Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 09-01-2012 , 2012, and ending 08-31-2013
BCheck if applicable:
CName of organization
UNIVERSITY HEALTHCARE ALLIANCE
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
855 OAK GROVE AVENUE SUITE 100
Suite
Room/suite
City or town, state or country, and ZIP + 4
MENLO PARK, CA94025
D Employer identification number

94-3192446
E Telephone number

G Gross receipts $ 164,649,157
F Name and address of principal officer:
BRUCE HARRISON CAO
855 OAK GROVE AVE SUITE 100
MENLO PARK,CA94025
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.UNIVERSITYHEALTHCAREALLIANCE.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1993
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 11
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 3
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 781
6 Total number of volunteers (estimate if necessary) ............. 6 11
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 98,428,750 164,440,548
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 66,714 8,446
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 102,031 200,163
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 98,597,495 164,649,157
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 29,360,536 44,802,953
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 86,501,409 142,090,379
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 115,861,945 186,893,332
19 Revenue less expenses. Subtract line 18 from line 12....... -17,264,450 -22,244,175
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 48,218,260 60,971,092
21 Total liabilities (Part X, line 26)............. 27,054,751 31,385,921
22 Net assets or fund balances. Subtract line 21 from line 20..... 21,163,509 29,585,171
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 168,028,318 including grants of $   ) (Revenue $ 164,505,638 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet168,028,318
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II.......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
130
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
781
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
11
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
3
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
 
No
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
CA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletCLAIRE TAMO855 OAK GROVE AVENUE SUITE 100 MCMENLO PARKCA94025 (650) 725-1132
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) DANIEL MORISSETTE........................................................................
CHAIRMAN/DIRECTOR
 2.0
.......................50.0 		X   X       0 1,135,316 137,682
(2) MARCIA COHEN........................................................................
DIRECTOR
 1.0
.......................52.0 		X           0 432,980 91,692
(3) ERIC KOHLERITER MD........................................................................
Director
 1.0
.......................   		X                
(4) JEFFREY GUARDINO MD........................................................................
DIRECTOR
 1.0
.......................   		X                
(5) Robert Harrington MD........................................................................
Director (as of 6/2013)
 1.0
.......................50.0 		X           0 367,839 24,007
(6) JENNIFER VARGAS........................................................................
DIRECTOR
 1.0
.......................50.0 		X           0 661,079 111,497
(7) NORMAN RIZK MD........................................................................
DIRECTOR
 1.0
.......................52.0 		X           0 701,348 29,453
(8) CASEY SAFRENO........................................................................
DIRECTOR
 1.0
.......................   		X                
(9) TED LOVE MD........................................................................
DIRECTOR
 1.0
.......................2.0 		X                
(10) CHARLES Koob........................................................................
DIRECTOR
 1.0
.......................4.0 		X           0 10,000 0
(11) BRUCE HARRISON........................................................................
DIR/CAO/VP OF NETWORK DEV
 10.0
.......................40.0 		X   X       0 610,780 101,866
(12) Thomas Krummel MD........................................................................
Director (until 6/2013)
 1.0
.......................52.0 		X           0 1,026,966 53,110
(13) Claire Tamo........................................................................
SR VP, FINANCE & OPERATIONS
 40.0
.......................   		    X       256,949 0 38,497
(14) Anita Brewer........................................................................
Associate CIO
 40.0
.......................   		      X     0 307,970 38,205
(15) Jerry Harris........................................................................
COO - MMC
 40.0
.......................   		      X     269,677 0 28,750
(16) Scott Ptacnik........................................................................
Vice President Managed Care op
 40.0
.......................   		      X     173,803 0 8,201
(17) Shelly Horwitz........................................................................
Administrator-BVM
 40.0
.......................   		      X     229,870 0 22,955
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Lenard Alison........................................................................
Vice President of Operations
 40.0
.......................   		      X     221,074 0 17,213
(19) Richard Sankary MD........................................................................
Vice President Health Services
 40.0
.......................   		      X     416,339 0 25,830
(20) Joan Caldwell........................................................................
Director Clinical Operations
 40.0
.......................   		        X   173,332   40,975
(21) Dee Gabriel........................................................................
Director Provider Recruitment
 40.0
.......................   		        X   198,467 0 18,485
(22) Erwin Schrittwieser........................................................................
Director of Finance
 40.0
.......................   		        X   158,650 0 22,955
(23) Tika Martin........................................................................
Director of Human Resources
 40.0
.......................   		        X   158,801 0 50,272
(24) Dorothy Naidu........................................................................
Assistant Clinical Director
 40.0
.......................   		        X   128,979 0 24,677












