2011 Pennsylvania Charitable Organizations Survey

Member Group : Lincoln Institute

Total Started Survey: 213
Total Completed Survey: 187 (87.8%)

Policy Issues

1. In general, do you think business conditions in Pennsylvania are BETTER, about the SAME, or WORSE than they were one year ago?

Response
Percent
Response
Count
BETTER 7.5% 16
ABOUT THE SAME 52.8% 112
WORSE 39.6% 84
answered question 212
skipped question 1

2. Looking ahead one year, do you expect business conditions to be BETTER, about the SAME, or WORSE than they are today?

Response
Percent
Response
Count
BETTER 26.9% 57
ABOUT THE SAME 47.2% 100
WORSE 25.9% 55
answered question 212
skipped question 1

3. Are employment levels at your organization HIGHER, about the SAME, or LOWER than they were one year ago?

  Response
Percent
Response
Count
HIGHER 17.1% 36
ABOUT THE SAME 52.6% 111
LOWER 30.3% 64
answered question 211
skipped question 2

4. Looking ahead one year, do you expect employment levels at your organization to be HIGHER, about the SAME, or LOWER than they are today?

  Response
Percent
Response
Count
HIGHER 19.1% 40
ABOUT THE SAME 64.6% 135
LOWER 16.3% 34
answered question 209
skipped question 4

5. What impact has the recent economic recession had on your organization?

  Response
Percent
Response
Count
SIGNIFICANT NEGATIVE IMPACT 31.0% 65
SOMEWHAT NEGATIVE IMPACT 56.2% 118
NO IMPACT 4.8% 10
SOMEWHAT POSITIVE IMPACT 7.6% 16
SIGNIFICANT POSITIVE IMPACT 0.5% 1
answered question 210
skipped question 3

6. Has the recent economic recession caused your organization to increase services, decrease services, or has the level of services provided remained about the same?

  Response
Percent
Response
Count
INCREASED SERVICES 27.8% 58
ABOUT THE SAME 48.8% 102
DECREASED SERVICES 23.4% 49
answered question 209
skipped question 4

7. Has your organization had to do any of the following as a result of the economic recession:

[td c4]answered question[td c4]skipped question
  YES NO DON’T KNOW/ REFUSED Response
Count
LAY-OFF STAFF 28.5% (59) 69.6% (144) 1.9% (4) 207
REDUCE EMPLOYEE HOURS 31.9% (65) 66.2% (135) 2.0% (4) 204
CUT SALARIES 11.8% (24) 83.3% (169) 4.9% (10) 203
CUT OR ELIMINATE BENEFITS 23.5% (48) 73.5% (150) 2.9% (6) 204
DISCONTINUE SOME SERVICES 36.1% (75) 62.0% (129) 1.9% (4) 208
BORROW OPERATING MONEY 21.6% (44) 72.5% (148) 5.9% (12) 204
CANCEL OR POSTPONE EXPANSION PLANS 36.2% (75) 58.5% (121) 5.3% (11) 207
210
3

8. If your organization receives state funding, has your level of funding INCREASED, DECREASED, or stayed ABOUT THE SAME over the past year?

  Response
Percent
Response
Count
INCREASED 1.4% 3
ABOUT THE SAME 16.9% 35
DECREASED 44.4% 92
DON’T RECEIVE STATE FUNDING 37.2% 77
answered question 207
skipped question 6

9. Would you say the current level of public trust in charities is:

  Response
Percent
Response
Count
HIGH 15.7% 33
MEDIUM 61.4% 129
LOW 15.7% 33
NO OPINION/REFUSED 7.1% 15
answered question 210
skipped question 3

10. Would you say the level of public trust in charities has IMPROVED or GOTTEN WORSE over the past couple of years?

  Response
Percent
Response
Count
SIGNIFICANTLY IMPROVED 2.8% 6
SOMEWHAT IMPROVED 18.5% 39
ABOUT THE SAME 45.0% 95
SOMEWHAT WORSE 25.6% 54
SIGNIFICANTLY WORSE 1.9% 4
NO OPINION/REFUSED 6.2% 13
answered question 211
skipped question 2

11. Do you think non-profit organizations should be required to register as lobbyists if they interact with the federal, state, or local government, or should non-profits be exempt from such requirements?

