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U.S. Department of Health and Human Services Health Resources and Services Administration

REPORT TO CONGRESS

NURSE CORPS LOAN REPAYMENT AND SCHOLARSHIP PROGRAMS

FISCAL YEAR 2016

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Executive Summary The NURSE Corps Loan Repayment and Scholarship Programs Report to Congress for fiscal year (FY) 2016 is required by section 846(h) of the Public Health Service Act (42 U.S.C. § 297n(h)), which states, in part:

Not later than 18 months after August 1, 2002, and annually thereafter, the Secretary shall prepare and submit to the Congress a report describing the programs carried out under this section.

The overarching goal of many Health Resources and Services Administration (HRSA) programs is to support and facilitate the provision of health care in areas of greatest need. HRSA administers the NURSE Corps Loan Repayment Program (LRP) and the NURSE Corps Scholarship Program (SP) to help ensure a sufficient distribution of nursing professionals. The NURSE Corps LRP and SP support nursing education and training by providing recruitment and retention incentives to nurses committed to a career in underserved communities. These incentives take the form of either a loan repayment or a scholarship award in exchange for service in a health care facility with a critical shortage of nurses (“Critical Shortage Facility” or “CSF”) that is located in a Health Professional Shortage Area (HPSA).1 The NURSE Corps LRP is also authorized to extend loan repayments to nurse faculty serving in accredited schools of nursing. In FY 2016, the NURSE Corps received $83.1 million from annual appropriations. The NURSE Corps LRP received over 8,100 applications and the NURSE Corps SP received over 2,400 applications. A total of 1,125 new and continuation NURSE Corps awards (883 LRP and 242 SP) were made to residents of 49 states, Puerto Rico, and the District of Columbia in FY 2016. Of the 679 new and continuing awards to NURSE Corps LRP participants serving at CSFs, 96 percent served at CSFs in high-need HPSAs, which are defined as areas with a HPSA score of 14 or higher. The average HPSA score for the FY 2016 CSF placements was 17. In addition, 204 NURSE Corps LRP awards were to nurse faculty participants, with 57 percent of new nurse faculty awardees serving at schools with at least a 50 percent enrollment of students from disadvantaged backgrounds. Fifty-six percent of NURSE Corps SP awards were given to baccalaureate students, 38 percent awarded to students obtaining their Master’s degree, 5 percent awarded to individuals pursuing associate’s degrees, and 1 percent awarded to nursing diploma students. With the addition of these FY 2016 awardees, as of September 30, 2016, the NURSE Corps field strength includes over 2,000 registered nurses and nurse faculty members. In addition, 86 percent of the NURSE Corps alumnae have remained at the site where they fulfilled their obligation up to 2 years beyond the completion of their NURSE Corps commitment.

1 Please refer to page 18 for the list of current facilities.

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NURSE Corps

Loan Repayment and Scholarship Programs Report to Congress for Fiscal Year 2016

Table of Contents

Executive Summary .......................................................................................................................1 I. Legislative Language .........................................................................................................4 II. Introduction ........................................................................................................................4 III. Overview .............................................................................................................................6 IV. Report Requirements.........................................................................................................7

Requirement #1: The Number of Enrollees, Scholarships, Loan Repayments, and Grant Recipients .............................................................................................................................7 Requirement #2: The Number of Graduates .......................................................................8 Requirement #3: The Amount of Scholarship Payments and Loan Repayments Made .....9 Requirement #4: The Educational Institutions Attended by Recipients .............................9 Requirement #5: The Number and Placement Location of the Scholarship and Loan Repayment Recipients at CSFs with a Critical Shortage of Nurses ....................................9 Requirement #6: The Default Rate and Actions Required ...............................................10 Requirement #7: The Amount of Outstanding Default Funds of Both the Loan Repayment and Scholarship Programs ..............................................................................12 Requirement #8: The Reason for the Default ...................................................................12 Requirement #9: The Demographics of the Individuals Participating in the Loan Repayment and Scholarship Programs ..............................................................................13 Requirement #10: Justification for the Allocation of Funds between the Loan Repayment and Scholarship Programs..................................................................................................14 Requirement #11: An Evaluation of the Overall Costs and Benefits of the Programs .....15

Conclusion ....................................................................................................................................17 Appendix A – NURSE Corps Scholarship Program Graduates by State and Critical

Shortage Facility (FY 2016) ............................................................................................18 Appendix B – NURSE Corps Scholarship Program Participants by State and School (FY

2016) ..................................................................................................................................22 Appendix C – NURSE Corps Loan Repayment Program Participants by State and Critical

Shortage Facility (FY 2016) ............................................................................................27 Appendix D – NURSE Corps Loan Repayment Program Nurse Faculty Participants by

State and School (FY 2016) .............................................................................................55

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List of Tables Table 1: NURSE Corps Loan Repayment Program Awards (FY 2016) ....................................... 7 Table 2: NURSE Corps Scholarship Program Awards (FY 2016) ................................................ 8 Table 3: NURSE Corps Loan Repayment Program and Scholarship Program Award Amounts (FY 2016) ........................................................................................................................................ 9 Table 4: NURSE Corps Scholarship Program Default Rates (FY 2007-FY 2016) ...................... 11 Table 5: NURSE Corps Loan Repayment Program Default Rates (FY 2007-FY 2016) ............. 11 Table 6: NURSE Corps Scholarship Program - Reasons for the Default .................................... 12 (FY 2007-FY 2016) ...................................................................................................................... 12 Table 7: NURSE Corps Loan Repayment Program - Reasons for the Default ........................... 13 (FY 2012-FY 2016) ...................................................................................................................... 13 Table 8: NURSE Corps Loan Repayment Program and Scholarship Program Participants’ Demographic Characteristics (FY 2016) ...................................................................................... 14

Acronym List APRN Advanced Practice Registered Nurse CRNA Certified Registered Nurse Anesthetists CSF Critical Shortage Facility FY Fiscal Year HPSA Health Professional Shortage Area HRSA Health Resources and Services Administration LRP Loan Repayment Program NP Nurse Practitioner PHS Public Health Service RN Registered Nurse SP Scholarship Program

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I. Legislative Language

This report is being provided to Congress as required in section 846(h) of the Public Health Service (PHS) Act [42 U.S.C. § 297n(h)], as amended, which states, in part:

Not later than 18 months after August 1, 2002, and annually thereafter, the Secretary shall prepare and submit to the Congress a report describing the programs carried out under this section.

II. Introduction

In 2002, the Nurse Reinvestment Act amended section 846 of the PHS Act, adding the Nursing Scholarship Program to complement the established Nursing Education Loan Repayment Program. Section 103 of the Nurse Reinvestment Act was referred to as the “National Nurse Service Corps” in the legislation. NURSE Corps refers to both loan repayment and scholarship programs to reflect the statute section title and goals of the programs. The Health Resources and Services Administration (HRSA) administers the NURSE Corps Loan Repayment Program (LRP) and the NURSE Corps Scholarship Program (SP) to help ensure a sufficient distribution of nursing graduates and professionals. The NURSE Corps LRP, first authorized in 1971, is a financial incentive program under which professional licensed registered nurses (RNs) and board certified advanced practice registered nurses (APRNs), such as nurse practitioners (NPs), enter into contractual agreements with the federal government to work full time in a health care facility with a critical shortage of professional nurses which is also known as a Critical Shortage Facility (CSF), in return for repayment of qualifying nursing educational loans. The NURSE Corps LRP repays 60 percent of the outstanding principal and interest on the nursing education loans of RN and APRN participants with the greatest financial need, as determined by the program, in exchange for 2 years of full-time service at a health care facility with a critical shortage of nurses. Participants may be eligible to receive repayment of an additional 25 percent of the original qualifying loan balance in exchange for an optional third year of full-time service. The NURSE Corps LRP also provides awards to nurse faculty who agree to serve at an accredited school of nursing. These awards assist in the recruitment and retention of nurse faculty at accredited schools of nursing by decreasing economic barriers that may be associated with pursuing a career in academic nursing. Nurse faculty participants receive the same loan repayment benefits as other program participants. The NURSE Corps SP pays tuition, fees, and other reasonable costs and provides a monthly stipend to individuals attending accredited schools of nursing in exchange for a service commitment after graduation of at least 2 years in health care facilities with a critical shortage of nurses. NURSE Corps SP participants may attend accredited associate, baccalaureate, or advanced degree nursing programs, as well as diploma nursing programs. Tuition and fees are paid directly to the accredited school of nursing based on an invoice submitted by the scholar’s school official. Other reasonable costs reflect an additional annual payment provided directly to each scholar to assist with the cost, as submitted by the academic institution, of books, clinical

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supplies/instruments, and uniforms. Stipend amounts are the same for each scholar; the amount for each full-time student in 2016 was $1,330 per month. The NURSE Corps SP awards reduce the financial barrier to nursing education for all levels of professional nursing students, thus increasing the pipeline of nurses who will practice in underserved areas. Qualified applicants with the greatest financial need receive a funding preference. Together, the NURSE Corps LRP and the NURSE Corps SP impact the distribution of nurses across the United States by placing nurses in facilities with critical shortages of nurses. Many factors continue to affect the demand and supply of the nurse workforce, including population growth, aging of the population, overall economic conditions, aging of the nursing workforce, demand for health services broadly and within specific health care settings, and health care payment. Lower growth in RN supply compared to state-specific demand is projected in 16 states, resulting in a projected shortage of RNs in these states by 2025; 10 of these states are in the West, 4 are in the South, and 2 are in the Northeast.2 Employers in these regions report difficulty in recruiting and retaining an adequate number of RNs primarily because of an aging RN workforce and a lack of younger RNs to fill the positions. States in the South and Midwest have younger nursing workforces as compared to the Northeast and West.3 The differences in the age of the nursing workforce suggest that the need for actions for workforce development, differ by geographic region. Additionally, almost one-third of pre-licensure RN programs were unable to expand capacity due to lack of faculty.4 To become nurse faculty, an RN must continue his or her training and assume additional financial and time commitments that many working nurses cannot afford. The average ages of doctoral- and master’s degree-prepared nurse faculty is 56.8 years and 55 years, respectively.5 As nurse faculty retire, the shortage of nurse faculty will become more pronounced. The NURSE Corps LRP and SP work together to address the need for nurses in CSFs, and the NURSE Corps LRP also supports nurse faculty at accredited schools of nursing. The NURSE Corps LRP and SP regularly identify various types of CSFs that have been deemed to have a critical shortage of nurses. CSFs include health care facilities that are located in, designated as, or serving a HRSA-designated Health Professional Shortage Area (HPSA) with shortages of primary medical care or mental health professionals. HPSAs may be geographic areas, population groups, or medical facilities. NURSE Corps programs incorporate a funding preference based on the facility’s primary medical care or mental health HPSA score to maximize placement in shortage facilities and ensure participants are serving underserved

2 U.S. Department of Health and Human Services, HRSA, National Center for Health Workforce Analysis. (2014). Future of the Nursing Workforce: National-and State-level Projections, 2012-2025. Rockville, Maryland. 3 Beurhaus P., Auerbach D., Staiger D. and Muench U. (2013). Projections of the long-term growth of the registered nurse workforce: A regional analysis. Nursing Economics, 31(1): 13-17. 4 National League for Nursing. (2016). Biennial Survey of Schools of Nursing, Academic Year 2015-2016.. http://www.nln.org/docs/default-source/newsroom/nursing-education-statistics/lack-of-faculty-is-main-obstacle-to-expanding-capacity-2016-(pdf).pdf?sfvrsn=0 5 American Association of Colleges of Nursing (2014). 2013-2014 salaries of instructional and administrative nursing faculty in baccalaureate and graduate programs in nursing. Washington, D.C.

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communities. This preference allows the programs to allocate resources to facilities with greatest need and to improve participant placements.

III. Overview

The annual application guidance for each program outlines the NURSE Corps priorities. In fiscal year (FY) 2016, 50 percent of the NURSE Corps LRP and SP funding was set aside to support NPs in underserved areas. To increase the number of NPs participating in the programs, the NURSE Corps LRP and SP recruit licensed and certified NPs and individuals interested in pursuing NP training through outreach efforts to colleges, universities, and associations.

