CUMMINS BEHAVIORAL HEALTH SYSTEMS INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CUMMINS BEHAVIORAL HEALTH SYSTEMS INC (EIN 35-1328806)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2011-12-12
- IRS object ID
- 201113469349300146
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-12-12T15:16:02-06:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE AMERICAN SQUARE 2200 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46282 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351328806 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUMMINS BEHAVIORAL HEALTH SYSTEMS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CUMM | NameControl |
| Phone | 3177459555 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5101 EAST US 36 | AddressLine1 |
| City | AVON | City |
| State | IN | State |
| ZIP Code | 46123 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY MACE | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 3177459555 | Phone |
| Date Signed | 2011-12-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CARRIE A MERRILL CPA | Name |
| Phone | 3176334705 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | AMY MACE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5101 EAST US 36 | AddressLine1 |
| City | AVON | City |
| State | IN | State |
| ZIP Code | 46123 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 16977263 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CUMMINSBHS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF CUMMINS BEHAVIORAL HEALTH SYSTEMS, INC. IS TO PROMOTE RECOVERY AND TO ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITY BY PROVIDING AND ADVANCING EXEMPLARY BEHAVIORAL HEALTH SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 365 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 6892168 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6658042 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10061867 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10250836 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 539 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2933 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 141971 | OtherRevenuePriorYear |
| Other Revenue Current Year | 53878 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 17096545 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16965689 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 14218859 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13683051 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3173517 | OtherExpensePriorYear |
| Other Expenses Current Year | 3133423 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 17392376 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16816474 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -295831 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 149215 | RevenuesLessExpensesCY |
| Total Assets BOY | 7547476 | TotalAssetsBOY |
| Total Assets EOY | 7291868 | TotalAssetsEOY |
| Total Liabilities BOY | 2945422 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2527191 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4602054 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4764677 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF CUMMINS BEHAVIORAL HEALTH SYSTEMS, INC. IS TO PROMOTE RECOVERY AND TO ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITY BY PROVIDING AND ADVANCING EXEMPLARY BEHAVIORAL HEALTH SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6225694 | Expense |
| Revenue | 5835922 | Revenue |
| Description | YOUTH SERVICES - APPROXIMATELY 4,200 PERSONS UNDER THE AGE OF 18 WERE SERVED DURING THE PAST YEAR. SERVICES TO CHILDREN AND ADOLESCENTS INCLUDE INDIVIDUAL, GROUP AND FAMILY THERAPIES, PARTIAL HOSPITALIZATION, CASE MANAGEMENT, MEDICATION MANAGEMENT, CRISIS INTERVENTION, AND TRAINING IN ACTIVITIES OF DAILY LIVING. APPROXIMATELY 1,600 YOUTHS WERE SERVED IN SCHOOL-BASED PROGRAMS, WHERE APPROXIMATELY 71,000 HOURS OF SERVICES WERE PROVIDED. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1883147 | Expense |
| Revenue | 1581104 | Revenue |
| Description | 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 28,000 HOURS OF SERVICES TO CONSUMERS IN OUR RECOVERY PROGRAMS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2094708 | Expense |
| Revenue | 1448704 | Revenue |
| Description | 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 | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3270159 | Expense |
| Revenue | 1438984 | Revenue |
| Description | MEDICAL SERVICES, ADDICTION SERVICES, RESIDENTIAL SERVICES, AND OTHER. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 3270159 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 1438984 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 13473708 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 36 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 365 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | AMY MACE CHIEF FINANCIAL OFFICER | NamePerson |
| Telephone Number | 3177459555 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5101 EAST US 36 | AddressLine1 |
| City | AVON | City |
| State | IN | State |
| ZIP Code | 46123 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| GENE CLODFELTER | |||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | |
| SHARON STEGEMOLLER | |||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| TERESA BATTO | |||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | |
| ADDIE GILL | |||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| MARY CUMMINS | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| DIANE MCKNIGHT | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| ANN BORDERS | |||||||
| PRESIDENT/CEO | 40.00 | X | 188782 | 0 | 20477 | ||
| AMY MACE | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 108769 | 0 | 22800 | ||
