MISSION OF MERCY ARIZONA MOBILE MEDICAL CLINIC APPLICATION GRIC 2017.PDF

Created: 01/31/2017 • Last updated: 03/06/2017
General information
Organization Mission of Mercy Arizona Mobile Medical Clinic
Contact First name Lisa
Contact Last name Glow
Contact e-mail lglow@amissionofmercy.org
Contact phone number 6024482270
Address
Street 360 E Coronado Road
City Phoenix
State Arizona
ZIP Code 85004
From what tribe is the Gila River Indian Community
organization requesting the
grant?
Total grant amount request 275,000
1 / 2

The Gila River Indian Community offers multi-year awards. If your
organization is requesting a multi-year grant for this project or program
from the Gila River Indian Community, enter the amount to be requested
each year.
Amount
Year 1 (Gila River Indian
100,000
Community Grants Only)
Year 2 (Gila River Indian
100,000
Community Grants Only)
Year 3 (Gila River Indian
75,000
Community Grants Only)
Year 4 (Gila River Indian
Community Grants Only)
Year 5 (Gila River Indian
Community Grants Only)
2 / 2



Gila River Indian Community Grant Application
Grant Cycle 2017
Cover Sheet
Municipality Information
1. Date of Application: 2/28/2017 (NOTE: Click or use up/down arrow keys to move among fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Denny Barney
4. Mailing Address: 301 W Jefferson, 10th Floor
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name/Title: Melody Henderson, Maricopa County Government Relations Signature:
Applicant Information
7. Department/Organization Name: Mission of Mercy (MOM)
8. Is this a 501c non‐profit Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Ms. Lisa Glow Title: Vice President and Director of Development
10. Phone Number: 602‐861‐2233
11. Mailing Address: 360 East Coronado Road, Suite 160
12. City: Phoenix State: Arizona Zip Code: 85004
13. Email Address: lglow@amissionofmercy.org Website Address: www.amissionofmercy.org
Project Information
14. Project Name: Access to Care for the Medically Indigent in the East Valley
15. Purpose of Grant: With the purchase of MOM’s new Mobile Medical Unit complete, a three‐year $275,000 grant
from GRIC will roll out the next stages of our East Valley Expansion Initiative: Year One will support the launch of new
mobile medical clinics in Chandler and Gilbert; Year Two will support the hire and recruitment of a medical team and
volunteers for the clinics; and Year Three will support expansion and awareness raising efforts to serve more East
Valley patients in need.
16. Priority Funding Area Healthcare
17. Annual amount requested $100,000 in Year One; $100,000 in Year Two; $75,000 in Year Three.
18. Number of years that funding is requested Three years
19. Total amount requested (annual amount x $275,000
number of years)
20. Has your organization received past GRIC provided a one‐year $55,000 grant in 2016 toward the
funding from GRIC? If yes, list each year and purchase of a new Mobile Medical Unit for our East Valley
amount Expansion Initiative; GRIC also provided MOM with a three‐year
For Office Use Only:
Data Entry Receipt Evaluation
Outcome  Approval Recommended/Amount $ Denial

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$150,000 grant (2010‐2012) to support our Living with Diabetes
Care and Prevention program.
Maricopa County – Chandler (zip code 85225) and Gilbert (zip code
21. Geographic area served
85233)

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Grant Cycle 2017
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative in
paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s history, mission and goals.
Mission of Mercy (MOM) was founded in 1991 and launched in 1994 by Dr. Gianna Talone Sullivan, who responded to
the call to bring health care to the community’s poorest people who were falling through the cracks of a broken health
care system.
In the simplest of terms, MOM “brings the doctor to the people.” We provide free primary health care, prescription
medications, health education and “healing through Love” to patients with nowhere else to turn. Our patients have no
access to primary medical care or an ongoing medical home. They cannot afford or qualify for federal or state subsidized
programs or low‐cost services at sliding‐scale Federally Qualified Health Center (FQHC) clinics.
Currently, MOM operates in four states. The Arizona program began delivering services in Maricopa County in 1997.
Over the past 20 years, MOM has treated more than 55,000 unduplicated patients, including patients from the Gila River
Indian Community, through more than 204,000 free patient visits. MOM has also provided more than 300,000 free
prescription medications, pro bono diagnostic lab testing through Sonora Quest Laboratories, on‐site patient navigation
services and health education classes to thousands of medically underserved Arizonans. In fiscal year 2016 alone, MOM
served a total of 4,595 patients, provided 15,348 patient visits and dispensed nearly 20,000 prescription medications.
Leveraging the professional skills of a small paid medical staff and nearly 300 dedicated volunteers, MOM’s Arizona
program operates fully equipped mobile medical units ‐‐ doctor's offices on wheels ‐‐ that bring the doctor directly to
patients in underserved neighborhoods. These mobile medical units rotate clinic sites on different days throughout the
week. MOM runs six fully operational primary care clinics in donated space at churches, schools and community centers
in Avondale, Central Phoenix, Maryvale, Mesa, South and South‐Central Phoenix. MOM delivers care in communities
that score between 4.5 and 5 (out of five) on the Dignity Health Community Needs Index (CNI). The bi‐annual CNI
measures barriers related to income, transportation, access to culturally appropriate health and community services,
cultural and ethnic identity, socio‐economic and education levels and language barriers. MOM brings medical care to
communities most in need through reciprocal partnerships with local hospitals and other community and social service
agencies that assist their clients in securing appointments at a convenient MOM clinic. This approach effectively
eliminates transportation barriers, as well as trust barriers, ensuring that those who are most in need of care will find us
at a location convenient for them. As the cost of health insurance has skyrocketed, nearly 60% of patients served
identify MOM as their primary medical home.

Gila River Indian Community Grant Application
Grant Cycle 2017
MOM’s overall goals include: (1) to restore dignity to the sick, poor and homeless by providing free medical and
pharmaceutical services and by serving as an instrument of “healing through Love”; (2) to serve as a catalyst for change
in the health care community and to serve as an example of a community in action; (3) to educate and empower our
patients to care for themselves and their families; (4) to provide free health care, including medical treatment and
prescription medications, to the uninsured working poor so they can remain healthy, self‐sufficient and able to work and
provide for their loved ones; (5) to provide health care to those moving off the welfare system and back into the work
environment; and (6) to provide a bridge to health care to those who are in transition from being recently unemployed
to seeking new employment or those waiting for Arizona Health Care Cost Containment System (AHCCCS) benefits to
commence.
All of MOM’s services are provided at no cost to patients. As a result, patients are never subjected to embarrassing
questions or a complicated pre‐qualification process. MOM cares for patients from all walks of life and circumstances ‐
no questions asked. Due to the enormous contribution of more than 17,000 hours of pro bono care valued at $899,999
(fiscal year 2016), MOM volunteers provide compassionate, comprehensive health care and preventative education at
just $73 per patient visit.
Our mission of restoring dignity to the sick, working poor, uninsured and underinsured by providing free health care and
“healing through Love” results in restoring dignity to patients in need; empowering patients through high‐quality and
ongoing medical care and patient education; and, strengthening communities through the restoration of health to their
residents.
2. If the applying organization is non‐municipal or a non‐profit 501c, please describe your relationship with Arizona
municipalities including past and present support, whether it be through partnerships, collaborations, in‐kind
contributions, grants, tax‐based funding or other. Describe the supporting municipality’s role in this project. If
the applying organization is a municipality governmental sub‐division please enter the text “Not applicable.”
MOM’s partnerships with the cities of Avondale, Mesa, Maryvale and Central and South Phoenix offer a vital service to
each city’s residents, adding to the health and wellness of the overall communities. We collaborate with these cities and
the hospitals, businesses and organizations in them to maximize service delivery to their residents, ensuring we do not
duplicate services. Over the years, we have received funding for our clinics from charitable grants programs of the cities
of Avondale and Goodyear. Our partnerships with these cities has also provided us with key relationships to help us
identify additional services and clinic locations, vis‐a‐vis our launch of an East Valley expansion plan. MOM’s East Mesa
clinic, which has served East Valley families since 1997, is at full capacity, serving an average of 82 patients per clinic day.
Since the beginning of our current fiscal year (July 1, 2016 – June 30, 2017), total patient visits at this clinic have

