2026-04-23T11:20:08-05:00 2025-06-30 420714325 RSM US LLP 9355 N WICKHAM ROAD SUITE 304 MELBOURNE FL 32940 990 2024-07-01 592198911 LUTHERAN SERVICES FLORIDA INC LUTH 8138751408 3627 W WATERS AVE TAMPA FL 33614 ROBERT J WYDRA JR CFO 8138751408 2026-04-22 1 0 KELLI PECK P01423033 3217516200 2026-04-22 2024 2025-03-06 01:10:19Z MICHAEL P CARROLL 3627 W WATERS AVE TAMPA FL 33614 443942688 0 X WWW.LSFNET.ORG X 1982 FL LUTHERAN SERVICES FLORIDA HELPS COMMUNITIES BUILD HEALTHIER, HAPPIER, AND HOPE-FILLED TOMORROWS BY IMPACTING THE LIVES OF 1 IN 50 FLORIDIANS THROUGH VARIOUS SERVICES OFFERED ACROSS THE STATE. 11 11 2650 4254 0 0 422936378 440893730 1050845 1134042 228416 194156 849021 1436990 425064660 443658918 245338220 261124174 0 0 113501336 119363197 0 0 678894 61166291 59323416 420005847 439810787 5058813 3848131 135318003 134027425 105866534 99194725 29451469 34832700 X LUTHERAN SERVICES FLORIDA BRINGS GOD'S HEALING, HOPE, AND HELP TO PEOPLE IN NEED IN THE NAME OF JESUS CHRIST. 0 0 251556886 249964242 WITH SUBSTANCE USE DISORDERS AND MENTAL HEALTH ISSUES POSING SIGNIFICANT CHALLENGES, LSF HEALTH SYSTEMS PLAYS A CRITICAL ROLE IN ADDRESSING THESE CONCERNS. BY MANAGING A NETWORK OF 98 SERVICE PROVIDERS ACROSS 23 COUNTIES, LSF HEALTH SYSTEMS ENSURES THAT QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES ARE ACCESSIBLE TO THOSE WHO LACK INSURANCE COVERAGE, HAVE INADEQUATE COVERAGE, OR ARE INDIGENT. THEIR EFFORTS IN PREVENTION, INTERVENTION, AND TREATMENT PROGRAMS ARE ESSENTIAL IN MITIGATING THE IMPACT OF THESE DISORDERS, REDUCING SOCIOECONOMIC DISPARITIES, AND ULTIMATELY SAVING LIVES. THE REACH OF THEIR PREVENTION SERVICES, WHICH IMPACT OVER 1 MILLION INDIVIDUALS, AND THEIR TRAINING PROGRAMS FOR MORE THAN 3,361 INDIVIDUALS AND PEERS, HIGHLIGHT THE EXTENSIVE AND VITAL WORK THEY DO. MOST URGENTLY, 358 INDIVIDUALS WERE SERVED WITH ACCESS TO CARE CALLS FOR IMMEDIATE HELP. WITHOUT LSF HEALTH SYSTEMS, MILLIONS OF VULNERABLE AND AT-RISK FLORIDIANS WOULD BE LEFT WITHOUT THE NECESSARY SUPPORT TO OVERCOME THEIR BEHAVIORAL HEALTH CHALLENGES AND LIVE HAPPIER, MORE HOPE-FILLED LIVES. 80580350 4703440 HEAD START AND EARLY HEAD START SERVICES ARE VITAL TO CHILDREN AND FAMILIES ACROSS FLORIDA, AS THEY PROVIDE A STRONG FOUNDATION FOR LIFELONG LEARNING AND DEVELOPMENT. THESE PROGRAMS OFFER HIGH-QUALITY EARLY CHILDHOOD EDUCATION DURING THE FIRST FIVE YEARS OF A CHILD'S LIFE, A CRITICAL PERIOD FOR GROWTH THAT HELPS BREAK THE CYCLE OF POVERTY AND PLACES CHILDREN ON A PATH TOWARD LONG-TERM SUCCESS. THROUGH A COMPREHENSIVE, FAMILY-CENTERED APPROACH, HEAD START ENSURES THAT CHILDREN ARE NOT ONLY ACADEMICALLY PREPARED BUT ALSO EMOTIONALLY AND SOCIALLY SUPPORTED, CURRENTLY SERVING 2,538 HEAD START CHILDREN AND 798 EARLY HEAD START CHILDREN ACROSS 238 CLASSROOMS STATEWIDE. IN ADDITION TO EDUCATIONAL SERVICES, HEAD START PLAYS A CRITICAL ROLE IN ADDRESSING FOOD INSECURITY BY PROVIDING HEALTHY MEALS AND SNACKS THAT PROMOTE PROPER NUTRITION AND REDUCE FINANCIAL STRAIN ON FAMILIES. DURING THE PAST YEAR, HEAD START AND EARLY HEAD START PROGRAMS PROVIDED 862,117 MEALS TO ENROLLED CHILDREN. ADDITIONALLY, THE CHILD CARE FOOD PROGRAM SUPPORTED CHILDCARE FACILITIES BY PROVIDING 2,240,785 MEALS, ENSURING THAT CHILDREN ACROSS THE STATE HAVE ACCESS TO NUTRITIOUS FOOD ESSENTIAL FOR HEALTHY GROWTH AND SCHOOL READINESS. OVERALL, HEAD START SERVICES ARE INSTRUMENTAL IN LEVELING THE EDUCATIONAL PLAYING FIELD, FOSTERING FAMILY STABILITY, AND ENHANCING THE OVERALL WELL-BEING OF CHILDREN AND FAMILIES THROUGHOUT FLORIDA. 