North Coast Health

“Copy of complete 990 e-mailed to nch finance committee and then full board of directors for review prior to filing”

“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 .”

“Executive committee recommends salary of the executive director during an executive session of the annual meeting of the board. Salary comparability data is collected from appropriate sources for the board's review.”

“Annual staff reviews are conducted by immediate supervisor and president and ceo. The board of directors conducts an annual review of the president and ceo. The president and ceo submits staff salary recommendations to the executive committee for review and approval.”

“Documents are made available to the public upon request.”

“A faith based charitable clinic providing quality medical care and healing to those most in need, regardless of ability to pay. We believe health care is a basic human right and the inability to pay should never be a barrier to care for anyone. North coast health (nch) opened our doors in 1986 to help uninsured invidivuals access medical care, regardless of their ability to pay. Since 2013, nch has received the highest level of recognition by the national committee for quality assurance (ncqa) as a patient centered medical home (pcmh), level 3. In 2014, in response to the affordable care act and medicaid expansion, nch transitioned to a charitable clinic to be able to expand access to care to the uninsured, underinsured and individuals with medicaid and medicaire. In 2018, a total of 7,654 services were provided to 1,598 unduplicated patients. As a pcmh, nch provides primary care including prevention and wellness, chronic disease management and the care of minor illness and injury to individuals ages 14 and older. Our goal is to end health disparities and inequity by providing access to medical care that is comparable to the care received by individuals of higher socioeconomic status. Health care coverage and delivery continues to change. Navigating this system is complicated. North coast health remains diligent in identifying gaps that have closed as well as new gaps that have opened as a result of changes in health care and the health care delivery system. The individuals we serve continue to have unmet needs despite implementation of the affordable care act and medicaid expansion, as well as the transition of health care delivery in the city of lakewood, ohio, people still struggle with affordability of care. Sixty six percent of patients have a household income of less than 20,000 annually. Many remain uninsured and others simply cannot afford the expensive premiums and deductibles which can be as high as two thirds of their annual household income. As a safety net provider, nch remains positioned to help bridge the gaps, expand services, and be the needed medical home to the thousands of individuals who come to us for care each year. Form 990, part vi, line 15a - compensation process for top official: executive committee recommends salary of the president and ceo during an executive session of the annual meeting of the board. Salary comparability data is collected from appropriate sources for the board's review. Form 990, part vi, line 15b - compensation process for officers: officers of the nch board of directors do not receive compensation. Form 990, part vi, line 19 - governing documents disclosure explanation: documents are made available to the public upon request.”

“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 p”

“Increase in net assets with donor restrictions 323,080”