Gila River Indian Community Grant Application
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increased by more than 6%, and we anticipate the demand will continue to increase. There is no other reasonably
located MOM sister clinic site to refer and serve overflow patients from the East Valley. This, combined with the small
number of affordable medical options in the East Valley, has created an environment where MOM staff and resources
are stretched thin, and we cannot serve additional families. As a result, the East Valley medical community and local
municipalities have called upon MOM to undertake a major East Valley expansion. In spring of 2015, the Town of Gilbert
approached MOM, inviting us to serve as the anchor health care partner in a new comprehensive family resource center
in downtown Gilbert (the center is projected to open in January 2018). Gilbert recognized it does not have adequate
internal resources to address the unmet health needs of its uninsured and underinsured families. Secondly, Dignity
Health Hospitals ‐‐ MOM's partner for 20 years — enjoined MOM to enter into a formal partnership to serve as the
nonprofit referral partner for uninsured East Valley Dignity Health patients without a medical home nor other medical
options to receive ongoing primary health care after hospital or emergency department discharge. Although we have
positively responded to these calls, until additional resources and infrastructure is put in place, we have no option but to
send a portion of these referral patients to one of our sister clinics for care. This may be an inconvenience to patients
who struggle with reliable transportation options as they would have to travel long distances to other MOM clinics that
are also fast approaching capacity.
3. Describe the proposed project and planned goals and activities.
The purpose of MOM’s three‐year $275,000 funding request to GRIC is to support MOM's expansion into three
additional East Valley communities where individuals and families are in dire need of medical care but lack the resources
to meet their health care needs. Thanks to your generous grant of $55,000 in 2016, we have all the funding needed to
secure an additional mobile medical unit that will serve the East Valley clinics, the first critical step for the expansion.
We have raised a significant amount of the operating dollars needed to open the new clinics, with a large number of
funding requests that are pending.
MOM respectfully asks for GRIC’s support for the next three years to launch the opening of the clinics. Specifically, a
three‐year grant will be allocated as follows:
Year One ‐ $100,000 in funding will help: cover a portion of the time of MOM’s Volunteer Coordinator to focus on
community outreach, recruitment and training of new volunteers needed to staff the Chandler and Gilbert clinics
(including doctors, nurses, bilingual interpreters and pro bono community partners); purchase medical equipment,
supplies and medications for the new clinics; cover the salaries of a part‐time Assistant Medical Director, part‐time
Nursing Director and other medical staff to provide direct patient care and clinic oversight; support IT and Electronic

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Medical Records (EMR) set‐up at the new clinics; and, secure new sustainable East Valley funding and service partners
by supporting a portion of the time of MOM’s Community Connections Coordinator.
Year Two ‐ $100,000 in funding will help: support Phase II of recruitment and training of volunteers for the Chandler and
Gilbert clinics with support for the Volunteer Coordinator; build new East Valley partnerships with support for the
Community Connections Coordinator; and, support the growing medical program expenses (medical staff, Community
Connections program materials, EMR expenses, medications and supplies) for the two new clinics.
Year Three ‐ $75,000 in funding will support the volunteer base and community capacity building efforts for expansion
into the third and final clinic to serve Queen Creek and Apache Junction areas. Grant funds will specifically continue to
cover the East Valley medical staff and some program materials, medications and supplies as our service delivery ramps
up.
When at optimum utilization rates, the three new clinics will nearly double MOM’s current number of patients served
and free annual patient visits (currently at more than 15,000 patient visits for more than 4,500 patients per year).
Objectives for the “Access to Care for the Medically Indigent in the East Valley” expansion over the next three years, and
progress made on the objectives, include:
1) New clinic sites will be developed and launched in 2017 and 2018, in Chandler and Gilbert, respectively.
The two new East Valley sites will serve the following areas that score highest on Dignity Health's CNI: Chandler (85225)
and Gilbert (85233). The Chandler location is being identified in partnership with Dignity Health and the Chandler
Christian Community Center (CCCC), with a target date to open in the fall of 2017. The CCCC is a 50‐year‐old consortium
of Chandler churches, with a mission of helping to alleviate poverty. The CCCC already provides food boxes, shelter,
utility assistance, life skills classes and more to the community. The CCCC will also be partnering with MOM at the new
Gilbert site where MOM will bring free primary medical care, lifesaving prescription medications and health education as
part of the downtown Gilbert Wellness and Resource Center located in the historic library building (rehabilitated with
Community Development Block Grant funding). The Gilbert Wellness and Resource Center is targeted to open in January
2018. Multiple nonprofit providers will be located in the center, and MOM will be the primary medical provider. A
suitable site in downtown Chandler is currently underway for the new Chandler clinic. A site for the third clinic to serve
Queen Creek and Apache Junction areas is being determined.
2) Begin operating the new Mobile Medical Unit in the East Valley by October 31, 2017.

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MOM has successfully secured full funding of $325,000 for the new Mobile Medical Unit – a doctor’s office on wheels—
that will serve the East Valley. We expect the custom mobile unit to be ready to service patients by the fall of 2017. The
mobile unit is a custom‐built 40’ medical unit that is wheelchair accessible and contains three examination rooms and an
on‐board pharmacy that stocks nearly 250 medications. This will be MOM's third mobile unit, and it will be dedicated
solely to East Valley operations.
3) Recruit a minimum of 30 East Valley volunteers by October 31, 2017, and ongoing.
MOM’s service model relies heavily on committed volunteers (doctors, nurses, translators and community members).
Ana Berlanga, MOM's part‐time and highly experienced Volunteer Coordinator, has begun laying the foundation with
our current base of 300 volunteers to deploy some of them to the East Valley. Some volunteers live in the East Valley
and are eager to be part of serving their own communities. More work must be done, however, to secure the additional
volunteers needed to serve the new East Valley clinic locations. Ana is currently part‐time, and we must either increase
her hours to full‐time or hire an additional part‐time East Valley Volunteer Coordinator.
4) Secure 3‐5 new Community Connections service partners by October 31, 2017.
Launched in 2011, our Community Connections Program provides health education, chronic disease management
classes and other fitness and educational opportunities to patients at our current clinic sites. These supplemental
services focus on prevention, education and holistic care for overall improved health outcomes. Some of our current
service providers include entities such as Esperanca, the AZ Living Well Institute and Mobile Onsite Mammography. As
we expand, we must build relationships with East Valley service providers and social service agencies who can bring
important, supplemental services to MOM’s patients. We are also asking our current service partners, such as Dignity
Health Hospitals and Sonora Quest Laboratories, to expand with us to the East Valley. MOM currently has a part‐time
staff person, Dianne Aguilar, in charge of Community Connections. Our plan is to increase her hours to expand the East
Valley partnership network needed to put these important services in place at our new clinics.
5) Hire the East Valley medical/support team by October 31, 2017, and ongoing.
MOM's 18‐year medical director, Dr. Brad Smith, has a plan to deploy some of our existing medical staff to the East
Valley when we open our first clinics. However, as the community learns about the clinics and patient numbers grow, we
will need to hire 3‐4 part‐time medical staff dedicated solely to the East Valley clinics, including an Assistant Medical
Director and Nursing Director. The timing of these hires will depend on the service numbers and the number of
volunteers we have recruited for each of the clinics. Our medical volunteers and translators are an invaluable resource
to MOM and allow us to keep our per patient visit cost at just $73, including prescription medications.

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6) Build 15‐25 new relationships with East Valley Community Leaders by October 31, 2017.
MOM has some existing relationships with East Valley leaders already, but we know we must build more of a community
presence in the East Valley. We plan to accomplish this by: 1) Inviting more East Valley leaders to join our 22‐member
Leadership Council, including taking a tour of our existing Mesa clinic. The Leadership Council is committed to
supporting the strategic growth and sustainability of MOM. All council members contribute to MOM, and all serve in
multiple capacities, including on the Development or Partnership Committees; and 2) Embedding ourselves into the
community through various community coalitions that are addressing the existing and emerging needs of the population
we serve.
MOM has the expertise and a 20‐year proven track record of building high‐quality, sustainable clinics. We also have
successfully expanded over the years into new communities. In fact, our most recent expansion in 2010, to the West
Valley has since nearly doubled our overall service numbers.
Moreover, MOM has laid substantial groundwork for the East Valley expansion through relationship building and
contracting a comprehensive needs assessment and development plan. GRIC’s pivotal investment will allow us to put
these important foundational pieces in place and begin serving patients who are waiting for our services.
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River
Indian Community.
MOM’s free mobile medical clinics provide the highest quality comprehensive care to all who have fallen through the
cracks of our broken health care system – the medically indigent, homeless, working poor, refugees, elderly, veterans
and undocumented families. Approximately 60% of patients served consider MOM their medical home, where they
benefit from a continuum of medical care focused on treating the “whole person” through personalized primary care
visits. These visits include services such as health education, disease prevention, wellness and nutrition classes and free
annual mammograms (at select clinic sites) – all of which are priorities of GRIC. Specifically, MOM patients benefit from
the following:
• Diagnosis, treatment and follow‐up medical care for acute and chronic health conditions such as hypertension,
asthma, COPD, obesity and diabetes;
• Prescription medications and one‐on‐one patient education;
• Specialized screenings, tests, labs and follow‐on ancillary services such as mammograms and diabetic education
classes;

