2013 Annual Report Our Mission Cornell Scott-Hill Health Center measurably improves the health and well-being of the communities we serve by providing excellent and compassionate care, accessible to all. Our Vision We provide a model of quality and costeffective health care for all that benefits our community. We advocate with others for our model to be an essential component of any effective solution to health care reform for our state and nation. Partnering with our patients, community, allies and staff is vital to the success and expansion of the service, capacity building, and the advocacy results we produce. From the President Forty-five years ago the Cornell Scott-Hill Health Center, or Hill Health Center as it was first known, opened its doors on Columbus Avenue and became a part of the Hill community here in New Haven. From day one, you welcomed us with open arms, inviting us into your lives and your families. You made us feel like we were part of something bigger. And for that we are very grateful. Since then we have grown and expanded, and now serve communities throughout New Haven County. In total, we operate nineteen care sites including school-based health centers and imbedded primary care clinics at community partner sites. And at each one, just as with the Columbus Avenue site, we have been welcomed with open arms. We are welcomed because we bring valuable services to the communities that we join. We provide them with medical, dental and mental healthcare as well as host of specialty services. Additionally, we offer groups and classes covering everything from smoking cessation to art therapy. These are all important resources that the people of these communities may not otherwise have access to if we didn’t exist. In fact, patients often tell me just that. They say, “Where would I go if the health center wasn’t here?” To those who ask, I say, “Do not worry. We are not planning to go anywhere.” And we’re not. We are committed to serving the communities that we already do and hope to continue our path of growth so that we can serve even more people in need. However, we can’t do it alone. Your support is needed. That is why I am asking you to please consider making a donation to the health center. Your money will go toward valuable programs such as our pharmacy fund, which provides financial assistance for individuals who are experiencing difficulty in paying for medications. Donating is easy. You can use the donor page located at the end of this report or visit www.giveGreater. org. So please consider taking some time to donate today. Thank you, in advance, for your support. It is greatly appreciated. Andrea Jackson-Brooks President, Board of Directors Cornell Scott-Hill Health Corporation From the Thank you…that is often the message we receive from you, our patients. In fact, throughout the year, we receive many notes of gratitude from you and other members of our community. Some are thanking us for the services we provide. Some are thanking us for giving them a hand to hold. Some are thanking us for helping them navigate the difficult world of health insurance. And some are just thanking us for providing a smile when they needed it. But now it is our turn. It is our turn to say thank you to you. Thank you for inviting us into your community. We are so very proud to be a part of so many wonderful communities here in New Haven as well as in West Haven, Ansonia and Derby; communities that are rich in history and filled with promise for the future. It is truly an honor to be part of something bigger. Thank you for inviting us into your family. One of my great joys is seeing the generations of families who walk through our doors. Men and women who came here for care when we first opened are now bringing CEO their children, and in some cases their grandchildren, here for care. It is very rewarding to know that we have touched the lives of so many generations. Thank you for inviting us into your life. Healthcare is a very personal thing. There are moments of great personal joy and times of extraordinary worry. Thank you for letting us be there to celebrate with you or to hold your hand when you need it. It is a privilege to be there for you no matter what your circumstances are. We are not just a community health center. You have made us so much more than that. Thank you. Michael Taylor Chief Executive Officer Cornell Scott-Hill Health Corporation Chief Operating Officer: Lou Brady Chief of Strategic Development: Rob Rioux Chief of Human Resources: Andrea Lobo Chief of Behavioral Health Services: Ece Tek, M.D. Chief of Information Technology: Clark Woodruff Interim Chief of Medical Services: Douglas Bruce, M.D. Chief of Dental Services: Felipe Ordoñez, DDS Corporate Compliance Officer: Jan Martin Director of Administrative Services: John Garofalo Director of Finance: Grace Austin Director of Nursing: Elizabeth Carrena General Counsel: Richard Gross Board of Andrea Jackson-Brooks, President Paul A. Kowalski, Vice President Nathan Jones, Second Vice-President Lewis Kaufman, Treasurer Directors: Mabel Carroll, Secretary Erik Clemons, Director Robert A. Cole, Director Orlando Cordero, Director Carleen Elliott, Director Angel Fernández-Chavero, Director Awilda Figuerosa, M.D., Director Natalia S. Treloar, Director Community: it’s not just a group of people living in the same place. It’s a place to belong. A place to thrive and a place to heal. It’s a feeling that you’re not alone. That you’re part of something bigger and that you’re making a real difference. A community is more than just a group of people; it’s family and we’re proud to be part of yours. “Hi, I’m Jillian Skinner, a Senior Dental Assistant/Supervisor here at the Cornell Scott-Hill Health Center’s Columbus Avenue Dental