PIECE HEALTH CARE PUZZLE - Anchorage Project Access

anchorage project access 2011 annual report

A PIECE OF THE HEALTH CARE PUZZLE

OUR MISSION

Th e mission of Anchorage Project Access is to increase access to health care for low income uninsured members of our community by using a volunteer network of providers working in a coordinated fashion to create a compassionate, respectful, equitable, accountable and effi cient program of necessary services for those in need.

2011 EXECUTIVE BOARD MEMBERS

Catherine Schumacher, MD PresidentPaul Peterson, MD Vice PresidentKC Kaltenborn, MD Past PresidentBenee Braden TreasurerJohn Schwartz, MD SecretaryBrian Green, PhD ex Offi cio

2011 STAFF

Charlene Spadafore Vassar Executive DirectorJane Dial Operations ManagerMindy Frazee Patient Care CoordinatorAlicia Hernandez Eligibility SpecialistShabree Miller Patient Services AssistantKristi Holta Development Offi cer

2011 GENERAL MEMBERS

Deirdre Cronin Covenant HouseBrad Cruz, MDLee Ann Eissler, ANPDon GomesCarolyn Heyman-Layne Sedor, Wendlandt, Evans & FilippiTom Hunt, MDJerome List, MDOrion Matthews Design PTFather Scott Medlock St. Patrick ParishTom Nighswander, MDTari O’Connor Clark School Based Health CenterByron Perkins, DOJuliana Shields, MDBob Stewart Davis Wright & Tremaine LLCBarbara Symmes Providence Health & Services AlaskaJennifer Th ompson Th ompson & Co.Art Weiner, PhDNorm Wilder, MDTom Wood, MD

OUR GOALS

i. Improve the health outcomes of the low income uninsured population of Anchorage

ii. Increase the primary care treatment capacity in Anchorage

iii. Increase the ability of physicians and other community partners to volunteer their services eff ectively and effi ciently

iv. Increase collaboration within the Anchorage health care community to meet the needs of the low income uninsured population amongst us

a piece of the health care puzzle

1

PRESIDENT ’S LETTER

Alaska is a place of beauty, inspiration, opportunity, and – for many of us – bounty. But, especially in these hard economic times, it can be unforgiving to those who are struggling. As we do our best to weather the recession, it’s no surprise to see individuals and families tightening their belts. Companies and organizations are scrambling to lower operating costs, while our government looks for new ways to cut spending.

Health care is often one of the fi rst casualties of cost-cutting measures. When money is tight, those in need of medical attention may ignore or delay it. Many companies are reducing or eliminating health benefi ts to save money. Th ere are nearly 50,000 uninsured people in Anchorage alone, and more and more of them are falling through the cracks in our health care system.

Anchorage Project Access (APA) acts as a safety net for many of these people. Volunteer health care professionals donate millions of dollars in services to help

fi ll the needs of patients without health insurance. Since our beginning six years ago, APA has grown to become an important part of the health care landscape in Anchorage. For many, Anchorage Project Access is the piece of the puzzle that completes the “big picture.”

I am very grateful to the over 400 physicians and other health care providers who provide medical care at no charge to the most needy people in our community, contributing to the safety net. Th e program would not exist without the generous donation of these medical services.

Th e success of the program is also due to the hard work of many people, including the APA staff who work hard “to get the right patient to the right doctor.” Board members are actively involved in the program, helping with a broad range of services that include clinical oversight, evaluation, fund raising, fi nancial management, and board development. Other volunteers have provided assistance with tasks ranging from data analysis to offi ce work. We have received fi nancial support from a wide range of funders that include federal, state and local governments, non-profi t groups, and private donors.

It has been an honor for me to serve as board president of an organization that pulls Alaskans together in such a positive way to address the urgent health care needs of our most vulnerable neighbors.

Catherine Schumacher, MDPresident, APA Board of Directors

Completing the big picture


2

BACKGROUND

As the uncertainty of healthcare reform lingers and the economic crisis continues, the need for Anchorage Project Access remains a constant. Employers are attempting to reduce their costs wherever possible by shifting full-time, benefi t-paying jobs into multiple part-time positions that lack benefi ts.¹ As this practice persists, the uninsured continue to use emergency health care departments for non-emergency treatment. Anchorage Project Access (APA) has been coordinating donated health care for the underserved for six years. People who meet the program criteria are off ered this donated health care in a dignifi ed and compassionate manner. APA staff performs all “back offi ce” duties beginning with fi nancial screening, and – once eligible – the patients’ care is managed until they exit the program. Th e APA patient care coordinator works closely with providers on the clinical leadership team and the APA medical director when medical issues arise.

APA requires that all patients have a primary care provider; and if they do not, they are assigned one. Th is step helps ensure that the patient has a medical home to receive appropriate diagnostic tests and specialty referrals if necessary. We anticipate this process will result in improved health habits for our patients in the future. As part of the “responsibility agreement,” patients are encouraged to volunteer 20 hours in the community in whatever capacity they choose.

Anchorage Project Access has an active board of directors as well as several sub-committees that include an executive committee, board development, resource development, clinical leadership team, evaluation, and fi nance.

Eligibility Requirements

• Municipality of Anchorage resident; a limited number of people from outside the Anchorage bowl are served if they are referred by a participating APA provider

• Gross household income of 200% or less of the Federal Poverty Level

• No other form of health insurance including: Medicare, Medicaid, Native, VA, Tri-Care, etc.

• Must have a medical need

¹Healthy Anchorage Indicators, Municipality of Anchorage DHHS.


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EXECUTIVE SUMMARY

Six years ago, Anchorage Project Access (APA) opened its doors and has since become one of the major safety net organizations in Anchorage for our community’s neediest population. APA is proud to be listed among the numerous organizations in Anchorage that are instrumental in meeting the needs of the underserved.

Currently, the strength and endurance of APA lies with the 472 volunteer health care providers who contribute services. During Report Year 2011 (October 1, 2010 – September 30, 2011), the APA staff scheduled over 1,484 appointments on behalf of 778 eligible patients.

