2024-05-14T16:52:16-05:00 2023-06-30 461171913 S D MAYER & ASSOCIATES LLP 411 BOREL AVENUE SUITE 512 SAN MATEO CA 94402 990 2022-07-01 942567162 MISSION HOSPICE & HOME CARE INC MISS 6505541000 66 BOVET ROAD 100 SAN MATEO CA 94402 SKELLY WINGARD CEO 6505541000 2024-05-14 1 SKELLY WINGARD 999009999 0 MARIANNE KRISTOFFERSON P00024506 6505745000 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SKELLY WINGARD 66 BOVET ROAD 100 SAN MATEO CA 94402 18445825 0 X WWW.MISSIONHOSPICE.ORG X 1979 CA PROVIDE THE FINEST QUALITY AND COMPASSIONATE CARE TO THOSE TERMINALLY ILL AND TO THEIR FAMILIES. 15 15 138 15 0 0 4734063 3332591 15387792 14998072 10484 62894 60302 52268 20192641 18445825 0 0 0 0 12181570 12644233 0 0 852727 5570205 5999467 17751775 18643700 2440866 -197875 11669908 9155037 6342394 4076018 5327514 5079019 TO PROVIDE THE FINEST QUALITY OF COMPASSIONATE CARE TO THOSE WHO ARE TERMINALLY ILL OR FACING A LIFE-LIMITING ILLNESS AND TO THEIR FAMILIES. 0 0 14605911 0 14998072 HOSPICE PROVIDES COMPASSIONATE COMFORT CARE - MEDICAL CARE, PAIN MANAGEMENT, EMOTIONAL AND SPIRITUAL SUPPORT - TO PATIENTS AT THE END OF LIFE. THIS PROGRAM IS DESIGNED FOR PATIENTS WITH A TERMINAL ILLNESS OF SIX MONTHS OR LESS, WHO WISH TO MAINTAIN QUALITY OF LIFE. HOSPICE IS CHOSEN BY THE PATIENT WITH A DOCTOR'S CONSENT, AND IS COVERED BY MEDICARE, MEDI-CAL OR PRIVATE INSURANCE.APPROX. 2,457 PATIENTS BENEFITED FROM THE SERVICES IN FISCAL YEAR 2022. 2062241 0 0 TRANSITIONS PROVIDES EMOTIONAL SUPPORT AND NURSE CONSULTATION FOR PATIENTS WHO DO NOT MEDICALLY QUALIFY FOR EITHER ADVANCED CARE OR HOSPICE. THIS PROGRAM IS DESIGNED FOR PATIENTS WITH A LIFE-LIMITING ILLNESS OF ONE YEAR OR LESS, WHO MAY RECEIVE LIFE-PROLONGING TREATMENTS BUT DO NOT REQUIRE MEDICAL CARE IN THE HOME. TRANSITIONS IS OFFERED FREE OF CHARGE AND IS FUNDED BY DONATIONS AND GRANTS.APPROX. 100 PATIENTS BENEFITED FROM THE SERVICES IN FISCAL YEAR 2022. 16668152 1 1 0 0 0 0 0 0 0 1 1 0 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 0 0 0 0 1 29 0 1 138 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 1 0 0 CA X X LISA BURLESON 6505541000 66 BOVET ROAD 100 SAN MATEO CA 94402 CATHERINE JAMENTZ CHAIR 1.00 X X 0 0 0 STACY BLANCHARD VICE CHAIR 1.00 X X 0 0 0 JUDY DIPAOLO SECRETARY 1.00 X X 0 0 0 MAKUND ARCHARYA BOARD MEMBER 1.00 X 0 0 0 CHARLES BALQUIST BOARD MEMBER 1.00 X 0 0 0 SALLY BERGMAN BOARD MEMBER 1.00 X 0 0 0 LISA BURRIS BOARD MEMBER 1.00 X 0 0 0 JOHN DRAPER BOARD MEMBER 1.00 X 0 0 0 JEFF GERARD BOARD MEMBER 1.00 X 0 0 0 JAMES HINE BOARD MEMBER 1.00 X 0 0 0 MICHELLE PEZZANI BOARD MEMBER 1.00 X 0 0 0 ROBERT ROE BOARD MEMBER 1.00 X 0 0 0 DOLORES MILLER CHIEF EXECUTIVE OFFICER 40.00 X 357353 0 0 ALEXANDER IGNACIO CHIEF ADMINISTRATIVE OFFIC 40.00 X 208931 0 0 MARY E MATTHIESEN CHIEF STRATEGY & INTEGRATI 40.00 X 117008 0 0 WENDY GODDARD CHIEF COMPLIANCE OFFICER 40.00 X 189594 0 0 MARY L SANTANA CHIEF CLINICAL OFFICER 40.00 X 187623 0 0 ANTHONY LUPIAN CHIEF CARE INTEGRATION OFF 40.00 X 166903 0 0 MARSHA EDDLEMAN DEVELOPMENT DIRECTOR 40.00 X 171051 0 0 FRANCES FREYBERG-BLACKBURN COMMUNICATIONS DIRECTOR 40.00 X 157960 0 0 MICHAEL CHRISTMAN FINANCE DIRECTOR 40.00 X 132199 0 0 JENNIFER JACKSON AFTER HOURS NURSE 40.00 X 161003 0 0 MICHELE CRONIN NURSE PRACTITIONER LEAD 40.00 X 151404 0 0 2001029 0 0 11 0 1 0 GARY PASTERNAK 16460 FERRIS AVE LOS GATOS CA 95032 MEDICAL SERVICES 385310 NICHOLAS BUCKLEY 215 BROOKWOOD ROAD WOODSIDE CA 94062 MEDICAL SERVICES 363295 SHELLEY SALPETER 215 BROOKWOOD ROAD WOODSIDE CA 94062 MEDICAL SERVICES 262215 ADITI PATEL 564 HARBOR COLONY COURT REDWOOD CITY CA 94065 MEDICAL SERVICES 140875 4 2028545 1304046 3332591 PATIENT SERVICE REVENUE 624100 14998072 14998072 14998072 51375 51375 11519 0 11519 11519 11519 OTHER INCOME 624100 52268 52268 52268 18445825 14998072 0 115162 2001029 