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Page 1ANNUAL REPORT
Page 24From Our President and CEO7From Our Board Chair12Covid ConnuesAnnual Events17Special Report: 1971-2021198Caring for All162021 Financials18Thank You!22Family Health Center Beginnings2021 oered a valuable understanding and connecon between present-day challenges and a complex 50-year history. Woven deep within its very existence, the vital community needs that sparked the creaon of FHC required acon, commitment and determinaon. Today, we face this same calling as we take acon during a global pandemic — commied to serving all people within the community and determined to protect our most vulnerable members. Regardless of the call, FHC stands ready to serve in order to ensure the well-being of all people in the greater Kalamazoo community.
Page 3 We actively seek opportunities to improve the services we provide to the most vulnerable in our community. We must meet patients where they are. — FHC Family of Caregivers
Page 4Denise Crawford MSW, MBAMoses L. Walker Building 117 W. Paterson Street Kalamazoo, MI 49007 Alcott Building 505 E. Alcott St. Kalamazoo, MI 49001 Administration 269-349-4257 Fax 269-349-2898 Website www.fhckzoo.com Dearest Community,This past year has found me referencing two of my favorite quotes that I’ve heard regularly over the years from two of my favorite people: my mother, Lillian Baker, has always reminded me that “what doesn’t kill you, makes you stronger,” and my lifelong mentor, coach, advocate and friend, Mr. Moses Walker, used to always tell me “If anyone could do it, we wouldn’t need you!”I have always been comforted by these adages, nding strength and a sense of responsibility when I have met life’s challenges— I am now reecng as FHC turns 50 that these truisms have really become more of a fundamental way of life for us here at FHC. We are strong. And needed. And we keep showing up beer than we knew possible.2021 has certainly presented us with great challenges and some wild uncertainty…but it has also shown us amazing medical breakthroughs and unforeseen resilience as our employees have risen to the occasion at every turn.I am so proud of our team who never failed once to show up to care for over 50,000 acve paents. Our team turned no one away for a vaccine. Our team produced hundreds of pop-up tesng and vaccinaon clinics — somemes seemingly magically —wherever and whenever needed. Our team ensured that our historically underserved and underrepresented rural and urban community members received the care they needed. And our team did all this while also connuing to provide the “regular” full-ser-vice care our community has grown to expect from FHC. On all fronts, our team exceeded all previous volume, access and quality measures and did so during an unprecedented global pandemic!So, as we celebrate FHC turning 50, we are really celebrang our ability to come out the other side “beer.” We can revel in our strength as we have realized how truly vital FHC is to this Kalamazoo community. We are more knowledgeable, more adaptable, and more innovave than ever before.And to you who are reading this, you have been such an important sup-port and partner to our team that needs you now more than ever — thank you! Together, we will keep evolving, expanding and becoming beer.Cheers to another great 50 years!From Our President & CEO 2021 presented us with great challenges but also showed us amazing medical breakthroughs and unforeseen resilience as our employees rose to the occasion at every turn.
