The Johnson City Downtown Clinic (JCDC), which opened in 1990, was originally established to serve the needs of the local homeless population in Johnson City and has expanded over the past nearly 15 years to include the uninsured, underinsured, TennCare enrollees, a growing Hispanic population and medically indigent individuals. Patient contacts in the clinic meet primary care, prenatal care and socialization needs of these various population groups. No one is turned away because of their inability to pay. In addition, many outreach contacts each year are provided to individuals on the street, in shelters and in farm worker camps. JCDC is now one of only three nurse-managed community health centers (CHC) in the nation to be designated as a Federally Qualified Health Center (FQHC) and is the only CHC in the nation operated in conjunction with a College of Nursing.