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The Physicians’ Care Clinic has much good news to share with our partners, donors, volunteers, and community friends as we report on 2014. The past year was our 22nd year of operations at Physicians’ Care, now the oldest and largest charitable clinic in DeKalb County.
When 2014 began, the Affordable Care Act (ACA) – although hotly debated politically – offered medical insurance to thousands of Georgians who previously could not afford coverage. This was good news to health professionals since people with insurance are more likely to seek needed medical care. But the Board of Directors and staff of Physicians’ Care wondered if our charitable clinic would be needed in the years to come? Will our mission continue to be relevant?
The answer is a resounding yes.
As the ACA was enacted Georgia joined other states and opted not to expand Medicaid. Although people with low incomes who do not qualify for Medicaid can purchase insurance through state and federal exchanges, there is a huge gap between what people can afford and what is available to them.
The least expensive policies include large deductibles and limited access based on geographic location.
Many thousands of our neighbors in DeKalb County fall between the cracks: they don’t qualify for Medicaid, but they can’t afford the insurance premiums, co-pays, and deductibles for office visits, tests, and medications.
Although the PCC experienced a decline in patient visits during 2014, we are already seeing a rebound in early 2015. Many patients are now returning to the clinic who are unable to afford insurance or other associated costs.
Meanwhile, the PCC outcomes for 2014 remained strong: the number of patients increased by 10% adding 142 new patients. Much more patient data is included in the enclosed 2014 Annual Report.
As we enter our 23rd year, we are deeply grateful to the over 200 volunteers, to the medical specialists who work in partnership with the PCC, to DeKalb Medical, the DeKalb County Health Department, the DeKalb Medical Society, and our partner American Health Imagining.
Your support makes our work possible.
On behalf of all of the PCC patients and their families, thank you for your involvement and your financial support of our mission.
Gary R. Botstein, M.D. Chair of the Board of Directors Physicians’ Care Clinic
AnnuAl RepoRt 2014 1
ouR MissionThe Physicians’ Care Clinic provides DeKalb County’s low income, uninsured adults with access to quality, comprehensive, non-emergency medical care delivered with excellence in a compassionate and dignified manner.
ouR puRpose, VAlues & GoAls
CoRe puRpose To improve the quality of life of uninsured adults by empowering them to manage their health
CoRe VAlues• Health is a core component of a fulfilling life.• Healthy people work in, economically contribute to, participate civically in, and thus
are core to thriving communities.• Community service is good for everyone.
GoAls• Provide quality healthcare to the patients we serve without bias to race,
creed, sex, or nationality.• Decrease demand of the uninsured for non-emergent services on local emergency
rooms.• Provide a venue where volunteers feel their time has been appreciated, valued and
spent effectively.• Be a trusted steward of resources made available to us by donors.
Who We seRVeD in 2014The Physicians’ Care Clinic serves adults who reside in DeKalb County who are uninsured and whose income is within 150% of the federal poverty guidelines.
