2018 ANNUAL REPORT

Exalta Health CHAIRPERSON OF THE BOARD

Fiscal Year 2017-18 was a year of challenge but also great success. It was a year of exploring collaborations with Streams of Hope and Catherine’s Health Center, reaching out through social media, and developing a new strategic plan. We institutionalized many processes and standardized the way we do things. We saw staff and board members leave and new ones join us.

Our dependency on the generosity of our donors was both gratifying and challenging. We know that we must diversify our revenue sources. We also know it is time to take next steps in qualifying to become a Federally Qualified Health Center.

We continue to be amazed at the dedication of the volunteers and staff who day in and day out provide life-giving quality care. And our donors – some who have been with us for many years – continue to make this mission possible.

Looking forward, we are excited about the possibilities of community collaborations. We are eager to provide services to children and their families. We know we will grow our services and our staff.

And we once again move forward, trusting that our Lord will provide.

Ed Postma Chairperson, Board of Directors

Both Bobby and Dawn’s spirits are strong, despite the many hardships they have faced individually, and as a couple. Married for 37 years, they have experienced the challenges of unemployment, major health issues, mental health diagnoses in their family, and raising two children.

OUR MISSION

Exalta Health reflects the spirit of Christ by providing compassionate, accessible healthcare.

OUR VISION

A collaborative community where accessible, quality healthcare promotes wellness for all

OUR BOARD OF DIRECTORS

Ed Postma Chairperson

Curt VanSolkema Vice-Chairperson

Diane Knapp Secretary

Jeff Stormo Treasurer

Dan Butler

Amy Gerard

Scott Halquist

Doyle Hayes

Kyle Hollemans

Laura Martzke

Linda Moore

Jim Samuelson

Cheri Sturtevant

Exalta Health 2018 Annual Report 1

From Cancer to Donors: Advocates for Exalta Health

While working as a medical transcriptionist, Dawn heard about Exalta Health from longtime Exalta Health volunteer Dr. Jim Samuelson. At the time, the couple did not have insurance, so it was a blessing that they both were able to become patients at Exalta Health.

Dawn has battled cancer more than once in her life. As a teenager, she had thyroid cancer and after treatment, the scan revealed a clean bill of health.

This past summer, Dawn experienced another cancer challenge. After surgery to fix a detached retina, she spent weeks only able to look downward to help recovery. This caused a sore neck. One day while rubbing her sore neck, she felt a hard spot. She called her primary care provider, Dr. Laura VanderMolen, Exalta Health Medical Director, on a Friday and Dr. VanderMolen saw her on Monday.

Dr. VanderMolen immediately began making phone calls to help Dawn find the best care possible. Dr. O’Toole, MD, responded and found a lump the size of a plum. It was metastasized thyroid cancer and had been growing inward, and thus undetected, for over three decades.

Dawn had surgery, and because of many complications, was hospitalized for 28 days.

It was a long, hard trial. But Dawn kept her faith and received support from Bobby and her Exalta Health family. Both Dr. VanderMolen and Kristen Meyer, Exalta Health Chaplain, visited Dawn in the hospital.

Dawn is so thankful for the urgency Dr. VanderMolen had in getting her the care she needed. “Dr. Laura listens. If you notice something, she is always willing to pursue it. I am very thankful for this place. The mission you have is incredible.”

Bobby has also found great care at Exalta Health. Dr. Chris Shoemaker, staff physician at Exalta Health, whom Bobby has been seeing for years, “has been a good friend of mine. He sincerely cares; he knows my kids’ names by heart.”

Dawn and Bobby have become advocates for Exalta Health, telling anyone, they meet to get their medical and dental care at Exalta Health. They also pray for the clinic. Because they are in a better place financially than when they first came to the clinic, they made a donation this year. Bobby explains, “This place has opened up a ministry for my wife and me. We could never afford the insurance that we needed. God has blessed us.”

Magnolia and Armando owned their own business in Guatemala City.

With her background as an accountant and his as a successful salesman, they sold appliances wholesale and owned a furniture factory. However, the economy in Guatemala began to fail and the two lost everything.

With extended family already in the U.S., Armando came to the U.S. first to look for work with Magnolia and their children joining him later. Eventually, the family made Grand Haven, MI, their home and began attending Covenant Life Church, working there cleaning.

Armando battled cancer in 2002. Because of the intensive chemo and radiation, he now has continued health problems. However, they did not have insurance and could not afford medical or dental care.

While cleaning at the church, they saw a brochure about Exalta Health. It was an answer to their prayers.

Prior to coming to Exalta Health, Armando was not able to afford the dental care he needed. But now he has a place to meet his primary dental and medical needs. Magnolia also comes to Exalta Health for medical and dental services. Dr. Laura VanderMolen, Medical Director at Exalta Health, was able to facilitate a referral to Metro Health to monitor a bump on her eye.

“We can have good care at Exalta Health that we can’t afford in another place,” says Magnolia. The two now have Medicaid, and Magnolia encourages anyone who is looking for medical or dental help to come to Exalta Health. “I think it’s a good decision, even if you have insurance. They help people here. The doctors here don’t pay attention if you’re a person with or without insurance. The treatment is the same.”

