COVENANT HOSPICE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COVENANT HOSPICE INC (EIN 59-2208300)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349305348
Schema version
2012v2.1
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)
Timestamp2013-11-15T12:46:19-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592208300EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COVENANT HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOVENameControl
Phone8504332155Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15041 N 12TH AVEAddressLine1
CityPENSACOLACity
StateFLState
ZIP Code32504ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDALE O KNEEName
TitlePRESIDENT & CEOTitle
Date Signed2013-11-14DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1DALE O KNEEBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15041 N 12TH AVEAddressLine1
CityPENSACOLACity
StateFLState
ZIP Code32504ZIPCode
FieldValueIRS element (for citing)
Gross Receipts89959803GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COVENANTHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionCOVENANT HOSPICE IS DEDICATED TO PROVIDING COMPREHENSIVE, COMPASSIONATE SERVICES TO PATIENTS AND THEIR LOVED ONES DURING TIMES OF LIFE-LIMITING ILLNESSES. FOR 2012, THE ORGANIZATION PROVIDED $1,528,123 OF CHARITY CARE TO PATIENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees1015TotalNbrEmployees
Total Nbr Volunteers2956TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1353833ContributionsGrantsPriorYear
Contributions Grants Current Year1909102ContributionsGrantsCurrentYear
Program Service Revenue Prior Year89411922ProgramServiceRevenuePriorYear
Program Service Revenue CY83299071ProgramServiceRevenueCY
Investment Income Prior Year1257169InvestmentIncomePriorYear
Investment Income Current Year1559636InvestmentIncomeCurrentYear
Other Revenue Prior Year350102OtherRevenuePriorYear
Other Revenue Current Year280408OtherRevenueCurrentYear
Total Revenue Prior Year92373026TotalRevenuePriorYear
Total Revenue Current Year87048217TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year45195358SalariesEtcPriorYear
Salaries Etc Current Year45183486SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1250634TotalFundrsngExpCurrentYear
Other Expense Prior Year45996586OtherExpensePriorYear
Other Expenses Current Year39946555OtherExpensesCurrentYear
Total Expenses Prior Year91191944TotalExpensesPriorYear
Total Expenses Current Year85133541TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1181082RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1914676RevenuesLessExpensesCY
Total Assets BOY60202771TotalAssetsBOY
Total Assets EOY60164423TotalAssetsEOY
Total Liabilities BOY31421939TotalLiabilitiesBOY
Total Liabilities EOY28754274TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY28780832NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY31410149NetAssetsOrFundBalancesEOY
Mission DescriptionCOVENANT HOSPICE IS DEDICATED TO PROVIDING COMPREHENSIVE, COMPASSIONATE SERVICES TO PATIENTS AND THEIR LOVED ONES DURING TIMES OF LIFE-LIMITING ILLNESSES. 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 2012, THE ORGANIZATION PROVIDED $1,528,123 OF CHARITY CARE TO PATIENTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense73307994Expense
Grants3500Grants
Revenue83396356Revenue
DescriptionDIRECT CARE WAS PROVIDED TO 6,451 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.Description
Total Program Service Expense73307994TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096264NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1015NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OftrueForm8282PropertyDisposedOf
Number Of8282 Filed2NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KAREN YOUNGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8504332155TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15041 N 12TH AVEAddressLine1
CityPENSACOLACity
StateFLState
ZIP Code32501ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ADRIAN P REMKE
TREASURER4.004.00XX000
BOB VAN SLYKE
SECRETARY4.008.00XX000
JAMES S CAMPBELL ESQ
VICE CHAIRMAN4.004.00XX000
ROBIN D HERR
CHAIRMAN4.004.00XX000
BOB PETERSON
DIRECTOR4.000.00X000
CAPT JENNIFER VEDRAL-BARON
DIRECTOR - PARTIAL YEAR4.000.00X000
CHARLOTTE BRAND AUDIE
DIRECTOR4.000.00X000
CURTIS RICHARDSON
DIRECTOR4.000.00X000
DEANIE LANCASTER
DIRECTOR4.000.00X000
ELLEN WITTERSTAETER
DIRECTOR - PARTIAL YEAR4.000.00X000
HARRIS REYNOLDS
DIRECTOR4.000.00X000
JANE JOHNSON
DIRECTOR - PARTIAL YEAR4.000.00X000
JOHN FOGG
DIRECTOR - PARTIAL YEAR4.000.00X000
KELLI WELLS MD
DIRECTOR4.000.00X000
LAURIE HAYNES
DIRECTOR4.000.00X000
LAWRENCE MEESE JR
DIRECTOR4.000.00X000
LEWIS BEAR III
DIRECTOR4.004.00X000
MARCIA DE GRAAF
DIRECTOR4.000.00X000
MARK DUNNING
DIRECTOR4.000.00X000
MAUREEN O PADDEN MC USN
DIRECTOR4.000.00X000
PATRICK A SCHLENKER
PAST CHAIRMAN4.004.00X000
PHILLIP WRIGHT
DIRECTOR - PARTIAL YEAR4.000.00X000
RICK SMITH
DIRECTOR4.000.00X000
SUE STRAUGHN
DIRECTOR4.000.00X000
TODD O'BRIEN
DIRECTOR4.004.00X000
TRICIA DAVIS
DIRECTOR4.000.00X000
WANDA KAYE TILLERY
DIRECTOR4.000.00X000
WAYNE F CAMPBELL
DIRECTOR4.000.00X000
DALE O KNEE
PRESIDENT & CEO60.008.00X744887053382
ODIN BERG
CFO60.000.00X231105018732
SUSAN LOVELADY
COO60.000.00X479227037637
NEVILLE SARKARI
SR. VP/MEDICAL DIRECTOR60.000.00310355023937X
HERBERT GANNON
MEDICAL DIRECTOR50.000.0021553503168X
JAMES M SMITH
PHYSICIAN50.000.0020256409529X
JEAN MURPHY
MEDICAL DIRECTOR40.000.00190714017723X
KATHERINE THOMAS
