Annual Report - Women`s Community Clinic

spring/summer 2013 / issue XXII
The Annual* Examiner
“I cannot get over how good this clinic is! This is a great example of how
community support and volunteer work can go such a long way.” — Hannah, Client
Meet the Next Generation
of Community Health
Care Providers
When was the last time you left a medical clinic feeling empowered?
Respected? Confident in your ability to improve your health? This is the kind
of care we strive to offer every client. And when a woman tells us she had a
life-changing experience at the Clinic, we know much of the credit belongs to
our team of care providers.
Our doctors, nurses, and trained health workers go the extra mile every
day to offer care that is respectful, culturally inclusive, and responsive to each
woman’s unique needs. We believe this is what all health care should look
like. That’s why we’re helping to train the health care workforce of the future.
“This year, 82% of our volunteers
left the Clinic to pursue degrees in
health care related fields.”
Each year, over 100 community volunteers donate over 10,000 hours
of time to provide approximately 50% of our services. This is health
care by the community, for the community, and ensures our providers
reflect the gender, ethnicity, sexual orientation, and life experiences of
the diverse clientele they serve. Our volunteer workforce also helps us
stay operationally efficient and leverage every dollar we raise to provide
excellent care. Meanwhile, they gain invaluable hands-on experience and
training in health care that is client-centered and responsive to the needs of
a the community.
This year, 82% of our volunteers left the Clinic to pursue degrees in a health
care related fields. We’re proud of their accomplishments, and excited to see
them carry our philosophies of quality, community-based health care out
into the world. Let a few of them tell you in their own words about their time
at the Clinic.
After my first visit as a client, I
realized this was what health
care was supposed to look
like, and was so grateful it was
available to women without
insurance. {Volunteering} has
provided me with a cohort
of amazingly motivated and
inspirational women working
towards reproductive justice, and has taught me so much about
health care and women’s issues in California. Because of my
experience at the Clinic, I decided to stay in California and work in
Community Health.
— Ruvani Fonseca, Goal: MSW, MPH, University of California, Berkeley,
School of Social Welfare and School of Public Health
I didn’t know what clientcentered care was before I came
to the Clinic. Here, we look at the
whole picture in trying to give
the best care for each individual;
we strive to meet each woman
“where she is” culturally,
linguistically, and economically.
All of these ideas are now a part
of me, and will be part of my culture and language as a nurse.
— Audrey Combs, Goal: NP, University of California, San Francisco,
Master’s Entry Program in Nursing
When I started at the clinic I was
happily working in publishing.
My experience volunteering led
me to the ultimate realization
that my true passion was for
working with women in health
care. So I started over! I am
so excited about a career in
nursing. My goal is to work in
a community clinic providing care to marginalized populations of
women and girls.
— Emily Ryan, Goal: FNP, Seattle University School of Nursing
Meeting the Need: Prenatal Care in the Western Addition
Since 2007, the Clinic’s Western Addition
to offer health education and referrals for
Women’s Program has historically focused
Health Training (WAHT) program has been
accessible, culturally inclusive health care.
on providing prenatal care to low-income,
uninsured young women, with a majority of their
striving to tackle health disparities among
African-American women in the Bay Area,
particularly within the city’s Western Addition
neighborhood. The Western Addition is a diverse,
multicultural community with a rich past and
present. It has one of the highest densities of
African American residents in San Francisco. The
neighborhood also has a history of displacement,
disenfranchisement, and health and economic
“The Clinic is in a unique
position to connect
mothers-to-be in the
Western Addition with high
quality prenatal services”
clients coming from the Western Addition and
the Bay View/Hunters’ Point neighborhood. The
Program now offers affordable pre-natal care on
site at the Clinic.
In 2013, WAHT plans to reach 1000 Western
Addition residents through community health
workshops and outreach, linking approximately
100 women with prenatal services through the
disparities.
