ANNUAL REPORT FY 2019

Advancing Health Equity in Northern Virginia OUR MISSION Our mission is to improve health and advance health equity in Alexandria, Arlington, and Fairfax by providing access to high quality primary care regardless of ability to pay.

OUR VISION Our vision is that everyone in our community has the highest quality health care and the opportunity to attain their highest level of health.

OUR VALUES Integrity | Collaboration | Accountability | Respect | Excellence (I CARE) Neighborhood Health is a nonprofit Federally Qualified Health Center that provides high quality primary care to approximately 25,000 patients in 13 clinics across Alexandria, Arlington, and Fairfax County. Most of our patients are low- income and uninsured or underinsured.

Northern Virginia has the highest median income counties in the nation; yet income varies widely by neighborhood as does health and life expectancy. Many families in low-income neighborhoods either lack health insurance or are underinsured; thus, basic health care can be out of their reach. Neighborhood Health is dedicated to ensuring that these low-income, uninsured, and underinsured families have access to the same high-quality health care as their more fortunate neighbors. From the very beginning, this has been Neighborhood Health’s driving purpose and focus.

We provide primary health care services for the whole family. Our model of care is comprehensive and integrated, with a focus on both preventive care and treatment. Services include:

• Pediatric Care • Medication Assistance • Adult Medicine • Lab Services • Chronic Illness Care • Immunizations • Women’s Health Care • HIV Care • Prenatal & Post Partum Care • Case Management & Referral • Dental Health Care • Health Education • Behavioral Health Care • Health Insurance Enrollment Assistance

Neighborhood Health is accredited by The Joint Commission and is a certified Patient Centered Medical Home (PCMH). Neighborhood Health is a 501(c)(3) nonprofit organization. Federal ID: 54-1849891. Donations are tax-deductible as allowed by law. FROM THE EXECUTIVE DIRECTOR AND BOARD PRESIDENT

Dear Friends,

Neighborhood Health has come a long way since our modest beginnings providing medical care to low-income and uninsured women and children in a two-bedroom apartment in the Alexandria neighborhood of Arlandria. Over the last twenty-two years, we have grown and evolved significantly. Our purpose, however, has remained the same – to provide access to high quality health care to those in our community who need it most. Basim Khan, MD Executive Director As part of our strategic planning process in 2016-2017, we updated our mission statement: “To improve health and advance health equity in Alexandria, Arlington, and Fairfax by providing access to high quality primary care regardless of ability to pay.” We also identified four focus areas for the subsequent three years (see sidebar).

In 2016 we were serving 14,000 patients annually. In response to the high demand from our community, we set an ambitious goal to increase access by serving at least 21,000 patients annually by the end of 2018. We are pleased to report that due to the effort and support of a broad range of stakeholders, we reached our goal by serving 21,562 patients in 2018. In Fiscal Year (FY) 2019 Thomas W. Greeson (July 1, 2018 to June 30, 2019), we served 22,982 patients. This represents Board President a 70% increase since FY 2016. An estimated 83% of our patients are low income, i.e., they have household incomes of less than 200% of the Federal Poverty Level, or $42,660 for a family of three. Almost 50%, 10,384 patients, did not have health insurance.

Along with increasing access to care, our focus is to provide high-quality care. As part of our strategic plan, we set ourselves the goal of obtaining ambulatory care accreditation from The Joint Commission. Earlier this year, after a rigorous survey process, we successfully obtained Ambulatory Care Accreditation as well as Patient Centered Medical Home certification from The Joint Commission. This achievement reflects Neighborhood Health’s commitment to providing safe, effective, and high-quality care and places us among 20% of health centers in Virginia that have achieved Joint Commission accreditation. In addition, for the sixth year in a row, Health and Human Services named Neighborhood Health as a Health Center Quality Leader for being in the top 20% of health centers nationally for clinical quality measures.

We continue to strengthen our partnerships with local agencies, hospitals and health care providers, and non-profits in the City of Alexandria, Arlington County, and Fairfax County. In FY 2019, we continued our work with Fairfax County Health and Human Services to assume operations of two of its Community Health Care Network (CHCN) clinics. In partnership with Alexandria City Public

4 Neighborhood Health NEIGHBORHOOD HEALTH STRATEGIC GOALS: OUR FOCUS AREAS

1 2 3 4 Increase Access Provide High Build a Thriving Strengthen to Care Quality Care Organization Partnerships

Neighborhood Health Neighborhood Health is a Neighborhood Health Neighborhood Health increases access leader among health care builds a thriving enhances collaboration to health care in its organizations providing organization that can and integration with health service area – the City the highest quality primary sustainably provide care providers as well as of Alexandria, Arlington care. Neighborhood Health access to high quality organizations that address County, Fairfax County, provides comprehensive primary care to patients in social determinants of and in the Cities of medical, behavioral, and its services area. health in order to improve Fairfax and Falls Church – oral health care that is health and reduce health especially for people who patient-centered, safe, disparities in its service face barriers to care. effective, and equitable. area.

