2026-01-29T11:03:50-06:00 2025-06-30 310800053 CLARK SCHAEFER HACKETT & CO 14 EAST MAIN ST SUITE 500 SPRINGFIELD OH 45502 990 2024-07-01 310787073 MENTAL HEALTH SERVICES FOR CLARK CO INC MENT 9373999500 474 N YELLOW SPRINGS ST SPRINGFIELD OH 45504 MARK HUFF CFO 9373999500 2026-01-29 1 1 RENEA R IRICK P01586814 9373992000 2026-01-29 2024 2025-03-06 01:10:19Z MENTAL HEALTH SERVICES FOR CLARK AND MADISON COS INC KELLY RIGGER 474 N YELLOW SPRINGS ST SPRINGFIELD OH 45504 15599444 0 X WWW.MHSCC.ORG X 1969 OH PROVIDES MENTAL AND BEHAVIORAL HEALTH SERVICES TO RESIDENTS OF CLARK AND MADISON COUNTIES OHIO. 13 11 224 9 0 0 5078286 5297405 8884151 9400679 315725 767444 14023 133916 14292185 15599444 0 0 0 0 9884386 11325502 0 0 0 2769945 3067485 12654331 14392987 1637854 1206457 27377365 28490085 3211704 2884855 24165661 25605230 TO IMPROVE THE SAFETY AND QUALITY OF LIFE OF THOSE WE SERVE. 0 0 6825766 4942575 OUTPATIENT PSYCHIATRIC SERVICES PROVIDED 65,000 SERVICES UNDER OUR OUTPATIENT PROGRAMS FOR RESIDENTS OF CLARK AND MADISON COUNTIES. 3472110 3521935 INPATIENT PSYCHIATRIC SERVICES OFFERING SHORT TERM, MULTIDISCIPLINARY CARE TO TREAT ACUTE EPISODES OF PSYCHOSIS AND DEPRESSIVE DISORDERS. 585 CLIENTS WERE ADMITTED TO INPATIENT FOR ACUTE PSYCHIATRIC CARE DURING THE FISCAL YEAR. 741472 1070085 HOUSING ASSISTANCE SERVICES FOR CLIENTS WITH SEVERE MENTAL DISABILITIES WERE PROVIDED FOR 80 CLIENTS DURING THE FISCAL YEAR. 11039348 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 34 0 1 224 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MARK HUFF 9373999500 474 N YELLOW SPRINGS ST SPRINGFIELD OH 45504 BRIAN SMITH BOARD CHAIR 3.00 X X 0 0 0 TRACEY STUTE BOARD VICE CHAIR 3.00 X X 0 0 0 DOUG SCHANTZ TRUSTEE 3.00 X 0 0 0 CHRISTINE ZECHMAN TRUSTEE 3.00 X 0 0 0 SUNNY DHINGRA TRUSTEE 3.00 X 0 0 0 EDNA CHAPMAN TRUSTEE 3.00 X 0 0 0 JOAN SCHOFIELD TRUSTEE 3.00 X 0 0 0 EVAN CURTIN TRUSTEE 3.00 X 0 0 0 DANA ENGLE TRUSTEE 3.00 X 0 0 0 TIM DOTSON TRUSTEE 3.00 X 0 0 0 RONALD GORDON TRUSTEE 3.00 X 0 0 0 KELLY RIGGER CEO/SECRETARY/TREASURER 40.00 X X 139168 0 7042 DR KALPANA VISHNUPAD CHIEF CLINICAL OFFICER 40.00 X X 273329 0 12064 MARK HUFF CFO 40.00 X 126417 0 0 JILL SOKOLNICKI COO 40.00 X 115878 0 4713 654792 0 23819 9 0 1 0 0 4773365 524040 5297405 TITLE XIX MEDICAID 900099 6940495 6940495 PATIENT SERVICE REVENUES 621300 1405101 1405101 HOSPITAL ASSISTANCE PAYMENTS 900099 865236 865236 TITLE XX 900099 115635 115635 RENTAL REVENUE FROM CLIENT SUPPOR 623990 74212 74212 9400679 67992 67992 699452 0 699452 699452 699452 OTHER SERVICE REVENUE 621300 133916 133916 133916 15599444 9534595 0 767444 678611 552695 125916 9012688 7360253 1652435 151608 114293 37315 824091 621258 202833 658504 496427 162077 742469 268834 473635 153584 29874 123710 587589 474090 113499 111573 97887 13686 48341 35760 12581 398098 297780 100318 OPERATING EXPENSES 616885 356474 260411 OPERATING SUPPLIES 336522 313475 23047 EQUIPMENT EXPENSES 72424 20248 52176 14392987 11039348 3353639 0 2834101 3612466 1044036 1099344 1422524 1054912 10884 13187 239523 287648 18990654 5944141 13386346 13046513 8431951 9368015 8000 8000 27377365 28490085 1454179 1236530 1687125 1582325 70400 66000 3211704 2884855 X 24165661 25605230 24165661 25605230 27377365 28490085 1206457 233112 0 X X 0 1 X 1 0 X 6295322 5192083 5212242 5078286 5297405 27075338 6295322 5192083 5212242 5078286 5297405 27075338 27075338 6379 346 9916 34164 67992 118797 