Mission: The National Breast Cancer Foundation was founded in 1991 by breast cancer survivor, Janelle Hail. NBCF's mission is to help women now by providing help and inspirin ... (More)

National Breast Cancer Foundation is a 501(c)(3) organization, with an IRS ruling year of 1991, and donations are tax-deductible.

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Contact Information

  http://www.nationalbreastcancer.org

 7460 Warren Parkway
Suite 150
Frisco TX 75034 

  PO Box 676910
Dallas TX 75267

  972-248-9200


You are viewing this organization's new Charity Navigator profile page. To view the legacy version, click here.

Star Rating System by Charity Navigator


Charity Navigator evaluates a nonprofit organization’s financial health including measures of stability, efficiency and sustainability. We also track accountability and transparency policies to ensure the good governance and integrity of the organization.




Exceptional

This charity's score is 93.60, earning it a 4-Star rating. Donors can "Give with Confidence" to this charity. 

This score is calculated from two sub-scores:

This score represents Form 990 data from 2020, the latest year published by the IRS.

View this organization’s historical ratings.


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Star Rated Report

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Program Expense

Program Expense Ratio

79.6%


The Program Expense Ratio is determined by Program Expenses divided by Total Expense (average of most recent three 990s).


This measure reflects the percent of its total expenses a charity spends on the programs and services it exists to deliver. Dividing a charity's average program expenses by its average total functional expenses yields this percentage. We calculate the charity's average expenses over its three most recent fiscal years.


Source: IRS Form 990

Administrative Expenses

12.2%


As reported by charities on their IRS Form 990, this measure reflects what percent of its total budget a charity spends on overhead, administrative staff and associated costs, and organizational meetings. Dividing a charity's average administrative expenses by its average total functional expenses yields this percentage. We calculate the charity's average expenses over its three most recent fiscal years.


Source: IRS Form 990

Fundraising Expenses

8.0%


This measure reflects what a charity spends to raise money. Fundraising expenses can include campaign printing, publicity, mailing, and staffing and costs incurred in soliciting donations, memberships, and grants. Dividing a charity's average fundraising expenses by its average total functional expenses yields this percentage. We calculate the charity's average expenses over its three most recent fiscal years.


Source: IRS Form 990

Liabilities to Assets Ratio

21.9%


The Liabilities to Assets Ratio is determined by Total Liabilities divided by Total Assets (most recent 990).


Part of our goal in rating the financial performance of charities is to help donors assess the financial capacity and sustainability of a charity. As do organizations in other sectors, charities must be mindful of their management of total liabilites in relation to their total assets. This ratio is an indicator of an organization’s solvency and or long term sustainability. Dividing a charity's total liabilities by its total assets yields this percentage.


Source: IRS Form 990

Fundraising Efficiency

$0.08


The amount spent to raise $1 in charitable contributions. To calculate a charity's fundraising efficiency, we divide its average fundraising expenses by the average total contributions it receives. We calculate the charity's average expenses and average contributions over its three most recent fiscal years.


Source: IRS Form 990

Working Capital Ratio

0.31 years


Determines how long a charity could sustain its level of spending using its net available assets, or working capital, as reported on its most recently filed Form 990. We include in a charity's working capital unrestricted and temporarily restricted net assets, and exclude permanently restricted net assets. Dividing these net available assets in the most recent year by a charity's average total expenses, yields the working capital ratio. We calculate the charity's average total expenses over its three most recent fiscal years.


Source: IRS Form 990

Program Expense Growth

11.34%


We compute the average annual growth of program expenses using the following formula: [(Yn/Y0)(1/n)]-1, where Y0 is a charity's program expenses in the first year of the interval analyzed, Yn is the charity's program expenses in the most recent year, and n is the interval of years passed between Y0 and Yn.


Source: IRS Form 990

Governance


Charity Navigator looks to confirm on the Form 990 that the organization has these governance practices in place.


