Annual ReportJuly 1, 2016—June 30, 2017

Restoring Health. Rebuilding Lives.

At Duffy Health Center, our mission is to improve the quality of life for persons who are homeless or at risk of homelessness on Cape

Cod through community collaborations and the provision of integrated medical, mental health, addiction treatment, case management and housing support services.

Our team cares for Cape Cod residents who have complex medical, mental health, and substance use disorders. Our patients often lack

the social supports many of us take for granted.

Our Mission

“We are devoted to going above and beyond for our clients. We treat people with respect and we change peoples’ lives.”

- Derek Lamphier, Recovery Support Navigator

Sunrise at Duffy Health Center. Photo credit: Michelle Cronin

The Duffy Health Center Team.

2017 was a year of fiscal and program growth for Duffy Health Center! We expanded services, increased collaboration with our community partners, and our team provided integrated, quality care to 3,200 vulnerable Cape Codders.

As we reflect on Duffy Health Center’s 20th anniversary year, we honor our grassroots origins. Without the individuals who believed in our mission and were willing to invest their time, treasure, and talent to make Duffy Health Center a reality, we would not be where we are today. We honor their legacy by recommitting to our vision of Cape Cod as a community where all persons have access to quality health care, safe and affordable housing, and lives filled with hope and purpose.

Today, we look to the future. Collectively, we face many challenges: federal funds and Medicaid dollars are at risk; health care system changes require innovation in the face of ambiguity; the opioid epidemic continues its devastation; and Cape Codders struggle to find safe and affordable year-round housing.

This fall we are conducting our strategic planning work on how to meet these challenges. Now, more than ever, we need the support of our generous Duffy community. As our first supporters invested so much in our mission, so we now ask for your support to continue this work. We need not only your generous gifts, but for you to be a champion for Duffy. Let people know why you support the Duffy Health Center and how they, too, can make a deep impact on the lives of so many Cape Cod residents.

We thank you for your continued investment, and for being part of the Duffy community. We could not do this important work without you.

Warmly,

Heidi R. Nelson, FACHE

Duffy Board of Directors (Fiscal Year 2017)

Officers

Diane Driscoll, PresidentMary Bianchini, Vice PresidentJohn Murphy, TreasurerJerome J. Forman, Esq., Clerk

Directors

William Agel, MD Patricia AndersonKeith BenoitKathleen BresetteRobert ChurchillLeslie Dominguez-SantosUsama El SehraweyGregory EversonGail FrieswickChester Mohr, MDMary Rahal Rebecca RobkeAndrew L. Singer, Esq.

Honorary Directors

Herbert Mathewson, MDNeil Ringler, DDS

Fiscal Year 2016 Actual

Net Patient Service Revenue 2,917,085 Grant Revenue 2,597,359 Program Revenue 230,868 Donations & Special Events 337,030 Other Income 45,044

Rev

en

uesFiscal Year 2017 (unaudited)

Net Patient Service Revenue 3,028,359Grant Revenue 3,029,174Program Revenue 248,996 Donations & Special Events 381,759Other Income 117,513

2,917,085

2,597,359

230,868 337,030

45,044

FY 2016 Revenue Actual

Net Patient Service Revenue

Total Grant Revenue

Total Program Revenue

Total Donations & Special Events

Total Other Income

3,028,359

3,029,174

248,996 381,759

117,513

FY 2017 Revenue

Net Patient Service Revenue

Total Grant Revenue

Total Program Revenue

Total Donations & Special Events

Total Other Income

Fiscal Year 2016 Actual

Salaries and Wages 3,501,110 Taxes and Fringe 739,467 Contracted Services 352,596 Occupancy 408,869 Client Expenses 143,450 Supplies & Minor Equipment 130,400 Office Expense 39,451 Van Expenses 309 Bad Debt 30,881 Depreciation Expense 150,158 Other Expenses 245,120

Exp

en

ses

Fiscal Year 2017 (unaudited)

Salaries and Wages 3,892,466Taxes and Fringe 783,076 Contracted Services 371,249 Occupancy 444,193 Client Expenses 158,421 Supplies & Minor Equipment 138,587 Office Expense 26,638 Van Expenses 5,925Bad Debt 53,937 Depreciation Expense 129,204 Other Expenses 293,376

3,892,466 783,076

371,249

444,193

158,421 138,587

26,638 5,925

53,937

129,204

293,376

FY 2017 Expense Total Salaries and Wages

Total Taxes and Fringe

Total Contracted Services

Total Occupancy

Total Client Expenses

Total Supplies & Minor Equipment

3,501,110 739,467

352,596

408,869

143,450

130,400

39,451 309

30,881

150,158 245,120

FY 2016 Expense Total Salaries and Wages

Total Taxes and Fringe

Total Contracted Services

Total Occupancy

Total Client Expenses

Total Supplies & Minor Equipment

20 Years of Restoring Health and Rebuilding Lives

Nurses from the VNA set up a clinic at the NOAH Shelter to provide medical care to homeless patients.

