2014-457 Health - Piedmont Health Services - Outside Agency Performance Agreement to properly and fully complete the work set forth in the Scope of Services $10,000

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given demand for care at CCHC,Piedmont Health is interested in pursuing viable funding opportunities to expand services in the region as they present themselves. 4. Outline anticipated internal or external revenue sources,for the program. Indicate whether these are ongoing or new sources. FQHCs are expected to maintain well-diversified funding portfolios that include local community investment,private, state and Federal grant support, and revenue generated from patient care. Currently,patient care revenue(from third party payers and patient out-of-pocket fees) represents over 75% of the PHS total operating budget. Twelve percent of the operating budget comes from the Federal section 330(e)community health center grant. The remaining funding comes from other grants/contracts. North Carolina FQHCs serve an exceptionally large number of low-income uninsured patients when compared to FQHCs nationally, and patient sliding fees collected from this group do not fully cover the cost of this care, making outside support key to sustaining our mission in the community and the reason for this request. To relate this specifically to our program unit cost table,the majority of uninsured patients served at CCHC pay$25 for a medical visit inclusive of laboratory testing when the true cost of that medical visit is well over$110.The cost difference is the reason why we aggressively pursue grants, seek to make our operations more efficient, and maximize our third-party revenue. These strategies allow us to serve more low- ineome uninsured in need. PHS' program development team continues to aggressively pursue available local,state, and private sector funding to help it fulfill its community health access mission. Importantly,the Orange County/Chapel HilLICarrboro support, while a small portion of our agency's overall operating budget,is critical to demonstrating community support for our organization,support that is often key to winning state,federal and private support from other funders. 5. Give specific examples of your agency's coordinated/collaborative efforts with other outside agencies which accomplish or enhance the Projected Results in the Program(s) to be funded.(if possible, please bullet list) PHS has a long track record for strategic partnerships with outside agencies to accomplish its health care access mission. A few of our partnerships involving the Carrboro Community Health Center include: * Orange County Health Department: the Orange County Health Department administrates this grant award with Piedmont Health, and reports its outcomes directly to the Health Director. Piedmont Health staff is involved in the County's needs assessment process, supplying data on our patient populations. Our medical program collaborates closely the Orange County Health Department to care for the Myanmar refugee population. PHS CEO Brian Toomey meets quarterly with Health Directors from four counties to discuss shared initiatives to improve community health. PHS has the Orange County and Chatham County State WIC contract and oversees the Revised November 21,2013 Page 5 of 15 Pages