TY 2015 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) SUSAN BECHTEL...................................................................... DIRECTOR (SEE SCHEDULE O)	2.0 ................. 0.0	X		0	0
(2) WILLIAM BRODY...................................................................... DIRECTOR (SEE SCHEDULE O)	2.0 ................. 0.0	X		0	0
(3) MARIANN BYERWALTER...................................................................... DIRECTOR/INTERIM CEO	2.0 ................. 3.0	X	X	0	0
(4) BRET COMOLLI...................................................................... DIRECTOR	2.0 ................. 2.0	X		0	0
(5) MARY CRANSTON...................................................................... DIRECTOR	2.0 ................. 3.5	X		0	0
(6) CHRISTOPHER DAWES...................................................................... DIRECTOR	2.0 ................. 50.0	X		1,607,856	473,513
(7) DAVID ENTWISTLE...................................................................... DIRECTOR/CEO (SEE SCHEDULE O)	50.0 ................. 3.0	X	X	0	0
(8) CHANDLER EVANS...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(9) KAYE FOSTER-CHEEK...................................................................... DIRECTOR	2.0 ................. 2.0	X		0	0
(10) JOHN FREIDENRICH...................................................................... DIRECTOR (SEE SCHEDULE 0)	2.0 ................. 2.0	X		0	0
(11) JOHN GOLDMAN...................................................................... DIRECTOR	2.0 ................. 2.0	X		0	0
(12) LORI GOLER...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(13) JOHN GUNN...................................................................... VICE CHAIR	2.0 ................. 2.0	X		0	0
(14) FRED HARMAN...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(15) ROBERT HARRINGTON...................................................................... DIRECTOR (SEE SCHEDULE O)	2.0 ................. 51.0	X		881,259	54,835
(16) JOEL HYATT...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(17) RONALD JOHNSON...................................................................... VICE CHAIR	2.0 ................. 2.0	X		0	0

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) CHARLES KOOB........................................................................ DIRECTOR	2.0 .......................1.0	X					0	0	0
(19) CHIEN LEE........................................................................ DIRECTOR	2.0 .......................0.0	X					0	0	0
(20) MARK LESLIE........................................................................ DIRECTOR (SEE SCHEDULE O)	2.0 .......................50.0	X					0	86,437	0
(21) JOHN LEVIN........................................................................ CHAIR	2.0 .......................3.0	X					0	0	0
(22) LINDA MEIER........................................................................ DIRECTOR	2.0 .......................0.0	X					0	0	0
(23) LLOYD B MINOR MD........................................................................ DIRECTOR	2.0 .......................55.0	X					0	1,716,675	346,555
(24) JOHN MORGRIDGE........................................................................ DIRECTOR	2.0 .......................0.0	X					0	0	0
(25) MARGARET RAFFIN........................................................................ DIRECTOR	2.0 .......................1.0	X					0	0	0
(26) CHRISTOPHER REDLICH........................................................................ DIRECTOR	2.0 .......................0.0	X					0	0	0
(27) KATHRYN RENSCHLER MD........................................................................ DIRECTOR	2.0 .......................0.0	X					0	0	0
(28) NORMAN RIZK MD........................................................................ DIRECTOR	2.0 .......................51.0	X					0	977,534	45,515
(29) AMIR DAN RUBIN........................................................................ DIRECTOR/CEO (SEE SCHEDULE O)	50.0 .......................7.0	X	X				3,329,157	0	369,750
(30) JOHN SCULLY........................................................................ DIRECTOR	2.0 .......................0.0	X					0	0	0
(31) MARK WELTON MD........................................................................ DIRECTOR	2.0 .......................50.0	X					0	589,516	74,098
(32) WILLIAM YOUNGER........................................................................ DIRECTOR (SEE SCHEDULE O)	2.0 .......................0.0	X					0	0	0
(33) DAVID J CONNOR........................................................................ INTERIM CFO	50.0 .......................2.25		X				515,137	0	44,205
(34) JAMES HEREFORD........................................................................ COO	50.0 .......................4.0		X				1,186,665	0	147,275
(35) DANIEL MORISSETTE........................................................................ CFO	50.0 .......................4.25		X				1,375,246	0	63,481
(36) DOUGLAS GUNDERSON........................................................................ VP - OPS DIAG & TREAT SVCS	25.0 .......................25.0			X			568,440	0	94,540
(37) NANCY LEE........................................................................ CNO & VP PATIENT CARE SRVCS	50.0 .......................0.0			X			564,724	0	68,359
(38) PRAVENE NATH........................................................................ CHIEF MED INFO OFFICER	50.0 .......................0.0			X			788,357	0	35,508
(39) MARK TORTORICH........................................................................ VP DESIGN, PLAN, CONSTRUCTION	25.0 .......................25.0			X			465,587	0	56,101
(40) SHIRLEY WEBER........................................................................ VP CLINICAL OPERATIONS	50.0 .......................0.0			X			343,734	0	48,962
(41) BENJI M LOANZON........................................................................ SHC VP-CONTROLLER, SHC VC CFO	30.0 .......................20.4				X		580,826	0	50,464
(42) BRUCE HARRISON........................................................................ VP NETWORK DEV.	25.0 .......................40.0				X		723,855	0	123,855
(43) SRIDHAR SESHADRI........................................................................ VP CANCER CTR & PROCESS EXLCE	50.0 .......................0.0				X		582,856	0	66,777
(44) JENNIFER VARGAS........................................................................ VP BUS DEVELOPMENT	50.0 .......................3.25				X		806,089	0	63,647
(45) JASON ROOS........................................................................ VP & CHIEF TECHNOLOGY OFFICER	50.0 .......................0.0				X		645,021	0	48,028
(46) JERROLD MAKI........................................................................ VP CLINICAL SVS	50.0 .......................0.0					X	470,131	0	55,499

(A) Name and business address	(B) Description of services	(C) Compensation
STANFORD UNIVERSITY, 3145 PORTER DRIVE PALO ALTO,CA94304	PROF. SERVICES	624,069,630
CLARKMCCARTHY CONSTRUCTION, 343 SANSOME ST 14TH FLOOR SAN FRANCISCO,CA94104	CONSTRUCTION COMPANY	242,131,718
SWINERTON BUILDERS, 260 TOWNSEND STREET SAN FRANCISCO,CA94107	CONSTRUCTION COMPANY	46,529,208
CAHILL CONTRACTORS INC, 425 CALIFORNIA STREET SUITE 2200 SAN FRANCISCO,CA94104	CONSTRUCTION COMPANY	37,338,592
ACCENTURE LLP, 161 N CLARK STREET CHICAGO,IL60601	IT CONSULTING	27,803,257
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 329

- TIN:

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.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

STANFORD HEALTH CARE

Employer identification number

94-6174066

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....	219,413,695	51,938,863	48,284,030	52,627,380	20,436,017	392,699,985
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......						0
3	The value of services or facilities furnished by a governmental unit to the organization without charge..						0
4	Total. Add lines 1 through 3	219,413,695	51,938,863	48,284,030	52,627,380	20,436,017	392,699,985
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)..						123,221,689
6	Public support. Subtract line 5 from line 4.						269,478,296

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..	219,413,695	51,938,863	48,284,030	52,627,380	20,436,017	392,699,985
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	11,330,296	15,565,689	17,415,154	116,813,575	72,355,460	233,480,174
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	0	0	0	172,262	0	172,262
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..						0
11	Total support. Add lines 7 through 10.						626,352,421

Gross receipts from related activities, etc. (see instructions) ..................

14,894,437,738

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

43.023 %

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

44.250 %

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

STANFORD HEALTH CARE

Employer identification number

94-6174066

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization STANFORD HEALTH CARE

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization STANFORD HEALTH CARE		Employer identification number 94-6174066

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization STANFORD HEALTH CARE			Employer identification number 94-6174066
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

STANFORD HEALTH CARE

Employer identification number

94-6174066

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

12,787

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

171,342

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Yes

67,598

Other activities? ...................................................................................................................

Yes

162,196

Total. Add lines 1c through 1i ....................................................................................................

413,923

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
LOBBYING ACTIVITIES INCLUDE:	- SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS; - MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS; AND - SENDING OR DISTRIBUTING LETTERS OR PUBLICATIONS (INCLUDING NEWSLETTERS, BROCHURES, ETC.) TO MEMBERS OR TO THE GENERAL PUBLIC. SHC BELONGS TO CERTAIN TRADE ASSOCIATIONS IN WHICH A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS SPENT ON EFFORTS TO INFLUENCE LEGISLATIVE MATTERS IN THE HEALTH CARE INDUSTRY. DURING FY16, SHC PAID DUES OF APPROXIMATELY $436,040 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $54,196.

Return Reference

Explanation

LOBBYING ACTIVITIES INCLUDE:

- SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS; - MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS; AND - SENDING OR DISTRIBUTING LETTERS OR PUBLICATIONS (INCLUDING NEWSLETTERS, BROCHURES, ETC.) TO MEMBERS OR TO THE GENERAL PUBLIC. SHC BELONGS TO CERTAIN TRADE ASSOCIATIONS IN WHICH A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS SPENT ON EFFORTS TO INFLUENCE LEGISLATIVE MATTERS IN THE HEALTH CARE INDUSTRY. DURING FY16, SHC PAID DUES OF APPROXIMATELY $436,040 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $54,196.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

STANFORD HEALTH CARE

Employer identification number

94-6174066

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

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? ...........

Yes No

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? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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" on Form 990, Part IV, line 8.

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.

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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	18,359,232	17,984,715	16,132,734	14,823,180	13,519,734
b	Contributions ...	200,000	1,725	101,360	0	1,099,127
c	Net investment earnings, gains, and losses	470,094	791,299	2,362,565	1,577,006	463,480
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	412,517	418,507	611,944	267,452	259,161
f	Administrative expenses ....
g	End of year balance ......	18,616,809	18,359,232	17,984,715	16,132,734	14,823,180

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

42.400 %

Temporarily restricted endowment SchDMd Bullet

57.600 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. 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 ...	20,517,753		20,517,753
b	Buildings	1,004,502,063	485,974,477	518,527,586
c	Leasehold improvements	145,809,447	52,720,223	93,089,224
d	Equipment ...	965,086,516	735,797,239	229,289,277
e	Other ...	1,389,781,856	5,248,931	1,384,532,925
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				2,245,956,765

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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
(3)Other (A) MANAGED POOL	1,280,143,028	F
(B) OTHER INVESTMENTS	72,529,074	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,352,672,102

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) ASSETS HELD BY TRUSTEE				235,787,518
(2) PLEDGES RECEIVABLE				87,228,589
(3) OTHER ASSETS				200,359,584
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				523,375,691

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
THIRD PARTY PAYOR LIABILITIES	23,023,832
DUE TO RELATED PARTIES	78,263,475
SELF-INSURED RESERVES	108,759,980
OTHER LIABILITIES	354,149,225
PENSION LIABILITY	65,463,000
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	629,659,512
2. Liability for uncertain tax positions. 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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) 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
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

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
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
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

Part XIII

Supplemental Information

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.

Return Reference	Explanation
PART III, LINE 4	SHC MAINTAINS A COLLECTION OF DONATED ART FOR PUBLIC EXHIBITION AT HOSPITAL FACILITIES.
PART V, LINE 4	ENDOWMENT FUNDS STANFORD HEALTH CARE'S (SHC) ENDOWMENT CONSISTS OF 19 INDIVIDUAL FUNDS WHICH ARE RESTRICTED TO PARTICULAR USES. SHC HAS FUNDS TO SUPPORT THE MEDICAL DIRECTOR OF THE HOSPITAL'S CANCER CENTER, CLINICAL SERVICES, AND FUNDS TO SUPPORT THE MEDICAL DIRECTOR OF DISASTER PREPAREDNESS. SHC ALSO HAS FUNDS TO SUPPORT EDUCATIONAL PROGRAMS, CHAPLAINCY PROGRAMS, CLINICAL PASTORAL EDUCATION PROGRAM IN SPIRITUAL CARE, PATIENT CARE, INDIGENT CARE, HEALTH LIBRARY TECHNOLOGY AND NURSING STAFF THAT CARE FOR CANCER PATIENTS TO ENHANCE THE EXPERIENCE & WELLBEING OF CANCER PATIENTS.
PART X, LINE 2	FIN 48 SHC HAS NO UNCERTAIN TAX POSITIONS PERTAINING TO UNRELATED BUSINESS INCOME.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
STANFORD HEALTH CARE

Employer identification number

94-6174066

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	East Asia and the Pacific	1	2	Program Services	PROMOTION OF HEALTH	638,293
	Middle East and North Africa	1	1	Program Services	PROMOTION OF HEALTH	114,252















3a	Sub-total .....	2	3			752,545
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	2	3			752,545

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
SCHEDULE F, PART I, LINE 3	THE AMOUNTS LISTED IN COLUMN F ARE THE EXPENSES FOR THE STANFORD CENTER AT PEKING UNIVERSITY, STANFORD MEDICINE INTERNATIONAL (HONG KONG) CO., LIMITED AND STANFORD INTERNATIONAL MEDICAL SERVICES RAK FZE. THE AMOUNTS CONSIST OF THE RESPECTIVE REGION'S RENTAL FEES, CONSULTING EXPENSES, AND THE ORGANIZATION'S EMPLOYEE TRAVEL EXPENSES.

Schedule F (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

STANFORD HEALTH CARE

Employer identification number

94-6174066

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 400 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	18,632,501	799,107	17,833,394	0.510 %
b	Medicaid (from Worksheet 3, column a) . . . . .	460,543,211	203,453,569	257,089,642	7.340 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	479,175,712	204,252,676	274,923,036	7.850 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5,469,374		5,469,374	0.160 %
f	Health professions education (from Worksheet 5) . . .	94,996,311	19,625,683	75,370,628	2.150 %
g	Subsidized health services (from Worksheet 6) . . . .	6,702,150	5,304,928	1,397,222	0.040 %
h	Research (from Worksheet 7) .	1,022,613		1,022,613	0.030 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	3,660,481		3,660,481	0.100 %
j	Total. Other Benefits . .	111,850,929	24,930,611	86,920,318	2.480 %
k	Total. Add lines 7d and 7j .	591,026,641	229,183,287	361,843,354	10.330 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing	2,690	2,690
2	Economic development
3	Community support	30,095	30,095
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	2,500	2,500
8	Workforce development	117,822	117,822
9	Other
10	Total	153,107	153,107

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

109,224,249

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

727,402,478

Enter Medicare allowable costs of care relating to payments on line 5.....

1,239,621,574

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-512,219,096

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	STANFORD HEALTH CARE 300 PASTEUR DRIVE STANFORD,CA94305 HTTP://STANFORDHEALTHCARE.ORG 070000662	X	X	X	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	STANFORD HEALTH CARE
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://STANFORDHEALTHCARE.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://STANFORDHEALTHCARE.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	STANFORD HEALTH CARE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 400.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://STANFORDHEALTHCARE.ORG

The FAP application form was widely available on a website (list url):

