2020-05-05T09:13:01-05:00 2019-06-30 BKD LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2018-07-01 134343743 CRAIG AND FRANCES LINDNER CENTER OF HOPE % LISA GIBBS CFO CRAI 5135364673 4075 OLD WESTERN ROW ROAD MASON OH 45040 LISA A GIBBS CFO 5135360314 2020-05-15 true Aaron Hershberger P00961884 5136218300 167.68.126.162 31025420201265000005 2020-05-05 P 5ECFD7F4488FEC6F6ABE53B187DEB4499E915412 FDEAFD0406FF7141BFF80F52237CA5777F98C136 2018 2020-09-23 17:36:50Z LINDNER CENTER OF HOPE PAUL E KECK JR MD 4075 OLD WESTERN ROW ROAD MASON OH 45040 42379411 false X LINDNERCENTEROFHOPE.ORG X 2006 OH LCOH IS A MENTAL HEALTH CENTER STAFFED BY A DIVERSE TEAM UNITED IN THE PHILOSOPHY THAT BY WORKING TOGETHER, WE CAN BEST OFFER HOPE FOR PEOPLE LIVING WITH MENTAL ILLNESS. 15 15 0 6 0 55409173 3402872 24647544 24866607 275850 862349 131829 370258 80464396 29502086 0 0 0 0 0 0 0 0 270500 26094197 28592581 26094197 28592581 54370199 909505 119284973 121985400 4000133 4267685 115284840 117717715 X LCOH IS A MENTAL HEALTH CENTER STAFFED BY A DIVERSE TEAM, UNITED IN THE PHILOSOPHY THAT BY WORKING TOGETHER, WE CAN BEST OFFER HOPE FOR PEOPLE LIVING WITH MENTAL ILLNESS. THE PATIENTS AND THEIR FAMILIES ARE AT THE CENTER OF OUR TREATMENT, EDUCATION, AND RESEARCH. false false 18340044 24866607 ACUTE INPATIENT CARE: FOR ADULT PATIENTS NEEDING THE HIGHEST LEVEL OF CARE AND CRISIS INTERVENTION DELIVERED WITH COMPASSION AND RESPECT, LINDNER CENTER OF HOPE HAS 32 PRIVATE ROOMS DIVIDED INTO TWO 16-ROOM UNITS FOR ACUTE HOSPITAL STAYS. AFTER A COMPREHENSIVE DIAGNOSTIC EVALUATION IS COMPLETED TO GAIN A THOROUGH UNDERSTANDING OF THE SPECIFIC NEEDS OF EACH PATIENT, INPATIENT TREATMENT FOCUSES ON QUICKLY RESOLVING SERIOUS AND LIFE THREATENING SYMPTOMS. ADULT PARTIAL HOSPITALIZATION: THE ADULT PARTIAL HOSPITALIZATION PROGRAM KEEPS PATIENTS, WHO MEET PROGRAM CRITERIA, OUT OF THE HOSPITAL, WHILE PROVIDING INTENSIVE TREATMENT IN A SAFE SETTING. LINDNER CENTER OF HOPE IS COMMITTED TO PROVIDING THE FULL SPECTRUM OF CARE FOR ADULTS SUFFERING WITH MENTAL ILLNESS. WHEN AN ADULT'S DAILY FUNCTIONING IS IMPAIRED BY MENTAL ILLNESS, YET CRITERIA ARE NOT MET FOR HOSPITALIZATION, THE ADULT PARTIAL HOSPITALIZATION PROGRAM (PHP) PROVIDES INTENSIVE TREATMENT IN A SAFE AND THERAPEUTIC ENVIRONMENT, WITHOUT FULL HOSPITALIZATION. PARTIAL HOSPITALIZATION HELPS PATIENTS PROGRESS TO THE POINT WHERE STANDARD OUTPATIENT APPOINTMENTS CAN BE EFFECTIVE. THIS PROGRAM IS ALSO USED AS A STEP-DOWN PROGRAM FROM HOSPITALIZATION, WITH THE INTENT OF GRADUALLY EASING AN ADULT BACK INTO THEIR HOME ENVIRONMENT. THE PROGRAM OPERATES MONDAY THROUGH FRIDAY FROM 8:30 A.M. TO 3:30 P.M. AND ENROLLEES ATTEND 5 DAYS PER WEEK FOR UP TO 4 WEEKS. THE PROGRAM OFFERS SOME FLEXIBILITY IN DESIGN, SO THAT THE PHP TREATMENT TEAM AND THE ENROLLEE CAN WORK TOGETHER TO CREATE THE RIGHT TREATMENT PLAN FOR EACH INDIVIDUAL. TRANSCRANIAL MAGNETIC STIMULATION THERAPY: MAJOR DEPRESSION IS A DEBILITATING BRAIN DISORDER THAT AFFECTS ONE IN 10 ADULTS. IT IS CAUSED BY AN IMBALANCE OF CHEMICALS IN THE BRAIN THAT RESULT IN A PERSISTENT STATE OF SADNESS AND LOSS OF INTEREST IN OR PLEASURE FROM NORMAL ACTIVITIES. INDIVIDUALS THAT HAVE TRIED MEDICATIONS AND PSYCHOTHERAPY TO RELIEVE THEIR SYMPTOMS, WITH LITTLE OR NO SUCCESS, OFTEN GIVE UP HOPE. THE INNOVATION OF TRANSCRANIAL MAGNETIC STIMULATION (TMS) CAN IMPROVE SYMPTOMS AND GIVE HOPE TO THOSE STRUGGLING TO LIVE THEIR LIVES. NATIONALLY RECOGNIZED AS EXPERTS IN THE TREATMENT OF DEPRESSION, LINDNER CENTER OF HOPE PSYCHIATRISTS OFFER TMS AS AN INNOVATIVE TREATMENT MODALITY THAT DELIVERS POSITIVE RESULTS TO PATIENTS COPING WITH MENTAL ILLNESS. TMS IS A NON-SYSTEMIC AND NON-INVASIVE TREATMENT FOR DEPRESSION THAT RECEIVED THE PRESTIGIOUS POPULAR SCIENCE AWARD BEST OF WHAT'S NEW IN 2009. ELECTROCONVULSIVE THERAPY (ECT) IS A SAFE AND EFFECTIVE TREATMENT OPTION FOR CERTAIN MENTAL ILLNESSES AND IS THE GOLD STANDARD FOR TREATMENT OF CERTAIN PSYCHIATRIC DISORDERS, CAUSING CHANGES IN BRAIN CHEMISTRY THAT CAN IMMEDIATELY REVERSE SYMPTOMS. AS ONE OF THE OLDEST AND MOST WIDELY USED MENTAL HEALTH PROCEDURES, OFTEN, ECT WORKS WHEN OTHER TREATMENTS ARE UNSUCCESSFUL. ECT IS AN EXTREMELY EFFECTIVE FORM OF TREATMENT, OFTEN SAFER AND MORE EFFECTIVE THAN MEDICATIONS OR NO TREATMENT AT ALL. LINDNER CENTER OF HOPE IS THE LEADING PROVIDER OF ECT IN THE AREA. THE CENTER'S ECT EXPERT