A total of 390 new patients were served during Report Year 2011, an increase of 20% from last year. Similarly, the number of eligible patients during the year was 778, an increase of over 28% from last year. Th e sources of our referrals are derived from the following: 41% from the Anchorage Neighborhood Health Center; 12% from Providence Family Medicine Residency; 31% from participating APA specialists; and 16% are “self-referrals.”

Th e 472 health care providers that make up the APA network represent a variety of specialties and disciplines, including 348 physicians; 71 mid-level providers such as nurse practitioners and physician assistants; 34 physical therapists; and 19 ancillary organizations.

Over 64% of APA patients were Caucasian and more women were served than men. A typical patient during Report Year 2011 was over 40 years of age and – while often unemployed – was usually working multiple part-time jobs without health benefi ts.

One thing that has remained a constant since we fi rst opened our doors is the generosity of the APA volunteer network, which donated over $3.6 million in health care services to

APA patients this year. As in past years, many services supplied by APA volunteer providers

were not submitted for documentation, making the actual value of donated care much higher than reported.

Based on internal health and wellness surveys, APA clients reported their “poor physical health days” decreased by 38% after completing the program. Surveys also indicated patient employment status rose after exiting the program, and the number reporting having a primary care home increased by over 20%.


4

"Th ere are no words to express my

gratitude for the services that have

been rendered by the pure kindness

of their hearts. I am forever in debt

to everyone that was connected in

any way to giving me a healthy knee.

My life has been restored as I never

thought it would be. I thank you

all from the bottom of my heart as

I believe every one of you have been

god sent."— D.L., APA Patient

For Report Year 2011 – October 1, 2010 through September 30, 2011 – 390 unique patients were treated by a volunteer health care provider. Additionally, at some point, 778 patients were enrolled and eligible for services during this time period. Th is is an increase of 66 unique patients and 169 enrolled patients from the previous year.

Figure 1 illustrates the demographic characteristics of these 390 new Project Access patients. Gender is divided almost equally between men and women. Many APA patients are unemployed for various reasons; however, over 35% are working full- or part-time without health care benefi ts or are self-employed. Education among patients remains fairly consistent with previous years, with the majority being high school graduates. However, it is interesting to note that almost 42% of APA patients have attended some college or are college graduates – a 6% increase from last year. Th e homeless population continues to be signifi cant, as it is in the entire Anchorage community; while the APA homeless demographic is down approximately 6% from last year, it remains a signifi cant portion of our patient base.

OUR PATIENTS

Gender Count Percentage

Female 219 56.15%

Male 171 43.85%

390 100.00%

Age

1 –19 5 1.28%

20 – 29 41 10.51%

30 – 39 64 16.41%

40 – 49 91 23.33%

50 – 59 143 36.67%

60 – 69 43 11.03%

70 + 3 0.77%

390 100.00%

Education

Less than high school 79 20.26%

High school graduate or GED 149 38.20%

Some college 100 25.64%

College graduate 61 15.64%

Not answered 1 0.26%

390 100.00%

Employment Status

Unemployed 250 64.10%

Employed Part Time 75 19.23%

Employed Full Time 34 8.72%

Self-employed 28 7.18%


390 100.00%

Household Size (Number of People)

1 275 70.51%

2 65 16.67%

3 20 5.13%

4 16 4.10%

5 9 2.31%

6+ 5 1.28%

390 100.00%

Ethnicity

White 250 64.10%

Black /African American 39 10.00%

Hispanic/Latino 37 9.49%

Asian 34 8.72%

Multi-Racial 24 6.15%

Other 5 1.29%


390 100.00%

Marital Status

Single 216 55.38%

Married 76 19.49%

Divorced 64 16.41%

Separated 17 4.36%

Widowed 12 3.08%

Parent – Head of Household 5 1.28%

390 100.00%

Housing

Own 74 18.97%

Rent 184 47.19%

Staying with Family / Non-Family Members 72 18.46%

Community Shelter 7 1.79%

Homeless 39 10.00%

Other 14 3.59%

390 100.00%

Federal Poverty Level

0% – 50% 169 43.33%

51% –100% 106 27.18%

101% –150% 72 18.46%

151% –200% 43 11.03%

390 100.00%

FIGURE 1: Characteristics of New Patients Served by APA.


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OUR GOALS

APA patients complete a health and wellness survey when they are enrolled in the program and again six months after their medical need has been met. Survey respondents are asked to rank their health on a scale from 1 (poor) to 5 (excellent).

Figure 2 demonstrates APA patients who completed the program reported marked improvements to both physical and mental health. Th e number of days reported with

“poor physical health” was reduced by 38%; “poor mental health” days were reduced by 33%, and the number of days they experienced limited activity due to health issues was reduced by 41%

Figure 3 shows that the number of patients who were working after they completed the program went up considerably, suggesting that their improved health status made it easier to fi nd and keep employment; 35% were employed at entrance versus 45% at exit of the program.

Finally, we asked our patients to assess their own work limitations. Figure 4 suggests that the number of APA patients who believed they were “limited a lot” or “limited a little” before entering our program were doing much better after completion, and the number of patients who said they had no work limitations more than doubled.

I. improve the health outcomes of the low income uninsured population of anchorage

0

5

10

15

20■ Entrance (N = 1862)

■ Exit (N = 727)

DaysPoor Physical Health

DaysPoor Mental Health

DaysActivity Limited

17.70

10.9612.13

8.17

13.80

8.14

FIGURE 2: Poor Health Days.

0%

10%

20%

30%

40%

50%■ Entrance (N = 1862)

■ Exit (N = 727)

Employed Unemployed

35.2

44.5

29.0

12.7

FIGURE 3: Employment Status.

0%

10%

20%

30%

40%

50%

60%■ Entrance (N = 1862)

■ Exit (N = 727)

Limited a Lot Limited a Little Not Limited

49.7

37.432.1

24.9

18.2

37.8

FIGURE 4: Work Limitations.


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“I am daily inspired by and proud of the willingness of so many health professionals to donate their services to their neighbors in need.”

