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LifeLong Medical Care 2019 Annual Report

LifeLong 2019 Transforming Community Health Care

A Message From Marty Lynch, PhD In striving to improve quality, LifeLong Medical Care is undertaking systematic changes that are transforming community health care. We are learning what interventions work best, then finding new ways to implement these evidence-based approaches in caring for our patients. And we are learning about new ways to extend a helping hand to people who need it — whether it’s in our clinics or on the street. The new William Jenkins Health Center, which is on the threshold of opening, puts many of our best practices under one roof. Extending the mission of the late Richmond pediatrician Dr. William Jenkins to care for the whole family, the new facility will provide primary care, behavioral health care, an urgent care department, a state-of-the-art dental department, a Marty Lynch, PhD, Executive teaching kitchen and wellness center, and an onsite lab and x-ray. It also will Director and CEO be home to a newly accredited Family Medicine Residency Program — a Teaching Health Center — that will help assure that we have the primary care providers needed to give high-quality health care to the low-income members of our community in the future. Our new electronic health record, Epic, promises to bring quality improvement to the next level, helping health care providers to better diagnose and provide safer care. LifeLong will soon be up-to-speed with what most of the health care systems in the country are using. We at LifeLong also are learning how to give the right care “It has been my life’s work to patients — just when and where they need it. Our Street Medicine Program provides comprehensive health care for the for more than 40 years, and homeless, while at the same time connecting them to a brickI couldn’t be more proud of and-mortar clinic. LifeLong and our people.” A grant for PrEP services means LifeLong can now hire a — Marty Lynch, PhD Navigator to identify patients at the population level who might benefit from this drug — which can prevent HIV in 99% of cases. Providers at LifeLong Howard Daniel Health Center are employing a new protocol aimed at decreasing rates of preterm birth and improving maternal health. The Mama Matters Too Program’s goal is to help decrease disparities in health care for new moms. Across our organization, we are learning new and better ways to care for our patients. For example, we have trained every medical assistant to assure that patients receive necessary tests and screenings. Because controlled blood pressure is the key to cardiovascular health, LifeLong has been focusing on increasing the number of our patients with high blood pressure who now have that blood pressure controlled. We’re finishing 2019 with about a 5% improvement in high blood pressure control in our population — much of this the result of using best practice clinical guidelines for treatment, as well as providing lifestyle counseling to patients and targeted community education programs like Heart2Heart. These kinds of quality improvements have taken the concerted effort of everyone at LifeLong. Improving care in our community has been my life’s work for more than 40 years, and I couldn’t be more proud of LifeLong and our people. I thank all of you for your support over the years. I know that the transformation of community health care will continue into the future.

Marty Lynch, PhD Executive Director/CEO


New LifeLong William Jenkins Health Center Will Provide State-of-the-Art Health Care Services for the Entire Family As one of the first African American pediatricians in Richmond, William Jenkins, MD, treated more than a million patients in his 50-year career. Now, LifeLong Medical Care will continue Dr. Jenkins legacy to the West Contra Costa community through a beautiful new facility — where the entire family can get care — named after Dr. Jenkins.

“My dad would be very proud of this new LifeLong William Jenkins Health Center,” says John Jenkins, Dr. Jenkins’ son and a member of LifeLong Medical Care’s Board of Directors. “He was committed to Richmond and the entire West County area, so he would be thrilled that there will be a permanent source of high-quality health care for the community.” The health center, which is slated to open in early 2020, will be able to

provide a variety of services to care for patients of all ages in various departments, explains Julia Still, MPH, Senior Project Manager for New Initiatives. The LifeLong Brazell H. Carter Health Center in Richmond, which will be moving to the new facility, “has a robust program for older adults,” she adds. LifeLong Brookside Julia Still, MPH, Senior Project Manager for New Richmond offers the full scope of Initiatives (left) is Project Manager for the new health primary care services, and it also center. Jennifer Mourelatos, MPH, is Center Manager. will be moving to the new health Clinic Supervisor at LifeLong William center. In addition, the facility will Jenkins Health Center. Mrs. Flores house integrated behavioral health. A state-of-the-art dental department worked with Dr. Jenkins for many years will feature nine dental chairs, including before his retirement. “We will be able to treat all of the underserved a pediatric section. In addition, there members of our community.” will be an urgent care department, a “I am very excited about the accessiteaching kitchen and wellness center, bility that this will bring to our patients,” and an onsite lab and x-ray. A Teaching Mrs. Flores continues. “I hope that this Health Center on the third floor will new change will continue with the house LifeLong’s recently accredited legacy that Dr. William M. Jenkins left Family Medicine Residency Program. behind. He was very much loved in our “The opening of our new building community and nearby communities will improve our nearby communities in the Bay Area. His mission was to and bring us all together as one big always serve the very underserved.” n family,” says Guillermina Flores, the

Staff at LifeLong William Jenkins Health Center stand in front of the new facility during construction. The new health center will serve the entire family. 2019 ANNUAL REPORT • 3

Apple Game Helps Health Care Providers Track Quality Measures for Prevention, Chronic Care Services Sometimes learning how to improve quality can be as simple as picking apples. That’s what Hannah Tikalsky, MPH, MSW, LifeLong’s Director of Quality, Population Health, and Data, was betting on when she designed “The Apple Game.”

The Apple Game works in a business intelligence tool called Tableau. The web-based platform allows you to build — real-time — visually dynamic images. In this case, it also allows health care providers to track their quality performance. Care teams “pick” apples from a digital tree that can be filled with 10 different-colored apples. Each color corresponds to one of 10 core quality measures that have been established across LifeLong’s Health Centers. The game shows how many opportunities there are to complete preventive care or chronic care services for patients coming in for an office visit each day. In conjunction with LifeLong’s Chief Medical Officer, Tikalsky developed a strategy for what LifeLong

Janae McFadden, Quality Improvement Coordinator (left), demonstrates the Apple Game on Tableau to a LifeLong Downtown Oakland Health Center Staff Member.

