Goshen Medical Center Incorporated

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CAPITAL DEVELOPMENT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - GOSHEN MEDICAL CENTER, INC. (GMC) (H80CS00181) IS A PRIVATE, NON-PROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE LARGEST COMMUNITY HEALTH CENTER SYSTEM IN THE STATE OF NORTH CAROLINA. SERVING EASTERN NORTH CAROLINA SINCE 1979, GMC’S MISSION IS TO PROVIDE ACCESS TO AFFORDABLE HEALTH CARE FOR ALL PEOPLE IN EASTERN NORTH CAROLINA. GMC ORIGINATED IN FAISON, NORTH CAROLINA AND NOW OPERATES 37 FIXED SITES AND 11 MOBILE HEALTH UNITS THROUGHOUT THE 17 NORTH CAROLINA COUNTIES OF BLADEN, BRUNSWICK, CARTERET, COLUMBUS, CRAVEN, CUMBERLAND, DUPLIN, HARNETT, HOKE, LEE, MONTGOMERY, ONSLOW, RICHMOND, SAMPSON, STANLY, WAKE, AND WAYNE. GMC SERVES AREAS DESIGNATED BY HRSA AS MEDICALLY UNDERSERVED AREAS (MUAS), AND THESE AREAS HAVE MULTIPLE DESIGNATIONS OF HEALTH PROFESSIONAL SHORTAGE AREA (HPSAS) FOR PRIMARY CARE, DENTAL HEALTH, AND MENTAL HEALTH. ACCORDING TO A REPORT FROM HRSA’S GEOCARE NAVIGATOR OF THE ZIP CODES IN GMC’S SERVICE AREA, THE TOTAL POPULATION IN THE SERVICE AREA IS 1,474,462, AND 32% OF THE POPULATION, 475,501 RESIDENTS, ARE LOW-INCOME RESIDENTS WITH INCOMES UNDER 200% OF THE FEDERAL POVERTY LEVEL THAT COMPRISE GOSHEN’S TARGET POPULATION. GMC HAS BEEN PLAYING A CRUCIAL ROLE IN THE COMMUNITY BY SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY WITH A FOCUS ON VULNERABLE UNINSURED, UNEMPLOYED, HOMELESS, AND MEDICAID PATIENTS. ACCORDING TO A 2023 REPORT FROM THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS), “MORE THAN TWO MILLION NORTH CAROLINIANS HAVE A MENTAL ILLNESS, AND MORE THAN ONE MILLION HAVE A SUBSTANCE USE DISORDER (SUD).” IN 2023, GMC SERVED 56,436 PATIENTS, AND ACCORDING TO HRSA’S ESTIMATES, 33% OF HEALTH CENTER PATIENTS COULD USE MENTAL HEALTH SERVICES AND 17% OF HEALTH CENTER PATIENTS COULD USE SUD SERVICES. APPLYING THESE ESTIMATES TO GMC’S PATIENT NUMBERS SHOWS THAT 18,623 OF GMC’S PATIENTS COULD USE MENTAL HEALTH SERVICES, AND 5,653 OF GMC’S PATIENTS COULD USE SUD SERVICES. HOWEVER, THESE ESTIMATES ARE CONSERVATIVE AS THEY DO NOT INCLUDE THE NUMBER OF PEOPLE WITHOUT ACCESS TO MENTAL HEALTH AND SUD SERVICES WHO WERE NOT HEALTH CENTER PATIENTS IN 2023. AS A RESULT, THERE IS A CRITICAL UNMET NEED FOR BOTH MENTAL HEALTH AND SUD SERVICES IN GMC’S VAST SERVICE AREA AS GMC AND OTHER SAFETY NET PROVIDERS IN THE SERVICE AREA DO NOT CURRENTLY PROVIDE THESE SERVICES. THROUGH THIS GRANT FUNDING, GMC IS PROPOSING TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES BY IMPLEMENTING THE PROVISION OF MENTAL HEALTH SERVICES AND SUD SERVICES TO VULNERABLE, LOW-INCOME POPULATIONS