— John Schwartz, MD

OUR GOALS

Once a client is fi nancially eligible for enrollment in the program, APA requires they have a primary care home; and if they do not, they will be assigned one. Th is process ensures continuity of care and allows our patients to establish an ongoing relationship with their health care provider. As the emergency department has historically been the primary care home for many Project Access patients, establishing a relationship with a provider is a new lifestyle that must be learned. Th is practice creates good health habits, leading to improved overall health in the future. As shown in Figure 5, the latest APA program exit surveys indicated:

• 75% of APA patients had a primary care home vs. 55% at entrance to the program.

• 96% of APA patients planned to remain with their primary care provider vs. 87% at entrance to the program.

Historically, radiology is the specialty that generates the greatest number of appointments. Th is remains the case for Report Year 2011, with 290 radiology appointments made on behalf of APA patients (as shown in Figure 6). A treatment may include multiple appointments or procedures on behalf of the patient. For example, a patient may begin with a consultation, followed by an X-ray or lab tests, and ending with physical therapy.

During Report Year 2011, APA staff scheduled 1,484 appointments on behalf of 778 eligible patients.

II. increase the primary care treatment capacity in anchorage

0%

20%

40%

60%

80%

100%■ Entrance (N = 1862)

■ Exit (N = 727)

Primary Care Home Intend to Remain

55.4

74.6

86.995.8

FIGURE 5: Primary Care Home and Intention to Remain.

Specialty NewEnrollments

Re-Enrollments

TotalEnrollments

Allergy/Immunology 0 1 1

Anesthesiology 30 108 138

Audiology 1 2 3

Cardiology 12 28 40

Dermatology 2 4 6

Endocrinology 0 6 6

Family Medicine 37 65 102

Gastroenterology 32 68 100

Hematology/Oncology 1 11 12

Hospital Services 31 110 141

Infectious Disease 0 1 1

Internal Medicine/General 0 2 2

Nephrology 2 3 5

Neurology 3 4 7

Obstetrics/Gynecology 8 34 42

Ophthalmology 0 14 14

Otolaryngology 4 12 16

Pathology 21 85 106

Physical Medicine/Rehab 1 4 5

Physical Therapy 6 19 25

Podiatry 3 5 8

Pulmonary Disease 1 5 6

Radiation Oncology 0 1 1

Radiology 128 162 290

Sleep Disorders 12 13 25

Support Services 2 6 8

Surgery - Breast 0 1 1

Surgery - General 3 17 20

Surgery - Orthopedic 17 44 61

Surgery - Thoracic 0 2 2

Urology 1 12 13

TOTALS 358 849 1,207

FIGURE 6: Number of Appointments by Specialty.


7

OUR GOALS

Currently, 472 health care providers participate in the APA volunteer network compared to 459 last year. Figure 7 represents our volunteer network listed by specialty. However, we continue to see unmet needs in many areas and look forward to continuing to increase our numbers.

If you would like to join the Anchorage Project Access volunteer network, please contact the executive director at (907) 339-8779. Your level of participation is entirely at your discretion and any assistance you can provide is very much appreciated.

III. increase the ability of physicians and other community partners to volunteer their services

effectively and efficientlySpecialty # of Providers

Allergy/Immunology 4

Anesthesiology 12

Audiology 1

Cardiology 31

Dermatology 7

Endocrinology 4

Family Medicine 20

Gastroenterology 13

Hematology/Oncology 17

Infectious Disease 4

Internal Medicine/General 11

Mental Health Svs Limited 2

Nephrology 8

Neurology 6

Neurosurgery 2

Nutrition 1

Obstetrics/Gynecology 51

Occupational Therapy 4

Ophthalmology 5

Optometry 3

Otolaryngology 7

Pain Management 5

Pathology 8

Specialty # of Providers

Pediatric Ophthalmology 1

Pediatrics 18

Physical Medicine/Rehab 5

Physical Therapy 35

Podiatry 8

Pulmonary Disease 3

Radiation Oncology 2

Radiology 19

Rheumatology 2

Sleep Disorders 3

Support Services 11

Surgery-Bariatric 0

Surgery – Breast 2

Surgery – Cardio 4

Surgery – General 12

Surgery - Orthopedic 42

Surgery - Plastic 1

Surgery – Thoracic 2

Urology 8

Collaborating Providers:

AFMR 50

ANHC 18

TOTAL 472

FIGURE 7: Anchorage Project Access Providers by Specialty.


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OUR GOALS

REVOLUTIONS

February 5, 2011 marked Anchorage Project Access’ second annual fund raising event – Revolutions: Spinning for Health Care – at the Anchorage 5th Avenue Mall. It was another huge success as the medical and business communities joined forces to raise over $53,000 for their neighbors most in need. Eleven teams participated for a grand total of 55 riders.

IV. increase collaboration within the anchorage health care community to meet the needs of the

low income uninsured population amongst us

Dental

Anchorage Project Access has been working as part of the Dental Care Access Project collaborative to provide dental services to uninsured individuals in shelters or in unstable housing circumstances. Case managers refer individuals to the Anchorage Neighborhood Health Center Dental Clinic (ANHC) where they receive screening, X-rays, and a preliminary treatment plan. Clients are then referred to the Anchorage Dental Society to be matched with a volunteer dentist who provides treatment.

Transition work underway: Representatives from APA and ANHC are working to incorporate dental care data into APA’s existing database. Th e goal for this transition is towards the end of 2012.

Challenges: Funding to cover the cost of dentures and dental lab fees and the unavailability of oral surgeons.

To date: 35 patients have been served by this pilot program and 19 have been referred to other programs.


9

OUR GOALS

School Based Health Center

APA continues its partnership with the Clark School Based Health Center (SBHC) to assist with volunteer recruitment and provider relations, and to make sure uninsured children seen at the health center will be able to receive needed prescription medications or specialty care. Additionally, APA recently began advising the health center in its resource development eff orts. Th e Clark SBHC off ers sports physicals, limited acute care services, and immunizations to Clark Middle School students at school (currently two mornings per week).

By making medical services more accessible to students in a SBHC, we expect to increase students’ health care access, improve their health, increase their participation in school activities, improve their attendance, and reduce inappropriate use of the emergency room. In the long term, we expect that improved health, attendance, and participation in school will lead to improved academic outcomes such as higher test scores and school completion.

