2013-07-12T14:00:40-05:00 2012-08-31 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2011-09-01 946174066 STANFORD HEALTH SERVICES % CONTROLLER STAN 6507234000 300 Pasteur Drive MC 5555 Stanford CA 94305 DANIEL MORISSETTE 2013-07-11 true PRICEWATERHOUSECOOPERS LLP 6175305000 2011 2016-02-24 21:20:13Z STANFORD HOSPITAL AND CLINICS DANIEL J MORISSETTE CFO 300 PASTEUR DRIVE MC 5516 STANFORD CA 94305 2725834781 false X http://www.stanfordhospital.org X 1957 CA SEE SCHEDULE O 26 17 11610 1111 4403287 -1483727 137848570 219413695 2248410144 2474399505 124638706 32021581 0 0 2510897420 2725834781 150000 225000 0 0 860643738 921985907 0 0 6008734 1234492755 1334388778 2095286493 2256599685 415610927 469235096 2710928362 3759715898 1410093186 2072800291 1300835176 1686915607 X SEE SCHEDULE O. false false 2088673482 225000 2474399505 SEE SCHEDULE O. 2088673482 true true false true false false false true false true true true false true true true false true false false true false false false false false true true true false true true false false false false false true false false true true true false false false true true true true false false true 712 0 true 11610 true true true true BD false false false true true false false false false X 26 17 true false false false true true false true true false false false true true true true true true true false CA X CONTROLLER 6507234000 1510 PAGE MILL ROAD M/C 5555 PALO ALTO CA 94304 X MARC ANDREESSEN 2.0 X SUSAN L BOSTROM 2.0 X MARIANN BYERWALTER 2.0 X BRUCE COZADD 2.0 X CHRISTOPHER DAWES 2.0 X 1427666 0 351195 JOHN FREIDENRICH 2.0 X JOEL HYATT 2.0 X RON JOHNSON 2.0 X CHARLES KOOB 2.0 X 10000 JOHN LEVIN 2.0 X TED LOVE MD 2.0 X JOHN MORGRIDGE 2.0 X 39258 WOODROW A MYERS MD 2.0 X PHILIP PIZZO MD 2.0 X 637592 532745 CHRISTOPHER REDLICH 2.0 X NORMAN RIZK MD 2.0 X 652972 29536 JOHN SCULLY 2.0 X ANN WEINACKER MD 2.0 X 371521 39622 SCOTT WOOD MD 2.0 X JON STEVE YOUNG 2.0 X WILLIAM YOUNGER 2.0 X AMIR DAN RUBIN 50.0 X X 2816310 0 284852 BRET COMOLLI 2.0 X MARY CRANSTON 2.0 X JOHN GOLDMAN 2.0 X JOHN GUNN 2.0 X STEVEN T HEARST 2.0 X JOHN LILLIE 2.0 X DENISE OLEARY 2.0 X DANIEL MORISSETTE 50.0 X 956440 0 126326 MARGARET VOSBURGH 50.0 X CAROLYN BYERLY 50.0 X 569979 0 30858 NANCY LEE 50.0 X 507277 0 45334 JERROLD MAKI 50.0 X 437824 0 31547 MARK TORTORICH 25.0 X 438556 0 71940 KEVIN TABB 50.0 X 712933 0 44947 SRIDHAR SESHADRI 50.0 X 516805 0 47605 JENNIFER VARGAS 50.0 X 655341 0 104251 PRAVENE NATH 50.0 X 513340 0 80422 BRUCE HARRISON 40.0 X 572837 0 88971 MICHAEL J PETERSON RETIRED 611 50.0 X 390651 0 14713 DANIEL GINSBURG 50.0 X 1718594 0 34661 12234553 1711343 1959525 3773 true true false STANFORD UNIVERSITY 651 SERRA STREET STANFORD CA 94305 PROF. SERVICES 341995856 ACCENTURE LLP 161 N CLARK STREET CHICAGO IL 60601 IT CONSULTING 31340177 RAFAEL VINOLY ARCHITECTS PC 50 VANDAM STREET NEW YORK NY 10013 CONSTRUCTION 27178446 PEROT SYSTEMS 7489 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 IT OUTSOURCING 20529966 AMN HEALTHCARE INC FILE 56157 LOS ANGELES CA 60074 NURSING SERVICES 14818735 221 219413695 993156 219413695 PATIENT REVENUE 900099 2337646167 2337646167 OUTREACH LAB CLINIC 900099 11328732 7063507 4265225 REIMBURSED/SHARED EXPENSES 900099 82062709 82062709 HOUSESTAFF 900099 19402074 19402074 CLINIC REVENUE 900099 8637965 8637965 15321858 15147210 138062 36586 2474399505 33033229 33033229 77 77 0 -1011725 -1011725 -1011725 -1011725 0 0 0 0 2725834781 2469959632 4403287 32058167 225000 225000 0 0 0 6111161 2008872 3925519 176770 0 596612390 558218574 38322700 71116 51052259 47429768 3619424 3067 219974056 203711074 16255709 7273 48236041 45059978 3167314 8749 69453 44220 25233 6474371 50000 6424371 1165208 1165208 456882 456882 0 0 55941629 49555234 6080237 306158 3566423 3152694 413729 76549436 61209097 15254136 86203 43524615 26547723 16973135 3757 0 50864193 46009490 4853631 1072 3214898 2528371 635798 50729 0 853253 557317 295936 48290707 48290707 0 89965884 74287516 15673453 4915 11876421 10578977 1297444 OTHER PURCHASED SERVICES 459655069 433983709 20799003 4872357 SUPPLIES 316159277 313206242 2855483 97552 LICENSE AND TAXES 1857398 932152 925246 PROVISION FOR DOUBTFUL ACCTS 98410424 98410424 65493237 62219461 2954760 319016 2256599685 2088673482 161917469 6008734 1750 1450 395469338 477484300 0 0 316641815 395719831 1250000 1700000 0 0 0 0 19657400 22765161 21955029 13658103 1846079358 888509381 864161375 957569977 0 0 896954557 986001073 54139524 72887798 0 0 140697574 831928205 2710928362 3759715898 217408321 270164378 0 0 0 0 818471337 1336298129 0 0 0 0 0 0 0 0 374213528 466337784 1410093186 2072800291 X 1078759515 1251304561 215584245 428020504 6491416 7590542 1300835176 1686915607 2710928362 3759715898 X 469235096 -83154665 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 17433 false true 199885 true 173723 true 65841 false 456882 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B LOBBYING ACTIVITIES INCLUDE: - SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS; - MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS; AND - SENDING OR DISTRIBUTING LETTERS OR PUBLICATIONS (INCLUDING NEWSLETTERS, BROCHURES, ETC.) 