2016-05-12T16:57:17-05:00 2015-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2014-07-01 942823240 PATHWAYS HOME HEALTH AND HOSPICE PATH 4087305100 585 N MARY AVENUE SUNNYVALE CA 94085 BARBARA BURGESS CEO 4087305100 2016-05-12 1 RENIE BURBANK P00159653 4159561500 2014 2016-08-17 19:52:53Z BARBARA BURGESS 585 N MARY AVENUE SUNNYVALE CA 94085 59651040 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 11 511 500 0 0 2171440 1829784 52962204 48787750 2640429 623725 -63577 164348 57710496 51405607 43000 47000 0 0 36329866 32373981 0 0 232907 14963247 14675688 51336113 47096669 6374383 4308938 56177944 61997929 11929285 13417466 44248659 48580463 X PATHWAYS PROVIDES HIGH-QUALITY PATIENT AND FAMILY-CENTERED CARE IN THE HOME, WITH KINDNESS AND RESPECT, PROMOTING COMFORT, INDEPENDENCE AND DIGNITY. 0 0 36130392 47000 48787750 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 36130392 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 0 0 0 0 1 172 0 1 511 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 BOARD PRESIDENT 1.00 X X 0 0 0 DIANA RUSSELL BOARD VICE-PRESIDENT 1.00 X X 0 0 0 KIM OSBORNE BOARD TREASURER 1.00 X X 0 0 0 ERIC PIFER BOARD DIRECTOR 1.00 X 0 0 0 SUSAN BUKUNT BOARD DIRECTOR 1.00 X 0 0 0 NAN STRAUSS BOARD DIRECTOR 1.00 X 0 0 0 TOM HARSHMAN BOARD DIRECTOR 1.00 X 0 0 0 SHERRY ELDRIDGE BOARD DIRECTOR 1.00 X 0 0 0 SANGEETA KOPERDEKAR BOARD DIRECTOR 1.00 X 0 0 0 STEVE LAI BOARD DIRECTOR 1.00 X 0 0 0 BILL GRAHAM BOARD DIRECTOR 1.00 X 0 0 0 BARBARA BURGESS CHIEF EXECUTIVE OFFICER 40.00 X 382025 0 47205 SATWANT JOHAL CFO/CAO 40.00 X 270082 0 32791 GEORGIA ROCK CHIEF OPERATING OFFICER 40.00 X 282054 0 40394 SANDRA COOLIDGE VP ADMISSION/COMM REL'T/PHILANTHROPY 40.00 X 200710 0 31622 BRONWYN CALKINS V.P. HOSPICE 40.00 X 162273 0 23468 ELLEN BROWN MEDICAL DIRECTOR 40.00 X 181342 0 23108 EMMA BARON VP QUALITY IMPRVMTS/EDUCATION 40.00 X 198852 0 22366 CAROL PARKINSON V.P. HUMAN RESOURCES 40.00 X 200507 0 24209 1877845 0 245163 49 0 1 0 EL CAMINO HOSPITAL MS 2500 GRANT ROAD MOUNTAIN VIEW CA 94040 IT OUTSOURCE CONTRACTORS 689096 CORE MEDICAL GROUP 2 KEYWADIN DRIVE SALEM NH 03079 FIELD STAFF CONTRACTORS 618742 MEDICAL HILL REHAB CENTER 475 29TH STREET OAKLAND CA 94609 FIELD STAFF CONTRACTORS 209053 CHARLESTON CONE PO BOX 10247 OAKLAND CA 946100247 MD CONTRACTORS 207971 JAGMOHAN S KHAIRA 221 HOLLISTER AVE ALAMEDA CA 94501 MD CONTRACTORS 193427 12 441844 7000 1380940 1829784 PATIENT SERVICE 621610 48704574 48704574 RENTAL INCOME 900099 83176 83176 48787750 676400 676400 8098906 8151581 -52675 -52675 -52675 57500 441844 93852 -36352 -36352 OTHER REVENUE 900099 200700 200700 200700 51405607 48787750 0 788073 37000 37000 10000 10000 1111765 1111765 25422263 20786236 4547102 88925 362800 298141 64659 3558264 2811317 707122 39825 1918889 1545472 367175 6242 7945538 7230491 700111 14936 90356 90356 153432 153432 8284 8284 35582 35582 365670 141256 221577 2837 148698 3936 144058 704 1025302 89824 902902 32576 1342406 202450 1139956 365195 308883 56312 719132 664511 54153 468 217146 70084 116015 31047 3466 3466 868516 713728 154788 696827 623445 58035 15347 MEDICAL SUPPLIES 571411 571411 SALES TAX 71230 12695 58535 STAFF INSERVICE & ED. 47497 9512 37985 47096669 36130392 10733370 232907 2969104 4793235 13793767 16358196 34610 1660 5346441 5007823 659546 747333 12704661 7517102 5165230 5187559 27081056 28788642 1128190 1113481 56177944 61997929 4935392 5157504 866696 746526 5180000 5030000 947197 2483436 11929285 13417466 X 43266609 47625895 378750 351268 603300 603300 44248659 48580463 56177944 61997929 X 4308938 22438 428 X X 0 1 X 1 0 X 1200000 4673670 2331540 2171440 1829784 12206434 42901440 46515169 51607229 52962204 48787750 242773792 29900 28360 30165 57500 145925 44101440 51218739 53967129 55163809 50675034 255126151 0 0 0 255126151 414479 428250 693932 611737 676400 2824798 414479 428250 693932 611737 676400 2824798 91087 8171 200700 299958 44515919 51646989 54752148 55783717 51552134 258250907 0.98790 0.99000 0.01090 0.00960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8284 8284 0 PART II-B, LINE 1: $8,284 REPRESENTS PERCENTAGE FROM PROFESSIONAL DUES PAID TO OTHER ORGANIZATIONS FOR LOBBYING ACTIVITIES THEY PERFORM ON BEHALF OF THEIR MEMBERS. 