2025-05-15T11:57:28-05:00 2024-06-30 941239084 ATHERTON & ASSOCIATES LLP PO BOX 4339 MODESTO CA 953524339 990 2023-07-01 942497618 HOSPICE OF SANTA CRUZ COUNTY HOSP 8314303000 940 DISC DRIVE SCOTTS VALLEY CA 95066 ADAM SHORE CFO 8314303000 2025-05-14 1 1 JACQUELYN HOWELL P01327223 2095774800 X 2023 2025-03-06 01:10:19Z ADAM SHORE 940 DISC DRIVE SCOTTS VALLEY CA 95066 23538252 0 X HOSPICESANTACRUZ.ORG X 1978 CA HOSPICE SERVICE, PALLIATIVE CARE SERVICES, AND GRIEF SUPPORT FOR PATIENTS AND THEIR FAMILIES. 13 13 171 135 0 0 3985146 2066794 19623892 21422689 14691 11523 29375 0 23653104 23501006 0 0 0 0 14235605 14865081 0 0 516177 8898290 9505492 23133895 24370573 519209 -869567 10514492 9985403 2085780 2095259 8428712 7890144 HOSPICE SERVICE, PALLIATIVE CARE SERVICES, AND GRIEF SUPPORT FOR PATIENTS AND THEIR FAMILIES. 0 0 15335992 0 21422689 966 PATIENTS AND FAMILIES RECEIVED 69,242 DAYS OF EXPERT END-OF-LIFE CARE FROM HOSPICE TEAMS OF MEDICAL DIRECTORS, NURSES, SOCIAL WORKERS, CHAPLAINS, HOSPICE AIDES, AND VOLUNTEERS. ADDITIONALLY, 747 INDIVIDUAL GRIEF SUPPORT SESSIONS AND 196 GROUP GRIEF SUPPORT SESSIONS WERE PROVIDED TO HOSPICE FAMILIES AND GRIEVING COMMUNITY MEMBERS OF ALL AGES. 15335992 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 55 0 171 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 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 KATHERINE GABRIEL-COX MD PRESIDENT 5.00 X X 0 0 0 CARA DESIMONE SECRETARY 1.00 X X 0 0 0 RICHARD CLARK 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 SIGOLENE A ORTEGA 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 CHRIS MAFFIA VICE PRESIDENT 2.00 X X 0 0 0 OWEN BROWN 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 CATHY CONWAY CHIEF EXECUTIVE OFFICER 40.00 X 307659 0 19947 ADAM SHORE CHIEF FINANCIAL OFFICER 40.00 X 223657 0 15294 KARL SEGNITZ CHIEF MEDICAL OFFICER 40.00 X 342776 0 15294 LAYLA POWELL CHIEF CLINICAL OFFICER 40.00 X 202175 0 688 KAREN TANASESCU SENIOR DIRECTOR OF OPERATIONS 40.00 X 166453 0 15078 DIANE SYRCLE CHIEF MISSION OFFICER 40.00 X 186315 0 14691 SARAH PAEZ DIRECTOR OF NURSING 40.00 X 164992 0 14691 1594027 0 95683 41 0 1 0 BONNY MASTERS 634 SAN JUAN AVENUE SANTA CRUZ CA 95065 PHYSICIAN 198878 1 69937 1996857 13300 2066794 HOSPICE SERVICES 621610 21422689 21422689 21422689 11523 11523 37246 69937 37246 0 23501006 21422689 0 11523 X 600549 600549 11823254 7561302 3950302 311650 1276189 799463 435378 41348 1165089 774453 367696 22940 34637 34637 113823 113823 40301 40301 2957946 2393378 554885 9683 206349 443 183855 22051 202656 1179 171119 30358 243004 7348 235656 296336 241957 46890 7489 75238 33730 14712 26796 59739 46589 13150 218022 218022 201806 201806 PATIENT RELATED 1855682 1855682 ROOM & BOARD 1246042 1246042 COMPUTER SUPPORT 804414 3578 775530 25306 BAD DEBT EXPENSE & SEQU 351106 351106 598391 66331 526654 5406 24370573 15335992 8518404 516177 609430 1225390 914321 54881 2045018 2075865 292624 328310 5228302 3186782 2259543 2041520 3425384 3716082 968172 543355 10514492 9985403 1416725 1586102 163899 131569 505156 377588 2085780 2095259 X 7752815 7164419 675897 725725 8428712 7890144 10514492 9985403 -869567 330999 0 X 0 1 X 1 0 X 1106587 2825299 1268698 3985146 2066794 11252524 1106587 2825299 1268698 3985146 2066794 11252524 512186 10740338 52065 45248 6576 14691 11523 130103 26862 8771 60582 96215 11478842 97975156 0.93570 0.89990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 619327 59333 9505 669155 698070 -69932 8811 619327 635181 62889 698070 511407 133480 9706 635181 535980 -17237 7336 511407 0.34680 0.65320 0.00000 0 0 565980 565980 2658158 1424831 1233327 541874 395752 146122 370583 359541 11042 1091707 1006658 85049 2041520 ENDOWED AGENCY FUND HELD AT COMMUNITY FOUNDATION OF SCC 669155 F NON ENDOWED AGENCY FUND HELD AT COMMUNITY FOUNDATION OF SCC 3046927 F 3716082 DEPOSITS 22804 SELF-INSURANCE RESERVE 204994 OTHER RECEIVABLES 142963 OPERATING LEASE RIGHT-OF-USE ASSETS 8939 DEFERRED COMPENSATION ASSETS 163655 543355 SELF-INSURANCE LIABILITY 204994 OPERATING LEASE LIABILITIES 8939 DEFERRED COMPENSATION LIABILITY 163655 377588 X 23832005 330999 330999 23501006 0 23501006 24370573 0 24370573 0 24370573 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, 2020 AND PRIOR. FAIRWAYS FOR KIDS GOLF TOURNAMENT 107183 69937 37246 37246 107183 69937 37246 37246 37246 0 X X X X X X 0 0 0 0 0 0 0 0 0 KARL SEGNITZ CHIEF MEDICAL OFFICER 342776 0 0 0 0 0 0 0 15294 0 358070 0 0 0 CATHY CONWAY CHIEF EXECUTIVE OFFICER 307659 0 0 0 0 0 0 0 19947 0 327606 0 0 0 ADAM SHORE CHIEF FINANCIAL OFFICER 223657 0 0 0 0 0 0 0 15294 0 238951 0 0 0 LAYLA POWELL CHIEF CLINICAL OFFICER 202175 0 0 0 0 0 0 0 688 0 202863 0 0 0 DIANE SYRCLE CHIEF MISSION OFFICER 186315 0 0 0 0 0 0 0 14691 0 201006 0 0 0 KAREN TANASESCU SENIOR DIRECTOR OF OPERATIONS 166453 0 0 0 0 0 0 0 15078 0 181531 0 0 0 SARAH PAEZ DIRECTOR OF NURSING 164992 0 0 0 0 0 0 0 14691 0 179683 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS CALIFORNIA HOSPICE NETWORK, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A 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 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 FINANCE COMMITTEE AND 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 ANNUALLY 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 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,393,378. MANAGEMENT AND GENERAL EXPENSES 554,885. FUNDRAISING EXPENSES 9,683. TOTAL EXPENSES 2,957,946. CALIFORNIA HOSPICE NETWORK 66 BOVET RD SUITE 100 SAN MATEO CA 94402 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