STANFORD HEALTH CARE 227: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: STANFORD HEALTH CARE 227 (EIN 94-6174066)
Tax period: 2023-09-01 to 2024-08-31
Filed: 2025-07-11
IRS object ID: 202541929349301044
Schema version: 2023v6.0
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 F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-07-11T13:52:15-05:00	ReturnTs
Tax Period End	2024-08-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PwC US Tax LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-09-01	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	2025-07-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ROBERT W FRIZ	PreparerPersonNm
PTIN	P00438748	PTIN
Phone	2673303000	PhoneNum
Preparation	2025-07-10	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	LINDA HOFF	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	$8,065,021,139	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	26	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	21893	TotalEmployeeCnt
Total Volunteers	708	TotalVolunteersCnt
Total Gross UBI	$2,122,989	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$49,377,189	PYContributionsGrantsAmt
CY Contributions Grants	$8,326,657	CYContributionsGrantsAmt
PY Program Service Revenue	$6,891,476,909	PYProgramServiceRevenueAmt
CY Program Service Revenue	$7,965,157,866	CYProgramServiceRevenueAmt
PY Investment Income	$108,347,877	PYInvestmentIncomeAmt
CY Investment Income	$73,274,355	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$2,287,174	CYOtherRevenueAmt
PY Total Revenue	$7,049,201,975	PYTotalRevenueAmt
CY Total Revenue	$8,049,046,052	CYTotalRevenueAmt
PY Grants And Similar Paid	$86,040,226	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$109,977,793	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,959,683,307	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,333,841,731	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$17,101,417	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,538,344,735	PYOtherExpensesAmt
CY Other Expenses	$4,083,112,551	CYOtherExpensesAmt
PY Total Expenses	$6,584,068,268	PYTotalExpensesAmt
CY Total Expenses	$7,526,932,075	CYTotalExpensesAmt
PY Revenues Less Expenses	$465,133,707	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$522,113,977	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,795,679,399	TotalAssetsBOYAmt
Total Assets EOY	$12,118,920,543	TotalAssetsEOYAmt
Total Liabilities BOY	$4,281,931,985	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,646,874,412	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,513,747,414	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$7,472,046,131	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	$7,110,603,748	ExpenseAmt
Grant	$109,977,793	GrantAmt
Revenue	$7,963,034,877	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$7,110,603,748	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	Yes (true)	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	false	ForeignOfficeInd
Foreign Activities	Yes (true)	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	false	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	536	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	21893	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	26	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	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	Yes (true)	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	300 PASTEUR DRIVE MC 5555	AddressLine1Txt
City	STANFORD	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94305	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (43 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID ENTWISTLE
PRESIDENT & CEO (SEE SCH O)	50.0	6.65	Yes (X)	Yes (X)	$5,917,814	$0	$96,440
LLOYD B MINOR MD
DIRECTOR (SEE SCHEDULE O)	2.0	52.3	Yes (X)		$0	$2,883,097	$289,646
QUINN MCKENNA
EVP-CHIEF OP. OFFICER (SCH O)	50.0	4.2		Yes (X)	$2,913,368	$0	$82,184
PAUL KING
DIRECTOR (SEE SCHEDULE O)	2.0	50.3	Yes (X)		$0	$2,465,484	$78,112
LINDA HOFF
EVP-CFO	50.0	4.65		Yes (X)	$2,328,544	$0	$197,819
PRIYA SINGH
EVP-CHIEF STRATEGY OFFICER	52.0	2.0			$1,707,523	$213,620	$131,534	Yes (X)
RANDALL LIVINGSTON
DIRECTOR (SEE SCHEDULE O)	2.0	52.0	Yes (X)		$0	$1,626,689	$195,300
SRIDHAR SESHADRI
SVP & PRESIDENT-CANCER CENTER	50.0	0.0			$1,294,081	$0	$103,808		Yes (X)
EILA SKINNER MD
DIRECTOR	2.0	48.0	Yes (X)		$0	$1,298,314	$69,954
ALISON M KERR
SVP-DESTINATION SERVICE LINES	50.0	0.0			$1,142,236	$0	$68,087		Yes (X)
DALE BEATTY
SVP-CHIEF NURSE EXECUTIVE	50.0	0.0			$1,061,999	$0	$59,658		Yes (X)
THOMAS MONTINE MD
DIRECTOR	2.0	48.0	Yes (X)		$0	$1,012,878	$59,982
THOMAS Y KIM
EVP-CHIEF MARKET DEV OFFICER	52.0	0.0			$919,354	$0	$58,138	Yes (X)
CAROL D RORIG
SVP-CHIEF HR OFFICER	50.0	0.0			$848,153	$0	$98,208	Yes (X)
JAMES MARTIN JR
SVP-CONTROLLER	50.0	0.0			$786,320	$0	$104,772	Yes (X)
HELEN M WILMOT
SVP-CHIEF FACIL GEN SVCS & PLN	50.0	0.0			$739,991	$0	$94,774	Yes (X)
GARY FRITZ
VP-APPLICATIONS	50.0	0.0			$696,692	$0	$82,471			Yes (X)
TIMOTHY SEAY-MORRISON
SVP-SVC LIN&CHF AMB CARE OFCR	52.0	0.0			$603,952	$0	$114,588			Yes (X)
JAY SHAH MD
DIRECTOR	2.0	0.0	Yes (X)		$0	$607,247	$42,629
ELIZABETH OYEKAN
VP-PHARMACY AND IMAGING SVCS	50.0	0.0			$431,649	$0	$59,253		Yes (X)
JOHN YEE
DIRECTOR (SEE SCHEDULE O)	2.0	50.0	Yes (X)		$0	$342,096	$72,439
ROSANNE ROTH
FORMER CORPORATE SECRETARY	50.0	0.0			$167,585	$0	$32,705			Yes (X)
ELIZABETH CHOI
MGR - ADMINISTRATION	50.0	0.0		Yes (X)	$162,374	$0	$37,913
MARK LESLIE
DIRECTOR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$6,290	$0
SARA ABBASI
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
SUSAN BECHTEL
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
JEFFERY BIRD MD
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 (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$0	$0
JONATHAN COSLET
DIRECTOR (SEE SCHEDULE O)	2.0	10.3	Yes (X)		$0	$0	$0
KAYE FOSTER
DIRECTOR (SEE SCHEDULE O)	2.0	1.8	Yes (X)		$0	$0	$0
CECILIA HERBERT
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
MARC E JONES
CHAIR (SEE SCHEDULE O)	2.0	7.0	Yes (X)		$0	$0	$0
KAREN JORDAN
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
LATA KRISHNAN
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
HAMID MOGHADAM
DIRECTOR (SEE SCHEDULE O)	2.0	0.0	Yes (X)		$0	$0	$0
MINDY B ROGERS
VICE CHAIR (SEE SCHEDULE O)	2.0	7.0	Yes (X)		$0	$0	$0
JEFF ROTHSCHILD
DIRECTOR	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
KAVITARK RAM SHRIRAM
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
AMIT SINHA
DIRECTOR (SEE SCHEDULE O)	2.0	7.0	Yes (X)		$0	$0	$0
CAROL LAM
DIRECTOR (SEE SCHEDULE O)	2.0	5.0	Yes (X)		$0	$0	$0
KRISTIN COLLINS
DIR - CORPORATE GOVERNANCE	50.0	0.0		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$21,721,635	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,455,715	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,230,414	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	9927	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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	$1,246,413,490
HERRERO BUILDERS INCORPORATED
2100 OAKDALE AVENUE	SAN FRANCISCO	CA	94124	CONSTRUCTION COMPANY	$56,375,589
AYA HEALTHCARE
5930 CORNERSTONE CRT W SUITE 300	SAN DIEGO	CA	92121	HEALTHCARE STAFFING	$50,206,852
SWINERTON BUILDERS
2300 CLAYTON ROAD SUITE 800	CONCORD	CA	94520	CONSTRUCTION COMPANY	$38,541,025
SODEXO INC AFFILIATES
9801 WASHINGTONIAN BLVD 1	GAITHERSBURG	MD	20878	FOOD SVCS AND MGT	$23,000,788

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	365	CntrctRcvdGreaterThan100KCnt
Government Grants	$351	GovernmentGrantsAmt
All Other Contributions	$8,326,306	AllOtherContributionsAmt
Noncash Contributions	$8,542	NoncashContributionsAmt
Total Contributions	$8,326,657	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	900099	$7,880,221,954	$7,880,221,954
HOUSE STAFF	900099	$30,445,580	$30,445,580
OUTREACH LAB CLINIC	900099	$16,584,486	$16,584,486
EMPLOYER HEALTH CLINIC	900099	$8,549,201	$8,549,201
CLINIC REVENUE	900099	$9,563,467	$9,563,467

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,793,178	TotalRevenueColumnAmt
Related Or Exempt Func Income	$17,670,189	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,122,989	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$7,965,157,866	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$76,177,015	TotalRevenueColumnAmt
Exclusion	$76,177,015	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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,287,174	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,287,174	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,287,174	TotalRevenueColumnAmt
Exclusion	$2,287,174	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$13,072,427	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$15,975,087	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$2,902,660	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,902,660	TotalRevenueColumnAmt
Exclusion	-$2,902,660	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	$8,049,046,052	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,963,034,877	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,122,989	UnrelatedBusinessRevenueAmt
Exclusion	$75,561,529	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$109,977,793	TotalAmt
Program Services	$109,977,793	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$15,221,183	TotalAmt
Program Services	$3,335,474	ProgramServicesAmt
Management And General	$10,758,609	ManagementAndGeneralAmt
Fundraising	$1,127,100	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,171,783,858	TotalAmt
Program Services	$2,040,957,665	ProgramServicesAmt
Management And General	$123,036,454	ManagementAndGeneralAmt
Fundraising	$7,789,739	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$208,578,926	TotalAmt
Program Services	$191,460,485	ProgramServicesAmt
Management And General	$13,153,458	ManagementAndGeneralAmt
Fundraising	$3,964,983	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$771,802,167	TotalAmt
Program Services	$722,228,725	ProgramServicesAmt
Management And General	$48,391,824	ManagementAndGeneralAmt
Fundraising	$1,181,618	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$166,455,597	TotalAmt
Program Services	$155,847,892	ProgramServicesAmt
Management And General	$10,576,811	ManagementAndGeneralAmt
Fundraising	$30,894	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,524,088	TotalAmt
Program Services	$1,067,870	ProgramServicesAmt
Management And General	$1,456,218	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$49,599,835	TotalAmt
Program Services	$33,142,782	ProgramServicesAmt
Management And General	$16,457,053	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$7,901,179	TotalAmt
Program Services	$53,117	ProgramServicesAmt
Management And General	$7,848,062	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$602,301	TotalAmt
Program Services	$216,383	ProgramServicesAmt
Management And General	$159,079	ManagementAndGeneralAmt
Fundraising	$226,839	FundraisingAmt

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	$125,143,659	TotalAmt
Program Services	$114,252,355	ProgramServicesAmt
Management And General	$10,577,003	ManagementAndGeneralAmt
Fundraising	$314,301	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,527,334	TotalAmt
Program Services	$8,416,647	ProgramServicesAmt
Management And General	$812,224	ManagementAndGeneralAmt
Fundraising	$298,463	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$203,276,445	TotalAmt
Program Services	$159,596,139	ProgramServicesAmt
Management And General	$43,373,142	ManagementAndGeneralAmt
Fundraising	$307,164	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$17,254,173	TotalAmt
Program Services	$11,663,116	ProgramServicesAmt
Management And General	$5,591,057	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$101,896,456	TotalAmt
Program Services	$99,958,087	ProgramServicesAmt
Management And General	$1,736,672	ManagementAndGeneralAmt
Fundraising	$201,697	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,537,209	TotalAmt
Program Services	$6,789,050	ProgramServicesAmt
Management And General	$2,608,316	ManagementAndGeneralAmt
Fundraising	$139,843	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	$2,072,267	TotalAmt
Program Services	$1,533,431	ProgramServicesAmt
Management And General	$520,528	ManagementAndGeneralAmt
Fundraising	$18,308	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$79,268,972	TotalAmt
Program Services	$79,268,972	ProgramServicesAmt
Management And General	$0	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	$250,767,073	TotalAmt
Program Services	$235,631,825	ProgramServicesAmt
Management And General	$15,135,248	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$48,513,935	TotalAmt
Program Services	$41,677,140	ProgramServicesAmt
Management And General	$6,836,795	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
OTHER PURCHASED SERVICES	$1,757,128,762	$1,698,669,291	$58,459,471	$0
SUPPLIES	$1,224,065,184	$1,217,140,759	$6,842,836	$81,589
LICENSE AND TAXES	$8,604,337	$6,937,587	$1,666,750	$0
DUES & SUBSCRIPTIONS	$4,556,856	$2,475,223	$2,081,633	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$180,872,486	TotalAmt
Program Services	$168,305,940	ProgramServicesAmt
Management And General	$11,147,667	ManagementAndGeneralAmt
Fundraising	$1,418,879	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,526,932,075	TotalAmt
Program Services	$7,110,603,748	ProgramServicesAmt
Management And General	$399,226,910	ManagementAndGeneralAmt
Fundraising	$17,101,417	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,150	BOYAmt
EOY	$1,250	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$470,370,562	BOYAmt
EOY	$295,652,831	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$44,856,130	BOYAmt
EOY	$35,378,119	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,049,259,485	BOYAmt
EOY	$1,218,710,079	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$5,653,000	BOYAmt
