2026-05-15T10:50:16-05:00 2025-06-30 941239084 ATHERTON & ASSOCIATES LLP PO BOX 4339 MODESTO CA 953524339 990 2024-07-01 942497618 HOSPICE OF SANTA CRUZ COUNTY HOSP 8314303000 940 DISC DRIVE SCOTTS VALLEY CA 95066 ADAM SHORE CFO 8314303000 2026-05-14 1 1 JACQUELYN HOWELL P01327223 2095774800 X 2024 2025-03-06 01:10:19Z ADAM SHORE 940 DISC DRIVE SCOTTS VALLEY CA 95066 26346117 0 X HOSPICESANTACRUZ.ORG X 1978 CA HOSPICE SERVICE, PALLIATIVE CARE SERVICES, AND GRIEF SUPPORT FOR PATIENTS AND THEIR FAMILIES. 12 12 169 129 0 0 2066794 3619925 21422689 22292152 11523 434040 0 0 23501006 26346117 0 0 0 0 14865081 16268916 0 0 577355 9505492 9613067 24370573 25881983 -869567 464134 9985403 10815522 2095259 2066828 7890144 8748694 HOSPICE SERVICE, PALLIATIVE CARE SERVICES, AND GRIEF SUPPORT FOR PATIENTS AND THEIR FAMILIES. 0 0 16765656 0 22292152 1086 PATIENTS AND FAMILIES RECEIVED 70,927 DAYS OF EXPERT END-OF-LIFE CARE FROM HOSPICE TEAMS OF MEDICAL DIRECTORS, NURSES, SOCIAL WORKERS, CHAPLAINS, HOSPICE AIDES, AND VOLUNTEERS. ADDITIONALLY, 772 INDIVIDUAL GRIEF SUPPORT SESSIONS AND 75 GROUP GRIEF SUPPORT SESSIONS WERE PROVIDED TO HOSPICE FAMILIES AND GRIEVING COMMUNITY MEMBERS OF ALL AGES. 16765656 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 65 0 169 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X ADAM SHORE 8314303000 940 DISC DRIVE SCOTTS VALLEY CA 95066 CHRIS MAFFIA PRESIDENT 5.00 X X 0 0 0 SIGOLENE A ORTEGA SECRETARY 1.00 X X 0 0 0 DENA LOIJOS DIRECTOR 1.00 X 0 0 0 SHARON TAPPER MD DIRECTOR 1.00 X 0 0 0 MICHAEL ALLARD DIRECTOR 1.00 X 0 0 0 DAISY NUNEZ DIRECTOR 1.00 X 0 0 0 DEAN AUSTIN DIRECTOR 1.00 X 0 0 0 SUSAN MACMILLAN DIRECTOR 1.00 X 0 0 0 OWEN BROWN VICE PRESIDENT & TREASURER 5.00 X X 0 0 0 JAMES WILLIAM MCGOWAN DIRECTOR 1.00 X 0 0 0 BONNIE LANGE DIRECTOR 1.00 X 0 0 0 KATIE GABRIEL-COX PAST PRESIDENT 1.00 X X 0 0 0 CATHY CONWAY CHIEF EXECUTIVE OFFICER 40.00 X 320975 0 20184 ADAM SHORE CHIEF FINANCIAL OFFICER 40.00 X 225473 0 20094 KARL SEGNITZ CHIEF MEDICAL OFFICER 40.00 X 281367 0 19342 LAYLA POWELL CHIEF CLINICAL OFFICER 40.00 X 218166 0 5335 KAREN TANASESCU SENIOR DIRECTOR OF OPERATI 40.00 X 189437 0 20477 DIANE SYRCLE CHIEF MISSION OFFICER 40.00 X 196378 0 19251 SARAH PAEZ DIRECTOR OF NURSING 40.00 X 184002 0 15528 1615798 0 120211 47 0 1 0 BONNY MASTERS 634 SAN JUAN AVENUE SANTA CRUZ CA 95065 PHYSICIAN 194972 1 1847138 1772787 3619925 HOSPICE SERVICES 621610 22292152 22292152 22292152 434040 434040 26346117 22292152 0 434040 X 621240 621240 12780792 8329817 4093888 357087 1565179 1020798 505684 38697 1301705 844942 425256 31507 267068 267068 121267 121267 42067 42067 2507880 2026837 476086 4957 119823 80 114560 5183 196766 646 159207 36913 258852 7793 251059 314843 276550 33617 4676 104394 33273 27060 44061 24432 9733 14699 186137 186137 179115 179115 PATIENT RELATED 2110237 2110237 ROOM & BOARD 1366621 1366621 BAD DEBT 695434 695434 COMPUTER SUPPORT 635452 602924 32528 482679 52628 423004 7047 25881983 16765656 8538972 577355 1225390 199799 54881 1888555 2075865 1885014 328310 412779 5228303 3372919 2041520 1855384 3716082 4068431 543355 505560 9985403 10815522 1586102 1501577 131569 97415 377588 467836 2095259 2066828 X 7164419 7937499 725725 811195 7890144 8748694 9985403 10815522 464134 394416 0 X 0 1 X 1 0 X 2825299 1268698 3985146 2066794 3619925 13765862 2825299 1268698 3985146 2066794 3619925 13765862 428330 13337532 45248 6576 14691 11523 434040 512078 8771 60582 69353 14347293 99322121 0.92960 0.93570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 669155 70876 10406 729625 619327 59333 9505 669155 698070 -69932 8811 619327 635181 62889 698070 511407 133480 9706 635181 0.40100 0.59900 0.00000 0 0 565980 565980 2658158 1518330 1139828 541874 432075 109799 370583 370501 82 1091708 1052013 39695 1855384 ENDOWED AGENCY FUND HELD AT COMMUNITY FOUNDATION OF SCC 729625 F NON ENDOWED AGENCY FUND HELD AT COMMUNITY FOUNDATION OF