Read the 2015 AltaMed Annual Report

ANNUAL
REPORT
2015
2014-2015
“We are changing
lives…one day at
a time…one patient
at a time.”
Eliminating Health Care Disparities—One Patient at a Time
There’s an old story that goes:
A young girl is walking down the beach and notices that the tide has gone out, leaving
thousands of starfish behind to die. In her childhood innocence, she begins rescuing starfish
one by one by throwing them back into the sea. A man walking by asks, “What are you
doing? You can’t possibly make a difference to all these starfish. Thousands will die despite
your effort.” The girl leans over, picks up a starfish and lobs it to safety, saying, “Well, sir,
looks like I made a difference to that one!”
This reminds me of the work we do to eliminate disparities in health care access. There
are more than 10 million people in Los Angeles County and 3 million in Orange County,
with nearly 18 percent and 10 percent, respectively, living below the poverty line. These
percentages—in these areas we serve—are higher than in all of California. Yet we are making
a difference. We have created more access to health care through our Affordable Care Act
efforts and by expanding to new communities.
We are changing lives…one day at a time…one patient at a time.
In this year’s report, we share stories of patients whose lives we have changed. While they
are just the beginning, we consider it an honor and an opportunity, and we are up for the
challenge that still lies ahead.
CÁSTULO DE LA ROCHA | PRESIDENT & CEO
ACCOMPLISHMENTS
PEOPLE
SERVICE
QUALITY
COMMUNITY
FINANCE
Some of our 2014-2015 accomplishments are:
• Remained the #1 enrollment entity for Covered California, enrolling
5,162 new patients and re-enrolling 3,482 existing patients during
open enrollment
• Awarded a 2015 Covered California Navigator Grant
• Selected by the Hitachi Foundation to take part in a two-year
initiative to improve medical assistant training
• Awarded the Los Angeles Business Journal’s Healthcare Leadership
Award for our General Pediatrics program at Children’s Hospital Los
Angeles (CHLA)
• Saw participation in the AltaMed 5K grow to 10,000 in its fifth year
• Registered 815 new voters in Los Angeles and Orange Counties
Above Artist: Vidal Herrera | Greetings from East Los Angeles | 2010/2014 | Archival pigment print on canvas | AltaMed Art Collection, AArC.14262 | Gift of the artist
Front Cover Artist: Roberto Gutierrez | Self Help Graphics & Art | 2004 | Acrylic on canvas | AltaMed Art Collection, AArC.10580
SUGEID
SUGEID | 38 YEARS OLD | DEPRESSION
Feelings of sadness, difficulty eating and sleeping, and fatigue: In the
U.S., about 15 million people experience these symptoms of depression
every year, and the majority are women. In fact, women are twice as
likely to develop clinical depression than men, with Latinas at increased
risk. Unfortunately, nearly two-thirds never get help because of poverty
and the social stigma surrounding mental illness.
I
“I didn’t think it was depression; I thought I was sick,” says Sugeid about her first
visit two years ago to AltaMed’s Commerce clinic, where her husband is also a
patient. She had been experiencing symptoms of fatigue and numbness down the
right side of her body, from her head through her arm. Her AltaMed doctor ran
bloodwork and a number of other tests, checking everything from her glucose to
her blood pressure. Then the doctor asked, “Do you feel angry or sad?”
As she sat and thought about it, she knew she had trauma in her past that she
was still trying to work through. She also always felt very nervous and shy and
was constantly fearful that something would go wrong or that one of her four
children, ages 3, 5, 12, and 17, would be hurt.
REDISCOVERING SELF
With a diagnosis of depression, Sugeid could receive the help she needed from
AltaMed’s Commerce clinic staff in collaboration with the Behavioral Health
Services team. She began taking medication, which has been adjusted along
the way to meet her needs, and regularly seeing a psychologist to talk through
her issues.
“It has changed my life,” says Sugeid, “and I want other people to know they
can change their lives, too, if they just communicate. We live with so many
stresses and problems, and we think it’s our health, but it’s not; it’s our brain.
People can be happy when they get help.”
“Thank you, AltaMed!” she adds. “I love my doctor and have since changed
my husband to her, too. I also love AltaMed because everyone cares.”
“We live with so many
stresses and problems,
and we think it’s our health,
but it’s not; it’s our brain.