While there are almost 2000 School Based Health Centers nationwide, this is the fi rst program of its kind in Anchorage.

Accomplishments during 2011 included:• Completion of our pilot program in June 2011.• Completion of our fi rst formal program evaluation

in November 2011.• Approval by the Anchorage School Board to

continue operation past the pilot phase.• Completion of a fi nancial sustainability plan in

August 2011.• Implementation of patient billing (using a generous

sliding fee scale) in August 2011.• Services provided: 453 patient visits during school

year 2010–11.

Th e Clark SBHC plans to hire a mid-level provider to expand hours as soon as funding is available; in the meantime, health care is provided entirely by volunteers.

Many, many thanks to the volunteer health care providers who contributed services in 2011:

Th e Alaska Family Medicine Residency, especially Robert McAlister, MD; Jon Lyon, MD; Andrea Bateman, MD; Mary Blenkush, MD; the many community outreach volunteers who together contributed over 451 hours during 2011; and our evaluation team at the UAA Department of Health Sciences – Gabriel Garcia, PhD and Margaret Nye. We also thank our generous funders at Providence Health and Services Alaska, the Rasmuson Foundation, First National Bank Alaska, and the American Academy of Pediatrics, Community Access to Children’s Health (via Dr. Jon Lyon).

"With the support, dedication and encouragement of the APA providers,

I got better and have been getting better ever since. But, more than anything, I lived to see the birth of my two grandsons and there is nothing in the world that can top that. Th ere is no way I can repay

Anchorage Project Access other than spread the word about the way they helped me and what they did for me.

I will always be eternally grateful."— T.B., APA Patient


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CONCLUSION

Bringing the Pieces Together

Anchorage Project Access is one of many safety net organizations in Anchorage. We coordinate donated medical services for the most fi nancially underserved who, for a variety of reasons, cannot obtain health care in any other manner. During Report Year 2011, it was encouraging to note APA patients reported their “poor physical health days” decreased after receiving APA services; employment status rose, and the number reporting having a primary care home increased after exiting the program.

Th e demographic characteristics of the new patients reported in this report are almost equally divided between men and women. However, while education remains fairly consistent with previous years (with the majority being high school graduates), the number of college graduates and those attending college was a signifi cant 42% – an increase of 6% from last year. Conversely, the APA homeless population decreased in numbers by approximately 6% from last year.

Th e ongoing strength and endurance of Anchorage Project Access lies within its volunteer network. Currently, 472 health care providers generously donate their time and talents in serving their neighbors most in need. For Report Year 2011, over $3.6 million was documented. As noted, many services provided may not have been submitted for documentation; therefore, the actual amount of donated care is much higher than reported.

Th e generosity of the Anchorage community is also represented by the numerous people who have volunteered their services as board members, committee members, and offi ce support staff . We thank all of you who have contributed to the success of the Project.

“Anchorage Neighborhood Health Center

(ANHC) relies on Anchorage Project

Access to provide quality care for our

patients who are uninsured and unable

to pay. Having access to specialty care is

critical for patients who need a higher

level of care. ANHC would like to thank

the network of volunteer physicians and

providers who make this service possible.”

— Joan Fisher, ANHC Strategic

Initiatives Director


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FINANCIALS

VALUE OF DONATED CARE

Data for this report is derived from various billing sources for the period October 1, 2010 – September 30, 2011.

Th e value of donated care is derived through the “billing forms” submitted by APA providers to Meritain Health for documentation.

Data for Report Year 2011 is based on actual data from Meritain Health and from the hospitals. As in past years, many services provided by APA providers were not submitted to Meritain Health for documentation; therefore, the actual amount of donated care could be a great deal higher than reported.

APA Value of Donated Care

October 2010 – September 2011

Reported

Health Care Providers $ 1,528,356

Hospitals 2,167,432

TOTAL DONATED CARE $ 3,695,788

FIGURE 9: APA 2011 Value of Donated Care.

FIGURE 8: APA 2011 Revenue & Expenses.

PatientServices

27.3%

ProgramServices

21.9%

Travel1.2%

Equipment& Supplies

3.7%ProfessionalServices

4.6%

Facilities6.6%

Marketing &Recruitment

7.8%

PatientBenefits

13.9%

Administration

& Overhead13.0%

EXPENSES

Providence37.7%

State of

Alaska31.4%

FundraisingEvent6.7%

Rasmuson

Foundation6.3%

Alaska Mental

Health Trust6.3%

Corporate

Donations3.7%

United Way3.1%

Municipality

of Anchorage2.5% Individual

Donations2.3%

REVENUE


12

FINANCIALS

OVERALL VALUE OF PROGRAM

Project Access fi nancials do not demonstrate additional cost savings that might include: reduced emergency room visits; hospital admissions; increased worker productivity; and decreased morbidity and mortality, resulting in lower health costs.

Many intangible benefi ts are also not considered, such as our patients’ improved quality of life. Additionally, because we off er a more organized and dignifi ed method of delivering donated health care, APA patients and providers experience greater satisfaction in the overall system.

APA continues to work in an extremely effi cient manner. During Report Year 2011, the ratio of donated care to program costs was 7:1 – for every dollar spent to operate the project, $7 was donated in medical care.

Since the onset of Anchorage Project Access six years ago, the total value of donated care is an outstanding $17,331,466.

APA Annual Report Financial Summary

October 2010 – September 2011

Revenue

Providence $ 300,000

State of Alaska 250,000

Fundraising Event 53,552

Rasmuson Foundation 50,000

Alaska Mental Health Trust 50,000

Corporate Donations 29,306

United Way 25,000

Municipality of Anchorage 20,000

Individual Donations 18,424

TOTAL REVENUE $ 796,282

Expenses

Personnel

Patient Services $ 147,306

Program Services 117,916

Total Personnel $ 265,222

Administration & Overhead 70,355

Patient Benefi ts 74,740

Marketing & Recruitment 42,377

Facilities 35,699

Professional Services 24,646

Equipment & Supplies 20,007

Travel 6,440

TOTAL EXPENSES $ 539,486

Change in net assets $ 256,796

FIGURE 10: APA 2011 Financial Summary.

