2014-07-14T16:20:55-05:00 2013-08-31 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2012-09-01 946174066 STANFORD HEALTH SERVICES % CONTROLLER STAN 6507234000 300 Pasteur Drive MC 5555 Suite Stanford CA 94305 DANIEL MORISSETTE 6507234000 2014-07-08 true PRICEWATERHOUSECOOPERS LLP 6175305000 2012 2015-11-30 17:44:51Z STANFORD HOSPITAL AND CLINICS DANIEL J MORISSETTE CFO 300 PASTEUR DRIVE MC 5516 STANFORD CA 94305 2776147353 false X http://www.stanfordhospital.org X 1957 CA SEE SCHEDULE O 28 19 12308 1069 6185458 -3649725 219413695 51938863 2474399505 2605608068 32021581 118600422 0 0 2725834781 2776147353 225000 239372 0 0 921985907 1019136277 0 0 7115644 1334388778 1341242771 2256599685 2360618420 469235096 415528933 3759715898 4188161303 2072800291 1952514280 1686915607 2235647023 X SEE SCHEDULE O. false false 2169817428 239372 2605608068 SEE SCHEDULE O. 2169817428 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 true true true false false false true true true true false false true 776 0 true 12308 true true true true BD false false false true true false false false false X 28 19 true false false false true true false true true false false true 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 2.0 X BRET COMOLLI 2.0 X 0 0 0 BRUCE COZADD 2.0 X MARY CRANSTON 2.0 2.0 X 0 0 0 CHRISTOPHER DAWES 2.0 50.0 X 1173878 0 57484 JOHN FREIDENRICH 2.0 X JOHN GOLDMAN 2.0 X 0 0 0 LORI GOLER 2.0 X 0 0 0 JOHN GUNN 2.0 2.0 X 0 0 0 FRED HARMAN 2.0 X 0 0 0 JOEL HYATT 2.0 X RON JOHNSON 2.0 2.0 X CHARLES KOOB 2.0 3.0 X 0 10000 0 CHIEN LEE 2.0 X 0 0 0 JOHN LEVIN 2.0 X TED LOVE MD 2.0 1.0 X LINDA MEIER 2.0 X 0 0 0 LLOYD B MINOR MD 2.0 52.0 X 0 734169 29784 JOHN MORGRIDGE 2.0 10.0 X 0 40239 0 WOODROW A MYERS MD 2.0 X PHILIP PIZZO MD 2.0 52.0 X 0 670765 294039 CHRISTOPHER REDLICH 2.0 X NORMAN RIZK MD 2.0 51.0 X 0 701348 29453 AMIR DAN RUBIN 50.0 2.0 X X 2519239 323338 JOHN SCULLY 2.0 X ANN WEINACKER MD 2.0 50.0 X 0 391565 45561 SCOTT WOOD MD 2.0 X JON STEVE YOUNG 2.0 X 0 0 0 WILLIAM YOUNGER 2.0 X JAMES HEREFORD 50.0 X 0 0 0 DANIEL MORISSETTE 50.0 2.0 X 1135316 0 137682 MARGARET VOSBURGH 50.0 X 1558801 0 6455 CAROLYN BYERLY 50.0 X 570924 0 44320 NANCY LEE 50.0 X 489638 0 52823 JERROLD MAKI 50.0 X 423547 0 35992 PRAVENE NATH 50.0 X 563132 0 63016 MARK TORTORICH 25.0 25.0 X 475600 0 48527 BRUCE HARRISON 40.0 10.0 X 610780 0 101866 SRIDHAR SESHADRI 50.0 X 530639 0 54581 DALE SPARTZ 50.0 X 925310 0 48320 JENNIFER VARGAS 50.0 1.0 X 661079 0 111497 Helen Wilmot 50.0 X 509840 0 44881 12147723 2548086 1529619 4166 false true false STANFORD UNIVERSITY 651 SERRA STREET STANFORD CA 94305 PROF. SERVICES 383413689 ACCENTURE LLP 161 N CLARK STREET CHICAGO IL 60601 IT CONSULTING 49180317 VANCE BROWN INC 3197 PARK BLVD PALO ALTO CA 94306 CONSTRUCTION 37225320 AMN HEALTHCARE INC FILE 56157 LOS ANGELES CA 60074 NURSING SERVICES 21520957 RAFAEL VINOLY ARCHITECTS PC 50 VANDAM STREET NEW YORK NY 10013 CONSTRUCTION 19752730 215 51938863 7465463 51938863 PATIENT REVENUE 900099 2466527426 2466527426 OUTREACH LAB CLINIC 900099 11151891 6458678 4693213 REIMBURSED/SHARED EXPENSES 900099 85674179 85674179 HOUSESTAFF 900099 19555074 19555074 CLINIC REVENUE 900099 8710303 8710303 13989195 12163815 1492245 333135 2605608068 118667339 118667339 0 0 0 0 0 -66917 -66917 -66917 -66917 0 0 0 0 2776147353 2599089475 6185458 118933557 239372 239372 0 0 0 7610757 3017635 4391031 202091 0 652366222 610877813 41311496 176913 58058439 54509931 3530562 17946 247532565 227068625 20399123 64817 53568294 49978142 3577134 13018 285550 285550 6920908 6920876 32 1412077 1412077 184200 109000 75200 0 0 58807458 53057493 5415811 334154 3260380 3022292 87343 150745 89453288 71416562 17816062 220664 49812999 30847647 18911787 53565 0 59608631 54698618 4906532 3481 3869281 2980982 804130 84169 0 1127553 692583 416675 18295 46574288 46574207 81 