2022-07-13T10:08:17-05:00 2021-08-31 PricewaterhouseCoopers LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2020-09-01 946174066 STANFORD HEALTH CARE % CONTROLLER STAN 6507234000 300 PASTEUR DRIVE MC 5555 STANFORD CA 94305 LINDA HOFF CFO 6507234000 2022-07-08 true LINDA HOFF 999009999 GWEN SPENCER P00641463 6175305000 2022-06-20 2 2020 2022-09-23 18:48:47Z LINDA HOFF CFO 300 PASTEUR DRIVE MC 5230 STANFORD CA 94305 6633539822 false X HTTP://WWW.STANFORDHEALTHCARE.ORG X 1957 CA SEE SCHEDULE O 29 21 16617 382 1700537 0 127528906 429891903 4649783768 5513466343 224174043 689716123 0 0 5001486717 6633074369 41850440 109320645 0 0 2064336463 2308371989 0 0 13923066 2662375922 2935940721 4768562825 5353633355 232923892 1279441014 8774759213 9902764212 4577340701 4300850659 4197418512 5601913553 X SEE SCHEDULE O. false false 5003734390 109320645 5513466343 SEE SCHEDULE O. 5003734390 true true false true false false false true false true true true false false true true false true false true false false false false false false true true true false true true false false false false false true false false false false true false false false true true true true false false true 599 0 true 16617 true true true true BD false false false true true false false false false true false X 29 21 true true true false true true true true true false false false true true true true true true true true true CA X CONTROLLER 6507234000 1804 EMBARCADERO RD STE 100 1ST PALO ALTO CA 94303 X DAVID ENTWISTLE DIRECTOR/CEO 50.0 4.25 X X 4360713 0 412460 YIPING WOO MD DIRECTOR (SEE SCHEDULE O) 2.0 53.6 X 0 2648649 97200 QUINN MCKENNA COO 50.0 3.0 X 2379089 0 225040 LLOYD B MINOR MD DIRECTOR (SEE SCHEDULE O) 2.0 52.3 X 0 1926649 363150 LINDA HOFF CFO 50.0 3.25 X 1918008 0 167884 PAUL KING DIRECTOR (SEE SCHEDULE O) 2.0 50.3 X 0 1650405 251012 MARY HAWN MD DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 1627718 94950 PRIYA SINGH VP & CHIEF STRATEGY OFFICER 50.0 0.0 X 1150944 0 114882 RANDALL LIVINGSTON DIRECTOR (SEE SCHEDULE O) 2.0 52.0 X 0 822917 362655 ERIC YABLONKA CHIEF INFORMATION OFFICER 50.0 0.0 X 1134984 0 47521 SRIDHAR SESHADRI VP CANCER CTR & HEART CTR 50.0 0.0 X 964513 0 82759 DAVID D JONES VP & CHIEF HR OFFICER 50.0 0.0 X 839082 0 132303 CATHERINE D KRNA VP - AMBULATORY CARE & GI 25.0 25.0 X 817316 0 121080 DALE BEATTY CNO & VP PATIENT CARE SERVICES 50.0 0.0 X 760115 0 103796 JILL A BUATHIER VP & CRC OFFICER 50.0 0.0 X 766394 0 79653 ALISON M KERR VP - NEURO ORTHO SL/CAO CLN OP 50.0 0.0 X 742587 0 95522 HELEN M WILMOT VP TRANSITION & STRATEGIC SPAC 50.0 0.0 X 758111 0 78117 THOMAS Y KIM VP-CHIEF MKT DEVELOP. OFFICER 50.0 0.25 X 724034 0 85946 GARY FRITZ VP - APPLICATIONS 50.0 0.0 X 556704 0 64639 MEGAN MAHONEY MD DIRECTOR (SEE SCHEDULE O) 2.0 1.0 X 0 431837 55077 MARK LESLIE DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 48614 0 SUSAN BECHTEL DIRECTOR 2.0 0.0 X 0 0 0 WILLIAM BRODY MD DIRECTOR 2.0 0.0 X 0 0 0 MARIANN BYERWALTER DIRECTOR 2.0 2.0 X 0 0 0 JEFF CHAMBERS DIRECTOR 10.0 2.3 X 0 0 0 BRET E COMOLLI DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 0 0 CHANDLER EVANS DIRECTOR 2.0 1.0 X 0 0 0 JOHN GOLDMAN DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 