STANFORD HEALTH CARE TRI-VALLEY: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- STANFORD HEALTH CARE TRI-VALLEY (EIN 94-1429628)
- Tax period
- 2017-09-01 to 2018-08-31
- Filed
- 2019-07-15
- IRS object ID
- 201931969349300648
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-07-15T10:44:16-05:00 | ReturnTs |
| Tax Period End | 2018-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRICEWATERHOUSECOOPERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SEAPORT BLVD | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941429628 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HOSPITAL COMMITTEE FOR THE LIVERMORE- | BusinessNameLine1Txt |
| Business Name Line2 | PLEASANTON AREAS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % NICOLE PEDIGO | InCareOfNm |
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 9253738000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E STANLEY BOULEVARD | AddressLine1Txt |
| City | LIVERMORE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94550 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA HOFF | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 9253738000 | PhoneNum |
| Signature | 2019-07-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GWEN SPENCER | PreparerPersonNm |
| PTIN | P00641463 | PTIN |
| Phone | 6175305000 | PhoneNum |
| Preparation | 2019-06-26 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.125.77 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 04363820191965000011 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-07-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 4A1E85FFEA4A03F2C5B6B5D720B5875196A0B405 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 87FDEE12F479A0387253A49DE646509B72F386A6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STANFORD HEALTH CARE - VALLEYCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD SHUMWAY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E STANLEY BOULEVARD | AddressLine1Txt |
| City | LIVERMORE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94550 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $276,019,930 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VALLEYCARE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 1623 | TotalEmployeeCnt |
| Total Volunteers | 255 | TotalVolunteersCnt |
| Total Gross UBI | $420,497 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $277,802 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $344,987 | PYContributionsGrantsAmt |
| CY Contributions Grants | $190,741 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $262,805,149 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $265,381,005 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$2,194 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,699 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,823,405 | PYOtherRevenueAmt |
| CY Other Revenue | $7,192,093 | CYOtherRevenueAmt |
| PY Total Revenue | $269,971,347 | PYTotalRevenueAmt |
| CY Total Revenue | $272,775,538 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $149,415,630 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $154,103,730 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $127,289,693 | PYOtherExpensesAmt |
| CY Other Expenses | $158,986,729 | CYOtherExpensesAmt |
| PY Total Expenses | $276,705,323 | PYTotalExpensesAmt |
| CY Total Expenses | $313,090,459 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,733,976 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$40,314,921 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $240,330,879 | TotalAssetsBOYAmt |
| Total Assets EOY | $271,205,496 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $119,787,658 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $126,741,279 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $120,543,221 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $144,464,217 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | STANFORD HEALTH CARE - VALLEYCARE'S MISSION IS TO (1) ASSUME THE LEADERSHIP ROLE FOR THE HEALTH OF THE TRI-VALLEY COMMUNITY AND (2) TO CARE, TO EDUCATE, AND TO DISCOVER. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $283,439,447 | ExpenseAmt |
| Revenue | $271,837,916 | RevenueAmt |
| Desc | SEE SCHEDULE O. | Desc |
| Total Program Service Expenses | $283,439,447 | 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 | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | 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 | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | 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 | 212 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1623 | 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 | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | NICOLE PEDIGO | PersonNm |
| Phone | 9253738000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E STANLEY BOULEVARD | AddressLine1Txt |
| City | LIVERMORE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94550 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| KEVIN BOOTH MD | |||||||||
| DIRECTOR | 1.6 | 0.4 | Yes (X) | $0 | $0 | $0 | |||
| MARK CULLEN MD | |||||||||
| DIRECTOR | 1.6 | 50.4 | Yes (X) | $0 | $469,171 | $40,701 | |||
| DAVID ENTWISTLE | |||||||||
| CHAIR | 1.6 | 55.65 | Yes (X) | $0 | $2,423,244 | $357,563 | |||
| KAYE FOSTER-CHEEK | |||||||||
| DIRECTOR | 1.6 | 2.4 | Yes (X) | $0 | $0 | $0 | |||
| JOHN GOLDMAN | |||||||||
| DIRECTOR | 1.6 | 2.4 | Yes (X) | $0 | $0 | $0 | |||
| LINDA HOFF | |||||||||
| DIRECTOR (as of 01/18) | 1.6 | 52.4 | Yes (X) | $0 | $901,421 | $56,757 | |||
| QUINN MCKENNA | |||||||||
| DIRECTOR | 1.6 | 51.4 | Yes (X) | $0 | $1,932,176 | $164,143 | |||
| LLOYD B MINOR MD | |||||||||
| DIRECTOR (THROUGH 11/17) | 1.6 | 56.4 | Yes (X) | $0 | $3,643,020 | $163,818 | |||
| RANDY POND | |||||||||
| DIRECTOR | 1.6 | 0.4 | Yes (X) | $0 | $0 | $0 | |||
| JOHN SENSIBA | |||||||||
| DIRECTOR | 1.6 | 0.4 | Yes (X) | $0 | $0 | $0 | |||
| TOPHER SHARP | |||||||||
| DIRECTOR (as of 01/18) | 1.6 | 0.4 | Yes (X) | $0 | $489,146 | $53,360 | |||
| ALCINA WEGRZYNOWSKI | |||||||||
| DIRECTOR | 1.6 | 0.4 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD ALESCH | |||||||||
| VP FINANCE (02/18-07/18) | 50.0 | 0.4 | $0 | $0 | $0 | Yes (X) | |||
| PITT CALKIN | |||||||||
| INTERIM CFO (Through 09/17) | 49.6 | 0.4 | $0 | $0 | $0 | Yes (X) | |||
| DAVID J CONNOR | |||||||||
| CFO (09/17-02/18) | 1.6 | 50.65 | $0 | $845,144 | $48,370 | Yes (X) | |||
| SCOTT GREGERSON | |||||||||
| PRESIDENT | 49.6 | 0.4 | $540,467 | $0 | $156,603 | Yes (X) | |||
| DOUG SMITH | |||||||||
| CFO (as of 08/18) | 50.0 | 0.4 | $0 | $0 | $0 | Yes (X) | |||
| DAVID SVEC MD | |||||||||
| CMO (AS OF 11/17) | 50.0 | 0.4 | $0 | $376,220 | $53,554 | Yes (X) | |||
| TRACEY LEWIS TAYLOR | |||||||||
| COO | 50.0 | 0.4 | $294,172 | $0 | $42,553 | Yes (X) | |||
| GINA TEEPLES | |||||||||
| CNO | 50.0 | 0.4 | $337,031 | $0 | $51,862 | Yes (X) | |||
| DOREEN MAPLES | |||||||||
| VP COMPLIANCE & QUALITY | 50.0 | 0.0 | $229,163 | $0 | $35,834 | Yes (X) | |||
| JOHN YEE MD | |||||||||
| VP CLINICAL INITIATIVES | 50.0 | 0.0 | $252,744 | $0 | $32,519 | Yes (X) | |||
| ROBIN AMERSON | |||||||||
| REGISTERED NURSE | 50.0 | 0.0 | $280,179 | $0 | $15,028 | Yes (X) | |||
| PAUL MUSER | |||||||||
| LEAD MULTI-MODALITY TECH | 50.0 | 0.0 | $252,303 | $0 | $37,859 | Yes (X) | |||
| JANINE PINKS | |||||||||
| CARDIO PHYSICIAN ASSISTANT | 50.0 | 0.0 | $286,648 | $0 | $20,183 | Yes (X) | |||
| RONNIE RAYMUNDO | |||||||||
| REGISTERED NURSE | 50.0 | 0.0 | $310,438 | $0 | $13,279 | Yes (X) | |||
| JOSEPH YATCO | |||||||||
| REGISTERED NURSE | 50.0 | 0.0 | $255,209 | $0 | $29,006 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,038,354 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $11,079,542 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,372,992 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 479 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| PO BOX 959167 | SAINT LOUIS | MO | 631959167 | IT SERVICES | $3,264,150 |
| RENOVO SOLUTIONS LLC | |||||
| 4 EXECUTIVE CIRCLE STE 185 | IRVINE | CA | 92614 | MEDICAL EQUIP SRVCS | $1,759,488 |
| SECURITY EYE PATROL | |||||
| 2282 FOURTH STREET | LIVERMORE | CA | 945504553 | SECURITY SERVICES | $1,119,586 |
| MEDICAL ANESTHESIA CONSULTANTS | |||||
| 2175 N CALIFORNIA BLVD SUITE 425 | WALNUT CREEK | CA | 94596 | PHYSICIAN SERVICES | $1,123,916 |
| PISMO BEACH DIALYSIS | |||||
| PO BOX 781607 | PHILADELPHIA | PA | 191781607 | MEDICAL SERVICES | $1,030,251 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 67 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $190,741 | AllOtherContributionsAmt |
| Total Contributions | $190,741 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 621990 | $264,430,412 | $264,009,915 | $420,497 |
| REIMBURSED/SHARED EXPENSES | 900099 | $950,593 | $950,593 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $265,381,005 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $287,709 | TotalRevenueColumnAmt |
| Exclusion | $287,709 | 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 | $3,289,012 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,553,830 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $735,182 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $735,182 | TotalRevenueColumnAmt |
| Exclusion | $735,182 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $414,552 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $690,562 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$276,010 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$276,010 | TotalRevenueColumnAmt |
| Exclusion | -$276,010 | 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 |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DIETARY SERVICES | 900099 | $1,284,634 | $1,284,634 |
| MONTHLY DUES-LIFESTYLE | 624310 | $2,934,337 | $2,934,337 |
