2011-11-14T19:12:11-06:00 2010-12-31 MACFARLANE FALETTI & CO LLP 115 E MICHELTORENA ST 200 SANTA BARBARA CA 93101 990 2010-01-01 237448586 HOSPICE OF SANTA BARBARA INC HOSP 8055638820 2050 ALAMEDA PADRE SERRA NO 100 SANTA BARBARA CA 93103 SAM CAPRA 8055638820 2011-11-14 1 8059664157 2010 2016-03-07 17:11:31Z SAM CAPRA 2050 ALAMEDA PADRE SERRA NO 100 SANTA BARBARA CA 93103 3752169 0 X WWW.HOSPICEOFSANTABARBARA.ORG X 1975 CA PROVIDE CARE FOR ANYONE EXPERIENCING THE IMPACT OF A LIFE THREATENING ILLNESS, OR GRIEVING THE LOSS OF SOMEONE LOVED. 16 16 41 115 0 0 2869832 3204160 0 0 -35401 58587 -16585 -18899 2817846 3243848 0 0 0 0 1580351 1632375 8400 7948 121259 784495 912112 2373246 2552435 444600 691413 5646284 6816155 133885 156841 5512399 6659314 X PROVIDE CARE MANAGEMENT AND VOLUNTEER SUPPORT SERVICES TO PEOPLE FACING DEATH, COUNSELING TO GRIEVING PEOPLE SEEKING HELP, AND EDUCATION ABOUT END OF LIFE ISSUES TO THE COMMUNITY. 0 0 1640316 EVERY SERVICE HSB PROVIDES IS GIVEN FREE OF CHARGE TO THE CHILDREN, TEENAGERS, ADULTS, AND FAMILIES WHO COME TO US. WE DO NOT RECEIVE ANY GOVERNMENT SUPPORT OR INSURANCE REIMBURSEMENTS. THANKS TO OUR PAST AND PRESENT DONORS, WE WERE ABLE TO OFFER THE COMMUNITY THE FOLLOWING SERVICES AND EVENTS IN 2010: CARE MANAGEMENT AND BEREAVEMENT COUNSELING PROGRAMS - THROUGH OUR OFFICES WE SAW 1088 COUNSELING CLIENTS, INCLUDING 144 CHILDREN. THE AVERAGE TERM OF SERVICE FOR EACH PERSON WAS 184 DAYS. - BASED IN OUR OFFICES, WE SAW 83 PATIENTS (PEOPLE FACING A LIFE-THREATENING ILLNESS). ON AVERAGE, WE WERE IN DIRECT AND ONGOING SERVICE FOR 277 DAYS. ONE OF OUR CORE PRINCIPLES IS "THE FAMILY IS THE UNIT OF CARE," MEANING WE INTERACT NOT ONLY WITH THE PERSON WITH THE ILLNESS BUT THE WIDER FAMILY. OUR VOLUNTEERS CONTRIBUTED 5506 HOURS OF SUPPORTIVE SERVICE TO HELP THESE FAMILIES. - THROUGH OUR COLLABORATIVE PALLIATIVE CARE TEAM AT COTTAGE HOSPITAL (WHERE WE SUPPLY TWO SOCIAL WORKERS, A CHAPLAIN, AND A PART-TIME BEREAVEMENT SPECIALIST), WE BECAME INVOLVED WITH 687 FAMILIES. - THROUGH OUR COLLABORATIVE COMMUNITY PALLIATIVE CARE TEAM AT THE CANCER CENTER (WE SUPPLY THE SOCIAL WORKER), WE BECAME INVOLVED WITH 120 FAMILIES, MANY WITH NUMEROUS HOME VISITS.YOUTH BEREAVEMENT COUNSELING PROGRAMIN 2010, OUR FOCUS ON CHILDREN AND TEENAGERS BEGAN TO STRETCH BEYOND OUR OFFICES AND INTO THE COMMUNITY, AS WE CONTINUED WEEKLY BEREAVEMENT GROUPS IN THE PUBLIC HIGH SCHOOLS OF SANTA BARBARA. THROUGH THIS SERVICE WE REACHED OVER 100 TEENAGERS EACH WEEK AS THEY DEALT WITH THE DEATH OF FRIENDS, CLASSMATES, AND FAMILY MEMBERS. BILINGUAL OUTREACH PROGRAMHOSPICE AND BEREAVEMENT SERVICES FOR SPANISH-SPEAKING COUNTY RESIDENTS. IN 2010 WE SERVED 115 LATINO FAMILIES THROUGH OUR OFFICES.NO ONE DIES ALONE COMPASSIONATE COMPANION