Greene County Health Care Inc.

2016 Annual Report

Caring for you. Caring for your community.

G CHC

Dear Friends,

Twenty years ago, I made a decision I’ve never regret-ted: agreeing to serve on the Greene County Health Care Inc., Board of Directors.

Serving on this board isn’t just showing up at month-ly board meeting. It isn’t just listening to reports from the Greene County Health Care staff. Serving on this board is about ensuring that our community health care sites continue to provide access to high quality, affordable, integrative care. Serving on this board is about ensuring that our community health centers (CHCs) are ready to meet the local challenges created by an ever-changing health care delivery system.

A CHC board is designed with a mandated compo-sition to help members do both. A CHC board must have at least nine and no more than 25 board mem-bers. Greene County Health Care by-laws set our board limit at no more than 11; we now have 10.

Current patients must comprise at least 51% percent of the board. The remaining 49% of the board is comprised of people who represent the community’s expertise in community affairs, local government, finance and banking, and social service agencies, for example. At least one board member must represent our target population, which includes migrant and seasonal farmworkers and the otherwise under-served.

The board is designed that way purposely. The com-position of our board is important for a number of reasons: 1. Consumers of our health care services understand what’s needed locally2. They live in the community and its success and health is important to them3. The board includes non-consumers, which gives the board added depth of outside experiences4. Community leaders with expertise in specific areas bring their talent to the table.

The roles of board and management are different, but go hand-in-hand in making our community health center sites successful.

The board shares the responsibility of strategy and

advocacy with the manage-ment team, and that’s where the rubber meets the road for community health centers.

We have just completed fiscal year 2015-16 and are in the beginning stages of 2016-17. As we move forward in this current fiscal year, Greene County Health Care staff and board members are looking miles down the road. We’re looking at how we can reach more people in our communities with more affordable services, while also maintaining the high level of quality we insist upon.

We’re looking at ways we can tell our stories of caring and compassion for all people in our community. That is the foundation of community health centers. We were built on improving the health of the entire community by reaching out one person at a time.

Our Board of DirectorsJuly 1, 2015-June 30, 2016

Bobby NimmoChair

Rosa Stancil Vice Chair

T. Denny Garner Secretary

Norman Lewis Treasurer

William Connor Assistant Treasurer

Gabriela TrejoMaria Avila Torres

Felix Martin QuiterioJames Baluss

Ramona Beltran Rojas

Serving Our Community

Bobby NimmoChairman, Board of DirectorsGreene County Health Care Inc.

Bobby Nimmo

Elie Osta, M.D. Chief Medical Officer

Mackenzie Smith, M.D. Associate Medical Director

Rob Doherty, D.D.S. Chief Dental Officer

Beverly Stroud Chief Financial Officer

Francisco Limon, PhD Behavioral Health Director

Leigh Hardy Director of Human Resources

Paula Grant Director of Clinical Operations

Steve Davis Director of Farmworker Services Melissa Torres Director of Outreach & Enrollment

Sula Ridings Director of Quality Improvement

Connie Rhem Director of Communications

Cynthia Long Administrative Manager of Clinical Services

Our Management TeamDoug Smith

President/Chief Executive Officer

Dear Supporters,

Today, Greene County Health Care’s reach extends beyond our county’s borders. Our community need-ed greater access to affordable, quality health care. We’ve responded since 1972 by expanding to six community health center sites in Greene, Pitt and Pamlico counties.

The care we provide at those community health centers includes a range of medical and dental care for the entire family and Medical Family Therapy. We also provide services for farmworkers and help with health coverage. Our focus is reaching the under-served, uninsured and underinsured. But we’re here to serve the entire community.

Our integrative care focuses on the whole person - not just caring for you during your chronic illness, but also offering regular wellness and preventive services to keep you healthy.

We know all of you. And we know your community. We reach out to people attending community events, to farmworkers and to those who need help navigat-ing insurance coverage. We’re working with state and federal agencies to help more people get coverage and to assist rural areas in attracting medical providers to

our areas.

Community health centers are a primary source of future workforce develop-ment through programs like the National Health Services Corps, the N.C. Search Pro-gram and the N.C. Medical Society Foundation. All of these groups are intended to train and recruit health care providers to underserved areas, which includes east-ern North Carolina.

We are focused on providing the right care at the right time for the right cost. The result is positive for you, your community and the health care system. When you can access care close to home through your regular care provider, health care costs and emer-gency room visits decrease. And that’s what we need: the highest level of care needed at the lowest possible cost.