| CLINIC REVENUE | 900099 | $708,448 | $708,448 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,529,492 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,529,492 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,456,911 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $272,775,538 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $271,417,419 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $420,497 | UnrelatedBusinessRevenueAmt |
| Exclusion | $746,881 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,256,737 | TotalAmt |
| Management And General | $2,256,737 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,978,132 | TotalAmt |
| Program Services | $101,728,113 | ProgramServicesAmt |
| Management And General | $3,250,019 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,873,688 | TotalAmt |
| Program Services | $5,503,854 | ProgramServicesAmt |
| Management And General | $369,834 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,368,406 | TotalAmt |
| Program Services | $30,909,912 | ProgramServicesAmt |
| Management And General | $1,458,494 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,626,767 | TotalAmt |
| Program Services | $8,246,601 | ProgramServicesAmt |
| Management And General | $380,166 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $823,578 | TotalAmt |
| Management And General | $823,578 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,473 | TotalAmt |
| Management And General | $195,473 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $20,118,265 | TotalAmt |
| Program Services | $15,773,281 | ProgramServicesAmt |
| Management And General | $4,344,984 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,641,411 | TotalAmt |
| Program Services | $8,944,512 | ProgramServicesAmt |
| Management And General | $696,899 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,017,540 | TotalAmt |
| Program Services | $16,046,497 | ProgramServicesAmt |
| Management And General | $4,971,043 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,082,148 | TotalAmt |
| Program Services | $9,764,143 | ProgramServicesAmt |
| Management And General | $318,005 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,367 | TotalAmt |
| Program Services | $82,768 | ProgramServicesAmt |
| Management And General | $67,599 | ManagementAndGeneralAmt |
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 | $94,037 | TotalAmt |
| Program Services | $74,899 | ProgramServicesAmt |
| Management And General | $19,138 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,126,921 | TotalAmt |
| Program Services | $2,126,921 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,862,347 | TotalAmt |
| Program Services | $12,510,610 | ProgramServicesAmt |
| Management And General | $1,351,737 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,047,689 | TotalAmt |
| Program Services | $1,857,490 | ProgramServicesAmt |
| Management And General | $190,199 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $38,896,707 | $38,808,215 | $88,492 |
| PURCHASED SERVICES | $21,670,255 | $14,387,582 | $7,282,673 |
| HOSPITAL QUALITY ASSUR FEE | $16,060,115 | $16,060,115 | |
| LICENSE, TAX AND FEES | $919,579 | $304,692 | $614,887 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,280,297 | TotalAmt |
| Program Services | $309,242 | ProgramServicesAmt |
| Management And General | $971,055 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,090,459 | TotalAmt |
| Program Services | $283,439,447 | ProgramServicesAmt |
| Management And General | $29,651,012 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,779,269 | BOYAmt |
| EOY | $5,223,192 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,693,386 | BOYAmt |
| EOY | $30,244,316 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,844,183 | BOYAmt |
| EOY | $28,650,376 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $5,983,141 | BOYAmt |
| EOY | $5,977,374 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,750,304 | BOYAmt |
| EOY | $1,178,968 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $219,931,171 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $36,369,302 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,867,326 | BOYAmt |
| EOY | $183,561,869 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $971,437 | BOYAmt |
| EOY | $824,896 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,441,833 | BOYAmt |
| EOY | $15,544,505 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,330,879 | BOYAmt |
| EOY | $271,205,496 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,730,360 | BOYAmt |
| EOY | $27,096,971 | 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 | $1,288,113 | BOYAmt |
| EOY | $6,685,148 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $207,247 | BOYAmt |
| EOY | $15,204 | 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 | $83,561,938 | BOYAmt |
| EOY | $92,943,956 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,787,658 | BOYAmt |
| EOY | $126,741,279 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,214,083 | BOYAmt |
| EOY | $144,015,005 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,138 | BOYAmt |
| EOY | $449,212 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,543,221 | BOYAmt |
| EOY | $144,464,217 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,330,879 | BOYAmt |
| EOY | $271,205,496 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$40,314,921 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $64,235,917 | 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 |
Schedule B IRS990ScheduleB
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 | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $100,000 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $13,240 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $113,240 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES: SHC-VC BELONGS TO THE CALIFORNIA HOSPITAL ASSOCIATION/HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA IN WHICH A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS SPENT ON EFFORTS TO INFLUENCE LEGISLATION MATTERS IN THE HEALTH CARE INDUSTRY. DURING FY18, SHC-VC PAID DUES OF APPROXIMATELY $122,362 TO THESE ORGANIZATIONS AND THE APPROXIMATE AMOUNT OF DUES SPENT ON LOBBYING PURPOSES WAS $13,240. SHC-VC INCURRED A GRANT EXPENSE OF $100,000 TO PROTECT OUR LOCAL HOSPITALS AND HEALTH CARE. THE FUNDS WILL BE USED FOR POLLING, OTHER RESEARCH, LEGAL AND RELATED EXPENSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,524,005 | OtherCostOrOtherBasisAmt |
| Book Value | $35,524,005 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,455,711 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,843,465 | DepreciationAmt |
| Book Value | $62,612,246 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,766,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,844,824 | DepreciationAmt |
| Book Value | $3,921,176 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $93,959,803 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,949,448 | DepreciationAmt |
| Book Value | $75,010,355 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,225,652 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,731,565 | DepreciationAmt |
| Book Value | $6,494,087 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $183,561,869 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $807,790 |
| EQUITY INVESTMENT (PPA-I) | $1,651,559 |
| EQUITY INVESTMENT (PPA-II) | $7,250,189 |
| HOSP QUAL ASSURANCE RECEIVABLE | $2,410,282 |
| NON PATIENT RECEIVABLES | $116,187 |
| INTERCOMPANY RECEIVABLES | $3,308,498 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $15,544,505 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE RESERVES | $4,327,000 |
| INTERCOMPANY NOTE | $63,263,073 |
| REFUNDABLE DEPOSITS | $12,141 |
| DEFERRED RENT | $1,102,097 |
| ESTIMATED 3RD PARTY PAYOR STTL | -$170,362 |
| HOSPITAL QUALITY ASSURANCE PAY | $1,647,294 |
| INTERCOMPANY PAYABLE | $19,142,880 |
| ASSET RETIREMENT OBLIGATION | $3,619,833 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $92,943,956 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | FIN 48 SHC AND ITS SUBSIDIARIES HAVE NO UNCERTAIN TAX POSITIONS PERTAINING TO UNRELATED BUSINESS INCOME. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| 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 | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| 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) |
|---|---|---|
| Total Community Benefit Expns | $2,656,848 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,656,848 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00850 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,914,580 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,487,267 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,427,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03010 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,563,749 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,631,743 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,932,005 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06050 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,135,177 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,119,010 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,016,166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09910 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 33 | ActivitiesOrProgramsCnt |
| Persons Served | 8128 | PersonsServedCnt |
| Total Community Benefit Expns | $776,318 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,357 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $699,961 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 236 | PersonsServedCnt |
| Total Community Benefit Expns | $1,879,659 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,879,659 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 1000 | PersonsServedCnt |
| Total Community Benefit Expns | $1,082,874 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $590,463 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $492,411 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 51 | ActivitiesOrProgramsCnt |