1744999 160218 95812 8531454 7680461 445501 405492 1075933 972411 60046 43476 1035817 949197 49158 37462 4988 4619 270 99 60433 55959 3271 1203 300 278 16 6 1855237 1717898 100404 36935 124117 81643 17619 24855 357038 290902 44429 21707 442980 342157 74521 26302 556699 431592 92471 32636 292147 194932 5005 92210 49981 36209 7994 5778 106045 95123 8073 2849 78798 63720 11145 3933 PATIENT CARE 1798016 1798016 DUES AND LICENSES 214133 161240 33989 18904 EQUIPMENT LEASE 40559 31230 6895 2434 EMPLOYEE EDUCATION & TR 17996 15566 1796 634 18643700 16668152 1122821 852727 3357035 2689497 2228841 1009565 505000 505000 1939795 1790080 203129 95149 3205058 467021 2842049 2738037 209090 384969 327709 11669908 9155037 1905260 1508660 2437144 2432880 1999990 0 0 134478 6342394 4076018 X 5277929 5023968 49585 55051 5327514 5079019 11669908 9155037 -197875 98 -50718 0 X 0 1 X 1 0 X 1830926 2178845 1640571 4734063 3332591 13716996 24505656 16184264 16937537 15448094 14998072 88073623 26336582 18363109 18578108 20182157 18330663 101790619 27500 41107 68607 0 27500 41107 68607 101722012 109430 29195 40732 1482 51375 232214 109430 29195 40732 1482 51375 232214 261994 424879 52268 739141 26708006 18817183 18618840 20183639 18434306 102761974 0.98990 0.98610 0.00230 0.00250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 49585 49585 49585 49585 49585 49585 49585 355 355 49585 49585 307 307 49585 0 0 857500 857500 2034604 271247 1763357 214204 102239 111965 98750 93535 5215 2738037 DUE TO CHN 134478 134478 X 18445923 98 98 18445825 0 18445825 18643700 0 18643700 0 18643700 PART V, LINE 4: THE ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE A PERMANENT SOURCE OF FUNDING FOR THE CHARIBLE WORK OF THE ORGANIZATION. THE ENDOWMENT FUND IS DEDICATED TO THE SUPPORT OF THE ORGANIZATION INCLUDING WITHOUT LIMITATION ITS PROVISION OF CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. PART X, LINE 2: THE AGENCY HAS RECEIVED TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND SECTION 23701(D) OF THE STATE OF CALIFORNIA REVENUE AND TAXATION CODE. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES PROVIDE ACCOUNTING AND DISCLOSE GUIDANCE ABOUT POSITIONS TAKEN BY AN ORGANIZATION IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. MANAGEMENT HAS CONSIDERED ITS TAX POSITIONS AND BELIEVES THAT ALL OF THE POSITIONS TAKEN IN ITS FEDERAL AND STATE EXEMPT ORGANIZATION TAX RETURNS ARE MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION. THE AGENCY'S RETURNS ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES, GENERALLY FOR THREE AND FOUR YEARS, RESPECTIVELY, AFTER THEY ARE FILED. X X 0 0 0 0 0 0 0 0 0 DOLORES MILLER CHIEF EXECUTIVE OFFICER 357353 0 0 0 0 0 0 0 0 0 357353 0 0 0 ALEXANDER IGNACIO CHIEF ADMINISTRATIVE OFFIC 208931 0 0 0 0 0 0 0 0 0 208931 0 0 0 WENDY GODDARD CHIEF COMPLIANCE OFFICER 189594 0 0 0 0 0 0 0 0 0 189594 0 0 0 MARY L SANTANA CHIEF CLINICAL OFFICER 187623 0 0 0 0 0 0 0 0 0 187623 0 0 0 MARSHA EDDLEMAN DEVELOPMENT DIRECTOR 171051 0 0 0 0 0 0 0 0 0 171051 0 0 0 ANTHONY LUPIAN CHIEF CARE INTEGRATION OFF 166903 0 0 0 0 0 0 0 0 0 166903 0 0 0 JENNIFER JACKSON AFTER HOURS NURSE 161003 0 0 0 0 0 0 0 0 0 161003 0 0 0 FRANCES FREYBERG-BLACKBURN COMMUNICATIONS DIRECTOR 157960 0 0 0 0 0 0 0 0 0 157960 0 0 0 MICHELE CRONIN NURSE PRACTITIONER LEAD 151404 0 0 0 0 0 0 0 0 0 151404 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE TAX REUTRN WAS REVIEWED BY THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD HAS A PERSONNEL COMMITTEE WHICH REVIEWS AND RECOMMENDS COMPENSATION OF THE CEO. ALL SALARY RECOMMENDATIONS FOR STAFF ARE APPROVED BY THE BOARD. THE CHAIR OF THE PERSONNEL COMMITTEE IS A HUMAN RESOURCES SPECIALIST WHO HAS ACCESS TO SALARY COMPARISON INFORMATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC UPON REQUEST.