SAME AS ABOVE

A plain language summary of the FAP was widely available on a website (list url):
SAME AS ABOVE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	STANFORD HEALTH CARE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B LINE 5	IN SAN MATEO COUNTY (SMC) AND SANTA CLARA COUNTY (SCC), APPLIED SURVEY RESEARCH (ASR) CONDUCTED THE PRIMARY RESEARCH USING THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH COMMUNITY LEADERS AND STAKEHOLDERS, AND RESIDENT FOCUS GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, IN POVERTY, AND OF MINORITY POPULATIONS. ASR CONDUCTED FOCUS GROUPS AND KEY INFORMANT INTERVIEWS IN SAN MATEO AND SANTA CLARA COUNTIES WHICH CENTERED AROUND TWO CORE QUESTIONS. THESE QUESTIONS WERE MODIFIED APPROPRIATELY FOR THE GROUP (PROFESSIONALS OR RESIDENTS): -WHAT ARE THE TOP OR "PRIORITY" HEALTH NEEDS IN THE COMMUNITY THAT ARE NOT BEING WELL-MET NOW (COMPARED TO 2013)? -WHAT ARE THE ISSUES AROUND ACCESS TO HEALTHCARE AND HOW HAS THE AFFORDABLE CARE ACT IMPACTED ACCESS TO HEALTHCARE FOR THE COMMUNITY? FOCUS GROUPS SAN MATEO COUNTY: ASR HELD NINE FOCUS GROUPS IN SMC, PRIMARILY WITH RESIDENTS, AND ONE WITH PROFESSIONALS FROM ORGANIZATIONS THAT SERVE THE FOCUS POPULATION. A TOTAL OF 65 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSIONS ACROSS SMC. PARTICIPATING GROUPS INCLUDED: -SEQUOIA WELLNESS CENTER (LOW-INCOME OLDER ADULTS POPULATION) -CARLMONT HIGH SCHOOL (YOUTH POPULATION) -FAIR OAKS ACTIVITY CENTER (LOW-INCOME, SPANISH-SPEAKING OLDER ADULTS POPULATION) -MAPLE STREET SHELTER (HOMELESS ADULTS POPULATION) -EL CENTRO DE LIBERTAD (YOUTH WITH BEHAVIORAL HEALTH ISSUES POPULATION) -PRIDE INITIATIVE AT CONGREGATIONAL CHURCH OF SAN MATEO (LGBTQI POPULATION) -PACIFIC ISLANDER INITIATIVE AT PENINSULA CONFLICT RESOLUTION CENTER (TONGAN/SAMOAN POPULATION) -RAVENSWOOD HEALTH CENTER (MEDICALLY UNDERSERVED POPULATION) -BOYS & GIRLS CLUB OF HALF MOON BAY (COASTSIDE RESIDENTS POPULATION) SANTA CLARA COUNTY: TEN FOCUS GROUPS WERE HELD IN SCC BETWEEN APRIL AND SEPTEMBER 2015. HALF OF THE GROUPS WERE HELD WITH PROFESSIONALS FROM ORGANIZATIONS THAT SERVE THE FOCUS POPULATION, AND HALF WERE HELD WITH RESIDENTS THEMSELVES. SIXTY-EIGHT PROFESSIONALS AND FORTY NON-PROFESSIONAL RESIDENTS PARTICIPATED IN A FOCUS GROUP. THREE OUT OF FIVE FOCUS GROUPS WITH RESIDENTS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH. IN ADDITION TO ANSWERING THE CORE QUESTIONS ABOUT HEALTH PRIORITIES AND ACCESS, ASR ASKED SCC FOCUS GROUP PARTICIPANTS TO SHARE THEIR SUGGESTIONS FOR IMPROVEMENT OF HEALTH, INCLUDING HOW NEW OR EXISTING RESOURCES COULD BEST HELP, AND WHETHER POLICIES COULD BE DEVELOPED TO IMPACT THE NEED. PARTICIPATING GROUPS INCLUDED: -FAMILY CAREGIVER ALLIANCE (FAMILY CAREGIVERS OF OLDER ADULT POPULATION) -DESTINATION HOME (HOMELESS ADULT POPULATION) -COLUMBIA NEIGHBORHOOD CENTER (SPANISH-SPEAKING NEW AND PREGNANT MOTHER POPULATION) -LOS ALTOS HIGH SCHOOL (HIGH SCHOOL YOUTH POPULATION) -COMMUNITY HEALTH PARTNERSHIP (SPANISH-SPEAKING MEDICALLY UNDERSERVED POPULATION) -ALZHEIMERS ASSOCIATION (OLDER ADULT POPULATION) -BEHAVIORAL HEALTH CONTRACTORS ASSOCIATION OF SANTA CLARA COUNTY (MENTAL HEALTH/SUBSTANCE ABUSE POPULATION) -COMMUNITY SOLUTIONS (SOUTH COUNTY RESIDENT POPULATION) -ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT (VIETNAMESE-SPEAKING ADULT POPULATION) INTERVIEWS ASR INTERVIEWED VARIOUS PROFESSIONALS, INCLUDING PUBLIC HEALTH EXPERTS, IN SCC AND SMC WHO EITHER WORK IN THE HEALTH FIELD OR IMPROVE HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED POPULATIONS AND ALSO COMMUNITY LEADERS OR REPRESENTATIVES. EXPERTS WERE INTERVIEWED IN PERSON OR BY TELEPHONE. IN BOTH COUNTIES, ASR ASKED INFORMANTS TO IDENTIFY THE TOP NEEDS OF THEIR CONSTITUENCIES AND TO GIVE THEIR PERCEPTIONS ABOUT HOW ACCESS TO HEALTHCARE HAS CHANGED IN THE POST-AFFORDABLE CARE ACT ENVIRONMENT. SAN MATEO COUNTY: IN SMC, ASR CONDUCTED 29 KEY INFORMANT INTERVIEWS. IN ADDITION TO THE CORE QUESTIONS ABOUT HEALTH PRIORITIES AND ACCESS DESCRIBED ABOVE, INFORMANTS WERE ASKED TO DISCUSS HOW THE BUILT/PHYSICAL ENVIRONMENT IN SMC IMPACTS HEALTH AND HOW TECHNOLOGY MAY BE USED TO IMPROVE HEALTH. SANTA CLARA COUNTY: ASR INTERVIEWED FIVE SCC EXPERTS FROM VARIOUS ORGANIZATIONS IN THE HEALTH SECTOR. IN ADDITION TO THE CORE QUESTIONS ABOUT HEALTH PRIORITIES AND ACCESS, THEY WERE ASKED TO EXPLAIN WHICH BARRIERS TO GOOD HEALTH OR ADDRESSING HEALTH NEEDS EXIST, AND TO SHARE WHICH SOLUTIONS MAY IMPROVE HEALTH (INCLUDING EXISTING RESOURCES AND POLICY CHANGES). SURVEY (SANTA CLARA COUNTY ONLY) ASR INVITED 65 COMMUNITY LEADERS WITH EXPERTISE IN SERVING THE COMMUNITY TO PARTICIPATE IN AN ONLINE SURVEY. THE SURVEY ASKED PARTICIPANTS TO RANK A LIST OF HEALTH NEEDS IN SANTA CLARA COUNTY AND INVITED THEM TO ADD OTHER NEEDS TO THE LIST. THERE WERE 49 RESPONSES TO THE SURVEY, WHICH REFLECTED A RANGE OF EXPERTISE. PARTICIPANTS ORGANIZATIONS INCLUDED BEHAVIORAL HEALTH AGENCIES, AGENCIES THAT HELP FAMILIES WITH BASIC NEEDS, SCHOOL SYSTEMS, AND OTHER NONPROFIT ORGANIZATIONS. ASR COMBINED THE RESULTS OF THE SURVEY WITH INPUT GATHERED THROUGH FOCUS GROUPS AND INTERVIEWS TO DETERMINE THE COMMUNITYS PRIORITIES.
PART V, SECTION B, LINE 6A	-EL CAMINO HOSPITAL -KAISER PERMANENTE - SANTA CLARA, SAN JOSE, SOUTH SAN FRANCISCO AND REDWOOD CITY -LUCILE PACKARD CHILDREN'S HOSPITAL STANFORD HEALTH CARE -O'CONNOR HOSPITAL -SAINT LOUISE REGIONAL -SAN MATEO MEDICAL CENTER -SEQUOIA HOSPITAL -SETON MEDICAL CENTER -SUTTER HEALTH PENINSULA COASTAL REGION
PART V, SECTION B, LINE 6B	-UNITED WAY SILICON VALLEY -SAN MATEO COUNTY HEALTH DEPARTMENT -SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT
PART V, SECTION B, LINE 7A/10A	URL AT WHICH THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE: HTPPS://STANFORDHEALTHCARE.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS.HTML
PART V, SECTION B, LINE 11	OF THE 21 HEALTH NEEDS IDENTIFIED BY THE CHNA PROCESS, SHC SELECTED FIVE TO ADDRESS. ACCESS TO CARE, CANCER, INFECTIOUS DISEASE, OBESITY/DIABETES, AND BEHAVIORAL HEALTH. SHC ADDRESSES THESE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS BY PARTNERING WITH FREE- AND COMMUNITY-BASED CLINICS AND OTHER COMMUNITY-BASED ORGANIZATIONS. FOR A DETAILED DESCRIPTION OF SHCS COMMUNITY PARTNERS AND RESOURCES PROVIDED SEE THE IMPLEMENTATION STRATEGY AT HTPPS://STANFORDHEALTHCARE.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS.HTML THE FOLLOWING FIVE CRITERIA WERE USED TO PRIORITIZE THE 21 HEALTH NEEDS AND DETERMINE, WHICH HEALTH NEEDS WILL BE ADDRESSED BY SHC BETWEEN 2017 AND 2019: -CRITERION 1: CUTS ACROSS BOTH SAN MATEO AND SANTA CLARA COUNTIES (IMPACTS SHCS COMMUNITY) -CRITERION 2: IDENTIFIED AS A PRIORITY HEALTH NEED BY COMMUNITY INPUT -CRITERION 3: SHC HAS THE REQUIRED EXPERTISE AND RESOURCES TO MAKE AN IMPACT -CRITERION 4: MAGNITUDE/SCALE: AFFECTS A LARGE NUMBER OF INDIVIDUALS -CRITERION 5: ALTHOUGH NOT A NEED IN THE GENERAL POPULATION, DISPARITIES OR INEQUITIES EXIST HEALTH NEEDS NOT BEING ADDRESSED: OF THE 21 HEALTH NEEDS IDENTIFIED BY THE CHNA PROCESS, SHC SELECTED FIVE TO ADDRESS. OF THE SIXTEEN OTHER HEALTH NEEDS, THREE ARE INDIRECTLY ADDRESSED THROUGH THE HEALTH INITIATIVES DESCRIBED IN THE IMPLEMENTATION STRATEGY: CEREBROVASCULAR DISEASES, DIET/FITNESS/NUTRITION, AND RESPIRATORY CONDITIONS. THE HEALTH NEEDS LISTED BELOW ARE NOT CURRENTLY ADDRESSED IN THE IMPLEMENTATION STRATEGY. THE REASONS WHY THE NEED IS NOT BEING ADDRESSED INCLUDE -HOUSING: DOES NOT MEET CRITERION 3 -ORAL & DENTAL HEALTH: DOES NOT MEET CRITERION 3 -VIOLENCE & ABUSE: DOES NOT MEET CRITERION 3 OR CRITERION 4 -ALZHEIMERS DISEASE AND DEMENTIA: DOES NOT MEET CRITERION 2 OR 5 -BIRTH OUTCOMES: DOES NOT MEET CRITERION 2 OR 3 -ECONOMIC SECURITY: DOES NOT MEET CRITERION 2 OR 3 -SEXUAL HEALTH: DOES NOT MEET CRITERION 2, 3, OR, 4 -LEARNING DISABILITIES: DOES NOT MEET CRITERION 1, 3, 4, OR 5 -TOBACCO USE: DOES NOT MEET CRITERION 1, 3, 4, OR 5 -TRANSPORTATION AND TRAFFIC: DOES NOT MEET CRITERION 1, 3, 4, OR 5 -ARTHRITIS: DOES NOT MEET ANY CRITERION -CLIMATE CHANGE: DOES NOT MEET ANY CRITERION -UNINTENTIONAL INJURIES: DOES NOT MEET CRITERION 1, 2, 4, OR 5
PART V, SECTION B, LINE 16A-C	URL AT WHICH THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE HTTPS://STANFORDHEALTHCARE.ORG/FOR-PATIENTS-VISITORS/BILLING/FINANCIAL-ASS ISTANCE.HTML

