2024-06-19T07:39:28-05:00 2023-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-01-01 351557379 COMMUNITY INVOLVEMENT CENTER INC COMM 3178808801 53 BB 720 ESKENAZI AVE 4TH FL INDIANAPOLIS IN 46202 NICHOLE HARPER TREASURER 3178808801 2024-06-19 1 NICHOLE HARPER 999009999 1 TYLER K GREENE CPA P00057872 3176334705 2024-06-19 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z NICHOLE HARPER 5/3 BB 720 ESKENAZI AVE 4TH FL INDIANAPOLIS IN 46202 0 0 X N/A X 1983 IN THE MISSION OF COMMUNITY INVOLVEMENT CENTER, INC. (CICI) IS TO SUPPORT VULNERABLE MEMBERS OF THE COMMUNITY AND PATIENTS OF ESKENAZI HEALTH, THE PUBLIC HOSPITAL DIVISION OF THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY, INDIANA (HHC), WHO REQUIRE THE SUPPORT OF CICI AND ITS SERVICES, TO ENGAGE IN ACTIVITIES AND OPERATE PROGRAMS DESIGNED TO AID THOSE WHO ARE MENTALLY ILL; AND TO PROMOTE COMMUNITY HEALTH WITHIN THE COMMUNITY SERVED BY HHC, ESKENAZI HEALTH, AND CICI. 3 3 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 637838 659448 637838 659448 0 0 X THE MISSION OF COMMUNITY INVOLVEMENT CENTER, INC. (CICI) IS TO SUPPORT VULNERABLE MEMBERS OF THE COMMUNITY AND PATIENTS OF ESKENAZI HEALTH, THE PUBLIC HOSPITAL DIVISION OF THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY, INDIANA (HHC), WHO REQUIRE THE SUPPORT OF CICI AND ITS SERVICES, TO ENGAGE IN ACTIVITIES AND OPERATE PROGRAMS DESIGNED TO AID THOSE WHO ARE MENTALLY ILL; AND TO PROMOTE COMMUNITY HEALTH WITHIN THE COMMUNITY SERVED BY HHC, ESKENAZI HEALTH, AND CICI. 0 0 CICI'S CORE ACTIVITY IS PROVIDING PAYEESHIP SERVICES FOR CHRONICALLY MENTALLY ILL PATIENTS OF ESKENAZI HEALTH'S SANDRA ESKENAZI MENTAL HEALTH CENTER AT NO COST TO THE PATIENT. AS PAYEE, CICI RECEIVES SOCIAL SECURITY DISABILITY PAYMENTS FOR PATIENTS AND HOLDS SUCH PAYMENTS FOR THE PATIENTS' BENEFIT. CICI THEN DISTRIBUTES THESE AMOUNTS TO PATIENTS AND/OR TO ORGANIZATIONS PROVIDING SERVICES FOR SUCH PAYMENTS UNDER THE CARE AND ADVICE OF A SANDRA ESKENAZI MENTAL HEALTH CENTER PROFESSIONAL. CICI DOES NOT CHARGE ANY FEE TO PATIENTS FOR PROVIDING THE SERVICE. THROUGH THESE ACTIONS, CICI ADVANCES CHARITABLE PURPOSES BY SERVING CHRONICALLY MENTALLY ILL PATIENTS AND ENSURING THAT THE FUNDS THEY RECEIVE FROM THE FEDERAL GOVERNMENT ARE USED APPROPRIATELY TO PAY FOR ESSENTIALS THAT SUPPORT THEIR WELLBEING AND BEST INTEREST. 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 IN X ASHELY OVERLEY 3178802935 720 ESKENAZI AVE INDIANAPOLIS IN 46202 X ASHLEY OVERLEY MD PRESIDENT 0.10 X X 0 0 0 LISA HARRIS MD SECRETARY 0.10 X X 0 0 0 NICOLE HARPER TREASURER 0.10 X X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 637838 659448 637838 659448 637838 659448 637838 659448 X 0 0 0 0 0 0 0 0 637838 659448 0 X 0 0 0 X X 1 THE HEALTH AND HOSPITAL CORPORATION 356005697 6 1 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X PART IV, SECTION A, LINE 2: THE SUPPORTED ORGANIZATION, HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY, INDIANA (HHC), IS A GOVERNMENTAL ENTITY EXEMPT FROM INCOME TAX PURSUANT TO IRC SECTION 115 AND NOT A PUBLIC CHARITY PURSUANT TO IRC 509(A)(1) OR 509(A)(2), AND IS RESPONSIBLE FOR THE PUBLIC HEALTH. SCHEDULE A, SECTION D, LINE 3: DURING THIS YEAR, CICI'S ENTIRE BOARD WAS COMPRISED OF INDIVIDUALS WHO WERE AT THAT TIME AFFILIATED WITH HHC. LISA HARRIS IS THE C.E.O. OF THE HOSPITAL DIVISION, ASHLEY OVERLEY IS THE C.E.O. OF SANDRA ESKENAZI MENTAL HEALTH CENTER, AND NICOLE HARPER IS THE INTERIM CFO OF ESKANAZI HEALTH. SCHEDULE A, SECTION E, LINE 1C: DURING THIS YEAR, TAXPAYER'S CORE ACTIVITY WAS PROVIDING PAYEESHIP SERVICES PRIMARILY FOR CHRONICALLY MENTALLY ILL PATIENTS OF SANDRA ESKENAZI MENTAL HEALTH CENTER. SANDRA ESKENAZI MENTAL HEALTH CENTER PROVIDES MENTAL HEALTH SERVICES FOR ESKENAZI HEALTH. ESKENAZI HEALTH IS A DIVISION OF HHC. BY PROVIDING THESE PAYEESHIP SERVICES, TAXPAYER IS ENSURING THAT THAT THE FUNDS THEY RECEIVE FROM THE FEDERAL GOVERNMENT ARE USED APPROPRIATELY TO PAY FOR ESSENTIALS THAT SUPPORT THEIR WELLBEING AND BEST INTEREST. 1 637838 1740023 1718413 659448 1 X 0 PART IV, LINE 1B: SEE PART IV, LINE 2B DISCLOSURE BELOW. PART IV, LINE 2B: THE ORGANIZATION IS AN APPROVED INTERMEDIARY PAYEE FOR AMOUNTS FROM THE U.S. SOCIAL SECURITY ADMINISTRATION USED TO FUND HEALTH CARE COSTS OF INDIVIUAL SOCIAL SECURITY RECIPIENTS. SUCH FUNDS DO NOT BELONG TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B SUPPORT STAFF ORGANIZE FINANCIAL INFORMATION RECEIVED FROM INDEPENDENT CPA FIRM AND COMBINE WITH FORM 990 DISCLOSURE INFORMATION TO HAVE FORM 990 PREPARED. AFTER REVIEW BY SUPPORT STAFF, THE FORM 990 IS CIRCULATED TO THE ORGANIZATION'S GOVERNING BOARD FOR REVIEW AND COMMENT. FOLLOWING THIS, THEN THE FORM 990 IS SIGNED AND FILED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND FORMS 990 AVAILABLE UPON REQUEST TO MEMBERS OF THE PUBLIC. HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANA (HHC) 3838 N RURAL STREET INDIANAPOLIS IN 46205 356005697 A MUNICIPAL ENTITY PROVIDING HEALTH CARE FOR CITIZENS OF MARION COUNTY, IN IN 501(C)(1) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0