North Coast Health

NORTH COAST HEALTH, IS A FAITH BASED CHARITABLE CLINIC, PROVIDING QUALITY MEDICAL CARE AND HEALING TO THOSE MOST IN NEED, REGARDLESS OF ABILITY TO PAY.

NORTH COAST HEALTH'S HEALING MINISTRY EXISTS TO EXTEND A HAND TO HELP THOSE STRUGGLING WITH AFFORDABILITY OF, AND ACCESS TO, NEEDED HEALTH CARE SERVICES INCLUDING PRIMARY CARE AND BEHAVIORAL HEALTH CARE. NCH SERVICES- INCLUDING PREVENTION, WELLNESS, DIAGNOSIS, TREATMENT, CHRONIC DISEASE MANAGEMENT, SPECIALTY REFERRAL, COUNSELING, PRESCRIPTION ASSISTANCE- AND COLLABORATIVE EFFORTS WITH COMMUNITY HEALTH AND HUMAN SERVICE ORGANIZATIONS MAKES IT POSSIBLE FOR ALL PEOPLE TO RECEIVE THE CARE THEY NEED, REGARDLESS OF THEIR ABILITY TO PAY. PROVIDING THESE SERVICES TO THE MOST ECONOMICALLY VULNERABLE AND MEDICALLY UNDERSERVED, IMPROVES THE HEALTH OF THE INDIVIDUAL, HIS/HER FAMILY, THE WORKFORCE AND THE COMMUNITY- WHILE LOWERING HEALTH CARE COSTS. (SEE SECTION O FOR FURTHER DETAILS)

FOR 32 YEARS, NCH HAS WORKED TO MEET THE MEDICAL NEEDS OF THE ECONOMICALLY VULNERABLE AND MEDICALLY UNDERSERVED IN OUR COMMUNITY AND BEYOND. IN 2018, NCH SERVED 1,598 UNDUPLICATED PATIENTS, INCLUDING 555 NEW PATIENTS. 42% OF PATIENTS WERE UNINSURED AND 58% WERE INSURED. OF THE INSURED, 66% WERE INSURED THROUGH MEDICAID AND MEDICAID MANAGED CARE PLANS, 10% MEDICARE AND 24% MARKETPLACE OR OTHER COVERAGE. UNINSURED AND INSURED EXCEED 100% AS PATIENTS MOVE FROM HAVING INSURANCE AND BEING UNINSURED. WHEN THIS OCCURS, INDIVIDUALS ARE CAPTURED ONCE IN UNINSURED AND INSURED CATEGORY. NCH PROVIDED 7,654 SERVICES INCLUDING: 4,618 PRIMARY CARE VISITS 536 BEHAVIORAL HEALTH COUNSELING VISITS OVER 2500 SERVICES WHICH INCLUDE NURSE VISITS, LABORATORY TESTING, ASSISTANCE WITH PRESCRIPTION ASSISTANCE FORMS, AND APPOINTMENTS FOR MARKETPLACE AND MEDICAID ENROLLMENT WERE PROVIDED. IN ADDITION, 199 FOOD CARDS, BUS PASSES AND CAB VOUCHERS WERE PROVIDED TO NCH PATIENTS. NCH DISPENSED NEARLY 390,000 IN PRESCRIPTION MEDICATION TO UNINSURED INDIVIDUALS. WITH THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT AND MEDICAID EXPANSION, NCH CONTINUES TO SEE A DECREASE IN THE AMOUNT OF DISPENSED PRESCRIPTION MEDICATIONS AS A RESULT OF MORE PATIENTS HAVING COVERAGE OFTHEIR MEDICATIONS THROUGH MEDICAID AND OTHER NSURANCE COVERAGE. THIS HIGHLIGHTS AN IMPORTANT ROLE NCH CONTINUES TO PLAY AS A SAFETY NET PROVIDER- FILLING THE GAPS TO PROVIDE CARE AND