ASA Community Impact Report 2011

A IDS SERVIC ES OF AUSTIN

Community PROMISE Coordinator Roman Guerra, center, and peer advocates prepare safer-sex kits to distribute to people most at-risk.

Our Mission: AIDS Services of Austin enhances the health and well-being of the community and people affected by HIV and AIDS.

Table of Contents: Outlook from Paul and Laura ................................... 1 Returns on Human Investment ................................. 4 Improving Lives ........................................................... 5 Keeping People Healthy ........................................... 8 Q&A ............................................................................. 9 Our Heroes .................................................................. 11

Cover Photo: Participants in the annual AIDS Walk Austin, an October tradition that raises awareness and funds while remembering the loved ones we have lost. Photo credit Chase Martin. All other photos are courtesy of Mari Hernandez.

From the Executive Director and Board Chair 7KLV \HDU PDUNV \HDUV VLQFH +,9 ZDV ÀUVW UHFRJQL]HG DV DQ HPHUJLQJ GLVHDVH ,Q the early days of the HIV epidemic, the typical scenario was a young gay man entering a clinic, testing positive and being informed by a healthcare provider that he was terminal. He left feeling isolated and scared, without any access to resources or support.

Paul Scott and Case Manager Tiera Moton working to reduce stigma at the annual Juneteenth Parade with the message Love People with HIV.

Today, there is not a typical person walking into AIDS Services of Austin to get tested.

HIV does not discriminate - someone at risk may be Hispanic, African American, married, a mother, young, elderly, or anyone else. Though getting tested may change their life forever, no one has to feel alone if their results come back positive.

2XU RUJDQL]DWLRQ LV KHUH WR KHOS SHRSOH ZKR DUH +,9 SRVLWLYH OLYH D KHDOWKLHU OLIH E\ providing the support they need.

We wish that living with HIV was as simple as taking effective medications. However, many of our clients seek our help because of their lack of economic resources – 70% have incomes below the U.S. poverty level. For example, one of our young patients born with HIV came to the Jack Sansing Dental Clinic having never received dental FDUH 2XU 'HQWDO &OLQLF VWDII ZRUNHG WR VWDELOL]H KLV RUDO KHDOWK ZKLOH UHIHUULQJ KLP to our case management team so he could get nutritious, healthy food from our Helping Hands Food Bank and counseling to improve his overall and mental health. In addition to economic challenges, our clients may be confronting addiction, poverty, stigma, and homelessness. Others may be a parent or other caregiver that still needs to manage their current responsibilities, in addition to coping with a chronic and lifethreatening disease.

Prevention Specialist Joe McAdams introduces a person to the Fresh Start Program.

Community leaders and volunteers have made it possible for us to provide comprehensive care and access to resources over the past 25 years and continue to provide us the support we need to remain on the forefront of HIV prevention and treatment. The people at St. David’s Foundation have funded the expansion of our -1-

dental services, allowing us to add more dentists, hygienists, and a patient navigator.

They continue to provide support for our Medical Case Management program which helps clients adhere to their HIV medications, and they have underwritten our longterm strategic planning. Perhaps the most exciting investment that the Foundation – along with private and Federal funders - is making is in the renovation of our facilities to expand our Prevention, Testing, and Counseling program while increasing private space for our case managers to work with clients – all to provide more quality services to our clients and increase our outreach.

As we redouble our prevention efforts, we continue to increase the quality of care for people living with HIV and AIDS. We are adding case managers, hiring a second dietitian, and increasing support for the Women Rising Project through the newlycreated Women’s Giving Circle. Following the model of the President’s National HIV/AIDS Strategy, we are planning to increase our integrated set of services with a stronger medical model by adding community nursing services.

Hygienist Diana McFarlan at ASA’s dental clinic, which has seen a 25% increase in demand - but no waiting list - thanks to donors and support from the St. David’s Foundation.

Internally, we are working to retain and recruit the best talent. To that end, we have implemented an employee retirement plan thanks to donors to the Lee Manford Fund, an enduring legacy of the well-regarded former executive director.

Our overarching goal is enhance the health and well-being of the community and people affected by HIV and AIDS. We are grateful for your support.