$0

$5 M

$10 M

$15 M

$20 M

2011 6-Year Total

■ Total Donated Care ■ Program Costs

$3,695,788 $539,486

$17,331,466

$2,358,062

FIGURE 11: Comparison of Donated Care to Program Costs.

"Anchorage Project Access and their

partnership with the medical community

in Anchorage is helping people get the

help they need that they would otherwise

not be able to fi nd. I am living proof

that this program saves lives, and helps

people become active members in the

community."— L.B., APA Patient


13

HEALTH CARE PROVIDERS

Peter Adams, MDJanet Alexander, MDSaket Ambasht, MDAnkie Amos-Dyke, MDJeanne Anderson, MDRichard Anschuetz, MDMichael Armstrong, MDRobert Arnold, MDErin Arthur, MDRobert Artwohl, MDJoy Backstrum, PTDavid Baines, MDHeidi Baines, MDBeth Baker, MDStephen Baker, MDKrzysztof Balaban, MDMargaret Barnett, ANPAndrea Bateman, MDDennis Beckworth, MDBrion Beerle, MDOwen Bell, MDWill Bemben, MDLuci Bennett, PTWilliam Berry, OTSusan Bertrand, MDRoger Biehl, MDRussell Biggs, MDMario Binder, MDLaurie Bleicher, MDMary Blenkush, MDJanet Bloch, ANPJames Blom, MDAnne Blount, PTKarl Boesenberg, DPMRonald Boisen, MDDavid Bomalaski, MDJeanne Bonar, MDLori Bond, ANPCindy Bonney, NPEmily Bos, DOGary Boss, RDMCortney Boulton, MDWilliam Boylston, MDEls Brady, PTKarin Braun, ANPMary Brieske, MDPatrick Briggs, DPMAaron Brown, MDChristina Brown, DORuth Brown, PACKeith Brownsberger, MDLeslie Bryant, MDRenee Buchta, RNDaniel Buffi ngton, MDRobert Bundtzen, MDLeo Bustad, MDCatherine Butler, ANPJodyne Butto, MDConstance Campbell, MDJill Campbell, MDCaroline Campese, ANPColleen Carey, ANPRachael Carricaburu, PAAlisa Carroll, PTTonya Caylor, MDBruce Chandler, MD

Leon Chandler, MDEugene Chang, MDHolly Chapman, MDSam Chelmo, MDAlexander Cheng, MDDonna Chester, MDGary Child, DOEllen Chirichella, MDRonald Christensen, MD

Val Christensen, MDRichard Chung, MDWilliam Chythlook, MDMegan Clancy, MDChristine Clark, MDJohn Clark, MDRebecca Clark, MDBruck Clift, MDHeather Colberg, PTSherlye Combs, ANPSteven Compton, MDBeth Conklin, ANPMatthew Corbett, MDDavid Cosgrave, LACWynd Counts, MDJonathan Coyle, MDPaul Craig, PhDLaura Croix, PTElizabeth Crow, MDBradley Cruz, MDWendy Cruz, MDWilliam Curtis, MDMichael Cusack, MDLeslie Dean, MDGeorgia DeKeyser, ANPJohn DeKeyser, MDSusan Delgalvis, MDJeff rey DeMain, MDDonna DeMarco, AASMary DeMers, DOBarbara Doty, MDMary Downs, MDWayne Downs, MDMichelle Drake, DPTJeanna Duryee, DPTChristopher Dyke, MDHarold Egbert, PTPeter Ehrnstrom, MDLee Ann Eissler, ANPTeryl Elam, MDFranklin Ellenson, MDDwight Ellerbe, MDStefano Emili, MDPam Engle, PA

John Erkmann, MDChristine Ersland, PNPBoyd Esplin, PTJames Eule, MDJeff Evans, PTDenise Farleigh, MDRichard Farleigh, MDCathy Feaster, NPLouann Feldmann, MDSusan Fenn, DPMPaul Ferucci, MDJohn Finley, MDMark Flanum, MDSteve Floerchinger, MDJayne Fortson, MDPaul Forward, MDSteven Foy, CPOShirley Fraser, MDSandra Frenier, ANPDebra Freudenthal, RNKaren Friedl, ANPJohn Frost, MDKendra Galiano, PALisbeth Gallagher, MDRichard Garner, MDPamela George, ANPGregory Gerboth, MDBradford Gessner, MDMichel Gevaert, MDAllison Gibbs, MDRobert Gieringer, MDJeremy Gitomer, MDLeslie Glasgow, MDMikhail Glasionov, MDLinda Glick, OTAndre Godet, MDCathy Gohring, MDCasey Gokey, MDLaura Gore, CDMRoland Gower, MDLisa Gray, DOJyll Green, ANPLouis Greene, PTCarol Grobner, DORobert Gudor, MDMatthew Guess, MDShawn Hadley, MDDouglas Haghighi, MDJohn Hall, MDRobert Hall, MDJohn Halligan, MDKaren Hansen, PTDonna Hanson, PAHedric Hanson, MDJulia Havlovic, MDHannah Hawkins, MDSusan Hayner, MDCalvin Heald, PADuane Healo, PACCarol Hebert, ANPMatt Heilala, DPMThomas Hepler, MDCharles Herndon, MDPhilip Hess, MDColin Hickenlooper, PACDebbie Hill, PTA

