2015-07-14T13:12:20-05:00 2014-08-31 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2013-09-01 943192446 UNIVERSITY HEALTHCARE ALLIANCE % DAVID N NEAPOLITAN UNIV 6507251110 855 OAK GROVE AVENUE SUITE 100 Suite MENLO PARK CA 94025 David A Neapolitan INTERIM VP FINANCE 6507251132 2015-07-13 true GWEN SPENCER P00641463 6507251132 2013 2016-02-25 16:41:14Z BRUCE HARRISON CAO 855 OAK GROVE AVE SUITE 100 MENLO PARK CA 94025 187492470 false X WWW.UNIVERSITYHEALTHCAREALLIANCE.ORG X 1993 CA SEE SCHEDULE O 11 3 839 11 0 0 0 0 164440548 187272481 8446 91528 200163 128461 164649157 187492470 0 0 0 0 44802953 54784503 0 0 0 142090379 168185822 186893332 222970325 -22244175 -35477855 60971092 64750971 31385921 36928906 29585171 27822065 X SEE SCHEDULE O false false 200599690 187347012 SEE SCHEDULE O 200599690 true false false false false false false false false false true false false false true true true true false false false false false false false false false false false true false false false false false false false true false false false false false true true false false false true 165 0 true 839 true false false false false false false false false false false X 11 3 true false false false true true true true true false false false true true true true false false true false CA X DAVID N NEAPOLITAN 6507251132 855 OAK GROVE AVENUE SUITE 100 MC MENLO PARK CA 94025 X DANIEL MORISSETTE CHAIRMAN/DIRECTOR 2.0 50.25 X 0 1224105 143313 MARCIA COHEN DIRECTOR 1.0 52.0 X 0 445061 59721 ERIC KOHLERITER MD Director 1.0 X JEFFREY GUARDINO MD DIRECTOR 1.0 X Robert Harrington MD Director 1.0 50.0 X 0 769862 56234 JENNIFER VARGAS DIRECTOR 1.0 50.25 X 0 713669 120373 NORMAN RIZK MD DIRECTOR 1.0 52.0 X 0 955639 27928 CASEY SAFRENO DIRECTOR 1.0 X TED LOVE MD DIRECTOR 1.0 2.0 X CHARLES Koob DIRECTOR 1.0 2.0 X 0 0 0 BRUCE HARRISON DIR/CAO/VP OF NETWORK DEV 25.0 25.0 X X 0 671475 110818 Claire Tamo SR VP, FINANCE & OPERATIONS 40.0 X 341389 0 38352 NANCY TAUFOOU SECRETARY 40.0 X 74394 11473 Anita Brewer Associate CIO 40.0 X 0 299321 42207 Jerry Harris ADMINISTRATOR - MMC 40.0 X 267131 0 29325 Scott Ptacnik Vice President Managed Care op 40.0 21.25 X 258755 0 41448 Shelly Horwitz Administrator-BVM 40.0 X 303114 0 44522 Richard Sankary MD VP & MEDICAL DIRECTOR 40.0 21.25 X 526542 0 54206 Michael Mooney Administrator-CCMG 40.0 X 179584 0 23768 Vivian Young VP of Human Resources 40.0 X 261573 0 40448 Dee Gabriel Director Provider Recruitment 40.0 X 235475 0 42377 Erwin Schrittwieser Director of Finance 40.0 X 177350 0 36101 Richard Carvolth Medical Director 40.0 X 210276 0 15539 Martin Alsip Dir of Financial Operations 40.0 X 193442 0 29901 Matthew Berlin Director of Tech Planning & Op 40.0 X 190384 0 22215 Lenard Alison VP of Operations 0.0 X 139405 0 1914 3358814 5079132 992183 50 true true false Menlo Medical Clinic LLC 1300 Crane Street MENLO PARK CA 94025 PHYSICIAN SVCS AGMT 16713845 UNIVERSITY MEDICAL GROUP INC 855 OAK GROVE AVENUE SUITE 100 MENLO PARK CA 94025 Physician svcs