HOSPICE OF SANTA CRUZ COUNTY: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: HOSPICE OF SANTA CRUZ COUNTY (EIN 94-2497618)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-15
IRS object ID: 202421369349305142
Schema version: 2022v5.0
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 D
Schedule G
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-15T10:15:18-05:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	941239084	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ATHERTON & ASSOCIATES LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 4339	AddressLine1Txt
City	MODESTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	953524339	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	942497618	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOSPICE OF SANTA CRUZ COUNTY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HOSP	BusinessNameControlTxt
Phone	8314303000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	940 DISC DRIVE	AddressLine1Txt
City	SCOTTS VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95066	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ADAM SHORE	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8314303000	PhoneNum
Signature	2024-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ADAM	PersonFirstNm
Person Last	SHORE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JACQUELYN HOWELL	PreparerPersonNm
PTIN	P01327223	PTIN
Phone	2095774800	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ADAM SHORE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	940 DISC DRIVE	AddressLine1Txt
City	SCOTTS VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95066	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$23,675,630	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HOSPICESANTACRUZ.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1978	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	HOSPICE SERVICE AND SUPPORT FOR TERMINAL PATIENTS AND THEIR FAMILIES.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	170	TotalEmployeeCnt
Total Volunteers	130	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,268,698	PYContributionsGrantsAmt
CY Contributions Grants	$3,985,146	CYContributionsGrantsAmt
PY Program Service Revenue	$17,950,638	PYProgramServiceRevenueAmt
CY Program Service Revenue	$19,623,892	CYProgramServiceRevenueAmt
PY Investment Income	$10,621	PYInvestmentIncomeAmt
CY Investment Income	$14,691	CYInvestmentIncomeAmt
PY Other Revenue	$60,582	PYOtherRevenueAmt
CY Other Revenue	$29,375	CYOtherRevenueAmt
PY Total Revenue	$19,290,539	PYTotalRevenueAmt
CY Total Revenue	$23,653,104	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$14,699,094	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$14,235,605	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$490,299	CYTotalFundraisingExpenseAmt
PY Other Expenses	$7,664,671	PYOtherExpensesAmt
CY Other Expenses	$8,898,290	CYOtherExpensesAmt
PY Total Expenses	$22,363,765	PYTotalExpensesAmt
CY Total Expenses	$23,133,895	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,073,226	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$519,209	CYRevenuesLessExpensesAmt
Total Assets BOY	$12,203,092	TotalAssetsBOYAmt
Total Assets EOY	$10,514,492	TotalAssetsEOYAmt
Total Liabilities BOY	$4,311,272	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,085,780	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,891,820	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$8,428,712	NetAssetsOrFundBalancesEOYAmt
Mission	HOSPICE SERVICE AND SUPPORT FOR TERMINAL PATIENTS AND THEIR FAMILIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$14,162,529	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$19,623,892	RevenueAmt
Desc	953 PATIENTS AND FAMILIES RECEIVED 61,725 DAYS OF EXPERT END-OF-LIFE CARE FROM HOSPICE TEAMS OF MEDICAL DIRECTORS, NURSES, SOCIAL WORKERS, CHAPLAINS, HOSPICE AIDES, AND VOLUNTEERS. ADDITIONALLY, 3,162 INDIVIDUAL GRIEF SUPPORT SESSIONS AND 138 GROUP GRIEF SUPPORT SESSIONS WERE PROVIDED TO HOSPICE FAMILIES AND GRIEVING COMMUNITY MEMBERS OF ALL AGES.	Desc
Total Program Service Expenses	$14,162,529	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	63	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	170	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ADAM SHORE	PersonNm
Phone	8314303000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	940 DISC DRIVE	AddressLine1Txt