  Response
Percent
Response
Count
YES, SHOULD BE REQUIRED TO REGISTER 28.9% 61
NO, SHOULD NOT BE REQUIRED TO REGISTER 38.9% 82
DON’T KNOW 21.8% 46
NO OPINION/REFUSED 10.4% 22
answered question 211
skipped question 2

12. Has anyone from your organization registered as a lobbyist under the Pennsylvania Lobbying Disclosure Act?

  Response
Percent
Response
Count
YES 6.7% 14
NO 83.3% 175
DON’T KNOW/REFUSED 10.0% 21
answered question 210
skipped question 3

13. Do you understand what is required under the new Pennsylvania lobbying disclosure law and regulations?

Response
Percent
Response
Count
YES 38.3% 80
NO 45.5% 95
DON’T KNOW/REFUSED 16.3% 34
answered question 209
skipped question 4

14. Did your organization lobby the FEDERAL government on any public policy issue during the past year?

  Response
Percent
Response
Count
YES 14.3% 30
NO 75.7% 159
DON’T KNOW/REFUSED 10.0% 21
answered question 210
skipped question 3

15. Did your organization lobby STATE government on any public policy issue during the past year?

  Response
Percent
Response
Count
YES 32.1% 67
NO 58.9% 123
DON’T KNOW/REFUSED 9.1% 19
answered question 209
skipped question 4

16. Did your organization lobby any LOCAL government (county, city, borough, township) on any public policy issue during the past year?

  Response
Percent
Response
Count
YES 17.4% 36
NO 71.0% 147
DON’T KNOW/REFUSED 11.6% 24
answered question 207
skipped question 6

17. Does your organization PLAN to lobby government at any level on any public policy issue during the coming year?

  Response
Percent
Response
Count
YES 30.6% 64
NO 50.7% 106
DON’T KNOW/REFUSED 18.7% 39
answered question 209
skipped question 4

18. When it comes to your personal responsibilities for lobbying would you:

[td c4]answered question[td c4]skipped question
  YES NO DON’T KNOW/ REFUSED Response
Count
BENEFIT FROM TRAINING 53.1% (111) 25.8% (54) 21.1% (44) 209
BENEFIT FROM FACE-TO-FACE BRIEFINGS 39.8% (80) 33.3% (67) 26.9% (54) 201
READ BRIEFINGS 62.4% (128) 16.1% (33) 21.5% (44) 205
211
2

19. Do you provide health insurance to your employees?

  Response
Percent
Response
Count
CURRENTLY PROVIDE HEALTH INSURANCE 77.4% 161
PREVIOUSLY PROVIDED, BUT DISCONTINUED 2.9% 6
DO NOT PROVIDE, BUT PLAN TO IN THE FUTURE 4.3% 9
HAVE NO PLANS TO PROVIDE INSURANCE 14.9% 31
DON’T KNOW/REFUSED 0.5% 1
answered question 208
skipped question 5

20. If you provide health insurance, who pays the premium?

  Response
Percent
Response
Count
EMPLOYER PAYS FULL PREMIUM 22.1% 44
EMPLOYEE PAYS FULL PREMIUM 0.5% 1
SPLIT/MAJOR PORTION PAID BY EMPLOYER 48.7% 97
SPLIT/MAJOR PORTION PAID BY EMPLOYEE 3.5% 7
50/50 SPLIT EMPLOYER/EMPLOYEE 5.5% 11
DO NOT OFFER/WILL NOT OFFER INSURANCE 15.6% 31
DON’T KNOW/REFUSED 4.0% 8
answered question 199
skipped question 14

21. When it comes to providing social services, which level of government do you think operates most efficiently?

  Response
Percent
Response
Count
FEDERAL 5.3% 11
STATE 14.8% 31
COUNTY 37.8% 79
MUNICIPAL (LOCAL) 15.3% 32
DON’T KNOW/REFUSED 26.8% 56
answered question 209
skipped question 4

Organizational Issues

22. Since the beginning of the year has income to your organization from all sources:

  Response
Percent
Response
Count
INCREASED SIGNIFICANTLY 1.6% 3
INCREASED MODERATELY 19.5% 36
STAYED ABOUT THE SAME 33.0% 61
DECREASED MODERATELY 33.5% 62
DECREASED SIGNIFICANTLY 10.3% 19
DON’T KNOW/REFUSED 2.2% 4
answered question 185
skipped question 28

23. Generally speaking, from 2009 to 2010 did funding for your organization INCREASE, DECREASE, or STAY ABOUT THE SAME.

  Response
Percent
Response
Count
INCREASED 21.6% 40
STAYED ABOUT THE SAME 34.1% 63
DECREASED 41.6% 77
DON’T KNOW/REFUSED 2.7% 5
answered question 185
skipped question 28

24. Generally speaking, do you expect to see funding for 2011 INCREASE, DECREASE, or STAY ABOUT THE SAME as it was in 2010?

