2016-03-25T12:31:31-05:00 2015-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2014-07-01 351328806 CUMMINS BEHAVIORAL HEALTH SYSTEMS INC CUMM 3177459555 5101 EAST US 36 AVON IN 46123 AMY MACE CHIEF FINANCIAL OFFICER 3177459555 2016-03-25 1 ANGELA N CRAWFORD P00573197 3176334705 2016-03-25 2014 2016-08-17 19:52:53Z ANN BORDERS 5101 EAST US 36 AVON IN 46123 21004902 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 6 442 6 0 0 7331426 7313973 12249059 13134800 -4985 1800 59246 553490 19634746 21004063 0 0 0 0 15798555 16707872 0 0 0 3164892 3294479 18963447 20002351 671299 1001712 9480264 10415397 2485590 2416619 6994674 7998778 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 8201484 8522075 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 116,000 HOURS OF SERVICES WERE PROVIDED. 2216615 1039601 ADULT SERVICES - APPROXIMATELY 3,400 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. 1681469 1464777 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 23,700 HOURS OF SERVICES TO CONSUMERS IN OUR RECOVERY PROGRAMS. 3270131 2661837 MEDICAL SERVICES, ADDICTION SERVICES, RESIDENTIAL SERVICES, AND OTHER. 3270131 2661837 15369699 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 1 442 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 3177459555 5101 EAST US 36 AVON IN 46123 DIANE MCKNIGHT CHAIRPERSON 2.00 X X 0 0 0 PETE LYNCH VICE CHAIR 2.00 X X 0 0 0 ERIC MORSE TREASURER 2.00 X X 0 0 0 TERESA BATTO SECRETARY 2.00 X X 0 0 0 CHUCK SCHROEDER BOARD MEMBER 2.00 X 0 0 0 SHARON SEGEMOLLER BOARD MEMBER 2.00 X 0 0 0 ANN BORDERS PRESIDENT/CEO 40.00 X 242045 0 18998 AMY MACE CHIEF FINANCIAL OFFICER 40.00 X 131409 0 22540 STEVEN FEKETE MEDICAL DIRECTOR 40.00 X 252256 0 29872 KIMBERLY RETZNER CHIEF OPERATIONS OFFICER 40.00 X 125500 0 13052 WILLIAM ENLOW CHIEF CLINICAL OFFICER 40.00 X 102321 0 10611 STUART MANNON SENIOR STAFF PSYCHIATRIST 40.00 X 172873 0 25300 MASOOMA SHEIKH STAFF PSYCHIATRIST 40.00 X 123793 0 0 DEBORAH REDD STAFF PSYCHIATRIST 40.00 X 122452 0 9982 1272649 0 130355 8 0 1 0 0 7312278 1695 7313973 PATIENT SERVICE REVENU 621400 13134800 13134800 13134800 2639 2639 839 -839 -839 -839 OTHER CONTRACT REVENUE 621400 553490 553490 553490 21004063 13688290 0 1800 633084 487475 145609 13056566 10355425 2701141 280800 192432 88368 1684727 1485453 199274 1052695 846772 205923 23618 13351 10267 600570 159728 440842 60508 13986 46522 532089 316963 215126 44277 44277 524281 465458 58823 337628 284390 53238 40839 27547 13292 522155 250715 271440 423182 371387 51795 OPERATIONS 119488 90168 29320 OTHER EXPENSES 38852 8309 30543 DUES AND SUBSCRIPTIONS 23262 140 23122 BOARD EXPENSE 3730 0 3730 20002351 15369699 4632652 0 2081966 2304719 500279 702668 2039932 2522572 269747 252363 10820089 6187014 4588340 4633075 9480264 10415397 1488094 1530899 995104 885720 2392 0 2485590 2416619 X 6994674 7998778 6994674 7998778 9480264 10415397 X 1001712 2392 X X 0 1 X 1 1 1 X 2256 1891 1890 5924 1695 13656 6655786 6649964 6970682 7325502 7312278 34914212 6658042 6651855 6972572 7331426 7313973 34927868 34927868 140 339 1020 666 2639 4804 53878 127586 99928 59246 553490 894128 35826800 59994991 0.97490 0.98610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1610 1610 0 PART II-B, LINE 1: PORTION OF TRADE ORGANIZATION ANNUAL DUES ALLOCATED TO LOBBYING EFFORTS. 1 43051 250256 282523 10784 0 421060 421060 6348129 2871229 3476900 4050900 3315785 735115 4633075 X 21006455 2392 2392 21004063 0 21004063 20002351 0 20002351 0 20002351 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, 2015 AND 2014, 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 1 0 0 0 ANN BORDERS PRESIDENT/CEO 220185 0 20375 0 1485 0 13236 0 5762 0 261043 0 0 0 AMY MACE CHIEF FINANCIAL OFFICER 125263 0 3738 0 2408 0 7568 0 14972 0 153949 0 0 0 STEVEN FEKETE MEDICAL DIRECTOR 247126 0 3567 0 1563 0 14900 0 14972 0 282128 0 0 0 STUART MANNON SENIOR STAFF PSYCHIATRIST 171057 0 381 0 1435 0 10328 0 14972 0 198173 0 0 0 PART I, LINE 6 A PAY FOR PERFORMANCE BONUS WAS AWARDED TO EMPLOYEES WHO MET CRITERIA ON JUNE 30, 2015. THE BONUS WAS ACCRUED AS OF JUNE 30, 2015 AND PAID IN SEPTEMBER 2015. 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. 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 MARCH 2016, THE BOARD OF DIRECTORS REVIEWED THE EXECUTIVE AND HIGHLY COMPENSATED COMPENSATION REVIEW REPORT PREPARED BY THE DIRECTOR OF HUMAN RESOURCES. THE REPORT INDICATED THAT THE SALARIES ARE DETERMINED BASED ON COMPARABILITY STUDIES OF SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: UNREALIZED LOSS FROM INTEREST RATE SWAP 2,392. 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.