27194135 42603809 0.99560 0.97420 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4211982 3500 505371 27482 4693371 3163116 750100 320444 21678 4211982 2957729 224445 19058 3163116 4009557 -78892 950000 22936 2957729 3213370 819532 23345 4009557 1.00000 1 0 2071230 2071230 14320188 3370679 10949509 135453 131557 3896 2246722 2224844 21878 217061 217061 0 13046513 OTHER INVESTMENTS 4674644 F INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATION 4693371 F 9368015 15832556 233112 233112 15599444 0 15599444 14392987 0 14392987 0 14392987 1 1 1 X 250.000000000000 1 X 1 1 0 1 1 1309750 991000 318750 0.02210 1309750 991000 318750 0.02210 1309750 991000 318750 0.02210 1 182819 230475 -47656 X 1 1 1 1 MENTAL HEALTH SERVICES 474 NORTH YELLOW SPRINGS STREET SPRINGFIELD OH 45504 X 16 BED PSYCHIATRIC HOSPITAL MENTAL HEALTH SERVICES 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.MHSCC.ORG X 1 21 1 WWW.MHSCC.ORG 0 1 X 250.000000000000 400.000000000000 X X 1 1 X X X 1 X WWW.MHSCC.ORG X X 1 X 0 X X X 1 X 0 0 MENTAL HEALTH SERVICES PART V, SECTION B, LINE 5: MENTAL HEALTH SERVICES MANAGEMENT STAFF PARTICIPATES IN THE COMMUNITY HEALTH ASSESSMENT PROCESS PERFORMED BY THE CLARK COUNTY COMBINED HEALTH DISTRICT WITH OTHER COMMUNITY MEMBERS INCLUDING THE LOCAL HOSPITAL SYSTEM, OUR LOCAL ALCOHOL/DRUG TREATMENT PROGRAM, POLICE, FIRE AND ADMHS BOARD STAFF. IN ADDITION, MENTAL HEALTH SERVICES PERFORMS COMMUNITY FOCUS GROUP SESSIONS TO OBTAIN FEEDBACK AND INFORMATION FROM PATIENTS, FAMILY MEMBERS AND CONSUMER ADVOCATES TO ASSIST US IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. MENTAL HEALTH SERVICES PART V, SECTION B, LINE 11: BASED ON KEY ASSESSMENT DATA FROM THE CLARK COUNTY COMBINED HEALTH DISTRICT, MENTAL HEALTH SERVICES PROVIDES AN ONLINE DEPRESSION SCREENING FOR ADOLESCENTS AND ADULTS TO IDENTIFY DEPRESSION AND RISK OF SUICIDE. MENTAL HEALTH SERVICES PROVIDES WALK IN COUNSELING AS A PART OF OUR MENTAL HEALTH RECOVERY BOARD CONTRACT. IN ADDITION, MENTAL HEALTH SERVICES IS IMPLEMENTING EVIDENCE BASED PROGRAMMING IN THE LOCAL SCHOOLS TO REDUCE THE INCIDENCE OF SUICIDAL IDEATION AMONG MIDDLE SCHOOL AGE CHILDREN IN CLARK COUNTY. WE PARTICIPATE IN THE CLARK COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE COMBINED HEALTH DISTRICT AND OTHER COMMUNITY ORGANIZATIONS TO EVALUATE THE COMMUNITY NEEDS. MENTAL HEALTH SERVICES PART V, SECTION B, LINE 13B: THE BILLING CLERK PROVIDES INFORMATION TO PATIENTS ON OUR CHARITY CARE PROGRAM. WE HAVE INFORMATION POSTED ON THE INPATIENT UNIT BULLETIN AREA AND ALSO HAVE A NOTICE ON THE PATIENT STATEMENT ALONG WITH THE BILLING CLERK PHONE NUMBER. OUR FINANCIAL ASSISTANCE COLLECTION POLICY IS POSTED ON OUR WEBSITE. FOR RESIDENTS OF CLARK AND MADISON COUNTIES WITHOUT INSURANCE, WE PROVIDE FREE INPATIENT CARE. WE OFFER A 30% DISCOUNT FOR UNINSURED OUT OF COUNTY CLIENTS AS WELL AS CLIENTS WHO HAVE OUTSTANDING MEDICAL EXPENSES EXCEEDING $5,000. 