0 92102641 76750386 15253690 98565 9106162 7434547 1671615 OTHER PURCHASED SERVICES 508322385 477740435 25130222 5451728 SUPPLIES 355779575 349344877 6401745 32953 LICENSE AND TAXES 2224506 1422967 801539 DUES & SUBSCRIPTIONS 1743187 672918 1070269 50647702 47074846 3380429 192427 2360618420 2169817428 183685348 7115644 1450 565635 477484300 407429555 0 0 395719831 402853770 1700000 1550000 0 0 0 0 22765161 23824543 13658103 22224015 2103852050 976969822 957569977 1126882228 0 0 986001073 1231406816 72887798 92859571 0 0 831928205 878565170 3759715898 4188161303 270164378 280829004 0 0 0 0 1336298129 1322962066 0 0 0 0 0 0 0 0 466337784 348723210 2072800291 1952514280 X 1251304561 1757489112 428020504 470567369 7590542 7590542 1686915607 2235647023 3759715898 4188161303 X 415528933 -1011627 134214110 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 19228 false true 184200 true 189774 true 71689 false 464891 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 FY13, SHC PAID DUES OF APPROXIMATELY $378,553 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $75,200. 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PART V, LINE 4 ENDOWMENT FUNDS STANFORD HOSPITAL AND CLINICS' (SHC) ENDOWMENT CONSISTS OF 17 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 TO SUPPORT MEDICAL DIRECTOR OF DISASTER PREPAREDNESS. 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 AND CLINICS HAS NO UNCERTAIN TAX POSITIONS PERTAINING TO UNRELATED BUSINESS INCOME. PART XI, LINE 2D OTHER REVENUE ON F/S NOT ON RETURN ADDITIONAL MINIMUM PENSION LIABILITY $30,118,700 INTEREST RATE SWAP MTM $102,927,740 EQUITY TRANSFER $1,167,670 ------------- TOTAL OTHER REVENUE ON F/S NOT ON RETURN $134,214,110 PART XI, LINE 4B OTHER REVENUE ON RETURN NOT ON F/S REIMBURSEMENT OF SHARED EXPENSE $85,674,179 PART XII, LINE 4B OTHER EXPENSE ON RETURN NOT ON F/S REIMBURSEMENT OF SHARED EXPNESE $85,674,179 East Asia and the Pacific 1 1 Program Services PATIENT NAVIGATION 118874 1 1 1 1 118874 118874 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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5535 MOREHOUSE DRIVE SAN DIEGO CA 92121

SHC ON-SITE HEALTH CENTER AT QUALCOMM SHC ON-SITE HEALTH CENTER AT DREAMWORKS

1400 SEAPORT BOULEVARD REDWOOD CITY CA 94063

SHC ON-SITE HEALTH CENTER AT DREAMWORKS PART I, LINE 6A COMMUNITY ASSESSMENT PROCESS In Santa Clara County, community input was gathered during the fall of 2012 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 San Mateo County, resident input was gathered through the 2013 Community Health Needs Assessment: Health & Quality of Life Survey. The survey was conducted using a random sample of 1,000 adults in San Mateo County via landline and cell phones. In addition to the countywide random sampling, additional surveys were conducted in Coastside zip codes as well as oversampling of African-American residents and low-income residents, resulting in a total of 1,724 interviews. The secondary data was collected, synthesized and analyzed from multiple sources by San Mateo County Health System. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS TOTALED $4,062,145 IN FY13. 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 FY13, SHC CONTRIBUTED MORE THAN $57.6 MILLION TO SUPPORT HEALTH RESEARCH, EDUCATION AND TRAINING. OF THIS AMOUNT, OVER $47.6 MILLION WAS SPENT TO TRAIN MEDICAL RESIDENTS AND INTERNS. IN ADDITION TO TRAINING PHYSICIANS, SHC SUPPORTS THE TRAINING OF OTHER HEALTH PROFESSIONALS. IN FY13, SHC INVESTED NEARLY $10 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. 