2025-04-30T18:57:37-05:00 2023-12-31 581433845 FRAZIER & DEETER LLC 6795 S AGILYSYS WAS SUITE 420 LAS VEGAS NV 89113 990 2023-01-01 593394242 ALZHEIMER'S FAMILY SERVICES INC ALZH 8504332155 5101 N 12TH AVENUE PENSACOLA FL 32504 MICHAEL HITCHCOCK VICE PRESIDENT 8504332155 2025-04-30 1 0 X JOANNA JOHNSTON P01075079 7026405050 2023 2025-03-06 01:10:19Z X MICHAEL HITCHCOCK 5101 N 12TH AVENUE PENSACOLA FL 32504 1390512 0 X WWW.CHOOSECOVENANT.ORG/ALZHEIMERS X 1996 FL THE PRIMARY MISSION OF ALZHEIMERS FAMILY SERVICES (AFS) IS TO PROVIDE EMOTIONAL SUPPORT FOR CAREGIVERS OF ALZHEIMERS PATIENTS. 10 9 36 9 0 0 593290 98472 1667116 1292040 0 0 0 0 2260406 1390512 0 0 0 0 1300356 1211196 0 0 0 994725 604239 2295081 1815435 -34675 -424923 1489589 1272831 3402010 3610175 -1912421 -2337344 X THE PRIMARY MISSION OF ALZHEIMER'S FAMILY SERVICES (AFS) IS TO PROVIDE EMOTIONAL SUPPORT FOR CAREGIVERS OF ALZHEIMERS PATIENTS. THROUGH INDIVIDUAL AND GROUP SESSIONS, THE SKILLED TEAM OF STAFF AND VOLUNTEERS AT AFS EQUIP CAREGIVERS WITH THE NECESSARY TOOLS TO COPE WITH THEIR LOVED ONE'S ILLNESS. CAREGIVERS CAN BE A SPOUSE, AN ADULT CHILD, OR EVEN A FRIEND. AFS PROVIDES CURRENT AND UPDATED KNOWLEDGE AND TREATMENT INFORMATION TO THE FAMILY. SERVICES ARE PROVIDED COMMENSURATE WITH THE CAPABILITIES OF THE STAFF AND WITH THE KNOWLEDGE AND APPROVAL OF THE BOARD OF DIRECTORS. 0 0 956410 1292040 MEMORY CARE CLINIC: EMBRACES THOSE WITH ALZHEIMER'S DISEASE OR DEMENTIA IN A TRANQUIL, HOME-LIKE SETTING WITH SKILLED STAFF AND INNOVATIVEPROGRAMS DESIGNED TO HELP RESIDENTS MAKE THE MOST OF EACH MOMENT.OPTIMAL LIVING ACCOMMODATIONS HAVE BEEN DESIGNED SPECIFICALLY TO MEETTHE UNIQUE NEEDS OF THOSE IMPACTED BY DEMENTIA. THE CENTER OFFERSSTATE-OF-THE-ART PRIVATE ROOMS AND DOUBLE-OCCUPANCY ROOMS WITH AMAXIMUM BED CAPACITY LICENSED AT 25 ROOMS WITHIN THE 14,000 SQUARE FOOTRESIDENCE LOCATED AT THE JOYCE GOLDENBERG CAMPUS IN PENSACOLA. 956410 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 36 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 FL X MICHAEL HITCHCOCK 8504332155 5101 N 12TH AVENUE PENSACOLA FL 32504 JEFF MISLEVY PRESIDENT/CEO 4.00 52.00 X X 0 939335 43000 RODNEY GUTTMANN CHAIRMAN 4.00 X X 0 0 0 TOM OWENS PAST CHAIR 4.00 X X 0 0 0 BRETT PARRA SECRETARY 4.00 X X 0 0 0 KENT SKOLROOD TREASURER 4.00 X X 0 0 0 DICK APPLEYARD BOARD MEMBER 4.00 X 0 0 0 JAMES JAMIE CAMPBELL BOARD MEMBER 4.00 X 0 0 0 MILLER CALDWELL BOARD MEMBER 4.00 X 0 0 0 PETER JENNINGS BOARD MEMBER 4.00 X 0 0 0 STEVE SARROS BOARD MEMBER 4.00 X 0 0 0 ROLAND CLENEAY CFO 4.00 52.00 X 0 467554 41635 AARON WEST VP ADVANCEMENT 4.00 52.00 X 0 287547 31837 STEVEN DONCHEY CMO, SENIOR VP 4.00 52.00 X 0 299548 15472 KRISTEN MCGEHEE COO 4.00 52.00 X 0 326971 29315 STEPHENE GARNETT VP ADMINISTRATION 4.00 52.00 X 0 192670 23315 BRIAN TIEMAN CPO 4.00 52.00 X 0 339014 27492 0 2852639 212066 0 0 1 0 0 2882 95590 98472 MEMORY CARE CLINIC 623990 1292040 1292040 1292040 1390512 1292040 0 0 1032824 720267 312557 2870 2192 678 99203 64080 35123 76299 53227 23072 6081 6081 60865 60865 48773 48773 668 668 2323 2323 21041 21041 343 343 SALARY ALLOCATION 251645 251645 REPAIRS & MAINTENANCE 95738 95738 FOOD & LAUNDRY 74867 74867 CONTRACT LABOR 19127 19127 22768 22650 118 1815435 956410 859025 0 43897 42318 2745 7735 343 715 445098 304931 161208 140167 905552 1081896 1489589 1272831 102027 105547 3299983 3504628 3402010 3610175 X -1912421 -2337344 -1912421 -2337344 1489589 1272831 -424923 0 X 0 1 X 1 0 X 41416 2936 -78 270611 98473 413358 41416 2936 -78 270611 98473 413358 413358 274 166 0 0 0 440 6061 1226 350 7637 421435 0.98080 0.96500 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 