2024-10-31T12:52:57-05:00 2023-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-01-01 311118357 NORTH CENTRAL HEALTH SERVICES INC NORT 7654231604 2900 N RIVER RD WEST LAFAYETTE IN 47906 STEPHANIE LONG CHIEF EXECUTIVE OFFICER 7654231604 2024-10-31 1 1 TYLER K GREENE CPA P00057872 3176334705 2024-10-31 2023 2024-10-15 13:58:12Z RIVER BEND HOSPITAL STEPHANIE LONG 2900 N RIVER RD WEST LAFAYETTE IN 47906 112559504 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 0 0 0 0 2147561 2554065 3953878 7061112 122535 123671 6223974 9738848 7601430 5889379 0 0 974777 1016940 0 0 0 8870450 9723033 17446657 16629352 -11222683 -6890504 460736412 500645250 11093488 13092789 449642924 487552461 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 6316644 2603231 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 $662,000 (AT COST) AROSE FROM PROVIDING SERVICES TO CHARITY PATIENTS DURING THE YEAR ENDED DECEMBER 31, 2023. [CONTINUED 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, 2023.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. 10031660 5889379 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. 16348304 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 14 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 2.00 0.00 X 0 0 0 STEPHANIE LONG PRESIDENT/CEO 40.00 0.00 X X 349124 0 64937 JAMIE SEGO CFO 40.00 0.00 X 183581 0 55583 MICHELLE KREINBROOK GRANTS DIRECTOR 40.00 0.00 X 122533 0 58001 655238 0 178521 3 0 1 0 MERIDIAN HEALTH SERVICES 240 N TOLLOTSON AVENUE MUNCIE IN 47304 MANAGEMENT SERVICES 6891041 STRATEGIC INVESTMENT GROUP INC 19TH ST NORTH 16TH FLOOR ARLINGTON VA 22209 OCIO INVESTMENT MANAGEMENT SERVICES 670627 KETTLEHUT CONSTRUCTION CO PO BOX 528 LAFAYETTE IN 47902 CONSTRUCTION SERVICES 353326 WELLINGTON TRUST COMPANY 280 CONGRESS STREET BOSTON MA 02210 INVESTMENT MANAGEMENT SERVICES 100467 4 INPATIENT PSYCHIATRIC 621300 2554065 2554065 2554065 4524989 4524989 49166 0 49166 49166 49166 105356779 102820656 2536123 2536123 2536123 74505 74505 74505 9738848 2603231 0 7135617 5856328 5856328 33051 33051 653225 587903 65322 211723 190551 21172 13114 11803 1311 96669 87002 9667 42209 37988 4221 6316644 6253478 63166 55000 54450 550 50000 49500 500 1080000 1080000 58817 58249 568 80762 66225 14537 122608 100539 22069 2630 2604 26 2048 2028 20 1233553 1171875 61678 145458 144003 1455 HOSPITAL ASSESSMENT FEE 306536 306536 DUES & SUBSCRIPTIONS 15822 12974 2848 253155 241217 11938 16629352 16348304 281048 0 3913109 3849942 9355662 7431657 166630 254921 19614 18719 81722 103707 24831107 8351322 17244220 16479785 429283978 471257398 671477 1249121 460736412 500645250 568510 894950 10524978 12197839 11093488 13092789 X 449642924 487552461 449642924 487552461 460736412 500645250 X -6890504 44773800 26241 X X 0 1 X 1 0 X 4760955 4760955 18585416 7414089 11171327 1064675 937233 127442 420061 420061 16479785 X 53432648 44773800 44773800 8658848 1080000 1080000 9738848 15523111 -26241 -26241 15549352 1080000 1080000 16629352 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, 2023 AND 2022, 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 -26,241. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 INVESTMENT IN PRIVATE EQUITY FUND ORGANIZED AS A CORPORATION IN CAYMAN ISLAND 5384518 0 0 0 0 0 0 5384518 0 5384518 1 0 1 0 1 0 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 604990 604990 0.03640 7415595 2456408 4959187 0.29820 8020585 2456408 5564177 0.33460 122533 122533 0.00740 514755 514755 0.03100 92517 92517 0.00560 729805 729805 0.04400 8750390 2456408 6293982 0.37860 2357982 2357982 0.14180 33604 33604 0.00200 2037659 2037659 0.12250 945379 945379 0.05690 5374624 5374624 0.32320 1 239253 303506 941090 -637584 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 AN EIGHT-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 RANDOM SAMPLE THAT RECRUITED PROPORTIONATELY FROM ALL ZIP CODES IN THE TEN-COUNTY SERVICE AREA AND 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 DISCUSS INSIGHTS FROM THE EXISTING HEALTH INDICATOR DATA SUMMARY, DISCUSS THE FACTORS ASSOCIATED WITH ONGOING HEALTH ISSUES IDENTIFIED IN THAT DATA, AND TO GATHER OTHER LOCAL COMMUNITY INPUT RELEVANT TO A COMPREHENSIVE CONSIDERATION OF THE HEALTH NEEDS OF THOSE COUNTIES AND THE 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 PARTICIPATE 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 EXPERIENCESOUR EFFORTS TO ENHANCE MENTAL AND BEHAVIORAL HEALTH, WHILE ADDRESSING ADVERSE CHILDHOOD EXPERIENCES, FOCUS ON ADVANCING WORKFORCE DEVELOPMENT THROUGH THE CREATION AND EXPANSION OF PSYCHIATRY RESIDENCY PROGRAMS, AND THE ESTABLISHMENT OF THE IU SCHOOL OF SOCIAL WORK AT IVY TECH COMMUNITY COLLEGE. THIS ALSO INCLUDES EXPANDING THE IVY TECH NURSING PROGRAM AT THE LAFAYETTE CAMPUS BY INVESTING IN ADDITIONAL LABS, EQUIPMENT, SCHOLARSHIPS, AND RECRUITING TALENTED FACULTY AND STAFF. WE ARE ALSO COMMITTED TO 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 A SINGLE-POINT-OF-ENTRY SYSTEM FOR INDEPENDENT MENTAL HEALTHCARE. THROUGH THESE INITIATIVES, WE AIM TO STRENGTHEN BOTH THE MENTAL HEALTHCARE WORKFORCE AND ACCESS TO CRITICAL SERVICES, ADDRESSING LONG-TERM COMMUNITY NEEDS.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 $5.9 MILLION IN GRANT FUNDS DURING THE 2023 PERIOD FOR PROJECTS RELATING TO HEALTH AND THE DEVELOPMENT OF HEALTHY COMMUNITIES AND HAS MADE GRANTS OVER $95 MILLION SINCE 1999. THE FOLLOWING ARE A FEW OF THE PROJECTS FUNDED IN 2023 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 PREVENTION:DATA 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.IN 2023, THE NCHS GRANT BOARD APPROVED $550,000 FOR A SECOND COHORT FOR THE PREVENTING YOUTH SUICIDE 2-YEAR INITIATIVE TO BUILD THE CAPACITY OF OUR REGIONAL SCHOOL DISTRICTS, SCHOOLS, AND EDUCATORS. FOURTEEN SCHOOL CORPORATIONS WILL BE OFFERED TO PARTICIPATE IN THIS 2-YEAR INITIATIVE. AS PART OF THE PYSI GRANT, NCHS PARTNERED WITH INDIANA UNIVERSITY HEALTH TO FUND WOW TALK YOUTH TEEN CAFES IN THE WEST CENTRAL INDIANA REGION. FUNDING FROM INDIANA UNIVERSITY HEALTH WEST CENTRAL REGION 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-TWELVE TEEN CAFES WITH MIDDLE AND HIGH SCHOOL YOUTH DURING THE TWO-YEAR GRANT PERIOD (JANUARY 2023-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 2023, NCHS COMMITTED THE SIXTH 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 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. FOR