  Response
Percent
Response
Count
INCREASE 21.9% 40
STAY ABOUT THE SAME 34.4% 63
DECREASE 42.1% 77
DON’T KNOW/NO OPINION 1.6% 3
answered question 183
skipped question 30

25. Approximately what percentage of your funding in 2010 came from the following sources?

[td c6]answered question

[td c6]

[td c6]answered question

[td c6]

0-10% 11-20% 21-30% 31-40% 41-50% 51-60% 61-70% 71-80% 81-90% 91-100% DON’T KNOW/ REFUSED Response
Count
FOUNDATIONS 57.8% (104) 10.6% (19) 10.6% (19) 6.7% (12) 3.9% (7) 0.0% (0) 1.7% (3) 1.1% (2) 0.0% (0) 1.7% (3) 6.1% (11) 180
FEDERAL FUNDING 60.9% (106) 8.6% (15) 8.6% (15) 2.3% (4) 1.1% (2) 2.9% (5) 1.7% (3) 1.1% (2) 2.9% (5) 1.1% (2) 8.6% (15) 174
STATE FUNDING 50.6% (88) 12.6% (22) 8.0% (14) 6.3% (11) 2.3% (4) 5.2% (9) 1.7% (3) 2.3% (4) 2.9% (5) 0.6% (1) 7.5% (13) 174
COUNTY/LOCAL FUNDING 63.7% (107) 14.3% (24) 5.4% (9) 3.0% (5) 1.2% (2) 1.8% (3) 0.6% (1) 0.6% (1) 0.6% (1) 0.0% (0) 8.9% (15) 168
INDIVIDUALS 35.0% (63) 16.7% (30) 10.6% (19) 7.2% (13) 5.0% (9) 1.7% (3) 3.3% (6) 2.8% (5) 2.8% (5) 7.8% (14) 7.2% (13) 180
PROGRAM FEES 45.3% (81) 14.0% (25) 7.3% (13) 6.7% (12) 6.7% (12) 2.2% (4) 1.7% (3) 2.8% (5) 2.2% (4) 2.2% (4) 8.9% (16) 179
186
27

26. How has the economy impacted these funding sources for your organization:

[td c6]answered question[td c6]skipped question
  SIGNIFICANT INCREASE MODERATE INCREASE ABOUT THE SAME MODERATE DECREASE SIGNIFICANT DECREASE DON’T KNOW/ REFUSED Response
Count
FOUNDATIONS 2.2% (4) 8.4% (15) 38.2% (68) 22.5% (40) 11.2% (20) 17.4% (31) 178
FEDERAL FUNDING 0.0% (0) 4.9% (8) 27.4% (45) 21.3% (35) 12.2% (20) 34.1% (56) 164
STATE FUNDING 0.0% (0) 1.8% (3) 23.4% (40) 28.1% (48) 21.1% (36) 25.7% (44) 171
COUNTY/LOCAL FUNDING 0.6% (1) 1.8% (3) 39.5% (66) 16.2% (27) 9.6% (16) 32.3% (54) 167
INDIVIDUALS 1.7% (3) 19.0% (34) 35.2% (63) 25.7% (46) 7.3% (13) 11.2% (20) 179
PROGRAM FEES 1.2% (2) 13.4% (23) 46.5% (80) 12.2% (21) 5.2% (9) 21.5% (37) 172
184
29

27. Generally speaking, do you have GREATER, ABOUT THE SAME, or LESS ability to fulfill your organization’s core mission this year than in past years?

