HOSPICE OF SANTA CRUZ COUNTY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF SANTA CRUZ COUNTY (EIN 94-2497618)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-12
IRS object ID
201310439349301636
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-02-12T17:33:32-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN942763139EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BERGER LEWIS ACCOUNTANCY CORPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1740 FRONT STREET SUITE 365AddressLine1
CitySANTA CRUZCity
StateCAState
ZIP Code950604550ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942497618EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF SANTA CRUZ COUNTYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone8314303000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1940 DISC DRIVEAddressLine1
CitySCOTTS VALLEYCity
StateCAState
ZIP Code95066ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL MILWARDName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone8314303000Phone
Date Signed2013-02-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT SMILEYName
PTINP00410982PTIN
Phone8314236500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL MILWARDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1940 DISC DRIVEAddressLine1
CitySCOTTS VALLEYCity
StateCAState
ZIP Code95066ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14642042GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHOSPICESANTACRUZ.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionHOSPICE SERVICE AND SUPPORT FOR TERMINAL PATIENTS AND THEIR FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees135TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1099479ContributionsGrantsPriorYear
Contributions Grants Current Year820336ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11849553ProgramServiceRevenuePriorYear
Program Service Revenue CY13626287ProgramServiceRevenueCY
Investment Income Prior Year9123InvestmentIncomePriorYear
Investment Income Current Year3659InvestmentIncomeCurrentYear
Other Revenue Prior Year277303OtherRevenuePriorYear
Other Revenue Current Year152753OtherRevenueCurrentYear
Total Revenue Prior Year13235458TotalRevenuePriorYear
Total Revenue Current Year14603035TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8775658SalariesEtcPriorYear
Salaries Etc Current Year10263914SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year417526TotalFundrsngExpCurrentYear
Other Expense Prior Year4302295OtherExpensePriorYear
Other Expenses Current Year4812978OtherExpensesCurrentYear
Total Expenses Prior Year13077953TotalExpensesPriorYear
Total Expenses Current Year15076892TotalExpensesCurrentYear
Revenues Less Expenses Prior Year157505RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-473857RevenuesLessExpensesCY
Total Assets BOY7483289TotalAssetsBOY
Total Assets EOY7094794TotalAssetsEOY
Total Liabilities BOY1403243TotalLiabilitiesBOY
Total Liabilities EOY1488605TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6080046NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5606189NetAssetsOrFundBalancesEOY
Mission DescriptionHOSPICE OF SANTA CRUZ COUNTY PROVIDES PROFESSIONAL, COMPASSIONATE CARE RECOGNIZING THAT INDIVIDUALS AND FAMILIES ARE THE GUIDING FORCE IN THEIR OWN END-OF-LIFE EXPERIENCE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11879655Expense
Revenue13638649Revenue
Description879 PATIENTS AND FAMILIES RECEIVED 55,305 DAYS OF EXPERT END-OF-LIFE CARE FROM HOSPICE TEAMS OF MEDICAL DIRECTORS, NURSES, SOCIAL WORKERS, CHAPLAINS, HOSPICE AIDES, AND VOLUNTEERS. ADDITIONALLY, 2,289 GRIEF SUPPORT SESSIONS WERE PROVIDED TO HOSPICE FAMILIES AND GRIEVING COMMUNITY MEMBERS OF ALL AGES.Description
Total Program Service Expense11879655TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming1Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109669NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees135NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1NANCY HOUSEMANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8314303000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1940 DISC DRIVEAddressLine1
CitySCOTTS VALLEYCity
StateCAState
ZIP Code95066ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MARY CULLEY
BOARD PRESIDENT5.00X000
CONNIE MUNOZ-CHAPPELL
BOARD SECRETARY3.00X000
MARTINA O'SULLIVAN
BOARD VICE PRESIDENT3.00X000
MARIA RUNCIMAN
DIRECTOR2.00X000
EDMUND SACKS MD
DIRECTOR2.00X000
LISA SMITH
DIRECTOR2.00X000
RICHARD CLARK
BOARD TREASURER3.00X000
CARA DESIMONE
DIRECTOR2.00X000
RITA ALVES
DIRECTOR2.00X000
MARILYN CALCIANO
DIRECTOR2.00X000
PEG GALLAGHER
DIRECTOR2.00X000
JOHN SCHUYLER
DIRECTOR2.00X000
SHOSHANA HELMAN MD
DIRECTOR2.00X000
CHARLOTTE KIM MD
DIRECTOR2.00X000
CAROLYN MECOZZI
DIRECTOR2.00X000
JAN TOMLINSON
DIRECTOR2.00X000
ANN POMPER
EXECUTIVE DIRECTOR40.00184701014636X
NANCY HOUSEMAN
CFO40.00116878010830X
PATRICIA DUNBAR
TEAM LEADER40.0011408609579X
PHIL YULE
CHIEF MEDICAL OFFICER32.00112130014639X
DEBBIE OWEN
CHIEF CLINICAL OFFICER40.00161377010804X
JUDI HUMBLE
CHIEF OPERATIONS OFFICER40.0012066102038X
CATHERINE CONWAY
DIRECTOR OF DEVELOPMENT40.0011779709676X
KIM DESERPA
CLINICAL MANAGER40.0010336106950X
EMILIA SCHAMBECK
TEAM LEADER40.0010115806998X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1132149TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation86150TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions820336AllOtherContributions
Total Contributions820336TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT FEES6216101315531513155315
PRIVATE INSURANCE621610434077434077
BEREAVEMENT INCOME6216102024820248
SELF PAY PATIENT FEES6216101664716647
