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Lynn Community Health, Inc.

 269 Union Street
 Lynn, MA 01901
[P] (781) 596-2502
[F] (781) 596-3966
www.lchcnet.org
chayes@lchcnet.org
Clare Hayes
Facebook
INCORPORATED: 1971
 Printable Profile (Summary / Full)
EIN 04-2525066

LAST UPDATED: 02/26/2016
Organization DBA Lynn Community Health Center
Former Names --
Organization received a competitive grant from the Boston Foundation in the past five years No

Summary

Mission StatementMORE »

The Lynn Community Health Center's mission is to provide comprehensive health care of the highest quality for everyone in the greater Lynn community, regardless of ability to pay, targeting populations that experience the greatest barriers to care: children, teens, the poor, minorities, non-English speaking, and the frail elderly. Our goal is to improve the health of our community. Access to quality and comprehensive health care allows children to focus on success in school and adults to raise healthy families, pursue gainful employment, and become productive members of our society; ultimately resulting in a stronger, more vibrant community. 

Mission Statement

The Lynn Community Health Center's mission is to provide comprehensive health care of the highest quality for everyone in the greater Lynn community, regardless of ability to pay, targeting populations that experience the greatest barriers to care: children, teens, the poor, minorities, non-English speaking, and the frail elderly. Our goal is to improve the health of our community. Access to quality and comprehensive health care allows children to focus on success in school and adults to raise healthy families, pursue gainful employment, and become productive members of our society; ultimately resulting in a stronger, more vibrant community. 


FinancialsMORE »

Fiscal Year July 01, 2014 to June 30, 2015
Projected Income $74,458,217.00
Projected Expense $73,965,639.00

ProgramsMORE »

  • Behavioral Health Care
  • Oral Health Care
  • Primary Medical Care
  • School-Based Health Centers

Revenue vs. Expense ($000s)

Expense Breakdown 2014 (%)

Expense Breakdown 2013 (%)

Expense Breakdown 2012 (%)

For more details regarding the organization's financial information, select the financial tab and review available comments.


Overview

Mission Statement

The Lynn Community Health Center's mission is to provide comprehensive health care of the highest quality for everyone in the greater Lynn community, regardless of ability to pay, targeting populations that experience the greatest barriers to care: children, teens, the poor, minorities, non-English speaking, and the frail elderly. Our goal is to improve the health of our community. Access to quality and comprehensive health care allows children to focus on success in school and adults to raise healthy families, pursue gainful employment, and become productive members of our society; ultimately resulting in a stronger, more vibrant community. 


Background Statement

The Lynn Community Health Center is a freestanding, nonprofit, federally qualified community health center that has served as the primary source of health care services in one of the most severely underserved communities in Massachusetts since its beginnings as a tiny storefront mental health counseling center in 1971. We believe that access to quality and comprehensive health care allows children to focus on success in school and adults to raise healthy families, pursue gainful employment, and become productive members of our society; ultimately resulting in a stronger, more vibrant community.

We accomplish our mission by providing a comprehensive array of high quality health care services, including: pediatric, family medicine, adult medicine, and OB/Gyn primary care services; specialty medical services; behavioral health and social services; health education; comprehensive HIV/AIDS services; nutrition services; a dental clinic; pharmacy; radiology; and eye care services. In addition to our main site in downtown Lynn, the health center operates two comprehensive primary care practices and behavioral health services in the West Lynn/Market Square area. We also operate eight SBHCs (three in high schools, two in middle schools, and three in elementary schools) delivering fully integrated primary medical and behavioral health services every day of the school year, and four additional elementary schools where we provide behavioral health services. We administer the Women, Infants, and Children (WIC) nutrition program for ten North Shore cities and towns.

LCHC also makes every effort to meet the diverse multicultural needs of its target populations with significant numbers of bilingual and bicultural staff. The health center has made an ongoing commitment to improve organizational cultural competence and to assure the delivery of effective care that incorporates the cultural values and beliefs of the patients that are served. The health center has developed a variety of organizational systems to improve cultural and linguistic competency, including the addition of cultural sensitivity and awareness expectations to job descriptions and annual performance evaluation for all staff. Ongoing training is required for all staff, including an on-line program that features interaction with real patients demonstrating cross-cultural challenges in clinical scenarios.


Impact Statement

Significant accomplishments and goals include:

Completion of Capital Campaign

We successfully completed our Capital Campaign which supported the construction of a 55,300 square foot addition to our main facility.

Continued Progress in Integration of Primary Care and Behavioral Health Services

LCHC continues to expand our Integrated Model of care which includes co-location of primary care and behavioral health services, co-management of patients by medical and behavioral health providers, and utilization of a shared electronic medical record. Data from our “warm hand-off” pilot project (which involves introducing patients to a behavioral health or medical provider instead of just using a paper referral) showed that the percentage of patients who followed up with a behavioral health provider increased by 22%.