• Provided 8,079 patient contacts across all programs

• Saw a total of 2,400 patients, 488 of whom were new to Exalta Health

• Held two Free Dental Days, serving 84 patients through volunteers and staff

• 17% of our patients had Medicaid, representing 4.2% of our revenue

• Began offering nutritional classes and access to exercise classes to improve services for patients with diabetes, high blood pressure, and obesity

• Fully integrated behavioral health and spiritual care outcomes into medical services

• Increased services to seniors with the Senior Dental Program funded through Kent County Senior millage support

• Increased our collaboration with Catherine’s Health Center, sharing a Medical Director and behavioral health staff

• Concluded our three-year strategic plan and began to develop a new plan to guide us for the next three years

• Provided 6,270 hours of volunteer services

Program Services and Staffing

SUMMARY OF ANNUAL HIGHLIGHTS

Service VisitsMedical 3,864

Dental 2,954

Support Services 642

Behavioral Health 298

Spiritual Care 264

Vision 112

Total 8,134

Exalta Health 2018 Annual Report 32 Exalta Health 2018 Annual Report

Office visits made by patients in 2018.

José was born in Veracruz, Mexico, where he worked as a farmer.

In 1990, José, his wife, and four children immigrated to the U.S. looking for better opportunities for José to support his family. Since immigrating, José has maintained steady work, first as a cook, then at a cereal company, and then a factory repairing wood pallets.

Because he has diabetes, José was looking for a medical home to help him manage his health. His sisters told him about Exalta Health. After talking to the medical team during his first visit, he was set up with long time Exalta Health volunteer Dr. Jim Samuelson. He was also referred to the dental, vision, and lab services at the clinic.

Now that he has learned to manage his diabetes, José feels very positive about his health and life. He says he feels supported by staff and volunteers at Exalta Health “because everybody treats me with dignity and respect.” He trusts everyone who is working with him on maintaining his health.

“ Everybody treats me with dignity and respect.”

José has since become an ambassador for Exalta Health. He’s told his brother to come to Exalta Health because he has health issues, and has recommended the clinic to his friends, telling them about the affordable fees and “high quality services.”

A Medical Home Worth Talking About

An Answer to a Prayer

Medical 3,864Dental 2,954

IncomeDonations $1,167,852

Services $305,975

Other $48,121

Total $1,521,948

DonationsIndividuals $346,234

Foundations $255,060

Corporations $139,869

Donated Services $259,223

Churches $22,780

Special Events $144,686

Total $1,167,852

ExpensesSalaries & Benefits $909,415

Donated Services $194,127

Labs/Medical Supplies $152,924

Facility, Equipment, Utilities & Maintenance $33,874

Office Supplies, Dues & Training $25,704

Contracted Services $18,614

Legal & Accounting $74,458

Printing & Postage $25,315

Insurance (Building & Liability) $17,569

Bank Fees & Interest $14,855

Depreciation $32,046

Other $27,592

Total $1,526,493

ExpensesProgram Services $1,128,855

Management & General $367,704

Fundraising $29,934

Total $1,526,493

FINANCIAL ASSETS & LIABILITIES

The accompanying notes are an integral part of these financial statements. Complete Audited Financials are available upon request. Ask Thressa at thoekstra@exaltahealth.org.

We are grateful that our supporters helped us meet challenges in 2018.

Statements of Financial Position

September 30, 2017, compared to September 30, 2018

ASSETSCurrent Assets Cash and cash equivalents Prepaid expenses

Total current assets

Property & Equipment Land Building Medical equipment Office equipment and furniture Dental equipment

Total property and equipment Less accumulated depreciation Net property and equipment

TOTAL ASSETS

LIABILITIES & NET ASSETSCurrent Liabilities Accounts payable Accrued payroll and payroll taxes Current portion of long-term debt Total current liabilities

Long-term debt, net of current portion

Total liabilities

Net AssetsUnrestricted Temporarily restricted

Total net assets

TOTAL LIABILITIES & NET ASSETS

2017

$234,122 $2,094

$236,216

$20,000

$874,766 $16,017

$84,275 $78,659

$1,073,717 $550,029 $523,688

$759,904

2017

$21,935 $33,758 $21,787 $77,480

$36,099

$113,579

$494,914

$151,411

$646,325

$759,904

2018

$227,797 $4,525

$232,322

$20,000

$874,766 $16,017 $87,411

$79,343

$1,077,537 $573,350 $504,187

$736,509

2018

$29,501 $29,098 $36,130 $94,729

—

$94,729

$509,979 $131,801

$641,780

$736,509

Exalta Health 2018 Annual Report 54 Exalta Health 2018 Annual Report

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Exalta Health 2060 Division Ave S Grand Rapids, MI 49507

Clinic Locations Clínica Centro 2060 Division Ave S Grand Rapids, MI 49507

South Clinic at Streams of Hope 280 60th Street SE Grand Rapids, MI 49548

Phone 616.475.8446 Fax 616.475.1272 Email contactus@exaltahealth.org