2022-05-16T16:38:24-05:00 2021-06-30 590548468 PURVIS GRAY & COMPANY LLP 2347 SE 17TH STREET OCALA FL 34471 990 2020-07-01 591561501 LIFESTREAM BEHAVIORAL CENTER INC LIFE 3523157500 PO BOX 491000 LEESBURG FL 34749 JONATHAN CHERRY PRESIDENT & CEO 3523157500 2022-05-16 true JONATHAN CHERRY 999009999 TIMOTHY M WESTGATE CPA P00631621 3527323872 2022-05-16 2020 2022-09-23 18:48:47Z JONATHAN CHERRY PO BOX 491000 LEESBURG FL 34749 62634977 false X WWW.LSBC.NET X 1971 FL SUPPORTING RECOVERY, PROMOTING HEALTH, AND CREATING HOPE 10 9 1200 2 0 43076270 45405367 15256317 16478413 153920 185499 527778 544546 59014285 62613825 27614 0 0 36798331 38783792 0 958887 18156834 16937022 54982779 55720814 4031506 6893011 51023221 60011568 19068345 20302730 31954876 39708838 X SUPPORTING RECOVERY, PROMOTING HEALTH, AND CREATING HOPE false false 47985453 13974981 (1) THE FLORIDA STATE LEGISLATURE RECOGNIZED LIFESTREAM'S COMMITMENT TO EXCELLENCE BY AWARDING RECURRING FUNDING TO THE AGENCY'S INNOVATIVE 16 BED RESIDENTIAL PROGRAM "ROAD TO HOME", WHICH HELPS INDIVIDUALS TRANSITION FROM COSTLY STATE LONG TERM PSYCHIATRIC HOSPITALS TO THEIR LOCAL COMMUNITY. (2)LIFESTREAM ESTABLISHED THE FIRST OF ITS KIND MEDICATION ASSISTED TREATMENT FOR CONSUMERS STRUGGLING WITH DRUG AND ALCOHOL ADDICTIONS. THE FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES AND THE FLORIDA ALCOHOL AND DRUG ABUSE ASSOCIATION SELECTED LIFESTREAM TO PROVIDE MEDICATION ASSISTED THERAPY TO PERSONS WITH SUBSTANCE ABUSE DISORDERS WHO ARE ALSO INVOLVED WITH THE CRIMINAL JUSTICE SYSTEM. (3) WHEN THE JUVENILE TREATMENT ALTERNATIVES FOR SAFER COMMUNITIES (TASC) PROGRAM FOR THE FIVE COUNTIES IN JUDICIAL CIRCUIT 5 WAS ABOUT TO CLOSE, LUTHERAN SERVICES OF FLORIDA TURNED TO LIFESTREAM TO KEEP THIS VITAL SERVICE GOING AND GROWING. (4) THE FEDERAL SUBSTANCE ABUSE AND MENTAL HEALTH SERVICE ADMINISTRATION ACKNOWLEDGED LIFESTREAM AS A NATIONAL LEADER IN INTEGRATED PRIMARY/BEHAVIORAL HEALTH CARE BY AWARDING IT A SECOND GRANT TO OPEN AN INTEGRATED BEHAVIORAL HEALTH/PRIMARY CARE CLINIC IN CLERMONT, FL. THE CLINIC WAS AWARDED STATE FUNDING AS WELL TO REDUCE HOSPITAL AND EMERGENCY ROOM ADMISSION RATES BY PROVIDING PRIMARY CARE AND CARE COORDINATION SERVICES TO INDIVIDUALS WITH SEVERE AND CHRONIC MENTAL ILLNESS. (5) LIFESTREAM OPENED A VITAL FIFTEEN BED RESIDENTIAL PROGRAM AT ANTHONY HOUSE TO CARE FOR PREGNANT AND POST-PARTUM WOMEN WITH SUBSTANCE USE DISORDERS AND THEIR CHILDREN. (6) LIFESTREAM PARTNERS WITH THE EUSTIS COMMUNITY FOUNDATION TO ESTABLISH THE OPEN DOOR, A DAY SHELTER FOR HOMELESS PERSONS LIVING IN THE EUSTIS AREA. THE PROGRAM SERVES AN AVERAGE OF 25 HOMELESS INDIVIDUALS AND FAMILY MEMBERS DAILY. (7) THE LIFESTREAM LAKE ACADEMIES CONTINUE THEIR LONG PARTNERSHIP WITH THE LAKE COUNTY SCHOOL BOARD TO SERVE YOUNGSTERS WITH SERIOUS EMOTIONAL AND BEHAVIORAL DISORDERS. THE ACADEMIES INVOLVE KIDS' FAMILIES AS WELL THROUGH THE STRONG UNITED RESILIENT FAMILIES (SURF) PROGRAM, AN EDUCATIONAL AND SKILLS BASED PARENTING PROGRAM RECOGNIZED NATIONALLY AS BOTH A BEST AND EVIDENCE BASED PRACTICE. (8)THE NATIONAL COUNCIL ON BEHAVIORAL HEALTH