Department. For the past twenty-six years I have been a part of this community, a part of this health center and a part of your family. Each day, I have the privilege of working with you, your family, your friends and all those who seek care with us. As a dental assistant, I am on the front lines, working closely with our dentists and hygienists to help you change your life by changing your smile. There are the things you see me do: taking x-rays of your teeth, assisting the dentists during procedures and sterilizing the instruments. There are the things you don’t see me do: supervising the other assistants, ensuring the proper maintenance and function of the dental equipment and machines, maintaining dental logs and material safety data sheets, ordering supplies and participating in infection control meetings, to name a few. Then there are the things that matter most. My job is about so much more than taking care of your teeth or maintaining our equipment. My job is to hold your hand when you are nervous. My job is to explain things to you when you don’t understand. And my job is to help you see the beauty within yourself. And today, thanks to the health center’s extraordinary growth, I am able to help not only you but so many others. The health center’s dental department has undergone significant expansion in recent years. Now, we are able to see more people and offer more services. That means we are able to have an even greater impact on this community and for that, I am very thankful” “Hi, I’m Zulma Garcia,a Customer Service Representative for the Cornell Scott- Hill Health Center’s Call Center. I joined the health center about eighteen months ago after relocating to New Haven from New York and I couldn’t be happier. That’s because each day I have the opportunity to make a difference in your life, in the lives of everyone we serve. As a Customer Service Representative, my primary responsibility is to answer the phone when you call. But that is not my job is its entirety; it is only the beginning of what I do. Whether you are calling the health center to make an appointment, to get a prescription refilled or to connect with another staff member, my job is to connect with you. That means listening to what you are saying. That means treating you with respect and courtesy. That means helping you in any way that I can. That means exceeding your expectations. That means working with you to resolve any issues. And that means following up with you to make sure that your needs were met. I come to work each day and give 100% because that’s what you deserve, that’s what our community deserves and that’s what our family deserves. And I know it is appreciated. You show your gratitude not only through words of thanks, but by calling and asking to speak with me directly. That’s how I know I have connected with you. That’s how I know I am making a difference in your life.” “Hi, I’m Frujen Bridgewater,a Patient Account Representative here at the Cornell Scott-Hill Health Center. I joined the health center last September, making me one of the newest members of the team, the community and the family. However, I already feel right at home. In my role as a Patient Account Representative, one of my main responsibilities is to make sure that payments are allocated to the proper patient accounts. I also interact directly with patients such as yourself on issues related to co-pays and self-pays. This is an important and rewarding part of what I do. Whether it is answering your questions or helping you understand payment options, I know that I am making a difference; making what can be a very stressful subject easier to understand. I value that opportunity and am thankful to be an integral part of the process. I am also thankful to be a part of this community as well as the larger community of nonprofits. I have worked for nonprofits since 2004 and believe that they play a vital role in society. The health center, for example, provides much needed medical, dental and mental health services to those who may not otherwise have access to or the ability to pay for such care. Getting to be a part of that is something I value greatly. Just as I value you and all those we serve.” “Hi, I’m Heidi Biegel,a Nurse Midwife in the Cornell Scott-Hill Health Center’s Columbus Avenue OB/Gyn Department. I joined the health center in 2009 and quickly realized that I wasn’t just joining the health center. I was joining a community, a family. As a Nurse Midwife, I work directly with women like you who seek care in our department. I provide not only the services you need such as annual exams and prenatal care but I am also here to offer a listening ear and a hand to hold. I understand that your life is complicated and multi-faceted, and your body is a reflection of that. I am here to help you with all of your needs. I want you to know that I am so appreciative of you and all the women who come to us for care, tell us their stories, and allow us to work with them to foster wellness in their lives, their families and their communities. I am inspired by you and others who face significant health challenges with courage, strength and often creativity and humor. And while I am there to help during times of challenge, I am also honored to be there for you during times of happiness. Working with you and your family during your pregnancy is such a joy. It is an honor to be invited into your life at such an important time. One of my greatest sources of pride is our family photo gallery. Located on the wall outside our waiting room, it showcases women like you who successfully attended prenatal care and their postpartum visits and were invited to have a family portrait taken. Just walking by those photos, you can see the vast configurations