| Persons Served | 9364 | PersonsServedCnt |
| Total Community Benefit Expns | $3,738,851 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $666,820 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,072,031 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00980 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 51 | ActivitiesOrProgramsCnt |
| Persons Served | 9364 | PersonsServedCnt |
| Total Community Benefit Expns | $45,874,028 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,785,830 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,088,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10890 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 399 | PersonsServedCnt |
| Total Community Benefit Expns | $73,987 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,987 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 399 | PersonsServedCnt |
| Total Community Benefit Expns | $73,987 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,987 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $15,016,347 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $75,487,506 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $133,555,001 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$58,067,495 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | HOSPITAL COMMITTEE FOR THE L-P AREAS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E STANLEY BLVD | AddressLine1Txt |
| City | LIVERMORE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94550 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.VALLEYCARE.COM | WebsiteAddressTxt |
| State License | 140000114 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | LIFESTYLERX MEDICAL FITNESS FACILITY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL COMMITTEE FOR THE L-P AREAS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.VALLEYCARE.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.VALLEYCARE.COM | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| 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 | 0. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.VALLEYCARE.COM | 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 |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | TWO FACILITIES OPERATE UNDER THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS' LICENSE. VALLEY MEMORIAL HOSPITAL 1111 E STANLEY BLVD LIVERMORE, CA 94550 VALLEYCARE MEDICAL CENTER 5555 W LAS POSITAS BLVD PLEASANTON, CA 94588 |
| PART V, SECTION B, LINE 5 | THE HOSPITAL COMMISSIONED APPLIED SURVEY RESEARCH (ASR), A NONPROFIT SOCIAL RESEARCH FIRM, TO ASSIST WITH THE VARIOUS ASSESSMENTS FOR THE 2016 CHNA. ASR CONDUCTED PRIMARY RESEARCH, COLLECTED SECONDARY DATA, SYNTHESIZED PRIMARY AND SECONDARY DATA FOR A FINAL HEALTH NEEDS LIST, ASSISTED WITH THE HOSPITALS' PRIORITIZATION OF COMMUNITY HEALTH NEEDS, AND DOCUMENTED THE PROCESS AND FINDINGS IN A REPORT. DURING THE 2016 CHNA PROCESS, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, INCLUDING FROM THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH THROUGH INTERVIEWS OF PUBLIC AND COMMUNITY HEALTH LEADERS, ADVOCATES AND EXPERTS. INPUT WAS ALSO GATHERED FROM RESIDENT AND PROFESSIONAL FOCUS GROUPS WHICH RESPRESENTED THE FOLLOWING POPULATIONS MEDICALLY UNDERSERVED, LOW-INCOME INDIVUALS AND MINORITY POPULATIONS. FINDINGS REGARDING COMMUNITY HEALTH CONCERNS THAT HAD BEEN IDENTIFIED FROM AN ANALYSIS OF SECONDARY DATA WERE DISCUSSED WITH GROUPS OF PEOPLE FROM UNDERSERVED, MINORITY AND LOW-INCOME POPULATIONS. THE LIST OF COMMUNITY HEALTH NEEDS ALSO WAS SHARED AND DISCUSSED WITH A MEETING OF PUBLIC HEALTH AND SOCIAL SERVICE AGENCY LEADERS WHO WERE ASKED TO DETERMINE RELATIVE PRIORITY AMONG THE NEEDS. FOCUS GROUP FOCUS GROUP DISCUSSIONS INCLUDED TEN PEOPLE ON AVERAGE AND LASTED ONE HOUR. RESIDENTS WERE RECRUITED BY THE NONPROFIT HOST, OPEN HEART KITCHEN, IN THE TRI-VALLEY AREA (WHICH SERVES LOW-INCOME RESIDENTS). THE HOSPITALS ALSO CONVENED A GROUP OF LEADERS OF SAFETY NET CLINICS THAT SERVE LOW-INCOME AND MINORITY RESIDENTS IN ALAMEDA AND CONTRA COSTA COUNTIES TO DRAW ON THEIR KNOWLEDGE OF THE COMMUNITY. TWO FOCUS GROUPS WERE HELD ON BEHALF OF THE TRI-VALLEY AREA BETWEEN JUNE AND OCTOBER 2015. ONE GROUP WAS HELD WITH PROFESSIONALS FROM ORGANIZATIONS THAT SERVE THE FOCUS POPULATION, AND ONE WAS HELD WITH RESIDENTS THEMSELVES. NINE PROFESSIONALS AND 12 NON-PROFESSIONAL RESIDENTS PARTICIPATED IN FOCUS GROUPS. KEY INFORMANT INTERVIEWS ASR INTERVIEWED VARIOUS PROFESSIONALS WHO EITHER WORK IN THE HEALTH FIELD OR IMPROVE HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED, HIGH-NEED POPULATIONS AND ALSO COMMUNITY LEADERS OR REPRESENTATIVES. EXPERTS WERE INTERVIEWED IN PERSON OR BY TELEPHONE FOR APPROXIMATELY ONE HOUR. INFORMANTS WERE ASKED TO IDENTIFY THE TOP NEEDS OF THEIR CONSTITUENCIES AND TO GIVE THEIR PERCEPTIONS ABOUT HOW ACCESS TO HEALTHCARE HAS CHANGED IN THE POST-AFFORDABLE CARE ACT ENVIRONMENT. ASR CONDUCTED 14 KEY INFORMANT INTERVIEWS WITH 20 PROFESSIONALS. IN ADDITION TO THE CORE QUESTIONS ABOUT HEALTH PRIORITIES AND ACCESS DESCRIBED ABOVE, INFORMANTS WERE ASKED TO EXPLAIN WHAT BARRIERS TO HAVING GOOD HEALTH OR ADDRESSING HEALTH NEEDS EXIST, AND TO SHARE WHICH SOLUTIONS MAY IMPROVE HEALTH (INCLUDING EXISTING RESOURCES AND POLICY CHANGES). THE FOLLOWING LEADERS WERE CONSULTED FOR THEIR EXPERTISE IN THE COMMUNITY. THEY WERE IDENTIFIED BASED ON THEIR PROFESSIONAL EXPERTISE AND KNOWLEDGE OF TARGET GROUPS INCLUDING CHILDREN, YOUTH, OLDER ADULTS, LOW-INCOME POPULATIONS, MINORITIES, AND THE MEDICALLY UNDERSERVED. THE COALITION INCLUDED LEADERS FROM HEALTH SYSTEMS INCLUDING THE ALAMEDA AND CONTRA COSTA COUNTIES' PUBLIC HEALTH DEPARTMENTS, LOCAL HOSPITAL AND HEALTH CARE AGENCY LEADERS AND REPRESENTATIVES, LOCAL GOVERNMENT EMPLOYEES, APPOINTED COUNTY GOVERNMENT LEADERS, SCHOOL DISTRICTS, AND NONPROFIT ORGANIZATIONS. CONTRA COSTA COUNTY PUBLIC HEALTH - EPIDEMIOLOGIST TRI-VALLEY HAVEN - EXECUTIVE DIRECTOR LIVERMORE UNIFIED SCHOOL DISTRICT - NURSE, DIRECTOR BEHAVIORAL HEALTH SERVICES, CONTRA COSTA COUNTY - DIRECTOR ALAMEDA COUNTY PUBLIC HEALTH - EPIDEMIOLOGIST ALAMEDA COUNTY PUBLIC HEALTH/HEALTH CARE SERVICES - MEDICAL DIRECTOR ALAMEDA COUNTY PUBLIC HEALTH/HEALTH CARE SERVICES - DIRECTOR, PUBLIC HEALTH OFFICER MEALS-ON-WHEELS SENIOR OUTREACH - EXECUTIVE DIRECTOR SUPERVISOR HAGGERTY'S OFFICE - DEPUTY CHIEF OF STAFF PLEASANTON UNIFIED SCHOOL DISTRICT - DIRECTOR ALAMEDA COUNTY PUBLIC HEALTH - DEPUTY DIRECTOR PUBLIC HEALTH BEHAVIORAL HEALTH SERVICES, ALAMEDA COUNTY - DIRECTOR AXIS COMMUNITY HEALTH - CHIEF EXECUTIVE OFFICER PLEASANTON UNIFIED SCHOOL DISTRICT - NURSE DUBLIN UNIFIED SCHOOL DISTRICT - DIRECTOR, DISTRICT NURSE CONTRA COSTA HEALTH SERVICES - ASSISTANT DIRECTOR COMMUNITY CLINIC CONSORTIUM - CONTRA COSTA PROJECT COORDINATOR ALAMEDA HEALTH SYSTEM - CHIEF STRATEGY OFFICER CALIFORNIA CHILDREN'S SERVICES, ALAMEDA COUNTY - MEDICAL DIRECTOR OPERATION ACCESS - PRESIDENT & CHIEF EXECUTIVE OFFICER ALAMEDA HEALTH CONSORTIUM - DIRECTOR OF POLICY & PLANNING ASIAN HEALTH SERVICES - DIRECTOR OF PROGRAM PLANNING & DEVELOPMENT ALAMEDA HEALTH CONSORTIUM - DIRECTOR OF POLICY & PLANNING LIFELONG MEDICAL CARE - DEPUTY DIRECTOR LOW-INCOME, ACCESS TO CARE, UNDERSERVED ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, NURSE FAMILY PARTNERSHIP - NURSE MANAGER LA CLINICA DE LA RAZA - DIRECTOR OF MEDICAL OPERATIONS |
| PART V, SECTION B, LINE 6A | 2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED THROUGH COLLABORATION BETWEEN SHC-VC, JOHN MUIR HEALTH, KAISER PERMANENTE, ST. ROSE HOSPITAL, SAN RAMON REGIONAL HOSPITAL, UCSF BENIOFF CHILDRENS HOSPITAL OAKLAND, AND WASHINGTON HOSPITAL HEALTHCARE SYSTEM, REPRESENTING TWELVE HOSPITAL FACILITIES. |
| PART V, SECTION B, LINES 7A/10A | URL AT WHICH THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE HTTP://WWW.VALLEYCARE.COM/ABOUT-COMMUNITY-BENEFITS.ASPX. |
| PART V, SECTION B, LINE 11 | STANFORD HEALTH CARE - VALLEYCARE CONVENED A GROUP OF COMMUNITY AND HOSPITAL REPRESENTATIVES THAT MET TO REVIEW RESULTS OF THE CHNA DATA COLLECTION AND DATA SYNTHESIS AND TO PRIORITIZE THE HEALTH NEEDS IN FULFILLMENT OF IRS REGULATIONS. THE VALLEYCARE GROUP PRIORITIZED THE HEALTH NEEDS LIST BY APPLYING CRITERIA TO THE LIST OF 14 HEALTH NEEDS. OF THE 14 HEALTH NEEDS IDENTIFIED BY THE CHNA PROCESS, STANFORD HEALTH CARE - VALLEYCARE SELECTED THREE TO ADDRESS; (1) HEALTH CARE ACCESS AND DELIVERY, (2) BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH AND SUBSTANCE ABUSE/TOBACCO USE), (3) OBESITY, DIABETES, HEALTHY EATING, ACTIVE LIVING. VALLEYCARE HAS UNIQUE RESOURCES AND CAPACITY TO DEDICATE TO THE CHOSEN HEALTH NEEDS, AND ALSO, THE COMMUNITY HAD DESIGNATED THOSE THREE AS TOP PRIORITIES. FOR A DETAILED DESCRIPTION OF SHC-VC'S VALLEYCARE'S COMMUNITY PARTNERS AND RESOURCES PROVIDED SEE THE IMPLEMENTATION STRATEGY AT HTTP://WWW.VALLEYCARE.COM/ABOUT-COMMUNITY-BENEFITS.ASPX HEALTH NEEDS SHC-VC DOES NOT INTEND TO ADDRESS THE FOLLOWING HEALTH NEEDS DID NOT MEET THE CRITERIA TO THE SAME EXTENT AS THE CHOSEN NEEDS DID AND SHC-VC DOES NOT PLAN TO ADDRESS THEM AT THIS TIME. -ASTHMA: MANY OTHER COMMUNITY-BASED ORGANIZATIONS ADDRESS THIS NEED (E.G., ASTHMA COALITION, ASTHMA START). VALLEYCARE IS BETTER POSITIONED TO ADDRESS EDUCATION ABOUT THIS NEED VIA HEALTH CARE ACCESS AND DELIVERY STRATEGIES. ADDITIONALLY, ASTHMA WAS NOT A HIGH PRIORITY OF THE COMMUNITY (I.E., THE PRIORITIZATION SCORE WAS LOWER) COMPARED TO OTHER NEEDS. -CANCER: VALLEYCARE IS BETTER POSITIONED TO ADDRESS DRIVERS OF THIS NEED VIA STRATEGIES RELATED TO OBESITY, DIABETES, HEALTHY EATING, AND ACTIVE LIVING, AND EDUCATION ABOUT THIS NEED VIA HEALTH CARE ACCESS AND DELIVERY STRATEGIES. -CARDIOVASCULAR DISEASE & STROKE: VALLEYCARE IS BETTER POSITIONED TO ADDRESS DRIVERS OF THIS NEED VIA STRATEGIES RELATED TO EDUCATION ABOUT OBESITY, DIABETES, HEALTHY EATING, ACTIVE LIVING, AND HEALTH CARE ACCESS AND DELIVERY. -CLIMATE & HEALTH: THIS TOPIC IS OUTSIDE OF VALLEYCARE'S CORE COMPETENCIES (I.E., VALLEYCARE HAS LITTLE EXPERTISE IN THIS AREA) AND