Netcare 2021 Annual Report

ANNUAL REPORT

o n t e n t s

Mission & Values 03. Community Programs 10.

Impact Numbers 05. Forensic Services 11.

Demographics 06. Residential Programs 12.

Crisis Services 08. Netcare Foundation 13. Financial Overview 14. Corporate Profile 15. Donor Listing 18.

Mission

We help people in a mental health or substance use crisis. We help the courts and community agencies by providing professional evaluations and assessments for those who need them

Our Values

Caring

We contribute to the welfare of those whom we serve.

Excellence

We go beyond what is expected.

Accountability

We are responsible to our clients, to our funders, to other stakeholders, and to the general public.

Respect

We treat everyone with dignity about who they are or the circumstances of our involvement with them.

Collaboration

We work with other interested parties and stakeholders to contribute to the betterment of behavioral health systems and programs in the community.

Trauma Sensitive

We understand, anticipate, and respond to the needs of those who have experienced trauma, by providing a comforting and safe treatment environment, promoting self empowerment of the client.

Cultural Awareness and Relevancy

We understand and address the role of race and implicit biases; how these can affect client and staff behaviors, attitudes, and responses; and how these can impact staff interactions with clients and with each other.

e a r i n R e v i e w

Just as 2020 was a challenging year for most, if not all, 2021 presented its share of challenges too One of the biggest for us was learning that another provider was selected to run Franklin County’s new crisis center, tentatively scheduled to open in 2024.

After 27 years in that particular line of work a signature program that many understandably assume to be the entirety of Netcare’s operations we had to not only process the emotion of this loss, but also engage in a lot of conversation about what Netcare was to become for the benefit of both our community and our patients True to form, our staff and our Board rallied together to develop a strategic plan that addressed any of a number of realities:

After years of discussion throughout all of healthcare about the potential of telemedicine, the pandemic had firmly cemented the idea that building based, face to face/in person services aren’t always the right answer.

The assumptions under which our crisis program was established in 1995 had changed Medicaid had expanded to cover millions more residents statewide, the number of inpatient psychiatric beds in Franklin County had exploded, and both substance use and the social determinants of health had become much more predominant features in patients’ presentations

As we changed our services, we needed to address the diversity of our funding streams both to provide the agency with fiscal stability and to acknowledge the reality that numerous systems now interact much more commonly than they did in years past to provide the care that we do.

This year’s report reflects an agency on the precipice of change. We look forward to sharing the fruits of our labors in next year’s

Brian Stroh, M.D.

Our Impact

i e n t S t o r y

Nkemdilim's parents immigrated from Nigeria and she was blessed to grow up in a very loving home with lots of family support. However, during her teen years she began to suffer from depression. She went away to college but during her sophomore year, he father was in a car accident. Nkemdlim became a full time caretaker. The pressure of doing so while trying to deal with her own internal struggles was beginning to be too much. She realized she couldn't do it any longer and if she wanted to make a change, she needed to do something different. She reached out to a counselor that advised she go to Netcare. Nkemdilim was seen in the crisis center, admitted to the Crisis Stabilization Unit (CSU) and then the residential home, Miles House. The counselors taught her coping methods in order to help prevent future crisis scenarios. Nkemdilim now feels there is purpose to a person's pain, and she is grateful for everything she has gone through despite how challenging it has been.

Programs and Services

Crisis Services

Crisis Center

The Netcare Crisis Unit has 17 beds and observes individuals for up to 23 hours. Nearly 60% of individuals were stabilized and returned home with a referral. The center handled 5,062 visits with an average daily census of 20 people each day.

Assessment Services

Netcare Access provides non emergency substance use and mental health assessments at our main location and also as a telehealth option. A total of 872 non-crisis screening and assessments were provided in 2021.

Probate Pre-Screening

The Probate Pre Screeners respond to contacts made by friends, family, and clinicians when there is a concern about someone’s safety. In 2021, the prescreeners completed 1,469 probate investigations for Franklin County.

24/7 Crisis Line

Emergency Response Service (ERS) is the dedicated Netcare Access team that answers the crisis phone line. They also provide the Homeless Hotline and a chat feature on our website for anyone in need of assistance or in a mental health or substance use crisis. Total calls handled: 212,292 Crisis online chats: 771

Mobile Crisis Unit

Netcare Access pairs a Netcare clinician with an Columbus Police officer or Franklin County Sherriff's deputy and the teams respond to mental health or suspected substance use calls in the community. In 2021, CPD and Netcare completed 1,515 runs. The FCSO unit completed 1,170 runs for a combined total of 2,685 runs.

