ANNUAL REPORT2013

Charles Drew Health Center, Inc.

Medical | Dental | Behavioral Health | Community Meet Our Provider Team . . . A Message from the Chief Executive Officer

Kenny D. McMorris, MPA, CHCEF

It is with great honor and enthusiasm that we present to the Omaha community the Charles Drew Health Center, Inc., (CDHC) 2013 Annual Report. One of the key factors that distinguishes a thriving community is its ability to deliver excellent medical care to every resident Gregory Ochuba, M.D., Ph.D. Renaisa Anthony, M.D. Christy Boulos, APRN Camille Brewer, APRN Chief Medical Officer/Internal Medicine Women’s Health Physician SBHC Nurse Practitioner-Belvedere Public Housing Nurse Practitioner and community member in which it serves. The character of a community is defined by many factors, how well it answers the health care needs of its population is surely one of the most important. Simply put, quality comprehensive health care is a right!

The healthcare delivery system is changing and 2012). Patients 18 and under, represented 35% of our Charles Drew Health Center is moving forward with patient population. Although 47% of our patients were transformations that reflect the dynamic world of health uninsured – none were denied health care services due to care and meet the growing needs of our communities their inability to pay. most vulnerable individuals. For over 30 years we have Charles Drew Health Center provided employment demonstrated the ability to overcome barriers and improve opportunities for 234 individuals, many residing in the Michelle Chang, D.D.S. Tara Collison, PA-C Susan Egbe, M.D. Debra Gartin, APRN access to care. Dental Director Homeless Physician Assistant Family Practice Physician SBHC Nurse Practitioner-Northwest Health Centers targeted service area, (east/northeast and We know this has changed lives for the better. We have northwest sector of Douglas County) with an overall direct/ worked hard to earn your trust and we appreciate every indirect economic impact of over $15 million. opportunity we have to take care of you and your family. Our goal is to provide quality, comprehensive affordable We will continue to look for new opportunities where healthcare to all individuals in a comfortable and safe we can collaborate and partner with other community environment. Charles Drew Health Center strives to recruit resources to promote wellness and a better quality of the best medical, dental and behavioral health providers life for all. available while supporting them with qualified, culturally As the new Chief Executive Officer, of your community competent, compassionate staff. We believe the personal health center I, along with the CDHC team, commit to relationship between a patient and doctor is the key to an unwavering dedication to our mission and vision. I’m quality health and dental care. It is our goal to treat all Jackqueline Hill, APRN Holly Lanoha, PA-C Anthony Montegut, M.D. Alana Phillips, M.D. tremendously grateful for the achievements of our current patients with the care and respect we all deserve. Homeless/Nurse Practitioner, P.T. Homeless Physician Assistant Family Practice Physician Pediatrician 120 plus employees. Through their compassion, they have created an unparalleled environment for healing. Through their dedication, they are ensuring our ability to adapt We believe the personal relationship successfully to the inevitable changes that lie ahead. between a patient and doctor is the key This report includes a summary of the many initiatives to quality health and dental care. we have undertaken to enhance quality, improve access, encourage innovation and fulfill a passionate commitment to community service. As you will see, we are defining the On behalf of our Governing Board of Directors, Foundation future of healthcare in Omaha. Board of Directors, Volunteers and Staff we say thank you. In 2013 Charles Drew served 10,451 unique patients. Rest assured that we will continue to work every day to Nikki Regan, APRN Sheritta Strong, M.D. Monique Tolston, M.D. Erin Wetzel, D.D.S. We facilitated 38,304 patient visits (a 12% increase over meet and exceed your expectations. SBHC Nurse Practitioner-Kellom Psychiatrist Family Practice Physician/OB Dentist 2 3 0.83% Community, Target and Patient Profiles Our Patient Profile 1.11% 0.49% 4.19% Total Patients Served 10,451 Total Patient Visits 38,304 4.69% Total number of uninsured patients served 4,633 8.1% Patients living at 100% and below the poverty level 87% Female patients 52% Male patients 48% 51.7% Homeless patients served 15% 28.89% Pediatric patients served at CDHC school-based health center 14% Patients best served in a language other than English 10%

