2014 ANNUAL REPORT

TRANSITIONS

July 1, 2013 - June 30, 2014

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Dear Friends:

I am honored to present the Planned Parenthood of the Heartland Fiscal Year 2014 Annual Report, which provides an overview of the work we accomplished this past year, and our progress toward achieving the five key strategic goals the board of directors set in 2011.

As you may imagine, this year truly was one of transition at Planned Parenthood of the Heartland. Of particular note:

• The planned retirement of President & CEO Jill June after nearly three decades of untiring, passionate service to all of the Heartland communities in which we operate. • The search for a new chief executive who could take up the reins and help ensure our organization is poised to provide programs and services far into the future. • The launch of the Affordable Care Act (aka “Obamacare”), which gave tens of thousands of individuals across the Heartland access to health insurance – many for the first time.

As we embraced these changes and looked to the future, we also celebrated and honored the work done under the extraordinary leadership of Jill June. Throughout this transition and others – internal changes as well as shifts in the health care and political environments in which we live and operate – your investment in your community meant that 59,989 people received the health care services and education they needed. You and generous donors like you helped us provide $6.3 million in uncompensated care to our patients this year. Another 98,708 people received information and assistance through our education and outreach efforts.

We could not provide all of these programs and services across our four states without your unwavering help. Your gifts of time, money and your ongoing support ensure that Planned Parenthood of the Heartland continues to be here for everyone who needs us – no matter what.

Robert Shaw, MDBoard Chair

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Mission Statement:

To be a leader in providing accessible reproductive health care, education and advocacy, responsive to the needs and rights of families and individuals.

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OPERATING BOARD

FOUNDATION BOARD OF TRUSTEES

PLANNED PARENTHOOD VOTERS OF ARKANSAS BOARD

BOARDS

Dr. Robert Shaw – Chair

Lee Lee Doyle – Vice Chair

Ron Rosenblatt – Treasurer

Jill Nelson – Secretary

DiAnne Lerud-Chubb

– Executive Committee Member at Large

Caroline Abbott

Katie Brandert

Ann Distelhorst

Linnea Fletcher

Gregory Gray

Barb Jacobson

Jason Lehman

Cyril Mandelbaum

Cheryl Morton

Aaron Saylor

Patrice Sayre

Susan Ugai

Jill June – President/CEO

Mary Riche – Chair

Catherine Dietz-Kilen – Vice Chair

Robert Becker – Secretary/Treasurer

Janet Griffin

Tim Haight

Susan Knapp

Nancy Lowenberg

Murray Newman

Herman Riva

Dr. Robert Shaw

Jill June – President/CEO

Jessica Xan DeLoach – Chair

Glen Hooks – Vice Chair

Tricia Larson

– Interim Chair, Secretary/Treasurer

Maria Baez de Hicks

Steve Davison

Sara Beth Estes

Linda Farrell

Angela Hunter

Sarah Thompson

Jill June – President/CEO

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PLANNED PARENTHOOD VOTERS OF IOWA BOARD/PAC STEERING COMMITTEE*

PLANNED PARENTHOOD VOTERS OF NEBRASKA BOARD

Debra Moore – Chair

Phyllis Peters – Vice Chair

Barbara Brown – Secretary/Treasurer

Heather Matson – PAC Chair

Judie Hoffman* – PAC Vice Chair

Alicia Claypool* – PAC Secretary/Treasurer

Lori Beary

Fran Fleck

Debbie Gitchell*

Joe Hall

Diane Kolmer

Robyn Mills

Jill Nelson

Susy Robinette*

Rachel Scott*

Jill June – President/CEO

Janet Stewart – Chair

Mary Ann Holland

– Chairv, Secretary/Treasurer

Randall Moody – Vice Chair, PAC Chair

Paul Landow – Vice Chairv

Christa Yoakum – Secretary/Treasurerv

Zack Burgin

Margaret Kirkeby

Bob Mundy

W. Don Nelson

Cindy Ryman Yost

Sue Ellen Wall

Jill June – President/CEO

vA new slate of officers was elected in March 2014.