C l i e n t S t o r y

Samuel has dealt with depression nearly his entire life, but after the birth of his first child suicidal thoughts started entering his mind. He came to Netcare to get help after an especially bad day and got on medication. But then he lost his job and lost his insurance, and sure enough he had no way to get his medication. A few months passed, and as Samuel sat there with a knife in one hand and a gold watch from his kids in the other, he made the decision right then that he needed to go into Netcare.

Samuel came to the crisis center and then was admitted to CSU. By the time he made it to the Miles House, they were able to assist him with housing and numerous other resources to get him back on his feet. He believes if it wasn't for Netcare that he would be dead, in prison, or in a hospital. He knows that if places like Netcare didn't exist, a lot more families would be without their loved ones.

Programs and Services Community Programs

Developmental Disabilities Services

Netcare Access offers specialized crisis and assessment services for adults, 18 years and older, with diagnosis of mental illness and and developmental disabilities. 1,348 consultations were conducted in 2021.

Community Crisis Response

ROW ONE Program

Netcare’s ROW ONE Program is a mobile intervention service designed to transport publicly intoxicated persons off the streets to a place of safety and shelter. Individuals served are provided education on treatment resources available in the community. In 2021, 9,124 individuals were transported, and more than 56,000 miles were driven across the ROW One fleet.

Netcare’s Community Crisis Response (CCR) provides immediate, on the scene response to traumatic situations that occur in the community. We respond with specially trained and experienced mental health clinicians In 2021, the team was called out to 165 incidents and assisted 987 individuals.

Programs and Services

Forensic Services

Forensic Center

Netcare Forensic Services are provided to 11 counties in Central Ohio and are funded primarily by the Ohio Department of Mental Health and Addiction Services (OhioMHAS), and by contracts with additional Common Pleas, Municipal, and Juvenile Courts in the region. This program is formally certified by the OhioMHAS Office of Forensic Services. The Forensic evaluators completed 571 forensic evaluations.

Family Psychological Assessments

This team of psychologists provide diagnostic psychological assessments at the request of either Franklin County Children Services or Franklin County Juvenile Court. The assessments provide the referral source with answers to specific clinical questions, rather than legal questions, about the parents/guardians and/or the youth to assist with treatment planning, placement and sentencing. In 2021, 121 comprehensive diagnostic evaluations for Franklin County Children Services (FCCS) and 3 non forensic psychological evaluations for Franklin County Juvenile Court were completed.

Programs and Services Residential Programs

Crisis Stabilization Unit

After a stay at Netcare Crisis Services, some who require a few more days of stabilization are offered the option to stay at the Netcare Access Crisis Stabilization Unit as an alternative to a psychiatric hospitalization. CSU hosted 367 clients with an average daily census of 5 clients per day, as limited by the pandemic.

Miles House

Miles House is a short term residential treatment facility for individuals struggling with their behavioral health. The home has 9 clients beds, but due to COVID concerns only 4 beds could be in use for the majority of 2021. 116 clients stayed at Miles House working on coping skills, managing symptoms, working on sobriety, and interacting with others

The Netcare Foundation

Foundation Expenses

Foundation Revenue

2021 Financial Overview

REVENUE EXPENSES

ADAMH

$11,733,382 $2,335,877 $1,336,331 $888,438 $75,452 $1,907,333 $18,276,813

$1,373,002 $1,099,387 $2,984,173 $18,039,277

Corporate Profile

2021 CORPORATE BOARD OF DIRECTORS

Patrick A Devine, Chair | Ice Miller

Sid Geller, 1st Vice Chair | Sid Geller & Associates LLC

Kitty Wilcox Soldano, Ph D , 2nd Vice Chair

Maureen Delphia, Immediate Past Chair

Zaki Anwar | Jones Day

Candy Carr | The P E E R Center

Anahi Ortiz, M D | Franklin County Coroner’s Office

Mona Robinson, Ph D | Ohio University

Shirley Rogers Reece | SR & Associates, LLC

Lee Shackelford, M D | Psychiatrist

Tim Tullis, Corporate Counsel | Kegler, Brown, Hill & Ritter

2021 FOUNDATION BOARD OF DIRECTORS

Danielle Vandegriff, Chair | Ohio Department of Natural Resources

Kathy Olson, Vice Chair | Attorney At Law

Erica Schucht, 2nd Vice Chair | Columbus Springs Hospitals

James Raia, Immediate Past Chair

Katie Cape | RiverVista

Karen Core | Ohio Hospital for Psychiatry

Brandon Farris | SUN Behavioral Health

Jennifer McConnaughey | Cedar Oaks Wellness Center

Phil McCorkle

Samantha Rice | Abbott

Nathaniel Stewart

2021 NETCARE SENIOR STAFF

King Stumpp, President & Chief Executive Officer (retired May 2021)

