HONEY LAKE CLINIC INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HONEY LAKE CLINIC INC (EIN 82-0770125)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202203189349313800
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-14T15:58:24-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN272051003PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BUESCHER AND COMPANY LLC CPASBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1121 NE RANGE AVE PO DRAWER 570AddressLine1Txt
CityMADISONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP323410570ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN820770125EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HONEY LAKE CLINIC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHONEBusinessNameControlTxt
Phone8555253210PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 HONEY LAKE ROADAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32331ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA STEWARTPersonNm
Person TitleDIR., SECRETARY, CEOPersonTitleTxt
Phone8555253210PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLISAPersonFirstNm
Person LastSTEWARTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK F BUESCHERPreparerPersonNm
PTINP01064802PTIN
Phone8509734034PhoneNum
Preparation2022-11-14PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLISA STEWARTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 HONEY LAKE ROADAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32331ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,537,943GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HONEYLAKE.CLINICWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2017FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO PROVIDE BEHAVIORAL HEALTH HEALING THAT IS GROUNDED AND SUSTAINED BY A CHRISTIAN FAITH.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee254TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,514,031PYContributionsGrantsAmt
CY Contributions Grants$417,310CYContributionsGrantsAmt
PY Program Service Revenue$13,838,708PYProgramServiceRevenueAmt
CY Program Service Revenue$15,991,922CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$89,213PYOtherRevenueAmt
CY Other Revenue$128,711CYOtherRevenueAmt
PY Total Revenue$16,441,952PYTotalRevenueAmt
CY Total Revenue$16,537,943CYTotalRevenueAmt
PY Grants And Similar Paid$3,303,923PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,041,325CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,960,755PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,007,203CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,027,334PYOtherExpensesAmt
CY Other Expenses$6,740,031CYOtherExpensesAmt
PY Total Expenses$15,292,012PYTotalExpensesAmt
CY Total Expenses$16,788,559CYTotalExpensesAmt
PY Revenues Less Expenses$1,149,940PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$250,616CYRevenuesLessExpensesAmt
Total Assets BOY$14,199,418TotalAssetsBOYAmt
Total Assets EOY$14,302,159TotalAssetsEOYAmt
Total Liabilities BOY$10,544,668TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,898,025TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,654,750NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,404,134NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION EXISTS TO PROVIDE BEHAVIORAL HEALTH HEALING THAT IS GROUNDED AND SUSTAINED BY A CHRISTIAN FAITH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$14,606,703ExpenseAmt
Grant$3,041,325GrantAmt
Revenue$15,991,922RevenueAmt