  Response
Percent
Response
Count
GREATER 11.4% 21
ABOUT THE SAME 56.2% 104
LESS 31.4% 58
DON’T KNOW/REFUSED 1.1% 2
answered question 185
skipped question 28

28. Does your organization use social media? (Check all that apply)

  Response
Percent
Response
Count
TWITTER 41.5% 59
FACEBOOK 94.4% 134
LINKED IN 35.2% 50
YOU TUBE 32.4% 46
BLOGGING 18.3% 26
GOOGLE+ (AS INDIVIDUALS TO PROMOTE YOUR ORGANIZATION) 14.8% 21
Other
•web site
• website
• e-mail list
• constant contact
• Four Square
• website
• yahoo
• developing
• constant contact
• USPS is still pretty social for some people.
• Own corporate website
• No
• Website
• web site, radio spots, local magazines
• goodsearch/goodshop
• we do not use
16
answered question 142
skipped question 71

29. Have you tried to raise money through social media?

  Response
Percent
Response
Count
NO 68.9% 126
TRIED, RAISED UNDER $100 8.7% 16
TRIED, RAISED $100-$999 12.6% 23
TRIED, RAISED OVER $1,000 7.1% 13
TRIED, RAISED OVER $10,000 2.7% 5
answered question 183
skipped question 30

30. Is your organization contemplating any type of material change in 2012?

  Response
Percent
Response
Count
MERGER 2.7% 5
LIMITED LIABILITY CORPORATION 0.0% 0
CLOSING YOUR DOORS 1.6% 3
EXPANDING OPERATIONS 13.6% 25
MOVING YOUR OFFICES 6.5% 12
NO CHANGE 68.5% 126
Other
• Delaying capital expenses
• expanding operations, moving offices, possibly emination of programs
• Significant reduction in staff
• Downsizing space
• Social enterprise additions
• Reduce service hours at some library locations.
• making major changes
• restructuring program fees
• Further program contraction
• training local volunteers to reduce travel expenses
• new building for existing programs
• several options above
7.1% 13
answered question 184
skipped question 29

31. Have the new IRS Form 990 requirements caused any difficulties for your organization?

  Response
Percent
Response
Count
SIGNIFICANT DIFFICULTIES 0.0% 0
SOME DIFFICULTY 15.8% 29
NO DIFFULTY 63.9% 117
DON’T KNOW/REFUSED 20.8% 38
answered question 183
skipped question 30

32. Does your organization have difficulty hiring/retaining qualfied staff?

  Response
Percent
Response
Count
YES 38.8% 71
NO 56.8% 104
DON’T KNOW/REFUSED 4.4% 8
answered question 183
skipped question 30

33. If your organization does have difficult hiring/retaining qualified staff, what is the cause of that difficulty?

  Response
Percent
Response
Count
OUR SALARY OFFERS ARE LOWER 40.4% 38
FOR PROFITS OFFER BETTERS SALARY/BENEFIT PACKAGES 21.3% 20
INADEQUATE PREPARATIONS OF PROSPECTIVE EMPLOYEES 7.4% 7
INABILITY TO PROVIDE BENEFITS 9.6% 9
Other
• Combination of 1, 2 & 4.
• No difficulty
• We have a volunteer staff
• Not certain – multiple reasons
• N/A
• Salary lower; prospect of job/benefit loss always around
• management
• all volunteers
• location in downtown Harrisburg
• management/governance weakness
• Amount of work per position
• do not know
• lack of professionals in rural areas
• We have no funds for salaries, and are entirely a volunteer operation at this time
• All the above & general preparation of workforce for the services provided
• instability of organization causes rapid turn over
• no benefits for PT
• all of the above
• Small labor pool for nurses & health care workers
• all of the above
21.3% 20
answered question 94
skipped question 119

34. Which issue(s) has your organization experienced challenges in regarding the recruitment of good Board members?

  Response
Percent
Response
Count
NON-PROFIT SCANDALS 0.0% 0
LIABILITY 1.1% 2
LACK OF TIME 31.1% 56
PEOPLE ALREADY COMMITTED TO OTHER ORGANIZATIONS 32.8% 59
NOT WILLING TO FUNDRAISE FOR OUR ORGAIZATION 25.6% 46
Other
• Again, it’s a combination. You should allow "check as many as apply" to these.
• Our recruiting pool is limited exclusively to paralyzed veterans
• conflict of interest
• No issue recruiting board members.
• lack of time & people already committed to other organizations
• Lack of time, over committed & not willing to fundraise
• all volunteers
• unclear about expectations
• N/A
• All of the above
• Since I can’t check more than one, we’ve encountered lack of time, already committed, and not willing to fundraise. Our official "other" was a person who was uncomfortable being publicly associated with a gay organization.
• You asked for Issues – but it would not let me select more than one. Liability, Lack of time,People already committed to other organizations and NOT WILLING TO FUNDRAISE
• no problems
• time + knowledge + board/management skills
• No Challenges
• Lack of time, lack of commitment, fundraising fears, traditional rather than self-governing paradigm
• bottom 3
9.4% 17
answered question 180
skipped question 33

35. Would you regularly like to receive information on policy issues (state and national) that impact nonprofit organizations?

