Provider Information

Using data from Section 1 of the CADR, this section of the report describes the characteristics of the CARE Act providers (n=2,696) that reported data between January 2002 and December 2002. The provider information narrative is based on the data tables presented in this section.

REPORTING SCOPE

CARE Act providers have the option of reporting on eligible or funded services. When they report on eligible services, providers are reporting on any service permitted under any title of the CARE Act, regardless of whether or not the providers use a specific title to pay for these services. Reporting eligible services provides a comprehensive picture of the services being delivered to HIV-positive clients. More than three-quarters of the 2,696 CARE Act providers (87 percent) reported on all eligible services in 2002.

Conversely, if providers report on funded services, the data reported by providers includes those services that were actually paid for by a specific Title of the CARE Act. This latter reporting category requires prior approval from HRSA project officers. Thirteen percent of providers (n=357) reported only those services funded by the CARE Act.

PROVIDER TYPE

A variety of different types of organizations provide CARE Act services. Almost half of all CARE Act providers (48 percent) were identified as community-based service organizations (CBOs). Hospitals comprised 13 percent of all CARE Act providers in 2002 and 12 percent were health departments. Collectively, publicly-funded community health and community mental health centers represented 9 percent (n=245) of providers. CARE Act providers identifying as substance abuse treatment centers, solo/group private medical practices, multiple fee-for-service providers, people living with HIV/AIDS (PLWHA) coalitions, or VA facilities comprised 6 percent (n=156) of providers. Other provider types comprised 12 percent of all CARE Act service organizations (Figure 1 and Table 1).

Seven percent of all CARE Act provider organizations (n=181) received Public Health Service (PHS) Section 330 funding. Community health centers and community mental health centers comprised 77 percent of the organizations receiving these 330 funds. Other types of organizations receiving PHS Section 330 funding included other community-based organizations, health departments and hospitals (data not shown).

Figure 1. CARE Act Provider Types, 2002 [footnotes 1, 21] n = 2,696

OWNERSHIP STATUS

In 2002, CARE Act providers reported various types of ownership status. Of the 2,696 CARE Act providers reporting data in 2002, 64 percent were private, nonprofit (not faith-based) organizations. About six percent of CARE Act providers in 2002 (n=151) were faith-based organizations. Twenty-three percent of providers reported their ownership status as publicly owned (local, State, or Federal) (n=599).

Table 1. Provider Type and Ownership Status of CARE Act Providers, 2002 [footnote 1]

* Less than 0.1 percent.

SOURCE OF CARE ACT FUNDING

Organizations completing a 2002 CADR were asked to indicate which CARE Act programs provided funding for services delivery. These providers received funding from one or more CARE Act programs. Organizations may have received funding directly from the Federal government as a Ryan White CARE Act grantee, through a subcontract with a CARE Act grantee and/or through Title II funding from a consortia agency. Of the 2,696 providers submitting data in 2002, 1,554 providers received Title I funds; 1,422 providers received Title II funds; 442 providers received Title III-EIS funds; and 265 providers received Title IV funds. Thirty-six providers received Title IV-Youth funds (Table 2).

Table 2. Source of CARE Act Funding, 2002

GRANTEE SUPPORT

Organizations may receive CARE Act funding to provide supportive services to grantees. In some cases, organizations only provide grantees with these supportive services. In others, organizations provide both grantee supportive services and direct client services. In the 2002 CADR, providers reported if they provided any of the following services to their grantee of record: planning or evaluation, administrative or technical support, fiscal intermediary services, technical assistance, capacity development, and/or quality management. Three of these six services were most frequently provided to the grantee of record by a provider agency: planning or evaluation support (539 providers), quality management support (437 providers), and administrative or technical support (406 providers). These categories of support are not mutually exclusive, i.e., an organization may have provided more than one of these support services to the grantee.

TARGET POPULATIONS OF INTEREST

Providers were asked to indicate if one or more specific population groups were targeted for special emphasis, outreach efforts or service delivery during the 2002 reporting period. Among the populations of special interest for the CARE Act grantees, the four most frequently targeted populations included communities of color (61 percent of providers), women (58 percent of providers), injection drug users (46 percent), and homeless persons (41 percent). The remaining targeted population are shown in Table 4.

Table 4. Characteristics of CARE Act Providers, 2002 [footnote 2]

RACIAL/ETHNIC GROUP REPRESENTATION GREATER THAN 50%

Thirty-five percent or 945 of all CARE Act provider organizations reported that members of racial/ethnic minority groups comprised more that 50 percent of the organization’s professional staff providing direct HIV services. Among CARE Act providers, 25 percent of the organiations reported that racial/ethnic minorities comprised more than 50 percent of their Board of Directors. Thirty-five percent of all providers (n=515) reported that their professional staff consisted of more than 50 percent racial/ethnic minority group members. A small number (2 percent; n=65) were solo or group health practices. Thirty-four percent of providers reported that although their board and staff were not composed of a majority of racial/ethnic minority group members, they historically serve racial/ethnic minorities in communities of color (Table 4).

STAFFING

CARE Act providers report the number of paid, full-time equivalent staff (FTEs) that were funded by the CARE Act along with the number of volunteer, full-time equivalent positions dedicated to HIV care during the 2002 reporting period. Of the CARE Act providers reporting paid staff members (n=2,339), the mean number of paid FTEs was 8.42 persons (Table 5). Among CARE Act providers reporting volunteer staff FTEs (n=746), the mean number of volunteer staff FTEs was 11.82.

Table 5. CARE Act Provider Organization Staffing, 2002

 CARE ACT FUNDING AMOUNTS

The amount of CARE Act funds that providers report receiving is presented in Table 6. It must be noted that the following funding amounts are as reported by CARE Act providers and may not match fiscal year awards. Differences between actual fiscal year funding and provider reported funding are due to carry-over from the previous funding period and supplemental funding. A total of $610,095,979 was distributed to 1,438 providers through Title I of the CARE Act. The mean amount awarded to these providers was $424,267 (with some providers being awarded as much as $29,479,811) to deliver CARE Act services. In 2002, 1,277 Title II providers reported receiving a total of $502,396,509. The mean amount awarded to these Title II providers was $393,419. Providers in Title III-EIS (n=397) reported receiving a total of $174,570,230, with a mean award of $439,723. Providers in Title IV (n=247) reported receiving a total of $68,943,223 with a mean award of $279,122.

Table 6. CARE Act Funding Amounts, 2002

The information for dental expenditures (excluding funds from the Dental Reimbursement Program and the Community Based Dental Partnership Program) requires additional explanation. This line item includes all CARE Act funds from all Titles that were used to pay for dental expenses incurred by CARE Act providers. A total of 544 CARE Act providers reported $39,906,041 in dental expenditures for CARE Act clients in 2002. The mean amount of dental expenditures reported by dental providers was $73,356 (with some providers reporting as much as $2,461,363 in dental expenditures).