TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JONATHAN CHERRY...................................................................... PRESIDENT &	40.00 ................. 0.85	X	X	280,065	12,537
(2) TIMOTHY MORRIS...................................................................... CHAIRMAN	0.50 ................. 0.20	X	X	0	0
(3) DR CHARLES MOJOCK...................................................................... VICE CHAIR	0.50 ................. 0.20	X	X	0	0
(4) MICHAEL SLEAFORD...................................................................... TREASURER	0.50 ................. 0.20	X	X	0	0
(5) JENNIFER HILL...................................................................... SECRETARY	0.50 ................. 0.20	X	X	0	0
(6) AMY MEEK...................................................................... DIRECTOR	0.50 .................	X		0	0
(7) BELITA GRASSEL...................................................................... DIRECTOR	0.50 ................. 0.65	X		0	0
(8) BRUCE SAYLOR...................................................................... DIRECTOR	0.50 .................	X		0	0
(9) CLAIRE HEDGCOCK...................................................................... DIRECTOR	0.50 ................. 0.75	X		0	0
(10) DOUG CHILDERS JR...................................................................... DIRECTOR	0.50 .................	X		0	0
(11) FRANK PELOT...................................................................... DIRECTOR	0.50 ................. 0.65	X		0	0
(12) DR HEATHER BIGARD...................................................................... DIRECTOR	0.50 .................	X		0	0
(13) HERSHEL HENSLEY JR...................................................................... DIRECTOR	0.50 .................	X		0	0
(14) JON SIMPSON...................................................................... DIRECTOR	0.50 .................	X		0	0
(15) PAUL JOHNS...................................................................... DIRECTOR	0.50 .................	X		0	0
(16) STEVEN JENKINS...................................................................... DIRECTOR	0.50 .................	X		0	0
(17) CAROL DOZIER...................................................................... CHIEF FINANC	40.00 .................		X	115,039	5,291

(A) Name and business address	(B) Description of services	(C) Compensation
THE ROSE GROUP 817 NW 56TH TER STE A GAINESVILLE,FL32605	TEMP AGENCY SVC	1,222,895
RIDE RIGHT LLC 16 HAWK RIDGE DR LAKE ST LOUIS,MO63367	BUS SERVICE	614,849
VIC'S EMBERS 11048 CYPRESS ST TAVARES,FL32778	CATERING SVC	590,797
INTERIM HEALTHCARE PO BOX 850001 DEPT 0501 ORLANDO,FL328850501	TEMP AGENCY SVC	454,385
JAYKAY STAFFING PO BOX 823473 PHILADELPHIA,PA19182	TEMP AGENCY SVC	421,683
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 11

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

LIFESTREAM BEHAVIORAL CENTER INC

Employer identification number

59-1561501

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	21,585,903	24,613,267	32,587,480	34,661,453	39,434,624	152,882,727
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3	21,585,903	24,613,267	32,587,480	34,661,453	39,434,624	152,882,727
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.						152,882,727

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..	21,585,903	24,613,267	32,587,480	34,661,453	39,434,624	152,882,727
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	563,358	694,500	725,626	603,029	693,326	3,279,839
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10						156,162,566

Gross receipts from related activities, etc. (see instructions) ..................

77,522,374

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

97.900 %

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

97.670 %

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

LIFESTREAM BEHAVIORAL CENTER INC

Employer identification number

59-1561501

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	1,152,500		1,152,500
b	Buildings ....	24,761,263	9,366,673	15,394,590
c	Leasehold improvements	3,308,008	1,839,017	1,468,991
d	Equipment ....	9,130,439	7,224,083	1,906,356
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				19,922,437

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
BOA 10M INTEREST RATE SWAP	602,101
BOA 7M INTEREST RATE SWAP	498,069
RESTRICTED CLIENT TRUST FUNDS	189,453
BB&T INTEREST RATE SWAP	60,652
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,350,275
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

LIFESTREAM BEHAVIORAL CENTER INC

Employer identification number

59-1561501

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	3,007,924	2,940,830	67,094	0.130 %
b	Medicaid (from Worksheet 3, column a) . . . . .
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	3,007,924	2,940,830	67,094	0.130 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	38,379,789		38,379,789	72.490 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	38,379,789		38,379,789	72.490 %
k	Total. Add lines 7d and 7j .	41,387,713	2,940,830	38,446,883	72.620 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

260,634

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

260,634

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

1,491,242

Enter Medicare allowable costs of care relating to payments on line 5.....

