenisonTexoma Medical Center - BonhamOTHER MEDICAL SERVICESKory Jones, M.D. Melissa KinneySally Knox, M.D.Martin Koonsman, M.D.Jeff Lamont, M.D.Augustus Lyons, M.D.Frank Mocek, M.D.Bridge Orthopedic SolutionsCardiovascular SpecialistConsultants in CardiologyHeart FirstLynne HuberMDS Medical DevicesBaylor ScottPhilip Moore, M.D.Philip SladekPaul Stiefel, M.D.Walton Taylor, M.D.Texas Oncology SurgeonsJoshua Trusell, M.D.Rachel Zent, M.D. Dilip Solanki, M.D. Baylor GarlandStuart Johnston, M.D.PHARMACEUTICAL COMPANIESImran Siddiqi, M.D.Baylor All SaintsJeneviva Hughes, M.D.Jivesh Sharma, M.D.Meera Shreedhara, M.D. Katrina Emmett, M.D.Ruben Saez, M.D.Inna Shmerlin, M.D.HOSPITALS/SURGERY CENTERSACT PAPVisit our website formore information onways you can getinvolved.www.bridgebreast.orgAstraZeneca PAPAmgen, Inc.Eisai Assistance ProgramGenentech Access to Care FoundationMerck & Company, Inc.Pfizer, Inc.Rx OutreachSafety Net FoundationSudha Teerdhala, M.DAlan Trumbly, M.D.Robyn R. Young, M.D.North Dallas PathologyNorth Texas PathologyThank you to our medical providers who donated 4.1 million in services7
What We Do The Bridge Breast Network serves individualsliving in North Texas, where funding andproviders are available. During the intakeprocess, our patient navigators determine ifeach potential client meets our guidelines andif the program can assist them. If a potentialclient qualifies for Medicaid, a case managerassists with the application process and willnavigate them to a provider.Patientnavigators evaluate Dallas and Tarrant Countyresidents to determine if they qualify forassistance at the appropriate county hospitaland assist with access transition whenpossible. If the potential client does notqualify for assistance through state, federal orother funding sources, and if BBN fundingpermits, they are treated through the BBN.The BBN evaluates services on a case-by-casebasis depending on funding for a specificcounty and the availability of BBN providers,and our financial resources.The BBN plays a critical role in the fightagainst breast cancer. Our efforts to reducemortality and the incidents of late-stagedisease are achieved through our network of300 medical providers and 150 communitypartners who work hand-in-hand with ourstaff to provide a continuum of care. TheBBN program includes breast and healtheducation to encourage healthy lifestylechoices, good nutrition, exercise, earlydetection strategies and clinical follow-up toreduce the incidents of late-stage disease forbreast cancer and other chronic and/orpreventable diseases. Patient navigation andaccess to breast health services are necessaryto increase survival. Our early detectionpatient navigators and malignant casemanagers schedule appointments, assemblethe medical team, order labs and schedulemedical procedures, such as mammograms,biopsies, surgery, medical and radiationoncology. The BBN also provides emotionalsupport, connects individuals to communitysupport groups and other resources, providessurvivorship services such as mastectomygarments, prosthesis and lymphademasupplies; but most importantly, we serves as abridge of hope during the breast cancer journey.Our StaffTerry Wilson-GrayErika CuellarElizabeth GuzmanExecutive DirectorMalignant Case ManagerIntake Coordinator./Patient NavigatorDr. Maria GonzalezGina RobinsonBrenda LucioProgram ManagerMalignant Case ManagerPatient NavigatorDonella MoranCarla GurrusquietaMalignant Patient NavigatorSteven Washington,Staff AccountantMedical Office SpecialistTamara SandersDevelopment Assistant8
Who We Serve Over 130,000 lives in North Texas have been impacted by the Bridge Breast Network througheducation, early detection and/or treatment in our 23-year history. 24 counties are currently beingserved in North Texas.List of Counties Currently varroPalo PintoParkerRainsRed RiverRockwallTarrantVan ZandtWiseTo be eligible for services an individual must meet the following eligibility requirements:Low income ( income cannot exceed 250% above the Federal Poverty Guidelines)Uninsured or Underinsured (proof required)Live in North Texas (services limited by availability of funding & providers for serviceareas)If diagnosed with cancer, disease must be Stage III or earlierDuring fiscal year 2014-15, the Bridge Breast Network provided1,667 women with navigation and access to breast health services1,325 mammograms131 clients with breast cancer treatment services6,157 individuals with breast/health education informationThe BBN collaborates with providers and community partnersto reduce medical disparities and increase access to breast healthcare in North Texas. These services would not have beenpossible without the generosity of our medical providers whoeither donate their professional services or provide them to ourprogram at a substantial discount.9
Faces of the BBNClient DemographicsClients Served by CountyAll Other Counties1.5%Rockwall3.2%Gr. Ft Worth Komen Area2.7%N. Tx Komen .0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%Clients Served by 8.8%American Indian20.0%11.9%African t Clients by Breast Cancer StagingStage IVStage IIIStage IIStage IStage 00.0%10.0%20.0%30.0%40.0%50.0%Clients by Age 8%45.5%40-496.4%13.0%2.1%13-19 0.1% 130.0%5.0%10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0% 50.0%Total ClientsMalignant Clients10
