APLA’s First Site: 1983

2012 Annual Report WHAT WE DO AIDS Project Los Angeles DEAR FRIENDS: This year, AIDS Project Los Angeles marks its 30th year of service. Since our founding in 1983, APLA It is astonishing to look back over that broad span of time and housing from APLA, and mother and son are happily reunited. has grown to become one of the realize how much we’ve learned—yet how far we still must go. There’s John, a mid-20s college student who tested HIV-positive No longer are children who are living with HIV routinely kicked at our APLA Health & Wellness Center in Baldwin Hills. Initially WhatWhat WeWe DoDo largest and most effective IA DS out of school from baseless fears of contamination—yet sons and frozen with fear and far from family, he connected with peers at service organizations in the nation. We are proud to be commemorating 30 years of service. daughters are still barred from family gatherings for similar and our support group for those who are newly diagnosed, and he’s senseless reasons. become an outspoken young advocate of frequent HIV testing. And there’s Raul, whose weight plummeted to 90 pounds in the throes of AIDS. An even further indignity, WHAT WEClients DO in 1983 Clients in 2012 his tightly knit family refused him access to their bathroom, forcing his weakened frame to walk blocks In 2012: to a gas station restroom. But through the unyielding efforts of an APLA nurse and social worker, he regained his health, a stable home, and even flew to Washington, D.C. to testify before Congress on behalf of others living 55 10,00010,000 with HIV/AIDS like him. + At APLA, we don’t “celebrate” our anniversary in the 11285285 traditional sense, because we’ve worked over these ?? HIV TESTS decades to offer life-sustaining support to people facing incredible and seemingly insurmountable strife. Were Given The very fact that we exist speaks to ongoing pain and hardship in our own neighborhoods. 9595%% But here’s what we do celebrate: the unbelievable 4,527 CALLS of our clients accomplishments of our clients, so many of whom have were answered on live on made tremendous strides in the face of such adversity. our Clientline We also cherish the generosity of our volunteers, less than incredible people who, this past year, gave more than $20,000 No longer are people who are HIV-positive regularly refused 65,000 hours of their time to do everything from staff our 65,000 HOURS a year medical care, and universal precautions are just that—universal. special events to pack our food pantry grocery bags. And we were worked by But our clients are still met with resistance and fear from dentists treasure your amazing gifts of funds, because private dollars our volunteers and other health care providers who don’t understand even the have been our single most important and dependable source of basics about HIV. providing critical client services, education, and advocacy— Over half 71,815 HOURS of in-home % And no longer are we seeing dramatic, across-the-board jumps from day one. in HIV infection rates—but the disease continues to spike among health care were provided for of our clients certain high-risk groups. In many parts of the U.S., one in two In this, our 30th year, clients too sick to leave home live on less than African American gay men, for example, is now HIV-positive. At milestones like this, it’s easy to turn toward the data— we THANK YOU for your 2,424 HOURS of counseling $10,000 a year the numbers that help us to understand and make sense of services were provided the tragedy. enduring support. Yes, 1.2 million Americans are now HIV-positive. Twenty percent of them do not know it. We have lost 600,000 in the U.S. since the epidemic began. And on average, we lose another 50 people each day. But behind these numbers are people—their lives changed and uprooted by HIV and so many other challenges. 160,000 There’s the Green family, Kelly and Jackie and their daughter, 17,067 2012 all three HIV-positive. They’ve battled poverty and hunger, but Dental procedures through APLA’s Housing Support Services, they were able to find Bags of groceries 96,000 performed a home. And from our Vance North Necessities of Life Program distributed by the 12,000 2002 93,500 food pantry site in Long Beach, they were able to put life- APLA Vance North by APLA Dental sustaining food on their table. Rodney Gould Craig E. Thompson Services Necessities of 8,476 1992 There’s Lisa, an Air Force veteran with two college degrees, Chair, Board of Directors Executive Director Life Program 1992 2002 2012 rendered jobless and homeless when HIV stole her health. AIDS Project Los Angeles AIDS Project Los Angeles She lost her son to the foster care system—but she, too, found 20+31+61 1980s1980s THE EPIDEMIC 1980s1980s APLA

1983—From Patients to People: The Denver Principles 1983—Powerful Compassion: AIDS Walk Los Angeles

The history of HIV and AIDS begins long before today’s reality of HIV drug cocktails, comprehensive funding In the 1980s, a new era was dawning in the United States.The Reagan presidency was changing America. So too packages, and networks of AIDS service providers. It stretches to the earliest days of the 1980s, before the words was the AIDS epidemic. At the time, Craig R. Miller was in his early 20s and working as a community organizer and “HIV” or “AIDS” even existed. political activist. He was also California’s youngest professional campaign manager, with close ties to local elected Intertwined with its medical history are powerful social and political histories. Those living with AIDS, often labeled officials including Congressman Henry Waxman. He had participated in a number of pledge-type fundraising events as helpless “patients” and “victims,” would quickly launch a striking movement toward self-empowerment that would but had never organized one. Soon he would: AIDS Walk Los Angeles. fundamentally change not only the AIDS epidemic but the entire relationship between health care providers and In late 1984, at age 25, Miller, while working as a staffer for both a California state senator and a U.S. Congressman, those in their care. approached APLA with a written proposal: Miller, with business partner Richard Zeichik, would produce a “walk- It began with a constitution of sorts, The Denver Principles, that articulated exactly how people living with the a-thon” fundraiser to provide APLA desperately needed funding to serve skyrocketing numbers of clients. Miller disease wanted to be treated: No longer as passive victims but in fact as “people with AIDS,” experts in their own requested $13,000 in starting capital and set an ambitious goal to raise $100,000. stories, and key stakeholders in their own treatment. Now, 28 years later, the Walk has become a nationwide movement, raising an astonishing sum of more than $350 We spoke with Lee Klosinski, Ph.D., the Senior Associate Director of the UCLA Nathanson Family Resilience Center, million nationwide to fight AIDS. We sat down with Craig Miller to find out how it happened. about the significance of the Principles and the movement that followed—both for those living with HIV/AIDS and for all who interact with the healthcare system. Dr. Klosinski served as the director of programs at APLA from 1990 through 2005.

