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Annual Report 2008
Contents
Letter from CEO

Child and Adolescent Care

Adult Care

Older Adult Care

Boards and Services

Financial Summary

Measuring Outcomes

Donors

      © 2008 • Madison Center, Inc.
nter
                                                                          Lea rning Ce
                                                               Ea st Bank
     Ger oPsy
                    ch Insti
                             tute

To our community:
Next year, we will be 60 years old.                      Medicaid, and the ongoing pressure from managed
                                                         care companies to admit fewer and treat less.
Formed in 1949, it’s amazing to ascertain what
extraordinary vision our founders had in that year,      However, we remain committed to caring for you. In
creating a community based mental health resource.       this annual report you’ll find vignettes about some of
At that time, mental health was a taboo topic and        our patients, telling you about their personal success
most everyone was shipped off to an isolated state-      during treatment at Madison Center. Their stories and
operated hospital for long-term treatment.               hundreds of others like theirs give untold value to
                                                         what we do here every day.
 We have grown over these years to become a
significant community asset for the South Bend and
the geographical area surrounding us. We treat about
17,000 individuals a year, with a great percentage of
them being new admissions. So, you can imagine           President and CEO
how many lives we have touched over 60 years.


Like all healthcare providers, we have challenges tied
to increasing numbers of uninsured patients, lower
reimbursement from governmental payers such as
Child and
Adolescent Care

“Madison Center for Children is designed to help patients
  succeed in the least-restrictive treatment environment possible.”

 It is clear to all that children are indeed our          campuses but systematically engage the community
 future. They will replace us in the workforce and        inside schools, homes and places of employment.
 they will manage our affairs once we are unable.         With close working relationships with Northern
 How prepared they are for these tasks rests on           Indiana school districts, the State of Indiana and its
 our shoulders. Madison Center for Children has           social services, and local law enforcement, Madison
 committed itself to the future success of children       Center for Children has a unique opportunity to link
 through various programs that help them cope with,       and communicate with each child’s support system
 and succeed with mental and behavioral health            in order to offer treatment designed to coordinate
 issues that might otherwise limit their opportunities.   all efforts.


 With facilities in South Bend and six satellite          As with all services Madison Center provides,
 locations in Northern Indiana, Madison Center            Madison Center for Children is designed to help
 for Children has committed vast amounts of               patients succeed in the least restrictive treatment
 professionals and resources to engage children and       environment possible. The ultimate goal is that a
 adolescents through case management, outpatient          child manages to remain successful in school and
 services, day treatment programming, inpatient           at home. The reality is, the treatment necessary to
 services, residential programs and our independent       accomplish this varies for each patient.
 living program for teens (YESS).
                                                          As one of Indiana’s largest child and adolescent
 The staff consists of case managers, psychiatrists,      mental health care providers, Madison Center for
 therapists, psychologists, nurses, teachers and          Children actively cares for our youth in order to
 mental health technicians who all work together          help them avoid possible delinquent and anti-social
 to provide a seamless continuum of care. These           behavior that ultimately leads to a greater burden
 individuals not only care for children on our            on the community and its services.
Youth Establishing Self-Sufficiency
(YESS)
                                                            sidebara parent perspective
One program that saw significant achievements last       Raymond is a 16-year-old student in the South
fiscal year was YESS, officially known as the Youth      Bend schools. An excellent student, he was
                                                         regularly on the honor roll in elementary
Establishing Self-Sufficiency program. Focusing on       school. Once he reached high school, however,
16-20-year-olds, YESS helps adolescents move toward      self-esteem issues and an inability to cope with
                                                         social stressors led to some serious problems.
self-sufficiency through assisting them in acquiring,
retaining and improving the self-help, socialization     His mother, Lisa, enrolled him in a special pro-
and adaptive skills necessary to engage in the           gram for troubled teens, which linked him with
                                                         Madison Center for Children. He was assigned a
community.                                               case manager and therapist, and began treat-
                                                         ment soon after.
In FY ‘08, YESS assisted more than 30 youth maintain
                                                         In the meantime he got in with the “wrong
independent lifestyles. YESS provides opportunities      crowd,” was caught stealing purses, and after his
for patients to obtain employment, learn how to          arrest tested positive for marijuana. Now, in ad-
manage money, connect to community resources and         dition to falling grades, Raymond faced court-
                                                         ordered community service, probation and a
put structure in their lives.                            substance abuse treatment program.

                                                         It was a tough time as well for his mother, who
Alanna Hardin, YESS Coordinator, believes that, “The
                                                         was working two jobs to support the family.
YESS program provides youth with a way to avoid          With all the court-ordered appointments, “It
becoming homeless or ending up in jail.” In some         was almost impossible to maintain two jobs,”
                                                         Lisa said.
cases, Hardin explains, “this program was the only
way our patients could exit the foster care system and   Raymond’s case manager ensured he got to
avoid adult institutionalization.”                       each appointment. She even helped Raymond
                                                         successfully complete his substance abuse
                                                         treatment, as well as all of his community ser-
                                                         vice hours.

                                                         “I can’t believe people like this still exist!” Lisa
                                                         said. “I needed that support.”

                                                         Raymond has now resumed regular classes at
                                                         his high school and understands better how to
                                                         cope with the day-to-day life of a student. His
                                                         attendance is up, and so are his grades.

                                                         “He knows that when his report card comes out,
                                                         his case manager will have a copy in my hands
                                                         immediately,” Lisa explained.

                                                         She believes the help Raymond received at
                                                         Madison Center for Children improved their
                                                         relationship, and that without his excellent case
                                                         manager, Lisa would have never seen in him the
                                                         results she sees today.
Adult Care
“It’s important that our community knows that
             the work we do every day makes a difference.”

Thousands of people each year seek care at Madison at that moment. But it also provides a window of
Hospital. As the only inpatient mental health facility opportunity for us to plan for what’s next.”
in the region, it represents a safe place where people
in our community - and beyond - can get the care       New Transitions
they need.
                                                       While this new approach changes how patients
But it’s not without its challenges. To care for       access services, it’s equally important to know that
everyone regardless of ability to pay, it’s important  patients are indeed better when they leave our care.
to be as efficient as possible, without sacrificing
quality.                                               Information collected as part of an ongoing study
                                                       indicates that Madison Hospital services are making
That was the idea behind the new 23-hour              a difference. The study is being performed in
Observation Unit at Madison Hospital. Opened in       partnership with researchers from the University of
mid-FY’08, the medically monitored short-term         Notre Dame.
unit allows Madison Center’s care team to carefully
determine who would benefit from a longer stay,       Results so far show that Madison Hospital’s New
and who would benefit from less costly outpatient     Transitions inpatient unit cares for more critical
services.                                             patients on average than other hospitals across
                                                      the country. Despite higher severity levels coming
“Our philosophy is to provide quality care in the     into treatment, New Transitions patients achieve
least restrictive environment possible,” explained    a recovery rate that is in line with the national
Sharon DeVinney, Ph.D., Senior Vice President of      average.
Clinical Services. “In the Observation Unit, our
patients receive a level of care that’s appropriate
The New Transitions partial hospitalization program
also has very good outcomes. Since mid-2006,
the program has been collecting Beck Depression
Inventory (BDI) data on its patients. So far, BDI
                                                             sidebar
                                                                 a program perspective
scores for patients who complete the partial
                                                            There are many people whose problems
hospital program drop from an average of 36.36 at
                                                            don’t warrant a hospital stay, but whose
admission to an average of 11.31 at discharge.
                                                            life situations compound their mental
                                                            health needs to the point of crisis. For
“These are significant results,” said Dr. DeVinney. “It’s
                                                            these people, Madison Center developed
important that our community knows that the work
                                                            the Basic Needs Program.
we do every day makes a difference.”

                                                            The program helps people in crisis by
Outpatient Services
                                                            linking them to services in the community
                                                            that answer their immediate needs (food,
Madison Center’s many outpatient services provide
                                                            shelter, clothing, financial assistance, etc.),
care for those who are transitioning from inpatient
                                                            while also serving as a gateway to other
or partial hospital services, as well as for people
                                                            Madison Center programs.
whose problems don’t require a longer-term stay.

                                                            “We advocate,” said Rosina Aldrich, a
In FY‘08, Madison Center continued to provide
                                                            member of the Basic Needs case manage-
comprehensive outpatient services at the main
                                                            ment team. “That’s probably one of the
campus in South Bend, as well as at six regional
                                                            biggest things we do for people.”
locations across Northern Indiana.