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 NINE YEARS OF THE PROGRAM, SOME 100 ADVOCATES HAVE PERFORMED CLOSE TO 19,000 HOURS OF DIRECT SERVICE AND IMPLEMENTED 68 CAPACITY-BUILDING PROJECTS AT THE CLINICS. PARTNER CLINICS IN FY13 WERE MAYVIEW COMMUNITY HEALTH CENTER (PALO ALTO AND MOUNTAIN VIEW CLINIC SITES), RAVENSWOOD FAMILY HEALTH CENTER AND SAMARITAN HOUSE FREE CLINIC IN REDWOOD CITY. THE ELEVEN STUDENT ADVOCATES PROVIDED MORE THAN 1,300 HOURS OF DIRECT SERVICE; COMPLETED FOUR CAPACITY-BUILDING/QUALITY IMPROVEMENT PROJECTS DESIGNED TO MEET THE CLINICS' SELF-IDENTIFIED NEEDS; PARTICIPATED IN THE CALIFORNIA PRIMARY CARE ASSOCIATION'S LOBBY "DAY AT THE CAPITAL" IN SACRAMENTO AND DEVELOPED MEDIA AND POLICY ADVOCACY CAMPAIGNS TO ADDRESS THE UPSTREAM FACOTRS THAT IMPACT THE HEALTH OF UNDERSERVED POPULATIONS AND THE STRUCTURE AND FUNCTIONS THE HEALTHCARE SAFETY NET. SHC PROVIDED $10,000 IN FUNDING FOR THE PROGRAM IN FY13. 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 approximately 7,500 in FY 2013. 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 $1.6 MILLION TO SUBSIDIZE THIS LIFE-SAVING SERVICE IN FY13, ALLOWING 490 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 HOURS OF LANDING ZONE TRAINING ON AN ANNUAL BASIS. PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT TOTALED $2,610,355 IN FY13. PART II Community Emergency Response SCH 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. 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, Centers for Disease Control and Prevention as well as 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 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 (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 2013. 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 DOES NOT ALLOW THEIR COLLECTION AGENCIES TO REPORT DEBT TO CREDIT BUREAUS, GARNISH WAGES, OR FILE LIENS ON PRIMARY RESIDENCES. PART V, SECTION B, LINE 3 In San Mateo County (SMC), primary research was gathered by Professional Research Consultants, Inc. (PRC) through a telephone survey of adults, the 2013 Community Health Needs Assessment: Health & Quality of Life Survey. The phone surveys reached populations represented by those who are medically underserved and have chronic conditions as well as low-income and minority populations. The phone survey was conducted among a random sample of 1,000 adults in San Mateo County; 80 percent were landline telephones and 20 percent were cell phones. In addition to the countywide random sampling, additional surveys were conducted to oversample Coastside zip codes, African-American community members and those living below 400 percent of FPL. Also in San Mateo County, Applied Survey Research (ASR), a consulting firm, conducted a focus group of 20 local community leaders and stakeholders. The purpose of this convening was to elicit feedback and assistance in prioritizing health needs identified through the CHNA process. Participating organizations included faith-based (churches), Redwood City 2020 (schools and youth), two health care districts, YMCA, Caminar (behavior health), SMC Board of Supervisors, Health Plan San Mateo (county's managed care health plan), SMC Human Services Agency, health department and other organizations representing low-income community members, ethnic groups, public safety, and children. In Santa Clara County, 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. ASR conducted eight resident focus groups in Santa Clara County. In order to provide a voice to the community, the assessment team targeted participants who were medically underserved, in poverty, socially or linguistically isolated, or who had chronic conditions. The team conducted two groups with a special population focus: seniors and parents of young children. These groups were located in various geographic areas around the county. Residents were recruited by non-profit hosts such as Community Health Partnership, which serves the uninsured. In all, ASR consulted with more than 50 community representatives of the organizations and sectors listed below. These representatives either