2012-03-13T15:49:59-05:00 2011-06-30 WHITINGER & COMPANY LLC 1100 W WHITE RIVER BLVD MUNCIE IN 473033776 990 2010-07-01 351356741 LIFESTREAM SERVICES INC LIFE 7657591121 PO BOX 308 YORKTOWN IN 47396 KENNETH D ADKINS 7657591121 2012-03-02 1 JOHN D MARTIN CPA 7652843384 2012-03-02 2010 2016-02-24 21:20:13Z KENNETH D ADKINS 1701 PILGRIM BLVD YORKTOWN IN 47396 8101582 0 X WWW.LIFESTREAMINC.ORG X 1975 IN LIFESTREAM SERVICES, INC. IS A DESIGNATED AREA AGENCY ON AGING FOR BLACKFORD, DELAWARE, GRANT, HENRY, JAY, MADISON, AND RANDOLPH COUNTIES IN THE STATE OF INDIANA. THE AGENCY'S PRIMARY PURPOSE IS TO PLAN, DEVELOP, COORDINATE AND PROVIDE SERVICES, WHICH ENABLE PERSONS AGE 60+ AND DISABLED OF ANY AGE TO REMAIN INDEPENDENT. OTHER SERVICES ARE PROVIDED TO LOW OR MODERATE INCOME PERSONS AS APPROPRIATE. 6 6 157 422 0 0 7525144 6662861 1528900 1388409 2101 2049 18722 45951 9074867 8099270 0 0 0 0 3979023 3712877 0 0 189597 4783066 4222318 8762089 7935195 312778 164075 2593053 3472770 1968388 2684030 624665 788740 X TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE AT RISK OF LOSING THEIR INDEPENDENCE. 0 0 3276245 622624 HOME SERVICE AND CARE MANAGEMENT: LIFESTREAM PROVIDES CARE MANAGEMENT SERVICES TO OVER 6,000 INDIVIDUALS ON AN ANNUAL BASIS. CARE MANAGERS WORK WITH INDIVIDUALS AND THEIR FAMILIES/SUPPORTERS TO DEVELOP A CARE PLAN THAT WILL KEEP THEM INDEPENDENT IN THEIR HOME. THE CARE MANAGERS WORK WITH OVER 60 CONTRACTED PROVIDERS TO AUTHORIZE A WIDE ARRAY OF IN-HOME SERVICES AND SUPPORT. DURING THE 2010 TAX YEAR, LIFESTREAM SERVICES, INC. PROVIDED APPROXIMATELY 54,000 HOURS OF SERVICE IN THIS AREA. 1449854 325572 NUTRITION: LIFESTREAM SERVICES, INC PROVIDES HOT MEALS DELIVERED DAILY TO OLDER ADULTS AND DISABLED HOMEBOUND INDIVIDUALS. ADDITIONALLY, LIFESTREAM PROVIDES 13 MEAL SITES IN 7 COUNTIES, WHERE OLDER ADULTS CAN CONGREGATE, SOCIALIZE, AND EAT A HOT NUTRITIOUS MEAL. LIFESTREAM SERVED NEARLY 250,000 MEALS BETWEEN THESE TWO INITIATIVES DURING THE 2010 TAX YEAR. 1328184 179489 TRANSPORTATION: LIFESTREAM SERVICES, INC IS THE RURAL PUBLIC TRANSIT PROVIDER FOR 7 COUNTIES IN EAST CENTRAL INDIANA. LIFESTREAM OPERATES 24 HIGH-TOP, WHEELCHAIR ACCESSIBLE VEHICLES ON A DAILY BASIS TO RIDERS RANGING FROM AGE 6 TO 98. LIFESTREAM PROVIDED OVER 115,000 TRIPS DURING THE 2010 TAX YEAR. 111913 0 INFORMATION AND REFERRAL: LIFESTREAM IS THE 2-1-1 INFORMATION AND REFERRAL PROVIDER FOR EAST CENTRAL INDIANA. LIFESTREAM AVERAGES OVER 1,600 CALLS ON A MONTHLY BASIS. SERVICES INCLUDE MANAGING A DATABASE PROVIDING PHONE ACCESS INFORMATION, PROVIDING COUNSELLING FOR LONG TERM CARE, AND OTHER SUPPORT SERVICES TYPICAL OF A HUMAN SERVICE INTEREST AGENCY. LIFESTREAM RECENTLY ACHIEVED ACCREDITATION THROUGH THE ALLIANCE OF INFORMATION AND REFERRAL SYSTEMS (A NATIONAL ACCREDITATION). WITH THIS ACCREDITATION, ONE BEST-PRACTICE MODEL WAS IDENTIFIED. 336158 260724 THE ORGANIZATION PROVIDES OTHER CLIENT SERVICES SUCH AS CAREGIVER, PREADMISSIONS SCREENING, SENIOR WORKS, HOUSING, AND ADULT GUARDIANSHIP. 