2019-05-14T11:15:50-05:00 2018-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2017-07-01 351534713 ADULT & CHILD MENTAL HEALTH CENTER INC ADUL 3178825122 222 E OHIO ST INDIANAPOLIS IN 46204 YADIRA HOWE CFO 3178825122 2019-05-14 1 MARGOT BURKE CPA P01588992 3176334705 2019-05-13 165.225.0.63 2019-05-14 11:15:46 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 668E3E4A1B31A83BC20F15E14B7D011B91900C56 2017 2019-02-21 02:37:17Z ADULT & CHILD HEALTH ALLEN BROWN 222 E OHIO STREET INDIANAPOLIS IN 46204 52270218 0 X WWW.ADULTANDCHILD.ORG X 1982 IN WITH HOPE, COMPASSION, AND CREATIVITY WE DELIVER LIFE-ENHANCING PHYSICAL, SOCIAL, AND BEHAVIORAL HEALTHCARE SERVICES. 11 11 935 11 181193 0 6778998 7582330 38378003 39420196 396061 288397 563701 602383 46116763 47893306 0 0 0 0 36891421 38286038 0 0 0 11769898 11746017 48661319 50032055 -2544556 -2138749 34085152 30180885 14453036 12705338 19632116 17475547 X OUR MISSION: WITH HOPE, COMPASSION, AND CREATIVITY WE DELIVER LIFE-ENHANCING PHYSICAL, SOCIAL, AND BEHAVIORAL HEALTHCARE SERVICES. [ORGANIZATION'S MISSION CONTINUED ON SCHEDULE O] 0 0 39007597 36767253 THE ORGANIZATION IS A LICENSED COMMUNITY MENTAL HEALTH CENTER, CERTIFIED FEDERALLY QUALIFIED HEALTH CENTER LOOK ALIKE AND A LICENSED CHILD PLACEMENT AGENCY WITH THE PURPOSE OF HEALTH AND WELLNESS BY ESTABLISHING, MAINTAINING AND PROMOTING A COMMUNITY ORGANIZATION THAT PROVIDES HIGH QUALITY HEALTH CARE AND SOCIAL SERVICES TO AN UNDERSERVED POPULATION. THE SERVICES PROVIDED BY THE ORGANIZATION INCLUDE PRIMARY CARE, PSYCHIATRIC CARE, THERAPEUTIC CARE, SCHOOL BASED SERVICES, SUPPORTIVE HOUSING, SUPPORTIVE EMPLOYMENT, THERAPEUTIC FOSTER CARE, MEDICALLY FRAGILE FOSTER CARE AND ADDICTIVE DISEASE SERVICES. THE ORGANIZATION ACCEPTS PATIENTS REGARDLESS OF THEIR INDIVIDUAL ABILITY TO PAY, THEIR RACE, AGE, SEX, CREED, SEXUAL ORIENTATION OR NATIONAL ORIGIN. 2115736 2624683 THERAPUTIC FOSTER CARE 63055 28260 A&C RESIDENTIAL--ADULT & TRANSITIONAL LIVING 41186388 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 45 0 1 935 1 1 1 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X YADIRA HOWE CFO 3178825122 222 E OHIO STREET INDIANAPOLIS IN 46204 SUE COLLINS RN PRESIDENT 1.00 X X 0 0 0 STEVE WOHLFORD VICE PRESIDENT 1.00 X X 0 0 0 DAWN SHIMP SECRETARY 1.00 X X 0 0 0 DUSTIN HUDDLESTON TREASURER 1.00 X X 0 0 0 BAINDU BAYON MEMBER 1.00 X 0 0 0 TOM GAUNT MEMBER 1.00 X 0 0 0 ROBERT HURLEY MEMBER 1.00 X 0 0 0 LESLIE KELLY MEMBER-TERM BEGAN AUG '17 1.00 X 0 0 0 CAROLE MCKINNEY MEMBER 1.00 X 0 0 0 TONY ROSCETTI MEMBER 1.00 X 0 0 0 JOE VILLANUEVA MEMBER 1.00 X 0 0 0 MARGARITA HART MEMBER TERM JUL-NOV '17 1.00 X 0 0 0 ROBERT MARSHALL MEMBER TERM JUL '17-APR '18 1.00 X 0 0 0 KELLIE MEYER MEMBER TERM ENDED JUL '17 1.00 X 0 0 0 ALLEN BROWN CHIEF EXECUTIVE OFFICER 40.00 X 195388 0 28126 JOSEPH BREYER CHIEF