Board Terms for Fiscal Year 2014: July 1, 2013 - June 30, 2014

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STRATEGIC GOAL #1Provide high-quality reproductive health care services that are relevant and responsive to all populations in need of care.

As the national health care landscape shifted with the introduction of the Affordable Care Act (ACA), PPHeartland faced the challenge of continuing to provide high-quality, affordable health care to uninsured and underinsured individuals while transitioning to a business model that is relevant and responsive to the thousands of patients who now have access to health insurance coverage.

Your generous support allowed us to provide $6,377,947 in uncompensated care this year, which is the amount our affiliate absorbed to provide services to patients who may not have the means to pay for them.

Because of you, Planned Parenthood is here to provide high-quality, nonjudgmental care to everyone who needs it – no matter what.

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Patient Financial Status*Some patients do not disclose.**Numbers reported are for Fiscal Year 2014: July 1, 2013 - June 30, 2014

In FY14, 59,989 women, men and young people received care at Planned Parenthood health centers across Arkansas, Iowa, Nebraska and eastern Oklahoma.

Because half (52%) of our patients are at or below the federal poverty level, many of them received these services solely because of you.

52%

9%

5%

2%

2%

30%

FEDERA

L POVERTY LEVEL

0% 100%

101% 150%

UNDECLARED*

151% 200%

201% 250%

251%

31,092

5,506

2,891

1,337

1,452

17,711

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During the enrollment period when the Affordable Care Act first launched in 2013, we found that people needed help at different stages of the process. Some only wanted help in creating an account, while others needed assistance in completing their enrollment and receiving an eligibility determination. Some individuals had a Navigator assist them in selecting a health plan through the Marketplace; others were helped in enrolling in Medicaid. PPHeartland’s five Navigators in Iowa and one Navigator in Oklahoma participated in 216 outreach and enrollment events, reaching 2,087 individuals throughout the enrollment period.

...

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Services Provided

CONTRACEPTION

STI TESTS

PREGNANCY TESTS

BREAST EXAMS

PHARMACY

PAP TESTS

ABORTION

CONTRACEPTION/DELAYED EXAM

FAMILY PRACTICE

COLPOSCOPIES & BIOPSIES

PRENATAL

130,980 45.5%

80,677 28%

21,700 7.5%

15,221 5%

14,446 5%

9,240 3%

5,970 2%

/5,707 2%

2,447 1%

752 <1%

436 <1%

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PPHeartland Certified Application Counselors (CACs) at health centers in Iowa, Nebraska and Oklahoma performed many of the same functions as Navigators and reached 1,579 individuals. Of those, 315 people were assisted with enrollment in health care coverage, and 94 people received an eligibility determination.

...

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Contraception

Patient Ages*

BIRTH CONTROL PILL

DEPO-PROVERA®

IUD

IMPLANT

EMERGENCYCONTRACEPTION

PATCHNUVARING®

71%1%

2%

4%

5%7%

10%

44%18-24

45%25-44

3%>44

8%<18

*Some patients do not disclose.

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STRATEGIC GOAL #2Be a premier source of human sexuality education and information that is comprehensive, medically accurate, researched-based and culturally diverse.

With a new director of Education and Outreach in place, this year we started developing a comprehensive needs assessment to evaluate reproductive health care and sexuality education needs in Planned Parenthood of the

Heartland’s service area. Our goal is to better understand the health needs and assets of our communities and develop strategies to address identified issues, capacities and strengths.

Ever since the role plays, I’ve been able to be more

open and honest and stand up for myself. The classes

have really helped me.– 8th grade student speaking about Draw the Line/Respect the Line classes

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Because of the GENEROUS SUPPORTof donors like YOU

98,70898,708

57,16457,1643,3453,345

PEOPLE RECEIVED EDUCATION AND TRAINING

Arkansans, eastern Oklahomans, Iowans and Nebraskans had the opportunity to speak to a health educator at an outreach event.

ATTENDED ONE OF

41,54441,544

presentations and trainings on topics ranging from human development to healthy relationships.

