Abbe Center for Community Mental Health

What it reported doing in 2024

Continuation of organization's mission: in linn county as well as an additional first episode psychosis support team in johnson county. A major focus in 2024 continued to be on providing integrated care that met identified health outcomes and preparing for value-based care payment methodologies expected in the future. Key activities centered around improving access to care by decreasing wait times for services, and in providing more care coordination during "transitions of care", by establishing workflows to see individuals leaving inpatient care within 7 days. Another focus has been on providing the right level of treatment and support to be successful in preventing inpatient readmissions within 30 days. In keeping with the changing healthcare environment, the mental health center focused major efforts in systems change and the integration of mental health, substance use and primary care services to improve overall wellness. By its mission, the mhc is designed to serve the individuals with significant challenges in recovering from a serious mental illness (smi), a serious emotional disturbance (sed), and those who may not have the financial resources for comprehensive treatment. The mhc client base is primarily publicly funded through medicare and medicaid, or regional/county funds. Individuals with serious mental illness die, on average, 25 years earlier than the general population due to serious health issue. Comprehensive and coordinated integrated care is important in ensuring that medical needs are addressed as well as treatment provided for the mental health condition. The abbe center became an integrated health home provider for medicaid recipients 11 years ago to improve health outcomes with these individuals. The mhc setting provided 50,000+ services to over 10,800 individuals in 2024.program service accomplishments: three of our larger programs were selected to provide additional information on: outpatient clinic services include therapy and psychiatric services for all age ranges. 4,179 individuals were seen for therapy and 7,619 individuals were seen for medication treatment in calendar year 2024 for total of 9,750 individuals served across both services. In this program, more than 74% of clients had medicare or medicaid as their payer with an additional 2% being funded by county tax dollars. Outpatient services use a same day access model for initial assessments for new patients which has greatly improved timely access to treatment. Same day access (sda) allows the individual to walk-in for an initial appointment on a day and time when it best meets their needs. This has reduced the no show rate and kept the schedule open for evaluation services. This model has increased both efficiency and improved access for client care. Integrated health home (ihh) services are designed to assist individuals in accessing needed mental health services as well as physical healthcare, with a wellness focus. The coordination and integration of physical and mental health care assist both the individual and the providers a more comprehensive approach to overall health of the individuals. By improving overall health, individuals will reduce access to higher cost services, reduce or control major health factors such as diabetes and heart disease and live healthier and more independent lives in the community. Through ihh individuals can access primary care services that may have been non-existent in their lives, become engaged in community services and reduce hospital stays. 2,225 persons were served in this program in 2024 100% of them are medicaid eligible. Community based habilitation services include community-based support and skill building services for people with a serious mental illness. Approximately 87 individuals were served through this program in calendar year 2024. These services are offered on a personalized basis and can range from 1-24 hours of care per day. Focus is on skill teaching and providing safety monitoring a

Financial Efficiency

• Mission deployment rate: 82.6%; rating input score 83
• Program expense ratio: 82.6%; rating input score 83
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 14th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 82.9%; rating input score 83; 17th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 84.6%; rating input score 85; 18th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -0.2%; rating input score 30; 30th percentile among comparable filings
• Total-asset coverage ratio: 0.69; rating input score 24; 24th percentile among comparable filings
• Liabilities to assets ratio: 0.29; rating input score 48; 48th percentile among comparable filings
• Officer compensation ratio: 5.6%; rating input score 45; 45th percentile among comparable filings

Growth

• Program expense growth: 11% per year; rating input score 100; 74th percentile among comparable filings
• Revenue growth: 9.6% per year; rating input score 100; 73rd percentile among comparable filings
• Asset growth: 14.1% per year; rating input score 100; 79th percentile among comparable filings