Civic Intelligence

Four County Comprehensive Mental Health Center Inc

EIN 35-1362298 • 501(c)3 • Rochester, IN

Profile

Dedicated to holistic care given with compassion, respect, acceptance and hope. Achieving emotional well being and independence.

401 E 8th StreetRochester, IN 46975

www.fourcounty.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

23rd percentile

0.05x

Higher debt load relative to assets than 23% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Liabilities / Revenue

16th percentile

0.07x

Higher debt load relative to revenue than 16% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Net Margin

73rd percentile

17%

Higher net margin than 73% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Top Officer Pay

68th percentile

$498,753

Higher top officer pay than 68% of similar nonprofits.

Top officer pay equals 1.1% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Asset Growth

72nd percentile

12%

Faster asset growth than 72% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Revenue Growth

79th percentile

30%

Faster revenue growth than 79% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Assets

Up

$68,515,422

Up $7,455,049 (+12%) from 2024

Liabilities

Down

$3,284,857

Down $1,050,028 (-24%) from 2024

Net Assets

Up

$65,230,565

Up $8,505,077 (+15%) from 2024

Revenue

Up

$46,011,357

Up $10,707,265 (+30%) from 2024

Expenses

Up

$38,071,805

Up $7,707,615 (+25%) from 2024

Net Income

Up

$7,939,552

Up $2,999,650 (+61%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2010: $8,103,971Liabilities 2010: $1,745,589Net Assets 2010: $6,358,3822010Assets 2011: $7,787,368Liabilities 2011: $1,608,710Net Assets 2011: $6,178,6582011Assets 2012: $9,149,677Liabilities 2012: $2,186,851Net Assets 2012: $6,962,8262012Assets 2013: $10,819,403Liabilities 2013: $2,220,317Net Assets 2013: $8,599,0862013Assets 2014: $12,051,235Liabilities 2014: $3,277,321Net Assets 2014: $8,773,9142014Assets 2015: $14,794,209Liabilities 2015: $3,538,623Net Assets 2015: $11,255,5862015Assets 2016: $19,303,735Liabilities 2016: $4,691,370Net Assets 2016: $14,612,3652016Assets 2017: $20,803,497Liabilities 2017: $3,477,876Net Assets 2017: $17,325,6212017Assets 2018: $23,385,874Liabilities 2018: $3,302,257Net Assets 2018: $20,083,6172018Assets 2019: $26,229,201Liabilities 2019: $3,230,923Net Assets 2019: $22,998,2782019Assets 2020: $32,764,688Liabilities 2020: $5,846,172Net Assets 2020: $26,918,5162020Assets 2021: $43,990,806Liabilities 2021: $6,816,800Net Assets 2021: $37,174,0062021Assets 2022: $50,716,842Liabilities 2022: $5,395,867Net Assets 2022: $45,320,9752022Assets 2023: $56,624,406Liabilities 2023: $5,225,152Net Assets 2023: $51,399,2542023Assets 2024: $61,060,373Liabilities 2024: $4,334,885Net Assets 2024: $56,725,4882024Assets 2025: $68,515,422Liabilities 2025: $3,284,857Net Assets 2025: $65,230,5652025

Highlighted filing

2025

Assets$68,515,422
Liabilities$3,284,857
Net Assets$65,230,565

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0Expenses 2010: $15,198,8662010Expenses 2011: $14,749,8652011Expenses 2012: $15,257,2052012Expenses 2013: $14,652,0442013Revenue 2014: $16,652,548Expenses 2014: $16,513,426Net Income 2014: $139,1222014Revenue 2015: $20,385,319Expenses 2015: $17,903,647Net Income 2015: $2,481,6722015Revenue 2016: $22,028,684Expenses 2016: $18,671,905Net Income 2016: $3,356,7792016Revenue 2017: $24,839,772Expenses 2017: $22,126,516Net Income 2017: $2,713,2562017Revenue 2018: $26,328,635Expenses 2018: $23,570,639Net Income 2018: $2,757,9962018Revenue 2019: $26,163,280Expenses 2019: $23,248,619Net Income 2019: $2,914,6612019Revenue 2020: $29,057,306Expenses 2020: $25,137,068Net Income 2020: $3,920,2382020Revenue 2021: $35,777,414Expenses 2021: $25,528,574Net Income 2021: $10,248,8402021Revenue 2022: $37,387,797Expenses 2022: $29,117,152Net Income 2022: $8,270,6452022Revenue 2023: $35,420,975Expenses 2023: $29,515,319Net Income 2023: $5,905,6562023Revenue 2024: $35,304,092Expenses 2024: $30,364,190Net Income 2024: $4,939,9022024Revenue 2025: $46,011,357Expenses 2025: $38,071,805Net Income 2025: $7,939,5522025