Continued  Growth in Access to Care, Particularly in Behavioral Health and School Based Health Centers. 

In 2014, LCHC provided 262,980 medical, behavioral health, and dental visits to 39,180 patients. Between 2013 and 2014, Behavioral Health visits alone increased by 11%. During 2014, LCHC also added Behavioral Health services at three new School Based Health Center sites bringing our total number of SBHCs to twelve (eight that provide fully integrated primary medical and behavioral health services and four that provide solely behavioral health services).

Development of Care Management Capacity

The Complex Care Program offers intensive care management and care coordination for patients with complex medical and behavioral health care needs. There are currently 100 patients enrolled in this program. Through this program, Nurse Care Managers, Community Health Workers and Social Workers partner with the health center’s primary care and behavioral health teams to provide disease education, community outreach, home visits, and medication management for high risk patients. 


Needs Statement

The most pressing needs for Lynn Community Health Center are as follows:

 1.    Additional Access for Primary Care

LCHC has continued to grow significantly and is now the largest provider of primary and behavioral health care services in Lynn. Between 2008 and 2014, medical visits grew by 50%, dental visits by 74%, and behavioral health visits by 174%. We continue to see a high demand for our services and for the past few years have consistently seen over 400 new patients every month.

 

2.     Funding to Expand Treatment for Substance Use Disorders

In response to the growing opioid addiction epidemic in Massachusetts, our goal is to build on the success of our Suboxone Clinic and develop a Comprehensive Integrated Addiction Program to provide primary medical care, behavioral health, and medication-assisted substance and alcohol abuse treatment.

 

3.     Expansion of Behavioral Health Services for Children and Adults

The mental health of children and adults is an urgent priority in our community. In 2014, there were 89,449 behavioral health visits at LCHC and the need continues to grow. It is our goal to continue to expand behavioral health services through School Based Health Centers and improve access by expanding services at our main sites.


CEO Statement

LCHC is unique among community health centers (CHC), in that it started out as a mental health counseling center and now has the largest CHC behavioral health program in Massachusetts. LCHC has pioneered innovative models of care to improve access, reduce stigma, and enhance the quality of behavioral health services. We have developed a unique, fully integrated medical and behavioral health care model with co-location of primary care and behavioral health services, co-management of patients by medical and behavioral health providers, and utilize a shared electronic medical record (EMR). LCHC has also completed a 55,300 square foot addition and renovated our clinical spaces to support Integrated Care, with medical exam rooms next to behavioral health rooms, and an open plan provider office shared by medical and behavioral health providers that facilitates communication, consultation, and collaboration. LCHC’s integrated model has improved access and reduced stigma to behavioral health care, which has greatly increased demand for additional behavioral health services.

LCHC has also developed new strategies to improve the delivery of health care services, including “curbside consultations” and a Universal Care Plan pilot to facilitate the “shared care” model. LCHC has done some creative work in organizing “warm hand-offs,” which involves introducing patients to a behavioral health provider instead of just giving a paper referral. Data from our pilot project shows that the percentage of patients who followed up increased to 73% from a baseline of 51% when a paper referral process was used.

On May 19th, we went “live” with Epic, a high ranking EMR that virtually all Boston area hospitals are using. This new software will allow our providers to more easily document care and allow our patients access and important information through a “patient portal”. It will also help us coordinate care with hospital providers in our community.


Board Chair Statement

In our community, access to primary care, behavioral health services and dental care has been a continuing challenge. Lynn, our service area, is a federally designated Medically Underserved Area and a Health Professional Shortage Area. A community needs assessment completed in April 2012 in collaboration with the North Shore Medical Center documented a crucial need to increase access to primary care, substance abuse, and mental health services in Lynn. There is an urgent need to increase services that are culturally and cognitively appropriate, and designed for immigrant, minority, and low literacy populations.

In response to this need, we completed construction of a 55,300 square foot addition to our 269 Union Street designed specially designed for Integrated Health Care also made renovations in the original section of our 269 Union Street facility to facilitate co-location and communications among medical and behavioral health providers.

One of our 2011 – 2015 Strategic Plan objectives was to become a leader in integrated primary care and behavioral health care, serving patients effectively and efficiently.

As a result, LCHC has developed five Integrated Health Care Teams, each with five to nine Primary Care Providers, two to three licensed Behavioral Health (BH) Therapists, a Psychiatrist or an Advanced Practice Psychiatric Nurse Practitioner, Clinical Assistants, Nurses, Community Health Workers and Nurse Care Managers to provide care coordination and management for complex patients with multiple co-morbidities and high rates of emergency room and inpatient care utilization. LCHC’s Integrated Health Care model allows patients to access behavioral health services through their primary care team, effectively reducing the barrier of stigma and efficiently ensuring access to timely and appropriate care.

