YEAR IN REVIEW FISCAL YEAR 2019
TABLE OF CONTENTS LETTER FROM THE CHIEF EXECUTIVE OFFICER
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LEGACY BY THE NUMBERS
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THE CHALLENGE
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OUR COMMUNITY IMPACT
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EXPANDING ACCESS
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DONOR MESSAGE
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MESSAGE FROM THE CHIEF MEDICAL OFFICER
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MISSION
VISION
Driving healthy change in our communities.
Connecting our communities to health every day, in every way.
VALUES HEALTH CARE AS A RIGHT, NOT A PRIVILEGE
We believe that comprehensive health care is a human right. Legacy’s services and programs are open to all who need us, regardless of the ability to pay, without judgment or exception. DEVOTION TO OUR COMMUNITIES
We continue to build our legacy on a solid foundation by learning from our communities, embracing the people in them and serving their unique needs. Especially when no one else will. LEADING THE CHARGE
We address issues others shy away from. Not because it’s easy or popular, but because it’s the right thing to do. The Legacy team possesses unwavering courage and serves as a visionary catalyst for sustainably healthy communities. ACTIVE STEWARDSHIP OF RESOURCES
We carefully manage our available resources in order to deliver on our promise of driving healthy change. We remain grounded in responsible decision-making for sustainable operations, putting every asset where it can do the most good for the community.
HOUSE DISTRICT 147
Legacy Community Health’s roots stem from the heart of Texas House District 147. In the 1980s, Legacy took a stand to meet the needs of the community, providing health care at the height of the HIV/AIDS crisis in a small operation off Richmond Avenue. Now, Legacy has become the largest network of community health centers in the state with over 30 clinics not only in Houston, but across Southeast Texas. With its growth, Legacy has kept its promise to meet the needs of our most vulnerable populations, expanding access to care for close to 190,000 community members, including women, children and seniors. I thank Legacy for the care it provides my constituents every day and me personally as my primary care provider. Sincerely,
Garnet F. Coleman Texas House of Representatives, District 147
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2019 YEAR IN REVIEW
Letter from the Chief Executive Officer
KATY CALDWELL Dear Friends, I am proud to look back on what Legacy has achieved this past year. Through the efforts of our talented staff, Legacy has truly become the destination for a “right care, right place” approach, providing patients with comprehensive, high-quality care in the communities they call home. As the largest Federally Qualified Health Center (FQHC) in Texas, we served close to 190,000 community members from across the Southeast Texas region and invested in several notable collaborations that will greatly impact the health outcomes of some of our most vulnerable communities. One example is the new clinic being built in collaboration with Avenue—a nonprofit dedicated to developing quality affordable homes, educating first-time homebuyers and strengthening communities—which will increase access to care for Near Northside residents, many of whom are without health insurance. We also look forward to opening our new Legacy Southwest clinic, providing a state-of-the-art facility, additional space and a pharmacy to better serve the growing needs of the community. We continued our investment in school-based health care by opening two new clinics in Houston area schools. This model of care exemplifies the “right care, right place” approach by offering care in our pediatric patients’ own schools. The response from families has been overwhelming with nearly 3,000 pediatric appointments completed and over 2,500 children seen by inschool therapists in 2019. We have been thrilled to receive such a warm welcome and hope to see our practice within these communities continue to grow. Though it has been another year of incredible growth at Legacy, we continue to remember our humble beginnings. From the little-clinic-that-could and the volunteers who braved the stigma of the HIV/AIDS crisis, to an institution of 36 clinics across Southeast Texas, we continue our devotion to our communities, embracing the people in them, and serving their unique needs.