Paul Scott Executive Director

Laura Merritt Board Chair La’Toya Swan encourages listeners to protect themselves and the people they love at KAZI, Austin’s African American community radio station.

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Food Bank staff Jean and Sandy prepping cabbages. Meals are tailored to manage medication side effects and to prevent wasting.

RETURNS ON HUMAN INVESTMENT

2010-2011 Major Achievements People have more stability: ASA’s Case Managers assist 844 people in 2010, including 68 people who now have housing and 49 people who have returned to medical care through the Minority AIDS Initiative.

HIV advocates are heard: Graduates of the Women Rising Project’s Rising Star Academy successfully advocate before legislators for a bill permanently establishing the Texas HIV Medication Advisory Committee.

Youth are protected: ASA’s prevention team trains members of OutYouth, Austin’s LGBT youth RUJDQL]DWLRQ WR SURYLGH +,9 SUHYHQWLRQ strategies and rapid, oral HIV tests.

Minority education is increasing: Miss America 2010 speaks at the AIDS Walk and at Greater Mt. Zion Baptist Church, leading people to seek out their +,9 VWDWXV IRU WKH ÀUVW WLPH

HIV transmission is prevented: A majority of young men who attend a session at the Q Austin report learning a risk-reduction strategy.

Oral health is improving: ASA’s Jack Sansing Dental Clinic adapts to a growing and aging population with a 25% increase in new patients - 1,181 people served annually during 4,483 visits. After nearly 20 years of dedicated service to the Jack Sansing Dental Clinic, the founding Clinical Director, Chris Fabre, DDS, retires. We are extremely grateful for the many contributions Dr. Fabre has made to people affected by HIV and AIDS. People are protecting themselves: ASA’s VOICES/VOCES program provides condom education and negotiation strategies to 800 people.

People’s rights are defended: The Capital Area AIDS Legal Project assists 234 people with a broad range of civil legal issues.

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We strive to take care of our employees and our planet while we improve the health of our communtiy.

We are proud to share two accomplishments towards these goals: Our planet is healthier: The solar panels on ASA’s roof prevent over 120,000 tons of CO2 from entering our atmosphere and will soon pay for themselves--and then some. For this, we offer our appreciation to Lew Aldridge and a small group of highly dedicated donors.

Staff retention is increasing: The employee retirement plan launches, helping ASA recuit and retain the best talent. A generous group of donors enables ASA to establish the Lee Manford Fund - named in honor of the retired executive director. The fund provides access to a retirement plan and educational development for the staff members of ASA.

Helping People LIVE HEALTHIER Volunteers, donors, and staff are helping clients to improve their health in three areas: Physical Well-Being: ASA’s Helping Hands Food Bank provides a menu from which clients may select foods matching their personal and cultural tastes. The options are FXVWRPL]HG E\ D UHJLVWHUHG OLFHQVHG dietitian to help manage medication side effects and prevent wasting, with all offerings meeting the FDArecommended daily intake of calories and protein for an adult living with HIV disease. Clients may also meet with a staff dietitian for 1-on-1 counseling.

ASA’s Jack Sansing Dental Clinic RIIHUV VSHFLDOL]HG UHVWRUDWLYH DQG preventative treatments, while ASA’s medical case managers – who are licensed with a Masters in Social Work - are helping people manage their disease so that they can focus on living.

Mental Well-Being: ASA’s case managers help newlydiagnosed clients shift their thinking to living with HIV – a UHDOLVWLF EXW GLIÀFXOW SURFHVV for many clients. Case managers also work with clients to take their life-saving medications on time (especially important for elderly clients and clients with disease-related memory loss), and accessing primary medical care, health insurance, spiritual support, and substance abuse treatment.

ASA’s outstanding Women Rising Project empowers women affected by +,9 DQG $,'6 WR EXLOG WKH FRQÀGHQFH DQG VHOI VXIÀFLHQF\ RI RQH DQRWKHU The PATH Counseling Program is helping people to reduce the risk of viral transmission, regardless of their current status. People in this program include HIV status-discordant couples.

