2017-05-15T12:39:15-05:00 2016-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2015-07-01 942823239 PATHWAYS CONTINUOUS CARE PATH 4087301500 585 N MARY AVENUE SUNNYVALE CA 94085 NANCY RUMA VICE PRESIDENT 4087301500 2017-05-09 1 RENIE BURBANK P00159653 4159561500 2015 2021-01-29 14:40:06Z PATHWAYS PRIVATE DUTY NANCY RUMA 585 N MARY AVENUE SUNNYVALE CA 94085 4599850 0 X WWW.PATHWAYSPRIVATEDUTY.ORG X 1987 CA 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. 6 6 212 9 0 0 0 0 4359801 4471382 61225 63393 63180 65075 4484206 4599850 0 10000 0 0 3825358 3964988 0 0 0 457901 487679 4283259 4462667 200947 137183 4524530 4811921 434901 618490 4089629 4193431 X PATHWAYS PROVIDES HIGH QUALITY PATIENT AND FAMILY-CENTERED CARE IN THE HOME, WITH KINDNESS, PROMOTING COMFORT, INDEPENDENCE AND DIGNITY. 0 0 3449108 10000 4471382 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. 3449108 1 0 0 1 0 0 0 0 0 0 1 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 0 0 0 1 0 0 0 1 14 0 1 212 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 1 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 THOMAS HARSHMAN SECRETARY 2.00 X X 0 0 0 BRENDA ROBERTSON BOARD MEMBER (THRU 10/2/15) 2.00 X 0 0 0 SHERRY ELDRIDGE BOARD MEMBER (THRU 7/6/15) 2.00 X 0 0 0 CHERYL REINKING BOARD MEMBER (THRU 4/1/16) 2.00 X 0 0 0 GAIL RUDOLF BOARD MEMBER (BEG 11/5/15) 2.00 X 0 0 0 SHERIE AMBROS BOARD MEMBER (BEG 11/5/15) 2.00 X 0 0 0 MARGARET WILMER BOARD MEMBER (BEG 4/1/16) 2.00 X 0 0 0 BARBARA BURGESS CHIEF EXECUTIVE OFFICER 2.00 X 0 475722 47278 NANCY RUMA VICE PRESIDENT 40.00 X 192663 0 25530 192663 475722 72808 1 0 1 0 0 PATIENT SERVICE REV. 621610 4471382 4471382 4471382 63393 63393 MANAGEMENT FEES 561000 65075 65075 65075 4599850 4536457 0 63393 10000 10000 223686 223686 3091605 2691593 400012 52802 37057 15745 330182 269683 60499 266713 227795 38918 5649 5649 41482 41482 11801 11801 79268 71445 7823 101965 65030 36935 7001 7001 86911 86911 26380 26380 387 387 3461 3461 24949 24949 HOME OFFICE EXPENSE 59400 59400 PAYROLL PROCESSING 31082 25176 5906 TAX & LICENSE 6843 6843 MISCELLANEOUS 1100 1100 4462667 3449108 1013559 0 46030 26571 1031825 1384887 235325 178103 107522 88158 114511 109058 8914 5453 3094914 3128749 4524530 4811921 415937 588902 18964 29588 434901 618490 X 4089629 4193431 4089629 4193431 4524530 4811921 X 137183 -33386 5 X 0 1 X 1 0 X 4791857 4794154 5017479 4422981 4536475 23562946 4791857 4794154 5017479 4422981 4536475 23562946 16338 661 16999 1350648 1239455 1375401 1404052 1760006 7129562 1350648 1239455 1391739 1404713 1760006 7146561 16416385 12394 33013 44922 61225 63393 214947 12394 33013 44922 61225 63393 214947 4804251 4827167 5062401 4484206 4599868 23777893 0.69040 0.69340 0.00900 0.00670 X 0 0 0 0 0 0 0 0 1 400 400 0 PART II-B, LINE 1: 80% OF THE $500 DUES PAID TO THE HOME CARE ASSOCIATION OF AMERICA, NORTHERN CALIFORNIA CHAPTER COULD BE USED FOR LOBBYING. 110697 105244 5453 3814 3814 0 5453 X 4566500 -33386 36 -33350 4599850 0 4599850 4462700 33 33 4462667 0 4462667 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, 2016 AND 2015, CONTINUOUS CARE 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: AUDITED FINANCIAL STATEMENT ROUNDING 36. PART XII, LINE 2D - OTHER ADJUSTMENTS: AUDITED FINANCIAL STATEMENT ROUNDING 33. 0 PATHWAYS HOME HEALTH & HOSPICE 585 N MARY AVENUE SUNNYVALE CA 94085 942823240 501(C)(3) 10000 FUNDS USED TO SUPPORT "ONE FROM THE HEART" EVENT 1 SCHEDULE I, PART I, LINE 1 & 2 THERE IS NO SPECIFIC PROCEDURE FOR MONITORING THE USE OF FUNDS TO PATHWAYS HOME HEALTH AND HOSPICE, A RELATED ORGANIZATION. X X X X 0 0 0 0 0 0 0 0 0 BARBARA BURGESS CHIEF EXECUTIVE OFFICER 0 412766 0 32256 0 30700 0 25800 0 21478 0 523000 0 0 NANCY RUMA VICE PRESIDENT 191421 0 0 0 1242 0 11379 0 14151 0 218193 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 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 CORPORATION'S DIRECTORS. AN ADDITIONAL MEMBER MAY BE ELECTED BY A MAJORITY VOTE OF THE CORPORATION'S 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 REVIEW. 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. 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 5. PATHWAYS HOME HEALTH & HOSPICE 585 N MARY AVENUE SUNNYVALE CA 94085 942823240 HOME HEALTH AND HOSPICE SERVICES CA 501(C)(3) 9 N/A 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0