EOY	$3,503,000	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	$100,026,581	BOYAmt
EOY	$97,936,727	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$115,755,767	BOYAmt
EOY	$128,187,733	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,317,024,236	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,680,831,637	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,533,131,037	BOYAmt
EOY	$3,636,192,599	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	$4,429,965,418	BOYAmt
EOY	$5,506,508,003	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$405,030,129	BOYAmt
EOY	$397,903,931	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	$641,630,140	BOYAmt
EOY	$798,946,271	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,795,679,399	BOYAmt
EOY	$12,118,920,543	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$964,275,501	BOYAmt
EOY	$932,144,299	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	$1,111,504,273	BOYAmt
EOY	$1,384,214,726	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	$2,206,152,211	BOYAmt
EOY	$2,330,515,387	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,281,931,985	BOYAmt
EOY	$4,646,874,412	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	$6,380,913,189	BOYAmt
EOY	$7,338,524,551	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$132,834,225	BOYAmt
EOY	$133,521,580	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,513,747,414	BOYAmt
EOY	$7,472,046,131	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,795,679,399	BOYAmt
EOY	$12,118,920,543	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$522,113,977	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$475,757,486	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$39,572,746	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	$127,528,906	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$429,891,903	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$218,283,053	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$49,377,189	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,326,657	CurrentTaxYearAmt
Total	$833,407,708	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	$127,528,906	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$429,891,903	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$218,283,053	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$49,377,189	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,326,657	CurrentTaxYearAmt
Total	$833,407,708	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$833,407,708	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$66,589,374	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$102,005,597	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$136,343,326	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$106,621,851	CurrentTaxYearMinus1YearAmt
Current Tax Year	$78,464,189	CurrentTaxYearAmt
Total	$490,024,337	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	$1,323,432,045	TotalSupportAmt
Gross Receipts Rltd Activities	$31,319,613,504	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.62973	PublicSupportCY170Pct
Public Support PY170	0.64917	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	$95,589	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$124,420	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$6,830	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$375,462	OtherActivitiesAmt
Total Lobbying Expenditures	$602,301	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 FY24, SHC PAID DUES OF APPROXIMATELY $609,100 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $161,962. SHC GOVERNMENT RELATIONS TEAM HAS TRANSFERRED OVER TO SU. SHC REIMBURSES SU FOR THE COST INCURRED BY THE TEAM ON BEHALF OF SHC. FEDERAL AND STATE OUTREACH IS DELEGATED TO THIRD PARTY FIRMS. THESE FIRMS CONDUCT OUTREACH AND DIRECT CONTACT WHILE KEEPING THE GOVERNMENT RELATIONS TEAM IN THE KNOW. THESE FIRMS WILL ALSO PREPARE THE LETTERS AND MAILINGS THAT ARE SENT TO MEMBERS, LEGISLATORS, OR THE PUBLIC. THESE LETTERS AND MAILINGS ARE REVIEWED AND APPROVED BY THE GOVERNMENT RELATIONS TEAM.	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	$41,675,113	BeginningYearBalanceAmt
Contributions	$324,112	ContributionsAmt
Investment Earnings Or Losses	$3,490,813	InvestmentEarningsOrLossesAmt
Other Expenditures	$612,924	OtherExpendituresAmt
End Year Balance	$44,877,114	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$41,226,661	BeginningYearBalanceAmt
Contributions	$280	ContributionsAmt
Investment Earnings Or Losses	$1,511,343	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,063,171	OtherExpendituresAmt
End Year Balance	$41,675,113	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$42,623,372	BeginningYearBalanceAmt
Contributions	$171,420	ContributionsAmt
Investment Earnings Or Losses	-$1,184,202	InvestmentEarningsOrLossesAmt
Other Expenditures	$383,929	OtherExpendituresAmt
End Year Balance	$41,226,661	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.35240	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.64760	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	$123,146,944	OtherCostOrOtherBasisAmt
Book Value	$123,146,944	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,789,929,079	OtherCostOrOtherBasisAmt
Depreciation	$1,128,843,926	DepreciationAmt
Book Value	$2,661,085,153	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$280,493,492	OtherCostOrOtherBasisAmt
Depreciation	$186,691,715	DepreciationAmt
Book Value	$93,801,777	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,675,602,972	OtherCostOrOtherBasisAmt
Depreciation	$1,354,478,523	DepreciationAmt
Book Value	$321,124,449	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$447,851,749	OtherCostOrOtherBasisAmt
Depreciation	$10,817,473	DepreciationAmt
Book Value	$437,034,276	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,636,192,599	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
MANAGED POOL	$2,942,083,436	F
OTHER INVESTMENTS	$47,012,465	F
DIRECT INVESTMENT IN EQUITY	$32,348,473	F
MANAGED BY ASSET MGMT FIRMS	$2,485,063,629	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$5,506,508,003	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
SHORT TERM PORTFOLIO	$134,761,489
ROU OPEX ASSET	$328,525,429
OTHER ASSETS	$72,119,148
DUE FROM RELATED PARTIES	$263,540,205

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$798,946,271	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
THIRD PARTY PAYOR LIABILITIES	$69,421,380
SELF-INSURED RESERVES	$231,871,590
DUE TO RELATED PARTIES	$302,948,798
OTHER LIABILITIES	$28,160,024
TAXABLE BONDS	$1,165,100,000
TAX LIABILITIES	$775,128
ROU OPEX LIABILITIES	$342,093,090
SWAP FMV LIABLIITY	$77,505,962
ASSET RETIREMENT OBLIGATION LIABILITY	$112,639,415

Field	Value	IRS element (for citing)
Total Liability	$2,330,515,387	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, LINE 3	WORKS OF ART, HISTORICAL TREASURES, LITERARY WORKS AND ARTIFACTS, WHICH ARE PRESERVED AND PROTECTED FOR EDUCATIONAL, RESEARCH AND PUBLIC EXHIBITION PURPOSES, ARE NOT CAPITALIZED. DONATIONS OF SUCH COLLECTIONS ARE NOT RECORDED FOR FINANCIAL STATEMENT PURPOSES. PURCHASES OF COLLECTION ITEMS ARE RECORDED AS OPERATING EXPENSES IN THE PERIOD IN WHICH THEY ARE ACQUIRED.
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 26 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, 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, AND TO SUPPORT NURSES WHO WORK IN THE BMT AND CELL THERAPY UNITS, OR THEIR SUCCESSOR ENTITIES.
PART X, LINE 2	FIN 48 SHC AND ITS SUBSIDIARIES HAVE NO UNCERTAIN TAX POSITIONS PERTAINING TO UNRELATED BUSINESS INCOME.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (6 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
East Asia and the Pacific	Program Services	PROMOTION OF HEALTH	$111,882
Middle East and North Africa	Program Services	PROMOTION OF HEALTH	$101,254
Europe (Including Iceland and Greenland)	Program Services	PROMOTION OF HEALTH	$84,755
North America	Program Services	PROMOTION OF HEALTH	$12,958
South Asia	Program Services	PROMOTION OF HEALTH	$9,932
Central America and the Caribbean	Program Services	PROMOTION OF HEALTH	$4,212

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$324,993	SubtotalSpentAmt
Total Spent	$324,993	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	Yes (true)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	STANFORD HEALTH CARE HAS REPORTED ON SCHEDULE F EXPENDITURES RELATING TO FOREIGN ACTIVITIES THAT ARE TRACKED IN THE ACCOUNTING SYSTEM, IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE EXPENSES IN THE AMOUNT OF $26,726 (WHICH IS PART OF THE $111,882 TOTAL) CONSISTS OF STANFORD MEDICINE INTERNATIONAL (HONG KONG) CO., LIMITED'S HONG KONG TAX PREPARATION AND ANNUAL BUSINESS REGISTRATION FEES. THE AMOUNT ALSO INCLUDES 1) VENUE AND PRINTING EXPENSE FOR NEUROLOGY SYMPOSIUM HOSTED IN SEPTEMBER 2023 IN HONG KONG TO PROMOTE HEALTH: "NOVEL STRATEGIES FOR THE TREATMENT OF NEUROLOGICAL DISORDERS2) EXPENSES FOR THE PREPARATION OF ASIA CARDIOVASCULAR SYMPOSIUM (DATE TBD) IN HONG KONG. THE PROMOTION EXPENSE IN THE AMOUNT OF $78,769 (WHICH IS PART OF THE $101,254 TOTAL) ARE INCLUDED IN MIDDLE EAST REGION TOTAL. THE AMOUNT CONSISTS OF 1) THE BOOTH REGISTRATION FEE FOR 2025 ARAB HEALTH EXHIBIT; 2) REGISTRATION FEE AND AIRLINE EXPENSES FOR USCIPP (SAUDI ARABIA) CONFERENCE IN OCTOBER 2024. REMAINING EXPENSES IN THE AMOUNT OF $219,498 ARE RELATED TO THE INTERNATIONAL TRAVEL FOR THE PURPOSE OF MARKETING, PROMOTIONAL, RECRUITMENT AND SPEAKING ENGAGEMENT EFFORTS ON BEHALF OF STANFORD HEALTH CARE.	ExplanationTxt

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
Total Community Benefit Expns	$25,246,608	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,246,608	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,104,200,174	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$648,063,427	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$456,136,747	NetCommunityBenefitExpnsAmt
Total Expense	0.06060	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,129,446,782	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$648,063,427	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$481,383,355	NetCommunityBenefitExpnsAmt
Total Expense	0.06400	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Persons Served	3927	PersonsServedCnt
Total Community Benefit Expns	$9,537,748	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$486,277	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,051,471	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	567	PersonsServedCnt
Total Community Benefit Expns	$207,319,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,402,013	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$180,917,695	NetCommunityBenefitExpnsAmt
Total Expense	0.02400	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,172,510	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,717,786	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,454,724	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$461,426	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$461,426	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	44013	PersonsServedCnt
Total Community Benefit Expns	$108,527,130	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,488	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,518,642	NetCommunityBenefitExpnsAmt
Total Expense	0.01440	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	71	ActivitiesOrProgramsCnt
Persons Served	48507	PersonsServedCnt
Total Community Benefit Expns	$337,018,522	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,614,564	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$305,403,958	NetCommunityBenefitExpnsAmt
Total Expense	0.04060	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	73	ActivitiesOrProgramsCnt
Persons Served	48507	PersonsServedCnt
Total Community Benefit Expns	$1,466,465,304	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$679,677,991	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$786,787,313	NetCommunityBenefitExpnsAmt
Total Expense	0.10460	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	567	PersonsServedCnt
Total Community Benefit Expns	$2,997,886	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$462,404	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,535,482	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	126	PersonsServedCnt
Total Community Benefit Expns	$536,596	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$355	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$536,241	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	86	PersonsServedCnt
Total Community Benefit Expns	$1,718,119	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,718,119	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	779	PersonsServedCnt
Total Community Benefit Expns	$5,252,601	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$462,759	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,789,842	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$116,354,974	BadDebtExpenseAmt
Reimbursed By Medicare	$1,882,784,074	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,173,585,821	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,290,801,747	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	22	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	22	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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 4	WITH RESPECT TO ITS 2022 CHNA, A SCHEDULED MEETING WITH THE INSTITUTION'S FINANCE & INVESTMENT COMMITTEE, WHICH IS THE AUTHORIZED BODY RESPONSIBLE FOR ADOPTING THE CHNA, WAS UNABLE TO OCCUR DUE TO CAMPUS DISRUPTIONS THAT AFFECTED ITS ABILITY TO MEET. THE COMMITTEE MET ON SEPTEMBER 14, 2023, 14 DAYS AFTER THE CLOSE OF THE AUGUST 31, 2023 FISCAL YEAR. AT THIS SEPTEMBER 14, 2023 MEETING, THE CHNA WAS ADOPTED. SHC ALSO HAS A SECTION 501(R) POLICY IN PLACE TO ENSURE ONGOING COMPLIANCE.
