2023-11-07T15:25:39-06:00 2022-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2022-01-01 311118357 NORTH CENTRAL HEALTH SERVICES INC NORT 7654231604 2900 N RIVER RD WEST LAFAYETTE IN 47906 STEPHANIE LONG CHIEF EXECUTIVE OFFICER 7654231604 2023-11-07 1 STEPHANIE LONG 999009999 0 TYLER K GREENE CPA P00057872 3176334705 2023-11-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RIVER BEND HOSPITAL STEPHANIE LONG 2900 N RIVER RD WEST LAFAYETTE IN 47906 147880500 0 X WWW.NCHSI.COM X 1984 IN TO PROVIDE ACUTE INPATIENT PSYCHIATRIC CARE TO THE ADULT POPULATION OF MID-NORTH INDIANA. 9 8 4 8 -30825 0 0 0 2630606 2147561 62746364 3953878 77762 122535 65454732 6223974 5627059 7601430 0 0 953519 974777 0 0 0 7913620 8870450 14494198 17446657 50960534 -11222683 519937079 460736412 8244722 11093488 511692357 449642924 X THE ORGANIZATION IS COMMITTED TO ADVANCING AND PROVIDING HEALTH CARE FOR THE BENEFIT OF THE CITIZENS OF ITS EIGHT COUNTY SERVICE AREA. CONTINUE ON SCHEDULE O:THROUGH THE SUPPORT OF TECHNOLOGICAL AND SCIENTIFIC ADVANCEMENT, EDUCATION, QUALITY OF LIFE, AND HUMANITARIAN COMMUNITY SERVICES, NCHS WILL STRIVE TO PROMOTE A HEALTHY COMMUNITY FOR ALL AREA RESIDENTS. 0 0 5776799 2196727 RIVER BEND HOSPITAL IS A LICENSED INPATIENT PSYCHIATRIC HOSPITAL PROVIDING ACUTE INPATIENT PSYCHIATRIC CARE TO THE ADULT POPULATION OF MID-NORTH INDIANA. CARE IS PROVIDED WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY. BECAUSE THE ORGANIZATION DOES NOT COLLECT AMOUNTS DEEMED TO BE CHARITY CARE, THE AMOUNTS ARE NOT REPORTED AS REVENUE. OF THE ORGANIZATION'S TOTAL HEALTH CARE SERVICES EXPENSE REPORTED, AN ESTIMATED $388,000 (AT COST) AROSE FROM PROVIDING SERVICES TO CHARITY PATIENTS DURING THE YEAR ENDED DECEMBER 31, 2022. CONTINUE ON SCHEDULE O: THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. THE RATIO OF COST TO CHARGES, CALCULATED USING THE IRS GUIDELINES, IS 7% FOR THE YEAR ENDED DECEMBER 31, 2022.IN 2014, THE STATE OF INDIANA IMPLEMENTED HIP 2.0 WHICH EXPANDED THE EXISTING MEDICAID PROGRAM. AS A RESULT OF THIS EXPANSION, A GREATER NUMBER OF PATIENTS QUALIFIED FOR HIP 2.0 WHICH REDUCED SIGNIFICANTLY THE ORGANIZATION CHARITY CARE AND BAD DEBT EXPENSE IN THE YEARS SINCE THE EXPANSION. 11400765 7601430 NORTH CENTRAL HEALTH SERVICES IS COMMITTED TO ADDRESSING A WIDE RANGE OF HEALTH ISSUES AND ENHANCING THE QUALITY OF LIFE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES IN THE EIGHT COUNTIES OF THE GREATER LAFAYETTE AREA. NCHS MAKES FINANCIAL GRANTS TO QUALIFIED NOT-FOR-PROFIT ORGANIZATIONS THAT SHARE ITS VISION AND CAN DEMONSTRATE THE CAPABILITY AND ORGANIZATIONAL STRENGTH TO SUCCEED WITH THEIR PROGRAMS AND CLIENT SERVICES IN AN EFFICIENT AND COST-CONSCIENTIOUS MANNER. 17177564 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 11 0 1 4 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IN X JAMIE SEGO CFO 7654231604 2900 N RIVER RD WEST LAFAYETTE IN 47906 JAMES SCHOEN CHAIRMAN 2.00 0.00 X X 0 0 0 DAVID MCGAUGHEY VICE CHAIRMAN 2.00 0.00 X X 0 0 0 DAVID COOPER TREASURER 2.00 0.00 X X 0 0 0 JEFFREY P BROWN MD SECRETARY 2.00 0.00 X X 0 0 0 RICK DAVIS BOARD MEMBER 2.00 0.00 X 0 0 0 GARY LEHMAN BOARD MEMBER 2.00 0.00 X 0 0 0 LORI ROGERS MD BOARD MEMBER 2.00 0.00 X 0 0 0 ALYSA ROLLOCK BOARD MEMBER TERM BEGAN 2.00 0.00 X 0 0 0 MARJORIE T ROBERTS BOARD MEMBER PARTIAL YEAR 2.00 0.00 X 0 0 0 STEPHANIE LONG PRESIDENT/CEO 40.00 0.00 X X 338279 0 59684 JAMIE SEGO CFO 40.00 0.00 X 174845 0 51480 MICHELLE KREINBROOK GRANTS DIRECTOR 40.00 0.00 X 116688 0 51942 629812 0 163106 3 0 1 0 MERIDIAN HEALTH SERVICES 240 N TOLLOTSON AVENUE MUNCIE IN 47304 MANAGEMENT SERVICES 5763660 KETTLEHUT CONSTRUCTION CO PO BOX 528 LAFAYETTE IN 47902 CONSTRUCTION SERVICES 3641272 STRATEGIC INVESTMENT GROUP INC 19TH ST NORTH 16TH FLOOR ARLINGTON VA 22209 OCIO INVESTMENT MANAGEMENT SERVICES 723847 WELLINGTON TRUST COMPANY 280 CONGRESS STREET BOSTON MA 02210 INVESTMENT MANAGEMENT SERVICES 176861 4 INPATIENT PSYCHIATRIC SERVICES 621300 2147561 2147561 2147561 4612469 -30825 4643294 49166 0 49166 49166 49166 140997935 141656526 -658591 -658591 -658591 73369 73369 73369 6223974 2196727 -30825 4058072 7580796 7580796 20634 20634 624288 561859 62429 204804 184324 20480 19367 17430 1937 85477 76929 8548 40841 36757 4084 5776799 5719031 57768 4500 4455 45 62000 61380 620 931000 931000 83976 83183 793 38143 31277 6866 121203 99386 21817 3580 3544 36 4587 4541 46 1266517 1203191 63326 123661 122424 1237 HOSPITAL ASSESSMENT FEE 201356 201356 DUES & SUBSCRIPTIONS 12871 10554 2317 240257 223513 16744 17446657 17177564 269093 0 4239159 3913109 40389060 9355662 239926 166630 23249 19614 64057 81722 24361988 7117768 14559375 17244220 460360489 429283978 61764 671477 519937079 460736412 378631 568510 7866091 10524978 8244722 11093488 X 511692357 449642924 511692357 449642924 519937079 460736412 X -11222683 -51200337 373587 X X 0 1 X 1 0 X 4760955 4760955 18543595 6213988 12329607 1049076 903780 145296 8362 8362 17244220 X -45907363 -51200337 -51200337 5292974 931000 931000 6223974 16142070 -373587 -373587 16515657 931000 931000 17446657 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 2D - OTHER ADJUSTMENTS: REVERSAL OF GRANT EXPENSES -373,587. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 INVESTMENT IN PRIVATE EQUITY FUND ORGANIZED AS A CORPORATION IN CAYMAN ISLAND 8846465 0 0 0 0 0 0 8846465 0 8846465 1 0 1 0 1 0 PART III ACCOUNTING METHOD: 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 353675 353675 0.02030 6683427 2208420 4475007 0.25650 7037102 2208420 4828682 0.27680 116688 116688 0.00670 4165998 4165998 0.23880 62970 62970 0.00360 4345656 4345656 0.24910 11382758 2208420 9174338 0.52590 686056 686056 0.03930 285000 285000 0.01630 15504 15504 0.00090 2448871 2448871 0.14040 3435431 3435431 0.19690 1 120326 224118 776992 -552874 X 1 1 1 1 RIVER BEND HOSPITAL 2900 N RIVER ROAD WEST LAFAYETTE IN 47906 HTTP://WWW.NCHSI.COM/ X PSYCHIATRIC INPATIENT RIVER BEND HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X WWW.NCHSI.COM/ASSESSMENT X X 1 21 1 WWW.NCHSI.COM/ASSESSMENT 0 1 X 250.000000000000 250.000000000000 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 0 X X 0 0 RIVER BEND HOSPITAL PART V, SECTION B, LINE 2: RIVER BEND HOSPITAL IS LICENSED BY THE INDIANA DEPARTMENT OF MENTAL HEALTH AND ADDICTIONS AND IS NOT LICENSED, REGISTERED, OR RECOGNIZED BY THE STATE OF INDIANA AS A HOSPITAL FACILITY. RIVER BEND IS A PRIVATE PSYCHIATRIC HOSPITAL THAT PROVIDES INPATIENT CARE TO ADULTS BY BEHAVIORAL MEDICINE SPECIALISTS INCLUDING PSYCHIATRISTS, PSYCHOLOGISTS, SOCIAL WORKERS, ACTIVITY THERAPISTS AND NURSE PROFESSIONALS. THE ORGANIZATION IS NOT REQUIRED TO HAVE A COMMUNITY HEALTH NEEDS ASSESSMENT OR COMPLY WITH IRC 501(R); HOWEVER, RIVER BEND HOSPITAL HAS AN INTEREST IN THE COMMUNITY AND THEREFORE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT. RIVER BEND HOSPITAL PART V, SECTION B, LINE 5: A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BEGINNING IN 2020 AND COMPLETED IN 2021. NORTH CENTRAL HEALTH SERVICES AND RIVER BEND HOSPITAL STAFF IDENTIFIED ITS COMMUNITY SERVED THROUGH A REVIEW OF PATIENT-RELATED DATA AND OTHER GEOGRAPHIC BOUNDARIES RELATED TO THE HOSPITAL'S SERVICE AREA AND DETERMINED THAT THE GEOGRAPHIC BOUNDARIES OF A TEN-COUNTY SERVICE AREA WERE TO BE INCLUDED IN THE SERVICE POPULATION. NORTH CENTRAL HEALTH SERVICES AND RIVER BEND HOSPITAL, IN COLLABORATION WITH PUBLIC HEALTH RESEARCHERS, CONDUCTED A REVIEW OF EXISTING DATA AND INDICATORS RELEVANT TO THIS ASSESSMENT. SUBSEQUENT TO THIS REVIEW OF DATA, A SUMMARY OF KEY DATA TO BE CONSIDERED DURING THE CHNA PROCESS WAS DEVELOPED. IN ADDITION TO POSTING THE 2018 CHNA ON PUBLIC WEBSITES AND PROVIDING CONTACT INFORMATION SHOULD COMMUNITY MEMBERS HAVE FEEDBACK, NORTH CENTRAL HEALTH SERVICES AND RIVER BEND HOSPITAL SOUGHT TO COLLECT INFORMATION DIRECTLY FROM STAKEHOLDERS IN THE SERVICE AREA. A SURVEY COLLECTED FEEDBACK ABOUT THE 2018 CHNA AND HOW ITS PRIORITIES RETAINED RELEVANCE FOR 2021. OF PARTICULAR INTEREST IN THE STAKEHOLDER SURVEY WAS THE EXTENT TO WHICH THEY PERCEIVED COVID-19 TO IMPACT PRIORITY SETTING IN UNIQUE WAYS. IN COLLABORATION WITH NINE OTHER HOSPITAL SYSTEMS IN 2018, HEALTH DEPARTMENT REPRESENTATIVES, COMMUNITY ORGANIZATIONS, AND WITH FACULTY RESEARCHERS FROM THE UNIVERSITY OF EVANSVILLE AND INDIANA UNIVERSITY BLOOMINGTON, NORTH CENTRAL HEALTH SERVICES AND RIVER BEND HOSPITAL DEVELOPED AND SURVEYED TO COLLECT DATA FROM RESIDENTS OF COUNTIES IN THE SERVICE AREA. THE SURVEY PROCESS INCLUDED: A) A RANDOM SAMPLE THAT RECRUITED PROPORTIONATELY FROM ALL ZIP CODES IN THE TEN-COUNTY SERVICE AREA AND B) A CONVENIENCE SAMPLE SURVEY THAT SOUGHT TO COLLECT THE SAME DATA FROM INDIVIDUALS SEEKING CARE AND SERVICES AT ORGANIZATIONS IN THAT SAME SERVICE AREA. AS A COMPONENT OF THE EVALUATION OF NCHS' RESILIENT YOUTH INITIATIVE, A SURVEY WAS CONDUCTED AMONG APPROXIMATELY 22,000 YOUTH ATTENDING RYI PARTICIPATING SCHOOLS DURING THE 2019-2020 SCHOOL YEAR. A FOLLOW-UP SURVEY WAS CONDUCTED IN 2021 THAT ENABLED THE COMPARISON OF RESULTS ACROSS THE TWO SAMPLES. COMMUNITY FOCUS GROUP DISCUSSIONS WERE HELD IN COUNTIES WITHIN THE SERVICE AREA. THE PURPOSE OF