Opening doors to specialty medical care

ANNUAL REPORT 2 0 0 8 Letter from Executive Director and Board President

t is exciting to see what can happen n KCPA’s robust case management program The pages that follow highlight our work in when a local community tackles a removes logistical and financial barriers 2008 and our progress in tackling a tough Inational problem like for for our patients and volunteer providers. problem. More importantly, this report those in need. A Project Access model is recognizes those who have invested their often the solution. Throughout the United n KCPA screens all patient referrals to time and resources in a promise—a shared States, more than 50 communities have ensure that appropriate tests and vision of a stable, vibrant and healthy developed their own Project Access models. paperwork are completed BEFORE the community. From Newport, California, to Asheville, uninsured patient goes to see a specialist. North Carolina, to Anchorage, Alaska, each Project Access is unique to meet the needs n Nearly $5 million of medical of a local community. However, all Project care was donated in 2008. KCPA Rosemary Aragon Accesses have common principles of a leverages our donation dollars and Board President, coordinated charity system for low-income provides our funders with a 15:1 King County Project Access vulnerable patients that is shared across return on their invested dollar. a broad field of health care providers. Although King County Project Access n We are growing to meet the demand (KCPA) shares a similar mission to other for our services. Since our inception we Sallie Neillie programs across the country, we’re especially have recruited more than 280 volunteer Executive Director, proud of the elements of our program physicians, six community hospitals King County Project Access Rosemary Aragon that set us apart from similar efforts: and a host of other medical services Board President such as lab tests, x-ray and others. 2 Our Vision:

King County Project Access is developing a system to provide specialty services for eligible low-income uninsured and underinsured patients in King County. The system encompasses a full range of specialty services and involves major medical resources in the community as collaborating partners.

Our Purpose:

To facilitate, through licensed health care professionals and institutions, on a volunteer basis, the provision of medical services to low-income, uninsured individuals and other individuals experiencing challenges with accessing health care services in the community;

To develop collaborative partnerships with other key stakeholders in King County with the goal of improving access to essential health services for the uninsured and underinsured; and Rosemary Aragon Sallie Neillie Board President Executive Director To promote fair and appropriate access to health care and related services, particularly for those who are uninsured or underinsured. 3 We open doors to specialty medical care for the uninsured.

or King County Project Access Project Access model has been successful (KCPA), opening doors means in more than 50 communities in the By spreading the workload Fremoving the logistical and United States. By spreading the workload fairly, no single practice or financial barriers experienced by both fairly, no single practice or physician is physician is overburdened. patients and physicians in helping overburdened. Volunteer specialists donate patients access needed specialty care. up to two new patient appointments every For physicians, we remove the “hassle month and partner hospitals donate all By arranging for the necessary factor” in wanting to volunteer. KCPA related services. Specialty physicians who laboratory and imaging services as well screens all patient referrals to ensure volunteer with KCPA stay with KCPA. as qualified interpreters, we remove many that appropriate tests and paperwork For patients, our robust case of the barriers that prevent patients from are completed BEFORE the KCPA patient management services help them navigate keeping their appointments with medical goes to see a specialist. No wonder the the maze of disconnected systems to specialists. In the commercially insured access specialty care. Without KCPA, if a population, a no-show rate of 15 percent specialist agrees to see a patient for free, or higher is common for both primary care KCPA screens all patient referrals to the patient might have to arrange his and specialty care visits. The no-show rate ensure that appropriate tests and own tests, transportation and interpreter, for Medicaid and uninsured patients can paperwork are completed BEFORE the as well as pay up-front laboratory and be 30 percent or higher. When patients KCPA patient goes to see a specialist. imaging costs. This is a tremendous barrier are referred to providers through KCPA, for the patients we serve and a frustration more than 93 percent of them keep their for the physician who wants to help. appointments, a 6.8 percent no-show rate.

4 “Project Access makes it easier to do the right thing… provide needed care to the uninsured.”