94433488 6456492 LSF FAMILY FOCUS MAKES A PROFOUND DIFFERENCE IN THE LIVES OF VULNERABLE FAMILIES AND CHILDREN IN FLORIDA BY PROVIDING COMPREHENSIVE SUPPORT AND SERVICES THAT ADDRESS THEIR UNIQUE NEEDS. THROUGH PROGRAMS THAT SPAN FROM INFANCY TO SENIOR CARE, LSF ENSURES THAT EVERY FAMILY MEMBER RECEIVES THE NECESSARY ASSISTANCE TO OVERCOME CHALLENGES AND THRIVE. FOR CHILDREN FACING ABUSE OR NEGLECT, LSF'S CHILD WELFARE CASE MANAGEMENT OFFERED PROTECTIVE SERVICES TO MORE THAN 4,500 CHILDREN ENSURING THEIR SAFETY AND WELL-BEING. 1,840 ADOLESCENTS BENEFITED FROM RESIDENTIAL YOUTH SHELTERS AND GROUP HOMES, WHICH PROVIDE TEMPORARY SAFE HAVENS AND SUPPORT DURING CRITICAL DEVELOPMENTAL YEARS. 23,990 INDIVIDUALS AND FAMILIES WERE STRENGTHENED THROUGH COUNSELING SERVICES. WHOLE-FAMILY SERVICES, INCLUDING COMMUNITY COUNSELING, FAMILY SUPPORT PROGRAMMING, AND DIVERSION SERVICES, HELP STRENGTHEN FAMILY UNITS AND PROMOTE STABILITY. ADDITIONALLY, LSF'S ADULT ADVOCACY SERVICES PROTECTED 433 AT-RISK ADULTS FROM EXPLOITATION, OFFERING THEM A LIFELINE AND MANAGING THEIR AFFAIRS AMIDST MENTAL OR PHYSICAL INCAPACITIES. BY ALSO EXTENDING SUPPORT TO OVER 10,000 REFUGEES AND IMMIGRANTS, LSF HELPS NEWCOMERS INTEGRATE INTO THEIR COMMUNITIES, FOSTERING A SENSE OF BELONGING AND HOPE. OVERALL, LSF FAMILY FOCUS PLAYS A CRUCIAL ROLE IN ENHANCING THE WELL-BEING AND RESILIENCE OF VULNERABLE FAMILIES AND CHILDREN ACROSS THE STATE. 2557172 2557172 426570724 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 1 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 533 0 1 2650 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X ROBERT J WYDRA JR 8138751408 3627 W WATERS AVE TAMPA FL 33614 SUSAN SCROGGINS CHAIR 2.00 X X 0 0 0 CHRISTINE FRANKLIN VICE CHAIR 2.00 X X 0 0 0 DAN YOUNG TREASURER 2.00 X X 0 0 0 ALONZO BATSON JR SECRETARY 2.00 X X 0 0 0 FRED KRAEGEL FORMER CHAIR 2.00 X 0 0 0 LORENZO COBIELLA MEMBER 1.00 X 0 0 0 CHRISTOPHER DANFORD MEMBER 1.00 X 0 0 0 JESSICA GORDON MEMBER 1.00 X 0 0 0 MARK HECKLER MEMBER 1.00 X 0 0 0 JAMES ROCKEY EX-OFFICIO 1.00 X 0 0 0 THE REV PEDRO M SUAREZ EX-OFFICIO 1.00 X 0 0 0 SAMUEL M SIPES PRESIDENT AND CEO 45.00 X 600948 0 53871 ROBERT J WYDRA JR CFO 45.00 X 213317 0 54294 CHRISTINE A CAUFFIELD CEO & EXEC VP SAMH 45.00 X 312388 0 18115 MICHAEL P CARROLL CHIEF OPERATING OFFICER 45.00 X 287875 0 18350 ROBERT BIALAS EVP CHILDREN & HS SERV 45.00 X 210107 0 53840 AMELIA FOX CSO 45.00 X 214578 0 46662 ROBERT W HALEY EVP LEGAL & GEN COUNSEL 45.00 X 213660 0 38981 LISA MAYROSE EVP FAMILY FOCUS 45.00 X 212652 0 15626 PHILIP HUBBELL EXEC VP (THRU 10/2024) 45.00 X 193501 0 26870 LISA GALBRAITH CORPORATE CONTROLLER 45.00 X 175625 0 4884 MARIE MASON VICE PRESIDENT OPERATIONS 45.00 X 169520 0 12740 SHELLEY S KATZ CHIEF OPERATING OFFICER 45.00 X 170188 0 13866 2974359 0 358099 44 0 1 0 SCHOOL DISTRICT OF PALM BEACH 2300 FOREST HILL BLVD A-323 WEST PALM BEACH FL 33406 CHILD SERVICES 4773400 HISPANIC HUMAN RESOURCES 1427 S GONGRESS AVE WEST PALM BEACH FL 33406 CHILD SERVICES 2701567 R'CLUB CHILD CARE INC 4140 49TH ST NORTH ST PETERSBURG FL 33709 CHILD SERVICES 2053252 DUVAL COUNTY SCHOOL BOARD 1701 PRUDENTIAL DRIVE JACKSONVILLE FL 32207 CHILD SERVICES 1489476 VESTA HOUSING