2017 Legacy Community Health Annual Report

YEAR IN REVIEW FISCAL YEAR 2017

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TABLE OF CONTENTS Foreword by the Chief Executive Officer

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Legacy by The Numbers

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Our Community Impact

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Expanding Access

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Message from the Chief Medical Officer

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M I SSI O N

Driving healthy change in our communities.

V I SI O N

Connecting our communities to health every day, in every way.

VA LU ES 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.

CITY OF HOUSTON Under Katy Caldwell’s leadership, Legacy Community Health has been a leader in health care from the very beginning when they opened their doors to patients in 1978. Now, this Houston institution – one of the largest community health systems in Texas - has become a full-fledged medical force, providing comprehensive health care to a diverse population at multiple clinics across the region. Legacy’s value in providing affordable health care has, I would argue, never been more important to Houstonians.

Sincerely,

Sylvester Turner Mayor, City of Houston 4

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FOREWORD BY THE CHIEF EXECUTIVE OFFICER

KATY CALDWELL As we approach our 40th anniversary, the demand for affordable, high-quality health care continues to grow in Southeast Texas.

Over the past decade, we’ve seen a 650% increase in the number of people served across our 33 locations as we expanded services to include whole-life care: prenatal, pediatrics, adult primary, and geriatrics.

In fiscal year 2017, we added three clinics to meet the growing demand for care, including Deer Park, Sharpstown Rookin and a new Fifth Ward campus – a site that features locally commissioned art which is spectacular! We’re especially proud of our two new state-of-the-art pharmacies.

Our ongoing investment in the communities we serve is about increasing access to care for everyone, regardless of the ability to pay, while pursuing a business model that keeps costs down.

Federally Qualified Health Centers save the system $24 billion annually by keeping people out of costly emergency rooms for things like an earache or cold.

As we prepare for what looks like an uncertain future for health care policy, our goal remains the same: providing affordable care in a judgment-free environment to anyone who walks through our doors.

Katy Caldwell CEO, Legacy Community Health

LEGACY COMMUNITY HEALTH BOARD OF DIRECTORS Beth Bruce, Chairperson Amanda Goodie, Vice-Chairperson Beryl Basham, Secretary Alex Jessett, Treasurer Glenna Pierpont, At-Large / Executive Committee

Sehba Ali Glenn Bauguss Tony Bravo George Burch Abigail Caudle, M.D. Victor Cordova, Jr. Bryan Hlavinka Bethsheba Johnson Alton LaDay Mariana Chavez Mac Gregor, M.D. Johnson Olatunji Naveen Pinglay Cyndy Garza Roberts Lauren Soliz Marissa Taler

LEGACY COMMUNITY HEALTH ENDOWMENT BOARD OF DIRECTORS James A. Reeder, Jr. Chairperson Tripp Carter, Vice-Chairperson Bryan Hlavinka, Secretary Mike Holloman, Treasurer

Michael S. Alexander, J.D. Joshua L. Espinedo Brent N. Whiteley Melanie Gray, Board Member Emeritus Melissa Mithoff, Board Member Emeritus Monsour Taghdisi, Board Member Emeritus Claire Cormier Thielke, Board Member Emeritus

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LEGACY BY THE NUMBERS

925

Number of employees

60%

Whom do we serve?

H I S PA N I C

AFRICAN AMERICAN

CAUCASIAN

60%

21%

14%

of our patients live at or below 100% of the federal poverty level

More than

150,000

ASIAN

OTHER

2%

3%

community members served annually We have

33 locations

in Baytown, Beaumont, Deer Park and Houston

484,794

Annual appointments booked

59,000

Average number of calls received monthly at Legacy Call Center

Age 50

40 33%

35%

30

20 15%

14% 10

3% 0

OUR FINANCIALS (FY17)

Under 5

Total revenue

$123,662,786

5-19

20-44

45-64

Over 65

Gender

Total expenses

$119,380,561 Total uncompensated care

$9,640,302 6

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59%

41%

<1%

A D V O C AT E P R O F I L E

KALVIN AND EUNICE MARSHALL LEGACY’S POSITIVE ORGANIZING PROJECT ADVOCATES “I don’t have HIV, I’m not gay,” said Kalvin Marshall, in 2007, when he learned he was living with HIV. But he was and so was his wife Eunice.

They decided right then that, if they weren’t dead in a year, they would spread the word that HIV wasn‘t a gay-only disease. They would be the face of a straight couple living with HIV. Now, 10 years later, they‘re alive and keeping their promise.

