LIFESPRING INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LIFESPRING INC (EIN 35-1097350)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-15
IRS object ID
201440489349300019
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2014-02-15T08:53:48-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN351178661EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE AMERICAN SQUARE 2200AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46282ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351097350EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIFESPRING INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIFENameControl
Phone8122802080Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1460 SPRING STREETAddressLine1
CityJEFFERSONVILLECity
StateINState
ZIP Code47130ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNICK CLARKName
TitleCFOTitle
Phone8122802080Phone
Date Signed2014-02-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMBER KOCHER CPAName
PTINP01286298PTIN
Phone3176334705Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1LIFESPRING HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonNICK CLARKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1460 SPRING STREETAddressLine1
CityJEFFERSONVILLECity
StateINState
ZIP Code47130ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16302377GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIFESPRINGHEALTHSYSTEMS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionPROVIDE COMPREHENSIVE BEHAVIORAL HEALTH, ADDICTION & RELATED SERVICES TO IMPROVE & SUSTAIN THE QUALITY OF LIFE IN OUR COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees342TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6360290ContributionsGrantsPriorYear
Contributions Grants Current Year6146304ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6812196ProgramServiceRevenuePriorYear
Program Service Revenue CY8532015ProgramServiceRevenueCY
Investment Income Prior Year22935InvestmentIncomePriorYear
Investment Income Current Year9735InvestmentIncomeCurrentYear
Other Revenue Prior Year1737895OtherRevenuePriorYear
Other Revenue Current Year1614323OtherRevenueCurrentYear
Total Revenue Prior Year14933316TotalRevenuePriorYear
Total Revenue Current Year16302377TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year800GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY150GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11434699SalariesEtcPriorYear
Salaries Etc Current Year12582816SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3388049OtherExpensePriorYear
Other Expenses Current Year3284483OtherExpensesCurrentYear
Total Expenses Prior Year14823548TotalExpensesPriorYear
Total Expenses Current Year15867449TotalExpensesCurrentYear
Revenues Less Expenses Prior Year109768RevenuesLessExpensesPriorYear
Revenues Less Expenses CY434928RevenuesLessExpensesCY
Total Assets BOY14704446TotalAssetsBOY
Total Assets EOY14945985TotalAssetsEOY
Total Liabilities BOY5428678TotalLiabilitiesBOY
Total Liabilities EOY5235289TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9275768NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9710696NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionLIFESPRING'S MISSION IS TO IMPROVE AND SUSTAIN THE QUALITY OF LIFE IN OUR COMMUNITIES BY PROVIDING COMPREHENSIVE BEHAVIORAL HEALTH, ADDICTION AND RELATED SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12646187Expense
Grants150Grants
Revenue9717135Revenue
DescriptionLIFESPRING, 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 2013, LIFESPRING PROVIDED 262,681 BEHAVIOR HEALTH SERVICES TO 6,405 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 2013, WE PROVIDED $2,316,884 IN UNCOMPENSATED CARE TO CLIENTS WHICH REPRESENTED 15.6% 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.Description
Total Program Service Expense12646187TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees342NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JULIE MOHAMEDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8122061483TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1460 SPRING STREETAddressLine1
CityJEFFERSONVILLECity
StateINState
ZIP Code47130ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DAVID FOWLER
BOARD CHAIR2.000.00XX000
KATHERINE DANNER
BOARD CHAIR ELECT2.000.00XX000
JAN VETRHUS
SECRETARY2.000.00XX000
SAM ECKART
TREASURER2.000.00XX000
PAM CLOVER
PAST BOARD CHAIR2.000.00X000
CHAD LEWIS
MEMBER2.000.00X000
REBECCA MARSHALL
MEMBER2.000.00X000
LARRY MEDLOCK
MEMBER2.000.00X000
LISA TETRICK
MEMBER2.000.00X000
JACK VISSING
MEMBER2.002.00X000
JUDY STEEDLEY
MEMBER, EX-OFFICIO2.002.00X000
TERRY STAWAR
CEO/PRESIDENT40.002.00X208002025629
CHERYL STUPPY
CFO/EXECUTIVE VP40.002.00X11814707300
NICK CLARK
CFO/EXECUTIVE VP0.000.00X000
KAREN JONES
SENIOR VP HR40.000.00X8119505113
JANA KIXMILLER
SENIOR VP CLINICAL SERVICE40.000.00X99307010594
ASAD ISMAIL
VP MEDICAL SERVICES32.000.00X222235021611
GREG DUNCAN
VP PERFORMANCE IMPROVEMENT40.000.00X76325014893
MARTA MYSZAK
VP AREA SERVICES40.000.00X8863808638
WANDA BOOKER
VP NURSING SERVICES40.000.00X7379104608
BETH KEENEY
VP DEVELOPMENT & GRANTS40.000.00X4915503133
TEODORO BORDADOR
PHYSICIAN40.000.00200935019255X
MARY LEE BOULDIN
PHYSICIAN40.000.0015533509276X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1373065TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation130050TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants6138350GovernmentGrants
All Other Contributions7954AllOtherContributions
Total Contributions6146304TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column8532015TotalRevenueColumn
Related Or Exempt Function Income8532015RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8532015TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8335TotalRevenueColumn
Exclusion$8,335ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1400Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1400Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1400TotalRevenueColumn
Exclusion$1,400ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
OTHER OPERATING REVENUE90009911851201185120
MISC REVENUE900099429203$429,203
FieldValueIRS element (for citing)
Total Other Revenue1614323TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16302377TotalRevenueColumn
Related Or Exempt Function Income9717135RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$438,938ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total150Total
Program Services150ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total728886Total
Management And General728886ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9781615Total
Program Services7906858ProgramServices
Management And General1874757ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total596424Total
Program Services430103ProgramServices
Management And General166321ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total751210Total
