Health Alliance for the Uninsured Inc.
3000 United Founders Blvd. Suite 244
Oklahoma City OK 73112-3913
Tax Exempt Status Public Supported Charity
Organization Does Business As (DBA) Name(s)
Organization DBA
HAU
Mission Statement The Health Alliance for the Uninsured is a catalyst for improved healthcare services for those who otherwise would be unable to obtain them.
Medical staff at Good Shepherd Medical Center, one of the locations of the Cooperative Central Pharmacy.
Contact Information
Contact Name Pam Cross-Cupit
Contact email pam.cross@hauonline.org
Address 3000 United Founders Blvd. Suite 244
Oklahoma City, OK 73112 3913
Phone (405) 286-3343
Fax 405-463-0525
County Oklahoma County
Alternate Phone 405 921-1061
How to Give
Donate to Endowment http://occf.org/hafu/
Other ways to donate, support or volunteer The Health Alliance for the Uninsured can receive checks, cash, credit card donations through website, and certain in-kind donations. Volunteer opportunities for health care providers or those interested in board service or fund development may be discussed with the Executive Director.
Financial Summary
 
 
Projected Revenue $705,850.00
Projected Expenses $705,722.00
History and Background
Year Founded 2007
IRS Ruling Year 2008
State Registration Expiration Apr 2017
Statements
Mission The Health Alliance for the Uninsured is a catalyst for improved healthcare services for those who otherwise would be unable to obtain them.
Background
The Health Alliance for the Uninsured (HAU) engages community partners in designing and implementing collaborative solutions to unmet health needs of low-income and uninsured persons. HAU, partnering with Good Shepherd Ministries, the Homeless Alliance, and Oklahoma County Social Services, began the Cooperative Central Pharmacy in August 2008. It serves low-income Oklahoma County residents and patients of free/charitable health clinics, with 70,378 prescriptions filled on site through 9/30/16 and 80,000+ filled through bulk medications provided to clinics. In 2012, HAU added field staff that are trained to enroll patients in pharmaceutical company assistance programs. From July 2012 through August 2016, HAU's 2 FTE staff secured $7 million in insulin, inhalers, blood pressure medications, Hepatitis C medications, and other prescriptions for patients of safety-net clinic partners.
In 2008, HAU implemented a web-based patient and clinic management software that assists clinics in scheduling volunteers and patients, maintaining records, and reporting. Thirteen clinics utilized CareScope for internal purposes as well as scheduling x-rays and ultrasounds that HAU negotiates with area hospitals, and requesting CTs, MRIs and specialty referrals that HAU coordinates. HAU transitioned to a full electronic health record system in 2015. This system brings many improvements to health care services by improving access to patient health data in other settings, speeding referral processing, and improving reporting of individual and community health outcomes.
In 2011-2012, HAU undertook a major effort to transform the fragmented health safety net in central Oklahoma into a coordinated system. Much progress has been made and HAU continues to work with additional partners to achieve more timely access to needed services, while avoiding any duplication of resource usage.
Impact
The Health Alliance for the Uninsured (HAU) coordinated diagnostic and specialty care, including surgeries, for  4,064 low-income, uninsured patients of safety net health clinics in Oklahoma County in fiscal year 2015/2016. The most frequently needed services are radiology, cardiology, gastroenterology, general surgery, and ophthalmology. Diabetic eye exams identify individuals needing procedures to stop the progression of diabetic retinopathy, assisting those living with the most common diagnosis among low-income, uninsured persons. By utilizing physicians who donate their services and hospitals who provide their services, HAU continues to improve access to cardiology, nephrology, pulmonology and other care through the Care Connection program it has developed.
HAU maintains a strong focus on improving access to prescription medications, understanding that consistent access to these saves lives, improves and maintains health, and has a positive impact on worker productivity and quality of life.  Over 10,000 prescriptions were filled for patients living with chronic health conditions such as diabetes, lung disease, high blood pressure and arthritis. In addition, HAU's 2 FTE medication access staff secured over $3 million in prescriptions by enrolling patients in assistance programs through pharmaceutical companies.The most recent accomplishment is the successful navigation of the complicated process to obtain the new medications that have greatly improved treatment of Hepatitis C. The course of treatment for one patient has a minimum value of $84,000.
During 2015, HAU began implementing a comunity-wide electronic health record system with safety-net clinic partners. This system allows comprehensive access to patient health information by connecting with both of the health information exchanges that exist in Oklahoma. HAU's referral process for diagnostic and specialty care has been streamlined with secure electronic exchange of patient data, nearly eliminating the need to fax paperwork. The system allows much better reporting of health outcomes, health trends, demographics of those served, and value of services. This represents a tremendous step forward for HAU and its partners.
Ongoing goals include expanding diagnostic and specialty volunteer base and advocating for HAU's target population of low-income, uninsured Oklahomans.
Needs
HAU's most pressing need is funding to provide the level of staffing needed to assist patients at HAU's partner clinics. Specific needs include: $20,000 to fund a part-time medication access staff position.$20,000 to match funding for the full-time bilingual referral coordinator position, and $25,000 to fund the annual cost of the electronic medical record system. 
HAU has an ongoing need for additional physicians in certain specialties to accept referrals and provide volunteer services. HAU also seeks new partnerships with specialty hospitals, imaging centers, providers of physical therapy and dialysis, to name only a few.
 
