2025-10-17T07:22:50-05:00 2024-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-01-01 311118357 NORTH CENTRAL HEALTH SERVICES INC NORT 7654231604 2900 N RIVER RD WEST LAFAYETTE IN 47906 STEPHANIE LONG CHIEF EXECUTIVE OFFICER 7654231604 2025-10-17 1 0 TYLER K GREENE CPA P00057872 3176334705 2025-10-10 2024 2025-03-06 01:10:19Z RIVER BEND HOSPITAL STEPHANIE LONG 2900 N RIVER RD WEST LAFAYETTE IN 47906 196475072 0 X WWW.NCHSI.COM X 1984 IN TO PROVIDE ACUTE INPATIENT PSYCHIATRIC CARE TO THE ADULT POPULATION OF MID-NORTH INDIANA. 8 7 4 7 0 0 0 0 2554065 2947979 7061112 4664452 123671 76684 9738848 7689115 5889379 15586477 0 0 1016940 1045470 0 0 0 9723033 11641086 16629352 28273033 -6890504 -20583918 500645250 539641767 13092789 23107684 487552461 516534083 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 7009659 2997145 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 $753,000 (AT COST) AROSE FROM PROVIDING SERVICES TO CHARITY PATIENTS DURING THE YEAR ENDED DECEMBER 31, 2024. [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, 2024.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. 20966908 15586477 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. 27976567 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 15 0 1 4 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 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 (END 1/2024) 2.00 0.00 X 0 0 0 LORI ROGERS MD BOARD MEMBER (END 1/2024) 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 363132 0 101838 TIM WERTH BOARD MEMBER 2.00 0.00 X 0 0 0 JAMIE SEGO CFO 40.00 0.00 X 192754 0 77665 MICHELLE KREINBROOK GRANTS DIRECTOR 40.00 0.00 X 128669 0 69485 684555 0 248988 3 0 1 0 MERIDIAN HEALTH SERVICES 240 N TOLLOTSON AVENUE MUNCIE IN 47304 MANAGEMENT SERVICES 6085272 STRATEGIC INVESTMENT GROUP INC 19TH ST NORTH 16TH FLOOR ARLINGTON VA 22209 OCIO INVESTMENT MANAGEMENT SERVICES 1558557 KETTLEHUT CONSTRUCTION CO PO BOX 528 LAFAYETTE IN 47902 CONSTRUCTION SERVICES 1220359 WELLINGTON TRUST COMPANY 280 CONGRESS STREET BOSTON MA 02210 INVESTMENT MANAGEMENT SERVICES 111406 4 INPATIENT PSYCHIATRIC 621300 2947979 2947979 2947979 5488507 5488507 49166 0 49166 49166 49166 187961902 188785957 -824055 -824055 -824055 27518 27518 27518 7689115 2997145 0 4691970 15554077 15554077 32400 32400 735389 661850 73539 215351 193816 21535 6600 5940 660 49720 44748 4972 38410 34569 3841 7009659 6939563 70096 20000 19800 200 70000 69300 700 2110000 2110000 100897 99943 954 79509 65197 14312 118765 97387 21378 7300 7227 73 5990 5930 60 1375306 1306541 68765 156367 154803 1564 HOSPITAL ASSESSMENT FEE 347743 347743 FOOD & SUPPLIES 98824 93883 4941 DUES & SUBSCRIPTIONS 15915 13050 2865 124811 118800 6011 28273033 27976567 296466 0 3849942 2896428 7431657 12776644 254921 192606 18719 19215 103707 177630 27101364 9726626 16479785 17374738 471257398 505007550 1249121 1196956 500645250 539641767 894950 2322085 12197839 20785599 13092789 23107684 X 487552461 516534083 487552461 516534083 500645250 539641767 X -20583918 47040540 2525000 X X 0 1 X 1 0 X 4760955 4760955 21120592 8765681 12354911 1094512 960945 133567 125305 125305 17374738 X 52619655 47040540 47040540 5579115 2110000 2110000 7689115 23638033 -2525000 -2525000 26163033 2110000 2110000 28273033 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, 2024 AND 2023, 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 -2,525,000. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 INVESTMENT IN PRIVATE EQUITY FUND ORGANIZED AS A CORPORATION IN CAYMAN ISLAND 20248000 0 0 0 0 0 0 20248000 0 20248000 1 0 1 0 1 0 1 1 1 X 250.000000000000 1 X 1 1 0 1 1 672720 672720 0.02380 7486588 2674279 4812309 0.17020 8159308 2674279 5485029 0.19400 128669 128669 0.00460 32400 32400 0.00110 97360 97360 0.00340 258429 258429 0.00910 8417737 2674279 5743458 0.20310 3264291 3264291 0.11550 4573000 4573000 0.16170 25000 25000 0.00090 7787647 7787647 0.27540 15649938 15649938 0.55350 1 274541 328727 465702 -136975 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 24 1 0 0 1 X WWW.NCHSI.COM/ASSESSMENT X X 1 24 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 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.. 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. RIVER BEND HOSPITAL PART V, SECTION B, LINE 5: A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED IN 2024 BY NORTH CENTRAL HEALTH SERVICES (NCHS) AND RIVER BEND HOSPITAL. THIS CHNA FOCUSED ON THE APPROXIMATELY 340,000 RESIDENTS LIVING IN AN EIGHT-COUNTY SERVICE AREA IN INDIANA, INCLUDING BENTON, CARROLL, CLINTON, FOUNTAIN, MONTGOMERY, TIPPECANOE, WARREN, AND WHITE COUNTIES. THE SERVICE AREA WAS DEFINED THROUGH A REVIEW OF PATIENT DATA AND GEOGRAPHIC INDICATORS RELEVANT TO THE HOSPITAL'S REACH. NCHS AND RIVER BEND HOSPITAL, IN PARTNERSHIP WITH PUBLIC HEALTH RESEARCHERS AND OTHER HEALTHCARE ORGANIZATIONS, CONDUCTED A THOROUGH ANALYSIS OF EXISTING HEALTH AND SOCIAL DATA. A SUMMARY OF KEY INDICATORS WAS DEVELOPED TO GUIDE THE CHNA PROCESS. TO ENSURE COMMUNITY ENGAGEMENT AND RELEVANCE, THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE 2022-2024 NORTH CENTRAL HEALTH SERVICES (NCHS) IMPLEMENTATION PLAN WERE SHARED PUBLICLY, AND FEEDBACK WAS SOLICITED. A STAKEHOLDER SURVEY WAS CONDUCTED TO ASSESS WHETHER THE 2022-2024 NORTH CENTRAL HEALTH SERVICES (NCHS) IMPLEMENTATION PLAN PRIORITIES REMAINED APPLICABLE IN 2024. THE CHNA PROCESS EMPLOYED MULTIPLE METHODS OF PRIMARY DATA COLLECTION TO CAPTURE COMMUNITY NEEDS FROM A BROAD RANGE OF PERSPECTIVES, WITH A PARTICULAR EMPHASIS ON REACHING MARGINALIZED AND UNDERSERVED POPULATIONS. THESE METHODS INCLUDED: 1. A REVIEW OF CURRENT HEALTH AND WELL-BEING DATA FOR THE SERVICE AREA. 2. A STAKEHOLDER SURVEY TO EVALUATE ORGANIZATIONAL AND COMMUNITY PERCEPTIONS OF PROGRESS SINCE THE 2021 CHNA. 3. FOCUS GROUPS WITH APPROXIMATELY 221 COMMUNITY MEMBERS AND SERVICE RECIPIENTS. KEY FINDINGS FROM THE 2024 CHNA INCLUDE: - MENTAL HEALTH CHALLENGES REMAIN SIGNIFICANT ACROSS THE REGION, PARTICULARLY WITHIN DISENFRANCHISED POPULATIONS. - THERE IS A SHORTAGE OF MENTAL HEALTH PROFESSIONALS, INCLUDING PSYCHIATRISTS, PSYCHOLOGISTS, SOCIAL WORKERS, AND PRIMARY CARE PROVIDERS WITH MENTAL HEALTH EXPERTISE. - SUBSTANCE USE AND ABUSE CONTINUE TO BE MAJOR CONCERNS FOR BOTH RESIDENTS AND SERVICE PROVIDERS. - MENTAL HEALTH AND SUBSTANCE USE ISSUES OFTEN CO-OCCUR WITH SOCIAL CHALLENGES SUCH AS POVERTY, HOMELESSNESS, AND FOOD INSECURITY.- CHRONIC ILLNESSES REMAIN A BARRIER TO COMMUNITY HEALTH, REQUIRING COLLABORATIVE, MULTI-SECTOR RESPONSES. - SOCIAL DETERMINANTS OF HEALTH INCLUDING ECONOMIC, CULTURAL, AND ENVIRONMENTAL FACTORS CONTINUE TO SIGNIFICANTLY INFLUENCE HEALTH OUTCOMES AND ACCESS TO CARE. THE 2024 CHNA SERVES AS A ROADMAP FOR COMMUNITY-BASED HEALTH AND SOCIAL SERVICE PLANNING, PHILANTHROPIC INVESTMENT, AND COORDINATED REGIONAL EFFORTS. IT ALSO PROVIDES VALUABLE DATA TO HELP ORGANIZATIONS MAKE INFORMED DECISIONS ABOUT PROGRAMS THAT WILL MOST BENEFIT THE COMMUNITY. FOLLOWING COMPLETION OF THE DATA COLLECTION AND ANALYSIS, NCHS AND RIVER BEND HOSPITAL CONVENED A MEETING OF KEY STAKEHOLDERS AND LEADERSHIP TO REVIEW FINDINGS. AFTER A FORMAL PRESENTATION AND FACILITATED DISCUSSION, PARTICIPANTS PRIORITIZED THE TOP HEALTH NEEDS TO INFORM THE IMPLEMENTATION PLAN. IN RESPONSE, NCHS AND RIVER BEND HOSPITAL COMPILED A LIST OF COMMUNITY RESOURCES AND PARTNERSHIPS THAT WILL SUPPORT EFFORTS TO ADDRESS THESE IDENTIFIED PRIORITIES. THE BOARD APPROVED THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT AT THE ANNUAL STRATEGIC PLANNING MEETING HELD ON NOVEMBER 21, 2024. 