0 0 LORI GOLER DIRECTOR 2.0 0.0 X 0 0 0 JOHN GUNN VICE CHAIR (SEE SCHEDULE O) 2.0 0.0 X 0 0 0 FRED HARMAN DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 0 0 CECILIA HERBERT DIRECTOR 2.0 0.0 X 0 0 0 CHIEN LEE DIRECTOR 2.0 0.0 X 0 0 0 JOHN LEVIN CHAIR 2.0 2.0 X 0 0 0 LINDA MEIER DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 0 0 MARGARET RAFFIN DIRECTOR (SEE SCHEDULE O) 2.0 1.0 X 0 0 0 DONNA DUBINSKY DIRECTOR 2.0 0.0 X 0 0 0 MARC E JONES VICE CHAIR (SEE SCHEDULE O) 2.0 2.0 X 0 0 0 LATA KRISHNAN DIRECTOR 2.0 0.0 X 0 0 0 ALDEN MCDONALD MD DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 0 0 SANJAY MEHROTRA DIRECTOR 2.0 0.0 X 0 0 0 MINDY B ROGERS VICE CHAIR 2.0 4.3 X 0 0 0 KAVITARK RAM SHRIRAM DIRECTOR 2.0 0.0 X 0 0 0 SARA ABBASI DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 0 0 JEFF ROTHSCHILD DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 0 0 ROBERT SANTOS MD DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 0 0 KAYE FOSTER DIRECTOR (SEE SCHEDULE O) 0.0 0.0 X 0 0 0 17872594 9156789 3035646 6495 false true false STANFORD UNIVERSITY 485 BROADWAY REDWOOD CITY CA 94063 PROF. SERVICES 908615449 AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 HEALTHCARE STAFFING 53949030 CLARKMCCARTHY CONSTRUCTION 1265 BATTERY STR 3RD FLOOR SAN FRANCISCO CA 94111 CONSTRUCTION COMPANY 24141814 EMCOR FACILITIES SERVICESINC 2800 CRYSTAL DRIVE SUITE 600 ARLINGTON VA 22202 FACILITIES MGMT 22246017 SODEXO INC AFFILIATES 9801 WASHINGTON BLVD GAITHERSBURGH MD 20878 FACILITIES MGMT 20406334 377 4233000 400752751 24906152 386722 429891903 PATIENT REVENUE 900099 5394388670 5394388670 OUTREACH LAB CLINIC 900099 29576662 29576662 HOUSE STAFF 900099 26067330 26067330 EMPLOYER HEALTH CLINIC 900099 10830965 10830965 CLINIC REVENUE 900099 11107180 11107180 41495536 34924971 1703440 4867125 5513466343 102002694 -2903 102005597 0 0 0 0 0 588097882 81000 465453 588097882 -384453 587713429 587713429 0 0 0 0 0 0 0 0 0 0 6633074369 5506895778 1700537 694586151 109320645 109320645 0 0 0 12191379 2200895 9251764 738720 0 1519229721 1418418736 100594368 216617 127928680 118489918 9409652 29110 529641685 492744651 36762740 134294 119380524 110606716 8750212 23596 2554040 1951922 602118 17316166 5000000 12316166 2087382 5538 2081844 247897 194125 53772 0 0 101894253 87148544 14450068 295641 9160377 8804712 175225 180440 155622518 120290419 35152121 179978 14621801 7922876 5864055 834870 0 93151918 88993563 4123073 35282 2016595 1614810 400105 1680 0 572477 432091 135920 4466 76769378 76766145 3233 0 0 260891911 244917779 15920064 54068 26622247 21578894 5043353 OTHER PURCHASED SERVICES 1231508065 1164570202 55972538 10965325 SUPPLIES 853152229 847179569 5956709 15951 LICENSE AND TAXES 5730030 4538676 1191354 0 DUES & SUBSCRIPTIONS 3626322 1180165 2446157 0 78395115 68862799 9319288 213028 5353633355 5003734390 335975899 13923066 900 900 1573390151 322999750 0 0 706616301 804928277 6953000 6753000 0 0 0 0 116992279 105291179 68726985 107223768 5578429919 2173741453 3441597536 3404688466 0 0 2179989459 4440765821 266034778 251972123 0 0 414457824 458140928 8774759213 9902764212 1140996754 879811967 0 0 0 0 1546071365 1160573120 0 0 0 0 0 0 0 0 