2019-04-11T20:41:58-05:00 2018-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2017-07-01 942823239 PATHWAYS CONTINUOUS CARE PATH 4087301500 585 N MARY AVENUE SUNNYVALE CA 94085 NANCY RUMA VICE PRESIDENT 4087301500 2019-04-11 1 TRACY S PAGLIA P00366884 4159561500 12.129.7.100 2019-04-11 15:37:37 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BE861C6778D90A5D3E7861ABDDE45BE6309F51A4 2017 2019-02-21 02:37:17Z X PATHWAYS PRIVATE DUTY NANCY RUMA 585 N MARY AVENUE SUNNYVALE CA 94085 6015665 0 X WWW.PATHWAYSPRIVATEDUTY.ORG X 1987 CA SEE SCHEDULE O PATHWAYS PRIVATE DUTY IS A LICENSED HOME CARE ORGANIZATION, LICENSED THROUGH THE DEPARTMENT OF SOCIAL SERVICES, THAT ASSISTS OLDER ADULTS AND THE CHRONICALLY ILL IN THEIR ACTIVITIES OF DAILY LIFE. THE SERVICES ARE PROVIDED ON AN HOURLY BASIS TO INDIVIDUALS IN THEIR PLACE OF RESIDENCE UP TO 24 HOURS A DAY, ON A TEMPORARY OR LONG TERM BASIS. PATHWAYS PRIVATE DUTY ALSO PROVIDES HOURLY CARE MANAGEMENT SERVICES PERFORMED BY AND/OR SUPERVISED BY A LCSW, CERTIFIED IN GERIATRIC CARE MANAGEMENT TO ASSIST OLDER PEOPLE AND THEIR FAMILIES IN COORDINATING NEEDED SERVICES ON A HOLISTIC BASIS. X 6 6 168 6 0 0 0 0 4028951 2415349 76518 94527 0 0 4105469 2509876 0 3628273 0 0 3650832 3004182 0 0 0 399103 486051 4049935 7118506 55534 -4608630 5012967 0 531339 0 4481628 0 X PATHWAYS PROVIDES HIGH QUALITY PATIENT AND FAMILY-CENTERED CARE IN THE HOME, WITH KINDNESS, PROMOTING COMFORT, INDEPENDENCE AND DIGNITY. 0 1 5982602 3628273 2415349 SEE SCHEDULE O PATHWAYS CONTINUOUS CARE IS A COMMUNITY BASED NONPROFIT ORGANIZATION WHICH PROVIDES OLDER ADULTS AND THE CHRONICALLY ILL COMPANIONSHIP, SUPERVISION AND ASSISTS WITH THEIR ACTIVITIES OF DAILY LIVING IN THEIR PLACE OF RESIDENCE, THUS ENABLING THEM TO REMAIN AT HOME SAFELY AND MAINTAIN THEIR INDEPENDENCE. CARE MANAGEMENT SERVICES ARE PROVIDED ON AN AS NEEDED BASIS, TO ENSURE THE NECESSARY SUPPORT TO MANAGE ALL SITUATIONS AS THEY ARISE. THE SERVICES ARE OVERSEEN BY A LICENSED CLINICAL SOCIAL WORKER. ATTENDANT SERVICES ARE PROVIDED ON A 3 TO 24 HOUR BASIS AS OUTLINED IN THEIR PERSONAL CARE PLAN WHICH IS CREATED WITH THEM AND THEIR FAMILY. SERVICES ARE PROVIDED BY HOME CARE AIDS, MANY OF WHICH HAVE OBTAINED STATE CERTIFICATION IN HOME HEALTH OR NURSING ASSISTANT PROGRAMS. ADDITIONALLY WE HAVE LICENSED NURSES AVAILABLE FOR QUESTIONS AND HELP WITH CARE PLANNING. THE HOME CARE AIDES PERFORM PERSONAL CARE SERVICES, INCLUDING BATHING, DRESSING, INCONTINENCE CARE, GROOMING, AMBULATION, MEAL PREP, MEDICATION REMINDERS AND HELP IN TRANSFERS. ADDITIONALLY, THEY PROVIDE HOME SUPPORT SERVICES INCLUDING COMPANIONSHIP, SOCIALIZATION, LIGHT HOUSEKEEPING, TRANSPORTATION AND SHOPPING. CAREGIVERS ARE SPECIALLY TRAINED IN SERVICES RELATED TO HOSPICE, HOSPICE RESPITE, ALZHEIMERS, DEMENTIA, PARKINSONS AND OTHERS. 5982602 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 9 0 1 168 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 CA X NANCY RUMA 4087301500 585 N MARY AVE SUNNYVALE CA 94085 CAROL PROFFITT PRESIDENT 2.00 X X 0 0 0 MATT HARRIS TREASURER 2.00 X X 0 0 0 GAIL RUDOLPH BOARD MEMBER (THRU 8/18/17) 2.00 X 0 0 0 SHERIE AMBROSE BOARD MEMBER (THRU 9/21/17) 2.00 X 0 0 0 MARGARET WILMER BOARD MEMBER 2.00 X 0 0 0 KIM COSTELLO BOARD MEMBER 2.00 X 0 0 0 LINDE CHEEMA BOARD MEMBER 2.00 X 0 0 0 LINO CORTINO BOARD MEMBER 2.00 X 0 0 0 BARBARA BURGESS CEO 2.00 40.00 X 0 455980 24047 NANCY RUMA VICE PRESIDENT 40.00 X 200627 0 19982 200627 455980 44029 1 0 1 0 0 PATIENT SERVICE REV. 621610 2352933 2352933 MANAGEMENT FEES 561000 62416 62416 2415349 65116 65116 3535200 3505789 29411 29411 29411 2509876 2415349 0 94527 3628273 3628273 222739 222739 2001072 1550828 450244 12078 1886 10192 208671 169463 