1. 2014 ANNUAL REPORT
With support from the community, we bring together medical professionals and hospitals
to provide donated surgical and specialty care for the uninsured and underserved.

2. Operation Access was founded in 1993 as a coalition
of partners, led by surgical professionals, dedicated to
addressing barriers confronting low income, uninsured
patients who needed ambulatory surgical services.To date,
these services provided by thousands of clinical volunteers
to over 10,000 patients are valued at greater than $120
million. With the implementation of the Patient Protection
and Affordable Care Act, this core commitment continues to
energize and sustain our efforts.
2014 brought changes in the healthcare landscape as
Medicaid expansion provided coverage to additional people
living at the poverty level and Covered California delivered
a marketplace for subsidized care. Despite the advances in
insurance coverage, access to care is a work in progress for
the remaining uninsured and underserved.
For too many, insurance is still unaffordable, access issues
persist despite expanded Medi-Cal coverage, and high-
deductible plans often do not provide affordable coverage
when surgical services are needed. Most significantly
for Operation Access, several million low-income people
statewide are excluded from Medi-Cal or affordable Covered
California plans because of their immigration status.
A variety of national, state, and local initiatives are being
proposed to address these challenges. Operation Access
works to bridge the healthcare gap by engaging our
community of compassionate providers who have the skills
and desire to donate essential care to those who lack other
options. Community clinics depend on Operation Access
and our coalition of hospitals, ambulatory care centers, and
medical volunteers to fulfill this vital safety net role.
In 2014, our work grew beyond our six county service area.
In Napa County, a coalition that includes representation from
the entire community of hospitals, physicians, community
clinics, and other healthcare stakeholders worked tirelessly to
bring Operation Access to their residents in 2014.This coming
year, we will pilot programs in Santa Clara and Solano
counties as well as an oral surgery program. In addition, we
will continue to provide consultation nationwide to share our
expertise and aid other organizations developing programs in
their own communities.
We take this opportunity to thank the entire coalition of
stakeholders that makes our work possible and
incredibly rewarding.
With our deepest gratitude and respect,
Message from the OA Board Chairman and CEOBoard of Directors
Jonah Frohlich
Managing Director
Manatt Health Solutions
Alvaro Fuentes
Executive Director
Community Clinic Consortium,
Contra Costa & Solano Counties
David Goldstein, MD
Chief Medical Officer
Contra Costa Regional Medical Center
and Health Centers
Doug Grey, MD, FACS
Vascular Surgeon, Retired
The Permanente Medical Group
Alden Harken, MD, FACS
Chair, UCSF-East Bay Dept. of Surgery
Alameda Health System
Paul Hofmann, Dr.P.H., Chair
President
Hofmann Healthcare Group
Walter Kopp, Secretary
President & CEO
Medical Management Services
Kristen Miranda
Senior Vice President
Blue Shield of California
Faye Potts
Principal
Alliance for Healthcare Consulting
Lorne Rosenfield, MD, FACS
Surgeon, Director
Peninsula Plastic Surgery Center
Gregg Sass,Treasurer
Health Care Finance Executive, Retired
Steven Webster, MD, FACS, Vice Chair
General Surgeon, Retired
The Permanente Medical Group
Ronald Wyatt,MD
Orthopedic Surgeon
The Permanente Medical Group,
Diablo Service Area
Monique Zmuda
County Finance Executive, Retired
Jason Beers (ex officio)
President & CEO
Operation Access
Paul Hofmann, Dr. P.H.
Board Chairman
Jason Beers
President & CEO

3. Luis, a construction worker from Mexico, came to
the US to find a better life for himself and his family.
He found steady contract work installing windows
and doing custom glass work. Within a short time,
he became an active member in his community,
volunteering at LifeLong Brookside Community
Health Center as a health advocate.
Despite a successful start, in 2011 Luis’s world began
to crumble. As the economy worsened, his steady
contract jobs became scarce. At the same time Luis
noticed he struggled to see things clearly.The few
jobs he secured over the following two years were
increasingly difficult to perform because his vision
continued to deteriorate. His vision loss became so
severe that he cut his hands while working, could no
longer drive, and had to rely on his wife to provide
transportation. Eventually, he could no longer work
and provide for his family. Relying solely on his
wife’s income, they could not afford the rent for their
apartment and had to rent a room in a crowded
apartment with another family.