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Financial Well-Being: Over 70% of ASA’s clients are living below the federal poverty level. To address this challenge, case managers can access the Paul Kirby Fund (funded almost completely by the all-volunteer Octopus Club) to provide clients with essentials such as eye exams, prescription eyewear, disability fare cards for public transportation, supplemental nutrition, personal hygiene kits, and prescription assistance.

Our staff attorney and ASA’s Capital Area AIDS Legal Project help clients with legal matters, and ASA’s Minority AIDS Initiative helps clients to get back into healthcare and housing. Clients also have access to short-term or longterm housing and utility support.

Outreach Program Coordinator JosĂŠ MuĂąoz visits area hospitals and prisons to counsel people who have tested positive for HIV and to link them to care and support services.

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Prevention Team Member Chase Crossno at I Luv Video, one location in the free Condom Distribution Network, which she launched.

The Best Medicine HIV PREVENTION

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innovative Project Fresh Start, which provides substance abuse and HIV prevention services to African American men and women in Travis County who have been recently released from prison or jail. The grant allows us to expand HIV prevention services to an additional 9,000 people.

ASA’s HIV testing across the board has more than doubled from under 700 in 2010 to over 1,800 in 2011. More telling is the positivity rate: nationwide, less than one percent of people tested for HIV are positive. At ASA, it LV RYHU WZR SHUFHQW 7KLV LV D JRRG WKLQJ LW PHDQV WKDW ZH DUH HIÀFLHQWO\ XVLQJ RXU WHVWLQJ EXGJHW WR LGHQWLI\ the people most in need of testing. While we offer free testing to a diverse array of people at events like our $,'6 :DON DQG DW RXU RIÀFHV ZH DOVR RIIHU KLJKO\ WDUJHWHG WHVWLQJ JRLQJ LQWR WKH FRPPXQLW\ DQG RIIHULQJ IUHH painless and rapid HIV testing at locations frequented by sex workers and injecting drug users.

People tested for HIV annually:

People educated through prevention outreach:

Condoms distributed annually:

1,800 Č?ÎŞČŽ

10,000 Č?ÎŞČŽ

300,000 Č?ÎŞČŽ

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Board of Directors QUESTIONS AND ANSWERS What inspires your investment in the people that ASA serves?

Nedrea: The changing demographics of the people that ASA serves, including women and minorities, inspires my investment. Over the past several years, I have supported ASA and, as the demographics changed, I became even more passionate about the need to invest in ASA. Andy: , ÀUVW EHFDPH LQYROYHG ZLWK $6$ QHDUO\ \HDUV DJR , KDYH VHHQ the number and diversity of communities affected by HIV/AIDS continue to expand. If anything, that diversity inspires my investment of time and money. It is my hope that we eschew the belief that HIV and AIDS only affects a few of us – it impacts us all.

Nedrea Clayton Westbrooks is a human resources consultant for the Seton Family of Hospitals.

How does ASA distinguish itself in services and prevention?

Nedrea: ASA distinguishes itself in services and prevention by being present in the community it serves. Examples include our participation in the Juneteenth celebration and the growth of the Women Rising Project, ASA’s program dedicated to education, support and advocacy for women.

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Board of Directors QUESTIONS AND ANSWERS How does ASA distinguish itself in services and prevention? (cont.)

Andy: ASA envisions a world where people no longer suffer from HIV/AIDS and sees its role in moving this idea from vision to reality. It focuses not only on meeting the medical and practical needs of those who are HIV positive, but also on preventing new infections and erasing the stigma associated with the disease.

How can people help ASA improve our community’s health?

Andy Miller is the Executive Vice President of Mission for LIVESTRONG.

Nedrea: People can help ASA improve our community’s health by being aware of the services that ASA provides and becoming active in community-related events. Education, support and advocacy strengthen ASA’s mission and our community’s health. I would love to see more women and minorities supporting ASA. Andy: Spread the word. Let people know that HIV infection is preventable and that there are safe and effective treatments if you are positive. Know your own status. Participate in AIDS Walk Austin with your family, friends and co-workers. Love people living with HIV and AIDS.

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Life Givers THANKING OUR SUPPORTERS ASA is able to reduce HIV infections and provide life-sustaining care thanks to a combination of individual, corporate, and governmental contributions. We thank our supporters for enabling us to make a difference through productive investments in the health of our community members.

