Terry Reilly Health Services

Transcription

Terry Reilly Health Services
Terry Reilly Health Services
35 Years of Serving You with Respect
Annual Report 2006
Fiscal Year: April 2006 – March 2007
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.”
OUR MOTTO
“Serving You With Respect”
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 size and income.
Services are available in English and Spanish and other languages by special
arrangement. Terry Reilly Health Services is committed to serving all people but
especially targets populations facing barriers elsewhere, such as migrant and
seasonal farmworkers, the homeless, and other special populations. TRHS is
governed by the communities it serves through a representative board of directors.
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From The Top
Dear Friends,
In more ways than one, it sure feels like we are becoming so very mature – and we
don’t mean just getting older. This comment is about Terry Reilly Health Services
(TRHS), the total organization of over 200 staff that serves six communities and
over 25,000 people. It also encompasses the 19 person Board of Directors and
many others who do volunteer work with TRHS or otherwise support us. We are
more mature in that we get better and better at what we do. Experience truly is
beneficial.
In recognition of more than our age, the Boise Peace Quilters bestowed an
incredible honor on TRHS with the award of the 2006 Peace Quilt you see adorning
the cover of this Annual Report. It depicts some of the diverse work of TRHS over
its 35 glorious years of existence (as well as 35 years of blood, sweat, and tears).
But what a fabulous honor to have those many contributors to the health care
delivery work of TRHS recognized in this inspiring and aesthetically pleasing way.
The actual quilt hangs proudly in the Waiting Room of the Nampa Clinic, our first
and largest clinic of six.
Another message of the Peace Quilt is that it takes many contributors and lots of
cooperation to accomplish the amount and the variety of health services delivery
that has been made available through TRHS, just as it takes many hands to craft a
quilt. The Peace Quilt trumpets the power of caring, cooperation, competency and
community.
The Boise Peace Quilt Project philosophy is the honoring of individuals and groups
which have made outstanding efforts “against all odds” to improve the lives of those
who need help and to promote peace wherever possible in all aspects of human life.
It has often felt that our work has been “against all odds,” yet so much has been
done. The work is challenging, particularly the financial demands, but it is also
extremely rewarding. This Annual Report tells you about many of the achievements
over the past fiscal year and it reflects some of the issues we face routinely. Thank
you for reviewing the Report and for your support.
Sincerely,
Rosie Delgadillo Reilly, M.Ed., L.C.P.C.
Chairperson, Board of Directors
Erwin B. Teuber, Ph.D.
Executive Director
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Board
of
Rosie Delgadillo Reilly,
M.Ed., L.C.P.C., Chairperson
Keith Kendall
Vice Chairperson
Theresa Lunstrum
Secretary/Treasurer
Sister Maura Clark, RSM,
MSN, Past - Chairperson
Palma Brown
Jose Corral
Michael Cunnington, DDS
Mike Duggan
Fred Helpenstell, MD
Dolly Hyer
Linda Kaiser
Charles Marsh, MD
Duane Pancheri
MaryAnn Reese
Bob Ring, MD
Andy Rodriguez
Peggy Tallman, RAC
Directors
Luis Urias
Comprised entirely of volunteers, the Board of Directors leads
efforts at Terry Reilly Health Services to maximize services
to the community. Members of the Board represent all the
communities and population groups served by TRHS and include
people with a wide array of talents. Over half of the Board is
comprised of users of our services. The Board provides overall
policy and strategic direction for TRHS, as well as oversight of its
operations and goal achievement.
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Corporate Leadership Team & Clinic Managers FY07
Erwin Teuber, PhD
Barbara Korn, CPA
Jonathan Bowman, MD
Chief Financial Officer
Heidi Hart, LCPC
Shannon Blackstock,
SPHR
Dick Ernest, C-FNP
Homedale Clinic
Manager
Caldwell Clinic Manager
Jim Owens, MA
Homeless Services
Faith Peterson,
MS, MPA, C-FNP
Ann Sandven,
MPH, RD
Behavioral Health &
SANE SOLUTIONS
Program Director
Terry Lewis, PA-C
Melba Clinic Manager
Human Resources
Manager
Manager
Dan Shadix, MCSE,
Information
Techology Systems
Administrator
George Thomas,
MPA, PA-C
Nampa Clinic
Medical Director
Dan Watt, DDS
Executive Director
Marsing Clinic Manager
Dental Director
Janine Franco, PA-C
Development Officer
The Corporate Leadership Team links the
leadership of TRHS’ diverse divisions (medical,
dental, behavioral health, and administration) into
an effective guiding force, leading to a coordinated
response to meeting community needs. Clinic
Managers provide day - to - day leadership to the
six TRHS family practice clinics.
