2014-09-08T22:00:05-05:00 2013-12-31 CROWE HORWATH LLP 70 WEST MADISON STREET SUITE 700 CHICAGO IL 606024903 990 2013-01-01 593060139 COVENANT HOSPICE FOUNDATION INC COVE 8504332155 5041 N 12th Avenue Pensacola FL 32504 ODIN BERG INTERIM-CEO 2014-09-04 true Nicole Bencik P00756195 3128997000 2013 2015-11-30 17:44:51Z ODIN BERG 5041 N 12th Avenue Pensacola FL 32504 4222423 false X WWW.COVENANTHOSPICE.ORG 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 11 0 0 666734 611970 0 0 227094 559751 -93791 -116718 800037 1055003 526622 458046 0 0 0 0 0 0 0 28872 13188 555494 471234 244543 583769 3846398 4283728 224186 131837 3622212 4151891 THE ORGANIZATION'S MISSION IS TO PROVIDE FUNDING TO COVENANT HOSPICE, INC. IN ORDER TO SUPPLEMENT CHARITY AND INDIGENT CARE. false false 459721 458046 0 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 2013, 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. 459721 true true false false false false false false false false false false false true true false true false false false false false false true true false true false true false false false false false false false false false false false false false true false false false false true 0 0 0 false false false false false true true false false false false X 10 9 false false false 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 BOB PETERSON VICE CHAIRMAN 4.00 4.00 X X 0 0 0 BOB VAN SLYKE SECRETARY 4.00 8.00 X X 0 0 0 DALE O KNEE PHD PRESIDENT & CEO 4.00 64.00 X X 0 780581 53900 JAMES S CAMBELL ESQ CHAIRMAN 4.00 4.00 X X 0 0 0 ROBERT MILLS TREASURER 4.00 4.00 X X 0 0 0 BILL GREENHUT DIRECTOR 4.00 0 X 0 0 0 CHRISTINA DOSS DIRECTOR - PARTIAL YEAR 4.00 0 X 0 0 0 JOHN R FOGG DIRECTOR 4.00 0 X 0 0 0 PATRICK SCHLENKER director - PARTIAL YEAR 4.00 4.00 X 0 0 0 REBECCA H MCQUEEN DIRECTOR 4.00 0 X 0 0 0 ROBIN D HERR DIRECTOR 4.00 4.00 X 0 0 0 STEVE SOUTHERLAND II DIRECTOR 4.00 0 X 0 0 0 TODD O'BRIEN director - partial year 4.00 4.00 X 0 0 0 0 780581 53900 0 false true false 0 554396 57574 611970 0 0 0 0 0 0 0 0 0 0 43021 43021 0 0 0 0 0 3470676 2953946 516730 0 516730 516730 60579 554396 184834 -124255 -124255 36177 28640 7537 7537 0 0 0 0 0 0 0 0 0 1055003 0 0 443033 458046 458046 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11513 11513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SERVICE CHARGES 1675 1675 0 0 0 0 471234 459721 11513 0 0 231653 291899 244947 265690 156294 11618 0 0 0 0 0 0 0 0 3213504 3714521 0 0 0 0 0 0 3846398 4283728 0 0 224186 131837 224186 131837 X 3475902 4112475 146310 39416 3622212 4151891 3846398 4283728 X 583769 -48096 -5994 X false true X true false X 881991 773909 374594 666734 611970 3309198 0 0 881991 773909 374594 666734 611970 3309198 186037 3123161 60025 61100 85840 81669 43021 331655 0 53602 154735 314721 130299 96756 750113 4390966 0 0.71120 0.59490 X Schedule A, Part II, Line 10, Other Income DESCRIPTION - GROSS INCOME FROM FUNDRAISING, COLUMN A - 53602, COLUMN B - 154735, COLUMN C - 314721, COLUMN D - 101424, COLUMN E - 60579, COLUMN F - 685061; DESCRIPTION - GROSS INCOME FROM GAMING EVENTS, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 28875, COLUMN E - 36177, COLUMN F - 65052; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 INTERCOMPANY PAYABLES 91600 GIFT ANNUITY OBLIGATION 40237 131837 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote HOSPICE, FOUNDATION, AND AFS ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. WITH FEW EXCEPTIONS, HOSPICE AND AFFILIATES ARE NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR YEARS BEFORE 2010. MASK PARADE 130334 114036 16298 0 36811 2600 7207 LIFE'S A DANCE 80066 42816 37250 2000 0 34392 3143 20 404575 397544 7031 22690 26531 8875 40585 614975 554396 60579 0 0 24690 63342 45867 50935 