MEDICAL DIRECTOR50.000.00167548014112X
PEGGY MOORE
VP BRANCH OPERATIONS60.000.0015088509808X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2692820TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation188028TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BAY COUNTY HEALTH SYSTEMS LLC
615 NORTH BONITA AVEPANAMA CITYFL32401ROOM & BOARD390067
MICKELSON CONSTRUCTION
PO BOX 17046PENSACOLAFL325227046BUILDING CONTRACTOR306522
WEST FLORIDA REGIONAL MEDICAL CENTER INC
PO BOX 281149ATLANTAGA30384ROOM & BOARD269969
ALLSCRIPTS LLC
24630 NETWORK PLACECHICAGOIL606731246INFO TECHNOLOGY238815
LINCOLN HARRIS
1765 E NINE MILE RDPENSACOLAFL32514FACILITIES MANAGEMENT208387
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Federated Campaigns144113FederatedCampaigns
Membership Dues0MembershipDues
Related Organizations526622RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions1238367AllOtherContributions
Noncash Contributions82080NoncashContributions
Total Contributions1909102TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES6216108329907183299071
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue83299071TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column670741TotalRevenueColumn
Exclusion$670,741ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real9933Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real9933Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column9933TotalRevenueColumn
Exclusion$9,933ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3799888Securities
Other593Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2868431Securities
Other43155Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities931457Securities
Other-42562Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column888895TotalRevenueColumn
Exclusion$888,895ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SETTLEMENT/INSURANCE PROCEEDS900099173190$173,190
PURCHASE CARD REBATE9000999310693106
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4179TotalRevenueColumn
Related Or Exempt Function Income4179RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue270475TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column87048217TotalRevenueColumn
Related Or Exempt Function Income83396356RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,742,759ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3500Total
Program Services3500ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1899262Total
Program Services851156ProgramServices
Management And General1048106ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total35048926Total
Program Services31390902ProgramServices
Management And General2911607ManagementAndGeneral
Fundraising746417Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total267701Total
Program Services226274ProgramServices
Management And General32284ManagementAndGeneral
Fundraising9143Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5279001Total
Program Services4541115ProgramServices
Management And General599844ManagementAndGeneral
Fundraising138042Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2688596Total
Program Services2302853ProgramServices
Management And General327944ManagementAndGeneral
Fundraising57799Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total176204Total
Management And General176204ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total55568Total
Management And General55568ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total25000Total
Management And General25000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total174108Total
Program Services0ProgramServices
Management And General174108ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total35027Total
Fundraising35027Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1182112Total
Program Services229608ProgramServices
Management And General952504ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2072162Total
Program Services1447402ProgramServices
Management And General624760ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total268203Total
Program Services128678ProgramServices
Management And General139525ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total191915Total
Program Services38383ProgramServices
Management And General153532ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1211591Total
Program Services665034ProgramServices
Management And General546557ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total386472Total
Program Services84167ProgramServices
Management And General302305ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PROGRAM INPATIENT EXP11250811125081
OUTSIDE R&B EXP2115107021151070
DIRECT PATIENT CARE EXP72838187283818
TRAVEL/MILEAGE18389531838953

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2769271Total
Program Services0ProgramServices
Management And General2505065ManagementAndGeneral
Fundraising264206Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total85133541Total
Program Services73307994ProgramServices
Management And General10574913ManagementAndGeneral
Fundraising1250634Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9800BOY
EOY10000EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14664557BOY
EOY4434762EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1928216BOY
EOY2104286EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8177667BOY
EOY7032446EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY38134BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY102229BOY
EOY117065EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY605367BOY
