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SERVICES 1007359305 AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 HEALTHCARE STAFFING 59168817 HERRERO BUILDERS INCORPORATED 2100 OAKDALE AVENUE SAN FRANCISCO CA 94124 CONSTRUCTION COMPANY 43229150 EMCOR FACILITIES SERVICESINC 2800 CRYSTAL DRIVE SUITE 600 ARLINGTON VA 22202 FACILITIES MGMT 21847231 SODEXO INC AFFILIATES 9801 WASHINGTON BLVD GAITHERSBURGH MD 20878 FACILITIES MGMT 18340009 341 1431500 208438181 8413372 72281 218283053 PATIENT REVENUE 900099 6197983612 6197983612 HOUSE STAFF 900099 26556811 26556811 OUTREACH LAB CLINIC 900099 25698940 25698940 EMPLOYER HEALTH CLINIC 900099 11343927 11343927 CLINIC REVENUE 900099 11226310 11226310 36546231 31296231 2461738 2788262 6309355831 136305982 -37344 136343326 0 0 0 0 0 11000 226568 -215568 -215568 -215568 0 0 0 0 0 0 0 0 0 REBATES 900099 533591 533591 533591 6664262889 6304639422 2424394 138916020 105357346 105357346 0 0 0 13467853 2824673 9654425 988755 0 1717404945 1608505528 101395991 7503426 134961241 122196049 9659916 3105276 619580664 579893049 38756002 931613 116249341 107724626 8519044 5671 2227494 1468987 758507 0 39149243 25001406 14147837 0 2292944 20799 2272145 0 608880 427171 181709 0 0 0 369249308 361326628 7551809 370871 10581938 10016726 333231 231981 170440974 134574123 35563564 303287 21024900 14092494 6932406 0 0 81280768 78403912 2755545 121311 3164088 2271961 843080 49047 0 1826779 1286224 531580 8975 71398691 71398691 0 0 0 240531757 226358336 14173421 45875575 40068268 5807307 OTHER PURCHASED SERVICES 1312833842 1255163039 57670803 0 SUPPLIES 891591386 885163938 6303281 124167 LICENSE AND TAXES 13084182 11810066 1274116 0 DUES & SUBSCRIPTIONS 4434356 1366545 3067811 0 108140670 96069890 10885602 1185178 6096759165 5742790475 339039132 14929558 900 1150 322999750 427449011 0 0 804928277 1006414783 6753000 5903000 0 0 0 0 105291179 98541108 107223768 110050275 5839743342 2403223956 3404688466 3436519386 0 0 4440765821 4190675403 251972123 315791569 0 0 458140928 403346448 9902764212 9994692133 879811967 1183670667 0 0 0 0 1160573120 1136765713 0 0 0 0 0 0 0 0 2260465572 1803731404 4300850659 4124167784 X 5456431111 5729491169 145482442 141033180 5601913553 5870524349 9902764212 9994692133 X 567503724 -393122363 94229435 X false true X true false X 44851782 35789009 127528906 429891903 218283053 856344653 0 0 44851782 35789009 127528906 429891903 218283053 856344653 0 856344653 41050786 53677507 66589374 102005597 136343326 399666590 0 0 0 0 0 0 0 1256011243 25360028327 0.68180 0.65465 X false true false true 88105 false false true 235265 true 51530 true 608880 983780 false LOBBYING ACTIVITIES INCLUDE: - SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS; - MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS; - SENDING OR DISTRIBUTING LETTERS OR PUBLICATIONS (INCLUDING NEWSLETTERS, BROCHURES, ETC.) TO MEMBERS OR TO THE GENERAL PUBLIC; AND -SENDING LETTERS TO GOVERNMENT REGULATORY AGENCIES. SHC BELONGS TO CERTAIN TRADE ASSOCIATIONS IN WHICH A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS SPENT ON EFFORTS TO INFLUENCE LEGISLATIVE MATTERS IN THE HEALTH CARE INDUSTRY. DURING FY22, SHC PAID DUES OF APPROXIMATELY $719,859 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $428,880. SHC GOVERNMENT RELATIONS TEAM HAS TRANSFERRED OVER TO SU. SHC REIMBURSES SU FOR THE COST INCURRED BY THE TEAM ON BEHALF OF SHC. FEDERAL AND STATE OUTREACH IS DELEGATED TO THIRD PARTY FIRMS. THESE FIRMS CONDUCT OUTREACH AND DIRECT CONTACT WHILE KEEPING THE GOVERNMENT RELATIONS TEAM IN THE KNOW. THESE FIRMS WILL ALSO PREPARE THE LETTERS AND MAILINGS THAT ARE SENT TO MEMBERS, LEGISLATORS, OR THE PUBLIC. THESE LETTERS AND MAILINGS ARE REVIEWED AND APPROVED BY THE GOVERNMENT RELATIONS TEAM. 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SHC HAS A FUND TO SUPPORT THE MEDICAL DIRECTOR OF THE HOSPITAL'S CANCER CENTER CLINICAL SERVICES AND A FUND TO SUPPORT MEDICAL DIRECTORSHIP OF DISASTER PREPAREDNESS. SHC ALSO HAS FUNDS TO SUPPORT MUSIC PROGRAMS, EDUCATIONAL PROGRAMS, CHAPLAINCY PROGRAMS, A CLINICAL PASTORAL EDUCATION PROGRAM IN SPIRITUAL CARE, PATIENT CARE, INDIGENT CARE, HEALTH LIBRARY TECHNOLOGY, NURSING STAFF THAT CARE FOR CANCER PATIENTS TO ENHANCE THE EXPERIENCE AND WELLBEING OF CANCER PATIENTS, AND TO SUPPORT NURSES, STAFF, PATIENTS, AND FAMILIES OF THE STANFORD WOMEN'S CANCER CENTER. THERE ARE ALSO FUNDS TO ENHANCE THE EXPERIENCE OF OSTOMY NURSES AND THE PATIENTS THEY SERVE AND TO ENHANCE THE PATIENT EXPERIENCE THROUGH PROVISION OF COMPLEMENTARY PATIENT CARE. 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X X true true X X X true X HTTP://STANFORDHEALTHCARE.ORG X SAME AS ABOVE X SAME AS ABOVE X X X X X X true X false X X X true X false false PART V, SECTION B, LINE 5 THE CHNA ASSESSED COMMUNITY HEALTH NEEDS BY GATHERING INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. THESE PERSONS INCLUDED LOCAL PUBLIC HEALTH DEPARTMENTS, THOSE WHO ARE MEDICALLY UNDERSERVED, LOW -INCOME INDIVIDUALS, MINORITY POPULATIONS, AND PROFESSIONALS WHOSE ORGANIZATIONS SERVE OR REPRESENT THE INTERESTS OF THOSE POPULATIONS. INPUT WAS GATHERED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND ONLINE SURVEY (SANTA CLARA COUNTY ONLY). IN ADDITION TO THIS PRIMARY QUALITATIVE INPUT, QUANTITATIVE DATA WAS ANALYZED TO IDENTIFY POOR HEALTH OUTCOMES, HEALTH DISPARITIES, AND HEALTH TRENDS. THIS DATA AND INPUT GATHERING OCCURRED OVER TEN MONTHS IN 2021. NAMES OF COMMUNITY ORGANIZATIONS PROVIDING INPUT & POPULATION REPRESENTED - AVENIDAS - LOW-INCOME, MEDICALLY UNDERSERVED - RAVENSWOOD FAMILY HEALTH NETWORK - LOW-INCOME, MEDICALLY UNDERSERVED - PUENTE DE LA COSTA SUR - LOW-INCOME, MEDICALLY UNDERSERVED, MINORITY - SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT - LOW-INCOME, MEDICALLY UNDERSERVED - SAN MATEO COUNTY PRIDE CENTER - MEDICALLY UNDERSERVED, MINORITY - COUNTY OF SAN MATEO HUMAN SERVICES AGENCY - LOW-INCOME - SAN MATEO COUNTY HEALTH - LOW-INCOME, MEDICALLY UNDERSERVED - KIDS IN COMMON - LOW-INCOME - LEGAL AID SOCIETY OF SAN MATEO COUNTY - LOW-INCOME - COUNTY OF SANTA CLARA, OFFICE OF LGBTQ AFFAIRS - MEDICALLY UNDERSERVED, MINORITY - SAN MATEO COUNTY ORAL PUBLIC HEALTH PROGRAM - LOW-INCOME, MEDICALLY UNDERSERVED - STARVISTA - MEDICALLY UNDERSERVED - CAMINAR - MEDICALLY UNDERSERVED - STANFORD HEALTH CARE - MEDICALLY UNDERSERVED - COUNTY OF SANTA CLARA HEALTH SYSTEM - MEDICALLY UNDERSERVED - PENINSULA FAMILY SERVICE - MEDICALLY UNDERSERVED - EL CAMINO HEALTH - MEDICALLY UNDERSERVED - THE HEALTH TRUST - MEDICALLY UNDERSERVED - COMMUNITY OVERCOMING RELATIONSHIP ABUSE - MEDICALLY UNDERSERVED - MOMENTUM FOR HEALTH - MEDICALLY UNDERSERVED - NEXT DOOR SOLUTIONS TO DOMESTIC VIOLENCE - MEDICALLY UNDERSERVED - STANFORD UNIVERSITY SCHOOL OF MEDICINE - MEDICALLY UNDERSERVED, MINORITY - RAVENSWOOD FAMILY HEALTH NETWORK - MEDICALLY UNDERSERVED, MINORITY - THE PRIMARY SCHOOL - MEDICALLY UNDERSERVED, MINORITY - PACIFIC FREE CLINIC - MEDICALLY UNDERSERVED, MINORITY - DESTINATION: HOME - LOW-INCOME - COMMUNITY SERVICES AGENCY - LOW-INCOME - SANTA CLARA FAMILY HEALTH PLAN - LOW-INCOME - LIFEMOVES - LOW-INCOME - GRAIL FAMILY SERVICES - LOW-INCOME - WEST VALLEY COMMUNITY SERVICES - LOW-INCOME - SUNNYVALE COMMUNITY SERVICES - LOW-INCOME - MIDTOWN FAMILY SERVICES - LOW-INCOME - AFRICAN AMERICAN COMMUNITY SERVICE AGENCY - LOW-INCOME - PENINSULA HEALTHCARE CONNECTION - LOW-INCOME - INDIAN HEALTH CENTER OF SANTA CLARA COUNTY - LOW-INCOME, MEDICALLY UNDERSERVED - ROOTS COMMUNITY HEALTH CENTER - LOW-INCOME, MEDICALLY UNDERSERVED - ROTACARE FREE CLINICS - LOW-INCOME, MEDICALLY UNDERSERVED - PLANNED PARENTHOOD MAR MONTE - LOW-INCOME, MEDICALLY UNDERSERVED - ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT - LOW-INCOME, MEDICALLY UNDERSERVED - SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY - LOW-INCOME, MEDICALLY UNDERSERVED - SAMARITAN HOUSE - LOW-INCOME, MEDICALLY UNDERSERVED - GARDNER HEALTH SERVICES - LOW-INCOME, MEDICALLY UNDERSERVED - NORTH EAST MEDICAL SERVICES - LOW-INCOME, MEDICALLY UNDERSERVED - SAN MATEO MEDICAL CENTER - LOW-INCOME, MEDICALLY UNDERSERVED - LUCILE PACKARD CHILDREN'S HOSPITAL - LOW-INCOME, MEDICALLY UNDERSERVED - MY DIGITAL TAT2 - MEDICALLY UNDERSERVED - MOUNTAIN VIEW LOS ALTOS SCHOOL DISTRICT - MEDICALLY UNDERSERVED - ACKNOWLEDGE ALLIANCE - MEDICALLY UNDERSERVED - EDGEWOOD CENTER FOR CHILDREN AND FAMILIES - MEDICALLY UNDERSERVED - COMMUNITY HEALTH AWARENESS COUNCIL (CHAC) - MEDICALLY UNDERSERVED - CASA OF SAN MATEO COUNTY - MEDICALLY UNDERSERVED - COUNSELING AND SUPPORT SERVICES FOR YOUTH - MEDICALLY UNDERSERVED - ADOLESCENT COUNSELING SERVICES - MEDICALLY UNDERSERVED - UPLIFT FAMILY SERVICES - MEDICALLY UNDERSERVED - FIRST 5 SAN MATEO COUNTY - LOW-INCOME - COASTSIDE HOPE - LOW-INCOME - COUNTY OF SAN MATEO DEPARTMENT OF HOUSING - LOW-INCOME - BOYS & GIRLS CLUB OF THE COASTSIDE - LOW-INCOME - DALY CITY COMMUNITY SERVICE CENTER - LOW-INCOME - JOBTRAIN - LOW-INCOME - SECOND HARVEST OF SILICON VALLEY - LOW-INCOME - YMCA COMMUNITY RESOURCE CENTER - LOW-INCOME - BAY AREA COMMUNITY HEALTH ADVISORY COUNCIL (BACHAC) - MINORITY, MEDICALLY UNDERSERVED - DIGNITY HEALTH-SEQUOIA HOSPITAL - MINORITY, MEDICALLY UNDERSERVED - CITY OF BELMONT AND CALIFORNIA AIR RESOURCES BOARD/BAY AREA AIR QUALITY MANAGEMENT DISTRICT - MINORITY, MEDICALLY UNDERSERVED - UNITY CARE GROUP - MINORITY, MEDICALLY UNDERSERVED PART V, SECTION B, LINE 6A THE CHNA WAS CONDUCTED BY FOUR HOSPITAL PARTNERS WITH HOSPITALS LOCATED IN SANTA CLARA AND SAN MATEO COUNTIES. THE HOSPITAL COLLABORATIVE CONDUCTED THE CHNA FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING CRITICAL HEALTH NEEDS OF THE COMMUNITY. - EL CAMINO HEALTH - LUCILE PACKARD CHILDREN'S HOSPITAL STANFORD - SUTTER HEALTH (INCLUDING MENLO PARK SURGICAL HOSPITAL AND MILLS-PENINSULA MEDICAL CENTER) PART V, SECTION B, LINE 6B THE FOUR-HOSPITAL COLLABORATIVE ALSO COLLABORATED WITH PALO ALTO MEDICAL FOUNDATION, PART OF SUTTER HEALTH, FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING CRITICAL HEALTH NEEDS OF THE COMMUNITY. PART V, SECTION B, LINES 7A AND 10A HTTPS://STANFORDHEALTHCARE.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS.HTML PLEASE NOTE THAT LINK MUST BE ENTERED IN LOWER CASE LETTERS IN URL. SHC'S 2020-2022 IMPLEMENTATION STRATEGY PROVIDES DETAILED INFORMATION ABOUT SHC'S STRATEGIES FOR ADDRESSING THE 6 PRIORITIZED HEALTH NEEDS AND CAN BE FOUND HERE: HTTPS://STANFORDHEALTHCARE.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS.HTML PLEASE NOTE THAT LINK MUST BE ENTERED IN LOWER CASE LETTERS IN URL. PART V, SECTION B, LINE 11 THE 2021 CHNA IDENTIFIED AND PRIORITIZED 10 SIGNIFICANT HEALTH NEEDS ACROSS STANFORD HEALTH CARE'S SERVICE AREA OF SANTA CLARA AND SAN MATEO COUNTIES. THE HEALTH NEEDS WERE PRIORITIZED BY APPLYING THE FOLLOWING CRITERIA: - COMMUNITY PRIORITY: THE COMMUNITY PRIORITIZES THE HEALTH NEED OVER OTHER HEALTH NEEDS; BASED ON THE FREQUENCY WITH WHICH THE KEY INFORMANTS EXPRESSED CONCERN ABOUT EACH HEALTH OUTCOME DURING THE CHNA PRIMARY DATA COLLECTION. - ASSETS & RESOURCES: THERE IS A LACK OF SUFFICIENT ASSETS AND/OR RESOURCES TO ADDRESS THE HEALTH NEED. FOR EXAMPLE, A LACK OF SPECIALTY CARE, HEALTH FACILITIES, AFFORDABLE HEALTHY BEHAVIORS, OR INFORMATION. - CLEAR DISPARITIES OR INEQUITIES: RECOGNIZABLE DIFFERENCES IN HEALTH OUTCOMES EXIST AMONG SUBGROUPS OF PEOPLE (BASED ON GEOGRAPHY, LANGUAGE, ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER IDENTITY, OR OTHER FACTORS). - MULTIPLIER EFFECT: A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS THE POTENTIAL TO SOLVE MULTIPLE PROBLEMS. FOR EXAMPLE, IF RATES OF OBESITY DECREASE, DIABETES RATES MAY ALSO DECREASE. USING THE CRITERIA, STANFORD HEALTH CARE GATHERED LEADERS WITH KNOWLEDGE AND EXPERTISE IN LOCAL COMMUNITY HEALTH NEEDS AND TRENDS TO PRIORITIZE (RANK) BY ONLINE SURVEY EACH OF THE 10 HEALTH NEEDS GENERATED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE 10 HEALTH NEEDS ARE LISTED IN PRIORITY ORDER: - ECONOMIC INSECURITY - HOUSING AND HOMELESSNESS - BEHAVIORAL HEALTH - HEALTH CARE ACCESS AND DELIVERY - DIABETES AND OBESITY - MATERNAL AND INFANT HEALTH - CLIMATE AND NATURAL ENVIRONMENT - COMMUNITY SAFETY - CANCER - SEXUALLY TRANSMITTED INFECTIONS DURING FY23, SHC WILL ADOPT THE 2023 - 2025 IMPLEMENTATION STRATEGY, WHICH WILL PROVIDE DETAILED INFORMATION ABOUT SHC'S STRATEGIES FOR ADDRESSING THE CHNA HEALTH NEEDS. SHC'S 2020 - 2022 IMPLEMENTATION STRATEGY PROVIDES DETAILED INFORMATION ABOUT SHC'S STRATEGIES FOR ADDRESSING THE 6 PRIORITIZED HEALTH NEEDS ASSOCIATED WITH THE 2019 CHNA. THE 2020 - 2022 IMPLEMENTATION STRATEGY CAN BE FOUND HERE: HTTPS://STANFORDHEALTHCARE.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS.HTML PART V, SECTION B, LINE 16A-C URL AT WHICH THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE: HTTPS://STANFORDHEALTHCARE.ORG/FOR-PATIENTS-VISITORS/FINANCIAL- ASSISTANCE.HTML PLEASE NOTE THAT LINK MUST BE ENTERED IN LOWER CASE LETTERS IN URL. PART V, SECTION B, LINE 20A SHC WILL PURSUE PAYMENT FOR DEBTS OWED FOR HEALTH CARE SERVICES PROVIDED BY SHC. ALL PATIENT ACCOUNT BALANCES THAT MEET SHC CRITERIA FOR ASSIGNMENT TO BAD DEBT ACCORDING TO SHC POLICY AND PROCEDURES ARE ELIGIBLE FOR PLACEMENT WITH A COLLECTION AGENCY. HOWEVER, SHC DOES NOT CURRENTLY ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITY (ECA). PER SHC POLICY, ECA IS DEFINED TO INCLUDE PLACING LIENS ON INDIVIDUAL PROPERTY, FORECLOSING ON REAL PROPERTY, ATTACHING OR SEIZING AN INDIVIDUAL'S BANK ACCOUNT OR OTHER PERSONAL PROPERTY, COMMENCING A CIVIL ACTION AGAINST AN INDIVIDUAL, CAUSING AN INDIVIDUAL'S ARREST, GARNISHING, WAGES, REPORTING ADVERSE INFORMATION TO A CREDIT AGENCY, DEFERRING OR DENYING MEDICALLY NECESSARY CARE, REQUIRING PAYMENT BEFORE PROVIDING MEDICALLY NECESSARY CARE BECAUSE OF OUTSTANDING BILLS, AND SALE OF DEBT TO A THIRD PARTY. 5 STANFORD EMPLOYER HEALTH CLINIC AT CISCO 3571 N 1ST STREET BLDG Q SAN JOSE CA 95134 STANFORD EMPL HEALTH CLINIC AT CISCO STANFORD EMP HEALTH CLINIC AT QUALCOMM 5535 MOREHOUSE DRIVE S-270 SAN DIEGO CA 92121 STANFORD EMP HEALTH CLINIC AT QUALCOMM STANFORD EMP HEALTH CLINIC AT QUALCOMM 3165 KIFER RD SANTA CLARA CA 95051 STANFORD EMP HEALTH CLINIC AT QUALCOMM - BAY AREA STANFORD EMP HEALTH CLINIC AT VERIZON 1189 COLMAN AVE SAN JOSE CA 95110 STANFORD EMP HEALTH CLINIC AT VERIZON MEDIA STANFORD EMP HEALTH CLINIC AT QUALCOMM 10155 PACIFIC HEIGHTS BLVD SAN DIEGO CA 92121 STANFORD EMP HEALTH CLINIC AT QUALCOMM PART I, LINE 6A YES, STANFORD HEALTH CARE PREPARED A COMMUNITY BENEFIT REPORT DURING THE 2021 TAX YEAR. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS TOTALED $(71,862,757) IN FY22. THE COMMUNITY HEALTH IMPROVEMENT SERVICES CONSISTS OF - COMMUNITY HEALTH EDUCATION PROGRAMS - HEALTH LIBRARY SERVICES - INSURANCE ENROLLMENT FOR UNINSURED AND UNDERINSURED PATIENTS - SUPPORTIVE CARE PROGRAMS - COVID-19 RESPONSE* *STANFORD HEALTH CARE'S COVID-19 RESPONSE ACTIVITIES ARE INCLUDED AS COMMUNITY HEALTH IMPROVEMENT SERVICES. THESE ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO BROAD COMMUNITY TESTING AND VACCINATION; PURCHASE AND STORAGE OF ANTIGEN TESTS AND PERSONAL PROTECTIVE EQUIPMENT FOR HOSPITAL USE AND COMMUNITY DONATION; PATIENT CARE SERVICES; STAFFING; CAPITAL IMPROVEMENTS AND INFRASTRUCTURE TO SUPPORT PATIENT CARE AND COMMUNITY HEALTH; DONATIONS (IN-KIND, SUPPLIES AND MATERIALS, AND FINANCIAL) TO COMMUNITY ORGANIZATIONS, AND COMMUNITY-BASED EMERGENCY MANAGEMENT LEADERSHIP AND SUPPORT. TO DATE (FY20-FY22), SHC HAS PROVIDED $16.5M IN UNCOMPENSATED COVID-19-RELATED COMMUNITY BENEFITS. PER SCHEDULE H INSTRUCTIONS, NEGATIVE NUMBERS ARE TO BE REPORTED AS $0. SINCE COVID-19 PANDEMIC INCEPTION, SHC COVID-19 RESPONSE FINANCIALS ARE: FY20 FY21 FY22 THREE YEAR TOTAL EXPENSES (GROSS) $405M $183.5M $130M $718M OFFSETTING REVENUE $102M $392M $208M $702M TOTAL UNCOMPENSATED COVID-19 RESPONSE $303M $(208.5)M $(77)M $16.5M TOTAL FY22 COVID-19-RELATED COMMUNITY BENEFIT EXPENSES: $130,290,000 DIRECT COVID-19-RELATED OFFSETTING REVENUE RECEIVED IN FY22: $208,099,472* NET COVID-19-RELATED COMMUNITY BENEFIT EXPENSE IN FY22: ($77,809,472) *SOME DIRECT COVID-19-RELATED OFFSETTING REVENUE RECEIVED IN FY22 REIMBURSES FOR COVID-19-RELATED COSTS INCURRED DURING FY20 AND FY21. STANFORD HEALTH CARE'S COMMUNITY HEALTH IMPROVEMENT SERVICES, NOT RELATED TO COVID-19 RESPONSE, TOTAL $3,652,331 AND INCLUDE: - COMMUNITY HEALTH