Caring For Our Community

Doug SmithPresident/CEOGreene County Health Care Inc.

Doug Smith

Our MissionTo provide high quality, integrative and affordable health care to the residents of Greene, Pitt and Pamlico counties and the surrounding area.

Our VisionTo improve access to affordable quality care to our communities, focusing on the underserved, uninsured and underinsured.

Our Values

Wellness in the communities we serveExcellence in providing high quality, integrative care

Collaboration with other CHCs and organizations in the communities we serveAccess to affordable careRespect for ourselves, each other, ourpatients, their families and members of our communityEducation through farmworker, outreach and communications efforts

Working our mission,

seeingour vision,

livingour values

James D. Bernstein Medical and Dental

Walstonburg Medical Center

Snow Hill Medical Center

Kate B. Reynolds Medical Center Greene Dental Services Community Partners Healthnet

GCHC Administrative Offices

Pamlico Community Health Center

your best option for high quality, affordable,integrative care in eastern north carolina

Greene County Health Care started as one community health center in Walstonburg, North Carolina. Today, our services and locations have expanded to include center sites in Greene, Pitt and Pamlico counties and farmworker, out-reach and enrollment, student and medical family therapy services that reach much of eastern North Carolina:

Snow Hill Medical Center302 N. Greene StreetSnow Hill, NC 28580252-747-2921

Kate B. Reynolds Medical Center205 Martin Luther King Parkway Snow Hill, NC 28580252-747-4199

Farmworker Services 302 North Greene Street 252-747-4078

Outreach & Enrollment Services7 Professional Drive 252-747-8162

Student Health Services252-747-5841

Greene Dental Services 6 Professional Drive Snow Hill, NC 28580252-747-3846

Pamlico Community Health Center313 Main StreetBayboro, NC 28515252-745-2070

James D. Bernstein Community Health & Dental Center261 Belvoir HighwayGreenville, NC 27834Medical: 252-695-6352Dental: 252-695-6355

Walstonburg Medical Center 204 S. Main StreetWalstonburg, NC 27888252-753-3771

Community Partners HealthNet301 Martin Luther King ParkwaySnow Hill, NC 28580252-747-2954

Medical Family Therapy Services302 N. Greene StreetSnow Hill, NC 28580252-747-2921

Pediatric, Adult and Geriatric Medical Care Family Dental Care Medical Family Therapy ServicesStudent Health ServicesMigrant & Seasonal Farmworker Services Physicals Referrals to SpecialistsChronic Disease Care Management

Health EducationPrenatal/Postnatal CareRoutine Health Screening RadiographyLaboratory ServicesMedication AssistanceCase ManagementOutreach & Enrollment Services

Staff: 165 Number of patients: 37,457 Medical: 12,899 Dental: 5,312 Behavioral Health: 4,480Medical/dental/behavioral health encounters: 64,073 Enabling encounters: 51,671

Total number of encounters: 115,744Total number of new patients: 14,396Sliding Fee Discounts Given: $5,359,415Insured: 14 % or 5,173 patientsUninsured: 86% or 32,284 patientsPatients with incomes below federal poverty levels: 22,849

We believe patients have the right to...

...medical treatment at Greene County Health Care regardless of race, religion, gender, national origin, marital status, age, disabilities, or ability to pay.

...be treated with dignity and respect. The staff respects the patient’s mental, social, spiritual, and cultural values about health, illness andinjury.

...know what his/her illness is, the treatment options and the advantages and disadvantages of each, help in making decisions about the treat-ment that he/she receives, and to know what

complications the treatment is likely to cause in a language that is easily understood by the patient.

...receive from his/her provider information necessary to give informed consent prior to the start of any procedure and treatment. Patients who are unable to fully participate in treatment decisions have the right to be represented by parents, guardians, family members, or other conservators.

...refuse treatment to the extent permitted by the law and to be informed of the medical consequences of his/her actions.