Every third Thursday of the month, Kalvin and Eunice share their story in the lobby of Legacy‘s Montrose clinic. The Marshalls are members of Legacy‘s Positive Organizing Project (POP+), an advocacy training program designed by and for people living with HIV/AIDS. At the time of their diagnosis, they didn‘t know HIV actually wasn’t a death sentence. They were given no guidance or information on the disease, which is what drives the passionate couple in their advocacy today.

Eunice believes because her husband is not gay, doctors initially missed his diagnosis. "He was shuffled to a lot of different doctors — a neurologist, oncologist and an endocrinologist — for six months before being diagnosed,“ she says.

It was only after being admitted to the hospital – his kidneys were shutting down – that he received an HIV diagnosis.

That was 2007 and while progress has been made in the treatment and prevention of the virus, there is still much more work to do, stigmas to erase.

“HIV doesn’t discriminate — whether you’re rich, poor, black, white, gay, bisexual, heterosexual or transgender. Your sexual orientation doesn‘t put you at risk. Having unprotected sex and not knowing your status does,“ says Eunice.

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THE PROBLEM

IMPORTANT ISSUES AFFECTING OUR COMMUNITIES AND THE NATION ACCESS TO CARE AND PREVENTION Access to comprehensive health care is strongly associated with overall prevention and is critical to the overall well-being of our communities - a goal often hindered by a lack of health insurance.

Texas is home to the largest number of uninsured people in the country with about 4.6 million uninsured residents.

(Centers for Disease Control)

EDUCATION AND HEALTH LITERACY

CANCER

DENTAL CARE

Cancer is responsible for 1 in 4 deaths in Harris County.

The American Academy of Pediatric Dentistry (AAPD) recommends that a child go to the dentist at least by their first birthday or within six months after the first tooth comes in.

The access and use of screening tests to detect cancer during early stages allows for more effective treatment with fewer side effects and an increased chance of survival.

(Houston State of Health)

About 1 in 5 children in the US between the ages of 2 and 7 has never been to the dentist.

(National Center for Health Statistics)

DIABETES

FOOD AND NUTRITION

Diabetes poses a significant public health challenge for the United States.

Due to an aging population and sedentary lifestyle choices, it is estimated that by 2050 1 in 3 Americans will live with diabetes.

(Centers for Disease Control)

Each year, 60% of Houston area children lack the readingreadiness skills required upon entering kindergarten.

Creating a high-quality early learning environment is paramount for developing strong literacy skills and preparing our community members with the appropriate ability to navigate the health care system.

(Barbara Bush Literacy Foundation)

HIV 1 out of 200 Houstonians is living with HIV, a reality with incalculable public health, social, and financial consequences.

Keeping people living with HIV/AIDS in care and virally suppressed is key to each individual’s overall health and is crucial to ending the epidemic.

Children who are food-insecure are in poorer health and are more likely to be developmentally at-risk than those not in food-insecure environments.

In Harris County, 1 in 4 children live in a food-insecure home, with minorities at greater risk of food insecurity.

(Children at Risk)

(Houston Department of Health and Human Services)

MENTAL HEALTH

GERIATRIC CARE

LGBTQ STATISTICS

Mental and emotional illnesses rank among the top ten causes of disability in the United States.

Mental illnesses can cause severe impairment in one’s ability to cope with daily life and can impact physical health.

By 2025, there will be close to 1 million residents of Harris County over the age of 65, a 30% increase in less than 10 years.

The relationship between an LGBTQ individual and a provider is an important component to successful delivery of comprehensive care. A comfortable and nonjudgmental interaction is required to prevent treatment delays and avoid the total absence of care.

Texas ranks 49th overall in state expenditures on public mental health services, resulting in the need for greater resources and services to address, treat or prevent mental health illnesses.

(The Harris Center for Mental Health and IDD)

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Planning for the surplus of required specialized care will be key to sustaining the overall health, economics and well-being of the growing population.

(Harris County Area Agency on Aging)

Over 1 in 5 LGBTQ individuals reported withholding information about their sexual practices from their doctor or another health care professional out of fear of discrimination.

(National Women’s Law Center)

PAT I E N T P R O F I L E

JENNAFER HAMILTON LEGACY VOLUNTEER & PRIMARY CARE PATIENT Each time she prepares for a fitness class, Legacy volunteer Jennafer Hamilton looks out into the crowd of eager school-aged children and parents who renew her commitment to volunteer.