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 FY12, SHC PAID DUES OF APPROXIMATELY $378,565 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $95,885. X false 13519734 1099127 463480 259161 14823180 11926477 1845660 252403 13519734 10864850 1173551 111924 11926477 13498859 -2572393 61616 10864850 0.51210 0.48790 false true true 20517753 20517753 750835687 395030464 355805223 42119837 19154901 22964936 711238594 470983845 240254749 321367487 3340171 318027316 957569977 MANAGED POOL 949929786 F OTHER INVESTMENTS 36071287 F 986001073 ASSETS HELD BY TRUSTEE 529606313 PLEDGES RECEIVABLE 280242073 OTHER ASSETS 22079819 831928205 0 THIRD PARTY PAYOR LIABILITIES 24542665 DUE TO RELATED PARTIES 34570771 SELF-INSURED RESERVES 97305640 OTHER LIABILITIES 245122708 PENSION LIABILITY 64796000 466337784 2725834781 2256599685 469235096 -213775 -82940890 -83154665 386080431 2451406728 -213775 -192151569 -192365344 2643772072 82062709 82062709 2725834781 2065326296 -92872185 -92872185 2158198481 98401204 98401204 2256599685 PART III, LINE 4 SHC MAINTAINS A COLLECTION OF DONATED ART FOR PUBLIC EXHIBITION AT HOSPITAL FACILITIES. PART V, LINE 4 ENDOWMENT FUNDS STANFORD HOSPITAL AND CLINICS' (SHC) ENDOWMENT CONSISTS OF VARIOUS INDIVIDUAL FUNDS WHICH ARE RESTRICTED TO PARTICULAR USES. SHC HAS FUNDS TO SUPPORT MEDICAL DIRECTOR OF THE HOSPITAL'S CANCER CENTER, CLINICAL SERVICES, AND FUNDS FOR THE CONSTRUCTION OF SHC'S BUILDING. SHC ALSO HAS FUNDS TO SUPPORT EDUCATIONAL PROGRAMS, CHAPLAINCY PROGRAMS, PATIENT CARE, INDIGENT CARE AND THE HEALTH LIBRARY TECHNOLOGY. SCHEDULE D, PART X FIN 48 STANFORD HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. STANFORD HOSPITAL HAS NO UNCERTAIN TAX POSITIONS PERTAINING TO UNRELATED BUSINESS INCOME. PART XI, LINE 8 OTHER CHANGES IN NET ASSETS EQUITY TRANSFER $436,597 TRANSFER TO UNITED HEALTHCARE ALLIANCE $6,530,019 ADDITIONAL MINIMUM PENSION LIABILITY ($16,319,000) INTEREST RATE SWAP MTM ($69,805,358) LOSS ON EXTINGUISHMENT OF DEBT/SWAPS ($3,783,140) ROUNDING ADJ. TO BALANCE TO FINANCIAL STATEMENTS ($8) ______________ CHANGE IN NET ASSETS ($82,940,890) PART XII, LINE 2D OTHER REVENUE ON F/S NOT ON RETURN BAD DEBTS ($98,410,424) LOSS ON EXTINGUISHMENT OF DEBT/SWAPS ($3,783,140) INTEREST RATE SWAP MTM ($69,805,358) UNRESTRICTED FUNDS TRANSFER TO STANFORD UNIVERSITY ($10,809,481) CHANGE IN MINIMUM PENSION LIABILITY ($16,319,000) RESTRICTED FUNDS EQUITY TRANSFER $436,597 FUND TRANSFER TO UNIVERSITY HEALTHCARE ALLIANCE $6,530,020 UNRESTRICTED FUNDS TRANSFER TO LUCILE SALTER PACKARD CHILDREN'S HOSPITAL $9,220 ROUNDING ADJ. TO BALANCE TO FINANCIAL STATEMENTS ($3) ____________ TOTAL OTHER REVENUE ON F/S NOT ON RETURN ($192,151,569) PART XII, LINE 4B OTHER REVENUE ON RETURN NOT ON F/S REIMBURSEMENT OF SHARED EXPENSE $82,062,709 PART XIII, LINE 2D OTHER EXPENSES ON F/S NOT ON RETURN REIMBURSEMENT OF SHARED EXPENSE ($92,872,190) ROUNDING ADJ. TO BALANCE TO FINANCIAL STATEMENTS $5 ______________ TOTAL OTHER EXPENSE ON F/S NOT ON RETURN ($92,872,185) PART XIII, LINE 4B OTHER EXPENSE ON RETURN NOT ON F/S PURCHASED SERVICES ($9,220) BAD DEBTS $98,410,424 ______________ TOTAL OTHER EXPENSE ON RETURN NOT ON F/S $98,401,204 East Asia and the Pacific 1 1 Program Services PATIENT NAVIGATION 60913 1 1 1 1 60913 60913 false false false false false false SCHEDULE F, PART I, LINE 3 THE AMOUNT LISTED IN COLUMN (F) IS THE EXPENDITURES PER REGION. 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300 PASTEUR DRIVE STANFORD CA 94305

X X X X STANFORD HOSPITAL AND CLINICS 1 true true 400. true 400. true X X X X true true X X X X X X true false true X false false PART I, LINE 6A COMMUNITY ASSESSMENT PROCESS SHC is an active participant in the assessment collaborative in San Mateo and Santa Clara counties; the Healthy Community Collaborative of San Mateo County and the Santa Clara County Community Benefits Coalition (SCCCBC). SHC plays a leadership role as chair of the SCCCBC. The goal of each group was to produce a community health needs assessment, BASED ON AN ANALYSIS OF SECONDARY DATA AND COMMUNITY INPUT, for guiding program planning as well as policy and advocacy efforts aimed at improving the health status of residents of those counties. The assessments are also designed to stimulate collaborative action as well as action by individual organizations to address pressing community health needs. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS TOTALED $3,536,797 IN FY12. 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 FY12, SHC contributed more than $50 million to support health research, education and training. Of this amount, over $40.5 million was spent to train medical residents and interns. In addition to training physicians, SHC supports the training of other health professionals. In FY12, SHC invested nearly $9.6 million for such 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. Stanford University Community Health Advocacy Program, formerly the Patient Advocacy Program, was established in 2004 and combines a year-long Stanford-based course with clinic shifts and capacity-building projects at community clinics. The partnering clinics, which provide care for underserved populations in San Mateo and Santa Clara counties, serve a patient population that is largely immigrant, low-income, and monolingual Spanish or Vietnamese speaking. Over the past eight years of the program, total service hours have surpassed 17,000, and 64 capacity-building projects have been completed at the clinics. Partner clinics in FY12 were