EOY712444EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22362214LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7457912LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14671898BOY
EOY14904302EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY18852884BOY
EOY29383335EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY410820BOY
EOY395744EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY741199BOY
EOY1070039EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY60202771BOY
EOY60164423EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9235809BOY
EOY10376246EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8012227BOY
EOY7697074EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY268411BOY
EOY124780EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13905492BOY
EOY10556174EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY31421939BOY
EOY28754274EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY27051200BOY
EOY29410860EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1729632BOY
EOY1999289EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28780832BOY
EOY31410149EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY60202771BOY
EOY60164423EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1914676ReconcilationRevenueExpenses
Reconciliation Unrealized Invest521427ReconciliationUnrealizedInvest
Reconcilation Other Changes193214ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2861737CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1656648CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1709394CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1353833CurrentTaxYearMinus1Year
Current Tax Year1909102CurrentTaxYear
Total9490714Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2861737CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1656648CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1709394CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1353833CurrentTaxYearMinus1Year
Current Tax Year1909102CurrentTaxYear
Total9490714Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1430265AmountsSubstContributorsTotal
Public Support Total1708060449PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years584416CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years282753CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years473349CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year731768CurrentTaxYearMinus1Year
Current Tax Year680674CurrentTaxYear
Total2752960Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year178361CurrentTaxYearMinus1Year
Current Tax Year270475CurrentTaxYear
Total448836Total
FieldValueIRS element (for citing)
Total Support12692510TotalSupport
Gross Receipts From Admissions Etc450796418GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.63500PublicSupportPertcentage170
Public Support Pertcent Prior Year0.74460PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationOTHER INCOME, SCHEDULE A, PART II, LINE 10, DESCRIPTION - SETTLEMENT/INSURANCE PROCEEDS, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 0, COLUMN E - 173190, COLUMN F - 173190; DESCRIPTION - PURCHASE CARD REBATE, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 0, COLUMN E - 93106, COLUMN F - 93106; DESCRIPTION - OTHER INCOME, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 178361, COLUMN E - 4179, COLUMN F - 182540;,GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$1,724OtherActivitiesAmount
Total Lobbying Expenditures IIB1724TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION. A PORTION OF THOSE DUES ARE USED FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1936722OtherCostOrOtherBasis
Book Value1936722BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12092740OtherCostOrOtherBasis
Depreciation2088117Depreciation
Book Value10004623BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis876100OtherCostOrOtherBasis
Depreciation501208Depreciation
Book Value374892BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7095847OtherCostOrOtherBasis
Depreciation4868587Depreciation
Book Value2227260BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis360805OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value360805BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14904302TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
MEDICARE RESERVE$10,149,374
INTEREST RATE SWAP$406,800
FieldValueIRS element (for citing)
Total Of Amounts10556174TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationHOSPICE, 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 2009.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JEAN MURPHY
MEDICAL DIRECTOR19068902500000177230208437000
NEVILLE SARKARI
SR. VP/MEDICAL DIRECTOR278479021068010808000239370334292000
SUSAN LOVELADY
COO2585920209565011070054210322160516864000
DALE O KNEE
PRESIDENT & CEO3120200418238014629063820470000798269000
ODIN BERG
CFO194519021403015183025800161520249837000
PEGGY MOORE
VP BRANCH OPERATIONS14155308852048002939068690160693000
JAMES M SMITH
PHYSICIAN2025390250000095290212093000
HERBERT GANNON
MEDICAL DIRECTOR191295062802361200031680218703000
KATHERINE THOMAS
MEDICAL DIRECTOR167258029000034130106990181660000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
First-class or charter travelSchedule J, Part I, Line 1aTHE BOARD APPROVED TWO UPGRADES TO FIRST CLASS ON EXTENDED FLIGHTS OVER TWO HOURS FOR MEDICAL REASONS TO THE PRESIDENT/CEO. THIS BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION TO THE PRESIDENT/CEO.
