2017-07-13T17:31:41-05:00 2016-08-31 PricewaterhouseCoopers LLP 101 SEAPORT BOULEVARD BOSTON MA 02210 990 2015-09-01 946174066 STANFORD HEALTH CARE % CONTROLLER STAN 6507234000 300 Pasteur Drive MC 5555 Stanford CA 94305 DAVID CONNOR INTERIM CFO 6507234000 2017-07-10 true GWEN SPENCER P00641463 6175305000 2015 2021-01-29 14:40:06Z DAVID CONNOR INTERIM CFO 300 PASTEUR DRIVE MC 5516 Stanford CA 94305 3705341644 false X HTTP://WWW.STANFORDHEALTHCARE.ORG X 1957 CA SEE SCHEDULE O 29 22 12464 1557 2781510 -592110 52627380 20436017 3325071282 3642978061 170816083 41927566 0 0 3548514745 3705341644 400500 441500 0 0 1282867413 1565889708 0 0 10911270 1775492500 1937709736 3058760413 3504040944 489754332 201300700 5382496999 5591584994 2346638819 2562149725 3035858180 3029435269 X SEE SCHEDULE O. false false 3188608841 441500 3642978061 SEE SCHEDULE O. 3188608841 true true false true false false false true false true true true false true true true false true false true true false false false false false true true true false true true false false false false false true false false false false true false false false true true true true false false true X 1041 0 true 12464 true true true true BD AE false false false true true false false false false X 29 22 true false true false true true true true true false false true true true true true true true true true true CA X CONTROLLER 6507234000 1510 PAGE MILL ROAD M/C 5555 PALO ALTO CA 94304 X SUSAN BECHTEL DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 0 0 WILLIAM BRODY DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 0 0 MARIANN BYERWALTER DIRECTOR/INTERIM CEO 2.0 3.0 X X 0 0 0 BRET COMOLLI DIRECTOR 2.0 2.0 X 0 0 0 MARY CRANSTON DIRECTOR 2.0 3.5 X 0 0 0 CHRISTOPHER DAWES DIRECTOR 2.0 50.0 X 0 1607856 473513 DAVID ENTWISTLE DIRECTOR/CEO (SEE SCHEDULE O) 50.0 3.0 X X 0 0 0 CHANDLER EVANS DIRECTOR 2.0 0.0 X 0 0 0 KAYE FOSTER-CHEEK DIRECTOR 2.0 2.0 X 0 0 0 JOHN FREIDENRICH DIRECTOR (SEE SCHEDULE 0) 2.0 2.0 X 0 0 0 JOHN GOLDMAN DIRECTOR 2.0 2.0 X 0 0 0 LORI GOLER DIRECTOR 2.0 0.0 X 0 0 0 JOHN GUNN VICE CHAIR 2.0 2.0 X 0 0 0 FRED HARMAN DIRECTOR 2.0 0.0 X 0 0 0 ROBERT HARRINGTON DIRECTOR (SEE SCHEDULE O) 2.0 51.0 X 0 881259 54835 JOEL HYATT DIRECTOR 2.0 0.0 X 0 0 0 RONALD JOHNSON VICE CHAIR 2.0 2.0 X 0 0 0 CHARLES KOOB DIRECTOR 2.0 1.0 X 0 0 0 CHIEN LEE DIRECTOR 2.0 0.0 X 0 0 0 MARK LESLIE DIRECTOR (SEE SCHEDULE O) 2.0 50.0 X 0 86437 0 JOHN LEVIN CHAIR 2.0 3.0 X 0 0 0 LINDA MEIER DIRECTOR 2.0 0.0 X 0 0 0 LLOYD B MINOR MD DIRECTOR 2.0 55.0 X 0 1716675 346555 JOHN MORGRIDGE DIRECTOR 2.0 0.0 X 0 0 0 MARGARET RAFFIN DIRECTOR 2.0 1.0 X 0 0 0 CHRISTOPHER REDLICH DIRECTOR 2.0 0.0 X 0 0 0 KATHRYN RENSCHLER MD DIRECTOR 2.0 0.0 X 0 0 0 NORMAN RIZK MD DIRECTOR 2.0 51.0 X 0 977534 45515 AMIR DAN RUBIN DIRECTOR/CEO (SEE SCHEDULE O) 50.0 7.0 X X 3329157 0 369750 JOHN SCULLY DIRECTOR 2.0 0.0 X 0 0 0 MARK WELTON MD DIRECTOR 2.0 50.0 X 0 589516 74098 WILLIAM YOUNGER DIRECTOR (SEE SCHEDULE O) 2.0 0.0 X 0 0 0 DAVID J CONNOR INTERIM CFO 50.0 2.25 X 515137 0 44205 JAMES HEREFORD COO 50.0 4.0 X 1186665 0 147275 DANIEL MORISSETTE CFO 50.0 4.25 X 1375246 0 63481 DOUGLAS GUNDERSON VP - OPS DIAG & TREAT SVCS 25.0 25.0 X 568440 0 94540 NANCY LEE CNO & VP PATIENT CARE SRVCS 50.0 0.0 X 564724 0 68359 PRAVENE NATH CHIEF MED INFO OFFICER 50.0 0.0 X 788357 0 35508 MARK TORTORICH VP DESIGN, PLAN, CONSTRUCTION 25.0 25.0 X 465587 0 56101 SHIRLEY WEBER VP CLINICAL OPERATIONS 50.0 0.0 X 343734 0 48962 BENJI M LOANZON SHC VP-CONTROLLER, SHC VC CFO 30.0 20.4 X 580826 0 50464 BRUCE HARRISON VP NETWORK DEV. 25.0 40.0 X 723855 0 123855 SRIDHAR SESHADRI VP CANCER CTR & PROCESS EXLCE 50.0 0.0 X 582856 0 66777 JENNIFER VARGAS VP BUS DEVELOPMENT 50.0 3.25 X 806089 0 63647 JASON ROOS VP & CHIEF TECHNOLOGY OFFICER 50.0 0.0 X 645021 0 48028 JERROLD MAKI VP CLINICAL SVS 50.0 0.0 X 470131 0 55499 12945825 5859277 2330967 3897 true true false STANFORD UNIVERSITY 3145 PORTER DRIVE PALO ALTO CA 94304 PROF. 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TO MEMBERS OR TO THE GENERAL PUBLIC. SHC BELONGS TO CERTAIN TRADE ASSOCIATIONS IN WHICH A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS SPENT ON EFFORTS TO INFLUENCE LEGISLATIVE MATTERS IN THE HEALTH CARE INDUSTRY. DURING FY16, SHC PAID DUES OF APPROXIMATELY $436,040 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $54,196. 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SHC HAS FUNDS TO SUPPORT THE MEDICAL DIRECTOR OF THE HOSPITAL'S CANCER CENTER, CLINICAL SERVICES, AND FUNDS TO SUPPORT THE MEDICAL DIRECTOR OF DISASTER PREPAREDNESS. SHC ALSO HAS FUNDS TO SUPPORT EDUCATIONAL PROGRAMS, CHAPLAINCY PROGRAMS, CLINICAL PASTORAL EDUCATION PROGRAM IN SPIRITUAL CARE, PATIENT CARE, INDIGENT CARE, HEALTH LIBRARY TECHNOLOGY AND NURSING STAFF THAT CARE FOR CANCER PATIENTS TO ENHANCE THE EXPERIENCE & WELLBEING OF CANCER PATIENTS. PART X, LINE 2 FIN 48 SHC HAS NO UNCERTAIN TAX POSITIONS PERTAINING TO UNRELATED BUSINESS INCOME. East Asia and the Pacific 1 2 Program Services PROMOTION OF HEALTH 638293 Middle East and North Africa 1 1 Program Services PROMOTION OF HEALTH 114252 2 3 2 3 752545 752545 false false true false false true SCHEDULE F, PART I, LINE 3 THE AMOUNTS LISTED IN COLUMN F ARE THE EXPENSES FOR THE STANFORD CENTER AT PEKING UNIVERSITY, STANFORD MEDICINE INTERNATIONAL (HONG KONG) CO., LIMITED AND STANFORD INTERNATIONAL MEDICAL SERVICES RAK FZE. 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X true true X X true X HTTP://STANFORDHEALTHCARE.ORG X SAME AS ABOVE X SAME AS ABOVE X X X X X true X false X X X X true X false false PART V, SECTION B LINE 5 IN SAN MATEO COUNTY (SMC) AND SANTA CLARA COUNTY (SCC), APPLIED SURVEY RESEARCH (ASR) CONDUCTED THE PRIMARY RESEARCH USING THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH COMMUNITY LEADERS AND STAKEHOLDERS, AND RESIDENT FOCUS GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, IN POVERTY, AND OF MINORITY POPULATIONS. ASR CONDUCTED FOCUS GROUPS AND KEY INFORMANT INTERVIEWS IN SAN MATEO AND SANTA CLARA COUNTIES WHICH CENTERED AROUND TWO CORE QUESTIONS. THESE QUESTIONS WERE MODIFIED APPROPRIATELY FOR THE GROUP (PROFESSIONALS OR RESIDENTS): -WHAT ARE THE TOP OR "PRIORITY" HEALTH NEEDS IN THE COMMUNITY THAT ARE NOT BEING WELL-MET NOW (COMPARED TO 2013)? -WHAT ARE THE ISSUES AROUND ACCESS TO HEALTHCARE AND HOW HAS THE AFFORDABLE CARE ACT IMPACTED ACCESS TO HEALTHCARE FOR THE COMMUNITY? FOCUS GROUPS SAN MATEO COUNTY: ASR HELD NINE FOCUS GROUPS IN SMC, PRIMARILY WITH RESIDENTS, AND ONE WITH PROFESSIONALS FROM ORGANIZATIONS THAT SERVE THE FOCUS POPULATION. A TOTAL OF 65 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSIONS ACROSS SMC. PARTICIPATING GROUPS INCLUDED: -SEQUOIA WELLNESS CENTER (LOW-INCOME OLDER ADULTS POPULATION) -CARLMONT HIGH SCHOOL (YOUTH POPULATION) -FAIR OAKS ACTIVITY CENTER (LOW-INCOME, SPANISH-SPEAKING OLDER ADULTS POPULATION) -MAPLE STREET SHELTER (HOMELESS ADULTS POPULATION) -EL CENTRO DE LIBERTAD (YOUTH WITH BEHAVIORAL HEALTH ISSUES POPULATION) -PRIDE INITIATIVE AT CONGREGATIONAL CHURCH OF SAN MATEO (LGBTQI POPULATION) -PACIFIC ISLANDER INITIATIVE AT PENINSULA CONFLICT RESOLUTION CENTER (TONGAN/SAMOAN POPULATION) -RAVENSWOOD HEALTH CENTER (MEDICALLY UNDERSERVED POPULATION) -BOYS & GIRLS CLUB OF HALF MOON BAY (COASTSIDE RESIDENTS POPULATION) SANTA CLARA COUNTY: TEN FOCUS GROUPS WERE HELD IN SCC BETWEEN APRIL AND SEPTEMBER 2015. HALF OF THE GROUPS WERE HELD WITH PROFESSIONALS FROM ORGANIZATIONS THAT SERVE THE FOCUS POPULATION, AND HALF WERE HELD WITH RESIDENTS THEMSELVES. SIXTY-EIGHT PROFESSIONALS AND FORTY NON-PROFESSIONAL RESIDENTS PARTICIPATED IN A FOCUS GROUP. THREE OUT OF FIVE FOCUS GROUPS WITH RESIDENTS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH. IN ADDITION TO ANSWERING THE CORE QUESTIONS ABOUT HEALTH PRIORITIES AND ACCESS, ASR ASKED SCC FOCUS GROUP PARTICIPANTS TO SHARE THEIR SUGGESTIONS FOR IMPROVEMENT OF HEALTH, INCLUDING HOW NEW OR EXISTING RESOURCES COULD BEST HELP, AND WHETHER POLICIES COULD BE DEVELOPED TO IMPACT THE NEED. PARTICIPATING GROUPS INCLUDED: -FAMILY CAREGIVER ALLIANCE (FAMILY CAREGIVERS OF OLDER ADULT POPULATION) -DESTINATION HOME (HOMELESS ADULT POPULATION) -COLUMBIA NEIGHBORHOOD CENTER (SPANISH-SPEAKING NEW AND PREGNANT MOTHER POPULATION) -LOS ALTOS HIGH SCHOOL (HIGH SCHOOL YOUTH POPULATION) -COMMUNITY HEALTH PARTNERSHIP (SPANISH-SPEAKING MEDICALLY UNDERSERVED POPULATION) -ALZHEIMERS ASSOCIATION (OLDER ADULT POPULATION) -BEHAVIORAL HEALTH CONTRACTORS ASSOCIATION OF SANTA CLARA COUNTY (MENTAL HEALTH/SUBSTANCE ABUSE POPULATION) -COMMUNITY SOLUTIONS (SOUTH COUNTY RESIDENT POPULATION) -ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT (VIETNAMESE-SPEAKING ADULT POPULATION) INTERVIEWS ASR INTERVIEWED VARIOUS PROFESSIONALS, INCLUDING PUBLIC HEALTH EXPERTS, IN SCC AND SMC 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. IN BOTH COUNTIES, ASR ASKED INFORMANTS 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. SAN MATEO COUNTY: IN SMC, ASR CONDUCTED 29 KEY INFORMANT INTERVIEWS. IN ADDITION TO THE CORE QUESTIONS ABOUT HEALTH PRIORITIES AND ACCESS DESCRIBED ABOVE, INFORMANTS WERE ASKED TO DISCUSS HOW THE BUILT/PHYSICAL ENVIRONMENT IN SMC IMPACTS HEALTH AND HOW TECHNOLOGY MAY BE USED TO IMPROVE HEALTH. SANTA CLARA COUNTY: ASR INTERVIEWED FIVE SCC EXPERTS FROM VARIOUS ORGANIZATIONS