SCHOOL YEAR 2022/2023 THE PRESCRIPTION DRUG SAFETY PROGRAM REACHED 433 STUDENTS AND 12 SCHOOLS. AS OF DECEMBER 2023, THE PROGRAM REACHED SEVEN SCHOOLS AND CLOSE TO 494 STUDENTS FOR THE MENTAL WELLNESS PROGRAM AND FOUR SCHOOLS AND 157 STUDENTS FOR THE PRESCRIPTION DRUG SAFETY ACTIVATION.WABASH RIVER ENHANCEMENT CORPORATION:NCHS PLAYED A SIGNIFICANT GRANTMAKING ROLE, HELPING ESTABLISH A PRIMARY ORGANIZATION FOCUSING ON ISSUES RELATED TO THE WABASH RIVER IN 2005 THE WABASH RIVER ENHANCEMENT CORPORATION. THE WABASH RIVER ENHANCEMENT CORPORATION BRINGS TOGETHER RESIDENTS, EXPERTS, AND GOVERNMENT AGENCIES TO IMPROVE WATER QUALITY AND EXPAND RIVER ACCESS. WREC'S CORRIDOR MASTER PLAN WAS DEVELOPED WITH EXPERT GUIDANCE ON RIVER ENHANCEMENT AND INPUT FROM LOCAL STAKEHOLDERS. IN 2023, NCHS AWARDED OVER $2 MILLION IN GRANT FUNDING TO THE WABASH RIVER ENHANCEMENT CORPORATION FOR ADVANCED PLANNING AND CONSTRUCTION OF A SMALL PARKING LOT WITH AN ACCESS RAMP TO THE DOCK/HARBOR, A CANOE/KAYAK DOCK, AND HARBOR AND SIGNAGE TO DEVELOP A HEALTHY COMMUNITY THROUGH THE CREATION OF OUTDOOR RECREATION AND FITNESS OPPORTUNITIES, RIVERBANK STABILIZATION, AND WATER QUALITY IMPROVEMENT.EARLY LEARNING CHILDCARE EXPANSION:NCHS HAS ALLOCATED FUNDS TO EQUIP THE NEWLY CONSTRUCTED MONTGOMERY COUNTY EARLY LEARNING CENTER (MCELC) WITH ESSENTIAL RESOURCES, INCLUDING FURNITURE, PLAYGROUND EQUIPMENT, KITCHEN APPLIANCES, SECURITY SYSTEMS, AND INFORMATION TECHNOLOGY INFRASTRUCTURE. THE MCELC INITIATIVE IS DESIGNED TO TACKLE THE SPECIFIC LEARNING AND DEVELOPMENTAL CHALLENGES FACED BY CHILDREN UNDER SIX IN MONTGOMERY COUNTY. PRESENTLY, ONLY 11% OF THE COUNTY'S CHILDREN HAVE ACCESS TO HIGH-QUALITY, LICENSED CARE, WITH A SINGLE PROGRAM CATERING TO INFANTS. THE PROJECT AIMS TO FULFILL THE CRITICAL NEED FOR SUPERIOR EARLY LEARNING PROGRAMS AND ADDRESS THE SHORTAGE OF LEVEL 3 OR 4 PATHS OF QUALITY CENTERS IN THE MONTGOMERY COUNTY AREA.ENHANCING TRANSPORTATION:IN 2023, NCHS ALLOCATED FUNDS TO ORGANIZATIONS TO BOLSTER AFTER-SCHOOL PROGRAMS, ALIGNING WITH THE YOUTH SUBSTANCE USE PREVENTION STRATEGY ADVOCATED BY INDIANA'S EXECUTIVE DIRECTOR FOR DRUG PREVENTION, TREATMENT, AND ENFORCEMENT. THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HIGHLIGHTED TRANSPORTATION DEFICIENCIES IN TIPPECANOE AND NEIGHBORING COUNTIES, AS EVIDENCED BY EXISTING DATA AND FOCUS GROUP FEEDBACK. FURTHERMORE, THE 2018/2021 CHNA PINPOINTED THE NECESSITY OF ENHANCING ACCESS TO RESOURCES AIMED AT COMBATING OBESITY AND PREVENTABLE CHRONIC DISEASES, AS IDENTIFIED BY STAKEHOLDERS AND COMMUNITY SURVEYS. IN RESPONSE, NCHS'S FINANCIAL SUPPORT TO EXPAND TRANSPORTATION RESOURCES (LIKE 15-PASSENGER VANS) TO ENTITIES LIKE THE LYN TREECE BOYS & GIRLS CLUB AND SAGAMORE COUNCIL BOY SCOUTS OF AMERICA FOR AFTER-SCHOOL PROGRAMS DIRECTLY ADDRESSES THESE RECOGNIZED NEEDS. 