Page 5 And to you who are reading this, you have been such an important support and partner to our team that needs you now more than ever — thank you! — Denise Crawford President & CEO
Page 6 Please know that all of us on the Board are working diligently to keep pace with growing demand without sacricing quality or heart. — Sherrie Fuller FHC Board Chair 2021
Page 7From the Board ChairSherrie Fuller MA, LPCPhD Candidate in Educaon Leadership We are so proud to be a part of this amazing organization and to be able to help it continue to grow. Moses L. Walker Building 117 W. Paterson Street Kalamazoo, MI 49007 Alcott Building 505 E. Alcott St. Kalamazoo, MI 49001 Administration 269-349-4257 Fax 269-349-2898 Website www.fhckzoo.com Greengs Dear Community!It has been my immense privilege to serve on the Family Health Center Board of Directors for 9 years now — and I have never expe-rienced a year like this past one! I must tell you that the way Denise Crawford has led this organizaon through some of the most troubling of modern mes is nothing short of outstanding. She and her team have shown immeasurable grace, fortude, resilience, and dedicaon. “Thank you” will never suce for the long hours and extra energy that have been lovingly given this past year. We are, indeed, so fortunate to be a part of this team and family. I speak for the enre Board when I share with you how vital it is that we connue to reinvest in our employees as well as connue to raise the bar for the level of excellent care we provide our paents. Please know that all of us on the Board are working diligently to keep pace with growing demand without sacricing quality or heart. FHC remains at the core of what it means to be a strong and caring community.We connue to innovate and live out the FHC mission daily. Thank you for your unwavering support as we move forward into another 50 years!Yours truly,
Page 8Caring For All Patients are the focus of all we do. We provide quality patient-centered health care to all individuals in our community regardless of their ability to pay. 93,942Paent-centered medical visits to our health centers14,340Dental visits providing cleaning, procedures & educaon29,097Mental Health visits when our community needed us most.22,814PT/OT visits to restore physical agility and exibilityWe began providing health care in 1971 with a group of caring and compassionate providers volunteering their services to make the dream of Family Health Center a reality. Fiy years later, we are sll devoted to meeng the needs of everyone in our community by providing quality, paent-centered care to all, regardless of their ability to pay. From the CEO to the custodians, we are ALL commied to providing the best experience for every person that walks through our doors.Many who come to us have been rejected by others because of a lack of insurance, or because they are insured through Medicaid. We treat all our paents with dignity and respect regardless of income or insurance coverage. And, we care for the whole person with annual check-ups, dental care, behavioral health medicine, physical therapy, occupaonal therapy, OB/GYN and pediatric care. We also have complete pharmacy services at both locaons. We strive to be a medical home of choice for all!In 1971, we served paents from a donated trailer on the corner of Paterson and Burdick. In 2021, housed in two state-of-the art medical facilies, FHC has grown to served 51,200 paents. Our founders would be proud! 160,193Total visits to Family Health Center in 2021 where paents were extended quality medical, dental, mental health and PT/OT care with dignity and respect— Dr. Kathy Jackson Medical Provider, Pediatrics
Page 9 Excitement is contagious at Back to School Bash. It’s hard not to smile when you see the joy this day brings to our community’s children. — Eileen Chiang Vice President of Corporate Services & Chief Financial Ocer
Page 10 A look of pure delight and disbelief! We loved surprising members of the community with our 50 Acts of Kindness. — Mindie Smith Executive Director of Behavioral Medicine
