2025-11-16T20:27:54-06:00 2024-12-31 333737422 FRAZIER & DEETER LLC 6795 S AGILYSYS WAY SUITE 420 LAS VEGAS NV 89113 990 2024-01-01 465132177 COVENANT HEALTH & COMMUNITY SERVICES INC COVE 8504332155 5101 N 12TH AVENUE PENSACOLA FL 32504 MICHAEL HITCHCOCK VICE PRESIDENT 8504332155 2025-11-14 1 0 JOANNA JOHNSTON P01075079 7026405050 2024 2025-03-06 01:10:19Z MICHAEL HITCHCOCK 5101 N 12TH AVENUE PENSACOLA FL 32504 95112912 0 X WWW.CHOOSECOVENANT.ORG X 2014 FL COVENANT HEALTH AND COMMUNITY SERVICES, INC. WAS FORMED TO ACT AS THE PARENT CORPORATION OF COVENANT HOSPICE AND ITS AFFILIATES. 10 9 233 9 0 0 1270167 0 13188632 9326401 0 81598467 0 0 14458799 90924868 0 0 0 0 10968814 9224317 0 0 0 8293203 6538359 19262017 15762676 -4803218 75162192 19319150 97059693 49054864 53531066 -29735714 43528627 X COVENANT HEALTH AND COMMUNITY SERVICES, INC. WAS FORMED TO ACT AS THE PARENT CORPORATION OF THE FOUR CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, COVENANT HOSPICE, INC., COVENANT HOSPICE FOUNDATION, INC., ALZHEIMERS FAMILY SERVICES, INC. AND COVENANT AT HOME, INC. AS WELL AS COVENANT PALLATIVE CARE SERVICES, LLC AND COVENANT HOSPICE AND ITS AFFILIATES. 0 0 1886474 9257490 HOME HEALTH CARE SERVICES - COVENANT CARE IS MAKING A GREATER PROMISE,OFFERING ADDITIONAL SKILLED, HOME-BASED MEDICAL SERVICES AND THERAPIESFOR THOSE:I.RECOVERING FROM SURGERYII.RECOVERING FROM AN ACCIDENT OR INJURYIII.DEALING WITH A SERIOUS ILLNESS OR DISABILITY 14043 68911 PALLIATIVE CARE SERVICES - COVENANT CARE'S PALLIATIVE CARE SERVICES CANASSIST PATIENT WHO NEED RELIEF FROM PAIN AND ALLEVIATE DISTRESSINGSYMPTOMS. PALLIATIVE CARE CAN BE OFFERED ANY TIME DURING DIAGNOSIS ANDTREATMENT OF MANY LONG-TERM CONDITIONS. OUR FOCUS IS TO RELIEVE THEPHYSICAL, SOCIAL, EMOTIONAL AND SPIRITUAL SUFFERING THAT OFTENACCOMPANIES A CHRONIC OR COMPLEX ILLNESS. COVENANT HEALTH AND COMMUNITY SERVICES, INC. WAS FORMED TO ACT AS THEPARENT CORPORATION OF THE FOUR CORPORATIONS DESCRIBED IN SECTION501(C)(3) OF THE CODE, COVENANT HOSPICE, INC., COVENANT HOSPICEFOUNDATION, INC., ALZHEIMERS FAMILY SERVICES, INC., AND COVENANT ATHOME, INC. AS WELL AS THE TWO DISREGARDED ENTITES COVENANT PALLIATIVECARE SERVICES, LLC, AND COVENANT HOME HEALTH HOLDINGS, LLC. COVENANTHOME HEALTH HOLDINGS, LLC IS THE SINGLE MEMBER OF COVENANT HOME HEALTHCARE, LLC, COVENANT HOME HEALTH CARE 3, LLC, COVENANT HOME HEALTH CARE4, LLC, COVENANT HOME HEALTH CARE 5, LLC, COVENANT HOME HEALTH CARE 6,LLC, COVENANT HOME HEALTH CARE 7, LLC, COVENANT HOME HEALTH CARE 8,LLC, COVENANT HOME HEALTH CARE 9, LLC, COVENANT HOME HEALTH CARE 10,LLC AND COVENANT HOME HEALTH CARE 11, LLC. 1900517 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 18 0 233 1 0 0 0 0 0 0 0 0 1 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 FL X MICHAEL HITCHCOCK 8504332155 5101 N 12TH AVE PENSACOLA FL 32504 JEFF MISLEVY PRESIDENT/CEO 4.00 52.00 X X 4317048 0 228000 RODNEY GUTTMANN PAST CHAIR/ INTERIM