Our continued goals for Integrated Health Care are to increase access to behavioral health services, improve quality, and enhance the patient care experience, ultimately resulting in improved health outcomes and reduced overall health care costs.

We are all very proud of the health center and our record of providing excellent care to the most vulnerable members of our community.


Geographic Area Served

In a specific U.S. city, cities, state(s) and/or region.
NORTHEAST REGION, MA

The Lynn Community Health Center serves the city of Lynn, Massachusetts and other surrounding communities. Lynn is an aging, densely populated former factory town, with a population of 91,595 according to 2013 American Community Survey data.

Organization Categories

  1. Health Care - Ambulatory & Primary Health Care
  2. Mental Health & Crisis Intervention - Community Mental Health Centers
  3. Health Care - Community Health Systems

Independent research has been conducted on this organization's theory of change or on the effectiveness of this organization's program(s)

No

Programs

Behavioral Health Care

LCHC started as a community mental health center in 1971. Today, LCHC has over 68 full-time equivalent behavioral health providers on staff, including psychiatrists, licensed clinical psychologists, licensed clinical social workers, and other licensed mental health providers. In 2014, LCHC provided over 89,449 behavioral health encounters for over 7,027 clients. LCHC provides a comprehensive array of treatment, including individual therapy, group therapy, psychopharmacology, and support services. LCHC’s Suboxone Program is a partnership with Project Cope to treat patients addicted to opiates. LCHC also has 51 ongoing specialized therapeutic groups for a wide range of disorders and topics, offered in English, Spanish, Khmer and Arabic.
Budget  $8,800,000.00
Category  Mental Health, Substance Abuse Programs, General/other Outpatient Mental Health Treatment
Population Served Adults Children and Youth (0 - 19 years) Immigrant, Newcomers, Refugees
Program Short-Term Success 
LCHC’s short term success is determined by ensuring that our targeted patient population is accessing behavioral health care as needed and in a timely manner. LCHC measures program performance, particularly the number and demographics of patients accessing our services, using measures such as:
  • Number of behavioral health patients and visits by location
  • Demographics including age, zip code, race/ethnicity, household income/poverty level, insurance status, and language status
  • Patient satisfaction


Program Long-Term Success  A clinical measure related to behavioral health is:
  • Increase the % of adult diabetic patients with a documented PHQ9 screening for depression within the previous 12 months.
Program Success Monitored By 

LCHC monitors program success as part of our Board directed Quality and Performance Improvement system. LCHC recently upgraded to Epic, a high ranking electronic health record system which links with our reporting system to produce data on 100% of the denominator population for any given measure. Also, as a federally qualified health center, LCHC is required to submit a Uniform Data System (UDS) report each year to the federal Health Resources Services Administration (HRSA). The UDS is a core set of information for reviewing the operation and performance of community health centers. Data submitted include patient demographics, services provided, staffing, clinical indicators, utilization rates, costs, revenues, and performance on clinical and finance measures. HRSA aggregates reports from over 1,000 health centers nationwide and produces trend and comparative reports. LCHC is able to compare its performance and cost effectiveness to all health centers in the state and nationwide.

Examples of Program Success  In response to an urgent need for improved access to behavioral health services (which includes mental health and substance abuse services) in our community, LCHC has significantly and successfully expanded access to behavioral health care. In 2014, LCHC provided 89,449 behavioral health visits for 7,027 patients, which is an 11% increase in the number of visits provided in 2013 and an increase of 174% from the number of visits provided in 2008. Also in the past year, LCHC has successfully developed five Integrated Behavioral Health and Primary Medical Care Teams at our main facility, which have greatly improved access to behavioral health services. These Teams utilize “warm hand-offs,” which involves introducing patients to a behavioral health or medical provider instead of just giving a paper referral, which improves the chance that the patient will access the care they need.