Luis vividly remembers the day he lost all hope that
things would get better. Luis was on a contract job
at sunset. He climbed a ladder to install a window as
In 2014 OA and the American
Society of Cataract and
Refractive Surgery Foundation’s
Operation Sight program
partnered to provide 23 cataract
surgeries to patients in need.
He OnceWas Blind
he had done many times before, but this time when
he looked down he saw only darkness. Suddenly
he felt helpless and terrified he would fall and really
hurt himself.
Luis sought out help in September of 2013 and his
life took a turn for the better. A nurse at LifeLong
Brookside Community Health Center in San Pablo
reviewed his case and informed him that he was
being referred to Operation Access for surgery. When
Luis learned about the donated services provided
through Operation Access, he couldn’t believe his
ears. “No way could an organization like this exist,”
he told his nurse in disbelief.
Luis was referred to OA in October 2013 with
extremely advanced cataracts and diabetic
retinopathy in both eyes. Once a confident, cheerful,
and healthy man, Luis had become increasingly
insecure and depressed as his vision deteriorated.
OA coordinated medical volunteers at Kaiser
Permanente’s Fremont, Redwood City, and Union City
facilities to provide the two cataract procedures that
Luis desperately needed. Dr. Lydia Hsu and a team of
anesthesiologists, nurses, techs, and environmental
services staff from Kaiser Permanente Redwood
City donated the first procedure in May 2014. A few
months later, during a monthly Eye Clinic at Kaiser
Permanente Union City, Dr. Jeffrey Lehmer provided
Luis with the necessary laser treatment to treat his
diabetic retinopathy and cleared him for his second
cataract surgery.That same day, Dr. StephenTanaka
evaluated Luis’s remaining cataract and scheduled
him for surgery with the team of volunteers at Kaiser
Permanente Fremont in October.
Today, Luis is happy and healthy.The two cataract
procedures were a great success! He takes pride in
sharing that he works and drives again thanks to
Operation Access and the team of medical volunteers
who came together in his time of need. Luis went
from nearly legally blind to almost perfect vision
(20/25 on his left eye and 20/20 on his right) thanks to
our amazing medical volunteers.
PhotobyAntoinedeFridman

4. Our Patients
SERVICE DISTRIBUTION
Operating room surgery
Minor procedure, radiology
Gastroenterology procedures
Evaluation only, diagnostic screening,
medical therapy
1900
1800
1500
1200
900
600
300
0
2009 2010 2011 2012 2013 2014
Our Finances (Unaudited)
1 Operating Revenue excludes funds designated solely for future years.
2 Donated in-kind medical services, also known as charity care, are calculated according to the total estimated amount of medical provider and hospital charges that were waived through Operation Access.
Detailed financial information, including audit reports and 990s, is available at www.operationaccess.org
OA CASH BUDGET VERSUS MEDICAL IMPACT
Cash Expenses
Donated Care Coordinated by OA2
21M
18M
15M
12M
9M
6M
3M
0
2009 2010 2011 2012 2013 2014
$15,175,500
2014 FUNDING
$1,311,812
2014 CASH EXPENSES
$1,307,809
2014 CHARITY CARE
$15,175,500
PATIENTS SERVED
Medical Volunteers
Referrals to OA
Services Provided
2500
2000
1500
1000
500
0
2009 2010 2011 2012 2013
1,379
1,527
1,568
2014
2014 FUNDING1
Corporate Support
Foundation Support
Donations
Contract Revenue
Bequest Fund
48%
27%
11%
8%
6%
Program
Management
& Fundraising
84%
16%
2014 CASH EXPENSES
SERVICES PROVIDED IN 2014
10%
8%
7%
5%
5%
4%
3%2%1%
Ophthalmology
General Surgery
Gastroenterology
Orthopedics
Head & Neck Surgery
Gynecology
Urology
Dermatology/
Plastic Surgery
Vascular Surgery
Colorectal Breast
Urogynecology
23%
18%
14%

5. 98%
96%
97%
93%
95%
95%
99%
96%
96%
OA makes a difference in our patients’ lives.
Our post-procedure surveys indicate that:
of patients were “extremely” or “very” satisfied
with their overall experience with OA
For patients who received surgical or
specialty procedures:
reported improved
quality of life
reported improved
health
of patients who received diagnostic and/or
non-surgical procedures reported that they
made a lifestyle change as a result of the care
they received
Volunteers enjoy working with OA.