City	SCOTTS VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95066	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JULIA COWELL RN PHD
PRESIDENT	5.00	Yes (X)	Yes (X)	$0	$0	$0
KATHERINE GABRIEL-COX MD
VICE PRESIDENT	2.00	Yes (X)	Yes (X)	$0	$0	$0
CARA DESIMONE
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
RICHARD CLARK
TREASURER	5.00	Yes (X)	Yes (X)	$0	$0	$0
SHARON TAPPER MD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MICHAEL ALLARD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
DAISY NUNEZ
DIRECTOR	1.00	Yes (X)		$0	$0	$0
SIGOLENE A ORTEGA
DIRECTOR	1.00	Yes (X)		$0	$0	$0
DEAN AUSTIN
DIRECTOR	1.00	Yes (X)		$0	$0	$0
SUSAN MACMILLAN
DIRECTOR	1.00	Yes (X)		$0	$0	$0
CHRIS MAFFIA
DIRECTOR	1.00	Yes (X)		$0	$0	$0
OWEN BROWN
DIRECTOR	1.00	Yes (X)		$0	$0	$0
JAMES WILLIAM MCGOWAN
DIRECTOR	1.00	Yes (X)		$0	$0	$0
BONNIE LANGE
DIRECTOR	1.00	Yes (X)		$0	$0	$0
CATHY CONWAY
CHIEF EXECUTIVE OFFICER	40.00		Yes (X)	$286,721	$0	$16,523
ADAM SHORE
CHIEF FINANCIAL OFFICER	40.00		Yes (X)	$218,386	$0	$14,147
KARL SEGNITZ
CHIEF MEDICAL OFFICER	40.00			$333,058	$0	$15,496	Yes (X)
JUDITH HUMBLE
CHIEF COMPLIANCE OFFICER	40.00			$179,046	$0	$14,568	Yes (X)
SARAH PAEZ
DIRECTOR OF NURSING	40.00			$155,111	$0	$11,059	Yes (X)
DIANE SYRCLE
CHIEF MISSION OFFICER	40.00			$175,932	$0	$14,408	Yes (X)
ANGELA BROUSE
ADMISSIONS NURSE	40.00			$183,416	$0	$3,594	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,531,670	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$89,795	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	40	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ALLEN BUENO DEL BOSQUE
311 33RD AVE	SANTA CRUZ	CA	95062	PHYSICIAN	$214,375
BONNY MASTERS
634 SAN JUAN AVENUE	SANTA CRUZ	CA	95065	PHYSICIAN	$163,772

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Fundraising	$78,110	FundraisingAmt
Government Grants	$2,677,180	GovernmentGrantsAmt
All Other Contributions	$1,229,856	AllOtherContributionsAmt
Noncash Contributions	$280	NoncashContributionsAmt
Total Contributions	$3,985,146	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	HOSPICE SERVICES	Desc
Business	621610	BusinessCd
Total Revenue Column	$19,623,892	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,623,892	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$19,623,892	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,691	TotalRevenueColumnAmt
Exclusion	$14,691	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$51,901	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$78,110	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$22,526	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,375	TotalRevenueColumnAmt
Exclusion	$29,375	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,653,104	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,623,892	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$44,066	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$600,165	TotalAmt
Management And General	$600,165	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$11,241,056	TotalAmt
Program Services	$6,919,452	ProgramServicesAmt
Management And General	$4,033,355	ManagementAndGeneralAmt
Fundraising	$288,249	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,210,851	TotalAmt
Program Services	$671,873	ProgramServicesAmt
Management And General	$494,279	ManagementAndGeneralAmt
Fundraising	$44,699	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,183,533	TotalAmt
Program Services	$756,808	ProgramServicesAmt
Management And General	$403,643	ManagementAndGeneralAmt
Fundraising	$23,082	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$21,896	TotalAmt
Management And General	$21,896	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$112,166	TotalAmt
Management And General	$112,166	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$35,356	TotalAmt
Management And General	$35,356	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,323,867	TotalAmt
Program Services	$1,699,272	ProgramServicesAmt
Management And General	$607,811	ManagementAndGeneralAmt
Fundraising	$16,784	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$237,351	TotalAmt
Program Services	$55	ProgramServicesAmt
Management And General	$225,256	ManagementAndGeneralAmt
Fundraising	$12,040	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$170,722	TotalAmt
Program Services	$2,556	ProgramServicesAmt