This year, with the support of generous
Young Women’s Program, or women’s health
For many women in the Western Addition,
funders including the AETNA Foundation and
services through the Clinic. “Increasing access
housing and employment uncertainty, poverty,
others, the Program has adopted a special focus
to timely and culturally inclusive prenatal and
and geographic isolation act as significant
on prenatal education and referrals within
women’s health services allows us to honor the
barriers to health and wellness. The WAHT
the Western Addition. The Clinic is in a unique
diverse experiences of our clients, while ensuring
program takes a dual approach to addressing
position to connect mothers-to-be in the Western
the next generation of mothers and their children
these challenges by offering health career
Addition with high quality prenatal services. Our
are able to thrive in their community,” says Kemi
training for young women with ties to the
key partner in this endeavor is the UCSF School
Role, Director of the WAHT program.
community, who then work with the community
of Nursing’s Young Women’s Program. The Young
National Women’s Health Week at our Open House
on May 15th — thanks to all who attended! We’d particularly like to thank Supervisor London Breed for her
inspiring remarks, and the Pacific Union Community Fund and San Francisco Federal
Credit Union for sponsoring the event. We couldn’t offer life-saving, affordable, women’s health services
More than 75 people came out to celebrate
without you, our generous supporters! Be sure to follow us on Facebook and Twitter for our latest news and events.
A huge thank you to the UCSF Ob-Gyn Interns’ Birth Control Superheroes
team, who ran Bay to Breakers this year in support of the Clinic. The
group raised over $3,000 to help provide quality sexual and reproductive
health services and looked fabulous doing it! Go interns!
Executive Director Carlina Hansen and Supervisor
London Breed at the Clinic’s 2nd Anniversary Open
House during National Women’s Health Week.
twitter.com/WomensComClinic
facebook.com/WomensCommunityClinic
womenscommunityclinic.org
Got another creative idea to raise money for the Clinic?
Dance marathon? Knitting contest? Costume party? Check in
with Tara Medve, our Development Director, at (415) 820 7307 or
[email protected] and let the FUN-draising begin!
Clinic Expands Mental Health
& Violence Prevention Services
Women’s Community Clinic, in partnership with the California School of
Professional Psychology - Alliant University, is now offering on-site mental
health services. Our clients have identified mental health as one of their
top unaddressed health concerns, and we are thrilled to provide this muchneeded service.
The women we serve — 95% percent of whom are uninsured or
underinsured and 90% of whom are living at or below 200% of the Federal
Poverty Level — experience high rates of violence, rape, and sexual trauma.
This violence has negative consequences not only for the women who are
victimized, but for the health, well-being, and economic status of their
families and communities. The ability to refer our clients for integrated
mental health counseling at the Clinic, a place they already know and trust,
is a powerful tool to help stop violence before it becomes cyclical.
“Our integrative approach, with our
women’s health clinicians working closely
with our mental health counselors, allows
us to care for the whole person.”
“We know that violence, trauma, stress, and depression — all too
common for women — often have negative health consequences and
prevent women and girls from staying healthy,” says Clinic Director Sarah
Siebold. “Our integrative approach, with our women’s health clinicians
working closely with our mental health counselors, allows us to care for
the whole person.”
We want our clients who are coping with the aftermath of violence, or
with other mental health issues, to know they can rely on us for support and
treatment that respects each woman’s unique needs. Says Siebold: “We’re
here to help our clients succeed in the life choices they are making – and
our mental health services are a crucial part of that mission.”
Funding from the Cisco Foundation, as well as the U.S Department of
Health and Human Services*, has enabled us to increase our efforts to detect
and prevent violence in our clients’ lives. We are incredibly grateful for this
support, and are seeking additional funding to make this programming
sustainable over the long-term.
*This project is/was supported by funds from the Division of Nursing (DN), Bureau
of Health Professions (BHPr), Health Resources and Services Administration (HRSA),
Department of Health and Human Services (DHHS) under Affordable Care Act: Nurse
Managed Health Clinics, grant number T56HP20656, $1,459,366.00. The information
or content and conclusions are those of the author and should not be construed as
the official position or policy of, nor should any official endorsement be inferred by,
the DN, BHPr, HRSA, DHHS, or the US Government.