                                                            No one is refused services based on ability
                                                            to pay.


                                                            Sometimes simply connecting a client
                                                            with what he or she needs at that moment
                                                            can make a world of difference.


                                                            “We have worked with clients who were
                                                            depressed because they lost their job
                                                            and didn’t know how they were going to
                                                            provide for their families,” Aldrich said. “We
                                                            helped connect them with financial as-
                                                            sistance programs in the community, and
                                                            that alone helped them feel better. When
                                                            something comes together like that, it
                                                            feels good.”
Older Adult Care
“Nothing should keep life as a senior from being just as
           enjoyable as it always has been, if not more so.”

The Madison GeroPsych Institute celebrated its first    Program. HoPE is a comprehensive outpatient
year serving seniors in July. Since the doors opened    experience designed to improve seniors’ quality
in July 2007, the patient-friendly atmosphere           of life through intensive group therapy and active
and state-of-the-art facility on Niles Avenue has       participation.
improved the lives of hundreds of seniors.
                                                        “Geriatric psychiatric care is too often associated
Under the direction of a board-certified geriatric      with negative connotations that cause older adults
psychiatrist, the GeroPsych Institute offers a 60-      to not seek the help that they need,” said Martin
bed inpatient unit, an outpatient program and           Lebbin, Vice President of Older Adult Services.
neuropsychological testing services. It is currently
the only facility to provide such a wide range of       Madison Center recognized the need for a
advanced older-adult services in one location.          specialized GeroPsych Institute and has been
                                                        breaking down stigmas ever since.
The GeroPsych Institute is designed for older adults
requiring extra levels of care and supervision; its     “We take great pride in the work that we do for our
inpatient unit is divided into six 10-bed suites that   community,” said Lebbin. “Each patient we serve
provide the comprehensive transitional care many        reminds us how much this level of specialized
seniors need before going home.                         care was lacking in our region only a year ago. The
                                                        response to our specialized older-adult care has
As people age, they can often feel as if the world      been overwhelmingly positive.”
leaves them behind. For older adults suffering
from depression, anxiety, grief, isolation and other    “Nothing should keep life as a senior from being just
challenges to daily life, the GeroPsych Institute       as enjoyable as it always has been, if not more so,”
offers HoPE, the Hands-on Practical Empowerment         Lebbin said. “That is our mission and our purpose.”
Madison Center’s service to older adults reaches
beyond the GeroPsych Institute to numerous
nursing homes throughout the region, where
                                                         sidebar
                                                               a patient perspective
Madison Center professionals provide on-site
                                                        Mary Jane had been alone for much the
mental health services.
                                                        past eight years since her husband passed
                                                        away. Although struggling with depres-
Patient Education
                                                        sion much of her life, her new solitude
                                                        made things worse.
The GeroPsych Institute also houses the
Patient Education Center, big enough for large
                                                        Her doctor recommended the HoPE pro-
presentations, yet with comfortable alcoves to relax,
                                                        gram at the Madison GeroPsych Institute.
research and read. Madison Center’s Community
Lecture Series takes place there over lunch, usually
                                                        “It was the best thing she ever did for me,”
on the first Friday of each month.
                                                        Mary Jane said.

The Patient Education Center is open to patients
                                                        The HoPE (Hand-on Practical Empower-
and families of all Madison Center services.
                                                        ment) program is an intensive one: five
                                                        hours a day, five days a week for six weeks.
                                                        It includes group therapy and individual
                                                        therapy under the direction of a board-
                                                        certified geriatric psychiatrist.


                                                        “Our therapists were wonderful,” Mary
                                                        Jane said. “They listened. When you’re
                                                        alone as long as I have been, having some-
                                                        one to listen to you can mean so much.”

                                                        She grew to know everyone in her HoPE
                                                        group. “I loved every one of them,” she
                                                        said. “When I was with the group, I real-
                                                        ized that there are other people who have
                                                        similar problems.”


                                                        Mary Jane’s life experience has taught
                                                        her that her depressive symptoms could
                                                        return someday. And while she never
                                                        wants that day to come, she is happy that
                                                        she and the people in her group that she
                                                        came to know and love found HoPE.
Financial Summary
                                                       Admissions by county*
Fiscal year 2008 patient statistics -
• individual patients seen: 17,081
• admissions: 14,253*
• services provided: 884,466
• served patients from 44 counties


*includes patients who may have been admitted to
more than one Madison Center program.




     Total Patient Service Revenue                 • $105,543,006
     Discounts                                     • $45,159,866
     Charity Care (9.7%)                           • $10,192,844
     Net Operating Revenue                         • $58,767,759
     Expenses                                      • $64,416,300
     Loss from Operations                          • $(5,648,541)
Measuring Outcomes
Measuring outcomes is important to ensuring                                        In both instances, the New Transitions programs
quality and demonstrating the value of our                                         showed positive outcomes for our patients. (See
services to the community. Madison Center, in                                      “Adult Services” for details.)
partnership with the University of Notre Dame, has
begun several research projects to measure the                                     Plans are to continue to develop outcomes
effectiveness of various programs.                                                 measures for other Madison Center programs and
                                                                                   services.
Among the areas under study are the New
Transitions inpatient and partial hospitalization                                  “The trend throughout healthcare is to demonstrate
programs, where the Notre Dame-Madison Center                                      outcomes,” said Sharon, DeVinney, Ph.D., Senior
team is comparing admission and discharge data to                                  Vice President of Clinical Services. “This is a
national data.                                                                     great opportunity for Madison Center, and we’re
                                                                                   happy that Notre Dame is joining us to meet the
This study compares our inpatients’ scores to a                                    challenge.”
national database of scores on a test called the
Basis-24, which measures treatment outcomes from
the individual patient’s perspective.


Another outcomes measure compares the
change in the Beck Depression Inventory score
upon admission and discharge among patients
participating in the partial hospital program.


         Basis-24 Overall Basis-24
  New Transitions vs. National Average
         New Transitions vs National Average                                                            1.0
                                                                                                        0.8
                                                                                                        0.6
                                                                                                        0.4
                                                                                                        0.2
                                                                                                        0.0




   2.5


   2.0


   1.5                                                                         New Transitions

                                                                               National Avg.