Program Services516892ProgramServices
Management And General234318ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total724681Total
Program Services541265ProgramServices
Management And General183416ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33564Total
Management And General33564ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total493878Total
Program Services493878ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total36544Total
Program Services36544ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total517579Total
Program Services517579ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total54661Total
Program Services54661ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total671363Total
Program Services671363ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total228842Total
Program Services228842ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total37873Total
Program Services37873ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total150261Total
Program Services150261ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total520808Total
Program Services520808ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total227875Total
Program Services227875ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FEDERAL AWARD EXPENDITU180548180548
RESIDENTIAL LIVING ALLO3148631486
DUES AND LICENSES3145031450

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total67751Total
Program Services67751ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15867449Total
Program Services12646187ProgramServices
Management And General3221262ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1494BOY
EOY1510EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3839549BOY
EOY4552059EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1171957BOY
EOY1288261EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY865860BOY
EOY632869EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY215067BOY
EOY216986EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13478851LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5375031LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8480737BOY
EOY8103820EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY129782BOY
EOY150480EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14704446BOY
EOY14945985EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1190621BOY
EOY1316144EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3926092BOY
EOY3628651EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY311965BOY
EOY290494EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5428678BOY
EOY5235289EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9275768BOY
EOY9710696EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9275768BOY
EOY9710696EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14704446BOY
EOY14945985EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses434928ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4309910CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4194087CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6425160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6360290CurrentTaxYearMinus1Year
Current Tax Year6146304CurrentTaxYear
Total27435751Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4309910CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4194087CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6425160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6360290CurrentTaxYearMinus1Year
Current Tax Year6146304CurrentTaxYear
Total27435751Total
FieldValueIRS element (for citing)
Public Support Total17027435751PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years52422CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16563CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8109CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6953CurrentTaxYearMinus1Year
Current Tax Year8335CurrentTaxYear
Total92382Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1721867CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1631570CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1764267CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1737895CurrentTaxYearMinus1Year
Current Tax Year1614323CurrentTaxYear
Total8469922Total
FieldValueIRS element (for citing)
Total Support35998055TotalSupport
Gross Receipts From Admissions Etc48497089GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.76210PublicSupportPertcentage170
Public Support Pertcent Prior Year0.75140PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis908205OtherCostOrOtherBasis
Book Value908205BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9247459OtherCostOrOtherBasis
Depreciation2731513Depreciation
Book Value6515946BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3296512OtherCostOrOtherBasis
Depreciation2643518Depreciation
Book Value652994BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26675OtherCostOrOtherBasis
Book Value26675BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8103820TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD PARTY SETTLEMENTS$140,014
DUE TO RESIDENTIAL PAT$150,480
FieldValueIRS element (for citing)
Total Of Amounts290494TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt16302377TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal16302377RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99016302377TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15867449TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal15867449ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015867449TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationACCOUNTING 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, 2013 AND 2012, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TERRY STAWAR
CEO/PRESIDENT20800200000113870142420233631000
ASAD ISMAIL
VP MEDICAL SERVICES2222350000012216093950243846000
TEODORO BORDADOR
PHYSICIAN2009350000011045082100220190000
MARY LEE BOULDIN
PHYSICIAN15533500000851307630164611000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CANNUALLY 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 15CEO 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 19THE 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 2CTHE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR.OVERSIGHT OF THE AUDIT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LIFESPRING FOUNDATION OF INDIANA INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1460 SPRING STAddressLine1
CityJEFFERSONVILLECity
StateINState
ZIP Code47130ZIPCode
FieldValueIRS element (for citing)
EIN200177427EIN
Primary ActivitiesSUPPORT OF LOCAL NON-PROFITS COMMUNITY MENTAL HEALTH AGENCYPrimaryActivities
Legal Domicile StateINLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity StatusLINE 9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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