Sources Include: IRS Form 990

Governance:
Independent Voting Board Members  ... (More)
No Material Diversion of Assets ... (More)

A diversion of assets – any unauthorized conversion or use of the organization's assets other than for the organization's authorized purposes, including but not limited to embezzlement or theft – can seriously call into question a charity's financial integrity. We check the charity's last two Forms 990 to see if the charity has reported any diversion of assets. If the charity does report a diversion, then we check to see if it complied with the Form 990 instructions by describing what happened and its corrective action. This metric will be assigned to one of the following categories:

  • Full Credit: There has been no diversion of assets within the last two years.

  • Partial Credit: There has been a diversion of assets within the last two years and the charity has used Schedule O on the Form 990 to explain: the nature of the diversion, the amount of money or property involved and the corrective action taken to address the matter. In this situation, we deduct 7 points from the charity's Accountability and Transparency score.
  • No Credit: There has been a diversion of assets within the last two years and the charity's explanation on Schedule O is either non-existent or not sufficient. In this case, we deduct 15 points from the charity's Accountability and Transparency score.
(Less)
Audited Financials Prepared by Independent Accountant ... (More)

Audited financial statements provide important information about financial accountability and accuracy. They should be prepared by an independent accountant with oversight from an audit committee. (It is not necessary that the audit committee be a separate committee. Often at smaller charities, it falls within the responsibilities of the finance committee or the executive committee.) The committee provides an important oversight layer between the management of the organization, which is responsible for the financial information reported, and the independent accountant, who reviews the financials and issues an opinion based on its findings. We check the charity's Form 990 reporting to see if it meets this criteria.

  • Full Credit: The charity's audited financials were prepared by an independent accountant with an audit oversight committee.

  • Partial Credit: The charity's audited financials were prepared by an independent accountant, but it did not have an audit oversight committee. In this case, we deduct 7 points from the charity's Accountability and Transparency score.
  • No Credit: The charity did not have its audited financials prepared by an independent accountant. In this case, we deduct 15 points from the charity's Accountability and Transparency score.
(Less)
Does Not Provide Loan(s) to or Receive Loan(s) From Related Parties ... (More)
Documents Board Meeting Minutes ... (More)
Distributes 990 to Board Before Filing ... (More)
Compensates Board ... (More)

Policies


Charity Navigator looks to confirm on the Form 990, or for some metrics on the charity's website, that the organization has these policies in place.


Sources Include: IRS Form 990 and organization's website

Policies:
Conflict of Interest  ... (More)
Whistleblower ... (More)
Records Retention and Destruction ... (More)
CEO Compensation Process ... (More)
Donor Privacy ... (More)

Donors have expressed extreme concern about the use of their personal information by charities and the desire to have this information kept confidential. The exchanging and sale of lists for telemarketing and the mass distribution of "junk mail," among other things, can be minimized if the charity assures the privacy of its donors. Privacy policies are assigned to one of the following categories:

  • Yes: This charity has a written donor privacy policy published on its website, which states unambiguously that (1) it will not share or sell a donor's personal information with anyone else, nor send donor mailings on behalf of other organizations or (2) it will only share or sell personal information once the donor has given the charity specific permission to do so.

  • Opt-out: The charity has a written privacy policy published on its website which enables donors to tell the charity to remove their names and contact information from lists the charity shares or sells. How a donor can have themselves removed from a list differs from one charity to the next, but any and all opt-out policies require donors to take specific action to protect their privacy.
  • No: This charity either does not have a written donor privacy policy in place to protect their contributors' personal information, or the existing policy does not meet our criteria.

The privacy policy must be specific to donor information. A general website policy which references "visitor" or "user" personal information will not suffice. A policy that refers to donor information collected on the website is also not sufficient as the policy must be comprehensive and applicable to both online and offline donors. The existence of a privacy policy of any type does not prohibit the charity itself from contacting the donor for informational, educational, or solicitation purposes.

(Less)

Transparency


Charity Navigator looks to confirm on the Form 990, or for some metrics on the charity's website, that the organization makes this information easily accessible.


Sources Include: IRS Form 990 and organization's website

Transparency:
CEO Salary Listed on 990 ... (More)
Board of Directors Listed on Website ... (More)
Key Staff Listed on Website ... (More)
Audited Financial Statements on Website ... (More)
Form 990 Available on Website ... (More)

Additional Information

Unscored

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Total Revenue and Expenses

Total Revenue and Expenses

This chart displays the trend of revenue and expenses over the past several years for this organization, as reported on their IRS Form 990.