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. IN ADDITION TO THIS PRIMARY QUALITATIVE INPUT, QUANTITATIVE DATA WAS ANALYZED TO IDENTIFY POOR HEALTH OUTCOMES, HEALTH DISPARITIES, AND HEALTH TRENDS. THE CHNA DATA COLLECTION PROCESS TOOK PLACE OVER TEN MONTHS IN 2021 AND CULMINATED IN THIS REPORT, WRITTEN IN LATE 2021 AND EARLY 2022. NAMES OF COMMUNITY ORGANIZATIONS PROVIDING INPUT & POPULATION REPRESENTED - AVENIDAS - LOW-INCOME, MEDICALLY UNDERSERVED - RAVENSWOOD FAMILY HEALTH NETWORK - LOW-INCOME, MEDICALLY UNDERSERVED - PUENTE DE LA COSTA SUR - LOW-INCOME, MEDICALLY UNDERSERVED, MINORITY - SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT - LOW-INCOME, MEDICALLY UNDERSERVED - SAN MATEO COUNTY PRIDE CENTER - MEDICALLY UNDERSERVED, MINORITY - COUNTY OF SAN MATEO HUMAN SERVICES AGENCY - LOW-INCOME - SAN MATEO COUNTY HEALTH - LOW-INCOME, MEDICALLY UNDERSERVED - KIDS IN COMMON - LOW-INCOME - LEGAL AID SOCIETY OF SAN MATEO COUNTY - LOW-INCOME - COUNTY OF SANTA CLARA, OFFICE OF LGBTQ AFFAIRS - MEDICALLY UNDERSERVED, MINORITY - SAN MATEO COUNTY ORAL PUBLIC HEALTH PROGRAM - LOW-INCOME, MEDICALLY UNDERSERVED - STARVISTA - MEDICALLY UNDERSERVED - CAMINAR - MEDICALLY UNDERSERVED - STANFORD HEALTH CARE - MEDICALLY UNDERSERVED - COUNTY OF SANTA CLARA HEALTH SYSTEM - MEDICALLY UNDERSERVED - PENINSULA FAMILY SERVICE - MEDICALLY UNDERSERVED - EL CAMINO HEALTH - MEDICALLY UNDERSERVED - THE HEALTH TRUST - MEDICALLY UNDERSERVED - COUNTY OF SANTA CLARA BEHAVIORAL HEALTH SERVICES DEPARTMENT - MEDICALLY UNDERSERVED - COMMUNITY OVERCOMING RELATIONSHIP ABUSE - MEDICALLY UNDERSERVED - MOMENTUM FOR HEALTH - MEDICALLY UNDERSERVED - NEXT DOOR SOLUTIONS TO DOMESTIC VIOLENCE - MEDICALLY UNDERSERVED - STANFORD UNIVERSITY SCHOOL OF MEDICINE - MEDICALLY UNDERSERVED, MINORITY - RAVENSWOOD FAMILY HEALTH NETWORK - MEDICALLY UNDERSERVED, MINORITY - THE PRIMARY SCHOOL - MEDICALLY UNDERSERVED, MINORITY - PACIFIC FREE CLINIC - MEDICALLY UNDERSERVED, MINORITY - DESTINATION: HOME - LOW-INCOME - COMMUNITY SERVICES AGENCY - LOW-INCOME - SANTA CLARA FAMILY HEALTH PLAN - LOW-INCOME - LIFEMOVES - LOW-INCOME - GRAIL FAMILY SERVICES - LOW-INCOME - WEST VALLEY COMMUNITY SERVICES - LOW-INCOME - SUNNYVALE COMMUNITY SERVICES - LOW-INCOME - MIDTOWN FAMILY SERVICES - LOW-INCOME - AFRICAN AMERICAN COMMUNITY SERVICE AGENCY - LOW-INCOME - PENINSULA HEALTHCARE CONNECTION - LOW-INCOME - INDIAN HEALTH CENTER OF SANTA CLARA COUNTY - LOW-INCOME, MEDICALLY UNDERSERVED - ROOTS COMMUNITY HEALTH CENTER - LOW-INCOME, MEDICALLY UNDERSERVED - ROTACARE FREE CLINICS - LOW-INCOME, MEDICALLY UNDERSERVED - PLANNED PARENTHOOD MAR MONTE - LOW-INCOME, MEDICALLY UNDERSERVED - ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT - LOW-INCOME, MEDICALLY UNDERSERVED - SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY - LOW-INCOME, MEDICALLY UNDERSERVED - SAMARITAN HOUSE - LOW-INCOME, MEDICALLY UNDERSERVED - GARDNER HEALTH SERVICES - LOW-INCOME, MEDICALLY UNDERSERVED - NORTH EAST MEDICAL SERVICES - LOW-INCOME, MEDICALLY UNDERSERVED - SAN MATEO MEDICAL CENTER - LOW-INCOME, MEDICALLY UNDERSERVED - LUCILE PACKARD CHILDREN'S HOSPITAL - LOW-INCOME, MEDICALLY UNDERSERVED - MY DIGITAL TAT2 - MEDICALLY UNDERSERVED - MOUNTAIN VIEW LOS ALTOS SCHOOL DISTRICT - MEDICALLY UNDERSERVED - ACKNOWLEDGE ALLIANCE - MEDICALLY UNDERSERVED - EDGEWOOD CENTER FOR CHILDREN AND FAMILIES - MEDICALLY UNDERSERVED - COMMUNITY HEALTH AWARENESS COUNCIL (CHAC) - MEDICALLY UNDERSERVED - CASA OF SAN MATEO COUNTY - MEDICALLY UNDERSERVED - COUNSELING AND SUPPORT SERVICES FOR YOUTH - MEDICALLY UNDERSERVED - ADOLESCENT COUNSELING SERVICES - MEDICALLY UNDERSERVED - UPLIFT FAMILY SERVICES - MEDICALLY UNDERSERVED - FIRST 5 SAN MATEO COUNTY - LOW-INCOME - COASTSIDE HOPE - LOW-INCOME - COUNTY OF SAN MATEO DEPARTMENT OF HOUSING - LOW-INCOME - BOYS & GIRLS CLUB OF THE COASTSIDE - LOW-INCOME - DALY CITY COMMUNITY SERVICE CENTER - LOW-INCOME - JOBTRAIN - LOW-INCOME - SECOND HARVEST OF SILICON VALLEY - LOW-INCOME - YMCA COMMUNITY RESOURCE CENTER - LOW-INCOME - BAY AREA COMMUNITY HEALTH ADVISORY COUNCIL (BACHAC) - MINORITY, MEDICALLY UNDERSERVED - DIGNITY HEALTH-SEQUOIA HOSPITAL - MINORITY, MEDICALLY UNDERSERVED - CITY OF BELMONT AND CALIFORNIA AIR RESOURCES BOARD/BAY AREA AIR QUALITY MANAGEMENT DISTRICT - MINORITY, MEDICALLY UNDERSERVED - UNITY CARE GROUP - MINORITY, MEDICALLY UNDERSERVED
PART V, SECTION B, LINE 6A	THE CHNA WAS CONDUCTED BY FOUR HOSPITAL PARTNERS WITH HOSPITALS LOCATED IN SANTA CLARA AND SAN MATEO COUNTIES. THE HOSPITAL COLLABORATIVE CONDUCTED THE CHNA FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING CRITICAL HEALTH NEEDS OF THE COMMUNITY. - EL CAMINO HEALTH - LUCILE PACKARD CHILDREN'S HOSPITAL STANFORD - SUTTER HEALTH (INCLUDING MENLO PARK SURGICAL HOSPITAL AND MILLS-PENINSULA MEDICAL CENTER)
PART V, SECTION B, LINE 6B	THE FOUR-HOSPITAL COLLABORATIVE ALSO COLLABORATED WITH PALO ALTO MEDICAL FOUNDATION, PART OF SUTTER HEALTH, FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING CRITICAL HEALTH NEEDS OF THE COMMUNITY.
PART V, SECTION B, LINES 7A AND 10A	HTTPS://STANFORDHEALTHCARE.ORG/COMMUNITY PLEASE NOTE THAT LINK MUST BE ENTERED IN LOWER CASE LETTERS IN URL. HTTPS://STANFORDHEALTHCARE.ORG/COMMUNITY PLEASE NOTE THAT LINK MUST BE ENTERED IN LOWER CASE LETTERS IN URL.
PART V, SECTION B, LINE 11	THE 2022 CHNA IDENTIFIED AND PRIORITIZED 10 SIGNIFICANT HEALTH NEEDS ACROSS STANFORD HEALTH CARE'S SERVICE AREA OF SANTA CLARA AND SAN MATEO COUNTIES. THE HEALTH NEEDS WERE PRIORITIZED BY APPLYING THE FOLLOWING CRITERIA: - COMMUNITY PRIORITY: THE COMMUNITY PRIORITIZES THE HEALTH NEED OVER OTHER HEALTH NEEDS; BASED ON THE FREQUENCY WITH WHICH THE KEY INFORMANTS EXPRESSED CONCERN ABOUT EACH HEALTH OUTCOME DURING THE CHNA PRIMARY DATA COLLECTION. - ASSETS & RESOURCES: THERE IS A LACK OF SUFFICIENT ASSETS AND/OR RESOURCES TO ADDRESS THE HEALTH NEED. FOR EXAMPLE, A LACK OF SPECIALTY CARE, HEALTH FACILITIES, AFFORDABLE HEALTHY BEHAVIORS, OR INFORMATION. - CLEAR DISPARITIES OR INEQUITIES: RECOGNIZABLE DIFFERENCES IN HEALTH OUTCOMES EXIST AMONG SUBGROUPS OF PEOPLE (BASED ON GEOGRAPHY, LANGUAGE, ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER IDENTITY, OR OTHER FACTORS). - MULTIPLIER EFFECT: A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS THE POTENTIAL TO SOLVE MULTIPLE PROBLEMS. FOR EXAMPLE, IF RATES OF OBESITY DECREASE, DIABETES RATES MAY ALSO DECREASE. USING THE CRITERIA, STANFORD HEALTH CARE GATHERED LEADERS WITH KNOWLEDGE AND EXPERTISE IN LOCAL COMMUNITY HEALTH NEEDS AND TRENDS TO PRIORITIZE (RANK) BY ONLINE SURVEY EACH OF THE 10 HEALTH NEEDS GENERATED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE 10 HEALTH NEEDS ARE LISTED IN PRIORITY ORDER: - ECONOMIC INSECURITY - HOUSING AND HOMELESSNESS - BEHAVIORAL HEALTH - HEALTH CARE ACCESS AND DELIVERY - DIABETES AND OBESITY - MATERNAL AND INFANT HEALTH - CLIMATE AND NATURAL ENVIRONMENT - COMMUNITY SAFETY - CANCER - SEXUALLY TRANSMITTED INFECTIONS SHC'S 2023 - 2025 IMPLEMENTATION STRATEGY PROVIDES DETAILED INFORMATION ABOUT SHC'S STRATEGIES FOR ADDRESSING THE CHNA 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 INDIVIUAL'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	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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
BAY AREA 3165 KIFER RD	SANTA CLARA	CA	95051	STANFORD EMP HEALTH CLINIC AT QUALCOMM - BAY AREA
STANFORD EMP HEALTH CLINIC AT QUALCOMM
10155 PACIFIC HEIGHTS BLVD	SAN DIEGO	CA	92121	STANFORD EMP HEALTH CLINIC AT QUALCOMM
STANFORD EMP HEALTH CLINIC AT QUALCOMM
5535 MOREHOUSE DRIVE S-270	SAN DIEGO	CA	92121	STANFORD EMP HEALTH CLINIC AT QUALCOMM

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A	YES, STANFORD HEALTH CARE PREPARED A COMMUNITY BENEFIT REPORT DURING THE 2023 TAX YEAR. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS TOTALED $9,051,471 IN FY24. THE COMMUNITY HEALTH IMPROVEMENT SERVICES CONSISTS OF - COMMUNITY HEALTH EDUCATION PROGRAMS - HEALTH LIBRARY SERVICES - INSURANCE ENROLLMENT FOR UNINSURED AND UNDERINSURED PATIENTS - SUPPORTIVE CARE PROGRAMS
PART I, LINE 7F	HEALTH PROFESSIONS EDUCATION CONTRIBUTIONS FOR COMMUNITY BENEFIT TOTALED $180,917,695 IN FY24. THE HEALTH PROFESSIONS EDUCATION PROGRAM CONSISTS OF FOUR PROGRAMS: - MEDICAL STUDENT, RESIDENT, AND FELLOW TRAINING: STUDENT TRAINING PROGRAMS INCLUDED ALL PRIMARY AND SPECIALTY PROGRAMS. - NURSE STUDENT TRAINING - ALLIED HEALTH PROFESSIONS TRAINING, INCLUDING - CLINICAL LABORATORY - CLINICAL NUTRITION/DIETICIANS - DOSIMETRY - NUCLEAR MEDICINE - PHARMACY - PHYSICIAN ASSISTANT - PSYCHOLOGY - RADIOLOGY - REHABILITATION SERVICES - RESPIRATORY CARE SERVICES - ULTRASOUND - VASCULAR - WOUND CARE 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 $6,454,724 IN FY24. STANFORD HEALTH CARE SUBSIDIZED HEALTH SERVICES INCLUDES THE STANFORD LIFE FLIGHT PROGRAM AND SECOND OPINION SERVICES AVAILABLE TO THE COMMUNITY. - STANFORD LIFE FLIGHT IS HELICOPTER TRANSPORT OF CRITICALLY ILL AND INJURED ADULT, PEDIATRIC, AND NEONATAL PATIENTS TO DEFINITIVE CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. - THE ONLINE SECOND OPINION PROGRAM OFFERS THE BROAD COMMUNITY SECOND OPINION SERVICES. COMMUNITY MEMBERS CAN PROVIDE THEIR HEALTH RECORDS FOR SHC PROVIDERS TO REVIEW AND PROVIDE A SECOND OPINION FOR DIAGNOSIS AND TREATMENT PLAN. LINKAGE TO SHC SPECIALTY CARE IS AVAILABLE, REGARDLESS OF PAYER.