Statement of Financial ActivitiesRevenue, Gains and Other SupportYear EndedMay 31, 2015Contributions and GrantsDonated Services and PropertyFundraisingInvestment ReturnOther IncomeTotal Revenue, Gains and OtherSupport 1,171,3564,105,82278,56148155,628 5,411,848ExpensesProgram ServicesMedical ProceduresMedical Office 4,755,066359,131Total Program Expenses 5,114,197Supporting ServicesManagement and GeneralFundraising*Total Supporting Expenses78,58797,598 176,185Total Expenses 5,290,382Change in Net Assets (Deficit) 121,466Net Assets (Deficit),Beginning of Year (90,513)Net Assets (Deficit), End of Year 30,953*Fundraising expenses includes all development activities (grant writing, special events, and other general fundraising activities).The accompanying condensed consolidated balance sheet and condensed, consolidated schedule of activities have beensummarized from the audited financial statements of The Bridge Breast Network by BKD, LLP CPAs & Advisors. Theaudited financial statements are available for inspection during regular business hours at The Bridge Breast Network office.11
Statement of Financial PositionAssetsCurrent AssetsCash and Cash EquivalentsGrant Reimbursements ReceivablePrepaid ExpensesTotal Current Assets 724,714Property/Equipment DepreciationTotal Assets7,355 732,069Liabilities and Net AssetsCurrent LiabilitiesAccounts PayableDeferred Grant Revenue74,418626,698Total Current Liabilities 701,116Net Assets (Deficit)Unrestricted assetsTemporarily restricted assets (48,120)79,073Total Net Assets (Deficit) 30,953Total Liabilities and Net Assets (Deficit)Salaries and WagesPayroll Taxes & BenefitsProfessional FeesMedical ProceduresSupplies and PrintingUtilitiesPostage and DeliveryRentInsuranceEducation & TrainingDues & SubscriptionsTravelRepairs & MaintenanceDepreciationOther ExpenseSurvivorship ServicesTotal ExpensesPercent Allocation 496,615222,5245,575 732,069Statement of Functional ExpensesProgramManagement andFundraisingServicesGeneral 227,777 21,858 5372,383001108122,48736,38217873 5,114,197 78,587 97,59897%1%2%Total 284,393 67,008 14,470 4,755,066 7,495 10,620 4,998 32,151 3,466 3,021 1,740 4,042 11,706 2,383 69,950 17,873 5,290,38212
Get InvolvedVolunteer Advocate DonateVolunteerSometimes, the most valuable gift you can give is time. Use your time, talents and resources to helpbuild a bridge of hope for North Texas. Your participation canTake our organization to the next level!Increase our visibility in the Dallas/Fort Worth community to ensure future sustainability!Improve our ability to serve clients for many years!Move our organization from being the best kept secret to a well-known widely supportedpremier agency saving lives!AdvocateBe an advocate or ambassador for the Bridge Breast Network. You can advocate on behalf of aclient going through breast cancer treatment, be an ambassador in your workplace by promotingthe Bridge Breast Network and the importance of early detection, or get involved by serving on aBridge Breast Network committee.CommitteesAnnual Fundraiser Committee – provide support to increase sponsorships, auction items,and ticket sales for annual galaAdvisory Board – provide vision and guidance to the Board of Directors and the staffFinance Committee – provide financial oversightMarketing/PR Committee - develop strategies to raise community awareness of theagency and its mission, to increase funders, medical providers and clients.Other OpportunitiesNewsletter Committee – Assist with development of the agency e-newsletterSurvivor Support Network – Mentor and provide emotional support to clientsSunshine Committee –Deliver greeting cards and goodies to clients on surgery dayDonateFor every 1 donated, we are able to provide 10x that amount in diagnostic and treatment services.Ninety-seven cents ( 0.97) of each dollar is used for client services. Hundreds of physicians andmedical facilities volunteer their professional services or drastically reduce their fees to make such alarge discount possible. The program offers quality breast health services for our clients that isuncompromised by the client’s inability to pay. Last year, the North Texas medical communitydonated 4.1 million in medical services to our clients. This enables the program to provide earlystage breast cancer treatment for approximately 20,000.Contact the office to discuss how you can volunteer or visit our website www.bridgebreast.org13
Contact InformationAddress:4000 Junius StreetDallas, TX 75246Phone:(214) 821-3820(877) 258-1396Email:info@bridgebreast.orgAdditional information about our program is available on our website:www.bridgebreast.orgThank you Baylor Health Care System (BHCS) for your faithful financial support overthe last 23 years and your continued generosity that enables us to operate out of thisbeautiful location.
The After Hours MD Clinic Baylor Community Care - Garland Baylor DHWI Family Health Center Baylor Family Medicine -Worth Street CCA Adult Health Center City Square Golden Cross Clinic Grayson County Health Clinic Helping Hands of Rockwall Hope Clinic Garland Los Barrios Unidos Comm. Clinic
May 02, 2018 · D. Program Evaluation ͟The organization has provided a description of the framework for how each program will be evaluated. The framework should include all the elements below: ͟The evaluation methods are cost-effective for the organization ͟Quantitative and qualitative data is being collected (at Basics tier, data collection must have begun)
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4 Breast cancer Breast cancer: A summary of key information Introduction to breast cancer Breast cancer arises from cells in the breast that have grown abnormally and multiplied to form a lump or tumour. The earliest stage of breast cancer is non-invasive disease (Stage 0), which is contained within the ducts or lobules of the breast and has not spread into the healthy breast tissue .
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5 yrs of anti-hormone therapy reduces the risk of: – breast cancer coming back somewhere else in the body (metastases / secondaries) – breast cancer returning in the same breast – a new breast cancer in the opposite breast – death from breast cancer The benefits of anti-hormone therapy last well
