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Four County Comprehensive Mental Health Center
Also known as 4C Health
Four County Comprehensive Mental Health Center reported $46.0 million in revenue and $38.1 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $78.18 went to program services, $21.82 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 87.9% of the total. Government grants made up 8.3%. The highest compensation it reported for one person was $498,753 (CHIEF MEDICAL OFFICER). 19 people received more than $100,000 in reportable compensation. Revenue rose 58% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $38MFor context, the median across 864 covered mental health & crisis intervention charities: $86.13 programs, $13.87 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $46MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 78.2% | 85.2% |
| Management & general Part IX 25(C) ÷ 25(A) | 21.8% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 8.4% | 26.4% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 8.3% | 14.5% |
| Program service revenue share Part VIII 2g ÷ 12 | 87.9% | 69.3% |
| Highest reported compensation Part VII-A, columns D–F | $498,753 | $324,111 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.31% | 1.28% |
| People paid over $100,000 Part VII, line 2 | 19 | 8 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 20.6 | 6.2 |
| Independent voting board members Part VI 1a–1b | 8 of 8 | 100.0% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseThe 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…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| CHIEF MEDICAL OFFICER Officer, 40.00 hrs/week | $452,942 | $0 | $45,811 | $498,753 |
| CFO/CAO Officer, 40.00 hrs/week | $421,628 | $0 | $14,183 | $435,811 |
| CEO Officer, 40.00 hrs/week | $363,427 | $0 | $51,895 | $415,322 |
| CHIEF OPERATING OFFICER Officer, 40.00 hrs/week | $251,766 | $0 | $12,584 | $264,350 |
| ADVANCED PRACTICE REGISTER Highest compensated employee, 40.00 hrs/week | $194,229 | $0 | $34,344 | $228,573 |
| VP OF ACCOUNTING & H Highest compensated employee, 40.00 hrs/week | $194,830 | $0 | $27,490 | $222,320 |
| VP OF OPERATIONS Officer, 40.00 hrs/week | $189,512 | $0 | $27,942 | $217,454 |
| ADVANCED PRACTICE REGISTER Highest compensated employee, 32.00 hrs/week | $201,355 | $0 | $8,392 | $209,747 |
19 people received more than $100,000 in reportable compensation from Four County Comprehensive Mental Health Center (Part VII, line 2). Compensation of current officers, directors and key employees totaled $2.1M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b8 · 8 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aNo
- Family or business ties among insiders Part VI 2Yes
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5756
- Volunteers Part I, line 68
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses onlyIndividuals listed as contractors are left out. 2 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Four County Comprehensive Mental Health Center's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Four County Comprehensive Mental Health Center, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Four County Comprehensive Mental Health Center spent in FY2025, $78.18 went to programs. The full breakdown, from its IRS Form 990:
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All mental health & crisis intervention charities · Largest charities in Indiana
Questions people ask
How much of Four County Comprehensive Mental Health Center's spending goes to programs?
In the fiscal year ending June 30, 2025, Four County Comprehensive Mental Health Center reported that 78.2% of its $38.1 million in expenses went to program services, 21.8% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Four County Comprehensive Mental Health Center pay its top executive?
The largest total compensation Four County Comprehensive Mental Health Center reported for one person in the fiscal year ending June 30, 2025 was $498,753, for the role of CHIEF MEDICAL OFFICER (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Four County Comprehensive Mental Health Center get its money?
Of $46.0 million in revenue in the fiscal year ending June 30, 2025, 8.4% came from contributions and grants (including 8.3% from government grants) and 87.9% from program service revenue (Form 990, Part VIII).
Is Four County Comprehensive Mental Health Center a registered charity?
The IRS lists EIN 35-1362298 as a 501(c)(3) organization (publicly supported organization (509(a)(2))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202630139349301543 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202500799349301135 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202431369349316903 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202311359349314416 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202201369349308835 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202130789349300608 · read the filing
All filings for EIN 35-1362298: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.