  Response
Percent
Response
Count
YES 82.2% 152
NO 12.4% 23
DON’T KNOW/REFUSED 5.4% 10
answered question 185
skipped question 28

36. IF YES, with what frequency would you like to receive information on state and national policy issues?

  Response
Percent
Response
Count
DAILY 2.4% 4
WEEKLY 34.1% 57
MONTHLY 55.1% 92
DON’T KNOW/REFUSED 8.4% 14
answered question 167
skipped question 46

37. IF your organization belongs to a professional association, what services that are not currently provided would you like to see added?

  Response
Count
Other
• Better education of the public about what a nonprofit, particularly a charity, is.
• online training
• no comment at this time
• Capwiz or other action links for advocacy on state and local issues Only national issues now. As issues of funding revert to states and counties the national needs to support the local levels in the new divide and destroy social services campaign from the ultra right in DC
• none
• n/a
• no cost training
• More active political advocacy
• group benefits plans, compensation studies
• Legal Counsel in HR issues
• no answer
• none
• Advocacy with state legislature
• More about the problems within the business, more of a positive approach
• Fundraising/Sponsorships/Grants Assistance
• More assistance in common policies tobe consistent in PA
• none
17
answered question 17
skipped question 196

38. What is your organization’s biggest concern as you prepare for 2012?

  Response
Count
Other
• Republicans taking over what they haven’t already plundered, gouged and pilfered.
• Expenses
• Sustainability
• Aging volunteers
• finances and planning
• PA budget for 2013
• Lack of understanding by the public about nonprofits, how to separate real, functional charities from frauds/those not doing the job.
• overhead
• Potential cuts to Medicare and Medicaid Funding
• budget
• Being able to generate enough income to sustain operations.
• Direction of the economy esp. real estate
• Building a board of directors that really works for us, and developing a culture of philanthropy at all levels of the organization.
• The economy and our funding.
• Funding & mandated service delivery changes
• Funding for food for the food insecure and capitol for buidling improvements.
• We are a small start-up. Since we are able to keep going with small growth in such a difficult economy we are optimistic. Most difficult concern is the ability to provide health benefits and pay salaries to attract talent.
• membership – which is our primary source of income now
• Continued funding
• having enough available resources to meet the growing needs presented by our clients
• competing with other non-profits for funding/grants from foundations.
• Demand for services outstripping supply. Those cracks people were falling through occasionally have expanded to chasms of chaos. Wait lists for services are developing for persons in crisis. Housing for disabled does not begin to approach need. Staff burn out and leave. Mini model programs are huge success, but they are only funded for limited use and time. People are in programs like job training when there is no job at the end. People finish rehab programs ready to live independently but there are no vouchers for housing. 50,000 persons in Phila applied last March for PHA Section 8 ….. in one week when they opened the list. There is and was no real plan to expand housing as PHA is under federal control now. PA Legislators just got a 3% COLA. The Governor has requested all agencies to trim their budget again for 2012. There is a disconnect between the elected and the electorate. There is no COLA for the poor. Last year PA even cut the SSP by $5. There is no COLA for Non Profits serving the poor. Fundraising will have to be a priority for survival.
• cooperation of the board and the executive director and finding money to pay the executive director.
• clear realistic goals
• We are primarily funded through NIH grants. With more applicants and less available $$, our biggest concern is our continued ability to successfully compete for grants.
• Sustainability
• Financial
• Clients waiting for services on waiting lists, Rate cuts, unfunded mandates, rising healthcare costs
• State funding and getting muti-year commitment from local foundations to support operating and program expenses.
• Viablity to support our primary functions
• Having completed a strategic plan in 2011, our biggest concern is to secure funding for the enriched services our clients have requested.
• Further reductions in funding from governmental sources.
• decrease in funding
• The economy and its impact on revenue
• Funding
• membership renewal
• Increasing Special Events to form another stream of income
• funding
• No thaving a consistent income stream to replace loss of gov’t funding.
• Investment markets, Medicare funiding
• eliminating accumulated deficit
• How to continue our services without significantly raising our fees to those we serve.
• Lack of full funding; i.e. appropriate rates for services rendered.
• The economy
• economic leadership and FD capability