| RAHILA QAZI | |||||||
| STAFF PSYCHIARIST | 40.00 | 200295 | 0 | 13441 | X | ||
| BABAR HASAN | |||||||
| STAFF PSYCHIARIST | 26.00 | 141324 | 0 | 9451 | X | ||
| STUART MANNON | |||||||
| STAFF PSYCHIARIST | 31.00 | 135921 | 0 | 24851 | X | ||
| MASOOMA SHEIKH | |||||||
| STAFF PSYCHIARIST | 33.00 | 166355 | 0 | 8017 | X | ||
| DOUG MCGUIRE | |||||||
| CHIEF INFORMATION OFFICER | 40.00 | 128551 | 0 | 19481 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1069997 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 118518 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 6655786 | GovernmentGrants |
| All Other Contributions | 2256 | AllOtherContributions |
| Total Contributions | 6658042 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 10250836 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10250836 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10250836 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 140 | TotalRevenueColumn |
| Exclusion | $140 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14367 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 11574 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2793 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2793 | TotalRevenueColumn |
| Exclusion | $2,793 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER CONTRACT REVENUE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 53878 | TotalRevenueColumn |
| Related Or Exempt Function Income | 53878 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 53878 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16965689 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10304714 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,933 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 497846 | Total |
| Program Services | 403255 | ProgramServices |
| Management And General | 94591 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9289389 | Total |
| Program Services | 7524405 | ProgramServices |
| Management And General | 1764984 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 595019 | Total |
| Program Services | 487916 | ProgramServices |
| Management And General | 107103 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2370369 | Total |
| Program Services | 1943703 | ProgramServices |
| Management And General | 426666 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 930428 | Total |
| Program Services | 762951 | ProgramServices |
| Management And General | 167477 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71085 | Total |
| Management And General | 71085 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 566474 | Total |
| Program Services | 464509 | ProgramServices |
| Management And General | 101965 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24209 | Total |
| Program Services | 22999 | ProgramServices |
| Management And General | 1210 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 378659 | Total |
| Program Services | 94665 | ProgramServices |
| Management And General | 283994 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36334 | Total |
| Program Services | 32701 | ProgramServices |
| Management And General | 3633 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 584920 | Total |
| Program Services | 514730 | ProgramServices |
| Management And General | 70190 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 265567 | Total |
| Program Services | 225732 | ProgramServices |
| Management And General | 39835 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47786 | Total |
| Program Services | 43007 | ProgramServices |
| Management And General | 4779 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358407 | Total |
| Program Services | 251632 | ProgramServices |
| Management And General | 106775 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311227 | Total |
| Program Services | 264543 | ProgramServices |
| Management And General | 46684 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 363605 | 363605 | 0 |
| OPERATIONS | 59942 | 47954 | 11988 |
| DUES AND SUBSCRIPTIONS | 31549 | 20507 | 11042 |
| OTHER EXPENSES | 30089 | 1324 | 28765 |
| BOARD EXPENSE | 3570 | 3570 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16816474 | Total |
| Program Services | 13473708 | ProgramServices |
| Management And General | 3342766 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 540352 | BOY |
| EOY | 1479888 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2684853 | BOY |
| EOY | 1832794 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262871 | BOY |
| EOY | 207504 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9178524 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5406842 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4059400 | BOY |
| EOY | 3771682 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7547476 | BOY |
| EOY | 7291868 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2005233 | BOY |
| EOY | 1766985 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 885775 | BOY |
| EOY | 719200 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54414 | BOY |
| EOY | 41006 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2945422 | BOY |
| EOY | 2527191 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4602054 | BOY |
| EOY | 4764677 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4602054 | BOY |
| EOY | 4764677 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7547476 | BOY |
| EOY | 7291868 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 149215 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 13408 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1922 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1547 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3805 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3413 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2256 | CurrentTaxYear |