1890272582 2260465572 4577340701 4300850659 X 4063828730 5456431111 133589782 145482442 4197418512 5601913553 8774759213 9902764212 X 1279441014 176387302 -51333275 X false true X true false X 28574427 44851782 35789009 127528906 429891903 666636027 0 0 28574427 44851782 35789009 127528906 429891903 666636027 79500 666556527 88221042 41050786 53677507 66589374 102005597 351544306 0 0 0 0 0 0 0 1018180333 22961802022 0.65465 0.44410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 61546 false false true 51468 true 24619 true 247897 385530 false LOBBYING ACTIVITIES INCLUDE: - SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS; - MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS; - SENDING OR DISTRIBUTING LETTERS OR PUBLICATIONS (INCLUDING NEWSLETTERS, BROCHURES, ETC.) TO MEMBERS OR TO THE GENERAL PUBLIC; AND -SENDING LETTERS TO GOVERNMENT REGULATORY AGENCIES. SHC BELONGS TO CERTAIN TRADE ASSOCIATIONS IN WHICH A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS SPENT ON EFFORTS TO INFLUENCE LEGISLATIVE MATTERS IN THE HEALTH CARE INDUSTRY. DURING 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. 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SHC HAS A FUND TO SUPPORT THE MEDICAL DIRECTOR OF THE HOSPITAL'S CANCER CENTER CLINICAL SERVICES AND A FUND TO SUPPORT MEDICAL DIRECTORSHIP OF DISASTER PREPAREDNESS. SHC ALSO HAS FUNDS TO SUPPORT MUSIC PROGRAMS, EDUCATIONAL PROGRAMS, CHAPLAINCY PROGRAMS, A CLINICAL PASTORAL EDUCATION PROGRAM IN SPIRITUAL CARE, PATIENT CARE, INDIGENT CARE, HEALTH LIBRARY TECHNOLOGY, NURSING STAFF THAT CARE FOR CANCER PATIENTS TO ENHANCE THE EXPERIENCE AND WELLBEING OF CANCER PATIENTS, AND TO SUPPORT NURSES, STAFF, PATIENTS, AND FAMILIES OF THE STANFORD WOMEN'S CANCER CENTER. THERE ARE ALSO FUNDS TO ENHANCE THE EXPERIENCE OF OSTOMY NURSES AND THE PATIENTS THEY SERVE AND TO ENHANCE THE PATIENT EXPERIENCE THROUGH PROVISION OF COMPLEMENTARY PATIENT CARE. PART X, LINE 2 FIN 48 SHC HAS NO UNCERTAIN TAX POSITIONS PERTAINING TO UNRELATED BUSINESS INCOME. true true true X 400. true X true true true false true true 1 0 15968628 444167 15524461 0.00290 1 0 727463493 332050073 395413420 0.07390 2 0 743432121 332494240 410937881 0.07680 17 15132 189440300 392213799 0 0.00000 15 983 158974918 22064486 136910432 0.02560 1 0 7520609 4504145 3016464 0.00060 1 0 20591 0 20591 0.00000 23 360785 116125598 248712 115876886 0.02160 57 376900 472082016 419031142 255824373 0.04780 59 376900 1215514137 751525382 666762254 0.12460 1 5000 5000 0.00000 1 9045 9045 0.00000 2 14045 14045 0.00000 true 77689009 1136074664 2056714736 -920640072 true true 1 1 STANFORD HEALTH CARE 300 PASTEUR DRIVE STANFORD CA 94305 HTTP://STANFORDHEALTHCARE.ORG 070000662 X X X X STANFORD HEALTH CARE 1 false false true X X X X X X X X X 18 true true true true X SEE SECTION C X true 19 true SEE SECTION C false true X 400. 