HOSPICE OF SANTA CRUZ COUNTY: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF SANTA CRUZ COUNTY (EIN 94-2497618)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-03
IRS object ID
201200639349300615
Schema version
2010v3.4
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)
Timestamp2012-03-03T13:34:01-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

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)
NameANN POMPERName
TitleEXECUTIVE DIRECTORTitle
Phone8314303000Phone
Date Signed2012-03-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT SMILEYName
Phone8314236500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANN POMPERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1940 DISC DRIVEAddressLine1
CitySCOTTS VALLEYCity
StateCAState
ZIP Code95066ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13276807GrossReceipts
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 Employees131TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year823838ContributionsGrantsPriorYear
Contributions Grants Current Year1099479ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10923344ProgramServiceRevenuePriorYear
Program Service Revenue CY11849553ProgramServiceRevenueCY
Investment Income Prior Year25455InvestmentIncomePriorYear
Investment Income Current Year9123InvestmentIncomeCurrentYear
Other Revenue Prior Year348442OtherRevenuePriorYear
Other Revenue Current Year277303OtherRevenueCurrentYear
Total Revenue Prior Year12121079TotalRevenuePriorYear
Total Revenue Current Year13235458TotalRevenueCurrentYear
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 Year7992175SalariesEtcPriorYear
Salaries Etc Current Year8775658SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year379373TotalFundrsngExpCurrentYear
Other Expense Prior Year3929536OtherExpensePriorYear
Other Expenses Current Year4302295OtherExpensesCurrentYear
Total Expenses Prior Year11921711TotalExpensesPriorYear
Total Expenses Current Year13077953TotalExpensesCurrentYear
Revenues Less Expenses Prior Year199368RevenuesLessExpensesPriorYear
Revenues Less Expenses CY157505RevenuesLessExpensesCY
Total Assets BOY7524496TotalAssetsBOY
Total Assets EOY7483289TotalAssetsEOY
Total Liabilities BOY1599420TotalLiabilitiesBOY
Total Liabilities EOY1403243TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5925076NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6080046NetAssetsOrFundBalancesEOY
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
Expense10449353Expense
Revenue11887604Revenue
Description879 PATIENTS AND FAMILIES RECEIVED 48,669 DAYS OF EXPERT END-OF-LIFE CARE FROM HOSPICE TEAMS OF MEDICAL DIRECTORS, NURSES, SOCIAL WORKERS, CHAPLAINS, HOSPICE AIDES, AND VOLUNTEERS. ADDITIONALLY, 2,026 GRIEF SUPPORT SESSIONS WERE PROVIDED TO HOSPICE FAMILIES AND GRIEVING COMMUNITY MEMBERS OF ALL AGES.Description
Total Program Service Expense10449353TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 With109651NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees131NumberOfEmployees
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 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 (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MARY CULLEY
PRESIDENT5.00X000
LISA HAUX
BOARD MEMBER2.00X000
RODNEY LOWE MD
BOARD MEMBER2.00X000
CONNIE MUNOZ-CHAPPELL
SECRETARY3.00X000
MARTINA O'SULLIVAN
VICE PRESIDENT3.00X000
MARIA RUNCIMAN
BOARD MEMBER2.00X000
EDMUND SACKS MD
BOARD MEMBER2.00X000
LISA SMITH
BOARD MEMBER2.00X000
RICHARD CLARK
TREASURER3.00X000
CARA DESIMONE
BOARD MEMBER2.00X000
RITA ALVES
BOARD MEMBER2.00X000
MARILYN CALCIANO
BOARD MEMBER2.00X000
PEG GALLAGHER
BOARD MEMBER2.00X000
JOHN SCHUYLER
BOARD MEMBER2.00X000
ANN POMPER
EXECUTIVE DIRECTOR40.00177746024552X
NANCY HOUSEMAN
CFO40.00109297018150X
PATRICIA DUNBAR
TEAM LEADER40.0011408608788X
PHIL YULE
CHIEF MEDICAL OFFICER32.00122939026050X
DEBBIE OWEN
CHIEF CLINICAL OFFICER40.00555270917X
JUDI HUMBLE
DIRECTOR ADMIN OPERATIONS40.00114884012020X
CATHERINE CONWAY
DIRECTOR OF DEVELOPMENT40.0099261018632X
TINO PLANK
DIRECTOR OF ADMISSIONS40.009706304019X
MICHELE GARNS
DIRECTOR OF QUALITY40.009472603800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org638952TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation89560TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KINDRED NURSING CENTERS WEST
1115 CAPITOLA RDSANTA CRUZCA95062MEDICAL/HEALTHCARE262785
COVENANT CARE CAPITOLA
27071 ALISO CREEK ROAD STE 100ALISO VIEJOCA92656MEDICAL/HEALTHCARE247951
SANTA CRUZ SKILLED NURSING CENTER
2990 SOQUEL AVENUESANTA CRUZCA95062MEDICAL/HEALTHCARE107444
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions1099479AllOtherContributions
Total Contributions1099479TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT FEES6216101146671311466713
PRIVATE INSURANCE621610344405344405
SELF PAY PATIENT FEES6216101974319743
BEREAVEMENT INCOME6216101869218692
FieldValueIRS element (for citing)
Total Program Service Revenue11849553TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10013TotalRevenueColumn
