2013-02-05T08:57:54-06:00 2012-06-30 351178661 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2011-07-01 351328806 CUMMINS BEHAVIORAL HEALTH SYSTEMS INC CUMM 3177459555 5101 EAST US 36 AVON IN 46123 AMY MACE 3177459555 2013-02-04 1 AMBER KOCHER CPA P01286298 3176334705 2011 2016-03-07 17:11:31Z AMY MACE 5101 EAST US 36 AVON IN 46123 18073954 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. 7 7 367 0 0 0 6658042 6651855 10250836 11294174 2933 -355 53878 127586 16965689 18073260 0 0 0 0 13683051 14147581 0 0 0 3133423 2909469 16816474 17057050 149215 1016210 7291868 8967914 2527191 3172654 4764677 5795260 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 6797631 0 6842812 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 2,700 YOUTHS WERE SERVED IN SCHOOL-BASED PROGRAMS, WHERE APPROXIMATELY 88,000 HOURS OF SERVICES WERE PROVIDED. 1836848 0 1310931 ADULT SERVICES - APPROXIMATELY 4,400 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. 1648261 1346110 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 22,000 HOURS OF SERVICES TO CONSUMERS IN OUR RECOVERY PROGRAMS. 3267497 1921907 MEDICAL SERVICES, ADDICTION SERVICES, RESIDENTIAL SERVICES, AND OTHER. 3267497 1921907 13550237 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 0 1 36 0 1 367 1 0 0 0 0 0 0 0 0 0 0 X 7 7 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 GENE CLODFELTER 2.00 X X 0 0 0 SHARON STEGEMOLLER 2.00 X X 0 0 0 TERESA BATTO 2.00 X X 0 0 0 ADDIE GILL 2.00 X X 0 0 0 MARY CUMMINS 2.00 X 0 0 0 DIANE MCKNIGHT 2.00 X 0 0 0 CHUCK SCHROEDER 2.00 X 0 0 0 ANN BORDERS 40.00 X 215043 0 22484 AMY MACE 40.00 X 115581 0 23083 STEVEN FEKETE 40.00 X 212968 0 13895 DOUG MCGUIRE 40.00 X 131633 0 20815 KIMBERLY RETZNER 40.00 X 108325 0 13913 STUART MANNON 35.00 X 164786 0 26962 RAHILA QAZI 32.00 X 162774 0 26851 MASOOMA SHEIKH 34.00 X 127628 0 11065 1238738 0 159068 8 0 1 0 0 6649964 1891 6651855 PATIENT SERVICE REVENU 621400 11294174 11294174 11294174 339 339 694 -694 -694 -694 OTHER CONTRACT REVENUE 621400 127586 127586 127586 18073260 11421760 0 -355 802600 648659 153941 9336742 7545925 1790817 565534 457063 108471 2524138 2040000 484138 918567 742383 176184 71505 71505 525157 420126 105031 27010 25660 1350 386780 96695 290085 19259 17333 1926 520749 458259 62490 263041 223585 39456 41335 37202 4133 361783 254002 107781 293512 249485 44027 BAD DEBTS 250026 250026 OPERATIONS 75571 60457 15114 OTHER EXPENSES 43664 2183 41481 DUES AND SUBSCRIPTIONS 25380 16497 8883 4697 4697 17057050 13550237 3506813 0 1479888 2455219 1832794 1995880 207504 209949 10010993 5704127 3771682 4306866 7291868 8967914 1766985 2090453 719200 1055568 41006 26633 2527191 3172654 X 4764677 5795260 4764677 5795260 7291868 8967914 X 1016210 14373 X X 0 1 1 X 1 1 X 1547 3805 3413 2256 1891 12912 5861966 6956066 6888755 6655786 6649964 33012537 5863513 6959871 6892168 6658042 6651855 33025449 33025449 4377 1563 539 140 339 6958 83081 140460 141971 53878 127586 546976 33579383 48638085 0.98350 0.98400 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 19720 254417 265170 8967 0 421060 421060 5152079 2421068 2731011 3872798 3283059 589739 565056 565056 4306866 LONG TERM SWAP LIABILITY 26633 26633 18073260 17057050 1016210 14373 14373 1030583 18087633 14373 14373 18073260 0 18073260 17057050 0 17057050 0 17057050 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: 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, 2012 AND 2011, 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 188409 0 21818 0 4816 0 17129 0 5355 0 237527 0 0 0 STEVEN FEKETE 211568 0 507 0 893 0 0 0 13895 0 226863 0 0 0 DOUG MCGUIRE 130210 0 530 0 893 0 10468 0 10347 0 152448 0 0 0 STUART MANNON 163495 0 398 0 893 0 13090 0 13872 0 191748 0 0 0 RAHILA QAZI 161408 0 473 0 893 0 12956 0 13895 0 189625 0 0 0 PART I, LINE 6 A PAY-FOR-PERFORMANCE BONUS WAS AWARDED FOR ALL EMPLOYEES WHO MET CRITERIA ON JUNE 30, 2012. THE BONUS WAS ACCRUED AS OF JUNE 30, 2012 AND PAID OUT IN AUGUST 2012. FORM 990, PART VI, SECTION B, LINE 11 IN JANUARY 2013, THE BOARD OF DIRECTORS REVIEWED THE 990 PRIOR TO 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 2013, 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 14,373. 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.