Annual Report 2002 - Terry Reilly Health Services

TERRY REILLY
HEALTH SERVICES
CARING FOR ALL
Annual Report 2002
Our Core Purpose:
To strengthen the communities we serve by
improving their health and quality of life.

WHO ARE WE?
OUR MISSION
“Terry Reilly Health Services is a community based non-profit corporation which is dedicated to providing quality,
comprehensive health care. The services shall be provided in an accessible and affordable manner to all persons
regardless of age, sex, ethnicity, or economic situation. Particular attention shall be given to people who might have
difficulty obtaining care elsewhere due to rural isolation, financial barriers, or cultural sensitivity. Terry Reilly Health
Services shall function as a business in such a manner as to be fiscally responsible to the corporate interests and the
interests and obligations of the patients. Terry Reilly Health Services shall strive to improve and expand the services.
The corporation shall remain flexible in the health care marketplace and explore new organizational structures and health
related financial enterprises.”
OUR CORE VALUES
• Service to the Underserved
• Integrity/Honesty
• Excellent Care That’s Affordable
• Accessibility
• Social Justice (Including Advocacy and the Right to Wellness and Health)
OUR VISION
(AKA OUR BIG HAIRY AUDACIOUS GOAL)
“We will assure that no one in our communities will go without needed health care.”
WHAT MAKES TRHS SPECIAL?
Terry Reilly Health Services (TRHS) is a private not-for-profit organization that provides care to all, with fees based on
patients’ ability to pay. Services are available on a discounted fee basis, in accordance with family income. Services are
available in English and Spanish and other languages by special arrangement. Terry Reilly Health Services is committed
to serving populations facing barriers elsewhere, with emphasis on culturally sensitive care to migrant and seasonal
farmworkers, the homeless, and other special populations. TRHS is governed by the communities it serves through
a representative board of directors.
2
Caring For All

FROM THE TOP
Dear Friends,
In life, it is generally true that along with the sweet there is some bitter. That applies to our past year, though the
number of sweet events far outnumbers the bitter. The biggest downside this past year was a tragic bicycle accident that
seriously injured and disabled our long-term Medical Director, Dr. Bob LeBow. The sadness of that event, which
occurred in July of 2002, has had profound effects on many staff, associates, and friends of Terry Reilly Health Services
(TRHS). Each day, we all miss Bob and hope and pray for his continued recovery.
The upside of the year, though, has many highlights, each adding to the growing strength of TRHS. We have the great
fortune of being able to continue the work of incredible leaders like Terry Reilly and Bob LeBow. For example, after
taking over an existing clinic in Melba last June, we occupied our brand new beautiful clinic building in downtown
Melba in April of 2003. We are pleased to make TRHS medical and dental services an integral part of that beautiful
rural community.
We were also fortunate to have received new federal grant funding to start up a dental clinic in Homedale. That
marvelous new and much needed service opens June 16, 2003. Two excellent new dentists were also hired for Melba
and Homedale, not an easy accomplishment in a very tight dentist labor market.
This Annual Report includes mention of various other highlights of the year. In this letter, we want to emphasize that
none of these things could be accomplished without the dedicated and competent work of so many members of the staff,
the Board, and several advisory committees. Additionally, the many financial supporters of our work, including the
Treasure Valley United Way and various local foundations and corporations, have been critical to our ongoing success.
Last year saw the proportion of our patients who have no health insurance rise by 10 percent, a reflection of an ailing
economy - all the more reason for appreciating our supporters during these times of greater need.
The outlook for TRHS remains very bright. We look forward to increasing the numbers of needy Idahoans who are
helped to get the quality health care they need.
Sincerely,
Eric Johnson, Chairperson
Board of Directors
Erwin B. Teuber, Ph.D.
Executive Director
Caring For All
3

BOARD OF DIRECTORS
Erik Johnson
Chairperson
Sister Maura Clark
Vice-Chairperson
Rosie Delgadillo Reilly
Secretary/Treasurer
Millie Cowan
Ione Gebert
Delia Gonzalez-Munson
Vickie Holbrook
Dolly Hyer
Reed Jarvis, DDS
Keith Kendall
Erlinda Martinez Duane Pancheri Emma Pantoja
Moscelene Sunderland
Merrill Tallman
No photo available:
Antonio Garcia
Peggy Tallman
4
Caring For All

CORPORATE LEADERSHIP
Erwin Teuber, PhD
Executive Director
Barbara Korn, CPA
Chief Financial Officer
Mark Mering, MD
Medical Director
Jonathan Bowman, MD
Assistant Medical
Director
Erin Ostteen, DDS
Dental Director
Shannon Blackstock, SPHR
Human Resources Manager
Dick Ernest, C-FNP
Homedale Clinic
Manager
Heidi Hart, MEd, LCPC
SANE SOLUTIONS
Program Director
Brandon Lane, PA-C
Melba Clinic Manager
Kevin McTeague, MS
Operations Officer
Faith Peterson, C-RNP
Marsing Clinic Manager
Ann Sandven, MPH
Development Officer
Barbara Youren, C-FNP
Boise Clinic Manager
Caring For All
5

