TERRY REILLYHEALTH SERVICES

CARING FOR ALL

Annual Report 2002

Our Core Purpose:To strengthen the communities we serve by improving their health and quality of life.

OUR MISSION“Terry Reilly Health Services is a community based non-profit corporation which is dedicated to providing quality,

comprehensive health care. The services shall be provided in an accessible and affordable manner to all persons

regardless of age, sex, ethnicity, or economic situation. Particular attention shall be given to people who might have

difficulty obtaining care elsewhere due to rural isolation, financial barriers, or cultural sensitivity. Terry Reilly Health

Services shall function as a business in such a manner as to be fiscally responsible to the corporate interests and the

interests and obligations of the patients. Terry Reilly Health Services shall strive to improve and expand the services.

The corporation shall remain flexible in the health care marketplace and explore new organizational structures and health

related financial enterprises.”

OUR CORE VALUES• Service to the Underserved

• Integrity/Honesty

• Excellent Care That’s Affordable

• Accessibility

• Social Justice (Including Advocacy and the Right to Wellness and Health)

OUR VISION(AKA OUR BIG HAIRY AUDACIOUS GOAL)“We will assure that no one in our communities will go without needed health care.”

WHAT MAKES TRHS SPECIAL?Terry Reilly Health Services (TRHS) is a private not-for-profit organization that provides care to all, with fees based on

patients’ ability to pay. Services are available on a discounted fee basis, in accordance with family income. Services are

available in English and Spanish and other languages by special arrangement. Terry Reilly Health Services is committed

to serving populations facing barriers elsewhere, with emphasis on culturally sensitive care to migrant and seasonal

farmworkers, the homeless, and other special populations. TRHS is governed by the communities it serves through

a representative board of directors.

WHO ARE WE?

C a r i n g F o r A l l2

Dear Friends,

In life, it is generally true that along with the sweet there is some bitter. That applies to our past year, though the number of sweet events far outnumbers the bitter. The biggest downside this past year was a tragic bicycle accident thatseriously injured and disabled our long-term Medical Director, Dr. Bob LeBow. The sadness of that event, whichoccurred in July of 2002, has had profound effects on many staff, associates, and friends of Terry Reilly Health Services(TRHS). Each day, we all miss Bob and hope and pray for his continued recovery.

The upside of the year, though, has many highlights, each adding to the growing strength of TRHS. We have the greatfortune of being able to continue the work of incredible leaders like Terry Reilly and Bob LeBow. For example, aftertaking over an existing clinic in Melba last June, we occupied our brand new beautiful clinic building in downtownMelba in April of 2003. We are pleased to make TRHS medical and dental services an integral part of that beautifulrural community.

We were also fortunate to have received new federal grant funding to start up a dental clinic in Homedale. That marvelous new and much needed service opens June 16, 2003. Two excellent new dentists were also hired for Melbaand Homedale, not an easy accomplishment in a very tight dentist labor market.

This Annual Report includes mention of various other highlights of the year. In this letter, we want to emphasize thatnone of these things could be accomplished without the dedicated and competent work of so many members of the staff,the Board, and several advisory committees. Additionally, the many financial supporters of our work, including theTreasure Valley United Way and various local foundations and corporations, have been critical to our ongoing success.Last year saw the proportion of our patients who have no health insurance rise by 10 percent, a reflection of an ailingeconomy - all the more reason for appreciating our supporters during these times of greater need.

The outlook for TRHS remains very bright. We look forward to increasing the numbers of needy Idahoans who arehelped to get the quality health care they need.

Sincerely,

Eric Johnson, Chairperson Erwin B. Teuber, Ph.D.Board of Directors Executive Director

FROM THE TOP

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BOARD OF DIRECTORS

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Vickie Holbrook

Millie CowanSister Maura ClarkVice-Chairperson

Delia Gonzalez-Munson Reed Jarvis, DDS

Erik JohnsonChairperson

Erlinda Martinez Duane Pancheri Emma Pantoja

Rosie Delgadillo ReillySecretary/Treasurer

Ione Gebert

Merrill Tallman

Keith Kendall

Peggy Tallman

Dolly Hyer

Moscelene Sunderland

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No photo available:Antonio Garcia

CORPORATE LEADERSHIP

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Erwin Teuber, PhDExecutive Director

