PRIMARY CARE DEVELOPMENT CORPORATION
45 BROADWAY SUITE 530, NEW YORK, NY 10006 www.pcdc.org

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Organizations Filed Purposes: QUALITY PRIMARY CARE IS TRANSFORMATIONAL AND A CORNERSTONE OF HEALTHY, THRIVING COMMUNITIES. THE PRIMARY CARE DEVELOPMENT CORPORATION (PCDC) CATALYZES EXCELLENCE IN PRIMARY CARE THROUGH STRATEGIC COMMUNITY INVESTMENT, SEE SCH O CONTINUATION

FOUNDED IN 1993, PRIMARY CARE DEVELOPMENT CORPORATION ("PCDC") BELIEVES THAT PRIMARY CARE IS TRANSFORMATIONAL AND A CORNERSTONE OF HEALTHY, THRIVING COMMUNITIES. PCDC CATALYZES EXCELLENCE IN PRIMARY CARE THROUGH STRATEGIC COMMUNITY INVESTMENT, CAPACITY BUILDING, AND POLICY INITIATIVES TO ACHIEVE HEALTH EQUITY.

CAPITAL INVESTMENT: SUPPORTING PRIMARY CARE EXPANSION. PCDC PROVIDES THE CAPITAL AND EXPERTISE TO BUILD, RENOVATE, AND EXPAND COMMUNITY-BASED HEALTH FACILITIES SO THAT CARE IS OFFERED IN SETTINGS THAT PROMOTE DIGNITY AND EFFICIENCY. CERTIFIED AS A COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION (CDFI) BY THE UNITED STATES TREASURY, PCDC IS A KEY SOURCE OF CAPITAL FOR THE PRIMARY CARE SECTOR AND TO DATE HAS FINANCED OVER 148 PRIMARY CARE PROJECTS VALUED AT MORE THAN $1.2 BILLION. THIS INVESTMENT HAS CREATED THE CAPACITY TO PROVIDE 4.1 MILLION MEDICAL VISITS ANNUALLY TO MEET THE PRIMARY CARE NEEDS OF MORE THAN 1.2 MILLION PATIENTS THROUGHOUT THE UNITED STATES. PCDC'S INVESTMENT HAS TRANSFORMED 2.1 MILLION SQUARE FEET OF SPACE INTO FULLY FUNCTIONING PRIMARY CARE PRACTICES AND CREATED OR PRESERVED OVER 16,400 JOBS IN LOW-INCOME COMMUNITIES. PCDC HAS EXPERIENCED NO LOAN LOSSES IN ITS PORTFOLIO TO DATE AND HAS RECEIVED AN AAA+2 PERFORMANCE RATING FROM THE CDFI ASSESSMENT AND RATING SYSTEM (CARS). HIGHLIGHTS OF RECENT CAPITAL INVESTMENT ACCOMPLISHMENTS INCLUDE: WRIGHT CENTER FOR COMMUNITY HEALTH: THE NORTHEAST PENNSYLVANIA COMMUNITY THAT THIS HEALTH CENTER SERVES WILL SOON SEE EXPANDED PRIMARY CARE ACCESS AND MEDICAL EDUCATION AS A RESULT OF PCDC'S $9.5 MILLION IN NEW MARKETS TAX CREDIT FUNDING AND $2.5 MILLION IN DEBT FINANCING. THE WRIGHT CENTER AND ITS AFFILIATED ENTITY, THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION, WILL EXPAND TO A NEW 41,900-SQUARE-FOOT FACILITY IN SCRANTON. THIS EXPANSION WILL ACCOMMODATE 7,000 NEW PATIENTS AND CREATE 40 NEW FULL-TIME JOBS, AS WELL AS PROVIDE TEACHING SPACE FOR ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS. ONE COMPLETED, PATIENT