Share |

AltaMed Health Services Corp

 2040 Camfield Avenue
 Los Angeles, CA 90040
[P] (323) 889-7317 x 2317
[F] (323) 889-7399
http://www.altamed.org/
http://www.altamedgives.org/
[email protected]
Benjamin Wirick
FOUNDED: 1969
INCORPORATED: 1969
 Printable 1 Page Summary
 Printable Profile
Organization DBA AltaMed
Former Names --
Organization received a competitive grant from the community foundation in the past five years No
Employer Identification Number 95-2810095 00000

Summary


Mission StatementMORE »

AltaMed's mission is to eliminate disparities in health care access and outcomes by providing superior quality health and human services through an integrated world-class delivery system for Latino, multi-ethnic and underserved communities in Southern California.

Mission Statement

AltaMed's mission is to eliminate disparities in health care access and outcomes by providing superior quality health and human services through an integrated world-class delivery system for Latino, multi-ethnic and underserved communities in Southern California.


FinancialsMORE »

Fiscal Year 2019
Projected Expenses $519,947,289.00
Projected Revenue $536,694,878.00

ProgramsMORE »

  • Diabetes Group Visit Program
  • AltaMed HIV Programs and Services
  • Childhood Obesity Prevention
  • CDC Diabetes Prevention Program
  • Escalera STEM

Revenue vs. Expense ($000s)

Expense Breakdown 2017 (%)

Expense Breakdown 2016 (%)

Expense Breakdown 2015 (%)

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


Overview


Mission Statement

AltaMed's mission is to eliminate disparities in health care access and outcomes by providing superior quality health and human services through an integrated world-class delivery system for Latino, multi-ethnic and underserved communities in Southern California.


Background Statement

Founded in 1969 as the East Los Angeles Barrio Free Clinic, AltaMed has since grown to become the largest unaffiliated non-profit Federally Qualified Health Center in California with 43 clinics serving over 203,000 unduplicated patients annually through nearly 1 million clinic visits. Most patients live in vulnerable, underserved communities throughout Los Angeles and Orange Counties. Fully accredited by the Joint Commission on Accreditation of Healthcare Organizations, AltaMed continues to increase access to comprehensive health and human services to multi-ethnic and Latino medically underserved communities. AltaMed is committed to providing integrated, quality medical care to low-income populations, the uninsured and under-insured and those with limited healthcare options and to ensure that programs and services are accessible to all populations—regardless of ability to pay or other barriers to accessing healthcare services such as language, transportation, or cultural affinity.

Services. With clinical and administrative staff that live and work in target communities and represent its patient population, AltaMed effectively engages its patients through multicultural services that break down language and cultural barriers to accessing services. AltaMed provides a continuum of multilingual and culturally competent health and pre-emptive care services that include primary care, pediatrics, obstetrics/ gynecology, geriatric medicine and healthcare for seniors, HIV/AIDS treatment and prevention, family planning, youth outreach and pregnancy prevention, dental care, substance abuse treatment and prevention, and mental health services. Clinics offer walk-in access along with daily scheduled patient visits.

AltaMed also administers Escalera STEM, Lideres Avanzando, AmeriCorps and Health Fellowship programs, designed to support youth and young adults through post-secondary school and into the workforce. And for more than a decade, AltaMed has empowered populations among its patient community through integrated civic engagement activities including voter registration and education, Get Out the Vote (GOTV) drives, immigration/ naturalization and leadership-development activities and services.

 

 


Impact Statement

1. AltaMed has delivered quality care to underserved communities of Southern CA for nearly 50 years. As one of the largest independent Federally Qualified Community Health Centers in the U.S., AltaMed delivers more than 982,559 annual patient visits to approximately 298,402 unique patients through 41 service delivery sites in L.A. and Orange Counties.

2. In 2018, AltaMed improved the timeliness of abnormal mammogram screeningsand diagnostic follow-ups by 62% .

3. Through a CDC REACH grant, AltaMed worked closely with 211 L.A. County to update the healthy living portal which directs users to local farmers markets, health fairs, healthy restaurants, and free/low-cost exercise classes

 

4. Through its Civic Engagement department, AltaMed mobilized a large portion of its communities to take action on the decisions surrounding their health. For the 2018 primary election, AltaMed reached 65,090 individuals and increased voter turnout between 188-432%.

 

5. In 2019, AltaMed has been moving toward a software, Epic, that will help providers monitor our patients' health to best serve them and each of their unique needs. Through the analysis of social determinants of health, claims data, and patient reported data, providers will match patients appropriately to programs and interventions that demonstrate the highest value of care.

AltaMed's 2019 goals

To Improve HEDIS (Healthcare Effectiveness Data and Information Set) measures in the following categories:

 

1. Increase cervical cancer screening rates from 52% in quarter one to 66% in quarter 4.

 

2. Increase colorectal cancer screening rates from 38% in quarter one to 66% in quarter 4.

 

3. Increase the number of diabetic patients who have Hemoglobin A1c (HbA1c) blood glucose levels less than 8%.


 


Needs Statement

As 91% of AltaMed's patients live within 200% of the Federal Poverty Level, there is a high need of access to a variety of health and human services.

1. There is a great need for additional minority, culturally competent physicians and health providers in AltaMed's service areas.

2. Need to recruit highly-qualified primary care physicians to provide health care to vulnerable and low-income communities in L.A. and Orange counties.

3. Need to obtain a customer relationship management database for workforce development department to track participants after high school/college/graduate school completion.

4. Dental equipment for new Anaheim dental site.

5. The need to strengthen primary care and the workforce by establishing fellowship programs to train community-based practicing primary care physician and/or physician assistant champions to lead health care transformation and enhance teaching in community-based settings. 


