2019-05-09T21:07:58-05:00 2018-06-30 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2017-07-01 942823240 PATHWAYS HOME HEALTH AND HOSPICE PATH 4087305100 585 N MARY AVENUE SUNNYVALE CA 94085 BARBARA BURGESS CEO 4087305100 2019-05-02 1 TRACY S PAGLIA P00366884 2099556100 2019-05-02 12.129.7.100 2019-05-02 19:39:48 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BE861C6778D90A5D3E7861ABDDE45BE6309F51A4 2017 2019-02-21 02:37:17Z BARBARA BURGESS 585 N MARY AVENUE SUNNYVALE CA 94085 50528719 0 X HTTP://WWW.PATHWAYSHEALTH.ORG X 1986 CA PROVIDES HIGH-QUALITY PATIENT AND FAMILY-CENTERED CARE IN THE HOME WITH KINDNESS AND DIGNITY. 9 9 429 450 0 0 1859575 5293599 41595302 38551738 760059 917723 170357 33780 44385293 44796840 25255 30000 0 0 31169582 28875897 0 0 380968 13674107 14403424 44868944 43309321 -483651 1487519 62215477 67475042 10953177 13247342 51262300 54227700 X PATHWAYS PROVIDES HIGH-QUALITY PATIENT AND FAMILY-CENTERED CARE IN THE HOME, WITH KINDNESS AND RESPECT, PROMOTING COMFORT, INDEPENDENCE AND DIGNITY. 0 0 33814064 30000 38551738 SEE SCHEDULE O PATHWAYS HOME HEALTH & HOSPICE IS A NOT-FOR-PROFIT COMMUNITY-BASED ORGANIZATION THAT PROVIDES HOME HEALTH AND HOSPICE SERVICES. FOUNDED IN 1977, PATHWAYS SERVES FAMILIES IN FIVE BAY AREA COUNTIES. WE CARE FOR PATIENTS IN THEIR PLACE OF RESIDENCE - IN HOSPICE THAT MAY ALSO BE A HOSPITAL OR NURSING HOME. PATHWAYS IS MEDICARE CERTIFIED, LICENSED BY THE STATE OF CALIFORNIA AND ACCREDITED BY THE JOINT COMMISSION. THE ORGANIZATIONAL FOCUS OF HOME HEALTH IS TO PROVIDE EXCELLENT CARE TO HOMEBOUND PATIENTS, AND IN HOSPICE TO SUPPORT AND CARE FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. HOSPICE SERVICES ARE INTERDISCIPLINARY AND INCLUDE NURSES, SOCIAL WORKERS, PERSONAL CARE AIDES, PHYSICIANS, CHAPLAINS, VOLUNTEERS. PATHWAYS HOME HEALTH PROVIDES SUPPORT TO HOMEBOUND PATIENTS INCLUDING THOSE RECOVERING FROM SURGERY, ILLNESS OR INJURY THROUGH THE SUPPORT OF NURSES; PHYSICAL, OCCUPATIONAL, RESPIRATORY AND SPEECH THERAPISTS; SOCIAL WORKERS; DIETITIANS; AND PERSONAL CARE AIDES. PATHWAYS HAS SPECIALTY PROGRAMS THAT INCLUDE: PALLIATIVE CARE, HEART FAILURE, TELE-MONITORING, INFUSION THERAPY, CHRONIC OBSTRUCTIVE PULMONARY DISEASE MANAGEMENT, AND WOUND MANAGEMENT AMONG OTHERS. PATHWAYS HOSPICE IS HOLISTIC CARE THAT PROVIDES SYMPTOM MANAGEMENT, AS WELL AS SPIRITUAL AND EMOTIONAL SUPPORT FROM NURSES, PHYSICIANS, SOCIAL WORKERS, VOLUNTEERS, CHAPLAINS, AND PERSONAL CARE AIDES TO PEOPLE WITH SIX MONTHS OR LESS TO LIVE. PATHWAYS HOSPICE CARE ALSO PROVIDES ROUND-THE-CLOCK NURSING AND MEDICAL SUPPORT. WE PROVIDE EXTENSIVE BEREAVEMENT SUPPORT TO FAMILY AND FRIENDS OF PATIENTS. 