1 1 - MENTAL HEALTH SERVICES 474 NORTH YELLOW SPRINGS STREET SPRINGFIELD OH 45504 16 BED PSYCHIATRIC HOSPITAL PART I, LINE 3C: MENTAL HEALTH SERVICES SCREENED ALL ADMISSIONS AND, FOR FY 2025, PROVIDED FINANCIAL ASSISTANCE TO 35% OF ALL INPATIENT ADMISSIONS. PART VI, LINE 2: MENTAL HEALTH SERVICES MANAGEMENT STAFF PARTICIPATES IN THE CLARK COUNTY COMBINED HEALTH DISTRICT COMMUNITY HEALTH ASSESSMENT ALONG WITH OTHER COMMUNITY MEMBERS INCLUDING THE LOCAL HOSPITAL SYSTEM, OUR LOCAL ALCOHOL/DRUG TREATENT PROVIDER, POLICE, FIRE, AND LOCAL ALCOHOL/DRUG MENTAL HEALTH RECOVERY BOARD STAFF. IN ADDITION, MENTAL HEALTH SERVICES PERFORMS COMMUNITY FOCUS GROUP SESSIONS TO OBTAIN FEEDBACK ON SERVICE NEEDS. PART VI, LINE 3: THE INPATIENT BILLING CLERK MEETS WITH THE PATIENT, THE PATIENT'S FAMILY OR ANOTHER AUTHORIZED GUARDIAN OR REPRESENTATIVE TO DISCUSS CLIENT CARE PROGRAMS. IN ADDITION, WE HAVE A PHARMACY PROGRAM THAT PROVIDES PATIENTS THEIR MEDICATION AT NO COST FOR PATIENTS WITHOUT INSURANCE. FOR THOSE PATIENTS OF CLARK OR MADISON COUNTY WITHOUT HEALTH INSURANCE, WE OFFER A 100% CHARITY CARE PROGRAM. IN FY 2025 WE WERE ABLE TO PROVIDE FINANCIAL ASSISTANCE TO 35% OF ALL ADMISSIONS. PART VI, LINE 4: CLARK AND MADISON COUNTIES ARE LOCATED IN SOUTHWEST OHIO WITH AN AREA POPULATION OF APPROXIMATELY 178,500. THE PERCENTAGE OF HOUSEHOLDS UNDER THE FEDERAL POVERTY GUIDELINES IS 15%. THE CLIENTS THAT WE SERVE ARE TYPICALLY ELIGIBLE FOR MEDICAID, MEDICARE OR OTHER FEDERAL ASSISTANCE PROGRAMS. THIS ELIGIBILITY IS USUALLY A FUNCTION OF OUR CLIENTS PSYCHIATRIC DISABILTIIES. X X X 0 0 0 0 0 0 0 0 0 DR KALPANA VISHNUPAD CHIEF CLINICAL OFFICER 273329 0 0 0 0 0 12064 0 0 0 285393 0 0 0 A CLARK COUNTY OHIO 316000132 999999999 2022-01-19 1785700 CONSTRUCTING AN OUTPATIENT YOUTH WING FOR MENTAL HEALTH SERVICES PROGRAMS 0 0 0 A 203375 1785700 50000 1735700 2022 0 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 A 0 PART III, LINE 9; PART IV, LINE 7; AND PART V: MENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIES, INC. HAS ESTABLISHED WRITTEN PROCEDURES (A) TO ENSURE THAT ALL NON-QUALIFIED BONDS OF AN ISSUE ARE REMEDIATED IN ACCORDANCE WITH REGULATIONS SECTIONS 1.141-12 AND 1.145-2, (B) TO MONITOR THE REQUIREMENTS OF SECTION 148 OF THE INTERNAL REVENUE CODE, AND (C) TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES REVIEWS THE FORM 990 AND APPROVES IT BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF TRUSTEES REVIEW THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND COMPLETE SURVEY AND STATEMENT OF UNDERSTANDING. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REFERENCES VARIOUS INDUSTRY COMPENSATION STUDIES AND SALARY SCHEDULES OF COMPARABLE ORGANIZATIONS. THE HUMAN RESOURCES DIRECTOR REPORTS TO THE BOARD OF TRUSTEES REGARDING MATTERS OF COMPENSATION LEVELS AND RESULTS OF SUCH STUDIES. FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 AND FORM 990 ARE MADE AVAILABLE FOR PUBLIC INSPECTION UPON WRITTEN REQUEST OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES AVAILABLE ALL DOCUMENTS REQUIRED BY LAW. PART XII, LINE 2C THE ORGANIZATION DID NOT CHANGE ITS ACCEPTANCE PROCEDURES FOR THE FINANCIAL STATEMENTS FROM THE PRIOR PERIOD METHOD. MANAGEMENT REVIEWS THE AUDITED FINANCIAL STATEMENTS AND PRESENTS THEM TO THE BOARD FOR APPROVAL. CLEANERS EXTRAORDINAIRE INC 128 EAGLE CITY ROAD SPRINGFIELD OH 45502 311110016 JOB TRAINING FOR INDIVIDUALS WITH DISABILITES OH 501(C)(3) 170(B)(1)(A)(VI) MENTAL HEALTH SERVICES 1 RESOURCE CENTER APARTMENTS INC 1086 MOUND ST SPRINGFIELD OH 45505 311307922 AFFORDABLE HOUSING FOR THE DISABLED OH 501(C)(3) 170(B)(1)(A)(VI) MENTAL HEALTH SERVICES 1 RESTAN CORP 1086 MOUND ST SPRINGFIELD OH 45505 311368099 AFFORDABLE HOUSING FOR THE DISABLED OH 501(C)(3) 509(A)(2) MENTAL HEALTH SERVICES 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 CLEANERS EXTRAORDINAIRE INC D 9560 COST RESOURCE CENTER APARTMENTS INC D 77425 COST