THESE FOCUS GROUPS WERE TO: A) DISCUSS INSIGHTS FROM THE EXISTING HEALTH INDICATOR DATA SUMMARY, B) DISCUSS THE FACTORS ASSOCIATED WITH ONGOING HEALTH ISSUES IDENTIFIED IN THAT DATA, AND C) TO GATHER OTHER LOCAL COMMUNITY INPUT RELEVANT TO A COMPREHENSIVE CONSIDERATION OF THE HEALTH NEEDS OF THOSE COUNTIES AND THE WHOLE SERVICE AREA. NORTH CENTRAL HEALTH SERVICES AND RIVER BEND HOSPITAL HELD A MEETING OF KEY STAKEHOLDERS AND ORGANIZATIONAL LEADERSHIP TO REVIEW DATA FROM ALL ACTIVITIES CONDUCTED FOR THE CHNA. SUBSEQUENT TO A FORMAL PRESENTATION AND DISCUSSION OF THE DATA, ATTENDEES IN THE MEETING PARTICIPATED IN A PROCESS TO IDENTIFY THE TOP HEALTH NEEDS THAT WOULD INFORM THE DEVELOPMENT OF THE IMPLEMENTATION PLAN. BASED UPON THE RESULTS OF THE CHNA ACTIVITIES, NORTH CENTRAL HEALTH SERVICES AND RIVER BEND HOSPITAL DEVELOPED A LIST OF LOCAL RESOURCES AND PARTNERSHIPS THAT WOULD BE RELEVANT TO ADDRESSING THE NEEDS IDENTIFIED VIA THE CHNA AND THE SUBSEQUENT IMPLEMENTATION PLAN. RIVER BEND HOSPITAL PART V, SECTION B, LINE 7D: THE ASSESSMENT CAN BE FOUND BY GOING TO THE WEBSITE FOR NCHS AT WWW.NCHSI.COM AND CLICKING ON THE "COMMUNITY" TAB OR BY ENTERING THE WEB ADDRESS "WWW.NCHSI.COM/ASSESSMENT". RIVER BEND HOSPITAL PART V, SECTION B, LINE 11: NCHS HAS ADOPTED IMPLEMENTATION STRATEGIES TO ADDRESS THE TOP NEEDS IDENTIFIED IN THE 2021 NCHS & RIVER BEND HOSPITAL CHNA, INCLUDING MENTAL AND BEHAVIORAL HEALTH AND ADVERSE CHILDHOOD EXPERIENCES, SUBSTANCE ABUSE, AND OVERALL HEALTH AND WELLBEING.MENTAL & BEHAVIORAL HEALTH AND ADVERSE CHILDHOOD EXPERIENCES ACTIVITIES INCLUDE ADVANCING MENTAL HEALTHCARE WORKFORCE DEVELOPMENT PROGRAMS THROUGH SUPPORT TO ESTABLISH AND EXPAND PSYCHIATRY RESIDENCY PROGRAMS; EXPANDING ACCESS TO SUICIDE PREVENTION AND CRISIS INTERVENTION PROGRAMS; AND SUPPORTING A COLLABORATIVE EFFORT AMONG MENTAL HEALTHCARE PROVIDERS, COMMUNITY ORGANIZATIONS, AND A COORDINATING NONPROFIT TO PILOT AN INDEPENDENT MENTAL HEALTH CARE SINGLE-POINT OF ENTRY PROGRAM.SUBSTANCE ABUSEACTIVITIES INCLUDE FUNDING SUPPORT FOR PRESCRIPTION DRUG SAFETY EDUCATION FOR MIDDLE AND HIGH SCHOOL STUDENTS AND THE LAUNCH OF THE RESILIENT YOUTH INITIATIVE FUNDING, TECHNICAL ASSISTANCE, AND EVALUATION PROGRAM TO ASSIST SCHOOL CORPORATIONS IN DEVELOPING YOUTH RESILIENCY AND PREVENTING SUBSTANCE USE THROUGH THE IDENTIFICATION, IMPLEMENTATION, AND LONG-TERM SUSTAINABILITY OF EVIDENCE-BASED SOCIAL-EMOTIONAL LEARNING AND SUBSTANCE USE PREVENTION PROGRAMS. ALSO, FUNDING WAS PROVIDED TO LAUNCH A SUICIDE PREVENTION INITIATIVE. THIS INITIATIVE WILL WORK TO BUILD THE CAPACITY OF ITS DISTRICTS, SCHOOLS, AND EDUCATORS TO PROMOTE THEIR STUDENTS' SOCIAL AND EMOTIONAL GROWTH, CREATE CLIMATES SUPPORTIVE OF STUDENT'S MENTAL HEALTH, AND ADDRESS THEIR SUICIDE PREVENTION NEEDS. OVERALL HEALTH & WELLBEINGACTIVITIES INCLUDE FUNDING SUPPORT FOR HOMELESS SERVICES MEDICAL RESPITE EMR, VOLUNTEER PARISH NURSE TRAINING, EXPANDING TRANSPORTATION FOR YOUTH AND COMMUNITY MEMBERS AT RISK, AND THE CREATION OF GREENSPACES TO EXPAND OPPORTUNITIES FOR YOUTH RECREATION AND ACTIVE LIVING. RIVER BEND HOSPITAL: SCHEDULE H, PART V, LINE 16A:HTTPS://WWW.RIVERBENDHOSPITAL.COM/FINANCIAL-INFORMATIONSCHEDULE H, PART V, LINE 16B:HTTPS://WWW.RIVERBENDHOSPITAL.COM/FINANCIAL-INFORMATIONSCHEDULE H, PART V, LINE 16C:HTTPS://WWW.RIVERBENDHOSPITAL.COM/FINANCIAL-INFORMATION PART I, LINE 7: THE COMMUNITY BENEFITS AT COST WERE CALCULATED USING THE COST TO CHARGE RATIO WORKSHEET PROVIDED BY THE FORM 990, SCHEDULE H INSTRUCTIONS. PART II, COMMUNITY BUILDING ACTIVITIES: NCHS IS COMMITTED TO PROVIDING HEALTH CARE AND DEVELOPING HEALTHY COMMUNITIES THROUGHOUT ITS SERVICE AREA. NCHS PROVIDES FINANCIAL SUPPORT TO QUALIFIED NONPROFIT ORGANIZATIONS IN THE NCHS SERVICE AREA THAT SHARE OUR COMMITMENT TO HEALTH AND HEALTHY COMMUNITIES. NCHS GRANTS HAVE PROVIDED FUNDS TO NONPROFIT ORGANIZATIONS FOR CAPITAL IMPROVEMENTS, PROGRAM ENHANCEMENTS, AND EDUCATIONAL OPPORTUNITIES. NCHS GRANTED OVER $7.2 MILLION IN GRANT FUNDS DURING THE 2022 PERIOD FOR PROJECTS RELATING TO HEALTH AND THE DEVELOPMENT OF HEALTHY COMMUNITIES, AND HAS MADE GRANTS OVER $89 MILLION SINCE 1999. THE FOLLOWING ARE A FEW OF THE PROJECTS FUNDED IN 2022 PROMOTING THE HEALTH OF THE COMMUNITIES NCHS SERVES:RESILIENT YOUTH INITIATIVE:NCHS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS GROUPS ACROSS THE REGION IN THE SUMMER OF 2018, AT WHICH SCHOOL ADMINISTRATORS EXPRESSED THEIR CONCERNS ABOUT THE SOCIAL AND EMOTIONAL WELLBEING OF THEIR STUDENTS, AS WELL AS THE NEED TO EQUIP STUDENTS WITH SKILLS AND KNOWLEDGE FOR SUBSTANCE USE