— on all core quality measures since wanted to measure quality-wise. They implementing the game.” prioritized a set of 10 core quality The Apple Game has been shared measures for which all LifeLong Health with seven other community health Centers are accountable. They relate centers in the East Bay. And, Tikalsky to chronic conditions and prevention across pediatrics, adult, and women’s health. “It’s a dynamic way to let providAs providers complete quality measures, the apples grow in size. ers track quality. We’ve seen a Once they have completed all of the 5% boost — collectively — on all quality measures, core quality measures since the provider implementing the game.” picks the virtual apple. “You want — Hannah Tikalsky all apples in the basket.” shared the game with an audience of “Every care team 20,000 Tableau Users at their recent has a license to Tableau Conference. use Tableau. We “It’s been really kind of humbling to ask them to see how much effort people put into measure at least their work. Before Tableau, it was all once a day. It’s a anecdotal: ‘I think we did good today.’ dynamic way to let But you’d forget the three patients you providers track were not able to vaccinate. This is quality,” she says. Hannah Tikalsky, MPH, MSW, Director of Quality, Population Health, “We’ve seen a 5% objective, hardline, ‘Here’s what we did and Data Analytics, designed the Apple Game around 10 core quality measures. boost — collectively and here’s how can we do better.’ ” n 4 • LIFELONG MEDICAL CARE

Mama Matters Too Program Helps Lower Rates of Preterm and Low-Birth Weight Babies At LifeLong Howard Daniel Health Center, Mama Matters Too. In collaboration with Alameda County March of Dimes, the health center is implementing a new model of care designed to lower the rate of preterm births and low-birth weight babies. Health care providers are asking moms about their health at every visit where they bring in their baby, from birth to 24 months.

“We’re concerned about the growing inequities for women of color and birth outcomes,” says Maura George, March of Dimes Maternal Child Health Director. “And the unequal access to quality health care in our country — we feel that’s driving the preterm birthrate.” In Oakland, the rate of preterm births for Black moms is 75% higher than for White mothers. For Latinos it’s 30% higher than for White women.

planning, multivitamin and folic acid Mama Matters Too is funded by use, and depression. a grant from Anthem Blue Cross “Often at a new baby visit, a mom Foundation, which selected two will have something on her mind but grantees — LifeLong Howard Daniel doesn’t think it’s the right time to ask,” Health Center and La Clinica de la Raza — to adopt this new model for the way they care for moms and babies. At LifeLong Howard Daniel Health Center, caregivers focus on caring for mom and baby together during the first two years. “Having the grant, and having the time and energy, is giving us space to pause and really check in with mom and Trina Campbell, Community Health Worker at LifeLong say, ‘How are you doing? Howard Daniel Health Center, works with the Mama Matters Too Program. Health care providers are asking moms about Can we go over at least their health at every visit when they bring in their baby, from these four things that we birth to 24 months. think would really help explains Campbell. But when the you?’” says Trina Campbell, provider asks moms how they are, Community Health Worker at LifeLong they’ll often say, “Yea, I need birth Howard Daniel Health Center. control, or I’m having this issue. There’s Moms are being asked about four so much going on between mom and health topics that clinicians know the baby. They’re really one unit.” n are important: smoking, family

“There’s so much going on between mom and the baby. They’re really one unit.” — Trina Campbell

New moms talk at LifeLong Howard Daniel Health Center. The Mama Matters Too Program is designed to lower rates of preterm and low-birth weight babies. 2019 ANNUAL REPORT • 5

LifeLong Makes Epic Change to Roll Out Electronic Health Record for Better Coordinated Care Almost 50% of health systems, hospitals, and health centers in the United States are using an electronic health record (EHR) called Epic — and now so is LifeLong Medical Care.

LifeLong is one of the eight health centers encompassed by the Community Health Center Network (CHCN) of the East Bay that is rolling out Epic. “The implementation has been a team effort,” says Yui Nishiike, Nurse Practitioner, Deputy Chief Medical Officer for Clinical Innovations. It’s been a complex process as the health centers have been learning to customize Epic to work in an outpatient community health center. Out of the box, the Epic system is designed for hospitals, explains Ryan Hensler, EHR Manager for LifeLong. “This is definitely a much bigger project. LifeLong is one of the most complex organizations that OCHIN,

“The implementation has been a team effort.” — Yui Nishiike

The Epic Core Team: Front row (left to right) Cynthia St. Julian, Yui Nishiike, Darcell Purefoy, Felicia Jones, Stacey Stein. Back row (left to right) Kate Lewis, Sylvia Green, Christopher Ryan, and Ryan Hensler. 6 • LIFELONG MEDICAL CARE

there would have the patient’s who is rolling out the EHR, has ever medication list from California and seen because LifeLong has so many would be better able to treat the different services. It’s not a traditional patient,” he said. primary care clinic,” says Hensler. The electronic health record will Hensler has been responsible for provide up-to-date information about the technical side of the EHR implepatients at the point of care. That mentation, while Nishiike has been means providers can better diagnose responsible for the clinical side. As a and provide safer care. “Epic gives practicing clinician, Nishiike helps quantifiable data about how to optimize Epic “so that it best works for improve the patient’s health,” says us — the clinicians,” she says. Nishiike. n All of a patient’s data — no matter what LifeLong health center they go to — is available in the patient’s electronic health record. And more broadly, the patient’s medical record can be shared among any other Epic user. “Any other clinic or hospital that uses Epic across the nation or world would be able to see the patient’s info if they presented,” says Hensler. Lead Medical Assistant Yadira Alarez takes a child’s blood “Say the patient was in pressure at LifeLong William Jenkins Health Center. Hawaii for a visit and they Epic provides up-to-date info about a patient’s health at the point of care. slipped and fell. A clinic

“Our system is very good about making sure that everybody gets tested for HIV. Testing has made a difference.” — Dr. Xaviera Ortiz

Members of the HIV Team: (Left to right): Zackery Pittman, Dr. Xaviera Ortiz, Vanessa Flores, Cassandra Ekdawy.

Testing, Outreach, and PrEP Medication Help Providers Control And Prevent HIV in LifeLong Patients Life where HIV is controlled or prevented: It might have seemed impossible once. But a drug that can prevent HIV infection; testing of everyone for HIV; and provider training in how to reach out to HIV-positive patients is getting LifeLong Medical Care closer to that goal.

A drug taken by people at very high risk for HIV can prevent the disease in 99% of patients. Called Pre-exposure prophylaxis, or PrEP, the drug can stop HIV from taking hold and spreading through the body. It works for preventing HIV from sex or injection drug use. “LifeLong received a grant for PrEP services,” explains Dr. Xaviera Ortiz, a LifeLong Medical Care Physician who delivers HIV services. “That has allowed us to hire a PrEP Navigator to look at patients — at the population

level — and identify patients who might benefit from the drug.” The grant is for all of LifeLong’s Alameda County Health Centers. Dr. Ortiz emphasized that all outreach works through the patient’s primary care provider. They know their patient and can decide whether PrEP would be a good idea for them. “For me, it’s important that the patient has a medical home,” says Dr. Ortiz. LifeLong providers have received training and expertise in HIV from the American Academy of HIV Medicine. Dr. Ortiz keeps track of the rates of viral suppression — how many are responding to the medication — and how many people are coming into the health centers. In the future, she’d like to grow the services at TRUST, where patients have a lot of housing difficulties that make HIV more prevalent. PrEP is covered by most medical insurance and health plans, she says. For patients who are uninsured, the State of California has a PrEP assistance program.