Oral Health Care

LCHC’s Dental Clinic opened in August 2001, offering services to a community with virtually no oral health resources for the uninsured or the underserved. By 2004, the Dental Clinic had over 9,000 visits per year and has seen dramatic increases since that time. In 2014, the Dental Clinic provided over 38,000 visits for over 10,000 patients. Comprehensive dental services provided include emergency care, oral exams, prophylaxis, sealants, fluoride treatments, restorative services, oral surgery, and rehabilitation services. The dental staff also provide services onsite at our school-based health centers. Our recent building project has resulted in a major expansion of our Dental Clinic, which is double the size of our old dental clinic with 12 operatories, allowing us to increase access to dental care.
Budget  $3,600,000.00
Category  Health Care, General/Other Dental Health Care
Population Served Adults Children and Youth (0 - 19 years) General/Unspecified
Program Short-Term Success 
LCHC’s short term success is determined by ensuring that our targeted patient population is accessing dental care as needed and in a timely manner. LCHC measures program performance, particularly the number and demographics of patients accessing our services, using measures such as:
  • Number of dental patients and visits
  • Demographics including age, zip code, race/ethnicity, household income/poverty level, insurance status, and language status
  • Patient satisfaction
Program Long-Term Success 
Dental measures include:
  • Increase the % of dental patients with a completed phase 1 treatment plan during the measurement year.
Program Success Monitored By  LCHC monitors program success as part of our Board-directed Quality and Performance Improvement system. LCHC utilizes Dentrix, our dental electronic health record system to produce data on 100% of the denominator population for any given measure. Also, as a federally qualified health center, LCHC is required to submit a Uniform Data System (UDS) report each year to the federal Health Resources Services Administration (HRSA). The UDS is a core set of information for reviewing the operation and performance of community health centers. Data submitted include patient demographics, services provided, staffing, clinical indicators, utilization rates, costs, revenues, and performance on clinical and finance measures. HRSA aggregates reports from over 1,000 health centers nationwide and produces trend and comparative reports. LCHC is able to compare its performance and cost effectiveness to all health centers in the state and nationwide.
Examples of Program Success  LCHC received the Excellence Award from the DentaQuest Institute and the National Network for Oral Health Access at the 2010 National Primary Oral Health Management Conference. Herlivi Linares, DDS, Associate Dental Director for LCHC, received the 2010 Oral Health Hero Award from Health Care For All, a state organization dedicated to making adequate and affordable health care accessible to everyone.

Primary Medical Care

LCHC delivers high quality comprehensive primary medical care, including pediatric, family medicine, adult medicine, and OB/Gyn. Our medical staff members are all board eligible or board certified in their specialty areas and we have extensive credentialing procedures for all licensed clinical staff. LCHC has developed programs within our primary care practice that are designed to ensure access for targeted populations. For example, LCHC’s pediatric team has developed a Pediatric Asthma Program to provide assessments, health education, home visits, referrals, and follow-up. LCHC’s Complex Care Management Program utilizes community health workers, nurse care managers, and social workers to partner with the health center’s primary care and behavioral health teams targeting the highest risk patients with high rates of emergency room visits and hospitalizations. Additional services include pharmacy, eye care, specialty medical care, nutrition, and radiology.
Budget  $29,600,000.00
Category  Health Care, General/Other Ambulatory & Primary Health Care
Population Served Families Children and Youth (0 - 19 years) General/Unspecified
Program Short-Term Success 
LCHC’s short term success is determined by ensuring that our targeted patient population is accessing primary medical care as needed and in a timely manner. LCHC measures program performance, particularly the number and demographics of patients accessing our services, using measures such as:
  • Number of medical patients and visits by location
  • Demographics including age, zip code, race/ethnicity, household income/poverty level, insurance status, and language status
  • Patient satisfaction
Program Long-Term Success 

Our goal is to positively impact the health of our community, which we evaluate using Clinical Performance Measures. A few examples include:

Increase the % of patients with diabetes whose most recent HbA1c is less than or equal to 9%.

Increase the % of adult patients with diagnosed hypertension whose most recent blood pressure was less than or equal to 140/90.

Increase the % of women age 24-64 who received one or more Pap tests.

Increase the % of pregnant patients beginning prenatal care in the first trimester of pregnancy.

Maintain the % of low birth weight (births less than 2500 grams) to health center patients.

Maintain the % of children with appropriate immunizations by two years of age.

Program Success Monitored By 

LCHC monitors program success as part of our Board directed Quality and Performance Improvement system. LCHC recently upgraded to Epic, a high ranking electronic health record system which links with our reporting system to produce data on 100% of the denominator population for any given measure. Also, as a federally qualified health center, LCHC is required to submit a Uniform Data System (UDS) report each year to the federal Health Resources Services Administration (HRSA). The UDS is a core set of information for reviewing the operation and performance of community health centers. Data submitted include patient demographics, services provided, staffing, clinical indicators, utilization rates, costs, revenues, and performance on clinical and finance measures. HRSA aggregates reports from over 1,000 health centers nationwide and produces trend and comparative reports. LCHC is able to compare its performance and cost effectiveness to all health centers in the state and nationwide.

Examples of Program Success 

Warm Hand-Off Success

LCHC recently completed a LEAN performance improvement project to identify and engage Behavioral Health Department consumers in need of primary care services. LCHC utilized our EHR system to develop a registry of consumers who have not had a visit with their primary care provider in the past 13 months. Check-in staff alerted therapists the day of the client’s appointment that they had not been seen by primary care. Behavioral Health Clinicians encouraged the clients using motivational interviewing to schedule an appointment with their existing primary care provider or with the co-located Nurse Practitioner. If the consumer chose to make an appointment with the co-located Nurse Practitioner, the Behavioral Health Clinician used a warm hand-off referral to assure a successful connection. The project was highly successful in having patients make at least one primary care appointment.