IN THE HEALTH SECTOR. IN ADDITION TO THE CORE QUESTIONS ABOUT HEALTH PRIORITIES AND ACCESS, THEY WERE ASKED TO EXPLAIN WHICH BARRIERS TO GOOD HEALTH OR ADDRESSING HEALTH NEEDS EXIST, AND TO SHARE WHICH SOLUTIONS MAY IMPROVE HEALTH (INCLUDING EXISTING RESOURCES AND POLICY CHANGES). SURVEY (SANTA CLARA COUNTY ONLY) ASR INVITED 65 COMMUNITY LEADERS WITH EXPERTISE IN SERVING THE COMMUNITY TO PARTICIPATE IN AN ONLINE SURVEY. THE SURVEY ASKED PARTICIPANTS TO RANK A LIST OF HEALTH NEEDS IN SANTA CLARA COUNTY AND INVITED THEM TO ADD OTHER NEEDS TO THE LIST. THERE WERE 49 RESPONSES TO THE SURVEY, WHICH REFLECTED A RANGE OF EXPERTISE. PARTICIPANTS ORGANIZATIONS INCLUDED BEHAVIORAL HEALTH AGENCIES, AGENCIES THAT HELP FAMILIES WITH BASIC NEEDS, SCHOOL SYSTEMS, AND OTHER NONPROFIT ORGANIZATIONS. ASR COMBINED THE RESULTS OF THE SURVEY WITH INPUT GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS TO DETERMINE THE COMMUNITYS PRIORITIES. PART V, SECTION B, LINE 6A -EL CAMINO HOSPITAL -KAISER PERMANENTE - SANTA CLARA, SAN JOSE, SOUTH SAN FRANCISCO AND REDWOOD CITY -LUCILE PACKARD CHILDREN'S HOSPITAL STANFORD HEALTH CARE -O'CONNOR HOSPITAL -SAINT LOUISE REGIONAL -SAN MATEO MEDICAL CENTER -SEQUOIA HOSPITAL -SETON MEDICAL CENTER -SUTTER HEALTH PENINSULA COASTAL REGION PART V, SECTION B, LINE 6B -UNITED WAY SILICON VALLEY -SAN MATEO COUNTY HEALTH DEPARTMENT -SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT PART V, SECTION B, LINE 7A/10A URL AT WHICH THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE: HTPPS://STANFORDHEALTHCARE.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS.HTML PART V, SECTION B, LINE 11 OF THE 21 HEALTH NEEDS IDENTIFIED BY THE CHNA PROCESS, SHC SELECTED FIVE TO ADDRESS. ACCESS TO CARE, CANCER, INFECTIOUS DISEASE, OBESITY/DIABETES, AND BEHAVIORAL HEALTH. SHC ADDRESSES THESE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS BY PARTNERING WITH FREE- AND COMMUNITY-BASED CLINICS AND OTHER COMMUNITY-BASED ORGANIZATIONS. FOR A DETAILED DESCRIPTION OF SHCS COMMUNITY PARTNERS AND RESOURCES PROVIDED SEE THE IMPLEMENTATION STRATEGY AT HTPPS://STANFORDHEALTHCARE.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS.HTML THE FOLLOWING FIVE CRITERIA WERE USED TO PRIORITIZE THE 21 HEALTH NEEDS AND DETERMINE, WHICH HEALTH NEEDS WILL BE ADDRESSED BY SHC BETWEEN 2017 AND 2019: -CRITERION 1: CUTS ACROSS BOTH SAN MATEO AND SANTA CLARA COUNTIES (IMPACTS SHCS COMMUNITY) -CRITERION 2: IDENTIFIED AS A PRIORITY HEALTH NEED BY COMMUNITY INPUT -CRITERION 3: SHC HAS THE REQUIRED EXPERTISE AND RESOURCES TO MAKE AN IMPACT -CRITERION 4: MAGNITUDE/SCALE: AFFECTS A LARGE NUMBER OF INDIVIDUALS -CRITERION 5: ALTHOUGH NOT A NEED IN THE GENERAL POPULATION, DISPARITIES OR INEQUITIES EXIST HEALTH NEEDS NOT BEING ADDRESSED: OF THE 21 HEALTH NEEDS IDENTIFIED BY THE CHNA PROCESS, SHC SELECTED FIVE TO ADDRESS. OF THE SIXTEEN OTHER HEALTH NEEDS, THREE ARE INDIRECTLY ADDRESSED THROUGH THE HEALTH INITIATIVES DESCRIBED IN THE IMPLEMENTATION STRATEGY: CEREBROVASCULAR DISEASES, DIET/FITNESS/NUTRITION, AND RESPIRATORY CONDITIONS. THE HEALTH NEEDS LISTED BELOW ARE NOT CURRENTLY ADDRESSED IN THE IMPLEMENTATION STRATEGY. THE REASONS WHY THE NEED IS NOT BEING ADDRESSED INCLUDE -HOUSING: DOES NOT MEET CRITERION 3 -ORAL & DENTAL HEALTH: DOES NOT MEET CRITERION 3 -VIOLENCE & ABUSE: DOES NOT MEET CRITERION 3 OR CRITERION 4 -ALZHEIMERS DISEASE AND DEMENTIA: DOES NOT MEET CRITERION 2 OR 5 -BIRTH OUTCOMES: DOES NOT MEET CRITERION 2 OR 3 -ECONOMIC SECURITY: DOES NOT MEET CRITERION 2 OR 3 -SEXUAL HEALTH: DOES NOT MEET CRITERION 2, 3, OR, 4 -LEARNING DISABILITIES: DOES NOT MEET CRITERION 1, 3, 4, OR 5 -TOBACCO USE: DOES NOT MEET CRITERION 1, 3, 4, OR 5 -TRANSPORTATION AND TRAFFIC: DOES NOT MEET CRITERION 1, 3, 4, OR 5 -ARTHRITIS: DOES NOT MEET ANY CRITERION -CLIMATE CHANGE: DOES NOT MEET ANY CRITERION -UNINTENTIONAL INJURIES: DOES NOT MEET CRITERION 1, 2, 4, OR 5 PART V, SECTION B, LINE 16A-C URL AT WHICH THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE HTTPS://STANFORDHEALTHCARE.ORG/FOR-PATIENTS-VISITORS/BILLING/FINANCIAL-ASS ISTANCE.HTML 5 STANFORD EMP HEALTH CLINIC AT QUALCOMM 5535 MOREHOUSE DRIVE SAN DIEGO CA 92121 STANFORD EMPL HEALTH CLINIC AT QUALCOMM STANFORD EMP HEALTH CLINIC AT DREAMWORKS 1000 FLOWER STREET GLENDALE CA 91201 STANFORD EMPL HEALTH CLINIC AT DREAMWORKS STANFORD EMP HEALTH CLINIC AT CISCO 3571 N 1st Street San Jose CA 95134 STANFORD EMP HEALTH CLINIC AT CISCO STANFORD EMP HEALTH CLINIC AT YAHOO 701 FIRST AVENUE SAN JOSE CA 94089 STANFORD EMP HEALTH CLINIC AT YAHOO STANFORD EMP HEALTH CLINIC AT QUALCOMM 10155 PACIFIC HEIGHTS BLVD SAN DIEGO CA 92121 STANFORD EMP HEALTH CLINIC AT QUALCOMM PART I, LINE 6A IN SAN MATEO AND SANTA CLARA COUNTIES, COMMUNITY INPUT WAS GATHERED IN THE SPRING AND FALL OF 2015 THROUGH INTERVIEWS WITH LOCAL HEALTH EXPERTS, FOCUS GROUPS WITH COMMUNITY LEADERS AND REPRESENTATIVES, AND RESIDENT FOCUS GROUPS. SECONDARY DATA WAS OBTAINED FROM A VARIETY OF SOURCES. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS TOTALED $5,469,374 IN FY16. PART I, LINE 7F HEALTH PROFESSIONS EDUCATION RESEARCH, EDUCATION AND TRAINING ARE CORE TO SHC'S MISSION. SHC IS THE SETTING FOR TRAINING MEDICAL STUDENTS, RESIDENTS AND FELLOWS FROM THE STANFORD SCHOOL OF MEDICINE AND, AS SUCH, MAKES A SIGNIFICANT CONTRIBUTION TO TRAINING THE NEXT GENERATION OF HEALTHCARE PROVIDERS. IN FY16, SHC CONTRIBUTED MORE THAN $76,393,241 MILLION TO SUPPORT HEALTH RESEARCH, EDUCATION AND TRAINING. OF THIS AMOUNT, OVER $68 MILLION WAS SPENT TO TRAIN MEDICAL RESIDENTS AND INTERNS. IN ADDITION TO TRAINING PHYSICIANS, SHC SUPPORTS THE TRAINING OF OTHER HEALTH PROFESSIONALS. IN FY16, SHC INVESTED NEARLY $7.6 MILLION ON THIS TRAINING. HOSPITAL DEPARTMENTS SUCH AS REHABILITATION SERVICES, NURSING AND CLINICAL LABS PROVIDED CLINICAL ROTATIONS FOR PHYSICAL THERAPY, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, NURSING AND LABORATORY SCIENCE STUDENTS FROM LOCAL COLLEGES AND UNIVERSITIES. IN ADDITION, PHYSICIAN ASSISTANT STUDENTS ARE TRAINED BY SHC PHYSICIAN ASSISTANTS. SHC ALSO PROVIDES A TRAINING GROUND FOR PHARMACY RESIDENTS AND STUDENTS, RADIOLOGY AND NUCLEAR MEDICINE STUDENTS AND PSYCHOLOGY STUDENTS. THE COMMUNITY HEALTH ADVOCACY PROGRAM PROVIDES STANFORD UNDERGRADUATE STUDENTS WEEKLY COURSEWORK FOCUSED ON ADDRESSING THE STRUCTURAL DETERMINANTS OF HEALTH AND FIELD STUDY FOCUSED ON CAPACITY-BUILDING AT LOCAL HEALTH CLINICS AND NON-PROFIT ORGANIZATIONS. IN THE 2015-16 ACADEMIC YEAR, SEVEN STUDENTS DEDICATED 900 HOURS TO THE FOLLOWING SITES AND PROJECTS: SENIOR HEALTH (AVENIDAS), HEALTH CAREERS PROGRAM FOR MIDDLE SCHOOL CHILDREN (BOYS AND GIRLS CLUB), HEALTH EDUCATION FOR INTIMATE PARTNER VIOLENCE SURVIVORS (NEXT DOOR SOLUTIONS FOR DOMESTIC VIOLENCE & HOMEFIRST), AND MOBILE TECHNOLOGY MANAGEMENT OF DIABETES (SAMARITAN HOUSE). STUDENTS ENROLLED IN CLINICAL PASTORAL EDUCATION COME FROM A WIDE RANGE OF RELIGIOUS TRADITIONS, THE MAJORITY OF WHOM ARE PREPARING FOR A CAREER IN CHAPLAINCY OR SEEKING CONTINUING EDUCATION IN THE FIELD OF PASTORAL/SPIRITUAL CARE. UPON COMPLETION OF THE YEAR-LONG PROGRAM, MOST STUDENTS USE THEIR TRAINING AS CLERGY (PASTORS, PRIESTS, RABBIS, CHAPLAINS, ETC.) TO PROVIDE EFFECTIVE SPIRITUAL CARE TO INDIVIDUALS AND FAMILIES FACING HEALTH CHALLENGES AND OTHER HARDSHIPS SUCH AS DEATH, DYING AND BEREAVEMENT. THIS PROGRAM SERVED APPROXIMATELY 7,500 INDIVIDUALS IN FY 2016. PART I, LINE 7G SUBSIDIZED HEALTH SERVICES STANFORD LIFE FLIGHT IS A STANFORD OPERATED HELICOPTER AIR MEDICAL AND CRITICAL CARE GROUND TRANSPORT PROGRAM AVAILABLE 365 DAYS/YEAR, 24 HOURS/DAY, SERVING NORTHERN CA IN THE TRANSPORT OF CRITICALLY ILL AND INJURED ADULT, PEDIATRIC, AND NEONATAL PATIENTS TO DEFINITIVE CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. LIFE FLIGHT TRANSPORTS 73% OF THE PROGRAM'S FLIGHT VOLUME FROM PARTNER HOSPITALS TO STANFORD OR OTHER MAJOR MEDICAL CENTERS, AND THE REMAINING PATIENTS ARE TRANSPORTED DIRECTLY FROM ACCIDENT SCENES OR MEDICAL EMERGENCIES TO TRAUMA CENTERS OR SPECIALTY MEDICAL CENTERS (STROKE, BURNS, ETC.). IN FY 16, LIFE FLIGHT TRANSPORTED 416 ADULT AND PEDIATRIC PATIENTS TO STANFORD HOSPITAL, LUCILE PACKARD CHILDREN'S HOSPITAL, AND OTHER BAY AREA MAJOR MEDICAL CENTERS. PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT TOTALED $3,660,481 IN FY16. PART II COMMUNITY EMERGENCY RESPONSE SHC PLAYS A KEY ROLE IN DISASTER PLANNING FOR THE COMMUNITY. THROUGH THE OFFICE OF EMERGENCY MANAGEMENT (OEM), SHC COLLABORATES WITH LOCAL MUNICIPALITIES, COUNTY GOVERNMENT, AND OTHER HOSPITALS TO COORDINATE PLANNING, MITIGATION, RESPONSE, AND RECOVERY ACTIVITIES FOR EVENTS THAT COULD ADVERSELY IMPACT THE COMMUNITY. THE GOAL OF THESE ACTIVITIES IS TO MINIMIZE THE IMPACT ON LIFE, PROPERTY, AND THE ENVIRONMENT FROM CATASTROPHIC EVENTS SUCH AS PANDEMIC FLU, EARTHQUAKES, AND OTHER DISASTERS. OEM WORKS WITH EMERGENCY MEDICAL SERVICES (EMS) IN BOTH SAN MATEO AND SANTA CLARA COUNTIES ON JOINT DISASTER EXERCISES, DISASTER PLANNING AND MITIGATION, AND BEST PRACTICES. OEM PROVIDES A CRITICAL SERVICE FOR SAN MATEO AND SANTA CLARA COUNTIES' EMS AND OTHER AGENCIES, AS WELL AS THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND OTHER HOSPITALS BY MAINTAINING CACHES OF EMERGENCY MEDICAL EQUIPMENT AND SUPPLIES FOR READY ACCESS AND DEPLOYMENT IN THE CASE OF DISASTER OR EMERGENCIES. OEM