Barbara Korn, CPAChief Financial Officer

Mark Mering, MDMedical Director

Jonathan Bowman, MDAssistant Medical

Director

Heidi Hart, MEd, LCPCSANE SOLUTIONSProgram Director

Shannon Blackstock, SPHRHuman Resources Manager

Kevin McTeague, MSOperations Officer

Ann Sandven, MPHDevelopment Officer

Dick Ernest, C-FNPHomedale Clinic

Manager

Erin Ostteen, DDSDental Director

Faith Peterson, C-RNPMarsing Clinic Manager

Barbara Youren, C-FNPBoise Clinic Manager

Brandon Lane, PA-CMelba Clinic Manager

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TRHS CLINICAL STAFF

Penny Beach, MD Richard Gerber, MD Mark Mering, MDJonathan Bowman, MD

Barbara Youren, C-FNP

Kate Ryan, MD

Todd Swanson, MD, MPH Laura Tirrell, MD, MHSA Dennis Weiler, MD

Ron Fife, DDS

Tamara Bethel, C-FNP Dick Ernest, C-FNP

Janine Franco, PA-C

Jim Folske, DDS

Faith Peterson, C-RNP David Snyderman, PA-C Sunny Stoller, PA-C

Stacy Wright, C-FNP

C a r i n g F o r A l l

Brandon Lane, PA-C

Jim Guyton, DDS

TRHS CLINICAL STAFF

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Erin Ostteen, DDSAmelia Justin, DDS Libby Engebrecht, CSW-P Oreana Harless, CSW-P

Stephen Hill, PhD Alissa Lyon, MSW Charles Marsh, MD Jeff Betts, LCPC Claudia Currie-Mills,CSW-P

Victor Durnil, M.COUN. David Ferguson, LCPC Sandra Forrey, LCPC Mark McCullough,CSW-P

Joseph Morisette, LPC John Reyna, LCPC Sandra Wiler-Piotrowski,CSW-P

Michael Benjamin, LMSW

Melissa Wood, LMSW Pat Woodbury, LCPC

Heidi Hart, MEd, LCPC

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No photo available:Steve Von Flue, MD

C a r i n g F o r A l l8

During calendar year 2002:• Opened the Melba Clinic in July 2002 and built a new medical and dental clinic which opened April 2003. • Secured funding from the Bureau of Primary Health Care for a newdental clinic in Homedale, scheduled to open June 16, 2003. • Delivered 507 babies, 58% of whom were born to low-income,uninsured women.• Provided a total of 88,440 health care visits to 21,056 adults andchildren throughout the entire corporation. • Increased persons served by 10% from 2001, providing 56,481medical visits to 16,157 individuals. • Provided 8,057 dental visits to 4,077 individuals, 58% of whomwere uninsured and 35% were Medicaid clients.• Served 23% more migrant or seasonal farmworkers than in 2001,reaching a total of 3,676.• Experienced a 16% increase in persons without health insurancecorporate wide, in large part, but not totally reflecting changes inadult Medicaid dental benefits.• Treated 454 adult and child sexual abuse victims through 4470 counseling visits. Provided treatment to 837 adult andjuvenile sexual abuse offenders through 11,010 counseling visits.

For the fiscal year, which runs April 1, 2002 –March 31, 2003:• Hired 3 new dentists

with a combined experience of 79 years.• Filled 50,095 prescrip-tions, providing necessarymedications at affordableprices to our low-income patients. • Made 1,810 contacts targeting farmworkers at health fairs, as well as 752group contacts, including exercise and lay health promoter classes. • Provided 2800 mental health education and other mental health outreachcontacts.• Provided 2770 case management services to pregnant and parenting women,

the homeless, those with chronic diseases and those with brain disorders/mental illness.• Screened 311 low-income women through the Women’s Health Check forbreast and cervical cancer and 208 through the Susan G. Komen breast cancerscreening program, with mammograms provided at local hospitals. • Received the first grant from the new Idaho Women’s Charitable Foundation,which along with an outreach grant from Women’s Health Check, providedbreast and cervical cancer education and outreach to farmworker womenthrough 12 home health parties, outreach in grocery stores, and health fairs. • Began bilingual mental health services targeting farmworkers at the Marsingand Homedale Clinics and a variety of education and outreach activities,including a slide-tape show, “Stories from the Field.”

GENERAL OVERVIEW OF THE YEAR

“We met ‘Laura’ at a local homeless shelter, whereTRHS homeless program staff do weekly outreach. She

had just been released from one of the Idaho State mentalhealth hospitals and was in need of medical treatment for

a variety of issues. She did not have the funds to see adoctor or pay for any of her medications. We helped

‘Laura’ with her immediate medical needs and got her ona waiting list for housing; I also met with her for case

management. She has since obtained temporary housingand is waiting for long-term assistance.”