39208 559622 511911 47711 65843 65843 65286 65286 17115 17115 23780 23780 74857 55155 19702 4361 4361 84392 84392 11759 11759 380 380 3819 3819 33281 33281 HOME OFFICE EXPENSE 57766 57766 PAYROLL PROCESSING 25374 20046 5328 EQUIPMENT RENTAL 16541 16541 TAX & LICENSE 1449 1449 48 48 7118506 5982602 1135904 0 19770 0 1202824 0 0 147235 0 0 0 0 0 193322 0 0 0 3819 0 3445997 0 0 0 0 0 5012967 0 531339 0 531339 0 X 4481628 0 4481628 0 5012967 0 X -4608630 127006 -4 X 0 1 X 1 0 X 5017479 4422981 4536457 4028951 2415349 20421217 5017479 4422981 4536457 4028951 2415349 20421217 16338 661 21060 38059 1375401 1404052 1760006 1549718 975521 7064698 1391739 1404713 1760006 1549718 996581 7102757 13318460 44922 61225 63393 76518 65116 311174 44922 61225 63393 76518 65116 311174 5062401 4484206 4599850 4105469 2480465 20732391 0.64240 0.66980 0.01500 0.01210 X 0 X 2636882 127006 127006 2509876 0 2509876 7118506 0 7118506 0 7118506 PART X, LINE 2: CONTINUOUS CARE IS A NONPROFIT CORPORATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2018 AND 2017, CONTINUOUS CARE HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. 0 PATHWAYS HOME HEALTH AND HOSPICE 585 N MARY AVENUE SUNNYVALE CA 94085 942823240 501(C)(3) 3628273 TRANSFER ASSETS 1 0 PART I, LINE 2: THERE IS NO SPECIFIC PROCEDURE FOR MONITORING THE USE OF FUNDS TO PATHWAYS HOME HEALTH AND HOSPICE, A RELATED ORGANIZATION. 1 0 0 0 0 0 0 0 0 BARBARA BURGESS CEO 0 423271 0 0 0 32709 0 3975 0 20072 0 480027 0 0 NANCY RUMA VICE PRESIDENT 196688 0 2697 0 1242 0 5982 0 14000 0 220609 0 0 0 PART I, LINE 4A NO SEVERANCE WAS PAID DURING THE CALENDAR YEAR 2017. SEVERANCE WAS PAID TO NANCY RUMA DURING THE FISCAL YEAR ENDED JUNE 30, 2018. PART I, LINE 3: THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS TO ESTABLISH THE CEO'S COMPENSATION. CASH 2018-06-01 3628273 942823240 PATHWAYS HOME HEALTH AND HOSPICE 585 N MARY AVENUE SUNNYVALE CA 94085 501(C)(3) FIXED ASSETS 2018-06-01 65260 ESTIMATED VALUE 942823240 PATHWAYS HOME HEALTH AND HOSPICE 585 N MARY AVENUE SUNNYVALE CA 94085 501(C)(3) 0 1 0 1 1 1 1 1 0 PART I, LINE 2E: PERSON(S) INVOLVED: NANCY RUMA PART I, LINE 2E: EXPLANATION OF INVOLVEMENT: NANCY BECAME AN EMPLOYEE OF PHHH, THE TRANSFEREE ORGANIZATION AND RECEIVED A SEVERANCE PAYMENT AS A RESULT OF PCC'S DISSOLUTION. FORM 990, PART III, LINE 3 TRANSITIONED ALL CLIENTS OFF SERVICE BY 4/13/2018 AND CLOSED THE BUSINESS OPERATIONS EFFECTIVE 5/4/2018. FORM 990, PART VI, SECTION A, LINE 6 EL CAMINO HOSPITAL, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, IS THE CLASS A MEMBER OF PATHWAYS CONTINUOUS CARE; DIGNITY HEALTH, DBA SEQUOIA HOSPITAL, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, IS THE CLASS B MEMBER OF PATHWAYS CONTINUOUS CARE. FORM 990, PART VI, SECTION A, LINE 7A EACH OF THE MEMBER HOSPITALS HAS THE RIGHT TO APPOINT 3 (1/2) OF THE BOARD MEMBERS. 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. DURING THE YEAR, BOTH HOSPITAL BOARDS APPROVED THE DISSOLUTION AND THE TRANSFER OF ALL REMAINING ASSETS TO PHHH. THEY RECEIVED NO PROFITS OR EXCESS UPON DISSOLUTION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED BY THE FORMER VICE PRESIDENT PRIOR TO FILING. THERE IS NO BOARD REVIEW AS THE ORGANIZATION HAS BEEN DISSOLVED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST 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 TOP MANAGEMENT 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. THIS PROCESS WAS LAST UNDERTAKEN IN APRIL 2017. 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: ROUNDING -4. PATHWAYS HOME HEALTH & HOSPICE 585 N MARY AVENUE SUNNYVALE CA 94085 942823240 HOME HEALTH AND HOSPICE SERVICES CA 501(C)(3) 3 N/A 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0