Highlighted filing

2025

Revenue$46,011,357
Expenses$38,071,805
Net Income$7,939,552

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$68.5$3.28$65.2$46.0$38.1$7.94
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$61.1$4.33$56.7$35.3$30.4$4.94
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$56.6$5.23$51.4$35.4$29.5$5.91
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$50.7$5.40$45.3$37.4$29.1$8.27
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$44.0$6.82$37.2$35.8$25.5$10.2
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$32.8$5.85$26.9$29.1$25.1$3.92
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$26.2$3.23$23.0$26.2$23.2$2.91
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$23.4$3.30$20.1$26.3$23.6$2.76
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20.8$3.48$17.3$24.8$22.1$2.71
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$19.3$4.69$14.6$22.0$18.7$3.36
2015Detailed filing. Detailed filing data is available for this year.$14.8$3.54$11.3$20.4$17.9$2.48
2014Detailed filing. Detailed filing data is available for this year.$12.1$3.28$8.77$16.7$16.5$0.14
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.8$2.22$8.60$14.7
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.15$2.19$6.96$15.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.79$1.61$6.18$14.7
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.10$1.75$6.36$15.2
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Jan 13, 2026
Return Version
2024v5.5
Gross Receipts
$46,013,524
Mission and Program Overview

Mission

Dedicated to holistic care given with compassion, respect, acceptance and hope. Achieving emotional well being and independence.

Supporting all hoosier well-being through high quality, whole health care that is compassionate, collaborative and competent.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$39,901,248$44,969,024▲ $5,067,776
Land, Buildings, and Equipment, Net$15,181,703$16,508,216▲ $1,326,513
Cash and Non-Interest-Bearing Accounts$1,882,517$3,131,930▲ $1,249,413
Accounts Receivable$1,230,536$2,354,374▲ $1,123,838
Other Notes and Loans Receivable, Net$2,531,860$1,226,225▼ $1,305,635
Prepaid Expenses and Deferred Charges$329,206$322,358▼ $6,848
Pledges and Grants Receivable$3,303$3,295▼ $8
Total Assets$61,060,373$68,515,422▲ $7,455,049
Liabilities
Accounts Payable and Accrued Expenses$2,544,712$3,234,857▲ $690,145
Other Liabilities$1,790,173$0▼ $1,790,173
Deferred Revenue-$50,000-
Total Liabilities$4,334,885$3,284,857▼ $1,050,028
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$56,725,488$65,230,565▲ $8,505,077
Total Net Assets Fund Balance$56,725,488$65,230,565▲ $8,505,077
Total Liabilities and Net Assets / Fund Balance$61,060,373$68,515,422▲ $7,455,049

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$13,633,403$2,789,807$16,423,210
Equipment$2,224,490$428,210$2,652,700
Land$650,323-$650,323
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kathleen MillerChief Medical OfficerFT$427,130$71,623$498,753
Jason CadwellCFO/CAOFT$324,038$111,773$435,811
Carrie CadwellCEOFT$355,645$59,677$415,322
Andrew HartleyChief Operating OfficerFT$199,176$65,174$264,350
Matthew TannerAdvanced Practice RegisterFT$171,349$57,224$228,573
Diana ElliottVP of Accounting & HFT$150,977$71,343$222,320
Lisa Willis-gidleyVP of OperationsFT$154,452$63,002$217,454
Jane Abbott-riderAdvanced Practice RegisterPT$178,169$31,578$209,747
Hope KernsCompliance Officer/directoFT$130,560$75,160$205,720
Mark LentzAdvanced Practice RegisterPT$169,830$34,954$204,784
Nicole Hiatt-drangChief Clinical OfficerFT$159,045$44,854$203,899
Dawn CoburnVP of Billing & ReimbursementFT$127,495$62,482$189,977