MEDICATIONS UNTIL ADDITIONAL RESOURCES BECOME AFFORDABLE AND AVAILABLE. NORTH COAST HEALTH'S EFFORTS ARE HELPING TO IMPROVE HEALTH OUTCOMES; PREVENTING DISEASE AND COMPLICATIONS, CONNECTING PATIENTS TO OTHER COMMUNITY RESOURCES TO ASSIST WITH FOOD, HOUSING, UTILITIES, SUBSTANCE ABUSE AND OTHER NEEDS. WORKING TO END HEALTH DISPARITIES BY PROVIDING THE UNDERSERVED ACCESS TO QUALITY, COMPREHENSIVE AND COORDINATED HEALTH CARE NOT ONLY BENEFITS THE INDIVIDUAL BUT ALSO THEIR FAMILY, EMPLOYERS, THE HEALTHCARE SYSTEM AND TAXPAYERS. THESE EFFORTS REDUCE HEALTH CARE COSTS AND IMPROVE THE HEALTH OF OUR COMMUNITY AND WORKFORCE. PRIMARY CARE SERVICES ARE PROVIDED FIVE DAYS PER WEEK, WITH EVENING AND WEEKEND HOURS AVAILABLE. A TRIPLE AIM APPROACH OF BETTER HEALTH-BETTER CARE-LOWER COST IS USED TO ENSURE THE RIGHT PATIENT RECEIVES THE RIGHT CARE AT THE RIGHT PLACE AND TIME. OUR SERVICES INCLUDE: 1) CHRONIC DISEASE MANAGEMENT- INDIVIDUALIZED CARE TO MEET EACH PATIENT'S UNIQUE NEEDS. INCREASED UNDERSTANDING OF CONDITIONS AND PATIENT ENGAGEMENT, IMPROVED HEALTH STATUS AND PREVENTION OF COMPLICATIONS. 2) WOMEN'S HEALTH - PREVENTIVE BREAST HEALTH AND GYNECOLOGICAL SCREENINGS AND CARE. 3) PRESCRIPTION ASSISTANCE PROGRAM - FREE, OR LOW COST, MEDICATIONS TO MANAGE CHRONIC DISEASE AND ACUTE CONDITIONS; INCLUDES IMMUNIZATIONS AND HOME HEALTH SUPPLIES. 4) SPECIALTY REFERRALS - SPECIALTY CARE DONATED BY VOLUNTEER REFERRALPHYSICIAN NETWORK AND THROUGH CUYAHOGA HEALTH ACCESS PARTNERSHIP (CHAP). 5) BEHAVIORAL HEALTH COUNSELING - ONSITE COUNSELING SERVICES, FOR PATIENTS WITH DEPRESSION, GRIEF, ANXIETY AND OTHER MENTAL HEALTH CONDITIONS. 6) PATIENT CRITICAL NEEDS ASSISTANCE (PCNA) - SUPPORTS SHORT TERM CRITICAL NEEDS FOR GROCERIES, TRANSPORTATION, MEDICAL SUPPLIES (I.E. NEBULIZERS, ORTHOPEDIC EQUIPMENT INCLUDING BRACES, PROSTHETICS, WALKERS, WHEELCHAIRS, SUPPORT STOCKINGS/SOCKS, AND DIABETES TESTING SUPPLIES), TRANSLATION SERVICES AND PRESCRIPTION MEDICATIONS. 7) ONSITE LABORATORY AND MEDICAL TESTING - POINT OF CARE LABORATORY AND MEDICAL TESTING, ALLOWING FOR IMMEDIATE RESULTS AND AN OPPORTUNITY TOREVIEW, ADDRESS, MANAGE AND EDUCATE PATIENTS ON DISEASE MANAGEMENT AND PREVENTION DURING CLINIC VISIT. TO REMOVE A BARRIER TO LABORATORY SERVICES, NCH WORKS WITH QUEST LABORATORIES MAKING IT POSSIBLE FOR PATIENTS TO HAVE ANY ORDERED BLOOD TESTS DRAWN AT NCH INSTEAD OF NEEDING TO GO TO ANOTHER LOCATION. 