Page 11Telehealth Steps In Our patients felt valued when we didn’t close our doors on them. Instead we developed a safer way to deliver quality care. With a proven track record for creang progressive and innovave ways to work for underserved populaons, FHC once again made the cung edge decision to provide opons for our paents with convenient and excellent care from the comfort of their own homes through Telehealth.Beginning in March 2020 and in response to the global pandemic, FHC served the community with over 42,000 virtual and Telehealth visits. In 2021, that number increased to over 58,000!FHC stands ready to provide novel ways to help paents during mes of crisis and emergency. This past August, during a power outage at the Moses L. Walker facility, Telehealth services migated what could have been a terrible backlog of missed appoint-ments and helped to provide uninterrupted care for more than 163 scheduled paents.We have always been commied to nding innovave soluons to help meet the needs of historically underserved people who oen face a myriad of complex challenges including mobility and transportaon issues. Telehealth has helped us to improve access, reduce the spread of infecon, eliminate waing room mes and lessen barriers like childcare issues for single parents. We are pleased to oer Telehealth as an innovave opon. It’s convenient, safe, and easy — which made Telehealth the preferred way of seeking medical care for many people in 2021. 505 E. Alcott— Dr. Danielle Ortega Medical Provider, Family & Internal Medicine
Page 12Covid-19 Grips Kalamazoo CommunityFamily Health Center Rises to AconWASH HANDSAVOID CROWDSWEAR MASKKEEP DISTANCEJanFebMarAprMayJunJulAugSepOctNovDecJanFebMarAprMayJunJulAugSepOctNovDecCommunity Tesng EventsBoosters Available at FHCCommunity Vaccinaon EventsVaccine Available at Both LocaonsDrive-Through Tesng at Paterson Locaon100Granted EmergencyUse Authorizaon (EUA)FHC 100thCommunityVaccinaonEventGranted EmergencyUse Authorizaon (EUA)7.1.21SweepstakesBeginsDecemberFHC Reaches15,000 Doses5.10.21Pfizer VaccineExpanded EUA12-15 year olds9.22.21Pfizer BoosterVaccine Approvedfor 18 year olds+10.29.21Pfizer VaccineAuthorized for5-11 year olds+JulyFHC Reaches10,000 DosesFHC connues tokeep our communitysafe from COVID-19with vaccinaons,tesng and more. 3.12.201st Casein MichiganGranted EmergencyUse Authorizaon (EUA)
Page 13Covid-19 Grips Kalamazoo CommunityFamily Health Center Rises to Acon We are proud of the impact we’ve had on our community in helping to limit the spread of Covid-19 while reducing hospitalizations and deaths. JanFebMarAprMayJunJulAugSepOctNovDecJanFebMarAprMayJunJulAugSepOctNovDecCommunity Tesng EventsBoosters Available at FHCCommunity Vaccinaon EventsVaccine Available at Both LocaonsDrive-Through Tesng at Paterson Locaon100Granted EmergencyUse Authorizaon (EUA)FHC 100thCommunityVaccinaonEventGranted EmergencyUse Authorizaon (EUA)7.1.21SweepstakesBeginsDecemberFHC Reaches15,000 Doses5.10.21Pfizer VaccineExpanded EUA12-15 year olds9.22.21Pfizer BoosterVaccine Approvedfor 18 year olds+10.29.21Pfizer VaccineAuthorized for5-11 year olds+JulyFHC Reaches10,000 DosesFHC connues tokeep our communitysafe from COVID-19with vaccinaons,tesng and more. 3.12.201st Casein MichiganGranted EmergencyUse Authorizaon (EUA)An-Virus Iris— Denise Crawford President & CEO
Page 14Our Fight Against Covid-19 Continues After observing the efficacy of the vaccines, and how the reduction of the spread of Covid-19 was protecting the community, we made the decision to mandate vaccines for all staff. At the onset of the pandemic when infecon rates were high and vaccines were scarce, FHC partnered with Bronson Healthcare to ensure that the community’s most vulnerable were protected. This and other key collaboraons with organizaons like Mothers of Hope and Kalamazoo Public Schools proved to be eecve and vital ways for the community to band together for collecve well-being. By adding outreach and engagement programs, more people have been able to receive crical informaon they needed to get vaccinated — increasing the vaccinaon percentage rate to 57% in a relavely short period of me. Addionally, permanent changes to the way we provide care evolved. FHC is now requiring all employees to be vaccinated against COVID-19, increasing drive-up pharmacy services and nding new opons for paents to meet with their medical team. Strategic partnerships will connue to allow FHC to most eecvely provide drive-through Covid tesng, in-clinic vaccinaons and community educaon programs as long as they are needed. — Dr. Carolyn Whatley Vice President of Clinical Aairs & Chief Medical Ocer
Page 15 Our staff rose to the challenge of protecting our community through testing events and vaccination events as soon as doses were made available. 113VACCINE & TESTING EVENTS10,071 COVID TESTS ADMINISTERED43ORGANIZATIONAL PARTNERS15,205 VACCINES ADMINISTERED1,612BOOSTER SHOTS ADMINISTERED}The value of Family Health Center as a partner has never been more obvious than during this global pandemic! At the onset, they provided resources and educaon for our students, faculty and their families. From drive-thru tesng events in our school parking lots to on-site vaccinaon clinics around the county, we value their adaptability and willingness to do whatever has been needed to reach our mutual goal of protecng and educang students and families. We are thankful for all of our partners who stand strong with us during this pandemic and that denitely includes Family Health Center.