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: FIRE SAFETY OUTREACH:NCHS BEGAN SUPPORTING SMOKE ALARM FIRE SAFETY OUTREACH IN 2010 THROUGH FUNDING FOR A PARTNERSHIP BETWEEN FIVE POINTS AND MEALS ON WHEELS OF TIPPECANOE COUNTY. SEEKING TO REDUCE INJURIES AND DEATHS FROM RESIDENTIAL FIRES, VOLUNTEERS EVALUATED CLIENT HOMES IN LAFAYETTE DURING MEAL DELIVERIES AND LATER PROVIDED AND INSTALLED NEW SMOKE ALARMS AND FRESH BATTERIES WHERE NEEDED AT NO CHARGE. IN 2013, NCHS APPROACHED FIVE POINTS TO EXPAND THE PROJECT THROUGHOUT TIPPECANOE COUNTY. A 2015 NCHS GRANT FURTHER EXPANDED THE PROGRAM TO SERVE CARROLL COUNTY AS WELL. FIVE POINTS STATES THAT CARBON MONOXIDE IS THE MOST COMMON POISONING CAUSE OF DEATH IN THE UNITED STATES. IN 2023, THERE WERE 0 FATALITIES. THEY HAD ONE LIFE SAVED BY THE PROGRAM. IN THE PAST YEAR, THERE WERE 75 CALLS FOR POSSIBLE CARBON MONOXIDE POISONING IN TIPPECANOE AND CARROL COUNTIES. THE TOTAL NUMBER OF HOME FIRE FATALITIES IN INDIANA WAS 91. NCHS CONTINUES TO FUND THE LAFAYETTE FIRE DEPARTMENT, IN CONJUNCTION WITH HISTORIC FIVE POINTS MUSEUM AND CARROLL AND TIPPECANOE COUNTY FIRE DEPARTMENTS, WHICH WILL PROVIDE AND INSTALL A FREE SMOKE ALARM FOR ANY TIPPECANOE COUNTY RESIDENT LIVING IN A SINGLE-FAMILY OR TWO-FAMILY RESIDENCE.LEADERSHIP AND WORKFORCE DEVELOPMENT:NCHS AWARDED FUNDING FOR EXECUTIVE COACHING FOR PROFESSIONALS FROM FOOD FINDERS FOOD BANK, TIPPECANOE SENIOR SERVICES, LARA, RIGHT STEPS, SAGAMORE COUNCIL BOY SCOUTS OF AMERICA AND YWCA TO COMPLETE THE 2023 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-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. IVY TECH SCHOLARSHIPS: NCHS AWARDED FUNDING TO ADDRESS THE CRITICAL NEED FOR NURSES AND HEALTHCARE PROFESSIONALS BY FUNDING SCHOLARSHIPS AT IVY TECH LAFAYETTE. THIS INITIATIVE ALIGNS WITH THE IDENTIFIED PRIORITY OF ADDRESSING THE SHORTAGE OF MENTAL HEALTH WORKFORCE. THIS INVESTMENT WILL NOT ONLY HELP MITIGATE THE NURSING SHORTAGE BUT ALSO SUPPORT THE GROWTH AND DEVELOPMENT OF THE HEALTHCARE EDUCATION SECTOR. THIS FIVE-YEAR COMMITMENT WILL PROVIDE IVY TECH LAFAYETTE SCHOLARSHIPS FOR THE FOLLOWING PROGRAMS: NURSING, HUMAN SERVICES, PSYCHOLOGY, AND ADDICTION SERVICES.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. 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 THROUGH LEADERSHIP CERTIFICATION AND BOARD GOVERNANCE, EXPANSION OF FOOD PANTRY 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 8 OF THE ATTACHED FINANCIAL STATEMENTS UNDER NOTE "PATIENT ACCOUNT RECEIVABLE AND CONTINUES ON PAGE 9 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 12/31/23 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 COMMITTEE, 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. 61.1% OF RIVER BEND HOSPITAL PATIENTS ARE MEDICAID AND 29.4% 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) 33604 0 NONPROFIT EXECUTIVE DEVELOPMENT INITIATIVE, MENTAL HEALTH HONORARY GRANT FOR JEFF KESSLER VOLUNTEER BOARD SERVICE 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 HISTORIC FIVE POINTS FIRE STATION EDUCATIONAL CENTER INC 1511 MAIN STREET LAFAYETTE IN 47901 383662560 501C(3) 50561 0 SMOKE AND CARBON MONOXIDE DETECTOR OUTREACH IN TIPPECANOE & CARROLL COUNTY TO REDUCE FIRE DEATHS AND INJURIES ASSOCIATED WITH RESIDENTIAL FIRES AND CARBON MONOXIDE, PARTICULARLY IN UNDERSERVED AREAS AND FOR VULNERABLE POPULATIONS, INCLUDING THE HEARING-IMPAIRED INDIANA RURAL HEALTH ASSOCIATION 2901 OHIO BLVD TERRE HAUTE IN 47803 352026704 501C(3) 26880 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) 481704 