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 2022-2024 NORTH CENTRAL HEALTH SERVICES (NCHS) IMPLEMENTATION STRATEGIES TO ADDRESS THE TOP NEEDS IDENTIFIED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INCLUDING MENTAL AND BEHAVIORAL HEALTH AND ADVERSE CHILDHOOD EXPERIENCES, SUBSTANCE ABUSE, AND OVERALL HEALTH AND WELLBEING. MENTAL & BEHAVIORAL HEALTH AND ADVERSE CHILDHOOD EXPERIENCES IN 2024, NCHS CONTINUED ADVANCING MENTAL HEALTHCARE WORKFORCE DEVELOPMENT AND ACCESS INITIATIVES: - PSYCHIATRY RESIDENCY EXPANSION: NCHS SUSTAINED FUNDING FOR THE IU SCHOOL OF MEDICINE PSYCHIATRY RESIDENCY PROGRAM (YEAR 7 OF 10; $494,930) AND THE COMMUNITY HEALTH NETWORK PSYCHIATRY RESIDENCY PROGRAM (YEAR 3 OF 8; $449,350). THESE INVESTMENTS SUPPORTED GENERAL PSYCHIATRY, TRIPLE BOARD, ADDICTIONS, GERIATRIC, AND CONSULT-LIAISON PSYCHIATRY FELLOWSHIPS, WITH RESIDENTS ROTATING THROUGH HOSPITALS AND CLINICS ACROSS THE STATE. IN 2024, 60 RESIDENTS AND FELLOWS WERE IN TRAINING, WITH MANY EXPECTED TO REMAIN IN INDIANA TO PRACTICE. - MSW PROGRAM EXPANSION: NCHS SUPPORTED THE IU SCHOOL OF SOCIAL WORK TO LAUNCH A LOCALLY BASED MASTER OF SOCIAL WORK (MSW) PROGRAM AT IVY TECH LAFAYETTE ($138,652). THE INAUGURAL COHORT OF NINE STUDENTS BEGAN IN SUMMER 2024, WITH A GOAL OF ADMITTING 15-25 STUDENTS PER COHORT. - SCHOLARSHIPS: NCHS AWARDED ONGOING MENTAL HEALTH NURSE PRACTITIONER SCHOLARSHIPS THROUGH THE LAFAYETTE DAYBREAK ROTARY ($3,500) AND CONTINUED ITS FIVE-YEAR COMMITMENT TO IVY TECH NURSING, PSYCHOLOGY, HUMAN SERVICES, AND ADDICTION STUDIES SCHOLARSHIPS ($875,000).- SUICIDE PREVENTION: IN MAY 2024, SEVEN ADDITIONAL SCHOOL CORPORATIONS JOINED THE PREVENTING YOUTH SUICIDE INITIATIVE (PYSI), EXPANDING REACH TO MORE THAN 45,000 STUDENTS BY 2026. PYSI SCHOOLS PARTICIPATED IN PREPARE 1 & 2 CRISIS RESPONSE TRAINING, AND NCHS PARTNERED WITH MHA AND DMHA TO OFFER QPR TRAIN-THE-TRAINER CERTIFICATION. - #WOWTALK TEEN CAFES: IN PARTNERSHIP WITH IU HEALTH, 13 YOUTH-SERVING ORGANIZATIONS COMPLETED A TWO-DAY TRAINING PROGRAM AND BEGAN HOSTING TEEN CAFES FOR MIDDLE AND HIGH SCHOOL YOUTH. EACH CAFE PROVIDED A THEME, FOOD, AND PARTICIPATION INCENTIVES, CREATING SAFE SPACES FOR PEER CONNECTION AND RESILIENCY BUILDING. SUBSTANCE ABUSE IN 2024, NCHS INVESTMENTS STRENGTHENED BOTH PREVENTION AND RECOVERY SUPPORTS: - RECOVERY HOUSING HOME WITH HOPE: NCHS AWARDED $1,588,518 TO BUILD A NEW MEN'S RESIDENTIAL RECOVERY HOME IN LAFAYETTE, REPLACING A 100-YEAR-OLD STRUCTURE. THE NEW 26-BED FACILITY (INCLUDING ONE ADA UNIT) EXPANDS SERVICES WITH PEER RECOVERY COACHING, INTENSIVE OUTPATIENT THERAPY, AND SKILL-BUILDING SUPPORT. IN 2024, HOME WITH HOPE SERVED 165 MEN, WITH A PROJECTED 174 CLIENTS BY YEAR-END. - RESILIENT YOUTH INITIATIVE (RYI): THE INITIATIVE CONCLUDED WITH MSD WARREN COUNTY IN 2024. SINCE ITS LAUNCH, RYI HAS SUPPORTED EVIDENCE-BASED SOCIAL-EMOTIONAL LEARNING AND SUBSTANCE USE PREVENTION IN 19 SCHOOL CORPORATIONS, REACHING MORE THAN 43,000 STUDENTS ACROSS SEVEN COUNTIES. - PRESCRIPTION DRUG SAFETY & MENTAL WELLNESS COURSES: BY 2024, THE PRESCRIPTION DRUG SAFETY DIGITAL COURSE HAD REACHED 3,115 STUDENTS ACROSS 21 SCHOOLS, IMPROVING KNOWLEDGE SCORES BY 36%. IN