Management And General	$148,197	ManagementAndGeneralAmt
Fundraising	$19,969	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$241,988	TotalAmt
Management And General	$241,988	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$250,519	TotalAmt
Program Services	$214,280	ProgramServicesAmt
Management And General	$32,015	ManagementAndGeneralAmt
Fundraising	$4,224	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$72,140	TotalAmt
Program Services	$19,541	ProgramServicesAmt
Management And General	$17,827	ManagementAndGeneralAmt
Fundraising	$34,772	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$31,465	TotalAmt
Management And General	$10,703	ManagementAndGeneralAmt
Fundraising	$20,762	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$270,104	TotalAmt
Management And General	$270,104	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$183,376	TotalAmt
Management And General	$183,376	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
ROOM & BOARD	$1,549,313	$1,549,313
PATIENT RELATED	$1,541,859	$1,541,859
BAD DEBT EXPENSE	$648,650	$648,650
COMPUTER SUPPORT	$602,004	$8,353	$568,958	$24,693

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$605,514	TotalAmt
Program Services	$130,517	ProgramServicesAmt
Management And General	$473,972	ManagementAndGeneralAmt
Fundraising	$1,025	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,133,895	TotalAmt
Program Services	$14,162,529	ProgramServicesAmt
Management And General	$8,481,067	ManagementAndGeneralAmt
Fundraising	$490,299	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$462,169	BOYAmt
EOY	$609,430	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,037,138	BOYAmt
EOY	$914,321	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$113,764	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,984,266	BOYAmt
EOY	$2,045,018	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$303,749	BOYAmt
EOY	$292,624	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,228,302	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,968,759	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,369,657	BOYAmt
EOY	$2,259,543	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,287,197	BOYAmt
EOY	$3,425,384	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$159,990	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$485,162	BOYAmt
EOY	$968,172	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,203,092	BOYAmt
EOY	$10,514,492	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,181,499	BOYAmt
EOY	$1,416,725	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$194,503	BOYAmt
EOY	$163,899	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,935,270	BOYAmt
EOY	$505,156	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,311,272	BOYAmt
EOY	$2,085,780	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,170,797	BOYAmt
EOY	$7,752,815	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$721,023	BOYAmt
EOY	$675,897	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,891,820	BOYAmt
EOY	$8,428,712	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,203,092	BOYAmt
EOY	$10,514,492	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$519,209	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$297,317	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$279,634	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	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	$1,808,791	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,106,587	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,825,299	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,268,698	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,985,146	CurrentTaxYearAmt
Total	$10,994,521	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,808,791	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,106,587	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,825,299	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,268,698	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,985,146	CurrentTaxYearAmt
Total	$10,994,521	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$777,290	SubstantialContributorsTotAmt
Public Support Total170	$10,217,231	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$97,561	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$52,065	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$45,248	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,576	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,691	CurrentTaxYearAmt