Schools, we celebrated the fifth anniversary of the Wellness on Wheels (WOW) BOARD OF DIRECTORS As of June 30, 2019 Bus. On the WOW Bus and with our Portable Dental Program, we provide dental care for children from low-income families in schools across the City. OFFICERS The program, which began in three elementary schools, has grown to cover ten Thomas W. Greeson President schools across Alexandria. Michael L. Millman Vice President We are grateful to have made significant progress over the last year alongside Richard Gundling our supporters and partners, whose commitment is critical for our mission. Treasurer We are particularly grateful that the Commonwealth of Virginia expanded its Alisa Valudes Whyte Medicaid program effective January 1, 2019. At our Neighbors for Health gala in Secretary 2018, we were proud to present our Health Equity Awards to members of the DIRECTORS Virginia General Assembly who worked to make Medicaid expansion a reality. Miriam Aguila We were also proud to host Governor Ralph Northam and Virginia Medicaid Muhammad Arif Director Jennifer Lee at Neighborhood Health when they announced that Carter Flemming 300,000 residents across the Commonwealth had signed up for Medicaid. Paola Navarro Elhafedh Talebimijine While we are grateful of the progress made to date, we are also acutely aware of the work that remains. Despite the expansion of Medicaid, the majority of EX OFFICIO MEMBERS Neighborhood Health adult patients still do not have health insurance. And Stephen Haering, MD access to affordable, comprehensive, and high-quality health care remains a Director, Alexandria Health Dept. pressing issue for a broad range of low-income patients in our community. Gloria Addo-Ayensu, MD Director, Fairfax County Health Dept. Over the coming years, our goal is to continue to expand access to high quality care and meaningfully impact the health and lives of those we are Rachel Lynch Inova Health System privileged to serve. And we will continue to count on your partnership and Director, Community Health support in this endeavor. Improvement

FY 2019 Annual Report 5 PATIENT PROFILES FY 2019 Lives We Touched… by the Numbers

Of the 22,982 patients we served ...

Age l Adults (>–18) ...... 62% l Children (0-17) ...... 38%

Income In 2019, the Federal Poverty Level (FPL) is For twenty-two years, thousands of $21,330 annual income for a family of three. low-income families from the City l Less than 133% FPL...... 68% of Alexandria, Arlington County, l and Fairfax County have turned to 133% to 200% FPL...... 15% Neighborhood Health to obtain high l More than 200% FPL/Unknown...... 17% quality and comprehensive primary health care. Our patients know they can count on this high-quality care, Insurance Status regardless of whether they have l Uninsured...... 44% health insurance or the ability to pay. l Medicaid & FAMIS...... 36% In FY 2019 we served 22,982 l Medicare...... 5% patients through 73,963 visits at our l Private Insurance...... 15% 12 clinics in Northern Virginia. The majority of our patients are low- income, uninsured, or underinsured, 80% of Patients and they come from diverse are uninsured or on Medicaid/FAMIS backgrounds.

Together, with the support of all our stakeholders, we have achieved Ethnicity/Race much over the last two decades. l Hispanic/Latino...... 50% However, there remains a significant l Black/African American...... 26% and growing need in Northern l White (non-Hispanic)...... 15% Virginia for high quality, affordable, l Asian...... 8% and accessible primary health care l services. Other...... 1%

53% of Patients prefer a language other than English

6 Neighborhood Health Patients and Visits by Year, FY 2016 to FY 2019 FY 2019 Health Care 24,000 22,982 80,000 73,963 Visits

21,000 PATIENTS 70,000 VISITS July 1, 2018 – June 30, 2019

TOTAL VISITS 18,000 60,000 73,963 15,000 50,000 13,530 44,334 MEDICAL 12,000 40,000 FY2016 FY2017 FY2018 FY2019 FY2016 FY2017 FY2018 FY2019 57,449

Pediatric Patients & Visits for Diabetes, Hypertension, 23,644 Obesity, and Asthma, FY 2019 Family and Adult Patients Visits Medicine Patients with Diabetes 2,462 7,617 32,946 Patients with High Blood Pressure 3,850 9,610 Patients Diagnosed as Overweight/Obesity 8,789 16,797 Women’s Health Patients with Asthma 1,463 2,974 859

DENTAL Examples of Medical and Dental Procedures, FY 2019 9,569 Patients Visits Mammogram Referrals 2,344 2,553 Pap Tests 3,213 3,519 BEHAVIORAL HEALTH Dental Procedures 5,127 9,891 2,144

CASE Prescriptions Health Insurance MANAGEMENT/ Filled: Enrollment: FAMILY SUPPORT 26,389 2,352 4,801 individuals were by Neighborhood assisted in enrolling in Health Medication Virginia Medicaid and Assistance Program, FAMIS health insurance worth $21 million in programs. Average Retail Value.

