2014-05-15T16:51:24-05:00 2013-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET 9TH FLOOR SAN FRANCISCO CA 94105 990 2012-07-01 942823240 PATHWAYS HOME HEALTH AND HOSPICE PATH 4087305100 585 N MARY AVENUE SUNNYVALE CA 94085 BARBARA BURGESS 4087305100 2014-05-07 1 RENIE BURBANK P00159653 4159561500 2012 2015-11-30 17:44:51Z BARBARA BURGESS 585 N MARY AVENUE SUNNYVALE CA 94085 61932431 0 X HTTP://WWW.PATHWAYSHEALTH.ORG X 1986 CA PATHWAYS PROVIDES HIGH QUALITY PATIENT AND FAMILY-CENTERED CARE IN THE HOME WITH KINDNESS, PROMOTING COMFORT, INDEPENDENCE AND DIGNITY. 9 9 495 500 0 0 4673670 2331540 46515169 51607229 369375 478392 -34261 39775 51523953 54456936 50000 25000 0 0 32069685 34597550 0 0 241248 13026520 14941402 45146205 49563952 6377748 4892984 44565185 50392889 11493834 12348246 33071351 38044643 X PATHWAYS PROVIDES HIGH QUALITY PATIENT AND FAMILY-CENTERED CARE IN THE HOME WITH KINDNESS, PROMOTING COMFORT, INDEPENDENCE AND DIGNITY. 0 0 38257400 25000 51607229 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 AND SPEECH THERAPISTS; SOCIAL WORKERS; DIETITIANS; 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, 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. 38257400 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 1 166 0 1 495 1 0 0 0 0 0 1 1 0 0 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 JOANN KEMIST MS 1.00 X 0 0 0 DIANA RUSSELL 1.00 X 0 0 0 GRATIA BARTON 1.00 X 0 0 0 NAN STRAUSS 1.00 X 0 0 0 ERIC PIFER 1.00 X 0 0 0 GREG WALTON 1.00 X 0 0 0 MICHAEL KING 1.00 X 0 0 0 SHERRY ELDRIDGE 1.00 X 0 0 0 TOM HARSHMAN 1.00 X 0 0 0 BARBARA BURGESS 38.00 2.00 X 343849 0 42048 SATWANT JOHAL 40.00 X 283268 0 29492 GEORGIA ROCK 40.00 X 281851 0 34466 SANDRA COOLIDGE 40.00 X 206006 0 25291 EMMA BARON 40.00 X 182330 0 19256 BRONWYN CALKINS 40.00 X 163762 0 23049 DENISE TURNQUIST 40.00 X 152300 0 15517 ELLEN BROWN 40.00 X 143842 0 14598 1757208 0 203717 64 0 1 0 CORE MEDICAL GROUP 2 KEYWADIN DRIVE SALEM NH 03079 FIELD STAFF CONTRACTORS 745495 ALLSCRIPTS HEALTH CARE LOCKBOX 07713 PO BOX 8538-0133 PHILADELPHIA PA 191710133 IT OUTSOURCE CONTRACTORS 655861 SUPPLEMENTAL HEALTH CARE PO BOX 27124 SALT LAKE CITY UT 841270124 FIELD STAFF CONTRACTORS 215659 DENIS BOUVIER 595 CLIPPER ST SAN FRANCISCO CA 94414 MD CONTRACTORS 205092 NEDA N PAKDAMAN 274 REDWOOD SHORE PARKWAY 236 REDWOOD CITY CA 94065 MD CONTRACTORS 127145 5 291317 5000 2035223 3998 2331540 PATIENT SERVICE 621610 51528786 51528786 RENTAL INCOME 900099 78443 78443 51607229 693932 693932 7180283 7395823 -215540 -215540 -215540 28360 291317 79672 -51312 -51312 OTHER REVENUE 900099 91087 91087 91087 54456936 51607229 0 518167 15000 15000 10000 10000 1028892 1028892 27803032 22464280 5228358 110394 367289 333610 33679 3317968 2618666 662446 36856 2080369 1666662 405391 8316 8214918 8055414 141330 18174 99324 99324 135339 135339 2318 2318 30429 30429 390941 114604 274884 1453 166412 3883 160841 1688 457388 91115 337248 29025 1240205 152816 1087389 1163733 422028 741663 42 968628 935695 32201 732 156989 34678 88574 33737 7641 7641 717691 581868 135823 800437 727840 71766 831 PROVISION FOR BAD DEBT 320486 320486 STAFF INSERVICE & ED. 40268 14526 25742 SUPPORTS TO OTHER ORG 28255 14715 13540 49563952 38257400 11065304 241248 2825554 743633 11876702 13510226 720860 235005 4948066 5659867 688876 1379580 11265504 5774565 5633802 5490939 17655711 23164008 215614 209631 44565185 50392889 5362588 5835790 647687 773766 5465000 5325000 18559 413690 11493834 12348246 X 32254439 37199518 213655 241825 603257 603300 33071351 38044643 44565185 50392889 X 4892984 79882 426 X X 0 1 X 1 0 X 1359992 1400000 1200000 4673670 