2015-04-01T16:21:14-05:00 2014-06-30 946214841 ARMANINO LLP 740 FRONT ST SUITE 365 SANTA CRUZ CA 950604550 990 2013-07-01 942497618 HOSPICE OF SANTA CRUZ COUNTY HOSP 8314303000 940 DISC DRIVE SCOTTS VALLEY CA 95066 MICHAEL MILWARD CHIEF EXECUTIVE OFFICER 8314303000 2015-03-27 1 ROBERT SMILEY P00410982 8314236500 2013 2016-03-07 17:11:31Z MICHAEL MILWARD 940 DISC DRIVE SCOTTS VALLEY CA 95066 18297896 0 X HOSPICESANTACRUZ.ORG X 1978 CA HOSPICE SERVICE AND SUPPORT FOR TERMINAL PATIENTS AND THEIR FAMILIES. 17 17 165 128 0 0 873977 726556 16768001 17307834 3909 2543 174125 222447 17820012 18259380 0 0 0 0 11724740 11400357 0 0 417889 5769849 5798910 17494589 17199267 325423 1060113 7717720 8722403 1786108 1722383 5931612 7000020 HOSPICE OF SANTA CRUZ COUNTY PROVIDES PROFESSIONAL, COMPASSIONATE CARE RECOGNIZING THAT INDIVIDUALS AND FAMILIES ARE THE GUIDING FORCE IN THEIR OWN END-OF-LIFE EXPERIENCE. 0 0 13584814 17314879 1,028 PATIENTS AND FAMILIES RECEIVED 65,830 DAYS OF EXPERT END-OF-LIFE CARE FROM HOSPICE TEAMS OF MEDICAL DIRECTORS, NURSES, SOCIAL WORKERS, CHAPLAINS, HOSPICE AIDES, AND VOLUNTEERS. ADDITIONALLY, 2,270 GRIEF SUPPORT SESSIONS WERE PROVIDED TO HOSPICE FAMILIES AND GRIEVING COMMUNITY MEMBERS OF ALL AGES. 13584814 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 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 41 0 1 165 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X ADAM SHORE 8314303000 940 DISC DRIVE SCOTTS VALLEY CA 95066 MARY CULLEY DIRECTOR 2.00 X 0 0 0 MARTINA O'SULLIVAN BOARD PRESIDENT 6.00 X 0 0 0 MARIA RUNCIMAN DIRECTOR 2.00 X 0 0 0 EDMUND SACKS MD BOARD VICE PRESIDENT 4.00 X 0 0 0 RICHARD CLARK BOARD TREASURER 4.00 X 0 0 0 CARA DESIMONE DIRECTOR 2.00 X 0 0 0 RITA ALVES DIRECTOR 2.00 X 0 0 0 MARILYN CALCIANO DIRECTOR 2.00 X 0 0 0 PEG GALLAGHER BOARD SECRETARY 3.00 X 0 0 0 JOHN SCHUYLER DIRECTOR 2.00 X 0 0 0 SHOSHANA HELMAN MD DIRECTOR 2.00 X 0 0 0 CHARLOTTE KIM MD DIRECTOR 2.00 X 0 0 0 CAROLYN MECOZZI DIRECTOR 2.00 X 0 0 0 JAN TOMLINSON DIRECTOR 2.00 X 0 0 0 GEOFF CARAS DIRECTOR 2.00 X 0 0 0 SARAH GOYETTE DIRECTOR 2.00 X 0 0 0 SALLY GREEN DIRECTOR 2.00 X 0 0 0 MICHAEL MILWARD EXECUTIVE DIR (CEO) 40.00 X 229479 0 10688 NANCY HOUSEMAN CHIEF FINANCIAL OFFICER (PARTIAL YEAR) 40.00 X 144837 0 12100 ADAM SHORE CFO (START APRIL 2014) 40.00 X 0 0 0 MICHELLE DAHLKEMPER COO (PARTIAL YEAR) 40.00 X 9736 0 0 VANESSA LITTLE CHIEF MEDICAL DIRECTOR 36.00 X 169899 0 12002 CAROLYN WHITTINGTON DIRECTOR OF CLINICAL SERVICES 40.00 X 151807 0 11522 JUDITH HUMBLE CHIEF COMPLIANCE OFFICER 40.00 X 133026 0 14962 CATHERINE CONWAY VP OF PHILANTHROPY & COMMUNICATION 40.00 X 129844 0 10082 DIANE ANEST DIRECTOR OF CLINICAL SERVICES 40.00 X 125780 0 11698 1094408 0 83054 17 0 1 0 0 726556 