Our annual volunteer survey results indicate that:
believe that their volunteer commitment is
“just right” or they “want to do more”
“definitely” or “probably” will be volunteering
with OA in one year
are “extremely” or “very” satisfied with their
overall experience with OA
Patient Survey Results
Volunteer Survey Results
“There is nothing like the heartfelt thanks and
hug or handshake from the patients I treat through
Operation Access.” – Ron Cooper, MD
The average annual income of OA patients in 2014 –
Individual: $12,025; Family of 4: $21,635.
reported improved
ability to work
reported improved
mobility
Photo by Marisol Ponce de León

6. $300,000
Kaiser Permanente - Northern California
$150,000 - 299,999
John Muir/Mt. Diablo Community
Health Fund
$50,000 - $149,999
Marin Health and Human Services
Sutter Health
Vesper Society
$20,000 - $49,999
California Pacific Medical Center
Community Projects, Inc.
Thomas J. Long Foundation
McKesson Foundation
Medtronic Philanthropy
Queen of the Valley Medical Center
George H. Sandy Foundation
$10,000 - $19,999
American Cancer Society
Blue Shield of California Foundation
Genentech
Lisa and Douglas Goldman Fund
The Grey Family Foundation
In memory ofThomas Russell, MD
Marin Community Foundation
Newman’s Own, Inc
Ramsay Family Foundation
Sonoma County Vintners Foundation
St. Helena Hospital
St. Joseph Health Community
Partnership Fund
$2,500 - $9,999
American Society of Cataract and
Refractive Surgery
County of Sonoma
Freed Associates
Fremont Bank
Patricia Gibbs, MD and Richard Gibbs, MD
Hilltop Foundation
Kaiser Foundation Health Plan
Kaiser Permanente Community
Giving Campaign
Stanley S. Langendorf Foundation
Mary and Arnold Levine, MD
John and Kathy Milligan
Pacific Foundation for Medical Care
St. Joseph Health of Sonoma
Union Bank
Danielle and Brooks Walker Jr. Fund
$1,000 - $2,999
Benjamin Aune
Bill and Patty Blanton Fund
Blue Shield of California
Mary Burchill and Mark Maxson
California Bank andTrust
Donald O. and Ronald R. Collins Fund
Cushman and Wakefield
Jeannie Dulberg
Richard and Sharon Fish
Jonah Frohlich and Elizabeth Ann Payne
Devin Gensch
Josh Glidden and Mary Gregory
Laurel and Alden Harken, MD
Lois and Paul Hofmann, Dr. PH.
Robert and Lynne Hofmann
Kaiser Permanente Marin/Sonoma
Sabrina Kidd, MD
Walter Kopp and Ana Aranguren
Theodore Levin, MD
Marin General Hospital
National Colorectal Cancer Roundtable
John Ngai, MD
Amy Niles
Ronald Wornick Jewish Day School
Lorne Rosenfield, MD
Gregg Sass
Steve and Karen Schievelbein
David Sukovich and Andrew Chang
In honor of Marisol Ponce de León
Summit State Bank
Eileen and Albert Varner, MD
$500 - $999
Gloria and Jose Alvarado, RN
In honor of Douglas Grey, MD
Alameda-Contra Costa Medical
Association
Bank of Marin
Jay Belani, MD
Gabriel Block
Julie Richards and Jeff Bosley
Brian Callahan and Heidi Adler
Eye Care Institute Charitable Fund
Gateway to Care
Wayne H. Gilbert and Diane Sklar, MD
Philanthropic Fund
Carolyn and Douglas Grey, MD
Kaiser Permanente San Francisco
Adrienne and Jack Ladd
The Lagunitas Brewing Company
Jeffrey Lehmer, MD
Lisa and Gary Mizono, MD
In honor of Douglas Grey, MD
Partnership HealthPlan of California
Paxti’s Chicago Pizza
Fayeanne Potts
Nona Russell, MD
Jim and Sandy Shelton
In honor of Gary Barth, MD
Cheryl Smith and Mitch Savitsky, MD
Pamela andTimothy Sowerby, MD
Ronald Stovitz and Danell Zeavin
Sutter Medical Center Santa Rosa
Steven Webster, MD
$250 - $499
Access OC
Anonymous (1)
Marcia and George Argyris
Richard Barth
In honor of Gary Barth, MD
Jason Beers and Jane Zimmerman
Gerald Cahill and Kathleen King
Deborah Cohler
Shirley Detrick and Norman Green
Jeff Fox, MD
David Goldstein, MD
In honor of Ed Macdonald
Norman Green
Yoland Huston
Julie and Seth Jacobs, Esq.