TRHS CLINICAL STAFF
Penny Beach, MD Jonathan Bowman, MD Richard Gerber, MD Mark Mering, MD
Kate Ryan, MD
Todd Swanson, MD, MPH Laura Tirrell, MD, MHSA Dennis Weiler, MD
Tamara Bethel, C-FNP
Dick Ernest, C-FNP
Janine Franco, PA-C
Brandon Lane, PA-C
Faith Peterson, C-RNP David Snyderman, PA-C Sunny Stoller, PA-C
Stacy Wright, C-FNP
Barbara Youren, C-FNP
Ron Fife, DDS
Jim Folske, DDS
Jim Guyton, DDS
6
Caring For All

TRHS CLINICAL STAFF
Amelia Justin, DDS Erin Ostteen, DDS Michael Benjamin, LMSW Libby Engebrecht, CSW-P Oreana Harless, CSW-P
Stephen Hill, PhD Alissa Lyon, MSW Charles Marsh, MD Jeff Betts, LCPC Claudia Currie-Mills,
CSW-P
Victor Durnil, M.COUN. David Ferguson, LCPC Sandra Forrey, LCPC Heidi Hart, MEd, LCPC Mark McCullough,
CSW-P
Joseph Morisette, LPC John Reyna, LCPC Sandra Wiler-Piotrowski,
CSW-P
Melissa Wood, LMSW
Pat Woodbury, LCPC
No photo available:
Steve Von Flue, MD
Caring For All
7

GENERAL OVERVIEW OF THE YEAR
During calendar year 2002:
• Opened the Melba Clinic in July 2002 and built a new medical and dental clinic which opened April 2003.
• Secured funding from the Bureau of Primary Health Care for a new
dental clinic in Homedale, scheduled to open June 16, 2003.
• Delivered 507 babies, 58% of whom were born to low-income,
uninsured women.
• Provided a total of 88,440 health care visits to 21,056 adults and
children throughout the entire corporation.
• Increased persons served by 10% from 2001, providing 56,481
medical visits to 16,157 individuals.
• Provided 8,057 dental visits to 4,077 individuals, 58% of whom
were uninsured and 35% were Medicaid clients.
• Served 23% more migrant or seasonal farmworkers than in 2001,
reaching a total of 3,676.
• Experienced a 16% increase in persons without health insurance
corporate wide, in large part, but not totally reflecting changes in
Dr Tirrell and Teen Clinic Patient
adult Medicaid dental benefits.
• Treated 454 adult and child sexual abuse victims through 4470 counseling visits. Provided treatment to 837 adult and
juvenile sexual abuse offenders through 11,010 counseling visits.
For the fiscal year, which runs April 1, 2002 –
March 31, 2003:
• Hired 3 new dentists
with a combined
experience of 79 years.
• Filled 50,095 prescriptions,
providing necessary
medications at affordable
prices to our low-income patients.
8
Pharmacist Sabrina Allen, Pharm.D.
filling a prescription
• Made 1,810 contacts targeting farmworkers at health fairs, as well as 752
group contacts, including exercise and lay health promoter classes.
• Provided 2800 mental health education and other mental health outreach
contacts.
• Provided 2770 case management services to pregnant and parenting women,
the homeless, those with chronic
diseases and those with brain disorders/mental illness.
• Screened 311 low-income women through the Women’s Health Check for
breast and cervical cancer and 208 through the Susan G. Komen breast cancer
screening program, with mammograms provided at local hospitals.
• Received the first grant from the new Idaho Women’s Charitable Foundation,
which along with an outreach grant from Women’s Health Check, provided
breast and cervical cancer education and outreach to farmworker women
through 12 home health parties, outreach in grocery stores, and health fairs.
• Began bilingual mental health services targeting farmworkers at the Marsing
and Homedale Clinics and a variety of education and outreach activities,
including a slide-tape show, “Stories from the Field.”
Caring For All
“We met ‘Laura’ at a local homeless shelter, where
TRHS homeless program staff do weekly outreach. She
had just been released from one of the Idaho State mental
health hospitals and was in need of medical treatment for
a variety of issues. She did not have the funds to see a
doctor or pay for any of her medications. We helped
‘Laura’ with her immediate medical needs and got her on
a waiting list for housing; I also met with her for case
management. She has since obtained temporary housing
and is waiting for long-term assistance.”
Sarah King, LSW, Case Manager
Michael Benjamin, LMSW demonstrates play therapy
in Stories from the Field slide-tape series

