It is with immense pride and gratitude that I address you as the CEO of DAP Health, and I am delighted to extend a warm welcome to each of you as we embark on a journey through the pages of our 2023 Community Impact Report.
Throughout our rich history, DAP Health has been steadfastly guided by members of the communities we serve, fostering a sense of unity and shared responsibility. Our mission has been, and continues to be, dedicated to protecting and expanding health care access, particularly for those most in need throughout Southern California.
The year 2023 marked a momentous chapter in our journey, as DAP Health proudly welcomed the Borrego Health system into our family. This strategic acquisition brought with it 500 dedicated employees, 25 fixed locations, seven mobile units, and a responsibility to care for an additional 70,000 patients. This expansion enables us to further amplify our impact and extend our reach, allowing us to touch even more lives with the quality care that defines DAP Health.
As we delve into the contents of this Community Impact Report, which incorporates data from both sides of the integrated organization, you will discover the core of our commitment: addressing the social drivers of health that significantly impact our diverse patient populations. We are actively implementing initiatives designed to enhance health outcomes and improve the overall well-being of those we serve. These steps underscore our unwavering dedication to holistic health care that extends beyond medical treatment.
One of the cornerstones of our commitment to transparency is sharing the details of our operation’s finances. I am pleased to announce that we have made available a comprehensive overview of our fiscal performance over the past five years on our website at daphealth.org. We believe in the power of openness to build trust and accountability, and it is our hope that you will explore and appreciate the depth of our financial stewardship.
In closing, I extend my heartfelt gratitude to each member of the DAP Health community — our board of directors, employees, volunteers, donors, community partners, elected officials, and most importantly, our patients. Your support and trust empower us to drive positive change and create a healthier, more resilient future for all.
Thank you all for being an integral part of DAP Health. We literally could not do the lifesaving work we do without you.
In gratitude and partnership,
David Brinkman, MBA CEO, DAP Health
Together for Better Health
DAP HEALTH AND BORREGO HEALTH BECOME ONE INTEGRATED HEALTH CARE SYSTEM WITH A SINGULAR GOAL — TO PROTECT AND EXPAND LOCAL ACCESS TO CULTURALLY COMPETENT CARE FOR MORE THAN 85,000 PATIENTS.
Words by Daniel Vaillancourt
— From 2023’s Issue 4 of DAP Health magazine
On August 1, 2023, DAP Health and Borrego Health became one in a union sanctioned by both the Bankruptcy Court and the Health Resources & Services Administration (HRSA). Since then, the integrated health care system has operated with some 850 employees serving more than 85,000 patients of all ages, genders, ethnicities, orientations, and socioeconomic status at 26 fixed locations and eight mobile units across 240 urban and rural zip codes in Riverside and
Prior to the two federally
under DAP Health’s vast
DAP Health now boasts 850 employees serving more than 85,000 patients of all ages, genders, ethnicities, orientations, and socioeconomic status at 26 fixed locations and eight mobile units across 240 urban and rural zip codes in Riverside and San Diego counties.
“It’s an honor to unite Borrego Health and DAP Health’s missions, as well as our region’s most exceptional, dedicated, and passionate health care professionals,” says DAP Health CEO David Brinkman. “Together, we will build a brighter future where every individual — regardless of who or where they are — has equal opportunity to live a
CEO David Brinkman photographed by Michael Davis.
“We will achieve this by replicating our time-tested, holistic, patientcentered care model, which addresses all applicable social drivers of health (SDOH) negatively affecting the patient population at ea of our clinics. By addressing these SDOH — whether they pertain to language and literacy, housing, nutrition, transportation, education, employment and income, addiction, violence, and/or racism and other discrimination — we remove barriers to care, increase our patients’ quality and length of life, and create true health equity.”
“When all of us at Borrego Health were looking for a like-minded FQHC to take us under its wing, three things mattered most,” says DAP Health Chief Operating Officer Corina Velasquez, who served in the same capacity at Borrego Health. “Continued access to health care for our more than 70,000 patients. Continued employment for our more than 500 employees. And mission match — an organization that would share our values and our vision for continually creating more health equity in this region. In DAP Health, we hit the proverbial trifecta … and then some!”
