ADULT AND CHILD MENTAL HEALTH INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ADULT AND CHILD MENTAL HEALTH INC (EIN 35-1534713)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201831359349300208
- Schema version
- 2016v3.0
- 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 | 2018-05-15T00:03:35-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | 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 | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351534713 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adult & Child Mental Health Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ADUL | BusinessNameControlTxt |
| Phone | 3178825122 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 E Ohio St | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph Breyer | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3178825122 | PhoneNum |
| Signature | 2018-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amber Kocher CPA | PreparerPersonNm |
| PTIN | P01286298 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2018-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adult & Child Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Allen Brown | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 E Ohio Street | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $48,496,941 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.adultandchild.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE STATE-OF-THE-ART MENTAL HEALTH, primary care and child welfare SERVICES TO RESIDENTS OF central indiana. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 870 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $99,193 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,796,125 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,778,998 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $34,565,193 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $38,378,003 | CYProgramServiceRevenueAmt |
| PY Investment Income | $166,187 | PYInvestmentIncomeAmt |
| CY Investment Income | $396,061 | CYInvestmentIncomeAmt |
| PY Other Revenue | $495,753 | PYOtherRevenueAmt |
| CY Other Revenue | $563,701 | CYOtherRevenueAmt |
| PY Total Revenue | $42,023,258 | PYTotalRevenueAmt |
| CY Total Revenue | $46,116,763 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,597,441 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,891,421 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,205,504 | PYOtherExpensesAmt |
| CY Other Expenses | $11,769,898 | CYOtherExpensesAmt |
| PY Total Expenses | $41,802,945 | PYTotalExpensesAmt |
| CY Total Expenses | $48,661,319 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $220,313 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,544,556 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $34,418,984 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,085,152 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,643,461 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,453,036 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,775,523 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,632,116 | NetAssetsOrFundBalancesEOYAmt |
| Mission | We provide state-of-the-art services that empower adults and children to reach their full potential while effectively and efficiently managing community and center resources. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $38,601,460 | ExpenseAmt |
| Revenue | $33,264,843 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,091,885 | ExpenseAmt |
| Revenue | $5,001,181 | RevenueAmt |
| Desc | Theraputic Foster Care | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $225,955 | ExpenseAmt |
| Revenue | $111,979 | RevenueAmt |
| Desc | A&C Residential--Adult & Transitional Living | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $40,919,300 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | 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 | 45 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 870 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | 0 | 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 | Yes (1) | 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 | Joseph Breyer CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3178825122 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 E Ohio Street | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SUE COLLINS RN | ||||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Steve Wohlford | ||||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dawn Shimp | ||||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dustin Huddleston | ||||||||
| TreASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Baindu Bayon | ||||||||
| Member term began Sep'2016 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Tom Gaunt | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Margarita Hart | ||||||||
| Member term began Oct'2016 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Hurley | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Marshall | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Carole McKinney | ||||||||
| MeMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Kellie Meyer | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Tony Roscetti | ||||||||
| Member term began Jan'2017 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Joe Villanueva | ||||||||
| memBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Isaiah Horne | ||||||||
| Member term Aug-Sep'2016 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Judy Ware | ||||||||
| membER term end Oct'2016 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Allen Brown | ||||||||
| Chief Executive Officer | 40.00 | Yes (X) | $203,746 | $0 | $25,500 | |||
| Joseph Breyer | ||||||||
| Chief Financial Officer | 40.00 | Yes (X) | $112,868 | $0 | $22,609 | |||
| Stephanie Yoder | ||||||||
| Chief Operating Officer | 40.00 | Yes (X) | $115,991 | $0 | $22,129 | |||
| Charles Coats MD | ||||||||
| Medical Director | 40.00 | $210,477 | $0 | $26,812 | Yes (X) | |||
| Terri Pellow MD | ||||||||
| Psychiatrist | 40.00 | $175,045 | $0 | $18,415 | Yes (X) | |||
| Matt Oliver | ||||||||
| Chief Clinical/Info Office | 40.00 | $116,063 | $0 | $19,303 | Yes (X) | |||
| Yolanda Bray | ||||||||
| APRN Behavioral Health | 40.00 | $119,763 | $0 | $12,624 | Yes (X) | |||
| Dan Arens | ||||||||