CEO/Executive Director Statement The Health Alliance for the Uninsured has an nine+-year track record of developing collaborative solutions to unmet health needs of low-income, uninsured persons in central Oklahoma. HAU began because of the concern Dr. Murali Krishna has for the medically underserved. Dr. Krishna very effectively brought together hospital CEOs, medical leaders, agencies and community organizations that all shared this concern. The strengths of the Health Alliance include the diversity of stakeholders that consistently come together to focus on the unmet health needs of thousands in Oklahoma County. By working together, innovative programs and services have been developed and these are making a difference. At this time, the Health Alliance and its many partners continue to look at the impact of the Affordable Care Act and focus its efforts on the needs that remain. Though some formerly uninsured Oklahomans now have health insurance, the decision to not expand Medicaid has left many low-income Oklahomans in a gap - earning too much for Medicaid and too little for insurance premium assistance. These thousands of working adults deserve access to quality health care in other to stay employed and contributing to family and community life. HAU assists thousands each year.
Board Chair Statement

Two of my passions have always been education and health care. Moving to Oklahoma City in 1987, I quickly became immersed in activities designed to improve education and health care for those in need in our community. During the years I served as President and CEO of INTEGRIS Health, I was involved in starting a free health clinic, INTEGRIS Community Clinic, and the first hospital-sponsored charter school, now named the Stanley F. Hupfeld Academy.

Under my leadership, INTEGRIS Health made an initial three-year financial commitment to underwrite the salary for the first staff person for the Health Alliance for the Uninsured. I am grateful that Bruce Lawrence, who succeeded me in 2010, maintains that commitment each year.

As I transitioned to the INTEGRIS Foundation, Dr. R. Murali Krishna asked me to consider serving on the Board of Directors of the Health Alliance. Pam Cross-Cupit, HAU’s Executive Director, arranged for me to visit most of the free or charitable clinics with whom the Health Alliance was working. I spoke with staff and volunteers at clinics, learning about the challenges they faced in caring for the medically vulnerable. Frankly, I was hooked by the potential the Health Alliance has to improve this situation.

When I was asked to succeed Dr. Krishna as board president, I said “yes, with one stipulation – the board must be willing to completely devote the organization to making meaningful changes in the fragmented safety net that worked for some, but left far too many out.” I am very pleased to see what our collective efforts have accomplished. The fragmentation that once existed has been largely replaced with improved, coordinated care for low-income, uninsured persons.

The Health Alliance’s work isn’t finished. There are still far too many working adults without health insurance and without a regular source of health care. These members of our community struggle with chronic conditions like diabetes, hypertension, and arthritis. Depression and respiratory illnesses are common. Too many Oklahomans don’t have access to recommended health screenings that would catch diseases in the early stages when they can be treated more effectively.

What keeps me involved with the Health Alliance is the knowledge that we are working collaboratively with dozens of community partners and funders to address unmet health needs and that we do this in compassionate but efficient ways. And when we have a process in place to meet one need, we move on to another. This is how we build a healthier community together.

