FY2015Report to the Community

Healthcare access for all; quality services provided with compassion, respect and cultural sensitivity; and organizational excellence and integrity.

To improve the health of low-income people who face the greatest barriers to care access.

To be a primary care medical home - providing high quality, comprehensive healthcare, delivered in a culturally and linguistically appropriate manner.

Our Mission

Our Vision

Our Core Values

President’s Message

For more than 45 years, MobileMed has always strived to address unmet health needs in Montgomery County. Along the way, the County has experienced

significant demographic shifts, economic cycles, and of course the Affordable Care Act (ACA). These major changes in the landscape ultimately led the Board of Directors to the important strategic decision to pursue designation as a Federally Qualified Health Center. It’s the right path for MobileMed to build on our track record of success.

Therefore, I know that I speak for the entire Board of Directors when I express how gratifying it is that MobileMed has achieved FQHC status. This grant award provides an extraordinary opportunity to expand MobileMed’s impact in the community. Even with the ACA, disparities persist in healthcare access and outcomes. A great many individuals have been able to enroll in expanded Medicaid, but are still in need of culturally competent primary care providers to help them navigate the complicated healthcare system. At the same time, tens of thousands of low-income residents are ineligible for insurance coverage and will continue to rely on local safety net programs. MobileMed is committed to serving this diverse population, offering a

medical home where patients can receive not only top-notch primary and preventive care services, but also the enabling services that they need to improve their health status.

The FQHC award is in part a testament to the strong foundation we’ve established, and in part affirmation of our relevance for the future. MobileMed’s success going forward will continue to depend on the generous support of the community. MobileMed is fortunate to be a part of a community that believes in our mission and our vision and consistently demonstrates its commitment in meaningful ways. The community has provided MobileMed with essential financial and in-kind contributions and complementary programs that we effectively leverage in order to achieve excellent results. Making a difference in the primary care setting is the most compassionate, prudent, and cost-effective pathway for good health.

Heartfelt thanks to our elected officials and DHHS in Montgomery County; to our community collaborators and hospital partners; to our volunteers; to our philanthropic supporters; and, finally, to our staff. To each of you who has helped MobileMed along the way, THANK YOU.

Connie Lierman

MobileMed’s FY2015 HighlightsFortifying our sustainability.We were awarded a New Access Point grant, designating us as an FQHC (Federally Qualified Health Center). As the first FQHC based entirely in Montgomery County, we will be able to greatly expand our community impact.

Serving those in need.We provided primary and preventive healthcare services to nearly 5,000 low-income, uninsured and underinsured residents of Montgomery County. We delivered over 14,000 medical visits in multiple languages (English, Spanish, French, Korean, Chinese, Amharic and Farsi) at our seven primary care and two specialty clinics located throughout the County. Mobile medical vans complement our fixed sites, ensuring primary care access for our diverse community.

Enhancing our primary care model. Through our diabetes initiative begun last year, we significantly improved our annual retinopathy and foot screening rates by integrating optometry and podiatry services on-site.With grant support from the Healthcare Initiative Foundation, we significantly increased our patients’ colorectal cancer screening rates. As part of our integrated behavioral health program with Aspire Counseling, we significantly increased the screening rate among all new patients for depression and anxiety.

Leveraging collaboration resources for outreach and care.We now link with community health promoters at several social service agencies to make it easier for their clients to be referred and scheduled for primary care appointments. Uninsured patients continue to benefit greatly from our generous hospital partners -- Adventist HealthCare and Suburban Hospital -- that donate essential diagnostic lab, radiology, and cardiac testing. We have also initiated a promising transitions-of-care program that reduces hospital readmission rates by connecting to primary care.

Providing a rewarding patient experience.In our most recent patient satisfaction survey, 96% of our patients said they were treated respectfully and efficiently. The MobileMed clinical team encourage patients, particularly those with chronic conditions, to play an active role in managing their own health, supplemented by educational materials, coaching and case management.

Executive Director’s Year-End SummaryWho could have imagined that what started out as two doctors hanging up sheets to create exam rooms in a Kensington church basement would

evolve into today’s MobileMed? Well, maybe it’s not so surprising, given this organization’s unwavering commitment to its mission and values and given our extraordinary community relationships. The FQHC award represents not a culmination, but rather a validation that we’re on the right path to make an even bigger difference.