Sarah King, LSW, Case Manager

Dr Tirrell and Teen Clinic Patient

Pharmacist Sabrina Allen, Pharm.D. filling a prescription

Michael Benjamin, LMSW demonstrates play therapyin Stories from the Field slide-tape series

9C a r i n g F o r A l l

GENERAL OVERVIEW OF THE YEAR

• Partnered with the ISU College of Pharmacy to place faculty member Glenda Carr, Pharm. D., at the TRHS NampaClinic to supervise ISU pharmacy students taking part in clinical rotations, which include supporting the DiabetesCollaborative and being available to TRHS clinicians for consulting on medication issues.• Began Medicaid/CHIP outreach in Ada County, with funding from the Robert Wood Johnson Foundation. Activitiescontributed to 1200 more Ada County children being enrolled in Medicaid in the first quarter of 2003 than previously.• Co-sponsored the June 25 Summit, “Idahoans without Health Insurance,” with Dr. Bob LeBow as one of the panelpresenters. • Conducted a record breaking United Way employee campaign, resulting in 100% participation, a 32% increase fromlast year, as well as a 39% increase in giving.• Produced and distributed the Treasure Valley Safe Kids Coloring and Activity Bookfor Parents and Kids on sexual abuse prevention with funding to the TRHS SANESOLUTIONS Program from the Office of the Governor and Ronald McDonaldHouse Charities, Inc. • Collaborated with University of Washington on a research project studying depression screening tests for farmworkers. Screened 147 farmworkers and assessed30 persons with possible depression, anxiety or substance abuse. • Celebrated National Health Center Week in August with banners and ads in localnewspapers. • Took part in the community wide April Child Abuse Awareness Month activities, includ-ing sponsorship by SANE SOLUTIONS of an outdoor blue ribbon display contest for Canyon County elementary schools.

• Hosted local state legislators for a December breakfast and health screening,with the opportunity to learn more about the funding needs of communityhealth clinics in Idaho.• Participated as one of 60 sponsors in Idaho in national efforts to highlightthe plight of the uninsured through Cover the Uninsured Week in March2003 with a local postcard campaign and press conferences.• In conjunction with other community health centers and the Idaho PrimaryCare Association, supported HB 281 in the Idaho Legislature to provide statefunding for health centers. The bill passed with strong support in the Houseand will be re-introduced next session.• Introduced new “Zero Pay Fund,” funded with community donations andproceeds from Dr. LeBow’s book, Health Care Meltdown. The Zero Pay Fundhelps make medical, dental, and behavioral health services at TRHS accessiblefor those least able to pay.• Increased health screening, education, andmedical services to farmworkers through the

La Buena Salud Project, incollaboration with Mountain States Group and Boise State University.• Participated in Give a Kid or Adult a Smile Day, with two TRHSdentists providing $2,400 in free dental care to 8 persons on February 22, 2003. • Implemented a fluoride varnish program as part of medical WellChild Visits, partially funded by proceeds from Albertson’sCommunity Partners cards. • Celebrated new wall art for children’s play area created by BoiseClinic supporter.

“‘Maria’ who was in yourexercise class at Farmway Villagewalks differently now. Her head isup and she always has a smile. Shehas so much more confidence thanbefore. You’ve made such a differ-ence!” Sister Bernadette Stang toMigrant Outreach Coordinator

Claudia Del Real.

Susan Haylett, LPN applies dental varnish as part of a well child check

Artist Larry Goodall and jungle scene at TRHS Boise Clinic

C a r i n g F o r A l l10

O Baby! – Obstetrics Practice at TRHS Caring for low-income pregnant women, promoting healthy practices during pregnancy, and providing quality medicalcare of mother and baby during and after delivery are long standing practices at Terry Reilly Health Services. Free pregnancy tests encourage women to enter prenatal care early (in the first 13 weeks of pregnancy). Moms are also counseled to reduce risk factors such as smoking, drugs and alcohol that can lead to low birthweight babies, and to eatwell and exercise to keep both themselves and their growing babies as healthy as possible.

The obstetrical practice at TRHS is large and expanding. Terry Reilly HealthServices physicians deliv-ered 507 babies in 2002.That is 27 % of allbabies born in CanyonCounty and 2.6 % of allbabies born in the stateof Idaho! Our long-range goal is to havephysicians on our staffwho can perform cesare-

an sections and help care for high risk patients.

TRHS provides a multidisciplinary team approach to obstetrical care. Family practice physicians, nurse practitioners,physician assistants, social workers, and nurses provide prenatal care. Our practice is fairly high risk, with 90% of pregnant women being low-income, 59% having no health insurance, and only 56% starting care in the first 13 weeksof pregnancy.

In 2002 Terry Reilly Health Services received a grant from the Idaho chapter of the March of Dimes to further enrichour obstetrical (OB) program. A portion of this grant was used to hire Edie Welty, MD to review existing and developnew, OB protocols. Dr. Welty then trained the social workers and patient advocates on how to screen for high risk pregnancies during the weekly free pregnancy testing clinics offered at all TRHS clinics with OBcare. Previously, patient advocates and social workers were screening for risk at the time of thefirst prenatal visit, which could be up to 2 weeks after the initial pregnancy test. This grant alsoallowed us to designate more social work staff time to teens and high-risk pregnancies.

Approximately 10% of our patients are diagnosed with diabetes during their pregnancies.Diabetes puts infants at higher risk of birth defects, high birthweight (over 9 pounds), andbeing stillborn. Clinicians, nurses, patient advocates and social workers work closely with thesepregnant diabetic patients. With the support of this more intensive prenatal care, the obstetrical outcomes for these mothers and babies equal those outcomes of non-diabetic pregnant patients.