~ — Dr. Rita Raichoudhuri, Superintendent Kalamazoo Public Schools}We value our partnership with Family Health Center because it creates a synergy that benets our enre community: non-emergent ER visits are reduced, at-risk paents have beer access to a consistent medical home, and we are beer able to protect our most vulnerable cizens in both urban and rural areas by working together to create easy access to COVID-19 vaccines. We couldn’t do it without the reless eorts of the dedicated FHC sta as well as the Mobile Health Unit infrastructure they have in place. We are just so pleased to collaborate for the beerment of all people in our community.~ — Bill Manns, President and CEO Bronson Healthcare— JB Williams Executive Director of Human Resources
Page 162021 Financials Family Health Center strives to ensure that all members of the community have access to quality, comprehensive, patient-centered health care. Programs & ServicesAdministraon22%78%Grant RevenuePharmacy RevenuePaent Services RevenueOther Income25%13%3%59%Total IncomeTotal Expenses— Dr. Edward Haughn Medical Provider, Family & Internal Medicine
Page 17Annual EventsBack to School Bash is held every year in August, when FHC partners with organizaons like PNC Bank, Meridian and Molina Health to ensure that Kalamazoo’s most at-risk children are ready for school by compleng their required Well Child Exams and immunizaons necessary to return to school. The event has helped ensure that students are able to aend school without delay. Addionally, the event provides a day of fun including FREE food, games, rides, acvies, music, prizes and backpacks lled with school supplies. It is a treasured experience for many of the children and families we serve and has become a greatly ancipated summer tradion. Women’s Health Expo premiered in October 2021 as a day of caring for women who oen put the needs of others in their life rst. Two out of every three caregivers in the US are women, and studies show that women represent the cornerstone of a family’s overall health — improving access to healthcare, blood pressure checks and annual exams can lead to improved health for enre families. The Expo is also a fun day to meet local vendors, share informaon, win great prizes and interact with providers in a relaxed, comfortable atmosphere.Dental Day of Caring returns in 2022 aer being on hold during the pandemic. The FHC Dental Team is excited to bring back this amazing event where FREE oral health care is provided to hundreds of people who otherwise would not receive the dental care they need. Volunteers from throughout the community pitch in to give over $100,000 in services — it’s an event that brings a smile to all our faces! Annual events are just one way we can positively impact and serve our community. For a Healthy CommunityReturning in 2022!— Dr. Julie Saracina Chief Dental Ocer
Page 18Thank You for Your Support! A-1 Physical TherapyAscension BorgessAaron Lane-DavisAetna Beer HealthBey UpjohnBoys & Girls Clubs of Greater KalamazooBronson Health CareCatherine TaylorChild Care Resources SouthwestCommunity in SchoolsDenise CrawfordFirst Day Shoe FundGirls on the Run of Greater KalamazooGryphon PlaceHealth Resource & Services AdministraonHousing Resources Inc.Je PearsonKalamazoo Community FoundaonKalamazoo County Emergency Operaons CenterKalamazoo Loaves & FishesKalamazoo PromiseKalamazoo Public SchoolsKalamazoo Valley MuseumKalamazoo Youth Development Network (KYDNet)Kasyris Management & ConsulngKRESA Kalamazoo HeadstartLangston Enterprises, Inc.Local Iniaves Support Corp. (LISC)Mary Jane MapesMcLaren Health CareMeridian HealthMichigan Community Health Network (MCHN)Michigan Primary Care Associaon (MPCA)Michigan WorksMidtown Fresh MarketMolina HealthcareMothers of HopeMt. Zion ChurchNAACPNorthside PreschoolsOld Naonal BankPark Street MarketPNCPriority HealthSandra L. KuentzelSid EllisSouth Michigan Food BankSouthwest Child Care ResourcesSouthwest Michigan Behavioral HealthState of Michigan Department of Health & Human ServicesStones ChurchStrykerTessari Family TrustThe Links, IncorporatedTimothy StewartUnited HealthcareUnited WayUniversity of Detroit MercyUniversity of Michigan Water Street CoeeWMU Homer Stryker M.D. School of MedicineYWCAZoo City Farm & Food NetworkOther private donors We are truly grateful for all the support we received in 2021. Thanks to all who contributed to our mission and vision. — Family Health Center Family
Page 19FHC Special Report: 1971-2021Serving the Kalamazoo Community for 50 Years