The Centers for Disease Control and Prevention recommends that everyone over age 13 should have at least one lifetime test for HIV. At LifeLong, the goal is to have 100% of patients tested. “Our system is very good about making sure that everybody gets tested for HIV,” says Dr. Ortiz. The tests are built into the system. “We test all patients who come in to get care. Testing has made a difference.” n

Dr. Xaviera Ortiz examines a patient. “For me, it’s important that the patient has a medical home.” 2019 ANNUAL REPORT • 7

From Making Appointments to Refilling Prescriptions, Call Center Implements Better Ways to Serve Patients A few years ago, if you wanted a medical appointment at LifeLong Medical Care you had to wait for many minutes on the phone with the Call Center. But thanks to the dedicated efforts of LifeLong Managers and Call Center Staff who are implementing better ways to work, that picture has changed dramatically.

“We now answer 93% of calls within four minutes,” says Yodit Tesfom, Call Center and Patient Services Manager for LifeLong. “We’re almost at our goal — which is the industry average of 95%.” Tesfom says it’s taken the Call Center about four years to get where they are now. It has meant increasing staff levels and putting in technology that helps route calls faster. “We answer about 1,200 calls per day,” she says. The Call Center improved and streamlined the process so that all the health centers do things the same way.

“We tried to standardize as much as possible. Standardizing is the key.” Calls for everything from patient calls for appointments or prescription refills to vendors are routed through the Call Center. “We have very clear protocols and procedures now. We do a lot with very well-trained reps, and our staff turnover Call Center Team Members (left to right): Natasha Scott, has been pretty good,” Yodit Tesfom, and Gwen Bell. Very clear policies and says Tesfom. procedures have helped the Call Center Team achieve great Similarly, LifeLong has results: They answer 93% of calls within 4 minutes. tackled the timeliness of system” — so that someone could prescription refills, explains Isobel cover for providers who need to Harvey, RN, MSN, Director of Clinical approve prescriptions when they Development for LifeLong. By working are out of the office — produced with data analysts in the quality great results. department, they pulled info from the “How are we doing? 83% are being electronic health record. Once they refilled within 0-3 days,” she says. had a better picture of what was That’s a health care industry standard. happening, they set about developing “It took a long time to work through policies, procedures, and protocols, the system,” says Harvey. “But it’s she says. worth it because now we’re seeing Getting physicians and nurse results.” n practitioners to adopt a “buddy

“We now answer 93% of calls within four minutes.” — Yodit Tesfom

The Call Center Team handles about 1,200 calls each day — everything from making appointments to refilling prescriptions. 8 • LIFELONG MEDICAL CARE

Street Medicine Program Brings Medical Care to Homeless Population and Connects Them Back to Care As the Bay Area homeless crisis grows, LifeLong Medical Care has developed new ways of bringing medical care to people where they live.

“I think the Street Medicine Program is critical to the health of the homeless,” says Jason Reinking, MD, who leads the Program for LifeLong. Working in collaboration with Alameda Healthcare for the Homeless, LifeLong’s Street Medicine Program has two teams consisting of a Nurse, a Social Worker, and a Community Health Worker. A Doctor works parttime with each team, one of which visits the homeless encampments in downtown Oakland and one in East Oakland. “The Street Medicine program’s goal is to connect people to a brick-andmortar health center in order to facilitate high-quality, comprehensive care,” says Dr. Reinking. “We care for people with the most high-quality care possible while they are on the street, yet connect them back to care,” he explained.

Members of LifeLong’s Street Medicine Team include (left to right): Lauren Marriott, Diane Del Pozo, and Jabali Jacks. Street Medicine Teams consist of a part-time Physician, a full time RN, a Social Worker, and a Community Health Worker.

strong recommendation to go to the The Street Medicine Program also health center or hospital.” has different avenues for accessing She also sees a lot of behavioral short- and long-term housing — but it health needs, usually tied to medication. is working in the confines of a “People have mental health conditions stretched system, he adds. The number of homeless residents living in Oakland has increased 47 percent “I think the Street Medicine since 2017. That brings Program is critical to the health the number of homeless of the homeless.” people to 4,071, according to EveryOne Home. — Dr. Jason Reinking Melissa RamirezMedina is a Registered and they’ve lost care. We need to get Nurse who works on one them reconnected and back to the of the teams. “We see a lot of wounds,” says Ramierez- health center as soon as possible.” Ramirez-Medina finds her work Medina. “Most of them are fulfilling. “For me, it was about manageable and the team reaching a different community and comes prepared to treat radically rethinking how to provide them on the street. If we Rina Breakstone and Dr. Jason Reinking work to bring medical care in a way that reaches the see anything more high-quality care to the homeless and connect patients most vulnerable populations.” n extreme, we put in a back to brick-and-mortar health centers. 2019 ANNUAL REPORT • 9

New Family Medicine Residency Program and Nurse Practitioner Residency Train Primary Care Providers Through a recently accredited Family Medicine Residency Program, and a Nurse Practitioner Residency Program that has garnered an important new grant, LifeLong Medical Care is training health care providers for the future.

“LifeLong Medical Care has developed these residency programs to assure that we have an adequate number of future primary care providers to continue to provide high-quality health care to the low-income members of our community,” says Marty Lynch, LifeLong Medical Care’s Executive Director and CEO. Known as a Teaching Health Center because LifeLong received the accreditation instead of a hospital, the Family Medicine Residency Program will be located on the third floor of the new LifeLong William Jenkins Health Center in Richmond. It launches this summer

with six residents and will add six additional residents the next two years for a total of 18 residents. A recently awarded California Song-Brown grant will help support the program. LifeLong Medical Care is one of only a handful of community health centers in California to have been accredited to develop and run their own physician Kirsten Flagg, NP, gives a presentation. She is the residency program, says Eric Family Nurse Practitioner Residency Director. Henley, MD, former Chief of outpatient care in health settings Medical Officer for LifeLong and now a like ours.” consultant on the residency program. Now in its fifth year, the Nurse “We pursued accreditation and Practitioner Residency Program is started a family medicine residency to growing thanks to a grant from Health increase the number of primary care Resources and Services Administration physicians interested in working in safety-net health centers like those in the East Bay after they graduate,” “LifeLong Medical Care is one of he says. Adds Julia Still, MPH, who has been only a handful of community working to implement the program at health centers in California to Jenkins Health Center: “We are doing have been accredited to develop this because we are an organization and run their own physician increasingly committed to training a workforce prepared for the full scope residency program.”

