COVENANT HEALTH AND COMMUNITY SERVICES INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
COVENANT HEALTH AND COMMUNITY SERVICES INC (EIN 46-5132177)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201843179349304964
Schema version
2017v2.3
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)
Return2018-11-13T13:38:37-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN592922169PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SALTMARSH CLEAVELAND & 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 Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN465132177EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COVENANT HEALTH AND COMMUNITY SERVICESBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOVEBusinessNameControlTxt
Phone8504332155PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonODIN BERGPersonNm
Person TitleCFOPersonTitleTxt
Phone8504332155PhoneNum
Signature2018-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES F GUND JR CPAPreparerPersonNm
PTINP00138367PTIN
Phone8504358300PhoneNum
Preparation2018-11-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address70.169.168.131IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-09IPDt
IP Tm10:03:58IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4208B98AE2DE865DA8220B5D7308967EBA4369BFAtSubmissionCreationDeviceId
At Submission Filing Device Id4208B98AE2DE865DA8220B5D7308967EBA4369BFAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1COVENANT CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJEFF MISLEVYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15041 N 12TH AVEAddressLine1Txt
CityPENSACOLACityNm
State AbbreviationFLStateAbbreviationCd
ZIP32504ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,372,531GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHOOSECOVENANT.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionCOVENANT HEALTH AND COMMUNITY SERVICES, INC. WAS FORMED TO ACT AS THE PARENT (SEE SCHEDULE O) (CONTINUATION FROM PART I, LINE 1) CORPORATION OF COVENANT HOSPICE AND ITS AFFILIATES.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers38TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$8,549,082PYProgramServiceRevenueAmt
CY Program Service Revenue$13,370,990CYProgramServiceRevenueAmt
PY Investment Income$253PYInvestmentIncomeAmt
CY Investment Income$1,541CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$8,549,335PYTotalRevenueAmt
CY Total Revenue$13,372,531CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,989,111PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,192,247CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,474,628PYOtherExpensesAmt
CY Other Expenses$1,458,041CYOtherExpensesAmt
PY Total Expenses$9,463,739PYTotalExpensesAmt
CY Total Expenses$12,650,288CYTotalExpensesAmt
PY Revenues Less Expenses-$914,404PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$722,243CYRevenuesLessExpensesAmt
Total Assets BOY$12,300,797TotalAssetsBOYAmt
Total Assets EOY$13,633,290TotalAssetsEOYAmt
Total Liabilities BOY$13,447,723TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,057,973TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,146,926NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$424,683NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOVENANT HEALTH AND COMMUNITY SERVICES, INC. WAS FORMED TO ACT AS THE PARENT CORPORATION OF THE FOUR CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, COVENANT HOSPICE, INC., COVENANT HOSPICE FOUNDATION, INC., ALZHEIMERS FAMILY SERVICES, INC., (SEE SCHEDULE O) (CONTINUATION FROM PART III, LINE 1) AND COVENANT AT HOME, INC. AS WELL AS COVENANT PALLIATIVE CARE SERVICES, LLC AND COVENANT HOME HEALTH HOLDING, LLC.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescCOVENANT HEALTH AND COMMUNITY SERVICES, INC. WAS FORMED TO ACT AS THE PARENT CORPORATION OF THE FOUR CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, COVENANT HOSPICE, INC., COVENANT HOSPICE FOUNDATION, INC., ALZHEIMERS FAMILY SERVICES, INC., AND COVENANT AT HOME, INC. AS WELL AS THE TWO DISREGARDED ENTITES COVENANT PALLIATIVE CARE SERVICES, LLC, AND COVENANT HOME HEALTH HOLDINGS, LLC. COVENANT HOME HEALTH HOLDINGS, LLC IS THE SINGLE MEMBER OF COVENANT HOME HEALTH CARE, LLC.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,434,649ExpenseAmt