Last December the TRHS Nampa Clinic hired a new bilingual Childbirth Educator who worksclosely with the patient advocates and social workers to identify those patients who would benefit from childbirth education. With guidance from Dr. Welty, the childbirth educationprogram was expanded to offer educational information and classes appropriate for all 3trimesters of pregnancy. Classes are free to all TRHS pregnant patients.

The TRHS Teen Clinic, located across the street from the TRHS Nampa Clinic, offers a home-like environment forpregnant and parenting teens to get the medical care they need, as well as referrals to community programs such as WICand Nampa School District’s Teen Parent School. The Teen Clinic is available to any teenager seeking medical and socialwork services at TRHS.

THREE PROGRAM HIGHLIGHTS

‘Betty’ came to the clinic with the complaints ofpounding heart, shortness of breath and a headache. She wasworked-up by a nurse practitioner who discovered that along

with dangerously high blood sugar and blood pressure, shewas also 6 months pregnant. The TRHS nurse practitionerstarted her on insulin and blood pressure medication andcoached her until she delivered a healthy baby girl at 39

weeks. During Betty’s weekly visits, intensive education wasgiven on diet, exercise, and health lifestyle changes by the

nurse practitioner and nursing staff, in hopes of reducing herincreased risk of Type II diabetes.

Ultrasound exam helps check health of mom and baby

Last prenatal check-up atTeen Clinic prior to delivery

Local Patients Benefit From National Standards of CareDiabetes: In the fall of 1998, then Medical Director Dr. Bob LeBow asked the federal Bureau of Primary Health Care to include TRHS in a national initiative toimprove diabetes services called Diabetes Collaborative I. The Chronic Care Modelthat is the foundation of this effort was developed in response to the observation thatthe majority of primary care appointments are with patients who have chronic diseasessuch as diabetes, heart disease and depression.

According to this model, patients do best when they are informed and motivated tocare for themselves and interact regularly with a prepared health care team that is partof a health care system that includes education, data bases that track patient healthchanges and prompt regular interventions, and ongoing community partnerships.

The Collaborative approach is to teach teams from community health clinics likeTRHS about the elements of the chronic care model, give them a process to test smallchanges of proposed improvements, and provide a peer support group.

At TRHS, membership and activities of the Diabetes team have grown steadily sincewe started in January 1999. Each one of our five clinics monitors clinical services andpatient outcomes in an electronic registry. All clinicians are taught the Chronic CareModel and are given reminders generated by the registry of services that patients withdiabetes need on the day of their appointments. All five clinics have nurses who havereceived extra training in diabetes patient education and can see patients either at the

time of their clinician appointment or another time. At the NampaClinic, patients with diabetes have the option of being seen at aDiabetes Emphasis team session where they meet with their clinician,a pharmacist, nurse educator and health promoter.

TRHS works closely with the Idaho Diabetes Control Program,Southwest District Health, BSU College of Nursing, ISU School ofPharmacy, Lifeskills and Humphrey's diabetes education centers andcivic groups such as Lion's Club to improve services to our diabeticpatients. TRHS’ progress has been recognized by the DiabetesAlliance of Idaho’s Award for Excellence and by the Idaho Medicarereview agency. The team's activities played a major role in securingan ongoing grant from the Bureau of Primary Health Care tostrengthen TRHS’ collaborative work.

Mental Health: In 2002, TRHS was accepted as a participant in the first mental health collaborative sponsored by theBureau of Primary Health Care. TRHSDepression Collaborative team includesmembers from TRHS clinical socialwork, nursing, medical, and management staff, and the TRHS Boardof Directors. The initial focus of theDepression Collaborative has beenhomeless patients at the TRHS BoiseClinic diagnosed with clinically severedepression. In order to successfully

THREE PROGRAM HIGHLIGHTS

C a r i n g F o r A l l 11

Peggy, a 27-year-old female came to TRHS - Boise Clinic shortly after ending anabusive relationship. She was experiencing severe depression and grieving the loss of the

relationship. Peggy joined the Depression Collaborative and began weekly counseling ses-sions. She set goals and focused on lifestyle changes that would help her control her depres-sion. She saw the medical clinician regularly and continued on antidepressant medication.Through her intensive care management/counseling, she was able to link her patterns ofabusive partners to a history of childhood sexual abuse and was referred to TRHS SANESOLUTIONS. She is seeing a therapist weekly and is safe from her most recent abuser.

Whenever she experienced fluctuations in her depression, she was able to seek the help ofher counselor, adjust her medication, and eventually regain control of her disease.

