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JULY 2022- JUNE 2023 ANNUAL REPORT

2 | YORK OPIOID COLLABORATIVEDear Friends, Robert L. Rosen once said, “self-reection entails asking yourself questions about your values, assessing your strengths and failures, thinking about your perceptions and interactions with others, and imagining where you want to take your life in the future.” The 2022/2023 scal year proved to be a time of reection, growth, and realignment for the York Opioid Collaborative (YOC). Under the direction of our Executive Director Brittany Shutz and building upon the strategic plan that was conducted a year earlier, we have begun the process of transitioning to a collective impact model.While a relatively new concept, collective impact is an expansion of collaboration as an intentional way to work together, share information, and solve complex problems with an equity focus. The Collective Impact model has been used successfully to tackle the opioid epidemic/substance use crisis in several locations across the nation.Locally, a true Collective Impact initiative would aim to reduce overdoses and the impact of opioid/substance use in York County through the collaboration of cross-sector partners working from an “action plan” with shared metrics, activities, and situational awareness. This initiative will ultimately lead to increased accountability, information sharing, and situational awareness among all partner agencies.I understand that paradigm shifts can be unnerving to an organization or the citizens in which they serve because of the unknown, or the fact that it may be outside of the box. However, I believe our desire to coalesce around one focus and enact real, meaningful systemic change in our community outweighs the fear of failure or being rejected.When we look back years down the road, I’m condent that our time of reection, growth and realignment will have strengthened a community ravaged by the opioid epidemic and set us on a clear path to a healthier and more vibrant community.As you can see, I am excited for the future of this organization and believe that our best days lie ahead. With that, there is much work to be done. We need your help to continue making positive strides in our community. Follow us on social media or view our website to see how you can make a dierence. Lastly, to our donors, supporters, and volunteers – thank you! Your continued support is unquestionably helping to enhance the lives of those actively dealing with substance use disorders.Kyle G. KingBoard ChairmanYork Opioid CollaborativeCHAIRPERSON’S MESSAGEFY2022-2023

| 3JULY 2022-JUNE 2023 ANNUAL REPORTBOARD OF DIRECTORS & STAFFOFFICERSKyle G. King Board ChairpersonMargaret Eckles-Ray Board Vice-ChairpersonChad Deardor Treasurer Shannon Brady SecretaryBOARD MEMBERSAudrey GladfelterNatalie WilliamsWalter Tilley IIISuzanne SchlagerTania ZechReginald HunterAutherine ShawJacquelyn KreiserKaylee SwansonSamantha ZahmSTAFFBrittany ShutzExecutive DirectorDIVERSITYWe believe that our work should be informed by the perspectives and circumstances of the entire community.INTEGRITYWe believe that everything we do should be informed by the most accurate research and have the best intentions.INNOVATIONWe believe that the only way to stay current and be eective is to continuously advance our processes and knowledge.COMMUNITYWe believe that we need to do everything possible to ensure we live in a healthy community.EDUCATIONWe believe that continuous learning is the key to prevention and successful recovery.COLLABORATIONWe believe that the work we do requires the help and support of many community partners. EMPATHYWe believe that we need to understand and appreciate where people are in their life journey and provide solutions that meet them there.OUR VALUESABOUT USOUR MISSION To coordinate and create collaborations that raise awareness and advocate for support to collectively implement solutions and programs for substance use disorders.OUR VISION To signicantly reduce the impact of substance use on the York County community and create an environment of continuous lifelong recovery and support.

4 | YORK OPIOID COLLABORATIVEHIGHLIGHTSFY2022-2023CERTIFIED RECOVERY SPECIALIST COURSE Through our eorts under the Overdose Response Strategy pilot with NACCHO, we were able to provide Certied Recovery Specialist (CRS) training for 17 individuals. With this funding, we provided 14 participants with scholarships. The Certied Recovery Specialist training is for professionals with personal, lived experience of their own recovery that wish to share that unique perspective with those with similar live experiences. CRS are role models, mentors, advocates and motivators that help improve the individual’s and family’s life experiences ability to sustain recovery. CRS positions are of growing importance and need within our community, however we have lacked opportunities for individuals to access the necessary trainings to obtain this certication. In partnership with City of York Bureau of Health, we held monthly Narcan distribution events at City Hall 11 out of 12 months from July 2022-June 2023. We also continued to support and manage our OPAL (Overdose Prevention Assistance Locally) online mail-based naloxone distribution program. COMMUNITY SHARPS COLLECTION PILOT The work to develop a community sharps collection program continued during this scal year. The purpose of this home-generated project funded by the Memorial Health Fund, was to coordinate eorts between partnering agencies to develop options for safe sharps disposal for home-generate sharps and sharps used in the community. Through this work, we launched our rst community sharps collection kiosk with Minnich’s Pharmacy. Minnich’s provides personal sharps bins to customers to store their used sharps and encourages them to return the bins to this kiosk. NARCAN DISTRIBUTION12

