STANFORD HEALTH CARE 227: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: STANFORD HEALTH CARE 227 (EIN 94-6174066)
Tax period: 2020-09-01 to 2021-08-31
Filed: 2022-07-13
IRS object ID: 202231949349300628
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-07-13T10:08:17-05:00	ReturnTs
Tax Period End	2021-08-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SEAPORT BLVD SUITE 500	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02210	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-09-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	946174066	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STANFORD HEALTH CARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CONTROLLER	InCareOfNm
Business Name Control	STAN	BusinessNameControlTxt
Phone	6507234000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 PASTEUR DRIVE MC 5555	AddressLine1Txt
City	STANFORD	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94305	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LINDA HOFF	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6507234000	PhoneNum
Signature	2022-07-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	LINDA	PersonFirstNm
Person Last	HOFF	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	GWEN SPENCER	PreparerPersonNm
PTIN	P00641463	PTIN
Phone	6175305000	PhoneNum
Preparation	2022-06-20	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	LINDA HOFF CFO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 PASTEUR DRIVE MC 5230	AddressLine1Txt
City	STANFORD	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94305	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$6,633,539,822	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://WWW.STANFORDHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1957	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	29	VotingMembersGoverningBodyCnt
Voting Members Independent	21	VotingMembersIndependentCnt
Total Employee	16617	TotalEmployeeCnt
Total Volunteers	382	TotalVolunteersCnt
Total Gross UBI	$1,700,537	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$127,528,906	PYContributionsGrantsAmt
CY Contributions Grants	$429,891,903	CYContributionsGrantsAmt
PY Program Service Revenue	$4,649,783,768	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,513,466,343	CYProgramServiceRevenueAmt
PY Investment Income	$224,174,043	PYInvestmentIncomeAmt
CY Investment Income	$689,716,123	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$5,001,486,717	PYTotalRevenueAmt
CY Total Revenue	$6,633,074,369	CYTotalRevenueAmt
PY Grants And Similar Paid	$41,850,440	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$109,320,645	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,064,336,463	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,308,371,989	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$13,923,066	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,662,375,922	PYOtherExpensesAmt
CY Other Expenses	$2,935,940,721	CYOtherExpensesAmt
PY Total Expenses	$4,768,562,825	PYTotalExpensesAmt
CY Total Expenses	$5,353,633,355	CYTotalExpensesAmt
PY Revenues Less Expenses	$232,923,892	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,279,441,014	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,774,759,213	TotalAssetsBOYAmt
Total Assets EOY	$9,902,764,212	TotalAssetsEOYAmt
Total Liabilities BOY	$4,577,340,701	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,300,850,659	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,197,418,512	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,601,913,553	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$5,003,734,390	ExpenseAmt
Grant	$109,320,645	GrantAmt
Revenue	$5,513,466,343	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$5,003,734,390	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	599	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	16617	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	29	GoverningBodyVotingMembersCnt
Independent Voting Member	21	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CONTROLLER	PersonNm
Phone	6507234000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1804 EMBARCADERO RD STE 100 1ST	AddressLine1Txt
City	PALO ALTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94303	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
DAVID ENTWISTLE
DIRECTOR/CEO	50.0	4.25	Yes (X)	Yes (X)	$4,360,713	$0	$412,460
YIPING WOO MD
DIRECTOR (SEE SCHEDULE O)	2.0	53.6	Yes (X)		$0	$2,648,649	$97,200
QUINN MCKENNA
COO	50.0	3.0		Yes (X)	$2,379,089	$0	$225,040
LLOYD B MINOR MD
DIRECTOR (SEE SCHEDULE O)	2.0	52.3	Yes (X)		$0	$1,926,649	$363,150
LINDA HOFF
CFO	50.0	3.25		Yes (X)	$1,918,008	$0	$167,884
PAUL KING
DIRECTOR (SEE SCHEDULE O)	2.0	50.3	Yes (X)		$0	$1,650,405	$251,012
MARY HAWN MD
DIRECTOR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$1,627,718	$94,950
PRIYA SINGH
VP & CHIEF STRATEGY OFFICER	50.0	0.0			$1,150,944	$0	$114,882	Yes (X)
RANDALL LIVINGSTON
DIRECTOR (SEE SCHEDULE O)	2.0	52.0	Yes (X)		$0	$822,917	$362,655
ERIC YABLONKA
CHIEF INFORMATION OFFICER	50.0	0.0			$1,134,984	$0	$47,521		Yes (X)
SRIDHAR SESHADRI
VP CANCER CTR & HEART CTR	50.0	0.0			$964,513	$0	$82,759		Yes (X)
DAVID D JONES
VP & CHIEF HR OFFICER	50.0	0.0			$839,082	$0	$132,303	Yes (X)
CATHERINE D KRNA
VP - AMBULATORY CARE & GI	25.0	25.0			$817,316	$0	$121,080		Yes (X)
DALE BEATTY
CNO & VP PATIENT CARE SERVICES	50.0	0.0			$760,115	$0	$103,796		Yes (X)
JILL A BUATHIER
VP & CRC OFFICER	50.0	0.0			$766,394	$0	$79,653	Yes (X)
ALISON M KERR
VP - NEURO ORTHO SL/CAO CLN OP	50.0	0.0			$742,587	$0	$95,522		Yes (X)
HELEN M WILMOT
VP TRANSITION & STRATEGIC SPAC	50.0	0.0			$758,111	$0	$78,117	Yes (X)
THOMAS Y KIM
VP-CHIEF MKT DEVELOP. OFFICER	50.0	0.25			$724,034	$0	$85,946	Yes (X)
GARY FRITZ
VP - APPLICATIONS	50.0	0.0			$556,704	$0	$64,639		Yes (X)
MEGAN MAHONEY MD
DIRECTOR (SEE SCHEDULE O)	2.0	1.0	Yes (X)		$0	$431,837	$55,077
MARK LESLIE
DIRECTOR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$48,614	$0
SUSAN BECHTEL
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
WILLIAM BRODY MD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
MARIANN BYERWALTER
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
JEFF CHAMBERS
DIRECTOR	10.0	2.3	Yes (X)		$0	$0	$0
BRET E COMOLLI
DIRECTOR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$0	$0
CHANDLER EVANS
DIRECTOR	2.0	1.0	Yes (X)		$0	$0	$0
JOHN GOLDMAN
DIRECTOR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$0	$0
LORI GOLER
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
JOHN GUNN
VICE CHAIR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$0	$0
FRED HARMAN
DIRECTOR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$0	$0
CECILIA HERBERT
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
CHIEN LEE
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
JOHN LEVIN
CHAIR	2.0	2.0	Yes (X)		$0	$0	$0
LINDA MEIER
DIRECTOR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$0	$0
MARGARET RAFFIN
DIRECTOR (SEE SCHEDULE O)	2.0	1.0	Yes (X)		$0	$0	$0
DONNA DUBINSKY
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
MARC E JONES
VICE CHAIR (SEE SCHEDULE O)	2.0	2.0	Yes (X)		$0	$0	$0
LATA KRISHNAN
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
ALDEN MCDONALD MD
DIRECTOR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$0	$0
SANJAY MEHROTRA
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
MINDY B ROGERS
VICE CHAIR	2.0	4.3	Yes (X)		$0	$0	$0
KAVITARK RAM SHRIRAM
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
SARA ABBASI
DIRECTOR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$0	$0
JEFF ROTHSCHILD
DIRECTOR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$0	$0
ROBERT SANTOS MD
DIRECTOR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$0	$0
KAYE FOSTER
DIRECTOR (SEE SCHEDULE O)	0.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,872,594	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,156,789	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,035,646	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6495	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
STANFORD UNIVERSITY
485 BROADWAY	REDWOOD CITY	CA	94063	PROF. SERVICES	$908,615,449
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVE	SAN DIEGO	CA	92130	HEALTHCARE STAFFING	$53,949,030
CLARKMCCARTHY CONSTRUCTION
1265 BATTERY STR 3RD FLOOR	SAN FRANCISCO	CA	94111	CONSTRUCTION COMPANY	$24,141,814
EMCOR FACILITIES SERVICESINC
2800 CRYSTAL DRIVE SUITE 600	ARLINGTON	VA	22202	FACILITIES MGMT	$22,246,017
SODEXO INC AFFILIATES
9801 WASHINGTON BLVD	GAITHERSBURGH	MD	20878	FACILITIES MGMT	$20,406,334

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	377	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,233,000	RelatedOrganizationsAmt
Government Grants	$400,752,751	GovernmentGrantsAmt
All Other Contributions	$24,906,152	AllOtherContributionsAmt
Noncash Contributions	$386,722	NoncashContributionsAmt
Total Contributions	$429,891,903	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	900099	$5,394,388,670	$5,394,388,670
OUTREACH LAB CLINIC	900099	$29,576,662	$29,576,662
HOUSE STAFF	900099	$26,067,330	$26,067,330
EMPLOYER HEALTH CLINIC	900099	$10,830,965	$10,830,965
CLINIC REVENUE	900099	$11,107,180	$11,107,180

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$41,495,536	TotalRevenueColumnAmt
Related Or Exempt Func Income	$34,924,971	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,703,440	UnrelatedBusinessRevenueAmt
Exclusion	$4,867,125	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,513,466,343	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$102,002,694	TotalRevenueColumnAmt
Unrelated Business Revenue	-$2,903	UnrelatedBusinessRevenueAmt
Exclusion	$102,005,597	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$588,097,882	SecuritiesAmt
Other	$81,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$465,453	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$588,097,882	SecuritiesAmt
Other	-$384,453	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$587,713,429	TotalRevenueColumnAmt
Exclusion	$587,713,429	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,633,074,369	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,506,895,778	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,700,537	UnrelatedBusinessRevenueAmt
Exclusion	$694,586,151	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$109,320,645	TotalAmt
Program Services	$109,320,645	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$12,191,379	TotalAmt
Program Services	$2,200,895	ProgramServicesAmt
Management And General	$9,251,764	ManagementAndGeneralAmt
Fundraising	$738,720	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,519,229,721	TotalAmt
Program Services	$1,418,418,736	ProgramServicesAmt
Management And General	$100,594,368	ManagementAndGeneralAmt
Fundraising	$216,617	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$127,928,680	TotalAmt
Program Services	$118,489,918	ProgramServicesAmt
Management And General	$9,409,652	ManagementAndGeneralAmt