People can be happy when
they get help.”
Artist: Eloy Torrez | Elena | 2005 | Oil on canvas | AltaMed Art Collection, AArC.11998
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REACHING BEYOND
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“I wanted to leave my home so that I wasn’t home alone so much,” Frank
says about his decision to get involved in AltaMed’s PACE program, two days
a week starting in 2013. While he is the father of 15 kids—seven boys and
eight girls—and about 40 grandkids (“I’ve hardly slept having so many kids,”
he jokes), he was feeling isolated and alone.
Every Tuesday and Wednesday, Frank travels by bus to the AltaMed PACE
site in South Los Angeles, where he’s greeted by staff and patients who know
and love him.
“There’s not much I don’t like about this place; I love the food they serve
and how nice everyone talks to you,” he says. “I like the exercise and the
help I get since I can’t do everything on my own, and I like to play games to
exercise my mind,” he says. “I just like having fun and being around people.”
While at AltaMed, this former lumberjack, who retired back in 1984, can do
everything from enjoy meals, to participate in games and activities, to see
his doctor for regular check-ups. “My foot has a little swelling from gout,”
shares Frank about his health concerns now that he’s in his 90s, “but my
heart is almost as good as a 40-year-old heart!”
“I meet a lot of people,” Frank adds. “I told someone the other day at church
how AltaMed treats me and how they respond to me. It’s beautiful! I don’t
have to be lonesome anymore, and I can have fun.”
“It’s beautiful! I don’t have
to be lonesome anymore,
and I can have fun.”
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Artist: Yolanda Gonzalez | Portrait of Leo & Brandon | c. 2005 | Acrylic on canvas | AltaMed Art Collection, AArC.10643
FRANK | 93 YEARS OLD | ISOLATION & LONELINESS
Nearly 90 percent of seniors—people over the age of 65—want to remain
at home for as long as possible. But while there are benefits to a senior’s
well-being from staying at home and in a familiar community, as people
age and become less mobile and active, feelings of social isolation and
loneliness can have serious health impacts and even shorten a person’s life.
FRANK
ANGELICA
ANGELICA | 39 YEARS OLD | CANCER
The statistics are staggering: 43 percent of males and 37 percent of
females are at risk of developing cancer in their lifetime. Now consider
one of the most prevalent forms: breast cancer. This year alone in the
U.S., there will be an estimated 231,840 women diagnosed and 42,290
women who die from it. The key to survival is regular screening and early
detection.
“I have scars from the
cancer, but I am still
‘Angie’ and still smiling.”
I
“I remember when the doctor told me I had breast cancer like it was yesterday. I was wearing
blue pants, a white shirt, and gold sandals. My legs were shaking. Everyone was talking, and
I felt like I was watching a movie,” shares Angelica, who in 2013—at a follow-up oncology
appointment at AltaMed’s Huntington Beach clinic for her younger sister, Sonia, who has
now beat cancer three times—was asked by the doctor if she had ever been screened.
Angelica had not been screened before, because she was uninsured. But when AltaMed
helped make it possible, it was discovered that Angelica was positive for a BRCA2 gene
mutation that increased her risk of developing breast and ovarian cancers. When further
screened through a mammogram and biopsy, Angelica’s doctor found stage 0-1 cancer.
This mom of a son who was just 4 years old at the time opted for a double mastectomy to
remove both breasts, and a hysterectomy to remove her uterus, to drastically reduce her
chances of the cancer reocurring. “I just kept thinking about my mom and my son,” she
says. “For my mom, this was the second time one of her daughters was diagnosed with
breast cancer.”
While the mastectomy was hard because of the physical pain, the hysterectomy was very
emotional. Angelica had to come to terms with the fact that she couldn’t carry another
child, and the surgery triggered her body into menopause.
Through it all, however, she had her sister by her side. Angelica and Sonia had their
mastectomy surgeries on the same day. They even recovered together under the same roof.
“Thank you for all the help I received, for the information you shared with me and the Latino
community, and for speaking Spanish; that made a huge difference,” says Angelica, who is
now cancer-free. “I have scars from the cancer, but I am still ‘Angie’ and still smiling.”
BEATING THE ODDS
Artist: Yolanda Gonzalez | Las Artistas en el Jardin | c. 2010 | Acrylic on canvas | AltaMed Art Collection, AArC.17893
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“It’s been really good coming to AltaMed.