SELECTED LIFESTREAM TO LEAD THE WAY AS A LEARNING COMMUNITY IN THE CESSATION OF TOBACCO USE BY CONSUMERS AND STAFF. BY THE END OF THE YEAR, ALL LIFESTREAM CAMPUSES AND FACILITIES HAD BEEN DESIGNATED TOBACCO FREE. (9) LIFESTREAM WAS SELECTED BY ITS MANAGING ENTITY TO LEAD ITS ZERO SUICIDE INITIATIVE TO ELIMINATE TEEN SUICIDES THROUGH EDUCATION, IMPROVED SCREENING, EARLY INTERVENTION AND CARE COORDINATION. (10) LIFESTREAM'S ONGOING EFFORTS TO IMPROVE ITS CONSUMERS' EXPERIENCE AND HEALTH OUTCOMES WHILE SIMULTANEOUSLY LOWERING COSTS LED TO THE CREATION OF PROGRESS HEALTH SYSTEMS, INC., A NONPROFIT HEALTH SYSTEM DESIGNED TO HELP AFFILIATES INCREASE REVENUES AND REDUCE COSTS IN ORDER TO BETTER SERVE INDIVIDUALS WITH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS IN LAKE, SUMTER, MARION, CITRUS, ORANGE, OSCEOLA, AND HERNANDO COUNTIES IN CENTRAL FLORIDA. 2528237 2503432 LIFESTREAM PROVIDES SERVICES TO THE YOUTH IN OUR COMMUNITY VIA ITS COMPREHENSIVE ARRAY OF CHILDREN'S SERVICES INCLUDING INTERVENTION, OUTPATIENT AND ON-SITE TREATMENT. EACH PROGRAM IS DESIGNED TO MEET THE RIGOROUS STANDARDS OF LIFESTREAM'S FUNDING SOURCES WHICH ALSO INCLUDES INCORPORATING EBP OR EVIDENCED-BASED-PRACTICES AS DOCUMENTED IN LIFESTREAM'S FULLY INTEGRATED EHR OR ELECTRONIC HEALTH RECORD SYSTEMS. FOR FY 2021, 7,554 CHILDREN WERE SEEN FOR ALMOST 108,945 VISITS. 50513690 true true false false false false false false false false true false false false true false false true false false false false false false false false true true false false true true false false false false false false false false false true true false false false false true false false false true 266 0 true 1200 true false false false false false false false false false false false false false false X 10 9 false false false false false false false true true false false true true true true true true true true false FL X CAROL DOZIER CPA 3523157500 1616 S 14TH STREET LEESBURG FL 34748 JONATHAN CHERRY PRESIDENT & 40.00 0.85 X X 314319 0 16391 ABID DARR PSYCHIATRIST 40.00 X 312168 0 18348 THOMAS VALENTE MEDICAL DIRE 40.00 X 244403 0 15071 MIGUEL CORREA PSYCHIATRIST 40.00 X 243167 0 14699 EDGAR WALKER PSYCHIATRIST 40.00 X 214844 0 14147 RICHARD WALLACE PSYCHIATRIST 40.00 X 207417 0 10378 CAROL DOZIER CHIEF FINANC 40.00 X 133615 0 5823 DR HEATHER BIGARD SECRETARY-IN 0.50 X X 0 0 0 BRUCE DUNCAN DIRECTOR 0.50 X 0 0 0 BELITA GRASSEL DIRECTOR-RET 0.50 0.65 X 0 0 0 CLAIRE HEDGCOCK DIRECTOR - R 0.50 0.65 X 0 0 0 JENNIFER HILL SECRETARY-RE 0.50 0.20 X X 0 0 0 STEVEN JENKINS DIRECTOR 0.50 X 0 0 0 PAUL M JOHNS VICE CHAIR - 0.50 X X 0 0 0 DOUG CHILDERS JR DIRECTOR 0.50 X 0 0 0 DR CHARLES MOJOCK VICE CHAIR-R 0.50 0.10 X X 0 0 0 TIMOTHY MORRIS CHAIRMAN 0.50 0.20 X X 0 0 0 FRANK PELOT DIRECTOR 0.50 0.85 X 0 0 0 BRUCE SAYLOR DIRECTOR 0.50 X 0 0 0 JON SIMPSON DIRECTOR - R 0.50 X 0 0 0 MICHAEL SLEAFORD TREASURER 0.50 0.20 X X 0 0 0 1669933 94857 18 false true false JAYKAY STAFFING PO BOX 823473 PHILADELPHIA PA 19182 TEMP AGENCY SVC 536097 STAFF AMERICA PO BOX 645005 CINCINNATI OH 452645005 TEMP AGENCY SVC 486001 GENOA HEALTHCARE PO BOX 77030 