CEO 4.00 4.00 X X 0 0 50375 TOM OWENS TRESURER 4.00 4.00 X X 0 0 0 BRETT PARRA BOARD MEMBER 4.00 4.00 X 0 0 0 KENT SKOLROOD BOARD CHAIR 4.00 4.00 X X 0 0 0 DICK APPLEYARD BOARD MEMBER 4.00 4.00 X 0 0 0 JAMES JAMIE CAMPBELL BOARD MEMBER 4.00 4.00 X 0 0 0 MILLER CALDWELL BOARD MEMBER 4.00 4.00 X 0 0 0 PETER JENNINGS BOARD MEMBER 4.00 4.00 X 0 0 0 STEVE SARROS BOARD MEMBER 4.00 X 0 0 0 ROLAND CLENEAY CFO 4.00 52.00 X 1391670 0 10675 MICHAEL HITCHCOCK VP FINANCE 40.00 X 265301 0 0 STEVEN DONCHEY CMO, SENIOR VP 40.00 X 313368 0 0 KRISTEN MCGEHEE COO 4.00 52.00 X 645430 0 0 BRIAN TIEMAN CPO 40.00 X 1040954 0 93800 7973771 0 382850 6 0 1 0 SIMITREE ACQUISTION LLC 4130 WHITNEY AVENUE HAMDEN CT 06518 CONSULTING 363834 FRAZIER & DEETER LLC P O BOX 532220 ATLANTA GA 303532220 CPA & CONSULTING SERVICES 292265 APPLEYARD AGENCY 4400 BAYOU BLVD STE 12 PENSACOLA FL 32503 MARKETING 264178 BEGGS & LANE 501 COMMENDENCIA STREET PENSACOLA FL 32502 LEGAL SERVICES 253815 4 HOME HEALTH CARE SERVICES 621610 9257490 9257490 PALLATIVE CARE 623990 68911 68911 9326401 3146943 3146943 82639568 4188044 78451524 78451524 78451524 90924868 9326401 0 81598467 6228069 6228069 2011031 1083468 927563 7110 3919 3191 231869 18599 213270 746238 254776 491462 2583278 2583278 511124 511124 1410284 1410284 875983 875983 293324 330227 -36903 11193 11193 152666 152666 190944 190944 MEDICINE & MEDICAL CARE 205656 205656 MISCELLANEOUS 178042 178042 RECRUITMENT 72007 72007 REPAIRS & MAINTENANCE 48901 48901 4957 3872 1085 15762676 1900517 13862159 0 1387657 2658571 3498268 3498630 1958657 10079021 399336 462850 1331781 1074573 326189 257208 69157713 10098350 10098350 1650693 847350 19319150 97059693 5064562 4186465 43990302 49344601 49054864 53531066 X -29735714 43528627 -29735714 43528627 19319150 97059693 X 75162192 -1885178 -12673 X 0 1 X 1 0 X 2474678 281509 5410225 1270167 9436579 17831033 22677525 18668454 13188632 9326401 81692045 20305711 22959034 24078679 14458799 9326401 91128624 0 0 0 91128624 175 353 3146944 3147472 175 353 3146944 3147472 46183 159901 190889 78451524 78848497 20352069 23118935 24269921 14458799 90924869 173124593 0.52640 0.99580 0.01820 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: 2020 AMOUNT: $ 46,183. 2021 AMOUNT: $ 159,901. 2022 AMOUNT: $ 190,889. NET SALES PROCEEDS FROM ASSET SALE - 2024 AMOUNT: $ 78,451,524. 10321 8328 1993 396467 319897 76570 924993 746348 178645 257208 DUE TO COVENANT HOSPICE, INC 53412587 DUE TO COVENANT AT HOME -114032 DUE TO COVENANT FOUNDATION -2491770 DUE TO ALZHEIMER'S FAMILY SERVICES -1462184 49344601 PART X, LINE 2: CHCS, HOSPICE, THE FOUNDATION, AFS, CAH AND CPCS ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM XI AND PART XII THE AUDITED FINANCIAL STATEMENTS FOR DECEMBER 31, 2024 WERE ISSUED ON A CONSOLIDATED BASIS. THE INDIVIDUAL ENTITY FINANCIAL STATEMENTS WERE NOT PROVIDED AND THEREFORE NOT ABLE TO BE RECONCILED TO THE INFORMATION ON THE FORM 990. X 0 1 