Revenue$13,339,567RevenueAmt
DescHOME HEALTH CARE SERVICES - COVENANT CARE IS MAKING A GREATER PROMISE, OFFERING ADDITIONAL SKILLED, HOME-BASED MEDICAL SERVICES AND THERAPIES FOR THOSE:I. RECOVERING FROM SURGERYII. RECOVERING FROM AN ACCIDENT OR INJURYIII. DEALING WITH A SERIOUS ILLNESS OR DISABILITYDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$109,134ExpenseAmt
Revenue$31,423RevenueAmt
DescPALLIATIVE CARE SERVICES - COVENANT CARE'S PALLIATIVE CARE SERVICES CAN ASSIST PATIENT WHO NEED RELIEF FROM PAIN AND ALLEVIATE DISTRESSING SYMPTOMS. PALLIATIVE CARE CAN BE OFFERED ANY TIME DURING DIAGNOSIS AND TREATMENT OF MANY LONG-TERM CONDITIONS. OUR FOCUS IS TO RELIEVE THE PHYSICAL, SOCIAL, EMOTIONAL AND SPIRITUAL SUFFERING THAT OFTEN ACCOMPANIES A CHRONIC OR COMPLEX ILLNESS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$6,543,783TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee12EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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)
Phone8504322155PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15401 N 12TH AVEAddressLine1Txt
CityPENSACOLACityNm
State AbbreviationFLStateAbbreviationCd
ZIP32504ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
TOM OWENS
CHAIRMAN4.0012.00Yes (X)Yes (X)$0$0$0
RODNEY GUTTMANN
VICE-CHAIRMAN4.0012.00Yes (X)Yes (X)$0$0$0
CAREY KING
SECRETARY4.0012.00Yes (X)Yes (X)$0$0$0
XAN SMITH
TREASURER4.0012.00Yes (X)Yes (X)$0$0$0
BILL GREENHUT
PAST CHAIRMAN4.008.00Yes (X)$0$0$0
JEFF MISLEVY
PRESIDENT/CEO4.0052.00Yes (X)Yes (X)$607,038$0$33,197
SUSAN DAVIS
DIRECTOR4.004.00Yes (X)$0$0$0
JAMES S CAMPBELL
DIRECTOR4.004.00Yes (X)$0$0$0
TERESA DOS SANTOS
DIRECTOR4.004.00Yes (X)$0$0$0
DON HAFERKAMP
DIRECTOR4.004.00Yes (X)$0$0$0
WANDA KAYE HAMBRICK
DIRECTOR4.004.00Yes (X)$0$0$0
JANET KINNEY
DIRECTOR4.004.00Yes (X)$0$0$0
BRETT PARRA
DIRECTOR4.004.00Yes (X)$0$0$0
ROGER POISTRAS
DIRECTOR4.004.00Yes (X)$0$0$0
STEVE SARROS
DIRECTOR4.004.00Yes (X)$0$0$0
KENT SKOLROOD
DIRECTOR4.004.00Yes (X)$0$0$0
PATRICE VILLEMURE
DIRECTOR4.004.00Yes (X)$0$0$0
JARL T YOUNG
DIRECTOR4.004.00Yes (X)$0$0$0
ODIN BERG
CFO4.0052.00Yes (X)$336,622$0$16,068
CHERYL HAMILTON
COO4.0048.00Yes (X)$322,912$0$12,538
TODD FISHER
CIO4.0048.00Yes (X)$171,500$0$18,647
AARON WEST
VP FOUNDATION40.000.00Yes (X)$274,549$0$20,669
JAMES SMITH
PHYSICIAN40.000.00$274,549$0$20,669Yes (X)
JEAN MURPHY
PHYSICIAN40.000.00$200,095$0$2,030Yes (X)
STEPHEN DILL
PHYSICIAN40.000.00$165,118$0$25Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,352,383TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$123,843TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOME HEALTH CARE SERVICES621610$13,339,567$13,339,567
PALLATIVE CARE SERVICES623990$31,423$31,423
FieldValueIRS element (for citing)
Total Program Service Revenue$13,370,990TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,541TotalRevenueColumnAmt
Exclusion$1,541ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,372,531TotalRevenueColumnAmt
Related Or Exempt Func Income$13,370,990RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,541ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,585,737TotalAmt
Program Services$4,836,455ProgramServicesAmt
Management And General$4,749,282ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$63,528TotalAmt
Program Services$31,107ProgramServicesAmt
Management And General$32,421ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$767,084TotalAmt
Program Services$433,352ProgramServicesAmt
