2016-11-11T14:02:04-06:00 2015-12-31 350921680 CROWE HORWATH LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2015-01-01 593060139 Covenant Hospice Foundation Inc COVE 8504332155 5041 N 12th Avenue Pensacola FL 32504 ODIN BERG CFO 2016-10-25 true Nicole Bencik P00756195 3128997000 2015 2017-02-10 21:41:12Z JEFF MISLEVY 5041 N 12th Avenue Pensacola FL 32504 1646148 false X www.choosecovenant.org/hospice X 1991 FL The organization's mission is to provide funding to Covenant Hospice, Inc. in order to supplement charity and indigent care. 10 9 0 9 0 0 642137 692158 15356 101563 207408 181067 -106618 -102702 758283 872086 558978 603766 0 0 0 0 28886 109472 587864 713238 170419 158848 4542810 4499473 203270 194004 4339540 4305469 The organization's mission is to provide funding to Covenant Hospice, Inc. in order to supplement charity and indigent care. false false 703014 603766 101563 THE 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 2015, THE AMOUNT TRANSFERRED HELPED SUPPORT THE COSTS OF UNFUNDED PROGRAMS OF COVENANT HOSPICE, INC. THESE UNFUNDED PROGRAMS INCLUDE SERVICES FROM THE FOLLOWING DEPARTMENTS: CHAPLAINS, BEREAVEMENT, CHILDREN, AND VOLUNTEERS. PALLIATIVE CARE SERVICES ARE ALSO OFFERED TO PATIENTS after life-limiting diagnoses, but before they are ready for hospice. 703014 true false false false false false false false false false false false false false true true false true false false false false false false true false false true false true false false false false false false false false false false false false true true false false false true 0 0 0 false false false false false true true false false false false X 10 9 false false true false true true true true true false false false true true true true true false false false X Karen Young 8504332155 5041 N 12th Avenue Pensacola FL 32504 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 4.0 52.0 X X 0 422785 22695 JAMES S CAMPBELL ESQ PAST CHAIRMAN 4.0 8.0 X 0 0 0 BOB VAN SLYKE DIRECTOR 4.0 4.0 X 0 0 0 JOHN R FOGG DIRECTOR 4.0 0 X 0 0 0 ROBERT MILLS DIRECTOR 4.0 8.0 X 0 0 0 BOB PETERSON DIRECTOR 4.0 4.0 X 0 0 0 ROBIN D HERR PAST CHAIRMAN (partial year) 4.0 4.0 X 0 0 0 STEVE SOUTHERLAND II DIRECTOR (PARTIAL YEAR) 4.0 0 X 0 0 0 ODIN BERG CFO 4.0 52.0 X 0 228289 20693 CHERYL HAMILTON COO 4.0 48.0 X 0 260087 16583 0 911161 59971 0 false true false 0 507552 184606 692158 Palliative Care Services 612610 101563 101563 0 0 0 0 101563 96671 96671 0 0 656541 572145 84396 0 84396 84396 88095 507552 188912 -100817 -100817 11120 13005 -1885 -1885 0 0 0 0 0 872086 101563 0 78365 603766 603766 10041 10041 0 0 0 0 183 183 shared employees 87759 87759 service charges 4970 4970 Admin Support 5078 5078 miscellaneous 1441 1441 0 0 0 0 713238 703014 10224 0 270002 226434 263522 354186 34853 19670 0 0 0 0 0 0 3974433 3899183 0 0 0 0 4542810 4499473 0 621 203270 193383 203270 194004 X 4301862 4265568 37678 39901 4339540 4305469 4542810 4499473 X 158848 -191047 -1872 X false true X true false X 374594 666734 611970 642137 692158 2987593 0 0 374594 666734 611970 642137 692158 2987593 248493 2739100 85840 81669 43021 79663 96671 386864 0 314721 130299 96756 105611 99215 746602 4121059 0 0.6647 0.6695 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - GROSS INCOME FROM FUNDRAISING, COLUMN A - 314721.0, COLUMN B - 101424.0, COLUMN C - 60579.0, COLUMN D - 88555.0, COLUMN E - 88095.0, COLUMN F - 653374.0; DESCRIPTION - GROSS INCOME FROM GAMING EVENTS, COLUMN A - 0.0, COLUMN B - 28875.0, COLUMN C - 36177.0, COLUMN D - 17056.0, COLUMN E - 11120.0, COLUMN F - 93228.0; Intercompany Payables 177236 Gift Annuity Obligation 16147 193383 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. MASK PARADE 135759 104064 31695 17471 23000 3000 4132 LIFE'S A DANCE 81545 53075 28470 2200 0 35215 1036 17 378343 350413 27930 8610 39843 16755 37650 595647 507552 88095 28281 62843 54970 42818 188912 -100817 true Covenant Hospice Inc 5041 N 12th Avenue Pensacola FL 32504 592208300 501(C)(3) 603766 0 N/A N/A TO HELP SUPPORT PROGRAMS OF COVENANT HOSPICE, INC. 