— Dr. Eric Henley

Deborah Simon-Weisberg, MD, at left, examines a baby. Dr. Simon-Weisberg is a member of the core faculty and Program Director for the Family Medicine Residency Program.

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(HRSA). “The HRSA grant is a national recognition of the importance of post-grad NP training. We won this award because we’ve been trailblazers in this field,” says Kirsten Flagg, NP, Family Nurse Practitioner Residency Director. LifeLong has partnered with two other health centers that are part of the Community Health Center Network in the East Bay, and with the UCSF program for nurse practitioner students. At each of the five sites, there will be two residents paired with an experienced clinician whose job is to teach. “The model for how we’re growing the program is unique,” says Flagg. n

“Medication Assisted Treatment is a wonderful asset to our primary care clinic, as substance-use disorder is often the main factor driving a person’s health and social situation.” — Dr. Kim Nguyen The Medication Assisted Treatment Program Staff, which includes Primary Care Providers, Recovery Support Counselors, Case Managers, and Medical Assistants specifically trained in how to help patients in the program. “I think it works really well,” says Erica Morse, MS, MPH, Program Manager for Strategic Initiatives.

Medication Assisted Treatment Program Helps Patients With Opioid Disorder Make Positive Lifestyle Changes LifeLong Medical Care has implemented new, evidencebased ways to help patients dealing with opioid-use disorder. Through the Medication Assisted Treatment (MAT) Program, primary care providers treat patients with buprenorphine, a drug that dampens the cravings and enables patients to make positive lifestyle changes.

“It’s not a perfect treatment, but for people who are ready to have stability and support in their lives, it’s a really good fit,” says Erica Morse, MS, MPH, Program Manager for Strategic Initiatives. The need for the MAT Program is compelling. According to the Centers for Disease Control and Prevention,

prescription opioid drug overdoses have increased threefold in three years. Evidence shows that medication assisted treatment is extremely effective — and critical to stemming the tide of opioid addiction. Through LifeLong’s MAT Program, the primary care provider prescribes the drug to patients struggling with opioid disorder. That way, their Doctor can track all of their patient’s health needs — whether it’s preventive health screening or care for chronic conditions — and have their patient’s opiate problem treated like any other health issue. “MAT is a wonderful asset to our primary care clinic, as substance use disorder is often the main factor driving a person’s health and social situation,” says Kim Nguyen, MD, a LifeLong Physician. “By providing care for substance use within a primary care clinic, we’re able to treat more

patients, reduce the stigma of substance use treatment, and connect patients to primary care who would otherwise never be seen by health care providers.” The integrated care team also includes a Recovery Support Counselor, a Case Manager, and a Medical Assistant trained specifically in how to help patients in the MAT Program. “I think it works really well,” says Morse, who coordinates the program. “The general feedback is that patients enjoy having a Counselor to meet with separately, and they’re able to call their Case Manager in case there’s a problem getting their prescription.” Evidence shows that patients are able to stay on buprenorphine as long as needed. “If they’re on the drug, many patients consider themselves sober. They can function in life, have a job, and have a family.” n 2 0 1 9 A N N U A L R E P O R T • 11

National Association of Community Health Centers Presents Marty Lynch With Lifetime Achievement Award Marty Lynch, PhD, Executive Director and CEO of LifeLong Medical Care for almost 38 years, was recently presented with a 2019 Outstanding Achievement Award by the National Association of Community Health Centers (NACHC). Lynch received the national award for “excellence and commitment to America’s Health Centers and the people they service.” NACHC President and CEO Tom Van Coverden presented the award to Lynch at the 2019 Community Health Institute and Expo. translates into nearly 3 million low“I’m so very honored to receive this award and to have had the opportunity income older people who get excellent health care in the community health to contribute to the health of the center system. communities served by “I’m so proud of us for health centers,” said Lynch. doing that,” he said. Saying he had one of the Community health “luckiest jobs ever,” Lynch centers continue to face noted that through collabochallenges, among them ration with the Alameda immigrant health, women’s Health Consortium and the health, and an epidemic of California Primary Care homelessness. But the Association, LifeLong biggest threat of all, he Medical Care has been able 2019 Outstanding Achievement Award said, is climate change. Air to accomplish “amazing pollution, mostly caused by carbon things together” to improve the health pollutants, aggravates a range of of their communities. ailments including everything from Lynch spent most of his life working heart attacks to chronic obstructive with aging populations and the pulmonary disease, asthma, stroke, homeless. “When I started at LifeLong, lung cancer, type 2 diabetes, and the elderly were 5% to 6% of the pneumonia. And low-income commucommunity health center population. Now it’s 10%,” he said. Nationwide, that nities served by health centers will suffer the greatest health consequences, not only from unhealthy air, but also from searing heat, increased wildfires, high winds, and flooding that come with climate change. Lynch began his career at the Over 60 Health Center, which later became LifeLong Medical Care. He co-founded the Healthy Aging SubcomMarty Lynch started his career at the Over 60 Health mittee of the National Center, which later became LifeLong Medical Care. 12 • L I F E L O N G M E D I C A L C A R E

Association of Community Health Centers and is past chair of the California Primary Care Association. He was recently appointed by Governor Gavin Newsom to serve on the

“I’m so very honored to receive this award and to have had the opportunity to contribute to the health of the communities served by health centers.” — Marty Lynch, PhD California Master Plan on Aging Advisory Committee. Lynch also serves on the boards of the Oakland PACE health plan for disabled elders and the Alameda Alliance for Health Plan that serves Medi-Cal beneficiaries. Lynch received his PhD in Social and Behavioral Sciences from the University of California, San Francisco, and a Master in Public Administration from the Kennedy School of Government at Harvard. In addition to health administration, Lynch is involved in public policy and research activities related to health access for the uninsured, long-term care models, chronic care, and financing care for disabled populations. Lynch also is a Lecturer at the University of California, Berkeley. n

Make a Difference — Today!

