Health care from head to toe. - Family Health Care Centers of

Health care from head to toe.
Annual Report
“I think often people assume that the uninsured are people that are sort of on
the fringes of society, or can’t get it together for whatever reason. The truth is most of
them are just working class families who for a variety of reasons don’t have insurance.
Their employers don’t provide it, or they can’t afford to buy it...”
Dr. Felix Nunez, Chief Medical Officer at FHCCGLA
A Conversation with Our Leadership
John Kotick, CEO & President of Family Health Care Centers of Greater Los Angeles,
and Board President Jeff Siccama, talk about what FHCCGLA means to the community –
and what the community means to Family Health Care Centers.
What do you think is the most important thing
FHCCGLA does?
What does ‘community health’ mean to you?
JS: Times are tough, and you’ve got families who can only afford to
care at a community level through clinics or health care organizations.
insure a few people, and they’re picking and choosing who gets medical
At another level, it means a healthy community, a place in which people
care. I think the most important thing we aim to do, and I think we’ve
have access to health care, jobs, education and public programs.
accomplished it, is to provide health care for the entire family.
JS: I think ‘community health’ means a healthy environment. There have
JK: To me, it has two meanings. One, it means the delivery of health
been reports that in the next ten years 60-70% of Americans are going
What do you think life would be like for members of the
community without Family Health Care Centers?
to be obese. That’s not a healthy community. So I think where we start
to change that is locally, providing education and medical care.
JK: I think it would be tougher. I’m absolutely certain that people would
farther to access medical treatment. So it would be tougher on kids and
Do you have any thoughts about the opportunity that
health care reform presents for clinics?
families in terms of finding the health care they need.
JK: It’s a big opportunity with big challenges, a new frontier for
JS: It would be difficult for them to get the kind of services they receive
community health centers. There’s a significant possibility that many of
here at the clinics. We try to provide preventive care, to make sure that
our patients who are currently uninsured will qualify for some type of
anything serious gets caught early. In a different medical situation they
insurance or coverage come 2014. So there will be more competition for
may get lost in the crowd.
our patients, and patients will have more choices. But we feel that the
have to rely more on emergency rooms, and they’d have to go significantly
quality of their relationships with our clinicians will keep our patients
What do you hear most often from patients at the clinics?
coming back to us for care, and we feel very good about that.
JK: Overall, the message we tend to hear from patients is one of
appreciation, and that they feel they’re treated with respect and dignity
by their providers here at our clinics.
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“I’m very pleased with the care I receive for my children and myself
at FHCCGLA, and with just the overall quality of the clinic and how friendly
everybody is and how diligent they are in their work.”
Jacqueline Derimow, FHCCGLA Board Secretary and Patient
Our Los Angeles Roots
Family Health Care Centers of Greater Los Angeles (FHCCGLA) has been
making an impact on Southern California communities since 1925,
when the organization opened its doors as The Mother’s Clinic. The
Clinic’s founder, Dr. Henry Brainerd, was a champion of women’s health
and reproductive rights. In fact, the history of what is now FHCCGLA is
interwoven with the history of the American family planning movement.
Dr. Brainerd and The Mother’s Clinic founding physicians hoped
to foster a community where “every child is a wanted child,” and to
become a trusted resource to women in Los Angeles for services ranging
from birth control to prenatal, obstetric and pediatric care. The Mother’s
Clinic was open to all in need of services, and no applicant was ever
refused treatment because she could not afford to pay. It was a safe
haven where women could go to receive compassionate, supportive
medical attention.
The 20th Century
After 30 thriving years, The Mother’s Clinic became the first Planned
Parenthood Center of Greater Los Angeles. With Dr. Edward Tyler as
director, the Center continued to be at the forefront of women’s health
advocacy, contributing research to the development of both hormonal
contraceptives and infertility treatment techniques.
As the general population recognized that women’s rights included
control over their health and reproductive choices, the practice of family
planning became increasingly accepted. The Center grew, and in 1964
became the Family Planning Centers of Greater Los Angeles.
FHCCGLA Today
These days, FHCCGLA operates two clinics, the full-time Bell Gardens
Family Medical Center and the satellite Hawaiian Gardens Health Center.