SOLUTIONS LLC 100 TOWN CENTER SUITE 975 SOUTHFIELD MI 48075 GENERAL CONTRACTING 1301963 92 73664 51627 432412500 8355939 2483848 440893730 GUARDIANSHIP SERVICES 624200 742650 742650 RESETTLEMENT SERVICES 624200 390150 390150 MANAGEMENT FEE 611710 1242 1242 1134042 240675 240675 61781 0 61781 61781 61781 212266 258785 -46519 -46519 -46519 38845 51627 24985 13860 13860 MISCELLANEOUS REVENUE 561000 1361349 1361349 1361349 443658918 2557172 0 208016 249798582 249798582 11325592 11325592 2399832 608160 1791672 94505308 87599284 6503441 402583 1712973 2252534 -550962 11401 13561627 12445387 1037568 78672 7183457 6608419 545177 29861 363400 305740 57660 723871 14910 708961 91278 91278 19963 19963 23982093 23792332 131952 57809 65829 38557 21610 5662 8670380 8446080 192057 32243 2220676 1403501 795158 22017 10073679 9823296 243087 7296 3764099 3534014 208505 21580 901813 800411 96080 5322 139666 62303 77363 1853006 1787153 65853 2107181 1974117 129429 3635 FOOD PURCHASES 3421281 3421281 STAFF RECRUITMENT 388901 13289 375612 DRUG SCREENING 127555 122283 5039 233 BACKGROUND CHECKS 104468 102824 1505 139 304277 290675 13161 441 439810787 426570724 12561169 678894 3424865 5547676 22885907 23673297 67928242 61893019 1657370 351089 607500 730000 6480609 1613602 34088379 13289964 14064835 20798415 1285860 1428354 16982815 17991973 135318003 134027425 53555651 52607361 41979297 39128268 1608761 585026 8722825 6874070 105866534 99194725 X 8270571 9454569 21180898 25378131 29451469 34832700 135318003 134027425 X 3848131 154209 1308946 69945 X X 0 1 X 1 1 1 X 260828886 297915376 374900095 422936378 440751573 1797332308 260828886 297915376 374900095 422936378 440751573 1797332308 1797332308 84707 100376 175144 322068 240675 922970 222093 657352 524979 822699 1400194 3627317 1801882595 5649430 0.99750 0.99780 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 222,093. 2021 AMOUNT: $ 641,303. 2022 AMOUNT: $ 499,979. 2023 AMOUNT: $ 779,945. 2024 AMOUNT: $ 1,361,349. SPECIAL FUNDRAISING EVENTS REVENUE - 2021 AMOUNT: $ 16,049. 2022 AMOUNT: $ 25,000. 2023 AMOUNT: $ 42,754. 2024 AMOUNT: $ 38,845. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 91278 91278 0 PART II-B, LINE 1: LSF PAYS LIBERTY PARTNERS OF TALLAHASSEE, LLC AND GRAY ROBINSON A MONTHLY RETAINER FEE TO RENDER THE FOLLOWING SERVICES: (1) EDUCATION AND CONSULTING SERVICES AND (2) SUCH OTHER SPECIFIC SERVICES IN REGARD TO THE LEGISLATURE AND EXECUTIVE GOVERNMENT OF THE STATE OF FLORIDA AS THE PARTIES MAY MUTUALLY AGREE UPON. 1 25135370 5658069 30793439 0 22466778 8283361 142494 4086148 26806485 15755544 9791664 109506 3189936 22466778 9365615 9528043 81472 3219586 15755544 9545571 3085346 -166410 3098892 9365615 9842335 2008220 238498 2543482 9545571 0.05328 0.03724 0.90948 1 0 2526189 2526189 10329289 3105640 7223649 14527170 6383928 8143242 2009032 1241486 767546 4696699 2558910 2137789 20798415 SECURITY DEPOSITS 481480 BENEFICIAL INTEREST IN ASSETS HELD BY OTHERS 998267 GIFTED FACILITIES 9970185 DUE FROM AFFILIATE 65331 ROU ASSET 6476710 17991973 CAPITAL LEASE OBLIGATIONS 6874070 6874070 X 452216191 154209 6534575 1868489 8557273 443658918 0 443658918 447089263 5225629 2052847 7278476 439810787 0 439810787 PART IV, LINE 1B: IN CONNECTION WITH THE ORGANIZATION'S GUARDIANSHIP PROGRAM, THE ORGANIZATION HOLDS ASSETS IN TRUST FOR INDIVIDUALS WHO HAVE BEEN DECLARED INCAPACITATED. THE