   1.0


   0.5


   0.0
           New Transitions   National Avg.   New Transitions   National Avg.


           Admit/Transfer                         Discharge
Boards and Services
Madison Center         Rev. Andre Leveille,   Madison Foundation       Riverside Hospital
Officers                 CSC                  Officers                 Officers
Jeff Kantor, Ph.D.     George Marzotto,       Robert Meyers            David J. Botkin, Ph.D.
  Chair                  Ed.D.                  Chair                    Chair
Charles Viater         Rudy Navari, M.D.      Dean A. Goodwin          Mimi Leahy
  Vice Chair           Etta Nevel, M.D.         Vice Chair               Vice Chair
Lynn Coleman           Bill Powell            Lynn Nemeth              Richard Deahl
  Secretary            Una Mae Reck, Ed.D.      Secretary/Treasurer      Secretary
Karl King              Jerry Thacker, Ed.D.   Directors                Terry Miller
  Treasurer            Ida Watson             Nafe Alick                 Treasurer
Directors              George Wherle          Susan Cybulski           Directors
John Broden            Vickie Wipperman,      Ronald May               Bruce Bancroft
Robert Conte             M.D.                 Charles Nelson           Diana Engdahl
Daniel Cooke, M.D.                            Gloria E. Niemier, CLU   Steve Gerber, M.D.
Tom Creevey                                   Mark Noeldner
Lauren Davis                                  Pete Owsianowski
Fred Dean, M.D.                               Steve Pajakowski
Kreg Gruber                                   Mike Palmer
David Jarrett                                 David Ray
Don Keywood                                   Beverly Teegarden
Nels Leininger, M.D.                          Brad Toothaker
                                              Bob Urbanski
Offices and Clinics       Madison GeroPsych            Riverside Hospital       Uhrig Apartments
                          Institute                    533 N. Niles Ave.        3001 Hope Ave.
Madison Center            420 N. Niles Ave.            South Bend, IN 46617     South Bend, IN 46615
403 E. Madison St.        South Bend, IN 46617         574/235-1926
South Bend, IN 46617      574/246-4110                                          Widener House
574/234-0061                                           Sunshine Clubhouse       513 Widener Pl.
877/234-0061              Madison Specialty Services   520 Crescent Ave.        South Bend, IN 46614
                          501 N. Hill St.              South Bend, IN 46617
Madison Center for        South Bend, IN 46617         574/283-2325             Regional Locations
Children                  574/520-6272
701 N. Niles Ave.                                      Group Homes,             Madison Center Elkhart
South Bend, IN 46617      Community Support            Residential Care and     56218 Parkway Ave., Ste. C
574/234-0061              Program                      Apartment Buildings      Elkhart, IN 46516
877/234-0061              Center for the Homeless                               574/523-3750
                          813 S. Michigan St.          Gateway Apartments
Madison Center for        South Bend, IN 46601         416 N. Main St.          Madison Center
Children II               574/282-8712                 South Bend, IN 46601     Fort Wayne
710 N. Niles Ave.                                                               4422 E. State Blvd.
South Bend, IN 46617      New Passages                 Harris House             Fort Wayne, IN 46815
574/246-9535              Center for the Homeless      1301 E. Jackson Rd.      260/484-3155
                          813 S. Michigan St.          South Bend, IN 46614
Madison Center at the     South Bend, IN 46601                                  Madison Center LaPorte
Juvenile Justice Center   574/282-8712                 Madison Apartments       900 “I” St.
1000 S. Michigan St.                                   413 N. Niles Ave.        LaPorte, IN 46350
South Bend, IN 46601      Providence House             South Bend, IN 46617     219/324-1975
574/235-5417              475 N. Niles Ave.
                          South Bend, IN 46617         Metcalfe House           Madison Center
Madison Center at         574/246-4123                 801 Riverside Ct.        Michigan City
Portage Manor                                          South Bend, IN 46616     3714 S. Franklin St.
3016 Portage Ave.         QuietCare                                             Michigan City, IN 46360
South Bend, IN 46628      533 N. Niles Ave.            River Court Apartments   219/879-8539 • 888/327-
574/272-1266              South Bend, IN 46617         809 Riverside Court      4673
                          574/283-1751                 South Bend, IN 46616
Madison Center                                                                  Madison Center Plymouth
at Washington St.                                      Turnock House            209 E. Jefferson St.
801 E. Washington St.                                  711 Turnock St.          Plymouth, IN 46563
South Bend, IN 46617                                   South Bend, IN 46617     574/935-3770
574/283-0581
                                                                                Madison Center Portage
                                                                                1575 Adler Circle, Ste. E
                                                                                Portage, IN 46368
                                                                                219/764-5101
D
    C. Glenn Harris Society           Dhanwantari Center              Mike Shembarger                Saturn of Michiana
    $1,000+                           Dungarvin Indiana, LLC          Lashell Stevens                Teachers Credit Union
    AstraZeneca LP                    Hearth & Home Design Center     Jeff Stuckey                   CB Richard Ellis
    Barnes & Thornburg                Macy’s                          Ann Sult                       Davis Disability Group
    Bravokilo, Inc.
                                      Kathleen Chinn
    Clay Township Firefighters
                                      Debra D’Adamo
    Community Foundation of St.       Thomas Emmons
                Joseph County                                         Honoraria                      Team Challenge Sponsors:
                                      Don Fleischhacker
    Dave Talboom Lawncare                                             In Honor of Martin Lebbin      Office Interiors
                                      Nelsie Grissom
    IU Student Organization Fund      Leann Kidd                                Lucille Ostrowski    Sunny Italy
    Lauren Davis & Co.                Ken Kunst                       In Honor of Barb Resnik




O
    Merck Partnership for Giving      Robert Lisenko                            Superior Business    In-Kind Sponsors:
    NIPSCO                            Mary Marsolais                            Solutions            Canteen Services
    Notre Dame Federal Credit         James Motter                    In Honor of Chris Taelman      Chick-Fil-A of Main St.
                Union                 William Newcomb                           NIPSCO                          Mishawaka
    Office Interiors, Inc.            Lucille Ostrowski                                              Metro Run & Walk
    Saturn of Michiana, Inc.          Frank Perri                     Memorials                      Martin’s Supermarkets
    Schurz Communications             Janet Powers                    In Memory of Theresa           Pepsi
                Foundation            Stephen Rippy                            Anderson              Runner’s World
                                      Michelle Rzepka                          Louie Anderson        Sysco Food Service
    Superior Business Solutions
                                      Michael Stoots                  In Memory of Paul Burt         The Residence Inn by Marriott
    U.S. Business Systems
                                      Becky Womer                              Robert Rosenfeld
    Wal-Mart                          Paul Zediker
                                                                      In Memory of Gary D. Boorda    With Special Thanks
    Bruce Bancroft                                                             Anita Boorda          Madison Foundation gives
                                      In-Kind Donors
    Cynthia Heminger                                                  In Memory of Martin Patrick    special thanks to the




N
                                      Applebee’s
    Thomas Herrman                                                             Hoban                 following companies
                                      Between the Buns
    Barbara Lobdell                                                            Mary Marsolais        because they provided
                                      Borders
    Laurie Schmid                                                              Frank & Jennifer      opportunities to benefit
                                      Business Management Group
    Beauty Sue Thomas                                                          Perri                 the organization:
                                      Carrabba’s
    Emily Weisbecker                                                  In Memory of Michael           Don Pablo’s
                                      Chick-Fil-A
                                                                               Newcomb               Hacienda Mexican Restaurants
                                      Chipotle
    Investors $750-$999                                                        William Newcomb       Imagination Books
                                      Dagwood’s
    CB Richard Ellis                                                  In Memory of Nadine Leff       Niles Haunted House
                                      Eddie’s Steak Shed
                                                                               Marsha Brook
                                      Emporium Restaurant
    Patrons $500-$749                                                 In Memory of Patrick           Employee Donors
                                      Fiddler’s Hearth
    1st Source Foundation                                                      Richardson            Ms. Mabel Aghimien
                                      Grace Community Church
    BP America Inc.                                                            Kathleen Chinn        LaQuita Aldridge
                                      Hair Classics
    Cassady, Neeser & Brasseur                                                 Hearth & Home         Derek Alter
                                      Hair Crafters Salon & Day Spa
                                                                               Design Center         Kristina Anderson




O
    The Progress Club of South        Heaven & Earth
               Bend                                                            Ken Kunst             Mrs. Thelma Anderson, R.D.
                                      Honkers
    Wendy’s Restaurants                                                        James Motter          Ms. Trina Anderson
                                      Kohl’s
    WSBT-TV                                                                    Jean Richardson       Daniel Anglin
                                      Legends of Notre Dame
                                                                               Christine Rifley      Michael Anglin
                                      LePeep
    Mimi Leahy                                                                 Marc Rifley           Ms. Karelyn J. Asbury
                                      Logo Boys Embroidery
    Howard Uhrig                                                               Stephen Rippey        Ms. Amber M. Ataullah
                                      Lula’s Cafe
    Nelson Vogel                                                               Janet Thompson        Katie Avery
                                      Martin’s Super Markets
                                                                      In Memory of William Rozycki   Sha’Relle Ayers
                                      Max & Erma’s Restaurant
    Donors $250-$499                                                           Marian Rozycki        Danielle Ayodo
                                      Menards
    Gibson Insurance Group                                            In Memory of Mary Margaret     Nicole Baker
                                      MFB Financial Inc.
    Hacienda Mexican Restaurants                                               Sonneborn             Mr. Timothy Baker
                                      Notre Dame Bookstore
    Kappa Kappa Kappa, Inc.                                                    Robert Lisenko        Stacy Bankowski
                                      Parkwood Auto Spa
    Sam’s Club Foundation                                             In Memory of Carolyn Thomas    Mr. Stephen Barber
                                      Pro-Health
    Wal-Mart Foundation                                                        Robert Urbanski       Tina Barton