The 2010 Giving Circle $10,000 - plus Lew Aldridge * JC & GR *

(OL]DEHWK &RKHQ Bob Dailey *

Bill Dickson * Kathy Girling

Lee Manford and Casey Blass *

Randy Coleman Therese Garner Maria Girling Richard Hartgrove & Gary Cooper * Xenia & David Hennington

Jordan Herman & David Porter * &KDUORWWH +HU]HOH Karolina Jursikova Steve Landherr Jim Lommori *

Marilyn Polston & Cindy Ponce Amy & Kirk Rudy Paul Scott & Scott Simons * Eugene Sepulveda & Steven Tomlinson * Tom Wilmore & Linda Magee *

$2,500 - $9,999 Daren Appelt * James Armstrong & Larry Connelly * Hans Bengtson * Leona Bourgea Brigid Cockrum *

$500 - $2,499 Carol & Chris Adams * Gregory Allen John Alvarado Brian Anderson Paula Angerstein & Paul Grosso Jim Arth * (OL]DEHWK -HIIUH\ $WKHUWRQ * Dale Atkinson Angela Atwood & Jace Graf * Jenny Bailey Allan Baker Christine Ballard David Bandas Greg Barbutti & Mike McElhaney * 6HUJLR %DWL] Marty Bender Billie Bengtson Dial Boles & Dillon Locke Robert Boone Steven Boren Russell Bridges & Ralph Salinas * Donald Briere Francesca Brockett & Jim Pedicano *

Oscar Brockett * Andy Brown Robert Brown Mark Bussa & Robert Hampton Robert Campbell Joseph Chauncey Todd Chessher Tana & Joe Christie Susan & Arnold Cohen Gerald Coleman William Coll Barbara & Clay Collier B. Collins Peter Conforti & Darrel Baker Stuart & Dana Cook Carla Cox * Sara Culver Charles Curry Gilbert Davila & Daniel Ferran Stephen Davis & Kent Portman Henry DeAngelis Betty & Jeffrey DeLargy Chad Denman & Daniel Harvell

For more on The Giving Circle, visit asaustin.org/giving.

Malisa DiGiacomo Michael Dobbs Bill Dodd Michael Donnelly & Garry Olney Doug Duke & David Pollard David Earnest David Emerick & Ron Hajek Mark Erwin & Stephen Rice * Chris Fabre, DDS David Feldman & Christopher Warner Stephen Fleckenstein Donna & Buford Foster Bradley Frey Kent Fuka Paul Fulkerson David Furgason Albert Gaitan & Daryl Kehl Frank Garrahan Frank Genco * Rob Giardinelli Darrin Giesy Bettie Girling William Green

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Melinda & Zane Greene Joel Gust David Guy & David Gainer Charlotte & Bill Hale * Daniel Hamilton Susan Hammer * Greg Hand & Rory Reich * Troy Hanna Jeff Harper & Mark Seeger Michael Harper & Jed Duhon * Jerald Head Kevin Heady & Kamran Ziai Michael Helferich * Becky Helton George Hetrick Charitable Trust Kathleen Higgins & Robert Solomon John Hildreth * Wade Hoelting Adelaide Horn Donna & Derek Howard Mary Huckvale 'DQ +XIĂ€QH David Hugin

Anthony Incalcatera Dana Johnson Patrick Keel & Jason Schubert Andras Konya Nancy Lambros Gary Lane Larry Lee Marc Leitman James Lewis & Paul Hemmer Andrew Liguori Bernie Lofaso Christopher Long * Pat Love Rick Luisi & Erik Wilson Robert Luther John MacDonald Michael Magee * Robert Major Mary Manford * Scot Maitland Joe McAdams Kimberly & James McCaughey

* Lee Manford Fund contributors

For more on The Giving Circle, visit asaustin.org/giving.

