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2016 Annual Report Flipbook PDF
HOPE Clinic's 2016 Annual Report
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HOPE Clinic 2016 ANNUAL REPORT
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table of contents 04
Our Mission
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About Us
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Who We Are
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Message from our Board President
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Message from our CEO
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HOPE’s Year in Numbers
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HOPE’s Patients
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Growth in 2016
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HOPE Clinic in the Community
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Our Supporters
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our mission To improve the health of residents in greater Houston through culturally and linguistically appropriate services.
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about us
The Asian American Health Coalition established HOPE Clinic in 2002 as a four-hours-a-month, volunteer-run, non-profit clinic, providing culturally and linguistically competent care for Houston’s under-served, and linguistically isolated Asian communities. Located in Alief, Houston’s most racially diverse neighborhood, HOPE gained recognition after hurricane Katrina, in 2005, when it provided services to 3,000 of the 15,000 Vietnamese evacuees from Louisiana. Today, HOPE Clinic has grown into a full time Federally Qualified Health Center (FQHC) operating 3 clinic sites with 150 staff members and providing over 70,000 patients visit a year. HOPE provides health care services to all regardless of the patients’ ability to pay. In particular, HOPE Clinic serves the uninsured, under-insured, those with limited English proficiency, and the low-income. A unique characteristic of HOPE Clinic is its capacity to provide services in 14 different languages, including: Mandarin, Cantonese, Vietnamese, Korean, Burmese, Arabic and Spanish.
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who we are BOARD MEMBERS Karen Love, President David Acosta, Vice President Linda Nguyen, Treasurer Alex Leung, Secretary Michael Brims Rogene G. Calvert Dr. Peter Chang John Watson Dr. Gene Yee Delaina Donaho Gonzalo R. Gomez Agnes Luna Karina Quilter Tito Refi, Immediate Past President
MANAGEMENT STAFF Dr. Andrea Caracostis, CEO Shane Chen, COO Penny Yang, CFO Dr. Annapoorani Arunachalam, Medical Director Kara Green, NP, Clinical & Quality Director
CURRENT CLINICAL STAFF Family Practice Dr. Richard Andrews Dr. Cindy Anthis Dr. Jean Bombach Dr. Shahedul Islam Dr. Rajalakshmi Natarajan
Women’s Health Dr. Romany Gawargious-Hana Dr. Matti Korhonen Dr. Dilshad Lalani Dr. Pablo Orezzoli Dr. Ameer Touadrous Children’s Health Dr. Annapoorani Arunachalam Dr. Gunjan Dokania Dr. Nourelhoda Farah Dr. Lauren Krenek Dr. Apoorva Murthy Dr. Ana Lara Dr. Smitha Nair Nurse Practioners Mrs. Rocio Baute, Mrs. Paresa Chang Mrs. Jenny Choe Mrs. Kara Green, CQIO Mrs. Tiffany Nguyen Behavioral Health Mr. Rodolfo Orna Mrs. Haylee Maynard Eye Clinic Dr. Susan Moreno Dental Services Dr. Sameh Arsanious 9
Karen Love
Board of Directors President
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I continue to be amazed at the organization HOPE Clinic has grown to be in the twelve years since my first involvement with the organization. After Hurricane Katrina in 2005, I was asked to coordinate the distribution of a large medical supply donation for Houston’s community clinics. The Clinic’s then Executive Director and I made dozens of trips with our cars full of supplies to the Clinic’s part-time Hong Kong Mall location to ensure that the Clinic was able to care for the hundreds of individuals who found their way to the fledgling clinic. That we would have three locations and have purchased land for a permanent home is success beyond my imagination, but not those of its fearless founders. HOPE Clinic has become a shining example of what a Community Health Center should be – a patient-centered medical home, in touch with the needs of its community, providing outreach to those who may not even know they need services – women who may not know about the need for PAP tests or mammograms, nail salon workers who may not be aware of the dangers they face in the workplace, or those at risk for Hepatitis C. The expansion of services at both our main campus and West Houston locations has enabled us to do even more in 2017. We welcome your interest and support of HOPE Clinic as we continue our journey of transforming the health of the community we serve.
