MobileMed Annual Report FY15

FY2015 Report to the Community

Our Mission To improve the health of low-income people who face the greatest barriers to care access.

Our Vision To be a primary care medical home - providing high quality, comprehensive healthcare, delivered in a culturally and linguistically appropriate manner.

Our Core Values Healthcare access for all; quality services provided with compassion, respect and cultural sensitivity; and organizational excellence and integrity.

President’s Message For more than 45 years, MobileMed has always strived to address unmet health Connie Lierman needs in Montgomery County. Along the way, the County has experienced significant demographic shifts, economic cycles, and of course the Affordable Care Act (ACA). These major changes in the landscape ultimately led the Board of Directors to the important strategic decision to pursue designation as a Federally Qualified Health Center. It’s the right path for MobileMed to build on our track record of success.

Therefore, I know that I speak for the entire Board of Directors when I express how gratifying it is that MobileMed has achieved FQHC status. This grant award provides an extraordinary opportunity to expand MobileMed’s impact in the community. Even with the ACA, disparities persist in healthcare access and outcomes. A great many individuals have been able to enroll in expanded Medicaid, but are still in need of culturally competent primary care providers to help them navigate the complicated healthcare system. At the same time, tens of thousands of low-income residents are ineligible for insurance coverage and will continue to rely on local safety net programs. MobileMed is committed to serving this diverse population, offering a

medical home where patients can receive not only topnotch primary and preventive care services, but also the enabling services that they need to improve their health status.

The FQHC award is in part a testament to the strong foundation we’ve established, and in part affirmation of our relevance for the future. MobileMed’s success going forward will continue to depend on the generous support of the community. MobileMed is fortunate to be a part of a community that believes in our mission and our vision and consistently demonstrates its commitment in meaningful ways. The community has provided MobileMed with essential financial and inkind contributions and complementary programs that we effectively leverage in order to achieve excellent results. Making a difference in the primary care setting is the most compassionate, prudent, and cost-effective pathway for good health.

Heartfelt thanks to our elected officials and DHHS in Montgomery County; to our community collaborators and hospital partners; to our volunteers; to our philanthropic supporters; and, finally, to our staff. To each of you who has helped MobileMed along the way, THANK YOU.

MobileMed’s FY2015 Highlights

Fortifying our sustainability.

We were awarded a New Access Point grant, designating us as an FQHC (Federally Qualified Health Center). As the first FQHC based entirely in Montgomery County, we will be able to greatly expand our community impact.

Serving those in need.

We provided primary and preventive healthcare services to nearly 5,000 low-income, uninsured and underinsured residents of Montgomery County. We delivered over 14,000 medical visits in multiple languages (English, Spanish, French, Korean, Chinese, Amharic and Farsi) at our seven primary care and two specialty clinics located throughout the County. Mobile medical vans complement our fixed sites, ensuring primary care access for our diverse community.

Enhancing our primary care model.

Through our diabetes initiative begun last year, we significantly improved our annual retinopathy and foot screening rates by integrating optometry and podiatry services on-site.

With grant support from the Healthcare Initiative Foundation, we significantly increased our patients’ colorectal cancer screening rates.

As part of our integrated behavioral health program with Aspire Counseling, we significantly increased the screening rate among all new patients for depression and anxiety.

Leveraging collaboration resources for outreach and care.

We now link with community health promoters at several social service agencies to make it easier for their clients to be referred and scheduled for primary care appointments.

Uninsured patients continue to benefit greatly from our generous hospital partners -- Adventist HealthCare and Suburban Hospital -- that donate essential diagnostic lab, radiology, and cardiac testing. We have also initiated a promising transitions-of-care program that reduces hospital readmission rates by connecting to primary care.

Providing a rewarding patient experience.

In our most recent patient satisfaction survey, 96% of our patients said they were treated respectfully and efficiently. The MobileMed clinical team encourage patients, particularly those with chronic conditions, to play an active role in managing their own health, supplemented by educational materials, coaching and case management.

Executive Director’s Year-End Summary Who could have imagined that what started out as two doctors hanging up sheets to create exam rooms in a Peter F. Lowet Kensington church basement would evolve into today’s MobileMed? Well, maybe it’s not so surprising, given this organization’s unwavering commitment to its mission and values and given our extraordinary community relationships. The FQHC award represents not a culmination, but rather a validation that we’re on the right path to make an even bigger difference.