During the NURSE Corps application review process, a funding preference is given to applicants with the greatest financial need, defined as qualified applicants whose debt to salary ratio is 100 percent or greater for NURSE Corps LRP and qualified applicants with an Expected Family Contribution, determined by the Free Application for Federal Student Aid, between $0 and $5,198 for the NURSE Corps SP. Among qualified NURSE Corps LRP applicants with the greatest financial need, RNs who work in CSFs with a HPSA score of 14 or above and nurse faculty who work at eligible schools of nursing with at least 50 percent enrollment of students from disadvantaged backgrounds receive priority. Among NURSE Corps SP applicants with the greatest financial need, nursing students enrolled full-time in a graduate level NP program receive priority.

This report summarizes the activities of the NURSE Corps LRP and SP for FY 2016. The report provides information on:

The number of enrollees, scholarships, loan repayments, and recipients; The number of graduates; The amount of scholarship payments and loan repayments made; The educational institution that the recipients attended; The number and placement location of the scholarship and loan repayment recipients at

health care facilities with a critical shortage of nurses; The default rate and actions required; The amount of outstanding default funds of both the scholarship and loan repayment

programs; The reason for the default to the extent that it can be determined; The demographics of the individuals participating in the scholarship and loan repayment

programs; The justification for the allocation of funds between the scholarship and loan repayment

programs; and An evaluation of the overall costs and benefits of the programs.

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IV. Report Requirements

Requirement #1: The Number of Enrollees, Scholarships, Loan Repayments, and Grant Recipients

In addition to awards made with annual appropriations, new and continuation NURSE Corps LRP and SP awards were made with funds recovered from those who breached their contracts. Section 846(g)(4) of the PHS Act authorizes amounts recovered from participants who breach NURSE Corps LRP and SP contracts to be available for programs under PHS Act section 846 and to remain available until expended. These funds are referred to as X-year funds. (A discussion of default rates follows on pages 10-11.) The programs use the recovered funds to make new awards, continuations, and modifications to the existing contracts. In FY 2016, the NURSE Corps LRP added $355,618.20 to its X-year account from participants who breached their contracts and NURSE Corps SP added $439,723.45. A total of 13 awards were made in FY 2016 with X-year funds for both the NURSE Corps LRP and SP consisting of 11 new awards and 2 modifications. NURSE Corps LRP and SP applications received and awards made are shown in Tables 1 and 2.

NURSE Corps LRP: A participant receiving an award enters into a contract for 2 years of service; the award equals 60 percent of the participant’s qualifying nursing education debt. The participant may extend the contract to add a third year of service for an award equal to an additional 25 percent of the original qualifying debt amount. Participants requesting continuations must be in good standing with the terms of the initial contract. Eligible continuations are funded before new awards are made.

HRSA made 511 new NURSE Corps LRP awards from annual appropriations and 7 new NURSE Corps LRP awards with X-year funds. Of the 518 new awards, 198 (38 percent) were to RNs, 162 (32 percent) were to NPs, 11 (2 percent) were to certified registered nurse anesthetists (CRNA), 4 (0.8 percent) were to certified nurse midwives, 2 (0.4 percent) were to clinical nurse specialists, and 141 (27 percent) were to nurse faculty. HRSA awarded 365 NURSE Corps LRP continuation from annual appropriations. Of these, 134 continuation awards (37 percent) were to RNs, 154 (42 percent) were to NPs, 9 (2 percent) were to CRNAs, 2 (0.5 percent) were to certified nurse midwives, 3 (0.8 percent) were to clinical nurse specialists, and 63 (17 percent) were to nurse faculty. HRSA made a total of 883 NURSE Corps LRP awards.

Table 1: NURSE Corps Loan Repayment Program Awards (FY 2016)

NURSE Corps LRP New Continuations Total

2016

Applications 8,112 403 8,515 Total Awards 518 365 883

Base Funds Awards 511 365 876 X-Year Funds Awards 7 0 7

NURSE Corps SP: The NURSE Corps SP offers scholarships to individuals attending accredited schools of nursing in exchange for a service commitment upon graduation of at least 2 years in

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health care facilities with a critical shortage of nurses. The NURSE Corps SP awards reduce the financial barrier to nursing education for all levels of professional nursing students, increasing the pipeline of nurses who will serve in underserved areas. If a scholar agrees to a contract for less than the full duration of the training program (e.g., a scholarship covering only the first 2 years of a 4-year baccalaureate degree program), the scholar may request a continuation of the contract in return for a commitment for additional years of support. Eligible continuations are funded before new awards are made. HRSA made 226 new NURSE Corps SP awards from annual appropriations and 4 new NURSE Corps SP awards and 2 modifications with X-year funds. Of the 230 new awards, 11 (5 percent) were awarded to associate’s degree students, 128 (56 percent) were awarded to bachelor’s degree students, 88 (38 percent) were awarded to master’s degree students, and 3 (1 percent) were awarded to nursing diploma students. HRSA made 12 NURSE Corps SP continuation awards with annual appropriations, with 2 (17 percent) awarded to associate’s degree students, 8 (67 percent) awarded to bachelor’s degree students, and 2 (17 percent) awarded to master’s degree students.

Table 2: NURSE Corps Scholarship Program Awards (FY 2016)

NURSE Corps Scholarship Program New Continuations Total

2016

Applications 2,455 12 2,467 Total Awards 230 12 242 Base Funds Awards 226 12 238

X-Year Awards 4 0 4

Requirement #2: The Number of Graduates

NURSE Corps SP participants may attend accredited associate, baccalaureate, or master’s degree programs or diploma programs. Scholars may opt for 1 to 4 years of scholarship support, consisting of payment of tuition and fees, other reasonable costs, and a monthly stipend. The minimum service requirement is 2 years of full-time service, with a maximum of 4 years of full-time service in a CSF, depending on the number of academic years for which the scholar receives support. NURSE Corps SP participants may fulfill their service obligation part time by extending the years of service so that the aggregate amount of service performed will be the full-time equivalent. In FY 2016, there were 265 NURSE Corps SP graduates from accredited school programs. Of these, 118 are serving in a CSF as of September 30, 2016 (Appendix A). There are 5 NURSE Corps SP graduates in nursing residency programs as of September 30, 2016. The remaining 142 graduates are actively seeking employment. NURSE Corps SP graduates have up to 6 months from their date of graduation to obtain a nursing license and accept an offer of employment from a NURSE Corps SP-approved CSF. Following acceptance, NURSE Corps SP graduates have up to 3 months to commence clinical services at the facility.

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Requirement #3: The Amount of Scholarship Payments and Loan Repayments Made

The initial NURSE Corps LRP 2-year award pays an amount equal to 60 percent of the participant’s qualifying educational loan balance; the optional third year continuation pays an additional 25 percent of the original qualifying loan balance. NURSE Corps LRP continuations are funded before new awards are made.

The NURSE Corps SP scholarship pays tuition and fees, other reasonable costs, and a monthly stipend. The scholar may choose between 1 year and a maximum of 4 years of financial support. If a scholar agrees to a contract for less than the full duration of the training program (e.g., a scholarship covering only the first 2 years of a 4-year baccalaureate degree program), the scholar may request a continuation of the contract in return for a commitment for additional years of support. NURSE Corps SP continuations are funded before new awards are made.

Table 3 shows the total amounts paid for NURSE Corps LRP and SP new awards and continuations, funded from annual appropriations (base funds) and X-year funds.

Table 3: NURSE Corps Loan Repayment Program and Scholarship Program Award Amounts (FY 2016)

NURSE Corps LRP Awards

NURSE Corps SP Awards

Total

2016 Base Funds

$48,956,830.95

$24,269,776.17

$73,226,607.12

X-Year Funds $593,101.25 $320,275.74 $913,376.99

Total Amount

Awarded

$49,549,932.20

$24,590,051.91

$74,139,984.11

Requirement #4: The Educational Institutions Attended by Recipients6

In FY 2016, NURSE Corps SP participants attended 148 schools in 44 states, the District of Columbia, and Puerto Rico. Appendix B illustrates the distribution of NURSE Corps SP participants by state and educational institution.

Requirement #5: The Number and Placement Location of the Scholarship and Loan Repayment Recipients at CSFs with a Critical Shortage of Nurses

NURSE Corps LRP and SP participants who serve at a CSF must agree to a minimum 2-year service commitment. Private, for-profit entities are not eligible to receive placement of NURSE

6 NURSE Corps LRP participants have completed their nursing education and are in service at CSFs or accredited schools of nursing; therefore, their educational institutions are not reported.

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Corps LRP participants. However, the statute permits NURSE Corps SP participants to serve at private, for-profit entities.

The CSF definition requires facilities to be located in, designated as, or serving a Primary Medical Care or Mental Health HPSA. The following types of facilities are considered to be eligible CSFs for placement of NURSE Corps LRP and SP participants:

Critical Access Hospital, Disproportionate Share Hospital, Public Hospital, Federally Qualified Health Center, Indian Health Service Program, Native Hawaiian Health Center, Rural Health Clinic, Skilled Nursing Facility, State or Local Public Health or Human Services Department, Free and Charitable Clinic, Ambulatory Surgical Center, Home Health Agency, Hospice Program, Non-Disproportionate Share Hospital, and Nursing Home.

In FY 2016, 679 NURSE Corps LRP participants served in 452 CSFs in 47 states and the District of Columbia (Appendix C). There were 204 NURSE Corps LRP participants who served as nurse faculty in 161 schools of nursing in 38 states (Appendix D).

Requirement #6: The Default Rate and Actions Required The NURSE Corps LRP and SP default rates are defined as the percentage of participants in a cohort who default, where a cohort is defined as all participants with a new or continuation contract awarded in a particular FY. Default rates are calculated as the number of participants who have defaulted divided by the total number of individuals in the cohort. Individuals usually participate for multiple years, but should they default at any time during their obligation, that default is counted in the FY in which they received their initial award. Therefore, for any given cohort the default rate can change over time. Until the full cohort has completed the program requirements, there may be increases in default rates; therefore, the default rates below may be subject to change. The maximum number of years that a participant in full-time service may be in the NURSE Corps SP is 8 years, which reflects a maximum of 4 years in school and of 4 years of obligated service. The maximum number of years that a participant may be in the NURSE Corps LRP is 3 years, 2 years of service under an initial contract and 1 additional year under a continuation contract. All participants with periods of approved suspension of service during their obligation period may require an additional 1 to 2 years of monitoring. Therefore, the default rates are

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reported over a span of 10 years for the NURSE Corps SP and 5 years for the NURSE Corps LRP to provide a more accurate picture of default rates. Participants who breach their contracts are placed in default and must repay the NURSE Corps LRP or SP funds they received plus interest, at the maximum legal prevailing rate, from the date of the breach. The interest rate for NURSE Corps debts is the applicable quarterly interest rate determined and fixed by the Secretary of the Treasury, after taking into consideration private consumer rates of interest. The NURSE Corps LRP and SP work with the participants placed in default by assisting them to satisfy their debts through service whenever possible. Historically, few defaults occur within the first year of the service obligation. Ten participants who were previously in default were granted an opportunity to return to service in FY 2016. Five participants were from the NURSE Corps LRP and 5 participants were from the NURSE Corps SP.

Table 4: NURSE Corps Scholarship Program Default Rates (FY 2007-FY 2016)

There were 214 defaults in the NURSE Corps SP from FY 2007 to FY 2016 as of September 30, 2016.

NURSE Corps SP Default Rates

FY 2007

FY 2008

FY 2009

FY 2010

FY 2011

FY 2012

FY 2013

FY 2014

FY 2015

FY 2016

Total

Total Defaulters

31 36 36 44 31 18 9 5 4 0 214

Total Awardees

172 169 204 476 412 264 260 242 242 242 2,710

Default Rate

18% 21.3% 17.6% 9.2% 7.5% 6.8% 3.5% 2.1% 1.7% 0% 7.9%

Table 5: NURSE Corps Loan Repayment Program Default Rates (FY 2007-FY 2016)

There were 143 defaults in the NURSE Corps LRP from FY 2012 to FY 2016 as of September 30, 2016.