Katy Caldwell Chief Executive Officer Legacy Community Health Services 2019 Board of Directors
Legacy Community Health Endowment 2019 Board of Directors
Amanda Goodie-Roberts George Burch Chairperson Abigail Caudle, M.D. Gary Hammett Alex Jessett Vice-Chairperson Bryan Hlavinka Bethsheba Johnson Naveen Pinglay Treasurer Mariana Chavez Mac Gregor, M.D. Ryan Martin Marissa Taler Secretary Johnson Olatunji Glenna Pierpont Richard Davidson Devin Vasquez At-Large Member
Tripp Carter Chairperson
Brent Whiteley
Vice-Chairperson
Michael S. Alexander Stephen Locke Mark McMasters, M.D. Emeritus Board Members
Mike Holloman Melanie Gray Treasurer Melissa Mithoff Bryan Hlavinka James A. Reeder, Jr. Secretary Monsour Taghdisi Claire Cormier Thielke
www.LegacyCommunityHealth.org
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LEGACY BY THE NUMBERS 36
WHOM WE SERVE... by RACE
locations across Baytown, Beaumont, Deer Park and Houston
LATINO
AFRICAN AMERICAN
CAUCASIAN
ASIAN
OTHER
59%
23%
14%
2%
2%
1,168
employees
492,306
by AGE
completed appointments
50
34%
34% 16%
13%
>189,950
0
12 & UNDER
community members served annually
13 - 19
20 - 44
45 - 64
3% 65 & OVER
by GENDER IDENTITY
51%
59%
of our patients live at or below the federal poverty level
40%
1%
OUR FINANCIALS Total Revenue
$186,694,709
Total Expenses
$185,484,374
Funding Sources 1% 10%
1% 1%
43%
$14,428,571
$163,170,243
4%
Pharmacy Grants Foundations Fundraising
Medicaid
17% 49% 30%
Self-Pay/Sliding Scale/Other Private Insurance Medicare
Other
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Total Operating Budget
Fee for Service Breakdown Fee for Service
44%
Total Uncompensated Care
2019 YEAR IN REVIEW
Patient Profile
DARVINA DUDLEY FIFTH WARD CLINIC PATIENT
It was a chance encounter at Legacy’s Fifth Ward location that led Darvina Dudley to find the help she needed. The single mother of two was in need of a routine checkup and remembered the excellent care she received during a visit years prior at Legacy’s Lyons Avenue location. She decided to come back and that’s when she met Health Advocate Pinkie Wright.
Darvina Dudley sat in the lobby of Legacy’s Fifth Ward clinic awaiting her appointment when she came upon Health Advocate Pinkie Wright. “I asked her what she was doing and she told me about Legacy’s program to connect patients to resources. I asked if she could see me today and she did,” said Dudley. The help could not have come at a better time. Dudley, who does contract work, had been struggling to make ends meet ever since she was displaced by Hurricane Harvey in 2017. She says the stress was affecting her health. “I was losing sleep thinking of how I was going to put food on the table. I was so worried about how I was going to pay the light bill,” said Dudley. Wright was able to connect Dudley to the resources she needed including linkage to behavioral health services to help with her post-Harvey recovery. Legacy’s health advocates screen patients for the social determinants of health—these are the outside conditions that affect a wide range of health outcomes. Dudley says she and her two sons are sleeping better these days and she is especially thankful for the support her health advocate provided to her.
www.LegacyCommunityHealth.org
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The Challenge
CONDITIONS AFFECTING OUR COMMUNITIES & THE NATION CANCER Texas ranks 34th, 48th and 43rd nationally for life-saving mammography, stool test/endoscopies and Pap/ HPV cancer screenings. Access to preventive care and screenings increases the likelihood of early detection of colorectal and other cancers, which in turn allows for earlier interventions and a higher chance of survival. (Texas Department of State Health Services)
DIABETES Nearly 2.3 million Texans are living with diabetes, with 200,000 new cases diagnosed each year. Older adults, minorities, men and populations with lower levels of education are much more prone to developing diabetes. Routine preventive care and health education are important for the early detection, prevention and management of diabetes. (Texas Demographic Center)
HIV Nearly 55% of Texans between the ages of 18 to 64 have never been tested for HIV. The availability of free or low-cost testing services is one of the strongest methods to controlling and ending the epidemic. An HIV test can protect individuals, their partners and families, by knowing their status and getting into treatment quickly. (AIDSVu)
MATERNAL MORTALITY The Texas maternal mortality rate is 34.2 per 100,000 live births, 66% above the national average. Routine prenatal care is essential to detecting, preventing and treating health problems like gestational diabetes and preeclampsia, both of which put babies at risk for preterm birth and low birth weight. (University of North Texas Health Science Center and World Health Organization)
MENTAL HEALTH Almost half of the 60 million U.S. adults and children living with mental health conditions go without any treatment. Improved access to quality, affordable mental health care is vital to restoring lives and reducing more costly inpatient care. (National Alliance on Mental Illness)
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2019 YEAR IN REVIEW
Patient Profile
VINCENT SMITH PrEP & ADULT MEDICINE PATIENT
Vincent Smith felt that there wasn’t enough gay-friendly care available where he lives in the Houston suburbs. Active in the dating scene, he needed to talk to his doctor about sexual health. But as a gay man whose non-Legacy primary care physician hadn’t heard of pre-exposure prophylaxis (PrEP), he knew he could turn to Legacy.