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Andrea Caracostis Chief Executive Officer
Dear Friends, Two thousand and seventeen marks my 10th anniversary leading HOPE Clinic. One of the important lessons of this adventure was to realize we are all linked by a thread, and if we all knit together we can create a beautiful fabric. As such HOPE Clinic has grown from a concept to a reality and beyond. In 2016 HOPE Clinic went from small business to employing over 130 staff and being the medical home for 15,000 patients. HOPE Clinic provided over 70,000 patient visits and delivered more than 1,000 babies. A few of the highlights during 2016 include: _ HOPE Clinic expanded its West Houston Clinic located on Westheimer Rd. The 6,000 sqft facility includes 12 exam rooms and state of the art facilities and technology. This site provides care to all ages, including prenatal care and nutrition services.
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_ HOPE Clinic received an $800,000 capital grant to renew its main site clinic, adding 12 new exam rooms, a nurse station, and ancillary services remodeling. This expansion resulted in 32 total exam rooms, so the clinic can provide 12,000 additional visits a year. _ In collaboration with Houston Methodist Hospital, HOPE Clinic implemented 3 new specialty visits, oncology, hematology and pulmonology. Providing invaluable access for our patients. _ HOPE Clinic started its new Hepatitis C treatment program by implementing a treatment protocol tailored to the primary care practice. This resulted in 20 cured hepatitis C patients! It is now our job to expand our fabric and embrace the future by embarking on a new dream, that of building a community of wellness and developing a new way of health delivery. The new adventure consists in building HOPE Clinic’s permanent site as catalyst for community transformation. Please join us in knitting your thread into our fabric of health - join us in the adventure of building healthy communities.
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numbers & figures
Foundation/Private
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Government
Patient
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our patients AGE DISTRIBUTION
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0 -4
5-12
13-19
20-44
45-64
65+
17%
15%
9%
40%
16%
3%
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our patients RACE & ETHNICITY
21%
CAUCASIAN
21%
6%
AFRICAN AMERICAN
MULTIRACIAL
1%
AMERICAN INDIAN/ ALASKAN
23%
HISPANIC
28% ASIAN
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visits & encounters
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2011
13,039 VISITS 4,124 PATIENTS
2012
23,539 VISITS 5,692 PATIENTS
2013
31,921 VISITS 7,452 PATIENTS
2014
44,834 VISITS 9, 274 PATIENTS
2015
54,756 VISITS 13,121 PATIENTS
2016
73, 432 VISITS 14,173 PATIENTS
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how we’ve grown ASSETS Cash Net Patient Receivables Grants And Other Receivables
2,101,849 523,738 1,148,435
Land
1,959,354
Leasehold Improvement
1,752,200
Furnitures and Equipments Construction in Progress Accumulated Depreciation
916,673 349,414 (1,175,862)
Other Assets
264,669
Total Assets
7,840,470
LIABILITIES Accounts Payable
1,983,267
Accrued Expenses
804,848
Long-Term Debt Deferred Revenues Total Liabilities
121,373 312,458 3,221,946
NET ASSETS Unrestricted Temporarily Restricted Total Net Assets Total Liabilities and Net Assets
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4,399,514 219,010 4,618,524 7,840,470
SUPPORTS & REVENUES Federal Grants State Grants
2,647,598 580,071
Local Grants
14,906
Contributions
963,417
Clinic Income
8,000,429
Other Income
126,126
Net Assets Released from Restrictions Total Supports & Revenues
1,151,160 13,483,707
EXPENSES Program Services Management and General Fundraising Total Expenses
Net Assets As Of December 31, 2016 Net Assets As Of December 31, 2015
7,911,361 3,325,897 21,649 11,258,907
4,618,524 2,497,649
Net Assets as of December 31, 2014
1,922,914
Net Assets as of December 31, 2013
1,862,987
Net Assets as of December 31, 2012
2,031,587
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giving back
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THE PHOENIX PROJECT The award winning Breast cancer project, the Phoenix Project, started in 2003 and provides free mammogram screening, diagnostic procedures and treatment as well as clinical breast examinations, breast health education and treatment. Over the last 10 years the program has reached over 30,000 women and provided free screening to approximately 6,300 women. In 2016, the Phoenix project provided the most mammograms ever, 970 mammograms the results included 164 abnormal mammograms: 7 breast cancers were diagnosed in 2016, all women were navigated thought treatment. Fifty percent of the women participating in the Phoenix project were having their first mammogram and 24% of them had never heard about a mammogram before coming to HOPE Clinic. Ten percent said they had never had a mammogram before because of cost and lack of insurance, compared with 48% in 2014.