Margaret Johnson
Kyung Sook Kim, RN
In memory of Yang Rye Shin
William Ku, MD
Theodore Kuh and Christina Sang Kuh
Lynn and Craig Lubbock, MD
Marin Community Clinics
Marin Medical Society
Mechanics Bank
Hideyo and Kathleen Minagi
Paula Morgan
Yaneth Oliva and Paul Bayard, MD
Redwood Community Health Coalition
Robin Ridenour, CRNA
Marlene Russell, RN
King and Bruce Sams
Stephanie Santos, MD
Susan Shmalo
Peter and Lynda Snell
In memory of Michael Doyle and
Suzanne Dixon
Lucy Song, MD
Sonoma County Medical Association
Joan andTimothy Van Natta, MD
Donald Waters
KayYatabe, MD
$100 - $249
Mary Alam and
Jeanjacques De Shadarevian, MD
Anonymous (3)
Ernesto Avila
Julie Bair and Kenneth Novich
Deborah Balick
David and Pamela Bluhm
Martin Bogetz, MD
Norman Bookstein and
Gillian Kuehner, MD
Ralph and Claire Brindis
In honor of Douglas Grey, MD
David and Deborah Brooks
In honor of Douglas Grey, MD
William Brown and Donna Lou Brown
Cara Budner
Faina Bulanova
Patricia Caplan and Jonathan Simonoff
In honor of Dava Freed &
Paul Hofmann, Dr.PH.
Florence Chan, RN
Angela and Bobby Chang, MD
Susie Chiu and RaymondY. Hui
Mary Clemency, MD
James Constant, MD
Peter and Judy Coy
Judith and Robert Davis
John and Susan Dean, RN
Catherine Dodd
Henry and Evelyn Elson
Joseph Elson, MD
Beverly Emerson
Blanche Fiesel and Steven Donaldson
Sanford and Gloria Fong Ma
Rachel and O. Howard Frazier, MD
Donna Rae Frenettee and Donato
Stinghen, MD
Alvaro Fuentes
Andrew Gardiner
Paul Gill and Stephanie D’Arnall
Michael R. Goldstein and
Deborah Gold, MD
Alan and Sheila Gordon
In honor of Paul Hofmann, Dr.PH.
Steven Greenberg
In memory of SandraTrulli
Lesley Hand
Lori Hanninen and Jeffrey Wheaton
Steve Heilig
Anne and Fredric Herskowitz, MD
David and Lenore Hofmann
James Horan andTara Sullivan
Ellen Kaufman and David Weiner
In memory of Reva Gould
Keith Jacobson and Susan Jocobson
Tom Jones and Elizabeth Johnson, MD
Nicole Lantuono
Alex Lee
Nancy Leibowitz, RN
Edwin Leidholdt Jr.
Pamela Levin
Anne and Jerrold Levine
Margaret Lindenstein and
James Allison, MD
Jason Lombardo
Paul Marcucilli
John and Janet Mattson
Susan Merrill
Kathleen Meyer
Katharine Moore
John Morrison, MD
Mary and Andrew Moyce, MD
Melissa Murphy and William Barish
Kenneth and Marilyn Nemzer
Donors and Supporters

7. Silvia Maria Perez and Michael Bilton
Gary Piccione
In honor of Gary Barth, MD
F. Abel Ponce de León and
Carmen Almandos
In honor of Marisol Ponce de León
Ann and Mathew Pride, MD
Mark Primeau
Elizabeth Raulet and Harold Wilkie Jr.
Deborah Kahane Rego and
John Rego, MD
Margo Requarth
Rebecca Rhine
Rena Rickles
In memory ofTommy Rickles
Elizabeth Ross, MD
Nick and Karen Schmit
Evelyn Shapiro
Stuart Silberman
Ed Solomon and Cathy Weiss
Alan Stadelhofer and Beth Knittel
Rich and Susan Sundberg
JohnTanner
StevenTulsky
Barbara Voss
Esther Wanning
Kevin White and Gary Barth, MD
Lona and Ronald Wyatt, MD
Douglas andTerryYoung
Monique Zmuda and Phil Arnold
PARTNERS
We partner with hospitals and
ambulatory care centers throughout
the Bay Area to improve the lives of our
patients. In 2014, the value of donated
care exceeded $15 million.