MayView Community Health Center (Palo Alto and Mountain View clinic sites), Ravenswood Family Health Center and Samaritan House Free Clinic in Redwood City. Eleven student advocates provided more than 1,400 hours of direct service and completed eight capacity-building/quality improvement projects designed to meet the clinics' self-identified needs. SHC also supports Clinical Pastoral Education, which provides year-round training and internships for seminary students and clergy from all faiths. The program, which was accredited by the Association for Clinical Pastoral Education in 1983, trains students to provide effective spiritual care to individuals and families facing health-related crises. This program served 9,774 individuals in FY12. PART I, LINE 7G SUBSIDIZED HEALTH SERVICES SHC's Life Flight is a helicopter-based service that provides emergency medical services in Santa Clara and San Mateo counties. Life Flight responds to emergency medical calls, delivers patients to trauma centers, and participates in search operations. SHC provided over $2 million to subsidize this life-saving service in FY12, allowing 450 patients to receive critical medical care. STANFORD LIFE FLIGHT CONDUCTS HELICOPTER LANDING ZONE TRAINING CLASSES FOR EMS AND FIRE AGENCIES. THE GOAL OF ESE TRAININGS IS TO ENSURE SAFETY FOR ALL INVOLVED IN EMERGENCY AIR TRANSPORTS - THE PATIENT, AIR AND GROUND PERSONNEL, AND THE COMMUNITY. LIFE FLIGHT PARTICIPATES IN AN ESTIMATED 400 HOOURS OF LANDING ZONE TRAINING ON AN ANNUAL BASIS. PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT TOTALED $1,685,798 IN FY12. PART II COMMUNITY BUILDING ACTIVITIES 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 upon life, property and the environment from catastrophic events such as pandemic flu, earthquakes and other disasters. SHC's 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. In 2012 OEM Co-hosted along with Stanford University School of Medicine a multi-agency Active shooter Exercise that involved over 100 participants from local and county public safety agencies. OEM is also an active member on the Palo Alto Emergency Preparedness Work Group. SHC's OEM provides a critical service for County EMS, Centers for Disease Control and Prevention and other hospitals and county agencies 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. For example, the OEM cache supply, maintained in East Palo Alto, can provide care to about 200 trauma and burn patients. WORKFORCE DEVELOPMENT SHC CONTINUED ITS SUPPORT OF THE STANFORD MEDICAL YOUTH SCIENCE PROGRAM. THE PROGRAM'S MISSION IS TO INCREASE KNOWLEDGE ABOUT THE SCIENCES AND HEALTH PROFESSIONS AND TO OFFER GUIDANCE ABOUT COLLEGE ADMISSIONS TO LOW-INCOME AND UNDERREPRESENTED MINORITY STUDENTS. THE STUDENTS LEARN ABOUT POTENTIAL CAREERS IN HEALTH AND MEDICINE THROUGH HANDS-ON ACTIVITIES, SHADOWING, AND DISCUSSION GROUPS. THE INTERNSHIPS ARE IN VARIOUS HOSPITAL DEPARTMENTS INCLUDING SURGERY, CARDIAC CARE AND INTENSIVE CARE UNITS, TRANSPLANTATIONS, NEUROLOGY, AND HOSPITAL ADMINISTRATION. COALITION BUILDING SHC SUPPORTS THE WORK OF THE SAN MATEO COUNTY FALL PREVENTION TASK FORCE, BOTH FINANCIALLY AND WITH STAFF REPRESENTATION. PART III, LINE 4 SHC FY 2012 FINANCIAL STATEMENT DID NOT HAVE DESCRIPTIONS FOR BAD DEBT EXPENSE. THE COST FOR BAD DEBT EXPENSES IN LINE 2 AND 3 ARE BASED ON THE BAD DEBTS CHARGES AT ESTABLISHED RATE MULTIPLYING THE RATIO OF THE TOTAL FY 2012 COST TO THE TOTAL FY 2012 CHARGES. IN THE FY12 FINANCIAL STATEMENTS THE BAD DEBT IS RECLASSIFIED AS REDUCTION OF NET PATIENT REVENUE. AS A RESULT, IT IS NO LONGER AN EXPENSE ITEM. MOST OF THE COMMUNITY BENEFITS ARE RELATED TO COMMUNITY ACTIVITIES OR PROGRAMS NOT ASSOCIATED WITH PATIENT CARE. SINCE THE BAD DEBT EXPENSES ARE CONSIDERED AS REDUCTION OF PATIENT REVENUE, THE COST FOR OTHER COMMUNITY PROGRAM DOES NOT INCLUDE BAD DEBTS. SHC HAS ESTABLISHED CHARITY CARE POLICY APPROVED BY SHC'S GOVERNING BODY. THE CHARITY CARE IS PROVIDED WHEN THE PATIENT MEETS THE CRITERIA AND SUFFICIENT INFORMATION IS PROVIDED. IT IS DESIRABLE FOR SHC TO DETERMINE THE ELIGIBILITY FOR CHARITY CARE BEFORE OR AT THE TIME OF SERVICE. HOWEVER DUE TO THE CIRCUMSTANCES AND AVAILABILITY OF THE PATIENT INFORMATION SHC MAY BE UNABLE TO DETERMINE THE AMOUNT OF CHARITY CARE UNTIL AN EXTENDED PERIOD OF TIME OR AFTER THE ACCOUNTS ARE TRANSFERRED TO BAD DEBTS. AS A RESULT SHC HAS ESTABLISHED PROCEDURES CODES TO TRACK THE ACCOUNTS IN BAD DEBTS AND SUBSEQUENTLY DETERMINED AS CHARITY CARE ELIGIBLE. THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE CHARITY CARE REPORTED IN LINE 2 ABOVE WAS $6,100,650. THE COST ASSOCIATED TO SUCH CHARITY AMOUNT WAS $1,456,313. PART III, LINE 8 SHC HAS BEEN UTILIZING A COST ACCOUNTING (TSI) 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 2012. 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. 