| Total | 12943 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5511155 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5861966 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6956066 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6888755 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6655786 | CurrentTaxYear |
| Total | 31873728 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5513077 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5863513 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6959871 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6892168 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6658042 | CurrentTaxYear |
| Total | 31886671 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 31886671 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13342 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4377 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1563 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 539 | CurrentTaxYearMinus1Year |
| Current Tax Year | 140 | CurrentTaxYear |
| Total | 19961 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 79452 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 83081 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 140460 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 141971 | CurrentTaxYearMinus1Year |
| Current Tax Year | 53878 | CurrentTaxYear |
| Total | 498842 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 32405474 | TotalSupport |
| Gross Receipts From Admissions Etc | 44758234 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.98400 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.98220 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $1,829 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1829 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | PORTION OF TRADE ORGANIZATION ANNUAL DUES ALLOCATED TO LOBBYING EFFORTS. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 1 | AgentTrusteeEtc |
| Beginning Balance | 16502 | BeginningBalance |
| Additions During Year | 343740 | AdditionsDuringYear |
| Distributions During Year | 340522 | DistributionsDuringYear |
| Ending Balance | 19720 | EndingBalance |
| Included On FS | 0 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 421060 | OtherCostOrOtherBasis |
| Book Value | 421060 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5070232 | OtherCostOrOtherBasis |
| Depreciation | 2309396 | Depreciation |
| Book Value | 2760836 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3687232 | OtherCostOrOtherBasis |
| Depreciation | 3097446 | Depreciation |
| Book Value | 589786 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3771682 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LONG TERM SWAP LIABILITY | Description |
| Amount | $41,006 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 41006 | TotalOfAmounts |
| Total Revenue | 16965689 | TotalRevenue |
| Total Expenses | 16816474 | TotalExpenses |
| Excess Or Deficit For Year | 149215 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 13408 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 13408 | TotalAdjustments |
| Excess Or Deficit Per FS | 162623 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 16979097 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 13408 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 13408 | RevenueNotRptdF990 |
| Revenue Subtotal | 16965689 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 16965689 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 16816474 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 16816474 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 16816474 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 1B: | CUMMINS BEHAVIORAL HEALTH, INC. SERVES AS A PAYEE ON BEHALF OF ITS PATIENTS FOR SOME CONSUMER ACCOUNTS. | |
| 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, 2011 AND 2010, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANN BORDERS | |||||||||||||
| 185097 | 0 | 0 | 0 | 3685 | 0 | 15299 | 0 | 5178 | 0 | 209259 | 0 | 0 | 0 |
| RAHILA QAZI | |||||||||||||
| 199402 | 0 | 0 | 0 | 893 | 0 | 0 | 0 | 13441 | 0 | 213736 | 0 | 0 | 0 |
| BABAR HASAN | |||||||||||||
| 140431 | 0 | 0 | 0 | 893 | 0 | 0 | 0 | 9451 | 0 | 150775 | 0 | 0 | 0 |
| STUART MANNON | |||||||||||||
| 135100 | 0 | 0 | 0 | 821 | 0 | 11410 | 0 | 13441 | 0 | 160772 | 0 | 0 | 0 |
| MASOOMA SHEIKH | |||||||||||||
| 165462 | 0 | 0 | 0 | 893 | 0 | 7050 | 0 | 967 | 0 | 174372 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 6 | ReturnReference |
| Explanation | A PAY-FOR-PERFORMANCE BONUS WAS AWARDED FOR ALL EMPLOYEES WHO MET CRITERIA ON JUNE 30, 2011. THE BONUS WAS ACCRUED AS OF JUNE 30, 2011 AND PAID OUT IN SEPTEMBER 2011. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGE IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | EFFECTIVE SEPTEMBER 30, 2010 CUMMINS BEHAVIORAL HEALTH SYSTEMS, INC. CLOSED THE TIPPECANOE AND JOHNSON COUNTY OFFICE LOCATIONS. THIS DOES NOT SIGNIFICANTLY IMPACT HOW THE ORGANIZATION CONDUCTS PROGRAM SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 11 | IN DECEMBER 2011, 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 DECEMBER 2011, 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 TO THE BOARD. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| CHANGE IN BYLAWS | FORM 990, PART VI, SECTION A, LINE 4 | EFFECTIVE JUNE 30, 2011 CUMMINS BEHAVIORAL HEALTH, INC. CHANGED THE MEETING DATE OF THE BOARD OF DIRECTORS MEETINGS, CHANGED REVIEW PERIOD OF BY LAWS FROM EVERY 2 TO 5 YEARS, AND ADDED SECTION FOR EMERGENCY POWERS OF THE BOARD. THESE ARE NOT SIGNIFICANT CHANGES IN THE GOVERNING DOCUMENTS. |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 13,408. |
| 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. |
Comments