health movement and the “out of the bars We ask for a sense of and into the streets” spirit of Stonewall To me, the future of and the gay liberation movement—come in, it hit us: We were going to raise well out, be out, speak your mind, and never be the movement means over $600,000 with 4,500 participants. I’ll support. We discourage silenced again. be honest: I cried. Bill cried. And I thought Do you think those early advocates back on that march on the federal building, blame and stigma in anticipated that their views would not forgetting the and I felt that we had built a forum for the become a call to action for so many community to express a sense of powerful medical care. others affected by chronic disease? lessons we’ve learned compassion. We felt embraced, filled with LK: I don’t think they realized the hope, and we thought, “You know, we just “ “ might be on the right track.” momentous impact their work would have along the way. on the practice of medicine in the United How did you go about building this into a whole movement? States. It had far-reaching implications Craig R. Miller Lee Klosinski, Ph.D. for the patient-physician relationship; it CM: We didn’t go into this as a career affected how information was shared from move or with a long-term business plan descended on those diagnosed. But rather What was that first meeting with APLA or organizing agenda. We were simply APLA: The Denver Principles begins with provider to patient; it raised the notion of APLA: When did you first realize that you than being silent, parts of the community organizers like? responding to a crisis as best we knew the phrase, “We condemn attempts to patient privacy and provider sensitivity to were going to do something to change the erupted. We realized that we had to take CM: I remember it so well. Bill Misenhimer, how. Then we realized there was a real label us as ’victims,’ a term which implies an entirely new level; it even pushed the course of the epidemic? care of ourselves because no one else was APLA’s executive director at the time, need—stretching from Los Angeles to New defeat, and we are only occasionally envelope of patient safety in a good way Craig Miller (CM): After attending a going to. So one of the first steps was was working from rented apartments York and elsewhere—and I felt that we ’patients,’ a term which implies passivity, and raised awareness about the need for candlelight vigil sponsored by APLA in to make a bold assertion:” That someone universal precautions that are just that— 1983, I realized that we had a full-scale that comprised APLA. I outlined the could help fill that need… to spread this helplessness, and dependence upon with a life-threatening, highly stigmatized game plan and emphasized that it was powerful compassion that the first event the care of others. We are ‘People With universal. Not based on stereotype but emergency on our hands. And I saw illness could claim that disease as part of a relatively low-risk proposition.” As we gave rise to. AIDS.’” But this was a different era. based on genuine concern for biohazards. two very scary things co-occuring: The their identity. That we were not primarily spoke, desperately sick young men would You have, indeed, given rise to a There was no Internet, no rapid spread Do you believe that The Principles beginning of a massive epidemic—at a time patients and victims but “people with be ushered into Bill’s office, with fear and movement—one that has raised hundreds of information from researchers to the still hold as much significance today? when the federal government was focused AIDS.” hunger in their eyes, and he would hand of millions for the fight against the public, and many people with HIV and And for whom? on shrinking “discretionary” spending—of them food vouchers that he kept in a epidemic. What do you see as the AIDS lived under a cloud of stigma and What led to this realization? LK: Absolutely. You can’t really find the type that would be needed to respond drawer in his desk. It was devastating to movement’s future? fear. How did The Denver Principles A sense of anger, frustration, or being anything in The Principles that doesn’t to a colossal public health emergency. watch—so when Misenhimer agreed to CM: I feel grateful to continue making change that? misunderstood? Panic about the disease? apply today. They are the abiding beliefs I was enough of a student of politics Perhaps all of those things. The earliest the proposal, we knew that we had to a difference. To me, the future of the Lee Klosinski, Ph.D. (LK): In 1983, the LK: and aspirations of the people with AIDS/ to know that our federal government’s work quickly. movement means not forgetting the general public was terribly fearful and helpful public discussions about AIDS HIV empowerment movement: We ask response would be anemic at best. So the What were your expectations around lessons we’ve learned along the way. That under-informed about the disease. People were led by physicians, scientists, and for a sense of support. We discourage idea behind the Walk was to fill the funding that first AIDS Walk Los Angeles? is, that government cannot always be often held a one-sided view: An AIDS public health officials. The authors ofThe blame and stigma in medical care. We gap left by an unresponsive government. I CM: At first, we set an ambitious goal to counted on to effectively confront every diagnosis was a grisly death sentence, Denver Principles recognized that none of form caucuses in medical decision-making knew enough about campaign budgeting raise $100,000 with 1,000 attendees. But public health emergency. That’s why and those who had it were viewed as the voices in the conversation came from that include the person with the illness. and messaging from my political work; as the event date neared and we surpassed I’m so deeply honored to continue our sinful, criminal, even mentally ill. The those who actually lived with the daily We haven’t added or removed anything and Richard [Zeichik] had a background in our goal, Richard and I realized that we partnership with APLA and to act on the public distanced itself and looked down reality of AIDS. So they began to speak from this document. What we have grassroots fundraising; and thus it began. might hit a quarter of a million dollars. And lessons we’ve learned in this 30-plus year on the disease and those diagnosed with up. This effort grew from the “our bodies, done is moved this ethos out into other then, on event day, as the numbers came struggle. y it. As a result, a vast amount of stigma ourselves” philosophy of the women’s communities and new generations. y 1990s1990s THE EPIDEMIC 1990s1990s APLA

1993—Ryan White: The Feds Step In 1993—The Landscape Shifts: HIV Drug Therapies

By various accounts, the federal government’s response during the early years of the AIDS epidemic was “anemic,” In the early 1990s, the outlook for people living with HIV/AIDS was particularly bleak. Only one anti-HIV drug existed, “uncertain,” “belated,” or in the words of some, “a deadly failure.” and by 1994, the rate of death from AIDS-related causes was at an all-time high. More than 241,000 had died But the 1990s ushered in a new era of federal support—chiefly through what is loosely known as “The Ryan White nationwide, and AIDS had become the number one cause of death for all Americans ages 25 to 44. But the landscape Program,” the single biggest federal program to help people living with HIV/AIDS. According to the Kaiser Family of HIV treatment was about to undergo a tectonic shift. Foundation,“The program provides care and support services to individuals and families affected by the disease, The year 1995 ushered in HAART, or Highly Active Antiretroviral Therapy. Ultimately, HAART would end the era of functioning as the ‘payer of last resort’ by filling the gaps for those who have no other source of coverage or face an HIV diagnosis as a death sentence and fundamentally change the role of AIDS service organizations like APLA. coverage limits.” It took its name from Ryan White, a young Indiana boy who contracted HIV via blood transfusion We spoke with Dr. Michael Gottlieb, a Los Angeles-based physician and immunologist, on the impact of HAART. and died in 1990. Dr. Gottlieb is widely known as the author of the first official report, released June of 1981, that described five patients We spoke with Phil Curtis, APLA’s current director of government affairs, about the program’s enduring impact. who presented with a cluster of highly unusual symptoms that would ultimately become known as AIDS. All five Curtis was a case manager at APLA at the time that the program began. would die within a year.

What did that response look like? PC: Initially, it really provided funding for care and treatment, where previously there were no funds. So for those who were too ill to work, they would lose their jobs— dying. But with HAART, many realized that What the Act really and their health insurance—so the only they would live. It was miraculous, but solution was to turn to public clinics and it also brought on an entirely new set of offered was a stable hospitals. What the Act really offered was I remember literally challenges. Those living with the disease a stable source of funding for HIV medical were (and often still are) ostracized from source of funding for treatment for both people living with getting goosebumps family and friends, facing an entirely HIV/AIDS and the organizations that served different set of hardships, including them. And, sadly, it did come at a time when I heard of HAART. poverty, hunger, homelessness, addiction, HIV medical treatment. when death rates were catastrophic, when lack of access to care, and much more. “ many people couldn’t turn to their families That’s where APLA and other organizations because of stigma, when mothers were have really played a crucial role. APLA still infecting their babies. Before the Act, “ links its clients directly into care to ensure Phil Curtis you could argue that the U.S. was really Dr. Michael Gottlieb that all can benefit from the advances still at a place that, unfortunately, some of HAART—but it really doesn’t just stop developing nations are still at with HIV. there. APLA offers an entire network of APLA: How did Ryan White funding So in those early years, how did people APLA: Thank you, Dr. Gottlieb, for taking there might be something we could do to How has it grown and adapted services for the whole person: dental come about—and what took so long? get help—especially if they couldn’t the time to share your experience. Will save their lives. But it was wishful thinking. over the decades? clinics, in-home care for those in fragile Phil Curtis (PC): In many ways, the afford the first AIDS drugs? you begin by explaining how you became So after nearly 15 years of losing so many PC: It’s certainly grown financially—from health; mental health counseling for Ryan White CARE Act was the eventual PC: You had a small amount of federal so intimately involved in the epidemic? patients to AIDS, let’s talk about HAART. $220 million at the start to nearly $2.4 those facing anxiety and depression; result of what was initially a catastrophic funding—but that’s really where private Michael Gottlieb, M.D.(MG): It was really MG: I remember literally getting ” billion now. More than 500,000 people housing help; and more. If those issues go organizations like APLA stepped in to ” failure of political will. Something very by chance. Over the course of a few weeks, goosebumps when I heard of HAART. It benefit from this vital funding, and there unaddressed, the chances are far less that dangerous was happening, but because help. They were sustained by private five young, gay male patients came to was a fundamental change in the way are a number of different facets now: clients will access and benefit from HAART. it was associated from the start with gay donors—individuals and corporations me with Pneumocystis carinii pneumonia we could treat HIV, using combinations It funds everything from treatment to I’ve literally had clients tell me that APLA men, a highly stigmatized group, political that understood the scope of what was (PCP) and clearly compromised immune of medications that attack the virus from HIV testing to dental care to specialized has served as the key connection between leaders just didn’t know what to do about happening—and volunteer power. Some systems. I could see that they were afraid— multiple angles. services for specific populations, like youth, getting care and not getting care—a bridge it. [Editor’s Note: “CARE Act” served as state and local funding came in, but but they also viewed doctors as capable of These powerful drugs work in concert to women, gay men, and people of color who between life and death. an acronym for “Comprehensive AIDS private dollars sustained the response for diagnosing and treating their disease. They interfere with how HIV enters your cells, are living with HIV and AIDS. With the treatment and social services Resources Emergency Act.”] It wasn’t a very long time. The CARE Act was the didn’t know—and we didn’t know—that this spreads through your body, and transmits So what’s the future of the Act, especially that are now available, what do you until 1990 that things started to turn first major, federal infusion of dollars that was the beginning of a downhill course. from one person to another. In this way, in light of the Affordable Care Act (the tell new clients who have just been around. Policy leaders, like Henry Waxman we saw. When all five died, it was a tremendous HAART protects the body’s immune ACA)—or so-called “Obamacare”? diagnosed. What does the future of life and Orrin Hatch, finally started to take How did the CARE Act affect loss for me, and it drew me in with a desire system from rapid damage. Without it, PC: That’s not entirely known. It’s certainly with HIV look like? action, and their progress was pushed the response, then? to find out what was happening and how I HIV can quickly spread and destroy the evolved from an emergency relief measure MG: Just today, I saw a 22-year-old who is along through increased public attention, PC: The CARE Act really built itself around could help. immune system, allowing otherwise- into a vital part of the planned, national HIV-positive. He’s getting connected into spurred largely by a Congressional visit the response that was already taking As you and other providers realized that treatable infections (like flu, pneumonia, response. And there’s no question that care and is receiving comprehensive social from Elizabeth Taylor. After the first dollars place—given that we were nine years an epidemic was spreading rapidly, what or even a cold) to become deadly. HAART the Act has been critical to getting people support. He’s coming to grips with the were allotted, she demanded that they into the epidemic. You had individual did you tell your patients who presented created tremendous change for people linked and maintained into medical care. fact that he has a chronic disease that will be quickly spent for the benefit of those government entities and organizations like with the disease? with HIV and AIDS. But the ACA will do a lot of the heavy require ongoing treatment. But I told him suffering. What was perfectly clear to APLA responding, so the CARE Act filled in MG: Honestly, we didn’t have to tell them How has HAART impacted the need for lifting now, so Ryan White will certainly to plan for retirement. Life with HIV isn’t many people was that there was a rolling the blanks to a certain extent. It was much much. Many already realized that they services from providers like AIDS Project evolve. But two things are clear: It was a easy, but the outlook is much more emergency going on, what was needed like a response to a disaster—you had the would likely die within months and just Los Angeles (APLA). long time coming, and it’s still a critical hopeful now. Will we see a cure for him was action, and it was slow in coming. local relief efforts, and then you had the wanted to ease the pain of the process. MG: At the outset, many people living with source of support for life-saving care and tomorrow? Sadly, no. But in his lifetime? federal government stepping in, as well. At times, I would still hold out hope that HIV were focused mainly on one thing— treatment—now and into the future. y We just might. y 2000s2000s THE EPIDEMIC 2000s2000s APLA