FINANCIAL OFFICER 40.00 X 134769 0 32079 STEPHANIE YODER CHIEF OPERATING OFFICER 40.00 X 124418 0 25024 CHARLES COATS MD ASSOCIATE MEDICAL OFFICER 40.00 X 229086 0 29638 STEVEN SMITH MD ASSOCIATE MEDICAL OFFICER 40.00 X 214466 0 15942 ARTHUR FLORES CHIEF MEDICAL OFFICER 40.00 X 181119 0 11964 DAN ARENS DIRECTOR PRIMARE CARE/BUS. 40.00 X 122336 0 23149 MATT OLIVER CHIEF CLINICAL/INFO OFFICE 40.00 X 121545 0 21007 STEVEN BERGER PSYCHIATRIST 40.00 X 129339 0 5294 MERCY MOTO APRN PRIMARY HEALTH 40.00 X 114245 0 19410 CHRISTINE NEGENDANK CHIEF MEDICAL OFFICER 40.00 X 129023 0 2928 1695734 0 214561 14 0 1 0 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 30384 CONTRACT PRESCIBERS I.E. PSYCHIATRISTS, 511381 1 7568742 13588 7582330 NET PATIENT REVENUE 900099 31306849 31306849 MEDICARE/MEDICAID PMTS 900099 5277743 5277743 BEHAVIORAL HEALTH, PRIMARY CARE, 900099 2807344 2807344 A&C RESIDENTIAL 900099 28260 28260 39420196 26885 26885 793710 27160 648519 0 145191 27160 172351 175091 -2740 3989905 3728393 261512 261512 261512 PROPERTY MANAGEMENT 531310 6102 6102 423930 423930 430032 47893306 39420196 181193 709587 1222021 1222021 28232309 23808214 4424095 805278 662905 142373 5683377 4678556 1004821 2343053 1928801 414252 44915 44915 49955 49955 1715260 1412002 303258 64604 53182 11422 1284227 1057176 227051 99 81 18 1726877 1421565 305312 39720 32698 7022 721130 593634 127496 153553 126405 27148 1614920 1329402 285518 354713 292000 62713 RESIDENTIAL SERVICES 2115736 2115736 CLIENT EXPENSES 749385 749385 STAFF RECRUITMENT AND D 608133 500615 107518 A&C RES. 63055 63055 439735 360976 78759 50032055 41186388 8845667 0 467831 498251 1800892 1964412 471530 443540 3462104 3624958 430559 334585 34312007 15753704 19586628 18558303 3819871 275576 120000 120000 3925737 4361260 34085152 30180885 3700158 2658211 500 5 6578687 6236937 90422 78070 2103473 1809119 1979796 1922996 14453036 12705338 X 19632116 17475547 19632116 17475547 34085152 30180885 X -2138749 -179266 161446 X X 0 1 X 1 1 1 X PART I, LINE 3: ADULT & CHILD MENTAL HEALTH CENTER, INC. HAS BEEN DETERMINED BY THE IRS TO BE A PUBLIC CHARITY UNDER IRS CODE SECTION 170(B)(1)(A)(III). THE ORGANIZATION PROVIDES A COMPREHENSIVE NETWORK OF PREVENTATIVE, DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE MEDICAL AND MENTAL HEALTH SERVICES, BUT DOES NOT MAINTAIN AN INPATIENT UNITY, AND IS NOT REQUIRED TO BE LICENSED AS A HOSPITAL FOR THE STATE OF INDIANA. SCHEDULE H IS NOT REQUIRED AS ONLY ORGANIZATIONS THAT OPERATE AT LEAST ONE FACILITY THAT IS, OR IS REQUIRED TO BE, LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE AS A HOSPITAL. 0 1 X 1895533 1385520 3281053 12152755 9409474 9639756 11922473 372593 373725 -1132 1405743 7659474 5740223 3324994 30915 30915 18558303 RENT RECEIVABLE 153971 457 PLAN ASSETS 97598 OTHER RECEIVABLES 1185218 RENT RECEIVABLE 2663698 OTHER ASSETS 260775 4361260 DEFERRED COMPENSATION 97598 ESTIMATED THIRD PARTY SETTLEMENTS 1423933 OTHER LIABILITIES 401465 1922996 X 48524005 -179266 161446 -17820 48541825 -648519 -648519 47893306 50680574 648519 648519 50032055 0 50032055 PART IV, LINE 2B: THE ORGANIZATION IS AN AGENT FOR SOCIAL SECURITY FUNDS HELD FOR PATIENTS - REPRESENTATIVE PAYEE ACCOUNTS. THERE IS A CORRESPONDING ASSET REPORTED IN FORM 990, PART X. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE COMPANY AND RECOGNIZE A TAX LIABILITY IF THE COMPANY 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 THE COMPANY, AND HAS CONCLUDED THAT AS OF JUNE 30, 2018 AND 2017, 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. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED GAIN ON DERIVATIVE 161,446. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -648,519. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 648,519. X X X 0 0 0 0 0 0 0 0 0 ALLEN BROWN CHIEF EXECUTIVE OFFICER 175353 0 0 0 20035 0 8155 0 19971 0 223514 0 0 0 JOSEPH BREYER CHIEF FINANCIAL OFFICER 121091 0 0 0 13678 0 5989 0 26090 0 166848 0 0 0 CHARLES COATS MD ASSOCIATE MEDICAL OFFICER 204404 0 0 0 24682 0 9601 0 20037 0 258724 0 0 0 STEVEN SMITH MD ASSOCIATE MEDICAL OFFICER 198385 0 50 0 16031 0 8636 0 7306 0 230408 0 0 0 ARTHUR FLORES CHIEF MEDICAL OFFICER 169821 0 0 0 11298 0 7283 0 4681 0 193083 0 0 0 A INDIANA FINANCE AUTHORITY 351602316 2016-02-25 6835000 SEE PART VI 0 0 0 A 598063 6835000 90620 6744380 0 0 0 1 A 0 1 1 1 0 0.14040 0.06970 0.21010 0 0 0 A 0 1 0 0 1 1 PNC 10.000000000000 0 0 0 0 1 A 1 PART I, LINE A, COLUMN F THE PROCEEDS OF THE PROJECT BONDS WILL BE LOANED TO THE BORROWER FOR THE PURPOSE OF FINANCING, REFINANCING OR REIMBURSING ALL OR A PORTION OF: (I) THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF APPROXIMATELY 77,145 SQUARE FOOT HEALTH CARE FACILITY LOCATED AT 603 E. WASHINGTON STREET, INDIANAPOLIS, IN 46204, TOGETHER WITH THE PURCHASE OF EQUIPMENT AND FURNISHINGS TO BE LOCATED HEREIN; (II) THE RENOVATION OF APPROXIMATELY 5,550 SQUARE FEET OF AN APPROXIMATELY 56,400 SQUARE FOOT HEALTH CARE FACILITY LOCATED AT 222 E. OHIO STREET, INDIANAPOLIS, IN 46204 TOGETHER WITH THE PURCHASE OF EQUIPMENT AND FURNISHINGS TO BE LOCATED HEREIN; (III) THE RENOVATION OF APPROXIMATELY 7,434 SQUARE FEET OF AN APPROXIMATELY 14,900 SQUARE FOOT HEALTH CARE FACILITY LOCATED AT 1860 AND 1866 NORTHWOOD PLAZA DRIVE, FRANKLIN, IN 46131 TOGETHER WITH THE PURCHASE OF EQUIPMENT AND FURNISHINGS TO BE LOCATED HEREIN. FORM 990, PART I, ITEM C DBA: ADULT AND CHILD CENTER FORM 990, PART III, LINE 1: [ORGANIZATION'S MISSION CONTINUED] OUR VISION: WE STRIVE FOR CARING COMMUNITIES, WHERE EVERY CHILD, ADULT, AND FAMILY HAVE OPPORTUNITIES TO LIVE HEALTHY, HAPPY LIVES. OUR VALUES: THE FOLLOWING VALUE AND BELIEF