GENERAL OVERVIEW OF THE YEAR
• Partnered with the ISU College of Pharmacy to place faculty member Glenda Carr, Pharm. D., at the TRHS Nampa
Clinic to supervise ISU pharmacy students taking part in clinical rotations, which include supporting the Diabetes
Collaborative and being available to TRHS clinicians for consulting on medication issues.
• Began Medicaid/CHIP outreach in Ada County, with funding from the Robert Wood Johnson Foundation. Activities
contributed to 1200 more Ada County children being enrolled in Medicaid in the first quarter of 2003 than previously.
• Co-sponsored the June 25 Summit, “Idahoans without Health Insurance,” with Dr. Bob LeBow as one of the panel
presenters.
• Conducted a record breaking United Way employee campaign, resulting in 100% participation, a 32% increase from
last year, as well as a 39% increase in giving.
• Produced and distributed the Treasure Valley Safe Kids Coloring and Activity Book
for Parents and Kids on sexual abuse prevention with funding to the TRHS SANE
SOLUTIONS Program from the Office of the Governor and Ronald McDonald
House Charities, Inc.
• Collaborated with University of Washington on a research project studying
depression screening tests for farmworkers. Screened 147 farmworkers and assessed
30 persons with possible depression, anxiety or substance abuse.
• Celebrated National Health Center Week in August with banners and ads in local
newspapers.
• Took part in the community wide April Child Abuse Awareness Month activities, including
sponsorship by SANE SOLUTIONS of an outdoor blue ribbon display contest for Canyon County elementary schools.
• Hosted local state legislators for a December breakfast and health screening,
with the opportunity to learn more about the funding needs of community
health clinics in Idaho.
• Participated as one of 60 sponsors in Idaho in national efforts to highlight
the plight of the uninsured through Cover the Uninsured Week in March
2003 with a local postcard campaign and press conferences.
• In conjunction with other community health centers and the Idaho Primary
Care Association, supported HB 281 in the Idaho Legislature to provide state
funding for health centers. The bill passed with strong support in the House
and will be re-introduced next session.
• Introduced new “Zero Pay Fund,” funded with community donations and
proceeds from Dr. LeBow’s book, Health Care Meltdown. The Zero Pay Fund
helps make medical, dental, and behavioral health services at TRHS accessible
for those least able to pay.
• Increased health
screening, education, and
Susan Haylett, LPN applies dental varnish
as part of a well child check
medical services to
farmworkers through the
La Buena Salud Project, in
collaboration with Mountain States Group and Boise State University.
• Participated in Give a Kid or Adult a Smile Day, with two TRHS
dentists providing $2,400 in free dental care to 8 persons on
February 22, 2003.
• Implemented a fluoride varnish program as part of medical Well
Child Visits, partially funded by proceeds from Albertson’s
Community Partners cards.
• Celebrated new wall art for children’s play area created by Boise
Clinic supporter.
Caring For All
“‘Maria’ who was in your
exercise class at Farmway Village
walks differently now. Her head is
up and she always has a smile. She
has so much more confidence than
before. You’ve made such a difference!”
Sister Bernadette Stang to
Migrant Outreach Coordinator
Claudia Del Real.
Artist Larry Goodall and jungle scene at TRHS Boise Clinic
9

THREE PROGRAM HIGHLIGHTS
O Baby! – Obstetrics Practice at TRHS
Caring for low-income pregnant women, promoting healthy practices during pregnancy, and providing quality medical
care of mother and baby during and after delivery are long standing practices at Terry Reilly Health Services. Free
pregnancy tests encourage women to enter prenatal care early (in the first 13 weeks of pregnancy). Moms are also
counseled to reduce risk factors such as smoking, drugs and alcohol that can lead to low birthweight babies, and to eat
well and exercise to keep both themselves and their growing babies as healthy as possible.
10
Ultrasound exam helps check health
of mom and baby
The obstetrical practice at TRHS is large and expanding. Terry Reilly Health
Services physicians delivered
507 babies in 2002.
That is 27 % of all
babies born in Canyon
County and 2.6 % of all
babies born in the state
of Idaho! Our longrange
goal is to have
physicians on our staff
who can perform cesarean
sections and help care
for high risk patients.
TRHS provides a multidisciplinary team approach to obstetrical care. Family practice physicians, nurse practitioners,
physician assistants, social workers, and nurses provide prenatal care. Our practice is fairly high risk, with 90% of
pregnant women being low-income, 59% having no health insurance, and only 56% starting care in the first 13 weeks
of pregnancy.
In 2002 Terry Reilly Health Services received a grant from the Idaho chapter of the March of Dimes to further enrich
our obstetrical (OB) program. A portion of this grant was used to hire Edie Welty, MD to review existing and develop
new, OB protocols. Dr. Welty then trained the social workers and patient advocates on how to screen for high risk
pregnancies during the weekly free pregnancy testing clinics offered at all TRHS clinics with OB
care. Previously, patient advocates and social workers were screening for risk at the time of the
first prenatal visit, which could be up to 2 weeks after the initial pregnancy test. This grant also
allowed us to designate more social work staff time to teens and high-risk pregnancies.
Approximately 10% of our patients are diagnosed with diabetes during their pregnancies.
Diabetes puts infants at higher risk of birth defects, high birthweight (over 9 pounds), and
being stillborn. Clinicians, nurses, patient advocates and social workers work closely with these
pregnant diabetic patients. With the support of this more intensive prenatal care, the
obstetrical outcomes for these mothers and babies equal those outcomes of non-diabetic
pregnant patients.
Last December the TRHS Nampa Clinic hired a new bilingual Childbirth Educator who works
closely with the patient advocates and social workers to identify those patients who would
benefit from childbirth education. With guidance from Dr. Welty, the childbirth education
program was expanded to offer educational information and classes appropriate for all 3
trimesters of pregnancy. Classes are free to all TRHS pregnant patients.
The TRHS Teen Clinic, located across the street from the TRHS Nampa Clinic, offers a home-like environment for
pregnant and parenting teens to get the medical care they need, as well as referrals to community programs such as WIC
and Nampa School District’s Teen Parent School. The Teen Clinic is available to any teenager seeking medical and social
work services at TRHS.
Caring For All
‘Betty’ came to the clinic with the complaints of
pounding heart, shortness of breath and a headache. She was
worked-up by a nurse practitioner who discovered that along
with dangerously high blood sugar and blood pressure, she
was also 6 months pregnant. The TRHS nurse practitioner
started her on insulin and blood pressure medication and
coached her until she delivered a healthy baby girl at 39
weeks. During Betty’s weekly visits, intensive education was
given on diet, exercise, and health lifestyle changes by the
nurse practitioner and nursing staff, in hopes of reducing her
increased risk of Type II diabetes.
Last prenatal check-up at
Teen Clinic prior to delivery

