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COVENANT HOSPICE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COVENANT HOSPICE INC (EIN 59-2208300)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-15
IRS object ID
201222289349302147
Schema version
2011v1.2
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)
Timestamp2012-08-15T09:58:12-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Mark Brown CPA PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line19511 Holsberry Road Suite B-1AddressLine1
CityPensacolaCity
StateFLState
ZIP Code32534ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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
TitleCEOTitle
Date Signed2012-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMark Brown CPAName
Phone8504786811Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDale O KneeNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15041 N 12th AveAddressLine1
CityPensacolaCity
StateFLState
ZIP Code32504ZIPCode
FieldValueIRS element (for citing)
Gross Receipts105343969GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitehttp://www.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. 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees1019TotalNbrEmployees
Total Nbr Volunteers2684TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1709394ContributionsGrantsPriorYear
Contributions Grants Current Year1353833ContributionsGrantsCurrentYear
Program Service Revenue Prior Year96435376ProgramServiceRevenuePriorYear
Program Service Revenue CY89411922ProgramServiceRevenueCY
Investment Income Prior Year712423InvestmentIncomePriorYear
Investment Income Current Year1257169InvestmentIncomeCurrentYear
Other Revenue Current Year350102OtherRevenueCurrentYear
Total Revenue Prior Year98857193TotalRevenuePriorYear
Total Revenue Current Year92373026TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year44440230SalariesEtcPriorYear
Salaries Etc Current Year45195358SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1469864TotalFundrsngExpCurrentYear
Other Expense Prior Year52932781OtherExpensePriorYear
Other Expenses Current Year45996586OtherExpensesCurrentYear
Total Expenses Prior Year97373011TotalExpensesPriorYear
Total Expenses Current Year91191944TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1484182RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1181082RevenuesLessExpensesCY
Total Assets BOY56892936TotalAssetsBOY
Total Assets EOY60202771TotalAssetsEOY
Total Liabilities BOY30520253TotalLiabilitiesBOY
Total Liabilities EOY31421939TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY26372683NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY28780832NetAssetsOrFundBalancesEOY
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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense74716138Expense
Revenue89411922Revenue
DescriptionDirect nursing care was provided to 6,255 patients in Northwest Florida and South Alabama.We also offer 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 Expense74716138TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
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 LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
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 EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096263NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1019NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OftrueForm8282PropertyDisposedOf
Number Of8282 Filed5NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
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 ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
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 OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKaren YoungNamePerson
Telephone Number8504332155TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15041 N 12th Ave Pensacola FLAddressLine1
CityPensacolaCity
StateFLState
ZIP Code32501ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Kelli Wells MD
Director4.00X000
Bob Van Slyke
Secretary4.00X000X
Sue Straughn
Director4.00X000
Ellen Witterstaeter
Director4.00X000
Adrian P Remke
Treasurer4.00X000X
Bob Peterson
Director4.00X000
Jane Johnston
Director4.00X000
Capt Jennifer Vedral-Baron NC
Director4.00X000
Wanda Kaye Tillery
Director4.00X000
Rick Smith
Director4.00X000
Curtis Richardson
Director4.00X000
Wayne F Campbell
Director4.00X000
Charlotte Brand Audie
Director4.00X000
Harris Reynolds
Director4.00X000
Robin D Herr
Chairman4.00X000X
Lawrence Meese Jr
Director4.00X000
Deanie Lancaster
Director4.00X000
John R Fogg
Director4.00X000
Phillip Wright
Director4.00X000
James S Campbell Esq
Vice Chairman4.00X000X
Patrick A Schlenker
Past Chairman4.00X000
Lewis Bear III
Director4.00X000
Odin Berg
CFO60.0014378707089X
Dale O Knee
President & CEO60.00766149059559X
Susan Lovelady
COO60.00483205034996X
Peggy Moore
VP Branch Operations60.0015364204980X
James M Smith
Physician50.0019455706879X
Edward Fletcher
Medical Director50.0014873203020X
Pamela Edwards
VP Clinical Svcs50.0014396403055X
Herbert Gannon
Medical Director50.00217662013665X
Katherine Thomas
Medical Director50.0016718007511X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2418878TotalReportableCompFromOrg
Total Other Compensation140754TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
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
Wescon Corporation
PO Box 2095PensacolaFL32513Building Contractor976220
Ultimate Software Group Inc
1485 North Park DriveWestonFL33326Info Technology243161
Saltmarsh Cleveland & Gund
PO Drawer 13207PensacolaFL32503Audit & Accounting122011
Lincoln Harris
1765 E Nine Mile RdPensacolaFL32534Real Estate254393
Greenberg Traurig Attorneys
101 E College AveTallahasseeFL32302Legal237735
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Federated Campaigns146158FederatedCampaigns
Related Organizations665952RelatedOrganizations
All Other Contributions541723AllOtherContributions
Noncash Contributions70197NoncashContributions
Total Contributions1353833TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient ServicesDescription
Total Revenue Column89411922TotalRevenueColumn
Related Or Exempt Function Income89411922RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue89411922TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column731768TotalRevenueColumn
Related Or Exempt Function Income731768RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13496344Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12970943Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities525401Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column525401TotalRevenueColumn
Related Or Exempt Function Income525401RelatedOrExemptFunctionIncome