WHO WE ARE
Since 1999, the Women’s Community Clinic has used a volunteerbased model of care to create a safe, welcoming environment
where Bay Area women can access health services. We honor
our mission to improve the health and well-being of women
and girls by providing accessible and affordable: Sexual and
Reproductive Health Services, Outreach Services, and Workforce
Development Programs.
STAFF
Hannah Belsky
New Sector AmeriCorps
Resident
Maureen Boland, MPH
Clinic Manager
Britt Creech
Outreach Coordinator
Debby Davidson, NP
Staff Clinician
Judy Fitzpatrick
Health Corps Navigator
Kemi Role
WAHT Program Director
Angela Short
Billing Manager
Sarah Siebold, RN, CNS
Clinic Director
Shoshana Silberman, NP
Staff Clinician
Ann Speyer
Office Manager
Hannah Forsberg
Clinic Associate
Sheryl Squires
Director of Finance &
Administration
Laurie Galaty, NP
Staff Clinician
Liz Steinfield, CNM, WHNP
Lead Clinician
Lauren Glover
New Sector AmeriCorps
Resident
Ayana Walker
WAHT Program Fellow
Besha Grey
Clinic Coordinator
Carlina Hansen
Executive Director
Suzanne Hendler, RN
Nurse Manager
Angel James, CNM, WHNP
Staff Clinician
Erika Langer
Senior Grant Writer
Cassondra Lopez, FNP
Staff Clinician
Katie McCall
Director of Volunteer &
Policy Programs
Karen Meckstroth, MD
Medical Director
Tara Medve
Development &
Communications Director
Lisa Mihaly
Primary Care Consultant
Hayley Miller
Health Corps Navigator
Mo Morrison
Health Corps Navigator
Tracey Weston
WAHT Program Fellow
Paula Wilhelm
Development Associate
Eve Zaritsky, MD
Medical Director
ADVISORY BOARD
Paula Smith Arrigoni
Barbara Baldwin
Nga Do
Catherine Dower, JD
Nancy Friedman, MBA
Robin Fernandez
Michaela Gonzalez
Rochelle Hayes, NP
Rachael Kagan
Lisa Koblentz, MBA
Min Matson, PMP
Ann Marie Molyneaux, BSN
Julie Orio, M.Ed
Paul Pitts, JD
Brenda Solórzano, JD
Diana Taylor, RNP, Ph.D
Meg Thompson, MBA, MPH
Theresa L. Timpson, SHRP
2012 Income Statement
Individual
Contributions
8%
In-Kind Services
13%
Fees & Contract
Revenue
4%
Other
6%
Administrative
Fees
8%
Supplies
8%
­— Other 2%
Foundations
24%
Personnel
46%
Professional
Services
14%
Government
46%
Rent
10%
In-Kind Services
12%
2012 Expenses
2012 Income*
Foundations
24%
$633,656
Personnel
46%
$1,275,598
Government
46%
$1,193,365
In-Kind Services
12%
$337,611
Fees & Contract Revenue
4%
$112,551
Rent & Occupancy
10%
$261,271
In-Kind Services
13%
$337,611
Professional Services
14%
$393,452
Individual Contributions
8%
$195,855
Administrative Fees
8%
$209,845
Other Revenue**
5%
$134,200
Supplies
8%
$232,772
Other Expenses
2%
$38,174
Total Revenue $2,607,238
*Revenue includes released and restricted funds and expenses
do not include depreciation.
Total Expenses Deficit*** $2,748,723
$(141,485)
***2012 deficit largely due to delays in several revenue sources,
which did not appear on our financial statements until 2013.
**Primarily income from special events.
Who We Serve
We provide services to women and girls age 12 and older who live in San Francisco, San Mateo, Alameda or Marin Counties. Our clients come
from all walks of life; in 2012 90% of our clients were living at or below 200% of the Federal Poverty Level and 95% were uninsured.
4%
6%
5%
11%
1%
9%
20%
31%
5%
96%
96% Female
4% Transgender
88%
5% Alameda
1% Marin
88% San Francisco
6% San Mateo
46%
10%
20% Asian/Pacific Islander
5% Black/African/African American
10% Latino/a
46% White/Caucasian
9% Multi-Racial/Ethnic
11% Other
69%
31% Young Adults (12-24)
69% Adults (25+)
2012 Annual Report
The second full year in our new and improved facility saw continued growth in our programs and services!
