2013 ANNUAL REPORT MISSION The Pocatello Free Clinic promotes health and wellness in the community by providing medical and dental care to uninsured individuals at no cost. 429 Washington Pocatello, ID 83201 (208) 233-6245 www.pocatellofreeclinic.com FROM THE EXECUTIVE DIRECTOR I believe that access to health care is a human right. No one should have to go without medications or treatment for disease and illness just because they can’t pay for it. We have had many success stories this year, however the biggest story isn’t the transformation of a single life but the transformation of a struggling clinic. TRANSFORMING A CLINIC Low funding and lack of staff and resources left Pocatello Free Clinic (PFC) unable to meet patient needs the last few years. Pat Hermanson, Idaho State University Health Care Administration Program Director, led leaders in the medical community and PFC board members in a series of meetings to determine if there was a need for the clinic and what role PFC should play in the community. The need was undisputed. Uninsured individuals were going without care or accumulating significant bills in the emergency room. The cost of unpaid bills is passed on to the county or written off by the hospital. To successfully help this population more patients needed to be seen and in a timely manner. When PFC asked the community to help, volunteers responded. Significant grants from Portneuf Health Care Foundation, the Idaho Department of Health and Welfare, and Bannock County were secured and a part-time nurse practitioner was hired to expand services and provide continuity of care. A director was also hired to manage operations and staff. The result is a bustling clinic open 20 hours a week for patient care. Walk-in patients are often treated, and a focus on preventative medicine and education has been added to historical services. Outreach efforts increased donations and grants by 100%. Patient visits expanded from 999 in 2012 to 1,486 in 2013. We expect to have close to 2,500 patient visits in 2014. This valuable community organization was transformed through the efforts of visionary board members and a staff that puts in 110% every day. IMPACTS OF THE AFFORDABLE CARE ACT I want to stress that in spite of the Affordable Care Act (ACA) our patient population remains the same. Idaho did not adopt Medicaid expansion and our patients don’t make enough to qualify for tax credits through “I want to stress that in the exchange. The result is a gap spite of the Affordable in health insurance. It is the same gap that our patients have always Care Act (ACA) our patient fallen into. These individuals are in population remains the need and the challenge will be to same...the challenge will educated volunteers and donors about the cracks in the ACA and the be to educate volunteers population that still needs help. and donors about the DENTAL: THE FOCUS FOR 2014 cracks in the ACA and the PFC had 269 patient visits in our population that still needs dental clinic last year, but we failed at least ten times that many people. We help.” have not been able to keep up with demand and our goal this year is to meet those needs. We talk with an average of five people a day who need immediate treatment. They have pain, infection, and pieces of teeth breaking off. Their need is heartbreaking. It is affecting their POCATELLO FREE quality of life and ability to work. We are calling CLINIC STAFF 2013 out to donors, dentists, and hygienists to help us Mindy Hong serve this population. Over 44% of individuals in Executive Director our health district do not have dental insurance. Emily Jahsman Currently, our wait list is six months. We have to Office Manager do better for our community. THANK YOU We feel extremely blessed that the community rallied to our cause this year. Our ability to provide access to care for the uninsured in Southeastern Idaho is a result of the hard work and sacrifice of our volunteers and donors. We have felt hopeless alongside some of our patients with life-threatening cases and have seen miracles happen in their lives because of the generosity of caring individuals. Mindy Hong, Executive Director Pocatello