Of note:
• Every DAP Health and Borrego Health location will remain open, retaining its original name, branding, and signage for the time being.
• Some 99% of Borrego Health employees accepted DAP Health’s invitation to join the combined entity.
• Fellow FQHCs Innercare and Neighborhood Healthcare — allies of DAP Health who have regional and cultural expertise in Riverside and San Diego Counties, respectively — will offer guidance, support, and community connections on an as-needed basis.
• DAP Health’s mission — including its commitment to LGBTQ+ health care, HIV care, gender-affirming care, and the Coachella Valley community — will expand as a result of its absorption of Borrego Health.
Over the next 12 months, DAP Health’s fortified executive leadership team — consisting of individuals from both organizations — will analyze all social drivers of health (those nonmedical factors that negatively impact patients’ health outcomes) at all the clinics served. It will actively engage fellow community organizations, government agencies, educational institutions, and businesses to improve health outcomes for all, whether that be by adding programs and services or improving physical facilities. By combining a plethora of strengths, DAP Health will achieve new levels of excellence in delivering comprehensive, accessible, and culturally sensitive care to its diverse patient populations.
Chief Operating Officer Corina Velasquez photographed by Zach Ivey.
September 12, 2022
Borrego Health files for bankruptcy and solicits potential acquisitors to assimilate its assets, and to serve its more than 70,000 patients (which include people of all genders, as well as children — individuals as diverse as migrant farmworkers in rural areas to refugees and recent immigrants in urban settings).
February 5, 2023
DAP Health makes public the fact that — having retained Facktor Health (a firm with expertise in FQHC acquisitions) and having formed an alliance with fellow regional FQHCs Neighborhood Healthcare and Innercare — it has made a bid to absorb Borrego Health in order to advance DAP Health’s nearly 40-year-old mission of protecting and expanding health care access, especially for marginalized populations.
February 15, 2023
The Borrego Health board of trustees selects DAP Health to absorb the Borrego Health system based on a process conducted through Borrego Health’s Bankruptcy Court proceedings. The final sale is still subject to the approval of both the Bankruptcy Court and the Health Resources & Services Administration (HRSA).
March 1, 2023
The Bankruptcy Court approves DAP Health’s bid to acquire all assets of Borrego Health, launching a regulatory transition process involving the California Department of Health Care Services (DHCS) and HRSA.
Working with the consultants at Facktor — and having created various committees devoted to human resources, communications, IT, operations, etc. — DAP Health works through not only its DHCS and HRSA requirements, but the logistics involved in hiring Borrego Health’s 500 employees, all of whom are offered positions at DAP Health.
DAP Health and Borrego Health leaders — in addition to that at Innercare and Neighborhood Healthcare, plus Facktor consultants — focus on implementing a well-thought-out plan that will lead to the smoothest transition for all involved.
July 31, 2023
HRSA officially approves the absorption of all Borrego Health assets by DAP Health.
August 1, 2023
DAP Health and Borrego Health begin operating as one integrated health system.
INFORMATION FOR PATIENTS
Does DAP Health own Borrego Health?
Yes. DAP Health purchased Borrego Health and is responsible for managing all Borrego Health employees and for operating all Borrego Health clinics.
Why did DAP Health choose to acquire Borrego Health?
DAP Health chose to acquire Borrego Health to protect and expand care for Borrego Health patients, and to increase its footprint so it can bring its awardwinning, holistic, patient-centric model of care to more communities throughout Southern California.
Is the name of any DAP Health and/or Borrego Health clinic/center changing?
No. Until August 2024, each clinic/center will retain its original name, branding, and signage.
How will this acquisition affect patient care?
Programs and services for all DAP Health and Borrego Health patients will remain the same everywhere, and in many cases will be improved as DAP Health adds more providers and support staff. There will be no interruption in care, which patients can access as they normally have.
Will patient care teams remain the same, and will patients retain their same provider/doctor?