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?5
Name and address		Type of Facility (describe)
1	STANFORD EMP HEALTH CLINIC AT QUALCOMM 5535 MOREHOUSE DRIVE SAN DIEGO,CA92121	STANFORD EMPL HEALTH CLINIC AT QUALCOMM
2	STANFORD EMP HEALTH CLINIC AT DREAMWORKS 1000 FLOWER STREET GLENDALE,CA91201	STANFORD EMPL HEALTH CLINIC AT DREAMWORKS
3	STANFORD EMP HEALTH CLINIC AT CISCO 3571 N 1st Street San Jose,CA95134	STANFORD EMP HEALTH CLINIC AT CISCO
4	STANFORD EMP HEALTH CLINIC AT YAHOO 701 FIRST AVENUE SAN JOSE,CA94089	STANFORD EMP HEALTH CLINIC AT YAHOO
5	STANFORD EMP HEALTH CLINIC AT QUALCOMM 10155 PACIFIC HEIGHTS BLVD SAN DIEGO,CA92121	STANFORD EMP HEALTH CLINIC AT QUALCOMM
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 6A	IN SAN MATEO AND SANTA CLARA COUNTIES, COMMUNITY INPUT WAS GATHERED IN THE SPRING AND FALL OF 2015 THROUGH INTERVIEWS WITH LOCAL HEALTH EXPERTS, FOCUS GROUPS WITH COMMUNITY LEADERS AND REPRESENTATIVES, AND RESIDENT FOCUS GROUPS. SECONDARY DATA WAS OBTAINED FROM A VARIETY OF SOURCES.
PART I, LINE 7E	COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS TOTALED $5,469,374 IN FY16.
PART I, LINE 7F	HEALTH PROFESSIONS EDUCATION RESEARCH, EDUCATION AND TRAINING ARE CORE TO SHC'S MISSION. SHC IS THE SETTING FOR TRAINING MEDICAL STUDENTS, RESIDENTS AND FELLOWS FROM THE STANFORD SCHOOL OF MEDICINE AND, AS SUCH, MAKES A SIGNIFICANT CONTRIBUTION TO TRAINING THE NEXT GENERATION OF HEALTHCARE PROVIDERS. IN FY16, SHC CONTRIBUTED MORE THAN $76,393,241 MILLION TO SUPPORT HEALTH RESEARCH, EDUCATION AND TRAINING. OF THIS AMOUNT, OVER $68 MILLION WAS SPENT TO TRAIN MEDICAL RESIDENTS AND INTERNS. IN ADDITION TO TRAINING PHYSICIANS, SHC SUPPORTS THE TRAINING OF OTHER HEALTH PROFESSIONALS. IN FY16, SHC INVESTED NEARLY $7.6 MILLION ON THIS TRAINING. HOSPITAL DEPARTMENTS SUCH AS REHABILITATION SERVICES, NURSING AND CLINICAL LABS PROVIDED CLINICAL ROTATIONS FOR PHYSICAL THERAPY, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, NURSING AND LABORATORY SCIENCE STUDENTS FROM LOCAL COLLEGES AND UNIVERSITIES. IN ADDITION, PHYSICIAN ASSISTANT STUDENTS ARE TRAINED BY SHC PHYSICIAN ASSISTANTS. SHC ALSO PROVIDES A TRAINING GROUND FOR PHARMACY RESIDENTS AND STUDENTS, RADIOLOGY AND NUCLEAR MEDICINE STUDENTS AND PSYCHOLOGY STUDENTS. THE COMMUNITY HEALTH ADVOCACY PROGRAM PROVIDES STANFORD UNDERGRADUATE STUDENTS WEEKLY COURSEWORK FOCUSED ON ADDRESSING THE STRUCTURAL DETERMINANTS OF HEALTH AND FIELD STUDY FOCUSED ON CAPACITY-BUILDING AT LOCAL HEALTH CLINICS AND NON-PROFIT ORGANIZATIONS. IN THE 2015-16 ACADEMIC YEAR, SEVEN STUDENTS DEDICATED 900 HOURS TO THE FOLLOWING SITES AND PROJECTS: SENIOR HEALTH (AVENIDAS), HEALTH CAREERS PROGRAM FOR MIDDLE SCHOOL CHILDREN (BOYS AND GIRLS CLUB), HEALTH EDUCATION FOR INTIMATE PARTNER VIOLENCE SURVIVORS (NEXT DOOR SOLUTIONS FOR DOMESTIC VIOLENCE & HOMEFIRST), AND MOBILE TECHNOLOGY MANAGEMENT OF DIABETES (SAMARITAN HOUSE). STUDENTS ENROLLED IN CLINICAL PASTORAL EDUCATION COME FROM A WIDE RANGE OF RELIGIOUS TRADITIONS, THE MAJORITY OF WHOM ARE PREPARING FOR A CAREER IN CHAPLAINCY OR SEEKING CONTINUING EDUCATION IN THE FIELD OF PASTORAL/SPIRITUAL CARE. UPON COMPLETION OF THE YEAR-LONG PROGRAM, MOST STUDENTS USE THEIR TRAINING AS CLERGY (PASTORS, PRIESTS, RABBIS, CHAPLAINS, ETC.) TO PROVIDE EFFECTIVE SPIRITUAL CARE TO INDIVIDUALS AND FAMILIES FACING HEALTH CHALLENGES AND OTHER HARDSHIPS SUCH AS DEATH, DYING AND BEREAVEMENT. THIS PROGRAM SERVED APPROXIMATELY 7,500 INDIVIDUALS IN FY 2016.
PART I, LINE 7G	SUBSIDIZED HEALTH SERVICES STANFORD LIFE FLIGHT IS A STANFORD OPERATED HELICOPTER AIR MEDICAL AND CRITICAL CARE GROUND TRANSPORT PROGRAM AVAILABLE 365 DAYS/YEAR, 24 HOURS/DAY, SERVING NORTHERN CA IN THE TRANSPORT OF CRITICALLY ILL AND INJURED ADULT, PEDIATRIC, AND NEONATAL PATIENTS TO DEFINITIVE CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. LIFE FLIGHT TRANSPORTS 73% OF THE PROGRAM'S FLIGHT VOLUME FROM PARTNER HOSPITALS TO STANFORD OR OTHER MAJOR MEDICAL CENTERS, AND THE REMAINING PATIENTS ARE TRANSPORTED DIRECTLY FROM ACCIDENT SCENES OR MEDICAL EMERGENCIES TO TRAUMA CENTERS OR SPECIALTY MEDICAL CENTERS (STROKE, BURNS, ETC.). IN FY 16, LIFE FLIGHT TRANSPORTED 416 ADULT AND PEDIATRIC PATIENTS TO STANFORD HOSPITAL, LUCILE PACKARD CHILDREN'S HOSPITAL, AND OTHER BAY AREA MAJOR MEDICAL CENTERS.
PART I, LINE 7I	CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT TOTALED $3,660,481 IN FY16.
PART II	COMMUNITY EMERGENCY RESPONSE SHC PLAYS A KEY ROLE IN DISASTER PLANNING FOR THE COMMUNITY. THROUGH THE OFFICE OF EMERGENCY MANAGEMENT (OEM), SHC COLLABORATES WITH LOCAL MUNICIPALITIES, COUNTY GOVERNMENT, AND OTHER HOSPITALS TO COORDINATE PLANNING, MITIGATION, RESPONSE, AND RECOVERY ACTIVITIES FOR EVENTS THAT COULD ADVERSELY IMPACT THE COMMUNITY. THE GOAL OF THESE ACTIVITIES IS TO MINIMIZE THE IMPACT ON LIFE, PROPERTY, AND THE ENVIRONMENT FROM CATASTROPHIC EVENTS SUCH AS PANDEMIC FLU, EARTHQUAKES, AND OTHER DISASTERS. OEM WORKS WITH EMERGENCY MEDICAL SERVICES (EMS) IN BOTH SAN MATEO AND SANTA CLARA COUNTIES ON JOINT DISASTER EXERCISES, DISASTER PLANNING AND MITIGATION, AND BEST PRACTICES. OEM PROVIDES A CRITICAL SERVICE FOR SAN MATEO AND SANTA CLARA COUNTIES' EMS AND OTHER AGENCIES, AS WELL AS THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND OTHER HOSPITALS BY MAINTAINING CACHES OF EMERGENCY MEDICAL EQUIPMENT AND SUPPLIES FOR READY ACCESS AND DEPLOYMENT IN THE CASE OF DISASTER OR EMERGENCIES. OEM PROVIDES REGULAR INVENTORY REVIEW AND 24/7 SECURITY TO ENSURE THAT THESE EMS SUPPLIES ARE SERVICE-READY AT ALL TIMES.
PART III, LINE 2 AND 4	THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
PART III, LINE 8	SHC HAS BEEN UTILIZING A COST ACCOUNTING (EPSI) SYSTEM TO MONITOR ITS OPERATION COST. THE SYSTEM SEPARATES THE COST INTO 4 MAJOR CATEGORIES, VARIABLE DIRECT COST, FIXED DIRECT COST, VARIABLE INDIRECT COST AND FIXED INDIRECT COST. THE OVERHEAD COSTS ARE ALLOCATED TO THE REVENUE GENERATED PATIENT CARE COST CENTERS AND INDIVIDUAL PATIENT ACCOUNT BASED ON THE STEP DOWN METHODOLOGY AND VARIOUS STATISTICAL UNITS OF SERVICES. THE COST OF CHARGE RATIO (RCC) FOR MEDICARE PROGRAM IS DETERMINED BY THE TOTAL COST OF SHC DISCHARGED AND FINAL BILLED MEDICARE PATIENTS, INCLUDING ALL 4 COST CATEGORIES MENTIONED ABOVE AND DIVIDED BY THE TOTAL CORRESPONDING DISCHARGED AND FINAL BILLED MEDICARE CHARGES FOR FY 2016. THE AMOUNT OF THE COST FOR PART III, SECTION B LINE 6 IS DETERMINED BY APPLYING THE PAYER SPECIFIC RCC TO ALL CHARGES FOR MEDICARE RELATED PROGRAMS, INCLUDING TRADITIONAL MEDICARE PROGRAM AND MANAGED CARE SENIOR PROGRAMS RESPECTIVELY. SHC'S LARGEST COMMUNITY BENEFIT INVESTMENT IS IN IMPROVING ACCESS TO NEEDED HEALTHCARE SERVICES FOR VULNERABLE COMMUNITY MEMBERS. BENEFITS AND THE SERVICES ARE NOT ONLY PROVIDED TO THE POOR BUT TO THOSE WHO NEED SPECIAL SERVICES AND SUPPORT, WHICH INCLUDES MEDICARE BENEFICIARIES. THUS, TOTAL COMMUNITY BENEFIT EXPENSE INCLUDES UNCOMPENSATED COSTS OF PUBLIC PROGRAM FOR TREATING MEDICARE BENEFICIARIES IN EXCESS OF GOVERNMENT PAYMENTS.
PART III, LINE 9B	IT IS THE POLICY OF SHC TO FOLLOW THE STANDARDS AND PRACTICES FOR COLLECTION OF PATIENT DEBT IN ACCORDANCE WITH THE REQUIREMENTS OF CALIFORNIA ASSEMBLY BILL 774. SHC HAS A VARIETY OF OPTIONS FOR PATIENTS FACING FINANCIAL HARDSHIP, INCLUDING UNINSURED DISCOUNTING, NO INTEREST PAYMENT ARRANGEMENTS, AND A CHARITY CARE PROGRAM. PATIENTS WHO APPLY FOR CHARITY CARE AND QUALIFY MAY RECEIVE UP TO 100% FINANCIAL ASSISTANCE. SHC WILL SUSPEND ANY AND ALL COLLECTION ACTIONS IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, INCLUDING ALL REQUISITE SUPPORTING DOCUMENTATION, IS RECEIVED. SHC DOES NOT ALLOW THEIR COLLECTION AGENCIES TO REPORT DEBT TO CREDIT BUREAUS, GARNISH WAGES, OR FILE LIENS ON PRIMARY RESIDENCES.
PART VI, LINE 2	NEEDS ASSESSMENT: COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) - PROCESS AND METHODS THE SANTA CLARA COUNTY COMMUNITY BENEFIT COALITION, WHICH INCLUDES EIGHT LOCAL NON-PROFIT HOSPITALS, SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT, UNITED WAY SILICON VALLEY AND OTHER PARTNERS, AND THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY, A COALITION OF SEVEN LOCAL NON-PROFIT HOSPITALS, SAN MATEO COUNTY HEALTH SYSTEM AND OTHER PARTNERS (SEE ACKNOWLEDGEMENTS) BEGAN THE CHNA PROCESS IN 2015 (NEXT CHNA WILL BE COMPLETED IN 2019 IN ALIGNMENT WITH IRS FINAL RULES). THE GOAL WAS TO COLLECTIVELY GATHER COMMUNITY FEEDBACK, UNDERSTAND EXISTING DATA ABOUT HEALTH STATUS AND PRIORITIZE LOCAL HEALTH NEEDS IN EACH COUNTY. IN SAN MATEO AND SANTA CLARA COUNTIES, COMMUNITY INPUT WAS GATHERED DURING THE SPRING AND FALL OF 2015 THROUGH INTERVIEWS WITH LOCAL HEALTH EXPERTS, FOCUS GROUPS WITH COMMUNITY LEADERS AND REPRESENTATIVES, AND RESIDENT FOCUS GROUPS. SECONDARY DATA WAS OBTAINED FROM A VARIETY OF SOURCES. IN LATE 2015 THROUGH EARLY 2016, HEALTH NEEDS WERE IDENTIFIED BY SYNTHESIZING PRIMARY QUALITATIVE RESEARCH AND SECONDARY DATA, AND THEN FILTERING THOSE NEEDS AGAINST A SET OF CRITERIA. NEEDS WERE THEN REVIEWED AND PRIORITIZED BY COUNTYWIDE GROUPS CONSISTING OF MEMBERS OF THE COUNTY COALITIONS AND COMMUNITY LEADERS USING ANOTHER SET OF CRITERIA. THE COALITIONS THEN MET AGAIN TO IDENTIFY THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS, INCLUDING HOSPITALS, CLINICS AND COMMUNITY-BASED PROGRAMS AND SERVICES.
PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SHC PROVIDES DEDICATED RESOURCES TO PATIENTS THAT APPLY FOR CHARITY CARE AND PROACTIVELY CONDUCTS OUTREACH TO PATIENTS TO INFORM THEM OF THE PROGRAM'S AVAILABILITY AND THEIR POTENTIAL ELIGIBILITY FOR ASSISTANCE. BROCHURES AND SIGNAGE ARE CONSPICUOUSLY DISPLAYED AT ALL CARE DELIVERY LOCATIONS WITH INSTRUCTION ON WHERE TO LOCATE ADDITIONAL INFORMATION ON ELIGIBILITY FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE APPLICATIONS, AND INSTRUCTIONS ON HOW TO APPLY ARE ALSO AVAILABLE ON THE SHC WEBSITE, VIA MAIL, AND IN ALL SHC CARE DELIVERY LOCATIONS.
PART VI, LINE 4	COMMUNITY INFORMATION SHC IS A REGIONAL REFERRAL CENTER FOR AN ARRAY OF ADULT SPECIALTIES, DRAWING PATIENTS FROM THROUGHOUT CALIFORNIA, ACROSS THE COUNTRY, AND INTERNATIONALLY. HOWEVER, A MAJORITY OF SHC'S PATIENTS ARE RESIDENTS OF SAN MATEO AND SANTA CLARA COUNTIES. THEREFORE, FOR PURPOSES OF ITS COMMUNITY BENEFIT PROGRAM INITIATIVES, SHC HAS IDENTIFIED THESE TWO COUNTIES AS ITS TARGET COMMUNITY. SHC MAINTAINS A STRONG COMMITMENT TO THE HEALTH OF ITS COMMUNITY MEMBERS AND DEDICATES CONSIDERABLE RESOURCES TO SUPPORT ITS COMMUNITY PARTNERSHIP PROGRAM. SANTA CLARA COUNTY IN 2015, SANTA CLARA COUNTY HAD APPROXIMATELY 1.9 MILLION RESIDENTS WITH MORE THAN HALF OF THOSE INDIVIDUALS LIVING IN SAN JOSE. THE COUNTY POPULATION WAS 56 PERCENT WHITE, 36 PERCENT ASIAN, 27 PERCENT LATINO/HISPANIC AND 3 PERCENT AFRICAN-AMERICAN AND 0.5 PERCENT PACIFIC ISLANDER. FOREIGN-BORN INDIVIDUALS MAKE UP 37 PERCENT OF COUNTY RESIDENTS. THE LARGEST GROUPS ARE FROM MEXICO AND CHINA (27 PERCENT), FOLLOWED BY VIETNAM AND INDIA (22 PERCENT), AND THE PHILIPPINES (15 PERCENT). IN 2014, SANTA CLARA COUNTY'S MEDIAN INCOME WAS NEARLY $94,000; THE HIGHEST IN THE STATE. DESPITE THE HIGH MEDIAN INCOME LEVEL, 14 PERCENT OF THE COUNTY'S GENERAL POPULATION AND ONE IN TEN OF CHILDREN WERE LIVING BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL), WHICH FOR A FAMILY OF FOUR WAS $24,250 PER YEAR. UNFORTUNATELY, THE FPL DOES NOT TAKE INTO CONSIDERATION LOCAL CONDITIONS SUCH AS COST OF LIVING IN THE SAN FRANCISCO BAY AREA. AS SUCH, THE FAMILY ECONOMIC SELF-SUFFICIENCY STANDARD (FESSS) IS A BETTER ESTIMATE OF ECONOMIC STABILITY IN SANTA CLARA COUNTY. FESSS ESTIMATES THAT AN ANNUAL INCOME OF $90,750 IS NECESSARY FOR A FAMILY OF FOUR (TWO ADULTS AND TWO CHILDREN AGES 3-5) LIVING IN SCC TO MEET THEIR MOST BASIC EXPENSES. WHILE THE CALIFORNIA MINIMUM WAGE INCREASED TO $10 PER HOUR IN JANUARY 2016, THE FESSS ESTIMATE IS EQUIVALENT TO MORE THAN 4 FULL-TIME MINIMUM WAGE JOBS. BY 2030, ONE IN FOUR SANTA CLARA COUNTY RESIDENTS WILL BE OVER THE AGE OF 60. THE FASTEST GROWING SEGMENT OF THIS POPULATION IS 85 YEARS AND OLDER. THE INCREASE OF INDIVIDUALS OVER THE AGE OF 60 WILL HAVE A SIGNIFICANT IMPACT ON THE COUNTY'S ABILITY TO PROVIDE SERVICES TO MEET THE NEEDS OF THIS BURGEONING POPULATION. ADDITIONALLY, ACCORDING TO THE ELDER ECONOMIC SECURITY INDEX (ELDER INDEX), NEARLY HALF OF SCC OLDER ADULTS ARE ECONOMICALLY INSECURE, WITH INCOMES TOO LOW TO MEET THEIR BASIC NEEDS WITHOUT ADDITIONAL ASSISTANCE. 67 PERCENT OF LATINO SENIORS AND 76 PERCENT OF ASIAN SENIORS ARE LIVING IN IMPOVERISHED CONDITIONS, COMPARED WITH 32 PERCENT OF WHITE (NON-LATINO) SENIORS. ADDITIONALLY, FEMALE SENIORS AND SENIORS AGES 75 AND OLDER (ANY GENDER) ARE MORE LIKELY TO EXPERIENCE POVERTY COMPARED TO MALE SENIORS AND THOSE BETWEEN THE AGES OF 65 AND 74. THE MAJORITY OF THE 6,556 PEOPLE COUNTED IN THE 2015 SANTA CLARA COUNTY HOMELESS CENSUS WERE SINGLE INDIVIDUALS OVER THE AGE OF 25 YEARS (73 PERCENT). THIRTEEN PERCENT OF THIS POPULATION WAS UNACCOMPANIED CHILDREN AND TRANSITION-AGE YOUTH UNDER THE AGE OF 25 (CHILDREN AND YOUTH LIVING ON THEIR OWN WITHOUT THE PRESENCE OF A PARENT OR ADULT FAMILY MEMBER). THE SURVEY ALSO FOUND THAT 68 PERCENT OF THOSE INDIVIDUALS CITED INABILITY TO AFFORD RENT AS THE REASON FOR BEING UNSHELTERED AND MORE THAN HALF REPORTED THEY HAD NO WORK OR INCOME. IN COMPARISON TO THE GENERAL POPULATION OF SANTA CLARA COUNTY, A HIGHER PERCENTAGE OF SURVEY RESPONDENTS IDENTIFIED AS HISPANIC OR LATINO (38 PERCENT COMPARED TO 27 PERCENT). A MUCH HIGHER POPULATION OF SURVEY RESPONDENTS IDENTIFIED AS BLACK OR AFRICAN AMERICAN, 18 PERCENT COMPARED TO 3 PERCENT OF THE GENERAL POPULATION. ONLY THREE PERCENT OF HOMELESS RESPONDENTS IDENTIFIED AS ASIAN, COMPARED TO 35 PERCENT OF THE GENERAL POPULATION. SAN MATEO COUNTY SAN MATEO COUNTY (SMC), LOCATED ON THE SAN FRANCISCO PENINSULA, IS MADE UP OF 20 CITIES AND TOWNS. IN 2015, THE COUNTY'S POPULATION WAS ESTIMATED OVER 765,000 WITH 42 PERCENT WHITE, 25 PERCENT HISPANIC/LATINO, 28 PERCENT ASIAN, 3 PERCENT AFRICAN-AMERICAN AND 2 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. IN 2014, THE U.S. CENSUS BUREAU ESTIMATED THAT THE MEDIAN INCOME FOR SMC RESIDENTS WAS $91,421. WHILE THIS MEDIAN INCOME WAS THE THIRD HIGHEST IN CALIFORNIA, 8 PERCENT OF ALL OF SMC INDIVIDUALS LIVED BELOW THE FEDERAL POVERTY LINE (FPL), ONE IN TEN CHILDREN LIVED BELOW FPL, AND 27 PERCENT OF SMC FEMALE HEAD OF HOUSEHOLD FAMILIES WITH CHILDREN UNDER AGE 5 LIVE BELOW FPL. AS WITH SANTA CLARA COUNTY, THE FPL DOES NOT TAKE INTO CONSIDERATION LOCAL CONDITIONS WHEN SETTING FPL. AS SUCH THE FAMILY ECONOMIC SELF-SUFFICIENCY STANDARD (FESSS) IS ALSO A BETTER MEASURE OF POVERTY IN SAN MATEO COUNTY. ACCORDING TO THE 2014 FESSS, A SINGLE PARENT WITH TWO CHILDREN LIVING IN SMC MUST EARN APPROXIMATELY $97,200 ANNUALLY TO MEET THE FAMILY'S BASIC NEEDS; THE EQUIVALENT OF FIVE FULL-TIME MINIMUM-WAGE JOBS IN SMC. ACCORDING TO THE ELDER INDEX, OLDER ADULTS ARE THE FASTEST GROWING POPULATION SEGMENT IN SMC. BY 2040, IT IS EXPECTED THAT THE SENIOR POPULATION WILL NEARLY DOUBLE; GROWING FROM 11 PERCENT IN 2010 TO 21 PERCENT. OLDER ADULTS WILL ALSO EXPERIENCE A SHIFT IN RACIAL AND ETHNIC DIVERSITY IN THE COMING YEARS. THE PERCENTAGE OF WHITE OLDER ADULTS IS PROJECTED TO DECLINE FROM 66 PERCENT IN 2009 TO 48 PERCENT BY 2030, WHILE THE PERCENT OF ASIAN AND HISPANIC OLDER ADULTS WILL GROW BY 12 PERCENT AND 5 PERCENT DURING THAT SAME TIMEFRAME. AFRICAN AMERICANS ARE ESTIMATED TO EXPERIENCE A SMALL DECREASE OF APPROXIMATELY ONE PERCENT. ALSO, PER THE ELDER INDEX, 36 PERCENT OF SENIORS STRUGGLE TO COVER THEIR BASIC EXPENSES BECAUSE THEIR ANNUAL INCOME EXCEEDS FEDERAL POVERTY GUIDELINES AND; THEREFORE, THEY MAY NOT QUALIFY FOR PUBLIC ASSISTANCE PROGRAMS. ADDITIONALLY, OF THOSE WHO LIVE ALONE, 47 PERCENT OF SENIOR WOMEN AND 36 PERCENT OF SENIOR MEN AS WELL AS 30 PERCENT OF SENIOR COUPLES ARE ECONOMICALLY INSECURE.