1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,385,941 5,254,278 886,322
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet52
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Menlo Medical Clinic LLC, 1300 Crane StreetMENLO PARKCA94025 PHYSICIAN SVCS AGMT 16,247,173
AFFINITY MEDICAL GROUP INC, 3220 BLUME DRIVE SUITE 260RICHMONDCA94806 Physician svcs agmt 13,515,211
CARDIOVASCULAR CONSULTANTS MEDICAL, 365 HAWTHORNE AVENUE SUITE 201OAKLANDCA94609 Physician svcs agmt 10,795,028
UNIVERSITY MEDICAL GROUP INC, 855 OAK GROVE AVENUE SUITE 100MENLO PARKCA94025 Physician svcs agmt 8,492,531
BAY VALLEY MEDICAL GROUP INC, 27212 CALAROGA AVENUEHAYWARDCA94545 Physician svcs agmt 7,640,613
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet18
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 0
Program Service Revenue Business Code
2a PATIENT SERVICE REVENUES 900099 161,229,284 161,229,284    
b MEANINGFUL USE PAYMENTS 900099 486,565 486,565    
c PRACTICE MGMT REVENUE 900099 266,983 266,983    
d OTHER CLINIC REVENUE 900099 678,127 678,127    
e RISK POOL REVENUE 900099 1,068,581 1,068,581    
f All other program service revenue . 711,008 711,008    
g Total. Add lines 2a–2f........MediumBullet 164,440,548
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 8,446     8,446
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 135,073  
b Less: rental expenses    
c Rental income or (loss) 135,073 0
d Net rental income or (loss).......MediumBullet 135,073     135,073
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet 0      
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CASH DISCOUNTS   65,090 65,090    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 65,090
12 Total revenue. See Instructions......MediumBullet 164,649,157 164,505,638   143,519
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 0  
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 2,337,778   2,337,778  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 28,947,940 24,643,605 4,304,335  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,509,748 1,027,180 482,568  
9 Other employee benefits ....... 9,257,907 7,542,006 1,715,901  
10 Payroll taxes ........... 2,749,580 2,204,746 544,834  
11 Fees for services (non-employees):        
a Management ...... 328,500 62,625 265,875  
b Legal ......... 58,488 1,790 56,698  
c Accounting ........... 251,500 11,285 240,215  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 105,917,398 103,380,669 2,536,729  
12 Advertising and promotion .... 245,805 32,306 213,499  
13 Office expenses ....... 17,202,475 15,454,574 1,747,901  
14 Information technology ...... 531,083 356,059 175,024  
15 Royalties .. 0      
16 Occupancy ........... 9,653,563 8,620,901 1,032,662  
17 Travel ............ 255,527 115,630 139,897  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 99,101 51,552 47,549  
20 Interest ........... 204,820   204,820  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 3,271,759 1,695,224 1,576,535  
23 Insurance .............. 332,054 17 332,037  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a TEMPORARY PERSONNEL 3,068,615 2,158,458 910,157  
b LICENSE & TAXES 282,240 282,240    
c RECRUITING 137,615 137,615    
d MEALS 133,154 133,154    
e All other expenses 116,682 116,682    
25 Total functional expenses. Add lines 1 through 24e 186,893,332 168,028,318 18,865,014 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 11,249,452 1 16,446,349
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 11,297,224 4 17,973,270
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 2,221,541 7 892,852
8 Inventories for sale or use .............. 641,309 8 461,491
9 Prepaid expenses and deferred charges .......... 1,090,455 9 1,713,328
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 21,750,817
b Less: accumulated depreciation ..... 10b 5,791,644 15,410,815 10c 15,959,173
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 6,273,370 14 6,900,444
15 Other assets. See Part IV, line 11 ........... 34,094 15 624,185
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 48,218,260 16 60,971,092
Liabilities 17 Accounts payable and accrued expenses ......... 21,082,837 17 5,233,604
18 Grants payable ................. 0 18 14,712,802
19 Deferred revenue ................ 1,194,940 19 1,250,875
20 Tax-exempt bond liabilities ............. 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 4,776,974 25 10,188,640
26 Total liabilities. Add lines 17 through 25......... 27,054,751 26 31,385,921
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 21,163,509 27 29,585,171
28 Temporarily restricted net assets ........... 0 28 0
29 Permanently restricted net assets ........... 0 29 0
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 21,163,509 33 29,585,171
34 Total liabilities and net assets/fund balances ........ 48,218,260 34 60,971,092
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
164,649,157
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
186,893,332
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-22,244,175
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
21,163,509
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
30,665,837
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
29,585,171
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
UNIVERSITY HEALTHCARE ALLIANCE
 
Employer identification number

94-3192446
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
UNIVERSITY HEALTHCARE ALLIANCE (UHA) WAS RECOGNIZED AS A HEALTHCARE ORGANIZATION DESCRIBED IN SECTION 170(B) (1) (A) (III) OF THE INTERNAL REVENUE CODE. UHA DOES NOT OPERATE A FACILITY THAT IS OR IS REQUIRED TO BE LICENSED AS A HOSPITAL. THEREFORE, UHA IS NOT REQUIRED TO FILE FORM 990, SCHEDULE H.
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
UNIVERSITY HEALTHCARE ALLIANCE
 
