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Access OC Southern California

 1505 E 17th Street, Suite 209
 Santa Ana, CA 92705
[P] (714) 543-9400
[F] (714) 543-9406
[email protected]
Ashley Neppl
 Printable 1 Page Summary
 Printable Profile
Organization DBA --
Former Names AccessOC (2012)
Organization received a competitive grant from the community foundation in the past five years Yes
Employer Identification Number 45-5011901 00000


Mission StatementMORE »

With the support of our community, we improve the health of the underserved by coordinating and providing access to high quality specialty care.

Mission Statement

With the support of our community, we improve the health of the underserved by coordinating and providing access to high quality specialty care.

FinancialsMORE »

Fiscal Year 2017
Projected Expenses $464,100.00
Projected Revenue $464,100.00

ProgramsMORE »

  • Outpatient Surgery program

Revenue vs. Expense ($000s)

Expense Breakdown 2015 (%)

Expense Breakdown 2013 (%)

Expense Breakdown (%)

No data available

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


Mission Statement

With the support of our community, we improve the health of the underserved by coordinating and providing access to high quality specialty care.

Background Statement

AccessOC was founded in 2005 in direct response to the significant gap for specialty services among underserved Orange County adults. Since our inception, AccessOC has worked to increase access to specialty medical care for underserved, low-income Orange County residents and enhance delivery of healthcare services across the region. AccessOC is currently the only organization in Southern California dedicated to providing free specialty surgical care for people in need. Because Orange County is one of the largest counties in the nation without a county hospital, our patients have a variety of health conditions that without our help would be left untreated until they became emergencies.

For the past ten years AccessOC has operated our successful Outpatient Surgery Program to strengthen the delivery of specialty care services in the region. To date, AccessOC has helped over 880 patients obtain needed specialty care — valued at more than $8 million in donated medical services. As the healthcare landscape changes, we anticipate the need for our services will remain high. Many of our patients remain unable to afford surgery due to high copays on their newly attained insurance. AccessOC will continue our efforts under the new healthcare infrastructure, to help provide coordinated healthcare for those in need.

We have transitioned from a fiscally-sponsored project to an independent 501(c)(3) non-profit organization. Our staff includes multiple program coordinators, an AmeriCorps Fellow, and is supported by over 1500 medical, hospital and community volunteers. In addition, we have over 20 community clinic partners, and 8 non-profit and surgery center partners.

Nearly half a million Orange County residents suffer with untreated health conditions daily because they cannot access or afford needed specialty medical care (Orange County Geographic Health Profile 2011). We are now poised to grow to the next plateau of success through the addition of new care partners, expansion into other counties who need our expertise and program, and an increase in the number of surgeries and screening procedures provided to those in need.

Impact Statement

Since 2005, AccessOC, Southern California has been bridging the gap for the community’s under and uninsured. With the help of over 1,500 medical and community volunteers, our programs and services have provided over $8 million in donated care, over 880 surgeries, and have helped to keep our communities healthy!

Needs Statement

Since 2008, the demand for the services provided by AccessOC has more than doubled. Residents who once received health coverage through their employer are finding themselves without a job and without health insurance. Through no fault of their own, people depend on social services and burden our already over-stressed health care system.

 The need is clear and will continue to increase. Even with the implementation of the Affordable Care Act, Orange County does not have the infrastructure needed to provide care for all of those in need. Your donation enables us to meet our mission of providing high quality specialty care for residents in need and improve the health of our community.

Donations and volunteer partners significantly promote the reach and sustainability of our program. For every $1000 donated $3,250 of patient services are leveraged.


CEO Statement

Dear Friend,

AccessOC, Southern California works hard to assure that everyone in Orange County has an opportunity to be healthy. We provide the “bridge to care” that is needed for those who have no other options for care in a county without a department of health clinic system or county hospital.

Too many adults in Orange County are silently suffering every day because they cannot access needed medical care. More than one in four of the County’s approximately 3,048,000 residents lives below 200 percent of the federal poverty level, and approximately 9 percent of county residents between ages 18 and 64 (approximately 274,320 people) are uninsured. While under-/uninsured individuals may access primary care (through community clinics), there is a significant gap in the access to specialty care. Most of these individuals are hard-working, often juggling 2-3 part-time jobs, and are the sole supporters of their family.