2003—The U.S. Global Response: PEPFAR 2003—Expanding the Network: APLA Countywide Researchers debate where and when HIV first infected humans. But the AIDS epidemic “officially” began in Los As APLA rapidly expanded through the late 1980s and 1990s, the model remained a one-stop shop for Angeles, when doctors, including Dr. Michael Gottlieb (interviewed on the preceding page), began seeing a small comprehensive HIV/AIDS-related services: dental care, housing, free groceries and more. We were in Hollywood, cluster of gay men in 1981 who reported unusual symptoms of a quickly fatal disease. close to the epicenter of the Southern California epidemic. By 1982, the first AIDS case was reported in Africa—a continent which would ultimately become the nexus for the But by the late 1990s, it was clear that the epidemic had spread, and significant numbers of people living with international epidemic. By 2003, about one million Americans were living with HIV or AIDS—but globally, more than HIV/AIDS resided all across the county—in Long Beach, in South Los Angeles and in the San Fernando Valley. APLA 31 million were infected. responded, moving its main service site further south to Wilshire Center. And we developed a countywide network of That year, President George W. Bush proposed PEPFAR, the President’s Emergency Plan for AIDS Relief. PEPFAR satellites and services to better serve a broad region. began as a five-year, $15 billion initiative and remains the single largest commitment of any nation to fight a disease. We spoke to APLA Executive Director Craig E. Thompson about APLA’s strategic expansion. Thompson has led the We spoke with Noah Metheny, the Director of Policy at the Global Forum on MSM & HIV (MSMGF), on PEPFAR’s agency since 1998. decade-long impact. The MSMGF, for which APLA serves as Secretariat and provides fiscal and administrative support, is an expanding network that works worldwide against HIV and for the health and human rights of men who have sex with men (MSM). We respond quickly

NM: The MSMGF, with our allies in DC, and deliberately to lobbied hard for the Reauthorization Act, which dramatically scaled up the original leverage our 30 years target numbers. We aimed to get six million people onto treatment, 12 million of expertise… into care, and to prevent 15 million new Through PEPFAR, the HIV infections. Furthermore, the PEPFAR “ programs were more mature, allowing edge HIV education and testing programs for greater coordination and evaluation, U.S. became a global Craig E. Thompson that target today’s highest-risk groups, increasing not only the effectiveness of including gay men of color, youth, those leader on HIV/AIDS. these programs but also their cost. who are transgender, and many others. Overall, what have been some of APLA: What advantages did centralization not only did we have to expand, but we How does this trend continue for APLA Noah Metheny PEPFAR’s greatest successes? of services provide early in the epidemic? had to be strategic and focus on areas of as we mark 30 years of providing care, NM: Again, PEPFAR’s greatest success has Craig E. Thompson (CET): At the outset, the county with the greatest unmet need. education, and advocacy? been the number of new people receiving the epidemic was seen as localized “…be more strategic…” I’m proud to say that we now operate the “ HIV treatment—now over five million. among gay men living in Hollywood, West What did that look like?” nation’s largest networks of both food PEPFAR has helped politically mainstream Hollywood, and Silverlake. Services were CET: We began to build the infrastructure pantries and dental clinics for people living APLA: The U.S. began its involvement in PEPFAR began with a focus on 15 of the HIV care in developing countries, getting comprehensive, convenient for our clients that exists today. We moved our largest with HIV/AIDS. the global AIDS fight in the mid-1980s. hardest-hit countries. What was the people to view HIV as a chronic disease. and volunteers, and the neighborhood services site, The David Geffen Center, Moving forward, we will continue to But in 2003, how did PEPFAR represent on-the-ground impact of the program in For MSM, the MSMGF and allies worked was supportive. Funding was almost to Wilshire Blvd., convenient to public respond quickly and deliberately to such an increased level of commitment in those regions? with PEPFAR to issue a technical guidance nonexistent; our first “offices” were in transportation because the epidemic leverage our 30 years of expertise to fighting the epidemic worldwide? NM: Originally, PEPFAR’s ”goal in these addressing prevention programs for MSM. a converted motel on Cole Street in demanded it. We moved our dental clinic bring services to people in the hardest-hit Noah Metheny (NM): Through PEPFAR, 15 countries was to achieve “2-7-10”: to The MSMGF remains committed to working Hollywood. (Editor’s note: An illustrator’s to a medical office tower near downtown— communities—places like South LA. We the U.S. became a global leader on HIV/ get two million people onto treatment, with PEPFAR to continue building on these rendering of that first site appears on the the most convenient location to serve recently began STD screening, treatment, AIDS. The initiative led to the creation of seven million people into care, and avert successes, particularly those for MSM. cover of this annual report). clients countywide. We moved our food and vaccination services at the APLA the Office of HIV/AIDS within USAID and 10 million new HIV cases. Within a few This year, the reauthorization of PEPFAR As the epidemic expanded, how did pantry program to a new warehouse in Health & Wellness Center, because we the Office of Global AIDS Coordinator years, these goals were exceeded. During expires, and it has largely shifted from APLA respond? North Hollywood, which now serves as the know both that the services are urgently (OGAC) within the State Department, this time, men who have sex with men an “emergency” response to a sustained CET: First, we provided more and more distribution center for a network of eight needed and that untreated STDs are a making the head of OGAC an ambassador- (MSM) were included as a “most-at-risk commitment. How do you envision the services from our Hollywood site to meet countywide sites. In 2004, we launched a direct link to HIV transmission. level position. The formation of these population” (or a “MARP”), but there was future of the United States’ commitment the needs of the growing numbers who mobile dental van, which offers state-of- We’ve even gone beyond our borders to and other new offices led to the creation no policy guidance or programmatic focus to fighting AIDS worldwide? desperately needed care. However, the the-art dental care to the county’s most form a unique partnership with The Global of a cross-department collaboration on MARP issues in these countries. NM: The U.S. will remain committed to epidemic was far more widespread. LA underserved areas. In 2006, we opened a Forum on MSM and HIV (or MSMGF), that allowed the U.S. to work in more Five years ago, PEPFAR was reauthorized fighting AIDS worldwide, including through County is unique: It is the largest county in second, permanent dental clinic, co-located offering administrative and fiscal support coordinated, holistic, and aggressive ways with a commitment of up to $48 billion the ongoing funding of PEPFAR and the the nation, and its population exceeds that with a food pantry, on the campus of the to a fast-growing network of activists who to address this epidemic. PEPFAR’s work by the Tom Lantos and Henry J. Hyde Global Fund. But increased funding is of most U.S. states. Meanwhile, partners former Martin Luther King-Drew Hospital are successfully fighting AIDS globally and was further enhanced and complemented United States Global Leadership Against unlikely, given the lasting impacts of the were providing critical services to specific in South L.A. In 2010, we added a West enhancing the health and well-being of as the Global Fund and other bi/multi- HIV/AIDS, Tuberculosis, and Malaria recession. So the U.S. will likely offer more populations or areas of the county. A core Hollywood satellite for support groups men who have sex with men (or MSM) in lateral donors started committing more Reauthorization Act of 2008. How did this technical assistance to allow countries to concept of APLA’s mission has always been and counseling services. And in 2011, we some of the most decimated places on the money to fight HIV/AIDS. unprecedented increase in funding impact take ownership of their HIV programs with, to collaborate—to not duplicate scarce opened a new APLA Health & Wellness planet. We’ve done so much, yet so much the global AIDS fight? sadly, less direct funding. y services and waste precious resources. So Center in Baldwin Hills, home to cutting- remains to be done. y 2010s2010s THE EPIDEMIC