WILL HAVE ACCESS TO INTEGRATED PRIMARY CARE, NUTRITION COUNSELING, HIV SERVICES, DENTAL, ADDICTION COUNSELING, AND WOMEN'S HEALTH CARE UNDER ONE ROOF. COMPASS HEALTH: WITH $1.5 MILLION PRE-DEVELOPMENT FINANCING FROM PCDC, COMPASS HEALTH'S EVERETT LOCATION WILL EXPAND TO INCLUDE AN 82,800-SQUARE-FOOT BEHAVIORAL HEALTH, SUBSTANCE USE TREATMENT, AND SUPPORTIVE HOUSING FACILITY, SERVING A COUNTY IN WASHINGTON STATE WHERE HEROIN OVERDOSE MORTALITY RATES ARE MORE THAN DOUBLE THE NATIONAL AVERAGE. IN ADDITION TO AN ON-SITE PHARMACY AND 40 ADDITIONAL SUBSTANCE USE TREATMENT STAFF, THE NEW CENTER WILL INCLUDE THREE 16-BED CARE UNITS FOR PATIENTS IN CRISIS REFERRED BY LAW ENFORCEMENT, PATIENTS WHO CANNOT BE ACCOMMODATED AT THE OVERCROWDED STATE PSYCHIATRIC HOSPITAL, AND PATIENTS WITH CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. ELICA HEALTH CENTERS: THROUGH A $5.8 MILLION CONSTRUCTION LOAN, PCDC ALLOWED THIS NORTHERN SACRAMENTO HEALTH CENTER TO RENOVATE AND EXPAND ITS FACILITIES TO IMPROVE ACCESS TO BEHAVIORAL HEALTH AND PRIMARY CARE. THE 20,000-SQUARE-FOOT RELOCATION AND EXPANSION OF THE SITE WILL HOUSE 24 MEDICAL EXAMINATION ROOMS, 18 DENTAL OPERATORIES AND SIX BEHAVIORAL HEALTH EXAM ROOMS IN ADDITION TO A NEW BEHAVIORAL HEALTH MEETING ROOM TO BE USED FOR GROUP THERAPY SESSIONS. THE SPACE WILL INCLUDE A LABORATORY AND AN ON-SITE PHARMACY. ELICA'S PATIENTS ARE DISPROPORTIONATELY LOWER INCOME COMPARED TO RESIDENTS OF OTHER PARTS OF SACRAMENTO AND THE STATE OF CALIFORNIA. A RECENT HEALTH NEEDS ASSESSMENT FOUND THAT THE NUMBER ONE PRIORITY FOR SACRAMENTO COUNTY IS INCREASING ACCESS TO PRIMARY CARE. THIS PCDC-FUNDED PROJECT WILL AID IN MEETING THAT NEED FOR SOME OF THE COUNTY'S MOST VULNERABLE RESIDENTS. APICHA JACKSON HEIGHTS HEALTH CENTER: A $2.75 MILLION PROJECT USING THE NEW YORK STATE REVOLVING CAPITAL FUND WILL ALLOW FOR THE DEVELOPMENT OF A NEW 14,400-SQUARE-FOOT FACILITY IN QUEENS THAT CAN ENCOMPASS A BROADER SCOPE OF SERVICES AND POSITION THE ORGANIZATION TO SERVE A MORE GENERAL POPULATION THAN ITS CURRENT MANHATTAN CENTER, TO FULLY MEET ITS OBLIGATIONS AS AN FQHC. IN ADDITION TO ADULT PRIMARY CARE, THE CENTER WILL OFFER PEDIATRICS, WOMEN'S HEALTH, BEHAVIORAL HEALTH, AND DENTAL CARE, AS WELL AS NUTRITION, HEALTH EDUCATION, ELIGIBILITY ASSISTANCE, AND OUTREACH SERVICES. THIS EXPANSION WILL IMPROVE ACCESS TO ESSENTIAL SERVICES IN AN AREA SERVING MAJORITY ASIAN AND HISPANIC/LATINO RESIDENTS.

