North Coast Health

What it reported doing in 2018

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

Financial Efficiency

• Mission deployment rate: 90.2%; rating input score 90
• Program expense ratio: 80.8%; rating input score 81
• Fundraising efficiency: $7.51 raised per $1 spent on fundraising; rating input score 32; 32nd percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 7 of 8 controls in place; rating input score 88
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -11.7%; rating input score 13; 13th percentile among comparable filings
• Total-asset coverage ratio: 0.34; rating input score 18; 18th percentile among comparable filings
• Liabilities to assets ratio: 0.04; rating input score 62; 62nd percentile among comparable filings
• Officer compensation ratio: 4.3%; rating input score 58; 58th percentile among comparable filings

Growth

• Program expense growth: -26.3% per year; rating input score 0; 2nd percentile among comparable filings
• Revenue growth: -16.3% per year; rating input score 0; 2nd percentile among comparable filings
• Asset growth: -4.7% per year; rating input score 0; 12th percentile among comparable filings