2010—A Master Plan: The National AIDS Strategy On July 13, 2010, the White House unveiled the National AIDS Strategy—the nation’s first-ever comprehensive plan to fight HIV/AIDS. While the federal government had, since the 1980s, committed significant resources to battle the epidemic, the Strategy represented the first-ever, coordinated and comprehensive approach with tangible goals and deadlines. At the core of the National AIDS Strategy was this vision statement: The United States will become a place where new HIV infections are rare and when they do occur, every person, regardless of age, gender, race/ethnicity, sexual orientation, gender identity or socio-economic circumstance, will have unfettered access to high quality, life- extending care, free from stigma and discrimination. The strategy’s first deadlines are a mere two years away. To examine the strategy as a milestone in the history of the epidemic, and to check in on its progress three years post-launch, we spoke to Jeffrey Crowley, who was the Director of the Office of National AIDS Policy at the time the National AIDS Strategy was released.

bold. The president is extremely outcome oriented. He didn’t just want something that looked good; he wanted it to have the The Strategy’s goals greatest possible impact. The Strategy’s goals are clearly articulated and smart: to are clearly articulated reduce the number of people who become infected with HIV; to increase access to care and to optimize health outcomes for and smart. people living with HIV; and to reduce HIV- related health disparities. Jeffrey Crowley Three years into the strategy, how “ do things look in terms of achieving these goals? JC: It’s important to understand that the Strategy wasn’t released by itself. It was APLA: Certainly, before the National specific nations abroad. But we were also co-released with an implementation plan AIDS Strategy (NAS), the United States concerned that we’d communicated and a Presidential Memo. This was not had made significant strides to fight that things were under control with AIDS “business as usual.” We’ve shifted critical AIDS—both domestically and especially in America. funding to evidence-based, high-impact abroad. But it was clear that a cohesive What was different” about the NAS that prevention strategies: We’re increasing did. And when the government did step domestic plan would be required. Take set it apart from previous domestic the numbers of people who know their up, it formed key partnerships with CBOs The Strategy’s goals are clearly us inside the White House at the time the AIDS efforts? HIV status. We’re focusing on access that are vital today. CBOs today—those strategy was conceived. JC: It was a community-based plan from to condoms, free HIV testing, syringe groups that are working in the field—are Jeffrey Crowley (JC): The impetus for the start. We made a commitment to gain exchange programs—all key drivers crucial partners in identifying people who articulated and smart: to reduce this plan really came from President as much public input from the start. We toward achieving the goals that we are living with HIV and AIDS and linking Obama. He was particularly struck by the went everywhere from rural America to the articulated in 2010. them into care. the number of people who become fact that public awareness of the epidemic heart of Los Angeles. We held 14 meetings What’s the role of community-based What’s next for the domestic fight against had dropped so sharply. In the first pages in total—and we had an online process, organizations, or CBOs, like APLA in HIV/AIDS? What’s next for the Strategy? infected with HIV; to increase of the strategy, it cites a stunning Kaiser too. We had sign language interpreters, the strategy? JC: I think the ACA (the Affordable Care Family Foundation statistic: According disability accommodations—everything JC: This is not simply “the government’s Act) is an incredible platform to move the to their survey, in 1995, 44 percent of we could so that we could gain input from plan” for reducing HIV infection. It’s the Strategy forward. It will allow us to be as access to care and to optimize Americans considered HIV/AIDS to be every aspect of a very diverse community. entire nation’s plan. I particularly feel strategic as possible in the way that we are the most urgent health problem facing And what was the result? good when I hear community members, able to find those who are living with HIV health outcomes for people living the nation. By 2009, that number had JC: We synthesized what we heard and community-based organizations, and AIDS but don’t know it and link them dropped to a mere six percent. across America—often similar things but refer to the NAS as “our” strategy, not to (and retain them in) care. There will with HIV; and to reduce HIV-related President Obama was tremendously sometimes different—into a Strategy with “the government’s strategy.” In those certainly be challenges, but I believe that, grateful to his predecessor for launching vision and goals. I’m grateful to President early and horrifying days of the epidemic, in partnership with CBOs like APLA, we will health disparities. PEPFAR—The President’s Emergency Obama and proud of this Administration’s community-based organizations like APLA continue to make substantial progress. y Plan for AIDS Relief, which focused on leadership in allowing us to do something stepped up even before the government 2010s2010s APLA