Health Services
• We provided
3,671
visits to
and girls.
6,528
safer sex supplies, referrals and social
support.
clinical
Bay Area women
In addition to time
spent with a clinician, a typical
visit includes a health education
session in which each client has the
opportunity to discuss health topics
like contraceptive options and safer
sex practices with a trained Health
Educator.
provided naloxone trainings and
overdose prevention training at 43
Ladies’ Nights and 10 Street Outreach
shifts in 2012. 44 new women were
trained and given naloxone kits, and
50 refills were given to previously
trained women. Naloxone is an opiate
• We performed 1,523 pap smears,
1,089
DOPE
(Drug Overdose Prevention
and Education) Project, we
• In partnership with the
breast exams, and
179
colposcopies to detect and prevent
breast and cervical cancers.
• We conducted
2,644 Chlamydia
screen for and treat these common
sexually transmitted infections,
which can cause complications that
lead to infertility if left untreated.
visits and
192
the effects of a heroin overdose.
• Through our partnership with the
acupuncture
76 sessions of Integrated
Mental Health counseling as part
of an holistic approach to women’s
health and wellness.
• Through our partnership with the
UCSF School of Nursing’s
Young Women’s Program,
low-income women received quality
prenatal care on site at the Clinic.
we provided homeless and marginally
housed women with
98 direct
referrals to a range of community
services including clinical care,
case management, tenant’s rights
counseling and support, legal aid,
free 60-day Methadone detox
vouchers through BAART (Bay Area
Addiction Research and Treatment),
and reduced-fee ID vouchers.
Ladies’ Night every Thursday to access
health services and support.
• Our
2,148
Condom Ladies
had
encounters on the streets
and in Single Room Occupancy hotels,
providing women with food, hygiene,
educators.
3 Health Corps
2 New Sector
AmeriCorps Residents .
degree in Nursing.
• The WAHT Fellows received over
participants in four 10-week
Ladies Internship
(L-ternship), a project of Ladies’
classes of
Night that trains homeless and
marginally-housed women to
become Peer Health Educators.
L-ternship participants receive
development trainings.
WAHT Fellows Tracey
Weston and Ayana Walker
advanced into the second year
•
of their WAHT Fellowships. Tracey and
• We celebrated the graduation of
24
she pursues her prerequisites for a
150 hours of clinical and professional
precepted students: 8 MSN, 2
Navigators and
in a community clinic setting while
25
Ayana are both Shift Coordinators
and help to supervise and train Clinic
volunteers. Tracey and Ayana are also
members of the Quality Improvement
(QI) Committee and support Clinic
wide QI efforts. They continue to
facilitate health education sessions
for our Ladies’ Night clients and for
our community based workshops.
Women’s Health.
Community
& Advocacy
with the Center for Young Women’s
• We graduated our fifth
• We sent 32 staff and volunteers to
Breeyana’s final Community Impact
at the State Capitol.
program continued its partnership
Development, providing a women’s
health training curriculum for
13
participants in the Sisters Rising
program. Participants in each cohort
completed
3
health and wellness
participants by offering each cohort
An average of 36 women attended
Sharece hopes to continue working
such as the Stages of Change, Safer
and marginally housed women.
weekly drop-in program for homeless
impact within the community.
55 new Client Services Coordinator
volunteers, 36 new Health Educator
volunteers, and 5 colposcopy health
summer interns;
in increasing WAHT’s capacity for
in expanding WAHT and the Clinic’s
• 91 new Health Worker volunteers:
11
role. Sharece was instrumental
community outreach projects and
We recruited and trained:
•
on at the Clinic in a Coordinator
Western Addition
Health Training (WAHT)
• The
workshops. WAHT also expanded our
women
Workforce
Development
hours of training in workshops
1,706 encounters with
at Ladies’ Night, a
• We had
worth $308,839 in donated time.