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH A MAJORITY OF SHC'S TRUSTEES ARE MEMBERS OF THE COMMUNITY SERVED BY THE HOSPITAL AND ARE NOT EMPLOYED BY THE HOSPITAL, NOR ARE THEY FAMILY MEMBERS OF PERSONS EMPLOYED BY THE HOSPITAL. SHC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY IT SERVES WHO WISH TO JOIN THE STAFF, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. EXCESS RECEIPTS FROM SHC'S OPERATIONS ARE DEVOTED TO IMPROVEMENT OF ITS FACILITIES, DEBT SERVICE, MEDICAL TRAINING, AND RESEARCH. SHC HAS USED OPERATIONAL REVENUE TO UPDATE AND EXPAND ITS FACILITIES AND SERVICES, TO IMPROVE SYSTEMS TO ENHANCE QUALITY, TO FUND RESEARCH, AND FOR OTHER PURPOSES TO IMPROVE PATIENT CARE. INVESTMENTS IN VULNERABLE POPULATIONS SHC'S LARGEST COMMUNITY BENEFIT INVESTMENT WAS IN IMPROVING ACCESS TO HEALTH CARE FOR VULNERABLE COMMUNITY MEMBERS. IN FY 2016, SHC CONTRIBUTED NEARLY $281.5 MILLION, 78 PERCENT OF ITS COMMUNITY BENEFIT EXPENDITURES, TO ACTIVITIES SUPPORTING VULNERABLE POPULATIONS (EXCLUDING UNCOMPENSATED MEDICARE). SHC'S UNCOMPENSATED EXPENSE (COST LESS REIMBURSEMENT) FOR MEDI-CAL WAS OVER $257 MILLION. CHARITY CARE FOR UNINSURED AND UNDERINSURED PATIENTS TOTALED NEARLY $18 MILLION. ACTIVITIES FOR VULNERABLE POPULATIONS IN ADDITION TO THE INVESTMENTS IN CHARITY CARE AND UNCOMPENSATED MEDI-CAL, SHC'S CONTRIBUTION TO OTHER COMMUNITY BENEFIT ACTIVITIES FOR VULNERABLE POPULATIONS WAS $6.5 MILLION IN FY 2016. THESE ACTIVITIES PROVIDE ESSENTIAL SERVICES FOR THOSE MOST IN NEED IN OUR COMMUNITIES. SHC SUPPORTED SEVEN COMMUNITY CLINICS AND A TRANSITIONAL MEDICAL UNIT IN A HOMELESS SHELTER AS PART OF ITS IMPROVE ACCESS TO CARE HEALTH INITIATIVE. COMMUNITY PARTNERS INCLUDE CARDINAL FREE CLINICS (ARBOR AND PACIFIC), RAVENSWOOD FAMILY HEALTH CENTER, MAYVIEW COMMUNITY HEALTH CENTER, SAMARITAN HOUSE REDWOOD CITY FREE CLINIC, PENINSULA HEALTHCARE CONNECTION, ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT (AACI) HEALTH CENTER, AND THE MEDICAL RESPITE CENTER AT HOME FIRST'S BOCCARDO REGIONAL CENTER IN SAN JOSE. THE GOAL OF THIS INITIATIVE IS TO BUILD COMMUNITY CAPACITY TO DELIVER QUALITY PRIMARY AND PREVENTIVE HEALTH CARE. CARDINAL FREE CLINICS (CFC), LOCATED IN EAST MENLO PARK AND EAST SAN JOSE, PROVIDES QUALITY, FREE MEDICAL CARE TO LOW-INCOME UNINSURED POPULATIONS, WHILE OFFERING A HANDS-ON LEARNING ENVIRONMENT FOR STANFORD STUDENTS IN COMMUNITY HEALTH, CULTURALLY COMPETENT MEDICINE, AND LEADERSHIP DEVELOPMENT. IN FY 2016, SHC PROVIDED MORE THAN 2,700 FREE LAB AND PATHOLOGY TESTS, INCLUDING CHEMISTRY, HEMATOLOGY, MICROBIOLOGY AND VIROLOGY, AS WELL AS SCREENING FOR DISEASES SUCH AS HEPATITIS B. IN ADDITION TO THE LAB TESTS, SHC PROVIDED FUNDING TO SUPPORT THE CARDINAL FREE CLINICS' TECHNOLOGY INFRASTRUCTURE TO BUILD CAPACITY FOR SERVICES AND TO SUPPORT IMPROVED OPERATIONAL EFFICIENCIES AND PATIENT CARE. WITH EARLIER SHC FUNDING, CFC IMPLEMENTED AN ELECTRONIC MEDICAL RECORD (EMR) SYSTEM IN FY 2011 AND IN 2016 CONTINUED TO REFINE IT, AS WELL AS TO TRAIN STUDENT AND PHYSICIAN VOLUNTEERS ON THE NEW SYSTEM, WITH MORE THAN 175 VOLUNTEERS TRAINED. BUILDING ON THIS WORK, IN FY 2016, CFC WORKED TO MAINTAIN INTERNET CONNECTIVITY TO ENSURE ACCESS TO THE EMR SYSTEM. THE SYSTEM HAS FACILITATED AND ENHANCED LAB ORDERS, REFERRALS TO PRIMARY AND SPECIALTY CARE, CLINIC FLOW, AND CHARTING. THE EMR SYSTEM ALSO PROVIDES EASY ACCESS TO NECESSARY INFORMATION DURING THE WEEK WHEN THE CLINICS ARE NOT OPERATING. ARBOR FREE CLINIC, LOCATED IN MENLO PARK, PROVIDED 407 PATIENT VISITS TO 534 PATIENTS IN FY 2016. MOST OF ARBOR'S CLIENTS (93 PERCENT) ARE UNINSURED; 38 PERCENT ARE UNEMPLOYED; AND 34 PERCENT REQUIRE LANGUAGE INTERPRETATION SERVICES. THE CLINIC SERVES A DIVERSE POPULATION; PRIMARILY ASIAN/PACIFIC ISLANDER, HISPANIC AND WHITE. PACIFIC FREE CLINIC (PFC), LOCATED IN EAST SAN JOSE, PROVIDED 999 PATIENT VISITS TO 407 PATIENTS IN FY 2016. OVER 65% OF PFC PATIENTS ARE VIETNAMESE, AND THE REMAINING ARE MOSTLY LATINO OR OTHER ASIAN/PACIFIC ISLANDER PATIENTS. MOST PFC PATIENTS ARE 45-64 YEARS OLD AND HAVE AT LEAST ONE CHRONIC ILLNESS SUCH AS DIABETES, HYPERTENSION, DYSLIPIDEMIA, OR CHRONIC HEPATITIS B. RAVENSWOOD FAMILY HEALTH CENTER (RFHC) IS AN IMPORTANT COMMUNITY PARTNER. LOCATED IN EAST PALO ALTO, THE HEALTH CENTER PROVIDES PRIMARY CARE TO A DIVERSE, MULTI-ETHNIC, LOW-INCOME POPULATION. DURING SHC'S FISCAL YEAR 2016, RFHC PROVIDED 15,218 UNDUPLICATED LOW INCOME PATIENTS WITH 87,303 MEDICAL, DENTAL, OPTOMETRY, AND BEHAVIORAL HEALTH VISITS. RFHC'S POPULATION INCLUDED 914 UNDUPLICATED HOMELESS PATIENTS THROUGH 2,422 MEDICAL AND 649 DENTAL VISITS. RFHC COLLABORATES WITH SHC ON RESIDENCY EDUCATION FOR PEDIATRICS, CHILD AND ADULT PSYCHIATRY, CARE COORDINATION WITH RFHC PATIENTS WHO ARE SEEN IN THE ED AND/OR ARE HOSPITALIZED, AND DENTAL CARE FOR SPECIAL NEEDS CHILDREN. IN 2010, SHC ESTABLISHED A BRANCH OF THE STANFORD HEALTH LIBRARY AT RFHC TO SERVE THE EAST PALO ALTO COMMUNITY. IN ADDITION TO COMPUTERS, BOOKS AND A MYRIAD OF OTHER RESOURCES, THE LIBRARY HAS A BILINGUAL MEDICAL LIBRARIAN. THE LIBRARIAN NOT ONLY STAFFS THE LIBRARY BUT CONDUCTS RESEARCH ON CONDITION-SPECIFIC HEALTH TOPICS FOR RFHC PATIENTS AND STAFF, AS WELL AS FOR COMMUNITY MEMBERS. IN FY 2016, THE LIBRARIAN ASSISTED IN OVER 2300 INTERACTIONS WITH LIBRARY PATRONS. IN ITS PARTNERSHIP WITH MAYVIEW COMMUNITY HEALTH CENTER, SHC CONTINUED ITS FUNDING FOR INCREASED PROVIDER HOURS AND FOR THE QUALITY IMPROVEMENT OUTCOMES PROJECT FOR MAYVIEW PATIENTS WITH CHRONIC DISEASES, PARTICULARLY DIABETES. THE ADDITIONAL PROVIDER HOURS CONTRIBUTED TOWARD THE PROVISION OF 10,546 ENCOUNTER SERVICES FOR 2,571 PATIENTS AT MAYVIEW'S PALO ALTO CLINIC IN FY2016, AN INCREASE OF 7.4 PERCENT FROM FY2015 (2,393 PATIENTS). OF THE DIABETIC PATIENTS WHO WERE SEEN TWICE IN THE MEASUREMENT YEAR, 84% HAD BLOOD GLUCOSE LEVELS UNDER CONTROL (HBA1C<7). OVER 34 PERCENT OF MAYVIEW'S CLIENTS SEEN AT THIS CLINIC ARE UNINSURED, NEARLY 95 PERCENT ARE LOW-INCOME (BELOW 200 PERCENT OF THE FPL); 45 PERCENT ARE HISPANIC OR LATINO WHITE, 17 PERCENT ARE ASIAN/PACIFIC ISLANDER, AND 26 PERCENT ARE NON-HISPANIC WHITE. SHC COMMITTED MULTI-YEAR FUNDING FOR THE MEDICAL RESPITE PROGRAM (MRP). THE PROGRAM, LOCATED IN A MULTIPURPOSE HOMELESS FACILITY IN SAN JOSE, IS A 20-BED TRANSITIONAL UNIT FOR HOMELESS PATIENTS. IT PROVIDES A SAFE, SUPPORTIVE ENVIRONMENT WHERE HOMELESS PATIENTS CAN BE DISCHARGED FROM ACUTE CARE SETTINGS. THE CENTER PROVIDES SOCIAL SERVICES, SUCH AS HOUSING ASSISTANCE, HEALTH INSURANCE ENROLLMENT ASSISTANCE, FOOD AND CLOTHING, AND JOB TRAINING, IN ADDITION TO CONTINUED MEDICAL CARE. IN FY 2016, 447 HOMELESS PATIENTS WERE REFERRED TO THE MRP. OF THOSE 447, 256 WERE ACCEPTED. THE MOST FREQUENT REASON FOR NOT ACCEPTING PATIENTS WAS "ACUITY TOO HIGH (PATIENT TOO SICK)." A TOTAL OF 118 PATIENTS COMPLETED THE PROGRAM. OF THOSE PATIENTS, 92% WERE ENROLLED IN A MEDICAL HOME, 98% WERE ENROLLED IN SOME TYPE OF HEALTHCARE COVERAGE UPON DISCHARGE, AND 71% WERE PLACED IN SOME TYPE OF HOUSING. IN FY 2016 SHC CONTINUED ITS SUPPORT OF SAMARITAN HOUSE FREE CLINIC OF REDWOOD CITY. THE CLINIC PROVIDED OVER 5,200 PATIENT VISITS SERVING NEARLY 1,000 UNDUPLICATED CLIENTS IN FISCAL YEAR 2016. THE PATIENT POPULATION IS LARGELY HISPANIC (92 PERCENT) AND 99 PERCENT ARE UNINSURED. THE PATIENTS SERVED HAVE VERY LOW INCOMES, FACE LANGUAGE AND CULTURAL BARRIERS, AND ARE LIKELY TO SUFFER FROM MULTIPLE CHRONIC CONDITIONS DUE TO LACK OF PREVENTIVE CARE. ALL MEDICAL PROVIDERS AT THE CLINIC DONATE THEIR TIME AND EXPERTISE PROVIDING SERVICES SUCH AS PRIMARY CARE, DENTISTRY, GYNECOLOGY, BREAST CANCER SCREENINGS, DERMATOLOGY, DIABETIC CARE, ENDOCRINOLOGY, INTERNAL MEDICINE, NEUROLOGY, NEPHROLOGY, ORTHOPEDICS, OPHTHALMOLOGY, OPTOMETRY, PODIATRY, PULMONOLOGY, NUTRITIONAL COUNSELING AND RHEUMATOLOGY. PENINSULA HEALTHCARE CONNECTION (PHC). PENINSULA HEALTHCARE CONNECTION (PHC) IS A NONPROFIT ORGANIZATION THAT PROVIDES COMPREHENSIVE HEALTH, MENTAL HEALTH AND CASE MANAGEMENT SERVICES TO HOMELESS AND LOW-INCOME COMMUNITY MEMBERS, FREE OF CHARGE, AT THEIR STATE LICENSED MEDICAL CLINIC IN PALO ALTO. PHC IS THE ONLY PROVIDER IN NORTHERN SANTA CLARA COUNTY FOCUSED ON HEALTH SERVICES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. THE GOAL OF PHC IS TO PROMOTE THE OVERALL HEALTH AND WELLNESS OF OUR PATIENTS AND TO PROVIDE ADVOCACY FOR COMMUNITY MEMBERS WHO ARE HOMELESS OR AT RISK OF BECOMING HOMELESS. PHC PROVIDED OVER 1800 MEDICAL AND PSYCHIATRIC VISITS TO OUR PATIENTS IN 2016. THE CLINIC SERVES A DIVERSE POPULATION: 24 PERCENT ARE AFRICAN-AMERICAN, 13 PERCENT ARE ASIAN/PACIFIC ISLANDER, 15 PERCENT ARE HISPANIC, 44 PERCENT ARE WHITE, 4 PERCENT ARE "OTHERTHE MAJORITY OF PATIENTS (65 PERCENT) ARE HOMELESS. ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT (AACI) PROVIDES UNDERSERVED INDIVIDUALS AND FAMILIES IN SANTA CLARA COUNTY WITH CULTURALLY COMPETENT HIGH QUALITY HEALTH, MENTAL HEALTH AND WELLNESS PROGRAMS AND SERVICES. AACI SERVES PREDOMINANTLY LOW-INCOME, FIRST-GENERATION IMMIGRANT, AND LI
PART VI, LINE 5 (CONTINUED)	SHC'S EMERGENCY DEPARTMENT REGISTRATION UNIT PARTNERED WITH THE COUNTIES OF SAN MATEO AND SANTA CLARA IN A PROGRAM DESIGNED TO LINK UNINSURED PEDIATRIC PATIENTS TREATED IN THE EMERGENCY DEPARTMENT WITH ASSISTANCE PROGRAMS SUCH AS MEDI-CAL, HEALTHY FAMILIES AND HEALTHY KIDS. THIS PROGRAM RESULTED FROM STUDIES BY EWEN WANG, MD, ASSOCIATE DIRECTOR OF PEDIATRIC EMERGENCY MEDICINE, STANFORD SCHOOL OF MEDICINE, WHICH SHOWED THAT UNINSURED CHILDREN ARE LESS LIKELY TO RECEIVE ROUTINE CARE DUE TO THE FEAR OF FINANCIAL HARDSHIP ON THEIR FAMILIES. IN FY 2016, A TOTAL OF 361 REFERRALS WERE MADE TO COUNTY STAFF. OF THOSE REFERRALS, 128 CHILDREN WERE ENROLLED IN SOME TYPE OF HEALTH INSURANCE PROGRAM. SHC ALSO ASSISTED UNINSURED, LOW-INCOME PATIENTS IN RESEARCHING THEIR HEALTHCARE OPTIONS. SERVICES PROVIDED BY HEALTH ADVOCATES AND DIVERSIFIED HEALTH RESOURCES, AT NO COST TO THE CLIENT, INCLUDED HELPING INDIVIDUALS RESEARCH ELIGIBILITY REQUIREMENTS, IDENTIFY APPROPRIATE HEALTH INSURANCE PROGRAMS, COMPLETE APPLICATIONS, COMPILE REQUIRED DOCUMENTATION, AND FOLLOW UP WITH COUNTY CASE MANAGERS. FOR INDIVIDUALS ELIGIBLE FOR THE VARIOUS PROGRAMS, THIS SERVICE ASSISTS PATIENTS IN OBTAINING COVERAGE FOR MEDICAL NECESSITIES SUCH AS HOSPITAL CARE, PRESCRIPTION DRUGS, AND HOME HEALTH CARE. IN CASES WHERE A PATIENT IS DISCHARGED BUT HAS LIMITED OR NO ABILITY TO PAY FOR NECESSARY MEDICAL ITEMS AND CERTAIN NON-MEDICAL SERVICES, DEPARTMENTS SUCH AS THE SOCIAL WORK AND CASE MANAGEMENT DEPARTMENT PROVIDED FUNDING TO DEFRAY THE COSTS. MEDICAL EQUIPMENT, TRANSPORTATION, TEMPORARY HOUSING, MEDICATIONS AND MEAL ASSISTANCE, AMONG OTHER ITEMS AND SERVICES, ARE FUNDED AND /OR COORDINATED BY THESE HOSPITAL DEPARTMENTS. MINORITY POPULATIONS AN IMPORTANT GOAL OF SHC'S COMMUNITY BENEFIT PROGRAM IS TO REDUCE CANCER HEALTH DISPARITIES. IT IS A GOAL SHC SHARES WITH THE STANFORD CANCER INSTITUTE. IN FY 2016, SHC FUNDED THE FOLLOWING PROJECTS THAT PROVIDED ACCESS TO COMMUNITY-APPROPRIATE CANCER EDUCATION AND SUPPORTIVE SERVICES FOR MINORITIES, WOMEN, AND UNDERSERVED POPULATIONS: -ST. JAMES COMMUNITY FOUNDATION: CULTURALLY COMPETENT, HANDS-ON EDUCATION REGARDING PREPARING HEALTHY FOODS FOR AT-RISK COMMUNITIES, PRIMARILY AFRICAN-AMERICAN, HISPANIC AND PACIFIC ISLANDER -LATINAS CONTRA CANCER: PSYCHOSOCIAL SUPPORT FOR SPANISH-SPEAKING CANCER PATIENTS -HEP B FREE SANTA CLARA: CANCER EDUCATION AND HEPATITIS B SCREENING EDUCATION AND PROMOTION FOR THE CHINESE AND VIETNAMESE COMMUNITIES OF SANTA CLARA COUNTY THE STANFORD MEDICAL YOUTH SCIENCE PROGRAM IS A FIVE-WEEK SCIENCE- AND MEDICINE-BASED ENRICHMENT PROGRAM THAT TAKES PLACE ANNUALLY AND IS OPEN TO LOW-INCOME AND ETHNICALLY DIVERSE HIGH SCHOOL SOPHOMORES AND JUNIORS. THE GOAL OF THE PROGRAM IS TO PROMOTE THE REPRESENTATION OF ETHNIC MINORITY AND LOW-INCOME GROUPS IN THE HEALTH PROFESSIONS. SHC STAFF MENTOR STUDENTS IN A VARIETY OF DEPARTMENTS, INCLUDING ORTHOPEDICS, PHARMACY, LIFE FLIGHT, PHYSICAL THERAPY, EMERGENCY AND OTHERS MENTOR THE STUDENTS. OLDER ADULTS ACCORDING TO ONE REPORT, NEARLY ONE IN FOUR SAN MATEO COUNTY RESIDENTS WILL BE OVER THE AGE OF 65 BY 2030. THE SITUATION IS MUCH THE SAME IN SANTA CLARA COUNTY. BY 2030, MORE THAN ONE IN FOUR COUNTY RESIDENTS WILL BE AGE 60 OR OLDER. SHC PREPARED FOR THIS DEMOGRAPHIC SHIFT BY EXPANDING ITS AGING ADULT SERVICES PROGRAM (AAS) AND OFFERING COMPONENTS OF THAT PROGRAM TO THE COMMUNITY. STANFORD HOME TECHNOLOGY LIFELINE, A PROGRAM OF AAS, IS AN IN-HOME MEDICAL ALERT SERVICE THAT HELPS OLDER ADULTS REMAIN INDEPENDENT BY PROVIDING AN EASY WAY TO SUMMON HELP IN AN EMERGENCY. STANFORD LIFELINE IS ONE OF THE FEW EMERGENCY RESPONSE SERVICES THAT OFFER REDUCED OR SUBSIDIZED RATES TO THOSE IN NEED. IN FY16, 400 FREE OR REDUCED-COST LIFELINE SUBSCRIPTIONS WERE PROVIDED TO LOW-INCOME OLDER ADULTS. SHC'S 2016 COMMUNITY BENEFIT PLAN FOCUSES ON THREE HEALTH INITIATIVES: IMPROVE THE HEALTH AND WELL-BEING OF OLDER ADULTS, IMPROVE ACCESS TO CARE, AND REDUCE CANCER HEALTH DISPARITIES. IN SUPPORT OF THE FIRST INITIATIVE, SHC IMPLEMENTED FIVE EVIDENCE-BASED PROGRAMS, FREE OF CHARGE, AT LOCAL SENIOR CENTERS AND IN LOW-INCOME COMMUNITIES. THOSE PROGRAMS ARE STRONG FOR LIFE, FAREWELL TO FALLS, MATTER OF BALANCE, STEPPING ON, AND CHRONIC DISEASE SELF-MANAGEMENT. AAS'S STRONG FOR LIFE IS A GROUP EXERCISE PROGRAM WHOSE GOALS ARE TO HELP OLDER ADULTS INCREASE STRENGTH, BALANCE AND MOBILITY, AND REDUCE ISOLATION. IN FY 2016, THIS PROGRAM SERVED MORE THAN 195 INDIVIDUALS AT EIGHT SENIOR CENTERS. OF THE EIGHT SENIOR CENTERS, FIVE SERVE PRIMARILY LOW-INCOME OLDER ADULTS. AAS ALSO PROVIDES A PROGRAM CALLED CHRONIC DISEASE SELF-MANAGEMENT, A BEHAVIORALLY ORIENTED PROGRAM THAT TEACHES OLDER ADULTS HOW TO MANAGE THEIR CHRONIC CONDITIONS. PARTICIPANTS LEARN TO DO APPROPRIATE EXERCISES, EAT BETTER, MANAGE STRESS AND PAIN, MANAGE THEIR MEDICATIONS, AND BETTER COMMUNICATE WITH THEIR FAMILIES AND HEALTH CARE PROVIDERS. SHC CONDUCTED THREE, SIX-WEEK WORKSHOPS IN FY 2016. SHC'S TRAUMA SERVICES COMMUNITY OUTREACH AND INJURY PREVENTION STAFF CONTINUED TO OFFER FAREWELL TO FALLS, A BEST-PRACTICE FALL PREVENTION PROGRAM, TO RESIDENTS IN SAN MATEO AND SANTA CLARA COUNTIES. OCCUPATIONAL THERAPISTS PROVIDE HOME VISITS AND REVIEW MULTIPLE RISK FACTORS FOR FALLS. ADDITIONALLY, REGULAR FOLLOW-UP PHONE CALLS ENCOURAGE COMPLIANCE WITH EXERCISE AND OTHER RECOMMENDATIONS. ONE YEAR AFTER THE INITIAL HOME VISIT, THERAPISTS EVALUATE PARTICIPANTS' PROGRESS. THE PROGRAM ENROLLED 314 OLDER ADULTS INTO THE PROGRAM IN FY 2016. SHC'S TRAUMA SERVICES COMMUNITY OUTREACH AND INJURY PREVENTION STAFF PROVIDED SEVERAL NO-COST, EVIDENCE-BASED PROGRAMS TO HELP OLDER ADULTS IN SAN MATEO AND SANTA CLARA. IN FY 2016, FOUR SEVEN-SESSION STEPPING ON PROGRAMS WERE PROVIDED IN SANTA CLARA COUNTY. THE GOAL OF THIS PROGRAM IS TO EMPOWER OLDER ADULTS TO CHANGE BEHAVIORS THAT CAN HELP REDUCE THE RISK OF FALLING. PARTICIPANTS WORK WITH A PHYSICAL THERAPIST ON STRENGTH AND BALANCE EXERCISES, HEAR LECTURES FROM A PHARMACIST AND VISION SPECIALIST, AND PARTICIPATE IN DISCUSSIONS FACILITATED BY AN OCCUPATIONAL THERAPIST. OVER 67 OLDER ADULTS PARTICIPATED AT SIX SITES AND COMPLETED THE STEPPING ON PROGRAM. MATTER OF BALANCE, ANOTHER FREE, EVIDENCE-BASED PROGRAM, IS ALSO PROVIDED BY TRAUMA SERVICES. STAFF WORK WITH OLDER ADULTS IN A GROUP SETTING TO HELP REDUCE THE FEAR OF FALLING. IN EIGHT, TWO-HOUR SESSIONS, PARTICIPANTS LEARN TO VIEW FALLS AS CONTROLLABLE, SET GOALS FOR INCREASING ACTIVITY, LEARN TIPS TO MAKE HOME MODIFICATIONS, AND PRACTICE EXERCISES TO INCREASE STRENGTH AND BALANCE. LAY LEADERS COACH THE SESSIONS, SUPERVISED AND MENTORED BY AN OCCUPATIONAL THERAPIST. TRAUMA SERVICES PROVIDED 13 EIGHT-SESSION MOB CLASSES IN FY 2016 AT SITES IN MENLO PARK, MOUNTAIN VIEW, SUNNYVALE AND BELMONT, REDWOOD CITY, AND SAN CARLOS. IN ADDITION TO THOSE PARTICIPATING IN IN-HOME AND CENTER-BASED FALL PREVENTION PROGRAMS, AN ESTIMATED 1442 OLDER ADULTS WERE REACHED THROUGH EDUCATIONAL PRESENTATIONS AND HEALTH FAIRS BY TRAUMA SERVICES COMMUNITY OUTREACH AND INJURY PREVENTION STAFF. SHC ALSO SUPPORTS THE WORK OF TWO COUNTYWIDE COLLABORATIVES ENGAGED IN IMPROVING THE HEALTH AND WELL-BEING OF OLDER ADULTS WITH FALL PREVENTION EDUCATION: THE SAN MATEO COUNTY FALL PREVENTION TASK FORCE AND THE SANTA CLARA COUNTY FALL PREVENTION TASK FORCE. CONCERNED WITH THE GROWING INCIDENCE OF FALLS AMONG OLDER ADULTS IN SAN MATEO COUNTY, A TASK FORCE OF 50 ORGANIZATIONS REPRESENTING COMMUNITY PROVIDER AGENCIES, HOSPITALS, NONPROFIT ORGANIZATIONS, SENIOR CENTERS AND PRIVATE SERVICE PROVIDERS CAME TOGETHER TO FORM THE SAN MATEO COUNTY FALL PREVENTION TASK FORCE. THE MISSION OF THIS GROUP IS TO DECREASE FALLS AMONG OLDER ADULTS THROUGH ADVOCACY, RESOURCE DEVELOPMENT, AND COMMUNITY EDUCATION. SHC SUPPORTS THE WORK OF THE TASK FORCE WITH STAFF REPRESENTATION AND GRANT FUNDING. THIS PAST YEAR'S ACTIVITIES HAVE INCLUDED CONDUCTING NEEDS ASSESSMENTS WITH MEDICAL PROVIDERS AND HOME-BOUND OLDER ADULTS THROUGH MEALS ON WHEELS AS WELL AS FOCUS GROUPS IN ENGLISH, SPANISH AND CHINESE WITH COMMUNITY-DWELLING OLDER ADULTS. AS A FOUNDING MEMBER OF THE FALLS PREVENTION TASK FORCE IN SANTA CLARA COUNTY, SHC WORKS IN COLLABORATION WITH THE SILICON VALLEY HEALTHY AGING PARTNERSHIP, SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT, EMERGENCY MEDICAL SYSTEM, VALLEY MEDICAL CENTER, THE HEALTH TRUST, AND SAN JOS STATE UNIVERSITY TO REDUCE THE RISKS OF FALLS FOR SANTA CLARA COUNTY'S OLDER ADULTS THROUGH ADVOCACY, RESOURCE DEVELOPMENT, AND COMMUNITY AND PROVIDER EDUCATION. FY 2016 ACTIVITIES INCLUDED THE DEVELOPMENT OF A STRATEGIC PLAN, WHICH DIRECTS FUTURE EFFORTS TO OUTREACH TO MEDICAL PROVIDERS AND EXPANDED COMMUNITY OUTREACH DURING FALL PREVENTION AWARENESS MONTH EACH SEPTEMBER.
HEALTH RESEARCH, EDUCATION AND TRAINING	HEALTH PROFESSIONS EDUCATION RESEARCH, EDUCATION AND TRAINING ARE CORE TO SHC'S MISSION. SHC IS THE SETTING FOR TRAINING MEDICAL STUDENTS, RESIDENTS AND FELLOWS FROM THE STANFORD SCHOOL OF MEDICINE AND, AS SUCH, MAKES A SIGNIFICANT CONTRIBUTION TO TRAINING THE NEXT GENERATION OF HEALTHCARE PROVIDERS. IN FY16, SHC CONTRIBUTED $ 76,393,241 TO SUPPORT HEALTH RESEARCH, EDUCATION AND TRAINING. OF THIS AMOUNT, OVER $68 MILLION WAS SPENT TO TRAIN MEDICAL RESIDENTS AND INTERNS. IN ADDITION TO TRAINING PHYSICIANS, SHC SUPPORTS THE TRAINING OF OTHER HEALTH PROFESSIONALS. IN FY16, SHC INVESTED MORE THAN $7.6 MILLION ON THIS TRAINING. HOSPITAL DEPARTMENTS SUCH AS REHABILITATION SERVICES, NURSING AND CLINICAL LABS PROVIDED CLINICAL ROTATIONS FOR PHYSICAL THERAPY, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, NURSING AND LABORATORY SCIENCE STUDENTS FROM LOCAL COLLEGES AND UNIVERSITIES. IN ADDITION, PHYSICIAN ASSISTANT STUDENTS ARE TRAINED BY SHC PHYSICIAN ASSISTANTS. SHC ALSO PROVIDES A TRAINING GROUND FOR PHARMACY RESIDENTS AND STUDENTS, RADIOLOGY AND NUCLEAR MEDICINE STUDENTS AND PSYCHOLOGY STUDENTS. BENEFITS FOR VULNERABLE POPULATIONS* $ 281,454,441 MEDICARE (UNCOMPENSATED EXPENSE) $ 512,219,096 BENEFITS FOR THE LARGER COMMUNITY $ 4,148,779 HEALTH RESEARCH, EDUCATION AND TRAINING $ 76,393,241 TOTAL EXCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $ 361,996,461 TOTAL INCLUDING UNCOMPENSATED EXPENSE OF MEDICARE $ 874,215,557 * INCLUDES UNCOMPENSATED COST OF MEDI-CAL, CHARITY CARE, AND SHC COMMUNITY BENEFIT PROGRAMS WHOSE TARGET AUDIENCE IS CATEGORY 1: BENEFITS FOR VULNERABLE POPULATIONS, AND EXCLUDES THE NON-REIMBURSED COST OF MEDICARE.
PART VI, LINE 6	IN MAY 2015, THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS (VCHS) BECAME AN AFFILIATE OF STANFORD HEALTH CARE (SHC). VCHS PARTNERS WITH SHC TO SERVE THE EAST BAY'S TRI-VALLEY REGION OF LIVERMORE, DUBLIN AND PLEASANTON. VCHS'S FACILITIES IN LIVERMORE, DUBLIN AND PLEASANTON INCLUDE VALLEY MEDICAL CENTER, EMERGENCY SERVICES AND TWO URGENT CARE CENTERS. VCHS ALLOWS SHC TO EXPAND ITS PRESENCE IN THE CRITICAL TRI-VALLEY AREA BY PARTNERING WITH A HIGH QUALITY, HIGH VALUE COMMUNITY HOSPITAL. VCHS WILL PARTICIPATE IN ALL THREE OF SHC'S MISSIONS BY PROVIDING SHC'S LEADING EDGE CLINICAL CARE IN THE VCHS COMMUNITY, TRAINING FUTURE MEDICAL LEADERS THROUGH RESIDENCY ROTATIONS AND OTHER ACADEMIC PURSUITS, AND PROVIDING THE TRI-VALLEY AREA INCREASED ACCESS TO CLINICAL TRIALS FOR LIFE-SAVING TREATMENTS. IN ADDITION, SHC'S GROWING EXPERTISE IN POPULATION AND PRECISION HEALTH WILL BE LEVERAGED TO SERVE THIS COMMUNITY.
PART VI, LINE 7	ALL STATES IN WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: CALIFORNIA

