2018-11-13T17:36:13-06:00 2017-12-31 204193611 Batts Morrison Wales & Lee PA 801 North Orange Avenue Suite 800 Orlando FL 32801 990 2017-02-27 820770125 Honey Lake Clinic Inc HONE 8004647055 1290 NW Honey Lake Road Greenville FL 32331 Lisa Stewart Secretary 8004647055 2018-11-01 1 Julia W James P01772503 4077706000 2018-11-01 99.25.81.133 2018-11-01 08:38:25 ED P 935CACE8365413C0D76314017BD70661184C200E 9186699DBC0B9D024B46EF56CBABE41DC07C0D8B 2017 2019-02-21 02:37:17Z X Dr David Hoskins 1290 NW Honey Lake Road Greenville FL 32331 5580812 0 X www.honeylake.clinic X 2017 FL To help individuals renew their minds, achieve their God-given potential and live transformed lives. 7 6 104 7 0 0 2335153 3245659 0 0 5580812 1470025 0 1050912 0 0 1133069 3654006 1926806 7859303 5932497 1926806 X The Organization exists so that God and the name of Jesus would be glorified as individuals psychologically and spiritually renew their minds, achieve their God-given potential, and live transformed lives of joy, peace, forgiveness, freedom, meaning, purpose and fulfillment. 0 0 3283351 1470025 3245659 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, rehabilitation programs with community housing, intensive inpatient, residential detoxification, aftercare, and intervention and case management. All patients are assigned a case manager 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. 3283351 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 32 0 1 104 1 0 0 0 0 0 0 0 0 0 0 X 7 6 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 X Lisa Stewart 8004647055 1290 NW Honey Lake Road Greenville FL 32331 X Dr David Hoskins Co-Chairman/President/Director 35.00 X X 0 0 0 Pastor Stovall Weems Co-Chairman/Director 10.00 X X 0 0 0 Lisa Stewart Secretary/Director 10.00 X X 0 0 0 Dr Kim Nachtwey Treasurer/Director 15.00 X X 0 0 0 Dr Karl Benzio Director 30.00 X 0 0 0 Dale Berkey Director 1.50 X 0 0 0 David Branker Director 10.00 X 0 0 0 0 0 0 0 0 0 0 0 2335153 1939099 2335153 Patient Fees 623990 3245659 3245659 3245659 5580812 3245659 0 0 307525 307525 1162500 1162500 819607 647529 172078 231305 185044 46261 3832 3832 48662 8300 40362 141742 141742 37884 4889 32995 75593 20045 55548 441050 436990 4060 678 678 36979 36979 69566 55653 13913 Operations & Guest Svcs 216644 215038 1606 Clinical 42350 42350 Medical 18089 18089 3654006 3283351 370655 0 101063 13709 7781510 36979 0 7744531 0 7859303 28485 5756000 0 148012 0 5932497 X 1926806 0 1926806 0 7859303 1926806 0 X 1 X 0 0 0 X 230000 230000 7044442 663 7043779 477618 34212 443406 29450 2104 27346 7744531 Obligation under lease agreement 148012 148012 1 Lightkeepers International Inc 13639 Allamanda Cir Pt Charlotte FL 339813911 812900787 501(c)(3) 307525 General support 1 0 Scholarships to patients 69 1162500 Part I, Line 2: Grants to organizations: The Organization makes grants to organizations exempt under 501(c)(3) whose purposes are consistent with the purposes set forth in the Organization's Articles of Incorporation and Bylaws. In 2017, grants of $307,525 were made by the Organization to Lightkeepers International, Inc. ("Lightkeepers") (an organization recognized by the IRS as a publicly supported organization described in IRC 509(a)(1) and 170(b)(1)(A)(vi)). The Organization maintains an ongoing relationship with Lightkeepers 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. Honey Lake Resorts LLC See Part V 5561588 Purchase The Organization purchased property from Honey Lake Resorts, LLC, a partnership in which a director holds an ownership interest. The purchase price for the property was substantially less than fair market value, as supported by an independent appraisal obtained by the Organization's bank. The independent members of the Organization's board appropriately approved the transaction in accordance with the Organization's conflict of interest policy. 0 X 1 1939099 Appraised Value 0 0 1 0 Part I, Column (b): The Organization is reporting in Part I, column (b), the number of contributions received. Form 990, Part VI, Section A, line 2 Dr. David Hoskins, Dr. Kim Nachtwey, and Dr. Karl Benzio have a business relationship. Lisa Stewart and Pastor Stovall Weems have a business relationship. Dale Berkey and David Branker have 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, and key employees. 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.