CLINICAL & QUALITY PARTNERS (FORMERLY PERFORMANCE IMPROVEMENT): STRENGTHENING SERVICE DELIVERY. PCDC'S CLINICAL & QUALITY PARTNERS TEAM HAS PROVIDED CONSULTING, TRAINING, AND COACHING SERVICES TO MORE THAN 4,400 PRIMARY CARE ORGANIZATIONS ACROSS THE COUNTRY HELPING THESE PRACTICES ADOPT A MODEL OF CARE THAT MAXIMIZES PATIENT ACCESS, MEANINGFUL USE OF HEALTH IT, CARE COORDINATION, PATIENT EXPERIENCE, AND EMERGENCY PLANNING. OUR STAFF TEAM BRINGS EXTENSIVE EXPERTISE AND A BROAD AND POWERFUL KNOWLEDGE BASE TO THE PROVISION OF CAPACITY-BUILDING ASSISTANCE; MOST HOLD GRADUATE DEGREES AND AVERAGE BETWEEN 10 TO 15 YEARS OF EXPERIENCE WORKING DIRECTLY WITH HIGH-RISK, SAFETY NET POPULATIONS. THIS "REAL-WORLD" EXPERIENCE ENABLES PCDC TO BETTER UNDERSTAND THE NEEDS OF OUR CLIENTS AND GUIDES THE CREATION AND IMPLEMENTATION OF EFFECTIVE COACHING AND QUALITY IMPROVEMENT TOOLS.HIGHLIGHTS OF RECENT CLINICAL & QUALITY PARTNERS ACCOMPLISHMENTS INCLUDE: ASSISTING NEARLY 900 PRIMARY CARE SITES IN ACHIEVING PATIENT-CENTERED MEDICAL HOME (PCMH) RECOGNITION: THE MILESTONE REFLECTED THE SUCCESS OF PCDC'S CONTENT EXPERTS, WHOSE STRATEGIC LEADERSHIP, PRACTICE COACHING, AND TECHNICAL ASSISTANCE HAVE GUIDED COMMUNITY HEALTH CENTERS, HOSPITAL OUTPATIENT CENTERS, PRIVATE PRACTICES, AND SPECIAL NEEDS PROVIDERS NATIONWIDE. A GROWING BODY EVIDENCE SHOWS THE PCMH MODEL REDUCES HEALTH CARE COSTS AND UNNECESSARY USE OF SERVICES, SUCH AS EMERGENCY DEPARTMENT VISITS.LAUNCHING THE HIGH IMPACT PREVENTION WARMLINE: PCDC'S HIGH IMPACT PREVENTION (HIP) IN HEALTH CARE TEAM NOW PROVIDES A FREE CONSULTATION SERVICE TO ASSIST HEALTH DEPARTMENTS AND CARE PROVIDERS WORKING IN CDC-FUNDED HIV TREATMENT AND PREVENTION PROGRAMS IN THE NORTHEASTERN UNITED STATES, PUERTO RICO, AND US VIRGIN ISLANDS. PCDC STAFF ARE AVAILABLE TO RESPOND TO NON-URGENT QUESTIONS REGARDING HIV TESTING AND NEW TECHNOLOGIES, MEDICATION ADHERENCE, PREP AND PEP, AMONG MANY OTHER TOPICS. ISSUING RECOMMENDATIONS FOR INTEGRATING PRIMARY CARE AND BEHAVIORAL HEALTH IN NEW YORK STATE: THE REPORT ISSUED BY PCDC, CLOSING THE BEHAVIORAL HEALTH INTEGRATION GAP, USES NEW YORK STATE AS A CASE STUDY TO IDENTIFY FIVE RECOMMENDATIONS FOR INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE INCLUDING SIMPLIFYING INTEGRATED FACILITY REQUIREMENTS, ESTABLISHING INTEGRATED SYSTEMS TO SHARE PATIENT INFORMATION, AND PROMOTING A COLLABORATIVE TEAM-BASED APPROACH TO CARE. THE CASE STUDY CAN BE USED BY PROVIDERS, POLICYMAKERS, AND OTHER STAKEHOLDERS TO REDUCE BARRIERS TO INTEGRATION.DEVELOPING ONLINE RESOURCES AND HOSTING WEBINARS TO AID PROVIDER UPTAKE OF TELEMEDICINE IN THE WAKE OF THE COVID-19 PANDEMIC: PCDC CREATED A ROBUST ONLINE RESOURCE CENTER FOR PRIMARY CARE PROVIDERS WHO SEEK EDUCATION AND TRAINING ON TELEHEALTH IMPLEMENTATION THAT INCLUDES REIMBURSEMENT, CODING, AND COMMUNICATIONS GUIDANCE. THE TEAM NOW ALSO PROVIDES TELEHEALTH TECHNICAL ASSISTANCE UPON REQUEST. IN ADDITION, PCDC STAFF HELD SEVERAL INFORMATIONAL WEBINARS FOCUSED ON TELEHEALTH IN THE PRIMARY CARE SECTOR AND A VIRTUAL TOWN HALL WHERE PROVIDERS EXCHANGED INFORMATION AND IDEAS FOR IMPROVING CARE DELIVERY DURING THE PANDEMIC.