At 57, Vincent Smith wanted to be sure that he was taking care of his full scope of sexual health. Where he lives—nearly 30 miles from Houston’s Montrose area—he did not see representation of the gay community. When he attempted to speak with his primary care physician in Webster about beginning a PrEP regimen, the doctor wasn’t sure what PrEP was. “What mattered most to me was having a gayfriendly atmosphere and gay-friendly care,” says Smith. Smith had seen ads for ordering PrEP online without a doctor. To him, this seemed to miss the most important step: cultivating a good rapport with your health care provider. Then he remembered Legacy. “I’ve known about Legacy for years and years,” Smith says. “I chose Legacy for its reputation. I’d seen [Legacy] in the parades and in advertisements. I also looked online and Legacy seemed to be the best.” Smith was able to secure an appointment and access PrEP quickly and easily through Legacy’s Montrose clinic. “My doctor is great. The staff is friendly and professional, and the atmosphere and care are very welcoming to me,” Smith says, “I recommend Legacy to all my gay friends. It’s easy to get in, and for the young guys who might not have insurance, there’s the sliding scale fee discount. They take care of you.”
www.LegacyCommunityHealth.org
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Patient Profile
JANE & ESTHER WOOLMAN DEER PARK PATIENTS
For years, Jane Woolman drove her children from Pasadena to Legacy’s Montrose clinic for their health care. She especially relied on Legacy to manage the care of her daughter Esther, who is on the autism spectrum and has several health conditions. However, the treks from Pasadena to Montrose began to take a toll, causing Woolman to look at alternatives for care. Then she learned Legacy was opening a clinic in nearby Deer Park.
Jane Woolman remembers the day she found out Legacy was expanding into Deer Park. Before this, the mother of five had contemplated leaving Legacy for somewhere closer to her Pasadena home to provide care for her daughter, Esther. “I liked the care my family received at the Montrose clinic. However, some days those visits could mean more than half a day of traveling,” Woolman says. Legacy pediatrician Dr. Jessica Brown has been providing primary care for Esther since Deer Park opened its doors in July 2017. “Dr. Brown has a way about her,” Woolman says, “You feel like she is really listening to you and your health concerns.” Esther, 18, is on the autism spectrum and suffers from other health conditions. Dr. Brown works with Esther’s various specialists to coordinate her primary care. The Deer Park location, with its array of services for adult and pediatric patients, makes it easy for Woolman to get the care she needs for both Esther and her twin sister.
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2019 YEAR IN REVIEW
LEGACY IN THE NEWS
APPOINTMENTS & AWARDS Chief Executive Officer Katy Caldwell was honored with the LGBTQ Victory Fund’s Annise Parker Public Service Award, and was also recognized as one of the Houston Business Journal’s 2018 Women Who Mean Business honorees. Chief Development Officer Chree Boydstun was named one of Houston’s 50 Most Influential Women of 2018 by Houston Woman Magazine. Drs. Pedro Bustamante, IV, Chad Lemaire and Charu Sawhney were featured in Houstonia Magazine’s 2019 Top Doctors list. Dr. Shetal Amin was named one of Texas Monthly’s Rising Stars of 2019. Eligibility Manager Celina Guajardo received a Patriot Award from the Employer Support of the Guard and Reserve, a program of the Department of Defense. Legacy was honored with the National Partnership Award by the American Cancer Society, and was named a Top Workplace by the Houston Chronicle for an 8th consecutive year. OutSmart Magazine’s Gayest and Greatest 2018 Readers’ Choice Awards recognized Legacy, Dr. Scott Sawyer, Legacy Pharmacy and Mint Julep as Favorite HIV/AIDS Support Organization, Best Male Eye Doctor, Best Pharmacy Runner-Up and Favorite LGBTQ Benefit of the Year Runner-Up, respectively. Legacy’s Marketing team won best Non-Profit In-House Marketing Campaign at the 2019 American Marketing Association Houston Crystal Awards for the Ending HIV campaign.
www.LegacyCommunityHealth.org
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The Solution
OUR COMMUNITY IMPACT MATERNAL & NEWBORN HEALTH
SOCIAL DETERMINANTS OF HEALTH
Legacy continued its support of maternal and newborn health with the launch of the Supporting Pregnancies and Redefining Care (SPARC) pilot program at Legacy Fifth Ward. SPARC is an innovative model of care that presents prenatal care as an inclusive package of highquality medical care and a support system for soonto-be mothers. Routine prenatal care is integrated with patient group sessions with dietitians, lactation consultants and patient educators.