FY 2019 Annual Report 7 Diabetes & Depression An Integrated Approach to Care

“I learned how to control Neighborhood Health was selected by the Virginia Health Care Foundation the sugar and to watch to participate in its two-year project called Defeating the Deadly Double: my diet – what I eat. Depression and Diabetes (DDD). Depression impacts one-in-four diabetics; however, it is unrecognized and untreated in approximately two-thirds of these And [my case manager] patients. The goal of the DDD project is to address depression in diabetic really helped me with patients so that they are more able to follow their treatment plans. This project the stress. Because I was enables Neighborhood Health to improve on our existing integrated care model under some serious stress by adding formal diabetic education to enhance patient knowledge, intensive and …[she] helped to case management to perform frequent patient outreach to provide support get counseling for me. So and alleviate barriers to care, and to establish a more structured approach of that kind of motivates me coordination between our medical and behavioral health provider teams.

and when I’m down; you In November 2018, Sam* was referred to Neighborhood Health by a local guys always try to cheer hospital emergency room where he had gone when his blood sugar had me – to build me up. It’s gotten too high and he was experiencing severe hyperglycemia. He had been always been a pleasure injecting insulin to manage his diabetes for about five years, but had run out of when I’ve come here, I the insulin that he had brought with him from his country of origin. He is not always feel at home.” insured and was unable to afford a doctor’s visit to refill his medications. Once he was connected to Neighborhood Health, Sam was placed on our sliding fee discount program to help cover the cost of his visits; he was connected to our Medication Assistance Program to help cover the costs of his medications; and he was also scheduled for an appointment with one of our Family Medicine physicians, who is also the Clinical Champion of the DDD program.

After a few months of care at Neighborhood Health, during a routine screening for depression, Sam screened positive for emotional distress. This positive screen was an indicator for eligibility for DDD, so he was invited to participate. The DDD project includes free diabetic education, care management, and linkage to behavioral health services. Sam accepted the invitation and in addition to continuing to see his physician for his health check-ups, he started to meet with a certified diabetes educator, a behavioral health therapist, and our DDD integrated care manager.

8 Neighborhood Health *The patient’s name has been changed for privacy reasons. Sam’s visits were coordinated by his care manager to decrease the number of times that he had to travel to the clinic. His physical and emotional health, lab values, medication adherence, and self-management behaviors were closely monitored by the care team. He is now able to get free or low-cost medications and his diabetes testing materials were provided at no charge through the DDD project.

After almost a year of integrated care, Sam has worked hard to dramatically improve the management of his diabetes and depression. His diabetes has gone from uncontrolled to controlled and his blood sugar levels are now within normal limits. The result DDD team: Amanda Hirsch, is that he feels much better physically and emotionally, and is also at lower Dr. Paula Hayes, Rosa Ganey, and risk of developing complications from his diabetes. Emily Gigena seated with Sam.

“When Sam came to us his A1c was over 12% and now is controlled after a year of working together. He has put in an enormous amount of effort and he’s grown a lot as a person who is now active in his own care,” said Amanda Hirsch, Sam’s integrated care manager. “After knowing him when he first came in and seeing him now – the degree to which he has grown in his confidence, in his willingness to ask questions and ask for things that he needs – now I feel like we can have open conversations and those have allowed us to help him more. We’re all very, very happy with his progress.”

WHAT OUR PATIENTS SAY ABOUT THEIR EXPERIENCE WITH NEIGHBORHOOD HEALTH

One of Neighborhood Health’s top Patients Reporting Satisfaction with the Care Received priorities is to provide patient-centered 96% (Responded Excellent/Good) care. To monitor patient satisfaction, we have contracted with an outside organization to call patients and ask Patients Reporting They Will Return to Neighborhood Health them about their satisfaction with the 99% if the Need Arises (Responded Very Likely/Likely) care they receive.

Patients Reporting They Will Recommend Neighborhood Health 97% to Friends and Family Members (Responded Very Likely/Likely)

FY 2019 Annual Report 9

The Year in Review

1. Increasing Access to Care 2. Joint Commission Accreditation Neighborhood Health’s first In 2019, Neighborhood Health received Ambulatory Care strategic goal is to increase access Accreditation from The Joint Commission. Obtaining to care in the City of Alexandria, accreditation has been a strategic objective for the organization Arlington County, and Fairfax in line with our goal to provide high quality, safe, and effective County, particularly for patients care. The Joint Commission Accreditation covers critical who need it most. In 2016, when standards such as environment of care, emergency management, infection we were serving 14,000 patients prevention and control, information management, medication management, annually, we set ourselves an provision of care, record of care, human resources, and leadership. After a ambitious goal of serving 21,000 rigorous survey process, Neighborhood Health became one of the 20% of patients annually by the end Health Centers in Virginia to receive accreditation. All of Neighborhood Health’s 2018. We reached this target by clinical sites received accreditation. serving 21,562 patients in 2018. Approximately half, 10,384 patients, 3. Clinical Quality Awards were uninsured and an estimated 83% were low-income, i.e. they Beginning in 2014, the U.S. Health and Human Services Health Resources and had household incomes of less than Services Administration (HRSA) began giving high performing health centers 200% of the Federal Poverty Level, awards for their clinical quality measures. Neighborhood Health received one or $42,660 for a family of three. By of the inaugural “National Quality Awards,” which was given to only 50 out of June 30, 2019, we were serving 1,400 Health Centers across the country. 22,982 patients annually. In 2019, for the sixth consecutive year, Neighborhood Health received multiple quality awards from HRSA for 2018 clinical quality outcomes:

Health Center Quality Leader – Neighborhood Health ranked in the top 20% of best overall clinical performance among all 1,400 health centers nationwide.

Health Disparities Reducer – Neighborhood Health met or exceeded the federal government’s Healthy People 2020 goals, or made at least a 10% improvement across different racial/ ethnic groups.

