2013-02-12T17:33:32-06:00 2012-06-30 942763139 BERGER LEWIS ACCOUNTANCY CORP 740 FRONT STREET SUITE 365 SANTA CRUZ CA 950604550 990 2011-07-01 942497618 HOSPICE OF SANTA CRUZ COUNTY HOSP 8314303000 940 DISC DRIVE SCOTTS VALLEY CA 95066 MICHAEL MILWARD 8314303000 2013-02-05 1 ROBERT SMILEY P00410982 8314236500 2011 2016-02-25 16:41:14Z MICHAEL MILWARD 940 DISC DRIVE SCOTTS VALLEY CA 95066 14642042 0 X HOSPICESANTACRUZ.ORG X 1978 CA HOSPICE SERVICE AND SUPPORT FOR TERMINAL PATIENTS AND THEIR FAMILIES. 16 16 135 300 0 0 1099479 820336 11849553 13626287 9123 3659 277303 152753 13235458 14603035 0 0 0 0 8775658 10263914 0 0 417526 4302295 4812978 13077953 15076892 157505 -473857 7483289 7094794 1403243 1488605 6080046 5606189 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 11879655 13638649 879 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. 11879655 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 0 1 69 0 1 135 1 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 NANCY HOUSEMAN 8314303000 940 DISC DRIVE SCOTTS VALLEY CA 95066 MARY CULLEY 5.00 X 0 0 0 CONNIE MUNOZ-CHAPPELL 3.00 X 0 0 0 MARTINA O'SULLIVAN 3.00 X 0 0 0 MARIA RUNCIMAN 2.00 X 0 0 0 EDMUND SACKS MD 2.00 X 0 0 0 LISA SMITH 2.00 X 0 0 0 RICHARD CLARK 3.00 X 0 0 0 CARA DESIMONE 2.00 X 0 0 0 RITA ALVES 2.00 X 0 0 0 MARILYN CALCIANO 2.00 X 0 0 0 PEG GALLAGHER 2.00 X 0 0 0 JOHN SCHUYLER 2.00 X 0 0 0 SHOSHANA HELMAN MD 2.00 X 0 0 0 CHARLOTTE KIM MD 2.00 X 0 0 0 CAROLYN MECOZZI 2.00 X 0 0 0 JAN TOMLINSON 2.00 X 0 0 0 ANN POMPER 40.00 X 184701 0 14636 NANCY HOUSEMAN 40.00 X 116878 0 10830 PATRICIA DUNBAR 40.00 X 114086 0 9579 PHIL YULE 32.00 X 112130 0 14639 DEBBIE OWEN 40.00 X 161377 0 10804 JUDI HUMBLE 40.00 X 120661 0 2038 CATHERINE CONWAY 40.00 X 117797 0 9676 KIM DESERPA 40.00 X 103361 0 6950 EMILIA SCHAMBECK 40.00 X 101158 0 6998 1132149 0 86150 9 0 1 0 0 820336 820336 PATIENT FEES 621610 13155315 13155315 PRIVATE INSURANCE 621610 434077 434077 BEREAVEMENT INCOME 621610 20248 20248 SELF PAY PATIENT FEES 621610 16647 16647 13626287 4656 4656 31203 31203 997 -997 -997 -997 125947 32221 93726 93726 21251 5789 15462 15462 MISCELLANEOUS 621610 12362 12362 12362 14603035 13638649 0 144050 383830 383830 8370005 6430392 1645910 293703 43291 37541 4342 1408 824530 677088 122051 25391 642258 513806 109184 19268 133037 106430 22616 3991 10950 8760 1862 328 26908 21526 4574 808 52491 46939 5552 262413 221447 40966 19329 15463 3286 580 39228 31382 6669 1177 111953 89562 19032 3359 249068 199255 42341 7472 ROOM & BOARD 1206983 1206983 PATIENT CARE SERVICES 707377 707377 MEDICATIONS 563082 563082 COMMUNICATION-PAGER/COM 235077 188062 39963 7052 1195082 861499 286146 47437 15076892 11879655 2779711 417526 4075310 3617726 1199421 1333373 1730 1911 9274 14544 2854994 774853 2165196 2080141 32358 47099 7483289 7094794 995977 1110070 407266 378535 1403243 1488605 X 5586685 4985006 66892 194564 426469 426619 6080046 5606189 7483289 7094794 -473857 0 X X 0 1 1 X 0 X 1335300 1577032 823838 1099479 712650 5548299 1335300 1577032 823838 1099479 712650 5548299 734285 4814014 114621 69687 25455 10013 35859 255635 5803934 53444773 0.82940 0.80130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 797 797 0 EXPLANATION OF LOBBYING ACTIVITIES: 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. 494178 150 48 494376 483764 10414 494178 458446 25318 483764 416130 15976 26340 458446 0.86000 0.14000 0 0 558850 558850 2296144 774853 1521291 2080141 14603035 15076892 -473857 -473857 14641045 38010 38010 14603035 0 14603035 15114902 38010 38010 15076892 0 15076892 PART XII, LINE 2D - FUNDRAISING DIRECT EXPENSES PART XIII, LINE 2D - FUNDRAISING DIRECT EXPENSES OKTOBERFEST 67077 67077 16344 GOLF 58870 58870 15877 125947 125947 32221 32221 93726 21251 1450 4339 1 1.00000 21251 1450 4339 5789 15462 CA 0 ORGANIZATION IS ALLOWED BY THE CALIFORNIA ATTORNEY GENERAL TO CONDUCT ONE RAFFLE ANNUALLY. 0 0 0 1.00000 NANCY HOUSEMAN 940 DISC DRIVE SCOTTS VALLEY CA 95066 0 0 X X X 0 0 0 0 0 0 0 0 0 ANN POMPER 184701 0 0 0 0 0 0 0 14636 0 199337 0 0 0 DEBBIE OWEN 161377 0 0 0 0 0 0 0 10804 0 172181 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 CFO 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 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 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 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.