2017-05-15T18:02:12-05:00 2016-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2015-07-01 942823240 PATHWAYS HOME HEALTH AND HOSPICE PATH 4087305100 585 N MARY AVENUE SUNNYVALE CA 94085 BARBARA BURGESS CEO 4087305100 2017-05-11 1 RENIE BURBANK P00159653 4159561500 2015 2021-01-29 14:40:06Z BARBARA BURGESS 585 N MARY AVENUE SUNNYVALE CA 94085 54603298 0 X HTTP://WWW.PATHWAYSHEALTH.ORG X 1986 CA PATHWAYS PROVIDES HIGH-QUALITY PATIENT AND FAMILY-CENTERED CARE IN THE HOME, WITH KINDNESS AND RESPECT, PROMOTING COMFORT, INDEPENDENCE AND DIGNITY. 11 11 490 500 0 0 1829784 1667725 48787750 46972759 623725 619521 164348 57633 51405607 49317638 47000 21000 0 0 32373981 33708831 0 0 381469 14675688 14662256 47096669 48392087 4308938 925551 61997929 59379041 13417466 10046231 48580463 49332810 X PATHWAYS PROVIDES HIGH-QUALITY PATIENT AND FAMILY-CENTERED CARE IN THE HOME, WITH KINDNESS AND RESPECT, PROMOTING COMFORT, INDEPENDENCE AND DIGNITY. 0 0 38123829 21000 46972759 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 AND PHARMACISTS. 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; PHARMACISTS; 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, PHARMACISTS, 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. 0 0 0 N/A 0 0 0 N/A 38123829 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 1 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 1 159 0 1 490 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 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 TREASURER 1.00 X X 0 0 0 ERIC PIFER DIRECTOR (THRU 3/2016) 1.00 X 0 0 0 SUSAN BUKUNT DIRECTOR (THRU 3/2016) 1.00 X 0 0 0 NAN STRAUSS DIRECTOR 1.00 X 0 0 0 TOM HARSHMAN DIRECTOR 1.00 X 0 0 0 SANGEETA KOPERDEKAR DIRECTOR 1.00 X 0 0 0 BILL GRAHAM DIRECTOR 1.00 X 0 0 0 RJ SALUS DIRECTOR 1.00 X 0 0 0 ANITA CHANDRASENA DIRECTOR 1.00 X 0 0 0 CHERYL REINKING DIRECTOR 1.00 X 0 0 0 STEVE LAI DIRECTOR 1.00 X 0 0 0 SHERIE ELDRIGE BOARD DIRECTOR (THRU 7/6/16) 1.00 X 0 0 0 BARBARA BURGESS CHIEF EXECUTIVE OFFICER 40.00 X 475722 0 47278 SATWANT JOHAL CHIEF FINANCIAL OFFICER 40.00 X 326338 0 33371 GEORGIA ROCK CHIEF STRATEGY OFFICER 40.00 X 303855 0 41500 ELLEN BROWN CHIEF MEDICAL OFFICER 40.00 X 213269 0 28374 CAROL PARKINSON V.P. HUMAN RESOURCES 40.00 X 214849 0 29862 GAYLE MATTSON ANDERSON CHIEF OPERATING OFFICER 40.00 X 207473 0 9420 EMMA BARON VP QUALITY IMPRVMT & EDUCATION 40.00 X 216136 0 22939 KATIA MOUSA TRIAGE NURSE 40.00 X 209795 0 9930 2167437 0 222674 73 0 1 0 EL CAMINO HOSPITAL 2500 GRANT ROAD MOUNTAIN VIEW CA 94040 IT OUTSOURCE CONTRACTORS 884720 ROBERT HALF INTERNATIONAL INC PO BOX 743295 LOS ANGELES CA 900743295 STAFF CONTRACTORS 370225 CORE MEDICAL GROUP 2 KEYWADIN DRIVE SALEM NH 03079 FIELD STAFF CONTRACTORS 364729 MAS MEDICAL STAFFING 156 HARVEY ROAD LONDONDERRY NH 03053 FIELD STAFF CONTRACTORS 292074 MEDICAL HILL REHAB CENTER 475 29TH STREET OAKLAND CA 946093510 FIELD STAFF CONTRACTORS 212043 12 464231 10000 97500 1095994 5162 1667725 PATIENT