HOSPICE OF SANTA CRUZ COUNTY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF SANTA CRUZ COUNTY (EIN 94-2497618)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-13
IRS object ID
201323179349305782
Schema version
2012v2.1
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)
Timestamp2013-11-13T17:24:28-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

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 Date2012-07-01TaxPeriodBeginDate

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 Signed2013-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT SMILEYName
PTINP00410982PTIN
Phone8314236500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts17863778GrossReceipts
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 Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees160TotalNbrEmployees
Total Nbr Volunteers250TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year820336ContributionsGrantsPriorYear
Contributions Grants Current Year873977ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13626287ProgramServiceRevenuePriorYear
Program Service Revenue CY16768001ProgramServiceRevenueCY
Investment Income Prior Year3659InvestmentIncomePriorYear
Investment Income Current Year3909InvestmentIncomeCurrentYear
Other Revenue Prior Year152753OtherRevenuePriorYear
Other Revenue Current Year174125OtherRevenueCurrentYear
Total Revenue Prior Year14603035TotalRevenuePriorYear
Total Revenue Current Year17820012TotalRevenueCurrentYear
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 Year10263914SalariesEtcPriorYear
Salaries Etc Current Year11724740SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year445207TotalFundrsngExpCurrentYear
Other Expense Prior Year4812978OtherExpensePriorYear
Other Expenses Current Year5769849OtherExpensesCurrentYear
Total Expenses Prior Year15076892TotalExpensesPriorYear
Total Expenses Current Year17494589TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-473857RevenuesLessExpensesPriorYear
Revenues Less Expenses CY325423RevenuesLessExpensesCY
Total Assets BOY7094794TotalAssetsBOY
Total Assets EOY7717720TotalAssetsEOY
Total Liabilities BOY1488605TotalLiabilitiesBOY
Total Liabilities EOY1786108TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5606189NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5931612NetAssetsOrFundBalancesEOY
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
Expense13942872Expense
Revenue16775971Revenue
Description1,025 PATIENTS AND FAMILIES RECEIVED 66,241 DAYS OF EXPERT END-OF-LIFE CARE FROM HOSPICE TEAMS OF MEDICAL DIRECTORS, NURSES, SOCIAL WORKERS, CHAPLAINS, HOSPICE AIDES, AND VOLUNTEERS. ADDITIONALLY, 1,847 GRIEF SUPPORT SESSIONS WERE PROVIDED TO HOSPICE FAMILIES AND GRIEVING COMMUNITY MEMBERS OF ALL AGES.Description
Total Program Service Expense13942872TotalProgramServiceExpense
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109673NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees160NumberOfEmployees
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MARY CULLEY
DIRECTOR2.00X000
MARTINA O'SULLIVAN
BOARD PRESIDENT5.00X000
MARIA RUNCIMAN
DIRECTOR2.00X000
EDMUND SACKS MD
BOARD VICE PRESIDENT3.00X000
RICHARD CLARK
DIRECTOR3.00X000
CARA DESIMONE
DIRECTOR2.00X000
RITA ALVES
BOARD TREASURER3.00X000
MARILYN CALCIANO
DIRECTOR2.00X000
PEG GALLAGHER
BOARD SECRETARY3.00X000
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 DIRECTOR40.0019385109767X
NANCY HOUSEMAN
CHIEF FINANCIAL OFFICER40.00151210011534X
MICHAEL MILWARD
CHIEF EXECUTIVE OFFICER40.0011827202521X
PATRICIA DUNBAR
TEAM LEADER40.0012174009284X
VANESSA LITTLE
CHIEF MEDICAL DIRECTOR36.0019481006728X
CAROLYN WHITTINGTON
CHIEF CLINICAL OFFICER40.0011859805160X
JUDITH HUMBLE
CHIEF OPERATIONS OFFICER40.00122998010952X
CATHERINE CONWAY
VP PHILANTHROPY & COMMUNICATION40.0012099308264X
EMILIA SCHAMBECK
TEAM LEADER40.00106789010952X
DIANE O'CONNOR
TEAM LEADER40.001030550736X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1352316TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation75898TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions873977AllOtherContributions