THREE PROGRAM HIGHLIGHTS
Local Patients Benefit From National Standards of Care
Diabetes: In the fall of 1998, then Medical Director Dr. Bob LeBow asked the
federal Bureau of Primary Health Care to include TRHS in a national initiative to
improve diabetes services called Diabetes Collaborative I. The Chronic Care Model
that is the foundation of this effort was developed in response to the observation that
the majority of primary care appointments are with patients who have chronic diseases
such as diabetes, heart disease and depression.
According to this model, patients do best when they are informed and motivated to
care for themselves and interact regularly with a prepared health care team that is part
of a health care system that includes education, data bases that track patient health
changes and prompt regular interventions, and ongoing community partnerships.
The Collaborative approach is to teach teams from community health clinics like
TRHS about the elements of the chronic care model, give them a process to test small
changes of proposed improvements, and provide a peer support group.
At TRHS, membership and activities of the Diabetes team have grown steadily since
we started in January 1999. Each one of our five clinics monitors clinical services and
patient outcomes in an electronic registry. All clinicians are taught the Chronic Care
Model and are given reminders generated by the registry of services that patients with
diabetes need on the day of their appointments. All five clinics have nurses who have
received extra training in diabetes patient education and can see patients either at the
Social work staff talks with patient about living with diabetes
time of their clinician appointment or another time. At the Nampa
Clinic, patients with diabetes have the option of being seen at a
Diabetes Emphasis team session where they meet with their clinician,
a pharmacist, nurse educator and health promoter.
TRHS works closely with the Idaho Diabetes Control Program,
Southwest District Health, BSU College of Nursing, ISU School of
Pharmacy, Lifeskills and Humphrey's diabetes education centers and
civic groups such as Lion's Club to improve services to our diabetic
patients. TRHS’ progress has been recognized by the Diabetes
Alliance of Idaho’s Award for Excellence and by the Idaho Medicare
review agency. The team's activities played a major role in securing
an ongoing grant from the Bureau of Primary Health Care to
strengthen TRHS’ collaborative work.
Mental Health: In 2002, TRHS was accepted as a participant in the first mental health collaborative sponsored by the
Bureau of Primary Health Care. TRHS
Depression Collaborative team includes
members from TRHS clinical social
work, nursing, medical, and
management staff, and the TRHS Board
of Directors. The initial focus of the
Depression Collaborative has been
homeless patients at the TRHS Boise
Clinic diagnosed with clinically severe
depression. In order to successfully
David Snyderman, PA examines
foot of diabetic patient at
Diabetes Emphasis Clinic
Peggy, a 27-year-old female came to TRHS - Boise Clinic shortly after ending an
abusive relationship. She was experiencing severe depression and grieving the loss of the
relationship. Peggy joined the Depression Collaborative and began weekly counseling sessions.
She set goals and focused on lifestyle changes that would help her control her depression.
She saw the medical clinician regularly and continued on antidepressant medication.
Through her intensive care management/counseling, she was able to link her patterns of
abusive partners to a history of childhood sexual abuse and was referred to TRHS SANE
SOLUTIONS. She is seeing a therapist weekly and is safe from her most recent abuser.
Whenever she experienced fluctuations in her depression, she was able to seek the help of
her counselor, adjust her medication, and eventually regain control of her disease.
Caring For All 11