The O’Neill Clinic is incorporated as a private non-profit at the NOAH Shelter.

The Health Resources and Services Administration awards a federal grant for the clinic to become a community health center serving persons experiencing, or at risk of homelessness.

The clinic is renamed Duffy Health Center in honor of Elizabeth and Mary E. Duffy. Duffy family funds enable the clinic to move to 105 Park St., which then expands to two additional sites.

Federal funding enables Duffy Health Center to begin offering mental health and case management services. Duffy becomes the first community health center on Cape Cod to begin evidence-based practice using Suboxone to help people with opioid use disorders.

Duffy’s “Housing First” model is implemented. Supported by state funding, this program includes permanent housing and supportive case management services. Today, it provides housing for 43 persons, reducing costs to the community while improving health outcomes.

Continuing program expansion, Duffy moved to the current location at 94 Main St. with support from the Health Resources and Services Administration and private donors.

2002

1988

1997

2001

2006

2010

2011

Duffy is recognized as a Patient-Centered Medical Home. We expand hours, increase service options, and implement a team-based approach for patients.

The state’s Prevention Wellness Trust Fund is awarded to the Barnstable County coalition, including Duffy. Focusing on disease prevention and wellness, it links people to community partners such as the YMCA.

Duffy clinical staff continue to expand its evidence-based practice of Medication Assisted Treatment for persons with opioid use disorders. Over 400 persons are treated in 2016. In response to community needs, Duffy expands adult substance use disorder services and to start a treatment program for young adults ages 18-25.

2013

2014

2016

2017

Duffy’s 20th anniversary! Without your support, we could not provide the primary care, mental health care, substance use treatment, and case mangement services upon which over 3,200 residents depend.

“I walked in here hopeless. [Duffy] saved my life.”

- Duffy Client Nina

Last year, your support helped Duffy Health Center to...

Complete treatment for 35 patients with Hepatitis C, with an 89% success rate. Together, we provided access to leading edge medications that actually cure this debilitating disease.

House 43 chronically homeless individuals; 85% of our Housing First clients remain housed after one year.

Provide follow-up care for 203 patients being discharged from Cape Cod Hospital’s inpatient psychiatric facility, with 93% connecting to a Duffy service.

Expand our Medication Assisted Treatment program from 240 to over 400 patients with opioid use disorders.

Place 56 people in temporary housing through the use of “In From the Streets” funds raised at the Gala; 33 of those individuals were subsequently placed into more stable housing.

A special thank you to our generous donors and partners

Supporting Grants

Cape Cod Five Cents Savings Bank Charitable FoundationCape Cod FoundationCape Cod Healthcare Cape & Islands United WayMA Dept. of Public HealthMA Bureau of Substances Abuse ServicesMA Executive Office of Health and Human ServicesTower FoundationTown of ChathamTown of HarwichTown of TruroTown of SandwichTown of YarmouthUS Health Services and Resources Administration (HRSA)US Housing and Urban Development

Bickford-Best Society Gifts of $2,000 and above

Anonymous (3)Keith BenoitMary Ann BentonBizChecks PayrollGreg and Jeannie BotsivalesKathleen BresetteJames BuffingtonMr. Robert J. Buttel and Ms. Cynthia WrightCape Air/Nantucket AirlinesCape Cod Academy Student CouncilCape Cod Healthcare, Inc.Miriam CeruttiGary M. DellaPosta, CPADr. and Mrs. Louis Di LilloJim and Mary Ann Donnelly Duffy PropertiesBarbara Duffy

Robert Duffy, Sr.East Main Street Development, LLCEastern Bank Charitable FoundationMr. and Mrs. Richard FairbanksFirst Congregational Church Franey Medical LaboratoriesMr. and Mrs. Hugh C. HilliardJames Hinkle and Roy HammerMarjorie and Frank MacyDebbie MaguireJoan and Chester H. Mohr, MDMr. and Mrs. John E. MurphyDon and Susan MykrantzMassachusetts League of Community Health CentersDr. Robert McGowen and Elyse De GrootMissy and David McGrawHeidi NelsonMr. and Mrs. David I. OppenheimOpthalmic Consultants of BostonMr. and Mrs. Joseph RahalRockland Trust Charitable FoundationMark SextonFanny and Andrew L. Singer, Esq.StaplesHaskell ThomsonDr. and Mrs. Gary E. TrattWendy’sWinsor Foundation FundMr. W. Redwood WrightMr. and Mrs. William Zammer