Fundraising	$29,110	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$529,641,685	TotalAmt
Program Services	$492,744,651	ProgramServicesAmt
Management And General	$36,762,740	ManagementAndGeneralAmt
Fundraising	$134,294	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$119,380,524	TotalAmt
Program Services	$110,606,716	ProgramServicesAmt
Management And General	$8,750,212	ManagementAndGeneralAmt
Fundraising	$23,596	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,554,040	TotalAmt
Program Services	$1,951,922	ProgramServicesAmt
Management And General	$602,118	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$17,316,166	TotalAmt
Program Services	$5,000,000	ProgramServicesAmt
Management And General	$12,316,166	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,087,382	TotalAmt
Program Services	$5,538	ProgramServicesAmt
Management And General	$2,081,844	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$247,897	TotalAmt
Program Services	$194,125	ProgramServicesAmt
Management And General	$53,772	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$101,894,253	TotalAmt
Program Services	$87,148,544	ProgramServicesAmt
Management And General	$14,450,068	ManagementAndGeneralAmt
Fundraising	$295,641	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,160,377	TotalAmt
Program Services	$8,804,712	ProgramServicesAmt
Management And General	$175,225	ManagementAndGeneralAmt
Fundraising	$180,440	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$155,622,518	TotalAmt
Program Services	$120,290,419	ProgramServicesAmt
Management And General	$35,152,121	ManagementAndGeneralAmt
Fundraising	$179,978	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,621,801	TotalAmt
Program Services	$7,922,876	ProgramServicesAmt
Management And General	$5,864,055	ManagementAndGeneralAmt
Fundraising	$834,870	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$93,151,918	TotalAmt
Program Services	$88,993,563	ProgramServicesAmt
Management And General	$4,123,073	ManagementAndGeneralAmt
Fundraising	$35,282	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,016,595	TotalAmt
Program Services	$1,614,810	ProgramServicesAmt
Management And General	$400,105	ManagementAndGeneralAmt
Fundraising	$1,680	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$572,477	TotalAmt
Program Services	$432,091	ProgramServicesAmt
Management And General	$135,920	ManagementAndGeneralAmt
Fundraising	$4,466	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$76,769,378	TotalAmt
Program Services	$76,766,145	ProgramServicesAmt
Management And General	$3,233	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$260,891,911	TotalAmt
Program Services	$244,917,779	ProgramServicesAmt
Management And General	$15,920,064	ManagementAndGeneralAmt
Fundraising	$54,068	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$26,622,247	TotalAmt
Program Services	$21,578,894	ProgramServicesAmt
Management And General	$5,043,353	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
OTHER PURCHASED SERVICES	$1,231,508,065	$1,164,570,202	$55,972,538	$10,965,325
SUPPLIES	$853,152,229	$847,179,569	$5,956,709	$15,951
LICENSE AND TAXES	$5,730,030	$4,538,676	$1,191,354	$0
DUES & SUBSCRIPTIONS	$3,626,322	$1,180,165	$2,446,157	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$78,395,115	TotalAmt
Program Services	$68,862,799	ProgramServicesAmt
Management And General	$9,319,288	ManagementAndGeneralAmt
Fundraising	$213,028	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,353,633,355	TotalAmt
Program Services	$5,003,734,390	ProgramServicesAmt
Management And General	$335,975,899	ManagementAndGeneralAmt
Fundraising	$13,923,066	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$900	BOYAmt
EOY	$900	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,573,390,151	BOYAmt
EOY	$322,999,750	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$706,616,301	BOYAmt
EOY	$804,928,277	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$6,953,000	BOYAmt
EOY	$6,753,000	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$116,992,279	BOYAmt
EOY	$105,291,179	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$68,726,985	BOYAmt
EOY	$107,223,768	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,578,429,919	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,173,741,453	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,441,597,536	BOYAmt
EOY	$3,404,688,466	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,179,989,459	BOYAmt
EOY	$4,440,765,821	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$266,034,778	BOYAmt
EOY	$251,972,123	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$414,457,824	BOYAmt
EOY	$458,140,928	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,774,759,213	BOYAmt
EOY	$9,902,764,212	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,140,996,754	BOYAmt
EOY	$879,811,967	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,546,071,365	BOYAmt
EOY	$1,160,573,120	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,890,272,582	BOYAmt
EOY	$2,260,465,572	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,577,340,701	BOYAmt
EOY	$4,300,850,659	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,063,828,730	BOYAmt
EOY	$5,456,431,111	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$133,589,782	BOYAmt
EOY	$145,482,442	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,197,418,512	BOYAmt
EOY	$5,601,913,553	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,774,759,213	BOYAmt
EOY	$9,902,764,212	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,279,441,014	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$176,387,302	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$51,333,275	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$28,574,427	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$44,851,782	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$35,789,009	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$127,528,906	CurrentTaxYearMinus1YearAmt
Current Tax Year	$429,891,903	CurrentTaxYearAmt
Total	$666,636,027	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$28,574,427	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$44,851,782	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$35,789,009	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$127,528,906	CurrentTaxYearMinus1YearAmt
Current Tax Year	$429,891,903	CurrentTaxYearAmt
Total	$666,636,027	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$79,500	SubstantialContributorsTotAmt
Public Support Total170	$666,556,527	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$88,221,042	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$41,050,786	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$53,677,507	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$66,589,374	CurrentTaxYearMinus1YearAmt
Current Tax Year	$102,005,597	CurrentTaxYearAmt
Total	$351,544,306	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$1,018,180,333	TotalSupportAmt
Gross Receipts Rltd Activities	$22,961,802,022	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.65465	PublicSupportCY170Pct
Public Support PY170	0.44410	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$61,546	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$51,468	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$24,619	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$247,897	OtherActivitiesAmt
Total Lobbying Expenditures	$385,530	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LOBBYING ACTIVITIES INCLUDE:	FormAndLineReferenceDesc
Explanation	- 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 FY21, SHC PAID DUES OF APPROXIMATELY $504,349 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $87,897. 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 PULIC. THESE LETTERS AND MAILINGS ARE REVIEWED AND APPROVED BY THE GOVERNMENT RELATIONS TEAM.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Solicited Assets Sale	false	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$31,248,916	BeginningYearBalanceAmt
Contributions	$838,857	ContributionsAmt
Investment Earnings Or Losses	$11,028,012	InvestmentEarningsOrLossesAmt
Other Expenditures	$492,413	OtherExpendituresAmt
End Year Balance	$42,623,372	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,352,558	BeginningYearBalanceAmt
Contributions	$5,202,761	ContributionsAmt
Investment Earnings Or Losses	$2,213,016	InvestmentEarningsOrLossesAmt
Other Expenditures	$519,419	OtherExpendituresAmt
End Year Balance	$31,248,916	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,215,001	BeginningYearBalanceAmt
Contributions	$1,198,000	ContributionsAmt
Investment Earnings Or Losses	$1,301,214	InvestmentEarningsOrLossesAmt
Other Expenditures	$361,657	OtherExpendituresAmt
End Year Balance	$24,352,558	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,710,182	BeginningYearBalanceAmt
Contributions	$88,889	ContributionsAmt
Investment Earnings Or Losses	$1,797,203	InvestmentEarningsOrLossesAmt
Other Expenditures	$381,273	OtherExpendituresAmt
End Year Balance	$22,215,001	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,616,809	BeginningYearBalanceAmt
Contributions	$250,000	ContributionsAmt
Investment Earnings Or Losses	$2,207,201	InvestmentEarningsOrLossesAmt
Other Expenditures	$363,828	OtherExpendituresAmt
End Year Balance	$20,710,182	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.35940	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.64060	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,517,753	OtherCostOrOtherBasisAmt
Book Value	$20,517,753	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,390,440,832	OtherCostOrOtherBasisAmt
Depreciation	$812,966,510	DepreciationAmt
Book Value	$2,577,474,322	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$196,491,104	OtherCostOrOtherBasisAmt
Depreciation	$140,982,317	DepreciationAmt
Book Value	$55,508,787	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,586,747,322	OtherCostOrOtherBasisAmt
Depreciation	$1,211,537,491	DepreciationAmt
Book Value	$375,209,831	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$384,232,908	OtherCostOrOtherBasisAmt
Depreciation	$8,255,135	DepreciationAmt
Book Value	$375,977,773	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,404,688,466	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
MANAGED POOL	$2,458,231,611	F
OTHER INVESTMENTS	$1,982,444,210	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$4,440,675,821	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
THIRD PARTY PAYOR LIABILITIES	$56,228,988
DUE TO RELATED PARTIES	$151,852,090
SELF-INSURED RESERVES	$171,514,000
OTHER LIABILITIES	$715,770,494
TAXABLE BONDS	$1,165,100,000

Field	Value	IRS element (for citing)
Total Liability	$2,260,465,572	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, LINE 4	SHC MAINTAINS A COLLECTION OF DONATED ART FOR PUBLIC EXHIBITION AT HOSPITAL FACILITIES.
PART V, LINE 4	STANFORD HEALTH CARE'S (SHC) ENDOWMENT CONSISTS OF 25 INDIVIDUAL FUNDS WHICH ARE RESTRICTED TO PARTICULAR USES. 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.