Social work staff talks with patient about living with diabetes

David Snyderman, PA examines foot of diabetic patient at Diabetes Emphasis Clinic

implement the collaborative model at Boise Clinic, several systemchanges had to occur. These included nurses screening patients with anew depression tool used by the Collaborative and the creation of a CareManager position. The Care Manager has become the linchpin for coordination of medical and mental health treatment, meeting regularlywith patients and primary care clinicians to help them to develop patientcare plans. The TRHS Boise Clinic has also been “testing” a whole newpatient data and monitoring system called PECS.

Central to the success of the Depression Collaborative is the concept ofintegrating mental health into the primary care setting. This means implementation of a model that coordinates, diagnoses and managesdepressed patients in the exam room with assessment, counseling, and medication management from the behavioral health staff. Treatment of the whole person is critical to successfully reducingthe symptoms of depression.

With Phase I and the first year of the depression collaborative complete, the next step is to spread the Care Managermodel and the integration of mental health into the TRHS Nampa Clinic. The long-term goal is to expand this modelto all TRHS clinics.

MELBA JOINS THE TRHS SYSTEM OF CLINICSFor the first time since the addition ofBoise Clinic in 1987, TRHS has addedanother town in which there is a TRHSclinic. The small town of Melba, in abeautiful location on a rim above theSnake River, now has a marvelous newTRHS - Melba Clinic right in the heartof town. Some say the brand new western style 3500 square feet building isthe best looking building in town.

Melba Clinic houses four medical exam rooms, a minor procedureroom, two dental operatories, medical lab and dental lab space, a

nursing station, clinician offices, break room, a pleasant waiting area inside the veranda-covered entry, and reception andmedical records areas. Jonathan Bowman, MD, and Brandon Lane, PA and Clinic Manager are delivering medical services. Dental services are in the hands of 30-year veteran dentist James Folske, DDS. TRHS feels fortunate to beable to offer such high quality clinicians to serve Melba and the surroundingarea, an area in which an estimated 10,000 people live.

The community of Melba requested TRHS to take over from a struggling clinic that had begun four years earlier. Community leaders assisted in that transition by collecting funds to cover transition costs, donating land and services, and offering various forms of support. The critical achievement making TRHS development of the Melba Clinic possible was receipt of a newfederal grant from the Bureau of Primary Health Care for that purpose. Two ofMelba’s most active community leaders on this project have been added to theTRHS Board of Directors - Keith Kendall and Duane Pancheri.July 4, 2003 will be the second time that TRHS has an entry in the Melba Fourthof July Parade, and TRHS is very proud to be a vital part of this fine community.

THREE PROGRAM HIGHLIGHTS (continued)

12 C a r i n g F o r A l l

“I know a lot of peoplethink this is going to be only for

Spanish speaking people, butthat is a long way from true.

There are a lot of people in ourarea who do not get proper carebecause they do not have insur-ance, don’t have the money or

can’t manage the trip into town.Thank heaven for this opportu-

nity.” Madge Cook Wylie,Kuna Melba News, 11/13/2002

Dr Gerber listens to an update from patient

Brandon Lane, PA examines a Melba Clinic patient

13C a r i n g F o r A l l

ENTHUSIAST ($2,500-4,999)William and Anke HallErwin Teuber

SUPPORTER ($1,000-2,499)Don and Lee LandinJim and Cheryl McNabbDonna Shepard

FRIEND ($500-999)Bill Deal, Sr.Karen J. Kuhn Erlinda MartinezFaith Young Peterson

FAN ($100-499)Sylvia BoyleErin Ostteen Hannah

Fred and Sus HelpenstellVickie HolbrookJohn ReynaJean Alex Rhodes

BACKER (UP TO $99)Sr. Maura ClarkMillie CowanDolly HyerLynn Kammermeyer

Terry Reilly Health Services Endowmentby category based on total pledged

Other FY 2003 Gifts Over $50Individual GiftsSUPPORTER ($1,000-2,499)Barbara KornCarol MacGregor

FRIEND ($500-999)Mary Adcox Sandra Clapp Patty ForbesDebra GuthSteven and Lisa HoagDeb HolleranShannon KeoplinJoseph MarshallCarol Reagan

FAN ($100-499)Glenn and Glinda BothwellRussell and Janet BuschertDorothy L. ChaseLynn and Patricia DormanAnn EasterlingKathy EasterlingSusan EastlakeHarry EmighJeanette EmighClyde and Frances EvertonRob and Annette HansenRuth HarrisTeresa HarrisonFred and Sus HepenstellMichael and Margaret HenbestAlice HennesseyDon and Mary HobsonLeah LambScott LammBob and Gail LeBowJack and Pam Lemley

Paul MontalbanoPhil PetersonSteve PonderRichard RaimondiHenry and Sue ReentsJohn and Katie RigbyMarilyn ShulerRobert and Elizabeth SimsMoscelene SunderlandErwin TeuberKathy Young