Founders’ Circle Gifts of $1,000-$1,999

William Agel, MDMr. and Mrs. Frank H. BarnhartJoan Bentinck-Smith, MDConnie BickfordBoston Medical Center HealthNet PlanBob and Deb CallahanDebbie and Steven Ciavola

Dr. and Mrs. Leslie DeGrootDennis Union ChurchLeslie Dominguez-SantosDiane DriscollDavid DuffyJackie DuffyPeter Duffy Steven DuffyJanet and Kevin FeeneyMark and Gulaug ForantDeborah and Jerome L. Forman, Esq.Dr. and Mrs. Frank L. FortunatoGail FrieswickSuzan GreenupFrancisco and Elenora GutierrezJustin KuntzPeter and Jeannie MeyerStephen and Christina PetruskaAnne and Bob PickartSusan and Dean PotterSteven RasoNeil and Sara RinglerKathleen Rioux and Mary BianchiniDorothy SavareseDenise and Ernest SmilyKim StraubingTim and Mary Catherine Telman

Directors’ CircleGifts of $250-$999

Mindy and Steve AbbottPauline AlighieriJames H. Anderson and Jeanne L. CaminCarrie Thornburg BearseDave and Gerri BernardNancy BisiniereBoston Medical Center HealthNet PlanKathy and John BresetteMatt BresetteJohn and Mary Ellen BridgeOlive ChaseFrederic and Margot ChurchillRobert ChurchillJohn Clark and Carolyn PrattEleanor ClausAnn ColwellMr. and Mrs. Barry J. ConantKathleen and Jim CorlissPaul and Susan CormierJudith and Will CrockerArlene CrosbySusan DantonUsama and Stephanie El SehraweyDavenport Employees 15 Year ClubDePaola, Begg & Associates, PC

Consumer Advisory Board members, volunteers, and staff wrap holiday gifts for clients during Santa’s Elves 2016.

Jeanne and John Wheeler

DonorsGifts up to $249

Leland and Martha AdamsMary Gale AlexJD AltobelloRichard AndrewsRichard J. Angelo, Jr. Grace ArectosDr. and Mrs. Albert Barrows, IIIDiana BlanchetteMr. and Mrs. John BolandJitka BorowickTerry BreidenbachMaureen Sheeler BriandDr. and Mrs. Loren C. BurgerDavid and Heather BurkeTom Burrows and Kate NelsonDr. Daniel CanadayPatricia CawleyPeter ClarkHumberto CorderoAshley CormierMr. and Mrs. Daniel A. Cronin, Jr.John DeFeoBill and Stephanie DelandePeter DikemanMr. and Mrs. Joseph DoolinChristopher and M. Susan DoughertyBecky and Rick DowdJane DriscollJoan DuffyWilliam H. Ellis, PhD and Stefanie M. Adams, PhDNancy ErskineGregory EversonDr. and Mrs. William N. FenneyDr. Deborah FieldCathleen FinnAl and Antje FlandersJoAnn and Michael FishbeinDaniel FitzgeraldGary ForesterJames Garb, MDClaire GoyerLisa Guyon

Brian and Wendy DiehlMs. C. Pamela DuffyKevin and Mary Beth Duffy Jeffrey and Julie DykensMatthew EddyJanet EdmondsAntoine and Bruce EshbaughTom EvansThe Federated Church of HyannisFlagship Harbor AdvisorsKathy and Tom GaffneyBrian and Joan GriffinHenrik GulmanMr. and Mrs. Lawrence HarjuMichaela HerlihyDavid and Ree HirschLeah HowlettMaureen HughesDr. Anne Marie KellyPaul and Christina KemprecosKathy and Tim KilduffDr. Wesley Klein and Joyce CampbellDr. and Mrs. Richard B. LewisKaren and Richard MannalHerbert Mathewson, MDDan McCulloughAugust and Joyce NoonanPamela Thoits OlsonThe Partnership School of Cape CodBenita PierceRosa Ramirez-Mendez and Mahbub RahmanMr. and Mrs. Charles N. RobinsonMr. and Mrs. Paul J. RuchinskasAlicea and Claude SaderSecure NetworksDavid and Susan SheinkopfSouth Congregational ChurchMr. and Mrs. Lawrence SpauldingSt. Andrew’s by the SeaSt. David’s Episcopal ChurchBert and Beth TalermanMartha and Paul TardifJames Taylor, MDMr. and Mrs. Noah T. TottenMargaret and Gerry TutenUnitarian Church of Barnstable John Greene and Jane WalshMark Watson