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Grant funds to Covenant Hospice, Inc., a 501(c)(3) organization, are used to help support its unfunded programs. These unfunded programs include: children's Program, Bereavement, Chaplain, and indigent patient care. false false false false false false false false false JEFFREY M MISLEVY PRESIDENT/CEO 0 370803 0 6189 0 45793 0 0 0 22695 0 445480 0 0 ODIN BERG CFO 0 223954 0 4335 0 0 0 2284 0 18409 0 248982 0 0 CHERYL HAMILTON COO 0 225276 0 34811 0 0 0 0 0 16583 0 276670 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization's President & CEO is paid by Covenant Hospice, Inc. (a related organization). The compensation of the organization's President & CEO is determined using an independent compensation consultant, compensation surveys or studies and approval by the board. Form 990, Part VI, Line 15a COMPENSATION OF THE TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS COMPENSATED BY COVENANT HOSPICE, INC. 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 COVENANT HOSPICE 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. BECAUSE THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS NOT COMPENSATED BY THE FILING ORGANIZATION, THIS QUESTION IS MARKED "NO" IN ACCORDANCE WITH FORM 990 INSTRUCTIONS. Form 990, Part VI, Line 15b COMPENSATION OF OTHER OFFICERS THE ORGANIZATION'S OTHER OFFICERS ARE PAID BY COVENANT HOSPICE, INC., A RELATED ORGANIZATION. 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. THIS PROCESS WAS LAST PERFORMED IN 2015. BECAUSE THE ORGANIZATION'S OTHER OFFICERS ARE NOT COMPENSATED BY THE FILING ORGANIZATION, THIS QUESTION IS MARKED "NO" IN ACCORDANCE WITH FORM 990 INSTRUCTIONS. 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 HOSPICE FOUNDATION EXECUTIVE COMMITTEE CONSISTING OF THE CHAIRPERSON, VICE CHAIRPERSON, SECRETARY, TREASURER, AND THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD, IF SUCH PAST CHAIRPERSON REMAINS A HOSPICE FOUNDATION DIRECTOR. IF THE CHAIRPERSON OF HOSPICE FOUNDATION BOARD IS NOT THE SAME INDIVIDUAL AS THE CHAIRPERSON OF THE Covenant Health and Community Services, Inc (CHCS) BOARD, THEN THE CHAIRPERSON OF THE CHCS BOARD SHALL ALSO BE A VOTING MEMBER OF THE HOSPICE FOUNDATION EXECUTIVE COMMITTEE. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF HOSPICE FOUNDATION SHALL BE A VOTING MEMBER OF THE HOSPICE FOUNDATION EXECUTIVE COMMITTEE AND ALL OTHER COMMITTEES. THE CHAIRPERSON OF THE FOUNDATION BOARD SHALL BE THE CHAIRPERSON OF THE HOSPICE FOUNDATION EXECUTIVE COMMITTEE. THE HOSPICE FOUNDATION EXECUTIVE COMMITTEE SHALL MEET TO REVIEW POLICY AND PROCEDURES OF HOSPICE FOUNDATION AND MAKE RECOMMENDATIONS RELATIVE THERETO TO THE HOSPICE FOUNDATION BOARD OR TO THE HOSPICE BOARD, AND SHALL HAVE SUCH FURTHER RESPONSIBILITIES AS DESIGNATED BY THE HOSPICE FOUNDATION BOARD BY RESOLUTION, BUT ONLY AS ALSO AUTHORIZED BY THE CHCS BOARD. 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 Foundation, 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 Foundation, 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 Foundation, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The 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, 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 19 Required documents available to the public Governing documents, financial statements and the organization's conflict of interest policy are available on written request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Changes in split interest - -1872; COVENANT PALLIATIVE CARE SERVICES LLC 5041 NORTH 12TH AVE PENSACOLA FL 32504 464822066 PALLIATIVE SERVICES FL 101563 9809 COVENANT HOSPICE FOUNDATION COVENANT HOSPICE INC 5041 N 12TH AVENUE PENSACOLA FL 32504 592208300 PROVIDES CARE TO TERMINALLY ILL PATIENTS FL 501(c)(3 7 Covenant Health and Community Services Inc false ALZHEIMERS FAMILY SERVICES INC 5041 N 12TH AVENUE 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 false true false false false false false false false false false false false true true true false false false