Page 201971Bylaws, Articles of IncorpJohn Vogt named rst administrator. Dr. Fouche named rst medical director 1972Trailer opened March 6Emergency dental & RX servicesFirst 9 mo., 7,000 servedDr.’s assigned from National Health Service CorpDoctors, Nurses & Pediatricians join1973WIC services beginGround-breaking permanent clinic June 71978FHC Pre Paid Health Insurance introduced1988Stephen F. Davie named Executive Director1975Routine Rx, dental & optometry services offered Lesman’s Grocery accepts WIC coupons1986Nearly 11,000 patients served. 1/3 age 0-14. 1 in 4 women served sought prenatal care.Land secured Board of Directors establishedHighlights Celebrating 50 Years of Caring50 years of service Family Health Center began in 1971 as an act of community compassion. We decided the best way to celebrate our 50th year, was to give back to the community. Delivering Hygiene supplies for the YWCAElectric toothbrushes for our Dental paentsFitbits for our diabetes and hypertension paentsFree diapers! Thank you United Healthcare Community PlanBreakfast for Ministry with Community guestsServed breakfast and thanked Kalamazoo Public Schools bus drivers— Eileen Chiang Vice President of Corporate Services & Chief Financial Ocer
Page 2120041995Edison School Health Clinic established1989Health Care for the Homeless established1997Migrant summer school program established2000FHC South opened in response to closing of the Community Medical Center1991FHC established as Federally Qualied Health Center2002Dental Clinic established for Medicaid recipients & uninsuredKalamazoo Co. Health Plan assumed by FHCJCAHO Accredited (Joint Commission of Ambulatory & Hospital Organizations. Also awarded in 2001)$4 million campaign begins to expand Paterson clinic We are very proud of the way everyone in our organization comes together to care for our community! Celebrang Our Sta Today With Words from Our Paents}Thank you for the service that you provide to our community! My provider is an outstanding asset and has been a sound guide in my healthcare for almost six years. He listens, studies my records and has made a big dierence in my healthcare. I am so grateful for him and for FHC.~}I am elderly and have made good friends at FHC. When I forgot to get my Covid booster vaccine, one of the senior sta members came by my home to check on me. I was so grateful to get my vaccine up to date and to know someone was caring about me.~}We appreciate everyone at FHC for being very respecul and caring during a me when they are overworked and red. I feel like I maer to them. I never feel like just a number. Our community is so fortunate to have these people who care about our well-being.~}The best providers me and my kids have ever had! They are awesome! They listen to us and talk with us about ways to keep us healthy.~The sta at FHC is amazing. I have been dealing with thyroid problems since I was 17 and have been sent to many specialists. No one could ever get my thyroid normal because they wouldn’t listen. But my provider at FHC did! She takes the me to listen, and I am so thankful.I absolutely love and trust the compassionate and caring approach to my medical and health care needs. It is rare to nd sta who will listen to you and actually follow through with what I need.— Dr. Carolyn Whatley Vice President of Clinical Aairs & Chief Medical Ocer
Page 22Page 222005 2006 2009 2011 2012Deni s e C r awfo r d becomes President & CEO2015Certicate of Excellence from MDCH$4 million expansion adds 13,000 sq ft. to serve 13,500 patientsPartner with K College Service LearningFHC expands hours: 8am-8pmFHC starts walk-in clinicDental services return to NorthsideReopening of Edison School ClinicGroundbreaking for a $10 million expansion funded in part by the Affordable Care ActNew pharmacy opened at Portage Rd.Emergency Prescription Assistance Program beganKDPS sells Rose St. re station to FHC for $1 making space for expansion Open House for expansion of FHCFHC welcomes WMed residency programBack to School Bash grows to immunize 1,000 childrenMobile Health Clinic begins serviceFamily Health Center BeginningsOld. Obsolete. Hazardous. Words used by the U.S. government in the 1930s to describe neighborhoods in nine Michigan cies where African Americans migrated. Kalamazoo’s populaon was 10% African American during that decade; just enough to have certain neighborhoods “redlined” by the Home Owners’ Loan Corp — a government-sponsored corporaon created as part of the New Deal. The result of the report sent generaons of white families on a ight to suburban areas; taking with them doctors and densts.As a result, by the late 1960s, there were no denst oces and only one doctor’s oce on Kalamazoo’s Northside; Dr. Charles Alexander, the city’s rst African American physician who remained dedicated to his