Netcare 2022 Annual Report

ANNUAL REPORT

2022

03.

Mission & Values 04.

Leadership Message 05.

Demographics 07.

Crisis Services 08.

Community-Based Programs

CONTENTS

09.

Forensic Services 12.

Statement of Financial Position 14.

Corporate Profile 16.

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.

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.

NETCARE | ANNUAL REPORT 2022

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.

03

MESSAGE FROM LEADERSHIP In last year’s report, I wrote to you about changes we learned would be coming to our Crisis Intervention program. While we intended to continue this program until Franklin County’s new crisis center opens in later 2024 or early 2025, rapidly changing workforce dynamics meant we had to make the tough choice to end this program in 2022 instead.

What that adversity did, though, was give us the opportunity to jumpstart the planning we’d done in preparation for this change. 2022 came to see the start of a SAMHSA-funded Certified Community Behavioral Health Clinic (CCBHC), our CSU being opened to referrals from all crisis providers in Franklin County, and the inauguration of both our Community Mobile Team and 988 provider services— among other changes.

Just as our world spent much of 2022 coming out of the COVID pandemic, Netcare spent it coming out of adversity and toward our next iteration of caring for some of our community’s most vulnerable. Please read on for more information.

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

NETCARE | ANNUAL REPORT 2022

04

OUR IMPACT Demographics The following demographics include Crisis Services, 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 35-44

Age

45-54 55-64 65+ Unknown 0

250

500

750

1,000

1,250

Number of individuals served

8/10

52%

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

identify as male

Black/African-American 43%

Asian 1%

Two or more races 4%

Other* 2%

Hispanic/Latin American 5%

White/Caucasian 45%

NETCARE | ANNUAL REPORT 2022

*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.

05

CLIENT STORY

Benji grew up in a single parent household and faced unimaginable trauma. By the age of 14, he needed psychiatric care for multiple mental health disorders. Desperate to fit in and avoid judgment, Benji tried to hide his struggles. However, the pandemic pushed him to his breaking point. Benji stopped taking his medication and fell into crisis.

That's when he turned to Netcare. At Netcare, Benji received personalized care that changed his life. Instead of focusing on the stigma, he was taught acceptance of his mental illness. This newfound empowerment transformed Benji's outlook. Through the support of the Crisis Center, CSU, and Miles House, Benji has gained invaluable skills to manage his mental health. He is forever grateful to the staff at Netcare for their life-changing impact.

NETCARE | ANNUAL REPORT 2022

06

CRISIS SERVICES In the event of a crisis, we provide options for those without regard to insurance or payment.

Answers the 24/7 Crisis Phone Line, Homeless Hotlline, and 988 calls, texts, and chats.

Total 614-276-CARE calls handled: 72,958 Homeless Hotline calls handled: 78,961 988 calls handled: 3,964 Crisis online chats: 3,582

Emergency Response Service

Assessments

Provides non-urgent substance use and mental health assessments.

Referrals are made to local providers.

378 assessments were completed in 2022.

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An alternative to psychiatric hospitalization.

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

343 individuals were treated in the CSU in 2022.

Crisis Stabilization Unit

Miles House

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

115 individuals stayed at the Miles House in 2022.

55% enter homeless; <15% leave homeless

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Crisis Center

Has 17 beds and observes individuals for up to 23 hours.

The center handled 3,518 visits with an average daily census of 16 people each day. *Please note this program ended November 2022.

NETCARE | ANNUAL REPORT 2022

07

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

Community Crisis Response

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.

8,294 individuals were transported in 2022

Developmental Disabilities Services

Probate PreScreening

Responds to traumatic situations when those affected need additional support, simultaneously freeing first responders to complete their work.

In 2022, the team was called out to 165 incidents and assisted 987 individuals.

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

1,409 consultations were conducted in 2022.

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

In 2022, the prescreeners completed 2,084 probate investigations for Franklin County.

NETCARE | ANNUAL REPORT 2022

08

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

Forensic Center

Family Psychological Services

1 of 6 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).

Formally certified by the OhioMHAS Office of Forensic Services.

The Forensic evaluators completed 578 forensic evaluations in 2022.

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

In 2022, 109 comprehensive diagnostic evaluations for Franklin County Children Services (FCCS) and 3 non-forensic psychological evaluations for Franklin County Juvenile Court were completed.

NETCARE | ANNUAL REPORT 2022

09

INDIVIDUALS SERVED ACROSS PROGRAMS 687 119

Forensic

*

8294

1409 378

DD

** 3518

ROW

Crisis

2084

610

Probate

363

CSU

CCR

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

Netcare partners with the Community Shelter Board to provide information to those in Franklin County that need emergency shelter information and housing options. The ERS team answers the Homeless Hotline.