NURSE Corps LRP Default Rates FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 Total

Total Defaulters

43 40 43 17 0 143

Total Awardees

1,452 1,186 1,079 909 883 5,509

Default Rate 2.96% 3.37% 3.99% 1.87% 0% 2.60%

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Requirement #7: The Amount of Outstanding Default Funds of Both the Loan Repayment and Scholarship Programs Section 846(g)(4) of the PHS Act authorizes amounts recovered from participants who breach their NURSE Corps LRP or SP contract to be available for the respective program and to remain available until expended. The programs use these recovered X-year funds to make new awards, continuations, and modifications to existing contracts. In FY 2016, the NURSE Corps LRP added $355,618.20 to its X-year account. Seven new awards were made from the X-year account. At the end of FY 2016, the NURSE Corps LRP’s net accumulation in the X-year account was $235,143.46. In FY 2016, the NURSE Corps SP added $439,723.45 to its X-year account. Four new awards and two modifications were made from the X-year account. At the end of FY 2016, the NURSE Corps SP’s net accumulation in the X-year account was $487,900.56.

As of September 30, 2016, the total outstanding default debt to be collected was $2,613,194 for the NURSE Corps LRP and $10,022,613 for the NURSE Corps SP.

Requirement #8: The Reason for the Default The most common reasons for default in the NURSE Corps SP are failure to verify employment, academic dismissal, and withdrawal from the school.

Table 6: NURSE Corps Scholarship Program - Reasons for the Default (FY 2007-FY 2016)

NURSE Corps SP – Reasons for Default

Reasons for Default

FY 2007

FY 2008

FY 2009

FY 2010

FY 2011

FY 2012

FY 2013

FY 2014

FY 2015

FY 2016

Total

Failure to Verify Employment

10 16 18 12 6 4 0 0 0 0 66

Academic Dismissal

7 10 5 11 7 1 4 0 3 0 48

Withdrawal from School

8 6 4 11 9 0 1 2 1 0 42

Service Default*

4 3 5 9 9 12 3 2 0 0 47

Inappropriate Curriculum**

1 1 3 1 0 0 0 0 0 0 6

Voluntary Default***

1 0 1 0 0 1 1 1 0 0 5

Total 31 36 36 44 31 18 9 5 4 0 214 * Includes failure to work full time, failure to work at an approved site, resignation from a site, and failure to meet program requirements.

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** Includes curriculum unrelated to a nursing degree or an unapproved nursing degree (e.g., licensed practical nurse). ***Includes participants who contact the NURSE Corps SP and request to be placed in default. The most common reason for default in the NURSE Corps LRP is a failure to complete the service obligation subsequent to a participant’s resignation from an approved site.

Table 7: NURSE Corps Loan Repayment Program - Reasons for the Default (FY 2012-FY 2016)

NURSE Corps LRP - Reasons for Default

Reasons for Default FY

2012 FY

2013 FY

2014 FY

2015 FY

2016 TOTAL

Resigned/Left Site 16 26 31 10 0 83 Voluntary Default* 17 7 0 0 2 26 Not Working Full Time 3 5 5 2 1 16 Failure to Verify Employment 0 0 0 0 0 0 Other** 6 2 10 12 7 37 Total 42 40 46 24 10 162

*Includes participants who contact the NURSE Corps LRP and request to be placed in default. **Includes participants (1) who were not working at an approved site, (2) whose employment failed to meet the minimum program requirements, (3) whose licenses were revoked, or (4) who were terminated for cause.

Requirement #9: The Demographics of the Individuals Participating in the Loan Repayment and Scholarship Programs NURSE Corps LRP and SP participants self-report demographic data. Hispanic/Latino and Non-Hispanic/Non-Latino self-reported ethnicity data in the electronic application is requested separately from gender and race data. Applicants may choose to report any of the demographic areas in whole or in part, which may contribute to higher reporting in certain categories. As a result, Hispanic/Latino and Non-Hispanic/Non-Latino data may be reported by a larger number of applicants as this information is the only metric for capturing ethnicity. Of the NURSE Corps LRP and SP participants who chose to report on sex, race, and ethnicity, the majority are female and White, with Black or African-American participants the largest minority group (Table 8).

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Table 8: NURSE Corps Loan Repayment Program and Scholarship Program Participants’ Demographic Characteristics (FY 2016)

NURSE Corps LRP and SP Participants’ Demographic Characteristics

FY 2016 Demographics NURSE Corps

LRP NURSE Corps

SP Total

Total Awards 883 242 1,125

Sex # % # % # % Female 766 86.75% 205 84.71% 971 86.31% Male 111 12.57% 35 14.46% 146 12.98% Undisclosed 6 0.68% 2 0.83% 8 0.71%

Race # % # % # % White 693 78.48% 160 66.12% 853 75.82% Black/African-American 124 14.04% 49 20.25% 173 15.38% Asian 35 3.96% 20 8.26% 55 4.89% American Indian/Alaskan Native

19 2.15% 3 1.24% 22 1.96%

Native Hawaiian/Pacific Islander

11 1.25% 2 0.83% 13 1.16%

Two or More Races 40 4.53% 10 4.13% 50 4.44% Undisclosed 40 4.53% 18 7.44% 58 5.16%

Ethnicity # % # % # % Hispanic/Latino 47 5.32% 29 11.98% 76 6.76% Non-Hispanic/Non-Latino 780 88.34% 198 81.82% 978 86.93% Undisclosed 56 6.34% 15 6.20% 71 6.31%

Requirement #10: Justification for the Allocation of Funds between the Loan Repayment and Scholarship Programs Historically, total NURSE Corps funds have been allocated at 67-75 percent for the LRP and 25-33 percent for the SP. For FY 2016, $83.1 million was appropriated for the NURSE Corps LRP and SP. Of the $83.1 million, HRSA allocated $73.2 million for the NURSE Corps LRP and SP, with the remaining $9.9 million directly supporting the NURSE Corps Programs in the form of staffing and acquisition contracts, including the electronic system used to process program applications and monitor awarded participants. Of the $73.2 million, HRSA allocated 67 percent ($49.0 million) to the LRP and 33 percent ($24.3 million) to the SP. The combination of these programs allows flexibility in meeting the future needs through the NURSE Corps SP pipeline of nurses and the immediate needs through the NURSE Corps LRP, which places nurses in the field immediately.

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Requirement #11: An Evaluation of the Overall Costs and Benefits of the Programs Cost

1. FY 2016 NURSE Corps LRP Awards

A total of 518 new awards were made in FY 2016, a decrease of 12 percent from the 590 new awards in FY 2015.

The average new award amount for non-faculty NURSE Corps LRP participants was $85,335 and $59,769 for nurse faculty. This amount represents a 17 percent increase in the average new award for non-faculty participants and a 12 percent increase in the average new award for nurse faculty participants from FY 2015 to 2016.

2. FY 2016 NURSE Corps SP Awards A total of 230 new awards were made in FY 2016. The average new award was $105,566.22. This award represents an 11 percent decrease in the number of new awards and a 14 percent increase in the average new award amount from FY 2015 to FY 2016.

3. Average Amount Funded per Year of Service Obligated NURSE Corps LRP new awards are based on 2 years of obligated service and capped at 60 percent of the applicant’s total eligible loan amounts. The average new NURSE Corps LRP award amount per year of obligated service was $42,668 for nurses serving in CSFs and $29,885 for nurses serving in accredited schools of nursing, which represents an 17 percent increase and a 12 percent increase respectively from FY 2015 to FY 2016. The average cost of a NURSE Corps SP award is typically greater than the average cost of a NURSE Corps LRP award because NURSE Corps SP new award amounts may include up to 4 years of tuition, fees, stipends, and other reasonable educational costs. All of these can vary depending on the school that a student attends and the program in which the student participates. The average new NURSE Corps SP award amount per year of obligated service was $48,755.48, representing a 14 percent increase from FY 2015 to FY 2016.

Benefits

1. NURSE Corps LRP and SP Continuations

NURSE Corps LRP continuations are used to reduce the cost of making new investments of direct support each year, while still gaining an additional year long service commitment at a CSF. In FY 2016, 55 percent of participants initially awarded in FY 2014 requested a continuation award. The NURSE Corps LRP awarded

16

365 continuations in FY 2016. Of the continuation awards, approximately 17 percent were made to nurse faculty (63 awards).

2. Low Default Rates

While individual year default rates are subject to fluctuations as program data are reconciled and each cohort moves closer to expected service completion, the default rates of the programs as of September 30, 2016, remain low. This demonstrates that the NURSE Corps LRP and SP are recruiting nurses suited for, and with a clear commitment to, service in areas with a critical shortage of nurses. The low default rate assures the programs that its efforts strengthen the nursing workforce by increasing the number of practicing health care providers in underserved areas.

NURSE Corps SP: As of September 30, 2016, only 7.9 percent of participants (214 of 2,710) defaulted on awards made from FY 2012 – FY 2016. A significant number of these participants failed to verify employment or withdrew or were dismissed from school.

NURSE Corps LRP: As of September 30, 2016, only 2.9 percent of participants (162 of 5,509) defaulted on awards made from FY 2012 – FY 2016. A majority of these participants failed to complete the service obligation following their resignation from an approved site.

3. Placement An overarching goal of the NURSE Corps programs is to ensure that participants are serving where the need is greatest. The NURSE Corps LRP and SP work together to address the need for nurses in CSFs and support nurse faculty at schools of nursing. In FY 2003, the NURSE Corps LRP and SP identified various types of health care facilities that were deemed to have a critical shortage of nurses. In FY 2012, the definition of a CSF was modified to allocate program resources to facilities of greatest need and to improve the programs’ performance. CSFs are defined as health care facilities located in, designated as, or serving a Primary Medical Care or Mental Health HPSA. Continued use of this methodology for identifying CSFs has resulted in 100 percent of new and continuing awards being made to NURSE Corps LRP RNs serving at CSFs in high-need HPSAs with a score of 14 or higher. The average HPSA score for the FY 2016 CSF placements was 17. To increase the number of NPs participating in the programs, the NURSE Corps LRP recruited licensed NPs and the SP recruited individuals interested in pursuing training as a NP through outreach efforts to colleges, universities, and associations. In FY 2016, 50 percent of the NURSE Corps LRP and SP funding was targeted to support NPs who will serve in underserved areas. As a result, the programs made 406 awards to licensed NPs or individuals pursing training as a NP. As of September 30, 2016, NURSE Corps had a field strength of 2,016 nurses serving in 1,080 CSFs. Through FY 2016 new and continuation awards, 161 different schools of

17

nursing have NURSE Corps LRP nurse faculty members. The NURSE Corps total field strength includes the FY 2016 new and continuation award participants as well as those participants in ongoing service. As of September 30, 2016, 679 NURSE Corps LRP participants and 476 NURSE Corps SP graduates were in service in CSFs in 50 states, the District of Columbia, and the Commonwealth of Puerto Rico. There were also 321 NURSE Corps LRP nurse faculty participants at accredited professional schools of nursing in 41 states. In addition, 86 percent of NURSE Corps alumni remained at the site where they fulfilled their obligation for up to 2 years beyond completion of their NURSE Corps commitment. Of those who are no longer providing care at the site where they fulfilled their obligation, 45 percent are providing patient care at a different CSF or accredited school of nursing.

Conclusion

The NURSE Corps LRP and SP continue to work towards eliminating areas with a critical shortage of nurses across the United States. Through the efforts and accomplishments highlighted in this report, RNs and APRNs care for underserved people in various health care facilities, and committed nurse faculty are supported in their mission to provide quality education in schools of nursing with students from disadvantaged backgrounds.