PsyD; 1 CNM; 3 Clinic Management
Mission SRO Collaborative,
tests and 2,564 Gonorrhea tests to
• We provided
antagonist that temporarily reverses
girls in need. These hours were
training relationship with the Oasis
Injection, HIV/ Hepatitis C, and
WAHT
Fellow, Breeyana Singletary.
project examined the intersection
of poverty and poor outcomes in the
Western Addition and the role of faith
as an important tool for survival and
for Girls’ Rise program and their 47
success. Breeyana will continue to
3 health and wellness workshops,
while pursuing her prerequisites for a
tour modeling a “1st GYN visit”.
•Sharece Francis completed her
including an onsite Clinic education
• 161 volunteers donated over
14,237 hours of their time to help
us provide services to women and
advocate and work in the community
degree in Social Work.
tenure as the WAHT
Assistant
Project Coordinator. Sharece
is a graduate of the WAHT Fellowship
and post-graduation continued
Reproductive Freedom Day
• The Clinic supported
4 bills that
were signed into law by Governer
Brown.
• The WAHT program administered
h e a l t h a n d we l l n e s s
workshops to over 800 women
and girls in the Bay Area. Community
programming included health and
nutrition workshops, professional
development trainings, and targeted
breast health outreach to women
over 40.
spring/summer 2013 / issue XXII
Women’s Community Clinic
1833 Fillmore Street, 3rd Floor
San Francisco, CA 94115
415 379 7800 tel
415 379 7804 fax
Accessible, Affordable
Health Care for Women
womenscommunityclinic.org
A project of the Tides Center
Tides Center
PO Box 29903
San Francisco, CA 94129
Clinic Hours
Monday 1– 9pm
Tuesday 9am–9pm
Wednesday 9am– 5pm
Thursday 1– 9pm
Friday 9am–5pm
Saturday 9am–1pm
Women’s Community Clinic’s 2012 Leadership Circle
The Clinic relies on Leadership Circle donors for our sustainability & growth. Annual donations of $500+ enroll you in the Clinic’s Leadership Circle.
We deeply appreciate the generous gifts of the 2012 Leadership Circle:
Anonymous (4)
Alasdair Cohen
Amanda Lee &
Geoff James
Amy Jessen
Ancella &
Thomas Toldrian
Anmarie Roache
Ann F. Rossi
Anne Devero
Barbara &
Douglas Engmann
Barbara Baldwin
Barbara J. Meislin
Barbara Kate Repa
Becky & John Layton
Belma Gonzalez &
Michael Waters
Benjamin Zotto
Beverly Aabjerg &
Josh Holtzman
Brian &
Janet Williamson
Carol Savio
Casey & Chuck Berg
Catherine Dower
& Jon Strich
Charles Kenady
Christine Gemassmer
Craig Kimerer
David Lemaster
David Machado
David Sawyer
Dayle Smith Bell
Deana Kardel
Debbie &
Josh Bamberger
Dennis McDonald
Diana Taylor &
Jay Folberg
Diane B. Wilsey
Donna Motluk &
Stuart Bewley
Dorothy Harkavy
Drusie Davis
Elizabeth Meckstroth
Ellen W. Zoschak
Eve Zaritsky
& Matt Hill
Felicia Lee
Jackie Dusich
Jacob Kaufman
Jakob Medve
Jamie &
Bryson Gardner
Jan & Jerry Kennelly
Jane Stafford
Jane Summer
Jason Walsh
Jean Kao
Jeanne Selvester
Jennifer Carlson
Jenny Girard Malley
Jeremy Yun &
Ali Lenzer
Jerry Spolter
Jody Steinauer &
Michael Richards
John Hullverson
Judy Ahrens
Julia Hausman
& Rob Harris
Julie Kim
Julie Orio &
Matthew Simpson
Karen Meckstroth
Katherine Maxwell
Kathleen Burke &
Ralph Davis
Kim & Augusto
Cardoso