of love and family that we see in our clinic. I want to thank you and your family for all that you do to contribute to a healthy family and a healthy community. And thank you for letting me be a part of it.” “Hi, I’m Elizabeth Carrena,Director of Nursing for the Cornell Scott-Hill Health Center. I joined the health center eighteen months ago and couldn’t be happier. I finally feel like I’m home. I grew up not far from here in Bridgeport, Connecticut in a neighborhood similar to the Hill neighborhood where our main care site is located. Growing up, I always knew I wanted to be a nurse so I worked hard to gain the education and skills I needed to achieve that dream. Since becoming a nurse, I have worked in a variety of settings, all with one goal in mind: to become the Director of Nursing for a community health center. I wanted and needed to return to my roots. And now I have. As the Director Nursing, I guide clinical practices to ensure that you, our patients, are receiving the highest quality of care. Additional areas of focus for me include regulatory compliance, customer service, mentoring and technology. But this is not about the work I do, it’s about the feeling I get when I am here. I feel like I am a part of your family. The health center is a unique and amazing place. It is a safe haven for you and all those who seek care here. It is a place where true partnerships are formed. It is a place where a real difference is being made. And that is thanks to you. You have helped make us who we are today. You have done this by expressing your needs so that we can best meet them. You have done this by taking an active role in your healthcare and working with us to keep you well. You have done this by welcoming us into this community, into your family. You have truly been the key to our success. So thank you. Thank you for all that you do to make us who we are.” “Hi, I’m Jason Black,and I serve as the Program Director for the health center’s Columbus Avenue, West Haven and Ansonia behavioral health care sites. Seven years ago I joined the health center as a Clinician. Since then, my responsibilities have grown and my position has evolved. However, what’s most important hasn’t changed: Each day I still get to come to work and make a difference in the lives of the people we serve. As a behavioral health provider, I work directly with people in the community; people like you who need someone to talk to, someone to listen and someone to care; people who need a place where they don’t feel judged, a place where they can heal, a place where they can get the tools and skills they need to move forward on their journey successfully. Unfortunately, people who seek behavioral healthcare often face additional challenges such as a lack of resources or cultural stigmas about treatment. Sometimes they are struggling to just survive one more day. It is an honor to work with a team that helps those in need overcome these barriers. I am proud of the quality of care that we provide you and other members of this community. And I feel immensely privileged to work for an organization that not only provides these needed services but does so in a culturally-sensitive and appropriate way. However, the greatest rewards in this work come from our clients themselves. I have learned as much from them as they have from me -- their strength and resilience is a constant source of inspiration. I am inspired to continue helping people by helping ensure that we provide excellent healthcare. To that end, I am excited to be a part of our work to further integrate the health center’s behavioral healthcare with its other services – primary care, wellness and outreach, dental, the list goes on – so that the whole person is treated. After all - we aren’t here to treat diabetes or heart disease, substance abuse or depression – we are here to serve and to treat people, the people of this community, our family. When we all work together we have the greatest impact and achieve the best outcomes.” “Hi, I’m Sharon Tyson, Administrative Assistant for the Cornell Scott-Hill Health Center’s Infectious Diseases Division. I have been with the health center for four years now but am not new to this community, this family. I was raised here in New Haven and have stayed connected to the City throughout my career. In fact, for the past thirty-one years I have worked in and served many of the City’s neighborhoods including the Hill neighborhood. In my role as an Administrative Assistant, I am often your first point of contact. I answer the phone when you call. I take your messages. I assist in helping you schedule your appointments. And I provide you with care coordinating services. But this is more than a job; it’s about being part of a community, part of a family. That is why when you call, I listen. That is why I offer compassion when you need it. And that is why I don’t judge. I am here to help you; to connect you to the services you need and to ensure that you get the care you deserve, in the community where you live. The health center is a tremendous resource for this community. It offers countless programs and services all designed to best meet your needs whatever they may be—medical, dental or behavioral health. But it is so much more than that. It is an integral part of this community, this family, providing people with a place to hope, a place to heal and a place to call home.” “Hi, I’m Rose Swift,Development Director, Grant Programs & Research for the Cornell Scott-Hill Health Center. For the past twenty years I have worked for the health center, helping to bring you the programs and services you need. While my role is largely behind the scenes, I want you to know that I am working hard every day to make a difference in your life. I