Netcare 2023 Annual Report

20 23

ANNUAL

REPORT

03.

Mission & Values 04.

Leadership Message 05.

Demographics 07.

Crisis Services 08.

Community-Based Programs 09.

Forensic Services

CONTENTS

10.

Outpatient Services 13.

Statement of Financial Position 15.

Corporate Profile 17.

Netcare Foundation

MISSION We help people in need of behavioral healthcare and emotional support by providing comprehensive, evidence-based services needed to attain recovery and maintain well-being. We also help the courts and community agencies by providing professional evaluations and assessments for those that need them.

OUR VALUES Caring We contribute to the welfare of those whom we serve.

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

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.

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.

Netcare Annual Report 2023

page 03

MESSAGE FROM LEADERSHIP 2023, as we thought it would be, proved to be a year of transition at Netcare. Having ended our 24/7/365 walk in crisis services about a month prior to the new year, 2023 was when we needed to put the plan about our path forward into action. There is often a good amount of concern -- if not fear -involved in change, and that was certainly on our minds and in our hearts as our metamorphosis took place. I am proud to say that our staff of about 240 took the challenge head-on, and that it yielded the benefits we hoped it would and more.

Please read on for more details – but, in brief, you will see that we handled 30,000 more calls/texts/chats than the year before, launched outpatient services after a quarter-century hiatus, and brought the balance of our funding sources more even than it had been in years. That is to say nothing of further refining the service model of our Community Mobile Team, continuing the significant interior and exterior refurbishment of Miles House, and other things too numerous to mention here.

The Netcare Foundation also made a change in one of its premier fundraising events. After decades of an all-day golf tournament, we acted on feedback that indicated that – with people seemingly busier than ever before – we should continue our tradition of a golf event but bring it more current. We did just that, and have been thrilled with how an after-work event at TopGolf Columbus has made an opportunity to support the work we do more accessible to golfers and nongolfers alike.

As always, a huge thank you to all who take an interest in what we do. I am already looking forward to telling you about 2024!

Brian Stroh, M.D. Netcare Chief Executive Officer and Medical Director

Netcare Annual Report 2023

page 04

OUR IMPACT Demographics The following demographics include CSU, Miles House, Assessment Services, Developmental Disability Services, and Probate Pre-Screening. Demographics for other programs can be found on pages 7 - 10.

<18 18-24 25-34

Age

35-44 45-54 55-64 65+ Unknown 0

200

400

600

800

1000

1200

Number of individuals served

8/10

50% identify as male 44% identify as female 1% other 5% unknown

refer themselves or are brought in by a relative or friend.

Native American/American Indian

Asian

1%

2%

Native Hawaiian/Other Pacific Islander

Black/African/African-American

Racial Data

0%

45% Other/Unknown

Hispanic or Latin American

1%

4% White/Caucasian

Middle Eastern or North African

43%

1% Multiracial

3%

Netcare Annual Report 2023

page 05

CLIENT STORY

Bryan endured unimaginable pain throughout his life and tragically lost one of his children to a drunk driver. Bryan was hurting and in distress but sought to change his life. He found that change at Miles House. At Miles House, a program dedicated to those being discharged from an inpatient psychiatric stay, the Netcare staff provided Bryan with the care and support he desperately needed. He arrived at Miles House feeling hopeless and overwhelmed with life's challenges, seeking someone to lean on. Bryan left Miles House with renewed hope, ready to pursue his dream of living a stable life. He knows that he may face difficulties in the future, but he now feels prepared to work through them. Bryan is grateful for the sanctuary and peace of mind that Netcare provided. He believes that Miles House has the potential to help many others as it helped him.

Netcare Annual Report 2023

page 06

CRISIS SERVICES For those in crisis, we provide options without regard to insurance or payment.

Emergency Response Service Answers 614-276-CARE, Homeless Hotline, and 988 calls, texts, and chats.

Total 614-276-CARE calls handled: 72,903 Homeless Hotline calls handled: 89,997 988 calls handled: 4,806 Online crisis chats: 22,445

Crisis Stabilization Unit An alternative to psychiatric hospitalization.

Patients stay for up to 7 days and are linked to ongoing care at discharge.

357 individuals were treated in the CSU in 2023.

TAKE A VIDEO TOUR

Assessments Provides non-urgent substance use and mental health assessments.

Referrals are made to local providers.

390 assessments were completed in 2023.

Miles House Dedicated to those being discharged from inpatient psychiatric care or the Netcare CSU. Patients stay up to 16 days.