ORGANIZATION IS A COURT-APPOINTED LEGAL GUARDIAN FOR THESE INDIVIDUALS. ASSETS HELD IN TRUST FOR THESE INDIVIDUALS INCLUDE TANGIBLE PERSONAL PROPERTY AND REAL PROPERTY VALUED AT THEIR FAIR VALUE ON THE DATE THE ORGANIZATION WAS APPOINTED GUARDIAN. CASH AND INVESTMENTS ARE VALUED AT THEIR CURRENT MARKET VALUE. INCOME EARNED ON ASSETS HELD IN TRUST ARE APPLIED TO EACH INDIVIDUAL'S ACCOUNT BALANCE. THE ASSETS THAT ARE HELD IN TRUST BY THE ORGANIZATION ARE NOT INCLUDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. PART V, LINE 4: THE ORGANIZATION INTENDS FOR THE PERMANENT ENDOWMENT FUNDS TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY THE ENDOWMENT FUNDS WHILE ALSO PRESERVING THE PURCHASING POWER OF THOSE ENDOWMENT ASSETS OVER THE LONG-TERM. EARNINGS DISTRIBUTED ARE USED TO SUPPORT PROGRAM OBJECTIVES AS STIPULATED BY DONOR-RESTRICTIONS OR AS STIPULATED BY THE BOARD OF DIRECTORS. THE ORGANIZATION INTENDS FOR THE TEMPORARY ENDOWMENTS TO BE USED FOR DISASTER RELIEF, TUITION REIMBURSEMENT PROGRAMS, CAPITAL IMPROVEMENTS, AND PROGRAMS. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FROM STATE INCOME TAXES UNDER SIMILAR PROVISIONS OF THE FLORIDA STATUTES. LSF IS THE SOLE MEMBER OF LSF HEALTH, WHICH IS CONSIDERED A DISREGARDED ENTITY FOR FEDERAL AND STATE INCOME TAX PURPOSES. LSF IS ALSO THE SOLE MEMBER OF MIAMI BRIDGE, WHICH IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FROM STATE INCOME TAXES UNDER SIMILAR PROVISIONS OF THE FLORIDA STATUTES. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION FOLLOWS ACCOUNTING STANDARDS RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT ASSESSED WHETHER THERE WERE ANY UNCERTAIN TAX POSITIONS WHICH MAY GIVE RISE TO INCOME TAX LIABILITIES AND DETERMINED THAT THERE WERE NO SUCH MATTERS REQUIRING RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. GENERALLY, THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THREE YEARS FROM THE FILING DATE OF THE RESPECTIVE RETURNS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 69,945. MIAMI BRIDGE YOUTH REVENUE 1,798,544. PART XII, LINE 2D - OTHER ADJUSTMENTS: MIAMI BRIDGE YOUTH EXPENSES 2,052,847. SOIREE OF HOPE 32821 2968 29853 3535 0 945 1143 SERVING UP HOPE - PICKLEBALL 10891 5130 5761 6349 325 2 46760 43529 3231 11675 1013 90472 51627 38845 21559 945 2481 24985 13860 1 ABILITY HOUSING OF NORTHEAST FLORIDA INC 76 S LAURA ST STE 303 JACKSONVILLE FL 32202 593087085 501(C)(3) 447164 0 DCF SAMH PROVIDER ACE FOUNDATION OF FLORIDA INC 644 BEACH BLVD JACKSONVILLE FL 32216 921290906 58267 0 DCF SAMH PROVIDER ALACHUA COUNTY BOARD OF COUNTY COMMISSIONERS 12 SE 1ST STREET GAINESVILLE FL 32601 596000501 ALACHUA COUNTY 3343952 0 DCF SAMH PROVIDER AWARE RECOVERY CARE OF FLORIDA 1625 S CONGRESS AVE STE 406 DELRAY BEACH FL 33445 611908491 61728 0 DCF SAMH PROVIDER BAKER COUNTY BOARD OF COUNTY COMMISSIONERS 3390 E MACCLENNY AVE MACCLENNY FL 32063 596000508 BAKER COUNTY 225065 0 DCF SAMH PROVIDER BAKER COUNTY MEDICAL SERVICES INC 159 N 3RD STREET MACCLENNY FL 32063 593202547 501(C)(3) 78046 0 DCF SAMH PROVIDER BAY AREA YOUTH SERVICES 3104 CHERRY PALM DR STE 220 TAMPA FL 33619 592184150 501(C)(3) 653185 0 DCF SAMH PROVIDER BAYCARE BEHAVIORAL HEALTH INC 7809 MASSACHUSETTS AVE NEW PORT RICHEY FL 34653 591371752 501(C)(3) 7009336 0 DCF SAMH PROVIDER BETHANY CHRISTIAN SERVICES OF FLORIDA 29 W SMITH ST WINTER GARDEN FL 34787 