Free Clinic Kate Roth Nurse Practitioner Garrett Gundry Medical Manager Josh Peterson Medical Manager Benji Bosen Medical Manager Emma Luvsannyam Medical Manager Curtis Tanner Dental Manager Jeff Misner Dental Manager BY THE NUMBERS JANUARY 1, 2013 - DECEMBER 31, 2013 1486 518 1219 128 267 148 1534 1701 952 IMMEASURABLE Total Patient Visits Medical Patient Visits Dental Patient Visits Prescriptions Filled Labs Dental X-rays Dental Fillings Extractions Volunteer Hours Improved Quality of Life BOARD OF DIRECTORS PRESIDENT: Steve Hurley, PharmD Retired Pharmacist VICE PRESIDENT: John Iasonides, BBA Key Bank Relationship Manager TREASURER: Kathy Olsen, PhD, RN Idaho State University School of Nursing Instructor Office of Professional Development MEMBER: Meg Long, RDH, BS Idaho State University Dental Hygiene Program, Clinical Associate Professor MEMBER: Maggie Mann, BS Southeastern Idaho Public Health Director MEMBER: Grace Jacobson, PhD, RN Retired teacher, active nurse in Medical Reserve Corps, Firefighter, Veteran MEMBER: Vicki Allen, RN, CLNC Idaho State University PA Program Director of Clinical Site Development MEMBER: John Batacan, PhD, MCHES Idaho State University Health Education Program, Assistant Professor MEMBER: Alex Bolinger, PhD, MBA, MA, BBA Idaho State University College of Business Assistant Professor MEMBER: Roger Boe, MD Retired Physician “If it wasn’t for this place, I wouldn’t have made it. The Pocatello Free Clinic is saving my life every day.” -Anonymous Patient 2013 PFC VOLUNTEERS The providers listed took time out of their busy lives to care for community members in need. We, and our patients, are extremely grateful for their gift of time and expertise. MEDICAL PROVIDERS Adam Wray, MD Alan Mirly, PA-C Amie Reckon, MD Bev O’Doherty, FNP-C Bill Woodhouse, MD Blaine Olsen, DO Brad Hyatt, DO Bradley Beaufort, DO Bryant Anderson, DO Charles Clair, MD Cynthia Bunde, PA-C David Downey, MD Derek L. Wright, MD Dylan Cole, DO Edward Moskowitz, MD Eric Allen, DO Erin Millward, FNP-C Fahim Rahim, MD Heather Schaper, PA-C Helena Rizor, PA-C Jacob Forke, MD Joel Webb, PA-C John Fenstermaker, DO Josie Syverson, MD Kolby Johnson, DO Kris Baab, FNP-C Lavonne Mills, MD Melissa Kjos, MD Michael Barker, MD Mitch Mendenhall, MD Naeem Rahim, MD Nicole Lamb, CNM, MSN Paul Allen, MD Paula Bryant, PA-C Paula Phelps, PA-C Ron Ellsworth, MD Sarah Tiggelaar, MD Sharla Clark, DO Steve Coker, MD Tom Davis, DO Trevor Wilde, DO Tyler Mayo, DO Virginia Murphy, FNP-C Zachary Halversen, MD Zachary Warnock, MD Zuzana Fletcher, FNP-C CHIROPRACTIC PROVIDERS Glen Randall, DC Jeff Williams, DC DENTAL PROVIDERS Allan P Staker, DMD April Guidinger, RDH Bradley Sutton, DDS Chase Mickelson, DDS Courtney Parrachione, RDH Dawn Bowman, RDH Jackie Axline, RDA Janica Gillette, DDS Kandis Garland, RDH Katie Mooney, RDH Kealie Clapp, RDH Kimberly Wilding, RDH Krissy Park, RDH Lee Reddish, DDS Lisa Cone, RDH Lisa Higbee, RDH Meg Long Woodhouse, RDH Melissa LaChappelle, RDH Michael Cady, DMD Natalie Kingsford, RDH Pamela Rich, RDH Paul Gagnon, DDS Rebecca Sudweeks, RDH Ryan Krenn, RDH Shandy Browning, RDH Wilson Armstrong, DDS VOLUNTEER PROVIDER NETWORK Betty Carrillo, CDA Bjorn Sauerwein, MD Brandon Wilde, DPM Brent Christensen, DPM Brian Crawford, DDS Brian Hone, DDS Carole Christie, RDH Cheryl Callaghan, MD Chris Thompson, CDA Cindy Duffin, RDH Earl R. Stoddard, MD Eileen Thonssen, RDH Emily Stark, CDA Idaho Orthopedics Jay Harris, DDS Jerrica Parkin, CDA John Fornarotto, MD Josh Gruber, DDS Josie Grischkowsky, CDA Kim Smith, DDS Kris Munk, DDS Kyle McIntyre, DDS Louis G. Bringhurst, DDS Mark Baker, DDS Michael T McHugh, DDS Mike Sutton, DDS Natalie Sutton, RDH Peter Lotowski, DDS Pocatello Children’s Clinic Renee Kratter, PA-C Robert Fackrell, DDS Robert Jones, MD Ryan Johnson, OD Shawn Jepsen, DDS Stephen Sutton, DDS Tom Call, DDS Vermon S. Esplin, MD Zach Davis, DDS THANK YOU TO OUR VOLUNTEERS OF THE YEAR! These individuals made our cause their cause and put in countless hours to help our organization succeed in its mission. Dr. Bill Woodhouse Shaun Menchaca Dr. Jeff Williams Dr. Glen Randall Dr. Charles and Lisa Clair 2013 PFC DONORS