Brian Stroh, Chief Executive Officer & Medical Director (appointed May 2021)

Rebecca Benedetto, CPA, Chief Financial Officer

Greg Blankenship, MSN, RN, Director of Nursing

Allan Brown, SPHR, SHRM SCP, Director of Human Resources & Facilities (retired)

Pablo Hernandez, M D , Medical Director (January May 2021)

Nathan Kortokrax, Director of Human Resources (March 2021 Present)

Jessica Lilly, Director of Development and Public Relations

Michele Perry, LISW S, Director of Crisis and Assessment Services

Jocelyn Scott, RHIA, Director of Quality Improvement

Wayne Smith, CPHIMS, HITPRO, MCITP, Director of Information Technology

Meredith Veltri, Ph D , Director of Forensic & Specialized Assessment Services

Carrie Wirick, LPCC S,LICDC, Director of Community and Residential Services

King Stumpp, Retired President & CEO

Brian Stroh, MD, CEO & Medical Director

Statement of Financial Position

REVENUE

ADAMH Franklin County Medicaid & Managed Care Other, Non-Program Revenue Grants and Contributions Earned Income Paycheck Protection Program

Total Revenue

EXPENSES

Program Services: Emergency Services Forensic and Family Psychology Residential/Treatment Services General & Administrative Total Expenses

$11,211,942 $4,416,014 $46,229 $699,893 $899,491 $17,273,570

2019 2020 2021 $11,494,283 $2,199,125 $40,454 $1,183,838 $881,367 $2,834,900 $18,633,967

$12,762,613 $1,320,448 $1,109,382 $2,374,051 $17,566,494

$11,733,382 $2,335,877 $75,452 $1,336,331 $888,438 $1,907,333 $18,276,813

2019 2020 2021 $12,601,105 $1,258,945 $1,006,754 $2,504,913 $17,371,717

$12,582,715 $1,373,002 $1,099,387 $2,984,173 $18,039,277

2019 2020 2021ASSETS

Change in net assets Temporarily restricted net assets

Net assets beginning of year Net assets end of year

$2,820,057 $50,000 $3,178,860 $2,870,057

$1,252,273 $50,000 $2,820,057 $4,122,330

$251,066 $50,000 $4,122,330 $4,373,396

" Thank you for motivating me to motivate myself. You saved my life. Each one of you did something special for me. I am eternally grateful to each one of you. May you all continue to be who you are and continue to help all, even those who are unwilling to help themselves."

- Charles, former client

Giving Matters

OUR 2021 DONORS

Anonymous Donors (3)

Marc & Katie Antonchak

Irene Armah

Brad Ashbrook

Kathy Baird

Tony Benishek

Kent Bermingham

Phil & Ann Bickel

Chris Bockelman

Holly Brown

David Chapin

Barbara Chuko

Rachel Clukey

Stacey DeLukey

Patrick & Denise Devine

Judy Dipietro

James Farmer

Elaine Fleming

Sid Geller

Bob Gillies

Mark Goodson

Matt Gorman

Kim Helvie

Pablo Hernandez, M D

Mindy Holland

William Hughes

Jeanyne Jakubowski

Nathan Kortokrax Rick & Donna Larkin

Darcy Lichnerowicz

Jessica Lilly

Nick Lombardo

Mary Louise Hawkins

Amanda Lucas

Darren Malhame

Alex McCorkle

Phil McCorkle

James McCuen

Diana Meeks

Randall Mikes

Joy Millman

Stephanie Mizer

Cari Monsoon

Debby Murphy

Kathy Olson

Thomas Ortenzi

Anahi Ortiz, M.D.

Joe Paxton

Megan Perdue

Michele Perry

William Poole

Fred Porter

Lisa Reisz

Jean Reynolds

Dawn Rogers

Shirley Rogers Reece

Stephen Roper

Lisa Rose

Erica Schucht

Lee Shackelford, M.D.

Shelli Sloan

Steve Starr

Brian Stroh, M D

King & Susan Stumpp

Tom Szykowny

Jodi Tebeau

Dan & Rebecca Terrible

Meredith Veltri, Ph.D. Dana Watkins

Patricia Kay Werk

Wendy Wijegunawardana Patrick Wilcox

Kitty Wilcox Soldano, Ph D Carrie Wirick Hayden Zeis

OUR 2021 CORPORATE PARTNERS

Smile Battelle

Springs