2016-05-16T13:35:16-05:00 2015-06-30 946214841 ARMANINO LLP 740 FRONT STREET SUITE 365 SANTA CRUZ CA 95060 990 2014-07-01 942497618 HOSPICE OF SANTA CRUZ COUNTY HOSP 8314303000 940 DISC DRIVE SCOTTS VALLEY CA 95066 MICHAEL MILWARD CHIEF EXECUTIVE OFFICER 8314303000 2016-05-16 1 ROBERT SMILEY P00410982 8314236500 2014 2016-08-17 19:52:53Z MICHAEL MILWARD 940 DISC DRIVE SCOTTS VALLEY CA 95066 19190763 0 X HOSPICESANTACRUZ.ORG X 1978 CA HOSPICE SERVICE AND SUPPORT FOR TERMINAL PATIENTS AND THEIR FAMILIES. 16 16 166 145 0 0 726556 1034196 17307834 17912376 2543 -2011 222447 205528 18259380 19150089 0 0 0 0 11400357 11609924 0 0 562092 5798910 5772329 17199267 17382253 1060113 1767836 8783847 10737587 1783827 1964427 7000020 8773160 HOSPICE OF SANTA CRUZ COUNTY HONORS THE CHOICES OF INDIVIDUALS AND FAMILIES BY PROVIDING EXEMPLARY END-OF-LIFE CARE AND GRIEF SUPPORT TO OUR COMMUNITY. 0 0 13810665 17916768 1,060 PATIENTS AND FAMILIES RECEIVED 67,560 DAYS OF EXPERT END-OF-LIFE CARE FROM HOSPICE TEAMS OF MEDICAL DIRECTORS, NURSES, SOCIAL WORKERS, CHAPLAINS, HOSPICE AIDES, AND VOLUNTEERS. ADDITIONALLY, 2,340 GRIEF SUPPORT SESSIONS WERE PROVIDED TO HOSPICE FAMILIES AND GRIEVING COMMUNITY MEMBERS OF ALL AGES. 13810665 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 81 0 1 166 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X THE ORGANIZATION 8314303000 940 DISC DRIVE SCOTTS VALLEY CA 95066 MARTINA O'SULLIVAN PRESIDENT - THROUGH DEC 2014 6.00 X X 0 0 0 MARILYN CALCIANO PRESIDENT 6.00 X X 0 0 0 EDMUND SACKS MD VICE PRESIDENT - THROUGH DEC 2014 4.00 X X 0 0 0 SALLY GREEN VICE PRESIDENT 4.00 X X 0 0 0 RICHARD CLARK TREASURER 4.00 X X 0 0 0 PEG GALLAGHER SECRETARY - THROUGH DEC 2014 3.00 X X 0 0 0 CHARLOTTE KIM MD SECRETARY 3.00 X X 0 0 0 GEOFF CARAS DIRECTOR 2.00 X 0 0 0 MARY CULLEY DIRECTOR 2.00 X 0 0 0 CARA DESIMONE DIRECTOR 2.00 X 0 0 0 ALICIA FLORES DIRECTOR 2.00 X 0 0 0 MARGARET GORDON DIRECTOR 2.00 X 0 0 0 SARAH GOYETTE DIRECTOR 2.00 X 0 0 0 KATHLEEN GRAVE DIRECTOR 2.00 X 0 0 0 MONICA HAMILTON DIRECTOR 2.00 X 0 0 0 CAROLYN MECOZZI DIRECTOR 2.00 X 0 0 0 SHOSHANA HELMAN MD DIRECTOR 2.00 X 0 0 0 JOHN SCHUYLER DIRECTOR 2.00 X 0 0 0 RACHEL WEDEEN DIRECTOR 2.00 X 0 0 0 MICHAEL MILWARD CEO 40.00 X 240821 0 15833 ADAM SHORE CFO 40.00 X 116155 0 5422 MICHELLE DAHLKEMPER COO 40.00 X 177432 0 9945 CATHERINE CONWAY VP PHILANTHROPY & COMM 40.00 X 137047 0 10756 KIMBERLY DE SERPA DIRECTOR COMMUNITY RELATIONS 40.00 X 126044 0 8715 PATRICIA DUNBAR TEAM LEADER 40.00 X 128517 0 12680 JUDITH HUMBLE CHIEF COMPLIANCE OFFICER 40.00 X 136085 0 13503 MARK RAMOS DIRECTOR HR 40.00 X 129917 0 6793 1192018 0 83647 15 0 1 0 0 1034196 1034196 PATIENT FEES 621610 17076289 17076289 PRIVATE INSURANCE 621610 805356 805356 BEREAVEMENT INCOME 621610 24353 24353 SELF PAY PATIENT FEES 621610 6378 6378 17912376 -2011 -2011 47712 47712 163064 35883 127181 127181 31034 4791 26243 26243 MISCELLANEOUS 621610 4392 4392 4392 19150089 17916768 0 199125 651519 651519 9194459 7359403 1439726 395330 51526 40244 9073 2209 957881 745225 171745 40911 754539 569541 153732 31266 20135 11376 8135 624 19450 10989 7858 603 187110 73259 109559 4292 35649 22416 11144 2089 250108 188786 50958 10364 7532 7532 25202 19023 5135 