FHCCGLA provides head to toe health care for men, women, teens,
children and infants living in Bell Gardens and throughout the region.
Our clinics operate as non-profits and our goal is to provide high quality,
complete medical care to as many patients as possible every day.
FHCCGLA Through The Years
1925
1957
1960
1964
Dr. Henry Brainerd heads The
Mother’s Clinic as it opens offices in
downtown Los Angeles’ landmark
Bradbury Building. The Clinic hopes to
encourage healthy families by providing
quality medical care to women.
The Mother’s Clinic becomes the
first Planned Parenthood Center
in Los Angeles. The Center provides
family planning education and
contraception, and is a proud
advocate for women’s health rights.
The US FDA approves The Pill for
use as a contraceptive. Clinical
research conducted at the Center
throughout the 1950’s contributed
significantly to the development
and refinement of The Pill.
The Center becomes Family Planning
Centers of Greater Los Angeles and
moves to a larger space in Venice, CA.
With four satellite clinics and eight
branch clinics, the Centers care for an
average of 40,000 patients annually.
Patient Voices Are Heard
FHCCGLA is motivated to meet our patients’ needs. As a participant
in the Federally Qualified Health Center Program, 51% of our Board of
Directors is composed of patients, enabling them to be directly involved
in decision-making for the Centers.
Healthy Women, Healthy Families
When Dr. Brainerd and his colleagues started their work with the
Los Angeles community, information about how to plan or prevent
pregnancy existed mainly in the shadows and was generally not available
to women in a clinical setting. Our founding physician’s conviction that
knowledge and reproductive options were essential rights for women led
to the bold venture that was The Mother’s Clinic, and carries on today at
Family Health Care Centers of Greater Los Angeles.
Our Community
FHCCGLA’s main clinic is located in the City of Bell Gardens. We serve
a population that experiences a great deal of need. Many Bell Gardens
residents are low-income or working at jobs that do not provide health
care benefits. Unable to afford private health insurance coverage, a
large number of people in the community go without medical care.
Health issues confronting our patients include teen pregnancy, high rates
of chronic conditions such as diabetes, high cholesterol and high blood
pressure, lack of access to nutritious food options and widespread poverty.
How We Help
FHCCGLA staff is bilingual, which allows for easy communication with a
patient population that is 94% Hispanic. Our care providers are sensitive
to and aware of the community’s specific cultural knowledge, practices
and beliefs. That awareness helps clinicians address the health and social
issues that are most important to our patients.
Our Bell Gardens Medical Center is situated next door to Mothers
Nutritional Center, a Women, Infants and Children (WIC) program
grocery store that provides essential foods to low-income mothers and
their young children. This closeness allows families to have a single
destination for both their medical and nutritional needs.
“There are certain services that this community really
needs, like instructional, educational services. Family
Health Care Centers has been an incredible resource.
They’re our health backbone, really. It’s through
FHCCGLA’s outreach with the mobile clinic that people
learn they have access to those medical services locally.”
Lani Cupchoy, Consultant for Bell Gardens Intermediate School Gardening Club
1966
1994
2008
2009
2010
The Centers co-sponsors a symposium
at UCLA titled, ‘Birth Control: A
Continuing Controversy.’ Invited speakers
discuss family planning issues, and
a recording of the event is broadcast
on California public television.
The Centers becomes Family Health
Care Centers of Greater Los Angeles.
FHCCGLA begins treating local
residents at the Bell Gardens Family
Medical Center. The Hawaiian Gardens
Health Center opens its doors in 1997.
FHCCGLA creates the Campaign
for a Healthier Bell Gardens. The
Campaign begins outreach with a
focus on two critical community
issues: teen pregnancy prevention
and diabetes education.
The Campaign for a Healthier Bell
Gardens completes the Community
Mapping Project, gathering detailed
information about local access
to nutritious food and sharing
findings with city officials.
FHCCGLA partners with Kaiser
Permanente Downey Medical Center to
offer its first Free Surgery Day. Medical
staff from both facilities volunteer
their time and skills to perform
procedures for patients most in need.
Head to Toe Health Care for Families
Patients at Bell Gardens Family Medical Center receive full spectrum health care.