Area Served
Area Served
Geographic Area Served
Central Oklahoma
Those assisted by the Health Alliance for the Uninsured are patients of safety-net clinics in Oklahoma County but may reside in surrounding counties. Key eligibility factors are being uninsured, not eligible for public programs, and having household income that does not exceed 200% of the federal poverty limit.
Service Categories
Secondary Organizational Category Human Services/
Programs
Description A unique public/private partnership, the Cooperative Central Pharmacy is open Mondays and Wednesdays serving low-income and uninsured persons and provides bulk medications to free clinics for dispensing to patients. By working together, Oklahoma County Social Services Department, Good Shepherd Ministries, the Homeless Alliance, and HAU, with critical support by funding partners, are helping solve access issues related to medications. HAU Medication Access staff undertake the complicated process of enrolling safety-net clinic patients in pharmaceutical company prescription assistance programs that provide free medications on an ongoing basis. This is a multi-step process that differs by company and medication, but brings tremendous improvement in medication compliance for patients.  
Strategy
Population Served Poor,Economically Disadvantaged,Indigent Adults General/Unspecified
Program Short-term SuccessHelpDescription of short-term achievement(s) or improvement(s) that will result from this program. The component of the program that can most readily be measured is patient participation in prescription assistance programs. HAU staff maintain frequent contact with these patients due to the ongoing document submission needed to secure medications every 90-120 days. Over 90% of patients comply with the program requirements, indicating strong motivation to maintain or improve their health.
Program Long-term SuccessHelpDescription of the ultimate change(s) that will result from this program. This may be far into the future or represent an ideal state. Those patients provided with prescription medications for acute illnesses will experience improved health and be able to return to work and/or improved functioning in family and community life. Those patients with one or more chronic health conditions will experience improved or stabilized health, which will increase opportunities for work, school/job training, family and community participation, and will decrease the chance of the development of serious health conditions. When possible, outcomes will be collected; though resources limit in-depth follow up.
Program Success MonitoringHelpDescription of the tools used to measure or track program impact. The patient assistance program component is monitored by direct contact or interview with each participating patient. These contacts are recorded and include notes about outcomes such as 1)patient was able to return to work, 2) patient was able to reduce diabetes medication due to improved compliance with diet and activity plan, or 3) patient reduced/eliminated tobacco use. Likewise, less positive health trending may be reflected in increased dependence on medications for chronic illnesses and HAU medication access staff is part of the interdisciplinary team that works with patients to turn those around.
Examples of Program SuccessHelpSpecific examples of changes in behaviors or testimonies of changes that demonstrate program success.
In 2014, 1.5 FTE HAU staff secured $1,128,598 in prescription medications through pharmaceutical company programs. One success story is a 35 year-old man whose diabetes had not been controlled and he was unable to work. After six months of consistent access to medications and diabetes education, he found employment with health insurance and "graduated" from dependence on the program. This component of the Cooperative Central Pharmacy assisted 320 patients in 2014.
Over 22,000 prescriptions were either filled onsite at the satellite pharmacy near downtown Oklahoma City or through bulk prescription medications provided to charitable clinics to dispense directly to their patients.  
 
Description Care Connection coordinates diagnostic and specialty care, including surgeries, for patients of safety-net clinics in Oklahoma County. HAU recruits physicians, hospital, and other community providers that can help meet those needs. HAU's Medical Director and nurses review referral requests from partner clinics and coordinate access to donated services. This process requires frequent communication with safety-net clinic providers and staff, recruitment of additional specialists and resources, and documentation to ensure appropriate and timely access to care.
Strategy
Population Served Adults Unemployed, Underemployed, Dislocated People/Families of People with Health Conditions
Program Short-term SuccessHelpDescription of short-term achievement(s) or improvement(s) that will result from this program. Care Connection's short-term successes include individual outcomes, such as timely access to surgery for individuals with diseased gallbladders, hernias, and malignancies. Access to specialists to diagnose and recommend treatment plans for complex gastrointestinal, endocrine, or neurological conditions is vital, as such care is outside general primary care management.
Program Long-term SuccessHelpDescription of the ultimate change(s) that will result from this program. This may be far into the future or represent an ideal state. HAU believes Care Connection impacts individual lives by providing timely access to needed diagnostic and specialty care, thus allowing those served to experience improved health and all that can come from that - productive work, improved family relationships, and community engagement. There are also benefits to employers by the improved health of the workforce and reduced health care costs through reduced emergency room visits. All of these are challenging to directly measure.
Program Success MonitoringHelpDescription of the tools used to measure or track program impact.
HAU worked with a team of consultants from ESCCO, the Executive Service Corps of Central Oklahoma, to develop specific metrics of success for Care Connection. HAU utilizes a custom database specifically to track the metrics developed in consultation with the ESCCO team. These include factors that are not directly within HAU's control but HAU can help improve through communication with referring safety-net
clinics, as well as patient-related factors such as attending or not attending appointments coordinated by HAU. Internal processes that will be measured focus on timeliness from complete referral received in HAU office to appointment for diagnostic or specialty care being arranged. HAU will also implement ESCCO's recommendation for measuring satisfaction of stakeholders by surveying primary care providers, specialty care providers, and patients.
Examples of Program SuccessHelpSpecific examples of changes in behaviors or testimonies of changes that demonstrate program success.