Total	$216,141	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$47,477	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$26,862	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,771	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$60,582	CurrentTaxYearMinus1YearAmt
Total	$143,692	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$11,354,354	TotalSupportAmt
Gross Receipts Rltd Activities	$98,156,143	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.89990	PublicSupportCY170Pct
Public Support PY170	0.84310	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$698,070	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$69,932	InvestmentEarningsOrLossesAmt
Administrative Expenses	$8,811	AdministrativeExpensesAmt
End Year Balance	$619,327	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$635,181	BeginningYearBalanceAmt
Investment Earnings Or Losses	$62,889	InvestmentEarningsOrLossesAmt
End Year Balance	$698,070	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$511,407	BeginningYearBalanceAmt
Investment Earnings Or Losses	$133,480	InvestmentEarningsOrLossesAmt
Administrative Expenses	$9,706	AdministrativeExpensesAmt
End Year Balance	$635,181	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$535,980	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$17,237	InvestmentEarningsOrLossesAmt
Administrative Expenses	$7,336	AdministrativeExpensesAmt
End Year Balance	$511,407	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$530,022	BeginningYearBalanceAmt
Investment Earnings Or Losses	$15,146	InvestmentEarningsOrLossesAmt
Administrative Expenses	$9,188	AdministrativeExpensesAmt
End Year Balance	$535,980	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.29430	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.70570	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$565,980	OtherCostOrOtherBasisAmt
Book Value	$565,980	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,658,159	OtherCostOrOtherBasisAmt
Depreciation	$1,329,326	DepreciationAmt
Book Value	$1,328,833	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$541,874	OtherCostOrOtherBasisAmt
Depreciation	$358,735	DepreciationAmt
Book Value	$183,139	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$370,583	OtherCostOrOtherBasisAmt
Depreciation	$337,901	DepreciationAmt
Book Value	$32,682	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,091,706	OtherCostOrOtherBasisAmt
Depreciation	$942,797	DepreciationAmt
Book Value	$148,909	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,259,543	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ENDOWED AGENCY FUND HELD AT COMMUNITY FOUNDATION OF SCC	$619,327	F
NON ENDOWED AGENCY FUND HELD AT COMMUNITY FOUNDATION OF SCC	$2,806,057	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$3,425,384	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DEPOSITS	$22,804
SELF-INSURANCE RESERVE	$192,984
OTHER RECEIVABLES	$440,212
OPERATING LEASE RIGHT-OF-USE ASSETS	$29,691
DEFERRED COMPENSATION ASSETS	$282,481

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$968,172	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
SELF-INSURANCE LIABILITY	$192,984
OPERATING LEASE LIABILITIES	$29,691
DEFERRED COMPENSATION LIABILITY	$282,481

Field	Value	IRS element (for citing)
Total Liability	$505,156	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$23,986,066	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$297,317	NetUnrealizedGainsInvstAmt
Other Revenue	$35,645	OtherRevenueAmt
Revenue Not Reported	$332,962	RevenueNotReportedAmt
Revenue Subtotal	$23,653,104	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$23,653,104	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$23,169,540	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$35,645	OtherExpensesIncludedAmt
Expenses Not Reported	$35,645	ExpensesNotReportedAmt
Expenses Subtotal	$23,133,895	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$23,133,895	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE ORGANIZATION'S ENDOWMENT FUNDS CONSIST OF FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES TO SUPPORT THE ORGANIZATION'S PROGRAMS. THE ORGANIZATION HAS A POLICY OF CLASSIFYING INVESTMENT INCOME ON THE ENDOWMENT FUNDS AS TEMPORARILY RESTRICTED UNTIL SUCH TIME AS SPECIFICALLY BUDGETED FOR SPENDING AND APPROVED BY THE BOARD.