400. X X true true X X X true X HTTP://STANFORDHEALTHCARE.ORG X SAME AS ABOVE X SAME AS ABOVE X X X X X X true X false X X X true X false false PART V, SECTION B, LINE 5 THE CHNA ASSESSED COMMUNITY HEALTH NEEDS BY GATHERING INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. THESE PERSONS INCLUDED LOCAL PUBLIC HEALTH DEPARTMENTS, THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME INDIVIDUALS, MINORITY POPULATIONS, AND PROFESSIONALS WHOSE ORGANIZATIONS SERVE OR REPRESENT THE INTERESTS OF THOSE POPULATIONS. INPUT WAS GATHERED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND ONLINE SURVEY (SANTA CLARA COUNTY ONLY). IN ADDITION TO THIS PRIMARY QUALITATIVE INPUT, QUANTITATIVE DATA WAS ANALYZED TO IDENTIFY POOR HEALTH OUTCOMES, HEALTH DISPARITIES, AND HEALTH TRENDS. THIS DATA AND INPUT GATHERING OCCURRED OVER 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. 5 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 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 true OPERATION ACCESS 1119 MARKET ST SUITE 400 SAN FRANCISCO CA 94103 943180356 501(C)(3) 130000 CARE COORDINATION EFFORTS ACROSS SANTA CLARA AND SAN MATEO COUNTIES AVENIDAS 450 BRYANT STREET PALO ALTO CA 94301 941480548 501(C)(3) 322565 6678 FMV PER POUND BASIS MEDICAL SUPPLIES COMMUNITY BASED HEALTH HOME PROGRAM DESTINATION HOME SV 3180 NEWBERRY DRIVE SUITE 200 SAN JOSE CA 95118 823353174 501(C)(3) 800000 HOUSING/HOMELESSNESS DOWNTOWN STREETS INC 1671 THE ALAMEDA SUITE 306 SAN JOSE CA 95126 205242330 501(C)(3) 227764 HOUSING/HOMELESSNESS HEALTHCARE FOUNDATION 1215 K STREET SUITE 730 SACRAMENTO CA 95814 861174825 501(C)(3) 528145 MEDICAL RESPITE PROGRAM ROTACARE BAY AREA INC 514 VALLEY WAY MILPITAS CA 95035 770328723 501(C)(3) 21250 CLINIC RE-OPENING AND COVID CARE DELIVERY NEEDS PENINSULA HEALTHCARE CONNECTION INC 33 ENCINA AVENUE 103 PALO ALTO CA 94301 202886131 501(C)(3) 185000 709744 SALARIES, BENEFITS, DONATED STAFF TIME HEALTHCARE FOR HOMELESS AND EXPANDED ACCESS TO CARE VIDA USA 3690 MT DIABLO BLVD LAFAYETTE CA 94549 680249466 501(C)(3) 944874 FMV PER POUND BASIS MEDICAL SUPPLIES, EQ MEDICAL SUPPLIES, EQUIPMENT DONATION SAMARITAN HOUSE 4031 PACIFIC BOULEVARD SAN MATEO CA 94403 237416272 501(C)(3) 400000 SUPPORT COMMUNITY CLINIC SECOND HARVEST OF SILICON VALLEY 750 CURTNER AVENUE SAN JOSE CA 95125 942614101 501(C)(3) 660000 ECONOMIC SECURITY SALVATION ARMY 702 W TAYLOR ST SAN JOSE CA 95126 941156345 501(C)(3) 9000 FMV PER POUND BASIS FURNITURE FURNITURE DONATION SONRISAS DENTAL HEALTH INC 750 CURTNER AVENUE SAN JOSE CA 95125 943390196 501(C)(3) 171000 SUPPORT COMMUNITY CLINIC SOUTH COUNTY COMMUNITY HEALTH CENTER INC 1885 BAY ROAD EAST PALO ALTO CA 94303 943372130 501(C)(3) 163210 130100 FMV PER POUND BASIS FURNITURE DONATION, COMMUNITY HEALTH NEEDS ASSESSMENT THE BOARD OF TRUSTEES OF STANFORD UNIVERSITY 3145 PORTER DRIVE PALO ALTO CA 94304 941156365 501(C)(3) 104106225 48166 FMV OF RADIOLOGY & L IN KIND RADIOLOGY AN SUPPORT FOR HEALTH PROFESSIONS EDUCATION & TRAINING, RESEARCH, PHYSICIANS SERVICES FOR FQHCs, AND ACCESS TO CARE THE HEALTH TRUST 3180 NEWBERRY DR S200 SAN JOSE CA 95118 946050231 501(C)(3) 450000 ECONOMIC SECURITY LA COCINA 2948 FOLSOM ST SAN FRANCISCO CA 94110 593838549 501(C)(3) 7480 FMV PER POUND BASIS FURNITURE, EQUIPMENT FURNITURE, EQUIPMENT DONATION GO COPIA PBC 1160 BATTERY ST E SAN FRANCISCO CA 94111 471068807 170(E) 62703 FMV PER POUND BASIS FOOD DONATION FOOD DONATION ECUMENCIAL HUNGER PROGRAM 2411 PULGAS AVE EAST PALO ALTO CA 94303 942476942 501(C)(3) 40000 FMV PER POUND BASIS