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
STANFORD HEALTH CARE

Employer identification number
94-6174066

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) HEALTHCARE FOUNDATION 1215 K ST STE 730 SACREMENTO,CA95814	86-1174825	501(C)(3)	80,000	MEDICAL RESPITE PRGM
(2) MAYVIEW COMMUNITY HEALTH CNTR 270 GRANT AVE PALO ALTO,CA94306	94-2239648	501(c)(3)	70,000	SUPPORT COMMUNITY CLINIC
(3) ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT 2400 MOORPARK AVE SAN JOSE,CA95128	94-2292491	501(c)(3)	27,000	SUPPORT COMMUNITY CLINIC
(4) VMC FOUNDATION 2400 MOORPARK 207 SAN JOSE,CA95128	77-0187890	501(C)(3)	7,500	INFECTIOUS DISEASE SUPPORT
(5) LATINAS CONTRA CANCER 255 NO MARKET ST SAN JOSE,CA95110	56-2412069	501(C)(3)	7,500	CANCER SUPPORT/EDUCATION
(6) ST JAMES COMMUNITY FOUNDATION PO BOX 995 SAN MATEO,CA94403	46-3224440	501(c)(3)	7,500	CANCER SUPPORT/EDUCATION
(7) PENINSULA HEALTHCARE CONNECTION 33 ENCINA AVE 103 PALO ALTO,CA94301	20-2886131	501(C)(3)	25,000	HEALTHCARE FOR HOMELESS
(8) SOUTH COUNTY COMMUNITY HEALTH CENTER 1885 BAY ROAD EAST PALO ALTO,CA94303	94-3372130	501(C)(3)	77,500	SUPPORT COMMUNITY CLINIC
(9) SAMARITAN HOUSE 4301 PACIFIC BLVD SAN MATEO,CA94403	23-7416272	501(C)(3)	75,000	SUPPORT COMMUNITY CLINIC
(10) BOARD OF TRUSTEES STANFORD UNIVERSITY 3145 PORTER DR PALO ALTO,CA94304	94-1156365	501(C)(3)	57,000	HEALTH ADVOCACY/ CARDINAL FREE CLINICS
(11) INDIA COMMUNITY CENTER 525 LOS COCHES STREET MILPITAS,CA95035	52-2351119	501(C)(3)	7,500	SUPPORT COMMUNITY CLINIC

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PROCEDURES FOR MONITORING USE OF GRANT FUNDS

SCHEDULE I, PART I, LINE 2 WHEN A GRANT IS APPROVED, SOMEONE WITH SIGNATURE AUTHORITY FROM THE GRANTEE ORGANIZATION SIGNS THE GRANT AGREEMENT, WHICH INCLUDES A RECEIPT OF FUNDS STATEMENT (WHEN AND HOW MUCH WAS RECEIVED) AND THE PURPOSE FOR WHICH THE FUNDS MUST BE USED. A GRANTS MANAGER MAINTAINS CONTACT THROUGHOUT THE GRANT PERIOD FOR USE OF FUNDS AND PROGRESS ON STATED GOALS AND OBJECTIVES. AT THE END OF THE GRANT PERIOD, FINAL GRANT REPORTS ARE REVIEWED BY THE GRANT MANAGER. COPIES OF ALL DOCUMENTS ARE KEPT IN HARD FILES AND ELECTRONICALLY BY THE GOVERNMENT AND COMMUNITY RELATIONS DEPARTMENT.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

STANFORD HEALTH CARE

Employer identification number

94-6174066

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on 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 ............

