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ANNUAL REPORT 2020 meeting the moment CONTINUITY OF CARE IN TIMES OF CRISIS
K EN N EDY C O M M U N I T Y H E A LT H
moments of
Dear Friends and Colleagues,
2020 was one of the most challenging
years we have faced in modern
to look no further than inside our
health center doors to find the true
history. Filled with crises, personal heroes of the day. Across all sites and
and community loss and unrest, it departments Kennedy Community
took our collective ingenuity and Health’s team sprang into action
creativity to find a new way of living to keep access open and provide
as a global society. With our eyes continuity of care for our patients.
ever focused on our mission, Kennedy Their dedication to our mission, “to
Community Health’s team seized the help people live healthier lives,”
moment by reimaging, restructuring shone as living rooms turned into
and rebuilding our operations to offices and exam rooms, tents were
better serve our patients and the erected to ensure the safety of our
Stephen J. Kerrigan community ensuring access to facilities, school-based health center
President and CEO equitable health care for all. space became homeless shelters
Throughout the course of the year, and parking lots became prime
our resiliency was tried and proven clinical space for drive-up testing
time and time again. As Mister and vaccinations. At every step, our
Rogers reminds us, in every crisis team was poised and ready to serve
there are people helping. You needed patients and community.
ANNUAL REPORT 2020
strength
Our resolve was also bolstered
by outstanding community
being over, as we continue to roll-out
vaccines throughout the community
support, through unsolicited grants, and find ways to maximize
handmade masks, lunches for front our clinical space to provide
line staff and other kind gestures comprehensive and compassionate
of thanks and gratitude. Despite care to all in our community.
needing to stay apart, the challenges However, no matter the hurdles 2021
of the time invoked a beautiful brings our way, as always, Kennedy
community-wide coming together Community Health is prepared to
with neighbors helping neighbors, as meet the moment. Onward.
we stood together in support of racial
justice, health equity and a better
future for all. Valerie Zolezzi-Wyndham
As trying as 2020 was, we closed Board Chair
out the year with a resurgence of
hope, delivering the long-anticipated
first round of the COVID-19 vaccine.
And that was just the beginning. Our
work as a team isn’t even close toK EN N EDY C O M M U N I T Y H E A LT H
continuity of
2020
was a year marked by the worst
pandemic the world has seen in
Directors and leadership, and the
resilience and dedication of our
over a century; life as we knew it entire staff resulting in no lay-offs
came to a screeching halt when or furloughs due to the pandemic.
the dangerous and deadly novel Forever guided by our mission to
coronavirus spread quickly across “help people live healthier lives,”
Forever guided every community in every corner of Kennedy Community Health
by our mission the globe. While no one could have prioritized keeping patients and staff
predicted or anticipated the level of safe. Thanks to the Health Center’s
“to help disruption or devastation, Edward forward-thinking investment in its
people live M. Kennedy Community Health
Center (Kennedy Community Health)
technology infrastructure, many
of Kennedy Community Health’s
healthier met the moment by pivoting our staff transitioned to remote work,
lives” operations on a dime to be poised
and ready to serve and protect
reducing traffic in our sites and
minimizing the risk of spread. Within
our community. 24 hours of the lockdown, Kennedy
Exemplifying its “spirit of Community Health was delivering
excellence,” these drastic changes 100% of our behavioral health
were sweeping and took quick and services remotely and in a matter
decisive action from our Board of of a week, more than 80 percent of
2ANNUAL REPORT 2020
care
Patient safety remained a number one
priority: telehealth visits; uninterrupted
access to on-site pharmacy; rolling out
COVID-19 vaccines in late 2020.
all of our services were delivered on site while maintaining a safe
through telehealth. environment. Providing health care
This rapid transition to telehealth to patients with co-morbidities
services, however, identified gaps in and offering COVID-19 testing, for
patient access to personal devices example, were essential services
and technology central to ensuring that required in-person visits. As
continuity of care. With the support such, our team implemented new
of our grant funders, Kennedy work flows that allowed Kennedy
Community Health was able to Community Health to keep our
secure a number of cell phones and health centers open without
other vital home health screening interruption for the duration of the
devices for patients with identified crisis. Screening and testing tents
need, allowing our patients’ access were set up outside in our parking
to their clinical providers, eliminating lots to maintain a safe and healthy
barriers to care. environment for all, and new
While telehealth proved to be technology was implemented to
a successful venue, the Kennedy screen staff for symptoms before
Community Health team recognized they reported to work, identifying
the importance of identifying potential exposure or illness
ways to keep bringing patients before anyone stepped on site.