Rayburn Lewis, MD Executive Director and Medical Director, Swedish Medical Center/Ballard Campus

“I got care I would have never gotten myself… I had no idea that anything like this existed.” Janet, KCPA patient

5 We serve the lowest income, most ethnically diverse populations in King County.

n 2008, the 1,115 patients served by King All of our patients have household County Project Access represented the income less than 200 percent of the Nearly 80 percent of patients Icommunity around us. They were all ages, federal poverty guidelines ($44,100 live at or below 150 percent but more than 90 percent were between annual income for a family of four). of the federal poverty level the ages of 18 to 65; nearly 5 percent are Nearly 80 percent of patients live at or ($33,075 for a family of four). older than 65. Patients are referred to us below 150 percent of the federal poverty from safety net providers throughout level ($33,075 for a family of four). King County and all of the patients The patients referred through patients referred to KCPA speak English, referred are uninsured or underinsured. Project Access need care in more than 19.9 percent speak Spanish. More than 13 In 2008, 197,000 (10.5 percent) of King 20 different medical specialties. The top percent speak one of 21 other languages. County residents were uninsured. requests for specialty care in 2008 were for KCPA continues to serve a very diverse gastroenterology, hand surgery, neurology, population—24 percent of our patients orthopedics and physical therapy. In 2008, identify as Hispanic or Latino; another 24 KCPA successfully made appointments percent identify as White or Caucasian; while Patients are referred to us from for more than 86 percent of our patients. 8.6 percent are Asian/Asian American, 7.9 safety net providers throughout King Often this includes making detailed percent of our patients are African American, County and all of the patients referred arrangements for qualified interpreters and 2.6 percent identify as Native American. are uninsured or underinsured. as well as an appointment with a medical specialist. While 66.5 percent of the

6 “I couldn’t bend over to tie my shoes or put on my socks.” That’s how Daniel described the hip pain that developed over 30 years working full- time in an auto body shop. “It took a toll on me, my knees, my hip, my body,” he says. Daniel saw a doctor at a community for a few years to deal with the pain. Eventually, it became unbearable and in 2008 his doctor referred him to King County Project Access (KCPA). Now Pended 30 Populations Served Daniel has a new hip and he’s looking for part- time work doing estimates for body shops. He says, “I’m 85% better than I was before. I Pended Caucasian 405 24% feel very thankful, very blessed. It touched me dearly that they could help me out in this way.” Enrolled Other or Latino/ 1,085 Unknown Hispanic 33% 24%

Enrolled Total Referrals: 1,115 607 Total Referrals: 1,012

Native Asian/ American African/ Asian 2.6% African American American 8.5% 2007 2008 7.9% 7

Enrolled = Patient quali†es for KCPA services Pended = Unable to enroll due to lack of complete eligiblity or medical information

Enrolled = Patient quali†es for KCPA services We are growing to meet the increased demand.

ast year’s number of 726,000 uninsured for our services. In 2008, more than residents has spiked 21 210 physicians, representing multiple In 2009, KCPA saw a 71 percent Lpercent to a record 876,000 in 2009. In health systems, were part of the Project increase in the number of patients fact, nearly one in five people between the Access system of volunteer providers served in first quarter 2009, ages of 19 and 64 have no health insurance. and hospitals throughout King County, compared to first quarter 2008. The length of time people go without including the following participants: insurance coverage has also increased. Recent numbers indicate that nearly three- n Evergreen Healthcare n Swedish Medical Center— quarters of these Washington residents The Mother Joseph Clinic were uninsured for six months or longer. n Eye Associates Northwest, PC In addition, Washington residents n The Polyclinic on public subsidized health insurance n Group Health Cooperative— (Medicaid, Basic Health Plan) continue to Central and Bellevue Campuses n Valley Medical Center experience challenges in finding the care they need, especially specialty care services. n NW Gastroenterology Associates n Virginia Mason Medical Center As the number of uninsured and underinsured patients continues to n Overlake Associates— In 2008, KCPA served 1,115 patients. In increase, King County Project Access must Gastroenterology 2009, KCPA saw a 71 percent increase in the grow to meet the increased demand number of patients served in first quarter n Pacific Medical Centers 2009, compared to first quarter 2008.