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 DOES NOT ALLOW THEIR COLLECTION AGENCIES TO REPORT DEBT TO CREDIT BUREAUS, GARNISH WAGES, OR FILE LIENS ON PRIMARY RESIDENCES. PART V, LINE 19D The percentage discount applied to a patient's liability for charges is determined after an evaluation based on proof of income. PART VI, LINE 2 NEEDS ASSESSMENT SHC, in partnership with countywide collaborative, assesses the health needs of residents in San Mateo and Santa Clara counties using a both secondary and primary data. Selection criteria are then applied to identify health needs, which are prioritized and cross-cutting themes identified. SHC identified and is addressing three major cross-cutting themes in both counties for FY12: - HEALTH INITIATIVE I: IMPROVE THE HEALTH AND WELL BEING OF OLDER ADULTS. THE GOAL IS TO IMPROVE OLDER ADULTS' ACCESS TO CRITICAL PREVENTION AND HEALTH-PROMOTION SERVICES THAT FOCUS ON FALL PREVENTION AND CHRONIC DISEASE MANAGEMENT. - HEALTH INITIATIVE II: IMPROVE ACCESS TO CARE. THE GOAL IS TO Improve access to quality, culturally appropriate primary care and preventive health care services for vulnerable community members. - HEALTH INITIATIVE III: REDUCE CANCER. THE GOAL IS TO Reduce cancer health disparities in minority and underserved populations by increasing access to culturally appropriate cancer education, screenings, clinical trials and other services. SHC USED THE FOLLOWING SELECTION CRITERIA: 1. A needs assessment process has identified the issue as significant and important to a diverse group of community stakeholders. 2. The issue affects a relatively large number of individuals. 3. The issue has serious impact at the individual, family or community level. 4. If left unaddressed, the issue is very liable to become more serious. 5. The issue offers potential for program intervention that can result in measurable impact. 6. SHC has the required expertise and human and financial resources to make an impact. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SHC HAS SIGNS POSTED AND BROCHURES AVAILABLE IN EACH PATIENT REGISTRATION AND CLINIC AREA REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. ADDITIONALLY, THERE IS A SINGLE PAGE NOTICE IN EVERY PATIENT BILLING STATEMENT THAT DESCRIBES THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OFFERING ASSISTANCE WITH DETERMINING IF THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE OR ANY GOVERNMENT PROGRAMS. 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. COMMUNITY DESCRIPTION SANTA CLARA COUNTY With 1.782 million residents, Santa Clara County (SCC) is the sixth most populated of California's 58 counties, and the most populated county in the Bay Area. More than half of the residents live in San Jose. SCC population is projected to grow from the current level to more than 2.3 million by 2030. The North Valley area is extensively urbanized. Thirteen of the county's fifteen cities and over 88 percent of the county's residents are located in the North Valley. Gilroy and Morgan Hill, with approximately 5 percent of the county's population, are located in the South Valley, which remains predominantly rural, with low-density residential developments scattered though the valley and foothill areas. According to the 2010 US Census, approximately 36 percent of the population in SCC was born outside of the United States, outpacing the rate for California by nearly 10 percent. SCC's racial/ethnic composition is 47 percent White, 32 percent Asian, 27 percent Latino and 3 percent African American. In the most recent census, approximately 12 percent selected 'some other race', and 5 percent selected 'more than one race'. The predominantly reported sub-groups of the Asian population are Chinese (27 percent), Vietnamese (22 percent), Asian Indian (22 percent), and Filipino (15 percent). Over 100 languages and dialects are spoken in SCC. Latinos represent the fastest growing demographic. According to the Silicon Valley Latino Report Card, 82 percent of Latinos in Silicon Valley are from Mexico, with another 8.5 percent from Central America. Another fast growing demographic within Santa Clara County is Vietnamese. While there are currently more Chinese (27 percent) in SCC than Vietnamese (22 percent), the Vietnamese population has grown very rapidly in the last few decades, from 11,717 in 1980 to 134,525 in 2010. The population is the second largest of any county in the U.S., surpassed only by Orange County, California. San Jose has the largest Vietnamese population of any U.S. city. People over 60 make up slightly less of the population in SCC than in California as a whole (16.1 percent vs. 16.8 percent); however, according to the Council on Aging Silicon Valley, "in the coming years, seniors will comprise a larger and larger share of the local population. In 1990, fewer than 1 in 8 county residents was age 60 or older. By 2010, that ratio had grown to 1 in 6. By 2030, over 1 in 4 county residents will be over age 60." While SCC is one of the most diverse counties in the US, the older adult population is less diverse. Nearly 60 percent of the county's senior residents are White (non-Latino), 24 percent are Asian and 12 percent of the county's seniors are Latino (any race). It is projected that by 2030, the demographic makeup of the county will change dramatically among the population of adults who are 60 years and older. By 2030, about 47 percent of older adults will be White, 29.5 percent will be Asian and 17.8 percent will be Latino. On the other hand, young people (ages zero to 17 years) are more diverse than the general population. The youth population makes up about 25 percent of SCC's population. While Latinos make up 27 percent of SCC's overall population, they represent over 35 percent of the youth population. In 2011, over 25 percent of children were