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SINCE 2006ANNUAL REPORT 2015Celebrating 10 years of collaboration in our communityChrissy Yamada, CPASallie NeillieBOARD PRESIDENTEXECUTIVE DIRECTORThe year 2015 was a monumental one for ProjectAccess Northwest as we entered our 10th year ofoperations. It has been a time of great celebrationas well as reflection on what we have accomplished. Wehave come a long way since our official launch as KingCounty Project Access in 2006. We have extended ourcare coordination program into three counties, createdinnovative new programs with community healthcare partners and helped 1,550 volunteer providersannually provide much-needed care to patients inneed. We served 6,744 patients in 2015 alone, bringingour total over the last decade to more than 32,000!We dedicate this report to the early visionarieswho identified a need in our community andworked tirelessly for a solution. We thank ourfounding sponsors and hospital partners fortheir unwavering support. Your investment inour mission has changed the lives of thousandsof patients and helped improve the health of ourentire community. We also thank the providers whovolunteer their time and skills to provide specialtymedical and dental services to patients in need.Working together, we make a tremendous impact.During the last decade, there have been majorchanges in the health care services “industry.” Theimplementation of the Affordable Care Act in 2013solved some problems but also revealed many others,so we are constantly looking for new opportunitiesto ensure appropriate access while also supportingour physician and hospital partners. We remaincommitted to improving health care access forthose most in need, and we look forward to thenext decade of innovation and collaboration!Chrissy Yamada, CPABOARD PRESIDENTSallie NeillieEXECUTIVE DIRECTORP.S. Be sure to visit our new website for ourlatest news and developments!www.projectaccessnw.org

1010 years creating accessA proven model for health care access, evolving to meet community needspremiums. Primary Link connectspatients with local primary careproviders, reducing inappropriateEmergency Department visitsand improving the health of theindividual and the community.We are grateful for the supportof so many who make thesecritical programs possible.6,744Dental: 50.4%Service Growth5,3294,7534,487Number of Medical PatientsNumber of Dental Patients4,521Dental: 47.7%Number of Licensed ,550Medical: 49.6%2,750Medical: 52.3%Project Access Northwest isa non-profit organizationthat collaborates with thelocal health care communityto open doors to medical anddental care for individuals withlimited access. This mission guidesall of our work as we meet ourcommunity’s changing needs.Today, Project Access Northwestoffers three distinct programs thatserve our patients and clients inpowerful ways. Care Coordinationconnects patients needingspecialty care with 1,550 volunteerproviders who donate their timeand talents. Premium Assistancehelps individuals statewide who areeligible to purchase private healthinsurance on the WashingtonHealth Benefits Exchangebut cannot afford to pay the2015NOW & THEN: Growing service areaSNOHOMISHKITSAPKINGIn 2006, King County Project Access served only King Countyresidents and focused exclusively on medical specialty care. By2011, the organization officially changed its name to Project AccessNorthwest to reflect its expansion to Snohomish County. Today,Project Access Northwest partners with hospital systems and multispecialty medical groups throughout King, Kitsap and Snohomishcounties to offer its Care Coordination services, including dentalcare in King and Snohomish counties. The Premium Assistanceprogram serves residents statewide, while the Primary Link programtargets select emergency departments in the Greater Seattle area.

32,000 patients servedSpecialtyReferralsPatient Gender45%Patient EthnicityHispanic34%55%Patient RaceWhite43%50.4% DENTALMultiracial3%Pacific Islander2%Asian10%Black orAfrican American14%Unreported26%Native Americanor Alaskan2%Patient LanguagesPatient Insurance5.9% PHYSICAL THERAPY4.0% GASTROENTEROLOGY3.6% OTOLARYNGOLOGY2.3% OGYGENERAL SURGERYOPHTHALMOLOGYRHEUMATOLOGYOTHERMEDICAL19.3% sh26.5%Medicaid51.9%Income by .6%SpecialEvents0.6%Expense by ProgramMedical57.2%NongovernmentContracts& Grants40%GovernmentContracts &In-KindGrantsContributions ntal15.7%Management13.5%