Our FY15 Highlights, which summarize some of our tangible achievements, understate the profound impact that MobileMed has on thousands of patients. Primary care has become a more complex and comprehensive endeavor; MobileMed works hard to keep up with best practices in prevention and chronic disease management.

Through it all, our incredible staff and volunteers build trusting, vital relationships with our patients that can change lives. I’m often struck by the way grateful patients thank us as much for the clinical team’s compassion as for their timely diagnosis and effective treatments.

In the highly competitive FY15 FQHC grants process, our

submission presented both a compelling community needs assessment for our Montgomery County service area and a viable operating vision for MobileMed. Fortunately, we are building on our effective and efficient operational model. At our core is a patient-centered primary care model attentive to the multi-cultural and linguistic needs of our patients. We utilize flexible, adaptable approaches for care access and continuity that work for patients with limited resources, and support those patients with case management and navigation services. MobileMed also embraces community collaborations with multiple and diverse partners for patient outreach, accessibility, and care delivery.

Indeed, I remain humbled by what our volunteers, hospital partners, and community collaborators contribute to our impact, and we take our resource stewardship seriously.

The new FQHC designation offers new opportunities for MobileMed to: increase capacity; stimulate program development; and extend outreach to hard-to-reach and underserved populations. As our journey continues, MobileMed’s mission remains the same as it has always been: to improve the health of low-income people who face the greatest barriers to care access.

Thank you to our Organizational Supporters 3M Foundation Adventist HealthCare CareFirst BlueCross BlueShield City of Gaithersburg City of Rockville Clark-Winchcole Foundation Community Foundation in Montgomery County - Sharing Montgomery Fund Fowler Memorial Foundation Health Care for the Homeless Healthcare Initiative Foundation Homer & Martha Gudelsky Foundation Susan G. Komen National Capital Region Maryland Community Health Resources Commission Maryland Community Investment Tax Credit Program

Maryland Dept of Health & Mental Hygiene Maximus Foundation Meyer Foundation Montgomery County Community Development Block Grant Montgomery County Dept of Health & Human Services - Montgomery Cares - Head Start Montgomery County Council Phase Foundation Primary Care Coalition of Montgomery County Leonard & Helen R. Stulman Foundation United Way of the National Capital Area Venable Foundation Westmoreland Congregational United Church of Christ

Thank you to our Collaborative Partners African Women Cancer Awareness Association

The MobileMed/NIH Heart Clinic at Suburban Hospital celebrated its eighth year. Pictured from its early years are Dr. Richard Cannon, its founding medical director, Leila Abedi, its first clinical coordinator, and Jean Lanham, longtime Board member and volunteer.

Aspire Counseling CASA Catholic Charities CHEER Chinese American Senior Services Association (CASSA) Episcopal Church of the Ascension Gaithersburg HELP Islamic Education Center and Ibn Sina Health Foundation Korean Community Service Center National Institutes of Health St. Mary Magdalene Episcopal Church Shady Grove Adventist Hospital Suburban Hospital, a Member of Johns Hopkins Medicine Washington Adventist Hospital

Here’s a sampling of the patients that we serve and their healthcare stories: A 53-year old uninsured woman came to our Korean Clinic with advanced breast cancer.

MobileMed’s case management services steered her to a crucial state program and our charity network of cancer specialists.

She had a biopsy, followed by surgery and chemotherapy. MobileMed helped guide and support our patient to ensure that she received timely, critical healthcare in a compassionate and culturally appropriate manner.

Three of our wonderful volunteer physicians are pictured with patients. Clockwise from the top, Dr. Paul Burka, Dr. Supriya Janakiraman and Dr. Patricia Cusumano.

“I am very grateful for the care.” Samuel, age 60, came to our Upcounty clinic with multiple health issues. Based on a physical exam, we referred him to a general surgeon for hernia repair. Lab testing revealed that the patient was severely anemic, so we arranged for him to receive blood transfusions. With MobileMed serving as a primary care medical home with enabling services, his health condition is much improved.