PART X, LINE 2	FIN 48 SHC HAS NO UNCERTAIN TAX POSITIONS PERTAINING TO UNRELATED BUSINESS INCOME.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$15,968,628	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$444,167	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,524,461	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$727,463,493	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$332,050,073	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$395,413,420	NetCommunityBenefitExpnsAmt
Total Expense	0.07390	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$743,432,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$332,494,240	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$410,937,881	NetCommunityBenefitExpnsAmt
Total Expense	0.07680	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	15132	PersonsServedCnt
Total Community Benefit Expns	$189,440,300	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$392,213,799	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	983	PersonsServedCnt
Total Community Benefit Expns	$158,974,918	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,064,486	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$136,910,432	NetCommunityBenefitExpnsAmt
Total Expense	0.02560	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$7,520,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,504,145	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,016,464	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$20,591	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,591	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Persons Served	360785	PersonsServedCnt
Total Community Benefit Expns	$116,125,598	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$248,712	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$115,876,886	NetCommunityBenefitExpnsAmt
Total Expense	0.02160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	57	ActivitiesOrProgramsCnt
Persons Served	376900	PersonsServedCnt
Total Community Benefit Expns	$472,082,016	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$419,031,142	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$255,824,373	NetCommunityBenefitExpnsAmt
Total Expense	0.04780	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	59	ActivitiesOrProgramsCnt
Persons Served	376900	PersonsServedCnt
Total Community Benefit Expns	$1,215,514,137	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$751,525,382	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$666,762,254	NetCommunityBenefitExpnsAmt
Total Expense	0.12460	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$9,045	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,045	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$14,045	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,045	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$77,689,009	BadDebtExpenseAmt
Reimbursed By Medicare	$1,136,074,664	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,056,714,736	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$920,640,072	MedicareSurplusOrShortfallAmt
Costing Methodology Used		CostingMethodologyUsedGrp
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STANFORD HEALTH CARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 PASTEUR DRIVE	AddressLine1Txt
City	STANFORD	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94305	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://STANFORDHEALTHCARE.ORG	WebsiteAddressTxt
State License	070000662	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	STANFORD HEALTH CARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://STANFORDHEALTHCARE.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SAME AS ABOVE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SAME AS ABOVE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 SEVEN MONTHS IN 2018. NAMES OF COMMUNITY ORGANIZATIONS PROVIDING INPUT & POPULATION REPRESENTED (SANTA CLARA COUNTY) - SANTA CLARA COUNTY PUBLIC HEALTH DEPT - SANTA CLARA COUNTY RESIDENTS, INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITIES - SANTA CLARA COUNTY DENTAL SOCIETY - MEDICALLY UNDERSERVED - PROJECT CORNERSTONE - MEDICALLY UNDERSERVED - COMMUNITY SOLUTIONS - MEDICALLY UNDERSERVED - SECOND HARVEST FOOD BANK OF SILICON VALLEY - LOW INCOME - SOMOS MAYFAIR - MINORITY, LOW INCOME - PRIVATE PRACTICE PHYSICIAN, PETER R. COELHO, MD - LOW INCOME - COMMUNITY HEALTH PARTNERSHIP - LOW INCOME - NORTHEAST MEDICAL SERVICES - LOW INCOME - ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT - LOW INCOME, MINORITY - INDIAN HEALTH CENTER - LOW INCOME - SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY - LOW INCOME - PLANNED PARENTHOOD MAR MONTE - LOW INCOME - GARDNER FAMILY HEALTH - LOW INCOME - RAVENSWOOD FAMILY HEALTH CENTER - LOW INCOME - VALLEY HOMELESS CLINIC - LOW INCOME - MEDICAL RESPITE PROGRAM - LOW INCOME - HOMELESS RESPONSE TEAM - LOW INCOME - HOME FIRST - LOW INCOME - SANTA CLARA COUNTY BEHAVIORAL HEALTH - MEDICALLY UNDERSERVED - CAMINAR/FAMILY AND CHILDREN SERVICES - MEDICALLY UNDERSERVED - PATHWAYS SOCIETY - MEDICALLY UNDERSERVED - MISSION STREET SOBERING CENTER - MEDICALLY UNDERSERVED - PRIVATE PRACTICE LMFT - MEDICALLY UNDERSERVED - EL CAMINO HOSPITAL - LOW INCOME, MEDICALLY UNDERSERVED - STANFORD HEALTH CARE - LOW INCOME - THE HEALTH TRUST - LOW INCOME - COMMUNITY SERVICES AGENCY OF MOUNTAIN VIEW AND LOS ALTOS - LOW INCOME - STANFORD UNIVERSITY - LOW INCOME - SANTA CLARA COUNTY SOCIAL SERVICES AGENCY - LOW INCOME - FIRST 5 - MINORITY - SANTA CLARA COUNTY VIOLENCE PREVENTION - MINORITY - FOOTHILL COMMUNITY HEALTH CENTER - MINORITY - CITY OF SAN JOSE, MAYOR'S GANG PREVENTION TASKFORCE - MINORITY - CITY OF SAN JOSE, PARKS AND RECREATION - MINORITY - HEALTHIER KIDS FOUNDATION - MEDICALLY UNDERSERVED - ALMADEN VALLEY COUNSELING - MEDICALLY UNDERSERVED - CITY OF SUNNYVALE - MEDICALLY UNDERSERVED - CHILDREN'S HEALTH ADVISORY COUNCIL - MEDICALLY UNDERSERVED - MOUNTAIN VIEW/LOS ALTOS SCHOOL DISTRICT - MEDICALLY UNDERSERVED - POSSO CLIENTS/SANTA CLARA COUNTY LOW INCOME SENIOR RESIDENTS - MEDICALLY UNDERSERVED, LOW INCOME, MINORITY - AVENIDAS CLIENTS/SANTA CLARA COUNTY MID-INCOME SENIOR RESIDENTS - MEDICALLY UNDERSERVED, LOW INCOME NAMES OF COMMUNITY ORGANIZATIONS PROVIDING INPUT & POPULATION REPRESENTED (SAN MATEO COUNTY) - SAN MATEO COUNTY PUBLIC HEALTH DEPARTMENT - SAN MATEO COUNTY RESIDENTS, INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITIES - SAN MATEO COUNTY HEALTH SYSTEM - MEDICALLY UNDERSERVED, LOW INCOME, MINORITIES - SECOND HARVEST FOOD BANK OF SILICON VALLEY - LOW INCOME - BOYS AND GIRLS CLUB OF THE COASTSIDE - LOW INCOME, MINORITY - MID-PENINSULA BOYS AND GIRLS CLUB - LOW INCOME, MEDICALLY UNDERSERVED, MINORITY - ADOLESCENT COUNSELING SERVICES - MEDICALLY UNDERSERVED - SAN MATEO COUNTY ORAL HEALTH COALITION - MEDICALLY UNDERSERVED - SEQUOIA UNION HIGH SCHOOL DISTRICT - MEDICALLY UNDERSERVED - AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE - MEDICALLY UNDERSERVED, MINORITY - HEALTH PLAN OF SAN MATEO - MEDICALLY UNDERSERVED - PUENTE DE LA COSTA SUR - LOW INCOME, MEDICALLY UNDERSERVED, MINORITY - FIRST 5 - LOW INCOME - DALY CITY YOUTH HEALTH CENTER - MEDICALLY UNDERSERVED - MIDPEN HOUSING - LOW INCOME - STANFORD UNIVERSITY - MEDICALLY UNDERSERVED - NORTH EAST MEDICAL SERVICES - MEDICALLY UNDERSERVED - SAN MATEO COUNTY OFFICE OF EDUCATION - MEDICALLY UNDERSERVED - ABODE SERVICES - LOW INCOME, MEDICALLY UNDERSERVED - SAN MATEO COUNTY HUMAN SERVICES AGENCY - LOW INCOME, MEDICALLY UNDERSERVED - LIFEMOVES - LOW INCOME, MEDICALLY UNDERSERVED - SAMARITAN HOUSE - LOW INCOME, MEDICALLY UNDERSERVED - COASTSIDE HOPE - LOW INCOME, MEDICALLY UNDERSERVED - EL CONCILIO OF SAN MATEO COUNTY - LOW INCOME, MEDICALLY UNDERSERVED - WEHOPE - LOW INCOME, MEDICALLY UNDERSERVED - DALY CITY PARTNERSHIP - LOW INCOME, MEDICALLY UNDERSERVED - STARVISTA - LOW INCOME, MEDICALLY UNDERSERVED - HOME AND HOPE - LOW INCOME, MEDICALLY UNDERSERVED - FAIR OAKS COMMUNITY CENTER - LOW INCOME, MEDICALLY UNDERSERVED - RAPE TRAUMA SERVICES - LOW INCOME, MEDICALLY UNDERSERVED - SAN BRUNO POLICE DEPARTMENT - LOW INCOME, MEDICALLY UNDERSERVED - SAN MATEO COUNTY DISTRICT ATTORNEY'S OFFICE - LOW INCOME, MEDICALLY UNDERSERVED - CHILDREN & FAMILY SERVICES - LOW INCOME, MEDICALLY UNDERSERVED - SAN MATEO COUNTY - LOW INCOME, MEDICALLY UNDERSERVED - SAN MATEO COUNTY OFFICE OF EDUCATION - LOW INCOME, MEDICALLY UNDERSERVED - CITY OF CARLOS PARKS AND RECREATION - LOW INCOME - MEALS ON WHEELS - LOW INCOME - HICAP OF SAN MATEO COUNTY - LOW INCOME - MISSION HOSPICE - LOW INCOME - BELMONT LIBRARY - LOW INCOME - LESLEY SENIOR COMMUNITIES - LOW INCOME - SYNGERY HOMECARE - LOW INCOME - PENINSULA FAMILY SERVICES - LOW INCOME - HIP HOUSING - LOW INCOME - SENIOR ASSIST OF THE PENINSULA - LOW INCOME - SEQUOIA HOSPITAL - LOW INCOME - THE VILLAGES OF SAN MATEO COUNTY CLIENTS/SAN MATEO COUNTY LOW-INCOME SENIOR RESIDENTS - LOW INCOME - PENINSULA FAMILY SERVICES AGENCY CLIENTS/SAN MATEO COUNTY SPANISH-SPEAKING SENIOR RESIDENTS - LOW INCOME, MEDICALLY UNDERSERVED, MINORITY - NORTH FAIR OAKS SENIOR CENTER CLIENTS/ SAN MATEO COUNTY SPANISH-SPEAKING SENIOR RESIDENTS - LOW INCOME, MEDICALLY UNDERSERVED, MINORITY - PRIDE CENTER CLIENTS/SAN MATEO COUNTY LGBTQI RESIDENTS - MEDICALLY UNDERSERVED, MINORITY - CANADA COLLEGE STUDENTS/SAN MATEO COUNTY YOUNG ADULT RESIDENTS - LOW INCOME - PENINSULA CONFLICT RESOLUTION CENTER CLIENTS/SAN MATEO COUNTY PACIFIC ISLANDER RESIDENTS - MINORITY