“The smiles. It’s really just about the smiles,” she says.

Three years ago, Jennafer was contacted

by Legacy’s Central Beaumont clinic to lead a fitness class for a back-to-school event. After spending one afternoon teaching Zumba to elementary and middle schoolers, Jennafer was blown away by the events and the services Legacy offers to the community. “It was amazing!” she recalls. “I see what Legacy does ... They provide their services to a community that no one else will provide to. And I can’t help but be a part of it.”

Shortly after her first volunteer experience, Jennafer and her family lost their health insurance. Despite the hardship, Jennafer was comforted because she knew exactly where to go — Legacy. After her first appointment, she was convinced that she, along with her husband and daughter, would make Legacy their go-to health clinic moving forward.

Now that she has experienced the clinic from a patient perspective, Jennafer appreciates her volunteer time even more.

“I now know how important these facilities are for the community at large. I’ll do whatever I can to help Legacy succeed and continue this impact.”

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PAT I E N T P R O F I L E

CASEY LARA SCHOOL-BASED CLINIC PATIENT Three years ago, emergency room visits were a frequent occurrence for eight-year-old Casey and her mom, Diana. Casey’s asthma was out of control and she was usually sick.

Although Diana had moved from Katy to Southwest Houston, she was still commuting to the outlying suburb for her daughter’s doctor’s appointments — adding inconvenience to an already troubling health issue. However, once her daughter started school at KIPP SHARP Prep, everything changed.

Casey began seeing nurse practitioner, Ashley Pineda, at Legacy's school-based clinic and gained control of her asthma. Diana’s other daughter, 11-year-old Leslie, also began seeing Pineda for severe allergies and improved.

“Having the clinic at the school was such a blessing for me,” says Diana, a divorced, single mom of two. “My daughters love them. It makes me happy to know there’s someone there at the school with them so I don’t have to leave work when they’re sick.” Diana’s been so impressed with her daughter’s improvements that she’s made Legacy their go-to for all their healthcare needs.

For parents like Diana who operate on a tight budget, the health care services are literally a life saver. “Because of Legacy, we haven’t been to an emergency room in a long time,” she says.

“There’s nothing more important than having a healthy child.”

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OUR COMMUNITY IMPACT LEGACY IN THE NEWS

APPOINTMENTS AND AWARDS CEO, Katy Caldwell, was named one of this year’s “Women on the Move” by Texas Executive Women, and was also part of the inaugural Distinguished Alumni class for the University of Houston’s College of Natural Sciences and Mathematics. Drs. Chad Lemaire, Pedro Bustamante and Dana Kober were featured in Houstonia magazine’s annual “Top Doctors 2017.” Legacy staff member, James Lee, was appointed to the City of Houston Hispanic Advisory Board by Mayor Sylvester Turner. And for the 7th year in a row, Legacy Community Health was selected by the Houston Chronicle as one of the region’s “Top Places to Work.” www.L L e egga acycyCo Commmmuunni tyHe ityHea al th.org l th.org | | 11 11

THE SOLUTION

OUR COMMUNITY IMPACT ADVOCACY Legacy launched a legislative strategy to improve health outcomes across our communities.

We met with government officials to stop efforts to make living with HIV a crime and implemented an aggressive social media campaign on the potential damaging effects of the ACA replace and repeal measures reaching over 60,000 influencers. We testified before the state legislature to oppose the “bathroom bill” and launched a video depicting its mental health consequences. We also testified to expand Legacy’s Little Readers program statewide.

BEHAVIORAL HEALTH From 5 providers in 2010 to 93 providers and staff members today, Legacy’s Behavioral Health team widened access to services across our communities. This year, Legacy exceeded its patient goal with over 95,000 patient visits, a 16% hike from the previous year after a concerted effort to promote mental health.

EDUCATION To celebrate education, Legacy partnered with Exxon Mobil, H-E-B and Comcast to hold nine Back-to-School events. This year’s contribution included a sizeable donation from Legacy’s own staff and helped send 1,500 students back to school with new supplies.

Legacy partnered with ESCAPE Family Resource Center to deliver free parenting education classes, teaching valuable skills on child development to 170+ parents.

COMMUNITY HEALTH Legacy partnered with the March of Dimes’ “Becoming a Mom" program, helping 585 expectant mothers in a support group setting learn how to have a healthy pregnancy and successfully transition into motherhood and caring for a newborn.