FOOD DONATION FOOD DONATION ROOTS COMMUNITY HEALTH CENTER 7272 MAC ARTHUR BLVD OAKLAND CA 94605 262583954 501(C)(3) 50000 175459 SALARIES, BENEFITS A DONATED STAFF TIME COMMUNITY HEALTH NEEDS ASSESSMENT 18 1 PROCEDURES FOR MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 FOLLOWING GRANT APPROVAL BY THE COMMUNITY PARTNERSHIP PROGRAM STEERING COMMITTEE, SHC PROVIDES A GRANT AWARD LETTER/RESTRICTED USE LETTER TO THE GRANT RECIPIENT DETAILING THE TERMS OF THE GRANT, INCLUDING GRANT PERIOD, GRANT AWARD AMOUNT AND PAYMENT SCHEDULE, GRANT REPORTING SCHEDULE, AND GRANT GOALS AND OUTCOMES. THE GRANT RECIPIENT PROVIDES ELECTRONIC SIGNATURE AGREEING TO THE TERMS OF THE RESTRICTED USE LETTER AND VERIFYING RECEIPT OF PAYMENT. THE SHC GRANTS MANAGER MAINTAINS CONTACT THROUGHOUT THE GRANT PERIOD, VERIFYING APPROPRIATE USE OF FUNDS AND PROGRESS ON STATED GOALS AND OBJECTIVES. AT THE END OF THE GRANT PERIOD, FINAL GRANT REPORTS ARE REVIEWED BY THE GRANT MANAGER. COPIES OF ALL DOCUMENTS ARE KEPT ELECTRONICALLY BY THE COMMUNITY PARTNERSHIP PROGRAM. X true true X X X X X false true false false false false false true false MARY HAWN MD DIRECTOR (SEE SCHEDULE O) 0 815663 0 793797 0 18258 0 25650 0 69300 0 1722668 0 DAVID ENTWISTLE DIRECTOR/CEO 1928772 0 2077017 0 354924 0 361427 0 51033 0 4773173 0 296675 0 DALE BEATTY CNO & VP PATIENT CARE SERVICES 476491 0 106287 0 177337 0 83221 0 20575 0 863911 0 50871 0 LINDA HOFF CFO 918479 0 843839 0 155690 0 139572 0 28312 0 2085892 0 98782 0 QUINN MCKENNA COO 1034663 0 998981 0 345445 0 173659 0 51381 0 2604129 0 129651 0 LLOYD B MINOR MD DIRECTOR (SEE SCHEDULE O) 0 1565758 0 250000 0 110891 0 328500 0 34650 0 2289799 0 0 CATHERINE D KRNA VP - AMBULATORY CARE & GI 530744 0 123240 0 163332 0 77222 0 43858 0 938396 0 41101 0 ERIC YABLONKA CHIEF INFORMATION OFFICER 823159 0 157661 0 154164 0 25962 0 21559 0 1182505 0 2268 0 SRIDHAR SESHADRI VP CANCER CTR & HEART CTR 596074 0 132404 0 236035 0 32278 0 50481 0 1047272 0 1346 0 PAUL KING DIRECTOR (SEE SCHEDULE O) 0 1090236 0 512835 0 47334 0 231117 0 19895 0 1901417 0 0 RANDALL LIVINGSTON DIRECTOR (SEE SCHEDULE O) 0 752069 0 0 0 70848 0 329833 0 32822 0 1185572 0 0 MEGAN MAHONEY MD DIRECTOR (SEE SCHEDULE O) 0 344245 0 87153 0 439 0 24894 0 30183 0 486914 0 0 YIPING WOO MD DIRECTOR (SEE SCHEDULE O) 0 1518423 0 1130226 0 0 0 24955 0 72245 0 2745849 0 0 GARY FRITZ VP - APPLICATIONS 400518 0 91764 0 64422 0 25772 0 38867 0 621343 0 461 0 ALISON M KERR VP - NEURO ORTHO SL/CAO CLN OP 462672 0 128010 0 151905 0 73927 0 21595 0 838109 0 0 0 HELEN M WILMOT VP TRANSITION & STRATEGIC SPAC 423649 0 193503 0 140959 0 34285 0 43832 0 836228 0 680 0 DAVID D JONES VP & CHIEF HR OFFICER 513620 0 162870 0 162592 0 99015 0 33288 0 971385 0 64827 0 THOMAS Y KIM VP-CHIEF MKT DEVELOP. OFFICER 484033 0 177670 0 62331 0 66461 0 19485 0 809980 0 0 0 JILL A BUATHIER VP & CRC OFFICER 456751 0 240944 0 68699 0 31176 0 48477 0 846047 0 0 0 PRIYA SINGH VP & CHIEF STRATEGY OFFICER 709386 0 408834 0 32724 0 108137 0 6745 0 1265826 0 0 0 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. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LNX1 2008-06-02 428500000 2008 SERIES AB-SEE PART VI true false false B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LZD2 2012-05-23 608293722 2012 SERIES ABCD-SEE PART VI true false false C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033L8Q3 2015-06-30 180626500 2015 SERIES AB-SEE PART VI true false false D CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UQR2 2017-12-28 530337859 2017 SERIES A-SEE PART VI false false false A 84760000 174715000 428500000 0 0 0 0 0 0 0 428500000 0 2008 true false true true B 213335000 340000000 614499969 0 0 0 4780 0 0 535097892 79397297 0 2019 false true true true C 75000000 0 182519359 0 0 0 0 0 0 182519359 0 0 2019 false false true true D 0 0 562814522 0 0 178222614 0 0 0 0 384591908 0 2017 false true true true A false true true true false 0.00070 0.00070 false false false true B false true true true false 0.00010 0.00010 false false false true C false false true true false 0.00000 0.00000 false false false true D false true true true false 0.00010 0.00010 false false false true A false false true true true true SEE PART VI false true false 0 false true B false false false true true false 0 false 0 false true C false false false true true false 0 false 0 false true D false false true true false false 0 false 0 false true A true B true C true D true TAX EXEMPT BONDS FORM 990, SCHEDULE K, PART I BOND ISSUES: A CUSIP#: 13033LNX1 - ORIGINAL CUSIP IN TAX CERTIFICATE IS NO LONGER OUTSTANDING SERIES: 2008 SERIES A&B DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF 2006 SERIES A & B DATE OF ISSUE: 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. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UVN5 2020-04-01 190005327 2020 SERIES A-SEE PART VI false false false B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UYT9 2021-04-30 175002141 2021 SERIES A-SEE PART VI false false false A 0 0 190012515 0 0 0 0 0 0 130005327 60007188 0 2020 true false true true B 0 0 175002141 0 0 0 0 0 0 0 175002141 0 2021 true false true true A false false true true false 0.00000 0.00000 false false false true B false false true true false 0.00000 0.00000 false false false true A false false true true false false 0 false 0 false true B false false true true false false 0 false 0 false true A true B true DAVID ENTWISTLE OFFICER HOUSING LOAN X 1000000 1000000 false true true DAVID ENTWISTLE OFFICER HOUSING LOAN X 1000000 1000000 false true true DAVID ENTWISTLE OFFICER HOUSING LOAN X 1000000 1000000 false true true QUINN MCKENNA OFFICER HOUSING LOAN X 500000 500000 false true true QUINN MCKENNA OFFICER HOUSING LOAN X 500000 500000 false true true QUINN MCKENNA OFFICER HOUSING LOAN X 500000 500000 false true true QUINN MCKENNA OFFICER HOUSING LOAN X 500000 500000 false true true DALE BEATTY KEY EMPLOYEE HOUSING LOAN X 500000 500000 false true true LINDA HOFF OFICER HOUSING LOAN X 953000 953000 false true true GARY FRITZ KEY EMPLOYEE HOUSING LOAN X 300000 300000 false true true 6753000 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 SCHEDULE L, PART II LOANS TO/FROM INTERESTED PERSONS EACH LOAN TO AN INTERESTED PERSON IS MADE FROM STANFORD HEALTH CARE (SHC) TO THE INDIVIDUAL (COLUMN D). NONE OF THE LOANS ARE IN DEFAULT (COLUMN G). ALL LOANS HAVE BEEN APPROVED BY THE BOARD OF