work in the health field, or improve health conditions by serving those from the target populations. - Santa Clara County Public Health Department - Santa Clara County Health and Hospital System - Hospitals/hospital systems - Health Insurance providers - Mental/behavioral health or violence prevention providers - School system representatives - Community center representatives - Non-profit agencies providing basic needs - Other non-profit agencies serving children, seniors, and families Health experts were interviewed by telephone and were asked to discuss one of the areas of focus for the CHNA: health delivery, health access, socio-economic factors, health behaviors, environmental conditions, quality of life (morbidity), and mortality. Focus groups with stakeholders were conducted in October and November 2012. The groups represented various community-based organizations including those that serve populations with chronic conditions, seniors, children and youth, the medically underserved, those requiring basic needs, etc. PART V, SECTION B, LINE 4 El Camino Hospital Kaiser Permanente - Santa Clara, San Jose, South San Francisco and Redwood City Lucite Packard Children's Hospital at Stanford O'Connor Hospital Saint Louise Regional Hospital San Mateo Medical Center Sequoia Hospital Seton Medical Center Sutter Health Peninsula Coastal Region PART V, SECTION B, LINE 5A URL at which the CHNA is available www.stanfordhospital.org/communitypartnership PART V, SECTION B, LINE 5B A HARD COPY IS LOCATED AT THE HOSPITAL WITH THE CHIEF NURSING OFFICER AND IS AVAILABLE TO THE PUBLIC FOR REVIEW OR TO GET COPIES UPON REQUEST. PART V, SECTION B, LINE 5C SHC DEVELOPED AND DISTRIBUTED A POSTCARD PROMOTING THE URL WHERE THE CHNA AND IMPLEMENTATION PLAN ARE LOCATED. PART V, SECTION B, LINE 7 Health Needs Not Being Addressed Of the 11 HEALTH NEEDS identified by the CHNA process, SHC SeleCted four to address. Of the seven other health needs, four are indirectly addressed through the health initiatives described in the implementation strategy: diabetes, cardiovascular disease, heart disease, stroke, arthritis and respiratory conditions. The remaining three health needs-obesity, mental health and Alzheimer's disease are not currently addressed in the implementation strategy. Obesity is a health need that is a focus of multiple hospitals and other organizations in both counties. SHC, as an adult hospital, addresses the health needs of an older population. Obesity is a health issue that is best addressed in children and youth. Lucile Packard Children's Hospital at Stanford has many interventions focused on obesity in children and youth. Mental Health is another health need that is not currently addressed in this implementation strategy. Although there is a dearth of mental health services in both counties, mental health is not an issue that SHC has the expertise or resources to undertake. Alzheimer's disease will be a major issue in both counties in the next decade and beyond. While SFIC does not have the resources to address this health need at this time, its Aging Adult Service Department is developing interventions to address the multiple health issues facing our aging population, including Alzheimer's disease. In the future, these services will be explored with an eye toward community implementation. PART V, SECTION B, LINE 20D THE PERCENTAGE DISCOUNT APPLIED TO A PATIENT'S LIABILITY FOR CHARGES IS DETERMINED AFTER AN EVALUATION BASED ON PROOF OF INCOME. PART V, SECTION C IN FY13, SHC ESTABLISHED TWO HEALTH CENTERS AT THE EMPLOYERS' SITES TO PROVIDE PROFESSIONAL HEALTH CARE SERVICE FOR THEIR EMPLOYEES. THESE TWO HEALTH CENTERS ARE OPERATED EXEMPT FROM SHC LICENSE UNDER THE CALIFORNIA HEALTH AND SAFETY CODE 1206(G). 