| 5JULY 2022-JUNE 2023 ANNUAL REPORTHIGHLIGHTSMEDICATION STORAGE AND DISPOSAL AWARENESS Through our Safeguar(x)d program, we conducted various education and awareness activities to promote the safe storage and disposal of medications. Unused or expired medications can pose serious health risks and are a public safety issue. Such medicines can cause accidental poisoning, misuse, and overdose, and they can be dangerous if not stored properly. In partnership with City of York Bureau of Health, we distributed over $9,444 medication deactivation kits. Medication deactivation kits safely neutralize medications so they can be disposed of in the household trash. The packaging is biodegradable, making it an environmentally friendly option.In addition to medication deactivation kits, we also provide community partners medication lockbags, medication lock boxes, and literature about the proper storage and disposal of medications. We work with partner organizations to expand our reach to educate about the importance of safe storage and disposal of unused or expired medications.We also launched a few awareness campaign with Sinclair Media and Rabbit Transit through funding support from the City of York Bureau of Health OD2A funds.We partner with local law enforcement twice a year to participate in the National Prescription Drug Take Back day. This event provides our community with a way to dispose of medication securely. It also helps to expand education to the community about the importance of safe disposal and options for year-round disposal of unused or expired medications. These events happened in October 2022 and April 2023. Over the course of the two events, we collected 511 lbs of unused or expired medications and served 174 individuals. 1234HIGHLIGHTS UNUSED OR EXPIRED MEDICATIONS COLLECTED 511 lbs. INDIVIDUALSSERVED 174

6 | YORK OPIOID COLLABORATIVECROSS-SECTOR PARTNERSFOSTER RELATIONSHIPS, TRUST & RESPECT ACROSS PARTNERSDATA-DRIVENCOMMUNITY MEMBERSPROGRAM & SYSTEM STRATEGIESLOCAL CONTEXTTHE PRINCIPLES OF COLLABORATIVE WORK The York Opioid Collaborative exists to provide the backbone to collectively work to-wards solutions to address overdoses and substance use in our community. We bring partners together around a common agenda to maximize the end result and provide continuous communication among partners. STAKEHOLDER WORK GROUPS Public Health and Safety Team (PHAST)- PHAST is a set of guiding principles and steps developed to assist jurisdictions in reducing overdose deaths by supporting multi-sector data-sharing and coordinated overdose prevention. York County was the rst jurisdiction in the United States to pilot this framework. We continue to convene bi-monthly PHAST meetings to bring partners together around our North Star, Reduce Overdose Deaths, and SOS goals: Shared Understanding, Optimize Capacity, Shared Accountability.Overdose Fatality Review Team The purpose of this team is to prevent overdose deaths. The team accomplishes this purpose by examining individual, organizational, and systems level factors related to overdose deaths that occur in York County, Pennsylvania. The York Opioid Collaborative serves as the co-coordinator for our County’s OFRT. Hospitality Initiative The Hospitality Initiative was an identied opportunity born out of data discussions within PHAST and OFRT meetings. The goal of the hospitality initiative is to engage hotels, resorts, restaurants, attractions and more around the importance of having Narcan available and training for sta. Faith-Based Organization Outreach In partnership with York/Adams Drug and Alcohol Commission and York County System of Care, we sent a brief survey to over 100 Faith Based Organizations in York County to gauge their needs around substance use prevention, treatment, and recovery support, as well as mental health. Through the responses from this survey, we begin to have conversations about trainings and resources we could provide to these organizations. 123COLLABORATIVE WORKFY2022-2023

| 7JULY 2022-JUNE 2023 ANNUAL REPORTCOLLABORATIVE WORKEducation and Awareness Work Group- Activity: The Education and Awareness Work Group held a screening of the award-winning documentary “Tipping the Pain Scale”. The lm investigates the current systemic failures of how we have dealt with addiction to date and follows six dynamic characters on their journey to develop and employ new, innovative, and often controversial solutions. The screening and panel was held on Thursday, May 11, 2023.Activity: This Work group also worked on increasing education to parents around the importance of conversations with youth about alcohol, tobacco, other drugs, and mental health. They developed the “Small conversations can make a big impression” campaign, building on the national “Talk, They Hear You” campaign. The campaign featured postcards, yers and other resources for parents.Recovery and Community Support Work Group Activity: Development of a Recovery story campaign that will launch in Fall 2023. The campaign features three local stories of recovery. The stories are told in a way that humanize the individual-showing them at work, at home and interacting with friends-as a way to make the story of recovery relatable. These stories will be shared in a variety of formats, video and print, to reduce stigma and help those struggling to know there is help out there.