B-FREE HOUSTON The Liver cancer and Hepatitis B prevention Project, called B-Free Houston addresses the high incidence of Hepatitis B in the Asian community by providing free screening, immunizations and treatment. Since 2008, the program screened over 7,500 patients for Hepatitis B. In 2016 HOPE screened the most patients ever, 2,053 patients, and diagnosed 245 new cases (12.5%) and provided over 4,249 immunizations. To date HOPE Clinic has over 374 HBV patients under treatment. A cost effectiveness evaluation of the program showed that HOPE Clinic saved $1,657 per patient, when compared with the screening and diagnosis in a private physician’s office or secondary care center. (HOPE $663 cost versus $2,320). JADE CIRCLE PROJECT The cervical cancer prevention project, Jade Circle, is an initiative that started in 2011 to address the fact that Vietnamese women have the highest incidence of cervical cancer. In 2015, HOPE Clinic provided 2,781 Pap tests; 8,7% were abnormal (compared with 6% national average) and 128 31
colposcopies were performed. The clinic also provided 1,637 HPV tests. Jade Circle saved a average of $380 per patient for each colposcopy performed at HOPE Clinic, in addition to saving time and stress to our female patients. THE PINK LOTUS PROJECT HOPE Clinic recognizes the great need to address teen pregnancy and repeat teen-pregnancy in our community. In 2013 HOPE Clinic started a project called, “Pink Lotus Project” to provide a safe environment of care for teenage girls who need gynecological or obstetric care. This project is collaboration between the Pediatric and the Ob-Gyn departments in an effort to prevent teen pregnancies in our community and increase early entry into prenatal care. The lotus in China is representative of purity and harmony in adverse surroundings; it also symbolizes the flower rising above the obstacles of daily life to a higher state of being. “PAPALOOZA” CERVICAL SCREENING EVENTS For the first time in 2013 HOPE Clinic partnered with the College of American Pathologists and Methodist Hospital to provide 250 free pap smears. In 2015 HOPE Clinic revised the project to integrate the rapid screening format to the routine delivery of the services, this resulted in quarterly Papaloozas at the different clinical sites, targeting hard to reach populations and never screened women. The new quarterly Papalooza has proven to be successful, reaching an average of 60 women per event, who are screened from 8:00 am to 1:00 pm, with a no show rate of only 5%. Women then receive the results via email or personal call if abnormal within 5 days, health education and all abnormal results are followed up with a free colposcopy and a LEEP if needed as well. CRANE BEHAVIORAL HEALTH PROGRAM The Crane is a traditional symbol of long life and health. CRANE stands for Counseling, Referrals, Assessment of Needs, and Education. The CRANE Project integrates primary care and behavioral health, highlighting the concept of wellness, “Body, Mind & Spirit”. This project follows the behavioral 32
health and primary care integration model. A unique component of this program is that it integrates into the different health education classes the clinic offers, such as developmental awareness during prenatal classes, conflict management during parenting classes and depression during diabetes and weight control classes. Individual and group counseling is available daily, as well as child and adult psychiatric consultations and medication management. The program provides a “warm handoff” of the patients, by placing a behavioral health therapist at the station, reducing stigma and fear and eliminating waiting time between apointments. PROJECT “NAIL-IT” Houston houses a large number of manicurists, a significant proportion of whom are of Asian descent and of reproductive age. Every day at nail salons across the city, these workers are exposed to harmful chemicals linked to serious health and safety issues with many experiencing a range of health impacts. For the last year HOPE Clinic has taken the initiative to target the nail salon workers in education and outreach activities, providing them with opportunities for health screening as well as educating them about the importance of preventive care. The Nail-Innovative Teaching (IT) model has been gradually implemented. In 2015 the clinic outreach staff reached 126 nail salons and over 500 women though interview, focus groups and educational events.