THE FACILITY FEELS IT CANNOT MAKE A SIGNIFICANT IMPACT ON THIS NEED THROUGH COMMUNITY BENEFIT INVESTMENT. -COMMUNICABLE DISEASES: THIS NEED IS BEING ADDRESSED BY OTHER COMMUNITY-BASED ORGANIZATIONS AND COUNTY PUBLIC HEALTH DEPARTMENTS. BY INCREASING ACCESS TO HEALTH CARE AS A STRATEGY RELATED TO HEALTH CARE ACCESS AND DELIVERY, CERTAIN KEY ACTIVITIES RELATED TO COMMUNICABLE DISEASES, SUCH AS SCREENINGS AND VACCINATIONS, MAY BE ADDRESSED INDIRECTLY. -ECONOMIC SECURITY: VALLEYCARE LACKS SUFFICIENT EXPERTISE TO ADDRESS THIS NEED. MANY OTHER LOCAL COMMUNITY-BASED ORGANIZATIONS SUPPORT VULNERABLE POPULATIONS WHO LACK ECONOMIC SECURITY. ALSO, VALLEYCARE SERVES THE LOW-INCOME COMMUNITY THROUGH CHARITY CARE AND OTHER HEALTH CARE ACCESS AND DELIVERY STRATEGIES. BY INCREASING NUTRITIOUS FOOD ACCESS AS A STRATEGY RELATED TO OBESITY, DIABETES, HEALTHY EATING, AND ACTIVE LIVING, ONE OF THE KEY INDICATORS OF ECONOMIC INSECURITY IN THE TRI-VALLEY AREA, FOOD INSECURITY, MAY BE ADDRESSED INDIRECTLY. -MATERNAL & CHILD HEALTH: VALLEYCARE IS BETTER POSITIONED TO ADDRESS THIS NEED THROUGH HEALTH CARE ACCESS AND DELIVERY STRATEGIES. -VIOLENCE & INJURY PREVENTION: WHILE VALLEYCARE LACKS EXPERTISE TO ADDRESS THIS HEALTH NEED, BEHAVIORAL HEALTH ISSUES SUCH AS SUBSTANCE ABUSE, STRESS, AND ANXIETY HAVE BEEN SHOWN TO BE DRIVERS OF VIOLENCE AND INTENTIONAL INJURY. VALLEYCARE BELIEVES THAT STRATEGIES INTENDED TO ADDRESS THE COMMUNITY'S BEHAVIORAL HEALTH NEED HAVE THE POTENTIAL TO DECREASE VIOLENCE AND INTENTIONAL INJURY IN THE COMMUNITY AS WELL. -UNINTENTIONAL INJURIES: WHILE VALLEYCARE LACKS EXPERTISE TO ADDRESS THIS HEALTH NEED, BEHAVIORAL HEALTH ISSUES SUCH AS SUBSTANCE ABUSE HAVE BEEN SHOWN TO BE DRIVERS OF UNINTENTIONAL INJURY (E.G., MOTOR VEHICLE ACCIDENTS DUE TO DRUNK DRIVING). VALLEYCARE BELIEVES THAT STRATEGIES INTENDED TO ADDRESS THE COMMUNITY'S BEHAVIORAL HEALTH NEED HAVE THE POTENTIAL TO DECREASE CERTAIN TYPES OF UNINTENTIONAL INJURIES IN THE COMMUNITY AS WELL. |
| PART V, SECTION B, LINE 16A-C | URL AT WHICH THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE: HTTP://WWW.VALLEYCARE.COM/PATIENTS-BILLING.ASPX |
| PART V, SECTION B, LINE 20A | IT IS THE POLICY OF SHC-VC TO FOLLOW THE STANDARDS AND PRACTICES FOR COLLECTION OF PATIENT DEBT IN ACCORDANCE OF CALIFORNIA ASSEMBLY BILL 774. SHC-VC HAS A VARIETY OF OPTIONS FOR PATIENTS FACING FINANCIAL HARDSHIP, INCLUDING UNINSURED DISCOUNTING, NO INTEREST PAYMENT ARRANGEMENTS, AND A CHARITY PROGRAM. PATIENTS WHO APPLY FOR CHARITY CAR AND QUALIFY MAY RECEIVE UP TO 100% FINANCIAL ASSISTANCE. SHC-VC WILL SUSPEND ANY AND ALL COLLECTIONS ACTIONS IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, INCLUDING ALL REQUISITE SUPPORTIVE DOCUMENTATION IS RECEIVED. SHC-VC DOES NOT ALLOW THEIR COLLECTION AGENCIES TO REPORT BAD DEBT TO CREDIT BUREAUS, GARNISH WAGES, OR FILE LIENS ON PRIMARY RESIDENCES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| LIFESTYLERX | ||||
| 1119 E STANLEY BLVD | LIVERMORE | CA | 94550 | MEDICAL FITNESS FACILITY |
| SHC-VC - URGENT CARE CENTER | ||||
| 1133 E STANLEY BLVD | LIVERMORE | CA | 94550 | URGENT CARE CENTER |
| SHC-VC - URGENT CARE CENTER | ||||
| 4000 DUBLIN BLVD STE 150 | DUBLIN | CA | 94568 | URGENT CARE CENTER |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | UNDER STATE LAW SB 697, THE STATE OF CALIFORNIA REQUIRES ALL NON-PROFIT HOSPITALS IN CALIFORNIA TO COMPLETE AND SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT. ALTHOUGH HOSPITALS BRING NUMEROUS BENEFITS TO THEIR LOCAL ECONOMIES, THESE REPORTS ARE INTENDED TO DOCUMENT THE WAYS IN WHICH EACH HOSPITAL GOES ABOVE AND BEYOND THE CORE FUNCTIONS OF A HOSPITAL TO SUPPORT THE HEALTH NEEDS OF ITS COMMUNITY. |
| PART I, LINE 7: | RATIO OF PATIENT CARE COST TO CHARGES WAS USED TO CALCULATE THE AMOUNTS INCLUDED IN THE TABLE AT SCHEDULE H, PART I, LINES 7A AND 7B. AMOUNTS INCLUDED IN OTHER LINES WERE BASED ON VALLEYCARE'S COST ACCOUNTING INFORMATION, INCLUDING AVERAGE HOURLY WAGES FOR STAFF TIME DEVOTED TO SPECIFIC PROGRAMS, AVERAGE COST OF SPACE USED BY COMMUNITY HEALTH PROGRAMS, INDIRECT COST FACTORS, AND RELATED INFORMATION. |
| PART II, LINE 8: | THE FOLLOWING PROGRAMS ADDRESS COMMUNITY WIDE WORKFORCE ISSUES. THESE PROGRAMS STRENGTHEN THE COMMUNITIES CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENCES BY OFFERING THE EXPERTISE AND RESOURCES OF SHC-VC. SPECIALIZED HEALTH CARE WORKFORCE TRAINING IN THE HEALTH CARE ADMINISTRATION INTERNSHIP PROGRAM, SHC-VC STAFF SUPERVISED 35 STUDENTS AS THEY LEARNED AND PERFORMED PROFESSIONAL AND TECHNICAL TASKS IN ALL AREAS OF THE HOSPITAL. STUDENT INTERNS ROTATED THROUGH VARIOUS HOSPITAL UNITS WITH STAFF AND ADMINISTRATION/ MANAGEMENT SO THAT THEY COULD EXPERIENCE ALL DIMENSIONS OF THE HOSPITAL OPERATION. SHC-VC PROVIDED CLINICAL EXPERIENCE AND PRECEPTORS FOR GRADUATE NURSING STUDENTS. STUDENTS RECEIVED EXPOSURE TO AND EXPERIENCE IN THE POSITIONS OF NURSE PRACTITIONER, NURSING ADMINISTRATION, AND CLINICAL NURSE SPECIALIST. SHC-VC REGISTERED NURSES IN MULTIPLE NURSING UNITS, INCLUDING MEDICAL/SURGICAL AND INTENSIVE CARE UNITS, AND PROVIDED DIRECT SUPERVISION IN A CLINICAL ENVIRONMENT TO STUDENT NURSES CONNECTED WITH CHABOT COLLEGE, SAMUEL MERRITT UNIVERSITY SCHOOL OF NURSING, OHLONE COLLEGE, THE UNIVERSITY OF SAN FRANCISCO, GRAND CANYON UNIVERSITY, AND CALIFORNIA STATE UNIVERSITY EAST BAY. APPROXIMATELY 127 STUDENTS PARTICIPATED DURING THE REPORTING PERIOD. SHC-VC PROVIDED CLINICAL EXPERIENCE FOR EMERGENCY MEDICAL TECHNICIAN (EMT) STUDENTS FROM LAS POSITAS COLLEGE, SUPERVISED BY APPROPRIATE CLINICAL PERSONNEL. THIRTY ONE STUDENTS PARTICIPATED DURING THE REPORTING PERIOD. SHC-VC PROVIDED SURGICAL TECHNOLOGY (ST) TRAINING FOR ST STUDENTS IN THE OPERATING ROOM, SUPERVISED BY A SURGICAL TECHNOLOGIST AND REGISTERED NURSES. FOUR STUDENTS PARTICIPATED DURING THE REPORTING PERIOD. SHC-VC PROVIDED EDUCATION FOR SEVEN STUDENTS FROM LAS POSITAS COLLEGE, CALIFORNIA STATE UNIVERSITY SACRAMENTO, AND NORTHERN CALIFORNIA TRAINING INSTITUTE (NCTI) WHO WERE TRAINING TO BECOME PARAMEDICS. THROUGHOUT THE YEAR, SHC-VC HOSTED 13 COLLEGE STUDENT INTERNS IN PHYSICAL AND OCCUPATIONAL THERAPY IN VARYING AFFILIATION PERIODS. STUDENTS RECEIVED ON-THE-JOB INSTRUCTION AND HANDS-ON TREATMENT SKILLS IN THE INPATIENT AND/OR OUTPATIENT SETTING IN ORDER TO MEET THE REQUIREMENTS FOR THEIR DEGREES AND LICENSURE. SHC-VC PROVIDED HIGH SCHOOL REGIONAL OCCUPATION PROGRAM (ROP) STUDENTS WITH VALUABLE TRAINING, HELPING THEM TO DEVELOP PRACTICAL PATIENT ASSESSMENT AND ASSISTANCE SKILLS. STUDENTS WERE PERMITTED TO OBSERVE AND SHADOW HEALTH CARE STAFF IN VARIOUS AREAS OF THE HOSPITAL DURING A TYPICAL WORK DAY AND, WHEN APPROPRIATE, ASSIST WITH SIMPLE PROJECTS FOR A HANDS-ON EXPERIENCE. A TOTAL OF 49 HIGH SCHOOL ROP STUDENTS PARTICIPATED DURING THE REPORTING PERIOD. SHC-VC'S MEDICAL EXPLORERS PROGRAM INVITED STUDENTS FROM MIDDLE SCHOOL, HIGH SCHOOL, AND JUNIOR COLLEGE TO LEARN MORE ABOUT THE FIELD OF MEDICINE. A DIFFERENT SPEAKER EACH MONTH TALKED TO THE STUDENTS ABOUT THEIR SPECIFIC FIELD, ABOUT EDUCATION NEEDED, GAVE ADVICE, ANSWERED QUESTIONS, AND SHARED WHAT THEY KNOW ABOUT THE PROFESSION. DURING THE REPORTING PERIOD, THE PROGRAM SERVED APPROXIMATELY 350 STUDENTS. |
| PART III, LINE 2: | PROVISION FOR DOUBTFUL ACCOUNTS OR BAD DEBT EXPENSE ON THE INCOME STATEMENT FOR FISCAL YEAR 2018 WAS $15,016,347, WHICH IS AT CHARGES. BAD DEBT IS BASED ON REMAINING ACCOUNT BALANCE AFTER ANY DISCOUNTS OR PAYMENTS HAVE BEEN APPLIED. SHC-VC DOES NOT RECLASSIFY ANY BAD DEBT TO CHARITY UNLESS THE PATIENT QUALIFIES UNDER THE CHARITY CARE POLICY. A COST TO CHARGE RATIO WAS USED TO DETERMINE COST. |
| PART III, LINE 3: | SHC-VC DOES NOT CALCULATE THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| PART III, LINE 4: | THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL OF $58,067,495 REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. SHC-VC BELIEVES THIS MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE: 1. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER MEANS-BASED GOVERNMENT PROGRAMS, 2. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS, 3. THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION ON REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUAL, AND 4. THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE OR OTHER COMMUNITY BENEFIT NEEDS. |
| PART III, LINE 9B: | THE AMOUNT DETERMINED AS CHARITY CARE IS NOT COLLECTED AND WRITTEN OFF TO CHARITY (FINANCIAL ASSISTANCE). IF A REDUCED RATE IS GIVEN, THE AMOUNT DETERMINED AS PATIENT BALANCE IS COLLECTED IN THE SAME MANNER AS ALL OTHER PATIENTS. |
| PART VI, LINE 2: | IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, SHC-VC ASSESSES COMMUNITY HEALTH NEEDS BY ANALYZING UTILIZATION AND OTHER ADMINISTRATIVE DATA AND BY RECEIVING REGULAR INPUT FROM ITS INDEPENDENT BOARD OF DIRECTORS AND ITS MEDICAL STAFF REGARDING HEALTH ISSUES IN THE COMMUNITY. |
| PART VI, LINE 3: | SHC-VC INTERVIEWS EACH PATIENT/GUARANTOR AND DETERMINE THE CAPABILITY TO MEET HIS/HER FINANCIAL OBLIGATIONS FOR MEDICAL CARE SERVICES PROVIDED BY SHC-VC. THOSE WHO DETERMINED TO BE UNABLE TO MEET THE FINANCIAL OBLIGATION ARE SCREENED FOR POSSIBLE ELIGIBILITY UNDER STATE OR FEDERAL HEALTHCARE PROGRAMS. INDIVIDUALS INELIGIBLE FOR THESE PROGRAMS ARE INTERVIEWED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE, AS DEFINED IN THE FINANCIAL ASSISTANCE/CHARITY CARE POLICY. |
| PART VI, LINE 4: | THE TRI-VALLEY REGION IS BASED AROUND THE FOUR SUBURBAN CITIES OF LIVERMORE, PLEASANTON, DUBLIN AND SAN RAMON IN THE THREE VALLEYS FROM WHICH IT TAKES ITS NAME: AMADOR VALLEY, LIVERMORE VALLEY AND SAN RAMON VALLEY. LIVERMORE, PLEASANTON AND DUBLIN ARE IN ALAMEDA COUNTY, WHILE SAN RAMON IS IN CONTRA COSTA COUNTY. VALLEYCARE'S PRIMARY SERVICE AREA IS THE TRI-VALLEY. VALLEYCARE HAS FACILITIES IN PLEASANTON, LIVERMORE, AND DUBLIN. THE TRI-VALLEY ACCOUNTS FOR THE MAJORITY OF VALLEYCARE'S INPATIENT DISCHARGES. BETWEEN 2000 AND 2010, THE POPULATION OF VALLEYCARES SERVICE AREA (THE VCSA) INCREASED BY 24%. THE POPULATION OF THE VCSA IS 285,331. ADULTS AGED 25-64 MAKE UP 57% OF THE POPULATION, AND ONE IN TEN RESIDENTS ARE ADULTS AGED 65 AND OVER. CHILDREN UNDER 18 MAKE UP ABOUT A QUARTER (26%) OF THE POPULATION, AND YOUTH AGED 18-24 COMPRISE 7%. REGARDING RACE/ETHNICITY, ABOUT TWO THIRDS (64%) IN THE VCSA ARE WHITE, AND ABOUT ONE QUARTER (26%) ARE ASIAN. BLACKS MAKE UP LESS THAN 3% OF THE POPULATION, AND 13% OF RESIDENTS ARE OF HISPANIC/LATINO ETHNICITY (OF ANY RACE). ONE IN TEN RESIDENTS HAS LIMITED ENGLISH PROFICIENCY, AND 5% LIVE IN LINGUISTICALLY ISOLATED HOUSEHOLDS. |