Management And General$333,732ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$775,898TotalAmt
Program Services$481,606ProgramServicesAmt
Management And General$294,292ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$307,412TotalAmt
Management And General$307,412ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,317TotalAmt
Management And General$8,317ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$553,639TotalAmt
Management And General$553,639ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$121,340TotalAmt
Management And General$121,340ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$480,204TotalAmt
Management And General$480,204ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$136,323TotalAmt
Management And General$136,323ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$192,908TotalAmt
Management And General$192,908ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$341,434TotalAmt
Program Services$335,531ProgramServicesAmt
Management And General$5,903ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$212,916TotalAmt
Management And General$212,916ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,296TotalAmt
Management And General$19,296ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,488TotalAmt
Management And General$14,488ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$316,408$316,408
SALARY ALLOCATION-$1,402,552$109,134-$1,511,686

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$155,908TotalAmt
Program Services$190ProgramServicesAmt
Management And General$155,718ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,650,288TotalAmt
Program Services$6,543,783ProgramServicesAmt
Management And General$6,106,505ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$48,681BOYAmt
EOY$128,449EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,278,009BOYAmt
EOY$1,782,961EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,427,859BOYAmt
EOY$1,549,072EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,614BOYAmt
EOY$6,832EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$335,969LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$301,249LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,002BOYAmt
EOY$34,720EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$9,084,225BOYAmt
EOY$9,079,725EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$428,407BOYAmt
EOY$1,051,531EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,300,797BOYAmt
EOY$13,633,290EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$784,330BOYAmt
EOY$1,437,240EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,600,000BOYAmt
EOY$8,250,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,063,393BOYAmt
EOY$4,370,733EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,447,723BOYAmt
EOY$14,057,973EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,146,926BOYAmt
EOY-$424,683EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,146,926BOYAmt
EOY-$424,683EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,300,797BOYAmt
EOY$13,633,290EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$722,243ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$8,549,082CurrentTaxYearMinus1YearAmt
Current Tax Year$13,370,990CurrentTaxYearAmt
Total$21,920,072TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$8,549,082CurrentTaxYearMinus1YearAmt
Current Tax Year$13,370,990CurrentTaxYearAmt
Total$21,920,072TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$21,920,072PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$253CurrentTaxYearMinus1YearAmt
Current Tax Year$1,541CurrentTaxYearAmt
Total$1,794TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$253CurrentTaxYearMinus1YearAmt
Current Tax Year$1,541CurrentTaxYearAmt
Total$1,794TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$8,549,335CurrentTaxYearMinus1YearAmt
Current Tax Year$13,372,531CurrentTaxYearAmt
