CUMMINS BEHAVIORAL HEALTH SYSTEMS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CUMMINS BEHAVIORAL HEALTH SYSTEMS INC (EIN 35-1328806)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-03
IRS object ID
201400349349301450
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-03T15:51:41-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN351178661EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE & COMPANYBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE AMERICAN SQUARE 2200AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46282ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351328806EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CUMMINS BEHAVIORAL HEALTH SYSTEMS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCUMMNameControl
Phone3177459555Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15101 EAST US 36AddressLine1
CityAVONCity
StateINState
ZIP Code46123ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAMY MACEName
TitleCHIEF FINANCIAL OFFICERTitle
Phone3177459555Phone
Date Signed2014-02-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMBER KOCHER CPAName
PTINP01286298PTIN
Phone3176334705Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANN BORDERSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15101 EAST US 36AddressLine1
CityAVONCity
StateINState
ZIP Code46123ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20411043GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CUMMINSBHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTHE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees430TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6651855ContributionsGrantsPriorYear
Contributions Grants Current Year6972572ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11294174ProgramServiceRevenuePriorYear
Program Service Revenue CY13316148ProgramServiceRevenueCY
Investment Income Prior Year-355InvestmentIncomePriorYear
Investment Income Current Year17496InvestmentIncomeCurrentYear
Other Revenue Prior Year127586OtherRevenuePriorYear
Other Revenue Current Year99928OtherRevenueCurrentYear
Total Revenue Prior Year18073260TotalRevenuePriorYear
Total Revenue Current Year20406144TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14147581SalariesEtcPriorYear
Salaries Etc Current Year16786429SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2909469OtherExpensePriorYear
Other Expenses Current Year3115841OtherExpensesCurrentYear
Total Expenses Prior Year17057050TotalExpensesPriorYear
Total Expenses Current Year19902270TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1016210RevenuesLessExpensesPriorYear
Revenues Less Expenses CY503874RevenuesLessExpensesCY
Total Assets BOY8967914TotalAssetsBOY
Total Assets EOY9642400TotalAssetsEOY
Total Liabilities BOY3172654TotalLiabilitiesBOY
Total Liabilities EOY3328172TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5795260NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6314228NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8217068Expense
Grants0Grants
Revenue8485920Revenue
DescriptionYOUTH SERVICES - APPROXIMATELY 5,200 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 3,100 YOUTHS WERE SERVED IN SCHOOL-BASED PROGRAMS, WHERE APPROXIMATELY 110,000 HOURS OF SERVICES WERE PROVIDED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1967470Expense
Grants0Grants
Revenue1161196Revenue
DescriptionADULT SERVICES - APPROXIMATELY 4,700 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1996191Expense
Grants0Grants
Revenue1518163Revenue
DescriptionRECOVERY 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 PARTIAL HOSPITALIZATION, 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, AND ASSERTIVE COMMUNITY TREATMENT. WE PROVIDED APPROXIMATELY 26,000 HOURS OF SERVICES TO CONSUMERS IN OUR RECOVERY PROGRAMS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense3571094Expense
Grants0Grants
Revenue2250797Revenue
DescriptionMEDICAL SERVICES, ADDICTION SERVICES, RESIDENTIAL SERVICES, AND OTHER.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp3571094TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev2250797TotalOfOtherProgramServiceRev
Total Program Service Expense15751823TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109644NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees430NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonAMY MACE CHIEF FINANCIAL OFFICERNamePerson
Telephone Number3177459555TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15101 EAST US 36AddressLine1
CityAVONCity
StateINState
ZIP Code46123ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MARY CUMMINS
CHAIRMAN2.00XX000
DIANE MCKNIGHT
VICE CHAIR/TREASURER2.00XX000
TERESA BATTO
SECRETARY2.00XX000
SHARON STEGEMOLLER
BOARD MEMBER2.00X000
CHUCK SCHROEDER
BOARD MEMBER2.00X000
GENE CLODFELTER PARTIAL YEAR
BOARD MEMBER TERM ENDED 10/122.00X000
ADDIE GILL PARTIAL YEAR
BOARD MEMBER TERM ENDED 03/132.00X000
ANN BORDERS
PRESIDENT/CEO40.00X222046012535
AMY MACE
CHIEF FINANCIAL OFFICER40.00X121127019224
STEVEN FEKETE
MEDICAL DIRECTOR40.00X229364022471
DOUG MCGUIRE PARTIAL YEAR
CHIEF INFORMATION OFFICER THRU 4/1340.00X138894014630
KIMBERLY RETZNER
CHIEF CLINICAL OFFICER40.00X11797009370
STUART MANNON
SENIOR STAFF PSYCHIARIST30.00179992020990X
RAHILA QAZI
STAFF PSYCHIARIST32.00179851020986X
MASOOMA SHEIKH
STAFF PSYCHIARIST23.0011246004293X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1301704TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation124499TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants6970682GovernmentGrants
All Other Contributions1890AllOtherContributions
Total Contributions6972572TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code621400BusinessCode
Total Revenue Column13316148TotalRevenueColumn
Related Or Exempt Function Income13316148RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13316148TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1020TotalRevenueColumn
Exclusion$1,020ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other21375Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other4899Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other16476Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column16476TotalRevenueColumn
Exclusion$16,476ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code621400BusinessCode
Total Revenue Column99928TotalRevenueColumn
Related Or Exempt Function Income99928RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue99928TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20406144TotalRevenueColumn
Related Or Exempt Function Income13416076RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$17,496ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total825961Total
Program Services666145ProgramServices
Management And General159816ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12516002Total
Program Services10094274ProgramServices
Management And General2421728ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total246180Total
Program Services204047ProgramServices
Management And General42133ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2124997Total
Program Services1761306ProgramServices
Management And General363691ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1073289Total
Program Services889597ProgramServices
Management And General183692ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total84910Total
Management And General84910ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total558305Total
Program Services207493ProgramServices