PROVIDES REGULAR INVENTORY REVIEW AND 24/7 SECURITY TO ENSURE THAT THESE EMS SUPPLIES ARE SERVICE-READY AT ALL TIMES. PART III, LINE 2 AND 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 SHC HAS BEEN UTILIZING A COST ACCOUNTING (EPSI) SYSTEM TO MONITOR ITS OPERATION COST. THE SYSTEM SEPARATES THE COST INTO 4 MAJOR CATEGORIES, VARIABLE DIRECT COST, FIXED DIRECT COST, VARIABLE INDIRECT COST AND FIXED INDIRECT COST. THE OVERHEAD COSTS ARE ALLOCATED TO THE REVENUE GENERATED PATIENT CARE COST CENTERS AND INDIVIDUAL PATIENT ACCOUNT BASED ON THE STEP DOWN METHODOLOGY AND VARIOUS STATISTICAL UNITS OF SERVICES. THE COST OF CHARGE RATIO (RCC) FOR MEDICARE PROGRAM IS DETERMINED BY THE TOTAL COST OF SHC DISCHARGED AND FINAL BILLED MEDICARE PATIENTS, INCLUDING ALL 4 COST CATEGORIES MENTIONED ABOVE AND DIVIDED BY THE TOTAL CORRESPONDING DISCHARGED AND FINAL BILLED MEDICARE CHARGES FOR FY 2016. THE AMOUNT OF THE COST FOR PART III, SECTION B LINE 6 IS DETERMINED BY APPLYING THE PAYER SPECIFIC RCC TO ALL CHARGES FOR MEDICARE RELATED PROGRAMS, INCLUDING TRADITIONAL MEDICARE PROGRAM AND MANAGED CARE SENIOR PROGRAMS RESPECTIVELY. SHC'S LARGEST COMMUNITY BENEFIT INVESTMENT IS IN IMPROVING ACCESS TO NEEDED HEALTHCARE SERVICES FOR VULNERABLE COMMUNITY MEMBERS. BENEFITS AND THE SERVICES ARE NOT ONLY PROVIDED TO THE POOR BUT TO THOSE WHO NEED SPECIAL SERVICES AND SUPPORT, WHICH INCLUDES MEDICARE BENEFICIARIES. THUS, TOTAL COMMUNITY BENEFIT EXPENSE INCLUDES UNCOMPENSATED COSTS OF PUBLIC PROGRAM FOR TREATING MEDICARE BENEFICIARIES IN EXCESS OF GOVERNMENT PAYMENTS. PART III, LINE 9B IT IS THE POLICY OF SHC TO FOLLOW THE STANDARDS AND PRACTICES FOR COLLECTION OF PATIENT DEBT IN ACCORDANCE WITH THE REQUIREMENTS OF CALIFORNIA ASSEMBLY BILL 774. SHC HAS A VARIETY OF OPTIONS FOR PATIENTS FACING FINANCIAL HARDSHIP, INCLUDING UNINSURED DISCOUNTING, NO INTEREST PAYMENT ARRANGEMENTS, AND A CHARITY CARE PROGRAM. PATIENTS WHO APPLY FOR CHARITY CARE AND QUALIFY MAY RECEIVE UP TO 100% FINANCIAL ASSISTANCE. SHC WILL SUSPEND ANY AND ALL COLLECTION ACTIONS IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, INCLUDING ALL REQUISITE SUPPORTING DOCUMENTATION, IS RECEIVED. SHC DOES NOT ALLOW THEIR COLLECTION AGENCIES TO REPORT DEBT TO CREDIT BUREAUS, GARNISH WAGES, OR FILE LIENS ON PRIMARY RESIDENCES. PART VI, LINE 2 NEEDS ASSESSMENT: COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) - PROCESS AND METHODS THE SANTA CLARA COUNTY COMMUNITY BENEFIT COALITION, WHICH INCLUDES EIGHT LOCAL NON-PROFIT HOSPITALS, SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT, UNITED WAY SILICON VALLEY AND OTHER PARTNERS, AND THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY, A COALITION OF SEVEN LOCAL NON-PROFIT HOSPITALS, SAN MATEO COUNTY HEALTH SYSTEM AND OTHER PARTNERS (SEE ACKNOWLEDGEMENTS) BEGAN THE CHNA PROCESS IN 2015 (NEXT CHNA WILL BE COMPLETED IN 2019 IN ALIGNMENT WITH IRS FINAL RULES). THE GOAL WAS TO COLLECTIVELY GATHER COMMUNITY FEEDBACK, UNDERSTAND EXISTING DATA ABOUT HEALTH STATUS AND PRIORITIZE LOCAL HEALTH NEEDS IN EACH COUNTY. IN SAN MATEO AND SANTA CLARA COUNTIES, COMMUNITY INPUT WAS GATHERED DURING THE SPRING AND FALL OF 2015 THROUGH INTERVIEWS WITH LOCAL HEALTH EXPERTS, FOCUS GROUPS WITH COMMUNITY LEADERS AND REPRESENTATIVES, AND RESIDENT FOCUS GROUPS. SECONDARY DATA WAS OBTAINED FROM A VARIETY OF SOURCES. IN LATE 2015 THROUGH EARLY 2016, HEALTH NEEDS WERE IDENTIFIED BY SYNTHESIZING PRIMARY QUALITATIVE RESEARCH AND SECONDARY DATA, AND THEN FILTERING THOSE NEEDS AGAINST A SET OF CRITERIA. NEEDS WERE THEN REVIEWED AND PRIORITIZED BY COUNTYWIDE GROUPS CONSISTING OF MEMBERS OF THE COUNTY COALITIONS AND COMMUNITY LEADERS USING ANOTHER SET OF CRITERIA. THE COALITIONS THEN MET AGAIN TO IDENTIFY THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS, INCLUDING HOSPITALS, CLINICS AND COMMUNITY-BASED PROGRAMS AND SERVICES. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SHC PROVIDES DEDICATED RESOURCES TO PATIENTS THAT APPLY FOR CHARITY CARE AND PROACTIVELY CONDUCTS OUTREACH TO PATIENTS TO INFORM THEM OF THE PROGRAM'S AVAILABILITY AND THEIR POTENTIAL ELIGIBILITY FOR ASSISTANCE. BROCHURES AND SIGNAGE ARE CONSPICUOUSLY DISPLAYED AT ALL CARE DELIVERY LOCATIONS WITH INSTRUCTION ON WHERE TO LOCATE ADDITIONAL INFORMATION ON ELIGIBILITY FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE APPLICATIONS, AND INSTRUCTIONS ON HOW TO APPLY ARE ALSO AVAILABLE ON THE SHC WEBSITE, VIA MAIL, AND IN ALL SHC CARE DELIVERY LOCATIONS. PART VI, LINE 4 COMMUNITY INFORMATION SHC IS A REGIONAL REFERRAL CENTER FOR AN ARRAY OF ADULT SPECIALTIES, DRAWING PATIENTS FROM THROUGHOUT CALIFORNIA, ACROSS THE COUNTRY, AND INTERNATIONALLY. HOWEVER, A MAJORITY OF SHC'S PATIENTS ARE RESIDENTS OF SAN MATEO AND SANTA CLARA COUNTIES. THEREFORE, FOR PURPOSES OF ITS COMMUNITY BENEFIT PROGRAM INITIATIVES, SHC HAS IDENTIFIED THESE TWO COUNTIES AS ITS TARGET COMMUNITY. SHC MAINTAINS A STRONG COMMITMENT TO THE HEALTH OF ITS COMMUNITY MEMBERS AND DEDICATES CONSIDERABLE RESOURCES TO SUPPORT ITS COMMUNITY PARTNERSHIP PROGRAM. SANTA CLARA COUNTY IN 2015, SANTA CLARA COUNTY HAD APPROXIMATELY 1.9 MILLION RESIDENTS WITH MORE THAN HALF OF THOSE INDIVIDUALS LIVING IN SAN JOSE. THE COUNTY POPULATION WAS 56 PERCENT WHITE, 36 PERCENT ASIAN, 27 PERCENT LATINO/HISPANIC AND 3 PERCENT AFRICAN-AMERICAN AND 0.5 PERCENT PACIFIC ISLANDER. FOREIGN-BORN INDIVIDUALS MAKE UP 37 PERCENT OF COUNTY RESIDENTS. THE LARGEST GROUPS ARE FROM MEXICO AND CHINA (27 PERCENT), FOLLOWED BY VIETNAM AND INDIA (22 PERCENT), AND THE PHILIPPINES (15 PERCENT). IN 2014, SANTA CLARA COUNTY'S MEDIAN INCOME WAS NEARLY $94,000; THE HIGHEST IN THE STATE. DESPITE THE HIGH MEDIAN INCOME LEVEL, 14 PERCENT OF THE COUNTY'S GENERAL POPULATION AND ONE IN TEN OF CHILDREN WERE LIVING BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL), WHICH FOR A FAMILY OF FOUR WAS $24,250 PER YEAR. UNFORTUNATELY, THE FPL DOES NOT TAKE INTO CONSIDERATION LOCAL CONDITIONS SUCH AS COST OF LIVING IN THE SAN FRANCISCO BAY AREA. AS SUCH, THE FAMILY ECONOMIC SELF-SUFFICIENCY STANDARD (FESSS) IS A BETTER ESTIMATE OF ECONOMIC STABILITY IN SANTA CLARA COUNTY. FESSS ESTIMATES THAT AN ANNUAL INCOME OF $90,750 IS NECESSARY FOR A FAMILY OF FOUR (TWO ADULTS AND TWO CHILDREN AGES 3-5) LIVING IN SCC TO MEET THEIR MOST BASIC EXPENSES. WHILE THE CALIFORNIA MINIMUM WAGE INCREASED TO $10 PER HOUR IN JANUARY 2016, THE FESSS ESTIMATE IS EQUIVALENT TO MORE THAN 4 FULL-TIME MINIMUM WAGE JOBS. BY 2030, ONE IN FOUR SANTA CLARA COUNTY RESIDENTS WILL BE OVER THE AGE OF 60. THE FASTEST GROWING SEGMENT OF THIS POPULATION IS 85 YEARS AND OLDER. THE INCREASE OF INDIVIDUALS OVER THE AGE OF 60 WILL HAVE A SIGNIFICANT IMPACT ON THE COUNTY'S ABILITY TO PROVIDE SERVICES TO MEET THE NEEDS OF THIS BURGEONING POPULATION. ADDITIONALLY, ACCORDING TO THE ELDER ECONOMIC SECURITY INDEX (ELDER INDEX), NEARLY HALF OF SCC OLDER ADULTS ARE ECONOMICALLY INSECURE, WITH INCOMES TOO LOW TO MEET THEIR BASIC NEEDS WITHOUT ADDITIONAL ASSISTANCE. 67 PERCENT OF LATINO SENIORS AND 76 PERCENT OF ASIAN SENIORS ARE LIVING IN IMPOVERISHED CONDITIONS, COMPARED WITH 32 PERCENT OF WHITE (NON-LATINO) SENIORS. ADDITIONALLY, FEMALE SENIORS AND SENIORS AGES 75 AND OLDER (ANY GENDER) ARE MORE LIKELY TO EXPERIENCE POVERTY COMPARED TO MALE SENIORS AND THOSE BETWEEN THE AGES OF 65 AND 74. THE MAJORITY OF THE 6,556 PEOPLE COUNTED IN THE 2015 SANTA CLARA COUNTY HOMELESS CENSUS WERE SINGLE INDIVIDUALS OVER THE AGE OF 25 YEARS (73 PERCENT). THIRTEEN PERCENT OF THIS POPULATION WAS UNACCOMPANIED CHILDREN AND TRANSITION-AGE YOUTH UNDER THE AGE OF 25 (CHILDREN AND YOUTH LIVING ON THEIR OWN WITHOUT THE PRESENCE OF A PARENT OR ADULT FAMILY MEMBER). THE SURVEY ALSO FOUND THAT 68 PERCENT OF THOSE INDIVIDUALS CITED INABILITY TO AFFORD RENT AS THE REASON FOR BEING UNSHELTERED AND MORE THAN HALF REPORTED THEY HAD NO WORK OR INCOME. IN COMPARISON TO THE GENERAL POPULATION OF SANTA CLARA COUNTY, A HIGHER PERCENTAGE OF SURVEY RESPONDENTS IDENTIFIED AS HISPANIC OR LATINO (38 PERCENT COMPARED TO 27 PERCENT). A MUCH HIGHER POPULATION OF SURVEY RESPONDENTS IDENTIFIED AS BLACK OR AFRICAN AMERICAN, 18 PERCENT COMPARED TO 3 PERCENT OF THE GENERAL POPULATION. ONLY THREE PERCENT OF HOMELESS RESPONDENTS IDENTIFIED AS ASIAN, COMPARED TO 35 PERCENT OF THE GENERAL POPULATION. SAN MATEO COUNTY SAN MATEO COUNTY (SMC), LOCATED ON THE SAN FRANCISCO PENINSULA, IS MADE UP OF 20 CITIES AND TOWNS. IN 2015, THE COUNTY'S POPULATION WAS ESTIMATED OVER 765,000 WITH 42 PERCENT WHITE, 25 PERCENT HISPANIC/LATINO, 28 PERCENT ASIAN, 3 PERCENT AFRICAN-AMERICAN AND 2 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. IN 2014, THE U.S. CENSUS BUREAU ESTIMATED THAT THE MEDIAN INCOME FOR SMC RESIDENTS WAS $91,421. WHILE THIS MEDIAN INCOME WAS THE THIRD HIGHEST IN CALIFORNIA, 8 PERCENT OF ALL OF SMC INDIVIDUALS LIVED BELOW THE FEDERAL POVERTY LINE (FPL), ONE IN TEN CHILDREN LIVED BELOW FPL, AND 27 PERCENT OF SMC FEMALE HEAD OF HOUSEHOLD FAMILIES WITH CHILDREN UNDER AGE 5 LIVE BELOW FPL. AS WITH SANTA CLARA COUNTY, THE FPL DOES NOT TAKE INTO CONSIDERATION LOCAL CONDITIONS WHEN SETTING FPL. AS SUCH THE FAMILY ECONOMIC SELF-SUFFICIENCY STANDARD (FESSS) IS ALSO A BETTER MEASURE OF POVERTY IN SAN MATEO COUNTY. ACCORDING TO THE 2014 FESSS, A SINGLE PARENT WITH TWO CHILDREN LIVING IN SMC MUST EARN APPROXIMATELY $97,200 ANNUALLY TO MEET THE FAMILY'S BASIC NEEDS; THE EQUIVALENT OF FIVE FULL-TIME MINIMUM-WAGE JOBS IN SMC. ACCORDING TO THE ELDER INDEX, OLDER ADULTS ARE THE FASTEST GROWING POPULATION SEGMENT IN SMC. BY 2040, IT IS EXPECTED THAT THE SENIOR POPULATION WILL NEARLY DOUBLE; GROWING FROM 11 PERCENT IN 2010 TO 21 PERCENT. OLDER ADULTS WILL ALSO EXPERIENCE A SHIFT IN RACIAL AND ETHNIC DIVERSITY IN THE COMING YEARS. THE PERCENTAGE OF WHITE OLDER ADULTS IS PROJECTED TO DECLINE FROM 66 PERCENT IN 2009 TO 48 PERCENT BY 2030, WHILE THE PERCENT OF ASIAN AND HISPANIC OLDER ADULTS WILL GROW BY 12 PERCENT AND 5 PERCENT DURING THAT SAME TIMEFRAME. AFRICAN AMERICANS ARE ESTIMATED TO EXPERIENCE A SMALL DECREASE OF APPROXIMATELY ONE PERCENT. ALSO, PER THE ELDER INDEX, 36 PERCENT OF SENIORS STRUGGLE TO COVER THEIR BASIC EXPENSES BECAUSE THEIR ANNUAL INCOME EXCEEDS FEDERAL POVERTY GUIDELINES AND; THEREFORE, THEY MAY NOT QUALIFY FOR PUBLIC ASSISTANCE PROGRAMS. ADDITIONALLY, OF THOSE WHO LIVE ALONE, 47 PERCENT OF SENIOR WOMEN AND 36 PERCENT OF SENIOR MEN AS WELL AS 30 PERCENT OF SENIOR COUPLES ARE ECONOMICALLY INSECURE. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH A MAJORITY OF SHC'S TRUSTEES ARE MEMBERS OF THE COMMUNITY SERVED BY THE HOSPITAL AND ARE NOT EMPLOYED BY THE HOSPITAL, NOR ARE THEY FAMILY MEMBERS OF PERSONS EMPLOYED BY THE HOSPITAL. SHC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY IT SERVES WHO WISH TO JOIN THE STAFF, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. EXCESS RECEIPTS FROM SHC'S OPERATIONS ARE DEVOTED TO IMPROVEMENT OF ITS FACILITIES, DEBT SERVICE, MEDICAL TRAINING, AND RESEARCH. SHC HAS USED OPERATIONAL REVENUE TO UPDATE AND EXPAND ITS FACILITIES AND SERVICES, TO IMPROVE SYSTEMS TO ENHANCE QUALITY, TO FUND RESEARCH, AND FOR OTHER PURPOSES TO IMPROVE PATIENT CARE. INVESTMENTS IN VULNERABLE POPULATIONS SHC'S LARGEST COMMUNITY BENEFIT INVESTMENT WAS IN IMPROVING ACCESS TO HEALTH CARE FOR VULNERABLE COMMUNITY MEMBERS. IN FY 2016, SHC CONTRIBUTED NEARLY $281.5 MILLION, 78 PERCENT OF ITS COMMUNITY BENEFIT EXPENDITURES, TO ACTIVITIES SUPPORTING VULNERABLE POPULATIONS (EXCLUDING UNCOMPENSATED MEDICARE). SHC'S UNCOMPENSATED EXPENSE (COST LESS REIMBURSEMENT) FOR MEDI-CAL WAS OVER $257 MILLION. CHARITY CARE FOR UNINSURED AND UNDERINSURED PATIENTS TOTALED NEARLY $18 MILLION. ACTIVITIES FOR VULNERABLE POPULATIONS IN ADDITION TO THE INVESTMENTS IN CHARITY CARE AND UNCOMPENSATED MEDI-CAL, SHC'S CONTRIBUTION TO OTHER COMMUNITY BENEFIT ACTIVITIES FOR VULNERABLE POPULATIONS WAS $6.5 MILLION IN FY 2016. THESE ACTIVITIES PROVIDE ESSENTIAL SERVICES FOR THOSE MOST IN NEED IN OUR COMMUNITIES. SHC SUPPORTED SEVEN COMMUNITY CLINICS AND A TRANSITIONAL MEDICAL UNIT IN A HOMELESS SHELTER AS PART OF ITS IMPROVE ACCESS TO CARE HEALTH INITIATIVE. COMMUNITY PARTNERS INCLUDE CARDINAL FREE CLINICS (ARBOR AND PACIFIC), RAVENSWOOD FAMILY HEALTH CENTER, MAYVIEW COMMUNITY HEALTH CENTER, SAMARITAN HOUSE REDWOOD CITY FREE CLINIC, PENINSULA HEALTHCARE CONNECTION, ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT (AACI) HEALTH CENTER, AND THE MEDICAL RESPITE CENTER AT HOME FIRST'S BOCCARDO REGIONAL CENTER IN SAN JOSE. THE GOAL OF THIS INITIATIVE IS TO BUILD COMMUNITY CAPACITY TO DELIVER QUALITY PRIMARY AND PREVENTIVE HEALTH CARE. CARDINAL FREE CLINICS (CFC), LOCATED IN EAST MENLO PARK AND EAST SAN JOSE, PROVIDES QUALITY, FREE MEDICAL CARE TO LOW-INCOME UNINSURED POPULATIONS, WHILE OFFERING A HANDS-ON LEARNING ENVIRONMENT FOR STANFORD STUDENTS IN COMMUNITY HEALTH, CULTURALLY COMPETENT MEDICINE, AND LEADERSHIP DEVELOPMENT. IN FY 2016, SHC PROVIDED MORE THAN 2,700 FREE LAB AND PATHOLOGY TESTS, INCLUDING CHEMISTRY, HEMATOLOGY, MICROBIOLOGY AND VIROLOGY, AS WELL AS SCREENING FOR DISEASES SUCH AS HEPATITIS B. IN ADDITION TO THE LAB TESTS, SHC PROVIDED FUNDING TO SUPPORT THE CARDINAL FREE CLINICS' TECHNOLOGY INFRASTRUCTURE TO BUILD CAPACITY FOR SERVICES AND TO SUPPORT IMPROVED OPERATIONAL EFFICIENCIES AND PATIENT CARE. WITH EARLIER SHC FUNDING, CFC IMPLEMENTED AN ELECTRONIC MEDICAL RECORD (EMR) SYSTEM IN FY 2011 AND IN 2016 CONTINUED TO REFINE IT, AS WELL AS TO TRAIN STUDENT AND PHYSICIAN VOLUNTEERS ON THE NEW SYSTEM, WITH MORE THAN 175 VOLUNTEERS TRAINED. BUILDING ON THIS WORK, IN FY 2016, CFC WORKED TO MAINTAIN INTERNET CONNECTIVITY TO ENSURE ACCESS TO THE EMR SYSTEM. THE SYSTEM HAS FACILITATED AND ENHANCED LAB ORDERS, REFERRALS TO PRIMARY AND SPECIALTY CARE, CLINIC FLOW, AND CHARTING. THE EMR SYSTEM ALSO PROVIDES EASY ACCESS TO NECESSARY INFORMATION DURING THE WEEK WHEN THE CLINICS ARE NOT OPERATING. ARBOR FREE CLINIC, LOCATED IN MENLO PARK, PROVIDED 407 PATIENT VISITS TO 534 PATIENTS IN FY 2016. MOST OF ARBOR'S CLIENTS (93 PERCENT) ARE UNINSURED; 38 PERCENT ARE UNEMPLOYED; AND 34 PERCENT REQUIRE LANGUAGE INTERPRETATION SERVICES. THE CLINIC SERVES A DIVERSE POPULATION; PRIMARILY ASIAN/PACIFIC ISLANDER, HISPANIC AND WHITE. PACIFIC FREE CLINIC (PFC), LOCATED IN EAST SAN JOSE, PROVIDED 999 PATIENT VISITS TO 407 PATIENTS IN FY 2016. OVER 65% OF PFC PATIENTS ARE VIETNAMESE, AND THE REMAINING ARE MOSTLY LATINO OR OTHER ASIAN/PACIFIC ISLANDER PATIENTS. MOST PFC PATIENTS ARE 45-64 YEARS OLD AND HAVE AT LEAST ONE CHRONIC ILLNESS SUCH AS DIABETES, HYPERTENSION, DYSLIPIDEMIA, OR CHRONIC HEPATITIS B. RAVENSWOOD FAMILY HEALTH CENTER (RFHC) IS AN IMPORTANT COMMUNITY PARTNER. LOCATED IN EAST PALO ALTO, THE HEALTH CENTER PROVIDES PRIMARY CARE TO A DIVERSE, MULTI-ETHNIC, LOW-INCOME POPULATION. DURING SHC'S FISCAL YEAR 2016, RFHC PROVIDED 15,218 UNDUPLICATED LOW INCOME PATIENTS WITH 87,303 MEDICAL, DENTAL, OPTOMETRY, AND BEHAVIORAL HEALTH VISITS. RFHC'S POPULATION INCLUDED 914 UNDUPLICATED HOMELESS PATIENTS THROUGH 2,422 MEDICAL AND 649 DENTAL VISITS. RFHC COLLABORATES WITH SHC ON RESIDENCY EDUCATION FOR PEDIATRICS, CHILD AND ADULT PSYCHIATRY, CARE COORDINATION WITH RFHC PATIENTS WHO ARE SEEN IN THE ED AND/OR ARE HOSPITALIZED, AND DENTAL CARE FOR SPECIAL NEEDS CHILDREN. IN 2010, SHC ESTABLISHED A BRANCH OF THE STANFORD HEALTH LIBRARY AT RFHC TO SERVE THE EAST PALO ALTO COMMUNITY. IN ADDITION TO COMPUTERS, BOOKS AND A MYRIAD OF OTHER RESOURCES, THE LIBRARY HAS A BILINGUAL MEDICAL LIBRARIAN. THE LIBRARIAN NOT ONLY STAFFS THE LIBRARY BUT CONDUCTS RESEARCH ON CONDITION-SPECIFIC HEALTH TOPICS FOR RFHC PATIENTS AND STAFF, AS WELL AS FOR COMMUNITY MEMBERS. IN FY 2016, THE LIBRARIAN ASSISTED IN OVER 2300 INTERACTIONS WITH LIBRARY PATRONS. IN ITS PARTNERSHIP WITH MAYVIEW COMMUNITY HEALTH CENTER, SHC CONTINUED ITS FUNDING FOR INCREASED PROVIDER HOURS AND FOR THE QUALITY IMPROVEMENT OUTCOMES PROJECT FOR MAYVIEW PATIENTS WITH CHRONIC DISEASES, PARTICULARLY DIABETES. THE ADDITIONAL PROVIDER HOURS CONTRIBUTED TOWARD THE PROVISION OF 10,546 ENCOUNTER SERVICES FOR 2,571 PATIENTS AT MAYVIEW'S PALO ALTO CLINIC IN FY2016, AN INCREASE OF 7.4 PERCENT FROM FY2015 (2,393 PATIENTS). OF THE DIABETIC PATIENTS WHO WERE SEEN TWICE IN THE MEASUREMENT YEAR, 84% HAD BLOOD GLUCOSE LEVELS UNDER CONTROL (HBA1C<7). OVER 34 PERCENT OF MAYVIEW'S CLIENTS SEEN AT THIS CLINIC ARE UNINSURED, NEARLY 95 PERCENT ARE LOW-INCOME (BELOW 200 PERCENT OF THE FPL); 45 PERCENT ARE HISPANIC OR LATINO WHITE, 17 PERCENT ARE ASIAN/PACIFIC ISLANDER, AND 26 PERCENT ARE NON-HISPANIC WHITE. SHC COMMITTED MULTI-YEAR FUNDING FOR THE MEDICAL RESPITE PROGRAM (MRP). THE PROGRAM, LOCATED IN A MULTIPURPOSE HOMELESS FACILITY IN SAN JOSE, IS A 20-BED TRANSITIONAL UNIT FOR HOMELESS PATIENTS. IT PROVIDES A SAFE, SUPPORTIVE ENVIRONMENT WHERE HOMELESS PATIENTS CAN BE DISCHARGED FROM ACUTE CARE SETTINGS. THE CENTER PROVIDES SOCIAL SERVICES, SUCH AS HOUSING ASSISTANCE, HEALTH INSURANCE ENROLLMENT ASSISTANCE, FOOD AND CLOTHING, AND JOB TRAINING, IN ADDITION TO CONTINUED MEDICAL CARE. IN FY 2016, 447 HOMELESS PATIENTS WERE REFERRED TO THE MRP. OF THOSE 447, 256 WERE ACCEPTED. THE MOST FREQUENT REASON FOR NOT ACCEPTING PATIENTS WAS "ACUITY TOO HIGH (PATIENT TOO SICK)." A TOTAL OF 118 PATIENTS COMPLETED THE PROGRAM. OF THOSE PATIENTS, 92% WERE ENROLLED IN A MEDICAL HOME, 98% WERE ENROLLED IN SOME TYPE OF HEALTHCARE COVERAGE UPON DISCHARGE, AND 71% WERE PLACED IN SOME TYPE OF HOUSING. IN FY 2016 SHC CONTINUED ITS SUPPORT OF SAMARITAN HOUSE FREE CLINIC OF REDWOOD CITY. THE CLINIC PROVIDED OVER 5,200 PATIENT VISITS SERVING NEARLY 1,000 UNDUPLICATED CLIENTS IN FISCAL YEAR 2016. THE PATIENT POPULATION IS LARGELY HISPANIC (92 PERCENT) AND 99 PERCENT ARE UNINSURED. THE PATIENTS SERVED HAVE VERY LOW INCOMES, FACE LANGUAGE AND CULTURAL BARRIERS, AND ARE LIKELY TO SUFFER FROM MULTIPLE CHRONIC CONDITIONS DUE TO LACK OF PREVENTIVE CARE. ALL MEDICAL PROVIDERS AT THE CLINIC DONATE THEIR TIME AND EXPERTISE PROVIDING SERVICES SUCH AS PRIMARY CARE, DENTISTRY, GYNECOLOGY, BREAST CANCER SCREENINGS, DERMATOLOGY, DIABETIC CARE, ENDOCRINOLOGY, INTERNAL MEDICINE, NEUROLOGY, NEPHROLOGY, ORTHOPEDICS, OPHTHALMOLOGY, OPTOMETRY, PODIATRY, PULMONOLOGY, NUTRITIONAL COUNSELING AND RHEUMATOLOGY. PENINSULA HEALTHCARE CONNECTION (PHC). PENINSULA HEALTHCARE CONNECTION (PHC) IS A NONPROFIT ORGANIZATION THAT PROVIDES COMPREHENSIVE HEALTH, MENTAL HEALTH AND CASE MANAGEMENT SERVICES TO HOMELESS AND LOW-INCOME COMMUNITY MEMBERS, FREE OF CHARGE, AT THEIR STATE LICENSED MEDICAL CLINIC IN PALO ALTO. PHC IS THE ONLY PROVIDER IN NORTHERN SANTA CLARA COUNTY FOCUSED ON HEALTH SERVICES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. THE GOAL OF PHC IS TO PROMOTE THE OVERALL HEALTH AND WELLNESS OF OUR PATIENTS AND TO PROVIDE ADVOCACY FOR COMMUNITY MEMBERS WHO ARE HOMELESS OR AT RISK OF BECOMING HOMELESS. PHC PROVIDED OVER 1800 MEDICAL AND PSYCHIATRIC VISITS TO OUR PATIENTS IN 2016. THE CLINIC SERVES A DIVERSE POPULATION: 24 PERCENT ARE AFRICAN-AMERICAN, 13 PERCENT ARE ASIAN/PACIFIC ISLANDER, 15 PERCENT ARE HISPANIC, 44 PERCENT ARE WHITE, 4 PERCENT ARE "OTHERTHE MAJORITY OF PATIENTS (65 PERCENT) ARE HOMELESS. ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT (AACI) PROVIDES UNDERSERVED INDIVIDUALS AND FAMILIES IN SANTA CLARA COUNTY WITH CULTURALLY COMPETENT HIGH QUALITY HEALTH, MENTAL HEALTH AND WELLNESS PROGRAMS AND SERVICES. AACI SERVES PREDOMINANTLY LOW-INCOME, FIRST-GENERATION IMMIGRANT, AND LI PART VI, LINE 5 (CONTINUED) SHC'S EMERGENCY DEPARTMENT REGISTRATION UNIT PARTNERED WITH THE COUNTIES OF SAN MATEO AND SANTA CLARA IN A PROGRAM DESIGNED TO LINK UNINSURED PEDIATRIC PATIENTS TREATED IN THE EMERGENCY DEPARTMENT WITH ASSISTANCE PROGRAMS SUCH AS MEDI-CAL, HEALTHY FAMILIES AND HEALTHY KIDS. THIS PROGRAM RESULTED FROM STUDIES BY EWEN WANG, MD, ASSOCIATE DIRECTOR OF PEDIATRIC EMERGENCY MEDICINE, STANFORD SCHOOL OF MEDICINE, WHICH SHOWED THAT UNINSURED CHILDREN ARE LESS LIKELY TO RECEIVE ROUTINE CARE DUE TO THE FEAR OF FINANCIAL HARDSHIP ON THEIR FAMILIES. IN FY 2016, A TOTAL OF 361 REFERRALS WERE MADE TO COUNTY STAFF. OF THOSE REFERRALS, 128 CHILDREN WERE ENROLLED IN SOME TYPE OF HEALTH INSURANCE PROGRAM. SHC ALSO ASSISTED UNINSURED, LOW-INCOME PATIENTS IN RESEARCHING THEIR HEALTHCARE OPTIONS. SERVICES PROVIDED BY HEALTH ADVOCATES AND DIVERSIFIED HEALTH RESOURCES, AT NO COST TO THE CLIENT, INCLUDED HELPING INDIVIDUALS RESEARCH ELIGIBILITY REQUIREMENTS, IDENTIFY APPROPRIATE HEALTH INSURANCE PROGRAMS, COMPLETE APPLICATIONS, COMPILE REQUIRED DOCUMENTATION, AND FOLLOW UP WITH COUNTY CASE MANAGERS. FOR INDIVIDUALS ELIGIBLE FOR THE VARIOUS PROGRAMS, THIS SERVICE ASSISTS PATIENTS IN OBTAINING COVERAGE FOR MEDICAL NECESSITIES SUCH AS HOSPITAL CARE, PRESCRIPTION DRUGS, AND HOME HEALTH CARE. IN CASES WHERE A PATIENT IS DISCHARGED BUT HAS LIMITED OR NO ABILITY TO PAY FOR NECESSARY MEDICAL ITEMS AND CERTAIN NON-MEDICAL SERVICES, DEPARTMENTS SUCH AS THE SOCIAL WORK AND CASE MANAGEMENT DEPARTMENT PROVIDED FUNDING TO DEFRAY THE COSTS. MEDICAL EQUIPMENT, TRANSPORTATION, TEMPORARY HOUSING, MEDICATIONS AND MEAL ASSISTANCE, AMONG OTHER ITEMS AND SERVICES, ARE FUNDED AND /OR COORDINATED BY THESE HOSPITAL DEPARTMENTS. MINORITY POPULATIONS AN IMPORTANT GOAL OF SHC'S COMMUNITY BENEFIT PROGRAM IS TO REDUCE CANCER HEALTH DISPARITIES. IT IS A GOAL SHC SHARES WITH THE STANFORD CANCER INSTITUTE. IN FY 2016, SHC FUNDED THE FOLLOWING PROJECTS THAT PROVIDED ACCESS TO COMMUNITY-APPROPRIATE CANCER EDUCATION AND SUPPORTIVE SERVICES FOR MINORITIES, WOMEN, AND UNDERSERVED POPULATIONS: -ST. JAMES COMMUNITY FOUNDATION: CULTURALLY COMPETENT, HANDS-ON EDUCATION REGARDING PREPARING HEALTHY FOODS FOR AT-RISK COMMUNITIES, PRIMARILY AFRICAN-AMERICAN, HISPANIC AND PACIFIC ISLANDER -LATINAS CONTRA CANCER: PSYCHOSOCIAL SUPPORT FOR SPANISH-SPEAKING CANCER PATIENTS -HEP B FREE SANTA CLARA: CANCER EDUCATION AND HEPATITIS B SCREENING EDUCATION AND PROMOTION FOR THE CHINESE AND VIETNAMESE COMMUNITIES OF SANTA CLARA COUNTY THE STANFORD MEDICAL YOUTH SCIENCE PROGRAM IS A FIVE-WEEK SCIENCE- AND MEDICINE-BASED ENRICHMENT PROGRAM THAT TAKES PLACE ANNUALLY AND IS OPEN TO LOW-INCOME AND ETHNICALLY DIVERSE HIGH SCHOOL SOPHOMORES AND JUNIORS. THE GOAL OF THE PROGRAM IS TO PROMOTE THE REPRESENTATION OF ETHNIC MINORITY AND LOW-INCOME GROUPS IN THE HEALTH PROFESSIONS. SHC STAFF MENTOR STUDENTS IN A VARIETY OF DEPARTMENTS, INCLUDING ORTHOPEDICS, PHARMACY, LIFE FLIGHT, PHYSICAL THERAPY, EMERGENCY AND OTHERS MENTOR THE STUDENTS. OLDER ADULTS ACCORDING TO ONE REPORT, NEARLY ONE IN FOUR SAN MATEO COUNTY RESIDENTS WILL BE OVER THE AGE OF 65 BY 2030. THE SITUATION IS MUCH THE SAME IN SANTA CLARA COUNTY. BY 2030, MORE THAN ONE IN FOUR COUNTY RESIDENTS WILL BE AGE 60 OR OLDER. SHC PREPARED FOR THIS DEMOGRAPHIC SHIFT BY EXPANDING ITS AGING ADULT SERVICES PROGRAM (AAS) AND OFFERING COMPONENTS OF THAT PROGRAM TO THE COMMUNITY. STANFORD HOME TECHNOLOGY LIFELINE, A PROGRAM OF AAS, IS AN IN-HOME MEDICAL ALERT SERVICE THAT HELPS OLDER ADULTS REMAIN INDEPENDENT BY PROVIDING AN EASY WAY TO SUMMON HELP IN AN EMERGENCY. STANFORD LIFELINE IS ONE OF THE FEW EMERGENCY RESPONSE SERVICES THAT OFFER REDUCED OR SUBSIDIZED RATES TO THOSE IN NEED. IN FY16, 400 FREE OR REDUCED-COST LIFELINE SUBSCRIPTIONS WERE PROVIDED TO LOW-INCOME OLDER ADULTS. SHC'S 2016 COMMUNITY BENEFIT PLAN FOCUSES ON THREE HEALTH INITIATIVES: IMPROVE THE HEALTH AND WELL-BEING OF OLDER ADULTS, IMPROVE ACCESS TO CARE, AND REDUCE CANCER HEALTH DISPARITIES. IN SUPPORT OF THE FIRST INITIATIVE, SHC IMPLEMENTED FIVE EVIDENCE-BASED PROGRAMS, FREE OF CHARGE, AT LOCAL SENIOR CENTERS AND IN LOW-INCOME COMMUNITIES. THOSE PROGRAMS ARE STRONG FOR LIFE, FAREWELL TO FALLS, MATTER OF BALANCE, STEPPING ON, AND CHRONIC DISEASE SELF-MANAGEMENT. AAS'S STRONG FOR LIFE IS A GROUP EXERCISE PROGRAM WHOSE GOALS ARE TO HELP OLDER ADULTS INCREASE STRENGTH, BALANCE AND MOBILITY, AND REDUCE ISOLATION. IN FY 2016, THIS PROGRAM SERVED MORE THAN 195 INDIVIDUALS AT EIGHT SENIOR CENTERS. OF THE EIGHT SENIOR CENTERS, FIVE SERVE PRIMARILY LOW-INCOME OLDER ADULTS. AAS ALSO PROVIDES A PROGRAM CALLED CHRONIC DISEASE SELF-MANAGEMENT, A BEHAVIORALLY ORIENTED PROGRAM THAT TEACHES OLDER ADULTS HOW TO MANAGE THEIR CHRONIC CONDITIONS. PARTICIPANTS LEARN TO DO APPROPRIATE EXERCISES, EAT BETTER, MANAGE STRESS AND PAIN, MANAGE THEIR MEDICATIONS, AND BETTER COMMUNICATE WITH THEIR FAMILIES AND HEALTH CARE PROVIDERS. SHC CONDUCTED THREE, SIX-WEEK WORKSHOPS IN FY 2016. SHC'S TRAUMA SERVICES COMMUNITY OUTREACH AND INJURY PREVENTION STAFF CONTINUED TO OFFER FAREWELL TO FALLS, A BEST-PRACTICE FALL PREVENTION PROGRAM, TO RESIDENTS IN SAN MATEO AND SANTA CLARA COUNTIES. OCCUPATIONAL THERAPISTS PROVIDE HOME VISITS AND REVIEW MULTIPLE RISK FACTORS FOR FALLS. ADDITIONALLY, REGULAR FOLLOW-UP PHONE CALLS ENCOURAGE COMPLIANCE WITH EXERCISE AND OTHER RECOMMENDATIONS. ONE YEAR AFTER THE INITIAL HOME VISIT, THERAPISTS EVALUATE PARTICIPANTS' PROGRESS. THE PROGRAM ENROLLED 314 OLDER ADULTS INTO THE PROGRAM IN FY 2016. SHC'S TRAUMA SERVICES COMMUNITY OUTREACH AND INJURY PREVENTION STAFF PROVIDED SEVERAL NO-COST, EVIDENCE-BASED PROGRAMS TO HELP OLDER ADULTS IN SAN MATEO AND SANTA CLARA. IN FY 2016, FOUR SEVEN-SESSION STEPPING ON PROGRAMS WERE PROVIDED IN SANTA CLARA COUNTY. THE GOAL OF THIS PROGRAM IS TO EMPOWER OLDER ADULTS TO CHANGE BEHAVIORS THAT CAN HELP REDUCE THE RISK OF FALLING. PARTICIPANTS WORK WITH A PHYSICAL THERAPIST ON STRENGTH AND BALANCE EXERCISES, HEAR LECTURES FROM A PHARMACIST AND VISION SPECIALIST, AND PARTICIPATE IN DISCUSSIONS FACILITATED BY AN OCCUPATIONAL THERAPIST. OVER 67 OLDER ADULTS PARTICIPATED AT SIX SITES AND COMPLETED THE STEPPING ON PROGRAM. MATTER OF BALANCE, ANOTHER FREE, EVIDENCE-BASED PROGRAM, IS ALSO PROVIDED BY TRAUMA SERVICES. STAFF WORK WITH OLDER ADULTS IN A GROUP SETTING TO HELP REDUCE THE FEAR OF FALLING. IN EIGHT, TWO-HOUR SESSIONS, PARTICIPANTS LEARN TO VIEW FALLS AS CONTROLLABLE, SET GOALS FOR INCREASING ACTIVITY, LEARN TIPS TO MAKE HOME MODIFICATIONS, AND PRACTICE EXERCISES TO INCREASE STRENGTH AND BALANCE. LAY LEADERS COACH THE SESSIONS, SUPERVISED AND MENTORED BY AN OCCUPATIONAL THERAPIST. TRAUMA SERVICES PROVIDED 13 EIGHT-SESSION MOB CLASSES IN FY 2016 AT SITES IN MENLO PARK, MOUNTAIN VIEW, SUNNYVALE AND BELMONT, REDWOOD CITY, AND SAN CARLOS. IN ADDITION TO THOSE PARTICIPATING IN IN-HOME AND CENTER-BASED FALL PREVENTION PROGRAMS, AN ESTIMATED 1442 OLDER ADULTS WERE REACHED THROUGH EDUCATIONAL PRESENTATIONS AND HEALTH FAIRS BY TRAUMA SERVICES COMMUNITY OUTREACH AND INJURY PREVENTION STAFF. SHC ALSO SUPPORTS THE WORK OF TWO COUNTYWIDE COLLABORATIVES ENGAGED IN IMPROVING THE HEALTH AND WELL-BEING OF OLDER ADULTS WITH FALL PREVENTION EDUCATION: THE SAN MATEO COUNTY FALL PREVENTION TASK FORCE AND THE SANTA CLARA COUNTY FALL PREVENTION TASK FORCE. CONCERNED WITH THE GROWING INCIDENCE OF FALLS AMONG OLDER ADULTS IN SAN MATEO COUNTY, A TASK FORCE OF 50 ORGANIZATIONS REPRESENTING COMMUNITY PROVIDER AGENCIES, HOSPITALS, NONPROFIT ORGANIZATIONS, SENIOR CENTERS AND PRIVATE SERVICE PROVIDERS CAME TOGETHER TO FORM THE SAN MATEO COUNTY FALL PREVENTION TASK FORCE. THE MISSION OF THIS GROUP IS TO DECREASE FALLS AMONG OLDER ADULTS THROUGH ADVOCACY, RESOURCE DEVELOPMENT, AND COMMUNITY EDUCATION. SHC SUPPORTS THE WORK OF THE TASK FORCE WITH STAFF REPRESENTATION AND GRANT FUNDING. THIS PAST YEAR'S ACTIVITIES HAVE INCLUDED CONDUCTING NEEDS ASSESSMENTS WITH MEDICAL PROVIDERS AND HOME-BOUND OLDER ADULTS THROUGH MEALS ON WHEELS AS WELL AS FOCUS GROUPS IN ENGLISH, SPANISH AND CHINESE WITH COMMUNITY-DWELLING OLDER ADULTS. AS A FOUNDING MEMBER OF THE FALLS PREVENTION TASK FORCE IN SANTA CLARA COUNTY, SHC WORKS IN COLLABORATION WITH THE SILICON VALLEY HEALTHY AGING PARTNERSHIP, SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT, EMERGENCY MEDICAL SYSTEM, VALLEY MEDICAL CENTER, THE HEALTH TRUST, AND SAN JOS STATE UNIVERSITY TO REDUCE THE RISKS OF FALLS FOR SANTA CLARA COUNTY'S OLDER ADULTS THROUGH ADVOCACY, RESOURCE