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annual report


JULY 2018 — JUNE 2019

KRIS LANG, LCSW

Dear Friends, When I was asked last year to serve as President of the WNCAP Board of Directors, I was honored to return to an agency that has been close to my heart for a very long time. From 1998-2016, I worked at WNCAP as a Medical Case Manager, providing direct services to our clients living with HIV and hepatitis C. I witnessed firsthand the lifesaving services WNCAP provides. I also encountered a generous and compassionate community that supported our work through difficult financial times and in the face of stillprevalent HIV stigma and homophobia.

I am heartened by the new tools available to stop the spread of HIV: PrEP (pre-exposure prophylaxis), a daily pill that can reduce the risk of contracting HIV by about 99%; increasing acceptance of syringe access and harm reduction practices; and the revelation of U=U (undetectable equals untransmittable) meaning that a person whose viral load is adequately suppressed can no longer sexually transmit HIV. Through these, as well as the traditional tools of testing, education, and condom distribution, we now have the ability to end the HIV epidemic, once and for all.

I am proud to say that through the tireless efforts of WNCAP staff, as well as a vibrant community of donors, sponsors, restaurants, and volunteers, WNCAP is in the strongest financial position of our 33-year history. Because of the good fiscal management of Executive Director Antonio del Toro, Associate Executive Director Iosvany Gispert, and our entire board of directors, WNCAP will be able to serve our community for years to come.

Of course, even with the amazing progress made in the broader field of HIV Prevention & Care, nothing could be accomplished without the amazing people at WNCAP who work every day to improve the lives of our clients and everyone in our community. I could not be more impressed with the number of fresh faces at our agency, at both the staff and board level. The exciting new variety of perspectives at WNCAP is resulting in an array of new policies and procedures that will ensure fiscal stability, operational efficiency, and ethical transparency. All of these are vital for protecting the continuation of our critical mission.

However, even our stable fiscal standing is inadequate to meet the mounting demand for our services in Western North Carolina. The opioid epidemic, with its accompanying increase in injection drug use, as well as stubbornly high rates of HIV diagnoses among marginalized communities, means that our mission of HIV Prevention & Care is just as vital now as it was three decades ago.

I am deeply proud and humbled by the impact that WNCAP has on Western North Carolina and beyond. I hope you will continue to partner with us as we make our community healthier, happier, and more compassionate. With much love,

EXPENSES

INCOME

INCOME GOVERNMENT GRANTS $452,297 FOUNDATION GRANTS $87,936 PHARMACY SERVICES $942,293 FUNDRAISING EVENTS $128,775 DONATIONS & MISC. INCOME $31,946 Total $1,643,246

28% 5% 57% 8% 2% 100%

SALARIES & PERSONNEL*

EXPENSES OFFICE & GEN $169,834 10% FUNDRAISING $52,607 3% PROGRAM & SERVICES $295,886 18% SALARIES & PERSONNEL* $957,721 58% OPERATING RESERVE $167,198 10% Total $1,643,246 100%

*SALARIES & PERSONNEL MANAGEMENT/ADMIN. $174,386 18% PROGRAMS & SERVICES $544,958 57% FUNDRAISING $72,255 8% PERSONNEL EXPENSES $166,122 17% Total $957,721 100%


JULY 2018 — JUNE 2019

KRIS LANG, LCSW

Dear Friends, When I was asked last year to serve as President of the WNCAP Board of Directors, I was honored to return to an agency that has been close to my heart for a very long time. From 1998-2016, I worked at WNCAP as a Medical Case Manager, providing direct services to our clients living with HIV and hepatitis C. I witnessed firsthand the lifesaving services WNCAP provides. I also encountered a generous and compassionate community that supported our work through difficult financial times and in the face of stillprevalent HIV stigma and homophobia.

I am heartened by the new tools available to stop the spread of HIV: PrEP (pre-exposure prophylaxis), a daily pill that can reduce the risk of contracting HIV by about 99%; increasing acceptance of syringe access and harm reduction practices; and the revelation of U=U (undetectable equals untransmittable) meaning that a person whose viral load is adequately suppressed can no longer sexually transmit HIV. Through these, as well as the traditional tools of testing, education, and condom distribution, we now have the ability to end the HIV epidemic, once and for all.