PART V, SECTION B, LINE 6A	THE CHNA WAS CONDUCTED BY TWO COMMUNITY-BASED COLLABORATIVE GROUPS FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING CRITICAL HEALTH NEEDS OF THE COMMUNITY. THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY AND THE SANTA CLARA COUNTY COMMUNITY BENEFIT COALITION ARE GROUPS OF ORGANIZATIONS THAT INCLUDE NONPROFIT HOSPITALS, PUBLIC HEALTH DEPARTMENTS, AND OTHER COMMUNITY ORGANIZATIONS. THE OTHER HOSPITAL FACILITIES PARTICIPATING IN EACH COLLABORATIVE ARE LISTED BELOW: SANTA CLARA COUNTY: - EL CAMINO HOSPITAL - KAISER PERMANENTE (SAN JOSE AND SANTA CLARA KAISER FOUNDATION HOSPITALS) - LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD - STANFORD HEALTH CARE - VERITY HEALTH SYSTEM (O'CONNOR HOSPITAL AND ST. LOUISE REGIONAL HOSPITAL) SAN MATEO COUNTY: - DIGNITY HEALTH SEQUOIA HOSPITAL - KAISER PERMANENTE (REDWOOD CITY AND SOUTH SAN FRANCISCO KAISER FOUNDATION HOSPITALS) - LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD - STANFORD HEALTH CARE - SUTTER HEALTH (MILLS-PENINSULA MEDICAL CENTER AND MENLO PARK SURGICAL HOSPITAL) - VERITY HEALTH SYSTEM (SETON MEDICAL CENTER)
PART V, SECTION B, LINE 6B	THE CHNA WAS CONDUCTED BY TWO COMMUNITY-BASED COLLABORATIVE GROUPS FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING CRITICAL HEALTH NEEDS OF THE COMMUNITY. THE HEALTH COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY AND THE SANTA CLARA COUNTY COMMUNITY BENEFIT COALITION ARE GROUPS OF ORGANIZATIONS THAT INCLUDE NONPROFIT HOSPITALS, PUBLIC HEALTH DEPARTMENTS, AND OTHER COMMUNITY ORGANIZATIONS. THE OTHER NON-HOSPITAL ORGANIZATIONS PARTICIPATING IN EACH COLLABORATIVE ARE LISTED BELOW: SANTA CLARA COUNTY: - HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA - SUTTER HEALTH (PALO ALTO MEDICAL FOUNDATION) - SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT SAN MATEO COUNTY: - COUNTY OF SAN MATEO HUMAN SERVICES AGENCY - HOSPITAL CONSORTIUM OF SAN MATEO COUNTY - PENINSULA HEALTH CARE DISTRICT - SAN MATEO COUNTY HEALTH SYSTEM - VERITY HEALTH SYSTEM (SETON COASTSIDE)
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 2019 CHNA IDENTIFIED 6 SIGNIFICANT HEALTH NEEDS ACROSS STANFORD HEALTH CARE'S SERVICE AREA OF SANTA CLARA AND SAN MATEO COUNTIES. STANFORD HEALTH CARE PRIORITIZED ALL 6 HEALTH NEEDS TO ADDRESS; HEALTH CARE ACCESS AND CARE DELIVERY, BEHAVIORAL HEALTH, DIABETES/OBESITY, ORAL HEALTH, HOUSING AND HOMELESSNESS, AND ECONOMIC STABILITY. THE HEALTH NEEDS WERE PRIORITIZED BY APPLYING THE FOLLOWING CRITERIA: - CLEAR DISPARITIES OR INEQUITIES: RECOGNIZABLE DIFFERENCES EXIST IN HEALTH OUTCOMES AMONG SUBGROUPS OF PEOPLE (BASED ON GEOGRAPHY, LANGUAGE, ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER, OR OTHER FACTORS). - COMMUNITY PRIORITY: THE HIGH FREQUENCY WITH WHICH THE COMMUNITY PRIORITIZED THE ISSUE OVER OTHERS IT EXPRESSED CONCERN ABOUT DURING THE CHNA PRIMARY DATA COLLECTION PROCESS. - MULTIPLIER EFFECT: A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS THE POTENTIAL TO SOLVE MULTIPLE PROBLEMS (FOR EXAMPLE, IF OBESITY RATES DECLINE, HEART ATTACK RATES MAY TOO.) - OPPORTUNITY TO LEVERAGE COLLABORATIVES FOR IMPACT: THERE'S AN OPPORTUNITY TO COLLABORATE WITH EXISTING PARTNERS WORKING TO ADDRESS THE NEED, OR TO BUILD ON CURRENT PROGRAMS, EMERGING OPPORTUNITIES, OR OTHER COMMUNITY ASSETS. USING THE CRITERIA, CONSENSUS WAS REACHED AND THE 6 HEALTH NEEDS ARE LISTED IN PRIORITY ORDER: - HOUSING AND HOMELESSNESS - BEHAVIORAL HEALTH - HEALTH CARE ACCESS AND CARE DELIVERY - DIABETES AND OBESITY - ECONOMIC STABILITY - ORAL/DENTAL HEALTH 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
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.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
STANFORD EMP HEALTH CLINIC AT QUALCOMM
5535 MOREHOUSE DRIVE S-270	SAN DIEGO	CA	92121	STANFORD EMP HEALTH CLINIC AT QUALCOMM
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
1650 TECHNOLOGY DRIVE 1ST FLOOR	SAN DIEGO	CA	95110	STANFORD EMP HEALTH CLINIC AT QUALCOMM
STANFORD EMP HEALTH CLINIC AT VERIZON
741 FIRST AVE BLDG B	SUNNYVALE	CA	94089	STANFORD EMP HEALTH CLINIC AT VERIZON MEDIA
STANFORD EMP HEALTH CLINIC AT QUALCOMM
10155 PACIFIC HEIGHTS BLVD	SAN JOSE	CA	92121	STANFORD EMP HEALTH CLINIC AT QUALCOMM

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A	YES, STANFORD HEALTH CARE PREPARED A COMMUNITY BENEFIT REPORT DURING THE 2020 TAX YEAR. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS TOTALED $(202,773,499) IN FY21. THE COMMUNITY HEALTH IMPROVEMENT SERVICES CONSISTS OF - INSURANCE ENROLLMENT FOR UNINSURED AND UNDERINSURED PATIENTS - COMMUNITY HEALTH EDUCATION PROGRAMS - SUPPORTIVE CARE PROGRAMS - HEALTH LIBRARY SERVICES - 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 PERSONAL PROTECTIVE EQUIPMENT; 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. ACCOUNTING FOR STANFORD HEALTH CARE'S COVID-19 RESPONSE: FY20 FY21 TWO YEAR TOTAL EXPENSES (GROSS) $405M $183.5M $588.5M OFFSETTING REVENUE $102M $392M $494M TOTAL UNCOMPENSATED COVID-19 RESPONSE $303M $(208.5)M $94.5M
PART I, LINE 7F	HEALTH PROFESSIONS EDUCATION CONTRIBUTIONS FOR COMMUNITY BENEFIT TOTALED $136,910,432 IN FY21. THE HEALTH PROFESSIONS EDUCATION PROGRAM CONSISTS OF FIVE PROGRAMS: - MEDICAL STUDENT, RESIDENT, AND FELLOW TRAINING: STUDENT TRAINING PROGRAMS INCLUDED ALL PRIMARY AND SPECIALTY PROGRAMS. - NURSE STUDENT TRAINING - ALLIED HEALTH PROFESSIONS TRAINING, INCLUDING - CLINICAL LABORATORY - CLINICAL NUTRITION - NUCLEAR MEDICINE - NURSING - PHARMACY - PSYCHOLOGY - PHYSICIAN ASSISTANT - RADIOLOGY - REHABILITATION SERVICES - RESPIRATORY CARE SERVICES - 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 $3,016,464 IN FY21. STANFORD HEALTH CARE SUBSIDIZED HEALTH SERVICES INCLUDES THE STANFORD LIFE FLIGHT PROGRAM. HELICOPTER TRANSPORT OF CRITICALLY ILL AND INJURED ADULT, PEDIATRIC, AND NEONATAL PATIENTS TO DEFINITIVE CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY.
PART I, LINE 7H	RESEARCH CONTRIBUTIONS TOTALED $20,591 IN FY21. STANFORD HEALTH CARE'S OFFICE OF RESEARCH IS STAFFED BY RESEARCH SCIENTISTS AND COORDINATORS, CONDUCTS RESEARCH STUDENTS AND CLINICAL TRIALS TO IMPROVE CARE DELIVERY AND HEALTH OUTCOMES ACROSS THE HEALTH CARE FIELD. THE FY21 RESEARCH INITIATIVES SUPPORTED CULTURALLY COMPETENT CARE OF UNDERSERVED AND VULNERABLE PATIENTS BY NURSING STUDENTS AND OTHER ALLIED HEALTH CARE PROFESSIONS AS WELL AS A COLLABORATION WITH A LOCAL SAFETY NET HOSPITAL TO IMPROVE PATIENT OUTCOMES RELATED TO CENTRAL LINE BLOOD INFECTIONS. PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT TOTALED $115,876,886 IN FY21.
PART II, LINE 1	PHYSICAL IMPROVEMENTS AND HOUSING: SHC SPONSORED THE 2020 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 2021. 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	LOCAL COLLABORATIVES WERE FORMED IN SAN MATEO AND SANTA CLARA COUNTIES FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING CRITICAL HEALTH NEEDS OF THE COMMUNITY. THESE COLLABORATIVES ARE GROUPS OF ORGANIZATIONS THAT INCLUDE NONPROFIT HOSPITALS, PUBLIC HEALTH DEPARTMENTS AND OTHER COMMUNITY ORGANIZATIONS. BETWEEN 2018 AND 2019, SHC WORKED TOGETHER WITH THESE COLLABORATIVES 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 REGULATION, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, IN POVERTY, AND OF MINORITY POPULATIONS. IN SANTA CLARA COUNTY, THE COLLABORATIVE GATHERED FURTHER COMMUNITY INPUT THROUGH AN ONLINE SURVEY. THE SURVEY ASKED PARTICIPANTS TO RANK A LIST OF HEALTH NEEDS IN SANTA CLARA COUNTY AND INVITED THEM TO ADD OTHER NEEDS TO THE LIST. SURVEY PARTICIPANTS ALSO CONTRIBUTED INFORMATION ABOUT THE CURRENT ASSETS AND RESOURCES AVAILABLE TO MEET HEALTH NEEDS. THIS DATA COLLECTION WAS SYNTHESIZED AND PRODUCED A LIST OF 6 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: - CLEAR DISPARITIES OR INEQUITIES: RECOGNIZABLE DIFFERENCES EXIST IN HEALTH OUTCOMES AMONG SUBGROUPS OF PEOPLE (BASED ON GEOGRAPHY, LANGUAGE, ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER, OR OTHER FACTORS). - COMMUNITY PRIORITY: THE HIGH FREQUENCY WITH WHICH THE COMMUNITY PRIORITIZED THE ISSUE OVER OTHERS IT EXPRESSED CONCERN ABOUT DURING THE CHNA PRIMARY DATA COLLECTION PROCESS. - MULTIPLIER EFFECT: A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS THE POTENTIAL TO SOLVE MULTIPLE PROBLEMS (FOR EXAMPLE, IF OBESITY RATES DECLINE, HEART ATTACK RATES MAY TOO). - OPPORTUNITY TO LEVERAGE COLLABORATIVES FOR IMPACT: THERE'S AN OPPORTUNITY TO COLLABORATE WITH EXISTING PARTNERS WORKING TO ADDRESS THE NEED, OR TO BUILD ON CURRENT PROGRAMS, EMERGING OPPORTUNITIES, OR OTHER COMMUNITY ASSETS.
