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MAIN APPLICATION 2. AGENCY INFORMATION Please provide the following information about your agency (Limit of 2 pages total): a) Years in Operation, Date of Incorporation (Month /Year): b) Agency's Purpose /Mission: c) Types of Services the Agency Provides d) Agency's Experience with Similar Programs as the Funding Request e) Other Pertinent Agency Information Agency History, Mission and Services: Piedmont Health Services, Inc. (PHS), as Orange County's only Federally - Qualified Health Center (FQHC) organization, is a critical part of the community's health care safety net for vulnerable and /or financially- disadvantaged residents. Incorporated in May 1970 as Orange Chatham Comprehensive Health Services by a group of residents and hospital officials concerned with health care access, PHS changed its name in 1995 to better reflect its growing service area. PHS' mission statement is: "Our mission is to improve the health and well -being of the community by providing high quality, affordable and comprehensive primary health care. Our vision is a health community in which all people have timely access to quality health care." PHS is governed by a community Board of Directors, where 51% of Board members are required to be consumers of the organization's services. FQHCs are charged nationally with reducing barriers to primary health care access for low- income populations (i.e. those living below 200% of the Federal Poverty level). To meet its mission, PHS currently operates ten community health center program sites in four counties (Orange, Caswell, Chatham, Alamance) which together provide more than 42,000 people annually with sliding -fee access to comprehensive family medical care with on -site lab (all sites), family dental care (5 sites), low -cost pharmacy services available via PHS participation in the Federal 340B Drug Pricing Program (7 sites), care management (all sites), Women, Infant, Children (WIC) supplemental nutrition program (5 sites, including the Orange County Health Department) and site - specific outreach services. In addition to addressing financial barriers to care with the sliding -fee scale, PHS seeks to decrease cultural - linguistic barriers to care. All services are available in the Spanish language and additional language capacity is site - specific per need. In addition to the community health centers, PHS additionally operates Piedmont Health SeniorCare, a CMS - deemed Program of All- Inclusive Care for the Elderly (PACE) with two adult day health centers (ADHCs) in Burlington and Pittsboro. SeniorCare offers PACE - eligible individuals in five counties (including Orange County) an important community -based alternative to nursing home institutionalization. PACE eligible individuals are 55 years or older, declared nursing home eligible by the state, and capable of living safely at home with PACE supports at program entry. PACE is a full -risk, capitated model under Medicare and the state Medicaid program where PHS receives per member per month capitation from Medicare and Medicaid and is responsible for the total health care costs (i.e. primary, specialist, pharmacy hospital and nursing home care) of its now 217 PACE participants. Orange County Operations: Until 2015, PHS had only one the Carrboro Community Health Center (CCHC) in Orange County. The Center has been overwhelmed by demand for appointments in excess of supply for several years. By demonstrating this unmet need for sliding -fee health care access to HRSA, PHS was able to garner a competitive HRSA New Access Point (NAP) health center grant award in August to support the opening of two new health center program sites in Orange County. The first, IFC Community Health Center, opened in September in collaboration with the InterFaith Council for Social Service at its new IFC @SECU House Men's Shelter on Martin Luther King Jr. Boulevard. The Center is a limited -scope site that serves homeless residents in IFC's men's and women /children's emergency shelter and transitional housing programs with medical and dental care. The second site, the Chapel Hill Community Health Center, just opened in rented space in the Chapel Hill North shopping center, and like Carrboro Health Center offers care to "all comers" regardless of age or residency status. The chart below presents a summary of the services Revised November 20, 2014 Page 4 of 22 Pages