THREE PROGRAM HIGHLIGHTS (continued)
implement the collaborative model at Boise Clinic, several system
changes had to occur. These included nurses screening patients with a
new depression tool used by the Collaborative and the creation of a Care
Manager position. The Care Manager has become the linchpin for
coordination of medical and mental health treatment, meeting regularly
with patients and primary care clinicians to help them to develop patient
care plans. The TRHS Boise Clinic has also been “testing” a whole new
patient data and monitoring system called PECS.
Central to the success of the Depression Collaborative is the concept of
integrating mental health into the primary care setting. This means
implementation of a model that coordinates, diagnoses and manages
depressed patients in the exam room with assessment, counseling, and Dr Gerber listens to an update from patient
medication management from the behavioral health staff. Treatment of the whole person is critical to successfully reducing
the symptoms of depression.
With Phase I and the first year of the depression collaborative complete, the next step is to spread the Care Manager
model and the integration of mental health into the TRHS Nampa Clinic. The long-term goal is to expand this model
to all TRHS clinics.
MELBA JOINS THE TRHS SYSTEM OF CLINICS
For the first time since the addition of
Boise Clinic in 1987, TRHS has added
another town in which there is a TRHS
clinic. The small town of Melba, in a
beautiful location on a rim above the
Snake River, now has a marvelous new
TRHS - Melba Clinic right in the heart
of town. Some say the brand new
western style 3500 square feet building is
the best looking building in town.
Melba Clinic houses four medical exam rooms, a minor procedure
room, two dental operatories, medical lab and dental lab space, a
nursing station, clinician offices, break room, a pleasant waiting area inside the veranda-covered entry, and reception and
medical records areas. Jonathan Bowman, MD, and Brandon Lane, PA and Clinic Manager are delivering medical
services. Dental services are in the hands of 30-year veteran dentist James Folske, DDS. TRHS feels fortunate to be
able to offer such high quality clinicians to serve Melba and the surrounding
area, an area in which an estimated 10,000 people live.
The community of Melba requested TRHS to take over from a struggling
clinic that had begun four years earlier. Community leaders assisted in that
transition by collecting funds to cover transition costs, donating land and
services, and offering various forms of support. The critical achievement
making TRHS development of the Melba Clinic possible was receipt of a new
federal grant from the Bureau of Primary Health Care for that purpose. Two of
Melba’s most active community leaders on this project have been added to the
TRHS Board of Directors - Keith Kendall and Duane Pancheri.
July 4, 2003 will be the second time that TRHS has an entry in the Melba Fourth
of July Parade, and TRHS is very proud to be a vital part of this fine community.
12 Caring For All
“I know a lot of people
think this is going to be only for
Spanish speaking people, but
that is a long way from true.
There are a lot of people in our
area who do not get proper care
because they do not have insurance,
don’t have the money or
can’t manage the trip into town.
Thank heaven for this opportunity.”
Madge Cook Wylie,
Kuna Melba News, 11/13/2002
Brandon Lane, PA
examines a Melba Clinic patient

FY 2002-2003 DONORS
Terry Reilly Health Services Endowment
by category based on total pledged
ENTHUSIAST ($2,500-4,999)
William and Anke Hall
Erwin Teuber
SUPPORTER ($1,000-2,499)
Don and Lee Landin
Jim and Cheryl McNabb
Donna Shepard
FRIEND ($500-999)
Bill Deal, Sr.
Karen J. Kuhn
Erlinda Martinez
Faith Young Peterson
FAN ($100-499)
Sylvia Boyle
Erin Ostteen Hannah
Fred and Sus Helpenstell
Vickie Holbrook
John Reyna
Jean Alex Rhodes
BACKER (UP TO $99)
Sr. Maura Clark
Millie Cowan
Dolly Hyer
Lynn Kammermeyer
Individual Gifts
SUPPORTER ($1,000-2,499)
Barbara Korn
Carol MacGregor
FRIEND ($500-999)
Mary Adcox
Sandra Clapp
Patty Forbes
Debra Guth
Steven and Lisa Hoag
Deb Holleran
Shannon Keoplin
Joseph Marshall
Carol Reagan
FAN ($100-499)
Glenn and Glinda Bothwell
Russell and Janet Buschert
Dorothy L. Chase
Lynn and Patricia Dorman
Ann Easterling
Kathy Easterling
Susan Eastlake
Harry Emigh
Jeanette Emigh
Clyde and Frances Everton
Rob and Annette Hansen
Ruth Harris
Teresa Harrison
Fred and Sus Hepenstell
Michael and Margaret Henbest
Alice Hennessey
Don and Mary Hobson
Leah Lamb
Scott Lamm
Bob and Gail LeBow
Jack and Pam Lemley
Other FY 2003 Gifts Over $50
Paul Montalbano
Phil Peterson
Steve Ponder
Richard Raimondi
Henry and Sue Reents
John and Katie Rigby
Marilyn Shuler
Robert and Elizabeth Sims
Moscelene Sunderland
Erwin Teuber
Kathy Young
BACKER ($50 TO $99)
William and Susan Boehner
Gordon S. Bowen
Jerome and Susan Cagen
James and Martha Coughlin
Bethine Church
Robert and Estella DeGroat
Douglas Clegg and Patricia Duncan
Marjorie Ewing
Dave and Nancy Ferguson
Judith Ferro
Martin and Kathleen Gabica
Heidi and Sean Hart
Paul and Christine Hatab
Randall and Carol S. Hutchings
Susan Jenkins
Rita Landmani
Bev and John Montgomery
Helen Morris
Anita Morton
John Mueller
Mardell Nelson
Ann and Lars Sandven
Carole and Rick Skinner
R.M. and Jere-Rae Soden
Elmer and Tom Soniville
Ron and Carol Stepp
Steve and Vicki J. Tollefson
Virginia Woolley
Patricia Young
Foundations, Corporations,
and Other Private Gifts
United Way of Treasure Valley . . . . . .$263,937
Robert Wood Johnson Foundation . . . .$87,036
Susan G. Komen Breast Cancer
Foundation . . . . . . . . . . . . . . . . . . . . . .$25,000
John F. Nagel Foundation . . . . . . . . . . .$22,500
Idaho Women’s Charitable Foundation .$15,000
Camille Beckman Foundation . . . . . . .$10,000
Tidwell Idaho Foundation . . . . . . . . . . .$7,500
Verizon Wireless Foundation . . . . . . . . .$7,500
Idaho Community Foundation . . . . . . . .$7,380
Home Federal . . . . . . . . . . . . . . . . . . . . .$6,668
Idaho Power/
IDACORP Employees . . . . . . . . . . . . . .$5,190
Ada County Association of
Realtors Foundation . . . . . . . . . . . . . . . .$5,000
Gannett Foundation . . . . . . . . . . . . . . . .$5,000
Wells Fargo Bank . . . . . . . . . . . . . . . . . .$5,000
Harry W. Morrison Foundation . . . . . . .$2,500
Larry Barnes Foundation . . . . . . . . . . . .$2,017
Target . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,750
Melba Rural Health Clinic . . . . . . . . . . .$1,025
Harlow Foundation . . . . . . . . . . . . . . . .$1,000
McCain Family Foundation . . . . . . . . . .$1,000
Tate Family Charitable Trust . . . . . . . . . .$1,000
Weyerhaeuser Company Foundation . . .$1,000
Pacific Western Training/
Oppenheimer Cos., Inc. . . . . . . . . . . . . . .$500
Employees of Region III,
Probation & Parole . . . . . . . . . . . . . . . . . .$300
United Parcel Service . . . . . . . . . . . . . . . . .$250
Debord Polygraph . . . . . . . . . . . . . . . . . . .$125
Thorne Printing . . . . . . . . . . . . . . . . . . . . . .$50
Note: See Page 17 for Federal and other public revenue. With special mention to the TRHS dental and medical volunteers and local businesses and individuals for gifts in kind.
Caring For All
13