I am proud to say that through the tireless efforts of WNCAP staff, as well as a vibrant community of donors, sponsors, restaurants, and volunteers, WNCAP is in the strongest financial position of our 33-year history. Because of the good fiscal management of Executive Director Antonio del Toro, Associate Executive Director Iosvany Gispert, and our entire board of directors, WNCAP will be able to serve our community for years to come.

Of course, even with the amazing progress made in the broader field of HIV Prevention & Care, nothing could be accomplished without the amazing people at WNCAP who work every day to improve the lives of our clients and everyone in our community. I could not be more impressed with the number of fresh faces at our agency, at both the staff and board level. The exciting new variety of perspectives at WNCAP is resulting in an array of new policies and procedures that will ensure fiscal stability, operational efficiency, and ethical transparency. All of these are vital for protecting the continuation of our critical mission.

However, even our stable fiscal standing is inadequate to meet the mounting demand for our services in Western North Carolina. The opioid epidemic, with its accompanying increase in injection drug use, as well as stubbornly high rates of HIV diagnoses among marginalized communities, means that our mission of HIV Prevention & Care is just as vital now as it was three decades ago.

I am deeply proud and humbled by the impact that WNCAP has on Western North Carolina and beyond. I hope you will continue to partner with us as we make our community healthier, happier, and more compassionate. With much love,

EXPENSES

INCOME

INCOME GOVERNMENT GRANTS $452,297 FOUNDATION GRANTS $87,936 PHARMACY SERVICES $942,293 FUNDRAISING EVENTS $128,775 DONATIONS & MISC. INCOME $31,946 Total $1,643,246

28% 5% 57% 8% 2% 100%

SALARIES & PERSONNEL*

EXPENSES OFFICE & GEN $169,834 10% FUNDRAISING $52,607 3% PROGRAM & SERVICES $295,886 18% SALARIES & PERSONNEL* $957,721 58% OPERATING RESERVE $167,198 10% Total $1,643,246 100%

*SALARIES & PERSONNEL MANAGEMENT/ADMIN. $174,386 18% PROGRAMS & SERVICES $544,958 57% FUNDRAISING $72,255 8% PERSONNEL EXPENSES $166,122 17% Total $957,721 100%


sterile syringes distributed

miles driven for medical appointments & activities

WNCAP has been of great benefit to my life. They are like family. — WNCAP case management client

I would go hungry if it weren’t for the Loving Food Resources food that WNCAP delivers to me. They help me get enough to eat. — WNCAP food delivery client

food case management outreach HIV case management at WNCAP helps people living with HIV access the resources needed to stay engaged in care and thrive in their communities. The goal of case management is to improve overall health outcomes by providing support, advocacy, and connection to services. In the last fiscal year (July 2018-June 2019), WNCAP served 297 clients. Seven medical case managers and eight peer navigators drove 147,996 miles to transport clients to medical appointments and other activities. WNCAP provided 114 clients a total of $69,352.81 in rental, utility, and other emergency assistance so that they could remain housed and healthy.

lifesaving overdose reversal kits provided

food & personal care items delivered to 104 people

In collaboration with Loving Food Resources (LFR), WNCAP delivers nutritious food to homebound individuals living with HIV across western North Carolina. Many HIV treatment regimens will cause painful side effects if they’re not taken with food. The food delivery program reduces food insecurity for clients which can lead to missed doses, unnecessary suffering, and poor health outcomes. Throughout fiscal year 2018, WNCAP staff and volunteers drove 11,121 miles, delivering 34 tons of food and personal care items to 104 people living with HIV in some of our most rural and isolated communities.

harm reduction WNCAP operates two syringe service programs that help reduce the risk of harm associated with injection drug use including the transmission of HIV and viral hepatitis C by distributing safer injection equipment and disposing of un-sterile syringes. In collaboration with the North Carolina Harm Reduction Coalition, our programs provided life-saving overdose reversal kits and education. Upon request, our staff provides information and/or referrals to medical care, substance use treatment, and other community resources. All WNCAP harm reduction services are zero-cost and stigma-free.

During the last fiscal year, WNCAP distributed 458,214 sterile syringes and disposed of 119,510 un-sterile syringes. Syringe service program staff also provide education to clients and distributed 1,694 life-saving overdose reversal kits.