DIRECTORS (COLUMN H) AND, FOR EACH LOAN ISSUED, THERE EXISTS A WRITTEN AGREEMENT BETWEEN SHC AND THE BORROWER (COLUMN I). THE LOANS TO INTERESTED PERSONS FALL UNDER THREE CATEGORIES: MORTGAGE ASSISTANCE PROGRAM (MAP), DEFERRED INTEREST PAYMENT (DIP), AND ZERO INTEREST PROGRAM (ZIP). FOR THE THREE TYPES OF LOANS, SHC WILL SHARE IN ANY APPRECIATION IN VALUE OF THE PROPERTY AT THE TIME OF REPAYMENT BASED ON ITS PERCENTAGE OF OWNERSHIP INTEREST. APPRECIATION IS THE DIFFERENCE BETWEEN THE DUE DATE FAIR MARKET VALUE OF THE PROPERTY AND THE ORIGINAL PURCHASE PRICE. THE MORTGAGE ASSISTANCE PROGRAM LOAN (MAP) IS A NON-AMORTIZING, INTEREST ONLY HOME LOAN REQUIRING THE PRINCIPAL TO BE PAYABLE AT THE TIME OF SALE, PREPAYMENT OR REFINANCING. THE DEFERRED INTEREST PAYMENT LOAN (DIP) IS A NON-AMORTIZING HOME LOAN REQUIRING NO PAYMENT UNTIL THE PRINCIPAL AND DEFERRED INTEREST ARE DUE AT THE TIME OF SALE, PREPAYMENT OR REFINANCING. ZERO INTEREST PROGRAM LOAN (ZIP) IS A NON-AMORTIZING, ZERO INTEREST HOME LOAN, REQUIRING PRINCIPAL TO BE PAYABLE AT THE TIME OF SALE, PREPAYMENT OR REFINANCING. X 10 346722 FAIR MARKET VALUE X 1 40000 FAIR MARKET VALUE 1 false true true SCHEDULE M, PART I, COLUMN B STANFORD HEALTH CARE IS REPORTING THE NUMBER OF CONTRIBUTIONS. SCHEDULE M, PART I, QUESTION 32B STANFORD HEALTH CARE UTILIZES THE SERVICES OF STANFORD UNIVERSITY TO ASSIST WITH THE SOLICITATION AND PROCESSING OF NON-CASH GIFTS. MISSION FORM 990, PART I, LINE 1 & PART III, LINE 1 STANFORD HEALTH CARE ("SHC") IS A NON-PROFIT CALIFORNIA PUBLIC BENEFIT CORPORATION OF WHICH THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY (THE "UNIVERSITY") IS THE SOLE MEMBER. THE OBJECTIVE AND THE PURPOSE OF SHC IS TO PROVIDE PATIENT CARE SERVICES, SUPPORT, BENEFIT AND FURTHER THE CHARITABLE, AND SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE UNIVERSITY AND THE UNIVERSITY'S SCHOOL OF MEDICINE. SHC OPERATES A LICENSED ACUTE CARE HOSPITAL, CANCER CENTERS IN PALO ALTO AND SAN JOSE, AN AMBULATORY OUTPATIENT CENTER IN REDWOOD CITY AND NUMEROUS OUTPATIENT PHYSICIAN CLINICS IN THE SAN FRANCISCO BAY AREA, IN COMMUNITY SETTINGS AND IN ASSOCIATION WITH REGIONAL HOSPITALS. STANFORD HEALTH CARE HAS A MISSION TO CARE, TO EDUCATE, AND TO DISCOVER. SHC'S VISION STATEMENT IS HEALING HUMANITY THROUGH SCIENCE AND COMPASSION, ONE PATIENT AT A TIME. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A STANFORD HEALTH CARE ("SHC") IS KNOWN WORLDWIDE FOR ADVANCED PATIENT CARE PROVIDED BY ITS PHYSICIANS AND STAFF, PARTICULARLY IN AREAS SUCH AS CARDIAC CARE, CANCER TREATMENT, NEUROLOGY, NEUROSURGERY, ORTHOPEDICS, SURGERY AND ORGAN TRANSPLANTS. SHC HAD 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 CARE COUNSEL LLC 899 NORTHGATE DRIVE STE 530 SAN RAFAEL CA 94903 680396696 MEDICAL CA 2166234 978235 SHC STANFORD BLOOD CENTER LLC 3373 HILLVIEW AVENUE PALO ALTO CA 94304 810816100 BLOOD CENTER CA 77438205 67570730 SHC THE BRD OF TRUST LELAND STANF JR UNIV 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 941156365 EDUCATION CA 501(C)(3) 2 NA false FUNDACION STANFORD UNIVERSITY EN CHILE AV CONDELL 189 PROVIDENCIA SANTIAGO CI 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 true JAEDAN BUPIN STANFORD