2026-01-13T12:04:00-06:00 2025-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-07-01 351362298 FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC FOUR 5747225151 401 E 8TH STREET ROCHESTER IN 46975 CARRIE CADWELL CEO 5747225151 2026-01-13 1 1 TYLER K GREENE CPA P00057872 3176334705 2026-01-13 2024 2025-03-06 01:10:19Z 4C HEALTH CARRIE CADWELL 401 E 8TH STREET ROCHESTER IN 46975 46013524 0 X WWW.4CHEALTHIN.ORG X 1975 IN SUPPORTING ALL HOOSIER WELL-BEING THROUGH HIGH QUALITY, WHOLE HEALTH CARE THAT IS COMPASSIONATE, COLLABORATIVE AND COMPETENT. 8 8 756 8 0 0 5996234 3860970 27815411 40451802 1225339 1513921 267108 184664 35304092 46011357 83801 96553 0 0 24209332 30202494 0 0 0 6071057 7772758 30364190 38071805 4939902 7939552 61060373 68515422 4334885 3284857 56725488 65230565 X DEDICATED TO HOLISTIC CARE GIVEN WITH COMPASSION, RESPECT, ACCEPTANCE AND HOPE. ACHIEVING EMOTIONAL WELL BEING AND INDEPENDENCE. 0 0 29763337 96553 40634216 THE CENTER PROVIDES COMPREHENSIVE MENTAL HEALTH SERVICES TO THE RESIDENTS OF CASS, 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 $67,099 IN 2025. 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. 29763337 1 1 0 1 0 0 0 0 1 0 1 0 0 0 0 1 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 0 0 0 1 19 0 1 756 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 1 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 IN X DIANA ELLIOTT VP OF ACCOUNTING 5747322410 2355 S BUSINESS 31 PERU IN 46970 DEAN MCCURDY PRESIDENT (END 1/2025) 2.00 0.00 X X 0 0 0 KEITH KOLB PRESIDENT 2.00 0.00 X X 0 0 0 JASON SEE SECRETARY/TREASURER 2.00 0.00 X X 0 0 0 LYNNE NESS PRESIDENT ELECT 2.00 0.00 X X 0 0 0 GLORIA CALHOUN BOARD MEMBER 2.00 0.00 X 0 0 0 MARY KAY BOARD MEMBER (PARTIAL TERM) 2.00 0.00 X 0 0 0 TARA MCVAY BOARD MEMBER (PARTIAL TERM) 2.00 0.00 X 0 0 0 LINDA WEBB BOARD MEMBER 2.00 0.00 X 0 0 0 CHRIS SAILORS BOARD MEMBER 2.00 0.00 X 0 0 0 JIM DAVIS BOARD MEMBER 2.00 0.00 X 0 0 0 BRIANNE BOLES BOARD MEMBER 2.00 0.00 X 0 0 0 CARRIE CADWELL CEO 40.00 0.00 X 363427 0 51895 JASON CADWELL CFO/CAO 40.00 0.00 X 421628 0 14183 KATHLEEN MILLER CHIEF MEDICAL OFFICER 40.00 0.00 X 452942 0 45811 NICOLE HIATT-DRANG CHIEF CLINICAL OFFICER 40.00 0.00 X 194183 0 9716 ANDREW HARTLEY CHIEF OPERATING OFFICER 40.00 0.00 X 251766 0 12584 LISA WILLIS-GIDLEY VP OF OPERATIONS 40.00 0.00 X 189512 0 27942 HOPE KERNS COMPLIANCE OFFICER/DIRECTO 40.00 0.00 X 165698 0 40022 DIANA ELLIOTT VP OF ACCOUNTING & H 40.00 0.00 X 194830 0 27490 MARK LENTZ ADVANCED PRACTICE REGISTER 32.00 0.00 X 180109 0 24675 JANE ABBOTT-RIDER ADVANCED PRACTICE REGISTER 32.00 0.00 X 201355 0 8392 DAWN COBURN VP OF BILLING & REIMBURSEMENT 40.00 0.00 X 165050 0 24927 MATTHEW TANNER ADVANCED PRACTICE REGISTER 40.00 0.00 X 194229 0 34344 2974729 0 321981 19 0 1 0 JACKSON PHYSICIAN SEARCH LLC PO BOX 745644 ATLANTA GA 303745644 CONTRACTOR SERVICES 151458 ENVELOP IQ 905 N CAPITOL AVE STE 200 INDIANAPOLIS IN 46204 TECHNOLOGY SERVICES 127276 2 3838224 22746 3860970 NET PATIENT SERVICE RE 621300 39161783 39161783 MENTAL HEALTH FUNDS RE 621300 1100325 1100325 GROUP HOME RENTAL INCO 531390 189694 189694 40451802 1516088 1516088 2167 -2167 -2167 -2167 184664 182414 2250 184664 46011357 40634216 0 1516171 96553 96553 2059401 1655246 404155 23460287 18856239 4604048 281891 236343 45548 2612794 2190617 422177 1788121 1499195 288926 55451 55451 99375 99375 2026018 1364555 661463 389730 274457 115273 410626 289173 121453 420819 296351 124468 399303 281199 118104 741902 689423 52479 58453 41164 17289 991446 779786 211660 512717 39153 473564 HOSPITAL ASSESMENT FEES 1036221 729731 306490 RECRUITING EXPENSES 212706 149793 62913 DUES & SUBSCRIPTIONS 132791 93515 39276 RECOGNITION EXPENSES 72794 51263 21531 212406 149581 62825 38071805 29763337 8308468 