2,623,754

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-1,132,512

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)			Facility reporting group
1	LIFESTREAM BEHAVIORAL 2020 TALLY ROAD LEESBURG,FL34748 WWW.LSBC.NET 4075	X	LSB

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	LSB
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.LSBC.NET

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	LSB
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	LSB
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	LSB
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?32
Name and address		Type of Facility (describe)
1	BUMBY AVE 10 S BUMBY AVE ORLANDO,FL32714	OUTPATIENT
2	FACT YAFR 1017 W DIXIE AVE LEESBURG,FL34748	OUTPATIENT
3	HOPE SPRINGS APARTMENTS 1103 BENTLEY RD LEESBURG,FL34748	RESIDENTIAL
4	HOPE HOUSE - GROVE II 11339 GROVE STREET LEESBURG,FL34788	RESIDENTIAL
5	COMMUNITY SUPPORT BLD I & II 115 CITRUS AVE EUSTIS,FL32726	OUTPATIENT
6	SUMTER OUTPATIENT CLINIC 119 N MARKET STREET BUSHNELL,FL33513	OUTPATIENT
7	LAKE ACADEMY - E 1217 E HUFFSTETLER RD EUSTIS,FL32726	SCHOOL
8	HOPE HOUSE - PUTNEY 12327 NORTH PUTNEY COURT LEESBURG,FL34788	RESIDENTAL
9	ADULT PREV JAIL DIVERSION 1300 DUNCAN DR TAVARES,FL32778	OUTPATIENT
10	CHILD CTR - CITRUS 2417 2419 N LECANTO HWY LECANTO,FL34461	OUTPATIENT
11	HOPE HOUSE - PETERS DR 1318 PETERS DRIVE LEESBURG,FL34748	RESIDENTIAL
12	KCI CM - WILDWOOD 1601 W GULF ATLANTIC HWY WILDWOOD,FL34785	OUTPATIENT
13	OUR TURNING POINT RANCH 19812 E 5TH AVE UMATILLA,FL32784	RESIDENTIAL
14	EUSTIS OUT PATIENT 201 MAGNOLIA AVE EUSTIS,FL32736	OUTPATIENT
15	LAKE REGION HOUSE 2016 TALLY RD LEESBURG,FL34748	RESIDENTIAL
16	HOPE & RECOVERY 2018 TALLY ROAD LEESBURG,FL34748	RESIDENTIAL
17	CHILDRENS SVCS CTR 2020 TALLY RD LEESBURG,FL34748	OUTPATIENT
18	LAKE ACADEMY - LEESBURG 2020 TALLY RD LEESBURG,FL34748	SCHOOL
19	SOUTH LAKE OUTPATIENT CLINIC 2140 N DON WICKHAM DRIVE CLERMONT,FL34711	OUTPATIENT
20	LEESBURG OUTPATIENT CLINIC WINN 215 N 3RD STREET LEESBURG,FL34748	OUTPATIENT
21	CHILD TASC 225 NE 14TH ST OCALA,FL34470	OUTPATIENT
22	HOPE HOUSE - GROVE ST 24 S GROVE STREET EUSTIS,FL32726	RESIDENTIAL
23	HEALTH DEPARTMENT 249 E COLLINS ST UMATILLA,FL32784	OUTPATIENT
24	HOPE HOUSE - ESTES 34603 ESTES ROAD EUSTIS,FL32736	RESIDENTIAL
25	AIMS - LAKE BLD I & II 404 WEBSTER STREET LEESBURG,FL34748	DAY TREATMENT
26	PHOENIX HOUSE -NORTH AND SOUTH 411 S AND 427 S US 301 SUMTERVILLE,FL33585	RESIDENTIAL
27	HOPE HOUSE - BRIARCLIFF 420 BRIARCLIFF AVE EUSTIS,FL32726	RESIDENTIAL
28	ANTHONY HOUSE 6215 HOLLY STREET BLD I II III ZELLWOOD,FL32798	RESIDENTIAL
29	MAT OCOEE 1554 BOREN DRIVE OCOEE,FL34761	OUTPATIENT
30	ADULT CTR - CITRUS 1554 N MEADOWCREST BLVD CRYSTAL RIVER,FL34429	OUTPATIENT
31	CHILD CTR - HILLSBOROUGH 51 W FORT DADE AVE BROOKSVILLE,FL34601	OUTPATIENT
32	ACCESS CENTER - CITRUS 6 REGINA BLVD BEVERLY HILLS,FL34461	OUTPATIENT