Our FY15 Highlights, which summarize some of our tangible achievements, understate the profound impact that MobileMed has on thousands of patients. Primary care has become a more complex and comprehensive endeavor; MobileMed works hard to keep up with best practices in prevention and chronic disease management. Through it all, our incredible staff and volunteers build trusting, vital relationships with our patients that can change lives. I’m often struck by the way grateful patients thank us as much for the clinical team’s compassion as for their timely diagnosis and effective treatments.

In the highly competitive FY15 FQHC grants process, our

submission presented both a compelling community needs assessment for our Montgomery County service area and a viable operating vision for MobileMed. Fortunately, we are building on our effective and efficient operational model. At our core is a patient-centered primary care model attentive to the multi-cultural and linguistic needs of our patients. We utilize flexible, adaptable approaches for care access and continuity that work for patients with limited resources, and support those patients with case management and navigation services. MobileMed also embraces community collaborations with multiple and diverse partners for patient outreach, accessibility, and care delivery.

Indeed, I remain humbled by what our volunteers, hospital partners, and community collaborators contribute to our impact, and we take our resource stewardship seriously. The new FQHC designation offers new opportunities for MobileMed to: increase capacity; stimulate program development; and extend outreach to hard-to-reach and underserved populations. As our journey continues, MobileMed’s mission remains the same as it has always been: to improve the health of low-income people who face the greatest barriers to care access.

Peter F. Lowet

3M FoundationAdventist HealthCareCareFirst BlueCross BlueShieldCity of GaithersburgCity of RockvilleClark-Winchcole FoundationCommunity Foundation in Montgomery County - Sharing Montgomery FundFowler Memorial FoundationHealth Care for the HomelessHealthcare Initiative FoundationHomer & Martha Gudelsky FoundationSusan G. Komen National Capital RegionMaryland Community Health Resources CommissionMaryland Community Investment Tax Credit Program

Maryland Dept of Health & Mental HygieneMaximus FoundationMeyer FoundationMontgomery County Community Development Block GrantMontgomery County Dept of Health & Human Services - Montgomery Cares - Head StartMontgomery County CouncilPhase FoundationPrimary Care Coalition of Montgomery CountyLeonard & Helen R. Stulman FoundationUnited Way of the National Capital AreaVenable FoundationWestmoreland Congregational United Church of Christ

Thank you to our Organizational Supporters

Thank you to ourCollaborative PartnersAfrican Women Cancer Awareness AssociationAspire CounselingCASA Catholic CharitiesCHEERChinese American Senior Services Association (CASSA)Episcopal Church of the AscensionGaithersburg HELPIslamic Education Center and Ibn Sina Health FoundationKorean Community Service CenterNational Institutes of HealthSt. Mary Magdalene Episcopal ChurchShady Grove Adventist HospitalSuburban Hospital, a Member of Johns Hopkins MedicineWashington Adventist Hospital

The MobileMed/NIH Heart Clinic at Suburban Hospital celebrated its eighth year. Pictured from its early years are Dr. Richard Cannon, its founding medical director, Leila Abedi, its first clinical coordinator, and Jean Lanham, longtime Board member and volunteer.

Three of our wonderful volunteer physicians are pictured with patients. Clockwise from the top, Dr. Paul Burka, Dr. Supriya Janakiraman and Dr. Patricia Cusumano.

A 77-year-old Chinese man presented at MobileMed with swollen and itchy lower extremities. We referred him for a Doppler study and he was found to have deep vein thrombosis. Shady Grove Adventist Hospital agreed to perform a procedure in which a stent was placed in his left leg. Because MobileMed caught his condition and arranged to have it treated immediately, a pulmonary embolism was avoided. He now receives essential monitoring at MobileMed’s Anti-Coagulation Clinic to reduce the risk of serious complications.

“I am very grateful for the care.” Samuel, age 60, came to our Upcounty clinic with multiple health issues. Based on a physical exam, we referred him to a general surgeon for hernia repair. Lab testing revealed that the patient was severely anemic, so we arranged for him to receive blood transfusions. With MobileMed serving as a prima-ry care medical home with enabling services, his health condition is much improved.