Salary of Key Persons

Presented here are this organizations key compensated staff members as identified by our analysts. This compensation data includes salary, cash bonuses and expense accounts and is displayed exactly how it is reported to the IRS. The amounts do not include nontaxable benefits, deferred compensation, or other amounts not reported on Form W-2. In some cases, these amounts may include compensation from related organizations. Read the IRS policies for compensation reporting



Janelle Hail, Chief Executive Officer

$228,726 (1.38% of Total Expenses)


Current CEO and Board Chair can be found in the Leadership & Adaptability report below.

Source: IRS Form 990 (page 7), filing year 2020

Business Master File Data

Below are some key data points from the Exempt Organization IRS Business Master File (BMF) for this organization. Learn more about the BMF on the IRS website


Activities:

Other health services (BMF activity code: 179)


Foundation Status:

Organization which receives a substantial part of its support from a governmental unit or the general public   170(b)(1)(A)(vi) (BMF foundation code: 15)


Affiliation:

Independent - the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations). (BMF affiliation code: 3)

Data Sources: IRS Forms 990

The Form 990 is a document that nonprofit organizations file with the IRS annually. We leverage finance and accountability data from it to form Encompass ratings. Click here to view this organization's Forms 990 on the IRS website (if any are available).

Pandemic Response

Due to the unprecedented nature of the pandemic, we give charities such as this one the opportunity to share the story of COVID's impact on them. Charities may submit their own pandemic responses through their nonprofit portal.


National Breast Cancer Foundation reported being impacted by COVID-19 in the following ways:
  • Program Delivery

  • Fundraising Capacity

  • Revenue


How COVID-19 impacted the organization's operations financially:

Our largest financial impact was felt through two of our revenue streams – corporate partners, and peer-to-peer fundraising. Many of our partners (airline industries, restaurants, and others) were very affected by the shutdowns over the past year and had to back away from commitments or even re-committing to us due to the economic uncertainty. This pushed us and our proactive outreach efforts into new industries and companies that we knew were not as affected or considered essential in some way. It also pushed our creativity into those new areas (such as e-gaming) and to continue to lean into our individual donor engagement points to connect our programming to individuals looking to invest in health-related non-profits. We had no major programmatic or structural changes to the organization. We remained alert to and aware of government assistance as well and were able to receive the Payroll Protection Program support, the first of which has already been converted to a grant.


How COVID-19 impacted the organization's delivery of programs:

The COVID-19 pandemic affected each of our program focus areas – early detection, education, and support. NBCF canceled all educational outreach events, impeding our ability to connect low-income women to free early detection services. NBCF-funded screening facilities also closed during the first months of the pandemic causing screening rates to decline by 90%. Facilities eventually re-opened, but screenings have not returned to pre-pandemic levels and may lead to an increase in deaths. Breast cancer patients undergoing chemotherapy are immuno-compromised. As a result, NBCF canceled programs like our metastatic retreats, which improve patient outcomes by reducing fears and promoting palliative care and hospice. Working remotely, patient navigators faced increased challenges to removing barriers to care. Support groups were unable to meet in person. NBCF was unable to pack and send our signature HOPE Kits, which have been proven to help patients recently diagnosed with breast cancer.


How this organization adapted to changing conditions caused by COVID-19:

NBCF adapted by investing in technology, listening to our partners, and reallocating funds. Due to prior efforts to enhance our remote and videoconferencing capabilities, NBCF was ready to quickly shift to virtual program offerings. We hosted the first ever virtual metastatic retreat, educated tens of thousands via our Navigating Breast Cancer in the Workplace program, and offered our support groups virtually to support isolated patients. NBCF also surveyed our hospital partners and responded to their needs. Our continued funding of patient navigators prevented staff furloughs and significant lapses in navigation services. The funds normally used to host outreach events were reallocated to our Patient Relief Fund, which offered low-income breast cancer patients funds for food, groceries, transportation, and childcare, all proven barriers to health equity. We also increased our screening funding to help meet the growing demand by patients facing job and health insurance loss.