Gila River Indian Community Grant Application
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• Referrals to free or no cost specialty care practitioners for advanced care not available at MOM clinics;
• Free donated diagnostic imaging and laboratory testing through our partnerships with local anchor hospitals and
Sonora Quest Laboratories;
• Community Connections Health Literacy and Education Programs providing on‐site chronic disease management
and healthy lifestyle/nutrition choices education (i.e., Living with Diabetes and Stanford University’s Chronic Disease
Self‐Management Program (CDSMP) classes); and
• On‐site confidential benefits eligibility navigation for services such as AHCCCS, Supplemental Nutrition
Assistance Program (SNAP), Women, Infants and Children (WIC), Temporary Assistance for Needy Families (TANF) and
referrals to other supportive patient and family services.
5. Identify the needs/problems to be addressed, target population and number of people to be served by the
project.
Access to health care remains a crisis for far too many families and individuals. Arizona faces some of the greatest
barriers nationally, with a staggering 17.4% of Arizonans living at or below the federal poverty level in 2015. Most
recently, Arizona was cited as one of only ten states to experience a more than 5% increase in working poor families
over a five‐year period. In addition:
• One‐in‐five Arizonans is uninsured;
• Arizona's children rank at the very bottom of the nation for being insured;
• One‐in‐four adults living in Arizona is classified as underinsured. The underinsured are the "working poor" who
may have sporadic health insurance (depending on their income or work history) but no continuity of care; and
• Low‐cost and free clinics are closing their doors; access to care for the medically underserved has become more
challenging since the expansion of Medicaid in Arizona.
The tragedy for the medically underserved or "medically homeless" is that they often forego routine wellness checks and
either cut back or stop taking their prescription medications, all of which may result in irreversible and sometimes tragic
consequences, including premature death. MOM is truly the lifeline for our patients. In addition to providing free
medical care and prescription medications, MOM offers one‐on‐one patient education and confidential patient
navigation, all to help patients stay healthy. This is critical as more than 50% of MOM patients suffer from life‐

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threatening chronic conditions such as diabetes, hypertension and asthma that require ongoing monitoring and
expensive management.
More than ever before, MOM is the last resort for families who have nowhere else to turn. We remain the only privately
funded free mobile medical clinic with no pre‐qualification process or co‐pays, providing both primary medical care and
prescription medications in Maricopa County.
For several years, MOM grappled with creating innovative solutions for the East Valley, including relocating the current
East Mesa clinic to a larger space and creating more clinics, either mobile or embedded within social service hubs. In the
summer of 2015, MOM commissioned an in‐depth environmental scan. The results of this scan provided us with
strategic data to identify expansion opportunities in the East Valley. The environmental scan focused on the following
cities: Chandler, East Mesa, Apache Junction and Queen Creek. It used information harvested from 25 Key Informant
Service Provider (KISP) interviews. Twenty‐eight unduplicated zip code areas were studied. Additional statistical data
was gathered from 15 pre‐identified sources, including community health assessments from Banner Health and Dignity
Health hospitals’ semi‐annual CNI, the Town of Gilbert’s Human Services Needs Assessment and supportive data on
children from First Things First.
The environmental scan identified three clusters of zip codes of urgent need. In these clusters, overall uninsured rates
ranged from 12.1% to 18% and poverty rates ranged from 7.7% to 20.9%. Six top health needs were identified. Of those,
access to care was cited as the top health priority due to its pivotal role in impacting all other priority areas.
The three qualifying geographic areas that MOM will serve are:
• Chandler ‐ zip code 85225 (CNI score of 4)
• Gilbert ‐ zip code 85233 (CNI score 2.8)
• East Mesa/Apache Junction ‐ zip codes 85120 and 85208 (CNI score of 3.6 and 3.2).
Additionally, Kathleen Dowler, Director of Community Integration at Dignity Health‐East Valley, invited MOM to become
the anchor medical provider for a future multi‐service hub in downtown Gilbert that will be renovated and launched in
January 2018. These developments provided the momentum that MOM needed to move forward on our East Valley
expansion plan.
With a strategic three‐year funding commitment from GRIC, thousands of uninsured and underinsured working poor
individuals and families in the East Valley will have a medical home at last. By providing a primary medical home for
vulnerable patients in need, we will help build healthier communities by dramatically reducing the number of

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unnecessary, uncompensated hospital emergency department visits and costly hospital admissions plaguing Maricopa
County hospitals and driving health insurance premiums to unprecedented levels. Even more critical, by providing a
medical home to patients with chronic conditions, which require ongoing care, prescription medications and careful
monitoring, we will help to save their lives and improve their quality of life.
By Year Three of the proposed East Valley expansion, we anticipate that we will be serving a minimum of 2,000 East
Valley residents.
Average demographics of patients at our current six clinics are as follows: 57% are adult women; 31% are adult men; 7%
are elderly; and, 5% are children. Among most of our patients, there is an extraordinarily high prevalence of health
disparities and health inequities. Most identify as racial and ethnic minorities (73% Hispanic) with low incomes, limited
English proficiency, low educational attainment and low health literacy. These factors are referred to as “the social
determinants of health,” and we anticipate that East Valley patient demographics will be similar. Achieving equity in
accessing high‐quality healthcare restores individual dignity, empowers patients and creates healthier, safer and
stronger communities for generations to come.
6. Define the project as a new or continuing program.
The “Access to Care for the Medically Indigent in the East Valley” expansion is a continuing project of MOM's overall
commitment to strategically expand services to meet the unmet health care needs of high‐risk communities. MOM has a
successful track record of expansion over twenty years, always addressing sustainability as part of the planning process.
Strategies that have worked for us in prior expansions are being integrated into our East Valley expansion initiative.
Our most recent expansion in 2010, was in the West Valley with our anchor clinic located in downtown Avondale, the
statistical epicenter of unmet need in the West Valley. The clinic is near Banner Estrella Medical Center and Dignity St.
Joseph’s Westgate Medical Center; both hospitals are partners who provide financial support and pro bono specialty
care and imaging services for our West Valley patients. Sonora Quest Laboratories, who donates all lab work for our
patients, expanded with us when we launched our West Valley clinic. We also successfully built relationships with
churches and hundreds of community members, many of whom have become volunteers and faithful donors.
By working closely with towns and municipalities, MOM is able to quickly embed into communities with established
partners and community leadership involvement. We intend to follow this proven community‐support model in the East
Valley where significant relationships and support are in place with Dignity Health (Chandler Regional and Mercy Gilbert
Medical Centers), The Mayor of Gilbert, the Gilbert Town Council and the Gilbert Chamber of Commerce. Relationships
are being cultivated with additional community leaders in Mesa, Chandler and Queen Creek. Sonora Quest Laboratories

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will also be a partner in the East Valley expansion and will donate all lab work for new East Valley patients. Church
partnerships are also being cultivated with the help of current and new MOM partners.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
MOM will focus on the following project milestones and key implementation dates, which are flexible:
1) MOM will continue to offer medical care, prescription medications and health education every Thursday at the
current Mesa clinic location, annually serving approximately 1,000 patients. This is ongoing.
2) The Chandler and Gilbert new clinic sites will be developed and launched by January 31, 2018:
a. Chandler Clinic: Target opening date is the fall of 2017.
b. Gilbert Clinic: Gilbert Wellness and Resource Center target opening date is January 2018.
c. A site to serve the Queen Creek/Apache Junction area is being determined, and a flexible target opening date is
set for early 2019.
3) Complete design and fabrication of the Mobile Medical Unit; deploy it to serve the East Valley by October 31,
2017. (MOM has secured full funding for the new unit, thanks in large part to GRIC’s 2016 grant support.)
4) Enhance MOM's infrastructure to ensure expansion sustainability. This will be ongoing and includes building
new service partnerships and new collaborative relationships with East Valley community leaders and funders.
5) Recruit East Valley Volunteers. Our part‐time Volunteer Coordinator has begun laying the foundation with our
current volunteer base of nearly 300 individuals to redeploy some of them to the East Valley expansion clinics. An
additional 30 volunteers will need to be recruited by October 31, 2017, specifically for the East Valley.
6) Hire the East Valley medical/support team. MOM's medical director will deploy some of our existing medical
staff to the East Valley when we open our first clinic in Chandler in the fall of 2017. As we ramp up service numbers and
secure additional operating revenue, we will hire 3‐4 medical staff dedicated solely to the East Valley clinics, including an
Assistant Medical Director, Nursing Director and others. The timing of these hires will depend on the opening dates for
each clinic. The first and most critical new hire will be for an Assistant Medical Director dedicated to the East Valley
clinics to be hired by October 31, 2017.
8. Identify other organizations, partners or funders participating in the project and their roles.