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Also this year, some of our health educators were trained in various curricula, including Draw the Line/Respect the Line, Teen Outreach Program, Making Proud Choices, Making a Difference, and Wise Guys. These are all multi-session, evidence-based curricula that are proven to be effective in reducing STIs, HIV and/or teen pregnancies.

Looking forward, the Education and Outreach Department will seek to access more of these trainings, as well as expand trainings for other professionals – all of which creates a larger impact in our communities.

Because of you, Planned Parenthood is here to provide medically accurate information – no matter what.

...

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Our three EDUCATION CENTERS:

Provided materials to public and private schools, universities, churches, other health providers, youth organizations, public health entities and other Planned Parenthood affiliates in 28 states and Canada.

Answered 35 unique student requests for information for class projects and papers.

Hold more than 5,500 items:

Des Moines: more than 2,500 items

Omaha: more than 1,000 items

Lincoln: more than 2,000 items

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STRATEGIC GOAL #3Lead in securing sexual justice and reproductive rights.

Rapid changes in health care policy on both state and national levels this year required us to think differently about our advocacy and legislative policy efforts. To reflect those shifts, we worked closely with activists, allies, donors and lawmakers throughout the year, preparing them so they could be more effective in their work every day in and for women’s health.

As we adjusted our messaging, strategies and tactics to move

key audiences toward favorable views about our organization and our services, we strengthened our commitment to protect and support policies that benefit women, men and families across the Heartland.

You made your voices heard in the 2014 legislative session – as donors, supporters, activists and volunteers advocating for reproductive rights and sexual justice.

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On your behalf, we:

Helped pass a bill in Arkansas that reauthorized funding for the Private Option, which provides private health insurance plans for individuals below 138 percent of the Federal Poverty Level, using federal Medicaid dollars. The Private Option strengthens coverage for individuals and also saves Arkansas millions in uncompensated care costs.

We also ensured no bills were passed in Iowa or Nebraska that would restrict abortion access or defund Planned Parenthood.

Despite the passage of some bad bills in Oklahoma, we were able to successfully fight other anti-women’s health bills that did not make it through the Oklahoma legislature.

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Regional organizers and highly trained and trusted volunteers in Iowa and Nebraska held conversations with health center visitors who support our mission to determine interest in connecting to our volunteer advocacy network. More than 250 people signed up to be activists through this Health Center Advocacy Program (HCAP).

Our regional organizers also held 111 one-on-one meetings with volunteer prospects, matching their interests and skills with various opportunities to support Planned Parenthood, including at phone banks and talking to participants at public events about the work we do. These new activists and others stand with Planned Parenthood in support of advancing Prevention First policies that improve the health of everyone in our communities.

Because of you, Planned Parenthood is here to protect access to women’s health care – no matter what.

...

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Thanks to your support …

165165

448448ADDITIONALLY

attended Prevention First lobby days in

AR NE IA

IA

people were “virtual” lobby day attendees.

more than

across550550 OK

signed

our letter to the governor, asking her to veto a bill that severely restricts access to safe abortion.

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STRATEGIC GOAL #4Attract and retain qualified, diverse staff and volunteers.

With transition comes turnover, and FY14 was a challenging year. Not only was PPHeartland planning for CEO transition, but there was new leadership taking the reins of the Legal, Public Affairs, Education, and Marketing and Communications departments. With these transitions came new energy, new insight, new management perspectives and new direction.

Recruitment and retention of staff for our Health Services department, including front line staff, clinicians, nurses, etc., has continued to be a challenge. With the changing health care field comes a more competitive market for these invaluable positions, and PPHeartland will need to continue to refine its recruitment efforts to create a competitive environment for those staff.

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Staff DiversityThis year we hired 107 staff:

Among all staff:

1%

4%

8% 10%

77% identify asAsian

identify as2+ Races

identify asAfrican American

identify asHispanic

identify asCaucasian

Average Tenure

*

7.3 YEARS

*physicians and clinicians

A

verage Age*

3

8.5 YEARS

*individuals ranging from age 19 to 71

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Creating a diverse board and volunteer support network is also a key priority for the organization. In the past 18 months the Operating Board has worked tirelessly to create a strong, cohesive, generative board structure for all boards associated with PPHeartland’s work, allowing for strategic recruitment of board members throughout the affiliate who can respond and react to the organization’s needs.