8 Pended 30 Populations Served

“King County Project Access is a Pended Caucasian sign of optimism that physicians 405 24% and hospitals can work together to Enrolled Other or Latino/ take care of the health needs of our 1,085 Unknown Hispanic uninsured in a way that government 33% 24% hasn’t been able to figure out yet.” Enrolled Total Referrals: 1,115 607 Leo Greenawalt, President and CEO, Total Referrals: 1,012 Washington State Hospital Association Native Asian/ American African/ Asian 2.6% African American American 8.5% 2007 2008 7.9%

Enrolled = Patient quali†es for KCPA services Pended = Unable to enroll due to lack of complete eligiblity or medical information

Enrolled = Patient quali†es for KCPA services 9 We provide our funders with a 15:1 return on their health care dollar.

n 2008, KCPA served more than 1,000 across the nation saw between a 40 to 60 productivity in 2007 due to the shorter life low-income patients. With 2008 operating percent drop in Emergency Department use. spans and poorer health of the uninsured. Iexpenses of only $323,000, KCPA has Lack of insurance and lack of access to We know King County Project Access been able to leverage this limited funding health care impacts a patient’s life. According makes good sense, but we still need to provide nearly $5 million in donated to the Institute of Medicine’s report, Care dollars to keep our operations expanding services—a 15:1 return on donated dollars. without Coverage: Too Little, Too Late, to meet the increased need. Thanks There’s no question that caring for uninsured Americans between 55 and 64 are to organizations like Pacific Hospital uninsured patients before they show up in at much greater risk of premature death than Preservation & Development Authority, local Emergency Departments saves money. their insured counterparts. Uninsured adults Evergreen Healthcare, Community Because these patients have difficulty are much more likely to die prematurely. Health Plan of Washington, The accessing appropriate care, Emergency According to the Institute of Medicine’s Foundation, Swedish Medical Center and Department use rates for the uninsured are state data, one working Washington others, we have been able to grow each about twice as high as the rate for insured resident dies each day due to lack of health year since we started in 2006. In 2009, populations. Washington State Department insurance. Washington state’s economy lost we are expanding our outreach to local of Health data estimates that avoiding an between $1.68 million and $3.56 billion in governments, hospitals and foundations, uncompensated Emergency Department encouraging them to help cover KCPA’s visit saves a hospital $1,500 in uncollected cost of caring for these patients. We are charges. After enrolling patients in a With 2008 operating expenses of confident that both private and public Project Access model, seven communities only $323,000, KCPA has been able to partners will see the value of improved leverage this limited funding to provide access and outcomes at lower costs. nearly $5 million in donated services 10 VALUE OF DONATED SERVICES

Average Cost/Patient $5,137 Median Cost/Patient $1,124 Average Number of Services/Patient 4.64 Median Cost/Service $250 Total Value of Services Provided Through $4,972,900 Participating Physicians, Hospitals & Others “Many people in our community don’t have health insurance. If they don’t receive care when they need it, little medical problems can become big ones.” Robert Thompson, MD, VP of Physician Relations, Valley Medical Center “If people get taken care of outside the hospital, then our overall health care cost goes down.”

Chrissy Yamada, CFO, Evergreen Healthcare 11 2008 Financial Statements

Statement of Financial Position (Balance Sheet) Statement of Income & Expense Assets Dec. 31, 2008 Dec. 31, 2007 Revenue Dec. 31, 2008 Dec .31, 2007 Current $229,341 $237,229 Contributions $115,462 $179,465 Fixed 1,846 717 Government Total Assets 231,187 237,946 Contracts & Grants 57,500 93,500 Liability & Equity Non-Government Contracts & Grants 147,000 25,000 Current 2,860 7,459 Interest Income 975 1,221 Equity 228,327 230,487 Total Income 320,937 299,186 Total Liabilities $231,187 $237,946 Expense & Equity Salary, wages & benefits 146,339 85,230 Professional Services Inc. Interpretation 101,718 115,007 Facilities 32,148 35,618 Insurance 10,418 8,971 Other 32,474 16,977 Total Expense 323,097 261,803 *Unaudited Financial Statements. Net Ordinary Income $(2,160) $37,384

12 Revenue

Government Non-Government Contracts & Grants Contracts & Grants 17.9% 45.8%

Contributions 36%

Interest Income .3%

Revenue Expense

Salary, Wages & Bene†ts Government Non-Government 45.3% Contracts & Grants Contracts & Grants 17.9% 45.8% Professional Services & Interpretation 31.5%

Contributions 36% Other 10.1% Interest Insurance Facilities Income 3.2% .3% 9.9%

Expense

13 Salary, Wages & Bene†ts 45.3%

Professional Services & Interpretation 31.5%

Other 10.1% Insurance Facilities 3.2% 9.9% Participating Providers (as of October 2009)

