2016-11-11T14:00:51-06:00 2015-12-31 350921680 CROWE HORWATH LLP 225 W WACKER DRIVE CHICAGO IL 60606 990 2015-01-01 592208300 COVENANT HOSPICE INC COVE 8504332155 5041 N 12TH AVE PENSACOLA FL 32504 ODIN BERG CFO 2016-10-17 true NICOLE BENCIK P00756195 3128997000 2015 2017-02-10 21:41:12Z JEFF MISLEVY 5041 N 12TH AVE PENSACOLA FL 32504 71347290 false X www.choosecovenant.org/hospice X 1981 FL Covenant Hospice is dedicated to providing comprehensive, compassionate services to patients and their loved ones during times of life-limiting illnesses. 16 15 828 1963 0 0 2160698 1579900 58891714 56751262 2063649 651396 82531 116624 63198592 59099182 0 0 0 34918761 30012422 0 917974 27928288 27487515 62847049 57499937 351543 1599245 57482263 48967127 26412150 16920871 31070113 32046256 Covenant Hospice is dedicated to providing comprehensive, compassionate services to patients and their loved ones during times of life-limiting illnesses. (Continued in Schedule O). false false 45470443 56854649 DURING 2015, DIRECT CARE WAS PROVIDED TO 6,144 PATIENTS IN NORTHWEST FLORIDA AND SOUTH ALABAMA. COVENANT HOSPICE, INC. ALSO OFFERS A DEDICATED PEDIATRIC PALLIATIVE CARE PROGRAM, "PARTNER IN CARE: TOGETHER FOR KIDS", TO CHILDREN FROM BIRTH TO AGE 21 WHO ARE COPING WITH POTENTIALLY LIFE-LIMITING CONDITIONS. 45470443 true true false true false false false false false false true false false false false true false true false false false false false false false false false false false true true false false false false false false false false false false true false false false false true true false false false true 284 0 true 828 true false false false false false false false false false false X 16 15 false false true false true true true true true false false false true true true true true true true false X KAREN YOUNG 8504332155 5041 N 12TH AVE PENSACOLA FL 32501 BILL GREENHUT CHAIRMAN 4.0 12.0 X X 0 0 0 JT YOUNG VICE-CHAIRMAN 4.0 12.0 X X 0 0 0 TERESA DOS SANTOS Secretary 4.0 12.0 X X 0 0 0 HARRIS REYNOLDS TREASURER 4.0 12.0 X X 0 0 0 JEFFREY M MISLEVY PRESIDENT/CEO 40.0 16.0 X X 422785 0 22695 BOB PETERSON DIRECTOR (PARTIAL YEAR) 4.0 4.0 X 0 0 0 ROBIN D HERR PAST CHAIRMAN (partial year) 4.0 4.0 X 0 0 0 MAUREEN O PADDEN MC USN DIRECTOR (partial year) 4.0 0 X 0 0 0 CURTIS RICHARDSON DIRECTOR (partial year) 4.0 0 X 0 0 0 SUE STRAUGHN DIRECTOR (partial year) 4.0 0 X 0 0 0 BOB VAN SLYKE DIRECTOR (PARTIAL YEAR) 4.0 4.0 X 0 0 0 JAMES S CAMPBELL ESQ PAST CHAIRMAN 4.0 8.0 X 0 0 0 SUSAN DAVIS DIRECTOR 4.0 4.0 X 0 0 0 TRICIA DAVIS DIRECTOR 4.0 4.0 X 0 0 0 JEREMY GRAY DIRECTOR 4.0 4.0 X 0 0 0 WANDA K HAMBRICK DIRECTOR 4.0 4.0 X 0 0 0 CAREY KING DIRECTOR 4.0 8.0 X 0 0 0 JANET KINNEY DIRECTOR 4.0 4.0 X 0 0 0 LAWRENCE MEESE JR DIRECTOR 4.0 4.0 X 0 0 0 ROBERT MILLS DIRECTOR 4.0 8.0 X 0 0 0 TOM OWENS DIRECTOR 4.0 4.0 X 0 0 0 KENT SKOLROOD DIRECTOR 4.0 4.0 X 0 0 0 DICK APPLEYARD DIRECTOR (PARTIAL YEAR) 4.0 4.0 X 0 0 0 KENNETH DONAHEY DIRECTOR (PARTIAL YEAR) 4.0 4.0 X 0 0 0 ODIN BERG CFO 40.0 16.0 X 228289 0 20693 CHERYL HAMILTON COO 40.0 12.0 X 260087 0 16583 NEVILLE SARKARI SR. VP MEDICAL DIRECTOR 60.0 0 X 240578 0 14100 PAM EDWARDS REGIONAL DIRECTOR OPERATIONS 60.0 0 X 161524 0 209 JAMES SMITH PHYSICIAN 40.0 0 X 237151 0 9994 JEAN MURPHY PHYSICIAN 40.0 0 X 197332 0 20385 katherine Thomas Physician 40.0 0 X 135140 0 12096 BOBBI BAKER-SKERRATT PHYSICIAN 40.0 0 X 152339 0 1548 2035225 0 118303 24 false true true EMAGINATION UNLIMITED INC 1225 W GREGORY ST PENSACOLA FL 32502 ADVERTISING 875397 GREENBERG TRAURIG 101 E COLLEGE