Mo Hillstrand, ANPCraig Hinkle, MDJulee Holayter, MDJolin Honas, ANPJoanie Hope, MDLynn Hornbein, MDTonja Hotrum, PAPeter Hulman, MDThomas Hunt, MDKathy Hurlburt, MDHeidi Hurliman, ANPStephan Hyams, DOChakri Inampudi, MDSteve Ingle, MDMegan Ingler, PALinda Ireland, DOKevin Isakson, MDDonald Ives, MDBennett Jackson, ANPLisa Jackson, ANPMichael James, MDKamran Janjua, MDStephen Jansen, MDJennifer Jansma, DPMSteven Jayich, MDLoren Jensen, MDPaul Jensen, MDJill Johnson, PALisa Johnson, MDMargaret Johnson, ANPStaci Johnson, ANPHarold Johnston, MDLaura Jones, MDMichael Jones, MDStephen Jones, MDIrene Jordet, PTCamilla Juhl-Petersen, MDJames Kallman, MDKC Kaltenborn, MDJanel Kam-Magruder, MDTimothy Kavanaugh, MDAlec Kay, PTJean Keckhut, OTJennifer Kelly, DPTHallie Kerins, MDJared Kern, DPMPhyllis Kiehl, MDCatherine Kilby, MDDeborah Kiley, ANPEui Kim, MDKathryn Kingsley, MDKim Kinnebrew, PACTanya Kirk, ANPGreg Kisling, DOSusan Klimow, MDJennifer Kluever, OTKatherine Kolb, MDMarc Kornmesser, MDChristopher Kottra, MDJanice Koval, MDKevin Kozicz, MDThomas Kramer, MDSeth Krauss, MDKimberly Kubick, FNPWilliam Kutchera, MDAlberta Laktonen, MD


14

HEALTH CARE PROVIDERS

Susan Lamb, ANPElizabeth Lane, ODMario Lanza, MDJohn Lapkass, MDCarol LaRose, DPMJeff rey Lawrence, MDYasmin Lechtenberg, MSPLoretta Lee, MDErin Lester, MDMark Levandovsky, MDLarry Levine, MDLester Lewis, MDScott Limstrom, MDMatthew Lindemann, MDLeslie Linden, MDJerome List, MDSteven Liu, MDNell Loftin, MDMark Logan, PACJohn Love, PACRebecca Love, MSWilliam Lucht, MDJon Lyon, MDAndrzej Maciejewski, MDLeslie Maerki, PACRebecca Makar, ODShannon Malanaphy, FNPCreed Mamikunian, MDChris Manion, MDCharles Manwiller, MDPeter Marbarger, MDConnie Markis, RNDorothy Martin, PTMarek Martynowicz, MDAdam Mason, MDBret Mason, DOErik Maurer, MDWilliam Mayer, MDRobert McAlister, MDDaryl McClendon, MDJulie McCormick, MDWilliam McCray Jr, MDKaren McCreary, MDKathy McCue, MDPatricia McDonald, ANPRichard McEvoy, MDMegan McFadden, ANPDavid McGuire, MDJennifer McKinnon, ANPAdam McMahan, MDMichael McNamara, MDThomas Mego, MDEric Meier, MDSteven Menaker, MDLeeanne Mercier, ANPRhene Merkouris, MDKellan Miller, MD

Rick Miller, PACTim Miller, DODavid Mills, MDTriin Minton, MDGregory Misbach, MDCarol Mitchell-Springer, MDDavid Moeller, MDKenneth Moll, MDBenjamin Montgomery, MDJeff rey Moore, MDAndrew Moran, MDRobert Moreland, MDElizabeth Morgan, MDKenneth Morhain, MDMark Moronell, MDSusan Morrow, ANPCurtis Mortenson, MDMichael Mraz, MDJohn Mues, MDLisbeth Muff oletto, MDColleen Murphy, MDKristin Murray, MDAnne Musser, DOJennifer Nance, PATeresa Neeno, MDErin Newton, PTDeclan Nolan, MDPatrick Nolan, DODaniel Norman, PTBarbara Norton, NPBarbara Novotny, MDMichele O’Fallon, MDGinnie Oliver, PTJames O’Malley, MDMargretta O’Reilly, MDJulie Osgood, PTPeter Osterbauer, MDKathryn Ostrom, MDMaury Oswald, DODavid Peach, MDWilliam Pease, MDJeff rey Penman, MDByron Perkins, DOKenneth Pervier, MDRichard Peters, MDDavis Peterson, MDPaul Peterson, MDJanett Phelps, DOPaula Phillips, MSKatie Piraino, PTDennis Poirier, PTJohn Polonowki, PTAnita Powell, NPElisha Powell, MDDoug Prevost, MDJoseph Prows, MDJennifer Pulliam, MDMax Rabinowitz, MDLaurel Racenet, ANPWilliam Ragle, MDMelinda Rathkopf, MDPaul Raymond, MDMichael Reed, DPMGeorge Rhyneer, MDMark Richey, MDJohn Riley, PA

Megan Ritter, MDSarah Roberts, MDGrant Roderer, MDAnnette Rohde, PTBret Rosane, MDMary Ross, NPTiff any Rostant, PACMichelle Rothoff , MDErin Royal, MDJeff Russell, PACRegina Russell, ANPAdrian Ryan, MDCharles Ryan, MDGeronimo Sahagun, MDHope Salvador, PASusan Sanders, ANPMarilyn Sandford, MDNatalia Saprykina, MDKristofor Sargent, MDStephen Schaff er, MDPaul Schlaich, PACCatherine Schumacher, MDGregory Schumacher, MDJohn Schwartz, MDMurray Schwartz, MDBrian Scully, MDJack Sedwick, MDJoseph Seelig, MDMark Selland, MDThomas Senter, MDJacquelyn Serrano, MDBillie Severin, PACCharles Shannon, MDJennifer Shea, ANPLinda Sheppard, PTJuliana Shields, MDLeonard Sisk, MDLori Sivitz, PTAlan Skolnick, MDBarb Smith, PTSharon Smith, MDDavid Sonneborn, MDAntonia Sparrow, PTUpshur Spencer, MDVerneeda Spencer, MDConrad Spils, MDMarianne Spur, PTJanet Starkey, CNMEric Steenburgh, PTPaul Steer, MDGriffi th Steiner, MDJohn Stella, MDKenton Stephens, MDRae Stevenson, MDCara Stewart, PACMary Stewart, MDLawrence Stinson Jr, MDTrina Strang, ANPGeorge Stransky, MDGunnar Strobel, MDSharon Sturley, PACLatha Subramanian, MDWil Sundberg, CPOHolly Sunderman, PTDavid Swanson, MDKenneth Swayman, DPM