913662 31122 18025 926759 790976 136814 14128 913662 720840 82503 12367 790976 730771 1956 11887 720840 0.00000 1.00000 0.00000 0 0 1524100 1524100 1750900 603087 1147813 2220075 841975 1378100 6837694 5712986 1124708 371892 359054 12838 5187559 MEDICARE REIMBURSEMENT RECONCILIATION 2111166 457B PLAN 372270 2483436 X 51416000 93569 93569 51322431 83176 83176 51405607 47106600 93107 93107 47013493 83176 83176 47096669 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, 2015 AND 2014, 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: SPECIAL EVENT EXPENSES 93,852. AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT -718. RECLASSIFICATION OF COMMISSION FEE TO EXPENSES 435. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL INCOME RECLASSIFIED FROM EXPENSES 83,176. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 93,852. RECLASSIFICATION OF COMMISSION FEE TO EXPENSES 435. AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT -1,180. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL INCOME RECLASSIFIED TO REVENUES 83,176. 0 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 FORM 990, SCHEDULE F 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 TO USE WHERE EVER IS THE GREATEST NEED FOR THEM. ANNUAL BREAKFAST 411953 390753 21200 51056 GOLF EVENT 87391 51091 36300 42796 499344 441844 57500 93852 93852 -36352 1 EL CAMINO HOSPITAL FOUNDATION 2500 GRANT ROAD MOUNTAIN VIEW CA 94040 942823235 501(C)(3) 10000 HOSPICE FOUNDATION GENERAL SUPPORT SEQUOIA HOSPITAL FOUNDATION 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 940622799 942909900 501(C)(3) 10000 HOME HEALTH AND HOSPICE GENERAL SUPPORT WASHINGTON HOSPITAL HEALTH CARE FOUNDATION 2000 MOWRY AVE FREMONT CA 94538 942869219 501(C)(3) 16000 HOME HEALTH AND HOSPICE GENERAL SUPPORT INSTITUTE ON AGING 3575 GEARY BLVD SAN FRANCISCO CA 94115 942978977 501(C)(3) 1000 FRIENDSHIP LINE FOR CRISIS INTERVENTION PROGRAM 4 0 PART I, LINE 2: THE FUNDS ARE SENT TO THE FOUNDATION TO SUPPORT THE EL CAMINO HOSPITAL, DIGNITY HEALTH DBA SEQUOIA HOSPITAL, AND WASHINGTON HOSPITAL HEALTH CARE SYSTEM TO SUPPORT HOME HEALTH AND HOSPICE ACTIVITIES. PHHH ALSO SENT FUNDS TO SUPPORT "FRIENDSHIP LINE TO CRISIS INTERVENTIONS" AT INSTITUTE ON AGING. X X X X 0 0 0 0 0 0 0 0 0 BARBARA BURGESS CHIEF EXECUTIVE OFFICER 351365 0 0 0 30660 0 25000 0 22205 0 429230 0 0 0 SATWANT JOHAL CFO/CAO 262618 0 0 0 7464 0 20418 0 12373 0 302873 0 0 0 GEORGIA ROCK CHIEF OPERATING OFFICER 251473 0 0 0 30581 0 19770 0 20624 0 322448 0 0 0 SANDRA COOLIDGE VP ADMISSION/COMM REL'T/PHILANTHROPY 193245 0 0 0 7465 0 12129 0 19493 0 232332 0 0 0 BRONWYN CALKINS V.P. HOSPICE 158709 0 0 0 3564 0 9853 0 13615 0 185741 0 0 0 ELLEN BROWN MEDICAL DIRECTOR 167912 0 0 0 13430 0 6543 0 16565 0 204450 0 0 0 EMMA BARON VP QUALITY IMPRVMTS/EDUCATION 178104 0 0 0 20748 0 5256 0 17110 0 221218 0 0 0 CAROL PARKINSON V.P. HUMAN RESOURCES 200507 0 0 0 0 0 5838 0 18371 0 224716 0 0 0 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 1040000 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 THROUGH GOVERNANCE EDUCATION. 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 XI, LINE 9: AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT 428. FORM 990, PART XII, LINE 2C AUDIT COMMITTEE AND OVERSIGHT - THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 PATHWAYS CONTINUOUS CARE A 83176 BOOK VALUE/ACTUAL