COVENANT HOSPICE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- COVENANT HOSPICE INC (EIN 59-2208300)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-11
- IRS object ID
- 201613169349303141
- Schema version
- 2015v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-11T14:00:51-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 W WACKER DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592208300 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVENANT HOSPICE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COVE | BusinessNameControlTxt |
| Phone | 8504332155 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5041 N 12TH AVE | AddressLine1Txt |
| City | PENSACOLA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32504 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ODIN BERG | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2016-10-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NICOLE BENCIK | PreparerPersonNm |
| PTIN | P00756195 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFF MISLEVY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5041 N 12TH AVE | AddressLine1Txt |
| City | PENSACOLA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32504 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $71,347,290 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.choosecovenant.org/hospice | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | Covenant Hospice is dedicated to providing comprehensive, compassionate services to patients and their loved ones during times of life-limiting illnesses. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 828 | TotalEmployeeCnt |
| Total Volunteers | 1963 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,160,698 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,579,900 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $58,891,714 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $56,751,262 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,063,649 | PYInvestmentIncomeAmt |
| CY Investment Income | $651,396 | CYInvestmentIncomeAmt |
| PY Other Revenue | $82,531 | PYOtherRevenueAmt |
| CY Other Revenue | $116,624 | CYOtherRevenueAmt |
| PY Total Revenue | $63,198,592 | PYTotalRevenueAmt |
| CY Total Revenue | $59,099,182 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,918,761 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,012,422 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $917,974 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,928,288 | PYOtherExpensesAmt |
| CY Other Expenses | $27,487,515 | CYOtherExpensesAmt |
| PY Total Expenses | $62,847,049 | PYTotalExpensesAmt |
| CY Total Expenses | $57,499,937 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $351,543 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,599,245 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $57,482,263 | TotalAssetsBOYAmt |
| Total Assets EOY | $48,967,127 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,412,150 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,920,871 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,070,113 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $32,046,256 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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). | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $45,470,443 | ExpenseAmt |
| Revenue | $56,854,649 | RevenueAmt |
| Desc | DURING 2015, DIRECT CARE WAS PROVIDED TO 6,144 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. | Desc |
| Total Program Service Expenses | $45,470,443 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 284 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 828 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAREN YOUNG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8504332155 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5041 N 12TH AVE | AddressLine1Txt |
| City | PENSACOLA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32501 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BILL GREENHUT | |||||||||
| CHAIRMAN | 4.0 | 12.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JT YOUNG | |||||||||
| VICE-CHAIRMAN | 4.0 | 12.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TERESA DOS SANTOS | |||||||||
| Secretary | 4.0 | 12.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HARRIS REYNOLDS | |||||||||
| TREASURER | 4.0 | 12.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY M MISLEVY | |||||||||
| PRESIDENT/CEO | 40.0 | 16.0 | Yes (X) | Yes (X) | $422,785 | $0 | $22,695 | ||
| BOB PETERSON | |||||||||
| DIRECTOR (PARTIAL YEAR) | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBIN D HERR | |||||||||
| PAST CHAIRMAN (partial year) | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| MAUREEN O PADDEN MC USN | |||||||||
| DIRECTOR (partial year) | 4.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| CURTIS RICHARDSON | |||||||||
| DIRECTOR (partial year) | 4.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| SUE STRAUGHN | |||||||||