X X X 0 0 0 0 0 0 0 0 0 JEFF MISLEVY PRESIDENT/CEO 255262 0 4047160 0 14626 0 0 0 0 0 4317048 0 0 0 ROLAND CLENEAY CFO 138613 0 1242945 0 10112 0 0 0 0 0 1391670 0 0 0 BRIAN TIEMAN CPO 123690 0 911250 0 6014 0 0 0 0 0 1040954 0 0 0 KRISTEN MCGEHEE COO 117394 0 517500 0 10536 0 0 0 0 0 645430 0 0 0 STEVEN DONCHEY CMO, SENIOR VP 233093 0 75000 0 5275 0 0 0 0 0 313368 0 0 0 MICHAEL HITCHCOCK VP FINANCE 239801 0 25500 0 0 0 0 0 0 0 265301 0 0 0 STEVE SARROS BOARD MEMBER 88060 DESCRIPTION OF TRANSACTION: STEVE SARROS IS THE CIO OF BAPTIST HEALTH AND COVENANT PAYS BAPTIST HEALTH FOR PATIENT EXPENSES. 0 KENT SKOLROOD BOARD MEMBER 88060 DESCRIPTION OF TRANSACTION: KENT SKOLROD IS THE PRESIDENT OF BAPTIST HEALTH AND COVENANT PAYS BAPTIST HEALTH FOR PATIENT EXPENSES. 0 DICK APPLEYARD BOARD MEMBER 524612 DESCRIPTION OF TRANSACTION: DICK APPLEYARD IS THE CEO OF APPLEYARD AGENCY AND COVENANT PAYS APPLEYARD AGENCY FOR ADVERTISING EXPENSES. 0 FORM 990, PART IV, LINE 32- SALE, EXCHANGE, DISPOSE OF OR TRANSFER OF ASSET ON APRIL 17, 2024 COVENANT CARE ENTERED INTO AN ASSET SALE AGREEMENT WITH VITAS HEALTHCARE CORPORATION. AS A RESULT OF THIS SALE, A SIGNIFICANT PORTION OF THE CONSOLIDATED ENTITY'S ASSETS WERE SOLD AND TRANSFERED. THE TOTAL CHANGE IN NET ASSETS, HOWEVER DID NOT MEET THE 25% THRESHOLD REQUIRING REPORTING ON SCHEDULE N. THE PURPOSE OF THE SALE OF BOTH HOSPICE AND HOME HEALTH CARE BUSINESS UNITS ARE TO CONTINUE TO SUPPORT OUR MISSION OF PROVIDING COMPREHENSIVE, COMPASSIONATE HEALTHCARE THROUGH SKILLED HOME-BASED MEDICAL SERVICES, THERAPIES AND CHILDREN'S BEREAVEMENT COUNSELING WHICH FURTHER ENHANCES THE HEALTH CARE CONTINUUM WITHIN OUR COMMUNITY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY STAFF WITH THE ASSISTANCE OF AND REVIEW BY AN INDEPENDENT ACCOUNTING FIRM BEFORE IT IS SIGNED AND SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE SENT ANNUALLY TO MEMBERS OF THE BOARD OF DIRECTORS, AND ALL KEY STAFF MEMBERS REPORTABLE ON THE FORM 990. THE FORMS ARE REVIEWED FOR RESPONSES INDICATING A POSSIBLE CONFLICT OF INTEREST. IN ADDITION, THE DIRECTOR OF ACCOUNTING REVIEWS TRANSACTIONS WITH VENDORS WITH WHICH THE BOARD MAY BE AFFILIATED TO DETERMINE THAT ALL TRANSACTIONS ARE MADE AT ARM'S LENGTH. IF A POSSIBLE CONFLICT IS IDENTIFIED, THE PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE BOARD OF DIRECTORS DELIBERATIONS AND DECISIONS IN THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 TO DETERMINE THE CEO'S, OTHER OFFICERS', AND OTHER EMPLOYEES' COMPENSATION, COVENANT HEALTH AND COMMUNITY SERVICES, INC. PROCURES SALARY COMPARABILITY DATA AND HIRES AN INDEPENDENT FIRM TO DO A SALARY COMPARISON FOR ALL SENIOR ADMINISTRATIVE STAFF. THE SALARY COMPARISON WITH THE INDEPENDENT FIRM IS UNDERTAKEN ANNUALLY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE 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 2018. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE ON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: ADJUSTMENT TO NET ASSET DUE TO CONSOLIDATION -12,673. COVENANT HOME HEALTH HOLDINGS LLC 5101 N 12TH AVE PENSACOLA FL 32504 811010716 SINGLE MEMBER OF COVENANT HOME HEALTH CARE, LLC FL 0 2140 COVENANT HEALTH AND COMMUNITY SERVICES INC COVENANT PALLIATIVE CARE SERVICES LLC 5101 N 12TH AVE PENSACOLA FL 32504 464822066 PALLIATIVE SERVICES FL 68514 0 COVENANT HEALTH AND COMMUNITY SERVICES INC COVENANT HOME HEALTH CARE LLC 5101 N 12TH AVE PENSACOLA FL 32504 262335536 HOME HEALTH CARE SERVICE FL 6466515 185634 COVENANT HEALTH AND COMMUNITY SERVICES INC COVENANT HOME HEALTH CARE 3 LLC 5101 N 12TH AVE PENSACOLA FL 32504 841850981 HOME HEALTH CARE SERVICE FL 33384 5075 COVENANT HEALTH AND COMMUNITY SERVICES INC COVENANT HOME HEALTH CARE 4 LLC 5101 N 12TH AVE PENSACOLA FL 32504 841866523 HOME HEALTH CARE SERVICE FL 32324 11099 COVENANT HEALTH AND COMMUNITY SERVICES INC COVENANT HOME HEALTH CARE 5 LLC 5101 N 12TH AVE PENSACOLA FL 32504 841803949 HOME HEALTH CARE SERVICE FL 1485890 9843 COVENANT HEALTH AND COMMUNITY SERVICES INC COVENANT HOME HEALTH CARE 6 LLC 5101 N 12TH AVE PENSACOLA FL 32504 841790239 HOME HEALTH CARE SERVICE FL 497099 4836 COVENANT HEALTH AND COMMUNITY SERVICES INC COVENANT HOME HEALTH CARE 7 LLC 5101 N 12TH AVE PENSACOLA FL 32504 841811553 HOME HEALTH CARE SERVICE FL 748374 2718 COVENANT HEALTH AND COMMUNITY SERVICES INC COVENANT HOME HEALTH CARE 8 LLC 5101 N 12TH AVE PENSACOLA FL 32504 841838540 HOME HEALTH CARE SERVICE FL 10181 5532 COVENANT HEALTH AND COMMUNITY SERVICES INC COVENANT HOME HEALTH CARE 9 LLC 5101 N 12TH AVE PENSACOLA FL 32504 841875410 HOME HEALTH CARE SERVICE FL 30674 1771 COVENANT HEALTH AND COMMUNITY SERVICES INC COVENANT HOME HEALTH CARE 10 LLC 5101 N 12TH AVE PENSACOLA FL 32504 841895925 HOME HEALTH CARE SERVICE FL 33172 16393 COVENANT HEALTH AND COMMUNITY SERVICES INC COVENANT HOME HEALTH CARE 11 LLC 5101 N 12TH AVE PENSACOLA FL 32504 841916945 HOME HEALTH CARE SERVICE FL 6058 19125 COVENANT HEALTH AND COMMUNITY SERVICES INC COVENANT HOSPICE INC 5101 N 12TH AVE PENSACOLA FL 32504 592208300 PROVIDES CARE TO TERMINALLY ILL PATIENTS FL 501(C)(3) LINE 10 COVENANT HEALTH AND COMMUNITY SERVICES INC 1 COVENANT HOSPICE FOUNDATION INC 5101 N 12TH AVE PENSACOLA FL 32504 593060139 FUNDRAISING FL 501(C)(3) LINE 12A, I COVENANT HEALTH AND COMMUNITY SERVICES INC 1 ALZHEIMERS FAMILY SERVICES INC 5101 N 12TH AVE PENSACOLA FL 32504 593394242 SUPPORT TO ALZHEIMERS PATIENTS AND FAMILIES FL 501(C)(3) LINE 7 COVENANT HEALTH AND COMMUNITY SERVICES INC 1 COVENANT AT HOME INC 5101 N 12TH AVE PENSACOLA FL 32504 322543765 HOME HEALTH CARE FL 501(C)(3) LINE 10 COVENANT HEALTH AND COMMUNITY SERVICES INC 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 COVENANT AT HOME INC D 114032 FAIR VALUE COVENANT ALZHEIMER'S SERVICES D 1462184 FAIR VALUE COVENANT HOSPICE INC E 53412587 FAIR VALUE COVENANT HOSPICE FOUNDATION INC D 2491770 FAIR VALUE