2021-05-14T13:05:24-05:00 2020-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2019-07-01 351097350 LIFESPRING INC LIFE 8122802080 460 SPRING STREET JEFFERSONVILLE IN 47130 NICK CLARK CFO 8122802080 2021-05-14 1 ANGELA N CRAWFORD CPA P00573197 3176334705 2021-05-14 2019 2022-09-23 18:48:47Z LIFESPRING HEALTH SYSTEM NICK CLARK 460 SPRING STREET JEFFERSONVILLE IN 47130 35421986 0 X WWW.LIFESPRINGHEALTHSYSTEMS.ORG X 1964 IN PROVIDE COMPREHENSIVE BEHAVIORAL HEALTH, ADDICTION & RELATED SERVICES TO IMPROVE & SUSTAIN THE QUALITY OF LIFE IN OUR COMMUNITIES. 12 12 494 12 0 0 10177852 11256341 18420930 22735058 144736 131410 210271 164516 28953789 34287325 2210 9848 0 0 23448546 27170146 0 0 0 5489301 5917953 28940057 33097947 13732 1189378 22925661 29469525 5486465 10865748 17439196 18603777 X LIFESPRING'S MISSION IS TO IMPROVE AND SUSTAIN THE QUALITY OF LIFE IN OUR COMMUNITIES BY PROVIDING COMPREHENSIVE BEHAVIORAL HEALTH, ADDICTION AND RELATED SERVICES. 0 0 26816032 9848 22888840 LIFESPRING, INC. IS A COMMUNITY MENTAL HEALTH CENTER WITH THE PURPOSE OF PROVIDING A FULL CONTINUUM OF BEHAVIORAL HEALTHCARE SERVICES TO CLIENTS WHO LIVE PRIMARILY IN CLARK, FLOYD, HARRISON, JEFFERSON, SCOTT, WASHINGTON, SPENCER, PERRY, ORANGE, DUBOIS, AND CRAWFORD COUNTIES IN SOUTHERN INDIANA. DURING THE FISCAL YEAR 2020, LIFESPRING PROVIDED 648,404 BEHAVIOR HEALTH SERVICES TO 10,545 INDIVIDUAL CLIENTS. LIFESPRING PROVIDES CARE TO CERTAIN CLIENTS UNDER REIMBURSEMENT AGREEMENTS WITH MEDICAID, MEDICARE AND OTHER THIRD-PARTY PAYORS. ADDITIONALLY, LIFESPRING ACCEPTS CLIENTS REGARDLESS OF THE CLIENT'S ABILITY TO PAY, THEIR RACE, AGE, SEX, CREED OR NATIONAL ORIGIN. THE MAJORITY OF OUR CLIENTS ARE INDIGENT. IN FISCAL YEAR 2020, WE PROVIDED $1,936,378 IN UNCOMPENSATED CARE TO CLIENTS WHICH REPRESENTED 6.4% IN UNCOMPENSATED CARE TO OPERATING REVENUE. 26816032 1 1 0 0 0 0 0 0 0 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 1 1 0 0 0 1 31 0 1 494 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X JULIE MOHAMED 8122802080 460 SPRING STREET JEFFERSONVILLE IN 47130 LINDSAY FLEMING CHAIR 2.00 0.00 X X 0 0 0 RANDY DENNISON CHAIR ELECT 2.00 0.00 X X 0 0 0 CHRIS HOLLINDEN TREASURER 2.00 0.00 X X 0 0 0 JENNIFER LAWYER SECRETARY 2.00 0.00 X X 0 0 0 TONYA HEIM MEMBER 2.00 0.00 X 0 0 0 AUBREY MCCLURE MEMBER 2.00 0.00 X 0 0 0 EMILY POE STUMLER MEMBER-TERM BEGAN SEP'19 2.00 0.00 X 0 0 0 ALAN SMOCK MEMBER 2.00 0.00 X 0 0 0 JUDY STEEDLEY MEMBER 2.00 0.00 X 0 0 0 SUSAN UMPLEBY MEMBER 2.00 0.00 X 0 0 0 JACK VISSING MEMBER 2.00 2.00 X 0 0 0 JACKIE YOUNG MEMBER 2.00 0.00 X 0 0 0 SAM ECKART MEMBER-TERM ENDED SEP'19 2.00 0.00 X 0 0 0 NICK CLARK CFO/EXECUTIVE VP 40.00 2.00 X 148120 0 15488 TERRY STAWAR CEO/PRESIDENT 40.00 2.00 X 291290 0 24427 KAREN JONES SENIOR VP HR 40.00 0.00 X 116069 0 6964 WANDA BOOKER VP NURSING SERVICES 40.00 0.00 X 102336 0 6140 GREG