| PART VI, LINE 5: | STANFORD HEALTH CARE - VALLEYCARE (SHC-VC) HAS PROVIDED HIGH-QUALITY, NOT-FOR-PROFIT HEALTH CARE TO THE TRIVALLEY AND SURROUNDING COMMUNITIES SINCE 1961. THROUGH HIGHLY SKILLED PHYSICIANS, NURSES AND STAFF AND STATE-OF-THE ART TECHNOLOGY, VALLEYCARE OFFERS A WIDE RANGE OF HEALTH CARE SERVICES AT ITS LIVERMORE, PLEASANTON AND DUBLIN MEDICAL FACILITIES. VALLEYCARE IS NOT PUBLICLY OWNED OR OPERATED, NOR IS IT SUPPORTED BY TAXES. VALLEYCARE REINVESTS ANY PROFITS IT MAKES INTO NEW SERVICES, EQUIPMENT AND FACILITIES. SHC-VC HAS AN 11-MEMBER BOARD OF DIRECTORS. EVERY THREE YEARS, NON-PROFIT HOSPITALS IN CALIFORNIA MUST CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY THE GREATEST HEALTH NEEDS AFFECTING THEIR RESPECTIVE COMMUNITIES. THE COMMUNITY BENEFITS REPORT CAN BE FOUND ON OUR WEBSITE AT HTTP://WWW.VALLEYCARE.COM/ABOUT-COMMUNITY-BENEFITS.ASPX. THE FOLLOWING PROGRAMS AND SERVICES FURTHER THE ORGANIZATION'S EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY: PLEASANTON CAMPUS: VALLEYCARE MEDICAL CENTER, WHICH OPENED IN DECEMBER 1991, IS AN ACUTE CARE COMMUNITY HOSPITAL WITH APPROXIMATELY 114,000 SQUARE FEET OF SPACE THAT PROVIDES A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL INPATIENT AND OUTPATIENT ACUTE SERVICES, INCLUDING AN OUTPATIENT SURGICAL CENTER, A DIAGNOSTIC IMAGING CENTER INCLUDING COMPUTERIZED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING AND A WOMEN'S CENTER (MAMMOGRAPHY), CARDIAC CARE, EMERGENCY ROOM, INTENSIVE CARE, OBSTETRICS, PEDIATRICS AND OPERATING AND RECOVERY ROOMS. THE CURRENT LICENSED BED CAPACITY OF VALLEYCARE MEDICAL CENTER IS 167 ACUTE CARE BEDS (ALL OF WHICH ARE STAFFED), INCLUDING 116 MEDICAL/SURFICAL ACUTE CARE, 15 PERINATAL, 22 CRITICAL CARE, 4 PEDIATRIC, AND 10 INTENSIVE CARE NURSERY BEDS. LIVERMORE CAMPUS: VALLEY MEMORIAL HOSPITAL, ON THE LIVERMORE CAMPUS, IS AN ACUTE CARE COMMUNITY HOSPITAL WITH APPROXIMATELY 125,000 SQUARE FEET OF SPACE THAT INCLUDES 26 SKILLED NURSING, AND 14 GERIATRIC PSYCHIATRIC BEDS. ADDITIONAL SERVICES AT VALLEY MEMORIAL HOSPITAL INCLUDE URGENT CARE, LABORATORY, DIAGNOSTIC IMAGING (ULTRASOUND, MAMMOGRAPHY, BONE DENSITOMETRY) AND RADIOLOGY. THE AMBULATORY SURGERY CENTER ON THE LIVERMORE CAMPUS, OPENED IN JULY 2003, HAS FOUR OPERATING ROOMS, THREE GASTRO-INTESTINAL (GI) SUITES, AND A 21-BED-PRE-OP AND POST ANESTHESIA CARE UNIT. THE URGENT CARE UNIT ON THE LIVERMORE CAMPUS, ALSO OPENED IN JULY 2003, HAS NINE EXAMINATION ROOMS WHERE PATIENTS RECEIVE CARE FOR CONDITIONS OF AN URGENT NATURE. THE LIVERMORE CAMPUS IS ALSO THE LOCATION OF LIFESTYLERX, AN INTEGRATED MEDICAL FITNESS CENTER OWNED AND OPERATED BY THE CORPORATION. IT IS DESIGNED TO PROMOTE COMMUNITY WELLNESS THROUGH SERVICES SUCH AS MEDICALLY BASED FITNESS, CARDIAC AND PULMONARY REHABILITATION, STRENGTH AND CARDIAC TRAINING, PHYSICAL AND SPORTS MEDICINE, AND WATER THERAPIES. LICENSED AND STAFFED BEDS FOR 2016 AT VALLEYCARE MEDICAL CENTER WERE 167, WHILE AT THE VALLEY MEMORIAL HOSPITAL THE NUMBER OF LICENSED BEDS IS 75, WITH STAFFED BEDS AT 40. |
| PART VI, LINE 6: | IN MAY 2015, THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS (DBA STANFORD HEALTH CARE - VALLEYCARE "SHC-VC") BECAME AN AFFILIATE OF STANFORD HEALTH CARE (SHC). SHC-VC PARTNERS WITH SHC TO SERVE THE EAST BAY'S TRI-VALLEY REGION OF LIVERMORE, DUBLIN AND PLEASANTON. SHC-VC'S FACILITIES IN LIVERMORE, DUBLIN AND PLEASANTON INCLUDE VALLEY MEDICAL CENTER, EMERGENCY SERVICES AND TWO URGENT CARE CENTERS. SHC-VC ALLOWS SHC TO EXPAND ITS PRESENCE IN THE CRITICAL TRI-VALLEY AREA BY PARTNERING WITH A HIGH QUALITY, HIGH VALUE COMMUNITY HOSPITAL. SHC-VC WILL PARTICIPATE IN ALL THREE OF SHC'S MISSIONS BY PROVIDING SHC'S LEADING EDGE CLINICAL CARE IN THE SHC-VC COMMUNITY, TRAINING FUTURE MEDICAL LEADERS THROUGH RESIDENCY ROTATIONS AND OTHER ACADEMIC PURSUITS, AND PROVIDING THE TRI-VALLEY AREA INCREASED ACCESS TO CLINICAL TRIALS FOR LIFE-SAVING TREATMENTS. IN ADDITION, SHC'S GROWING EXPERTISE IN POPULATION AND PRECISION HEALTH WILL BE LEVERAGED TO SERVE THIS COMMUNITY. |
| PART VI, LINE 7: | LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: CA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBIN AMERSON | ||||||||||||||
| REGISTERED NURSE | $120,215 | $0 | $0 | $0 | $159,964 | $0 | $5,962 | $0 | $9,066 | $0 | $295,207 | $0 | $0 | $0 |
| DAVID J CONNOR | ||||||||||||||
| CFO (09/17-02/18) | $0 | $575,468 | $0 | $179,100 | $0 | $90,576 | $0 | $26,775 | $0 | $21,595 | $0 | $893,514 | $0 | $0 |
| MARK CULLEN MD | ||||||||||||||
| DIRECTOR | $0 | $275,710 | $0 | $176,620 | $0 | $16,841 | $0 | $27,000 | $0 | $13,701 | $0 | $509,872 | $0 | $0 |
| DAVID ENTWISTLE | ||||||||||||||
| CHAIR | $0 | $1,605,703 | $0 | $768,009 | $0 | $49,532 | $0 | $305,599 | $0 | $51,964 | $0 | $2,780,807 | $0 | $0 |
| SCOTT GREGERSON | ||||||||||||||
| PRESIDENT | $482,809 | $0 | $0 | $0 | $57,658 | $0 | $136,089 | $0 | $20,514 | $0 | $697,070 | $0 | $0 | $0 |
| LINDA HOFF | ||||||||||||||
| DIRECTOR (as of 01/18) | $0 | $347,949 | $0 | $500,000 | $0 | $53,472 | $0 | $42,670 | $0 | $14,087 | $0 | $958,178 | $0 | $0 |
| DOREEN MAPLES | ||||||||||||||
| VP COMPLIANCE & QUALITY | $223,373 | $0 | $0 | $0 | $5,790 | $0 | $22,695 | $0 | $13,139 | $0 | $264,997 | $0 | $0 | $0 |
| QUINN MCKENNA | ||||||||||||||
| DIRECTOR | $0 | $950,442 | $0 | $928,847 | $0 | $52,887 | $0 | $118,505 | $0 | $45,638 | $0 | $2,096,319 | $0 | $0 |
| LLOYD B MINOR MD | ||||||||||||||
| DIRECTOR (THROUGH 11/17) | $0 | $1,467,861 | $0 | $250,000 | $0 | $1,925,159 | $0 | $124,300 | $0 | $39,518 | $0 | $3,806,838 | $0 | $1,360,452 |
| PAUL MUSER | ||||||||||||||
| LEAD MULTI-MODALITY TECH | $128,761 | $0 | $0 | $0 | $123,542 | $0 | $10,700 | $0 | $27,159 | $0 | $290,162 | $0 | $0 | $0 |
| JANINE PINKS | ||||||||||||||
| CARDIO PHYSICIAN ASSISTANT | $269,071 | $0 | $0 | $0 | $17,577 | $0 | $11,117 | $0 | $9,066 | $0 | $306,831 | $0 | $0 | $0 |
| RONNIE RAYMUNDO | ||||||||||||||
| REGISTERED NURSE | $138,998 | $0 | $0 | $0 | $171,440 | $0 | $4,213 | $0 | $9,066 | $0 | $323,717 | $0 | $0 | $0 |
| TOPHER SHARP | ||||||||||||||
| DIRECTOR (as of 01/18) | $0 | $309,756 | $0 | $103,485 | $0 | $75,905 | $0 | $23,978 | $0 | $29,382 | $0 | $542,506 | $0 | $0 |
| DAVID SVEC MD | ||||||||||||||
| CMO (AS OF 11/17) | $0 | $190,206 | $0 | $172,594 | $0 | $13,420 | $0 | $20,190 | $0 | $33,364 | $0 | $429,774 | $0 | $0 |
| TRACEY LEWIS TAYLOR | ||||||||||||||
| COO | $271,412 | $0 | $20,000 | $0 | $2,760 | $0 | $19,969 | $0 | $22,584 | $0 | $336,725 | $0 | $0 | $0 |
| GINA TEEPLES | ||||||||||||||
| CNO | $248,617 | $0 | $75,000 | $0 | $13,414 | $0 | $40,733 | $0 | $11,129 | $0 | $388,893 | $0 | $0 | $0 |
| JOSEPH YATCO | ||||||||||||||
| REGISTERED NURSE | $132,103 | $0 | $200 | $0 | $122,906 | $0 | $4,110 | $0 | $24,896 | $0 | $284,215 | $0 | $0 | $0 |
| JOHN YEE MD | ||||||||||||||
| VP CLINICAL INITIATIVES | $245,639 | $0 | $0 | $0 | $7,105 | $0 | $7,500 | $0 | $25,019 | $0 | $285,263 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4B | STANFORD HEALTH CARE ("SHC"), A RELATED ORGANIZATION, PROVIDES ALL SENIOR EXECUTIVES WITH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS. AT THE LAST DATE OF EACH QUARTER EACH PARTICIPANT'S ACCOUNT IS CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION). THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN THE ACCOUNT AS FOLLOWS: (A) THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED AND THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION; THE PARTICIPANT BECOMES FULLY VESTED WHEN (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) THE PARTICIPANT ATTAINS THE AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; OR (D) THE PARTICIPANT COMPLETES SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) DEATH OF THE PARTICIPANT. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUAL IN CALENDAR YEAR 2017: DAVID CONNOR $ 50,816 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 2017 ARE REPORTED IN COLUMN (F). LLOYD B. MINOR PARTICIPATES IN A DEFERRED COMPENSATION PLAN AT STANFORD UNIVERSITY, A RELATED ORGANIZATION. ANNUALLY, AMOUNTS ARE CREDITED TO THE PLAN BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. THESE AMOUNTS APPEAR IN SCHEDULE J, PART II, COLUMN C. PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET. SHC-VC'S PRESIDENT PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT HIS RETIREMENT BENEFITS. UNDER THE PLAN, A HYPOTHETICAL ACCOUNT IS ESTABLISHED FOR THE PARTICIPANT AND CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY 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. THE 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 AMOUNT BECAME VESTED AND WAS PAID TO SCOTT GREGORSON IN CALENDER YEAR 2017: $31,659 AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). |
| SCHEDULE J, PART I, LINE 7 | THREE EXECUTIVE RECEIVED A BONUS THAT WAS APPROVED BY SENIOR MANAGEMENT. |
| SCHEDULE J, PART II, COLUMN B(III) | OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B(III) INCLUDES ACCRUED VACATION AND SICK LEAVE PAY OUT. |
| SCHEDULE J, PART II | DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS OF SHC-VC. HOWEVER, THE INDIVIDUALS LISTED WERE ALSO EMPLOYEES OF RELATED ORGANIZATIONS, POSITIONS FOR WHICH THEY RECEIVED COMPENSATION AS REPORTED IN PART II. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | STANFORD HEALTH CARE - VALLEYCARE'S MISSION IS TO (1) ASSUME THE LEADERSHIP ROLE FOR THE HEALTH OF THE TRI-VALLEY COMMUNITY AND (2) TO CARE, TO EDUCATE, AND TO DISCOVER. |