A 77-year-old Chinese man presented at MobileMed with swollen and itchy lower extremities. We referred him for a Doppler study and he was found to have deep vein thrombosis. Shady Grove Adventist Hospital agreed to perform a procedure in which a stent was placed in his left leg. Because MobileMed caught his condition and arranged to have it treated immediately, a pulmonary embolism was avoided. He now receives essential monitoring at MobileMed’s Anti-Coagulation Clinic to reduce the risk of serious complications.

Special Thanks to Our Generous Donors Who Help MobileMed Serve the Community Visionary ($5,000+) Kathryn Brown and Wade Sovonick Linda Pickle and Jim Pearson Irma Poretsky Ann and Sam Statland

Benefactor ($1,000+) Mary Pat and Darren Alcus Lynn Barclay The Bresler Foundation, Inc. Circle Fellowship Church Catherine and Charles Cleland Hon. David Davidson* Judy and Sheldon Grosberg Royce Hanson Jerry Herbers, MD Clare Herrington and Laurence Platt Charlotte Jenkins JJF Management Services Wendy Krasner and Richard Levine Jean Lanham Connie Lierman Terry Lierman Ann Malester and Daniel Barney Dale Rosenthal and Michael Cutler Edward Sagel Funeral Direction St. Luke Lutheran Church and School Schiro-Zavela Foundation Sidgmore Family Foundation Anita Solomon, PhD* Jane and Herb Stevens Nancy Switkes and Jeffrey Fienberg Bonnie and Robert Tarone Cliff and Deborah White Family Foundation

Supporter ($500+) Nancy and John Abeles Rhoda Abrams Abigail and Mark Adelman Ada Adler Ellen and Simon Atlas Maithri Babson Marion and Jeffrey Barker Ann and Thomas Benedict Bradley Drugs Care First Blue Cross Blue Shield Lenore and George Cohen, MD Jan and Jim Eisner Barbara and Kenneth Firestone Faith United Methodist Church Inga and Jeffrey Frank GFWC Metropolitan Club of Potomac GFWC Metropolitan Club of Montgomery County Helen Golde

Linda DuPuis* Hope Eastman Brenda Edwards* Jeanne Engel and James Kohm Kyoko Enomoto and Blair Hall Merle Fabian Dolores Farr, RN Josephine Farwell Sharon and Izzy Feldman Lois and Alan Fern Edward and Maureen Feroli, MD Mary Catherine Fish and James Kaplan Joellen and Alan Fishman Liliane Floge Patricia and Mark Freedman Lucile Freeman Martha Frew Patricia Friedman and Blair Levin Gaithersburg Presbyterian Church Janet and Andrew Gallant Stephen Garvey Margaret and Jacques Gelin* Asher Gerecht Jon Gerson Kenneth Goldman Amanda Brown, MobileMed President Connie Lierman, Goldman/DeMarco Family Kyle Lierman, volunteer Sue Byrnes, Board member Charitable Trust Sheldon Grosberg and MD State Senator Susan C. Lee at Diane and Martin Goldstein the 4th Annual Laugh Riot for MobileMed. Helene and Albert Grant Roberta Gunod Joyce and Robert Gwadz Catherine Gwin Susan and Pat Lanham Nevins Brighton Collectibles Samuel Hack Karen Britto Catherine and Hon. Isiah Bonnie Harkness and James Brigitte and David Burgett Leggett Rogers Stephen Cannon Stephanie Loughlin and Miranda and Stephen Herm Sandi Cave and Alan Banov Robert Kaye Janet and Robert Higgins Barry and Thelma Meyer, MSW Laura and Guy Cecala Marilyn and Douglas Mitchell Howard & Jacqueline Chertkof Judy Honig Cheryl and Jay Hoofnagle The Christian Mixter and Linna Foundation Christ Episcopal Church Parish Nancy and Bernard Horn* Barnes Charitable Fund Christ Lutheran Church Women Linda and Robert Horowitz, Jo Ann and Wendell Mohr MD Ling Yu Chuang and Chii Ren Monument Bank Ella and Howard Iams Tsai National Philanthropic Trust Chungshing Chung and Kingon Claire Iseli Network for Good Dawn and Robert Jenets Hou The Original Pancake House Hilary and Alex Joel Barbara and Hank Clark Carlos Picone, MD Rosanna Coffey and Timothy Safia Kadir and Dennis Rice Denise and Rex Reed Jeanie and Marc Kahn Stranges* RFI Foundation Peter Karasik Esther Cohen Lucia and Fernando Rossel Sudhaker and Aruna Kabila and John Cohen* Saggar & Rosenberg, P.C. Marlene and Victor Cohn, PhD Kaveeshwar St. Patrick’s Catholic Church Maurine Kelly, PhD* Anne and Stephen Colgate Vivi and Alan Sheff Sylvia Kihara and Roger Neill Hanne and Frank Correl Emma Shelton and Florence Ellen Kohn and Tim Muzzio Audrey Corson, MD Millar Natalie and Brian Crowley, MD Michael Kolber Samson Stern Sondra and Jeffrey Komarow Leonard Deitz, MD Diana and Francis Sullivan Muriel and Edward Korn DeLeon and Stang CPAs Andrew Weiss Dolores Ann Kozloski Nancy and John DeVierno Gail and Michael Wolyniec Donna Kozuch, PhD Yuri Deychakiwsky, MD Benjamin Kramer Sharon Kay Dooley Barbara and David Kritzer Donna and Neil Dorsey Associate ($100+) Areta Kupchyk Edward Dosik Laura and Perry Apelbaum* Pauline and Irwin Kurtzack, DO Margaret Douglas Joan Barron and Paul Lang Belinda Lai Mary Dragoo Walter Bauman Diane Gould* Lois Gutowski Kathaleen and Smith Hempstone Sandra Reade, MD and Hugh Hill, III MD Abigail and Alan Hoffman Susan Jack Kathryn and Joe Kolar Julia Korenman, MD and Howard Tracer, MD