Services We Offer to Our Communities

Snapshot of our Community Health Centers

meet our providersSnow Hill Medical Center

Dr. Elie OstaInternal Medicine

Dr. Mackenzie SmithInternal Medicine

Dr. Holly WarrenInternal Medicine

NP Heather Whisnant

Kate B. Reynolds Medical Center

Dr. Anna ImhoffObstetrics

Dr. Carmen MorenoPediatrics

Dr. Alex RobertsonPediatrics

NP Elizabeth Huston

Bernstein Dental Services

Dr. Rob Doherty

Dr. Francis Serio

Pamlico Community Health Center

PA Cindy Lamielle

NP Leslie Chitwood

Dr. Jennifer Hodgson

Dr. Angela Lamson

Francisco Limon, PhD

Medical Family Therapy

Dr. Anna ImhoffGynecology

Dr. Debbie ChavezPediatrics

Dr. Maya KahwagiFamily Medicine

Dr. Nachida SitouahInternal Medicine

Dr. Sami VelineniFamily Medicine

Dr. Taisiya NetrebkoInternal Medicine

PA Erin Stover NP Ayanna Whitfield

Not pictured: NP Jennifer Perry

James D. Bernstein Community Health Center

Greene Dental Services

Dr. Gloria Estrada

Dr. Reinaldo Lasanta-Garcia

Dental HygienistsHaley JonesBrittany Smith

Dental HygienistCrystal Hardy

As the director of Farmworker Services, I’m asked often in the community about what we do to serve farmworkers.

The short answer to that question is that our 20-per-son bilingual and bicultural team provides medical, education and enabling services to our farmworkers.

The more complicated answer is this: we do what we have to do and are allowed to do to provide a continu-um of integrated care to our community.

This is one of our most recent patient stories:

Dr. Carmen Moreno, one of our pediatricians, called us about 2-year-old Daniel Perez. We referred Daniel to a specialist for vision problems. He was diagnosed with cancer of the eyes.

Once Daniel received his diagnosis, the doctors thought it best to give him care in Chapel Hill. The family had limited resources in many areas that can limit access to care: financial resources, lack of transportation and limited knowledge of the English language.

At that point, I assigned staff member Imelda Moye to the family. We started finding help through churches and other organizations so the family could stay with Daniel overnight in Chapel Hill. Imelda transported Daniel back and forth on a weekly basis - sometimes even for emergency surgery.

He went through surgery to remove his left eye and later lost his right eye as well.

The family received a call saying he needed surgery and needed to be there the next day at 5:30 a.m. Imelda got a call about 9:30 p.m. and 30 minutes later was on her way to Chapel Hill with the Perez family.

Greene County Health Care has helped Dan-iel and his family for 6 months, which includes 12-14 trips to Chapel Hill and transportation to hematology and on-cology appointments in Greenville.

They only have one vehicle and their father works when there is bad weather. For a while, he couldn’t work, so he tried to walk a fine line of working and offering sup-port to Daniel and the rest of his family.

With financial help, Daniel’s family found clothing and a new house. Their previous house was moldy and a terrible living condition for anyone, especially some-one with cancer who is more susceptible to getting infection.

We are still managing their case and provide a lot of case management to their family.

Although Daniel’s case is out of the ordinary, our com-mitment to ensuring our patients receive the care they need is why we come to work everyday.

celebrating our legacy

ensuring access to care for the underserved

Steve Davis, DirectorFarmworker ServicesGreene County Health Care

Daniel Perez and some members of his family attended Relay for Life in Greene County this year. The now 3-year-old child lost both eyes to cancer.

Community Partners

GCHC routinely collaborates and partners with other healthcare providers to ensure that GCHC patients receive a seamless continuum of care and access to needed specialty care. Examples of some current partnerships:

East Carolina HIV/AIDS Partnership to assist patients with emergency costsVidant Medical Center: Inpatient care and discharge planningECU Department of Child Development and Family Therapy for mental health services, referrals to substance abuse services, and training in substance abuse screeningBrody School of Medicine for inpatient labor and delivery servicesBrody School of Medicine for other specialty care needsCommunity Care Plan of Eastern NC for Medicaid patients who have chronic conditions requiring a higher level of case managementHealth Assist for diagnostic tests, medication assistance, and transportation not provided within GCHC systemUNC School of Dentistry for training and consultationGreene County Health Department for mammography Realo Pharmacy, Walgreens Pharmacy, Bayboro Pharmacy and Pamlico Pharmacy for low-cost 340B prescriptions

Supporting care in your community through charitable giving

By giving to Greene County Health Care, you are helping individuals in our community who are unable to afford insurance and have no other resources for health care. Your donation is an investment in a healthier community for all of our citizens.

An investment in Greene County Health Care is an investment in a better community. We will all reap the benefits of healthier people with a healthier community. We will continue to be innovative health care leaders, but we can’t do it alone. We need your support. Together, we can make a difference.