PREVENTION. IN THE FALL OF 2018, NCHS LAUNCHED THE RESILIENT YOUTH INITIATIVE TO ASSIST SCHOOL CORPORATIONS IN DEVELOPING YOUTH RESILIENCY THROUGH THE IDENTIFICATION, IMPLEMENTATION, AND LONG-TERM SUSTAINABILITY OF PROVEN SOCIAL-EMOTIONAL LEARNING AND SUBSTANCE USE PREVENTION PROGRAMS. THE GOALS OF THE RESILIENT YOUTH INITIATIVE ARE TO (1) ALLEVIATE BARRIERS SCHOOLS FACE BY IDENTIFYING EVIDENCE-BASED SOCIAL-EMOTIONAL LEARNING AND SUBSTANCE USE PREVENTION PROGRAMS, (2) PROVIDE THE SUPPORT SCHOOLS NEED TO EFFECTIVELY IMPLEMENT THESE PROGRAMS, (3) HELP STUDENTS DEVELOP PROSOCIAL-EMOTIONAL BEHAVIORS, DRUG RESISTANCE, AND MENTAL WELLBEING, AND (4) IMPROVE YOUTH MENTAL HEALTH MEASURES AND REDUCE YOUTH SUBSTANCE USE. NCHS ALLOCATED $2 MILLION IN 2018 TO THE INITIATIVE'S TECHNICAL ASSISTANCE COMPONENT, INDEPENDENT EVALUATION, AND PLANNING GRANTS TO 19 SCHOOL CORPORATIONS. IN 2019, NCHS ALLOCATED $3.9 MILLION TO THE IMPLEMENTATION OF THE RESILIENT YOUTH PROGRAM. IN 2020, NCHS ALLOCATED AN ADDITIONAL $414,671 FOR A THREE-YEAR IMPLEMENTATION GRANT FOR MSD WARREN COUNTY.RESILIENT YOUTH INITIATIVE: SUICIDE PREVENTIONDATA FROM THE INDIANA YOUTH INSTITUTE AND MENTAL HEALTH AMERICA INDICATE THAT SUICIDE RISK FOR YOUTH AGES 10-24 HAS INCREASED SIGNIFICANTLY. BUILDING ON WHAT THE DATA HAS SHOWN, THE NCHS PREVENTING YOUTH SUICIDE INITIATIVE WAS INITIATED. THE NCHS PREVENTING YOUTH SUICIDE INITIATIVE WAS INFORMED BY COMMUNITY HEALTH CONVERSATIONS CONDUCTED THROUGHOUT THE NCHS SERVICE AREA IN 2018 AND 2021. THESE NEEDS WERE CONFIRMED BY THE NCHS & RIVER BEND HOSPITAL 2018/2021 COMMUNITY HEALTH NEEDS ASSESSMENT ALONG WITH OUTCOMES DATA GATHERED FROM THE RESILIENT YOUTH INITIATIVE.NORTH CENTRAL HEALTH SERVICES (NCHS) IS COMMITTING OVER $1.1 MILLION IN PREVENTING YOUTH SUICIDE GRANTS AND SUPPORT TO 12 SCHOOL CORPORATIONS IN NORTH CENTRAL INDIANA. THIS GRANT WILL PROVIDE K-12 SCHOOLS AND CORPORATIONS WITH GRANT FUNDING AS WELL AS TECHNICAL ASSISTANCE TO PROVIDE SCHOOLS WITH TRAINING AND SYSTEMS SUPPORT TO BUILD ROBUST EVIDENCE-BASED SUICIDE PREVENTION EFFORTS. PART OF THOSE EFFORTS MAY BE AWARENESS TRAINING ON THE SPECIFIC SIGNS OF SUICIDE, INTERVENTION, AND/OR PROGRAMS TO ENGAGE PEERS AND BUILD HELP-SEEKING SKILLS. THE GRANTS WILL SUPPORT SCHOOLS IN SIX COUNTIES LAUNCHING EVIDENCE-BASED YOUTH SUICIDE PREVENTION PROGRAMS, REACHING AN ANTICIPATED 35,000 STUDENTS BY THE 2024 SCHOOL YEAR. FOR MORE INFORMATION VISIT: HTTPS://WWW.NCHSI.COM/NEWS.AS PART OF THE PYSI GRANT, NCHS PARTNERED WITH IU HEALTH TO FUND WOW TALK YOUTH TEEN CAFES IN THE WEST CENTRAL INDIANA REGION. FUNDING FROM IU HEALTH AND NCHS ALLOWED 13 ORGANIZATIONS TO IMPLEMENT #WOWTALK (WORDS OF WISDOM) CAFES, REFERRED TO AS TEEN CAFES, THROUGH BE STRONG FAMILIES. THE 13 ORGANIZATIONS THAT RECEIVED FUNDING RECEIVED A TWO-DAY TRAINING PROGRAM FOR FACILITATING TEEN CAFES. EACH ORGANIZATION WILL HOST SIX TO 12 TEEN CAFES WITH MIDDLE AND HIGH SCHOOL YOUTH DURING THE TWO-YEAR GRANT PERIOD (JANUARY 2023 TO DECEMBER 2024). EACH TEEN CAFE WILL HAVE A THEME, FOOD, AND AN INCENTIVE FOR PARTICIPATION ALL OF WHICH ARE INCLUDED IN THE FUNDING EACH ORGANIZATION RECEIVED. PRESCRIPTION DRUG SAFETY NETWORK:SEVENTEEN PERCENT OF INDIANA HIGH SCHOOL STUDENTS IN 2015 REPORTED THEY HAVE ABUSED A PRESCRIPTION DRUG, INCLUDING PRESCRIPTION OPIOIDS. IN 2022, NCHS COMMITTED THE FIFTH YEAR OF FUNDING OF $20,000 TO EMPOWER HIGH SCHOOL STUDENTS WITH THE SKILLS TO MAKE SAFE AND HEALTHY DECISIONS ABOUT PRESCRIPTION MEDICATIONS WHEN IT JOINED THE PRESCRIPTION DRUG SAFETY NETWORK. NCHS FUNDING MAKES THE NETWORK'S PRESCRIPTION DRUG SAFETY COURSE AVAILABLE NOW TO ALL HIGH SCHOOLS ACROSS BENTON, CARROLL, CLINTON, FOUNTAIN, MONTGOMERY, TIPPECANOE, WARREN, AND WHITE COUNTIES, AT NO COST TO THE SCHOOLS. IN THE 2021/2022 SCHOOL YEAR, THE PROGRAM REACHED ELEVEN SCHOOLS AND CLOSE TO 450 STUDENTS. IN THE FALL 2022, NCHS EXPANDED THE SELF-GUIDED INTERACTIVE LESSONS PROVIDED BY EVERFI. THE UNDERSTANDING MENTAL WELLNESS CURRICULUM IS A DIGITAL PROGRAM THAT TEACHES STUDENTS THE IMPORTANCE OF PAYING ATTENTION TO THEIR MENTAL HEALTH AND THE WAYS IN WHICH THEY CAN IMPLEMENT COPING STRATEGIES TO MANAGE THEIR OWN CHALLENGING THOUGHTS, EMOTIONS, AND BEHAVIORS. THIS PROGRAM ENHANCES THE BASIC LIFE SKILLS LEARNED WITH OUR RESILIENT YOUTH INITIATIVE AND SUPPORTS OUR SUICIDE PREVENTION WORK.PHYSICAL IMPROVEMENT PROJECTS: HOME WITH HOPEDURING CURRENT COMMUNITY CONVERSATIONS AND WITH THE PANDEMIC, WE KNOW THAT SUBSTANCE USE IS ON THE RISE AND POSES A THREAT TO THE WELL-BEING OF OUR COMMUNITY. IN 2018/2021, THE NORTH CENTRAL