2014-02-03T15:51:41-06:00 2013-06-30 351178661 BLUE & COMPANY ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2012-07-01 351328806 CUMMINS BEHAVIORAL HEALTH SYSTEMS INC CUMM 3177459555 5101 EAST US 36 AVON IN 46123 AMY MACE 3177459555 2014-02-03 1 AMBER KOCHER CPA P01286298 3176334705 2012 2015-11-30 17:44:51Z ANN BORDERS 5101 EAST US 36 AVON IN 46123 20411043 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. 5 5 430 0 0 0 6651855 6972572 11294174 13316148 -355 17496 127586 99928 18073260 20406144 0 0 0 0 14147581 16786429 0 0 0 2909469 3115841 17057050 19902270 1016210 503874 8967914 9642400 3172654 3328172 5795260 6314228 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 8217068 0 8485920 YOUTH 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. 1967470 0 1161196 ADULT 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. 1996191 0 1518163 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 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. 3571094 0 2250797 MEDICAL SERVICES, ADDICTION SERVICES, RESIDENTIAL SERVICES, AND OTHER. 3571094 2250797 15751823 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 44 0 1 430 1 0 0 0 0 0 0 0 0 0 0 X 5 5 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 MARY CUMMINS 2.00 X X 0 0 0 DIANE MCKNIGHT 2.00 X X 0 0 0 TERESA BATTO 2.00 X X 0 0 0 SHARON STEGEMOLLER 2.00 X 0 0 0 CHUCK SCHROEDER 2.00 X 0 0 0 GENE CLODFELTER PARTIAL YEAR 2.00 X 0 0 0 ADDIE GILL PARTIAL YEAR 2.00 X 0 0 0 ANN BORDERS 40.00 X 222046 0 12535 AMY MACE 40.00 X 121127 0 19224 STEVEN FEKETE 40.00 X 229364 0 22471 DOUG MCGUIRE PARTIAL YEAR 40.00 X 138894 0 14630 KIMBERLY RETZNER 40.00 X 117970 0 9370 STUART MANNON 30.00 X 179992 0 20990 RAHILA QAZI 32.00 X 179851 0 20986 MASOOMA SHEIKH 23.00 X 112460 0 4293 1301704 0 124499 8 0 1 0 0 6970682 1890 6972572 PATIENT SERVICE REVENU 621400 13316148 13316148 13316148 1020 1020 21375 4899 16476 16476 16476 OTHER REVENUE 621400 99928 99928 99928 20406144 13416076 0 17496 825961 666145 159816 12516002 10094274 2421728 246180 204047 42133 2124997 1761306 363691 1073289 889597 183692 84910 84910 558305 207493 350812 32799 25513 7286 462675 359897 102778 28877 22462 6415 530885 479851 51034 326783 295165 31618 55477 25780 29697 403102 262054 141048 401961 312670 89291 OPERATIONS 110289 80847 29442 DUES AND SUBSCRIPTIONS 21157 16457 4700 98621 48265 50356 19902270 15751823 4150447 0 2455219 2154310 1995880 2382690 209949 265684 10609087 5769371 4306866 4839716 8967914 9642400 2090453 2080948 1055568 1235685 26633 11539 3172654 3328172 X 5795260 6314228 5795260 6314228 8967914 9642400 503874 15094 0 X X 0 1 X 1 1 1 X 3805 3413 2256 1891 1890 13255 6956066 6888755 6655786 6649964 6970682 34121253 6959871 6892168 6658042 6651855 6972572 34134508 34134508 1563 539 140 339 1020 3601 140460 141971 53878 127586 99928 563823 34701932 54325910 0.98360 0.98350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1725 1725 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: PORTION OF TRADE ORGANIZATION ANNUAL DUES ALLOCATED TO LOBBYING EFFORTS. 1 8967 212655 215240 6382 0 421060 421060 6337963 2525907 3812056 3850064 3243464 606600 4839716 LONG TERM SWAP LIABILITY 11539 11539 X 20421238 15094 15094 20406144 0 20406144 19902270 0 19902270 0 19902270 PART IV, LINE 1B: CUMMINS BEHAVIORAL HEALTH, INC. SERVES AS A PAYEE ON BEHALF OF ITS CONSUMERS' ACCOUNTS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. X X X X X 0 0 0 0 0 1 0 0 0 ANN BORDERS 200835 0 20318 0 893 0 6605 0 5930 0 234581 0 0 0 STEVEN FEKETE 227456 0 1015 0 893 0 6824 0 15647 0 251835 0 0 0 DOUG MCGUIRE PARTIAL YEAR 136941 0 1060 0 893 0 4110 0 10520 0 153524 0 0 0 STUART MANNON 178151 0 948 0 893 0 5343 0 15647 0 200982 0 0 0 RAHILA QAZI 178110 0 848 0 893 0 5339 0 15647 0 200837 0 0 0 PART I, LINE 6 THE 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. 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 ON JANUARY 23, 2014. 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 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 19 THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. AUDIT OVERSIGHT FORM 990, PART XI, LINE 2C THE BOARD OF DIRECTORS SERVES AS THE AUDIT COMMITTEE. THE PROCEDURES UTILIZED BY THE AUDIT COMMITTEE HAVE NOT CHANGED IN THE PAST YEAR.