SERVICE 621610 46887216 46887216 RENT-RELATED EXEMPT ORG 532000 85543 85543 46972759 658883 658883 5158162 5197524 -39362 -39362 -39362 69375 464231 88136 -18761 -18761 OTHER REVENUE 900099 76394 76394 76394 49317638 46972759 0 677154 X 11000 11000 10000 10000 1185686 1185686 26885070 20999596 5700725 184749 274517 219083 55434 3383088 2588333 768588 26167 1980470 1542334 427270 10866 128665 102681 25984 172427 116075 34819 21533 5281 5281 48584 48584 7559378 7262823 278083 18472 630689 532656 86118 11915 1096940 1065412 5336 26192 1394279 558160 831565 4554 375904 347240 2627 26037 750277 684230 64949 1098 154107 65339 40935 47833 7354 7354 835654 666147 168745 762 802725 704520 96914 1291 MEDICAL SUPPLIES 621615 621615 SALES TAX 52633 10628 42005 STAFF INSERVICE & ED. 24744 15957 8787 OTHER EXPENSES 1000 1000 48392087 38123829 9886789 381469 4793235 6502052 16358196 9420044 1660 965 5007823 4780137 747333 1329522 13281908 8343101 5187559 4938807 28788642 31249762 1113481 1157752 61997929 59379041 5157504 3666975 713709 766373 5030000 4870000 2516253 742883 13417466 10046231 X 47625895 48412810 351268 316700 603300 603300 48580463 49332810 61997929 59379041 X 925551 -173542 338 X 0 1 X 1 0 X 4673670 2331540 2171440 1829784 1667725 12674159 46515169 51607229 52962204 48787750 46972759 246845111 29900 28360 30165 57500 69375 215300 51218739 53967129 55163809 50675034 48709859 259734570 327500 317305 644805 0 327500 317305 644805 259089765 428250 693932 611737 676400 658883 3069202 428250 693932 611737 676400 658883 3069202 91087 8171 200700 76394 376352 51646989 54752148 55783717 51552134 49445136 263180124 0.98450 0.98790 0.01170 0.01090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5281 5281 0 PART II-B, LINE 1: $5,281 REPRESENTS PERCENTAGE FROM PROFESSIONAL DUES PAID TO OTHER ORGANIZATIONS FOR LOBBYING ACTIVITIES THEY PERFORM ON BEHALF OF THEIR MEMBERS. 926759 -29039 13831 883889 913662 31122 18025 926759 790976 136814 14128 913662 720840 82503 12367 790976 730771 1956 11887 720840 0.00000 1.00000 0.00000 1 0 1524100 1524100 1750900 661451 1089449 2231566 927998 1303568 7395009 6390329 1004680 380333 363323 17010 4938807 MEDICARE REIMB RECON 282292 457B PLAN 429284 DEFERRED RENT 31307 742883 X 49320200 88291 88291 49231909 186 85543 85729 49317638 48394400 88042 88042 48306358 186 85543 85729 48392087 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, 2016 AND 2015, 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 88,136. AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT 155. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFIED RENTAL INCOME FROM EXPENSES 85,543. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFIED SPECIAL EVENT EXPENSES TO REVENUE 88,136. AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT -94. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFIED RENTAL INCOME FROM EXPENSES 85,543. 