Yes. All providers and care teams are now employees of DAP Health. However, most will continue to serve at the clinics where they have been working and caring for patients.
Will all Borrego Health and DAP Health clinics/ centers have access to all patients’ medical records?
Yes. Once you are registered as a patient at the clinic, you can authorize staff to request your records.
Can a patient transfer their care between Borrego Health and DAP Health?
Now that DAP Health and Borrego Health are one system, any patient who wishes to visit another clinic location should call to speak to a representative about registering at that clinic as a patient.
Will there be changes in insurance requirements?
No. All insurance requirements remain the same. Do existing Borrego Health patients need to change the facility name on their insurance card if they want to be seen at DAP Health?
No. Existing patients can continue to use their current insurance cards. Only new enrollees will be issued a new card that indicates that DAP Health is their medical home.
11,726 OB-GYN visits
5,965 hepatitis B tests
85,000 Patients
2,023 Genderaffirming visits
1,369 COVID vaccines
34,249 Pediatric visits
167,718 Medical clinic visits
11,369 Mental health visits
3,849 Flu vaccines
5,121 Colorectal cancer screenings
4,759 Immunizations
Sexual Wellness and HIV Prevention
HIV prevention and free testing and treatment for sexually transmitted infections (STIs) is a fact of daily life at DAP Health’s three sexual wellness clinics, in Palm Springs (at the Sunrise campus’ Orange Clinic), in Cathedral City (at Stonewall Medical Center), and in the standalone facility in Indio.
In 2023:
3,785 patients were treated for an STI
736
local HIV-negative patients started PrEP (pre-exposure prophylaxis) for the prevention of HIV
Another 4,017 individuals throughout California were provided mail-order PrEP thanks to DAP Health’s partnership with Mistr, a gay-owned-and-operated online provider that brings the best doctors, pharmacists, and problem-solvers together to make PrEP available to all who need it.
101
patients switched from daily oral PrEP to bimonthly injectable PrEP (trade name Apretude)
64
patients were treated with PEP (post-exposure prophylaxis) for the prevention of HIV
Also available are the following:
• Pregnancy testing
• Birth control
• Referrals to abortion services
• The JYNNEOS vaccine to prevent mpox
Gender Health and Wellness
Under Director of Specialty Programs Dr. Jason Halperin, DAP Health strives to one day be the standard-bearer for gender health and wellness services throughout Southern California.
At its Stonewall Medical Center, the staff members devoted to the practice include a director, manager, and navigator, all of whom work in tandem to provide gender-diverse patients with linkage to gender-affirming care, and assistance with transportation, insurance, medication coverage, housing/wellness/food referrals, and other support.
At its Sunrise campus, Senior Nurse Practitioner Specialist Anthony Velasco — who after years-long training and exam-taking received World Professional Association for Transgender Health (WPATH) certification — has been seeing patients in need of gender health and wellness services since 2016.
DAP Health plans on having all its Gender Health and Wellness Services lead providers receive said WPATH certification.
In 2023:
There were
2,023 unique appointments related to gender health and wellness.
382 patients received gender health and wellness care.
231 patients received gender-affirmation surgical referrals.
Several presentations were made at professional conferences on topics related to health and health care access among transgender and gender-diverse people.
The article “Conceptualizing Transgender and Gender-Diverse Older Adults as a Vulnerable Population: A Systematic Review,” by Velasco et al., was published in the peer-reviewed scientific journal “Geriatric Nursing.”
514 bags of non-perishable staples were distributed
Social Services
It has become common knowledge that an individual’s poor health outcomes are directly related to the adverse effects of social drivers of health (SDOH), which the World Health Organization describes as “the non-medical factors [and] conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life.”
DAP Health has the physical and intellectual resources, the drive, and — most importantly — the vision to effect even greater change by positively impacting its diverse patient populations’ SDOH. For 40 years, the nonprofit has been known and celebrated for its unique, whole-person, patient-centric model of care, which includes paying close attention to wraparound social services such as housing, food, and transportation assistance, not to mention non-traditional and/or alternative therapies, such as massage, yoga, meditation, etc.