Innovations the organization intends to continue permanently after the pandemic:

A few programs we plan to continue include our virtual support groups and virtual metastatic breast cancer retreats, which let us reach patients with support, resources, and a community of other survivors who are going through the same struggles and provide critical information for those living with late-stage breast cancer. Going through cancer treatment can drain many patients financially, physically, and emotionally, so we want to keep our relief fund in place to help patients access funds to pay for food, medication, lodging, utilities, and transportation. We will continue to grow a library of “DIY” video testimonials from breast cancer patients, doctors, and partners across the country to share their experience, story, and advice for others. This gives patients a voice to share their story and makes it easier for other patients to see and hear that they are not alone.


Historical Ratings

Date PublishedForm 990 FYEOverall ScoreOverall Rating
Rating Version: 2.1
5/1/20212020 93.60
4/1/20212019 88.70
8/1/20192018 90.27
9/1/20182017 85.82
10/1/20172016 90.07
6/1/20162015 96.04
Rating Version: 2.0
4/1/20162015 94.25
5/1/20152014 93.45
4/1/20142013 96.98
3/1/20132012 97.24
2/1/20122011 97.03
9/20/20112010 87.47
Rating Version: 1.0
3/1/20112010 90.56
3/1/20102009 92.95
3/1/20092008 95.48
2/1/20082007 95.44
2/1/20072006 95.55
2/1/20062005 95.74
5/1/20052004 95.30

...   Impact & Results


This score estimates the actual impact a nonprofit has on the lives of those it serves, and determines whether it is making good use of donor resources to achieve that impact.


Impact & Results Score

Not Currently Scored

National Breast Cancer Foundation cannot currently be evaluated by our Encompass Rating Impact & Results methodology because either (A) it is eligible, but we have not yet received data; (B) we have not yet developed an algorithm to estimate its programmatic impact; (C) its programs are not direct services; or (D) it is not heavily reliant on contributions from individual donors.

Note: The absence of a score does not indicate a positive or negative assessment, it only indicates that we have not yet evaluated the organization.

Learn more about Impact & Results.

Do you work at National Breast Cancer Foundation? Join the waitlist for an updated Impact & Results score.


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Additional Information

Unscored

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Largest Programs

Largest Programs



National Breast Cancer Foundation reported its three largest programs on its FY 2020 Form 990 as:


$9,081,403

Spent in most recent FY

69%

Percent of program expenses


NBCF educates how to reduce the risk of developing breast cancer, detect breast cancer early, and access screening programs and remove barriers to quality treatment if diagnosed. NBCF creates and deli ... (More)


$2,289,705

Spent in most recent FY

17%

Percent of program expenses


NBCF partners with medical facilities across the United States to provide screening, diagnostic, and patient navigation services. Partner medical facilities are committed to providing breast cancer pa ... (More)


$1,635,788

Spent in most recent FY

12%

Percent of program expenses


NBCF offers support services that help patients now and inspire hope to those affected by breast cancer. NBCF provides HOPE Kits, a tangible expression of hope, to comfort breast cancer patients in th ... (More)


...   Leadership & Adaptability


This score provides an assessment of the organization's leadership capacity, strategic thinking and planning, and ability to innovate or respond to changes in constituent demand/need or other relevant social and economic conditions to achieve the organization's mission.


Leadership & Adaptability Score

100

out of 100

The score earned by National Breast Cancer Foundation is a passing score. This score has no effect on the organization's Star Rating.

Encompass Rating V4 provides an evaluation of the organization's Leadership & Adaptability through the nonprofit organization submitting a survey response directly to Charity Navigator.


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Leadership & Adaptability Report

100

of 100 points

Mission

The nonprofit organization presents evidence of strategic thinking through articulating the organization’s mission


The National Breast Cancer Foundation was founded in 1991 by breast cancer survivor, Janelle Hail. NBCF's mission is to help women now by providing help and inspiring hope to those affected by breast cancer through early detection, education and support services.


Source: Nonprofit submitted responses

Vision

The nonprofit organization presents evidence of strategic thinking through articulating the organization’s vision.


Our vision is that no one will navigate breast cancer alone.