Employer identification number

94-3192446
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............   10,453,679 1,128,105 9,325,574
d Equipment ................   11,127,472 4,663,539 6,463,933
e Other .................   169,666   169,666
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 15,959,173
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
DUE TO SHC 111,985
NON-COMPETE LIABILITY 10,076,655







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 10,188,640
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 164,649,157
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3 164,649,157
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 164,649,157
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1 186,893,332
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3 186,893,332
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 186,893,332
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
SCHEDULE D, PART X, LINE 2: FIN 48 STATEMENT UHA IS A CALIFORNIA NOT-FOR-PROFIT CORPORATION AND TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. UHA HAS NO UNCERTAIN TAX POSITIONS PERTAINING TO UNRELATED BUSINESS INCOME.
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
UNIVERSITY HEALTHCARE ALLIANCE
 
Employer identification number

94-3192446
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)DANIEL MORISSETTECHAIRMAN/DIRECTOR (i)
(ii)		 0
684,443 		 
352,509 		 
98,364 		0
105,327 		0
32,355 		0
1,272,998 		0
72,044
(2)MARCIA COHENDIRECTOR (i)
(ii)		 0
376,445 		0
56,048 		0
487 		0
25,000 		 
66,692 		0
524,672 		 
0
(3)Robert Harrington MDDirector (as of 6/2013) (i)
(ii)		 0
210,425 		0
80,970 		0
76,444 		0
0 		0
24,007 		0
391,846 		0
0
(4)JENNIFER VARGASDIRECTOR (i)
(ii)		 0
452,443 		 
127,464 		 
81,172 		0
80,336 		0
31,161 		0
772,576 		0
51,430
(5)NORMAN RIZK MDDIRECTOR (i)
(ii)		 0
290,101 		 
410,647 		 
600 		0
25,000 		0
4,453 		0
730,801 		0
0
(6)BRUCE HARRISONDIR/CAO/VP OF NETWORK DEV (i)
(ii)		 0
432,332 		 
101,631 		 
76,817 		0
68,857 		0
33,009 		0
712,646 		0
0
(7)Anita BrewerAssociate CIO (i)
(ii)		 0
266,558 		0
41,412 		0
0 		0
20,820 		0
17,385 		0
346,175 		0
0
(8)Claire TamoSR VP, FINANCE & OPERATIONS (i)
(ii)		 222,749
0 		34,200
  		 
  		28,750
0 		9,747
0 		295,446
0 		0
0
(9)Jerry HarrisCOO - MMC (i)
(ii)		 238,177
0 		31,500
  		 
  		28,750
0 		0
0 		298,427
0 		0
0
(10)Joan CaldwellDirector Clinical Operations (i)
(ii)		 164,732
  		8,600
  		 
  		20,561
0 		20,414
0 		214,307
0 		0
0
(11)Dee GabrielDirector Provider Recruitment (i)
(ii)		 177,667
0 		20,800
  		 
  		0
0 		18,485
0 		216,952
0 		0
0
(12)Scott PtacnikVice President Managed Care op (i)
(ii)		 151,003
0 		22,800
  		 
  		0
0 		8,201
0 		182,004
0 		0
0
(13)Shelly HorwitzAdministrator-BVM (i)
(ii)		 229,870
0 		 
  		 
  		0
0 		22,955
0 		252,825
0 		0
0
(14)Lenard AlisonVice President of Operations (i)
(ii)		 191,074
0 		30,000
  		 
  		0
0 		17,213
0 		238,287
0 		0
0
(15)Richard Sankary MDVice President Health Services (i)
(ii)		 352,339
0 		64,000
  		 
  		0
0 		25,830
0 		442,169
0 		0
0
(16)Erwin SchrittwieserDirector of Finance (i)
(ii)		 158,650
0 		 
  		 
  		0
0 		22,955
0 		181,605
0 		0
0
(17)Tika MartinDirector of Human Resources (i)
(ii)		 131,788
0 		7,200
  		19,813
  		18,367
0 		31,905
0 		209,073
0 		0
0
(18)Dorothy NaiduAssistant Clinical Director (i)
(ii)		 128,979
0 		 
  		 