ADDITION, THE UNDERSTANDING MENTAL WELLNESS COURSE LAUNCHED IN 2023 REACHED 1,752 STUDENTS ACROSS 12 SCHOOLS BY THE END OF 2024, EQUIPPING YOUTH WITH COPING AND HELP-SEEKING SKILLS. OVERALL HEALTH & WELL-BEING IN 2024, NCHS ADVANCED MULTIPLE PROJECTS TO EXPAND ACCESS TO HEALTHY CHOICES, ADDRESS DISPARITIES, AND STRENGTHEN SOCIAL DETERMINANTS OF HEALTH: - HEALTHCARE WORKFORCE EXPANSION: NCHS INVESTED $406,492.36 TO CONTINUE THE IVY TECH LAFAYETTE NURSING PROGRAM EXPANSION, AIMED AT INCREASING ENROLLMENT BY 36% BY 2025 THROUGH NEW LABS, FACULTY RECRUITMENT, AND SCHOLARSHIPS. - GREEN SPACE & ACTIVE LIVING: NCHS AWARDED $118,000 TO THE LYN TREECE BOYS & GIRLS CLUB FOR PROPERTY ACQUISITION AND DEMOLITION TO EXPAND OUTDOOR PROGRAMMING SPACE. AN ADDITIONAL $450,000 SUPPORTED DEVELOPMENT OF THE NICHES STEWARDSHIP FACILITY IN WARREN COUNTY, EXPANDING ACCESS TO NATURAL AREAS THAT PROMOTE PHYSICAL ACTIVITY AND HEALTHY LIFESTYLES. - EQUITY & PUBLIC HEALTH INFRASTRUCTURE: IN PARTNERSHIP WITH PURDUE UNIVERSITY, NCHS COMMITTED $1 MILLION IN 2024 TOWARD A FOUR-YEAR, $4 MILLION INITIATIVE SUPPORTING HEALTH FIRST INDIANA IMPLEMENTATION IN EIGHT COUNTIES. THIS PROJECT PROVIDES TECHNICAL ASSISTANCE, CAPACITY BUILDING, AND EVALUATION TO ADDRESS HEALTH DISPARITIES AND STRENGTHEN LOCAL PUBLIC HEALTH SYSTEMS. - OTHER WELL-BEING INVESTMENTS: NCHS SUPPORTED TRANSPORTATION INITIATIVES, INCLUDING MINI-BUSES AND VANS FOR YOUTH PROGRAMS, EXPANDED CHILDCARE ACCESS THROUGH THE MONTGOMERY COUNTY EARLY LEARNING CENTER ($800,818 - OPENING 2024), AND CONTINUED FOOD SECURITY INITIATIVES THROUGH MEALS ON WHEELS AND REGIONAL FOOD PANTRIES. 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: NORTH CENTRAL HEALTH SERVICES (NCHS) CONTINUES TO INVEST IN INITIATIVES THAT IMPROVE ACCESS TO HEALTHCARE, BUILD LOCAL CAPACITY, AND ADDRESS DISPARITIES ACROSS AN EIGHT-COUNTY SERVICE AREA IN INDIANA. IN 2024, NCHS COMMITTED SIGNIFICANT FUNDING TOWARD STRATEGIC PARTNERSHIPS, CAPITAL PROJECTS, WORKFORCE DEVELOPMENT, AND NONPROFIT SUPPORT TO ENHANCE THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES. NCHS IS DEDICATED TO PROVIDING HEALTHCARE AND DEVELOPING HEALTHY COMMUNITIES THROUGHOUT ITS SERVICE AREA. IT OFFERS FINANCIAL SUPPORT TO QUALIFIED NONPROFIT ORGANIZATIONS WITHIN THE NCHS SERVICE AREA THAT SHARE ITS COMMITMENT TO HEALTH AND COMMUNITY WELLNESS. NCHS GRANTS HAVE FUNDED NONPROFIT ORGANIZATIONS FOR CAPITAL IMPROVEMENTS, PROGRAM ENHANCEMENTS, AND EDUCATIONAL OPPORTUNITIES. IN 2024, NCHS AWARDED OVER $15.7 MILLION IN GRANTS FOR PROJECTS RELATED TO HEALTH AND COMMUNITY DEVELOPMENT, BRINGING ITS TOTAL GRANT FUNDING TO OVER $100 MILLION SINCE 1999. THE FOLLOWING ARE SOME OF THE PROJECTS FUNDED IN 2024 THAT PROMOTE THE HEALTH OF THE COMMUNITIES NCHS SERVES. YOUTH MENTAL HEALTH AND SUICIDE PREVENTION INITIATIVES IN RESPONSE TO THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE 2022-2024 NORTH CENTRAL HEALTH SERVICES IMPLEMENTATION PLAN IDENTIFIED THE GOAL TO PROMOTE MENTAL, EMOTIONAL, AND BEHAVIORAL WELL-BEING WITHIN THE COMMUNITIES WE SERVE BY IMPROVING MENTAL HEALTH AND PREVENTING AND REDUCING THE IMPACT OF ADVERSE CHILDHOOD EXPERIENCES. ONE OF THE STRATEGIES ADOPTED WAS TO EXPAND ACCESS TO SUICIDE PREVENTION AND CRISIS INTERVENTION. AS PART OF THIS EFFORT, NCHS LAUNCHED THE RESILIENT YOUTH INITIATIVE (RYI), WHICH CONCLUDED AT THE END OF THE 2024 SCHOOL YEAR WITH MSD WARREN COUNTY AS THE FINAL PARTICIPATING DISTRICT. OVER SEVERAL YEARS, RYI PROVIDED MORE THAN $6 MILLION IN GRANT FUNDING TO HELP SCHOOLS ACROSS EIGHT COUNTIES IMPLEMENT EVIDENCE-BASED