Physicians Brian Burgoyne, MD Howard Colston, MD Robin Fuchs, MD Julie L. Adam, MD Scott Burks, MD David J. Corwin, MD Stephen E. Fuhs, MD Bobbie Aflatooni, ARNP Maureen Burns, MD Jennifer Coursen, MD John H. Fure, MD Rosemary Agostini, MD Raj C. Butani, MD Mary Cunningham, MD Alina Gavrila, MD David Alan Alexander, MD Bob Cancro, MD Steve Cuplin, MD William S. Getchell, MD Thomas Amidon, MD Chris Cannon, MD Marc C. Dales, MD Thomas E. Gillette, MD Thomas R. Anderson, MD Timothy Carlos, MD Steven M. Dawson, MD Jane Golden, MD Kristi W. Anderson, PT Molly Carlson, MD Susan Brown Dean, PT Greta Go, MD Richard L. Angelo, MD Kara L. Carlson, MD Joseph R. DeMartini, MD Ann Patricia Gorai, MD Craig Arntz, MD Brant F. Carroll, MD Amish J. Desai, MD Gene E. Graff, DO Rashy Arora, MD Janet M. Carroll, MD Jennifer DeVault, RN James F. Green, MD Prashanti Aryal, MD David W. Castle, PA-C Philip R. Downer, MD Thomas M. Green, MD Todd A. Barnett, MD James A. Champoux, MD Philip DuBois, MD Ronald V. Gregush, MD David H. Barr, MD Victor Chan, MD Grace Dy, MD Jeffrey Grice , MD Bill Barrett, MD Trang Chau, M.N., A.R.N.P. Sue C. Eng, MD Carla A. Guerrero, PT Traci Barthel, MD Steve Y. Chen, MD John Faith , MD Todd Guyette, MD Janice Benson, MD Ian Y. Ch’en, MD Alexis Falicov, MD R. Alan Hall, MD Renuka Bhattacharya, MD Jonathan Chin, MD Dana Feaver, MD Shirley Handley, MD Danica M. Bloomquist, MD Karri K. Chinn, MD Geoffrey S. Ferguson, MD Ben H. Harmon, MD Meagan Bouse, MD Grace S. Cinciripini, MD Kim Fitzgerald, MD Robert E. Haynes, MD Shari Brennecke, MD Maria Chong, MD Stacey Fowler , PT Ronald Hebard , MD Scot A. Brower, MD John Monte Clark, MD Robert R. Francis, MD John Hendrickson, MD James D. Brown, MD David R. Clawson, MD Michele B. Frank, MD Leona Hokason, MD Stephanie Clements, MD Jonathan L. Franklin, MD Lawrence E. Holland, MD Kelly A. Clinch, MD Dawn Frankwick, MD David B. Honari, MD 14 Kalle Kang, MD Edward Lee, MD Carleton A. Keck, Jr., MD Michael E. Lee, MD Volunteer specialists Daniel Patrick Kelly, MD James Leggett, MD donate up to two new David Kim, MD Edward E. Leonard II, MD. patient appointments Edward Kim, MD Arnold Levin, MD every month, and Sang U. Kim, MD Brent Lewis , MD partner hospitals donate Yung Kim, MD Howar S. Lewis, MD Sean Kincaid, MD Rayburn Lewis, MD all related services. Richard M. Kirby, MD Henry Li, MD Julian Klos, MD Evelyn Lindenthaler, MD Jonathan L. Knight, MD Thomas D. Lindquist, MD Aimee D. Kohn, MD Matthew Lonergan, MD Scott E. Hormel, MD Brent D. Kooy, PA-C Dan Lowinger, DPM Jeanna M. Hoyt, MD Craig Kovacich, MD Rubin R. Maidan, MD Paul P. Huang, MD Shoba Krishnamurthy, MD Sid Mannetti, MD Fred Huang, MD Christopher M. Krol, MD Jennie Mao, MD Mark Jabbush, MD Robyn Kroll, MD Stephen Markowitz, MD Joseph Jereczek , PT Brian Kumasaka, MD William M. Marks, MD Jill T. Jesurum, ARNP Dennis JV Kvidera, MD Richard A. Marks, MD Marion C. Johnson, MD Edwin Lai, MD David C. Marlow, MD Muriel Jones, MD Dan M. Lantz, MD Nancy A. Marshall, MD Elizabeth S. Joneschild, MD William L. Lanzer, MD Ronald E. Mason, MD Peter G. Justus, MD Sumi J. Lavin, MD Elizabeth Maunz, ARNP Harry A. Kahn, MD June Lee, MD Mark D. Mayhle, MD Daniel Kam, MD Steve Lee, MD Michael K. McAdam, MD Sharyl Kamihara, MD 15 Participating Providers, continued (as of October 2009)

