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ADDITIONAL SERVICE LINES INCLUDED BUT ARE NOT LIMITED TO ONSITE FAMILY MEDICINE, INTERNAL MEDICINE, OB/GYN, PSYCHIATRY, HEPATITIS C TREATMENT, HIV SPECIALTY TREATMENT, PHARMACY SERVICES, DENTAL CARE, NUTRITION, MEDICAL CASE MANAGEMENT, CLINICAL CASE MANAGEMENT AND COUNSELING, LINKAGE TO CARE SERVICES NEW ELIGIBLE CLIENTS OR THOSE WHO ARE OUT-OF-CARE , INCLUDING NON-INSURED AND UNDER-INSURED CLIENTS. DURING 2015, THE SERVICES PROVIDED THROUGH THESE FUNDING STREAMS INCLUDING SERVICING 6,346 PRIMARY MEDICAL CARE INDIVIDUALS; 2,301 DENTAL INDIVIDUALS; 706 INDIVIDUALS ACCESSING MEDICAL TRANSPORTATION; 655 INDIVIDUALS RECEIVED CLINICAL CASE MANAGEMENT SERVICES TO ACCESS MAINSTREAM SERVICES; 2,168 RECEIVED PHARMACEUTICAL SERVICES; AND 985 INDIVIDUALS WERE ABLE TO ACCESS VISION SERVICES. 1.) DENTAL CARE PROGRAM PROVIDES A BROAD SPECTRUM OF SERVICES FROM ROUTINE DENTAL CARE TO COMPLEX RESTORATIONS FOR HIV PATIENTS. 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THE 4 PHARMACIES ARE CO- LOCATED WITHIN THE HEALTH CENTERS TO MAKE HEALTH VISITS EFFICIENT. CLINICAL PHARMACISTS WITH DISEASE MANAGEMENT SPECIALTY FROM DIABETES, HIGH BLOOD PRESSER TO ASTHMAS AND HIV ARE ALSO AVAILABLE FOR ONE-ON-ONE SESSIONS TO PROVIDE MEDICATION COUNSELING, EDUCATION, MANAGEMENT OF SIDE EFFECTS, ASSISTANCE WITH FILLING PRESCRIPTIONS AND MORE. DURING 2015, THROUGH THIS FUNDING SOURCES, 2,168 PATIENTS RECEIVED ASSISTANCE WITH 14,099 PRESCRIPTIONS. 4.) MEDICAL TRANSPORTATION SERVICES ARE PROVIDED THROUGH A FEDERAL GRANT FOR PERSONS LIVING WITH HIV AND WHO HAVE RECEIVED A MEDICAL WAIVER. THE PROGRAM UTILIZES VANS TO TRANSPORT CLIENTS TO MEDICAL AND HEALTH RELATED APPOINTMENTS. ADDITIONALLY, AS A POINT OF ENTRY PROVIDER, SHF PROVIDES ELIGIBLE CLIENTS WITH APPROPRIATE TAXI VOUCHERS. IN 2015, 985 INDIVIDUALS RECEIVED TRANSPORTATION SERVICES AS THE PROGRAM COMPLETED 123,292 ELIGIBLE MILES. 5.) 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        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIMARY MEDICAL CARE URBAN, RURAL AND MAI / DENTAL CARE / 340 PHARMACY / MEDICAL CASE MANAGEMENT / MEDICAL TRANSPORTATION SINCE 2003, SHF HAS PROVIDED PRIMARY OUTPATIENT MEDICAL CLINIC SERVICES IN COMBINATION WITH ANCILLARY SERVICES FOR LOW INCOME VULNERABLE POPULATIONS INCLUDING PATIENTS LIVING WITH HEART DISEASE, DIABETES, OBESITY, HYPERTENSION, HEPATITIS C, HIV AND MANY OTHER CHRONIC DISEASES. THE HEALTH CENTERS PROVIDE A FULL RAND OF MEDICAL AND BEHAVIORAL HEALTH SERVICES IN A PRIVATE-PRACTICE SETTING ATMOSPHERE AND ADDRESS RECENT TREATMENT STRATEGIES, COMPLEX MEDICAL REGIMENS, AND ADHERENCE ISSUES FOR COMMUNITIES OF COLOR. IN ORDER TO PROPERLY ADDRESS AND TREAT