Total number of enrolled patients ..................................................................... 1,562
ethniC oRiGin DistRiBution Caucasian ................................................................................................................15% African American ...................................................................................................73% Asian/Middle Eastern ............................................................................................9% Hispanic ...................................................................................................................3%Number of countries represented among patients: .....................................55
AGe DistRiBution18-54 ........................................................................................................................ 56%55+ ........................................................................................................................... 44% Top diagnosis: .......................................................................................................Hypertension
2 physiCiAns’ CARe CliniC
hiGhliGhts of the yeARThe 2014 outcomes for the Physicians’ Care Clinic reflect the impact of our clinic on the DeKalb County community:
• 1,415 patient appointments
• 539 unique patients served
• 392 referrals for medical specialty care
• 3,314 prescriptions
• 117 mammograms and breast biopsies
• 22 patient surgeries
• 150 flu vaccine vouchers for patients from Publix pharmacies
• 2,500 diagnostic tests
• 355 patients received one-on-one or classroom education for diabetes/hypertension
• 200+ volunteers provided more than 3,700 hours of in-clinic care
• $1 million of in-kind healthcare services for our patients provided by clinic partners
GRoWth in sustAinABility• Raised over $250,000 from foundations, businesses, and individuals, enabling us to
maintain a strong balance sheet and absorb the demand for services• Recruited 31 additional professional volunteers• Improved our chronic disease management program and quality measures
• Improved our patient data system for tracking outcomes• Revised and improved the organization Bylaws
iMpRoVeD seRViCe VisiBility AnD CollABoRAtion• Gary Botstein, MD, Board Chairman & Founder, was honored
with a 2014 WXIA Community Service Award• Steve Bonacci was recognized as “2014 Volunteer of the Year” at the
DeKalb Medical Society’s Annual Fundraiser• Promoted and opened our education classes to all Fulton DeKalb
Hospital Authority grantees in 2014• Joined social media via Facebook• Website updates and improvements
AnnuAl RepoRt 2014 3
CoMMunity pARtneRs American Health ImagingDeKalb County Board of HealthDeKalb MedicalDeKalb Medical FoundationDeKalb Medical HillandaleDeKalb Medical SocietyFASP Program of Northside HospitalGeorgia CaresGreater Atlanta Medical Managers
Association (GAMMA)PatientCoPublix Super Markets, Inc.
ACADeMiC pARtneRs Auburn University School of NursingDeKalb Medical Podiatry
Residency ProgramEmory University School of MedicineGeorgia State School of NursingMercer University School of PharmacyMorehouse School of MedicinePhiladelphia College of Osteopathic
Medicine (GA-PCOM)University of Alabama School of NursingUniversity of Florida School of PharmacyUniversity of Georgia School
of Pharmacy
Consistent, fAithful, in-kinD suppoRt AnD seRViCes
physiCiAn pRACtiCe pARtneRsAdvanced Vision, PCAmerican Anesthesia of GeorgiaAtlanta ENT SpecialistsAtlanta Heart Group, PCAtlanta Colon & Rectal Surgery, PAAtlanta Cancer CareAtlanta Podiatry GroupDeKalb Gastroenterology Associates, PCDeKalb Medical Physicians GroupDeKalb Pathology AssociatesDeKalb Radiology AssociatesDeKalb Surgical Associates, LLCDiabetes & Endocrinology Associates, PCENT of Georgia, LLCEye Physicians & Surgeons, PCGary R. Botstein, MDGeorgia Ophthalmology Associates, PCGeorgia Plastic Surgery, PCGeorgia Urology, PAGI Specialists of DeKalbGynecology & Obstetrics of DeKalb, PCGYN Oncology Specialists of AtlantaIan Katz, MDBrian A. Levitt, MD, LLCNeurology Specialists of Decatur/HillandaleNorth DeKalb Orthopedics, PCNorthwest Nephrology ClinicPain Consultants of AtlantaMichael A. Quinones, MD, PCReagin Ophthalmic GroupRehab & Orthopedic MedicineSoutheastern Lung CareStonecrest Orthopedics and Sports Medicine