Appendix A – NURSE Corps Scholarship Program Graduates by State and Critical Shortage Facility (FY 2016)

NURSE Corps SP Graduates by State and Critical Shortage Facility

State Total

Participants by State

Critical Shortage Facility Total

Participants by CSF

AR 1 ARcare - Conway Medical Clinic 1 AZ 1 Mountain Park Health Center - Tempe Clinic 1 CA 13 American Indian Health & Services Corporation 1

Arroyo Vista Family Health Center - Highland Park 1

Children’s Hospital & Research Center Oakland 1 North County Health Services-Mission Mesa Women's Health Services

1

Ridgecrest Rural Health Clinic 1

Saint Anthony Medical Centers - Imperial Clinic 1

St Mary Medical Center 1

St. John's Well Child - Williams 1

Sutter Tracy Community Hospital 1

The Children's Clinic - Cabrillo Gateway 1 The Children's Clinic- S. Mark Taper Foundation Family Health Center

1

Tiburcio Vasquez Health Center 1

Tuloumne Me Wuk Indian Health Center, Inc. 1 CO 1 Rocky Mountain Youth Clinics - Thornton Clinic 1 CT 4 Bridgeport Hospital 1

First Choice Health Centers - OB/GYN and Pediatrics Clinic

2

Yale New Haven Hospital - Saint Raphael Campus 1 DC 6 Children's National Medical Center 3

George Washington University Hospital 2

Medstar Washington Hospital Center 1 FL 6 Florida Hospital - East Orlando 2

Florida Hospital Celebration Health 1

Florida Hospital Fish Memorial 1

Florida Hospital –Tampa 1

Moffitt Cancer Center 1 GA 7 Albany Area Primary Health Care, Inc.-East Albany

Medical Center 1

John D Archibold Memorial Hospital 1

MedLink Colbert-Administrative 1

19


State Total



Participants by CSF

Oakhurst Medical Centers, Inc. 1

St. Mary's Health Care System 1

The Family Health Centers of Georgia, Inc. 1 Your Town Health-Community Medical Center of Palmetto

1

HI 1 Waianae Coast Comprehensive Health Center 1 ID 4 Kootenai Health 1

North Idaho Advanced Care Hospital 1

Saint Alphonsus Regional Medical Center 1

St. Luke's Regional Medical Center 1 IL 1 Saints Mary and Elizabeth Medical Center 1 IN 3 Elkhart General Hospital 1

HealthNet - Care Center at the Towers 1

Methodist Hospital - North Lake Campus 1 LA 1 Delhi Community Health Center, Main 1 MA 2 Baystate Health\Baystate Medical Center 1

Upham's Corner Health Center 1 MD 10 Johns Hopkins Hospital 4

Johns Hopkins Hospital - Children's Center 1

Johns Hopkins Hospital - Weinberg Building 1

Peninsula Regional Medical Center 1

Planned Parenthood of Maryland 1

St. Agnes Hospital 2 ME 2 Penobscot Community Health Care - Seaport

Community Health Center 1

Penobscot Community Health Care-Penobscot Community Health Center

1

MI 2 McLaren Bay Region Medical Center 1

St. Marys of Michigan 1 MN 1 St. Cloud Hospital 1 MO 2 Mercy Children's Hospital Springfield 1

Saint Francis Medical Center 1 MS 2 Mississippi Baptist Medical Center 1

University of Mississippi Medical Center - Grenada 1 MT 1 Community Health Care Center 1 NC 6 Blue Ridge Community Health Services, Inc. 1

Mission Health System/Mission Hospital 2

Moses Cone Hospital 1

20


State Total



Participants by CSF

Rural Health Group at Henderson 1

Vidant Medical Center 1 ND 1 Northwood Deaconess Health Center 1 NE 1 Valley County Health System 1 NH 1 Littleton Regional Healthcare 1 NJ 1 Henry J. Austin Health Center - Administrative and

Service Delivery 1

NM 1 Presbyterian Medical Services - Deming Health Center 1 NY 10 Community Healthcare Network - Catherine M. Abate

Health Center 1

Cornerstone Family Healthcare - Main Administrative and Clinical Site

1

HHC Coney Island Hospital - Administrative Network Anchor & Nurse Corps

1

Morris Heights Health Center - Satellite - Health Center at Walton Avenue

2

Mount Sinai Hospital 1

St. Joseph's Hospital Health Center 1 The Floating Hospital Inc. - LIC Community and Public Housing Services

1

University of Rochester Medical Center 1 William F. Ryan CHC - Ryan Nena Community Health Center - Main Site

1

OH 2 Community Mental Healthcare Inc. - Hospital Drive 1

Mount Carmel West Hospital 1 OR 6 Legacy Emanuel Medical Center 1

PeaceHealth Peace Harbor Medical Center 1

Planned Parenthood - Salem Center 1

Planned Parenthood Columbia Willamette 1

Providence Portland Medical Center 1 Wallowa County Health Care District - Wallowa Memorial Hospital

1

SC 2 Medical University of South Carolina Health Medical Center

1

Spartanburg Regional Medical Center 1 TN 4 Heritage Medical Center 1

Matthew Walker Comprehensive Health Center - Smyrna 1

Tri Star Ashland City Medical Center 1

UCHS - Vine Hill Community Clinic 1

21


State Total



Participants by CSF

TX 1 CommuniCare Health Centers - Dr. Frank Bryant Health Center

1

VA 2 Valley Health-Luray Family Medicine 1 Virginia Commonwealth University Health System - Medical College of Virginia

1

VT 1 Community Health Services of the Lamoille Valley- Stowe Family Practice

1

WA 4 Central Washington Comprehensive Mental Health 1

Neighborcare Health - High Point Medical Clinic 1

Sea Mar CHC - Lynnwood Outpatient 1

Sea Mar CHC - Salmon Creek Women's Clinic 1 WI 3 Kenosha Community Health Center - 22nd Ave Clinic 1

St. Clare Hospital 1 Wheaton Franciscan Healthcare - St. Joseph Outpatient Services

1

WV 1 Cabin Creek Health Systems - Cabin Creek Health Center, Inc.

1

22

Appendix B – NURSE Corps Scholarship Program Participants by State and School (FY 2016)

NURSE Corps SP Participants by State and School (FY 2016)

State Total


School Name Total

Participants by School

AL 4 Samford University 1

University of Alabama - School of Nursing 1 University of Alabama at Birmingham - School of Nursing

2

AR 1 University of Arkansas at Little Rock - College of Science and Mathematics

1

AZ 6 Arizona State University - College of Nursing 1

Carrington College - Phoenix 1 Grand Canyon University - College of Nursing & Health Sciences

3

Yavapai College 1 CA 15 Azusa Pacific University - School of Nursing 4

California State University, Los Angeles 1

Samuel Merritt University - School of Nursing 2

San Diego State University - School of Nursing 1 University of California, San Francisco - School of Nursing

4

University of San Francisco - School of Nursing 1

West Coast University 1 Western University of Health Sciences - School of Nursing

1

CO 12 Colorado Christian University, School of Nursing 2

Denver School of Nursing 1

University of Colorado - Anschutz Medical Campus 1

University of Colorado Denver - College of Nursing 6

University of Northern Colorado - School of Nursing 2 CT 15 Quinnipiac University 2

Sacred Heart University 1

Yale University - School of Nursing 12 DC 3 Georgetown University - School of Nursing 1

Howard University - College of Nursing 1

George Washington University - School of Nursing 1 DE 1 Beebe Medical Center 1 FL 10 Barry University - School of Nursing 1

23


State Total


School Name Total


Daytona State College 1

Florida Gulf Coast University - School of Nursing 1 Florida International University - College of Nursing and Health Sciences

1

Keiser University, Sarasota 1

Nova Southeastern University - Ft. Lauderdale 1

Palm Beach Community College 1 University of Miami - School of Nursing and Health Sciences

1

University of South Florida - College of Nursing 1

West Coast University - Miami 1 GA 18 Armstrong State University 1

Chamberlain College of Nursing, Atlanta 3 Emory University - Nell Hodgson Woodruff School of Nursing

9

Georgia State University - Byrdine F. Lewis School of Nursing

1

Kennesaw State University - School of Nursing 1

South University, Savannah 1

University of West Georgia - School of Nursing 1

Valdosta State University - College of Nursing 1 HI 1 University of Hawaii - Maui College 1 IA 2 Dordt College 1

University of Iowa - College of Nursing 1 ID 2 Idaho State University Meridian Health Science Center 1

Lewis-Clark State College 1 IL 3 Chamberlain College of Nursing, Addison 1

Northern Illinois University - School of Nursing and Health Studies

1

University of St. Francis - College of Nursing 1 IN 4 Bethel College 1

Indiana State University 1

Indiana University Northwest - School of Nursing 1

Marian University - School of Nursing 1 KS 2 Johnson County Community College 1

University of Saint Mary 1 LA 1 Louisiana State University - Health Sciences Center 1 MA 17 Boston College School of Nursing 6

Brockton Hospital School of Nursing 1

24


State Total


School Name Total


Elms College 1

MGH Institute of Health Professions 3 Northeastern University - Bouve College of Health Sciences

1

Regis College 1

Simmons College - School of Nursing 4 MD 4 Johns Hopkins University - School of Nursing 3

Stevenson University 1 ME 1 University of Southern Maine - College of Nursing and

Health Professions 1

MI 5 Andrews University 1

Bakers College of Cadillac 1

Davenport University 2

University of Detroit Mercy - School of Nursing 1 MN 2 Walden University - School of Nursing 2 MO 5 Chamberlain College of Nursing, St. Louis 1

Goldfarb School of Nursing at Barnes-Jewish College 1

St. Charles Community College 1

Three Rivers College, School of Nursing 1

William Jewell College 1 MS 2 Alcorn State University - School of Nursing 1

Mississippi University for Women - School of Nursing 1 MT 1 Montana State University - Bozeman 1 NC 16 Chamberlain College of Nursing, Charlotte 1

Duke University - School of Nursing 9

Fayetteville State University 1

Lees-McRae College 1 University of North Carolina, Chapel Hill - School of Nursing

1

Watts School of Nursing 1 Western Carolina University, Cullowhee - School of Nursing

1

Winston-Salem State University - School of Health Sciences

1

ND 1 University of Mary 1 NE 1 University of Nebraska Medical Center - College of

Nursing 1

NH 1 University of New Hampshire - College of Health and Human Service

1

25


State Total


School Name Total


NJ 2 New Jersey City University - College of Professional Studies

2

NM 1 University of New Mexico - College of Nursing 1 NV 1 Roseman University of Health Sciences - College of

Nursing 1

NY 21 Adelphi University - School of Nursing 1

Binghamton University, SUNY 2

College of New Rochelle 1

Columbia University - School of Nursing 7

Downstate Medical Center, SUNY - School of Nursing 1

New York City College of Technology, CUNY 1

New York University - College of Nursing 3

St. Paul's School of Nursing - Staten Island 1

Touro College 1

University of Rochester - School of Nursing 3 OH 7 Baldwin Wallace University 1

Chamberlain College of Nursing, Columbus 1

Mount Carmel College of Nursing 2

Ohio State University - College of Nursing 3 OK 1 Oral Roberts University - School of Nursing 1 OR 5 Linfield College 1

Oregon Health & Science University - School of Nursing 4 PA 16 Drexel University - College of Nursing and Health

Professions 2

Duquesne University - School of Nursing 4

Gwynedd-Mercy University 1

Moravian College 1

Pennsylvania College of Technology 1

Thomas Jefferson University - School of Nursing 1

University of Pennsylvania - School of Nursing 5

Villanova University - College of Nursing 1 PR 1 Inter American University of Puerto Rico, Metropolitan

Campus 1

SC 3 Clemson University - School of Nursing 1 Medical University of South Carolina - College of Nursing

1

South University, Columbia 1 SD 1 University of South Dakota - School of Health Sciences 1 TN 9 Belmont University - School of Nursing 1

26


State Total


School Name Total


East Tennessee State University - College of Nursing 1

Union University, Hendersonville 1

Vanderbilt University - School of Nursing 6 TX 3 Baylor University - Louise Herrington School of Nursing 1

Texas Tech University Health Sciences Center, El Paso - School of Nursing

1

University of St. Thomas 1 UT 4 Ameritech College of Healthcare 1

Brigham Young University - College of Nursing 1

Nightingale College 1

Westminster College 1 VA 4 Bon Secours Memorial College of Nursing 1

George Washington University Virginia Campus 2

Longwood University 1 WA 3 Pacific Lutheran University - School of Nursing 1

Seattle University - College of Nursing 2 WI 4 Concordia University Wisconsin - School of Nursing 1

Herzing University, Brookfield 1 University of Wisconsin - Milwaukee - College of Nursing