5% Patients by Age Ages Patients Patients By Race and Ethnicity Our Community Profile 60% 0 to 19 3,682 35% 35% Races Patients Charles Drew Health Center (CDHC) The racial composition of Douglas County: 3.0% 0.5% 20 to 64 6,300 60% Black 5,330 51.7% provides quality affordable health care Races Individuals 65+ 469 5% White 3,019 28.89% services for individuals and families White 388,988 73.2% Asian 920 8.1% living throughout Douglas 11.6% Hispanic 61,859 11.7% Hispanic/Latino 490 4.69% County in Omaha, Nebraska. African-American 61,639 11.6% Refused to Report 438 4.19% According to 2010 US Census 73.2% Asian 15,933 3.0% More Than One Race 116 1.11% data for Nebraska, 11.7% 4% Native Hawaiian/Pacific Islander 87 0.83% Native American 2,846 0.5% Source of Patient • Douglas County has a Insurance Coverage American Indian 51 0.49% population of 531,265 Coverage Patients 12.3% 47.2% • 13.1% of individuals Uninsured 4,934 47.2% residing in Douglas County Medicaid 3,825 36.5% 36.5% Charles Drew Health Center Selected live below the poverty level Private Insurance 1,286 12.3% Diagnoses and Services Rendered Medicare 406 4% MEDICAL Condition Treated Patients Percentage of Overall 4.5% Asthma 738 Our Target Population Profile Patient Revenue Diabetes 757 Coverage Patients 8.0% Hypertension 1,768 The Charles Drew Health Center service area includes the area. All but one of the census tracts in the CDHC project Uninsured 38.3% 38.3% east/northeast and northwest sectors of Douglas County in area is designated as “areas of racial and ethnic minority 10.7% Medicaid 35.8% Omaha, Nebraska. The health center’s target population is concentration.” DENTAL Self-pay 10.7% Service Provided Patients the east/northeast sector of Douglas County. Population 35.8% The racial composition of CDHC’s Medicare 8.0% Oral Exams 1,758 data from the 2010 US Census 1.1% 2.5% 0.3% target area Private Insurance 4.5% Prophylaxis 770 provides the following data: Races Individuals Fluoride Treatment 766 • CDHC’s target population African-American 20,504 46.2% is comprised of 44,410 9.8% 1.6% MENTAL HEALTH/ Income As Percent 1.1% White 17,820 40.1% 1.9% SUBSTANCE ABUSE residents. of Poverty Level Hispanic 4,364 9.8% • CDHC’s target area 46.2% 8.7% Condition Treated Patients 100% and below 9,061 86.7% includes 18 census tracts Asian 1,091 2.5% Depression and Other Mood Disorders 1,303 101 to 150% 194 1.9% designated as medically Native American 504 1.1% Anxiety Disorder 475 40.1% 151 to 200% 167 1.6% 86.7% underserved and a health Other 127 0.3% Other Mental Disorders 460 Over 200% 113 1.1% professional shortage (excluding drug or alcohol dependence) Unknown 916 8.7%

4 5 Our Service Delivery System for 2013 Dental Care Mental Health Services School-based Health Centers Public Housing Health Centers cardiovascular disease, depression HEALTH CARE and obesity. Through these programs, The CDHC Dental Program served In 2013 CDHC served 250 patients CDHC case managed 541 diabetic SERVICES 2,542 patients. This represents a residing in public housing. CDHC in patients, 1,033 patients with a Medical Care 25% increase over 2012. The Dental partnership with Omaha Housing diagnosis of hypertension and 75 program facilitated 6,291 patient Authority operates and manages four asthmatic patients. Additionally, CDHC visits in 2013. This represents a 28% (4) Public Housing Health Centers at Building Healthy Futures School-based addressed weight management with increase over 2012. the following OHA locations: Health Centers program partners 1,281 pediatric and 541 adult patients. In 2013 Charles Drew Health Center (which includes Charles Drew Health served 630 patients and facilitated a Center) impacted 10,166 children Crown Tower total of 1,884 patient visits through its during the 2013-2014 school year. 5904 Henninger Ave. HIV/AIDS Testing and Integrated Primary Care Behavioral The mission of the Building Healthy (402) 457-1240 Counseling Health Program. The program is Futures School-based Health Centers supported in part through grant is to improve the health for our Evans Tower dollars funded by the United Way of community’s underserved children and 3600 North 24th St. the Midlands youth through thoughtful collaboration and Region VI Behavioral (402) 457-1242 Healthcare. and advocacy.

