2021-05-13T14:57:22-05:00 2020-12-31 204193611 Batts Morrison Wales & Lee PA 801 North Orange Avenue Suite 800 Orlando FL 32801 990 2020-01-01 820770125 Honey Lake Clinic Inc HONE 8555253210 PO Box 551213 Jacksonville FL 32255 Lisa Stewart Secretary 8555253210 2021-05-12 1 Lisa Stewart 999009999 Michele M Wales P00428093 4077706000 2021-05-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z David Hoskins PO Box 551213 Jacksonville FL 32255 16441952 0 X www.honeylake.clinic X 2017 FL To provide behavioral health healing that is grounded and sustained by a Christian faith. 7 4 266 6 0 0 23754 2514031 11645271 13838708 0 0 0 89213 11669025 16441952 2163620 3303923 0 0 5615409 6960755 0 0 0 3378721 5027334 11157750 15292012 511275 1149940 13010568 14199418 10505758 10544668 2504810 3654750 X The Organization exists to provide behavioral health healing that is grounded and sustained by a Christian faith. 0 0 14185441 3303923 13927921 The 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 treatment programs, intensive inpatient, residential detoxification, aftercare, and intervention and case management. All patients are assigned a treatment 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. 14185441 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 107 0 1 266 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 4 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 X Lisa Stewart 8555253210 1450 NW Honey Lake Road Greenville FL 32331 David Hoskins Co-Chairman/Pres./Director 40.00 0.00 X X 64700 0 0 Pastor Stovall Weems Co-Chairman/Director 0.50 0.00 X X 0 0 0 Kim Nachtwey Treasurer/Director 40.00 0.00 X X 72080 0 0 Lisa Stewart Secretary/Director 10.00 0.00 X X 0 0 0 Dr Karl Benzio Director/Medical Director 40.00 0.00 X 235041 0 15714 Dale Berkey Director 0.50 0.00 X 0 0 0 David Branker Director 0.50 0.00 X 0 0 0 371821 0 15714 1 0 1 0 Infinity Behavioral Health Services 2901 Stirling Rd Ste 300 Ft Lauderdale FL 33312 Billing Services 269366 Lightkeepers International Inc 13639 Allamanda Cir Port Charlotte FL 33981 Marketing Services 241394 Alpha Addiction Marketing LLC 7808 Kickapoo Dr MicKinney TX 75070 Marketing Services 206861 Good Samaritan Network Inc PO Box 10547 Tallahassee FL 32302 Personnel Services 102019 4 1920153 593878 550000 2514031 Patient Fees 623990 13838708 13838708 13838708 Miscellaneous revenue 900099 89213 89213 89213 16441952 13927921 0 0 588564 588564 2715359 2715359 387535 316931 70604 17588 17019 569 6183811 5983585 200226 371821 353230 18591 96008 96008 4292 4292 269366 269366 883537 883537 76014 38449 37565 52121 41697 10424 714823 714823 2913 2913 497201 497201 422651 338121 84530 529498 423598 105900 Kitchen 400785 400785 Patient Services 233642 233642 Operations & Guest Svcs 160870 65420 95450 Medical 87386 87386 596227 486094 110133 15292012 14185441 1106571 0 421566 905001 6000 37209 14359233 1102025 12583002 13257208 13010568 14199418 87241 132357 10203561 10412311 214956 0 10505758 10544668 X 2504810 3654750 2504810 3654750 13010568 14199418 1149940 0 X 1 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3762723 3762723 9461834 736963 8724871 970329 336074 634255 164347 28988 135359 13257208 1 Celebration Church 9555 RG Skinner Pkwy Jacksonville FL 32255 593548973 501(c)(3) 286763 General support Lightkeepers International Inc 13639 Allamanda Cir Port Charlotte FL 33981 812900787 501(c)(3) 286788 General support 2 0 Scholarships to patients 226 2715359 0 Part I, Line 2: Grants 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. X X X 0 0 0 0 0 0 0 0 0 Dr Karl Benzio Director/Medical Director 235041 0 0 0 0 0 0 0 15714 0 250755 0 0 0 Part I, Line 3 See Schedule O for a description of the Organization's compensation-setting practices. Part II, Line 1: During 2019, the Organization paid for medical services provided by Dr. Benzio in two ways: certain payments were paid directly to him as an employee of the Organization (and were reported to him on Form W-2), and certain payments were paid to Lighthouse Psychiatry, LLC (a limited liability company of which Dr. Benzio is the sole member, and reported to the LLC on Form 1099-MISC). During 2020, the Organization solely paid Dr. Benzio directly for medical services provided by him (no payments were made to Lighthouse Psychiatry, LLC), and all such payments were reported on Form W-2 (to the extent required). The total payments made by the Organization during 2020 for medical services provided by Dr. Benzio was less than the total payments made in 2019 for his services. Martine Benzio See Part V 17588 Employment 0 Part IV, Line 1, Column (b): Family member of Dr. Karl Benzio, Director/Medical Director. X 1 550000 Appraisal 0 0 0 0 Part I, Column (b): The Organization is reporting at Part I, Column (b) the number of contributors. Form 990, Part VI, Section A, line 2 David Hoskins, Kim Nachtwey, and Dr. Karl Benzio had a business relationship. Lisa Stewart and Pastor Stovall Weems had a business relationship. Form 990, Part VI, Section A, line 6 The 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, Part VI, Section A, line 7a The Organization's members have the authority to appoint the number of directors specified in the Organization's bylaws. Form 990, Part VI, Section A, line 7b The 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, Part VI, Section B, line 11b The 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 its filing with the IRS. Form 990, Part VI, Section B, line 12c The 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, Part VI, Section B, line 15 The 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, Part VI, Section C, line 19 The Organization provides, upon request, copies of its Articles of Incorporation, bylaws, conflict of interest policy, and its financial statements. Greenville Outpatient Services Inc 437 Jack Rabbit Loop Greenville FL 32331 844133737 Outpatient Services FL 501(c)(3) Line 3 N/A 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0