Total Contributions873977TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT FEES6216101615616816156168
PRIVATE INSURANCE621610578082578082
SELF PAY PATIENT FEES6216101896518965
BEREAVEMENT INCOME6216101478614786
FieldValueIRS element (for citing)
Total Program Service Revenue16768001TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4768TotalRevenueColumn
Exclusion$4,768ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column53057TotalRevenueColumn
Exclusion$53,057ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other859Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-859Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-859TotalRevenueColumn
Exclusion-$859ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events131675GrossIncomeFundraisingEvents
Fundraising Direct Expenses36590FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column95085TotalRevenueColumn
Exclusion$95,085ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming24330GrossIncomeGaming
Gaming Direct Expenses6317GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column18013TotalRevenueColumn
Exclusion$18,013ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code621610BusinessCode
Total Revenue Column7970TotalRevenueColumn
Related Or Exempt Function Income7970RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue7970TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17820012TotalRevenueColumn
Related Or Exempt Function Income16775971RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$170,064ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total426456Total
Management And General426456ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9542118Total
Program Services7403788ProgramServices
Management And General1838370ManagementAndGeneral
Fundraising299960Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total42211Total
Program Services33769ProgramServices
Management And General7176ManagementAndGeneral
Fundraising1266Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total981355Total
Program Services804141ProgramServices
Management And General147058ManagementAndGeneral
Fundraising30156Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total732600Total
Program Services586080ProgramServices
Management And General124542ManagementAndGeneral
Fundraising21978Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14574Total
Program Services11659ProgramServices
Management And General2478ManagementAndGeneral
Fundraising437Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21450Total
Program Services17160ProgramServices
Management And General3647ManagementAndGeneral
Fundraising643Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total64130Total
Program Services16830ProgramServices
Management And General46956ManagementAndGeneral
Fundraising344Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total95731Total
Management And General86603ManagementAndGeneral
Fundraising9128Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total200076Total
Program Services160061ProgramServices
Management And General34013ManagementAndGeneral
Fundraising6002Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4363Total
Program Services3490ProgramServices
Management And General742ManagementAndGeneral
Fundraising131Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total69972Total
Program Services55978ProgramServices
Management And General11895ManagementAndGeneral
Fundraising2099Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total135856Total
Program Services109429ProgramServices
Management And General22463ManagementAndGeneral
Fundraising3964Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total323411Total
Program Services258729ProgramServices
Management And General54980ManagementAndGeneral
Fundraising9702Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
ROOM & BOARD16324671632467
PATIENT CARE SERVICES765652765652
MEDICATIONS715585715585
COMMUNICATION-PAGER/COM3563472850786057910690