Source: Nonprofit submitted responses

Strategic Goals

The nonprofit organization presents evidence of strategic thinking and goal setting through sharing their most important strategic goals.


Goal One: Expanding access to care across the U.S. by advancing early detection and patient navigation services, educating, and empowering more women about breast health, and expanding support services.

Goal Type: Grow, expand, scale or increase access to the existing programs and services.


Goal Two: Protecting and retaining partnerships while diversifying donor engagement revenue streams to maximize multiple lines of support for the sustainability of the organization

Goal Type: Invest in the capacity of our organization (financial, management, technical, etc.).


Goal Three: Increase brand trust by delivering consistently strong content through powerful storytelling, with a focus on engaging our community of patients and survivors in the ways most meaningful to them.

Goal Type: This goal reflects our commitment to further our advocacy work for our organization and or cause area.


Source: Nonprofit submitted responses

Leadership Development

The nonprofit provides evidence of investment in leadership development


Describe an investment in leadership

NBCF cares about our employee’s success within the organization and invests in both formal and informal leadership opportunities. We give each employee opportunities to grow in their professional development through various resources such as utilizing LinkedIn Learning’s online courses and assigned training on various topics such as Diversity, Equity, and Inclusion (DE&I) and manager skills for all type of levels. We offer an advisory program for our coordinators and interns to learn from mid to upper-level leaders with 1:1 relationship. Another investment is periodic training sessions offered from community leaders and advisory council members so employees can benefit from various skill sets and industry knowledge. Finally, we are continuously offering breast cancer training to learn more about the state of breast cancer care from our medical advisory council, so all staff is as up to date as possible with current information to share with patients, partners, and donors.

Source: Nonprofit submitted responses

Mobilizing for Mission

The nonprofit provides evidence of leadership through focusing externally and mobilizing resources for the mission.


This organization mobilizes for mission in the following ways:
  • Strategic Partnerships

  • Networks of Collective Impact Efforts

  • Thought Leadership

  • Raising Awareness

  • Community Building

What are this organization’s external mobilizaton efforts?

The problem of breast cancer is larger than any one organization. That’s why NBCF engages in strategic partnerships with other breast cancer nonprofits, hospitals, patient advocacy groups, governmental entities, and businesses. To deliver clinical services, NBCF partners with some of the top cancer hospitals and evidence-based care providers in communities across the U.S. In some cases, NBCF partners with State Health Departments to ensure the most impactful reach. Over the last decade, NBCF has built strategic partnership with organizations like Academy of Oncology Nurse Navigators, Pink Ribbon Red Ribbon, Breast Cancer Clinical Trials, American Cancer Society, C-Change, Convoy of Hope, Nurse.com, and dozens of other organizations. These partnership lead to lives saved through early detection and increased access to quality care for underserved patients. Through cause marketing and media partnerships, NBCF has spread its message of early detection to millions across the country.

Source: Nonprofit submitted responses

Story of Adaptability

The nonprofit has an opportunity to tell the story of how the organization adapted to tremendous external changes in the last year.


NBCF adapted to the past year in 3 major areas: 1) leaning into virtual and videoconferencing technology to continue offering critical services to patients, 2) re-directing our strategy within partner and donor engagement to focus on industries that were not hurt by the pandemic, while working to retain those who were, and 3) taking care of the needs of our staff and team to ensure each role was supported and maximized based on the shifting landscape, resulting in a lower than 5% turnover rate. Due to prior efforts to enhance our remote and videoconferencing capabilities, NBCF was ready to quickly shift to virtual program offerings. We hosted the first ever virtual metastatic retreat, educated tens of thousands via our Navigating Breast Cancer in the Workplace virtual program, and offered our support groups to support isolated patients. NBCF also surveyed our hospital partners, listened, and responded to their needs. Our continued funding of patient navigators prevented staff furloughs and significant lapses in navigation services. The funds normally used to host outreach events were reallocated to our Patient Relief Fund, which offered low-income breast cancer patients funds for food, groceries, transportation, and childcare, all proven barriers to health equity. We also increased our screening funding to help meet the growing demand by patients facing job and health insurance loss. Our donor plans shifted with many of our corporate partners, and we focused our outreach on industries who were less affected to help raise support for the year. We also were selected by another breast cancer charity for their large Legacy Grant as they were having to close their doors and were looking for the right trusted partner to continue their work. We were able to take advantage of the Payroll Protection Program that was the gap of support to bridge us over the past year and helped us to maintain our program services throughout the pandemic.

