2013-05-13T17:12:22-05:00 2012-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET 9TH FLOOR SAN FRANCISCO CA 94105 990 2011-07-01 942823240 PATHWAYS HOME HEALTH AND HOSPICE PATH 4087305100 585 N MARY AVENUE SUNNYVALE CA 94085 BARBARA BURGESS 4087305100 2013-05-03 1 RENIE BURBANK P00159653 4159561500 2011 2016-02-24 21:20:13Z BARBARA BURGESS 585 N MARY AVENUE SUNNYVALE CA 94085 67970238 0 X HTTP://WWW.PATHWAYSHEALTH.ORG X 1986 CA PATHWAYS PROVIDES COMPASSIONATE, HIGH QUALITY PATIENT AND FAMILY-CENTERED, HOME HEALTH AND HOSPICE CARE, PROMOTING COMFORT, INDEPENDENCE AND DIGNITY. 8 8 469 500 0 0 1200000 4673670 42901440 46515169 351936 369375 0 -34261 44453376 51523953 6780 50000 0 0 29369221 32069685 0 0 275097 11224827 13026520 40600828 45146205 3852548 6377748 37246613 44565185 10537744 11493834 26708869 33071351 X PATHWAYS PROVIDES COMPASSIONATE, HIGH QUALITY PATIENT AND FAMILY-CENTERED, HOME HEALTH AND HOSPICE CARE, PROMOTING COMFORT, INDEPENDENCE AND DIGNITY. 0 0 34856099 50000 46515169 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 PATHWAYS HOME HEALTH & HOSPICE 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 AND PHYSICIANS. PATHWAYS HOME HEALTH PROVIDES SUPPORT TO HOMEBOUND PATIENTS INCLUDING THOSE RECOVERING FROM SURGERY, ILLNESS OR INJURY THROUGH THE SUPPORT OF NURSES; PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS; SOCIAL WORKERS AND PERSONAL CARE AIDES. PATHWAYS HAS SPECIALTY PROGRAMS THAT INCLUDE HEART FAILURE, TELE-MONITORING, INFUSION THERAPY, DIABETES EDUCATION, 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. 34856099 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 1 0 0 0 0 1 1 1 0 0 1 141 0 1 469 1 0 0 0 0 0 1 1 0 0 0 0 X 8 8 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 X JOANN KEMIST MS 1.00 X 0 0 0 CAROL PROFFITT 1.00 X 0 0 0 MATT HARRIS 1.00 X 0 0 0 NAN STRAUSS 1.00 X 0 0 0 DIANA RUSSELL 1.00 X 0 0 0 GRATIA BARTON 1.00 X 0 0 0 TOM HARSHMAN 1.00 X 0 0 0 VANDANA SHARMA 1.00 X 0 0 0 KATHY ROMANO 1.00 X 0 0 0 DEIDRE HEGARTY 1.00 X 0 0 0 BARBARA BURGESS 38.00 X 317002 0 15221 SATWANT JOHAL 40.00 X 261456 0 11166 GEORGIA ROCK 40.00 X 212375 0 15409 THEODORE GOAD 40.00 X 182311 0 2913 EMMA BARON 40.00 X 176672 0 9845 SANDRA COOLIDGE 40.00 X 175679 0 14742 BRONWYN CALKINS 40.00 X 148029 0 14057 MARY DIAS 40.00 X 150577 0 14717 1624101 0 98070 49 0 1 0 CORE MEDICAL GROUP 2 KEYWADIN DRIVE SALEM NH 03079 FIELD STAFF CONTRACTORS 810929 ALLSCRIPTS HEALTH CARE LOCKBOX 07713 PO BOX 8538-0133 PHILADELPHIA PA 191710133 IT OUTSOURCE CONTRACTORS 544786 DENIS BOUVIER 595 CLIPPER ST SAN FRANCISCO CA 94414 MD CONTRACTORS 186401 SUPPLEMENTAL HEALTH CARE PO BOX 27124 SALT LAKE CITY UT 841270124 FIELD STAFF CONTRACTORS 164898 NEDA N PAKDAMAN 274 REDWOOD SHORE PARKWAY 236 REDWOOD CITY CA 94065 MD CONTRACTORS 128762 7 359650 10000 4304020 2541046 4673670 PATIENT SERVICE 621610 46439093 46439093 RENTAL INCOME 900099 76076 76076 46515169 428250 428250 16323249 16382124 -58875 -58875 -58875 29900 359650 64161 -34261 -34261 51523953 