383541224 289948 0 DCF SAMH PROVIDER BRADFORD COUNTY BOARD OF COUNTY COMMISSIONERS PO DRAWER B STARKE FL 32091 596000519 BRADFORD COUNTY 153654 0 DCF SAMH PROVIDER CAMELOT COMMUNITY CARE INC 4910-D CREEKSIDE DR CLEARWATER FL 33760 311659302 501(C)(3) 285586 0 DCF SAMH PROVIDER CDS FAMILY & BEHAVIORAL HEALTH SERVICES INC 1218 NW 6TH STREET GAINESVILLE FL 32601 591435252 501(C)(3) 1030167 0 DCF SAMH PROVIDER CHILD GUIDANCE CENTER INC 5776 ST AUGUSTINE ROAD JACKSONVILLE FL 32207 590704727 501(C)(3) 4864682 0 DCF SAMH PROVIDER CHILDREN'S HOME SOCIETY OF FLORIDA INC 1485 S SEMORAN BLVD SUITE 1448 WITNER PARK FL 32792 590192430 501(C)(3) 1810196 0 DCF SAMH PROVIDER CHILDREN'S TRUST OF ALACHUA COUNTY 4010 NW 25TH PLACE GAINESVILLE FL 32606 834271269 ALACHUA COUNTY 86909 0 DCF SAMH PROVIDER CHRYSALIS CENTER 1507 SUNSET DRIVE CORAL GABLES FL 33143 201966531 2540005 0 DCF SAMH PROVIDER CITRUS COUNTY CHILDREN'S ADVOCACY CENTER INC DBA JESSIE'S PLACE 1410 S LECANTO HIGHWAY LECANTO FL 34461 205494335 113616 0 DCF SAMH PROVIDER CITRUS COUNTY FIRE RESCUE 110 N APOPKA AVE INVERNESS FL 34450 596000548 CITRUS COUNTY 310675 0 DCF SAMH PROVIDER CITY OF OCALA 110 SE WATULA AVENUE OCALA FL 34471 596000392 MARION COUNTY 502178 0 DCF SAMH PROVIDER CITY RESCUE MISSION INC 426 S MCDUFF AVENUE JACKSONVILLE FL 32254 591009115 53716 0 DCF SAMH PROVIDER CLAY BEHAVIORAL HEALTH CENTER INC 1726 KINGSLEY AVE STE 2 ORANGE PARK FL 32073 592219317 501(C)(3) 8484933 0 DCF SAMH PROVIDER CLAY COUNTY FIRE RESCUE 477 HOUSTON STREET PO BOX 1366 GREEN COVE SPRINGS FL 32043 596000553 CLAY COUNTY 692075 0 DCF SAMH PROVIDER COLUMBIA COUNTY BOARD OF COMMISSIONERS 135 NE HERNANDO AVE RM 203 LAKE CITY FL 32055 596000564 COLUMBIA COUNTY 276753 0 DCF SAMH PROVIDER COMMUNITY COALITION ALLIANCE INC 11250 OLD ST AUGUSTINE RD SUITE 15-314 JACKSONVILLE FL 32257 264026115 501(C)(3) 3034600 0 DCF SAMH PROVIDER COMMUNITY REHABILITATION CENTER INC 623 BEECHWOOD ST JACKSONVILLE FL 32206 593198739 501(C)(3) 157548 0 DCF SAMH PROVIDER COUNTY OF HERNANDO BOARD OF COUNTY COMMISSIONERS 20 N MAIN STREET ROOM 264 BROOKSVILLE FL 34601 591155275 HERNANDO COUNTY 715068 0 DCF SAMH PROVIDER CRC HEALTH TREATMENT CLINICS LLC 3928 S NOVA ROAD PORT ORANGE FL 32127 471730600 549728 0 DCF SAMH PROVIDER DANIEL MEMORIAL INC 4203 SOUTHPOINT BLVD JACKSONVILLE FL 32216 593067752 501(C)(3) 675905 0 DCF SAMH PROVIDER DAYSPRING VILLAGE INC PO BOX 1080 HILLIARD FL 32046 592920469 4311687 0 DCF SAMH PROVIDER DELORES BARR WEAVER POLICY CENTER INC 40 E ADAMS ST STE 130 JACKSONVILLE FL 32202 460938295 501(C)(3) 86384 0 DCF SAMH PROVIDER DERRICK COLLINS EL DBA MR AND MS MENTORING INC 1615 RIDGEWOOD AVE HOLLYHILL FL 32117 823985263 141572 0 DCF SAMH PROVIDER DEVEREUX FOUNDATION 5850 TG LEE BLVD SUITE 400 ORLANDO FL 32822 231390618 87120 0 DCF SAMH PROVIDER DIXIE COUNTY BOARD OF COUNTY COMMISSIONERS PO BOX 1206 CROSS CITY FL 32628 596000587 DIXIE COUNTY 512431 0 DCF SAMH PROVIDER ECKERD YOUTH ALTERNATIVES INC 100 STARCREST DR CLEARWATER FL 33765 592551416 501(C)(3) 1211856 0 DCF SAMH PROVIDER EL-BETH-EL DEVELOPMENT CENTER INC 723 W 4TH STREET JACKSONVILLE FL 32209 592845839 501(C)(3) 99456 0 DCF SAMH PROVIDER EPIC COMMUNITY SERVICE INC 1400 OLD DIXIE HWY STE A ST AUGUSTINE FL 32084 591502582 501(C)(3) 6386776 0 DCF SAMH PROVIDER FAMILY FIRST ADOLESCENT SERVICES 700 VILLAGE SQUARE XING UNIT 101 PALM BEACH GARDENS