LIFESPRING INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LIFESPRING INC (EIN 35-1097350)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-10-25
IRS object ID
201232999349300203
Schema version
2011v1.2
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)
Timestamp2012-10-25T07:40:42-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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)
NameCHERYL STUPPYName
TitleCFO/EXECUTIVE VPTitle
Phone8122061484Phone
Date Signed2012-10-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMBER KOCHER CPAName
PTINP01286298PTIN
Phone3176334705Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHERYL STUPPYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1460 SPRING STREETAddressLine1
CityJEFFERSONVILLECity
StateINState
ZIP Code47130ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15011129GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIFESPR.COMWebSite
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 Employees439TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6425160ContributionsGrantsPriorYear
Contributions Grants Current Year6360290ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5990144ProgramServiceRevenuePriorYear
Program Service Revenue CY6812196ProgramServiceRevenueCY
Investment Income Prior Year112029InvestmentIncomePriorYear
Investment Income Current Year22935InvestmentIncomeCurrentYear
Other Revenue Prior Year1660347OtherRevenuePriorYear
Other Revenue Current Year1737895OtherRevenueCurrentYear
Total Revenue Prior Year14187680TotalRevenuePriorYear
Total Revenue Current Year14933316TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY800GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11047804SalariesEtcPriorYear
Salaries Etc Current Year11434699SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3575425OtherExpensePriorYear
Other Expenses Current Year3388049OtherExpensesCurrentYear
Total Expenses Prior Year14623229TotalExpensesPriorYear
Total Expenses Current Year14823548TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-435549RevenuesLessExpensesPriorYear
Revenues Less Expenses CY109768RevenuesLessExpensesCY
Total Assets BOY14854562TotalAssetsBOY
Total Assets EOY14704446TotalAssetsEOY
Total Liabilities BOY5688562TotalLiabilitiesBOY
Total Liabilities EOY5428678TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9166000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9275768NetAssetsOrFundBalancesEOY
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
Expense10546363Expense
Grants800Grants
Revenue7956755Revenue
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 2012, LIFESPRING PROVIDED 290,356 BEHAVIOR HEALTH SERVICES TO 6,458 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 2012, 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 Expense10546363TotalProgramServiceExpense
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 With109644NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees439NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
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 Line1CHERYL STUPPY CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8122061484TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CARY DYSON
BOARD CHAIR2.00XX000
DIANE HARRISON-WEST
BOARD CHAIR ELECT2.00XX000
PAM CLOVER
PAST BOARD CHAIR2.00XX000
DAVID FOWLER
BOARD TREASURER2.00XX000
KATHERINE DANNER
BOARD SECRETARY2.00XX000
SAM ECKART
MEMBER2.00X000
CHAD LEWIS
MEMBER2.00X000
LARRY MEDLOCK
MEMBER2.00X000
LISA TETRICK
MEMBER2.00X000
JACK VISSING
MEMBER2.00X000
JAN VETRHUS
MEMBER2.00X000
JUDY STEEDLEY
FOUNDATION EX-OFFICIO2.00X000
TERRY STAWAR
CEO/PRESIDENT40.00X191449023018
CHERYL STUPPY
CFO/EXECUTIVE VP40.00X11155204150
KAREN JONES
SENIOR VP HR40.00X7881103012
JANA KIXMILLER
SENIOR VP CLINICAL SERVICE40.00X7166506703
ASAD ISMAIL
VP MEDICAL SERVICES32.00X217789015750
GREGORY DUNCAN
VP PERFORMANCE IMPROVEMENT40.00X62832017667
MARTA MYSZAK
VP AREA SERVICES40.00X8336806160
WANDA BOOKER
VP NURSING SERVICES40.00X7262002743
BETH KEENEY
VP DEVELOPMENT & GRANTS40.00X4155101667
TEODORO BORDADOR
PHYSICIAN40.00192022014060X
MARY LEE BOULDIN
PHYSICIAN40.0015373805390X
MARGARET HUSK
PHYSICIAN40.0010624804342X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1383645TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation104662TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JEUTI B WYLDE MD PSC DBA JEFFERSONVILLBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 128AddressLine1
CityOTISCOCity
StateINState
ZIP Code47163ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesHOSPITAL CONSULTSDescriptionOfServices
Compensation285825Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants6360290GovernmentGrants
Total Contributions6360290TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code900099BusinessCode
Total Revenue Column6812196TotalRevenueColumn
Related Or Exempt Function Income6812196RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6812196TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6953TotalRevenueColumn
Exclusion$6,953ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other93795Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other77813Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other15982Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column15982TotalRevenueColumn
Exclusion$15,982ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
OTHER OPERATING REVENU90009911445591144559
MISC REVENUE900099593336$593,336
FieldValueIRS element (for citing)
Total Other Revenue1737895TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14933316TotalRevenueColumn
Related Or Exempt Function Income7956755RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$616,271ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total800Total
Program Services800ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1014853Total
Management And General1014853ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8858282Total
Program Services7497011ProgramServices
Management And General1361271ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total231258Total
Program Services179978ProgramServices
Management And General51280ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total656904Total
Program Services479730ProgramServices
Management And General177174ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total673402Total
Program Services507663ProgramServices
Management And General165739ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48211Total
Management And General48211ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total515356Total
Program Services432682ProgramServices
Management And General82674ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total28880Total
Program Services1239ProgramServices
Management And General27641ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total467609Total
Program Services270741ProgramServices
Management And General196868ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total99755Total
Program Services13689ProgramServices
Management And General86066ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total659206Total
Program Services276495ProgramServices
Management And General382711ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total201547Total
Program Services179620ProgramServices
Management And General21927ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30581Total
Program Services17441ProgramServices
Management And General13140ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total153826Total
Program Services103607ProgramServices
Management And General50219ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total513150Total
Program Services133533ProgramServices
Management And General379617ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total315981Total
Program Services194608ProgramServices
Management And General121373ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FEDERAL AWARD EXPENDITU186320186188132
RESIDENTIAL LIVING ALLO4541345413
DUES AND LICENSES40815777033045