agmt 15352627 CARDIOVASCULAR CONSULTANTS MEDICAL 365 HAWTHORNE AVENUE SUITE 201 OAKLAND CA 94609 Physician svcs agmt 12196834 AFFINITY MEDICAL GROUP INC 3220 BLUME DRIVE SUITE 260 RICHMOND CA 94806 Physician svcs agmt 10268700 BAY VALLEY MEDICAL GROUP INC 27212 CALAROGA AVENUE HAYWARD CA 94545 Physician svcs agmt 9442669 21 0 PATIENT SERVICE REVENUES 900099 181033050 181033050 OTHER INCOME-RISK POOL 900099 2463393 2463393 OTHER OPER REV - CLINIC 900099 907222 907222 MEANINGFUL USE PAYMENTS 900099 1036836 1036836 MEDICARE BONUS PCIP 900099 319350 319350 1512630 1512630 187272481 91528 91528 0 0 53930 53930 0 53930 53930 0 0 0 0 CASH DISCOUNTS 74531 74531 74531 187492470 187347012 0 145458 X 0 0 0 0 3233360 3233360 0 34033535 28222840 5810695 2376868 2310379 66489 11838653 8872726 2965927 3302087 2588295 713792 1494021 398138 1095883 76980 2259 74721 327783 5948 321835 0 0 0 121936392 121075868 860524 359504 34694 324810 22978479 21343977 1634502 412223 193766 218457 0 10700499 9448323 1252176 390393 197676 192717 0 197097 99861 97236 98443 98443 0 3747927 2249334 1498593 723319 723319 TEMPORARY PERSONNEL 3226302 2663052 563250 RECRUITING 523437 341500 181937 LICENSES AND TAXES 372691 241354 131337 MEAL 294905 175373 119532 325427 134327 191100 222970325 200599690 22370635 0 16446349 17379500 0 0 0 0 17973270 13644497 0 0 0 0 892852 3199296 461491 240799 1713328 2853166 29041492 9328987 15959173 19712505 0 0 0 0 0 0 6900444 7067182 624185 654026 60971092 64750971 5233604 6940978 14712802 21680382 1250875 0 0 0 0 0 0 0 0 0 0 0 10188640 8307546 31385921 36928906 X 29585171 27822065 0 0 0 0 29585171 27822065 60971092 64750971 X -35477855 33714749 X false true X true false X 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. 11317226 2238899 9078327 13368955 7090088 6278867 4355311 4355311 19712505 0 NON-COMPETE LIABILITY 1817299 DEFERRED RENT 1259277 OTHER LIABILITIES 849761 IBNR CLAIMS LIABILITY-AFFINITY 4381209 8307546 X 187492470 187492470 187492470 222970325 222970325 222970325 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. true true false false false false false true false DANIEL MORISSETTE CHAIRMAN/DIRECTOR 0 708094 0 412296 0 103715 0 108629 0 34684 0 1367418 0 77320 MARCIA COHEN DIRECTOR 0 397231 0 47584 0 246 0 25500 0 34221 0 504782 0 0 Robert Harrington MD Director 0 463449 0 227671 0 78742 0 6425 0 49809 0 826096 0 0 JENNIFER VARGAS DIRECTOR 0 480277 0 150003 0 83389 0 84311 0 36062 0 834042 0 52930 NORMAN RIZK MD DIRECTOR 0 351504 0 603535 0 600 0 22916 0 5012 0 983567 0 0 BRUCE HARRISON DIR/CAO/VP OF NETWORK DEV 0 464654 0 123944 0 82877 0 72657 0 38161 0 782293 0 42283 Anita Brewer Associate CIO 0 247889 0 51432 0 0 0 22812 0 19395 0 341528 0 0 Claire Tamo SR VP, FINANCE & OPERATIONS 288189 0 53200 0 0 29325 0 9027 0 379741 0 0 0 Jerry Harris ADMINISTRATOR - MMC 237731 0 29400 0 0 29325 0 0 0 296456 0 0 0 Dee Gabriel Director Provider Recruitment 203275 0 32200 0 0 27270 0 15107 0 277852 0 0 0 Scott Ptacnik Vice President Managed