1 PRETORIA, AFRICA 0 0 WHERE IT IS NEEDED MOST AT PRETORIA SUNGARDENS HOSPICE HOSPICE SERVICES 10000 0 0 0 0 0 0 10000 0 10000 PRETORIA, AFRICA WHERE IT IS NEEDED MOST AT PRETORIA SUNGARDENS HOSPICE 10000 CHECK DISBURSEMENT FMV 1 0 0 0 0 0 0 0 PART I, LINE 2: THE FUNDS ARE SENT TO A US ORGANIZATION WHERE WE REQUEST THAT THEY FORWARD THE FUNDS TO A HOSPICE IN SUB-SAHARAN AFRICA CALLED PRETORIA SUNGARDENS HOSPICE. THE ACCOUNTING METHOD FOR PART 1, LINE 3 AND PART II, LINE 1 IS ACCRUAL BASIS. PATHWAYS HAS NO SPECIFIC PROCEDURE FOR MONITORING THE USE OF FUNDS, BUT ARE FULLY AWARE OF THE INTENDED USE OF THE DONATION TO PRETORIA SUNGARDENS HOSPICE. PRETORIA SUNGARDENS HOSPICE PROVIDES A DETAIL DESCRIPTION AS FOLLOWS: ALL FUNDS DONATED BY PATHWAYS GOES TOWARD PROVIDING CARE AND PSYCHOLOGICAL SUPPORT TO 45 ORPHANS & VULNERABLE CHILDREN IN THE RURAL AREA OF MAMELODI. THESE CHILDREN HAVE EITHER BEEN INFECTED OR AFFECTED BY HIV/AIDS OR OTHER LIFE THREATENING ILLNESSES. THE CHILDREN IN THIS PROGRAMME RANGE FROM 1 YEAR OLD TO 17 YEARS OLD. WE ALSO PROVIDE TRACKSUITS AND BLANKETS DURING THE COLD WINTER PERIODS AND WE ALSO PROVIDE FOOD HAMPERS ON A WEEKLY BASIS. ANNUAL BREAKFAST 451389 420489 30900 49019 GOLF EVENT 82217 43742 38475 39117 533606 464231 69375 88136 88136 -18761 1 EL CAMINO HOSPITAL FOUNDATION 2500 GRANT ROAD MOUNTAIN VIEW CA 94040 942823235 501(C)(3) 10000 HOSPICE FOUNDATION GENERAL SUPPORT 1 0 PART I, LINE 2: THE FUNDS SENT TO EL CAMINO HOSPITAL FOUNDATION IN MTN VIEW CALIFORNIA, WERE TO SUPPORT THE CANCER CENTER. ADDITIONALY FUNDS WERE SENT TO ST. ROSE HOSPITAL IN HAYWARD CALIFORNIA, TO SUPPORT THEIR PERINATAL FETAL MONITORING SYSTEM. THERE ARE 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 412766 0 32256 0 30700 0 25800 0 21478 0 523000 0 0 0 SATWANT JOHAL CHIEF FINANCIAL OFFICER 291046 0 18429 0 16863 0 21170 0 12201 0 359709 0 0 0 GEORGIA ROCK CHIEF STRATEGY OFFICER 261252 0 32687 0 9916 0 20500 0 21000 0 345355 0 0 0 ELLEN BROWN CHIEF MEDICAL OFFICER 198688 0 0 0 14581 0 11376 0 16998 0 241643 0 0 0 CAROL PARKINSON V.P. HUMAN RESOURCES 206056 0 8793 0 0 0 12195 0 17667 0 244711 0 0 0 GAYLE MATTSON ANDERSON CHIEF OPERATING OFFICER 154340 0 53133 0 0 0 6354 0 3066 0 216893 0 0 0 EMMA BARON VP QUALITY IMPRVMT & EDUCATION 194200 0 7776 0 14160 0 5766 0 17173 0 239075 0 0 0 KATIA MOUSA TRIAGE NURSE 209795 0 0 0 0 0 0 0 9930 0 219725 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 1200000 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, 2011 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 11 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 DIR FEES FOR SRVC (NON EMPLOYEES): PROGRAM SERVICE EXPENSES 7,262,823. MANAGEMENT AND GENERAL EXPENSES 278,083. FUNDRAISING EXPENSES 18,472. TOTAL EXPENSES 7,559,378. FORM 990, PART XI, LINE 9: AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT 338. PATHWAYS CONTINUOUS CARE 585 N MARY AVENUE SUNNYVALE CA 94085 942823239 CONTINUOUS CARE TO PATIENTS CA 501(C)(3) 9 N/A 0 1 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0