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CANCER PREVENTION The American Cancer Society presented its National Partnership Award to Legacy for its work on colorectal cancer prevention and screening services. The initiative increased the rate of completed colorectal cancer screenings in patients >50 years of age from 6% to 69% in just 4 years. Legacy also kicked off our partnership with MD Anderson’s Project Valet to provide free mammogram education and screening services to qualified patients.

THE SOLUTION

OUR COMMUNITY IMPACT HIV PREVENTION Legacy continues to provide leadership in ending the HIV epidemic in Houston through its partnership with the Houston Health Department and the END HIV Houston Campaign. Legacy was awarded the CDC Grant for High-Impact HIV prevention to expand services through targeted HIV testing activities, improved access to HIV/AIDS medication and patient support services.

LITERACY Our “Little Readers” early childhood literacy program partnered with H-E-B and the Barbara Bush Literacy Foundation to give away 23,000 books to pediatric patients in one year and established reading nooks in our pediatric clinics.

PATIENT CENTERED MEDICAL HOME Legacy received the renewal of the Patient Centered Medical Home (PCMH) recognition through the National Committee for Quality Assurance (NCQA), and received the highest level possible while adding two practice locations for a total of seven. PCMH is a primary care model with the triple aim of better patient health, better patient care and lower costs.

SCHOOL BASED HEALTH CARE Legacy’s School Based Health care program saw growth in services within our KIPP and YES Prep campuses. The 2016-2017 school year saw a completion of over 10,000 pediatric appointments, which included vaccinations, injuries, and behavioral health services. In particular, 940 well-child visits were completed, a 135% increase from the previous year and 1,497 vaccinations were administered, a 223% increase from the previous year.

LEGAL AID CLINIC In an innovative partnership with Thurgood Marshall School of Law, Legacy started a legal aid clinic for qualified patients. Law students, under supervision of a professor, provided free virtual legal aid consultations to 14 Legacy patients. The virtual consultation model was presented by Dr. Stephen Wexler at the 12th Annual Medical-Legal Partnership Summit as a novel approach to medical-legal assistance needs.

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PAT I E N T P R O F I L E

SHERRY MURPHY LEGACY PATIENT & CANCER SURVIVOR It was years before Sherry Murphy realized something was wrong.

A sore on her right arm wouldn’t go away.

Murphy visited numerous health care providers all over Southeast Texas. Each time, she was told her case couldn’t be handled without insurance, leaving Sherry frustrated with the system and worried about her health.

Murphy's daughter, a long time supporter of Legacy, reached out to Legacy's Beaumont clinic. Within the week, Murphy got an appointment with Dr. Kimberlie Gonzalez who knew instantly that something was wrong. Dr. Gonzalez quickly diagnosed Murphy’s sore as a basal cell carcinoma — a malignant cancer — and immediately brought her back in to remove it, leaving her cancer-free.

As a Federally Qualified Health Center, Legacy serves as a safety net for patients like Murphy who don’t have insurance. As she returns to spending her precious afternoons with her five grandchildren, Murphy recounts one thing she is grateful for.

“She [Dr. Gonzalez] saved my life. They have good people at Legacy. They’ll treat you with the dignity and kindness you deserve, and that’s something you won’t find everywhere.”

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PAT I E N T P R O F I L E

KEYLA MIGUEL OB/GYN PATIENT WITH IMPROVED OUTCOMES After three miscarriages, 34-year-old Keyla was told she may not be able to have another child. Doctors said if she did become pregnant, she would be considered high-risk and have to be put on bed rest.

Then she came to Legacy’s Southwest Clinic.

“When Keyla and her husband came to see me they were anxious,” says Legacy OB-GYN Dr. Sophia Burns. Burns placed Keyla on a baby-aspirin regimen and helped her adjust her diet and modify her work duties. As a result, Keyla had no complications during her pregnancy and never needed bed rest. She gave birth to a beautiful and healthy, 9-pound, 23-inch little girl named Alexie.

“Her experience [with Legacy] was excellent,” explains Keyla’s husband Alex. “Everybody was so nice and took the time to explain things to her. She was treated like she was at home.”

Keyla, who only speaks Spanish, was even more comforted by the fact that Burns is bilingual. For Spanish-speaking patients, having a health care provider who speaks their language can be critical to their health. It’s an example of how Legacy strives to adapt to the individual needs of the diverse communities it serves.