Access Enhancer – Neighborhood Health increased the total number of patients served and the number of patients receiving comprehensive services.

Advancing Health Information Technology (HIT) for Quality – Neighborhood Health utilized at least five HIT services to increase access to care and advance quality of care.

Neighborhood Health consistently excels in its performance of clinical quality measures among health centers in Virginia and nationally. Clinical Quality Measures include childhood immunizations, cervical cancer screening, colon cancer screening, dental sealants, depression screening, diabetes control, hypertension control, HIV linkage to care, and appropriate treatment for conditions such as asthma and coronary artery disease.

10 Neighborhood Health 6. Strengthening Community Partnerships

One of Neighborhood Health’s strategic goals is to strengthen community partnerships because we recognize that enhancing collaboration and integration with other health care providers, as well as organizations that address social, housing, and other needs, will improve health and reduce health disparities for our neighbors.

4. Integrating Fairfax 5. PCMH Certification Neighborhood Health’s successful County Safety Net Neighborhood Health growth and impact in the quality received Patient Centered of life of many Northern Virginia Neighborhood Health partnered with Medical Home (PCMH) residents is a direct result of the Fairfax County Health and Human certification from The many meaningful partnerships we Services, including the Fairfax County Joint Commission. have developed and nurtured over Health Department and Community Organizations with PCMH certification two decades. Partners provide Services Board (CSB), as well as must demonstrate the following multiple forms of support, from in- Inova Health System, to assume characteristics: patient-centeredness, kind space and staff to seed funding operations of the primary care health comprehensive care, coordinated care, to patient referrals and direct services centers at Merrifield and South good access to care, and a systems- to our patients. We would not be County on July 1, 2019. The ultimate based approach to quality and safety. where we are today without the goal of this partnership is to improve All of Neighborhood Health’s medical long-term commitment of so many access and integrate services across sites received PCMH certification. amazing partner organizations. the Fairfax County safety net. In the coming years, Neighborhood Health and the County will continue to work together to further integrate County and health care services for our most vulnerable residents.

Virginia Delegate Paul Krizek presents Tom Greeson, Board President, with a General Assembly Resolution recognizing Neighborhood Health for its work to expand access to care for low-income families in Northern Virginia.

FY 2019 Annual Report 11

WOW Bus providing dental care to Alexandria schools: Dr. Kyu Kim, Zoila Alvarez, and Heidy Alvarado.

7. Expanding School-Based 8. Medicaid Expansion 9. Non-Profit Leader Dental Care The Commonwealth of Virginia of the Year We celebrated five years of expanded Medicaid on January 1, Neighborhood Health’s Executive partnership with the Alexandria City 2019, providing coverage to Director, Dr. Basim Khan, was Public Schools operating the Wellness approximately 300,000 people across awarded the Washington Business on Wheels (WOW) Bus. Neighborhood the Commonwealth. Neighborhood Journal’s Nonprofit Executive Health’s dental team provides dental Health celebrated this milestone Director/CEO of the Year Award at care to low-income children in schools at our Neighbors for Health gala the Watergate Hotel on December on the WOW Bus. This program on November 9, 2018. Along with 6, 2018. The award was given in began in three elementary schools our Honorary Chairs Congressman recognition of the progress made by in 2014. Now, the WOW Bus and the Don Beyer and Megan Beyer, we Neighborhood Health in expanding associated portable dental program presented Neighborhood Health’s access to health care for Northern “WOW Plus” serves ten schools: Health Equity Awards to members Virginia’s low-income and uninsured of the Virginia General Assembly for residents in need of primary care. • Cora Kelly Elementary School their efforts in enacting Medicaid • Ferdinand T. Day Elementary School expansion. Despite this expansion “Our staff is incredibly mission- • James K. Polk Elementary School in coverage, Neighborhood Health driven and passionate. They truly • Jefferson-Houston Elementary School continues to serve a large number of • John Adams Elementary School patients without health insurance. care about their patients and • Mount Vernon Community work above and beyond to ensure Elementary School they receive regular, high-quality, • Patrick Henry Elementary School compassionate care.” • Samuel Tucker Elementary School – Dr. Basim Khan • T.C. Williams High School • William Ramsay Elementary School

12 Neighborhood Health Healing a Child’s Heart

When Carmen* first but first he would need to “I have no words. * brought her son, Emilio , to grow bigger and stronger Because of everything Neighborhood Health he was before they could operate. two months old. He had been Waiting was difficult because, that I have gone born with a congenital heart as a result of his heart having through, I would not defect and presented with a to work so hard to compensate have been able to loud heart murmur. She had for the congenital defect, his get the care I need taken him to a cardiologist lungs were affected. He was in because of the cost. but did not understand what and out of the Casey Clinic and But thank God that the problem was, and she was the hospital with several upper there is help through scared for her child’s health. respiratory infections. The Our Neighborhood Health surgery had to be postponed you. You have helped pediatrician knew that her job several times because of these me a lot and I have and the job of our organization illnesses. done well, I am was to help Carmen understand grateful to you all.” her son’s condition, help Throughout this time, her navigate the health care Neighborhood Health system and specialists, and pediatricians, the pediatric find support for her during a cardiologist, the pediatric difficult time. pulmonologist, and the home visiting nurse all worked The pediatrician and our staff as a team to oversee and connected Carmen and Emilio coordinate Emilio’s care. to the Home Visiting Nurse program of the Alexandria Emilio DID grow and, at last Department of Health. This when he was six months old, would provide the family he had the heart surgery that with more frequent health he needed to repair his faulty follow-ups in their home that heart valve. The surgery was would help them during these successful. His pediatrician early months. reports that he does still have some issues with reactive Emilio saw a cardiologist and it airwaves but otherwise is a was determined that he would healthy, vibrant, bright four need to have heart surgery – year old.