HEALTH SERVICES COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED RECOVERY SERVICES AS AN AREA OF NEED FOR OUR COMMUNITY. THE HOME WITH HOPE REVITALIZATION PROJECT ALIGNS WITH THE STRATEGIC PARTNERSHIPS TO SUPPORT EVIDENCE-BASED SUBSTANCE USE PREVENTION PROGRAMS AND EXPAND AND ENHANCE RECOVERY HOUSING. HOME WITH HOPE IS THE ONLY PROGRAM OF ITS KIND IN THE LAFAYETTE AREA THAT PROVIDES A CONTINUUM OF CARE, OFTEN FOLLOWING PRIMARY TREATMENT FOR ADDICTIONS RECOVERY, FOR MEN AND WOMEN AGE 18 AND OLDER.WOMEN'S AND MOTHER'S RECOVERY SERVICESIN 2022, NCHS AWARDED THE WOMEN'S RECOVERY RESIDENCE AN ADDITIONAL GRANT OF $686,056 FOR A TOTAL OF $1,436,952.97. THIS GRANT SUPPORTS PROPERTY RENOVATIONS AND THE LAUNCH OF THE MATERNAL/WOMEN'S TREATMENT PROGRAMS. INCLUDED IN THE WOMEN'S RECOVERY RESIDENCE IS A MATERNAL TREATMENT PROGRAM:-AT LEAST A 6-MONTH PROGRAM FOR PREGNANT MOTHERS AND POST-PARTUM UP TO 2 YEARS OF AGE-LEARN HOW TO BE RECOVERED WHILE LEARNING TO PARENT AND BECOME INDEPENDENT-COLLABORATIONS WITH LOCAL PHYSICIANS FOR MATERNITY TREATMENT DURING PREGNANCYTHE GRANT FUNDING WOMEN-WITH-CHILDREN APARTMENTS AIMS TO COMBAT A COMMON OBSTACLE TO THOSE CLIENTS SEEKING RESIDENTIAL RECOVERY HELP SUCH AS WHO WILL TAKE CARE OF THEIR CHILDREN WHEN THEY'RE IN RECOVERY. THESE WOMEN WILL BE ABLE TO WORK ON THEIR RECOVERY WHILE PROVIDING A SAFE SPACE FOR THEIR CHILDREN. THE PROGRAM ALSO INCLUDES WOMEN'S ONLY INTENSIVE OUTPATIENT TREATMENT, WHICH ADDRESSES WOMEN-SPECIFIC NEEDS IN RECOVERY, SUCH AS TRAUMA, RELATIONSHIPS, PARENTING, RECOVERY, AND DEVELOPING POSITIVE SUPPORTS. THE WOMEN'S-ONLY PROGRAM INCLUDES PEER RECOVERY COACHING, INTENSIVE OUTPATIENT THERAPY, INDIVIDUAL THERAPY, SKILL-BUILDING, EMPLOYERS' CONNECTIONS, CASE MANAGEMENT, AND SOBER RECOVERY HOUSING.LEADERSHIP AND WORKFORCE DEVELOPMENTNCHS AWARDED FUNDING FOR EXECUTIVE COACHING FOR PROFESSIONALS FROM MENTAL HEALTH AMERICA WABASH VALLEY REGION, NATIONAL ALLIANCE ON MENTAL ILLNESS WEST CENTRAL INDIANA, WILLOWSTONE, AND LAFAYETTE URBAN MINISTRY TO COMPLETE THE 2022 NONPROFIT EXECUTIVE COACHING PROGRAM ADMINISTERED IN PARTNERSHIP WITH THE COMMUNITY FOUNDATION OF GREATER LAFAYETTE.NURSING EXPANSION: NCHS AWARDED FUNDING TO ADDRESS HEALTHCARE WORKFORCE DEVELOPMENT GAPS BY EXPANDING THE NURSING PROGRAM AT IVY TECH COMMUNITY COLLEGE IN LAFAYETTE, INDIANA. NCHS GRANT FUNDING WILL ENABLE IVY TECH COMMUNITY COLLEGE-LAFAYETTE, BY THE FALL OF 2025, TO INCREASE THE ENROLLMENT OF STUDENTS SEEKING ASSOCIATE DEGREES IN NURSING BY 36 PERCENT. THE TOTAL UNDUPLICATED HEADCOUNT IN 2020-2021 FOR THE LAFAYETTE CAMPUS SCHOOL OF NURSING WAS 280. NCHS GRANT FUNDING SUPPORTS SIGNIFICANT INVESTMENTS IN ADDITIONAL LABS, EQUIPMENT, STUDENT SCHOLARSHIPS, AND RECRUITING TALENTED FACULTY AND STAFF. IU SCHOOL OF SOCIAL WORK: NCHS AWARDED FUNDING TO ADDRESS MENTAL HEALTH WORKFORCE DEVELOPMENT GAPS THROUGH A COLLABORATION WITH THE IU SCHOOL OF SOCIAL WORK TO EXPAND THEIR MASTER OF SCIENCE IN SOCIAL WORK PROGRAM TO THE GREATER LAFAYETTE REGION. THE FIRST COHORT OF ADMITTED STUDENTS WILL BEGIN THEIR STUDIES IN THE FALL OF 2024. THE PROGRAM WILL AIM FOR AN INITIAL COHORT OF 15-25 STUDENTS, ACCEPTING A NEW COHORT EVERY THREE YEARS. PART III, LINE 2: NCHS'S ANALYSIS AND ASSESSMENT OF THE BAD DEBT EXPENSE IS BASED ON THE EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. PART III, LINE 3: NCHS DOES NOT ATTRIBUTE ANY BAD DEBT EXPENSE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (FAP), THEREFORE NO PORTION OF BAD DEBT ATTRIBUTABLE TO FAP-ELIGIBLE INDIVIDUALS IS CONSIDERED A COMMUNITY BENEFIT. PART II, COMMUNITY BUILDING ACTIVITIES CONTINUED: PSYCHIATRY RESIDENCY PROGRAM EXPANSION: IN 2016, NCHS AWARDED FUNDING TO ADDRESS MENTAL HEALTH WORKFORCE DEVELOPMENT GAPS FOR A PSYCHIATRY RESIDENCY PROGRAM AT COMMUNITY HEALTH NETWORK (CHN), NOW ONE OF THE STATE'S ONLY TWO PSYCHIATRY RESIDENCY PROGRAMS. NCHS GRANT FUNDING SUPPORTS THE PLACEMENT AND EDUCATION OF PSYCHIATRY RESIDENTS IN INDIANA. IN 2022, NCHS INCREASED SUPPORT FOR THE PROPOSED PSYCHIATRIC RESIDENCY PROGRAM EXPANSION FROM FOUR RESIDENTS EACH YEAR TO SIX RESIDENTS EACH YEAR, STARTING IN 2023, AND EXTENDED THE ONGOING COMMITMENT TO THE PSYCHIATRY RESIDENCY PROGRAM. IN 2026. CHN WILL HAVE 24 RESIDENTS IN ITS PROGRAM, IMPACTING THE MENTAL HEALTH WORKFORCE GAPS.ADDITIONAL COMMUNITY-BUILDING ACTIVITIES:NCHS PROVIDED FUNDING TO SUPPORT NONPROFIT CAPACITY BUILDING THROUGHLEADERSHIP CERTIFICATION AND BOARD GOVERNANCE AND YOUTH SUICIDE PREVENTION AND CRISIS INTERVENTION PROGRAMS. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT EXPENSE IS LOCATED ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS UNDER NOTE "PATIENT ACCOUNT RECEIVABLE AND CONTINUES UNDER NOTE "NET PATIENT SERVICE REVENUE." PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED 12/31/22 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. PART III, LINE 9B: THE PROVISIONS TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE INCLUDED IN THE SEPARATE CHARITY CARE POLICY. THE FINANCIAL ASSISTANCE DOCUMENT IS REFERENCED IN THE WRITTEN DEBT COLLECTION POLICY. PART VI, LINE 2: THE ORGANIZATION WITH THE ASSISTANCE OF THE GRANTS BOARD OF DIRECTORS EVALUATE, COMMUNICATE, AND IDENTIFY PRIORITIES WITH COMMUNITY LEADERS AND OTHER AREA HOSPITAL SYSTEMS, TO ADDRESS OTHER HEALTH CARE, BEHAVIORAL HEALTH, AND SOCIAL NEEDS OF THE COMMUNITY. A COMMUNITY HEALTH NEEDS ASSESSMENT IS COMPLETED EVERY THREE YEARS AND IS USED AS A GUIDING TOOL TO DETERMINE WHERE RESOURCES SHOULD BE DEPLOYED. PART VI, LINE 3: PATIENTS WITHOUT INSURANCE ARE CONTACTED DURING THEIR ADMISSION BY THE SOCIAL WORKERS AND PATIENT ADVOCATES TO DISCUSS ELIGIBILITY FOR INDIANA MEDICAID. THE GOAL IS TO COMPLETE AN APPLICATION WHILE THE PATIENT IS IN THE HOSPITAL. FINANCIAL ASSISTANCE AND CHARITY CARE ARE ALSO DISCUSSED AT THAT TIME AND APPROPRIATE FORMS ARE COMPLETED IF THE PATIENT DOES NOT QUALIFY FOR MEDICAID.ALSO, EACH PATIENT COMPLETES AN ADMISSION AGREEMENT AND SIGNS CERTIFYING THAT THE FORM WAS FULLY EXPLAINED AND UNDERSTOOD. THE AGREEMENT INCLUDES A FINANCIAL AGREEMENT SECTION THAT STATES THE INDIVIDUAL UNDERSTANDS THAT FINANCIAL ASSISTANCE IS AVAILABLE BASED ON INCOME AND FAMILY SIZE.IN 2014, THE STATE OF INDIANA IMPLEMENTED HIP 2.0 WHICH EXPANDED THE EXISTING MEDICAID PROGRAM. AS A RESULT OF THIS EXPANSION, A GREATER NUMBER OF PATIENTS QUALIFIED FOR HIP 2.0 WHICH REDUCED SIGNIFICANTLY THE ORGANIZATION'S CHARITY CARE AND BAD DEBT EXPENSE IN THE YEARS SINCE THE EXPANSION. PART VI, LINE 4: NORTH CENTRAL HEALTH SERVICES AND RIVER BEND HOSPITAL SERVICE APPROXIMATELY 344,187 RESIDENTS OF BENTON, CARROLL, CLINTON, FOUNTAIN, MONTGOMERY, TIPPECANOE, WARREN, AND WHITE COUNTIES IN INDIANA. THE COMBINED SERVICE AREA SPANS ROUGHLY 3,454 SQUARE MILES OF THE NORTH-CENTRAL AND WEST-CENTRAL REGIONS OF THE STATE, INCLUDING URBAN AND RURAL AREAS. THE ECONOMIC BASE OF THE REGION IS PRIMARILY SUPPORTED BY AGRICULTURAL, INDUSTRIAL, AND ACADEMIC ACTIVITIES. THE POPULATION PER SQUARE MILE IS CONSIDERABLY LOWER THAN THE STATE'S AVERAGE POPULATION AND THE MAJORITY OF THE POPULATION (57%) RESIDES IN TIPPECANOE COUNTY. THE MEDIAN AGE OF SERVICE AREA RESIDENTS IS 43.57 YEARS, WITH THE MAJORITY BEING CATEGORIZED AS "PERSONS UNDER 18 YEARS" OF AGE. THE POVERTY RATE ACROSS COUNTIES WAS 11.14% WITH THE MEDIAN HOUSEHOLD INCOME OF $51,340 IN THE SERVICE AREA. 47% OF RIVER BEND HOSPITAL PATIENTS ARE MEDICAID AND 8% ARE UNINSURED. CARROLL, FOUNTAIN, TIPPECANOE, AND WARREN COUNTIES ARE DESIGNATED MEDICALLY UNDERSERVED AREAS, AND CRAWFORDSVILLE HAS A DESIGNATED LOW-INCOME MEDICALLY UNDERSERVED POPULATION. RIVER BEND HOSPITAL IS THE ONLY NOT-FOR-PROFIT INPATIENT PSYCHIATRIC HOSPITAL IN THE COMMUNITY. PART VI, LINE 5: NCHS IS A MEDICAL SERVICES ORGANIZATION GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS. ITS PRIMARY MISSION IS TO OPERATE RIVER BEND HOSPITAL, A PRIVATE INPATIENT PSYCHIATRIC HOSPITAL.NCHS IS COMMITTED TO PROMOTING A HEALTHY COMMUNITY FOR ALL AREA CITIZENS. SINCE 1999, THE ORGANIZATION HAS FULFILLED THIS OBJECTIVE BY FINANCIALLY SUPPORTING SELECT ACTIVITIES OF QUALIFIED NOT-FOR-PROFIT ORGANIZATIONS WHO SHARE ITS VISION. GRANTS ARE PROVIDED THAT WILL:1. ADVANCE TECHNOLOGY AND SCIENTIFIC DEVELOPMENT IN HEALTH CARE.2. DEVELOP AND PROMOTE COMMUNITY HEALTH EDUCATION.3. PROVIDE DIRECT, INDIVIDUAL SOCIAL WELFARE AND HUMAN SERVICE4. PROMOTE A HEALTHY COMMUNITY.5. IMPROVE THE QUALITY OF LIFE FOR ALL THE COMMUNITIES' PEOPLE. PART VI, LINE 6: NOT APPLICABLE. THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. 