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART VI, LINE 2 - NEEDS ASSESSMENT	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 BACKER ACT/ADDICTIONS BEDS TO ITS 10 BED CRISIS STABILIZATION UNIT.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	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.
PART VI, LINE 4 - COMMUNITY INFORMATION	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.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	N/A
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	FLORIDA
ADDITIONAL INFORMATION	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.

Schedule H (Form 990) 2018

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

LIFESTREAM BEHAVIORAL CENTER INC

Employer identification number

59-1561501

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JONATHAN CHERRY PRESIDENT & CEO	(i) (ii)	280,065 -------------	-------------	-------------	12,537 -------------	-------------	292,602 -------------	-------------
2ABID DARR PSYCHIATRIST	(i) (ii)	277,586 -------------	-------------	-------------	13,887 -------------	-------------	291,473 -------------	-------------
3THOMAS VALENTE MEDICAL DIRECTOR	(i) (ii)	238,103 -------------	-------------	-------------	12,456 -------------	-------------	250,559 -------------	-------------
4MIGUEL CORREA PSYCHIATRIST	(i) (ii)	233,415 -------------	-------------	-------------	11,816 -------------	-------------	245,231 -------------	-------------
5DAVID DADA PSYCHIATRIST	(i) (ii)	211,328 -------------	-------------	-------------	10,785 -------------	-------------	222,113 -------------	-------------
6EDGAR WALKER PSYCHIATRIST	(i) (ii)	208,902 -------------	-------------	-------------	11,324 -------------	-------------	220,226 -------------	-------------

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

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.

Schedule J (Form 990) 2018

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
LIFESTREAM BEHAVIORAL CENTER INC

Employer identification number
59-1561501

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF LEESBURG FLORIDA	59-6000362		09-27-2018	10,000,000	(I)RETIREMENT OF OLD DEBT, (II) FINANCING A PORTION OF THE COSTS OFTHE		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	4,296,080
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	10,000,000
4 Gross proceeds in reserve funds .............	5,598,201
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	175,381
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X
15 Were the bonds issued as part of an advance refunding issue? .....		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........		X
c No rebate due? .........		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION	CITY OF LEESBURG, FLORIDA CONSTRUCTION OF A NEW CRISIS STABILIZATION UNIT, AND (III)PAYING CERTAIN FEES AND EXPENSES RELATING TO THE ISSUANCE AND SALE OF THE BOND.
SCHEDULE K - ADDITIONAL INFORMATION	CITY OF LEESBURG, FLORIDA NAME OF ISSUE: HEALTHCARE FACILITIES REFUNDING AND REVENUE BONDS, SERIES, 2018 (LIFESTREAM BEHAVIORAL HEALTH, INC. PROJECT)

Schedule K (Form 990) 2018

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

LIFESTREAM BEHAVIORAL CENTER INC

Employer identification number

59-1561501

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ERNIE MORRIS ENTERPRISES LLC	BUSINESS	270,055	PURCHASE SUPPLIES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
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.