In 2023:
DAP Health’s Social Services department assisted 1,556 unique clients, and served 582 unique housing clients
716
Ryan White HIV/AIDS Programeligible clients accessed food vouchers
141 on-campus affordable housing units: 80 at Vista Sunrise I 61 at Vista Sunrise II
40 clients participated in various monthly support groups, on average
111 high-acuity, unique Permanent Local Housing Allocation Program clients received home and community health services
552
Ryan White HIV/AIDS Program-eligible clients accessed transportation assistance through gas vouchers, complimentary ride sharing services, and/or public transport passes
6 clients benefited from monthly return-to-work services, on average
A total of
1,604 vaccines were administered
Mobile Medical & School-Based Services
DAP Health is renowned for touching the lives of hard-to-reach patients — whether that be due to remote physical location or language barriers — where they are. The nonprofit does this through the use of various mobile medical units, onsite education, and/or telehealth.
In 2023:
332 patients were connected to one of DAP Health’s fixed clinics
1,167 total visits were made to a mobile clinic
942 patients were seen, 736 of whom were new to DAP Health
113 mobile clinic events were held
744 patients (119 adults, 244 children, 381 teens) were vaccinated
226 educational lectures were presented
The majority of participants in DAP Health’s Harm Reduction Program, Gussardo says, are unhoused. Twice a week, his team drives its van to churches on the western end of the Coachella Valley, linking arms with the aforementioned Well in the Desert, a nonprofit that provides hot meals five days a week for working poor, persons without homes, and others.
When Gussardo, Clark-Pharr, and Petersen aren’t with Well in the Desert, they look for encampments. And if people at these locations are interested, the team works with them, too.
“We’re not doing counseling,” maintains Gussardo, “but we do see people on a repeat basis. Sometimes we see the same person twice a week. And we’re building a rapport with them, building trust, and providing referrals for additional services.”
Gussardo reveals the Harm Reduction Program has started reaching out to another group he refers to as “the party and play crowd” — gay men who, in sexual situations, occasionally use crystal meth, and who “potentially share syringes” — by establishing a Thursday evening presence on Palm Springs’ Arenas Road, where a number of gay bars are located. While still in its infancy, that initiative is slowly but surely building a clientele.
Next steps, Gussardo says, will include strategically based vending machines allowing for 24-hour access to complimentary safer-use materials such as Narcan and clean paraphernalia.
One theme Gussardo stresses in terms of harm reduction generally is how much of the population stigmatizes those who use drugs. Based on his experience in talking with those who use, he says that when these people reach out for help, they’re often met “with all the stigma of addiction. They’re met with people who don’t treat them as human beings, which then becomes a barrier to any kind of treatment.”
Part of the solution, Gussardo maintains, would be to reference “a person who uses drugs” as simply that, or as a person with a substance use disorder — rather than as a drug addict. This is part of a “people first” use of language to reduce the impact of stigma that Gussardo and other Harm Reduction team members emphasize.
Does this approach really work? According to Tom, it definitely does.
Anyone interested in receiving clean supplies is encouraged to visit DAP Health’s Harm Reduction team in the field. Call 760.323.2118, Extension 504, to inquire about schedules and locations.
Reduction
Supervisor Neil Gussardo, Harm Reduction
Educator Bree Clark-Pharr, and longtime volunteer Suzanne Petersen
Photo by Donato Di Natale
DAP Health Unveils Coachella Valley’s First Free Harm Reduction Vending Machine
In September, DAP Health unveiled an innovative vending machine that dispenses free harm reduction materials to interested parties. Located inside Hunters Nightclub on Arenas Road in Palm Springs, it’s the first of its kind in the Coachella Valley. Similar dispensers have recently popped up in other parts of Northern and Southern California, as well as in other states. New York City debuted its first such machine in Brooklyn last June.