STATEMENTS ARE THE FOUNDATION OF THE SERVICES WE PROVIDE: -WE BELIEVE IN PEOPLE AND THE STRENGTH OF DIVERSITY. WE DEEPLY RESPECT THE IDEAS, BACKGROUNDS, AND LIVED EXPERIENCES OF THOSE WE SERVE TO CREATE SAFE, INCLUSIVE ENVIRONMENTS WHERE EVERYONE IS WELCOME. -WE BELIEVE IN MEETING PEOPLE WHERE THEY ARE. EVERYONE'S ROAD TO RECOVERY AND WELLNESS HAS A DIFFERENT ROUTE, DESTINATION, AND ETA. AS PARTNERS IN HEALTH, WE ARE FLEXIBLE WHEN ADDRESSING EACH PERSON'S NEEDS. -WE LOVE WHAT WE DO AND A GENUINE DESIRE TO IMPROVE LIVES DRIVES US FORWARD. WORKING HARD AND PLAYING HARD BUILDS THE STRONG TEAMS NEEDED FOR OUR MISSION-DRIVEN CULTURE. -WHATEVER WE DO, WE DO WELL. WE ARE DEDICATED TO THE BEST QUALITY OF CARE AND QUALITY OF LIFE FOR THE PERSONS WE SERVE. WE USE DATA TO SET PERFORMANCE GOALS, MEASURE PROGRESS TOWARD THOSE GOALS, AND EMBRACE THE LEARNING OPPORTUNITIES THAT INFORM OUR WORK. -WE ARE CHAMPIONS FOR HEALTH EQUITY AND THE PROMISE OF HEALTHY COMMUNITIES. WE BELIEVE IN HIGH QUALITY, AFFORDABLE HEALTHCARE AND SOCIAL SERVICES FOR ALL. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW OF THE FORMS AND REQUESTED SCHEDULES BY THE CHIEF FINANCIAL OFFICER. ADDITIONALLY, EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY IS PROVIDED WITH A COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER AND OFFICER ARE REQUIRED TO SUBMIT ANNUALLY INFORMATION REGARDING CONFLICTS OF INTEREST AND POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION PACKAGE FOR THE CEO IS SET BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED BY THE ENTIRE BOARD. THE EXECUTIVE COMMITTEE USES THE ANNUAL SALARY SURVEY CONDUCTED BY THE INDIANA COUNCIL OF COMMUNITY MENTAL HEALTH CENTERS AND OTHER APPLICABLE SALARY SURVEYS. SALARIES OF OTHER OFFICERS AND KEY EMPLOYEES ARE SET IN A SIMILAR FASHION BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE BY REQUEST. THE ORGANIZATION'S ANNUAL REPORT IS AVAILABLE ON ITS WEB PAGE AT WWW.ADULTANDCHILD.ORG IN "ANNUAL REPORTS" SECTION UNDER THE "ABOUT US DROP DOWN MENU. THE ARTICLES OF INCORPORATION CAN BE VIEWED ON THE INDIANA SECRETARY OF STATE WEBPAGE. FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON DERIVATIVE 161,446. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: THE BUDGET AND FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENTS AUDIT AND PROVIDES RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR APPROVAL. LIKEWISE THE COMMITTEE ASSUMES RESPONSIBILTY FOR THE SELECTION OF THE INDEPENDENT AUDITORS BY REVIEWING POSSIBLE PROPOSALS AND MAKING RECOMMENDATIONS FOR APPROVAL TO THE BOARD OF DIRECTORS. NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. ADULT & CHILD RESIDENTIAL PROPERTIES LLC 222 E OHIO STREET STE 400 INDIANAPOLIS IN 46204 475591352 RESIDENTIAL RENTAL PROPERTY IN 28260 2261842 ADULT & CHILD MENTAL HEALTH CENTER