2011—New Strategies, New Services Let’s talk specifics. What education properly—it runs the gamut. research—two more key elements to the programs are under the APLA And in Positive Connections, we have peer response to the epidemic. Since its very first major educational campaign (1985’s “L.A. Cares,” which featured billboards, brochures, and a safer Health & Wellness moniker? health educators who help our HIV-positive Our capacity building team does just sex guide for gay men), APLA has been a leader in HIV prevention and education efforts. VW: It’s really an incredible variety. clients access care. It’s an active, hands- that: They travel the country to help other We’ve got MPowerment, our youth HIV on approach. We even accompany them organizations and health departments to As the epidemic has evolved, a number of factors has become clear: There is still great stigma surrounding HIV, prevention program; our African American to their first few medical appointments build the capacities of their own HIV/AIDS AIDS, and the identities of gay men in many communities, and that stigma fuels new infection rates; among those Gay Men’s Health Initiative and “Many for emotional support. The key is that programs—to serve more people and to living with HIV or AIDS, one in five does not know that he or she is infected; the epidemic disproportionately impacts Men, Many Voices,” or 3MV, which focuses we’re not doing for the client, but we’re serve them more effectively. We leverage communities of color, particularly in South Los Angeles; and, lastly, other sexually transmitted diseases often co- on African American gay men; our crystal empowering them to do it for themselves. APLA’s 30 years of experience to inform occur among (or before) people are living with HIV. methamphetamine program; Positive That underlies our HIV education that work. philosophy at APLA: offer culturally And our Community-Based Research So how are all these factors related? We spoke with and APLA’s director and Connections, which seeks to bring men Vallerie Wagner Terry Smith, and women who are HIV-positive into appropriate strategies, but then empower program uses sophisticated data analysis associate director of education, respectively, to find out—and to offer a snapshot of APLA’s future. medical care; our Red Circle Project, the client to put them into practice him or techniques to help shape the programs with HIV education especially for Native herself. that we and other organizations are American/Alaska Native gay, bisexual, and VW: Terry is exactly right. It’s about offering—to provide more services of a transgender people; and Project TND, or meeting the client where he or she is, higher quality. “Toward No Drug Abuse,” which focuses offering empowering strategies, and then There’s certainly no shortage of work to APLA: In response to the trends of the on the correlation between drug use, stepping back and allowing the individual be done here. Even though it’s relatively epidemic, the agency has significantly addiction, and HIV. to put those into practice. new, there’s already a lot happening expanded its offerings for communities Let’s go point-by-point. What does That’s also what we do in Red Circle and under the APLA Health & Wellness brand. of color—in particular, African Americans, each of these programs do? Project TND. I’m proud to say that our Red What’s next for these programs and the Latinos, Native Americans/Alaska Natives, TS: Mpowerment is a core group of 10 to Circle Project is the largest HIV prevention brand as a whole? These programs along with men who have sex with men 12 young men who meet weekly to plan program of its kind in Los Angeles County VW: We’re incredibly fortunate to benefit and the transgender community. And activities for their peers, a larger group of especially for Native American/Alaska from private sources of funding—and not represent our best in 2011, we cut the ribbon to open our between 25 to 50 young men. The core Native men who have sex with men. We just because it helps us do more work. The newest site, the APLA Health & Wellness group plans everything from poetry slams, focus particularly on what the community more we’re funded by the government, efforts to stop Center, located in the South Los Angeles drag shows, outreach at gay pride events, calls “two-spirit” men (those who are the closer we have to play by their rules— neighborhood of Baldwin Hills. There’s yoga classes, and even a meeting with a gay) and transgender women (Native meaning that some programs can be more a lot of activity at the site. What’s life coach. Underlying all of this is a strong people who transition from male to restrictive in how they’re delivered. But the tide of new happening there? effort to boost self-esteem among these female). Specifically, we look at the role of private funding allows us to really respond Vallerie Wagner Vallerie Wagner (VW): The APLA Health often-stigmatized youth, to help them historical trauma that they have suffered to what the community thinks would “ & Wellness Center is where we now house realize that they matter to our community, and how this may impact their substance be most effective, and we can deliver infections… APLA’s HIV prevention and education and to encourage them to stay safe and use and sexual behavior. programs that are cutting-edge while still programs, under the brand APLA Health healthy sexually. In Project TND, we work primarily with grounded in research about what we know & Wellness. These programs represent Our Crystal Meth Group, “Partywise,” is a those who are just beginning to dabble works. We’re also expanding our testing our best efforts to stop the tide of new unique intervention in English and Spanish in drug use—exploring. We help them services beyond HIV. In 2013, we’ll begin infections among the communities that are for men who use crystal but who want to understand the path to addiction; the offering STD screening and STD treatment, hardest hit—those you just listed. reduce or stop their drug use. We have a stressors that can accelerate that process; provided by licensed practitioners at Our goal is really to address the holistic harm-reduction, meet-them-where-they- and we provide them with healthier, the APLA Health & Wellness Center. needs of the community we’re serving. We are philosophy. Ideally, sure, they wouldn’t stress-relieving alternatives that can TS: The APLA Health & Wellness Center want to build community so that people use; but the reality is that some will, and reduce or eliminate substance use. really represents the future of HIV can meet others like themselves, who are so we want to arm them with all the info That’s a great summary of the work that’s prevention: It’s a matrix of programs under ” dealing with some of the same challenges. we can to keep them as safe and healthy happening at APLA Health & Wellness. one roof, closely tied to testing, helping It’s a supportive, safe, and social space. as possible. There’s no question that Anything you’d like to add? those who are positive to get into care and Our groups encourage social activities and uncontrolled crystal meth use is a huge risk TS: I want to emphasize that many of those who are negative to stay negative. interaction—but it’s always with an eye factor in HIV infection. our programs include an element for The notion of services in silos—where toward education, and each program has Our African American Gay Men’s Health those who are transgender. It’s a group one hand may not know what the other HIV prevention is underlying HIV education messages built Initiative is cutting edge—and makes a real of people who are very disenfranchised is doing—is over. We’re working together, in, implicitly or explicitly. After all, one of difference in fighting stigma. A group of and often incredibly isolated. They also now and in the future, so that people who at the core of what our main goals is to increase individual men (like a cohort) meets over the course face very high rates of HIV infection. So could benefit from our services can walk awareness of HIV and STD status, whether of a number of weeks, and they talk about we work program-wide to bring a sense through our doors and get the support we do. positive or negative. issues that matter: homophobia, racism, of community, allow them to share their they need. y Terry Smith (TS): That’s right. As Vallerie stigma, identity, and HIV risk. By validating stories, and help them identify resources says, HIV prevention is really at the core their experiences, we’re trying to send a that are trans-friendly. of what we do—but we make sure that message that they are vital members of VW: That’s exactly right. We want to it’s done in an affirmative, culturally our community—that we need them to be provide a space where they feel “ competent way. And in addition to HIV here, to stay healthy and safe. For men comfortable talking. Terry Smith testing and now STD screening and who are already living with HIV, we have I also want to add that APLA offers both treatment, we use the Center as a place for an entirely different set of conversations: capacity building assistance (through community meetings, focus groups, and how to negotiate dating, sexuality, telling a our SharedAction and SharedActionHD ” open discussions about relevant issues. partner about their HIV, taking their meds programs) and community-based AIDS Project Los Angeles and APLA Health & WelLness AIDS Walk Los Angeles Condensed Consolidated Statement GOLD TEAMS of Financial Position (as of June 30, 2012 and 2011) AIDS Walk Fiscal Year (Ending June 30) Team Toyota

ASSETS 2012 TOTAL 2011 TOTAL WEN in Spirit DreamWorks Animation Cash and Investments $ 3,655,208 $ 3,287,819 Los Angeles Government Grants Receivable 1,383,241 1,605,877 Gang of 100