The overdose reversal kits you guys have given me saved seven lives in the past nine months. Thank you for what you do. – WNCAP Syringe Services client

The WNCAP syringe services program has helped people who use drugs for 25 years and will continue to provide harm reduction services to everyone who needs them. Syringe services clients are amazing, smart, funny people who we will always support and advocate for. – Thomas Cospito, Syringe Services Program Coordinator


sterile syringes distributed

miles driven for medical appointments & activities

WNCAP has been of great benefit to my life. They are like family. — WNCAP case management client

I would go hungry if it weren’t for the Loving Food Resources food that WNCAP delivers to me. They help me get enough to eat. — WNCAP food delivery client

food case management outreach HIV case management at WNCAP helps people living with HIV access the resources needed to stay engaged in care and thrive in their communities. The goal of case management is to improve overall health outcomes by providing support, advocacy, and connection to services. In the last fiscal year (July 2018-June 2019), WNCAP served 297 clients. Seven medical case managers and eight peer navigators drove 147,996 miles to transport clients to medical appointments and other activities. WNCAP provided 114 clients a total of $69,352.81 in rental, utility, and other emergency assistance so that they could remain housed and healthy.

lifesaving overdose reversal kits provided

food & personal care items delivered to 104 people

In collaboration with Loving Food Resources (LFR), WNCAP delivers nutritious food to homebound individuals living with HIV across western North Carolina. Many HIV treatment regimens will cause painful side effects if they’re not taken with food. The food delivery program reduces food insecurity for clients which can lead to missed doses, unnecessary suffering, and poor health outcomes. Throughout fiscal year 2018, WNCAP staff and volunteers drove 11,121 miles, delivering 34 tons of food and personal care items to 104 people living with HIV in some of our most rural and isolated communities.

harm reduction WNCAP operates two syringe service programs that help reduce the risk of harm associated with injection drug use including the transmission of HIV and viral hepatitis C by distributing safer injection equipment and disposing of un-sterile syringes. In collaboration with the North Carolina Harm Reduction Coalition, our programs provided life-saving overdose reversal kits and education. Upon request, our staff provides information and/or referrals to medical care, substance use treatment, and other community resources. All WNCAP harm reduction services are zero-cost and stigma-free.

During the last fiscal year, WNCAP distributed 458,214 sterile syringes and disposed of 119,510 un-sterile syringes. Syringe service program staff also provide education to clients and distributed 1,694 life-saving overdose reversal kits.

The overdose reversal kits you guys have given me saved seven lives in the past nine months. Thank you for what you do. – WNCAP Syringe Services client

The WNCAP syringe services program has helped people who use drugs for 25 years and will continue to provide harm reduction services to everyone who needs them. Syringe services clients are amazing, smart, funny people who we will always support and advocate for. Thomas Cospito, Syringe Services Program Coordinator


free confidential tests for HIV and hepatitis C administered financial assistance provided for out-of-pocket prescription medication expenses

I’m so grateful for all you guys do for me, it means a lot and I wouldn’t have been able to complete hepatitis C treatment without your assistance. — WNCAP Pharmacy Services client

I have clients tell me all the time that they couldn’t have afforded their medications without us. When clients feel uncomfortable seeking information elsewhere, they see WNCAP as a safe space.

— Amanda Wood, Pharmacy Services Coordinator

pharmacy services

The WNCAP pharmacy services program helps reduce structural barriers to medical care for people living with HIV. Our program provides: • Financial assistance towards out-ofpocket costs for eligible clients who are underinsured. • Free home delivery for clients who are homebound or lack reliable transportation. • Assistance enrolling uninsured clients in patient assistance programs, including the state-subsidized HIV Medication Assistance Program (HMAP, formally known as ADAP).

free condoms distributed

prevention We also assist people in need of hepatitis C treatment, emergency post-exposure prophylaxis (PEP) and those interested in preexposure prophylaxis (PrEP). PrEP is the oncedaily pill taken to prevent transmission of HIV. In the last fiscal year, WNCAP provided $115,259 in financial assistance toward outof-pocket prescription medication expenses and $8,512 in medication shipping costs. WNCAP assisted a total of 106 clients with pharmacy services and enrolled 51 people in patient assistance programs, including HMAP.

