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HomeMy WebLinkAboutGrants/CJAB - Wellspan/Summit HealthMelodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 1 Senior Transportation 2027 Summit Endowment Level I - Cycle A Franklin County Carrie Gray 272 N. 2nd street Chambersburg, PA 17201 grants@franklincountypa.gov O: 717-264-4125 Melodie Hoff mshoff@franklincountypa.gov O: 717-709-7218 Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 2 Application Form Program/Project Overview Eligibility Requirements* •The project takes place within Franklin County or the Central and Western Areas of Cumberland County. •Funding requests can be up to $15,000 •Qualify as one of the following entities eligible for application: o Nonprofit or community organizations holding a current tax-exempt status under Section 501(c)(3) of the Internal Revenue Code o Recognized governmental entities including state, county, or city agencies such as health departments o Educational facilities, such as K-12 public, private, or charter schools or school districts and higher education institutions •The program must align with at least one of WellSpan Health's Community Health Improvement Priorities (CHIP): •The CHIP Priorities include: o Care for All Deliver exceptional care that is accessible and affordable for all by identifying and reducing barriers to care. o Children's Health Lead the region in addressing the physical, emotional, intellectual, and developmental needs of children. o Physical Environment Promote a healthier community by enhancing environmental health effects and building community infrastructure. o Chronic Disease Improve the health and well-being of the community through strategies that promote health behaviors, support personal well-being, and prioritize the management of chronic diseases. o Non-Medical Factors Collaborate with community-based organizations to impact the most pressing non-medical factors (often called social drivers of health) affecting our patients and community like food, housing, and transportation. •The project must have well defined and measurable outcomes •Programs may be in early developmental stages or in need of expansion •Your organization must actively participate in Healthy Franklin County I have read and understand the listed eligibility requirements. Yes Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 3 Summit Endowment does NOT fund:* •Operating costs beyond initial new program start-up costs •Overhead/administrative costs in excess of 15% of the grant amount •Existing personnel cost •Capital campaigns •Political or legislative activities •Clinical Research •Event Sponsorship •Individuals I have read and understand the listed non-fundable items above. Yes ABOUT YOUR ORGANIZATION What is your organization's mission statement?* Mission: To enrich social, economic and environmental vitality, Franklin County will provide services which are responsive to the health, safety and general welfare needs of county residents. The county government is dedicated to providing these services through the efficient and effective use of the county’s available resources in an honest, open and caring manner. Vision: A community moving forward collaboratively to improve the lives of all residents while still honoring our heritage. Aging’s Mission Statement: The Franklin County Area Agency on Aging provides a planned program of supported services to those 60 years of age and older, intended to optimize independence, promote consumer choice and enhance quality of life. What is your most recent annual operating budget?* $4,475,000.00 Provide an overview of a recent program that your organization has led* Provide an overview of a current or recent program that your organization has led. Include your evaluation of outcomes/indicator data (results) to affirm your efforts. The Franklin County Area Agency on Aging (FCAAA) has successfully led many programs throughout the County. The FCAAA is committed to serving the older adult population, despite funding struggles. One program the FCAAA currently leads is the OPTIONS in-home care program. Through this program, care management is available for individuals 60+ who do not qualify for Medicaid programs and who do not have the resources to pay privately for help at home. There is a sliding copay scale based on an older adult’s assets and income. Services may include: personal care, adult day care and/or emergency response units. This program successfully provides options for an older adult to remain safely in their home with additional supports. Each month, approximately 415 seniors are served through this program. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 4 PROJECT REQUEST Project Name* Name of the Project you are applying for funds for Senior Transportation What is the specific need/problem you want to address?* Describe the evidence of this need/problem by providing data and exact detailed information to support this statement. Transportation is a barrier for many older adults to make it to medical, oftentimes even life-sustaining appointments. Each year millions of older adults have difficulty securing transportation when they no longer are able to drive. Additionally, approximately 25% of seniors begin skipping medical appointments and lack of reliable transportation is cited as the number one reason. Franklin County Area Agency on Aging (FCAAA) is committed to ensuring our seniors have reliable transportation for medical appointments. Primary Priority Area* Which WellSpan Community Health Improvement Plan priority does this project advance? Transportation Secondary Priority Area (Optional) Which other WellSpan Community Health Improvement Plan priorities does this project advance? Check all that apply. Provide a full overview of this program/project* Be sure to fully describe your project. Explain what it is and how it will be implemented. Use this space to explain your project as if the person reading this does not know anything about your organization and this project. This program will provide transportation for seniors to go to and from medical appointments, grocery stores, senior centers, adult day center and work. Due to seniors living on a fixed income and a lack of personal transportation, many local seniors rely on public transportation to make it to appointments, including medical appointments. This program covers all fees for seniors, so costs don’t create a barrier. Many seniors rely on this program for life-sustaining appointments such as dialysis and chemo treatments. For seniors to qualify for the program, they call the Aging office. An aging care manager completes a screening with them to assess for financial need. If they meet the financial requirements, we supply their information to our local transportation provider, Rabbittransit. Rabbittransit then invoices the Aging office for that senior’s trips on a monthly basis. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 5 Target Area and Population* Describe the geographic area and target population you want to work with within this program/project. Include your organization's current role with this group. Ex. Ages of people, race, geographic location, etc. describe the geographic area and target population you want to work with within this program/project. Include your organization's current role with this group. The target population includes all Franklin County residents, ages 65 and older. FCAAA currently serves this population by supporting them through the Franklin County Aging office services and programming. Franklin County Aging has served this population for more than 50 years. How many people do you estimate will benefit from this effort?* 140 How will this program/project benefit the people served?* This program will serve approximately 140 unduplicated seniors monthly. This program will benefit Franklin County seniors by providing an average of 1,300 trips each month. Who will lead and staff this program/project?* List the names, titles, and project roles of each individual. Aging Care Managers-complete assessments with seniors to assess eligibility Erica Kershner-Aging Care Manager Supervisor-review care manager assessments-provide program oversight Tawnya Hurley, Franklin County Area Agency on Aging Director-provide complete department oversight, review/approval of monthly transportation invoices Counties Served by this Project* Select all counties that this program/project will serve. Franklin If "Other", County(ies), please list* What percentage of the project will take pace in each county?* What percentage of the project will take pace in each county selected above? Example: 1. Cumberland 45% of project 2. Lancaster 10% of project 3. Franklin 45% of project Franklin 100% of project. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 6 Logic Model Use the Logic Model Template below as a guide for responding to the following questions as the questions are the same as in the template, just listed. Problem/Need Statement* This is a concise description of the problem your project is trying to address. Many older adults lack affordable transportation, limiting access to medical care, food, and community services. Seniors needing treatments like dialysis or chemotherapy face serious risks when rides are unaffordable. The Aging office screens for financial need and covers transit costs through Rabbittransit, but rising demand requires more funding to ensure all eligible seniors receive reliable, no-cost transportation. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 7 Goals of Program / Project* What is the main goal(s) of your project? What are you trying to achieve? The main goal of this project is to ensure that financially vulnerable seniors have reliable, no cost transportation to essential services that support their health, independence, and overall well-being. What resources do you have available to work with?* List your top resources to work with in accordance to this project/program. These resources could be other grants and programs, existing programs within your organization, etc. If you plan to collaborate with other groups or organizations list their name and explain in detail how you plan to do so. Our top resources for this program include: a contract with our local transportation provider, access to seniors, care managers with ability to assess financial need and a team to implement this project and collect data. What activities will achieve the desired outcomes of this program/project?* Provide a brief overview of the activities that will occur in your project. You may list these activities. They are what you will use as your activity #1, #2, #3, etc. The primary activity is to provide fully subsidized, reliable transportation for financially eligible seniors through a partnership with Rabbittransit. The Aging office conducts intake screenings to assess need and eligibility. Approved seniors are enrolled, and their information is shared with Rabbittransit, which provides trips to essential destinations such as medical appointments, dialysis, chemotherapy, grocery stores, senior centers, adult day programs, and workplaces. Monthly invoices are sent to the Aging office for completed rides, ensuring no senior pays transportation costs. This coordinated process removes financial and logistical barriers so seniors can consistently access the services that support their health, independence, and quality of life. ACTIVITY #1 Activity #1 Description* What are you going to do? Describe, in detail, the main activity that will occur to address the problem need and reach the program/project goals. The primary activity of this project is to provide fully subsidized, reliable transportation services for financially eligible seniors through a structured partnership with Rabbittransit. To carry out this activity, the Aging office will conduct intake screenings for each senior who requests assistance, during which an aging care manager assesses financial need and eligibility. Once a