2012-03-03T13:34:01-06:00 2011-06-30 BERGER LEWIS ACCOUNTANCY CORP 740 FRONT STREET SUITE 365 SANTA CRUZ CA 950604550 990 2010-07-01 942497618 HOSPICE OF SANTA CRUZ COUNTY HOSP 8314303000 940 DISC DRIVE SCOTTS VALLEY CA 95066 ANN POMPER 8314303000 2012-03-03 1 ROBERT SMILEY 8314236500 2010 2016-02-24 21:20:13Z ANN POMPER 940 DISC DRIVE SCOTTS VALLEY CA 95066 13276807 0 X HOSPICESANTACRUZ.ORG X 1978 CA HOSPICE SERVICE AND SUPPORT FOR TERMINAL PATIENTS AND THEIR FAMILIES. 14 14 131 300 0 0 823838 1099479 10923344 11849553 25455 9123 348442 277303 12121079 13235458 0 0 0 0 7992175 8775658 0 0 379373 3929536 4302295 11921711 13077953 199368 157505 7524496 7483289 1599420 1403243 5925076 6080046 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 10449353 11887604 879 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. 10449353 1 1 0 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 51 0 131 1 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 5.00 X 0 0 0 LISA HAUX 2.00 X 0 0 0 RODNEY LOWE MD 2.00 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 ANN POMPER 40.00 X 177746 0 24552 NANCY HOUSEMAN 40.00 X 109297 0 18150 PATRICIA DUNBAR 40.00 X 114086 0 8788 PHIL YULE 32.00 X 122939 0 26050 DEBBIE OWEN 40.00 X 55527 0 917 JUDI HUMBLE 40.00 X 114884 0 12020 CATHERINE CONWAY 40.00 X 99261 0 18632 TINO PLANK 40.00 X 97063 0 4019 MICHELE GARNS 40.00 X 94726 0 3800 638952 0 89560 5 0 1 0 KINDRED NURSING CENTERS WEST 1115 CAPITOLA RD SANTA CRUZ CA 95062 MEDICAL/HEALTHCARE 262785 COVENANT CARE CAPITOLA 27071 ALISO CREEK ROAD STE 100 ALISO VIEJO CA 92656 MEDICAL/HEALTHCARE 247951 SANTA CRUZ SKILLED NURSING CENTER 2990 SOQUEL AVENUE SANTA CRUZ CA 95062 MEDICAL/HEALTHCARE 107444 3 1099479 1099479 PATIENT FEES 621610 11466713 11466713 PRIVATE INSURANCE 621610 344405 344405 SELF PAY PATIENT FEES 621610 19743 19743 BEREAVEMENT INCOME 621610 18692 18692 11849553 10013 10013 890 -890 -890 -890 266319 36448 229871 229871 22515 4011 18504 18504 MISCELLANEOUS 621610 28928 28928 28928 13235458 11887604 0 248375 186606 186606 7335769 5772772 1292795 270202 33118 26494 5630 994 670901 536721 114053 20127 549264 439411 93375 16478 41343 41343 10250 6327 3923 7995 6207 1788 249997 210913 39084 32204 25763 5475 966 33000 26400 5610 990 128300 102640 21811 3849 175107 140086 29768 5253 ROOM & BOARD 1254552 1254552 PATIENT CARE SERVICES 524457 524457 MEDICATIONS 473734 473734 CONSULTANTS AND CONTRAC 243605 42478 199127 2000 COMMUNICATION-PAGER/COM 191454 153163 32547 5744 936297 672099 213216 50982 13077953 10449353 2249227 379373 4291810 4075310 921788 1199421 12128 1730 4054 9274 2909490 744294 2267785 2165196 26931 32358 7524496 7483289 1165459 995977 433961 407266 1599420 1403243 X 5427715 5586685 73570 66892 423791 426469 5925076 6080046 7524496 7483289 X 157505 -2535 X X 1 1 1 X 0 X 2092227 1335300 1577032 823838 1099479 6927876 2092227 1335300 1577032 823838 1099479 6927876 1134802 5793074 81974 114621 69687 25455 10013 301750 7229626 45989042 0.80130 0.83180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 483764 10414 494178 458446 25318 483764 416130 15976 26340 458446 0.86000 0.14000 0 0 558850 558850 2350640 744294 1606346 2165196 13235458 13077953 157505 -2535 -2535 154970 13273656 38198 38198 13235458 0 13235458 13118686 40733 40733 13077953 0 13077953 PART XI LINE 8 - UNREALIZED LOSS PART XII LINE 2D - FUNDRAISING DIRECT EXPENSES PART XIII LINE 2D - FUNDRAISING DIRECT EXPENSES LESS UNREALIZED LOSS OKTOBERFEST 78213 78213 16862 GOLF 62644 62644 18369 2 123201 123201 1217 264058 264058 36448 36448 227610 22515 1750 2261 1 1.00000 22515 1750 2261 4011 18504 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 177746 0 0 0 0 0 0 0 9300 0 187046 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 ORGANIZATIONS ANNUAL REPORT. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: UNREALIZED LOSS -2,537. ROUNDING 2. TOTAL TO FORM 990, PART XI, LINE 5: -2,535. FORM 990, PART XI, LINE 2C THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.