BACKER ($50 TO $99)William and Susan BoehnerGordon S. BowenJerome and Susan CagenJames and Martha CoughlinBethine ChurchRobert and Estella DeGroatDouglas Clegg and Patricia DuncanMarjorie EwingDave and Nancy FergusonJudith FerroMartin and Kathleen GabicaHeidi and Sean HartPaul and Christine HatabRandall and Carol S. HutchingsSusan JenkinsRita LandmaniBev and John MontgomeryHelen MorrisAnita MortonJohn MuellerMardell NelsonAnn and Lars SandvenCarole and Rick SkinnerR.M. and Jere-Rae SodenElmer and Tom SonivilleRon and Carol Stepp

Steve and Vicki J. TollefsonVirginia WoolleyPatricia Young

Foundations, Corporations, and Other Private GiftsUnited Way of Treasure Valley . . . . . .$263,937Robert Wood Johnson Foundation . . . .$87,036Susan G. Komen Breast Cancer Foundation . . . . . . . . . . . . . . . . . . . . . .$25,000John F. Nagel Foundation . . . . . . . . . . .$22,500Idaho Women’s Charitable Foundation .$15,000Camille Beckman Foundation . . . . . . .$10,000Tidwell Idaho Foundation . . . . . . . . . . .$7,500Verizon Wireless Foundation . . . . . . . . .$7,500Idaho Community Foundation . . . . . . . .$7,380Home Federal . . . . . . . . . . . . . . . . . . . . .$6,668Idaho Power/IDACORP Employees . . . . . . . . . . . . . .$5,190Ada County Association of Realtors Foundation . . . . . . . . . . . . . . . .$5,000Gannett Foundation . . . . . . . . . . . . . . . .$5,000Wells Fargo Bank . . . . . . . . . . . . . . . . . .$5,000Harry W. Morrison Foundation . . . . . . .$2,500Larry Barnes Foundation . . . . . . . . . . . .$2,017Target . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,750Melba Rural Health Clinic . . . . . . . . . . .$1,025Harlow Foundation . . . . . . . . . . . . . . . .$1,000McCain Family Foundation . . . . . . . . . .$1,000Tate Family Charitable Trust . . . . . . . . . .$1,000Weyerhaeuser Company Foundation . . .$1,000Pacific Western Training/Oppenheimer Cos., Inc. . . . . . . . . . . . . . .$500Employees of Region III,Probation & Parole . . . . . . . . . . . . . . . . . .$300United Parcel Service . . . . . . . . . . . . . . . . .$250Debord Polygraph . . . . . . . . . . . . . . . . . . .$125Thorne Printing . . . . . . . . . . . . . . . . . . . . . .$50

FY 2002-2003 DONORS

Note: See Page 17 for Federal and other public revenue. With special mention to the TRHS dental and medical volunteers and local businesses and individuals for gifts in kind.

C a r i n g F o r A l l14

Boise ClinicPam Chamberlain, RNElvia Galindo, MAOreana Harless, CSWPVal Kvitko-Simon, BBARachel LongAlissa Lyon, MSWKevin McTeague, MSAlex RhodesTeresa ShermanJolene Starr, MDTodd Swanson, MD, MPHIrene WhiteEyes, MAStacey Wright, C-FNPBarbara Youren, C-FNPMisty Zirnheld

Homedale ClinicMichael Benjamin, LMSWIda Chavez, MADick Ernest, C-FNP Judy Garcia Rosa GonzalezBetty HolzheyErica Huerta, LPNAlicia Ramirez, MALaura Tirrell, MD, MHSA

Marsing ClinicPenny Beach, MDMichael Benjamin, LMSWKrista CallawayPetra Garcia, MABetty HolzheyLidia MooreFaith Peterson, C-RNPCharlotte Shumate, LPN

Melba ClinicJonathan Bowman, MDDebbie DownesBrandon Lane, PA-CKevin McTeague, MSNina Rojas, MA

Nampa ClinicKen Alderman, MASabrina Allen, PharmDAngela ArreolaVeronica Arrieta, MAPenny Beach, MDLaurel Bennett, RNTamara Bethel, C-FNPJonathan Bowman, MDDiane Bromenschenkel, MT ASCPGlenda Carr, PharmDYecenia Casteneda Susan Champlin, MADeena DeasonDebbie DownesLibby Engebrecht, LMSW, CSWP Mary Escobedo, MAVanessa Flores, MAJanine Franco, PA-CLiz GarciaMaria GarciaMaria GarzaRichard Gerber, MDKatia Gillis, RT®Kayla GleasonRosario GodinaMaxine Gonzalez, MAImelda HallSusan Haylett, LPNMaria Hernandez Margery Johnson, RN, BSNLorraine Kaczmarek, MT ACSPSara King, LSWJacqueline Landin, LPNGina Long, MAHeather MajorsTammy MartinKevin McTeague, MS Mark Mering, MDCarol OrtizLupita OsunaNorma Paynter, LPNRuth Rueda, LPNLorena RuizKate Ryan, MDMichelle Schomburg, MA, CPT

