COVENANT HOSPICE FOUNDATION INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
COVENANT HOSPICE FOUNDATION INC (EIN 59-3060139)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-12-08
IRS object ID
202043439349300049
Schema version
2019v5.1
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)
Return2020-12-08T15:30:24-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN592922169PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SALTMARSH CLEAVELAND AND GUNDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1900 NORTH 12TH AVENUEAddressLine1Txt
CityPENSACOLACityNm
State AbbreviationFLStateAbbreviationCd
ZIP32501ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593060139EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COVENANT HOSPICE FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOVEBusinessNameControlTxt
Phone8504332155PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15041 N 12TH AVENUEAddressLine1Txt
CityPENSACOLACityNm
State AbbreviationFLStateAbbreviationCd
ZIP32504ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARTY FRANKLINPersonNm
Person TitleCFOPersonTitleTxt
Phone8504332155PhoneNum
Signature2020-12-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES F GUND JR CPAPreparerPersonNm
PTINP00138367PTIN
Phone8504358300PhoneNum
Preparation2020-12-08PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFF MISLEVYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15041 N 12TH AVENUEAddressLine1Txt
CityPENSACOLACityNm
State AbbreviationFLStateAbbreviationCd
ZIP32504ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,823,222GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHOOSECOVENANT.ORG/HOSPICEWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION'S MISSION IS TO PROVIDE FUNDING TO COVENANT HOSPICE, INC. IN ORDER (SEE SCHEDULE O) (CONTINUATION FROM PART I, LINE 1) TO SUPPLEMENT CHARITY AND INDIGENT CARE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers71TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,619,352PYContributionsGrantsAmt
CY Contributions Grants$1,795,612CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$544,182PYInvestmentIncomeAmt
CY Investment Income$243,346CYInvestmentIncomeAmt
PY Other Revenue-$78,863PYOtherRevenueAmt
CY Other Revenue-$20,006CYOtherRevenueAmt
PY Total Revenue$2,084,671PYTotalRevenueAmt
CY Total Revenue$2,018,952CYTotalRevenueAmt
PY Grants And Similar Paid$3,055,901PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$325,160CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$596,658PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$625,879CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$492,697PYOtherExpensesAmt
CY Other Expenses$517,179CYOtherExpensesAmt
PY Total Expenses$4,145,256PYTotalExpensesAmt
CY Total Expenses$1,468,218CYTotalExpensesAmt
PY Revenues Less Expenses-$2,060,585PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$550,734CYRevenuesLessExpensesAmt
Total Assets BOY$3,089,075TotalAssetsBOYAmt
Total Assets EOY$3,896,948TotalAssetsEOYAmt
Total Liabilities BOY$139,989TotalLiabilitiesBOYAmt
Total Liabilities EOY$184,476TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,949,086NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,712,472NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATIONS MISSION IS TO PROVIDE FUNDING TO COVENANT HOSPICE, INC. IN ORDER TO SUPPLEMENT CHARITY AND INDIGENT CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,321,397ExpenseAmt
Grant$325,160GrantAmt
DescTHE PURPOSE OF COVENANT HOSPICE FOUNDATION, INC IS TO RECEIVE AND MAINTAIN A FUND OR FUNDS OF REAL OR PERSONAL PROPERTY, TO USE PRIMARILY FOR THE FINANCIAL SUPPORT AND ENCOURAGEMENT OF THE HEALTH CARE AND COMMUNITY SUPPORT PROGRAMS OF COVENANT HOSPICE, INC. IN 2019, THE AMOUNT TRANSFERRED HELPED SUPPORT THE COSTS OF UNFUNDED PROGRAMS OF COVENANT HOSPICE, INC., COVENANT MEMORY CARE, INC., AND COVENANT ALZHEIMER'S SERVICES, INC. THESE UNFUNDED PROGRAMS INCLUDES SERVICES FROM THE FOLLOWING DEPARTMENTS: CHAPLAINS, BEREAVEMENT, CHILDREN, AND VOLUNTEERS. PALLIATIVE CARE SERVICES ARE ALSO OFFERED TO PATIENT AFTER LIFE-LIMITING DIAGNOSES, BUT BEFORE THEY ARE READY FOR HOSPICE.Desc