English language learners. The percentage of children living below the Federal Poverty Line (FPL) has increased since 2000 by 2.6 percent. In SCC, more Hispanic/Latino and African-American children are living in poverty compared to children of other racial/ethnic groups and the County overall. In 2012, the national FPL for a family of four was $23,050. According to this measure, nearly 1 in 10 children (11 percent) and 1 in 12 adults (9 percent) are living in poverty. Because FPL does not take into consideration local conditions such as cost of living, other measures of economic security are used to provide a more realistic measure of poverty in SCC. The Family Economic Self-Sufficiency Standard (FESSS) estimates that an annual income of $59,140 is necessary in order for a family of three (one adult and two children ages 3-5) to meet their most basic expenses; this is equivalent to that of more than four full-time minimum wage jobs. Nearly half of SCC older adults are economically insecure, with incomes too low to meet their basic needs without additional assistance. According to the Elder Economic Security Index (Elder Index), a measure that provides a county-specific indicator of senior poverty, 67 percent of Latino seniors and 76 percent of Asian seniors are living in impoverished conditions, compared with just 32 percent of White, non-Latino seniors. Additionally, female seniors and seniors 75 years and older (any gender) are more likely to experience poverty compared to male seniors and those between the ages of 65 and 74 years old. SAN MATEO COUNTY San Mateo County (SMC), located on the San Francisco Peninsula is made up of twenty cities and towns, bordered by the City of San Francisco on the north, the Bay on the east, Santa Clara County on the south and the Pacific Ocean on the west. SMC is a mix of urban/suburban industrial, small business and residential use. The coastal area is a mix of suburban and rural with significant agricultural, fishing, small business and tourism land use. According to the 2010 US Census, the county's population is 719,467. SMC's population is expected to increase by 14 percent from 2010-2050. SMC is among the richest counties in terms of ethnic diversity. From 2006-2010, 34 percent of the county population was foreign born and nearly half, 45 percent, of persons over the age of five speak a language other than English at home. Over the next four decades, the White population is expected to decrease by nearly 50 percent, while Hispanic and Asian/Pacific Islander populations are expected to increase dramatically. By the year 2050, the ethnic makeup of the county is projected to be 38 percent Hispanic, 32 percent Asian/Pacific Islander, 22 percent White, five percent Black and four percent other/multi-race. While other age groups will decrease in terms of percent of county population (0-19 years, 20-39 years, 40-59 years) from 2010 to 2050, those 60 years and older will increase from 18.9 percent to 30.9 percent. Asian/Pacific Islander and Hispanic seniors will comprise the largest proportion of seniors in SMC in 2050. At the other end of the age spectrum, the ethnic makeup of children under the age of 15 years is projected to be Hispanic, Asian/Pacific Islander, White, Black and multi-race in 2050. In 2010, median earnings for SMC residents aged 25 years and older were $47,060 and the average weekly wage was $1,450, down 13% from 2000. According to the U.S. Census Bureau, from 2006-2010, the percentage of SMC individuals below poverty level was 7 percent with 9.1 percent of children under the age of 18 below the poverty level. According to the FESSS, a single parent with two children living in SMC must earn approximately $78,000 annually to meet the family's basic needs, the equivalent of nearly five, full-time minimum wage jobs. According to the Elder Index, 36 percent of seniors struggle to cover basic expenses and, if their annual income exceeds federal poverty guidelines ($10,830), they may be ineligible for public assistance programs. 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, 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 NEEDED HEALTH CARE SERVICES FOR VULNERABLE COMMUNITY MEMBERS. IN FY12, SHC CONTRIBUTED NEARLY $139 MILLION, OR 72 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 NEARLY $110.7 MILLION. CHARITY CARE FOR UNINSURED AND UNDERINSURED PATIENTS TOTALED OVER $25.4 MILLION. IN ADDITION TO THE INVESTMENTS IN CHARITY CARE AND UNCOMPENSATED MEDI-CAL, SHC'S CONTRIBUTION TO OTHER COMMUNITY BENEFIT ACTIVITIES FOR VULNERABLE POPULATIONS WERE NEARLY $3 MILLION IN FY12. THESE ACTIVITIES PROVIDE ESSENTIAL SERVICES FOR THOSE MOST IN NEED IN OUR COMMUNITIES. SHC SUPPORTS FIVE COMMUNITY CLINICS AND A TRANSITIONAL MEDICAL UNIT IN A HOMELESS SHELTER AS PART OF ITS IMPROVE ACCESS TO CARE INITIATIVE. THESE COMMUNITY PARTNERS INCLUDE CARDINAL FREE CLINICS, WHICH INCLUDES ARBOR FREE AND PACIFIC FREE CLINICS, RAVENSWOOD FAMILY HEALTH CENTER; MAYVIEW COMMUNITY HEALTH CENTER; SAMARITAN HOUSE REDWOOD CITY FREE CLINIC AND MEDICAL RESPITE CENTER AT EHC LIFEBUILDER'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. BENEFITS FOR THE LARGER COMMUNITY SHC SUPPORTED A WIDE-RANGE OF ACTIVITIES THAT BENEFIT THE BROADER COMMUNITY. IN FY12, SHC CONTRIBUTED NEARLY $4.5 MILLION TO SUPPORT THESE ACTIVITIES. THESE