Jason Sweeney, MDBrian Sweeney Jr, MDBrian Sweeney Sr, MDTarah Sweeney, PTClaribel Tan, MDJ. Ross Tanner, DOJohn Tappel, MDJuliet Tardy, PTKimberly Thomas, MDMichelle Thomas, MDRobert Thomas, PACatherine Thompson, ANPSharon Tobias, MDMichael Todd, MDErik Tompkins, MDTina Tomsen, MDTerri Tope, ANPMary Totten, MDStephen Tower, MDPatricia Townsend, ANPMarci Troxel, MDSteven Tucker, MDChristina Tuomi, DOWesley Turner, MDMichael Valantas, DOPedro Valdes, MDRandy Van Antwerp, MDThomas Vasileff , MDDoug Vermillion, MDVicki Vermillion, ANPEdward Voke, MDMarianne Von Hippel, MDLisa Vukalcic, MDBeth Wagner, DODeborah Warner, MDStanley Watkins, MDDale Webb, MDKelly Weiss, FNPJames Welker, PACSue Wells, ANPLeah Werner, MDBenjamin Westley, MDJudith Whitcomb, MDJan Whitefi eld, MDMarc Whitman, PTJane Wiggins, MDRadine Williams-Boss, RDMChristopher Wilson, PTBryan Winn, MDJohn Wise, MPTDavid Wonchala, PACJeremy Wood, MDLawrence Wood, MDThomas Wood, MDThad Woodard, MDKim Wright, MDDavid Wrigley, MDJoy Wu, DOThomas Yeager, MDJoanne Young, PTLynne Young, ATCVictoria Yu, ODGregg Zaporzan, PACJaime Zipsir, PACZach Zipsir, PADavid Zumbro, MD


15

MEDICAL FACILITIES

A Joint Eff ort Physical TherapyA. A. Pain ClinicAccess AlaskaAccurate Hearing SystemsACENTAdvanced ENTAdvanced Medical Centers of AlaskaAdvanced Sonograms of Alaska, Inc.Aesthetica Medical SpaAlaska Breast Care and Surgery, LLCAlaska Cardio-Thoracic SurgeryAlaska Center for DermatologyAlaska Center for PediatricsAlaska Children’s Heart Center, LLCAlaska Digestive & Liver DiseaseAlaska Digestive CenterAlaska Ear Nose & ThroatAlaska Emergency Medicine AssociatesAlaska Family Care AssociatesAlaska Family Medicine ResidencyAlaska Family Sonograms, Inc.Alaska Foot & Ankle SpecialistsAlaska Hand Rehabilitation, Inc.Alaska Hand-Elbow-Shoulder Surgical SpecialistsAlaska Health Care ClinicAlaska Heart InstituteAlaska Heart Institute-Echo DepartmentAlaska Imaging AssociatesAlaska Innovative ImagingAlaska Integrative MedicineAlaska Internal Medicine & PediatricsAlaska Kidney & Diabetes AssociatesAlaska Kidney ConsultantsAlaska Neurology Center, LLCAlaska Neuroscience AssociatesAlaska Oncology and Hematology, LLCAlaska Open Imaging CenterAlaska Orthopedic SpecialistsAlaska Physical Therapy SpecialistsAlaska Radiology AssociatesAlaska Regional HospitalAlaska Regional Hospital ImagingAlaska Rehabilitation MedicineAlaska Retinal ConsultantsAlaska Spine Institute

Alaska Surgery CenterAlaska Women’s Advanced Pelvic Surgery & UrogynecologyAlaska Women’s Health ServicesAlchemy Orthotics & ProstheticsAllergy Asthma & Immunology Center of AlaskaAlliance Foot & AnkleAlpine Anesthesia, LLCAlpine UrologyAlyeska Center for Facial Plastic SurgeryAlyeska Family Medicine, Inc.American Hyperbaric CenterAnchorage Associates in Radiation MedicineAnchorage Fracture & Orthopedic ClinicAnchorage Medical & Surgical ClinicAnchorage Neighborhood Health CenterAnchorage Oncology CentreAnchorage Pediatric GroupAnchorage Radiation Therapy CenterAnchorage Women’s ClinicAurora ENTAurora Kidney, LLCBioMetCaring For Women PCCaris DiagnosticsChinook Surgical GroupChugach AnesthesiologyChugach Physical TherapyComfort KeepersCornerstone Clinic, Medical & Counseling CenterCreekside Surgery CenterDenali Anesthesia PCDenali Cardiac & Thoracic Surgical GroupDenali Ob-Gyn ClinicDermatology and Dermatopathology of AlaskaDiabetes and Lipid Clinic of AlaskaDiagnostic Health, AnchorageDiagnostic ImagingDiagnostic RadiologyDimond Medical ClinicEast Side Physical Therapy, LLCFamily Health & WellnessFamily Practice AssociatesFrontier CardiovascularFull Spectrum PediatricsGeneva Woods Pharmacy

Great Land Infusion PharmacyIndependence Park Medical Services, Inc.Integrative Physical Therapy & Spine TreatmentInternal Medicine AssociatesKatmai Oncology GroupKidney Hypertension Clinic of AlaskaLabCorpLake Otis Medical ClinicLaser Vein Center of AnchorageLaTouche Pediatrics, LLCLung & Sleep Clinic of Alaska, Inc.Makar Eye CareMEDAK, Inc.Midwifery & Women’s Health Care at Geneva WoodsMy Health Clinic, LLCNeurological Consultants of Alaska, LLCNorthern OrthopedicsNorthwest Medical HomecareOphthalmic AssociatesOrthopaedic Research Clinic of AlaskaOrthopedic Physicians of AnchoragePathology AssociatesPatients First Medical ClinicPioneer GI Clinic, APCPolar Bear Shoulder CarePrecision Eye CareProvidence Alaska Medical CenterProvidence Alaska Medical Center PathologyProvidence Alaska Medical Center Radiation OncologyProvidence Alaska Medical Center RadiologyProvidence Alaska Medical Center Sleep Disorder CenterProvidence Imaging CenterProvidence Outpatient TherapiesProvidence Senior Care CenterPulmonary AssociatesQuest DiagnosticsRebound Sports & Orthopedic Physical TherapyRhyneer ClinicSleep Centers of AlaskaSummit Family PracticeThe Physical Therapy PlaceUnited Physical TherapyWise Physical TherapyWomen’s Care of AlaskaWomen’s Healthcare Center, LLC