* Lee Manford Fund contributors

The 2010 Giving Circle- Continued $500 - $2,499 Paul McGill Ann McGinley & B. Lee Laura Merritt & JP Kloninger * Andy Miller & Brian Stephens * David Miller & Curtis McAdams Justin Miloro Ellen & Steve Miura Mary & Scott Moore Roger Moreno Mary Morrison Larry Neal Terry Neal Brent Nguyen & Rory Holcomb Jeanne O’Brien Carolyn & Joe Osborn Diana Panek * Dave Pantano David Paschal Jonathan Pickhardt -XOLH 3RPHUDQW]

Nathan Pope Michael Post Forrest Preece & Linda Ball William Prentice 5REHUW 5DDE %UXFH :DWHUÀHOG * Ron Redder Michael Regier * Kirk Rice * *UHJ 5LW]HQ 0DUL 5RELQVRQ Randy Sabbagh Edward Safady $OH[ 6DQFKH] Conrad & Mark Sansoucy Jody Scheske * Robert Schmidt & Susan Denn * Robert W. Schmidt Lewis Schrock Richard Segal Gregory Self Kent Sheckler

Jeffrey Shirah James Sims & Philip Campman Stephen Skaggs & Jay Kleine * David Smith * Karen Sonleitner Julia Spann * Robb Spreen Christine Stafford Alan Stevens & Louis Seube Fred Sultan & Don Meek Roger Temme Kevin Thibodeau & James Willcox John Thomason Leslie & Beau Thorne Scott Todd & Ed Pope Patricia & Don Tomasco Eric Trumet Marcia Tugendhat & James Montanaro Josh Usovsky William Vandersteel

Laura Votaw & Melanie Shaw Ross Wallace Barry Waller * Kirby Watson Bruce Weatherford Mark Webb Melanie Webster Wendy Weiss & Robert Mace Edmund Wermund Kimberly Wilkins Becky Willard James Willcox Phillip Williams & Ricky Zapata Rick Windham Lynn Yeldell & Alisa Weldon Tim Young Shone Zachariah

2010 Community Supporters $50,000 - plus

$10,000 - $49,999 Austin Community Foundation Dell Direct Giving Campaign Educational Online Network IBM Employee Services Center

Maxwell, Locke, and Ritter, LLP Ms. Foundation For Women Philip J. Tobin Living Trust The M.A.C. AIDS Fund

Walgreens ZACH Theatre*

$2,500 - $9,999 38th Street Pharmacy aGLIFF Alori Properties Applied Materials Big Red/7Up Bottling Company of S. Texas Broadway Cares/Equity Fights AIDS Brown McCarroll L.L.P.

Caritas of Austin Combined Federal Campaign Dell Freescale Semiconductor Interactive Life Forms Kent R. Hofmann Foundation Macy’s Foundation

Moët Hennessy USA Nordstrom Oilcan Harry’s Rain on 4th RGM Advisors, LLC Travis County Women Lawyers’ Foundation Truist - United Way Donations

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Velocity Credit Union Volunteer Legal Services of Central Texas

2010 Community Supporters- Continued $500 - $2,499 Abby Productions Advanced Micro Devices Matching Gift Program Akin, Gump, Strauss, Hauer & Feld, L.L.P. Amy’s Ice Creams AT&T Employee Giving Campaign Austin Regional Clinic Baker Botts, L.L.P Bread and Butter The Center For Health Training Central Christian Church City of Austin Dell Volunteer Matching Deloitte & Touche Donald D. Hammill Foundation Ebay Foundation Payroll Deduction Program Emmis Austin Episcopal Church of the Good Shepherd

Fidelity Charitable Gift Fund )LW]3DWULFN ,QVXUDQFH 6ROXWLRQV //& Freescale Employee Giving Campaign Frost National Bank GAP Foundation Gift Match Program Give With Liberty Employee Donations GlaxoSmithKline Grant Works, Inc. Graves, Dougherty, Hearon & Moody H-E-B Heritage Title Company Hospira Employee Giving Campaign John Girard Salon Johnson & Johnson JP Morgan Chase Foundation Lambda of Texas State /DZ 2IĂ€FH RI 0DUN *XHUUHUR

LCRA Employees’ United Charities Live Oak Pharmacy The Long Center for the Performing Arts Maudie’s The McTaggart Trust Merck Partnership For Giving 0LGWRZQ 2IÀFH $XVWLQ 7LWOH Mitchell Williams Long Burner National Instruments Ortho Biotech Products, L.P. Planet K Poiema, A Presbyterian Community Presidio Group Realtors Prosperity Bank Rainmaker Document Technologies Safeway Scanlan, Buckle & Young, P.C.