PROVIDERS AND A CARING STAFF PERFORM THE PROCEDURE IN THE STATE-OF-THE-ART FARMER FAMILY NEUROMODULATION CENTER WITH THE LATEST TECHNOLOGY AND EQUIPMENT. TREATMENT APPOINTMENTS CAN BE SCHEDULED MONDAY, WEDNESDAY, THURSDAY, AND FRIDAY, 7:00 A.M. TO 1:00 P.M., WITH NEW PATIENTS STARTING THE PROCESS THROUGH INTAKE OR WHILE IN OUR HOSPITAL. LINDNER CENTER OF HOPE WOMEN'S MENTAL HEALTH PROGRAM: SOME MENTAL HEALTH CONCERNS ARE UNIQUE TO WOMEN, ESPECIALLY AS THEY RELATE TO A WOMAN'S REPRODUCTIVE LIFE CYCLE. THIS CYCLE IS NATURALLY FILLED WITH HIGHS AND LOWS THAT ARE LINKED TO PHYSICAL CHANGES, HORMONAL FLUCTUATIONS, LIFE-ALTERING EVENTS - OFTEN EQUALLY JOYOUS, SAD, AND STRESSFUL. SOMETIMES IT CAN BE HARD TO KNOW WHEN A MOOD OR BEHAVIOR IS MORE THAN A NORMAL REACTION TO PHYSIOLOGICAL CHANGE OR STRESS. THE WOMEN'S MENTAL HEALTH PROGRAM AT LINDNER CENTER OF HOPE STRIVES TO PROMOTE AND ENHANCE WOMEN'S MENTAL HEALTH. A WOMAN'S REPRODUCTIVE LIFE CYCLE. THIS CYCLE IS NATURALLY FILLED WITH HIGHS AND LOWS THAT ARE LINKED TO PHYSICAL CHANGES, HORMONAL FLUCTUATIONS, LIFE-ALTERING EVENTS - OFTEN EQUALLY JOYOUS, SAD, AND STRESSFUL. SOMETIMES IT CAN BE HARD TO KNOW WHEN A MOOD OR BEHAVIOR IS MORE THAN A NORMAL REACTION TO PHYSIOLOGICAL CHANGE OR STRESS. THE WOMEN'S MENTAL HEALTH PROGRAM AT LINDNER CENTER OF HOPE STRIVES TO PROMOTE AND ENHANCE WOMEN'S MENTAL HEALTH AND WELL-BEING ACROSS THE REPRODUCTIVE LIFECYCLE. SPECIALISTS ARE AVAILABLE TO HELP INDIVIDUALS AND THEIR CLINICIANS BY PROVIDING COMPREHENSIVE DIAGNOSTIC ASSESSMENTS, CONSULTATIONS, MEDICATION MANAGEMENT, AND PSYCHOTHERAPY SERVICES. RESIDENTIAL SERVICES: FOR PATIENTS SEEKING CARE BEYOND THE HOSPITAL SETTING AND THE LIMITS IMPOSED BY THIRD PARTY PAYERS, LINDNER CENTER OF HOPE OFFERS COMPREHENSIVE CARE FOR ADULTS AGE 18 YEARS AND OLDER (SIBCY HOUSE) AND FOR ADOLESCENTS AGE 11 TO 17 YEAR (WILLIAMS HOUSE) IN A SHORT TERM RESIDENTIAL SETTING. SIBCY HOUSE IS A 16-ROOM, PRIVATE-PAY, RESIDENTIAL PROGRAM THAT OFFERS A PREMIERE DIAGNOSTIC AND TREATMENT ENVIRONMENT NOT FOUND IN TRADITIONAL HOSPITALS OR TREATMENT CENTERS. PATIENTS BENEFIT FROM AN EXTENSIVE DIAGNOSTIC ASSESSMENT FOLLOWED BY EXTENDED STAYS TO INITIATE THEIR INDIVIDUALIZED TREATMENT PLAN. SIBCY HOUSE PROGRAMS FEATURE: - COMPREHENSIVE DIAGNOSTIC ASSESSMENT - DIAGNOSTIC AND TREATMENT PROGRAM - ADDICTIVE AND CO-OCCURRING DISORDERS PROGRAM - CONTINUING TREATMENT WITHIN THESE PROGRAMS, SIBCY HOUSE OFFERS SPECIALTY TRACKS FOR PATIENTS DIAGNOSED WITH: - DEPRESSION AND BIPOLAR DISORDER - EATING DISORDERS - ADDICTIVE DISORDERS - CO-OCCURRING PSYCHIATRIC DISORDERS - ANXIETY DISORDERS - OBSESSIVE COMPULSIVE DISORDER WILLIAMS HOUSE IS A 16 BED, PRIVATE PAY RESIDENTIAL PROGRAM THAT OFFERS A CORE ASSESSMENT PROGRAM AND ADDITIONAL WEEKS THAT ALLOW EACH INDIVIDUAL STAY TO BE CUSTOMIZED FOR THE PATIENT AND FAMILY. A 14-DAY CORE ASSESSMENT FOCUSES ON THE DIAGNOSTICS, EVALUATION AND AN EXTENSIVE ARRAY OF ASSESSMENTS AND TEST, INDIVIDUALIZED BASED ON THE PATIENT'S PRESENTING SYMPTOMS. THE SECOND COMPONENT ZEROES IN ON STABILIZATION, SKILLS BUILING, INCREASING INDEPENDENCE AND INITIATIVE AND CHANGING TREATMENT TRAJECTORY THROUGH DAILY GROUPS FOCUSED ON SKILLS OF EMOTIONAL MANAGEMENT AND INTERPERSONAL EFFECTIVENESS. THE THIRD COMPONENT WORKS TO PREPARE THE PATIENT FOR THE NEXT LEVEL OF CARE, WHETHER WITHIN THE WILLIAMS HOUSE OF WITH ANOTHER PROVIDER. INDIVIDUAL THERAPY, GROUPS AND CLINICAL SKILLS BUILDING, WITHIN THE DBT AND CBT STRUCTURED MILIEU, OCCURS DURING THE ENTIRE VISIT BUT BECOMES MORE OF THE FOCUS AFTER THE DIAGNOSTIC WORKUP IS COMPLETE. OUR PROGRAMS IS BUILT TO GET TO THE ROOT OF ISSUES AND TREAT EACH DISORDER IN A SAFE, WELCOMING ENVIRONMENT. HERE ARE THE ISSUES WE DIAGNOSE AND TREAT: - ANXIETY PROBLEMS - ADDICTIVE ISSUES - CO-OCCURING DISORDERS - DISORDERED EATING - MOOD PROBLEMS - OBSESSIVE COMPULSIVE DISORDER (OCD) - DISORDERED THINKING - MALADAPTIVE COPING SKILLS - FAMILY OR RELATIONSHIP PROBLEMS - NEURODEVELOPMENTAL ISSUES - LEARNING DIFFERENCES OR PROBLEMS WITH SCHOOL DISORDER LINDNER CENTER OF HOPE'S HOPE CENTER NORTH LOCATION IS DEDICATED TO OUTPATIENT TREATMENT FOR SUBSTANCE USE DISORDERS AND CO-OCCURING MENTAL HEALTH AND SUBTANCE USE DISORDERS. THIS NEW LOCATION OFFERS COMPREHENSIVE ASSESSMENT, INDIVIDUAL AND GROUP THERAPY, AND MEDICATION-ASSISTED TREATMENT. CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER HOSPITALIZATION SERVICES FOR ADOLESCENTS: CINCINNATI CHILDREN'S AT LINDNER CENTER OF HOPE, STAFFED BY LINDNER CENTER OF HOPE CLINICAL EXPERTS, PROVIDES STABILIZATION FOR STRUGGLING ADOLESCENTS AGE 12 TO 17 ON THE 16-BED ADOLESCENT UNIT. PATIENTS PARTICIPATE IN STRUCTURED DAILY ACTIVITIES THAT ARE EVIDENCE-BASED AND INTERDISCIPLINARY IN NATURE. MANY INVOLVE GROUP WORK WITH PEERS AND STAFF. THE TREATMENT TEAM CAN INCLUDE PSYCHIATRISTS, PSYCHOLOGISTS, SOCIAL WORKERS, DIETITIANS, AND GENERAL PRACTICE PHYSICIANS. DAILY PROGRAMMING AIMS TO ENSURE COMPREHENSIVE AND ADOLESCENT-CENTERED EDUCATION AND TREATMENT DURING THE COURSE OF THE INPATIENT STAY. THE RECOVERY PROCESS BEGINS DURING THE COURSE OF THE INPATIENT STAY IN ORDER TO PROMOTE AS SMOOTH A TRANSITION AS POSSIBLE TO THE OUTPATIENT SETTING. THE COLLABORATION BETWEEN CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER AND LINDNER CENTER OF HOPE RESULTS IN THE HIGHEST QUALITY CARE FOR ADOLESCENTS ON THE UNIT. THE TEAM TREATS ADOLESCENTS WITH ALL MENTAL HEALTH DIAGNOSES WHO MEET ADMISSION CRITERIA AND ALSO OFFERS A SPECIALTY EATING DISORDERS TRACK. 18340044 true true false false false false false false true true true false true false true false true false false false false false false true false true true false false false false false false false false false false false true false false false false true true true false false true 87 0 true 0 false false false false false true true false false false false false false X 15 15 true false false false true true true true true false false true true true true true true true true false X LISA GIBBS CFO 5135360314 4075 OLD WESTERN ROW ROAD MASON OH 45040 X S CRAIG LINDNER CO-PRESIDENT 3.0 0.0 X X 0 0 0 RICHARD LOFGREN CO-PRESIDENT 3.0 0.0 X X 0 0 0 FRANCES R LINDNER TRUSTEE 1.0 0.0 X 0 0 0 SANDI AMOLIS MD TRUSTEE 0.25 0.0 X 0 0 0 WILLIAM BUTLER TRUSTEE 0.25 0.0 X 0 0 0 WILLIAM BALL MD TRUSTEE - TERM ENDED IN FY 0.25 0.0 X 0 0 0 SHARON FRISBIE TRUSTEE 0.25 0.0 X 0 0 0 L THOMAS HILTZ ESQ TRUSTEE 0.25 0.0 X 0 0 0 ANNE KEREIAKES TRUSTEE 0.25 0.0 X 0 0 0 JOHN T LAWRENCE TRUSTEE - TERM ENDED IN FY 0.25 0.0 X 0 0 0 VINCE RINALDI TRUSTEE 0.25 0.0 X 0 0 0 J SCOTT ROBERTSON TRUSTEE 0.25 0.0 X 0 0 0 PAM SIBCY TRUSTEE 0.25 0.0 X 0 0 0 ANDY FILAK TRUSTEE 0.25 0.0 X 0 0 0 JON ZIPPERSTEIN TRUSTEE 0.25 0.0 X 0 0 0 GREG HARMEYER TRUSTEE 0.25 0.0 X 0 0 0 JULIE HEIDT TRUSTEE 0.25 0.0 X 0 0 0 PAUL E KECK JR CHIEF EXECUTIVE OFFICER 45.0 5.0 X 0 0 0 LISA GIBBS CHIEF FINANCIAL OFFICER 45.0 5.0 X 0 0 0 MARILYN SCHWEMBERGER RN CHIEF NURSING OFFICER 45.0 0.0 X 0 0 0 PAUL CROSBY CHIEF MEDICAL OFFICER 45.0 5.0 X 0 0 0 BRYAN HEHEMAN CHIEF OPERATING OFFICER 45.0 5.0 X 0 0 0 0 0 0 0 false false false U C PHYSICIANS COMPANY 260 STETSON ST SUITE 2300 CINCINNATI OH 452670525 CLINICIAN SERVICES 6862645 U C HEALTH 3200 BURNET AVE CINCINNATI OH 45229 PAYROLL/IT SVCS 5429922 UNIVERSITY OF CINCINNATI 3223 EDEN AVE ML 0553 CINCINNATI OH 45267 CLINICIAN SERVICES 3758499 US FOODS 5445 SPELLMIRE DRIVE CINCINNATI OH 45246 FOOD VENDOR 368002 OMNICELL INC 590 E MIDDLEFIELD ROAD MOUNTAIN VIEW CA 940434008 SOFTWARE SUPPORT 367195 15 215658 3187214 25024 3402872 PATIENT SERVICE REVENUE 621990 21836478 21836478 LEASE INCOME 532000 2422191 2422191 RESEARCH REVENUE 541700 607938 607938 24866607 843286 843286 0 0 0 0 0 12858379 12839316 19063 19063 19063 0 215658 38009 -38009 -38009 0 0 0 0 0 0 OTHER INCOME 900099 408267 408267 408267 29502086 24866607 1232607 0 0 0 0 0 0 0 0 0 0 0 48328 48328 70141 70141 0 0 0 20009111 12573295 7237151 198665 1484427 932782 536907 14738 560111 351962 202588 5561 0 0 1442315 906320 521675 14320 147802 92876 53459 1467 0 26647 16744 9638 265 0 0 1627770 1184625 431453 11692 280776 204337 74422 2017 SUPPLIES 776717 488072 280933 7712 FRANCHISE FEE 442424 321978 117268 3178 CAFETERIA 461711 336015 122380 3316 Bad Debt 452068 452068 762233 478970 275694 7569 28592581 18340044 9982037 270500 8669896 8439901 0 0 41630898 37019533 2027584 1635432 0 0 0 0 0 0 69890 86160 711945 1385656 50436390 20379941 31050173 30056449 0 0 22220545 27947354 0 0 0 0 12904042 15414915 119284973 121985400 4000133 4267685 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4000133 4267685 X 60644836 65525201 31331502 27202169 23308502 24990345 115284840 117717715 119284973 121985400 909505 1523370 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 