Pediatrics
Our facility operates a pediatric unit that provides infant and child
physical exams, hearing and vision evaluations and vaccinations. Special
screenings for developmental issues and childhood obesity are available.
Adolescent Health Care
Young adults are welcome at the Center, where we offer general health
services as well as educate teens about sexually transmitted diseases,
contraception and pregnancy prevention.
Adult Health Care
Men and women can come to FHCCGLA for general medical care as
well as diagnosis and management of chronic conditions, preventive
health screenings and referrals to medical specialists or social service
organizations when needed. We provide a full array of Well Woman
services and screenings.
Income
4,000,000
3,500,000
Expenses
Patient Demographics
3,333,680
2,786,885
3,000,000
3,671,429 3,610,564
2% White
3,155,582
1% Black
2,891,269
1% Asian
2,500,000
2% Other
2,000,000
1,500,000
1,000,000
94% Hispanic
500,000
0
2008
2009
2010
Catherine Sanchez, Youth Advocate,
Campaign for a Healthier Bell Gardens
Patients and Visits
Number of Patients
Number of Visits
35000
33,346
32,944
Teen Pregnancy
30000
25,934
25000
20000
15000
10000
7,144
9,075
9,664
5000
0
2008
6
“Teens from the high school actually come
to FHCCGLA. They’re comfortable at the clinics
because they’re not being judged. They have that
protection and that safety here.”
2009
2010
To address the high teen pregnancy rate in Bell Gardens, FHCCGLA
has engaged two enterprising teen parents and Bell Gardens High
School alumni, Catherine Sanchez and Abel Mejia, as youth advocates.
Motivated to educate their peers, Catherine and Abel meet regularly
with student groups at the high school and offer a safe and trustworthy
connection to information about pregnancy prevention, sexually
transmitted diseases and health services available at the Centers. By
reaching out to local teens, FHCCGLA is laying the foundation for more
open communication with the city’s young adults, making the clinic a
place they can visit without fear of judgment, and where they know
their privacy will be respected.
Plant A Seed, Grow A Community
Campaign for a Healthier Bell Gardens
Community Mapping Project
In 2008, FHCCGLA was granted funding through the Community Clinic
Initiative, which seeks to encourage community health centers to become
catalysts for change in their patient population. With this support, FHCCGLA
created the Campaign for a Healthier Bell Gardens. The Campaign brings
together the Bell Gardens Chamber of Commerce, the school district and
other local organizations to hold events in the city that promote healthy
lifestyle choices, offer educational information and let residents know
about FHCCGLA and the services available to them here.
The Farmer’s Markets are important events, because finding nutritious
food in the city can be challenging. In 2009, Campaign for a Healthier
Bell Gardens Coordinator Cynthia Romo and her team completed the Bell
Gardens Community Mapping Project. After a detailed survey of the city’s
2.4 square miles, they found 141 convenience or fast food establishments
and just three supermarkets. Since many residents have limited access to
transportation, the scarcity of fresh produce in the area puts them at a
dietary disadvantage, as evidenced by two issues FHCCGLA clinicians see
most often: diabetes and obesity. However, the negative health impacts of
both conditions can be reduced through proper nutrition and consistent,
quality medical care.
School Gardens and Farmer’s Markets
To increase public understanding of good nutrition and stimulate a
community conversation about how changes in eating habits can
contribute to better health, the Campaign partnered with the Bell Gardens
Intermediate School Gardening Program to participate in the students’
monthly Farmer’s Market with a mobile medical clinic. FHCCGLA has
also helped the School Gardening Program expand to both Bell Gardens
Elementary and Bell Gardens High School, where it has become enormously
popular. The community response to the Farmer’s Markets has been positive,
and the children working in the gardens cultivate self-esteem and pride in
accomplishment while also sharing fresh, healthy foods with their families.
Accessing Wellness
Lack of access is a major obstacle the people of Bell Gardens have to
overcome. For many in the region, access to nutritious food, health
education and medical services is limited. With the Campaign for a
Healthier Bell Gardens, FHCCGLA hopes to increase access and foster
positive change in the lives of residents.
“Dr. Petkar even wants to meet my wife. I think she wants to ask her if
I’m doing the things I should be. That shows me that they are very concerned
that people are doing what they’re supposed to be doing to be healthier.”