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) 875000 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 JUNIOR ACHIEVEMENT OF GREATER LAFAYETTE 3001 S CREASY LANE LAFAYETTE IN 47901 841267604 501C(3) 40999 0 JA CAPSTONE FACILITY TO ENHANCE AND GAMIFY THE EXPERIENCE OUR GREATER LAFAYETTE STUDENTS ARE ENCOUNTERING WHILE PARTICIPATING IN OUR JA BIZTOWN & FINANCE PARK PROGRAMMING LYN TREECE BOYS & GIRLS CLUB 1529 N 10TH STREET LAFAYETTE IN 47904 351262269 501C(3) 89476 0 ADDITIONAL BUS FOR MORE EFFICIENCY WHEN PICKING UP FROM OUR PARTNER SCHOOLS MONTGOMERY COUNTY COMMUNITY FOUNDATION PO BOX 334 CRAWFORDSVILLE IN 47933 351836315 501C(3) 800818 0 FOR CONSTRUCTION AND FURNISHINGS FOR THE CHILD CARE CENTER TO SERVICE CHILDREN INFANT TO FIVE YEARS OLD SAGAMORE COUNCIL BOY SCOUTS OF AMERICA 518 N MAIN STREET KOKOMO IN 46901 350867972 501C(3) 100000 0 FOR PURCHASING 9 NEW ATVS, SAFETY GEAR FOR THE RIDERS, STAFF TRAINING AND CERTIFICATION; 15 PASSENGER VAN THAT WILL BE USED FOR THE SCOUTREACH PROGRAM FOR HIGH ADVENTURE ACTIVITIES FOR YOUTH IN TRADITIONAL SCOUTING PROGRAMS; TIPPECANOE ARTS FEDERATION INC TIPPECANOE ARTS FEDERATION INC LAFAYETTE IN 47901 310942566 501C(3) 510000 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 WABASH CENTER INC 2000 GREENBUSH STREET LAFAYETTE IN 47904 351115916 501C(3) 93831 0 FOR PURCHASING A WE-GO-SWING FOR THE WABASH CENTER ADULT POPULATION; THIS WILL ALLOW FOR THEM TO HAVE SAFE SUPERVISED ACCESS TO OUTDOOR GROSS MOTOR ACTIVITIES; FOR MANY INDIVIDUALS THAT THEY SERVE AT WABASH CENTER, SWINGING AND ROCKING SATISFY THEIR NEED FOR DEEP SENSORY STIMULATION AND REINFORCE THE EFFORTS TO TEACH AND TRAIN SELF-REGULATION TECHNIQUES WHEN THEY ARE EXPERIENCING BEHAVIORAL CHALLENGES. ; WABASH RIVER ENHANCEMENT CORPORATION (WREC) 200 NORTH 2ND STREET LAFAYETTE IN 47901 201337591 501C(3) 2037659 0 COMPLETION OF SCHEMATIC DESIGN AND ENGINEERING PLANNING FOR THE LAFAYETTE-WEST LAFAYETTE URBAN SOUTH REACH; FOR CONSTRUCTION OF THE NORTH RIVER ROAD TRAIL HEAD/WEST LAFAYETTE SAGAMORE PARKWAY CONNECTOR TRAIL INCLUDING PARKING LOT WITH ACCESS RAMP TO THE DOCK/HARBOR, A CANOE/KAYAK DOCK, AND HARBOR & SIGNAGE; WHITE COUNTY FOOD PANTRY INC PO BOX 323 MONTICELLO IN 47960 351564056 501C(3) 138296 0 FOR CONSTRUCTION, WALK-IN FREEZERS & BACKUP GENERATOR, ELECTRIC PALLET MOVER TO INCREASE VOLUNTEER SAFETY; 14 HEALTH PROFESSIONAL EDUCATION SCHOLARSHIPS - TUITION REIMBURSEMENT FOR INDIVIDUALS 7 33051 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/CEO 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/CEO AND DIRECTOR OF COMMUNITY BENEFIT AND OUTREACH, THEN PRESENTED TO THE GRANTS COMMITTEE FOR ACTION. THE GRANTS COMMITTEE 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/CEO 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 299780 0 36204 0 13140 0 19800 0 45137 0 414061 0 0 0 JAMIE SEGO CFO 183245 0 0 0 336 0 11015 0 44568 0 239164 0 0 0 MICHELLE KREINBROOK GRANTS DIRECTOR 121993 0 0 0 540 0 7352 0 50649 0 180534 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 AN 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 EXECUTIVE 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 26,241. 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.