Maribel SerranoJuanita Silva, LPNDavid Snyderman, PA-CSunny Stoller, PA-CTodd Swanson, MD, MPHFrances TellezDianne TiffanyLaura Tirrell, MD, MHSASteven Von Flue, MDDennis Weiler, MDAmy Williams, LPNDenise Williams, LPNXochitl Yanez, MA

Boise DentalJanell DuvallTina FisherJames Folske, DDSJames Guyton, DDSErin Ostteen, DDS

Canyon DentalJennifer Clair Julie CregoRonald Fife, DDSBeronica GarciaAmelia Justin, DDSMaria OrtizErin Ostteen, DDS

Homedale DentalRonald Fife, DDS

Melba DentalConnie BallJana FloresJames Folske, DDS

Behavioral Health CenterClaudia Currie-Mills, CSWPLibby Engebrecht, LMSW, CSWPStephen Hill, PhDCharles Marsh, MDIrma RodriguezPatricia Woodbury, LCPC

TERRY REILLY HEALTH SERVICES

C a r i n g F o r A l l 15

SANE SOLUTIONSMichael Benjamin, LMSWJeff Betts, LCPCClaudia Currie-Mills, CSWPVictor Durnil, M.Coun.David Ferguson, LCPCSandra Forrey, LCPC Heidi Hart, MEd, LCPC Mark McCullough, CSWPJoseph Morisette, LPCJohn Reyna, LCPC Irma RodriguezStephen SchraderStephanie SeaderKathy StimpsonSandra Wiler-Piotrowski, CSWPCarolyn WinnMelissa Wood, LMSWPatricia Woodbury, LCPC

Special PopulationsOutreach and AdvocacyFarmworker OutreachMichael Benjamin, LMSWEsmeralda CamposClaudia Del Real, BSBritney LanhamAnn Sandven, MPH, RDDavid Snyderman, PA-C

Homeless OutreachPam Chamberlain, RNSara King, LSWAlissa Lyon, LMSWSunny Stoller, PA-C Irene WhiteEyes, MAStacey Wright, C-FNPXochitl Yanez, MA Barbara Youren, C-FNP

Pregnancy OutreachYecenia Castaneda Libby Engebrecht, LMSW, CSWPSara King, LSW

AdministrationShannon Blackstock, SPHRBobbie GamelShirley Garrett, BBAFrank GarroRachel GonzalezBarbara Korn, CPABrenda LakePatricia MilesRebecca OwensAnn Sandven, MPHDan Shadix, MCSEVictoria SomozaLeon SwigertErwin Teuber, PhDRoxanne VidalesMarvin Wells

Credit, Collections,and DataDollie AvilaKathy CastanedaBarbara DuboseKathy HarrisKaren Kuhn, BBAJuana Ortiz-LeosIrma Tycz

TERRY REILLY HEALTH SERVICES

C a r i n g F o r A l l16

TRHS PATIENTS BY AGETOTAL PERCENT

0 - 4 Years 2,367 12%5 - 19 Years 4,695 24%20 - 64 Years 11,628 59%65 Years and Older 1052 5%Total 19,742 100%

TRHS PATIENT RACE/ETHNICITYPERCENT

White, Non-Hispanic 53%Hispanic (All Races) 41%Other 2%Unreported 4%Total 100%

TRHS PATIENT INCOME AS PERCENT OF POVERTY INCOME

PERCENT100% of Poverty Income or Less 70%100% - 200% of Poverty Income 22%Over 200% or Unknown 8%Total 100%

2002 BY THE NUMBERS

TRHS INSURANCE COVERAGEPERCENT

None/Uninsured 58%Medicaid 22%Medicare 5%Private Ins/Other Public Insurance 16%Total 100%

FY 2002-2003 REVENUES AND SUPPORTPERCENT

Patient Revenues $4,162,000 40%Federal support $3,858,000 37%Donated Goods and Services $1,814,000 17%United Way $315,000 3%Other $180,000 2%Foundations $120,000 1%Total $10,449,000 100%

FY 2002-2003 EXPENSES BY CATEGORYPERCENT

Clinical Services $6,900,000 69%SANE SOLUTIONS $891,000 9%Dental Health $843,000 8%Administrative $809,000 8%Health Promotion and Outreach $436,000 4%Behavioral Health $216,000 2%Total $10,095,000 100%

17C a r i n g F o r A l l

2002 BY THE NUMBERS

C a r i n g F o r A l l18

Thirty-two years ago, Terry Reilly, a conscientious objector in the Viet Nam War era, and his wife Rosie Delgadillo Reillyarranged with Dr. Clarence McIntyre for voluntary medical services for the migrant farmworkers’ children who werebeing tutored at their home on Nampa’s north side. The experience helped to open the eyes of many local, regional, andnational leaders to the plight of the large medically underserved population in the Treasure Valley area. Federal PublicHealth Services grant resources and strong local advocacy enabled launching the first actual clinic under the nameCommunity Health Clinics, Inc., a new not-for-profit corporation.