Kim & Garrett
Dempsey
Kimberly Vivas
Larissa Belsky
Laura & John Kaplanis
Lezli & Kevin Dillon
Lisa & Thierry
Koblentz
Lisa Folberg
Lisa Mihaly &
Bill Weihl
Louise Carroll &
Arthur Conner
Louise Wu
Mara Hook &
Steven Polkow
Marcia &
John Mike Cohen
Marcia Smith &
Steve Smoot
Margaret &
Charles Pilgrim
Marilyn & Don Blum
Mary Bianco
Mary Smith
Megan Kinsey &
Chad Thompson
Melissa Pulling
& Ross Berger
Merilyn Wong &
David McClain
Michael &
Pepper Jackson
Milton Chen, Maggie
Chen & Ruth Cox
Min Matson
& Max Kelly
Miriam Speyer
Monique &
Martin Kobinger
Moriah Shilton
Muriel Harris
Nancy Beam
Nancy Friedman
Nancy Kedzierski &
Gordon Chaffee
Nancy Milliken
Nga Do & Clarence So
Nikki & Donald King
Pat Huey
Patricia Avnet
Patricia Boland
Paul Markovich
& Lisa Alumkal
Paul Pitts
Paula Wilhelm
& Dan Lange
Priscilla &
Pat Abercrombie
Regina Kulik Scully
Regina Phelps
Renee Simi
Rhoda Nussbaum
& John Adams
Rie Reniers & Toby
Maitland-Lewis
Rivka Gordon &
Trip Van Noppen
Rob Howe
Roberta Masson
Robin Lee
Robin Packel &
Shelley Klop
Rochelle Hayes &
Brendan Neutra
Ronald Stovitz &
Danell Zeavin
Ruth Krumbhaar
Sakurako & Bill Fisher
Sallie Griffith
Sandra &
Gary Johnson
Sarah Rippy
Sharli Colladay
Sharon Ann Kushinka
Sharon B. Duvall
Sheana Butler
Simran Singh
Stacey Frost
Sung & Lei Choi
Susan & David Work
Susan E. Kutner
Susan George
& Miles Epstein
Susan Greef &
Maureen Prochaska
Theresa L. Timpson &
Thomas Walker
Tracy Stampfli
Valerie Sarma &
Alan Gianotti
Vera L. Sparre
Victoria &
Richard Zitrin
Virginia Olesen
Vivian Scharlach
Whitney Burroughs &
Courtenay Brown
William &
Gail Hutchinson
William B. Smith
Women’s Community Clinic’s 2012 Foundation & Corporate Partners
The Clinic is grateful to all of our generous 2012 Foundation & Corporate partners:
Aetna Foundation
Apple Computer Inc.
Argonaut Group, Inc.
Blue Shield of
California Foundation
Bothin Foundation
California Coalition
for Reproductive
Freedom
California Family
Health Council
Cisco Foundation
Community
Thrift Store
Cresswell Family
Foundation
CVS Caremark
Community Grants
Dignity Health
Drusie Davis
Family Fund
Five Bridges Foundation
Garibaldi’s on Presidio
George Frederick
Jewett Foundation
Goldman Sachs & Co.
Google
Intrepid Philanthropy
Foundation
Kaiser Permanente
Community Benefit
Lisa & Douglas
Goldman Fund
Mary Wohlford
Foundation
Metta Fund
Mill Valley Insurance
Services, Inc.
Mount Zion
Health Fund
NCB Capital Impact
New York
Community Trust
Pacific Union
Community Fund
Paragon Real Estate
Perforce Foundation
We apologize for any unintended omissions or errors; please contact our Development Department at (415) 820-7307 with questions or corrections.
Rainbow Grocery
Cooperative, Inc.
Resource & Design
San Francisco AIDS
Foundation
San Francisco Federal
Credit Union
Soroptimist
International of
San Francisco
Sutter Health
SVB Foundation
Taproot Foundation
The California Wellness
Foundation
The James Irvine
Foundation
The Joseph & Vera
Long Foundation
The Moca Foundation
The San Francisco
Foundation
Thomas J. Long
Foundation
Tides Foundation
TPG Capital, L.P.
UCSF School of Nursing
van Loben Sels/
RembeRock
Foundation
Wells Fargo Home
Mortgage
Yoga Loft