Care op 214655 0 44100 0 0 29325 0 12123 0 300203 0 0 0 Shelly Horwitz Administrator-BVM 247414 0 55700 0 0 29325 0 15197 0 347636 0 0 0 Richard Sankary MD VP & MEDICAL DIRECTOR 402942 0 123600 0 0 29325 0 24881 0 580748 0 0 0 Erwin Schrittwieser Director of Finance 168850 0 8500 0 0 20904 0 15197 0 213451 0 0 0 Michael Mooney Administrator-CCMG 158284 0 21300 0 0 12490 0 11278 0 203352 0 0 0 Vivian Young VP of Human Resources 218773 0 42800 0 0 29325 0 11123 0 302021 0 0 0 Richard Carvolth Medical Director 197968 0 0 12308 0 0 0 15539 0 225815 0 0 0 Martin Alsip Dir of Financial Operations 184942 0 8500 0 0 0 22129 0 7772 0 223343 0 0 0 Matthew Berlin Director of Tech Planning & Op 179884 0 10500 0 0 0 0 22215 0 212599 0 0 0 Lenard Alison VP of Operations 39405 0 0 0 100000 0 0 0 1914 0 141319 0 0 0 SCHEDULE J, PART I, LINE 3 THE ORGANIZATION RELIES ON STANFORD HEALTH CARE (SHC), A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE CAO, VP OF NETWORK DEVELOPMENT. SHC'S PROCESS FOR DETERMINING COMPENSATION REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES THE COMMITTEE WITH COMPARABLE MARKET DATA FROM THE FORMS 990 OF COMPARABLE ORGANIZATIONS SUPPLEMENTED BY PUBLISHED COMPENSATION AND BENEFITS SURVEYS TO BE CONSIDERED IN EVALUATING TOTAL COMPENSATION PACKAGES FOR EACH INDIVIDUAL EXECUTIVE. THE COMMITTEE CONDUCTS A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTS ITS DELIBERATIONS AND DISCUSSION IN MINUTES THAT ARE RETAINED WITH THE OTHER GOVERNANCE MATERIALS OF SHC. THE VALUE OF EACH PAY ELEMENT AND THE TOTAL PACKAGE ARE REVIEWED EACH SEPTEMBER PRIOR TO ANY PAY ACTIONS BEING APPROVED BY THE COMPENSATION COMMITTEE. SPECIFIC FACTS AND CIRCUMSTANCES OF EACH ROLE, INCUMBENT, THEIR PERFORMANCE, SKILLS AND RESPONSIBILITIES ARE REVIEWED AND ASSESSED INDIVIDUALLY. THE COMMITTEE RECEIVES RECOMMENDATIONS FROM THE CEO AS TO PAY ACTIONS FOR EACH INCUMBENT. THESE RECOMMENDATIONS ARE DISCUSSED AND THE RESULTS OF THE DELIBERATIONS ARE DOCUMENTED AS TO THE FINAL PAY ACTION APPROVED ALONG WITH THE RATIONALE FOR THE DECISION. THIS PROCESS OCCURS ANNUALLY AND IN CONJUNCTION WITH ANY PROGRAMMATIC CHANGE THAT COULD POTENTIALLY IMPACT THE PAY OR BENEFITS OF EXECUTIVES. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN Schedule J, Part I, Line 4a Lenard Alison received a lump sum severance payment of $100,000 in 2013. Richard Carlvoth received a lump sum severance payment of $12,308 reflecting two weeks of his base salary in 2013. 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 YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED AND THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION; (B) DISCHARGE FROM EMPLOYMENT; (C) ENTITLEMENT TO LONG-TERM DISABILITY; OR (D) THE PARTICIPANT ATTAINS THE AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; OR (E) THE PARTICPANT COMPLETES SEVEN YEARS AS AN ELGIBLE EMPLOYEE. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2013: DANIEL MORISSETTE $ 81,235 JENNIFER VARGAS $ 55,610 BRUCE HARRISON $ 44,424 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 2013 ARE REPORTED IN COLUMN (F). SCHEDULE J, PART I, LINE 7 Certain individuals received bonus awards from UHA that are included in Schedule J, Part II, Column (b)(ii). Bonus awards are based on the achievement of defined organizational, departmental, and personal goals, subject to approval of the Finance Committee. SCHEDULE J, PART II DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS OF UHA. HOWEVER, CERTAIN DIRECTORS WERE ALSO EMPLOYEES OF RELATED ORGANIZATIONS AND RECEIVED COMPENSATION IN THAT CAPACITY. Menlo Medical Clinic SEE PART V 16713845 PHYSICIAN SERVICES false Bay Valley Medical Group See Part V 9442669 PHYSICIAN SERVICES false SCHEDULE L, PART IV, COLUMN (B): RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: JEFFREY GUARDINO, A DIRECTOR OF UHA, IS AN OFFICER OF MENLO MEDICAL CLINIC. RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: ERIC KOHLERITER, A DIRECTOR OF UHA, IS THE MANAGING PARTNER OF BAY VALLEY MEDICAL GROUP. 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 EDUCATIONAL PURPOSES OF THE MEMBERS BY ESTABLISHING, OPERATING AND MAINTAINING MULTI-SPECIALTY MEDICAL CLINICS FOR THE PROVISION OF HEALTHCARE SERVICES IN NORTHERN CALIFORNIA, AND BY ENGAGING IN, SPONSORING, ADVANCING, ENCOURAGING AND PROMOTING CHARITABLE HEALTHCARE, EDUCATION AND MEDICAL RESEARCH ACTIVITIES. THE ESTABLISHMENT AND INTEGRATION OF THE UHA CLINICS INTO A BROADER HEALTH CARE SYSTEM OPERATED THROUGH THE MEMBERS IS INTENDED TO IMPROVE THE AVAILABILITY, EFFECTIVENESS, EFFICIENCY AND QUALITY OF CARE PROVIDED TO INDIVIDUALS RESIDING IN THE COMMUNITIES SERVED BY THE MEMBERS. FORM 990, PART III, LINE 4A: PATIENT CARE: UHA WAS ESTABLISHED AS PART OF THE COORDINATED EFFORTS OF THE MEMBERS TO CREATE AN INTEGRATED SYSTEM OF HEALTHCARE AVAILABLE TO PERSONS OF ALL MEANS. UHA CONTRACTS WITH MEDICAL GROUPS TO PROVIDE OUTPATIENT CARE AT UHA CLINICS, EACH OF WHICH IS ORGANIZED INTO A NAMED CLINICAL OPERATING DIVISION WITHIN UHA. IN FY 2014, UHA OPERATED 5 CLINICAL OPERATING DIVISIONS AND CONTRACTED WITH 5 MEDICAL GROUPS TO PROVIDE THE PROFESSIONAL SERVICES FOR SUCH OPERATING DIVISIONS. UHA IS A PARTICIPATING PROVIDER IN THE MEDICARE AND MEDI-CAL PROGRAMS. UHA CLINICS PROVIDE MEDICAL CARE AND TREATMENT TO MEDICARE AND MEDI-CAL BENEFICIARIES ON A NONDISCRIMINATORY BASIS CONSISTENT WITH UHA'S CHARITABLE PURPOSES AND IN SUPPORT OF THE CHARITABLE ACTIVITIES OF THE MEMBERS. UHA SERVES PATIENTS IN SAN MATEO, SANTA CLARA, AND ALAMEDA COUNTIES, CALIFORNIA. OF SUCH PATIENTS THAT ARE BENEFICIARIES UNDER MEDI-CAL, THE VAST MAJORITY OF SUCH MEDI-CAL BENEFICIARIES ARE ENROLLED WITH HEALTH PLAN OF SAN MATEO ("HPSM"). IN ADDITION, UHA PROVIDES FREE AND DISCOUNTED MEDICAL CARE AND TREATMENT TO PATIENTS QUALIFYING FOR SUCH FREE OR DISCOUNTED CARE CONSISTENT WITH ITS FINANCIAL ASSISTANCE POLICY, CHARITY CARE POLICY AND UHA'S UNINSURED PATIENT DISCOUNT POLICY. FORM 990, PART VI, LINE 2: NORMAN RIZK, MD AND CHARLES KOOB