“The impetus behind making this vending machine available to desert residents is all about expanding access to life-saving tools,” says DAP Health Chief of Community Health C.J. Tobe. “It extends the reach of our harm reduction program team, which has worked in the field, as well as out of our Palm Springs headquarters, since 2022. It’s all about bridging gaps and building trust so that we can bring more vulnerable people into care — and into recovery if that’s something that appeals to them.”
The vending machine at Hunters — the first of more than a dozen the nonprofit eventually plans to pepper throughout the Coachella Valley, including at locations that would enable 24/7 access — offers six complimentary items: Narcan (the brand name for naloxone, the nasal spray that can temporarily reverse an opioid overdose), HIV self-test kits, GHB safer-use kits, fentanyl testing kits, booty bump kits, and safer-snorting kits. Except for Narcan, all products will be displayed in unmarked, color-coded bags. Consumers will use a touchscreen panel to answer an anonymous 10-question survey about age, gender, drug of choice, method and frequency of use, etc. to gain access to the free lifesaving supplies. The information gathered will assist the harm reduction team in further efforts.
“The great thing about the data collected is that it will enable us to learn how best to allocate our resources in the future,” says Gussardo. “It’s an invaluable opportunity for the team to educate ourselves about what the most popular products are and who is using them.”
“All of us at Hunters care deeply about our clientele and the larger community,” says Hunters co-owner (with Mark Hunter) Jennifer Seymour. “When DAP Health approached us to partner with them on this groundbreaking desert initiative, we jumped at the chance. We are very proud to host the first harm reduction vending machine ever to be installed in the Coachella Valley.”
In 2023:
3,976
harm reduction clients were served (an increase of 129%)
556 lives were saved by reversing overdose with Narcan (naloxone), a 552% increase
42 Out-Patient Drug-Free (ODF) Program patients were served
There was a 668% increase in Narcan (naloxone) distribution
There was a 466% increase in clean syringe distribution
There was a 221% increase in used syringes collected
There was a 27% increase in service hours
DAP Health Was Again Award-Winning in 2023
Already award-winning, DAP Health added three worthy commendations to its collection of recognitions in 2023.
The 2023 Community Health Quality Recognition (CHQR) badge from the Health Resources and Services Administration (HRSA). DAP Health stood out as one of eight centers specifically acknowledged for its excellence in the HIV prevention and care category.
The 2023 Creativity & Innovation Award from the Inland Empire Health Plan, for DAP Health’s 2022 mpox response.
The 2023 Center for Quality Improvement & Innovation Quality Award for Leadership in Quality Improvement of DAP Health’s Ryan White HIV/AIDS Program.
Financial News
More than 90% of all DAP Health revenue is spent on delivering comprehensive patient and client services.
How We Earn Our Revenue Through June 30, 2023
Care
How We Spend Our Revenue Through June 30, 2023
DAP Health’s financial position is stable, allowing it to provide medical and support services to its clients and patients. Revenues are generated through medical fees, 340B drug discounts, grants, and donations. Through the generous work of its tireless volunteers, its four Revivals stores are able to generate a net surplus. That contribution serves to cover services that are not grant-funded, not billable to insurance, and not covered by another source. As an FQHC, DAP Health provides service to all individuals, regardless of their ability to pay.
Witness the Impact
Having read this 2023 Community Impact Report, are you still curious about the lifesaving programs and services DAP Health offers each and every member of the various communities it serves, from the Coachella Valley to the San Diego coast?
If so, then don’t miss an exclusive opportunity to tour the nonprofit’s cutting-edge facility.
What to expect: A guided, behind-the-scenes look at DAP Health’s state-of-the-art medical and wellness centers at its Sunrise campus in Palm Springs and Centro Medico Cathedral City. You’ll not only discover how the agency makes a lasting impact on the lives it touches by hearing firsthand accounts from patients and staff members, but you’ll network with fellow community members who share your passions.
Come be part of DAP Health’s 40-year mission to protect and expand health care access for everyone. Availability is limited, so please RSVP with Donor Relations Manager Chas Kidder at 760.656.8479 or CKidder@DAPHealth.org. To learn more about DAP Health, please visit DAPHealth.org.
