2013-11-15T12:46:19-06:00 2012-12-31 990 2012-01-01 592208300 COVENANT HOSPICE INC COVE 8504332155 5041 N 12TH AVE PENSACOLA FL 32504 DALE O KNEE 2013-11-14 2012 2016-03-07 17:11:31Z DALE O KNEE 5041 N 12TH AVE PENSACOLA FL 32504 89959803 false X WWW.COVENANTHOSPICE.ORG X 1981 FL COVENANT 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. 23 21 1015 2956 0 0 1353833 1909102 89411922 83299071 1257169 1559636 350102 280408 92373026 87048217 0 3500 0 0 45195358 45183486 0 0 1250634 45996586 39946555 91191944 85133541 1181082 1914676 60202771 60164423 31421939 28754274 28780832 31410149 COVENANT 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. false false 73307994 3500 83396356 DIRECT 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. 73307994 true true false true false false false false false true false false false true 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 true true false false false false true true true false false true 264 0 true 1015 true false false false false false false true 2 false false true false X 23 21 false false false false false false false true true false false false true true true true true true false true true X KAREN YOUNG 8504332155 5041 N 12TH AVE PENSACOLA FL 32501 ADRIAN P REMKE 4.00 4.00 X X 0 0 0 BOB VAN SLYKE 4.00 8.00 X X 0 0 0 JAMES S CAMPBELL ESQ 4.00 4.00 X X 0 0 0 ROBIN D HERR 4.00 4.00 X X 0 0 0 BOB PETERSON 4.00 0.00 X 0 0 0 CAPT JENNIFER VEDRAL-BARON 4.00 0.00 X 0 0 0 CHARLOTTE BRAND AUDIE 4.00 0.00 X 0 0 0 CURTIS RICHARDSON 4.00 0.00 X 0 0 0 DEANIE LANCASTER 4.00 0.00 X 0 0 0 ELLEN WITTERSTAETER 4.00 0.00 X 0 0 0 HARRIS REYNOLDS 4.00 0.00 X 0 0 0 JANE JOHNSON 4.00 0.00 X 0 0 0 JOHN FOGG 4.00 0.00 X 0 0 0 KELLI WELLS MD 4.00 0.00 X 0 0 0 LAURIE HAYNES 4.00 0.00 X 0 0 0 LAWRENCE MEESE JR 4.00 0.00 X 0 0 0 LEWIS BEAR III 4.00 4.00 X 0 0 0 MARCIA DE GRAAF 4.00 0.00 X 0 0 0 MARK DUNNING 4.00 0.00 X 0 0 0 MAUREEN O PADDEN MC USN 4.00 0.00 X 0 0 0 PATRICK A SCHLENKER 4.00 4.00 X 0 0 0 PHILLIP WRIGHT 4.00 0.00 X 0 0 0 RICK SMITH 4.00 0.00 X 0 0 0 SUE STRAUGHN 4.00 0.00 X 0 0 0 TODD O'BRIEN 4.00 4.00 X 0 0 0 TRICIA DAVIS 4.00 0.00 X 0 0 0 WANDA KAYE TILLERY 4.00 0.00 X 0 0 0 WAYNE F CAMPBELL 4.00 0.00 X 0 0 0 DALE O KNEE 60.00 8.00 X 744887 0 53382 ODIN BERG 60.00 0.00 X 231105 0 18732 SUSAN LOVELADY 60.00 0.00 X 479227 0 37637 NEVILLE SARKARI 60.00 0.00 X 310355 0 23937 HERBERT GANNON 50.00 0.00 X 215535 0 3168 JAMES M SMITH 50.00 0.00 X 202564 0 9529 JEAN MURPHY 40.00 0.00 X 190714 0 17723 KATHERINE THOMAS 50.00 0.00 X 167548 0 14112 PEGGY MOORE 60.00 0.00 X 150885 0 9808 2692820 0 188028 17 false true false BAY COUNTY HEALTH SYSTEMS LLC 615 NORTH BONITA AVE PANAMA CITY FL 32401 ROOM & BOARD 390067 MICKELSON CONSTRUCTION PO BOX 17046 PENSACOLA FL 325227046 BUILDING CONTRACTOR 306522 WEST FLORIDA REGIONAL MEDICAL CENTER INC PO BOX 281149 ATLANTA GA 30384 ROOM & BOARD 269969 ALLSCRIPTS LLC 24630 NETWORK PLACE CHICAGO IL 606731246 INFO TECHNOLOGY 238815 LINCOLN HARRIS 1765 E NINE MILE RD PENSACOLA FL 32514 FACILITIES MANAGEMENT 208387 9 144113 0 526622 0 1238367 82080 1909102 PATIENT SERVICES 621610 83299071 83299071 0 0 0 0 0 0 0 0 83299071 670741 670741 0 0 9933 0 9933 0 9933 9933 3799888 593 2868431 43155 931457 -42562 888895 888895 0 0 0 SETTLEMENT/INSURANCE PROCEEDS 900099 173190 173190 PURCHASE CARD REBATE 900099 93106 93106 0 4179 4179 0 0 270475 87048217 83396356 0 1742759 3500 3500 0 0 0 1899262 851156 1048106 0 0 35048926 31390902 2911607 746417 267701 226274 32284 9143 5279001 4541115 599844 138042 2688596 2302853 327944 57799 0 176204 176204 55568 55568 0 0 25000 25000 174108 0 174108 0 35027 35027 1182112 229608 952504 0 0 2072162 1447402 624760 268203 128678 139525 0 0 191915 38383 153532 0 1211591 665034 546557 386472 84167 302305 PROGRAM INPATIENT EXP 1125081 1125081 OUTSIDE R&B EXP 21151070 21151070 DIRECT PATIENT CARE EXP 7283818 7283818 TRAVEL/MILEAGE 1838953 1838953 2769271 0 2505065 264206 85133541 73307994 10574913 1250634 0 9800 10000 14664557 4434762 1928216 2104286 8177667 7032446 0 0 38134 102229 117065 605367 712444 22362214 7457912 14671898 14904302 18852884 29383335 0 0 0 0 410820 395744 741199 1070039 60202771 60164423 9235809 10376246 8012227 7697074 0 268411 124780 13905492 10556174 31421939 28754274 X 27051200 29410860 1729632 1999289 28780832 31410149 60202771 60164423 X 1914676 521427 193214 X false true X true false X 2861737 1656648 1709394 1353833 1909102 9490714 0 0 2861737 1656648 1709394 1353833 1909102 9490714 1430265 8060449 584416 282753 473349 731768 680674 2752960 0 0 0 0 178361 270475 448836 12692510 450796418 0.63500 0.74460 X OTHER 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;, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1724 1724 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE ORGANIZATION PAYS DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION. A PORTION OF THOSE DUES ARE USED FOR LOBBYING. 