TERRY REILLY HEALTH SERVICES
Boise Clinic
Pam Chamberlain, RN
Elvia Galindo, MA
Oreana Harless, CSWP
Val Kvitko-Simon, BBA
Rachel Long
Alissa Lyon, MSW
Kevin McTeague, MS
Alex Rhodes
Teresa Sherman
Jolene Starr, MD
Todd Swanson, MD, MPH
Irene WhiteEyes, MA
Stacey Wright, C-FNP
Barbara Youren, C-FNP
Misty Zirnheld
Homedale Clinic
Michael Benjamin, LMSW
Ida Chavez, MA
Dick Ernest, C-FNP
Judy Garcia
Rosa Gonzalez
Betty Holzhey
Erica Huerta, LPN
Alicia Ramirez, MA
Laura Tirrell, MD, MHSA
Marsing Clinic
Penny Beach, MD
Michael Benjamin, LMSW
Krista Callaway
Petra Garcia, MA
Betty Holzhey
Lidia Moore
Faith Peterson, C-RNP
Charlotte Shumate, LPN
Melba Clinic
Jonathan Bowman, MD
Debbie Downes
Brandon Lane, PA-C
Kevin McTeague, MS
Nina Rojas, MA
Nampa Clinic
Ken Alderman, MA
Sabrina Allen, PharmD
Angela Arreola
Veronica Arrieta, MA
Penny Beach, MD
Laurel Bennett, RN
Tamara Bethel, C-FNP
Jonathan Bowman, MD
Diane Bromenschenkel, MT ASCP
Glenda Carr, PharmD
Yecenia Casteneda
Susan Champlin, MA
Deena Deason
Debbie Downes
Libby Engebrecht, LMSW, CSWP
Mary Escobedo, MA
Vanessa Flores, MA
Janine Franco, PA-C
Liz Garcia
Maria Garcia
Maria Garza
Richard Gerber, MD
Katia Gillis, RT®
Kayla Gleason
Rosario Godina
Maxine Gonzalez, MA
Imelda Hall
Susan Haylett, LPN
Maria Hernandez
Margery Johnson, RN, BSN
Lorraine Kaczmarek, MT ACSP
Sara King, LSW
Jacqueline Landin, LPN
Gina Long, MA
Heather Majors
Tammy Martin
Kevin McTeague, MS
Mark Mering, MD
Carol Ortiz
Lupita Osuna
Norma Paynter, LPN
Ruth Rueda, LPN
Lorena Ruiz
Kate Ryan, MD
Michelle Schomburg, MA, CPT
Maribel Serrano
Juanita Silva, LPN
David Snyderman, PA-C
Sunny Stoller, PA-C
Todd Swanson, MD, MPH
Frances Tellez
Dianne Tiffany
Laura Tirrell, MD, MHSA
Steven Von Flue, MD
Dennis Weiler, MD
Amy Williams, LPN
Denise Williams, LPN
Xochitl Yanez, MA
Boise Dental
Janell Duvall
Tina Fisher
James Folske, DDS
James Guyton, DDS
Erin Ostteen, DDS
Canyon Dental
Jennifer Clair
Julie Crego
Ronald Fife, DDS
Beronica Garcia
Amelia Justin, DDS
Maria Ortiz
Erin Ostteen, DDS
Homedale Dental
Ronald Fife, DDS
Melba Dental
Connie Ball
Jana Flores
James Folske, DDS
Behavioral Health Center
Claudia Currie-Mills, CSWP
Libby Engebrecht, LMSW, CSWP
Stephen Hill, PhD
Charles Marsh, MD
Irma Rodriguez
Patricia Woodbury, LCPC
14
Caring For All