ARE DIRECTORS OF STANFORD HEALTH CARE. DANIEL MORISSETTE IS AN EMPLOYEE AND OFFICER, TED LOVE IS A DIRECTOR, AND JENNIFER VARGAS AND BRUCE HARRISON ARE EMPLOYEES OF STANFORD HEALTH CARE. FORM 990, PART VI, LINE 6: THE SOLE MEMBERS OF UHA ARE (A) STANFORD HEALTH CARE, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION AND (B) THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY ("STANFORD UNIVERSITY"), A TRUST HAVING CORPORATE POWERS UNDER THE LAWS OF THE STATE OF CALIFORNIA, ON BEHALF OF ITS SCHOOL OF MEDICINE ("STANFORD UNIVERSITY SCHOOL OF MEDICINE") (EACH, A "MEMBER" AND, COLLECTIVELY, THE "MEMBERS"). EACH OF THE MEMBERS IS AN ENTITY EXEMPT FROM FEDERAL TAXATION DESCRIBED UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. COLLECTIVELY, THE MEMBERS PROVIDE SIGNIFICANT LEVELS OF HEALTH CARE SERVICES, MEDICAL EDUCATION AND TRAINING, CLINICAL RESEARCH AND COMMUNITY EDUCATION IN NORTHERN CALIFORNIA. FORM 990, PART VI, LINE 7A: UNDER THE BYLAWS OF UHA, BOARD MEMBERS ARE ELECTED BY THE UNANIMOUS WRITTEN CONSENT OF THE MEMBERS. FORM 990, PART VI, LINE 7B: CERTAIN DECISIONS OF THE BOARD REQUIRE APPROVAL OF THE MEMBERS. THE ORGANIZATION MAY NOT ENTER INTO A PROFESSIONAL SERVICE AGREEMENT WITHOUT APPROVAL OF THE MEMBERS. IN ADDITION, AMENDMENT OF THE BYLAWS REQUIRES APPROVAL OF THE MEMBERS. FORM 990, PART VI, LINE 11B: THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM IN CONNECTION WITH THE UHA FINANCE DEPARTMENT. THE RETURN IS REVIEWED BY MANAGEMENT AND THE AUDIT COMMITTEE. FORM 990, PART VI, LINE 12C: OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO COMPLETE AN INITIAL CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ("DISCLOSURE STATEMENT") WITHIN 30 DAYS OF BEGINNING SERVICE AT UHA. ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. FURTHER, OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO UPDATE THEIR DISCLOSURE STATEMENT WITHIN TEN (10) BUSINESS DAYS OF A MATERIAL CHANGE IN THEIR SITUATIONS THAT MAY CREATE AN ACTUAL OR PERCEIVED CONFLICT-OF-INTEREST. A DISCLOSURE THAT APPEARS TO BE A CONFLICT WILL BE RESOLVED BY A MUTUAL AGREEABLE PLAN WITH THE DIRECTOR OF HUMAN RESOURCES THAT OUTLINES THE STEPS THE OFFICER, DIRECTOR OR EMPLOYEE MUST TAKE TO RECTIFY THE CONFLICT. IN MATTERS THAT ARE UNCLEAR OR QUESTIONABLE, THE OFFICE OF CHIEF COMPLIANCE OFFICER WILL BE CONSULTED FOR A RULING. IF FURTHER INQUIRY IS NECESSARY THE OFFICE OF THE GENERAL COUNSEL WILL BE CONSULTED FOR A RULING. FORM 990, PART VI, LINE 14 THE ORGANIZATION ABIDES BY THE DOCUMENT RETENTION POLICY OF STANFORD HEALTH CARE, A RELATED ORGANIZATION. FORM 990, PART VI, LINE 15A: THE CAO, VP OF NETWORK DEVELOPMENT, IS EMPLOYED BY STANFORD HEALTH CARE (SHC), A RELATED ORGANIZATION. THE ORGANIZATION RELIES ON SHC TO ESTABLISH THE COMPENSATION OF THE CAO, VP OF NETWORK DEVELOPMENT. SHC'S PROCESS FOR DETERMINING COMPENSATION REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES THE COMMITTEE WITH COMPARABLE MARKET DATA FROM THE FORMS 990 OF COMPARABLE ORGANIZATIONS SUPPLEMENTED BY PUBLISHED COMPENSATION AND BENEFITS SURVEYS TO BE CONSIDERED IN EVALUATING TOTAL COMPENSATION PACKAGES FOR EACH INDIVIDUAL EXECUTIVE. THE COMMITTEE CONDUCTS A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTS ITS DELIBERATIONS AND DISCUSSION IN MINUTES THAT ARE RETAINED WITH THE OTHER GOVERNANCE MATERIALS OF SHC. THE VALUE OF EACH PAY ELEMENT AND THE TOTAL PACKAGE ARE REVIEWED EACH SEPTEMBER PRIOR TO ANY PAY ACTIONS BEING APPROVED BY THE COMPENSATION COMMITTEE. SPECIFIC FACTS AND CIRCUMSTANCES OF EACH ROLE, INCUMBENT, THEIR PERFORMANCE, SKILLS AND RESPONSIBILITIES ARE REVIEWED AND ASSESSED INDIVIDUALLY. THE COMMITTEE RECEIVES RECOMMENDATIONS FROM THE CEO AS TO PAY ACTIONS FOR EACH INCUMBENT. THESE RECOMMENDATIONS ARE DISCUSSED AND THE RESULTS OF THE DELIBERATIONS ARE DOCUMENTED AS TO THE FINAL PAY ACTION APPROVED ALONG WITH THE RATIONALE FOR THE DECISION. THIS PROCESS OCCURS ANNUALLY AND IN CONJUNCTION WITH ANY PROGRAMMATIC CHANGE THAT COULD POTENTIALLY IMPACT THE PAY OR BENEFITS OF EXECUTIVES. 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 $33,714,749 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:69116311 FORM 990 PART IX LINE 11G DESCRIPTION:CLAIMS EXPENSE TOTAL FEES:3828024 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:48992057 STANFORD HEALTH CARE 300 PASTEUR DRIVE MC 5555 STANFORD CA 94305 946174066 HEALTHCARE CA 501(C)(3) 3 STANFORD true LUCILE SALTER PACKARD CHILDRENS HOSPITAL 725 WELCH ROAD MC 5553 PALO ALTO CA 94304 770003859 HEALTHCARE CA 501(C)(3) 3 STANFORD true THE FREIDENRICH SUPPORT FOUNDATION 3145 PORTER DRIVE PALO ALTO CA 94304 300519583 SUPPORT CA 501(C)(3) 11, TYPE I STANFORD true SHR HOLDINGS INC 3145 PORTER DRIVE PALO ALTO CA 94304 943187167 REAL ESTATE CA 501(C)(25) N/A STANFORD true SU EMP BEN TRUST POST RETEMPYNT BEN 3145 PORTER DRIVE PALO ALTO CA 94304 943246199 BENEFITS CA 501(C)(9) N/A STANFORD true THE BRD OF TRUST LELAND STANF JR UNI 3145 PORTER DRIVE PALO ALTO CA 94304 941156365 ACADEMIA CA 501(C)(3) 2 NA false THE DUDLEY E CHAMBERS FOUNDATION JP MORGAN CHASE PO BOX 3038 MILWAUKEE WI 53201 386841793 SUPPORT NY 501(C)(3) 11,TYPE III STANFORD true STANFORD UNIVERSITY BOOK STORE BLDG 60 MAIN QUAD NO 105 STANFORD CA 94305 940894150 SUPPORT CA 501(C)(3) 11, TYPE I STANFORD true STANFORD SCHOOLS CORPORATION 475 POPE STREET MENLO PARK CA 94025 202699147 EDUCATIONAL CA 501(C)(3) 2 STANFORD true PACKARD CHILDREN'S HEALTH ALLIANCE 725 WELCH ROAD MC5551 PALO ALTO CA 94304 320359189 HEALTHCARE CA 501(C)(3) 3 LPCH true STANFORD HABITAT CONSERVATION BOARD 3160 PORTER DR STE 200 PALO ALTO CA 94304 461882243 CONSERVATION CA 501(C)(3) 7 STANFORD true STANFORD FACULTY CLUB PO BOX 7229 STANFORD CA 94309 941187089 FAC INTERACT. 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SCHEDULE R, PART IV, LINE 3 CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE 4 OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE 5 POOLED INVESTMENT FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.