*The patient’s and mother’s names have been changed for privacy reasons. FY 2019 Annual Report 13 Affordable Dental Care Makes Patient Smile

Sandra* had been having Sandra’s experience with the the procedures, which was trouble with her teeth for a dentists at Neighborhood really helpful in decreasing while. The last time she went Health was totally different her anxiety. They called her to the dentist with a problem, from that of her previous at home after the procedure the dentist said she had to dentist. She felt like to see if she was ok, and have two teeth pulled. In her quality of care was she’s been able to get order to pay for the dental excellent – the dentist here appointments for follow-up work, she had to take out an had a great bedside manner care easily. And the care she $800 loan from her bank. That and approached her case received was affordable for her. same dentist now wanted to much more holistically. She pull all of her teeth and fit her describes herself as “not Sandra is thrilled to not be in for dentures. She was in pain a needle person” and that pain, to be able to keep her again and she was anxious the staff at Neighborhood own teeth, and also to know about what this dental visit Health were patient with that she can get quality dental would cost. her and talked her through care at a price she can afford.

Sandra first came to “Neighborhood Health has helped me from having Neighborhood Health after to take out loans to have my teeth taken care of telling a girlfriend about and paying money that I really didn’t have.” a very painful tooth. Her friend was familiar with Neighborhood Health, knew that we offered dental services and suggested that she make an appointment.

14 Neighborhood Health *The patient’s name has been changed for privacy reasons. Neighborhood Health celebrated 21 years of service to our community across Alexandria, Arlington, and Fairfax County at our Neighbors for Health gala on November 9, 2018.

We were honored to have our long-time supporters, Congressman Don Beyer and Megan Beyer, serve as our Gala Honorary Chairs. Our Board of Directors was also proud to present its firstHealth Equity Awards to nine Virginia State Senators and 18 State Delegates from Alexandria, Arlington, and Fairfax County for their efforts in passing Medicaid Expansion, providing health insurance coverage to thousands of low-income people in Northern Virginia and across the Commonwealth.

MESSAGE FROM HONORARY GALA CHAIRS THE HONORABLE DON BEYER AND MEGAN BEYER

We have been supporting are doing very critical work to pass Medicaid expansion Neighborhood Health since the providing health care to those in the Commonwealth. Many year 2001 when it was a small in our community who need it low-income adults in our clinic in Alexandria. It has been most, regardless of ability to communities will finally get wonderful to see their growth pay. This valuable health access to health insurance over the years. center provides quality primary coverage and to the health care Neighborhood medical care, dental care, and they need. Health Board behavioral health care to both and staff adults and children and it is We also want to thank our celebrating 21 years of service Northern Virginia community, to our communities! including foundations, local government, faith We are pleased that communities, civic groups, and Neighborhood Health is many individuals and families, presenting its inaugural for your generosity and support Health Equity Awards of Neighborhood Health’s to the State Senators mission for more than two and Delegates from decades. And we look forward Alexandria, to Neighborhood Health’s Arlington, and continued growth and service Fairfax County to our community! for helping

FY 2019 Annual Report 15 ,

Virginia State Senators and Delegates, who worked to expand Medicaid in Virginia, received Neighborhood Health’s first Health Equity Awards.

We Thank Our Gala Gala 2018 Auction Donors Volunteer Leadership Committee Adam and Laura Feinberg Lisa T. Burkhardt Richard Merritt Kerrianne Mustard Ann Barbieri JA Simmons Design Ritz Carlton Pentagon City 2018 Gala Co-Chair and Barbara Muth Jenelle A. Peterson Robert Ray IV Auction Chair Bittersweet Catering Jennifer Dunbar Salon L’eau Founding Principal, Connex2 Bray & Scarff Appliance & Jim and Kerrianne Mustard Savage River Lodge Thomas W. Greeson Kitchen Specialists John and Alisa Valudes Whyte Shell and Trevor Wharton Neighborhood Health Board Café Pizzaiolo John McFadden, Villa Shelley and Hunter Lord President Catherine Matthews Sassella, Tuscany, Italy Reed Smith, LLP St. Elmo’s Coffee Pub Christina Saxon King’s Jewelry Alisa Valudes-Whyte Tasteful Affairs Catering Sharon Block 2018 Gala Chair Cooper’s Hawk Winery & Laura Edwards Tempo Restaurant Fundraising & Management Restaurants CEO, Merritt Group London Bob Hair Design The Anthem Consultant Cosmopolitian Grill Lorraine Aprile Salon The Honorable Barbara Becky Bostick David and Phyllis Gray Madeline Ramsey Comstock NH Previous Board President David Cochran Maid to Clean The Honorable Justin Wilson Escape Room Live Laura Feinberg Maisi Julian Photography The Legendary Group ESPN Lead, US Public Affairs for Mary C. Ray The Omni Homestead Resort Diabetes & Cardiovascular Fred and Jane Knops Mathew Harwood Tom and Jeannemarie Davis Sanofi Gary Clark, Inc. Meadowlark Gardens Holiday Tom Greeson and Catherine Julie Jakovic Georgetown Salon & Spa Winter Walk of Lights Read iLead Strategies Great County Farms/ Mercedes-Benz of Arlington Tom and Alyson Samburg Bluemont Vineyard/ MetroStage Total Wine & More Nora Partlow Dirt Farm Brewing Mi Vida & Succotash Veronica Barker-Barzel Realtor, Coldwell Banker Great Falls Swim & Restaurants Tennis Club Villa Fiorentino, Positano, Italy Moss Building & Design Greenstreet Gardens Washington Wizards Nostos Restaurant Greg Knott One Good Tern Gwen and Phil Romans Pacers Running/Sportrock Hal and Charlene Fullmer Climbing Centers Helen Olivia Flowers Paul Mazzuca Hollis Menninger Phil and Gwen Romans Hops Grill & Brewery PMSI