1 COMMUNITY FOUNDATION OF GREATER LAFAYETTE 300 MAIN ST STE 100 LAFAYETTE IN 47901 237147996 501C(3) 20504 0 HONORARY GRANT FOR JEFF KESSLER VOLUNTEER BOARD SERVICE & NONPROFIT EXECUTIVE DEVELOPMENT INITIATIVE, MENTAL HEALTH COMMUNITY HEALTH NETWORK FOUNDATION 7240 SHADELAND STATION INDIANAPOLIS IN 46256 510181688 501C(3) 3676500 0 PSYCHIATRY EDUCATION AND MENTAL HEALTH WORKFORCE DEVELOPMENT EVERFI 3229 K STREET NW 4TH FLOOR DISTRICT OF COLUMBIA WA 20007 261818856 501C(3) 20000 0 SUPPORT TO PILOT A DIGITAL PRESCRIPTION DRUG SAFETY LEARNING PROGRAM IN SCHOOLS ACROSS THE NCHS SERVICE AREA. INDIANA RURAL HEALTH ASSOCIATION 2901 OHIO BLVD TERRE HAUTE IN 47803 352026704 501C(3) 12640 0 FOR STUDENTS AND STAFF FROM RURAL HEALTH CLINICS IN THE NCHS SERVICE AREA TO ATTEND THE 24TH ANNUAL RURAL HEALTH CONFERENCE. INDIANA UNIVERSITY 355 WEST 16TH STREET INDIANAPOLIS IN 46202 356001673 501C(3) 864043 0 FUNDING TO MAINTAIN EXPANSION OF THE GENERAL PSYCHIATRY RESIDENCY PROGRAM, TRIPLE BOARD (PSYCHIATRY, CHILD-ADOLESCENT PSYCHIATRY, PEDIATRICS) RESIDENCY PROGRAM, AND CHILD AND ADOLESCENT PSYCHIATRY, ADDICTIONS PSYCHIATRY, GERIATRIC PSYCHIATRY, AND CONSULTATION-LIAISON FELLOWSHIPS; MSW PROGRAM ON THE PURDUE CAMPUS, TO ADDRESS SHORTAGES AND COMMUNITY NEED. IVY TECH FOUNDATION 3101 S CREASY LANE PO BOX 6299 LAFAYETTE IN 46208 237073977 501C(3) 2037552 0 TO EXPAND ITS NURSING PROGRAM AND INCREASE STUDENT ENROLLMENT. FOR INVESTMENTS IN ADDITIONAL LABS, EQUIPMENT, STUDENT SCHOLARSHIPS ALONG WITH RECRUITING TALENTED FACULTY AND STAFF. MERIDIAN HEALTH SERVICES CORP 240 N TILLOTSON AVE MUNCIE IN 47304 351302836 501C(3) 686056 0 WOMENS RECOVERY CENTER TIPPECANOE ARTS FEDERATION INC TIPPECANOE ARTS FEDERATION INC LAFAYETTE IN 47901 310942566 501C(3) 255000 0 18TH ROUND OF CAPITAL AND CAPACITY-BUILDING GRANTS TO NON-PROFIT ARTS ORGANIZATIONS IN THE NCHS SERVICE AREA, ADMINISTERED BY THE TIPPECANOE ARTS FEDERATION. 8 HEALTH PROFESSIONAL EDUCATION SCHOLARSHIPS - TUITION REIMBURSEMENT FOR INDIVIDUALS 9 20634 PART I, LINE 2: NCHS PROVIDES FINANCIAL SUPPORT TO QUALIFIED NONPROFIT ORGANIZATIONS THAT SHARE OUR COMMITMENT TO HEALTH AND HEALTHY COMMUNITIES. AS A HEALTHCARE PROVIDER, NCHS PRIORITIZES FUNDING FOR GRANTS ADDRESSING NEEDS IDENTIFIED BY THE RIVER BEND HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN. NCHS PREFERS TO FUND CAPITAL GRANTS THAT INCLUDE SOME OR ALL OF THE FOLLOWING CRITERIA: -ENHANCE HEALTH OUTCOMES AND DEVELOP HEALTHY COMMUNITIES -CREATE OPPORTUNITIES FOR SUSTAINABLE AND SIGNIFICANT LONG-TERM IMPACTS -HAVE BROAD COMMUNITY SUPPORT AND SPONSORSHIP -ENCOURAGE CREATIVITY AND COLLABORATION AMONG ORGANIZATIONS -EFFICIENTLY UTILIZE LIMITED RESOURCES -LEVERAGE FUNDING OPPORTUNITIES -BUILD CAPACITY, IMPROVE, OR EXPAND EXISTING PROGRAMS THAT ADDRESS DEMONSTRATED UNMET COMMUNITY NEEDS NCHS ALSO SOLICITS PARTNERSHIPS WITH COALITIONS, FUNDERS, NONPROFITS, AND OTHER ENTITIES TO DIRECTLY ADDRESS COMMUNITY NEEDS IDENTIFIED BY THE RIVER BEND HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT AND OTHER NCHS-INITIATED NEEDS ASSESSMENTS. BEYOND THE NCHS CAPITAL GRANTS PROGRAM, THESE NCHS-INITIATED COMMUNITY BENEFIT FUNDING PARTNERSHIPS LAUNCH, EXPAND, OR STRENGTHEN PROGRAMS AND SERVICES THAT IMPROVE HEALTH OUTCOMES AND DEVELOP HEALTHY COMMUNITIES. UNSOLICITED NCHS CAPITAL GRANT REQUESTS AND NCHS-INITIATED COMMUNITY BENEFIT PARTNERSHIPS FOLLOW THE SAME GRANT REQUEST AND AWARD PROCESS. PROSPECTIVE ORGANIZATIONS SEEKING GRANT FUNDING FROM NCHS BEGIN BY SENDING A LETTER OF INQUIRY INCLUDING A CONCISE DESCRIPTION OF THE ORGANIZATION, A STATEMENT OF THE PROBLEM OR NEED BEING ADDRESSED, AN EXPLANATION OF THE PROJECT INCLUDING ESTIMATED TOTAL COSTS, AND THE AMOUNT REQUESTED FROM NCHS. WHEN A LETTER OF INQUIRY IS RECEIVED BY NCHS, IT IS REVIEWED BY THE PRESIDENT AND DIRECTOR OF COMMUNITY BENEFIT AND OUTREACH FOR BASIC ELIGIBILITY UNDER THE NCHS GRANTMAKING PHILOSOPHY AND POLICY. IF ELIGIBLE, A GRANT APPLICATION IS SENT TO THE AGENCY OR ORGANIZATION WITH A LETTER OF INTEREST REQUESTING FURTHER INFORMATION. IF THE PROJECT DOES NOT MEET THE FUNDING GUIDELINES, A LETTER OF DECLINATION IS SENT TO THE REQUESTING AGENCY WITH A GENERAL EXPLANATION AS TO WHY THE REQUEST WILL NOT BE CONSIDERED AT THIS TIME. COMPLETED APPLICATIONS ARE CLASSIFIED INTO ONE OF FOUR CATEGORIES: -CATEGORY 1. UNSOLICITED PROJECTS REQUESTING FUNDS IN EXCESS OF $250,000 IN GRANT FUNDING. -CATEGORY 2. UNSOLICITED PROJECTS REQUESTING FUNDS IN EXCESS OF $100,000 UP TO $250,000. -CATEGORY 3. UNSOLICITED PROJECTS REQUESTING FUNDS IN EXCESS OF $25,000 BUT LESS THAN $100,000. -CATEGORY 4. UNSOLICITED PROJECTS REQUESTING $25,000 OR LESS IN GRANT FUNDING. CATEGORY 1, 2, AND 3 REQUESTS ARE INITIALLY REVIEWED BY THE PRESIDENT AND DIRECTOR OF COMMUNITY BENEFIT AND OUTREACH, THEN PRESENTED TO THE GRANTS BOARD OF DIRECTORS FOR ACTION. THE GRANTS BOARD HAS THE AUTHORITY FOR FINAL APPROVAL OR DECLINATION UTILIZING THE GRANTMAKING PHILOSOPHY AND POLICIES ESTABLISHED BY THE NCHS CORPORATE BOARD OF DIRECTORS. THE DIRECTOR OF COMMUNITY BENEFIT AND OUTREACH IS RESPONSIBLE FOR THE APPROPRIATE DOCUMENTATION AND COMMUNICATION TO THE AGENCY OR ORGANIZATION REGARDING THE FUNDING OF THE GRANT. CATEGORY 4 REQUESTS ARE INITIALLY REVIEWED BY THE DIRECTOR OF COMMUNITY BENEFIT AND OUTREACH. AFTER REVIEW, THE PRESIDENT WILL APPROVE OR DECLINE THE REQUEST UTILIZING THE GRANTMAKING PHILOSOPHY AND POLICIES ESTABLISHED BY THE NCHS CORPORATE BOARD OF DIRECTORS. THE DIRECTOR OF COMMUNITY BENEFIT AND OUTREACH IS RESPONSIBLE FOR THE APPROPRIATE DOCUMENTATION AND COMMUNICATION TO THE AGENCY OR ORGANIZATION REGARDING THE FUNDING OR DECLINATION OF THE GRANT. CATEGORY 4 GRANTS AWARDED ADMINISTRATIVELY ARE REPORTED TO THE GRANTS BOARD. THE DIRECTOR OF COMMUNITY BENEFIT AND OUTREACH IS RESPONSIBLE FOR THE IMPLEMENTATION AND DOCUMENTATION OF GRANT AWARDS, INCLUDING MONITORING GRANTEE COMPLIANCE WITH GRANT TERMS AND CONDITIONS, ELIGIBLE EXPENSES, PUBLIC ACKNOWLEDGEMENT GUIDELINES, AND FUNDRAISING AND PROGRAM EVALUATION REPORTING REQUIREMENTS. A REPORT OF GRANTS ACTIVITY IS SUBMITTED BY THE NCHS GRANTS BOARD TO THE NCHS CORPORATE BOARD OF DIRECTORS ON A QUARTERLY BASIS. X X X X X 0 0 0 0 0 0 0 0 0 STEPHANIE LONG PRESIDENT/CEO 285794 0 40773 0 11712 0 18300 0 41384 0 397963 0 0 0 JAMIE SEGO CFO 174509 0 0 0 336 0 10491 0 40989 0 226325 0 0 0 MICHELLE KREINBROOK GRANTS DIRECTOR 116148 0 0 0 540 0 7001 0 44941 0 168630 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT COMPANY & SERVICES PROVIDED: A MANAGEMENT AGREEMENT EXISTS BETWEEN NORTH CENTRAL HEALTH SERVICES (AKA RIVER BEND HOSPITAL) AND MERIDIAN HEALTH SERVICES. MERIDIAN HEALTH SERVICES IS THE EXCLUSIVE MANAGER OF RIVER BEND HOSPITAL; MERIDIAN HEALTH SERVICES MANAGED DAY-TO-DAY OPERATIONS, INCLUDING SCHEDULING & STAFFING OF ALL OF MERIDIAN'S PERSONNEL REQUIRED FOR OPERATION OF RIVER BEND HOSPITAL. ITS RESPONSIBILITIES INCLUDED, WITHOUT LIMITATION, MANAGEMENT CONTROL OVER ALL MERIDIAN PERSONNEL AND RECRUITING, HIRING, TRAINING, SUPERVISING, CONTROLLING AND TERMINATING OR DISCHARGING ALL MERIDIAN PERSONNEL. MERIDIAN PROVIDED SUPPORT SERVICES INCLUDING INFORMATION TECHNOLOGY, HEALTH INFORMATION MANAGEMENT, BILLING, ACCOUNTS RECEIVABLE, PURCHASING, ACCOUNTING, HUMAN RESOURCES, QUALITY MANAGEMENT, HEALTH & SAFETY AND RELATED OVERSIGHT OF THESE SERVICES/DEPARTMENTS. MERIDIAN WAS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF ALL MERIDIAN PERSONNEL PROVIDING SERVICES FOR RIVER BEND HOSPITAL, AS WELL AS ESTABLISHING ALL EMPLOYEE POLICIES AND ENSURING PROPER CERTIFICATION AND LICENSURE OF PERSONNEL PROVIDING SERVICES FOR RIVER BEND HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S CEO AND CFO. THE GOVERNING BODY RECEIVES A PAPER AND ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE CHAIRMAN, VICE CHAIRMAN, OR PRESIDENT OF NORTH CENTRAL HEALTH SERVICES, INC. THE SCOPE OF THIS POLICY INCLUDES THE BOARD OF DIRECTORS, PRINCIPAL OFFICER, AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS. THE POLICY IS IN PLACE TO AVOID ANY DUALITY OF INTEREST OR POTENTIAL CONFLICT OF INTEREST BY FULL DISCLOSURE OF ANY SUCH POTENTIAL CONFLICT, AND BY ABSTENTION BY THE INTEREST PERSON FROM ANY VOTE ON A MATTER IN WHICH A CONFLICT EXISTS BETWEEN THE INTERESTED PERSON AND THE CORPORATION. THE COVERED PERSONS ARE TO REFRAIN FROM ANY KNOWN OR ANTICIPATED FINANCIAL INTEREST OR RELATIONSHIP WHICH COULD REASONABLY BE EXPECTED TO CREATE A CONFLICT OF INTEREST ON ANY MATTER WHICH MIGHT COME BEFORE THE BOARD OF DIRECTORS. A SELF DISCLOSURE FROM COVERED PERSONS TO THE CHAIRMAN OR THE SECRETARY OF THE BOARD OF DIRECTORS IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. THE COVERED PERSONS ARE TO RECUSE FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. THE CHAIRMAN OR VICE CHAIRMAN OF THE BOARD OF DIRECTORS REVIEWS THE CONFLICTS DISCLOSED. FORM 990, PART VI, SECTION B, LINE 15A DURING FY 2022, AN INDEPENDENT CONSULTING FIRM WAS CONTRACTED TO PERFORM A MARKET STUDY OF TOTAL CEO AND CFO COMPENSATION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE FINDINGS OF THE MARKET STUDY TO HELP DETERMINE AND SET THE CEO AND CFO'S COMPENSATION AND BONUS STRUCTURE. THE EXECUTIVE COMPENSATION COMMITTEE, CONSISTING OF INDEPENDENT BOARD MEMBERS, MEETS ANNUALLY TO REVIEW THE CEO PERFORMANCE AND COMPENSATION OF THE CEO AND CFO. THE PROCESS AND FINDINGS ARE DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES. COMPENSATION FOR OTHER OFFICERS/KEY EMPLOYEES IS DETERMINED & APPROVED BY THE COMPENSATION COMMITTEE. THE COMMITTEE USES A COMMUNITY SURVEY AND MARKET ANALYSIS FOR RATE COMPARISON. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: REVERSAL OF GRANT EXPENSES 373,587. PART XI LINE 2C, OVERSIGHT OF THE AUDIT: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.