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founDAtionsCVS CaremarkDeKalb Medical Foundation Annuity Breast Cancer Survivors FoundationClifford Howell FoundationFrank Family FoundationFulton DeKalb Hospital Authority
“Community Health Grant”John & Mary Franklin Foundation Frances Hollis Brain Foundation Health 1st Foundation, Inc. Georgia Healthy Family Alliance Imlay Foundation Ray M. & Mary Elizabeth Lee FoundationFlorence Hunt Maxwell Foundation Ida Alice Ryan Charitable Trust
inDiViDuAl DonoRsAkash Amin, MDScott Arant*Mr. Martin BaronDr. Michael & Mrs. Mary Baron*Mr. & Mrs. Jack BarrsMs. Ashlyn BeavorMr. Derrek BeavorMrs. Karen BeavorDiana Evans Berman*Shainul Bhatia, MDJanet Bivens, MDDr. & Mrs. H. Duane BlairCatherine Bonk, MDDrs. Gary & Stephanie Botstein*Ms. Sierra BraderAmad M. BresslerMr. Joshua BugayerMr. Peter CaseMs. Fairella CookMartha A. Crenshaw, MD*Mrs. Annie CzarneckiMrs. Margaret M. ColvinMs. Dorothy CranerMs. Ellen ClymerMr. & Mrs. Neil ChristmanMrs. Rosemary CrossF. Thomas Daly, Jr., MDKay Entrekin, MD
Mr. Sheldon EvansMr. Gerard FarekMrs. Carole FortenberryMr. M. Joshua FrankMr. Thomas E. GouldMs. Deborah GunterMs. Sandi GoldringGulshan Harjee, MDMrs. Kathryn HatfieldSanford S. Hartman, MDJ. W. Holderfield*Michael HollandKenneth Hoose, MD*Ajay Joshi, MDAndrea Juliao, MDMr. Sean JoyceJohn Kennedy, MD*Ms. Olive KittMichael Kinstler, MDMs. Doreen KubishStephen Leff, MD*Dr. & Mrs. Brian A. LevittMs. Sandra LaysonMrs. Conni LombardoLeon Martin, MDMr. Scott McAuleyDeepa Nagarajan, MDDr. & Mrs. Michael A. NormanDr. W. Jefferson & Mrs. Mary Ellen
Pendergrast Lester & Cynthia PerryJuan Pimentel, MDMark Pollock, MDMr. Raanan Pritzker*Ms. Sheela RaniMs. Cailey RyckmanDr. & Mrs. Stanley ShermanMrs. Kim SiegelsonDr. & Mrs. Wytch StubbsDr. Adam & Mrs. Meredith Schnepp*Drs. Cheri & Michael SchneiderElma M. Steves, MDDr. & Mrs. Joseph WeissmanMr. Michael WilenskyMs. Annie D. WilliamsMrs. Gail WillisDr. & Mrs. Anson K. Wurapa
Maureen and Roy Vandiver, MD*Dr. Suzanne VromenMrs. Lenora B. ZahlerMr. David ZeemanMrs. Ruth Zimmerman
oRGAnizAtion GiftsEvans & Evans Attorneys at Law, PCKroger Community Rewards ProgramGAMMAToco Hills Instant PrintingWhaley Hammonds Tomasello, PC
Gifts in honoR AnD MeMoRyDr. Elma M. Steves
in memory of Maria A. RengitoDr. W. Jefferson & Mrs. Mary Ellen
Pendergrast in honor of Genia Morse Duchon, RN
Dr. & Mrs. Wytch Stubbs in honor of Carole Fortenberry, RN
Dr. Suzanne Vromen in honor of Michael Baron, MD*
Annie D. Williams in honor of Andrew Dixon, MD
Deepa Nagarajan, MD in honor of Andrew Dixon, MD
John Kennedy, MD in honor of Andrew Dixon, MD
Juan Pimentel, MD in honor of Andrew Dixon, MD
Leon Martin, MD in honor of Andrew Dixon, MD
Lester & Cynthia Perry in honor of Andrew Dixon, MD
thAnk you to the folloWinG DonoRs Who MADe it possiBle foR the pCC to puRsue its Mission
* Member Board of Directors
AnnuAl RepoRt 2014 5
physiCiAnsScott Anderson, MDDuane Barclay, DO*Michael Baron, DO*William Bornstein, MDGary Botstein, MD*Martha Crenshaw, MDAndrew Dixon, MDKay Entrekin, MDJoyce Gann, MDReg Gilbreath, MD*Diana Glessner, DOGulshan Harjee, MDKenneth Hoose, MD*Katie Humphries, MDMichael Kinstler, MDJanet McNicol, MDMichael Norman, MDIsioma Okobah, MDEkwutosi Okoroh, MDJeffrey Pine, MDCheri Schneider, MDKaruna Shah, MDZeev Sharon, MDHenry Siegelson, MDStephen Thomas, MD
nuRses Lorraine AbdullaElizabeth AndersonNancy BeitlerJen BotezatPepe BowmanJanet ChalmersPatricia Chandler-SmithEllen ClymerAnna DenisAshley EppsHolly FlorenSharon GanttKathy HatfieldElizaeth IdemarcoRonald JettRosemary LinacreMadison MartenHelena MinterKatie MorganVina NguyenBarbara O’ReaganTruc PhamJanet RizanLidia SamoilescuRuth SidorBetsy SteinWilliam StewartGeilo TuckerRobin TarpleySoniya WadhwaniyaAnnmarie Weikert
MAny thAnks to the VolunteeRs Whose CollABoRAtiVe effoRts MADe pCC possiBle in 2014!