ACTIVITIES INCLUDING THE STANFORD HEALTH LIBRARY, 34 DIFFERENT PROGRAMS TO SUPPORT COMMUNITY MEMBERS FIGHTING CANCER, VARIOUS SUPPORT GROUPS, TRAFFIC AND BICYCLE SAFETY PROGRAMS, CANCER CLINIC TRIALS WEBSITE AND PHONE LINES, STANFORD LIFE FLIGHT AND MEDICAL TRANSPORT SERVICE, AND EMERGENCY PLANNING FOR THE COMMUNITY. HEALTH RESEARCH, EDUCATION AND TRAINING 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 HEALTH CARE PROVIDERS. IN FY12, SHC CONTRIBUTED $50.3 MILLION TO SUPPORT HEALTH RESEARCH, EDUCATION AND TRAINING. OF THIS AMOUNT, OVER $40.5 MILLION WAS SPENT TO TRAIN MEDICAL RESIDENTS AND INTERNS. IN ADDITION TO TRAINING PHYSICIANS, SHC SUPPORTS THE TRAINING OF OTHER HEALTH PROFESSIONALS. IN FY12, SHC INVESTED OVER $9.8 MILLION FOR SUCH 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 $138,880,829 MEDICARE (UNCOMPENSATED EXPENSE) $212,465,834 BENEFITS FOR THE LARGER COMMUNITY $4,455,349 HEALTH RESEARCH, EDUCATION AND TRAINING $50,337,446 TOTAL EXCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $193,673,624 TOTAL INCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $406,139,458 PART VI, LINE 7 ALL STATES IN WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: CALIFORNIA true KOREAN CANCER PATIENTS AND FAMILIES 2900 PATRICK HENRY DR SANTA CLARA CA 95054 456539161 501(C)(3) 10000 KOREAN CANCER PATIENTS SAMARITAN HOUSE 401 N HUMBOLDT ST SAN MATEO CA 94401 237416272 501(C)(3) 25000 HEALTH CARE SERVICES STANFORD SCHOOL OF MEDICINE 251 CAMPUS DRIVE STANFORD CA 94305 941156365 501(C)(3) 10000 PATIENT ADVOCACY PROGRAM STANFORD SCHOOL OF MEDICINE 251 CAMPUS DRIVE STANFORD CA 94305 941156365 501(C)(3) 30000 CFC TECHNOLOGY Mayview Community Health CNTR 270 Grant Ave Palo Alto CA 94306 942239468 501(C)(3) 70000 PRIMARY & PREVENTIVE HEALTHCARE FOUNDATION 1215 K ST STE 730 SACREMENTO CA 95814 861174825 501(C)(6) 40000 MEDICAL RESPITE PRGM RAVENSWOOD FAMILY HEALTH CTR 1798 A BAY RD PALO ALTO CA 94303 943372130 501(C)(3) 40000 SUPPORT PATIENT SVCS 6 1 PROCEDURES FOR MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 When a grant is approved, someone with signature authority from the organization receiving the grant signs the grant agreement, which includes a statement of when the funds were received and how much was received. They also agree to submit grant reports demonstrating progress on agreed upon goals and objectives. Soft and hard copies of grant agreement letters, grant reports, and other relevant information are kept by the Executive Director of Community Partnerships for Stanford Hospital & Clinics. X X true true X X X X X true true false false false false false true false CHRISTOPHER DAWES 805172 0 421398 0 201096 0 326950 0 24245 0 1778861 0 0 0 PHILIP PIZZO MD 620862 0 16730 0 507937 0 24808 0 1170337 0 0 NORMAN RIZK MD 282864 156055 214053 0 24500 0 5036 0 682508 0 0 ANN WEINACKER MD 183871 81596 106054 0 23769 0 15853 0 411143 0 0 AMIR DAN RUBIN 1478121 0 1287800 0 50389 0 256827 0 28025 0 3101162 0 0 0 DANIEL GINSBURG 336941 0 100000 0 1281653 0 22050 0 12611 0 1753255 0 152014 0 DANIEL MORISSETTE 630034 0 226444 0 99962 0 99370 0 26956 0 1082766 0 73310 0 CAROLYN BYERLY 386557 0 113364 0 70058 0 22050 0 8808 0 600837 0 0 0 NANCY LEE 347305 0 102033 0 57939 0 22050 0 23284 0 552611 0 0 0 JERROLD MAKI 285639 0 73380 0 78805 0 22050 0 9497 0 469371 0 0 0 MARK TORTORICH 285838 0 77798 0 74920 0 57452 0 14488 0 510496 0 34532 0 KEVIN TABB 393999 0 197167 0 121767 0 22050 0 22897 0 757880 0 57124 0 SRIDHAR SESHADRI 354238 0 98088 0 64479 0 22050 0 25555 0 564410 0 0 0 JENNIFER VARGAS 428384 0 126931 0 100026 0 74980 0 29271 0 759592 0 52729 0 PRAVENE NATH 346432 0 100586 0 66322 0 50954 0 29468 0 593762 0 0 0 BRUCE HARRISON 414114 0 135872 0 22851 0 64333 0 24638 0 661808 0 0 0 MICHAEL J PETERSON RETIRED 611 172472 0 148891 0 69288 0 13403 0 1310 0 405364 0 0 0 SCHEDULE J, PART I, LINE 1A TRAVEL POLICY STANFORD HOSPITAL AND CLINICS ("SHC") TRAVEL POLICY GENERALLY REQUIRES ALL EMPLOYEES TO USE THE MOST ECONOMICAL MODE OF TRANSPORTATION AVAILABLE CONSISTENT WITH THE AUTHORIZED BUSINESS PURPOSE OF THE TRAVEL IN ORDER TO BE FULLY REIMBURSED. SHC OFFICERS AND OTHER INDIVIDUALS ENUMERATED IN SCHEDULE J ARE FULLY SUBJECT TO THE SAME POLICIES AND PROCEDURES AS ANY OTHER EMPLOYEE OF SHC. ON VERY RARE OCCASIONS IN CALENDAR YEAR 2011, FIRST CLASS TRAVEL WAS APPROVED BY THE CFO OR CONTROLLER. CERTAIN INDIVIDUALS LISTED IN PART VII FLEW FIRST CLASS IN CALENDAR YEAR 2011. ALL FIRST CLASS TRAVEL WAS FOR BUSINESS PURPOSES AND CONSIDERED NON-TAXABLE EXPENSE REIMBURSEMENT. HOUSING ALLOWANCE THE FOLLOWING INDIVIDUALS RECEIVED HOUSING AS A TAXABLE BENEFIT AND THE AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B (III). JERROLD MAKI, JENNIFER VARGAS, MARK TORTORICH, DANIEL GINSBURG, AMIR DAN RUBIN, DANIEL MORISSETTE, PRAVENE NATH, AND BRUCE HARRISON. SCHEDULE J, PART I, LINE 4A DANIEL GINSBURG RECEIVED SEVERANCE IN THE AMOUNT OF $982,831, WHICH IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)III. SCHEDULE J, PART I, LINE 4B STANFORD HOSPITAL AND CLINICS ("SHC") 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; (B) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (C) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (D) THE PARTICIPANT ATTAINS THE AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; OR (E) THE PARTICIPANT COMPLETES SEVEN YEARS AS AN ELIGIBLE EMPLOYEE. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2011: CHRISTOPHER DAWES $ 139,347 MICHAEL PETERSON $ 19,130 NANCY LEE $ 42,543 CAROLYN BYERLY $ 47,268 MARK TORTORICH $ 36,909 KEVIN TABB $ 61,055 SRIDHAR SESHADRI $ 43,664 DANIEL MORISSETTE $ 78,355 JERROLD MAKI $ 35,036 JENNIFER VARGAS $ 56,357 DANIEL GINSBURG $ 159,357 PRAVENE NATH $ 29,693 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). 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 INITIAL CREDIT TO MR. DAWES PLAN OF $300,000 IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). PHILLIP PIZZO 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 II, DESCRIPTION FOR COLUMN B(II) OFFICERS AND OTHERS WITH AMOUNTS IN THIS COLUMN RECEIVE BONUS AWARDS AND INCENTIVE COMPENSATION. SCHEDULE J, PART II, DESCRIPTION FOR COLUMN B(III) OTHER REPORTABLE COMPENSATION IN SCHEDULE J-1, 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 I, LINE 7 OFFICERS AND OTHERS AS ENUMERATED IN SCHEDULE J, PART II PARTICIPATE IN A DEFERRED COMPENSATION PLAN. ANNUALLY, AMOUNTS ARE CREDITED TO THE PLAN BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET. 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. CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033F3U2 2008-06-02 428500000 2008 SERIES AB-SEE ATTACH K-I(F) false false false CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LJH1 2010-06-16 310291489 2010 SERIES AB-SEE ATTACH K-I(F) false false false CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LZN0 2012-05-23 608293722 2012 SERIES ABCD-SEE ATTACH K-I(F) false false false 2250000 0 428500000 0 0 0 0 0 0 0 428500000 0 true false true true 4485000 0 310291489 0 0 0 0 0 0 0 310291489 0 true false true true 0 0 608293722 0 0 79197124 4775 0 0 0 0 529091873 false true false true false true true true true true 0.00060 0.00000 0.00060 true false true true true true true 0.00030 0.00000 0.00030 true false true true true true true 0.00000 0.00000 0.00000 true false true true SEE ATTACH K-IV3B false false false 0 false true false false false 0 false 0 false true false true false 0 false 0 false true X SEE SCHEDULE O 0 AMIR DAN RUBIN HOUSING LOAN X 1250000 1250000 false true true BRUCE HARRISON HOUSING LOAN X 450000 450000 false true true 1700000 MEDTRONIC SEE PART V 16184892 PAYMENT FOR PRODUCTS false BETH DAWES SEE PART V 77936 COMPENSATION FOR EMPLOYMENT false VARIAN MEDICAL SYSTEMS SEE PART V 2133549 PAYMENT FOR PRODUCTS false EXPRESSSCRIPTS SEE PART V 8844339 PAYMENT FOR PRODUCTS false RELATIONSHIP BETWEEN PERSONS AND ORGANIZATION FORM 990, SCHEDULE L, PART IV COLUMN (B) MEDTRONIC: A DIRECTOR OF SHC IS ALSO A DIRECTOR OF MEDTRONIC. THE DIRECTOR DID NOT PARTICIPATE IN ANY WAY IN DECISION MAKING ABOUT THE RELATIONSHIP BETWEEN SHC AND MEDTRONIC. BETH DAWES: EMPLOYEE IS A FAMILY MEMBER OF A DIRECTOR. VARIAN MEDICAL SYSTEMS: A DIRECTOR OF SHC IS ALSO A DIRECTOR OF VARIAN MEDICAL SYSTEMS. THE DIRECTOR DID NOT PARTICIPATE IN ANY WAY IN DECISION MAKING OR DISCUSSION OF THE RELATIONSHIP BETWEEN SHC AND VARIAN MEDICAL SYSTEMS. EXPRESSSCRIPTS: A DIRECTOR OF SHC IS ALSO A DIRECTOR OF EXPRESSSCRIPTS. THE DIRECTOR DID NOT PARTICIPATE IN ANY WAY IN DECISION MAKING ABOUT THE RELATIONSHIP BETWEEN SHC AND EXPRESSSCRIPTS. X 23 985481 MEAN VALUE ON DOT X 4 7675 APPRAISAL false true true SCHEDULE M, PART I, COLUMN B STANFORD HOSPITAL AND CLINICS IS REPORTING THE NUMBER OF CONTRIBUTIONS. SCHEDULE M, PART I, QUESTION 32B STANFORD HOSPITAL AND CLINICS UTILIZES THE SERVICES OF STANFORD UNIVERSITY TO ASSIST WITH THE SOLICITATION AND PROCESSING OF NON-CASH GIFTS. MISSION FORM 990, PART I, LINE 1 & PART III, LINE 1 STANFORD HOSPITAL AND CLINICS ("SHC") IS A NON-PROFIT CALIFORNIA PUBLIC BENEFIT CORPORATION OF WHICH THE BOARD OF TRUSTEES OF 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, A CANCER CENTER IN PALO ALTO, 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 HOSPITAL AND CLINICS HAS A MISSION TO CARE, TO EDUCATE, AND TO DISCOVER. THEIR 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 HOSPITAL AND CLINICS ("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 25,164 PATIENT DISCHARGES. SHC HAD 141,131 PATIENT DAYS INCLUDING ACUTE, BEHAVIORIAL HEALTH, AND SHORT STAY OUTPATIENT. TOTAL OUTPATIENT AND EMERGENCY ROOM VISITS WERE 478,405 FOR THE FISCAL YEAR ENDED AUGUST 31, 2012. SUMMARY OF SHC COMMUNITY BENEFIT ACTIVITIES: INVESTMENTS IN VULNERABLE POPULATIONS SHC'S LARGEST COMMUNITY BENEFIT INVESTMENT WAS IN IMPROVING ACCESS TO NEEDED HEALTH CARE SERVICES FOR VULNERABLE COMMUNITY MEMBERS. IN FY12, SHC CONTRIBUTED NEARLY $139 MILLION, OR 72 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 NEARLY $110.7 MILLION. CHARITY CARE FOR UNINSURED AND UNDERINSURED PATIENTS TOTALED OVER $25.4 MILLION. IN ADDITION TO THE INVESTMENTS IN CHARITY CARE AND UNCOMPENSATED MEDI-CAL, SHC'S CONTRIBUTION TO OTHER COMMUNITY BENEFIT ACTIVITIES FOR VULNERABLE POPULATIONS WERE NEARLY $3 MILLION IN FY12. THESE ACTIVITIES PROVIDE ESSENTIAL SERVICES FOR THOSE MOST IN NEED IN OUR COMMUNITIES. SHC SUPPORTS FIVE COMMUNITY CLINICS AND A TRANSITIONAL MEDICAL UNIT IN A HOMELESS SHELTER AS PART OF ITS IMPROVE ACCESS TO CARE INITIATIVE. THESE COMMUNITY PARTNERS INCLUDE CARDINAL FREE CLINICS, WHICH INCLUDES ARBOR FREE AND PACIFIC FREE CLINICS, RAVENSWOOD FAMILY HEALTH CENTER; MAYVIEW COMMUNITY