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

LIFESTREAM BEHAVIORAL CENTER INC

Employer identification number

59-1561501

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	83,000	6,059,858	FMV
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2018)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE M, PAGE 2, PART II	LINE 25B - AMOUNT ON THIS LINE REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED.

Schedule M (Form 990) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

LIFESTREAM BEHAVIORAL CENTER INC

Employer identification number

59-1561501

Return Reference	Explanation
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	DONATED SERVICES AND USE OF FACILITIES -297,545 CHANGE IN FAIR VALUE OF INTEREST 0 RATE SWAP LIABILITY -713,060 TOTAL -1,010,605

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

LIFESTREAM BEHAVIORAL CENTER INC

Employer identification number

59-1561501

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)LIFESTREAM BEHAVIORAL CENTER FOUND PO BOX 491000 LEESBURG,FL34749 59-2976392	FUNDRAISIN	FL	501C3	10	LIFESTREAM BEHAVIORAL CENTER INC		No
(2)LAKE REGION HOMES INC PO BOX 491000 LEESBURG,FL34749 59-2411947	APTS FOR	FL	501C3	12A	LIFESTREAM BEHAVIORAL CENTER INC	Yes
(3)ANTHONY HOUSE PO BOX 491000 LEESBURG,FL34749 59-2944839	HOMELESS S	FL	501C3	10	LIFESTREAM BEHAVIORAL CENTER INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) LAKE REGION HOMES INC	A	12,241	IMPUTED INTEREST
(2) ANTHONY HOUSE INC	L		AMOUNT NOT DETERMINED
(3) LAKE REGION HOMES INC	L		AMOUNT NOT DETERMINED
(4) LAKE REGION HOMES INC	Q	9,434	COST
(5) LIFESTREAM BEHAVIORAL CTR FOUNDATIO	C	205,994	COST
(6) LIFESTREAM BEHAVIORAL CTR FOUNDATIO	D	29,714	COST
(7) LIFESTREAM BEHAVIORAL CTR FOUNDATIO	L		AMOUNT NOT DETERMINED

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SUPPORTING RECOVERY, PROMOTING HEALTH, AND CREATING HOPE
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	884
6	Total number of volunteers (estimate if necessary) .............	6	37
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	34,661,453	39,434,624
9	Program service revenue (Part VIII, line 2g) .........	15,730,373	14,872,856
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	135,524	33,959
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	556,194	588,899
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	51,083,544	54,930,338
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	30,242,776	32,010,688
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 819,239
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	19,416,638	20,930,970
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	49,659,414	52,941,658
19	Revenue less expenses. Subtract line 18 from line 12.......	1,424,130	1,988,680
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	38,505,681	46,318,892
21	Total liabilities (Part X, line 26).............	11,406,715	17,805,729
22	Net assets or fund balances. Subtract line 21 from line 20.....	27,098,966	28,513,163

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 46,219,801 including grants of $ ) (Revenue $ 12,692,371 )
	(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.

4b	(Code: ) (Expenses $ 2,226,367 including grants of $ ) (Revenue $ 2,180,485 )
	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 2019, 6,440 CHILDREN WERE SEEN FOR ALMOST 93,166 VISITS.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses48,446,168

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,564,438	78,096

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) ABID DARR........................................................................ PSYCHIATRIST	40.00 .......................	X	277,586	0	13,887
(19) THOMAS VALENTE........................................................................ MEDICAL DIRE	40.00 .......................	X	238,103	0	12,456
(20) MIGUEL CORREA........................................................................ PSYCHIATRIST	40.00 .......................	X	233,415	0	11,816
(21) DAVID DADA........................................................................ PSYCHIATRIST	40.00 .......................	X	211,328	0	10,785
(22) EDGAR WALKER........................................................................ PSYCHIATRIST	40.00 .......................	X	208,902	0	11,324