1936722 1936722 12092740 2088117 10004623 876100 501208 374892 7095847 4868587 2227260 360805 0 360805 14904302 0 MEDICARE RESERVE 10149374 INTEREST RATE SWAP 406800 10556174 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 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 2009. X X true true X X X false false false false false false false false false JEAN MURPHY 190689 0 25 0 0 0 0 0 17723 0 208437 0 0 0 NEVILLE SARKARI 278479 0 21068 0 10808 0 0 0 23937 0 334292 0 0 0 SUSAN LOVELADY 258592 0 209565 0 11070 0 5421 0 32216 0 516864 0 0 0 DALE O KNEE 312020 0 418238 0 14629 0 6382 0 47000 0 798269 0 0 0 ODIN BERG 194519 0 21403 0 15183 0 2580 0 16152 0 249837 0 0 0 PEGGY MOORE 141553 0 8852 0 480 0 2939 0 6869 0 160693 0 0 0 JAMES M SMITH 202539 0 25 0 0 0 0 0 9529 0 212093 0 0 0 HERBERT GANNON 191295 0 628 0 23612 0 0 0 3168 0 218703 0 0 0 KATHERINE THOMAS 167258 0 290 0 0 0 3413 0 10699 0 181660 0 0 0 First-class or charter travel Schedule J, Part I, Line 1a THE 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 fees Schedule J, Part I, Line 1a 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. A ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY 521378815 2005-06-29 8600000 BUILDING ACQUISITION false false false B ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY 521378815 2005-08-23 900000 RENOVATE INPATIENT FACILITY false false false A 1632451 0 8600000 0 0 0 117139 0 0 8482861 0 0 2007 false false true true B 170475 0 900000 0 0 0 17900 0 0 882100 0 0 2008 false false true true A false false false false false false 0.0000 0.0000 0.0000 false false 0.0000 false true B false false false false false false 0.0000 0.0000 0.0000 false false 0.0000 false true A false true true false true true COMPASS BANK 10.0 false false false 0 false false true B false true true false true false 0 false false false 0 false false true A true B true PATRICK SCHLENKER DIRECTOR OF NORTHWEST COMMUNITY HOSPITAL, WHERE COVENANT HOSPICE LEASES HOSPICE BEDS 143029 HOSPICE INPATIENT SERVICES false BOB PETERSON OFFICER OF WEST FLORIDA HEALTHCARE, WHERE COVENANT HOSPICE LEASES HOSPICE BEDS 330236 HOSPICE INPATIENT SERVICES/LEASE false X 2 4550 SELLING COST X DECOR/FOOD/ENTERTAINMENT/ETC 114 77530 MARKET VALUE 0 false false false Explanations of reporting method for number of contributions Schedule M, Part I OTHER: 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/ETC NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line 6 NUMBER OF VEHICLES DONATED TO COVENANT HOSPICE, INC. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a 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 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 body Form 990, Part VI, Section B, Line 11b THE 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 policy Form 990, Part VI, Section B, Line 12c 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. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a 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. PROCESS USED TO ESTABLISH COMPENSATION FOR OTHER OFFICERS FORM 990, PART VI, LINE 15B 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. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE ON WRITTEN REQUEST. Other changes in net assets or fund balances Form 990 , Part XI, Line 9 EQUITY IN INCOME OF STUDER COVENANT ALLIANCE, LLC - 193214; COVENANT HOSPICE FOUNDATION INC 5041 N 12TH AVE PENSACOLA FL 32504 FUNDRAISING FL 501(C)(3) 7 COVENANT HOSPICE INC true ALZHEIMERS FAMILY SERVICES INC 1901 NORTH PALAFOX STREET PENSACOLA FL 32501 SUPPORT TO ALZHEIMERS PATIENTS AND FAMILIES FL 501(C)(3) 7 COVENANT HOSPICE INC true STUDER COVENANT ALLIANCE LLC 913 GULF BREEZE PARKWAY SUITE 6 GULF BREEZE FL 32561 260286474 EDUCATION FL COVENANT HOSPICE RELATED 148965 282271 false 149133 true 0.5 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 ALZHEIMERS FAMILY SERVICES D 138000 FMV ALZHEIMERS FAMILY SERVICES A 9957 FMV ALZHEIMERS FAMILY SERVICES O 77758 FMV COVENANT HOSPICE FOUNDATION INC O 59118 FMV ALZHEIMERS FAMILY SERVICES Q 104808 FMV COVENANT HOSPICE FOUNDATION INC C 526622 FMV