The doctors and staff helped us out and
answered all our questions—and we had
a lot since this was our first pregnancy!”
CREATING LIFE
W
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“We’re not finding out the sex of our baby; we want it to be a surprise,” say
first-time parents Sonia and Brandon, who had two names picked out—one
for if their baby was a boy (it was, and they named him Lawrence!), and one
for if it was a girl. Sonia is a patient at AltaMed’s Huntington Beach facility
where she has been coming for the past 10 years since gaining insurance
coverage. Her mom, brother, three younger sisters, and aunt are also patients
at this facility.
More recently, though, Sonia and Brandon found themselves uninsured as
Brandon worked to finish his college degree. However, AltaMed was able
to help Sonia sign up for the care she needed throughout her pregnancy
and delivery since early and regular prenatal care is one of the best ways to
promote a healthy pregnancy and birth.
At 39 weeks pregnant with her due date just a day away, Sonia could say
that all in all, it had been an ideal first pregnancy. She felt good and had very
few concerns or complications.
“It’s been really good coming to AltaMed,” she says. “The doctors and staff
helped us out and answered all our questions—and we had a lot since this
was our first pregnancy!” They helped Sonia understand what to eat and
how to exercise during her pregnancy, and they thoroughly checked for a
liver condition that makes your whole body itch when she was experiencing
symptoms. “Turns out, it was just ‘pregnancy,’” she laughs.
“Overall, I’m pretty healthy, so I haven’t had to see the doctor often; just for
regular check-ups,” Sonia adds. “But AltaMed has been amazing.”
Artist: Lorenzo Hugo Fontecilla Aguilar | Santuario | c. 2005 | Oil on canvas | AltaMed Art Collection, AArC.10809
SONIA
SONIA | 35 YEARS OLD | PREGNANCY
Babies are developing and growing at every stage of pregnancy. Prenatal
care is extremely important because it reduces the risk of pregnancyrelated complications, such as anemia, preterm birth, preeclampsia,
complications of diabetes, or poor growth of the baby in utero. Babies born
to mothers who received no prenatal care are three times more likely to be
born at low birth weight.
IN THE COMMUNITY
LEADING THE WAY
BOARD OF DIRECTORS
Gloria Carrillo Zamora
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Fernando de Necochea
Board of Trustees
Shirley Dettloff
Hector Barreto, Chairman
Richard Kagan
Maria Grimaldo
Bertha Aguirre
Jacky Kim
Don Nakanishi, Ph.D.
Phil Cohen
Richard Zapanta, M.D.
Liliana Ramirez
Cástulo de la Rocha, J.D.
David C. Lizárraga, M.D.
Ricardo Robles
Raul Anaya
Zoila D. Escobar
Greg Valenzuela
Shirley Dettloff
Ricardo Robles
Efrain Talamantes, M.D.
Hector Castillo, M.D.
Bruce Pansky
Richard Gomez
Juan Silva, M.D.
Jack Cline, Jr.
Rockard J. Delgadillo
Henry Holguin, J.D.
Scott Shalliol
AltaMed is proud to close the fiscal year (May 1, 2014, to April 30, 2015) with a
strong financial performance. In the last five years, AltaMed’s operating budget has
grown at an average rate of 18% per year.
Revenues and Other Gains and Losses
Government Grants
and Contracts
$24,492,109
Pharmacy Revenue
$22,993,188
Net Patient
Service Revenue
$127,466,983
Other Gains and Losses
$6,237,753
Donations, Contributions,
and Other Support
$2,476,625
Managed Care
Contracts
$247,778,138
Other Income
$188,000
Net Assets Released
from Restrictions
$807,177
EXpenditures
Senior Services
$107,678,495
HIV/AIDS Programs
$19,051,709
Dental Services
$16,166,842
Drug Abuse Programs
$925,469
Medical Services
$237,592,826
Teen Programs
$3,829,059
Research and
Development
$891,910
Support Expenses
$1,376,135
These include unrealized gains on marketable securities and investments, change in fair value of interest rate swap, interest, and dividends.