School-Based Health Centers

LCHC began providing health care services in the Lynn Public Schools in 1987 and opened its first School-Based Health Center (SBHC) in 1991. Today, LCHC has a total of twelve School Based Health Centers. Eight of our SBHCs provide fully integrated Medical and Behavioral Health Care. Primary care nurse practitioners, behavioral health providers, and community health workers provide a coordinated system of primary and preventive health care. Four additional elementary school SBHCs provide behavioral health care. The Lynn SBHCs bring critically needed access to health care for children right where they are every school day. The SBHCs address underlying health and mental health problems of students, improving their ability to reach academic success, while also providing students with positive connections with adults, a valuable resiliency factor.

Budget  $1,800,000.00
Category  Health Care, General/Other School Health Services
Population Served Children and Youth (0 - 19 years)
Program Short-Term Success 
LCHC’s short term success is determined by ensuring that our targeted patient population is accessing health care as needed and in a timely manner. LCHC measures program performance, particularly the number and demographics of patients accessing our services, using measures such as:
  • Number of SBHC patients and visits by location
  • Demographics including age, zip code, race/ethnicity, household income/poverty level, insurance status, and language status
  • Patient satisfaction
Program Long-Term Success  Measures related to the SBHC program include:
  • Increase the % of children and adolescents age 3 to 17 who had a Body Mass Index documented, counseling for nutrition, and counseling for physical activity during the measurement year. 
Program Success Monitored By 

LCHC monitors program success as part of our Board directed Quality and Performance Improvement system. LCHC recently upgraded to Epic, a high ranking electronic health record system which links with our reporting system to produce data on 100% of the denominator population for any given measure. Also, as a federally qualified health center, LCHC is required to submit a Uniform Data System (UDS) report each year to the federal Health Resources Services Administration (HRSA). The UDS is a core set of information for reviewing the operation and performance of community health centers. Data submitted include patient demographics, services provided, staffing, clinical indicators, utilization rates, costs, revenues, and performance on clinical and finance measures. HRSA aggregates reports from over 1,000 health centers nationwide and produces trend and comparative reports. LCHC is able to compare its performance and cost effectiveness to all health centers in the state and nationwide.

Examples of Program Success 

In the past year, LCHC has developed new SBHC sites at three schools in Lynn. The new school based health centers are located at Ford, Tracy and Brickett Elementary schools and offer behavioral health services. Prior to that, SBHC sites were opened at Harrington, Connery and Cobbett. LCHC was awarded a federal grant in 2011 to renovate five of our SBHCs and another federal grant in 2012 to renovate the SBHC at Connery. Connery and Harrington are Level 4 schools as determined by the Massachusetts Department of Elementary and Secondary Education. Level 4 schools are underperforming schools “in greatest need of intervention.”


CEO/Executive Director/Board Comments

LCHC has developed a unique fully integrated behavioral and medical health care team model to address the multiple needs of our high risk patients. By moving from two separate treatment cultures to one, integrated care is an innovative patient-centered approach that delivers point-of-care services, minimizes stigma, and efficiently ensures access to needed support. The goals of integration are to: (1) increase access to behavioral health for primary care patients, and (2) measurably improve health outcomes.

Several community health centers around the country have accomplished some level of integration, but fully integrated models are a rarity. LCHC has designed a model that involves the following principles: (1) co-location of behavioral health and primary care services, (2) co-management of patients by behavioral health and primary care providers, (3) enhanced communication and coordination through frequent warm hand-offs and curbside consultations, and (4) a universal care plan within the electronic health record.

LCHC is committed to the bi-directional approach promoted by the National Council for Community Behavioral Healthcare’s Four Quadrant Clinical Integration model, which advocates different models of integration for different populations. Thus, LCHC has also developed a program to integrate primary care into its behavioral health department for our patients with serious mental illness (SMI).We have renovated and equipped a medical exam room within the Behavioral Health Department and hired a Nurse Practitioner to provide preventative, acute and chronic care management to behavioral health patients who may not otherwise seek out care. National studies show that people with SMI die 25 years earlier on average than the general population, largely due to unmanaged medical conditions. Improving access to primary care for patients with SMI will reduce health disparities and address social determinants of health by reducing barriers to culturally competent and high quality primary care. In 2014, LCHC was awarded funding from HRSA, the Blue Cross Foundation and the General Electric Foundation to continue and build on our integration work. 

Management


CEO/Executive Director Ms. Lori Abrams Berry
CEO Term Start Sept 1996
CEO Email LBerry@lchcnet.org
CEO Experience
Ms. Berry has served as the Executive Director of the Lynn Community Health Center since 1996. Under her leadership, the health center has experienced significant growth and added many new services, including an Urgent Care Center, Radiology and Mammography, a comprehensive Pharmacy program, School-Based Health Centers, community outreach and chronic disease case management programs, a Dental Clinic, two comprehensive primary care sites in Market Square, an electronic health record, an Eye Care Service, and a 55,300 square foot addition to the health center’s main facility.
 