AVE TALLAHASSEE FL 32302 LEGAL COUNSEL 249031 WITT IT CONSULTING LLC PO BOX 1386 PALM HARBOR FL 34682 INFO TECHNOLOGY 171449 SOUTHERN LIGHT 107 SAINT FRANCIS ST MOBILE AL 36602 INFO TECHNOLOGY 143031 THE CAMDEN GROUP 100 N SEPULVEDA BLVD STE 600 EL SEGUNDO CA 90245 CONSULTANT 128307 10 89592 0 603766 886542 73336 1579900 Patient Services 621610 56745262 56745262 RENTAL FROM AFFILIATES 532299 6000 6000 0 0 0 0 56751262 577030 577030 0 0 12322413 61 12248108 0 74305 61 74366 74366 13237 0 13237 13237 PURCHASE CARD REBATE 900099 90484 90484 Miscellaneous Revenue 900099 12903 12903 0 0 0 0 103387 59099182 56854649 0 664633 1225810 539356 686454 23102634 20284624 2237592 580418 98602 82422 13377 2803 3200888 2685622 441450 73816 2384488 2013155 310294 61039 297123 297123 67136 67136 3000 3000 24693 24693 1729210 445717 1283493 0 413477 374019 39458 1893950 316729 1577221 2215597 1556888 658709 1178574 1109598 68976 27226 25633 1593 206326 41266 165060 1171266 628013 543253 287262 66966 220296 Program Inpatient Exp 10787396 10787396 Medical supplies 2328555 2328555 Medication 2233876 2233876 Lab services and treatments 94097 94097 2528751 230530 2137781 160440 57499937 45470443 11111520 917974 9200 6469 4647792 4358074 2360286 2181278 6953822 8121843 0 0 85086 102096 316764 552415 24264174 10547556 13601839 13716618 27986857 18025438 0 0 545922 523947 974695 1378949 57482263 48967127 8639981 9816467 7006812 6655810 275531 216235 259150 232359 10230676 0 26412150 16920871 X 28694989 29874513 2375124 2171743 31070113 32046256 57482263 48967127 1599245 -623102 0 X false true X true false X 1353833 1909102 1252776 2160698 1579900 8256309 0 0 1353833 1909102 1252776 2160698 1579900 8256309 1796215 6460094 731768 680674 638065 702211 583030 3335748 0 178361 270475 86819 82531 116624 734810 12326867 357652414 0.5241 0.5468 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - SETTLEMENT/INSURANCE PROCEEDS, COLUMN A - 0.0, COLUMN B - 173190.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 173190.0; DESCRIPTION - PURCHASE CARD REBATE, COLUMN A - 0.0, COLUMN B - 93106.0, COLUMN C - 76693.0, COLUMN D - 69941.0, COLUMN E - 90484.0, COLUMN F - 330224.0; DESCRIPTION - OTHER INCOME, COLUMN A - 178361.0, COLUMN B - 4179.0, COLUMN C - 10126.0, COLUMN D - 12590.0, COLUMN E - 26140.0, COLUMN F - 231396.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 3000 false true 2802 5802 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1G Direct contact with legislators, their staffs, government officials, or a legislative body: THE ORGANIZATION PAYS CONSULTANTS TO LOBBY FOR LEGISLATION THAT PROMOTES HOSPICES. LINE 1I OTHER ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION ALONG WITH STATE HOSPICE ORGANIZATIONS. A PORTION OF THESE DUES ARE USED FOR LOBBYING ACTIVITIES. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1G Direct contact with legislators, their staffs, government officials, or a legislative body: THE ORGANIZATION PAYS CONSULTANTS TO LOBBY FOR LEGISLATION THAT PROMOTES HOSPICES. LINE 1I OTHER ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION ALONG WITH STATE HOSPICE ORGANIZATIONS. A PORTION OF THESE DUES ARE USED FOR LOBBYING ACTIVITIES. 