| DIRECTOR (partial year) | 4.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| BOB VAN SLYKE | |||||||||
| DIRECTOR (PARTIAL YEAR) | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES S CAMPBELL ESQ | |||||||||
| PAST CHAIRMAN | 4.0 | 8.0 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN DAVIS | |||||||||
| DIRECTOR | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| TRICIA DAVIS | |||||||||
| DIRECTOR | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| JEREMY GRAY | |||||||||
| DIRECTOR | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| WANDA K HAMBRICK | |||||||||
| DIRECTOR | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| CAREY KING | |||||||||
| DIRECTOR | 4.0 | 8.0 | Yes (X) | $0 | $0 | $0 | |||
| JANET KINNEY | |||||||||
| DIRECTOR | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| LAWRENCE MEESE JR | |||||||||
| DIRECTOR | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT MILLS | |||||||||
| DIRECTOR | 4.0 | 8.0 | Yes (X) | $0 | $0 | $0 | |||
| TOM OWENS | |||||||||
| DIRECTOR | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| KENT SKOLROOD | |||||||||
| DIRECTOR | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| DICK APPLEYARD | |||||||||
| DIRECTOR (PARTIAL YEAR) | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH DONAHEY | |||||||||
| DIRECTOR (PARTIAL YEAR) | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| ODIN BERG | |||||||||
| CFO | 40.0 | 16.0 | Yes (X) | $228,289 | $0 | $20,693 | |||
| CHERYL HAMILTON | |||||||||
| COO | 40.0 | 12.0 | Yes (X) | $260,087 | $0 | $16,583 | |||
| NEVILLE SARKARI | |||||||||
| SR. VP MEDICAL DIRECTOR | 60.0 | 0 | $240,578 | $0 | $14,100 | Yes (X) | |||
| PAM EDWARDS | |||||||||
| REGIONAL DIRECTOR OPERATIONS | 60.0 | 0 | $161,524 | $0 | $209 | Yes (X) | |||
| JAMES SMITH | |||||||||
| PHYSICIAN | 40.0 | 0 | $237,151 | $0 | $9,994 | Yes (X) | |||
| JEAN MURPHY | |||||||||
| PHYSICIAN | 40.0 | 0 | $197,332 | $0 | $20,385 | Yes (X) | |||
| katherine Thomas | |||||||||
| Physician | 40.0 | 0 | $135,140 | $0 | $12,096 | Yes (X) | |||
| BOBBI BAKER-SKERRATT | |||||||||
| PHYSICIAN | 40.0 | 0 | $152,339 | $0 | $1,548 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,035,225 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $118,303 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| EMAGINATION UNLIMITED INC | ||||||
| 1225 W GREGORY ST | PENSACOLA | FL | 32502 | ADVERTISING | $875,397 | |
| GREENBERG TRAURIG | ||||||
| 101 E COLLEGE AVE | TALLAHASSEE | FL | 32302 | LEGAL COUNSEL | $249,031 | |
| WITT IT CONSULTING LLC | ||||||
| PO BOX 1386 | PALM HARBOR | FL | 34682 | INFO TECHNOLOGY | $171,449 | |
| SOUTHERN LIGHT | ||||||
| 107 SAINT FRANCIS ST | MOBILE | AL | 36602 | INFO TECHNOLOGY | $143,031 | |
| THE CAMDEN GROUP | ||||||
| 100 N SEPULVEDA BLVD | EL SEGUNDO | CA | 90245 | CONSULTANT | $128,307 | STE 600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $89,592 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Related Organizations | $603,766 | RelatedOrganizationsAmt |
| All Other Contributions | $886,542 | AllOtherContributionsAmt |
| Noncash Contributions | $73,336 | NoncashContributionsAmt |
| Total Contributions | $1,579,900 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Services | 621610 | $56,745,262 | $56,745,262 |
| RENTAL FROM AFFILIATES | 532299 | $6,000 | $6,000 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $56,751,262 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $577,030 | TotalRevenueColumnAmt |
| Exclusion | $577,030 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,322,413 | SecuritiesAmt |
| Other | $61 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,248,108 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $74,305 | SecuritiesAmt |
| Other | $61 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,366 | TotalRevenueColumnAmt |
| Exclusion | $74,366 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $13,237 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,237 | TotalRevenueColumnAmt |
| Exclusion | $13,237 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PURCHASE CARD REBATE | 900099 | $90,484 | $90,484 |
| Miscellaneous Revenue | 900099 | $12,903 | $12,903 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $103,387 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,099,182 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,854,649 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $664,633 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,225,810 | TotalAmt |
| Program Services | $539,356 | ProgramServicesAmt |
| Management And General | $686,454 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,102,634 | TotalAmt |
| Program Services | $20,284,624 | ProgramServicesAmt |
| Management And General | $2,237,592 | ManagementAndGeneralAmt |
| Fundraising | $580,418 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,602 | TotalAmt |
| Program Services | $82,422 | ProgramServicesAmt |