Charles Beard Dorothy and Donald Berlin Susan and Paul Berman Elyse and Jeffrey Bernstein, MD Marina Bills Laura and David Bivans B’nai Israel Congregation Helen and Robert Borochoff Beverly Bosselmann Norman Braveman

Araba Lamouse-Smith, PhD James Landsdale Robin and Keith Lawson Carley and Harry Lee Amy and Hun Ya Lee Susan Leibenhaut and Joseph Gootenberg Phyllis Lerner Debra and Joshua Levin Dorothy and Gerald Liddel Ronnie Lipton Lynne and Jeff Love Jonathan Lowet Peter Lowet and Laurie Sloss Craig Ludwig Linda and Michael Madden Bonnie Malkin and Robert Vogel Kathy Mannes Carol and Sanford Markey Grace and Henry Masur, MD Karen Mazze and Shanker Krishnan Brian McCarthy Jeanne McDermott Roberta McKay Ellen and William Mentzer Diane Mesirow Marissa Miller* Lucien Moreau* Joan Moyers Nalini and Raju Natarajan Kathy and Denis Neill Susan Okie, MD and Walter Weiss, MD Marcy Oppenheimer Christine Owens and Sanford Newman Jean Panagakos* Andrew Panagos, MD German Paraud Katherine H. Parmalee* Margery and Barry Passett Lynne Penberthy* Jeffrey Perlmutter Hermina Pfeifer Geraldine Pilzer Jessica Pollner Patricia Pothier and Ernest Nussbaum Karen and Aron Primack, MD Claire Proffitt Carole Rayburn, PhD* Rose Richardson Debbie and Mike Rider Patricia and John Robinson Kathleen Rodriguez and Uri Yokel Atul Rohatgi, MD Dana Rosenfeld and Eric Biel Sue and Mort Rudo Lynn and John Sachs Barbara Sanders Harolyn Schwartz Robert Scott Barbara and Mike Selter Judith and Jay Shapiro, MD Loretta and Mark Sherringham Sandra Sheskin Bobbi and Lawrence Shulman Sharon and Ira Silverman Ellen and Jim Sivon

