TY 2019 Form 990 Schedule O

efile Public Visual Render ObjectId: 202043219349317844 - Submission: 2020-11-16 TIN: 04-3720198

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

SOUTHERN CALIFORNIA HOSPICE FOUNDAT
ATTN MICHELLE WULFESTIEG

Employer identification number

04-3720198

Return Reference	Explanation
FORM 990, PAGE 2, PART III, LINE 4D	WE HONOR VETS: THE WE HONOR VETS PROGRAM IS DESIGNED TO MEET THE UNIQUE NEEDS OF TERMINALLY ILL VETERANS AND THEIR FAMILIES BY TRAINING HOSPICE STAFF ON THE CHALLENGES THAT VETERANS MAY FACE AT THE END-OF-LIFE. THINGS LIKE STOICISM, FEAR OF ADMITTING PAIN AS A SIGN OF WEAKNESS, AND THE EFFECTS OF POST-TRAUMATIC STRESS DISORDER. IT IS ALSO DESIGNED TO HONOR OUR VETERANS WHO SO BRAVELY FOUGHT TO DEFEND OUR COUNTRY.
FORM 990, PART VI	SECTION A, LINE 2: SOUTHERN CALIFORNIA HOSPICE FOUNDATION'S DIRECTORS HAVE THE FOLLOWING RELATIONSHIPS: DIRECTORS 1 AND 4 HOLD OWNERSHIP INTERESTS IN SEVERAL FOR-PROFIT BUSINESS ENTITIES. DIRECTORS 1 AND 6 HOLD OWNERSHIP INTERESTS IN SEVERAL FOR-PROFIT BUSINESS ENTITIES. DIRECTORS 2 AND 3 PROVIDE SERVICES TO FOR-PROFIT ENTITIES IN WHICH DIRECTORS 1, 4, AND 6 HOLD OWNERSHIP INTERESTS. DIRECTOR 7 IS AN EMPLOYEE OF A FOR-PROFIT BUSINESS ENTITY IN WHICH DIRECTORS 1 HOLDS OWNERSHIP INTERESTS.
FORM 990, PAGE 6, PART VI, LINE 2	SEE NOTE ABOVE
FORM 990, PAGE 6, PART VI, LINE 11B	SOUTHERN CALIFORNIA HOSPICE FOUNDATION'S VOLUNTEER GENERAL FUND COORDINATOR REVIEWS ALL OF THE INFORMATION REPORTED ON THE FORM 990 WITH THE BOARD OF DIRECTORS AND COMPARES THE INFORMATION TO THE RECORDS OF THE ORGANZATION TO ENSURE COMPLETE AND ACCURATE REPORTING.
FORM 990, PAGE 6, PART VI, LINE 12C	ANNUALLY, ALL BOARD MEMBERS AND STAFF REVIEW AND APPROVE THE CONFLICT OF INTEREST DISCLOSURE STATEMENT.
FORM 990, PAGE 6, PART VI, LINE 15A	LINE 15A, 15B, 16A, 16B: THESE POLICIES ARE NOT APPLICABLE, THEREFORE THE ORGANIZATION HAS NOT DEVELOPED THE POLICIES.
FORM 990, PAGE 6, PART VI, LINE 19	THE "CONTACT US" SECTION ON OUR WEBSITE HAS THE FOLLOWING LANGUAGE: "YOU MAY REQUEST A COPY OF OUR 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 1023 APPLICATION FOR RECOGNITION OF EXEMPTION BY EMAILING INFO@SOCALHOSPICEFOUNDATION.ORG"
FORM 990, PART IX, LINE 11G	OUTSIDE SERVICES 3,560 300 0 CONTRACT LABOR 75,267 5,161 6,986 TOTAL 78,827 5,461 6,986
FORM 990, PART IX, LINE 24E	DUES AND SUBSCRIPTIONS 4,041 4,236 300 CREDIT CARD PROCESSING 99 6,635 0 OTHER EXPENSES 2,472 757 1,590 EDUCATION AND SEMINARS 3,728 49 939 UTILITIES 4,187 0 0 SOFTWARE FEES 0 395 2,925 DONATIONS 1,100 1 0 TOTAL 15,627 12,073 5,754