33630740 3538954 2207092 813116 38563670 9544902 23581979 790010 286151 33630740 7170795 1250618 1303489 180000 9544902 6804238 209045 307512 150000 7170795 6074011 328033 402194 6804238 0.33022 0.64803 0.02175 false false 3418002 3418002 36015560 12156502 23859058 1460151 588594 871557 2777808 1814173 963635 6764869 5820672 944197 30056449 OTHER SECURITIES 27947354 F 27947354 DUE FROM LCOHPA 15414915 15414915 0 0 X SCHEDULE D, PART X, LINE 2 THE CENTER HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE CENTER IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE CENTER FILES TAX RETURNS IN THE U.S FEDERAL JURISDICTION. SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS WERE PROVIDED FOR THE RECRUITMENT AND RETENTION OF THE BEST CLINICIANS AND CLINICAL SCIENTISTS IN THE COUNTRY. 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X X X X X true true X X X true X WWW.LINDNERCENTEROFHOPE.ORG X WWW.LINDNERCENTEROFHOPE.ORG X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 INPUT FROM THE COMMUNITY THE CHNA GATHERED INPUT FROM MEDICALLY UNDERSERVED, MINORITY, AND LOW-INCOME POPULATIONS AND ENCOURAGED A BROAD RANGE OF INPUT FROM PEOPLE WHO LIVE OR ORGANIZATIONS WHO SERVE VULNERABLE RESIDENTS OF THE COMMUNITY. THERE CAN BE DYNAMIC TENSION BETWEEN ASKING FOR OPEN SHARING OF OPINIONS WHILE ALSO REQUESTING POTENTIALLY SENSITIVE DEMOGRAPHIC INFORMATION. PARTICIPANTS WERE NOT ASKED TO DISCLOSE DEMOGRAPHIC INFORMATION AT MEETINGS. INDIVIDUAL SURVEY RESPONDENTS WERE GIVEN THE OPTION TO DISCLOSE RACE, ETHNICITY, OR ADDRESS. TO ENSURE BROAD REPRESENTATION BUT ALSO INCLUSION OF VULNERABLE POPULATIONS, THE CHNA TEAM AND ITS PARTNERS DID THE FOLLOWING: - MARKETING THE COMMUNITY MEETINGS THROUGH HOSPITALS, HEALTH DEPARTMENTS, AND COMMUNITY-BASED NONPROFIT ORGANIZATIONS WITH FOLLOW-UP EMAIL AND PHONE CALLS TO NONPROFIT AGENCIES THAT HAD NOT BEEN ENGAGED IN PAST CHNA MEETINGS. - ADDRESSED TWO MEETINGS OF GRANTEES FOR INTERACT FOR HEALTHS THRIVING COMMUNITY INITIATIVE TO PUBLICIZE THE MEETINGS AND SHARE THE LINK TO THE ONLINE SURVEY. - SOLICITED INPUT IN SMALLER FOCUS GROUP SETTINGS FOR PEOPLE WHO WERE AFRICAN-AMERICAN; LATINO; ELDERLY; IDENTIFYING AS BELONGING WITHIN THE LBGTQ+ COMMUNITY; OR MEMBERS OF CINCINNATIS CREATING HEALTHY COMMUNITIES INITIATIVE AND ASKED THEM TO SHARE THE SURVEY LINK WITH FRIENDS, FAMILY, AND COLLEAGUES. - ENGAGED NATIVE SPEAKERS WHO WERE HEALTH AND OUTREACH WORKERS TO CONDUCT ONE-ON-ONE SURVEYS WITH LATINOS AND REFUGEES FROM THE CONFLICT IN RWANDA. - SENT COLLEGE STUDENT INTERNS TO COMMUNITY EVENTS AND FESTIVALS, WHICH ATTRACTED THE GENERAL PUBLIC AS WELL AS THOSE WHICH TARGETED SPECIFIC POPULATIONS, SUCH AS CINCY CINCO, ASIAN FOOD FEST, AND JUNETEENTH (AMONG OTHERS) THEY CONDUCTED THE SURVEYS ON MOBILE TABLETS WITH DROP-DOWN MENUS. - PEOPLE WORKING COOPERATIVELY ALSO ADMINISTERED MOBILE SURVEYS IN LOW-INCOME HOMES, FOR ELDERLY AND DISABLED RESIDENTS, WHERE THEIR NONPROFIT WAS MAKING REPAIRS AND/OR ACCESSIBILITY MODIFICATIONS. - MEDICAL OFFICES SHARED SURVEYS WITH PATIENTS WHO WERE MINORITIES OR RECEIVING SUBSTANCE ABUSE TREATMENT. PART V, SECTION B, LINE 6A HOSPITAL FACILITIES PARTICIPATING IN THE CHNA - THE CHRIST HOSPITAL HEALTH NETWORK - CINCINNATI CHILDRENS HOSPITAL MEDICAL CENTER - CLINTON MEMORIAL HOSPITAL - HIGHPOINT HEALTH - KETTERING HEALTH NETWORK - FORT HAMILTON HOSPITAL - GRANDVIEW MEDICAL CENTER - GREENE MEMORIAL HOSPITAL - KETTERING BEHAVIORAL MEDICINE CENTER - KETTERING MEDICAL CENTER - SOIN MEDICAL CENTER - SOUTHVIEW MEDICAL CENTER - SYCAMORE MEDICAL CENTER - LINDNER CENTER OF HOPE - MERCY HEALTH - CINCINNATI REGION - MERCY HEALTH - ANDERSON HOSPITAL - MERCY HEALTH - CLERMONT HOSPITAL - MERCY HEALTH - FAIRFIELD HOSPITAL - MERCY HEALTH - WEST HOSPITAL - THE JEWISH HOSPITAL - MERCY HEALTH - MERCY HEALTH - SPRINGFIELD URBANA REGION - MERCY HEALTH - URBANA HOSPITAL - SPRINGFIELD REGIONAL MEDICAL CENTER - PREMIER HEALTH - ATRIUM MEDICAL CENTER - MIAMI VALLEY HOSPITAL - MIAMI VALLEY HOSPITAL NORTH - MIAMI VALLEY HOSPITAL SOUTH - UPPER VALLEY MEDICAL CENTER - TRIHEALTH - BETHESDA BUTLER HOSPITAL - BETHESDA NORTH HOSPITAL - GOOD SAMARITAN HOSPITAL - MCCULLOUGH-HYDE MEMORIAL HOSPITAL - TRIHEALTH EVENDALE HOSPITAL - UC HEALTH - DANIEL DRAKE CENTER FOR POST-ACUTE CARE - UNIVERSITY OF CINCINNATI MEDICAL CENTER - WEST CHESTER HOSPITAL - WILSON HEALTH - WAYNE HEALTHCARE