PART I, LINE 7H	RESEARCH CONTRIBUTIONS TOTALED $461,426 IN FY24. STANFORD HEALTH CARE'S CONDUCTS CLINICAL AND COMMUNITY HEALTH RESEARCH THROUGH THE OFFICE OF NURSING, PATIENT CARE, HEALTH EQUITY AND RESEARCH(OONPCHER). ADDITIONALLY, SHC PROVIDES FINANCIAL SUPPORT TO STANFORD UNIVERSITY FOR CLINICAL AND COMMUNITY HEALTH RESEARCH. OONPCHER IS STAFFED BY RESEARCH SCIENTISTS AND COORDINATORS, CONDUCTS RESEARCH AND CLINICAL TRIALS TO IMPROVE CARE DELIVERY AND HEALTH OUTCOMES ACROSS THE HEALTH CARE FIELD. THE FY24 RESEARCH INITIATIVES STUDIED WERE: 1. RACE IN CLINICAL INFORMATICS, 2. BUILDING A CULTURE OF HEALTH EQUITY IN RESEARCH AND, 3. THE ROLE OF NURSING IN HEALTH EQUITY. OONPCHER PARTNERS WITH SAFETY NET CARE PROVIDERS, LOCAL LAW ENFORCEMENT, AND THE LOCAL CHAPTER OF THE NATIONAL BLACK NURSES ASSOCIATION. LINE 7I - CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT TOTALED $108,518,642 IN FY24.
PART II, LINE 1	PHYSICAL IMPROVEMENTS AND HOUSING: SHC SPONSORED BOTH THE FALL AND SPRING REBUILDING TOGETHER PENINSULA DAYS, WHICH SUPPORTED VOLUNTEER EFFORTS TO PROVIDE HOUSING IMPROVEMENTS TO A LOW-INCOME FAMILY. HOUSING IMPROVEMENTS INCLUDED A PROJECT THAT PROVIDED EXTERIOR HOME PAINTING AND ANOTHER PROJECT UPDATING FENCING TO MEET HUD HEALTHY HOUSING STANDARDS, THROUGH TEARDOWN OF EXISTING FENCING AND INSTALLATION OF NEW, SECURE FENCING FOR ELDERLY HOMEOWNERS.
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 II, LINE 8 WORKFORCE DEVELOPMENT: SHC OFFERED INTERNSHIPS FOR LOW-INCOME, FIRST-GENERATION STUDENTS, HEALTHCARE INTERPRETER STUDENTS AND SUMMER ADMINISTRATIVE INTERNSHIPS FOR HIGH SCHOOL, UNDERGRADUATE AND GRADUATE STUDENTS AS WELL AS AN IMMERSIVE YOUTH SCIENCE PROGRAM FOR LOW-INCOME, FIRST-GENERATION HIGH SCHOOL STUDENTS.
PART III, LINES 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 2024. 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 CHARTIY CARE PROGRAM. PATIENTS WHO APPLY FOR CHARITY CARE AND QUALIFY MAY RECEIVE UP TO 100% FINANCIAL ASSISTANCE. SHC WILL SUSPEND ANY AND ALL COLLECTION ACTIONS IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, INCLUDING ALL REQUISITE SUPPORTING DOCUMENTATION, IS RECEIVED. SHC DOES NOT ALLOW THEIR COLLECTION AGENCIES TO REPORT DEBT TO CREDIT BUREAUS, GARNISH WAGES OR FILE LIENS ON PRIMARY RESIDENCES.
PART VI, LINE 2	A FOUR-HOSPITAL COLLABORATIVES WAS FORMED FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING CRITICAL HEALTH NEEDS OF THE COMMUNITY. DURING 2022, SHC WORKED TOGETHER WITH THE COLLABORATIVE TO CONDUCT AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), WHICH MEETS ALL REQUIREMENTS OF THE CALIFORNIA STATE SENATE BILL 697 AS WELL AS IRS REQUIREMENTS FOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGIES PURSUANT TO THE 2010 AFFORDABLE CARE ACT (SECTION 1.501(R)(3)). THROUGH THIS PROCESS, THE COLLABORATIVE COMPILED STATISTICAL DATA AND PROVIDED COMPARISONS AGAINST HEALTHY PEOPLE 2020 BENCHMARKS. WHERE HEALTHY PEOPLE 2020 BENCHMARKS WERE NOT AVAILABLE, STATEWIDE AVERAGES AND RATES WERE USED AS BENCHMARKS. THE COLLABORATIVES CONDUCTED PRIMARY RESEARCH USING THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH COMMUNITY LEADERS AND STAKEHOLDERS, AND RESIDENT FOCUS GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY, AND IN ALIGNMENT WITH THE IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, IN POVERTY, AND OF MINORITY POPULATIONS. THIS DATA COLLECTION WAS SYNTHESIZED AND PRODUCED A LIST OF 10 SIGNIFICANT HEALTH NEEDS ACROSS STANFORD HEALTH CARE'S SERVICE AREA OF SANTA CLARA AND SAN MATEO COUNTIES. THE STANFORD HEALTH CARE COMMUNITY PARTNERSHIP PROGRAM STEERING COMMITTEE PRIORITIZED THE LIST OF SIGNIFICANT HEALTH NEEDS BY APPLYING THE FOLLOWING CRITERIA: - COMMUNITY PRIORITY: THE COMMUNITY PRIORITIZES THE HEALTH NEED OVER OTHER HEALTH NEEDS; BASED ON THE FREQUENCY WITH WHICH THE KEY INFORMANTS EXPRESSED CONCERN ABOUT EACH HEALTH OUTCOME DURING THE CHNA PRIMARY DATA COLLECTION. - ASSETS & RESOURCES: THERE IS A LACK OF SUFFICIENT ASSETS AND/OR RESOURCES TO ADDRESS THE HEALTH NEED. FOR EXAMPLE, A LACK OF SPECIALTY CARE, HEALTH FACILITIES, AFFORDABLE HEALTHY BEHAVIORS, OR INFORMATION. - CLEAR DISPARITIES OR INEQUITIES: RECOGNIZABLE DIFFERENCES IN HEALTH OUTCOMES EXIST AMONG SUBGROUPS OF PEOPLE (BASED ON GEOGRAPHY, LANGUAGE, ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER IDENTITY, OR OTHER FACTORS). - MULTIPLIER EFFECT: A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS THE POTENTIAL TO SOLVE MULTIPLE PROBLEMS. FOR EXAMPLE, IF RATES OF OBESITY DECREASE, DIABETES RATES MAY ALSO DECREASE. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SHC PROVIDES DEDICATED RESOURCES TO PATIENTS THAT APPLY FOR CHARITY CARE AND PROACTIVELY CONDUCTS OUTREACH TO PATIENTS TO INFORM THEM OF THE PROGRAM'S AVAILABILITY AND THEIR POTENTIAL ELIGIBILITY FOR ASSISTANCE. BROCHURES AND SIGNAGE ARE CONSPICOUSLY 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	SHC IS A REGIONAL REFERRAL CENTER FOR AN ARRAY OF ADULT SPECIALTIES, DRAWING PATIENTS FROM THROUGHOUT CALIFORNIA, ACROSS THE COUNTRY, AND INTERNATIONALLY. HOWEVER, DUE TO ITS LOCATION IN PALO ALTO, ON THE NORTHERN END OF SANTA CLARA COUNTY AND BORDERING SAN MATEO COUNTY, THE MAJORITY OF SHC'S PATIENTS (APPROXIMATELY 51%) ARE RESIDENTS OF SAN MATEO AND SANTA CLARA COUNTIES. THEREFORE, FOR THE PURPOSES OF ITS COMMUNITY BENEFIT PROGRAM, SHC HAS IDENTIFIED THESE TWO COUNTIES AS ITS TARGET COMMUNITY. SHC MAINTAINS A STRONG COMMITMENT TO THE HEALTH OF ITS COMMUNITY MEMBERS AND DEDICATES CONSIDERABLE RESOURCES TO SUPPORT ITS COMMUNITY BENEFIT PROGRAM. IN 2023, APPROXIMATELY 1.87 MILLION RESIDENTS LIVED IN SANTA CLARA COUNTY. SAN MATEO COUNTY IS FAR SMALLER WITH APPROXIMATELY 726,000 RESIDENTS IN 2023. THE POPULATION OF BOTH COUNTIES IS VERY DIVERSE WITH THE NON-WHITE POPULATION REPRESENTING 50.8% (SCC) AND 43.1% (SMC) OF THE TOTAL POPULATION. ABOUT 4% OF SCC AND 4.6% OF SMC ARE UNINSURED. MORE THAN ONE-THIRD OF RESIDENTS IN BOTH COUNTIES ARE FOREIGN-BORN. THE FEDERAL POVERTY LINE (FPL) IS THE TRADITIONAL MEASURE OF POVERTY IN A COMMUNITY. UNFORTUNATELY, THE FPL DOES NOT TAKE INTO CONSIDERATION LOCAL CONDITIONS SUCH AS THE HIGH COST OF LIVING IN THE SAN FRANCISCO BAY AREA. AS SUCH, THE INSIGHT CENTER FOR COMMUNITY ECONOMIC DEVELOPMENT'S CALIFORNIA SELF-SUFFICIENCY STANDARD (CASSS) IS A BETTER ESTIMATE OF ECONOMIC STABILITY IN BOTH COUNTIES. CASSS CITES THAT 28% OF HOUSEHOLDS IN SCC AND 33% OF HOUSEHOLDS IN SMC IN 2021 WERE UNABLE TO MEET THEIR BASIC NEEDS. FOR A FAMILY WITH TWO CHILDREN, CASSS ESTIMATES THAT AN ANNUAL INCOME OF $138,742 IN SCC AND $160,617 IN SMC WAS NECESSARY TO MEET BASIC NEEDS, COMPARED TO $126,616 ACROSS THE BAY AREA. WHILE THE CALIFORNIA MINIMUM WAGE WAS $16 PER HOUR, FOR TWO ADULTS (ONE WORKING) WITH TWO CHILDREN, SELF-SUFFICIENCY REQUIRES AN HOURLY WAGE OF $51.82 (SCC) AND $54.28 (SMC) IN 2021. LASTLY, CASSS REPORTS A 23% INCREASE IN THE COST OF BASIC LIVING EXPENSES ACROSS BOTH COUNTIES BETWEEN 2018 AND 2021. UNFORTUNATELY, THE BUREAU OF LABOR STATISTICS CITES ONLY A 5.3% PER YEAR AVERAGE INCREASE IN WAGES ACROSS THE SAN JOSE-SAN FRANCISCO-OAKLAND METROPOLITAN AREA DURING 2024. IN 2021, THE INSIGHT CENTER FOR COMMUNITY ECONOMIC DEVELOPMENT 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 - 46% OF LATINX, 35% OF BLACK AND 38% OF NATIVE CA HOUSEHOLDS ARE STRUGGLING TO GET BY VERSUS 18% OF WHITE HOUSEHOLDS - CA HOUSEHOLDS OF COLOR MAKE UP 59% OF ALL CALIFORNIA HOUSEHOLDS, BUT CONSTITUTE 73% 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 EVEN ONE CHILD NEARLY DOUBLES THE LIKELIHOOD OF LIVING BELOW CASSS - POLICY CHANGE TO INCREASE WAGES, INSTITUTE COMPREHENSIVE PAID FAMILY LEAVE, CURB RISING HOUSING COSTS, AND ESTABLISH UNIVERSAL CHILD CARE ARE NEEDED