TERRY REILLY HEALTH SERVICES
SANE SOLUTIONS
Michael Benjamin, LMSW
Jeff Betts, LCPC
Claudia Currie-Mills, CSWP
Victor Durnil, M.Coun.
David Ferguson, LCPC
Sandra Forrey, LCPC
Heidi Hart, MEd, LCPC
Mark McCullough, CSWP
Joseph Morisette, LPC
John Reyna, LCPC
Irma Rodriguez
Stephen Schrader
Stephanie Seader
Kathy Stimpson
Sandra Wiler-Piotrowski, CSWP
Carolyn Winn
Melissa Wood, LMSW
Patricia Woodbury, LCPC
Special Populations
Outreach and Advocacy
Farmworker Outreach
Michael Benjamin, LMSW
Esmeralda Campos
Claudia Del Real, BS
Britney Lanham
Ann Sandven, MPH, RD
David Snyderman, PA-C
Homeless Outreach
Pam Chamberlain, RN
Sara King, LSW
Alissa Lyon, LMSW
Sunny Stoller, PA-C
Irene WhiteEyes, MA
Stacey Wright, C-FNP
Xochitl Yanez, MA
Barbara Youren, C-FNP
Pregnancy Outreach
Yecenia Castaneda
Libby Engebrecht, LMSW, CSWP
Sara King, LSW
Administration
Shannon Blackstock, SPHR
Bobbie Gamel
Shirley Garrett, BBA
Frank Garro
Rachel Gonzalez
Barbara Korn, CPA
Brenda Lake
Patricia Miles
Rebecca Owens
Ann Sandven, MPH
Dan Shadix, MCSE
Victoria Somoza
Leon Swigert
Erwin Teuber, PhD
Roxanne Vidales
Marvin Wells
Credit, Collections,
and Data
Dollie Avila
Kathy Castaneda
Barbara Dubose
Kathy Harris
Karen Kuhn, BBA
Juana Ortiz-Leos
Irma Tycz
Caring For All 15

2002 BY THE NUMBERS
TRHS PATIENTS BY AGE
TOTAL PERCENT
0 - 4 Years 2,367 12%
5 - 19 Years 4,695 24%
20 - 64 Years 11,628 59%
65 Years and Older 1052 5%
Total 19,742 100%
TRHS PATIENT RACE/ETHNICITY
PERCENT
White, Non-Hispanic 53%
Hispanic (All Races) 41%
Other 2%
Unreported 4%
Total 100%
TRHS PATIENT INCOME AS
PERCENT OF POVERTY INCOME
PERCENT
100% of Poverty Income or Less 70%
100% - 200% of Poverty Income 22%
Over 200% or Unknown 8%
Total 100%
16
Caring For All

2002 BY THE NUMBERS
TRHS INSURANCE COVERAGE
PERCENT
None/Uninsured 58%
Medicaid 22%
Medicare 5%
Private Ins/Other Public Insurance 16%
Total 100%
FY 2002-2003 REVENUES AND SUPPORT
PERCENT
Patient Revenues $4,162,000 40%
Federal support $3,858,000 37%
Donated Goods and Services $1,814,000 17%
United Way $315,000 3%
Other $180,000 2%
Foundations $120,000 1%
Total $10,449,000 100%
FY 2002-2003 EXPENSES BY CATEGORY
PERCENT
Clinical Services $6,900,000 69%
SANE SOLUTIONS $891,000 9%
Dental Health $843,000 8%
Administrative $809,000 8%
Health Promotion and Outreach $436,000 4%
Behavioral Health $216,000 2%
Total $10,095,000 100%
Caring For All
17