Quality Recognitions

The following Greene County Health Care, Inc. sites have earned Level 3 recognition from the National Committee for Quality Assurance (NCQA) as Patient Centered Medical Homes:

Kate B. Reynolds Medical Center, 205 Martin Luther King Jr. Parkway, Snow HillJames D. Bernstein Medical Center, 261 Belvoir Rd., GreenvilleWalstonburg Community Health Center, 204 S. Main St., WalstonburgSnow Hill Medical Center, 302 N. Greene Street, Snow Hill

In addition, GCHC’s newest clinic, Pamlico Community Health Center, has earned NCQA Level 2 recognition.

Greene County Health Care Inc. is a National Quality Leader and a Health Center Quality Leader, according to the Health Resources & Services Administration.

shaping our future through quality care and community partnerships

GCHC continues to receive recognition for its outstanding service to the citizens of North Carolina and its visionary leadership, which has enhanced the primary health care delivery system. The following are just a few examples of the recognition that GCHC leadership and staff has received for the highest standards of excellence and the effective use of health information technology:

2016Outstanding Faculty Award from Meharry Medical College, Department of Family and Community Medicine to CEO Doug Smith2015Excellence in Collaborative Health Care Award from the East Carolina University Marriage and Family Therapy Program awarded to Dr. Sue Lee 2014Dr. Frank Serio, ADA Humanitarian of the Year AwardCommunity Physician Award from the Brody School of Medicine to Dr. Mackenzie Smith2013DentaQuest Center of Excellence to GCHC, Inc. ECU Family Practice Teacher of the Year, Dr. Mackenzie SmithCommunity Teaching Award from the ECU School of Medicine to Dr. Mackenzie Smith2012Robert J. Greczyn, Jr. Community Health Center Leadership Award to CEO Doug Smith2011Sister Cecilia B. Abhold Award for Best Farmworker Outreach Program on the East Coast from Health Outreach Partners to GCHC Outreach Department2009Dr. Evelyn Schmidt Award for Outstanding Service to Citizens of North Carolina from the NC Community Health Center Association to CEO Doug Smith 2008Outstanding Friend Award by the College of Human Ecology, East Carolina University to CEO Doug SmithIraq-US Physician Partnership Program Award from HRSA to GCHC, Inc.Excellence in Collaborative Health Care Award from the East Carolina University Marriage and Family Therapy Program to GCHC, Inc.2007Community Ties Award from Blue Cross Blue Shield Foundation to GCHC, Inc. outreach divisionVisionary Leadership Award from HRSA to Community Partners HealthNet for enhancing the primary health care delivery system through effective use of health information technologyMigrant Health Center, Outstanding Service Award, NACHCDr. Evelyn Schmidt Award for Outstanding Service to Citizens of North Carolina from the NC Community Health Center Association to CEO Doug Smith2006CEO Doug Smith elected to the National Association of Community Health Centers (NACHC) Grassroots Advocacy Hall of FameSteve Shore Community Catalyst Award at the East Coast Migrant Stream Forum to CEO Doug Smith2004Sister Cecilia B. Abhold Award for Best Farmworker Outreach Program on the East Coast from Health Outreach Partners to GCHC Outreach Department2002Dr. Evelyn Schmidt Award for Outstanding Service to Citizens of North Carolina from the NC Community Health Center Association to CEO Doug SmithMCN Unsung Hero Award from Migrant Clinicians Network to Dr. Rob Doherty, Dental Director

celebrating our legacy, shaping our future with excellence

financial highlights

$9,510,270 $993,022

$612,640

$559,746

$557,868

$331,830

$235,456 $214,465 $211,376 $153,025

$79,506 $65,064

$14,194

2015 Expenses

Wages/Fringes: $9,510,270 Supplies: $993,022 Equipment/Maintenance: $612,640

Legal/Accounting/Consulting: $559,746 Utilities/Janitorial: $557,868 Miscellaneous: $331,830

Communications: $235,456 Education/Dues/Other: $214,465 Minor Equipment: $211,376

Contracted Patient Services: $153,025 Insurance: $79,506 Routine Local Travel: $65,064

Recruitment: $14,194

$8,569,800

$5,887,350

$626,960 $564,549

$207,436 $99,000 $1,654

2015 Income

Government Support: $8,569,800

Earned: $5,887,350

Other: $626,960

In-Kind Support: $564,549

Foundations: $207,436

Membership Income: $99,000

Interest: $1,654

Greene County Health Care

7 Professional DriveSnow Hill, NC

252-747-8162greenecountyhealthcare.com

Your best source of high quality, affordable, integrative care in eastern North Carolina

G CHC

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