DescTHE ORGANIZATION OPERATES A BIBLICALLY-BASED, HOLISTIC MENTAL HEALTH AND REHABILITATION CLINIC. THE ORGANIZATION PROVIDES A PLACE FOR BROKEN AND BURNED OUT PEOPLE STRUGGLING WITH DEPRESSION AND OTHER MENTAL ILLNESSES, AS WELL AS FOR PEOPLE STRUGGLING WITH SUBSTANCE ABUSE OR ADDICTIONS. THE ORGANIZATION SERVES THESE INDIVIDUALS THROUGH OUTPATIENT TREATMENT, RESIDENTIAL DETOXIFICATION, AFTERCARE, AND INTERVENTION AND CASE MANAGEMENT. ALL PATIENTS ARE ASSIGNED A TREAMENT TEAM WHO ASSUMES THE RESPONSIBILITY OF ENGAGING PATIENTS IN THE TREATMENT AND RECOVERY PROCESS, OVERSEEING THE COORDINATION OF CARE, SERVING AS ADVOCATES FOR THE PATIENTS, PROVIDING EDUCATION AND CONTINUAL SUPPORT, AND OTHERWISE WORKING WITH THE PATIENTS THROUGHOUT THE RESIDENTIAL AND OUTPATIENT PROGRAMS. THE ORGANIZATION ALSO HAS A SPECIALIZED PASTORAL TRACK FOR PASTORS AND MINISTRY LEADERS. THE ORGANIZATION RECOGNIZES THE SIGNIFICANT NEED IN THIS AREA - TO PROVIDE CHRISTIAN COUNSELING AND REHABILITATION FOR PASTORS WHO ARE LEADING AND LIVING ON EMPTY. THE ORGANIZATION UTILIZES ITS CONNECTIONS WITH MINISTRIES AND CHURCHES ACROSS THE U.S. TO IDENTIFY PATIENTS THAT WOULD BE A GOOD FIT FOR THIS SPECIALIZED PROGRAM.Desc
Total Program Service Expenses$14,606,703TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document75IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee254EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HONEY LAKE CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8552224756PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 HONEY LAKE ROADAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32331ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
DANIEL WRIGHT
MEDICAL PROF40.00Yes (X)$195,285$0$0
ELIZABETH FULFORD
MEDICAL PROF40.00Yes (X)$191,829$0$0
KARL BENZIO
DIR., MEDICA40.00$154,245$0$0Yes (X)
LISA STEWART
DIR., SECRET40.00$141,354$0$0Yes (X)Yes (X)
DAVID HOSKINS
CO-CHAIR, PR40.00$121,554$0$0Yes (X)Yes (X)
DEVAN SCHANDING
CFO40.00$110,000$0$0Yes (X)
MICHELLE MILLER
MEDICAL PROF40.00Yes (X)$103,085$0$0
KIM NACHTWEY
DIRECTOR, MA40.00$101,902$0$0Yes (X)
ANGELA CANNON
CHAIRMAN0.50$0$0$0Yes (X)
BRYAN SCHWARTZ
DIRECTOR0.50$0$0$0Yes (X)
JACOB WILLIAM
DIRECTOR0.50$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,119,254TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INFINITY BEHAVIORAL HEALTH SERVICES
2901 STIRLING RDSTE 300FT LAUDERDALEFL33309BILLING$323,503
LUCA MEDICAL SERVICES LLC
5745 SW 75TH STSTE 365GAINESVILLEFL32608MEDICAL$290,656
ALPHA ADDICTION MARKETING LLC
7808 KICKAPOO DRMCKINNEYTX75070MARKETING$244,027
OASIS HEALTH ONLINE LLC
140 ISLAND WAYUNIT 127CLEARWATER BEACHFL33767MEDICAL$200,000
THE CENTER CONSULTING GROUP
123 N MAIN STSTE 200DUBLINPA18917CONSULTING$100,483
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$341,732GovernmentGrantsAmt
All Other Contributions$75,578AllOtherContributionsAmt
Total Contributions$417,310TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business623990BusinessCd
Total Revenue Column$15,991,922TotalRevenueColumnAmt
Related Or Exempt Func Income$15,991,922RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,991,922TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Total Revenue Column$128,711TotalRevenueColumnAmt
Exclusion$128,711ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$128,711OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,537,943TotalRevenueColumnAmt
Related Or Exempt Func Income$15,991,922RelatedOrExemptFuncIncomeAmt
Exclusion$128,711ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$129,662TotalAmt
Program Services$129,662ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$2,911,663TotalAmt
Program Services$2,911,663ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$9,071TotalAmt
Program Services$9,071ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,013,942TotalAmt
Program Services$5,535,598ProgramServicesAmt
Management And General$478,344ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$489,180TotalAmt
Program Services$453,628ProgramServicesAmt
Management And General$35,552ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$495,010TotalAmt
Program Services$459,034ProgramServicesAmt