726556 PATIENT FEES 621610 16830021 16830021 PRIVATE INSURANCE 621610 441814 441814 BEREAVEMENT INCOME 621610 26160 26160 SELF PAY PATIENT FEES 621610 9839 9839 17307834 2791 2791 45191 45191 248 -248 -248 -248 181675 31929 149746 149746 26804 6339 20465 20465 MISCELLANEOUS 621610 7045 7045 7045 18259380 17314879 0 217945 527041 527041 9149877 7049676 1815137 285064 48859 37621 9772 1466 932230 734592 165758 31880 742350 571039 146653 24658 14811 9331 5036 444 19450 12254 6613 583 169869 64046 102253 3570 20946 11231 7977 1738 241534 185795 47716 8023 5246 5246 25042 19263 4947 832 170993 131533 33780 5680 368809 283699 72859 12251 ROOM & BOARD 1733848 1733848 MEDICATIONS 723289 723289 PATIENT CARE SERVICES 689659 689659 COMMUNICATION-PAGER/COM 334074 251046 72997 10031 1281340 1076892 172779 31669 17199267 13584814 3196564 417889 3528536 3297425 1401433 2803294 1590 789 47840 33288 3518269 1012741 2652431 2505528 85890 82079 7717720 8722403 1381672 1336709 404436 385674 1786108 1722383 X 5447260 6487546 57633 75680 426719 436794 5931612 7000020 7717720 8722403 1060113 8295 0 X X 0 1 X 1 0 X 823838 1099479 712650 792964 682746 4111677 823838 1099479 712650 792964 682746 4111677 864677 3247000 25455 10013 35859 57825 47982 177134 4288811 70502397 0.75710 0.76730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 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. 478547 10075 48 488670 478399 100 48 478547 478201 150 48 478399 467787 10414 478201 442469 25318 467787 0 0 558850 558850 2959419 1012741 1946678 2505528 X 18305943 8295 38268 46563 18259380 0 18259380 17237535 38268 38268 17199267 0 17199267 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, 2014, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED ON THE FINANCIAL STATEMENTS. AS OF THE YEAR ENDED JUNE 30, 2014, 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 38,268. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING DIRECT EXPENSES 38,268. OKTOBERFEST 100043 100043 14827 GOLF 56198 56198 12890 1 25434 25434 4212 181675 181675 31929 31929 149746 26804 6339 0 26804 6339 6339 20465 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 0 0 0 0 0 0 0 0 0 MICHAEL MILWARD EXECUTIVE DIR (CEO) 204717 0 24762 0 0 0 0 0 10688 0 240167 0 0 0 NANCY HOUSEMAN CHIEF FINANCIAL OFFICER (PARTIAL YEA 132930 0 11907 0 0 0 0 0 12100 0 156937 0 0 0 VANESSA LITTLE CHIEF MEDICAL DIRECTOR 161610 0 8289 0 0 0 0 0 12002 0 181901 0 0 0 CAROLYN WHITTINGTON DIRECTOR OF CLINICAL SERVICES 145017 0 6790 0 0 0 0 0 11522 0 163329 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. GEOGRAPHIC AND ORGANIZATION SIZE ARE TAKEN INTO ACCOUNT IN THIS COMPARISON. HR DIRECTOR PRESENTS MARKET DATA 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.