Total Revenues
$426,202,220
Total Expenditures
$387,512,445
Change in Unrestricted Net Assets
$38,689,775
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$100,000-$499,999
Bank of America Charitable
Foundation
Camfield Partners, LLC
Artist:
Vladimir Cora
Cabezas
c. 2005
Acrylic on canvas
AltaMed Art Collection,
AArC.10595
$50,000-$99,999
The California Endowment
La Clinica Del Dr. Castillo
y Dr. Silva, Inc.
$25,000-$49,999
Aetna Foundation
Hub International Insurance Services,
Richard Kagan, Mng. Dir.
Jack R. Cline
Sheila Gold Foundation
Richard Gomez
Total Corporate Solutions
Hector V. Barreto
Wal-Mart, HB
$20,000-24,999
PharMedQuest
Reliance Trust
Hector R. Castillo
Empire Transportation, Inc.
Vincor Construction, Inc.
$15,000-$19,999
Christina Camino
Alejandro Leyva
Care1st Health Plan
E-Central Credit Union
Healthcare Talent & Workforce
Solutions Group
Medi-Waste Disposal
PIP Printing and Marketing Services
Juan Silva
Henry E. Holguin
Morgan Stanley
TravisMathew Apparel
$10,000-$14,999
Yolanda Gonzalez
Ken W. Jackson
David C. Lizarraga
Anthem Blue Cross of California
California HealthCare Foundation
Change a Life Foundation
DLS Builders
Firescope, Inc.,
Steve & Cindy Cotton
Health Net, Inc.
Lee & Associates
Lucrazon
Mosaic Family Care Medical Group
TELACU
The Camden Group
The Latino Coalition
United Agencies, Inc.
Wal-Mart Corporation
Weingart Foundation
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La Reina, Inc.
King Graphic Design
Barreto/Rezinas Insurance
Services, Inc.
L.A. Care Health Plan
JAR Insurance Services
Anita’s Mexican Foods Corporation
McKesson Medical Surgical
$5,000-$9,999
Timothy M. Marquez
Alina Mirzakhanian
Arthur E. Moore
Benefits Group WorldWide, Inc.
City National Bank
Community Bank
El Proyecto del Barrio, Inc.
Hinshaw & Culbertson, LLP
Intelli-Tech
Kaiser Permanente Southern
California–Region Headquarters
King Taco Restaurants, Inc.
Kooi Events
Manatt, Phelps & Phillips, LLP
Marquis Construction, Inc.
Mercury Public Affairs, LLC
NACHC
Northgate Markets
Northwestern Mutual
Port of Los Angeles
SEIU-UHW
The California Community
Foundation
The Local News
Xerox Image Source
Vanir Group of Companies, Inc.
Alfonso Castillo Aguilar
Adi Simayof
Diakonia Associates, Inc.
Zoila D. Escobar
Monterey Park Hospital
Huntington Beach Hospital
Greenberg Glusker
Avanti Hospitals, LLC
ProAmerica Bank
Vasquez & Company, LLP
Quest Diagnostics
$2,500-$4,999
Robert Gomez
Warren & Barbara Parchan,
Scott & Nickie Schalloil
Bank of the West
Cacique Foundation
Chevron Corporation
Craig Realty Group Citadel, LLC
Delta Drugs
Earthways Foundation Program
G&M Oil Company, Inc.
Hollywood Presbyterian
Medical Center
Keurig Green Mountain
Coffee Roasters
PIH Health (Presbyterian
Intercommunity Hospital)
Univision Communications, Inc.
United Medical Imaging Healthcare
Nathan Ngo
Gregory M. Camacho
AHMC Healthcare, Inc.
Cerritos Infiniti
Titan Industries, Inc.
Cristian Rico
Timothy J. Ryan & Associates, APC
Global Spirits Imports, LLC
Robert N. Ripley
Dakota Communications
OneLegacy
Family Health Alliance
Medical Group
Eastside Orthopedic
Medical Associates
Empire Diamond Co.
PIP Printing and Marketing
Services, Bruce &
Linda Pansky
AES Huntington Beach
$1,000-$2,499
Katie Cline
Jack Cline, III
Richard Gomez
Tony Hernandez
Christopher Isola
Kerman Maddox
Keira Morgan
Quinn Morgan
GIFTS RECEIVED
From May 1, 2014 to April 30, 2015
Lalo Sanchez
Patricia A. Wiebe
Donald Emery Fine Arts
HFS Consultants
Huntington Beach Auto Dealers
Association, Inc.