| FORM 990, PART III, LINE 4A | OPERATION OF TWO ACUTE CARE HOSPITALS WITH A TOTAL OF 167 ACUTE, 26 SKILLED NURSING AND 14 ACUTE PSYCHIATRIC BEDS: SERVICES INCLUDE ICU/CCU, MEDICAL, SURGICAL, OBSTETRIC, NURSERY INPATIENT SERVICE, AND EMERGENCY ROOM, URGENT CARE AND OUTPATIENT SERVICES. ALSO CARE IS PROVIDED TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE CHARITY-CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. ANY PROFITS MADE FROM OPERATIONS ARE INVESTED INTO NEW FACILITIES, EQUIPMENT AND SERVICES. IN ADDITION TO THE INVESTMENTS IN CHARITY CARE AND UNCOMPENSATED MEDI-CAL, SHC-VC CONTRIBUTES TO OTHER COMMUNITY BENEFIT ACTIVITIES FOR THE VULNERABLE POPULATIONS, THE BROADER COMMUNITY AND HEALTH RESEARCH, TRAINING AND EDUCATION. THESE ACTIVITIES PROVIDE ESSENTIAL SERVICES FOR THOSE MOST IN NEED IN OUR COMMUNITIES. AS PART OF SHC'S SUPPORT FOR ITS COMMUNITY PARTNERS AND OTHER COMMUNITY-BASED AGENCIES, SHC-VC CONDUCTED A VARIETY OF ACTIVITIES FOR COMMUNITY MEMBERS, RANGING FROM EDUCATION AND SUPPORT TO PERSONS WITH CHRONIC CONDITIONS, MEALS TO THE DISABLED AND SENIORS AND REDUCED-COST WELLNESS PROGRAMS FOR ECONOMICALLY DISADVANTAGED MEMBERS OF THE COMMUNITY. ACTIVITIES FOR VULNERABLE POPULATIONS SHC-VC ACTIVELY PARTICIPATED IN THE TRI-VALLEY HEALTH INITIATIVE. THIS INITIATIVE SERVES AS A GATEWAY TO MAKE CONTACT AND ENGAGE WITH UNDER-SERVED COMMUNITIES, AS WELL AS TO PROVIDE HEALTH SCREENINGS, LINKAGES, AND HEALTH CARE ENROLLMENT OPPORTUNITIES TO YOUTH AND FAMILIES IN THE TRI-VALLEY. THE INITIATIVE AIMS TO INCREASE ACCESS TO HEALTH CARE FOR YOUTH AND FAMILIES, INCLUDING CULTURALLY-RELEVANT PREVENTION SERVICES, AND STRENGTHENS THE CONTINUUM OF SCHOOL-LINKED HEALTH SUPPORTS THROUGHOUT THE TRI-VALLEY. ALSO, THE INITIATIVE PROVIDES FURTHER OPPORTUNITY TO COLLABORATE WITH SCHOOL HEALTH OFFICIALS IN THE LOCAL SCHOOL DISTRICTS REGARDING ONGOING HEALTH CONCERNS SUCH AS ASTHMA AND BEHAVIORAL HEALTH. IN FY18, SHC-VC WAS ALSO ACTIVE IN THE TRI-VALLEY ANTI-POVERTY COLLABORATIVE. THIS COLLECTIVE IMPACT INITIATIVE TO END POVERTY IN THE TRI-VALLEY AREA INVOLVES PARTNERS FROM GOVERNMENT, NONPROFITS, FAITH-BASED ORGANIZATIONS, SCHOOLS, PHILANTHROPIC ORGANIZATIONS, BUSINESSES, AND INDIVIDUAL COMMUNITY RESIDENTS. THE TRI-VALLEY ANTI-POVERTY COLLABORATIVE SUPPORTS A PROGRAM IN WHICH STRUGGLING RESIDENTS ACROSS THE REGION CAN ACHIEVE A BASIC STANDARD OF LIVING IN HOUSING, HEALTH CARE, NOURISHMENT, EDUCATION, AND SUSTAINABLE FINANCIAL RESOURCES. DURING FY18, SHC-VC'S FUNDING ALLOWED THE SENIOR SUPPORT PROGRAM OF THE TRI-VALLEY (SSPTV) TO PROVIDE FREE, PREVENTIVE HEALTH SCREENINGS AND EXAMS TO 324 LOW-INCOME SENIORS. THESE SCREENINGS GENERALLY INCLUDED BLOOD PRESSURE AND DIABETES CHECKS, COMPLETE FOOT CARE, EDUCATION ABOUT MEDICATION MANAGEMENT, ALCOHOL AND DRUG EDUCATION, AS WELL AS REFERRALS, WHEN APPROPRIATE. SOME SENIORS ALSO CHOSE TO RECEIVE COLORECTAL CANCER SCREENINGS AND/OR URINE TESTS FOR INFECTIONS AND OTHER TOXICITIES. ALL PARTICIPATING SENIORS WERE ENCOURAGED TO VISIT THEIR PHYSICIANS REGULARLY. THROUGHOUT FY18, SHC-VC PROVIDED OPEN HEART KITCHEN SPACE ON ITS LIVERMORE CAMPUS FREE OF CHARGE. THIS LOCAL NONPROFIT ORGANIZATION, WHICH SERVES FREE MEALS TO THE HUNGRY, STORED FOOD AND ASSEMBLED BOX LUNCHES IN THE SPACE ON CAMPUS. FOR INCOMING RESIDENTS OF THE TRI-VALLEY HAVEN SHELTER, SHC-VC OFFERED TB SCREENING TESTS AND PROVIDED INITIAL PATIENT EVALUATION AND FOLLOW-UP DIAGNOSTIC TESTING FOR ANY POSITIVE TB TESTS AT NO CHARGE. SHC-VC PROVIDED 72 TB TESTS DURING THE REPORTING PERIOD. IN ADDITION, SHC-VC DONATED 202 TURKEYS TO THE SHELTER OVER THE THANKSGIVING HOLIDAY. SHC-VC PROVIDED FUNDING TO CRISIS SUPPORT SERVICES OF ALAMEDA COUNTY'S HEALING HEARTS 5K WALK/RUN FOR SUICIDE PREVENTION. THE EVENT, ATTENDED BY 82 PEOPLE, FOCUSED ON RAISING AWARENESS OF THE TRAGEDY OF SUICIDE, REDUCING THE STIGMA ASSOCIATED WITH DEPRESSION AND MENTAL ILLNESS, EDUCATING THE COMMUNITY ABOUT AVAILABLE SERVICES, SUPPORTING LOCAL SUICIDE PREVENTION PROGRAMS, AND PROVIDING A SAFE PLACE TO HEAL FOR THOSE WHO HAVE LOST LOVED ONES TO SUICIDE. LIFESTYLERX IS SHC-VC'S 70,000-SQUARE-FOOT WELLNESS CENTER, WHICH PROVIDES COMPREHENSIVE, MEDICAL-BASED, HIGH-QUALITY EDUCATION AND FITNESS SERVICES TO ALL COMMUNITY MEMBERS. THE LIFESTYLERX SCHOLARSHIP PROGRAM PROVIDES LOW-INCOME MEMBERS OF THE COMMUNITY THE OPPORTUNITY TO ACHIEVE THEIR MAXIMUM HEALTH, FITNESS, AND WELL-BEING POTENTIAL BY PROVIDING SCHOLARSHIPS FOR MEMBERSHIP. DURING THE REPORTING PERIOD, THE SCHOLARSHIP PROGRAM PROVIDED 17 LIFESTYLERX MEMBERSHIPS TO LOW-INCOME MEMBERS OF THE COMMUNITY. MARYLIN AVENUE ELEMENTARY SCHOOL IN LIVERMORE HAD LIMITED FUNDING TO SUPPORT A PHYSICAL EDUCATION (PE) PROGRAM. SHC-VC FUNDED A PE PROGRAM, WHICH ALLOWED FOR AN INSTRUCTOR TO CONDUCT PE CLASSES FOR MARYLIN AVENUE STUDENTS DURING THE SCHOOL WEEK. THIS PROJECT FOCUSED ON IMPROVING SCORES FOR STATE TESTING, IMPROVING STUDENT PHYSICAL HEALTH, EDUCATING THE STUDENTS ON HEALTHY LIVING, AND ILLUSTRATING HOW TO USE EXERCISE AS A TOOL TO HELP WITH FOCUS IN THE CLASSROOM. TWICE A WEEK THROUGHOUT THE SCHOOL YEAR, 123 STUDENTS IN FOURTH AND FIFTH GRADES RECEIVED 75 MINUTES OF PHYSICAL EDUCATION. OVERALL, MORE THAN 90% OF MARYLIN AVENUE FOURTH-GRADERS WHO PARTICIPATED IN PHYSICAL EDUCATION IN 2017-2018 IMPROVED ON AT LEAST TWO OF FOUR PHYSICAL FITNESS TESTS, AND OVER HALF (58%) IMPROVED ON THREE OF THE FOUR. AVERAGE RESULTS FOR ALL FOUR TESTS IMPROVED (MILE AVERAGE TIMES SHORTENED BY ALMOST ONE MINUTE, PUSH-UPS INCREASED BY 10, CURL-UPS INCREASED BY 17, PACERS INCREASED BY 2.25 LAPS). NEARLY TWO-THIRDS (66%) OF MARYLIN AVENUE FIFTH-GRADERS WHO PARTICIPATED IN PHYSICAL EDUCATION IN 2017-2018 IMPROVED ON AT LEAST TWO OF THREE PHYSICAL FITNESS TESTS. AVERAGE RESULTS FOR ALL THREE TESTS IMPROVED (MILE AVERAGE TIMES SHORTENED BY SIX MINUTES, PUSH-UPS INCREASED BY 4, CURL-UPS INCREASED BY 7.5). TEACHERS REPORTED THAT STUDENTS IN THEIR CLASSROOMS HAD BETTER BEHAVIOR, WERE MORE FOCUSED, AND EXHIBITED BETTER TEAMWORK OVER THE COURSE OF THE SCHOOL YEAR. FOR MEALS ON WHEELS, SHC-VC PREPARED MORE THAN 900 MEALS A DAY, FIVE DAYS A WEEK, FOR HOMEBOUND SENIORS IN SEVEN ALAMEDA COUNTY CITIES, INCLUDING PLEASANTON, LIVERMORE, DUBLIN AND SUNOL. THESE HOT MEAL PROGRAMS PROVIDE LOCAL SENIORS WITH THE NUTRITION CRITICAL TO THEIR HEALTH AND WELL-BEING. SHC-VC ALSO PROVIDED OFFICE SPACE TO SPECTRUM, THE NONPROFIT ORGANIZATION IN CHARGE OF ORGANIZING THE MEALS ON WHEELS PROGRAM IN THE TRI-VALLEY AREA. SUPPORTED CONVOY OF HOPE TRI-VALLEY'S "DAY OF HOPE," ATTENDED BY 922 LOW-INCOME INDIVIDUALS. SHC-VC PROVIDED ENOUGH GROCERIES TO THOSE IN ATTENDANCE TO FEED A SMALL FAMILY FOR TWO WEEKS. EACH FAMILY RECEIVED APPROXIMATELY FIVE BAGS OF GROCERIES THAT INCLUDED STAPLES AND NONPERISHABLE ITEMS. IN ADDITION, SHC-VC STAFF PROVIDED REUSABLE GROCERY BAGS, WATER BOTTLES, AND NUTRITION INFORMATION TO EVENT ATTENDEES; THE NUTRITION INFORMATION INCLUDED HEALTHY RECIPES, HANDOUTS ON HEALTHY EATING, AND HEALTHY EATING COLORING BOOKS FOR CHILDREN. PROVIDED EXPERTS TO ASSIST UNINSURED, LOW-INCOME PATIENTS RESEARCH THEIR HEALTH CARE OPTIONS. SERVICES PROVIDED AT NO COST BY MEDDATA INVOLVE HELPING INDIVIDUALS RESEARCH ELIGIBILITY REQUIREMENTS, IDENTIFY APPROPRIATE HEALTH INSURANCE PROGRAMS, COMPLETE APPLICATIONS, COMPILE REQUIRED DOCUMENTATION, AND FOLLOW UP WITH COUNTY CASE MANAGERS. THIS SERVICE ASSISTS ELIGIBLE PATIENTS IN OBTAINING COVERAGE FOR MEDICAL NECESSITIES, SUCH AS HOSPITAL CARE, PRESCRIPTION DRUGS, AND HOME HEALTH CARE. PROVIDED FUNDS FOR A LICENSED MARRIAGE AND FAMILY THERAPIST (MFT) FOR AXIS COMMUNITY HEALTH. THIS THERAPIST, HIRED IN DECEMBER 2017, INCREASED CAPACITY TO SERVE TRI-VALLEY RESIDENTS AT AXIS' CLINICAL SITE. THE ADDITIONAL COUNSELOR HAS HELPED TO ALLEVIATE THE DIRE NEED FOR MORE MENTAL HEALTH SERVICES IN THE COMMUNITY. IN ADDITION, WAIT TIMES FOR MENTAL HEALTH SERVICES APPOINTMENTS AT THE CLINIC HAVE BEEN REDUCED. FROM DECEMBER 2017 TO OCTOBER 2018, A TOTAL OF 763 MENTAL HEALTH VISITS WERE PROVIDED TO 117 UNIQUE PATIENTS, ALL OF WHOM WERE UNINSURED. |
| FORM 990, PART III, LINE 4A (CONT.) | SHC-VC PROVIDED A WIDE VARIETY OF RESOURCES AND SERVICES TO THE BROADER COMMUNITY REGARDING CARDIAC INFORMATION AND EDUCATION. THROUGH ITS CANCER PROGRAMS, SHC-VC OFFERED EDUCATION, AWARENESS-BUILDING, AND CANCER SUPPORT GROUPS FOR THE COMMUNITY. - IN ITS YOGA FOR CANCER PROGRAM, SHC-VC PROVIDED A COMMUNITY SUPPORT GROUP THAT TEACHES YOGA TO THOSE SUFFERING FROM CANCER AND TO THEIR FAMILIES. - THE SHC-VC HEALING TOUCH PROGRAM ENSURED THAT EACH PERSON IN THE COMMUNITY RECEIVING CANCER TREATMENT WAS OFFERED SUPPORTIVE CARE BY IMPLEMENTING HEALING TOUCH TECHNIQUES, WHICH SUPPORT THE PERSON AS A WHOLE AND HELP MANAGE SYMPTOMS OF PAIN, MALAISE, NAUSEA, AND/OR STRESS. - SHC-VC HOSTED A FREE, EDUCATIONAL BREAST CANCER SYMPOSIUM OPEN TO ANYONE CONCERNED ABOUT THE FOLLOWING TOPICS: BREAST CANCER AND THE LATEST, CUTTING-EDGE TREATMENTS, FERTILITY PRESERVATION DURING BREAST CANCER THERAPY, VALUE AND QUALITY IN BREAST CANCER TREATMENT, AND BREAST CANCER GENETICS AND GENOMICS. - SHC-VC OFFERED SEMINARS ON BREAST CANCER-RELATED LYMPHEDEMA, INCLUDING CAUSES, SIGNS, SYMPTOMS, RISK-REDUCTION, AND TREATMENT OPTIONS, INCLUDING PHYSICAL THERAPY. - SHC-VC OFFERED THE LOOK GOOD FEEL BETTER PROGRAM, A SUPPORT GROUP FOR WOMEN DEALING WITH THE SIDE EFFECTS OF CANCER TREATMENT. THROUGH THIS PROGRAM, SPECIALLY TRAINED VOLUNTEERS TEACH SELF-CARE, BEAUTY, AND PSYCHOLOGICAL SUPPORT, PROVIDE WIGS AND SCARVES, AND CONDUCT DEMONSTRATIONS ON COPING WITH HAIR LOSS. SHC-VC PROVIDED FUNDING TO THE FOLLOWING ORGANIZATIONS FIGHTING CANCER: - THE SANDRA J. WING HEALING THERAPIES FOUNDATION, WHICH PROVIDES CANCER PATIENTS WITH FINANCIAL ASSISTANCE DURING THEIR TREATMENT PERIOD FOR COMPLEMENTARY HEALING SERVICES, SUCH AS ACUPUNCTURE, ACUPRESSURE, THERAPEUTIC MASSAGE, GUIDED/VISUAL IMAGERY, AND DEEP BREATHING MEDITATION. - THE HERS BREAST CANCER FOUNDATION, WHICH HELPS SUPPORT