R
                                      Rocco’s Style Shop
                                                                      In Memory of Lillian Vaselin   Ms. Linda Bass
                                      Salon Nouveau
    Stephen Anella                                                             Christ the King       Kimberly Baugh
                                      Salon Nouveau Day Spa
    Mr. & Mrs. Edward Cour                                                     Catholic Church       Kristina Beaver
                                      South Bend Civic Theatre
    Gary Davis                                                                                       Mr. Michael Bell
                                      South Bend Post Office
    Paul Herman                                                       KeyBank Salmon Chase 2007      Ms. Sue Bell
                                      South Bend Silver Hawks
    Mark Noeldner                                                     Event Sponsors:                Beverly Benner
                                      Stampin’ Up
    Mary Sharpe                                                       AstraZeneca LP                 Ms. Nelia Bernstein
                                      Starbucks
                                                                      NIPSCO                         Ms. Wendelin G. Binion
                                      Texas Roadhouse
    Contributors $100-$249                                            US Business Systems            Brenda D. Binning
                                      Tony’s Mobile
    AM General                                                                                       Marita Blessing
                                      Van Horne Jewelers
    Insource                                                          Media Sponsors:                Ms. Karen Bloomer
                                      Wal-Mart
    RSM McGladrey, Inc.                                               WSBT-TV                        Pam Bloss
                                                                      WSBT Radio                     Ms. Elizabeth Blotkamp
                                      Linda Bradbury
                                                                      South Bend Tribune             Kevin Boblitt




S
    Paige Gaideski                    Jack Davis
    Tyler Glynn                                                                                      Ms. Michelle Bodie
                                      Bill Fisher
    Shawn Long, DDS                                                   Supporting Sponsors:           Ms. Linda Bodnar
                                      Marie Garatoni
    Charles Nelson                                                    St. Joseph Regional Medical    Elisabeth Bolduc
                                      Bermiss Haas
    Deborah Roney                                                                Center              Kathi Bondi, LCSW
                                      John Hilderbrandt
    Janet Thompson                                                    Wendy’s Restaurants            Dawn Bontrager
                                      Jeffrey Huyvaert
                                                                      Barnes & Thornburg             Roman Borszcz
                                      Cindy Kubley
                                                                      Burkhart Advertising           Katherine Bowers
    Friends $1-$99                    Christine Rifley
    Ancilla Domini Sisters Inc.                                       Connectivity & Technology      Ms. Mary Bowker
                                      Jaime Roadruck
    Christ the King Catholic Church                                   Dave Talboom Lawncare          Nicholas Bowler
                                      Aaron Schuemann
                                                                      Extreme Communications         Chris Bowman
Lynn Bradford               Pamela Harris                 Pam Mollette                     Mr. Mark Snell
Jill Branham                Ms. Amy Hartmann-Scott        Ms. Barbara Moore                Susan St. Ville, LCSW
Ms. Susan Briner            Ms. Mary Hatchley             Laraine Moore                    Laura Stapleton
Anita Brooks                Jenifer Hawkins               Anne Morgan                      Sharon Staton
Ms. Karon Brown             Ms. Rebecca Heminger          Ms. Kristy Morris                Douglas Streich, Ph.D.
Patricia Brown Anderson     Ms. Mary Henehan              Jerald D. Morris, LCSW           Joan Sullivan, M.A.
Travis Bruntz               Colleen Hensel                Priscilla Mudrovich              Ms. Kim Sult
Jeff Burnett, Ph.D.         Stephanne D. Hillman          LeTanya Murphy                   Nicole Syson
Ms. Loren Burton, Ph.D.     Ms. Sandra Hoff               Emily Neufeld                    Ms. Yvonne Szerencse
Brandy K. Bybee             Ann Hofsommer, LCSW           Ms. Kelly Nightingale            Chris and Tracy Taelman*
Shawn Carmin                Ms. Rachel Horchler           Dr. Rachel M. Njuguna            Harrison Wood Talcott
Dennis and Susan Carter     Ms. Jeanetta Horton-Morrell   Ms. Lisa Northern                Mr. Victor Tan
Sandy Cazallis              Anke Humphrey                 Casey Norton, R.N.               Ms. Evelyn R. Teddy
Mr. David Chapman           Ms. Jill Hunsberger           Jennifer O’Neal                  Mr. Leslie Teddy
Wendy Betz Chapman          Mr. Bill Hunt                 Mr. Mark Oliphant                Ms. Rebecca Teddy
Dr. Shagufta Chowhan*       Ms. Judith Ice                Ms. Liz Orina                    Debbie Tepe
Brenda Chupp, LCSW          Sharon Inman                  Ms. Mary Jean Osberger           Mark Thielking
Brenda J. Clanton           Lee Jackson                   Ms. Renee Page                   Ms. Merinell Thomas
Ms. Melonie Clark           JoAnn M. Jackson Psy.D.       Victoria M. Parks-Bullard        Myrna Thomas
Ms. Stacey Closson          Doris E. Jensen, M.D.*        Dr. Mallikarajun Patta*          Toya Trent
Phillip Coffey              Amy Jobst                     Mr. and Mrs. Kevin Patton        Cindy Tumbas
Dawn Considine              Ms. Emily Johnson             Sue Ellen Peters, Ph.D.          Ms. Jan Turney
Sally Cooke, CARN           Shaylan Johnson               Rebecca Phebus                   Mr. John Twardos
Sandi Cox                   Lisa Johnson                  Diana Phipps, LPN                Debora Twarowski
Ms. Cathy Cremer            Ms. Kelly J. Johnson          Ms. Carol Piotrowski             Mr. Waverly Tyson
Ms. Bonnie Cribbs           Beverly A. Jones, MSW         Shantell Plummer                 Michael Uebbing
Mr. Dohn Cunningham         Franchesca Jones              Dr. Shashi Polavarapu*           Jillian Vanderbosch
Paul Curry, LCSW            Carol Kahlmorgan              Lyndsay Ponda                    Lindsay VanDeWielle
Joy Czarnecki               Kathryn Kanczuzewski          Mr. Andrew J. Poole III          Ms. Christina VanDusen
Sharan A. Dale              Anna Karlsson                 Ms. Andrea Popielski and         Raellen VanMeter
Angela Davis                Cindy Kelver                              Mr. Joe Urbanski     Mandy VanOoteghem
Sarah Davis                 Peter Kieme                   Crystal Porowski                 Deb Vasquez
Nicole DeFronzo             Ms. Karen Kijak               Sandra Potter                    Thomas Was, CADCII
Katena Demas                Leslie Kleppe                 Walt Pullins                     Carol Waters
Renee Depew                 Cynthia Kline                 Ms. Linda Pyfer                  Ms. Aileen Wehren
Sharon DeVinney, Ph.D.*     Patricia A. Kobalski          Cheryl Quiogue-Hunt              Ms. Angie Welling
Ms. Lisa Dixon              Judy Kolber                   Mrs. Diane Ramirez               Kathy West
LouAnn and Mort Dobbins     Ms. Pamela Kronewitter        Mary Ann Randolph                Brenda Wetzel
Michael N. Doyle            Toka Lace                     Ms. Kathleen Ransom              Ms. Chasity White
Maj. and Mrs. John T.       Ms. Kristen Lamb              Dr. and Mrs. Robert T. Raster*   Ms. Olivia Whitmer
            Duckett III     Ms. Kim Lambert               Patsy Reed, QMHP                 Ms. Melissa Wiegand
Tiffany Dye                 Ms. Jacquelyn E. Lamont       Sandy Reed, LCSW                 Ms. E. Denise Wilkins
Larry Elliott, LCSW         Janet Lanning                 Matthew Reese                    Ms. Alisse Williams
Teresa Ely                  Brooke Lawler                 Stephanie Reynolds               Dottie Williams
Ms. Paulette English        Martin Lebbin                 Ms. Lynn Rhody                   Mr. Lawrence Willoughby
Ms. Annie Envall            Holly Lederer                 Mr. Paul Rice                    Mr. James Wilshire
Leonard Fairley             Susan Lee, M.A.               Marcia M. Riggs                  Ms. Trish Wolf
Dr. Jeff Feathergill        Jeff and Cindy Lemp*          Lafo Robbins                     Jeanette Wood
Cynthia Fenimore            Patti Leniski                 Jack and Teresa Roberts*         Pam Wright
Lonnae C. Fillwock          Heather Lentz                 Ms. Kathleen Rodick              Ruth A. Yarger, LCSW
Ms. Barbara Finley          Ms. Christine Lonz            Cathy Rogers                     Ms. Tammy K. Yohe
Ms. Linda Finn              Frieda A. Luther              Ms. Jackie Rose                  Ms. Rose Young
Chrystal Finney             Laurie Mabry                  Erica Rowe                       Dr. John E. Zwerneman*
Tiffany Forte               Lona Makay, CHFA              Heather Rudasics
Ms. Sherry Foster           Sue Makowski                  Ms. Mary Louise Rumpf
Ms. Crystal Foster          Ms. Rachel Mann               Deanna Ryans                     * Member of the C. Glenn
Todd J. Franks              Ms. Carol Mark                Chona Santiaguel                 Harris Society
Ms. Cindi Fuja              Elizabeth Marosz              Chaya Schmeling, COTA
Ms. Linda Garcia            Kathleen D. Matuszak          Mr. and Mrs. Jack Schoeninger    All donors listed made
Melissa Gard                Terry Mays                    Ms. Sandi Schohl                 contributions to Madison
Rosada Gardner              Dr. Brad Mazick               Janice Schuelke                  Foundation between July 1,
Lindsey Gardner             Mr. Simon Mborothi            Ms. Cindy Schulz                 2007 and June 30, 2008.
Dr. Manana Gegeshidze*      Ms. Deb McConnell             Ms. Tamara Seering
Ms. Carol Gida              Mr. Willie McCraner           Mr. Scott Seese
Rosetta Golden              Ms. Theresa McFadden          Jill Seifer
Maria Gonzalez              Cassandra McGrew              Ms. Lisa Sheets
Mr. Chris Gotsis            Mark McInerney                Mr. Thomas Shelby
Dawn Green                  Ms. Myrtha McKinney           Latasha Sheppard-Smith
Barbara Grove               Ms. Rhonda Mechling           Peggy Sherman
Gerald Gudorf, Ph.D.        Debrah Medich                 Ms. Lauretta Skerritt
Ms. Isabella Haidri         Mallory Mehall                Jennifer Slovinski
Ms. Esther A. Halliburton   Laura Miller                  David Smith
Ms. Jennifer Hamby          Tracy Miller                  Rebecca Smith
Kim Hanselman               Trysha Miller, LCSW           Suzanne Smith
Rhonda Harner               Rosie A. Miller, B.A.         Tina Smith
Ms. Fran Harris*            Ms. Amanda Miller             Dr. Dean Smith*
Donna Harris                Ms. Shannan Miller            Ms. Susan Snead
Madison Center                                                                                                                                Non-Profit
403 E. Madison St.                                                                                                                          Organization
South Bend, IN 46617                                                                                                                       U.S. Postage Paid
                                                                                                                                           South Bend, IN
                                                                                                                                           Permit No. 198




         By demonstrating compliance with the Joint Commission on Accreditation of Healthcare Organization’s national standards for healthcare quality and
          safety, Madison Center has earned the Joint Commission’s Gold Seal of ApprovalTM.

           Founded in 1951, JCAHO seeks to continuously improve the safety and quality of care provided to the public through the provision of health care
           accreditation and related services that support performance improvement in health care organizations. An independent, not-for-profit organization,
          JCAHO is the nation’s oldest and largest standards-setting and accrediting body in healthcare.

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Annual Report 2008

  • 2. Contents Letter from CEO Child and Adolescent Care Adult Care Older Adult Care Boards and Services Financial Summary Measuring Outcomes Donors © 2008 • Madison Center, Inc.
  • 3. nter Lea rning Ce Ea st Bank Ger oPsy ch Insti tute To our community: Next year, we will be 60 years old. Medicaid, and the ongoing pressure from managed care companies to admit fewer and treat less. Formed in 1949, it’s amazing to ascertain what extraordinary vision our founders had in that year, However, we remain committed to caring for you. In creating a community based mental health resource. this annual report you’ll find vignettes about some of At that time, mental health was a taboo topic and our patients, telling you about their personal success most everyone was shipped off to an isolated state- during treatment at Madison Center. Their stories and operated hospital for long-term treatment. hundreds of others like theirs give untold value to what we do here every day. We have grown over these years to become a significant community asset for the South Bend and the geographical area surrounding us. We treat about 17,000 individuals a year, with a great percentage of them being new admissions. So, you can imagine President and CEO how many lives we have touched over 60 years. Like all healthcare providers, we have challenges tied to increasing numbers of uninsured patients, lower reimbursement from governmental payers such as
  • 4. Child and Adolescent Care “Madison Center for Children is designed to help patients succeed in the least-restrictive treatment environment possible.” It is clear to all that children are indeed our campuses but systematically engage the community future. They will replace us in the workforce and inside schools, homes and places of employment. they will manage our affairs once we are unable. With close working relationships with Northern How prepared they are for these tasks rests on Indiana school districts, the State of Indiana and its our shoulders. Madison Center for Children has social services, and local law enforcement, Madison committed itself to the future success of children Center for Children has a unique opportunity to link through various programs that help them cope with, and communicate with each child’s support system and succeed with mental and behavioral health in order to offer treatment designed to coordinate issues that might otherwise limit their opportunities. all efforts. With facilities in South Bend and six satellite As with all services Madison Center provides, locations in Northern Indiana, Madison Center Madison Center for Children is designed to help for Children has committed vast amounts of patients succeed in the least restrictive treatment professionals and resources to engage children and environment possible. The ultimate goal is that a adolescents through case management, outpatient child manages to remain successful in school and services, day treatment programming, inpatient at home. The reality is, the treatment necessary to services, residential programs and our independent accomplish this varies for each patient. living program for teens (YESS). As one of Indiana’s largest child and adolescent The staff consists of case managers, psychiatrists, mental health care providers, Madison Center for therapists, psychologists, nurses, teachers and Children actively cares for our youth in order to mental health technicians who all work together help them avoid possible delinquent and anti-social to provide a seamless continuum of care. These behavior that ultimately leads to a greater burden individuals not only care for children on our on the community and its services.
  • 5. Youth Establishing Self-Sufficiency (YESS) sidebara parent perspective One program that saw significant achievements last Raymond is a 16-year-old student in the South fiscal year was YESS, officially known as the Youth Bend schools. An excellent student, he was regularly on the honor roll in elementary Establishing Self-Sufficiency program. Focusing on school. Once he reached high school, however, 16-20-year-olds, YESS helps adolescents move toward self-esteem issues and an inability to cope with social stressors led to some serious problems. self-sufficiency through assisting them in acquiring, retaining and improving the self-help, socialization His mother, Lisa, enrolled him in a special pro- and adaptive skills necessary to engage in the gram for troubled teens, which linked him with Madison Center for Children. He was assigned a community. case manager and therapist, and began treat- ment soon after. In FY ‘08, YESS assisted more than 30 youth maintain In the meantime he got in with the “wrong independent lifestyles. YESS provides opportunities crowd,” was caught stealing purses, and after his for patients to obtain employment, learn how to arrest tested positive for marijuana. Now, in ad- manage money, connect to community resources and dition to falling grades, Raymond faced court- ordered community service, probation and a put structure in their lives. substance abuse treatment program. It was a tough time as well for his mother, who Alanna Hardin, YESS Coordinator, believes that, “The was working two jobs to support the family. YESS program provides youth with a way to avoid With all the court-ordered appointments, “It becoming homeless or ending up in jail.” In some was almost impossible to maintain two jobs,” Lisa said. cases, Hardin explains, “this program was the only way our patients could exit the foster care system and Raymond’s case manager ensured he got to avoid adult institutionalization.” each appointment. She even helped Raymond successfully complete his substance abuse treatment, as well as all of his community ser- vice hours. “I can’t believe people like this still exist!” Lisa said. “I needed that support.” Raymond has now resumed regular classes at his high school and understands better how to cope with the day-to-day life of a student. His attendance is up, and so are his grades. “He knows that when his report card comes out, his case manager will have a copy in my hands immediately,” Lisa explained. She believes the help Raymond received at Madison Center for Children improved their relationship, and that without his excellent case manager, Lisa would have never seen in him the results she sees today.