POLICY, ADVOCACY, COMMUNICATIONS & EVALUATION: LEADING PRIMARY CARE INITIATIVES: PRIMARY CARE IS NOT ONLY THE CENTERPIECE OF MEANINGFUL HEALTH CARE REFORM, BUT ALSO CONTRIBUTES GREATLY TO ECONOMIC DEVELOPMENT, BETTER HEALTH, AND ACROSS-THE-BOARD HEALTH CARE SAVINGS. PCDC'S POLICY AND ADVOCACY AGENDA INCLUDES WORKING WITH POLICYMAKERS AND STAKEHOLDERS TO PROMOTE THE PATIENT-CENTERED MEDICAL HOME MODEL; EXPANDING ACCESS TO CAPITAL FOR PRIMARY CARE FACILITY EXPANSION; STRENGTHENING THE ROLE OF PRIMARY CARE IN HEALTH SYSTEM AND HEALTH PAYMENT REFORM; AND STRENGTHENING THE HEALTH CARE INFRASTRUCTURE THROUGH PRIMARY CARE TO PROMOTE HEALTHY COMMUNITIES. PCDC'S EVALUATION AGENDA INCLUDES GAUGING THE ORGANIZATION'S IMPACT, RESEARCHING POPULATION HEALTH OUTCOMES, AND LEADING EFFORTS TO ADOPT DATA-DRIVEN APPROACHES TO OUTCOMES MEASUREMENT AND ANALYSIS. IT ALSO INCLUDES OVERSEEING APPLIED RESEARCH EFFORTS THAT INFORM PCDC'S WORK AND ADVANCE KNOWLEDGE ON PRIMARY CARE ACCESS AT LOCAL, STATE, AND FEDERAL LEVELS. HIGHLIGHTS OF RECENT POLICY, ADVOCACY, COMMUNICATIONS & EVALUATION ACCOMPLISHMENTS INCLUDE: ADVOCATING FOR RACIAL HEALTH EQUITY AT THE STATE AND FEDERAL LEVELS: PCDC SUBMITTED WRITTEN TESTIMONY TO THE NEW YORK STATE LEGISLATURE PROVIDING POLICY RECOMMENDATIONS FOCUSED ON STRENGTHENING PRIMARY CARE TO ADDRESS THE PREVALENCE OF RACIAL DISPARITIES IN COVID-19 INFECTIONS AND DEATHS. THE RECOMMENDATIONS INCLUDING INCREASING INVESTMENT IN PRIMARY CARE, REJECTING BUDGETARY CUTS TO THE MEDICAID PROGRAM, AND SHIFTING PAYMENT FOR PRIMARY CARE FROM FEE-FOR-SERVICE TO A PROSPECTIVE STRUCTURE, AMONG OTHERS. ADDITIONALLY, PCDC SIGNED ON TO A LETTER TO HHS SECRETARY ALEX AZAR URGING THE DEPARTMENT TO USE MEDICAID 1115 WAIVERS TO ADDRESS SYSTEM RACISM IN THE HEALTH CARE SYSTEM. HOSTING EVENTS TO ELEVATE THE DISCUSSION OF PRIMARY CARE INVESTMENT: PCDC HOSTED A SMALL, INVITE-ONLY BREAKFAST DISCUSSION WITH KEY NEW YORK HEALTH CARE AND POLICY PLAYERS TO DISCUSS THE LAUNCH OF AN EFFORT SPONSORED BY PCDC TO INCREASE THE PROPORTION OF HEALTH CARE SPENDING GOING TO PRIMARY CARE IN NEW YORK STATE. THIS DISCUSSION AMONG KEY STAKEHOLDERS PROVIDED INSIGHTS INTO BARRIERS AND OPPORTUNITIES TO RE-BALANCE THE STATE'S HEALTH CARE SPENDING. PCDC'S PRIMARY CARE SUMMIT ALSO FOCUSED ON PRIMARY CARE INVESTED AND HOSTED SPEAKERS FROM TWO STATES PIONEERING THE EFFORT TO INCREASE INVESTMENT IN PRIMARY CARE ACROSS THE COUNTRY: OREGON AND DELAWARE. THE EVENT, OPEN TO THE PUBLIC AND ATTENDED BY OVER 400 AUDIENCE MEMBERS, PROVIDED AN ENGAGING CONVERSATION ON THE SUCCESSES AND CHALLENGES OTHER STATES HAVE FACED IN THEIR RESPECTIVE EFFORTS TO INCREASE SPENDING ON PRIMARY CARE.HOSTING A SERIES OF WEBINAR EVENTS TO HIGHLIGHT PRIMARY CARE NEEDS AND OPPORTUNITIES AMIDST COVID-19: IN A THREE-PART WEBINAR SERIES, PCDC AND SPECIAL GUESTS DISCUSSED COVID-19'S IMPACT ON THE PRIMARY CARE SECTOR AND WHAT PRIMARY CARE'S ROLE SHOULD BE IN COVID-19 RELIEF, RESPONSE, AND