Netcare 2021 Annual Report

ANNUAL REPORT

2021

ANNUAL REPORT

03.

Mission & Values 05.

Impact Numbers 06.

Demographics 08.

Crisis Services 10.

Community Programs 11.

Forensic Services 12.

Residential Programs

Contents

13.

Statement of Financial Position 14.

Financial Overview 16.

Corporate Profile 18.

Netcare Foundation

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ANNUAL REPORT

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.

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.

Year in Review

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.

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ANNUAL REPORT

Our Impact By the Numbers

Number of clients/individuals served

6,000

Crisis Episodes/Visits

4,000

Probate Referrals

2,000

Developmental Disability Consults

Residential Clients Served 0

5,062

483

1,469

1,348

Forensic Evaluations

571

In 2021, we served more than 10,000 individuals across our programs including on-site in our facilities and in the community.

Referrals Hospitals 2%

Community 3%

Law Enforcement 21%

Self or Significant Other 74%

The majority of patients bring themselves to Netcare or are brought in by a close friend, family member, or significant other. Community referral sources include a wide variety of partners.

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ANNUAL REPORT

Our Impact Demographics Gender Identity

54 % Male

46% Female

Less than 1% declined to self-identify or identified as other

Age Number of individuals served

2,000

1,500

1,000

500

0

<18

18-24

25-34

35-44

45-54

55-64

65+

Age Range

Black/African-American 40%

Race

Declined to identify 4% Hispanic/Latin American 2%

Asian 1%

Two or more races 4%

Other* 1%

White/Caucasian 50%

*Other includes Alaskan Native, Native American, Native Hawaiian/Pacific Islander, Somali, Nepali and other ethnicities and nationalities that make up less than 1% of clients served.

Client Story

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ANNUAL REPORT

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.

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ANNUAL REPORT

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

Mobile Crisis Unit

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: 81,485 Crisis online chats: 771

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.

Client Story

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ANNUAL REPORT

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.

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ANNUAL REPORT

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.

Netcare’s Community Crisis Response (CCR) provides

Community Crisis Response

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.

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.

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ANNUAL REPORT

Programs and Services Forensic Services

Forensic Center

Family Psychological Assessments

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.

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.

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ANNUAL REPORT

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.

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ANNUAL REPORT

Statement of Financial Position REVENUE

2019

2020

2021

ADAMH Franklin County

$11,211,942

$11,494,283

$11,733,382

Medicaid & Managed Care

$4,416,014

$2,199,125

$2,335,877

Other, Non-Program Revenue

$46,229

$40,454

$75,452

Grants and Contributions

$699,893

$1,183,838

$1,336,331

Earned Income

$899,491

$881,367

$888,438

-

$2,834,900

$1,907,333

$17,273,570

$18,633,967

$18,276,813

2019

2020

2021

- Emergency Services

$12,762,613

$12,601,105

$12,582,715

- Forensic and Family Psychology

$1,320,448

$1,258,945

$1,373,002

- Residential/Treatment Services

$1,109,382

$1,006,754

$1,099,387

General & Administrative

$2,374,051

$2,504,913

$2,984,173

Total Expenses

$17,566,494

$17,371,717

$18,039,277

2019

2020

2021

$2,820,057

$1,252,273

$251,066

$50,000

$50,000

$50,000

Net assets - beginning of year

$3,178,860

$2,820,057

$4,122,330

Net assets - end of year

$2,870,057

$4,122,330

$4,373,396

Paycheck Protection Program Total Revenue

EXPENSES Program Services:

ASSETS Change in net assets Temporarily restricted net assets

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ANNUAL REPORT

2021 Financial Overview REVENUE

Other 11% Earned Revenue 5%

Grants 7%

ADAMH Franklin County

$11,733,382

Medicaid & Managed Care

$2,335,877

Grants and Contributions

$1,336,331

Earned Income

$888,438

Other - Non-Program Revenue - Paycheck Protection Program Total Revenue

Medicaid 13%

$75,452 $1,907,333 $18,276,813

ADAMH 64%

Administrative 17%

EXPENSES Program Services: - Emergency Services

Residential services 6%

Forensic services 7%

$12,582,715

- Forensic and Family Psychology $1,373,002 - Residential/Treatment Services

$1,099,387

General & Administrative

$2,984,173

Total Expenses

$18,039,277

Emergency services* 70%

*Emergency services includes all programs on pages 6 and 8.

" 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

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ANNUAL REPORT

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

Brian Stroh, MD, CEO & Medical Director

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

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ANNUAL REPORT

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 Amazon Smile Battelle Columbus Springs Community Housing Network Encova Foundation Expert Evaluations Heckert & Moreland Ice Miller LLP Kegler, Brown, Hill & Ritter Kurtz Bros. Central Ohio, LLC Microsoft Morgan Services, Inc. Mount Carmel Behavioral Health Ohio Hospital for Psychiatry OhioHealth OSU Wexner Medical Center- Harding Hospital PNC Bank Quantum Health RiverVista Health Schneider Downs Serenity Street Foundation SUN Behavioral Columbus The Kroger Company Vorys, Sater, Seymour, Pease LLP

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ANNUAL REPORT

The Netcare Foundation The Netcare Foundation is a non-profit 501(c)(3) fundraising organization which raises funds to support programs, staff and clients of Netcare Access.

In 2021, with donated funds, the Foundation or funded the following: Winter weather clothing for at-risk clients Art supplies Catered holiday meals for clients to enjoy Safety improvements to our facilities A backup generator for our residential facility, Miles House Staff scholarship and recognition opportunities

2021 Netcare Foundation Expenses

2021 Netcare Foundation Revenue Net Investment 8%

General Expenses 1% Special Events 13%

Fundraising Expenses 38.1% Contributions 54%

Program Grants 60.8%

$95,792 $5,796 $59,828

Total 2021 Expenses

$161,417

Foundation Funds Raised Year over year

Amount Raised ($)

Program services/charitable grants given General and Management expenses Fundraising and special events

In-Kind 25%

Contributions In-kind contributions Special events Net investment income

$88,861 $41,149 $21,340 $13,478

Total 2021 Revenue

$164,830

200,000 150,000 100,000 50,000 0

2017

2018

2019 Year

2020

2021

199 South Central Avenue Columbus, Ohio 43223 24/7 Crisis Line: 614-276-CARE (2273) Administrative Line: 614-274-9500 Homeless Hotline: 614-274-7000