THAT DO NOT CURRENTLY HAVE ACCESS TO THESE SERVICES. SPECIFICALLY, GMC PLANS TO HIRE 3.0 FTE LICENSED CLINICAL SOCIAL WORKERS (LCSWS) AND 3.0 FTE PEER SUPPORT SPECIALISTS (PSPS) WHO WILL BEGIN PROVIDING MENTAL HEALTH AND SUD SERVICES. GMC ALSO PLANS TO TRAIN ITS PROVIDERS TO ENABLE THEM TO PROVIDE TREATMENT WITH MOUD SERVICES. ALL THESE NEWLY AVAILABLE SERVICES WILL BE PROVIDED: 1) ONSITE AT THREE OF GMC'S CENTERS; 2) ON MOBILE MEDICAL UNITS THAT WILL TRAVEL REGULARLY TO SERVE PATIENTS AT HOMELESS SHELTERS, MIGRANT CAMPS, AND SCHOOLS; AND 3) VIRTUALLY VIA TELEHEALTH AT ALL OF GMC'S OTHER CENTERS AND AT PATIENTS' HOMES. GMC WILL PROVIDE THESE SERVICES ON A SLIDING FEE SCALE WHERE NO PATIENTS ARE TURNED AWAY DUE TO THE INABILITY TO PAY. GMC WILL ALSO PROVIDE TRAVEL VOUCHERS TO ENABLE PATIENTS TO TRAVEL TO GMC CENTERS FOR SUD AND MENTAL HEALTH SERVICES. ADDITIONALLY, FUNDING WILL BE USED FOR A MARKETING CAMPAIGN TO PROMOTE THE AVAILABILITY OF MENTAL HEALTH SERVICES AND SUD SERVICES ON A SLIDING FEE SCALE AND TO ENCOURAGE PATIENTS TO SEEK CARE AS APPROPRIATE. FURTHERMORE, GMC WILL USE SCREENING TOOLS TO IDENTIFY PATIENTS THAT NEED MENTAL HEALTH AND/OR SUD SERVICES. GMC’S WELL-DESIGNED PLANS TO INITIATE BEHAVIORAL HEALTH SERVICES WILL INCREASE THE NUMBER OF PATIENTS RECEIVING BOTH MENTAL HEALTH AND SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD.

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

FISCAL YEAR 2025 EXPANDED HOURS. - GOSHEN MEDICAL CENTER, INC. (GOSHEN) (H80CS00181) IS A PRIVATE, NON-PROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE LARGEST COMMUNITY HEALTH CENTER SYSTEM IN THE STATE OF NORTH CAROLINA. SERVING EASTERN NORTH CAROLINA SINCE 1979, GOSHEN’S MISSION IS TO PROVIDE ACCESS TO AFFORDABLE HEALTH CARE FOR ALL PEOPLE IN EASTERN NORTH CAROLINA. GOSHEN ORIGINATED IN FAISON, NORTH CAROLINA AND NOW OPERATES 37 FIXED SITES AND 11 MOBILE HEALTH UNITS THROUGHOUT THE 17 NORTH CAROLINA COUNTIES OF BLADEN, BRUNSWICK, CARTERET, COLUMBUS, CRAVEN, CUMBERLAND, DUPLIN, HARNETT, HOKE, LEE, MONTGOMERY, ONSLOW, RICHMOND, SAMPSON, STANLY, WAKE, AND WAYNE. GOSHEN HAS BEEN PLAYING A CRUCIAL ROLE IN THE COMMUNITY BY SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY WITH A FOCUS ON VULNERABLE UNINSURED, UNEMPLOYED, HOMELESS, AND MEDICAID PATIENTS, AND THESE ARE THE POPULATION GROUPS THAT GOSHEN WILL CONTINUE TO SERVE FOR THIS PROPOSED PROJECT. GOSHEN SERVES AREAS DESIGNATED BY HRSA AS MEDICALLY UNDERSERVED AREAS (MUAS), AND THESE AREAS HAVE MULTIPLE DESIGNATIONS OF HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR PRIMARY CARE, DENTAL HEALTH, AND MENTAL HEALTH. ACCORDING TO A REPORT FROM HRSA’S GEOCARE NAVIGATOR OF THE ZIP CODES