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MOM's existing partners are nothing short of remarkable! Our community partners annually contribute millions of
dollars in pro bono services and operating capital for patient care, to include: hospitals, medical specialists, volunteer
medical and pharmacy professionals, medical students, drug companies, bilingual interpreters, community
ambassadors, teaching universities and others. Nearly a year ago, MOM started a local Leadership Council and
Partnership Committee, chaired by a high‐level Sonora Quest Laboratories executive. The Partnership Committee’s goals
are: to build new pro bono partners; to increase MOM's profile and penetration into the community; and, to secure
sustainable funding from like‐minded partners, including grants, family foundations, corporations and individual donors.
Dignity Health has been our anchor pro bono hospital partner, grant maker and a generous service provider for nearly
20 years. Since launching our first clinic in 1997, Sonora Quest Laboratories has donated free, unlimited lab services and
diagnostic testing to all MOM patients. Estrella Mountain Community College is another committed partner who has
been providing certified bilingual medical interpreters for Spanish speaking patients. All three of these partners have
agreed to expand their pro bono services into the new East Valley clinics.
Further, one of the most exciting opportunities for our East Valley expansion is our planned co‐location with other
service providers. The current partners committed to bringing services at the co‐located sites in Chandler and Gilbert
include: Dignity Health, Southwest Behavioral Health, the Women, Infants and Children (WIC) program and the Chandler
Christian Community Center (providing food, shelter, utility and rent assistance programs, life skills classes and more).
MOM will continue to build both service and funding partnerships in the East Valley thus impacting the larger continuum
of care and stemming the tide of the growing health care gap for uninsured and underinsured patients.
9. Would you be able to implement the proposed plan if your organization received partial funding for this project?
The requested three‐year $275,000 grant will enable MOM to build the critical infrastructure needed to expand services
in the East Valley through the opening of three new clinics over the next three years. Any amount of support will help us
reach our goals. With partial funding, our priorities would be to prioritize costs related to:
1) Recruiting and training volunteers for the new clinics; our model is heavily reliant on volunteers to deliver care
and keep our costs down. This would include covering a portion of the Volunteer Coordinator’s salary.
2) Building partnerships with other nonprofits and medical providers to bring supplemental services to our
patients. This would include covering a portion of the Community Connections Coordinator’s salary.
3) Hiring a part‐time Assistant Medical Director. This position is essential to oversee the clinic volunteers and
ensure the highest quality of care, as well as to ensure Health Insurance Portability and Accountability Act (HIPAA)
compliance. The Assistant Medical Director is also utilized to deliver direct medical care to patients.

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10. Describe your plan for project sustainability beyond the grant period. If this is a program/project previously
funded by the Gila River Indian Community describe efforts made towards the previously described
sustainability plan.
As set forth in response to question number 6 above, MOM has a solid track record of strategic expansion while building
sustainability through diverse revenue streams and maximizing community engagement and partnership building
strategies. Additionally, this last year MOM established a full‐time Development Department with a team of three
seasoned professionals who are experts in expanding and sustaining individual giving, marketing/social media programs,
diverse grants revenue, partnership building, meaningful donor and community awareness events and state‐of‐the‐art
database management. Since the new Development team has come on board, the pipeline of new MOM donors has
dramatically expanded; most recently, our 2016 annual fundraising breakfast, attended by nearly 400 community
leaders and members, saw a 50% increase in new donors. The new Development team has also engaged new grant
funders (Phoenix IDA, CoBiz Bank, APS, Desert Diamond Casinos (Tohono O’odham Nation) and others) and reengaged
lapsed donors, including various family foundations and grant makers. The team has also dramatically increased revenue
raised from the Arizona Charitable Tax Credit, from $25,000 in FY2015 to $75,000 in FY2016. Under their stewardship,
the Arizona Charitable Tax Credit will continue to grow to provide unrestricted support for MOM’s programs.
We are also revisiting MOM’s historic position on not soliciting government funding and have started applying for
government funds through the cities and municipalities served by MOM clinics. MOM’s Development Director is an
expert in revenue diversification and is leading this effort to identify other potential government contracts and
resources that will build our sustainability, including both state and federal contracts, without compromising our
commitment to serve all patients in need.
This year is MOM’s 20th anniversary. Many opportunities to captivate the attention of our donors and build
relationships with new donors are underway; the “20‐for‐20” campaign will target securing 20 new church partners; 20
new legacy gifts; 20 new leaders for our Leadership Council, etc.
MOM is also engaging East Valley community leaders to help with awareness, partnership building, fundraising and
sustainability. Some of these partners, as mentioned above, include: Dignity Health East Valley, Sonora Quest
Laboratories, the Mayor of Gilbert, the Gilbert Town Council, the Gilbert Chamber of Commerce, Chandler Christian
Community Center, East Valley faith partners and others. In support of MOM’s East Valley expansion, selected existing
MOM staff are being redeployed to the East Valley to build new and sustainable community relationships.
Finally, MOM has established the Health Partnership Fund, which is a planned giving and endowment program that will
target the hundreds of donors who have supported MOM over the last 20 years and are now ready to make “legacy”

Gila River Indian Community Grant Application
Grant Cycle 2017
gifts. With a fully staffed Development team in place, MOM’s 13‐year President and Executive Director, Catherine Amiot,
is able to focus much of her time on securing legacy gifts from the thousands of donors who have invested of their time
and resources over the years with MOM. To date, three legacy gifts have been secured for our planned giving program.
11. Describe your plan to document progress and results.
GRIC’s three‐year support will allow us to achieve the following specific outcomes:
1. A solid cadre of new volunteers from the East Valley will be recruited, including retired doctors, nurses,
interpreters and others who will help with clinic set up, registration and direct patient care. By October 31, 2017, we will
have recruited a minimum of 30 new volunteers to assist with the clinic launches.
In 2015, MOM implemented the Volgistics volunteer management program, a database that tracks and manages our
volunteer needs and provides a variety of reporting options. We will use the system to track our East Valley volunteer
recruiting and retention levels.
2. New service partnerships for the East Valley clinics will be developed, implemented and tracked. By October 31,
2017, we will have agreements in place with providers to augment our services, specifically relating to: 1) Chronic
disease management; 2) Mammography services; 3) Nutrition and wellness classes; and 4) Access to healthy foods.
Partnerships with additional East Valley hospital and/or health care providers will also be cultivated to secure donated
services similar to those provided by Dignity Health, including free radiology and selected free surgeries.
3. MOM’s ultimate goal is to reach the maximum number of uninsured and underinsured East Valley residents who
are in need of medical care. By Year Three, we anticipate that we will be serving a minimum of 2,000 East Valley
residents; 60% of the new patients will use MOM as their medical home; and, 50% of new patients will have chronic
conditions that need ongoing treatment and management. In seeking consistent, high‐quality care at MOM, these
vulnerable patients will experience drastically improved health outcomes.
Our proprietary cloud‐based patient EMR system provides MOM with tremendous analytical capacity to identify
emerging medical issues, patient referrals, diagnoses and patient health outcomes.
12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state
shared revenues for this and any other project for the past five (5) years. If this information is included in a
separate attachment, please indicate that here.

Gila River Indian Community Grant Application
Grant Cycle 2017
In 2016, MOM requested $75,000 in grant funding for our West Valley clinic operations from the Tohono O’odham
Nation. The request was declined. MOM did, however, receive a $2,500 sponsorship grant from the Desert Diamond
Casinos (Tohono O’odham Nation).