WOMEN HEALING FROM BREAST CANCER BY PROVIDING POST-SURGICAL PRODUCTS AND SERVICES, REGARDLESS OF FINANCIAL STATUS. - A 24-HOUR WALK EVENT (RELAY FOR LIFE) FOR CANCER AWARENESS AND FUNDRAISING IN SUPPORT OF THE AMERICAN CANCER SOCIETY. AT THIS EVENT, SHC-VC PROVIDED EDUCATION ABOUT LUNG CANCER, INCLUDING EDUCATION ON PREVENTION AND EARLY DETECTION. THE SHC-VC MY HEART'S CONTENT PROGRAM PROVIDED LECTURES TO THE COMMUNITY ON CARDIOVASCULAR HEALTH. THE INFANT CPR PROGRAM PROVIDED CPR TRAINING TO THE COMMUNITY AT LARGE, AND WAS ALSO OFFERED FREE TO LOW-INCOME PARENTS OF NEWBORNS. SHC-VC HELD MATERNAL AND CHILD EDUCATION CLASSES TO PREPARE PARENTS FOR CHILDBIRTH. THESE CLASSES WERE OFFERED TO THE COMMUNITY AT LARGE AND WERE FREE TO LOW-INCOME PARENTS. SHC-VC ALSO SPONSORED A CLASS TO HELP SIBLINGS ADJUST TO A NEW BABY. IN ADDITION, SHC-VC PROVIDED EDUCATION FOR NEW MOTHERS ON THE BENEFITS AND IMPORTANCE OF BREASTFEEDING THEIR INFANTS. THE NEW MOMS SUPPORT GROUP SUPPORTED NEW MOTHERS WITH GUEST SPEAKERS WHO FOCUSED ON BREASTFEEDING AS A HEALTHY START TO LIFE. THE SHC-VC NEW MOM WELLNESS PROGRAM OFFERED BY LIFESTYLERX WAS AN EFFECTIVE WAY FOR NEW MOTHERS IN THE COMMUNITY TO INCREASE THEIR FITNESS AND FEEL BETTER WHILE COPING WITH A NEW BABY. THIS COMPREHENSIVE FOUR-WEEK PROGRAM TAUGHT METHODS OF GAINING ENERGY, LIVING A HEALTHY LIFESTYLE, AND BECOMING MOTIVATED TO TAKE CARE OF NEWLY-EXPANDED FAMILIES. IN FY18, THE SHC-VC HEALTH LIBRARY PROVIDED SCIENTIFICALLY BASED HEALTH INFORMATION TO ASSIST COMMUNITY MEMBERS IN MAKING MORE INFORMED DECISIONS ABOUT THEIR HEALTH AND HEALTH CARE. THE HEALTH LIBRARY IS OPEN TO THE COMMUNITY AND REACHES OUT TO THE LOCAL POPULATION, AS WELL AS TO ANYONE WHO USES THE INTERNET. THE LIBRARY HAS AN EXTENSIVE COLLECTION OF ONLINE HEALTH AND WELLNESS RESOURCES, INCLUDING MEDICAL WEBSITES AND FULL-TEXT ARTICLES. IT ALSO INCLUDES CONVENTIONAL HEALTH AND WELLNESS RESOURCES SUCH AS BOOKS, MEDICAL JOURNALS, PERIODICALS, AND VIDEOS. ALL INFORMATIONAL AND EDUCATIONAL MATERIALS ARE AVAILABLE IN ENGLISH AND SPANISH. AS OBESITY IS A MAJOR HEALTH ISSUE IN THE TRI-VALLEY AREA, OBESITY AND FITNESS EDUCATION AND PREVENTION IS A TOP FOCUS FOR SHC-VC. MORE THAN ONE IN FIVE FIFTH-GRADERS IN THE TRI-VALLEY AREA ARE OVERWEIGHT OR OBESE (21% IN THE DUBLIN SCHOOL DISTRICT, 24% IN THE PLEASANTON SCHOOL DISTRICT, AND 32% IN THE LIVERMORE VALLEY JOINT UNIFIED SCHOOL DISTRICT). FITNESS METRICS SUGGEST THAT 6% OF DUBLIN LATINO FIFTH-GRADERS, 19% OF PLEASANTON LATINO FIFTH-GRADERS, AND 24% OF LIVERMORE LATINO FIFTH-GRADERS ARE EXPERIENCING HEALTH RISKS RELATED TO BODY COMPOSITION (E.G., BMI). SHC-VC CONDUCTED A WIDE VARIETY OF PROGRAMS ON HEALTHY EATING AND PHYSICAL FITNESS FOR BOTH THE BROADER COMMUNITY AND FOR VULNERABLE COMMUNITIES. SHC-VC PROVIDED FUNDING TO MARYLIN AVENUE ELEMENTARY SCHOOL IN LIVERMORE AND LYDIKSEN ELEMENTARY SCHOOL IN PLEASANTON TO FUND NEEDED EQUIPMENT FOR PHYSICAL EDUCATION. SHC-VC PROVIDED FUNDING TO SUPPORT THE VIA HEART PROJECT'S TEEN HEART SCREENING EVENT AT LIVERMORE VALLEY HIGH SCHOOL. TEEN CARDIAC SCREENINGS WERE PROVIDED, INCLUDING HEALTH HISTORY REVIEW, BLOOD PRESSURE READINGS, EKGS AND ECHOCARDIOGRAMS, AND CONSULTATION WITH A CARDIOLOGIST. A TOTAL OF 275 YOUTH RECEIVED EKGS AND ECHOCARDIOGRAMS, WITH OVER FIVE PERCENT NEEDING AND RECEIVING FURTHER FOLLOW-UP. OF THIS FIVE PERCENT, APPROXIMATELY HALF HAD HIGH-RISK CARDIAC ISSUES; THE REST HAD LOW-RISK CARDIAC ISSUES. SHC-VC PROVIDED MEDICAL SUPPLIES AND FIRST AID TO A WIDE VARIETY OF LOCAL COMMUNITY EVENTS, SUCH AS RACES, PARADES, FESTIVALS, AND ATHLETIC EVENTS. FOR THOSE WITH DIABETES, SHC-VC OFFERED A MONTHLY DIABETES SUPPORT GROUP WITH OCCASIONAL GUEST SPEAKERS. ADDITIONALLY, SHC-VC HELD THE ANNUAL DIABETES EDUCATION SEMINAR TO EDUCATE TRI-VALLEY COMMUNITY MEMBERS ABOUT HEALTHY EATING HABITS AND PREVENTION OF PRE-DIABETES. SHC-VC STAFF CONDUCTED FREE BALANCE TESTING, EXPLAINED RESULTS, AND GAVE A PRESENTATION ABOUT FALL RISK FACTORS AND PREVENTION FOR PLEASANTON SENIOR SUPPORT SERVICES, OPEN TO THE COMMUNITY. A TOTAL OF 30 SENIORS ATTENDED. SPECIALIZED HEALTH CARE WORKFORCE TRAINING - SEE SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION RELATED TO PART II, LINE 8 |
| FORM 990, PART VI, SECTION A, LINE 2 | THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD HEALTH CARE: DAVID CONNOR DAVID ENTWISTLE LINDA HOFF QUINN MCKENNA THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD UNIVERSITY: MARK CULLEN MD LLOYD B. MINOR MD TOPHER SHARP THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT STANFORD HEALTH CARE: DAVID ENTWISTLE JOHN GOLDMAN LLOYD B. MINOR MD KAYE FOSTER-CHEEK THE FOLLOWING INDIVIDUALS ARE VOTING BOARD MEMBERS AT SUMIT HOLDING INTERNATIONAL, LLC: DAVID ENTWISTLE DAVID CONNOR LINDA HOFF THE FOLLOWING INDIVIDUALS ARE VOTING BOARD MEMBERS AT SUMIT INSURANCE COMPANY, LTD.: DAVID ENTWISTLE DAVID CONNOR LLOYD B. MINOR MD LINDA HOFF THE FOLLOWING INDIVIDUALS ARE CLASS A SUBSCRIBER VOTING MEMBERS AT THE PROFESSIONAL EXCHANGE ASSURANCE COMPANY: DAVID ENTWISTLE DAVID CONNOR LINDA HOFF |
| FORM 990, PART VI, SECTION A, LINE 3 | PITT CALKIN SERVED AS SHC-VC'S INTERIM CFO THROUGH SEPTEMBER 2017. HE WAS COMPENSATED AS AN INDEPENDENT CONTRACTOR THROUGH THE MANAGEMENT COMPANY MANCHESTER GROUP. THE TOTAL COMPENSATION PAID THROUGH OCTOBER 2017 WAS $74,267. RICHARD ALESCH SERVED AS SHC-VC'S INTERIM VP FINANCE FROM FEBRUARY 2018 THROUGH JULY 2018. HE WAS COMPENSATED AS AN INDEPENDENT CONTRACTOR THROUGH THE MANAGEMENT COMPANY RESOURCES GLOBAL PROFESSIONALS. THE TOTAL COMPENSATION PAID THROUGH JULY 2018 WAS $272,307. |
| FORM 990, PART VI, SECTION A, LINE 6 | STANFORD HEALTH CARE IS THE SOLE MEMBER OF SHC-VC. |
| FORM 990, PART VI, SECTION A, LINE 7A | STANFORD HEALTH CARE, AS THE SOLE MEMBER OF SHC-VC, APPOINTS ALL CLASS "B" DIRECTORS, AND APPROVES APPOINTMENT OF CLASS "A" DIRECTORS TO THE SHC-VC BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING POWERS ARE RESERVED TO STANFORD HEALTH CARE, AS THE SOLE MEMBER OF SHC-VC: (A) APPOINTMENT AND REMOVAL OF ALL SENIOR LEADERSHIP AND ENGAGEMENT OF STANFORD UNIVERSITY TO PROVIDE LEGAL AND INTERNAL AUDIT SERVICES TO THE CORPORATION; (B) SELECTION OF THE AUDITORS OF THE CORPORATION; (C) AMENDMENT OF THESE BYLAWS, EXCEPT AS PROVIDED IN ARTICLE X; (D) APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OTHER THAN DEBT PROVIDED FOR IN AN APPROVED CAPITAL BUDGET APPROVED BY THE MEMBER; (E) APPROVAL OF OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; AND (F) APPROVAL OF STRATEGIC PLANS THAT HAVE BEEN DEVELOPED BY MANAGEMENT AND SUBMITTED FOR APPROVAL TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FINANCE DEPARTMENT REVIEWS THE FORM 990 FOR ACCURACY, WITH INPUT FROM COMMUNITY BENEFITS DEPARTMENT PRIMARILY FOR SCHEDULE H. PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE, A COMPLETE COPY OF THE FORM 990 IS SENT ELECTRONICALLY TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. THE INTERIM VP OF FINANCE REVIEWS THE FORM 990 WITH THE AUDIT COMMITTEE AND INVITES QUESTIONS. FOLLOWING THIS REVIEW, A FULL COPY OF THE FINAL RETURN IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING. ONCE THESE STEPS ARE COMPLETE, THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, 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-VC. 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 DETERMINE THE APPROPRIATE COURSE OF ACTION. |
| FORM 990, PART VI, SECTION B, LINE 15A&B | SHC-VC UTILIZES THE SERVICES OF WILLIS TOWERS WATSON FOR COMPENSATION BENCHMARKING, ANALYSIS, AND REPORTING. THE BOARD OF DIRECTORS HAS A COMPENSATION SUB-COMMITTEE WHO REVIEW THE RESULTS OF THE COMPENSATION REVIEW AND IS ASSURED THAT TOTAL COMPENSATION IS CONSISTENT WITH THE MARKET. THIS PROCESS WAS LAST PERFORMED IN 2017. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING/ORGANIZING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 19 | OTHER CHANGES IN NET ASSETS OR FUND BALANCES: EQUITY TRANSFER - $64,235,917 |
Schedule R IRS990ScheduleR
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 | |||||||||||||||
| 3145 PORTER DRIVE | PALO ALTO | CA | 94304 | 941156365 | EDUCATION | CA | 501(C)(3) | 2 | NA | false | |||||
| EAST PALO ALTO ACADEMY | |||||||||||||||
| 475 POPE STREET | MENLO PARK | CA | 94025 | 202699147 | EDUCATIONAL | CA | 501(C)(3) | 2 | 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 CHILDRENS HOSPITAL | |||||||||||||||
| 725 WELCH ROAD MC 5553 | PALO ALTO | CA | 94304 | 770003859 | HEALTHCARE | CA | 501(C)(3) | 3 | STANFORD | Yes (true) | |||||
| PACKARD CHILDREN'S HEALTH ALLIANCE | |||||||||||||||
| 725 WELCH ROAD MC5551 | PALO ALTO | CA | 94304 | 320359189 | HEALTHCARE | CA | 501(C)(3) | 3 | LPCH | Yes (true) | |||||
| SHR HOLDINGS INC | |||||||||||||||
| 485 BROADWAY MAIL CODE 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 | |||||||||||||||
| 485 BROADWAY MAIL CODE 8838 | REDWOOD CITY | CA | 94063 | 461882243 | CONSERVATION | CA | 501(C)(3) | 7 | STANFORD | Yes (true) | |||||
| STANFORD HEALTH CARE | |||||||||||||||
| 300 PASTEUR DRIVE MC 5555 | STANFORD | CA | 94305 | 946174066 | HEALTHCARE | CA | 501(C)(3) | 3 | STANFORD | Yes (true) | |||||
| STANFORD HEALTH CARE ADVANTAGE | |||||||||||||||
| 1221 BROADWAY 3RD FLOOR | OAKLAND | CA | 94612 | 464071746 | HEALTHCARE | CA | 501(c)(3) | 12A, I | SHC | Yes (true) | |||||
| STANFORD PROGRAMME (CAPE TOWN) NPC | |||||||||||||||
| EDUCATION | 501(C)(3) | N/A | STANFORD | Yes (true) | WAVERLY BUSINESS PARK BUILDING 11 | CAPE TOWN | SF | SF | |||||||
| STANFORD UNIVERSITY BOOKSTORE | |||||||||||||||
| BLDG 60 MAIN QUAD NO 105 | STANFORD | CA | 94305 | 940894150 | SUPPORT | CA | 501(C)(3) | 12A, I | STANFORD | Yes (true) | |||||
| SU EMP BEN TRUST POST RETEMPYNT BEN | |||||||||||||||
| 485 BROADWAY MAIL CODE 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 MAIL CODE 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 | |||||||||||||||
| 5655 W LAS POSITAS BLVD 220 | PLEASANTON | CA | 94588 | 262593526 | SUPPRT SHC-VC | CA | 501(C)(3) | 10 | HOSP CMTE LP | Yes (true) | |||||
