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BACKGROUND Axis Community Health is a private nonprofit 501(c)3 community health center that has been serving the residents of the Tri-Valley area since 1972 (please refer to Attachment 1). Axis's mission is to provide quality, affordable, accessible and compassionate health care services that promote the well-being of all members of the community. Axis's services include: • Pediatric, adult and geriatric primary care medical services • Obstetrics, gynecology and family planning • Mental health counseling • Drug and alcohol recovery programs for adolescents and adults • WIC(Women, Infants, and Children) nutrition program Axis provides services at five (5) sites. Medical services are located at 4361 Railroad Avenue in downtown Pleasanton and at a satellite clinic in the City of Livermore's Multi- Service Center at 3311 Pacific Avenue. Mental health counseling services and the teen drug and alcohol program are provided at a site on Owens Drive in Pleasanton, and adult behavioral health services are located on Lindbergh Avenue in Livermore. The WIC nutrition program is located on Santa Rita Road in Pleasanton. Axis also utilizes a sixth location on Spring Street in downtown Pleasanton, which houses the organization's fiscal department. Axis serves more than 14,000 residents of eastern Alameda County. In the past year, local residents made more than 111,000 visits to Axis, including: • 38,000 medical visits • 2,600 teen drug and alcohol visits • 22,000 adult drug and alcohol visits • 6,400 mental health visits for children, adults and families • 34,000 WIC nutrition program visits • 8,000 enrollment and eligibility visits Axis is the only provider of medical care for low-income and uninsured residents of the Tri-Valley. It is also the only provider of affordable outpatient drug and alcohol recovery services for adults and the sole provider of outpatient drug and alcohol services for teens. For the past two years, Axis has been enrolling more than 300 new medical patients and 50 new behavioral health clients each month. The agency has a staff of 155 which includes physicians, nurse practitioners, registered nurses, mental health professionals, drug and alcohol counselors, registered dieticians, and a variety of support personnel. Axis also has an intern program for post-masters and post doctoral level mental health professionals. The staff is multi-lingual and has the capacity to provide services in a variety of languages. Axis has an annual operating budget of $12.14 million. Support comes from local, county, state and federal funds, foundation grants, community donations, and patient Page 2 of 9