33814064 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 1 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 135 0 1 429 1 0 0 0 0 0 1 1 1 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X SATU JOHAL 4087305100 585 N MARY AVE SUNNYVALE CA 94085 GREG WALTON PRESIDENT 1.00 X X 0 0 0 DIANA RUSSELL VICE-PRESIDENT 1.00 X X 0 0 0 KIM OSBORNE TREAURER 1.00 X X 0 0 0 NAN STRAUSS DIRECTOR 1.00 X 0 0 0 TOM HARSHMAN DIRECTOR 1.00 X 0 0 0 STEVE LAI DIRECTOR 1.00 X 0 0 0 SANGEETA KOPERDEKAR DIRECTOR (THRU 4/2018) 1.00 X 0 0 0 SHERIE AMBROSE DIRECTOR (THRU 4/2018) 1.00 X 0 0 0 RJ SALUS DIRECTOR (THRU 1/2018) 1.00 X 0 0 0 CHERYL REINKING DIRECTOR 1.00 X 0 0 0 ANITA CHANDRASENA DIRECTOR 1.00 X 0 0 0 DEB MURO DIRECTOR 1.00 X 0 0 0 BARBARA BURGESS CHIEF EXECUTIVE OFFICER 38.00 2.00 X 455980 0 24047 SATWANT JOHAL CHIEF FINANCIAL OFFICER 40.00 X 358909 0 22587 SCOTT ROBINSON CHIEF OPERATING OFFICER 40.00 X 306005 0 19571 GEORGIA ROCK CHIEF STRATEGY OFFICER 40.00 X 296095 0 24759 SANDRA COOLIDGE VP PHILANTHROPY 40.00 X 208735 0 24160 EMMA BARON VP QUALITY 40.00 X 200360 0 12283 PHUONG NHAN CONTROLLER 40.00 X 193293 0 12666 AMY BALDING AFTER HOURS SUPERVISOR 40.00 X 185057 0 21253 MIKE NISCO CHIEF MEDICAL DIRECTOR 40.00 X 264154 0 11275 2468588 0 172601 61 0 1 0 EL CAMINO HOSPITAL MS 2500 GRANT ROAD MOUNTAIN VIEW CA 94040 IT OUTSOURCE CONTRACTORS 2181695 CORE MEDICAL GROUP 3000 GOFFS FALLS ROAD SUITE 101 MANCHESTER NH 03103 FIELD STAFF CONTRACTORS 690658 SUPPLEMENTAL HEALTH CARE PO BOX 677896 DALLAS TX 752677896 FIELD STAFF CONTRACTORS 334491 CLARK AND COMPANY 8885 HAVEN AVE SUITE 120 RANCHO CUCUMONGA CA 91730 STAFF RECRUITING 208473 MEDESIS INC 2121 N 117TH AVE SUITE 200 OMAHA NE 68164 FIELD STAFF CONTRACTORS 180994 11 507316 3628300 1157983 5293599 PATIENT SERVICE 621610 38468546 38468546 RENT-RELATED EXEMPT ORG 532000 83192 83192 38551738 977078 977078 5583653 5643008 -59355 -59355 -59355 59430 507316 88871 -29441 -29441 OTHER REVENUE 900099 63221 63221 63221 44796840 38551738 0 951503 X 22500 22500 7500 7500 1683681 1683681 22375590 18305861 3905778 163951 210674 174556 36118 2897242 2318853 553170 25219 1708710 1354589 343816 10305 116703 96695 20008 168551 119001 28897 20653 4502 3730 772 48431 48431 6814779 6405210 358948 50621 73466 67695 82 5689 1311646 1281522 5426 24698 2270477 544429 1720862 5186 432261 405211 27050 578076 527044 50095 937 120255 42766 32825 44664 50809 50809 1034159 878853 154544 762 723597 643413 78951 1233 MEDICAL SUPPLIES 581100 581100 SALES TAX 47765 8189 39576 STAFF EDUCATION & INSER 26485 24985 1500 362 362 43309321 33814064 9114289 380968 4653398 923361 8609776 11939760 4142 11380 5678252 5953489 781520 703837 16758496 10299080 6950573 6459416 33663183 39511209 1874633 1972590 62215477 67475042 4802396 6384908 521681 570153 4705000 4530000 924100 1762281 10953177 13247342 X 50032500 52900500 426800 524200 803000 803000 51262300 54227700 62215477 67475042 1487519 1477881 0 X 0 1 X 1 0 X 2171440 1829784 1667725 1859575 5293599 12822123 52962204 48787750 46972759 41595302 38551738 228869753 55133644 50617534 48640484 43454877 43845337 241691876 311700 301800 314805 345900 3943050 5217255 0 311700 301800 314805 345900 3943050 5217255 236474621 611737 676400 658883 789122 977078 3713220 611737 676400 658883 789122 977078 3713220 8171 200700 76394 204292 63221 552778 55753552 51494634 49375761 44448291 44885636 245957874 0.96140 0.98430 0.01510 0.01340 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE 0 0 0 0 0 0 0 0 1 2251 2251 0 PART II-B, LINE 1: $2,251 REPRESENTS PERCENTAGE FROM PROFESSIONAL DUES PAID TO OTHER ORGANIZATIONS FOR LOBBYING ACTIVITIES THEY PERFORM ON BEHALF OF THEIR MEMBERS. 