FL 33410 471015178 46800 0 DCF SAMH PROVIDER FLAGLER CARES 160 CYPRESS POINT PARKWAY SUITE B302 PALM COAST FL 32164 474145174 371642 0 DCF SAMH PROVIDER FLAGLER HOSPITAL INC 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 590675143 501(C)(3) 9123393 0 DCF SAMH PROVIDER FLAGLER OPEN ARMS RECOVERY SERVICES INC 2001 PLAM DRIVE FLAGLE BEACH FL 32136 851112598 501(C)(3) 635222 0 DCF SAMH PROVIDER FRESH MINISTRIES INC 1131 N LAURA ST JACKSONVILLE FL 32206 592967898 501(C)(3) 2532228 0 DCF SAMH PROVIDER GAINESVILLE OPPORTUNITY CENTER INC 2772 NW 43RD ST STE B-1 GAINESVILLE FL 32606 208823721 501(C)(3) 383404 0 DCF SAMH PROVIDER GATEWAY COMMUNITY SERVICES INC 555 STOCKTON ST JACKSONVILLE FL 32204 591881828 501(C)(3) 16283649 0 DCF SAMH PROVIDER GILCHRIST COUNTY BOARD OF COUNTY COMMISSIONERS 12 SOUTH MAIN STREET TRENTON FL 32693 596000622 GILCHRIST COUNTY 52169 0 DCF SAMH PROVIDER GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES INC 14041 ICOT BLVD CLEARWATER FL 33760 591229354 501(C)(3) 477837 0 DCF SAMH PROVIDER HALIFAX HOSPITAL MEDICAL CENTER DBA HALIFAX HEALTH 303 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 596001217 501(C)(3) 3070986 0 DCF SAMH PROVIDER HANLEY CENTER FOUNDATION INC 900 54TH ST WEST PALM BEACH FL 33407 202871945 501(C)(3) 1324561 0 DCF SAMH PROVIDER HERE TOMORROW INC 910 3RD STREET NEPTUNE BEACH FL 32206 475278523 501(C)(3) 750000 0 DCF SAMH PROVIDER HERNANDO COUNTY COMMUNITY ANTI-DRUG COALITION INC 13001 SPRING HILL DROVE SPRING HILL FL 34609 200450051 501(C)(3) 179317 0 DCF SAMH PROVIDER IM SULZBACHER CENTER FOR THE HOMELESS INC 611 E ADAMS ST JACKSONVILLE FL 32202 593229898 501(C)(3) 542684 0 DCF SAMH PROVIDER INSPIRE TO RISE INC 5927 OLD TIMUQUANA ROAD JACKSONVILLE FL 32210 831762729 501(C)(3) 718503 0 DCF SAMH PROVIDER JACKSONVILLE FIRE AND RESCUE DEPT 117 WEST DUVAL STREET SUITE 375 JACKSONVILLE FL 32202 596000344 DUVAL COUNTY 262206 0 DCF SAMH PROVIDER JEWISH FAMILY & COMMUNITY SERVICES INC 8540 BAYCENTER RD JACKSONVILLE FL 32256 590637868 501(C)(3) 450000 0 DCF SAMH PROVIDER LIFESTREAM BEHAVIORAL CENTER INC 2020 TALLY ROAD LEESBURG FL 34749 591561501 501(C)(3) 32991909 0 DCF SAMH PROVIDER LIVING HOPE INC 1162 NW OLD MILL DRIVE LAKE CITY FL 32055 352806286 501(C)(3) 549919 0 DCF SAMH PROVIDER MARION COUNTY BOARD OF COUNTY COMMISSIONERS PO BOX 1030 OCALA FL 34478 596000735 MARION COUNTY 168845 0 DCF SAMH PROVIDER 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40 E ADAMS ST STE LL05 JACKSONVILLE FL 32202 592931035 501(C)(3) 500000 0 DCF SAMH PROVIDER NORTHWEST BEHAVIORAL HEALTH SERVICES INC PO BOX 9373A JACKSONVILLE FL 32208 593128476 501(C)(3) 708778 0 DCF SAMH PROVIDER OPERATION PAR INC 6655 66TH ST N PINELLAS PARK FL 33781 591349234 501(C)(3) 2982468 0 DCF SAMH PROVIDER OUTREACH COMMUNITY CARE NETWORK INC 240240 NORTH FREDERICK AVENUE DAYTONA BEACH FL 32114 592897172 1308938 0 DCF SAMH PROVIDER PARTNERSHIP FOR STRONG FAMILIES 5950 NW 1ST PLACE SUITE 300 GAINSVILLE FL 32607 030423150 501(C)(3) 155719 0 DCF SAMH PROVIDER PHOENIX PROGRAMS OF FLORIDA DBA PHOENIX HOUSE OF FLORIDA 501 VONDERBURG DRIVE SUITE 301 BRANDON FL 33511 593172948 501(C)(3) 137980 0 DCF SAMH PROVIDER PROJECT HEALTH INC DBA LANGLEY HEALTH SERVICES 1425 S US HWY 301 SUMTERVILLE FL 33585 591664577 245930 0 DCF SAMH PROVIDER PUTNAM COUNTY BOARD OF COUNTY COMMISSIONERS PO BOX 758 PALATKA FL 32178 596000816 