PART V, SECTION B, LINE 6B ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES PARTICIPATING IN THE CHNA - ADAMS COUNTY HEALTH DEPARTMENT - BROWN COUNTY HEALTH DEPARTMENT - BUTLER COUNTY HEALTH DEPARTMENT - CHAMPAIGN-URBANA COUNTY DEPARTMENT - CINCINNATI HEALTH DEPARTMENT - CITY OF HAMILTON HEALTH DEPARTMENT - CLARK COUNTY COMBINED HEALTH DISTRICT - CLERMONT COUNTY PUBLIC HEALTH - CLINTON COUNTY HEALTH DEPARTMENT - DARKE COUNTY GENERAL HEALTH DISTRICT - FAYETTE COUNTY PUBLIC HEALTH - GREENE COUNTY PUBLIC HEALTH - HAMILTON COUNTY PUBLIC HEALTH - HIGHLAND COUNTY HEALTH DEPARTMENT - MIAMI COUNTY PUBLIC HEALTH - MIDDLETOWN CITY HEALTH DISTRICT - NORWOOD HEALTH DEPARTMENT - PIQUA CITY HEALTH DEPARTMENT - PREBLE COUNTY PUBLIC HEALTH - PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY - SIDNEY SHELBY COUNTY HEALTH DEPARTMENT - SPRINGDALE HEALTH DEPARTMENT - WARREN COUNTY COMBINED HEALTH DISTRICT PART V, SECTION B, LINE 11 IMPLEMENTATION STRATEGY LINDNER CENTER OF HOPE DID NOT ADDRESS THE FOLLOWING NEED IDENTIFIED IN THE CHNA: - CHRONIC DISEASE. THE NEED WAS NOT ADDRESSED DUE TO RESOURCE CONSTRAINTS, UNAVAILABILITY OF EFFECTIVE INTERVENTIONS TO ADDRESS THE NEED AND/OR THE FACT THAT THE NEED WAS BETTER ADDRESSED OR IS CURRENTLY BEING ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS OR ENTITIES. THE AREAS OF FOCUS TO BE ADDRESSED BY LCOH AS A RESULT OF THE CHNA AND THE RESULTING LCOH ANALYSIS ARE AS FOLLOWS: 1. SUBSTANCE ABUSE, 2. MENTAL HEALTH, 3. ACCESS TO CARE/SERVICES, AND 4. HEALTHY BEHAVIORS INCLUDING STOPPING SMOKING. IMPLEMENTATION PLAN SUBSTANCE ABUSE: SUBSTANCE ABUSE WAS IDENTIFIED AMONG THE MOST SIGNIFICANT HEALTH-RELATED CONCERNS IN COMMUNITY MEETINGS AND SURVEYS, AND BY PROVIDER AGENCIES AND HEALTH DEPARTMENTS DURING THE 2019 CHNA PROCESS. ALTHOUGH SUBSTANCE ABUSE DISORDER IS A MENTAL HEALTH DIAGNOSIS, CHNA RESPONSES INDICATED THAT SUBSTANCE ABUSE REMAIN A SEPARATE CATEGORY RELATED TO THE USE AND ABUSE OF ILLEGAL DRUGS, PRESCRIPTION DRUGS, ALCOHOL, AND ADDICTION IN GENERAL. RESPONSES ALSO SUGGESTED THAT THERE SHOULD BE MORE ATTENTION GIVEN TO APPROACHES THAT DEAL WITH THE UNDERLYING PROBLEMS LEADING TO ADDICTION OF ANY KIND. * IN MARCH OF 2015, LCOH OPENED HOPE CENTER NORTH SPECIFICALLY TO ADDRESS THE GROWING ADDICTIONS ISSUES IN THE COMMUNITY. HOPE CENTER NORTH OFFERS AN OPIOID REPLACEMENT THERAPY PROGRAM IN MASON, OHIO, BUT ALSO OFFERS OUTPATIENT SERVICES TO THOSE STRUGGLING WITH SUBSTANCE ABUSE DISORDERS AND OR CO- OCCURRING MENTAL HEALTH ISSUES. SINCE ITS OPENING, THIS PROGRAM HAS SERVED A RANGE OF 250 TO 300 PATIENTS ON AN ONGOING BASIS, THUS ALLOWING THEM TO CARRY ON WITH THEIR NORMAL ACTIVITIES OF DAILY LIVING AND RESPONSIBILITIES. BEGINNING IN JULY 2019, HOPE CENTER NORTH WILL BEGIN ACCEPTING MEDICAID FOR OPIOID REPLACEMENT. EXPANDING SERVICES TO MEDICAID CLIENTS WILL ALLOW THE CENTER TO SERVE EVEN MORE PEOPLE STRUGGLING WITH OPIOID ADDICTION. IN ADDITION, THE CENTER IS EXPANDING STAFF TO SUPPORT A GROWING VOLUME OF PATIENTS. * IN THE SUMMER OF 2018, LCOH LAUNCHED A 10-DAY SUBSTANCE USE DISORDER DETOX AND EVALUATION PROGRAM FOR ADULTS IN RECOGNITION OF THE GROWING SUBSTANCE USE ISSUES. THIS ROBUST PROGRAM WAS DESIGNED TO PROVIDE A SOLID FOUNDATION FOR CLIENTS ON THEIR RECOVERY JOURNEY. THE PROGRAM WORKS WITH PATIENTS TO COMPLETE DETOXIFICATION WITH MEDICAL SUPPORTS AND TO COMPLETE AN EVALUATION THAT WILL GUIDE THEM TO OPTIMAL NEXT STEPS IN TREATMENT. THESE SERVICES ARE PROVIDED IN A RESIDENTIAL SETTING. ON AVERAGE, ABOUT 15 PERCENT OF OUR RESIDENTIAL POPULATION HAS A PRIMARY DIAGNOSIS OF SUBSTANCE USE DISORDER. * LCOH ALSO OFFERS A 12 WEEK LONG INTENSIVE OUTPATIENT PROGRAM (IOP) FOR ADDICTIONS PATIENTS. THIS PROGRAM OPERATES THREE EVENINGS PER WEEK. SEPARATE AFTERCARE AND FAMILY SUPPORT PROGRAMS ARE ALSO OFFERED ON A WEEKLY BASIS. THESE ACTIVITIES, AND OTHERS AS ADDITIONAL OPPORTUNITIES ARE IDENTIFIED, WILL RESULT IN HIGH QUALITY ADDICTIONS SERVICES WITH EXCELLENT CLINICAL OUTCOMES AS EVIDENCED BY PATIENT RETENTION RATES AND AGGREGATE CLINICAL GLOBAL INDICATORS (CGI) OF AT LEAST 1.0, WHEN THIS METRIC IS APPLICABLE. MENTAL HEALTH: OVER THE PAST SEVERAL YEARS, INCREASED ATTENTION HAS BEEN PAID NATIONALLY TO THE LEVEL OF MENTAL ILLNESS PRESENT IN OUR SOCIETY, PARTIALLY DUE TO THE INCREASED NUMBER OF VIOLENT INCIDENTS IN SCHOOLS, PLACES OF ENTERTAINMENT AND EVEN PLACES OF