2015-05-14T22:45:24-05:00 2014-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2013-07-01 942823240 PATHWAYS HOME HEALTH AND HOSPICE PATH 4087305100 585 N MARY AVENUE SUNNYVALE CA 94085 BARBARA BURGESS CEO 4087305100 2015-05-14 1 RENIE BURBANK P00159653 4159561500 2013 2016-03-07 17:11:31Z BARBARA BURGESS 585 N MARY AVENUE SUNNYVALE CA 94085 65964441 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. 9 9 529 500 0 0 2331540 2171440 51607229 52962204 478392 2640429 39775 -63577 54456936 57710496 25000 43000 0 0 34597550 36329866 0 0 230593 14941402 14963247 49563952 51336113 4892984 6374383 50392889 56177944 12348246 11929285 38044643 44248659 X PATHWAYS PROVIDES HIGH-QUALITY PATIENT AND FAMILY-CENTERED CARE IN THE HOME, WITH KINDNESS AND RESPECT, PROMOTING COMFORT, INDEPENDENCE AND DIGNITY. 0 0 39448618 43000 52962204 SEE SCHEDULE OPATHWAYS 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. 39448618 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 1 1 0 0 1 161 0 1 529 1 0 0 0 0 0 1 1 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 JOANN KEMIST BOARD PRESIDENT (PART-YEAR) 1.00 X X 0 0 0 DIANA RUSSELL VICE-PRESIDENT/SECRETARY 1.00 X X 0 0 0 GRATIA BARTON TREASURER 1.00 X X 0 0 0 NAN STRAUSS BOARD DIRECTOR 1.00 X 0 0 0 ERIC PIFER BOARD DIRECTOR 1.00 X 0 0 0 BILL GRAHAM BOARD DIRECTOR 1.00 X 0 0 0 SUSAN BUKUNT BOARD DIRECTOR 1.00 X 0 0 0 SHERRY ELDRIDGE BOARD DIRECTOR 1.00 X 0 0 0 TOM HARSHMAN BOARD DIRECTOR 1.00 X 0 0 0 BARBARA BURGESS CHIEF EXECUTIVE OFFICER 38.00 2.00 X 351050 0 44989 SATWANT JOHAL CFO/CAO 40.00 X 272128 0 36967 GEORGIA ROCK CHIEF OPERATING OFFICER 40.00 X 240888 0 33544 SANDRA COOLIDGE VP ADMISSION/COMM REL'T/PHILANTHROPY 40.00 X 206428 0 29642 CAROLYN BONNER V.P. HOSPICE 40.00 X 185034 0 28390 ELLEN BROWN MEDICAL DIRECTOR 40.00 X 163939 0 19899 EMMA BARON VP QUALITY IMPRVMTS/EDUCATION 40.00 X 184939 0 21714 CAROL PARKINSON V.P. HUMAN RESOURCES 40.00 X 175397 0 16780 1779803 0 231925 65 0 1 0 CORE MEDICAL GROUP 2 KEYWADIN DRIVE SALEM NH 03079 FIELD STAFF CONTRACTORS 1027584 EL CAMINO HOSPITAL MS 2500 GRANT ROAD MOUNTAIN VIEW CA 94040 IT OUTSOURCE CONTRACTORS 534396 DENIS BOUVIER 595 CLIPPER STREET SAN FRANCISCO CA 94414 MD CONTRACTORS 201744 CHARLESTON CONE PO BOX 10247 OAKLAND CA 946100247 MD CONTRACTORS 193522 ALLSCRIPTS HEALTH CARE LLC PO BOX 8538-0133 PHILADELPHIA PA 191710133 IT OUTSOURCE CONTRACTORS 175451 8 402855 7000 1761585 2171440 PATIENT SERVICE 621610 52881395 52881395 RENTAL INCOME 900099 80809 80809 52962204 611737 611737 10180724 8152032 2028692 2028692 2028692 30165 402855 101913 -71748 -71748 OTHER REVENUE 900099 8171 8171 8171 57710496 52962204 0 2576852 33000 33000 10000 10000 1011524 1011524 28867510 23068314 5717172 82024 481219 378695 102524 3805871 3012636 755359 37876 2163742 1720522 437557 5663 8376458 8110711 246724 19023 86523 86523 150679 150679 5263 5263 30450 30450 510943 121558 387637 1748 184804 7405 176138 1261 452916 83021 321247 48648 1273908 132748 1141160 1048528 392313 656215 891701 844390 46626 685 223309 65489 124764 33056 6625 6625 893333 738701 154632 723121 652528 69984 609 SALES TAX 73773 59121 14652 STAFF INSERVICE & ED. 30913 17466 13447 51336113 39448618 11656902 230593 743633 2969104 13510226 13793767 235005 34610 5659867 5346441 1379580 659546 11823471 6658241 5490939 5165230 23164008 27994718 209631 214528 50392889 56177944 5835790 4935392 773766 866696 5325000 5180000 413690 947197 12348246 11929285 X 37199518 43266609 241825 378750 603300 603300 38044643 44248659 50392889 56177944 X 6374383 -170883 516 X X 0 1 X 1 0 X 1400000 1200000 4673670 2331540 2171440 11776650 40297258 42901440 46515169 51607229 52962204 234283300 41697258 44101440 51188839 53938769 55133644 246059950 0 0 0 246059950 233443 414479 428250 693932 611737 2381841 233443 414479 428250 693932 611737 2381841 91087 8171 99258 41930701 44515919 51617089 54723788 55753552 248541049 0.99000 0.98950 0.00960 0.00980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 5263 0 1 2727 7990 0 PART II-B, LINE 1: THE $2,727 REPRESENTS LABOR COSTS OF THE ORGANIZATION'S COO, CFO AND VP OF COMMUNITY EDUCATION TO PROVIDE EDUCATION TO BENEFIT PATIENT CARE FOR HOME HEALTH AND HOSPICE. $5,263 REPRESENTS PERCENTAGE FROM PROFESSIONAL DUES PAID TO OTHER ORGANIZATIONS FOR LOBBYING ACTIVITIES THEY PERFORM ON BEHALF OF THEIR MEMBERS. 