With a focus on serving low-income and uninsured farm workers as well as other “medically indigent” of all ages, theorganization grew quickly. Clinics were started in Homedale, Parma, and Marsing during the 1970s. The corporationwas (and still is) governed by a representative group of clinic patients and other community leaders who have assuredthat the mission of serving the underserved remains as the central purpose of the organization. Under Terry’s leadership,advocacy and program development were strong themes. Among the more notable accomplishments from those effortswas the SANE SOLUTIONS Program, which has grown to become a major component of services offered. Several fed-eral grants began an involvement in teen pregnancy, both its prevention and care of pregnant teens, which has contin-ued. Following the tragic death of its founder in an April 1986 small plane crash while he was campaigning to becomeIdaho’s Lieutenant Governor, the clinic system adopted the business name (dba) of Terry Reilly Health Services.

In the 1980s, the Parma Clinic was sold and the Boise Clinic opened, targeting the homeless population. During theearly 1990s dental services were added, as were behavioral health services. The Melba Clinic opened mid-summer 2002.Two new dental clinics, Melba Dental and Homedale Dentalopened spring 2003. TRHS has always emphasized healthpromotion and disease prevention activities within its clinicsand through outreach services. The community-based boardand input from additional community representatives in theform of five advisory committees remains as a pivotal force instrengthening TRHS’ effectiveness and keeping it on trackwith its mission. Funding sources have diversified greatly,with increased reliance on local United Way organizations,Community Development Block Grant sources, local, region-al, and national foundations, corporate and individual dona-tions.

Terry Reilly Health Services can proudly claim to be one ofthe country’s strongest, most comprehensive, most mission-driven community health centers. The vast majority of itspatients would encounter great difficulties getting the carethey need, were it not for the access they enjoy at TRHS.Thanks to all who have made this healing touch possible.

A BRIEF HISTORY

C a r i n g F o r A l l 19

Administration Office211 16th Ave. N.PO Box 9Nampa, Idaho 83653-0009(208) 467-4431 FAX (208) 467-7684

Behavioral Health Center207 16th Ave. N.PO Box 9Nampa, Idaho 83653-0009(208) 467-7654FAX (208) 467-7684

Boise Clinic 848 La CassiaBoise, Idaho 83705(208) 344-3512 FAX (208) 338-1574

Boise Dental 103 W. Idaho, Suite ABoise ID 83702(208) 336-8801FAX (208) 336-8682

Canyon Dental 223 16th Ave. N.PO Box 9Nampa, Idaho 83653-0009(208) 466-0515FAX (208) 466-5359

Homedale Clinic116 E. Idaho, Box 1058Homedale, Idaho 83628(208) 337-3189 FAX (208) 337-4623

Homedale DentalEight 2nd St. W.Homedale, Idaho 83628(208) 337-6101FAX 337-6102

Marsing Clinic201 Main, Box 516Marsing, Idaho 83639(208) 896-4159 FAX (208) 896-4917

Melba Clinicand Melba Dental150 2nd Ave.Melba, Idaho 83641(208) 495-1011FAX (208) 495-1012

Nampa Clinic223 16th Ave. N.PO Box 9Nampa, Idaho 83653-0009(208) 466-7869 FAX (208) 466-5359

SANE SOLUTIONS 1716 S. RooseveltBoise, Idaho 83705(208) 345-1170FAX (208) 345-3502

SANE SOLUTIONS 408 AllumbaughBoise, Idaho 83704(208) 323-9600FAX (208) 323-9606

SANE SOLUTIONS207 16th Ave. N.PO Box 9Nampa, Idaho 83653-0009(208) 467-7654FAX (208) 467-7684

SANE SOLUTIONS 1224 1st St. S.Nampa, Idaho 83651(208) 467-7654Fax (208) 463-4390

Teen Clinic1504 3rd St. N.PO Box 9Nampa, Idaho 83653-0009(208) 466-7869 FAX (208) 466-5359

TRHS Outreach Sites• Boise Rescue Mission• Centennial Job Corps, Nampa • Chula Vista, Wilder• City Light Home for Women

& Children, Boise• Community House, Boise• Farmway Village, Caldwell• Lighthouse Rescue Mission,

Nampa• Nampa Family Shelter

Terry Reilly Health Services is apartner agency of Treasure Valley

United Way.

TERRY REILLY HEALTH SERVICES LOCATIONS

Terry Reilly Health Services does not discriminate in itsservices, treatment, programs, activities, or employment. If you believe you have been

discriminated against, contact:

Erwin Teuber, Executive DirectorTerry Reilly Health Services

211 16th Avenue NorthPO Box 9

Nampa, ID 83653-0009Phone: (208) 467-4431

E-mail: eteuber@trhs.orgwww.trhs.org