2018-02-14T15:21:26-06:00 2017-06-30 351178661 Blue & Co LLC 500 N Meridian St Suite 200 Indianapolis IN 46204 990 2016-07-01 351097350 LifeSpring Inc LIFE 8122802080 460 Spring Street Jeffersonville IN 47130 NICK CLARK CFO 8122802080 2018-02-14 1 Angela N Crawford CPA P00573197 3176334705 2018-02-14 2016 2022-09-23 18:48:47Z Lifespring Health System NICK CLARK 460 Spring Street Jeffersonville IN 47130 22210225 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. 13 13 455 15 0 0 7444450 7662460 11446002 13520176 9201 68702 1643657 148580 20543310 21399918 2000 9300 0 0 15779848 16509359 0 0 0 3752319 3827913 19534167 20346572 1009143 1053346 17634573 17706164 5373445 4215523 12261128 13490641 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 16099367 9300 13668756 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 AND WASHINGTON COUNTIES IN SOUTHERN INDIANA. DURING THE FISCAL YEAR 2017, LIFESPRING PROVIDED 268,384 BEHAVIOR HEALTH SERVICES TO 6,817 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 2017, WE PROVIDED $2,475,081 IN UNCOMPENSATED CARE TO CLIENTS WHICH REPRESENTED 11.5% IN UNCOMPENSATED CARE TO OPERATING REVENUE. LIFESPRING PROVIDES A WIDE ARRAY OF SERVICES TO OUR CLIENTS RANGING FROM OUTPATIENT COUNSELING TO PSYCHIATRIC SUB-ACUTE RESIDENTIAL SERVICES. WE ALSO PROVIDE CASE MANAGEMENT SERVICES WHICH ASSIST OUR CLIENTS IN OBTAINING ANY AVAILABLE BENEFITS FOR WHICH THEY MAY BE ELIGIBLE. THIS INVOLVES LINKING, REFERRING AND MONITORING OF CLIENTS, WITH FOLLOW THROUGH SERVICES TO MAINTAIN THOSE BENEFITS ONCE ACQUIRED. LIFESPRING'S OVERARCHING GOAL IS TO IMPROVE THE QUALITY OF LIFE FOR ITS CLIENTS. 16099367 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 21 0 1 455 1 0 0 0 0 0 1 1 0 0 0 0 X 13 13 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 Lindsey Fleming Board Chair Elect 2.00 0.00 X X 0 0 0 Larry Medlock Treasurer 2.00 0.00 X X 0 0 0 Jan Vetrhus Secretary 2.00 0.00 X X 0 0 0 Katherine Danner member 2.00 0.00 X 0 0 0 Sam Eckart member 2.00 0.00 X 0 0 0 robert houston member 2.00 0.00 X 0 0 0 jennifer lawyer member 2.00 0.00 X 0 0 0 Chad Lewis member 2.00 0.00 X 0 0 0 Dwight Lindsay Member 2.00 0.00 X 0 0 0 Sharon Riehemann Member 2.00 0.00 X 0 0 0 Judy Steedley member 2.00 0.00 X 0 0 0 Lisa Tetrick member 2.00 0.00 X 0 0 0 Jack Vissing member 2.00 2.00 X 0 0 0 Nick Clark CFO/Executive VP 40.00 2.00 X 126840 0 19236 Terry Stawar CEO/President 40.00 2.00 X 249680 0 25704 Karen Jones Senior VP HR 40.00 0.00 X 98500 0 5986 Wanda Booker VP Nursing Services 40.00 0.00 X 88674 0 5292 Greg Duncan VP Performance Improvement 40.00 0.00 X 86232 0 16994 Asad Ismail VP Medical Services 40.00 0.00 X 259521 0 26954 Beth Keeney VP Development & Grants 32.00 0.00 X 100950 0 6053 Marta Myszak VP Area Services 40.00 0.00 X 114646 0 11022 Misty Gilbert Vice President 40.00 0.00 X 74930 0 15593 Joe Higgins Vice President 40.00 0.00 X 75133 0 8681 Christian Rice Vice President 40.00 0.00 X 88852 0 9272 Chris Grider Asst VP 40.00 0.00 X 89614 0 9631 Marshall Lowery Asst VP 40.00 0.00 X 74178 0 4457 Stephanie Taylor Asst VP 40.00 0.00 X 60609 0 15227 Teodoro Bordador Physician 40.00 0.00 X 226476 0 24556 Mary Bouldin Physician 40.00 0.00 X 197602 0 11850 Sheryl Schneider Physician 40.00 0.00 X 151654 0 20728 Pedro Velasco Physician 40.00 0.00 X 117382 0 6988 Amanda Davis-Houchen Nurse Practitioner 40.00 0.00 X 112095 0 0 2393568 0 244224 10 0 1 0 0 7608253 54207 7662460 Patient Service Revenue 900099 11965600 11965600 Medicaid Admin Recovery 900099 998252 998252 Off site services 900099 219781 219781 Recovery works 900099 180058 180058 HUD Management Fee 900099 90804 90804 65681 65681 13520176 58848 58848 65443 0 65443 65443 65443 763161 57000 755307 55000 7854 2000 9854 9854 5221 0 5221 5221 Other Operating Revenue 900099 77916 77916 77916 21399918 13668756 0 68702 9300 9300 1958417 1958417 11809249 11049491 759758 639496 462794 176702 1138502 781117 357385 963695 729136 234559 99355 99355 14637 14637 517250 466423 50827 36849 36849 621549 416443 205106 106720 106720 800019 562477 237542 258211 247908 10303 76343 76343 97559 77286 20273 460295 364646 95649 332148 332148 Federal Award Expenditu 223148 223148 Dues and licenses 63013 63013 120817 94125 26692 20346572 16099367 4247205 0 1435 39571 4805571 4479583 1498342 1347267 661756 711666 258740 332331 15793495 7447017 8198934 8346478 2058468 2283592 151327 165676 17634573 17706164 1742302 2080010 3157518 1619837 473625 515676 5373445 4215523 X 12261128 13490641 12261128 13490641 17634573 17706164 1053346 176167 0 X X 0 1 X 1 1 1 X 6146304 6130625 6135993 7444450 7662460 33519832 6146304 6130625 6135993 7444450 7662460 33519832 33519832 8335 15930 68018 62772 124291 279346 1614323 1517429 1677764 1643657 83137 6536310 40335488 53906191 0.83100 0.79410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 965253 965253 10473622 3832653 6640969 3986242 3614364 371878 368378 368378 8346478 DUE TO RESIDENTIAL PATients 165676 Estimated Third Party Settlements 350000 515676 X 21561448 176167 176167 21385281 14637 14637 21399918 20331935 0 20331935 14637 14637 20346572 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, 2017 and 2016, 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 Terry Stawar CEO/President 249680 0 0 0 0 0 14650 0 11054 0 275384 0 0 0 Asad Ismail VP Medical Services 259521 0 0 0 0 0 15900 0 11054 0 286475 0 0 0 Teodoro Bordador Physician 226476 0 0 0 0 0 13976 0 10580 0 251032 0 0 0 Mary Bouldin Physician 197602 0 0 0 0 0 11850 0 0 0 209452 0 0 0 Sheryl Schneider Physician 151654 0 0 0 0 0 9674 0 11054 0 172382 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