16 Neighborhood Health

Our Donors and Grantors July 1, 2018 – June 30, 2019 It has taken a tremendous amount of work, dedication, and commitment from the community and a broad range of stakeholders to get Neighborhood Health to where we are today. We are grateful for the support from individuals, foundations, corporate and community partners, faith communities, and federal, state, and local governments for their investment in our mission of improving health and advancing health equity in Alexandria, Arlington, and Fairfax County by providing access to high quality care regardless of ability to pay. Thank you!

Individual & Family Donors

Paul and Susan Abramson Mary Ann Burnstein Kristin L. Frykman Jesse and Margaret Gary and Susan Labovich Hernandez The Honorable Canek Aguirre Peg and Blain Butner Debbie Fuller Jill Landsman Nyrma Hernandez Ben and Laura Allen Paul and Sandra Byrne Jessica Furey Kristin Langlykke James Hertsch Mark and Kim Evans Allen Lynwood G. Campbell Mary Ann Gamble Rick and Karen Lassiter Tom and Magaly Hirst Victoria Almquist Meredith Carter Peter Garafola Theresa Lavoie James and Sheila Hoben Brian D. and Paula Alprin Lisa Chimento David and Margaret Gardner Thomas and Laura Lawler The Honorable Patrick Hope John Weir Anderson Katherine Chon Martha S. Gaston Brian Ledgerwood The Honorable Marianne Anderson William Clayton Tom and Eleanor Geiger Vanessa Leung Janet D. Howell Douglas Anderson and David J. Cleary Gardner and Stevie Gillespie David Levine The Honorable Amy Jackson Louise Tucker Carol Cochran Lorraine, Michel and Fernanda Levine, DDS Mia Jackson Anne Andrews Armita Cohen Mary Glowacki William and Elizabeth Julie Jakovic Livingston Elizabeth Arnold Natalie Colburt Danielle Goodman Paul and Carol Jameson Allen Lomax Delsy Arriola Mark D. Colley and Paul Goree Deborah Harsch Mary Gorman John Jennings and Martha Hunter and Shelley Lord Kelli Back Welman, MD Jay and Carol Baker Hess Collins David and Phyllis Gray The Honorable Timothy and Kevin Jensen Beth Lovain Tricia Bassing Michael H. Cook Thomas and Marcia Greco Alla Jezmir Theodore Lutz Tefera Bayou Gary and Nancy Cooper Chris and Cheryl Green Gordon Johnson Mary Lyman Jo Beasley Helen Cox Matt Greeson Monica Jones Rachel Lynch Rob Beckelheimer Donna Cramer Thomas W. Greeson and Catherine Read Miriam Kadhim David and Ethelmary Maddox Hirut Belete Robin Crawford Thomas Greg David Kaplan Eduardo and Grace Mantilla The Honorable Elizabeth Trisha Deegan Lenore Karafa Stephen and Angie Martelli Bennett-Parker Jonathan Dezzutti Tobias and Theresa Gregory Kevin Kayes Martha B. Martin James Bexfield Qahir Dhanani Sheryl J. Grossman Jeff and Louise Kemprecos Del and Sindi Martinez The Honorable Don and Spencer and Carol Dickerson Rick Gundling Megan Beyer Jan Gurtner Gene Kendall and Heidi Julio Martinez Paul and Virginia Doherty Christensen Edward Bilanchone Shayna G Hadley Liz Martinez Jered Dominey Genevieve Kenney Laurie Blackburn Friends of Dak Hardwick Loren McArthur Christopher and Margo Aliza Khan Blair Blake Downing Steve and Kathy Harkness Joe and Marina McCarthy Basim Khan, MD Deborah Bombard Bruce and Linda Dwyer Steve and Louise Hart Caryn McGarry Rab and Sherin Khan George and Becky Bostick Juan Pablo Echevarria and Dan Hawkins and Sara Jennifer Mehmood Nancy Kincaid Deborah Bowers Megan Prior, MD Rosenbaum Richard Merrit Richard Kingham Jennifer Boyle Kamel and Heba Elzawahry, Stephen Hearing, MD Annie Metcalfe MD Robert and Tonya Klause Eloise H. Brantley Keith Hearle Christopher and Frank and Terry Essis Lee and John Klousia, MD Simone Meyer Paul Brinkman and Lisa Carolyn Heasley Jacobs Adam and Laura Feinberg Richard Heath Fred and Jane Knops Ayesha Mian, MD Michael Millman Suzanne Brock Michael and Carter Flemming Craig and Raschna Heizer Greg and Garland Knott Stephen and Jasmine Milone The Honorable David and Laurie Flynn Bill Hendrickson and Laurie The Honorable Paul Krizek Gretchen Bulova Ellen Folts MacNamara Aida Kudda Ruben Miranda, DDS Lisa Burkhardt Mike and Kristin Foti Ann Herlin Sarah Kureshi, MD Saif Shah Mohammed