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 2012. The goal was to collectively gather community feedback, understand existing data about health status and prioritize local health needs in each county. In Santa Clara County, community input was gathered during the fall of 2012 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 San Mateo County, resident input was gathered through the 2013 Community Health Needs Assessment: Health & Quality of Life Survey. The survey was conducted using a random sample of 1,000 adults in San Mateo County via landline and cell phones. In addition to the countywide random sampling, additional surveys were conducted in Coastside zip codes as well as oversampling of African-American residents and low-income residents, resulting in a total of 1,724 interviews. The secondary data was collected, synthesized and analyzed from multiple sources by San Mateo County Health System. In late 2012 through early 2013, 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 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. SANTA CLARA COUNTY With 1.8 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's population is projected to grow from the current level to more than 2.3 million by 2030. The North County area is extensively urbanized. Thirteen of the county's 15 cities and more than 88 percent of the county's residents are located in the North County. Gilroy and Morgan Hill, with approximately 5 percent of the county's population, are located in the South County, 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). More than 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. The Vietnamese population is another demographic that is growing rapidly in SCC. While there are currently more Chinese (27 percent) in SCC than Vietnamese (22 percent), the Vietnamese population has grown very quickly 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 ages 60 and older 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 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 ages 60 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 17 years and younger) are more diverse than the general population. These young people make up about 25 percent of SCC's population. While Latinos are 27 percent of SCC's overall population, they represent more than 35 percent of the youth population. In 2011, more than 25 percent of children were English-language learners. The percentage of children living below the Federal Poverty Level (FPL) has increased by 2.6 percent since 2000. 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 the 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 for a family of three (one adult and two children ages 3-5) to meet their most basic expenses; this is equivalent to 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 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. SAN MATEO COUNTY San Mateo County (SMC), located on the San Francisco Peninsula is made up of 20 cities and towns, bordered by the City of San Francisco on the north, the San Francisco Bay on the east, Santa Clara County on the south, and the Pacific Ocean on the west. SMC is a mix of urban and 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 U.S. Census, the county's population is 719,467. SMC's population is expected to increase by 14 percent from 2010 to 2050. SMC is among the richest counties in terms of ethnic diversity. From 2006 to 2010, 34 percent of the county population was foreign born and nearly half (45 percent) of those ages 4 and older spoke 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, 5 percent African-American, and 4 percent other/multi-race. While other age groups will decrease in terms of the percentage of the county population from 2010 to 2050, those ages 60 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 ages 14 and younger is projected to be Hispanic, Asian/Pacific Islander, White, African-American, and multi-race in 2050. In 2010, median income for SMC residents ages 25 and older was $47,060 and the average weekly wage was $1,450, down 13 percent from 2000. According to the U.S. Census Bureau, from 2006 to 2010, the percentage of SMC individuals below the FPL was 7 percent, with 9.1 percent of children ages 18 and younger below the FPL. 