445098 304931 140167 140167 DUE FROM COVENANT HOSPICE FOUNDATION 1081896 1081896 DUE TO COVENANT HOSPICE, INC 2080341 DUE TO COVENANT HEALTH & COMM SERVICES 1424287 3504628 FORM 990, SCHEDULE D, PART XI AND PART XII PART X, LINE 2: CHCS, HOSPICE, THE FOUNDATION, AFS AND CPCS ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PART XI AND PART XII THE AUDITED FINANCIAL STATEMENTS FOR DECEMBER 31, 2023 HAD NOT BEEN ISSUED AT THE TIME THE FORM 990 IS BEING FILED. FINAL RECONCILAITON TO THE AUDITED FINANCIAL STATEMENTS WILL OCCUR FOLLOWING THEIR ISSUANCE. X X X X X 0 0 0 0 0 0 0 0 0 JEFF MISLEVY PRESIDENT/CEO 0 742319 0 197016 0 0 0 43000 0 0 0 982335 0 0 ROLAND CLENEAY CFO 0 395944 0 71610 0 0 0 41635 0 0 0 509189 0 0 BRIAN TIEMAN CPO 0 286514 0 52500 0 0 0 27492 0 0 0 366506 0 0 KRISTEN MCGEHEE COO 0 274471 0 52500 0 0 0 29315 0 0 0 356286 0 0 AARON WEST VP ADVANCEMENT 0 243797 0 43750 0 0 0 31837 0 0 0 319384 0 0 STEVEN DONCHEY CMO, SENIOR VP 0 247048 0 52500 0 0 0 15472 0 0 0 315020 0 0 STEPHENE GARNETT VP ADMINISTRATION 0 159420 0 33250 0 0 0 23315 0 0 0 215985 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS COVENANT HEALTH AND COMMUNITY SERVICES, INC., A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A COVENANT HEALTH AND COMMUNITY SERVICES, INC. HAS THE AUTHORITY TO APPROVE THE ELECTION OF ALL BOARD MEMBERS OF ALZEHEIMER'S FAMILY SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS REQUIRE WRITTEN APPROVAL FROM COVENANT HEALTH AND COMMUNITY SERVICES, INC: -THE APPOINTMENT OR THE 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 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. -AN AMENDMENT TO THE ARTICLES OF INCORPORATION OR THE BYLAWS FORM 990, PART VI, SECTION B, LINE 11B BOTH STAFF AND DESIGNATED BOARD MEMBERS REVIEW THE RETURN BEFORE SIGNING. 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 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE PAID BY COVENANT HEALTH AND COMMUNITY SERVICES, INC. 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. BECAUSE THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE NOT COMPENSATED BY THE FILING ORGANIZATION, THIS QUESTION WAS MARKED "NO" IN ACCORDANCE WITH FORM 990 INSTRUCTIONS. FORM 990, PART VI, SECTION C, LINE 18 GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST. THE AUDITED FINANCIAL STATEMENTS FOR DECEMBER 31, 2023 HAD NOT BEEN ISSUED AT THE TIME THE FORM 990 IS BEING FILED. THE FORM 990 WILL BE AMENDED IF NECESSARY AFTER THE AUDIT IS ISSUED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND THE ORGANZIATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE ON WRITTEN REQUEST. COVENANT MEMORY CARE CENTER AT THE JOYCE GOLDENBERG CAMPUS LLC 5101 N 12TH AVENUE PENSACOLA FL 32504 812591039 HEALTH SERVICES FL 1294924 ALZHEIMER'S FAMILY SERVICES INC COVENANT HOSPICE INC 5101 N 12TH AVENUE 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 AVENUE PENSACOLA FL 32504 593060139 FUNDRAISING FL 501(C)(3) LINE 12A, I COVENANT HEALTH AND COMMUNITY SERVICES INC 1 COVENANT AT HOME INC 5101 N 12TH AVENUE PENSACOLA FL 32504 352543765 HOME HEALTH CARE FL 501(C)(3) LINE 10 COVENANT HEALTH AND COMMUNITY SERVICES INC 1 COVENANT HEALTH AND COMMUNITY SERVICES INC 5101 N 12TH AVENUE PENSACOLA FL 32504 465132177 PALLIATIVE AND HOME CARE SERVICES FL 501(C)(3) LINE 10 NA 1 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 COVENANT HOSPICE FOUNDATION INC D 1081896 FMV COVENANT HOSPICE INC E 2080340 FMV COVENANT HEALTH AND COMMUNITY SERVICES INC E 1424287 FMV COVENANT HOSPICE INC K 174873 FMV COVENANT HEALTH AND COMMUNITY SERVICES INC O 251645 FMV COVENANT HOSPICE INC C 174873 FMV