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 (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Released from Restriction171741171741
Other178361178361
FieldValueIRS element (for citing)
Total Other Revenue350102TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column92373026TotalRevenueColumn
Related Or Exempt Function Income91019193RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total2418876Total
Management And General2418876ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total34263383Total
Program Services30827263ProgramServices
Management And General2534962ManagementAndGeneral
Fundraising901158Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5878500Total
Program Services4915171ProgramServices
Management And General811795ManagementAndGeneral
Fundraising151534Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2634599Total
Program Services2243920ProgramServices
Management And General323811ManagementAndGeneral
Fundraising66868Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1322490Total
Management And General1322490ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1433550Total
Management And General1433550ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total334934Total
Management And General334934ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1244399Total
Management And General1244399ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total371856Total
Management And General371856ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Travel/Mileage19862861986286
Program Inpatient Care17286241728624
Outside Room & Board2530141525301415
Direct Patient Care75625327562532
Communications979323979323

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3731177Total
Program Services150927ProgramServices
Management And General3229946ManagementAndGeneral
Fundraising350304Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total91191944Total
Program Services74716138ProgramServices
Management And General15005942ManagementAndGeneral
Fundraising1469864Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8080547BOY
EOY14674357EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY196637BOY
EOY1928216EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8505126BOY
EOY8177667EOY

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)
BOY283792BOY
EOY368561EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY39794BOY
EOY102229EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY379851BOY
EOY605367EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20947583LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6275685LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13622398BOY
EOY14671898EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY25091957BOY
EOY18852884EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY425897BOY
EOY410820EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY266937BOY
EOY410772EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY56892936BOY
EOY60202771EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21898470BOY
EOY23141301EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8621783BOY
EOY8280638EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY30520253BOY
EOY31421939EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY26341133BOY
EOY27051200EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY31550BOY
EOY1729632EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26372683BOY
EOY28780832EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY56892936BOY
EOY60202771EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1181082ReconcilationRevenueExpenses
Reconcilation Other Changes1227067ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2241500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2861737CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1656648CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1709394CurrentTaxYearMinus1Year
Current Tax Year1353833CurrentTaxYear
Total9823112Total

