2017-03-03T09:05:30-06:00 2016-06-30 351178661 Blue & Co LLC 500 N Meridian St Suite 200 Indianapolis IN 46204 990 2015-07-01 351328806 Cummins Behavioral Health Systems Inc CUMM 8887141927 5101 East US 36 Avon IN 46123 Amy Mace Chief Financial Officer 3177459555 2017-03-03 1 Amber Kocher CPA P01286298 3176334705 2017-03-03 2015 2021-01-29 14:40:06Z Ann Borders 5101 East US 36 Avon IN 46123 23831624 0 X www.cumminsbhs.org X 1972 IN To promote recovery and to enhance the quality of life in our communities by providing cost effective, evidence-based behavioral health services that achieve health outcomes consistent with consumer and stakeholder needs and expectations. 6 6 444 8 0 0 7313973 7658480 13134800 16008021 1800 28150 553490 102175 21004063 23796826 0 0 0 0 16707872 19185799 0 0 0 3294479 3760555 20002351 22946354 1001712 850472 10415397 11762658 2416619 2913408 7998778 8849250 X To promote recovery and to enhance the quality of life in our communities by providing cost effective, evidence-based behavioral health services that achieve health outcomes consistent with consumer and stakeholder needs and expectations. 0 0 9688156 10186895 Youth Services - Approximately 4,500 persons under the age of 18 were served during the past year. Services to children and adolescents include individual, group and family therapies, case management, medication management, crisis intervention, and training in activities of daily living. Approximately 2,600 youths were served in school-based programs, where approximately 133,000 hours of services were provided. 2397587 994136 Adult Services - Approximately 3,600 adults received traditional outpatient services to address behavioral health issues. Treatment modalities included therapy, family therapy, group therapy, medication management, employment services, and other related services. 2043526 1778816 RECOVERY SERVICES - INTENDED TO PROVIDE ADULTS WITH SERIOUS MENTAL ILLNESS OPPORTUNITIES FOR MAINTAINING A LEVEL OF FUNCTIONING THAT PROMOTES INDEPENDENT LIVING WITHIN THE COMMUNITY. SERVICES INCLUDE TRAINING IN ACTIVITIES OF DAILY LIVING, EMPLOYMENT SERVICES, CASE MANAGEMENT, AND MEDICATION MANAGEMENT. OTHER SERVICES INCLUDE GATEKEEPING FOR STATE OPERATED FACILITIES AND OTHER INPATIENT CARE. WE PROVIDED APPROXIMATELY 33,000 HOURS OF SERVICES TO CONSUMERS IN OUR RECOVERY PROGRAMS. 3575911 3150349 Medical services, addiction services, residential services, and other. 3575911 3150349 17705180 1 1 0 1 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 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 1 40 0 1 444 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X Amy Mace Chief Financial Officer 8887141927 5101 East US 36 Avon IN 46123 Pete Lynch Chairperson 2.00 X X 0 0 0 Eric Morse Vice Chairperson 2.00 X X 0 0 0 Teresa Batto Secretary & Treasurer 2.00 X X 0 0 0 Tom Iles Board Member 2.00 X 0 0 0 DIANE MCKNIGHT Board Member 2.00 X 0 0 0 Jay Sutton Board Member 2.00 X 0 0 0 CHUCK SCHROEDER Board Member Term End Oct 2015 2.00 X 0 0 0 Sharon Segemoller Board Member Term End Oct 2015 2.00 X 0 0 0 ANN BORDERS President/CEO 40.00 X 261566 0 20409 Amy Mace Chief Financial Officer 40.00 X 128508 0 22939 Steven Fekete Medical Director 40.00 X 258387 0 30790 Stuart Mannon Senior Staff Psychiatrist 40.00 X 175974 0 26189 Kenneth Alexander Chief Information Officer 40.00 X 126172 0 15861 Kimberly Retzner Chief Operations Officer 40.00 X 127782 0 13603 William Enlow Chief Clinical Officer 40.00 X 104268 0 11081 1182657 0 140872 7 0 1 0 0 7656670 1810 7658480 Patient Service Revenu 621400 16008021 16008021 16008021 2871 2871 60077 34798 25279 25279 25279 Other Revenue 621400 102175 102175 102175 23796826 16110196 0 28150 662408 510054 152354 14313902 11541619 2772283 447835 330747 117088 2621698 2281498 340200 1139956 925479 214477 73428 43602 29826 713158 167970 545188 37690 17375 20315 782408 385176 397232 55018 55018 495088 435742 59346 361630 307253 54377 30413 18393 12020 591398 272467 318931 399379 350151 49228 Operations 142979 109381 33598 Other Expenses 46844 7212 39632 Dues and Subscriptions 24322 1061 23261 Board Expense 6800 6800 22946354 17705180 5241174 0 2304719 1939045 702668 904211 2522572 3034837 252363 281202 11939541 6336178 4633075 5603363 10415397 11762658 1530899 1517113 885720 1396295 2416619 2913408 X 7998778 8849250 7998778 8849250 10415397 11762658 850472 0 X X 0 1 X 1 1 1 X 1891 1890 5924 1695 1810 13210 6649964 6970682 7325502 7312278 7656670 35915096 6651855 6972572 7331426 7313973 7658480 35928306 35928306 339 1020 666 2639 2871 7535 127586 99928 59246 553490 102175 942425 36878266 65752176 0.97420 0.97490 X Schedule A, part II, line 10, Explanation for Other income: Miscellaneous revenue includes: miscellaneous contract revenue, fees for photocopies of health records, meaningful use revenue; and other miscellaneous revenue. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 718 718 0 Part II-B, Line 1: PORTION OF TRADE ORGANIZATION ANNUAL DUES ALLOCATED TO LOBBYING EFFORTS. 1 10784 133902 140690 3996 0 421060 421060 7300792 3078419 4222373 4217689 3257759 959930 5603363 X 23796826 0 23796826 0 23796826 22946354 0 22946354 0 22946354 Part IV, Line 1b: Cummins Behavioral Health, Inc. serves as a payee on behalf of its consumers' accounts. Part X, Line 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER, AND HAS CONCLUDED THAT AS OF JUNE 30, 2016 AND 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X X X X 0 0 0 0 0 0 0 0 0 ANN BORDERS President/CEO 238295 0 21786 0 1485 0 14382 0 6027 0 281975 0 0 0 Amy Mace Chief Financial Officer 126042 0 1367 0 1099 0 8104 0 14835 0 151447 0 0 0 Steven Fekete Medical Director 255457 0 1367 0 1563 0 15818 0 14972 0 289177 0 0 0 Stuart Mannon Senior Staff Psychiatrist 174261 0 278 0 1435 0 11217 0 14972 0 202163 0 0 0 Form 990, Part VI, Section B, line 11 THE PROCESS FOR REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW BY THE ORGANIZATION'S CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER. THE FORM 990 AND REQUIRED SCHEDULES WERE PRESENTED TO THE BOARD OF DIRECTORS at the February 2017 meeting. THE BOARD OF DIRECTORS APPROVED THE 990 FOR FILING WITH THE IRS. Form 990, Part VI, Section B, line 12c All Board Directors shall complete written conflict of interest statements annually. When an issue comes before the Board that presents an existing or potential conflict of interest to any Director, that Director is responsible for making that conflict known. When a conflict has been identified, the Director may enter into discussion of the issue with the consent from a two-thirds majority of the others present, but in no instance may this Director vote concerning the issue. Form 990, Part VI, Section B, line 15 In February 2017, the Board of Directors reviewed the salaries for the executive staff and other highly compensated employees. The salaries are determined based on comparability studies of similar organizations. The Chief Human Resources Officer prepared this information for the Board. Form 990, Part VI, Section C, line 19 The organization makes these documents available to the public upon request. Form 990, Part XII, Line 2c, Audit Oversight: The Board of Directors serves as the audit committee. The procedures utilized by the audit committee have not changed in the past year.