“I needed my esophagus stretched because food would not go down. You could be eating and it just stops. It is very painful. The clinic set up a referral to a specialist through the Health Alliance. It happened quickly and it was a blessing. Before, I was miserable, scared to eat, losing weight. I was living on ramen noodles because it goes down easy.

The job I was on, I couldn’t afford the health insurance at $1,200 a month. That procedure would probably have cost me $3,000 - $4,000. I don’t know what I would have done without the clinic and without the Health Alliance. Now I take a pill every day for acid reflux and it keeps it calmed down.

I would talk to others that need help and tell them that this clinic really cares and they send you to get things done properly.” Malvern Montgomery, age 55

In 2015, HAU assisted 3,941 patients with diagnostic tests that range from chest x-ray to mammograms and colonoscopies, and with specialty consults and a variety of surgeries.
Comments on Programs
CEO/Executive Director/Board Comments HAU is weathering a rapidly changing health care environment that certainly impacts our target population of low-income, uninsured persons, but also impacts the physicians, hospitals and other health service providers that face tremendous financial uncertainty. HAU has a strong board of directors that provides effective governance during this time of change. HAU also has developed many partnerships with safety-net clinics and community partners and this ongoing communication and collaboration helps HAU define its role at a catalyst for improved health care for those who would otherwise be unable to obtain it. HAU actively examines the causes of unmet needs and works with existing and new partners in order to implement innovative solutions.
CEO/Executive Director
CEO/Executive Director Pam Cross-Cupit
Start Date Apr 2007
Email pam.cross@hauonline.org
Experience Pam Cross-Cupit began work as a project coordinator for the Health Alliance for the Uninsured in April 2007. At that time, the Health Alliance was a community collaboration that was sponsored by Oklahoma County Medical Society. In April 2016, Pam was honored to receive the Don J. Blair Friend of Medicine Award from Oklahoma State Medical Association for her work with the Health Alliance for the Uninsured. Prior to this challenge, Pam was the executive director of HeartLine, previously Contact Crisis Helpline, from 2001-2007 and oversaw the development of 2-1-1 for central Oklahoma. Pam's first experience leading a nonprofit came as she succeeded the founder and executive director of RAIN, Regional AIDS Interfaith Network, 1995 - 2001. Pam's initial nonprofit work experience was as the teen pregnancy prevention and adolescent HIV prevention coordinator for the Oklahoma Institute for Child Advocacy. Pam achieved a Master's in Public Health from the OU Health Sciences Center May 1993. Her undergraduate degree from Oklahoma State University is in Social Sciences. A native Oklahoman, Pam is committed to helping Oklahomans achieve improved health and productivity.
Senior Staff
NameTitle
Beverly Caviness, RN, BSNDirector of Patient Services
Timothy Hill, PhDMedical Director
Staff
Number of Full-time Staff 5
Number of Part-time Staff 1
Number of Contract Staff 2
Number of Volunteers 260
Staff Retention Rate 100
Are professional development opportunities provided? Yes
Does CEO/Executive Director have formal evaluations? Yes
Management reports to board? Yes
Staff Demographics - Ethnicity
African American/Black 0
Asian American/Pacific Islander 0
Caucasian 6
Hispanic/Latino 1
Native American/American Indian 1
Staff Demographics - Gender
Male 2
Female 6
Organizational Plans
Fundraising Plan Under Development
Policy against commission-based compensation for fundraising consultant No
Communication Plan No
Strategic Plan Yes
Number of Years Strategic Plan Considers 2
Date Strategic Plan Adopted May 2014
Management Succession Plan No
Organization Policies and Procedures Yes
Collaborations