46515169 0 335114 50000 50000 927203 927203 25973021 20997630 4841792 133599 276520 200923 75597 2973371 2314912 623469 34990 1919570 1529735 380813 9022 6560641 6472931 75178 12532 39217 39217 180960 180960 2146 2146 315442 50224 265218 128506 33217 92603 2686 732872 227430 455188 50254 1084854 219531 865323 1087668 573141 514452 75 860758 815709 43973 1076 140736 25288 85474 29974 8434 8434 777410 630365 147045 758080 698307 58884 889 PROVISION FOR BAD DEBT 325566 325566 STAFF INSERVICE & ED. 23230 16756 6474 45146205 34856099 10015009 275097 442 2825554 16359856 11876702 720860 3696141 4948066 378257 688876 10700331 5066529 5748438 5633802 10833140 17655711 230339 215614 37246613 44565185 4297285 5362588 530117 647687 5600000 5465000 110342 18559 10537744 11493834 X 26708869 32254439 0 213655 0 603257 26708869 33071351 37246613 44565185 X 6377748 -15266 X X 0 1 1 X 0 X 1523881 1359992 1400000 1200000 4673670 10157543 34399523 37805769 40297258 42901440 46515169 201919159 35923404 39165761 41697258 44101440 51188839 212076702 214111 214111 0 214111 214111 211862591 745368 500317 233443 414479 428250 2321857 745368 500317 233443 414479 428250 2321857 34219 78389 112608 36702991 39744467 41930701 44515919 51617089 214511167 0.98770 0.98520 0.01080 0.01190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 7180 0 1 2146 9326 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE $7,180 REPRESENTS LABOR COSTS OF THE ORGANIZATION'S CEO, COO AND VP OF COMMUNITY EDUCATION TO LOBBY SO THE HOSPICE AND HOME HEALTH REIMBURSEMENT RATE WILL NOT BE CUT. THE REMAINING $2,146 REPRESENTS PERCENTAGE FROM PROFESSIONAL DUES PAID TO OTHER ORGANIZATIONS FOR LOBBYING ACTIVITIES THEY PERFORM ON BEHALF OF THEIR MEMBERS. 730771 1956 11887 720840 1.00000 0 0 1524100 1524100 1750900 427997 1322903 2062800 577507 1485293 5007139 3710181 1296958 355392 350844 4548 5633802 ESTIMATED MEDICARE SETTLEMENTS 18559 18559 51523953 45146205 6377748 -15274 8 -15266 6362482 48637700 -15274 64167 48893 48588807 2935146 2935146 51523953 44808400 64161 64161 44744239 401966 401966 45146205 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUND ARE TO BE REINVESTED AND USED FOR OPERATIONAL SUPPORT DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2012, 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 8 - OTHER ADJUSTMENTS: ROUNDING 8. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 64,161. AUDITED FINANCIAL STATEMENT ROUNDING 6. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL INCOME RECLASSIFIED FROM EXPENSES 76,076. BAD DEBT EXPENSE 325,566. TRANSFER OF BALANCE SHEET ITEMS FROM FOUNDATION UPON MERGER 2,533,193. COMMISSIONS ON SALES OF DONATED SECURITIES 311. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 64,161. PART XIII, LINE 4B - OTHER ADJUSTMENTS: RENTAL INCOME RECLASSIFIED TO REVENUES 76,076. BAD DEBT EXPENSE 325,566. AUDITED FINANCIAL STATEMENT ROUNDING 13. COMMISSIONS ON SALES OF DONATED SECURITIES 311. 