  		14,930
0 		9,747
0 		153,656
0 		0
0
(19)Thomas Krummel MDDirector (until 6/2013) (i)
(ii)		 0
533,668 		0
493,298 		0
0 		0
25,000 		0
28,110 		0
1,080,076 		0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
SCHEDULE J, PART I, LINE 3   THE ORGANIZATION RELIES ON STANFORD HOSPITAL AND CLINICS(SHC), A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE CAO, VP OF NETWORK DEVELOPMENT. SHC'S PROCESS FOR DETERMINING COMPENSATION 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. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B CERTAIN OFFICERS AND DIRECTORS OF UNIVERSITY HEALTHCARE ALLIANCE (UHA) ARE PROVIDED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS BY STANFORD HOSPITAL AND CLINICS, A RELATED ORGANIZATION. 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 AMOUNT BECAME VESTED AND WAS PAID TO THE FOLLOWING INDIVIDUAL IN CALENDAR YEAR 2012: DANIEL MORISSETTE $ 76,562 JENNIFER VARGAS $ 54,656 BRUCE HARRISON $ 36,857 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). SCHEDULE J, PART I, LINE 7 Certain individuals received bonus awards from UHA that are included in Schedule J, Part II, Column (b)(ii). Bonus awards are based on the achievement of defined organizational, departmental, and personal goals, subject to approval of the Finance Committee. SCHEDULE J, PART II DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS OF UHA. HOWEVER, CERTAIN DIRECTORS WERE ALSO EMPLOYEES OF RELATED ORGANIZATIONS AND RECEIVED COMPENSATION IN THAT CAPACITY.
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
UNIVERSITY HEALTHCARE ALLIANCE
 
Employer identification number

94-3192446
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $ 0
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Menlo Medical Clinic SEE PART V 16,247,173 PHYSICIAN SERVICES   No
(2) Bay Valley Medical Group See Part V 7,640,613 PHYSICIAN SERVICES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
SCHEDULE L, PART IV, COLUMN (B):   RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: JEFFREY GUARDINO, A DIRECTOR OF UHA, IS AN OFFICER OF MENLO MEDICAL CLINIC. RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: ERIC KOHLERITER, A DIRECTOR OF UHA, IS THE MANAGING PARTNER OF BAY VALLEY MEDICAL GROUP.
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
UNIVERSITY HEALTHCARE ALLIANCE
 
Employer identification number

94-3192446
Identifier Return Reference Explanation
FORM 990, PART I, LINE 1 & PART III, LINE 1:   UNIVERSITY HEALTHCARE ALLIANCE ("UHA") IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION THAT HAS BEEN ORGANIZED TO OWN AND OPERATE MULTI-SPECIALTY MEDICAL CLINICS IN NORTHERN CALIFORNIA PURSUANT TO CALIFORNIA HEALTH & SAFETY CODE SECTION 1206(1). THROUGH ITS CLINICS, UHA OFFERS A BROAD RANGE OF MEDICAL CARE AND TREATMENT TO ADULT AND PEDIATRIC PATIENTS IN COORDINATION WITH STANFORD HOSPITAL AND CLINICS AND THE STANFORD UNIVERSITY SCHOOL OF MEDICINE (THE MEMBERS). UHA WAS FORMED IN ORDER TO SUPPORT, BENEFIT AND FURTHER THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE MEMBERS BY ESTABLISHING, OPERATING AND MAINTAINING MULTI-SPECIALTY MEDICAL CLINICS FOR THE PROVISION OF HEALTHCARE SERVICES IN NORTHERN CALIFORNIA, AND BY ENGAGING IN, SPONSORING, ADVANCING, ENCOURAGING AND PROMOTING CHARITABLE HEALTHCARE, EDUCATION AND MEDICAL RESEARCH ACTIVITIES. THE ESTABLISHMENT AND INTEGRATION OF THE UHA CLINICS INTO A BROADER HEALTH CARE SYSTEM OPERATED THROUGH THE MEMBERS IS INTENDED TO IMPROVE THE AVAILABILITY, EFFECTIVENESS, EFFICIENCY AND QUALITY OF CARE PROVIDED TO INDIVIDUALS RESIDING IN THE COMMUNITIES SERVED BY THE MEMBERS.
FORM 990, PART III, LINE 4A:   PATIENT CARE: UHA WAS ESTABLISHED AS PART OF THE COORDINATED EFFORTS OF THE MEMBERS TO CREATE AN INTEGRATED SYSTEM OF HEALTHCARE AVAILABLE TO PERSONS OF ALL MEANS. UHA CONTRACTS WITH MEDICAL GROUPS TO PROVIDE OUTPATIENT CARE AT UHA CLINICS, EACH OF WHICH IS ORGANIZED INTO A NAMED CLINICAL OPERATING DIVISION WITHIN UHA. IN FY 2013, UHA OPERATED 5 CLINICAL OPERATING DIVISIONS AND CONTRACTED WITH 5 MEDICAL GROUPS TO PROVIDE THE PROFESSIONAL SERVICES FOR SUCH OPERATING DIVISIONS. UHA IS A PARTICIPATING PROVIDER IN THE MEDICARE AND MEDI-CAL PROGRAMS. UHA CLINICS PROVIDE MEDICAL CARE AND TREATMENT TO MEDICARE AND MEDI-CAL BENEFICIARIES ON A NONDISCRIMINATORY BASIS CONSISTENT WITH UHA'S CHARITABLE PURPOSES AND IN SUPPORT OF THE CHARITABLE ACTIVITIES OF THE MEMBERS. UHA SERVES PATIENTS IN SAN MATEO, SANTA CLARA, AND ALAMEDA COUNTIES, CALIFORNIA. OF SUCH PATIENTS THAT ARE BENEFICIARIES UNDER MEDI-CAL, THE VAST MAJORITY OF SUCH MEDI-CAL BENEFICIARIES ARE ENROLLED WITH HEALTH PLAN OF SAN MATEO ("HPSM"). IN ADDITION, UHA PROVIDES FREE AND DISCOUNTED MEDICAL CARE AND TREATMENT TO PATIENTS QUALIFYING FOR SUCH FREE OR DISCOUNTED CARE CONSISTENT WITH ITS FINANCIAL ASSISTANCE POLICY, CHARITY CARE POLICY AND UHA'S UNINSURED PATIENT DISCOUNT POLICY. FORM 990, PART VI, LINE 2: NORMAN RIZK, MD AND CHARLES KOOB ARE DIRECTORS OF STANFORD HOSPITAL AND CLINICS. DANIEL MORISSETTE IS AN EMPLOYEE AND OFFICER, TED LOVE IS A DIRECTOR, AND JENNIFER VARGAS AND BRUCE HARRISON ARE EMPLOYEES OF STANFORD HOSPITAL AND CLINICS.
FORM 990, PART VI, LINE 6:   THE SOLE MEMBERS OF UHA ARE (A) STANFORD HOSPITAL AND CLINICS, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION AND (B) THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY ("STANFORD UNIVERSITY"), A TRUST HAVING CORPORATE POWERS UNDER THE LAWS OF THE STATE OF CALIFORNIA, ON BEHALF OF ITS SCHOOL OF MEDICINE ("STANFORD UNIVERSITY SCHOOL OF MEDICINE") (EACH, A "MEMBER" AND, COLLECTIVELY, THE "MEMBERS"). EACH OF THE MEMBERS IS AN ENTITY EXEMPT FROM FEDERAL TAXATION DESCRIBED UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. COLLECTIVELY, THE MEMBERS PROVIDE SIGNIFICANT LEVELS OF HEALTH CARE SERVICES, MEDICAL EDUCATION AND TRAINING, CLINICAL RESEARCH AND COMMUNITY EDUCATION IN NORTHERN CALIFORNIA.
FORM 990, PART VI, LINE 7A:   UNDER THE BYLAWS OF UHA, BOARD MEMBERS ARE ELECTED BY THE UNANIMOUS WRITTEN CONSENT OF THE MEMBERS.
FORM 990, PART VI, LINE 7B:   CERTAIN DECISIONS OF THE BOARD REQUIRE APPROVAL OF THE MEMBERS. THE ORGANIZATION MAY NOT ENTER INTO A PROFESSIONAL SERVICE AGREEMENT WITHOUT APPROVAL OF THE MEMBERS. IN ADDITION, AMENDMENT OF THE BYLAWS REQUIRES APPROVAL OF THE MEMBERS.
FORM 990, PART VI, LINE 11B:   THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM IN CONNECTION WITH THE UHA FINANCE DEPARTMENT. THE RETURN IS REVIEWED BY MANAGEMENT AND THE AUDIT COMMITTEE. THE FINAL RETURN IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS.
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 UHA. ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. FURTHER, 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 DIRECTOR 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.
FORM 990, PART VI, LINE 13   THE ORGANIZATION ABIDES BY THE WHISTLEBLOWER POLICY OF STANFORD HOSPITAL AND CLINICS, A RELATED ORGANIZATION. FORM 990, PART VI, LINE 14 THE ORGANIZATION ABIDES BY THE DOCUMENT RETENTION POLICY OF STANFORD HOSPITAL AND CLINICS, A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15A AND B:   THE CAO, VP OF NETWORK DEVELOPMENT, IS EMPLOYED BY STANFORD HOSPITAL AND CLINICS (SHC), A RELATED ORGANIZATION. THE ORGANIZATION RELIES ON SHC TO ESTABLISH THE COMPENSATION OF THE CAO, VP OF NETWORK DEVELOPMENT. SHC'S PROCESS FOR DETERMINING COMPENSATION 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. OTHER OFFICER AND KEY EMPLOYEE SALARIES ARE DETERMINED BY THE PRESIDENT OR MANAGEMENT USING COMPARATIVE DATA.
FORM 990, PART VI, LINE 19:   COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. COPIES OF THE CONFLICT OF INTEREST POLICY ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION, BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS. FORM 990, PART VII: CERTAIN DIRECTORS RECEIVED COMPENSATION DURING THE TAX YEAR FOR SERVICES RENDERED TO UHA OR A RELATED ORGANIZATION AS EMPLOYEES OF THESE ORGANIZATIONS AND NOT IN THEIR CAPACITIES AS DIRECTORS OF UHA. FORM 990, PART IX, LINE 11G: AMOUNTS INCLUDE PAYMENTS TO PHYSICIAN GROUPS WHO SUPPLY MEDICAL PROFESSIONALS TO STAFF OUR CLINICS AND PERFORM EVALUATION AND MANAGEMENT SERVICES OF PATIENTS.
FORM 990, PART XI, LINE 9:   OTHER CHANGES IN NET ASSETS: EQUITY TRANSFERS FROM RELATED PARTY $30,665,837
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
UNIVERSITY HEALTHCARE ALLIANCE
 
Employer identification number

94-3192446
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) STANFORD HOSPITAL AND CLINICS

300 PASTEUR DRIVE MC 5555

STANFORD,CA94305
94-6174066 		HEALTHCARE CA 501(C)(3) 3 STANFORD
 
Yes
 
(2) LUCILE SALTER PACKARD CHILDRENS HOSPITAL

725 WELCH ROAD MC 5553

PALO ALTO,CA94304
77-0003859 		HEALTHCARE CA 501(C)(3) 3 STANFORD
 
Yes
 
(3) THE FREIDENRICH SUPPORT FOUNDATION

3145 PORTER DRIVE

PALO ALTO,CA94304
30-0519583 		SUPPORT CA 501(C)(3) 11, TYPE I STANFORD
 
Yes
 
(4) SHR HOLDINGS INC

3145 PORTER DRIVE

PALO ALTO,CA94304
94-3187167 		REAL ESTATE CA 501(C)(25) N/A STANFORD
 
Yes
 
(5) SU EMP BEN TRUST POST RETEMPYNT BEN

3145 PORTER DRIVE

PALO ALTO,CA94304
94-3246199 		BENEFITS CA 501(C)(9) N/A STANFORD
 
Yes
 
(6) LELAND STANFORD JUNIOR UNIVERSITY

3145 PORTER DRIVE

PALO ALTO,CA94304
94-1156365 		ACADEMIA CA 501(C)(3) 2 NA
 
 
No
(7) THE DUDLEY E CHAMBERS FOUNDATION

JP MORGAN CHASE PO BOX 3038

MILWAUKEE,WI53201
38-6841793 		SUPPORT NY 501(C)(3) 11,TYPE III STANFORD
 
Yes
 
(8) STANFORD UNIVERSITY BOOK STORE

BLDG 60 MAIN QUAD NO 105

STANFORD,CA94305
94-0894150 		SUPPORT CA 501(C)(3) 11, TYPE I STANFORD
 
Yes
 
(9) STANFORD SCHOOLS CORPORATION

475 POPE STREET

MENLO PARK,CA94025
20-2699147 		EDUCATIONAL CA 501(C)(3) 2 STANFORD
 
Yes
 
(10) PACKARD CHILDREN'S HEALTH ALLIANCE

725 WELCH ROAD MC5551

PALO ALTO,CA94304
32-0359189 		HEALTHCARE CA 501(C)(3) 3 LPCH
 
Yes
 
(11) STANFORD HABITAT CONSERVATION BOARD

3160 PORTER DR STE 200

PALO ALTO,CA94304
46-1882243 		CONSERVATION CA 501(C)(3) 7 STANFORD
 
Yes
 
(12) STANFORD FACULTY CLUB

PO BOX 7229

STANFORD,CA94309
94-1187089 		FAC INTERACT. CA 501(C)(7) N/A STANFORD
 
Yes
 
(13) STANFORD FEDERAL CREDIT UNION

1860 EMBARCADERO RD

PALO ALTO,CA943033335
94-1492212 		CREDIT UNION CA 501(C)(1) N/A STANFORD
 
Yes
 
(14) THE HONG KONGSU CHARITABLE TRUST

1401 CAROLINE CENTER
28 PING ROAD,CAUSEWAY  
HK
SUPPORT HK 501(C)(3)   STANFORD
 
Yes
 
(15) THE STANFORD TRUST

65 HIGH STREET
OXFORD,OX1 46L  
UK
SUPPORT UK 501(C)(3)   STANFORD
 
Yes
 
(16) STANFORD PROGRAMME (CAPE TOWN) NPC

WAVERLY BUSINESS PARK BUILDING 11
CAPE TOWN    
SF
EDUCATION SF 501(C)(3)   STANFORD
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) ARCOLA LP