Total Program Service Expenses$1,321,397TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARTIN FRANKLINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8504332155PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15041 N 12TH AVEAddressLine1Txt
CityPENSACOLACityNm
State AbbreviationFLStateAbbreviationCd
ZIP32504ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
JESSICA LEE
CHAIRMAN4.00Yes (X)Yes (X)$0$0$0
JOE BOYLES
VICE CHAIRMAN4.00Yes (X)Yes (X)$0$0$0
MADRINA CIANO
SECRETARY4.00Yes (X)Yes (X)$0$0$0
ODIN BERG
TREASURER4.00Yes (X)Yes (X)$0$332,581$21,73852.00
JEFFREY MISLEVY
PRESIDENT/CEO4.00Yes (X)$0$671,407$4,64452.00
SUSAN DAVID
DIRECTOR4.00Yes (X)$0$0$0
SUE STRAUGHN
DIRECTOR4.00Yes (X)$0$0$0
DENNIS BARNES
DIRECTOR4.00Yes (X)$0$0$0
BEN LEE
DIRECTOR4.00Yes (X)$0$0$0
MARTIN FRANKLIN
CFO4.00Yes (X)$0$211,099$19,04148.00
TODD FISHER
COO4.00Yes (X)$0$312,444$26,87148.00
AARON WEST
VP ADVANCEMENT48.00Yes (X)$0$214,093$26,5944.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,741,624TotReportableCompRltdOrgAmt
Total Other Compensation$98,888TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$96,296FundraisingAmt
All Other Contributions$1,699,316AllOtherContributionsAmt
Noncash Contributions$18,498NoncashContributionsAmt
Total Contributions$1,795,612TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,525TotalRevenueColumnAmt
Exclusion$56,525ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$914,010SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$727,189SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$186,821SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$186,821TotalRevenueColumnAmt
Exclusion$186,821ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$57,075FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$96,296ContriRptFundraisingEventAmt
Fundraising Direct Expenses$77,081FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$20,006TotalRevenueColumnAmt
Exclusion-$20,006ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,018,952TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$223,340ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$325,160TotalAmt
Program Services$325,160ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$520,885TotalAmt
Program Services$475,262ProgramServicesAmt
Management And General$45,623ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$72,804TotalAmt
Program Services$66,427ProgramServicesAmt
Management And General$6,377ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$32,190TotalAmt
Program Services$29,371ProgramServicesAmt
Management And General$2,819ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$76,425TotalAmt
Management And General$76,425ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$54,000TotalAmt
Program Services$54,000ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$63,746TotalAmt
Program Services$58,163ProgramServicesAmt
Management And General$5,583ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,374TotalAmt
Program Services$2,374ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,390TotalAmt
Program Services$20,390ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FAMILY SUPPORT$179,887$179,887
SALARY ALLOCATION$93,042$84,893$8,149
SPONSORSHIPS$6,249$6,249

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$21,066TotalAmt
Program Services$19,221ProgramServicesAmt
Management And General$1,845ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,468,218TotalAmt
Program Services$1,321,397ProgramServicesAmt
Management And General$146,821ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$798,221BOYAmt
EOY$514,168EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,217,360BOYAmt
EOY$2,646,268EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$64,240BOYAmt
EOY$694,485EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,500BOYAmt
EOY$2,042EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,754BOYAmt
EOY$39,985EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,089,075BOYAmt
EOY$3,896,948EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,602BOYAmt
EOY$85,758EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$103,387BOYAmt
EOY$98,718EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$139,989BOYAmt