DEVELOPMENT, AND COMMUNITY AND PROVIDER EDUCATION. FY 2016 ACTIVITIES INCLUDED THE DEVELOPMENT OF A STRATEGIC PLAN, WHICH DIRECTS FUTURE EFFORTS TO OUTREACH TO MEDICAL PROVIDERS AND EXPANDED COMMUNITY OUTREACH DURING FALL PREVENTION AWARENESS MONTH EACH SEPTEMBER. HEALTH RESEARCH, EDUCATION AND TRAINING HEALTH PROFESSIONS EDUCATION RESEARCH, EDUCATION AND TRAINING ARE CORE TO SHC'S MISSION. SHC IS THE SETTING FOR TRAINING MEDICAL STUDENTS, RESIDENTS AND FELLOWS FROM THE STANFORD SCHOOL OF MEDICINE AND, AS SUCH, MAKES A SIGNIFICANT CONTRIBUTION TO TRAINING THE NEXT GENERATION OF HEALTHCARE PROVIDERS. IN FY16, SHC CONTRIBUTED $ 76,393,241 TO SUPPORT HEALTH RESEARCH, EDUCATION AND TRAINING. OF THIS AMOUNT, OVER $68 MILLION WAS SPENT TO TRAIN MEDICAL RESIDENTS AND INTERNS. IN ADDITION TO TRAINING PHYSICIANS, SHC SUPPORTS THE TRAINING OF OTHER HEALTH PROFESSIONALS. IN FY16, SHC INVESTED MORE THAN $7.6 MILLION ON THIS TRAINING. HOSPITAL DEPARTMENTS SUCH AS REHABILITATION SERVICES, NURSING AND CLINICAL LABS PROVIDED CLINICAL ROTATIONS FOR PHYSICAL THERAPY, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, NURSING AND LABORATORY SCIENCE STUDENTS FROM LOCAL COLLEGES AND UNIVERSITIES. IN ADDITION, PHYSICIAN ASSISTANT STUDENTS ARE TRAINED BY SHC PHYSICIAN ASSISTANTS. SHC ALSO PROVIDES A TRAINING GROUND FOR PHARMACY RESIDENTS AND STUDENTS, RADIOLOGY AND NUCLEAR MEDICINE STUDENTS AND PSYCHOLOGY STUDENTS. BENEFITS FOR VULNERABLE POPULATIONS* $ 281,454,441 MEDICARE (UNCOMPENSATED EXPENSE) $ 512,219,096 BENEFITS FOR THE LARGER COMMUNITY $ 4,148,779 HEALTH RESEARCH, EDUCATION AND TRAINING $ 76,393,241 TOTAL EXCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $ 361,996,461 TOTAL INCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $ 874,215,557 * INCLUDES UNCOMPENSATED COST OF MEDI-CAL, CHARITY CARE, AND SHC COMMUNITY BENEFIT PROGRAMS WHOSE TARGET AUDIENCE IS CATEGORY 1: BENEFITS FOR VULNERABLE POPULATIONS, AND EXCLUDES THE NON-REIMBURSED COST OF MEDICARE. PART VI, LINE 6 IN MAY 2015, THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS (VCHS) BECAME AN AFFILIATE OF STANFORD HEALTH CARE (SHC). VCHS PARTNERS WITH SHC TO SERVE THE EAST BAY'S TRI-VALLEY REGION OF LIVERMORE, DUBLIN AND PLEASANTON. VCHS'S FACILITIES IN LIVERMORE, DUBLIN AND PLEASANTON INCLUDE VALLEY MEDICAL CENTER, EMERGENCY SERVICES AND TWO URGENT CARE CENTERS. VCHS ALLOWS SHC TO EXPAND ITS PRESENCE IN THE CRITICAL TRI-VALLEY AREA BY PARTNERING WITH A HIGH QUALITY, HIGH VALUE COMMUNITY HOSPITAL. VCHS WILL PARTICIPATE IN ALL THREE OF SHC'S MISSIONS BY PROVIDING SHC'S LEADING EDGE CLINICAL CARE IN THE VCHS COMMUNITY, TRAINING FUTURE MEDICAL LEADERS THROUGH RESIDENCY ROTATIONS AND OTHER ACADEMIC PURSUITS, AND PROVIDING THE TRI-VALLEY AREA INCREASED ACCESS TO CLINICAL TRIALS FOR LIFE-SAVING TREATMENTS. IN ADDITION, SHC'S GROWING EXPERTISE IN POPULATION AND PRECISION HEALTH WILL BE LEVERAGED TO SERVE THIS COMMUNITY. PART VI, LINE 7 ALL STATES IN WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: CALIFORNIA true HEALTHCARE FOUNDATION 1215 K ST STE 730 SACREMENTO CA 95814 861174825 501(C)(3) 80000 MEDICAL RESPITE PRGM MAYVIEW COMMUNITY HEALTH CNTR 270 GRANT AVE PALO ALTO CA 94306 942239648 501(c)(3) 70000 SUPPORT COMMUNITY CLINIC ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT 2400 MOORPARK AVE SAN JOSE CA 95128 942292491 501(c)(3) 27000 SUPPORT COMMUNITY CLINIC VMC FOUNDATION 2400 MOORPARK 207 SAN JOSE CA 95128 770187890 501(C)(3) 7500 INFECTIOUS DISEASE SUPPORT LATINAS CONTRA CANCER 255 NO MARKET ST SAN JOSE CA 95110 562412069 501(C)(3) 7500 CANCER SUPPORT/EDUCATION ST JAMES COMMUNITY FOUNDATION PO BOX 995 SAN MATEO CA 94403 463224440 501(c)(3) 7500 CANCER SUPPORT/EDUCATION PENINSULA HEALTHCARE CONNECTION 33 ENCINA AVE 103 PALO ALTO CA 94301 202886131 501(C)(3) 25000 HEALTHCARE FOR HOMELESS SOUTH COUNTY COMMUNITY HEALTH CENTER 1885 BAY ROAD EAST PALO ALTO CA 94303 943372130 501(C)(3) 77500 SUPPORT COMMUNITY CLINIC SAMARITAN HOUSE 4301 PACIFIC BLVD SAN MATEO CA 94403 237416272 501(C)(3) 75000 SUPPORT COMMUNITY CLINIC BOARD OF TRUSTEES STANFORD UNIVERSITY 3145 PORTER DR PALO ALTO CA 94304 941156365 501(C)(3) 57000 HEALTH ADVOCACY/ CARDINAL FREE CLINICS INDIA COMMUNITY CENTER 525 LOS COCHES STREET MILPITAS CA 95035 522351119 501(C)(3) 7500 SUPPORT COMMUNITY CLINIC 11 PROCEDURES FOR MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 WHEN A GRANT IS APPROVED, SOMEONE WITH SIGNATURE AUTHORITY FROM THE GRANTEE ORGANIZATION SIGNS THE GRANT AGREEMENT, WHICH INCLUDES A RECEIPT OF FUNDS STATEMENT (WHEN AND HOW MUCH WAS RECEIVED) AND THE PURPOSE FOR WHICH THE FUNDS MUST BE USED. A GRANTS MANAGER MAINTAINS CONTACT THROUGHOUT THE GRANT PERIOD FOR USE OF FUNDS AND PROGRESS ON STATED GOALS AND OBJECTIVES. AT THE END OF THE GRANT PERIOD, FINAL GRANT REPORTS ARE REVIEWED BY THE GRANT MANAGER. COPIES OF ALL DOCUMENTS ARE KEPT IN HARD FILES AND ELECTRONICALLY BY THE GOVERNMENT AND COMMUNITY RELATIONS DEPARTMENT. X true true X X X X X true true false false false false false true false CHRISTOPHER DAWES DIRECTOR 0 920060 0 483212 0 204584 0 436532 0 36981 0 2081369 0 0 ROBERT HARRINGTON DIRECTOR (SEE SCHEDULE O) 0 514042 0 343440 0 23777 0 18550 0 36285 0 936094 0 0 LLOYD B MINOR MD DIRECTOR 0 1385420 0 200000 0 131255 0 308873 0 37682 0 2063230 0 0 NORMAN RIZK MD DIRECTOR 0 398133 0 579030 0 371 0 26500 0 19015 0 1023049 0 0 AMIR DAN RUBIN DIRECTOR/CEO (SEE SCHEDULE O) 1830198 0 1162531 0 336428 0 329395 0 40355 0 3698907 0 283726 0 MARK WELTON MD DIRECTOR 0 295762 0 293754 0 0 0 26500 0 47598 0 663614 0 0 DAVID J CONNOR INTERIM CFO 337506 0 102054 0 75577 0 24622 0 19583 0 559342 0 0 0 JAMES HEREFORD COO 721882 0 330951 0 133832 0 114691 0 32584 0 1333940 0 76114 0 DANIEL MORISSETTE CFO 781622 0 469308 0 124316 0 23850 0 39631 0 1438727 0 0 0 DOUGLAS GUNDERSON VP - OPS DIAG & TREAT SVCS 411405 0 114126 0 42909 0 64769 0 29771 0 662980 0 33017 0 NANCY LEE CNO & VP PATIENT CARE SRVCS 392860 0 110831 0 61033 0 26500 0 41859 0 633083 0 0 0 PRAVENE NATH CHIEF MED INFO OFFICER 473227 0 147626 0 167504 0 23850 0 11658 0 823865 0 84663 0 MARK TORTORICH VP DESIGN, PLAN, CONSTRUCTION 307169 0 93373 0 65045 0 24663 0 31438 0 521688 0 0 0 SHIRLEY WEBER VP CLINICAL OPERATIONS 284415 0 56450 0 2869 0 23850 0 25112 0 392696 0 0 0 BENJI M LOANZON SHC VP-CONTROLLER, SHC VC CFO 335737 0 175557 0 69532 0 23905 0 26559 0 631290 0 0 0 BRUCE HARRISON VP NETWORK DEV. 508587 0 126158 0 89110 0 81765 0 42090 0 847710 0 49707 0 SRIDHAR SESHADRI VP CANCER CTR & PROCESS EXLCE 396157 0 108636 0 78063 0 26500 0 40277 0 649633 0 0 0 JENNIFER VARGAS VP BUS DEVELOPMENT 541186 0 166864 0 98039 0 23850 0 39797 0 869736 0 0 0 JASON ROOS VP & CHIEF TECHNOLOGY OFFICER 273556 0 55238 0 316227 0 23850 0 24178 0 693049 0 0 0 JERROLD MAKI VP CLINICAL SVS 308137 0 92682 0 69312 0 25887 0 29612 0 525630 0 0 0 SCHEDULE J, PART I, LINE 1A HOUSING ALLOWANCE 3 OFFICERS AND 2 HIGHEST COMPENSATED EMPLOYEES RECEIVED HOUSING AS A TAXABLE BENEFIT AND THE AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B (III). SCHEDULE J, PART I, LINE 4A IN 2015 IN CONNECTION WITH HIS DEPARTURE, A HIGHEST COMPENSATED EMPLOYEE RECEIVED TOTAL SEVERANCE PAYMENTS OF $315,016, WHICH ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). SCHEDULE J, PART I, LINE 4B STANFORD HEALTH CARE ("SHC") PROVIDES ALL SENIOR EXECUTIVES WITH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS. FOR EACH CALENDAR YEAR, A HYPOTHETICAL ACCOUNT IS ESTABLISHED FOR EACH PARTICIPANT AND CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION) AS OF THE LAST DAY OF EACH QUARTER. THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN EACH CALENDAR YEAR ACCOUNT ON THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED (OR, IF LATER, THE DATE ON WHICH THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION). THE PARTICIPANT BECOMES FULLY VESTED IN HIS OR HER ACCOUNTS UNDER THE SERP UPON THE EARLIEST OF (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) ATTAINMENT OF AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; (D) COMPLETION OF SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) DEATH. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2015: CHRISTOPHER DAWES $ 159,626 AMIR DAN RUBIN $ 300,132 NANCY LEE $ 48,753 DAVID CONNOR $ 35,593 MARK TORTORICH $ 40,670 SRIDHAR SESHADRI $ 51,587 DANIEL MORISSETTE $ 98,174 JERROLD MAKI $ 38,677 JENNIFER VARGAS $ 68,672 PRAVENE NATH $ 147,172 BRUCE HARRISON $ 52,581 JAMES HEREFORD $ 80,515 BENJIE LOANZON $ 35,843 DOUGLAS GUNDERSON $ 34,926 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 2015 ARE REPORTED IN COLUMN (F). CHRISTOPHER DAWES, PRESIDENT OF LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD HAS A NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. UNDER THE AGREEMENT, MR. DAWES RECEIVES AN ANNUAL CREDIT TO HIS ACCOUNT THROUGH 2016 PROVIDED HE REMAINS EMPLOYED IN HIS CURRENT POSITION. AMOUNTS CREDITED UNDER THE PLAN WILL BE PAYABLE UPON THE EARLIER OF: (1) TERMINATION WITHOUT CAUSE; (2) DISABILITY; (3) DEATH; OR (4) AUGUST 31, 2016 PROVIDED MR. DAWES REMAINS EMPLOYED AT THAT DATE. THE CREDIT TO MR. DAWES FOR CALENDAR YEAR 2015 OF $400,000 IS INCLUDED IN SCHEDULE J, PART II, COLUMN C. 