2015-02-03T13:13:10-06:00 2014-06-30 351178661 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2013-07-01 351328806 CUMMINS BEHAVIORAL HEALTH SYSTEMS INC CUMM 3177459555 5101 EAST US 36 AVON IN 46123 AMY MACE CHIEF FINANCIAL OFFICER 3177459555 2015-02-03 1 AMBER KOCHER CPA P01286298 3176334705 2013 2016-04-25 22:37:26Z ANN BORDERS 5101 EAST US 36 AVON IN 46123 19640397 0 X WWW.CUMMINSBHS.ORG X 1972 IN THE MISSION OF CUMMINS BEHAVIORAL HEALTH SYSTEMS, INC. IS TO PROMOTE RECOVERY AND TO ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITIES BY PROVIDING AND ADVANCING EXEMPLARY BEHAVIORAL HEALTH SERVICES. 6 6 437 0 0 0 6972572 7331426 13316148 12249059 17496 -4985 99928 59246 20406144 19634746 0 0 0 0 16786429 15798555 0 0 0 3115841 3164892 19902270 18963447 503874 671299 9642400 9480264 3328172 2485590 6314228 6994674 X THE MISSION OF CUMMINS BEHAVIORAL HEALTH SYSTEMS, INC. IS TO PROMOTE RECOVERY AND TO ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITIES BY PROVIDING AND ADVANCING EXEMPLARY BEHAVIORAL HEALTH SERVICES. 0 0 7626394 0 7902717 YOUTH SERVICES - APPROXIMATELY 4,700 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 2,800 YOUTHS WERE SERVED IN SCHOOL-BASED PROGRAMS, WHERE APPROXIMATELY 102,000 HOURS OF SERVICES WERE PROVIDED. 1987540 0 996028 ADULT SERVICES - APPROXIMATELY 4,300 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. 1716794 0 1291789 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 24,000 HOURS OF SERVICES TO CONSUMERS IN OUR RECOVERY PROGRAMS. 3661171 2117771 MEDICAL SERVICES, ADDICTION SERVICES, RESIDENTIAL SERVICES, AND OTHER 3661171 2117771 14991899 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 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 51 0 1 437 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 CHAIRMAN 2.00 X X 0 0 0 SHARON STEGEMOLLER VICE CHAIR/TREASURER 2.00 X X 0 0 0 TERESA BATTO SECRETARY 2.00 X X 0 0 0 PETE LYNCH BOARD MEMBER 2.00 X 0 0 0 ERIC MORSE BOARD MEMBER 2.00 X 0 0 0 CHUCK SCHROEDER BOARD MEMBER 2.00 X 0 0 0 ANN BORDERS PRESIDENT/CEO 40.00 X 234173 0 13038 AMY MACE CHIEF FINANCIAL OFFICER 40.00 X 123948 0 16837 STEVEN FEKETE MEDICAL DIRECTOR 40.00 X 243063 0 23247 RAHILA QAZI STAFF PSYCHIARIST 32.00 X 193900 0 21774 STUART MANNON SENIOR STAFF PSYCHIARIST 30.00 X 168580 0 20899 MASOOMA SHEIKH STAFF PSYCHIARIST 23.00 X 120976 0 4628 KIMBERLY RETZNER CHIEF OPERATIONS OFFICER 40.00 X 119769 0 9579 1204409 0 110002 7 0 1 0 0 7325502 5924 7331426 PATIENT SERVICE REVENU 621400 12249059 12249059 12249059 666 666 5651 -5651 -5651 -5651 OTHER REVENUE 621400 59246 59246 59246 19634746 12308305 0 -4985 755417 596779 158638 12218447 9752403 2466044 35280 27871 7409 1777707 1404389 373318 1011704 799246 212458 73473 73473 572179 452021 120158 38099 30098 8001 451761 356891 94870 37651 29744 7907 544509 430162 114347 316922 250368 66554 46888 23444 23444 438876 346712 92164 464556 366999 97557 OPERATIONS 98706 77978 20728 DUES AND SUBSCRIPTIONS 22463 17746 4717 BOARD EXPENSE 4409 4409 54400 24639 29761 18963447 14991899 3971548 0 2154310 2582245 2382690 2039932 265684 269747 10460090 5871750 4839716 4588340 9642400 9480264 2080948 1488094 1235685 995104 11539 2392 3328172 2485590 X 6314228 6994674 6314228 6994674 9642400 9480264 671299 9147 0 X X 0 1 X 1 1 1 X 3413 2256 1891 1890 5924 15374 6888755 6655786 6649964 6970682 7325502 34490689 6892168 6658042 6651855 6972572 7331426 34506063 34506063 539 140 339 1020 666 2704 141971 53878 127586 99928 59246 482609 34991376 56922058 0.98610 0.98360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1726 1726 0 PART II-B, LINE 1: PORTION OF TRADE ORGANIZATION ANNUAL DUES ALLOCATED TO LOBBYING EFFORTS. 1 6382 292916 256247 43051 0 421060 421060 6350273 2677686 3672587 3688757 3194064 494693 4588340 LONG TERM SWAP LIABILITY 2392 2392 X 19643893 9147 9147 19634746 0 19634746 18963447 0 18963447 0 18963447 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, 2014 AND 2013, 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 X 0 0 0 0 0 1 0 0 0 ANN BORDERS PRESIDENT/CEO 210525 0 14281 0 9367 0 6981 0 6057 0 247211 0 0 0 STEVEN FEKETE MEDICAL DIRECTOR 241500 0 0 0 1563 0 7245 0 16002 0 266310 0 0 0 RAHILA QAZI STAFF PSYCHIARIST 192395 0 0 0 1505 0 5772 0 16002 0 215674 0 0 0 STUART MANNON SENIOR STAFF PSYCHIARIST 167046 0 0 0 1534 0 5011 0 15888 0 189479 0 0 0 PART I, LINE 6 A PAY FOR PERFORMANCE BONUS WAS AWARDED TO EMPLOYEES WHO MET CRITERIA ON JUNE 30, 2014. THE BONUS WAS ACCRUED AS OF JUNE 30, 2014 AND PAID IN SEPTEMBER 2014. 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 IN JANUARY 2015. 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 JANUARY 2015, THE BOARD OF DIRECTORS REVIEWED AND APPROVED THE SALARIES FOR THE EXECUTIVE STAFF AND OTHER HIGHLY COMPENSATED EMPLOYEES. THE SALARIES ARE DETERMINED BASED ON COMPARABILITY STUDIES OF SIMILAR ORGANIZATIONS. THE DIRECTOR OF HUMAN RESOURCES PREPARED AND PRESENTED 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 XI, 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.