Imperio Nissan of
San Juan Capistrano
Lorin Backe Photography
Medtronic Diabetes
Rainbow Environmental Services
Republic Services, Inc.
Ryan & Associates
Soroptimist International of
Huntington Beach
Fedak Corporation
Karen Ruzak
Sophia Guel-Valenzuela
Robert Alaniz
Mahe Restaurant
TGIS Catering Services
REV Organic Beer
Edward Bradbury
Scott Campbell
Don T. Nakanishi
Hy P. Ngo
Blanca Valdez Casting
California Association of
Physician Groups (CAPG)
Camacho Commercial Real
Estate Services, Inc.
Center for Elders
Independence, Inc.
IMD Medical Group
MPS X-Ray, LLC
Rio Hondo Subacute &
Nursing Center
SCLS Transportation
South Bay Health
Insurance Services
St. Vincent Medical Center
Tim Groff, Nature’s Best
Timothy J. Ryan
Beverly Hills Country Club
Twining, Inc.
Ben Franklin Press
Ricardo Puertas
Tom & Yolanda Siegmeth
Erika Sockaci
Jennifer L. Spalding
Martin L. Serota
Enrique Arevalo
Daniel Fortunato
Jeffrey Wiederkehr
Doty Bros Construction
Company
Great Destinations
Pfizer, Inc.
Sarah Jensen
Joanna Romero
Paul J. Brody
Loren Hansen
Jesse Shapira
Bixby Plaza Carpets & Flooring
Imperal Healthcare
R&D Metal Fabricators, Inc.
Chimmaya Gallery
Michael D. Deovlet, MA
Wealth Management
RejuvaYou
California Primary Care
Association
San Gabriel Women’s Health
Pansky Markle Ham, LLP
Chris Christy
Ronald Gim
Darrell Johnson
Dan C. Richardson
Donald Torres
The Conga Room
Honored Citizens Choice
Healthplan HMO
Paul Zaffaroni
Terry Romine
Western Drug/Life Air
$500-$999
Eric Barnes
Leticia Berrios
Hydrex Pest Control,
John & Stefanie Drake
Caroline Gray
Richard M. Kagan
Tony Lane
Kevin Litwin
Stephanie M. Lomibao
Oana Maxwell
Francisco Melero
Hugo Molina
Teresa D. Nichols
Raymond D. Ritacco
Christopher Stahl
Robert E. Tranquada
B. Todd Trimmer
Mitch Weiss
Casares Insurance Agency, Inc.
FTL Enterprises, Inc.
Marketing Solutions, LLC
Pacific Premier Bank
Where Were You When..., LLC
Kemi W. Price
Monique Gonzalez
Diane Parra
Al Ballesteros
Cástulo de la Rocha
Josephine Granillo
Alberto Gutierrez
Michael Keithley
Juan Quintero
Cardinal Air Services, Inc.
Clinica De Maternidad Y
Pediatria
Farmers & Merchants Bank
Glendale Sleep Disorders Center
Golden West College
Inner Images, Inc.
Modere
Office of the Los Angeles County
Supervisor, 1st District
Psychiatic Medical
Practitioners, Inc.
TayganPoint Consulting Group
USC Latino Alumni Association
Ronda Rolnicki
Jose Villalobos
Teresa Reyes
Annette Dreher
Bertha Aguirre
Tributo Tequila
Felix F. Carpio, MD
Formatt Design Group
Ann Winthrop
Nature’s Bakery
Pig & Parsley
Sabatino’s Sausage Company
Tru St
Huntington Beach Firefighters
Association
Marcos Lemor, MD
Beverly Hilton
Wells Fargo Commercial Bank
Jose A. Campos
Bertha A. Gonzalez
Deborah Justice
Gene Stegman
Rivera Restaurant
Southwest Airlines
Marie Borofsky
Loraida
George F. Bardwell
Kathrina Bidwell
Ricardo Robles
William Bingley
Augusta J. Chafar
L.A. County Nephrology
Association
Cheech Marin
Angela D. Roberts
Signature Party Rentals
For the complete donor list,
visit AltaMed.org
We apologize for any errors
or omissions.
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2040 Camfield Avenue
Los Angeles, CA 90040