2018-475-E Finance - Piedmont Health Services Inc outside agency agreement

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DocuSign Envelope ID: CCFF6125- AA47- 438A- 98CA- B42519499D42 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION d) Agency's History with Providing These Services: University health officials and health- access concerned citizens opened Piedmont Health Services, Inc. (then called Orange Chatham Comprehensive Health Services, Inc.) in 1970 with three locations in Prospect Hill (Caswell County); Chapel Hill (Orange County); and, Moncure (Chatham County). The organization changed its name in 1995 to better reflect its growing service area as it opened Charles Drew CHC in Alamance County. Through aggressive pursuit of HRSA competitive health center expansion opportunities, PHS now operates 10 health center locations, including in Orange County, the newly opened Chapel Hill CHC and IFC CHC (shelter) sites. The PHS Board elected to pursue the development of a CMS - deemed Program of All Inclusive Care for the Elderly (PACE) as a natural extension of its health center mission with its most medically vulnerable population, the frail elderly. It received a CMS Federal Rural PACE to open its SeniorCare adult day health center (ADHC) site in Burlington in 2008, and it was the first PACE organization in the state to open a second site in 2014 in Pittsboro NC (both sites serve PACE - eligible Orange County residents). e) Other Pertinent Agency Information (Ex. Has the agency experienced any major changes in the past year? Is there a new Executive Director? Are there new initiatives ?) There are three points of relevance to this year's application. First, to better meet demand, the Carrboro Community Health Center has just been renovated to expand the dental program from 3 to 6 exam rooms, the medical program from 15 to 18 exam rooms, and the pharmacy space. In order to accomplish the renovation, CCHC temporarily closed and relocated its services to its Chapel Hill and IFC CHCs in summer 2017 (August- October). This situation decreased CCHC's 2017 total patients served compared to 2016 (see 2017 demographics in table below) and its reported annual outcomes (see table). With the health center now fully operational again, it expects to return to and surpass 2016 total patients served. Second, despite slowing of new refugee families via the health department the refugee community continues to grow in Orange County via immigration from other US states. Finally, as of submission of this grant, reauthorization of the community health center Federal funding remains undone in Congress. If not reauthorized, health centers stand to lose 70% of their Federal grant support, making this year's request critical. f) Schedule of Positions (For Entire Agency) • Full Time Equivalent (FTE) staff will be noted as 1.00; half time as .50; quarter time as .25, etc. • Calculate a Full Time Equivalent for all recorded volunteer hours using the following: Total Volunteer Hours = Volunteer FTE 2,080 # of FTE - Full -Time Paid Positions: 466 # of FTE - Paid Part -Time Positions: 114 # of Volunteers: 0 Other than its all- volunteer Board of Directors, PHS does not use volunteers in its sites, instead focusing on formal health professional student rotation opportunities. g) Living Wage Does this agency pay permanent employees a minimum living wage? (Yes/ No) Unclear If yes, is this agency an Orange County Living Wage Certified Employer? No PHS minimum wage across the agency (multi- county — Alamance, Caswell, Chatham, Orange) is $12.00 /hour, and PHS offers health insurance benefits to its employees who work at least 24 hours /week (they may accept or decline). In recent years it has met with Orange Agency Information 1/23/2018 11:00:54 AM Page 11 of 23