NETCARE | ANNUAL REPORT 2022

More than 17,000 individuals received direct services across our programs in 2022.

ROW One provided the most direct impact, transporting 8,294 individuals to a place of safety and shelter and Miles House provided recovery and support to 119 clients in 2022.

ROW One 8,294 On -Site Crisis 3,518 Probate 2,084 Developmental Disability Services 1,409 Forensic Services 687 Community Crisis Response 610 Assessments 378** Crisis Stabilization Unit 363 Miles House 119*

2022

2021

614-276-CARE Calls Handled

72,958

81,485

-9%

Homeless Hotline

78,961

69,652

+12%

988 Calls

3,964

-

N/A

Crisis Chats

3,582

771

+129%

10

CLIENT STORY

Amber's upbringing took a turn when she began experimenting with alcohol in high school. This led to drugs and the inevitable consequences. Losing her job was a wake-up call, forcing her to confront her reality. But with her one-year-old daughter counting on her, she found the courage to seek help. Enter the Netcare Crisis Center, a safe space that prioritized her mental health.

Through group sessions and individual counseling, Amber gained the tools to heal and turn her life around. Netcare set the foundation for her continued journey towards sobriety. Today, Amber is not only a successful business owner but also a devoted mom of two. She's grateful for her transformation and actively refers others to Netcare in times of need.

NETCARE | ANNUAL REPORT 2022

11

STATEMENT OF FINANCIAL POSITION REVENUE

2020

2021

2022

ADAMH Franklin County Levy Funds

$8,777,405

$8,431,733

$8,123,153

State of Ohio*

$3,243,850

$3,869,832

$3,896,643

Medicaid & Medicare

$2,199,125

$2,335,877

$2,310,267

Federal Government **

$40,725

$25,363

$2,122,625

Community Shelter Board

$451,182

$750,374

$791,270

Court & Forensic Fee for Service

$313,670

$294,892

$315,774

Foundation/Individual Contributions

$108,289

$133,209

$147,514

Other

$40,454

$80,452

$72,942

PPP/COVID Relief Funds

$3,459,267

$2,355,081

$270,652

Total Revenue

$18,633,967

$18,276,813

$18,050,840

*Includes State funding passed through Franklin County ADAMH **Excludes PPP/COVID relief funds, but includes 988-related federal funds passing through Vibrant Emotional Health

EXPENSES

2020

2021

2022

- Emergency Services

$12,601,105

$12,582,715

$12,672,521

- Forensic and Family Psychology

$1,258,945

$1,373,002

$1,363,704

- Residential/Treatment Services

$1,006,754

$1,099,387

$1,088,634

General & Administrative

$2,504,913

$2,984,173

$2,960,630

Total Expenses

$17,371,717

$18,039,277

$18,085,489

Program Services:

ASSETS

2020

2021

2022

Temporarily restricted net assets

$50,000

$50,000

$50,000

Net assets - beginning of year

$2,820,057

$4,122,330

$4,373,396

Net assets - end of year

$4,122,330

$4,373,396

$4,339,048

Change in net assets

$1,252,273

$251,066

($34,348)

NETCARE | ANNUAL REPORT 2022

12

2022 FINANCIAL OVERVIEW REVENUE

Foundation CSB 1% 4% Federal 12%

ADAMH 45% Medicaid/Medicare 13%

Franklin Co. ADAMH Levy Funds

$8,123,153

State of Ohio

$3,896,643

Medicaid & Medicare

$2,310,267

Federal Government

$2,122,625

Community Shelter Board

$791,270

Court & Forensic Fees for Service

$315,774

Foundation/Individual Contributions

$147,514

Other

$72,942

PPP/COVID Relief Funds

$270,652

Total Revenue

$18,050,840

State 22%

Administrative 16%

Residential services 6%

Forensic services 8%

EXPENSES Program Services: - Emergency Services

$12,672,251

- Forensic and Family Psychology

$1,363,704

- Residential/Treatment Services

$1,088,634

General & Administrative

$2,960,630

Total Expenses

$18,085,489

Emergency services* 70%

*Emergency services includes programs on pages 7 and 8.