senior is approved, the Aging office enrolls them into the transportation program and communicates their information to Rabbittransit. Rabbittransit then provides transportation to and from essential destinations, including medical appointments, dialysis and chemotherapy treatments, grocery stores, senior centers, adult day programs, and workplaces. Rabbittransit invoices the Aging office on a monthly basis for each enrolled senior’s completed trips, ensuring that no senior incurs any transportation cost. Through this coordinated process, the program removes financial and Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 8 logistical barriers, ensuring seniors can consistently access the services required to maintain their health, independence, and quality of life. Activity #1 Outcomes* What positive changes or improvements are expected to occur from activity #1? These outcomes should be measurable. If applicable, indicate if they are short-term or long-term outcomes. well-being. Access to grocery stores and essential errands will support improved nutrition, medication management, and daily living stability. Additionally, transportation to workplaces will help seniors maintain income and independence. Collectively, these improvements will allow seniors to remain safely in their homes longer, reduce preventable hospitalizations, and enhance their overall sense of dignity, security, and connection within the community. ACTIVITY #2 Activity #2 Description What are you going to do? If there is a second activity, describe in detail what will occur to address the problem need and reach the program/project goals. Activity #2 Outcomes What positive changes or improvements are expected to occur from activity #2? These outcomes should be measurable. If applicable, indicate if they are short-term or long-term outcomes. ACTIVITY #3 Activity #3 Description What are you going to do? If there is a third activity, describe in detail what will occur to address the problem need and reach the program/project goals. Activity #3 Outcomes What positive changes or improvements are expected to occur from activity #3? These outcomes should be measurable. If applicable, indicate if they are short-term or long-term outcomes. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 9 NA ADDITIONAL ACTIVITIES List any Additional Activities What are you going to do? If there are any additional activities, list them below in numerical order starting with #4, #5, #6, etc. like below, and describe in detail what will occur to address the problem need and reach the program/project goals. Activity #4 Description: Activity #5 Description: Activity #6 Description: Additional Activity Outcomes What positive changes or improvements are expected to occur from the additional activities mentioned in the previous question? These outcomes should be measurable. If applicable, indicate if they are short-term or long- term outcomes. List all outcomes with coordinating Activity numbers. An example is provided below: Activity #4 Outcomes: -Short Term: -Long Term: Activity #5 Outcomes: -Short Term: -Long Term: Activity #6 Outcomes: -Short Term: -Long Term: EXTERNAL FACTORS Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 10 What barriers could affect your work?* What are your largest obstacles or barriers that could have an influence on your work that may be out of your control? Explain in detail what these barriers are, what impact they could have on your work, and how you plan to adjust accordingly to them if able. Several external obstacles may affect the successful delivery of the senior transportation program, even though they are outside of our direct control. One significant barrier is the availability and capacity of public transportation services provided by Rabbittransit. Limited drivers, service interruptions, staffing shortages, or changes in Rabbittransit’s operating schedule could reduce the number of rides available to seniors or cause delays in getting them to medical appointments and essential services. Such disruptions could lead to missed or postponed medical treatments, increased stress for seniors, and reduced program effectiveness. If these issues arise, the Aging office will work closely with Rabbittransit to adjust schedules, prioritize medically essential trips, and explore supplemental transportation options through volunteer networks or other community partners when possible. A second major barrier is fluctuating financial resources. Increases in transportation costs or decreases in available funding could limit the number of seniors the program is able to serve. Rising fuel prices, insurance costs, or changes in reimbursement structures may reduce program capacity. If this occurs, the Aging office will monitor spending closely, seek additional grant funding, adjust financial eligibility thresholds as needed, and advocate for sustained investment to ensure continuity of services for the most vulnerable seniors. Finally, broader external factors—such as severe weather, regional emergencies, or roadway disruptions— may temporarily impact transportation availability. These events can prevent seniors from attending appointments or accessing necessities. In these circumstances, the program will communicate immediately with affected seniors, reschedule appointments where possible, and coordinate with community agencies to provide emergency supports until transportation services resume. By anticipating these barriers, maintaining strong partnerships, and planning adaptive strategies, the program will remain resilient and continue meeting the critical transportation needs of local seniors. ASSUMPTIONS List any facts or conditions you assume to be true* List any facts or conditions you assume to be true about your program/project and activities to be performed. This could also include outcomes that you believe will come from your project but not something that could be easily measured. Ex. People will want to sign up for a free Zumba class being offered since they see lots of advertisements about it, want to lose weight, and it is free. Facts we assume to be true, based on our knowledge and data with seniors in Franklin County are that seniors experience transportation barriers due to the costs of public transportation. We are also assuming that the majority of seniors are willing to take public transportation. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 11 Budget Use the Budget Worksheet Template Chart below as a guide for responding to the following questions. The questions below follow the template and are asked in order as if you were filing out each row at a time. How will you obtain the rest of the funds needed to implement this program/project? If this grant will fully fund this program/project, then you can leave it blank. The program’s operating budget does not fully support the total cost of services. To secure remaining funds, we will pursue several options. These include evaluating the flexibility within our Human Services Block Grant, evaluating reserve balances and long-term need, and if necessary, requesting supplemental support from the County General Funds. Use of reserves will be approached with caution to ensure long-term fiscal stability. How will you sustain your program/project after this grant funding ends?* Ex. work it into the yearly budget, receive funding from another source, or N/A because this is a one time project/program Because the services provided through this program are mandated, the County is committed to sustaining them beyond the grant period. We will continue to explore strategies outlined above. These approaches will help us integrate the program’s costs into our long-term budgeting process and maintain continuity of services. PROJECT REQUEST Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 12 Grant Amount Requested In US Dollars* This box is for the total amount you are asking from Summit Endowment for this project. This section may NOT be more than the total project cost. $15,000.00 Total Project Cost In US Dollars* This is how much it will cost to fully operate this project entirely. It should not be less than the grant amount requested. $71,500.00 PERSONNEL Description of Items List positions that would be funded through this request, if any. Also indicate if it is new or not. NA Amount needed in this request from Summit Endowment for Personnel (In US Dollars)* This amount may not exceed 10% of your total requested amount. If none, please enter 0. $0.00 Amount of outside funding for Personnel (In US Dollars)* Amount of outside funding for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. $0.00 List any outside funding sources for Personnel List any sources of outside funding and designate which are received, committed, and/or anticipated NA Amount of In-Kind Contributions for Personnel (In US Dollars)* Amount of In-Kind contributions for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 13 $0.00 Total amount needed for Personnel (In US Dollars)* Total amount needed for this request: Requested from WellSpan + Outside sources + In-Kind contributions = total amount needed. If none, please enter 0. PROGRAM SUPPLIES Description of Items* List the specific program supplies that will be needed for the program/project. Amount needed in this request from Summit Endowment for Program Supplies (In US Dollars)* If none, please enter 0. Amount of outside funding for Program Supplies (In US Dollars)* Amount of outside funding for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. List any outside funding sources for Program Supplies List any sources of outside funding and designate which are received, committed, and/or anticipated Amount of In-Kind Contributions for Program Supplies (In US Dollars)* Amount of In-Kind contributions for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 14 Total amount needed for Program Supplies (In US Dollars)* Total amount needed for this request: Requested from WellSpan + Outside sources + In-Kind contributions = total amount needed. If none, please enter 0. $0.00 OFFICE SUPPLIES Description of Items* List the specific office supplies that will be needed for the program/project. NA Amount needed in this request from Summit Endowment for Office Supplies (In US Dollars)* If none, please enter 0. $0.00 Amount of outside funding for Office Supplies (In US Dollars)* Amount of outside funding for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. $0.00 List any outside funding sources for Office Supplies List any sources of outside funding and designate which are received, committed, and/or anticipated NA Amount of In-Kind Contributions for Office Supplies (In US Dollars)* Amount of In-Kind contributions for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. $0.00 Total amount needed for Office Supplies (In US Dollars)* Total amount needed for this request: Requested from WellSpan + Outside sources + In-Kind contributions = total amount needed. If none, please enter 0. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 15 $0.00 ADVERTISING / MARKETING Description of Items* List the specific advertising/marketing items that will be needed or done for the program/project. Amount needed in this request from Summit Endowment for Advertising/Marketing (In US Dollars)* If none, please enter 0. Amount of outside funding for Advertising/Marketing (In US Dollars)* Amount of outside funding for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. List any outside funding sources for Advertising/Marketing List any sources of outside funding and designate which are received, committed, and/or anticipated Amount of In-Kind Contributions for Advertising/Marketing (In US Dollars)* Amount of In-Kind contributions for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. Total amount needed for Advertising/Marketing (In US Dollars)* Total amount needed for this request: Requested from WellSpan + Outside sources + In-Kind contributions = total amount needed. If none, please enter 0. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 16 TRAINING Description of Items* List the specific trainings that will be needed and for the program/project and paid for by this grant. NA Amount needed in this request from Summit Endowment for Training (In US Dollars)* If none, please enter 0. Amount of outside funding for Training (In US Dollars)* Amount of outside funding for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. List any outside funding sources for Training List any sources of outside funding and designate which are received, committed, and/or anticipated NA Amount of In-Kind Contributions for Training (In US Dollars)* Amount of In-Kind contributions for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. $0.00 Total amount needed for Training (In US Dollars)* Total amount needed for this request: Requested from WellSpan + Outside sources + In-Kind contributions = total amount needed. If none, please enter 0. $0.00 Description of Items* List the specific incentives that will be needed or given out for the program/project. NA Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 17 Amount needed in this request from Summit Endowment for Incentives (In US Dollars)* If none, please enter 0. $0.00 Amount of outside funding for Incentives (In US Dollars)* Amount of outside funding for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. $0.00 List any outside funding sources for Incentives List any sources of outside funding and designate which are received, committed, and/or anticipated Amount of In-Kind Contributions for Incentives (In US Dollars)* Amount of In-Kind contributions for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. $0.00 Total amount needed for Incentives (In US Dollars)* Total amount needed for this request: Requested from WellSpan + Outside sources + In-Kind contributions = total amount needed. If none, please enter 0. TRAVEL Description of Items* List the specific traveling that will occur for the program/project. NA Amount needed in this request from Summit Endowment for Travel (In US Dollars)* If none, please enter 0. $0.00 Amount of outside funding for Travel (In US Dollars)* Amount of outside funding for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 18 $0.00 List any outside funding sources for Travel List any sources of outside funding and designate which are received, committed, and/or anticipated Amount of In-Kind Contributions for Travel (In US Dollars)* Amount of In-Kind contributions for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. Total amount needed for Travel (In US Dollars)* Total amount needed for this request: Requested from WellSpan + Outside sources + In-Kind contributions = total amount needed. If none, please enter 0. CAPITAL EXPENSES ($1,000 or greater) Description of Items* List the specific large items (that cost $1,000 or more) that will be needed for the program/project. Amount needed in this request from Summit Endowment for Capital Expenses (In US Dollars)* Only include all capital expenses that cost $1,000 or more each. If none, please enter 0. Amount of outside funding for Capital Expenses $1,000 and over (In US Dollars)* Amount of outside funding for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. List any outside funding sources for Capital Expenses $1,000 and over List any sources of outside funding and designate which are received, committed, and/or anticipated Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 19 Amount of In-Kind Contributions for Capital Expenses $1,000 and more (In US Dollars)* Amount of In-Kind contributions for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. $0.00 Total amount needed for Capital Expenses $1,000 and more (In US Dollars)* Total amount needed for this request: Requested from WellSpan + Outside sources + In-Kind contributions = total amount needed. If none, please enter 0. $0.00 OTHER Description of Items* List the any other costs not previously mentioned that will be needed for the program/project. Ex. Professional Services, Consult Fees, etc. NA Amount needed in this request from Summit Endowment for All Other Expenses (In US Dollars)* If none, please enter 0. $15,000.00 Amount of outside funding for All Other Expenses (In US Dollars)* Amount of outside funding for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. $56,500.00 List any outside funding sources All Other Expenses List any sources of outside funding and designate which are received, committed, and/or anticipated $56,500 is an allocation from the Pennsylvania Department of Aging, which is considered, committed. We receive 1/12th of the allocation each month. It's a combination of Federal and State funds used to run the program. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 20 Amount of In-Kind Contributions for All Other Expenses (In US Dollars)* Amount of In-Kind contributions for this request received, committed, and/or anticipated (In US Dollars) If none, please enter 0. $0.00 Total amount needed for All Other Expenses (In US Dollars)* Total amount needed for this request: Requested from WellSpan + Outside sources + In-Kind contributions = total amount needed. If none, please enter 0. $71,500.00 Required Documents 501(c)(3) Tax Determination Letter from the IRS* Only one file can be uploaded to this section. If more than one file is needed to be uploaded, combine them into one before uploading. Most recent IRS Form 990* Only one file can be uploaded to this section. If more than one file is needed to be uploaded, combine them into one before uploading. PDF only Letters from each collaborating organization Letters from each collaborating organization outlining the responsibilities it is assuming for the project/program. Only one file can be uploaded to this section. If more than one file is needed to be uploaded, combine them into one before uploading. Melodie Hoff Franklin County Printed On: 12 October 2026 2027 Summit Endowment Level I - Cycle A 21 File Attachment Summary Applicant File Uploads No files were uploaded