Gila River Indian Community Grant Application
Grant Cycle 2017
Project Budget
Budget Period: July 1, 2017 ‐ June 30, 2018
For each budget item listed here please provide a narrative description on the following Project Budget Detail page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other funders
1. Medical Program Staff $50,000 $73,472 $0 $123,472
2. Volunteer Coordinator Staff $19,000 $10,072 $0 $29,072
3. Community Connections $19,000 $5,777 $0 $24,777
Coordinator
4. Community Connections Program $5,000 $2,920 $0 $7,290
Supplies and Materials
5. IT Set‐up, EMR Support and $5,000 $14,203 $0 $19,203
Wireless EMR Connectivity
6. Medications and medical supplies $2,000 $1,450 $0 $3,450
7. Insurance and Licensure $0 $10,200 $0 $10,200
8. Vehicle Operating Expenses and $0 $13,650 $0 $13,650
Depreciation
9. Postage, printing and phone $0 $1,365 $0 $1,365
10. Professional Development $0 $1,200 $0 $1,200
11. Miscellaneous $0 $1,200 $0 $1,200
12. Support Services (18%) $0 $62,315 $0 $62,315
13. In‐Kind Services $0 $0 $110,689 $110,689
14. Click here to enter text. $0 $0 $0 $0
15. Click here to enter text. $0 $0 $0 $0
16. Click here to enter text. $0 $0 $0 $0
17. Click here to enter text. $0 $0 $0 $0
Total Budget $100,000 $196,824 $110,689 $408,513

Gila River Indian Community Grant Application
Grant Cycle 2017
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include the
dollar figure and how it was derived.
1. Medical Program Staff: $123,472. First year medical staffing costs are relatively low as the clinics are just being
opened and the program is being ramped up. Medical volunteers will also be recruited and trained in advance of the
clinic openings and on an ongoing basis. In the first year, an Assistant Medical Director will be hired to work 80
hours/month at a rate of $60/hour for the first three quarters of the year. His/her hours will be increased to 100
hours/month at the same rate in the last quarter of the year as clinic operations require more of his/her time. The
Assistant Medical Director will be the on‐site staff physician, overseeing patient care, medical volunteers and
administrative operations. He/she will provide direct medical care at the new clinics. A part‐time Nursing Director will
also be hired to work 20 hours/month at a rate of $25/hour for the first three quarters of the year, and his/her hours
will increase to 40 hours/month at the same rate in the last quarter as operations ramp up. MOM’s Program Manager
will devote 40 hours/month at a rate of $26.5/hour to focus on the East Valley expansion. The Program Manager will
oversee the logistics of the clinic opening, including technology set‐up, outreach and patient recruitment. An
appointment scheduler will also be hired to work 40 hours/month at a rate of $13/hour in the last three quarters of the
year when the new clinics start receiving patients. Lastly, a small percentage of time will be allocated for the fleet
manager to oversee the new mobile medical unit and drive it to clinic locations. All Employee Related Expenses (ERE) for
the positions detailed here are included in this overall staffing expense.
2. Volunteer Coordinator Staff: $29,072 (includes ERE). This expense will cover the Volunteer Coordinator to work 80
hours/month at $22/hour during the first year to recruit and train new volunteers to staff the new clinics, and to do
outreach at community health fairs and events to raise awareness about the East Valley clinics.
3. Community Connections Coordinator: $24,777 (includes ERE). This expense will support the Community Connections
Coordinator to build new service partnerships and relationships in the East Valley to bring support to the new clinics.
The Coordinator will also focus on bringing new East Valley leadership into MOM’s governing structure, including the
Leadership Council. The position will devote 40 hours/month at a rate of $30/hour for the first three quarters and will
then increase to 80 hours/month at the same rate in the last quarter of the first year.
4. Community Connections Program Supplies and Materials: $7,920. This expense covers materials for health literacy
programs, special diabetes health training and mobile mammography services.

Gila River Indian Community Grant Application
Grant Cycle 2017
5. IT Set‐up, EMR Support and Wireless EMR Connectivity: $19,203. This expense includes tech support, including
Electronic Medical Records (EMR) and Volunteer Management systems set up, staff and volunteer training at clinics, and
ongoing subscriptions and fees.
6. Medications and Medical Supplies: $3,450. This expense includes prescription medications and disposables such as
syringes and medication bottles.
7. Insurance and Licensure: $10,200. This expense includes medical, property, and vehicle insurance, and licensure for
paid medical staff.
8. Vehicle Operating Expenses and Depreciation: $13,650. This expense includes gas and repairs on the new mobile
medical unit, which is anticipated to be low this year ($1,200), and vehicle depreciation at $12,450.
9. Postage, printing and phone: $1,365.
10. Professional Development: $1,200. This expense includes continuing education and seminars for staff and
volunteers.
11. Miscellaneous: $1,200. This expense includes mileage reimbursements and travel.
12. Support Services: $62,315. This expense includes MOM’s administrative and fundraising staff costs needed to help
build the program in the East Valley. It also includes MOM’s HR, Accounting and Finance support.
13. In‐Kind Services: $110,689. Donated services are significant for MOM and account for about 47% of the agency's
budget. The same is anticipated with the East Valley expansion three‐year budget. MOM's current partner, Dignity
Health, is donating significant time to build the East Valley expansion partnership. New volunteer doctors, nurses, nurse
practitioners, physician assistants, pharmacists, bilingual volunteers, medical students, fleet drivers and registration,
data input and administrative personnel will also begin to deliver in‐kind services, just as is the case with all of our
current medical clinics. Sonora Quest Laboratories is also committed to the expansion to the East Valley and is donating
all lab work for all new East Valley patients. We also anticipate donated prescription medications for the East Valley
from our partner, Express Scripts.
14. Click here to enter text.
15. Click here to enter text.
16. Click here to enter text.

Gila River Indian Community Grant Application
Grant Cycle 2017
17. Click here to enter text.
Other explanation: Other Program Funders [Confirmed, Anticipated, Submitted or Prospect] ‐ Confirmed: Edna and Otto
Neely Foundation: $50,000; Gesner Johnson Family Foundation: $50,000. Anticipated: Diane and Bruce Halle
Foundation: $175,000; Virginia G. Piper Charitable Trust: $225,000 over three years ($75,000/year); Dignity Health:
$50,000 over two years. Submitted or Prospect: Arizona Diamondbacks Foundation: $100,000; Boeing Employees
Community Fund: $30,000; Phoenix Suns Charities: $100,000.

Project Budget– YEAR TWO
Budget Period: July 1, 2018 ‐ June 30, 2019
For each budget item listed here please provide a narrative description on the following Project Budget Detail page.
Proposed Budget Expense Amount Amount In‐Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other funders
1. Medical Program Staff $50,000 $113,776 $163,776
2. Volunteer $17,500 $11,572 $29,072
Coordinator Staff
3. Community $17,500 $22,143 $39,643
Connections
Coordinator
4. Community Connections $5,000 $6,670 $11,670
Program Supplies and
Materials
5. IT Set‐up, EMR Support $5,000 $12,474 $17,474
and Wireless EMR
Connectivity
6. Medications and medical $5,000 $4,488 $9,488
supplies
7. Insurance and Licensure $15,600 $15,600
8. Vehicle Operating $55,800 $55,800
Expenses and Depreciation
9. Postage, printing and $1,380 $1,380
phone
10. Professional Development $1,200 $1,200
11. Miscellaneous $1,200 $1,200
12. Support Services (18%) $91,631 $91,631
13. In‐Kind Services $162,761 $162,761
Total Budget $100,000 $337,934 $162,761 $600,695

Project Budget– YEAR TWO
Narrative Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include the
dollar figure and how it was derived.
1. Medical Program Staff: $163,776. Second year medical staffing costs will increase as we will launch the second
clinic in Gilbert and as more clinic days are added throughout the year. The Assistant Medical Director will work
100 hours/month at a rate of $60/hour for the first half of the second year, and will increase hours to 120
hours/month for the remaining half of the year as clinic operations pick up and require more of his/her time.
The Assistant Medical Director will be the on‐site staff physician, overseeing patient care, medical volunteers
and administrative operations. He/she will provide direct medical care at the new clinics. The part‐time Nursing
Director will work 40 hours/month at a rate of $25/hour for the first half of the second year, and his/her hours
will increase to 60 hours/month at the same rate in the last half of the year. MOM’s Program Manager will
devote 40 hours/month at a rate of $26.5/hour to focus on the East Valley expansion for the first half of the
second year and will decrease her time to 20 hours/month in the second half of the year as the East Valley
medical team builds its capacity to oversee and operate the new clinics. The Program Manager will be
responsible for the logistics of the clinic opening, including technology set‐up, outreach and patient
recruitment. The appointment scheduler will continue to work 40 hours/month at a rate of $13/hour for the
full second year. Lastly, the fleet manager will devote more time to the new clinics (on average 50 hours/month
at a rate of $15/hour) to oversee the new mobile medical unit and drive it to clinic locations. All Employee
Related Expenses (ERE) for the positions detailed here are included in this overall staffing expense.
2. Volunteer Coordinator Staff: $29,072 (includes ERE). This expense will cover the Volunteer Coordinator to
work 80 hours/month at $22/hour to continue recruiting and training new volunteers to staff the new clinics,
and to do ongoing outreach at community health fairs and events to raise awareness about the East Valley
clinics.
3. Community Connections Coordinator: $39,643 (includes ERE). This expense will support the Community
Connections Coordinator to continue building new service partnerships and relationships in the East Valley to
bring support to the new clinics. The Coordinator will also focus on bringing new East Valley leadership into
MOM’s governing structure, including the Leadership Council. The position will devote 80 hours/month at a
rate of $30/hour for the full second year.
4. Community Connections Program Supplies and Materials: $11,670. This expense covers materials for health
literacy programs, special diabetes health training and mobile mammography services. In the second year, we
will focus on expanding the number of supplemental services we provide to our patients with targeted goals.
5. IT Set‐up, EMR Support and Wireless EMR Connectivity: $17,474. This expense includes tech support, including
systems set up, staff and volunteer training at clinics, and ongoing subscriptions and fees.
6. Medications and Medical Supplies: $9,488. This expense includes prescription medications and disposables
such as syringes and medication bottles.
7. Insurance and Licensure: $15,600. This expense includes medical, property, and vehicle insurance, and
licensure for paid medical staff.
8. Vehicle Operating Expenses and Depreciation: $55,800. This expense includes gas and repairs on the new
mobile medical unit, which are anticipated to be $6,000, and vehicle depreciation at $49,800.
9. Postage, printing and phone: $1,380.
10. Professional Development: $1,200. This expense includes continuing education and seminars for staff and
volunteers