MINNEAPOLIS MN 554857730 PHARMACY SVC 419353 NETSMART TECHNOLOGIES PO BOX 823519 PHILADELPHIA PA 191823519 IT SERVICES 300346 MCKESSON DRUG PO BOX 409521 ATLANTA GA 30384 PHARMACY SVC 253662 8 12000 63801 41905496 3424070 3412374 45405367 NET PATIENT REVENUE 623990 15524456 15524456 OTHER OPERATING REVENUE 623990 953957 953957 16478413 188759 188759 544546 544546 544546 544546 17892 21152 -3260 -3260 -3260 62613825 16478413 730045 470151 329105 117538 23508 32170206 29040045 2499625 630536 988124 524822 451909 11393 2799213 2526849 217499 54865 2356098 2126849 183069 46180 76221 53355 19055 3811 38114 26679 9529 1906 1069257 962331 85541 21385 32326 22628 8082 1616 225015 202514 18001 4500 1290437 1161393 103235 25809 849905 764915 67992 16998 18358 16522 1469 367 353775 318397 28302 7076 1455853 1310268 116468 29117 2161569 1945412 172926 43231 MEDICAL AND PHARMACY 4949092 4949092 FOOD SERVICES 1099185 1099185 CONTRACT LABOR 1076455 1076455 REPAIRS AND MAINTENANCE 549036 494132 43923 10981 1692424 1562742 104074 25608 55720814 50513690 4248237 958887 11703153 22135322 4228486 481678 2628586 2818755 3050070 2986443 776170 565317 1221105 1131887 46701201 20712129 24097666 25989072 2032970 2656982 495484 484289 172195 156170 617336 605653 51023221 60011568 6667730 9081927 9450596 8905524 885290 795404 2064729 1519875 19068345 20302730 X 31954876 39708838 31954876 39708838 51023221 60011568 X 6893011 275823 464005 121123 X false true X true true true X 32587480 34661453 39434624 43076270 45405367 195165194 32587480 34661453 39434624 43076270 45405367 195165194 195165194 725626 603029 693326 683104 733305 3438390 198603584 78513996 0.98270 0.98090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1152500 1152500 32002074 10810566 21191508 3233401 1835094 1398307 10313226 8066469 2246757 25989072 BOA 10M INTEREST RATE SWAP 753156 BOA 7M INTEREST RATE SWAP 400116 RESTRICTED CLIENT TRUST FUNDS 298048 BB&T INTEREST RATE SWAP 68555 1519875 true true true X true X true true false true true 2430267 1619428 810839 0.01460 2430267 1619428 810839 0.01460 36738971 36738971 0.65930 36738971 36738971 0.65930 39169238 1619428 37549810 0.67390 false 773051 773051 1129195 3368900 -2239705 X false 1 1 LIFESTREAM BEHAVIORAL 2020 TALLY ROAD LEESBURG FL 34748 WWW.LSBC.NET 4075 X LSB LSB 1 false false true X X X X X X X X 19 true false false true X WWW.LSBC.NET true 19 false false false true X 150.000000000000 300.000000000000 true true X true X SEE STATEMENT-SCH H, PART V, SECTION C X SEE STATEMENT-SCH H, PART V, SECTION C X SEE STATEMENT-SCH H, PART V, SECTION C X X X X X X X true X true X X X X X true false false GROUP LSB, FACILITY 1, LIFESTREAM BEHAVIORAL - PART V, LINE 3E SEE DISCLOSURE FOR SCHEDULE H, PART V, LINE 5 BELOW GROUP LSB, FACILITY 1, LIFESTREAM BEHAVIORAL - PART V, LINE 5 LIFESTREAM CONDUCTED ITS NEEDS ASSESSMENT BY MEETING WITH COMMUNITY LEADERS, ATTENDING RELATED COMMUNITY FORUMS, SURVEYING COMMUNITY RESIDENTS AND PARTNERING WITH WELLCARE OF FLORIDA AND THE LAKE COUNTY AND SUMTER COUNTY DEPARTMENTS OF HEALTH AS THEY COMPLETED THEIR NEEDS ASSESSMENTS. THE NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC ON THE LIFESTREAM WEBSITE. GROUP LSB, FACILITY 1, LIFESTREAM BEHAVIORAL - PART V, LINE 16J SCHEDULE H, PART V, LINES 16A - 16J: FAP WEBSITE: HTTPS://WWW.LSBC.NET/CONSUMER-INFORMATION/FINANCIAL-SERVICES/ 34 BEACON POINT - BLGS 1 & 3 717 SW MARTIN LUTHER KING AVE OCALA FL 34471 OUTPATIENT FACT YAFR 1017 W DIXIE AVE LEESBURG FL 34748 OUTPATIENT HOPE SPRINGS APARTMENTS 1103 BENTLEY RD LEESBURG FL 34748 RESIDENTIAL HOPE HOUSE - GROVE II 11339 GROVE STREET LEESBURG FL 34788 RESIDENTIAL COMMUNITY SUPPORT BLD I & II 115 CITRUS AVE EUSTIS FL 32726 OUTPATIENT SUMTER OUTPATIENT CLINIC 119 N MARKET STREET BUSHNELL FL 33513 OUTPATIENT LAKE ACADEMY - E 1217 E HUFFSTETLER RD EUSTIS FL 32726 SCHOOL HOPE HOUSE - PUTNEY 12327 NORTH PUTNEY COURT LEESBURG FL 34788 RESIDENTAL ADULT PREV JAIL DIVERSION 1300 DUNCAN DR TAVARES FL 32778 OUTPATIENT CHILD CTR - CITRUS 2417 2419 N LECANTO HWY LECANTO FL 34461 OUTPATIENT HOPE HOUSE - PETERS DR 1318 PETERS DRIVE LEESBURG FL 34748 RESIDENTIAL KCI CM - WILDWOOD 1601 W GULF ATLANTIC HWY WILDWOOD FL 34785 OUTPATIENT OUR TURNING POINT RANCH 19812 E 5TH AVE UMATILLA FL 32784 RESIDENTIAL EUSTIS OUT PATIENT 201 MAGNOLIA AVE EUSTIS FL 32736 OUTPATIENT LAKE REGION HOUSE 2016 TALLY RD LEESBURG FL 34748 RESIDENTIAL HOPE & RECOVERY 2018 TALLY ROAD LEESBURG FL 34748 RESIDENTIAL LAKE ACADEMY - LEESBURG 2020 TALLY RD LEESBURG FL 34748 SCHOOL SOUTH LAKE OUTPATIENT CLINIC 2140 N DON WICKHAM DRIVE CLERMONT FL 34711 OUTPATIENT LEESBURG OUTPATIENT CLINIC WINN 215 N 3RD STREET LEESBURG FL 34748 OUTPATIENT CHILD TASC 225 NE 14TH ST OCALA FL 34470 OUTPATIENT HOPE HOUSE - GROVE ST 24 S GROVE STREET EUSTIS FL 32726 RESIDENTIAL HEALTH DEPARTMENT 249 E COLLINS ST UMATILLA FL 32784 OUTPATIENT HOPE HOUSE - ESTES 34603 ESTES ROAD EUSTIS FL 32736 RESIDENTIAL AIMS - LAKE BLD I & II 404 WEBSTER STREET LEESBURG FL 34748 DAY TREATMENT PHOENIX HOUSE -NORTH AND SOUTH 411 S AND 427 S US 301 SUMTERVILLE FL 33585 RESIDENTIAL HOPE HOUSE - BRIARCLIFF 420 BRIARCLIFF AVE EUSTIS FL 32726 RESIDENTIAL ANTHONY HOUSE 6215 HOLLY STREET BLD I II III ZELLWOOD FL 32798 RESIDENTIAL MAT OCOEE 1554 BOREN DRIVE OCOEE FL 34761 OUTPATIENT ADULT CTR - CITRUS 1554 N MEADOWCREST BLVD CRYSTAL RIVER FL 34429 OUTPATIENT CHILD CTR - HILLSBOROUGH 51 W FORT DADE AVE BROOKSVILLE FL 34601 OUTPATIENT ACCESS CENTER - CITRUS 6 REGINA BLVD BEVERLY HILLS FL 34461 OUTPATIENT SOUTH LAKE OUTPATIENT CLINIC - CSU 2160 N DON WICKHAM DRIVE CLERMONT FL 34711 OUTPATIENT KCI CM - TAVARES 1300 DUNCAN DR - BLDG B TAVARES FL 32778 OUTPATIENT CITRUS - BLDG 2 3264 S LECANTO HWY LECANTO FL 34461 RESIDENTIAL SCHEDULE H, PART VI, LINE 2 LIFESTREAM USES A VARIETY OF DATA SOURCES TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. MANY OF THESE REPORTS DRAW FROM INTERNAL SOURCES SUCH AS THE DAILY HOSPITAL CENSUS, OUTPATIENT CLINIC WAITING LISTS AND TIME FROM INITIAL CONTACT TO APPOINTMENT, PROGRAM WAITING LIST, CONSUMER SURVEYS AND POPULATION HEALTH DATA. THE AGENCY ALSO USES DATA FROM FEDERAL, STATE AND COUNTY AGENCIES RANGING FROM HHS AND ITS MANY ADMINISTRATIVE UNITS SUCH AS