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While the unintended pregnancy rate in the United States is at a 40-year low, the rates remain higher than the national average in West Virginia, North and South Carolina. Chlamydia, gonorrhea and HIV rates remain well above the national average as well.

Of the states in our service area, only West Virginia has expanded Medicaid eligibility and effectively reduced the number of its uninsured below the national average. North Carolina, South Carolina and Virginia continue to have high rates of uninsured, most notably among communities of color.

As we sought to better understand the demands of our service area, we found that in areas where the demographics suggest high demand, our health centers struggle to fill their capacity. We will strive to make data driven decisions about our geographic footprint, asking ourselves in each community, “Are we effectively meeting our mission? What barriers exist for people in this area to access healthcare and how can we remove those barriers?”  We will continue to make the improvements necessary to maintain and increase our value to patients.


We have experienced an erosion of our political and legislative support for our services. We have withstood attacks on our name, hostile legislatures in all four states, politically motivated investigations and media campaigns intended to portray us unfavorably. Even so, patient demand and philanthropic support both reached record highs during our first year as PPSAT.

With a sophisticated governance structure and highly experienced leadership, the organization is poised for growth.



Strategic Plan (Home)

The Context

The Big Goals

The Plan

The Resources