  • 6. Adult Care “It’s important that our community knows that the work we do every day makes a difference.” Thousands of people each year seek care at Madison at that moment. But it also provides a window of Hospital. As the only inpatient mental health facility opportunity for us to plan for what’s next.” in the region, it represents a safe place where people in our community - and beyond - can get the care New Transitions they need. While this new approach changes how patients But it’s not without its challenges. To care for access services, it’s equally important to know that everyone regardless of ability to pay, it’s important patients are indeed better when they leave our care. to be as efficient as possible, without sacrificing quality. Information collected as part of an ongoing study indicates that Madison Hospital services are making That was the idea behind the new 23-hour a difference. The study is being performed in Observation Unit at Madison Hospital. Opened in partnership with researchers from the University of mid-FY’08, the medically monitored short-term Notre Dame. unit allows Madison Center’s care team to carefully determine who would benefit from a longer stay, Results so far show that Madison Hospital’s New and who would benefit from less costly outpatient Transitions inpatient unit cares for more critical services. patients on average than other hospitals across the country. Despite higher severity levels coming “Our philosophy is to provide quality care in the into treatment, New Transitions patients achieve least restrictive environment possible,” explained a recovery rate that is in line with the national Sharon DeVinney, Ph.D., Senior Vice President of average. Clinical Services. “In the Observation Unit, our patients receive a level of care that’s appropriate
  • 7. The New Transitions partial hospitalization program also has very good outcomes. Since mid-2006, the program has been collecting Beck Depression Inventory (BDI) data on its patients. So far, BDI sidebar a program perspective scores for patients who complete the partial There are many people whose problems hospital program drop from an average of 36.36 at don’t warrant a hospital stay, but whose admission to an average of 11.31 at discharge. life situations compound their mental health needs to the point of crisis. For “These are significant results,” said Dr. DeVinney. “It’s these people, Madison Center developed important that our community knows that the work the Basic Needs Program. we do every day makes a difference.” The program helps people in crisis by Outpatient Services linking them to services in the community that answer their immediate needs (food, Madison Center’s many outpatient services provide shelter, clothing, financial assistance, etc.), care for those who are transitioning from inpatient while also serving as a gateway to other or partial hospital services, as well as for people Madison Center programs. whose problems don’t require a longer-term stay. “We advocate,” said Rosina Aldrich, a In FY‘08, Madison Center continued to provide member of the Basic Needs case manage- comprehensive outpatient services at the main ment team. “That’s probably one of the campus in South Bend, as well as at six regional biggest things we do for people.” locations across Northern Indiana. No one is refused services based on ability to pay. Sometimes simply connecting a client with what he or she needs at that moment can make a world of difference. “We have worked with clients who were depressed because they lost their job and didn’t know how they were going to provide for their families,” Aldrich said. “We helped connect them with financial as- sistance programs in the community, and that alone helped them feel better. When something comes together like that, it feels good.”
  • 8. Older Adult Care “Nothing should keep life as a senior from being just as enjoyable as it always has been, if not more so.” The Madison GeroPsych Institute celebrated its first Program. HoPE is a comprehensive outpatient year serving seniors in July. Since the doors opened experience designed to improve seniors’ quality in July 2007, the patient-friendly atmosphere of life through intensive group therapy and active and state-of-the-art facility on Niles Avenue has participation. improved the lives of hundreds of seniors. “Geriatric psychiatric care is too often associated Under the direction of a board-certified geriatric with negative connotations that cause older adults psychiatrist, the GeroPsych Institute offers a 60- to not seek the help that they need,” said Martin bed inpatient unit, an outpatient program and Lebbin, Vice President of Older Adult Services. neuropsychological testing services. It is currently the only facility to provide such a wide range of Madison Center recognized the need for a advanced older-adult services in one location. specialized GeroPsych Institute and has been breaking down stigmas ever since. The GeroPsych Institute is designed for older adults requiring extra levels of care and supervision; its “We take great pride in the work that we do for our inpatient unit is divided into six 10-bed suites that community,” said Lebbin. “Each patient we serve provide the comprehensive transitional care many reminds us how much this level of specialized seniors need before going home. care was lacking in our region only a year ago. The response to our specialized older-adult care has As people age, they can often feel as if the world been overwhelmingly positive.” leaves them behind. For older adults suffering from depression, anxiety, grief, isolation and other “Nothing should keep life as a senior from being just challenges to daily life, the GeroPsych Institute as enjoyable as it always has been, if not more so,” offers HoPE, the Hands-on Practical Empowerment Lebbin said. “That is our mission and our purpose.”
  • 9. Madison Center’s service to older adults reaches beyond the GeroPsych Institute to numerous nursing homes throughout the region, where sidebar a patient perspective Madison Center professionals provide on-site Mary Jane had been alone for much the mental health services. past eight years since her husband passed away. Although struggling with depres- Patient Education sion much of her life, her new solitude made things worse. The GeroPsych Institute also houses the Patient Education Center, big enough for large Her doctor recommended the HoPE pro- presentations, yet with comfortable alcoves to relax, gram at the Madison GeroPsych Institute. research and read. Madison Center’s Community Lecture Series takes place there over lunch, usually “It was the best thing she ever did for me,” on the first Friday of each month. Mary Jane said. The Patient Education Center is open to patients The HoPE (Hand-on Practical Empower- and families of all Madison Center services. ment) program is an intensive one: five hours a day, five days a week for six weeks. It includes group therapy and individual therapy under the direction of a board- certified geriatric psychiatrist. “Our therapists were wonderful,” Mary Jane said. “They listened. When you’re alone as long as I have been, having some- one to listen to you can mean so much.” She grew to know everyone in her HoPE group. “I loved every one of them,” she said. “When I was with the group, I real- ized that there are other people who have similar problems.” Mary Jane’s life experience has taught her that her depressive symptoms could return someday. And while she never wants that day to come, she is happy that she and the people in her group that she came to know and love found HoPE.
  • 10. Financial Summary Admissions by county* Fiscal year 2008 patient statistics - • individual patients seen: 17,081 • admissions: 14,253* • services provided: 884,466 • served patients from 44 counties *includes patients who may have been admitted to more than one Madison Center program. Total Patient Service Revenue • $105,543,006 Discounts • $45,159,866 Charity Care (9.7%) • $10,192,844 Net Operating Revenue • $58,767,759 Expenses • $64,416,300 Loss from Operations • $(5,648,541)