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 Years2241500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2861737CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1656648CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1709394CurrentTaxYearMinus1Year
Current Tax Year1353833CurrentTaxYear
Total9823112Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1709823112PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years479185CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years256999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89030CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year473349CurrentTaxYearMinus1Year
Current Tax Year731768CurrentTaxYear
Total2030331Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-108819CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-117928CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years413582CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year335777CurrentTaxYearMinus1Year
Current Tax Year816200CurrentTaxYear
Total1338812Total
FieldValueIRS element (for citing)
Total Support13192255TotalSupport
Public Support Pertcentage1700.74460PublicSupportPertcentage170
Public Support Pertcent Prior Year0.80730PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 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 Basis12040614OtherCostOrOtherBasis
Depreciation1707055Depreciation
Book Value10333559BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis692259OtherCostOrOtherBasis
Depreciation390991Depreciation
Book Value301268BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6277988OtherCostOrOtherBasis
Depreciation4177639Depreciation
Book Value2100349BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14671898TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
ExplanationRestricted Contributions $1869823 Change in net unrealized gain $ -471015 Assets Released fr Restriction $ -171741Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
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
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Susan Lovelady
258090125115100000490030096518201603336
Peggy Moore
1422011144111073873158622
Odin Berg
12390125198617089150876
Katherine Thomas
1671295133664145174691161816
James M Smith
194532256879201436186224
Herbert Gannon
21729636613665231327201232
Edward Fletcher
14870725297545151752
Dale O Knee
311351262538192260490054659825708793782

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 1aIdentifier
Return ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.ReturnReference
ExplanationSocial club dues paid for business meetings.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Escambia County Health Facilities Authority
5213788152005-08-23900000Renovate Inpatient Facilityfalsefalsefalse
Escambia County Health Facilities Authority
5213788152005-06-298600000Building Acquisitionfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
141254900000179009000002008falsefalsetruetrue
1346519860000011713986000002007falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsetrue
falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGIC
(no name)
falsetruefalsefalsefalse
Compass Bank
falsetruetruefalsefalse10.0000falsefalsefalse
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Lawrence Meese Jr
Director84286Hospice Inpatient Svcsfalse
Phillip Wright
Director89968Hospice Inpatient Svcsfalse
Bob Peterson
Director310510Hospice Inpatient Svcsfalse
Patrick Schlenker
Past Chairman283579Hospice Inpatient Svcsfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationPatrick Schlenker is President & CEO of Northwest Community Hospital, Chipley, FL.Bob Peterson is Senior VP and COO of West Florida Heathcare, Pensacola, FL.Phillip Wright is CEO of Santa Rosa Medical Center, Milton, FL.Lawrence Meese, Jr. is CEO of Jackson County Hospital in Marianna, FL.Explanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
DescriptionMiscellaneousDescription
Number Of Contributions133NumberOfContributions
Noncash Contribs Rptd F99070197NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents are available on written request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesKey employee compensation plans are reviewed and authorized by the CEO.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe policy is reviewed annually and a signed statement is obtained from employees and directors.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessForm 990 is reviewed by staff before it is signed and submitted.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Alzheimers Family Services Inc
1901 North Palafox StreetPensacolaFL32501593394242Support to Alzheimers patients and familiesFL501(c)(3)Covenant Hospice Incfalse
Hospice Foundation Inc
5041 N 12th AvePensacolaFL32504593060139FundraisingFL501(c)(3)Covenant Hospice Incfalse

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 Line15041 North 9th AvenueAddressLine1
CityPensacolaCity
StateFLState
ZIP Code32504ZIPCode
FieldValueIRS element (for citing)
EIN260286474EIN
Primary ActivityEducationPrimaryActivity
Legal Domicile StateFLLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income93904ShareOfTotalIncome
Share Of EOY Assets119058ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
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 OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Alzheimers Family Services Inc
n206914Hours worked
Alzheimers Family Services Inc
m33452Actual Cost
Alzheimers Family Services Inc
i9667FMV Sq Ft
Alzheimers Family Services Inc
d138000Actual Amount
Hospice Foundation Inc
o16824Actual Costs
Hospice Foundation Inc
n42314Wages/Benefits
Hospice Foundation Inc
m9600Actual Costs