2024-05-15T12:29:18-05:00 2023-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2022-07-01 351534713 ADULT & CHILD MENTAL HEALTH CENTER INC ADUL 3178825122 222 E OHIO ST INDIANAPOLIS IN 46204 ANDREA CRUSER INTERIM CFO 3178825122 2024-05-15 1 ANDREA CRUSER 999009999 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ADULT & CHILD HEALTH ALLEN BROWN 222 E OHIO STREET INDIANAPOLIS IN 46204 54365860 0 X WWW.ADULTANDCHILD.ORG X 1982 IN WITH HOPE, COMPASSION, AND CREATIVITY WE DELIVER LIFE-ENHANCING PHYSICAL, SOCIAL, AND BEHAVIORAL HEALTHCARE SERVICES. 8 7 807 8 -28123 0 13909569 13811542 34460291 32359224 1075990 742336 383810 -79052 49829660 46834050 0 0 0 0 37885056 37436234 0 0 0 11264588 11130469 49149644 48566703 680016 -1732653 28325746 21847401 9932434 5227982 18393312 16619419 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 37742989 28602555 THE ORGANIZATION IS A LICENSED COMMUNITY 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, 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. 1307844 3756669 THERAPEUTIC FOSTER CARE 39050833 1 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 1 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 1 1 1 0 0 1 27 0 1 807 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 IN X ANDREA CRUSER 3178825122 222 E OHIO STREET INDIANAPOLIS IN 46204 CHRISTINE NEGENDANK MD CHIEF MEDICAL OFFICER 40.00 X 287647 0 21250 ALLEN BROWN PRESIDENT/CEO 40.00 X X 279228 0 34688 JOE BANKS MD ASSOC. MEDICAL DIRECTOR PRIMARY CARE 40.00 X 217042 0 31385 YADIRA HOWE CFO (END 03/23) 40.00 X 155392 0 26365 CHARLES COATS MD STAFF PSYCHIATRIST 40.00 X 143952 0 5614 DENISE AMATO COO 40.00 X 131400 0 25900 YOLANDA BRAY APRN BEHAVIORAL HEALTH 40.00 X 124904 0 24156 TINA BAXTER APRN BEHAVIORAL HEALTH 40.00 X 119126 0 29061 SHAVON DONALD APRN BEHAVIORAL HEALTH 40.00 X 117724 0 22665 NICOLETTE BAER APRN BEHAVIORAL HEALTH 40.00 X 113959 0 34022 ANDREA CRUSER INTERIM CFO (BEG 02/23) 40.00 X 118064 0 5903 DAN ARENS COO (END 08/22) 40.00 X 129144 0 27101 TOM GAUNT CHAIR 1.00 X X 0 0 0 JOE VILLANUEVA VICE CHAIR 1.00 X X 0 0 0 AMBER CLARKE SECRETARY 1.00 X X 0 0 0 JOEL GITHIRI TREASURER 1.00 X X 0 0 0 JAMES ENGMARK MEMBER 1.00 X 0 0 0 LESLIE KELLY MEMBER 1.00 X 0 0 0 CAROLE MCKINNEY MEMBER 1.00 X 0 0 0 KRISHNA HEYWARD MEMBER (BEG 07/22) 1.00 X 0 0 0 BONNIE PRIBUSH MEMBER (BEG 08/22) 1.00 X 0 0 0 SUE COLLINS RN MEMBER (END 06/23) 1.00 X 0 0 0 COLLEEN GORE MEMBER (END 03/23) 1.00 X 0 0 0 ROBERT HURLEY MEMBER (END 04/23) 1.00 X 0 0 0 STACEY HINES MEMBER (01/23) 1.00 X 0 0 0 1937582 0 288110 16 0 1 0 STAR CARE LLC 11550 TOWNSEND COURT FISHERS IN 46037 CONTRACT PRESCRIBERS I.E. PSYCHIATRISTS 390776 1 13786197 25345 13811542 NET PATIENT REVENUE 621399 24061851 24061851 MEDICARE/MEDICAID PMTS 621399 3503651 3503651 PHARMACY SERVICES 621399 3155281 3155281 BEHAVIORAL HEALTH, PRIMARY CARE, 621399 1638441 1638441 32359224 516 516 53777 183450 -129673 -129673 -28123 -101550 276046 7814134 268520 7079840 7526 734294 741820 741820 MISCELLANEOUS INCOME 900099 50621 50621 50621 46834050 32359224 -28123 691407 1320682 1090391 230291 28725789 23970250 4755539 870549 666243 204306 4275828 3272349 1003479 2243386 1716894 526492 114703 53953 60750 62265 29287 32978 2865707 1347937 1517770 28574 20146 8428 728829 598644 130185 1670244 1378754 291490 229252 225517 3735 26600 18754 7846 140332 119459 20873 1548690 1373267 175423 901468 799357 102111 RESIDENTIAL SERVICES 1307844 1307844 CLIENT EXPENSES 670890 473015 197875 STAFF RECRUITMENT AND D 228990 161451 67539 606081 427321 178760 48566703 39050833 9515870 0 -213397 1649233 546893 455426 1332983 1953957 7714751 8122129 460835 626343 21559701 15710214 13679654 5849487 2005684 1427432 2798343 1763394 28325746 21847401 3398743 3605229 600000 646901 67285 46172 5103893 0 762513 929680 9932434 5227982 X 18393312 16619419 18393312 16619419 28325746 21847401 X -1732653 -5774 -35466 X X 0 1 X 1 1 1 X SCHEDULE A, 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 249553 249553 8762104 7354641 1407463 419920 303128 116792 11311931 7614018 3697913 816193 438427 377766 5849487 PROMISSORY NOTE RED OAK INDUSTRIES 60000 C RED OAK INDUSTRIES INVESTMENT 281746 C A&C RESIDENTIAL PROPERTIES 1085686 C 1427432 457 PLAN ASSETS 109899 RENT RECEIVABLE 89163 RECEIVABLE - MENTAL HEALTH REVENUE 1539418 OTHER ASSETS 24914 1763394 DEFERRED COMPENSATION 109899 ESTIMATED THIRD PARTY SETTLEMENTS 819781 929680 X 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 CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION 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 CORPORATION, AND HAS CONCLUDED THAT AS OF JUNE 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X X X 0 0 0 0 0 0 0 0 0 CHRISTINE NEGENDANK MD CHIEF MEDICAL OFFICER 244116 0 43531 0 0 0 11583 0 9667 0 308897 0 0 0 ALLEN BROWN PRESIDENT/CEO 254228 0 25000 0 0 0 9233 0 25455 0 313916 0 0 0 JOE BANKS MD ASSOC. MEDICAL DIRECTOR PRIMARY CARE 217042 0 0 0 0 0 7585 0 23800 0 248427 0 0 0 YADIRA HOWE CFO (END 03/23) 145973 0 9419 0 0 0 5893 0 20472 0 181757 0 0 0 DENISE AMATO COO 123900 0 7500 0 0 0 5428 0 20472 0 157300 0 0 0 DAN ARENS COO (END 08/22) 129144 0 0 0 0 0 8088 0 19013 0 156245 0 0 0 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 INTERIM CHIEF FINANCIAL OFFICER. 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: CHANGE IN JOINT VENTURE -35,466. 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 RESPONSIBILITY 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 ADULT & CHILD MENTAL HEALTH CENTER C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 ADULT & CHILD RESIDENTIAL PROPERTIES LLC P 0