FieldValueIRS element (for citing)
Total Program Service Revenue13626287TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4656TotalRevenueColumn
Exclusion$4,656ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column31203TotalRevenueColumn
Exclusion$31,203ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities997Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-997Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-997TotalRevenueColumn
Exclusion-$997ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events125947GrossIncomeFundraisingEvents
Fundraising Direct Expenses32221FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column93726TotalRevenueColumn
Exclusion$93,726ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming21251GrossIncomeGaming
Gaming Direct Expenses5789GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column15462TotalRevenueColumn
Exclusion$15,462ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code621610BusinessCode
Total Revenue Column12362TotalRevenueColumn
Related Or Exempt Function Income12362RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue12362TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14603035TotalRevenueColumn
Related Or Exempt Function Income13638649RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$144,050ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total383830Total
Management And General383830ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8370005Total
Program Services6430392ProgramServices
Management And General1645910ManagementAndGeneral
Fundraising293703Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total43291Total
Program Services37541ProgramServices
Management And General4342ManagementAndGeneral
Fundraising1408Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total824530Total
Program Services677088ProgramServices
Management And General122051ManagementAndGeneral
Fundraising25391Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total642258Total
Program Services513806ProgramServices
Management And General109184ManagementAndGeneral
Fundraising19268Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total133037Total
Program Services106430ProgramServices
Management And General22616ManagementAndGeneral
Fundraising3991Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10950Total
Program Services8760ProgramServices
Management And General1862ManagementAndGeneral
Fundraising328Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total26908Total
Program Services21526ProgramServices
Management And General4574ManagementAndGeneral
Fundraising808Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total52491Total
Management And General46939ManagementAndGeneral
Fundraising5552Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total262413Total
Program Services221447ProgramServices
Management And General40966ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19329Total
Program Services15463ProgramServices
Management And General3286ManagementAndGeneral
Fundraising580Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total39228Total
Program Services31382ProgramServices
Management And General6669ManagementAndGeneral
Fundraising1177Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total111953Total
Program Services89562ProgramServices
Management And General19032ManagementAndGeneral
Fundraising3359Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total249068Total
Program Services199255ProgramServices
Management And General42341ManagementAndGeneral
Fundraising7472Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
ROOM & BOARD12069831206983
PATIENT CARE SERVICES707377707377
MEDICATIONS563082563082
COMMUNICATION-PAGER/COM235077188062399637052

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1195082Total
Program Services861499ProgramServices
Management And General286146ManagementAndGeneral
Fundraising47437Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15076892Total
Program Services11879655ProgramServices
Management And General2779711ManagementAndGeneral
Fundraising417526Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4075310BOY
EOY3617726EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1199421BOY
EOY1333373EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1730BOY
EOY1911EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9274BOY
EOY14544EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2854994LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec774853LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2165196BOY
EOY2080141EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY32358BOY
EOY47099EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7483289BOY
EOY7094794EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY995977BOY
EOY1110070EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY407266BOY
EOY378535EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1403243BOY
EOY1488605EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5586685BOY
EOY4985006EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY66892BOY
EOY194564EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY426469BOY
EOY426619EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6080046BOY
EOY5606189EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7483289BOY
EOY7094794EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-473857ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1335300CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1577032CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years823838CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1099479CurrentTaxYearMinus1Year
Current Tax Year712650CurrentTaxYear