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1370235Total
Program Services1082976ProgramServices
Management And General238552ManagementAndGeneral
Fundraising48707Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17494589Total
Program Services13942872ProgramServices
Management And General3106510ManagementAndGeneral
Fundraising445207Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3617726BOY
EOY3528536EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1333373BOY
EOY1401433EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1911BOY
EOY1590EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14544BOY
EOY47840EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3538194LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec885763LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2080141BOY
EOY2652431EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY47099BOY
EOY85890EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7094794BOY
EOY7717720EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1110070BOY
EOY1381672EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY378535BOY
EOY404436EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1488605BOY
EOY1786108EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4985006BOY
EOY5447260EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY194564BOY
EOY57633EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY426619BOY
EOY426719EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5606189BOY
EOY5931612EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7094794BOY
EOY7717720EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses325423ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
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 Years1577032CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years823838CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1099479CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year712650CurrentTaxYearMinus1Year
Current Tax Year792964CurrentTaxYear
Total5005963Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1577032CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years823838CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1099479CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year712650CurrentTaxYearMinus1Year
Current Tax Year792964CurrentTaxYear
Total5005963Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1012279AmountsSubstContributorsTotal
Public Support Total1703993684PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years69687CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25455CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10013CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35859CurrentTaxYearMinus1Year
Current Tax Year57825CurrentTaxYear
Total198839Total
FieldValueIRS element (for citing)
Total Support5204802TotalSupport
Gross Receipts From Admissions Etc62596897GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.76730PublicSupportPertcentage170
Public Support Pertcent Prior Year0.82940PublicSupportPertcentPriorYear
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$1,156OtherActivitiesAmount
Total Lobbying Expenditures IIB1156TotalLobbyingExpendituresIIB
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 Balance478399BeginningOfYearBalance
Contributions100Contributions
Investment Earnings Or Losses48InvestmentEarningsOrLosses
End Of Year Balance478547EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance478201BeginningOfYearBalance
Contributions150Contributions
Investment Earnings Or Losses48InvestmentEarningsOrLosses
End Of Year Balance478399EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance467787BeginningOfYearBalance
Contributions10414Contributions
End Of Year Balance478201EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance442469BeginningOfYearBalance
Contributions25318Contributions
End Of Year Balance467787EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance400153BeginningOfYearBalance
Contributions15976Contributions
Investment Earnings Or Losses26340InvestmentEarningsOrLosses
End Of Year Balance442469EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.89000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.11000TermEndowmentEOYBalance
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 Basis2979344OtherCostOrOtherBasis
Depreciation885763Depreciation
Book Value2093581BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2652431TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt17862919TotRevenueEtcAuditedFinclStmt
Other Revenues42907OtherRevenues
Revenue Not Rptd F99042907RevenueNotRptdF990
Revenue Subtotal17820012RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99017820012TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17537496TotExpensesEtcAuditedFinclStmt
Other Expenses Included42907OtherExpensesIncluded
Expenses Not Rptd F99042907ExpensesNotRptdF990
Expenses Subtotal17494589ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99017494589TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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, 2013, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED ON THE FINANCIAL STATEMENTS. AS OF THE YEAR ENDED JUNE 30, 2013, 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 42,907.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING DIRECT EXPENSES 42,907.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1OKTOBERFESTNameOfEvent1
Gross Receipts Event181728GrossReceiptsEvent1
Gross Revenue Event181728GrossRevenueEvent1
Other Direct Expenses Event118285OtherDirectExpensesEvent1
Name Of Event2GOLFNameOfEvent2
Gross Receipts Event249947GrossReceiptsEvent2
Gross Revenue Event249947GrossRevenueEvent2
Other Direct Expenses Event218305OtherDirectExpensesEvent2
Gross Receipts Total131675GrossReceiptsTotal
Gross Revenue Total Events131675GrossRevenueTotalEvents
Other Direct Expenses Total Events36590OtherDirectExpensesTotalEvents
Direct Expense Summary Events36590DirectExpenseSummaryEvents
Net Income Summary95085NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming24330GrossRevenueOtherGaming
Cash Prizes Other Gaming1450CashPrizesOtherGaming
Other Direct Expenses Other Gaming4867OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming0VolunteerLaborOtherGaming
Gross Revenue Total Gaming24330GrossRevenueTotalGaming
Cash Prizes Total Gaming1450CashPrizesTotalGaming
Other Direct Expenses Total Gaming4867OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming6317DirectExpenseSummaryGaming
Net Gaming Income Summary18013NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConducted
Licensed0Licensed
Explanation If NoORGANIZATION IS ALLOWED BY THE CALIFORNIA ATTORNEY GENERAL TO CONDUCT RAFFLES.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 (3 entries)

TitleTitleBase 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
EXECUTIVE DIRECTOR1521170417340000097670203618000
NANCY HOUSEMAN
CHIEF FINANCIAL OFFICER12727802393200000115340162744000
VANESSA LITTLE
CHIEF MEDICAL DIRECTOR190077047330000067280201538000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 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 2C: THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, SCHEDULE J, PART II, COLUMN B: INCENTIVE COMPENSATION AMOUNTS FOR ANN POMPER AND NANCY HOUSEMAN REFLECT PAYMENTS FOR TWO FISCAL YEARS, 2010-2011 AND 2011-2012. PAYMENTS WERE MADE IN JANUARY 2012 FOR FY 10-11 AND DECEMBER 2012 FOR FY 11-12.

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