1936722 1936722 12567241 3317008 9250233 1625584 985582 640002 8104257 6244966 1859291 30370 30370 13716618 INTEREST RATE SWAP Medicare Reserve 0 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote CHCS, Hospice, the Foundation, AFS and CPCS are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. X true true X X X true false false false false false false false false JEFFREY M MISLEVY PRESIDENT/CEO 370803 0 6189 0 45793 0 0 0 22695 0 445480 0 0 0 ODIN BERG CFO 223954 0 4335 0 0 0 2284 0 18409 0 248982 0 0 0 CHERYL HAMILTON COO 225276 0 34811 0 0 0 0 0 16583 0 276670 0 0 0 NEVILLE SARKARI SR. VP MEDICAL DIRECTOR 237861 0 2717 0 0 0 0 0 14100 0 254678 0 0 0 PAM EDWARDS REGIONAL DIRECTOR OPERATIONS 115953 0 210 0 45361 0 0 0 209 0 161733 0 0 0 JAMES SMITH PHYSICIAN 229101 0 358 0 7692 0 0 0 9994 0 247145 0 0 0 JEAN MURPHY PHYSICIAN 197302 0 30 0 0 0 0 0 20385 0 217717 0 0 0 BOBBI BAKER-SKERRATT PHYSICIAN 152309 0 30 0 0 0 1523 0 25 0 153887 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees Social club dues were paid for business meetings. The President/CEO has the membership, but it can be used by any senior executive for business meetings. This benefit was not treated as taxable compensation to the President/CEO. Schedule J, Part I, Line 4a Severance or change-of-control payment PAMELA EDWARDS, $33,231 Severance was paid to the above employee. Terms and conditions include confidentiality, non-disparagement, and release of liability. A Escambia County Health Facilities Authority 521378815 2005-08-23 900000 Renovate Inpatient Facility false false false B Escambia County Health Facilities Authority 521378815 2005-06-29 8600000 Building Acquisition false false false A 267478 0 900000 0 0 0 17900 0 0 882100 0 0 2008 false false true true B 2576712 0 8600000 0 0 0 117139 0 0 8482861 0 0 2007 false false true true A false false false false 0.0 false false false B false false false false 0.0 false false false A false false false true true false false false false false B false false false true true true Compass Bank 1000.0 false false false false false false A false B false Schedule K, Part IV, Line 2c COLUMN A Issuer name: Escambia County Health Facilities Authority The calculation for computing no rebate due was performed on 05/10/2010 Schedule K, Part IV, Line 2c COLUMN B Issuer name: Escambia County Health Facilities Authority The calculation for computing no rebate due was performed on 05/10/2010 X 15409 Market value X 2 26664 Market value X ITEMS FOR EVENTS 26 46672 Cost 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded: Number of contributions Other: NUMBER OF CONTRIBUTIONS Clothing and household goods: Approximate number of items received Form 990, Part III, Line 1 Mission Statement (Continued) Since dying is a part of the normal process of life, the focus of Covenant Hospice is to enable our patients to live as fully and comfortably as possible, to provide dignified palliative care, to assist patients' loved ones in coping with end-of-life issues and the eventual death of the patient, and to improve care for all patients at the end of their lives by example and education. For 2015, the organization provided $1,224,225 of charity care to patients. Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION FOR OTHER OFFICERS THE COMPANY 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 KEY EMPLOYEES COMPENSATION IS REVIEWED AND APPROVED BY THE CEO WITH INSIGHT GIVEN FROM THE SALARY COMPARISON OF THE INDEPENDENT FIRM. THIS PROCESS IS DONE ANNUALLY AND IS DOCUMENTED. Form 990, Part VI, Line 1a Delegate broad authority to a committee PURSUANT TO THE ORGANIZATION'S BYLAWS, SECTION 5.1: THERE SHALL BE A STANDING EXECUTIVE COMMITTEE CONSISTING OF THE CHAIRPERSON, VICE CHAIRPERSON, SECRETARY, TREASURER, AND THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD. THE PRESIDENT OF THE CORPORATION