Return Reference

Explanation

FORM 990, PAGE 2, PART III, LINE 4D

WE HONOR VETS: THE WE HONOR VETS PROGRAM IS DESIGNED TO MEET THE UNIQUE NEEDS OF TERMINALLY ILL VETERANS AND THEIR FAMILIES BY TRAINING HOSPICE STAFF ON THE CHALLENGES THAT VETERANS MAY FACE AT THE END-OF-LIFE. THINGS LIKE STOICISM, FEAR OF ADMITTING PAIN AS A SIGN OF WEAKNESS, AND THE EFFECTS OF POST-TRAUMATIC STRESS DISORDER. IT IS ALSO DESIGNED TO HONOR OUR VETERANS WHO SO BRAVELY FOUGHT TO DEFEND OUR COUNTRY.

FORM 990, PART VI

SECTION A, LINE 2: SOUTHERN CALIFORNIA HOSPICE FOUNDATION'S DIRECTORS HAVE THE FOLLOWING RELATIONSHIPS: DIRECTORS 1 AND 4 HOLD OWNERSHIP INTERESTS IN SEVERAL FOR-PROFIT BUSINESS ENTITIES. DIRECTORS 1 AND 6 HOLD OWNERSHIP INTERESTS IN SEVERAL FOR-PROFIT BUSINESS ENTITIES. DIRECTORS 2 AND 3 PROVIDE SERVICES TO FOR-PROFIT ENTITIES IN WHICH DIRECTORS 1, 4, AND 6 HOLD OWNERSHIP INTERESTS. DIRECTOR 7 IS AN EMPLOYEE OF A FOR-PROFIT BUSINESS ENTITY IN WHICH DIRECTORS 1 HOLDS OWNERSHIP INTERESTS.

FORM 990, PAGE 6, PART VI, LINE 2

SEE NOTE ABOVE

FORM 990, PAGE 6, PART VI, LINE 11B

SOUTHERN CALIFORNIA HOSPICE FOUNDATION'S VOLUNTEER GENERAL FUND COORDINATOR REVIEWS ALL OF THE INFORMATION REPORTED ON THE FORM 990 WITH THE BOARD OF DIRECTORS AND COMPARES THE INFORMATION TO THE RECORDS OF THE ORGANZATION TO ENSURE COMPLETE AND ACCURATE REPORTING.

FORM 990, PAGE 6, PART VI, LINE 12C

ANNUALLY, ALL BOARD MEMBERS AND STAFF REVIEW AND APPROVE THE CONFLICT OF INTEREST DISCLOSURE STATEMENT.

FORM 990, PAGE 6, PART VI, LINE 15A

LINE 15A, 15B, 16A, 16B: THESE POLICIES ARE NOT APPLICABLE, THEREFORE THE ORGANIZATION HAS NOT DEVELOPED THE POLICIES.

FORM 990, PAGE 6, PART VI, LINE 19

THE "CONTACT US" SECTION ON OUR WEBSITE HAS THE FOLLOWING LANGUAGE: "YOU MAY REQUEST A COPY OF OUR 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 1023 APPLICATION FOR RECOGNITION OF EXEMPTION BY EMAILING INFO@SOCALHOSPICEFOUNDATION.ORG"

FORM 990, PART IX, LINE 11G

OUTSIDE SERVICES 3,560 300 0 CONTRACT LABOR 75,267 5,161 6,986 TOTAL 78,827 5,461 6,986

FORM 990, PART IX, LINE 24E

DUES AND SUBSCRIPTIONS 4,041 4,236 300 CREDIT CARD PROCESSING 99 6,635 0 OTHER EXPENSES 2,472 757 1,590 EDUCATION AND SEMINARS 3,728 49 939 UTILITIES 4,187 0 0 SOFTWARE FEES 0 395 2,925 DONATIONS 1,100 1 0 TOTAL 15,627 12,073 5,754

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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