FY 2019 Annual Report 17 Helen Morris James and Cynthia Foundations, Government, Corporations, Businesses, Faith Sturdevant Jim and Kerrianne Mustard Communities, Civic Groups, and Pro Bono Contributions Paola Navarro The Honorable Rip Sullivan Richard and Elizabeth My Dung Nguyen Aetna Better Health of Virginia Deloitte Northrop Grumman Employees Sullivan Carol O’Shaughnessy Alan Shauer, MD District of Columbia HIV/ Charity Organization (ECHO) Phil Sunderland Susie Ochoa Alexandria Cares for the AIDS, Hepatitis, STD & TB Old Presbyterian Meeting Jiaqi Tao Administration House Jennifer Odlum Uninsured Fund George and Mary Alexandria City Public Schools Dominion Foundation Old Town Insurance Laura Paez Augusta Thomas (ACPS) Fairfax & Wilkes Fund Paul Kaplowitz, MD John Palmieri, MD DeeDee Tostanoski Alexandria Community Fairfax County Community Philip L. Graham Fund Emilian Papadopoulos Sheila Tria Services Board (CSB) Services Board (CSB) Quadrant Elizabeth Parish Clare and Leigh Valudes Alexandria Department of Fairfax County Health and Reed Smith, LLP Joe Parish The Honorable Marian Van Community and Human Human Services System Services Renshaw-Porter Family Fund Doris Parker Landingham Faifax County Health Alexandria Health Department Department Royce Cohen Nora Partlow Jerry Vernon Alexandria Rotary Club Fairfax Radiological Stericycle Kathy Patrick Robert and Alice Vernon Amazon Smiles Consultants, P.C. Stratford Woman’s Club Mike and Kim Perry Thomas Vernon, MD America’s Charities Harvey Rubenstein, MD The Ezra Company Linda Pintro Elba Villalta Health Resources and The Morris and Gwendolyn Matt Wade Anthem HealthKeepers Plus Janice Popowich Services Administration Cafritz Foundation Julie Wagner Arlington County Community (HRSA) Lawrence and Mary Kay Services Board (CSB) The Susan G. Komen Breast Prior Eileen Wallace Hodge, Hart & Schleifer, Inc. Cancer Foundation Arlington County Department Paul and Sandy Proteau Karen E. Wallen of Human Services Immanuel Church-On-The-Hill Theodore Barth Foundation Sue Purvis Stephen Waltz Barbara Nekoba Inova Health System Transformational Systems, Inc. Lalitha Rambhala, MD Deborah Warren BB&T Bank Jacobson Design, LLC United Way of Central Maryland Chris and Karen Randisi Susannah Washburn Bitsy Plus Design Kaiser Permanente of the Mid-Atlantic States United Way of the National Rich and Lois Rawson John and Bridget Weaver Burke & Herbert Bank Keith Kiska/Kiska Media Capital Area Robert and Mary Ray Mary Anne Weber Call 4 Health Kenneth Geoly, MD VCU Health System Donna Reuss Michael Weiner CareFirst BlueCross LabCorp Verite Healthcare Consulting, Gayle Reuter Dorothy Weiss BlueShield LLC Mason Hirst Foundation Jim and Beth Roberts Sheila Weiss CEM Solutions Group, Virginia Community Health IT Matthew Media Group, MMG Thomas and Norma Roberts Robert Westpheling Healthcare Association Centric Business Systems Med-Electronics (VACHA) Mark Robledo John Whyte, MD, and Christian Relief Services, Inc. Merritt Group Virginia Department of Health Nicholas Rodriguez Alisa Valudes Whyte City of Alexandria Mount Vernon Unitarian Virginia Health Care Phil and Gwen Romans Nathaniel and Edyta Wiesner Coldwell Banker Residential Church Foundation Indiana Ruiz Frederick Willard Brokerage, Alexandria National Association of Virginia Premier Don T. Ryan and Marilena Combined Federal Campaign Community Health Centers Vola Lawson Breast Cancer Amoni The Honorable Justin M. (NACHC) Wilson (CFC) Memorial Fund The Honorable Richard and Northern Virginia Association Marta Wilson Commonwealth of Virginia Westminster Presbyterian Eleanor Saslaw of Realtors Cares Fund Church Zach Wilson Community Foundation of Rich and Christina Saxon Tampa Bay Northern Virginia Health Windstream Laurie Winakur Foundation Roger and Sharon Schwartz Connections Media Zoeica Images Norman and Carolann Sharp Allan and Susan Winn Northern Virginia Regional Connex2 Commission Robert and Mara Winn Timothy and Lea Shuba CrossRoads Group, Inc. Jennifer Simon Chang Woo Dan Simonds Theresa Wyatt Ehsan Zaffar Dodd Sims, MD Neighborhood Health has made every effort to recognize Jake Sizemore Michelle Zarnegar and include every donor who made a contribution Kate Smith Messay Zerga from July 1, 2018 through June 30, 2019. Dana Smith and Nancy Pedula If an error or omission has been made, we apologize. Betsy Stark Please contact our Development Office at Jonathan Stoloff [email protected] to let us know.