SHALL BE A VOTING MEMBER OF THE HOSPICE EXECUTIVE COMMITTEE AND ALL OTHER COMMITTEES. THE CHAIRPERSON OF THE BOARD SHALL BE THE CHAIRPERSON OF THE EXECUTIVE COMMITTEE. THE CHAIRPERSON OF THE BOARD MAY APPOINT UP TO FOUR ADDITIONAL NON-OFFICER DIRECTORS, OF WHOM ARE CURRENT BOARD MEMBERS, TO THE EXECUTIVE COMMITTEE SUBJECT TO THE CONCURRENCE OF THE PRESIDENT AND CEO. THE EXECUTIVE COMMITTEE SHALL MEET TO REVIEW POLICY AND PROCEDURES OF THE CORPORATION AND MAKE RECOMMENDATIONS RELATIVE THERETO TO THE BOARD OF DIRECTORS, AND SHALL HAVE SUCH FURTHER RESPONSIBILITIES AS DESIGNATED BY THE BOARD OF DIRECTORS BY RESOLUTION AND APPROVED BY COVENANT HEALTH AND COMMUNITY SERVICES, INC. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE BOARD TO TRANSACT URGENT BUSINESS OF THE CORPORATION, AND CONDUCT ANNUAL OR PERIODIC EVALUATIONS/EMPLOYMENT AGREEMENT NEGOTIATIONS OF THE CEO/PRESIDENT. Form 990, Part VI, Line 4 Significant changes to organizational documents The organization amended its bylaws in 2015 to reflect a change in the organization's sole member. The organization's sole member is now Covenant Health and Community Services, Inc (CHCS). CHCS elects the board members of Covenant Hospice, Inc. Form 990, Part VI, Line 6 Classes of members or stockholders The organization's sole member is Covenant Health and Community Services, Inc (CHCS). CHCS elects the board members of Covenant Hospice, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Covenant Health and Community Services, Inc elects the board members of Covenant Hospice, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE FOLLOWING ACTIONS REQUIRE APPROVAL FROM COVENANT HEALTH AND COMMUNITY SERVICES, INC: -The APPOINTMENT OR 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 in excess 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; and -An amendment to the Articles of Incorporation or the Bylaws. Form 990, Part VI, Line 11b Review of form 990 by governing body The 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, Line 12c Conflict of interest policy Conflict 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, Line 15a Process to establish compensation of top management official The company 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 2015. Form 990, Part VI, Line 15b Process to establish compensation of other employees The company 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. THIS PROCESS WAS LAST PERFORMED IN 2015. Form 990, Part VI, Line 19 Required documents available to the public Governing documents, financial statements and the organization's conflict of interest policy are available on written request. COVENANT HOSPICE FOUNDATION INC 5041 N 12TH AVE PENSACOLA FL 32504 593060139 FUNDRAISING FL 501(c)(3 7 COVENANT HEALTH AND COMMUNITY SERVICES INC false ALZHEIMERS FAMILY SERVICES INC 5041 N 12TH AVE PENSACOLA FL 32504 593394242 SUPPORT TO ALZHEIMERS PATIENTS AND FAMILIES FL 501(c)(3 7 COVENANT HEALTH AND COMMUNITY SERVICES INC false COVENANT HEALTH AND COMMUNITY SERVICES INC 5041 N 12TH AVE PENSACOLA FL 32504 465132177 PARENT CORPORATION OF COVENANT HOSPICE, COVENANT HOSPICE FOUNDATION, & ALZHEIMERS FAMILY SERVICES. FL 501(c)(3 9 NA false COVENANT AT HOME INC 5041 N 12TH AVE PENSACOLA FL 32504 352543765 HOME HEALTH CARE FL 501(c)(3 7 COVENANT HEALTH AND COMMUNITY SERVICES INC false CHARITABLE REMAINDER TRUST 5041 N 12TH AVE PENSACOLA FL 32504 TRUST FL COVENANT HOSPICE INC Trust true false false true true false false false false false true false false true true true false true false false