Management And General350812ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total32799Total
Program Services25513ProgramServices
Management And General7286ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total462675Total
Program Services359897ProgramServices
Management And General102778ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total28877Total
Program Services22462ProgramServices
Management And General6415ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total530885Total
Program Services479851ProgramServices
Management And General51034ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total326783Total
Program Services295165ProgramServices
Management And General31618ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total55477Total
Program Services25780ProgramServices
Management And General29697ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total403102Total
Program Services262054ProgramServices
Management And General141048ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total401961Total
Program Services312670ProgramServices
Management And General89291ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OPERATIONS1102898084729442
DUES AND SUBSCRIPTIONS21157164574700

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total98621Total
Program Services48265ProgramServices
Management And General50356ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19902270Total
Program Services15751823ProgramServices
Management And General4150447ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2455219BOY
EOY2154310EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1995880BOY
EOY2382690EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY209949BOY
EOY265684EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10609087LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5769371LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4306866BOY
EOY4839716EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8967914BOY
EOY9642400EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2090453BOY
EOY2080948EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1055568BOY
EOY1235685EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY26633BOY
EOY11539EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3172654BOY
EOY3328172EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5795260BOY
EOY6314228EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5795260BOY
EOY6314228EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8967914BOY
EOY9642400EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses503874ReconcilationRevenueExpenses
Reconciliation Unrealized Invest15094ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3805CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3413CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2256CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1891CurrentTaxYearMinus1Year
Current Tax Year1890CurrentTaxYear
Total13255Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6956066CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6888755CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6655786CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6649964CurrentTaxYearMinus1Year
Current Tax Year6970682CurrentTaxYear
Total34121253Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6959871CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6892168CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6658042CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6651855CurrentTaxYearMinus1Year
Current Tax Year6972572CurrentTaxYear
Total34134508Total
FieldValueIRS element (for citing)
Public Support Total17034134508PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years539CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years140CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year339CurrentTaxYearMinus1Year
Current Tax Year1020CurrentTaxYear
Total3601Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years140460CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years141971CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53878CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year127586CurrentTaxYearMinus1Year
Current Tax Year99928CurrentTaxYear
Total563823Total
FieldValueIRS element (for citing)
Total Support34701932TotalSupport
Gross Receipts From Admissions Etc54325910GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98360PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98350PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,725OtherActivitiesAmount
Total Lobbying Expenditures IIB1725TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationPORTION OF TRADE ORGANIZATION ANNUAL DUES ALLOCATED TO LOBBYING EFFORTS.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance8967BeginningBalance
Additions During Year212655AdditionsDuringYear
Distributions During Year215240DistributionsDuringYear
Ending Balance6382EndingBalance
Included On FS0IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis421060OtherCostOrOtherBasis
Book Value421060BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6337963OtherCostOrOtherBasis
Depreciation2525907Depreciation
Book Value3812056BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3850064OtherCostOrOtherBasis
Depreciation3243464Depreciation
Book Value606600BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4839716TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLONG TERM SWAP LIABILITYDescription
Amount$11,539Amount
FieldValueIRS element (for citing)
Total Of Amounts11539TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt20421238TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments15094NetUnrealizedGainsInvestments
Revenue Not Rptd F99015094RevenueNotRptdF990
Revenue Subtotal20406144RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99020406144TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19902270TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal19902270ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019902270TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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, 2013 AND 2012, 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.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANN BORDERS
PRESIDENT/CEO200835020318089306605059300234581000
STEVEN FEKETE
MEDICAL DIRECTOR227456010150893068240156470251835000
DOUG MCGUIRE PARTIAL YEAR
CHIEF INFORMATION OFFICER THRU 4/13136941010600893041100105200153524000
STUART MANNON
SENIOR STAFF PSYCHIARIST17815109480893053430156470200982000
RAHILA QAZI
STAFF PSYCHIARIST17811008480893053390156470200837000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 6ReturnReference
ExplanationTHE JUNE 2012 PAY-FOR-PERFORMANCE BONUS WAS ACCRUED IN JUNE 2012, BUT PAID IN AUGUST 2012 WHICH IS REFLECTED IN THE 2012 CALENDAR YEAR W-2 WAGES REPORTED ON SCHEDULE J. THERE WAS NO BONUS ACCRUED IN JUNE 2013.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 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 ON JANUARY 23, 2014. THE BOARD OF DIRECTORS APPROVED THE 990 FOR FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CALL 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 15IN JANUARY 2014, 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 THIS INFORMATION FOR THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 2CTHE BOARD OF DIRECTORS SERVES AS THE AUDIT COMMITTEE. THE PROCEDURES UTILIZED BY THE AUDIT COMMITTEE HAVE NOT CHANGED IN THE PAST YEAR.AUDIT OVERSIGHT

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