2024-04-22T09:08:55-05:00 2023-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2022-07-01 351097350 LIFESPRING INC LIFE 8122802080 460 SPRING STREET JEFFERSONVILLE IN 47130 NICK CLARK CFO 8122802080 2024-04-22 1 NICK CLARK 999009999 1 TYLER K GREENE CPA P00057872 3176334705 2024-04-22 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LIFESPRING HEALTH SYSTEM NICK CLARK 460 SPRING STREET JEFFERSONVILLE IN 47130 44849021 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. 12 12 699 14 0 0 21790188 14169787 27648841 29496027 205296 195829 215609 169235 49859934 44030878 3698 10779 0 0 33077807 35760957 0 0 0 7156396 7840398 40237901 43612134 9622033 418744 38059210 39819666 5447174 6579616 32612036 33240050 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 35178458 10779 29659560 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, WASHINGTON, SPENCER, PERRY, ORANGE, DUBOIS, AND CRAWFORD COUNTIES IN SOUTHERN INDIANA. DURING THE FISCAL YEAR 2023, LIFESPRING PROVIDED 317,972 BEHAVIOR HEALTH SERVICES TO 11,522 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 2023, WE PROVIDED $2,811,179 IN UNCOMPENSATED CARE TO CLIENTS WHICH REPRESENTED 5.7% IN UNCOMPENSATED CARE TO OPERATING REVENUE. 35178458 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 32 0 1 699 1 0 0 0 0 0 0 0 0 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 JULIE MOHAMED 8122802080 460 SPRING STREET JEFFERSONVILLE IN 47130 JACKIE YOUNG SECRETARY 2.00 0.00 X X 0 0 0 ALAN SMOCK TREASURER 2.00 0.00 X X 0 0 0 DENISE EDEN BOARD MEMBER 2.00 0.00 X 0 0 0 EMILY STUMLER BOARD MEMBER 2.00 0.00 X 0 0 0 WENDY BROUGHTON BOARD MEMBER 2.00 0.00 X 0 0 0 RAY OPPEL BOARD MEMBER 2.00 0.00 X 0 0 0 DARNEL L JACKSON BOARD MEMBER 2.00 0.00 X 0 0 0 ROSSINA SANDOVAL MONSIVAIS BOARD MEMBER 2.00 0.00 X 0 0 0 PAUL KIGER BOARD MEMBER 2.00 0.00 X 0 0 0 MELISSA R CAMPBELL BOARD MEMBER 2.00 0.00 X 0 0 0 KENNY KAVANAUGH BOARD MEMBER 2.00 0.00 X 0 0 0 TARA LUCAS BOARD MEMBER 2.00 0.00 X 0 0 0 RANDY DENNISON CHAIR PARTIAL TERM 2.00 0.00 X X 0 0 0 NICK CLARK CFO 40.00 0.00 X 168981 0 13839 BETH KEENEY CEO 40.00 0.00 X 230601 0 18523 MISTY GILBERT COO 40.00 0.00 X 162620 0 13122 CINDY P NICHOLS CNO 40.00 0.00 X 112578 0 9177 CHRISTIAN RICE CIO 40.00 0.00 X 126896 0 10264 ERIC YAZEL CMO 40.00 0.00 X 250822 0 20178 ERIC JAGGERS CMO 40.00 0.00 X 305750 0 24805 JOSEPH HIGGINS VICE PRESIDENT 40.00 0.00 X 104658 0 8867 STACY M NOLAN VICE PRESIDENT 40.00 0.00 X 100720 0 8236 MARSHALL LOWERY VICE PRESIDENT 40.00 0.00 X 101273 0 9052 MEARA GRANNAN VICE PRESIDENT - CLINICAL 40.00 0.00 X 114157 0 9627 CHRIS GRIDER VICE PRESIDENT - AR 40.00 0.00 X 0 0 0 WANDA BOOKER VICE PRESIDENT - NURSING 40.00 0.00 X 0 0 0 THERESA K JONES VICE PRESIDENT - HR 40.00 0.00 X 136343 0 11228 TEODORO BORDADOR PHYSICIAN 40.00 0.00 X 291313 0 23477 MARY BOULDIN PHYSICIAN 40.00 0.00 X 252817 0 21823 DEBORAH KERCHEVAL PHYSICIAN 40.00 0.00 X 173599 0 15486 DOST TUCKER PHYSICIAN 40.00 0.00 X 211080 0 17380 DANIEL TUCKER PHYSICIAN 40.00 0.00 X 195024 0 16481 3039232 0 251565 17 0 1 0 0 14165382 4405 14169787 