  • 11. Measuring Outcomes Measuring outcomes is important to ensuring In both instances, the New Transitions programs quality and demonstrating the value of our showed positive outcomes for our patients. (See services to the community. Madison Center, in “Adult Services” for details.) partnership with the University of Notre Dame, has begun several research projects to measure the Plans are to continue to develop outcomes effectiveness of various programs. measures for other Madison Center programs and services. Among the areas under study are the New Transitions inpatient and partial hospitalization “The trend throughout healthcare is to demonstrate programs, where the Notre Dame-Madison Center outcomes,” said Sharon, DeVinney, Ph.D., Senior team is comparing admission and discharge data to Vice President of Clinical Services. “This is a national data. great opportunity for Madison Center, and we’re happy that Notre Dame is joining us to meet the This study compares our inpatients’ scores to a challenge.” national database of scores on a test called the Basis-24, which measures treatment outcomes from the individual patient’s perspective. Another outcomes measure compares the change in the Beck Depression Inventory score upon admission and discharge among patients participating in the partial hospital program. Basis-24 Overall Basis-24 New Transitions vs. National Average New Transitions vs National Average 1.0 0.8 0.6 0.4 0.2 0.0 2.5 2.0 1.5 New Transitions National Avg. 1.0 0.5 0.0 New Transitions National Avg. New Transitions National Avg. Admit/Transfer Discharge
  • 12. Boards and Services Madison Center Rev. Andre Leveille, Madison Foundation Riverside Hospital Officers CSC Officers Officers Jeff Kantor, Ph.D. George Marzotto, Robert Meyers David J. Botkin, Ph.D. Chair Ed.D. Chair Chair Charles Viater Rudy Navari, M.D. Dean A. Goodwin Mimi Leahy Vice Chair Etta Nevel, M.D. Vice Chair Vice Chair Lynn Coleman Bill Powell Lynn Nemeth Richard Deahl Secretary Una Mae Reck, Ed.D. Secretary/Treasurer Secretary Karl King Jerry Thacker, Ed.D. Directors Terry Miller Treasurer Ida Watson Nafe Alick Treasurer Directors George Wherle Susan Cybulski Directors John Broden Vickie Wipperman, Ronald May Bruce Bancroft Robert Conte M.D. Charles Nelson Diana Engdahl Daniel Cooke, M.D. Gloria E. Niemier, CLU Steve Gerber, M.D. Tom Creevey Mark Noeldner Lauren Davis Pete Owsianowski Fred Dean, M.D. Steve Pajakowski Kreg Gruber Mike Palmer David Jarrett David Ray Don Keywood Beverly Teegarden Nels Leininger, M.D. Brad Toothaker Bob Urbanski
  • 13. Offices and Clinics Madison GeroPsych Riverside Hospital Uhrig Apartments Institute 533 N. Niles Ave. 3001 Hope Ave. Madison Center 420 N. Niles Ave. South Bend, IN 46617 South Bend, IN 46615 403 E. Madison St. South Bend, IN 46617 574/235-1926 South Bend, IN 46617 574/246-4110 Widener House 574/234-0061 Sunshine Clubhouse 513 Widener Pl. 877/234-0061 Madison Specialty Services 520 Crescent Ave. South Bend, IN 46614 501 N. Hill St. South Bend, IN 46617 Madison Center for South Bend, IN 46617 574/283-2325 Regional Locations Children 574/520-6272 701 N. Niles Ave. Group Homes, Madison Center Elkhart South Bend, IN 46617 Community Support Residential Care and 56218 Parkway Ave., Ste. C 574/234-0061 Program Apartment Buildings Elkhart, IN 46516 877/234-0061 Center for the Homeless 574/523-3750 813 S. Michigan St. Gateway Apartments Madison Center for South Bend, IN 46601 416 N. Main St. Madison Center Children II 574/282-8712 South Bend, IN 46601 Fort Wayne 710 N. Niles Ave. 4422 E. State Blvd. South Bend, IN 46617 New Passages Harris House Fort Wayne, IN 46815 574/246-9535 Center for the Homeless 1301 E. Jackson Rd. 260/484-3155 813 S. Michigan St. South Bend, IN 46614 Madison Center at the South Bend, IN 46601 Madison Center LaPorte Juvenile Justice Center 574/282-8712 Madison Apartments 900 “I” St. 1000 S. Michigan St. 413 N. Niles Ave. LaPorte, IN 46350 South Bend, IN 46601 Providence House South Bend, IN 46617 219/324-1975 574/235-5417 475 N. Niles Ave. South Bend, IN 46617 Metcalfe House Madison Center Madison Center at 574/246-4123 801 Riverside Ct. Michigan City Portage Manor South Bend, IN 46616 3714 S. Franklin St. 3016 Portage Ave. QuietCare Michigan City, IN 46360 South Bend, IN 46628 533 N. Niles Ave. River Court Apartments 219/879-8539 • 888/327- 574/272-1266 South Bend, IN 46617 809 Riverside Court 4673 574/283-1751 South Bend, IN 46616 Madison Center Madison Center Plymouth at Washington St. Turnock House 209 E. Jefferson St. 801 E. Washington St. 711 Turnock St. Plymouth, IN 46563 South Bend, IN 46617 South Bend, IN 46617 574/935-3770 574/283-0581 Madison Center Portage 1575 Adler Circle, Ste. E Portage, IN 46368 219/764-5101
  • 14. D C. Glenn Harris Society Dhanwantari Center Mike Shembarger Saturn of Michiana $1,000+ Dungarvin Indiana, LLC Lashell Stevens Teachers Credit Union AstraZeneca LP Hearth & Home Design Center Jeff Stuckey CB Richard Ellis Barnes & Thornburg Macy’s Ann Sult Davis Disability Group Bravokilo, Inc. Kathleen Chinn Clay Township Firefighters Debra D’Adamo Community Foundation of St. Thomas Emmons Joseph County Honoraria Team Challenge Sponsors: Don Fleischhacker Dave Talboom Lawncare In Honor of Martin Lebbin Office Interiors Nelsie Grissom IU Student Organization Fund Leann Kidd Lucille Ostrowski Sunny Italy Lauren Davis & Co. Ken Kunst In Honor of Barb Resnik O Merck Partnership for Giving Robert Lisenko Superior Business In-Kind Sponsors: NIPSCO Mary Marsolais Solutions Canteen Services Notre Dame Federal Credit James Motter In Honor of Chris Taelman Chick-Fil-A of Main St. Union William Newcomb NIPSCO Mishawaka Office Interiors, Inc. Lucille Ostrowski Metro Run & Walk Saturn of Michiana, Inc. Frank Perri Memorials Martin’s Supermarkets Schurz Communications Janet Powers In Memory of Theresa Pepsi Foundation Stephen Rippy Anderson Runner’s World Michelle Rzepka Louie Anderson Sysco Food Service Superior Business Solutions Michael Stoots In Memory of Paul Burt The Residence Inn by Marriott U.S. Business Systems Becky Womer Robert Rosenfeld Wal-Mart Paul Zediker In Memory of Gary D. Boorda With Special Thanks Bruce Bancroft Anita Boorda Madison Foundation gives In-Kind Donors Cynthia Heminger In Memory of Martin Patrick special thanks to the N Applebee’s Thomas Herrman Hoban following companies Between the Buns Barbara Lobdell Mary Marsolais because they provided Borders Laurie Schmid Frank & Jennifer opportunities to benefit Business Management Group Beauty Sue Thomas Perri the organization: Carrabba’s Emily Weisbecker In Memory of Michael Don Pablo’s Chick-Fil-A Newcomb Hacienda Mexican Restaurants Chipotle Investors $750-$999 William Newcomb Imagination Books Dagwood’s CB Richard Ellis In Memory of Nadine Leff Niles Haunted House Eddie’s Steak Shed Marsha Brook Emporium Restaurant Patrons $500-$749 In Memory of Patrick Employee Donors Fiddler’s Hearth 1st Source Foundation Richardson Ms. Mabel Aghimien Grace Community Church BP America Inc. Kathleen Chinn LaQuita Aldridge Hair Classics Cassady, Neeser & Brasseur Hearth & Home Derek Alter Hair Crafters Salon & Day Spa Design Center Kristina Anderson O The Progress Club of South Heaven & Earth Bend Ken Kunst Mrs. Thelma Anderson, R.D. Honkers Wendy’s Restaurants James Motter Ms. Trina Anderson Kohl’s WSBT-TV Jean Richardson Daniel Anglin Legends of Notre Dame Christine Rifley Michael Anglin LePeep Mimi Leahy Marc Rifley Ms. Karelyn J. Asbury Logo Boys Embroidery Howard Uhrig Stephen Rippey Ms. Amber M. Ataullah Lula’s Cafe Nelson Vogel Janet