CENTER IN THE REPU RESEARCH KR 501(C)(3) N/A Stanford true LUCILE PACKARD FOUNDATION FOR CHILDREN'S 400 HAMILTON AVENUE SUITE 340 PALO ALTO CA 94301 770440090 HEALTHCARE CA 501(C)(3) 7 LPCH true LUCILE SALTER PACKARD CHILDRENS HOSPITAL 725 WELCH ROAD MC 5553 PALO ALTO CA 94304 770003859 HEALTHCARE CA 501(C)(3) 3 STANFORD true PACKARD CHILDREN'S HEALTH ALLIANCE 725 WELCH ROAD MC5551 PALO ALTO CA 94304 320359189 HEALTHCARE CA 501(C)(3) 3 LPCH true SHR HOLDINGS INC 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 943187167 REAL ESTATE CA 501(C)(25) N/A STANFORD true STANFORD FACULTY CLUB PO BOX 7229 STANFORD CA 94309 941187089 FAC INTERACT. CA 501(C)(7) N/A STANFORD true STANFORD FEDERAL CREDIT UNION 1860 EMBARCADERO RD PALO ALTO CA 94303 941492212 CREDIT UNION CA 501(C)(1) N/A STANFORD true STANFORD HABITAT CONSERVATION BOARD 415 BROADWAY REDWOOD CITY CA 94063 461882243 CONSERVATION CA 501(C)(3) 7 STANFORD true STANFORD HEALTH CARE ADVANTAGE 1221 BROADWAY 3RD FLOOR OAKLAND CA 94612 464071746 HEALTHCARE CA 501(c)(3) 12A, I SHC true STANFORD PROGRAMME (CAPE TOWN) NPC WAVERLY BUSINESS PARK BLDG 11 CAPE TOWN SF EDUCATION SF 501(C)(3) N/A STANFORD true STANFORD UNIVERSITY BOOKSTORE BLDG 60 MAIN QUAD NO 105 STANFORD CA 94305 940894150 SUPPORT CA 501(C)(3) 12A, I STANFORD true SU EMP BEN TRUST POST RETEMPYNT BEN 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 943246199 BENEFITS CA 501(C)(9) N/A STANFORD true THE DUDLEY E CHAMBERS FOUNDATION JP MORGAN CHASE PO BOX 3038 MILWAUKEE WI 53201 386841793 SUPPORT NY 501(C)(3) 12D, III-O STANFORD true THE FREIDENRICH SUPPORT FOUNDATION 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 300519583 SUPPORT CA 501(C)(3) 12A, I STANFORD true THE HONG KONGSU CHARITABLE TRUST 1401 CAROLINE CENTER 28 PING ROAD CAUSEWAY HK 986078093 SUPPORT HK 501(C)(3) N/A STANFORD true THE STANFORD TRUST 65 HIGH STREET OXFORD UK OX1 46L SUPPORT UK 501(C)(3) N/A STANFORD true UNIVERSITY HEALTHCARE ALLIANCE 7999 GATEWAY BLVD STE 300 NEWARK CA 94560 943192446 HEALTHCARE CA 501(C)(3) 3 SHC true VALLEYCARE MEDICAL FOUNDATION INC 1111 E STANLEY BLVD LIVERMORE CA 94550 262593526 SUPPRT SHC-VC CA 501(C)(3) PF HOSP CMTE LP true VALLEYCARE SENIOR HOUSING 1111 E STANLEY BLVD LIVERMORE CA 94550 943382224 SR. FACILITY CA 501(C)(3) 12A, I HOSP CMTE LP true 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 89 NEXUS WAY CAMANA BAY GRAND CAYMAN CJ KY1-9009 981267847 INVESTMENTS CJ NA 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 CJ NA 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 CJ NA 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 89 NEXUS WAY CAMANA BAY PO BOX 31 GRAND CAYMAN CJ INVESTMENTS CJ NA KEB INVESTORS II LP WASHINGTON MALL STE 304 7 REID ST HAMILTON BD HM 11 INVESTMENTS BD NA 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 CJ NA 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 13 CASTLE STREET ST HELIER JE 981126622 INVESTMENTS JE NA 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 1735041 10146674 false 0 false 0.60000 STANFORD PET-CT LLC 300 PASTEUR DR STANFORD CA 94305 611423414 MED. 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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.