FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC: Form 990, tax year 2021
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- Organization
- FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC (EIN 35-1362298)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202311359349314416
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T15:41:33-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N MERIDIAN ST SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351362298 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUR COUNTY COMPREHENSIVE MENTAL HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | CENTER INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FOUR | BusinessNameControlTxt |
| Phone | 5747225151 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 E 8TH STREET | AddressLine1Txt |
| City | ROCHESTER | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46975 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARRIE CADWELL | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5747225151 | PhoneNum |
| Signature | 2023-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CARRIE | PersonFirstNm |
| Person Last | CADWELL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILIE M KNIERIEM CPA | PreparerPersonNm |
| PTIN | P01330194 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2023-05-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 4C HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CARRIE CADWELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 E 8TH STREET | AddressLine1Txt |
| City | ROCHESTER | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46975 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,588,603 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FOURCOUNTY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY MENTAL HEALTH CARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 42 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,251,515 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,345,874 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $27,891,503 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,536,545 | CYProgramServiceRevenueAmt |
| PY Investment Income | $143,427 | PYInvestmentIncomeAmt |
| CY Investment Income | $16,026 | CYInvestmentIncomeAmt |
| PY Other Revenue | $490,969 | PYOtherRevenueAmt |
| CY Other Revenue | $489,352 | CYOtherRevenueAmt |
| PY Total Revenue | $35,777,414 | PYTotalRevenueAmt |
| CY Total Revenue | $37,387,797 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $50,868 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $55,118 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,634,801 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,458,391 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,842,905 | PYOtherExpensesAmt |
| CY Other Expenses | $6,603,643 | CYOtherExpensesAmt |
| PY Total Expenses | $25,528,574 | PYTotalExpensesAmt |
| CY Total Expenses | $29,117,152 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,248,840 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,270,645 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $43,990,806 | TotalAssetsBOYAmt |
| Total Assets EOY | $50,716,842 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,816,800 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,395,867 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $37,174,006 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $45,320,975 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | DEDICATED TO HOLISTIC CARE GIVEN WITH COMPASSION, RESPECT, ACCEPTANCE AND HOPE. ACHIEVING EMOTIONAL WELL BEING AND INDEPENDENCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,829,859 | ExpenseAmt |
| Grant | $55,118 | GrantAmt |
| Revenue | $29,873,434 | RevenueAmt |
| Desc | THE CENTER PROVIDES COMPREHENSIVE MENTAL HEALTH SERVICES TO THE RESIDENTS OF CARROLL, CASS, CLINTON, FULTON, MIAMI, PULASKI, HOWARD, TIPTON, & WHITE COUNTIES ON BOTH AN INPATIENT AND OUTPATIENT BASIS. CARE IS PROVIDED TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS NET SERVICE REVENUE. THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE CENTER'S CHARITY CARE POLICY IS $260,848 IN 2022. THE AMOUNT INCLUDES REDUCTIONS IN FEES BASED ON THE CLIENT'S ABILITY TO PAY AND CLIENT SERVICES PERFORMED FREE OF CHARGE. PLEASE CONTACT THE COMMUNITY RELATIONS DEPARTMENT FOR ADDITIONAL DETAILS RELATED TO THE CENTER'S EXEMPT PURPOSE.THE MED CLINIC ASSISTS IN MAINTAINING OUTPATIENT CLIENTS PSYCHIATRIC SYMPTOMS WITH THE LOWEST POSSIBLE DOSE OF MEDICATION AND THE LEAST AMOUNT OF SIDE EFFECTS WHILE OBTAINING AN OPTIMAL LEVEL OF FUNCTIONING. ALL OUTPATIENT CANDIDATES FOR MEDICATION INTERVENTION WILL BE EVALUATED PER STAFF PSYCHIATRIST/APN AND ENCOURAGED TO FOLLOW ALL TREATMENT RECOMMENDATIONS AS PRESCRIBED WITH THE ASSISTANCE OF THE MEDICATION CLINIC RN. | Desc |
| Total Program Service Expenses | $22,829,859 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 618 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 42 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIANA ELLIOTT DIRECTOR OF ACCOUNTING AND HUMAN RESOURCES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5747322410 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 FULTON STREET | AddressLine1Txt |