Here’s a sampling of the patients that we serve and their healthcare stories:

A 53-year old uninsured woman came to our Korean Clinic with advanced breast cancer. MobileMed’s case management services steered her to a crucial state program and our charity network of cancer specialists. She had a biopsy, followed by surgery and chemotherapy. MobileMed helped guide and support our patient to ensure that she received timely, critical healthcare in a compassionate and culturally appropriate manner.

Special Thanks to Our Generous Donors Who Help MobileMed Serve the Community

Visionary ($5,000+)Kathryn Brown and Wade SovonickLinda Pickle and Jim PearsonIrma Poretsky Ann and Sam Statland

Benefactor ($1,000+)Mary Pat and Darren Alcus Lynn Barclay The Bresler Foundation, Inc. Circle Fellowship Church Catherine and Charles Cleland Hon. David Davidson* Judy and Sheldon Grosberg Royce Hanson Jerry Herbers, MDClare Herrington and Laurence PlattCharlotte Jenkins JJF Management Services Wendy Krasner and Richard LevineJean Lanham Connie Lierman Terry Lierman Ann Malester and Daniel BarneyDale Rosenthal and Michael CutlerEdward Sagel Funeral Direction St. Luke Lutheran Church and School Schiro-Zavela Foundation Sidgmore Family Foundation Anita Solomon, PhD*Jane and Herb Stevens Nancy Switkes and Jeffrey FienbergBonnie and Robert Tarone Cliff and Deborah White Family Foundation

Supporter ($500+)Nancy and John Abeles Rhoda Abrams Abigail and Mark Adelman Ada Adler Ellen and Simon AtlasMaithri Babson Marion and Jeffrey Barker Ann and Thomas Benedict Bradley Drugs Care First Blue Cross Blue Shield Lenore and George Cohen, MDJan and Jim Eisner Barbara and Kenneth Firestone Faith United Methodist Church Inga and Jeffrey Frank GFWC Metropolitan Club of Potomac GFWC Metropolitan Club of Montgomery County Helen Golde

Diane Gould*Lois Gutowski Kathaleen and Smith Hempstone Sandra Reade, MD and Hugh Hill, III MDAbigail and Alan Hoffman Susan Jack Kathryn and Joe Kolar Julia Korenman, MD and Howard Tracer, MD

Susan and Pat Lanham NevinsCatherine and Hon. Isiah Leggett Stephanie Loughlin and Robert KayeBarry and Thelma Meyer, MSW Marilyn and Douglas MitchellThe Christian Mixter and Linna Barnes Charitable Fund Jo Ann and Wendell Mohr Monument Bank National Philanthropic Trust Network for Good The Original Pancake House Carlos Picone, MDDenise and Rex Reed RFI Foundation Lucia and Fernando Rossel Saggar & Rosenberg, P.C. St. Patrick’s Catholic Church Vivi and Alan Sheff Emma Shelton and Florence MillarSamson Stern Diana and Francis Sullivan Andrew Weiss Gail and Michael Wolyniec

Associate ($100+)Laura and Perry Apelbaum*Joan Barron and Paul LangWalter Bauman

Charles Beard Dorothy and Donald Berlin Susan and Paul Berman Elyse and Jeffrey Bernstein, MD Marina Bills Laura and David Bivans B’nai Israel Congregation Helen and Robert Borochoff Beverly Bosselmann Norman Braveman

Brighton Collectibles Karen Britto Brigitte and David Burgett Stephen Cannon Sandi Cave and Alan BanovLaura and Guy Cecala Howard & Jacqueline Chertkof Foundation Christ Episcopal Church Parish Christ Lutheran Church Women Ling Yu Chuang and Chii Ren TsaiChungshing Chung and Kingon HouBarbara and Hank Clark Rosanna Coffey and Timothy Stranges*Esther Cohen Kabila and John Cohen* Marlene and Victor Cohn, PhDAnne and Stephen Colgate Hanne and Frank Correl Audrey Corson, MDNatalie and Brian Crowley, MD Leonard Deitz, MDDeLeon and Stang CPAs Nancy and John DeVierno Yuri Deychakiwsky, MDSharon Kay Dooley Donna and Neil Dorsey Edward Dosik Margaret Douglas Mary Dragoo