184834 -124255 36177 2565 26075 true 1 36177 2565 26075 0 0 28640 7537 FL false FLORIDA DOES NOT REQUIRE THE ORGANIZATION TO BE LICENSED TO OPERATE GAMING ACTIVITIES. false true false 0.1 0.9 BRYAN WHETZEL 5041 N 12TH AVENUE PENSACOLA FL 32504 false SEE STATEMENT false Schedule G, Part III, Line 9b, States where org is not licensed to operate gaming activities FLORIDA DOES NOT REQUIRE THE ORGANIZATION TO BE LICENSED TO OPERATE GAMING ACTIVITIES. SCHEDULE G, PART III, LINE 16, GAMING MANAGER INFORMATION THE FOLLOWING INDIVIDUALS ORGANIZE THE GAMING ACTIVITIES: JENNI PERKINS ANGIE SCHLOSSER LAUREN PIKE NANISA ANDERSON JENNIFER GRIFFIN JODI WILLIAMS THESE INDIVIDUALS ARE ALL VOLUNTEERS FOR COVENANT HOSPICE FOUNDATION, INC. AND ARE NOT COMPENSATED FOR THEIR TIME. true COVENANT HOSPICE INC 5041 N 12TH AVENUE PENSACOLA FL 32504 592208300 501(C)(3) 458046 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 DALE O KNEE PHD PRESIDENT & CEO 0 307707 0 410712 0 62162 0 5035 0 48865 0 834481 0 0 Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensation 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, Sec A, 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 HOSPICE BOARD, THEN THE CHAIRPERSON OF THE HOSPICE 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 HOSPICE BOARD. Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders THE ORGANIZATION'S SOLE MEMBER IS COVENANT HOSPICE, INC. COVENANT HOSPICE, INC. ELECTS THE BOARD MEMBERS OF COVENANT HOSPICE FOUNDATION, INC. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body COVENANT HOSPICE, INC. ELECTS THE BOARD MEMBERS OF COVENANT HOSPICE FOUNDATION, INC. Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders THE FOLLOWING ACTIONS REQUIRE APPROVAL FROM COVENANT HOSPICE, INC.: -PURCHASE, SALE, CONVEYANCE, LEASE, SUBLEASE, MORTGAGE, OR ENCUMBRANCES OF SECURITIES, REAL ESTATE, TANGIBLE AND INTANGIBLE PERSONAL PROPERTY, AND OTHER PROPERTY IF THE TOTAL CUMULATIVE CONSIDERATION IS GREATER THAN $10,000; -AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; -APPOINT OR REMOVE OFFICERS OR DIRECTORS; -APPROVE THE INCURRENCE OF INDEBTEDNESS BY THE CORPORATION OR OBLIGATE THE CORPORATION TO INCUR ANY INDEBTEDNESS; -APPROVE THE FORMATION OF ANY ENTITY IN WHICH COVENANT HOSPICE FOUNDATION, INC. WOULD ACQUIRE AN ECONOMIC INTEREST, OR THE SALE, TRANSFER, OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION OR CHANGE IN MEMBERSHIP OF THE CORPORATION; -APPROVE THE OPERATING BUDGET AND CAPITAL PLAN FOR THE CORPORATION; -APPROVE THE INVESTMENT FIRM RETAINED BY THE CORPORATION TO MANAGE THE CORPORATION'S ASSETS; AND -APPROVE THE APPOINTMENT OR TERMINATION OF ANY ADMINISTRATOR OF THE CORPORATION. Form 990, Part VI, Sec B, 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, Sec B, 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, COMPENSATION OF THE TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S PRESIDENT & CEO IS 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. 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. 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 DOES NOT HAVE ANY OFFICERS WHO RECEIVE COMPENSATION. THEREFORE THIS QUESTION HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH FORM 990 INSTRUCTIONS. Form 990, Part VI, Sec C, 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 - -5994; COVENANT HOSPICE INC 5041 N 12TH AVENUE PENSACOLA FL 32504 592208300 PROVIDES CARE TO TERMINALLY ILL PATIENTS FL 501(C)(3) 7 NA 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 HOSPICE INC false STUDER COVENANT ALLIANCE LLC 913 GULF BREEZE PARKWAY SUITE 6 GULF BREEZE FL 32561 260286474 EDUCATION FL NA N/A false true false false false false false false false false false false false true true true false false false