NET PATIENT SERVICE RE 621399 22956309 22956309 340B REVENUE 621399 4145578 4145578 MEDICAID ADMIN RECOVER 621399 1728983 1728983 OFF SITE SERVICES 621399 423082 423082 PATIENT SERVICES 621399 105937 105937 136138 136138 29496027 197049 197049 104004 0 104004 104004 104004 816923 818143 -1220 -1220 -1220 OTHER OPERATING REVENU 900099 59529 59529 MEDICAL RECORDS REVENU 900099 5702 5702 65231 44030878 29659560 0 201531 10779 10779 2435063 1933482 501581 25951579 20606004 5345575 1738614 1561912 176702 3648322 2572621 1075701 1987379 1752820 234559 132243 132243 20730 20730 811633 811633 157128 130195 26933 1075524 735061 340463 772807 640342 132465 1504085 1448529 55556 431325 409563 21762 179751 149107 30644 18095 14993 3102 1065586 882937 182649 719356 596053 123303 MEDICATION & OTC MED. S 399922 399922 FEDERAL AWARD EXPENDITU 331120 331120 DUES AND LICENSES 125336 103853 21483 MISCELLANEOUS EXPENSES 63015 60687 2328 32742 26845 5897 43612134 35178458 8433676 0 102360 102386 15040608 15299809 2656070 2224625 728695 852307 572139 528371 28394603 11997876 14716557 16396727 2831018 3060528 1411763 1354913 38059210 39819666 4202114 5501960 704756 485073 540304 592583 5447174 6579616 X 32612036 33240050 32612036 33240050 38059210 39819666 418744 209270 0 X X 0 1 X 1 1 1 X 10177852 10881617 12302514 21790188 14169787 69321958 10177852 10881617 12302514 21790188 14169787 69321958 69321958 130834 135843 160673 202440 301053 930843 151067 94392 69173 119214 65231 499077 70751878 126028297 0.97980 0.98040 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 151,067. 2019 AMOUNT: $ 94,392. 2020 AMOUNT: $ 69,173. 2021 AMOUNT: $ 119,214. 2022 AMOUNT: $ 65,231. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1163 1163 0 SCHEDULE C, PART II-B, LINE 1I: LIFESPRING, INC. PAYS ANNUAL DUES TO INDIANA COUNCIL OF COMMUNITY MENTAL HEALTH CENTERS, INC. 4.5% OF THEIR COUNCIL PORTION MEMBERSHIP DUES ARE ALLOCATED FOR LEGISLATION. 1293853 1293853 17292329 6405615 10886714 115073 47837 67236 6317117 4562035 1755082 3376231 982389 2393842 16396727 ESTIMATED THIRD PARTY SETTLEMENTS 436958 DUE TO RESIDENTIAL PATIENTS 155625 592583 X 44219418 209270 209270 44010148 20730 20730 44030878 43591404 0 43591404 20730 20730 43612134 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, 2023 AND 2022, 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 0 0 0 0 0 0 0 0 0 ERIC JAGGERS CMO 305750 0 0 0 0 0 24460 0 345 0 330555 0 0 0 TEODORO BORDADOR PHYSICIAN 291313 0 0 0 0 0 23305 0 172 0 314790 0 0 0 MARY BOULDIN PHYSICIAN 252817 0 0 0 0 0 20225 0 1598 0 274640 0 0 0 ERIC YAZEL CMO 250822 0 0 0 0 0 20066 0 112 0 271000 0 0 0 BETH KEENEY CEO 230601 0 0 0 0 0 18448 0 75 0 249124 0 0 0 DOST TUCKER PHYSICIAN 211080 0 0 0 0 0 16886 0 494 0 228460 0 0 0 DANIEL TUCKER PHYSICIAN 195024 0 0 0 0 0 15602 0 879 0 211505 0 0 0 DEBORAH KERCHEVAL PHYSICIAN 173599 0 0 0 0 0 13888 0 1598 0 189085 0 0 0 NICK CLARK CFO 168981 0 0 0 0 0 13518 0 321 0 182820 0 0 0 MISTY GILBERT COO 162620 0 0 0 0 0 13010 0 112 0 175742 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