3K EN N EDY C O M M U N I T Y H E A LT H
Additionally, while only providing to deal with Social Determinants
urgent or emergent oral health of Health (SDoH) that keep our
care in the early phase of the patients from living a healthy life.
pandemic, our dental department Unfortunately, it became evident
became fully operational in early quickly that the COVID-19 pandemic
summer, as did our optometry was disproportionately impacting
practice. Both of these services our patients, many of whom were
were delivered in accordance with already considered low-income
state guidelines, and in spite of or experiencing food insecurity,
increased appointment spacing to poor housing and other economic
allow for both social distancing and hardships. Working both remotely
increased sanitation measures, were and on-site, our CHWs worked
eventually brought back up to pre- tirelessly to address the SDoH, as
COVID levels. well as educate our patients about
Kennedy Community Health also the virus, how to stay safe, and most
ensured that our social services staff important how to access health care.
were fully functional at all times. Because of our team’s ability
Even before the pandemic, Kennedy to meet the moment in time we
Community Health built a robust were all facing, we were able to
community health worker (CHW) keep access to care open for all
team across all health center sites of our patients and in fact, our
rate of patients not showing up for
appointments dropped from 22% to
After brief closures, dental and
optometry services resumed in less than 13%, leading to an overall
accordance with state guidelines; increase in medical and behavioral
North High school-based health center health patient visits compared to the
4 converted to homeless shelter same time in 2019.ANNUAL REPORT 2020
WORCESTER
At our flagship
Worcester site,
swift action to implement infection protocol processes
were needed to keep patients and staff safe in this large, three floor facility.
Reduced patient appointments supported social distancing in waiting
areas and patient flow was redirected to maintain safety throughout the
facility. Thanks to newly established community groups, like Mutual Aid
Worcester, Face Masking Working Group, area dental offices, local nail
salons, and other businesses, Kennedy Community Health – Worcester was
able to secure personal protective equipment (PPE) for staff and patients
early during the widespread shortages. With the outpouring of community
support and targeted COVID-19 relief grant funding, staff was also able
to identify high-risk or high-need patients who needed assistance and
guidance in securing face masks and other supplies to protect themselves
and their family, while also distributing masks in the screening tents outside
the building for any patients or visitors to the site. Our Worcester team
also worked tirelessly with our community
partners to host three COVID-19 testing
clinics that served over 1,000 individuals. Community-wide partnerships
aimed to increase community
testing efforts; frontline worker
appreciation; flu vaccination clinics
during the fall 5K EN N EDY C O M M U N I T Y H E A LT H
As a result of a
FRAMINGHAM
long-standing
partnership
between Kennedy Community Health and the Greater Boston
Food Bank, our Framingham Health Center site hosts food distributions on
the third Thursday of each month. With the help of volunteers, this operation
was made COVID-safe with drive through pick up to ensure proper social
distancing was maintained at all times. Our team noted an uptick in the
number of families coming to these distributions, often times running out
of food bags within an hour or two. This prompted the team to work to
secure funding from the Foundation for MetroWest to provide grocery store
gift cards to patients with identified food insecurity to provide immediate
assistance. Our team of Community Health Workers along with the SNAP
Outreach Coordinator has also worked with
patients to identify additional community
Doors remained open throughout resources, like food pantries and SNAP/
to ensure access to in-person HIP applications and enrollment assistance,
services: infant check-ups; free
to help provide long-term support and
pre-packaged food distributions
stabilization of needs.
6ANNUAL REPORT 2020
MILFORD
Thanks to
on-going support
of the Community Health Network Area-6 (CHNA-6), Kennedy
Community Health was able to provide home health screening devices,
namely blood pressure cuffs and pulse oximeters, to patients receiving care
via telehealth appointments. These tools are not covered by health insurance
for many patients but are instrumental in ensuring that our patients, no matter
where they are located when they’re receiving care from us, receive the same
level of high-quality care and attention as they would if we were in the same
room. This approach was particularly impactful for high-risk or complex care
patients, for whom it was most dangerous to receive care in person but also
for whom any lapses or breakdowns in the continuum of care could be the
most detrimental.
Again, through the generosity of the CHNA-6,
our Milford team was able to secure grocery
Outdoor screening tents were
store gift cards to address food insecurity, and constructed to keep staff and
diapers, for families with young children to be patients safe; COVID-19 vaccinations
better able to meet the hygiene needs of their began in December 2020
infants and toddlers.