Management And General$35,976ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$168,409TotalAmt
Management And General$168,409ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$156,194TotalAmt
Management And General$156,194ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,582TotalAmt
Management And General$18,582ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,555,727TotalAmt
Program Services$968,082ProgramServicesAmt
Management And General$587,645ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,059,608TotalAmt
Program Services$1,059,608ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,562,519TotalAmt
Program Services$1,186,167ProgramServicesAmt
Management And General$376,352ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,270TotalAmt
Management And General$21,270ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$498,623TotalAmt
Program Services$498,623ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$504,225TotalAmt
Program Services$403,380ProgramServicesAmt
Management And General$100,845ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$205,502TotalAmt
Program Services$164,401ProgramServicesAmt
Management And General$41,101ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
KITCHEN$460,966$460,966
PATIENT SERVICES$234,078$234,078
MEDICAL$116,738$116,738
HUMAN RESOURCES$83,374$3,680$79,694

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$94,216TotalAmt
Program Services$12,324ProgramServicesAmt
Management And General$81,892ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,788,559TotalAmt
Program Services$14,606,703ProgramServicesAmt
Management And General$2,181,856ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$905,001BOYAmt
EOY$1,037,020EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$136,500EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$37,209BOYAmt
EOY$73,272EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,637,008LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,581,641LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$13,257,208BOYAmt
EOY$13,055,367EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,199,418BOYAmt
EOY$14,302,159EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$132,357BOYAmt
EOY$220,841EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$10,412,311BOYAmt
EOY$10,677,184EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,544,668BOYAmt
EOY$10,898,025EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,654,750BOYAmt
EOY$3,404,134EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,654,750BOYAmt
EOY$3,404,134EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,199,418BOYAmt
EOY$14,302,159EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$250,616ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,762,723OtherCostOrOtherBasisAmt
Book Value$3,762,723BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,680,219OtherCostOrOtherBasisAmt
Depreciation$1,027,000DepreciationAmt
Book Value$8,653,219BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,046,337OtherCostOrOtherBasisAmt
Depreciation$506,627DepreciationAmt
Book Value$539,710BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$147,729OtherCostOrOtherBasisAmt
Depreciation$48,014DepreciationAmt
Book Value$99,715BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,055,367TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HABITAT FOR WHOLENESS INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 RIVERSIDE AVEAddressLine1Txt
Address Line2SUITE 800AddressLine2Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32204ZIPCd
FieldValueIRS element (for citing)
Recipient EIN815276221RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$129,662CashGrantAmt
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPS TO PATIENTSGrantTypeTxt
Recipient220RecipientCnt