Total$21,921,866TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,537OtherCostOrOtherBasisAmt
Depreciation$29,537DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$306,432OtherCostOrOtherBasisAmt
Depreciation$271,712DepreciationAmt
Book Value$34,720BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,720TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM COVENANT AT HOME, INC.$86,660
DUE FROM COVENANT HOSPICE, INC.$702,340
DUE FROM COVENANT HOSPICE FOUNDATION, INC.$30,283
DUE FROM MEMORY CARE CLINIC$142,194
DUE FROM COVENANT ALZHEIMER'S SERVICES$90,054
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,051,531TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO COVENANT HOSPICE, INC.Desc
Amt$4,370,733Amt
FieldValueIRS element (for citing)
Total Liability$4,370,733TotalLiabilityAmt
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, CAH AND CPCS ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
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 (8 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
JEFF MISLEVY
PRESIDENT/CEO$416,202$0$190,458$0$378$0$0$0$33,197$0$640,235$0$0$0
ODIN BERG
CFO$269,123$0$48,030$0$19,469$0$3,333$0$12,735$0$352,690$0$0$0
CHERYL HAMILTON
COO$172,704$0$0$0$150,208$0$832$0$11,706$0$335,450$0$0$0
TODD FISHER
CIO$130,873$0$32,406$0$8,221$0$0$0$18,647$0$190,147$0$0$0
AARON WEST
VP FOUNDATION$271,158$0$3,391$0$0$0$2,022$0$18,647$0$295,218$0$0$0
JAMES SMITH
PHYSICIAN$248,363$0$19,779$0$6,407$0$2,022$0$18,647$0$295,218$0$0$0
JEAN MURPHY
PHYSICIAN$200,064$0$31$0$0$0$1,974$0$56$0$202,125$0$0$0
STEPHEN DILL
PHYSICIAN$164,817$0$301$0$0$0$0$0$25$0$165,143$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationCHERYL HAMILTON, COO, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $143,542.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 HOSPICE, INC. TO DETERMINE THE CEO'S, OTHER OFFICERS', AND OTHER EMPLOYEES' COMPENSATION, THE COVENANT HOSPICE, 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 2017. 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 ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE ON WRITTEN REQUEST.
FORM 990, PART XII, LINE 2C:THE EXECUTIVE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THIS PROCEDURE HAS NOT CHANGED DURING THE YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COVENANT HOME HEALTH HOLDINGS LLC
5401 N 12TH AVEPENSACOLAFL32504811010716SINGLE MEMBER OF COVENANT HOME HEALTH CARE, LLCFL$0$13,557,717COVENANT HEALTH AND COMMUNITY SERVICES INC
COVENANT PALLIATIVE CARE SERVICES LLC
5401 N 12TH AVEPENSACOLAFL32504464822066PALLIATIVE SERVICESFL$31,423$5,320COVENANT HEALTH AND COMMUNITY SERVICES INC
COVENANT HOME HEALTH CARE LLC
5401 N 12TH AVEPENSACOLAFL32504262335536HOME HEALTH CARE SERVICEFL$13,340,708$5,028,525COVENANT HEALTH AND COMMUNITY SERVICES INC

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)7COVENANT HEALTH AND COMMUNITY SERVICES INCYes (1)
COVENANT HOSPICE FOUNDATION INC
5041 N 12TH AVEPENSACOLAFL32504593060139FUNDRAISINGFL501(C)(3)7COVENANT HEALTH AND COMMUNITY SERVICES INCYes (1)
ALZHEIMERS FAMILY SERVICES INC
5041 N 12TH AVEPENSACOLAFL32504593394242SUPPORT TO ALZHEIMERS PATIENTS AND FAMILIESFL501(C)(3)7COVENANT HEALTH AND COMMUNITY SERVICES INCYes (1)
COVENANT AT HOME INC
5041 N 12TH AVEPENSACOLAFL32504322543765HOME HEALTH CAREFL501(C)(3)10COVENANT HEALTH AND COMMUNITY SERVICES INCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
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 OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
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
E$8,250,000FAIR VALUE
DUE TO COVENANT HOSPICE INC
E$4,370,733FAIR VALUE
DUE FROM FOUNDATION
D$30,283FAIR VALUE
DUE FROM PRIVATE DUTY
D$86,660FAIR VALUE
DUE FROM COVENANT HOSPICE INC
D$702,340FAIR VALUE
DUE FROM COVENANT ALZHEIMER'S SERVICES
D$90,054FAIR VALUE
DUE FROM MEMORY CARE CLINIC
D$142,194FAIR VALUE

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