Ms. Berry has held leadership positions in the public health arena for over 40 years.She currently serves on the boards of the Massachusetts League of Community Health Centers, Capital Link, and the Elder Service Plan of the North Shore.She holds a master’s degree in Public Health from Harvard University and a master’s degree in Social Work from the University of Maryland. She was a Senior Policy Fellow with the National Association of Public Hospitals in 1995. She received the Founder’s Award from the Massachusetts League of Community Health Centers in 2008, and Outstanding Collaborator Award from the Massachusetts Coalition of School-Based Health Centers in 2009.
Co-CEO --
Co-CEO Term Start --
Co-CEO Email --
Co-CEO Experience --

Former CEOs and Terms

Name Start End
-- -- --

Senior Staff

Name Title Experience/Biography
Mark Alexakos M.D. Chief Behavioral Health Officer Dr. Alexakos is a licensed psychiatrist, board-certified in both child and adolescent psychiatry and adult psychiatry. Dr. Alexakos has been with LCHC since 2008 and is responsible for all behavioral health programs at the health center, including behavioral health services provided at the school-based health centers. His Doctor of Medicine degree is from the University of Chicago. From 2001-2008 he was the Director of Children’s Wellness Initiative at Franciscan Hospital for Children; and from 2001-2002 he was the Attending Adolescent Psychiatrist at McLean Hospital.
Scott Early M.D. Chief Medical Officer Dr. Early is a licensed family medicine physician and has over two decades of experience in community health. He is the founding director of the first residency program in the country accredited through a community health center. He also has extensive volunteer experience in  rural Louisiana, Nepal, Venezuela, and Haiti. His Doctor of Medicine degree is from Dartmouth Medical School. He was the President for Family Medicine at Caritas Christi Health Care from 2009-2010; the Residency Program Director at Greater Lawrence Family Health Center from 1993-2009; and Medical Director at Blackstone Valley Community Health Care from 1989-1992. Dr. Early has been LCHC's Chief Medical Officer since 2011.
Andrea Gaulzetti R.N. Chief of Clinical Operations Ms. Gaulzetti has been with LCHC since 1997. She is responsible for all clinical operations of the pediatric, family medicine, adult medicine, and OB/GYN care teams. She also supervises the Refugee Health Assessment Program, Access, and Urgent Care Center teams. She has provided leadership in many quality improvement efforts, including a customer service initiative, the Joint Commission accreditation steering team, the Patient-Centered Medical Home initiative, and she serves on the Board of Directors’ Quality Improvement Committee and the Safety Committee. Ms. Gaulzetti also played a leadership role in helping us establish an organizational commitment to cultural competence.

Awards

Award Awarding Organization Year
Patient-Centered Medical Home Level 2 National Committee for Quality Assurance 2013
Primary Care Medical Home Joint Commission 2012

Affiliations

Affiliation Year
-- --
Member of state association of nonprofits? Yes
Name of state association Massachusetts League of Community Health Centers

External Assessments and Accreditations

External Assessment or Accreditation Year
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - Ambulatory Care Accreditation 2012
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - Behavioral Health Care Accreditation 2012
Federally Qualified Health Centers (FQHC) --

Collaborations

We have an exceptionally strong history of collaboration with other agencies and groups in the community in developing access to comprehensive health care services. Ongoing collaborative programs include an active partnership with the North Shore Medical Center and Partners HealthCare on a wide variety of projects throughout the years. We have a long history of collaboration with the City of Lynn, including the school-based health centers located within the Lynn Public Schools and the Lynn Food and Fitness Alliance to address the issue of childhood obesity.
 
Other community efforts include a joint program for Cambodian youth and adolescents with the Lynn YMCA and Catholic Charities North, an Eye Clinic with the New England College of Optometry, a Clinical Pharmacy Program with Northeastern University, our 340B Pharmacy Program with Eaton Apothecary, patient advocacy efforts with the Lynn Health Task Force, geriatric health services with Greater Lynn Senior Services, family planning services with Health Quarters, cooking and grocery shopping classes with Cooking Matters, and a Suboxone Program for opiate users with Project Cope. 

CEO/Executive Director/Board Comments

LCHC has a very strong Senior Management Team with many decades of experience in community health. We face a number of challenges due to the rapidly changing landscape of health care. In just a very short time we have transformed our practice into a Patient-Centered Medical Home. Reimbursement changes in health care are both a challenge and an opportunity for community health centers. On the one hand, we provide the low cost community-based services that are key to reducing the overall cost of health care; but on the other hand, reimbursement for primary care has not kept up with expectations. Our strategy has been to meet the needs of our patients and our community and to provide excellent service. We think this philosophy will help us meet future challenges just as we have over the past 40 years.