11. Miscellaneous: $1,200. This expense includes mileage reimbursements and travel.
12. Support Services: $91,631. This expense includes MOM’s administrative and fundraising staff costs needed to
build the sustainability of the program in the East Valley. It also includes MOM’s HR, Accounting and Finance
support.
13. In‐Kind Services: $162,761. Donated services are significant for MOM and account for about 47% of the
agency's budget. The same is anticipated with the East Valley expansion three‐year budget. MOM's current
partner, Dignity Health, is donating significant time to build the East Valley expansion partnership. New
volunteer doctors, nurses, nurse practitioners, physician assistants, pharmacists, bilingual volunteers, medical
students, fleet drivers and registration, data input and administrative personnel will also begin to deliver in‐
kind services, just as is the case with all of our current medical clinics. Sonora Quest Laboratories is also
committed to the expansion to the East Valley and is donating all lab work for all new East Valley patients. We
also anticipate donated prescription medications for the East Valley from our partner, Express Scripts.

Project Budget– YEAR THREE
Budget Period: July 1, 2019 ‐ June 30, 2020
For each budget item listed here please provide a narrative description on the following Project Budget Detail page.
Proposed Budget Expense Amount Amount In‐Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other funders
1. Medical Program Staff $50,000 $142,435 $192,435
2. Volunteer $5,000 $24,072 $29,072
Coordinator Staff
3. Community $5,000 $34,643 $39,643
Connections
Coordinator
4. Community Connections $7,500 $12,240 $19,740
Program Supplies and
Materials
5. IT Set‐up, EMR Support and $17,209 $17,209
Wireless EMR Connectivity
6. Medications and medical $7,500 $11,475 $18,975
supplies
7. Insurance and Licensure $15,600 $15,600
8. Vehicle Operating Expenses $57,000 $57,000
and Depreciation
9. Postage, printing and phone $1,380 $1,380
10. Professional Development $1,200 $1,200
11. Miscellaneous $1,200 $1,200
12. Support Services (18%) $104,107 $104,107
13. In‐Kind Services $184,922 $184,922
Total Budget $75,000 $422,561 $184,922 $682,483

Project Budget– YEAR THREE
Narrative Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include the
dollar figure and how it was derived.
1. Medical Program Staff: $192,435. By the third year, both the Chandler and Gilbert clinics will be fully
operational and the third clinic site will open. The Assistant Medical Director will increase his/her time to 130
hours/month at a rate of $60/hour for the full third year. The Assistant Medical Director will be the on‐site
staff physician, overseeing patient care, medical volunteers and administrative operations. He/she will provide
direct medical care at the new clinics. The part‐time Nursing Director will increase his/her time to 70
hours/month at a rate of $25/hour during the third year. MOM’s Program Manager will continue to devote 20
hours/month at a rate of $26.5/hour to support the East Valley expansion with clinic opening logistics, including
technology set‐up, outreach and patient recruitment. The appointment scheduler will continue to work 40
hours/month at a rate of $13/hour during the third year. Lastly, the fleet manager will devote more time to
the new clinics (70 hours/month at a rate of $15/hour) to oversee the new mobile medical unit and drive it to
clinic locations. All Employee Related Expenses (ERE) for the positions detailed here are included in this overall
staffing expense.
2. Volunteer Coordinator Staff: $29,072 (includes ERE). This expense will cover the Volunteer Coordinator to
work 80 hours/month at $22/hour to continue recruiting and training new volunteers to staff the three new
clinics, and to do ongoing outreach at community health fairs and events to raise awareness about the East
Valley clinics.
3. Community Connections Coordinator: $39,643 (includes ERE). This expense will support the Community
Connections Coordinator to continue building new service partnerships and relationships in the East Valley to
bring support to the three new clinics. The Coordinator will also focus on bringing new East Valley leadership
into MOM’s governing structure, including the Leadership Council. The position will devote 80 hours/month at
a rate of $30/hour during the third year.
4. Community Connections Program Supplies and Materials: $19,740. This expense covers materials for health
literacy programs, special diabetes health training and mobile mammography services at the new clinics. In the
third year, we will support and expand supplemental services identified in the second year that will
complement the medical care MOM offers to our East Valley patients.
5. IT Set‐up, EMR Support and Wireless EMR Connectivity: $17,209. This expense includes tech support, including
systems set up, staff and volunteer training at clinics, and ongoing subscriptions and fees.
6. Medications and Medical Supplies: $18,975. This expense includes prescription medications and disposables
such as syringes and medication bottles for the three clinics.
7. Insurance and Licensure: $15,600. This expense includes medical, property, and vehicle insurance, and
licensure for paid medical staff.
8. Vehicle Operating Expenses and Depreciation: $57,000. This expense includes gas and repairs on the new
mobile medical unit, which are anticipated to be $7,200, and vehicle depreciation at $49,800.
9. Postage, printing and phone: $1,380.
10. Professional Development: $1,200. This expense includes continuing education and seminars for staff and
volunteers
11. Miscellaneous: $1,200. This expense includes mileage reimbursements and travel.
12. Support Services: $104,107. This expense includes MOM’s administrative and fundraising staff costs needed

to build the sustainability of the program in the East Valley. It also includes MOM’s HR, Accounting and Finance
support.
13. In‐Kind Services: $184,922. Donated services are significant for MOM and account for about 47% of the
agency's budget. The same is anticipated with the East Valley expansion three‐year budget. MOM's current
partner, Dignity Health, is donating significant time to build the East Valley expansion partnership. New
volunteer doctors, nurses, nurse practitioners, physician assistants, pharmacists, bilingual volunteers, medical
students, fleet drivers and registration, data input and administrative personnel will also begin to deliver in‐
kind services, just as is the case with all of our current medical clinics. Sonora Quest Laboratories is also
committed to the expansion to the East Valley and is donating all lab work for all new East Valley patients. We
also anticipate donated prescription medications for the East Valley from our partner, Express Scripts.

Mission of Mercy Arizona
Fiscal Year 2016 Impact Report
Dignity | Restored

A MESSAGE FROM THE EXECUTIVE DIRECTOR
HEALTH IS EVERYTHING. We all know that without our
health, a full life is not possible. Giving a sick loved-one a chance
Arizona Leadership Council to be healthy, reducing the financial burden of seeking medical
Sue Connor, Nat’l Board Chair attention, and restoring their human dignity has been the heart
of our work for the past twenty years. And, not a day of it would
Kathleen Dowler, R.N., M.H.A.
be possible without you – our faithful partners.
Fr. Tom Enneking, osc
Because of your investment of time, talent and treasures, fiscal
Lucas Felt year 2016 marked a year of exciting new relationships and
Chuck Fitzgerald moving ahead with important service and technology expansions.
Kim Fleurquin Our current six clinics continue to thrive and bring medical care, compassion and
Art Gramer healing to thousands of uninsured and underinsured children, families and people in
Nancy Groben need. Most exciting, in 2017, we will begin our East Valley expansion and open our first
two clinics. These strategically placed clinics will serve the primary health needs of a
Tom Hudak, M.D. growing number of hard working families who have nowhere else to turn.
Peter Liefer
In 2016 we shored up our infrastructure and reporting capabilities with the
Dennis McAllister, R.Ph., D.Ph. implementation of a HIPAA compliant, cloud-based electronic health records (EHR)
Michelle Mifflin, D.O. system at all six Mission of Mercy clinic sites. This system provides our medical team
with the ability to track and report vital patient demographics, diagnoses and referral
Rachel Oesterle sources. We also activated a comprehensive volunteer management program to track,
Jenny Quezada recruit and retain our priceless volunteers who make things happen every day in our
Steve Seiler clinics. And, in partnership with various community providers such as AHCCCS,
SNAP (food assistance) and the health care exchange, we connected thousands more
Mary Shaffer families with additional support and services.
Walt Stutz
On behalf of our patients, we offer our heartfelt appreciation to our community that
Kris Volcheck, D.D.S. has stood with us since our first service day in 1997. Each of you hold a space on the
Pamela Wake, L.Ac. color wheel of Dignity; a brilliant rainbow of partnerships, resources and volunteers
who come together every day to mend broken hearts and restore weary bodies. You are
nothing short of a miracle for our patients.
Leadership Council Advisors
In Partnership,
Claudia Critchfield
Gerald Wissink, FACHE
Catherine Amiot
President & Executive Director
Arizona Executive Team
Henry Konerko, Ph.D., Chief Executive Officer
Catherine Amiot, President & Executive Director
Lisa Glow, J.D., Vice President & Director of Development
Brad Smith, N.M.D., Medical Director