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 PERCENT) 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 2016, APPROXIMATELY 1.9 MILLION RESIDENTS LIVED IN SANTA CLARA COUNTY. SAN MATEO COUNTY IS FAR SMALLER WITH APPROXIMATELY 765,000 RESIDENTS IN 2016. THE ETHNIC MAKE-UP OF BOTH COUNTIES IS APPROXIMATELY 60 PERCENT WHITE, 33 PERCENT ASIAN, 25 PERCENT HISPANIC/LATINO, AND 3 PERCENT BLACK/AFRICAN-AMERICAN. THE ASIAN PACIFIC ISLANDER POPULATION IS GREATER IN SAN MATEO COUNTY (2 PERCENT) THAN IN SANTA CLARA COUNTY (0.5 PERCENT). 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 APPROXIMATELY 30 PERCENT OF HOUSEHOLDS ACROSS SCC AND SMC IN 2018 WERE UNABLE TO MEET THEIR BASIC NEEDS. FOR A SINGLE PARENT WITH 2 CHILDREN, CASSS ESTIMATES THAT AN ANNUAL INCOME OF $107,000 IN SCC AND $126,000 IN SMC WAS NECESSARY TO MEET BASIC NEEDS. WHILE MINIMUM WAGE WAS $13.00 (SCC) AND $13.50 (SMC) PER HOUR IN 2018, TO MEET THE CASSS ESTIMATE AN HOURLY WAGE OF $50 (SCC) AND $60 (SMC) WAS REQUIRED. LASTLY, CASSS REPORTS A 25 PERCENT INCREASE IN THE COST OF LIVING ACROSS BOTH COUNTIES BETWEEN 2015 AND 2018. UNFORTUNATELY, THE BUREAU OF LABOR STATISTICS CITES ONLY A 4 PERCENT PER YEAR AVERAGE INCREASE IN WAGES ACROSS THE SAN JOSE-SAN FRANCISCO-OAKLAND METROPOLITAN AREA DURING THE 2015-2018 TIME PERIOD. 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 PERCENT OF LATINO CA HOUSEHOLDS ARE STRUGGLING TO GET BY VS. 23 PERCENT OF WHITE HOUSEHOLDS - CA HOUSEHOLDS OF COLOR MAKE UP 57 PERCENT OF ALL CALIFORNIA HOUSEHOLDS, BUT CONSTITUTE 72 PERCENT 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	PROMOTION OF COMMUNITY HEALTH 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 FY2021 COMMUNITY BENEFIT REPORT AND IMPLEMENTATION PLAN FILED FEBRUARY 2022 WITH THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. 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.
PART VI, LINE 7	ALL STATES IN WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: CALIFORNIA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (19 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
OPERATION ACCESS
1119 MARKET ST	SUITE 400	SAN FRANCISCO	CA	94103	943180356	501(C)(3)	$130,000	CARE COORDINATION EFFORTS ACROSS SANTA CLARA AND SAN MATEO COUNTIES
AVENIDAS
450 BRYANT STREET		PALO ALTO	CA	94301	941480548	501(C)(3)	$322,565	COMMUNITY BASED HEALTH HOME PROGRAM	$6,678	FMV PER POUND BASIS	MEDICAL SUPPLIES
DESTINATION HOME SV
3180 NEWBERRY DRIVE	SUITE 200	SAN JOSE	CA	95118	823353174	501(C)(3)	$800,000	HOUSING/HOMELESSNESS
DOWNTOWN STREETS INC
1671 THE ALAMEDA	SUITE 306	SAN JOSE	CA	95126	205242330	501(C)(3)	$227,764	HOUSING/HOMELESSNESS
HEALTHCARE FOUNDATION
1215 K STREET	SUITE 730	SACRAMENTO	CA	95814	861174825	501(C)(3)	$528,145	MEDICAL RESPITE PROGRAM
ROTACARE BAY AREA INC
514 VALLEY WAY		MILPITAS	CA	95035	770328723	501(C)(3)	$21,250	CLINIC RE-OPENING AND COVID CARE DELIVERY NEEDS
PENINSULA HEALTHCARE CONNECTION INC
33 ENCINA AVENUE 103		PALO ALTO	CA	94301	202886131	501(C)(3)	$185,000	HEALTHCARE FOR HOMELESS AND EXPANDED ACCESS TO CARE	$709,744	SALARIES, BENEFITS,	DONATED STAFF TIME
VIDA USA
3690 MT DIABLO BLVD		LAFAYETTE	CA	94549	680249466	501(C)(3)		MEDICAL SUPPLIES, EQUIPMENT DONATION	$944,874	FMV PER POUND BASIS	MEDICAL SUPPLIES, EQ
SAMARITAN HOUSE
4031 PACIFIC BOULEVARD		SAN MATEO	CA	94403	237416272	501(C)(3)	$400,000	SUPPORT COMMUNITY CLINIC
SECOND HARVEST OF SILICON VALLEY
750 CURTNER AVENUE		SAN JOSE	CA	95125	942614101	501(C)(3)	$660,000	ECONOMIC SECURITY
SALVATION ARMY
702 W TAYLOR ST		SAN JOSE	CA	95126	941156345	501(C)(3)		FURNITURE DONATION	$9,000	FMV PER POUND BASIS	FURNITURE
SONRISAS DENTAL HEALTH INC
750 CURTNER AVENUE		SAN JOSE	CA	95125	943390196	501(C)(3)	$171,000	SUPPORT COMMUNITY CLINIC
SOUTH COUNTY COMMUNITY HEALTH CENTER INC
1885 BAY ROAD		EAST PALO ALTO	CA	94303	943372130	501(C)(3)	$163,210	COMMUNITY HEALTH NEEDS ASSESSMENT	$130,100	FMV PER POUND BASIS	FURNITURE DONATION,
THE BOARD OF TRUSTEES OF STANFORD UNIVERSITY
3145 PORTER DRIVE		PALO ALTO	CA	94304	941156365	501(C)(3)	$104,106,225	SUPPORT FOR HEALTH PROFESSIONS EDUCATION & TRAINING, RESEARCH, PHYSICIANS SERVICES FOR FQHCs, AND ACCESS TO CARE	$48,166	FMV OF RADIOLOGY & L	IN KIND RADIOLOGY AN
THE HEALTH TRUST
3180 NEWBERRY DR S200		SAN JOSE	CA	95118	946050231	501(C)(3)	$450,000	ECONOMIC SECURITY
LA COCINA
2948 FOLSOM ST		SAN FRANCISCO	CA	94110	593838549	501(C)(3)		FURNITURE, EQUIPMENT DONATION	$7,480	FMV PER POUND BASIS	FURNITURE, EQUIPMENT
GO COPIA PBC
1160 BATTERY ST E		SAN FRANCISCO	CA	94111	471068807	170(E)		FOOD DONATION	$62,703	FMV PER POUND BASIS	FOOD DONATION
ECUMENCIAL HUNGER PROGRAM
2411 PULGAS AVE		EAST PALO ALTO	CA	94303	942476942	501(C)(3)		FOOD DONATION	$40,000	FMV PER POUND BASIS	FOOD DONATION
ROOTS COMMUNITY HEALTH CENTER
7272 MAC ARTHUR BLVD		OAKLAND	CA	94605	262583954	501(C)(3)	$50,000	COMMUNITY HEALTH NEEDS ASSESSMENT	$175,459	SALARIES, BENEFITS A	DONATED STAFF TIME

Field	Value	IRS element (for citing)
Total501c3 Org	18	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARY HAWN MD
DIRECTOR (SEE SCHEDULE O)	$0	$815,663	$0	$793,797	$0	$18,258	$0	$25,650	$0	$69,300	$0	$1,722,668	$0
DAVID ENTWISTLE
DIRECTOR/CEO	$1,928,772	$0	$2,077,017	$0	$354,924	$0	$361,427	$0	$51,033	$0	$4,773,173	$0	$296,675	$0
DALE BEATTY
CNO & VP PATIENT CARE SERVICES	$476,491	$0	$106,287	$0	$177,337	$0	$83,221	$0	$20,575	$0	$863,911	$0	$50,871	$0
LINDA HOFF
CFO	$918,479	$0	$843,839	$0	$155,690	$0	$139,572	$0	$28,312	$0	$2,085,892	$0	$98,782	$0
QUINN MCKENNA
COO	$1,034,663	$0	$998,981	$0	$345,445	$0	$173,659	$0	$51,381	$0	$2,604,129	$0	$129,651	$0
LLOYD B MINOR MD
DIRECTOR (SEE SCHEDULE O)	$0	$1,565,758	$0	$250,000	$0	$110,891	$0	$328,500	$0	$34,650	$0	$2,289,799	$0	$0
CATHERINE D KRNA
VP - AMBULATORY CARE & GI	$530,744	$0	$123,240	$0	$163,332	$0	$77,222	$0	$43,858	$0	$938,396	$0	$41,101	$0
ERIC YABLONKA
CHIEF INFORMATION OFFICER	$823,159	$0	$157,661	$0	$154,164	$0	$25,962	$0	$21,559	$0	$1,182,505	$0	$2,268	$0
SRIDHAR SESHADRI
VP CANCER CTR & HEART CTR	$596,074	$0	$132,404	$0	$236,035	$0	$32,278	$0	$50,481	$0	$1,047,272	$0	$1,346	$0
PAUL KING
DIRECTOR (SEE SCHEDULE O)	$0	$1,090,236	$0	$512,835	$0	$47,334	$0	$231,117	$0	$19,895	$0	$1,901,417	$0	$0
RANDALL LIVINGSTON
DIRECTOR (SEE SCHEDULE O)	$0	$752,069	$0	$0	$0	$70,848	$0	$329,833	$0	$32,822	$0	$1,185,572	$0	$0
MEGAN MAHONEY MD
DIRECTOR (SEE SCHEDULE O)	$0	$344,245	$0	$87,153	$0	$439	$0	$24,894	$0	$30,183	$0	$486,914	$0	$0
YIPING WOO MD
DIRECTOR (SEE SCHEDULE O)	$0	$1,518,423	$0	$1,130,226	$0	$0	$0	$24,955	$0	$72,245	$0	$2,745,849	$0	$0
GARY FRITZ
VP - APPLICATIONS	$400,518	$0	$91,764	$0	$64,422	$0	$25,772	$0	$38,867	$0	$621,343	$0	$461	$0
ALISON M KERR
VP - NEURO ORTHO SL/CAO CLN OP	$462,672	$0	$128,010	$0	$151,905	$0	$73,927	$0	$21,595	$0	$838,109	$0	$0	$0
HELEN M WILMOT
VP TRANSITION & STRATEGIC SPAC	$423,649	$0	$193,503	$0	$140,959	$0	$34,285	$0	$43,832	$0	$836,228	$0	$680	$0
DAVID D JONES
VP & CHIEF HR OFFICER	$513,620	$0	$162,870	$0	$162,592	$0	$99,015	$0	$33,288	$0	$971,385	$0	$64,827	$0
THOMAS Y KIM
VP-CHIEF MKT DEVELOP. OFFICER	$484,033	$0	$177,670	$0	$62,331	$0	$66,461	$0	$19,485	$0	$809,980	$0	$0	$0
JILL A BUATHIER
VP & CRC OFFICER	$456,751	$0	$240,944	$0	$68,699	$0	$31,176	$0	$48,477	$0	$846,047	$0	$0	$0
PRIYA SINGH
VP & CHIEF STRATEGY OFFICER	$709,386	$0	$408,834	$0	$32,724	$0	$108,137	$0	$6,745	$0	$1,265,826	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	HOUSING ALLOWANCE 3 OFFICERS AND 4 KEY EMPLOYEES 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 2020: SRIDHAR B. SESHARDI $87,094 CATHERINE D. KRNA $43,158 DAVID ENTWISTLE $311,519 DAVID D. JONES $68,070 QUINN MCKENNA $136,138 LINDA HOFF $103,725 ERIC YABLONKA $87,355 DALE BEATTY $53,417 HELEN M. WILMOT $61,115 ALISON M. KERR $34,310 GARY FRITZ $33,605 JILL A. BUATHIER $39,813 THOMAS Y. KIM $37,549 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 2020 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
A	521643828	13033LNX1	2008-06-02	$428,500,000	2008 SERIES AB-SEE PART VI	Yes (true)	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B	521643828	13033LZD2	2012-05-23	$608,293,722	2012 SERIES ABCD-SEE PART VI	Yes (true)	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