175 individuals stayed at the Miles House in 2023.

55% enter homeless; <15% leave homeless TAKE A VIDEO TOUR

Netcare Annual Report 2023

page 07

COMMUNITY-BASED PROGRAMS We work in the community to ensure the safety of all adult individuals in Franklin County.

Community Crisis Response Provides on-the-scene response to those affected by traumatic situations, allowing first responders to complete their work.

In 2023, the team was called out to 60 incidents and assisted 384 individuals.

ROW ONE Program Mobile intervention service that transports publicly intoxicated persons off the streets to a place of safety and shelter.

Local treatment and educational resources are shared.

12,721 individuals were transported in 2023.

Developmental Disabilities Services Works with individuals to both prevent crisis episodes and help them through, should one occur.

1,489 consultations were conducted in 2023.

Probate Pre-Screening Responds to contacts made by friends, family, and clinicians when there is a concern about someone’s safety.

In 2023, the prescreeners completed 1,338 probate investigations for Franklin County.

Community Mobile Team Pilot program launched in February of 2023.

Team made up of licensed mental health clinician and a peer support specialist assisting individuals in the community experiencing a mental health or substance abuse crisis.

This team assisted 574 individuals in 2023.

Netcare Annual Report 2023

page 08

FORENSIC SERVICES Partnering with the local courts and offering expert forensic evaluations on matters of mental illness.

Forensic Center 1 of 10 OhioMHAS-certified centers across the state of Ohio.

Renders legal opinions regarding court defendants.

Funded primarily by the Ohio Department of Mental Health and Addiction Services (OhioMHAS).

The Forensic evaluators completed 641 forensic evaluations and 26 municipal cases for a total of 667 in 2023.

Family Psychological Services Psychologists provide diagnostic assessment at the request of either Franklin County Children Services or Franklin County Juvenile Court.

In 2023, 100 comprehensive diagnostic evaluations for Franklin County Children Services (FCCS) and 65 forensic evaluations for juvenile courts were completed.

Netcare Annual Report 2023

page 09

OUTPATIENT SERVICES Netcare treats those experiencing mental health and/or substance use disorders via our experienced team of licensed providers.

In 2022, we became a Certified Community-Behavioral Health Clinic (CCBHC)-a specially-designated clinic that provides a comprehensive range of mental health and substance use services.

In March 2023 we saw our first patient in the new outpatient clinic and we served 162 patients in 2023.

Netcare's outpatient services are committed to providing accessible mental health care to all, regardless of ability to pay. In addition to accepting Medicaid and Medicare, we use the Franklin County ADAMH Sliding Fee Schedule for those without insurance.

Our comprehensive outpatient services include counseling, medication management, and case management to support patients on their journey to better mental health and well-being.

Netcare Annual Report 2023

page 10

INDIVIDUALS SERVED ACROSS PROGRAMS 384

CCR

574

CMT 832

12721

175

Forensic

Mi…

More than 17,000 individuals received face-toface services across our programs in 2023.

ROW One provided the most direct impact, transporting 12,721 individuals to a place of safety and shelter.

1489

ROW

ROW One 12,721 Probate 1,338 Developmental Disability Services 1,489 Forensic Services 832 Community Crisis Response 384 Assessments 390 Crisis Stabilization Unit 357 Miles House 175 Community Mobile Team 574 Outpatient 162

DD 162 OP

1338

Probate 357

CSU

390 Assm

Emergency Response Service is the dedicated Netcare team that answers the 24/7 Crisis Phone Line (614-276-CARE), online chat feature, and 988 Suicide & Crisis Lifeline for anyone in need of assistance or in a mental health or substance use crisis.

Netcare also partners with the Community Shelter Board to provide information to those in Franklin County who need emergency shelter information and housing options.

2023

2022

2021

614-276-CARE Calls Handled

72,903

72,958

81,485

Homeless Hotline

89,997

78,961

69,652

988 Calls

4,806

3,964

N/A

Crisis Chats

22,445

3,582

771

Total Phone, Text, ChatBased Services

190,151

159,465

151,908

Netcare Annual Report 2023

page 11

CLIENT STORY

Kurdeliah grew up in Child Protective Services, constantly going in and out of foster care and mental health facilities from the ages of three months to twenty-one. This led Kurdeliah to turn to alcohol in an attempt to cope with her mental health. After several suicide attempts, she made the decision to seek help. Enter the Netcare Crisis Stabilization Unit (CSU), a safe place that prioritized her mental health. At Netcare, Kurdeliah received personalized care, connected with the staff members, and learned the tools and resources she needed to heal. Kurdeliah has discovered a new inspiration and purpose in life, hoping to help others through similar struggles. Kurdeliah is thankful for the help she received at Netcare and encourages those going through crisis to ask for help.