| City | LOGANSPORT | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46947 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| LINDA WEBB | |||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KEITH KOLB | |||||||
| PRESIDENT ELECT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JASON SEE | |||||||
| SECRETARY/TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DEAN MCCURDY | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| GLORIA CALHOUN | |||||||
| PAST PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY KAY | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MACKENZIE LEDLEY | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| TARA MCVAY | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CARRIE CADWELL | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $359,048 | $0 | $46,149 | ||
| JASON CADWELL | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $277,639 | $0 | $14,553 | ||
| KATHLEEN MILLER | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $392,195 | $0 | $40,323 | ||
| NICOLE HIATT-DRANG | |||||||
| VP OF OPERATIONS NORTHERN | 40.00 | Yes (X) | $153,740 | $0 | $8,079 | ||
| ANDREW HARTLEY | |||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $73,431 | $0 | $44 | ||
| LISA WILLIS-GIDLEY | |||||||
| VP OF OPERATIONS SOUTHERN REGION | 40.00 | Yes (X) | $127,957 | $0 | $25,210 | ||
| HOPE KERNS | |||||||
| VP OF QUALITY & COMPLIANCE | 40.00 | Yes (X) | $108,529 | $0 | $36,322 | ||
| MICHAEL KESSLER | |||||||
| VP OF INFORMATION SYSTEMS | 40.00 | Yes (X) | $35,997 | $0 | $7,244 | ||
| DAWN COBURN | |||||||
| DIRECTOR OF REVENUE CYCLE | 40.00 | Yes (X) | $88,970 | $0 | $14,835 | ||
| DIANA ELLIOTT | |||||||
| DIRECTOR OF ACCOUNTING & HR | 40.00 | Yes (X) | $116,381 | $0 | $16,600 | ||
| DAWN GRIFFITH | |||||||
| DIRECTOR OF NURSING | 40.00 | Yes (X) | $44,252 | $0 | $6,633 | ||
| KRISTA CATT | |||||||
| DIRECTOR OF COMMUNITY AND SCHOOL BASED SERVICES | 40.00 | Yes (X) | $60,017 | $0 | $32,663 | ||
| JESSICA CRUME | |||||||
| DIRECTOR OF COMMUNITY AND SCHOOL BASED SERVICES | 40.00 | Yes (X) | $77,947 | $0 | $4,127 | ||
| BRENT KELLEY | |||||||
| DIRECTOR OF CLINIC SERVICES | 40.00 | Yes (X) | $61,478 | $0 | $29,824 | ||
| MELISSA ROBERTSON | |||||||
| DIRECTOR OF ADULT INTENSIVE SERVICES | 40.00 | Yes (X) | $83,899 | $0 | $22,766 | ||
| BETHANY SCHOENRADT | |||||||
| VP OF OPERATIONS CENTRAL REGION | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| WONDA ELMORE | |||||||
| ADVANCED PRACTICE NURSE | 40.00 | $137,141 | $0 | $7,234 | Yes (X) | ||
| MATTHEW TANNER | |||||||
| ADVANCED PRACTICE NURSE | 40.00 | $137,230 | $0 | $36,625 | Yes (X) | ||
| JOHN YARLING | |||||||
| PSYCHIATRIST | 40.00 | $154,088 | $0 | $16,899 | Yes (X) | ||
| AMY HERRON-MILLER | |||||||
| ADVANCED PRACTICE NURSE | 40.00 | $159,881 | $0 | $8,460 | Yes (X) | ||
| QUN WU | |||||||
| PSYCHIATRIST | 40.00 | $228,921 | $0 | $10,788 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,878,741 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $385,378 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| STREAMLINE HEALTHCARE SOLUTIONS | |||||
| 510 E BUTLER CT | KALAMAZOO | MI | 49007 | ELECTRONIC HEALTH RECORDS | $293,906 |
| MEDICAL STAFFING SOLUTIONS | |||||
| 3400 KENT AVENUE | LAFAYETTE | IN | 47906 | STAFFING SERVICES | $156,620 |
| PONDURANCE | |||||
| 500 N MERIDIAN STE 500 | INDIANAPOLIS | IN | 46204 | IT SERVICES | $106,547 |
| GENOA HEALTH CARE | |||||
| PO BOX 77030 | MINNEAPOLIS | MN | 55480 | CLINIC SERVICES | $103,187 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,073,399 | GovernmentGrantsAmt |
| All Other Contributions | $272,475 | AllOtherContributionsAmt |
| Total Contributions | $7,345,874 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621111 | $27,530,714 | $27,530,714 |
| MENTAL HEALTH FUNDS RECOVERY PROG | 621111 | $1,862,771 | $1,862,771 |
| GROUP HOME RENTAL INCOME | $143,060 | $143,060 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,536,545 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $207,532 | TotalRevenueColumnAmt |
| Exclusion | $207,532 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,300 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $200,806 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$191,506 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$191,506 | TotalRevenueColumnAmt |
| Exclusion | -$191,506 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DISPROPORTIONATE SHARE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $159,301 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $159,301 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $330,051 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $320,648 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $9,403 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $489,352 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,387,797 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,016,494 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,429 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,118 | TotalAmt |