Linda DuPuis*Hope Eastman Brenda Edwards* Jeanne Engel and James KohmKyoko Enomoto and Blair HallMerle Fabian Dolores Farr, RNJosephine Farwell Sharon and Izzy Feldman Lois and Alan Fern Edward and Maureen Feroli, MDMary Catherine Fish and James KaplanJoellen and Alan Fishman Liliane Floge Patricia and Mark Freedman Lucile Freeman Martha Frew Patricia Friedman and Blair LevinGaithersburg Presbyterian Church Janet and Andrew Gallant Stephen Garvey Margaret and Jacques Gelin*Asher Gerecht Jon Gerson Kenneth Goldman Goldman/DeMarco Family Charitable Trust Diane and Martin Goldstein Helene and Albert Grant Roberta Gunod Joyce and Robert Gwadz Catherine Gwin Samuel Hack Bonnie Harkness and James RogersMiranda and Stephen Herm Janet and Robert Higgins Judy Honig Cheryl and Jay Hoofnagle Nancy and Bernard Horn* Linda and Robert Horowitz, MDElla and Howard Iams Claire Iseli Dawn and Robert Jenets Hilary and Alex Joel Safia Kadir and Dennis RiceJeanie and Marc Kahn Peter Karasik Sudhaker and Aruna Kaveeshwar Maurine Kelly, PhD*Sylvia Kihara and Roger NeillEllen Kohn and Tim MuzzioMichael Kolber Sondra and Jeffrey Komarow Muriel and Edward Korn Dolores Ann Kozloski Donna Kozuch, PhDBenjamin Kramer Barbara and David Kritzer Areta Kupchyk Pauline and Irwin Kurtzack, DOBelinda Lai

Araba Lamouse-Smith, PhDJames Landsdale Robin and Keith Lawson Carley and Harry Lee Amy and Hun Ya Lee Susan Leibenhaut and Joseph GootenbergPhyllis Lerner Debra and Joshua Levin Dorothy and Gerald Liddel Ronnie Lipton Lynne and Jeff Love Jonathan Lowet Peter Lowet and Laurie Sloss Craig Ludwig Linda and Michael Madden Bonnie Malkin and Robert VogelKathy Mannes Carol and Sanford Markey Grace and Henry Masur, MD Karen Mazze and Shanker KrishnanBrian McCarthy Jeanne McDermott Roberta McKay Ellen and William Mentzer Diane Mesirow Marissa Miller* Lucien Moreau*Joan Moyers Nalini and Raju Natarajan Kathy and Denis Neill Susan Okie, MD and Walter Weiss, MDMarcy Oppenheimer Christine Owens and Sanford NewmanJean Panagakos* Andrew Panagos, MDGerman Paraud Katherine H. Parmalee*Margery and Barry Passett Lynne Penberthy* Jeffrey Perlmutter Hermina Pfeifer Geraldine Pilzer Jessica Pollner Patricia Pothier and Ernest NussbaumKaren and Aron Primack, MD Claire Proffitt Carole Rayburn, PhD*Rose Richardson Debbie and Mike Rider Patricia and John Robinson Kathleen Rodriguez and Uri YokelAtul Rohatgi, MDDana Rosenfeld and Eric BielSue and Mort Rudo Lynn and John Sachs Barbara Sanders Harolyn Schwartz Robert Scott Barbara and Mike Selter Judith and Jay Shapiro, MDLoretta and Mark Sherringham Sandra Sheskin Bobbi and Lawrence Shulman Sharon and Ira Silverman Ellen and Jim Sivon

Amanda Brown, MobileMed President Connie Lierman, Kyle Lierman, volunteer Sue Byrnes, Board memberSheldon Grosberg and MD State Senator Susan C. Lee at the 4th Annual Laugh Riot for MobileMed.