Netcare Annual Report 2023

page 12

STATEMENT OF FINANCIAL POSITION REVENUE

2022

2023

ADAMH Franklin County Levy Funds

$8,123,153

$4,840,587

State of Ohio*

$3,896,643

$4,657,000

Medicaid & Medicare

$2,310,267

$818,961

Federal Government

$2,122,625

$5,009,960

Community Shelter Board

$791,270

$629,178

Court & Forensic Fee for Service

$315,774

$439,084

Foundation/Individual Contributions

$147,514

$281,277

Other

$73,243

$80,648

COVID Relief/ERC Funds

$270,652

$1,217,946

$18,051,141

$17,974,641

2022

2023

- Phone, Text, Chat-Based Services

$2,606,181

$5,341,344

- Forensic and Family Psychology

$1,363,704

$1,862,095

- Crisis & Residential Services*

$9,033,553

$3,942,379

$467,268

$1,506,292

$1,654,153

$2,125,942

Supporting Services

$2,960,630

$2,887,793

Total Expenses

$18,085,489

$17,665,845

NET ASSETS

2022

2023

Temporarily restricted net assets

$78,900

$125,330

$4,373,396

$4,339,048

$4,339,048

$4,647,844

($34,348)

$308,796

Total Revenue *Includes State funding passed through Franklin County ADAMH and MHAS 988

EXPENSES Program Services:

- Outpatient Services** - Community-Based Services

*On-site crisis services ceased operation in November 2022. **Outpatient services began operations in February of 2023.

Net assets - beginning of year Net assets - end of year Change in net assets

Netcare Annual Report 2023

page 13

2023 FINANCIAL OVERVIEW CSB 4%

Other 1%

PPP/COVID 7% ADAMH 27%

REVENUE Federal 28%

Medicaid/Medicare 5%

Supporting services 16%

Franklin Co. ADAMH Levy Funds

$4,840,587

State of Ohio

$4,657,000

Medicaid & Medicare

$818,961

Federal Government

$5,009,960

Community Shelter Board

$629,178

Court & Forensic Fees for Service

$439,084

Foundation/Individual Contributions

$281,277

Other

$80,648

PPP/COVID Relief Funds

$1,217,946

Total Revenue

$17,974,641

State 26%

Phone, Text, Chat-Based services 30%

Community-Based services 12%

Program Services:

EXPENSES

Outpatient services 9% Forensic & Family services 11% Crisis & Residential services 22%

- Phone, Text, Chat-Based Services

$5,341,344

- Forensic & Family Psychology

$1,862,095

- Crisis & Residential Services

$3,942,379

- Outpatient Services

$1,506,292

- Community-Based Services

$2,125,942

Supporting Services

$2,887,793

Total Expenses

$17,665,845

Netcare Annual Report 2023

page 14

CORPORATE PROFILE 2023 CORPORATE BOARD OF DIRECTORS Sid Geller, Chair | Sid Geller & Associates LLC Kitty Wilcox Soldano, Ph.D., 1st Vice Chair Shirley Rogers-Reece, 2nd Vice Chair | SR & Associates, LLC Candy Carr Jim Dertinger | Cardinal Health Matthew Herchik | WCMH-TV, NBC4 Mona Robinson, Ph.D. | Ohio University Jenny Schoning Lee Shackelford, M.D. | Psychiatrist Tim Tullis, Corporate Counsel | Kegler, Brown, Hill & Ritter

2023 FOUNDATION BOARD OF DIRECTORS Samantha Rice, Chair | Spechthaus Consulting Kathy Olson, Vice Chair | Attorney at Law Tina Colter, 2nd Vice Chair Katie Cape | Mount Carmel Behavioral Health Karen Core | Leora Elise Geig | Capitol Edge Consulting, LLC Jennifer McConnaughey | ERC Pathlight Phil McCorkle | MAPSYS Erica Schucht | Columbus Springs Hospital Will Matty | Expedient Lisa Rose | My Town Health Shelli Sloan | AEP Sylvester Quainton | International Transmission Company