NETCARE | ANNUAL REPORT 2022

13

CORPORATE PROFILE 2022 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 Patrick A. Devine, Immediate Past Chair | Ice Miller Candy Carr | The P.E.E.R. Center Jacqueline Doodley | Exodus Recovery Support Services, LLC Matthew Herchik | WCMH-TV, NBC4 Anahi Ortiz, M.D. | Franklin County Coroner’s Office (Retired) Mona Robinson, Ph.D. | Ohio University Lee Shackelford, M.D. | Psychiatrist Tim Tullis, Corporate Counsel | Kegler, Brown, Hill & Ritter

2022 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 Katie Cape | RiverVista Tina Colter | Columbus Springs Hospitals Karen Core | Ohio Hospital for Psychiatry Elise Geig | Capitol Edge Consulting, LLC Will Matty | Expedient Jennifer McConnaughey | ERC Pathlight Phil McCorkle | Presidio Samantha Rice | Northwestern Mutual Lisa Rose | SUN Behavioral Health Shelli Sloan Lisa Rose | AEP

2022 NETCARE SENIOR STAFF Brian Stroh, M.D. Chief Executive Officer & Medical Director Greg Blankenship, MSN, RN, Director of Nursing Nathan Kortokrax, Director of Human Resources Jessica Lilly, Director of Development and Public Relations Michele Perry, LISW-S, Director of Crisis and Assessment Services Tracy Richter, CSM,STS,CSA, Director of Environmental, Health & Safety Jocelyn Scott, RHIA, Director of Quality Improvement Erin Steele, CPA, Chief Financial Officer Meredith Veltri, Ph.D., Director of Forensic & Specialized Assessment Services Carrie Wirick, LPCC-S,LICDC, Director of Community and Residential Services

NETCARE | ANNUAL REPORT 2022

14

GIVING MATTERS OUR 2022 DONORS Anonymous Donors (4) Susan Abbott Tony Benishek Marisa Blank Jefferey Bliss Ralph Breitfeller Barbara Chuko Tina Colter Matthew & Maria Courser Lauren Lipa Cox Whitney Crane Daniel Davis & Vickie Murphy Wyatt Davis Jennifer Delgado Joshua DeLukey Patrick & Denise Devine Veronica Dubravetz Elaine Fleming Sandy Freer Mary Fristad Tom Fuller Raymond Gaugler Sid Geller Kyle Gold Ryan Heimberger Pablo Hernandez, M.D. William Hughes Brooke Hunt Thomas Jewett Larry Jumper Marty Lanning Austin Lanz Jessica Lilly Patricia & Ron Liston Doug Lynch Kellee Marker Tara Mayes Kathleen McBride

Dean Monnin Steve Starr Dan & Rebecca Terrible Alison Morris Erin Steele Laura Tippy Phillip Neal William Steffen Meredith Uhlir Antonio Strazzullo Meredith Veltri. Ph. D. Keeten Needum Karen & Tom Stroh Dana Watkins Sandra M Nessing David Stroh Sherrick Watson Tiffany Nobles Gerald Stroh Patricia Kay Werk Kathy Olson Brian Stroh, M.D. Kristin Wickham-Saxon Katherine Pahys Tom Szykowny Carrie Wirick Joe Paxton Michele Perry Chris Perry Shannon Porter Jeff Pressler Sylvester Quainton OUR 2022 CORPORATE PARTNERS Jonathan Rapp Michael Rapp AEP Foundation Clair Reich ALDI Troy Reinhart Amazon Smile Lisa Reisz Battelle Daidria Renkel Central Ohio Primary Care Foundation CleanTurn International LLC Samantha Rice Columbus Springs Nicholas Rich Genoa Healthcare Tracy Richter Ice Miller LLP Margaret Roldan Kegler, Brown, Hill & Ritter Yvette Roman Melissa's House Omer Rosen Morgan Services, Inc. Louise Rutkowski Mount Carmel Behavioral Health Timothy W. Sauvain NAMI Franklin County Ohio Hospital for Psychiatry Megan Schabbing, M.D. OSU Harding Traci Schmotzer Quantum Health Erica Schucht RiverVista Health Jocelyn Scott Schneider Downs Lee Shackelford, MD SUN Behavioral Columbus Shelli Sloan The Columbus Foundation Terry Smith The Marian Foundation Thomas A. Smith Vorys, Sater, Seymour, Pease LLP Whole Foods Kitty Wilcox Soldano, Ph.D. Monty Soungpradith

NETCARE | ANNUAL REPORT 2022

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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.

2022 Netcare Foundation Revenue Special Events 13%

Net Investment 3%

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

In 2022, 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

In-Kind 24%

Contributions 60%

Contributions In-kind contributions Special events Net investment income Endowment fund loss/gain Total 2022 Revenue

$115,153 $44,813 $24,007 $5,414 ($22,113) $167,275

2022 Netcare Foundation Expenses General Expenses 6%

Program Grants 47% Fundraising Expenses 47%

NETCARE | ANNUAL REPORT 2022

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

$71,793 $9,133 $73,162

Total 2022 Expenses

$154,089 16

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