The donors listed invested in the transformation of a clinic that will serve the community for years to come. We have been humbled by the individuals and organizations willing to donate. For every dollar donated we are able to provide eight dollars worth of medical/dental care to patients. COMMUNITY PARTNERS Bannock County City of Pocatello Idaho State University Family Dentistry Idaho State University Family Residency Program Idaho State University Nursing Program Idaho State University PA Program United Way of Southeastern Idaho INDIVIDUALS Alan Frantz Alyce Sato Charles & Lisa Clair Greg Maag JAAPA Jerry Hong Joan & Rhonda Johnson Joan Houston John Clark June Heilman Lavonne Mills Margaret Mullenax Mathew Hong Paul and Penny Hancock Rebecca Conos Shad Hattaway Victor Hjelm CORPORATIONS/ORGS D.A. Davidson First Congregational Church of Christ of Christ Good Wok Idaho State University PA Program Pocatello Unitarian Universalist Fellowship Portneuf Medical Center GRANTS H.J. Heinz Heinz Foundation Idaho Department of Health and Welfare Leadership Pocatello Portneuf Health Care Foundation IN-KIND CONTRIBUTIONS Dallen Lambson Deborah Sherl Diagnostic Imaging Services of Idaho EJ Prince Encompass Four Season Dental Idaho Orthopedics Key Med LabCorp LaRue Mauger Linda Davies & Queen Bees Maag Pat Hermanson Radiology Associates of Idaho Rick Davis Ridgewind Sharon Collins Shaun Menchaca Tom & Sheryl Davis 2013 PFC PATIENT SURVEY RESULTS 40% 4% 32% 100% Of patients would not seek any type of health care if the free clinic did not exist. Of patients would seek care in the emergency room if the free clinic did not exist. Of patients expect to get insurance because of the Affordable Care Act. Of patients report they are satisfied with the care they have received at the Pocatello Free Clinic. 100% Of patients agree that their health has improved because of services they received at the Pocatello Free Clinic. “This clinic is a godsend for all who need help when they otherwise wouldn’t go to the doctor.” -Anonymous Patient “I have been treated with kindness and a lot of love. This friendly atmosphere is conducive to getting well.” -Anonymous Patient LIVES TRANSFORMED Sharon is a 60-year-old female who has been treated at Pocatello Free Clinic (PFC) for just over six months in the medical and dental clinic. She has an extensive medical history which prevents her from working at this time. Sharon is not yet eligible for Medicare and does not meet the criteria for federally subsidized health insurance nor for Idaho Medicaid. Sharon has a long history of multiple hospitalizations and chronic, debilitating illness. The past decade has been rife with the inability to afford comprehensive health care and prescriptions. The result has been ten costly admissions to the hospital, including the intensive care unit for an extended stay on life support. Since Sharon has been receiving care at PFC, her chronic illnesses have been controlled. She has not been to the emergency room or admitted to the hospital. PFC has been able to provide her with primary care including, physical exams, diagnostic testing, and prescription medications at no cost. Sharon’s health has improved so much that she’s been able to assist in caring for her elderly father in her home. She shared that she no longer feels worried about the care (or lack of care) that she will receive. PFC has been a safe-haven for Sharon and saved her from suffering related to her former inability to access primary health care. Michael is 51years old and a little young to be worried about a heart attack. However, he complained of shortness of breath and chest pain while being seen at the Pocatello Free Clinic (PFC) for hypertension and diabetes. Nurse practitioner Kate Roth performed an ECG with equipment donated by Portneuf Medical Center. Abnormalities were recorded and volunteer nurse practitioner Bill Sabel was called in to evaluate Michael and another cardiac patient. Bill performed a pro bono stress test on Michael at Intermountain Medical Clinic. Several tests later and after numerous efforts on Bill’s part, Michael was diagnosed with severe coronary artery disease and