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. SCHEDULE J, PART I, LINE 7 & PART II, DESCRIPTION FOR COLUMN B(II) OFFICERS AND OTHERS WITH AMOUNTS IN THIS COLUMN RECEIVE BONUS AWARDS AND INCENTIVE COMPENSATION. THE ANNUAL INCENTIVE PLAN (AIP) IS BASED ON ACHIEVING CERTAIN GOALS ESTABLISHED PRIOR TO THE NEW FISCAL YEAR. THE GOALS ARE BASED ON THE FOCUSED AREAS, SUCH AS PATIENT CARE, QUALITY/SAFETY SERVICE, FINANCIAL RESULT, AND DEPARTMENT/PERSONAL PERFORMANCE. SCHEDULE J, PART II, DESCRIPTION FOR COLUMN B(III) OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B(III) INCLUDES HOUSING ASSISTANCE, SERP CASH DISTRIBUTION, GRANT MONIES, ACCRUED VACATION PAY OUT, GROUP TERM LIFE, AND TAXABLE MOVING ASSISTANCE. IN ADDITION, SHC HAS PROVIDED VARIOUS ITEMS OF "LISTED PROPERTY" (E.G. COMPUTERS AND PERIPHERALS) TO THE ABOVE LISTED EMPLOYEES PRINCIPALLY FOR THEIR BUSINESS USE. SCHEDULE J, PART II DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS OF SHC. HOWEVER, THE INDIVIDUALS LISTED WERE ALSO EMPLOYEES OF RELATED ORGANIZATIONS, POSITIONS FOR WHICH THEY RECEIVED COMPENSATION AS REPORTED IN PART II. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033F3U2 2008-06-02 428500000 2008 SERIES AB-SEE PART VI false false false B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LJH1 2010-06-16 310291489 2010 SERIES AB-SEE PART VI false false false C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LZN0 2012-05-23 608293722 2012 SERIES ABCD-SEE PART VI false false false D California Health Facilities Financing Authority 521643828 13033L8P5 2015-06-26 180626500 2015 SERIES AB-SEE PART VI false false false A 10975000 0 428500000 0 0 0 0 0 0 0 428500000 0 2008 true false true true B 24470000 0 310291489 0 0 0 0 0 0 0 310291489 0 2010 true false true true C 20875000 0 614386240 0 4780 0 0 0 0 467024364 79397297 67959799 false true false true D 0 0 181498161 0 0 0 0 0 0 13537723 0 167960438 false false false true A false true true true true true 0.00060 0.00060 false false false true B false true true true true true 0.00030 0.00030 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false true false true true SEE PART VI false true false 0 false true B false false true false false false 0 false 0 false true C false true false false true false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true TAX EXEMPT BONDS F0RM 990, SCHEDULE K, PART II, COLUMN (C), LINE 3 THIS AMOUNT DIFFERS FROM THE ISSUE PRICE BECAUSE OF INVESTMENT EARNINGS. F0RM 990, SCHEDULE K, PART I BOND ISSUES: A CUSIP#: 13033F3U2 SERIES: 2008 SERIES A&B DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF 2006 SERIES A & B DATE OF ISSUE: MARCH 9, 2006. BOND ISSUES: B CUSIP#: 13033LJH1 SERIES: 2010 SERIES A DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF 1998 SERIES B DATE OF ISSUE: MARCH 31, 1998. BOND ISSUES: B CUSIP#: 13033LJH1 SERIES: 2010 SERIES B DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF 2003 SERIES B, C, AND D DATE OF ISSUE: JULY 1, 2003 BOND ISSUES: C CUSIP#: 13033LZN0 SERIES: 2012 SERIES A, C AND D DESCRIPTION OF PURPOSE: CONSTRUCTION OF REPLACEMENT ACUTE CARE HOSPITAL FACILITY AND RENOVATION OF PORTIONS OF EXISTING ACUTE CARE HOSPITAL FACILITY, A PORTION OF WHICH WILL REMAIN IN USE. BOND ISSUES: C CUSIP#: 13033LZN0 SERIES: 2012 SERIES B DESCRIPTION OF PURPOSE: ADVANCE REFUNDING OF 2003 SERIES A DATE OF ISSUE: JULY 1, 2003. BOND ISSUES: D CUSIP#: 13033L8P5 SERIES: 2015 SERIES A & B DESCRIPTION OF PURPOSE: CONSTRUCTION OF REPLACEMENT ACUTE CARE HOSPITAL FACILITY AND RENOVATION OF PORTIONS OF EXISTING ACUTE CARE HOSPITAL FACILITY, A PORTION OF WHICH WILL REMAIN IN USE. DATE OF ISSUE: 06/26/2015 TAX EXEMPT BONDS FORM 990, SCHEDULE K, PART IV ISSUE A: SERIES: 2008 SERIES B1 NAME OF PROVIDER: DEUTSCHE BANK AG* TERM OF HEDGE: 10 TERMINATED: 02/26/14 ISSUE: A SERIES: 2008 SERIES B2 NAME OF PROVIDER: DEUTSCHE BANK AG* TERM OF HEDGE: 10 TERMINATED: 02/26/14 * NOVATED FROM ORIGINAL COUNTERPARTY, J.P. MORGAN CHASE BANK N.A. EFFECTIVE JANUARY 1, 2011. JAMES HEREFORD OFFICER HOUSING LOAN X 500000 500000 false true true DAVID ENTWISTLE OFFICER HOUSING LOAN X 500000 500000 false true true DAVID ENTWISTLE OFFICER HOUSING LOAN X 1000000 1000000 false true true DAVID ENTWISTLE OFFICER HOUSING LOAN X 1000000 1000000 false true true DAVID ENTWISTLE OFFICER HOUSING LOAN X 1000000 1000000 false true true 4000000 BETH DAWES SEE PART V COMPENSATION FOR EMPLOYMENT EXPRESSSCRIPTS SEE PART V PAYMENT FOR PRODUCTS VARIAN MEDICAL SYSTEMS SEE PART V PAYMENT FOR PRODUCTS STANFORD PET-CT LLC SEE PART V PAYMENT FOR SERVICES SUMIT INSURANCE COMPANY LTD SEE PART V PAYMENT FOR INSURANCE PREMIUMS SU MED NETWORK RISK MGMT AUTHORITY SEE PART V PAYMENT FOR SERVICES TO SRA SU MED NETWORK RISK MGMT AUTHORITY SEE PART V PAYMENT FOR SERVICES TO SHC X 9 0 N/A X 34 348075 FAIR MARKET VALUE 2 false true true SCHEDULE M, PART I, COLUMN B STANFORD HEALTH CARE IS REPORTING THE NUMBER OF CONTRIBUTIONS. SCHEDULE M, PART I, QUESTION 32B STANFORD HEALTH CARE UTILIZES THE SERVICES OF STANFORD UNIVERSITY TO ASSIST WITH THE SOLICITATION AND PROCESSING OF NON-CASH GIFTS. SCHEDULE M, PART I, QUESTION 33 WORKS OF ART ARE PRESERVED FOR PUBLIC EXHIBITION AND ARE NOT CAPITALIZED. DONATIONS OF SUCH COLLECTIONS ARE NOT RECORDED FOR FINANCIAL STATEMENT PURPOSES. MISSION FORM 990, PART I, LINE 1 & PART III, LINE 1 STANFORD HEALTH CARE ("SHC") IS A NON-PROFIT CALIFORNIA PUBLIC BENEFIT CORPORATION OF WHICH THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY (THE "UNIVERSITY") IS THE SOLE MEMBER. THE OBJECTIVE AND THE PURPOSE OF SHC IS TO PROVIDE PATIENT CARE SERVICES, SUPPORT, BENEFIT AND FURTHER THE CHARITABLE, AND SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE UNIVERSITY AND THE UNIVERSITY'S SCHOOL OF MEDICINE. SHC OPERATES A LICENSED ACUTE CARE HOSPITAL, CANCER CENTERS IN PALO ALTO AND SAN JOSE, AN AMBULATORY OUTPATIENT CENTER IN REDWOOD CITY AND NUMEROUS OUTPATIENT PHYSICIAN CLINICS IN THE SAN FRANCISCO BAY AREA, IN COMMUNITY SETTINGS AND IN ASSOCIATION WITH REGIONAL HOSPITALS. STANFORD HEALTH CARE HAS A MISSION TO CARE, TO EDUCATE, AND TO DISCOVER. SHC'S VISION STATEMENT IS HEALING HUMANITY THROUGH SCIENCE AND COMPASSION, ONE PATIENT AT A TIME. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A STANFORD HEALTH CARE ("SHC") IS KNOWN WORLDWIDE FOR ADVANCED PATIENT CARE PROVIDED BY ITS PHYSICIANS AND STAFF, PARTICULARLY IN AREAS SUCH AS CARDIAC CARE, CANCER TREATMENT, NEUROLOGY, NEUROSURGERY, ORTHOPEDICS, SURGERY AND ORGAN TRANSPLANTS. SHC HAD 25,763 PATIENT DISCHARGES. SHC HAD 154,538 PATIENT DAYS INCLUDING ACUTE, BEHAVIORIAL HEALTH, AND SHORT STAY OUTPATIENT. TOTAL OUTPATIENT AND EMERGENCY ROOM VISITS WERE 768,453 FOR THE FISCAL YEAR ENDED AUGUST 31, 2016. EXECUTIVE COMMITTEE FORM 990, PART VI, LINE 1A IF A MATTER NORMALLY REQUIRING ACTION BY THE BOARD OF DIRECTORS ARISES BETWEEN MEETINGS OF THE BOARD AND IS A MATTER WHICH, IN THE OPINION OF ANY FOUR (4) OUT OF SIX (6) OF THE CHAIR OF THE BOARD, THE VICE CHAIR, THE DEAN OF THE STANFORD UNIVERSITY SCHOOL OF MEDICINE, THE PRESIDENT OF THE CORPORATION, THE CHAIR OF THE FINANCE COMMITTEE AND THE CHAIR OF THE AUDIT COMMITTEE, REQUIRES ACTION BY THE BOARD BEFORE THE NEXT REGULAR OR SPECIAL MEETING OF THE BOARD, THEN ANY FOUR (4) OR MORE OUT OF THOSE SIX (6) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD OF DIRECTORS, ARE AUTHORIZED JOINTLY TO TAKE WHATEVER ACTION IS NECESSARY TO RESOLVE THE MATTER, AND SUCH ACTION WILL CONSTITUTE AUTHORIZED ACTION OF THE BOARD TO THE SAME EXTENT AS IF IT HAS BEEN ADOPTED AT A MEETING OF THE BOARD; PROVIDED, HOWEVER, THAT AT LEAST ONE (1) OF THE FOUR (4) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD PURSUANT TO THIS SECTION SHALL BE AN "OUTSIDE DIRECTOR," AS DEFINED IN BYLAWS AND PROVIDED, FURTHER, THAT THE DIRECTORS ACTING AS A COMMITTEE OF THE BOARD SHALL NOT IN ANY CASE BE AUTHORIZED BY THIS SECTION TO EXERCISE THOSE POWERS WHICH BY LAW, THE ARTICLES OF INCORPORATION, THESE BYLAWS OR SPECIFIC ACTION BY THE MEMBER, SET FORTH IN A RESOLUTION OF THE MEMBER, MAY BE EXERCISED ONLY BY THE MEMBER OR MAY NOT BE DELEGATED TO A COMMITTEE OF THE BOARD. FAMILY/BUSINESS RELATIONSHIPS FORM 990, PART VI, LINE 2 CHRISTOPHER DAWES IS AN EMPLOYEE, CHIEF EXECUTIVE OFFICER AND A DIRECTOR OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL. THE FOLLOWING INDIVIDUALS ARE DIRECTORS AT LUCILE SALTER PACKARD CHILDREN'S HOSPITAL: MARY CRANSTON MARIANN BYERWALTER AMIR DAN RUBIN LLYOD B. MINOR MD JOHN LEVIN THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD UNIVERSITY: NORMAN RIZK MD MARK WELTON MD LLOYD B. MINOR MD ROBERT HARRINGTON MARK LESLIE THE FOLLOWING INDIVIDUALS ARE TRUSTEES AT STANFORD UNIVERSITY: JOHN GUNN BRET COMOLLI RONALD JOHNSON THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT STANFORD PET-CT LLC: DAVID ENTWISTLE MARIANN BYERWALTER AMIR DAN RUBIN JAMES HEREFORD LLOYD B. MINOR MD THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT SUMIT HOLDING INTERNATIONAL, LLC: DAVID ENTWISTLE AMIR DAN RUBIN DAVID CONNOR DANIEL MORISSETTE CHRISTOPHER DAWES NORMAN RIZK MD THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT SUMIT INSURANCE COMPANY, LTD.: DAVID ENTWISTLE AMIR DAN RUBIN DAVID CONNOR DANIEL MORISSETTE CHRISTOPHER DAWES LLOYD B. MINOR MD NORMAN RIZK MD THE FOLLOWING INDIVIDUALS ARE CLASS A SUBSCRIBER VOTING MEMBERS AT THE PROFESSIONAL EXCHANGE ASSURANCE COMPANY: DAVID ENTWISTLE AMIR DAN RUBIN DAVID CONNOR DANIEL MORISSETTE