CEO Statement



Board Chair Statement

 

Statement from the AltaMed Foundation President

This year, AltaMed is celebrating a huge milestone. We are turning 50, and we’re looking forward to celebrating with our community, employees, patients, and supporters throughout the year. Although we are excited about the many celebrations on the horizon, there is still work to be done to further AltaMed’s mission. In 2018, the United States had an important election. I’m happy to report that along with other community partners, we were able to mobilize a large portion of our communities to take action on the decisions surrounding their health. AltaMed is also determined to transform the social determinants of our community’s health. Our patients’ health does not simply start when they visit our clinics; their health outcomes are also aff‑ected by how and where they live. In accordance with our seven-year plan, we are investing in the health and outcomes of our communities. We will be moving toward a software that helps us monitor our patients’ health to best serve them and each of their unique needs. AltaMed is incredibly honored and grateful to our supporters and community over the past 50 years—and there’s much more to come. We hope you are as excited as we are to celebrate and bring our collective vision to life.

 

Thank you for continuing to support us,

 

Zoila D. Escobar

President

AltaMed Foundation 

 

 


Other Ways to Donate/Volunteer

annual giving/direct mail appeal, phone/online donations, in-kind donations, event volunteers, fundraising special events (Duck-a-thon, East L.A. Meets Napa, O.C. Meets Napa, golf tournament), individual or planned giving programs, and major giving.

Geographic Area Served

Central Orange County
North Orange County

AltaMed provides health care and human services throughout a service area in Southern California that extends from East Los Angeles, to include metropolitan, southeast, and northeast Los Angeles, to cities and areas of central and northern Orange County, including Huntington Beach, Garden Grove, Orange, Anaheim, and Santa Ana.

Organization Categories

  1. Health Care - Community Clinics
  2. Health Care - Ambulatory & Primary Health Care
  3. Youth Development - Youth Development-Business

--

Programs


Diabetes Group Visit Program

AltaMed’s Diabetes Group Visit Program, with evidence-based curriculum (Diabetes Empowerment Education Program-DEEP) , addresses the root causes of diabetes related health disparities & the lack of prevention behaviors in persons at high risk for diabetes and prediabetes. The 6 week program provides diabetes education in combination with one-on-one medical evaluations by a physician. The educational component is co-facilitated by a health educator & a physician, and is designed to foster group participation and interaction that encourages learning among participants. Community health workers (promotoras) with similar cultural backgrounds & language preferences to AltaMed’s patients are the strength of the program. Promotoras establish trust with patients & deliver personalized health education on chronic disease self-management through meal planning, medication, and medical care. Promotoras meet with patients, provide supplementary education and counseling, and then ongoing follow up.
Budget  16,475
Category  Health Care, General/Other Early Intervention & Prevention
Population Served At-Risk Populations Adults Hispanic, Latino Heritage
Program Short-Term Success 
Statistical analysis by medical students demonstrated that the Diabetes Group Visits have positive effects on patients' clinical outcomes including Hemoglobin A1C (0.94) points, LDL (20.9) points, and systolic blood pressure (9 points). Other short term achievements include: an increase in patient knowledge on diabetes, behavior change, improvements in clinical outcomes, increase in general wellbeing, increased trust in providers, empowerment to make lifestyle changes, increase in exercise, choosing a healthier diet, participants are more prone to comply with physicians' suggestions during and after the program, a trend in improved general health across the board, increase in activity, an improvement in the participant's emotional and physical state, improved lab values, and increased comfort in self-management.
Program Long-Term Success 

AltaMed’s initial pilot program demonstrated good outcomes, the most significant of which included a 9 point improvement in systolic blood pressure, a 21 point improvement in LDL cholesterol levels, and a 0.94 improvement in A1c levels. After the expansion of the Diabetes Group Visit Program into four additional sites, clinical trends continued to show positive results across all lab measurements. Qualitative outcomes included patient satisfaction data that show the majority of participants preferred the group format over traditional visits and significant increases in patients’ self-reported physical activity and healthy lifestyle changes. Also, following their participation in the group visits, patients reported having better understanding and control over their diabetes.

 

Program Success Monitored By 

Program success will be measured by the following metrics:

90% of patients enrolled in the program will successfully complete the DGV Program at 5 AltaMed  clinics

70% of patients who complete the DGV Program will demonstrate clinical improvements in LDL cholesterol levels, A1c levels, and systolic blood pressure as a result of lifestyle changes made as a result of participating in the program

 


Examples of Program Success 

Patient Quote: “Ever since I saw the blood bags that show the difference in blood viscosity depending on the blood sugar level, I have stopped drinking soda!"

"One of our patients started the Diabetes Empowerment Education Program (DEEP)/Diabetes Group Visit (DGV) program at AltaMed Medical Group – Pico Rivera, Slauson in January of this year. Last week, he received the results of his most recent labs while visiting with Kim Thomas, NP. It was a very emotional moment for him to see the results: A1C dropped from 14 to 6.6, Triglycerides dropped from 415 to 169, and his weight dropped down to 246 pounds from 283 pounds. He declared, with tears in his eyes, that he was grateful to AltaMed, especially for the classes and the care he received from Kim during each visit. I am very happy for him, and for the work we do in our patients' lives."

Mariana Murrieta-Health Promoter, Health Education and Wellness



AltaMed HIV Programs and Services

AltaMed deploys routine HIV testing across its 41 primary care clinics since 2013 and screens over 30,000/year among its general patient population. Established as a leader in HIV biomedical prevention targeting Latinos, AltaMed served as principal organizer of a 2014 PrEPárate Summit which educated Latino providers on PrEP use and culturally-competent access.  AltaMed provides comprehensive primary health care and support services in an outpatient setting for people living with HIV (PLWH) including: early intervention services such as HIV counseling and testing; monitoring of disease progression; treatment of HIV; diagnosis and treatment of related infections; and case management and benefits assistance to support PLWH. Annual patients served (Medical): 2,007; Annual patients served (Prevention): 7,158.

Budget  19,909,986
Category  Health Care, General/Other Ambulatory & Primary Health Care
Population Served Unemployed, Underemployed, Dislocated Poor,Economically Disadvantaged,Indigent Hispanic, Latino Heritage
Program Short-Term Success 
AltaMed's Better Together, an HIV prevention, outreach, and education program targeting Black high-priority groups in Los Angeles, proposes to change two key behaviors:  increase HIV testing and increase PrEP uptake in black high-priority subpopulations.  AltaMed’s Mobile Testing Unit and PrEP Navigation team will be on site at events to increase access to services and the likelihood boost participant engagement.  Testing staff will connect directly with event guests to allay testing anxieties. Incentives will be used to boost testing. And podcast co-hosts will urge guests to visit the MTU which will be parked directly outside the venue.  PrEP Navigators will screen for high-risk behaviors, provide education, and schedule PrEP appointments at an AltaMed clinic. During all podcasts, co-hosts will direct listeners to AltaMed testing sites and its Center for PrEP Excellence as well as to other testing locations and PrEP providers in the community. 
 