HEALTH CENTER; SAMARITAN HOUSE REDWOOD CITY FREE CLINIC AND MEDICAL RESPITE CENTER AT EHC LIFEBUILDER'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. BENEFITS FOR THE LARGER COMMUNITY SHC SUPPORTED A WIDE-RANGE OF ACTIVITIES THAT BENEFIT THE BROADER COMMUNITY. IN FY12, SHC CONTRIBUTED NEARLY $4.5 MILLION TO SUPPORT THESE ACTIVITIES. THESE ACTIVITIES INCLUDING THE STANFORD HEALTH LIBRARY, 34 DIFFERENT PROGRAMS TO SUPPORT COMMUNITY MEMBERS FIGHTING CANCER, VARIOUS SUPPORT GROUPS, TRAFFIC AND BICYCLE SAFETY PROGRAMS, CANCER CLINIC TRIALS WEBSITE AND PHONE LINES, STANFORD LIFE FLIGHT AND MEDICAL TRANSPORT SERVICE, AND EMERGENCY PLANNING FOR THE COMMUNITY. HEALTH RESEARCH, EDUCATION AND TRAINING 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 HEALTH CARE PROVIDERS. IN FY12, SHC CONTRIBUTED $50.3 MILLION TO SUPPORT HEALTH RESEARCH, EDUCATION, AND TRAINING. OF THIS AMOUNT, OVER $40.5 MILLION WAS SPENT TO TRAIN MEDICAL RESIDENTS AND INTERNS. IN ADDITION TO TRAINING PHYSICIANS, SHC SUPPORTS THE TRAINING OF OTHER HEALTH PROFESSIONALS. IN FY12, SHC INVESTED OVER $9.8 MILLION FOR SUCH 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 $138,880,829 MEDICARE (UNCOMPENSATED EXPENSE) $212,465,834 BENEFITS FOR THE LARGER COMMUNITY $4,455,349 HEALTH RESEARCH, EDUCATION AND TRAINING $50,337,446 TOTAL EXCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $193,673,624 TOTAL INCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $406,139,458 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 PHILIP PIZZO AMIR DAN RUBIN THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD UNIVERSITY: PHILIP PIZZO, DEAN OF THE STANFORD SCHOOL OF MEDICINE CHARLES KOOB NORMAN RIZK JOHN MORGRIDGE ANN WEINACKER MD THE FOLLOWING INDIVIDUALS ARE TRUSTEES AT STANFORD UNIVERSITY: MARIANN BYERWALTER RON JOHNSON JOHN GUNN MEMBERS FORM 990, PART VI, LINE 6 STANFORD UNIVERSITY IS THE SOLE MEMBER OF STANFORD HOSPITAL AND CLINICS ("SHC"). ELECTION BY MEMBERS FORM 990, PART VI, LINE 7A STANFORD UNIVERSITY, AS THE SOLE MEMBER OF SHC, APPOINTS THE SHC BOARD OF DIRECTORS. REVIEW OF FORM 990 FORM 990, PART VI, LINE 11B THE 990 TAX RETURN IS PREPARED BY THE FINANCE DEPARTMENT OF SHC. THE FINANCIAL DATA IS EXTRACTED FROM THE AUDITED FINANCIAL STATEMENT AND SUPPLEMENTAL INFORMATION AUDITED BY THE INDEPENDENT ACCOUNTING FIRM OF PRICEWATERHOUSECOOPERS (PWC). COMPENSATION DATA IS EXTRACTED FROM PAYROLL RECORDS. OTHER INFORMATION IS PROVIDED BY THE RELEVANT AREAS WITH EXPERTISE IN SHC. UPON COMPLETION, THE RETURN IS REVIEWED BY THE SENIOR MANAGEMENT OF SHC, THE COUNSEL OF SHC, STANFORD UNIVERSITY TAX COMPLIANCE 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. WHEN STANFORD HOSPITAL AND CLINICS RECEIVES CONTRIBUTIONS FROM DONORS WHO WISH TO REMAIN ANONYMOUS BUT OTHERWISE MEET THE SCHEDULE B THRESHOLD REPORTING REQUIREMENTS, THE BOARD REVIEWS THE FORM 990 WITHOUT DISCLOSURE OF THESE DONORS' NAME IN ORDER TO PROTECT THE DONORS' ANONYMITY. CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C OFFICERS, DIRECTORS AND 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 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 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 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. HOURS AT RELATED ORGANIZATIONS FORM 990, PART VII CHRISTOPHER DAWES: 50 HOURS AT LUCILE SALTER PACKARD CHILDREN'S HOSPITAL PHILIP PIZZO: 50 HOURS AT STANFORD UNIVERSITY NORMAN RIZK: 50 HOURS AT STANFORD UNIVERSITY JOHN MORGRIDGE: 10 HOURS AT STANFORD UNIVERSITY ANN WEINACKER MD: 50 HOURS AT STANFORD UNIVERSITY CHARLES KOOB: 2 HOURS AT STANFORD UNIVERSITY BRUCE HARRISON: 10 HOURS AT UNIVERSITY HEALTHCARE ALLIANCE UNDER A PURCHASED SERVICES ARRANGEMENT WITH LPCH, SHC LEASES CERTAIN EMPLOYEES TO LPCH. SHC PAYS THE LEASED EMPLOYEES DIRECTLY AND FILES THE REQUIRED FEDERAL AND STATE INFORMATIONAL RETURNS. CHRISTOPHER DAWES IS A DIRECTOR OF SHC. FOR FY12 HE WAS ALSO THE PRESIDENT AND CEO OF THE LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD, A RELATED ORGANIZATION. MR. DAWES RECEIVES COMPENSATION FROM SHC FOR HIS SERVICES AT LPCH UNDER THE PURCHASE SERVICE ARRANGEMENT DESCRIBED ABOVE. MR DAWES RECEIVED NO COMPENSATION FOR HIS DUTIES AS A DIRECTOR OF SHC. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 5 ADDITIONAL MINIMUM PENSION LIABILITY ($16,319,000) INTEREST RATE SWAP MTM ($69,805,358) EQUITY TRANSFER $436,597 CHANGE IN NET UNREALIZED LOSSES ($213,775) TRANSFER TO UNITED HEALTHCARE ALLIANCE $6,530,019 LOSS ON EXTINGUISHMENT OF DEBT/SWAPS ($3,783,140) ROUNDING ADJUSTMENT TO BALANCE TO FINANCIAL STATEMENTS ($8) _____________ OTHER CHANGES IN NET ASSETS ($83,154,665) TAX EXEMPT BONDS FORM 990, SCHEDULE K, PART I, ATTACH.K-I(F) 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 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: C CUSIP#: 13033LZN0 SERIES: 2012 SERIES C 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 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. TAX-EXEMPT BONDS F0RM 990, SCHEDULE K, PART IV, ATTACH. K-IV3(B)&(C) ISSUE: A SERIES: 2008 SERIES B1 NAME OF PROVIDER: DEUTSCHE BANK AG* TERM OF HEDGE: 10 ISSUE: A SERIES: 2008 SERIES B2 NAME OF PROVIDER: DEUTSCHE BANK AG* TERM OF HEDGE: 10 * NOVATED FROM ORIGINAL COUNTERPARTY, J.P. MORGAN CHASE BANK N.A. EFFECTIVE JANUARY 1, 2011. 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