2023 NETCARE SENIOR STAFF Brian Stroh, M.D., Chief Executive Officer & Medical Director Sarah Elliot LISW-S, LICDC, Director of Outpatient Services Nathan Kortokrax, Director of Human Resources Jessica Lilly, Director of Development and Public Relations Tracy Richter, CSM,STS,CSA, Director of Environmental, Health & Safety Jocelyn Scott, RHIA, Director of Quality Improvement Erin Steele, CPA, Chief Financial Officer Heather Stumpf, MSW, LISW-S, Director, Community Based-Services Meredith Veltri, Ph.D., Director of Forensic & Specialized Assessment Services Carrie Wirick, LPCC-S,LICDC, Director of Community & Adult Crisis Residential Services

Netcare Annual Report 2023

page 15

GIVING MATTERS OUR 2023 DONORS Anonymous Donor (1) Tony Benishek Dan Berglund Kent Bermingham II Jovana Bixby Martin Brady Lori Buchler David Chapin Barbara Chuko Tina Colter

Patricia & Ron Liston Amanda Lucas Daniel Maclennan Will Matty Jennifer McConnaughey Phil McCorkle Mike McGovern Andrew Moffatt Dean Monnin Philippe Nadaud

Karen Core

Keeten Needum

Riley Cottingham Maria Courser Stephanie Dean

Jennifer Nelson-Carney Sandra Nessing Mark O'Brien

Denise & Patrick Devine William Edwards Sarah Elliot

Kathy Olson Jose Otero Tami Phelps

Maegan Evert

Sylvester Quainton

Dee Fletcher Chad Francis

Brandon Reese Chad Readout

Tom Fuller

Brogan Reilly

Thomas Fulton Elise Geig

Lisa Reisz Samantha Rice

Sid Geller

Shirley Rogers-Reece

AJ Guild

Lisa Rose

Amanda Harding Ginger Harding Chris Heckert Ryan Heimberger Matthew Herchik Pablo Hernandez, M.D. Nicole Hess Mike Holsinger William Hughes Suzanne Hunnicutt Kim James Terry Kelley Nathan Kortokrax Jeff Lafever

John Rush Louise Rutkowski Kari Sanders Megan Schabbing, M.D. Erica Schucht Jennifer Schoning Jerry Scott Lee Shackelford, M.D. Sheleemia Simmons Shelli Sloan Kitty Soldano, Ph.D. Steve Starr Erin Steele Brian Stroh, M.D.

Tom Szykowny Meredith Veltri, Ph.D. Sue Villilo Patricia Werk Jennifer Whipple

Alexander Whyte Laura Williams Carrie Wirick Randa Woods

OUR 2023 CORPORATE PARTNERS AEP Foundation Battelle Big Lots Foundation Capgemini Cardinal Health Capitol Edge Consulting The Columbus Foundation Delta Dental Ohio Diamond Hill Epstein Becker Green Expert Evaluations First Merchants Bank Golden Corral Charitable Fund Harry C. Moores Foundation Heckert & Moreland Co. Huntington National Bank Kegler, Brown, Hill & Ritter Maryhaven Meta Milestone Benefits Agency Mount Carmel Behavioral Health Mount Carmel Health System Netsmart Technologies, Inc. Ohio Hospital for Psychiatry OhioHealth OSU Harding Hospital PNC Bank Quantum Health Randstad Revel IT Rosary Altar Society, Corpus Christi Catholic Church Schneider Downs Spirit of Peace Clinical Counseling SUN Behavioral Health Columbus

Netcare Annual Report 2023

page 16

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.

2023 Netcare Foundation Revenue Endowment 9% Special Events 14%

In addition to raising funds through individual donations and grants, the Foundation hosts fundraising activities throughout the year.

In 2023, with donated funds, the Foundation funded the following: Winter weather clothing for at-risk clients Art supplies Catered holiday meals for clients to enjoy Safety improvements to our facilities Staff scholarship and recognition opportunities

Contributions 48%

In-Kind 29%

Contributions In-kind contributions Special events Endowment fund

$73,413 $44,212 $21,385 $13,219

Total 2023 Revenue

$152,230

2023 Netcare Foundation Expenses General Expenses 5%

Program Grants 45%

Fundraising Expenses 50%

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

$58,576 $7,038 $66,779

Total 2023 Expenses

$132,394

Netcare Annual Report 2023

page 17

199 South Central Avenue Columbus, Ohio 43223 24/7 Crisis Line

Administrative Line

614-276-CARE (2273)

614-274-9500

Homeless Hotline

Website

614-274-7000

netcareaccess.org