2015-11-13T09:03:50-06:00 2014-12-31 350921680 CROWE HORWATH LLP 225 W WACKER DRIVE CHICAGO IL 60606 990 2014-01-01 592208300 COVENANT HOSPICE INC COVE 8504332155 5041 N 12TH AVE PENSACOLA FL 32504 ODIN BERG CFO 2015-11-13 true NICOLE BENCIK P00756195 3128997000 2014 2016-04-25 22:37:26Z JEFF MISLEVY 5041 N 12TH AVE PENSACOLA FL 32504 73431572 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. 18 14 759 1963 0 0 1252776 2160698 69144772 58891714 1203778 2063649 97024 82531 71698350 63198592 0 0 0 0 40299354 34918761 0 0 956008 32505751 27928288 72805105 62847049 -1106755 351543 59264534 57482263 27632124 26412150 31632410 31070113 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 51936027 0 58974245 DIRECT CARE WAS PROVIDED TO 6,167 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. 51936027 true true false true false false false false false true false false false true false false true false false false false false false false false false false false true true false false false false false false false false false true true false false false false true true true false false true 267 0 true 759 true false false false false false false false false false false X 18 14 false false false false false false false true true false false false true true true true true true false false X KAREN YOUNG 8504332155 5041 N 12TH AVE PENSACOLA FL 32501 HARRIS REYNOLDS VICE CHAIRMAN 4.00 8.00 X X 0 0 0 JT YOUNG SECRETARY 4.00 8.00 X X 0 0 0 ROBERT MILLS TREASURER 4.00 8.00 X X 0 0 0 JAMES S CAMBELL ESQ Chairman 4.00 8.00 X X 0 0 0 BOB PETERSON DIRECTOR 4.00 4.00 X 0 0 0 BOB VAN SLYKE DIRECTOR 4.00 4.00 X 0 0 0 ROBIN D HERR PAST CHAIRMAN 4.00 4.00 X 0 0 0 LEWIS BEAR III DIRECTOR PARTIAL YEAR 4.00 4.00 X 0 0 0 WAYNE F CAMPBELL DIRECTOR PARTIAL YEAR 4.00 0 X 0 0 0 SUSAN DAVIS DIRECTOR 4.00 4.00 X 0 0 0 TRICIA DAVIS DIRECTOR 4.00 4.00 X 0 0 0 TERESA D SANTOS DIRECTOR 4.00 4.00 X 0 0 0 WANDA K HAMBRICK DIRECTOR 4.00 4.00 X 0 0 0 LAURIE HAYNES DIRECTOR PARTIAL YEAR 4.00 0 X 0 0 0 JANET KINNEY DIRECTOR 4.00 4.00 X 0 0 0 LAWRENCE MEESE JR DIRECTOR 4.00 4.00 X 0 0 0 MAUREEN O PADDEN MC USN DIRECTOR 4.00 4.00 X 0 0 0 ADRIAN REMKE DIRECTOR PARTIAL YEAR 4.00 0 X 0 0 0 CURTIS RICHARDSON DIRECTOR 4.00 0 X 0 0 0 SUE STRAUGHN DIRECTOR 4.00 0 X 0 0 0 KERRY VERMILLION DIRECTOR PARTIAL YEAR 4.00 0 X 0 0 0 BILL GREENHUT DIRECTOR 4.00 8.00 X 0 0 0 CAREY KING DIRECTOR 4.00 8.00 X 0 0 0 ODIN BERG CFO/PARTIAL YEAR INTERIM CEO 50.00 8.00 X 282698 0 21582 SUSAN LOVELADY COO/PARTIAL YEAR 60.00 0 X 182534 0 24281 JEFFREY M MISLEVY PRESIDENT/CEO - PARTIAL YEAR 40.00 12.00 X 120531 0 6816 NEVILLE SARKARI SR. VP MEDICAL DIRECTOR 60.00 0 X 349045 0 26847 PAM EDWARDS REGIONAL DIRECTOR OPERATIONS 60.00 0 X 140220 0 5526 PEGGY MOORE REGIONAL DIRECTOR OPERATIONS 60.00 0 X 184421 0 13410 JAMES SMITH PHYSICIAN 40.00 0 X 210214 0 10551 JEAN MURPHY PHYSICIAN 40.00 0 X 197182 0 19005 PETER SYLVESTER PHYSICIAN 40.00 0 X 137190 0 4126 DALE O KNEE PHD FORMER PRESIDENT/CEO 0.00 0.00 X 282854 0 24271 2086889 0 156415 18 true true true EMAGINATION UNLIMITED INC 1225 W GREGORY ST PENSACOLA FL 32502 ADVERTISING 367489 BAY MEDICAL CENTER 615 NORTH BONITA AVE PANAMA FL 62401 ROOM AND BOARD 362751 WEST FLORIDA REGIONAL MEDICAL CENTER INC PO BOX 281149 ATLANTA GA 30384 ROOM AND BOARD 316171 GREENBERG TRAURIG 101 E COLLEGE AVE TALLAHASSEE FL 32302 LEGAL COUNSEL 218790 SOTHERN LIGHT 107 SAINT FRANCIS ST MOBILE AL 36602 INFO TECHNOLOGY 167001 10 120311 0 558978 1481409 81177 2160698 Patient Services 