SCC 3338806 F 4068431 SELF-INSURANCE LIABILITY 227181 OPERATING LEASE LIABILITIES 48346 DEFERRED COMPENSATION LIABILITY 192309 467836 X 26740533 394416 394416 26346117 0 26346117 25881983 0 25881983 0 25881983 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS CONSIST OF FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES TO SUPPORT THE ORGANIZATION'S PROGRAMS. THE ORGANIZATION HAS A POLICY OF CLASSIFYING INVESTMENT INCOME ON THE ENDOWMENT FUNDS AS TEMPORARILY RESTRICTED UNTIL SUCH TIME AS SPECIFICALLY BUDGETED FOR SPENDING AND APPROVED BY THE BOARD. PART X, LINE 2: MANAGEMENT HAS EVALUATED HOSPICE'S TAX POSITIONS AND CONCLUDED THAT THE HOSPICE HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. HOSPICE IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR TAX YEARS ENDING JUNE 30, 2021 AND PRIOR. X X X X X X 0 0 0 0 0 0 0 0 0 CATHY CONWAY CHIEF EXECUTIVE OFFICER 320975 0 0 0 0 0 4575 0 15609 0 341159 0 0 0 KARL SEGNITZ CHIEF MEDICAL OFFICER 281367 0 0 0 0 0 4048 0 15294 0 300709 0 0 0 ADAM SHORE CHIEF FINANCIAL OFFICER 225473 0 0 0 0 0 4800 0 15294 0 245567 0 0 0 LAYLA POWELL CHIEF CLINICAL OFFICER 218166 0 0 0 0 0 4575 0 760 0 223501 0 0 0 DIANE SYRCLE CHIEF MISSION OFFICER 196378 0 0 0 0 0 4560 0 14691 0 215629 0 0 0 KAREN TANASESCU SENIOR DIRECTOR OF OPERATI 189437 0 0 0 0 0 5399 0 15078 0 209914 0 0 0 SARAH PAEZ DIRECTOR OF NURSING 184002 0 0 0 0 0 837 0 14691 0 199530 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 AS OF DECEMBER 2024, THE ARTICLES OF INCORPORATION AND BYLAWS WERE AMENDED. FORM 990, PART VI, SECTION A, LINE 6 UNTIL DECEMBER 2024, THE SOLE MEMBER IS CALIFORNIA HOSPICE NETWORK, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A UNTIL DECEMBER 2024, THE ORGANIZATION'S SOLE MEMBER IS CALIFORNIA HOSPICE NETWORK. THE ORGANIZATION ELECTS DIRECTORS, WHO ARE APPROVED BY THE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B UNTIL DECEMBER 2024, THE ORGANIZATION'S BYLAWS INCLUDE CERTAIN POWERS RESERVED BY MEMBER, WHICH INCLUDE APPOINTMENT OF THE ORGANIZATION'S DIRECTORS AND CEO, APPROVAL OF THE ANNUAL OPERATING BUDGET, AND ANY ACTION TO MERGE, DISSOLVE OR SELL SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND CEO REVIEW THE FORM 990 WHEN COMPLETED BY THE CPA FIRM. A COPY OF THE FORM 990 IS FURNISHED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE 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 CEO AND CFO POSITIONS IN THE HEALTHCARE AND HOSPICE FIELD IS COMPILED AND REVIEWED BY THE HR DIRECTOR. A REPORT CONSIDERING MARKET AND GEOGRAPHIC FACTORS WAS PRESENTED TO THE ORGANIZATION'S COMPENSATION COMMITTEE, WHICH REVIEWS AND RECOMMENDS ANY SALARY ADJUSTMENT TO THE FULL BOARD OF DIRECTORS. THE BOARD OF DIRECTORS REVIEW AND VOTE ON PROPOSED SALARY CHANGES. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, POLICIES, AND ANNUAL FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ANNUAL FINANCIAL RESULTS ARE PUBLISHED IN THE ORGANIZATION'S ANNUAL REPORT. FORM 990, PART IX, LINE 24E DUES, LICENSES & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 4,606. MANAGEMENT AND GENERAL EXPENSES 180,927. FUNDRAISING EXPENSES 4,301. TOTAL EXPENSES 189,834. TELEPHONE: PROGRAM SERVICE EXPENSES 43,493. MANAGEMENT AND GENERAL EXPENSES 125,684. FUNDRAISING EXPENSES 1,028. TOTAL EXPENSES 170,205. EQUPMENT LEASE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 74,330. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,330. EMPLOYEE TRAINING & EDUCATION: PROGRAM SERVICE EXPENSES 4,529. MANAGEMENT AND GENERAL EXPENSES 24,117. FUNDRAISING EXPENSES 1,718. TOTAL EXPENSES 30,364. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 17,946. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,946. CALIFORNIA HOSPICE NETWORK 940 DISC DRIVE SCOTTS VALLEY CA 95066 834716484 TO PROVIDE HOSPICE SUPPORT, ADMIN, PROGRAMMATIC AND OTHER SUPPORT CA 501(C)(3) 509(A)(3) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0