Keyla’s Medicaid has expired, but she wants to continue to receive care at Legacy. The good news is she can because Legacy provides affordable care for the underinsured and uninsured - news that is music to Keyla’s ears.

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E X PA N D I N G A C C E S S

LEGACY OPENS STATE-OF-THE-ART FACILITIES IN UNDERSERVED AREAS As the need for comprehensive health care among those who are uninsured, underinsured and underserved continues to grow, so does our continued commitment to provide quality care and services to communities in need.

This year, Legacy opened two state-of-the-art facilities: an expanded facility in Houston’s Fifth Ward and a new 7,000 square-foot facility in Deer Park – two areas designated as medically underserved with high rates of uninsured and underinsured community members.

LEGACY COMMUNITY HEALTH

Deer Park

Services offered: Behavioral Health, Family Medicine, OB/GYN and Pediatrics

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LEGACY COMMUNITY HEALTH

Fifth Ward

Services offered: Adult Primary Care, Behavioral Health, Dental, OB/GYN, Pediatrics, and Vision (Geriatrics and Pharmacy scheduled to open late 2017)

Tying to the community through art Legacy commissioned Reginald Adams, a Houston artist, to design a mural on Legacy's Fifth Ward's exterior. The mural, titled “Healing Hands,” includes components created by staff and community members further tying together space and community. The installation and inside art exhibits were curated and managed by the Weingarten Art Group.

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DONOR PROFILE

GARY HAMMETT AND DAVID LADUKE Gary Hammett’s relationship with Legacy Community Health began in the 1980s, back when Legacy was still called the Montrose Clinic. “It was the only place you could come to feel safe during the worst part of the AIDS crisis,” he says. “My friends and I could go there and get tested knowing that the clinic’s staff would support us no matter what.”

When Gary’s partner, David LaDuke, relocated to Houston, the couple quickly identified Legacy as the organization they wanted to support. “Many of our friends invited us to Legacy events,” says David. “We always enjoyed ourselves and appreciated the chance to learn more. In fact, I enjoyed my time with Legacy people so much that I trained to run the 2013 Kona Half-Marathon with the Team to End AIDS group.”

When it came time for the couple to choose their personal charity, Legacy was a natural fit. “We wanted to pick one organization and go all in, supporting it as much as we can so that our donations make the biggest impact,” says Gary. “Legacy was a comforting place to so many people from so many different communities in the 80s, and we want to honor the organization’s longterm commitment to serving anyone and everyone. It’s unbelievable how the house in Montrose has grown into a medical care organization that offers primary health care, pediatrics, dentistry, optometry, behavioral health services and care for expectant moms.”

“We’re at a point in our lives when we can give back more,” says David. “Our schedules sometimes make it hard for us to volunteer as much as we’d like. We try to do more than donate money. We enjoy the time we spend advocating for the great work Legacy does in diverse communities across Texas.” Gary adds that they “want more people to know that Legacy is there for them, that it’s a warm and welcoming place for people from all backgrounds.”

“It’s been amazing to watch Legacy grow and expand,” says Gary. “I was there when in its past, the Montrose Clinic helped anyone worried about their HIV or STD status. When it came time to make our largest donation, Schmooze we were proud to support the 2016 Building Healthy Families capital campaign for a Luncheon new Southwest 2016 Clinic. The existing clinic was bursting at the seams when we toured the facility, and we know that a new, larger more patient-friendly building will have a great impact on the neighborhood for years to come.”

“It’s inspiring to see how Legacy helps anyone concerned about almost any health care situation,” says David.

“We want to support their efforts for as long as we’re able, and we’re excited to be a part of Legacy’s future.”

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“You can find magic wherever you look.

Sit back and relax, all you need is a book!”

– Dr. Seuss Legacy believes kids should be healthy in body and mind. Our pediatric providers are treating both when our young patients from six months to twelve years come in for pediatric visits. Through Legacy’s Little Readers program, children at wellchild visits receive a free book and a “prescription to read.” On Dr. Seuss’ 100th birthday and Read Across America Day, Legacy participated in reading to children throughout all of their pediatric locations as well as providing over 300 books throughout the day to participating families.

Photos: Legacy Southwest celebrates Read Across America day with pediatric patients.

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MESSAGE FROM THE CHIEF MEDICAL OFFICER

DR. ANN BARNES This past year we’ve made great strides, but our sights are set even higher for the coming year as we continue to listen to and meet the changing needs of our communities.