This year, health advocates from the Social Determinants of Health program screened over 6,500 patients across our Fifth Ward, Mapleridge and Santa Clara clinics for food insecurity and other barriers to health and wellness. Health advocates identified 1,939 patients with a substantial need related to food, housing, transportation and/or financial support. From those, 1,335 patients consented to and received intensive case management services to address those needs and access support resources and services.
Studies have shown that prenatal care delivered in groups leads to better care with better health outcomes, including reduced premature births.
AUTISM SUPPORT Legacy’s Autism Support Group (ASG) is a program dedicated to primarily Spanish-speaking families and is the only service of its kind throughout Greater Houston. In 2019, the ASG provided education, resources and support to help over 200 families better advocate and care for their children with autism, achieving a 100% increase over the previous year.
HIV PREVENTION Legacy continued to provide leadership in ending the HIV epidemic in Southeast Texas. In recognition of this leadership, Legacy was the recipient of funding from two grants: the Rockwell Fund and Gilead Commitment to Partnership in Addressing HIV/AIDS in Southern States (COMPASS) Initiative. Through these grants, Legacy was able to launch an anti-stigma campaign in Beaumont and a campaign to increase the use of pre-exposure prophylaxis (PrEP) among women in Houston, the only local effort of its kind. Legacy also launched its Ending HIV campaign which resulted in a 52% increase in completed HIV tests and a 43% increase in individuals linked to HIV treatment over the prior year. The campaign focused on the importance of knowing your HIV status and connecting community members to testing, prevention and treatment at Legacy.
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The Social Determinants program also secured a $200,000 two-year grant from Episcopal Health Foundation to continue its efforts and expand services to Legacy Northline in late 2019.
CANCER PREVENTION Through its Community Benefits Program, Houston Methodist awarded Legacy a $400,000 grant to provide uninsured patients with free diagnostic labs and imaging services. Thanks to Methodist’s support, Legacy patients can receive life-saving diagnostic tests such as computed tomography angiography (CTA) scans, magnetic resonance imaging (MRI) and mammograms. Eighty-six percent of patients referred for imaging services completed their appointments. Legacy also worked to provide patients with fecal immunochemical tests (FIT) to screen for colorectal cancer. Legacy achieved a 62% screening rate, a 15% increase over the previous year.
EDUCATION Supported largely through employee donations, Legacy provided close to 2,000 new backpacks filled with supplies to ensure students were prepared for the school year. Legacy also participated in the Houston Mayor’s Back to School Festival, helping to distribute school supplies and resources to economically-disadvantaged children.
2019 YEAR IN REVIEW
The Solution
OUR COMMUNITY IMPACT LEGACY PHARMACY Legacy Pharmacy achieved significant growth this year with a 90% increase in patient volume and a 102% increase in prescriptions filled over the previous year. Legacy Pharmacy – Montrose had 12,532 unique patients come through its doors, filling over 155,000 prescriptions. Legacy Pharmacy – Lyons had 4,632 patients use its services and filled just over 37,000 prescriptions. In 2019, Legacy Pharmacy worked to improve access to pre-exposure prophylaxis (PrEP), a once-daily pill to help prevent HIV. The PrEP Rx program was developed to streamline PrEP patient follow-up visits and refills with a pharmacist versus a physician. Legacy Pharmacy also developed a program through which pharmacy technicians are able renew prescriptions and schedule lab work and visits, speeding up the process for patients.
DIABETES MANAGEMENT Over 70% of patients engaged in Legacy’s diabetes educational curriculum in 2019 achieved control of their A1C levels. The program includes an on-site fitness program, counseling sessions with pharmacists and registered dietitians, educational materials, and free glucometers for at-home blood glucose monitoring. Legacy also began offering tailored health education for patients living with both diabetes and hypertension.