1 0 0 0 0 0 0 0 0 0 SUB-SAHARAN AFRICA WHERE IT IS NEEDED MOST AT PRETORIA SUNGARDENS HOSPICE 15000 CHECK FMV 1 1 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. AWARDS BREAKFAST 350875 326875 24000 51069 PATHWAYS SPEAKERS 38675 32775 5900 13092 389550 359650 29900 64161 64161 -34261 1 SEQUOIA HOSPITAL FOUNDATION 170 ALAMEDA DE LAS PULGAS REDWOOD CITY CA 904622799 942909990 501(C)(3) 10000 HOSPICE FOUNDATION GENERAL SUPPORT EL CAMINO HOSPITAL FOUNDATION 2500 GRANT ROAD MOUNTAIN VIEW CA 94040 942823235 501(C)(3) 10000 HOSPICE FOUNDATION GENERAL SUPPORT VISITING NURSE ASSOCIATIONS OF AMERICA 900 19TH STREET NW SUITE 200 WASHINGTON DC 200062100 983858298 501(C)(3) 15000 HOME HEALTH AND HOSPICE GENERAL SUPPORT 3 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE FUNDS ARE SENT THE FOUNDATIONS TO USE WHERE THEY HAVE THE GREATEST NEED. X X X X 0 0 0 0 0 0 0 0 0 BARBARA BURGESS 288668 0 0 0 28334 0 1572 0 13649 0 332223 0 0 0 SATWANT JOHAL 220347 0 0 0 41109 0 1572 0 9594 0 272622 0 0 0 GEORGIA ROCK 197441 0 0 0 14934 0 1572 0 13837 0 227784 0 0 0 THEODORE GOAD 173774 0 0 0 8537 0 1572 0 1341 0 185224 0 0 0 EMMA BARON 156935 0 0 0 19737 0 0 0 9845 0 186517 0 0 0 SANDRA COOLIDGE 168941 0 0 0 6738 0 1572 0 13170 0 190421 0 0 0 BRONWYN CALKINS 146762 0 0 0 1267 0 4264 0 9793 0 162086 0 0 0 MARY DIAS 139039 0 0 0 11538 0 1572 0 13145 0 165294 0 0 0 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 605000 6090757 55034 6035723 2005 0 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 0 0 0 0 X 4 7853 AVG FMV ON RECEIPT X FDN B/S ITEMS 1 2533193 BOOK VALUES 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO MEMBERS; ELCAMINO 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 HAVE THE RIGHT TO VOTE FOR ONE HALF OF THE CORPORATIONS 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, BUDGETS AND UNBUDGETED 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 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. OFFICER HOURS DEVOTED TO RELATED ORGANIZATIONS 990, PART VII, SECTION A, COLUMN B JOANN KEMIST'S TIME IS DIVIDED AS FOLLOWS: PATHWAYS CONTINUOUS CARE 1 HR PATHWAYS HOME HEALTH AND HOSPICE 1 HR CAROL PROFFITT'S TIME IS DIVIDED AS FOLLOWS: PATHWAYS CONTINUOUS CARE 1 HR PATHWAYS HOME HEALTH AND HOSPICE 1 HR MATT HARRIS' TIME IS DIVIDED AS FOLLOWS: PATHWAYS CONTINUOUS CARE 1 HR PATHWAYS HOME HEALTH AND HOSPICE 1 HR THOMAS HARSHMAN'S TIME IS DIVIDED AS FOLLOWS: PATHWAYS CONTINUOUS CARE 1 HR PATHWAYS HOME HEALTH AND HOSPICE 1 HR BARBARA BURGESS' TIME IS DIVIDED AS FOLLOWS: PATHWAYS CONTINUOUS CARE 2 HRS PATHWAYS HOME HEALTH AND HOSPICE 38 HRS CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -15,274. ROUNDING 8. TOTAL TO FORM 990, PART XI, LINE 5: -15,266. AUDIT COMMITTEE AND OVERSIGHT FORM 990, PART XII, LINE 2C 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 0 0 0 0 1 1 1 0 0 PATHWAYS CONTINUOUS CARE DBA PATHWAYS PRIVATE DUTY A 80598 BOOK VALUE/ACTUAL PATHWAYS CONTINUOUS CARE DBA PATHWAYS PRIVATE DUTY O 57837 BOOK VALUE/ACTUAL PATHWAYS CONTINUOUS CARE DBA PATHWAYS PRIVATE DUTY P 52776 BOOK VALUE/ACTUAL