IN GOSHEN’S SERVICE AREA, THE TOTAL POPULATION IN THE SERVICE AREA IS 1,474,462 AND 32% OF THE POPULATION, 475, 501 RESIDENTS, ARE LOW-INCOME RESIDENTS WITH INCOMES UNDER 200% OF THE FEDERAL POVERTY LEVEL THAT COMPRISE GOSHEN’S TARGET POPULATION. THE GEOCARE NAVIGATOR SHOWS THE URGENT NEED FOR GOSHEN TO EXPAND ITS HOURS TO SERVE MORE PATIENTS AS ONLY 26% OF THE LOW-INCOME RESIDENTS WERE SERVED BY AN FQHC IN 2023, LEAVING 352,671 LOW-INCOME RESIDENTS UNSERVED BY A COMMUNITY HEALTH CENTER. THE GEOCARE NAVIGATOR REPORT ALSO SHOWS THAT 14% OF THE POPULATION, 207,363 RESIDENTS, LIVE IN POVERTY; 11% OF ADULTS HAVE DELAYED OR NOT SOUGHT CARE DUE THE HIGH COST; AND 16.6% OF ADULTS HAVE NO USUAL SOURCE OF CARE. A REVIEW OF FEEDBACK FROM GOSHEN’S PATIENT SATISFACTION SURVEYS SHOWS AN URGENT NEED TO INCREASE HOURS DURING MORNINGS, EVENINGS, AND SATURDAYS TO MEET THE FAMILY NEEDS OF PATIENTS AND THE NEEDS OF PATIENTS WITH BOTH TRADITIONAL AND NONTRADITIONAL WORK SCHEDULES. FURTHER, GOSHEN’S SURVEY DATA INDICATES THAT LACK OF AVAILABILITY OF APPOINTMENTS, PATIENTS’ INABILITY TO TAKE TIME OFF WORK FOR HEALTH CARE APPOINTMENTS, AND INSUFFICIENT OPERATING HOURS ARE ALL BARRIERS TO PATIENT CARE. AS A RESULT, THERE IS AN URGENT NEED FOR ADDITIONAL HEALTH CARE SERVICES FOR VULNERABLE PATIENTS WHO HAVE NO OTHER OPTIONS FOR RECEIVING HEALTH CARE SERVICES ON A SLIDING FEE SCALE. THROUGH THIS GRANT FUNDING, GOSHEN IS PROPOSING TO EXPAND ACCESS TO HEALTH CENTER SERVICES BY INCREASING HEALTH CENTER OPERATING HOURS TO MEET IDENTIFIED PATIENT AND COMMUNITY NEEDS FOR HEALTH CARE SERVICES. SPECIFICALLY, GOSHEN PLANS TO HIRE 2.5 FTE NURSE PRACTITIONERS TO PROVIDE HEALTH CARE SERVICES AND HIRE 2.5 FTE MEDICAL SUPPORT/ADMINISTRATIVE STAFF TO PROVIDE MEDICAL AND ADMINISTRATIVE SUPPORT. GOSHEN IS PLANNING TO UTILIZE NEW AND EXISTING STAFF TO PROVIDE 30 ADDITIONAL HEALTH CENTER OPERATING HOURS TO PROVIDE HEALTH CARE TO VULNERABLE POPULATIONS DURING EARLY MORNINGS, EVENINGS, AND SATURDAYS AT SIX SITES IN RURAL EASTERN NORTH CAROLINA. GOSHEN WILL ALSO PROVIDE TRAVEL VOUCHERS TO ENABLE PATIENTS TO TRAVEL TO GOSHEN CENTERS FOR HEALTH SERVICES TO ALLEVIATE TRAVEL BARRIERS TO CARE. ADDITIONALLY, FUNDING WILL BE USED FOR A MARKETING CAMPAIGN TO PROMOTE THE AVAILABILITY OF GOSHEN’S EXPANDED HOURS AND TO ENCOURAGE PATIENTS TO SEEK CARE, AS APPROPRIATE. FURTHERMORE, GOSHEN WILL UTILIZE FUNDING FOR SECURITY SERVICES TO PROVIDE A SECURITY PRESENCE DURING EXPANDED EVENING HOURS AT DESIGNATED LOCATIONS. GOSHEN’S PLANS TO EXPAND HEALTH CENTER OPERATING HOURS WILL HELP MEET THE URGENT NEED TO PROVIDE VULNERABLE POPULATIONS WITH INCREASED ACCESS TO HIGH QUALITY HEALTH CARE IN RURAL EASTERN NORTH CAROLINA.