PART VI, LINE 5	STANFORD HEALTH CARE MAKES ANNUAL COMMUNITY INVESTMENT GRANTS TO COMMUNITY NONPROFITS WORKING ON SIGNIFICANT HEALTH NEEDS AS DETERMINED BY THE MOST RECENT CHNA. IN ADDITION, THE HOSPITAL MAKES SIGNIFICANT INVESTMENTS THAT PROMOTE THE HEALTH OF THE COMMUNITY. THESE PROGRAMS ARE FULLY DESCRIBED IN THE FY2024 COMMUNITY BENEFIT REPORT AND IMPLEMENTATION PLAN FILED JANUARY 2024 WITH THE STATE OF CALIFORNIA DEPARTMENT OF HEALTHCARE ACCESS AND INFORMATION (CA-HCAI). 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. BELOW IS A LISTING OF STANFORD HEALTH CARE'S SERVICES AND ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE: HEALTH PROFESSIONS EDUCATION THE HOSPITAL IS A MAJOR EMPLOYER IN THE COMMUNITY IT SERVES AND, AS AN ACADEMIC MEDICAL CENTER, INVESTS SIGNIFICANTLY IN TRAINING THE HEALTH CARE PROFESSIONALS OF THE FUTURE. THE HOSPITAL IS A MAJOR PROVIDER OF TRAINING FOR RESIDENT PHYSICIANS, FELLOWS AND MEDICAL STUDENTS, NURSES, AND ALLIED HEALTH PROFESSIONS FROM AROUND THE REGION FROM VARIOUS ORGANIZATIONS. COMMUNITY HEALTH IMPROVEMENT THE HOSPITAL CONDUCTS MULTIPLE PROGRAMS THAT ARE OFFERED AT NO COST TO COMMUNITY MEMBERS AND SEEKS TO IMPROVE THE HEALTH AND HEALTH KNOWLEDGE OF THE COMMUNITY. THESE ACTIVITIES INCLUDE CLINICAL TRIALS INFORMATION AND ENROLLMENT SERVICES, HEALTH INSURANCE ENROLLMENT SERVICES FOR LOW-INCOME ADULTS AND CHILDREN, COMMUNITY HEALTH EDUCATIONS PROGRAMS, SUPPORTIVE CARE PROGRAMS FOR CANCER AND NEUROSCIENCE PATIENTS, AND ONGOING RESEARCH IN THE AREAS OF CARE DELIVERY AND QUALITY IMPROVEMENT. COMMUNITY BUILDING ACTIVITIES THE HOSPITAL PARTICIPATES IN A MYRIAD OF COMMUNITY BUILDING ACTIVITIES THAT SEEK TO IMPROVE THE COMMUNITY'S HEALTH AND SAFETY. THESE SERVICES AND ACTIVITIES ARE EITHER PROVIDED BY THE HOSPITAL ITSELF OR INVOLVE SUPPORT FOR COMMUNITY ORGANIZATIONS WORKING IN THE AREAS OF: POVERTY, HOMELESSNESS, ECONOMIC DEVELOPMENT, ETC. HOSPITAL LEADERSHIP ALSO VOLUNTEERS THEIR EXPERTISE ON MULTIPLE COMMUNITY NONPROFIT BOARDS WORKING TO IMPROVE THE HEALTH OF THE COMMUNITY. THE HOSPITAL ALSO SUPPORTS LOCAL EMERGENCY MANAGEMENT EFFORTS, SUPPORTS ECONOMIC AND WORKFORCE DEVELOPMENT IN THE REGION, AND ADVOCATES FOR COMMUNITY HEALTH ISSUES. ACADEMIC MEDICAL CENTER - RESEARCH STANFORD HEALTH CARE IS PART OF STANFORD UNIVERSITY SCHOOL OF MEDICINE, THE WEST COAST'S OLDEST MEDICAL SCHOOL AND WORLDWIDE LEADER IN PATIENT CARE, EDUCATION, RESEARCH, AND INNOVATION. STANFORD HEALTH CARE IS PROUD TO BE THE PRIMARY TEACHING HOSPITAL OF STANFORD UNIVERSITY SCHOOL OF MEDICINE-ONE OF THE TOP RANKED ACADEMIC MEDICAL INSTITUTIONS IN THE COUNTRY. THROUGHOUT HISTORY, STANFORD UNIVERSITY SCHOOL OF MEDICINE HAS BEEN HOME TO CUTTING-EDGE MEDICAL ADVANCES, INCLUDING THE FIRST SUCCESSFUL ADULT HUMAN HEART TRANSPLANT IN THE COUNTRY AND THE FIRST COMBINED HEART-LUNG TRANSPLANT IN THE WORLD. STANFORD HEALTH CARE FUNDS ONGOING RESEARCH THROUGH STANFORD UNIVERSITY SCHOOL OF MEDICINE THAT SEEKS TO IMPROVE THE HEALTH OF OUR COMMUNITY.
PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM IN MAY 2015, THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS (VCHS) BECAME AN AFFILIATE OF STANFORD HEALTH CARE (SHC). VCHS PARTNERS WITH SHC TO SERVE THE EAST BAY'S TRI-VALLEY REGION OF LIVERMORE, DUBLIN AND PLEASANTON. VCHS'S FACILITIES IN LIVERMORE, DUBLIN AND PLEASANTON INCLUDE VALLEY MEDICAL CENTER, EMERGENCY SERVICES AND TWO URGENT CARE CENTERS. VCHS ALLOWS SHC TO EXPAND ITS PRESENCE IN THE CRITICAL TRI-VALLEY AREA BY PARTNERING WITH A HIGH QUALITY, HIGH VALUE COMMUNITY HOSPITAL. VCHS WILL PARTICIPATE IN ALL THREE OF SHC'S MISSIONS BY PROVIDING SHC'S LEADING EDGE CLINICAL CARE IN THE VCHS COMMUNITY, TRAINING FUTURE MEDICAL LEADERS THROUGH RESIDENCY ROTATIONS AND OTHER ACADEMIC PURSUITS, AND PROVIDING THE TRI-VALLEY AREA INCREASED ACCESS TO CLINICAL TRIALS FOR LIFE-SAVING TREATMENTS. IN ADDITION, SHC'S GROWING EXPERTISE IN POPULATION AND PRECISION HEALTH WILL BE LEVERAGED TO SERVE THIS COMMUNITY. EFFECTIVE JULY 26, 2022, STANFORD HEALTH CARE-VALLEYCARE (FORMERLY VCHS) HAS CHANGED ITS NAME TO STANFORD HEALTH CARE TRI-VALLEY.
PART VI, LINE 7	ALL STATES IN WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: CALIFORNIA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (30 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
AMBULATORY SURGERY ACCESS COALITION
353 KEARNY STREET	SUITE 201	SAN FRANCISCO	CA	94103	943180356	501(C)(3)	$126,000	HEALTHCARE ACCESS AND DELIVERY
ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT
2400 MOORPARK AVENUE	SUITE 300	SAN JOSE	CA	95128	942292491	501(C)(3)	$14,000	BEHAVIORAL HEALTH
AVENIDAS
450 BRYANT STREET		PALO ALTO	CA	94301	941480548	501(C)(3)	$195,000	HEALTHCARE ACCESS AND DELIVERY
DESTINATION HOME
3180 NEWBERRY DRIVE	SUITE 200	SAN JOSE	CA	95118	823353174	501(C)(3)	$500,000	HOUSING/HOMELESSNESS
DOWNTOWN STREETS INC
1671 THE ALAMEDA	SUITE 306	SAN JOSE	CA	95126	205242330	501(C)(3)	$214,000	ECONOMIC SECURITY
ESCUELA POPULAR DEL PUEBLO
149 N WHITE ROAD		SAN JOSE	CA	95127	770354277	501(C)(3)		FURNITURE DONATION	$5,420	COST OF GOODS & SVCS	FURNITURE DONATION
FUTURO HEALTH
1610 R STREET		SACRAMENTO	CA	95811	843847958	501(C)(3)	$175,000	ECONOMIC SECURITY TARGETED AT UNDERREPRESENTED TALENT PIPELINE
GO COPIA PBC
1968 S COAST HWY		LAGUNA BEACH	CA	92651	471068807	170(E)		FOOD DONATION	$253,985	FMV PER POUND BASIS	FOOD DONATION
HABITAT FOR HUMANITY EAST BAY SILICON VLY
2619 BROADWAY NO025		OAKLAND	CA	94612	943053687	501(C)(3)		FURNITURE DONATION	$15,200	COST OF GOODS & SVCS	FURNITURE DONATION
JOBTRAIN INC
1200 OBRIEN DR		MENLO PARK	CA	94025	941712371	501(C)(3)	$69,095	ECONOMIC SECURITY
LIFEMOVES
2550 GREAT AMERICA WY		SANTA CLARA	CA	95054	770160469	501(C)(3)	$400,000	BEHAVIORAL HEALTH	$7,707	FMV PER ITEM	CLOTHING DONATION
MOMENTUM FOR HEALTH
1922 THE ALAMEDA		SAN JOSE	CA	95126	941496052	501(C)(3)	$150,000	BEHAVIORAL HEALTH
PENINSULA COLLEGE FUND
526 VALLEY WAY		MILPITAS	CA	95035	264293269	501(C)(3)	$39,500	ECONOMIC SECURITY
PENINSULA HEALTHCARE CONNECTION INC
33 ENCINA AVENUE 103		PALO ALTO	CA	94301	202886131	501(C)(3)	$550,644	HEALTHCARE ACCESS & BEHAVIORAL HEALTH
PENINSULA VOLUNTEERS INC
800 MIDDLE AVENUE		MENLO PARK	CA	94025	941294939	501(C)(3)		EQUIPMENT DONATION	$7,266	COST OF GOODS & SVCS	EQUIPMENT DONATION
PROJECT MORE FOUNDATION
1700 DE LA CRUZ BLVD		SANTA CLARA	CA	95050	464234256	501(C)(3)	$7,500	HEALTHCARE ACCESS & ECONOMIC SECURITY
WE HOPE
PO BOX 50624 EAST		PALO ALTO	CA	94303	943342713	501(C)(3)	$231,750	ECONOMIC SECURITY	$1,216	COST OF GOODS & SVCS	Hygiene products
PUBLIC HEALTH INSTITUTE
555 12TH ST STE 600		OAKLAND	CA	94607	941646278	501(C)(3)	$252,380	HEALTHCARE ACCESS AND DELIVERY
REBUILDING TOGETHER PENINSULA
841 KAYNYNE STREET		REDWOOD CITY	CA	94063	943106209	501(C)(3)	$18,800	HOUSING	$864	COST OF GOODS & SVCS	NUTRITIONAL SUPPORT
ROOTS COMMUNITY HEALTH CENTER
7272 MAC ARTHUR BLVD		OAKLAND	CA	94605	262583954	501(C)(3)	$113,855	BEHAVIORAL HEALTH
SAMARITAN HOUSE
4031 PACIFIC BOULEVARD		SAN MANTEO	CA	94403	237416272	501(C)(3)	$293,037	HEALTHCARE ACCESS AND DELIVERY	$13,731	COST OF GOODS & SVCS	EQUIPMENT DONATIONS
SECOND HARVEST OF SILICON VALLEY
750 CURTNER AVENUE		SAN JOSE	CA	95125	942614101	501(C)(3)	$378,000	ECONOMIC SECURITY
SENIOR COASTSIDERS INC
925 MAIN STREET		HALF MOON BAY	CA	94019	943119310	501(C)(3)	$35,000	ECONOMIC SECURITY
SONRISAS DENTAL HEALTH INC
430 N EL CAMINO REAL		SAN MATEO	CA	94401	943390196	501(C)(3)	$76,000	HEALTHCARE ACCESS & DELIVERY
SOUTH COUNTY COMMUNITY HEALTH CENTER INC
1885 BAY ROAD EAST		PALO ALTO	CA	94303	943372130	501(C)(3)	$250,000	HEALTHCARE ACCESS AND DELIVERY
STARVISTA
610 ELM STREET		SAN CARLOS	CA	94070	943094966	501(C)(3)	$12,000	BEHAVIORAL HEALTH
THE BOARD OF TRUSTEES STANFORD UNIVERSITY
3145 PORTER DRIVE		PALO ALTO	CA	94304	941156365	501(C)(3)	$104,416,806	SUPPORT FOR MEDICAL TRAINING, RESEARCH, COMMUNITY HEALTH IMPROVEMENT ACTIVITIES	$68,079	COST OF GOODS & SVCS	LABORATORY SERVICES
THE HEALTH TRUST
3180 NEWBERRY DR STE 200		SAN JOSE	CA	95118	946050231	501(C)(3)	$350,000	ECONOMIC SECURITY
THE VALLEY MEDICAL CENTER FOUNDATION
2400 CLOVE DRIVE		SAN JOSE	CA	95128	770187890	501(C)(3)	$10,405	HEALTHCARE ACCESS & DELIVERY
VOLUNTEERS FOR INTER-AMERICAN DEVELOPMENT
2424 FOURTH ST		BERKELEY	CA	94710	680249466	501(C)(3)		MEDICAL SUPPLIES	$725,553	COST OF GOODS & SVCS	MEDICAL SUPPLIES

Field	Value	IRS element (for citing)
Total501c3 Org	29	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 HEALTH AND PARTNERSHIPS PROGRAM, SHC PROVIDES A GRANT AWARD LETTER/RESTRICTED USE LETTER TO THE GRANT RECIPIENT DETAILING THE TERMS OF THE GRANT, INCLUDING ALIGNING FUND USAGE WITH IDENTIFIED COMMUNITY HEALTH NEEDS, 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 HEALTH AND PARTNERSHIPS 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 (23 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
DAVID ENTWISTLE
PRESIDENT & CEO (SEE SCH O)	$2,106,816	$0	$2,322,804	$0	$1,488,194	$0	$36,300	$0	$60,140	$0	$6,014,254	$0	$680,883	$0
QUINN MCKENNA
EVP-CHIEF OP. OFFICER (SCH O)	$1,319,528	$0	$1,002,036	$0	$591,804	$0	$36,300	$0	$45,884	$0	$2,995,552	$0	$304,340	$0
LINDA HOFF
EVP-CFO	$1,102,720	$0	$795,618	$0	$430,206	$0	$173,945	$0	$23,874	$0	$2,526,363	$0	$112,597	$0
SRIDHAR SESHADRI
SVP & PRESIDENT-CANCER CENTER	$723,627	$0	$371,393	$0	$199,061	$0	$42,900	$0	$60,908	$0	$1,397,889	$0	$0	$0
DALE BEATTY
SVP-CHIEF NURSE EXECUTIVE	$612,458	$0	$317,769	$0	$131,772	$0	$36,300	$0	$23,358	$0	$1,121,657	$0	$0	$0
ALISON M KERR
SVP-DESTINATION SERVICE LINES	$660,096	$0	$322,913	$0	$159,227	$0	$42,900	$0	$25,187	$0	$1,210,323	$0	$0	$0
ELIZABETH OYEKAN
VP-PHARMACY AND IMAGING SVCS	$337,268	$0	$73,525	$0	$20,856	$0	$32,141	$0	$27,112	$0	$490,902	$0	$0	$0
GARY FRITZ
VP-APPLICATIONS	$415,728	$0	$156,250	$0	$124,714	$0	$36,300	$0	$46,171	$0	$779,163	$0	$0	$0
TIMOTHY SEAY-MORRISON
SVP-SVC LIN&CHF AMB CARE OFCR	$459,951	$0	$117,612	$0	$26,389	$0	$70,321	$0	$44,267	$0	$718,540	$0	$0	$0
PRIYA SINGH
EVP-CHIEF STRATEGY OFFICER	$765,087	$213,620	$767,400	$0	$175,036	$0	$123,338	$0	$8,196	$0	$1,839,057	$213,620	$72,857	$0
THOMAS Y KIM
EVP-CHIEF MARKET DEV OFFICER	$552,474	$0	$279,671	$0	$87,209	$0	$36,300	$0	$21,838	$0	$977,492	$0	$0	$0
CAROL D RORIG
SVP-CHIEF HR OFFICER	$540,423	$0	$274,303	$0	$33,427	$0	$73,439	$0	$24,769	$0	$946,361	$0	$0	$0
JAMES MARTIN JR