EOY$184,476EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,482,291BOYAmt
EOY$2,439,951EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$466,795BOYAmt
EOY$1,272,521EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,949,086BOYAmt
EOY$3,712,472EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,089,075BOYAmt
EOY$3,896,948EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$550,734ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$214,755NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,103OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations4SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
COVENANT HOSPICE INC
59220830070$283,756$0
ALZHEIMERS FAMILY SERVICES INC
59339424270$41,404$0
COVENANT HEALTH AND COMMUNITY SERVICES INC
46513217710Yes (1)$0$0
COVENANT AT HOME INC
35254376570$0$0
FieldValueIRS element (for citing)
Supported Organizations Total4SupportedOrganizationsTotalCnt
Support Sum$325,160SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing Doc0ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE AFormAndLineReferenceDesc
ExplanationTHE SUPPORTED ORGANIZATIONS ARE LISTED AS COVENANT HEALTH AND COMMUNITY SERVICES, INC. AND ITS AFFILIATES IN THE ORGANIZATION'S BY-LAWS. COVENANT HOSPICE, INC., ALZHEIMERS FAMILY SERVICES, INC. AND COVENANT AT HOME, INC. ARE AFFILIATES OF COVENANT HEALTH AND COMMUNITY SERVICES, INC.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
GIFT ANNUITY OBLIGATION$38,254
DUE TO COVENANT HEALTH AND COMMUNITY SERVICES, INC.$24,311
DUE TO ALZHEIMER'S FAMILY SERVICES$36,153
FieldValueIRS element (for citing)
Total Liability$98,718TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationCHCS, HOSPICE, THE FOUNDATION, AFS AND CPCS ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1MASK PARADEEvent1Nm
Gross Receipts Event1$100,064GrossReceiptsEvent1Amt
Charitable Contri Event1$69,714CharitableContriEvent1Amt
Gross Revenue Event1$30,350GrossRevenueEvent1Amt
Rent Facility Costs Event1$12,032RentFacilityCostsEvent1Amt
Food And Beverage Event1$18,049FoodAndBeverageEvent1Amt
Entertainment Event1$8,150EntertainmentEvent1Amt
Other Direct Expenses Event1$16,225OtherDirectExpensesEvent1Amt
Event2ART OF FASHIONEvent2Nm
Gross Receipts Event2$53,307GrossReceiptsEvent2Amt
Charitable Contri Event2$26,582CharitableContriEvent2Amt
Gross Revenue Event2$26,725GrossRevenueEvent2Amt
Rent Facility Costs Event2$11,050RentFacilityCostsEvent2Amt
Food And Beverage Event2$6,500FoodAndBeverageEvent2Amt
Entertainment Event2$4,915EntertainmentEvent2Amt
Other Direct Expenses Event2$160OtherDirectExpensesEvent2Amt
Gross Receipts Total$153,371GrossReceiptsTotalAmt
Charitable Contributions Tot$96,296CharitableContributionsTotAmt
Gross Revenue Total Events$57,075GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$23,082RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$24,549FoodAndBeverageTotalEventsAmt
Entertainment Total Events$13,065EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$16,385OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$77,081DirectExpenseSummaryEventsAmt
Net Income Summary-$20,006NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
COVENANT HOSPICE INC
5041 N 12TH AVEPENSACOLAFL32504592208300501(C)(3)$283,756FMVTO SUPPORT OPERATIONS
ALZHEIMER'S FAMILY SERVICES
5041 N 12TH AVEPENSACOLAFL32504593394242501(C)(3)$36,404FMVTO SUPPORT OPERATIONS
COVENANT MEMORY CARE CENTER AT THE JOYCE GOLDENBERG CAMPUS
5041 N 12TH AVEPENSACOLAFL32504812591039501(C)(3)$5,000FMVTO SUPPORT OPERATIONS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ODIN BERG
TREASURER$0$255,102$0$68,706$0$8,773$0$825$0$20,913$0$354,319$0$0
JEFFREY MISLEVY
PRESIDENT/CEO$0$440,884$0$230,523$0$0$0$505$0$4,139$0$676,051$0$0
MARTIN FRANKLIN
CFO$0$184,566$0$26,533$0$0$0$105$0$18,936$0$230,140$0$0
TODD FISHER
COO$0$239,251$0$59,058$0$14,135$0$177$0$26,694$0$339,315$0$0
AARON WEST
VP ADVANCEMENT$0$186,826$0$27,267$0$0$0$329$0$26,265$0$240,687$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S SOLE MEMBER IS COVENANT HEALTH AND COMMUNITY SERVICES, INC. (CHCS). CHCS ELECTS THE BOARD MEMBERS OF COVENANT HOSPICE FOUNDATION, INC.