Related Or Exempt Function Income10013RelatedOrExemptFunctionIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities890Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-890Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-890TotalRevenueColumn
Related Or Exempt Function Income-890RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events266319GrossIncomeFundraisingEvents
Fundraising Direct Expenses36448FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column229871TotalRevenueColumn
Exclusion$229,871ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming22515GrossIncomeGaming
Gaming Direct Expenses4011GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column18504TotalRevenueColumn
Exclusion$18,504ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code621610BusinessCode
Total Revenue Column28928TotalRevenueColumn
Related Or Exempt Function Income28928RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue28928TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13235458TotalRevenueColumn
Related Or Exempt Function Income11887604RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$248,375ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total186606Total
Management And General186606ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7335769Total
Program Services5772772ProgramServices
Management And General1292795ManagementAndGeneral
Fundraising270202Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total33118Total
Program Services26494ProgramServices
Management And General5630ManagementAndGeneral
Fundraising994Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total670901Total
Program Services536721ProgramServices
Management And General114053ManagementAndGeneral
Fundraising20127Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total549264Total
Program Services439411ProgramServices
Management And General93375ManagementAndGeneral
Fundraising16478Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41343Total
Program Services41343ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10250Total
Program Services6327ProgramServices
Management And General3923ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7995Total
Management And General6207ManagementAndGeneral
Fundraising1788Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total249997Total
Program Services210913ProgramServices
Management And General39084ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total32204Total
Program Services25763ProgramServices
Management And General5475ManagementAndGeneral
Fundraising966Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total33000Total
Program Services26400ProgramServices
Management And General5610ManagementAndGeneral
Fundraising990Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total128300Total
Program Services102640ProgramServices
Management And General21811ManagementAndGeneral
Fundraising3849Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total175107Total
Program Services140086ProgramServices
Management And General29768ManagementAndGeneral
Fundraising5253Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
ROOM & BOARD12545521254552
PATIENT CARE SERVICES524457524457
MEDICATIONS473734473734
CONSULTANTS AND CONTRAC243605424781991272000
COMMUNICATION-PAGER/COM191454153163325475744

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total936297Total
Program Services672099ProgramServices
Management And General213216ManagementAndGeneral
Fundraising50982Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13077953Total
Program Services10449353ProgramServices
Management And General2249227ManagementAndGeneral
Fundraising379373Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4291810BOY
EOY4075310EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY921788BOY
EOY1199421EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY12128BOY
EOY1730EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4054BOY
EOY9274EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2909490LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec744294LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2267785BOY
EOY2165196EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26931BOY
EOY32358EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7524496BOY
EOY7483289EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1165459BOY
EOY995977EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY433961BOY
EOY407266EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1599420BOY
EOY1403243EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5427715BOY
EOY5586685EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY73570BOY
EOY66892EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY423791BOY
EOY426469EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5925076BOY
EOY6080046EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7524496BOY
EOY7483289EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses157505ReconcilationRevenueExpenses