1044 181386 136914 36956 7516 424391 320338 86467 17586 ROOM & BOARD 1538323 1538323 MEDICATIONS 698819 698819 PATIENT CARE SERVICES 651273 651273 COMMUNICATION-PAGER/COM 368988 273055 82204 13729 1363963 1151681 177753 34529 17382253 13810665 3009496 562092 3297425 4524977 2803294 3019023 789 33288 102435 3657245 1192560 2505528 2464685 482392 143523 144075 8783847 10737587 1336709 1510264 385674 365845 61444 88318 1783827 1964427 X 6487546 8251378 75680 84888 436794 436894 7000020 8773160 8783847 10737587 1767836 5304 0 X X 0 1 X 1 0 X 1099479 712650 792964 682746 1034196 4322035 1099479 712650 792964 682746 1034196 4322035 886096 3435939 10013 35859 57825 47982 45701 197380 4519415 77495821 0.76030 0.75710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF CALIFORNIA HOSPICE & PALLIATIVE CARE ASSOCIATION AND NATIONAL HOSPICE & PALLIATIVE CARE ORGANIZATION, BOTH OF WHICH LOBBY. 488670 100 -6378 482392 478547 10075 48 488670 478399 100 48 478547 478201 150 48 478399 467787 10414 478201 0 0 558850 558850 3098395 1192560 1905835 2464685 DEFERRED COMPENSATION LIABILITIES 88318 88318 X 19191276 5304 35883 41187 19150089 0 19150089 17418136 35883 35883 17382253 0 17382253 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND FROM STATE FRANCHISE TAX UNDER REVENUE AND TAXATION CODE SECTION 23701(D), BUT IS SUBJECT TO TAXES ON UNRELATED BUSINESS INCOME WHEN EARNED. FOR THE YEAR ENDING JUNE 30, 2015, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED ON THE FINANCIAL STATEMENTS. AS OF THE YEAR ENDED JUNE 30, 2015, THE ORGANIZATION IS CURRENT IN ALL FEDERAL AND STATE TAX FILING OBLIGATIONS AND THE RETURNS ARE SUBJECT TO STANDARD STATUTE OF LIMITATIONS APPLICABLE UNDER THE GOVERNING FEDERAL AND STATE TAX STATUTES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING DIRECT EXPENSES 35,883. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING DIRECT EXPENSES 35,883. OKTOBERFEST 93110 93110 17120 GOLF 59549 59549 17760 1 10405 10405 1003 163064 163064 35883 35883 127181 31034 4791 0 31034 4791 4791 26243 CA 0 ORGANIZATION IS ALLOWED BY THE CALIFORNIA ATTORNEY GENERAL TO CONDUCT RAFFLES. 0 0 0 1.00000 ADAM SHORE 940 DISC DRIVE SCOTTS VALLEY CA 95066 0 0 X X X X 0 0 0 0 0 0 0 0 0 MICHAEL MILWARD CEO 215873 0 24948 0 0 0 0 0 15833 0 256654 0 0 0 MICHELLE DAHLKEMPER COO 173097 0 4335 0 0 0 0 0 9945 0 187377 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 CFO AND CEO REVIEW 990 WHEN COMPLETED BY CPA FIRM. A COPY OF THE 990 IS EMAILED TO BOARD MEMBERS BEFORE THE 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C 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 HR DIRECTOR. REPORT BY AN INDEPENDENT CONSULTANT, CONSIDERING MARKET AND GEOGRAPHIC FACTORS, WAS PRESENTED TO THE ORGANIZATION'S COMPENSATION COMMITTEE, WHICH REVIEWS AND RECOMMENDS ANY SALARY ADJUSTMENT TO FULL BOARD OF DIRECTORS. BOARD OF DIRECTORS REVIEW AND VOTE ON PROPOSED SALARY CHANGES. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, POLICIES, AND ANNUAL 990 INFORMATION RETURNS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ANNUAL FINANCIAL RESULTS ARE PUBLISHED IN THE ORGANIZATION'S ANNUAL REPORT. FORM 990, PART XI, LINE 2C: THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.