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 the FPL ($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 FY13, SHC CONTRIBUTED NEARLY $138 MILLION, OR 70 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 $114.6 MILLION. CHARITY CARE FOR UNINSURED AND UNDERINSURED PATIENTS TOTALED OVER $19.1 MILLION. IN ADDITION TO THE INVESTMENTS IN CHARITY CARE AND UNCOMPENSATED MEDICAL, SHC'S CONTRIBUTION TO OTHER COMMUNITY BENEFIT ACTIVITIES FOR VULNERABLE POPULATIONS WERE NEARLY $4.5 MILLION IN FY13. 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 FY13, SHC CONTRIBUTED NEARLY $3.8 MILLION TO SUPPORT THESE ACTIVITIES. THESE ACTIVITIES INCLUDING THE STANFORD HEALTH LIBRARY, 37 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 FY13, SHC CONTRIBUTED $57.6 MILLION TO SUPPORT HEALTH RESEARCH, EDUCATION AND TRAINING. OF THIS AMOUNT, OVER $47.6 MILLION WAS SPENT TO TRAIN MEDICAL RESIDENTS AND INTERNS. IN ADDITION TO TRAINING PHYSICIANS, SHC SUPPORTS THE TRAINING OF OTHER HEALTH PROFESSIONALS. IN FY13, SHC INVESTED OVER $10 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 $138,123,469 MEDICARE (UNCOMPENSATED EXPENSE) $247,928,070 BENEFITS FOR THE LARGER COMMUNITY $3,825,276 HEALTH RESEARCH, EDUCATION AND TRAINING $57,551,073 TOTAL EXCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $199,499,818 TOTAL INCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $447,427,888 PART VI, LINE 7 ALL STATES IN WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: CALIFORNIA true Asian American Cancer Support PO Box 2919 Sunnyvale CA 94087 421599565 501(C)(3) 6339 cancer educaton Community Health Partnership 100 N Winchester Blvd Santa Clara CA 95051 770352645 501(C)(3) 9342 Mammography Access HealthWays Inc 901 Campus Drive Suite 209 Daly City CA 94015 260659810 501(C)(3) 6007 cancer educaton Pilipino Bayanihan Resource Cn 2121 Junipero Serra Blvd DALY CITY CA 94015 943129745 501(C)(3) 8642 cancer education 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 clinic operations Mayview Community Health CNTR 270 Grant Ave Palo Alto CA 94306 942239648 501(c)(3) 70000 support patient svcs MAYVIEW COMMUNITY HEALTH CNTR 270 GRANT AVE PALO ALTO CA 94306 942239648 501(c)(3) 20000 EXPAND CLINIC TAULAMA FOR TONGANS 1650 S AMPHLETT BLVD SUITE 105 SAN MATEO CA 94402 680488293 501(c)(3) 9042 SMOKING CESSATION STANFORD UNIVERSITY 251 CAMPUS DRIVE STANFORD CA 94305 941156365 501(c)(3) 30000 CFC TECHNOLOGY 8 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 true true X X X X X true true false false false false false true false CHRISTOPHER DAWES 812338 0 138022 0 223518 0 27500 0 29984 0 1231362 0 0 0 LLOYD B MINOR MD 0 376771 0 302864 0 54534 0 0 0 29784 0 763953 0 0 PHILIP PIZZO MD 0 656396 0 0 0 14369 0 268223 0 25816 0 964804 0 0 NORMAN RIZK MD 0 290101 0 410647 0 600 0 25000 0 4453 0 730801 0 0 AMIR DAN RUBIN 1552140 926989 40110 293487 29851 2842577 0 ANN WEINACKER MD 0 203210 0 188355 0 0 0 25000 0 20561 0 437126 0 0 DANIEL MORISSETTE 684443 0 352509 0 98364 0 105327 0 32355 0 1272998 0 72044 0 CAROLYN BYERLY 377945 0 112454 0 80525 0 22724 0 21596 0 615244 0 0 0 NANCY LEE 336600 0 85228 0 67810 0 22500 0 30323 0 542461 0 0 0 JERROLD MAKI 274707 0 78967 0 69873 0 22500 0 13492 0 459539 0 0 0 PRAVENE NATH 365122 0 115222 0 82788 0 53999 0 9017 0 626148 0 0 0 MARK TORTORICH 276636 0 71390 0 127574 0 22500 0 26027 0 524127 0 69111 0 BRUCE HARRISON 432332 0 101631 0 76817 0 68857 0 33009 0 712646 0 0 0 SRIDHAR SESHADRI 347934 0 103512 0 