1

University of Wisconsin - Oshkosh - College of Nursing 1

27

Appendix C – NURSE Corps Loan Repayment Program Participants by State and Critical Shortage Facility (FY 2016)

NURSE Corps LRP Participants by State and Critical Shortage Facility (FY 2016)

State Total


Total Funds by State City Critical Shortage Facility

(CSF)

Number of Participants

by CSF Total Funds

AL 9 $500,158.51 Birmingham Alabama VA Medical Center – Birmingham

1 $113,282.09

Birmingham The Children’s Hospital of Alabama

1 $16,287.80

Birmingham In Touch Community Healthcare

1 $39,460.61

Hamilton Hamilton Primary Care Center 1 $87,163.56 Mobile Providence Hospital 1 $64,902.23 Mobile University of South Alabama

Medical Center 1 $19,012.28

Montgomery Jackson Hospital 1 $44,569.04 Tuscaloosa DCH Regional Medical Center 1 $14,006.13 Tuscaloosa VA Medical Center –

Tuscaloosa 1 $101,474.77

AR 9 $620,167.18 Augusta ARcare - Augusta Medical Clinic

1 $75,418.51

Cherokee Village WRMC Medical Center 1 $69,889.61 Greers Ferry Baptist Health Family Clinic-

Greers Ferry 1 $22,924.02

Heber Springs Heber Springs Baptist Hospital 1 $76,391.06 Jonesboro St. Bernards Medical Center 4 $298,119.95 Morrilton St. Anthony's Health Care

Center 1 $77,424.03

28


State Total



(CSF)


by CSF Total Funds

AZ 19 $1,350,054.37 Chandler Chandler Regional Hospital 1 $172,777.60 Flagstaff The Peaks 1 $22,309.14 Mesa Banner Desert Medical Center 1 $90,952.53 Phoenix Banner - University Medical

Center Phoenix 1 $21,855.67

Phoenix John C. Lincoln – Deer Valley Hospital

1 $68,127.08

Phoenix Maricopa Integrated Health System Hospital

2 $235,663.88

Phoenix Mayo Clinic of Arizona 1 $155,282.74 Phoenix Mountain Park Health Center -

Administrative Office 1 $94,087.61

Phoenix Phoenix Children's Hospital 5 $217,581.42 Phoenix Phoenix VA Health Care

System 1 $22,922.89

Phoenix St. Joseph's Hospital & Medical Center

1 $28,372.41

Show Low Navapache Regional Medical Center

1 $109,442.59

Sun City West Banner Del E. Webb Medical Center

1 $92,464.13

Tucson University of Arizona Medical Center

1 $18,214.68

CA 28 $2,279,079.84 Bakersfield Kern Medical Center 1 $144,825.62 Bellflower The Children's Clinic Family

Health Center in Bellflower 1 $117,389.56

Berkeley LifeLong - Over 60 Health Center

1 $64,573.57

29


State Total



(CSF)


by CSF Total Funds

Brawley Pioneers Memorial Healthcare District

1 $183,631.01

Compton Department of Children and Family Services - Compton

1 $83,431.55

Eureka County of Humboldt DHHS - Mental Health Branch

1 $23,526.90

Hemet County of Riverside Health Services - Hemet

1 $141,629.08

Lancaster Antelope Valley Community Clinic - Health and Wellness (Corporate)

1 $13,463.94

Lemon Grove Family Health Centers of San Diego - Lemon Grove

1 $89,522.39

Los Angeles Clinica Monsenor Oscar A. Romero

1 $95,542.82

Los Angeles Clinica Monsenor Oscar A. Romero - Northeast

1 $104,526.00

Madera Valley Children's Hospital 1 $10,832.46 Marin City Marin City Health & Wellness

Center 1 $98,813.66

Moreno Valley Riverside County Regional Medical Center

1 $96,008.56

North Hollywood Valley Community Healthcare

1 $96,839.14

Oakland Alameda County HC Services - AHS Highland Outpatient Services

1 $49,737.70

Oakland Asian Health Services 1 $120,240.10

30


State Total



(CSF)


by CSF Total Funds

Oakland Children’s Hospital & Research Center Oakland

4 $223,883.36

Oakland LifeLong - Downtown Oakland 1 $102,434.57 Petaluma Petaluma Health Center 1 $87,379.94 Porterville Sierra View District Hospital 1 $53,151.27 Ridgecrest Ridgecrest Rural Health Clinic 1 $123,038.78 San Diego Family Health Centers of San

Diego - Diamond Neighborhoods

1 $86,978.83

South Lake Tahoe Barton Community Clinic

1 $23,955.73

Union City Tiburcio Vasquez Health Center, Inc.

1 $43,723.30

CO 19 $993,034.66 Aurora Children's Hospital Colorado 4 $86,137.17 Aurora University of Colorado Hospital 1 $10,295.12 Colorado Springs University of Colorado Health -

Memorial Hospital 1 $9,554.59

Denver Denver Health - Wellington E. Webb Center for Primary Care

1 $44,012.15

Denver Denver Health Medical Center 9 $751,649.59 Denver Exempla Saint Joseph Hospital 1 $13,881.40 Pueblo Parkview Medical Center 2 $77,504.64

CT 29 $1,675,404.73 Bridgeport St. Vincent's Medical Center 1 $40,425.76 Farmington The Carole & Ray Neag

Comprehensive Cancer Center 1 $18,427.70

Farmington University of CT Health Center - John Dempsey Hospital

1 $141,234.41

Hartford Hartford Hospital 4 $110,317.82

31


State Total



(CSF)


by CSF Total Funds

Hartford Primary Care Center, Connecticut Children’s Medical Center

1 $23,771.26

Hartford Saint Francis Hospital & Medical Center

1 $62,280.18

Mansfield Center Natchaug Hospital 1 $54,317.27 Meriden Community Health Center, Inc.

- CHC of Meriden 1 $12,434.31

New Haven Yale New Haven Hospital 9 $393,303.59 New Haven Yale New Haven Hospital -

York Street Campus 4 $359,848.63

New London Community Health Center, Inc. - CHC of New London

1 $30,959.88

Putnam Day Kimball Hospital 1 $128,210.00 Waterbury Saint Mary's Hospital 1 $87,684.86 West Haven Shoreline Wellness Center 1 $78,250.14 Willimantic Generations Family Health

Center, Inc. 1 $133,938.92

DC 16 $712,400.21 Washington Children's National Medical Center

8 $283,550.07

Washington Mary's Center for Maternal & Child Care- Main- Ontario Rd.

1 $80,647.07

Washington Medstar Washington Hospital Center

6 $258,321.26

Washington Whitman-Walker Clinic, Inc 1 $89,881.81 FL 25 $1,476,513.55 Chiefland TMC - Palms Medical Group -

Chiefland 1 $91,547.93

32


State Total



(CSF)


by CSF Total Funds

Ft. Lauderdale Broward General Medical Center

1 $9,548.64

Ft. Lauderdale Broward Health Medical Center 1 $90,820.00 Ft. Myers Lee Memorial Health System,

Health Park Hospital 1 $18,193.81

Gainesville UF Health at University Of Florida: Shands Hospital

2 $72,565.06

Hollywood Memorial Regional Hospital 1 $130,467.28 Jacksonville University of Florida Health at

Jacksonville 4 $133,121.63

Miami Borinquen Health Care Center, Inc.

1 $112,527.41

Miami Jackson Health System 1 $54,493.52 Miami Jackson Memorial Hospital 4 $184,097.69 Miami Miami VA Healthcare Systems 1 $24,932.83 Ocala Heart of Florida Health Center 1 $72,245.21 Panama City PanCare Medical Center 1 $17,904.34 Pembroke Pines Memorial Hospital -Pembroke 1 $17,497.72 Pensacola Lakeview Center 1 $102,242.09 Tampa Florida Hospital Carrollwood 1 $142,591.88 West Palm Beach

Health Care District of Palm Beach County - West Palm Beach Health Center

2 $201,716.51

GA 11 $811,793.78 Albany Phoebe Putney Memorial Hospital

2 $105,431.80

Atlanta Crestview Health & Rehabilitation Center

1 $78,502.04

33


State Total



(CSF)


by CSF Total Funds

Atlanta Southside Medical Center - Main Center / Corporate HQ

1 $134,668.21

Augusta University Hospital 1 $59,162.58 Bowman Medlink Bowman 1 $104,297.36 Elberton Elbert Memorial Hospital 1 $73,136.40 Quitman Brooks County Hospital 1 $28,413.69 Rochelle Southwest Georgia Health Care,

Inc.-Rochelle Medical Center 1 $92,130.53

Sandersville Sandersville Family Practice 1 $19,269.22 Waycross McKinney Community Health

Center, Inc.- Administration 1 $116,781.95

HI 2 $36,335.24 Hilo Bay Clinic - Hilo Women's Health Center

1 $20,980.68

Wailuku Mental Health Kokua 1 $15,354.56 IA 11 $505,736.14 Anamosa UnityPoint Health - Jones

Regional Medical Center 1 $52,720.02

Audubon Audubon County Memorial Hospital

1 $33,948.92

Clinton Mercy Medical Center - Clinton 1 $18,601.87 Cresco Regional Health Services of

Howard County 1 $76,088.96

DeWitt Genesis Medical Center - DeWitt

1 $24,837.60

Harlan Myrtue Medical Center 1 $20,917.22 Keokuk Community Health Centers of

Southeastern Iowa - Keokuk Clinic

1 $144,854.70

LeMars Floyd Valley Hospital 1 $26,949.78

34


State Total



(CSF)


by CSF Total Funds

Sioux City UnityPoint Health St. Luke's 2 $80,211.71 Waterloo UnityPoint Clinic Internal

Medicine - Waterloo 1 $26,605.36

ID 5 $ 219,977.48 Boise St. Luke's Regional Medical Center

5 $ 219,977.48

IL 82 $5,145,367.66 Benton Benton Community Healthcare 1 $134,217.96 Boise Boise VA Medical Center 1 $58,827.31 Chicago Access - Community Health

Network 1 $72,628.17

Chicago Advocate Illinois Masonic Medical Center

3 $226,025.60

Chicago Advocate Medical Group 1 $85,816.21 Chicago Advocate Trinity Hospital 1 $27,589.49 Chicago Ann & Robert H. Lurie

Children's Hospital (Formerly Children's Memorial Hospital )

18 $786,751.26

Chicago Christian Community Health Center

1 $143,024.22

Chicago CommunityHealth - West Town 1 $106,635.51 Chicago Mercy Hospital and Medical

Center 2 $56,835.40

Chicago Mount Sinai Hospital 4 $229,440.20 Chicago Northwestern Memorial

Hospital 3 $197,367.74

Chicago Northwestern Memorial Hospital - Prentice Women's Hospital

3 $264,595.52

Chicago Norwegian-American Hospital 1 $74,045.84

35


State Total



(CSF)


by CSF Total Funds

Chicago PCC Austin Family Health Center

1 $87,962.54

Chicago Rush University Medical Center - 1620 W Harrison

2 $125,594.60

Chicago Rush University Medical Center - 1653 W Congress Nurse Corps

7 $528,144.06

Chicago Rush University Medical Center - 1653 W Harrison Nurse Corps

3 $76,587.66

Chicago Rush University Medical Center - 1725 W Harrison

1 $42,123.96

Chicago Saints Mary and Elizabeth Medical Center

4 $233,129.09

Chicago Swedish Covenant Hospital 1 $89,901.53 Chicago The University of Chicago


Chicago University of Chicago Hospitals 1 $41,000.44 Chicago University of Chicago Medicine

& Biological Sciences 1 $105,516.81

Chicago University of Illinois Hospital & Health Sciences System

2 $195,745.17

Galesburg St. Mary Medical Center 1 $27,328.36 Granite City Chestnut Family Health Center 1 $110,939.14 Harvey Ingalls Hospital 2 $126,141.35 North Chicago County of Lake - North

Chicago Health Center 1 $73,930.83

Petersburg Menard Medical Center 1 $17,412.26 Pittsfield Illini Community Hospital 1 $66,381.37

36


State Total



(CSF)


by CSF Total Funds

Rockford Rockford Health System 1 $52,071.11 Rockford Swedish American Hospital 2 $146,053.93 Salem SIHF - Salem Medical Center 1 $17,599.76 Urbana Community Health