phARMACists Bill AsburyJames BartlingMike BloomfieldKacy CarneyMelissa ChessonRosemary CrossStacey FolseMatthew HurdAutumn LevyScott McAuleySteve MokLacey moodyPam MoyeMatthew SaylorAmanda SrubasKimberly Titus
lABoRAtoRy teChniCiAns Jennifer ButlerCurley DanielCarla FaircloughPamela GohlerBryan KlapesBeverly NoeMaribel RodriguezMaribel SaulsberryKimberly ThurmanAnnamaria Uceda
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CleRiCAl AnD ADMinistRAtiVeDiana Berman*Steve BonacciSandra BothsweleMyrna CottAlexa DantzlerBill DavidsonAnne FearsEmilie FillonBeth GalvinCarey KempfKelly KinderLis KitmoreMichelle KupermanAlbina martinAliyah MartinBelen MedinaSharon McKenzieElisabeth narcCamelia OttavianoWendy OutlawBonita RussellJudy ShermanAdam SidorShoshana SiegelTekla SmithAnthony Thai
stuDentsCaitlin AdamsAngelina AgyemangSol AhnKen AmayoLynnly AssavavallopQuyen BachAlex BendingFallon BinkneyChase BishopAzelia BrownSarah CliftonLing ChenCatherine CoxEli DawsonAlexa DoughertyAmy DouglasPeter EnosAdedapo FagbohunBrian FernandezWinta HaileKevin HallLaura HallMike HardingJessica Harvin
Yujin HwangPrincess IgweStacy JinSusan KellumBori KimMin KimMinkyong KimJennifer KlosGina KongLawrence AdrianHannah LeeMeihong LiuConnor MansfieldShedrick MartinKharene Mason-GlenArun MathewManasi MehtaShawn MercerJamie MichelettoAsim MominKirstie MrzyglodJulie MurphyBehtash NezamiUyen NguyenQaashif PanjwaniManasi ParikhHiren Patel
Soniya PatelSunny PatelVivak PatelRakesh DonthulaMichelle SmithMegan TibbittsVinh TrangEric VaughanMatthew WallaceEric VaughanNgoc VuAhroom Youk
pAtient eDuCAtionJane PerlemanVasavi Thomas
CliniC suppoRtElmo Fortenberry
* Member Board of Directors
AnnuAl RepoRt 2014 7
GeoRGiA ChARitABle CliniCsGeorgia has approximately 1.3 million citizens remaining uninsured under the Affordable Care Act (ACA) with many more lacking coverage as they find premiums unaffordable based on their family finances.
Patients are disproportionately affected by barriers to coverage because of an insufficient number of providers as well as a very high prevalence of chronic illnesses. The Georgia Charitable Care Network and its member clinics provide service and support as a crucial safety net for Georgians who otherwise would have no access to health care services.