The Health Alliance for the Uninsured (HAU) began as a collaborative effort of Oklahoma County Medical Society, Oklahoma Hospital Association, and Oklahoma City-County Health Department, with many other partners contributing to the effort. There are many stakeholders in activities related to healthcare for low-income, uninsured persons in Oklahoma County. HAU has forged strong working relationships with the following entities:

Cooperative Central Pharmacy – Good Shepherd Ministries, the Homeless Alliance, Oklahoma County Social Services, seven additional charitable clinics. Patient assistance program enrollment – Baptist Mission Center, Cross and Crown Clinic, INTEGRIS Community Clinic, Mid-Del Community Clinic, Lighthouse Medical Clinic, and St. Charles Clinic. Recent additions are the three OU Physicians/OKC-County Health Department clinics.

Care Connection – INTEGRIS Health, Mercy Hospital Oklahoma City, St. Anthony Hospital, four independent imaging centers, approximately 250 specialist physicians/surgeons, Variety Care and Community Health Centers, Inc. (federally qualified health centers), and the following charitable clinics, Baptist Mission Center, Cross and Crown Clinic, Christ Community Health Coalition, Crossings Community Clinic, Good Samaritan Health Clinic of Edmond, Good Shepherd Ministries, INTEGRIS Community Clinic, Lighthouse Medical Clinic, Mid-Del Community Clinic, Ministries of Jesus, Open Arms Clinic, Shifa Clinic, and St. Charles Clinic.