Program Long-Term Success 

Historically, AltaMed has been a provider-of-choice among the Latino population in Los Angeles and Orange Counties—for primary care services for the general population as well as for HIV prevention and medical care services.  With over 30 years of experience addressing HIV in predominantly Latino communities, AltaMed also continues to serve a diverse patient population, including African-Americans.  As part of its PrEP provider video series, AltaMed produced and launched its Kiki n’ Brunch video short to raise awareness of PrEP among black MSM.  AltaMed followed this up with its Fierce video shorts to engage black and Latina transgender women. Finally, later this month, AltaMed will release its Free to Be Sexual Health Campaign, a first-of-its-kind campaign inclusive of gay men of color (Black and Latino) to normalize and de-stigmatize same-sex relationships.

Program Success Monitored By 

AltaMed will monitor its proposed activities through information/ data collected from both project target population/participants and staff.  Methods include the collection and tracking of target population event participation numbers, clinical outputs (# taking HIV tests, # referred to PrEP), and self-reported increase in knowledge and awareness.  Specfically for the Better Together program, data will be gathered from event sign-in logs, podcast downloads, AltaMed electronic health record system (NextGen), PrEP program referral logs, and surveys administered online. 

AltaMed successfully manages a portfolio of over 100 different government contracts with federal and state agencies and approximately 50 private grant agreements. All require collection, tracking, monitoring, and reporting of data and data analysis to determine the effectiveness of contracted services or interventions.
Examples of Program Success 

23 year old Leonel moved to the U.S. from Guatemala 1 year ago with hopes of living the American Dream.  But that dream is a little harder to attain when you get a diagnosis like "HIV positive." Leonel first learned about AltaMed when he asked friends where he could get tested for HIV.  While living as an openly gay young man who is HIV positive isn't easy, AltaMed has made it a lot more bearable.  "The way they treat me is great," says Leonel. "The doctors are great. The entire staff is so welcoming and treats me like family. I can see that they love their jobs." Leonel is especially thankful for his case manager, primary care doctor, psychologists, and nutritionists who have helped him navigate the path to better health.

Childhood Obesity Prevention

STOMP, Solutions & Treatment in Obesity Management & Prevention, is a healthy weight management program for children, teens & families. Although STOMP is predominantly for children & teens, inevitably adult family members learn healthier behaviors as the program is implemented in the home. Children & families discover a new healthier way of living. STOMP is a 12 month pediatric weight-control lifestyle program that helps participants live a healthy lifestyle with the help of nutrition & fitness education, motivational messages, medical care & personal consultations. Healthy weight & disease prevention come naturally. Topics covered include:  nutrition basics, reading food labels, food portion sizes, balancing meals, managing social eating & dining out, balancing physical activity with computer time, chronic disease prevention, stress management, body image & self-esteem, emotional eating, and fun fitness & training. Eligibility: BMI above 85th percentile, and obesity.


Budget  $327,550.40
Category  Health Care, General/Other Early Intervention & Prevention
Population Served Children and Youth (0 - 19 years) Children Only (5 - 14 years) Adults
Program Short-Term Success 
Objectives include (1) At the end of one year, at least 400 students will receive information on developing a healthy lifestyle; (2) At the end of one year, at least 75 students will participate in a flash mob dance workout and (3) At the end of one year, at least 100 students will complete a healthy lifestyle commitment form.
 
Program Long-Term Success 

 AltaMed’s STOMP (Solutions & Treatment in Obesity Management & Prevention) Healthy Weight Management Program will ultimately teach children and families how to adopt a healthy, active lifestyle. The 12-month program will help families get healthier by adopting nutritional & dietary changes and participating in fitness education, receiving motivational messages, medical care, and personal consultations. Health educators will teach families how to make quick, balanced meals on a budget and incorporate exercise into their daily routine. STOMP will help families to develop positive habits that will lead to a longer, healthier life. Ultimate changes will be for participants to maintain or reduce weight/BMI, and to have healthier lipid panel results.

 

Program Success Monitored By 
A Champion Provider monitors medical care for weight management and tracks BMI from initial visit, through weekly sessions and the maintenance phase of the program. A PSA is responsible for maintaining program templates and ensuring program targets are met at local sites. The PSA maintains the program schedule throughout the year (the schedule for weekly sessions 1-12 or 1-16 and the maintenance phase of the program). Wellness M.A.s are primarily responsible for providing the most accurate measurements for program evaluation on BMI for both patients and family. BMI will be used by the provider to make a weekly assessment on patient progress as well as overall program evaluation. A Program Physical Activities Specialist conducts and reports on patients' week 1 and week 12 step test as well as monitors physical activity maintenance phase.
Examples of Program Success 

Patient #1: As of July, this patient was our star STOMPer, hitting all three metrics: He had perfect attendance to all STOMP visits. He decreased his BMI from 97% to 96%. He showed improvement in his labs, lowering his total cholesterol from 125 to 106, his LDL from 71 to 53, and his triglycerides from 102 to 62, also increasing his good cholesterol (HDL) from 35 to 39. He was the winner of our $100 Target gift card raffle! We are very proud of him. *As of November, this patient is in maintenance mode, and attends STOMP twice monthly.  

Patient #2: This patient was a special case in that she was very much aware of her “number,” so we as a team decided not to weigh her and instead asked her to focus on healthy changes and how she felt. She completed 8 out of 12 visits and decreased her BMI from 98% to 94%! She and her family made excellent strides in adopting healthy habits and exercising as a family."