79193 0 22500 0 32081 0 585220 0 0 0 DALE SPARTZ 377412 0 80844 0 467054 0 22500 0 25820 0 973630 0 0 0 JENNIFER VARGAS 452443 0 127464 0 81172 0 80336 0 31161 0 772576 0 51430 0 Helen Wilmot 302828 0 76802 0 130210 0 22500 0 22381 0 554721 0 0 0 MARGARET VOSBURGH 417549 0 149188 0 992064 0 0 6455 0 1565256 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. HOUSING ALLOWANCE 2 OFFICERS, 1 KEY EMPLOYEE, 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 DALE SPARTZ RECEIVED 12 MONTHS' SALARY AS SEVERANCE IN THE AMOUNT OF $333,008 AND MARGARET VOSBURGH RECEIVED 18 MONTHS' SALARY AS SEVERANCE IN THE AMOUNT OF $926,989, 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 2012: CHRISTOPHER DAWES $ 143,538 DALE SPARTZ $ 96,139 NANCY LEE $ 43,671 CAROLYN BYERLY $ 48,513 MARK TORTORICH $ 107,466 SRIDHAR SESHADRI $ 45,268 DANIEL MORISSETTE $ 76,562 JERROLD MAKI $ 35,959 JENNIFER VARGAS $ 54,656 PRAVENE NATH $ 28,987 BRUCE HARRISON $ 36,857 HELEN WILMOT $ 110,974 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 2012 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. 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 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-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 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 ATTACH K-I(F) false false false B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LJH1 2010-06-16 310291489 2010 SERIES AB-SEE ATTACH K-I(F) false false false C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LZN0 2012-05-23 608293722 2012 SERIES ABCD-SEE ATTACH K-I(F) false false false A 4975000 0 428500000 0 0 0 0 0 0 0 428500000 0 2008 true false true true B 9145000 0 310291489 0 0 0 0 0 0 0 310291489 0 2010 true false true true C 4765000 0 611038064 0 4780 70596465 0 0 0 0 8773240 531663579 false true 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 true true true true true 0 false false false true A false false true false true true SEE ATTACH K-IV4B false false 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 A true B true C true TAX EXEMPT BONDS F0RM 990, SCHEDULE K, PART II, COLUMN (C), LINE III THIS AMOUNT DIFFERS FROM THE ISSUE PRICE BECAUSE OF INVESTMENT EARNINGS. F0RM 990, SCHEDULE K, PART IV, ATTACH. K-IV3(B)&(C) 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. AMIR DAN RUBIN HOUSING LOAN X 1250000 1250000 false true true BRUCE HARRISON HOUSING LOAN X 450000 300000 false true true 1550000 BETH DAWES SEE PART V 25983 COMPENSATION FOR EMPLOYMENT false EXPRESSSCRIPTS SEE PART V 9537751 PAYMENT FOR PRODUCTS false VARIAN MEDICAL SYSTEMS SEE PART V 3125261 PAYMENT FOR PRODUCTS false STANFORD PET-CT LLC SEE PART V 2511543 PAYMENT FOR SERVICES false SUMIT INSURANCE COMPANY LTD SEE PART V 7948360 PAYMENT FOR INSURANCE PREMIUMS false SU MED NETWORK RISK MGMT AUTHORITY SEE PART V 3916959 PAYMENT FOR SERVICES TO SRA false SU MED NETWORK RISK MGMT AUTHORITY SEE PART V 3801340 PAYMENT FOR SERVICES TO SHC false RELATIONSHIP BETWEEN PERSONS AND ORGANIZATION FORM 990, SCHEDULE L, PART IV COLUMN (B) BETH DAWES: EMPLOYEE IS A FAMILY MEMBER OF A DIRECTOR. 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. 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. STANFORD PET-CT LLC: TWO OFFICERS AND ONE DIRECTOR OF SHC ARE BOARD MEMBERS OF STANFORD PET-CT LLC. SUMIT INSURANCE COMPANY, LTD.: TWO OFFICERS AND FOUR DIRECTORS OF SHC ARE BOARD MEMBERS OF SUMIT INSURANCE COMPANY, LTD. STANFORD UNIVERSITY MEDICAL NETWORK RISK MANAGEMENT AUTHORITY: STANFORD UNIVERSITY MEDICAL NETWORK RISK MANAGEMENT AUTHORITY IS A 35% CONTROLLED ENTITY OF SHC. X 33 7465463 MEAN VALUE ON DOT 1 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 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, 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 25,573 PATIENT DISCHARGES. SHC HAD 140,483 PATIENT DAYS INCLUDING ACUTE, BEHAVIORIAL HEALTH, AND SHORT STAY OUTPATIENT. TOTAL OUTPATIENT AND EMERGENCY ROOM VISITS WERE 507,616 FOR THE FISCAL YEAR ENDED AUGUST 31, 2013. 