Health or social club dues or initiation feesSchedule J, Part I, Line 1aSOCIAL 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY
A5213788152005-06-298600000BUILDING ACQUISITIONfalsefalsefalse
ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY
B5213788152005-08-23900000RENOVATE INPATIENT FACILITYfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A163245108600000000117139008482861002007falsefalsetruetrue
B17047509000000001790000882100002008falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalsefalsefalse0.00000.00000.0000falsefalse0.0000falsetrue
Bfalsefalsefalsefalsefalsefalse0.00000.00000.0000falsefalse0.0000falsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
COMPASS BANK
Afalsetruetruefalsetruetrue10.0falsefalsefalse0falsefalsetrue
(no name)
Bfalsetruetruefalsetruefalse0falsefalsefalse0falsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PATRICK SCHLENKER
DIRECTOR OF NORTHWEST COMMUNITY HOSPITAL, WHERE COVENANT HOSPICE LEASES HOSPICE BEDS143029HOSPICE INPATIENT SERVICESfalse
BOB PETERSON
OFFICER OF WEST FLORIDA HEALTHCARE, WHERE COVENANT HOSPICE LEASES HOSPICE BEDS330236HOSPICE INPATIENT SERVICES/LEASEfalse

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9904550NoncashContribsRptdF990
Method Of Determining RevenuesSELLING COSTMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionDECOR/FOOD/ENTERTAINMENT/ETCDescription
Number Of Contributions114NumberOfContributions
Noncash Contribs Rptd F99077530NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanations of reporting method for number of contributionsSchedule M, Part IOTHER: NUMBER OF CONTRIBUTIONS CARS AND OTHER VEHICLES: NUMBER OF VEHICLES DONATED TO COVENANT HOSPICE, INC.
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=DECOR/FOOD/ENTERTAINMENT/ETCNUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 6NUMBER OF VEHICLES DONATED TO COVENANT HOSPICE, INC.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aPURSUANT 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 OF DIRECTORS. THE PRESIDENT OF THE CORPORATION SHALL BE A VOTING MEMBER OF THE EXECUTIVE COMMITTEE AND ALL OTHER BOARD COMMITTEES. THE VICE-PRESIDENT OF MEDICAL SERVICES OF THE CORPORATION SHALL SERVE AS ADVISOR TO THE EXECUTIVE COMMITTEE ON MEDICAL MATTERS. THE CHAIRPERSON OF THE BOARD OF DIRECTORS SHALL BE THE CHAIRPERSON OF THE EXECUTIVE COMMITTEE. 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 FURTHER RESPONSIBILITIES AS DESIGNATED BY THE BOARD OF DIRECTORS BY RESOLUTION. 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.
Review of form 990 by governing bodyForm 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.
Conflict of interest policyForm 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.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE 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.
PROCESS USED TO ESTABLISH COMPENSATION FOR OTHER OFFICERSFORM 990, PART VI, LINE 15BTHE 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.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE ON WRITTEN REQUEST.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9EQUITY IN INCOME OF STUDER COVENANT ALLIANCE, LLC - 193214;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
COVENANT HOSPICE FOUNDATION INC
5041 N 12TH AVEPENSACOLAFL32504FUNDRAISINGFL501(C)(3)7COVENANT HOSPICE INCtrue
ALZHEIMERS FAMILY SERVICES INC
1901 NORTH PALAFOX STREETPENSACOLAFL32501SUPPORT TO ALZHEIMERS PATIENTS AND FAMILIESFL501(C)(3)7COVENANT HOSPICE INCtrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1STUDER COVENANT ALLIANCE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1913 GULF BREEZE PARKWAY SUITE 6AddressLine1
CityGULF BREEZECity
StateFLState
ZIP Code32561ZIPCode
FieldValueIRS element (for citing)
EIN260286474EIN
Primary ActivityEDUCATIONPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1COVENANT HOSPICEBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income148965ShareOfTotalIncome
Share Of EOY Assets282271ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$149,133CodeVAmount
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.5PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CHARITABLE REMAINDER TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivityTRUSTPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1COVENANT HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityTRUSTTypeOfEntity
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ALZHEIMERS FAMILY SERVICES
D138000FMV
ALZHEIMERS FAMILY SERVICES
A9957FMV
ALZHEIMERS FAMILY SERVICES
O77758FMV
COVENANT HOSPICE FOUNDATION INC
O59118FMV
ALZHEIMERS FAMILY SERVICES
Q104808FMV
COVENANT HOSPICE FOUNDATION INC
C526622FMV

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