Florence Tower Charles Drew Health Center served Pharmacy 5100 Florence 10,451 patients and facilitated Boulevard 38,304 patient encounters (visits) in The CDHC Dental Department (402) 457-1241 2013. Charles Drew Health Center provides oral exams, sealants, fluoride provides care for the entire family. treatments, restorative services, oral In 2013, CDHC tested a total of 1,161 Services include family practice, Jackson Tower surgery (extractions) emergency individuals. HIV/AIDS testing and internal medicine, pediatrics, OB/GYN, 600 South 27th St. services and rehabilitative services. counseling was provided at the main pharmacy, radiology, opthalmology, (402) 457-1243 During 2013 the CDHC pharmacy filled clinic and at both homeless clinic minor surgery, behavioral health, New Baby Beginnings 27,185 prescriptions at an average cost locations. Outreach and community nutrition, cardiology and podiatry. of $ 14.57. When compared to the Chronic Disease health education initiatives also include national average of $ 83.26 (AARP free HIV testing and counseling. Homeless Health Care 2012 average price + a 3.6 % increase), Management patients at Charles Drew Health Center STD Counseling, Testing saved $1,867,123. Charles Drew Health Center provides primary health care services at and Partner Notification The average cost of a prescription at four of eight Omaha Public Schools the Charles Drew pharmacy increased During the calendar year of 2013, School-based Health Centers. The total by 1.18 %. The pharmacy also filled 426 CDHC provided STD testing, counseling, number of unique patients served was prescriptions at a cost of over $35,000 treatment and partner notification 1,328. Charles Drew Health Center for 1,931 individuals. Of the 1,931 The CDHC Baby Beginnings perinatal for uninsured patients with emergency receives funding support from Building individuals tested, 19.6% (378) care program offers a comprehensive medical needs. Healthy Families to operate the individuals tested positive. The average approach to ensuring healthy birth following School-based Health Centers: age of the population served was 26. outcomes for infants and mothers. The Prescription Assistance The CDHC Chronic Disease program is staffed by one family Of the 378 individuals that tested Program Management Program provides practice physician/OB, a pediatrician Belvedere Elementary School positive for an STD, 269 tested positive Of the 10,451 patients served in 2013, In 2013, through the Medication systems of care designed to improve and a perinatal nurse. In 2013, Charles for Chlamydia (71.2%) and 109 (28.8%) 1,568 were homeless. The Health Assistance Program, 814 prescriptions Kellom Elementary School patient health outcomes and reduce Drew Health Center provided perinatal tested positive for Gonorrhea. Center serves homeless patients at two were filled at a cost to the patients of costs associated with long-term chronic care services to 136 women. Of the 136 King Science and Technology locations: Catholic Charities Campus $20,350, at a value of $67,773.64. This illness. Currently CDHC operates women served, there were 81 deliveries. of Hope, located at 1490 North 16th represents a savings of $47,423.64 to Magnet Middle School five chronic disease management Street and the Siena Francis House, CDHC Patients. programs, which are diabetes, asthma, Northwest High School located at 1111 North 17th Street. 6 7 MATERNAL AND • There were 38 births among OHS Employee and OTHER ENABLING 1. Number of individuals assisted by a Fathers for a Lifetime (FFL) program participants; Community Wellness trained CDHC O/E specialist. - 1,003 CHILD HEALTH • OHS case managers completed 1,069 SERVICES 2. Number of applications submitted to Women, Infants and home/office visits; Health Insurance the Marketplace with the assistance Children (WIC) • OHS provided 121 pregnancy tests at Marketplace Outreach/ of a trained CDHC O/E specialist. - 667 no cost to women; Enrollment (O/E) Efforts 3. Estimated number of individuals enrolled with the assistance of a • OHS provided 120 STD tests at no In 2013 Charles Drew Health Center trained CDHC O/E specialist. - 79 cost to women; was among health centers that • OHS completed 623 program received funding designed to assist participant transportation requests; health center patients in establishing Interpreter Services and Charles Drew Health Center has a eligibility for and gaining access to Federal, State, and local programs • Expanded its Health Education and commitment to improving not only the that provide or financially support the Training component from 13 on-site health and well-being of its patients, provision of medical, social, housing, In 2013 the Charles Drew WIC program classes for women only to 16 on-site but its staff as well. In 2013 the CDHC educational, or other related services. facilitated 34,957 program participant classes for women and men. Employee and Community Wellness visits. program provided the following Fathers for a Lifetime program Do you need Health Insurance provided the following services Prenatal care patients 2,739 services: Do you have Questions in 2013: Infants 0 to 1 9,298 FITNESS AND • Employee Wellness Challenges for Weight Loss, Physical Activity, Better • Graduated 51 men from its 12-week Children 1 to 5 18,027 NUTRITION Nutrition, Stress Reduction. On an Charles Drew Health Center continues evening educational sessions; Postpartum care patients 4,893 Healthy Families average, 50% of CDHC employees to provide on-site interpreter services • Maintained a monthly case participated in each Wellness for the medical, dental and WIC management and care coordination Omaha Healthy Start (OHS) Challenge. clinics and for the Omaha Healthy caseload of 21 men through the FFL Start HealthNET case management Resource Office; • Employee Zumba classes for Get Answers To Talk to a The mission of OHS is to reduce Your Questions! program. In 2013 CDHC provided employees and the community. Find out what health Certified the rate of infant mortality in East/ insurance options are • Processed 2,227 contacts – 1,611 calls Classes accommodate 25 participants. available for you and your Application interpreter service encounters Northeast sector of Douglas County family. Whether you are and 152 texts/emails for assistance uninsured or want more Counselor (appointments) for 4,532 patients. information, the Health (this represents a 1% decrease from in Omaha, Nebraska by means of Insurance Marketplace will help you find the coverage TODAY! This represents a 6% increase over that’s right for you! 2012); and partnership with families, community (402)457-1207 interpreter services provided in 2012. members and organizations through • Served 464+ men through its FFL awareness, training and education. Resource Office on a walk-in basis. Disabilities Assistance