Operations Manager
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TRHS Clinical Staff FY 07
Medical
Penny Beach, MD
Jonathan
Bowman, MD
Elizabeth
Foster, MD
Steven
Greenberg, MD
Elise Hughes, MD
Mark Mering, MD
Denise Mills, MD
Rebecca
Ratcliff, MD
Rosalia
Richardson, MD
Louis Roser, MD
Kate Ryan, MD
Jolene Starr, MD
Steven Von Flue,
MD
Jessica Briggs,
PA-C
Craig Christiansen,
FNP
Lawrence Egger,
PA-C
Dick Ernest, C-FNP
Janine Franco,
PA-C
Phoebe Hershenow,
FNP
Melinda Hughes,
PA-C
Marjorie Humphrey,
PA-C
Terry Lewis, PA-C
Michael Loegering,
FNP
Babette Munting,
FNP
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TRHS Clinical Staff FY 07
Faith Peterson, MS,
MPA, C-FNP
David Snyderman,
PA-C
Margery Soni,
C-FNP
Barbara Youren,
FNP
Jerry Gomez, DDS
Christopher
Loomis, DMD
Jim Neerings, DDS
Drostan Orme,
DDS
Justin Robison,
DMD
Dan Watt, DDS
Jodie Seely, RPh
Michael Triolo, RPh
Dental
Pharmacy
Sabrina Allen,
PharmD
Glenda Carr,
PharmD
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TRHS Clinical Staff FY 07
Behavioral
Health
Michael Benjamin,
LCSW
Lisseth Davis,
LCSW
Libby Engebrecht,
LCSW
Britney Journee,
LPC
Lisa Lawrence,
Psych NP
Alissa Lyon, LCSW
Jeff Betts,
LCPC, LMFT
Shelly Carson, LPC
Shane Clubb, LPC
Claudia Currie-Mills,
LCSW
David Ferguson,
LCPC
Heidi Hart, LCPC
Judy Hudson,
LMSW
Kendra Lutes, LCPC
Michael
McCracken, MA
Mark McCullough,
LCSW
Sandra
McCullough, LCPC
Melissa Mezo,
LMSW
Joseph Morisette,
LCPC
M. Susan
Ozimkiewicz, LPC
John Reyna, LCPC
William Vogel,
LMSW
Not Pictured:
Stephen Schrader,
LCPC
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TRHS Highlights
of the
Year
For Calendar Year 2006:
• Witnessed the continued increase in uninsured patients from 65% in 2005 to 67%
in 2006.
• Granted sliding fee discounts of $4,706,167 to patients, an 8% increase from
2005.
• Provided 107,768 medical, dental, behavioral health or SANE SOLUTIONS visits
to 25,359 adults and children.
• Met the acute and chronic primary medical needs of 19,238 persons through
61,929 visits.
• Addressed the huge gap in dental care for low-income or uninsured persons by
providing 13,124 visits to 6,094 people.
• Counseled 2,159 adults and children with behavioral health issues an average of
three times each (6,024. visits), a 167% increase in numbers of persons served.
• Treated 284 victims of sexual abuse and 1136 sexual and physical abuse
offenders, delivering a total of 22,415 treatment sessions.
For Fiscal Year 2007 (April 1, 2006–March 31, 2007):
• Delivered 744 babies, the largest number in the 35
years of corporate history!
• Opened Caldwell Clinic in late September, the sixth
primary care clinic of the TRHS system, using one-time
operating dollars from the state of Idaho and a building
donated by Dr. Bob and Dorothy Ring and Dr. Richard
and Rowena Roberge.
• Began offering “Express Care” at Nampa Clinic in
July to expedite same-day treatment for non-complicated
medical issues, averaging 640 patient visits a month.
Executive Director Erwin Teuber introduces
• Provided medical, dental or behavioral health services the new Caldwell Clinic Manager Janine
Franco, PA-C to guests at ribbon cutting, as
to 2,954 adults or children in farmworker families.
CFO Barbara Korn looks on.
• Made primary medical, dental, and behavioral health
care available for 588 adults and children with no other resources through the TRHS
Zero Pay Fund, primarily funded through proceeds of the Bob LeBow “Health Care for
All” Bike Tour and through private donations.
• Began the transition to electronic medical records in August, starting with the
brand new Caldwell Clinic and adding four of the five other medical clinics by the end
of March.
• Recognized Bob and Dorothy Ring and Richard and Rowena Roberge as the
fourth annual recipients of the Bob LeBow Community Health Award for donating the
Caldwell Clinic building.
• Received the Nampa Chamber of Commerce Sustaining Member in the Serving
the Needy Category.
• Celebrated the unveiling of a historical mural by Alma Gomez, commissioned
for TRHS by Friends of the Blue Heron Institute to honor our 35 year history, 1971
– 2006.
• Continued the anniversary celebration with an Open House October 5, highlighted
with the dedication of the Boise Peace Quilt which hangs proudly in the Nampa Clinic
foyer and whose quilt square images illustrate this annual report.
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Caring
for
Family Health
Accessible quality family medicine is at the heart of Terry
Reilly Health Services’ mission. This past year, TRHS made
several notable improvements to better impact the community:
Electronic Medical Records, Nampa Clinic Express Care, and
Caldwell Clinic.
Electronic Medical Records (EMR): Making the switch from
paper medical charts to electronic records is one with far
reaching consequences. Besides purchasing software and
hardware, health clinics like ours must devote considerable
personnel resources to research, plan, and implement the new
system.
By the end of March 2007, TRHS had implemented EMR at
four of its six medical clinics, including the flagship Nampa
Clinic which serves over 10,000 persons a year. TRHS is
delighted to join the elite group of only 10-15% of all medical
practices in the US that have made this quality improvement.
Advantages include: quicker access to the medical record and
printable patient education handouts that facilitate the patient
experience, as well as being able to read what the doctor wrote!
Nampa Clinic Begins Express Care: To meet the need for
same day care for minor injuries or illnesses, the TRHS Nampa
Clinic instituted Express Care in July. A dedicated check-in
area, exam rooms, and staff all help ill or injured adults and
children access quality care without needing an appointment.
Typical ailments include ear infections, sore throats, colds,
flu, cuts and scrapes, etc. By the end of winter, Express Care
helped between 650 to 880 patients a month get the care they
needed to return to health as quickly as possible.
TRHS Caldwell Clinic Opens: After much anticipation, TRHS
opened its sixth family practice clinic in September on 2005
Arlington Avenue in Caldwell. Experienced physician assistant
Janine Franco is the clinic manager, joined in patient care by
Dr. Elise Hughes and Melinda Hughes, PA-C. Notably, Caldwell
Clinic opened entirely using electronic medical records. It also
has approximately half its clinical time reserved for Express
Care, with the other half serving patients with chronic diseases,
prenatal care, or other ongoing medical issues. Caldwell Clinic
expects to provide over 10,000 medical visits to 3000 persons
a year.