CHRISTOPHER DAWES NORMAN RIZK MD JOEL HYATT AND RONALD JOHNSON - BUSINESS RELATIONSHIP FRED HARMAN AND RONALD JOHNSON - BUSINESS RELATIONSHIP CHANGES TO GOVERNING DOCUMENTS FORM 990, PART VI, LINE 4 CHANGES TO THE GOVERNING DOCUMENTS INCLUDED AN INCREASE IN THE MAXIMUM NUMBER OF ELECTED DIRECTORS TO 25 AND A REQUIREMENT TO INCLUDE ONE CLINICAL DEPARTMENT CHAIR FROM THE STANFORD UNIVERSITY SCHOOL OF MEDICINE AS A DIRECTOR. MEMBERS FORM 990, PART VI, LINE 6 STANFORD UNIVERSITY IS THE SOLE MEMBER OF STANFORD HEALTH CARE ("SHC"). ELECTION BY MEMBERS FORM 990, PART VI, LINE 7A STANFORD UNIVERSITY, AS THE SOLE MEMBER OF SHC, APPOINTS THE SHC BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B THE SOLE MEMBER, STANFORD UNIVERSITY, MAY REMOVE AN ELECTED DIRECTOR AT ANY TIME WITHOUT CAUSE. FORM 990, PART VI, LINE 11B THE 990 TAX RETURN IS PREPARED BY THE FINANCE DEPARTMENT OF SHC. THE FINANCIAL DATA IS EXTRACTED FROM THE AUDITED FINANCIAL STATEMENT AND SUPPLEMENTAL INFORMATION AUDITED BY THE INDEPENDENT ACCOUNTING FIRM OF PRICEWATERHOUSECOOPERS (PWC). COMPENSATION DATA IS EXTRACTED FROM PAYROLL RECORDS. OTHER INFORMATION IS PROVIDED BY THE RELEVANT AREAS WITH EXPERTISE IN SHC. UPON COMPLETION, THE RETURN IS REVIEWED BY THE SENIOR MANAGEMENT OF SHC, THE COUNSEL OF SHC, STANFORD UNIVERSITY CONTROLLER'S OFFICE AND EXTERNAL TAX ACCOUNTANT (PWC). THE DRAFT FORM 990 IS REVIEWED AT THE AUDIT AND COMPLIANCE COMMITTEE MEETING. THE FORM 990 IS THEN FORWARDED TO ALL BOARD MEMBERS FOR THEIR REVIEW. THE CFO OF SHC AND PWC AS PAID PREPARER SIGN THE RETURN PRIOR TO FILING WITH IRS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN INITIAL CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ("DISCLOSURE STATEMENT") WITHIN 30 DAYS OF BEGINNING SERVICE AT SHC. ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. FURTHERMORE, OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO UPDATE THEIR DISCLOSURE STATEMENT WITHIN TEN (10) BUSINESS DAYS OF A MATERIAL CHANGE IN THEIR SITUATIONS THAT MAY CREATE AN ACTUAL OR PERCEIVED CONFLICT-OF-INTEREST. A DISCLOSURE THAT APPEARS TO BE A CONFLICT WILL BE RESOLVED BY A MUTUAL AGREEABLE PLAN WITH THE VICE PRESIDENT OF HUMAN RESOURCES THAT OUTLINES THE STEPS THE OFFICER, DIRECTOR OR KEY EMPLOYEE MUST TAKE TO RECTIFY THE CONFLICT. IN MATTERS THAT ARE UNCLEAR OR QUESTIONABLE, THE OFFICE OF CHIEF COMPLIANCE OFFICER WILL BE CONSULTED FOR A RULING. IF FURTHER INQUIRY IS NECESSARY THE OFFICE OF THE GENERAL COUNSEL WILL BE CONSULTED FOR A RULING. PROCEDURES FOR DETERMINING COMPENSATION FORM 990, PART VI, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR SHC'S CEO AND OTHER TOP MANAGEMENT REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES THE COMMITTEE WITH COMPARABLE MARKET DATA FROM THE FORMS 990 OF COMPARABLE ORGANIZATIONS SUPPLEMENTED BY PUBLISHED COMPENSATION AND BENEFITS SURVEYS TO BE CONSIDERED IN EVALUATING TOTAL COMPENSATION PACKAGES FOR EACH INDIVIDUAL EXECUTIVE. THE COMMITTEE CONDUCTS A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTS ITS DELIBERATIONS AND DISCUSSION IN MINUTES THAT ARE RETAINED WITH THE OTHER GOVERNANCE MATERIALS OF SHC. THE VALUE OF EACH PAY ELEMENT AND THE TOTAL PACKAGE ARE REVIEWED EACH SEPTEMBER PRIOR TO ANY PAY ACTIONS BEING APPROVED BY THE COMPENSATION COMMITTEE. SPECIFIC FACTS AND CIRCUMSTANCES OF EACH ROLE, INCUMBENT, THEIR PERFORMANCE, SKILLS AND RESPONSIBILITIES ARE REVIEWED AND ASSESSED INDIVIDUALLY. THE COMMITTEE RECEIVES RECOMMENDATIONS FROM THE CEO AS TO PAY ACTIONS FOR EACH INCUMBENT. THESE RECOMMENDATIONS ARE DISCUSSED AND THE RESULTS OF THE DELIBERATIONS ARE DOCUMENTED AS TO THE FINAL PAY ACTION APPROVED ALONG WITH THE RATIONALE FOR THE DECISION. THIS PROCESS OCCURS ANNUALLY AND IN CONJUNCTION WITH ANY PROGRAMMATIC CHANGE THAT COULD POTENTIALLY IMPACT THE PAY OR BENEFITS OF EXECUTIVES. AVAILABILITY OF GOVERNING DOCUMENTS FORM 990, PART VI, LINE 19 COPIES OF THE FINANCIAL STATEMENTS ARE AVAILABLE ON SHC'S WEBSITE. FURTHERMORE, THE STATEMENTS OF OPERATIONS AND BALANCE SHEET ARE PART OF THE UNIVERSITY'S ANNUAL FINANCIAL REPORT POSTED ON THE ORGANIZATION'S PUBLIC WEBSITE. COPIES OF THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS. BOARD OF DIRECTORS CHANGES FORM 990, PART VII, SECTION A THE FOLLOWING BOARD MEMBERS RETIRED FROM THE BOARD OF DIRECTORS DURING FY16 AS NOTED: JOHN FREIDENRICH UNTIL 12/31/2015 AMIR DAN RUBIN UNTIL 12/31/2015 (SERVICE AS CEO TERMINATED SAME DATE) WILLIAM YOUNGER UNTIL 12/31/2015 THE FOLLOWING BOARD MEMBERS WERE APPOINTED TO THE BOARD AS OF DURING FY16 AS NOTED: SUSAN BECHTEL AS OF 11/1/2015 WILLIAM BRODY AS OF 11/1/2015 DAVID ENTWISTLE AS OF 7/5/2016 ROBERT HARRINGTON AS OF 1/1/2016 MARK LESLIE AS OF 9/1/2015 OFFICER AND KEY EMPLOYEE CHANGES FORM 990, PART VII, SECTION A THE FOLLOWING INDIVIDUALS DEPARTED AS OFFICERS DURING FY16 AS NOTED: MARIANN BYERWALTER UNTIL 7/5/2016 DANIEL MORISSETTE UNTIL 1/20/2016 THE FOLLOWING INDIVIDUALS BECAME OFFICERS DURING FY16 AS NOTED: MARIANN BYERWALTER - INTERIM CEO AS OF 1/4/2016 DAVID ENTWISTLE - CEO AS OF 7/5/2016 DAVID CONNOR - INTERIM CFO AS OF 12/6/2015 HOURS AT RELATED ORGANIZATIONS FORM 990, PART VII, COLUMN B CHRISTOPHER DAWES IS A DIRECTOR OF SHC. FOR FY16 HE WAS ALSO THE PRESIDENT AND CEO OF THE LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD (LPCH), A RELATED ORGANIZATION. MR. DAWES RECEIVES COMPENSATION FROM LPCH FOR HIS SERVICES AT LPCH. MR DAWES RECEIVED NO COMPENSATION FOR HIS DUTIES AS A DIRECTOR OF SHC. LLOYD B. MINOR MD, NORMAN RIZK MD, MARK WELTON MD, ROBERT HARRINGTON, AND MARK LESLIE ARE DIRECTORS OF SHC. FOR FY16 THEY WERE EMPLOYED AT STANFORD UNIVERSITY (SU), A RELATED ORGANIZATION. THESE INDIVIDUALS RECEIVE COMPENSATION FROM SU FOR THEIR SERVICES AT SU. THEY RECEIVED NO COMPENSATION FOR DUTIES AS A DIRECTORS OF SHC. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN MINIMUM PENSION LIABILITY $ (80,000) INTEREST RATE SWAP MTM $ (115,958,149) EQUITY TRANSFER $ (92,686,942) SEROC INCOME BOOK/TAX DIFFERENCE $ (128,837) -------------- OTHER CHANGES IN NET ASSETS OR FUND BALANCES $(208,853,928) CARE COUNSEL LLC 899 NORTHGATE DRIVE STE 530 SAN RAFAEL CA 94903 680396696 MEDICAL CA 1847215 563064 SHC STANFORD BLOOD CENTER LLC 3373 HILLVIEW AVENUE PALO ALTO CA 94304 810816100 BLOOD CENTER CA 61364229 19812137 SHC THE BRD OF TRUST LELAND STANF JR UNIV 3145 PORTER DRIVE PALO ALTO CA 94304 941156365 EDUCATION CA 501(C)(3) 2 NA false LUCILE SALTER PACKARD CHILDRENS HOSPITAL 725 WELCH ROAD MC 5553 PALO ALTO CA 94304 770003859 HEALTHCARE CA 501(C)(3) 3 STANFORD true HOSPITAL COMMITTEE FOR THE L-P AREAS 1111 E STANLEY BLVD LIVERMORE CA 94550 941429628 HOSPITAL CA 501(C)(3) 3 SHC true VALLEYCARE MEDICAL FOUNDATION INC 5655 W LAS POSITAS BLVD 220 PLEASANTON CA 94588 262593526 SUPPRT SHC-VC CA 501(C)(3) 9 HOSP CMTE LP true VALLEYCARE SENIOR HOUSING 1111 E STANLEY BLVD LIVERMORE CA 94550 943382224 SR. FACILITY CA 501(C)(3) 11C, III-FI HOSP CMTE LP true THE FREIDENRICH SUPPORT FOUNDATION 3145 PORTER DRIVE PALO ALTO CA 94304 300519583 SUPPORT CA 501(C)(3) 11A, I STANFORD true SHR HOLDINGS INC 3145 PORTER DRIVE PALO ALTO CA 94304 943187167 REAL ESTATE CA 501(C)(25) N/A STANFORD true SU EMP BEN TRUST POST RETEMPYNT BEN 3145 PORTER DRIVE PALO ALTO CA 94304 943246199 BENEFITS CA 501(C)(9) N/A STANFORD true UNIVERSITY HEALTHCARE ALLIANCE 7999 GATEWAY BLVD STE 300 NEWARK CA 94560 943192446 HEALTHCARE CA 501(C)(3) 3 SHC true THE DUDLEY E CHAMBERS FOUNDATION JP MORGAN CHASE PO BOX 3038 MILWAUKEE WI 53201 386841793 SUPPORT NY 501(C)(3) 11D, III-O STANFORD true STANFORD UNIVERSITY BOOKSTORE BLDG 60 MAIN QUAD NO 105 STANFORD CA 94305 940894150 SUPPORT CA 501(C)(3) 11A, I STANFORD true PACKARD CHILDREN'S HEALTH ALLIANCE 725 WELCH ROAD MC5551 PALO ALTO CA 94304 320359189 HEALTHCARE CA 501(C)(3) 3 LPCH true STANFORD HABITAT CONSERVATION BOARD 3160 PORTER DR STE 200 PALO ALTO CA 94304 461882243 CONSERVATION CA 501(C)(3) 7 STANFORD true STANFORD FACULTY CLUB PO BOX 7229 STANFORD CA 94309 941187089 FAC INTERACT. CA 501(C)(7) N/A STANFORD true THE HONG KONGSU CHARITABLE TRUST 1401 CAROLINE CENTER 28 PING ROAD CAUSEWAY HK 986078093 SUPPORT HK 501(C)(3) STANFORD true THE STANFORD TRUST 65 HIGH STREET OXFORD UK OX1 46L SUPPORT UK 501(C)(3) STANFORD true STANFORD PROGRAMME (CAPE TOWN) NPC WAVERLY BUSINESS PARK BUILDING 11 CAPE TOWN SF EDUCATION SF 501(C)(3) STANFORD true STANFORD FEDERAL CREDIT UNION 1860 EMBARCADERO RD PALO ALTO CA 94303 941492212 CREDIT UNION CA 501(C)(1) N/A STANFORD true STANFORD HEALTH CARE ADVANTAGE 1221 BROADWAY 3RD FLOOR OAKLAND CA 94612 464071746 HEALTHCARE CA 501(c)(3) 11A, I SHC true STANFORD SCHOOLS CORPORATION 475 POPE STREET MENLO PARK CA 94025 202699147 EDUCATIONAL CA 501(C)(3) 2 STANFORD true ADOM PARTNERS LP 500 MADISON AVENUE NEW YORK NY 10022 INVESTMENTS DE NA ALBUS SELECT FUND LP 750 MENLO AVENUE MENLO PARK CA 94025 INVESTMENTS DE NA ARCOLA RESIDENTIAL VENTURE LLC 635 KNIGHT WAY STANFORD CA 943057297 900818278 REAL ESTATE DE NA ARCOLA VENTURE LLC 635 KNIGHT WAY STANFORD CA 943057297 371689632 RE DEVELOPMENT DE NA ATWATER 12 LP 2100 ROSS AVE STE 1600 DALLAS TX 75201 752944481 INVESTMENTS DE NA AVALANCHE ROYALTY PARTNERS LLC 410 17TH ST STE 1150 DENVER CO 80202 841539807 INVESTMENTS DE NA CEE EQUITY HOLDINGS LP ELIZABETH HOUSE 9 CASTLE ST ST. 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