Reconcilation Other Changes-2535ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
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 Years2092227CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1335300CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1577032CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year823838CurrentTaxYearMinus1Year
Current Tax Year1099479CurrentTaxYear
Total6927876Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2092227CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1335300CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1577032CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year823838CurrentTaxYearMinus1Year
Current Tax Year1099479CurrentTaxYear
Total6927876Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1134802AmountsSubstContributorsTotal
Public Support Total1705793074PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years81974CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years114621CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years69687CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25455CurrentTaxYearMinus1Year
Current Tax Year10013CurrentTaxYear
Total301750Total
FieldValueIRS element (for citing)
Total Support7229626TotalSupport
Gross Receipts From Admissions Etc45989042GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.80130PublicSupportPertcentage170
Public Support Pertcent Prior Year0.83180PublicSupportPertcentPriorYear
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 D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Basis2350640OtherCostOrOtherBasis
Depreciation744294Depreciation
Book Value1606346BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2165196TotalOfBookValueLandBuildings
Total Revenue13235458TotalRevenue
Total Expenses13077953TotalExpenses
Excess Or Deficit For Year157505ExcessOrDeficitForYear
Other-$2,535OtherAmount
Total Adjustments-2535TotalAdjustments
Excess Or Deficit Per FS154970ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13273656TotRevenueEtcAuditedFinclStmt
Other Revenues38198OtherRevenues
Revenue Not Rptd F99038198RevenueNotRptdF990
Revenue Subtotal13235458RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99013235458TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13118686TotExpensesEtcAuditedFinclStmt
Other Expenses Included40733OtherExpensesIncluded
Expenses Not Rptd F99040733ExpensesNotRptdF990
Expenses Subtotal13077953ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013077953TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPART XI LINE 8 - UNREALIZED LOSS PART XII LINE 2D - FUNDRAISING DIRECT EXPENSES PART XIII LINE 2D - FUNDRAISING DIRECT EXPENSES LESS UNREALIZED LOSSExplanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1OKTOBERFESTNameOfEvent1
Gross Receipts Event178213GrossReceiptsEvent1
Gross Revenue Event178213GrossRevenueEvent1
Other Direct Expenses Event116862OtherDirectExpensesEvent1
Name Of Event2GOLFNameOfEvent2
Gross Receipts Event262644GrossReceiptsEvent2
Gross Revenue Event262644GrossRevenueEvent2
Other Direct Expenses Event218369OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events123201GrossReceiptsOtherEvents
Gross Revenue Other Events123201GrossRevenueOtherEvents
Other Direct Expenses Other Events1217OtherDirectExpensesOtherEvents
Gross Receipts Total264058GrossReceiptsTotal
Gross Revenue Total Events264058GrossRevenueTotalEvents
Other Direct Expenses Total Events36448OtherDirectExpensesTotalEvents
Direct Expense Summary Events36448DirectExpenseSummaryEvents
Net Income Summary227610NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming22515GrossRevenueOtherGaming
Cash Prizes Other Gaming1750CashPrizesOtherGaming
Other Direct Expenses Other Gaming2261OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming1VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming22515GrossRevenueTotalGaming
Cash Prizes Total Gaming1750CashPrizesTotalGaming
Other Direct Expenses Total Gaming2261OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming4011DirectExpenseSummaryGaming
Net Gaming Income Summary18504NetGamingIncomeSummary
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

FieldValueIRS element (for citing)
Name PersonANN POMPERNamePerson
Base Compensation Filing Org177746BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org9300NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org187046TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
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 12C
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 B, LINE 15
ALL GOVERNING DOCUMENTS, POLICIES, AND ANNUAL 990 INFORMATION RETURNS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ANNUAL FINANCIAL RESULTS ARE PUBLISHED IN THE ORGANIZATIONS ANNUAL REPORT.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:UNREALIZED LOSS -2,537. ROUNDING 2. TOTAL TO FORM 990, PART XI, LINE 5: -2,535.FORM 990, PART XI, LINE 5:
THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C

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