Olga’s story:
“I went to the clinic
because my legs
were hurting so bad
and I couldn’t walk
very well. I would
limp whenever
I walked. I told
Janine Franco (PA
and Caldwell Clinic
Manager) everything
that I was going
through with my
legs. She quickly
diagnosed my
problem and gave
me a prescription for
my pain. Ever since
then, my health has
improved a great
deal. If it hadn’t been
for Janine, I honestly
don’t know where I
would be right now.”
All TRHS services are open to the entire community.
We welcome those with private insurance, Medicaid, and
Medicare, as well as those without any health coverage.
A healthier community is a stronger community!
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Caring
for
Your Smile
TRHS Dental Services started the fiscal year with recruiting
for and filling four of its six dentist positions, due to a mix of
retirement and the desire to go into private, for-profit practice.
Even with almost complete turn-over in dentist staffing, TRHS
Dental Services increased its productivity per dentist 19%
over 2005 levels, the highest level since 2001.
Russell’s Story
Russ, 63, had been a
trucker most of his life.
After an auto accident
left him with both legs
amputated, he had to
find different work. He
couldn’t just sit home
in his wheelchair.
WalMart wanted Russ
for a greeter but he
couldn’t smile, not with
teeth like his.
When Russ came to
Canyon Dental, his
pain was treated with
antibiotics, but there
was no way to save his
teeth. With help from
Washington Group
Foundation, TRHS got
Russ complete dentures.
Now he can smile and is
off to a new job!
Current dental staff are not only more efficient, they are also
extremely well trained. Two of the dentists who joined TRHS
last year have post graduate training, which allows them
to provide our patients the highest quality advanced dental
care, such as administering nitrous oxide sedation to anxious
children who would otherwise resist treatment and have to
be hospitalized. Because TRHS dentists are able to do root
canal treatment and provide dentures, they are able to help
our patients replace lost teeth, not just decrease their pain by
pulling decayed or broken teeth.
Last fall, TRHS Boise Dental began a pilot Medicaid project
where every physician received referral packages to refer
their pregnant moms and other Medicaid patients for dental
care through a “Medicaid Express” telephone listing. Dentist
staffing also increased by a day at each site, further increasing
access to care.
Of great importance to increasing access to dental care for
adults and children, especially in Nampa and Caldwell, was
the decision at the very last Board meeting of the fiscal year
to purchase a new building for Canyon Dental. The current
675 sq. ft. clinic, located within the TRHS Nampa Clinic,
is woefully overcrowded, has no room to grow, and uses
unreliable, old equipment prone to breaking down.
In August, Canyon Dental will open its doors in a new
building, equipped specifically for use as a dental office.
Not only will the larger (2700 sq. ft.) space be able to
accommodate six operatories, instead of the
current four, it will have adequate space for a
dental lab, X-ray processing, offices, storage, and
staff training. The 4200 sq. ft. building will also
offer Canyon Dental the ability to grow its practice,
with the extra space to be used in the meantime
by TRHS Credit & Collections staff. The new
clinic will increase access by at least 20% in the
first year, provide state of the art equipment in a
pleasant environment, and be centrally located off
Nampa-Caldwell Boulevard.
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11
Caring About Your Feelings
Every day, people turn to TRHS to find help for their
emotional pain. Some are in need of medications to help
manage their mental illnesses. Others need the guidance and
support provided by quality counseling. Still others benefit
from the structure and direction of case management. TRHS
has responded to this demand by developing a capable
behavioral health staff comprised of counselors, social
workers, and case managers, as well as a psychiatrist and
psychiatric nurse practitioner to augment the medical staff.
The behavioral health staff works with the medical staff at
each TRHS medical clinic to meet the diverse needs of our
patients.
The TRHS behavioral health staff responds to the needs of our
patients by providing a range of services: crisis intervention;
individual, group, marriage and family counseling; community
outreach; and medication management. We currently run
groups for individuals with mental illnesses and chronic
medical conditions as well as for individuals who are
homeless. We are fortunate to have two contracts with the
Boise City/Ada County Housing Authority which allow us to
work in cooperation with the Housing Authority and other
community partners to help homeless clients achieve a level
of stability, independence and self-sufficiency.
To better meet the diverse needs of the Treasure Valley, the
TRHS behavioral health staff includes four bi-lingual mental
health providers as well as a mental health educator who
provide mental health services in English and Spanish. The
mental health educator facilitates activities such as outreach
fairs and community events, radio novelas (soap operas), and
educational support groups. Staff also recently presented on
farmworker mental health issues during the Western Migrant
Stream Forum in Sacramento.
Matt’s Book About
Dealing with Anger
Share your feelings.
Say I’m sorry.
Say I forgive you.
Play a game
together (like
soccer)
The end.
Source: TRHS Child
Therapy Sessions
Within TRHS behavioral health services, all activities
are designed to improve the level of functioning of
our clients and to increase community awareness on
mental health. A great deal of work has been done
in 2006 to address the community need for mental
health services; however, our work is not finished.
We will continue to look for ways to respond to the
growing mental health needs of the Treasure Valley
during the upcoming year.
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Caring
for
Abused Children
and
Adults
The TRHS - SANE SOLUTIONS Program currently
operates four out-patient mental health clinics in Boise
and Nampa. One clinic in each community provides
services to victims of child sexual abuse. The second
clinic in each community provides services to adult and
juvenile sexual offenders as well as individuals who have
committed acts of domestic violence.
Sarah & Her Family’s
Story:
The “Johnsons” are
living through their worst
nightmare. Six months ago,
their 10-year old daughter
“Sarah” disclosed that she
was sexually abused by her
15 year old cousin.
Everyone in the family
is hurting. “Sarah” is
struggling to make sense
of what happened to
her and is often whiny,
argumentative, and
demanding. She is
frequently in trouble for
lying and failing to do her
schoolwork. Her parents
are feeling guilty and
betrayed. They wonder
if there is something they
could have done?