Foundation Comments

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Staff Information

Number of Full Time Staff 679
Number of Part Time Staff 211
Number of Volunteers 40
Number of Contract Staff 14
Staff Retention Rate % 84%

Staff Demographics

Ethnicity African American/Black: 41
Asian American/Pacific Islander: 62
Caucasian: 478
Hispanic/Latino: 291
Native American/American Indian: 0
Other: 18
Other (if specified): 0
Gender Female: 741
Male: 149
Not Specified 0

Plans & Policies

Organization has Fundraising Plan? No
Organization has Strategic Plan? Yes
Years Strategic Plan Considers 4
Management Succession Plan No
Business Continuity of Operations Plan Yes
Organization Policies And Procedures Yes
Nondiscrimination Policy Yes
Whistle Blower Policy No
Document Destruction Policy No
Directors and Officers Insurance Policy Yes
State Charitable Solicitations Permit Yes
State Registration Yes

Risk Management Provisions

Risk Management Provisions
Workers Compensation and Employers' Liability

Reporting and Evaluations

Management Reports to Board? Yes
CEO Formal Evaluation and Frequency Yes Annually
Senior Management Formal Evaluation and Frequency Yes Annually
Non Management Formal Evaluation and Frequency Yes Annually

Governance


Board Chair Reverend Jane Gould
Board Chair Company Affiliation St. Stephen's Episcopal Church
Board Chair Term Oct 2013 - Oct 2015
Board Co-Chair --
Board Co-Chair Company Affiliation --
Board Co-Chair Term -

Board Members

Name Company Affiliations Status
Edward Besozzi Community Volunteer --
Doris Bryant Community Volunteer Voting
Laura Gallant Neighborhood Legal Services Voting
Rev. Jane Gould St. Stephens Episcopal Church Voting
Curtis Hayes Expeditors International Voting
Phoebe Jean Student Voting
Gardy Jean-Francois Community Volunteer Voting
William Jones Retired Voting
Terrence McGinnis Eastern Bank Voting
Manuel Ronald Mendes Newton City Hall, local law office Voting
Yolanda Morris NAACP Voting
Kim Norng Citizens Bank Voting
Lewis Pollack Retired Voting
Donna Richemond North Shore Community College Voting
Elizabeth Rosario Gervacio Congressman Tierney's Office Voting
Wannatha Sim YMCA of Metro North - Lynn Voting
Natasha Soolkin New American Center Voting
Rodolfo Vega John Snow, Inc. Voting
Michele Visconti Massachusetts Department of Public Health Voting

Constituent Board Members

Name Company Affiliations Status
-- -- --

Youth Board Members

Name Company Affiliations Status
-- -- --

Advisory Board Members

Name Company Affiliations Status
-- -- --

Board Demographics

Ethnicity African American/Black: 6
Asian American/Pacific Islander: 2
Caucasian: 8
Hispanic/Latino: 3
Native American/American Indian: 0
Other: 0
Other (if specified): 0
Gender Female: 11
Male: 8
Not Specified 0

Board Information

Board Term Lengths 3
Board Term Limits 3
Board Meeting Attendance % 89%
Written Board Selection Criteria Yes
Written Conflict Of Interest Policy Yes
Percentage of Monetary Contributions 100%
Percentage of In-Kind Contributions --
Constituency Includes Client Representation Yes

Standing Committees

  • --
  • Audit
  • Board Governance
  • Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
  • Finance
  • Strategic Planning / Strategic Direction

CEO/Executive Director/Board Comments

LCHC is a nonprofit 501(c)(3) organization, with a 19 member Board of Directors, representing a cross-section of the population served by the health center. Like all Federally Qualified Health Centers, over 50% of the board members are active patients of the health center. Our board members have a diversity of experience and expertise. We have, for example, a bank executive; attorneys; members with expertise in finance, government, public health, environmental safety, and long term care; employees of other community agencies; a union activist; an Episcopal priest; a high school student (a patient of our school-based health center at Classical High School); and several retirees. Eleven of the current 19 members are Latino, African American, or Cambodian; Eleven are women.
 
The Board of Directors has responsibility for setting the policies of the corporation, managing and controlling all property of the corporation, and assuring the financial viability of the organization and the quality of its services. The Board also has the responsibility for recruiting, hiring, and regularly evaluating the Executive Director, who is responsible to the Board for carrying out strategic and operational goals.