7K EN N EDY C O M M U N I T Y H E A LT H
Keeping access open to
Behaviorial Health
The COVID-19 pandemic dramatically the Commonwealth, and the country.
changed everyone’s daily lives. It As leaders in providing culturally and
turned everything upside down: how linguistically competent behavioral
we socialize, how we go to work and health care, Kennedy Community
school, where and how we spend Health prioritized continued and
our time. Little was known about uninterrupted access to these services
the novel coronavirus when it first during this time of unprecedented
emerged, introducing new stressors stress.
and anxieties: how it spread, how far With almost no disruption to patient
it could travel, how it responded to care, Kennedy Community Health’s
warm weather, how to treat it, and Behavioral Health team transitioned
how to protect ourselves and family. overnight from an entirely in-person
These stressors created a mental and on-site service delivery structure to
health crisis across our community, a fully virtual platform. Our dedicated
Behavioral Health providers jumped
right in, taking patient appointments
IT infrastructure upgrades were from their homes, to ensure that their
instrumental to a successful pivot to patients had access to the support they
telehealth; staff maintained sense of needed during the crisis.
community and togetherness during
a difficult year
8ANNUAL REPORT 2020
specialty services
SUD Services/MAT Program
Kennedy Community Health partners and beyond. With permission from
with individuals who have substance federal and state authorities, Kennedy
use disorders, including alcohol use Community Health was able to further
and opioid use disorders. Within increase access to this specialized
our Substance Use Disorder (SUD) care via telehealth; telehealth has
program, we offer Medication Assisted been successful in breaking down
Treatment (MAT) as a treatment barriers to care for those whose
modality to help our patients with schedules, geographic location and/
SUD enter and stay in remission. or transportation challenges would
As a chronic disease that requires previously have precluded them from
high-quality, low-barrier, and easily seeking care. Kennedy Community
accessible care, Kennedy Community Health has also maintained access to
Health prioritizes continued and walk-in appointments, for those who
uninterrupted access to these vital prefer to receive in-person care, and
services. This helps us to fully meet has extended its evening hours once
people where they are in their recovery per week.
journey, and provide the full range
of support and services from which
they can benefit. During the COVID-19 Increased access to telehealth
pandemic, this meant opening services opened access to many
additional access points to ensure services; access to in-person services
were maintained throughout
continuity of care throughout the crisis 9K EN N EDY C O M M U N I T Y H E A LT H
Outreach & Enrollment
With sweeping job losses and the adapted to these challenges and
economic crisis caused by long- re-imagined their insurance outreach
term closures and spiking rates model.
of unemployment, many in our Unfortunately, the pandemic limited
community lost their employer- the amount of in-person encounters
sponsored health insurance and the team could provide due to social
were left uninsured during an distancing and other viral reduction
unprecedented health crisis. To provide protocols. Community outreach
the community with the counseling, sites were closed, outreach events
education, and application assistance postponed or canceled, and walk-in
they desperately needed, Kennedy appointments were temporarily ceased
Community Health’s Insurance in order to remain in compliance with
Outreach and Enrollment team quickly guidelines. However, this allowed the
team to get creative with the way they
triage client needs, while increasing the
Navigators provided on-site, ease and accessibility of services by
telephonic and email assistance; offering direct assistance via telephone
front desk and clinical staff assist visits, and email/direct phone line
connecting patients with the team
10ANNUAL REPORT 2020
assistance. As a certified Massachusetts protocols between visits. Long-
Health Connector Navigator site, Kennedy standing relationships and community
Community Health’s team was also partnerships have continued to bring in
granted permission to complete online referrals for those in need beyond the
applications for patients and community scope of Kennedy Community Health’s
members. patient population.
For assistance with more complex
insurance needs or for patients identified
with insurance lapses on-site at our
Health Center sites, Outreach and
Enrollment maintained limited in-person
appointments at our Worcester and Clinical teams adapted to changing
Framingham locations. This allowed guidelines; Kennedy Community Health
the team to provide the best level of nurses stepped up to administer
assistance possible, while implementing COVID-19 vaccines; staff rolled up their
sleeves to receive the shot
necessary social distancing and
appointment spacing, avoiding waiting
room back up, and ensuring sanitation
11K EN N EDY C O M M U N I T Y H E A LT H
We are grateful to the
Friends
on-going support of our generous
of the Edward M. Kennedy
donors. Thank you to all for your
Community Health Center
contributions!