DUNCAN VP PERFORMANCE IMPROVEMENT 40.00 0.00 X 100897 0 14814 ASAD ISMAIL VP MEDICAL SERVICES 40.00 0.00 X 45175 0 11471 BETH KEENEY VP DEVELOPMENT & GRANTS 32.00 0.00 X 126948 0 7617 MARTA MYSZAK VP AREA SERVICES 40.00 0.00 X 72175 0 7289 MEARA GRANNAN VICE PRESIDENT 40.00 0.00 X 98022 0 12497 MISTY GILBERT VICE PRESIDENT 40.00 0.00 X 106738 0 14030 JOE HIGGINS VICE PRESIDENT 40.00 0.00 X 85348 0 8079 CHRISTIAN RICE VICE PRESIDENT 40.00 0.00 X 105504 0 8844 CHRIS GRIDER ASST VP 40.00 0.00 X 106498 0 9348 MARSHALL LOWERY ASST VP 40.00 0.00 X 88093 0 5286 STEPHANIE TAYLOR ASST VP 40.00 0.00 X 72625 0 13118 TEODORO BORDADOR PHYSICIAN 40.00 0.00 X 255737 0 22064 MARY BOULDIN PHYSICIAN 40.00 0.00 X 223214 0 13933 ERIC JAGGERS PHYSICIAN 40.00 0.00 X 202516 0 20911 SHERYL SCHNEIDER PHYSICIAN 40.00 0.00 X 154885 0 16243 AMANDA DAVIS-HOUCHEN NURSE PRACTITIONER 40.00 0.00 X 129918 0 7795 2632108 0 246358 19 0 1 0 0 11247965 8376 11256341 PATIENT SERVICE REVENUE 900099 19643530 19643530 MEDICAID ADMIN RECOVERY 900099 1427588 1427588 340B REVENUE 900099 1087571 1087571 OFF SITE SERVICES 900099 227812 227812 REVOCERY WORK 900099 169820 169820 178737 178737 22735058 65719 65719 70124 0 70124 70124 70124 1198002 2350 1134661 0 63341 2350 65691 65691 3797 0 3797 3797 MEDICAL RECORDS REVENUE 900099 10734 10734 79861 79861 90595 34287325 22888840 0 142144 9848 9848 1693129 1693129 20556559 17791874 2764685 995675 818973 176702 2375137 2011246 363891 1549646 1315087 234559 89229 89229 18277 18277 641436 578028 63408 122437 99304 23133 918381 704939 213442 367011 297668 69343 1250203 1013989 236214 380218 364190 16028 136369 110603 25766 80037 72106 7931 779650 632342 147308 556463 451324 105139 FEDERAL AWARD EXPENDITU 240232 240232 MEDICATION & OTC MED. S 195201 195201 DUES AND LICENSES 90452 73362 17090 SUPPLIES 20843 17091 3752 31514 18625 12889 33097947 26816032 6281915 0 102903 102634 3919104 8797368 1675134 1987336 1719490 732458 417919 554662 24116118 10480523 12333966 13635595 2555136 2637706 202009 1021766 22925661 29469525 2927028 4109342 2097441 6159316 461996 597090 5486465 10865748 X 17439196 18603777 17439196 18603777 22925661 29469525 1189378 -24797 0 X X 0 0 1 1 1 X 7444450 7662460 8365182 10177852 10881617 44531561 7444450 7662460 8365182 10177852 10881617 44531561 44531561 62772 124291 123350 130834 135843 577090 1643657 83137 83176 151067 94392 2055429 47164080 80741608 0.94420 0.90560 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2015 AMOUNT: $ 1,643,657. 2016 AMOUNT: $ 83,137. 2017 AMOUNT: $ 83,176. 2018 AMOUNT: $ 151,067. 2019 AMOUNT: $ 94,392. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1114653 1114653 15863138 4961949 10901189 7138327 5518574 1619753 13635595 ESTIMATED THIRD PARTY SETTLEMENTS 306509 DUE TO RESIDENTIAL PATIENTS 290581 597090 X 34244251 -24797 -24797 34269048 18277 18277 34287325 33079670 0 33079670 18277 18277 33097947 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 NOT 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, 2020 AND 2019, 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 0 0 0 0 NICK CLARK CFO/EXECUTIVE VP 148120 0 0 0 0 0 8872 0 6616 0 163608 0 0 0 TERRY STAWAR CEO/PRESIDENT 291290 0 0 0 0 0 17477 0 6950 0 315717 0 0 0 TEODORO BORDADOR PHYSICIAN 255737 0 0 0 0 0 15344 0 6720 0 277801 0 0 0 MARY BOULDIN PHYSICIAN 223214 0 0 0 0 0 13933 0 0 0 237147 0 0 0 ERIC JAGGERS PHYSICIAN 202516 0 0 0 0 0 12151 0 8760 0 223427 0 0 0 SHERYL SCHNEIDER PHYSICIAN 154885 0 0 0 0 0 9293 0 6950 0 171128 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, CHIEF EXECUTIVE OFFICER, AND BOARD TREASURER. A COPY OF THE FORM 990, INCLUDING ALL SCHEDULES, IS AVAILABLE TO THE GOVERNING BODY FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY AND/OR AT ANY TIME A CONFLICT OF INTEREST ARISES BOARD MEMBER MUST FULLY DISCLOSE THIS CONFLICT TO THE REST OF THE BOARD AND REFRAIN FROM VOTING ON ANY ISSUES RELATING TO THIS CONFLICT; PRESIDENT/CEO FULLY DISCLOSE THIS CONFLICT TO THE BOARD AND REFRAIN FROM PARTICIPATING IN THE DECISION MAKING PROCESS RELATING TO THIS CONFLICT; EXECUTIVE MANAGEMENT TEAM MEMBERS INCLUDING ANY KEY EMPLOYEES FULLY DISCLOSE THIS CONFLICT TO THE PRESIDENT/CEO AND REFRAIN FROM PARTICIPATING IN THE DECISION MAKING PROCESS RELATING TO THIS CONFLICT. THE DISCLOSURE DURING BOARD MEETINGS IS NOTED IN THE BOARD MINUTES. FAILURE TO DISCLOSE CONFLICTS OF INTEREST SHALL BE SUBJECT TO DISCIPLINARY ACTION IN ACCORDANCE WITH THE BOARD'S BY-LAWS AND THE CENTER'S PERSONNEL POLICIES AND PROCEDURES. FORM 990, PART VI, SECTION B, LINE 15 CEO COMPENSATION: ANNUAL EVALUATIONS IS PERFORMED BY THE BOARD OF DIRECTORS FOR THE CEO AND ANY WAGE INCREASES. HUMAN RESOURCE MANAGER CONDUCTS A SALARY SURVEY AS NEEDED FOR REVIEW BY THE BOARD OF DIRECTORS. THE RESOLUTIONS OF THE BOARD ARE DOCUMENTED AND INCLUDED IN THE BOARD MINUTES. OTHER OFFICERS: HUMAN RESOURCE MANAGER MAINTAINS AND UPDATES INFORMATION REGARDING OTHER OFFICERS/ KEY EMPLOYEE'S SALARY AND WAGE PLANS THAT ARE COMPETITIVE AND FAIR. EACH PLAN IS REVIEWED ON THE EMPLOYEE'S ANNIVERSARY DATE OF HIRE AND ANY CHANGES ARE APPROVED BY THE CEO. WAGE INCREASES ARE DETERMINED BY THE BOARD OF DIRECTORS. HR MANAGER PARTICIPATES IN SALARY SURVEYS AS NEEDED AND ON A CONTINUOUS BASIS WITH OTHER LOCAL/STATE AGENCIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA ITS WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC FOR REVIEW UPON REQUEST. PART XI, LINE 2C THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. LIFESPRING FOUNDATION OF INDIANA INC 460 SPRING ST JEFFERSONVILLE IN 47130 200177427 SUPPORT OF LOCAL NON-PROFITS COMMUNITY MENTAL HEALTH AGENCY IN 501C3 LINE 9 N/A 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0