Yes

Were any amounts reported on 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 .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on 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 in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CHRISTOPHER DAWESDIRECTOR	(i) (ii)	0 ------------- 920,060	0 ------------- 483,212	0 ------------- 204,584	0 ------------- 436,532	0 ------------- 36,981	0 ------------- 2,081,369	0 ------------- 0
2ROBERT HARRINGTONDIRECTOR (SEE SCHEDULE O)	(i) (ii)	0 ------------- 514,042	0 ------------- 343,440	0 ------------- 23,777	0 ------------- 18,550	0 ------------- 36,285	0 ------------- 936,094	0 ------------- 0
3LLOYD B MINOR MDDIRECTOR	(i) (ii)	0 ------------- 1,385,420	0 ------------- 200,000	0 ------------- 131,255	0 ------------- 308,873	0 ------------- 37,682	0 ------------- 2,063,230	0 ------------- 0
4NORMAN RIZK MDDIRECTOR	(i) (ii)	0 ------------- 398,133	0 ------------- 579,030	0 ------------- 371	0 ------------- 26,500	0 ------------- 19,015	0 ------------- 1,023,049	0 ------------- 0
5AMIR DAN RUBINDIRECTOR/CEO (SEE SCHEDULE O)	(i) (ii)	1,830,198 ------------- 0	1,162,531 ------------- 0	336,428 ------------- 0	329,395 ------------- 0	40,355 ------------- 0	3,698,907 ------------- 0	283,726 ------------- 0
6MARK WELTON MDDIRECTOR	(i) (ii)	0 ------------- 295,762	0 ------------- 293,754	0 ------------- 0	0 ------------- 26,500	0 ------------- 47,598	0 ------------- 663,614	0 ------------- 0
7DAVID J CONNORINTERIM CFO	(i) (ii)	337,506 ------------- 0	102,054 ------------- 0	75,577 ------------- 0	24,622 ------------- 0	19,583 ------------- 0	559,342 ------------- 0	0 ------------- 0
8JAMES HEREFORDCOO	(i) (ii)	721,882 ------------- 0	330,951 ------------- 0	133,832 ------------- 0	114,691 ------------- 0	32,584 ------------- 0	1,333,940 ------------- 0	76,114 ------------- 0
9DANIEL MORISSETTECFO	(i) (ii)	781,622 ------------- 0	469,308 ------------- 0	124,316 ------------- 0	23,850 ------------- 0	39,631 ------------- 0	1,438,727 ------------- 0	0 ------------- 0
10DOUGLAS GUNDERSONVP - OPS DIAG & TREAT SVCS	(i) (ii)	411,405 ------------- 0	114,126 ------------- 0	42,909 ------------- 0	64,769 ------------- 0	29,771 ------------- 0	662,980 ------------- 0	33,017 ------------- 0
11NANCY LEECNO & VP PATIENT CARE SRVCS	(i) (ii)	392,860 ------------- 0	110,831 ------------- 0	61,033 ------------- 0	26,500 ------------- 0	41,859 ------------- 0	633,083 ------------- 0	0 ------------- 0
12PRAVENE NATHCHIEF MED INFO OFFICER	(i) (ii)	473,227 ------------- 0	147,626 ------------- 0	167,504 ------------- 0	23,850 ------------- 0	11,658 ------------- 0	823,865 ------------- 0	84,663 ------------- 0
13MARK TORTORICHVP DESIGN, PLAN, CONSTRUCTION	(i) (ii)	307,169 ------------- 0	93,373 ------------- 0	65,045 ------------- 0	24,663 ------------- 0	31,438 ------------- 0	521,688 ------------- 0	0 ------------- 0
14SHIRLEY WEBERVP CLINICAL OPERATIONS	(i) (ii)	284,415 ------------- 0	56,450 ------------- 0	2,869 ------------- 0	23,850 ------------- 0	25,112 ------------- 0	392,696 ------------- 0	0 ------------- 0
15BENJI M LOANZONSHC VP-CONTROLLER, SHC VC CFO	(i) (ii)	335,737 ------------- 0	175,557 ------------- 0	69,532 ------------- 0	23,905 ------------- 0	26,559 ------------- 0	631,290 ------------- 0	0 ------------- 0
16BRUCE HARRISONVP NETWORK DEV.	(i) (ii)	508,587 ------------- 0	126,158 ------------- 0	89,110 ------------- 0	81,765 ------------- 0	42,090 ------------- 0	847,710 ------------- 0	49,707 ------------- 0
17SRIDHAR SESHADRIVP CANCER CTR & PROCESS EXLCE	(i) (ii)	396,157 ------------- 0	108,636 ------------- 0	78,063 ------------- 0	26,500 ------------- 0	40,277 ------------- 0	649,633 ------------- 0	0 ------------- 0
18JENNIFER VARGASVP BUS DEVELOPMENT	(i) (ii)	541,186 ------------- 0	166,864 ------------- 0	98,039 ------------- 0	23,850 ------------- 0	39,797 ------------- 0	869,736 ------------- 0	0 ------------- 0
19JASON ROOSVP & CHIEF TECHNOLOGY OFFICER	(i) (ii)	273,556 ------------- 0	55,238 ------------- 0	316,227 ------------- 0	23,850 ------------- 0	24,178 ------------- 0	693,049 ------------- 0	0 ------------- 0
20JERROLD MAKIVP CLINICAL SVS	(i) (ii)	308,137 ------------- 0	92,682 ------------- 0	69,312 ------------- 0	25,887 ------------- 0	29,612 ------------- 0	525,630 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
SCHEDULE J, PART I, LINE 1A	HOUSING ALLOWANCE 3 OFFICERS AND 2 HIGHEST COMPENSATED EMPLOYEES RECEIVED HOUSING AS A TAXABLE BENEFIT AND THE AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B (III).
SCHEDULE J, PART I, LINE 4A	IN 2015 IN CONNECTION WITH HIS DEPARTURE, A HIGHEST COMPENSATED EMPLOYEE RECEIVED TOTAL SEVERANCE PAYMENTS OF $315,016, WHICH ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III).
SCHEDULE J, PART I, LINE 4B	STANFORD HEALTH CARE ("SHC") PROVIDES ALL SENIOR EXECUTIVES WITH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS. FOR EACH CALENDAR YEAR, A HYPOTHETICAL ACCOUNT IS ESTABLISHED FOR EACH PARTICIPANT AND CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION) AS OF THE LAST DAY OF EACH QUARTER. THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN EACH CALENDAR YEAR ACCOUNT ON THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED (OR, IF LATER, THE DATE ON WHICH THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION). THE PARTICIPANT BECOMES FULLY VESTED IN HIS OR HER ACCOUNTS UNDER THE SERP UPON THE EARLIEST OF (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) ATTAINMENT OF AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; (D) COMPLETION OF SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) DEATH. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2015: CHRISTOPHER DAWES $ 159,626 AMIR DAN RUBIN $ 300,132 NANCY LEE $ 48,753 DAVID CONNOR $ 35,593 MARK TORTORICH $ 40,670 SRIDHAR SESHADRI $ 51,587 DANIEL MORISSETTE $ 98,174 JERROLD MAKI $ 38,677 JENNIFER VARGAS $ 68,672 PRAVENE NATH $ 147,172 BRUCE HARRISON $ 52,581 JAMES HEREFORD $ 80,515 BENJIE LOANZON $ 35,843 DOUGLAS GUNDERSON $ 34,926 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). AMOUNTS CREDITED AND DISCLOSED ON THE FORM 990 IN PRIOR YEARS THAT VESTED AND WERE PAID IN CALENDAR 2015 ARE REPORTED IN COLUMN (F). CHRISTOPHER DAWES, PRESIDENT OF LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD HAS A NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. UNDER THE AGREEMENT, MR. DAWES RECEIVES AN ANNUAL CREDIT TO HIS ACCOUNT THROUGH 2016 PROVIDED HE REMAINS EMPLOYED IN HIS CURRENT POSITION. AMOUNTS CREDITED UNDER THE PLAN WILL BE PAYABLE UPON THE EARLIER OF: (1) TERMINATION WITHOUT CAUSE; (2) DISABILITY; (3) DEATH; OR (4) AUGUST 31, 2016 PROVIDED MR. DAWES REMAINS EMPLOYED AT THAT DATE. THE CREDIT TO MR. DAWES FOR CALENDAR YEAR 2015 OF $400,000 IS INCLUDED IN SCHEDULE J, PART II, COLUMN C. LLOYD B. MINOR PARTICIPATES IN A DEFERRED COMPENSATION PLAN AT STANFORD UNIVERSITY, A RELATED ORGANIZATION. ANNUALLY, AMOUNTS ARE CREDITED TO THE PLAN BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. THESE AMOUNTS APPEAR IN SCHEDULE J, PART II, COLUMN C. PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET.
SCHEDULE J, PART I, LINE 7 & PART II, DESCRIPTION FOR COLUMN B(II)	OFFICERS AND OTHERS WITH AMOUNTS IN THIS COLUMN RECEIVE BONUS AWARDS AND INCENTIVE COMPENSATION. THE ANNUAL INCENTIVE PLAN (AIP) IS BASED ON ACHIEVING CERTAIN GOALS ESTABLISHED PRIOR TO THE NEW FISCAL YEAR. THE GOALS ARE BASED ON THE FOCUSED AREAS, SUCH AS PATIENT CARE, QUALITY/SAFETY SERVICE, FINANCIAL RESULT, AND DEPARTMENT/PERSONAL PERFORMANCE.
SCHEDULE J, PART II, DESCRIPTION FOR COLUMN B(III)	OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B(III) INCLUDES HOUSING ASSISTANCE, SERP CASH DISTRIBUTION, GRANT MONIES, ACCRUED VACATION PAY OUT, GROUP TERM LIFE, AND TAXABLE MOVING ASSISTANCE. IN ADDITION, SHC HAS PROVIDED VARIOUS ITEMS OF "LISTED PROPERTY" (E.G. COMPUTERS AND PERIPHERALS) TO THE ABOVE LISTED EMPLOYEES PRINCIPALLY FOR THEIR BUSINESS USE.
SCHEDULE J, PART II	DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS OF SHC. HOWEVER, THE INDIVIDUALS LISTED WERE ALSO EMPLOYEES OF RELATED ORGANIZATIONS, POSITIONS FOR WHICH THEY RECEIVED COMPENSATION AS REPORTED IN PART II.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
STANFORD HEALTH CARE

Employer identification number
94-6174066

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY	52-1643828	13033F3U2	06-02-2008	428,500,000	2008 SERIES AB-SEE PART VI		X		X		X
B	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY	52-1643828	13033LJH1	06-16-2010	310,291,489	2010 SERIES AB-SEE PART VI		X		X		X
C	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY	52-1643828	13033LZN0	05-23-2012	608,293,722	2012 SERIES ABCD-SEE PART VI		X		X		X
D	California Health Facilities Financing Authority	52-1643828	13033L8P5	06-26-2015	180,626,500	2015 SERIES AB-SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	10,975,000		24,470,000		20,875,000		0
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	428,500,000		310,291,489		614,386,240		181,498,161
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		4,780		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	0		0		0		0
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	0		0		467,024,364		13,537,723
11 Other spent proceeds .............	428,500,000		310,291,489		79,397,297		0
12 Other unspent proceeds .............	0		0		67,959,799		167,960,438
13 Year of substantial completion .............	2008		2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X	X			X
16 Has the final allocation of proceeds been made? ..........	X		X			X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X			X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X			X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X			X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.060 %		0.030 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	0.060 %		0.030 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X	X		X
b Exception to rebate? ........	X		X			X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X	X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider ..........	SEE PART VI		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........	X

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

TAX EXEMPT BONDS

F0RM 990, SCHEDULE K, PART II, COLUMN (C), LINE 3 THIS AMOUNT DIFFERS FROM THE ISSUE PRICE BECAUSE OF INVESTMENT EARNINGS. F0RM 990, SCHEDULE K, PART I BOND ISSUES: A CUSIP#: 13033F3U2 SERIES: 2008 SERIES A&B DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF 2006 SERIES A & B DATE OF ISSUE: MARCH 9, 2006. BOND ISSUES: B CUSIP#: 13033LJH1 SERIES: 2010 SERIES A DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF 1998 SERIES B DATE OF ISSUE: MARCH 31, 1998. BOND ISSUES: B CUSIP#: 13033LJH1 SERIES: 2010 SERIES B DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF 2003 SERIES B, C, AND D DATE OF ISSUE: JULY 1, 2003 BOND ISSUES: C CUSIP#: 13033LZN0 SERIES: 2012 SERIES A, C AND D DESCRIPTION OF PURPOSE: CONSTRUCTION OF REPLACEMENT ACUTE CARE HOSPITAL FACILITY AND RENOVATION OF PORTIONS OF EXISTING ACUTE CARE HOSPITAL FACILITY, A PORTION OF WHICH WILL REMAIN IN USE. BOND ISSUES: C CUSIP#: 13033LZN0 SERIES: 2012 SERIES B DESCRIPTION OF PURPOSE: ADVANCE REFUNDING OF 2003 SERIES A DATE OF ISSUE: JULY 1, 2003. BOND ISSUES: D CUSIP#: 13033L8P5 SERIES: 2015 SERIES A & B DESCRIPTION OF PURPOSE: CONSTRUCTION OF REPLACEMENT ACUTE CARE HOSPITAL FACILITY AND RENOVATION OF PORTIONS OF EXISTING ACUTE CARE HOSPITAL FACILITY, A PORTION OF WHICH WILL REMAIN IN USE. DATE OF ISSUE: 06/26/2015 TAX EXEMPT BONDS FORM 990, SCHEDULE K, PART IV ISSUE A: SERIES: 2008 SERIES B1 NAME OF PROVIDER: DEUTSCHE BANK AG* TERM OF HEDGE: 10 TERMINATED: 02/26/14 ISSUE: A SERIES: 2008 SERIES B2 NAME OF PROVIDER: DEUTSCHE BANK AG* TERM OF HEDGE: 10 TERMINATED: 02/26/14 * NOVATED FROM ORIGINAL COUNTERPARTY, J.P. MORGAN CHASE BANK N.A. EFFECTIVE JANUARY 1, 2011.

Schedule K (Form 990) 2015

Additional Data

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Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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.
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Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

STANFORD HEALTH CARE

Employer identification number

94-6174066

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) JAMES HEREFORD	OFFICER	HOUSING LOAN		X	500,000	500,000		No	Yes		Yes
(2) DAVID ENTWISTLE	OFFICER	HOUSING LOAN		X	500,000	500,000		No	Yes		Yes
(3) DAVID ENTWISTLE	OFFICER	HOUSING LOAN		X	1,000,000	1,000,000		No	Yes		Yes
(4) DAVID ENTWISTLE	OFFICER	HOUSING LOAN		X	1,000,000	1,000,000		No	Yes		Yes
(5) DAVID ENTWISTLE	OFFICER	HOUSING LOAN		X	1,000,000	1,000,000		No	Yes		Yes





Total ............... $						4,000,000

Part III

Grants or Assistance Benefiting 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) 2015

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) BETH DAWES	SEE PART V		COMPENSATION FOR EMPLOYMENT
(2) EXPRESSSCRIPTS	SEE PART V		PAYMENT FOR PRODUCTS
(3) VARIAN MEDICAL SYSTEMS	SEE PART V		PAYMENT FOR PRODUCTS
(4) STANFORD PET-CT LLC	SEE PART V		PAYMENT FOR SERVICES
(5) SUMIT INSURANCE COMPANY LTD	SEE PART V		PAYMENT FOR INSURANCE PREMIUMS
(6) SU MED NETWORK RISK MGMT AUTHORITY	SEE PART V		PAYMENT FOR SERVICES TO SRA
(7) SU MED NETWORK RISK MGMT AUTHORITY	SEE PART V		PAYMENT FOR SERVICES TO SHC

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

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SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

STANFORD HEALTH CARE

Employer identification number

94-6174066

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	9	0	N/A
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	34	348,075	FAIR MARKET VALUE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE M, PART I, COLUMN B	STANFORD HEALTH CARE IS REPORTING THE NUMBER OF CONTRIBUTIONS.
SCHEDULE M, PART I, QUESTION 32B	STANFORD HEALTH CARE UTILIZES THE SERVICES OF STANFORD UNIVERSITY TO ASSIST WITH THE SOLICITATION AND PROCESSING OF NON-CASH GIFTS.
SCHEDULE M, PART I, QUESTION 33	WORKS OF ART ARE PRESERVED FOR PUBLIC EXHIBITION AND ARE NOT CAPITALIZED. DONATIONS OF SUCH COLLECTIONS ARE NOT RECORDED FOR FINANCIAL STATEMENT PURPOSES.

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

STANFORD HEALTH CARE

Employer identification number

94-6174066

Return Reference	Explanation
MISSION	FORM 990, PART I, LINE 1 & PART III, LINE 1 STANFORD HEALTH CARE ("SHC") IS A NON-PROFIT CALIFORNIA PUBLIC BENEFIT CORPORATION OF WHICH THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY (THE "UNIVERSITY") IS THE SOLE MEMBER. THE OBJECTIVE AND THE PURPOSE OF SHC IS TO PROVIDE PATIENT CARE SERVICES, SUPPORT, BENEFIT AND FURTHER THE CHARITABLE, AND SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE UNIVERSITY AND THE UNIVERSITY'S SCHOOL OF MEDICINE. SHC OPERATES A LICENSED ACUTE CARE HOSPITAL, CANCER CENTERS IN PALO ALTO AND SAN JOSE, AN AMBULATORY OUTPATIENT CENTER IN REDWOOD CITY AND NUMEROUS OUTPATIENT PHYSICIAN CLINICS IN THE SAN FRANCISCO BAY AREA, IN COMMUNITY SETTINGS AND IN ASSOCIATION WITH REGIONAL HOSPITALS. STANFORD HEALTH CARE HAS A MISSION TO CARE, TO EDUCATE, AND TO DISCOVER. SHC'S VISION STATEMENT IS HEALING HUMANITY THROUGH SCIENCE AND COMPASSION, ONE PATIENT AT A TIME.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A STANFORD HEALTH CARE ("SHC") IS KNOWN WORLDWIDE FOR ADVANCED PATIENT CARE PROVIDED BY ITS PHYSICIANS AND STAFF, PARTICULARLY IN AREAS SUCH AS CARDIAC CARE, CANCER TREATMENT, NEUROLOGY, NEUROSURGERY, ORTHOPEDICS, SURGERY AND ORGAN TRANSPLANTS. SHC HAD 25,763 PATIENT DISCHARGES. SHC HAD 154,538 PATIENT DAYS INCLUDING ACUTE, BEHAVIORIAL HEALTH, AND SHORT STAY OUTPATIENT. TOTAL OUTPATIENT AND EMERGENCY ROOM VISITS WERE 768,453 FOR THE FISCAL YEAR ENDED AUGUST 31, 2016.
EXECUTIVE COMMITTEE	FORM 990, PART VI, LINE 1A IF A MATTER NORMALLY REQUIRING ACTION BY THE BOARD OF DIRECTORS ARISES BETWEEN MEETINGS OF THE BOARD AND IS A MATTER WHICH, IN THE OPINION OF ANY FOUR (4) OUT OF SIX (6) OF THE CHAIR OF THE BOARD, THE VICE CHAIR, THE DEAN OF THE STANFORD UNIVERSITY SCHOOL OF MEDICINE, THE PRESIDENT OF THE CORPORATION, THE CHAIR OF THE FINANCE COMMITTEE AND THE CHAIR OF THE AUDIT COMMITTEE, REQUIRES ACTION BY THE BOARD BEFORE THE NEXT REGULAR OR SPECIAL MEETING OF THE BOARD, THEN ANY FOUR (4) OR MORE OUT OF THOSE SIX (6) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD OF DIRECTORS, ARE AUTHORIZED JOINTLY TO TAKE WHATEVER ACTION IS NECESSARY TO RESOLVE THE MATTER, AND SUCH ACTION WILL CONSTITUTE AUTHORIZED ACTION OF THE BOARD TO THE SAME EXTENT AS IF IT HAS BEEN ADOPTED AT A MEETING OF THE BOARD; PROVIDED, HOWEVER, THAT AT LEAST ONE (1) OF THE FOUR (4) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD PURSUANT TO THIS SECTION SHALL BE AN "OUTSIDE DIRECTOR," AS DEFINED IN BYLAWS AND PROVIDED, FURTHER, THAT THE DIRECTORS ACTING AS A COMMITTEE OF THE BOARD SHALL NOT IN ANY CASE BE AUTHORIZED BY THIS SECTION TO EXERCISE THOSE POWERS WHICH BY LAW, THE ARTICLES OF INCORPORATION, THESE BYLAWS OR SPECIFIC ACTION BY THE MEMBER, SET FORTH IN A RESOLUTION OF THE MEMBER, MAY BE EXERCISED ONLY BY THE MEMBER OR MAY NOT BE DELEGATED TO A COMMITTEE OF THE BOARD.
FAMILY/BUSINESS RELATIONSHIPS	FORM 990, PART VI, LINE 2 CHRISTOPHER DAWES IS AN EMPLOYEE, CHIEF EXECUTIVE OFFICER AND A DIRECTOR OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL. THE FOLLOWING INDIVIDUALS ARE DIRECTORS AT LUCILE SALTER PACKARD CHILDREN'S HOSPITAL: MARY CRANSTON MARIANN BYERWALTER AMIR DAN RUBIN LLYOD B. MINOR MD JOHN LEVIN THE FOLLOWING INDIVIDUALS ARE EMPLOYEES OF STANFORD UNIVERSITY: NORMAN RIZK MD MARK WELTON MD LLOYD B. MINOR MD ROBERT HARRINGTON MARK LESLIE THE FOLLOWING INDIVIDUALS ARE TRUSTEES AT STANFORD UNIVERSITY: JOHN GUNN BRET COMOLLI RONALD JOHNSON THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT STANFORD PET-CT LLC: DAVID ENTWISTLE MARIANN BYERWALTER AMIR DAN RUBIN JAMES HEREFORD LLOYD B. MINOR MD THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT SUMIT HOLDING INTERNATIONAL, LLC: DAVID ENTWISTLE AMIR DAN RUBIN DAVID CONNOR DANIEL MORISSETTE CHRISTOPHER DAWES NORMAN RIZK MD THE FOLLOWING INDIVIDUALS ARE BOARD MEMBERS AT SUMIT INSURANCE COMPANY, LTD.: DAVID ENTWISTLE AMIR DAN RUBIN DAVID CONNOR DANIEL MORISSETTE CHRISTOPHER DAWES LLOYD B. MINOR MD NORMAN RIZK MD THE FOLLOWING INDIVIDUALS ARE CLASS A SUBSCRIBER VOTING MEMBERS AT THE PROFESSIONAL EXCHANGE ASSURANCE COMPANY: DAVID ENTWISTLE AMIR DAN RUBIN DAVID CONNOR DANIEL MORISSETTE CHRISTOPHER DAWES NORMAN RIZK MD JOEL HYATT AND RONALD JOHNSON - BUSINESS RELATIONSHIP FRED HARMAN AND RONALD JOHNSON - BUSINESS RELATIONSHIP
CHANGES TO GOVERNING DOCUMENTS	FORM 990, PART VI, LINE 4 CHANGES TO THE GOVERNING DOCUMENTS INCLUDED AN INCREASE IN THE MAXIMUM NUMBER OF ELECTED DIRECTORS TO 25 AND A REQUIREMENT TO INCLUDE ONE CLINICAL DEPARTMENT CHAIR FROM THE STANFORD UNIVERSITY SCHOOL OF MEDICINE AS A DIRECTOR.
MEMBERS	FORM 990, PART VI, LINE 6 STANFORD UNIVERSITY IS THE SOLE MEMBER OF STANFORD HEALTH CARE ("SHC").
ELECTION BY MEMBERS	FORM 990, PART VI, LINE 7A STANFORD UNIVERSITY, AS THE SOLE MEMBER OF SHC, APPOINTS THE SHC BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 7B	THE SOLE MEMBER, STANFORD UNIVERSITY, MAY REMOVE AN ELECTED DIRECTOR AT ANY TIME WITHOUT CAUSE.
FORM 990, PART VI, LINE 11B	THE 990 TAX RETURN IS PREPARED BY THE FINANCE DEPARTMENT OF SHC. THE FINANCIAL DATA IS EXTRACTED FROM THE AUDITED FINANCIAL STATEMENT AND SUPPLEMENTAL INFORMATION AUDITED BY THE INDEPENDENT ACCOUNTING FIRM OF PRICEWATERHOUSECOOPERS (PWC). COMPENSATION DATA IS EXTRACTED FROM PAYROLL RECORDS. OTHER INFORMATION IS PROVIDED BY THE RELEVANT AREAS WITH EXPERTISE IN SHC. UPON COMPLETION, THE RETURN IS REVIEWED BY THE SENIOR MANAGEMENT OF SHC, THE COUNSEL OF SHC, STANFORD UNIVERSITY CONTROLLER'S OFFICE AND EXTERNAL TAX ACCOUNTANT (PWC). THE DRAFT FORM 990 IS REVIEWED AT THE AUDIT AND COMPLIANCE COMMITTEE MEETING. THE FORM 990 IS THEN FORWARDED TO ALL BOARD MEMBERS FOR THEIR REVIEW. THE CFO OF SHC AND PWC AS PAID PREPARER SIGN THE RETURN PRIOR TO FILING WITH IRS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN INITIAL CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ("DISCLOSURE STATEMENT") WITHIN 30 DAYS OF BEGINNING SERVICE AT SHC. ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. FURTHERMORE, OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO UPDATE THEIR DISCLOSURE STATEMENT WITHIN TEN (10) BUSINESS DAYS OF A MATERIAL CHANGE IN THEIR SITUATIONS THAT MAY CREATE AN ACTUAL OR PERCEIVED CONFLICT-OF-INTEREST. A DISCLOSURE THAT APPEARS TO BE A CONFLICT WILL BE RESOLVED BY A MUTUAL AGREEABLE PLAN WITH THE VICE PRESIDENT OF HUMAN RESOURCES THAT OUTLINES THE STEPS THE OFFICER, DIRECTOR OR KEY EMPLOYEE MUST TAKE TO RECTIFY THE CONFLICT. IN MATTERS THAT ARE UNCLEAR OR QUESTIONABLE, THE OFFICE OF CHIEF COMPLIANCE OFFICER WILL BE CONSULTED FOR A RULING. IF FURTHER INQUIRY IS NECESSARY THE OFFICE OF THE GENERAL COUNSEL WILL BE CONSULTED FOR A RULING.
PROCEDURES FOR DETERMINING COMPENSATION	FORM 990, PART VI, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR SHC'S CEO AND OTHER TOP MANAGEMENT REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES THE COMMITTEE WITH COMPARABLE MARKET DATA FROM THE FORMS 990 OF COMPARABLE ORGANIZATIONS SUPPLEMENTED BY PUBLISHED COMPENSATION AND BENEFITS SURVEYS TO BE CONSIDERED IN EVALUATING TOTAL COMPENSATION PACKAGES FOR EACH INDIVIDUAL EXECUTIVE. THE COMMITTEE CONDUCTS A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTS ITS DELIBERATIONS AND DISCUSSION IN MINUTES THAT ARE RETAINED WITH THE OTHER GOVERNANCE MATERIALS OF SHC. THE VALUE OF EACH PAY ELEMENT AND THE TOTAL PACKAGE ARE REVIEWED EACH SEPTEMBER PRIOR TO ANY PAY ACTIONS BEING APPROVED BY THE COMPENSATION COMMITTEE. SPECIFIC FACTS AND CIRCUMSTANCES OF EACH ROLE, INCUMBENT, THEIR PERFORMANCE, SKILLS AND RESPONSIBILITIES ARE REVIEWED AND ASSESSED INDIVIDUALLY. THE COMMITTEE RECEIVES RECOMMENDATIONS FROM THE CEO AS TO PAY ACTIONS FOR EACH INCUMBENT. THESE RECOMMENDATIONS ARE DISCUSSED AND THE RESULTS OF THE DELIBERATIONS ARE DOCUMENTED AS TO THE FINAL PAY ACTION APPROVED ALONG WITH THE RATIONALE FOR THE DECISION. THIS PROCESS OCCURS ANNUALLY AND IN CONJUNCTION WITH ANY PROGRAMMATIC CHANGE THAT COULD POTENTIALLY IMPACT THE PAY OR BENEFITS OF EXECUTIVES.
AVAILABILITY OF GOVERNING DOCUMENTS	FORM 990, PART VI, LINE 19 COPIES OF THE FINANCIAL STATEMENTS ARE AVAILABLE ON SHC'S WEBSITE. FURTHERMORE, THE STATEMENTS OF OPERATIONS AND BALANCE SHEET ARE PART OF THE UNIVERSITY'S ANNUAL FINANCIAL REPORT POSTED ON THE ORGANIZATION'S PUBLIC WEBSITE. COPIES OF THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS.
BOARD OF DIRECTORS CHANGES	FORM 990, PART VII, SECTION A THE FOLLOWING BOARD MEMBERS RETIRED FROM THE BOARD OF DIRECTORS DURING FY16 AS NOTED: JOHN FREIDENRICH UNTIL 12/31/2015 AMIR DAN RUBIN UNTIL 12/31/2015 (SERVICE AS CEO TERMINATED SAME DATE) WILLIAM YOUNGER UNTIL 12/31/2015 THE FOLLOWING BOARD MEMBERS WERE APPOINTED TO THE BOARD AS OF DURING FY16 AS NOTED: SUSAN BECHTEL AS OF 11/1/2015 WILLIAM BRODY AS OF 11/1/2015 DAVID ENTWISTLE AS OF 7/5/2016 ROBERT HARRINGTON AS OF 1/1/2016 MARK LESLIE AS OF 9/1/2015
OFFICER AND KEY EMPLOYEE CHANGES	FORM 990, PART VII, SECTION A THE FOLLOWING INDIVIDUALS DEPARTED AS OFFICERS DURING FY16 AS NOTED: MARIANN BYERWALTER UNTIL 7/5/2016 DANIEL MORISSETTE UNTIL 1/20/2016 THE FOLLOWING INDIVIDUALS BECAME OFFICERS DURING FY16 AS NOTED: MARIANN BYERWALTER - INTERIM CEO AS OF 1/4/2016 DAVID ENTWISTLE - CEO AS OF 7/5/2016 DAVID CONNOR - INTERIM CFO AS OF 12/6/2015
HOURS AT RELATED ORGANIZATIONS	FORM 990, PART VII, COLUMN B CHRISTOPHER DAWES IS A DIRECTOR OF SHC. FOR FY16 HE WAS ALSO THE PRESIDENT AND CEO OF THE LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD (LPCH), A RELATED ORGANIZATION. MR. DAWES RECEIVES COMPENSATION FROM LPCH FOR HIS SERVICES AT LPCH. MR DAWES RECEIVED NO COMPENSATION FOR HIS DUTIES AS A DIRECTOR OF SHC. LLOYD B. MINOR MD, NORMAN RIZK MD, MARK WELTON MD, ROBERT HARRINGTON, AND MARK LESLIE ARE DIRECTORS OF SHC. FOR FY16 THEY WERE EMPLOYED AT STANFORD UNIVERSITY (SU), A RELATED ORGANIZATION. THESE INDIVIDUALS RECEIVE COMPENSATION FROM SU FOR THEIR SERVICES AT SU. THEY RECEIVED NO COMPENSATION FOR DUTIES AS A DIRECTORS OF SHC.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN MINIMUM PENSION LIABILITY $ (80,000) INTEREST RATE SWAP MTM $ (115,958,149) EQUITY TRANSFER $ (92,686,942) SEROC INCOME BOOK/TAX DIFFERENCE $ (128,837) -------------- OTHER CHANGES IN NET ASSETS OR FUND BALANCES $(208,853,928)

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

STANFORD HEALTH CARE

Employer identification number

94-6174066

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on 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
(1) CARE COUNSEL LLC 899 NORTHGATE DRIVE STE 530 SAN RAFAEL,CA94903 68-0396696	MEDICAL	CA	1,847,215	563,064	SHC
(2) STANFORD BLOOD CENTER LLC 3373 HILLVIEW AVENUE PALO ALTO,CA94304 81-0816100	BLOOD CENTER	CA	61,364,229	19,812,137	SHC

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on 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?
(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	Yes	No
(1)THE BRD OF TRUST LELAND STANF JR UNIV 3145 PORTER DRIVE PALO ALTO,CA94304 94-1156365	EDUCATION	CA	501(C)(3)	2	NA		No
(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)HOSPITAL COMMITTEE FOR THE L-P AREAS 1111 E STANLEY BLVD LIVERMORE,CA94550 94-1429628	HOSPITAL	CA	501(C)(3)	3	SHC	Yes
(4)VALLEYCARE MEDICAL FOUNDATION INC 5655 W LAS POSITAS BLVD 220 PLEASANTON,CA94588 26-2593526	SUPPRT SHC-VC	CA	501(C)(3)	9	HOSP CMTE LP	Yes
(5)VALLEYCARE SENIOR HOUSING 1111 E STANLEY BLVD LIVERMORE,CA94550 94-3382224	SR. FACILITY	CA	501(C)(3)	11C, III-FI	HOSP CMTE LP	Yes
(6)THE FREIDENRICH SUPPORT FOUNDATION 3145 PORTER DRIVE PALO ALTO,CA94304 30-0519583	SUPPORT	CA	501(C)(3)	11A, I	STANFORD	Yes
(7)SHR HOLDINGS INC 3145 PORTER DRIVE PALO ALTO,CA94304 94-3187167	REAL ESTATE	CA	501(C)(25)	N/A	STANFORD	Yes
(8)SU EMP BEN TRUST POST RETEMPYNT BEN 3145 PORTER DRIVE PALO ALTO,CA94304 94-3246199	BENEFITS	CA	501(C)(9)	N/A	STANFORD	Yes
(9)UNIVERSITY HEALTHCARE ALLIANCE 7999 GATEWAY BLVD STE 300 NEWARK,CA94560 94-3192446	HEALTHCARE	CA	501(C)(3)	3	SHC	Yes
(10)THE DUDLEY E CHAMBERS FOUNDATION JP MORGAN CHASE PO BOX 3038 MILWAUKEE,WI53201 38-6841793	SUPPORT	NY	501(C)(3)	11D, III-O	STANFORD	Yes
(11)STANFORD UNIVERSITY BOOKSTORE BLDG 60 MAIN QUAD NO 105 STANFORD,CA94305 94-0894150	SUPPORT	CA	501(C)(3)	11A, I	STANFORD	Yes
(12)PACKARD CHILDREN'S HEALTH ALLIANCE 725 WELCH ROAD MC5551 PALO ALTO,CA94304 32-0359189	HEALTHCARE	CA	501(C)(3)	3	LPCH	Yes
(13)STANFORD HABITAT CONSERVATION BOARD 3160 PORTER DR STE 200 PALO ALTO,CA94304 46-1882243	CONSERVATION	CA	501(C)(3)	7	STANFORD	Yes
(14)STANFORD FACULTY CLUB PO BOX 7229 STANFORD,CA94309 94-1187089	FAC INTERACT.	CA	501(C)(7)	N/A	STANFORD	Yes
(15)THE HONG KONGSU CHARITABLE TRUST 1401 CAROLINE CENTER 28 PING ROAD,CAUSEWAY HK 98-6078093	SUPPORT	HK	501(C)(3)		STANFORD	Yes
(16)THE STANFORD TRUST 65 HIGH STREET OXFORD OX1 46L UK	SUPPORT	UK	501(C)(3)		STANFORD	Yes
(17)STANFORD PROGRAMME (CAPE TOWN) NPC WAVERLY BUSINESS PARK BUILDING 11 CAPE TOWN SF	EDUCATION	SF	501(C)(3)		STANFORD	Yes
(18)STANFORD FEDERAL CREDIT UNION 1860 EMBARCADERO RD PALO ALTO,CA94303 94-1492212	CREDIT UNION	CA	501(C)(1)	N/A	STANFORD	Yes
(19)STANFORD HEALTH CARE ADVANTAGE 1221 BROADWAY 3RD FLOOR OAKLAND,CA94612 46-4071746	HEALTHCARE	CA	501(c)(3)	11A, I	SHC	Yes
(20)STANFORD SCHOOLS CORPORATION 475 POPE STREET MENLO PARK,CA94025 20-2699147	EDUCATIONAL	CA	501(C)(3)	2	STANFORD	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) ADOM PARTNERS LP 500 MADISON AVENUE NEW YORK,NY10022	INVESTMENTS	DE	NA
(2) ALBUS SELECT FUND LP 750 MENLO AVENUE MENLO PARK,CA94025	INVESTMENTS	DE	NA
(3) ARCOLA RESIDENTIAL VENTURE LLC 635 KNIGHT WAY STANFORD,CA943057297 90-0818278	REAL ESTATE	DE	NA
(4) ARCOLA VENTURE LLC 635 KNIGHT WAY STANFORD,CA943057297 37-1689632	RE DEVELOPMENT	DE	NA
(5) ATWATER 12 LP 2100 ROSS AVE STE 1600 DALLAS,TX75201 75-2944481	INVESTMENTS	DE	NA
(6) AVALANCHE ROYALTY PARTNERS LLC 410 17TH ST STE 1150 DENVER,CO80202 84-1539807	INVESTMENTS	DE	NA
(7) CEE EQUITY HOLDINGS LP ELIZABETH HOUSE 9 CASTLE ST ST. HELIER,,JERSEYJE4 2QP JE	INVESTMENTS	JE	NA
(8) CLAIRVUE CAPITAL PARTNERS II-TE 1 LP 150 CALIFORNIA STREET STE 850 SAN FRANCISCO,CA94111 80-0909516	INVESTMENTS	DE	NA
(9) CLAIRVUE CAPITAL PARTNERS II-TE 2 LP 150 CALIFORNIA STREET STE 850 SAN FRANCISCO,CA94111 80-0909556	INVESTMENTS	DE	NA
(10) CANARY SC FUND LP 399 PARK AVENUE NEW YORK,NY10022	INVESTMENTS	DE	NA
(11) ENERGY CAPITAL PARTNERS III (SENDERO CO- 51 JOHN F KENNEDY PARKWAY SUITE 2 SHORT HILLS,NJ07078 47-1702425	INVESTMENTS	DE	NA
(12) FORTRESS IW COINVESTMENT (FUND B) LP 1345 AVE OF THE AMERICAS 45TH FL NEW YORK,NY10105 98-0509639	INVESTMENTS	CJ	NA
(13) KEB INVESTORS II LP WASHINGTON MALL STE 304 7 REID ST HAMILTON,,HM 11 BD	INVESTMENTS	BD	NA
(14) LSF V DHB HOLDINGS LP 2711 N HASKELL AVE STE 1700 DALLAS,TX75204 27-2858604	INVESTMENTS	DE	NA
(15) OUTLAWS CASINO LTD 3160 PORTER DR PALO ALTO,CA94304 84-1457498	HOLDING COMPANY	CO	NA
(16) PALO ALTO LP 13 CASTLE STREET ST. HELIER, JERSEY JE 98-1126622	INVESTMENTS	JE	NA
(17) PROJECT EDISON PARTNERS FUND LP 55 E 52ND ST NEW YORK,NY10055 47-3184706	INVESTMENTS	DE	NA
(18) RESERVOIR RESOURCE PTRS TE LP 767 FIFTH AVE 16TH FLOOR NEW YORK,NY10153 46-2286221	INVESTMENTS	DE	NA
(19) RMS FOREST GROWTH II LP 30 INVERNESS CENTER PARKWAY STE 36 BIRMINGHAM,AL35242 20-0841908	INVESTMENTS	CA	NA
(20) SANDPIPER FUND LP 2000 MCKINNEY AVE STE 2125 DALLAS,TX75201 26-0341626	INVESTMENT	TX	NA
(21) SAROFIM MULTIFAMILY PARTNERS LP 8115 PRESTON RD ST400 DALLAS,TX75225 20-1929002	RE DEVELOPMENT	TX	NA
(22) SCP REAL ASSETS FUND (A) LP 2498 SAND HILL RD MENLO PARK,CA94025 20-3949682	INVESTMENTS	DE	NA
(23) SEQUOIA MFM OPERATING COMPANY LLC 770 WELCH ROAD LPCH- ADMIN MC5551 PALO ALTO,CA94304 47-5060529	MFM PROGRAM	CA	NA
(24) SIC SNOWCREEK VIII LLC 635 KNIGHT WAY STANFORD,CA94305 27-5431605	RE DEVELOPMENT	CA	NA
(25) SP SMC PARTNERS LLC 2711 CENTERVILLE RD STE 400 WILMINGTON,DE19808 47-3103791	INVESTMENTS	DE	NA
(26) STANFORD EMANUEL RAD ONCOLOGY CENTER 825 DELBON AV TURLOCK,CA95382 20-8885091	RADIOLOGY	CA	SHC	RELATED	2,501,131	4,636,412		No	0		No	60.000 %
(27) STANFORD PET-CT LLC 300 PASTEUR DR MC 5555 STANFORD,CA94305 61-1423414	MED. DIAGNOST	CA	SHC	RELATED	5,938,750	6,189,242		No	0	Yes		50.000 %
(28) STANFORD-STARTX FUND LLC 3145 PORTER DR PALO ALTO,CA94304 46-4297719	INVESTMENTS	DE	NA	EXCLUDED	-1,109,084	34,098,529		No	0		No	33.333 %
(29) SUMIT HOLDING INTERNATIONAL LLC 1400 PAGE MILL ROAD MC5713 PALO ALTO,CA94304 26-3934706	HOLDING COMPANY	DE	SHC	RELATED	-2,586,355	59,051,422		No	0		No	82.000 %
(30) VEDA INVESTORS FUND LP ONE FAWCETT PL GREENWICH,CT06830	INVESTMENTS	DE	NA

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on 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?
(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		Yes	No
(1) STANFORD SGGS EUROPE INC UGLAND HOUSE S CHURCH ST PO BOX 309GT, GEORGE TOWN CJ 13-1684331	INVESTMENTS	CJ	NA	C CORP
(2) EAST SAIL C/O INTL FS INC IFS COURT TWENTYEIGHT, CYBERCITY, EBENE MP	INVESTMENTS	MP	NA	C CORP
(3) GAVEA INVESTMENT FUND II-C LP PO BOX 896GT HARBOUR CENTRE GEORGE TOWN,CAYMAN ISLANDS CJ 98-0537952	INVESTMENTS	CJ	NA	C CORP
(4) LS ALBERTA III LP C/O JE ROBERT COS 1650 TYSON BLVD MCLEAN,VA22102 98-0493425	INVESTMENTS	CA	NA	C CORP
(5) CLAT (16)	CHARITABLE TR	CA	NA	TRUST
(6) CRT (555)	CHARITABLE TR	CA	NA	TRUST
(7) OTHER (7)	CHARITABLE TR	CA	NA	TRUST
(8) PIF (2)	CHARITABLE TR	CA	NA	TRUST
(9) ALPINE CHALET INC PO BOX 9988 SOUTH LAKE TAHOE,CA96158 94-1556099	SKI LODGE	CA	NA	C CORP
(10) STANFORD (BEIJING) CNSLTNG CO LTD (WFOE) 5275TH FLBLDG CACADEMY SOUTH RD HAIDAN DISTRICT,BEIJING CH	EDUCATION	CH	NA	C CORP
(11) STANFORD UNIV MED NETWORK RISK AUTHORITY 1400 PAGE MILL RD MSC 5713 PALO ALTO,CA94304 46-1132002	RISK MGMT CON	CA	NA	C CORP
(12) PROFESSIONAL EXCHANGE ASSURANCE COMPANY 201 MERCHANT STREET SUITE 2400 HONOLULU,HI96813 90-0897686	INSURANCE	HI	NA	C CORP
(13) ARCOLA RES DEVELOPMENT CORP C/O SMC 635 KNIGHT WAY STANFORD,CA943057297 80-0804754	INVESTMENTS	DE	NA	C CORP
(14) BREP VII ALBERTA FEEDER(OFFSHORE)TE7 LP C/O THE BLACKSTONE GROUP 345 PARK NEW YORK,NY10154 98-1066351	INVESTMENTS	CA	NA	C CORP
(15) BREP VII ALBERTA FEEDER(OFFSHORE)TE7NQLP C/O THE BLACKSTONE GROUP 345 PARK NEW YORK,NY10154 98-1066355	INVESTMENTS	CA	NA	C CORP
(16) WEST FACE ALTERNATIVE CREDIT CAYMAN LP PO BOX 10008 WILLOW HOUSE GRAND CAYMAN,CAYMAN ISLANDSKY1-1001 CJ 98-1140761	INVESTMENTS	CJ	NA	C CORP
(17) MIDPOINT TECHNOLOGY PARK OWNERS ASSOC 3145 PORTER DRIVE PALO ALTO,CA94304 94-3287254	REAL ESTATE	CA	NA	C CORP
(18) BIENVILLE ARGENTINA OPPS OFFSHORE FUND 405 LEXINGTON AVE 34TH FLOOR NEW YORK,NY10174	INVESTMENTS	CJ	NA	C CORP
(19) KAIZEN FUND 1 NORTH BRIDGE RD 6-8 SINGAPORE,SINGAPORE179094 SN	INVESTMENTS	CJ	NA	C CORP
(20) AFFINITY MEDICAL SOLUTIONS INC 1221 BROADWAY 3RD FLOOR OAKLAND,CA94612 20-3134011	HEALTHCARE	DE	NA	C CORP
(21) BISHOP ROCK OPPORTUNITY OFFSHORE FUND C/O SMC 635 KNIGHT WAY STANFORD,CA94305	INVESTMENTS	CJ	NA	C CORP
(22) SBFF LTD PO BOX 1344 GEORGE TOWN CJ	INVESTMENTS	CJ	NA	C CORP
(23) CANARY SC FUND LTD 399 PARK AVE NEW YORK,NY10022	INVESTMENTS	CJ	NA	C CORP
(24) THE RUBRUM FUND PO BOX 309 UGLAND HOUSE GRAND CAYMAN,CAYMAN ISLANDS CJ	INVESTMENTS	CJ	NA	C CORP
(25) SEA SMOKE FUND LLC 190 ELGIN AVENUE GEORGE TOWN,GRAND CAYMANKY 9005 CJ	INVESTMENTS	CJ	NA	C CORP
(26) STANFORD MEDICINE INTL (HONG KONG) CO LT 833 CHEUNG SHA WAN ROAD KOWLOON,HONG KONG HK	PATIENT SRVC	HK	SHC	C CORP	0	0	100.000 %	Yes
(27) STANFORD INTL MEDICAL SERVICES RAK FZE PO BOX 56500 AE	PATIENT SRVC	AE	SHC	C CORP	0	0	100.000 %	Yes
(28) STANFORD IN JAPAN GODO KAISHA DOSHISHA UNIVERSITY MEITOKUKAN-NAI KAMIGYO-KU,KYOTO-SHI JA	EDUCATION	JA	NA	C CORP

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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

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 .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

Yes

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) SUMIT HOLDING INTERNATIONAL LLC	R	8,154,500	BOOK
(2) SEROC	Q	1,017,430	COST
(3) LPCH	L	78,777,233	FMV
(4) LPCH	M	1,191,724	FMV
(5) LPCH	N	4,848,400	FMV
(6) LPCH	O	30,339,586	FMV
(7) LPCH	Q	11,642,449	COST
(8) LPCH	S	3,300,000	BOOK
(9) UNIVERSITY HEALTHCARE ALLIANCE	B	53,617,574	BOOK
(10) UNIVERSITY HEALTHCARE ALLIANCE	L	8,674,004	COST
(11) UNIVERSITY HEALTHCARE ALLIANCE	P	19,618,514	COST
(12) UNIVERSITY HEALTHCARE ALLIANCE	Q	5,368,557	COST
(13) UNIVERSITY HEALTHCARE ALLIANCE	S	27,619	COST
(14) HOSPITAL COMMITTEE FOR THE L-P AREAS	A	2,248,652	COST
(15) HOSPITAL COMMITTEE FOR THE L-P AREAS	P	59,510	COST
(16) HOSPITAL COMMITTEE FOR THE L-P AREAS	Q	3,037,391	COST
(17) HOSPITAL COMMITTEE FOR THE L-P AREAS	R	3,088,731	COST
(18) HOSPITAL COMMITTEE FOR THE L-P AREAS	S	1,832,000	COST
(19) STANFORD HEALTH CARE ADVANTAGE	L	1,756,430	COST
(20) STANFORD HEALTH CARE ADVANTAGE	O	407,193	COST
(21) STANFORD HEALTH CARE ADVANTAGE	Q	2,025,542	COST
(22) STANFORD HEALTH CARE ADVANTAGE	R	6,000,002	FMV

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation
SCHEDULE R, PART IV, LINE 5	CHARITABLE LEAD ANNUITY TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE 6	CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE 7	OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE 1	POOLED INCOME FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	29
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	22
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	12,464
6	Total number of volunteers (estimate if necessary) .............	6	1,557
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,781,510
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-592,110

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	52,627,380	20,436,017
9	Program service revenue (Part VIII, line 2g) .........	3,325,071,282	3,642,978,061
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	170,816,083	41,927,566
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,548,514,745	3,705,341,644
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	400,500	441,500
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)	1,282,867,413	1,565,889,708
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 10,911,270
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,775,492,500	1,937,709,736
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,058,760,413	3,504,040,944
19	Revenue less expenses. Subtract line 18 from line 12.......	489,754,332	201,300,700
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	5,382,496,999	5,591,584,994
21	Total liabilities (Part X, line 26).............	2,346,638,819	2,562,149,725
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,035,858,180	3,029,435,269

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 3,188,608,841 including grants of $ 441,500 ) (Revenue $ 3,642,978,061 )
	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 expenses3,188,608,841

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	12,945,825	5,859,277	2,330,967

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	787,444
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	19,648,573

g	Noncash contributions included in lines 1a-1f:$ 348,075
h Total.Add lines 1a-1f.......		20,436,017

		Business Code
2a	PATIENT REVENUE	900099	3,442,846,980	3,442,846,980
b	OUTREACH LAB CLINIC	900099	11,638,919	11,638,919
c	REIMBURSED/SHARED EXPENSES	900099	126,631,723	126,631,723
d	HOUSE STAFF	900099	20,049,146	20,049,146
e	CLINIC REVENUE	900099	10,269,170	10,269,170
f	All other program service revenue.			31,542,123	27,060,652	2,781,510	1,699,961
g Total.Add lines 2a–2f.....			3,642,978,061

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			72,355,460			72,355,460
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	-157,011	-30,270,883
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	-157,011	-30,270,883
d	Net gain or (loss).....			-30,427,894			-30,427,894
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..			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..			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..			0
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			3,705,341,644	3,638,496,590	2,781,510	43,627,527

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	441,500	441,500
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 ....	10,035,444	2,710,592	6,929,892	394,960
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	260,618		260,618
7	Other salaries and wages	1,042,590,315	956,220,207	86,143,191	226,917
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	80,667,806	74,436,274	6,204,796	26,736
9	Other employee benefits .......	349,563,310	318,520,100	30,888,359	154,851
10	Payroll taxes ...........	82,772,215	76,278,390	6,474,709	19,116
11	Fees for services (non-employees):
a	Management ......	1,261,556	411,941	849,615
b	Legal .........	9,289,666		9,289,666
c	Accounting ...........	1,750,279	10,292	1,739,987
d	Lobbying ...........	162,196	108,000	54,196
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)	81,155,397	68,744,555	12,075,692	335,150
12	Advertising and promotion ....	18,899,880	17,445,462	1,168,372	286,046
13	Office expenses .......	127,519,939	100,367,429	26,905,658	246,852
14	Information technology ......	52,474,169	31,003,231	21,229,457	241,481
15	Royalties ..	0
16	Occupancy ...........	89,698,582	83,393,396	6,225,624	79,562
17	Travel ............	6,665,377	4,676,623	1,919,131	69,623
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	1,684,750	1,213,051	441,525	30,174
20	Interest ...........	39,383,174	39,383,174
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	119,420,820	101,963,764	17,398,630	58,426
23	Insurance ...	9,724,874	7,846,788	1,878,086
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	OTHER PURCHASED SERVICES	837,934,213	775,644,975	53,846,497	8,442,741
b	SUPPLIES	467,690,954	462,247,327	5,413,621	30,006
c	LICENSE AND TAXES	2,236,270	1,308,674	927,596
d	DUES & SUBSCRIPTIONS	4,083,091	1,617,028	2,466,063
e	All other expenses	66,674,549	62,616,068	3,789,852	268,629
25	Total functional expenses. Add lines 1 through 24e	3,504,040,944	3,188,608,841	304,520,833	10,911,270
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			421,079	1	10,283,637
2	Savings and temporary cash investments .........			404,032,133	2	569,782,652
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			558,104,904	4	586,264,783
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				1,750,000	5	4,000,000
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 ....			0	7	0
8	Inventories for sale or use ........			38,198,294	8	44,675,664
9	Prepaid expenses and deferred charges ......			28,923,938	9	29,044,483
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,525,697,635
b	Less: accumulated depreciation	10b	1,279,740,870	1,765,934,194	10c	2,245,956,765
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			1,474,367,390	12	1,352,672,102
13	Investments—program-related. See Part IV, line 11 ..			210,137,077	13	225,529,217
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			900,627,990	15	523,375,691
16	Total assets. Add lines 1 through 15 (must equal line 34)...			5,382,496,999	16	5,591,584,994

17	Accounts payable and accrued expenses .....	400,096,763	17	474,614,811
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	1,473,911,564	20	1,457,875,402
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	472,630,492	25	629,659,512
26	Total liabilities. Add lines 17 through 25..	2,346,638,819	26	2,562,149,725

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	2,466,480,069	27	2,444,971,050
28	Temporarily restricted net assets ...........	561,684,484	28	576,570,592
29	Permanently restricted net assets	7,693,627	29	7,893,627
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	3,035,858,180	33	3,029,435,269
34	Total liabilities and net assets/fund balances ........	5,382,496,999	34	5,591,584,994

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No