SOCIAL-EMOTIONAL LEARNING AND SUBSTANCE USE PREVENTION PROGRAMS. THE INITIATIVE REACHED MORE THAN 26,000 K12 STUDENTS AND PROVIDED SCHOOLS WITH TECHNICAL ASSISTANCE AND EVALUATION SUPPORT. LESSONS LEARNED THROUGH RYI DIRECTLY INFORMED THE DESIGN OF THE REQUEST FOR APPLICATIONS (RFA) FOR THE PREVENTING YOUTH SUICIDE INITIATIVE (PYSI), LAUNCHED IN 2021. THROUGH PYSI, NCHS COMMITTED MORE THAN $1.1 MILLION IN GRANTS AND TECHNICAL ASSISTANCE TO 12 SCHOOL CORPORATIONS IN SIX COUNTIES TO STRENGTHEN SUICIDE PREVENTION SYSTEMS AND PROVIDE EVIDENCE-BASED PROGRAMMING. BY THE 2024 SCHOOL YEAR, THESE EFFORTS REACHED AN ANTICIPATED 35,000 STUDENTS THROUGH ACTIVITIES SUCH AS SUICIDE AWARENESS TRAINING, INTERVENTION PROTOCOLS, AND PEER-TO-PEER SUPPORT PROGRAMS. IN 2023, THE NCHS GRANT BOARD APPROVED AN ADDITIONAL $550,000 TO FUND A SECOND TWO-YEAR COHORT, EXPANDING PARTICIPATION TO 14 SCHOOL CORPORATIONS AND FURTHER BUILDING THE REGION'S CAPACITY FOR YOUTH SUICIDE PREVENTION. AS PART OF THE INITIATIVE, NCHS PARTNERED WITH IU HEALTH TO SUPPORT 13 ORGANIZATIONS IN LAUNCHING #WOWTALK TEEN CAFES. THE 13 FUNDED ORGANIZATIONS COMPLETED A TWO-DAY TRAINING PROGRAM TO PREPARE FACILITATORS, AND EACH IS HOSTING 612 TEEN CAFES DURING THE TWO-YEAR GRANT PERIOD (JANUARY 2023 - DECEMBER 2024). THESE CAFES, DESIGNED FOR MIDDLE AND HIGH SCHOOL STUDENTS, PROVIDE SAFE SPACES TO BUILD CONNECTIONS, SHARE EXPERIENCES, AND STRENGTHEN HELP-SEEKING SKILLS. EACH CAFE INCLUDES A THEME, FOOD, AND AN INCENTIVE FOR PARTICIPATION, ALL SUPPORTED THROUGH THE GRANT FUNDING. IN ADDITION, SCHOOLS PARTICIPATING IN PYSI WERE OFFERED PREPARE TRAINING, DEVELOPED BY THE NATIONAL ASSOCIATION OF SCHOOL PSYCHOLOGISTS. THESE WORKSHOPS EQUIP EDUCATORS AND SCHOOL-BASED MENTAL HEALTH PROFESSIONALS WITH THE KNOWLEDGE AND TOOLS FOR CRISIS PREVENTION, INTERVENTION, AND POSTVENTION, ENHANCING SCHOOL SAFETY AND READINESS TO RESPOND TO STUDENTS IN CRISIS. TOGETHER, THE RESILIENT YOUTH INITIATIVE AND PREVENTING YOUTH SUICIDE INITIATIVE REFLECT NCHS'S ONGOING COMMITMENT TO ADVANCING YOUTH MENTAL HEALTH, STRENGTHENING RESILIENCY, AND REDUCING SUICIDE RISK THROUGH EVIDENCE-BASED, COLLABORATIVE APPROACHES ACROSS NORTH CENTRAL INDIANA. COMMUNITY HEALTH IMPROVEMENT INITIATIVES IN RESPONSE TO THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE 2022-2024 NORTH CENTRAL HEALTH SERVICES (NCHS) IMPLEMENTATION PLAN IDENTIFIED THE OVERALL HEALTH & WELL-BEING GOAL: IMPROVE THE HEALTH OF THE COMMUNITY BY ENCOURAGING HEALTHY CHOICES AND REDUCING THE DISPARITIES RELATED TO ACTIVITY AND NUTRITION. ONE STRATEGY ADVANCED UNDER THIS GOAL WAS TO ENHANCE RESOURCES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THROUGH ACADEMIC-COMMUNITY PARTNERSHIPS FOR HEALTH ENHANCEMENT AND HEALTH DEPARTMENTS AND HEALTH FIRST INDIANA IMPLEMENTATION. IN PARTNERSHIP WITH PURDUE UNIVERSITY'S CENTER FOR COMMUNITY HEALTH ENHANCEMENT AND LEARNING (HEAL), NCHS COMMITTED $4 MILLION TO A FOUR-YEAR INITIATIVE TO SUPPORT LOCAL HEALTH DEPARTMENTS IN TIPPECANOE AND SEVEN SURROUNDING COUNTIES. THE PARTNERSHIP FOCUSES ON IDENTIFYING GAPS IN ACCESS TO CARE, ADDRESSING HEALTH DISPARITIES, AND PROVIDING TECHNICAL ASSISTANCE, CAPACITY BUILDING, AND DATA SUPPORT ALIGNED WITH INDIANA'S HEALTH FIRST INDIANA INITIATIVE. NICHES STEWARDSHIP FACILITY RURAL HEALTH AND WELLNESS ACCESS IN RESPONSE TO THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE 2022-2024 NORTH CENTRAL HEALTH SERVICES (NCHS) IMPLEMENTATION PLAN IDENTIFIED THE OVERALL HEALTH & WELL-BEING GOAL: IMPROVE THE HEALTH OF THE COMMUNITY BY ENCOURAGING HEALTHY CHOICES AND REDUCING THE