SAMHSA OR NIMH TO COUNTY DEPARTMENTS OF HEALTH, WHICH PRODUCE THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT. THESE VARIOUS NEEDS ASSESSMENTS FEED INTO THE AGENCY'S STRATEGIC PLANNING PROCESS AND ALSO INFORM ITS RESOURCE DEVELOPMENT AND ANNUAL PLANNING EFFORTS. TWO RECENT EXAMPLES WERE THE DECISIONS TO EXPAND THE AGENCY'S INTEGRATED PRIMARY CARE CLINIC TO A THIRD LOCATION IN SOUTH LAKE COUNTY AND THE MOVE TO BECOME A CENTRAL RECEIVING FACILITY, WHICH INCLUDES THE ADDITION OF 10 DUALLY LICENSED BAKER ACT/ADDICTIONS BEDS TO ITS 10 BED CRISIS STABILIZATION UNIT. SCHEDULE H, PART VI, LINE 3 AS PART OF THE COMPREHENSIVE INTAKE THAT IS COMPLETED FOR EACH PATIENT WHO IS ADMITTED TO LIFESTREAM'S HOSPITAL, AN ASSESSMENT IS MADE OF THE PATIENT'S NEED FOR ASSISTANCE. WHERE PRACTICAL, AGENCY STAFF REVIEW WITH CONSUMERS THE AGENCY'S FEE POLICIES AND SLIDING FEE SCALE, OPTIONS FOR FINANCIAL ASSISTANCE AND ELIGIBILITY REQUIREMENTS, AND LIFESTREAM'S BILLING AND COLLECTION PRACTICES. PATIENTS ARE CONTACTED AGAIN BEFORE OR UPON DISCHARGE BY THE HOSPITAL BUSINESS OFFICE WHO CONTINUE THE EDUCATION PROCESS, FURTHER REVIEWING WITH CONSUMERS OPPORTUNITIES FOR FINANCIAL ASSISTANCE AND PROVIDING CONSUMERS WITH INFORMATION ABOUT RESOURCES SUCH AS MEDICAID, MEDICARE OR SOAR. LIFESTREAM ALSO PARTICIPATES IN THE STATE OF FLORIDA ACCESS PROGRAM WHERE PATIENTS CAN USE PUBLIC COMPUTER TERMINALS TO REGISTER FOR A VARIETY OF BENEFIT PROGRAMS, SUCH AS MEDICAID. SCHEDULE H, PART VI, LINE 4 FOR NEARLY 45 YEARS, LIFESTREAM STAFF AND VOLUNTEERS HAVE MADE THE PROMISE OF RECOVERY FROM SERIOUS MENTAL ILLNESS AND CHRONIC ADDICTION A REALITY FOR THOUSANDS OF CHILDREN, WOMEN AND MEN, REGARDLESS OF ABILITY TO PAY. THIS PAST YEAR, THE AGENCY ENABLED NEARLY 12,000 LAKE AND SUMTER COUNTY RESIDENTS TO RECLAIM THEIR LIVES AND TAKE WHAT, FOR MANY, WAS THEIR FIRST STEP TOWARDS HOPE. FOR MANY OF THESE INDIVIDUALS, THE PATH TO RECOVERY WAS OPENED TO THEM BY THE NEARLY 2 MILLION IN FREE OR REDUCED- COST SERVICES THAT LIFESTREAM PROVIDED. IN FACT, OVER HALF OF ALL THE VITAL, LIFE TRANSFORMING PROGRAMS THAT LIFESTREAM OFFERED WOULD NOT HAVE BEEN POSSIBLE WITHOUT AN AGENCY SUBSIDY RANGING FROM A FEW TO SEVERAL HUNDRED THOUSAND DOLLARS. IT'S BECAUSE OF LIFESTREAM'S UNWAVERING COMMITMENT TO ITS MISSION AS A NONPROFIT ORGANIZATION THAT IT HAS HISTORICALLY EXCEEDED FLORIDA'S HEALTH CARE RESPONSIBILITY ACT AND AGENCY FOR HEALTH CARE ADMINISTRATION CHARITY CARE REQUIREMENTS. IT'S ALSO WHY LIFESTREAM'S 550 EMPLOYEES AND NUMEROUS VOLUNTEERS ARE INVOLVED IN EVERY MAJOR COMMUNITY ORGANIZATION WITH LAKE AND SUMTER COUNTY AS BOARD OFFICERS AND MEMBERS. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 FLORIDA SCHEDULE H, PART VI PART I, LINE 6A - RELATED ORGANIZATION ANNUAL COMMUNITY BENEFIT REPORT COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC ON LIFESTREAM'S WEBSITE. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION COST TO CHARGE RATIO PART III, LINE 4, BAD DEBT ACCOUNTS RECEIVABLE FROM PATIENTS ARE REDUCED BY CONTRACTUAL ALLOWANCES AND AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CENTER ANALYZES HISTORICAL TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES. FOR ACCOUNTS RECEIVABLE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CENTER ANALYZES THE COLLECTABILITY OF THE RELATED CONTRACTUALLY DUE AMOUNTS AS WELL AS ANALYZES THE COLLECTABILITY OF CO-PAYS AND DEDUCTIBLES DUE FROM THE SPECIFIC PATIENTS RECEIVING THOSE SERVICES. FOR ACCOUNTS RECEIVABLE ASSOCIATED WITH SELF-PAY PATIENTS, LIFESTREAM RECORDS SIGNIFICANT PROVISIONS FOR BAD DEBTS IN THE PERIOD IN WHICH THE SERVICE IS PERFORMED ON BOTH THE BASIS OF HISTORICAL TRENDS AS WELL AS SPECIFIC PATIENT RELATED COLLECTABILITY INFORMATION. MANAGEMENT REGULARLY REVIEWS DATA ABOUT ALL PAYER SOURCES OF REVENUES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION OF BAD DEBTS. PART III, LINE 8 - ALLOWABLE MEDICARE COSTING METHODOLOGY ANNUALLY, THE CENTER REVIEWS ITS GROSS CHARGE MASTER AND ANY RESULTING CHANGES ARE APPROVED BY ITS BOARD OF DIRECTORS. DIFFERENCES BETWEEN GROSS CHARGES AND CONTRACTUAL RATES, AS WELL AS THE DIFFERENCES BETWEEN GROSS CHARGES AND NEGOTIATED RATES, ARE WRITTEN OFF AT THE TIME OF SERVICE. DIFFERENCES BETWEEN CONTRACTUAL OR NEGOTIATED ACCOUNTS RECEIVABLE ALONG WITH CO-PAY, DEDUCTIBLE, AND SELF-PAY ACCOUNTS RECEIVABLE ARE FURTHER WRITTEN OFF AT THE TIME OF SERVICE TO THE ESTIMATED AMOUNTS COLLECTIBLE AS CHARGES AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FURTHER COLLECTABILITY-RELATED ADJUSTMENTS TO ACCOUNTS RECEIVABLE ARE ALSO CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR BAD DEBTS RESULTING AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN MADE. ANNUALLY THE CENTER ALSO UPDATES ITS SLIDING FEE SCALES IN COORDINATION WITH THE ANNUAL PUBLICATION OF THE FEDERAL POVERTY GUIDELINES AND THE REQUIREMENTS OF CHAPTER 65E-14 OF THE FLORIDA ADMINISTRATIVE CODE. THE RESULTING SLIDING FEE DISCOUNTS AND CO-PAYS FOR QUALIFYING PATIENTS ARE REDUCED AT THE TIME OF SERVICE. THE INCREASE IN CHARITY CARE REPRESENTS THE INCREASE IN SERVICES TO INDIVIDUALS WHO DO NOT HAVE A THIRD-PARTY PAYER SOURCE OR EMPLOYMENT. X false false false false false false false false false JONATHAN CHERRY PRESIDENT & CEO 314319 16391 330710 ABID DARR PSYCHIATRIST 312168 18348 330516 THOMAS VALENTE MEDICAL DIRECTOR 244403 15071 259474 MIGUEL CORREA PSYCHIATRIST 243167 14699 257866 EDGAR WALKER PSYCHIATRIST 214844 14147 228991 RICHARD WALLACE PSYCHIATRIST 207417 10378 217795 SCHEDULE J, PART III THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OF THE ORGANIZATION, PROVIDED THAT PERSONS WITH CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED. COMPENSATION IS REVIEWED USING DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SUITED ORGANIZATIONS. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT. A CITY OF LEESBURG FLORIDA 596000362 2018-09-27 10000000 (I)RETIREMENT OF OLD DEBT, (II) FINANCING A PORTION OF THE COSTS OFTHE CONSTRUCTION OF A NEW CRISIS false false false A 5260020 10000000 175381 true false true true A false false false false false false false A false false false false true false false false false A false PURPOSE OF ISSUE DESCRIPTION CITY OF LEESBURG, FLORIDA (I)RETIREMENT OF OLD DEBT, (II) FINANCING A PORTION OF THE COSTS OFTHE CONSTRUCTION OF A NEW CRISIS STABILIZATION UNIT, AND (III)PAYING CERTAIN FEES AND EXPENSES RELATING TO THE ISSUANCE AND SALE OF THE BOND. ADDITIONAL INFORMATION CITY OF LEESBURG, FLORIDA NAME OF ISSUE: HEALTHCARE FACILITIES REFUNDING AND REVENUE BONDS, SERIES 2018 (LIFESTREAM BEHAVIORAL HEALTH, INC. PROJECT) ERNIE MORRIS ENTERPRISES LLC BUSINESS 554044 PURCHASE SUPPLIES false SCHEDULE L, PART V A BOARD MEMBER IS AN OFFICER OF THE BUSINESS LISTED IN PART IV. THE ORGANIZATION PURCHASES OFFICE SUPPLIES AND FURNITURE AT ARMS LENGTH. X 30200 3412374 FMV false false false SCHEDULE M, PAGE 2, PART II LINE 25B - AMOUNT ON THIS LINE REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PAGE 2, PART III, LINE 4A (1) THE FLORIDA STATE LEGISLATURE RECOGNIZED LIFESTREAM'S COMMITMENT TO EXCELLENCE BY AWARDING RECURRING FUNDING TO THE AGENCY'S INNOVATIVE 16 BED RESIDENTIAL PROGRAM "ROAD TO HOME", WHICH HELPS INDIVIDUALS TRANSITION FROM COSTLY STATE LONG TERM PSYCHIATRIC HOSPITALS TO THEIR LOCAL COMMUNITY. (2)LIFESTREAM ESTABLISHED THE FIRST OF ITS KIND MEDICATION ASSISTED TREATMENT FOR CONSUMERS STRUGGLING WITH DRUG AND ALCOHOL ADDICTIONS. THE FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES AND THE FLORIDA ALCOHOL AND DRUG ABUSE ASSOCIATION SELECTED LIFESTREAM TO PROVIDE MEDICATION ASSISTED THERAPY TO PERSONS WITH SUBSTANCE ABUSE DISORDERS WHO ARE ALSO INVOLVED WITH THE CRIMINAL JUSTICE SYSTEM. (3) WHEN THE JUVENILE TREATMENT ALTERNATIVES FOR SAFER COMMUNITIES (TASC) PROGRAM FOR THE FIVE COUNTIES IN JUDICIAL CIRCUIT 5 WAS ABOUT TO CLOSE, LUTHERAN SERVICES OF FLORIDA TURNED TO LIFESTREAM TO KEEP THIS VITAL SERVICE GOING AND GROWING. (4) THE FEDERAL SUBSTANCE ABUSE AND MENTAL HEALTH SERVICE ADMINISTRATION ACKNOWLEDGED LIFESTREAM AS A NATIONAL LEADER IN INTEGRATED PRIMARY/BEHAVIORAL HEALTH CARE BY AWARDING IT A SECOND GRANT TO OPEN AN INTEGRATED BEHAVIORAL HEALTH/PRIMARY CARE CLINIC IN CLERMONT, FL. THE CLINIC WAS AWARDED STATE FUNDING AS WELL TO REDUCE HOSPITAL AND EMERGENCY ROOM ADMISSION RATES BY PROVIDING PRIMARY CARE AND CARE COORDINATION SERVICES TO INDIVIDUALS WITH SEVERE AND CHRONIC MENTAL ILLNESS. (5) LIFESTREAM OPENED A VITAL FIFTEEN BED RESIDENTIAL PROGRAM AT ANTHONY HOUSE TO CARE FOR PREGNANT AND POST-PARTUM WOMEN WITH SUBSTANCE USE DISORDERS AND THEIR CHILDREN. (6) LIFESTREAM PARTNERS WITH THE EUSTIS COMMUNITY FOUNDATION TO ESTABLISH THE OPEN DOOR, A DAY SHELTER FOR HOMELESS PERSONS LIVING IN THE EUSTIS AREA. THE PROGRAM SERVES AN AVERAGE OF 25 HOMELESS INDIVIDUALS AND FAMILY MEMBERS DAILY. (7) THE LIFESTREAM LAKE ACADEMIES CONTINUE THEIR LONG PARTNERSHIP WITH THE LAKE COUNTY SCHOOL BOARD TO SERVE YOUNGSTERS WITH SERIOUS EMOTIONAL AND BEHAVIORAL DISORDERS. THE ACADEMIES INVOLVE KIDS' FAMILIES AS WELL THROUGH THE STRONG UNITED RESILIENT FAMILIES (SURF) PROGRAM, AN EDUCATIONAL AND SKILLS BASED PARENTING PROGRAM RECOGNIZED NATIONALLY AS BOTH A BEST AND EVIDENCE BASED PRACTICE. (8)THE NATIONAL COUNCIL ON BEHAVIORAL HEALTH SELECTED LIFESTREAM TO LEAD THE WAY AS A LEARNING COMMUNITY IN