2013-11-13T17:24:28-06:00 2013-06-30 942763139 BERGER LEWIS ACCOUNTANCY CORP 740 FRONT STREET SUITE 365 SANTA CRUZ CA 950604550 990 2012-07-01 942497618 HOSPICE OF SANTA CRUZ COUNTY HOSP 8314303000 940 DISC DRIVE SCOTTS VALLEY CA 95066 MICHAEL MILWARD 8314303000 2013-11-12 1 ROBERT SMILEY P00410982 8314236500 2012 2016-02-24 21:20:13Z MICHAEL MILWARD 940 DISC DRIVE SCOTTS VALLEY CA 95066 17863778 0 X HOSPICESANTACRUZ.ORG X 1978 CA HOSPICE SERVICE AND SUPPORT FOR TERMINAL PATIENTS AND THEIR FAMILIES. 14 14 160 250 0 0 820336 873977 13626287 16768001 3659 3909 152753 174125 14603035 17820012 0 0 0 0 10263914 11724740 0 0 445207 4812978 5769849 15076892 17494589 -473857 325423 7094794 7717720 1488605 1786108 5606189 5931612 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 13942872 16775971 1,025 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. 13942872 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 73 0 1 160 1 0 0 0 0 0 0 0 0 0 0 X 14 14 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 2.00 X 0 0 0 MARTINA O'SULLIVAN 5.00 X 0 0 0 MARIA RUNCIMAN 2.00 X 0 0 0 EDMUND SACKS MD 3.00 X 0 0 0 RICHARD CLARK 3.00 X 0 0 0 CARA DESIMONE 2.00 X 0 0 0 RITA ALVES 3.00 X 0 0 0 MARILYN CALCIANO 2.00 X 0 0 0 PEG GALLAGHER 3.00 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 193851 0 9767 NANCY HOUSEMAN 40.00 X 151210 0 11534 MICHAEL MILWARD 40.00 X 118272 0 2521 PATRICIA DUNBAR 40.00 X 121740 0 9284 VANESSA LITTLE 36.00 X 194810 0 6728 CAROLYN WHITTINGTON 40.00 X 118598 0 5160 JUDITH HUMBLE 40.00 X 122998 0 10952 CATHERINE CONWAY 40.00 X 120993 0 8264 EMILIA SCHAMBECK 40.00 X 106789 0 10952 DIANE O'CONNOR 40.00 X 103055 0 736 1352316 0 75898 10 0 1 0 0 873977 873977 PATIENT FEES 621610 16156168 16156168 PRIVATE INSURANCE 621610 578082 578082 SELF PAY PATIENT FEES 621610 18965 18965 BEREAVEMENT INCOME 621610 14786 14786 16768001 4768 4768 53057 53057 859 -859 -859 -859 131675 36590 95085 95085 24330 6317 18013 18013 MISCELLANEOUS 621610 7970 7970 7970 17820012 16775971 0 170064 426456 426456 9542118 7403788 1838370 299960 42211 33769 7176 1266 981355 804141 147058 30156 732600 586080 124542 21978 14574 11659 2478 437 21450 17160 3647 643 64130 16830 46956 344 95731 86603 9128 200076 160061 34013 6002 4363 3490 742 131 69972 55978 11895 2099 135856 109429 22463 3964 323411 258729 54980 9702 ROOM & BOARD 1632467 1632467 PATIENT CARE SERVICES 765652 765652 MEDICATIONS 715585 715585 COMMUNICATION-PAGER/COM 356347 285078 60579 10690 1370235 1082976 238552 48707 17494589 13942872 3106510 445207 3617726 3528536 1333373 1401433 1911 1590 14544 47840 3538194 885763 2080141 2652431 47099 85890 7094794 7717720 1110070 1381672 378535 404436 1488605 1786108 X 4985006 5447260 194564 57633 426619 426719 5606189 5931612 7094794 7717720 325423 0 X X 0 1 X 1 0 X 1577032 823838 1099479 712650 792964 5005963 1577032 823838 1099479 712650 792964 5005963 1012279 3993684 69687 25455 10013 35859 57825 198839 5204802 62596897 0.76730 0.82940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1156 1156 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. 478399 100 48 478547 478201 150 48 478399 467787 10414 478201 442469 25318 467787 400153 15976 26340 442469 0.89000 0.11000 0 0 558850 558850 2979344 885763 2093581 2652431 X 17862919 42907 42907 17820012 0 17820012 17537496 42907 42907 17494589 0 17494589 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. OKTOBERFEST 81728 81728 18285 GOLF 49947 49947 18305 131675 131675 36590 36590 95085 24330 1450 4867 0 24330 1450 4867 6317 18013 CA 0 ORGANIZATION IS ALLOWED BY THE CALIFORNIA ATTORNEY GENERAL TO CONDUCT RAFFLES. 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 152117 0 41734 0 0 0 0 0 9767 0 203618 0 0 0 NANCY HOUSEMAN 127278 0 23932 0 0 0 0 0 11534 0 162744 0 0 0 VANESSA LITTLE 190077 0 4733 0 0 0 0 0 6728 0 201538 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. 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.