SVP-CONTROLLER	$529,662	$0	$131,364	$0	$125,294	$0	$81,475	$0	$23,297	$0	$891,092	$0	$40,917	$0
HELEN M WILMOT
SVP-CHIEF FACIL GEN SVCS & PLN	$531,374	$0	$126,697	$0	$81,920	$0	$42,900	$0	$51,874	$0	$834,765	$0	$0	$0
ROSANNE ROTH
FORMER CORPORATE SECRETARY	$127,869	$0	$0	$0	$39,716	$0	$17,001	$0	$15,704	$0	$200,290	$0	$0	$0
ELIZABETH CHOI
MGR - ADMINISTRATION	$144,780	$0	$17,594	$0	$0	$0	$16,309	$0	$21,604	$0	$200,287	$0	$0	$0
JOHN YEE
DIRECTOR (SEE SCHEDULE O)	$0	$276,322	$0	$59,735	$0	$6,039	$0	$42,250	$0	$30,189	$0	$414,535	$0	$0
PAUL KING
DIRECTOR (SEE SCHEDULE O)	$0	$1,467,967	$0	$632,969	$0	$364,548	$0	$55,500	$0	$22,612	$0	$2,543,596	$0	$0
RANDALL LIVINGSTON
DIRECTOR (SEE SCHEDULE O)	$0	$902,039	$0	$0	$0	$724,650	$0	$155,468	$0	$39,832	$0	$1,821,989	$0	$355,556
LLOYD B MINOR MD
DIRECTOR (SEE SCHEDULE O)	$0	$2,272,515	$0	$600,000	$0	$10,582	$0	$251,750	$0	$37,896	$0	$3,172,743	$0	$0
THOMAS MONTINE MD
DIRECTOR	$0	$694,037	$0	$315,145	$0	$3,696	$0	$30,500	$0	$29,482	$0	$1,072,860	$0	$0
JAY SHAH MD
DIRECTOR	$0	$356,443	$0	$210,804	$0	$40,000	$0	$11,224	$0	$31,405	$0	$649,876	$0	$0
EILA SKINNER MD
DIRECTOR	$0	$794,024	$0	$504,290	$0	$0	$0	$30,500	$0	$39,454	$0	$1,368,268	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	3 OFFICERS, 1 KEY EMPLOYEE, 1 HIGHEST COMPENSATED EMPLOYEE, AND 1 FORMER KEY EMPLOYEE RECEIVED HOUSING AS A TAXABLE BENEFIT AND THE AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B (III).
SCHEDULE J, PART I, LINE 4B	STANFORD HEALTH CARE ("SHC") PROVIDES ALL SENIOR EXECUTIVES WITH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS. FOR EACH CALENDAR YEAR, A HYPOTHETICAL ACCOUNT IS ESTABLISHED FOR EACH PARTICIPANT AND CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION) AS OF THE LAST DAY OF EACH QUARTER. THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN EACH CALENDAR YEAR ACCOUNT ON THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED (OR, IF LATER, THE DATE ON WHICH THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION). THE PARTICIPANT BECOMES FULLY VESTED IN HIS OR HER ACCOUNTS UNDER THE SERP UPON THE EARLIEST OF (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) ATTAINMENT OF AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; (D) COMPLETION OF SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) DEATH. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2023: DAVID ENTWISTLE $ 1,073,415 QUINN MCKENNA $ 479,274 LINDA HOFF $ 117,206 SRIDHAR B. SESHADRI $ 92,715 PRIYA SINGH $ 75,839 ALISON M. KERR $ 69,701 HELEN M. WILLMOT $ 65,344 DALE BEATTY $ 65,129 THOMAS Y. KIM $ 58,493 JAMES J. MARTIN, JR $ 42,592 GARY FRITZ $ 36,532 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 2023 ARE REPORTED IN COLUMN (F). PAUL KING PARTICIPATES IN A DEFERRED COMPENSATION PLAN AT LUCILE SALTER PACKARD CHILDREN'S HOSPITAL, 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). 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	13033L8Q3	2015-06-30	$180,626,500	2015 SERIES AB-SEE PART VI	Yes (true)	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
C	521643828	13032UQR2	2017-12-28	$530,337,859	2017 SERIES A-SEE PART VI	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
D	521643828	13032UVN5	2020-04-01	$190,005,327	2020 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	$260,300,000	$0	$428,500,000	$0	$0	$0	$0	$0	$0	$0	$428,500,000	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$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)
C	$0	$0	$563,990,753	$0	$0	$0	$0	$0	$0	$0	$563,990,753	$0	2017	false	Yes (true)	Yes (true)	Yes (true)
D	$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)

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	0.00090	0.00090	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00000	0.00000	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.00010	0.00010	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0.00000	0.00000	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)	false	false			false	0	false	Yes (true)
0
C	false	false	Yes (true)	Yes (true)	false	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 OF REFUNDED BONDS: MARCH 09, 2006 BOND ISSUES: B CUSIP#: 13033L8Q3 SERIES: 2015 SERIES A & B DESCRIPTION OF PURPOSE: CONSTRUCTION OF REPLACEMENT ACUTE CARE HOSPITAL FACILITY AND RENOVATION OF PORTIONS OF EXISTING ACUTE CARE HOSPITAL 2015B LEGALLY DEFEASED IN APRIL 2021 BOND ISSUES: C CUSIP#: 13032UQR2 SERIES: 2017 SERIES A DESCRIPTION OF PURPOSE: ADVANCED REFUNDING OF A PORTION OF 2008A, A PORTION OF 2010A AND ENTIRE 2010B ISSUE DATE OF ISSUE OF REFUNDED BONDS: 06/02/2008 (2008A BONDS) & 06/16/2010 (2010A & 2010B BONDS) BOND ISSUES: D 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 DATE OF ISSUE OF REFUNDED BONDS: MAY 23, 2012 (2012C BONDS) PART II, COLUMN (B), LINE 3 : THIS AMOUNT DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS PART II, COLUMN (C), LINE 3 : THIS AMOUNT DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS PART II, COLUMN (D), LINE 3 : THIS AMOUNT DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS PART III, LINE 4, COLUMN (B) EQUITY WAS ALLOCATED TO PRIVATE USE SPACES WHICH RESULTED IN ZERO PERCENT PRIVATE USE FOR THESE BONDS PART III, LINE 4, COLUMN (D) EQUITY WAS ALLOCATED TO PRIVATE USE SPACES WHICH RESULTED IN ZERO PERCENT PRIVATE USE FOR THESE BONDS PART IV, LINE 2C, COLUMN (A) - REBATE CALCULATION DATE FOR SERIES 2008: 08/31/2024 PART IV, LINE 2C, COLUMN (B) - REBATE CALCULATION DATE FOR SERIES 2015: 08/31/2024 PART IV, LINE 2C, COLUMN (C) - REBATE CALCULATION DATE FOR SERIES 2017: 08/31/2024 PART IV, LINE 2C, COLUMN (D) - REBATE CALCULATION DATE FOR SERIES 2020: 08/31/2024 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: 2015B WERE VARIABLE BONDS (DEFEASED AND RETIRED 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	13032UYT9	2021-04-30	$175,002,141	2021 SERIES A-SEE PART VI	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B	521643828	13032UH68	2023-09-27	$300,004,540	2023 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	$175,002,141	$0	$0	$0	$0	$0	$0	$0	$175,002,141	$0	2021	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$300,004,540	$0	$0	$0	$0	$0	$0	$300,004,540	$0	$0	2023	false	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	Private Bus Concerning UBIPrivateBusConcerningUBIPct	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	0.00000	0.00000	0.00000	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00000	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)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	TAX-EXEMPT BONDS	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE K, PART 1 BOND ISSUES: A CUSIP#: 13032UYT9 SERIES: 2021 SERIES A DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF THE 2012D & 2015B ISSUES DATE OF ISSUE OF REFUNDED BONDS: MAY 23, 2012 (2012D BONDS) & JUNE 30, 2015 (2015B BONDS) BOND ISSUES: B CUSIP#: 13032UH68 SERIES: 2023 SERIES A DESCRIPTION OF PURPOSE: RE- DESIGN, REMODEL AND RENOVATION OF SHC'S ORIGINAL HOSPITAL FACILITY (300P RENEWAL PROJECT) PART II, LINE 13, COLUMN (B) REPRESENTS THE YEAR ALL FUNDS WERE ALLOCATED TO THE 300P RENEWAL PROJECT. THE PROJECT IS EXPECTED TO BE FULLY COMPLETED IN LATE CY2029 PART III, LINE 4, COLUMN (A) - EQUITY WAS ALLOCATED TO PRIVATE USE SPACES WHICH RESULTED IN ZERO PERCENT PRIVATE USE FOR THESE BONDS PART III, LINE 4, COLUMN (B) - EQUITY WAS ALLOCATED TO PRIVATE USE SPACES WHICH RESULTED IN ZERO PERCENT PRIVATE USE FOR THESE BONDS PART IV, LINE 2C, COLUMN (A) - REBATE CALCULATION DATE FOR SERIES 2021: 08/31/2024 PART IV, LINE 2C, COLUMN (B) - REBATE CALCULATION DATE FOR SERIES 2023: 10/28/2024	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (5 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan To OrganizationLoanToOrganizationInd	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)
LINDA HOFF
OFFICER	HOUSING LOAN	Yes (X)	$953,000	$703,000	false	Yes (true)	Yes (true)
DALE BEATTY
KEY EMPLOYEE	HOUSING LOAN	Yes (X)	$500,000	$500,000	false	Yes (true)	Yes (true)
GARY FRITZ
FORMER KEY EMPLOYEE	HOUSING LOAN	Yes (X)	$300,000	$300,000	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$3,503,000	TotalBalanceDueAmt

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 FOUR CATEGORIES: MORTGAGE ASSISTANCE PROGRAM (MAP), DEFERRED INTEREST PROGRAM (DIP), REDUCED INTEREST PROGRAM (RIP), AND ZERO INTEREST PROGRAM (ZIP). FOR CERTAIN 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 PROGRAM 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. THE REDUCED INTEREST PROGRAM LOAN (RIP) IS A NON-AMORTIZING, INTEREST ONLY HOME LOAN REQUIRING PRINCIPAL TO BE PAYABLE AT THE TIME OF SALE, PREPAYMENT, OR REFINANCING. THE 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 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 W0RLDWIDE 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 35,951 PATIENT DISCHARGES. SHC HAD 270,407 PATIENT DAYS INCLUDING ACUTE, BEHAVIORIAL HEALTH, AND SHORT STAY OUTPATIENT. TOTAL OUTPATIENT AND EMERGENCY ROOM VISITS WERE 1,266,628 FOR THE FISCAL YEAR ENDED AUGUST 31, 2024.