THE CESSATION OF TOBACCO USE BY CONSUMERS AND STAFF. BY THE END OF THE YEAR, ALL LIFESTREAM CAMPUSES AND FACILITIES HAD BEEN DESIGNATED TOBACCO FREE. (9) LIFESTREAM WAS SELECTED BY ITS MANAGING ENTITY TO LEAD ITS ZERO SUICIDE INITIATIVE TO ELIMINATE TEEN SUICIDES THROUGH EDUCATION, IMPROVED SCREENING, EARLY INTERVENTION AND CARE COORDINATION. (10) LIFESTREAM'S ONGOING EFFORTS TO IMPROVE ITS CONSUMERS' EXPERIENCE AND HEALTH OUTCOMES WHILE SIMULTANEOUSLY LOWERING COSTS LED TO THE CREATION OF PROGRESS HEALTH SYSTEMS, INC., A NONPROFIT HEALTH SYSTEM DESIGNED TO HELP AFFILIATES INCREASE REVENUES AND REDUCE COSTS IN ORDER TO BETTER SERVE INDIVIDUALS WITH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS IN LAKE, SUMTER, MARION, CITRUS, ORANGE, OSCEOLA, AND HERNANDO COUNTIES IN CENTRAL FLORIDA. FORM 990, PAGE 6, PART VI, LINE 11B BOARD MEMBERS ARE PROVIDED A DRAFT COPY OF THE FORM 990 FOR REVIEW, CHANGES NOTED BY MEMBERS ARE MADE IF NECESSARY, AND THE FINAL FORM 990 IS THEN FILED UPON SIGNATURE OF AN AUTHORIZED OFFICER. FORM 990, PAGE 6, PART VI, LINE 12C EACH DIRECTOR, OFFICER AND MANAGEMENT STAFF MEMBER SHALL SIGN ANNUALLY A STATEMENT THAT AFFIRMS THE FOLLOWING: 1) THEY HAVE RECEIVED COPY OF CONFLICTS OF INTEREST POLICY 2)HAVE READ AND UNDERSTOOD 3) HAVE AGREED TO COMPLY WITH THE PROCEDURE 4) UNDERSTAND LIFESTREAM MUST ENGAGE ONLY IN ITS EXEMPT PURPOSE ACTIVITIES. IF THERE IS REASONABLE CAUSE TO BELIEVE THEY HAVE FAILED TO DISCLOSE, AN INVESTIGATION MAY BE WARRANTED. FORM 990, PAGE 6, PART VI, LINE 15A THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OF THE ORGANIZATION, PROVIDED THAT PERSONS WITH CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED. COMPENSATION IS REVIEWED USING DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SUITED ORGANIZATIONS. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT. FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OF THE ORGANIZATION, PROVIDED THAT PERSONS WITH CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED. COMPENSATION IS REVIEWED USING DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SUITED ORGANIZATIONS. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR A REASONABLE COPYING CHARGE. FORM 990, PART XI, LINE 9 CHANGE IN FAIR VALUE OF INTEREST 0 RATE SWAP LIABILITY 585,128 DONATED SERVICES AND USE OF FACILITIES -464,005 TOTAL 121,123 LIFESTREAM BEHAVIORAL CENTER FOUND PO BOX 491000 LEESBURG FL 34749 592976392 FUNDRAISIN FL 501C3 10 LIFESTREAM BEHAVIORAL CENTER INC false LAKE REGION HOMES INC PO BOX 491000 LEESBURG FL 34749 592411947 APTS FOR FL 501C3 12A LIFESTREAM BEHAVIORAL CENTER INC true ANTHONY HOUSE PO BOX 491000 LEESBURG FL 34749 592944839 HOMELESS S FL 501C3 10 LIFESTREAM BEHAVIORAL CENTER INC true true true true true false false false false false false false true false false false false true false false LAKE REGION HOMES INC A 12241 IMPUTED INTEREST ANTHONY HOUSE INC L AMOUNT NOT DETERMINED LAKE REGION HOMES INC L AMOUNT NOT DETERMINED LAKE REGION HOMES INC Q 21687 COST LIFESTREAM BEHAVIORAL CTR FOUNDATIO C 63801 COST LIFESTREAM BEHAVIORAL CTR FOUNDATIO L AMOUNT NOT DETERMINED