Edward M. Kennedy Circle Charles Estus Circle
($25,000+) ($10,000-$24,999)
Edward M. Kennedy Community Blue Cross Blue Shield Foundation Community Health Network Area-6
Health Center Board of Community Care Cooperative Eastern Bank
Directors-2020 Direct Relief Fallon OrNda
Jennifer Ehrlich Foundation for MetroWest Harvard Pilgrim Healthcare
Jonna Gifford George I. Alden Trust Marjorie Albright Stevens
Ajayi Harris Greater Worcester Community Project Bread
Foundation
Gail Hormats
Mass Health Connector
G. Warren Manigault President’s Circle
Mass Health PAIG
AiVi Nguyen ($5,000-$9,999)
Mass League of Community
Raul Porras Alice C.A. Sibley Fund of the GWCF
Health Centers
Stuart Pynn MetroWest Health Foundation City Block
Susan Seppa The Health Foundation of Central Mass Eastern Bank Charitable Foundation
Valerie Zolezzi-Wyndham UMass Memorial Health Care Herrman Family Foundation
Worcester Together Reliant Foundation
United Healthcare
12ANNUAL REPORT 2020
Community Health Stewards Highland Street Foundation Charles Breckling
($1,500-$4,999) Integrated Rx Kenneth Brissette
Akuity Technologies Mr. and Mrs. Pete Kavanaugh Michele Brown
Eversource Foundation Stephen J. Kerrigan Theresa Burke
LabCorp G. Warren Manigault Kathleen Byrnes
Leah and Patrick Gallivan Susan Melucci Jesse Caplan
Partners Healthcare Open Sky Kimberly Carvalho
Mass League of Community Mr. and Mrs. Alexander Randall Kathleen Comer
Health Centers Reliant Medical Group Sandra Coyne
March of Dimes John Riccio Linda Cragin
Philip W. Johnston Associates, Inc. Shannon Hunt Scott Christine Crean
Senior Whole Health Susan Seppa Leopoldo Negron Cruz
Workers Credit Union Melicia DaCosta
Valerie and Kevin Zolezzi-Wyndham Elizabeth Dobles, MD
Community Health Supporters
Gina D’Ottavio MD
($10-$499)
Sheilah H. Dooley
Community Health Benefactors Nora Alarcon Tina Dombrowski
($500-$1,499) Sanji Alwis Lisa Drexhage
Advocates Kevyn Ashton Heidi Ebers
Regina Aldisert Peter Backiel Kristen Ells
Louis Brady Katy Barobosa Albert Faul
James Brett Alex Bausch Barbara Fields
Robert and Deval Shah-Canning Maureen Belger Allen W. Fletcher
Bowditch and Dewey Jenny M. Berrospi Michael Foley
Cornerstone Bank Janet Beyer Heloisa Fontes
First Congregational Church Maura Bilafer and family Jeffrey and Kristin Fox
Howard Ehrlich David Bodah Gloria Franqui
Angelique Bouthot David Gasson
Jennifer Ehrlich 13
Matt Ehrlich Brian BoyleK EN N EDY C O M M U N I T Y H E A LT H
continued
Community Health Supporters Benjamin Lizotte Raul Porras
($10-$499) Kristen Lizotte Claudia Pouravelis
Diane Gould Christopher Loh Sheela Pradhan
Jodie Gerulaitis Maggie Loh Stuart Pynn
Evelyn Gomez Kathleen Marcoux Susan Reardon
Mary Jane Grace Dr. and Mrs. Roger McCarthy Jill Reilly
Paula Green Toni and Michael McGuire Candice Richardson
Anne Hardiman Ashley McNamara Jadelisse Rivera
Elizabeth Gail Hayden Philip McNamara Lisette Robertson
Ajayi Harris Sarah McRae Dave Rodrigues
Jason Hinkle Amanda Mehaffey Magda Rodriguez
Catherine Hoey Middlesex Charitable Foundation Alberto Sagastume
Gail Hormats Susan Moriarty Kimberly Salmon
David Kahn Catarina Muller Diane Salvi
Willa Kahn, MD AiVi Nguyen Stephanie Salvi
Paula Kaminow Darlene O’Connor Judith Salza
Kavanaugh Family Foundation Ericka Olivera Errica Saunders
Kathleen Keavany Mark J. Onanian Lucas Schleusener
Michael Kelleher Randy Marles Orabone Sue Schlotterbeck
Deirdre Kells Brooke O’Reilly Lisetta D. Shah MD
Patrick Kennedy Maria Ortiz Maureen Sheridan
Sean Kerrigan Elizabeth Osborne Norma Shulman
Bob and Didi LaRochelle Ilma Paixão Tiffany Moore Simas
Nastasia Lawton Aruna Pappu, DDS David Small
Brad Lisak Chad and Julie Perusse Jerome Snee Jr.