KGSR L Style G Style OutCast on KOOP

therepubliq Time Warner Cable Yelp

The Clay Pit Crú Food & Wine Bar East Side Showroom Eastside CafÊ Enchiladas Y Mas (Q]R 5HVWDXUDQW /RXQJH Fino Fonda San Miguel Frank Galaxy CafÊ Garrido’s Guero’s Taco Bar Halcyon Hoover’s Cooking Hyde Park Bar & Grill Jack Allen’s Kitchen

Jersey Mikes .DW]¡V 'HOL La Sombra Bar & Grill Lombardi Family Concept Restaurants Lustre Pearl Magnolia CafÊ Manuel’s Maudie’s Mirabelle Restaurant MoÍt Hennessy USA Moonshine Patio Bar & Grill Mother’s Cafe and Garden Oak Farms Dairy Olivia P.F. Chang’s Downtown Paggi House

Seton Healthcare Network Structural Integrity Associates Taurus Training and Doggy Play Day Taverna Tecumseh Foundation Texas Lawyers’ Insurance Exchange Texas Smiles Texas TMS Center Twin Liquors Wells Fargo & Company Whitehurst, Harkness, Brees & Cheng, PC Whole Foods Market William Weiss Foundation Williams Law Firm Wilson, Sonsini, Goodrich & Rosati Women Partners in Health, P.A.

2010 Media Supporters Austin Bar Association’s Austin Lawyer Austin Chronicle KAZI

2010 - 2011 Culinary Supporters 34th Street CafÊ Alamo Drafthouse Amy’s Ice Creams Andiamo Ristorante Annie’s CafÊ & Bar Apothecary CafÊ & Wine ASTI Trattoria The Belmont Belvedere’s Men’s Salon Bistro 88 Blue Star Cafeteria Braise Bread and Butter Chango’s Taqueria &KH] Chuy’s

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Parkside Ruby’s Barbeque & Catering Sago Modern Mexican Sagra Trattoria Santa Rita Mexican Restaurant & Cantina Siena Ristorante Toscana Snap Kitchen Torchy’s Tacos Trudy’s Texas Star Urban VIVO Wink Restaurant & Wine Bar Zed’s Restaurant Zocalo CafÊ - Taquiera Fresca Zoot

ASA’s 2010 Financials and Service Demographics Revenue Source

Amount

Federal Grants

Other Government Grants

Individual Donors and Private Grants

Fundraising Events

Other revenue

Total

$5,812,898

Federal Grants Other Government Grants Individual Donors and Private Grants Fundraising Events Other Revenue Net Assets Released from Restriction

Expenses Direct Services Case Management Prevention Oral Health { Fundraising Management } ~ 17%

Expenses Source

Service Demographics 81% Male 18% Female < 1% Transgender or unknown

Revenue

Amount

26% 49% 24% 1%

Ages 13 to 24 Ages 24 to 44 Ages 45 + unknown

44% 27% 27% 2%

White, Not Hispanic White, Hispanic African American $VLDQ 3DFLĂ&#x20AC;F ,VODQGHU American Indian, or Alaskan Native Multiracial/Unknown

Program Services: Direct Services

Case Management

Prevention

Oral Health

2%

0

1 $ in Millions

2

3

4

5

6 Nonmedical Case Management Medical Case Management Dental

Supporting Services: Fundraising

Management and general

Total

$5,017,657

Food Pantry Medical Nutrition Therapy Counseling, Testing and Referral MPowerment Community Promise VOICES

Net Revenue - Expenses

Lee Manford Fund (Restricted)

689

Net Assets Released from Restriction

Total Net Assets

$795,241*

* Represents operating reserves

0 3000 6000 9000 Number of Clients Served by ASA

12000

Vision Statement:

AIDS Services of Austin envisions an empowered community committed to healthier lives, free from stigma, for people affected by HIV and AIDS.

512-458-AIDS (2437) 7215 Cameron Road Austin, TX 78765 asaustin.org

@asaustin facebook.com/AIDS.Services.of.Austin