2011-11-09T12:23:43-06:00 2011-06-30 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2010-07-01 351097350 LIFESPRING INC LIFE 8122802080 460 SPRING STREET JEFFERSONVILLE IN 47130 CHERYL STUPPY 8122061484 2011-11-07 1 KEISHA CORSO CPA 3176334705 2010 2016-03-07 17:11:31Z CHERYL STUPPY 460 SPRING STREET JEFFERSONVILLE IN 47130 14190410 0 X WWW.LIFESPR.COM X 1964 IN PROVIDE COMPREHENSIVE BEHAVIORAL HEALTH, ADDICTION & RELATED SERVICES TO IMPROVE & SUSTAIN THE QUALITY OF LIFE IN OUR COMMUNITIES. 12 12 383 15 0 0 4194087 6425160 12529691 5990144 8618 112029 1631570 1660347 18363966 14187680 0 0 0 0 13763710 11047804 0 0 0 4373341 3575425 18137051 14623229 226915 -435549 15376255 14854562 5774706 5688562 9601549 9166000 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 10568705 7116277 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 2011, LIFESPRING PROVIDED 318,394 BEHAVIOR HEALTH SERVICES TO 6,501 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 2011, WE PROVIDED $1,448,302 IN UNCOMPENSATED CARE TO CLIENTS WHICH REPRESENTED 10.2% 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. 10568705 1 1 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 1 0 0 0 0 1 1 0 0 0 1 29 0 383 1 0 0 0 0 0 1 1 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 CHERYL STUPPY CFO 8122061484 460 SPRING STREET JEFFERSONVILLE IN 47130 CARY DYSON 2.00 X X 0 0 0 DIANE HARRISON-WEST 2.00 X X 0 0 0 PAM CLOVER 2.00 X X 0 0 0 DAVID FOWLER 2.00 X X 0 0 0 KATHERINE DANNER 2.00 X X 0 0 0 SAM ECKART 2.00 X 0 0 0 SHANE GIBSON 2.00 X 0 0 0 CHAD LEWIS 2.00 X 0 0 0 LARRY MEDLOCK 2.00 X 0 0 0 LISA TETRICK 2.00 X 0 0 0 JACK VISSING 2.00 X 0 0 0 JAN VETRHUS 2.00 X 0 0 0 JUDY STEEDLEY 2.00 X 0 0 0 TERRY STAWAR 40.00 X 192162 0 22807 CHERYL STUPPY 40.00 X 108934 0 4072 KAREN JONES 40.00 X 79811 0 3004 JANA KIXMILLER 40.00 X 98020 0 6575 ASAD ISMAIL 32.00 X 231795 0 15780 TEODORO BORDADOR 40.00 X 205281 0 14007 DANIEL HOWERTON 40.00 X 189754 0 13253 MARY LEE BOULDIN 40.00 X 151957 0 5365 SANDRA ELAM 40.00 X 144427 0 5085 ERIC JAGGERS 40.00 X 142819 0 11797 1544960 0 101745 9 0 1 0 0 6414787 10373 6425160 PATIENT SERVICE REVENU 900099 5990144 5990144 5990144 8109 8109 106650 2730 103920 103920 103920 OTHER OPERATING REVENU 900099 1126133 1126133 MISC REVENUE 900099 534214 534214 1660347 14187680 7116277 0 646243 709305 709305 9036678 7442535 1594143 77460 107903 -30443 570347 426276 144071 654014 491881 162133 48468 48468 492459 401755 90704 30593 1857 28736 455699 245990 209709 165180 90934 74246 682229 262555 419674 174253 151548 22705 30333 8743 21590 164601 104223 60378 500071 137885 362186 410406 282683 127723 BAD DEBTS 169169 169169 DUES AND LICENSES 36870 9498 27372 GRANT EXPENDITURES 11545 11043 502 203549 222227 -18678 14623229 10568705 4054524 0 1790 1610 4137888 3556572 1027001 976680 1428078 1321183 167083 512628 12683440 4375913 8459263 8307527 155152 178362 15376255 14854562 1709541 1542656 3910013 3613757 155152 532149 5774706 5688562 X 9601549 9166000 9601549 9166000 15376255 14854562 -435549 0 X X 0 1 1 X 1 1 X 5410673 4908830 4309910 4194087 6425160 25248660 5410673 4908830 4309910 4194087 6425160 25248660 25248660 130706 82032 52422 16563 8109 289832 1615160 1645307 1721867 1631570 1764267 8378171 33916663 59238020 0.74440 0.73830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 859835 859835 8669050 2281474 6387576 3004479 2094439 910040 150076 150076 8307527 DUE TO RESIDENTIAL PATIENTS 178362 ESTIMATED THIRD PARTY SETTLEMENTS 353787 532149 14187680 14623229 -435549 0 -435549 14187680 0 14187680 0 14187680 14623229 0 14623229 0 14623229 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 AND , 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 191974 0 188 0 0 0 5759 0 17048 0 214969 0 0 0 ASAD ISMAIL 231545 0 250 0 0 0 6946 0 8834 0 247575 0 0 0 TEODORO BORDADOR 197744 0 0 0 7537 0 5925 0 8082 0 219288 0 0 0 DANIEL HOWERTON 189379 0 375 0 0 0 5681 0 7572 0 203007 0 0 0 MARY LEE BOULDIN 151707 0 250 0 0 0 4551 0 814 0 157322 0 0 0 ERIC JAGGERS 141515 0 63 0 1241 0 4245 0 7552 0 154616 0 0 0 X 1 35233 FMV 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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. OVERSIGHT OF THE AUDIT PART XI, LINE 2C THE BOARD OF DIRECTORS 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 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0