For nearly 20 years, Mission of Mercy has restored
dignity to the uninsured, the sick, the working poor,
and those in need by providing free healthcare and
healing through Love.
2016 HIGHLIGHTS
● ● Provided more than 15,000 free doctor visits.
● ● Distributed nearly 20,000 free prescription medications.
● ● Recorded an astounding 17,000+ hours of volunteer service from 274 pro bono doctors,
nurses, interpreters and clinic support volunteers — valued at $900,000.
● ● Provided 246 patients with education on oral health, nutrition, flu prevention, diabetes
management, hypertension and heart disease through our Community Connections program.
● ● Our community partners recorded nearly 1,000 eligibility and enrollment assistance encounters,
connecting Mission of Mercy patients with programs such as AHCCCS, SNAP (food assistance)
and the health insurance marketplace.
● ● Provided 95 women with free mammograms in partnership with Mobile On-site Mammography.

HEADS HELD HIGH
“No one should
Thanks to you have to choose
between buying
We had lost everything. Our home. Our jobs. We watched savings we had medicine or
socked away for retirement disappear when the market crashed in 2008.
We had just moved to Arizona to retire and play golf. But instead, we found food for their
ourselves living in our car.
family.”
We had no health insurance. I am diabetic. My wife, Gerri, has arthritis and
sciatica and is hypoglycemic. We were like, “Oh, my God, what do we do?”
Our pastor knew of our situation and told us about Mission of Mercy. I asked about medications. When you can’t
put food on the table, you use what money you have to buy cheese and crackers, not diabetic strips and insulin.
He told us the medications are free too.
So many times we had been told, “We can’t help you.” That happened over and over. It is demeaning. And
exhausting.
At Mission of Mercy they just asked, “What can we do to help you?” That’s all. With everyplace else there’s a
catch. With Mission of Mercy there is no catch.
—Barry and Gerri Knight, former patients
Nearly 31 million Americans—most covered by an
employer or private health plans—are underinsured and
often skip needed health care. Too many families are
faced with choosing between medications and paying bills.

Hospital Emergency Rooms
are the most expensive form
of health care.
We aim to conserve resources by
being an ongoing medical home
for people who otherwise would
have gone to the ER.
Your impact and support
EMPOWERED PATIENTS
Our little girl, Jenny, has asthma. She was in the hospital three times over the summer. One time she stopped
breathing and nearly died.
When our daughter’s asthma gets so bad that she cannot breathe the only place we can go is the emergency room.
I work installing insulation. I make too much money for AHCCCS and not enough money to pay for health
insurance. A social worker told us about Mission of Mercy.
When we walked into Mission of Mercy, we were very apprehensive.
But they didn’t ask for our papers. And the most important thing, they
didn’t ask for money.
Total Patient
I couldn’t believe there was someone there who spoke Spanish. Through an
interpreter, my wife told Dr. Smith about my daughter’s asthma. He was Visits Since
able to teach us how to use the nebulizer, so we wouldn’t need to go to the ER.
Inception:
When we were done, Dr. Smith got up from the table and walked with us to make
an appointment for our next visit. I have never had a doctor do that. Thank you 204,129
Mission of Mercy!
–Walter Valdez, former patient

WHO WE SERVE Fiscal Year 2016 July 1, 2015 - June 30 2016
Gender/ Age Race/Ethnicity
Asian
Black
White
Native Other
Amer.
Hispanic
73% Hispanic 4% Other
13% White 2.5% Asian
7% Black 0.5% Native American
Returning Patients/New Patients
56% Adult Female
29% Adult Male
11% Elderly
4% Children
64% 36%
Returning Patients New Patients
K-12 SCHOOL PARTNERSHIPS
Avondale Elementary School District Littleton Elementary School District
Buckeye Elementary School District Murphy Elementary School District
Tolleson Elementary School District Pendergrast Elementary School District
Litchfield Elementary School District Phoenix Elementary School District

Fiscal Year 2016 July 1, 2015 - June 30 2016 SUMMARY OF SERVICES
Top 5 Diagnoses or Treated Conditions
Patient Care by Clinic Site
Patients Visits Diabetes
Mesa 1,117 3,874
Maryvale 552 2,148 Hypertension
Phoenix 1,276 4,488
So. Phoenix 497 1,327 Digestive system disorders
Avondale 826 2,422
Murphy 327 1,089 Depression/mental health
TOTAL 4,595 15,348
HDL LDL High cholesterol
Over the last 19 years, more than 200,000
FREE individual patient visits and 300,000
FREE prescriptions have been provided.

Through your partnerships
OUR COMMUNITY IS STRONGER
Since launching in 1997,
Sonora Quest Labs has
donated FREE, unlimited lab
services and diagnostic testing
to all Mission of Mercy patients.
Together, we are part of the solution. At Mission of Mercy, we believe anything is possible when we put
our hearts and minds to work together. Our generous community partners help us to serve those that
have fallen through the cracks of our broken healthcare system.
“At Sonora Quest, we understand the complexities of today’s “For nearly two decades, Dignity Health has been a proud partner
health care system and the challenge for those who cannot afford in helping Mission of Mercy bring medical care to Maricopa
many of the necessary health care services including diagnostic County’s most underserved people. M.O.M.’s innovative medical
testing and medication. This is why SQL is a proud partner model helps keep patients out of emergency rooms and provides them
with M.O.M. collaborating to provide care in our community.” with a medical home to manage their primary and chronic health
Kim Fleurquin care needs. We are grateful for all they do for our community!”
Chief Risk Officer Kathleen Dowler, RN, MHA
Sonora Quest Laboratories Director Community Health
Dignity Health
Chandler Regional Medical Center
Mercy Gilbert Medical Center

THE BEST VOLUNTEERS ARE AT MISSION OF MERCY
Week after week, our volunteers demonstrate
Physicians 29 compassion, respect and love to every
patient that walks through the door.
Nurses/
Technicians 71
Pharmacy Team 14
Patient Educators 7 “There is this myth that we just
treat colds and flus, but actually
Patient Registration &
Scheduling 42 we see a good amount of chronic
conditions and other pathology.
Interpreters 58 There is such immediate reward
after making a difference in a
Driver/Data Input 9 patient’s life, which has changed
my life also.”
Administrative 13
– Dr. Carie Barlow
Fundraising/Special Events/Outreach 31 Volunteer physician since 2013
0 10 20 30 40 50 60 70 80
Mission of Mercy Volunteers
VALUE OF
ACTIVE VOLUNTEER
VOLUNTEER
VOLUNTEERS HOURS
HOURS
274
17,177
$900,000

THANK YOU STATEMENT OF ACTIVITIES
to our generous partners Fiscal Year ended June 30, 2016
Operating Expenses
Laboratory Services
Sonora Quest Laboratories Fundraising
6%
Hospital Referral Partnership Administration
Dignity Health 5%
Imaging & Radiology Services
Program 89%
Arizona General Hospital
Banner Health
Chandler Regional
Medical Center
Mercy Gilbert Medical Center % of Annual
Support & Revenue Amount
St. Joseph’s Hospital Funding Campaign
and Medical Center Individual Giving $360,345 14%
St. Joseph’s Westgate Grants $669,637 27%
Medical Center
In-Kind Gifts/Pro Bono Services $1,491,402 59%
Total Revenue $2,521,384 100%
Faith Partners
Blessed Sacrament
Catholic Church
Christ the King THE VALUE OF GIVING
Community Center
Crosier Fathers & Brothers
First Southern Baptist $80 donated =
Church of Avondale
Franciscan Renewal Center
Living Streams
Community Church
Maryvale Church Covers 1 doctor visit
of the Nazarene with prescription meds,
New Vision Center lab & x-ray
Shepherd of the Valley
Lutheran Church
The Church at Litchfield Park