A few ways you can help support LifeLong Medical Care: u Give a Gift Today! Your contribution helps LifeLong fulfill its mission of providing high-quality health care to people of all ages, regardless of their ability to pay.

u AmazonSmile and e-scrip: LifeLong Medical Care benefits when you shop with escrip.com and AmazonSmile. Visit Amazon.com or lifelongmedical.org for more information.

u Double Your Impact: Find out if your company has a matching gifts program.

u Call or Email Us: Speak with us about making a contribution or discuss ways you can make a difference. Contact Lucinda Bazile at: 510.981.4154 or email: lbazile@lifelongmedical.org.

u Leave a Legacy: Contact our Development Department for more information on setting up a lasting gift. Call Lucinda Bazile at 510.981.4154 or email: development@lifelongmedical.org. u Hold a Fundraiser: Work with the LifeLong Development Department to hold a fundraiser on LifeLong’s behalf. This type of event helps to spread the word about our cause. u Donate Your Vehicle: We accept cars, trucks, vans, motorcycles, RV’s and boats! Car Donation Services makes it easy for you. You may receive a tax write-off when you donate it to LifeLong Medical Care. Call 888.686.4483 today to set up an appointment with Car Donation Services.

u Follow Us Online: Like LifeLong on Facebook! u Attend Our Events: Sign up to get our e-newsletters and updates. Email us at: development@lifelongmedical.org. LifeLong appreciates everything you have done and continue to do for us each and every day. Life is filled with uncertainty. We get it. We hope you will consider giving at the same level you have in years past, if not more, to help a person in need of medical, dental, and/or social services. You can — and do — make a difference by giving a gift today. Call Lucinda Bazile at 510.981.4154. Thank you.





James Johnson Jr., Chair John L. Jenkins, Vice Chair Gloria Flores-Garcia, Secretary Phil Kamlarz, Treasurer Kevin Williams, Past Chair

Marty Lynch, Executive Director/CEO


The Claremont Club and Spa in Berkeley.

Special Events Save the Date for Annual Gala! LifeLong’s Annual Gala will take place March 7, 2020 at the Claremont Club and Spa in Berkeley. Check out our website for more info on how you can attend: lifelongmedical.org Annual Charity Golf Tournament It’s never too early to plan for LifeLong’s Annual Charity Golf Tournament next October at the Richmond Country Club. The tournament is held in partnership with the San Pablo Lytton Casino.


Ron Adler Robin Betts Patricia Carson Sussman Tasha Henneman Janet Howley Robbie Hurtado Chris Kiefer Georgia Lacy Edgar U. Quiroz Rachel Tobey Judy Turiel Sharlana Turner

Lucinda Bazile, Deputy Director Dr. Michael Stacey, Chief Medical Officer Kanwar Singh, Chief Financial Officer DL Poole, Chief Administrative Officer Diane Lyons, Chief Information Officer Julie Sinai, Chief Strategy Officer Brenda Goldstein, Chief of Integrated Services


Senior Editor: Lucinda Bazile

Design: Huber Design Group

Editor: Helen Pettay Communications

Photos: Courtesy of Trevor Henley at Desire to Inspire Studios

Contributing Editors: Marty Lynch, Eric Henley, MD, Julie Sinai, Kara De La Paz, Kyle Russ

2 0 1 9 A N N U A L R E P O R T • 13

Did You Know? LifeLong Patients By Age1 Under 1 Year


1-4 years

4,788 9,104

5-12 years 13-14 years


15-19 years


20-34 years


35-44 year


45-64 years


65+ years











LifeLong Patients By Race1 Asian/Pacific Islander


African American


Caucasian American Indian



More Than One Race


Other/Unreported Race








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based upon 2018 Uniform Data System (UDS) Report

LifeLong Patients By Ethnicity1

LifeLong Patients Living at or Below Federal Poverty Level (FPL)2 77%


Non-Hispanic/ Latino

are at/or below FPL


Hispanic/ Latino


did not report income



are at/or above FPL

Unreported Ethnicity

 2 Federal

Poverty Level = $25,750 (Annual Income for a Household of Four)

LifeLong Medical Care Financial Statement July  1, 2018–June 30, 2019 Fiscal Year:


REVENUE  atient and Third Party Fees: P $64,217,109



Grants and Contracts: $26,491,408 Other Income: $5,233,225


In-Kind: $20,662 Total Revenue: $95,962,404


EXPENSES Program Services: $70,963,144 Support Services: $20,613,574 3 Unaudited

financial reporting ending June 30, 2019.



Total Expenses: $91,576,717 Net Income: $4,385,686

2 0 1 9 A N N U A L R E P O R T • 15

LifeLong Medical Care Services

Locations in Alameda, Contra Costa, and Marin Counties



Hercules Pinole

El Sobrante

North Richmond

San Pablo

Richmond El Cerrito

Administrative OďŹƒce & Patient Services



Health Center Immediate/Urgent Care Center Adult Day Health Center



Dental Care Center Alameda

Dental Care Van School-Based Health Center

San Leandro

Supportive Housing Program East Bay Community Recovery Project (EBCRP)

16 • L I F E L O N G M E D I C A L C A R E


LifeLong Medical Care Offers the Following Services by City: Administrative Office Administrative Office and Patient Services 2344 Sixth St. Berkeley | (510) 981-4100

Health Centers Ashby Health Center 3075 Adeline St., Suite 280 Berkeley | (510) 981-4100 Over 60 Health Center 3260 Sacramento St. Berkeley | (510) 981-4100 West Berkeley Family Practice 837 Addison St. Berkeley | (510) 981-4100 Downtown Oakland Health Center 616 16th St. Oakland | (510) 981-4100 Eastmont Health Center 7200 Bancroft Ave., Suite 125A Oakland | (510) 981-4100 East Oakland Health Center Foothill Square 10700 MacArthur Blvd., Suite 14B Oakland | (510) 981-4100 Howard Daniel Health Center 9933 MacArthur Blvd. Oakland | (510) 981-4100 Lenoir Health Center 2940 Summit St., Suite 1B Oakland | (510) 834-4897 Trust Health Center 386 14th St. Oakland | (510) 210-5050 Pinole Health Center 806 San Pablo Ave., Suite 1 Pinole | (510) 981-4100 Brazell H. Carter Health Center 2600 Macdonald Ave. Richmond | (510) 981-4100

Brookside Richmond Health Center 1030 Nevin Ave. Richmond | (510) 215-5001 William Jenkins Health Center 150 Harbour Way Richmond | (510) 237-9537

School-Based Health Centers Rosa Parks Elementary School Berkeley Emeryville Health Center Emeryville

Rodeo Health Center 25 California St. Rodeo | (510) 981-4100

Elmhurst Community Prep/ Alliance Academy Oakland

Brookside San Pablo Health Center 2023 Vale Rd. San Pablo | (510) 215-9092

West Oakland Middle School Oakland

Supportive Housing Program Immediate/Urgent Care Centers

Berkeley (3 sites)

lmmediate/Urgent Care–Berkeley 2001 Dwight Way, Suite 1388 Berkeley | (510) 204-7979