Improvement Center - Urbana School Health Center

1 $16,203.92

Vandalia SIHF - Vandalia Healthcare Center

1 $92,105.34

IN 19 $894,241.83 East Chicago St. Catherine Hospital 1 $18,303.00 Elkhart Beacon Heath System, Elkhart

General Hospital 1 $43,187.46

Elkhart Elkhart General Hospital 1 $16,669.99 Gary Methodist Hospital - North

Lake Campus 1 $140,390.24

Hartford City Indiana University Health Ball Memorial Physicians, Inc. - Blackford

1 $66,042.33

Indianapolis Indiana University Health Methodist Hospital

3 $88,085.09

Indianapolis The Health & Hospital Corporation of Marion County

2 $76,731.32

Lafayette Franciscan St. Elizabeth Health 1 $24,616.33 Lafayette Indiana University Health

Arnett 1 $64,391.71

Logansport Four County Counseling Center - Logansport

1 $17,041.91

Logansport Logansport - Family 1 $18,529.49 New Castle New Castle Pediatrics 2 $178,549.36

37


State Total



(CSF)


by CSF Total Funds

Portland Jay County Hospital 1 $5,410.91 Richmond Reid Hospital and Health Care

Services 1 $30,300.50

South Bend Indiana Health Centers, Inc. - South Bend

1 $105,992.19

KS 1 $49,992.83 Kansas City University of Kansas Medical

Center 1 $49,992.83

KY 10 $500,651.00 Clay City Foothills Health and Wellness Center

1 $19,806.00

Dry Ridge St. Elizabeth physicians 1 $18,224.12 Hazard Hazard Appalachian Regional

Healthcare 1 $63,909.92

Louisville Family Health Centers, Inc. / Family Health Center - Portland

2 $124,037.55

Louisville Park DuValle Community Health Center, Inc.

2 $129,967.49

Louisville Shawnee Christian Healthcare Center, Inc.

1 $69,661.61

Marion Baptist Health Madisonville 1 $67,729.82 Newport Campbell County Health Center 1 $7,314.49

LA 9 $502,490.69 Baton Rouge Our Lady of the Lake Regional Medical Center

1 $44,744.08

Covington St. Tammany Parish Hospital 1 $25,250.78 Ft. Polk Bayne-Jones Army Community

Hospital 1 $1,794.50

Hammond North Oaks Medical Center 1 $44,669.15 Lake Charles Christus HomeCare- Lake

Charles 1 $56,627.34

38


State Total



(CSF)


by CSF Total Funds

Marrero Priority Health Care 1 $136,325.95 Metairie Daughters of Charity Health

Center - Metairie 1 $108,044.86

New Orleans University Medical Center New Orleans

1 $73,643.68

Pineville Alexandria VA Health Care System

1 $11,390.35

MA 16 $928,217.46 Boston Boston Health Care for the Homeless Program - Jean Yawkey Place

2 $233,357.86

Boston East Boston Neighborhood Health Center - Gove Street

4 $71,046.38

Brockton Brockton Neighborhood Health Center

1 $43,966.57

Dorchester Codman Square Health Center 1 $103,620.45 Dorchester Harbor Health Services, Inc. -

Neponset Health Center 1 $112,650.13

Dorchester Upham's Corner Health Center 1 $38,023.09 Lawrence Commonwealth Care Alliance 1 $71,957.78 Lawrence Lawrence General Hospital 2 $106,861.62 Springfield Baystate Health\Baystate


Worcester Family Health Center of Worcester, Inc.

1 $40,930.36

MD 47 $2,679,933.50 Baltimore Baltimore City Health Department - Eastern STD Clinic

2 $189,510.68

39


State Total



(CSF)


by CSF Total Funds

Baltimore Baltimore Veterans Affairs Medical Center

1 $197,834.65

Baltimore Johns Hopkins Hospital 6 $339,975.60 Baltimore Johns Hopkins Hospital -

Children's Center 4 $151,428.29

Baltimore Johns Hopkins Hospital - Weinberg Building

1 $72,769.72

Baltimore Johns Hopkins Medicine: The Moore Clinic

1 $106,607.39

Baltimore Kennedy Krieger Institute - Clinical Research Center

1 $72,507.44

Baltimore MedStar Union Memorial Hospital Adult Medicine Specialists

1 $88,592.11

Baltimore Mercy Medical Center 3 $208,273.05 Baltimore People Encouraging People 1 $110,181.50 Baltimore Sinai Hospital 3 $199,399.00 Baltimore University of Maryland Medical

Center 20 $724,297.07

Elkton Union Hospital of Cecil County 1 $72,354.29 Princess Anne Three Lower Counties-12145

Elm Street 1 $46,400.15

Silver Spring Mary's Center- Flower Ave 1 $99,802.56 ME 2 $91,895.02 Dover-Foxcroft Mayo Regional Hospital 1 $35,622.97

Millinocket Millinocket Regional Hospital 1 $56,272.05 MI 12 $551,068.72 Detroit Henry Ford Hospital - Detroit 1 $61,643.40

Detroit John D. Dingell VAMC 1 $36,982.25

40


State Total



(CSF)


by CSF Total Funds

Detroit University of Detroit Mercy Wellness Center

1 $67,435.07

Detroit Wayne State University Physician Group

1 $79,688.53

Houghton Lake MidMichigan Health Services - Houghton Lake SBHC

1 $16,551.53

Inkster Western Wayne Family Health Center - Inkster

1 $10,048.44

Ironwood Aspirus Grand View - Critical Access Hospital

1 $61,016.88

Kalamazoo Family Health Center - Paterson Site

1 $74,596.28

Kalkaska Kalkaska Memorial Health Center

1 $13,927.25

Manistee West Shore Medical Center 1 $45,954.49 Paw Paw Lakeview Medical Center 1 $64,615.84 Prudenville Prudenville Community Health

Center 1 $18,608.76

MN 16 $746,761.90 Albert Lea Mayo Clinic Health System - Albert Lea Mental Health

1 $33,124.51

Anoka Anoka Metro Regional Treatment Center

1 $12,722.01

Cloquet Carlton County Public Health And Human Services

1 $25,936.45

Duluth Essentia Health - Duluth 3rd Street Clinic

1 $73,489.93

Duluth Essentia Health - St. Mary's Medical Center

4 $169,884.58

41


State Total



(CSF)


by CSF Total Funds

Duluth St. Louis County Public Health 1 $57,637.83 Duluth St. Luke's 1 $80,820.18 Minneapolis Hennepin County - Healthcare

for the Homeless 1 $41,050.34

Minneapolis Hennepin County Medical Center - Outpatient Medical Clinic

1 $25,754.57

Minneapolis Southside Community - 4th Ave Medical Clinic

1 $128,794.77

St. James Mayo Clinic Health System - St. James

1 $26,089.58

Two Harbors Lake View Memorial Hospital 1 $27,811.92 Wilmar Rice Memorial Hospital 1 $43,645.23

MO 42 $2,154,294.36 Alton Ozarks Medical Center – Alton Medical Clinic

1 $22,937.37

Bolivar Citizens Memorial Healthcare 1 $41,171.60 Clinton Golden Valley Memorial

Healthcare 1 $78,624.66

Columbia MU Health Care - University Hospital

1 $15,677.72

Kansas City Children's Mercy Hospitals & Clinics

10 $423,797.18

Kansas City Saint Luke's Hospital 2 $93,447.10 Kansas City Truman Medical Center -

Hospital Hill 2 $84,122.18

Marshfield Burrell Behavioral Health - Marshfield Office

1 $117,194.68

42


State Total



(CSF)


by CSF Total Funds

Springfield CoxHealth - Cox South Hospital

7 $331,340.64

Springfield Mercy Hospital Springfield 1 $18,375.04 St. Louis Barnes-Jewish Extended Care 2 $122,532.18 St. Louis Barnes-Jewish Hospital 4 $348,148.40 St. Louis Cardinal Glennon Children's


St. Louis St. Louis Children's Hospital 1 $49,540.03 St. Louis St. Louis University Hospital 1 $101,521.83 St. Louis St. Louis VA Medical Center -

John Cochran Division 2 $84,965.57

St. Louis Washington University Physicians - Center for Advanced Medicine

1 $24,371.63

Ste. Genevieve Ste. Genevieve County Memorial Hospital

2 $110,167.77

MS 3 $122,880.38 Gulfport Memorial Hospital of Gulfport 1 $55,467.31 Jackson GV Sonny Montgomery VA


Vicksburg Mississippi State Department of Health

1 $51,876.75

MT 2 $150,087.81 Billings Billings Clinic Hospital 1 $19,424.18 Kalispell The Newman Center 1 $130,663.63

NC 10 $532,490.86 Fayetteville Cape Fear Valley Medical Center

3 $151,791.86

Halifax Halifax County Health Department

1 $47,139.73

43


State Total



(CSF)


by CSF Total Funds

Lumberton Lumberton Health Center - RHCC

1 $85,734.18

Morehead City Carteret General Hospital 1 $29,624.81 Patterson Happy Valley Medical Center 1 $79,068.49 Pinetops Vidant Family Medicine-

Pinetop 1 $30,310.32

Roanoke Rapids Halifax Regional Medical Center

1 $49,589.62

Shelby Cleveland Regional Medical Center

1 $59,231.85

ND 1 $18,533.25 Jamestown Jamestown Regional Medical

Center 1 $18,533.25

NE 9 $424,746.47 Columbus Columbus Community Hospital 1 $33,677.31 Crete Bryan Crete Area Medical

Center 2 $92,709.35

Hastings Mary Lanning Memorial HealthCare

1 $54,860.37

Norfolk Midtown Health Center, Inc. 1 $66,638.15 Omaha Charles Drew Health Center 1 $84,056.13 Scottsbluff Regional West Medical Center 1 $7,788.49 Sidney Sidney Regional Medical

Center 1 $56,003.10

Wahoo Saunders Medical Center 1 $29,013.57

NH 1 $15,158.67 Littleton Littleton Regional Healthcare 1 $15,158.67 NJ 4 $302,229.47 Atlantic City AtlantiCare Health Services -

Atlantic City Rescue Mission 1 $83,403.13

44


State Total



(CSF)


by CSF Total Funds

Atlantic City AtlantiCare Health Services - HealthPlex 1401 Atlantic Avenue

2 $203,368.19

Atlantic City Southern Jersey Family Medical Centers, Inc. - Atlantic City Center

1 $15,458.15

NM 4 $587,534.51 Alamogordo Gerald Champion Regional Medical Center

1 $147,396.32

Albuquerque Albuquerque Health Care for the Homeless

1 $97,692.38

Farmington San Juan Regional Medical Center

1 $85,974.46

Tularosa Presbyterian Medical Services - Tularosa Medical Center

1 $256,471.35

NV 5 $413,004.62 Battle Mountain Battle Mountain General Hospital

1 $40,209.89

Las Vegas University Medical Center 1 $101,490.58 Las Vegas VA Southern Nevada Health

Care System Las Vegas 1 $111,891.19

Reno Renown Network Services - Renown Pregnancy Center

1 $52,991.55

Winnemucca Humboldt General Hospital 1 $106,421.41 NY 48 $3,010,715.50 Bronx Albert Einstein Hospital

College Division 2 $272,445.79

Bronx BCHN - (MMG) West Farms Family Practice

1 $120,254.31

Bronx Jacobi Medical Center 2 $70,315.71 Bronx Montefiore Medical Center 1 $91,206.68

45


State Total



(CSF)


by CSF Total Funds

Bronx The Children's Hospital at Montefiore

1 $12,220.27

Buffalo Buffalo Psychiatric Center 1 $65,231.79 Buffalo ECMC - Erie County Medical

Center 1 $86,508.61

Buffalo Kaleida Health - Buffalo General Hospital

1 $78,801.50

Buffalo Kaleida Health - Women & Children's Hospital of Buffalo

1 $25,271.60

Buffalo Sisters of Charity Hospital 1 $25,091.14 Cooperstown Bassett Healthcare Network -