| Program Services | $55,118 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,624,436 | TotalAmt |
| Program Services | $2,888,893 | ProgramServicesAmt |
| Management And General | $735,543 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,963,475 | TotalAmt |
| Program Services | $11,926,790 | ProgramServicesAmt |
| Management And General | $3,036,685 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $607,295 | TotalAmt |
| Program Services | $513,588 | ProgramServicesAmt |
| Management And General | $93,707 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,932,555 | TotalAmt |
| Program Services | $1,634,357 | ProgramServicesAmt |
| Management And General | $298,198 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,330,630 | TotalAmt |
| Program Services | $1,125,311 | ProgramServicesAmt |
| Management And General | $205,319 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,199 | TotalAmt |
| Management And General | $30,199 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,400 | TotalAmt |
| Management And General | $66,400 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,550,641 | TotalAmt |
| Program Services | $1,487,481 | ProgramServicesAmt |
| Management And General | $1,063,160 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,241 | TotalAmt |
| Program Services | $19,127 | ProgramServicesAmt |
| Management And General | $9,114 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,740 | TotalAmt |
| Program Services | $108,863 | ProgramServicesAmt |
| Management And General | $51,877 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,046 | TotalAmt |
| Program Services | $259,423 | ProgramServicesAmt |
| Management And General | $123,623 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $638,231 | TotalAmt |
| Program Services | $432,250 | ProgramServicesAmt |
| Management And General | $205,981 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,346 | TotalAmt |
| Program Services | $461,529 | ProgramServicesAmt |
| Management And General | $38,817 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,075 | TotalAmt |
| Program Services | $60,075 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,215 | TotalAmt |
| Program Services | $10,630 | ProgramServicesAmt |
| Management And General | $2,585 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $660,518 | TotalAmt |
| Program Services | $554,189 | ProgramServicesAmt |
| Management And General | $106,329 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,897 | TotalAmt |
| Program Services | $135,383 | ProgramServicesAmt |
| Management And General | $64,514 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HOSPITAL ASSESMENT FEES | $831,075 | $831,075 | |
| RECRUITMENT | $203,032 | $137,506 | $65,526 |
| DUES & SUBSCRIPTIONS | $99,689 | $67,516 | $32,173 |
| RECOGNITION EXPENSES | $56,839 | $38,495 | $18,344 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,459 | TotalAmt |
| Program Services | $82,260 | ProgramServicesAmt |
| Management And General | $39,199 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,117,152 | TotalAmt |
| Program Services | $22,829,859 | ProgramServicesAmt |
| Management And General | $6,287,293 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267 | BOYAmt |
| EOY | $267 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,779,529 | BOYAmt |
| EOY | $40,216,649 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,432 | BOYAmt |
| EOY | $74,905 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,210,944 | BOYAmt |
| EOY | $1,096,972 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,967,058 | BOYAmt |
| EOY | $1,791,394 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $259,179 | BOYAmt |
| EOY | $276,282 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,320,663 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,060,290 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,698,397 | BOYAmt |
| EOY | $7,260,373 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,990,806 | BOYAmt |
| EOY | $50,716,842 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,999,501 | BOYAmt |
| EOY | $2,045,546 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $421,443 | BOYAmt |
| EOY | $357,921 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,395,856 | BOYAmt |
| EOY | $2,992,400 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,816,800 | BOYAmt |
| EOY | $5,395,867 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,174,006 | BOYAmt |
| EOY | $45,320,975 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,174,006 | BOYAmt |
| EOY | $45,320,975 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,990,806 | BOYAmt |
| EOY | $50,716,842 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,270,645 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$123,676 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,106,819 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,363,591 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,974,176 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,251,515 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,345,874 | CurrentTaxYearAmt |