Charles Drew Health Center, Inc. Program The people you know, located where you live. Dedicated to delivering the best Medical, Dental, and Behavioral healthcare. 2915 Grant Street • Omaha, NE 68111-3863 • CharlesDrewHCOmaha.org

These funds were invested in health centers to expand current outreach Healthy Families is aimed at reducing and enrollment assistance activities • Earn-A-Bike program for children. obesity among children with a body and facilitate enrollment of eligible Sixty children earned new bikes, new mass index (BMI) at or above the health center patients and service helmets and bike locks by completing 85th percentile. Seven families were area residents into affordable health Through the Omaha Healthy Start volunteer services in the community. enrolled in the program in 2013. insurance coverage through the Health HealthNET case management The children and their parents were Children and families participating Insurance Marketplace, Medicaid, or the program, OHS staff provided the required to participate in Wellness in this program are referred by Children’s Health Insurance Program. following services in 2013: Workshops (Better Nutrition and In 2013 CDHC provided assistance their primary care physician. The The Importance of Physical Activity). Charles Drew Health Center provided to 33 medical and 25 dental patients • One-on-one case management, program is sponsored by Alegent They also participated in a Bike the following Health Insurance through its Disabilities Assistance screenings and health education and Health and is offered to families Safety Workshop. This program was Marketplace Outreach/Enrollment Program. training for 56 pregnant women and at no cost. 211 inter-conceptional women; made possible by Alegent Health and support services in 2013: Mutual of Omaha. 8 9 Charles Drew Health Center Fiscal Year 2014-2015 Operating Budget Comparative Analysis

Charles Drew Health Center Fiscal Year 2012-13 Operating Budget Comparative Analysis 2013 REVENUES

Patient service revenue, net of provision for uncollectibles $ 2,741,942 Grant revenue 6, 300,868 Contribution revenue 104,204 Other 105,352 Investment return 5,061

Total revenues and other support $ 9,257,427

% Net Patient Revenue to Total 29.6% % Grant Revenue to Total 68.0%

EXPENSES Salaries and wages $ 4,780,195 Employee benefits 1,051,860 Purchased services and professional fees 1,018,726 Supplies and other 1,976,335 Depreciation 349,390 Interest 20,795

