Blending Funding From Public andPrivate Sources
Presented by Jack Salo, Interim Executive Director, Rural
Health Network of SCNY, CTAA, December 11, 2023
Jack Salo Consulting: jsaloconsult@gmail.com
Phone: 607 743 0120

Services Provide by Rural Health Network
SCNY & Getthere – Mobility Management
Community Health:•••Community Health Education
Community Health Worker
Rural Aging Services

Getthere Mobility Management:••

Food & Health Network:•

Rural Health Service Corps:

•••

•
•
•
•

Produce Prescription Program
Farm to SchoolAmeriCorps
VISTA

Rural Health Planning & TechnicalAssistance.

•Call Center (7:00 Am – 5:30 Pm)
Website Trip Plannerhttps://gettherescny.org/Connection to Care (Trans. To
Health appts., primarily rural
Medicare population
Travel Training
Transportation to Employment
Volunteer Driver (partnership withVTC, Watertown, NY)
Medical Answering Servicenavigation (Medicaid appts.).
Complex system – users need help.
2What Kind of Populations Do You Serve Most?
Getthere has a five county, predominantly rural service area in South Central New
York, part of Northern Appalachia. Four of the five counties have populations of50,000 or less. Broome County has a population of 200,000 and includes theCity of Binghamton•

Rural•

Elderly•

Low Income•Individuals with Disabilities
3How Are Your Core Services Funded?
Revenue

Budgetedfor Fiscal
Year 2021- Percentage of2022
Total Budget

Getthere(FTA) 5311

343,16032%(FTA) 5311 CARES Act

167,357

16%

FTA 5310

140,795

13%

Connection To Care Funding
Private sources of funding. Conservative proj.

74,000

7%

NYS Medicaid Reform Innovation Funding

25,9662%

ARC Transportation to Employment
Appalachian Regional Commission Grant

75,0007%

Dev. Dis. Planning Council (Travel Training)

137,150

13%

NYS grant to develop travel training curriculum
Transportation to Employment Contracts

50,8655%41,0004%

Medicaid voucher program, etc.

The Percentages and funding mix changes
each year:••••••

Federal Transit Administration: 50% +Non-FTA Federal, e.g. Appalachian Regional
Commission: 0 – 20%
New York State (Some NYS $ and somepass through of federal funding, e.g., MedicaidReform $) 0 – 20%
Philanthropic & Getthere Rider Donations:
6% - 8%County Contracts: e.g., transportation toemployment; aging transportation services
5% - 10%Contracts with County Gov't (2 counties)
Broome County COVID Grants
Office for Aging Grants to support elderly
RTAP (Fed Trans. Training & TA $)Total

10,0001%

1,065,293

100%4

Are There Special Projects For Which You’ve Used
Less Traditional Funding Sources?
Private Funding Used as Match to FTA 5311 – 5310
and Supporting Connection to Care:* United Way Broome County ($35K)* Chenango United Way ($16 K)* Community Foundation For South Central NY($25K a year for 5 years)* Rider Donations ($5K - $10K)* Miscellaneous Donations: ($1K – 5K)
NYS DSRIP (Medicaid Reform) Innovation Funding,2016 - 2018: $225,808 to expand Call Center hours;
build website and trip planner, and provide social
care transportation (transportation to Medicaid
population for rides to destinations that are not Medicaid
eligible, e.g., to Rx, food, renewal of services and benefits.

Binghamton-Broome Anti-Poverty
Initiative (Contract with United Way ofBroome County, NYS funding). 2018 – 2019:$169,000: This funding was used to purchaseTwo vans for transportation to employment
services and to support related program
expenses.
Tompkins County COVID-19 Vaccination
Transportation Services: March 2021 –January 2022: Paid for service brokered plus
15%. Brokered transportation services for
Tompkins County residents travelling to theBinghamton, NY State Vaccination Center.

5For Those Non-Traditional Funders, How Did You
Make The Connection With Them?
● “It’s All About Relationships”● Local philanthropic, government and other private sector interests have a
responsibility to provide meaningful financial support of mobility services totransportation disadvantaged populations: You need to make the case for
their support.
● Stop looking only for “transportation funding” and start looking at the roletransportation plays in all health, human service and economic activities. Howcan you access funding through non-transportation partners and nontransportation specific funding sources?
6

Do You See A Difference In How Different Funders
Approach Funding Mobility & Transportation Services?
● Federal Transit Administration: The rock upon which you build your non-federal funding● Philanthropic Organizations: Maintaining the health, mobility and independence ofvulnerable populations. Look for alignment with their mission. Show leveraging of FTA$

● Local Government (Primarily funding for older residents and transportation toemployment services). Show leveraging of FTA $● State Funding (Special Projects)● Medicaid Reform (Medicaid population – targeting access to “Social Care” or Social
Determinants of Health destinations like food, benefits, etc.)7