Board Members and Trustees

NameTitle
Keith KolbPresident
Dean MccurdyPresident (end 1/2025)
Lynne NessPresident Elect
Brianne BolesBoard Member
Chris SailorsBoard Member
Gloria CalhounBoard Member
Jim DavisBoard Member
Linda WebbBoard Member
Mary KayBoard Member (partial Term)
Tara McvayBoard Member (partial Term)
Jason SeeSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Jackson Physician Search LLCContractor ServicesPO BOX 745644, Atlanta, GA 30374-5644$151,458
Envelop IqTechnology Services905 N CAPITOL AVE STE 200, Indianapolis, IN 46204$127,276
Revenue and Support

Revenue Composition

Contributions and Grants
$3,860,970
Program Service Revenue
$40,451,802
Investment Income
$1,513,921
Other Revenue
$184,664
All Other Contributions
$22,746
Change in Net Assets
$7,939,552

Audited Revenue Reconciliation

Revenue per Audited Statements
$46,011,357
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$567,692
Total Revenue per Audited Statements
$46,579,049
Total Revenue per Form 990
$46,011,357
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$30,202,494
Other Expenses$7,772,758
Grants and Similar Amounts Paid$96,553
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$18,856,239$4,604,048-$23,460,287
Other Employee Benefits$2,190,617$422,177-$2,612,794
Current Officers, Directors, Trustees, and Key Employees$1,655,246$404,155-$2,059,401
Fees for Services Other$1,364,555$661,463-$2,026,018
Payroll Taxes$1,499,195$288,926-$1,788,121
Depreciation Depletion$779,786$211,660-$991,446
Travel$689,423$52,479-$741,902
Insurance$39,153$473,564-$512,717
Information Technology$296,351$124,468-$420,819
Office Expenses$289,173$121,453-$410,626
Occupancy$281,199$118,104-$399,303
Advertising$274,457$115,273-$389,730
Pension Plan Contributions$236,343$45,548-$281,891
All Other Expenses$149,581$62,825-$212,406
Fees for Services Accounting-$99,375-$99,375
Grants to Domestic Individuals$96,553--$96,553
Other Expenses$51,263$21,531-$72,794
Conferences and Meetings$41,164$17,289-$58,453
Fees for Services Legal-$55,451-$55,451
Total Functional Expenses$29,763,337$8,308,468$0$38,071,805

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$38,073,972
Expenses per Audited Statements$38,071,805
Total Expenses per Form 990$38,071,805
Expenses Not Reported on Form 990$2,167
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Four County Comprehensive Mental Health
EIN
35-1362298
Phone
5747225151
Address
401 E 8TH STREET, ROCHESTER, IN 46975
Doing Business As
4c Health

Signing Officer

Name
Carrie Cadwell
Title
CEO
Phone
5747225151
Signed
2026-01-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Carrie Cadwell
Formed
1975
Legal Domicile
In
Voting Board Members
8
Independent Board Members
8
Employees
756
Volunteers
8

Preparer

Firm
Blue & Co LLC
Address
500 N MERIDIAN ST SUITE 200, INDIANAPOLIS, IN 46204
Preparer
Tyler K Greene CPA
Phone
3176334705
Supplemental Narrative

Additional Explanations

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.

Financial Statement Notes

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.

Raw XML AppendixShowing 400 of 883 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AccountsReceivableGrp/EOYAmt02354374
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0SUPPORTING ALL HOOSIER WELL-BEING THROUGH HIGH QUALITY, WHOLE HEALTH CARE THAT IS COMPASSIONATE, COLLABORATIVE AND COMPETENT.
IRS990/AdvertisingGrp/ManagementAndGeneralAmt0115273
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IRS990/BooksInCareOfDetail/PhoneNum05747322410
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IRS990/BooksInCareOfDetail/USAddress/CityNm0PERU
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IRS990/DepreciationDepletionGrp/ProgramServicesAmt0779786
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IRS990/Desc0THE 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.
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