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: LLOYD B. MINOR MD DAVID ENTWISTLE RANDALL LIVINGSTON PAUL KING MINDY B. ROGERS AMIT SINHA MARC E. JONES JONATHAN COSLET THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD UNIVERSITY: LLOYD B. MINOR MD RANDALL LIVINGSTON MARK LESLIE THE FOLLOWING INDIVIDUALS ARE AN OFFICERS AT STANFORD UNIVERSITY: RANDALL LIVINGSTON LLOYD B. MINOR MD THE FOLLOWING INDIVIDUALS ARE TRUSTEES AT STANFORD UNIVERSITY: MARC E. JONES MINDY B. ROGERS AMIT SINHA CAROL LAM 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 9/1/2020) DAVID ENTWISTLE LINDA HOFF PAUL KING
MANAGEMENT DUTIES	FORM 990, PART VI, LINE 3 STANFORD HEALTH CARE (SHC) CONTRACTS WITH THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY (THE "UNIVERSITY") FOR SERVICES PROVIDED BY FACULTY PHYSICIANS EMPLOYED BY THE UNIVERSITY SCHOOL OF MEDICINE ("SOM"), INCLUDING CERTAIN ADMINISTRATIVE SERVICES PROVIDED BY DR. SAMUEL WALD AND DR. MICHAEL PFEFFER. DR. SAMUEL WALD AND DR. MICHAEL PFEFFER EXERCISE SIGNIFICANT MANAGEMENT AUTHORITY OVER THE PERIOPERATIVE AND INTERVENTIONAL PLATFORM OF STANFORD HEALTH CARE (SHC). DR. WALD'S CALENDAR YEAR 2023 COMPENSATION FROM THE UNIVERSITY RELATED TO HIS SHC ADMINISTRATIVE ROLE IS $898,631, AND DR. PFEFFER'S CALENDAR YEAR 2023 COMPENSATION FROM THE UNIVERSITY RELATED TO HIS SHC ADMINISTRATIVE ROLE IS $1,118,992.
MEMBERS	FORM 990, PART VI, LINE 6 STANFORD UNIVERSITY IS THE SOLE MEMBER OF STANFORD HEALTH CARE ("SHC").
ELECTION BY MEMBERS	FORM 990, PART VI, LINE 7A STANFORD UNIVERSITY, AS THE SOLE MEMBER OF SHC, ELECTS THE SHC BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 7B	THE SOLE MEMBER, STANFORD UNIVERSITY, MAY REMOVE AN ELECTED DIRECTOR AT ANY TIME WITHOUT CAUSE.
REVIEW OF FORM 990	FORM 990, PART VI, LINE 11B THE 990 TAX RETURN IS PREPARED BY THE FINANCE DEPARTMENT OF SHC. THE FINANCIAL DATA IS EXTRACTED FROM THE AUDITED FINANCIAL STATEMENT AND SUPPLEMENTAL INFORMATION AUDITED BY THE INDEPENDENT ACCOUNTING FIRM OF PRICEWATERHOUSECOOPERS (PWC). COMPENSATION DATA IS EXTRACTED FROM PAYROLL RECORDS. OTHER INFORMATION IS PROVIDED BY THE RELEVANT AREAS WITH EXPERTISE IN SHC. UPON COMPLETION, THE RETURN IS REVIEWED BY THE SENIOR MANAGEMENT OF SHC, THE COUNSEL OF SHC, STANFORD UNIVERSITY TAX DEPARTMENT AND EXTERNAL TAX ACCOUNTANT (PWC). THE DRAFT FORM 990 IS REVIEWED AT THE AUDIT AND COMPLIANCE COMMITTEE MEETING. THE FORM 990 IS THEN FORWARDED TO ALL BOARD MEMBERS FOR THEIR REVIEW. THE CFO OF SHC AND PWC AS PAID PREPARER SIGN THE RETURN PRIOR TO FILING WITH IRS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN INITIAL CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ("DISCLOSURE STATEMENT") WITHIN 30 DAYS OF BEGINNING SERVICE AT SHC. ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. FURTHERMORE, OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO UPDATE THEIR DISCLOSURE STATEMENT WITHIN TEN (10) BUSINESS DAYS OF A MATERIAL CHANGE IN THEIR SITUATIONS THAT MAY CREATE AN ACTUAL OR PERCEIVED CONFLICT-OF-INTEREST. A DISCLOSURE THAT APPEARS TO BE A CONFLICT WILL BE RESOLVED BY A MUTUAL AGREEABLE PLAN WITH THE VICE PRESIDENT OF HUMAN RESOURCES THAT OUTLINES THE STEPS THE OFFICER, DIRECTOR OR KEY EMPLOYEE MUST TAKE TO RECTIFY THE CONFLICT. IN MATTERS THAT ARE UNCLEAR OR QUESTIONABLE, THE OFFICE OF CHIEF COMPLIANCE OFFICER WILL BE CONSULTED FOR A RULING. IF FURTHER INQUIRY IS NECESSARY THE OFFICE OF THE GENERAL COUNSEL WILL BE CONSULTED FOR A RULING.
PROCEDURES FOR DETERMINING COMPENSATION	FORM 990, PART VI, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR SHC'S CEO AND OTHER TOP MANAGEMENT REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES THE COMMITTEE WITH COMPARABLE MARKET DATA FROM THE FORMS 990 OF COMPARABLE ORGANIZATIONS SUPPLEMENTED BY PUBLISHED COMPENSATION AND BENEFITS SURVEYS TO BE CONSIDERED IN EVALUATING TOTAL COMPENSATION PACKAGES FOR EACH INDIVIDUAL EXECUTIVE. THE COMMITTEE CONDUCTS A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTS ITS DELIBERATIONS AND DISCUSSION IN MINUTES THAT ARE RETAINED WITH THE OTHER GOVERNANCE MATERIALS OF SHC. THE VALUE OF EACH PAY ELEMENT AND THE TOTAL PACKAGE ARE REVIEWED IN NOVEMBER PRIOR TO ANY PAY ACTIONS BEING APPROVED BY THE COMPENSATION COMMITTEE. SPECIFIC FACTS AND CIRCUMSTANCES OF EACH ROLE, INCUMBENT, THEIR PERFORMANCE, SKILLS AND RESPONSIBILITIES ARE REVIEWED AND ASSESSED INDIVIDUALLY. THE COMMITTEE RECEIVES RECOMMENDATIONS FROM THE CEO AS TO PAY ACTIONS FOR EACH INCUMBENT. THESE RECOMMENDATIONS ARE DISCUSSED AND THE RESULTS OF THE DELIBERATIONS ARE DOCUMENTED AS TO THE FINAL PAY ACTION APPROVED ALONG WITH THE RATIONALE FOR THE DECISION. THIS PROCESS OCCURS ANNUALLY AND IN CONJUNCTION WITH ANY PROGRAMMATIC CHANGE THAT COULD POTENTIALLY IMPACT THE PAY OR BENEFITS OF EXECUTIVES.
AVAILABILITY OF GOVERNING DOCUMENTS	FORM 990, PART VI, LINE 19 COPIES OF THE FINANCIAL STATEMENTS ARE AVAILABLE ON SHC'S WEBSITE. FURTHERMORE, THE STATEMENTS OF OPERATIONS AND BALANCE SHEET ARE PART OF THE UNIVERSITY'S ANNUAL REPORT POSTED ON THE ORGANIZATION'S PUBLIC WEBSITE. COPIES OF THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS.