The “Johnsons” are a
hard-working couple with
no mental health insurance
benefits. TRHS - SANE
SOLUTIONS was able to
provide the family with
a 50% discount on their
counseling, which reduced
expenses to a manageable
$270 per month. Now the
“Johnsons” are working
hard to make sense of this
tragedy, to help “Sarah”
heal, and to restore a sense
of safety to their family.
The TRHS – SANE SOLUTIONS Program strives to
provide a diversity of services to meet the needs of
persons struggling with child sexual abuse. We are
fortunate to have four bi-lingual providers on staff
allowing the SANE SOLUTIONS Program to deliver
services in English and Spanish.
Through generous community support, TRHS – SANE
SOLUTIONS Program provided services to nearly 300
victims of child sexual abuse this last fiscal year. Nearly
40% of the victims of child sexual abuse whom we served
were able to access reduced fees or scholarships for
care, helping them begin needed healing.
In addition to working with individuals and families, the
TRHS – SANE SOLUTIONS Program currently operates
70 out-patient counseling and treatment groups. These
groups are designed for a variety of audiences including
adult and juvenile sex offenders, domestic batterers,
adult survivors of child sexual abuse, adolescent victims
of child sexual abuse, and partners/families of adult
or juvenile sex offenders. Staff also provides adult sex
offender treatment within two Idaho correctional facilities.
The TRHS - SANE SOLUTIONS Program administered
over 700 polygraph examinations on adult and juvenile
sexual offenders to manage their daily activities,
compliance with treatment and probation, and offenders’
contact with children, as well as over 100 evaluations
on adult sexual offenders. The information and
recommendations in these evaluations are used by
prosecutors, public defenders, judges, and Probation
and Parole to make informed decisions regarding an
individual’s risk to the community and amenability to
treatment. SANE SOLUTIONS – helping to keep our
community safe and restoring hope to those abused.
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13
Caring
for the
Homeless & Farmworkers
Homeless Services:
In 1988, TRHS became a Health
Care for the Homeless (HCH) center and established the Boise
Clinic to meet the needs of that discreet target population in Ada
County. At the same time, the TRHS HCH Project developed
targeted services for the homeless of Canyon County and
continues to deliver those services at the TRHS Nampa Clinic.
Unfortunately, as the population growth and the number of
homeless in the service area accelerated, the homeless funding
for TRHS HCH Project could no longer meet the increased
demand for service. The TRHS HCH Project had to re-align its
eligibility guidelines to fit its funding level and focus its limited
resources only on those homeless that were literally on the
street or in shelters, and refer those who were “doubling-up” (generally women with
dependent children, who have no permanent residence, and are “doubling-up”, i.e.,
staying with friends) to our regular TRHS sliding-fee scale services.
In 2006, TRHS had the opportunity to compete for additional federal funds to
expand the TRHS Health Care for the Homeless Project to better meet the needs of
the growing homeless population, including those who are “doubling-up”. TRHS was
awarded this additional federal funding in 2007: it will allow the Health Care for the
Homeless Project to add an additional 2,000 homeless patients in the 2007-2008
fiscal year.
Farmworker Outreach: Bringing Health Care
Education into the Community
and
Health
With an estimated 50% of all farmworkers lacking insurance, the demand for
affordable medical, mental health, and dental care is huge. Even so, many
farmworkers are unaware of the many services offered by TRHS, are put off by
the perceived language barrier, or they are worried about the cost. Because of low
educational levels, understanding of the role of preventive and self-care behaviors is
often poor.
The TRHS Farmworker Outreach program seeks to break down these barriers
through a variety of community-based activities such as clinics in labor camps,
health fairs, small group classes, home health parties, and community events like
the Day of the Child celebration and Cinco de Mayo. Many of these events are done
in collaboration with other organizations, such as Southwest District Health, the
YMCA, hospitals and their mammovans, colleges, and USDA’s pesticide education
programs.
Through outreach, farmworkers and their
families are screened for diabetes or high blood
pressure, are protected against tetanus, learn
ways to manage their diabetes, or are linked
with resources for breast and cervical cancer
screening, for treatment of depression or dental
disease. Children and adults alike learn about
healthy eating and life-long fitness. And the health
of our rural communities improves as a whole.
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Donors April 2006 - March 2007
Annual Gifts From Individuals of $50 or More
Benefactor
($10,000 - $24,999)
Ellen Bush
Patron ($5,000 - $9,999)
Anonymous
Cynthia Edstrom
Gail LeBow
Enthusiast
($2,500 - $4,999)
Robert & Roberta Halliday
Peter & Marjorie Reedy
Erwin B. Teuber
Charles & Camille Tillinghast
Supporter
($1,000-$2,499)
Anonymous
Norm & Ellen Batt
Philip Batt
James & Gayle Chalfant
The Estate of Dorothy L. Chace
Ray Flachbart
Bill & Anke Hall
Jack & Penny Harrison
Michael Petty & Wendi Norris
Paula Pitt
Thomas & Suzy Ryder
Marilyn Shuler
Friend ($500-$999)
Anonymous
David & Amanda Baltierra
Douglas Barlow
Richard Blair
Marilyn T. Chastain
Heidi Cunningham
Gregory & Valerie Dawidczik
Gene & Fritz Dickey
Ken & Jane Dunbar
David Edmark Sr.