Total5548299Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1335300CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1577032CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years823838CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1099479CurrentTaxYearMinus1Year
Current Tax Year712650CurrentTaxYear
Total5548299Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total734285AmountsSubstContributorsTotal
Public Support Total1704814014PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years114621CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years69687CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25455CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10013CurrentTaxYearMinus1Year
Current Tax Year35859CurrentTaxYear
Total255635Total
FieldValueIRS element (for citing)
Total Support5803934TotalSupport
Gross Receipts From Admissions Etc53444773GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.82940PublicSupportPertcentage170
Public Support Pertcent Prior Year0.80130PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$797OtherActivitiesAmount
Total Lobbying Expenditures IIB797TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE ORGANIZATION IS A MEMBER OF CALIFORNIA HOSPICE & PALLIATIVE CARE ASSOCIATION AND NATIONAL HOSPICE & PALLIATIVE CARE ORGANIZATION, BOTH OF WHICH LOBBY.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance494178BeginningOfYearBalance
Contributions150Contributions
Investment Earnings Or Losses48InvestmentEarningsOrLosses
End Of Year Balance494376EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance483764BeginningOfYearBalance
Contributions10414Contributions
End Of Year Balance494178EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance458446BeginningOfYearBalance
Contributions25318Contributions
End Of Year Balance483764EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance416130BeginningOfYearBalance
Contributions15976Contributions
Investment Earnings Or Losses26340InvestmentEarningsOrLosses
End Of Year Balance458446EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.86000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.14000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis558850OtherCostOrOtherBasis
Book Value558850BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2296144OtherCostOrOtherBasis
Depreciation774853Depreciation
Book Value1521291BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2080141TotalOfBookValueLandBuildings
Total Revenue14603035TotalRevenue
Total Expenses15076892TotalExpenses
Excess Or Deficit For Year-473857ExcessOrDeficitForYear
Excess Or Deficit Per FS-473857ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14641045TotRevenueEtcAuditedFinclStmt
Other Revenues38010OtherRevenues
Revenue Not Rptd F99038010RevenueNotRptdF990
Revenue Subtotal14603035RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014603035TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15114902TotExpensesEtcAuditedFinclStmt
Other Expenses Included38010OtherExpensesIncluded
Expenses Not Rptd F99038010ExpensesNotRptdF990
Expenses Subtotal15076892ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015076892TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPART XII, LINE 2D - FUNDRAISING DIRECT EXPENSES PART XIII, LINE 2D - FUNDRAISING DIRECT EXPENSESExplanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1OKTOBERFESTNameOfEvent1
Gross Receipts Event167077GrossReceiptsEvent1
Gross Revenue Event167077GrossRevenueEvent1
Other Direct Expenses Event116344OtherDirectExpensesEvent1
Name Of Event2GOLFNameOfEvent2
Gross Receipts Event258870GrossReceiptsEvent2
Gross Revenue Event258870GrossRevenueEvent2
Other Direct Expenses Event215877OtherDirectExpensesEvent2
Gross Receipts Total125947GrossReceiptsTotal
Gross Revenue Total Events125947GrossRevenueTotalEvents
Other Direct Expenses Total Events32221OtherDirectExpensesTotalEvents
Direct Expense Summary Events32221DirectExpenseSummaryEvents
Net Income Summary93726NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming21251GrossRevenueOtherGaming
Cash Prizes Other Gaming1450CashPrizesOtherGaming
Other Direct Expenses Other Gaming4339OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming1VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming21251GrossRevenueTotalGaming
Cash Prizes Total Gaming1450CashPrizesTotalGaming
Other Direct Expenses Total Gaming4339OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming5789DirectExpenseSummaryGaming
Net Gaming Income Summary15462NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConducted
Licensed0Licensed
Explanation If NoORGANIZATION IS ALLOWED BY THE CALIFORNIA ATTORNEY GENERAL TO CONDUCT ONE RAFFLE ANNUALLY.ExplanationIfNo
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers0GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonNANCY HOUSEMANNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1940 DISC DRIVEAddressLine1
CitySCOTTS VALLEYCity
StateCAState
ZIP Code95066ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Charitable Distrib Required0CharitableDistribRequired

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANN POMPER
1847010000000146360199337000
DEBBIE OWEN
1613770000000108040172181000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11CFO AND EXECUTIVE DIRECTOR 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 12CPURPOSE 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 15MARKET DATA ON SALARIES FOR ED 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 19ALL 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 2CTHE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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