2016-04-25T04:37:31-05:00 2015-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2014-07-01 351534713 ADULT & CHILD MENTAL HEALTH CENTER INC ADUL 3178825122 222 E OHIO ST INDIANAPOLIS IN 46204 JOSEPH BREYER CFO 3178825122 2016-04-20 1 ANGELA N CRAWFORD P00573197 3176334705 2016-04-20 2014 2016-08-17 19:52:53Z X ADULT AND CHILD CENTER ALLEN BROWN 222 E OHIO STREET INDIANAPOLIS IN 46204 45319347 0 X WWW.ADULTANDCHILD.ORG X 1982 IN PROVIDE STATE-OF-THE-ART MENTAL HEALTH SERVICES TO RESIDENTS OF MARION AND JOHNSON COUNTY, INDIANA. 13 13 779 0 630 0 6437065 6389029 23106084 28787679 959968 1104287 912375 883378 31415492 37164373 0 0 0 0 22449570 25268472 0 0 0 7478146 8359794 29927716 33628266 1487776 3536107 25443986 29207386 6198327 7338499 19245659 21868887 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. 0 0 29311835 29268240 ADULT & CHILD MENTAL HEALTH CENTER, INC. (THE CENTER) IS A COMMUNITY MENTAL HEALTH CENTER WITH THE PURPOSE OF PROVIDING A COMPREHENSIVE NETWORK OF PREVENTATIVE, DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE MENTAL HEALTH SERVICES TO RESIDENTS PRIMARILY OF MARION COUNTY AND JOHNSON COUNTY IN THE STATE OF INDIANA. THE CENTER PROVIDES CARE TO CERTAIN PATIENTS UNDER REIMBURSEMENT AGREEMENTS WITH MEDICARE, MEDICAID, AND OTHER THIRD-PARTY PAYORS. NET REVENUE FROM THE MEDICARE & MEDICAID PROGRAMS ACCOUNTED FOR APPROXIMATELY 72% FOR THE YEAR ENDED 6/30/15. ADDITIONALLY, THE CENTER ACCEPTS PATIENTS REGARDLESS OF THEIR INDIVIDUAL ABILITY TO PAY, THEIR RACE, AGE, SEX, CREED OR NATIONAL ORIGIN. FOR THE YEAR ENDED 6/30/15, THE CENTER PROVIDED UNCOMPENSATED CARE OF APPROXIMATELY $798,000. 29311835 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 47 0 1 779 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X JOSEPH BREYER 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 NICK HOPKINS CPA CFP TREASURER 1.00 X X 0 0 0 ROBERT MARSHALL MEMBER 1.00 X 0 0 0 JERRY FRENCH MEMBER 1.00 X 0 0 0 TOM GAUNT MEMBER 1.00 X 0 0 0 DUSTIN HUDDLESTON MEMBER 1.00 X 0 0 0 CAROLE MCKINNEY MEMBER 1.00 X 0 0 0 KELLIE MEYER MA MEMBER 1.00 X 0 0 0 ROBERT HURLEY MEMBER 1.00 X 0 0 0 JOE VILLANUEVA MEMBER 1.00 X 0 0 0 JUDY WARE MEMBER 1.00 X 0 0 0 ARNOLD DUNBAR CHIEF EXECUTIVE OFFICER 40.00 X 232633 0 31079 JOSEPH BREYER CHIEF FINANCIAL OFFICER 40.00 X 132903 0 19678 FRED PRIVETTE CHIEF INFORMATION OFFICER 40.00 X 100959 0 9494 TERRY PARRISH MD MEDICAL DIRECTOR 40.00 X 241012 0 7429 CHARLES COATS MD ASSOCIATE MEDICAL DIRECTOR 40.00 X 221332 0 6874 TERRI PELLOW MD PSYCHIATRIST 40.00 X 171034 0 16109 RICHARD MCKASSON ADULT SERVICE LINE DIRECTOR 40.00 X 133595 0 19089 1233468 0 109752 7 0 1 0 CONSILIUM STAFFING 6225 N STATE HIGHTWAY 161 IRVING TX 75038 CONTRACT PRESCIBERS I.E. PSYCHIATRISTS, 179496 UNICARE SYSTEMS PO BOX 3618 SARASOTA FL 34230 CONTRACT PRESCIBERS I.E. PSYCHIATRISTS, 152757 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 30384 