448071 260724 6502354 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 28 0 1 157 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 X BETTIE CALDWELL CPA 7657591121 1701 PILGRIM BLVD YORKTOWN IN 47396 KIRK W SHAFER 1.00 X 0 0 0 J ANDREW DALE 3.00 X X 0 0 0 LEISA JULIAN 2.00 X X 0 0 0 MARCIA FREEMAN 2.00 X 0 0 0 DOUGLAS L INMAN 1.00 X 0 0 0 JOHN LONGNAKER III 1.00 X 0 0 0 KENNETH ADKINS 40.00 X 130000 0 8077 JEFF CLOYD 40.00 X 81142 0 2780 BETTIE CALDWELL 40.00 X 0 0 0 211142 0 10857 1 0 0 0 INDIVIDUAL SUPPORT SERVICES SKILLED CARE 7665 NORTH RAIDER ROAD MIDDLETOWN IN 47356 HEALTH CARE SERVICES 304625 HELP AT HOME INC 1 NORTH STATE STREET CHICAGO IL 60602 HEALTH CARE SERVICES 275331 FAITHFUL FRIENDS HOME HEALTHCARE INC 326 EAST MAIN STREET GAS CITY IN 46933 HEALTH CARE SERVICES 115215 3 66323 23433 6465583 107522 6662861 CARE MGMT/IN-HOUSE SVC 624100 622624 622624 NUTRITION 624100 325572 325572 HOUSING 624100 189805 189805 TRANSPORTATION 480000 179489 179489 GUARDIANSHIP 624100 14800 14800 56119 56119 1388409 2049 2049 48263 23433 2312 45951 45951 8099270 1388409 0 48000 187223 187223 2749169 2223941 393830 131398 522905 441584 75427 5894 253580 203627 42973 6980 3678 445 3233 47260 47260 1718017 1628839 63262 25916 34693 16703 15562 2428 233961 112056 118333 3572 73230 57630 15518 82 248909 107084 141525 300 103745 100117 3301 327 3090 2895 100 95 24515 24515 147186 131030 16156 109328 80165 29163 MEALS 947989 947433 523 33 SMALL EQUIPMENT 215800 215034 580 186 VEHICLE EXPENSE 200618 196983 3635 MISCELLANEOUS 24865 4017 9769 11079 DUES AND SUBSCRIPTIONS 24808 3039 21638 131 60626 29732 29718 1176 7935195 6502354 1243244 189597 400 400 30449 214668 1631349 2096544 236212 255330 4917 6000 28598 119867 1079205 306284 654088 772921 7040 7040 2593053 3472770 1819630 1835615 86784 76694 61974 771721 1968388 2684030 X 6931 83195 617734 705545 624665 788740 2593053 3472770 164075 0 X 0 1 1 X 1 1 X 6505199 6780859 7280762 7525144 6662861 34754825 6505199 6780859 7280762 7525144 6662861 34754825 34754825 10472 5155 2487 2101 2049 22264 18722 45951 64673 34841762 7586199 0.99750 0.99050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1079205 306284 772921 0 772921 GOLF OUTING 44388 16759 27629 1500 AGING WELL 20634 20634 154 2 6674 6674 658 71696 23433 48263 658 1500 154 2312 45951 ANDREW DALE BOARD MEMBER 5749 ANDREW DALE, A BOARD MEMBER, LEASES TWO STORAGE SPACES IN THE TRANSPORTATION GARAGE. 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD RECEIVES A COPY OF THE FORM 990 FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD REVIEWS THE CONFLICT OF INTEREST DISCLOSURES ANNUALLY, NOTING POTENTIAL CONFLICTS OF INTEREST OF WHICH AFFECTED BOARD MEMBERS ARE REQUIRED TO ABSTAIN FROM BOARD ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS EXECUTIVE DIRECTOR'S SALARY LEVEL. THE CEO REVIEWS AND APPROVES KEY EMPLOYEE PAY LEVELS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS ARE ALSO AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE. YORKTOWN PROPERTIES INC 1701 PILGRIM BLVD YORKTOWN IN 47396 352012760 REAL PROPERTY HOLDING COMPANY IN 501(C)(2) N/A N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 YORKTOWN PROPERTIES INC J 108900 CASH PAYMENTS