8) CERTIFIED APPLICATION COUNSELORS/NAVIGATOR - ASSIST IN ENROLLING INDIVIDUALS- NCH PATIENTS AND OTHERS- INTO MEDICAID, MARKETPLACE, BENEFITS BANK AND OTHER PROGRAMS. 9) PREVENT BLINDNESS - REFERRAL FOR FREE/REDUCED COST EYE EXAMS, GLASSES. 10) SMOKING CESSATION- GROUP AND INDIVIDUAL COUNSELING ON SMOKING CESSATION AND PREVENTION. 11) CREATIVE ARTS THERAPY SCHOLARSHIP PROGRAM (CATS) - CREATIVE ARTS INTERVENTION IN SUPPORT OF PATIENT HEALTH AND WELL-BEING PROGRAMS WITH ART THERAPY STUDIO. 12) WORKFORCE DEVELOPMENT - CLINICAL SITE FOR NURSING, NURSE PRACTITIONER, MEDICAL STUDENTS, RESIDENTS, AND HIGH SCHOOL STUDENTS FROM WESTSHORE CAREER TECH. 13) COMMUNITY OUTREACH - OUTREACH AND HEALTH EDUCATION TO SCHOOLS,COMMUNITY, AND OTHER SOCIAL SERVICE NETWORKS. PARTICIPATION AND LEADERSHIPROLES IN AREA COMMUNITY COLLABORATIVE. IN 2018, WITH CONSIDERATION OF THE RAPIDLY CHANGING HEALTH CARE LANDSCAPE, ANTICIPATED SHIRTS IN FUNDING, AND THE ONGOING NEED FOR OUR SERVICES, NCH'S BOARD OF DIRECTORS EXPLORED OPPORTUNITY TO LINK WITH AN ORGANIZATION WHO SHARED A SIMILAR MISSION. AFTER EXTENSIVE PLANNING AND DUE DILIGENCE, NCH AND NEIGHBORHOOD HEALTHCARE INC - D.B.A. NEIGHBORHOOD FAMILY PRACTICE (NFP) - ENTERED A STRATEGIC ALLIANCE THROUGH ACQUISITION, BRINGING TOGETHER THE LEADERSHIP, BOARDS AND STAFF OF BOTH ORGANIZATIONS TO BENEFIT PATIENTS AND THE COMMUNITY. NCH'S LAST DAY OF OPERATIONS AND EXISTENCE WAS DECEMBER 31, 2018. ON JANUARY 1, 2019 NCH AND NFP WILL COMBINE OPERATIONS, AND THE NCH CLINIC WIL JOIN NFP'S NETWORK OF FIVE COMMUNITY HEALTH CENTERS AS NEIGHBORHOOD FAMILY PRACTICE NORTH COAST COMMUNITY HEALTH CENTER. THE ACQUISITION WAS A PROACTIVE EFFORT TO ENHANCE NCH'S ORGANIZATIONAL INFRASTRUCTURE, STRENGTHEN NCH FINANCIAL FOOTING, AND EXPAND PRIMARY CARE SERVICES THROUGH THE ADDITION OF PEDIATRIC CARE. MOVING FORWARD, PATIENTS WILL ALSO HAVE EASY ACCESS TO ADDITIONAL SERVICES, INCLUDING MIDWIFERY, DENTAL, AND PSYCHIATRY OFFERED AT OTHER NFP LOCATIONS IN CLEVELAND'S WEST SIDE NEIGHBORHOODS. FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990 COPY OF COMPLETE 990 E-MAILED TO FORMER CHAIR AND TREASURER OF THE NCH BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY THE CONFLICT OF INTEREST DISCLOSURE STATEMENT IS DISTRIBUTED ANNUALLY TO EACH BOARD MEMBER FOR SIGNATURE. THE STATEMENTS ARE KEPT ON FILE AT THE OFFICE OF THE PRESIDENT AND CEO OF NORTH COAST HEALTH