1,550 volunteer providersMilestones in Project Access Northwest’s history200220092013King County safety net providersconvene to discuss challengeof accessing specialty servicesfor low-income, uninsuredand vulnerable patientsInvited to coordinate servicesat the Swedish CommunitySpecialty Clinic (SCSC)Affordable Care Act implemented200420102014Expanded medical care coordinationto Snohomish CountyLaunched statewidePremium Assistance programThe Patient Protection and AffordableCare Act (PPACA), commonly calledthe Affordable Care Act (ACA), issigned into law on March 23, 2010Recognized by Seattle King CountyDental Society as “CommunityPartner of the Year”20112015Local planning partners meetregularly to determine if a ProjectAccess-type program wouldbe viable in King County2005Two pilot Care Coordination programsrun at Pacific Medical Centers andSwedish–Cherry Hill campusStarted serving a significantnumber of Medicaid patientsRenamed Project Access NorthwestLaunched Primary Link program.Added dental services to King CountyRecognized as a health care innovatorby Seattle Business magazine:Silver award for Achievementin Community Outreach20062012King County Project AccesslaunchedExpanded medical carecoordination to Kitsap CountyEntered 10th year of operationSpecialty dental program tops referralsAdded dental services toSnohomish CountyNOW & THEN: Strong partnerships that lastLinda A. Marzano, RN, CEO of Pacific Medical Centers, played aninstrumental role in the founding of Project Access Northwest.In her role as COO, she gave the green light on a pilot programto test the Project Access concept. She served on the steeringcommittee for over a year and then on the board for six years.“Linda always believed in what we were trying to do — to makeit easier and more efficient for the specialist and the healthcare system,” states Sallie Neillie. ”With her at the helm, PacificMedical Centers has been an enthusiastic partner since ourinception. We are very grateful for her vision and leadership.”

41 different languages“It has to work for everybody or it doesn’t work for anybody”In honor of her 10 years of service, we presentedfounding staff member and lead operationsnurse Andrea Castell with the first annual AndreaCastell Access to Health Care Award. This new,annual award in Andrea’s name will be presentedto individuals who work for improved healthcare access for all members of our community.Our anniversary event was hosted by Stoel Rives.NOW & THEN: Community support is keyRayburn Lewis, MD played a key role in the early days of ProjectAccess Northwest. As medical director of the Providence Cherry Hillcampus, he helped start the Mother Joseph Clinic, which hosteda 2005 pilot program to test how the Project Access model couldwork in our community. Dr. Lewis also joined the Project Accesssteering committee and later the board, where he helped define themission and refine the model. “He was an awesome and consistentpresence who kept the needs of our specialists well balanced withthe needs of our patients,” recalls Sallie Neillie. Still a supporter, Dr.Lewis says, “Without Project Access Northwest, it would be chaos.”

ONE clear missionProject Access Northwest marked its 10thanniversary by honoring the sponsors, partnersand visionary staff who played a key role inits creation and ongoing success. In honorof executive director Sallie Neillie, the boardintroduced The Sallie Neillie Founder’s Circle.Founder’s Circle members pledge three years offinancial support for the organization — at thePlatinum or Gold level — to honor Sallie’s visionand help build a foundation for our next 10 years.Celebrating founders, partners & visionaries who make our work possibleNOW & THEN: Visionaries drive our missionFounding staff member Andrea Castell, RN, BSN, MBAhas devoted her life to health care and increasing access toappropriate care. As lead operations nurse, she uses her vastexpertise to help people get the care they need. “Andreabelieves so strongly in this model and this mission, and she workstirelessly to make it work for the specialist, for the patient andfor the system,” praises Sallie Neillie. “She knows it has to workfor everybody or it doesn’t work for anybody.” Driven by herbelief in health care access, Andrea remains an active championfor patients in need—and the specialists who serve them.

Partnerships with ALLhospitals in our service areaPREMIER SPONSORSPLATINUM SPONSORSCorporate, foundation,government & healthcare donorsEverTrust FoundationGOLDAmazonSmilesCommunityHealth Plan of WashingtonTheAmgen ergreenHealthCommunityFirst Choice Health Plan of rrisonMedical CenterEvergreenHealthMoccasinLake FoundationEverTrust FoundationMolinaHealthcareFirst ChoiceHealthMultiCareGroupHealth ansProvidenceGeneral terDistrictHarrisonMedicalUW Medicine/ValleyMedicalCenterHighlineMedical CenterFoundationMinor & James Medical GroupMolina Healthcare of WashingtonSILVERHighline Medical Center FoundationPhysicians Insurance A MutualMultiCareEvent CompanySponsorsSnohomish County DentalFoundationNorthwest Kidney CentersAshSocietyConsulting,LLCSnohomish County MedicalSocietyPhysicians InsuranceCellNetixPathology, PLLCA Mutual Company The Everett ClinicCentene/Coordinated CareTulalip TribesProvidence General FoundationCompanisWashingtonState Hospital AssociationProvidence Regional MedicalCenter EverettDynamic LanguageSatterberg FoundationIncyte DiagnosticsSnohomish County Medical SocietyJacobsen JarvisSnohomish County DentalPhysicians InsuranceSociety FoundationA Mutual CompanyState of Washington Combined Fund DriveSeattle King County Dental SocietyTulalip TribesSprague Israel GilesUW Medicine/Valley Medical CenterStoel RivesWashington State Hospital AssociationWashington Dental Service Foundation