2011-12-12T15:16:02-06:00 2011-06-30 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2010-07-01 351328806 CUMMINS BEHAVIORAL HEALTH SYSTEMS INC CUMM 3177459555 5101 EAST US 36 AVON IN 46123 AMY MACE 3177459555 2011-12-12 1 CARRIE A MERRILL CPA 3176334705 2010 2016-02-24 21:20:13Z AMY MACE 5101 EAST US 36 AVON IN 46123 16977263 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 COMMUNITY BY PROVIDING AND ADVANCING EXEMPLARY BEHAVIORAL HEALTH SERVICES. 6 6 365 0 0 0 6892168 6658042 10061867 10250836 539 2933 141971 53878 17096545 16965689 0 0 0 0 14218859 13683051 0 0 0 3173517 3133423 17392376 16816474 -295831 149215 7547476 7291868 2945422 2527191 4602054 4764677 X 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. 0 0 6225694 5835922 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. 1883147 1581104 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. 2094708 1448704 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 3270159 1438984 MEDICAL SERVICES, ADDICTION SERVICES, RESIDENTIAL SERVICES, AND OTHER. 3270159 1438984 13473708 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 1 365 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 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 ANN BORDERS 40.00 X 188782 0 20477 AMY MACE 40.00 X 108769 0 22800 RAHILA QAZI 40.00 X 200295 0 13441 BABAR HASAN 26.00 X 141324 0 9451 STUART MANNON 31.00 X 135921 0 24851 MASOOMA SHEIKH 33.00 X 166355 0 8017 DOUG MCGUIRE 40.00 X 128551 0 19481 1069997 0 118518 7 0 1 0 0 6655786 2256 6658042 PATIENT SERVICE REVENU 621400 10250836 10250836 10250836 140 140 14367 11574 2793 2793 2793 OTHER CONTRACT REVENUE 621400 53878 53878 53878 16965689 10304714 0 2933 497846 403255 94591 9289389 7524405 1764984 595019 487916 107103 2370369 1943703 426666 930428 762951 167477 71085 71085 566474 464509 101965 24209 22999 1210 378659 94665 283994 36334 32701 3633 584920 514730 70190 265567 225732 39835 47786 43007 4779 358407 251632 106775 311227 264543 46684 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 16816474 13473708 3342766 0 540352 1479888 2684853 1832794 262871 207504 9178524 5406842 4059400 3771682 7547476 7291868 2005233 1766985 885775 719200 54414 41006 2945422 2527191 X 4602054 4764677 4602054 4764677 7547476 7291868 X 149215 13408 X X 0 1 1 X 1 1 X 1922 1547 3805 3413 2256 12943 5511155 5861966 6956066 6888755 6655786 31873728 5513077 5863513 6959871 6892168 6658042 31886671 31886671 13342 4377 1563 539 140 19961 79452 83081 140460 141971 53878 498842 32405474 44758234 0.98400 0.98220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1829 1829 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: PORTION OF TRADE ORGANIZATION ANNUAL DUES ALLOCATED TO LOBBYING EFFORTS. 1 16502 343740 340522 19720 0 421060 421060 5070232 2309396 2760836 3687232 3097446 589786 3771682 LONG TERM SWAP LIABILITY 41006 41006 16965689 16816474 149215 13408 13408 162623 16979097 13408 13408 16965689 0 16965689 16816474 0 16816474 0 16816474 PART IV, LINE 1B: CUMMINS BEHAVIORAL HEALTH, INC. SERVES AS A PAYEE ON BEHALF OF ITS PATIENTS FOR SOME CONSUMER 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, 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. X X X X 0 0 0 0 0 1 0 0 0 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 PART I, LINE 6 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. 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.