WNCAP envisions a world where everyone knows their HIV status and where there are no new HIV or viral hepatitis transmissions. In fiscal year 2018, WNCAP conducted 2,017 free, rapid, and confidential tests for HIV and hepatitis C, combined. We also distributed 164,334 free condoms at 48 community drop-sites. We know that one of the best tools for HIV prevention is accurate and non-judgemental safer sex education. That’s why we led 231 free, age-appropriate education sessions throughout our community.

I was so scared to get tested for HIV. But everyone at WNCAP made me feel at home, not judged. Getting tested was a huge weight off my mind. — Community member

Prevention is about engaging with the community. When people trust us, they will come to us for HIV and hepatitis C testing, condoms, harm reduction services, and education. And that makes our whole community safer and healthier. — Devin Lipford, Prevention Department Coordinator


free confidential tests for HIV and hepatitis C administered financial assistance provided for out-of-pocket prescription medication expenses

I’m so grateful for all you guys do for me, it means a lot and I wouldn’t have been able to complete hepatitis C treatment without your assistance. — WNCAP Pharmacy Services client

I have clients tell me all the time that they couldn’t have afforded their medications without us. When clients feel uncomfortable seeking information elsewhere, they see WNCAP as a safe space.

— Amanda Wood, Pharmacy Services Coordinator

pharmacy services

The WNCAP pharmacy services program helps reduce structural barriers to medical care for people living with HIV. Our program provides: • Financial assistance towards out-ofpocket costs for eligible clients who are underinsured. • Free home delivery for clients who are homebound or lack reliable transportation. • Assistance enrolling uninsured clients in patient assistance programs, including the state-subsidized HIV Medication Assistance Program (HMAP, formally known as ADAP).

free condoms distributed

prevention We also assist people in need of hepatitis C treatment, emergency post-exposure prophylaxis (PEP) and those interested in preexposure prophylaxis (PrEP). PrEP is the oncedaily pill taken to prevent transmission of HIV. In the last fiscal year, WNCAP provided $115,259 in financial assistance toward outof-pocket prescription medication expenses and $8,512 in medication shipping costs. WNCAP assisted a total of 106 clients with pharmacy services and enrolled 51 people in patient assistance programs, including HMAP.

WNCAP envisions a world where everyone knows their HIV status and where there are no new HIV or viral hepatitis transmissions. In fiscal year 2018, WNCAP conducted 2,017 free, rapid, and confidential tests for HIV and hepatitis C, combined. We also distributed 164,334 free condoms at 48 community drop-sites. We know that one of the best tools for HIV prevention is accurate and non-judgemental safer sex education. That’s why we led 231 free, age-appropriate education sessions throughout our community.

I was so scared to get tested for HIV. But everyone at WNCAP made me feel at home, not judged. Getting tested was a huge weight off my mind. — Community member

Prevention is about engaging with the community. When people trust us, they will come to us for HIV and hepatitis C testing, condoms, harm reduction services, and education. And that makes our whole community safer and healthier. — Devin Lipford, Prevention Department Coordinator


WNCAP gratefully acknowledges the generous support and guidance from

Statement of Purpose

the following foundations.

The Western North Carolina AIDS Project (WNCAP) provides HIV-related client support, prevention, education and advocacy activities guided by the belief that all people are entitled to equal access to health care.

Thank you to our generous

Asheville Office 554 Fairview Road Asheville, NC 28803-2411 (828) 252-7489 Macon County Office 3257 Georgia Road Franklin, NC 28734 (828) 349-0036 Cleveland County Office 200 South Post Road Shelby, NC 28150 (828) 367-8351 Syringe Services Line (828) 301-2185

(828) 252-7489 wncap.org

2019 WNCAP Board of Directors Kris Lang, President Harvey W. Jenkins, Treasurer Jamie Whitehouse, Secretary Nancy Asch Hope Bates David Guinn Bennett Lincoff Melinda Ramage Jacie Volkman Antonio Del Toro Executive Director Iosvany Gispert Associate Executive Director

REPORT DESIGN: DAVID GUINN | DESIGN ONE, ASHEVILLE

2019 event sponsors.


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