work closely with people throughout the health center to identify needs in this community, this family, that aren’t being met. Then, I put on my research hat and scour all available resources to find funding to support programs and services that can meet those needs. I come to work every day because I am committed to you, your family, your friends and everyone who walks through our doors. I am committed to bringing you the programs and services that you might not otherwise have access to. When a grant gets funded, I feel like it is Christmas morning because I know that you will now be able to get services that you weren’t able to get before. For example, I can readily recall the joy I felt when we received the public housing primary care grant. This grant allowed us to bring primary care services to you and others that live in public housing, a population we hadn’t been able to reach before. And when we received the Birth to Three grant, well, it is difficult to explain the elation I felt. Thanks to that grant, you and parents just like you, are able to get much needed services for your children right in the community where you live. I don’t work directly with you, our patients, but I know that I am part of your family. I am making a difference in your life and that’s what families do.” “Hi, I’m Amos Lopez,a Customer Service Representative for the Cornell Scott-Hill Health Center’s Call Center. I joined the health center three months ago, but have been a part of this community, this family, my entire life. I was born and raised here in New Haven and have spent most of my life working in the community, giving back in as many ways as I can. For example, I am very involved in my church and do a lot of ministry work throughout New Haven. I believe that the work I do for the health center is an extension of the work I am already doing in the community. It is another way in which I can make a difference. When you call the health center, I am able to help you. I can put you in touch with the right person. I can connect you to a valuable resource. I can answer your questions. Even something as simple as scheduling an appointment for you is rewarding because I know that I am playing a part in positively impacting your health, your life and your family. I am very grateful for the opportunities I have. And I am grateful for you and for everyone who is a part of the Cornell Scott-Hill Health Center family.” 2013 Highlights February – Health center opens primary care clinic at Connecticut Mental Health Center April – Michael Taylor announced as new Chief Executive Officer May – Health center launches innovative healthy lifestyles program with Chapel Haven May – Lou Brady announced as new Chief Operations Officer June – OB family portrait gallery unveiled June – Rob Rioux announced as new Chief of Strategic Development July – The health center welcomes new board members Natalia Treloar, Angel Fernandez-Chavero and Orlando Cordero July – Richard O. Belden Dental Clinic in Derby marks its 5th Anniversary August – Health center receives reaccreditation by The Joint Commission August – Health center opens primary care clinic at Gateway Community College November – Health Center’s Wellness Department featured on News Channel 8 Demographic Profile of Patients 2013 Patient Overview: Users: 36,188 (Number of unduplicated persons who used the Health Center in 2013) Encounters: 234,119 Female................................................................................55% Male.....................................................................................45% Latino..................................................................................35% White...................................................................................32% African American............................................................30% Other/Multicultural.......................................................34% Asian......................................................................................4% Native American............................................................ <1% Selected Illness Indicators Hypertension...............................................6,004 patients Depression....................................................4,010 patients Homeless.......................................................2,244 patients Asthma...........................................................2,614 patients Diabetes.........................................................3,407 patients Alcohol Dependent...................................1,833 patients Drug Dependent........................................3,235 patients HIV infected..................................................... 325 patients Number of Patients by Service Medical.........................................................25,797 patients Substance Abuse ...................................... 3,459 patients Mental Health ............................................ 3,294 patients Other Professional Services ..................... 839 patients Dental ........................................................... 6,876 patients Vision ............................................................ 2,472 patients Enabling Services ..................................... 2,502 patients Utilization Rates: Visit/Type of Patient Substance abuse ........................................................ 17.18 Mental health .............................................................. 15.21 Vision visits per vision patient ..................................1.45 Dental ............................................................................... 2.87 Medical ............................................................................. 