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        <CurrentTaxYearMinus3Years>1120999</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1162619</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1102632</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1336710</CurrentTaxYear>
        <Total>5900698</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>1177738</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1120999</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1162619</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1102632</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1338256</CurrentTaxYear>
        <Total>5902244</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>16770079</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>23242</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>101633</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>81687</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>36517</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11008</CurrentTaxYear>
        <Total>254087</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>23242</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>101633</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>81687</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>36517</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11008</CurrentTaxYear>
        <Total>254087</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>42000</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>60000</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>61800</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>65673</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>65792</CurrentTaxYear>
        <Total>295265</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>4815179</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>4926388</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4855936</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4742682</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3881490</CurrentTaxYear>
        <Total>23221675</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.72220</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.71200</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01090</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01090</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Equipment>
        <OtherCostOrOtherBasis>128027</OtherCostOrOtherBasis>
        <Depreciation>109443</Depreciation>
        <BookValue>18584</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>3814</OtherCostOrOtherBasis>
        <Depreciation>3814</Depreciation>
        <BookValue>0</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>18584</TotalOfBookValueLandBuildings>
      <TotalRevenue>3881490</TotalRevenue>
      <TotalExpenses>4057663</TotalExpenses>
      <ExcessOrDeficitForYear>-176173</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>-176173</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>3881500</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>3881500</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-10</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-10</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>3881490</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>4057600</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>4057600</ExpensesSubtotal>
      <OtherExpensesNotIncluded>63</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>63</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>4057663</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>Audited financial statement ROUNDING: -10.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>Audited financial statement ROUNDING: 63.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Pathways Home Health &amp; Hospice</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>585 N Mary Avenue</AddressLine1>
          <City>Sunnyvale</City>
          <State>CA</State>
          <ZIPCode>94084</ZIPCode>
        </AddressUS>
        <EINOfRecipient>942823240</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>300000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>To provide support for home health and hospice services.</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: Pathways Continuous Care gave $300,000 to Home, Health and Hospice to use toward operating expenses of their home health and hospice program disclosed on Schedule R. They are a related organization with overlapping board members who review financial statement data for both organizations.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>1</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Barbara Burgess</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>230034</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>1712</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>11295</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>243041</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 6</ReturnReference>
        <Explanation>A portion of Nancy Ruma's compensation includes a bonus based on the increased net assets of the organization (1% of bottom line).</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>The organization has two members: ElCamino Hospital and Catholic Healthcare West, dba Sequoia Hospital; both are California nonprofit corporations and exempt under 501(c)(3) of the internal revenue code.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>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, program Vice President and tax audit firm. The draft copy is provided to the committee in an electronic form and paper form. The 990 is reviewed prior to filing. The 990 is made available to the full board members for review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>Through governance education.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15a</Identifier>
        <Explanation>THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND TOP MANAGEMENT IS THAT A COMPENSATION COMMITTEE INCLUDING OUR VP OF HUMAN RESOURCES, AN INDEPENDENT SOURCE AND MEMBERS OF OUR BOARD DISCUSS INDUSTRY STANDARDS AND COMPARE DATA TO INDUSTRY SURVEYS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part XI, Line 2C</Identifier>
        <ReturnReference>Audit Oversight and Committee</ReturnReference>
        <Explanation>This process has not changed from prior year.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Pathways Home Health &amp; Hospice</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>585 N Mary Avenue</AddressLine1>
          <City>Sunnyvale</City>
          <State>CA</State>
          <ZIPCode>94085</ZIPCode>
        </AddressUS>
        <EIN>942823240</EIN>
        <PrimaryActivities>Home Health and Hospice Services</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>