CAPITAL DEVELOPMENT

COMMUNITY FACILITY 2019 DISASTER GRANTS - HURRICANE FLORENCE

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - PROJECT TRACK: REGULAR OUTREACH. FUNDS REQUESTED: $250,000/YEAR FOR 5/1/2025- 4/30/2029 FOCUS AREAS/NEEDS: IMPROVED PRIMARY CARE SERVICES WITH A FOCUS ON CARDIOVASCULAR SCREENINGS, BEHAVIORAL HEALTH CARE, SUICIDE PREVENTION INTERVENTIONS, DENTAL SCREENINGS AND PREVENTIVE CARE, COVID-19 AND FLU TESTING AND VACCINATIONS, PREGNANCY TESTING AND PRENATAL CONSULTATIONS WITH REFERRALS, AS WELL AS HEALTH EDUCATION PROGRAMS. TARGET POPULATION: VULNERABLE, UNINSURED, UNDERSERVED, LOW-INCOME RESIDENTS OF BLADEN, COLUMBUS, DUPLIN, HARNETT, JONES, LEE, MONTGOMERY, RICHMOND, SAMPSON AND STANLY COUNTIES, NORTH CAROLINA. CONSORTIUM MEMBERS: GOSHEN MEDICAL CENTER, INC. (FQHC), MONARCH, ECU HEALTH, LEE COUNTY PUBLIC HEALTH DEPARTMENT, JONES COUNTY HEALTH DEPARTMENT, SAMPSON COUNTY HEALTH DEPARTMENT, STANLY COUNTY HEALTH DEPARTMENT, AND DUPLIN COUNTY HEALTH DEPARTMENT. PROJECT DESCRIPTION: GMC AIMS TO EXPAND AND ENHANCE THE SERVICES ORIGINALLY OFFERED THROUGH PROJECT HOPE BY LEVERAGING EXISTING PARTNERSHIPS AND FORMING NEW COLLABORATIONS. MOBILE CLINICS WILL BE STRATEGICALLY STATIONED WITHIN THESE COUNTIES TO PROVIDE A COMPREHENSIVE RANGE OF SLIDING FEE SERVICES. THESE SERVICES WILL INCLUDE PRIMARY HEALTHCARE SERVICES, CARDIOVASCULAR SCREENINGS, BEHAVIORAL HEALTH CARE, SUICIDE PREVENTION INTERVENTIONS, DENTAL SCREENINGS AND PREVENTIVE CARE, COVID-19 AND FLU TESTING AND VACCINATIONS, PREGNANCY TESTING AND MATERNITY/PRENATAL CONSULTATIONS WITH REFERRALS, AS WELL AS HEALTH EDUCATION PROGRAMS. IN EFFORTS TO IMPACT THE POOR BIRTH OUTCOMES IN RURAL NORTH CAROLINA, PROJECT ROADS WILL INCLUDE A FOCUS ON YOUNG FAMILIES OF CHILD-BEARING AGE LIVING AND WORKING IN THE TARGETED SERVICE AREA BY PARTNERING WITH INDUSTRIES TO PROVIDE MOBILE CLINICS FOR EMPLOYEES AND FAMILIES ON THE PREMISES OF THE BUSINESSES. THIS STRATEGY WILL BENEFIT WORKERS AND LOCAL BUSINESS AS THERE WILL BE MINIMAL LOST WORK HOURS AS THE SERVICES WILL BE OFFERED ON THE PREMISES OF THE BUSINESS