Elaine HalliceDavid HalvorsenAnn HaneyMegan and Charley HardenNora and Justin HardenCourtenay Harrington-BaileyClaire HaworthWayne and Patricia HenryMr. and Mrs. David S. HoldenPhyllis HortonJayne Iafrate and Barbara StephensKathleen JacobsJulie Karcinski and Sharon RossWalter KaessBetsy KamborianJim and Paula KeatingSusan KinnaneRoger and Cathy KliglerMr. and Mrs. James A. LaneBrianna LauriaMr. and Mrs. Thomas R. LebachIrene LehanKate LinehanMr. and Mrs. William LitchfieldJames LyonsJane and Bob MaloneyNatalie MarianoMr. and Mrs. William P. McCoyKathleen McShaneMark K. Miller and Kristina H. HedengrenMr. and Mrs. Gordon P. NelsonDavid NorlachDeborah NortonKate O’ConnelAnn O’ConnellMichael PagliaroThomas Philbrick, MDChris and Leda PhillipsCharlie PreusRaymond and Lee LorangerJoseph ReardonKathy RodriguezManny RoseDavid and Colleen SantosMr. and Mrs. Charles W. SchildMark and Cathy SchneiderKathryn SouzaJoan Sutton

John TerrioBeth Thompson and Lee GatewoodGail TurnerFrederica ValoisEllen WendellWomen’s Union of the First Congregational Church

Tributes

Andrea AronsonPatricia and Frank BarnhartMary BianchiniConnie BickfordGilbert BrinderhoffDevon BurgessSusan ChildsKaren CorbettCynthia DuffyMargaret LyonsRobert Zemke

Local legislators and community health center leaders, including Duffy CEO Heidi Nelson.

The Falmouth Theatre GuildFamily of a Duffy ClientFin Cape CodFive Bays BistroFlying Pig PotteryFresh InteriorsGail FrieswickFritz GlassAmy FureyGene and GeorgettiThe Glass OnionGrazing Fields FarmGustare Gourmet Olive Oils and VinegarsCharles HardenHot Diggity Dog Wash & BoutiqueThe Hyannisport ClubHyannis Whale Watcher CruisesImmaculate ConfectionsThe Impudent OysterThe Inn on Biltmore EstateDr. Anne Marie KellyLiam Maguire’s Liberte, the SchoonerLobster Roll CruisesM Architecture+DesignMarjon Print & Frame ShopCarol and Dennis MarkhamThe MarshsideHerbert Mathewson, MDMattakeese WharfDr. Robert McGowenThe Mill StoresMooncussers TavernThe Naked OysterSarah NewtonNirvana Coffee CompanyBarbara O’NeillThe Oyster CompanyPaul GlynnPetals on PineBenita PiercePower Yoga of Cape CodKristin RaneyRectrix AviationRIPE: Craft Bar JuiceThe Riverway RestaurantRotary Club of Harwich-DennisSouth Street Depot

Donations In Kind

Karen AlexanderPatricia AndersonArts Foundation of Cape CodAttention to Detail Auto PolishingMs. Atwater’s Fifth Grade ClassFrank and Patricia BarnhartBarnstable Harbor EcotoursKeith BenoitBeyond Beauty BizChecks PayrollBose CorporationBoston College AthleticsThe Boston Red SoxGreg and Jeannie BotsivalesMarilyn BowenThe Brazen BellesBreakaway GrillThe Bresette FamilyThomas BresetteStephanie BriodyJanet BuffingtonSue ButlerC. Salt Wine Bar & GrilleThe Cahoon MuseumSara CampbellCape AirCape Cod BeerCape Cod Children’s MuseumThe Casual GourmetChaps Livery ServiceOlive ChaseChatham Candy ManorChatham Clothing BarChatham Sign ShopDebbie CiavolaRoss CoppelmanCorner CycleCummaquid Golf ClubElyse De GrootGary DellaPosta, CPADonna and Lou Di LilloThe DolphinDonna Peri SkincareDuffy Client NancyEastern Bank, Rana MurphyUsama El SehraweyMichelle Fairbanks

Stage Stop CandyStonewood ProductsTrader Joe’s HyannisLen Vera, Cape Sales SolutionsWendy’s Whole Foods YMCA Cape CodKatharine Anne Young, RN, MSNHMark Zelinski99 Restaurant and Pub

We have made every effort to ensure that our donor list is accurate. If your listing is incorrect, please call Elyse DeGroot at (508) 771-7517 ext. 104 so that she can resolve the situation immediately.resolve the situation immediately.

Shane Dermanjian of AmeriCorps Cape Cod drops off bags filled with toiletries for Duffy patients. Volunteers filled bags during the Martin Luther King, Jr. day of service.

Cape Cod Academy students present Duffy with a gift from the proceeds of their Shelter from the Storm Concert. The funds were designated to support Duffy Health Center’s Medication Assisted Treatment program for teens and young adults with opioid use disorders.

Restoring Health. Rebuilding Lives.

94 Main Street, Hyannis, MA 02601(508) 771-9599

DuffyHealthCenter.org