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 FY13, SHC CONTRIBUTED NEARLY $138 MILLION, OR 70 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 $114.6 MILLION. CHARITY CARE FOR UNINSURED AND UNDERINSURED PATIENTS TOTALED OVER $19.1 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 $4.5 MILLION IN FY13. 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 FY13, SHC CONTRIBUTED NEARLY $3.8 MILLION TO SUPPORT THESE ACTIVITIES. THESE ACTIVITIES INCLUDING THE STANFORD HEALTH LIBRARY, 37 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 FY13, SHC CONTRIBUTED $57.6 MILLION TO SUPPORT HEALTH RESEARCH, EDUCATION, AND TRAINING. OF THIS AMOUNT, OVER $47.6 MILLION WAS SPENT TO TRAIN MEDICAL RESIDENTS AND INTERNS. IN ADDITION TO TRAINING PHYSICIANS, SHC SUPPORTS THE TRAINING OF OTHER HEALTH PROFESSIONALS. IN FY13, SHC INVESTED OVER $10 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 $138,123,469 MEDICARE (UNCOMPENSATED EXPENSE) $247,928,070 BENEFITS FOR THE LARGER COMMUNITY $3,825,276 HEALTH RESEARCH, EDUCATION AND TRAINING $57,551,073 TOTAL EXCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $199,499,818 TOTAL INCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $447,427,888 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 MD, DEAN OF THE STANFORD SCHOOL OF MEDICINE (UNTIL 12/1/12) CHARLES KOOB NORMAN RIZK MD JOHN MORGRIDGE ANN WEINACKER MD LLOYD B. MINOR MD, DEAN OF THE STANFORD SCHOOL OF MEDICINE (SINCE 12/1/12) THE FOLLOWING INDIVIDUALS ARE TRUSTEES AT STANFORD UNIVERSITY: JOHN GUNN THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT STANFORD PET-CT LLC: AMIR DAN RUBIN JAMES HEREFORD LLOYD MINOR MD THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT SUMIT HOLDING INTERNATIONAL, LLC: AMIR DAN RUBIN DANIEL MORISSETTE CHRISTOPHER DAWES NORMAN RIZK MD THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT SUMIT INSURANCE COMPANY, LTD.: AMIR DAN RUBIN DANIEL MORISSETTE CHRISTOPHER DAWES LLOYD MINOR MD NORMAN RIZK MD ANN WEINACKER MD THE FOLLOWING INDIVIDUALS ARE CLASS A SUBSCRIBER VOTING MEMBERS AT THE PROFESSIONAL EXCHANGE ASSURANCE COMPANY: AMIR DAN RUBIN DANIEL MORISSETTE CHRISTOPHER DAWES NORMAN RIZK MD 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. 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, COLUMN B 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. THIS PURCHASED SERVICES ARRANGEMENT ENDED ON DECEMBER 31, 2012. AS OF JANUARY 1, 2013, THE LEASED EMPLOYEES BECAME EMPLOYEES OF LPCH AND ARE NO LONGER LEASED FROM SHC. CHRISTOPHER DAWES IS A DIRECTOR OF SHC. FOR FY13 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 9 ADDITIONAL MINIMUM PENSION LIABILITY $30,118,700 INTEREST RATE SWAP MTM $102,927,740 EQUITY TRANSFER $1,167,670 _____________ OTHER CHANGES IN NET ASSETS $134,214,110 CARE COUNSEL LLC 101 LUCAS VALLEY ROAD STE 360 SAN RAFAEL CA 94903 680396696 MEDICAL CA 1436357 776616 SHC LELAND STANFORD JUNIOR UNIVERSITY 3145 PORTER DRIVE PALO ALTO CA 94304 941156365 ACADEMIA 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 THE FREIDENRICH SUPPORT FOUNDATION 3145 PORTER DRIVE PALO ALTO CA 94304 300519583 SUPPORT CA 501(C)(3) 11, TYPE 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 855 OAK GROVE AVE SUITE 100 MENLO PARK CA 94205 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) 11,TYPE III STANFORD true STANFORD UNIVERSITY BOOK STORE BLDG 60 MAIN QUAD NO 105 STANFORD CA 94305 940894150 SUPPORT CA 501(C)(3) 11, TYPE I STANFORD true STANFORD SCHOOLS CORPORATION 475 POPE STREET MENLO PARK CA 94025 202699147 EDUCATIONAL CA 501(C)(3) 2 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. 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