John Muir Health
John Muir Medical Centers,
Concord & Walnut Creek
Kaiser Permanente
Antioch
Fremont
Martinez
Oakland
Petaluma
Redwood City
Richmond
San Francisco
San Jose
San Leandro
San Rafael
Santa Rosa
South San Francisco
Union City
Vallejo
Walnut Creek
St. Joseph Health
Petaluma Valley Hospital
Santa Rosa Memorial Hospital
Queen of the Valley Medical Center
Sutter Health
Alta Bates Summit Medical Center,
Berkeley & Oakland
California Pacific Medical Center
Endoscopy Center of Santa Rosa
Menlo Park Surgical Hospital
Mills Peninsula Health Services
North Bay Regional Surgery Center
Novato Community Hospital
Peninsula Eye Surgery Center
San Francisco Endoscopy Center
Surgery Center of Alta Bates Summit
Medical Center
Sutter Fairfield Surgery Center
Sutter Medical Center of Santa Rosa
Sutter Walnut Creek Endoscopy Center
The Surgery Center of Santa Rosa
Marin General Hospital
St. Helena Hospital
Independent Ambulatory Care Centers
Endoscopy Center of Marin
Eye MD Surgery Center
Fourth Street Laser Surgery Center
Laser LightTreatment Center
Marin Ophthalmic Surgery Center
Marin Specialty Surgery Center
Peninsula Plastic Surgery Foundation
Premier Surgery Center
San Francisco Vein Center
Sirona Vascular Center
Sonoma Vein Center
Medical Groups
Affiliates in Imaging Medical Group
Alta East Bay Pathology
Ambulatory Consultants
Anesthesia and Analgesia Medical Group
Anesthesia Care Associates
Medical Group
Anesthesiology Consultants of Marin
Bay Area Retinal Associates
Bay Imaging Consultants Medical Group
California Pacific Pathology
Medical Group
Central Anesthesia Service Exchange
Medical Group
Certified Neuro Electro Diagnostic
Services
Contra Costa Pathology Associates
East Bay Anesthesiology Medical Group
Eye Care Institute
John Muir Physician Network
Marin Medical Laboratories
Medical Anesthesia Consultants
Medical Group
Medical Center Magnetic Imaging
Northern California Anesthesia
Physicians Medical Group
Northern California Medical Associates
Pacific Pathology Associates of Napa
Peninsula Cardiovascular
Peninsula Pathologists Medical Group
Poplar Healthcare
Radiology Medical Group of Napa
Redwood Radiology Medical Group, Inc.
SportsTherapy Associates
Sutter Pacific Medical Foundation
Wilber & Associates
IN-KIND DONATIONS
Active Sports Club
Alejandro Quenta
Andrea Hanssen
Bi-Rite Creamery & Bakeshop
Calstar Cellars
Disneyland Resort
Dutton-Goldfield Winery
Elements Skin Care & Massage Studio
Fitness SF
GuayakiYerba Mate
Hodo Soy Beanery
Hog Island Oyster Co
Ike’s Place- Santa Rosa
Kaiser Permanente Community Benefits
Diablo Service Area
Kit Lofroos
Ms. Kathleen Cheek
Panera Bread
Pizza Politana
Precision Nutrition
Pressed Juicery
San Francisco Giants
Soulcycle
Sprouts Farmers Market- Petaluma
The Lagunitas Brewing Company
ThreeTwins Ice Cream
Trader Joe’s Masonic
Traditional Medicinals
UrbanSitter
VIGNETTE Wine Country Soda
Whole Foods Petaluma
If our lists are incomplete or
inaccurate, please accept our sincere
apologies and send your correction to
communications@operationaccess.org.
“OA is awesome,
you give ‘Hope
to the hopeless.’”
Anonymous
1119 Market Street, Ste 400
San Francisco, CA 94103
(415) 733-0052 tel
(415) 733-0019 fax
www.operationaccess.org
www.facebook.com/OperationAccess
www.twitter.com/OperationAccess
Caring
Respect
Hope
Service
For every dollar
received, OA
arranged $12
in donated
medical care
for low-income,
uninsured
patients in 2014.

8. I VOLUNTEER BECAUSE...
Photos by: Zainab Altai, Alison Balick, Antoine de Fridman, Julie Nestingen, Marisol Ponce de León, Daniel Rabkin, and RachelTaube.
Cover photo by: Marisol Ponce de León.