Board of Directors. Daniel Ledo Chairman. Judy Field Vice President and Treasurer. Evie Baker Secretary. Christina Siciliano Board Member

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3 Table of Content i. Board of Directors ii. Letter from the CEO iii FY Strategic Plan iv. Department Overview v. Clinic Services vi. Support Services vii. Community Outreach viii. Financials

4 Board of Directors Daniel Ledo Chairman Judy Field Vice President and Treasurer Evie Baker Secretary Christina Siciliano Board Member Nigel Sullivan Board Member

5 LETTER from the CEO Dear Friends, I became the CEO of Chattanooga CARES during a pivotal change in its administration. As a result, I gained an even greater appreciation for the importance of the work that Chattanooga CARES s board members, staff, and volunteers commit to daily. We are excited to continue inspiring hope and change for our entire community by passing on the spirit of triumph-over-adversity to the clients we serve proved to be a significant year in the development and history of our organization. We expanded our mission statement and services to include not only those impacted by HIV, but also those affected by Hepatitis C and Sexually Transmitted Infections. The infection rate of Hepatitis C has tripled the number of HIV, and related deaths have almost doubled. As an organization that has exceeded the national standards on both clinical HIV suppression and the treatment of Hepatitis C co-infections, CARES is prepared to use its expertise in addressing this growing public health need through prevention, testing, and treatment inour new STI Clinic. Chattanooga CARES is the first community-based organization in the area to offer PrEP (Pre exposure prophylaxis) a once-a-day pill that is regarded by many as the future of HIV prevention. In a collaborative effort with East Tennessee State University s Center of Excellence, we are also expanding our services to the northeast region of our state. In the Fall of 2016, we premiered a new fundraiser called Arts For CARES, which included local artists, performers, and musicians, as well as Chattanooga s very own Leslie Jordan. This event granted us the opportunity to reach new audiences, engage new collaborative sponsors, and garner increased visibility in our community. On behalf of our Board of Directors, staff, and those we serve, thank you for your continued support. Together, we can continue to improve health and inspire change in our community. Shannon Stephenson, MBA, CPA Chief Executive Officer

6 2016 FY STRATEGIC PLAN GOALS: Create and implement new services required to address the needs of the community as it relates to the mission of Chattanooga CARES. Expand current programs to meet the increased demands of the region. Increase effectiveness and efficiency of current programs. Be responsive to the diverse needs of all populations served. Maintain an image of respect and leadership among stakeholders, medical providers, community partners, media, and the individuals we serve. STRATEGIC PRIORITES: Lead the forefront in Hepatitis C education, prevention, and treatment in local communities. Become the first organization in the region to offer Pre- Exposer Prophylaxis (PrEP) in the prevention of HIV infection. Continue to maintain high quality professional standards of HIV treatment, mental health, and primary care in Chattanooga Primary Care Center. Increase presence and recognition in surrounding counties and minority communities by increasing community outreach with key stakeholders. Expand, diversify, and implement a uniform marketing strategy to promote awareness, education, and overall public image as it pertains to Chattanooga CARES. Explore possibilities of expansion regarding a new Mobile Clinic, office space, and secondary STD clinic located in East TN.

7 Our mission is to reach, assist, and support people impacted by HIV, Hepatitis C and STIs through compassionate and responsive delivery of education health, social, and advocacy related services.

8 Clinic Services: Chattanooga Primary Care Center offers a full range of services for individuals living with HIV. These services include: primary and infectious disease care, nutritional counseling, mental health counseling, laboratory services, and health maintenance for preventative care. Support Services: The goal of Support Services is to coordinate a comprehensive continuum of care that encompasses social support necessary to assist clients in obtaining an optimum of care. This can be done by providing, coordinating, and assuring social support necessary to assist clients in maintaining their prospective health, safety, and well-being. Community Outreach: Chattanooga CARES s Community Outreach & Education department works with many regional agencies to provide testing, education, and information to break down social stigmas, and to help prevent the spread of HIV, Hepatitis C, and other sexually transmitted infections in 23 counties in Southeast Tennessee.

9 CLINIC SERVICES 658 The Chattanooga Primary Care Center continues to promote adherence to care and ensure quality treatment for all clients. Through our compassionate team of medical staff, we are able to offer a host of services to clients in one central location. OVERALL CLIENTS Chattanooga Primary Care Center currently serves 658 clients in the Southeast Tennessee region. Viral load suppression rates among active clients remained stagnant from at 70%. This lack of improvement drove new efforts by our quality improvement team. Clinic staff and case management began daily huddles to review patient data prior to each clinic session with a focus on viral load suppression, health maintenance, vaccines, and other quality measures. A peer program was instituted where volunteer clients assisted with new clients starting HARRT and those struggling with adherence. As a result, viral load suppression rates increased to 86.5% during the 2016 fiscal year. The number of clients served continues to steadily increase in these two years as it has the three years prior. 87% of our clients are VIROLOGICALLY SUPPRESSED

10 SUPPORT SERVICES The goal of Support Services is to coordinate a comprehensive continuum of care that encompasses social support necessary to assist clients in obtaining an optimum of care. This can be done by providing, coordinating, and assuring social support necessary to assist clients in maintaining their prospective health, safety, and well-being. SERVICES PROVIDED In the 2016 Fiscal Year, the Support Services Department provided the following resources to clients: Vision and Dental Services Behavioral Health Referrals Food Assistance Insurance Assistance Housing Assistance Transportation Assistance Medical Case Management Support Groups CARES MARKET Chattanooga CARES offers clients fresh fruits and vegetables, dairy products, and other nutritious options to promote a healthy lifestyle. In the 2016 FY, the CARES Market distributed more than 83,801 pounds of food to clients. 522 CLIENTS $78, CLIENT ASSISTANCE 140 GAS CARDS 200+ DENTAL REFERRALS 90+ VISION REFERRALS

11 COMMUNITY OUTREACH Chattanooga CARES is dedicated to helping those affected by HIV, Hepatitis C, and STIs live the fullest lives possible. Our community outreach and education department works with many regional agencies to provide testing, education and information to break down social stigmas, and help prevent the spread of HIV in 23 counties in Southeast Tennessee. 4,557 HIV TESTS TESTING LOCATIONS In the 2016 Fiscal Year, the Community Outreach team organized testing, educational, and prevention events at the following locations: CADAS Metropolitan Ministries Volunteer Treatment Center Sholze Focus Community Kitchen Homeless Health Whitwell High School Marion County High School World AIDS Day Northeast Counsel Meeting Board of Praolees Salvation Army Patten Towers Next Door Chattanooga State Community College Project Homeless Health Amigo s Sewanee La Paz Chattanooga Pride Cumberland Mountain Youth Festival... Many more 529 HEPC TESTS 1982 STI TESTS

12 PROFIT & LOSS STATEMENT FY 16 REVENUE Grants $1,392,449 Patient Services $459,143 Donations & Events $83, B Program $6,162,694 Total Revenue $8,097,901 EXPENSE Program Services $1,933,091 Supportive Services $984,624 Patient Services $254, B Program $3,864,439 Total Expenses $7,036,487 Change Net Assets in Net Assets Clinical $1,061,153

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