CDC Diabetes Prevention Program

In an effort to provide a workable treatment for the epidemic of obesity and diabetes among AltaMed's largely Latino, low-income, and marginalized Los Angeles patient population, AltaMed initiated a diabetes prevention campaign in October 2014 via the Adult Health Weight Management Program, modeled after the National Diabetes Prevention Program recommendations. The Diabetes Prevention Program (DPP) is an evidence-based program specifically targeting adults with pre-diabetes (HbA1c 5.7-6.4%), but AltaMed includes others at risk as well, if they are interested. DPP is a lifestyle change program focusing on healthy eating, stress management and active living habits. The average weight loss is 2-5.8% after 6-12 months; CDC program designed to result in 5% weight loss. Expected outcomes include: for participants to reduce weight/BMI, and a decrease in HA1c values.  

Budget  97,846.40
Category  Health Care, General/Other Ambulatory & Primary Health Care
Population Served At-Risk Populations Adolescents Only (13-19 years) Hispanic, Latino Heritage
Program Short-Term Success 

AltaMed serves on average, 20 people per week.  Each participating cohort has demonstrated positive results per the program objective of reducing 5-7% body weight. During the 12 month duration of the program participants attend classes reviewing the CDC-DPP curriculum; in addition, participants receive coaching from an interdisciplinary team specific to the program.

 
Program Long-Term Success 

Since its starting date in 2014, the program has expanded and is now occurring on a weekly basis, on average AltaMed host 20 participants weekly.  Each participating cohort has demonstrated positive results per the program objective of reducing 5-7% body weight. During the 12 month duration of the program participants attend classes reviewing the CDC-DPP curriculum; in addition, participants receive coaching from an interdisciplinary team specific to the program.  The interdisciplinary team includes a Health Educator, register dietician (R.D.), community health worker or promotora, clinical team including medical provider (see attached Obesity and Diabetes Don’t Stand A Chance: AltaMed’s CDC-DPP Hard At Work).  AltaMed has been successful in integrating the medical management of participants with our NextGen EHR system as well as enterprise-wide referral system.  Providers and Medical Management look forward to expanding the program enterprise-wide.

Program Success Monitored By 

A criteria for a prediabetes diagnosis based on Hemoglobin A1C (HgA1c) of 5.7-6.4% has been established and can be flagged on the NextGen EHR. For patients identified by the system as prediabetic, a popup window will alert physicians that the patient has met the criteria for referral to Health Education. This pop up window will be modified to show the prediabetes requirements for HgA1c and other risk factors. Physicians can select the appropriate indicator to inform the Health Educators who will subsequently follow up with patients diagnosed with prediabetes.

 

Health Educators will review referrals to DPP, contact patients to assess their willingness and readiness for the program and facilitate completion of testing. Blood testing will be completed via Quest Labs, AltaMed’s lab test vendor, with test data reported electronically and integrated into NextGen. This testing will confirm eligibility and allow the Health Educator to track patient outcomes over time.

Examples of Program Success 

After three years, the Diabetes Prevention Program (DPP), managed by our Health Education and Wellness department, has received full recognition from the Centers for Disease Control and Prevention (CDC). Full recognition means that our program, currently operating out of Anaheim and Boyle Heights, has demonstrated effectiveness by achieving all of the performance criteria detailed in the Diabetes Prevention Recognition Program Standards. This is critical to our being able to continue expanding the program to more locations.

Quotes from the patients:
"Ever since I started coming to the class, I am exercising more and I have made changes to my eating habits. For example, I switched from cow's milk to almond milk."
 
"I now understand carb counting and how to read food labels. Now that I am aware of this I am more conscious about what I eat and add more veggies to my meals. I have lost five pounds since I started coming to this program!"

Escalera STEM

AltaMed's Escalera STEM program, an affiliate of Unidos US, is a national, evidence-based, after-school model that promotes economic mobility for Latino youth by increasing their educational attainment, career planning, and access to advanced careers. Escalera STEM helps Latino youth graduate from high school, prepare for college, and make informed plans for their careers. Escalera STEM addresses the main barriers that negatively affect the Latino STEM pipeline: lack of awareness and exposure to STEM education. Escalera STEM is composed of modules that include STEM career projections, Latinos in STEM, la familia in the college-going process, girls in STEM, aspirations versus reality, and STEM panels, in addition to a program culmination event when the program ends in 2 years. The program begins in junior year and ends at high school graduation. In 2019, the next cohort of students will consist of 128 juniors and seniors from three high schools: Roosevelt, South East, and South Gate.

Budget  230,668
Category  Youth Development, General/Other Youth Development, General/Other
Population Served Adolescents Only (13-19 years) Hispanic, Latino Heritage Poor,Economically Disadvantaged,Indigent
Program Short-Term Success 

Escalera STEM also helps parents and program participants by providing them with financial aid workshops and guiding them through the financial assistance process, as well as helping students write their personal statements as part of their college application. Additionally, the program helps students and parents in the community enhance their financial literacy as workshops presented by financial institutions discuss budgeting, how to live within your means, and understanding benefits (401 (k), 403 (b), etc.) as young adults start a professional career. Escalera program infrastructure includes individualized case management on a weekly basis. Check-ins enable students to develop a meaningful relationship with their case manager, who is able to help them develop an individualized plan to achieve their goals. Case Managers also work with parents to provide them with the tools to support their child at home.

Program Long-Term Success 

AltaMed's program will address the problem of barriers to success in school for students from a high-risk population, and help program participants succeed in high school and pursue post-secondary education. AltaMed's program will help Los Angeles area youth graduate from high school, enroll in post-secondary education, and find rewarding STEM careers, enabling them to break the cycle of poverty and achieve career success. This rigorous program is designed to give underserved students the guidance necessary to succeed in school and remove the barriers preventing them from pursuing STEM careers. Academic milestones to occur include increased GPAs and number of scholarships awarded to students.

Program Success Monitored By 

AltaMed successfully manages a portfolio of over 100 different government contracts with federal and state agencies and approximately 50 private grant agreements. All require collection, tracking, monitoring, and reporting of data and data analysis to determine the effectiveness contracted services or interventions. Data collection and tracking mechanisms employed by AltaMed vary depending upon the specific program; they include internal databases, web-based database applications, or government agency-supported applications to track programs or services data. A Grants Manager oversees each contract to ensure compliance with grant requirements and outcome goals.