C	521643828	13033L8Q3	2015-06-30	$180,626,500	2015 SERIES AB-SEE PART VI	Yes (true)	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
D	521643828	13032UQR2	2017-12-28	$530,337,859	2017 SERIES A-SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$84,760,000	$174,715,000	$428,500,000	$0	$0	$0	$0	$0	$0	$0	$428,500,000	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$213,335,000	$340,000,000	$614,499,969	$0	$0	$0	$4,780	$0	$0	$535,097,892	$79,397,297	$0	2019	false	Yes (true)	Yes (true)	Yes (true)
C	$75,000,000	$0	$182,519,359	$0	$0	$0	$0	$0	$0	$182,519,359	$0	$0	2019	false	false	Yes (true)	Yes (true)
D	$0	$0	$562,814,522	$0	$0	$178,222,614	$0	$0	$0	$0	$384,591,908	$0	2017	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.00070	0.00070	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00010	0.00010	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	0.00000	0.00000	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0.00010	0.00010	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
SEE PART VI
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	Yes (true)	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false			false	0	false	Yes (true)
0
C	false	false	false	Yes (true)	Yes (true)	false			false	0	false	Yes (true)
0
D	false	false	Yes (true)	Yes (true)	false	false			false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	TAX EXEMPT BONDS	FormAndLineReferenceDesc
Explanation	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: MARCH 9, 2006. BOND ISSUES: B CCUSIP#: 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 DATE OF ISSUE: May 23, 2012. 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 value of refunded 2003A bonds was $79,397,296.87 DATE OF ISSUE: 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 DATE OF ISSUE: 06/30/2015. 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: 12/28/2017. BOND ISSUES: A CUSIP#: 13032UVN5 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 BOND ISSUES: B CUSIP#: 13032UYT9 SERIES: 2021 SERIES A DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF THE 2012D & 2015B ISSUES 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 (A), LINE 3: THIS AMOUNT DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS PART II, COLUMN (B), LINE 14: 2012B BONDS ADVANCE REFUNDED 2003A BONDS Part IV, LINE 2C, COLUMN (A) - REBATE CALCUALTION DATE FOR SERIES 2008: 08/31/2021 Part IV, LINE 2C, COLUMN (B) - REBATE CALCULATION DATE FOR SERIES 2012: 08/31/2021 Part IV, LINE 2C, COLUMN (C) - REBATE CALCULATION DATE FOR SERIES 2015: 08/31/2021 Part IV, LINE 2C, COLUMN (D) - REBATE CALCULATION DATE FOR SERIES 2017: 08/31/2021 PART IV, LINE 2C, COLUMN (A) - CALCULATIONS DATE: 8/31/2021 PART IV, LINE 2C, COLUMN (B) - REBATE CALCULATION WILL OCCUR AFTER THE BONDS REACH 1 YEAR ANNIVERSARY DATE IN APRIL 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 IN APRIL 2020). 2012D WERE VARIABLE BONDS (DEFEASED IN APRIL 2021). 2015B WERE VARIABLE BONDS (DEFEASED IN APRIL 2021). 2008B ARE VARIABLE RATE BONDS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
A	521643828	13032UVN5	2020-04-01	$190,005,327	2020 SERIES A-SEE PART VI	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B	521643828	13032UYT9	2021-04-30	$175,002,141	2021 SERIES A-SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$190,012,515	$0	$0	$0	$0	$0	$0	$130,005,327	$60,007,188	$0	2020	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$175,002,141	$0	$0	$0	$0	$0	$0	$0	$175,002,141	$0	2021	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.00000	0.00000	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.00000	0.00000	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (10 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
DAVID ENTWISTLE
OFFICER	HOUSING LOAN	Yes (X)	$1,000,000	$1,000,000	false	Yes (true)	Yes (true)
DAVID ENTWISTLE
OFFICER	HOUSING LOAN	Yes (X)	$1,000,000	$1,000,000	false	Yes (true)	Yes (true)
DAVID ENTWISTLE
OFFICER	HOUSING LOAN	Yes (X)	$1,000,000	$1,000,000	false	Yes (true)	Yes (true)
QUINN MCKENNA
OFFICER	HOUSING LOAN	Yes (X)	$500,000	$500,000	false	Yes (true)	Yes (true)
QUINN MCKENNA
OFFICER	HOUSING LOAN	Yes (X)	$500,000	$500,000	false	Yes (true)	Yes (true)
QUINN MCKENNA
OFFICER	HOUSING LOAN	Yes (X)	$500,000	$500,000	false	Yes (true)	Yes (true)
QUINN MCKENNA
OFFICER	HOUSING LOAN	Yes (X)	$500,000	$500,000	false	Yes (true)	Yes (true)
DALE BEATTY
KEY EMPLOYEE	HOUSING LOAN	Yes (X)	$500,000	$500,000	false	Yes (true)	Yes (true)
LINDA HOFF
OFICER	HOUSING LOAN	Yes (X)	$953,000	$953,000	false	Yes (true)	Yes (true)
GARY FRITZ
KEY EMPLOYEE	HOUSING LOAN	Yes (X)	$300,000	$300,000	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$6,753,000	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

TransactionTransactionDesc
BETH DAWES
COMPENSATION FOR EMPLOYMENT
EXPRESSSCRIPTS
PAYMENT FOR PRODUCTS
VARIAN MEDICAL SYSTEMS
PAYMENT FOR PRODUCTS
STANFORD PET-CT LLC
PAYMENT FOR SERVICES
SUMIT INSURANCE COMPANY LTD
PAYMENT FOR INSURANCE PREMIUMS
SU MED NETWORK RISK MGMT AUTHORITY
PAYMENT FOR SERVICES TO SRA
SU MED NETWORK RISK MGMT AUTHORITY
PAYMENT FOR SERVICES TO SHC

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART II	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	10	ContributionCnt
Noncash Contributions Rpt F990	$346,722	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$40,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Form8283 Received	1	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 29,268 PATIENT DISCHARGES. SHC HAD 204,453 PATIENT DAYS INCLUDING ACUTE, BEHAVIORIAL HEALTH, AND SHORT STAY OUTPATIENT. TOTAL OUTPATIENT AND EMERGENCY ROOM VISITS WERE 1,593,191 FOR THE FISCAL YEAR ENDED AUGUST 31, 2021. 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. ONE-THIRD OF STANFORD HEALTH CARE'S MORE THAN 500,000 COVID-19 VACCINE DOSES ADMINISTERED TO-DATE WERE PROVIDED AT COMMUNITY VACCINATION SITES LOCATED IN AND IN PARTNERSHIP WITH LOCAL UNDERSERVED COMMUNITIES. IMPROVED HEALTH EQUITY AND VACCINE ACCESS WAS ACHIEVED AT THESE SITES THROUGH A NEW STRATEGIC PARTNERSHIP MODEL INVOLVING STANFORD HEALTH CARE, LOCAL PUBLIC HEALTH DEPARTMENTS, AND COMMUNITY PARTNERS. WHILE VACCINATION IS A CORNERSTONE OF STANFORD HEALTH CARE'S FY21 COVID-19 RESPONSE, BROAD COVID-19 SUPPORT INCLUDES: - CUTTING EDGE CLINICAL CARE AND RESEARCH: STANFORD HEALTH CARE OFFERS EMERGING COVID-19 TREATMENTS SUCH AS MONOCLONAL ANTIBODY THERAPIES (MAB). IN PARTNERSHIP WITH STANFORD UNIVERSITY SCHOOL OF MEDICINE, STANFORD HEALTH CARE STUDIES THE EFFECTIVENESS OF NEW COVID-19 PREVENTION, DIAGNOSIS, AND TREATMENT INTERVENTIONS. - COVID-19 VACCINATION AND TESTING: TWELVE COMMUNITY SITES PROVIDED HIGH-QUALITY, EQUITABLE, AND CONVENIENT COVID-19 VACCINATION AND TESTING. TO OVERCOME ACCESS BARRIERS IDENTIFIED BY THE COMMUNITY, SITES OFFERED INTERPRETERS AND MULTILINGUAL SUPPORT, EXTENDED AND WEEKEND HOURS, WALK-IN AVAILABILITY, AND COMMUNITY HEALTH WORKER OUTREACH AND ON-SITE EDUCATION AND NAVIGATION. - MOBILE VACCINE SERVICES: MOBILE CLINICS SUPPORTED VACCINATION AND TESTING FOR POPULATIONS WITH BARRIERS TO ACCESSING COMMUNITY-BASED SITES. THESE POPULATIONS INCLUDED HOMEBOUND SENIORS AND UNDERSERVED SCHOOLS. - VACCINE APPOINTMENT SCHEDULING: WHEN VACCINE SUPPLY WAS EXTREMELY LIMITED, STANFORD HEALTH CARE PROVIDED DEDICATED AND BARRIER-FREE SCHEDULING TO HIGH-RISK AND VULNERABLE POPULATIONS AS IDENTIFIED BY LOCAL PUBLIC HEALTH DEPARTMENTS AND COMMUNITY NONPROFITS. - EMERGENCY MANAGEMENT: PROVIDED PERSONNEL, EXPERTISE, SUPPLIES, AND RESOURCES TO SUPPORT FEDERAL, STATE, AND LOCAL GOVERNMENT AGENCIES' EMERGENCY PANDEMIC MANAGEMENT EFFORTS. - HEALTH EDUCATION: OFFERED ACCURATE, TIMELY, EASILY ACCESSIBLE, AND CULTURALLY COMPETENT INFORMATION RELATED TO COVID-19 PREVENTION, TESTING, TREATMENT, AND VACCINATION. FOR MORE INFORMATION, PLEASE THE STANFORD HEALTH LIBRARY. HTTPS://HEALTHLIBRARY.STANFORD.EDU/ - PERSONAL PROTECTIVE EQUIPMENT AND MEDICAL SUPPLIES: STANFORD HEALTH CARE DONATED SUPPLIES TO LOCAL SAFETY-NET PROVIDERS AND NONPROFITS TO ENSURE THAT CRITICAL HEALTH CARE AND SOCIAL SERVICES REMAINED AVAILABLE AND OPERATING SAFELY. - VOLUNTEERS: STANFORD MEDICINE FACULTY, PROVIDERS, AND STAFF WERE CONNECTED WITH COMMUNITY-BASED ORGANIZATIONS THAT SOUGHT SUPPORT FOR VARIOUS CLINICAL AND OPERATIONAL NEEDS TO ADDRESS CHALLENGES PRESENTED BY COVID-19.
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 9/1/2021) DAVID ENTWISTLE LINDA HOFF PAUL KING 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. DR. SAMUEL WALD EXERCISES SIGNIFICANT MANAGEMENT AUTHORITY OVER THE PERIOPERATIVE AND INTERVENTIONAL PLATFORM OF STANFORD HEALTH CARE (SHC). DR. WALD'S CALENDAR YEAR 2020 COMPENSATION FROM THE UNIVERSITY RELATED TO HIS SHC ADMINISTRATIVE ROLE IS $708,000.
CHANGES TO GOVERNING DOCUMENTS	FORM 990, PART VI, LINE 4 THE BYLAWS WERE AMENDED ON OCTOBER 6, 2020 AS FOLLOWS: A)REDUCE THE NUMBER OF EX OFFICIO DIRECTORS FROM SEVEN TO SIX; B)REMOVE THE SENIOR ASSOCIATE DEAN FOR CLINICAL AFFAIRS OF THE STANFORD UNIVERSITY SCHOOL OF MEDICINE AS AN EX OFFICIO MEMBER; C)PERMIT THE MEMBER TO EXTEND THE TERM OF OFFICE FOR THE CHAIR OF THE BOARD FROM 3 TO 4 ADDITIONAL YEARS FOR A MAXIMUM TERM OF 8 YEARS; D)AFTER DECEMBER 31, 2021, THE CHAIR WILL BE ELECTED BY THE MEMBER FOR A 2 YEAR TERM OF OFFICE, COMMENCING ON JANUARY 1, AND IF ELECTED BY THE MEMBER, FOR A SECOND 2 YEAR TERM. THE MEMBER MAY EXTEND THE CHAIR'S TERM BY 1 ADDITIONAL YEAR FOR A MAXIMUM OF 5 YEARS.
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, EXCEPT FOR CERTAIN DONOR INFORMATION, 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 OCTOBER/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 FROM THE BOARD OF DIRECTORS DURING FY21 AS NOTED: *KAYE FOSTER WAS ON A LEAVE OF ABSENSE DURING FY21. BRET E. COMOLLI AS OF 12/31/2020 JOHN GOLDMAN AS OF 12/31/2020 JOHN GUNN, VC AS OF 12/31/2020 FRED HARMAN AS OF 8/31/2021 ALDEN MCDONALD, MD AS OF 12/31/2020 LINDA MEIER AS OF 08/31/21 MARGARET RAFFIN AS OF 04/03/21 THE FOLLOWING BOARD MEMBERS WERE APPOINTED TO THE BOARD DURING FY21 AS NOTED: SARA ABBASI AS OF 05/01/2021 JEFF ROTHSCHILD AS OF 01/01/2021 ROBERT SANTOS, MD AS OF 01/01/2021
HOURS AT RELATED ORGANIZATIONS	FORM 990, PART VII, COLUMN B PAUL KING IS A DIRECTOR OF SHC. FOR FY21 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 FY21 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 $ 67,638,103 2003 BONDS SWAP PAYMENTS $ (4,921,939) 2006/2008 BONDS SWAP PAYMENTS $ (9,633,599) 2012 BONDS SWAP PAYMENTS $ (6,808,259) EQUITY TRANSFER $ (31,757,080) LOSS FROM DISCONTINUED OPERATIONS $ (72,688,688) LOSS ON EXTINGUISHMENT OF DEBT $ (2,557,813) CHANGE IN MINIMUM PENSION LIABILITY $ 9,396,000 ----------------- OTHER CHANGES IN NET ASSETS OR $ (51,333,275) FUND BALANCES

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CARE COUNSEL LLC
899 NORTHGATE DRIVE STE 530	SAN RAFAEL	CA	94903	680396696	MEDICAL	CA	$2,166,234	$978,235	SHC
STANFORD BLOOD CENTER LLC
3373 HILLVIEW AVENUE	PALO ALTO	CA	94304	810816100	BLOOD CENTER	CA	$77,438,205	$67,570,730	SHC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd	Foreign PostalForeignAddress/ForeignPostalCd
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	CI	N/A
HOSPITAL COMMITTEE FOR THE L-P AREAS
1111 E STANLEY BLVD	LIVERMORE	CA	94550	941429628	HOSPITAL	CA	501(C)(3)	3	SHC	Yes (true)
JAEDAN BUPIN STANFORD CENTER IN THE REPU
					RESEARCH		501(C)(3)	N/A	Stanford	Yes (true)				KR
LUCILE PACKARD FOUNDATION FOR CHILDREN'S
400 HAMILTON AVENUE SUITE 340	PALO ALTO	CA	94301	770440090	HEALTHCARE	CA	501(C)(3)	7	LPCH	Yes (true)
LUCILE SALTER PACKARD CHILDRENS HOSPITAL
725 WELCH ROAD MC 5553	PALO ALTO	CA	94304	770003859	HEALTHCARE	CA	501(C)(3)	3	STANFORD	Yes (true)
PACKARD CHILDREN'S HEALTH ALLIANCE
725 WELCH ROAD MC5551	PALO ALTO	CA	94304	320359189	HEALTHCARE	CA	501(C)(3)	3	LPCH	Yes (true)
SHR HOLDINGS INC
485 BROADWAY MAILCODE 8838	REDWOOD CITY	CA	94063	943187167	REAL ESTATE	CA	501(C)(25)	N/A	STANFORD	Yes (true)
STANFORD FACULTY CLUB
PO BOX 7229	STANFORD	CA	94309	941187089	FAC INTERACT.	CA	501(C)(7)	N/A	STANFORD	Yes (true)
STANFORD FEDERAL CREDIT UNION
1860 EMBARCADERO RD	PALO ALTO	CA	94303	941492212	CREDIT UNION	CA	501(C)(1)	N/A	STANFORD	Yes (true)
STANFORD HABITAT CONSERVATION BOARD
415 BROADWAY	REDWOOD CITY	CA	94063	461882243	CONSERVATION	CA	501(C)(3)	7	STANFORD	Yes (true)
STANFORD HEALTH CARE ADVANTAGE
1221 BROADWAY 3RD FLOOR	OAKLAND	CA	94612	464071746	HEALTHCARE	CA	501(c)(3)	12A, I	SHC	Yes (true)
STANFORD PROGRAMME (CAPE TOWN) NPC
					EDUCATION		501(C)(3)	N/A	STANFORD	Yes (true)	WAVERLY BUSINESS PARK BLDG 11	CAPE TOWN	SF	SF
STANFORD UNIVERSITY BOOKSTORE
BLDG 60 MAIN QUAD NO 105	STANFORD	CA	94305	940894150	SUPPORT	CA	501(C)(3)	12A, I	STANFORD	Yes (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	Yes (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	Yes (true)
THE FREIDENRICH SUPPORT FOUNDATION
485 BROADWAY MAILCODE 8838	REDWOOD CITY	CA	94063	300519583	SUPPORT	CA	501(C)(3)	12A, I	STANFORD	Yes (true)
THE HONG KONGSU CHARITABLE TRUST
				986078093	SUPPORT		501(C)(3)	N/A	STANFORD	Yes (true)	1401 CAROLINE CENTER 28 PING ROAD	CAUSEWAY	HK	HK
THE STANFORD TRUST
					SUPPORT		501(C)(3)	N/A	STANFORD	Yes (true)	65 HIGH STREET	OXFORD	UK	UK		OX1 46L
UNIVERSITY HEALTHCARE ALLIANCE
7999 GATEWAY BLVD STE 300	NEWARK	CA	94560	943192446	HEALTHCARE	CA	501(C)(3)	3	SHC	Yes (true)
VALLEYCARE MEDICAL FOUNDATION INC
1111 E STANLEY BLVD	LIVERMORE	CA	94550	262593526	SUPPRT SHC-VC	CA	501(C)(3)	PF	HOSP CMTE LP	Yes (true)
VALLEYCARE SENIOR HOUSING
1111 E STANLEY BLVD	LIVERMORE	CA	94550	943382224	SR. FACILITY	CA	501(C)(3)	12A, I	HOSP CMTE LP	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (39 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
ADOM PARTNERS LP
1350 6TH AVE 1610	NEW YORK	NY	10019	813083288	INVESTMENTS	DE	NA
ALBUS SELECT FUND LP
750 MENLO AVE 380	MENLO PARK	CA	94025	812064357	INVESTMENTS	DE	NA
ARCOLA VENTURE LLC
635 KNIGHT WAY	STANFORD	CA	94305	371689632	RE DEVELOPMENT	DE	NA
CANARY SC FUND LP
399 PARK AVE	NEW YORK	NY	10022	475662144	INVESTMENTS	DE	NA
CANARY SC MASTER FUND LP
				981267847	INVESTMENTS		NA	89 NEXUS WAY CAMANA BAY	GRAND CAYMAN	CJ	KY1-9009	CJ
CARLSBAD CO-INVEST LP
40 BEECHWOOD RD	SUMMIT	NJ	07901	471702425	INVESTMENTS	DE	NA
CHP GTS BLOCKER HOLDINGS A LP
888 BOYLSTON STREET	BOSTON	MA	02199	830881152	INVESTMENTS	DE	NA
CYPRESS MARINA HEIGHTS LLC
635 KNIGHT WAY	STANFORD	CA	94305	954887979	INVESTMENTS	CA	NA
DGD INVESTMENT LP
635 KNIGHT WAY	STANFORD	CA	94305		INVESTMENTS		NA					CJ
ER-S JV LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	834068077	INVESTMENTS	DE	NA
ER-S REIT LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	834068725	INVESTMENTS	DE	NA
ER-S INVESTOR LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	834068357	INVESTMENTS	DE	NA
ER PROPERTIES FUND LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	834260396	INVESTMENTS	DE	NA
EZP OPPORTUNITY LP
160 BOVET RD STE 300	SAN MATEO	CA	94402	814562962	INVESTMENTS	DE	NA
FORTRESS IW COINVESTMENT (FUND B) LP
1345 AVE OF THE AMERICAS	NEW YORK	NY	10105	980509639	INVESTMENTS		NA					CJ
FOUR CROSSINGS INSTITUTIONAL PARTNERS V
ONE MARITIME PLAZA 200	SAN FRANCISCO	CA	94111	814323705	INVESTMENTS	DE	NA
FOXLANE LP
550 E WATER ST 888	CHARLOTTESVILLE	VA	22902	813314647	INVESTMENTS	DE	NA
HHBG-II INVESTMENT LP
					INVESTMENTS		NA	89 NEXUS WAY CAMANA BAY PO BOX 31	GRAND CAYMAN	CJ		CJ
KEB INVESTORS II LP
					INVESTMENTS		NA	WASHINGTON MALL STE 304 7 REID ST	HAMILTON	BD	HM 11	BD
LSF V DHB HOLDINGS LP
2711 N HASKELL AVE 1700	DALLAS	TX	75204	272858604	INVESTMENTS	DE	NA
NGP CENTENNIAL FOLLOW-ON LLC
2850 N HARWOOD STREET 19TH FLOOR	DALLAS	TX	75201	611758772	INVESTMENTS	DE	NA
OLIFANT FUND LTD
635 KNIGHT WAY	STANFORD	CA	94305	980404442	INVESTMENTS		NA					CJ
ONCOLOGY SOLUTIONS VENTURE LLC
300 PASTEUR DRIVE	STANFORD	CA	94304	863250041	HEALTHCARE	CA	NA
OUTLAWS CASINO LTD
415 BROADWAY	REDWOOD CITY	CA	94063	841457498	HOLDING COMPANY	CO	NA
PALO ALTO LP
				981126622	INVESTMENTS		NA	13 CASTLE STREET	ST HELIER	JE		JE
SANDOVAL LP
4640 ADMIRALTY WAY 5TH FL	MARINA DEL REY	CA	90292	371873346	INVESTMENTS	DE	NA
SANDPIPER FUND LP
2000 MCKINNEY AVE STE 2125	DALLAS	TX	75201	260341626	INVESTMENT	TX	NA
SAROFIM MULTIFAMILY PARTNERS LP
2525 MCKINNON STREET STE 530	DALLAS	TX	75201	201929002	RE DEVELOPMENT	TX	NA
SCP REAL ASSETS FUND (A) LP
2498 SAND HILL RD	MENLO PARK	CA	94025	203949682	INVESTMENTS	DE	NA
SEQUOIA MFM OPERATING COMPANY LLC
770 WELCH ROAD LPCH	PALO ALTO	CA	94304	475060529	MFM PROGRAM	CA	NA
SP SMC PARTNERS LLC
PO BOX 5377	NEW YORK	NY	10185	473103791	INVESTMENTS	DE	NA
STANFORD EMANUEL RADIATION ONCOLOGY CENT
825 DELBON AV	TURLOCK	CA	95382	208885091	RADIOLOGY	CA	NA						RELATED	$1,735,041	$10,146,674	false	$0	false	0.60000
STANFORD PET-CT LLC
300 PASTEUR DR	STANFORD	CA	94305	611423414	MED. DIAGNOSTIC	CA	NA						RELATED	$12,577,240	$13,225,198	false	$0	false	0.50000
STANFORD-STARTX FUND LLC
485 BROADWAY	REDWOOD CITY	CA	94063	464297719	INVESTMENTS	DE	NA						EXCLUDED	$18,371,565	$47,825,619	false	-$2,903	false	0.33330
SUMIT HOLDING INTERNATIONAL LLC
1400 PAGE MILL RD	PALO ALTO	CA	94304	263934706	HOLDING COMPANY	DE	NA						RELATED	$79,688	$83,291,400	false	$0	false	0.82000
TESSERA IONIC LP
PO BOX 194170	SAN FRANCISCO	CA	94119	830896257	INVESTMENTS	DE	NA
VEDA INVESTORS FUND LP
ONE FAWCETT PL	GREENWICH	CT	06830	811810345	INVESTMENTS	DE	NA
VERMILION PEAK MASTER FUND
635 KNIGHT WAY	STANFORD	CA	94305	981327671	INVESTMENTS	DE	NA
WREP III A LP (FKA WOLFF REAL ESTATE
6710 E CAMELBACK RD 100	SCOTTSDALE	AZ	85251	474780701	INVESTMENTS	DE	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (27 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
THE ADM MACULUS FUND III LP
4/FL WILLOW HOUSE CRICKET SQUARE	GRAND CAYMAN	CJ	KY1-9010	980508924	INVESTMENTS	CJ	NA	C CORP
BREP VII AlBERTA FDR (OFFSHORE) TE7 LP
				981066351	INVESTMENTS		NA	C CORP	345 PARK AVENUE	NEW YORK	NY	10154	CA
BREP VII AlBERTA FDR (OFFSHORE) TE7-NQ
				981066355	INVESTMENTS		NA	C CORP	345 PARK AVENUE	NEW YORK	NY	10154	CA
CANARY SC FUND LTD
89 NEXUS WAY CAYMANA BAY	GRAND CAYMAN	CJ	KY1-9009	981268195	INVESTMENTS	CJ	NA	C CORP
CLAT (15)
					CHARITABLE TR		NA	TRUST					CA
CLUT (2)
					CHARITABLE TR		NA	TRUST					CA
CRT (556)
					CHARITABLE TR		NA	TRUST					CA
EAST SAIL
C/O INTL FS INC IFS COURT	TWENTYEIGHT CYBERCITY EBENE	MP			INVESTMENTS	MP	NA	C CORP
GAVEA INVESTMENT FUND II-C LP
100 KING STREET WEST SUITE 6000	TORONTO	CA	M5X 1E2	980537952	INVESTMENTS	CA	NA	C CORP
HHBG SF Limited
89 NEXUS WAY CAYMANA BAY	GRAND CAYMAN	CJ	KY1-1205		REAL ESTATE	CJ	NA	C CORP
KAIZEN FUND
2ND FL MIDTOWN PLAZA PO BOX 448	GRAND CAYMAN	CJ	KY1-1106		INVESTMENTS	CJ	NA	C CORP
LS ALBERTA III LP
C/O LASALLE INV MGMT ONE CURZON ST	LONDON	UK	W1J 5HD	980493425	INVESTMENTS	GB	NA	C CORP
OTHER (5)
					CHARITABLE TR		NA	TRUST					CA
PIF (2)
					CHARITABLE TR		NA	TRUST					CA
PEPPERTREE CAPITAL CAYMAN ISLAND FUND LP
				981235268	INVESTMENTS	CJ	NA	C CORP	57 E WASHINGTON STREET	CHAGRIN FALLS	OH	44022
PROFESSIONAL EXCHANGE ASSURANCE COMPANY
				900897686	INSURANCE		NA	C CORP	201 MERCHANT STREET SUITE 2400	HONOLULU	HI	96813	HI
SBFF LTD
SUITE 5B201 2ND FL ONE NEXUS WAY	GRAND CAYMAN	CJ	KY1-1108		INVESTMENTS	CJ	NA	C CORP
STANFORD (BEIJING) CNSLTNG CO LTD (WFOE)
5275TH FLBLDG CACADEMY SOUTH RD	BEIJING	CH			EDUCATION	CH	NA	C CORP
STANFORD IN JAPAN GODO KAISHA
DOSHISHA UNIVERSITY MEITOKUKAN-NAI	KYOTOSHI	JA			EDUCATION	JA	NA	C CORP
STANFORD INDIA PVT LTD
333 3RD FLOOR DEVIKA TOWER 6 NEH	DELHI	IN			EDUCATION	IN	NA	C CORP
STANFORD MEDICINE INTL (HONG KONG) CO LT
833 CHEUNG SHA WAN ROAD	KOWLOON	HK			PATIENT SRVC	HK	NA	C CORP						$0	$0	1.00000	Yes (true)
STANFORD SGGS EUROPE INC
UGLAND HOUSE S CHURCH ST PO BOX 3	GEORGE TOWN	CJ		131684331	INVESTMENTS	CJ	NA	C CORP
STANFORD UNIV MED NETWORK RISK AUTHORITY
				461132002	RISK MGMT CON		NA	C CORP	1400 PAGE MILL RD MSC 5713	PALO ALTO	CA	94304	CA
THE RUBRUM FUND
7 CLIFFORD STREET	LONDON	UK	W1S 2FT		INVESTMENTS	GB	NA	C CORP
TVC MATSU FUND
89 NEXUS WAY CAYMANA BAY	GRAND CAYMAN	CJ	KY1-9009		INVESTMENTS	CJ	NA	C CORP
VERMILION PEAK FUND
PO BOX 309 UGLAND HOUSE	GRAND CAYMAN	CJ	KY1-1104	981333885	INVESTMENTS	CJ	NA	C CORP
WOODBOURNE CANADA PARTNERS II - CAYMAN
190 ELGIN AVENUE	GRAND CAYMAN	CJ	GRAND CAYMAN	980705321	INVESTMENTS	CJ	NA	C CORP

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (28 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SEROC
Q	$1,029,335	COST
SEROC
S	$110,870	COST
SEROC
R	$898,401	COST
SEROC
C	$2,804,441	COST
SUMIT
R	$21,620,064	BOOK
SUMIT
Q	$21,620,064	BOOK
LPCH
L	$84,918,080	FMV
LPCH
M	$1,754,964	FMV
LPCH
N	$6,467,202	FMV
LPCH
O	$48,825,939	FMV
LPCH
Q	$12,035,079	FMV
HOSPITAL COMMITTEE FOR THE L-P AREAS
A	$1,929,542	COST
HOSPITAL COMMITTEE FOR THE L-P AREAS
P	$20,991,897	COST
HOSPITAL COMMITTEE FOR THE L-P AREAS
Q	$67,552,628	COST
HOSPITAL COMMITTEE FOR THE L-P AREAS
L	$13,724,981	COST
HOSPITAL COMMITTEE FOR THE L-P AREAS
R	$80,710,173	COST
HOSPITAL COMMITTEE FOR THE L-P AREAS
S	$9,012,446	COST
STANFORD HEALTH CARE ADVANTAGE
B	$55,055,339	COST
STANFORD HEALTH CARE ADVANTAGE
C	$99,241,427	COST
STANFORD HEALTH CARE ADVANTAGE
R	$18,400,000	COST
STANFORD HEALTH CARE ADVANTAGE
Q	$13,397,640	COST
STANFORD HEALTH CARE ADVANTAGE
S	$13,180,658	COST
UNIVERSITY HEALTH ALLIANCE
B	$15,000,000	COST
UNIVERSITY HEALTH ALLIANCE
R	$149,196,070	COST
UNIVERSITY HEALTH ALLIANCE
L	$10,587,418	COST
UNIVERSITY HEALTH ALLIANCE
P	$34,826,259	COST
UNIVERSITY HEALTH ALLIANCE
Q	$55,845,306	COST
UNIVERSITY HEALTH ALLIANCE
S	$209,469,500	COST

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE R, PART IV, LINE (5)	CHARITABLE LEAD ANNUITY TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE (6)	CHARITABLE LEAD UNITRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE (7)	CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE (6)	OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE (7)	POOLED INCOME FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.