Barbara SlossNancy SlossVirginia Sloss Caroline and Ian Smith-DeWaal Stanley Sobel Judith Sprei, MD and Allan Lazarus, MDBetsy and Ralph Stephens William Stratton Marvin Tabb Alisa and Jon Talisman Annop Tantisunthorn, MD Lill and Len Taylor*Carol Thornton Hadassah Thursz Ruth Tockman Janine Tucker and Ira SchwartzNancy and Robert Turner Chani Vines and Ken KirkpatrickBeverly Walcoff Deborah Warden. MD and Neal Epstein, MDJulie Watson Janet and Hans Wegner Jane Weiman Constance and David Weiss Karen Winston Bobbie and Tom Wolf Woman’s Club of Bethesda, Inc. Karen Zacharia and Raymond ParetzkySephanie Zimmerman Sandy and Ray Zimmet Elizabeth and John Zinner Amy and Mark Zusy Catherine Zusy and Samuel Kendall

Friend (Up to $99)Nancy and Bernard Abeshouse Martin Adler* Barbara Allen Allie and Matthew Ammerman, MDCorinne Axelrod and Martin Rosenthal, MDArden and Ellen Baker Trust Shirley Baker Sandra Balsam Marla Banov Jessica Barbalho Rosalie Barr, MDBeatrice Baum Linda Beer Toby and Philip Berman Carol Blasberg Tara Bloomer Bernard Blumenthal Helen and Paul Bollwerk Joan and Robert Boswell* Marian Breier Bernice and Joel Breslau Pam Broene Joan Buisch Suzanne Byrnes Margaret Carlton Barbara and Hereward Cattell

Amy Chanlongbutra* Chou-Lin Chen Sharron Cochran Ellen and Harvey Cohen, MDEllen and Ed Collier Gary Cortellessa Andy Cosgrove Beth Daly Alice Daniel John Dassoulas Jeanne and Harry Davis Sacha de Lange Linda and Roy Deitchman Laura and Douglas Denault Marilyn Dickey Alison Drucker and Thomas HolzmanJonina Duker Dolores and Eugene Ebert Margaret Engel and Bruce AdamsHon. Gail Ewing Faye Fager Elaine Feidelman and Irwin Schuman, MDBurt Feldman, MDMichael Fishback* Elayne Flax Rosemary and Christopher Flint Roberta Frost Carol Garvey, MD and Thomas Garvey, MDSusan and Harold Geisel Barbara and Charles Gholz Miriam and Manny Ginsburg Irene and Robert Glaser Marion and Daniel Goldberg Sandra Goldstein Melanie Goldstein Mario Gomez Alice and Robert Goodman Barbara Gordon Ruth Gramlich Harriet Granger Gordon Joyce and Larrie Greenberg, MDMargaret and Ernest Greene Michael Greenspun Marjory and Herbert Gross, MDAbigail Grotke Jing Guv Jean Haas Karl Hawver, MDJan and De Fischler Herman Yung-Lung Ho and Ji-Ying YuanSharon Hormby Jane and Samuel Ireland Susan and Ira Jaffe Annette Jolles Victoria Judson and Michael EschMarian and John Kafka, MDNaomi and Irving Kaminsky Harvey Karch James Kelley

Hyeun Kim Richard Klinker Julie Knoll*Dorothy and Louis Kornhauser Jeanette and Robert Kreiser Dina and Joe Kruger Dina Lassow Trude Lawrence Hon. Susan Lee Judith Levin, MD and Jonathan Levin, MDRoberta and Ernst Liebman Carol and Donald Lipton Elizabeth Madden Sara and Steven Mathis Harriet and William Mathon Ramona Matthews Valerie Matthews Bill McCloskey Amelia and James McConnell Mary McGarvey Katherine McGlynn* Lynn and Arnold Meltzer Libby and Ronald Merrill Ursula and Eric Meyer Beatrice Miller Allyson and Barry Miller* Ann and William Moczydlowski Judith Morenoff Yvonne Moritz Rochelle and Steven Morrison John Moscato Sally Gilbert Moskowitz Rosalie and Ben Mulitz Farhad Niami, PhDDiane and John Noble Theresa Nuzum William O’Brien

Sheila O’Donnell Irnest Oser, MDBeverly and John Pahira Ann Parker Marcia Parness*

Fredric Parsons Shirley and Andrew Pelmoter Daniel Pewett Siegbert Poritzky Roseanne and Kenneth Price Celestine and Willie Price Neville Ramroop Dorothy Regensteiner Charles and Katherine Reichelt, RNNancy Richards* Rachel Ritvo, MDSusan Roberts Marion and Donald Robertson Renee Rodkin*Lucille and James Ronan, MDSusan and Kenneth Rosenbaum, MDJoan Rosenstein and Kenneth RobertsBarbara and Douglas Rosing, MDEliana Schenk Louise and David Schmeltzer Phyllis and John Schmitz Mike Schneider Ila and Thomas Schoettler Alison Schoettler Dee Schofield Sharon and Fred Schomer* Myrna Seidman*Rita and Alan Seifert Jen Sermoneta, PsyDSue and Robert Shoenberg Joseph Silvio, MD Lois and Irving Slott Suzanne Smuckler Ruth Solomon and Steven GutmanTrudi Sommerfield

Lucy Spagnolo, RNStephanie Sporkin* Esther Starobin Clarence Steinberg Sharon Strauss

Sherry Sundick* Brenda Tabor Frances ThompsonLottie Traunfeld Carol Trawick Molly and Stuart Turkewitz Deirdre Turshen Mary and Leo Von Euler, MDMarcia Weinberg Carole and David Wilson* Susan and Lewis Winarsky*Scott Wolpert Sandra Wool Elizabeth Wyatt Eric Zatman Joan and Marc Zlotnik

Event HostsHyatt Regency BethesdaTemple EmanuelThe Original Pancake House

*In Honor OfRhoda AbramsJames Bailey, MDGeorge Cohen, MDLenore CohenBarbara FishbackRichard Gross, MDSam HackThelma and Barry Meyer’s 60th AnniversaryMichael Rosnick, MDAnn StatlandAnita Solomon, PhD

*In Memory OfMarvin Berlin, MDMartha CoxGene DavidsonMary Jane JacksonArnold OstrimJim SchoettlerRichard Steacy

Special Thanks to Our Generous Donors Who Help MobileMed Serve the Community

Pictured at our 2014 Annual Meeting are Executive Director Peter Lowet with Dr. George Cohen, MobileMed co-founder and longtime volunteer physician, and Ben Fassberg, Esq., who authored MobileMed’s Articles of Incorporation.

Connie Lierman, CRNP, PresidentMarina Bills, Vice PresidentWendy Krasner, SecretaryAlan Hoffman, TreasurerCharlotte A. Jenkins, MBA, Past PresidentRhoda Abrams, MBACatherine Cleland, MBAHon. David DavidsonSharon Kay Dooley, RNSheldon GrosbergJerome E. Herbers, Jr., MD, MBANataly JohansonCarlos Picone, MDAnita Solomon, PhD

Simon AtlasGeorge J. Cohen, MDLola Jean Cross, MPH, RNDolores Farr, RNBenjamin C. FassbergJohn J. Fitzgerald, Jr.Hon. Esther GelmanSara N. Harris, OTHugh F. Hill III, MD, JDKenneth HowardMarion Hayes Hull, PhDJean LanhamThelma Meyer, MSWCynthia A. Meyersburg, MSJohn MoscatoRex ReedHon. Helen StrangAndrew Weiss

Peter F. Lowet, Executive DirectorLaura Welch, MD, Medical DirectorKathleen Luton, CRNP, Clinical DirectorPaola Bueno, Director of Finance/AdminLinda Madden, Director of Development

FY2015 Financials July 1, 2014 - June 30, 2015 (unaudited)

Longtime registrar/driver Alberto (Tico) Martinez with a patient at Ascension House, our mobile van clinic in Gaithersburg.

MobileMed’s FY2015 revenue and expenses each exceeded $2.6 million. Thanks to generous public and private support, program development, and operational improvements, our financial ratios continue to be strong.

Program77%

Facilities/ Vehicles

7%

General & Admin

16%

Expenses

Gov't Contracts &

Grants55%Patient

Reimb17%

Private Grants

22%

Contributions6%

Revenue

UW #8157CFC #86936

MobileMed9309 Old Georgetown RoadBethesda, MD 20814301.841.0825info@mobilemedicalcare.orgwww.mobilemedicalcare.org

Pictured below with a patient (center) at our Rockville Clinic are registrar/driver Marvin Sorto, providing interpretion services, and Medical Assistant Bebe Kouyate, making referral arrangements.