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total81399Total
Program Services18155ProgramServices
Management And General63244ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14823548Total
Program Services10546363ProgramServices
Management And General4277185ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1610BOY
EOY1494EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3556572BOY
EOY3839549EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY976680BOY
EOY1171957EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1321183BOY
EOY865860EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY512628BOY
EOY215067EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13343059LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4862322LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8307527BOY
EOY8480737EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY178362BOY
EOY129782EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14854562BOY
EOY14704446EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1542656BOY
EOY1190621EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3613757BOY
EOY3926092EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY532149BOY
EOY311965EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5688562BOY
EOY5428678EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9166000BOY
EOY9275768EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9166000BOY
EOY9275768EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14854562BOY
EOY14704446EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses109768ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years4908830CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4309910CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4194087CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6425160CurrentTaxYearMinus1Year
Current Tax Year6360290CurrentTaxYear
Total26198277Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4908830CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4309910CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4194087CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6425160CurrentTaxYearMinus1Year
Current Tax Year6360290CurrentTaxYear
Total26198277Total
FieldValueIRS element (for citing)
Public Support Total17026198277PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82032CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years52422CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16563CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8109CurrentTaxYearMinus1Year
Current Tax Year6953CurrentTaxYear
Total166079Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1645307CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1721867CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1631570CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1764267CurrentTaxYearMinus1Year
Current Tax Year1737895CurrentTaxYear
Total8500906Total
FieldValueIRS element (for citing)
Total Support34865262TotalSupport
Gross Receipts From Admissions Etc53396260GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.75140PublicSupportPertcentage170
Public Support Pertcent Prior Year0.74440PublicSupportPertcentPriorYear
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
Depreciation2489582Depreciation
Book Value6757877BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3187395OtherCostOrOtherBasis
Depreciation2372740Depreciation
Book Value814655BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8480737TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD PARTY SETTLEMENTS$182,183
DUE TO RESIDENTIAL PAT$129,782
FieldValueIRS element (for citing)
Total Of Amounts311965TotalOfAmounts
Total Revenue14933316TotalRevenue
Total Expenses14823548TotalExpenses
Excess Or Deficit For Year109768ExcessOrDeficitForYear
Excess Or Deficit Per FS109768ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14933316TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal14933316RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014933316TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14823548TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal14823548ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014823548TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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, 2012 AND 2011, 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)

Base 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
1914490000058560171620214467000
ASAD ISMAIL
217789000006802089480233539000
TEODORO BORDADOR
192022000005965080950206082000
MARY LEE BOULDIN
1535500188000459807920159128000

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
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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