FORM 990, PART VI, SECTION A, LINE 7ACOVENANT HEALTH AND COMMUNITY SERVICES, INC. ELECTS THE BOARD MEMBERS OF COVENANT HOSPICE FOUNDATION, INC.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING ACTIONS REQUIRE WRITTEN APPROVAL FROM COVENANT HEALTH AND COMMUNITY SERVICES, INC: -THE APPOINTMENT OR THE REMOVAL OF A MEMBER OF THE BOARD OF DIRECTORS. -THE INCURRENCE OF ANY SINGLE INDEBTEDNESS OR OTHER OBLIGATIONS IN EXCESS OF $500,000 OR IN THE AGGREGATE DURING ANY 12 MONTHS OF INDEBTEDNESS OR OBLIGATIONS IN EXCESS OF $1,000,000. -THE TRANSFER OF ASSETS OF THE CORPORATION IN ONE OR MORE TRANSACTIONS WITH A VALUE IN EXCESS OF $1,000,000 OR ANY TRANSFER IF THE AGGREGATE TRANSFERS IN THE PRECEDING 12 MONTHS EXCEEDS A VALUE OF $2,000,000. -ANY SINGLE CAPITAL EXPENDITURE IN EXCESS OF $500,000 OR ANY CAPITAL EXPENDITURE IF, IN THE AGGREGATE, THERE WILL BE CAPITAL EXPENDITURES IN EXCESS OF $1,000,000 FOR THE PRIOR 12 MONTHS. -DISSOLUTION OF THE CORPORATION. -A MERGER OF THE CORPORATION INTO ANOTHER ENTITY WHERE THE CORPORATION IS NOT THE SURVIVING ENTITY. -AN AMENDMENT TO THE ARTICLES OF INCORPORATION OR THE BYLAWS
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY STAFF WITH THE ASSISTANCE OF AND REVIEW BY AN INDEPENDENT ACCOUNTING FIRM BEFORE IT IS SIGNED AND SUBMITTED.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST STATEMENTS ARE SENT ANNUALLY TO MEMBERS OF THE BOARD OF DIRECTORS, AND ALL KEY STAFF MEMBERS REPORTABLE ON THE FORM 990. THE FORMS ARE REVIEWED FOR RESPONSES INDICATING A POSSIBLE CONFLICT OF INTEREST. IN ADDITION, THE DIRECTOR OF ACCOUNTING REVIEWS TRANSACTIONS WITH VENDORS WITH WHICH THE BOARD MAY BE AFFILIATED TO DETERMINE THAT ALL TRANSACTIONS ARE MADE AT ARM'S LENGTH. IF A POSSIBLE CONFLICT IS IDENTIFIED, THE PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE BOARD OF DIRECTORS DELIBERATIONS AND DECISIONS IN THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE PAID BY COVENANT HEALTH AND COMMUNITY SERVICES, INC. TO DETERMINE THE CEO'S, OTHER OFFICERS', AND OTHER EMPLOYEES' COMPENSATION, COVENANT HEALTH AND COMMUNITY SERVICES, INC. PROCURES SALARY COMPARABILITY DATA AND HIRES AN INDEPENDENT FIRM TO DO A SALARY COMPARISON FOR ALL SENIOR ADMINISTRATIVE STAFF. THE SALARY COMPARISON WITH THE INDEPENDENT FIRM IS UNDERTAKEN ANNUALLY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD WITH INSIGHT GIVEN FROM THE SALARY COMPARISON OF THE INDEPENDENT FIRM. THIS PROCESS IS DONE ANNUALLY AND IS DOCUMENTED. THE PROCESS WAS LAST PERFORMED IN 2018. BECAUSE THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE NOT COMPENSATED BY THE FILING ORGANIZATION, THIS QUESTION WAS MARKED "NO" IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND THE ORGANIZATIONS CONFLICT OF INTEREST POLICY ARE AVAILABLE ON WRITTEN REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN SPLIT INTEREST -2,103.
FORM 990, PART XII, LINE 2CTHE EXECUTIVE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THIS PROCESS HAS NOT CHANGED DURING THE YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COVENANT HOSPICE INC
5041 N 12TH AVEPENSACOLAFL32504592208300PROVIDES CARE TO TERMINALLY ILL PATIENTSFL501(C)(3)LINE 7COVENANT HEALTH AND COMMUNITY SERVICES INCYes (1)
ALZHEIMERS FAMILY SERVICES INC
5041 N 12TH AVEPENSACOLAFL32504593394242SUPPORT TO ALZHEIMERS PATIENTS AND FAMILIESFL501(C)(3)LINE 7COVENANT HEALTH AND COMMUNITY SERVICES INCYes (1)
COVENANT AT HOME INC
5041 N 12TH AVEPENSACOLAFL32504352543765HOME HEALTH CAREFL501(C)(3)LINE 10COVENANT HEALTH AND COMMUNITY SERVICES INCYes (1)
COVENANT HEALTH AND COMMUNITY SERVICES INC
5041 N 12TH AVEPENSACOLAFL32504465132177SEE SCHEDULE R, PART VIIFL501(C)(3)LINE 10Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COVENANT HOSPICE INC
B$283,756FMV
COVENANT HEALTH AND COMMUNITY SERVICES INC
O$93,042FMV
ALZHEIMERS FAMILY SERVICES
B$36,404FMV
COVENANT MEMORY CARE CENTER
B$5,000FMV
COVENANT HOSPICE INC
D$39,985FMV
ALZHEIMERS FAMILY SERVICES
E$36,153FMV
COVENANT HEALTH AND COMMUNITY SERVICES INC
E$24,311FMV

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