PART X, LINE 2:	MANAGEMENT HAS EVALUATED HOSPICE'S TAX POSITIONS AND CONCLUDED THAT HOSPICE HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. HOSPICE IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR TAX YEARS ENDING JUNE 30, 2019 AND PRIOR.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	IN-KIND INCOME 35,645.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	IN-KIND EXPENSES 35,645.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	FAIRWAYS FOR KIDS GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$130,011	GrossReceiptsEvent1Amt
Charitable Contri Event1	$78,110	CharitableContriEvent1Amt
Gross Revenue Event1	$51,901	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$22,526	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$130,011	GrossReceiptsTotalAmt
Charitable Contributions Tot	$78,110	CharitableContributionsTotAmt
Gross Revenue Total Events	$51,901	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$22,526	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$22,526	DirectExpenseSummaryEventsAmt
Net Income Summary	$29,375	NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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
KARL SEGNITZ
CHIEF MEDICAL OFFICER	$333,058	$0	$0	$0	$0	$0	$4,048	$0	$11,448	$0	$348,554	$0	$0	$0
CATHY CONWAY
CHIEF EXECUTIVE OFFICER	$286,721	$0	$0	$0	$0	$0	$4,050	$0	$12,473	$0	$303,244	$0	$0	$0
ADAM SHORE
CHIEF FINANCIAL OFFICER	$218,386	$0	$0	$0	$0	$0	$2,699	$0	$11,448	$0	$232,533	$0	$0	$0
JUDITH HUMBLE
CHIEF COMPLIANCE OFFICER	$179,046	$0	$0	$0	$0	$0	$3,120	$0	$11,448	$0	$193,614	$0	$0	$0
DIANE SYRCLE
CHIEF MISSION OFFICER	$175,932	$0	$0	$0	$0	$0	$4,019	$0	$10,389	$0	$190,340	$0	$0	$0
ANGELA BROUSE
ADMISSIONS NURSE	$183,416	$0	$0	$0	$0	$0	$3,075	$0	$519	$0	$187,010	$0	$0	$0
SARAH PAEZ
DIRECTOR OF NURSING	$155,111	$0	$0	$0	$0	$0	$698	$0	$10,361	$0	$166,170	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER IS CALIFORNIA HOSPICE NETWORK, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATION'S SOLE MEMBER IS CALIFORNIA HOSPICE NETWORK. THE ORGANIZATION ELECTS DIRECTORS, WHO ARE APPROVED BY THE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION'S BYLAWS INCLUDE CERTAIN POWERS RESERVED BY MEMBER, WHICH INCLUDE APPOINTMENT OF THE ORGANIZATION'S DIRECTORS AND CEO, APPROVAL OF THE ANNUAL OPERATING BUDGET, AND ANY ACTION TO MERGE, DISSOLVE OR SELL SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE CFO AND CEO REVIEW THE FORM 990 WHEN COMPLETED BY THE CPA FIRM. A COPY OF THE FORM 990 IS FURNISHED TO THE FINANCE COMMITTEE AND TO THE BOARD OF DIRECTORS BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT HSCC'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE ORGANIZATION. OFFICERS AND DIRECTORS REVIEW AND SIGN AN ANNUAL STATEMENT INDICATING UNDERSTANDING AND ADHERENCE TO THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15	MARKET DATA ON SALARIES FOR CEO AND CFO POSITIONS IN THE HEALTHCARE AND HOSPICE FIELD IS COMPILED AND REVIEWED ANNUALLY BY THE HR DIRECTOR. A REPORT CONSIDERING MARKET AND GEOGRAPHIC FACTORS WAS PRESENTED TO THE ORGANIZATION'S COMPENSATION COMMITTEE, WHICH REVIEWS AND RECOMMENDS ANY SALARY ADJUSTMENT TO THE FULL BOARD OF DIRECTORS. THE BOARD OF DIRECTORS REVIEW AND VOTE ON PROPOSED SALARY CHANGES.
FORM 990, PART VI, SECTION C, LINE 19	ALL GOVERNING DOCUMENTS, POLICIES, AND ANNUAL FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ANNUAL FINANCIAL RESULTS ARE PUBLISHED IN THE ORGANIZATION'S ANNUAL REPORT.
FORM 990, PART IX, LINE 11G	OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,699,272. MANAGEMENT AND GENERAL EXPENSES 607,811. FUNDRAISING EXPENSES 16,784. TOTAL EXPENSES 2,323,867.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA HOSPICE NETWORK	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	66 BOVET RD SUITE 100	AddressLine1Txt
City	SAN MATEO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94402	ZIPCd

Field	Value	IRS element (for citing)
EIN	834716484	EIN
Primary Activities	TO PROVIDE HOSPICE SUPPORT, ADMIN, PROGRAMMATIC AND OTHER SUPPORT	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	509(A)(3)	PublicCharityStatusTxt
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd