2011-07-14T14:47:59-05:00 2010-08-31 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2009-09-01 946174066 STANFORD HEALTH SERVICES STAN 6507234000 300 Pasteur Drive MC 5555 Stanford CA 94305 DANIEL J MORISSETTE 2011-07-05 6175305000 2009 2016-02-24 21:20:13Z STANFORD HOSPITAL AND CLINCS DANIEL J MORISSETTE CFO 300 PASTEUR DRIVE MC 5516 STANFORD CA 94305 2141815766 false X http://www.stanfordhospital.org X 1957 CA See Schedule O. 26 16 11155 1040 4911817 553584 5665693 39927716 1908006141 2027623922 -144121832 74264128 0 0 1769550002 2141815766 200780 271742 0 0 754730582 818222897 0 0 4508702 1071434992 1137155464 1826366354 1955650103 -56816352 186165663 2156942472 2302517586 1349935868 1417872044 807006604 884645542 SEE SCHEDULE O. false false 1798063752 271742 2027623922 SEE SCHEDULE O. 1798063752 true true false true false false true false true true false true false false true false false false false false true true false true true false false false false false true true false true true true false false false true true true false false true 639 0 true 11155 true true true true BD false false false true true false false false 26 16 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 MARTHA MARSH 50.0 X X 1887070 0 37831 DENISE OLEARY 2.0 X SUSAN L BOSTROM 2.0 X BRUCE COZADD 2.0 X JOHN FREIDENRICH 2.0 X VICTOR MACFARLANE 2.0 X ALBERT MARTIN MD 2.0 X PHILIP PIZZO MD 2.0 X 0 601770 254115 NORMAN RIZK MD 2.0 X 0 655919 30222 JOHN SCULLY 2.0 X PETER STAMOS 2.0 X JON STEVE YOUNG 2.0 X WOODROW A MYERS MD 2.0 X MARC ANDREESSEN 2.0 X JOHN LILLIE 2.0 X KATHRYN RENSCHLER MD 2.0 X WILLIAM YOUNGER 2.0 X CHRISTOPHER DAWES 2.0 X 1067020 0 48074 MARIANN BYERWALTER 2.0 X JOHN MORGRIDGE 2.0 X 0 38300 0 STEPHEN T HEARST 2.0 X RON JOHNSON 2.0 X JOHN LEVIN 2.0 X JOEL HYATT 2.0 X CHRISTOPHER REDLICH 2.0 X BRYAN BOHMAN 2.0 X 133037 0 0 DANIEL MORISSETTE 50.0 X 827674 0 46197 DANIEL GINSBURG 50.0 X 822692 0 19879 NANCY LEE 50.0 X 473777 0 44249 JERROLD MAKI 50.0 X 514201 0 30096 CAROLYN BYERLY 50.0 X 549198 0 29598 MARK TORTORICH 50.0 X 413454 0 32779 HELEN WILMOT 50.0 X 465562 0 40232 MICHAEL J PETERSON 50.0 X 547526 0 40154 JENNIFER VARGAS 50.0 X 604427 0 44167 KEVIN TABB 50.0 X 686360 0 45641 SRIDHAR SESHADRI 50.0 X 470338 0 44385 JEFFREY GUARDINO 50.0 X 583550 0 52432 10045886 1295989 840051 3350 false true false STANFORD UNIVERSITY 651 SERRA STREET STANFORD CA 94305 PROF. SERVICES 288009160 BLUE CROSS OF CALIFORNIA 4553 LA TIENDA DRIVE THOUSAND OAKS CA 91362 MEDICAL 25967615 RAFAEL VINOLY ARCHITECTS PC 50 VANDAM STREET NEW YORK NY 10013 CONSTRUCTION 31642276 PEROT SYSTEMS 7489 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 IT OUTSOURCING 63225767 ACCENTURE LLP 161 N CLARK STREET CHICAGO IL 60601 IT CONSULTING 23793904 257 39927716 5198245 39927716 PATIENT REVENUE 900099 1903225346 1903225346 PREMIUM REVENUE 900099 7296298 7296298 REIMBURSED/SHARED EXPENSES 900099 76965815 76965815 HOUSESTAFF 900099 18248611 18248611 CLINIC REVENUE 900099 9253837 9253837 12634015 7090192 4911817 632006 2027623922 74604759 74604759 18715 18715 0 -359346 -359346 -359346 -359346 0 0 0 0 2141815766 2022080099 4911817 74896134 271742 271742 0 0 0 5724488 1442650 4107034 174804 0 538652816 505018919 33546610 87287 43940457 40851328 3082589 6540 186387512 171751306 14625019 11187 43517624 40685474 2823401 8749 944512 838435 106077 6341035 64413 6276622 1154746 21005 1133741 459646 459646 0 0 33100240 28661991 3689101 749148 1919485 1650428 253423 15634 59365942 48724521 10565668 75753 69418789 43932435 25435561 50793 0 51661729 46490411 4957843 213475 2298897 1904666 382722 11509 0 996732 830439 166293 52687668 52687668 0 95948173 77378597 18560444 9132 12113044 10714471 1398573 OTHER PURCHASED SERVICES 387958990 368694214 16431415 2833361 SUPPLIES 268305780 266979925 1284850 41005 LICENSE AND TAXES 1410587 637486 773101 DUES AND SUBSCRIPTIONS 1309649 780478 527909 1262 PROV FOR DOUBTFUL ACCOUNTS 68196388 68196388 21563432 18394716 2949653 219063 1955650103 1798063752 153077649 4508702 5350 3175 322851908 325812316 264434533 284047038 2000000 18724922 19147976 8383277 9714862 1587581556 728307529 839697290 859274027 650823923 745196908 52021269 57321284 2156942472 2302517586 213742708 201771341 831616951 825483436 304576209 390617267 1349935868 1417872044 X 730563948 785092472 69951240 93061654 6491416 6491416 807006604 884645542 2156942472 2302517586 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 26951 false true 216783 true 178310 true 37602 false 459646 false X false 10864850 1173551 111924 11926477 13498859 -2572393 61616 10864850 0.54430 0.45570 false true true 20517753 20517753 717697183 361930572 355766611 41213577 11552701 29660876 654037787 352205665 301832122 154115256 2618591 151496665 859274027 SHI, LLC 40339326 F STANFORD PET-CT, LLC 6454526 F ASSETS HELD BY TRUSTEE 992343 F MANAGED POOL 661123516 F OTHER INVESTMENTS 34633679 F SEROC 1653518 F 745196908 0 THIRD PARTY PAYOR LIABILITIES 19906829 DUE TO RELATED PARTIES 22844702 SELF-INSURED RESERVES 98950528 OTHER LIABILITIES 174286208 PENSION LIABILITY 74629000 390617267 2141815766 1955650103 186165663 679710 -109206435 -108526725 77638938 1935372641 679710 -125050271 -124370561 2059743202 82072564 82072564 2141815766 1857733700 -89960083 -89960083 1947693783 7956320 7956320 1955650103 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' ENDOWMENT CONSISTS OF VARIOUS INDIVIDUAL FUNDS. THE USES OF THE FUNDS ARE RESTRICTED TO DONORS' STIPULATIONS. THESE FUNDS ARE MAINLY USED TO SUPPORT THE FOLLOWING PROGRAMS/PROJECTS AS DESIGNATED BY THE DONORS: - VARIOUS EDUCATION PROGRAMS, SUCH AS CHAPLAINCY AND PHARMACY RESIDENCY PROGRAMS - THE CONSTRUCTION OF SHC'S FUTURE NEW HOSPITAL - CANCER CENTER'S CLINICAL SERVICES. SCHEDULE D, PART X FIN 48 THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. PART XI, LINE 8 OTHER CHANGES IN NET ASSETS EQUITY TRANSFER $2,779,117 ADDITIONAL MINIMUM PENSION LIABILITY ($30,467,000) WAVERLY INCOME BOOK/TAX DIFFERENCE ($2,459,090) INTEREST RATE SWAP MTM ($79,053,559) PET/CT INCOME BOOK/TAX DIFFERENCE ($5,903) CHANGE IN NET ASSETS ($109,206,435) PART XII, LINE 2A NET UNREALIZED GAINS ON INVESTMENTS $679,710 PART XII, LINE 2D OTHER REVENUE ON F/S NOT ON RETURN INT RATE SWAP MTM ($79,053,557) WAVERLY INCOME PER F/S ($364,222) LOSS ON EXTINGUISHMENT OF DEBT ($12,994,268) PET/CT PER F/S $3,005,978 UNRESTRICTED FUNDS TRANSFER TO STANFORD UNIVERSITY ($7,956,320) CHANGE IN MINIMUM PENSION LIABILITY ($30,467,000) RESTRICTED FUNDS EQUITY TRANSFER $2,779,118 TOTAL OTHER REVENUE ON F/S NOT ON RETURN ($125,050,271) PART XII, LINE 4B OTHER REVENUE ON RETURN NOT ON F/S REIMBURSEMENT OF SHARED EXPENSE $76,965,815 WAVERLY SURGERY CENTER, LP EARNINGS $2,094,868 PET/CT PER 2009 K1 $3,124,220 INTEREST INCOME & NET LT CAPITAL LOSS FROM PET/CT K1 ($118,242) PET/CT LP EARNINGS $5,903 TOTAL OTHER REVENUE $82,072,564 PART XIII, LINE 2D OTHER EXPENSES ON F/S NOT ON RETURN EXTINGUISHMENT OF DEBT ($12,994,268) RECOVERIES CLASSIFIED AS REVENUE FOR TAX RETURN PURPOSES ($76,965,815) TOTAL OTHER EXPENSEE ($89,960,083) PART XIII, LINE 4B OTHER EXPENSE ON RETURN NOT ON F/S PURCHASED SERVICES $7,956,320 East Asia and the Pacific Program Services GLOBAL ED. MED. PROJ. Central America and the Caribbean Investments SCHEDULE F, PART I, COLUMN (F) EXPENDITURES SHC CURRENTLY DOES NOT TRACK ALL FOREIGN EXPENDITURES FOR EACH PROGRAM SEPARATELY. THEREFORE, PURSUANT TO IRS GUIDANCE, DISCLOSURE OF THE EXPENDITURE IN THIS COLUMN IS NOT REQUIRED IN THE CURRENT YEAR. true true true X 400. true X true false true true 18838983 18838983 0.01000 151021809 65615577 85406232 0.04530 169860792 65615577 104245215 0.05530 4270983 4270983 0.00230 53834431 11484635 42349796 0.02240 5521051 3720484 1800567 0.00100 866090 866090 0.00050 64492555 15205119 49287436 0.02620 234353347 80820696 153532651 0.08150 78245 78245 5000 5000 136000 136000 0.00010 219245 219245 0.00010 true 17458496 179084 412241503 507045788 -94804285 X true true STANFORD HOSPITAL AND CLINICS

300 PASTEUR DRIVE STANFORD CA 94305

X X X X THE COST REPORTED FOR OTHER BENEFITS ARE DIRECT COST PLUS ALLOCATED OVERHEAD USING AS FILED FY09 MEDICARE COST REPORT OVERHEAD ALLOCATION PERCENTAGE. THE AMOUNTS REPORTED IN PART 1, LINE 7G INCLUDE LIFE FLIGHT COSTS OF $1,800,567. THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $68,196,388. SHC FY 2010 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 2010 COST (EXCLUDING BAD DEBT EXPENSES) TO THE TOTAL FY 2010 CHARGES. MOST OF THE COMMUNITY BENEFITS ARE RELATED TO COMMUNITY ACTIVITIES OR PROGRAMS NOT ASSOCIATED WITH PATIENT CARE. SINCE THE BAD DEBT EXPENSES ARE ONLY RELATED TO THE COLLECTION OF PATIENT CARE SERVICE, THE COST FOR OTHER COMMUNITY PROGRAM WILL 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 TILL 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 $690,755. THE COST ASSOCIATED TO SUCH CHARITY AMOUNT WAS $179,084. 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 2010. 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. 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. COMMUNITY ASSESSMENT PROCESS SHC IS AN ACTIVE PARTICIPANT IN THE ASSESSMENT COLLABORATIVES 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 A MEMBER OF THE EXECUTIVE COMMITTEE OF THE SCCCBC. ORGANIZATIONS ACTIVE IN THESE ONGOING COLLABORATIVES ARE LISTED BELOW. SAN MATEO COUNTY: HEALTH PLAN OF SAN MATEO HOSPITAL CONSORTIUM OF SAN MATEO COUNTY KAISER PERMANENTE, REDWOOD CITY KAISER PERMANENTE, SOUTH SAN FRANCISCO LUCILE PACKARD CHILDREN'S HOSPITAL MILLS PENINSULA HEALTH SERVICES PENINSULA FAMILY YMCA PENINSULA HEALTHCARE DISTRICT PENINSULA LIBRARY SYSTEM HEALTH DEPARTMENT HEALTH SERVICES HUMAN SERVICES AGENCY SAN MATEO MEDICAL CENTER SEQUOIA HEALTHCARE DISTRICT SEQUOIA HEALTH SERVICES SETON MEDICAL CENTER SETON MEDICAL CENTER-COASTSIDE STANFORD HOSPITAL & CLINICS YOUTH & FAMILY ENRICHMENT SERVICES SANTA CLARA COUNTY: COMMUNITY HEALTH PARTNERSHIP COUNCIL ON AGING, SILICON VALLEY EL CAMINO HOSPITAL FIRST 5 SANTA CLARA COUNTY HEALTHY SILICON VALLEY KAISER PERMANENTE SAN JOSE KAISER PERMANENTE SANTA CLARA KIDS IN COMMON LUCILE PACKARD CHILDREN'S HOSPITAL O'CONNOR HOSPITAL PROJECT CORNERSTONE - YMCA PUBLIC HEALTH DEPARTMENT SAINT LOUISE REGIONAL HOSPITAL SANTA CLARA COUNTY OFFICE OF EDUCATION SANTA CLARA FAMILY HEALTH PLAN SANTA CLARA VALLEY HEALTH & HOSPITAL SYSTEM SILICON VALLEY COMMUNITY FOUNDATION SOCIAL SERVICE AGENCY STANFORD HOSPITAL & CLINICS THE HEALTH TRUST VETERANS ADMINISTRATION - PALO ALTO UNITED WAY SILICON VALLEY THE SANTA CLARA COUNTY COMMUNITY BENEFITS COALITION RELEASED ITS ASSESSMENT, SANTA CLARA COUNTY HEALTH PROFILE REPORT, IN JULY 2010. DATA IN THE PROFILE WERE BASED ON RESULTS FROM THE 2009 BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY. THE FULL REPORT IS AVAILABLE AT WWW.SCCPHD.ORG. THE SAN MATEO COUNTY COLLABORATIVE WILL RELEASE ITS FULL REPORT IN 2013, BASED ON THE TIMELINE PUT FORTH BY THE COUNTY'S HEALTH SERVICES DIVISION. IN THE INTERIM, COLLABORATIVE MEMBERS WILL BE USING THE HEALTHYCITY WEBSITE ALONG WITH OTHER DATA SOURCES SUCH AS INDICATORS FOR A SUSTAINABLE SAN MATEO COUNTY, APRIL 2010, AND VARIOUS REPORTS ON MORTALITY AND MORBIDITY STATISTICS FROM HEALTH SERVICES. THE GOAL OF EACH GROUP IS TO PRODUCE AN ASSESSMENT FOR GUIDING PROGRAM PLANNING AS WELL AS POLICY AND ADVOCACY EFFORTS AIMED AT IMPROVING THE HEALTH STATUS OF RESIDENTS, PARTICULARLY AT-RISK RESIDENTS, OF THOSE COUNTIES. THE ASSESSMENTS ARE ALSO DESIGNED TO STIMULATE COLLABORATIVE AS WELL AS INDIVIDUAL ORGANIZATION ACTION TO ADDRESS PRESSING COMMUNITY HEALTH NEEDS. COMMUNITY ASSESSMENTS A SIGNIFICANT ISSUE IN BOTH COUNTIES CONTINUES TO BE SHIFTS IN POPULATION DEMOGRAPHICS; THE GROWTH IN THE OLDEST SEGMENTS OF THE POPULATION AND THE CHANGING RACIAL/ETHNIC MIX OF THE POPULATION. THESE TWO FACTORS ARE EXPECTED TO CONTRIBUTE TO INCREASING CHALLENGES ASSOCIATED WITH ACCESS TO MEDICALLY AND CULTURALLY APPROPRIATE HEALTHCARE. KEY FINDINGS AMONG THE KEY FINDINGS IN SANTA CLARA COUNTY: HALF THE DEATHS IN THE COUNTY WERE DUE TO CANCER OR HEART DISEASE; LIFE EXPECTANCY IN THE COUNTY INCREASED FROM 76 YEARS (1980) TO MORE THAN 80 YEARS NOW; TWO IN FIVE ADULTS (40%) HAVE HIGH BLOOD PRESSURE, HIGH BLOOD CHOLESTEROL, OR DIABETES; IN THE LAST 10 YEARS, THE PERCENTAGE OF UNINSURED ADULTS HAS MORE THAN DOUBLED. AMONG THE KEY FINDINGS IN SAN MATEO COUNTY: THE LEADING CAUSE OF DEATH WAS CANCER, WITH HEART DISEASE COMING IN SECOND; UNINTENTIONAL FALLS PLACED SECOND IN THE LEADING CAUSES OF INJURY-RELATED HOSPITALIZATIONS; OVER HALF OF INJURY-RELATED HOSPITALIZATIONS WERE IN THE 65+ AGE GROUP; THE HIGHEST RATES OF AVOIDABLE HOSPITALIZATION ARE IN THE 85+ AGE GROUP; OVER 11% OF THE POPULATION AGES 19-64 YEARS IS UNINSURED. PRIORITIZATION OF COMMUNITY NEED TO PRIORITIZE THE MANY PRESSING COMMUNITY HEALTH NEEDS, SHC DEVELOPED 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, HUMAN AND FINANCIAL RESOURCES TO MAKE AN IMPACT COMMUNITY BENEFIT INVESTMENTS COMMUNITY BENEFIT INVESTMENTS SUPPORT THREE MAJOR HEALTH INITIATIVES: IMPROVE THE HEALTH AND WELL-BEING OF OLDER ADULTS, IMPROVE ACCESS TO CARE, AND REDUCE CANCER-RELATED HEALTH DISPARITIES AND FALL INTO THREE BROAD CATEGORIES: BENEFITS FOR VULNERABLE POPULATIONS BENEFITS TO THE COMMUNITY AT LARGE HEALTH RESEARCH, EDUCATION, AND TRAINING PROGRAMS OVERSIGHT OF COMMUNITY BENEFIT REPORTING AND PLANNING RESTS WITH THE COMMUNITY BENEFITS STEERING COMMITTEE, WHICH INCLUDES THE CHIEF NURSING OFFICER AND VICE PRESIDENT OF PATIENT CARE SERVICES, THE VICE PRESIDENT OF HUMAN RESOURCES, AND THE INTERIM PRESIDENT AND CEO. ORGANIZATIONALLY, THE COMMUNITY BENEFIT PROGRAM IS UNDER THE JURISDICTION OF THE FINANCE COMMITTEE AND THE AUDIT AND COMPLIANCE COMMITTEE OF THE STANFORD HOSPITAL & CLINICS BOARD OF DIRECTORS. 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. STANFORD HOSPITAL & CLINICS (SHC), A PRIVATE, NON-PROFIT HOSPITAL LOCATED IN PALO ALTO, CALIFORNIA, IS KNOWN INTERNATIONALLY FOR ADVANCED TREATMENT OF COMPLEX DISORDERS IN AREAS SUCH AS CARDIAC CARE, CANCER TREATMENT, NEUROSCIENCES, AND SURGERY AND ORGAN TRANSPLANTS. IT IS ALSO THE TEACHING INSTITUTION FOR FUTURE HEALTH PROVIDERS FROM THE STANFORD SCHOOL OF MEDICINE, AND AS SUCH, CONTRIBUTES TO COMMUNITY HEALTH WELL BEYOND THE WALLS OF SHC. HOWEVER, SINCE A MAJORITY OF SHC'S PATIENTS ARE RESIDENTS OF SAN MATEO AND SANTA CLARA COUNTIES, FOR PURPOSES OF ITS COMMUNITY HEALTH INITIATIVES, SHC HAS IDENTIFIED THESE TWO COUNTIES AS ITS TARGET COMMUNITY. WITHIN THESE TWO COUNTIES, SHC TARGETS VULNERABLE, AT-RISK POPULATIONS IN LOW-INCOME AREAS; AREAS SUCH AS EAST PALO ALTO, THE BELLE HAVEN AREA OF MENLO PARK, THE FAIR OAKS DISTRICT OF REDWOOD CITY, AND EAST SAN JOSE. THESE ARE AREAS OF ABJECT POVERTY, HOMELESSNESS, UNINSURED, AND TREMENDOUS OPPORTUNITY TO POSITIVELY IMPACT COMMUNITY HEALTH AND WELLBEING. SHC PARTNERS WITH FREE AND COMMUNITY CLINICS TO SERVE CLIENTS IN THESE AREAS AS WELL AS SENIOR CENTERS WHO PRIMARILY SERVE LOW-INCOME SENIORS. MOST OF SHC'S COMMUNITY PARTNERS SERVE POPULATIONS IN FEDERALLY DESIGNATED AREAS SUCH "MEDICALLY UNDERSERVED" AND "PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE". IT ALSO PARTNERS WITH COMMUNITY-BASED ORGANIZATIONS THAT SERVE DIFFERENT ETHNIC COMMUNITIES TO REDUCE CANCER-RELATED HEALTH DISPARITIES. TRAFFIC AND BICYCLE SAFETY: THROUGH ITS TRAUMA SERVICES DEPARTMENT, SHC SUPPORTED A VARIETY OF TRAFFIC AND DRIVING SAFETY EDUCATIONAL PROGRAMS DESIGNED TO REDUCE TRAFFIC-RELATED INJURIES AND DEATHS FOR YOUNG DRIVERS, BICYCLISTS, AND PEDESTRIANS. CONDUCTED IN PARTNERSHIP WITH THE TRAFFIC SAFE COMMUNITY NETWORK (TSCN), PALO ALTO DRUG AND ALCOHOL COLLABORATIVE PROJECT, PALO ALTO UNIFIED SCHOOL DISTRICT AND A VARIETY OF OTHER COMMUNITY AND PUBLIC SAFETY AGENCIES, THESE PROGRAMS COLLECTIVELY REACHED ALMOST 20,000. PROGRAMS AIMED AT UNDERAGE DRIVERS, DRINKING AND DRIVING FOR TEENS AND EDUCATION TARGETING ADULTS TO PREVENT BACK-OVER INCIDENTS IN CHILDREN UNDER 14 YEARS OF AGE WERE PROVIDED. CARFIT, A PROGRAM PROMOTING SAFE DRIVING AMONG SENIORS, CONDUCTED VEHICLE ASSESSMENTS AND DRIVING SAFETY INSTRUCTION FOR 35 SENIORS. TO INCREASE WALKING AND BIKING TO SCHOOL FOR CHILDREN IN A SAFE ENVIRONMENT, SHC PARTNERED WITH THE TSCN TO CONDUCT SAFE ROUTES TO SCHOOL/WALK TO SCHOOL WEEK IN SCHOOLS THROUGHOUT SANTA CLARA COUNTY. DISASTER PLANNING: 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 SANTA CLARA COUNTY EMERGENCY MEDICAL SERVICES (SCC EMS) AND THE SANTA CLARA COUNTY SAFETY OFFICER TASK FORCE TO CONDUCT TWO DISASTER EXERCISES PER YEAR. SHC'S OEM PROVIDES A CRITICAL SERVICE FOR SCC EMS, CENTERS FOR DISEASE CONTROL AND PREVENTION, 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 1000 TRAUMA AND BURN PATIENTS. COALITION BUILDING: SHC PROVIDES FUNDING AND STAFF TO SUPPORT THE WORK OF TWO COUNTYWIDE COLLABORATIVES. THE GOAL OF C4, COUNTYWIDE CHRONIC CONDITION COLLABORATIVE, BASED IN SANTA CLARA COUNTY, IS TO ENHANCE QUALITY OF CARE BY TRAINING PROVIDERS AND PATIENTS IN BETTER MANAGEMENT OF CHRONIC DISEASES. THE SAN MATEO COUNTY FALL PREVENTION TASK FORCE AIMS TO EDUCATE PROVIDERS AND OLDER ADULTS ABOUT BEST PRACTICES IN FALL PREVENTION. 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, TRANSPLANTS, NEUROLOGY, AND HOSPITAL ADMINISTRATION AMONG OTHERS. SHC ALSO FUNDS THE PATIENT ADVOCACY PROGRAM, WHICH PLACES UNDERGRADUATE STUDENTS FROM THE STANFORD SCHOOL OF MEDICINE IN LOCAL COMMUNITY AND FREE CLINICS. SINCE ITS INCEPTION IN 2004, THE PATIENT ADVOCACY PROGRAM HAS PLACED ALMOST 90 STUDENTS WHO HAVE PROVIDED MORE THAN 16,000 HOURS OF DIRECT SERVICE AND COMPLETED 57 CAPACITY BUILDING PROJECTS AT SEVEN CLINIC SITES. 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. CA true MAYVIEW COMMUNITY HEALTH 270 GRANT AVE PALO ALTO CA 94306 942239648 501(C)(3) 70000 HEALTHCARE PROVIDER HOSPITAL COUNCIL OF NORTHERN CALIFORNIA 1215 K ST STE 800 SACRAMENTO CA 95814 941533644 501(C)(6) 50000 HOMELESS PATIENTS SAMARITAN HOUSE 4031 PACIFIC BLVD SAN MATEO CA 94403 237416272 501(C)(3) 10000 MEDICATIONS FOR FREE CLINIC REDWOOD CITY CLIENTS SOUTH COUNTY COMMUNITY HEALTH CENTER INC 1798-A BAY ROAD EAST PALO ALTO CA 94303 943372130 501(c)(3) 94242 27500 HRS X PROF.PAY SCALE LIBRARY STAFF STAFF FUNDING INTERNATIONAL CHILDREN ASSISTANCE NETWORK 532 VALLEY WAY MILPITAS CA 95035 770541211 501(C)(3) 10000 CANCER EDUCATION 4 1 PROCEDURES FOR MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 GRANTS ARE MONITORED BY THE DIRECTOR OF COMMUNITY PARTNERSHIPS THROUGH REVIEW OF GRANT REPORTS SUBMITTED BY FUNDED AGENCIES. X X true true X X X X X false true false false false false false true false MARTHA MARSH 964921 0 842913 0 79236 0 22050 0 15781 0 1924901 0 0 0 MICHAEL J PETERSON 301198 0 108708 0 137620 0 22050 0 18104 0 587680 0 0 0 DANIEL MORISSETTE 596570 0 206894 0 24210 0 22050 0 24147 0 873871 0 0 0 PHILIP PIZZO MD 0 582187 0 0 0 19583 0 229500 0 24615 0 855885 0 0 NORMAN RIZK MD 0 275988 0 379331 0 600 0 24500 0 5722 0 686141 0 CHRISTOPHER DAWES 685258 0 335167 0 46595 0 26950 0 21124 0 1115094 0 0 0 NANCY LEE 317859 0 113263 0 42655 0 22050 0 22199 0 518026 0 0 0 JERROLD MAKI 280060 0 94115 0 140026 0 22050 0 8046 0 544297 0 0 0 JENNIFER VARGAS 428701 0 99159 0 76567 0 22050 0 22117 0 648594 0 0 0 CAROLYN BYERLY 381788 0 112713 0 54697 0 22050 0 7548 0 578796 0 0 0 MARK TORTORICH 282485 0 61544 0 69425 0 22050 0 10729 0 446233 0 0 0 HELEN WILMOT 271030 0 160365 0 34167 0 22050 0 18182 0 505794 0 0 0 KEVIN TABB 463626 0 144598 0 78136 0 22050 0 23591 0 732001 0 0 0 SRIDHAR SESHADRI 332522 0 66757 0 71059 0 22050 0 22335 0 514723 0 0 0 DANIEL GINSBURG 605109 0 173579 0 44004 0 0 0 19879 0 842571 0 0 0 JEFFREY GUARDINO 507350 0 0 0 76200 0 32500 0 19932 0 635982 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 RARE OCCASIONS IN CALENDAR YEAR 2009 , FIRST CLASS TRAVEL WAS APPROVED BY THE CFO OR CONTROLLER. CERTAIN INDIVIDUALS LISTED IN PART VII FLEW FIRST CLASS IN CALENDAR YEAR 2009. 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). DANIEL MORISSETTE, JERROLD MAKI, JENNIFER VARGAS, MARK TORTORICH, KEVIN TABB, DANIEL GINSBURG. 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 YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED AND THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION; (B) DISCHARGE FROM EMPLOYMENT; (C) ENTITLEMENT TO LONG-TERM DISABILITY; OR (D) THE PARTICIPANT ATTAINS THE AGE OF 60 WHILE EMPLOYED. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2009: MARTHA MARSH $ 61,929 MICHAEL PETERSON $ 37,360 NANCY LEE $ 32,396 CAROLYN BYERLY $ 46,760 MARK TORTORICH $ 32,651 KEVIN TABB $ 39,772 SRIDHAR SESHADRI $ 38,349 HELEN WILMOT $ 32,208 DANIEL MORISSETTE $ 21,244 JERROLD MAKI $ 96,127 JENNIFER VARGAS $ 38,910 DR. GUARDINO IS AN EMPLOYEE OF MENLO HEALTH ALLIANCE ("MHA"), A DISREGARDED ENTITY WITH RESPECT TO SHC. MHA HAS ITS OWN BENEFIT PLANS AND DID NOT PROVIDE SERP TO DR. GUARDINO. 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, AND GROUP TERM LIFE. 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, DESCRIPTION FOR COLUMN C & D THESE EMPLOYEES ACCRUE FUTURE BENEFITS THAT ARE AVAILABLE TO ALL STANFORD EMPLOYEES, SUCH AS EMPLOYER'S CONTRIBUTION TO A QUALIFIED RETIRMENT PLAN. 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 13033FMM9 2003-07-01 105707934 2003A - SEE ATTACH. K - I(F) false false CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033F3U2 2008-06-02 428500000 2008AB - SEE ATTACH. K - I(F) false false CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LJH1 2010-06-16 310291489 2010AB - SEE ATTACH. K. - I(F) false false 107274311 1124444 106149867 2006 false false true true 428500000 true false true true 310291489 true false true true false true true true true 0.00200 0.00200 true false true true true true true false true true true true true false false false true SEE ATTACH K-IV4B true false false false true true SEE ATTCH K-IV3B false false true false false false false false true DANIEL GINSBURG HOUSING LOAN X 1000000 1000000 false true true DANIEL MORISSETTE HOUSING LOAN X 1000000 1000000 false true true 2000000 SRIDHAR SESHARDRI EMPLOYEE OF SHC 30000 TUITION GRANT MEDTRONIC SEE SCHEDULE O 14907859 PAYMENT FOR PRODUCTS false BETH DAWES SEE SCHEDULE O 59600 COMPENSATION FOR EMPLOYMENT false VARIAN MEDICAL SYSTEMS SEE SCHEDULE O 18972584 PAYMENT FOR PRODUCTS false EXPRESSSCRIPTS SEE SCHEDULE O 8587049 PAYMENT FOR PRODUCTS false SUNQUEST INFORMATION SYSTEMS SEE SCHEDULE O 724300 PAYMENT FOR PRODUCTS false X 16 5169081 MEAN VALUE ON DOT X 2 5000 APPRAISAL X GOLF CARTS 2 24164 FMV 0 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. 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 24,111 PATIENT DISCHARGES. SHC HAD 134,394 PATIENT DAYS INCLUDING ACUTE, BEHAVIORIAL HEALTH, AND SHORT STAY OUTPATIENT. TOTAL OUTPATIENT AND EMERGENCY ROOM VISITS WERE 397,391 FOR THE FISCAL YEAR ENDED AUGUST 31, 2010. SUMMARY OF SHC COMMUNITY BENEFIT ACTIVITIES INVESTMENTS IN VULNERABLE POPULATIONS SHC'S LARGEST COMMUNITY BENEFIT INVESTMENT WAS IN IMPROVING ACCESS OF VULNERABLE POPULATIONS TO NEEDED HEALTH CARE SERVICES. IN FY10, SHC CONTRIBUTED $107 MILLION, OR 70% OF ITS COMMUNITY BENEFIT EXPENDITURES, TO ACTIVITIES SUPPORTING VULNERABLE POPULATIONS (EXCLUDING UNCOMPENSATED MEDICARE). SHC'S UNCOMPENSATED EXPENSE (COST LESS REIMBURSEMENT) FOR MEDI-CAL WAS $85,406,232. CHARITY CARE FOR UNINSURED AND UNDERINSURED PATIENTS TOTALED $18,838,983. IN ADDITION TO THE INVESTMENTS DESCRIBED ABOVE, SHC'S CONTRIBUTION TO OTHER COMMUNITY BENEFIT ACTIVITIES FOR VULNERABLE POPULATIONS WAS NEARLY $2.68 MILLION IN FY10. THESE ACTIVITIES PROVIDE ESSENTIAL SERVICES FOR THOSE MOST IN NEED IN OUR COMMUNITY SUCH AS SUPPORTING FREE CLINICS AND COMMUNITY HEALTH CENTERS, FUNDING A LOW-ACUITY MEDICAL UNIT IN A HOMELESS SHELTER, FUNDING CANCER EDUCATION PROGRAMS IN UNDERSERVED MINORITY COMMUNITIES, AND PROVIDING MUCH NEEDED SERVICES TO HELP KEEP SENIORS HEALTHY AND INDEPENDENT (PARTNERS IN CARING, FAREWELL TO FALLS, STRONG FOR LIFE). BENEFITS FOR THE LARGER COMMUNITY SHC PROVIDES, AT NO COST, A WIDE-RANGE OF ACTIVITIES THAT BENEFIT THE BROADER COMMUNITY. IN FY10, SHC CONTRIBUTED OVER $4,482,000 TO SUPPORT THESE ACTIVITIES INCLUDING THE STANFORD HEALTH LIBRARY, 27 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 DISASTER PLANNING FOR THE COMMUNITY. HEALTH RESEARCH, EDUCATION AND TRAINING 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 PROVIDERS. IN FY10, SHC CONTRIBUTED APPROXIMATELY $42,370,000 TO SUPPORT HEALTH RESEARCH, EDUCATION AND TRAINING. OF THIS AMOUNT, $36.77 MILLION WAS SPENT TO TRAIN MEDICAL AND PHARMACY RESIDENTS AND INTERNS. THE REMAINING $5.6 MILLION WAS INVESTED IN TRAINING OTHER HEALTH PROFESSIONALS WITH REHABILITATION SERVICES AND CLINICAL LABS PROVIDING CLINICAL ROTATIONS FOR PHYSICAL, RESPIRATORY, OCCUPATIONAL, AND SPEECH THERAPY AND LABORATORY SCIENCE STUDENTS FROM LOCAL COLLEGES AND UNIVERSITIES. SHC ALSO FUNDED THE PATIENT ADVOCACY PROGRAM, WHICH PLACES MEDICAL STUDENTS, OR PATIENT ADVOCATES, IN LOCAL COMMUNITY AND FREE CLINICS. BENEFITS FOR VULNERABLE POPULATIONS * $106,930,000 MEDICARE (UNCOMPENSATED EXPENSE) $94,804,000 BENEFITS FOR THE LARGER COMMUNITY $4,482,000 HEALTH RESEARCH, EDUCATION AND TRAINING $42,370,000 TOTAL EXCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $153,782,000 TOTAL INCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $248,586,000 * INCLUDES UNCOMPENSATED COST OF MEDICAL, CHARITY CARE, AND OTHER COMMUNITY BENEFIT ACTIVITIES AS DESCRIBED BELOW. EXCLUDES NON-REIMBURSED COST OF MEDICARE. 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: MARTHA MARSH MARIANN BYERWALTER DENISE O'LEARY JOHN LILLIE JOHN FREIDENRICH PHILIP PIZZO PHILIP PIZZO, NORMAN RIZK, AND JOHN MORGRIDGE ARE EMPLOYEES OF STANFORD UNIVERSITY, AND PHILIP PIZZO IS THE DEAN OF THE STANFORD SCHOOL OF MEDICINE. SUSAN BOSTROM IS A KEY EMPLOYEE AND JOHN MORGRIDGE IS THE CHAIRMAN EMERITUS OF CISCO. 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 BY THE ORGANIZATION'S GOVERNING BODY FORM 990, PART VI, LINE 11A 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 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 12 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 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 FINANCIAL STATEMENTS ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS. 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 HOSPTIAL PHILIP PIZZO: 50 HOURS AT STANFORD UNIVERSITY NORMAN RIZK: 50 HOURS AT STANFORD UNIVERSITY JOHN MORGRIDGE: 2 HOURS AT STANFORD UNIVERSITY 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 FY10 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. RELATIONSHIP BETWEEN PERSONS AND ORGANIZATION FORM 990, SCHEDULE L, PART IV COLUMN (B) BETH DAWES: EMPLOYEE IS A FAMILY MEMBER OF A DIRECTOR. 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 METRONIC. VARIAN MEDICAL SYSTEMS: A DIRECTOR OF SHC IS ALSO ON THE BOARD 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. SUNQUEST INFORMATION SYSTEMS:A DIRECTOR OF SHC IS A MANAGING DIRECTOR OF HUNTSMAN GAY GLOBAL CAPITAL, WHICH HAS A CONTROLLING OWNERSHIP IN SUNQUEST INFORMATION SYSTEMS. THE DIRECTOR DID NOT PARTICIPATE IN ANY WAY IN DECISION MAKING OR DISCUSSION OF THE RELATIONSHIP BETWEEN SHC AND SUNQUEST INFORMATION SYSTEMS. EXPRESSSCRIPTS: A DIRECTOR OF SHC IS ALSO A DIRECTOR OF EXPRESS SCRIPTS. THE DIRECTOR DID NOT PARTICIPATE IN ANY WAY IN DECISION MAKING ABOUT THE RELATIONSHIP BETWEEN SHC AND EXPRESS SCRIPTS. TAX-EXEMPT BONDS F0RM 990, SCHEDULE K, PART I, ATTACH.K-I(F) BOND ISSUES: A CUSIP#: 13033FMM9 SERIES: 2003 SERIES A DESCRIPTION OF PURPOSE: ACQUISITION OF LAND AND BUILDINGS, HOSPITAL FACILITY RENOVATIONS, INFORMATION TECHNOLOGY SOFTWARE AND HARDWARE, MEDICAL AND OTHER EQUIPMENT. BOND ISSUES: B 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: C CUSIP#: 13033LJH1 SERIES: 2010 SERIES A DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF 1998 SERIES B; DATE OF ISSUE MARCH 31, 1998. BOND ISSUES: C CUSIP#: 13033LJH1 SERIES: 2010 SERIES B DESCRIPTION OF PURPOSE: CURRENT REFUDNING OF 2003 SERIES B, C, AND D; DATE OF ISSUE JULY 1, 2003. TAX-EXEMPT BONDS F0RM 990, SCHEDULE K, PART III SHC HAS CONDUCTED AN EXTENSIVE ANALYSIS OF ALL ACTIVITIES CONDUCTED WITHIN ITS BOND-FINANCED FACILITIES AND HAS DETERMINED THAT, EXCEPT FOR A DE MINIMUS AMOUNT OF INCIDENTAL USE, THERE IS NO PRIVATE BUSINESS USE. TAX EXEMPT BONDS SCHEDULE K, PART III, LINES 4-5 SHC HAD PROJECTS THAT WERE PARTIALLY FINANCED WITH TAX-EXEMPT DEBT. SHC ALSO USED ITS OWN EQUITY IN THOSE PROJECTS. FOR EACH PROJECT THAT WAS PARTIALLY FINANCED WITH TAX-EXEMPT BONDS, SHC ELECTED TO ALLOCATE PRIVATE BUSINESS USE FIRST TO ITS EQUITY INVESTMENT. TAX-EXEMPT BONDS F0RM 990, SCHEDULE K, PART IV, ATTACH. K-IV3(B)&(C) ISSUE: A NOT APPLICABLE ISSUE: B SERIES: 2008 SERIES A1 NAME OF PROVIDER: MORGAN STANLEY CAPITAL SERVICES, INC. TERM OF HEDGE: 34 ISSUE: B SERIES: 2008 SERIES A2 NAME OF PROVIDER: JP MORGAN CHASE, N.A. TERM OF HEDGE:34 ISSUE: B SERIES: 2008 SERIES B1 NAME OF PROVIDER: JP MORGAN CHASE, N.A. TERM OF HEDGE: 20 ISSUE: B SERIES: 2008 SERIES B2 NAME OF PROVIDER: JP MORGAN CHASE, N.A. TERM OF HEDGE: 20 ISSUE: C NOT APPLICABLE TAX-EXEMPT BONDS F0RM 990, SCHEDULE K, ATTACH K-IV4(B),(C), AND (D) ISSUE: A SERIES: 2003A/RESERVE FUND NAME OF PROVIDER: LEHMAN BROTHERS SPECIAL FINANCING, INC. TERM OF GIC: 5.2 ISSUE: A SERIES: 2003A/PROJECT FUND NAME OF PROVIDER: TRINITY FUNDING COMPANY, LLC TERM OF GIC: 2.9 NOTE: IN REFERENCE TO PART IV4(D), THE GIC FOR THE PROJECT FUND SATISFIED THE REGULATORY SAFE HARBOR FOR ESTABLISHING FAIR MARKET VALUE, WHILE THE FAIR MARKET VALUE OF THE GIC FOR THE RESERVE FUND WAS DEMONSTRATED TO THE SATISFACTION OF THE IRS ON PRIOR AUDIT. MENLO HEALTH ALLIANCE LLC 1300 CRANE ST MENLO PARK CA 94025 943192446 HEALTH CARE CA 28855285 10966972 NA SUMIT INSURANCE COMPANY LTD 8 WESLEY STREET HAMILTON HMII BD INSURANCE BD 15481398 68684200 SHI SEGREGATED ACCOUNT SOM-3 INSURANCE BD SUMIT INS CO SEGREGATED ACCOUNT SHC-1 INSURANCE BD SUMIT INS CO SEGREGATED ACCOUNT LPCHPFP-2 INSURANCE BD SUMIT INS CO SEGREGATED ACCOUNT 2005-4 INSURANCE BD SUMIT INS CO LELAND STANFORD JUNIOR UNIVERSITY 3145 PORTER DRIVE PALO ALTO CA 94304 941156365 ACADEMIA CA 501(c)(3) 2 NA LPCH AT STANFORD 725 welch road MC 5553 palo alto CA 94304 770003859 HEALTH CARE CA 501(c)(3) 3 NA Stanford Emanuel Radiation Oncology Ctr 880 E TUOLUMNE RD TURLOCK CA 95381 208885091 RADIATION CA NA RELATED 255699 2423364 false false SHILLC 1209 ORANGE STREET WILMINGTON DE 19801 HOLDING CO. DE NA EXCLUDED 15481398 68684200 false false false false false false false false false true true true true true true true true false SUMIT Q 10196573 SEROC P 368365 LPCH K,N 86475473