Special Thanks to Our Generous Donors Who Help MobileMed Serve the Community Amy Chanlongbutra* Chou-Lin Chen Sharron Cochran Ellen and Harvey Cohen, MD Ellen and Ed Collier Gary Cortellessa Andy Cosgrove Beth Daly Alice Daniel John Dassoulas Jeanne and Harry Davis Sacha de Lange Linda and Roy Deitchman Laura and Douglas Denault Marilyn Dickey Alison Drucker and Thomas Holzman Jonina Duker Dolores and Eugene Ebert Margaret Engel and Bruce Adams Hon. Gail Ewing Faye Fager Elaine Feidelman and Irwin Schuman, MD Burt Feldman, MD Michael Fishback* Elayne Flax Rosemary and Christopher Flint Roberta Frost Carol Garvey, MD and Thomas Garvey, MD Susan and Harold Geisel Barbara and Charles Gholz Miriam and Manny Ginsburg Irene and Robert Glaser Marion and Daniel Goldberg Sandra Goldstein Melanie Goldstein Friend (Up to $99) Nancy and Bernard Abeshouse Mario Gomez Alice and Robert Goodman Martin Adler* Barbara Gordon Barbara Allen Allie and Matthew Ammerman, Ruth Gramlich Harriet Granger Gordon MD Joyce and Larrie Greenberg, Corinne Axelrod and Martin MD Rosenthal, MD Margaret and Ernest Greene Arden and Ellen Baker Trust Michael Greenspun Shirley Baker Marjory and Herbert Gross, Sandra Balsam MD Marla Banov Abigail Grotke Jessica Barbalho Jing Guv Rosalie Barr, MD Jean Haas Beatrice Baum Karl Hawver, MD Linda Beer Jan and De Fischler Herman Toby and Philip Berman Yung-Lung Ho and Ji-Ying Carol Blasberg Yuan Tara Bloomer Sharon Hormby Bernard Blumenthal Jane and Samuel Ireland Helen and Paul Bollwerk Susan and Ira Jaffe Joan and Robert Boswell* Annette Jolles Marian Breier Victoria Judson and Michael Bernice and Joel Breslau Esch Pam Broene Marian and John Kafka, MD Joan Buisch Naomi and Irving Kaminsky Suzanne Byrnes Harvey Karch Margaret Carlton Barbara and Hereward Cattell James Kelley Barbara Sloss Nancy Sloss Virginia Sloss Caroline and Ian Smith-DeWaal Stanley Sobel Judith Sprei, MD and Allan Lazarus, MD Betsy and Ralph Stephens William Stratton Marvin Tabb Alisa and Jon Talisman Annop Tantisunthorn, MD Lill and Len Taylor* Carol Thornton Hadassah Thursz Ruth Tockman Janine Tucker and Ira Schwartz Nancy and Robert Turner Chani Vines and Ken Kirkpatrick Beverly Walcoff Deborah Warden. MD and Neal Epstein, MD Julie Watson Janet and Hans Wegner Jane Weiman Constance and David Weiss Karen Winston Bobbie and Tom Wolf Woman’s Club of Bethesda, Inc. Karen Zacharia and Raymond Paretzky Sephanie Zimmerman Sandy and Ray Zimmet Elizabeth and John Zinner Amy and Mark Zusy Catherine Zusy and Samuel Kendall

Hyeun Kim Richard Klinker Julie Knoll* Dorothy and Louis Kornhauser Jeanette and Robert Kreiser Dina and Joe Kruger Dina Lassow Trude Lawrence Hon. Susan Lee Judith Levin, MD and Jonathan Levin, MD Roberta and Ernst Liebman Carol and Donald Lipton Elizabeth Madden Sara and Steven Mathis Harriet and William Mathon Ramona Matthews Valerie Matthews Bill McCloskey Amelia and James McConnell Mary McGarvey Katherine McGlynn* Lynn and Arnold Meltzer Libby and Ronald Merrill Ursula and Eric Meyer Beatrice Miller Allyson and Barry Miller* Ann and William Moczydlowski Judith Morenoff Yvonne Moritz Rochelle and Steven Morrison John Moscato Sally Gilbert Moskowitz Rosalie and Ben Mulitz Farhad Niami, PhD Diane and John Noble Theresa Nuzum William O’Brien