0 1882517 3131930 39901248 44969024 3303 3295 1230536 2354374 2531860 1226225 329206 322358 19726233 3218017 15181703 16508216 61060373 68515422 2544712 3234857 50000 1790173 0 4334885 3284857 X 56725488 65230565 56725488 65230565 61060373 68515422 7939552 565525 0 X X 0 1 X 1 1 1 X 7251515 7345874 4756500 5996234 3860970 29211093 27891503 29393485 30078366 27815411 40451802 155630567 35143018 36739359 34834866 33811645 44312772 184841660 0 1264952 1486978 1809947 1649585 640190 6851652 1264952 1486978 1809947 1649585 640190 6851652 177990008 332678 350592 730775 1433703 1516088 4363836 332678 350592 730775 1433703 1516088 4363836 367317 489352 391382 267108 184664 1699823 35843013 37579303 35957023 35512456 46013524 190905319 0.93230 0.92440 0.02290 0.01930 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 367,317. 2021 AMOUNT: $ 489,352. 2022 AMOUNT: $ 391,382. 2023 AMOUNT: $ 267,108. 2024 AMOUNT: $ 184,664. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9232 9232 0 PART II-B, LINE 1: 29.23% OF DUES PAID TO INDIANA COUNCIL OF COMMUNITY MENTAL HEALTH CENTERS WERE ATTRIBUTABLE TO LOBBYING DURING THE FISCAL YEAR. 0 0 650323 650323 16423210 2789807 13633403 2652700 428210 2224490 16508216 X 46579049 565525 2167 567692 46011357 0 46011357 38073972 2167 2167 38071805 0 38071805 PART X, LINE 2: 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, 2025 AND 2024, 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, 2024 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). PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF EQUIPMENT 2,167. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF EQUIPMENT 2,167. 1 LIVING ALLOTMENT - SUPERVISED GROUP LIVING 33 34019 EDUCATION ASSISTANCE PROGRAM 49 58634 PART I, LINE 2: FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER, INC. MAKES ASSISTANCE AVAILABLE TO ELIGIBLE PERSONS TO FURTHER THE HEALTHCARE IN THE COMMUNITY. X X 0 0 0 0 0 0 0 0 0 KATHLEEN MILLER CHIEF MEDICAL OFFICER 427130 0 25050 0 762 0 16210 0 29601 0 498753 0 0 0 JASON CADWELL CFO/CAO 324038 0 97500 0 90 0 14183 0 0 0 435811 0 0 0 CARRIE CADWELL CEO 355645 0 0 0 7782 0 11000 0 40895 0 415322 0 0 0 ANDREW HARTLEY CHIEF OPERATING OFFICER 199176 0 52500 0 90 0 12584 0 0 0 264350 0 0 0 MATTHEW TANNER ADVANCED PRACTICE REGISTER 171349 0 22790 0 90 0 4094 0 30250 0 228573 0 0 0 DIANA ELLIOTT VP OF ACCOUNTING & H 150977 0 43750 0 103 0 10154 0 17336 0 222320 0 0 0 LISA WILLIS-GIDLEY VP OF OPERATIONS 154452 0 35000 0 60 0 9716 0 18226 0 217454 0 0 0 JANE ABBOTT-RIDER ADVANCED PRACTICE REGISTER 178169 0 22790 0 396 0 7800 0 592 0 209747 0 0 0 HOPE KERNS COMPLIANCE OFFICER/DIRECTO 130560 0 35000 0 138 0 8933 0 31089 0 205720 0 0 0 MARK LENTZ ADVANCED PRACTICE REGISTER 169830 0 8500 0 1779 0 0 0 24675 0 204784 0 0 0 NICOLE HIATT-DRANG CHIEF CLINICAL OFFICER 159045 0 35000 0 138 0 9716 0 0 0 203899 0 0 0 DAWN COBURN VP OF BILLING & REIMBURSEMENT 127495 0 37500 0 55 0 8591 0 16336 0 189977 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 TWO OFFICERS AT FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER, INC., 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 LOCAL RECRUITING INFORMATION AND MARKET RATES RELEVANT TO FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER'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 WE WORK DIRECTLY WITH THE AUDIT FIRM AND PROVIDE THE REQUESTED INFORMATION FOR THE AUDIT. ONCE THE AUDIT IS COMPLETED, THE AUDIT FIRM PROVIDES THE AUDIT DRAFT TO THE CEO, CFO AND DIRECTOR OF ACCOUNTING AND HUMAN RESOURCES. ONCE REVIEWED, THE AUDIT FIRM WILL PRESENT TO THE BOARD OF DIRECTORS AND GIVE THEM TIME FOR QUESTIONS WITHOUT FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER STAFF IN ATTENDANCE. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.