EDUCATION PROGRAMS - HEALTH LIBRARY SERVICES - INSURANCE ENROLLMENT FOR UNINSURED AND UNDERINSURED PATIENTS - SUPPORTIVE CARE PROGRAMS PART I, LINE 7F HEALTH PROFESSIONS EDUCATION CONTRIBUTIONS FOR COMMUNITY BENEFIT TOTALED $162,619,734 IN FY22. THE HEALTH PROFESSIONS EDUCATION PROGRAM CONSISTS OF FOUR PROGRAMS: - MEDICAL STUDENT, RESIDENT, AND FELLOW TRAINING: STUDENT TRAINING PROGRAMS INCLUDED ALL PRIMARY AND SPECIALTY PROGRAMS. - NURSE STUDENT TRAINING - ALLIED HEALTH PROFESSIONS TRAINING, INCLUDING - AGING ADULT SERVICES - CLINICAL LABORATORY - CLINICAL NUTRITION/DIETICIANS - DOSIMETRY - NUCLEAR MEDICINE - ORTHOPEDICS - PHARMACY - PHYSICIAN ASSISTANT - PSYCHOLOGY - RADIOLOGY - REHABILITATION SERVICES - RESPIRATORY CARE SERVICES - ULTRASOUND - VASCULAR SONOGRAPHY - OTHER HEALTH PROFESSIONS EDUCATION, INCLUDING - CONTINUING EDUCATION FOR NURSES AND SOCIAL WORK PROFESSIONALS. - CLINICAL PASTORAL EDUCATION: STUDENTS, FROM A RANGE OF RELIGIOUS TRADITIONS, ENROLL IN THIS PROGRAM TO PREPARE FOR A CAREER IN CHAPLAINCY OR RECEIVE CONTINUING EDUCATION IN PASTORAL/SPIRITUAL CARE. UPON COMPLETION OF THIS YEAR-LONG PROGRAM, STUDENTS USE THEIR TRAINING AS CLERGY TO PROVIDE EFFECTIVE SPIRITUAL CARE TO INDIVIDUALS AND FAMILIES FACING HEALTH CHALLENGES, INCLUDING DEATH, DYING, AND BEREAVEMENT. PART I, LINE 7G SUBSIDIZED HEALTH SERVICES CONTRIBUTIONS TOTALED $3,368,436 IN FY22. STANFORD HEALTH CARE SUBSIDIZED HEALTH SERVICES INCLUDES THE STANFORD LIFE FLIGHT PROGRAM AND SECOND OPINION SERVICES AVAILABLE TO THE COMMUNITY. - STANFORD LIFEFLIGHT IS HELICOPTER TRANSPORT OF CRITICALLY ILL AND INJURED ADULT, PEDIATRIC, AND NEONATAL PATIENTS TO DEFINITIVE CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. - THE ONLINE SECOND OPINION PROGRAM OFFERS THE BROAD COMMUNITY SECOND OPINION SERVICES. COMMUNITY MEMBERS CAN PROVIDE THEIR HEALTH RECORDS FOR SHC PROVIDERS TO REVIEW AND PROVIDE A SECOND OPINION FOR DIAGNOSIS AND TREATMENT PLAN. LINKAGE TO SHC SPECIALTY CARE IS AVAILABLE, REGARDLESS OF PAYER. PART I, LINE 7H RESEARCH CONTRIBUTIONS TOTALED $182,661 IN FY22. STANFORD HEALTH CARE'S CONDUCTS CLINICAL AND COMMUNITY HEALTH RESEARCH THROUGH THE OFFICE OF RESEARCH (OOR). ADDITIONALLY, SHC PROVIDES FINANCIAL SUPPORT TO STANFORD UNIVERSITY FOR CLINICAL AND COMMUNITY HEALTH RESEARCH. OOR IS STAFFED BY RESEARCH SCIENTISTS AND COORDINATORS, CONDUCTS RESEARCH AND CLINICAL TRIALS TO IMPROVE CARE DELIVERY AND HEALTH OUTCOMES ACROSS THE HEALTH CARE FIELD. THE FY22 RESEARCH INITIATIVES STUDIED 1. RACE IN CLINICAL INFORMATICS, 2. BUILDING A CULTURE OF HEALTH EQUITY IN RESEARCH, 3. THE ROLE OF NURSING AND HEALTH EQUITY, 4. COMMUNITY-BASED INTERVENTIONS FOR HUMAN TRAFFICKING. OOR PARTNERS WITH SAFETY NET CARE PROVIDERS, LOCAL LAW ENFORCEMENT, AND THE LOCAL CHAPTER OF THE NATIONAL BLACK NURSES ASSOCIATION. PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT TOTALED $108,464,880 IN FY22. PART II, LINE 1 PHYSICAL IMPROVEMENTS AND HOUSING: SHC SPONSORED THE 2021 REBUILDING TOGETHER PENINSULA DAY, WHICH SUPPORTED VOLUNTEER EFFORTS TO PROVIDE HOUSING IMPROVEMENTS TO A LOW-INCOME FAMILY. HOUSING IMPROVEMENTS, INCLUDING PAINTING THE HOUSE, LANDSCAPING, ROOF REPAIRS, AND INSTALLATION OF WINDOW SECURITY BARS. PART II, LINE 3 COMMUNITY SUPPORT: SHC'S OFFICE OF EMERGENCY MANAGEMENT (OEM) PLAYS A KEY ROLE IN DISASTER PLANNING FOR THE COMMUNITY. THROUGH OEM, SHC COLLABORATES WITH LOCAL MUNICIPALITIES, COUNTY GOVERNMENT, AND OTHER HOSPITALS TO COORDINATE PLANNING, MITIGATION, REPOSE, AND RECOVERY ACTIVITIES FOR EVENTS THAT COULD ADVERSELY IMPACT THE COMMUNITY. THE GOAL OF THESE ACTIVITIES IS TO MINIMIZE THE IMPACT ON LIFE, PROPERTY, AND THE ENVIRONMENT FROM CATASTROPHIC EVENTS SUCH AS PANDEMIC FLU, EARTHQUAKES, AND OTHER DISASTERS. OEM WORKS WITH EMERGENCY MEDICAL SERVICES IN BOTH SAN MATEO AND SANTA CLARA COUNTIES ON JOINT DISASTER EXERCISES, DISASTER PLANNING AND MITIGATION, AND BEST PRACTICES. OEM PROVIDES CRITICAL SERVICES FOR SAN MATEO AND SANTA CLARA COUNTIES' EMS AND OTHER AGENCIES, AS WELL AS THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND OTHER HOSPITALS BY MAINTAINING CACHES OF EMERGENCY MEDICAL EQUIPMENT AND SUPPLIES FOR READY ACCESS AND DEPLOYMENT IN THE CASE OF DISASTER OR EMERGENCIES. OEM PROVIDES REGULAR INVENTORY REVIEW AND 24/7 SECURITY TO ENSURE THAT THESE EMS SUPPLIES ARE SERVICE-READY AT ALL TIMES. SHC'S OFFICE OF EMERGENCY MANAGEMENT DEVOTED SIGNIFICANT LEADERSHIP AND RESOURCES TO THE LOCAL AND REGIONAL COVID-19 EMERGENCY MANAGEMENT EFFORTS. THESE EFFORTS ARE ACCOUNTED FOR IN COMMUNITY HEALTH IMPROVEMENT SERVICES (CATEGORY 7A). PART III, LINE 2 & 4 THE ESTIMATES OF CONTRACTUAL ADJUSTMENTS ARE DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICY, AND HISTORICAL COLLECTION EXPERIENCE. THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLES INVOLVED HISTORICAL COLLECTION EXPERIENCE, CHANGES IN CONTRACTS WITH PAYORS, AND SIGNIFICANT ASSUMPTIONS AND JUDGMENT. PART III, LINE 8 SHC HAS BEEN UTILIZING A COST ACCOUNTING (EPSI) SYSTEM TO MONITOR ITS OPERATION COST. THE SYSTEM SEPARATES THE COST INTO 4 MAJOR CATEGORIES, VARIABLE DIRECT COST, FIXED DIRECT COST, VARIABLE INDIRECT COST, AND FIXED INDIRECT COST. THE OVERHEAD COSTS ARE ALLOCATED TO THE REVENUE GENERATED PATIENT CARE COST CENTERS AND INDIVIDUAL PATIENT ACCOUNT BASED ON THE STEP DOWN METHODOLOGY AND VARIOUS STATISTICAL UNITS OF SERVICES. THE COST OF CHARGE RATIO (RCC) FOR MEDICARE PROGRAM IS DETERMINED BY THE TOTAL COST OF SHC DISCHARGED AND FINAL BILLED MEDICARE PATIENTS, INCLUDING ALL 4 COST CATEGORIES MENTIONED ABOVE AND DIVIDED BY THE TOTAL CORRESPONDING DISCHARGED AND FINAL BILLED MEDICARE CHARGES FOR FY 2022. THE AMOUNT OF THE COST FOR PART III, SECTION B LINE 6 IS DETERMINED BY APPLYING THE PAYER SPECIFIC RCC TO ALL CHARGES FOR MEDICARE RELATED PROGRAMS, INCLUDING TRADITIONAL MEDICARE PROGRAM AND MANAGED CARE SENIOR PROGRAMS RESPECTIVELY. SHC'S LARGEST COMMUNITY BENEFIT INVESTMENT IS IN IMPROVING ACCESS TO NEEDED HEALTHCARE SERVICES FOR VULNERABLE COMMUNITY MEMBERS. BENEFITS AND THE SERVICES ARE NOT ONLY PROVIDED TO THE POOR BUT TO THOSE WHO NEED SPECIAL SERVICES AND SUPPORT, WHICH INCLUDES MEDICARE BENEFICIARIES. THUS, TOTAL COMMUNITY BENEFIT EXPENSE WHICH INCLUDES UNCOMPENSATED COSTS OF PUBLIC PROGRAM FOR TREATING MEDICARE BENEFICIARIES IN EXCESS OF GOVERNMENT PAYMENTS. PART III, SECTION C, LINE 9B IT IS THE POLICY OF SHC TO FOLLOW THE STANDARDS AND PRACTICES FOR COLLECTION OF PATIENT DEBT IN ACCORDANCE WITH THE REQUIREMENTS OF CALIFORNIA ASSEMBLY BILL 774. SHC HAS A VARIETY OF OPTIONS FOR PATIENTS FACING FINANCIAL ASSISTANCE HARDSHIP INCLUDING UNINSURED DISCOUNTS, NO INTEREST PAYMENT ARRANGEMENTS, AND A CHARITY CARE PROGRAM. PATIENTS WHO APPLY FOR CHARITY CARE AND QUALIFY MAY RECEIVE UP TO 100% FINANCIAL ASSISTANCE. SHC WILL SUSPEND ANY AND ALL COLLECTION ACTIONS IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, INCLUDING ALL REQUISITE SUPPORTING DOCUMENTATION, IS RECEIVED. SHC DOES NOT ALLOW THEIR COLLECTION AGENCIES TO REPORT DEBT TO CREDIT BUREAUS, GARNISH WAGES OR FILE LIENS ON PRIMARY RESIDENCES. PART VI, LINE 2 A FOUR-HOSPITAL COLLABORATIVES WAS FORMED FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING CRITICAL HEALTH NEEDS OF THE COMMUNITY. DURING 2021, SHC WORKED TOGETHER WITH THE COLLABORATIVE TO CONDUCT AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), WHICH MEETS ALL REQUIREMENTS OF THE CALIFORNIA STATE SENATE BILL 697 AS WELL AS IRS REQUIREMENTS FOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGIES PURSUANT TO THE 2010 AFFORDABLE CARE ACT (SECTION 1.501(R)(3)). THROUGH THIS PROCESS, THE COLLABORATIVES COMPILED STATISTICAL DATA AND PROVIDED COMPARISONS AGAINST HEALTHY PEOPLE 2020 BENCHMARKS. WHERE HEALTHY PEOPLE 2020 BENCHMARKS WERE NOT AVAILABLE, STATEWIDE AVERAGES AND RATES WERE USED AS BENCHMARKS. THE COLLABORATIVES CONDUCTED PRIMARY RESEARCH USING THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH COMMUNITY LEADERS, AND STAKEHOLDERS, AND RESIDENT FOCUS GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY, AND IN ALIGNMENT WITH THE IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, IN POVERTY, AND OF MINORITY POPULATIONS. THIS DATA COLLECTION WAS SYNTHESIZED AND PRODUCED A LIST OF 10 SIGNIFICANT HEALTH NEEDS ACROSS STANFORD HEALTH CARE'S SERVICE AREA OF SANTA CLARA AND SAN MATEO COUNTIES. THE STANFORD HEALTH CARE COMMUNITY PARTNERSHIP PROGRAM STEERING COMMITTEE PRIORITIZED THE LIST OF SIGNIFICANT HEALTH NEEDS BY APPLYING THE FOLLOWING CRITERIA: - COMMUNITY PRIORITY: THE COMMUNITY PRIORITIZES THE HEALTH NEED OVER OTHER HEALTH NEEDS; BASED ON THE FREQUENCY WITH WHICH THE KEY INFORMANTS EXPRESSED CONCERN ABOUT EACH HEALTH OUTCOME DURING THE CHNA PRIMARY DATA COLLECTION. - ASSETS & RESOURCES: THERE IS A LACK OF SUFFICIENT ASSETS AND/OR RESOURCES TO ADDRESS THE HEALTH NEED. FOR EXAMPLE, A LACK OF SPECIALTY CARE, HEALTH FACILITIES, AFFORDABLE HEALTHY BEHAVIORS, OR INFORMATION. - CLEAR DISPARITIES OR INEQUITIES: RECOGNIZABLE DIFFERENCES IN HEALTH OUTCOMES EXIST AMONG SUBGROUPS OF PEOPLE (BASED ON GEOGRAPHY, LANGUAGE, ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER IDENTITY, OR OTHER FACTORS). - MULTIPLIER EFFECT: A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS THE POTENTIAL TO SOLVE MULTIPLE PROBLEMS. FOR EXAMPLE, IF RATES OF OBESITY DECREASE, DIABETES RATES MAY ALSO DECREASE. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SHC PROVIDES DEDICATED RESOURCES TO PATIENTS THAT APPLY FOR CHARITY CARE AND PROACTIVELY CONDUCTS OUTREACH TO PATIENTS TO INFORM THEM OF THE PROGRAM'S AVAILABILITY AND THEIR POTENTIAL ELIGIBILITY FOR ASSISTANCE. BROCHURES AND SIGNAGE ARE CONSPICUOUSLY DISPLAYED AT ALL CARE DELIVERY LOCATIONS WITH INSTRUCTION ON WHERE TO LOCATE ADDITIONAL INFORMATION ON ELIGIBILITY FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE APPLICATIONS, AND INSTRUCTIONS ON HOW TO APPLY ARE ALSO AVAILABLE ON THE SHC WEBSITE, VIA MAIL, MYHEALTH (SHC'S ONLINE PATIENT BILLING PLATFORM) AND IN ALL SHC CARE DELIVERY LOCATIONS. PART VI, LINE 4 COMMUNITY INFORMATION SHC IS A REGIONAL REFERRAL CENTER FOR AN ARRAY OF ADULT SPECIALTIES, DRAWING PATIENTS FROM THROUGHOUT CALIFORNIA, ACROSS THE COUNTRY, AND INTERNATIONALLY. HOWEVER DUE TO ITS LOCATION IN PALO ALTO, ON THE NORTHERN END OF SANTA CLARA COUNTY AND BORDERING SAN MATEO COUNTY, THE MAJORITY OF SHC'S PATIENTS (APPROXIMATELY 51%) ARE RESIDENTS OF SAN MATEO AND SANTA CLARA COUNTIES. THEREFORE, FOR THE PURPOSES OF ITS COMMUNITY BENEFIT PROGRAM, SHC HAS IDENTIFIED THESE TWO COUNTIES AS ITS TARGET COMMUNITY. SHC MAINTAINS A STRONG COMMITMENT TO THE HEALTH OF ITS COMMUNITY MEMBERS AND DEDICATES CONSIDERABLE RESOURCES TO SUPPORT ITS COMMUNITY BENEFIT PROGRAM. IN 2019, APPROXIMATELY 1.92 MILLION RESIDENTS LIVED IN SANTA CLARA COUNTY. AN MATEO COUNTY IS FAR SMALLER WITH APPROXIMATELY 747,000 RESIDENTS IN 2019. THE POPULATION OF BOTH COUNTIES IS VERY DIVERSE WITH THE NON-WHITE POPULATION REPRESENTING 70% (SCC) AND 62% (SMC) OF THE TOTAL POPULATION. ABOUT 4% OF BOTH COMMUNITIES IS UNINSURED. MORE THAN ONE-THIRD OF RESIDENTS IN BOTH COUNTIES ARE FOREIGN-BORN. THE FEDERAL POVERTY LINE (FPL) IS THE TRADITIONAL MEASURE OF POVERTY IN A COMMUNITY. UNFORTUNATELY, THE FPL DOES NOT TAKE INTO CONSIDERATION LOCAL CONDITIONS SUCH AS THE HIGH COST OF LIVING IN THE SAN FRANCISCO BAY AREA. AS SUCH, THE CALIFORNIA SELF-SUFFICIENCY STANDARD (CASSS) IS A BETTER ESTIMATE OF ECONOMIC STABILITY IN BOTH COUNTIES. CASSS CITES THAT MORE THAN 30% OF HOUSEHOLDS ACROSS SCC AND SMC IN 2021 WERE UNABLE TO MEET THEIR BASIC NEEDS. FOR A FAMILY WITH TWO CHILDREN, CASSS ESTIMATES THAT AN ANNUAL INCOME OF $144,136 IN SCC AND $166,257 IN SMC WAS NECESSARY TO MEET BASIC NEEDS. WHILE MINIMUM WAGE WAS $14-$16.30 (SCC) AND $14-15.90 (SMC) PER HOUR IN 2021, TO MEET THE CASSS ESTIMATE AN HOURLY WAGE OF $69 (SCC) AND $80 (SMC) WAS REQUIRED. LASTLY, CASSS REPORTS A 27% INCREASE IN THE COST OF LIVING ACROSS BOTH COUNTIES BETWEEN 2018 AND 2021. UNFORTUNATELY, THE BUREAU OF LABOR STATISTICS CITES ONLY A 5.4% PER YEAR AVERAGE INCREASE IN WAGES ACROSS THE SAN JOSE-SAN FRANCISCO-OAKLAND METROPOLITAN AREA DURING THE 2018 AND 2020. IN 2018, INSIGHT PUBLISHED THE COST OF BEING CALIFORNIAN, WHICH CITES SIGNIFICANT INCOME, ETHNIC, AND GENDER DISPARITIES EXIST ACROSS CALIFORNIA. THE KEY FINDINGS OF THE COST OF BEING CALIFORNIA REPORT, INCLUDE: - CALIFORNIA (CA) HOUSEHOLDS OF COLOR ARE TWICE AS LIKELY AS WHITE HOUSEHOLDS TO LACK ADEQUATE INCOME TO MEET THEIR BASIC NEEDS - 52% OF LATINO CA HOUSEHOLDS ARE STRUGGLING TO GET BY VS. 23% OF WHITE HOUSEHOLDS - CA HOUSEHOLDS OF COLOR MAKE UP 57% OF ALL CALIFORNIA HOUSEHOLDS, BUT CONSTITUTE 72% OF HOUSEHOLDS THAT FALL BELOW THE CASSS - WOMEN IN CA ARE MORE ECONOMICALLY DISADVANTAGED THAN MEN ACROSS MANY FACTORS, INCLUDING LOWER PAY, TAKING UNPAID TIME TO CARE FOR CHILDREN OR FAMILY MEMBERS, UNDEREMPLOYMENT, AND OCCUPATIONAL SEGREGATION - HAVING CHILDREN NEARLY DOUBLES THE CHANCE OF LIVING BELOW CASSS - POLICY CHANGE TO INCREASE WAGES, INSTITUTE COMPREHENSIVE PAID FAMILY LEAVE, CURB RISING HOUSING COSTS, AND ESTABLISH UNIVERSAL CHILD CARE ARE NEEDED PART VI, LINE 5 STANFORD HEALTH CARE MAKES ANNUAL COMMUNITY INVESTMENT GRANTS TO COMMUNITY NONPROFITS WORKING ON SIGNIFICANT HEALTH NEEDS AS DETERMINED BY THE MOST RECENT CHNA. IN ADDITION, THE HOSPITAL MAKES SIGNIFICANT INVESTMENTS THAT PROMOTE THE HEALTH OF THE COMMUNITY. THESE PROGRAMS ARE FULLY DESCRIBED IN THE FY2022 COMMUNITY BENEFIT REPORT AND IMPLEMENTATION PLAN FILED FEBRUARY 2023 WITH THE STATE OF CALIFORNIA DEPARTMENT ODF HEALTH CARE ACCESS AND INFORMATION (CA-DCAI). A THOROUGH ACCOUNTING OF THE HOSPITAL'S EFFORTS TO PROMOTE COMMUNITY HEALTH CAN BE READ IN THE REPORT WHICH IS AVAILABLE AT HTTPS://STANFORDHEALTHCARE.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS.HTML PLEASE NOTE THAT LINK MUST BE ENTERED IN LOWER CASE LETTERS IN URL. BELOW IS A LISTING OF STANFORD HEALTH CARE'S SERVICES AND ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE: HEALTH PROFESSIONS EDUCATION THE HOSPITAL IS A MAJOR EMPLOYER IN THE COMMUNITY IT SERVES AND, AS AN ACADEMIC MEDICAL CENTER, INVESTS SIGNIFICANTLY IN TRAINING THE HEALTH CARE PROFESSIONALS OF THE FUTURE. THE HOSPITAL IS A MAJOR PROVIDER OF TRAINING FOR RESIDENT PHYSICIANS, FELLOWS AND MEDICAL STUDENTS, NURSES, AND ALLIED HEALTH PROFESSIONS FROM AROUND THE REGION FROM VARIOUS ORGANIZATIONS. COMMUNITY HEALTH IMPROVEMENT THE HOSPITAL CONDUCTS MULTIPLE PROGRAMS THAT ARE OFFERED AT NO COST TO COMMUNITY MEMBERS AND SEEKS TO IMPROVE THE HEALTH AND HEALTH KNOWLEDGE OF THE COMMUNITY. THESE ACTIVITIES INCLUDE CLINICAL TRIALS, INFORMATION AND ENROLLMENT SERVICES, HEALTH INSURANCE ENROLLMENT SERVICES FOR LOW-INCOME ADULTS AND CHILDREN, COMMUNITY HEALTH EDUCATIONS PROGRAMS, SUPPORTIVE CARE PROGRAMS FOR CANCER AND NEUROSCIENCE PATIENTS, AND ONGOING RESEARCH IN THE AREAS OF CARE DELIVERY AND QUALITY IMPROVEMENT. COMMUNITY BUILDING ACTIVITIES THE HOSPITAL PARTICIPATES IN A MYRIAD OF COMMUNITY BUILDING ACTIVITIES THAT SEEK TO IMPROVE THE COMMUNITY'S HEALTH AND SAFETY. THESE SERVICES AND ACTIVITIES ARE EITHER PROVIDED BY THE HOSPITAL ITSELF OR INVOLVE SUPPORT FOR COMMUNITY ORGANIZATIONS WORKING IN THE AREAS OF: POVERTY, HOMELESSNESS, ECONOMIC DEVELOPMENT, ETC. HOSPITAL LEADERSHIP ALSO VOLUNTEERS THEIR EXPERTISE ON MULTIPLE COMMUNITY NONPROFIT BOARDS WORKING TO IMPROVE THE HEALTH OF THE COMMUNITY. THE HOSPITAL ALSO SUPPORTS LOCAL EMERGENCY MANAGEMENT EFFORTS, SUPPORTS ECONOMIC AND WORKFORCE DEVELOPMENT IN THE REGION, AND ADVOCATES FOR COMMUNITY HEALTH ISSUES. ACADEMIC MEDICAL CENTER - RESEARCH STANFORD HEALTH CARE IS PART OF STANFORD UNIVERSITY SCHOOL OF MEDICINE, THE WEST COAST'S OLDEST MEDICAL SCHOOL AND WORLDWIDE LEADER IN PATIENT CARE, EDUCATION, RESEARCH, AND INNOVATION. STANFORD HEALTH CARE IS PROUD TO BE THE PRIMARY TEACHING HOSPITAL OF STANFORD UNIVERSITY SCHOOL OF MEDICINE-ONE OF THE TOP RANKED ACADEMIC MEDICAL INSTITUTIONS IN THE COUNTRY. THROUGHOUT HISTORY, STANFORD UNIVERSITY SCHOOL OF MEDICINE HAS BEEN HOME TO CUTTING-EDGE MEDICAL ADVANCES, INCLUDING THE FIRST SUCCESSFUL ADULT HUMAN HEART TRANSPLANT IN THE COUNTRY AND THE FIRST COMBINED HEART-LUNG TRANSPLANT IN THE WORLD. STANFORD HEALTH CARE FUNDS ONGOING RESEARCH THROUGH STANFORD UNIVERSITY SCHOOL OF MEDICINE THAT SEEKS TO IMPROVE THE HEALTH OF OUR COMMUNITY. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM IN MAY 2015, THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS (VCHS) BECAME AN AFFILIATE OF STANFORD HEALTH CARE (SHC). VCHS PARTNERS WITH SHC TO SERVE THE EAST BAY'S TRI-VALLEY REGION OF LIVERMORE, DUBLIN AND PLEASANTON. VCHS'S FACILITIES IN LIVERMORE, DUBLIN AND PLEASANTON INCLUDE VALLEY MEDICAL CENTER, EMERGENCY SERVICES AND TWO URGENT CARE CENTERS. VCHS ALLOWS SHC TO EXPAND ITS PRESENCE IN THE CRITICAL TRI-VALLEY AREA BY PARTNERING WITH A HIGH QUALITY, HIGH VALUE COMMUNITY HOSPITAL. VCHS WILL PARTICIPATE IN ALL THREE OF SHC'S MISSIONS BY PROVIDING SHC'S LEADING EDGE CLINICAL CARE IN THE VCHS COMMUNITY, TRAINING FUTURE MEDICAL LEADERS THROUGH RESIDENCY ROTATIONS AND OTHER ACADEMIC PURSUITS, AND PROVIDING THE TRI-VALLEY AREA INCREASED ACCESS TO CLINICAL TRIALS FOR LIFE-SAVING TREATMENTS. IN ADDITION, SHC'S GROWING EXPERTISE IN POPULATION AND PRECISION HEALTH WILL BE LEVERAGED TO SERVE THIS COMMUNITY. EFFECTIVE JULY 26, 2022, STANFORD HEALTH CARE-VALLEYCARE (FORMERLY VCHS) HAS CHANGED ITS NAME TO STANFORD HEALTH CARE TRI-VALLEY. PART VI, LINE 7 ALL STATES IN WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: CALIFORNIA true AFRICAN AMERICAN COMMUNITY SERVICES AGENCY 304 N 6TH STREET SAN JOSE CA 95112 942494728 501(C)(3) 10000 EXPANDED ACCESS TO HEALTH CARE, INCLUDING BEHAVIOR AMERICAN RED CROSS 431 18TH ST NW WASHINGTON DC 20006 530196605 501(C)(3) 100000 ECONOMIC SECURITY AVENIDAS 450 BRYANT STREET PALO ALTO CA 94301 941480548 501(C)(3) 325000 COMMUNITY BASED HEALTH HOME PROGRAM AND SENIOR DIG COMMUNITY SVCS AGENCY OF MOUNTAIN VIEW 204 STIERLIN ROAD MOUNTAIN VIEW CA 94043 941422465 501(C)(3) 10000 HOUSING/HOMELESSNESS COUNTY OF SANTA CLARA 70 WEST HEDDING ST EAST WING 2ND FL SAN JOSE CA 95110 946000533 GOV 175646 MEDICAL RESPITE PROGRAM DESTINATION HOME 3180 NEWBERRY DRIVE SUITE 200 SAN JOSE CA 95118 823353174 501(C)(3) 650000 HOUSING/HOMELESSNESS DOWNTOWN STREETS INC 1671 THE ALAMEDA SUITE 306 SAN JOSE CA 95126 205242330 501(C)(3) 224204 HOUSING/HOMELESSNESS GARDNER FAMILY HEALTH NETWORK INC DBA GARDNER HE 1621 GOLD STREET ALVISO CA 95002 941743078 501(C)(3) 10000 HEALTHCARE ACCESS AND DELIVERY GO COPIA PBC 1160 BATTERY STREET EAST SUITE 100 SAN FRANCISCO CA 94111 471068807 170(e) 72432 FMV PER POUND BASIS FOOD DONATION FOOD DONATION HUMAN INVESTMENT PROJECT INC 800 S CLAREMONT STREET SUITE 120 SAN MATEO CA 94402 942154614 501(C)(3) 10000 HOUSING/HOMELESSNESS INTERNATIONAL RESCUE COMMITTEE INC 122 EAST 42ND STREET NEW YORK NY 10168 135660870 501(C)(3) 20000 ECONOMIC SECURITY HOUSING/HOMELESSNESS NEXT DOOR SOLUTIONS TO DOMESTIC VIOLENCE 234 EAST GISH ROAD SAN JOSE CA 95112 942420708 501(C)(3) 7500 HEALTHCARE ACCESS AND DELIVERY/ECONOMIC SECURITY/H AMBULATORY SURGERY ACCESS COALITION DBA OPERATION 1119 MARKET STREET SUITE 400 SAN FRANCISCO CA 94103 943180356 501(C)(3) 120000 HEALTHCARE ACCESS AND DELIVERY PALO ALTO FESTIVAL OF THE ARTS 355 ALMA STREET PALO ALTO CA 94301 940750244 501(C)(3) 12000 ECONOMIC SECURITY, TRANSPORTATION PENINSULA HEALTHCARE CONNECTION 33 ENCINA AVENUE 103 PALO ALTO CA 94301 202886131 501(C)(3) 575644 HEALTHCARE FOR HOMELESS AND EXPANDED ACCESS TO CARE PINK RIBBON GIRLS 350 HULS DRIVE CLAYTON OH 45315 320020270 501(C)(3) 6500 HEALTHCARE ACCESS AND DELIVERY PUBLIC HEALTH INSTITUTE 555 12TH STREET SUITE 600 OAKLAND CA 94607 941646278 501(C)(3) 35664 HEALTHCARE ACCESS AND DELIVERY REBUILDING TOGETHER PENINSULA 841 KAYNYNE STREET REDWOOD CITY CA 94063 943106209 501(C)(3) 20000 HOUSING/HOMELESSNESS ROOTS COMMUNITY HEALTH CENTER 7272 MAC ARTHUR BLVD OAKLAND CA 94605 262583954 501(C)(3) 149463 HEALTHCARE ACCESS AND DELIVERY ROTACARE BAY AREA INC 514 VALLEY WAY MILPITAS CA 95035 770328723 501(C)(3) 15000 HEALTHCARE ACCESS AND DELIVERY SAMARITAN HOUSE 4031 PACIFIC BOULEVARD SAN MATEO CA 94403 237416272 501(C)(3) 315000 HEALTHCARE ACCESS AND DELIVERY SECOND HARVEST OF SILICON VALLEY 750 CURTNER AVENUE SAN JOSE CA 95125 942614101 501(C)(3) 660000 ECONOMIC SECURITY SENIOR COASTSIDERS INC 925 MAIN STREET HALF MOON BAY CA 94019 943119310 501(C)(3) 60000 ECONOMIC SECURITY SILICON VALLEY BICYCLE COALITION 155 S 11TH STREET SAN JOSE CA 95112 770338658 501(C)(3) 25000 HEALTHCARE ACCESS AND DELIVERY PHYSICAL AND MENTAL SONRISAS DENTAL HEALTH INC 750 CURTNER AVENUE SAN JOSE CA 95125 943390196 501(C)(3) 61000 HEALTHCARE ACCESS AND DELIVERY SOUTH COUNTY COMMUNITY HEALTH CENTER INC 1885 BAY ROAD EAST PALO ALTO CA 94303 943372130 501(C)(3) 1045000 HEALTHCARE ACCESS AND DELIVERY THE HEALTH TRUST 3180 NEWBERRY DRIVE SUITE 200 SAN JOSE CA 95118 946050231 501(C)(3) 365000 ECONOMIC SECURITY VOLUNTEERS FOR INTER-AMERICAN DVLPMT ASST 2424 FOURTH STREET BERKELEY CA 94710 680249466 501(C)(3) 514094 COST OF GOODS & SVCS MED SUPPLIES & EQPMT MEDICAL SUPPLIES AND EQUIPMENT VITUITY CARES FOUNDATION INC 2100 POWELL STREET SUITE 400 EMERYVILLE CA 94608 851805937 501(C)(3) 15000 HEALTHCARE ACCESS AND DELIVERY WEST VALLEY COMMUNITY SVCS SANTA CLARA CTY 10104 VISTA DRIVE CUPERTINO CA 95014 942211685 501(C)(3) 15000 HOUSING/HOMELESSNESS YOUNG WOMEN'S CHRISTIAN ASSN SIL VALLEY 375 S THIRD STREET SAN JOSE CA 95053 941186196 501(C)(3) 10000 HEALTHCARE ACCESS AND DELIVERY/ECONOMIC SECURITY/H THE BOARD OF TRUSTEES STANFORD UNIVERSITY 3145 PORTER DRIVE PALO ALTO CA 94304 941156365 501(C)(3) 99723199 SUPPORT FOR MEDICAL TRAINING, RESEARCH, AND COMMUNITY HEALTH IMPROVEMENT ACTIVITIES 31 1 PROCEDURES FOR MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 FOLLOWING GRANT APPROVAL BY THE COMMUNITY PARTNERSHIP PROGRAM STEERING COMMITTEE, SHC PROVIDES A GRANT AWARD LETTER/RESTRICTED USE LETTER TO THE GRANT RECIPIENT DETAILING THE TERMS OF THE GRANT, INCLUDING GRANT PERIOD, GRANT AWARD AMOUNT AND PAYMENT SCHEDULE, GRANT REPORTING SCHEDULE, AND GRANT GOALS AND OUTCOMES. THE GRANT RECIPIENT PROVIDES ELECTRONIC SIGNATURE AGREEING TO THE TERMS OF THE RESTRICTED USE LETTER AND VERIFYING RECEIPT OF PAYMENT. THE SHC GRANTS MANAGER MAINTAINS CONTACT THROUGHOUT THE GRANT PERIOD, VERIFYING APPROPRIATE USE OF FUNDS AND PROGRESS ON STATED GOALS AND OBJECTIVES. AT THE END OF THE GRANT PERIOD, FINAL GRANT REPORTS ARE REVIEWED BY THE GRANT MANAGER. COPIES OF ALL DOCUMENTS ARE KEPT ELECTRONICALLY BY THE COMMUNITY PARTNERSHIP PROGRAM. X true true X X X X X false true false false false false false true false MARY HAWN MD DIRECTOR (SEE SCHEDULE O) 0 823444 0 868655 0 15694 0 29000 0 59049 0 1795842 0 0 DAVID ENTWISTLE DIRECTOR/CEO 1912080 0 1974161 0 968067 0 357971 0 51600 0 5263879 0 312114 0 DALE BEATTY CNO & VP PATIENT CARE SERVICES 555912 0 286210 0 111650 0 84753 0 21829 0 1060354 0 53517 0 LINDA HOFF CFO 903700 0 680710 0 168490 0 138697 0 36706 0 1928303 0 104540 0 QUINN MCKENNA COO 1205808 0 902516 0 444075 0 174937 0 51600 0 2778936 0 136394 0 LLOYD B MINOR MD DIRECTOR (SEE SCHEDULE O) 0 1724329 0 250000 0 110364 0 329000 0 32941 0 2446634 0 0 CATHERINE D KRNA VP - AMBULATORY CARE & GI 625103 0 174057 0 77469 0 94582 0 46981 0 1018192 0 43239 0 ERIC YABLONKA CHIEF INFORMATION OFFICER 343373 0 0 0 167320 0 42594 0 10930 0 564217 0 312 0 SRIDHAR SESHADRI VP CANCER CTR & HEART CTR 666774 0 186996 0 147070 0 38987 0 53798 0 1093625 0 377 0 PAUL KING DIRECTOR (SEE SCHEDULE O) 0 1086047 0 726359 0 583810 0 45600 0 19715 0 2461531 0 338450 RANDALL LIVINGSTON DIRECTOR (SEE SCHEDULE O) 0 752377 0 0 0 720794 0 199667 0 35107 0 1707945 0 333333 MEGAN MAHONEY MD DIRECTOR (SEE SCHEDULE O) 0 371614 0 50369 0 2685 0 22863 0 30712 0 478243 0 0 YIPING WOO MD DIRECTOR (SEE SCHEDULE O) 0 1536088 0 1137570 0 0 0 18034 0 67865 0 2759557 0 0 GARY FRITZ VP - APPLICATIONS 420430 0 108417 0 60252 0 31291 0 40569 0 660959 0 122 0 ALISON M KERR VP - NEURO ORTHO SL/CAO CLN OP 567290 0 161034 0 97376 0 88735 0 21571 0 936006 0 39937 0 HELEN M WILMOT VP TRANSITION & STRATEGIC SPAC 451047 0 132127 0 100797 0 39450 0 46161 0 769582 0 221 0 DAVID D JONES VP & CHIEF HR OFFICER 567628 0 292252 0 250254 0 31725 0 34294 0 1176153 0 141563 0 THOMAS Y KIM VP-CHIEF MKT DEVELOP. OFFICER 483819 0 247197 0 64200 0 79804 0 19018 0 894038 0 0 0 PRIYA SINGH VP & CHIEF STRATEGY OFFICER 701763 0 293947 0 55144 0 107657 0 6249 0 1164760 0 0 0 JAMES MARTIN JR VP, CONTROLLER 487654 0 135334 0 96648 0 67017 0 17637 0 804290 0 40083 0 TOM MONTINE MD DIRECTOR (SEE SCHEDULE O) 0 646665 0 299219 0 4541 0 26100 0 26327 0 1002852 0 0 ROSANNE ROTH SECRETARY 181274 0 36110 0 19550 0 18266 0 17516 0 272716 0 0 0 SCHEDULE J, PART I, LINE 1A 3 OFFICERS, 3 KEY EMPLOYEES, AND 1 HIGHEST COMPENSATED EMPLOYEE RECEIVED HOUSING AS A TAXABLE BENEFIT AND THE AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B (III). SCHEDULE J, PART I, LINE 4B STANFORD HEALTH CARE ("SHC") PROVIDES ALL SENIOR EXECUTIVES WITH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS. FOR EACH CALENDAR YEAR, A HYPOTHETICAL ACCOUNT IS ESTABLISHED FOR EACH PARTICIPANT AND CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION) AS OF THE LAST DAY OF EACH QUARTER. THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN EACH CALENDAR YEAR ACCOUNT ON THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED (OR, IF LATER, THE DATE ON WHICH THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION). THE PARTICIPANT BECOMES FULLY VESTED IN HIS OR HER ACCOUNTS UNDER THE SERP UPON THE EARLIEST OF (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) ATTAINMENT OF AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; (D) COMPLETION OF SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) DEATH. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2021: SRIDHAR B. SESHARDI $ 78,341 CATHERINE D. KRNA $ 44,852 DAVID ENTWISTLE $ 323,758 DAVID D. JONES $ 212,229 QUINN MCKENNA $ 141,483 LINDA HOFF $ 108,441 ERIC YABLONKA $ 19,485 DALE BEATTY $ 55,514 HELEN M. WILMOT $ 55,169 ALISON M. KERR $ 40,064 GARY FRITZ $ 30,405 THOMAS Y. KIM $ 39,226 PRIYA SINGH $ 20,938 JAMES J. MARTIN, JR. $ 40,039 PAUL KING $ 535,466 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). AMOUNTS CREDITED AND DISCLOSED ON THE FORM 990 IN PRIOR YEARS THAT VESTED AND WERE PAID IN CALENDAR 2021 ARE REPORTED IN COLUMN (F). RANDALL LIVINGSTON AND LLOYD B. MINOR PARTICIPATE IN A DEFERRED COMPENSATION PLAN AT STANFORD UNIVERSITY, A RELATED ORGANIZATION. AMOUNTS CREDITED TO THE PLAN ARE BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT IF CERTAIN CONDITIONS ARE MET. CERTAIN BONUS AMOUNTS MAY BE DEFERRED AND PAID IN A LATER YEAR SUBJECT TO IRC SECTION 457(F). SCHEDULE J, PART I, LINE 7 & PART II, DESCRIPTION FOR COLUMN B(II) OFFICERS AND OTHERS WITH AMOUNTS IN THIS COLUMN RECEIVE BONUS AWARDS AND INCENTIVE COMPENSATION. THE ANNUAL INCENTIVE PLAN (AIP) IS BASED ON ACHIEVING CERTAIN GOALS ESTABLISHED PRIOR TO THE NEW FISCAL YEAR. THE GOALS ARE BASED ON THE FOCUSED AREAS, SUCH AS PATIENT CARE, QUALITY/SAFETY SERVICE, FINANCIAL RESULT, AND DEPARTMENT/PERSONAL PERFORMANCE. SCHEDULE J, PART II, DESCRIPTION FOR COLUMN B(III) OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B(III) INCLUDES HOUSING ASSISTANCE, SERP CASH DISTRIBUTION, GRANT MONIES, ACCRUED VACATION PAY OUT, GROUP TERM LIFE, AND TAXABLE MOVING ASSISTANCE. IN ADDITION, SHC HAS PROVIDED VARIOUS ITEMS OF "LISTED PROPERTY" (E.G. COMPUTERS AND PERIPHERALS) TO THE ABOVE LISTED EMPLOYEES PRINCIPALLY FOR THEIR BUSINESS USE. SCHEDULE J, PART II DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS OF SHC. HOWEVER, THE INDIVIDUALS LISTED WERE ALSO EMPLOYEES OF RELATED ORGANIZATIONS, POSITIONS FOR WHICH THEY RECEIVED COMPENSATION AS REPORTED IN PART II. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LNX1 2008-06-02 428500000 2008 SERIES AB-SEE PART VI true false false B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LZD2 2012-05-23 608293722 2012 SERIES ABCD-SEE PART VI true false false C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033L8Q3 2015-06-30 180626500 2015 SERIES AB-SEE PART VI true false false D CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UQR2 2017-12-28 530337859 2017 SERIES A-SEE PART VI false false false A 260300000 0 428500000 0 0 0 0 0 0 0 428500000 0 2008 true false true true B 560890000 0 614499969 0 0 0 4780 0 0 535097892 79397297 0 2019 false true true true C 75000000 0 182519359 0 0 0 0 0 0 182519359 0 0 2019 false false true true D 0 0 563990753 0 0 0 0 0 0 0 563990753 0 2017 false true true true A false true true true false 0.00090 0.00090 false false false true B false true true true false 0.00010 0.00010 false false false true C false false true true false 0 false false false true D false true true true false 0.00010 0.00010 false false false true A false false true true true true SEE PART VI false true false 0 false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true D false false true true false false 0 false 0 false true A true B true C true D true TAX EXEMPT BONDS FORM 990, SCHEDULE K, PART I BOND ISSUES: A CUSIP#: 13033LNX1 - ORIGINAL CUSIP IN TAX CERTIFICATE IS NO LONGER OUTSTANDING SERIES: 2008 SERIES A&B DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF 2006 SERIES A & B DATE OF ISSUE OF REFUNDED BONDS: MARCH 9, 2006. BOND ISSUES: B CUSIP#: 13033LZD2 - ORIGINAL CUSIP IN TAX CERTIFICATE IS NO LONGER OUTSTANDING SERIES: 2012 SERIES A, C AND D DESCRIPTION OF PURPOSE: CONSTRUCTION OF REPLACEMENT ACUTE CARE HOSPITAL FACILITY AND RENOVATION OF PORTIONS OF EXISTING ACUTE CARE HOSPITAL 2012C LEGALLY DEFEASED IN APRIL 2020 2012A AND 2012D LEGALLY DEFEASED IN APRIL 2021 BOND ISSUES: B CUSIP#: 13033LZD2 - ORIGINAL CUSIP IN TAX CERTIFICATE IS NO LONGER OUTSTANDING SERIES: 2012 SERIES B DESCRIPTION OF PURPOSE: ADVANCE REFUNDING OF 2003 SERIES A. TOTAL PAR VALUE OF REFUNDED 2003A BONDS WAS $74,110,000 DATE OF ISSUE OF REFUNDED BONDS: JULY 1, 2003. BOND ISSUES: C CUSIP#: 13033L8Q3 SERIES: 2015 SERIES A & B DESCRIPTION OF PURPOSE: CONSTRUCTION OF REPLACEMENT ACUTE CARE HOSPITAL FACILITY AND RENOVATION OF PORTIONS OF EXISTING ACUTE CARE HOSPITAL 2015B LEGALLY DEFEASED IN APRIL 2021 BOND ISSUES: D CUSIP#: 13032UQR2 SERIES: 2017 SERIES A DESCRIPTION OF PURPOSE: ADVANCED REFUNDING OF A PORTION OF 2008A, A PORTION OF 2010A AND ENTIRE 2010B ISSUE DATE OF ISSUE OF REFUNDED BONDS: 06/02/2008 (2008A BONDS) & 06/16/2010 (2010A & 2010B BONDS) PART II, COLUMN (B), LINE 3: THIS AMOUNT DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS PART II, COLUMN (C), LINE 3: THIS AMOUNT DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS PART II, COLUMN (D), LINE 3: THIS AMOUNT DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS PART II, COLUMN (B), LINE 15: 2012B BONDS ADVANCE REFUNDED 2003A BONDS PART IV, LINE 2C, COLUMN (A) - REBATE CALCUALTION DATE FOR SERIES 2008: 08/31/2022 Part IV, LINE 2C, COLUMN (B) - REBATE CALCULATION DATE FOR SERIES 2012: 08/31/2022 PART IV, LINE 2C, COLUMN (C) - REBATE CALCULATION DATE FOR SERIES 2015: 08/31/2022 Part IV, LINE 2C, COLUMN (D) - REBATE CALCULATION DATE FOR SERIES 2017: 08/31/2022 PART IV ISSUE A: SERIES: 2008 SERIES B1 AND 2008 SERIES B2 NAME OF PROVIDER: DEUTSCHE BANK AG* TERM OF HEDGE: 10 TERMINATED: 02/26/2014. NOVATED FROM ORIGINAL COUNTERPARTY, J.P. MORGAN CHASE BANK N.A. EFFECTIVE JANUARY 1, 2011 PART IV LINE 3: 2012C WERE VARIABLE BONDS (DEFEASED AND RETIRED IN APRIL 2020). 2012D WERE VARIABLE BONDS (DEFEASED AND RETIRED IN APRIL 2021). 2015B WERE VARIABLE BONDS (DEFEASED AND RETIRED IN APRIL 2021). 2008B ARE VARIABLE RATE BONDS. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UVN5 2020-04-01 190005327 2020 SERIES A-SEE PART VI false false false B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UYT9 2021-04-30 175002141 2021 SERIES A-SEE PART VI false false false A 0 0 190012515 0 0 0 0 0 0 130005327 60007188 0 2020 true false true true B 0 0 175002141 0 0 0 0 0 0 0 175002141 0 2021 true false true true A false false true true false 0 false false false true B false false true true false 0 false false false true A false false true true false false 0 false 0 false true B false false true true false false 0 false 0 false true A true B true TAX-EXEMPT BONDS BOND ISSUES: A CUSIP#: 1302UVN5 SERIES: 2020 SERIES A DESCRIPTION OF PURPOSE: CONSTRUCTION OF REPLACEMENT ACUTE CARE HOSPITAL FACILITY AND RENOVATION OF PORTIONS OF EXISTING ACUTE CARE HOSPITAL. CURRENT REFUNDING OF THE 2012C ISSUE DATE OF ISSUE OF REFUNDED BONDS: MAY 23, 2012 (2012C BONDS) BOND ISSUES: B CUSIP#: 13032UYT9 SERIES: 2021 SERIES A DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF THE 2012D AND 2015B ISSUES DATE OF ISSUE OF REFUNDED BONDS: MAY 23, 2012 (2012 D BONDS) & JUNE 30, 2015 (2015B BONDS) PART II, COLUMN (A), LINE 3: THIS AMOUNT DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS PART IV, LINE 2C, COLUMN (A) - REBATE CALCULATION DATE FOR SERIES 2020: 08/31/2022 PART IV, LINE 2C, COLUMN (B) - REBATE CALCULATION DATE FOR SERIES 2021: 08/31/2022 DAVID ENTWISTLE OFFICER HOUSING LOAN X 1000000 1000000 false true true DAVID ENTWISTLE OFFICER HOUSING LOAN X 1000000 1000000 false true true DAVID ENTWISTLE OFFICER HOUSING LOAN X 1000000 400000 false true true QUINN MCKENNA OFFICER HOUSING LOAN X 500000 500000 false true true QUINN MCKENNA OFFICER HOUSING LOAN X 500000 500000 false true true QUINN MCKENNA OFFICER HOUSING LOAN X 500000 500000 false true true QUINN MCKENNA OFFICER HOUSING LOAN X 500000 250000 false true true DALE BEATTY KEY EMPLOYEE HOUSING LOAN X 500000 500000 false true true LINDA HOFF OFFICER HOUSING LOAN X 953000 953000 false true true GARY FRITZ FORMER KEY EMPLOYEE HOUSING LOAN X 300000 300000 false true true 5903000 SCHEDULE L, PART II LOANS TO/FROM INTERESTED PERSONS EACH LOAN TO AN INTERESTED PERSON IS MADE FROM STANFORD HEALTH CARE (SHC) TO THE INDIVIDUAL (COLUMN D). NONE OF THE LOANS ARE IN DEFAULT (COLUMN G). ALL LOANS HAVE BEEN APPROVED BY THE BOARD OF DIRECTORS (COLUMN H) AND, FOR EACH LOAN ISSUED, THERE EXISTS A WRITTEN AGREEMENT BETWEEN SHC AND THE BORROWER (COLUMN I). THE LOANS TO INTERESTED PERSONS FALL UNDER THREE CATEGORIES: MORTGAGE ASSISTANCE PROGRAM (MAP), DEFERRED INTEREST PAYMENT (DIP), AND ZERO INTEREST PROGRAM (ZIP). FOR THE THREE TYPES OF LOANS, SHC WILL SHARE IN ANY APPRECIATION IN VALUE OF THE PROPERTY AT THE TIME OF REPAYMENT BASED ON ITS PERCENTAGE OF OWNERSHIP INTEREST. APPRECIATION IS THE DIFFERENCE BETWEEN THE DUE DATE FAIR MARKET VALUE OF THE PROPERTY AND THE ORIGINAL PURCHASE PRICE. THE MORTGAGE ASSISTANCE PROGRAM LOAN (MAP) IS A NON-AMORTIZING, INTEREST ONLY HOME LOAN REQUIRING THE PRINCIPAL TO BE PAYABLE AT THE TIME OF SALE, PREPAYMENT OR REFINANCING. THE DEFERRED INTEREST PAYMENT LOAN (DIP) IS A NON-AMORTIZING HOME LOAN REQUIRING NO PAYMENT UNTIL THE PRINCIPAL AND DEFERRED INTEREST ARE DUE AT THE TIME OF SALE, PREPAYMENT OR REFINANCING. ZERO INTEREST PROGRAM LOAN (ZIP) IS A NON-AMORTIZING, ZERO INTEREST HOME LOAN, REQUIRING PRINCIPAL TO BE PAYABLE AT THE TIME OF SALE, PREPAYMENT OR REFINANCING. X 7 72281 FAIR MARKET VALUE 0 false true true SCHEDULE M, PART I, COLUMN B STANFORD HEALTH CARE IS REPORTING THE NUMBER OF CONTRIBUTIONS. SCHEDULE M, PART I, QUESTION 32B STANFORD HEALTH CARE UTILIZES THE SERVICES OF STANFORD UNIVERSITY TO ASSIST WITH THE SOLICITATION AND PROCESSING OF NON-CASH GIFTS. MISSION FORM 990, PART I, LINE 1 & PART III, LINE 1 STANFORD HEALTH CARE ("SHC") IS A NON-PROFIT CALIFORNIA PUBLIC BENEFIT CORPORATION OF WHICH THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY (THE "UNIVERSITY") IS THE SOLE MEMBER. THE OBJECTIVE AND THE PURPOSE OF SHC IS TO PROVIDE PATIENT CARE SERVICES, SUPPORT, BENEFIT AND FURTHER THE CHARITABLE, AND SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE UNIVERSITY AND THE UNIVERSITY'S SCHOOL OF MEDICINE. SHC OPERATES A LICENSED ACUTE CARE HOSPITAL, CANCER CENTERS IN PALO ALTO AND SAN JOSE, AN AMBULATORY OUTPATIENT CENTER IN REDWOOD CITY AND NUMEROUS OUTPATIENT PHYSICIAN CLINICS IN THE SAN FRANCISCO BAY AREA, IN COMMUNITY SETTINGS AND IN ASSOCIATION WITH REGIONAL HOSPITALS. STANFORD HEALTH CARE HAS A MISSION TO CARE, TO EDUCATE, AND TO DISCOVER. SHC'S VISION STATEMENT IS HEALING HUMANITY THROUGH SCIENCE AND COMPASSION, ONE PATIENT AT A TIME. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A STANFORD HEALTH CARE ("SHC") IS KNOWN WORLDWIDE FOR ADVANCED PATIENT CARE PROVIDED BY ITS PHYSICIANS AND STAFF, PARTICULARLY IN AREAS SUCH AS CARDIAC CARE, CANCER TREATMENT, NEUROLOGY, NEUROSURGERY, ORTHOPEDICS, SURGERY AND ORGAN TRANSPLANTS. SHC HAD 31,395 PATIENT DISCHARGES. SHC HAD 237,354 PATIENT DAYS INCLUDING ACUTE, BEHAVIORAL HEALTH, AND SHORT STAY OUTPATIENT. TOTAL OUTPATIENT AND EMERGENCY ROOM VISITS WERE 1,480,859 FOR THE FISCAL YEAR ENDED AUGUST 31, 2022. COVID-19 RESPONSE STANFORD HEALTH CARE REMAINS COMMITTED TO SUPPORTING THE BROAD COMMUNITY NEEDS EMERGING FROM THE COVID-19 PANDEMIC, PARTICULARLY THROUGH CONTRIBUTIONS THAT INCREASE EQUITABLE ACCESS TO COVID-19 HEALTH CARE AND RESOURCES. IMPROVED HEALTH EQUITY VACCINE ACCESS WAS ACHIEVED: - ACROSS 12 COMMUNITY-BASED VACCINATION SITES. - 500,000+ VACCINATION DOSES ADMINISTERED. - 400,000+ ANTIGEN TESTS PROVIDED TO VULNERABLE COMMUNITIES. - PERSONAL PROTECTIVE EQUIPMENT DONATIONS TO COMMUNITY ORGANIZATIONS. EXECUTIVE COMMITTEE FORM 990, PART VI, LINE 1A IF A MATTER NORMALLY REQUIRING ACTION BY THE BOARD OF DIRECTORS ARISES BETWEEN MEETINGS OF THE BOARD AND IS A MATTER WHICH, IN THE OPINION OF ANY FOUR (4) OUT OF SIX (6) OF THE CHAIR OF THE BOARD, THE VICE CHAIR, THE DEAN OF THE STANFORD UNIVERSITY SCHOOL OF MEDICINE, THE PRESIDENT OF THE CORPORATION, THE CHAIR OF THE FINANCE COMMITTEE AND THE CHAIR OF THE AUDIT COMMITTEE, REQUIRES ACTION BY THE BOARD BEFORE THE NEXT REGULAR OR SPECIAL MEETING OF THE BOARD, THEN ANY FOUR (4) OR MORE OUT OF THOSE SIX (6) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD OF DIRECTORS, ARE AUTHORIZED JOINTLY TO TAKE WHATEVER ACTION IS NECESSARY TO RESOLVE THE MATTER, AND SUCH ACTION WILL CONSTITUTE AUTHORIZED ACTION OF THE BOARD TO THE SAME EXTENT AS IF IT HAS BEEN ADOPTED AT A MEETING OF THE BOARD; PROVIDED, HOWEVER, THAT AT LEAST ONE (1) OF THE FOUR (4) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD PURSUANT TO THIS SECTION SHALL NOT BE EMPLOYED BY STANFORD HEALTH CARE, LUCILE SALTER PACKARD CHILDREN'S HOSPITAL OR STANFORD UNIVERSITY AND PROVIDED, FURTHER, THAT THE DIRECTORS ACTING AS A COMMITTEE OF THE BOARD SHALL NOT IN ANY CASE BE AUTHORIZED BY THIS SECTION TO EXERCISE THOSE POWERS WHICH BY LAW, THE ARTICLES OF INCORPORATION, THESE BYLAWS OR SPECIFIC ACTION BY THE MEMBER, SET FORTH IN A RESOLUTION OF THE MEMBER, MAY BE EXERCISED ONLY BY THE MEMBER OR MAY NOT BE DELEGATED TO A COMMITTEE OF THE BOARD. FAMILY/BUSINESS RELATIONSHIPS FORM 990, PART VI, LINE 2 THE FOLLOWING INDIVIDUALS ARE DIRECTORS AT LUCILE SALTER PACKARD CHILDREN'S HOSPITAL: MARIANN BYERWALTER LLOYD B. MINOR MD JOHN LEVIN DAVID ENTWISTLE RANDALL LIVINGSTON JEFF CHAMBERS PAUL KING MINDY ROGERS THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD UNIVERSITY: LLOYD B. MINOR MD MARK LESLIE MARY HAWN MD RANDALL LIVINGSTON MEGAN MAHONEY MD YIPING WOO MD THE FOLLOWING INDIVIDUAL IS AN OFFICER AT STANFORD UNIVERSITY: RANDALL LIVINGSTON THE FOLLOWING INDIVIDUALS ARE TRUSTEES AT STANFORD UNIVERSITY: MARC E. JONES MINDY ROGERS THE FOLLOWING INDIVIDUALS ARE MANAGERS AT STANFORD PET-CT LLC: DAVID ENTWISTLE QUINN MCKENNA LLOYD B. MINOR MD THE FOLLOWING INDIVIDUALS ARE VOTING BOARD MEMBERS AT SUMIT HOLDING INTERNATIONAL, LLC: DAVID ENTWISTLE LINDA HOFF PAUL KING THE FOLLOWING INDIVIDUALS ARE VOTING BOARD MEMBERS AT SUMIT INSURANCE COMPANY, LTD.: DAVID ENTWISTLE LINDA HOFF PAUL KING LLOYD B. MINOR MD THE FOLLOWING INDIVIDUALS ARE CLASS A SUBSCRIBER VOTING MEMBERS AT THE PROFESSIONAL EXCHANGE ASSURANCE COMPANY: (AS OF 9/1/2022) DAVID ENTWISTLE LINDA HOFF PAUL KING MANAGEMENT DUTIES FORM 990, PART VI, LINE 3 STANFORD HEALTH CARE (SHC) CONTRACTS WITH THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY (THE "UNIVERSITY") FOR SERVICES PROVIDED BY FACULTY PHYSICIANS EMPLOYED BY THE UNIVERSITY SCHOOL OF MEDICINE ("SOM"), INCLUDING CERTAIN ADMINISTRATIVE SERVICES PROVIDED BY DR. SAMUEL WALD AND DR. MICHAEL PFEFFER. DR. SAMUEL WALD EXERCISES SIGNIFICANT MANAGEMENT AUTHORITY OVER THE PERIOPERATIVE AND INTERVENTIONAL PLATFORM OF STANFORD HEALTH CARE (SHC). DR. MICHAEL PFEFFER AS SHC CIO EXERCISES SIGNIFICANT MANAGEMENT AUTHORITY OVER SHC INFORMATION SYSTEMS. DR. WALD'S CALENDAR YEAR 2021 COMPENSATION FROM THE UNIVERSITY RELATED TO HIS SHC ADMINISTRATIVE ROLE IS $772,532, AND DR. MICHAEL PFEFFER'S CALENDAR YEAR 2021 COMPENSATION FROM THE UNIVERSITY RELATED TO HIS SHC ADMINISTRATIVE ROLE IS $561,710. MEMBERS FORM 990, PART VI, LINE 6 STANFORD UNIVERSITY IS THE SOLE MEMBER OF STANFORD HEALTH CARE ("SHC"). ELECTION BY MEMBERS FORM 990, PART VI, LINE 7A STANFORD UNIVERSITY, AS THE SOLE MEMBER OF SHC, ELECTS THE SHC BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B THE SOLE MEMBER, STANFORD UNIVERSITY, MAY REMOVE AN ELECTED DIRECTOR AT ANY TIME WITHOUT CAUSE. REVIEW OF FORM 990 FORM 990, PART VI, LINE 11B THE 990 TAX RETURN IS PREPARED BY THE FINANCE DEPARTMENT OF SHC. THE FINANCIAL DATA IS EXTRACTED FROM THE AUDITED FINANCIAL STATEMENT AND SUPPLEMENTAL INFORMATION AUDITED BY THE INDEPENDENT ACCOUNTING FIRM OF PRICEWATERHOUSECOOPERS (PWC). COMPENSATION DATA IS EXTRACTED FROM PAYROLL RECORDS. OTHER INFORMATION IS PROVIDED BY THE RELEVANT AREAS WITH EXPERTISE IN SHC. UPON COMPLETION, THE RETURN IS REVIEWED BY THE SENIOR MANAGEMENT OF SHC, THE COUNSEL OF SHC, STANFORD UNIVERSITY TAX DEPARTMENT AND EXTERNAL TAX ACCOUNTANT (PWC). THE DRAFT FORM 990 IS REVIEWED AT THE AUDIT AND COMPLIANCE COMMITTEE MEETING. THE FORM 990 IS THEN FORWARDED TO ALL BOARD MEMBERS FOR THEIR REVIEW. THE CFO OF SHC AND PWC AS PAID PREPARER SIGN THE RETURN PRIOR TO FILING WITH IRS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN INITIAL CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ("DISCLOSURE STATEMENT") WITHIN 30 DAYS OF BEGINNING SERVICE AT SHC. ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. FURTHERMORE, OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO UPDATE THEIR DISCLOSURE STATEMENT WITHIN TEN (10) BUSINESS DAYS OF A MATERIAL CHANGE IN THEIR SITUATIONS THAT MAY CREATE AN ACTUAL OR PERCEIVED CONFLICT-OF-INTEREST. A DISCLOSURE THAT APPEARS TO BE A CONFLICT WILL BE RESOLVED BY A MUTUAL AGREEABLE PLAN WITH THE VICE PRESIDENT OF HUMAN RESOURCES THAT OUTLINES THE STEPS THE OFFICER, DIRECTOR OR KEY EMPLOYEE MUST TAKE TO RECTIFY THE CONFLICT. IN MATTERS THAT ARE UNCLEAR OR QUESTIONABLE, THE OFFICE OF CHIEF COMPLIANCE OFFICER WILL BE CONSULTED FOR A RULING. IF FURTHER INQUIRY IS NECESSARY THE OFFICE OF THE GENERAL COUNSEL WILL BE CONSULTED FOR A RULING. PROCEDURES FOR DETERMINING COMPENSATION FORM 990, PART VI, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR SHC'S CEO AND OTHER TOP MANAGEMENT REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES THE COMMITTEE WITH COMPARABLE MARKET DATA FROM THE FORMS 990 OF COMPARABLE ORGANIZATIONS SUPPLEMENTED BY PUBLISHED COMPENSATION AND BENEFITS SURVEYS TO BE CONSIDERED IN EVALUATING TOTAL COMPENSATION PACKAGES FOR EACH INDIVIDUAL EXECUTIVE. THE COMMITTEE CONDUCTS A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTS ITS DELIBERATIONS AND DISCUSSION IN MINUTES THAT ARE RETAINED WITH THE OTHER GOVERNANCE MATERIALS OF SHC. THE VALUE OF EACH PAY ELEMENT AND THE TOTAL PACKAGE ARE REVIEWED IN NOVEMBER PRIOR TO ANY PAY ACTIONS BEING APPROVED BY THE COMPENSATION COMMITTEE. SPECIFIC FACTS AND CIRCUMSTANCES OF EACH ROLE, INCUMBENT, THEIR PERFORMANCE, SKILLS AND RESPONSIBILITIES ARE REVIEWED AND ASSESSED INDIVIDUALLY. THE COMMITTEE RECEIVES RECOMMENDATIONS FROM THE CEO AS TO PAY ACTIONS FOR EACH INCUMBENT. THESE RECOMMENDATIONS ARE DISCUSSED AND THE RESULTS OF THE DELIBERATIONS ARE DOCUMENTED AS TO THE FINAL PAY ACTION APPROVED ALONG WITH THE RATIONALE FOR THE DECISION. THIS PROCESS OCCURS ANNUALLY AND IN CONJUNCTION WITH ANY PROGRAMMATIC CHANGE THAT COULD POTENTIALLY IMPACT THE PAY OR BENEFITS OF EXECUTIVES. AVAILABILITY OF GOVERNING DOCUMENTS FORM 990, PART VI, LINE 19 COPIES OF THE FINANCIAL STATEMENTS ARE AVAILABLE ON SHC'S WEBSITE. FURTHERMORE, THE STATEMENTS OF OPERATIONS AND BALANCE SHEET ARE PART OF THE UNIVERSITY'S ANNUAL FINANCIAL REPORT POSTED ON THE ORGANIZATION'S PUBLIC WEBSITE. COPIES OF THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS. BOARD OF DIRECTORS CHANGES FORM 990, PART VII, SECTION A THE FOLLOWING BOARD MEMBERS RETIRED OR RESIGNED FROM THE BOARD OF DIRECTORS DURING FY22 AS NOTED: JEFF CHAMBERS AS OF 12/31/2021 DONNA DUBINSKY AS OF 12/31/2021 LORI GOLER AS OF 3/31/2022 CHIEN LEE AS OF 12/31/2021 JOHN LEVIN AS OF 12/31/2021 YIPING WOO, MD AS OF 12/31/21 THE FOLLOWING BOARD MEMBERS WERE APPOINTED TO THE BOARD DURING FY22 AS NOTED: JEFF BIRD, MD AS OF 01/01/2022 JONATHAN COSLET AS OF 01/01/2022 HAMID MOGHADAM, AS OF 09/01/2021 TOM MONTINE, MD AS OF 01/01/2022 HOURS AT RELATED ORGANIZATIONS FORM 990, PART VII, COLUMN B PAUL KING IS A DIRECTOR OF SHC. FOR FY22 HE WAS ALSO THE CEO OF THE LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD (LPCH), A RELATED ORGANIZATION. MR. KING RECEIVED COMPENSATION FROM LPCH FOR HIS SERVICES AT LPCH. KING RECEIVED NO COMPENSATION FOR HIS DUTIES AS A DIRECTOR OF SHC. LLOYD B. MINOR MD, MARK LESLIE, RANDALL LIVINGSON, MARY HAWN MD, MEGAN MAHONEY MD AND YIPING WOO MD ARE DIRECTORS OF SHC. FOR FY22 THEY WERE EMPLOYED AT STANFORD UNIVERSITY (SU), A RELATED ORGANIZATION. THESE INDIVIDUALS RECEIVE COMPENSATION FROM SU FOR THEIR SERVICES AT SU. THEY RECEIVED NO COMPENSATION FOR DUTIES AS DIRECTORS OF SHC. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INTEREST RATE SWAP MTM $ 139,748,123 2003 BONDS SWAP PAYMENTS $ (4,430,005) 2006/2008 BONDS SWAP PAYMENTS $ (8,779,818) 2012 BONDS SWAP PAYMENTS $ (6,214,074) EQUITY TRANSFER $ (27,862,692) CHANGE IN MINIMUM PENSION LIABILITY $ 1,694,000 SEROC BOOK/TAX DIFFERENCE $ 73,901 ----------------- OTHER CHANGES IN NET ASSETS OR $ 94,229,435 FUND BALANCES CARE COUNSEL LLC 899 NORTHGATE DRIVE STE 530 SAN RAFAEL CA 94903 680396696 MEDICAL CA 1879736 865747 SHC STANFORD BLOOD CENTER LLC 3373 HILLVIEW AVENUE PALO ALTO CA 94304 810816100 BLOOD CENTER CA 85177913 67570730 SHC THE BRD OF TRUST LELAND STANF JR UNIV 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 941156365 EDUCATION CA 501(C)(3) 2 NA false FUNDACION STANFORD UNIVERSITY EN CHILE AV CONDELL 189 PROVIDENCIA SANTIAGO CI EDUCATION CI 501(C)(3) STANFORD true STANFORD HEALTH CARE TRI-VALLEY 1111 E STANLEY BLVD LIVERMORE CA 94550 941429628 HOSPITAL CA 501(C)(3) 3 SHC true JAEDAN BUPIN STANFORD CENTER IN THE REPU RESEARCH KR 501(C)(3) N/A STANFORD true LUCILE PACKARD FOUNDATION FOR CHILDREN'S 400 HAMILTON AVENUE SUITE 340 PALO ALTO CA 94301 770440090 HEALTHCARE CA 501(C)(3) 7 LPCH true LUCILE SALTER PACKARD CHILDRENS HOSPITAL 725 WELCH ROAD MC 5553 PALO ALTO CA 94304 770003859 HEALTHCARE CA 501(C)(3) 3 STANFORD true PACKARD CHILDREN'S HEALTH ALLIANCE 725 WELCH ROAD MC5551 PALO ALTO CA 94304 320359189 HEALTHCARE CA 501(C)(3) 3 LPCH true SHR HOLDINGS INC 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 943187167 REAL ESTATE CA 501(C)(25) N/A STANFORD true STANFORD FACULTY CLUB PO BOX 7229 STANFORD CA 94309 941187089 FAC INTERACT. CA 501(C)(7) N/A STANFORD true STANFORD FEDERAL CREDIT UNION 1860 EMBARCADERO RD PALO ALTO CA 94303 941492212 CREDIT UNION CA 501(C)(1) N/A STANFORD true STANFORD HABITAT CONSERVATION BOARD 415 BROADWAY REDWOOD CITY CA 94063 461882243 CONSERVATION CA 501(C)(3) 7 STANFORD true STANFORD PROGRAMME (CAPE TOWN) NPC WAVERLY BUSINESS PARK BLDG 11 CAPE TOWN SF EDUCATION SF 501(C)(3) N/A STANFORD true STANFORD UNIVERSITY BOOKSTORE BLDG 60 MAIN QUAD NO 105 STANFORD CA 94305 940894150 SUPPORT CA 501(C)(3) 12A, I STANFORD true SU EMP BEN TRUST POST RETEMPYNT BEN 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 943246199 BENEFITS CA 501(C)(9) N/A STANFORD true THE DUDLEY E CHAMBERS FOUNDATION JP MORGAN CHASE PO BOX 3038 MILWAUKEE WI 53201 386841793 SUPPORT NY 501(C)(3) 12D, III-O STANFORD true THE FREIDENRICH SUPPORT FOUNDATION 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 300519583 SUPPORT CA 501(C)(3) 12A, I STANFORD true THE HONG KONGSU CHARITABLE TRUST 1401 CAROLINE CENTER 28 PING ROAD CAUSEWAY HK 986078093 SUPPORT HK 501(C)(3) N/A STANFORD true THE STANFORD TRUST 65 HIGH STREET OXFORD UK OX1 46L SUPPORT UK 501(C)(3) N/A STANFORD true UNIVERSITY HEALTHCARE ALLIANCE 7999 GATEWAY BLVD STE 300 NEWARK CA 94560 943192446 HEALTHCARE CA 501(C)(3) 3 SHC true VALLEYCARE MEDICAL FOUNDATION INC 1111 E STANLEY BLVD LIVERMORE CA 94550 262593526 SR. FACILITY CA 501(C)(3) PF SHC-TV true VALLEYCARE SENIOR HOUSING 1111 E STANLEY BLVD LIVERMORE CA 94550 943382224 SR. 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CHARITABLE LEAD UNITRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. POOLED INCOME FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.