YOUTH REENTRY CASE MANAGEMENT In 2019, over 300 new probation-involved juveniles were linked to medical and behavioral health services through the Youth Reentry Case Management (YRCM) program, a 33% increase over the prior year. The program is a collaboration between Legacy and Houston Methodist which began in 2016 to help support juveniles recently released from the Harris County Juvenile Detention Center.
MENTAL HEALTH & SUBSTANCE ABUSE SERVICES Over the past fiscal year, Legacy connected 482 patients struggling with addiction to support services through its Access Increase Mental Health and Substance Abuse Services (AIMS) program. The program, which is in its first year, helped achieve a 60% increase in the number of patients assisted compared to the prior year.
PATIENT CENTERED MEDICAL HOME Legacy maintained its Patient Centered Medical Home (PCMH) recognition from the National Committee for Quality Assurance. PCMH is a primary care model with a triple aim of better patient health, better care and lower costs.
PUBLIC AFFAIRS & ADVOCACY During the 86th Texas Legislative Session, Legacy successfully: •
Led efforts to secure telehealth, telemedicine and telepharmacy as allowable services in the Texas Medicaid program. This means that Legacy providers may deliver telemedicine services to patients across Legacy facilities, including those in areas where health care is less accessible.
•
Spearheaded a bill that protects patient access to HIV medications, otherwise known as a “protected class” in the state’s Medicaid drug formulary. This bill prohibits the use of prior authorization and step therapy for HIV medications.
•
Championed a bill that provides an option for more efficient delivery of nonmedical transportation services, such as Uber and Lyft, in the Texas Medical Transportation Program, and served as the key advocate for a bill that provides a pilot program for transportation coverage for Medicaid beneficiaries traveling to prenatal and postpartum visits.
www.LegacyCommunityHealth.org
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EXPANDING ACCESS
SCHOOL-BASED HEALTH CARE CONNECTING CHILDREN & THEIR FAMILIES TO CARE
School-based health care has proven to be an incredible tool in helping attain health equity among children who face disparities in health outcomes related to their socioeconomic backgrounds.
Accessing health care can be a nearly impossible challenge. The challenge increases for families in which parents and guardians work long hours with minimal paid time off, have limited transportation or worry about children missing educational time. These problems tend to be increased for low-income families. School-based health care (SBHC) has proven to be an incredible tool in helping to attain health equity among children who face disparities in health outcomes related to their socioeconomic backgrounds. Legacy’s SBHC program was formed in 2012, when Legacy and the Knowledge is Power Program (KIPP) came together over their shared belief that schools should take a more holistic approach to fighting health disparities. Close to 90% of KIPP students qualify for free or reduced-price lunch (FRPL), making KIPP a high-poverty school system as defined by the National Center for Education. Legacy opened its first SBHC clinic on the KIPP Northeast campus offering behavioral health services. By the next school year, the program expanded to seven other KIPP campuses and added primary health care. In 2015, Legacy and YES Prep Public Schools, Incorporated brought SBHC to YES Prep campuses. Similar to KIPP, 85% of the student body is FRPL-eligible. By 2019, Legacy’s SBHC program had expanded to 19 KIPP and YES Prep campuses across Greater Houston. By putting health care providers on campus, students spend more time in class, parents miss fewer hours at work and health conditions are less likely to go untreated. The existence of such clinics takes a tremendous weight off of parents, students, schools and employers—and lays the foundation for more positive health outcomes.
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2019 YEAR IN REVIEW
Patient Profile
LYDIA ARNOLD HIV & MONTROSE CLINIC PATIENT
Diagnosed with HIV at the height of the crisis, Lydia Arnold searched for a place to belong. At Legacy—then the Montrose Clinic—she found excellent care, community and fellowship through the many programs the volunteer clinic offered. Over 20 years later, she’s still with Legacy and considers herself a better advocate because of it.