Contributions Receivable 1,086,805 1,097,968 APLA

Medi-Cal Receivable 291,912 249,194 Participants Sean Benedict Andrew Ceco ★Oren Dori TEAM POPULAR ★Michael Berckart Tony Ceco Robin Dorn Other Receivables 189,855 145,707 who raised County of Los Angeles $1000 or more Lesley Beyer Fenella Chacon-Ravago ★Teryne Dorret Prepaid Expenses and Other Assets 465,069 625,792 NBC Universal Akinyemi Abiodun ★Leslie Bibb Patrick Chavez Tenesha Dorsey Deposits 200,000 300,000 Dennis Alabaso Ivy Bierman Veronica Chavira Carrie Dowd Latham & Watkins ★ ★ Inventory 168,157 188,200 Everett Alexander John Blackman Valerie Chiovetti Jessica Drake PwC Property and Equipment (Net) 1,633,536 1,228,660 ★Patrick Alexandre Richard Blanche Paul Chitlik Margaret Lorrie Drenk ★Keith Blau ★Richard Chung ★David Drury Anthem Blue Cross TOTAL ASSETS $ 9,073,784 $ 8,729,217 Jennifer Alvarado Bill Alvidrez Mauro Bordovsky Priscilla Chung ★Cait Drury AIDS Walk Staff, LIABILITIES AND NET ASSETS ★ Family & Friends Craig Ames Shona Borevitz Louise Clauson Bill Duckett ★Walter Bost Hilda Climb Eric Durrschmidt Accounts Payable and Accrued Expenses 1,054,470 892,575 Margot Anderson Hollywood United Chris Bradshaw Daniel Clivner Loretta Eason Methodist Church Deferred Revenue 200,780 11,950 Gary Andrews Steven Brady ★Michael Collins ★Barry Edelman ★Teddy Antolin Team Price is Right Notes Payable 479,490 489,490 ★Ivy Bragin Linda Cooper Caroline Edwards Bonny Anvari Kids Who Care Net Assets 7,339,043 7,335,202 James Arnone ★Robin Bram James Corp James Engelhardt ★ TOTAL LIABILITIES AND NET ASSETS 9,073,783 8,729,217 ★Vikas Arora Rod Bran Clay Cosse Adam Eramian TEAM WICKED Robert Atwood Nikki Bridges Larry Craft ★Larry Ewaska LA Commercial Community SUPPORT AND REVENUE ★Keith Brown ★Chrissy Crawford ★Mike Faiola Seth Augustine M•A•C Cosmetics Contributions 4,440,725 3,754,300 Shaun Avnet ★Gary Brown ★Gavin Creel Louis Falzarano Steven Brown Aaron Crowley Fred Farris colors for a cause Fundraising Events 3,862,605 3,585,262 Lucia Ayson David Buchan Charles Cryor Thomas Fay Government Grants 8,071,585 7,564,478 Helen Back CMG LA Mark Badagliacca Michael Buchanan ★Tracey Cunningham Maria Ferguson Medi-Cal Waiver 1,166,916 1,215,964 Paramount Pictures Rick Bailey ★Garett Burnham Joe Custer ★Michael Ferrara Contributed Goods and Services 1,163,059 1,435,750 ★ Team Time Warner Cable Robert Bain Ronn Burns John Dagostino Robert Fielder Other Revenue 136,293 185,122 Melanie Baird ★Paul Bushnell John Dahlstorm ★Zina Figilis Fox Entertainment Group Ann Bybee Emma Daily Fine Stuart TOTAL REVENUE 18,841,183 17,740,876 Louise Baker City of Los Angeles Raymundo Baltazar Gabriel Byrne Armineh Davoodian Marvin Fishman Expenses ★ The Abbey/SBE/SLS Charles Banfield Porfirio Caamal Jr Chaz Dean Nancy Fletcher Carlo Caccavale Derek Dear ★Wayne Flick and Friends Program Services 14,232,711 13,222,528 Layla Baradaran Carrie Carbonneau Tim DeBellis James Flood C.W.F.A Management and General 1,723,423 1,883,860 Jeremy Barenholtz ★ ★ (Chubb Walk For AIDS) ★Todd Barnes Eric Carr Nichole Delansky Donald Foley Fundraising 2,881,208 2,596,718 ★Michael Barrett Louis Carr Esther Delgado Allie Foote Deloitte TOTAL EXPENSES 18,837,342 17,703,106 Carolyn Carrera Rick Dergan Carla Ford Mark Basick The Sweat Spot ★ CHANGE IN NET ASSETS $ 3,841 $ 37,770 ★Teddy Bass Kendra Castleberry Lynn DeRose Aubrey Forman Racheal Caswell Avi DeTurenne Scott Foy Keller Williams Realty NET ASSETS AT BEGINNING OF YEAR $ 7,335,202 $ 7,297,432 Guillermo Bass ★ ★Joel Bellman Mike Catlett Mario Diaz Blake Frahm Bank of America NET ASSETS AT END OF YEAR $ 7,339,043 $ 7,335,202 Cookie Ceco Matthew Dill Diana Franklin Jessica Franks Andrew Holinsky David Kessler Chad Leffler Marisela Martinez Richard Ostlund ★Audrey Friedman Christopher Hoodye Shawn Khorrami Heather Leider ★Yolanda Mationg Haley Paddock Cathryn Friedman Lisa Howery Mykal Kilgore Christine Lewison Brian McCabe ★George Padilla Daisy Fuentes Elizabeth Hudson Kim Saeromi Janelle L’Heureux Jeremy McEathron ★Cynthia Park Lacey Gallagher Kristine Hughes Kevin Kiniry Louise Lieberman David McFarlane Lyndsey Parker ★Sandy Garcia ★Joseph Husman Dennis Kirkpatrick Alex Liebeskind Amber McGindley Suzy Parker Cheryl Garcia David Ibarra Shari Kirkpatrick Claes Lilja Brooke McIntyre-Tuley ★Aubrey Parnell Armando Garcia Thomas Inatomi Kimberly Kisler Patrick Link ★Victor McKamie Manny Patel Sophia Garcia Felipe Infante Luke Klipp Karl Linz Michael McKeon Evan Payne John Gardner ★Gaynell Jackson Sara Konecky Bentley Lopez-Curtis Ken McLean Brayden Payne Megan Gaver David Janollari ★Kalli Kouf Aldwin Lorica Marc McMillin Coleman Payne Gregory Gentile Clyde Jenkins Lauren Krapf Gina Lozano ★Kara McNamara Emmi Payne Heather George Omaira Jesus Andrea Krauss Patrick Luyet Scott McPherson Stephanie Peel Gail Goldberg Nicholas Jimenez Mary Kretzmar Mari Luyet Marty Meekins Lois Perilman ★Robyn Goldman Roy Jimenez Daniel Kruger Joel Lyle Chet Mehta Paul Perilman Steven Golightly Che Johnson 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Lowry Johnny Mathis Broadway Cares/Equity Fights AIDS * Kenneth Chiampou The Kurt Kreuger Revocable Trust Michael Tome Sean McManus Canon Business Solutions John Colucci Macy’s + United Nations Development * Mary Medley The Gerald E Bergeron The Kurt Kreuger Microsoft Cedars-Sinai Medical Center Donald Cook Program * Martin Meekins Revocable Trust Revocable Trust Paul, Hastings, Janofsky & Walker LLP Dr. Enrique Cheng-Robles John D’Alesio * Ronald Valdez Mark Miller QueensCare Dr. Mark A. Chung Joanne Deane Ferra Vivendi Universal/NBC Entertainment + National Black Gay Men’s The Robert and Minna Mitchell Trust Daniel Clivner and Steven D. Cochran Doheny, LLC The Walt Disney Company Foundation Advocacy Coalition + COC Nederland Lorrie Drenk John Nelson The Robert and S.T.A.G.E./David Galligan * Trammell Whitfield + Danida—Ministry of Foreign Affairs Duban Sattler & Associates, LLP Peter Wied Bill Neubauer Minna Mitchell Trust Wells Fargo Foundation of Denmark Edison International Don Wyse Norman Robert Hawkins Trust Cynthia De Bartolo $50,000 - 99,999 Elton John Charitable Fund * Harriet Zaretsky Roberto Olivo The Dennis Revocable Living Trust Fredy Orellana The Abbey Food and Bar Roger Enrico Pardis Zomorodi + FHI 360 George Padilla and Vincent J. Manarite ABC7 Entertainment AIDS Alliance Wayne Flick Equinox $2,500 - 4,999 Glenn Padnick and The Annenberg Foundation Fox Entertainment Group Dr. Eleanor R. Padnick Eye Randy Ababseh The California Wellness Foundation Fresh & Easy Neighborhood Market Eva Payne + Gay Men’s Health Crisis (GMHC) Timothy Aldrete $50,000 – $99,999 Chaz Dean + Futures Group Brian Pendleton and Chad Goldman + Global AIDS Program, U.S. Centers * Robert Alschuler City of West Hollywood Gelson’s Markets for Disease Control and Prevention Perlman & Associates, ALC * AON Foundation GlaxoSmithKline Foundation Gilbert J. Ganz Trust Hamilton-Selway Fine Art Peroni Jason Benoit and Hui Kon Kang Marilyn and Jeffrey Katzenberg * Rodney Gould and Vikas Arora Hard Rock Cafe International, Inc. Pauley Perrette J. Scott Benson Latham & Watkins LLP The Joan Shafran and Rob Haimes * W. David Hardy and Edwin Joseph * Dean Pitchford and Michael Mealiffe Blackbaud, Inc. + Levi Strauss Foundation Foundation, Inc. * Deborah and Robert Hinderliter Signature Card Services/Pride Card M•A•C AIDS Fund * Toby Bloom City of West Hollywood The John W. Carson Foundation, Inc. + International HIV/AIDS Alliance Tom Raffy California 1984 Beau Bonneau Merck Sharp & Dohme Corporation Kaiser Permanente West Los Angeles The Jay and Rose Phillips * Margaret Randall Steven Brancato Paramount Pictures The Keith Haring Foundation Family Foundation Michael Reis Chris Brown The Ralph M. Parsons Foundation Lexington Social House JDV Hotels * Harold and Maura Richardson Marilyn and Jeffrey Levi Strauss SBE Entertainment Group, LLC Los Angeles Regional Food Bank * Robert Jones Keith Brown Foundation Rockcares: The Norris-Rocaberte Katzenberg + Sidaction The Louis and Harold Price Foundation * Leslie Joseph Steve Brunner and Arnaud G. Retureau Family Foundation Sunrider International Magic Johnson Foundation Kaiser Permanente Panorama City Denis Cagna Eric Ruiz Time Warner Cable * J.R. McGinnis and Jim Bain Kaiser Permanente South Bay + Center of Excellence Saatchi & Saatchi LA for Transgender Health Toyota Motor Sales USA, Inc. + National Alliance of State Dr. Bill Kaplan John Shafai * Andrew Chamberlain United Way and Territorial AIDS Directors LASC * Jamie Shaw The Ralph M. Parsons Chubb Federal Insurance Company Foundation + ViiV Healthcare’s + Open Society Foundation + Legacy Community Health Services Dr. Steven Shoptaw * Richard Chung Positive Action Program + Pangaea Global AIDS Foundation * Doug Levi * Samantha Siegel Stephanie Dargis Paul Smith, Inc. Lon V. Smith Foundation Sherry Somer * David Hockney $25,000 - 49,999 Robert Perrin * Reba Merrill * Tracy Steinsapir + AIDSTAR-One * Dennis and Phyllis Plank * David Dyck Toyota Motor Sales Alyssa Milano * Clay Sterzik Albertsons/Savon Pharmacy Gregory Economos USA, Inc. + Population Services International Milbank Robert Stewart El Dorado Tortillas Bristol Myers Squibb Foundation PricewaterhouseCoopers Craig Miller * Michael Strand Elkins Jones Insurance Agency, Inc. Stephen Theiss * Jay Brecker and Eileen Cowin Sherry Da Pron W. Darrow Fiedler Insomnia TV, LLC * David McGlamery Lois Ramer * Faith Strong Legacy Society Frank G. Ker The TJX Companies Jonathan Breen James Darling * Stanley and Gloria Fishfader Irving Feintech Family Foundation Kathleen McGrath * Weslie Rau * Dr. Robert Stroup The following individuals have remembered Addison G. Kerr * Bart Verry and Mark Arteaga Breslauer, Rutman & Anderson, LLC * Dart Group Foundation * Brian Flach * James P. and Shirley F. McFarland * Mark McManus * Betty-Jo Ravitz and Dr. Abe C. Ravitz Michael Sylvia APLA in their wills or bequests. Stephen M. Korbel Wal-Mart Foundation Michael Brody * David and Sylvia Weisz Family Carl Fletcher of The Minneapolis Foundation Marc McMillin Khelsy Raymond * Eliazar Talamantez Michael Becker L. Henry “Hank” Kovell Mary Whitman * Bruce Brown and Gilbert Lagac Philanthropic Fund * Virginia Ford John and Robin Jameson * James McNamara Tom Raynor and Paul Ferrante, Inc. Anita Taro-Espinoza and Philip Michael Dorrington Alfred & Marion Kronfeld Peggy Willett * James Brown * The Davidow Charitable Fund * Joyce Forn * Jeffrey Jenest and John McNamara Raytheon Juan O. Espinoza Inger V. Godley Kurt Krueger Robert W. Colangelo JP Williams Jessica Brown * Dr. M. J. De Carvalho * Fred Siegel Foundation John and Joanne McNamara Reba McEntire Fund Don Tashman Margaret Guerra Jack Lance Jeffrey Jenkins Michael Worner Stephen Brown * Cesar Delacuesta Friars Charitable Foundation * Bruce Menefee Mitchell Reiner and Carolyn Chang * John Teeples Marc Hampton Ray Landreth Roger Jenkins Xerox Business Services, LLC Linda and Jerry Bruckheimer Avi Deturenne Friends of the Pasadena Playhouse * Eric Mensinger Alison and Richard Ressler * Greg Tirabasso Martin Kane Anthony S. Lau * Gregory Jennings Zenith Insurance Company Dennis Bruessel Brian Diamond + FUK!T Ian Metrose Sherry Reuter Russell Todd Arthur Macbeth Dean Phelps Laubenheimer * Steven Diener * The Jerry & Frances Leigh * Ched Tolliver * Elizabeth Burkle Martin Gage Family Foundation Ron Meyer Rhino Entertainment Donald B. Maloof Deborah J. Leschin Ken Donaldson Rachel Torres $1,000 - 2,499 Mark Burley John Gardner * Pete Johnson * Jeffrey Michaels Dan Richter Diane McCarry Sheila Levinson Valerie Doran * Carl and Jennine Townsend A&E Television Networks * James and Debbie Burrows * Jack and Diane Garlock Petra Jones G. J. Mihlsten and N. Geffner-Mihlsten Bob Riddle Carol Meckler Ray Lewis Arleigh and Linda Dotson Stanley Trilling Abacus Insurance Group * Dr. George Byrne and Barbara Byrne Paul Garman Melissa Judson Billy Mikelson * David Robinson Michael David Mullen Barney Max Jason Dravis UFCW & Employer Trust Manuel Abascal Tim Campbell * Frank and Berta Gehry Nicholas Kalikow Lynn Miller Steven Robinson Robert A. & Lois North Thomas H. McDustrell Paige Dubbert * Katherine Utt * Ira Abelin and Andrew Nguyen Peter Casey Stephen Germain Ching C Kan Minuteman Parking Jarrow Rogovin Barth Z. Norton Frank McGuire Sean Dugan * Cecilia Vajna Larina Adamson * Daniel Castellaneta and Damon Giglio Jeffrey Kateman * Cynthia Miscikowski Stephanie Romanov Alan M. Swartz Martin E. Mendel Deborah Lacusta * Steve Dumas Kimberly Van Norden Agent of Change Apparel LLC Peter Gilhuly Adam Kear Aaron Mitchell Lee Rosenthal Rene A. Valtier Joan M. Midwinter Mario Ceballos Dustin & Lisa Hoffman * Anahi van Zandweghe * Kareem Ahmed Anne Globe * Bruce Keelan Bret Mohlenhoff Lori Rostedt Lee Wallace Robert & Minna Mitchell * John Cermak Philanthropic Fund * Bill Viola and Kira Perov Glen Alpert * Raymond Goetz David Kettel and Mike Gleason Jason Morgan Gabriel Rubin Michael Ward Robert Eli Paston Tom Viola + American Jewish World Service Robyn Goldman * Klawiter and Associates, Inc. Rich Morrissey Brad Rumble Danielle Wolff Faye Peluso * Bonnie Vitti Roberto M. Ancira Carol Goldsmith * Arnold and M. Caroline Kleiner * Brian Morrow Angel Ryan Grace P. Pobirs W.H.B.T. Inc. Legacy society * Pamela Andrada * Lucelly Gonzalez * Lee Klosinski and David R. Cohen Maxine Mouyiaris Rae Jean Ryan Robert F. Prest * Kenneth Wagar In Memoriam * John Anthony Gary Goyer Stephen Knutson Marissa Mullen Thomas Safran Henry H. Rottmann * A. Lee Wallace Theodore D. Antolin * Eliot Graham and John M. Celowanchik Sal Ladestro Eddie Murphy Todd Saint Vaughn Lurene M. Albert Doreen Rypinski Gregory C. Warde Virgilio Aquino * Alfredo Granai Robert Lakey * Shawn and Katherine Murphy Sarah Samandary Walter Alford Nancy Cole Sawaya Tomm Wells Nadia Arandia Neil Gray and Craig Gold Ally Landgraf Mike Murray Vito Sanzone Helen P. Austin Katherine Scallan Werner Family Foundation * Frank and Beverly Arnstein Richard Greene Stephen Lane Bahman Naraghi Lorena Sarbu Crabel Charles O. & Dorothy A. Bailey L. Franc Scheuer Wescom Credit Union * John Auzin Douglas Guenther Nancy Laurie Gary Naramore Rhonda Saunders Gerald E. Bergeron James Richard Siler * Daniel Weston The Ayco Charitable Foundation * Paul and Vera Guerin Douglas Lawson Bruce Nash * John Schaplowsky Abraham and Helen Bolsky Bernard Smolens Ronald Wheeler Estate of Dorothy A. Bailey * Fidelia Gutierrez Joseph Leahy * Ruth Neale Daniel Schecter Fred William Borenstein Frank and Jacqueline Sousa Mary and Tom Whitman Jennifer Baker William Haber Arlene Lee and Anthony Hunt Karol Nechushtan Bruce Scheffel Howard Robert Bresner Angela M. Sovilla * Tom Whitman * Leslie Baker * Elsie Hadley Yanira Leon Francisco Negron David Schindler and Carol Johnson Louis Cataffo Floyd O. Stancliff & Frank A. Holichek Wicked Pictures Louise Baker Karen Hall Peachy and Mark Levy New Omni Bank * Charles and Jackie Schwartz Sarah H. Crampton Gordon D. Strube * Paul Wiesepape Baldwin Hills Investors LLP * Andrew Halladay and Leon Lewin Dwana Nicholson * John Schwartz Donald G. Douglas Sylvia R. Sugar Thomas V. Reichert Emily Wilde-Walman John Ballantyne Christina Lewis Valerie Nickerson Robert Schwartz William D. Downey Lee Sylvester Jackie Hampton Bryan Wilson Armando Barba Jeff Lewis * Robert Normile * Kathleen and Garland Schweickhardt Blanche Drettler Robert E. Tashjian Michael Hanel Jeremiah Wilson Barrall Family Trust * Simon and Theresa June Li Karyn Ohlson SEIU Local 99 Walter Luks Febick, Jr. Deborah Thompson Jason Harmon * Dr. Carl Winberg Michael Barrett Karl Linz * Ronni and Izak Okon * George Shapiro Alvin Ford Peter Larsen Thorslev, Jr. Bryan Harper Jane Wishon * Shannon Bartley Jonathan Lloyd Brooks Oldridge Ralph Shapiro and Karen Parsons Louis Fink Maurice Thurman * Edward Harris and Amy Madigan Keith Wishon Jennifer Baughman * John Locke Maia Olivas * Dr. Mark Sharzer Gregory David Fisher Edward L. Troth Michael East * Eugene Hawkins Paul Witt The Baxter International * Don Chambers Joyce Lopez * Vince Otte Shear Vanity Inc. Mindelle Judith Fisher Craig Vanderbroek Foundation Jake and Fiona Eberts * Hay Foundation Michael Wolf * Sona Chandwani * Francis Lorah Joe Pacetti * Sheila Gold Foundation Aida A. Foti Paul H. Waigner Keith Belling * Fielding Edlow and Larry Clarke Todd Headlee * Robert Wood * Carol Chapman Jay Luchs Richard Paddor * Todd and Leah Sherman John Gaines Donald E. Watson Peter Benassi Jackie Edwards Estate of Helen P. Austin Robert Wyman and Lisa C. Krueger The Charitable Foundation Cody Lukert Sarvenaz Pahlavi * Diane Sherman-Smith Edward S. Gould James Sherman Williams * George Berger Kevin Ehrhart * Jami Heidegger York Project LLC Matt Christopher Maria Lukey Ronald Palmieri Milton Shioya John R. Graham Dorothy Joan Watson * Aviva Bergman Eleventh Hour John Heilman Harry Young Susan Christopher * Michael Lutgen * Marc and Christine Palotay Sidney Stern Memorial Trust Barbara B. Grant Gary Bergo * Entertainment Lighting Services * Thomas Heiman Jeffrey Young Constance Chung Carol Lynch Pardee Properties, Inc. * Ozzie Silna Melba E. Gregory Credits * David Bernstein Ernst & Young LLP Hewlett-Packard Timothy Zajac * Church of Religious Science * Terry Lynch and Jim Martin Man Hi Park Lawrence Silverman Robert J. Halff The Beverly Hills Insurance Group Emilie Erskine * David Hinton Hans Zimmer John Clair * Arthur Macbeth Seon Joo Park * Leon Silverman and Charles Heaton Editor and Writer BHFC Capital, LLC Susan Claman and Rick Gruber * Michael W. Everett Mayumi Hitomi Suzanne E. Stevens Gabriel McGowan * * Roger MacFarlane * Kurt and Kelly Patino +  Donor to the Global Forum Stanley Joseph Hebel * Julius Bianchi * Alan and Kaye Ewalt Annie Hollenbeck * Manfred Simchowitz The Client 2177 Living Trust Jennifer Machen Chad Payne on MSM & HIV (MSMGF) James Herman Heider * Pam and Julian Bieber Harlan Eyre * Dr. Daniel Hovenstine Robert Simon Contributor & Copy Editor Regina Cocanougher * Kevin MacLellan and Brian M. Curran Ped Xing Inc * Leadership CIRCLE Kenneth P. Heisterman Bernard Bierman Alan Faiola B H Howell Bryan Singer Kristen Hellwig Comcast Robert Main Piper Perabo Christopher Herman Andrew Bilanzich Barbara Faiola * Henry Hurd and Dwayne Turner Boyd Smith Linda Cooper Charles Maizland Jody Perlmutter Ernest R. Hirsh DESIGN Thomas Black Simona Farrise * Kacy Hutchison Patricia Smith Debbie Cordero Marimer Maldonado Marco Perry Evelyn S. Hirsch MLucas Design Robert Blackman Laramie Fassbender Harold Huttas Erika Somerfeld James Corrigan Gabriel Mann Estate of Peter Thorslev Roswell A. and Elizabeth (Betsy) Joshua Bloxom Andrew Faye Bill Hutton Ricardo Sosapavon Gates Hoffman Cover Illustration Mary Lu Coughlin Paul Marciano Edward Petlak * Dr. Linda Bolton Bryce Ferguson The Hyman Levine Family Foundation Whitney Spathelf Gerard G. Hunt Parker Burris parkerburris.com Kalie Crose America Martin Charlie Phillips * Randy Bowden Daniel Ferguson and David Ambroz William Hynes * Rita Spiegel Sidney Jacobson * Dr. Judith Currier Arthur Maruyama * Julie Piepenkotter AIDS Project Los Angeles Todd Bradley Kathleen Ferson Hillary Iffrig Lucinda Starrett Arthur John Henry Czerny * Diane Mattulat The Pleasure Chest Ltd. The David Geffen Center Howard Bragman Chris L. Fichera Guess Inc. * Mike Potter Mark and Sarah Stegemoeller Gary Kalkin 611 South Kingsley Drive Joseph Quinn and John Robin Saltzstein * Dr. S. Stephens Kenneth Kirk Kee Los Angeles, CA 90005 Quo Vadis Concierge Evan Strauss Jack Kellogg ©2013 AIDS Project Los Angeles Board of Directors