Jorge Ventura, FHCCGLA Board Member and Patient
Board member and patient Jorge Ventura first came to Bell Gardens Family Medical Center as a representative of
Vernon Commerce Credit Union, to present information to FHCCGLA staff about the Credit Union’s account and loan
options. Months later, downsizing at the Credit Union cost him his job – and his medical coverage.
Losing his health insurance put Jorge in jeopardy. As a diabetic, he requires regular medical checkups and consistent
treatment. Without access to quality care, his health could decline quickly and drastically.
In his time of medical need Jorge returned to FHCCGLA, where he has been able to receive quality treatment to
manage his diabetes. He’s built a relationship with his physician, Dr. Petkar, and feels confident that no matter how
challenging the future is – he’s still searching for another job – he has the support to live his life in good health.
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Family Health Care Centers
*
Balance Sheet
From 1/7/09 to 6/30/10
Current Assets
Cash in Bank
Petty Cash
A/R Patients Services Revenue, Net
358,666
Capital Lease Obligations
A/R Medical Settlement
458,443
Deferred Revenue
Rental Receivable
Inventory Assets
Other Assets
Assets
Current Liabilities
Accrued Payroll & Other Related Expenses
4,319
$127,455
182,063
22,500
90,000
Current Portion-Credit Line - BW
109,949
Total Current Liabilities
531,967
354,374
11,065
Liabilities and Capital
Accounts Payable-Trade
650
Total Current Assets
$212,781
Long-Term Liabilities
1,400,299
Property & Equipment
Property, Plant & Equipt.
Other Assets
Debt Issuance Costs
Loans-Golden Security Bank
Total Long-Term Liabilities
1,753,742
Total Liabilities
2,285,709
Capital
35,645
Opening Balance Equity
Total Assets
1,753,742
1,372,524
461,893
Net Income
60,865
Total Capital
522,758
$2,808,467 Total Liabilities & Capital
$2,808,467
Family Health Care Centers
Statement of Activities*
From 1/7/09 to 6/30/10
Total - Restricted & Unrestricted
Support and Revenue
Patients Services Revenues
Rental Income
129,899
Grant Revenue
891,159
Miscellaneous
193,809
Total Support and Revenue
$2,456,562
3,671,429
Expenses
Program Services
Supporting Service
Fundraising
Total Expenses
3,043,212
508,337
59,016
3,610,564
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Change in Net Assets
Net Assets, Beginning of Year
Net Assets, End of Year
193,383
457,696
$651,079
“The health and the nutrition
and the garden, they all go together.
You really can’t see them separately.
We’re trying to come up with ways
to really stimulate changes in health
and thinking and attitudes.”
Lani Cupchoy, Consultant for Bell Gardens
Intermediate School Gardening Club
Financial Summary
*
From 01/7/09 to 06/30/10
Income vs Expense Trend
Income
Expenses
4,000,000
3,500,000
3,671,429 3,610,564
3,333,680
3,155,582
2,891,269
2,786,885
3,000,000
2,500,000
2,000,000
1,500,000
1,000,000
500,000
0
2008
2009
2010 Income Source
2010 Expense Breakdown
Number of Patients
Number of Visits
35000
5%
Miscellaneous
4%
Rental
Income
2010
33,346
32,944
30000
2%
Fundraising
25,934
25000
67%
Patients
Services
Revenue
20000
14%
Supporting
Services
24%
15000 Grant
Revenue
10000
7,144
9,075
84%
Program
Services
9,664
5000
0
*These unaudited financial statements were approved for issue by the Board of Directors on
December 1, 2010. The audited financial statements of the Family Health Care Centers
of Greater Los Angeles for the fiscal year ended June 30, 2010 are available upon request.
2008
2009
2010
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“Free Surgery Day went very well. Everyone involved volunteered
their time, from doctors and nurses to those who cleaned the operating rooms.
That’s commendable, and in my eyes it was very successful.”
Jeff Siccama, FHCCGLA Board President and Patient
Embracing Change
The medical landscape in this country will be changing in
Project RENEW LA
the years ahead as a result of federal health care reform.