18 Neighborhood Health Neighborhood Health Financials, FY 2019

JULY 1, 2018 TO JUNE 30, 2019

l Grants, Contracts, l Direct Program and Donations 49% Expenses 84% FUNDING EXPENSES l SOURCES l Program Revenue 44% Management & Fundraising l In-Kind and Other Expenses 16% Revenue 7%

Comprehensive HIV Care and Stopping Its Transmission The Ryan White Program & Getting to Zero

Neighborhood Health has feel better, and was tired of team – including HIV care worked closely this year seeking services at urgent care from her primary care provider with the Alexandria Health facilities. Our physician ordered and mental health care from Department to establish a a series of lab tests, including our therapist – the patient’s universal HIV testing program a routine HIV test, to help symptoms have disappeared. called Getting to Zero for all identify her underlying health She feels healthier than she patients ages 13 to 64 years. issues. The patient tested has in years, and the virus is Through this program, our positive for HIV, despite having completely undetectable and clinicians encourage everyone, no known risk factors. therefore untransmissible. regardless of risk factors, to be With Neighborhood Health, tested for HIV. Our Ryan White team she’s been able to have immediately went into action, a cardiology follow-up Recently, a new patient with our nurse case manager appointment, as well as presented at Neighborhood taking ample time to explain women’s health screenings. Health looking for primary care. the unexpected diagnosis She had no health insurance to the patient, and our non- The Getting to Zero program, due to having lost her job. medical case manager helping Neighborhood Health’s Primary She had multiple health the patient apply for ACA Care Medical Home approach, problems, including diabetes, health insurance and for and the Ryan White team and a history of a heart attack the AIDS Drug Assistance have all contributed to making several years earlier. She just Program. With treatment and a profound difference in this wasn’t feeling well, wanted to emotional support from our woman’s life.

Photography: Greg Knott Photography, Zoeica Images and Adobe • Editing & Design: Winking Fish FY 2019 Annual Report 19 OUR CLINICS IN W Glebe Rd. NORTHERN VIRGINIA 66 Arlington Blvd 50 6 7 ALEXANDRIA CLINICS 12 ERRIFIELD ARLINGTON 1 Neighborhood Health at 2 East Glebe ANNANDALE 2 East Glebe Rd., Alexandria, VA 22305 1 1 4 395 E Glebe Rd. 2 Neighborhood Health at the Casey Clinic 13 Columbia Pk. King St. 1200 N. Howard St., Alexandria, VA 22304 Little Riv 495 er Tpk 2 3 e 3 Neighborhood Health at Alexandria CSB Duke St. 720 N. Saint Asaph St., Alexandria, VA 22314 ALEXANDRIA 4 Neighborhood Health at King Street Dental 495 4480 King St., Alexandria, VA 22302 5 WOW Bus & Portable Dental Providing dental care at 10 Alexandria City Schools SRINGFIELD Ft. Hunt Rd. elegraph Rd. (multiple locations not marked on map) T

vis Hwy a 8 395 ARLINGTON COUNTY CLINICS

erson D

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ef 6 Neighborhood Health at Arlington Dental SOUTH J 9 2120 Washington Blvd., Arlington, VA 22204 ALEXANDRIA 1 7 Neighborhood Health at Arlington CSB 10 2120 Washington Blvd., Arlington, VA 22204 11

FAIRFAX COUNTY CLINICS

8 Neighborhood Health at Richmond Highway 6677 Richmond Hwy. Alexandria, VA 22306

9 Neighborhood Health at Sherwood Hall 2616 Sherwood Hall Lane, Ste. 106 Alexandria, VA 22306

10 Neighborhood Health at Gartlan Center 8119 Holland Rd. 6677 Richmond Highway Alexandria, VA 22306 Alexandria, VA 22306 11 Neighborhood Health at Merrifield (703) 535-5568 8221 Willow Oaks Corporate Dr. neighborhoodhealthva.org Fairfax, VA 22031

12 Neighborhood Health at South County Followollo us! 8350 Richmond Highway, Suite 301 Alexandria, VA 22309

13 Neighborhood Health at Annandale Neighborhood Health is a 501(c)(3) nonprofit organization. 7501 Little River Turnpike, Unit G-4 Federal ID: 54-1849891 Annandale, VA 22003 Donations are tax-deductible as allowed by law.

FOR INFORMATION AND APPOINTMENTS, PLEASE CONTACT: (703) 535-5568