For almost 40 years, we have served on the forefront of providing high quality and affordable health care services to patients in need. Through the hard work of our teams and the support of our community partners and donors, we have been able to expand health options for our patients this year through a successful growth strategy and the launch of additional patient-centered programs.

Our plans for next year include focused efforts to grow in the following areas: • E xpanding locations and services – we continue to expand access with plans for a new clinic in North Houston, a new facility in Southwest Houston, expanded locations for our School Based Health Care Program and the addition of clinical pharmacy access through two new Legacy owned and operated pharmacies within our Montrose and Fifth Ward clinics.

• Ending the HIV epidemic – we build upon our efforts through the END HIV Houston campaign by working on a local, regional and national platform to advance our roadmap to ending the HIV epidemic in Houston and formulating the right partnerships to carry out our community-driven strategies.

• A dvancing mental health services – we want to ensure mental health needs continue to be addressed with as much priority as physical health needs. This past year we made a permanent investment in our mental health efforts by solidifying the innovative Integrated Behavioral Health program at our Baytown and Montrose clinics. We want to continue to bring in patients to benefit from these services.

• A ddressing social determinants of health – with a sensitivity to the many social factors that influence the health of our patients, we are building a process to screen patients for food insecurity and other social determinants of health in order to connect them to the right resources.

• C ancer screening and prevention – through a valuable partnership with the American Cancer Society and a collaborative effort with The University of Texas MD Anderson Cancer Center, we will continue to drive the message to our patients about the importance of cancer prevention and offer screening services at low cost to patients in need.

• G eriatric services – with the anticipated growth of an aging population in our community, we’re expanding our geriatric service line into several clinics to better serve this population’s needs.

While our providers staff and program teams are hard at work, it is the active engagement and commitment of our partners — community leaders, board members and donors — that help to expand our services and positively impact our patients. We thank you for your dedication to the mission of Legacy Community Health, and look forward to partnering with you in the year ahead.

Sincerely,

Ann Barnes, M.D., M.P.H. Chief Medical Officer

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Connecting our communities to health every day, in every way.

Legacy Community Health physician Dr. Charu Sawhney and her daughter participate in a community art day to help create the colorful Fifth Ward mural

by Houston artist Reginald Adams.

Project management services provided by Weingarten Art Group

SERVICES OFFERED BY LEGACY

With Legacy’s vision of health care to all, we’re committed to providing a range of services: Adolescent Care Adult Primary Care Behavioral Health Dental Care Eligibility & Enrollment Family Medicine Gender Health & Wellness Geriatrics Health Promotion & Education HIV/STD Screening & Treatment 22

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LGBTQ Services OB/GYN Patient Navigation & Linkage to Care Pediatrics Pharmacy School Based Health Care Social Services Transgender Specialty Care Vaccinations & Immunizations Vision

HURRICANE HARVEY At the time of this publication, our community was hit by one of the most catastrophic storms in U.S. history. Hurricane Harvey impacted the lives of many people in the communities we serve.

The staff at Legacy Community Health worked tirelessly to open our clinics as fast as possible and provided both medical and behavioral health services to patients in need. In tribute to the efforts to provide quality care regardless of the circumstances, we share a story of a patient who came to Legacy to heal after Harvey.

PAT I E N T P R O F I L E

MELINDA AINSWORTH BEHAVIORAL HEALTH PATIENT When Hurricane Harvey hit Houston, Melinda Ainsworth’s anxiety quickly rose. Her home didn’t flood, but she was overwhelmed by the loss of life and physical devastation all around her.

Ainsworth's stress increased when the public transportation she depends on was temporarily unavailable. A grateful Ainsworth found comfort in her weekly therapy session with Legacy Therapist, Roma Bhatt.

Ainsworth has been in therapy for depression and anxiety for 18 months. “Therapy is a safe place for me to talk about my feelings and help me feel better and connected,” she says. Therapy has allowed Ainsworth to “practice coping skills and achieve structure and routine” in her life.

Ainsworth was so impressed with Legacy’s Behavioral Health services that she began using the clinic for her primary care, dental and vision needs. Legacy Montrose’s full-service approach provides patients with the convenience of taking care of many of their medical needs under one roof. And it helps patients like Ainsworth — a member of the LGBT community — feel welcome as Legacy caters to the unique needs of the diverse communities it serves.

Although Legacy has grown, Ainsworth says it still feels intimate. “I feel most comfortable at Legacy and encourage all my friends to go there,” she says.

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