underwent emergency open heart surgery. Michael is now recovering, and he and his family are enjoying time together because of the dedication of staff and generous volunteers. Michael is alive today because of the heroic collaboration of many individuals. This is pure medicine at work. HOW YOU CAN HELP Some people assume that a lack of access to health care is a third-world problem. It is not. At the Pocatello Free Clinic (PFC) providers serve patients with broken teeth, uncontrolled diabetes, cancer, heart disease, mental health issues, and much more. PFC continues to move in a wellness direction where staff help this population improve their health and their lives. Help PFC get these individuals back on their feet. DENTAL CARE: PFC needs 20 dental offices who will see one to two patients a month on a regular basis. Patients will already have a cleaning, x-rays, and a treatment plan identified by a Registered Dental Hygienist. Dental offices will be asked to do restorative work (fillings and extractions) on a one-time basis for each patient. Patients will be counseled that they get one hour in the chair and if additional work is needed, it must be scheduled with PFC. DONATIONS: For every $1 donated we are able to provide $8 of direct medical or dental services. $52 a year provides the funds for 3 patients to get dental care for an abscessed tooth including an extraction and antibiotics. $260 a year would provide 14 individuals medical care, prescriptions, support, and referrals for mental health issues. VOLUNTEER PROVIDERS: If you are a physician, physician assistant, nurse practitioner, dentist, registered dental hygienist, or certified dental assistant, please contact PFC to volunteer your time. Just three hours can make the difference in the lives of several individuals. OTHER VOLUNTEERS: In addition to providers, it takes a lot of support to make our clinic run. Please consider becoming a volunteer and urge your friends and family to aid us in building a healthier community. Contact us if you could help with the following: on ucati d e h t • Heal work al • Soci in k• Chec acy rm • Pha ing upkeep d • Buil ization n • Orga ting ke • Mar ic design h • Grap nting u • Acco ore m • And 2013 PFC FINANCIAL SUMMARY Ordinary Income/Expense Income 43300 · Direct Public Grants 43400 · Direct Public Support 44800 · Indirect Public Support 44820 · United Way, CFC Contributions Total 44800 · Indirect Public Support 45000 · Investments 46400 · Other Types of Income 47000 · In-Kind Services 47100 · Provider Volunteers-In Kind 47150 · Labcorp Services-In Kind Total 47000 · In-Kind Services Total Income Expense 62100 · Professional Services 62110 · Accounting Fees 62100 · Professional Services - Other Total 62100 · Professional Services 62800 · Facilities and Equipment 62840 · Equip Rental and Maintenance 62870 · Property Insurance 62890 · Rent, Parking, Utilities 62800 · Facilities and Equipment - Other Total 62800 · Facilities and Equipment 62895 · Building Maintenance 65000 · Operations 65020 · Postage, Mailing Service 65030 · Printing and Copying 65040 · Office Supplies 65050 · Telephone, Telecommunications 65060 · Dental Supplies 65065 · Dental Equiptment 65070 · Prescriptions 65080 · Medical Supplies 65090 · Medical/Dental Service Rendered 65095 · Laboratory Work Total 65000 · Operations 65100 · Other Types of Expenses 65110 · Advertising Expenses 65120 · Insurance - Liability, D and O 65150 · Memberships and Dues 65170 · Staff Development Total 65100 · Other Types of Expenses 66000 · Payroll Expenses 66010 · Work Study 66000 · Payroll Expenses - Other Total 66000 · Payroll Expenses 68300 · Travel and Meetings 68310 · Conference, Convention, Meeting 68320 · Travel Total 68300 · Travel and Meetings Total Expense 68,968.05 24,044.61 3,969.27 3,969.27 22.45 1,153.74 51,495.00 71,585.00 123,080.00 221,238.12 1,719.74 822.35 2,542.09 78.00 700.00 8,000.00 2,983.95 11,761.95 2,417.80 382.91 362.62 3,939.26 2,068.11 545.60 10,553.36 16,750.78 1,430.36 51,495.00 71,585.00 159,113.00 1,448.50 1,001.00 756.00 120.00 3,325.50 4,898.01 35,415.87 40,313.88 215.00 311.07 526.07 220,000.29 Net Ordinary Income 1,237.83 Net Income 1,237.83