| Total | $23,041,975 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,458,787 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,715,455 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,749,999 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,891,503 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,393,485 | CurrentTaxYearAmt |
| Total | $128,209,229 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,565,606 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,079,046 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,724,175 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,143,018 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,739,359 | CurrentTaxYearAmt |
| Total | $151,251,204 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,319,167 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,333,911 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,611,977 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,264,952 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,486,978 | CurrentTaxYearAmt |
| Total | $7,016,985 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,319,167 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,333,911 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,611,977 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,264,952 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,486,978 | CurrentTaxYearAmt |
| Total | $7,016,985 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $144,234,219 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $198,099 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $415,221 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $528,249 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $332,678 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $350,592 | CurrentTaxYearAmt |
| Total | $1,824,839 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $198,099 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $415,221 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $528,249 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $332,678 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $350,592 | CurrentTaxYearAmt |
| Total | $1,824,839 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $565,565 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $547,297 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $488,968 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $367,317 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $489,352 | CurrentTaxYearAmt |
| Total | $2,458,499 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,329,270 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,041,564 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,741,392 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,843,013 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,579,303 | CurrentTaxYearAmt |
| Total | $155,534,542 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.92730 | PublicSupportCY509Pct |
| Public Support PY509 | 0.92260 | PublicSupportPY509Pct |
| Investment Income CY | 0.01170 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01140 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 565,565. 2018 AMOUNT: $ 547,297. 2019 AMOUNT: $ 488,968. 2020 AMOUNT: $ 367,317. 2021 AMOUNT: $ 489,352. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,634 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,634 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II-B, LINE 1: | 4C HEALTH PAID MEMBERSHIP DUES TO IHA AND IN COUNCIL OF COMMUNITY MENTAL HEALTH CENTERS IN 2022. 10.78% AND 10.77% OF THE DUES, RESPECTIVELY, WERE ALLOCABLE TOWARDS LOBBYING EXPENDITURES. |
| SCHEDULE C, PART II-B, LINE 1I: | PORTION OF DUES PAID TO IHA AND ICCMHC ARE ATTRIBUTABLE TO LOBBYING. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $394,500 | OtherCostOrOtherBasisAmt |
| Book Value | $394,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,975,999 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,071,630 | DepreciationAmt |
| Book Value | $5,904,369 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,950,164 | OtherCostOrOtherBasisAmt |
| Depreciation | $988,660 | DepreciationAmt |
| Book Value | $961,504 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,260,373 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED THIRD PARTY SETTLEMENTS | Desc |
| Amt | $2,992,400 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,992,400 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $37,264,121 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$123,676 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$123,676 | RevenueNotReportedAmt |
| Revenue Subtotal | $37,387,797 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $37,387,797 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $29,117,152 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $29,117,152 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $29,117,152 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY 4C HEALTH AND RECOGNIZE A TAX LIABILITY IF 4C HEALTH 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 4C HEALTH, AND HAS CONCLUDED THAT AS OF JUNE 30, 2022 AND 2021, 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. 4C HEALTH HAS FILED ITS FEDERAL AND STATE INCOME TAX RETURNS FOR PERIODS THROUGH JUNE 30, 2021 AND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. AS OF THE DATE THE FINANCIAL STATEMENTS WERE AVAILABLE TO BE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| LIVING ALLOTMENT - SUPERVISED GROUP LIVING | 16 | $24,598 |