Milissa Pisano Cherylann Strom
14 Jessica Planamento Xiomara SuarezANNUAL REPORT 2020
In Kind Support Alberto Mercado
Anee Tamang Estate of Dr. Robert Anusbigian Michele Bags
Steven Taviner Atlantis Dental Mohsen Noreldin, MD
Kathryn Thorsen Aubuchon Hardware Mutual Aid Worcester
Warren and Carolyn Tolman B-Strong Dani Renee Portrait Art
Thidi Tshiguvho BJ’s Wholesale Club Reach Out and Read
Joseph Tutino Joe Boivin Regional Environmental Council, Inc.
Raija Vaisanen Burncoat Center for Arts & Wellness Rocco’s Doughnuts
Francisco Valdes Cinamon & Hubley Dental Practice Saint Rose of Lima Parish
Jazmin Valianti Clark University Samantha Turco Photography
Rena Van Heran Fit Livin’ SEWA – Boston
Amber Vaya Framingham Makerspace Bryan Silva
David Weaver Genie Ware Erica Stults and the team at WPI Foisie
Elliot Wheelwright Good Shepard Parish Staples
Brian Wickersham Cynthia Gray Southeast Asian Coalition
Aronson Young Family Carol Holmes Susan Champeny
Holliston Senior Center Susan Seppa
Hot Power Yoga Center Technocopia
Government Support
Gail Hormats The Makery
Boston Public Health Commission
Impact 508 United Healthcare
Executive Office of Health and
Innovation Studio Whelen Engineering
Human Services
KH Window Fashions Wireless Xperts
Health Resources and Services
Kids Clothes Club Barbara Wittenberg
Administration
Laurie Petty Worcester Bravehearts
Massachusetts Department
Masks Made With Love – MetroWest Worcester Fitness
of Public Health
Mask-Steers Worcester Railers
Office of Refugees and Immigrants
15K EN N EDY C O M M U N I T Y H E A LT H
Revenues & Expenses FY2020
Unrestricted Operating Revenues: Unrestricted Operating Expenses:
Net Patient Service Revenue $ 23,492,767 Salaries and Wages $19,167,079
Grants and Contracts 9,468,126 Medical, Dental and
Donated Goods and Services 1,023,408 Pharmaceuticals Supplies 4,258,501
Interest, Management Fees and Other 618,429 Payroll Taxes and
Contributions 59,371 Employee Benefits 3,539,465
Purchased Services 1,786,779
Total Operating Revenue $34,662,101 Depreciation and Amortization 1,244,722
Donated Goods and Services 1,023,363
Unrestricted Non-Operating Revenues Office Expense 997,062
(Expenses) Occupancy 981,868
Capital Grants 298,274 Professional Fees and Other 504,183
Non-Operating Revenue 34,350 Interest Expense 510,031
Non-Operating Expenses (4,526) Communications 330,934
Impairment loss and loss Pass through Grant Expense 6,300
on disposal of property (2,908,163) Insurance 143,088
Total Non-Operating Revenues Total Operating Expense 34,493,375
(Expenses) $(2,580,065) Change in unrestricted net assets 168,726
Change in net assets $(2,411,339)
16ANNUAL REPORT 2020 Revenues: Net Patient Service Revenue 67.78% Grants and Contracts 27.32% Donated Goods and Services 2.95% Interest, Management Fees and Other 1.78% Contributions 0.17% Expenses: Salaries and Wages 55.57% Medical, Dental and Pharmaceuticals Supplies 12.35% Payroll Taxes and Employee Benefits 10.26% Purchased Services 5.18% Depreciation and Amortization 3.61% Donated Goods and Services 2.97% Office Expense 2.89% Occupancy 2.85% Professional Fees and Other 1.46% Interest Expense 1.48% Communications 0.96% Pass through Grant Expense and Insurance 0.43% Total Operating Expense 100.00% Change in unrestricted net assets from operations $168,726
WORCESTER | FRAMINGHAM | MILFORD Advancement Office 115 NE Cutoff, Bldg. 2, Suite 200, Worcester, MA 01606 (508) 854-2122 | Fax: (508) 853-8593 www.kennedychc.org @kennedychc
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