1205839 110370 17244 1298965 883889 199783 134964 12797 1205839 926759 -29039 13831 883889 913662 31122 18025 926759 790976 136814 14128 913662 0.00000 1.00000 0.00000 0 0 1524100 1524100 1750900 778177 972723 2261916 1086089 1175827 10839363 8061264 2778099 382217 373550 8667 6459416 MEDICARE REIMB RECON 1223612 457B PLAN 492205 DEFERRED RENT 46464 1762281 X 46280400 1477881 88871 1566752 44713648 83192 83192 44796840 43315000 88871 88871 43226129 83192 83192 43309321 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUND ARE TO BE REINVESTED AND USED FOR OPERATIONAL SUPPORT. PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2018 AND 2017, THE ORGANIZATION HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFIED SPECIAL EVENT EXPENSES TO REVENUE 88,871. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFIED RENTAL INCOME FROM EXPENSES 83,192. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFIED SPECIAL EVENT EXPENSES TO REVENUE 88,871. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFIED RENTAL INCOME FROM EXPENSES 83,192. 0 0 0 0 0 0 0 0 0 0 SUB-SAHARAN AFRICA WHERE IT IS NEEDED MOST AT PRETORIA SUNGARDENS HOSPICE 7500 CHECK DISBURSEMENT FMV 1 0 0 0 0 0 0 0 ANNUAL BREAKFAST 479771 452521 27250 53558 GOLF EVENT 86975 54795 32180 35313 566746 507316 59430 88871 88871 -29441 1 EL CAMINO HOSPITAL FOUNDATION 2500 GRANT ROAD MOUNTAIN VIEW CA 94040 942823235 501(C)(3) 5000 HOSPICE FOUNDATION GENERAL SUPPORT SEQUOIA HOSPITAL FOUNDATION 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 94062 942909990 501(C)(3) 12000 HOSPICE FOUNDATION GENERAL SUPPORT BOARD OF TRUSTEES OF LELAND STANFORD JUNIOR UNIVERSITY 91 LINKS ROAD STANFORD CA 94305 941156365 501(C)(3) 5000 HOSPICE FOUNDATION GENERAL SUPPORT 3 0 PART I, LINE 2: THE FUNDS SENT TO EL CAMINO HOSPITAL FOUNDATION IN MOUNTAIN VIEW CALIFORNIA, STANFORD HOSPITAL IN STANFORD CALIFORNIA, AND SEQUOIA HOSPITAL IN REDWOOD CITY ARE TO SUPPORT THEIR FUNDRAISING INITIATIVES FOR THEIR COMMUNITY. THERE WERE NO PROCEDURES TO MONITOR THE USE OF THE FUNDS. X X X X 0 0 0 0 0 0 0 1 0 BARBARA BURGESS CHIEF EXECUTIVE OFFICER 423271 0 0 0 32709 0 3975 0 20072 0 480027 0 0 0 SATWANT JOHAL CHIEF FINANCIAL OFFICER 332799 0 0 0 26110 0 3975 0 18612 0 381496 0 0 0 SCOTT ROBINSON CHIEF OPERATING OFFICER 286005 0 20000 0 0 0 0 0 19571 0 325576 0 0 0 GEORGIA ROCK CHIEF STRATEGY OFFICER 273209 0 0 0 22886 0 3975 0 20784 0 320854 0 0 0 SANDRA COOLIDGE VP PHILANTHROPY 204473 0 0 0 4262 0 2987 0 21173 0 232895 0 0 0 EMMA BARON VP QUALITY 165005 0 0 0 35355 0 2000 0 10283 0 212643 0 0 0 PHUONG NHAN CONTROLLER 177600 0 0 0 15693 0 2860 0 9806 0 205959 0 0 0 AMY BALDING AFTER HOURS SUPERVISOR 172037 0 0 0 13020 0 2487 0 18766 0 206310 0 0 0 MIKE NISCO CHIEF MEDICAL DIRECTOR 227217 0 20000 0 16937 0 0 0 11275 0 275429 0 0 0 PART I, LINE 7 BONUSES ARE BASED ON SATISFACTION OF EXECUTIVE GOAL AS APPROVED THE BOARD OF DIRECTORS. A ABAG FINANCE AUTHORITY FOR NONPROFIT