Cooperstown Bassett Healthcare Network - Outpatient Psychiatry

1 $77,183.97

Elmira Arnot Ogden Medical Center 1 $61,297.63 Jamaica Damian Family Care Center 1 $123,380.45 New York Betances Health Center 1 $27,361.14 New York HHC Harlem Hospital Center -

Administrative Network Anchor & Nurse Corps

2 $30,764.90

New York Mount Sinai Hospital 1 $123,904.65 New York Mount Sinai Medical Center -

Main Administrative 3 $175,892.10

New York Mount Sinai St. Lukes - Spencer Cox Center for Health - Morningside Clinic

1 $96,205.16

New York NY Presbyterian - Columbia University Medical Center

2 $114,287.68

46


State Total



(CSF)


by CSF Total Funds

New York NY Presbyterian - Comprehensive HIV Center

1 $20,372.76

New York NY Presbyterian - Hospital at 622 West 168th Street

4 $416,926.05

New York Beth Israel 1 $142,757.57 Olean Olean General Hospital - Main

Site 1 $29,513.70

Rochester Rochester General Hospital 1 $59,132.68 Rochester URMC - Strong Memorial

Hospital 5 $321,207.20

Syracuse Crouse Hospital 1 $64,806.74 Syracuse SUNY Upstate Medical

University Hospital 5 $147,538.07

Syracuse Syracuse Healthy Start Program 1 $22,630.52 Utica Faxton St. Luke's Healthcare 1 $69,142.17 Yonkers Saint Joseph's Medical Center 1 $16,982.23

OH 18 $1,074,823.77 Akron Akron General Medical Center 2 $213,902.55 Ashtabula Signature Health Inc. 1 $45,330.82 Cambridge Muskingum Valley Health Ctrs

- Cambridge 1 $12,728.93

Cincinnati Cincinnati Children's Hospital Medical Center

2 $110,838.82

Cleveland University Hospitals 1 $23,866.02 Columbus Lower Lights CHC - 1160 West 1 $100,503.33 Columbus Mount Carmel West Hospital 1 $26,512.40 Fairfield Primary Health Solutions -

Fairfield School-Based Health Center

1 $65,981.91

47


State Total



(CSF)


by CSF Total Funds

Jackson Holzer Medical Center - Jackson

1 $28,435.72

Lisbon Columbiana County Health Department

1 $23,583.17

Oxford Primary Health Solutions - Oxford Health Center

1 $83,385.99

Portsmouth Portsmouth City Health Department

1 $18,213.53

Portsmouth Southern Ohio Medical Center 1 $79,705.24 Sandusky Family Health Services of Erie

County 1 $99,527.43

West Liberty Community Health & Wellness Partners of Logan County-Bellefontaine Community Health Center

1 $83,897.24

Zanesville Zanesville Muskingum County Health Department

1 $58,410.67

OK 4 $192,865.72 Ada Chickasaw Nation Health - Chickasaw Nation Medical Center Hospital

1 $101,386.28

Clinton Clinton Service Unit - Clinton Indian Health Center

1 $45,378.10

Eufaula Stigler Health and Wellness Center - Eufaula Clinic

1 $24,226.66

Medford Great Salt Plains Health Center - Medford

1 $21,874.68

OR 25 $1,533,937.25 Ashland Asante Ashland Community Hospital

1 $65,316.39

48


State Total



(CSF)


by CSF Total Funds

Bend Mosaic Medical-Complex Care Center

1 $66,868.76

Canby Neighborhood Health Center-Canby

1 $152,767.62

Gresham Multnomah County Health Department-East County Health Center

1 $47,535.70

Hillsboro Virginia Garcia Memorial Health Center-Hillsboro School-based Health Center

1 $72,106.34

Klamath Falls Sky Lakes Medical Center 1 $78,384.35 Madras St. Charles Madras 1 $49,515.73 Portland Multnomah County Health

Department 1 $65,624.09

Portland Multnomah County Health Department-North Portland Health Center

2 $38,323.64

Portland NARA Northwest--Indian Health Clinic

1 $127,394.73

Portland Oregon Health And Sciences University Hospital

2 $104,457.17

Portland Outside In, Main Medical Center Clinic

3 $200,761.68

Portland Portland VA Medical Center 1 $24,614.90 Portland Randall Children's Hospital at

Legacy Emanuel 1 $105,554.92

Salem Salem Health 1 $33,503.69 Salem Salem Hospital 4 $193,940.31

49


State Total



(CSF)


by CSF Total Funds

St. Helens The Public Health Foundation of Columbia County

1 $58,264.92

St. Helens Legacy Clinic - St. Helens 1 $49,002.31 PA 10 $603,936.65 Altoona UPMC - Altoona Hospital 1 $10,618.89

Huntingdon JC Blair Memorial Hospital 1 $15,425.11 Hyndman Hyndman Area Health Center,

Inc. 1 $65,850.80

New Holland Welsh Mountain-Meadow Creek Family Practice

1 $159,159.02

Philadelphia Esperanza Health Center- 6th Street

1 $8,869.14

Philadelphia FPCN-Quick Care Clinic 1 $85,517.16 Philadelphia PHMC Health Connection 1 $108,952.37 Punxsutawney Punxsutawney Area Hospital,

Inc. 1 $12,320.46

Sayre Robert Packer Hospital 1 $74,317.20 York Wellspan Health-York Hospital 1 $62,906.50

RI 8 $514,830.13 Johnston Tri-Town Community Action Agency Health Center

1 $112,169.58

Pascoag Northwest Community Health Care (doing business as WellOne Primary Medical and Dental Care – Pascoag)

2 $102,141.85

Providence Women And Infants Hospital 1 $17,161.98 Wakefield Thundermist Health Center of

South County 1 $12,905.05

Woonsocket Thundermist Health Center of Woonsocket - Medical

3 $270,451.67

50


State Total



(CSF)


by CSF Total Funds

SC 7 $524,600.48 Charleston Medical University of South Carolina

1 $94,569.45

Charleston Medical University of South Carolina Health Medical Center

2 $159,542.82

Clinton Carolina Health Centers - Laurens County Community Care Center

1 $67,539.83

Georgetown Georgetown Memorial Hospital 1 $66,838.98 Manning Manning Medical Center 1 $60,926.64 Ridgeland Beaufort-Jasper Hampton

Comprehensive Health Services, Inc.-Thomas C. Barnwell Administrative Bldg.

1 $75,182.76

SD 2 $110,901.65 Gregory Avera Gregory Medical Clinic 1 $62,990.75 Mitchell Avera Queen of Peace Hospital 1 $47,910.90

TN 17 $885,488.74 Bolivar Western Mental Health Institute 1 $74,098.94 Chattanooga Children's Health Center: An

Erlanger Health System Affiliate

1 $44,875.21

Clarksville Montgomery County Health Department

1 $42,359.28

Columbia Maury Regional Medical Center 1 $55,228.76 Elizabethton Carter County Health

Department 1 $56,286.37

Franklin Mercy Health Services, Inc. 1 $63,081.21 Knoxville East Tennessee Children's

Hospital 1 $39,463.95

51


State Total



(CSF)


by CSF Total Funds

Knoxville University of Tennessee Medical Center

2 $58,011.07

Memphis Le Bonheur Children's Hospital - Out Patient Center

1 $12,264.90

Memphis Methodist University Hospital 1 $129,256.22 Memphis Regional Medical Center at

Memphis (The MED) 1 $49,371.95

Memphis Regional One Health/UT Medical Group

1 $74,870.25

Nashville Neighborhood Health - Downtown Homeless Clinic

1 $102,557.29

Paris Henry County Medical Center 1 $22,549.61 Soddy Daisy Sequoyah Health Center 1 $46,196.81 Springfield Northcrest Medical Center 1 $15,016.92

TX 14 $814,584.86 Abilene Abilene State Supported Living Center

1 $30,871.08

Breckenridge Shackelford County Community Resource Center - ResourceCare Breckenridge

1 $26,978.39

Dallas AIDS Arms, Inc. 1 $107,145.40 Dallas Dallas VA Medical Center 2 $58,598.62 Dumas Moore County Hospital District 1 $109,445.96 El Paso UMC Neighborhood Health

Center - Ysleta 1 $52,599.51

El Paso University Medical Center of El Paso

2 $60,407.16

Fabens UMC Neighborhood Health Center - Fabens

1 $79,730.76

52


State Total



(CSF)


by CSF Total Funds

Hondo South Texas Rural Health Services - Hondo Clinic

1 $117,947.80

Iowa Park Electra Hospital District - Iowa Park Clinic

1 $18,343.81

Lubbock Covenant Medical Center 1 $87,631.19 Lubbock University Medical Center 1 $64,885.18

UT 10 $422,746.53 Moab Moab Regional Hospital (Allen Memorial Hospital / Moab Valley Health Care, Inc.)

1 $48,684.43

Ogden Ogden VA Community Based Outpatient Clinic

1 $19,091.93

Provo Utah County Health Department

1 $50,555.59

Provo Utah Valley Regional Medical Center

1 $21,819.23

Salt Lake City University of Utah Medical Center

3 $148,452.17

Salt Lake City VA Medical Center Salt Lake City

2 $113,884.96

Salt Lake City Veterans Affairs Salt Lake City Health Care System

1 $20,258.22

VA 6 $236,778.53 Damascus St. Charles Health Council, Inc./Stone Mountain Health Services-Konnarock Family Health Center

1 $74,662.81

Lynchburg Lynchburg General Hospital 1 $45,145.83 New Castle Monroe County Health Center:

Craig County Health Center 1 $68,936.26

53


State Total



(CSF)


by CSF Total Funds

Richmond VCU Medical System 1 $10,820.95 Roanoke Carilion Roanoke Memorial

Hospital 2 $37,212.68

VT 1 $23,352.93 Springfield Springfield Medical Care

Systems 1 $23,352.93

WA 17 $1,379,319.64 Bellingham Unity Care NW - Bellingham Medical and Dental

1 $40,690.33

Longview Cowlitz Family Health Center - Longview Medical and Dental Clinic

1 $88,997.92

Moses Lake Samaritan Healthcare 1 $64,749.61 Renton HealthPoint Renton 1 $37,403.12 Richland Kadlec Regional Medical

Center 1 $105,339.74

Seattle Harborview Medical Center - Aftercare & MH Clinics

2 $105,481.92

Seattle Neighborcare Health - Greenwood Medical Clinic

1 $95,874.04

Seattle Neighborcare Health - Pike Market Medical Clinic

1 $87,027.27

Spokane Providence Sacred Heart Medical Center

2 $231,991.38

Sunnyside Sunnyside Community Hospital 1 $81,212.02 Tukwila Cowlitz Indian Tribal Health

and Human Services - Tukwila 1 $79,417.14

Wenatchee Columbia Valley Community Health-Wenatchee

2 $166,267.77

54


State Total



(CSF)


by CSF Total Funds

Yakima CHCW - Yakima Pediatric Associates

1 $102,581.84

Yakima Yakima Medical & Dental - Yakima Valley Farm Workers Clinic

1 $92,285.54

WI 10 $588,312.65 Lake Geneva Aurora Health - Lake Geneva Behavioral Health Center

1 $46,053.69

Milwaukee Aurora Health - Milwaukee Sinai Medical Center

4 $277,900.89

Milwaukee Milwaukee Health Department - Southside Health Center

1 $34,689.05

Milwaukee Milwaukee Health Services, Inc. - MLK Heritage Health Center

1 $107,495.85

Milwaukee Wheaton Franciscan Healthcare - St. Joseph Outpatient Services

1 $18,894.21

Spooner Spooner Health System Hospital

1 $24,543.88

Sturgeon Bay Ministry Door County Medical Center

1 $78,735.08

WV 4 $111,032.58 Buckhannon Community Care of West Virginia - Tri-County - CAREXPRESS

1 $5,891.12

Camden On Gauley

Camden-On-Gauley Medical Center

1 $32,023.58

Riverton Pendleton Community Care: North Fork Primary Care Clinic

1 $3,682.98

Scott Depot WomenCare, Inc. FamilyCare HealthCenter - Teays Valley

1 $69,434.90

55

Appendix D – NURSE Corps Loan Repayment Program Nurse Faculty Participants by State and School (FY 2016)