| EDUCATION ASSISTANCE PROGRAM | 14 | $27,775 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FOUR COUNTY MAKES ASSISTANCE AVAILABLE TO ELIGIBLE PERSONS TO FURTHER THE HEALTHCARE IN THE COMMUNITY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KATHLEEN MILLER | ||||||||||||||
| CHIEF MEDICAL OFFICER | $388,299 | $0 | $3,500 | $0 | $396 | $0 | $14,520 | $0 | $25,803 | $0 | $432,518 | $0 | $0 | $0 |
| CARRIE CADWELL | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $265,040 | $0 | $86,417 | $0 | $7,591 | $0 | $17,406 | $0 | $28,743 | $0 | $405,197 | $0 | $0 | $0 |
| JASON CADWELL | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $214,949 | $0 | $62,600 | $0 | $90 | $0 | $14,010 | $0 | $543 | $0 | $292,192 | $0 | $0 | $0 |
| QUN WU | ||||||||||||||
| PSYCHIATRIST | $228,921 | $0 | $0 | $0 | $0 | $0 | $10,788 | $0 | $0 | $0 | $239,709 | $0 | $0 | $0 |
| MATTHEW TANNER | ||||||||||||||
| ADVANCED PRACTICE NURSE | $130,440 | $0 | $6,700 | $0 | $90 | $0 | $7,213 | $0 | $29,412 | $0 | $173,855 | $0 | $0 | $0 |
| JOHN YARLING | ||||||||||||||
| PSYCHIATRIST | $152,125 | $0 | $727 | $0 | $1,236 | $0 | $7,763 | $0 | $9,136 | $0 | $170,987 | $0 | $0 | $0 |
| AMY HERRON-MILLER | ||||||||||||||
| ADVANCED PRACTICE NURSE | $150,543 | $0 | $9,200 | $0 | $138 | $0 | $8,029 | $0 | $431 | $0 | $168,341 | $0 | $0 | $0 |
| NICOLE HIATT-DRANG | ||||||||||||||
| VP OF OPERATIONS NORTHERN | $131,902 | $0 | $21,700 | $0 | $138 | $0 | $7,684 | $0 | $395 | $0 | $161,819 | $0 | $0 | $0 |
| LISA WILLIS-GIDLEY | ||||||||||||||
| VP OF OPERATIONS SOUTHERN REGION | $106,203 | $0 | $21,700 | $0 | $54 | $0 | $6,599 | $0 | $18,611 | $0 | $153,167 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | TWO OFFICERS AT FOUR COUNTY, JASON CADWELL, CFO AND CARRIE CADWELL, CEO HAVE A FAMILIAL RELATIONSHIP. CARRIE CADWELL REPORTS DIRECTLY TO THE PRESIDENT OF THE BOARD OF DIRECTORS AND JASON CADWELL REPORTS DIRECTLY TO THE TREASURER OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE COUNTY COMMISSIONERS OR COUNTY COUNCIL OF FULTON COUNTY SELECTS ONE MEMBER TO SERVE ON THE BOARD OF DIRECTORS WHILE THE OTHER MEMBERS ARE ELECTED BY THE EXISTING MEMBERS AT THE ANNUAL MEETING OF THE ORGANIZATION. VACANCIES CAN BE FILLED BY REMAINING DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW OF THE FORM 990 BY THE ORGANIZATION'S CEO, CFO AND ACCOUNTING PERSONNEL. THE FINAL FORM INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, IS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE IS ENFORCED BY THE BOARD PRESIDENT. THE SCOPE OF THIS POLICY INCLUDES ALL DIRECTORS, OFFICERS, AND ASSOCIATES. THE POLICY IS IN PLACE TO ASSIST FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER DIRECTORS, OFFICERS, ASSOCIATES, AND AGENTS WHO GOVERN AND ADMINISTER FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER AFFAIRS TO RESOLVE SITUATIONS THAT INVOLVE A DUAL INTEREST OR THAT MAY BE INTERPRETED AS A CONFLICT OF INTEREST AND TO DEFINE CONFLICT OF INTEREST SITUATIONS AND PROCEDURES TO FOLLOW ONCE THEY ARE DISCLOSED. THE COVERED PERSONS ARE HELD TO A STRICT RULE OF HONEST AND FAIR DEALING BETWEEN THEMSELVES AND THE ORGANIZATION. THEY SHALL NOT USE THEIR POSITIONS, OR KNOWLEDGE GAINED THEREFROM, IN SUCH A WAY THAT A CONFLICT MIGHT ARISE BETWEEN THE INTEREST IN THE ORGANIZATION AND THAT OF THE INDIVIDUAL. A SELF DISCLOSURE FROM COVERED PERSONS TO OTHER BOARD MEMBERS IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. ANY DIRECTOR HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHOULD REFLECT: A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THAT A QUORUM WAS PRESENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION DETERMINATIONS OF FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER, INC.'S CEO ARE MADE BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS INCLUDED ANALYZING THE INDIANA COUNCIL SALARY SURVEY, LOCAL RECRUITING INFORMATION, AND MARKET RATES RELEVANT TO FOUR COUNTY'S RURAL AREA TO HELP ASSIST IN THE DECISION MAKING PROCESS. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE FINAL COMPENSATION AMOUNTS, AND DOCUMENTATION OF THIS WAS PRESENTED TO THE FULL BOARD FOR APPROVAL AND RECORDED IN THE BOARD MINUTES. THE CEO IS NOT PRESENT DURING THESE MEETINGS DISCUSSIONS AND APPROVALS. COMPENSATION DETERMINATIONS OF FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER, INC.'S CFO ARE MADE BY THE INTERNAL AFFAIRS COMMITTEE. THE CFO IS NOT PRESENT DURING DISCUSSIONS OR APPROVALS OF THEIR COMPENSATION. COMPENSATION DETERMINATIONS OF FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER, INC.'S OTHER OFFICERS OR KEY EMPLOYEES WERE MADE BY THE CEO. OTHER OFFICERS AND KEY EMPLOYEES ARE NOT PRESENT DURING DISCUSSIONS OR APPROVALS OF THEIR COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 2C: OVERSIGHT OF AUDIT | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. |
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