Fredric Parsons Shirley and Andrew Pelmoter Daniel Pewett Siegbert Poritzky Roseanne and Kenneth Price Celestine and Willie Price Neville Ramroop Dorothy Regensteiner Charles and Katherine Reichelt, RN Nancy Richards* Rachel Ritvo, MD Susan Roberts Marion and Donald Robertson Renee Rodkin* Lucille and James Ronan, MD Susan and Kenneth Rosenbaum, MD Joan Rosenstein and Kenneth Roberts Barbara and Douglas Rosing, MD Eliana Schenk Louise and David Schmeltzer Phyllis and John Schmitz Mike Schneider Ila and Thomas Schoettler Alison Schoettler Dee Schofield Sharon and Fred Schomer* Myrna Seidman* Rita and Alan Seifert Jen Sermoneta, PsyD Sue and Robert Shoenberg Joseph Silvio, MD Lois and Irving Slott Suzanne Smuckler Ruth Solomon and Steven Gutman Trudi Sommerfield

Pictured at our 2014 Annual Meeting are Executive Director Peter Lowet with Dr. George Cohen, MobileMed co-founder and longtime volunteer physician, and Ben Fassberg, Esq., who authored MobileMed’s Articles of Incorporation.

Sheila O’Donnell Irnest Oser, MD Beverly and John Pahira Ann Parker Marcia Parness*

Lucy Spagnolo, RN Stephanie Sporkin* Esther Starobin Clarence Steinberg Sharon Strauss

Sherry Sundick* Brenda Tabor Frances Thompson Lottie Traunfeld Carol Trawick Molly and Stuart Turkewitz Deirdre Turshen Mary and Leo Von Euler, MD Marcia Weinberg Carole and David Wilson* Susan and Lewis Winarsky* Scott Wolpert Sandra Wool Elizabeth Wyatt Eric Zatman Joan and Marc Zlotnik

Event Hosts Hyatt Regency Bethesda Temple Emanuel The Original Pancake House

*In Honor Of Rhoda Abrams James Bailey, MD George Cohen, MD Lenore Cohen Barbara Fishback Richard Gross, MD Sam Hack Thelma and Barry Meyer’s 60th Anniversary Michael Rosnick, MD Ann Statland Anita Solomon, PhD

*In Memory Of Marvin Berlin, MD Martha Cox Gene Davidson Mary Jane Jackson Arnold Ostrim Jim Schoettler Richard Steacy

FY2015 Financials July 1, 2014 - June 30, 2015 (unaudited) Revenue Contributions 6%

Private Grants 22%

Patient Reimb 17%

Expenses General & Admin 16%

Gov't Contracts & Grants 55%

Facilities/ Vehicles 7%

Program 77%

MobileMed’s FY2015 revenue and expenses each exceeded $2.6 million.

Thanks to generous public and private support, program development, and operational improvements, our financial ratios continue to be strong.

Longtime registrar/driver Alberto (Tico) Martinez with a patient at Ascension House, our mobile van clinic in Gaithersburg.

Pictured below with a patient (center) at our Rockville Clinic are registrar/ driver Marvin Sorto, providing interpretion services, and Medical Assistant Bebe Kouyate, making referral arrangements.

Connie Lierman, CRNP, President Marina Bills, Vice President Wendy Krasner, Secretary Alan Hoffman, Treasurer Charlotte A. Jenkins, MBA, Past President Rhoda Abrams, MBA Catherine Cleland, MBA Hon. David Davidson Sharon Kay Dooley, RN Sheldon Grosberg Jerome E. Herbers, Jr., MD, MBA Nataly Johanson Carlos Picone, MD Anita Solomon, PhD Simon Atlas George J. Cohen, MD Lola Jean Cross, MPH, RN Dolores Farr, RN Benjamin C. Fassberg John J. Fitzgerald, Jr. Hon. Esther Gelman Sara N. Harris, OT Hugh F. Hill III, MD, JD Kenneth Howard Marion Hayes Hull, PhD Jean Lanham Thelma Meyer, MSW Cynthia A. Meyersburg, MS John Moscato Rex Reed Hon. Helen Strang Andrew Weiss Peter F. Lowet, Executive Director Laura Welch, MD, Medical Director Kathleen Luton, CRNP, Clinical Director Paola Bueno, Director of Finance/Admin Linda Madden, Director of Development

UW #8157 CFC #86936 MobileMed 9309 Old Georgetown Road Bethesda, MD 20814 301.841.0825 info@mobilemedicalcare.org www.mobilemedicalcare.org