Craig M. McAllister, MD Kristi O’Connor-Nyquist, MD James W. Pritchett, MD Nancy Shaffer, MD Anne P. McCormack, MD Rex Ochi, MD Pankaj Rajvanshi, MD Joel A. Shapiro, MD John McDermott, MD Kyle Oh, MD Georgia M. Rees-Lui, MD Nik Shrivastava, MD William D. McDonald, DDS Deems Okamoto, MD Mark Reisman, MD Ravi S. Singh, MD Teri McFall, MD John V. Olsen, MD Mark Remington, MD Divya Singh, MD John D. McGowan, MD Rolf Olsoy, MD Andres Rice, MD Andy Skucas, MD Brian R. McKillop, MD Harold E. Olsson, MD Francis X. Riedo, MD T. Robin Sloane, MD David Mehlum , MD John R. Overbeck, MD Jeffrey D. Robinson, MD James B. Smith, MD Juan A. Millan, MD David P. Panther Pamela J. Rock, PT James Y. Song, MD Jessica Miller , PT David E. Panther, PAC Derek M. Rodrigues, MD Narender Sood, MD Richard E. Miller, MD Sanjiv R. Parikh, MD Raphael Rodriguez, MD Lloyd E. Stambaugh, III, MD Dean W. Milligan, MD Raymond D. Park Allen Rossman, MD Berry Stephen, MD Rizvan A. Mirza, MD Louise Park, ARNP John Rowland , MD Tom Stibbins, MD John A. Miyano, MD Laird Patterson, MD G. Thomas Ruebel, MD Jeff L. Stickney, MD V. Mohan, MD Jeffrey E. Pearce, MD John T. Sack, MD Thomas C. Stoll, MD Gregory J. Norling, MD Larry R. Pedegana, MD Nicole S. Saintclair, MD Susan B. Storck, MD William Mulligan, MD Neal S. Perlmutter, MD Jan Sangder, MD Jan Stroh, MD Carol Murakami, MD Elizabeth M. Perpetua, ARNP Steve Sasaki, MD Henry Su, MD Ali J. Naini, MD Mary Leet Peters, MD Richard W. Satre, MD Sandra J. Sultan, MD Nancy J. Neubauer, MD Kim Fitzgerald, MD James S. Schneider, MD Tewari Suman, MD Mark Newman, MD Charles L. Peterson II Michael Schuffler, MD Steven D. Sun, MD Anita Ninan, MD Charles L. Peterson III, MD Travis S. Sears, PA-C Amy Tait , PT Edward R. North, MD Gail Pinczower, MD John Sekijima, MD Darik Taniguchi, MD Ellen S. Pizer, MD, PhD Sally V. Sekijima, MD David P. Tempest, MD Douglas A. Portelance, MD Roanne Selinger, MD Suzanne Thompson , PT 16 Jason Thompson, MD Safety Net Jeff Tomlin, MD Specialty physicians Christ Community Free Eugene P. Toomey, MD Clinic—Auburn who volunteer with Duong H. Tran, PA-C Country Doctor Community Thomas J. Tubbesing, MD KCPA stay with KCPA. Health Centers Marty Tullus, MD Haller Lake Christian Health Clinic Andy Turella, MD HealthPoint Shie-Pon Tzung, MD International Community Carol VanHaelst, MD Joseph S. Whatley, MD Health Services Curtis Veal, MD Paul F. Williams, MD Neighborcare Health Ryan Veith, MD Charles L. Wilson, MD Public Health—Seattle and Rob Veith, MD Robert A. Winquist, MD King County Pedro T. Vieco, MD George R. Winters III, MD Renton Rotacare Free Clinic Mark R. Vossler, MD Bonnie J. Witrak, MD Sea Mar Community William Wagner, Jr., MD Robert Wohlman, MD Health Centers David V. Wahl, MD Rachel Wyman, MD Seattle Indian Health Board Tanya Wahl, MD Ronald W. Yeh, MD Seattle Rotocare free clinic— Maggie Walker, MD Harry H. Yu, MD Shoreline Dean Walund, MD Rima Zikas, MD Swedish Family Practice Residency Diana Weeks, MD Paula Zook, MD Valley Family Practice Residency Mitchell Weinberg, MD Mark A. Weinreich, PT Loryn P. Weinstein, MD Jill Weinstein, MD David G. Westman, MD 17 Our donors provide critical support for our mission.