621610 58882037 58882037 RENTAL FROM AFFILIATES 532299 9677 9677 0 0 0 0 58891714 692534 692534 0 0 11601095 3000 10230952 2028 1370143 972 1371115 1371115 PURCHASE CARD REBATE 900099 69941 69941 Miscellaneous Revenue 900099 12590 12590 0 0 0 0 82531 63198592 58974245 0 2063649 1014335 446307 568028 27543252 23610689 3273441 659122 129365 106978 18793 3594 4073765 3382330 599550 91885 2158044 1821975 280827 55242 463801 463801 75688 75688 25000 25000 513452 132346 381106 0 232996 210761 22235 957735 160164 797571 1930045 1356232 573813 1414848 1332044 82804 130118 26024 104094 1245134 667620 577514 353277 82355 270922 Program Inpatient Exp 799193 799193 Outside R&B Exp 12055938 12055938 Direct Patient Care Exp 5777762 5777762 1953301 178070 1651301 123930 62847049 51936027 9955014 956008 8800 9200 6146844 4647792 1906583 2360286 5679751 6953822 0 0 72300 85086 500326 316764 23328203 9726364 14475450 13601839 29321102 27986857 0 0 380665 545922 772713 974695 59264534 57482263 9251336 8639981 7371136 7006812 0 335245 275531 284906 259150 10389501 10230676 27632124 26412150 X 29801785 28694989 1830625 2375124 31632410 31070113 59264534 57482263 351543 -913840 0 X false true X true false X 1709394 1353833 1909102 1252776 2160698 8385803 1709394 1353833 1909102 1252776 2160698 8385803 1698561 6687242 473349 731768 680674 638065 702211 3226067 0 178361 270475 86819 82531 618186 12230056 397342528 0.5468 0.5635 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - SETTLEMENT/INSURANCE PROCEEDS, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 173190.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 173190.0; DESCRIPTION - PURCHASE CARD REBATE, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 93106.0, COLUMN D - 76693.0, COLUMN E - 69941.0, COLUMN F - 239740.0; DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 178361.0, COLUMN C - 4179.0, COLUMN D - 10126.0, COLUMN E - 12590.0, COLUMN F - 205256.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1724 1724 false Schedule C, Part II-B, Line 1 DESCRIPTION OF THE ACTIVITIES REPORTED ON LINES 1A THROUGH 11 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 12417098 2910025 9507073 1569724 847828 721896 7404659 5968511 1436148 13601839 INTEREST RATE SWAP 81302 Medicare Reserve 10149374 10230676 X X true true X X X true false false false false false false false false DALE O KNEE PHD FORMER PRESIDENT/CEO 8444 0 186965 0 87445 0 84 0 24187 0 307125 0 0 0 ODIN BERG CFO/PARTIAL YEAR INTERIM CEO 255875 0 15178 0 11645 0 2816 0 18766 0 304280 0 0 0 SUSAN LOVELADY COO/PARTIAL YEAR 69637 0 42479 0 70418 0 721 0 23560 0 206815 0 0 0 NEVILLE SARKARI SR. VP MEDICAL DIRECTOR 343824 0 4981 0 240 0 0 0 26847 0 375892 0 0 0 PEGGY MOORE REGIONAL DIRECTOR OPERATIONS 136870 0 4398 0 43153 0 1445 0 11965 0 197831 0 0 0 JAMES SMITH PHYSICIAN 208067 0 27 0 2120 0 0 0 10551 0 220765 0 0 0 JEAN MURPHY PHYSICIAN 197155 0 27 0 0 0 0 0 19005 0 216187 0 0 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use As part of relocation package for Jeffrey M. Mislevy, President/CEO, Covenant had provided temporary housing allowance while he searched for residency. This was treated as taxable compensation to him. 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 Susan Lovelady, $1,016 Peggy Moore, $42,662 Severance was paid to the above two employees. 