CONTRACT PRESCIBERS I.E. PSYCHIATRISTS, 140503 3 6386430 2599 6389029 NET PATIENT REVENUE 900099 25787018 25787018 MEDICARE/MEDICAID PMTS 900099 3000661 3000661 28787679 269109 269109 521015 451300 69715 69715 630 69085 8538852 7696331 7343 842521 -7343 835178 835178 MENTAL HEALTH SERVICES 900099 480561 480561 333102 333102 813663 37164373 29268240 630 1506474 1031698 1031698 19504299 17839068 1665231 275645 238185 37460 2894319 2500981 393338 1562511 1350166 212345 143869 143869 47775 47775 1012814 875173 137641 60722 52470 8252 839880 725740 114140 1269595 1097057 172538 64365 55618 8747 730827 631508 99319 41362 35741 5621 941867 813867 128000 253690 219214 34476 RESIDENTIAL SERVICES 2074460 2074460 CLIENT EXPENSES 319476 319476 STAFF RECRUITMENT 256286 221457 34829 DUES AND MEMBERSHIPS 101378 87601 13777 201428 174053 27375 33628266 29311835 4316431 0 1380 1380 4592120 11457735 2547597 2690862 2433521 1932908 244753 283797 18362312 11224306 7195335 7138006 7897582 5096296 531698 606402 25443986 29207386 2092927 3083038 2445502 2278383 1659898 1977078 6198327 7338499 X 19245659 21868887 19245659 21868887 25443986 29207386 3536107 -912879 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 33989 1058060 1017779 74270 0 499553 499553 11726865 7316192 4410673 372593 345734 26859 5753426 3562380 2191046 9875 9875 7138006 ESTIMATED THIRD PARTY SETTLEMENTS 1676560 DEFERRED COMPENSATION 300518 1977078 X 36702794 -912879 -912879 37615673 -451300 -451300 37164373 34079566 451300 451300 33628266 0 33628266 PART IV, LINE 1B: THE ORGANIZATION IS AN AGENT FOR HELD FUNDS FOR PATIENTS - REPRESENTATIVE PAYEE ACCOUNTS. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER 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 CENTER, AND HAS CONCLUDED THAT AS OF JUNE 30, 2015 AND 2014, 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 CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -451,300. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 451,300. X X X 0 0 0 0 0 0 0 0 0 ARNOLD DUNBAR CHIEF EXECUTIVE OFFICER 222823 0 363 0 9447 0 17125 0 13954 0 263712 0 0 0 JOSEPH BREYER CHIEF FINANCIAL OFFICER 120043 0 8000 0 4860 0 4381 0 15297 0 152581 0 0 0 TERRY PARRISH MD MEDICAL DIRECTOR 240962 0 50 0 0 0 0 0 7429 0 248441 0 0 0 CHARLES COATS MD ASSOCIATE MEDICAL DIRECTOR 221332 0 0 0 0 0 0 0 6874 0 228206 0 0 0 TERRI PELLOW MD PSYCHIATRIST 167941 0 0 0 3093 0 5256 0 10853 0 187143 0 0 0 RICHARD MCKASSON ADULT SERVICE LINE DIRECTOR 120844 0 8000 0 4751 0 4240 0 14849 0 152684 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW OF THE FORMS AND REQUESTED SCHEDULES BY THE CEO. THE GOVERNING BODY REVIEWS AND APPROVES THE FORM 990 AND THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, ARE PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY 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 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.