VOLUNTEER PROGRAMWE BEGAN TO EXPAND OUR NEWLY-NAMED "NO ONE DIES ALONE" (NODA) PROGRAM TO DEMENTIA AND LONG-TERM CARE FACILITIES. IN THIS PROGRAM, VOLUNTEERS ARE CALLED TO VIGIL WITH A DYING PERSON EITHER WHEN THERE IS NO FAMILY AVAILABLE OR IF THE FAMILY CAN BENEFIT FROM SOME TIMES OF RESPITE. A SHARED VENTURE WITH VISITING NURSE & HOSPICE CARE OF SANTA BARBARA, THIS IS NOT ONLY DEEPLY APPRECIATED BY FAMILY MEMBERS, BUT ALSO BY THE STAFF AT THESE FACILITIES WHO OTHERWISE CAN BE DISTRESSED KNOWING SOMEONE IS IN THEIR LAST HOURS OF LIFE WITH NO ONE BY THEIR BEDSIDE TO PROVIDE SIMPLE HUMAN PRESENCE.BELOVED BEAR VOLUNTEER PROGRAM2010 SAW THE INTRODUCTION OF THE BELOVED BEAR PROGRAM. IN THIS PROGRAM, FAMILY MEMBERS CHOOSE AN ARTICLE OF CLOTHING THAT HAD BEEN WORN BY THEIR LOVED ONE AND HAD SPECIAL MEANING TO THEM. VOLUNTEERS CAREFULLY TAKE THE FABRIC AND TRANSFORM IT INTO A STUFFED TEDDY BEAR THAT CAN BE HELD, HUGGED, AND SERVE AS A CONSTANT REMINDER OF THE BOND THAT EXISTED. THESE BEARS OFTEN HAVE IMMEDIATE AND LASTING IMPACT ON THE RECIPIENTS, AND PROVIDE A STRONG ELEMENT OF BOTH REMEMBRANCE AND HEALING.LEARN AT LUNCH / COMMUNITY EDUCATIONWE PROVIDED COMMUNITY EDUCATION TO 1191 PEOPLE. OUR "LEARN AT LUNCH" NOON TIME EDUCATIONAL SERIES INCLUDED TOPICS SUCH AS: - "BUDDHIST VIEWS ON DEATH AND DYING," WITH BUDDHIST TEACHER KIMBERLY SNOW; - "THE USE OF GUIDED IMAGERY IN THE SERVICE OF PATIENTS AND CLIENTS," WITH STAFF MEMBERS SHERIE DAVIS AND VALERIE MOORE; - "LAUGH AT LUNCH: THE HEALING POWER OF MAGIC AND HUMOR" WITH MARK COLLIER, HSB VOLUNTEER AND PROFESSIONAL ENTERTAINER; - "THE CAREGIVER'S JOURNEY: WHAT IS IT LIKE TO CARE FOR A LOVED ONE?" FROM HSB VOLUNTEER JEANNE WEST; - "DEATH AND DYING FROM A UNITARIAN UNIVERSALIST PERSPECTIVE," WITH REV. AARON MCEMRYS; - "USING POETRY IN THE HEALING OF OUR SOULS," PERIE LONGO, POET LAUREATE OF SANTA BARBARA AND HSB CLINICAL THERAPIST; - "THE "INNER VISION" PROCESS FOR PATIENTS AND CAREGIVERS," HSB BOARD MEMBER MARILEE ZDENEK; - "THE NATIVE AMERICAN WORLDVIEW OF DEATH AND DYING," WITH MAGDALENA SERRANO. 288378 ALLIANCE FOR LIVING & DYING WELLTHE ALLIANCE FOR LIVING & DYING WELL IS A COLLABORATIVE EFFORT BETWEEN ARCHSTONE FOUNDATION, COTTAGE HEALTH SYSTEM, HOSPICE OF SANTA BARBARA, JAMES S. BOWER FOUNDATION, SANTA BARBARA FOUNDATION, SARAH HOUSE, ST. FRANCIS FOUNDATION, AND VISITING NURSES & HOSPICE CARE OF SANTA BARBARA. THE ALLIANCE CONDUCTS AND SUPPORTS A VARIETY OF PROGRAMS AND EVENTS THAT HELP FACILITATE PEOPLE CONNECTING WITH FRIENDS AND LOVED ONES IN CONVERSATIONS ABOUT THE RELATIONSHIP BETWEEN LIFE AND DEATH, AND HOW TO EXPRESS THEIR WISHES ABOUT END-OF-LIFE CARE. THE GOALS OF THE ALLIANCE ARE TO HELP THE RESIDENTS OF THE SOUTH COUNTY SANTA BARBARA COMMUNITY TO: - SPEAK OPENLY