Clyde & Frances Everton
Ronald & Faye Fife
Heather & Craig Getzloff
Vickie Holbrook
Barbara Leinberger-Bolin
Richard & Susan Parrish
Mark & Janice Patton
Phil Peterson
Jeremiah Quane
Ann & Lars Sandven
John & Linda Stedman
Bonnie Thorpe
Kiki Tidwell
Paula Warren
Fan ($100-$499)
Anonymous
Lynn & Kathi Anderson
Harmon & Janice Avera
Judy Balkins
Gene Barrett
Carol Bearce
Joseph & Janet Bejsovec
Pamela Bernard
Sherrie Bernardi
Chris Bevington
Fred & Gail Birkland
Gene Bleymaier
Linden Boice
Marcia Bondy
Jonathan & Joyce Bowman
Mr. & Mrs. William Bowman
Kathie Brack
Richard & Lynette Brodsky
O. Irene Brougher
Mary Brown
Russ & Janet Buschert
Tricia Canaday
Mary Carver
Scott Christensen
Michael & Maria Clayton
Charles & Carolyn Coiner
Chris Compton
John & Jacqueline Cooney
David & Lois Coulter
Jerald & Jeanie Cronrath
E. Louisa Crow
Terry Darrington
Hector de Leon
Cathy Downs
Ruth Earley
Kathy Easterling
Bill & Susan Eastlake
Diana Ellis
John & Bonnie Esposito
Dave Ferguson
Helen Fisher & Mark Seyfried
Jerry & Susan Floyd
Ashley Foard
Jeffrey Frechette
Judith K. Gaarder
Albert Gabiola
Patrick & Bobbie Gamel
Nanette Gibson
Stanley & Susan Gibson
Jim & Georgia Girvan
Jim & Jean Giuffre
James Glendinning
Elizabeth Griffith
Richard & Becky Groff
Peg Gulrich & Harry Ezell
Mary Hanrahan
Rob & Annette Hanson
Tom & Jane Hardison
Bas & Syrena Hargrove
Ruth Harris
Heidi Hart
Paul & Christine Hatab
Patricia Hazard
Gregory & Janet Helma
Fred & Shirley Helpenstell
Alice & Tom Hennessey
Joseph & Mary Henscheid
The Christopher Holliday Family
Mike & Marcy Huffman
Minnie Inzer Muniz
Suzanne Janzen & Jay Dark
Johanna Jensen
Stuart Jones
Judy Kandler
Diane Kaplan
William & Judith Karst
Klint Keller
Mary Anne Kennevick
Susan Kiracofe
Mark & Yvonne Kirkpatrick
Frederick & Jennifer Klein
Steve & Elaine Koenig
Barbara Korn
Peter Kozisek & Julia Robinson
Karl & Margaret Kurtz
Krista Kushmerek
Val Kvitko-Simon
Herbert & Deborah LaFond
Jim & Sandra Lancaster
Donald Larson
Joel & Helena LeBow
Ted & Jennifer LeBow
Lisa Leff
Helen Lojek
James & Melanie Loveless
Beverly Ludders
Scot Maring
Rev. John & Mrs. Jeannine Mars
Charles Marsh
Dorothy Martindale
Charles & Sonia Mastache
Perry & Patricia May
Don & Sandra McCanne
Mark McCullough
Jen McDonough
Janet McGarry
Tom McMeekin
Linda McVeigh
Larry & Deanna Mendenhall
Melissa Mezo
Rodney Miller
Stephen Montamat
Paul & Karen Montgomery
Connie Mumm
Phillip & Victoria Oberrecht
Elizabeth Olberding &
Stanley Hall
Catherine Parker
Bob & Vivian Parrish
Darrel Perry
Christine Pickford
Kristine Poncia
Marcia Pursley
Georgiann Raimondi
Alan & Deborah Raney
David Reese & Ellen Peach
Celia Renner
Gabrielle Renwick
Tony Rerecich
Robert & Dorothy Ring
Jacqueline Rivas-Barker
3 5 Ye a r s o f S e r v i n g Yo u w i t h R e s p e c t
15
FY 2006-2007 Donors
Richard & Rowena Roberge
Charles & Dianne Robertson
Elena Rodriguez
Kathleen Romito & Peter Sacks
Lisa Scales
Pam Schleicher
Jerry Settle
Donald & Gaye Shaff
Rob Shellworth
Donna Shepard
Kenneth Sherman
Ivan Shulman
Lisa Shultz & Leslie Stubbs
David Smith
Lois & Marty Snyderman
Jerry Stanford
Valerie Steffen & Lou Sternberg
Kathy Stimpson
Rebecca Struik
Melody Stugart
Will & Jeannie Swenson
Glory Truax
William Wallace &
Diane Dechenne
Murray Ward
Dan Watt
Theresa Weiland & Steve Csik
Edie & Tom Welty
Bret Wheeler
Jean Woodward
Lori Wright
Patricia Young
Backer ($50 to $99)
Fred Alleman
Harvey & Patricia Babendure
Melissa Barham
William Barker
Mary Benton
Patrick & Diane Bertsch
William & Susan Boehner
Gordon Bowen
Jeannette Bowman &
John Barnet
Jean Boyles
Steve & Anne Brown
Lela Buckley
Jane Carpenter
Carol Casler
Linda Clark
Stephen Cox
Barbara Decker
(continued)
Robert & Estella DeGroat
Marcia Driscoll
James Dzur
Annabeth Elliott
Dolores Ellis
Barry & Maria Eschen
Judith Ferro
Marlene Gast
Peter & Rebecca Goodwin
Mike & Lynn Gress
Ruby Hasselbring
Clifford Hawkes
L. Michelle Hicks
Helen Hill
Rozella Hopkins
Tonya Irving
Errol Jones
Pat & Sally Kane
Barbara Keele
Gerald & Suzanne Kline
Erhardt & Beverly Kunert
Kenneth & Karen Beth LeBow
Sarah Lunstrom
Bill Lusk
Bill & Lenka McDougall
Marsha McKinney
Victoria Merrell & Anne Beesley
Franky Mitchell
Sharon Mitchell
Bill & Suki Molina
John & Marjean Mueller
Molly O’Leary
Laura Ouimette
Todd Palmer
William & Bonnie Pittman
Edith Rasell
Joseph & Jessie Rasgorshek
Roberta Rene’
Richard Ringelstetter &
Jean Lovelace
Hannah & Ceredig Roberts
James & Cynthia Scott
Dan & Terri Shadix
Catherine Shalz
Randy & Beth Shuman
Christine Siron
Rick & Carol Skinner
Sara Skinner
Gary & Julie Slee
Wally Smith &
Mary Clagett Smith
Virginia Sorensen
Nancy Stouffer
Leslie Stubbs
Susan Thomas
Sarah Toevs
Darlene Travis
Ann Urrusuno
Robert Vestal
Kirby & Cheryl Vickers
Fritz & Janet Ward
David Wilkins
Virginia Woolley
Brenda Yoder
Gifts from
Foundations,
Corporations, and
Other Private
Businesses
United Way of Treasure
Valley ...................... $206,000
The John F. Nagel
Foundation, Inc.......... $32,450
The Susan G. Komen Breast
Cancer Foundation..... $25,000