AND WILL ALSO ACCOMMODATE THE FAMILY MEMBERS OF THE EMPLOYEES AS MANY ARE NOT COVERED BY INSURANCE PLANS DUE TO THE COST OF ADDING FAMILY MEMBERS. THE CONSORTIUM WILL FACILITATE REFERRALS FOR SPECIALTY SERVICES AND PRIMARY CARE THAT EXCEED THE CAPACITY OF GMC’S MOBILE CLINICS, PROVIDING MATERNITY CARE, SPECIALIZED DIAGNOSTICS, CRISIS INTERVENTION, AND FOLLOW-UP CARE TO ENSURE COMPREHENSIVE AND CONTINUOUS HEALTH SERVICES. GMC WILL MODIFY AND USE A COMBINATION OF THE FOLLOWING PROMISING PRACTICE MODELS: THE HEALTH-ABLE COMMUNITIES PROGRAM, THE HEALTH WAGON, AND PROJECT HOPE, WHICH IS A CURRENT PROJECT, DEVELOPED BY GMC USING A CONSORTIUM OF PARTNERS AND MOBILE UNITS TO ADDRESS CARDIOVASCULAR HEALTH AND ACCESS TO PRIMARY CARE SERVICES IN STANLY COUNTY. EXPECTED OUTCOMES INCLUDE: AN INCREASE IN LOCATIONS TO OPERATE A MOBILE UNIT CLINIC WILL BE IDENTIFIED THROUGH THE CURRENT PROJECT HOPE IN STANLY COUNTY, AND NEW LOCATIONS TO BE ADDED IN EACH OF THE TARGETED COUNTIES OF PROJECT ROADS FOR VULNERABLE RURAL PATIENTS TO ACCESS HIGH QUALITY PATIENT-FOCUSED HEALTH CARE EACH YEAR. AT LEAST 6,000 LOW-INCOME PATIENTS WILL RECEIVE HIGH QUALITY, PATIENT-FOCUSED HEALTH CARE IN THE TARGETED SERVICE AREA; PATIENT SATISFACTION SURVEYS AND PROMISING-PRACTICE MODELS WILL BE USED IN THE DELIVERY OF HEALTH CARE SERVICES THROUGHOUT PROJECT ROADS; INCREASE IN THE NUMBER OF WOMEN REFERRED FOR APPROPRIATE PRENATAL CARE THROUGHOUT THE SERVICE AREA, IMPROVEMENTS IN POPULATION HEALTH, HEALTH STATUS, AND HEALTH OUTCOMES ACROSS THE TEN-COUNTY SERVICE AREA; AND CONTINUATION AND EXPANSION OF PROJECT ROADS AFTER THE END OF THE PROJECT PERIOD. GMC OPERATES 49 SERVICE DELIVERY SITES ACROSS 17 COUNTIES WHERE GMC SERVES ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY VIA A SLIDING FEE DISCOUNT.FUNDING PREFERENCE: GMC IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1: HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). ALL COUNTIES IDENTIFIED WITHIN THE TARGETED SERVICE AREA LOCATED IN A HPSA AND ARE ELIGIBLE FOR RURAL HEALTH FUNDING.

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM