Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 09-01-2017 , and ending 08-31-2018
BCheck if applicable:
CName of organization
UNIVERSITY HEALTHCARE ALLIANCE
 
% MICHAEL WEATHERFORD
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
7999 GATEWAY BLVD STE 200
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEWARK, CA94560
D Employer identification number

94-3192446
E Telephone number

G Gross receipts $ 381,974,150
F Name and address of principal officer:
BRYAN BOHMAN CMO
7999 GATEWAY BLVD STE 200
NEWARK,CA94560
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.UNIVERSITYHEALTHCAREALLIANCE.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1993
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 7
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 1,546
6 Total number of volunteers (estimate if necessary) ............. 6 7
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 105,041
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 330,923,246 381,837,504
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 19,341 -258,389
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 418,727 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 331,361,314 381,579,115
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 95,723,719 96,477,869
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 287,180,279 330,869,625
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 382,903,998 427,347,494
19 Revenue less expenses. Subtract line 18 from line 12....... -51,542,684 -45,768,379
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 117,442,800 93,771,105
21 Total liabilities (Part X, line 26)............. 56,060,290 54,381,449
22 Net assets or fund balances. Subtract line 21 from line 20..... 61,382,510 39,389,656
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: SEE SCHEDULE O.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 378,881,093 including grants of $   ) (Revenue $ 381,442,469 )
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 expensesMediumBullet378,881,093
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
252
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
1,546
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
 
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
7
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
CA
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMICHAEL WEATHERFORD7999 GATEWAY BLVD 2ND FLOOR   NEWARK,CA94560 (510) 974-8284
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) NORMAN RIZK MD......................................................................
CHAIRMAN/DIRECTOR
 1.0
.................
52.0 		X           0 1,015,653 40,762
(2) RACHEL ROBERTS MD......................................................................
DIRECTOR (FROM 4/26/18)
 1.0
.................
0.0 		X           0 0 0
(3) RICHARD M SANKARY MD......................................................................
DIRECTOR/VP HLTH SVC DELIVERY
 40.0
.................
0.0 		X           470,799 0 68,010
(4) MARCIA COHEN......................................................................
DIRECTOR
 1.0
.................
51.0 		X           0 616,021 51,618
(5) JEFFREY GUARDINO......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(6) ROBERT HARRINGTON MD......................................................................
DIRECTOR
 1.0
.................
52.0 		X           0 933,293 55,262
(7) MEGAN MAHONEY MD......................................................................
DIRECTOR (FROM 11/16/17)
 1.0
.................
0.0 		X           0 0 0
(8) CATHERINE KRNA......................................................................
DIRECTOR / CAO (FROM 11/16/17)
 1.0
.................
50.0 		X   X       0 622,598 101,442
(9) CASEY SAFRENO......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(10) MARGARET RAFFIN......................................................................
DIRECTOR
 1.0
.................
2.0 		X           0 0 0
(11) CHUCK KOOB......................................................................
DIRECTOR
 1.0
.................
2.0 		X           0 0 0
(12) LINDA HOFF......................................................................
DIRECTOR (FROM 11/16/17)
 1.0
.................
52.0 		X           0 901,421 56,757
(13) QUINN MCKENNA......................................................................
DIRECTOR
 1.0
.................
52.0 		X           0 1,932,176 164,143
(14) BRYAN BOHMAN MD......................................................................
DIRECTOR/CHIEF MEDICAL OFFICER
 1.0
.................
50.0 		X   X       0 810,643 55,101
(15) LEONARD ALMALECH......................................................................
DIRECTOR (FROM 11/16/17)
 1.0
.................
0.0 		X           0 0 0
(16) PAUL LUDMER......................................................................
DIRECTOR (UNTIL 1/1/18)
 1.0
.................
0.0 		X           0 0 0
(17) DAVID ENTWISTLE......................................................................
DIRECTOR (UNTIL 11/1/17)
 1.0
.................
56.0 		X           0 2,423,244 357,563
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) DAVID NEAPOLITAN........................................................................
VP FINANCE
 40.0
.......................0.0 		    X       431,855 0 65,885
(19) MICHAEL WEATHERFORD........................................................................
SR VP FINANCE (FROM 6/18/18)
 40.0
.......................0.0 		    X       0 0 0
(20) KEITH MOORE........................................................................
INT. VP FIN. (9/5/17-4/27/18)
 40.0
.......................0.0 		    X       0 0 0
(21) SCOTT V PTACNIK........................................................................
VP - MANAGED CARE OPERATIONS
 40.0
.......................0.0 		      X     272,959 0 68,614
(22) GAGUIK KHACHATOURIAN........................................................................
VICE PRESIDENT - OPERATIONS
 40.0
.......................0.0 		      X     422,979 0 42,974
(23) VIVIAN YOUNG........................................................................
VP OF HUMAN RESOURCES
 40.0
.......................0.0 		      X     440,475 0 40,734
(24) AIDA CAUSEVIC-MENDELSON........................................................................
PRACTICE ADMINISTRATOR
 40.0
.......................0.0 		      X     168,437 0 46,045
(25) MATTHEW PERDUE........................................................................
VP, FINANCIAL PLANNING & DEV.
 40.0
.......................0.0 		      X     276,277 0 58,899
(26) ROBERT ANDERSON........................................................................
PRACTICE ADMINISTRATOR
 40.0
.......................0.0 		      X     200,281 0 12,403
(27) JYOTIKA RATTIA........................................................................
PRACTICE ADMINISTRATOR
 40.0
.......................0.0 		      X     273,989 0 0
(28) AMAN LAIL........................................................................
PRACTICE ADMINISTRATOR
 40.0
.......................0.0 		      X     176,154 0 17,834
(29) ANGELA DEFTOS........................................................................
VP MED GROUP STRATEGY & PEOPLE
 40.0
.......................0.0 		      X     247,900 0 37,361
(30) JOHN HIRSHLEIFER........................................................................
MEDICAL DIRECTOR
 40.0
.......................0.0 		        X   335,253 0 18,874
(31) DAVID KOURY........................................................................
ADMIN DIRECTOR, ACO
 40.0
.......................0.0 		        X   275,597 0 32,485
(32) HUGH SCHUGART........................................................................
CHIEF ACTUARY
 40.0
.......................0.0 		        X   275,381 0 29,126
(33) ALLEN HERODIA........................................................................
ADMN. DIR CLINICAL SERVICES
 40.0
.......................0.0 		        X   279,123 0 14,260
(34) RICHARD NED SWIFT........................................................................
ADMN. DIR, REVENUE CYCLE
 40.0
.......................0.0 		        X   258,062 0 49,199
(35) DANIEL PENNEBAKER........................................................................
FORMER ADMIN. DIRECTOR OPTNS
 0.0
.......................0.0 		          X 103,349 0 50,909
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 4,908,870 9,255,049 1,536,260
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet115
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
UNIVERSITY MEDICAL GROUP INC,
7999 GATEWAY BLVD STE 200
NEWARK,CA94560 		PHYSICIAN SVCS AGMT 42,677,099
UNIVERSITY MEDICAL PARTNERS,
555 12TH STREET SUITE 2040
OAKLAND,CA94607 		PHYSICIAN SVCS AGMT 57,787,583
MENLO MEDICAL CLINIC LLC,
1300 CRANE STREET
MENLO PARK,CA94025 		PHYSICIAN SVCS AGMT 24,672,974
CARDIOVASCULAR CONSULTANTS MEDICAL,
365 HAWTHORNE AVE STE 201
OAKLAND,CA94609 		PHYSICIAN SVCS AGMT 17,078,117
LIGHTHOUSE MANAGEMENT GROUP LLC,
900 LONG LAKE ROAD SUITE 180
NEW BRIGHTON,MN55112 		CONSULTING SERVICES 1,913,014
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet21
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 0
Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENUES 900099 365,502,465 365,502,465    
b SHCA REVENUE 900099 4,055,220 4,055,220    
c TEACHING REVENUE 900099 2,367,036 2,367,036    
d ON CALL COVERAGE 900099 2,016,975 2,016,975    
e OTHER OPERATING REV-CLINIC 900099 2,689,865 2,689,865    
f All other program service revenue. 5,205,943 5,205,943    
g Total. Add lines 2a–2f .....MediumBullet 381,837,504
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 136,646     136,646
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss) 0 0 6c
d Net rental income or (loss).......MediumBullet 0      
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses 395,035   7b
c Gain or (loss) -395,035   7c
d Net gain or (loss).........MediumBullet -395,035 -395,035    
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 0
12 Total revenue. See instructions.....MediumBullet 381,579,115 381,442,469 0 136,646
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 0  
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 ........... 3,775,382   3,775,382  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 0      
7 Other salaries and wages........ 60,411,620 50,207,587 10,204,033  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 4,320,250 3,164,304 1,155,946  
9 Other employee benefits ....... 21,789,233 17,128,669 4,660,564  
10 Payroll taxes ........... 6,181,384 4,879,521 1,301,863  
11 Fees for services (non-employees):        
a Management ...... 793,895 266,898 526,997  
b Legal ......... 2,930   2,930  
c Accounting ........... 359,625   359,625  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 213,707,065 201,209,870 12,497,195 0
12 Advertising and promotion .... 261,643 26,309 235,334  
13 Office expenses ....... 71,073,280 69,641,945 1,431,335  
14 Information technology ...... 358,882 264,986 93,896  
15 Royalties .. 0      
16 Occupancy ........... 20,619,777 16,001,506 4,618,271  
17 Travel ............ 281,246 163,183 118,063  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 248,656 96,936 151,720  
20 Interest ........... 11,905   11,905  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 7,712,241 5,459,024 2,253,217  
23 Insurance ... 715,848   715,848  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a TEMPORARY PERSONNEL 4,978,197 4,429,940 548,257  
b DUES 673,484 157,995 515,489  
c LICENSES AND TAXES 599,049 424,130 174,919  
d RECRUITING 26,677 17,115 9,562  
e All other expenses 8,445,225 5,341,175 3,104,050  
25 Total functional expenses. Add lines 1 through 24e 427,347,494 378,881,093 48,466,401 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 2,687,716 1 7,465,579
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 32,047,387 4 29,793,740
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 25,226,034 7 7,583,057
8 Inventories for sale or use ............ 0 8 0
9 Prepaid expenses and deferred charges ...... 7,106,566 9 9,431,710
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 61,470,028
b Less: accumulated depreciation 10b 33,592,285 29,679,250 10c 27,877,743
11 Investments—publicly traded securities . 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ............... 17,052,222 14 7,105,917
15 Other assets. See Part IV, line 11 ........... 3,643,625 15 4,513,359
16 Total assets. Add lines 1 through 15 (must equal line 33)... 117,442,800 16 93,771,105
Liabilities 17 Accounts payable and accrued expenses ..... 39,325,016 17 37,374,489
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 208,456 19 346,832
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
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 16,526,818 25 16,660,128
26 Total liabilities. Add lines 17 through 25.. 56,060,290 26 54,381,449
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 61,382,510 32 39,389,656
33 Total liabilities and net assets/fund balances ........ 117,442,800 33 93,771,105
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
381,579,115
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
427,347,494
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-45,768,379
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
61,382,510
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
23,775,525
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
39,389,656
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
UNIVERSITY HEALTHCARE ALLIANCE
 
Employer identification number

94-3192446
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
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).
8
 
 
9a
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.
9a
 
 
b
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.
9b
 
 
c
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.
9c
 
 
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
 
 
b
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
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
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 2019 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-2019 		(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2020. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
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, PART 1 UNIVERSITY HEALTHCARE ALLIANCE (UHA) WAS RECOGNIZED AS A HEALTHCARE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE. UHA DOES NOT OPERATE A FACILITY THAT IS OR IS REQUIRED TO BE LICENSED AS A HOSPITAL. THEREFORE, UHA IS NOT REQUIRED TO FILE FORM 990, SCHEDULE H.
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," 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.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
UNIVERSITY HEALTHCARE ALLIANCE
 
Employer identification number

94-3192446
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" 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 ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB 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 $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" 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 ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
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 .....      
b Buildings ....        
c Leasehold improvements   27,496,518 14,433,801 13,062,717
d Equipment ....   31,906,264 19,158,484 12,747,780
e Other .....   2,067,246   2,067,246
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 27,877,743
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program 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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
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
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 16,660,128
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) 2019

Schedule D (Form 990) 2019
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 ....... 1 381,579,115
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.................. 3 381,579,115
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.) ...... 5 381,579,115
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 ........... 1 427,347,494
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................... 3 427,347,494
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.) ...... 5 427,347,494
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
FORM 990, SCHEDULE D, PART X, LINE 2: FIN 48 STATEMENT UHA IS A CALIFORNIA NOT-FOR-PROFIT CORPORATION AND TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. UHA HAS NO UNCERTAIN TAX POSITIONS PERTAINING TO UNRELATED BUSINESS INCOME.
Schedule D (Form 990) 2019


Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
UNIVERSITY HEALTHCARE ALLIANCE
 
Employer identification number

94-3192446
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1NORMAN RIZK MD
CHAIRMAN/DIRECTOR 		(i)

(ii)		 0
-------------
418,296 		0
-------------
597,357 		0
-------------
0 		0
-------------
27,000 		0
-------------
13,762 		0
-------------
1,056,415 		0
-------------
0
2SCOTT V PTACNIK
VP - MANAGED CARE OPERATIONS 		(i)

(ii)		 272,959
-------------
0 		0
-------------
0 		0
-------------
0 		31,253
-------------
0 		37,361
-------------
0 		341,573
-------------
0 		0
-------------
0
3RICHARD M SANKARY MD
DIRECTOR/VP HLTH SVC DELIVERY 		(i)

(ii)		 470,799
-------------
0 		0
-------------
0 		0
-------------
0 		30,649
-------------
0 		37,361
-------------
0 		538,809
-------------
0 		0
-------------
0
4MARCIA COHEN
DIRECTOR 		(i)

(ii)		 0
-------------
517,192 		0
-------------
98,429 		0
-------------
400 		0
-------------
27,000 		0
-------------
24,618 		0
-------------
667,639 		0
-------------
0
5ROBERT HARRINGTON MD
DIRECTOR 		(i)

(ii)		 0
-------------
559,554 		0
-------------
354,556 		0
-------------
19,183 		0
-------------
23,538 		0
-------------
31,724 		0
-------------
988,555 		0
-------------
0
6CATHERINE KRNA
DIRECTOR / CAO (FROM 11/16/17) 		(i)

(ii)		 0
-------------
458,241 		0
-------------
110,374 		0
-------------
53,983 		0
-------------
63,375 		0
-------------
38,067 		0
-------------
724,040 		0
-------------
0
7LINDA HOFF
DIRECTOR (FROM 11/16/17) 		(i)

(ii)		 0
-------------
347,949 		0
-------------
500,000 		0
-------------
53,472 		0
-------------
42,670 		0
-------------
14,087 		0
-------------
958,178 		0
-------------
0
8QUINN MCKENNA
DIRECTOR 		(i)

(ii)		 0
-------------
950,442 		0
-------------
928,847 		0
-------------
52,887 		0
-------------
118,505 		0
-------------
45,638 		0
-------------
2,096,319 		0
-------------
0
9BRYAN BOHMAN MD
DIRECTOR/CHIEF MEDICAL OFFICER 		(i)

(ii)		 0
-------------
440,924 		0
-------------
129,250 		0
-------------
240,469 		0
-------------
27,000 		0
-------------
28,101 		0
-------------
865,744 		0
-------------
0
10GAGUIK KHACHATOURIAN
VICE PRESIDENT - OPERATIONS 		(i)

(ii)		 341,395
-------------
0 		81,584
-------------
0 		0
-------------
0 		31,625
-------------
0 		11,349
-------------
0 		465,953
-------------
0 		0
-------------
0
11VIVIAN YOUNG
VP OF HUMAN RESOURCES 		(i)

(ii)		 243,456
-------------
0 		66,543
-------------
0 		130,476
-------------
0 		31,457
-------------
0 		9,277
-------------
0 		481,209
-------------
0 		0
-------------
0
12DAVID NEAPOLITAN
VP FINANCE 		(i)

(ii)		 224,155
-------------
0 		70,150
-------------
0 		137,550
-------------
0 		37,941
-------------
0 		27,944
-------------
0 		497,740
-------------
0 		0
-------------
0
13AIDA CAUSEVIC-MENDELSON
PRACTICE ADMINISTRATOR 		(i)

(ii)		 133,596
-------------
0 		34,841
-------------
0 		0
-------------
0 		11,754
-------------
0 		34,291
-------------
0 		214,482
-------------
0 		0
-------------
0
14MATTHEW PERDUE
VP, FINANCIAL PLANNING & DEV. 		(i)

(ii)		 276,277
-------------
0 		0
-------------
0 		0
-------------
0 		46,496
-------------
0 		12,403
-------------
0 		335,176
-------------
0 		0
-------------
0
15ROBERT ANDERSON
PRACTICE ADMINISTRATOR 		(i)

(ii)		 174,666
-------------
0 		25,615
-------------
0 		0
-------------
0 		0
-------------
0 		12,403
-------------
0 		212,684
-------------
0 		0
-------------
0
16JYOTIKA RATTIA
PRACTICE ADMINISTRATOR 		(i)

(ii)		 206,575
-------------
0 		36,414
-------------
0 		31,000
-------------
0 		0
-------------
0 		0
-------------
0 		273,989
-------------
0 		0
-------------
0
17AMAN LAIL
PRACTICE ADMINISTRATOR 		(i)

(ii)		 144,899
-------------
0 		31,255
-------------
0 		0
-------------
0 		17,834
-------------
0 		0
-------------
0 		193,988
-------------
0 		0
-------------
0
18ANGELA DEFTOS
VP MED GROUP STRATEGY & PEOPLE 		(i)

(ii)		 232,900
-------------
0 		15,000
-------------
0 		0
-------------
0 		0
-------------
0 		37,361
-------------
0 		285,261
-------------
0 		0
-------------
0
19JOHN HIRSHLEIFER
MEDICAL DIRECTOR 		(i)

(ii)		 335,253
-------------
0 		0
-------------
0 		0
-------------
0 		18,874
-------------
0 		0
-------------
0 		354,127
-------------
0 		0
-------------
0
20DAVID KOURY
ADMIN DIRECTOR, ACO 		(i)

(ii)		 235,471
-------------
0 		40,126
-------------
0 		0
-------------
0 		20,082
-------------
0 		12,403
-------------
0 		308,082
-------------
0 		0
-------------
0
21HUGH SCHUGART
CHIEF ACTUARY 		(i)

(ii)		 234,623
-------------
  		40,758
-------------
  		0
-------------
  		29,126
-------------
  		0
-------------
  		304,507
-------------
  		0
-------------
 
22ALLEN HERODIA
ADMN. DIR CLINICAL SERVICES 		(i)

(ii)		 233,553
-------------
0 		45,570
-------------
0 		0
-------------
0 		14,260
-------------
0 		0
-------------
0 		293,383
-------------
0 		0
-------------
0
23RICHARD NED SWIFT
ADMN. DIR, REVENUE CYCLE 		(i)

(ii)		 223,861
-------------
0 		34,201
-------------
0 		0
-------------
0 		24,240
-------------
0 		24,959
-------------
0 		307,261
-------------
0 		0
-------------
0
24DAVID ENTWISTLE
DIRECTOR (UNTIL 11/1/17) 		(i)

(ii)		 0
-------------
1,605,703 		0
-------------
768,009 		0
-------------
49,532 		0
-------------
305,599 		0
-------------
51,964 		0
-------------
2,780,807 		0
-------------
0
25DANIEL PENNEBAKER
FORMER ADMIN. DIRECTOR OPTNS 		(i)

(ii)		 103,349
-------------
0 		 
-------------
0 		 
-------------
0 		32,382
-------------
0 		18,527
-------------
0 		154,258
-------------
0 		0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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 3 THE ORGANIZATION RELIES ON STANFORD HEALTH CARE (SHC), A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE CHIEF ADMINISTRATIVE OFFICER. SHC'S PROCESS FOR DETERMINING COMPENSATION REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES THE COMMITTEE WITH COMPARABLE MARKET DATA FROM THE FORMS 990 OF COMPARABLE ORGANIZATIONS SUPPLEMENTED BY PUBLISHED COMPENSATION AND BENEFITS SURVEYS TO BE CONSIDERED IN EVALUATING TOTAL COMPENSATION PACKAGES FOR EACH INDIVIDUAL EXECUTIVE. THE COMMITTEE CONDUCTS A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTS ITS DELIBERATIONS AND DISCUSSION IN MINUTES THAT ARE RETAINED WITH THE OTHER GOVERNANCE MATERIALS OF SHC. THE VALUE OF EACH PAY ELEMENT AND THE TOTAL PACKAGE ARE REVIEWED EACH SEPTEMBER PRIOR TO ANY PAY ACTIONS BEING APPROVED BY THE COMPENSATION COMMITTEE. SPECIFIC FACTS AND CIRCUMSTANCES OF EACH ROLE, INCUMBENT, THEIR PERFORMANCE, SKILLS AND RESPONSIBILITIES ARE REVIEWED AND ASSESSED INDIVIDUALLY, THE COMMITTEE RECEIVES RECOMMENDATIONS FROM THE CEO AS TO PAY ACTIONS FOR EACH INCUMBENT. THESE RECOMMENDATIONS ARE DISCUSSED AND THE RESULTS OF THE DELIBERATIONS ARE DOCUMENTED AS TO THE FINAL PAY ACTION APPROVED ALONG WITH THE RATIONALE FOR THE DECISION. THIS PROCESS OCCURS ANNUALLY AND IN CONJUNCTION WITH ANY PROGRAMMATIC CHANGE THAT COULD POTENTIALLY IMPACT THE PAY OR BENEFITS OF EXECUTIVES. THE CHIEF MEDICAL OFFICER IS EMPLOYED BY STANFORD UNIVERSITY (SU), A RELATED ORGANIZATION. THE ORGANIZATION RELIES ON SU TO ESTABLISH THE COMPENSATION OF THE CHIEF MEDICAL OFFICER. SU'S PROCESS FOR DETERMINING COMPENSATION INCLUDES REVIEW AND APPROVAL BY INDEPENDENT PERSONS, USE OF COMPARBILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE DELIBERATION AND DECISION. SCHEDULE J, PART I, LINE 4A DAVID NEAPOLITAN RECEIVED A LUMP SUM SEVERANCE PAYMENT OF $137,550 IN 2017. VIVIAN YOUNG RECEIVED A LUMP SUM SEVERANCE PAYMENT OF $130,476 IN 2017. SCHEDULE J, PART I, LINE 4B CERTAIN OFFICERS AND DIRECTORS OF UNIVERSITY HEALTHCARE ALLIANCE (UHA) ARE PROVIDED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS BY STANFORD HEALTH CARE, A RELATED ORGANIZATION. AT THE LAST DATE OF EACH QUARTER EACH PARTICIPANT'S ACCOUNT IS CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION). THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN THE ACCOUNT AS FOLLOWS: (A) THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED AND THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION; THE PARTICIPANT BECOMES FULLY VESTED WHEN (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) THE PARTICIPANT ATTAINS THE AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; OR (D) THE PARTICIPANT COMPLETES SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) DEATH OF THE PARTICIPANT. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2017: CATHERINE KRNA $14,451 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 YEAR 2017, IF ANY, ARE REPORTED IN COLUMN (F). SCHEDULE J, PART I, LINE 7 ADDITIONAL COMPENSATION IN THE FORM OF ACCRUED INCENTIVE BONUS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II) IS PAID OUT AFTER THE FISCAL YEAR END BASED ON ACHIEVEMENTS OF PERFORMANCE METRICS IN DIFFERENT CATEGORIES, INCLUDING OPERATIONAL, FINANCE, QUALITY, AND DEPARTMENTAL GOALS SET FORTH AT THE BEGINNING OF THE FISCAL YEAR WHICH ARE REVIEWED AND APPROVED BY SENIOR LEADERSHIP. SCHEDULE J, PART II DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS OF UHA. HOWEVER, CERTAIN DIRECTORS WERE ALSO EMPLOYEES OF RELATED ORGANIZATIONS AND RECEIVED COMPENSATION IN THAT CAPACITY.
Schedule J (Form 990) 2019

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

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

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
UNIVERSITY HEALTHCARE ALLIANCE
 
Employer identification number

94-3192446
Return Reference Explanation
FORM 990, PART I, LINE 1 & PART III, LINE 1 UNIVERSITY HEALTHCARE ALLIANCE ("UHA") IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION THAT HAS BEEN ORGANIZED TO OWN AND OPERATE MULTI-SPECIALTY MEDICAL CLINICS IN NORTHERN CALIFORNIA PURSUANT TO CALIFORNIA HEALTH & SAFETY CODE SECTION 1206(1). THROUGH ITS CLINICS, UHA OFFERS A BROAD RANGE OF MEDICAL CARE AND TREATMENT TO ADULT AND PEDIATRIC PATIENTS IN COORDINATION WITH STANFORD HEALTH CARE AND THE STANFORD UNIVERSITY SCHOOL OF MEDICINE (THE MEMBERS). UHA WAS FORMED IN ORDER TO SUPPORT, BENEFIT AND FURTHER THE CHARITABLE, SCIENTIFIC AND HOSPITAL PURPOSES OF THE MEMBERS BY ESTABLISHING, OPERATING AND MAINTAINING MULTI-SPECIALTY MEDICAL CLINICS FOR THE PROVISION OF HEALTHCARE SERVICES IN NORTHERN CALIFORNIA, AND BY ENGAGING IN, SPONSORING, ADVANCING, ENCOURAGING AND PROMOTING CHARITABLE HEALTHCARE, EDUCATION AND MEDICAL RESEARCH ACTIVITIES. THE ESTABLISHMENT AND INTEGRATION OF THE UHA CLINICS INTO A BROADER HEALTH CARE SYSTEM OPERATED THROUGH THE MEMBERS IS INTENDED TO IMPROVE THE AVAILABILITY, EFFECTIVENESS, EFFICIENCY AND QUALITY OF CARE PROVIDED TO INDIVIDUALS RESIDING IN THE COMMUNITIES SERVED BY THE MEMBERS.
FORM 990, PART III, LINE 4A: PATIENT CARE: UHA WAS ESTABLISHED AS PART OF THE COORDINATED EFFORTS OF THE MEMBERS TO CREATE AN INTEGRATED SYSTEM OF HEALTHCARE AVAILABLE TO PERSONS OF ALL MEANS. UHA CONTRACTS WITH MEDICAL GROUPS TO PROVIDE OUTPATIENT CARE AT UHA CLINICS, EACH OF WHICH IS ORGANIZED INTO A NAMED CLINICAL OPERATING DIVISION WITHIN UHA. IN FY 2018, UHA OPERATED 6 CLINICAL OPERATING DIVISIONS AND CONTRACTED WITH 4 MEDICAL GROUPS TO PROVIDE THE PROFESSIONAL SERVICES FOR SUCH OPERATING DIVISIONS. UHA IS A PARTICIPATING PROVIDER IN THE MEDICARE AND MEDI-CAL PROGRAMS. UHA CLINICS PROVIDE MEDICAL CARE AND TREATMENT TO MEDICARE AND MEDI-CAL BENEFICIARIES ON A NONDISCRIMINATORY BASIS CONSISTENT WITH UHA'S CHARITABLE PURPOSES AND IN SUPPORT OF THE CHARITABLE ACTIVITIES OF THE MEMBERS. UHA SERVES PATIENTS IN SAN MATEO, SANTA CLARA, CONTRA COSTA AND ALAMEDA COUNTIES, CALIFORNIA. OF SUCH PATIENTS THAT ARE BENEFICIARIES UNDER MEDI-CAL, THE VAST MAJORITY OF SUCH MEDI-CAL BENEFICIARIES ARE ENROLLED WITH HEALTH PLAN OF SAN MATEO ("HPSM"). IN ADDITION, UHA PROVIDES FREE AND DISCOUNTED MEDICAL CARE AND TREATMENT TO PATIENTS QUALIFYING FOR SUCH FREE OR DISCOUNTED CARE CONSISTENT WITH ITS FINANCIAL ASSISTANCE POLICY, CHARITY CARE POLICY AND UHA'S UNINSURED PATIENT DISCOUNT POLICY.
FORM 990, PART VI, LINE 2: THE FOLLOWING INDIVIDUALS WERE DIRECTORS OF STANFORD HEALTH CARE CHARLES KOOB MARGARET RAFFIN ROBERT HARRINGTON NORMAN RIZK THE FOLLOWING INDIVIDUALS WERE OFFICERS AND EMPLOYEES OF STANFORD HEALTH CARE QUINN MCKENNA LINDA HOFF THE FOLLOWING INDIVIDUAL WAS AN EMPLOYEE OF STANFORD HEALTH CARE CATHERINE KRNA FORM 990, PART VI, LINE 3: UHA ENGAGED ADVISORY BOARD TO PROVIDE MANAGEMENT SERVICES. ADVISORY BOARD PROVIDED THE SERVICES OF KEITH MOORE, INTERIM VP OF FINANCE. ADVISORY BOARD WAS PAID $450,720 FOR KEITH MOORE'S SERVICES.
FORM 990, PART VI, LINE 6: THE MEMBERS OF UHA (EACH A "MEMBER COLLECTIVELY, THE "MEMBERS") ARE STANFORD HEALTH CARE, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION ("SHC") AND THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY, A TRUST HAVING CORPORATE POWERS UNDER THE LAWS OF THE STATE OF CALIFORNIA, ON BEHALF OF ITS SCHOOL OF MEDICINE ("SOM"), EACH OF WHICH SHALL HAVE ONE (1) VOTE WITH RESPECT TO ALL MATTERS OR ACTIONS SUBMITTED TO THE MEMBERS FOR VOTE, APPROVAL OR CONSENT.
FORM 990, PART VI, LINE 7A: UNDER THE BYLAWS OF UHA, BOARD MEMBERS ARE ELECTED BY THE UNANIMOUS WRITTEN CONSENT OF THE MEMBERS.
FORM 990, PART VI, LINE 7B: CERTAIN DECISIONS OF THE BOARD REQUIRE APPROVAL OF THE MEMBERS. THE ORGANIZATION MAY NOT ENTER INTO A PROFESSIONAL SERVICE AGREEMENT WITHOUT APPROVAL OF THE MEMBERS. IN ADDITION, AMENDMENT OF THE BYLAWS REQUIRES APPROVAL OF THE MEMBERS.
FORM 990, PART VI, LINE 11B: THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM IN CONNECTION WITH THE UHA FINANCE DEPARTMENT. THE RETURN IS REVIEWED BY MANAGEMENT AND THE AUDIT COMMITTEE.
FORM 990, PART VI, LINE 12C: OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO COMPLETE AN INITIAL CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ("DISCLOSURE STATEMENT") WITHIN 30 DAYS OF BEGINNING SERVICE AT UHA. ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. FURTHER, OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO UPDATE THEIR DISCLOSURE STATEMENT WITHIN TEN (10) BUSINESS DAYS OF A MATERIAL CHANGE IN THEIR SITUATIONS THAT MAY CREATE AN ACTUAL OR PERCEIVED CONFLICT-OF-INTEREST. A DISCLOSURE THAT APPEARS TO BE A CONFLICT WILL BE RESOLVED BY A MUTUAL AGREEABLE PLAN WITH THE VP OF HUMAN RESOURCES THAT OUTLINES THE STEPS THE OFFICER OR EMPLOYEE MUST TAKE TO RECTIFY THE CONFLICT. IN MATTERS THAT ARE UNCLEAR OR QUESTIONABLE, THE OFFICE OF CHIEF COMPLIANCE OFFICER WILL BE CONSULTED FOR A RULING. IF FURTHER INQUIRY IS NECESSARY THE OFFICE OF THE GENERAL COUNSEL WILL BE CONSULTED FOR A RULING.
FORM 990, PART VI, LINE 15A: THE CHIEF ADMINISTRATIVE OFFICER IS EMPLOYED BY STANFORD HEALTH CARE (SHC), A RELATED ORGANIZATION. THE ORGANIZATION RELIES ON SHC TO ESTABLISH THE COMPENSATION OF THE CHIEF ADMINISTRATIVE OFFICER. SHC'S PROCESS FOR DETERMINING COMPENSATION REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES THE COMMITTEE WITH COMPARABLE MARKET DATA FROM THE FORMS 990 OF COMPARABLE ORGANIZATIONS SUPPLEMENTED BY PUBLISHED COMPENSATION AND BENEFITS SURVEYS TO BE CONSIDERED IN EVALUATING TOTAL COMPENSATION PACKAGES FOR EACH INDIVIDUAL EXECUTIVE. THE COMMITTEE CONDUCTS A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTS ITS DELIBERATIONS AND DISCUSSION IN MINUTES THAT ARE RETAINED WITH THE OTHER GOVERNANCE MATERIALS OF SHC. THE VALUE OF EACH PAY ELEMENT AND THE TOTAL PACKAGE ARE REVIEWED EACH SEPTEMBER PRIOR TO ANY PAY ACTIONS BEING APPROVED BY THE COMPENSATION COMMITTEE. SPECIFIC FACTS AND CIRCUMSTANCES OF EACH ROLE, INCUMBENT, THEIR PERFORMANCE, SKILLS AND RESPONSIBILITIES ARE REVIEWED AND ASSESSED INDIVIDUALLY. THE COMMITTEE RECEIVES RECOMMENDATIONS FROM THE CEO AS TO PAY ACTIONS FOR EACH INCUMBENT. THESE RECOMMENDATIONS ARE DISCUSSED AND THE RESULTS OF THE DELIBERATIONS ARE DOCUMENTED AS TO THE FINAL PAY ACTION APPROVED ALONG WITH THE RATIONALE FOR THE DECISION. THIS PROCESS OCCURS ANNUALLY AND IN CONJUNCTION WITH ANY PROGRAMMATIC CHANGE THAT COULD POTENTIALLY IMPACT THE PAY OR BENEFITS OF EXECUTIVES. THE CHIEF MEDICAL OFFICER IS EMPLOYED BY STANFORD UNIVERSITY (SU), A RELATED ORGANIZATION. THE ORGANIZATION RELIES ON SU TO ESTABLISH THE COMPENSATION OF THE CHIEF MEDICAL OFFICER. SU'S PROCESS FOR DETERMINING COMPENSATION INCLUDES REVIEW AND APPROVAL BY INDEPENDENT PERSONS, USE OF COMPARBILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE DELIBERATION AND DECISION.
FORM 990, PART VI, LINE 15B: THE PROCESS FOR DETERMINING COMPENSATION FOR UHA'S TOP MANAGEMENT (WITH SALARY EXCEEDING $250,000) REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. UHA ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES COMPARABLE MARKET DATA FROM 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. THIS REVIEW IS COMPLETED ANNUALLY.
FORM 990, PART VI, LINE 19: COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. COPIES OF THE CONFLICT OF INTEREST POLICY ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION, BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS.
FORM 990, PART VII: CERTAIN DIRECTORS RECEIVED COMPENSATION DURING THE TAX YEAR FOR SERVICES RENDERED TO UHA OR A RELATED ORGANIZATION AS EMPLOYEES OF THESE ORGANIZATIONS AND NOT IN THEIR CAPACITIES AS DIRECTORS OF UHA.
FORM 990, PART IX, LINE 11G: AMOUNTS INCLUDE PAYMENTS TO PHYSICIAN GROUPS WHO SUPPLY MEDICAL PROFESSIONALS TO STAFF OUR CLINICS AND PERFORM EVALUATION AND MANAGEMENT SERVICES OF PATIENTS.
FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS: EQUITY TRANSFERS FROM RELATED PARTY $23,909,056 MARK TO MARKET $ (133,531) ----------- TOTAL $23,775,525
FORM 990 PART IX LINE 11G DESCRIPTION:OTHER - PHYSICIAN SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G DESCRIPTION:OTHER - CLAIMS EXPENSE TOTAL FEES:2146403
FORM 990 PART IX LINE 11G DESCRIPTION:OTHER - PURCHASED SERVICES TOTAL FEES:72103866
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
UNIVERSITY HEALTHCARE ALLIANCE
 
Employer identification number

94-3192446
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" 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










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?
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)EAST PALO ALTO ACADEMY
475 POPE STREET

MENLO PARK,CA94025
20-2699147 		EDUCATIONAL CA 501(C)(3) 2 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)LUCILE PACKARD FOUNDATION FOR CHILDREN'S
400 HAMILTON AVENUE SUITE 340

PALO ALTO,CA94301
77-0440090 		HEALTHCARE CA 501(C)(3) 7 LPCH
 
Yes
 
(5)LUCILE SALTER PACKARD CHILDRENS HOSPITAL
725 WELCH ROAD MC 5553

PALO ALTO,CA94304
77-0003859 		HEALTHCARE CA 501(C)(3) 3 STANFORD
 
Yes
 
(6)PACKARD CHILDREN'S HEALTH ALLIANCE
725 WELCH ROAD MC5551

PALO ALTO,CA94304
32-0359189 		HEALTHCARE CA 501(C)(3) 3 LPCH
 
Yes
 
(7)SHR HOLDINGS INC
485 BROADWAY MAIL CODE 8838

REDWOOD CITY,CA94063
94-3187167 		REAL ESTATE CA 501(C)(25) N/A STANFORD
 
Yes
 
(8)STANFORD FACULTY CLUB
PO BOX 7229

STANFORD,CA94309
94-1187089 		FAC INTERACT. CA 501(C)(7) N/A STANFORD
 
Yes
 
(9)STANFORD FEDERAL CREDIT UNION
1860 EMBARCADERO RD

PALO ALTO,CA94303
94-1492212 		CREDIT UNION CA 501(C)(1) N/A STANFORD
 
Yes
 
(10)STANFORD HABITAT CONSERVATION BOARD
485 BROADWAY MAIL CODE 8838

REDWOOD CITY,CA94063
46-1882243 		CONSERVATION CA 501(C)(3) 7 STANFORD
 
Yes
 
(11)STANFORD HEALTH CARE
300 PASTEUR DRIVE MC 5555

STANFORD,CA94305
94-6174066 		HEALTHCARE CA 501(C)(3) 3 STANFORD
 
Yes
 
(12)STANFORD HEALTH CARE ADVANTAGE
1221 BROADWAY 3RD FLOOR

OAKLAND,CA94612
46-4071746 		HEALTHCARE CA 501(c)(3) 12A, I SHC
 
Yes
 
(13)STANFORD PROGRAMME (CAPE TOWN) NPC
WAVERLY BUSINESS PARK BUILDING 11
CAPE TOWN    
SF
EDUCATION SF 501(C)(3) N/A STANFORD
 
Yes
 
(14)STANFORD UNIVERSITY BOOKSTORE
BLDG 60 MAIN QUAD NO 105

STANFORD,CA94305
94-0894150 		SUPPORT CA 501(C)(3) 12A, I STANFORD
 
Yes
 
(15)SU EMP BEN TRUST POST RETEMPYNT BEN
485 BROADWAY MAIL CODE 8838

REDWOOD CITY,CA94063
94-3246199 		BENEFITS CA 501(C)(9) N/A STANFORD
 
Yes
 
(16)THE DUDLEY E CHAMBERS FOUNDATION
JP MORGAN CHASE PO BOX 3038

MILWAUKEE,WI53201
38-6841793 		SUPPORT NY 501(C)(3) 12D, III-O STANFORD
 
Yes
 
(17)THE FREIDENRICH SUPPORT FOUNDATION
485 BROADWAY MAIL CODE 8838

REDWOOD CITY,CA94063
30-0519583 		SUPPORT CA 501(C)(3) 12A, I STANFORD
 
Yes
 
(18)THE HONG KONGSU CHARITABLE TRUST
1401 CAROLINE CENTER 28 PING ROAD
CAUSEWAY    
HK
98-6078093 		SUPPORT HK 501(C)(3) N/A STANFORD
 
Yes
 
(19)THE STANFORD TRUST
65 HIGH STREET
OXFORD   OX1 46L
UK
SUPPORT UK 501(C)(3) N/A STANFORD
 
Yes
 
(20)VALLEYCARE MEDICAL FOUNDATION INC
5655 W LAS POSITAS BLVD 220

PLEASANTON,CA94588
26-2593526 		SUPPRT SHC-VC CA 501(C)(3) 10 HOSP CMTE LP
 
Yes
 
(21)VALLEYCARE SENIOR HOUSING
1111 E STANLEY BLVD

LIVERMORE,CA94550
94-3382224 		SR. FACILITY CA 501(C)(3) 12A, I HOSP CMTE LP
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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
Yes No Yes No
(1) ADOM PARTNERS LP

590 MADISON AVENUE 27TH FLOOR
NEW YORK,NY10022
81-3083288 		INVESTMENTS DE NA
  		                 
(2) ALBUS SELECT FUND LP

750 MENLO AVENUE
MENLO PARK,CA94025
81-2064357 		INVESTMENTS DE NA
  		                 
(3) CANARY SC FUND LP

399 PARK AVENUE
NEW YORK,NY10022
47-5662144 		INVESTMENTS DE NA
  		                 
(4) CANARY SC MASTER FUND LP

89 NEXUS WAY CAMANA BAY
GRAND CAYMAN   KY1-9009
CA
98-1267847 		INVESTMENTS CJ NA
  		                 
(5) CARLSBAD CO-INVEST LP

51 JOHN F KENNEDY PARKWAY SUITE 2
SHORT HILLS,NJ07078
47-1702425 		INVESTMENTS DE NA
  		                 
(6) CEE EQUITY HOLDINGS LP

JTC HOUSE 28 ESPLANADE
ST HELIER JERSEY   JE4 2QP
JE
INVESTMENTS JE NA
  		                 
(7) CLAIRVUE CAPITAL PARTNERS II-TE 1 LP

TWO EMBARCADERO CENTER SUITE 480
SAN FRANCISCO,CA94111
80-0909516 		INVESTMENTS DE NA
  		                 
(8) CLAIRVUE CAPITAL PARTNERS II-TE 2 LP

TWO EMBARCADERO CENTER SUITE 480
SAN FRANCISCO,CA94111
80-0909556 		INVESTMENTS DE NA
  		                 
(9) EZP OPPORTUNITY LP

635 KNIGHT WAY
STANFORD,CA943057297
81-4562962 		INVESTMENTS DE NA
  		                 
(10) FORTRESS IW COINVESTMENT (FUND B) LP

1345 AVE OF THE AMERICAS 45TH FL
NEW YORK,NY10105
98-0509639 		INVESTMENTS CJ NA
  		                 
(11) FOUR CROSSINGS INSTITUTIONAL PARTNERS V

ONE MARITIME PLAZA SUITE 200
SAN FRANCISCO,CA94111
81-4323705 		INVESTMENTS DE NA
  		                 
(12) FOXLANE LP

410 E WATER STREET SUITE 888
CHARLOTTESVILLE,VA22902
81-3314647 		INVESTMENTS DE NA
  		                 
(13) HHBG-II Investment LP

89 NEXUS WAY CAMANA BAY PO BOX 31
GRAND CAYMAN   KY1-9009
CA
INVESTMENTS CJ NA
  		                 
(14) KEB INVESTORS II LP

WASHINGTON MALL STE 304 7 REID ST
HAMILTON   HM 11
BD
INVESTMENTS BD NA
  		                 
(15) LSF V DHB HOLDINGS LP

2711 N HASKELL AVE STE 1700
DALLAS,TX75204
27-2858604 		INVESTMENTS DE NA
  		                 
(16) OLIFANT FUND LTD

635 KNIGHT WAY
STANFORD,CA94305
 INVESTMENTS CJ NA
  		                 
(17) OUTLAWS CASINO LTD

485 BROADWAY MAIL CODE 8838
REDWOOD CITY,CA94063
84-1457498 		HOLDING COMPANY CO NA
  		                 
(18) PALO ALTO LP

13 CASTLE STREET
ST HELIER JERSEY    
JE
98-1126622 		INVESTMENTS JE NA
  		                 
(19) RMS FOREST GROWTH II LP

31 INVERNESS CENTER PARKWAY STE 36
BIRMINGHAM,AL35242
20-0841908 		INVESTMENTS CA NA
  		                 
(20) SANDOVAL LP

635 KNIGHT WAY
STANFORD,CA943057297
37-1873346 		INVESTMENTS DE NA
  		                 
(21) SANDPIPER FUND LP

2000 MCKINNEY AVE STE 2125
DALLAS,TX75201
26-0341626 		INVESTMENT TX NA
  		                 
(22) SAROFIM MULTIFAMILY PARTNERS LP

8115 PRESTON RD ST400
DALLAS,TX75225
20-1929002 		RE DEVELOPMENT TX NA
  		                 
(23) SCP REAL ASSETS FUND (A) LP

2498 SAND HILL RD
MENLO PARK,CA94025
20-3949682 		INVESTMENTS DE NA
  		                 
(24) SEQUOIA MFM OPERATING COMPANY LLC

770 WELCH ROAD LPCH- ADMIN MC5551
PALO ALTO,CA94304
47-5060529 		MFM PROGRAM CA NA
  		                 
(25) SIC SNOWCREEK VIII LLC

635 KNIGHT WAY
STANFORD,CA94305
27-5431605 		RE DEVELOPMENT CA NA
  		                 
(26) SP SMC PARTNERS LLC

PO BOX 5377
NEW YORK,NY10185
47-3103791 		INVESTMENTS DE NA
  		                 
(27) STANFORD EMANUEL RADIATION ONCOLOGY CENT

825 DELBON AV
TURLOCK,CA95382
20-8885091 		RADIOLOGY CA NA
  		                 
(28) STANFORD PET-CT LLC

300 PASTEUR DR MC 5555
STANFORD,CA94305
61-1423414 		MED. DIAGNOST CA NA
  		                 
(29) STANFORD-STARTX FUND LLC

485 BROADWAY MAIL CODE 8838
REDWOOD CITY,CA94063
46-4297719 		INVESTMENTS DE NA
  		                 
(30) SUMIT HOLDING INTERNATIONAL LLC

1400 PAGE MILL ROAD MC5713
PALO ALTO,CA94304
26-3934706 		HOLDING COMPANY DE NA
  		                 
(31) TESSERA IONIC LP

635 KNIGHT WAY
STANFORD,CA943057297
 INVESTMENTS DE NA
  		                 
(32) VEDA INVESTORS FUND LP

ONE FAWCETT PL
GREENWICH,CT06830
81-1810345 		INVESTMETNS DE NA
  		                 
(33) VERMILION PEAK MASTER FUND

635 KNIGHT WAY
STANFORD,CA943057297
 INVESTMENTS DE NA
  		                 
(34) WINTER ROCK ALTERNATIVE CREDIT MASTER L

PO BOX 10008 WILLOW HOUSE CRICKET
GRAND CAYMAN   KY1-1001
CJ
94-1141686 		INVESTMENTS CJ NA
  		                 
(35) WOLFF REAL ESTATE PARTNERS III A LP

6710 E CAMELBACK ROAD SUITE 100
SCOTTSDALE,AZ85251
47-4780701 		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?
Yes No
(1) ALPINE CHALET INC

PO BOX 9988
SOUTH LAKE TAHOE,CA96158
94-1556099 		SKI LODGE CA NA
  		C CORP          
(2) BIENVILLE ARGENTINA OPPS OFFSHORE FUND

405 LEXINGTON AVE 34TH FLOOR
NEW YORK,NY10174
 INVESTMENTS CJ NA
  		C CORP          
(3) BISHOP ROCK OPPORTUNITY OFFSHORE FUND LT

635 KNIGHT WAY
STANFORD,CA94305
 INVESTMENTS CJ NA
  		C CORP          
(4) BREP VII Alberta Feeder (Offshore) TE7

635 KNIGHT WAY
STANFORD,CA94305
98-1066351 		INVESTMENTS CA NA
  		C CORP          
(5) BREP VII Alberta Feeder (Offshore) TE7-

635 KNIGHT WAY
STANFORD,CA94305
98-1066355 		INVESTMENTS CA NA
  		C CORP          
(6) CANARY SC FUND LTD

89 NEXUS WAY CAYMANA BAY
GRAND CAYMAN   KY1-9009
CJ
98-1268195 		INVESTMENTS CJ NA
  		C CORP          
(7) CLAT (16)

 
 
CHARITABLE TR CA NA
  		TRUST          
(8) CRT (552)

 
 
CHARITABLE TR CA NA
  		TRUST          
(9) EAST SAIL

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

PO BOX 896GT HARBOUR CENTRE
GEORGE TOWN    
CJ
98-0537952 		INVESTMENTS CJ NA
  		C CORP          
(11) HHBG SF Limited

635 KNIGHT WAY
STANFORD,CA94305
 REAL ESTATE CA NA
  		C CORP          
(12) KAIZEN FUND

2ND FL MIDTOWN PLAZA PO BOX 448
GRAND CAYMAN   KY1-1106
CJ
INVESTMENTS CJ NA
  		C CORP          
(13) LS ALBERTA III LP

C/O JE ROBERT COS 1650 TYSON BLVD
MCLEAN,VA22102
98-0493425 		INVESTMENTS CA NA
  		C CORP          
(14) OTHER (5)

 
 
CHARITABLE TR CA NA
  		TRUST          
(15) PIF (2)

 
 
CHARITABLE TR CA NA
  		TRUST          
(16) PROFESSIONAL EXCHANGE ASSURANCE COMPANY

201 MERCHANT STREET SUITE 2400
HONOLULU,HI96813
90-0897686 		INSURANCE HI NA
  		C CORP 3,104,271 10,643,125 71.799 % Yes  
(17) SBFF LTD

PO BOX 1344
GEORGE TOWN   KY1-1108
CJ
INVESTMENTS CJ NA
  		C CORP          
(18) SEA SMOKE FUND LLC

190 ELGIN AVENUE
GEORGE TOWN   KY 9005
CJ
INVESTMENTS DE NA
  		C CORP          
(19) SEA SMOKE FUND LTD

635 KNIGHT WAY
STANFORD,CA943057297
 INVESTMENTS CJ NA
  		C CORP          
(20) STANFORD (BEIJING) CNSLTNG CO LTD (WFOE)

5275TH FLBLDG CACADEMY SOUTH RD
BEIJING    
CH
EDUCATION CH NA
  		C CORP          
(21) STANFORD IN JAPAN GODO KAISHA

DOSHISHA UNIVERSITY MEITOKUKAN-NAI
KYOTOSHI    
JA
EDUCATION JA NA
  		C CORP          
(22) STANFORD INDIA PVT LTD

333 3RD FLOOR DEVIKA TOWER 6 NEH
DELHI    
IN
EDUCATION IN NA
  		C CORP          
(23) STANFORD INTL MEDICAL SERVICES RAK FZE

PO BOX 56500
AE
PATIENT SRVC AE NA
  		C CORP          
(24) STANFORD MEDICINE INTL (HONG KONG) CO LT

833 CHEUNG SHA WAN ROAD
KOWLOON    
HK
PATIENT SRVC HK NA
  		C CORP          
(25) STANFORD SGGS EUROPE INC

UGLAND HOUSE S CHURCH ST PO BOX 3
GEORGE TOWN    
CJ
13-1684331 		INVESTMENTS CJ NA
  		C CORP          
(26) STANFORD UNIV MED NETWORK RISK AUTHORITY

1400 PAGE MILL RD MSC 5713
PALO ALTO,CA94304
46-1132002 		RISK MGMT CON CA NA
  		C CORP          
(27) STRUCTURED SERVICING HOLDINGS (OFFSHORE)

87 MARY STREET
GEORGE TOWN   KY1-9002
CJ
INVESTMENTS CJ NA
  		C CORP          
(28) THE RUBRUM FUND

PO BOX 309 UGLAND HOUSE
GRAND CAYMAN    
CJ
INVESTMENTS CJ NA
  		C CORP          
(29) VERMILION PEAK FUND

635 KNIGHT WAY
STANFORD,CA943057297
 INVESTMENTS CJ NA
  		C CORP          
(30) WINTER ROCK ALTERNATIVE CREDIT I LP

PO BOX 10008 WILLOW HOUSE CRICKET
GRAND CAYMAN   KY1-1001
CJ
98-1140761 		INVESTMENTS CJ NA
  		C CORP          
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) HOSPITAL COMMITTEE FOR THE L-P AREAS

 P 2,371,236 COST
(2) HOSPITAL COMMITTEE FOR THE L-P AREAS

 Q 4,214,925 COST
(3) STANFORD HEALTH CARE ADVANTAGE

 Q 2,762,000 COST



Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




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






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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 5 OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE 6 POOLED INVESTMENT FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
Schedule R (Form 990) 2019

Additional Data


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