Exacerbating these needs, Orange County’s unemployment rate has increased from 4.3% to 7.8% since the start of the economic downturn in 2007 (OC Register, Jan. 2012), and the rate of uninsured adults is still 9% (Insure the Uninsured Project, May 2014). As thousands have lost their jobs, insurance, and ability to self-pay for needed medical treatment—the demand for our assistance has more than doubled.

AccessOC needs to continue to help build bridges to care for our patients and their families, providing free surgical and preventative procedures for those in need. Our collaborative efforts with 20 community clinics, 6 hospitals and 3 free standing surgery centers has provided over $8 million in donated care since 2007.

Currently, we have a waitlist of over 400 patients who are in need of basic outpatient surgeries that could make a huge difference in their daily lives. We are asking for your support to help us build our capacity so we can continue to provide care and build our organization capacity to meet the growing need for access to care in Orange County.

Board Chair Statement


Other Ways to Donate/Volunteer


Geographic Area Served

Central Orange County
West Orange County
South Orange County
North Orange County

Our target population consists of low-income, uninsured Orange County residents who fall at or below 200 percent of federal poverty level, lack healthcare coverage and are ineligible for public reimbursement programs. Those we serve have a variety of health conditions that, without our help, would be left untreated until they became emergencies — simply because needed specialty care services are inaccessible and/or unaffordable to them. Consequently, these patients would suffer from heightened/ongoing pain and co-morbidities. They would thus lose their ability to work, become reliant on government assistance programs, and suffer other negative outcomes, such as depression, hunger and homelessness.

Organization Categories

  1. Health Care - Community Health Systems
  2. Community Improvement, Capacity Building - Community Coalitions
  3. Health Care - Community Health Systems



Outpatient Surgery program

Access OC’s outpatient surgery program identifies, recruits and coordinates the services of volunteer medical professionals and medical facilities, to provide essential outpatient surgery to low-income patients with insufficient or no insurance. 

Patients served through the program are identified by local community clinics where they are referred by the primary care physician. From that point Access OC staff provides care coordination for the patient and their family to assure that the patient receives high quality, culturally sensitive care. For each patient referred to our services there is an average of 16.4 patient/family encounters required to assure a successful experience with positive outcomes.

The outpatient surgery program operates year-round on an ongoing basis. Most procedures are provided on Saturdays (Super Surgery Saturdays). However, in order to provide more prompt intervention for patients, our Integrated Model allows surgeries to be performed on weekdays when surgeons have openings in their schedule. The Access OC team follows up with patients post-op to ensure adherence to discharge orders, and again at six weeks post-op to ask about their satisfaction with care received and whether additional care is or has been required.

Budget  $339,000.00
Category  Health Care, General/Other Patient Care/Health Care Delivery
Population Served Adults At-Risk Populations Unemployed, Underemployed, Dislocated
Program Short-Term Success 

To date, over 700 patients have received specialty care through the program through more than 11,000 patient encounters (including care coordination, pre-surgical visits, surgeries and colonoscopies, and post-procedure visits and discharge follow-up). Our outpatient surgery program has significantly enhanced patients’ quality of life and ability to work: 98% of patients report having less pain and fewer symptoms, and 94% report an improved ability to work.

In addition to providing patients in need with free, medically necessary surgeries, our program’s approach also provides significant benefits to all other stakeholders involved. Participating community clinics now have a referral resource to serve uninsured patients needing specialty care, hospital partners and volunteer physicians have an opportunity to help residents with the greatest unmet needs, and the greater Orange County community reaps the benefits of reduced emergency room visits, and fewer uninsured residents whose pain causes inability to work and reliance on public assistance programs. The program thus has the potential to reduce costs to the healthcare system overall and indirectly benefits the regional economy.

Program Long-Term Success 

Access OC’s outpatient surgery program was launched in 2007 and has been highly effective in increasing access to specialty care for local medically indigent patients. We collaborate with and coordinate the contributed services of six local hospitals (St. Jude Medical Center; St. Joseph Hospital; Kaiser Permanente Orange County/Anaheim, Mission Hospital and Mission Hospital Laguna Beach; and Hoag Memorial Hospital Presbyterian) and eight free standing surgery centers as well as with more than 1000 volunteer medical professionals to provide free surgical procedures to our patients. Additionally, we partner with 20 Orange County free and community clinics to receive patient referrals and facilitate care coordination for their patients and families. 