PUTNAM COUNTY 815682 0 DCF SAMH PROVIDER RADKIDS INC 1710 FALLS CHURCH 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FL 33605 581856992 501(C)(3) 197913 0 DCF SAMH PROVIDER VOLUSIA RECOVERY ALLIANCE INC 3140 S ATLANTIC AVENUE DAYTONA BEACH FL 32118 842207501 501(C)(3) 438513 0 DCF SAMH PROVIDER ZERO HOUR LIFE CENTER INC 3070 W CARDINAL STREET LECANTO FL 34461 824751578 501(C)(3) 1488115 0 DCF SAMH PROVIDER 79 20 DIRECT CASH ASSISTANCE FOR RENT, UTILITIES, ETC 19019 6141091 FOOD, CLOTHING 23899 5184501 PART I, LINE 2: IT IS THE POLICY OF LSF TO MAINTAIN ACCURATE BOOKS AND TO PUBLISH AND DISTRIBUTE A COMPLETE SET OF CURRENT MONTH AND YEAR TO DATE FINANCIAL STATEMENTS TO CONTRACT MANAGERS REFLECTING THE ACCURACY AND TIMELY PUBLICATION OF THEIR GRANTS AND CONTRACT FUNDING. ALL INDIVIDUALS RECEIVING CASH AND/OR NONCASH ASSISTANCE ARE ELIGIBLE TO RECEIVE SUCH ASSISTANCE IN ACCORDANCE WITH LSF'S CONTRACTS WITH THE FUNDING SOURCES. LSF'S CONTRACT COMPLIANCE IS ROUTINELY MONITORED BY THE VARIOUS FUNDERS. X X X X X 1 1 0 0 0 0 0 0 0 SAMUEL M SIPES PRESIDENT AND CEO 598788 0 0 0 2160 0 35059 0 18812 0 654819 0 0 0 CHRISTINE A CAUFFIELD CEO & EXEC VP SAMH 309657 0 463 0 2268 0 8637 0 9478 0 330503 0 0 0 MICHAEL P CARROLL CHIEF OPERATING OFFICER 286017 0 0 0 1858 0 8700 0 9650 0 306225 0 0 0 ROBERT J WYDRA JR CFO 212471 0 0 0 846 0 28031 0 26263 0 267611 0 0 0 ROBERT BIALAS EVP CHILDREN & HS SERV 209261 0 0 0 846 0 28774 0 25066 0 263947 0 0 0 AMELIA FOX CSO 213732 0 0 0 846 0 29529 0 17133 0 261240 0 0 0 ROBERT W HALEY EVP LEGAL & GEN COUNSEL 213483 0 0 0 177 0 29529 0 9452 0 252641 0 0 0 LISA MAYROSE EVP FAMILY FOCUS 212210 0 0 0 442 0 6416 0 9210 0 228278 0 0 0 PHILIP HUBBELL EXEC VP (THRU 10/2024) 83763 0 0 0 109738 0 10591 0 16279 0 220371 0 0 0 SHELLEY S KATZ CHIEF OPERATING OFFICER 169263 0 0 0 925 0 5171 0 8695 0 184054 0 0 0 MARIE MASON VICE PRESIDENT OPERATIONS 168901 0 0 0 619 0 3547 0 9193 0 182260 0 0 0 LISA GALBRAITH CORPORATE CONTROLLER 175005 0 0 0 620 0 4453 0 431 0 180509 0 0 0 PART I, LINE 3 THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE PROCESS INCLUDES AN INDEPENDENT COMPENSATION REVIEW COMPLETED BY AN INDEPENDENT COMPENSATION CONSULTANT, REVIEW OF SIMILAR ORGANIZATIONS' FORM 990, AND CONSULTING WITH LUTHERAN SERVICES OF AMERICA'S SALARY LISTING OF SIMILAR POSITIONS AROUND THE COUNTRY. THE BOARD ANALYZES AND COMPARES THE INFORMATION TO DETERMINE THE APPROPRIATE LEVEL OF COMPENSATION. FOR OTHER OFFICERS OF THE ORGANIZATION, SALARY SURVEYS ARE USED AND COMPARED. ALL PROCESSES USED TO DETERMINE COMPENSATION ARE DOCUMENTED. PART I, LINES 4A-B PHILIP HUBBELL RECEIVED A SEVERENCE PAYMENT OF $109,000 ROBERT WYDRA JR CFO COLLATERAL ASSIGNED: SPLIT DOLLAR LIFE INSURANCE AGREEMENT X 70000 210000 0 1 1 PHILIP HUBBELL EXEC VP HR COLLATERAL ASSIGNED: SPLIT DOLLAR LIFE INSURANCE AGREEMENT X 60000 180000 0 1 1 AMELIA FOX CSO COLLATERAL ASSIGNED: SPLIT DOLLAR LIFE INSURANCE AGREEMENT X 60000 190000 0 1 1 ROBERT BIALAS EVP CHILDREN & HS SERV COLLATERAL ASSIGNED: SPLIT DOLLAR LIFE INSURANCE AGREEMENT X 50000 150000 0 1 1 730000 SCHEDULE L, PART II THE FOUR OFFICERS LISTED IN PART II WERE PREVIOUSLY PARTICIPANTS IN THE ORGANIZATION'S 457(F) PLAN. THE PLANS WERE TERMINATED AND PAID OUT IN 2020. EFFECTIVE 03/01/2021, THESE INDIVIDUALS EACH ENTERED INTO A SPLIT DOLLAR AGREEMENT WITH THE ORGANIZATION. X 2476397 