Oakland (9 sites)

lmmediate/Urgent Care–San Pablo 2023 Vale Rd. San Pablo | (510) 231-9800

El Cerrito (1 site)

East Bay Community Recovery Project (EBCRP)

Adult Day Health Center

EBCRP Main Office 2579 San Pablo Ave. Oakland | (510) 446-7100

Marin Adult Day Health Center 1905 Novato Blvd. Novato | (415) 897-6884

EBCRP Oakland 2577 San Pablo Ave. Oakland | (510) 446-7180

Dental Care Centers

EBCRP Project Pride 2545 San Pablo Ave. Oakland | (510) 446-7150

Berkeley Dental Care 1860 Alcatraz Ave. Berkeley | (510) 653-8500 Pinole Dental Care 806 San Pablo Ave., Suite 1 Pinole | (510) 981-4100 Brookside Dental Care 2023 Vale Rd. San Pablo | (510) 231-9814

EBCRP West Oakland 2730 Adeline St. Oakland | (510) 446-7100 EBCRP Hayward 22971 Sutro St. Hayward | (510) 728-8600

Dental Care Vans Ronald McDonald Dental Van Call (510) 231-9814 for locations Dental Van Alameda County Call (510) 653-1630 for locations

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LifeLong Medical Care Deeply Appreciates Your Generosity. Thank you for your support. $10,000 and Above

$500 – $999

Anonymous (3) Melissa Allen* Irma Anderson Anonymous (2) Jeffrey D. Angell and Joan L. Ron** and Patricia Adler King-Angell Dorothy Graham Katherine Anixter-Browning Jacqueline Gross Leonard Bachman Jeanine and Guy Saperstein Former Mayor Tom Bates and Former Senator Loni $5,000 – $9,999 Hancock Herrick and Elaine Jackson Roberta Brooks** and Andrew Mason Billy McDonald Luisa Buada $2,500 – $4,999 Rick Clark and Patty Reed Katherine Gunther and Daniel Zoll Arden J. Kwan and Mei Y. Chow-Kwan Anne B. Hannah-Roy Cristina Hawes-Bensadoun Scott Corvin and Marc Bensadoun Jan Diamond* John**and Amy Jenkins Robert E. and Susan* Edmondson Chris** and Marta Elena Kiefer Gloria Flores-Garcia** Peter Leary and Amy and George Gorman Theresa Lawhead Marian and Roger Gray Joel Marcus and Carol Davis Anne and Conn Hallinan Joe and Jane N. Selby Eric* and Susanna Henley David and Shannon Sloves Cecyl and Kate Hobbs Judith** and Elliott Turiel Janet Hurwich Mark and Krista Van Felicia M. Jones* Slambrook Jerry and Kathy Kozai Arthur Krantz $1,000 – $2,499 Gretchen Kunitz Anonymous (1) Richard L. Litwin Henry L. Abrons and Bill and Emily Marthinsen Li-hsia Wang Fred and Julie Nachtwey Arthur and Debra Bakal Sherry Novick Eileen Barrett and Elissa Dennis Martin A. Paley Bill Falik and Diane Cohen Diane Sharken-Taboada and Arturo Taboada Stuart Flashman and Jacqueline Richter Mary E. Stevens Stanley and Mary Friedman Patricia** and Peter Hugh and Elizabeth Fullerton Sussman Full Circle Fund Barbara Towner* David Greenberg* $100 – $499 Janet Howley** and Anonymous (3 ) Michael Bridges Jennie Alexich and Carol Jenkins Bruce A. Harris Amanda Jones* Keith Alward Mayor Rich Kinney Michael and Denise Lenoir* Stephanie Allan and Brett Downey Paul A. Leonard Susan Battersby * Roland Lum Ron and Lucinda* Bazile Colin P. Lynch Faraz F. Berjis Marty Lynch* and Ronn Berrol Eileen Carey Robin** and Kirk Betts Chester Mark Cecilia Blank Christopher and Judith L. Bloom Maureen Oakes Sara Branco Josh Oliver Mark Brown Estate of Rosalind Singer Richard and Alice Brown Karthiga Satkunanandan Ruth and Stanley Carol L. Wilkins and Buchwalter Bill Savidge Alexis Burck David and Elizabeth Sawi Jerome Burke Cynthia Sharpe* Lanna Butler-McCoy Madeleine H. Shearer Carrie Cangelosi* and Julie Sinai* and Eric Riley Michael Lee Richard Spickard and Supervisor Keith Carson Charlotte Anderson Brazell Carter* and Ethan Stone Donnalucci Williams Arne and Gail Wagner Kristine Carter* 18 • L I F E L O N G M E D I C A L C A R E

Sam* Chatterton-Kirchmeier Joan H. Cole Shanna Cruz* Talia* Davidow Robert L. Davis Stacy Dearborne Diana Downton L. Ducharme Gerald and Gail Eiselman J. A. Ellis William R. Ellis and Julie Schearer Stephanie Estes* Crystal Eubanks Joyce Fernandez and Dadi Ratnagar Guillermina Flores* Jane Ann Fontenot and Bud Hensley John Forcum* Nathan Francis Carolyn Gardner Delbert and Doris Gee* Amos and Marilyn Goldhaber Larry Goldman and Paci Hammond Brenda Goldstein* Gretchen and Richard Grant Jonee Grassi Alexandra Gray* Sylvia Green* Phyllis Goldsmith Rick Goldsmith and Lauren Moreno* Shirley Haberfeld and Bob Allegrotti Mary Halpin* Steven Hardy* Antoinette Harris Tasha** Henneman Ryan Hensler* Jeff Hobson Paul Hofmann Heather Ivy Karen Iwasa Philip** and Carol Kamlarz Patricia Kates and Henry Brady John Kelly* David W. Kittams Louis Labat Georgia M. Lacy** Bill and Susan La Pat Ralda Lee Kate Lewis* Andra Lichtenstein and William Glover Deborah LeVeen Steve J. and Linda Lustig Stuart Lyle Susan Marinoff and Thomas Schrag Matthew and Joyce McCarron Patricia McGowan Jenny Parma* Janet Perlman Meredith Minkler and Jerry Peters Marcelo and Maria T. Mino E.S. and Catharine D. Moran