3.58 Enabling ............................................................................1.31 Payor Sources Medicaid (including MLIA) .........................................64% Uninsured (Sliding-fee)................................................17% Private Insurance............................................................11% Medicare..............................................................................8% Financial Report for the years ending June 30, 2013 & 2012 Revenue Patient Fees–net Grants Women, Infants and Children Food Benefits Vaccines and Donated Material Contract Revenue Interest and Dividends Miscellaneous Rental Income Total Revenue Expenses Salary and Related Expenses Contracted Services Women, Infants and Children Food Benefits Vaccines and Other Pharmaceuticals Occupancy Pharmaceuticals and Other Supplies Depreciation and Amortization Interest Pension Expense Equipment and Maintenance Expense Professional Expenses Service and Maintenance Agreements Transportation Patient Food and Laundry Communication Payroll Processing Fees and Employee Relations Insurance Advertising and Recruiting Books, Subscriptions and Licenses Office Supplies and Other Total Expenses Surplus (Deficit) Non-operating Income Unrealized gain (loss) on investments Capital grants, net Discontinued operations Total Change in Net Assets 2013 2012 37,237,214 31,185,754 10,815,67011,119,788 1,461,935 777,709 983,499 521,317 50,307 96,926 6,358 6,855 376,771253,855 4,084 49,953 50,935,838 44,012,157 32,402,468 31,723,493 2,918,888 2,805,764 1,461,935 777,709 983,499 521,317 982,226896,326 2,631,800 3,743,192 1,910,858 1,811,047 534,621518,065 522,873 260,639 2,033,973 1,663,255 369,019 382,044 988,055 932,508 107,460259,105 558,384 569,910 362,043412,278 143,013 165,241 288,828270,909 460,324 413,888 127,001 76,969 419,220 406,303 50,206,488 729,350 48,609,962 (4,597,805) 21,338 122,524 (82,781) (4,719) 139,761 - 61,081135,042 790,431 (4,462,763) Interested in helping? The Cornell Scott-Hill Health Corporation is a non-profit organization relying, in part, on the support of others to provide critically needed healthcare services to anyone who walks through our doors. Please consider helping us in our goal to be recognized as the pre-eminent community healthcare provider in the nation. You can make a difference in our community through contributions, bequests or other forms of donation. Examples of how you can help include: • • • Make a Bequest – consult with your attorney and heirs to determine an appropriate gift from your estate. You can also provide guidance on how the bequest is to be used. This is an impactful way to leave a legacy for your family and friends to honor your service to the community. Gift of Value – you may donate something you own, such as a vehicle, stock or other valuable item, which we can then use or invest or sell to benefit our patients. Send a Check – send a check made out to Cornell Scott-Hill Health Corporation to the Chief of Strategic Development, 400 Columbus Avenue, New Haven, CT 06519. Direct your donation toward any of the donation areas or wish list items listed below or to direct your donation in any other way you specify. Donation Areas: Wish List: The Pharmacy Fund – provides financial assistance for individuals who are experiencing difficulty in paying for medications. Cholesterol Testing Machine – $2,500 Help us conduct free screenings at health fairs and at other outreach events. This machine measures a complete lipid profile plus glucose in only 5 minutes using blood from a simple finger-stick. The Patient Care Fund – provides financial assistance for individuals who are experiencing difficulty in paying for medical, dental or behavioral healthcare services. The Insulin Bank – provides financial assistance for individuals who are experiencing difficulty in paying for diabetic supplies and medications. Transportation Services – provides transportation to individuals who are experiencing difficulty in getting to or from their appointments. Village of Power/Growing Through Sewing – provides services to women struggling with substance abuse, homelessness, mental health challenges, or HIV/AIDS. Growing through Sewing is one of the recovery programs offered at the Village of Power. Through the program, women learn skills such as sewing and jewelry making that build their confidence and aid in the recovery process. Passenger Van – $23,000 (*Branding opportunity) Improve our ability to transport the people we serve. We all know transportation is a barrier to care and this van will greatly benefit the people who walk through our doors. Waiting Room Information Center – $2,500 (*Multiple branding opportunities) As people arrive for their appointments, help us reach them with important messaging on healthrelated topics. We also can share critical reminders on how to book an appointment, hours of service, treatment options and other information designed to improve their overall experience. Treatment Room Literature Racks – $15,000 (*Multiple branding opportunities) Help us share important health information with patients and clients. These literature racks are installed in all of our treatment rooms making it easier for our providers to hand brochures directly to the people they serve. Direct all inquiries to the Chief of Strategic Development 400 Columbus Avenue, New Haven, CT 06519. Telephone: (203) 503-3276. Many forms of support are tax-deductible for income tax reporting purposes. Please seek the advice of your tax professional. Use the mailer included to make your donation. Or, direct your donation to: Chief of Strategic Development Cornell Scott-Hill Health Center 400 Columbus Avenue, New Haven, CT 06519 400-428 Columbus Avenue, New Haven, CT 06519 (203) 503-3000 • www.cornellscott.org