ORGANIZATIONS 943130123 00037CGL8 2004-10-19 6070000 FINANCE COSTS OF THE ACQUISITION, RENOVATION AND EQUIPPING OF A FACILITY 0 0 0 A 1540000 6090757 55034 6035723 2005 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 SCHEDULE K, PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR RELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. SCHEDULE K, PART IV, LINE 2(C): THE REBATE COMPUTATION WAS PERFORMED AS OF JUNE 1, 2006. NO REBATE CALCULATION WAS PERFORMED AS OF JUNE 1, 2016 AS ALL BOND PROCEEDS WERE EXPENDED PRIOR TO THE JUNE 1, 2006 CALCULATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO MEMBERS; EL CAMINO HOSPITAL AND DIGNITY HEALTH, DBA SEQUOIA HOSPITAL; BOTH ARE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATIONS AND EXEMPT UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION A, LINE 7A EACH OF THE MEMBER HOSPITALS HAS THE RIGHT TO VOTE FOR ONE HALF OF THE CORPORATION'S DIRECTORS. AN ADDITIONAL MEMBER SHALL BE APPOINTED BY A MAJORITY VOTE OF THE CORPORATIONS ELECTED AND SERVING DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HOSPITALS HAVE RESERVED POWERS, INCLUDING THE POWER TO APPROVE CHANGES IN THE ORGANIZATIONAL DOCUMENTS AND PURPOSES, THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL ASSETS, MERGER OR OTHER REORGANIZATION, EXTRAORDINARY EXPENDITURES, AND DEBT INCURRENCE. FORM 990, PART VI, SECTION B, LINE 11B OUR PROCESS IS, UPON COMPLETION OF THE DRAFT COPY, THE 990 IS REVIEWED IN DETAIL BY A COMMITTEE OF THE BOARD ALONG WITH THE ORGANIZATION'S CEO, CFO, AND TAX AUDIT FIRM. THE DRAFT COPY IS PROVIDED TO THE COMMITTEE IN PAPER FORM. THE 990 IS REVIEWED PRIOR TO FILING. THE 990 IS MADE AVAILABLE TO BOARD MEMBERS FOR FINAL REVIEW. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTERST POLICY APPLIES TO BOARD MEMBERS AND EXECUTIVE STAFF. THE POLICY IS REVIEWED ANNUALLY. IN THE CASE OF A POTENTIAL OR ACTUAL CONFLICT, THE MEMBER WOULD RECUSE HIMSELF/HERSELF FROM MANAGEMENT DECISIONS RELATED TO THAT CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND REVIEW OF CFO COMPENSATION IS THAT A COMPENSATION COMMITTEE INCLUDING THE VP OF HUMAN RESOURCES, AN INDEPENDENT SOURCE AND MEMBERS OF OUR BOARD DISCUSS INDUSTRY STANDARDS AND COMPARE DATA TO INDUSTRY SURVEYS. THE COO'S COMPENSATION IS DETERMINED AND REVIEWED BY THE CEO AND THE VP OF HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS AND WRITTEN CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST; THE PUBLIC CAN COME IN AND REVIEW A COPY OF THE DOCUMENTS; HOWEVER IN SOME CASES WE WILL PROVIDE A BOUND COPY OR EMAIL THEM A PDF COPY. UPON REQUEST, AND IN PERSON, THE PUBLIC CAN COME IN AND REVIEW A COPY OF THE ORGANIZATION'S 990 AND GOVERNING DOCUMENTS. FORM 990, PART IX, LINE 11G OTHER DIRECTOR FEES FOR SERVICE (NON EMPLOYEES): PROGRAM SERVICE EXPENSES 6,405,210. MANAGEMENT AND GENERAL EXPENSES 358,948. FUNDRAISING EXPENSES 50,621. TOTAL EXPENSES 6,814,779. PATHWAYS CONTINUOUS CARE 585 N MARY AVENUE SUNNYVALE CA 94085 942823239 CONTINUOUS CARE TO PATIENTS CA 501(C)(3) LINE 10 N/A 0 0 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 1