1a	Federated campaigns..		1a	15,000
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	205,994
e	Government grants (contributions)		1e	33,141,274

f	All other contributions, gifts, grants, and similar amounts not included above		1f	6,072,356

g	Noncash contributions included in lines 1a - 1f:$ 6,059,858
h Total. Add lines 1a-1f.......		39,434,624

		Business Code
2a	NET PATIENT REVENUE	623990	13,941,492	13,941,492
b	OTHER OPERATING REVENUE	623990	931,364	931,364
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		14,872,856

3 Investment income (including dividends, interest, and othersimilar amounts) ......			104,427			104,427
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		588,899
b	Less: rental expenses
c	Rental income or (loss)		588,899
d	Net rental income or (loss)......			588,899			588,899
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses	70,468
c	Gain or (loss)	-70,468
d	Net gain or (loss).....			-70,468			-70,468
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			54,930,338	14,872,856		622,858

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	412,932	289,053	103,233	20,646
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	26,083,218	23,545,321	2,026,666	511,231
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	917,020	487,057	419,390	10,573
9	Other employee benefits .......	2,719,596	2,454,979	211,313	53,304
10	Payroll taxes ...........	1,877,922	1,695,200	145,915	36,807
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	102,773	71,941	25,693	5,139
c	Accounting ...........	53,713	37,599	13,428	2,686
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,584,973	1,426,476	126,798	31,699
12	Advertising and promotion ....	8,137	5,696	2,034	407
13	Office expenses .......	283,531	255,178	22,682	5,671
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	1,295,093	1,165,584	103,607	25,902
17	Travel ............	803,116	722,805	64,249	16,062
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	44,783	40,304	3,583	896
20	Interest ...........	305,647	275,082	24,452	6,113
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	1,352,861	1,217,575	108,229	27,057
23	Insurance ...	1,579,700	1,421,730	126,376	31,594
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL AND PHARMACY	7,647,083	7,647,083
b	CONTRACT LABOR	2,613,117	2,613,117
c	FOOD SERVICES	889,173	889,173
d	REPAIRS AND MAINTENANCE	462,371	416,134	36,990	9,247
e	All other expenses	1,904,899	1,769,081	111,613	24,205
25	Total functional expenses. Add lines 1 through 24e	52,941,658	48,446,168	3,676,251	819,239
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			7,177,572	1	7,192,526
2	Savings and temporary cash investments .........			397,804	2	6,683,913
3	Pledges and grants receivable, net ......			3,011,218	3	4,262,164
4	Accounts receivable, net .............			3,512,100	4	3,222,672
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			865,453	8	601,126
9	Prepaid expenses and deferred charges ......			829,126	9	945,001
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	38,352,210
b	Less: accumulated depreciation	10b	18,429,773	19,578,164	10c	19,922,437
11	Investments—publicly traded securities .			1,912,553	11	2,026,576
12	Investments—other securities. See Part IV, line 11 .....			420,984	12	445,539
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			135,847	14	178,258
15	Other assets. See Part IV, line 11 ...........			664,860	15	838,680
16	Total assets. Add lines 1 through 15 (must equal line 34)...			38,505,681	16	46,318,892

17	Accounts payable and accrued expenses .....	5,169,411	17	5,614,377
18	Grants payable ...		18
19	Deferred revenue .........	6,196	19
20	Tax-exempt bond liabilities .........		20	9,869,464
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	5,552,949	23	971,613
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	678,159	25	1,350,275
26	Total liabilities. Add lines 17 through 25..	11,406,715	26	17,805,729

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	27,098,966	27	28,513,163
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	27,098,966	33	28,513,163
34	Total liabilities and net assets/fund balances ........	38,505,681	34	46,318,892