• Recruiting active board members.
• Fundraising in an area with an unemployment rate higher than state and national averages.
• Individual program financial sustainability
• economic impact on funding
• MEMBER RETENTION AND CAPITAL FUNDING
• staff turnover
• more funding loss
• operating within our budget; staff morale
• Money
• Funding sources
• funding
• investment income instability
• Stress on employees to do more than just their own job because as funds go down positions are not replaced. And ability to continue to provide quality services
• Budget
• retaining donors
• Funding and audience development
• Meeting the increasing need for behavioral health treatment services
• funding uncertainty
• Budget and service delivery possibilities issues
• Ability to expand services. Funding levels. Recruitment of qualified direct care workers.
• funding, health care reform
• Funding -local and state
• Foundation funding and individual donations
• The continuing slow economy…
• Some of our major donors have passed away or are quite elderly and ill. This is a difficult time to move donors up in their contribution level. Also, the UW allocation pool keeps shrinking, and that has been a large source of funding for us. And the PAM debacle burned some of our major donors and has taken huge amounts of charitable dollars that used to be available to other charities.
• Ability to provide current services and add new ones
• Rate setting for services, and application ofarbitrary rate adjusment factors.
• Increased in client needs with same staff
• Maintaining current funding levels
• Revenue
• That we will have enough volunteers to meet the guidelines of our grant agreements.
• Putting butts in seats for our concerts.
• Funding and BOARD DEVELOPMENT
• That our federal funding is continued.
• Increasing the amount of donors
• sustainability
• funding
• Finding/retaining staff to support our new program efforts and with skill to manage the administrative/financial requirements
• Attracting clients
• Maintaining our funding in order to continue to drive our mission.
• Finding new donors to help support increase in number of people served.
• Making the same budget stretch farther as inflation and costs rise.
• Finding a venue in which to produce our services (theatrical productions)
• High tuition rates for students
• Economy
• uneasy national fiscal stability
• Fundraising.
• Meeting our current budget deficit and the propsect of even greater reductions in Federal/State support
• funding
• reimbursement for services
• Meeting budget.
• Meeting our budget and increasing the amount of children served
• raising funds
• Funding from Public and Community sources
• Raising enough funding for a major anniversary in 2013.
• Funding from the Government
• negative impact on people using state funded services due to state revenues and current administration; organziation may also lose funding, again impacting people we represent
• Maintaining a level of services to meet the needs of individuals with disabilities
• There may be more requests for assistance with no increase in budget.
• Poor economic conditions, loss of employment in local areas
• MONEY, staffing and clinic space, so we can apply for our state license.
• Declining State $.
• employee health insurance costs workforce development political pressures to make short-term decisions with long-term, negative consequences
• increased need from the community will continue to exeed the rate of increased giving.
• money to provide services.
• Government funding cuts and a plan by the government to eliminate services and service locations funded through DPW.
• significant shifts in government funding
• The state budget
• Our top management is reaching retirement age and are plannig to leave within the next three to five years. We are having diffuculty finding younger people with the same ethics.
• fundraising
• Getting the operating funds to stay open
• funding
• Increasing Revenues and Limiting Expenses to Balance the Budget
• Financial stability. Funding cuts from Government sources.
• Funding – government & private
• Continued economic downturn will erode funding streams
• The economy
• Unknown changes to the Federal health laws and regulations.
• funding and space
• Funidng>> Expansion for new exhibit/program>>Staff maintenance
• strategic planning and capacity building
• Increased funding to hire/retain quality advocates.
• stability of funding if economic conditions, weakened perhaps by the European sovereign debt issues, worsens
• Board leadership
• funding
• need to increase our fundraising efforts
• Increasing revenue
• Capacity–we keep outgrowing our capacity for providing good service.
• government reminbursement rates via Medicaid and CHIP
• Balancing our budget and recruiting members
• Foundations scaling back grants due to shrinking investment portfolio from poor economic times.
• Expansion plans of the county that place us in direct competition.
• Continuing to provide the highest quality service possible as we serve more people.
• $$
139
answered question 139
skipped question 74