Cash Grant$2,911,663CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationGRANTS TO ORGANIZATIONS: THE ORGANIZATION MAKES GRANTS TO ORGANIZATIONS WHOSE PURPOSES ARE CONSISTENT WITH THE PURPOSES SET FORTH IN THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS. THE ORGANIZATION MAINTAINS ONGOING RELATIONSHIPS WITH THE GRANTEE ORGANIZATIONS AND THEREFORE NO ADDITIONAL MONITORING OF THE GRANTED FUNDS IS CONSIDERED NECESSARY. SCHOLARSHIP GRANTS TO INDIVIDUALS: THE ORGANIZATION ACCEPTS PATIENTS WHO DO NOT HAVE PRIVATE HEALTH INSURANCE OR CANNOT OTHERWISE PAY FOR THE COST OF THEIR CARE. PRIOR TO ADMITTANCE TO THE ORGANIZATION'S TREATMENT PROGRAMS, THE ORGANIZATION EVALUATES ON A CASE-BY-CASE BASIS WHETHER PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE. RECIPIENTS OF FINANCIAL ASSISTANCE (EITHER IN THE FORM OF FEE DISCOUNTS OR IN THE FORM OF FINANCIAL ASSISTANCE COVERING THE ENTIRE COST OF THEIR CARE) ARE DETERMINED BY THE ORGANIZATION'S BOARD OF DIRECTORS. THE DETERMINATION OF WHETHER PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE INCLUDES AN EVALUATION OF THE PATIENT'S HOUSEHOLD INCOME AS COMPARED TO THE FEDERAL POVERTY LEVEL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DANIEL WRIGHT
MEDICAL PROFESSIONAL$195,285$195,285
ELIZABETH FULFORD
MEDICAL PROFESSIONAL$191,829$191,829
KARL BENZIO
DIR., MEDICAL DIR.$154,245$154,245

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART IIIFormAndLineReferenceDesc
ExplanationPART I, LINE 3: SEE SCHEDULE O FOR A DESCRIPTION OF THE ORGANIZATION'S COMPENSATION-SETTING PRACTICES.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMARTINE BENZIOPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$9,170TransactionAmt
TransactionEMPLOYMENTTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationFAMILY MEMBER OF DR. KARL BENZIO, MEDICAL DIRECTOR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4ATHE ORGANIZATION OPERATES A BIBLICALLY-BASED, HOLISTIC MENTAL HEALTH AND REHABILITATION CLINIC. THE ORGANIZATION PROVIDES A PLACE FOR BROKEN AND BURNED OUT PEOPLE STRUGGLING WITH DEPRESSION AND OTHER MENTAL ILLNESSES, AS WELL AS FOR PEOPLE STRUGGLING WITH SUBSTANCE ABUSE OR ADDICTIONS. THE ORGANIZATION SERVES THESE INDIVIDUALS THROUGH OUTPATIENT TREATMENT, RESIDENTIAL DETOXIFICATION, AFTERCARE, AND INTERVENTION AND CASE MANAGEMENT. ALL PATIENTS ARE ASSIGNED A TREAMENT TEAM WHO ASSUMES THE RESPONSIBILITY OF ENGAGING PATIENTS IN THE TREATMENT AND RECOVERY PROCESS, OVERSEEING THE COORDINATION OF CARE, SERVING AS ADVOCATES FOR THE PATIENTS, PROVIDING EDUCATION AND CONTINUAL SUPPORT, AND OTHERWISE WORKING WITH THE PATIENTS THROUGHOUT THE RESIDENTIAL AND OUTPATIENT PROGRAMS. THE ORGANIZATION ALSO HAS A SPECIALIZED PASTORAL TRACK FOR PASTORS AND MINISTRY LEADERS. THE ORGANIZATION RECOGNIZES THE SIGNIFICANT NEED IN THIS AREA - TO PROVIDE CHRISTIAN COUNSELING AND REHABILITATION FOR PASTORS WHO ARE LEADING AND LIVING ON EMPTY. THE ORGANIZATION UTILIZES ITS CONNECTIONS WITH MINISTRIES AND CHURCHES ACROSS THE U.S. TO IDENTIFY PATIENTS THAT WOULD BE A GOOD FIT FOR THIS SPECIALIZED PROGRAM.
FORM 990, PAGE 5, PART V, LINE 3BTHE ORGANIZATION HAD NO UNRELATED BUSINESS TAXABLE INCOME IN THE CURRENT YEAR.
FORM 990, PAGE 6, PART VI, LINE 2DAVID HOSKINS KIM NACHTWEY OTHER BUSINESS RELATIONSHIP DAVID HOSKINS KARL BENZIO OTHER BUSINESS RELATIONSHIP KIM NACHTWEY KARL BENZIO OTHER BUSINESS RELATIONSHIP
FORM 990, PAGE 6, PART VI, LINE 6THE ORGANIZATION HAS THREE PERMANENT MEMBERS: CCJI MINISTRY, LLC, A SINGLE-MEMBER LLC OF WHICH CELEBRATION CHURCH OF JACKSONVILLE, INC., AN UNRELATED TAX-EXEMPT CHURCH, IS THE SOLE MEMBER; CELEBRATION CARE MINISTRIES, AN UNRELATED TAX-EXEMPT ORGANIZATION; AND LIGHTKEEPERS INTERNATIONAL, INC., AN UNRELATED TAX-EXEMPT ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 7ATHE ORGANIZATION'S MEMBERS HAVE THE AUTHORITY TO APPOINT THE NUMBER OF DIRECTORS SPECIFIED IN THE ORGANIZATION'S BYLAWS.