Our most vulnerable citizens need access to high quality, affordable health care. Charity clinics (like Physicians’ Care Clinic), are an alternative for cost-efficient health care, a savings for taxpayers. Each clinic is different because no two communities are alike in their needs, assets and resources. Guaranteed sustainability is largely a myth; every health care organization and provider operating today must continue to work hard and adapt their financing/funding and delivery systems to an ever-changing healthcare and consumer landscape. These clinics thrive because of an entrepreneurial spirit and innovative approach to serving the community.
We know that access to care for vulnerable populations is a profound challenge not yet adequately addressed by the ACA. Georgia’s current number of 101 free and charitable clinics and health centers provide health services to Georgia’s uninsured and underserved across all regions of the state, continuing to be essential providers for these vulnerable populations.
ChARitABle CliniCs’ pAtients AnD iMpACtCharitable Clinics provide health services to Georgia’s uninsured and underserved. In 2013, 193,938 unique patients were served with total of 482,146 patient visits.
• Every $1 spent in support of charity care provides $5.25 in services, which saved taxpayers over $225 million in 2013.
• $66 million - Value of prescriptions provided• $229 million - Uncompensated care• $67.3 million - Value of specialty care visits provided• $90.48 - Average cost of 1 year of patient care• 14%-20% - Non-urgent ER usage reduction• 326,178 hours - contributed by volunteers
GeoRGiA’s ChARitABle CARe pAtients:• 90% are uninsured (100% of PCC patients are uninsured)• 75% are employed, sometimes holding more than one job• 60% of patients are living at less than 100% of the Federal Poverty Level• 78% of patients have one or more chronic illnesses. The most common diagnosis is
hypertension, followed by diabetes and COPD• 95% of clinics provide primary care services that emphasize prevention• 88%of clinics provide health education services
hoW We MAtCh upSeveral State Legislatures appropriate funds for charitable clinics, recognizing that charity care is a cost-effective model that will fill the gap where private insurance, government programs and private pay leave a void.
At this time, Georgia clinics receive no state funding. State dollars made available to these clinics would make a significant contribution towards improving Georgia’s healthcare safety net.
Information provided by the Georgia Charitable Clinic Network, 2015
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finAnCiAl suMMARy 2014
ReVenueDMF Annuity .......................................................................................................................$ 82,842.64Board Donations ...............................................................................................................$ 15,900.00Individual Donations .......................................................................................................$ 65,526.72Fundraiser ..............................................................................................................................$ 3,750.00Grants ......................................................................................................................................$ 86,000.00Interest Income ..................................................................................................................$ 50.09
ToTAl IncoMe ..............................................................................................................$ 253,479.45
eXPenSeS ............................................................................................................................$ 207,477.72
neT IncoMe ...................................................................................................................$ 46,001.73
in-kinD ContRiButions (est)clinic/office Space ..........................................................................................................$ 106,000.00Patient Services ..................................................................................................................$ 600,000.00Professional Services .......................................................................................................$ 400,000.00Pharmaceuticals .................................................................................................................$ 80,000.00
ToTAl In-KInD (eSTIMATeD) ..............................................................................$ 1,186,000.00
thAnk you to ouR BoARD of DiReCtoRs AnD stAff
foR A GReAt yeAR!
BoARD of DiReCtoRs
Scott ArantDuane Barclay, DoMichael Baron, Do
Diana evans BermanGary Botstein, MD
Adam ButlerMartha crenshaw, MDJ. W. (Hank) Holderfield
Kenneth Hoose, MDWilliam Hutchinson, MDBeverly Hutchinson, Rn
John Kennedy, MDStephen leff, MDRaanan Pritzker
Adam Schnepp, PharmDMark Stern, MD
Roy Vandiver, MD (retired)
stAffcarole Fortenberry
Administrator
olive Kitt Office Coordinator
Michael Holland Clinical Coordinator
Mary Kreisling Clinical Coordinator
Jennifer Ross Clinical Coordinator
unaudited as of 04/01/2015