WORSHIP. ADDITIONALLY, RECENT DATA IS SHOWING A CLIMB IN SUICIDE DEATHS. THOUGH INCREASED ATTENTION IS GOOD, INCREASED ACCESS AND REIMBURSEMENT IS NEEDED TO APPROPRIATELY ADDRESS THE CONCERNS. THE 2019 CHNA DATA COLLECTION ACTIVITIES IDENTIFIED MENTAL HEALTH AS A KEY HEALTH CONCERN, WITH DEPRESSION AND SUICIDE RISING AS THE MOST COMMONLY CITED ISSUES. ADDITIONALLY, THE REPORT INDICATES THAT CHILD MENTAL HEALTH ISSUES WERE FREQUENTLY MENTIONED. BOTH FINANCIAL AND NONFINANCIAL BARRIERS EXIST FOR MOST COMMUNITY MEMBERS. THE SEVERITY OF THIS PROBLEM CAN BE BETTER UNDERSTOOD KNOWING THAT THERE IS A NATIONAL SHORTAGE OF PROVIDERS AND A GENERAL LACK OF MENTAL HEALTH PARITY IN INSURANCE PLANS. LCOH WILL FOLLOW UP ON THIS AREA OF FOCUS AS FOLLOWS: * LCOH RECOGNIZES THAT PHYSICIANS AND FIRST RESPONDERS ALSO EXPERIENCE MENTAL HEALTH ISSUES AT AT LEAST THE RATE OF 1 AND 5, YET THEIR ROLES IN OUR COMMUNITY ARE EVEN MORE CRITICAL IN THEIR IMPACT ON OTHERS. OVER THE LAST YEAR, LCOH HAS CREATED SPECIAL ACCESS PROGRAMS TO SERVICES FOR THESE GROUPS IN ORDER TO ELIMINATE BARRIERS TO RECEIVING TREATMENT, IN THE HOPES OF POSITIVELY IMPACTING THE LIVES OF THOSE OUR COMMUNITY DEPENDS UPON. * ADDITIONALLY, TO ADDRESS THE SHORTAGE OF PROVIDERS AND ACCESS ISSUES, LCOH CREATED A RAPID ACCESS SERVICE FOR ADULTS TO QUICKLY BE SEEN BY A PSYCHIATRIST AND SOCIAL WORKER WITH RECOMMENDATIONS FOR NEXT STEPS BEING COORDINATED FOLLOWING THE APPOINTMENT. APPOINTMENTS FOR THIS PROGRAM SIGNIFICANTLY REDUCE THE WAIT TIME FOR THOSE LOOKING FOR OUTPATIENT ASSESSMENT. * LCOH ALSO MADE CHANGES TO SERVICE OFFERINGS TO CREATE MORE ACCESS FOR COMPREHENSIVE OUTPATIENT ASSESSMENTS FOR CHILDREN AND ADOLESCENTS VERSUS A MORE COSTLY APPROACH IN A RESIDENTIAL SETTING. IN ADDITION, LCOH ADDED ANOTHER LEVEL TO OUR CONTINUUM OF CARE FOR ADULTS IN NEED OF RESIDENTIAL TREATMENT. THIS NEW LEVEL OF RESIDENTIAL WILL SERVE PATIENTS NEEDING MORE STABILIZATION AND EVALUATION. * MAY 2019, LCOH WITH SUPPORT FROM THE CITY OF MASON AND OTHER SPONSORED OUR THIRD COMMUNITY-WIDE MENTAL HEALTH EDUCATION EVENT WHICH WAS INTENDED TO HELP DECREASE THE STIGMA ASSOCIATED WITH MENTAL HEALTH DIAGNOSES. OVER 400 COMMUNITY MEMBERS ATTENDED THE DAY-LONG SERIES OF EDUCATIONAL MODULES. THE EVENT HAS THUS FAR BEEN A BI-ANNUAL EVENT, THE NEXT ONE WOULD BE CONSIDERED FOR 2021 GIVEN FINANCIAL SUPPORT AND STAFFING RESOURCES. * ON A MONTHLY BASIS, LCOH OFFERS GRAND ROUNDS PRESENTATIONS FOR LCOH PROVIDERS AS WELL AS COMMUNITY-BASED HEALTHCARE PROVIDERS. THESE SESSIONS PROVIDE THESE PROVIDERS WITH ONGOING TRAINING AND DEVELOPMENT IN THE AREAS OF MENTAL HEALTH DIAGNOSIS AND TREATMENT. IN ADDITION, AT LEAST FOUR ADDITIONAL EDUCATION AND DEVELOPMENT OPPORTUNITIES ARE OFFERED BY LCOH ON AN ANNUAL BASIS TO SELECTED GROUPS SUCH AS AREA HOSPITAL STAFF, PRIMARY CARE PROVIDERS AND OTHER DEFINED GROUPS. OVER THE NEXT THREE YEARS, LCOH WILL INVESTIGATE ADDITIONAL OPPORTUNITIES TO ASSIST IN THE DEVELOPMENT AND EDUCATION OF LOCAL MENTAL HEALTHCARE PROVIDERS, AS RESOURCES ARE AVAILABLE FOR THIS PURPOSE. * LCOH ALSO CONTINUES ITS COMMITMENT TO COMMUNITY OUTREACH WITH CLINICIANS PRESENTING EDUCATIONAL OFFERINGS THROUGH ORGANIZATIONS SUCH AS NAMI, MHA AND EVEN SOME LOCAL SCHOOL SYSTEMS. LCOH ALSO PARTICIPATES IN SOME COMMUNITY HEALTH FAIRS. ADDITIONALLY, LCOH OFFERS AN ONGOING COMMUNITY EDUCATION SERIES AND BEGAN A WEBCAST CONTINUING EDUCATION SERIES IN 2018. IT IS EXPECTED THAT LCOHS GROWING FOCUS ON THE NEED FOR AND SUPPORT OF ONGOING PROFESSIONAL TRAINING AND DEVELOPMENT WILL RESULT IN A HIGHER LEVEL OF STATE-OF-THE-ART MENTAL HEALTHCARE AVAILABLE TO LOCAL RESIDENTS AS WELL AS THOSE WHO TRAVEL TO RECEIVE CARE AT LCOH. COMMUNITY EDUCATION WILL ALSO REMAIN A PRIORITY AS LONG AS ADEQUATE RESOURCES ARE AVAILABLE. * LCOH MORE FORMALLY EXPANDED EFFORTS TO AREA BUSINESSES IN 2019 WITH THE LAUNCH OF START THE CONVERSATION. THIS PROGRAM USES EDUCATIONAL VIDEOS, SURVEYS, EMAILS AND WEB LANDING PAGES TO INCREASE AWARENESS OF EMPLOYEES OF THE BUSINESSES THAT ENGAGE WITH THE EFFORT. OVER THE NEXT YEAR, LCOH EXPECTS TO EXPAND THIS OFFERING TO MORE AREA BUSINESSES. ACCESS TO CARE/SERVICES/RESOURCES: ACCESS TO ALL TYPES OF HEALTHCARE SERVICES, ESPECIALLY FOR THE UNINSURED AND UNEMPLOYED / UNDEREMPLOYED, WAS ALSO IDENTIFIED AS A MAJOR CONCERN. THE COMPLEXITY OF THIS PROBLEM AS WELL AS THE COST OF ADDRESSING IT ASSURES THAT