Since our inception, AccessOC has helped provide over $8 million in donated care to the Orange County community, decreased the inappropriate use of Emergency services, assisted in getting people back to work and pain free, and helped provide services to keep our communities healthy.
Program Success Monitored By 

Access OC conducts ongoing evaluation utilizing both quantitative and qualitative components to measure program results. We maintain accurate and thorough patient information in a secure database. Our volunteers and donors are tracked via a database system. Additionally, we collect post-surgical reports submitted by participating medical professionals to identify patients’ health outcomes and to track patients’ need for further medical care. Access OC staff also survey patients six weeks after surgery to learn about patients’ health status and whether they required any additional care related to their condition. Our efforts to quantify the value of donated services can be used to estimate the costs prevented to the regional healthcare delivery system.

Examples of Program Success 

Wesley Case is a 49-year-old male who as learned to live with a ventral hernia for 25 years. Over the years, his hernia has continued to grow in size and in pain. The hernia has affected his quality of life as he has been forced to slow down in his family activities due to the pain his hernia causes. He has also grown self-conscious about his body image when swimming with his daughters due to his protruding hernia. Wesley provides for his family by working in construction; however, his hernia limits his mobility and causes him pain while on the job. When the hernia protrudes, he is forced to immediately stop his activities in order to lie down to prevent further damage. Being able to receive a free surgery means a lot to him as he lost his insurance several years ago when the market crashed. Wesley was seen at the Camino Health Center in San Clemente where he was referred to AccessOC Southern California. Wesley has become one of several patients selected to have surgery through Mission Hospital. His surgery will be performed by Dr. Grieshop on Saturday, September 12th, 2015. Wesley feels very blessed to have the opportunity to receive his hernia repair as it is an opportunity for him strengthens his back muscles in order to diminish his overall pain and an opportunity to regain back his life.


CEO/Executive Director Mr. Paul Leon RN, MBA
CEO Term Start Dec 2015
CEO Email [email protected]
CEO Experience

Paul M. Leon RN, PHN, obtained his Bachelor degree in Nursing and Public Health Nurse Certificate at the University of Phoenix. Paul has been a Registered Nurse for 16 years. His experience includes emergency, home health, critical care, administration, and public health nursing. He served as the Director of the Critical Care Units at San Clemente Medical Center, and developed a Nurse Preceptor Program for the Intensive Care Unit. Paul’s affiliation with the USC County Medical Center in the early 1990’s planted the seed of desire to work with the homeless population. He volunteered his clinical services and spearheaded drives that served the Los Angeles Mission. As a Public Health Nurse for the County of Orange, Paul has sparked a grass roots effort to provide health care and other services to the homeless. For the past year he has used his skills in case management, health teaching, outreach, and advocacy to provide public health nursing services as well as bring together public and private agencies.

Former CEOs and Terms

Name Start End
-- -- --

Senior Staff

Name Title Experience/Biography
-- -- --


Award Awarding Organization Year
Giving is Living Award OneOC 2017
ReachOut award Orange County Community Foundation 2011
David E. Lawrence Community Service Group Award Kaiser Permanente 2010
Mary Dewane Safety Net Award CalOptima 2010
Outstanding Philanthropic Group AFP 2010


Affiliation Year
-- --

External Assessments and Accreditations

External Assessment or Accreditation Year
-- --


We collaborate with over 20 free/community clinics, which refer eligible patients to us; six local hospitals and SurgiCenters, which donate their facilities and equipment; and more than 700 surgeons, nurses, anesthesiologists and other hospital staff, who donate their time and expertise. 
Our hospital partners include Hoag Presbyterian, St. Jude, St. Joseph, Mission Hospital(s), and Kaiser Permanente (Irvine and Anaheim).  In addition we partner with several surgery centers: Harvard Eye Center, nVision, Saddleback Eye Center, and Clarity Eye Group.
We are collaborative partners with several community groups including the Community Alliances Forum, Coalition of Community Clinics and Health Centers, Illumination Foundation, OneOC, Taller San Jose and several universities and colleges.