AltaMed Escalera STEM partners with Unidos US to implement its Escalera STEM through use of a specific curriculum. As a grantee of Unidos US, AltaMed submits information and data to meet grant requirements as to how program success is measured.
Examples of Program Success 

Julian Palacios,South East High School: "Escalera STEM has provided me with nothing but help in planning what I want to do with my future. From field trips to one-on-one talks with the amazing case managers we have been assigned, this program is by far one of the best programs you can be a part of if you are pursuing a career in the STEM field.  We have been taken to college campuses and on trips which expose us to civic engagement opportunities and now we are being provided with the opportunity to go to Washington, D.C. for a summit which will provide us with valuable leadership skills, civic engagement, and community development".

Jesus Gonzalez, South Gate High School: "Through the Escalera STEM program, we went on a trip to Washington. Public speaking was a topic that came up several times during this trip. On this trip, I witnessed most of my peers turning pale. I realized how much of a fear most people have when it comes to public speaking. Escalera helped me conquer this fear. 

Management


CEO/Executive Director Castulo de la de la Rocha J.D.
CEO Term Start 1977
CEO Email [email protected]
CEO Experience

Cástulo de la Rocha, J.D., President and CEO, is chiefly responsible for building the largest community health center in the state of California.  As President & CEO of AltaMed Health Services Corporation, Mr. de la Rocha is an enduring trailblazer in community health.  Under his visionary leadership, AltaMed has transformed from a storefront barrio clinic in East L.A, into the largest nonprofit Federally Qualified Health Center in California, & among the top 5 in the nation.  He is a national figure in the community health field.  His purpose in entering the OC healthcare safety net system is driven by his profound belief that if AltaMed puts in place the same operating techniques and sensitive approaches it has used for the healthcare safety net in LA County, it can be very successful in making a positive impact on the lives of the indigent, underserved and underinsured in OC.

Former CEOs and Terms

Name Start End
-- -- --

Senior Staff

Name Title Experience/Biography
Ms. Mary Ann Barnes Executive Vice President & Chief Operations Officer Mary Ann Barnes is the Executive Vice President and Chief Operations Officer of AltaMed Health Services Corporation. In this role, she touches nearly every aspect of day-to-day care, and helps shape the AltaMed experience across the entire health care delivery system — patients, physicians and care practitioners, and employees.

Ms. Barnes joined AltaMed in 2017 and oversees the health care system. Services under her purview include Senior Care Services (including eight PACE sites and the MSSP/SSP grant programs), Health Care Services (including 30 clinics), Information Technology Services, Operational Excellence, Pharmacy, Aging Services, and IPA network management. 

Having started her career as a nurse, Ms. Barnes has always been focused on seeing things from the patient’s perspective—to ensure they experience the best possible care. This persistent belief in always making a bigger difference in the lives of patients is what fueled Ms. Barnes’ rise and 36-year tenure at health giant Kaiser Permanente. From her start as an ICU nurse on the nightshift in San Diego, to growing Kaiser Permanente San Diego membership by 528,000, and then being instrumental in the planning of a new $900 million tertiary hospital, she has earned a profound 360-degree insight into the relationship between the health of individuals and their community.

As the President of Kaiser Foundation Health Plan and Hospitals Hawaii Region, one of Ms. Barnes’ biggest challenges was taking a large, state-owned hospital system and working with government officials and existing staff to turn the system into true private community hospitals for Maui County. Over the course of this complex initiative, she demonstrated prowess in strategic business planning, clinical and financial operations, government and community relations, and organizational development.

Mr. Remi de la Rocha Senior Vice President, Managed Care Mr. de la Rocha joined AltaMed in December 2007 and is currently the SVP of Managed Care. His primary responsibilities include providing leadership to grow AltaMed's Managed Care Operations by developing strategic plans to promote revenue, profitability, and growth of the division. Mr. de la Rocha directs the efficiency, quality, service, and cost-effective management of resources regarding payers, oversees and leverages existing relationships, and identifies the objectives necessary for the company to succeed as health care systems change. Mr. de la Rocha's previous experience includes Contract Specialist and Provider Relations Representative at LA Care.
Zoila D. Escobar Senior Vice President, Strategic Development & Community Support

Ms. Escobar has an extensive and varied history in the health care arena. After a student internship in the early 1980s at AltaMed, Ms. Escobar worked with AIDS Project Los Angeles, as Program Director of the first “Latinas and AIDS” program in Los Angeles County. At the UCLA Family Planning Clinic, Ms. Escobar served as Clinic Administrator for HIV Services and later became the Director of Education and Government Affairs for the Arthritis Foundation. She has also served as Technical Assistant for the World Health Organization where she worked to develop and implement a comprehensive training program to help physicians and other health care professionals improve Hemophilia and HIV Infection Health Care Systems internationally. In the 1990s, Ms. Escobar rejoined AltaMed to expand AltaMed’s HIV services. During her time at AltaMed, Ms. Escobar has served as co-chair of the first “Binational U.S./Mexico AIDS Conference”; chaired the “Latino Artists against AIDS” Art Show, the “Big Sisters of Los Angeles - Latina Advisory Dinner and Gala” fund-raising committees and routinely volunteers her time for several other community fund raising events. Currently, Ms. Escobar is responsible for strategic development at AltaMed; this includes cultivating community support from stakeholders in the Southern California healthcare safety net and developing philanthropic support from public and private funding sources.

Jose Esparza Senior Vice President, Finance and Chief Financial Officer Mr. Esparza joined AltaMed in January 1994 and currently serves as Senior Vice President of Finance and Chief Financial Officer. In this position Mr. Esparza is oversees all accounting personnel, systems, policy, budgets, financial reports, tax returns and annual audits. Mr. Esparza monitors, guides and ensures that AltaMed’s financial strategy supports the strategic plan. He also analyzes and reports on revenue and expenditures and explores opportunities for expansion to sustain future organizational growth. Mr. Esparza’s previous experience included positions in public accounting where he managed independent audits of both for-profit and nonprofit organizations, including being the General Financial Manager for Northeast Valley Health Corporation. Mr. Esparza received a Master of Business Administration from the University of Phoenix, and a Bachelor’s degree in Business Administration from California State University, Los Angeles.
Robert Gomez Vice President, Business Development

Robert Gomez presently serves as the Interim Vice President of Business Operations for Altamed Health Services Corporation. With over 20 years of healthcare experience, Mr. Gomez has served as the Chief Executive Officer for El Rio Health Center in Tucson Arizona, where he built a nationally recognized community health center program.

During his long career in community health programs and development he has been active at the state and national levels including service on the Board of Directors and former President for the National Association of Community Health Centers.

Robert Gomez has a Bachelors in History from Texas A & M International University.

Mr. Louis Gutierrez Vice President of Human Resources Louis Gutierrez is Vice President of Human Resources at AltaMed, a position that directly impacts nearly every member of the health system’s workforce. He oversees employee compensation, benefits, human resource information systems, talent acquisition, workforce planning, and talent management. In this position, Mr. Gutierrez and his team balance immediate, day-to-day needs with longer-term, strategic initiatives that strengthen AltaMed’s ability to provide quality health care to all of those it serves.

Since joining the company in 2017, Mr. Gutierrez has fostered a work environment that recognizes and rewards accuracy, responsiveness, and sound business judgment. He’s a tireless advocate for education and talent development, encouraging AltaMed employees to learn as much as they can—not only so they can grow within their role or advance within the company, but so that they can reach their own unique potential. While he takes pride in creating a supportive environment for employees to take on new challenges, he understands the importance of developing diverse talent pipelines, especially to grow the AltaMed provider network. The HR team’s work is devoted to supporting the business and people strategies of the organization, and positioning AltaMed as an employer of choice in the health care industry.

Mr. Gutierrez has a demonstrated track record for creating performance-driven environments where employees at all levels are able to do their best work. Prior to joining AltaMed, Mr. Gutierrez held senior human resources and legal positions for global organizations such as Cox Enterprises Automotive Group, Paramount Pictures, Time Warner Cable, Turner Broadcasting, and The Walt Disney Company. Mr. Gutierrez has spent more than 20 years successfully building and delivering enterprise-wide human capital and organizational effectiveness initiatives that drive business results while enhancing employee engagement and wellness.

Henry Holguin J.D. Senior Vice President, General Counsel

 Mr. Holguin is the full-time General Counsel at AltaMed. He had previously represented AltaMed since 1988 and is proud to continue in this role as a full-time employee. He previously represented a wide variety of corporate, business, and health care clients and entrepreneurs in various transactions, negotiations, litigation, administrative, regulatory and licensing matters. He has represented clients involved in matters with the California Attorney General's office, Department of Health Services and various professional boards in California and other states. In his current capacity, he counsels AltaMed on the structure, business, and regulatory issues affecting health care operations, providers and professionals, including medical and dental groups and IPA practice development, formation of management service organizations (MSOs), Knox-Keene health care service plans, HMOs and other managed care health delivery systems. In October 2008, Mr. Holguin was named one of the top 100 in the U.S. and top 40 in Los Angeles most "influential Hispanics".

Mr. Raymond Lowe Senior Vice President, Chief Information Officer Highly accomplished, results-oriented healthcare IT executive with proven track record for complex system delivery and operations. Visionary, strategic, and resourceful problem solver committed to operational excellence via innovative technical implementations. Articulate communicator, with exceptional interpersonal skills to effectively lead and mobilize cross-functional teams to accomplish corporate objectives. Mr. Lowe's previous experience includes Senior Director IT Enterprise Technology & Infrastructure; and Senior Director IT Enterprise Clinical Implementation and Acute Care Strategy at Dignity Health, and IS Director Saint Joseph Hospital/IS Operations Information Systems at Providence Health and Services.
Dr. Frank Meza M.D., MPH Interim Chief Medical Officer Dr. Meza has been active in Community Health programs and Latino medical student organizations since the late 1960s. He helped organize the Brown Beret East Los Angeles Free Clinic and co-founded the student-run Clinic Tepati at UC Davis School of Medicine. He is also the co-founder of Chicanos for Creative Medicine and the California Latino Medical Student Organization. He served as Chairman of the AltaMed Board and Quality Chair of one of the largest Federally Qualified Health Care systems in the U.S. serving a low income population in Southern California from 2008-2014. He presently is a medical consultant and interim Medical Director with AltaMed to coordinate new strategies to eliminate health care disparities.
Angela D. Roberts Senior Vice President, Facilities Development & Management

Ms. Roberts joined AltaMed in 1997 to direct and implement technology and electronic information systems necessary to accomplish stated business objectives and goals. Ms. Roberts was formerly a Senior Management Officer with the University of California at Los Angeles, and an Executive Vice President with the Housing Authority of the City of Los Angeles. Ms. Roberts has over 25 years of extensive experience in the IT arena. In 2001, Ms. Roberts’ role within AltaMed expanded to include oversight of facility development projects, inclusive of property acquisitions, construction and renovations efforts, and expansion opportunities. Ms. Roberts received her Bachelor of Arts degree from California State Dominquez Hills. She has served as a technical advisor to several IT trade associations and has been a member of the Information Systems Strategic Planning Committee for the California Primary Care Association. Ms. Roberts has been recognized for her exceptional achievements with awards from the City of Los Angeles; the National Association of Housing and Redevelopment Officials (NAHRO); and the Housing and Urban Development Department (HUD).

Marie S. Torres Ph.D., L.C.S.W., A.C.S.W. Senior Vice President, Government Relations

 Dr. Torres joined AltaMed in June of 1991 and currently serves as Senior Vice President of Government Relations & Community Research Initiatives. During her tenure at AltaMed, Dr. Torres has directed the expansion of senior services including the development and implementation of the first Program of All-inclusive Care for the Elderly (PACE) in Southern California, four new adult day health care centers, new case management programs targeting functionally impaired adults, and other home and community-based long term care services in the Latino and other multicultural underserved communities. Dr. Torres’ prior management experience was at Huntington Memorial Hospital, Senior Care Network in Pasadena, the Edward R. Roybal Institute of Applied Gerontology at California State University, Los Angeles and the East Los Angeles Health Task Force. She has more than twenty-four years experience in gerontology and health services administration; leadership; extensive legislative advocacy; and knowledge in health and social welfare. In 2000, Dr. Torres was the recipient of the 1999 Distinguished Alumna Award, School of Health and Human Services, California State University, Los Angeles. Dr. Torres is recognized as a national and local lecturer on topics related to integrated health and long-term care delivery systems, managed care, case management, elder abuse, public policy, and the Latino elderly. Dr. Torres is active in several community organizations, including the California Association for Adult Day Services, the California Primary Care Association (Executive Committee Member of the Board), USC Latino Social Work Alumni Advisory Committee, California State University, Los Angeles School of Social Work Advisory Board, Trabajadores de la Raza (a professional Latino social work organization), the Los Angeles Leadership Council of Aging Organizations and the National Hispanic Council on Aging. Dr. Torres received her doctoral and master's degrees from the University of Southern California, School of Social Work.

Ms. Anna Tran Senior Strategy Executive  Ms. Anna Tran joined AltaMed’s senior leadership team in 2017 as Senior Strategy Executive. She oversees AltaMed’s Managed Care as well as the Sales and Marketing team, focusing on membership growth. She also supports our President & CEO in planning the long-term strategic growth of the organization. 

Ms. Tran comes to AltaMed with an extensive history in health care leadership. While she previously served as CFO at Pacific Alliance Medical Center, she later spent a total of 18 years on the leadership team of Care1st, where she held the roles of CFO, COO, CEO, President, and Strategic Advisor, eventually facilitating the sale of Care1st and the transition of more than 500,000 members to Blue Shield of California. From 2011 to 2014, Ms. Tran was a member of AltaMed’s Board of Trustees.

Education
M.S., Accounting, California State University, Los Angeles
B.S., Biology, California State University, Los Angeles

Ms. Maria Zamora Vice President, Senior Care Operations Ms. Zamora joined AltaMed in June 2016 as the Vice President of Senior Care Operations. She is responsible for managing services related to the PACE program and the Multi-Speciality Senior Service Program (MSSP) that provides care to frail individuals who are not eligible for PACE. Additionally, Ms. Zamora oversees all eight PACE locations, ensuring that all program requirements are met. As the VP of Senior Care Operations, Ms. Zamora leads the strategic development, business development, and integration efforts for senior care services. Ms. Zamora's previous experience includes Regional Executive Director at InnovAge Greater California and New Mexico PACE where she had an oversight of an interdisciplinary team of healthcare professionals. Ms. Zamora is a graduate of Webster University where she received her Master's in Business Administration.

Awards

Award Awarding Organization Year
CAPE Silver Eureka Award California Awards for Service Excellence 2016
Safety Net Provider of the Year Award Los Angeles Business Journal 2016
Visionary Nonprofit Award California Center for Public Health Advocacy 2016

Affiliations

Affiliation Year
-- --

External Assessments and Accreditations

External Assessment or Accreditation Year
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - Ambulatory Care Accreditation 2014
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - Behavioral Health Care Accreditation 2014
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - Health Care Network Accreditation 2014
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - Home Care Accreditation 2014

Collaborations

Q1-Collaboration: Collaborations with other Federally Qualified Health Centers

AltaMed has collaborations with several local Federally Qualified Health Centers. Clinica Monsignor Oscar A. Romero Community Health Centers in East Los Angeles and Central City Community Health Center both accept referrals of AltaMed patients for mental health. Other LA County FQHC relationships exist with Family and Health Care Centers of Greater Los Angeles, JWCH Institute, and South Central Family Center, as well as North East Community Clinic, a FQHC Look-a-Alike. All of these clinics have service areas that overlap in some areas, and together with AltaMed are committed to serving medically underserved populations in East, Central and South LA. AltaMed was the second FQHC to establish a presence in Orange County (for many years the only FQHC in Orange County was the University of California/Irvine Medical Center [UCI]), and has since provided support to several community clinics in their efforts to achieve FQHC status. Assistance was provided to the UCI clinics to more accurately calibrate their UCI Medical Centers’ billing and claims system.

Staff Information

Number of Full Time Staff 3,001
Number of Part Time Staff 17
Number of Volunteers 171
Number of Contract Staff 0
Staff Retention Rate % 19%
Staff Professional Development Yes

Staff Demographics

Ethnicity African American/Black: --
Asian American/Pacific Islander: --
Caucasian: --
Hispanic/Latino: --
Native American/American Indian: --
Other: 3,001
Other (if specified): --
Gender Female: --
Male: --
Not Specified 3,001

Plans & Policies

Organization has Fundraising Plan? Yes
Organization has Strategic Plan? Yes
Years Strategic Plan Considers 2
Management Succession Plan Yes
Organization Policies And Procedures Yes
Business Continuity of Operations Plan Yes

Risk Management Provisions

Nondiscrimination Policy Yes
Whistle Blower Policy Yes
Document Destruction Policy --
Directors and Officers Insurance Policy Yes

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

Government Licenses

--

CEO Comments

--

Foundation Comments

--

Governance


Board Chair Mr. Fernando de Necochea
Board Chair Company Affiliation Retired, Southern California Edison
Board Chair Term June 2015 - June 2019
Board Co-Chair Efrain Talamantes M.D.
Board Co-Chair Company Affiliation Associate Director, UC Davis Center for Reducing Health Disparities
Board Co-Chair Term June 2015 - June 2019

Board Members

Name Company Affiliations Status
Adolfo Chanez Community Volunteer Voting
Fernando de Necochea Retired Voting
Maria Grimaldo Community Volunteer Voting
Ms. Liliana Ramirez Children's Hospital Los Angeles Voting
Ricardo Robles La Reina Foods, Inc. Voting
Efrain Talamantes Community Volunteer Voting
Gregory Valenzuela Community Volunteer Voting
Mr. Marc Victor Community Volunteer Voting
Gloria Carillo Zamora Community Volunteer Voting