| VALLEYCARE SENIOR HOUSING | |||||||||||||||
| 1111 E STANLEY BLVD | LIVERMORE | CA | 94550 | 943382224 | SR. FACILITY | CA | 501(C)(3) | 12A, I | HOSP CMTE LP | Yes (true) | |||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (35 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADOM PARTNERS LP | ||||||||||||
| 590 MADISON AVENUE 27TH FLOOR | NEW YORK | NY | 10022 | 813083288 | INVESTMENTS | DE | NA | |||||
| ALBUS SELECT FUND LP | ||||||||||||
| 750 MENLO AVENUE | MENLO PARK | CA | 94025 | 812064357 | INVESTMENTS | DE | NA | |||||
| CANARY SC FUND LP | ||||||||||||
| 399 PARK AVENUE | NEW YORK | NY | 10022 | 475662144 | INVESTMENTS | DE | NA | |||||
| CANARY SC MASTER FUND LP | ||||||||||||
| 981267847 | INVESTMENTS | NA | 89 NEXUS WAY CAMANA BAY | GRAND CAYMAN | CA | KY1-9009 | CJ | |||||
| CARLSBAD CO-INVEST LP | ||||||||||||
| 51 JOHN F KENNEDY PARKWAY SUITE 2 | SHORT HILLS | NJ | 07078 | 471702425 | INVESTMENTS | DE | NA | |||||
| CEE EQUITY HOLDINGS LP | ||||||||||||
| INVESTMENTS | NA | JTC HOUSE 28 ESPLANADE | ST HELIER JERSEY | JE | JE4 2QP | JE | ||||||
| CLAIRVUE CAPITAL PARTNERS II-TE 1 LP | ||||||||||||
| TWO EMBARCADERO CENTER SUITE 480 | SAN FRANCISCO | CA | 94111 | 800909516 | INVESTMENTS | DE | NA | |||||
| CLAIRVUE CAPITAL PARTNERS II-TE 2 LP | ||||||||||||
| TWO EMBARCADERO CENTER SUITE 480 | SAN FRANCISCO | CA | 94111 | 800909556 | INVESTMENTS | DE | NA | |||||
| EZP OPPORTUNITY LP | ||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 943057297 | 814562962 | INVESTMENTS | DE | NA | |||||
| FORTRESS IW COINVESTMENT (FUND B) LP | ||||||||||||
| 1345 AVE OF THE AMERICAS 45TH FL | NEW YORK | NY | 10105 | 980509639 | INVESTMENTS | NA | CJ | |||||
| FOUR CROSSINGS INSTITUTIONAL PARTNERS V | ||||||||||||
| ONE MARITIME PLAZA SUITE 200 | SAN FRANCISCO | CA | 94111 | 814323705 | INVESTMENTS | DE | NA | |||||
| FOXLANE LP | ||||||||||||
| 410 E WATER STREET SUITE 888 | CHARLOTTESVILLE | VA | 22902 | 813314647 | INVESTMENTS | DE | NA | |||||
| HHBG-II Investment LP | ||||||||||||
| INVESTMENTS | NA | 89 NEXUS WAY CAMANA BAY PO BOX 31 | GRAND CAYMAN | CA | KY1-9009 | CJ | ||||||
| KEB INVESTORS II LP | ||||||||||||
| INVESTMENTS | NA | WASHINGTON MALL STE 304 7 REID ST | HAMILTON | BD | HM 11 | BD | ||||||
| LSF V DHB HOLDINGS LP | ||||||||||||
| 2711 N HASKELL AVE STE 1700 | DALLAS | TX | 75204 | 272858604 | INVESTMENTS | DE | NA | |||||
| OLIFANT FUND LTD | ||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 94305 | INVESTMENTS | NA | CJ | ||||||
| OUTLAWS CASINO LTD | ||||||||||||
| 485 BROADWAY MAIL CODE 8838 | REDWOOD CITY | CA | 94063 | 841457498 | HOLDING COMPANY | CO | NA | |||||
| PALO ALTO LP | ||||||||||||
| 981126622 | INVESTMENTS | NA | 13 CASTLE STREET | ST HELIER JERSEY | JE | JE | ||||||
| RMS FOREST GROWTH II LP | ||||||||||||
| 31 INVERNESS CENTER PARKWAY STE 36 | BIRMINGHAM | AL | 35242 | 200841908 | INVESTMENTS | CA | NA | |||||
| SANDOVAL LP | ||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 943057297 | 371873346 | INVESTMENTS | DE | NA | |||||
| SANDPIPER FUND LP | ||||||||||||
| 2000 MCKINNEY AVE STE 2125 | DALLAS | TX | 75201 | 260341626 | INVESTMENT | TX | NA | |||||
| SAROFIM MULTIFAMILY PARTNERS LP | ||||||||||||
| 8115 PRESTON RD ST400 | DALLAS | TX | 75225 | 201929002 | RE DEVELOPMENT | TX | NA | |||||
| SCP REAL ASSETS FUND (A) LP | ||||||||||||
| 2498 SAND HILL RD | MENLO PARK | CA | 94025 | 203949682 | INVESTMENTS | DE | NA | |||||
| SEQUOIA MFM OPERATING COMPANY LLC | ||||||||||||
| 770 WELCH ROAD LPCH- ADMIN MC5551 | PALO ALTO | CA | 94304 | 475060529 | MFM PROGRAM | CA | NA | |||||
| SIC SNOWCREEK VIII LLC | ||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 94305 | 275431605 | RE DEVELOPMENT | CA | NA | |||||
| SP SMC PARTNERS LLC | ||||||||||||
| PO BOX 5377 | NEW YORK | NY | 10185 | 473103791 | INVESTMENTS | DE | NA | |||||
| STANFORD EMANUEL RADIATION ONCOLOGY CENT | ||||||||||||
| 825 DELBON AV | TURLOCK | CA | 95382 | 208885091 | RADIOLOGY | CA | NA | |||||
| STANFORD PET-CT LLC | ||||||||||||
| 300 PASTEUR DR MC 5555 | STANFORD | CA | 94305 | 611423414 | MED. DIAGNOST | CA | NA | |||||
| STANFORD-STARTX FUND LLC | ||||||||||||
| 485 BROADWAY MAIL CODE 8838 | REDWOOD CITY | CA | 94063 | 464297719 | INVESTMENTS | DE | NA | |||||
| SUMIT HOLDING INTERNATIONAL LLC | ||||||||||||
| 1400 PAGE MILL ROAD MC5713 | PALO ALTO | CA | 94304 | 263934706 | HOLDING COMPANY | DE | NA | |||||
| TESSERA IONIC LP | ||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 943057297 | INVESTMENTS | DE | NA | ||||||
| VEDA INVESTORS FUND LP | ||||||||||||
| ONE FAWCETT PL | GREENWICH | CT | 06830 | 811810345 | INVESTMETNS | DE | NA | |||||
| VERMILION PEAK MASTER FUND | ||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 943057297 | INVESTMENTS | DE | NA | ||||||
| WINTER ROCK ALTERNATIVE CREDIT MASTER L | ||||||||||||
| 941141686 | INVESTMENTS | NA | PO BOX 10008 WILLOW HOUSE CRICKET | GRAND CAYMAN | CJ | KY1-1001 | CJ | |||||
| WOLFF REAL ESTATE PARTNERS III A LP | ||||||||||||
| 6710 E CAMELBACK ROAD SUITE 100 | SCOTTSDALE | AZ | 85251 | 474780701 | INVESTMENTS | DE | NA | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALPINE CHALET INC | |||||||||||||
| PO BOX 9988 | SOUTH LAKE TAHOE | CA | 96158 | 941556099 | SKI LODGE | CA | NA | C CORP | |||||
| BIENVILLE ARGENTINA OPPS OFFSHORE FUND | |||||||||||||
| 405 LEXINGTON AVE 34TH FLOOR | NEW YORK | NY | 10174 | INVESTMENTS | NA | C CORP | CJ | ||||||
| BISHOP ROCK OPPORTUNITY OFFSHORE FUND LT | |||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 94305 | INVESTMENTS | NA | C CORP | CJ | ||||||
| BREP VII Alberta Feeder (Offshore) TE7 | |||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 94305 | 981066351 | INVESTMENTS | CA | NA | C CORP | |||||
| BREP VII Alberta Feeder (Offshore) TE7- | |||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 94305 | 981066355 | INVESTMENTS | CA | NA | C CORP | |||||
| CANARY SC FUND LTD | |||||||||||||
| 981268195 | INVESTMENTS | NA | C CORP | CJ | 89 NEXUS WAY CAYMANA BAY | GRAND CAYMAN | CJ | KY1-9009 | |||||
| CLAT (16) | |||||||||||||
| CHARITABLE TR | CA | NA | TRUST | ||||||||||
| CRT (552) | |||||||||||||
| CHARITABLE TR | CA | NA | TRUST | ||||||||||
| EAST SAIL | |||||||||||||
| INVESTMENTS | NA | C CORP | MP | C/O INTL FS INC IFS COURT | TWENTYEIGHT CYBERCITY EBENE | MP | |||||||
| GAVEA INVESTMENT FUND II-C LP | |||||||||||||
| 980537952 | INVESTMENTS | NA | C CORP | CJ | PO BOX 896GT HARBOUR CENTRE | GEORGE TOWN | CJ | ||||||
| HHBG SF Limited | |||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 94305 | REAL ESTATE | NA | C CORP | CA | ||||||
| KAIZEN FUND | |||||||||||||
| INVESTMENTS | NA | C CORP | CJ | 2ND FL MIDTOWN PLAZA PO BOX 448 | GRAND CAYMAN | CJ | KY1-1106 | ||||||
| LS ALBERTA III LP | |||||||||||||
| C/O JE ROBERT COS 1650 TYSON BLVD | MCLEAN | VA | 22102 | 980493425 | INVESTMENTS | CA | NA | C CORP | |||||
| OTHER (5) | |||||||||||||
| CHARITABLE TR | CA | NA | TRUST | ||||||||||
| PIF (2) | |||||||||||||
| CHARITABLE TR | CA | NA | TRUST | ||||||||||
| PROFESSIONAL EXCHANGE ASSURANCE COMPANY | |||||||||||||
| 201 MERCHANT STREET SUITE 2400 | HONOLULU | HI | 96813 | 900897686 | INSURANCE | HI | NA | C CORP | |||||
| SBFF LTD | |||||||||||||
| INVESTMENTS | NA | C CORP | CJ | PO BOX 1344 | GEORGE TOWN | CJ | KY1-1108 | ||||||
| SEA SMOKE FUND LLC | |||||||||||||
| INVESTMENTS | DE | NA | C CORP | 190 ELGIN AVENUE | GEORGE TOWN | CJ | KY 9005 | ||||||
| SEA SMOKE FUND LTD | |||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 943057297 | INVESTMENTS | NA | C CORP | CJ | ||||||
| STANFORD (BEIJING) CNSLTNG CO LTD (WFOE) | |||||||||||||
| EDUCATION | NA | C CORP | CH | 5275TH FLBLDG CACADEMY SOUTH RD | BEIJING | CH | |||||||
| STANFORD IN JAPAN GODO KAISHA | |||||||||||||
| EDUCATION | NA | C CORP | JA | DOSHISHA UNIVERSITY MEITOKUKAN-NAI | KYOTOSHI | JA | |||||||
| STANFORD INDIA PVT LTD | |||||||||||||
| EDUCATION | NA | C CORP | IN | 333 3RD FLOOR DEVIKA TOWER 6 NEH | DELHI | IN | |||||||
| STANFORD INTL MEDICAL SERVICES RAK FZE | |||||||||||||
| PATIENT SRVC | NA | C CORP | AE | PO BOX 56500 | AE | ||||||||
| STANFORD MEDICINE INTL (HONG KONG) CO LT | |||||||||||||
| PATIENT SRVC | NA | C CORP | HK | 833 CHEUNG SHA WAN ROAD | KOWLOON | HK | |||||||
| STANFORD SGGS EUROPE INC | |||||||||||||
| 131684331 | INVESTMENTS | NA | C CORP | CJ | UGLAND HOUSE S CHURCH ST PO BOX 3 | GEORGE TOWN | CJ | ||||||
| STANFORD UNIV MED NETWORK RISK AUTHORITY | |||||||||||||
| 1400 PAGE MILL RD MSC 5713 | PALO ALTO | CA | 94304 | 461132002 | RISK MGMT CON | CA | NA | C CORP | |||||
| STRUCTURED SERVICING HOLDINGS (OFFSHORE) | |||||||||||||
| INVESTMENTS | NA | C CORP | CJ | 87 MARY STREET | GEORGE TOWN | CJ | KY1-9002 | ||||||
| THE RUBRUM FUND | |||||||||||||
| INVESTMENTS | NA | C CORP | CJ | PO BOX 309 UGLAND HOUSE | GRAND CAYMAN | CJ | |||||||
| VERMILION PEAK FUND | |||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 943057297 | INVESTMENTS | NA | C CORP | CJ | ||||||
| WINTER ROCK ALTERNATIVE CREDIT I LP | |||||||||||||
| 981140761 | INVESTMENTS | NA | C CORP | CJ | PO BOX 10008 WILLOW HOUSE CRICKET | GRAND CAYMAN | CJ | KY1-1001 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|
| UNIVERSITY HEALTHCARE ALLIANCE | |
| P | COST |
| UNIVERSITY HEALTHCARE ALLIANCE | |
| Q | COST |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE R, PART III, COLUMNS (E), (F), (G), (H), (I), (J), AND (K) | RESPONSE IS "N/A" FOR ALL ORGANIZATIONS. |
| SCHEDULE R, PART IV, LINE (5) | CHARITABLE LEAD ANNUITY TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. |
| SCHEDULE R, PART IV, LINE (6) | CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. |
| SCHEDULE R, PART IV, LINE (5) | OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. |
| SCHEDULE R, PART IV, LINE (6) | POOLED INCOME FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. |
| SCHEDULE R, PART IV, COLUMNS (F), (G), AND (H) | RESPONSE IS "N/A" FOR ALL ORGANIZATIONS. |