Thompson Katie Avery Martin’s Super Markets In Memory of William Rozycki Sha’Relle Ayers Max & Erma’s Restaurant Donors $250-$499 Marian Rozycki Danielle Ayodo Menards Gibson Insurance Group In Memory of Mary Margaret Nicole Baker MFB Financial Inc. Hacienda Mexican Restaurants Sonneborn Mr. Timothy Baker Notre Dame Bookstore Kappa Kappa Kappa, Inc. Robert Lisenko Stacy Bankowski Parkwood Auto Spa Sam’s Club Foundation In Memory of Carolyn Thomas Mr. Stephen Barber Pro-Health Wal-Mart Foundation Robert Urbanski Tina Barton R Rocco’s Style Shop In Memory of Lillian Vaselin Ms. Linda Bass Salon Nouveau Stephen Anella Christ the King Kimberly Baugh Salon Nouveau Day Spa Mr. & Mrs. Edward Cour Catholic Church Kristina Beaver South Bend Civic Theatre Gary Davis Mr. Michael Bell South Bend Post Office Paul Herman KeyBank Salmon Chase 2007 Ms. Sue Bell South Bend Silver Hawks Mark Noeldner Event Sponsors: Beverly Benner Stampin’ Up Mary Sharpe AstraZeneca LP Ms. Nelia Bernstein Starbucks NIPSCO Ms. Wendelin G. Binion Texas Roadhouse Contributors $100-$249 US Business Systems Brenda D. Binning Tony’s Mobile AM General Marita Blessing Van Horne Jewelers Insource Media Sponsors: Ms. Karen Bloomer Wal-Mart RSM McGladrey, Inc. WSBT-TV Pam Bloss WSBT Radio Ms. Elizabeth Blotkamp Linda Bradbury South Bend Tribune Kevin Boblitt S Paige Gaideski Jack Davis Tyler Glynn Ms. Michelle Bodie Bill Fisher Shawn Long, DDS Supporting Sponsors: Ms. Linda Bodnar Marie Garatoni Charles Nelson St. Joseph Regional Medical Elisabeth Bolduc Bermiss Haas Deborah Roney Center Kathi Bondi, LCSW John Hilderbrandt Janet Thompson Wendy’s Restaurants Dawn Bontrager Jeffrey Huyvaert Barnes & Thornburg Roman Borszcz Cindy Kubley Burkhart Advertising Katherine Bowers Friends $1-$99 Christine Rifley Ancilla Domini Sisters Inc. Connectivity & Technology Ms. Mary Bowker Jaime Roadruck Christ the King Catholic Church Dave Talboom Lawncare Nicholas Bowler Aaron Schuemann Extreme Communications Chris Bowman
  • 15. Lynn Bradford Pamela Harris Pam Mollette Mr. Mark Snell Jill Branham Ms. Amy Hartmann-Scott Ms. Barbara Moore Susan St. Ville, LCSW Ms. Susan Briner Ms. Mary Hatchley Laraine Moore Laura Stapleton Anita Brooks Jenifer Hawkins Anne Morgan Sharon Staton Ms. Karon Brown Ms. Rebecca Heminger Ms. Kristy Morris Douglas Streich, Ph.D. Patricia Brown Anderson Ms. Mary Henehan Jerald D. Morris, LCSW Joan Sullivan, M.A. Travis Bruntz Colleen Hensel Priscilla Mudrovich Ms. Kim Sult Jeff Burnett, Ph.D. Stephanne D. Hillman LeTanya Murphy Nicole Syson Ms. Loren Burton, Ph.D. Ms. Sandra Hoff Emily Neufeld Ms. Yvonne Szerencse Brandy K. Bybee Ann Hofsommer, LCSW Ms. Kelly Nightingale Chris and Tracy Taelman* Shawn Carmin Ms. Rachel Horchler Dr. Rachel M. Njuguna Harrison Wood Talcott Dennis and Susan Carter Ms. Jeanetta Horton-Morrell Ms. Lisa Northern Mr. Victor Tan Sandy Cazallis Anke Humphrey Casey Norton, R.N. Ms. Evelyn R. Teddy Mr. David Chapman Ms. Jill Hunsberger Jennifer O’Neal Mr. Leslie Teddy Wendy Betz Chapman Mr. Bill Hunt Mr. Mark Oliphant Ms. Rebecca Teddy Dr. Shagufta Chowhan* Ms. Judith Ice Ms. Liz Orina Debbie Tepe Brenda Chupp, LCSW Sharon Inman Ms. Mary Jean Osberger Mark Thielking Brenda J. Clanton Lee Jackson Ms. Renee Page Ms. Merinell Thomas Ms. Melonie Clark JoAnn M. Jackson Psy.D. Victoria M. Parks-Bullard Myrna Thomas Ms. Stacey Closson Doris E. Jensen, M.D.* Dr. Mallikarajun Patta* Toya Trent Phillip Coffey Amy Jobst Mr. and Mrs. Kevin Patton Cindy Tumbas Dawn Considine Ms. Emily Johnson Sue Ellen Peters, Ph.D. Ms. Jan Turney Sally Cooke, CARN Shaylan Johnson Rebecca Phebus Mr. John Twardos Sandi Cox Lisa Johnson Diana Phipps, LPN Debora Twarowski Ms. Cathy Cremer Ms. Kelly J. Johnson Ms. Carol Piotrowski Mr. Waverly Tyson Ms. Bonnie Cribbs Beverly A. Jones, MSW Shantell Plummer Michael Uebbing Mr. Dohn Cunningham Franchesca Jones Dr. Shashi Polavarapu* Jillian Vanderbosch Paul Curry, LCSW Carol Kahlmorgan Lyndsay Ponda Lindsay VanDeWielle Joy Czarnecki Kathryn Kanczuzewski Mr. Andrew J. Poole III Ms. Christina VanDusen Sharan A. Dale Anna Karlsson Ms. Andrea Popielski and Raellen VanMeter Angela Davis Cindy Kelver Mr. Joe Urbanski Mandy VanOoteghem Sarah Davis Peter Kieme Crystal Porowski Deb Vasquez Nicole DeFronzo Ms. Karen Kijak Sandra Potter Thomas Was, CADCII Katena Demas Leslie Kleppe Walt Pullins Carol Waters Renee Depew Cynthia Kline Ms. Linda Pyfer Ms. Aileen Wehren Sharon DeVinney, Ph.D.* Patricia A. Kobalski Cheryl Quiogue-Hunt Ms. Angie Welling Ms. Lisa Dixon Judy Kolber Mrs. Diane Ramirez Kathy West LouAnn and Mort Dobbins Ms. Pamela Kronewitter Mary Ann Randolph Brenda Wetzel Michael N. Doyle Toka Lace Ms. Kathleen Ransom Ms. Chasity White Maj. and Mrs. John T. Ms. Kristen Lamb Dr. and Mrs. Robert T. Raster* Ms. Olivia Whitmer Duckett III Ms. Kim Lambert Patsy Reed, QMHP Ms. Melissa Wiegand Tiffany Dye Ms. Jacquelyn E. Lamont Sandy Reed, LCSW Ms. E. Denise Wilkins Larry Elliott, LCSW Janet Lanning Matthew Reese Ms. Alisse Williams Teresa Ely Brooke Lawler Stephanie Reynolds Dottie Williams Ms. Paulette English Martin Lebbin Ms. Lynn Rhody Mr. Lawrence Willoughby Ms. Annie Envall Holly Lederer Mr. Paul Rice Mr. James Wilshire Leonard Fairley Susan Lee, M.A. Marcia M. Riggs Ms. Trish Wolf Dr. Jeff Feathergill Jeff and Cindy Lemp* Lafo Robbins Jeanette Wood Cynthia Fenimore Patti Leniski Jack and Teresa Roberts* Pam Wright Lonnae C. Fillwock Heather Lentz Ms. Kathleen Rodick Ruth A. Yarger, LCSW Ms. Barbara Finley Ms. Christine Lonz Cathy Rogers Ms. Tammy K. Yohe Ms. Linda Finn Frieda A. Luther Ms. Jackie Rose Ms. Rose Young Chrystal Finney Laurie Mabry Erica Rowe Dr. John E. Zwerneman* Tiffany Forte Lona Makay, CHFA Heather Rudasics Ms. Sherry Foster Sue Makowski Ms. Mary Louise Rumpf Ms. Crystal Foster Ms. Rachel Mann Deanna Ryans * Member of the C. Glenn Todd J. Franks Ms. Carol Mark Chona Santiaguel Harris Society Ms. Cindi Fuja Elizabeth Marosz Chaya Schmeling, COTA Ms. Linda Garcia Kathleen D. Matuszak Mr. and Mrs. Jack Schoeninger All donors listed made Melissa Gard Terry Mays Ms. Sandi Schohl contributions to Madison Rosada Gardner Dr. Brad Mazick Janice Schuelke Foundation between July 1, Lindsey Gardner Mr. Simon Mborothi Ms. Cindy Schulz 2007 and June 30, 2008. Dr. Manana Gegeshidze* Ms. Deb McConnell Ms. Tamara Seering Ms. Carol Gida Mr. Willie McCraner Mr. Scott Seese Rosetta Golden Ms. Theresa McFadden Jill Seifer Maria Gonzalez Cassandra McGrew Ms. Lisa Sheets Mr. Chris Gotsis Mark McInerney Mr. Thomas Shelby Dawn Green Ms. Myrtha McKinney Latasha Sheppard-Smith Barbara Grove Ms. Rhonda Mechling Peggy Sherman Gerald Gudorf, Ph.D. Debrah Medich Ms. Lauretta Skerritt Ms. Isabella Haidri Mallory Mehall Jennifer Slovinski Ms. Esther A. Halliburton Laura Miller David Smith Ms. Jennifer Hamby Tracy Miller Rebecca Smith Kim Hanselman Trysha Miller, LCSW Suzanne Smith Rhonda Harner Rosie A. Miller, B.A. Tina Smith Ms. Fran Harris* Ms. Amanda Miller Dr. Dean Smith* Donna Harris Ms. Shannan Miller Ms. Susan Snead
  • 16. Madison Center Non-Profit 403 E. Madison St. Organization South Bend, IN 46617 U.S. Postage Paid South Bend, IN Permit No. 198 By demonstrating compliance with the Joint Commission on Accreditation of Healthcare Organization’s national standards for healthcare quality and safety, Madison Center has earned the Joint Commission’s Gold Seal of ApprovalTM. Founded in 1951, JCAHO seeks to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations. An independent, not-for-profit organization, JCAHO is the nation’s oldest and largest standards-setting and accrediting body in healthcare.