In 1995, HIV diagnoses in the United States were at an all-time high. The focus of the epidemic was on gay white men, who at the time accounted for the majority of diagnoses. That was the same year Lydia Arnold was diagnosed with HIV and for her the diagnosis was a shock. It was during this time, Arnold learned about a small, volunteer-run HIV clinic in Houston that was taking the lead in treating HIV. She was so impressed by the Montrose Clinic, she began taking both one-on-one and group HIV classes. She also joined the Positive Organizing Project (POP+), an advocacy training program designed by and for people living with HIV. Today, that little clinic is better known as Legacy and Arnold is still active in helping HIV patients. “Legacy taught me how to be an advocate,” she says. “I love it because afterward I can go out and talk to people about what’s important and about getting tested. I was able to learn how to go out into the community— to my church—and talk to people about HIV.”
www.LegacyCommunityHealth.org
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Expanding Access
THE NEW LEGACY SOUTHWEST BREAKING GROUND ON LEGACY’S FUTURE
In December 2018, Legacy began the next phase of turning its vision of health-care-for-all into reality. The once tiny, volunteer-run clinic of 40 years ago was now breaking ground on a $10 million state-of-the-art facility in Southwest Houston.
Southwest Houston exemplifies what many people think of when thinking about Houston: a melting pot. Residents of this community hail from more than 80 countries and speak over 20 different languages. Drive down any block and you will encounter a tempting variety of cuisines. While beautiful in its diversity, the Southwest community faces some sobering challenges. Nearly 30 percent of its residents live below the federal poverty level and much of the community lacks access to affordable health care. Not surprisingly, there are rising rates of chronic diseases, including diabetes, heart disease and obesity. Enter Legacy Southwest. Since opening in 2010, Legacy Southwest very quickly became the busiest Legacy location, making high-quality health care services accessible to community members regardless of the ability to pay and without judgment. However, as the number of patients and their health care needs grew, the physical space could only accommodate so much. Several renovations later, it became evident that the community’s needs had outgrown the building’s capacity. Thanks to the generosity of foundations, corporations, private donors and Legacy employees, the new Legacy Southwest campus will soon become a reality and the new medical home for Southwest Houston. The 33,500-square-foot facility replaces the modest original building with a state-of-the-art clinic reflective of the many cultures represented in the community. With expanded space and a new pharmacy, Legacy Southwest will surely become a shining beacon of health care for many years to come.
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2019 YEAR IN REVIEW
Patient Profile
SAMUEL JOHNSON GENDER HEALTH & WELLNESS PATIENT
After Samuel Johnson’s parents were laid off, their church recommended Legacy because of an available sliding scale fee discount. Despite financial hardship, his family knew that through Legacy they would be able to access care that wouldn’t leave them destitute. For Johnson, this meant a healthier body and mind.
As a young man coming into his own, Legacy’s welcoming atmosphere, along with the convenience of receiving primary care, behavioral health and pharmacy all in one place, is what keeps Samuel Johnson connected to his Montrose clinic family. “I feel like I’m at home when I walk in,” he says. “When I started coming out, it was primarily therapy and psychiatry,” says Johnson, a young transgender man who found the support he needs through his Legacy care team. “It took about a year to get started with hormones, a gender care routine, and hormone replacement therapy.” “The comprehensive care and education which Legacy offers the LGBTQ+ community has been refreshing,” says Johnson, adding that he feels “it is very welcoming and not something you would receive anywhere else. No matter what I need, I call them and they get me the soonest appointment or they will give me a call and talk.”
www.LegacyCommunityHealth.org
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Patient Profile
DIANE GRIFFIN BEAUMONT BEHAVIORAL HEALTH PATIENT
Diane Griffin had long battled the debilitating combination of posttraumatic stress disorder (PTSD), anxiety and depression. Despite having health insurance, the costs of her copays were too much for her after paying other bills. After falling out of care, she weathered Hurricane Harvey, but not without emotional wounds. She soon realized that she needed to return to care to begin her healing.
Friends of Diane Griffin would never describe her as a gladiator, yet that’s what the outwardly sweet and kindhearted Beaumont resident felt she needed to be to battle a debilitating combination of PTSD, anxiety and depression. In 2007, through a friend’s recommendation, Griffin sought treatment for her anxiety and depression. She soon fell out of care, however, due to the cost of her copays. In August 2017, Hurricane Harvey made landfall on Southeast Texas, ravaging the Beaumont area. In the wake of the storm however, she found herself not only picking up the pieces of her life, but also grappling with the aftershocks of another life-altering event: sexual assault. “I couldn’t handle it. That’s when I knew I needed to get back into care and Legacy was there to help,” Griffin says. “Thankfully, Legacy keeps care affordable. Otherwise I probably wouldn’t go to the doctor as much because I can’t afford it. They really care about their patients. I wouldn’t be where I am today without Legacy.”