community, but it was clear that demand for health care services far exceeded what one physician could provide.Research from The W.E. Upjohn Instute found that, while two hospitals were present in the community, preventave health care for low-income community members on the Northside was nonexistent. The Community Health Care Commiee and Community Services Council conducted similar research with similar results that led Moses Walker, then-director of the Douglass Community Center, to redesign the Center’s focus to one that oered limited medical care and mental health services. But more was needed, and in 1970 the pieces began to fall into place when Moses Walker, Vice Mayor Gilbert Bradley and County Commissioner Rev. B. Moses James began to take acon. They were quickly joined by a team of residents to incorporate what they rst called the Kalamazoo Community Health Center. The team, led by Vice Mayor Bradley and Rev. B. Moses James, placed Anna Whien in charge of helping create the by-laws, and hosng community meengs to introduce the idea of the health center. Aer four community meengs, more than 250 residents spoke up, requesng medical professionals and sta who were It started withsystemic inequality, a hefty dose of community activism, a few caring medical providers…and a trailer.KALAMAZOO1971 No rm decisions can or should be made until the people of the community indicate their desires and needs. —Rev. B. Moses James
Page 232016 20172019 20202021Groundbreaking for $15 million 50,000 sq.ft. Alcott St. clinicKalamazoo County dental program merges into FHCPaterson clinic named in honor of Moses L. Walker for his instrumental work in the development of FHCEdison Neighborhood & FHC tness park opens on E. Alcott St. providing healthy living opportunities to area residents. FHC rises to meet the needs of the community continuing to provide essential medical service through the beginning of the Covid PandemicFamily Health Center’s 50th Anniversary of incorporation ling with the State of Michigan. 50 Acts of Kindness initiated to celebrate our commitment to the community.culturally competent, would respect them, and also advocate for a voice in how the center would operate.This led to the creaon of a community board model of local cizens, medical professionals, and representaves from community organizaons. Eleven members visited clinics in Detroit and Chicago similar to their proposed clinic to learn about successes and possible challenges in organizing the rst medical clinic in Kalamazoo’s majority African American community.They returned ready to begin and a local land planner, volunteered his services to nd the perfect locaon. Aer reviewing several sites, the land on the corner of N. Burdick and Paterson was idened as the perfect locaon to serve those on the city’s Northside.In 1971 The Kalamazoo Academy of Medicine endorsed the Center and donated $1,500 to get it started. The Kalamazoo Community Foundaon also joined in with seed money to purchase land for a permanent building and temporary trailer to house the health clinic. An anonymous donaon totaling $150,000 along with support from Bronson and Borgess hospitals added to the budget and the vision to serve 10,000 underserved northside residents was becoming a reality.The rst “building” where paents were seen was a trailer on the same plot of land on Paterson Street where the Moses L. Walker building stands today. John Vogt, administrator, and Dr. Lenard Fouche, medical director, were the rst two permanent sta members. The need for a quality medical facility and the dedicaon of the community led to the Kalamazoo Family Health Center being one of 122 communies in the naon to receive funding for medical services. Emergency dental services and pharmacy were added, and doctors and nurse praconers from the community served as part-me medical help. In the rst nine months, the Center served nearly 7,000 paents, and the opportunity to serve on the board became an honor for community members on every level.Family Health Center began 50 years ago as an act of community compassion and connues to share a legacy of equity by providing quality health care to some 50,000 historically underserved residents in Kalamazoo County, ensuring that all people regardless of their ability to pay are treated with dignity, respect and a welcoming spirit. } We look forward to serving the community for the next fty years! ~Board Vice Chair Ervin Fance shows o FHC’s rst x-ray machineEye Exam: 1986Mayor Gilbert Bradley
Page 24Our MissionTo ensure that all members of the community have access to quality, comprehensive, paent-centered health care.Our VisionTo become the preferred medical home for at least 70,000 underserved paents in Kalamazoo County.