Because of you, Planned Parenthood is here to support the people of our many communities – no matter what.

...

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You demonstrated your support …

volunteers demonstrated their passionate commitment

to the people of our communities

by donating more than

valued at more than

through phone banks, outreach events, canvassing, and at

10,26510,265

1,1401,140

hourshours$212,648$212,648

PPHeartland Book Sales.

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STRATEGIC GOAL #5Have a diversified base of revenue that ensures the long-term financial strength of the organization.

We are continually adapting to meet the rapid changes in the health care environment so we can be the most effective organization for the most patients possible. Evaluating our programs, services and processes means understanding the needs

of our patient base and knowing where they are accessing services: increasingly away from the rural areas where many of our health centers are located, particularly in Iowa.

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Sources of Income (Revenue)

How your investment helpedthose we serve (Expenses)

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FY14 was a year of difficult decisions. We ended the year with a loss of $2,436,390, closing eight health centers and adjusting some of our service offerings and staffing levels across the organization in order to be good stewards of the funds we receive from donors, public grants, patient services and a variety of other sources. We also instituted a high degree of financial accountability – continuously monitoring overhead and administrative costs, and seeking to diversify our revenue sources – to ensure the long-term financial strength of our affiliate.

Thank you for your investment and trust in Planned Parenthood of the Heartland.

Because of you, Planned Parenthood is here to support the people of our many communities – no matter what.

...

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Thanks to your support …

We were able to provide more than

$6.3 million in uncompensated charity care.

$6.3 million

Iowa$2,213,209

Iowa$2,213,209Nebraska

$2,186,890Nebraska

$2,186,890

Arkansas$81,800Arkansas$81,800

Oklahoma$1,896,048Oklahoma

$1,896,048

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ArkansasFayettevilleLittle Rock

IowaAmesBurlingtonCedar FallsCedar RapidsCouncil BluffsMy Health Express* – Des MoinesRosenfield – Des MoinesSusan Knapp – Des MoinesWest – Des MoinesDubuqueIowa CityKeokukQuad CitiesSioux City

NebraskaLincoln SouthNorthwest – Omaha

Eastern OklahomaMidtown & Family Practice Center – Tulsa

*Limited services at this location.Current as of June 18, 2014

HEALTH CENTERSPlanned Parenthood of the Heartland proudly serves patients in four states: Arkansas, Iowa, Nebraska and eastern Oklahoma.

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Mary Louise Smith Education & Resource CenterDes Moines, Iowa

Lincoln Education & Resource CenterLincoln, Nebraska

Omaha Education & Resource CenterOmaha, Nebraska

EDUCATION &RESOURCE CENTERS

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GIFT PLANNING

Your ongoing, generous support helps so many people in your community receive the health care they need. Without you, they may not have access to these services.Thank you for your investment in the work we do.

Planned gifts are yet another way to make an investment in your community – and assure that your values live on. Including a gift in your estate plan allows Planned Parenthood of the Heartland to continue to help the people who so desperately need our assistance. Visit www.ppheartland.org/giftplanning to learn about the many gift options available to fit your needs.

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Knowing the importance of the work Planned Parenthood accomplishes in our community, we supported the organization with regular donations for years. Then we asked ourselves, ‘Where would we be without Planned Parenthood of the Heartland?’ Not wanting to find out, we made the decision to become Legacy Society members, leaving a gift in our will.

Planned Parenthood of the Heartland is an enduring institution that has demonstrated strength and leadership across the region. We know our gift will help women and families get the quality health care they need, for years to come.

– Patricia and Alan Egly

www.ppheartland.org

B R A N D P U R P O S ETo create a world where sexual and reproductive rights are basic

human rights, where access to health care doesn’t depend on who you are, and where every woman has the opportunity to

choose her own path to a healthy and meaningful life.