| Management And General | $13,377 | ManagementAndGeneralAmt |
| Fundraising | $2,803 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,200,888 | TotalAmt |
| Program Services | $2,685,622 | ProgramServicesAmt |
| Management And General | $441,450 | ManagementAndGeneralAmt |
| Fundraising | $73,816 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,384,488 | TotalAmt |
| Program Services | $2,013,155 | ProgramServicesAmt |
| Management And General | $310,294 | ManagementAndGeneralAmt |
| Fundraising | $61,039 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,123 | TotalAmt |
| Management And General | $297,123 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,136 | TotalAmt |
| Management And General | $67,136 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000 | TotalAmt |
| Management And General | $3,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,693 | TotalAmt |
| Management And General | $24,693 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,729,210 | TotalAmt |
| Program Services | $445,717 | ProgramServicesAmt |
| Management And General | $1,283,493 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $413,477 | TotalAmt |
| Management And General | $374,019 | ManagementAndGeneralAmt |
| Fundraising | $39,458 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,893,950 | TotalAmt |
| Program Services | $316,729 | ProgramServicesAmt |
| Management And General | $1,577,221 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,215,597 | TotalAmt |
| Program Services | $1,556,888 | ProgramServicesAmt |
| Management And General | $658,709 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,178,574 | TotalAmt |
| Program Services | $1,109,598 | ProgramServicesAmt |
| Management And General | $68,976 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,226 | TotalAmt |
| Program Services | $25,633 | ProgramServicesAmt |
| Management And General | $1,593 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,326 | TotalAmt |
| Program Services | $41,266 | ProgramServicesAmt |
| Management And General | $165,060 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,171,266 | TotalAmt |
| Program Services | $628,013 | ProgramServicesAmt |
| Management And General | $543,253 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,262 | TotalAmt |
| Program Services | $66,966 | ProgramServicesAmt |
| Management And General | $220,296 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Program Inpatient Exp | $10,787,396 | $10,787,396 |
| Medical supplies | $2,328,555 | $2,328,555 |
| Medication | $2,233,876 | $2,233,876 |
| Lab services and treatments | $94,097 | $94,097 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,528,751 | TotalAmt |
| Program Services | $230,530 | ProgramServicesAmt |
| Management And General | $2,137,781 | ManagementAndGeneralAmt |
| Fundraising | $160,440 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,499,937 | TotalAmt |
| Program Services | $45,470,443 | ProgramServicesAmt |
| Management And General | $11,111,520 | ManagementAndGeneralAmt |
| Fundraising | $917,974 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,200 | BOYAmt |
| EOY | $6,469 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,647,792 | BOYAmt |
| EOY | $4,358,074 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,360,286 | BOYAmt |
| EOY | $2,181,278 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,953,822 | BOYAmt |
| EOY | $8,121,843 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,086 | BOYAmt |
| EOY | $102,096 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $316,764 | BOYAmt |
| EOY | $552,415 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $24,264,174 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,547,556 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,601,839 | BOYAmt |
| EOY | $13,716,618 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,986,857 | BOYAmt |
| EOY | $18,025,438 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $545,922 | BOYAmt |
| EOY | $523,947 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $974,695 | BOYAmt |
| EOY | $1,378,949 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,482,263 | BOYAmt |
| EOY | $48,967,127 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,639,981 | BOYAmt |
| EOY | $9,816,467 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,006,812 | BOYAmt |
| EOY | $6,655,810 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $275,531 | BOYAmt |
| EOY | $216,235 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $259,150 | BOYAmt |
| EOY | $232,359 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,230,676 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,412,150 | BOYAmt |
| EOY | $16,920,871 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,694,989 | BOYAmt |
| EOY | $29,874,513 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,375,124 | BOYAmt |
| EOY | $2,171,743 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,070,113 | BOYAmt |