NURSE Corps LRP Nurse Faculty Participants by State and School (FY 2016)

State Total


Total Funds by State

City School Number of

Participants by CSF

Total Funds

AL 14 $597,679.25 Birmingham Lawson State Community College 1 $40,555.42 Dothan George C Wallace State Community

College - Dothan 7 $191,641.56

Gadsden Gadsden State Community College 1 $72,414.43 Jacksonville Jacksonville State University - College

of Nursing 1 $79,904.88

Mobile Bishop State Community College 1 $64,259.30 Mobile University of South Alabama - College

of Nursing 2 $131,588.56

Troy Troy University - School of Nursing 1 $17,315.10 AR 4 $123,423.59 Little Rock Baptist Health Schools - Little Rock 2 $37,979.83

Little Rock University of Arkansas at Little Rock - Department of Nursing

1 $11,034.14

Russellville Arkansas Tech University 1 $74,409.62 AZ 1 $16,129.49 Kingman Mohave Community College 1 $16,129.49 CA 4 $146,996.14 Hayward Chabot College 1 $36,204.63

Irvine University of California, Irvine - School of Nursing

1 $84,318.37

Oroville Butte College 1 $13,921.69 Sacramento California State University,

Sacramento - School of Nursing 1 $12,551.45

CT 1 $65,430.96 New Britain Central Connecticut State University 1 $65,430.96

56


State Total




Participants by CSF

Total Funds

FL 6 $204,619.91 Bradenton State College of Florida, Manatee-Sarasota

1 $34,897.13

Daytona Beach Daytona State College 1 $66,319.72 Jacksonville Florida State College of Jacksonville 1 $57,211.24 Lake City Florida Gateway College 1 $26,868.57 Miami Florida International University -

College of Nursing and Health Sciences

1 $9,755.74

Miami Miami Dade College - Medical Campus

1 $9,567.51

GA 8 $484,100.30 Albany Albany Technical College 1 $13,720.35 Albany Darton State College 1 $60,574.44 Atlanta Emory University - Nell Hodgson

Woodruff School of Nursing 1 $57,239.66

Gainesville Brenau University 2 $137,962.99 Marietta Chattahoochee Technical College 1 $64,662.99 Morrow Clayton State University - School of

Nursing 1 $82,277.97

Statesboro Georgia Southern University School of Nursing

1 $67,661.90

IA 1 $28,893.69 Centerville Indian Hills Community College - Centerville Campus

1 $28,893.69

ID 5 $241,963.56 Boise Boise State University- Department of Nursing

2 $183,036.64

Pocatello Idaho State University - School of Nursing

2 $52,197.51

Twin Falls College of Southern Idaho 1 $6,729.41

57


State Total




Participants by CSF

Total Funds

IL 5 $134,263.17 Chicago Saint Xavier University - School of Nursing

1 $11,833.72

Danville Lakeview College of Nursing 1 $18,602.57 Decatur Millikin University - School of

Nursing 1 $9,337.78

Malta Kishwaukee College 1 $53,308.45 St. Peoria Saint Francis Medical Center - College

of Nursing 1 $41,180.65

IN 9 $437,142.68 Indianapolis Indiana University Indianapolis - School of Nursing

1 $69,546.64

Indianapolis Ivy Tech Community College - Central Indiana

1 $61,910.16

Kokomo Indiana University Kokomo - School of Nursing

1 $29,154.63

Muncie Ivy Tech Community College - East Central

1 $43,367.66

Terre Haute Indiana State University - College of Nursing, Health, and Human Services

4 $213,634.94

Vincennes Vincennes University 1 $19,528.65 KS 5 $239,471.73 Coffeyville Coffeyville Community College 1 $51,509.02

Fort Scott Fort Scott Community College 1 $36,557.94 Hays Fort Hays State University - School of

Nursing 2 $102,503.04

Leavenworth University of Saint Mary - Department of Nursing

1 $48,901.73

KY 6 $195,716.40 Campbellsville Campbellsville University 1 $6,491.79 Cumberland South East Kentucky Community and

Technical College 1 $16,349.82

58


State Total




Participants by CSF

Total Funds

Grayson Kentucky Christian University - Yancy School of Nursing

1 $83,431.55

Hopkinsville Hopkinsville Community College 2 $61,498.38 Owensboro Owensboro Community & Technical

College 1 $27,944.86

LA 7 $433,390.50 Baton Rouge Baton Rouge Community College 1 $14,484.87 Baton Rouge Our Lady of the Lake College 3 $213,725.81 Eunice Louisiana State University - Eunice 1 $88,005.81 Hammond Southeastern Louisiana University -

School of Nursing 2 $117,174.01

MA 1 $27,710.99 Boston Roxbury Community College 1 $27,710.99 MD 2 $77,338.04 Baltimore Notre Dame of Maryland University 1 $19,418.25

Baltimore City University of Maryland School of Nursing

1 $57,919.79

MI 4 $169,041.80 Ann Arbor University of Michigan - School of Nursing

1 $54,382.84

Cadillac Bakers College of Cadillac 1 $35,012.30 University Center

Saginaw Valley State University 1 $25,535.10

Ypsilanti Eastern Michigan University - School of Nursing

1 $54,111.56

MN 5 $153,600.57 Brooklyn Park North Hennepin Community College 1 $41,375.71 Duluth The College of St. Scholastica 1 $21,356.73 Minneapolis Minneapolis Community And

Technical College 1 $41,382.81

St. Paul St. Catherine University 1 $17,982.19 St. Paul Bethel University 1 $31,503.13

59


State Total




Participants by CSF

Total Funds

MO 9 $475,507.73 Columbia MU Health Care-Sinclair School of Nursing

1 $74,095.71

Kansas City Saint Luke's College of Nursing 1 $58,216.90 Point Lookout College of the Ozarks 1 $10,300.82 Springfield Cox College of Nursing 3 $192,528.54 St. Louis Maryville University of Saint Louis -

School of Health Professions 1 $93,299.61

St. Louis Saint Louis University - School of Nursing

1 $28,737.63

St. Louis St. Louis Community College Meramec Site

1 $18,328.52

MS 9 $211,819.88 Columbus Mississippi University for Women 1 $15,694.52 Fulton Itawamba Community College 1 $18,966.64 Goodman Holmes Community College 1 $25,518.22 Jackson Hinds Community College 2 $70,297.17 Meridian Meridian Community College - School

of Nursing 3 $74,302.75

Senatobia Northwest Mississippi Community College

1 $7,040.58

NC 8 $312,788.44 Cullowhee Western Carolina University 1 $51,398.14 Dallas Gaston College 1 $52,290.77 Durham North Carolina Central University -


Goldsboro Wayne Community College 1 $9,461.52 Greenville East Carolina University - College of

Nursing 1 $64,983.36

Hudson Caldwell Community College 1 $25,868.30

60


State Total




Participants by CSF

Total Funds

Kinston Lenoir Community College 1 $94,458.35 Mount Olive University of Mount Olive 1 $8,492.93

NM 2 $139,059.69 Hobbs New Mexico Junior College 1 $108,413.67 Las Cruces New Mexico State University - School

of Nursing 1 $30,646.02

NY 6 $213,555.05 Alfred Alfred State College aka SUNY, College of Technology at Alfred

1 $70,447.02

Bayside CUNY, Queensborough Community College

1 $39,967.65

Brooklyn Long Island University, Brooklyn - School of Nursing

1 $40,269.93

Buffalo D'Youville College 1 $10,547.46 Delhi The State University of New York at

Delhi - School of Nursing 1 $35,939.68

Utica St. Elizabeth's College of Nursing 1 $16,383.31 OH 4 $155,508.64 Cincinnati Blue Ash College 1 $6,317.96

Kirtland Lakeland Community College 1 $36,245.78 Mansfield Ashland University - Dwight Schar

College of Nursing 1 $5,690.55

Mansfield North Central State College 1 $107,254.35 OK 6 $244,390.40 Altus Western Oklahoma State College 1 $36,929.98

Miami Northeastern Oklahoma A&M College 1 $4,642.44 Oklahoma City Oklahoma City University - Kramer


Oklahoma City University of Oklahoma Health Science Center - College of Nursing

1 $73,009.31

Wilburton Eastern Oklahoma State College 1 $52,640.85

61


State Total




Participants by CSF

Total Funds

OR 3 $164,223.95 Coos Bay Southwestern Oregon Community College

1 $38,864.45

Portland Linfield College 1 $59,540.35 Portland University of Portland - School of

Nursing 1 $65,819.15

PA 5 $294,511.67 Loretto Saint Francis University - School of Health Sciences

1 $71,357.74

Monaca Community College of Beaver County 1 $55,033.26 Philadelphia Community College of Philadelphia 1 $67,758.79 Pittsburgh University of Pittsburgh - School of

Nursing 1 $50,392.47

West Chester West Chester University of Pennsylvania

1 $49,969.41

SC 6 $436,191.83 Columbia University of South Carolina- College of Nursing

1 $42,672.68

Florence Florence-Darlington Technical College 1 $67,437.13 North Charleston

Charleston Southern University - School of Nursing

1 $142,067.69

North Charleston

Trident Technical College 1 $60,572.50

Spartanburg Mary Black School of Nursing 1 $79,912.69 Sumter Central Carolina Technical College 1 $43,529.14

SD 2 $59,648.13 Kyle Ogala Lakota College 1 $32,893.75 Mitchell Dakota Wesleyan University 1 $26,754.38

TN 14 $851,856.97 Athens Tennessee Wesleyan College 1 $39,474.18 Blountville Northeast State Community College -

Division of Nursing 1 $29,163.03

Dyersburg Dyersburg State Community College 1 $53,279.00

62


State Total




Participants by CSF

Total Funds

Harrogate Lincoln Memorial University 2 $92,080.79 Jackson Jackson State Community College 2 $74,408.62 Memphis University of Memphis - Loewenberg


Murfreesboro Middle Tennessee State University - School of Nursing

1 $195,047.71

Nashville Tennessee State University - School of Nursing

2 $138,873.05

Nashville Vanderbilt University - School of Nursing

3 $182,335.97

TX 17 $703,305.20 Austin Austin Community College 1 $41,202.47 Bryan Texas A&M Health Science Center -

College of Nursing 1 $46,049.44

Canyon West Texas A&M University - College of Nursing and Health Sciences

2 $125,162.50

Denison Grayson County College 3 $105,447.69 El Paso University of Texas at El Paso -


Lubbock Texas Tech University Health Sciences Center - School of Nursing

2 $94,789.06

Lufkin Angelina College 2 $10,838.91 Stephenville Tarleton State University - College of

Science and Technology 1 $46,643.02

Tyler Tyler Junior College 2 $90,469.28 Tyler University of Texas at Tyler - College

of Nursing and Health Sciences 2 $111,806.58

UT 6 $320,529.10 Price College of Eastern Utah 1 $37,796.89 Salt Lake City Western Governors University 5 $282,732.21

63


State Total




Participants by CSF

Total Funds

VA 5 $437,527.09 Charlottesville University of Virginia - School of Nursing

1 $95,149.07

Harrisonburg James Madison University 2 $213,675.99 Portsmouth Tidewater Community College 1 $53,548.34 Richmond Virginia Commonwealth University -


VT 2 $121,523.20 Burlington University of Vermont - College of Nursing and Health Sciences

1 $84,922.29

Randolph Center Vermont Technical College - School of Nursing

1 $36,600.91

WA 4 $194,046.85 Bothell University of Washington Bothell 1 $94,893.04 College Place Walla Walla College 1 $42,549.95 Puyallup Pierce College Puyallup 1 $39,427.67 Vancouver Clark College 1 $17,176.19

WI 6 $252,477.12 Brookfield Herzing University - Brookfield 1 $79,252.58 Fond du Lac Marian University of Fond du Lac -

Marian College of Nursing 1 $66,355.24

Green Bay Northeast Wisconsin Technical College

1 $14,435.25

Milwaukee Alverno College 1 $20,752.71 Shell Lake Wisconsin Indianhead Technical

College 2 $71,681.34

WV 1 $116,605.36 Shepherdstown Shepherd University 1 $116,605.36 WY 1 $47,478.82 Powell Northwest College 1 $47,478.82

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