790976 136814 14128 913662 720840 82503 12367 790976 730771 1956 11887 720840 1.00000 0 0 1524100 1524100 1750900 544724 1206176 2172880 757880 1415000 6005511 4999564 1005947 370080 356073 14007 5165230 MEDICARE REIMBURSEMENT RECONCILIATION 693654 457B PLAN 253543 947197 X 57731200 101513 101513 57629687 80809 80809 57710496 51356400 101096 101096 51255304 80809 80809 51336113 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, 2014 AND 2013, 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 101,913. AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT -800. RECLASSIFICATION OF COMMISSION FEE TO EXPENSES 400. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL INCOME RECLASSIFIED FROM EXPENSES 80,809. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 101,913. RECLASSIFICATION OF COMMISSION FEE TO EXPENSES 400. AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT -1,217. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL INCOME RECLASSIFIED TO REVENUES 80,809. 0 0 0 0 0 0 0 0 0 0 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 ORGANIZATION GRANTED FUNDS TO THE US-BASED ORGANIZATION, FOUNDATION FOR HOSPICE IN SUB-SAHARAN AFRICA LOCATED IN WASHINGTON DC. AT THE REQUEST OF PATHWAY HOME HEALTH & HOSPICE, THE FUNDS WERE FORWARDED TO PRETORIA SUNGARDENS HOSPICE TO BE USED WHERE THEY NEED IT THE MOST. ANNUAL BREAKFAST 362120 339880 22240 54662 GOLF EVENT 70900 62975 7925 47251 433020 402855 30165 101913 101913 -71748 1 EL CAMINO HOSPITAL FOUNDATION 2500 GRANT ROAD MOUNTAIN VIEW CA 94040 942823235 501(C)(3) 9000 SUPPORT HOSPITAL'S CHARITABLE MISSION SEQUOIA HOSPITAL FOUNDATION 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 940622799 942909900 501(C)(3) 24000 SUPPORT HOSPITAL'S CHARITABLE MISSION 2 0 PART I, LINE 2: THE FUNDS ARE SENT TO THE FOUNDATION TO SUPPORT THE EL CAMINO HOSPITAL AND SEQUOIA HOSPITALS CHARITABLE MISSION. 0 0 0 0 0 0 0 0 0 BARBARA BURGESS CHIEF EXECUTIVE OFFICER 332330 0 0 0 18720 0 25000 0 19989 0 396039 0 0 0 SATWANT JOHAL CFO/CAO 248122 0 0 0 24006 0 20103 0 16864 0 309095 0 0 0 GEORGIA ROCK CHIEF OPERATING OFFICER 238566 0 0 0 2322 0 19471 0 14073 0 274432 0 0 0 SANDRA COOLIDGE VP ADMISSION/COMM REL'T/PHILANTHROPY 198964 0 0 0 7464 0 11981 0 17661 0 236070 0 0 0 CAROLYN BONNER V.P. HOSPICE 146620 0 0 0 38414 0 8781 0 19609 0 213424 0 0 0 ELLEN BROWN MEDICAL DIRECTOR 163663 0 0 0 276 0 4740 0 15159 0 183838 0 0 0 EMMA BARON VP QUALITY IMPRVMTS/EDUCATION 172910 0 0 0 12029 0 5128 0 16586 0 206653 0 0 0 CAROL PARKINSON V.P. HUMAN RESOURCES 175397 0 0 0 0 0 5160 0 11620 0 192177 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 890000 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 PART III, QUESTION 7: DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I (E) AND TOTAL PROCEEDS IN PART II LINE 3 IS DUE TO INTEREST EARNINGS. PART III, QUESTION 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 UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, QUESTION 2: THE REBATE COMPUTATION WAS PERFORMED ON JUNE 1, 2006. NO REBATE CALCULATION WAS PERFORMED ON JUNE 1, 2011 AS ALL BOND PROCEEDS WERE EXPENDED PRIOR TO THE JUNE 1, 2006 CALCULATION. PART V: THE ORGANIZATION IMPLEMENTED REVISED WRITTEN PROCEDURES TO UNDERTAKE CORRECTIVE ACTION SHORTLY AFTER THE COMPLETION OF THE REPORTING PERIOD APPLICABLE TO THIS FORM. 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 THE FULL BOARD MEMBERS FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH CONFLICT OF INTEREST POLICY 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 516. FORM 990, PART XII, LINE 2C AUDIT COMMITTEE AND OVERSIGHT - THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. PATHWAYS CONTINUOUS CARE 585 N MARY AVENUE SUNNYVALE CA 94085 942823239 CONTINUOUS CARE TO PATIENTS CA 501(C)(3) 9 N/A 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0 PATHWAYS CONTINUOUS CARE DBA PATHWAYS PRIVATE DUTY J 7346 BOOK VALUE/ACTUAL PATHWAYS CONTINUOUS CARE DBA PATHWAYS PRIVATE DUTY A 80809 BOOK VALUE/ACTUAL PATHWAYS CONTINUOUS CARE DBA PATHWAYS PRIVATE DUTY O 55990 BOOK VALUE/ACTUAL PATHWAYS CONTINUOUS CARE DBA PATHWAYS PRIVATE DUTY P 61924 BOOK VALUE/ACTUAL PATHWAYS CONTINUOUS CARE DBA PATHWAYS PRIVATE DUTY Q 19289 BOOK VALUE/ACTUAL