Total expenses $ 9,197,301

OPERATING INCOME (LOSS) $ 60,126 Charles Richard Drew attended When America went to war in 1941, Amherst College, where he became an Drew was named as director of the % Personnel Costs to Revenue 63.0% all-American football player. Amherst blood bank for the National Research % Employee benefis to Salaries and Wages 22.0% College, at that time, was one of the few Council, collecting blood for the US white colleges who accepted sizable Army and Navy, and setting the numbers of black students. groundwork for the Red Cross collecting ASSETS Charles Drew Health Center, Inc., in Omaha and banking procedures. In 1942, Drew Cash $ 237,399 In 1926, after graduation from Nebraska, was named in honor of returned to Washington D.C., where he Short-term investments 118,997 Amherst, Drew took a job at Morgan became head of Howard University’s Net Patient accounts receivable 546,572 College as a biology teacher and Charles Richard Drew, M.D. Department of Surgery and Chief Grants and other receivables 284,283 athletics director. Surgeon at Freedman’s Hospital. In Other assets 184,586 Dr. Drew was a brilliant African American Property and Equipment, net 5,201,056 Earning his money coaching athletes, physician, educator and surgeon, 1944, he was elevated to hospital Chief Total Assets $ 6,572,893 Drew then returned to college to famous for his pioneering work of Staff and Medical Director, aposition receive his medical degree. He in blood preservation. he held until 1948. He was killed in an graduated from McGill University’s automobile accident in 1950, on the LIABILITIES medical program, and took an way to a medical conference. Accounts payable $ 846,201 His dissertation was on the condition internship and residency in Canada. Line of credit 390,106 of blood stored in blood banks, The storage of blood in plasma form Other Liabilities 618,311 Afterwards, he became a teacher of and the method of storing blood has saved untold lives since Drew pathology at Howard College, and a Total Liabilities $ 1,854,618 as plasma (sans white or red blood brought the process forward in the 1930’s, resident at Freedman’s Hospital in cells) to increase storage life. He then and he created the model for blood and NET ASSETS $ 4,718,275 Washington D.C. He then worked and supervised the blood-plasma division plasma storage that is used by the Red taught in New York, at the Columbia of New York City’s Blood Transfusion Cross even today. His importance to Total Liabilities and Net Assets $ 6,572,893 Presbyterian Hospital, receiving his Association, which was involved in modern medicine cannot be overstated. Doctorate from Columbia University. collecting blood for the British Army. '< See 'Comparative Analysis Comments and Explanations 10 11 Charles Drew Health Center, Inc.

Main Clinic

2915 Grant Street P.O. Box 111609 Omaha, Nebraska 68111

Clinic (402) 451-3553 Administration (402) 457-1200 Dental Clinic (402) 453-1433 Pharmacy (402) 451-3244

www.charlesdrewhcomaha.org

Catholic Charities Omaha Healthy Start School-Based Health Centers Campus for Hope Charles Drew Belvedere Elementary School Homeless Satellite Clinic Professional Building 3775 Curtis Avenue 1490 North 16th Street 2912 Manderson Street Omaha, NE 68111 Omaha, Nebraska 68102 Omaha, Nebraska 68111 402-932-1232 (402) 345-9860 (402) 455-2229 Kellom Elementary School www.omahahealthystart.org Siena Francis House 1311 North 24th Street Homeless Satellite Clinic Fathers for a Lifetime Omaha, NE 68102 1111 North 17th Street Resource Office 402-505-5451 Omaha, Nebraska 68102 Charles Drew King Science and Technology (402) 346-8401 Professional Building Magnet School 2912 Manderson Street Benson Community 3720 Florence Boulevard Omaha, Nebraska 68104 Health Center Omaha, NE 68110 5420 Northwest Radial Highway (402) 453-5300 402-502-5644 www.fathersforalifetime.org Omaha, Nebraska 68104 Northwest High School (402) 558-9242 Women, Infants and Children 8204 Crown Point (WIC) Nutrition Program Omaha, Nebraska 68134 2915 Grant Street, 2nd floor 402-916-5964 Omaha, Nebraska 68111 (402) 451-3130

Public Housing Health Centers Crown Tower Evans Tower Florence Tower Jackson Tower 5904 Henninger Ave. 3600 North 24th St. 5100 Florence Boulevard 600 South 27th St. (402) 457-1240 (402) 457-1242 (402) 457-1241 (402) 457-1243