DISPARITIES RELATED TO ACTIVITY AND NUTRITION. ONE INITIATIVE UNDER THIS GOAL WAS TO INCREASE ACCESS TO RESOURCES TO PREVENT OBESITY AND PREVENTABLE CHRONIC DISEASES. TO ADVANCE THIS INITIATIVE, NCHS AWARDED $450,000 IN 2024 TO SUPPORT THE DEVELOPMENT OF THE NICHES STEWARDSHIP FACILITY IN WARREN COUNTY. THIS PROJECT EXPANDS ACCESS TO NATURAL SPACES THAT ENCOURAGE PHYSICAL ACTIVITY, REDUCE OBESITY RISK, AND PROMOTE HEALTHIER LIFESTYLES IN RURAL COMMUNITIES ACROSS THE NCHS SERVICE AREA. BY ENHANCING OPPORTUNITIES FOR OUTDOOR RECREATION AND ENVIRONMENTAL STEWARDSHIP, THE FACILITY HELPS ADDRESS DISPARITIES IN ACCESS TO WELLNESS RESOURCES AND SUPPORTS LONG-TERM COMMUNITY HEALTH. LYN TREECE BOYS & GIRLS CLUB GREEN SPACE EXPANSION IN RESPONSE TO THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE 2022-2024 NORTH CENTRAL HEALTH SERVICES (NCHS) IMPLEMENTATION PLAN IDENTIFIED THE OVERALL HEALTH & WELL-BEING GOAL: IMPROVE THE HEALTH OF THE COMMUNITY BY ENCOURAGING HEALTHY CHOICES AND REDUCING THE DISPARITIES RELATED TO ACTIVITY AND NUTRITION. TWO KEY INITIATIVES UNDER THIS GOAL WERE TO INCREASE ACCESS TO RESOURCES TO PREVENT OBESITY AND PREVENTABLE CHRONIC DISEASES AND TO ENHANCE RESOURCES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. AS PART OF THIS WORK, NCHS AWARDED $118,000 TO THE LYN TREECE BOYS & GIRLS CLUB IN LAFAYETTE TO SUPPORT THE PURCHASE, DEMOLITION, AND REMEDIATION OF PROPERTY AT 2109 HIAWATHA LANE. THIS ACQUISITION ENABLES THE IMMEDIATE EXPANSION OF OUTDOOR PROGRAMMING SPACE AND ADVANCES LONG-TERM SITE DEVELOPMENT PLANS, CREATING GREATER OPPORTUNITIES FOR RECREATION, WELLNESS, AND SAFE PLAY. BY INVESTING IN THIS PROJECT, NCHS IS HELPING TO EXPAND ACCESS TO GREEN SPACE FOR YOUTH AND FAMILIES, FOSTERING HEALTHIER LIFESTYLES AND ADDRESSING COMMUNITY DISPARITIES IN WELLNESS RESOURCES. MEN'S RESIDENTIAL RECOVERY PROGRAM HOME WITH HOPE IN RESPONSE TO THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE 2022-2024 NORTH CENTRAL HEALTH SERVICES (NCHS) IMPLEMENTATION PLAN IDENTIFIED THE GOAL TO IMPROVE THE HEALTH OF THE COMMUNITY BY REDUCING SUBSTANCE ABUSE THROUGH INITIATIVES TO INCREASE ACCESS TO RECOVERY HOUSING AND EXPAND ACCESS TO SUBSTANCE USE DISORDER TREATMENT AND RECOVERY. TO ADVANCE THIS STRATEGY, NCHS AWARDED $1,588,518 IN 2024 TO SUPPORT THE CONSTRUCTION OF A NEW, PURPOSE-BUILT MEN'S RESIDENTIAL RECOVERY FACILITY AT HOME WITH HOPE, REPLACING A STRUCTURALLY COMPROMISED 100-YEAR-OLD HOME. THE NEW FACILITY PROVIDES SAFE, MODERN LIVING CONDITIONS AND EXPANDED PROGRAMMING FOR INDIVIDUALS IN RECOVERY. IN 2024 ALONE, THE PROGRAM SERVED MORE THAN 145 MEN, OFFERING STRUCTURED PEER SUPPORT, OUTPATIENT TREATMENT, AND ACCESS TO RESOURCES THAT FOSTER LONG-TERM RECOVERY AND SELF-SUFFICIENCY. BY INVESTING IN HOME WITH HOPE, NCHS IS STRENGTHENING THE REGION'S CONTINUUM OF CARE AND IMPROVING OUTCOMES FOR MEN SEEKING SUSTAINED RECOVERY. 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: LEADERSHIP AND WORKFORCE DEVELOPMENT INITIATIVES EXECUTIVE COACHING PROGRAM FOR NONPROFITS IN RESPONSE TO THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE 2022-2024 NORTH CENTRAL HEALTH SERVICES (NCHS) IMPLEMENTATION PLAN IDENTIFIED THE OVERALL HEALTH & WELL-BEING GOAL: IMPROVE THE HEALTH OF THE COMMUNITY BY ENCOURAGING HEALTHY CHOICES AND REDUCING THE DISPARITIES RELATED TO ACTIVITY AND NUTRITION. AS PART OF THIS WORK, NCHS INVESTED IN LEADERSHIP AND WORKFORCE DEVELOPMENT INITIATIVES TO STRENGTHEN THE CAPACITY OF COMMUNITY ORGANIZATIONS. IN PARTNERSHIP WITH THE COMMUNITY FOUNDATION OF GREATER LAFAYETTE, NCHS PROVIDED $25,000 