ABOUT THE REALITY OF DEATH, AND ACCEPT IT AND EMBRACE IT AS INEXTRICABLY CONNECTED TO LIFE; - HAVE CONVERSATIONS ABOUT DYING AND PUT WISHES ABOUT END-OF-LIFE CARE INTO WORDS ON PAPER IN THE FORM OF DIRECTIONS - UNDERSTAND WE ARE NOT ALONE, AND THE SHARED EXPERIENCE OF CONNECTING AND BELONGING WHEN WE FACE DEATH AND DYING TOGETHER IS CRUCIAL; - BECOME AWARE OF THE VALUE OF AND IMPORTANCE OF WORKING WITH PEOPLE WE LOVE AND TRUST TO COMPLETE THE 5 WISHES, AN ADVANCED CARE DIRECTIVE, THAT CLARIFIES OUR PERSONAL, EMOTIONAL AND SPIRITUAL NEEDS AS WELL AS MEDICAL WISHES; AND - COMMUNICATE TREATMENT WISHES THROUGH A PHYSICIANS ORDER FOR LIFE-SUSTAINING TREATMENT (POLST) FORM AND KNOW THAT HEALTH CARE PROFESSIONALS WILL HONOR THESE WISHES. 1928694 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 26 0 1 41 1 0 0 0 0 0 1 1 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 MARK GUIDRY 8055638820 2050 ALAMEDA PADRE SERRA SANTA BARBARA CA 93103 RICHARD ABERLE 1.60 X X 0 0 0 DENNIS BAKER MD 1.60 X X 0 0 0 MARY BLAIR 1.60 X 0 0 0 MARGI MAINQUIST 1.60 X 0 0 0 JOY MARGOLIS 1.60 X 0 0 0 RUBEN REY 1.60 X 0 0 0 NATHAN SHADLE DC 1.60 X 0 0 0 JILL NIDA 1.60 X 0 0 0 CHARLIE ZIMMER 1.60 X 0 0 0 SUSAN COPELAND 1.60 X 0 0 0 JACKIE MARSTON 1.60 X X 0 0 0 CHRISTINE SCHLUMBERGER 1.60 X X 0 0 0 ROBERT WRIGHT MD 1.60 X 0 0 0 DONNA BARRANCO FISHER-YATES 1.60 X 0 0 0 JOANNE HOLLINGSHEAD 1.60 X 0 0 0 GINA BECCHETTI 1.60 X 0 0 0 LORI LEWIS 1.60 X 0 0 0 MICHAEL SALSBURY 1.60 X 0 0 0 MARILEE ZDENEK 1.60 X 0 0 0 SAM CAPRA 1.60 X X 0 0 0 BILL WOOD 1.60 X 0 0 0 STEVE JACOBSEN 40.00 X 85392 0 49702 85392 0 49702 0 0 0 0 SUSAN PLUMMER 2040 ALAMEDA PADRE SERRA STE 100 SANTA BARBARA CA 93103 CONSULTING FOR ALLIANCE 124992 1 56730 3147430 3204160 39880 39880 508129 489422 18707 18707 18707 0 56730 18899 -18899 -18899 3243848 0 0 39688 135094 54038 54038 27018 1317656 1036048 271201 10407 64253 49514 13728 1011 115372 88212 23439 3721 42012 42012 12953 12953 7948 7948 15706 15706 239364 233088 5727 549 74723 37034 37689 78803 56018 18999 3786 9422 9422 228217 182881 29249 16087 18944 18944 19836 12727 5806 1303 74027 61813 9624 2590 PROGRAM SERVICES 62842 62842 RECRUITMENT 10900 10900 COMMUNITY EDUCATION/OUT 9350 200 9150 VOLUNTEER SERVICES 7656 7656 TRAINING 7357 7357 2552435 1928694 502482 121259 13227 522227 588106 510112 1998485 1754546 2119 11639 11374 1015963 507212 518322 508751 1614490 3116213 902015 390813 5646284 6816155 133885 156841 133885 156841 X 2422267 4150812 3090132 2508502 5512399 6659314 5646284 6816155 X 691413 455502 X X 1 1 1 X 0 X 1103455 1624072 4801743 2108332 2483474 12121076 1103455 1624072 4801743 2108332 2483474 12121076 415034 11706042 68833 27345 44402 25849 39880 206309 12327385 3076 0.94960 0.95260 X SCHEDULE A, PART