IT WILL REMAIN AN AREA OF FOCUS WELL INTO THE FUTURE. REGARDLESS, THERE ARE COMPONENTS OF THIS CHALLENGE THAT CAN BE IMPROVED. FOR EXAMPLE, THE STIGMA THAT EXISTS ABOUT MENTAL ILLNESS IS PART OF THE REASON WHY PARITY DOES NOT EXIST AND ATTENTION TO THIS NEED IS NOT OFTEN A PRIORITY. IN ADDITION, RECOGNIZING THAT THERE IS A LACK OF PROVIDERS ACROSS THE NATION, EFFORTS TO INCREASE THE NUMBER OF PATIENTS THAT CAN RECEIVE CARE SHOULD BE A PRIORITY OF THESE PROVIDERS AND THEIR SPONSORING ORGANIZATIONS. ANOTHER OPPORTUNITY IS TO SUPPORT THE REDEFINITION OF HOW CARE IS DELIVERED INCLUDING USING PHYSICIAN EXTENDERS, IDENTIFYING ADDITIONAL LOCATIONS THAT CAN BETTER SERVE POPULATIONS IN NEED, AND CONSIDERING NON-TRADITIONAL DELIVERY OF CARE SUCH AS TELEMEDICINE AND GROUP TREATMENT IN PLACE OF INDIVIDUAL TREATMENT, WHEN APPROPRIATE. LCOH WILL FOLLOW UP ON THIS AREA OF FOCUS AS FOLLOWS: * LCOH WILL CONTINUE TO PARTICIPATE IN EFFORTS TO EDUCATE LEGISLATORS ABOUT MENTAL HEALTH NEEDS AND THE IMPORTANCE OF PARITY IN HEALTHCARE COVERAGE. * LCOH EXPECTS TO INCREASE THE USE OF TELEPSYCHIATRY TO PROVIDE GREATER ACCESS TO CARE IN THE NEAR FUTURE. * LCOH HAS FOCUSED ON GROWING OUR CLINICIAN RECR PART V, SECTION B, LINE 23 THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS BASED UPON FEDERAL POVERTY LEVELS STATED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. 1 LCOH AT HOPE CENTER NORTH 4483 STATE ROUTE 42 MASON OH 45040 OUTPATIENT ADDICTION CLINIC PART I, LINE 7 COST TO CHARGE RATIO CALCULATION THE COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 2. PERCENT OF TOTAL EXPENSE FORM 990, PART IX, LINE 24 INCLUDES $452,068 OF BAD DEBT EXPENSE. THIS AMOUNT WAS REMOVED FROM THE ORGANIZATIONS TOTAL EXPENSES BEFORE CALCULATING THE PERCENTAGE REPORTED ON SCHEDULE H, PART I, LINE 7, COLUMN (F). PART III, SECTION A, LINE 2 BAD DEBT EXPENSE THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON LCOH'S HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THRID-PARTY COVERAGE, THE CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBFUL ACCOUNTS APROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATIED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXIST FOR PART OF THE BILL), THE CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, SECTION B, LINE 8 MEDICARE COSTING METHODOLOGY LCOH'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III. PART III, LINE 9B DEBT COLLECTION POLICY PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAY AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY ONLY AS A LAST RESORT AND ONLY WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO. PART VI OTHER INFORMATION THE LINDNER CENTER OF HOPE IS A 48 BED NONPROFIT, MENTAL HEALTH CENTER STAFFED BY A DIVERSE TEAM, UNITED IN THE PHILOSOPHY THAT BY WORKING TOGETHER, WE CAN BEST OFFER HOPE FOR PEOPLE LIVWITH MENTAL ILLNESS. THE PATIENT AND FAMILY ARE AT THE CENTER OF OUR TREATMENT, EDUCATION, AND RESEARCH. PART VI, LINE 2 NEEDS ASSESSMENT THE LINDNER CENTER OF HOPE (LCOH) RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS THAT ENHANCE THE ISSUES RELATED TO BEHAVIORAL HEALTHISSUES. THROUGH OUTREACH EFFORTS, RESEARCH, ANALYSIS AND MARKETING, THE LINDNER CENTER OF HOPE HAS ESTABLISHED SERVICES TO TREAT BEHAVIORAL HEALTH ILLNESSES THROUGH OUT PATIENT THERAPY, PARTIAL HOSPITALIZATION, INPATIENT, RESIDENTIAL PROGRAMS, AND OTHER ANCILLARY SERVICES. IN 2012, 2016 AND AGAIN IN 2019, IN FULFILLMENT OF THE REQUIREMENTS OF THE AFFORDABLE HEALTH CARE ACT FOR 501(C)(3) HOSPITALS, LCOH PARTICIPATED WITH OTHER GREATER CINCINNATI AREA HOSPITALS ON AN INITIATIVE SPONSORED AND LED BY THE HEALTH COLLABORATIVE ("THC"). THE ASSESSMENT INCLUDED INPUT FROM CITIZENS, ORGANIZATIONS, AND STAKE HOLDERS ACROSS TWENTY-FIVE COUNTIES IN SOUTHWEST OHIO, NORTHERN KENTUCKY AND SOUTHEAST INDIANA. THE RESULTS OF THE CHNA THAT WAS COORDINATED BY THE THC SERVES AS A BASELINE OF THE HEALTH STATUS AND NEEDS OF THE TWENTY-FIVE COUNTIES IDENTIFIED BY THE FUNDERS AS THE GEOGRAPHY OF FOCUS. CHNA DATA WERE COMPILED FROM THE MOST UP-TO-DATE PUBLICLY AVAILABLE RESOURCES AS WELL AS PRIMARY RESEARCH WITH STAKEHOLDERS PROVIDERS AND TARGETED POPULATIONS WHO FACE SIGNIFICANT CHALLENGES GETTING HEALTH CARE AND MAINTAINING OPTIMUM HEALTH AND WELL-BEING. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY OF ASSISTANCE FINANCIAL COUNSELORS DISCUSS WITH THE PATIENT THEIR BENEFIT COVERAGE FOR THE SERVICE AND THE AVAILABILITY OF FINANCIAL ASSISTANCE, IF APPLICABLE. A TRANSLATION SERVICE IS AVAILABLE FOR THOSE INDIVIDUALS REQUIRING THAT SERVICE. ALL THIRD PARTIES THAT WORK ON THE BEHALF OF THE LINDNER CENTER OF HOPE TO COLLECT FEES (SUCH AS COLLECTION AGENCIES) ARE REQUIRED TO FOLLOW THE CENTER'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. NO LEGAL ACTION IS TAKEN WHEN COLLECBALANCES AND COLLECTION EFFORTS AND RESULTS DO NOT AFFECT THE PATIENT'S CREDIT RATING. PART VI, LINE 4 COMMUNITY INFORMATION SINCE BEGINNING IN 2008, THE LINDNER CENTER OF HOPE HAS SERVED THE GREATER CINCINNATI AND NORTHERN KENTUCKY COUNTIES FOR BOTH INPATIENT AND OUTPATIENT SERVICES. THE RESIDENTIAL PROGRAMS ARE REACHING OUT TO COMMUNITIES WORLD WIDE. IN FY2019, THE LINDNER CENTER OF HOPE HAD 1,710 ADULT ADMISSIONS, 108 ADOLESCENT ADMISSIONS, 29,458 OUTPATIENT VISITS, AND 849 CHMC ADOLESCENT ADMISSIONS. HOPE CENTER NORTH FACILITY HAD 1,776 OUTPATIENT VISITS AND PROVIDED 94,679 METHADONE TREATMENTS. PART VI, LINE 5 PROMOTION OF COMMUNITY BENEFIT LCOH PARTICIPATES IN THE COMMUNITY'S DISASTER PREPAREDNESS WITH OTHER HOSPITALS, RECOGNIZING THE IMPORTANCE TO HELP ASSURE THE SAFETY AND HEALTH OF COMMUNITY RESIDENTS IN THE EVENT OF A NATURAL DISASTER. WEEKLY GRAND ROUNDS WORKSHOPS ARE FACILITATED BY LCOH TO REACH OUT AND EDUCATE THE MEDICAL COMMUNITY ON BEHAVIORAL HEALTH ILLNESSES. THERE ARE CONTINUAL OUTREACH EFFORTS TO OTHER HOSPITALS, SCHOOLS, AND HEALTHCARE CLINICIANS TO PROVIDE INFORMATION AND EDUCATION OF BEHAVIORAL HEALTH ILLNESSES. THERE ARE EMPLOYEES WHO SIT ON HEALTH COUNCIL BOARDS THROUGHOUT THE COMMUNITY IN EFFORTS TO COLLABORATE FOR THE OVERALL HEALTH OF THE COMMUNITY. X 1 25024 FAIR MARKET VALUE false false false FORM 990, PART VI, SECTION A, LINE 2 S.CRAIG LINDNER AND FRANCES LINDNER, MEMBERS OF THE BOARD OF DIRECTORS OF THE LINDNER CENTER OF HOPE, HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF CRAIG AND FRANCES LINDER CENTER OF HOPE (LCOH) ARE THE FOUR WINDS FOUNDATION, FORMERLY THE LINDNER FAMILY FOUNDATION AND UC HEALTH, FORMERLY THE HEALTH ALLIANCE OF GREATER CINCINNATI. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS HAVE THE AUTHORITY TO APPOINT MEMBERS TO THE GOVERNING BOARD. FORM 990, PART VI, SECTION A, LINE 7B AS MEMBERS, THE FOUR WINDS FOUNDATION AND UC HEALTH HAVE THE AUTHORITY TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD OF LCOH. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY A CERTIFIED PUBLIC ACCOUNTING FIRM. THE RETURN IS REVIEWED BY MANAGEMENT. A COPY OF FORM 990 IS MADE AVAILABLE TO THE BOARD PRIOR TO THE RETURN BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF LINDNER CENTER OF HOPE (LCOH) TO ANNUALLY REQUIRE THE BOARD OF DIRECTORS, LCOH LEADERSHIP, PHYSICIANS, AND MANAGERS TO DISCLOSE CERTAIN RELATIONSHIPS, SUCH AS FINANCIAL ARRANGEMENTS OR DIRECTORSHIPS WITH VENDORS OR COMPETITIORS, WHICH MAY RESULT IN A CONFLICT OF INTEREST. THESE DISCLOSURES ARE CENTRALLY MAINTAINED, AND DISCLOSURES OF SERIOUS CONFLICTS ARE HANDLED ACCORDING TO DEFINED PROCEDURE. THE POLICY OUTLINES PROCESSES AND PROCEDURES CONCERNING THE DUTY TO DISCLOSE; HOW TO DETERMINE WHETHER A CONFLICT EXISTS; ADDRESSING THE CONFLICT THROUGH A DUE DILIGENCE INVESTIGATION; OUTLINING SPECIFIC PROCEDURES CONCERNING COMPENSATION MATTERS; RECOURSE FOR FAILURE TO DISCLOSE; THE RECORD KEEPING AND APPROPRIATE REPORTING; AND ENFORCEMENT OF POLICY. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW WAS PERFORMED IN SEPTEMBER 2013 BY MERCER. ANNUAL MERIT INCREASES ARE APPROVED BY THE BOARD CHAIR. ALL EMPLOYEES ARE EMPLOYED BY UC HEALTH. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION REVIEW WAS PERFORMED IN SEPTEMBER 2013 BY MERCER. ANNUAL MERIT INCREASES ARE APPROVED BY THE EMPLOYEE'S DIRECT SUPERVISOR. ALL EMPLOYEES ARE EMPLOYED BY UC HEALTH. PAY RANGES ARE SET BY UC HEALTH. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT DISCLOSE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS. LINDNER CTR OF HOPE PROFESSIONAL ASSOC 4075 OLD WESTERN ROW ROAD MASON OH 45040 472338641 PROFESSIONAL OH 501(C)(3) 11A LCOH true false false false false false false false false false false false false false true false true true false false LCOH PROFESSIONAL ASSOCIATES N 175120 FMV LCOH PROFESSIONAL ASSOCIATES P 19301284 FMV LCOH PROFESSIONAL ASSOCIATES Q 7438649 FMV