THE ABOVE CONDITIONS, SHF IS ALSO INVOLVED IN CONDUCTING CLINICAL TRIALS FOR HIV, HEPATITIS, HIGH BLOOD PRESSURE, AND DIABETES. IN 2015 MORE THAN 15 CLINICAL RESEARCH PROTOCOLS WERE INITIATED AND REMAINED IN AN ACTIVE STATUS. ADDITIONAL SERVICE LINES INCLUDED BUT ARE NOT LIMITED TO ONSITE FAMILY MEDICINE, INTERNAL MEDICINE, OB/GYN, PSYCHIATRY, HEPATITIS C TREATMENT, HIV SPECIALTY TREATMENT, PHARMACY SERVICES, DENTAL CARE, NUTRITION, MEDICAL CASE MANAGEMENT, CLINICAL CASE MANAGEMENT AND COUNSELING, LINKAGE TO CARE SERVICES NEW ELIGIBLE CLIENTS OR THOSE WHO ARE OUT-OF-CARE , INCLUDING NON-INSURED AND UNDER-INSURED CLIENTS. DURING 2015, THE SERVICES PROVIDED THROUGH THESE FUNDING STREAMS INCLUDING SERVICING 6,346 PRIMARY MEDICAL CARE INDIVIDUALS; 2,301 DENTAL INDIVIDUALS; 706 INDIVIDUALS ACCESSING MEDICAL TRANSPORTATION; 655 INDIVIDUALS RECEIVED CLINICAL CASE MANAGEMENT SERVICES TO ACCESS MAINSTREAM SERVICES; 2,168 RECEIVED PHARMACEUTICAL SERVICES; AND 985 INDIVIDUALS WERE ABLE TO ACCESS VISION SERVICES. 1.) DENTAL CARE PROGRAM PROVIDES A BROAD SPECTRUM OF SERVICES FROM ROUTINE DENTAL CARE TO COMPLEX RESTORATIONS FOR HIV PATIENTS. THE DENTAL TEAM RECOGNIZES THAT UNINSURED POPULATIONS ARE THREE TIMES MORE LIKELY TO HAVE UNTREATED DENTAL AND MEDICAL NEEDS THAN THOSE WITH HEALTH INSURANCE. MOVEROVER, ORAL INFECTIONS, MOUTH ULCERS, AND OTHER SEVERE DENTAL CONDITIONS ASSOCIATED WITH HIV INFECTIONS OFTEN GO UNTREATED. DURING THE CURRENT YEAR 2,301 INDIVIDUALS RECEIVED DENTAL SERVICES. 2.) PSYCHIATRY/BEHAVIORAL HEALTH CLINICAL SERVICES ARE PROVIDED THROUGH A LICENSED BILINGUAL PSYCHIATRIST FOR THE TREATMENT OF MENTAL ILLNESS AND BEHAVIORAL MEDICINE. THIS CENTRAL COMPONENT OF THE HEALTH CENTERS, ASSIST PATIENTS IN FINDING SOLUTIONS TO A RANGE OF SOCIAL PROBLEMS THAT ACCOMPANY ILLNESS AND CREATES RIPPLES COMPLICATING RELATIONSHIPS, JOB SITUATIONS, AND STRAINING QUALITY OF LIFE. DEPENDING UPON THE PATIENTS NEEDS, MEDICAL CASE MANAGERS ARE OFTEN INVOLVED IN ILLNESS EDUCATION AND COUNSELING. 3.) SPECIALTY PHARMACY ESTABLISHED AS 340B PHARMACY OFFERS MEDICATIONS TO PATIENTS AT SIGNIFICANTLY DISCOUNTED PRICES. THE 4 PHARMACIES ARE CO- LOCATED WITHIN THE HEALTH CENTERS TO MAKE HEALTH VISITS EFFICIENT. CLINICAL PHARMACISTS WITH DISEASE MANAGEMENT SPECIALTY FROM DIABETES, HIGH BLOOD PRESSER TO ASTHMAS AND HIV ARE ALSO AVAILABLE FOR ONE-ON-ONE SESSIONS TO PROVIDE MEDICATION COUNSELING, EDUCATION, MANAGEMENT OF SIDE EFFECTS, ASSISTANCE WITH FILLING PRESCRIPTIONS AND MORE. DURING 2015, THROUGH THIS FUNDING SOURCES, 2,168 PATIENTS RECEIVED ASSISTANCE WITH 14,099 PRESCRIPTIONS. 4.) MEDICAL TRANSPORTATION SERVICES ARE PROVIDED THROUGH A FEDERAL GRANT FOR PERSONS LIVING WITH HIV AND WHO HAVE RECEIVED A MEDICAL WAIVER. THE PROGRAM UTILIZES VANS TO TRANSPORT CLIENTS TO MEDICAL AND HEALTH RELATED APPOINTMENTS. ADDITIONALLY, AS A POINT OF ENTRY PROVIDER, SHF PROVIDES ELIGIBLE CLIENTS WITH APPROPRIATE TAXI VOUCHERS. IN 2015, 985 INDIVIDUALS RECEIVED TRANSPORTATION SERVICES AS THE PROGRAM COMPLETED 123,292 ELIGIBLE MILES. 5.) MEDICAL CASE MANAGEMENT SERVICES ARE PROVIDED TO PERSONS LIVING WITH HIV PROVIDING CRITICAL SERVICE LINKAGE TO BOTH MEDICAL SERVICES AND ANCILLARY SUPPORTIVE SERVICES TO ENSURE A CONTINUUM OF CARE TO MEET THE NEEDS OF ALL PATIENTS. THROUGH INTENSE ASSESSMENTS OF THE PATIENTS SOCIAL, EMOTIONAL, INTERPERSONAL AND SOCIOECONOMIC ISSUES, SKILLED CASE MANAGEMENT LINKAGE STAFF WORK IN A PROFESSIONAL PATIENT ADVOCATE ROLE. THEIR GOAL IS TO HELP NAVIGATE THE PATIENT TOWARDS OPTIMAL MEDICAL CARE WHEREBY PATIENTS BECOME ACTIVE PARTICIPANTS IN THEIR OWN CARE. IN 2015, 655 INDIVIDUALS RECEIVED THESE SERVICES. 6.) PREVENTION SERVICES ARE PROVIDED THROUGH VARIOUS FEDERAL, STATE AND LOCAL FUNDING STREAMS. PREVENTION SERVICES ARE PRIMARILY DESIGNED TO OFFER EVIDENCED BASED INTERVENTIONS THAT REDUCE AT-RISK INDIVIDUALS FROM ACQUIRING HIV, HEPATITIS C OR A SEXUALLY TRANSMITTED INFECTION. THE PREVENTION STAFF PERFORM ROUTINE RAPID HIV/HEPATITIS C SCREENS, VENIPUNCTURE BLOOD DRAWS FOR SYPHILIS AND OTHER STIS, SUPPORT GROUPS AND RISK REDUCTION COUNSELING. IN 2015, THE PREVENTION PROGRAM ACHIEVED A 4.2% HIV POSITIVITY RATE AND A 4.7% SYPHILIS POSITIVITY RATE. THE PROGRAM IS STRATEGICALLY ENGAGED IN LINKING PATIENTS TO MEDICAL CARE TO REDUCE THE RISK INFECTION. IN 2015, THE PROGRAM MAINTAINED A 98.1% LINKAGE TO CARE RATE. PREVENTION SERVICES ARE BOTH FIELD BASED AND CLINIC BASED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE ORGANIZATION FORM 990 IS FIRST REVIEWED IN DETAIL BY TOP MANAGEMENT AND BOARD OF DIRECTORS. ONCE ALL CHANGES ARE MADE A FINAL DRAFT IS SUBMITTED TO THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICTS OF INTEREST POLICY IS REQUIRED TO BE MONITORED TO BE COMPLETED ANNUALLY BY BOARD OF DIRECTORS AND ALL EMPLOYEES. POTENTIAL CONFLICTS ARE MONITORED ON A CASE BY CASE BASIS AND FULLY DOCUMENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE REVIEW PROCESS OF THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES. THE PROCESS INCLUDES THE USE OF THE REVIEWS OF NON-PROFIT SALARY SURVEYS FROM LOCAL AND NATIONAL SOURCES. THE COMMITTEE THEN RECOMMENDS THE COMPENSATION PACKAGE TO THE BOARD OF DIRECTORS WHO APPROVES IT. THIS PROCESS IS DOCUMENTED IN THE BOARD OF DIRECTORS MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL AUDITED FINANCIALS STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 1 TOTAL 1</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>