Foundation Comments

--

Financials


Revenue vs. Expense ($000s)

Expense Breakdown 2014 (%)

Expense Breakdown 2013 (%)

Expense Breakdown 2012 (%)

Fiscal Year July 01, 2014 to June 30, 2015
Projected Income $74,458,217.00
Projected Expense $73,965,639.00
Form 990s

2014 990

2013 990

2012 990

2011 990

2010 990

Audit Documents

2014 Audited Financial Statement

2013 Audited Financial Statement

2012 Audited Financial Statement

2011 Audited Financial Statement

2010 Audited Financial Statement

IRS Letter of Exemption

IRS Letter of Determination

Prior Three Years Total Revenue and Expense Totals

Fiscal Year 2014 2013 2012
Total Revenue $75,034,765 $66,583,707 $50,930,203
Total Expenses $73,998,294 $66,137,837 $41,454,553

Prior Three Years Revenue Sources

Fiscal Year 2014 2013 2012
Foundation and
Corporation Contributions
-- -- $240,000
Government Contributions $14,961,624 $13,500,113 $12,164,328
    Federal -- -- --
    State -- -- --
    Local -- -- --
    Unspecified $14,961,624 $13,500,113 $12,164,328
Individual Contributions $107,823 $151,530 $4,300,705
Indirect Public Support -- -- --
Earned Revenue $56,196,881 $49,642,825 $27,474,859
Investment Income, Net of Losses $265,577 $211,567 $77,368
Membership Dues -- -- --
Special Events -- -- --
Revenue In-Kind -- -- --
Other $3,502,860 $3,077,672 $6,672,943

Prior Three Years Expense Allocations

Fiscal Year 2014 2013 2012
Program Expense $66,442,797 $58,234,394 $34,903,931
Administration Expense $7,555,497 $7,901,482 $6,549,393
Fundraising Expense -- $1,961 $1,229
Payments to Affiliates -- -- --
Total Revenue/Total Expenses 1.01 1.01 1.23
Program Expense/Total Expenses 90% 88% 84%
Fundraising Expense/Contributed Revenue 0% 0% 0%

Prior Three Years Assets and Liabilities

Fiscal Year 2014 2013 2012
Total Assets $47,342,877 $45,209,343 $44,737,518
Current Assets $17,018,449 $13,459,125 $14,228,228
Long-Term Liabilities $17,489,398 $17,604,150 $17,713,651
Current Liabilities $4,922,621 $4,220,638 $3,805,793
Total Net Assets $24,930,858 $23,384,555 $23,218,074

Prior Three Years Top Three Funding Sources

Fiscal Year 2014 2013 2012
1st (Source and Amount) -- --
-- --
-- --
2nd (Source and Amount) -- --
-- --
-- --
3rd (Source and Amount) -- --
-- --
-- --

Financial Planning

Endowment Value --
Spending Policy Income Only
Percentage(If selected) --
Credit Line Yes
Reserve Fund No
How many months does reserve cover? --

Capital Campaign

Are you currently in a Capital Campaign? No
Capital Campaign Purpose --
Campaign Goal --
Capital Campaign Dates -
Capital Campaign Raised-to-Date Amount --
Capital Campaign Anticipated in Next 5 Years? No

Short Term Solvency

Fiscal Year 2014 2013 2012
Current Ratio: Current Assets/Current Liabilities 3.46 3.19 3.74

Long Term Solvency

Fiscal Year 2014 2013 2012
Long-term Liabilities/Total Assets 37% 39% 40%

CEO/Executive Director/Board Comments

LCHC’s financial position remains strong, with positive operating and bottom line margins over the past 18 years. Our cash balances have grown every year over the past 12 years, despite the large increases in volume each year. All of our other financial indicators are positive, including current ratio, leverage, and debt service coverage. LCHC has internal accounting and control systems appropriate to the size and complexity of the health center. Monthly financial statements are prepared and furnished to the board of directors, senior managers, team leaders and department supervisors.Annual independent financial audits are done by an outside accounting firm, Feeley and Driscoll. Our audits have always contained clean opinions, confirming the accuracy of our internal financial statements.

Foundation Comments

Financial summary data in the charts and graphs above are per the organization's audited financials.  Contributions from foundations and corporations are listed under individuals when the breakout was not available.
 
The Other category of revenue includes capital grants from the U.S. Dept. of Health and Human Services funded by the Affordable Care Act for building projects for $392K in 2014, $628K in 2013, $6.3M in 2012, $1.3M in 2011, $742K in 2010.

Documents


Other Documents

LCHC Brochure (2013)

Impact

The Impact tab is a section on the Giving Common added in October 2013; as such the majority of nonprofits have not yet had the chance to complete this voluntary section. The purpose of the Impact section is to ask five deceptively simple questions that require reflection and promote communication about what really matters – results. The goal is to encourage strategic thinking about how a nonprofit will achieve its goals. The following Impact questions are being completed by nonprofits slowly, thoughtfully and at the right time for their respective organizations to ensure the most accurate information possible.


1. What is your organization aiming to accomplish?

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2. What are your strategies for making this happen?

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3. What are your organization’s capabilities for doing this?

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4. How will your organization know if you are making progress?

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5. What have and haven’t you accomplished so far?

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