C/O ARCOLOA GP LLC 1 EMBARCADERO C
SAN FRANCISCO,CA94111
20-4222260 		RE DEVELOPMENT DE NA
  		                 
(2) ATWATER 12 LP

2001 ROSS AVE STE 1600
DALLAS,TX75201
75-2944481 		INVESTMENTS DE NA
  		                 
(3) AVENUE ASIA CAPITAL PARTNERS LP

399 Park Ave 6th Fl
NEW YORK,NY10022
01-0553224 		FOREIGN INV. DE NA
  		                 
(4) JER R E QUALIFIED PARTNERS EUROPE LP

C/O JE ROBERT COS 1650 TYSON BL
STE MCLEAN,VA22102
54-2029560 		INVESTMENTS DE NA
  		                 
(5) LINCOLN COMMERCE PARK II LTD

PO BOX 1920
DALLAS,TX75221
20-4681486 		RE DEVELOPMENT DE NA
  		                 
(6) PARMENTER REALTY FUND II LP

1111 BRICKELL AVE STE 2910
MIAMI,FL33131
20-0973616 		INVESTMENTS DE NA
  		                 
(7) REGENT OFFICE CENTER LP

c/o Bentall Kennedy US LP 1215 4
SEATTLE,WA33131
91-2116424 		INVESTMENTS TX NA
  		                 
(8) SANDPIPER FUND LP

2100 MCKINNEY AVE STE 1770
DALLAS,TX98161
26-0341626 		INVESTMENTS TX NA
  		                 
(9) SAROFIM MULTIFAMILY PARTNERS LP

8115 PRESTON RD STE 400
DALLAS,TX75201
20-1929002 		RE DEVELOPMENT DE NA
  		                 
(10) SKY HARBOR ASSOCIATES LP

PO BOX 1920
DALLAS,TX75225
20-5803431 		INVESTMENTS DE NA
  		                 
(11) SNOWCREEK VI PARTNERS LLC

C/O SMC 2770 SAND HILL RD
MENLO PARK,CA75221
86-1089966 		RE DEVELOPMENT CA NA
  		                 
(12) STERLING STAMOS REAL ASSETS FUND (A) LP

250 PARK AVE 29TH FL
NEW YORK,NY94025
20-3949682 		INVESTMENTS DE NA
  		                 
(13) DEK PORTFOLIO LLC

C/O SPAULDING SLYE INV 1 PO S
BOSTON,MA10022
04-3446765 		INVESTMENTS DE NA
  		                 
(14) BROWN BARK I LP

PO BOX 1068
STAFFORD,TX774971068
72-1604614 		INVESTMENTS DE NA
  		                 
(15) BROWN BARK II LP

PO BOX 1068
STAFFORD,TX774971068
20-8727391 		INVESTMENTS DE NA
  		                 
(16) BROWN BARK III LP

PO BOX 1068
STAFFORD,TX774971068
26-1780743 		INVESTMENTS DE NA
  		                 
(17) STANFORD PET-CT LLC

300 PASTEUR DRIVE M/C 5555
STANFORD,CA94305
61-1423414 		MED. DIAGNOSICS CA NA
  		                 
(18) LSF V DHB HOLDINGS LP

2711 N Haskell Ave Ste 1700
DALLAS,TX75204
27-2858604 		INVESTMENTS DE NA
  		                 
(19) SIC SNOWCREEK VIII LLC

635 KNIGHT WAY
STANFORD,CA75204
27-5431605 		RE DEVELOPMENT CA NA
  		                 
(20) SUMIT HOLDING INTERNATIONAL LLC

1400 PAGE MILL ROAD MC5713
PALO ALTO,CA94305
26-3934706 		HOLDING COMPANY DE NA
  		                 
(21) ARCOLA VENTURE LLC

C/O STANFORD MGMT CO 635 KNIGHT W
STANFORD,CA94304
37-1689632 		RE DEVELOPMENT DE NA
  		                 
(22) BLACKSTONE REP VII TE 7-NQ LP

C/O THE BLACKSTONE GROUP 345 PARK
NEW YORK,NY943057297
90-0878802 		INVESTMENTS DE NA
  		                 
(23) OUTLAWS CASINO LTD

3160 PORTER DR
PALO ALTO,CA10154
84-1457498 		HOLDING COMPANY CO NA
  		                 
(24) STANFORD EMANUEL RAD ONCOLOGY

 
 
RADIOLOGY CA NA
  		                 
(25) SAND HILL INVESTMENTS LP

C/O SMC 635 KNIGHT WAY
STANFORD,CA943057297
37-1557441 		INVESTMENT DE NA
  		                 
(26) KEB INVESTORS II LP

WASHINGTON MALL STE 304 7 REID ST
HAMILTON    
BD
FOREIGN INV. BD NA
  		                 
(27) PALO ALTO LP

OGIER HOUSE THE ESPLANADE
ST. HELIER   XC JE4 9WG
JE
FOREIGN INV. JE NA
  		                 
(28) FORTRESS IW COINVESTMENT (FUND B) LP

1345 AVE OF THE AMERICAS 23RD FL
NEW YORK,NY10105
98-0509639 		INVESTMENTS CJ NA
  		                 
(29) JER REAL ESTATE PARTNERS EUROPE II LP

CLARGES HOUSE 6-12 CLARGES ST
LONDON,ENW1J 8AD
UK
INVESTMENTS UK NA
  		                 
(30) CEE EQUITY HOLDINGS LP

Elizabeth House 9 Castle St
St. Helier,,JeJE4 2QP
JE
INVESTMENTS JE NA
  		                 
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) MARINER VOYAGER INTERNATIONAL LTD