FORM 990, PAGE 6, PART VI, LINE 7BTHE ORGANIZATION'S MEMBERS HAVE THE AUTHORITY TO APPROVE OR REJECT ANY AMENDMENT TO THE ORGANIZATION'S ARTICLES OR BYLAWS THAT MAY MATERIALLY REDUCE, ELIMINATE, OR AFFECT ANY SUCH MEMBER'S RIGHTS OR PRIVILEGES THEREUNDER, AND TO APPROVE OR REJECT DISSOLUTION OF THE ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 11BTHE ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND TOP FINANCIAL OFFICIAL EACH REVIEW THE FORM 990 PRIOR TO ITS FILING WITH THE IRS. A COPY OF THE FINAL FORM 990 IS ALSO PROVIDED TO THE VOTING MEMBERS OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO TIS FILING WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO EACH MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS OFFICERS AND ITS KEY EMPLOYEES ON AN ANNUAL BASIS. EACH SUCH INDIVIDUAL PROVIDES AN ANNUAL DISCLOSURE STATEMENT INDICATING THAT THEY HAVE RECEIVED, READ, UNDERSTOOD AND AGREED TO COMPLY WITH THE POLICY, CERTIFYING THAT: (1) THEY HAVE NO RELATIONSHIPS OR INTERESTS THAT PRESENT A CONFLICT OF INTEREST, (2) THEY HAVE ONE OR MORE CONFLICTS OF INTEREST THAT HAVE BEEN FULLY DISCLOSED AS REQUIRED BY THE POLICY AND HAVE BEEN PROPERLY ADMINISTERED IN CONFORMITY WITH THE POLICY, OR (3) THEY HAVE PREVIOUSLY UNDISCLOSED CONFLICTS OF INTEREST AND DISCLOSING THE DETAILS OF SUCH CONFLICTS. ANY DISCLOSURE STATEMENTS WITH PREVIOUSLY UNDISCLOSED CONFLICTS OF INTEREST ARE FORWARDED TO APPROPRIATE ORGANIZATION OFFICIALS TO TAKE APPROPRIATE ACTIONS AS REQUIRED BY THE POLICY.
FORM 990, PAGE 6, PART VI, LINE 15ATHE ORGANIZATION'S BOARD OF DIRECTORS, OR AN INDEPENDENT COMMITTEE THEREOF, ANNUALLY REVIEWS AND APPROVES THE COMPENSATION LEVELS OF THE ORGANIZATION'S CEO, OFFICERS, KEY EMPLOYEES, AND DIRECTORS (INCLUDING COMPENSATION PAID TO ENTITIES OWNED OR CONTROLLED BY SUCH INDIVIDUALS). THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY SUBSTANTIATED. THE COMMITTEE UTILIZES COMPARABILITY DATA IN ITS DELIBERATIONS; UPDATED COMPARABILITY DATA IS GENERALLY OBTAINED EVERY TWO TO THREE YEARS.
FORM 990, PAGE 6, PART VI, LINE 15BTHE ORGANIZATION'S BOARD OF DIRECTORS, OR AN INDEPENDENT COMMITTEE THEREOF, ANNUALLY REVIEWS AND APPROVES THE COMPENSATION LEVELS OF THE ORGANIZATION'S CEO, OFFICERS, KEY EMPLOYEES, AND DIRECTORS (INCLUDING COMPENSATION PAID TO ENTITIES OWNED OR CONTROLLED BY SUCH INDIVIDUALS). THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY SUBSTANTIATED. THE COMMITTEE UTILIZES COMPARABILITY DATA IN ITS DELIBERATIONS; UPDATED COMPARABILITY DATA IS GENERALLY OBTAINED EVERY TWO TO THREE YEARS.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION PROVIDES, UPON REQUEST, COPIES OF ITS ARTICLES OF INCORPORATION, BYLAWS, CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS.
FORM 990, PAGE 12, PART XII, LINE 1THE METHOD OF ACCOUNTING ON THE PRIOR YEAR FORM 990 INCORRECTLY STATED THAT THE ACCRUAL METHOD OF ACCOUNTING WAS USED WHEN IN FACT THE ORGANIZATION USED THE TAX BASIS OF ACCOUNTING. FORMALLY, THERE WAS NO CHANGE AND NO ADJUSTMENTS WERE REQUIRED. THE ORGANIZATION PREPARES ITS FINANCIAL STATEMENTS ON THE INCOME TAX BASIS OF ACCOUNTING; CONSEQUENTLY, REVENUE IS RECOGNIZED AS PAYMENT IS RECEIVED BY THE ORGANIZATION. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE THE RECOGNITION OF REVENUE AS WHEN IT IS EARNED. ADDITIONALLY, THE TAX BASIS OF ACCOUNTING REQUIRES THAT BAD DEBTS BE RECOGNIZED WHEN RECEIVABLES ARE DEEMED FULLY UNCOLLECTIBLE; GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRES THE RECOGNITION OF BAD DEBTS USING AN ALLOWANCE METHOD.

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