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2019 YEAR IN REVIEW
Donor Message
PLANNING FOR THE FUTURE Patricia Dolan
Patricia Dolan spent her career connecting people to the health care and social services they otherwise would have gone without. “My passion for that work didn’t end when I retired,” she says.
Although retired, Patricia Dolan still wants to “serve others and help them get the care they need, even if it’s not technically [her] job these days.” For her, that means being charitable with her time and talent by volunteering at Bayou Bend Collection and Gardens, serving on the Board of Directors for Be A Resource (BEAR) for CPS Kids, and giving back through philanthropy. “I’m fortunate enough to be able to donate regularly to causes that mean a lot to me,” Dolan says, “and I want that to continue even when I’m not around anymore.” Participating in Legacy’s new Planned Giving program was the perfect way for Dolan to ensure she makes an impact on those in need after her soul has moved on. Making this planned gift—sometimes called an estate gift—wasn’t complicated and didn’t require unlimited resources, as Patricia quickly found out. “Legacy’s new planned giving website (lchplannedgiving.org) has all the resources I needed to make my decision quickly and painlessly. I filled out a form, made a change to my will and that was it,” says Patricia. “I checked with my financial advisor and he signed off immediately. Just like that, I had made a plan to continue supporting my fellow Houstonians in the years to come.” Patricia is especially dedicated to ensuring pregnant women have access to prenatal care and that newborns are able to receive pediatric care. “Prenatal and pediatric services are vitally important because they set patients on the path to good health for the rest of their lives,” she says. “I know that Legacy delivers these services to anyone who needs them and that demand for these services will only increase as the population grows. Making a bequest was the right choice because it meant I could help Legacy plan for the future.” “I don’t have millions of dollars to leave behind,” Patricia says, “but I know that Legacy appreciates my gift and that they will be conscientious stewards of my donation.” Patricia knows from experience how important public support is to nonprofit agencies like Legacy and this made her decision even easier. “Legacy offers so much to the community and provides the dental, vision and behavioral health services that so many people go without. I wanted to be a part of their long-term mission,” Patricia says, “so I made a plan for my future and theirs.” Patricia agrees that health care is a right, not a privilege. Her planned gift will help Legacy ensure that our patients are able to live healthy, happy and productive lives for years to come.
www.LegacyCommunityHealth.org
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Development Program
HOUSTON METHODIST & LEGACY WHERE ONE PLUS ONE EQUALS FAR MORE THAN TWO
“Working together, Legacy and Houston Methodist have been able to strengthen the fabric of community health care across the city.” CATHY EASTER Senior Vice President of Community Development for Houston Methodist, and President and CEO of Houston Methodist Global Health Care Services
Houston Methodist is one of the largest and most philanthropic nonprofit agencies in the South Central United States, giving away just under $1 billion each year in charity care and community benefits. “Our goal is to provide health care services to all who need them and to identify community needs across Greater Houston,” says Cathy Easter, Senior Vice President of Community Development for Houston Methodist, and President and CEO of Houston Methodist Global Health Care Services. “We accomplish this through our community-based institutions and partnerships with other nonprofits.” Legacy has been one of those partners for more than 21 years, receiving approximately $18 million of charitable support in that time. “Legacy has helped Houston Methodist extend our reach further into communities dating back to when Legacy was called the Montrose Clinic,” says Easter. “Working together, Legacy and Houston Methodist have been able to strengthen the fabric of community health care across the city. Legacy has grown so much since those days that the role it plays as a safety net health system cannot be understated.” Legacy has become critically important to Houston Methodist’s mission of providing high-quality, cost effective health care that delivers the best value to the community. “We provide our patients an incredible array of health care services and we have a large network of primary care providers in the community,” says Easter. “But Federally Qualified Health Centers like Legacy are a game changer for patients who too often face barriers to care.” Easter identifies Legacy’s ability to recognize unmet needs and gaps in the health care system and improve clients’ health literacy, as two of the many reasons Houston Methodist continues to collaborate with Legacy. “The staff at Legacy is amazing at both stewarding charitable donations, and leveraging those donations to bring in additional philanthropic resources so that the impact made by organizations like Houston
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2019 YEAR IN REVIEW
