LifeStream Behavioral Center

What it reported doing in 2024

(1) The Florida state legislature recognized Lifestreams commitment to excellence by awarding recurring funding to the agencys 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 were 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 as 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) Lifestreams 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.

Financial Efficiency

• Mission deployment rate: 77%; rating input score 77
• Program expense ratio: 81.2%; rating input score 81
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 90%; rating input score 90; 38th percentile among comparable filings
• Governance controls: 8 of 8 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 7%; rating input score 64; 64th percentile among comparable filings
• Total-asset coverage ratio: 1.25; rating input score 47; 47th percentile among comparable filings
• Liabilities to assets ratio: 0.18; rating input score 72; 72nd percentile among comparable filings
• Officer compensation ratio: 3%; rating input score 39; 39th percentile among comparable filings

Growth

• Program expense growth: 3.7% per year; rating input score 100; 28th percentile among comparable filings
• Revenue growth: 4.6% per year; rating input score 100; 39th percentile among comparable filings
• Asset growth: 7.3% per year; rating input score 100; 54th percentile among comparable filings