C/O STUARTS CORP SVCS PO BOX 2510
GEORGE TOWN    
CJ
INVESTMENTS CJ NA
  		C CORP          
(2) STANFORD SGGS EUROPE INC

UGLAND HOUSE S CHURCH ST
PO BOX 309GT, GEORGE TOWN    
CJ
13-1684331 		INVESTMENTS CJ NA
  		C CORP          
(3) BLACK RIVER EMEA INVESTORS FUND LTD

UGLAND HOUSE S CHURCH ST
GEORGE TOWN    
CJ
98-0428006 		INVESTMENTS CJ NA
  		C CORP          
(4) EAST SAIL

C/O INTL FS INC IFS COURT
TWENTYEIGHT, CYBERCITY, EBENE    
MP
INVESTMENTS MP NA
  		C CORP          
(5) GAVEA INVESTMENT FUND II-C LP

PO BOX 896GT HARBOUR CENTRE
GEORGE TOWN    
CJ
98-0537952 		INVESTMENTS CJ NA
  		C CORP          
(6) JER ALBERTA LP

C/O JE ROBERT COS 1650 TYSON BLVD
MCLEAN,VA22012
98-0423557 		INVESTMENTS CA NA
  		C CORP          
(7) JER ALBERTA III LP

C/O JE ROBERT COS 1650 TYSON BLVD
MCLEAN,VA22102
98-0493425 		INVESTMENTS CA NA
  		C CORP          
(8) MARBLETON PROPERTY FUND (ALBERTA) LP

C/O JE ROBERT COMPANIES 1650 TYS
MCLEAN,VA22102
98-0531893 		INVESTMENTS CA NA
  		C CORP          
(9) CLAT (16)

 
 
CHARITABLE TR CA NA
  		TRUST          
(10) CRT (507)

 
 
CHARITABLE TR CA NA
  		TRUST          
(11) OTHER (9)

 
 
CHARITABLE TR CA NA
  		TRUST          
(12) PIF (82)

 
 
CHARITABLE TR CA NA
  		TRUST          
(13) MIDPOINT TECHNOLOGY PARK OWNERS ASSOC

3145 PORTER DR
PALO ALTO,CA94304
94-3287254 		REAL ESTATE CA NA
  		C CORP          
(14) ALPINE CHALET INC

PO BOX 9988
SOUTH LAKE TAHOE,CA96158
 SKI LODGE CA NA
  		C CORP          
(15) NW CAMPUS MIDPOINT TECH PARK OWNRS ASSOC

3145 PORTER DR
PALO ALTO,CA94304
94-3287254 		REAL ESTATE CA NA
  		C CORP          
(16) STANFORD CAMPUS RECREATION ASSOCIATION

3145 PORTER DR
PALO ALTO,CA94304
94-1539127 		SOCIAL CLUB CA NA
  		C CORP          
(17) STANFORD (BEIJING) CNSLTNG CO LTD (WFOE)

5275TH FLBLDG CACADEMY SOUTH RD
HAIDAN DISTRICT,BEIJING  
CH
EDUCATION CH NA
  		C CORP          
(18) STANFORD UNIV MED NETWORK RISK AUTHORITY

1400 PAGE MILL RD MSC 5713
PALO ALTO,CA94304
46-1132002 		RISK MGMT CONSULT CA NA
  		C CORP          
(19) PROFESSIONAL EXCHANGE ASSURANCE COMPANY

201 merchant street suite 2400
honolulu,HI96813
90-0897686 		INSURANCE HI UHA
  		C CORP 23,267 1,292,059 79.600 % Yes  
(20) ARCOLA RES DEVELOPMENT CORP

C/O SMC 635 KNIGHT WAY
STANFORD,CA943057297
80-0804754 		INVESTMENT CA NA
  		C CORP          
(21) BREP VII ALBERTA FEEDER (OFFSHORE) TE7LP

C/O THE BLACKSTONE GROUP 345 PARK
NEW YORK,NY10154
98-1066351 		INVESTMENTS CA NA
  		C CORP          
(22) BREP VII ALBERTA FEEDER(OFFSHORE)TE7NQLP

C/O THE BLACKSTONE GROUP 345 PARK
NEW YORK,NY10154
98-1066355 		INVESTMENTS CA NA
  		C CORP          
(23) SPM DIRECT MORTGAGE PREPAY OFFSHORE FUND

 
 
INVESTMENTS CJ NA
  		C CORP          
(24) WOODBOURNE CANADA PARTNERS II -CAYMAN LP

 
 
98-0705321 		INVESTMENTS CJ NA
  		C CORP          
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
Yes
 
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
SCHEDULE R, PART IV, LINE 2   CHARITABLE LEAD ANNUITY TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE 3 CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE 4 OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE 5 POOLED INVESTMENT FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.

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