RESILIENCY. THE CONVERSATIONS HIGHLIGHTED CURRENT CHALLENGES IN PRIMARY CARE DELIVERY AND WHAT PRIMARY CARE NEEDS TO SUSTAIN ESSENTIAL SERVICES GOING FORWARD AND REOPEN EVEN STRONGER. TESTIFYING IN SUPPORT OF PRIMARY CARE: PCDC DIRECTOR OF EVALUATION AND ANALYTICS, MARY FORD, TESTIFIED BEFORE THE NEW YORK STATE LEGISLATURE'S JOINT LEGISLATIVE BUDGET HEARING ON HEALTH/MEDICAID, HIGHLIGHTING THE IMPORTANCE OF PRIMARY CARE, ITS IMPACT ON HEALTH OUTCOMES FOR NEW YORK STATE RESIDENTS, AND PCDC'S WORK ACROSS THE STATE.RELEASING REPORTS AND BRIEFS ON PRIMARY CARE ACCESS: PCDC ISSUED A REPORT IDENTIFYING MARKED DISPARITIES IN PRIMARY CARE ACCESS IN NEW YORK CITY, MEASURED ON A CITY COUNCIL DISTRICT LEVEL. BY EXAMINING ALL 51 DISTRICTS, THE PROFILE PROVIDES A MULTIDIMENSIONAL VIEW OF GAPS IN ACCESS, HELPS SUPPORT ADVOCACY FOR ADDITIONAL SERVICES, AND INFORMS SITING OF NEW PRIMARY CARE FACILITIES. PCDC'S IN-DEPTH MEASURES INCLUDE PRIMARY CARE ACCESS, HEALTH STATUS, AND SOCIOECONOMIC POSITION. ADDITIONALLY, PCDC PRODUCED TWO NEW BRIEFS WITHIN THE POINTS ON CARE SERIES: COVID-19 AND HEALTH INEQUITIES IN NYC, WHICH IDENTIFIES DEEPENING HEALTH DISPARITIES IN THE WAKE OF THE PANDEMIC AND CALLS FOR RAPID RESPONSE THROUGH THE PRIMARY CARE SYSTEM AND IS ACCOMPANIED BY AN INTERACTIVE DASHBOARD, AND CALIFORNIA PRIMARY CARE ACCESS, WHICH EXAMINES ASPECTS OF PRIMARY CARE ACCESS ACROSS THE STATE OF CALIFORNIA AND REVEALS DISPARITIES ALIGNED WITH SOCIOECONOMIC INDICATORS.PUBLISHING A REPORT IN THE JOURNAL OF PRIMARY CARE & COMMUNITY HEALTH: THE STUDY USED THE MEASURES OF PRIMARY CARE ACCESS, HEALTH STATUS, AND SOCIOECONOMIC POSITION AT THE NEW YORK CITY COUNCIL DISTRICT LEVEL TO DEMONSTRATE CORRELATIONS BETWEEN PRIMARY CARE ACCESS AND HEALTH STATUS AFTER ADJUSTING FOR SOCIOECONOMIC FACTORS. RESULTS SHOWED THAT AN INCREASE OF 1 PROVIDER PER 10,000 PEOPLE WAS ASSOCIATED WITH A 1% DECREASE IN DIABETES RATES AND A 5% DECREASE IN RATES OF ADULTS WITHOUT AN INFLUENZA IMMUNIZATION. THE FINDINGS HIGHLIGHT THE SIGNIFICANT CONTRIBUTION OF PRIMARY CARE ACCESS TO COMMUNITY HEALTH. ADVOCATING PUBLICLY AND FREQUENTLY FOR IMPROVED PRIMARY CARE ACCESS: THROUGH MULTIPLE PUBLIC COMMENTS, PCDC LENT ITS VOICE TO MULTIPLE POLICY CONCERNS INCLUDING PROPOSED REVISIONS TO THE COMMUNITY REINVESTMENT ACT, POTENTIAL CUTS AND CHANGES TO THE NEW YORK STATE MEDICAID PROGRAM, MEDICAID PHARMACY TRANSITIONS THAT WOULD IMPACT THE 340B DRUG DISCOUNT PROGRAM IN BOTH CALIFORNIA AND NEW YORK, FINANCIAL RELIEF FOR PRIMARY CARE IN THE WAKE OF THE COVID-19 CRISIS, THE EXTENSION OF THE NEW MARKETS TAX CREDIT PROGRAM AT THE FEDERAL LEVEL, AND DISPARITIES IN PRIMARY CARE ACCESS AMONG NEW YORK CITY COUNCIL DISTRICTS. THE PRIORITY THROUGHOUT WAS TO ADVANCE POLICIES THAT INCREASE ACCESS TO QUALITY PRIMARY CARE, ENABLING IT TO MORE SUCCESSFULLY IMPROVE HEALTH OUTCOMES, REDUCE COSTS, AND IMPROVE HEALTH EQUITY.

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