EXECUTIVE DIRECTOR DIRECTORS Jay E. Gladstein, M.D. Lefky Mansi Mark Perrin Physician—Internal Medicine Senior Vice President Principal Craig E. Thompson Richard Chung and Infectious Diseases Regional President Animation Co-Producer Perrin Consultancy Jay Gladstein, M.D., Inc. Los Angeles Community Bank OFFICERS The Simpsons Wells Fargo & Company Paul Santello Twentieth Century Fox Rodney Gould Howard Gleicher Executive Vice President Chair CEO & Chief Investment Officer J.R. McGinnis Managing Partner Judith S. Currier, M.D. Aristotle Capital Senior Vice President Attorney at Law Professor of Medicine Horizon Media Management, LLC U.S. Business Affairs Chief, Division of Infectious Diseases Toby Washington, M.D. Sony Pictures Television Troy Sattler David Geffen School of Medicine Dean Hale Vice Chair Partner at UCLA Vice President Kenneth D. McLean Chief of Radiology Sattler & Associates, LLP Group Information Officer Managing Director Los Angeles County Sattler Capital Management, LLC Hon. John J. Duran Corporate Applications Services Southern California Sheriff’s Department Mayor Warner Bros. Deloitte Consulting, LLP Leonard Scroggins City of West Hollywood Ron Valdez Director, Sales Operations Kacy Hutchison C. Martin Meekins Senior Broker Services Treasurer Joel Flatow Senior Director General Counsel and General Manager, Anthem Blue Cross Hamilton-Selway Fine Art Government Affairs Chief Compliance Officer West Coast Operations and Gilead Sciences Empyrean Capital Partners, LP Steven J. Shoptaw, PH.D. Carl Baker Senior Vice President, Vice Chair for Academic Affairs, Secretary Artist and Industry Relations Wilbert C. Jordan, M.D., MPH Richard Munisteri Department of Family Medicine; Associate Vice President, Recording Industry Medical Director Senior Vice President and Executive Director, Safe House Senior Operations Manager Association of America OASIS Clinic Associate General Council David Geffen School of Medicine Bank of America Home Loans Live Nation Entertainment at UCLA Wayne Flick Shawn Khorrami Partner, Litigation Department Founding Partner Latham & Watkins LLP Khorrami, LLP

Ambassador Council

James M. Murphy Howard Bragman Roberta Eidman, MPH W. David Hardy, M.D. Bill Mannion Peter Ruane, M.D. Co-Chair Barclay Butera Wayne Elias Bill Harrison Leslie A. Margolin Kathy Sanders-Phillips, Christian Dowell Dan Clivner Tim Engel Tom Hogg III John Martens Ph.D. Co-Chair Tom Coates Ty Ervin Harold I. Huttas Dona R. Miller Lou Sawaya Matt Redman Alan Strasburg Board Chair Emeritus David Cooley Shelley Freeman Kevin James David Neale Ambassador Council Jack Corwin Brenda Freiberg Jeff Jenest John A. Pérez Michael Strand Liaison to the APLA Jewel Thais-Williams Board of Directors Eric Daar, M.D. Alan L. Friel Lee Klosinski, Ph.D. Rosalind Renfro Tim Aldrete Ignacio Darnaude David Galligan Vallery Kountze Luis Miguel Rodriguez- Bruce Vilanch James L. Arnone Dan De Léon Mark Gill Mark Krasne Villa Frank Voci Leslie Barclay Chris Diamond JeffH aber Barry Krost Mary Jane Rotheram- Jim Wilson Borus, Ph.D. Shelley Benson John Douponce Stephen Hardenburg Steve Machuca Les Zendle, M.D. Randy Rotondo Eric Bing, M.D., Ph.D.

Leadership in Prevention, Advocacy, and Service apla.org