Helen and John Neville Huong Nguyen Jean B. Nudelman Katherine S.* and Greg O’Donnell Omoniyi Omotoso* Trina Ostrander Plambeck Family DL* and Sonja Poole William and Cynthia S. Robey Edgar Quiroz** and Claudia Avila-Quiroz Harold and Turi Reynolds José Rodriguez* and René Nieves J.J. and R.H. Romeo Nance Rosencranz Claudia Sagastume-Lewis Don and Nancy Sandweiss Julian Santana Jim and Gayle Sells David and Terry Shames Vartan Shanijanian Peter and Bev Sinton Senator Nancy Skinner Geoffrey Sledge and Michelle Tang Trina Smith* Morris and Josephine Soublet Bill Sparks Kathryn Stambaugh* and Tom Mazzotta Susan and Bruce Stangeland Dolores S. Taller Richard Thomason and Heidi Goldstein Rachel**Tobey Jennifer and Jeremy Townsend Mike Trask Christopher Trimble Jeff and Linda Trowbridge Laurence and Ruth Walker Margaret Wessner Sarah Willmer Pamela Williams Phyllis Willett Gordon J. Wozniak Sara Woolf*

Up to $99 Anonymous (7) Joan K. Allen Rochelle Allen * Adele Amodeo Ahmad Anderson and Autumn Schwemer Norman Awill and Barbara Camacho Norman Banks* Ilana Barach Richard J. Berryman Jillian Botkin Sara Branco Katharine T. Brookes Brad and Nenelle Bunnin Fern Burch and Frank Koval Steven Butcher Chris Cahill

Catharine (Trina) Campbell* Katherine Chong Linda K. Collins* Elaine Colon Maria Culcasi* Sally Daniel* Cynthia C. Daniels* Jocelyn De Sena* Max Dolane Whitney Dorman Rojan Duncan* Zoe Edington Ima Essien Stephen* and Sarah Fleischer-Ihn Sarah Foster Douglas* and Amy Frey Joy Garibay Helen F. Gentry Gwendolyn Gill Sandi Goldstein and Kenneth Wilkinson Adriana Gonzalez* Lorena Gonzalez Nick Griffin Lakimba Hart Frank and Lorraine Hauser Rebecca Hu* Manton Hurd* Kathlean Jackson Kari Jennings-Parriott* Ariana Jostad-Laswell Dan Kaplan Lisa Jan Kasle Lynnmarie Knight Neil and Peggy Kostick Martha Kuhl Marjorie Lasky Jean R. Lieber Marie Loverde* Rosemary Lum-Levine* Felicia Ma* Maria Magana* Jean Marsters* Cally Martin Hannah Mason* Liam MacDermed Kathleen Magill Ericka Maldonado* Njeri McGee-Tyner Ashley Morris Kierra Moorhead* D’Wayne Murphy Gary L. Musante Judy Nakadegawa Neha Nibber Mitiz Nuniz Ramos* Carmel O’ Hara Rachel Onate* Loren Ovieda Scott Perlman Danielle Petta-Flores* Stephanie Phung* Patti and Mike Pilgrim Noelle Poirier Michael Powell Donovan Ratliff Luis Renteria* Terri Restelli-Deits*

Ann Rockwood Eloise Rossiter* Victor Rubin Lea Sanchez * Jack Sawyer Katherine Schoellenbach* Marty Schiffenbauer Elizabeth Schoyer Susan Schulman Jared Seidenstricker Angelina Shigeura* Kanwar D. Singh* and Harneet Nibber Megan Smith* Leslie Stavig* Kelly Stewart Julia Still* Starr Stone* Joan G. Sullivan Michael Smart and Carolyn Novosel Jane Summer* Nicholas Sumnicht Justin Tholen Linda Tsai Casey Tsui Sabrina Valadez-Rios* Nancy Veerhusen Titapu Valenzuela Charlotte Walker* Jennifer Wachter* Gurinder Wadhwa* Claire Wahrhaftig John and Rosemary Walker Barry White Carla Willis* Katherine Winter* Elena Xuncax* Tenzin Youdon* Jennifer Zarate* Dominica Zone*

In-Kind (Individuals) Ron** and Patricia Adler Robin**and Kirk Betts Judith L. Bloom Kimberly Cardoso* Floretha Chatman Linda* Collins Kara* and Michael De La Paz Robert and Susan* Edmondson Jason Eriksen Gloria** Flores-Garcia Jane Ann Fontenot and Bud Hensley Friends of LifeLong Kathy Green Steven Hardy* Kendolyn Hindsman* Davis Leung Jenny Parma* Judith** and Elliot Turiel Mark Van Slambrook Charles and Lorna Strotz John** and Amy Jenkins Susan and Kent Adler Marty Lynch* and Eileen Carey

Yvonne Santiago-Racine* Helen Schneider Patricia** and Peter Sussman Captain Tim Smith Madeleine Shearer Akash Patel Paul Hofmann Tasha** Henneman Luis Tacujan* Jessica Thy* Rachel**Tobey Cynthia Sharpe* Myesha Williams*

In-Kind (Businesses) 102.9 KBLX Adventures by the Sea Asian Art Museum Berkeley Bowl Berkeley Repertory Theatre Berkeleyside Big 5 Sporting Goods Bombas Giving California Academy of Sciences California Health Care Foundation Canvas and Cabernet Capital Genealogy Chay’s Farms Chipotle Claremont Resort and Spa, A Fairmont Hotel Coca Cola, Co. COPIA CorePower Yoga Costco Credo Restaurant Dandelion Chocolate DECATHLON Direct Relief International Donato Co. DoubleTree by Hilton Hotel Berkeley Marina Evergood Fine Foods Family Forever Photography Foods Co. Golden Gate Fields Grocery Outlet Hafner Vineyard Happy Boy Farms Hiller Aviation Museum Hofmann Healthcare Group Jacuzzi Family Vineyards of The Olive Press Jelly Belly Factory Jutta’s Flowers Ketér Salon Ledesma Family Farm Lappert’s Coffee Lucky Marshalls of El Cerrito Maui Jim Sunglasses Morton and Bassett Spices Mountain Play Association Oakland Zoo Odwalla Pak ’N Save Peet’s Ravenswood Winery

Red Bull Regal Wine Co. Richmond Art Center Richmond Country Club Rose Lane Farm Sam’s Club San Jose Tech Museum San Rafael Pacifics Baseball Club Semifreddis, Inc. S.F. Bay Area Provisions, Inc. (Boar’s Head) Smith Farms Sonoma Raceway St. George Spirits, Inc. Starbuck’s Sweet Adeline Bakeshop Target – Albany, CA The Berkeley Baby Book Project The Cheesecake Factory Tomate Cafe Topete Family Farm TPC Stonebrae Country Club Trader Joe’s US Foods Veliz Organic Farm WestCAT

Tribute Gifts Thank you to all who gave in honor of: Ron** Adler Ron** and Pat Adler Michael Bridges’ 75th Birthday Maria Teresa Cordova-Perez Rachel Fogel Gwendolyn Gill Michele* Grim Ellen Jacobs Paula Keebler Santana Chris Kiefer Over 60’s Angels Over 60 Health Center Research Interviewee Nance Rosencranz Carole Russell Barbara Scales Margaret Sheehan Diane Strauss Virginia Thomas Keep up the good work everyone!