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supporters G O L D L EA F MEMBERS $100,000+ Chao Foundation Houston Methodist
SI LVER L E A F M EMBERS $50,000 - $99,999 American Cancer Society AVON Foundation Community Health Choice Rockwell Foundation
B RO N ZE L EA F M EMBERS $10,000 - $49,999 Episcopal Health Foundation Houston Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. Simmon Foundation Hepatitis B Foundation
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LEA DE R S
($1,000 - $9999)
AMEGY Bank Asian American Youth Giving Circle CenterPoint Energy Claudia Almaguer Connie Kwan Wong Constantine Caracostis David Bale Davis & Diana Sun Donna Cole Dr. Ameer Touadrous Dr. Kim and Betty Gee Dr. Peter & Shirley Kwan Dr. Richard Andrews Dr. Romany Gawargious Hana Drs. Alice and Matthew Brams Edmond and Beverly Gor Edward Allen Gina Li Glen Gondo (Zushi) Harris County Hospital District Foundation Harris Health System Jalal Properties Jerry Lamm John Watson Karen Love Karen Tso KC 7001, LLC Kris Poston LabCorps Houston Mandy & William Kao Matthew O. Korhonen MD Anderson Cancer Center Mustafa Tameez (Outreach Strategists) Nancy Allen Nevin Noorani Nihala Zakaria
Pamela Castleman Penny Yang Phoenicia Specialty Foods Piedmont Contractor, Inc. Randy & Sue Hun Sim Rogene Gee Calvert Shane Chen Shaobo Du Sneha Merchant Southwestern National Bank Susan Boggio The Hon. Theresa & Dr. Peter Chang United Solutions MSO West Houston OB/GYN Yasmine M. Haddad
F R I EN D S (Up to $999)
Ana Arguello Polanco Anime Matsuri Convention LLC Ashley Henderson Beth Young Beverly Morris Bonnie Self Bruce Kao & Charlene Tsang-Kao Chi Kin Pang Chirag Patel Chung & Lilyan Gee David Acosta David Kim Deborah Pakzaban Deneice Leigh Denise Johnson Donae Chramosta Dorothy & Daniel Chow Dr. Dilshad Lalani Dr. Hac Nguyen Dr. Lillian Chan Dr. Noreen Khan-Mayberry Dr. Rita’s Pharmacy
Dr. Sadaf Javaid Dr. Sippi & Ajay Khurana Duyen Nguyen Elaine Zhang (China Real Estate Group) Equitrust Ansari, LLC Esther Quan Eugene & Terry Toy Fatemah Asgari Fatima Mohiuddin Harry & Tracy Faulkner Hilary Ma Jill Thompson Shull Joseph Killion Joyce M. Judy Lee Karin Dunn Karissa White Kavita Self Kristen Nichols McDaniel Kyle L. Linda Epner Mimi Luu Natasha Paradeshi Norma McCoy Priscilla Limin Zhu Quynh Phan-Le Rodolfo Orna-Takano Ruth Garcia-Romero Safia Mistry Shenila Naseem Staci Henderson Texas Specialty Care PLLC Tito Refi Varda Fields Viet Hoang Vivian M. West Houston Medical Center Yueping Sun Anonymous
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7001 Corporate Drive, Ste. 120 Houston, TX 77036
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