BOARD OF DIRECTORS CHANGES	FORM 990, PART VII, SECTION A THE FOLLOWING BOARD MEMBERS RETIRED OR RESIGNED FROM THE BOARD OF DIRECTORS DURING FY24 AS NOTED: MARIANN BYERWALTER AS OF 8/31/2024 KAYE FOSTER AS OF 8/31/2024 MARK LESLIE AS OF 8/31/2024 HAMID MOGHADAM AS OF 8/31/2024 ROBERT SANTOS, MD AS OF 12/31/2023 THE FOLLOWING BOARD MEMBERS WERE APPOINTED TO THE BOARD DURING FY24 AS NOTED: CAROL LAM AS OF 09/01/2023 JOHN YEE AS OF 01/01/2024
HOURS AT RELATED ORGANIZATIONS	FORM 990, PART VII, COLUMN B PAUL KING IS A DIRECTOR OF SHC. FOR FY24 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 ARE DIRECTORS OF SHC. FOR FY24 THEY WERE EMPLOYED AT STANFORD UNIVERSITY (SU), A RELATED ORGANIZATION. THESE INDIVIDUALS RECEIVES 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 $ (2,071,517) 2003 BONDS SWAP PAYMENTS $ 149,171 2006/2008 BONDS SWAP PAYMENTS $ (339,827) 2012 BONDS SWAP PAYMENTS $ (636,099) EQUITY TRANSFER $ (29,452,148) CHANGE IN MINIMUM PENSION LIABILITY $ 52,900,000 LOSS ON EXTINGUISHIMENT OF SWAPS $ (7,732,075) COVID-19 FEMA $ (562,141) STAFF PENSION PLAN SETTLEMENT LOSS $ (51,688,000) SEROC BOOK/TAX DIFFERENCE $ (140,110) --------------- OTHER CHANGES IN NET ASSETS OR $ (39,572,746) 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
6937 VILLAGE PKWY BB	DUBLIN	CA	945682405	680396696	HEALTHCARE	CA	$1,728,830	$328,537	SHC
STANFORD BLOOD CENTER LLC
3373 HILLVIEW AVENUE	PALO ALTO	CA	94304	810816100	MEDICAL	CA	$106,210,173	$16,870,462	SHC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 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	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
					EDUCATION		501(C)(3)	N/A	STANFORD	Yes (true)	AV CONDELL 189 PROVIDENCIA	SANTIAGO	CI	CI
STANFORD HEALTH CARE TRI-VALLEY
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	KS	501(C)(3)	N/A	STANFORD	Yes (true)
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 CHILDREN'S HOSPITA
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 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
505 BROADWAY 6TH FLOOR MC1065	REDWOOD CITY	CA	94063	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	SR. FACILITY	CA	501(C)(3)	PF	SHC-TV	Yes (true)
VALLEYCARE SENIOR HOUSING
1111 E STANLEY BLVD	LIVERMORE	CA	94550	943382224	SR. FACILITY	CA	501(C)(3)	12A, I	SHC-TV	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (43 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	Province Or StateForeignAddress/ProvinceOrStateNm	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
3 COLUMBUS CIRCLE 15TH FL	NEW YORK	NY	10019	813083288	INVESTMENTS	DE	NA
ALBUS SELECT FUND LP
750 MENLO PARK AVE 380	MENLO PARK	CA	94025	812064357	INVESTMENTS	DE	NA
AM ENGINE HOLDINGS FUND I LP
9450 SE GEMINI DRIVE PMB 17194	BEAVERTON	OR	97008	923370261	INVESTMENTS	DE	NA
ARCOLA VENTURE LLC
7121 FAIRWAY DRIVE 410	PALM BEACH GARDENS	FL	33418	371689632	REAL ESTATE	DE	NA
CANARY SC FUND LP
65 E 55TH ST 35TH FLOOR	NEW YORK	NY	10022	475662144	INVESTMENTS	DE	NA
CANARY SC MASTER FUND LP
				981267847	INVESTMENTS		NA	89 NEXUS WAY CAMANA BAY	GRAND CAYMAN	CAYMAN ISLANDS	CJ	KY1-9009	CJ
CARLSBAD CO-INVEST LP
40 BEECHWOOD RD	SUMMIT	NJ	07901	471702425	INVESTMENTS	DE	NA
CERASUS FUND II CAYMAN LP
					INVESTMENTS		NA	190 ELGIN AVENUE GEORGE TOWN	GRAND CAYMAN		CJ	KY1-9008	CJ
CHP GTS BLOCKER HOLDINGS A LP
888 BOYLSTON STREET 1410	BOSTON	MA	02199	830881152	INVESTMENTS	DE	NA
CROSSPOINT CAPITAL FUND II LP
2500 SAND HILL ROAD SUITE 300	MENLO PARK	CA	94025	981656208	INVESTMENTS	CA	NA
CYPRESS MARINA HEIGHTS LLC
635 KNIGHT WAY	STANFORD	CA	94305	954887979	INVESTMENTS	CA	NA
DGD INVESTMENT LP
					INVESTMENTS		NA	190 ELGIN AVENUE GEORGE TOWN	GRAND CAYMAN		CJ	KY1-9008	CJ
EAGLE ROCK LI HOLDINGS LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	271694413	INVESTMENTS	DE	NA
EDEN RADIATION THERAPY SERVICES LLC
300 PASTEUR DRIVE	STANFORD	CA	94304	881276056	HEALTHCARE	CA	SHC							RELATED	$3,003,130	$22,332,735	false	$0	false	0.60000
ER-S JV LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	834068077	INVESTMENTS	DE	NA
ER-S JV II LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	882085249	INVESTMENTS	DE	NA
ER-S INVESTOR LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	834068357	INVESTMENTS	DE	NA
ER-S INVESTOR II LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	882004082	INVESTMENTS	DE	NA
ER PROPERTIES FUND LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	834260396	INVESTMENTS	DE	NA
ER PROPERTIES FUND II LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	881994509	INVESTMENTS	DE	NA
EZP OPPORTUNITY LP
PIER 5 STE 102	SAN FRANCISCO	CA	94111	814562962	INVESTMENTS	DE	NA
FORTRESS IW COINVESTMENT (FUND B) LP
1345 AVE OF THE AMERICAS 46FL	NEW YORK	NY	10105	980509639	INVESTMENTS		NA						CJ
FOUR CROSSINGS INSTITUTIONAL PARTNERS V
ONE MARITIME PLAZA 2100	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	KY1-1205	CJ
KEB INVESTORS II LP
					INVESTMENTS		NA	WASHINGTON MALL STE 304 7 REID ST	HAMILTON	BD	BD	HM 11	BD
KF VERMILLION FUND LP (AKA KEYFRAME V
65 East 55TH STREET 35TH FLOOR	NEW YORK	NY	10022	883144517	INVESTMENTS	DE	NA
LSF V DHB HOLDINGS LP
2711 N HASKELL AVE 1700	DALLAS	TX	75204	272858604	INVESTMENTS	DE	NA
OLIFANT FUND LTD
				980404442	INVESTMENTS		NA	SUITE 5B201 2ND FL ONE NEXUS WAY	GRAND CAYMAN		CJ	KY1-1108	CJ
ONCOLOGY SOLUTIONS VENTURE LLC
300 PASTEUR DRIVE	STANFORD	CA	94304	863250041	HEALTHCARE	CA	SHC							RELATED	$0	$0	false	$0	false	0.60000
OUTLAWS CASINO LTD
415 BROADWAY	REDWOOD CITY	CA	94063	841457498	HOLDING COMPANY	CO	NA
SANDPIPER FUND LP
4215 WEST LOVERS LANE SUITE 1000	DALLAS	TX	75209	260341626	INVESTMENT	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	SHC							RELATED	$2,072,195	$12,168,999	false	$0	false	0.60000
STANFORD PET-CT LLC
300 PASTEUR DR	STANFORD	CA	94305	611423414	MED. DIAGNOST	CA	NA
STANFORD-STARTX FUND LLC
485 BROADWAY	REDWOOD CITY	CA	94063	464297719	INVESTMENTS	DE	NA
SUMIT HOLDING INTERNATIONAL LLC
1400 PAGE MILL RD	PALO ALTO	CA	94304	263934706	HOLDING COMPANY	DE	SHC							EXCLUDED	$1,977,923	$105,987,530	false	$0	false	0.82000
TESSERA IONIC LP
PO BOX 194170	SAN FRANCISCO	CA	941194170	830896257	INVESTMENTS	DE	NA
VEDA INVESTORS FUND LP
ONE FAWCETT PL	GREENWICH	CT	06830	811810345	INVESTMENTS	DE	NA
VERMILION PEAK MASTER FUND
				981327671	INVESTMENTS		NA	PO BOX 309 UGLAND HOUSE	GRAND CAYMAN		CJ	KY1-1104	CJ
WREP III A LP
6710 E CAMELBACK RD 100	SCOTTSDALE	AZ	85251	474780701	INVESTMENTS	DE	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
BREP VII ALBERTA FDR (OFFSHORE) TE7 LP
345 PARK AVENUE	NEW YORK	NY	10154	981066351	INVESTMENTS	CA	NA	C CORP
BREP VII ALBERTA FDR (OFFSHORE) TE7-NQ
345 PARK AVENUE	NEW YORK	NY	10154	981066355	INVESTMENTS	CA	NA	C CORP
CANARY SC FUND LTD
				921268195	INVESTMENTS		NA	C CORP	89 NEXUS WAY CAYMANA BAY	GRAND CAYMAN	CJ	KY1-9009	CJ
CLAT (13)
					CHARITABLE TR	CA	NA	TRUST
CLUT (2)
					CHARITABLE TR	CA	NA	TRUST
CRT (560)
					CHARITABLE TR	CA	NA	TRUST
EAST SAIL
					INVESTMENTS		NA	C CORP	C/O INTL FS INC IFS COURT	TWENTYEIGHT CYBERCITY EBENE	MP		MP
ER-S REIT LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	834068725	INVESTMENTS	DE	NA	C CORP
ER-S REIT II LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	882004082	INVESTMENTS	DE	NA	C CORP
GAVEA INVESTMENT FUND II-C LP
				980537952	INVESTMENTS		NA	C CORP	PO BOX 309 UGLAND HOUSE	GRAND CAYMAN	CJ	KY1-1104	CJ
HHBG SF LIMITED
					INVESTMENTS		NA	C CORP	89 NEXUS WAY CAMANA BAY	GRAND CAYMAN	CJ	KY1-1205	CJ
KAIZEN FUND
					INVESTMENTS		NA	C CORP	PO BOX 448	GRAND CAYMAN	CJ	KY1-1106	CJ
LS ALBERTA III LP
					INVESTMENTS	CA	NA	C CORP	C/O LASALLE INV MGMT ONE CURZON ST	LONDON	UK	W1J 5HD
LUMINA STRATEGIC SOLUTIONS FEEDER FUND (
				981662307	INVESTMENTS	CA	NA	C CORP	199 BAY STREET SUITE 5300	TORONTO	CA	M5L 1B9
OTHER (3)
					CHARITABLE TR	CA	NA	TRUST
PIF (2)
					CHARITABLE TR	CA	NA	TRUST
PEPPERTREE CAPITAL CAYMAN ISLAND FUND LP
57 E WASHINGTON STREET	CHAGRIN FALLS	OH	44022	981235268	INVESTMENTS		NA	C CORP					CJ
PROFESSIONAL EXCHANGE ASSURANCE COMPANY
201 MERCHANT STREET SUITE 2400	HONOLULU	HI	96813	900897686	INSURANCE	HI	NA	C CORP
SBFF LTD
					INVESTMENTS		NA	C CORP	SUITE 5B201 2ND FL ONE NEXUS WAY	GRAND CAYMAN	CJ	KY1-1108	CJ
SOLKATT LIMITED
					INVESTMENTS		NA	C CORP	190 ELGIN AVENUE GEORGE TOWN	GRAND CAYMAN	CJ	KY1-9008	CJ
STANFORD (BEIJING) CNSLTNG CO LTD (WFOE)
					EDUCATION		NA	C CORP	5275TH FLBLDG CACADEMY SOUTH RD	BEIJING	CH		CH
STANFORD IN JAPAN GODO KAISHA
					EDUCATION		NA	C CORP	DOSHISHA UNIVERSITY MEITOKUKAN-NAI	KYOTOSHI	JA		JA
STANFORD INDIA PVT LTD
					EDUCATION		NA	C CORP	333 3RD FLOOR DEVIKA TOWER 6 NEH	DELHI	IN		IN
STANFORD MEDICINE INTL (HONG KONG) CO LT
					PATIENT SRVC		NA	C CORP	833 CHEUNG SHA WAN ROAD	KOWLOON	HK		HK	$0	$0	1.00000	Yes (true)
STANFORD UNIV MED NETWORK RISK AUTHORITY
1400 PAGE MILL RD MSC 5713	PALO ALTO	CA	94304	461132002	RISK MGMT CON	CA	NA	C CORP
TF-A FEEDER LTD
				981756669	INVESTMENTS		NA	C CORP	89 NEXUS WAY CAMANA BAY	GRAND CAYMAN	CJ	KY1-1205	CJ
THE RUBRUM FUND
					INVESTMENTS		NA	C CORP	7 CLIFFORD STREET	LONDON	UK	WIS 2FT	CJ
TRIVISTA FUND
					INVESTMENTS		NA	C CORP	89 NEXUS WAY CAMANA BAY	GRAND CAYMAN	CJ	KY1-9009	CJ
TVC MATSU FUND
					INVESTMENTS		NA	C CORP	89 NEXUS WAY CAMANA BAY	GRAND CAYMAN	CJ	KY1-9009	CJ
VERMILION PEAK FUND
				981333885	INVESTMENTS		NA	C CORP	PO BOX 309 UGLAND HOUSE	GRAND CAYMAN	CJ	KY1-1104	CJ
WOODBOURNE CANADA PARTNERS II - CAYMAN
				980705321	INVESTMENTS		NA	C CORP	190 ELGIN AVE	GRAND CAYMAN	CJ	KY1-9005

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	Yes (true)	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	$1,074,157	COST
SEROC
S	$95,050	COST
SEROC
R	$1,055,301	COST
SEROC
C	$1,514,451	COST
SUMIT
R	$35,025,010	BOOK
SUMIT
Q	$35,025,010	BOOK
LPCH
L	$109,000,699	BOOK
LPCH
M	$966,631	BOOK
LPCH
N	$12,196,243	BOOK
LPCH
O	$59,456,699	BOOK
LPCH
Q	$15,790,767	BOOK
LPCH
S	$275,770	BOOK
STANFORD HEALTH CARE TRI-VALLEY
A	$1,689,367	BOOK
STANFORD HEALTH CARE TRI-VALLEY
C	$154,416,340	BOOK
STANFORD HEALTH CARE TRI-VALLEY
P	$20,235,807	BOOK
STANFORD HEALTH CARE TRI-VALLEY
Q	$131,841,440	COST
STANFORD HEALTH CARE TRI-VALLEY
L	$14,597,602	COST
STANFORD HEALTH CARE TRI-VALLEY
R	$101,083,975	COST
STANFORD HEALTH CARE TRI-VALLEY
S	$154,263,537	COST
ERTS
Q	$1,314,045	COST
EBREV
C	$419,838	COST
EBREV
B	$35,000,000	COST
STANFORD MEDICAL PARTNERS
J	$9,462,483	COST
STANFORD MEDICAL PARTNERS
L	$883,545	COST
STANFORD MEDICAL PARTNERS
Q	$105,811,321	COST
STANFORD MEDICAL PARTNERS
P	$95,135,570	COST
STANFORD MEDICAL PARTNERS
S	$38,660,669	COST
STANFORD MEDICAL PARTNERS
R	$100,286,555	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART IV	FormAndLineReferenceDesc
Explanation	CHARITABLE LEAD ANNUITY TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. CHARITABLE LEAD UNITRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. POOLED INCOME FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.	ExplanationTxt