Southwestern Idaho Combined
Federal Campaign/United Way
Designations............... $23,826
McCauley Ministry
Fund........................... $20,000
Camille Beckman
Foundation ................ $15,000
FUNDSY........................ $15,000
The Whitney
Foundation................. $12,500
The Halliday
Foundation................. $10,000
Idaho Power/IDACORP
Employee Community Service
Fund............................. $5,850
St. Luke’s Regional Medical
Center.......................... $5,000
The Whittenberger
Foundation................... $5,000
Tate Family Charitable
Trust............................. $3,000
Collection Bureau, Inc..... $2,000
Larry Barnes
Foundation................... $2,000
Terry Reilly Health Services Endowment
Categories based on total amount given/pledged
Supporter
($1,000-2,499)
Anonymous
Karen Kuhn
Ann Sandven
16
Friend
($500-999)
Anonymous
Jonathan Bowman
Fan
($100-499)
Tom McMeekin
Backer
(up
to
$99)
Sr. Maura Clark
3 5 Ye a r s o f S e r v i n g Yo u w i t h R e s p e c t
FY 2006-2007 Donors
(continued)
Gifts from Foundations, Corporations, and
Other Private Businesses (continued)
Idaho Community Foundation
Anti-Poverty Endowment
Fund.......................... $1,750
Southwestern Region Greatest
Need Fund................ $1,750
Gladys E. Langroise Advised
Fund.......................... $1,500
Wells Fargo..................... $1,500
Albertson’s Community Partner
Program....................... $1,400
Idaho Community Foundation
Kissler Family Foundation
Philanthropic Gift
Fund.......................... $1,000
The McCain Family
Foundation................ $1,000
Shepherd Of The Valley
Lutheran Church.............. $400
Idaho Returned Peace Corps
Volunteers....................... $300
Bullet Electric..................... $250
Equistar Chemicals............ $200
Seidl Home Company......... $200
Trinity Presbyterian
Church............................ $200
Valli Hi Ranches.................. $200
Alpha Delta Kappa Teacher
Organization.................... $107
American Institute of Health
Technology/Apollo
College............................ $100
Boise Consumer Coop........ $100
First Congregational
Church............................ $100
The Asset Consulting
Group, Inc....................... $100
W & C Corporation............... $90
JMJ Cleaning, LLP............... $75
The Center of Peace............. $75
Moscow Future Problem
Solvers ............................. $73
Leo Robbins & Sons, Inc........$50
Note: Please see page 21 for
Federal and other public revenue.
Special thanks to the TRHS
medical and dental volunteers,
businesses and individuals for
their generous gifts in kind.
Bob LeBow Bike Tour Sponsorships
J R Simplot Company... $10,000
Blue Cross of Idaho Foundation
for Health, Inc............... $5,000
Blue Heron Institute......... $5,000
Idaho Community Foundation
United Heritage Fund.... $5,000
Mercy Medical Center...... $5,000
Collection Bureau, Inc..... $4,000
Boise Consumer Coop..... $2,500
Emergency Medicine of
Idaho............................ $2,500
Regence BlueShield of
Idaho............................ $2,500
West Valley Medical
Center.......................... $2,500
Hopkins Financial Services,
Inc................................ $2,000
REI.................................. $2,000
Jim and Cheryl McNabb.. $1,500
Anderson Lap-Band........ $1,000
Become
a
Conagra Foods Specialty Potato
Products....................... $1,000
Farm Credit Services....... $1,000
Farmers & Merchants
Bank............................ $1,000
Home Federal.................. $1,000
Wells Fargo..................... $1,000
David Edmark Sr................ $500
Hitcharama RV................... $500
Idaho Foot and Ankle
Associates....................... $500
Intermountain Eye & Laser
Centers, P.L.L.C............... $500
Intermountain Gas Industries
Foundation, Inc............... $500
Thorne Printing................... $500
Zions Bank......................... $500
Ripley Doorn & Company,
P.L.L.C............................. $350
Jerry Cornilles.................... $300
Pacific Western Training...... $300
Note: Bike Tour sponsorships cover
sponsorships for 2006 and 2007 rides,
based on when the donation was
received.
Although we make every attempt to
list names correctly, please notify us
if there is an error.
Founding Terry Reilly Legacy Society Member!
Existing legacy society members include: Mark Clark and Sharon Katz, Carol
Cronin-Kriz, Gail LeBow, Ann Sandven, and Erwin B. Teuber. The TRHS Funds
Development Board created the Society in 2003 to encourage donors to remember
Terry Reilly Health Services in their will or other planned gift. Bequests may be
made to support current operations or the Terry Reilly Health Services Endowment
at the Idaho Community Foundation.
Joining the Society is as easy as notifying us of your intent to make such a
donation. Donors may elect to remain anonymous or to allow their name to be
published to encourage others to make similar gifts. For more information, please
contact the TRHS Development Officer at 318-1258.