Methodist is increased exponentially,” she says. This is in part why Legacy has received Houston Methodist’s Mental Health Innovation (MHI) grant for several years in a row. “The goal of the MHI grant was to provide seed funding for programs that can fill gaps in mental and behavioral health coverage across the city, and to ignite programs that could become sustainable,” says Easter. “Legacy has been a great partner in this regard, and their providers have helped stabilize the behavioral health of dozens of children in the juvenile justice system.” Houston Methodist and Legacy are more than funding partners, however, and it is here that patients feel the most direct impact. Legacy hosts endocrinology, nephrology and oncology residents and fellows from Houston Methodist every week so that patients can access specialty care they otherwise would go without. “This is a win-win-win,” says Easter. “It’s a win for our doctors, who get to practice outside of the hospital setting. It’s a win for Legacy, as they get to offer more services to their patients. But most importantly, it’s a win for the patients who can receive specialty care without having to leave their medical home.” The Houston Methodist and Legacy partnership has made a concrete, lasting impact on the people of Houston, and both sides are looking forward to continuing this relationship long into the future. “Together, we have identified the needs of communities across the city, including Baytown where Houston Methodist’s residents provide support for Legacy’s Family Medicine practice,” says Easter. “Our two organizations have forged a strong bond over the years, one that provides solutions for Texans who need the type of care we provide to stay happy, healthy and productive.” Thanks to continued support from Houston Methodist, Legacy is well-positioned to drive healthy change in our communities for years to come.
www.LegacyCommunityHealth.org
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Message from the Chief Medical Officer
DR. VIAN NGUYEN For too many members of our community, achieving and maintaining health and wellness is full of challenges, from the cost of care and a lack of transportation, to natural disasters such as flooding. At the same time, we are seeing increased rates of chronic, yet preventable, conditions such as diabetes and hypertension—and new lows in health insurance coverage in Texas. These problems worsen for those in marginalized groups. That’s what makes Legacy’s commitment to serving as a catalyst for sustainably healthy communities so important. As the largest Federally Qualified Health Center (FQHC) in Texas, Legacy is well-positioned to meet the needs of our most underserved community members. Our teams work to not only treat illnesses, but to advocate on behalf of the communities we serve to improve access to care—and to educate and empower our patients to actively engage in their health and wellness. I am thrilled to see efforts across our teams to improve access to care and engage patients in the process, including these examples: • Continuing to ensure that women have access to pre- and postnatal care – Legacy will continue its commitment to providing access to routine prenatal care, which is proven to increase the health of moms and babies. As importantly, we are committed to providing family planning and emotional support during their postpartum period and connecting newborns to care. • Engaging teens and young adults – Legacy will launch a youth-focused educational and clinical program to address the medical and social needs of preteens and teens as they transition into adulthood. Through online and clinical resources, the program is aimed at helping younger patients build skills and confidence in owning their health care. • Reducing the turnaround time to obtain PrEP – For almost 40 years, Legacy has been leading efforts to end HIV and we continue to do so. Starting in 2020, Legacy will offer same-day access to HIV medication and pre-exposure prophylaxis (PrEP), a once-daily pill that helps prevent the spread of HIV. My vision is, consistent with our Legacy roots, we will continue to push the envelope by offering the care and support that others do not or cannot. We will also continue to be the voice for those who have none, while working to empower them to find their own voice. Finally, I continue to be grateful to our donors and board members who trust and support Legacy year after year as we carry out our mission. Our team looks forward to joining hands with you as we continue to move the needle towards better health outcomes for every member of our community. Sincerely,
Vian Nguyen, M.D. Chief Medical Officer
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2019 YEAR IN REVIEW
SERVICES OFFERED BY LEGACY
With Legacy’s vision of health care for all, we’re committed to providing a range of services: Adolescent Care Adult Medicine Behavioral Health Dental Eligibility & Enrollment Endocrinology Family Medicine Gender Health & Wellness Geriatrics Health Promotion & Education HIV/STD Screening, Prevention & Treatment
LGBTQ+ Services Obstetrics & Gynecology Patient Navigation & Linkage to Care Pediatrics Pharmacy School-Based Health Care Social Services Sports Medicine Transgender Specialty Care Vaccinations & Immunizations Vision
www.LegacyCommunityHealth.org
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LegacyCommunityHealth.org
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2019 YEAR IN REVIEW