Affiliations
AffiliationYear
United Way of Central Oklahoma member agency2011
Awards
Awards
Award/RecognitionOrganizationYear
Community Service AwardThe Interfaith Alliance2010
Oklahoma Nonprofit Excellence Award for Health ServicesOklahoma Center for Nonprofits2016
Government Licenses
Is your organization licensed by the government (federal, state and/or local)? No
Comments on Staff & Management
CEO/Executive Director/Board Comments HAU is steadily improving access to needed health services while staying informed of local, state, and federal decisions that impact individuals and HAU partners. Working on behalf of the medically vulnerable is challenging in this environment; however, HAU strives to maintain and even expand access in the short term, while advocating for better long-term solutions.
Board Chair
Name Mr. Stanley F. Hupfeld
Company Affiliation INTEGRIS Foundation
Term July 2011 to Dec 2016
Email Stanley.Hupfeld@integrisok.com
Board of Directors
List Current as of Sept 01, 2016
Board of Directors List
NameAffiliationStatus
Cynthia Alexander - Treasurer JP Morgan Chase BankVoting
Django Belote, Pharm. D. INTEGRIS Health EdmondVoting
Kimberly Corcoran, RN Crossings Community ClinicVoting
Tom Edelstein - Secretary Mercy Health CenterVoting
Mike Fogarty Oklahoma Health Care AuthorityVoting
Anthony Hendricks Crowe & DunlevyVoting
Stanley F. Hupfeld INTEGRIS FoundationsVoting
Craig Jones, FACHE Oklahoma Hospital AssociationVoting
Julie Jungman, CPA RSM US LLPVoting
R. Murali Krishna, MD - Founding President Integris Mental HealthVoting
D Robert McCaffree, MD OU Health Sciences CenterVoting
Daniel L McNeill, PhD, P A.-C OU Physicians Associate ProgramVoting
Gary Raju, CPA Mercy Hospital Oklahoma CityVoting
Aldwyn Sappleton Oklahoma Department of CommerceVoting
Don Wilber, MD Voting
Adeline Yerkes RN, MPH AMY Consulting, LLCVoting
Board Demographics - Ethnicity
African American/Black 3
Caucasian 12
Native American/American Indian 1
Board Demographics - Gender
Male 12
Female 4
Governance
Board Term Lengths 3 years
Percentage of Board Making Monetary Contributions to the Organization 93 %
Percentage of Board Making In-Kind Contributions to the Organization 40 %
Board Orientation Yes
Constituency Includes Client Representation No
Written Board Selection Criteria? Under Development
Standing Committees
Executive
Nominating
Audit
Comments on Board & Governance
CEO/Executive Director/Board Comments
HAU's Board of Directors added four young members through the Board Serve program through United Way of Central Oklahoma, including an attorney, data analyst, CPA, and the Director of a hospital pharmacy.  
HAU faces its most challenging time sustaining services due to increased competition for grant dollars. HAU's board and staff leadership are working together to expand donor base and become less reliant on grant funds.  
Current Fiscal Year
Fiscal Year July 01, 2016-June 30, 2017
Current Year Budgeted Total Income $705,850
Current Year Budgeted Total Expenses $705,722
Financial Documents
Audit2015
Audit2014
Audit2013
Audit2012
Audit2011
IRS Letter of Determination
Prior Three Years' Financial History
Revenue SourcesHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available) and revenue sources may not sum to total based on reconciliation differences. Revenue from foundations and corporations may include individual contributions when not itemized separately.
Fiscal Year201520142013
Foundation and
Corporation Contributions
$145,819$108,355$195,799
Government Contributions$0$0$0
Federal------
State------
Local------
Unspecified------
Individual Contributions$543,329$418,271$395,126
------
------
Investment Income, Net of Losses$809$31--
Unrealized Gain/Loss------
Membership Dues------
Special Events------
Revenue In-Kind$724$50,105$10,992
Other$8,700----
Expense Allocation
Fiscal Year201520142013
Program Expense$610,523$630,620$460,222
Administration Expense$29,289$30,086$39,750
Fundraising Expense$12,203$12,535$4,969
Payments to Affiliates------
Total Revenue/Total Expenses1.070.861.19
Program Expense/Total Expenses94%94%91%
Fundraising Expense/Contributed Revenue2%2%1%
Assets and Liabilities
Fiscal Year201520142013
Total Assets$219,951$172,910$239,389
Current Assets$167,207$163,738$225,599
Long-Term Liabilities------
Current Liabilities$35$360$360
Total Net Assets$219,916$172,550$239,029
Solvency
Short Term Solvency
Fiscal Year201520142013
Current Ratio: Current Assets/Current Liabilities4777.34454.83626.66
Long Term Solvency
Fiscal Year201520142013
Long-Term Liabilities/Total Assets0%0%0%
Funding Sources
Top Funding Sources
Fiscal Year201520142013
Top Funding Source & Dollar AmountIndividuals $543,329Individuals $418,271Individuals $395,126
Second Highest Funding Source & Dollar AmountFoundations & Corporations $145,819Foundations & Corporations $108,355Foundations & Corporations $195,799
Third Highest Funding Source & Dollar AmountOther $8,700Revenue In-Kind $50,105Revenue In-Kind $10,992
Endowment? Yes
Endowment Spending Policy Percentage
Endowment Spending Policy Percentage (if selected) 5 %
Credit Line? No
Reserve Fund? No
Capital Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next Five Years? No
Comments on Financials
CEO/Executive Director/Board Comments
Though HAU does not receive state funding, HAU, its partners, and people assisted have been greatly impacted by state financial shortfalls. This has left more people needing HAU services at a time that HAU faces much greater competition for private dollars, as organizations that lost state funding must replace those dollars with private dollars. 
HAU is widening its funding efforts to include more individual donors and additional foundations, including several outside of Oklahoma.
Board members are taking on more responsibility for ensuring financial stability; however, HAU faces its most severe funding crisis in its history.   
Foundation Staff Comments
All prior year financial information is from audited financial statements.
 
Organizations with a GiveSmartOKC profile are responsible for updating information annually within 45 days following the end of their fiscal year.
 
Address 3000 United Founders Blvd. Suite 244
Oklahoma City, OK 73112 3913
Primary Phone 405 286-3343
Contact Email pam.cross@hauonline.org
Give to Endowment http://occf.org/hafu/
CEO/Executive Director Pam Cross-Cupit
Board Chair Mr. Stanley F. Hupfeld
Board Chair Company Affiliation INTEGRIS Foundation

 

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