| Director Primare Care/Bus. | 40.00 | $108,186 | $0 | $20,100 | Yes (X) | |||
| Steven Berger | ||||||||
| Psychiatrist | 40.00 | $119,734 | $0 | $1,192 | Yes (X) | |||
| Rhonda Palmer | ||||||||
| APRN Behavioral Health | 40.00 | $101,416 | $0 | $17,638 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,383,289 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $186,322 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LocumTenenscom | |||||
| PO Box 405547 | Atlanta | GA | 30384 | Contract prescibers i.e. Psychiatrists, | $511,381 |
| Envista LLC | |||||
| PO Box 857004 | Minneapolis | MN | 55485 | IT Services | $297,504 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,774,386 | GovernmentGrantsAmt |
| All Other Contributions | $4,612 | AllOtherContributionsAmt |
| Total Contributions | $6,778,998 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 900099 | $31,133,214 | $31,133,214 |
| Medicare/Medicaid Pmts | 900099 | $4,744,987 | $4,744,987 |
| Behavioral Health, Primary Care, | 900099 | $2,387,823 | $2,387,823 |
| A&C Residential | 900099 | $111,979 | $111,979 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $38,378,003 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $128,792 | TotalRevenueColumnAmt |
| Exclusion | $128,792 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $887,511 | RealAmt |
| Personal | $38,440 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $839,134 | RealAmt |
| Personal | $38,651 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $48,377 | RealAmt |
| Personal | -$211 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,166 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $29,520 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,646 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,769,662 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,502,393 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $267,269 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $267,269 | TotalRevenueColumnAmt |
| Exclusion | $267,269 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Miscellaneous Revenue | 900099 | $445,862 | $445,862 | |
| Property Management | 531310 | $69,673 | $69,673 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $515,535 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,116,763 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $38,378,003 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $99,193 | UnrelatedBusinessRevenueAmt |
| Exclusion | $860,569 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $933,593 | TotalAmt |
| Management And General | $933,593 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,651,374 | TotalAmt |
| Program Services | $23,964,532 | ProgramServicesAmt |
| Management And General | $3,686,842 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,060 | TotalAmt |
| Program Services | $550,166 | ProgramServicesAmt |
| Management And General | $115,894 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,380,396 | TotalAmt |
| Program Services | $4,444,207 | ProgramServicesAmt |
| Management And General | $936,189 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,259,998 | TotalAmt |
| Program Services | $1,866,758 | ProgramServicesAmt |
| Management And General | $393,240 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,669 | TotalAmt |
| Management And General | $82,669 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,082 | TotalAmt |
| Management And General | $51,082 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,033,076 | TotalAmt |
| Program Services | $1,679,321 | ProgramServicesAmt |
| Management And General | $353,755 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,498 | TotalAmt |
| Program Services | $80,533 | ProgramServicesAmt |
| Management And General | $16,965 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,537,330 | TotalAmt |
| Program Services | $1,269,835 | ProgramServicesAmt |
| Management And General | $267,495 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30 | TotalAmt |
| Program Services | $25 | ProgramServicesAmt |
| Management And General | $5 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,448,177 | TotalAmt |
| Program Services | $1,196,194 | ProgramServicesAmt |
| Management And General | $251,983 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,358 | TotalAmt |
| Program Services | $58,116 | ProgramServicesAmt |
| Management And General | $12,242 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $895,365 | TotalAmt |
| Program Services | $739,571 | ProgramServicesAmt |
| Management And General | $155,794 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,036 | TotalAmt |
| Program Services | $134,668 | ProgramServicesAmt |
| Management And General | $28,368 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,381,968 | TotalAmt |
| Program Services | $1,141,506 | ProgramServicesAmt |
| Management And General | $240,462 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,768 | TotalAmt |
| Program Services | $297,994 | ProgramServicesAmt |
| Management And General | $62,774 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Residential services | $2,091,885 | $2,091,885 | |
| Staff Recruitment and D | $477,312 | $394,260 | $83,052 |
| Client Expenses | $453,305 | $453,305 | |
| A&C Res. | $225,955 | $225,955 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,084 | TotalAmt |
| Program Services | $330,469 | ProgramServicesAmt |
| Management And General | $69,615 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,661,319 | TotalAmt |
| Program Services | $40,919,300 | ProgramServicesAmt |
| Management And General | $7,742,019 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $466,412 | BOYAmt |
| EOY | $467,831 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,613,316 | BOYAmt |
| EOY | $1,800,892 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $885,869 | BOYAmt |
| EOY | $471,530 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,705,622 | BOYAmt |
| EOY | $3,462,104 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $408,025 | BOYAmt |
| EOY | $430,559 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $33,602,680 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,016,052 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,510,067 | BOYAmt |
| EOY | $19,586,628 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,143,377 | BOYAmt |