16

AA Pain Clinic, Inc.Daniel & Laura Abts, MDRuth AdlerAlaska Community ShareAlaska Dept. of Health & Human ServicesAlaska Emergency Medicine AssociatesAlaska Foot and Ankle SpecialistsAlaska Mental Health Trust AuthorityAlaska Radiology AssociatesAlaska Regional HospitalAlaska Sales and ServiceAlaska USA Federal Credit UnionAlaska Urological InstituteAlpine UrologyAnonymousAnchorage Women’s ClubJeff & Betty Jo AndersonAssured Home InspectionsKenneth AtkinsonHeidi BainesEvelyn BallDonna Barrington, MDKathleen BarrowsAlex Baskous, MDOwen R. Bell, MDRichard Benjamin, Sr.Bernie’s Pharmacy, Inc.Kathie BethardKelly BlumerLinda BoocheverAlex BortnickBenee BradenJohn BradenDaniel Buffi ngton, MDElizabeth BurkeMary BurriGeri ByarsBarbara CaldwellJames CantorEva Carey, MD & Ron DaileyDelilah CarlosMark & Tonya Caylor, MDRobert ChampionChristine ChandlerLorraine CharvetSam Chelmo, MDAnson Cheng, MDChris Cliff ordAntoinette CollinsCarol ComeauConocoPhillips Alaska, Inc.Robin Cooke, MDCatherine Coward, MDBlanche CrandallKristine CrossenBradley Cruz, MDTheresa CulkanodiRobin DernJane & Clay DialRobert & Jane DicksonDimond Chiropractic CenterDaron Dykema, MDLaura & Ross EmersonPamela Engle, PAJeff Evans, PT

Lisa FarberRichard Farleigh, MDBonnie FieldsFirst Choice HealthFirst National Bank AlaskaJoan FisherSharon FleckAndrea FlynnFrawner CorporationBruce & Sharon GagnonDon GomesCheryl GonzalesMary GooceyGottstein Family FoundationSamuel GottsteinMarin Granholm, MDElvi Gray-JacksonBrian & Karolyn Sue GreenLB Gregory & Dr. Griff SteinerAnthony GregstonJane & John Hall, MDKara HannAngela HarrisCarolyn Heyman-Layne & James LayneDuane & Carol HeymanKristi & Eric HoltaLorrie & Morris Horning, MDTom Hunt, MD & Sharon Smith, MDLisa JacksonRamona JaimeRoland JaimeViveca JohnsonJoe JosephsonMarc JuneKC Kaltenborn, MDDavid KohlerJean KrupaGeorge & Sheri KulhanekVara Kay LahdenperaPhyllis KiehlAnne Lanier, MDMary LashinskiJeff LeonardLaura Levoy, MDSusan LevyJerome List, MDAlan LokenBarbro & Jon Lyon, MDMatthew Madden, MDDuane MagoonHeidi MannionFran & Peter Marbarger, MDConstance MarkisBonnie & Paul MarmoraSharon MartensMat-Su Health FoundationMary MatekovichVirginia McKinneyJoana & Steven Menaker, MDPeter & Jo MichalskiBen & Triin Minton, MDAnne Morris, MDCurtis Mortenson, MDCorbett MotheMichael Mraz, MD

Municipality of Anchorage, ML&PMunicipality of AnchorageAnne Musser, DOJoel NiemeyerTeresa O’ConnorJacqueline O’NeillSharon OrrKerry & Connie OzerPatrice ParkerStephen Parker, MDCliff PennJuna PenneyByron Perkins, DOPaula PerkinsPaul Peterson, MDVicki PowellPremera Blue Cross Blue Shield of AlaskaProvidence Health and Services AlaskaIvan Ramirez, MDRasmuson FoundationAnn Rembert, MD & Daniel Safranek, MDNancy Richmond-BentleyHerb & Donna RossMichelle Rothoff , MDBridget RoughneedHope SalvadorDavid & Cynthia SchraerCatherine Schumacher, MDJohn Schwartz, MDKirk Scofi eld, MDJulia SeymourJuliana Shields, MDMichael SilverbrookShellie SmithCharlene Spadafore VassarJessica SpaydMarge SpilsRobert StewartLawrence Strawbridge, MDState of Alaska, DHSSBarbara SymmesAngela TaplinJohn Tappel, MDJennifer ThompsonGloria TomichJohn Tuckey & Barbara ArmstrongUnited Way of AnchorageAngela VantourBeth & Jeff rey WagnerJason WardKL WedenmeyerLynn WegenerArthur WeinerBruce WelkovichHaim WengerEvelyn WhiteKathy & Norman J. Wilder, MDGina Wilson-Ramirez, MDWin for Alaska, Inc.Thomas Wood, MDWendy WoolfSharon Zandman-ZemanBrenda Zemba

PRIVATE DONORS 2011

THANK YOU

The following foundations, businesses and private donors supported us during 2011:

MAJOR DONORS

Alaska Mental Health Trust AuthorityMunicipality of AnchoragePremera Blue Cross Blue Shield AlaskaProvidence Health & Services, AlaskaRasmuson FoundationState of Alaska, DHSSUnited Way of Anchorage

COMMUNITY DONORS

Alaska Regional HospitalAlaska USA Federal Credit UnionFirst National Bank AlaskaLaw Offi ces of Marc JuneMat-Su Health Foundation

A very special thank you to our loyal volunteer Geri Cannon for her many years of service.

COMMUNITY BUSINESS SUPPORT & IN-KIND DONATIONS

Anchorage Neighborhood Health Center PharmacyCarrs/Safeway PharmaciesEye Cue ProductionsKTVA CBS 11Meritain Health Co.Mirror StudiosN W Medical Homecare

2401 East 42nd Avenue, Suite 104Anchorage, Alaska 99508907.339.8746 t 907.339.8710 f

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