IV, LIST OF UNUSUAL GRANTS: BEQUEST DATE: 07/15/09 AMOUNT: 300180. BEQUEST DATE: 07/15/09 AMOUNT: 465000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 464739 98849 365890 551224 408363 142861 508751 REFUNDABLE SECURITY DEPOSITS 15369 CONTRIBUTION RECEIVABLE FROM CHARITABLE REMAINDER TRUSTS 90444 BEQUESTS RECEIVABLE 285000 390813 3243848 2552435 691413 447596 7906 455502 1146915 3646695 447596 -44749 402847 3243848 0 3243848 2499780 0 2499780 52655 52655 2552435 PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST ADDITIONAL DEPRECIATION ON TAX RETURN THAN AUDIT PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN CHARITABLE REMAINDER TRUST PART XIII, LINE 4B - OTHER ADJUSTMENTS: ADDITIONAL DEPRECIATION ON TAX RETURN THAN AUDIT LIGHT UP A LIFE 56730 56730 18899 56730 56730 18899 18899 -18899 FORM 990, PART VI, SECTION B, LINE 11 990 REVIEW PROCEDURE: A. EXECUTIVE DIRECTOR IS RESPONSIBLE FOR COORDINATING AND MONITORING THE PREPARATION OF THE ANNUAL IRS FORM 990 BY ITS INDEPENDENT TAX PREPARER/CONSULTANT. B. THE COMPLETED FORM WILL BE PROVIDED TO THE BUDGET AND FINANCE COMMITTEE SUFFICIENTLY IN ADVANCE OF THE FILING TO ENSURE ADEQUATE TIME FOR A DETAILED COMPREHENSIVE REVIEW BY ALL MEMBERS OF THE COMMITTEE. C. THE BUDGET AND FINANCE COMMITTEE CHAIR WILL MAKE NOTE OF ANY NECESSARY CHANGES, QUESTIONS AND CONCERNS AND FORWARD THIS INFORMATION ON TO THE INDEPENDENT TAX PREPAPER/CONSULTANT FOR FEEDBACK AND INCORPORATION INTO THE IRS FORM 990 AS APPROPRIATE. D. AFTER THE BUDGET AND FINANCE COMMITTEE HAS REVIEWED THE IRS FORM 990, A DRAFT WILL BE AVAILABLE TO THE BOARD FOR REVIEW, DISCUSSION AND APPROVAL WITHIN A TIMELINE ENSURING TIMELY FILING. E. ONCE ALL THE NECESSARY CHANGES ARE MADE, THE FINISHED IRS FORM 990 WILL BE SIGNED AND DATED BY THE EXECUTIVE DIRECTOR, BOARD PRESIDENT OR TREASURER AND FILED. F. THE FILED IRS FORM 990 WILL BE PROVIDED TO ALL BOARD MEMBERS EITHER IN HARD COPY (MAILED OR HAND DELIVERED) OR ELECTRONIC FILES SENT VIA E-MAIL. G. BOARD APPROVAL OF THE COMPLETED IRS FORM 990 WILL BE RECORDED IN BOARD MINUTES. H. HSB WILL MAINTAIN PERMANENTLY A HARD COPY AND AN ELECTRONIC FILE COPY OF THE FILED IRS FORM 990. FORM 990, PART VI, SECTION B, LINE 12C FOR CONFLICT OF INTEREST POLICY, THE BOARD MUST SIGN A CONFLICT OF INTEREST STATEMENT, DECLARING ANY CONFLICTS ANNUALLY AT THE JANUARY BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES A SALARY SURVEY AND INFORMATION ON FORM 990 OF COMPARABLE NONPROFITS TO DETERMINE COMPENSATION AMOUNTS OF THE ORGANIZATION'S KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES FORM 990 AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST DURING REGULAR BUSINESS HOURS OR IN RESPONSE TO A WRITTEN REQUEST. IN ADDITION, THE ORGANIZATION'S 990 CAN BE VIEWED ON THE GUIDESTAR WEBSITE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 447,596. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST -44,749. ADDITIONAL DEPRECIATION ON TAX RETURN THAN AUDIT 52,655. TOTAL TO FORM 990, PART XI, LINE 5: 455,502. AUDIT COMMITTEE FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS MAY, BY A MAJORITY VOTE OF DIRECTORS, DESIGNATE TWO (2) OR MORE OF ITS DIRECTOR TO SERVE AS A COMMITTEE TO ADVISE THE CORPORATION ON ITS FINANCIAL AND INVESTMENT MANAGEMENT. THE TREASURER OF THE CORPORATION IS A MEMBER OF THE FINANCE COMMITTEE. IT SHALL BE THE DUTY OF THIS COMMITTEE TO PREPARE A BUDGET FOR THE FISCAL YEAR BEGINNING THE FIRST DAY OF JANUARY, AND TO SUBMIT IT TO THE DIRECTORS FOR APPROVAL AT THE LAST BOARD MEETING OF THE PREVIOUS YEAR. THE FINANCE COMMITTEE MAY FROM TIME TO TIME SUBMIT AMENDMENTS TO THE BUDGET FOR THE CURRENT FISCAL YEAR, WHICH MAY BE ADOPTED BY A MAJORITY VOTE. THE FINANCE COMMITTEE IS RESPONSIBLE FOR SELECTING AND CONTRACTING INDEPENDENT AUDITOR TO PERFORM THE COMPILATION AND ANNUAL AUDIT UNLESS THE ORGANIZATION NEEDS AN AUDIT COMMITTEE IN ACCORDANCE WITH THE NONPROFIT INTEGRITY ACT OF 2004. THIS IS THE SAME PROCESS AS IN THE PRIOR YEAR. EXECUTIVE COMMITTEE PART VI, GOVERNANCE, MANAGEMENT, AND DISCLOSURE THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE COMPOSED OF IMMEDIATE PAST PRESIDENT, PRESIDENT, VICE PRESIDENT, TREASURER, AND SECRETARY. THE EXECUTIVE COMMITTEE SHALL BE CHAIRED BY THE PRESIDENT. IN THE EVENT THE SECRETARY OR TREASURER, OR THEIR DESIGNEE, IS AN EMPLOYEE OF THE ORGANIZATION, THE SECRETARY OR TREASURER, OR SUCH DESIGNEE, WILL REMAIN A NON-VOTING MEMBER OF THE EXECUTIVE COMMITTEE. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE PRESIDENT, EXECUTIVE DIRECTOR OR BY ANY TWO DIRECTORS. THE BOARD OF DIRECTORS MAY DELEGATE TO THE EXECUTIVE COMMITTEE ANY OF THE POWERS AND AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE ORGANIZATION, EXCEPT WITH RESPECT TO: A) FILLING OF VACANCIES ON THE BOARD OR ON ANY COMMITTEE WHICH HAS THE AUTHORITY OF THE BOARD; B) THE FIXING OF COMPENSATION FOR THE DIRECTORS FOR SERVING ON THE BOARD OR ON ANY COMMITTEE; C) THE AMENDMENT OR REPEAL OF BYLAWS OR THE ADOPTION OF NEW BYLAWS; D) THE AMENDMENT OR REPEAL OR ANY RESOLUTION OF THE BOARD WHICH BY ITS EXPRESS TERMS IS NOT SUBJECT TO AMENDMENT OR REPEAL; AND E) THE APPOINTMENT OF COMMITTEES OF THE BOARD OR MEMBERS OF THE BOARD. THE EXECUTIVE COMMITTEE MET 4 TIMES DURING 2010. SANTA BARBARA HOSPICE FOUNDATION 226 E CANON PERDIDO L SANTA BARBARA CA 93101 770009462 PROVIDE FINANCIAL SUPPORT TO HOSPICE OF SANTA BARBARA, INC. CA 501(C)3 SUPPORTING, TYPE III 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SANTA BARBARA HOSPICE FOUNDATION C 1863291 FMV