| EOY | $3,819,871 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,000 | BOYAmt |
| EOY | $120,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,566,296 | BOYAmt |
| EOY | $3,925,737 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,418,984 | BOYAmt |
| EOY | $34,085,152 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,870,372 | BOYAmt |
| EOY | $3,700,158 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,886 | BOYAmt |
| EOY | $500 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,598,997 | BOYAmt |
| EOY | $6,578,687 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,539 | BOYAmt |
| EOY | $90,422 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,082,820 | BOYAmt |
| EOY | $2,103,473 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,041,847 | BOYAmt |
| EOY | $1,979,796 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,643,461 | BOYAmt |
| EOY | $14,453,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,775,523 | BOYAmt |
| EOY | $19,632,116 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,775,523 | BOYAmt |
| EOY | $19,632,116 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,418,984 | BOYAmt |
| EOY | $34,085,152 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,544,556 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $81,178 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $319,971 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, line 3 | FormAndLineReferenceDesc |
| Explanation | 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. | 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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,896,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $385,053 | OtherCostOrOtherBasisAmt |
| Book Value | $3,281,053 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $11,618,262 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $9,725,333 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,703,601 | DepreciationAmt |
| Book Value | $12,639,994 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $372,593 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $368,935 | DepreciationAmt |
| Book Value | $3,658 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,394,414 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $7,211,025 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,943,516 | DepreciationAmt |
| Book Value | $3,661,923 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,586,628 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Rent Receivable | $140,118 |
| 457 Plan Assets | $89,035 |
| Other Receivables | $1,289,616 |
| Rent Receivable | $2,307,639 |
| Other assets | $99,329 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,925,737 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred compensation | $89,035 |
| Estimated third party settlements | $1,890,761 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,979,796 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $47,395,697 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $81,178 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $319,971 | OtherRevenueAmt |
| Revenue Not Reported | $401,149 | RevenueNotReportedAmt |
| Revenue Subtotal | $46,994,548 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$877,785 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$877,785 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $46,116,763 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $49,539,104 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $877,785 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $877,785 | ExpensesNotReportedAmt |
| Expenses Subtotal | $48,661,319 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $48,661,319 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2017 AND 2016, 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 Loss on Derivative 293,922. Related Party Contribution 26,049. |
| Part XI, Line 4b - Other Adjustments: | Rental Expenses -877,785. |
| Part XII, Line 2d - Other Adjustments: | Rental expenses 877,785. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Allen Brown | ||||||||||||||
| Chief Executive Officer | $155,869 | $0 | $30,024 | $0 | $17,853 | $0 | $6,112 | $0 | $19,388 | $0 | $229,246 | $0 | $0 | $0 |
| Charles Coats MD | ||||||||||||||
| Medical Director | $189,007 | $0 | $0 | $0 | $21,470 | $0 | $7,357 | $0 | $19,455 | $0 | $237,289 | $0 | $0 | $0 |
| Terri Pellow MD | ||||||||||||||
| Psychiatrist | $163,169 | $0 | $0 | $0 | $11,876 | $0 | $6,020 | $0 | $12,395 | $0 | $193,460 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Indiana Finance Authority | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 351602316 | BondIssuerEIN |
| Bond Issued | 2016-02-25 | BondIssuedDt |
| Issue Price | $6,835,000 | IssuePriceAmt |
| Purpose | See Part VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $6,835,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $90,620 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $6,744,380 | CapitalExpendituresAmt |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.14040 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.06970 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.21010 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (1) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PNC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 10.000000000000 | TermOfHedgePct |
| Superintegrated Hedge | 0 | SuperintegratedHedgeInd |
| Hedge Terminated | 0 | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line A, Column F | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Item C | DBA: adult and Child Center |
| 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 Loss on Derivative 293,922. Related Party Contribution 26,049. |
| 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. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adult & Child Residential Properties LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 E Ohio Street Ste 400 | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 475591352 | EIN |
| Primary Activities | Residential Rental Property | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Total Income | -$114,726 | TotalIncomeAmt |
| End Of Year Assets | $1,862,442 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adult & Child Mental Health Center | BusinessNameLine1Txt |
Comments