IN 2024 TO FUND AN EXECUTIVE COACHING PROGRAM FOR NONPROFIT LEADERS. PARTICIPANTS INCLUDED PROFESSIONALS FROM HABITAT FOR HUMANITY, TIPPECANOE HISTORICAL ASSOCIATION, LAFAYETTE ADULT RESOURCE ACADEMY, CIVIC THEATRE, CAMP TECUMSEH, AND CAREGIVER COMPANION. THIS INITIATIVE SUPPORTS THE PROFESSIONAL GROWTH OF NONPROFIT EXECUTIVES, EQUIPPING THEM WITH THE TOOLS TO LEAD EFFECTIVELY, STRENGTHEN ORGANIZATIONAL SUSTAINABILITY, AND EXPAND IMPACT ACROSS THE COMMUNITY. WORKFORCE DEVELOPMENT EXPANDING THE HEALTHCARE AND BEHAVIORAL HEALTH PIPELINE IN RESPONSE TO THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE 2022-2024 NORTH CENTRAL HEALTH SERVICES (NCHS) IMPLEMENTATION PLAN IDENTIFIED THE OVERALL HEALTH & WELL-BEING STRATEGY: INCREASE ACCESS TO RESOURCES TO PREVENT OBESITY AND PREVENTABLE CHRONIC DISEASES. A CRITICAL COMPONENT OF THIS STRATEGY IS WORKFORCE DEVELOPMENT, PARTICULARLY IN HEALTHCARE AND BEHAVIORAL HEALTH. THE SHORTAGE OF MENTAL HEALTH PROFESSIONALS WAS IDENTIFIED AS A SIGNIFICANT COMMUNITY NEED, AND NCHS PRIORITIZED INVESTMENTS TO EXPAND THE WORKFORCE PIPELINE AND STRENGTHEN ACCESS TO CARE. IVY TECH LAFAYETTE NURSING PROGRAM EXPANSION TO ADDRESS REGIONAL HEALTHCARE WORKFORCE SHORTAGES, NCHS AWARDED $406,492.36 IN 2024 TO IVY TECH COMMUNITY COLLEGE LAFAYETTE TO EXPAND ITS NURSING PROGRAM BY 36% BY FALL 2025. FUNDING SUPPORTS THE CONSTRUCTION OF NEW LAB SPACE, THE PURCHASE OF INSTRUCTIONAL EQUIPMENT, SCHOLARSHIPS, AND FACULTY RECRUITMENT, STRENGTHENING THE PIPELINE OF QUALIFIED NURSES IN THE REGION. IVY TECH HEALTHCARE SCHOLARSHIPS RECOGNIZING THE SHORTAGE OF BEHAVIORAL HEALTH AND HEALTHCARE PROFESSIONALS IDENTIFIED IN THE CHNA, NCHS COMMITTED $175,000 IN 2024 ($875,000 OVER FIVE YEARS) TO FUND SCHOLARSHIPS FOR IVY TECH STUDENTS PURSUING DEGREES IN NURSING, HUMAN SERVICES, PSYCHOLOGY, AND ADDICTION SERVICES. THIS INVESTMENT DIRECTLY ALIGNS WITH THE PRIORITY NEED TO EXPAND THE BEHAVIORAL HEALTH WORKFORCE. DAYBREAK ROTARY MENTAL HEALTH SCHOLARSHIPS IN 2024, NCHS PARTNERED WITH THE LAFAYETTE DAYBREAK ROTARY CLUB TO SUPPORT ITS FIFTH ANNUAL SCHOLARSHIP PROGRAM FOR GRADUATE-LEVEL STUDENTS IN PURDUE'S MENTAL HEALTH NURSE PRACTITIONER PROGRAM. A GRANT OF $3,500 HELPED EXPAND THE PIPELINE OF LOCAL ADVANCED PRACTICE MENTAL HEALTH PROVIDERS. IU SCHOOL OF SOCIAL WORK REGIONAL MSW PROGRAM EXPANSION IN COLLABORATION WITH INDIANA UNIVERSITY, NCHS AWARDED $138,652 IN 2024 TO SUPPORT THE EXPANSION OF THE MASTER OF SOCIAL WORK (MSW) PROGRAM TO THE GREATER LAFAYETTE AREA. THE INAUGURAL COHORT LAUNCHED IN FALL 2024 WITH 15-25 STUDENTS ENROLLED, WITH A NEW COHORT PLANNED EVERY THREE YEARS TO SUSTAIN WORKFORCE GROWTH. THIS PROGRAM ADDRESSES THE SHORTAGE OF LICENSED SOCIAL WORKERS IN THE REGION, AS IDENTIFIED THROUGH COMMUNITY CONVERSATIONS AND THE CHNA. PSYCHIATRY RESIDENCY PROGRAM EXPANSION INDIANA UNIVERSITY SCHOOL OF MEDICINE SINCE 2017, NCHS HAS SUPPORTED THE INDIANA UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF PSYCHIATRY TO ADDRESS INDIANA'S CRITICAL SHORTAGE OF PSYCHIATRIC PROVIDERS. IN 2024, NCHS AWARDED $494,930 (YEAR 7 OF A 10-YEAR COMMITMENT THROUGH 2038) TO SUSTAIN THE PSYCHIATRY RESIDENCY PROGRAM. THAT YEAR, THE PROGRAM ACCEPTED EIGHT PSYCHIATRY RESIDENTS AND TWO TRIPLE BOARD RESIDENTS, WITH A GOAL OF RETURNING TO PRIOR CLASS SIZES OF ELEVEN PSYCHIATRY RESIDENTS AND THREE TRIPLE BOARD RESIDENTS. THIS INVESTMENT STRENGTHENS THE STATE'S PIPELINE OF PSYCHIATRISTS AND ADVANCES ACCESS TO MENTAL HEALTH CARE ACROSS INDIANA. 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 12/31/24 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 ADVISORY BOARD OF DIRECTORS, EVALUATES, COMMUNICATES, AND IDENTIFIES 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: DURING THEIR ADMISSION, PATIENTS WITHOUT INSURANCE ARE CONTACTED BY 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 D/B/A RIVER BEND HOSPITAL SERVES 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) 25000 0 PLAN, LEAD, AND IMPLEMENT A NONPROFIT LEADERSHIP DEVELOPMENT PROGRAM SUPPORTING SIX NONPROFIT LEADERS IN THE GREATER LAFAYETTE COMMUNITY. THIS CUSTOMIZED PROGRAM IS DESIGNED TO MEET THE NEEDS OF PARTICIPANTS AND SUGGESTS TARGETING NONPROFIT EXECUTIVE DIRECTORS WHO ARE NEW TO THEIR ROLES (LIKELY WITH 2- OR 3-YEARS TENURE) OR WHO ARE EXPERIENCING SIMILAR CHALLENGES. INDIANA UNIVERSITY 355 WEST 16TH STREET INDIANAPOLIS IN 46202 356001673 501C(3) 7688286 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; LYN TREECE BOYS & GIRLS CLUB 1529 N 10TH STREET LAFAYETTE IN 47904 351262269 501C(3) 118000 0 ADDITIONAL BUS FOR MORE EFFICIENCY WHEN PICKING UP FROM OUR PARTNER SCHOOLS MERIDIAN HEALTH SERVICES CORP 240 N TILLOTSON AVE MUNCIE IN 47304 351302836 501C(3) 3264291 0 MERIDIAN PROPOSES TO IMPLEMENT A RECOVERY RESIDENCE THAT MEETS ALL OF THESE NEEDS. TO ENSURE THE RESIDENCE IS A SAFE ENVIRONMENT FOR RECOVERY AND PROVIDE SUPPORT FOR THE RESIDENTS MERIDIAN WILL PROVIDE PROFESSIONAL STAFF ON-SITE 24/7. TO MEET RECOVERY NEEDS BEYOND A SAFE PLACE TO LIVE, MERIDIAN WILL PROVIDE THERAPY, COUNSELING IN COPING SKILLS, (BASIC LIFE SKILLS SUCH AS BUDGETING AND OBTAINING EMPLOYMENT) AND ACCESS TO BEHAVIORAL HEALTH AND MEDICAL SERVICES AS PART OF THE PROGRAM. THE FACILITY WILL BE CERTIFIED BY AND OPERATE IN ACCORDANCE WITH INDIANA NATIONAL ASSOCIATION OF RECOVERY RESIDENCES (INARR). THE INARR CERTIFIES PROVIDER COMPLIANCE WITH THE NARR STANDARD LEVEL III RESIDENCES OFFERING LIFE SKILLS TRAINING AND 24/7/365 SUPERVISION, BY CREDENTIALED STAFF AND INCLUDES; PEER-BASED RECOVERY SUPPORT, LIFE SKILLS AND OUTPATIENT TREATMENT SERVICES. PURDUE UNIVERSITY - HEALTH EQUITY INITIATIVES 610 PURDUE MALL HOVDE HALL ROOM 130 WEST LAFAYETTE IN 47907 356002041 501C(3) 4000000 0 TO ENHANCE THE HEALTH FIRST INDIANA (HFI) INITIATIVE AND COMMUNITY WELLNESS BY OFFERING SUPPORT TO BENTON, CARROLL, CLINTON, MONTGOMERY, FOUNTAIN, WARREN, WHITE, AND TIPPECANOE COUNTY HEALTH DEPARTMENTS AND HEALTH COALITIONS IN PROVIDING COMMUNITY CAPACITY BUILDING, TECHNICAL ASSISTANCE, AND DATA AND EVALUATION SUPPORT THROUGH THE IMPLEMENTATION OF HEALTH FIRST AND BEYOND. NICHES LAND TRUST 1782 N 400 E LAFAYETTE IN 47905 351964901 501C(3) 450000 0 NICHES LAND TRUST WILL BUILD A 6,000 SQ FT STEWARDSHIP FACILITY TO STORE ALL EQUIPMENT AND SUPPLIES FOR PROJECTED GROWTH, INCLUDING AND BEYOND 2030 GOALS. THE FACILITY WILL BE BUILT ON LAND NICHES OWNS IN WARREN COUNTY, IN. PURPOSE IS TO PROVIDE SUPPORT FOR THE MAINTENANCE OF OUTDOOR SPACES WHICH ENCOURAGE A HEALTHY LIFESTYLE. 6 0 HEALTH PROFESSIONAL EDUCATION SCHOLARSHIPS - TUITION REIMBURSEMENT FOR INDIVIDUALS 10 32400 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 ADVISORY BOARD OF DIRECTORS FOR ACTION. THE GRANTS ADVISORY 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 ADVISORY 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 309697 0 40295 0 13140 0 30500 0 71338 0 464970 0 0 0 JAMIE SEGO CFO 192418 0 0 0 336 0 17523 0 60142 0 270419 0 0 0 MICHELLE KREINBROOK GRANTS DIRECTOR 128129 0 0 0 540 0 6600 0 62885 0 198154 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 WRITE-OFF GRANT PAYABLE 2,525,000. 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.