Corporate Funders In-Kind Donors Helga Gabrielli Dr. Paul & Susan Pennington Apex Foundation Companis Robert Gelder Dr. Edyth & Gene Phillips Biel Foundation Craig Darling Dr. Marjorie Gillespy Dr. C. Wight Reade Community Health Plan Executive Service Corporation Dr. Michael Golden Dr. Len & Gretchen Rosoff of Washington First Choice Health Nancy Hannah Dr. Elliot Sacks Evergreen Healthcare iSalus Healthcare Dr. Edeltraud Hondl & Dr. Helen & John Schlagel First Choice Health K&L Gates Dr. Arthur Murray Dr. Margaret Sigley King County Peg Conley Dr. Marcia C. Jordon Dr. Donald Silverman Molina Health Care Dr. Manfred Laband Dr. Samuel Slonim Pacific Medical Centers Individual Donors Dr. Rayburn Lewis & Margaret Stanley Pacific Hospital Preservation Rosemary & Lewis Aragon Elizabeth Upton Dr. E. Franklin & Susan Stone and Devlopment Authority Dr. Nancy Auer Dr. Elizabeth Lufburrow Patsy Swartz Seattle Foundation Dr. Cecile Bassen Levin Magruder Dr. David Tempest Public Health, Seattle Brent Benjamin Marcy Maurer Dr. Alan & Michele Tesler and King County Howard Bernstein & Dana Burns Dr. Pamela McDonald Dr. Curtis Veal Swedish Foundation Dr. Robert Bernstein Dr. Russell McMullen James & Susan Walters Washington State Hospital Dr. Christopher R. & Jean Blagg Dr. T.L. Merritt Dr. William J. Watts & Association Ros Bond & Jill Marsden Dr. Joan Miller Dr. Mary Bachhuber Watts Dr. Michael Buckley Peter Morgan & Raleigh Bowden Debra Weiss-Wilson & Gary Wilson Guy & Judy Buell Dr. William Mulligan Chrissy & Eric Yamada Nancy Cohen Dr. Robert & Julie Nathan Dr. Jan Zemplenyl Roscius Doan Sallie Neillie & Liese Frankenstein Giselle Falkenburg Dr. John N Nimlos Dr. Judy Featherstone Dr. Edward North Kay Frankenstein Dr. Rex Ochi 18 Carol Parrot & Mark Reisinger King County Project Access Leadership

Board (as of July 2009) Staff

Rosemary Aragon, President Peter Morgan Sallie Neillie Kerry Nieman Executive Director, Pacific Executive Vice President, Executive Director Case Manager Intern Hospital Preservation and Group Practice Division, Development Authority Group Health Cooperative Andrea Castell, RN, BSN, MBA Scott Shurtleff Operations Nurse Operations Manager Charles Heaney, PhD, Paul Pennington, MD Vice President President, King County Medical Patrick “Fergie” Ferguson Mary Zwerling Executive Director, King Society and retired physician Office Manager KCPA Public Health Liaison County Medical Society Curtis Veal, MD Ian Gray Zac Smulski, Treasurer Immediate Past Chief of Staff, Case Manager Chief Financial Officer, Swedish Medical Center Pulmonary, Cherie Green, RN Puget Sound Health Partners Critical Care & Internal Medicine KCPA Evergreen Healthcare Liaison Medical Director, Critical Care & eICU Mark Secord, Secretary Swedish Medical Center Cheryl Lau Executive Director, Neighborcare & The Polyclinic KCPA Evergreen Healthcare Liaison Health Community Health Centers Lynn Zimmerman Lyn Sullivan Lee, RN, BSN Judy Featherstone, MD Director of Finance, Seattle KCPA Volunteer Referral Medical Director, HealthPoint Biomedical Research Institute Management Community Health Centers Sallie Neillie Rachel Morrow Rayburn Lewis, MD Executive Director, King Case Manager Executive Director and Medical County Project Access Director, Swedish Medical 19 Center/Ballard Campus KING COUNTY

PROJECT 1111 Harvard Avenue n Seattle, Washington 98122 n www.kcprojectaccess.org access Telephone: 206.788.4204 n Fax: 206.382.3507 n [email protected]