Staff Information

Number of Full Time Staff 0
Number of Part Time Staff 2
Number of Volunteers 1,500
Number of Contract Staff 2
Staff Retention Rate % --
Staff Professional Development Yes

Staff Demographics

Ethnicity African American/Black: 0
Asian American/Pacific Islander: 0
Caucasian: 1
Hispanic/Latino: 3
Native American/American Indian: 0
Other: 0
Other (if specified): --
Gender Female: 4
Male: 0
Not Specified --

Plans & Policies

Organization has Fundraising Plan? Under Development
Organization has Strategic Plan? Yes
Years Strategic Plan Considers 1
Management Succession Plan Under Development
Organization Policies And Procedures Under Development
Business Continuity of Operations Plan No

Risk Management Provisions

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

Reporting and Evaluations

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

Government Licenses


CEO Comments


Foundation Comments



Board Chair Dr. Ramin Zolfagari
Board Chair Company Affiliation Kaiser Permanente
Board Chair Term 2013 - 2016
Board Co-Chair --
Board Co-Chair Company Affiliation --
Board Co-Chair Term -

Board Members

Name Company Affiliations Status
Dr. Ken Bell Dr. Ken Bell and Associates Voting
Lennis Collins Western Digital --
Pat Kelly Mission Hospital; Camino Health Center Voting
Ben McKinney HBLA Certified OPublic Accountants, Inc. --
Ed Salvador St. Jude Hospital Voting
Dr. Ramin Zolfagari Kaiser Permanente Voting

Constituent Board Members

Name Company Affiliations Status
-- -- --

Youth Board Members

Name Company Affiliations Status
-- -- --

Additional Board Members and Affiliations

Name Company Affiliations Status
-- -- --

Board Demographics

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

Board Information

Board Term Lengths 3
Board Term Limits 3
Board Meeting Attendance % 60%
Written Board Selection Criteria Yes
Written Conflict Of Interest Policy Yes
Percentage of Monetary Contributions 100%
Percentage of In-Kind Contributions 80%
Board Orientation Yes

CEO Comments

Foundation Comments


Standing Committees

  • Board Development / Board Orientation
  • Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
  • Executive
  • Finance


Revenue vs. Expense ($000s)

Expense Breakdown 2015 (%)

Expense Breakdown 2013 (%)

Expense Breakdown (%)

No data available

Fiscal Year Jan 01, 2017 to Dec 31, 2017
Projected Revenue $464,100.00
Projected Expenses $464,100.00
Form 990s

2015 Form 990

2014 Form 990

2013 AccessOC 990

Audit Documents

2013 AccessOC Audit

2012 OneOC audit

IRS Letter of Exemption

IRS Letter of Determination

Prior Three Years Total Revenue and Expense Totals

Fiscal Year 2015 2013 --
Total Revenue $366,471 $425,747 --
Total Expenses $339,085 $303,418 --

Prior Three Years Revenue Sources

Revenue By Revenue Source
Fiscal Year 2015 2013 --
Foundation and
Corporation Contributions
$334,555 $405,167 --
Government Contributions $0 $0 --
    Federal -- -- --
    State -- -- --
    Local -- -- --
    Unspecified $0 -- --
Individual Contributions -- -- --
Indirect Public Support $0 -- --
Earned Revenue $0 -- --
Investment Income, Net of Losses $13 -- --
Membership Dues $0 -- --
Special Events $31,903 $16,262 --
Revenue In-Kind $0 $4,318 --
Other $-31,903 -- --

Prior Three Years Expense Allocations

Expense By Type
Fiscal Year 2015 2013 --
Program Expense $145,546 $153,168 --
Administration Expense $85,683 $59,044 --
Fundraising Expense $107,856 $91,206 --
Payments to Affiliates $0 -- --
Total Revenue/Total Expenses 1.08 1.40 --
Program Expense/Total Expenses 43% 50% --
Fundraising Expense/Contributed Revenue 29% 22% --

Prior Three Years Assets and Liabilities

Assets and Liabilities
Fiscal Year 2015 2013 --
Total Assets $111,544 $130,744 --
Current Assets $111,544 $129,552 --
Long-Term Liabilities $0 -- --
Current Liabilities $14,544 $8,415 --
Total Net Assets $97,000 $122,329 --

Short Term Solvency

Fiscal Year 2015 2013 --
Current Ratio: Current Assets/Current Liabilities 7.67 15.40 --

Long Term Solvency

Fiscal Year 2015 2013 --
Long-term Liabilities/Total Assets 0% 0% --
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

Access OC Southern California was fiscally sponsored by OneOC in 2010, 2011 and 2012; for those years, the 990s on the profile belong to OneOC. Financials are specific for Access OC Southern California. In 2013 Access OC Southern California received their own 501(c)(3) status and thus have their own 990 for 2013 and 2014. Summary financial data is per the financials and consultation with the organization.


Other Documents

Brochure (2017)

No Other Documents currently available.