Source: Nonprofit submitted responses

Additional Information

Unscored

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Organization Leadership

Organization Leadership


Janelle Hail

CEO, Founder

Janelle Hail

Chairman

...   Culture & Community


This score provides an assessment of the organization's engagement with the constituents it serves, a practice we term Constituent Feedback. When organizations listen to constituents, they are able to better deliver on programs and meet the needs of stakeholders. A future version of this Beacon will also assess an organization's people operations and its Diversity, Equity and Inclusion (DEI) metrics.


Culture & Community Score

100

out of 100

The score earned by National Breast Cancer Foundation is a passing score. This score has no effect on the organization's Star Rating.

Encompass Rating V4 provides an evaluation of an organization's Culture and Community by measuring its Constituent Feedback practices (see report below). Constituent Feedback data provides 100% of the basis for the initial evaluation of the Culture & Community Beacon.


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Culture & Community Report

100

of 100 points

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Constituent Feedback

Constituent Feedback

Full Credit


This organization reported that it is collecting feedback.


Here's how this organization is listening and learning from the people they serve:


How is your organization collecting feedback from the people you serve?

Electronic surveys (by email, tablet, etc.), Focus groups or interviews (by phone or in person), Community meetings or town halls, Constituent (client or resident, etc.) advisory committees, Suggestion box/email


How is your organization using feedback from the people you serve?

To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To identify where we are less inclusive or equitable across demographic groups, To strengthen relationships with the people we serve


With whom does your organization share the feedback you got from the people you serve?

The people we serve, Our staff, Our board, Our funders, Our community partners


What challenges does your organization face in collecting feedback from the people you serve?

We don't have any major challenges to collecting feedback


Briefly describe a recent change that your organization made in response to feedback from the people you serve.

We work to receive feedback from each of our focus areas within our programs: Conversations with partner hospitals regarding patient needs during the COVID-19 led to the creation of the NBCF COVID-19 Patient Relief Fund to help with basic human needs. Based on feedback collected directly and through our community partner, we learned that nearly 40% of all guests attending our large national outreach events were Spanish speakers. NBCF carried out an evaluation of all educational materials distributed and all training content to ensure every piece was available in both English and Spanish. We received feedback from several HOPE Kit recipients mentioning that adding lemon or ginger hard candy would be a great addition to help with a side effect that is experienced during chemo treatment.



Methodology


Charity Navigator believes nonprofit organizations that engage in inclusive practices, such as collecting feedback from the people and communities they serve, may be more effective. We've partnered with GuideStar by Candid to survey organizations about their feedback practices. Nonprofit organizations can fill out the How We Listen section of their Candid profile to receive a rating.


Charity Navigator awards full credit for this Beacon to every nonprofit that is eligible for an Encompass Rating that completes the survey, in recognition of their willingness to publicly share this information with the nonprofit and philanthropic communities. This data is not evaluated for quality at this time. Validation will be added in future iterations of this Beacon.

Analysis and Research


Like the overall Encompass Rating System, the Culture & Community Beacon is designed to evolve as metrics are developed and ready for integration. Our partnership with Feedback Labs and Guidestar by Candid, and other partners including Fund for Shared Insight, GlobalGiving, and Keystone Accountability, enables us to launch the first version of this beacon with Constituent Feedback information collected on Candid's site.


Feedback practices have been shown to support better Diversity, Equity, and Inclusion outcomes, an essential area of assessment that we intend to further expand and develop in the future. Feedback Labs has documented several studies which indicate that beyond achieving organizational goals, nonprofits that are attentive and responsive to concerns and ideas raised by beneficiaries establish stronger relationships with the people they serve, promote greater equity, and empower constituents in ways that can help to ensure better long-term outcomes. You can find resources to help nonprofits improve their feedback practices here.

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