FMV 0 0 1 0 PART I, COLUMN (B): REPORTING THE NUMBER OF CONTRIBUTIONS FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS INITIALLY REVIEWED INTERNALLY BY THE PRESIDENT/CEO AND CFO OF THE ORGANIZATION. SUBSEQUENT TO THIS REVIEW, THE 990 IS FORWARDED TO THE BOARD OF DIRECTORS FOR COMMENTS AND QUESTIONS PRIOR TO FILING. THE CFO SIGNS THE RETURN AFTER CONSIDERING ALL OF THE BOARD OF DIRECTORS COMMENTS AND QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C THE PURPOSE OF THE LSF CONFLICT OF INTEREST POLICY IS TO PROTECT THE ORGANIZATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE ORGANIZATION. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE ORGANIZATIONS. TO ENSURE COMPLIANCE WITH THIS CONFLICT OF INTEREST POLICY AS IT APPLIES TO THE BOARD, LUTHERAN SERVICES FLORIDA PROHIBITS MEMBERS OF THE GOVERNING BOARD FROM ALSO BEING ORGANIZATION PERSONNEL. THE ORGANIZATION ENSURES THAT THE GOVERNING BOARD MEMBERS WHO ARE RELATIVES OF PERSONNEL RECUSE THEMSELVES ON MATTERS WHERE OBJECTIVITY WOULD BE COMPROMISED. TO FURTHER AVOID ANY APPEARANCE OF CONFLICT OF INTEREST, NO GOVERNING BOARD MEMBER, EMPLOYEE, AGENT OR PRINCIPAL SHALL PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF A PURCHASE OR CONTRACT WITH A VENDOR WHERE, TO HIS/HER KNOWLEDGE, ANY INDIVIDUAL, FAMILY MEMBER, PARTNER, OR POTENTIAL EMPLOYER HAS FINANCIAL INTEREST IN THE PURCHASE OR CONTRACT. IN ADDITION EACH MEMBER OF THE BOARD SIGNS A STATEMENT INDICATING THAT THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY AND UNDERSTAND SAID POLICY. LSF ALSO HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO PERSONNEL WHICH IS FOUND IN THE PERSONNEL POLICY MANUAL. THIS POLICY STATES THAT NO LSF EMPLOYEE MAY ENGAGE IN ANY ACTIVITY THAT MIGHT BENEFIT HIM/HER PERSONALLY AT THE EXPENSE OF, OR THAT MIGHT BE HARMFUL TO THE ORGANIZATION. IF THERE IS ANY QUESTION REGARDING THIS ISSUE, THE MATTER SHOULD BE SUBMITTED IN WRITING TO THE CHIEF EXECUTIVE OFFICER. EMPLOYEES MAY ENGAGE IN ACTIVITIES, INCLUDING ADDITIONAL EMPLOYMENT, OUTSIDE OF WORKING-TIME AND AWAY FROM LSF PREMISES, OF THEIR OWN CHOOSING, PROVIDED THAT SUCH DO NOT CONFLICT OR INTERFERE WITH LSF'S OBJECTIVES OR PURPOSES AND THE EMPLOYEE'S PERFORMANCE OR THE ABILITY TO MEET LSF REQUIREMENTS. LSF RESOURCES OR WORKING TIME SHOULD NOT BE USED IN FURTHERANCE OF OUTSIDE EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE PROCESS INCLUDES AN INDEPENDENT COMPENSATION REVIEW COMPLETED BY AN INDEPENDENT COMPENSATION CONSULTANT, REVIEW OF SIMILAR ORGANIZATIONS' FORM 990, AND CONSULTING WITH LUTHERAN SERVICES OF AMERICA'S SALARY LISTING OF SIMILAR POSITIONS AROUND THE COUNTRY. THE BOARD ANALYZES AND COMPARES THE INFORMATION TO DETERMINE THE APPROPRIATE LEVEL OF COMPENSATION. FOR OTHER OFFICERS OF THE ORGANIZATION, SALARY SURVEYS ARE USED AND COMPARED. ALL PROCESSES USED TO DETERMINE COMPENSATION ARE DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UNDER REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF TIME AS SET FORTH BY IRC SECTION 6104(D). REQUESTS CAN BE DIRECTED TO THE CORPORATE CONTROLLER AT (813) 676-9480. FORM 990, PART XI, LINE 9: CHANGES IN VALUE OF BENEFICIAL INTEREST IN ASSETS HELD BY OTHERS 69,945. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S OVERSIGHT AND SELECTION PROCESSES HAVE NOT CHANGED FROM THE PRIOR YEAR. 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