Constituent Board Members

Name Company Affiliations Status
-- -- --

Youth Board Members

Name Company Affiliations Status
-- -- --

Additional Board Members and Affiliations

Name Company Affiliations Status
Bertha Aguirre Empire Transportation Voting
Raul Anaya Bank of America Merrill Lynch Voting
Mr. Avo Ashkharikian Ortho Engineering Inc. Voting
Hector Barreto The Latino Coalition Voting
Jack Cline Jr. Lee and Associates Voting
Phil Cohen AHMC Healthcare Inc. Voting
Mr. Vincent Cortes Vincor Construction Inc Voting
Ms. Julieann K. Coyne Southeast Community Foundation Voting
William de la Peña M.D De la Peña Eye Clinics Voting
Cástulo de la Rocha J.D. AltaMed Health Services Voting
Jacky Dilfer BFC funding Voting
Mr. John Ek Ek, Sunkin & Bai Team Voting
Zoila D. Escobar AltaMed Foundation Voting
Mr. Fred Flores North American Staffing Group Voting
Richard Gomez Total Corporate Solutions NonVoting
Henry Holguin J.D. Holguin Law Group Voting
Dr. David C. Lizárraga TELACU / Millennium Voting
Bruce Pansky PIP Printing Voting
Ricardo Robles La Reina Foods Voting
Mr. Duane Saikami PharMedQuest Voting
The Honorable Antonio Villaraigosa Mercury Public Affairs Voting
Richard Zapanta MD Eastside Orthopedic Medical Associates Voting

Board Demographics

Ethnicity African American/Black: 0
Asian American/Pacific Islander: 0
Caucasian: 1
Hispanic/Latino: 8
Native American/American Indian: 0
Other: --
Other (if specified): --
Gender Female: 3
Male: 6
Not Specified 0

Board Information

Board Term Lengths 3
Board Term Limits 4
Board Meeting Attendance % --
Written Board Selection Criteria --
Written Conflict Of Interest Policy Yes
Percentage of Monetary Contributions 44%
Percentage of In-Kind Contributions 33%
Board Orientation Yes

CEO Comments

AltaMed's Board of Directors

AltaMed as a Federally Qualified Health Center has federally mandated board composition requirements. The majority (at least 51%) of the health center board members must be patients served by the health center. These health center patient board members must, as a group, represent the individuals, who are served by the health center in terms of demographic, factors, such as race, ethnicity, and gender.

As the board includes a mix of low-income and wealthy individuals, AltaMed does not have a "give/get requirement." Given the vast disparities of wealth on AltaMed's board, it was determined that contribution amounts, and the differences between what some board members give, could unduly influence governance issues and policy direction of the organization. Thus, AltaMed decided that having a board of equals is preferable to having a board where some members have the capacity to contribute substantial amounts while others cannot.

AltaMed Foundation
In terms of having a volunteer leadership board dedicated to AltaMed's fundraising efforts, AltaMed operates the AltaMed Foundation. The Foundation Board is comprised of 20 members with a 100% participation giving rate at $10,000 give or get. 

Foundation Comments

--

Standing Committees

  • Audit, Compliance and Controls
  • By-laws
  • Executive
  • Finance
  • Human Resources / Personnel
  • Investment
  • Legislative
  • Nominating

Financials


Revenue vs. Expense ($000s)

Expense Breakdown 2017 (%)

Expense Breakdown 2016 (%)

Expense Breakdown 2015 (%)

Fiscal Year May 01, 2019 to Dec 31, 2019
Projected Revenue $536,694,878.00
Projected Expenses $519,947,289.00
Form 990s

2017 Form 990

2016 Form 990

2015 Form 990

2014 990 Form

2013 990 Form

Audit Documents

2019 Audit 2017-2018

2018 Audit 2016-2017

2015 Audit 2015-2016

IRS Letter of Exemption

IRS Letter of Determination

Prior Three Years Total Revenue and Expense Totals

Fiscal Year 2017 2016 2015
Total Revenue $557,725,164 $508,780,725 $410,528,175
Total Expenses $488,142,039 $423,091,557 $364,979,113

Prior Three Years Revenue Sources

Revenue By Revenue Source
Fiscal Year 2017 2016 2015
Foundation and
Corporation Contributions
$19,140 $2,423,051 $3,703,043
Government Contributions $28,461,964 $0 $0
    Federal -- -- --
    State -- -- --
    Local -- -- --
    Unspecified $28,461,964 $0 $0
Individual Contributions -- -- --
Indirect Public Support -- $0 $0
Earned Revenue $520,129,163 $500,053,552 $399,737,230
Investment Income, Net of Losses $6,337,387 $2,711,972 $2,786,489
Membership Dues -- $0 $0
Special Events $-1,294,301 $-632,242 $-219,648
Revenue In-Kind $277,447 $52,795 $115,098
Other $3,794,364 $5,243,656 $5,458,866

Prior Three Years Expense Allocations

Expense By Type
Fiscal Year 2017 2016 2015
Program Expense $483,919,908 $419,904,137 $363,602,978
Administration Expense $2,758,014 $1,862,394 $0
Fundraising Expense $1,464,117 $1,325,026 $1,376,135
Payments to Affiliates -- $0 $0
Total Revenue/Total Expenses 1.14 1.20 1.12
Program Expense/Total Expenses 99% 99% 100%
Fundraising Expense/Contributed Revenue 5% 74% 40%

Prior Three Years Assets and Liabilities

Assets and Liabilities
Fiscal Year 2017 2016 2015
Total Assets $584,158,588 $496,702,569 $307,729,125
Current Assets $125,902,963 $164,571,664 $137,027,227
Long-Term Liabilities $2,075,971 $3,821,263 $56,068,458
Current Liabilities $199,212,484 $194,356,040 $36,365,017
Total Net Assets $382,870,133 $298,525,266 $215,295,650

Short Term Solvency

Fiscal Year 2017 2016 2015
Current Ratio: Current Assets/Current Liabilities 0.63 0.85 3.77

Long Term Solvency

Fiscal Year 2017 2016 2015
Long-term Liabilities/Total Assets 0% 1% 18%
Endowment Value --
Spending Policy Income Only
Percentage(If selected) --
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

CEO Comments

--

Foundation Comments

Summary financial data is per the form 990s and consultation with the organization. Foundation/corporate and individual contributions are combined under Foundation and Corporation Contributions.

Documents


Other Documents

Childhood Obesity Prevention Program Flyer (2017)

AltaMed Annual Report (2017)

No Other Documents currently available.