2331540 10965202 37805769 40297258 42901440 46515169 51607229 219126865 39165761 41697258 44101440 51188839 53938769 230092067 0 0 0 230092067 500317 233443 414479 428250 693932 2270421 500317 233443 414479 428250 693932 2270421 78389 91087 169476 39744467 41930701 44515919 51617089 54723788 232531964 0.98950 0.98770 0.00980 0.01080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 9380 0 1 2559 11939 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE $9,380 REPRESENTS LABOR COSTS OF THE ORGANIZATION'S CEO, COO, CFO AND VP OF COMMUNITY EDUCATION TO LOBBY SO THE HOSPICE AND HOME HEALTH REIMBURSEMENT RATE WILL NOT BE CUT. THE REMAINING $2,559 REPRESENTS PERCENTAGE FROM PROFESSIONAL DUES PAID TO OTHER ORGANIZATIONS FOR LOBBYING ACTIVITIES THEY PERFORM ON BEHALF OF THEIR MEMBERS. 720840 0 82503 12367 790976 730771 1956 11887 720840 1.00000 0 0 1524100 1524100 1750900 486360 1264540 2062800 672721 1390079 5572312 4260524 1311788 355392 354960 432 5490939 ESTIMATED MEDICARE SETTLEMENTS 345020 457B PLAN 68670 413690 X 54137300 79293 79293 54058007 398929 398929 54456936 49243900 78877 78877 49165023 398929 398929 49563952 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, 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, 2013 AND 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 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 79,672. AUDITED FINANCIAL STATEMENT ROUNDING -758. RECLASSIFICATION OF COMMISSION FEE TO EXPENSES 379. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL INCOME RECLASSIFIED FROM EXPENSES 78,443. RECLASSIFICATION BAD DEBT EXPENSE FROM REVENUE 320,486. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 79,672. RECLASSIFICATION OF COMMISSION FEE TO EXPENSES 379. AUDITED FINANCIAL STATEMENT ROUNDING -1,174. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL INCOME RECLASSIFIED TO REVENUES 78,443. RECLASSIFICATION BAD DEBT EXPENSE FROM REVENUE 320,486. 0 0 0 0 0 0 0 0 0 0 PRETORIA AFRICA WHERE IT IS NEEDED MOST AT PRETORIA SUNGARDENS HOSPICE 10000 CHECK 0 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. AWARDS BREAKFAST 266652 243452 23200 56751 SF EVENT 53025 47865 5160 22921 319677 291317 28360 79672 79672 -51312 1 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) 5000 HOME HEALTH AND HOSPICE GENERAL SUPPORT 2 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 328806 0 0 0 15043 0 23827 0 18221 0 385897 0 0 0 SATWANT JOHAL 245672 0 0 0 37596 0 18711 0 10781 0 312760 0 0 0 GEORGIA ROCK 220962 0 0 0 60889 0 16813 0 17653 0 316317 0 0 0 SANDRA COOLIDGE 192507 0 0 0 13499 0 10476 0 14815 0 231297 0 0 0 EMMA BARON 169217 0 0 0 13113 0 4884 0 14372 0 201586 0 0 0 BRONWYN CALKINS 161440 0 0 0 2322 0 9453 0 13596 0 186811 0 0 0 DENISE TURNQUIST 152300 0 0 0 0 0 975 0 14542 0 167817 0 0 0 ELLEN BROWN 143566 0 0 0 276 0 0 0 14598 0 158440 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 745000 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 0 A 0 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; 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 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, 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: AUDITED FINANCIAL STATEMENT ROUNDING 426. 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 1 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0 PATHWAYS CONTINUOUS CARE DBA PATHWAYS PRIVATE DUTY A 82965 BOOK VALUE/ACTUAL PATHWAYS CONTINUOUS CARE DBA PATHWAYS PRIVATE DUTY P 59572 BOOK VALUE/ACTUAL PATHWAYS CONTINUOUS CARE DBA PATHWAYS PRIVATE DUTY Q 54359 BOOK VALUE/ACTUAL PATHWAYS CONTINUOUS CARE DBA PATHWAYS PRIVATE DUTY C 200000 BOOK VALUE/ACTUAL