3 5 Ye a r s o f S e r v i n g Yo u w i t h R e s p e c t
17
Terry Reilly Health Services Staff FY 07
Boise Clinic
Linda Campbell, CMA
Pam Chamberlain, RN
Erin Clark, CMA
Teresa Darrington
Steven Greenberg, MD
Michael Loegering, FNP
Alissa Lyon, LCSW
Babette Munting, FNP
Jim Owens, MA
Karla Perry
Alex Rhodes, RMA
Teresa Sherman
Kerri Snow
Jolene Starr, MD
Janet Walters, CMA
Barbara Youren, FNP
Caldwell Clinic
Stacey Eickhoff, MA
Janine Franco, PA-C
Elise Hughes, MD
Melinda Hughes, PA-C
Angel Lorta, MA
Teresa Martinez, MA
Carol Ortiz
Sylvia Rivera, CMA
Brenda Soto
Homedale Clinic
Michael Benjamin, LCSW
Ida Chavez, MA
Dick Ernest, C-FNP
Rosa Gonzalez
Betty Holzhey
Erica Huerta, LPN
Laura Neri, MA
Louis Roser, MD
Marsing Clinic
Guadalupe Benitez, MA
Michael Benjamin, LCSW
Daniel Hernandez, MA
18
Betty Holzhey
Lidia Moore
Faith Peterson, MS, MPA, C-FNP
Rebecca Ratcliff, MD
Dora Zamarron, CMA
Melba Clinic
Penny Beach, MD
Lisseth Davis, LMSW
Martha Delgadillo, CMA
Seleste Franklin
Teresa Guzman, MA
Terry Lewis, PA-C, MPAS
Kendra Lutes, LCPC
Nampa Clinic
Veronica Aguirre, MA
Sabrina Allen, PharmD
Minda Ambriz
Adriana Ainsworth
Veronica Arrieta, RMA
Asiria Avila, MA
Penny Beach, MD
Yadira Bergstrom
Jonathan Bowman, MD
Jessica Briggs, PA-C
Diane Bromenschenkel,
MT, ASCP
Marilyn Brooks
Lucy Camacho, MA
Glenda Carr, PharmD
Susan Champlin, MA
Amanda Chavez
Craig Christiansen, FNP
Denisse Clegg, RN
Lyndsey Davis
Silvia DeAnda-Napoles
Elizabeth Domero, MA
Lawrence Egger, PA-C
Leticia Esparza
Ernestina Fierros, MA
M. Elsa Flores
Elizabeth Foster, MD
Amanda Gailbreath, MT
Maria Garcia
Maria C. Garcia
Mary Garcia, MA
Veronica Garcia
Maria Garza
Katia Gillis, ARRT
Brenda Gonzalez, MA
Maxine Gonzalez, MA
Steven Greenberg, MD
Sylvia Gutierrez
Jennifer Harvey, LPN
Susan Haylett, LPN
Phoebe Hershenow, FNP
Lari Holladay, LSW
Raul Huerta, LPN
Marjorie Humphrey, PA-C
Sophia Hurtado, MA
Claudia Jimenez
Gina Long, MA
Antonio Loera
Rosavelia Macias
Tammy Martin
Maria Martinez
Maria A. Martinez
Liliana Martinez
Theresa Meinen
Mark Mering, MD
Jane Miller, RN
Denise Mills, MD
Babette Munting, FNP
Carmen Nunez
Roxanne Ohlund, RN
Olivia Olivo, MA
Yadira Perez-Pesina, MA
Grisel Plascenia, MA
Linda Quintanar-Rupe, MA
Sylvia Ramos
Rosalia Richardson, MD
Sylvia Rivera
Dora Rodriguez
Ruth Rueda, LPN
Lorena Ruiz
Kate Ryan, MD
Nancy Sanchez, MA
3 5 Ye a r s o f S e r v i n g Yo u w i t h R e s p e c t
Terry Reilly Health Services Staff FY 07
Homedale Dental
May Almarez
Jennifer Clair
Jim Neerings, DDS
Heather Trowbridge
Melba Dental
Connie Ball
Marjorie Nava
Drostan Orme, DDS
Rosario Villicana
Behavioral Health Center
Sarai Sanchez
Rocio Sandoval, MA
Michelle Schomburg, MA, CPT
Jody Seely, RPh
Trixie Sherry
Juanita Silva, LPN
David Snyderman, PA-C
Margery Soni, C-FNP
George Thomas, MPA, PA-C
Dianne Tiffany
Lidia Tovar, MA
Katrina Triplett Cox
Michael Triolo, RPH
Sherry Trixie
Karen Vidales
Steven Von Flue, MD
Xochitl Yanez, MA
Boise Dental
Roberta Barra
Jackie Carlson
Fawna Dulany
Dena Haswell
Jerry Gomez, DDS
Maria Guevara
Jamie Ramos
Justin Robison, DMD
Tatiana Sokolov
Canyon Dental
Christina Craddick
Audra Dressen
Maria Leon
Christopher Loomis, DMD
Ruth Martinez
Lorena Pedraza
Diana Pena
Dorthy Simmons
Lupita Tamez
Dan Watt, DDS
Claudia Currie Mills, LCSW
Lisseth Davis, LCSW
Libby Engebrecht, LCSW
Judy Hudson, LCSW
Jillian Jefferies
Britney Journee, LPC
Lisa Lawrence, Psych NP
Kendra Lutes, LCPC
Idalia Ramirez
SANE SOLUTIONS
Michael Benjamin, LCSW
Jeff Betts, LCPC, LMFT
Shelley Carson, LPC
Shane Clubb, LPC
Claudia Currie-Mills, LCSW
David Ferguson, LCPC
Heidi Hart, LCPC
Judy Hudson, LCSW
Britney Journee, LPC
Kendra Lutes, LCPC
Michael McCracken
Mark McCullough, LCSW
Sandra McCullough, LCPC
Melissa Mezo, LMSW
Joseph Morisette, LCPC
M. Susan Ozimkiewicz, LPC
John Reyna, LCPC
Stephen Schrader, LCPC
Stephanie Seader
Kathy Stimpson
William Vogel, LMSW
TinaMarie Winn
Amber Messa
Ann Sandven, MPH, RD
David Snyderman, PA-C
Administration
Charlotte Anstiss
Dollie Avila
Shawna Ayotte
Teresa Babcock
Sherrie Bernardi
Shannon Blackstock, SPHR
Cordt Byrne
Kathy Castaneda
Barbara DuBose
Bobbie Gamel
Shirley Garrett, BBA
Toni Gibson
Richard Gollobit
Rachel Gonzalez