| EOY | $32,046,256 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,482,263 | BOYAmt |
| EOY | $48,967,127 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,599,245 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$623,102 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,353,833 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,909,102 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,252,776 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,160,698 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,579,900 | CurrentTaxYearAmt |
| Total | $8,256,309 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,353,833 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,909,102 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,252,776 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,160,698 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,579,900 | CurrentTaxYearAmt |
| Total | $8,256,309 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,796,215 | SubstantialContributorsTotAmt |
| Public Support Total170 | $6,460,094 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $731,768 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $680,674 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $638,065 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $702,211 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $583,030 | CurrentTaxYearAmt |
| Total | $3,335,748 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $178,361 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $270,475 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $86,819 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $82,531 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $116,624 | CurrentTaxYearAmt |
| Total | $734,810 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $12,326,867 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $357,652,414 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.5241 | PublicSupportCY170Pct |
| Public Support PY170 | 0.5468 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - SETTLEMENT/INSURANCE PROCEEDS, COLUMN A - 0.0, COLUMN B - 173190.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 173190.0; DESCRIPTION - PURCHASE CARD REBATE, COLUMN A - 0.0, COLUMN B - 93106.0, COLUMN C - 76693.0, COLUMN D - 69941.0, COLUMN E - 90484.0, COLUMN F - 330224.0; DESCRIPTION - OTHER INCOME, COLUMN A - 178361.0, COLUMN B - 4179.0, COLUMN C - 10126.0, COLUMN D - 12590.0, COLUMN E - 26140.0, COLUMN F - 231396.0; | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $3,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,802 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,802 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | LINE 1G Direct contact with legislators, their staffs, government officials, or a legislative body: THE ORGANIZATION PAYS CONSULTANTS TO LOBBY FOR LEGISLATION THAT PROMOTES HOSPICES. LINE 1I OTHER ACTIVITIES: 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. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | LINE 1G Direct contact with legislators, their staffs, government officials, or a legislative body: THE ORGANIZATION PAYS CONSULTANTS TO LOBBY FOR LEGISLATION THAT PROMOTES HOSPICES. LINE 1I OTHER ACTIVITIES: 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. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,936,722 | OtherCostOrOtherBasisAmt |
| Book Value | $1,936,722 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,567,241 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,317,008 | DepreciationAmt |
| Book Value | $9,250,233 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,625,584 | OtherCostOrOtherBasisAmt |
| Depreciation | $985,582 | DepreciationAmt |
| Book Value | $640,002 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,104,257 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,244,966 | DepreciationAmt |
| Book Value | $1,859,291 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,370 | OtherCostOrOtherBasisAmt |
| Book Value | $30,370 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,716,618 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc |
|---|
| INTEREST RATE SWAP |
| Medicare Reserve |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | CHCS, Hospice, the Foundation, AFS and CPCS are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY M MISLEVY | ||||||||||||||
| PRESIDENT/CEO | $370,803 | $0 | $6,189 | $0 | $45,793 | $0 | $0 | $0 | $22,695 | $0 | $445,480 | $0 | $0 | $0 |
| ODIN BERG | ||||||||||||||
| CFO | $223,954 | $0 | $4,335 | $0 | $0 | $0 | $2,284 | $0 | $18,409 | $0 | $248,982 | $0 | $0 | $0 |
| CHERYL HAMILTON | ||||||||||||||
| COO | $225,276 | $0 | $34,811 | $0 | $0 | $0 | $0 | $0 | $16,583 | $0 | $276,670 | $0 | $0 | $0 |
| NEVILLE SARKARI | ||||||||||||||
| SR. VP MEDICAL DIRECTOR | $237,861 | $0 | $2,717 | $0 | $0 | $0 | $0 | $0 | $14,100 | $0 | $254,678 | $0 | $0 | $0 |
| PAM EDWARDS | ||||||||||||||