A BRIEF HISTORY
Thirty-two years ago, Terry Reilly, a conscientious objector in the Viet Nam War era, and his wife Rosie Delgadillo Reilly
arranged with Dr. Clarence McIntyre for voluntary medical services for the migrant farmworkers’ children who were
being tutored at their home on Nampa’s north side. The experience helped to open the eyes of many local, regional, and
national leaders to the plight of the large medically underserved population in the Treasure Valley area. Federal Public
Health Services grant resources and strong local advocacy enabled launching the first actual clinic under the name
Community Health Clinics, Inc., a new not-for-profit corporation.
With a focus on serving low-income and uninsured farm workers as well as other “medically indigent” of all ages, the
organization grew quickly. Clinics were started in Homedale, Parma, and Marsing during the 1970s. The corporation
was (and still is) governed by a representative group of clinic patients and other community leaders who have assured
that the mission of serving the underserved remains as the central purpose of the organization. Under Terry’s leadership,
advocacy and program development were strong themes. Among the more notable accomplishments from those efforts
was the SANE SOLUTIONS Program, which has grown to become a major component of services offered. Several federal
grants began an involvement in teen pregnancy, both its prevention and care of pregnant teens, which has continued.
Following the tragic death of its founder in an April 1986 small plane crash while he was campaigning to become
Idaho’s Lieutenant Governor, the clinic system adopted the business name (dba) of Terry Reilly Health Services.
In the 1980s, the Parma Clinic was sold and the Boise Clinic opened, targeting the homeless population. During the
early 1990s dental services were added, as were behavioral health services. The Melba Clinic opened mid-summer 2002.
Two new dental clinics, Melba Dental and Homedale Dental
opened spring 2003. TRHS has always emphasized health
promotion and disease prevention activities within its clinics
and through outreach services. The community-based board
and input from additional community representatives in the
form of five advisory committees remains as a pivotal force in
strengthening TRHS’ effectiveness and keeping it on track
with its mission. Funding sources have diversified greatly,
with increased reliance on local United Way organizations,
Community Development Block Grant sources, local, regional,
and national foundations, corporate and individual donations.
Terry Reilly Health Services can proudly claim to be one of
the country’s strongest, most comprehensive, most missiondriven
community health centers. The vast majority of its
patients would encounter great difficulties getting the care
they need, were it not for the access they enjoy at TRHS.
Thanks to all who have made this healing touch possible.
18
Caring For All

TERRY REILLY HEALTH SERVICES LOCATIONS
Administration Office
211 16th Ave. N.
PO Box 9
Nampa, Idaho 83653-0009
(208) 467-4431
FAX (208) 467-7684
Behavioral Health Center
207 16th Ave. N.
PO Box 9
Nampa, Idaho 83653-0009
(208) 467-7654
FAX (208) 467-7684
Boise Clinic
848 La Cassia
Boise, Idaho 83705
(208) 344-3512
FAX (208) 338-1574
Boise Dental
103 W. Idaho, Suite A
Boise ID 83702
(208) 336-8801
FAX (208) 336-8682
Canyon Dental
223 16th Ave. N.
PO Box 9
Nampa, Idaho 83653-0009
(208) 466-0515
FAX (208) 466-5359
Homedale Clinic
116 E. Idaho, Box 1058
Homedale, Idaho 83628
(208) 337-3189
FAX (208) 337-4623
Homedale Dental
Eight 2nd St. W.
Homedale, Idaho 83628
(208) 337-6101
FAX 337-6102
Marsing Clinic
201 Main, Box 516
Marsing, Idaho 83639
(208) 896-4159
FAX (208) 896-4917
Melba Clinic
and Melba Dental
150 2nd Ave.
Melba, Idaho 83641
(208) 495-1011
FAX (208) 495-1012
Nampa Clinic
223 16th Ave. N.
PO Box 9
Nampa, Idaho 83653-0009
(208) 466-7869
FAX (208) 466-5359
SANE SOLUTIONS
1716 S. Roosevelt
Boise, Idaho 83705
(208) 345-1170
FAX (208) 345-3502
SANE SOLUTIONS
408 Allumbaugh
Boise, Idaho 83704
(208) 323-9600
FAX (208) 323-9606
SANE SOLUTIONS
207 16th Ave. N.
PO Box 9
Nampa, Idaho 83653-0009
(208) 467-7654
FAX (208) 467-7684
SANE SOLUTIONS
1224 1st St. S.
Nampa, Idaho 83651
(208) 467-7654
Fax (208) 463-4390
Teen Clinic
1504 3rd St. N.
PO Box 9
Nampa, Idaho 83653-0009
(208) 466-7869
FAX (208) 466-5359
TRHS Outreach Sites
• Boise Rescue Mission
• Centennial Job Corps, Nampa
• Chula Vista, Wilder
• City Light Home for Women
& Children, Boise
• Community House, Boise
• Farmway Village, Caldwell
• Lighthouse Rescue Mission,
Nampa
• Nampa Family Shelter
Terry Reilly Health Services is a
partner agency of Treasure Valley
United Way.
Caring For All 19

Terry Reilly Health Services does not discriminate in its
services, treatment, programs, activities, or
employment. If you believe you have been
discriminated against, contact:
Erwin Teuber, Executive Director
Terry Reilly Health Services
211 16th Avenue North
PO Box 9
Nampa, ID 83653-0009
Phone: (208) 467-4431
E-mail: eteuber@trhs.org
www.trhs.org