8 | YORK OPIOID COLLABORATIVEDONORS/GRANTSCity of York Bureau of Health- Overdose 2 Action Grant ContractorNational Association of City and County Health Ocials- Overdose Response Strategy Pilot Site GrantEast York Rotary ClubSubstance Abuse Mental Health Services Administration- Communities Talk StipendMemorial Health FundDONORS / GRANTS July 2022 - June 2023Special thanks to the Country Club of York and the Groft Charity Classic Committee for all the time and eort put into making this year’s tennis invitational a success! 2023 CHARITY CLASSIC MIXED-DOUBLES TENNIS TOURNAMENT DONORSUPMC Health PlanWellSpan HealthStevens and LeeRBC- The Sides GroupGlatfelter Insurance GroupHighmark Blue ShieldCrispus AttucksRuttersApple AutomotiveGraham PartnersPenn State ManagementM&T BankOSS HealthRGS AssociatesSelf Serve BeverageFulton BankTraditions BankDietz & Bluett InsuranceSun Motors CompanyPasch CompaniesMJK Consulting Trout CPAUnited States Tennis Association Middle States Section, Inc.Maryland Vascular SpecialistsRed Lion Bus CompanyWhite Deer Run Treatment NetworkJP Morgan Chase & Co.High AssociatesJohnson ControlsYork Tree FamilyUller’s OutdoorsPrivate Donors

| 9JULY 2022-JUNE 2023 ANNUAL REPORTFINANCIAL STATEMENTPublic Contributions $121,733Grants: $96,889Government Contracts: $7,514Program Services: $118,600Fundraising: $28,772Management and General $36,911Based on independent accountant’s nancial compilation report completed by RKL LLP comprising of statement of nancial position-cash basis as of June 30, 2023.FISCAL YEAR 2022-2023 JULY 1, 2022 THROUGH JUNE 30, 2023Total Revenue:$226,136Total Expenses:$184,283INCOMEEXPENSES

10 | YORK OPIOID COLLABORATIVECOLLECTIVE IMPACT INITIATIVELOOKING AHEADCOLLECTIVE IMPACT INITIATIVE The York Opioid Collaborative (YOC) was selected as the coordinating entity to convene and support a collective eort to reduce the adverse impact of substance use. YOC will support the development and implementation of a coordinated community plan to improve prevention, treatment and recovery outcomes.Since 2014, the YOC has coalesced a broad cross section of public- and private-sector organizations and individuals to reduce the incidents and impacts of opioid and substance use in York County, considered a high-impact jurisdiction in both Pennsylvania and the nation. We will build o this experience to help unite the community and help organizations and residents work together to remove the obstacles and barriers that limit our community’s ability to work together and improve outcomes.Examples of the roles YOC will play include: Helping multiple organizations coordinate service delivery so together they can best serve the needs of our residents.Conducting research and synthesizing data so our community deeply understands our challenges and opportunities related to substance use, as well as the progress the community is making.Advocating on behalf of service providers for resources and polices that reduce the impact of substance use.Collective Impact is an innovative approach to solving complex social problem and results in a paradigm shift for social change. It helps to address complex problems and social issues through a shared understanding of the problems, adoption of a “Common Agenda” among a constellation of information/data-sharing partners, and operationalized activities focused on evidence-based best practices and targeted strategies. Within the Collective Impact Initiative, YOC will provide the supportive backbone infrastructure to coordinate work among partners and advance the Collective Impact Initiative as it addresses identied priority issues. The new collective eort will be guided by a steering committee representing diverse community interests. Members of the collective eort will identify and commit to achieving clear goals and develop metrics to measure their progress towards those goals. The eort will be developed and implemented by the community, with support from YOC as the backbone. To established shared accountability and shared responsibility of this collective eort, YOC will be working with members to dene this eort and thus putting forth a name for this collective eort. 123

| 11JULY 2022-JUNE 2023 ANNUAL REPORT

227 W. Market St., Suite 101York, PA 17401yorkopioidcollaborative.org