FHCCGLA will build on its outreach activities as part of Project RENEW
LA. A two-city partnership between non-profit organizations in Bell
Gardens and Maywood, Project RENEW will focus on reducing obesity
These changes present an opportunity for people who
have been shut out of our current health care system
to receive quality medical attention on a regular basis.
FHCCGLA is committed to making the promise of health
care reform a reality for the people of Bell Gardens,
Hawaiian Gardens and the surrounding region.
and obesity-related diseases.
Free Surgery Day
In September 2010, FHCCGLA teamed up with Kaiser Permanente
to provide free surgeries to uninsured, low-income patients. Free
Surgery Day is a life-changing event for recipients, and one that both
organizations plan to provide on a regular basis going forward.
Shaping the Future of Medicine
FHCCGLA takes an interest in the next generation of doctors and nurses,
and in 2009 we began to make our clinics available as training facilities.
Now, first year medical students and residents from USC, family
medicine residents from Downey Regional Medical Center and students
in UCLA’s School of Nursing come to FHCCGLA for on-site education.
By supporting these training programs, FHCCGLA hopes to promote
primary medicine as a vocation, as well as introduce future health care
professionals to the experience of practicing medicine at community
health centers.
After 85 Years, A Healthy FHCCGLA
Opening More Doors
FHCCGLA would like to reach more members of the community. We
hope to open two additional satellite clinics, in Downey and in South
Montebello. Also, vision and dental care are in particularly high demand
among our patients, who would benefit greatly from expansion of those
services at our clinics.
Increasing Our Community Footprint
Along with expansion, FHCCGLA is focused on continuing our local
outreach through the Campaign for a Healthier Bell Gardens, providing
mobile clinics at school gardens’ Farmer’s Markets, reaching out to
area teens through youth advocates and finding creative ways to
build community interest and awareness around lifestyle choices that
contribute to better health.
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At a time when availability of state funds is in decline and health care
costs are at an all-time high, while people are experiencing persistent
unemployment and the number of families living in poverty is rising,
FHCCGLA stands ready to help. Through support from local businesses
and compassionate citizens with an interest in public health, Family
Health Care Centers of Greater Los Angeles continues to offer complete,
quality medical care to those in need.
“I think the sense of family at FHCCGLA stands out.
Everybody cares. They all have one goal, and
that is to make a difference in the
lives of people who are less fortunate.”
Jacqueline Derimow, FHCCGLA Board Secretary and Patient
Mission Statement
“To enhance the quality of life of men, women and children in the
greater Los Angeles area through the provision of high quality,
accessible and affordable health care services.”
Board of Directors
Officers
Members
Jeff Siccama - President
Marie Bagwell
Jorge Ventura
Clinic Services Consumer
Community Resident
Clinic Services Consumer
Oscar Gonzales - Treasurer
Maria Luisa Hernandez
Natalie Nevins, D.O., M.S.H.P.E.
Community Resident
Clinic Services Consumer
Jacqueline Derimow - Secretary
Clinic Services Consumer
Gladys Munos
Binesh Batra, M.D.
Clinic Services Consumer
Myra Majano
Community Resident
Other
Robert J. Hooper
Honorary Board Member
Sergio Bueno
Clinic Services Consumer
Please direct all Board of Directors correspondence to:
Bell Gardens Family Medical Center
Attn: Board of Directors
6501 South Garfield Avenue
Bell Gardens, CA 90201
FHCCGLA would like to express our gratitude to the consultants from the Taproot Foundation who contributed their time and talents to create
our first annual report: Gena Davis, Account Director; Adreena Thomas, Project Manager; Lindsay Harbinson, Marketing Manager; Luciana Melo,
Strategy Analyst; Grace Comisso, Graphic Designer; Kevin Eaton, Graphic Designer; Betsy Winchell, Photographer; Rachel Whitman, Copyeditor.
*The financial statements in this annual report have not been prepared or audited by any member of the Taproot Foundation.
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Headquarters:
Bell Gardens Family Medical Center
6501 South Garfield Avenue • Bell Gardens, CA 90201
(562) 928-9600 • Fax (562) 927-8603
Hawaiian Gardens Medical Center
22310 Wardham Avenue • Hawaiian Gardens, CA 90716
(562) 420-2433 • Fax (562) 429-2053
fhccgla.org