Healing Through Love
Thank You For Making Our Work Possible! Giving Society
ANNUAL GIVING
Donors who have made
Donors who have given from July 1, 2015 through June 30, 2016 multi-year giving commitments
June 1, 2015 through July 1, 2016
$100,000 + Ann and John Donahue
Diane & Bruce Halle Foundation Obinna Egbo Anonymous
Thunderbirds Charities Employees Community Craig Anderson
Fund of Boeing Mesa DiAne and Jeff Ashton
$50,000 to $99,999 Everkrisp Vegetables Jayne Baker
Dignity Health St. Joseph’s Hospital Express Scripts Don Brassil
and Medical Center Frys Food Stores/Kroger Joseph Charles
Otto & Edna Neely Foundation Barbara and Jerry Graunke Ann and Joseph Collins
Nancy and Phil Groben Sue and Dan Connor
$25,000 to $49,999 Sharon and Oliver Harper Claudia and Paul Critchfield
Board of Visitors, Inc. Anita and Ron Heyn Mary and Dennis Dahlen
Phoenix Rotary Club Charities Mary Howard Ann and John Donahue
Virginia G. Piper Charitable Trust Mary Anne and Mitch Jimenez Connie and Edward Donahue
John F. Long Foundation Obinna Egbo
$10,000 to $24,999 Katherine Kenny Alice and Tony Ehmann
Anonymous Elena and Henry Konerko Barbara and Jerry Graunke
Banner Health Systems KS State Bank Nancy and Phil Groben
BHHS Legacy Foundation/ Cheryl and John Lewis Sharon and Oliver Harper
Legacy Connection Ginger and Jeff Lewis Andy Jacob
Duncan Family Farms Lina Juliber Charitable Foundation Mary Anne and Mitch Jimenez
Patricia and Larry Hall Carol and Gary Long Katherine Kenny
Jane McCarty Jeanie and Mike Lynch Elena and Henry Konerko
Cindy and Doug Sanders Joyce and James Monroe Susan Kovitz-Tasky
Schwab Charitable Fund Rachel and Donald Morgan John Lewis
Sonora Quest Laboratories Nancy and Randy Morris Carol and Gary Long
Sovereign Military Order of MyHealthDirect Jeanie and Mike Lynch
Malta-Western Association Neiman Marcus|Group Rachel and Don Morgan
Nancy and Randy Morris
Margaret Nelson and Ray Buzard
Margaret Nelson and Ray Buzard
$1,000 to $9,999 Jeanne and John O’Brien
Jeanne and John O’Brien
Anonymous Tanya Perry
Kathleen O’Connor
Judith and Peter Allard Dorothy Pitre
Rachel Oesterle
Arizona Community Foundation Lee and Bob Pits
Connie Phillips
Arizona Medical Network Julie and Jack Rataezyk
Dorothy Pitre
DiAne and Jeffrey Ashton Sharon and Robert Rayner
Lee and Bob Pitts
Christine and John Augustine Diane Rosztoczy
Julie and Jack Rataezyk
Mary Beth and J. Neil Bassett Maureen and Paul Rubeli Foundation
Sharon and Robert Rayner
Believe Foundation Carol and Chris Rudel Diane Rosztoczy
Bonnie and Merton Bell Barbara James and Michael Saperton Rosemary Russo
Blessed Sacrament Catholic Church Denise and Kurt Schuler Cindy and Doug Sanders
Blood Systems, Inc. Terry and Bob Shaffer Terry and Bob Shaffer
Don Brassil Susan and Paul Stander Sonora Quest Laboratories
Carolyn and Kenneth Brown Connie Staradub Susan and Paul Stander
James Byron Dorothy and Wayne Stingley Connie Staradub
City of Avondale Mison Sur Dorothy and Wayne Stingley
City of Goodyear The Church at Litchfield Park Mison Sur
Ann and Joseph Collins Janice and Leonard Tichavsky Cathy and Ron Tisch
Community Health Charities of Arizona Catherine and Ronald Tisch Kathleen and Peter Tomasulo
Susan and Dan Connor Valley Kids Foundation Kathleen Wade
Claudia and Paul Critchfield Valley of the Sun United Way Lyndsey Waugh
Mary and Dennis Dahlen Kathleen Wade Bob Withers
Jeanine and Walt Davis William Wintermute Deborah and Eugene Zweiback
Vickie and Robert Dieterle Deborah and Eugene Zweibach
Connie and Edward Donahue If you would like to discuss an annual
pledge or planned gift, please call
If you believe there is an error with your listing, please contact Jessica Green at 602-314-6742. Lisa Glow at 602.861.2233.

MISSION OF MERCY CLINICS
MONDAYS – WEST VALLEY WEDNESDAYS - PHOENIX
First Southern Baptist Church of Avondale Shepherd of the Valley Lutheran Church
1001 N. Central Ave., Avondale 1500 W. Maryland Ave., Phoenix
1st, 3rd TUESDAYS - MARYVALE THURSDAYS – MESA
Maryvale Church of the Nazarene Christ the King Community Center
3201 N. 51st Ave., Phoenix 1616 E. Broadway Rd., Mesa
2nd, 4th TUESDAYS – SOUTH PHOENIX 2nd, 4th FRIDAYS – SOUTH PHOENIX
Black Family & Child Services of Arizona Murphy Education & Health Center
1522 E. Southern Ave., Phoenix 3140 W. Buckeye Rd., Phoenix
Mission of Mercy Arizona
360 E. Coronado Rd., Suite 160
Phoenix, AZ 85004
602.861.2233
aMissionofMercy.org

Patient Success Stories
Terry’s Story
“For the last eight years, I dealt with chronic lower back and hip pain and paid out of pocket at doctors’
offices since I don't have health insurance. Because of this, I felt as though I was not treated correctly and
was looked down upon because I can't afford insurance. A coworker of my husband told him about Mission
of Mercy, and how well he was treated there. I went to one of their clinics, and from the moment they opened
the doors, I was treated with respect and dignity. When I was seen by the nurse practitioner, I explained
how long I had been in pain and where it was and my other health issues. I felt like she truly cared and
wanted to help get me better. She took me back to the doctor, and he said where my pain was that it was
bursitis. He asked me if I wanted to try cortisone shots in the back and hip. Immediately after the shots, the
pain went from a 10 to a 2, and by the next day, it was gone altogether! Praise God! I can't tell you enough
how grateful I am for Mission of Mercy. You truly are angels in disguise!”
Don’s Story
Diabetes, high blood pressure, high cholesterol…Don didn’t know he had any of these serious chronic
conditions when he came in for treatment at our Central Phoenix clinic. Taking full-time care of his elderly
mother and not having any health insurance had precluded Don from getting preventive care and regular
check-ups. In addition to receiving life-saving medication to treat his diabetes, MOM medical staff and
volunteers worked with Don to make lifestyle changes to improve his health and prevent further progression
of the disease. Today, Don’s cholesterol and blood pressure are at normal levels and he actively manages
his diabetes with medication and a healthier lifestyle. Just recently, Don qualified for AHCCCS (state
healthcare insurance) but says he misses the care he received at MOM. “When you’ve been there a long
time like I was, they come to know you like family. The volunteers are so thoughtful and compassionate
and take the time to treat you like a real person.”
Idalia’s Story
Idalia, a young student in the Tolleson elementary school district, suffers from a chronic thyroid disorder
that requires daily medication and annual labs. Her dad is employed full-time and her mom dedicates her
days to taking care of Idalia and her two young brothers.
Like many of our patients, Idalia “fell through the cracks" when Arizona's KidsCare program was cancelled
during the roll-out of the Affordable Care Act. For six months, she was without coverage while waiting for
open enrollment in her father's employer-sponsored health plan and, as life would have it, her annual labs
and prescription refills were due during that same time. Idalia went without her medications for a period of
time until the family was connected to Mission of Mercy through the school nurse. After a quick trip to the
clinic and a referral to Sonora Quest Laboratories for testing, she received her medications and was on her
way back to school.
"We're grateful for Mission of Mercy and the care they provided to our daughter," says Idalia's mom, Toni.
"The doctors and nurses took care of us for the few months when we needed some support and I'm relieved
to say our children now have health coverage through my husband's company. I don't know what we would
have done without Mission of Mercy!"