Memorial Gifts Thank you to all who gave in memory of: Marieta B. Andrade Hugh Berjis Ann Chandler Sarah de Haaff Rina and Joe Fernandez Jane Fifi Annie Fradkin Lucile Labat Mort Lieberman Muriel Paley Ted Rowe Carlos Sagastume Ida Mae Young

Businesses, Organizations, Foundations and Government Supporters Abode Services ACE Home Health Care and Hospice Affordable Housing Associates Ainsworth Game Technology Alameda Alliance for Health Alameda County Area Agency on Aging Alameda County Behavioral Health Care Services Alameda County Health Care Services Agency Alameda County Health Care Services Agency – Measure A Alameda County Office of AIDS Alameda Health Consortium Alliant Insurance Services, Inc. Alpha Gaming, Inc. Alta Bates Summit Medical Center Alzheimer’s Association AmazonSmiles AmeriPride Services, Inc. Ashby Village Bay Area Distributors Benevity Community Impact Fund Berkeley Patients Group Berkeley Unified School District bluenovo Blue Shield of California Foundation Bonita House, Inc. California Colorectal Cancer Coalition (C4) California Department of Public Health California Health Care Foundation California Health Care Foundation and Transitions Clinic Network Californians Allied for Patient Protection CAL-PEP, Inc. California School-Based Health Alliance California Volunteers Center for Care Innovations Center for Elders’ Independence CHCN/OCHIN Chevron Corporation Employee Giving Program Cintas City of Berkeley City of Emeryville City of Oakland City of Richmond City of San Pablo Coca Cola, Co. Community Clinic Consortium Community Health Center Network CONCERN: EAP Contra Costa Health Plan Contra Costa Health Services

County of Alameda Contra Costa County County of Marin Curiale Wilson, LLP Cypress Security Dean and Margaret Lesher Foundation Delta Dental Community Care Foundation East Bay Asian Local Development Corporation East Bay Community Foundation East Bay Foundation on Aging Ecolab EMCOR Service/Mesa Energy Systems Food Bank of Contra Costa and Solano Gallagher Chapman Gerson Bakar Foundation Matching Gift Program Giesecke+Devrient Ginnie and Peter Haas Jr. Fund Hedge Fund Care Herbert and Gertrude Halverstadt Foundation Hillhouse Construction Hofmann Healthcare Group Home Depot International Game Technologies (IGT) IMPAQ International, LLC Irwin H. and Viola Mae Lowrey Fund at The East Bay Community Foundation John Muir Health Foundation Kaiser Permanente East Bay Area Community Benefit Kaiser Permanente Regional Offices Lappert’s Ice Cream Leavitt United Insurance Services Local Initiatives Support Corp. March of Dimes Marin Community Foundation Marin General Hospital Mauzy Insurance Services, Inc. Mechanics Bank Meczka Marketing Research/Consulting, Inc. Mercy Housing MCF-Buck Foundation Mutual of America Multimedia Games, Inc. Nonstop Administration and Insurances Services Novato Senior Citizens Club, Inc. Oakland Athletic’s/A’s Community Fund Oakland Unified School District Oliver and Company On Lok People Ready Peralta Community College District Performance Live Presbyterian Church of Novato

PT Gaming, LLC Public Health Institute Red Bull Regal Wine Co. Regional Asthma Management Prevention Republic Services Resources for Community Development Richmond Cleaners Richmond Express Root Cause Coalition Safeway San Pablo Lytton Casino Satellite Affordable Housing Associates Scientific Games SGPA Architecture and Planning Silverado Contractors, Inc. Southern Glacier’s Wine and Spirits State of California Stidham Law Offices Suhr RIsk Services Sunlight Giving Superior Court of California, County of Alameda Sutter Bay Hospitals Sutter Bay Hospitals and Community Health Center Network Sutter Health Alta Bates Summit Medical Center SYSCO Food Services of San Francisco,Inc. The California Endowment The Center for Independent Living The Jon Stewart Company The Joseph and Vera Long Foundation The Regents of the University of California The San Francisco Foundation East Bay Foundation on Aging The Standard, Standard Retirement Services, Inc. The Swenson Group Thomas J. Long Foundation Tides Foundation TLB Insurance Services Tomate Cafe Tri-City Health Center Tri-Quest Builders and Developers, Inc. Union Bank Foundation United Way California Capital Region United Way of the Bay Area University of California, San Francisco US Bank US Foods

U.S. Department of Health and Human Services U.S. Department of Housing and Urban Development Wareham Development Yoga Dana Foundation Your Cause, LLC

LifeLong Medical Care – Employees with 15+ years Edith Alonso Yadira Alvarez Norman Banks Azucena Barocio Lucinda Bazile Diane Chow La Juana Clark Douglas Clarke Jessie Coker Yahne Davis Delia Delgado Patricia Espinosa Guillermina Flores Jessica Furer Luz Garcia Alicia Garcia-Ceja Ana Grande Sylvia Green LaKimba Hart Maricela Hernandez Malie Javier Rachel Kham-Onate Yevette Ladd Barbara Lewis Erika Lopez Martin Lynch Ericka Maldonado Jesse Merjil Laura Miller Barbara Moore Beatrice Moore Elsa Mora Alvaro Morales Wanda Morales Edna Moushiabad Rocelia Negrete-Garcia Grisselva Pardinas Rosa Ramirez Alison Roberts Ana Robles Carole Russell Beth Schweitzer Ann Sussman David Thompson Barbara Towner Diana Trinidad Laurie Trombla Christina Urias Arcelia Valadez Guillermina Vazquez-Blue Dominica Zone Claudia Zurita

*LifeLong Medical Care Staff **LifeLong Medical Care Board Member We have recognized contributions made between July 1, 2018 and June 30, 2019. We hope we have acknowledged your generosity accurately. Please contact us at development@lifelongmedical.org to notify us of any unintended errors or omissions.

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LifeLong Administrative Office 2344 Sixth Street Berkeley, CA 94710 P.O. Box 11247 Berkeley, CA 94712 510.981.4100 lifelongmedical.org LifeLong Medical Care is a 501(c)(3) nonprofit, Federally Qualified Health Center. We are independent, communitybased, and patient-directed.

Profile for LifeLong Medical Care

2019 Annual Report