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 234832 0 900000 0 0 0 17900 0 0 882100 0 0 2008 false false true true B 2258356 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 III, Line 9 Written procedures The organization is in the process of adopting written procedures to ensure all nonqualified bonds (if any) of the issue are remediated in accordance with the associated regulations. The organization strives to stay abreast of federal regulations and considers the repercussions of all significant activities which could foreseeably have an impact on the organization's tax exempt bonds and the associated federal tax regulations. Schedule K, Part IV, Line 7 Written procedures The organization is in the process of adopting written procedures to monitor the organization's ability to remain in compliance with the arbitrage requirements under Section 148 of the Internal Revenue Code. The organization strives to stay abreast of federal regulations and considers the repercussions of all significant activities which could foreseeably have an impact on the organization's tax exempt bonds and the associated federal tax regulations. Schedule K, Part V Written procedures The organization is in the process of adopting written procedures which dictate how management timely identifies and corrects violations of federal tax requirements using the voluntary closing agreement program provided by the IRS when self-remediation is not available to the organization. The organization strives to stay abreast of federal regulations and considers the repercussions of all significant activities which could foreseeably have an impact on the organization's tax exempt bonds and the associated federal tax regulations. In the event a violation is identified the organization's policy is to correct the violation as soon as possible, while working with the federal authorities as necessary to ensure that sufficient controls are present which will guard against future violations. Schedule K, Part IV, Line 2c Rebate Calculation 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 Rebate Calculation Issuer name: Escambia County Health Facilities Authority The calculation for computing no rebate due was performed on 05/10/2010 SUSAN DAVIS OFFICER OF SACRED HEART HEALTH SYSTEMS, INC. WHERE COVENANT HOSPICE LEASES HOSPICE BEDS 496045 HOSPICE INPATIENT SERVICES false BOB PETERSON OFFICER OF WEST FLORIDA HEALTHCARE, WHERE COVENANT HOSPICE LEASES HOSPICE BEDS 384133 HOSPICE INPATIENT SERVICES/LEASE false LAWRENCE MEESE JR OFFICER OF JACKSON HOSPITAL, WHERE COVENANT HOSPICE LEASES HOSPICE BEDS 100480 HOSPICE INPATIENT SERVICES false JT YOUNG OFFICER OF GULF POWER, WHERE COVENANT HOSPICE GETS UTILITIES 315182 UTILITIES false X ITEMS FOR EVENTS 46 81177 Cost 0 false false false 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 2014, the organization provided $1,456,542 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 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. 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 HOSPICE INC true ALZHEIMERS FAMILY SERVICES INC 1901 NORTH PALAFOX STREET PENSACOLA FL 32501 593394242 SUPPORT TO ALZHEIMERS PATIENTS AND FAMILIES FL 501(c)(3 7 COVENANT HOSPICE INC true CHARITABLE REMAINDER TRUST TRUST FL COVENANT HOSPICE INC Trust true true false true true false false false false false false false false true true true false true false false ALZHEIMER'S FAMILY SERVICES A 9677 FMV ALZHEIMER'S FAMILY SERVICES D 114000 FMV ALZHEIMER'S FAMILY SERVICES O 82635 FMV ALZHEIMER'S FAMILY SERVICES Q 105208 FMV COVENANT HOSPICE FOUDNATION O 59118 FMV COVENANT HOSPICE FOUNDATION C 558978 FMV