Kathy Harris
Debbie Haydon, CPC
Barbara Korn, CPA
Karen Kuhn, BBA
Paulette Laird
Patricia May
Rod McKnight
Juana Ortiz-Leos
Jo Ann Row, CFSA
Ann Sandven, MPH, RD
Teresa Sasaki
Dan Shadix, MCSE
MaryAnn Stein Smith
Erwin Teuber, PhD
Irma Tycz
Roxanne Vidales
Special Populations
Outreach and Advocacy
Rhiannon Avery, MHS
Michael Benjamin, LCSW
Ermelinda Garcia, RN
Jennifer Harvey, LPN
Sophia Hurtado, MA
Kendra Lutes, LCPC
3 5 Ye a r s o f S e r v i n g Yo u w i t h R e s p e c t
19
2006 By The Numbers
TRHS Patients By Age
Age
0-4
5 - 19
20 - 64
65 and Older
Total
Total
2,378
4,519
15,671
1,132
23,700
Percent
10%
19%
66%
5%
100%
TRHS Patients Race / Ethnicity
Race/Ethnicity
White, non-Hispanic
Hispanic (all races)
Other
Unreported
Total
TRHS Patient Income
Percent
47%
46%
3%
4%
100%
as
Income
100% of Poverty Income or Below
101% - 200% of Poverty Income
Over 200%
Total
20
Percent
of
Poverty Income
Percent
64%
27%
8%
100%
3 5 Ye a r s o f S e r v i n g Yo u w i t h R e s p e c t
2006 By The Numbers
TRHS Patient Insurance Coverage
Coverage
None/Uninsured
Medicaid
Private Ins/Other Public Insurance
Medicare
Total
FY 2007 Revenues
and
Percent
67%
16%
13%
4%
100%
Support
From
Amount Percent
Patient Revenue
$6,561,000
46%
Federal Support
$4,779,000
34%
Donated Goods and Services
$1,906,000
13%
State Support
$347,000
2%
Foundations & Donations
$261,000
2%
United Way
$230,000
1%
Other
$115,000
1%
$14,199,000
100%
Total
FY 2007 Expenses
by
Category
Category
Amount Percent
Clinical Services
$9,391,000
65%
Dental Services
$1,778,000
12%
SANE SOLUTIONS
$1,247,000
9%
Administration
$1,004,000
7%
Behavorial Health
$587,000
4%
Community Health
Promotion and Outreach
$354,000
2%
Fundraising
$89,000
0.6%
Other
$88,000
0.6%
$14,538,000
100%
Total
3 5 Ye a r s o f S e r v i n g Yo u w i t h R e s p e c t
21
A Brief History
Thirty-six 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-forprofit 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. In addition to
Nampa, 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 1988, 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. Boise
Dental opened in 2000 and both Melba Dental and Homedale Dental opened in
2003. Caldwell Clinic began providing primary medical care in September 2006.
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 advisory
committees and the Funds Development Board
remain 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 mission-driven 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.
22
3 5 Ye a r s o f S e r v i n g Yo u w i t h R e s p e c t
Terry Reilly Health Services Locations
Administration Office
Homedale Clinic
SANE SOLUTIONS
211 16th Ave. N.
PO Box 9
Nampa, Idaho 83653
(208) 467-4431
FAX (208) 467-7684
116 E. Idaho, Box 1058
Homedale, Idaho 83628
(208) 337-3189
FAX (208) 337-4623
207 16th Ave. N.
PO Box 9
Nampa, Idaho 83653
(208) 467-7654
FAX (208) 467-7684
Behavioral Health
Center
207 16th Ave. N.
PO Box 9
Nampa, Idaho 83653
(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, Ste. A
Boise, ID 83702
(208) 336-8801
FAX (208) 336-8682
Caldwell Clinic
2005 Arlington
Caldwell, Idaho 83605
(208) 459-1025
FAX (208) 459-1080
Canyon Dental
11136 Moss Lane
Nampa, Idaho 83651
(208) 466-0515
FAX (208) 466-5359
Homedale Dental
Eight 2nd St. W.
Homedale, Idaho 83628
(208) 337-6101
FAX (208) 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
(208) 466-7869
FAX (208) 466-5359
SANE SOLUTIONS
1224 1st St. S., Ste. 302
Nampa, Idaho 83651
(208) 467-7654
Fax (208) 463-4390
Indian Creek Center
1504 3rd St. N.
PO Box 9
Nampa, Idaho 83653
(208) 466-7869
FAX (208) 466-5359
TRHS Outreach Sites:
• Centennial Job Corps,
Nampa
• City Lights, Boise
• Farmway Village,
Caldwell
• River of Life, Boise
Terry Reilly Health
Services is a partner
agency of Treasure
Valley United Way.
SANE SOLUTIONS
5400 W. Franklin, Ste. H
Boise, Idaho 83705
(208) 345-1170
FAX (208) 345-3502
SANE SOLUTIONS
408 Allumbaugh
Boise, Idaho 83704
(208) 323-9600
FAX (208) 323-9606
3 5 Ye a r s o f S e r v i n g Yo u w i t h R e s p e c t
23
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 Ave. N.
PO Box 9
Nampa, ID 83653
Phone: (208) 467-4431
E-mail: eteuber@trhs.org
www.trhs.org