| REGIONAL DIRECTOR OPERATIONS | $115,953 | $0 | $210 | $0 | $45,361 | $0 | $0 | $0 | $209 | $0 | $161,733 | $0 | $0 | $0 |
| JAMES SMITH | ||||||||||||||
| PHYSICIAN | $229,101 | $0 | $358 | $0 | $7,692 | $0 | $0 | $0 | $9,994 | $0 | $247,145 | $0 | $0 | $0 |
| JEAN MURPHY | ||||||||||||||
| PHYSICIAN | $197,302 | $0 | $30 | $0 | $0 | $0 | $0 | $0 | $20,385 | $0 | $217,717 | $0 | $0 | $0 |
| BOBBI BAKER-SKERRATT | ||||||||||||||
| PHYSICIAN | $152,309 | $0 | $30 | $0 | $0 | $0 | $1,523 | $0 | $25 | $0 | $153,887 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | PAMELA EDWARDS, $33,231 Severance was paid to the above employee. Terms and conditions include confidentiality, non-disparagement, and release of liability. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| Escambia County Health Facilities Authority | |||||||
| A | 521378815 | 2005-08-23 | $900,000 | Renovate Inpatient Facility | false | false | false |
| Escambia County Health Facilities Authority | |||||||
| B | 521378815 | 2005-06-29 | $8,600,000 | Building Acquisition | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $267,478 | $0 | $900,000 | $0 | $0 | $0 | $17,900 | $0 | $0 | $882,100 | $0 | $0 | 2008 | false | false | Yes (true) | Yes (true) |
| B | $2,576,712 | $0 | $8,600,000 | $0 | $0 | $0 | $117,139 | $0 | $0 | $8,482,861 | $0 | $0 | 2007 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.0 | false | false | false |
| B | false | false | false | false | 0.0 | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | |||||||||||||
| A | false | false | false | Yes (true) | Yes (true) | false | false | false | false | false | |||
| Compass Bank | |||||||||||||
| B | false | false | false | Yes (true) | Yes (true) | Yes (true) | false | false | false | false | 1000.0 | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part IV, Line 2c COLUMN A | 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 COLUMN B | Issuer name: Escambia County Health Facilities Authority The calculation for computing no rebate due was performed on 05/10/2010 |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $15,409 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $26,664 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | ITEMS FOR EVENTS | Desc |
| Contribution | 26 | ContributionCnt |
| Noncash Contributions Rpt F990 | $46,672 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Securities - Publicly traded: Number of contributions Other: NUMBER OF CONTRIBUTIONS Clothing and household goods: Approximate number of items received | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2015, the organization provided $1,224,225 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 1a Delegate broad authority to a committee | 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. THE PRESIDENT OF THE CORPORATION SHALL BE A VOTING MEMBER OF THE HOSPICE EXECUTIVE COMMITTEE AND ALL OTHER COMMITTEES. THE CHAIRPERSON OF THE BOARD SHALL BE THE CHAIRPERSON OF THE EXECUTIVE COMMITTEE. THE CHAIRPERSON OF THE BOARD MAY APPOINT UP TO FOUR ADDITIONAL NON-OFFICER DIRECTORS, OF WHOM ARE CURRENT BOARD MEMBERS, TO THE EXECUTIVE COMMITTEE SUBJECT TO THE CONCURRENCE OF THE PRESIDENT AND CEO. 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 SUCH FURTHER RESPONSIBILITIES AS DESIGNATED BY THE BOARD OF DIRECTORS BY RESOLUTION AND APPROVED BY COVENANT HEALTH AND COMMUNITY SERVICES, INC. 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. |
| 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, 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, 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, Inc. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE FOLLOWING ACTIONS REQUIRE APPROVAL FROM COVENANT HEALTH AND COMMUNITY SERVICES, INC: -The APPOINTMENT OR 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 in excess 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; and -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 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. THE PROCESS WAS LAST PERFORMED IN 2015. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | 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. THIS PROCESS WAS LAST PERFORMED IN 2015. |
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT HOSPICE FOUNDATION INC | ||||||||||
| 5041 N 12TH AVE | PENSACOLA | FL | 32504 | 593060139 | FUNDRAISING | FL | 501(c)(3 | 7 | COVENANT HEALTH AND COMMUNITY SERVICES INC | false |
| ALZHEIMERS FAMILY SERVICES INC | ||||||||||
| 5041 N 12TH AVE | 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARITABLE REMAINDER TRUST | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5041 N 12TH AVE | AddressLine1Txt |
| City | PENSACOLA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32504 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | TRUST | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVENANT HOSPICE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | Trust | EntityTypeTxt |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |