SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/form990 for instructions and the latest informtion.
OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
STANFORD HEALTH CARE
 
Employer identification number

94-6174066
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    20,416,002 875,726 19,540,276 0.480 %
b Medicaid (from Worksheet 3, column a) . . . . .     482,800,803 261,249,359 221,551,444 5.470 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     503,216,805 262,125,085 241,091,720 5.950 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     7,782,791 8,564 7,774,227 0.190 %
f Health professions education (from Worksheet 5) . . .     129,568,920 18,883,977 110,684,943 2.730 %
g Subsidized health services (from Worksheet 6) . . . .     8,985,465 5,455,207 3,530,258 0.090 %
h Research (from Worksheet 7) .     1,693,965   1,693,965 0.040 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     73,659,550   73,659,550 1.820 %
j Total. Other Benefits . .     221,690,691 24,347,748 197,342,943 4.870 %
k Total. Add lines 7d and 7j .     724,907,496 286,472,833 438,434,663 10.820 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2017
Schedule H (Form 990) 2017
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     3,590   3,590 0 %
2 Economic development     6,702   6,702 0 %
3 Community support     36,526   36,526 0 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     251,950   251,950 0.010 %
9 Other            
10 Total     298,768   298,768 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
40,226,075
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
869,093,396
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,467,597,515
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-598,504,119
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2017
Schedule H (Form 990) 2017
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 STANFORD HEALTH CARE
300 PASTEUR DRIVE
STANFORD,CA94305
HTTP://STANFORDHEALTHCARE.ORG
070000662 		X X   X     X      
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
STANFORD HEALTH CARE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://STANFORDHEALTHCARE.ORG
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
STANFORD HEALTH CARE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTP://STANFORDHEALTHCARE.ORG
b
SAME AS ABOVE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Billing and Collections
STANFORD HEALTH CARE
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
STANFORD HEALTH CARE
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B, LINE 5 THE CHNA ASSESSED COMMUNITY HEALTH NEEDS BY GATHERING INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. THESE PERSONS INCLUDED LOCAL PUBLIC HEALTH DEPARTMENTS, THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME INDIVIDUALS, MINORITY POPULATIONS, AND PROFESSIONALS WHOSE ORGANIZATIONS SERVE OR REPRESENT THE INTERESTS OF THOSE POPULATIONS. IN ADDITION TO THIS PRIMARY QUALITATIVE INPUT, QUANTITATIVE DATA WAS ANALYZED TO IDENTIFY POOR HEALTH OUTCOMES, HEALTH DISPARITIES, AND HEALTH TRENDS. COMMUNITY LEADERS AND REPRESENTATIVES - SAN MATEO COUNTY - COUNTY HEALTH OFFICER, SAN MATEO COUNTY HEALTH DEPARTMENT - CEO, SAN MATEO COUNTY HEALTH & HOSPITAL SYSTEM - DIRECTOR, REDWOOD CITY PARKS, RECREATION, AND COMMUNITY SERVICES - DIRECTOR OF CLINICAL/COMMUNITY SERVICES, STARVISTA - CO-FOUNDER AND COMMUNITY BENEFIT OUTREACH COORDINATOR, MILLS-PENINSULA HEALTH SERVICES, AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMUNITY - CEO, RAVENSWOOD FAMILY HEALTH CENTER - PASTOR, AMERICAN METHODIST EPISCOPAL ZION CHURCH - DEPUTY COUNTY MANAGER, COUNTY OF SAN MATEO - HUMAN SERVICES MANAGER, REDWOOD CITY FAIR OAKS COMMUNITY CENTER - FNP, DALY CITY YOUTH HEALTH CENTER (PART OF SAN MATEO MEDICAL CENTER) - PROGRAM MANAGER, YOUR HOUSE SOUTH, SAMARITAN HOUSE - CO-CHAIR, LGBTQ COMMISSION, COUNTY BOARD OF DIRECTORS & COMMISSIONERS - DIRECTOR, INNVISION-SHELTER NETWORK - PRESIDENT, BOARD OF SUPERVISORS, COUNTY BOARD OF DIRECTORS & COMMISSIONERS - DIRECTOR, OLDER ADULT SERVICES, PENINSULA FAMILY SERVICE - DIRECTOR OF BEHAVIORAL HEALTH, SMC HEALTH SYSTEM (BHRS) - EXECUTIVE DIRECTOR, PUENTE - EXECUTIVE DIRECTOR, FIRST 5 - DIRECTOR, SMC HEALTH SYSTEM; AGING AND ADULT SERVICES - DIRECTOR, DAY LABORER PROGRAM, MULTICULTURAL INSTITUTE - DIRECTOR OF CHILDREN & FAMILY SERVICES, SAN MATEO COUNTY HEALTH & HOSPITAL SYSTEM - SENIOR MINISTER, CONGREGATIONAL CHURCH OF SAN MATEO - OPERATIONS DIRECTOR, SAMARITAN HOUSE - DIRECTOR, SOUTH SAN FRANCISCO PARKS/REC DEPARTMENT - EXECUTIVE DIRECTOR, ADOLESCENT COUNSELING SERVICES - EXECUTIVE DIRECTOR, SMC HUMAN SERVICES AGENCY - DIVISION DIRECTOR, REFUGEE & IMMIGRANT SVC, CATHOLIC CHARITIES - EXECUTIVE DIRECTOR, COASTSIDE HOPE - RECREATION PROGRAM COORDINATOR, LINCOLN STREET CENTER - OFFICE MANAGER, SECOND HARVEST FOOD BANK - CASE MANAGEMENT COORDINATOR, CATHOLIC CHARITIES ADULT DAY SERVICES - DIRECTOR, MEALS ON WHEELS PROGRAM, PENINSULA VOLUNTEERS MEALS ON WHEELS - EXECUTIVE DIRECTOR, SAN MATEO JAPANESE-AMERICAN COMMUNITY CENTER - MANAGER, LEARNING & EMPLOYMENT CAMPUS, COMMUNITY GATEPATH - DIRECTOR, RESIDENT SERVICES, LESLEY SENIOR COMMUNITIES - PROGRAM DIRECTOR, SENIOR SERVICES, MIDPEN RESIDENT SERVICES CORP - DIRECTOR, MARKETING, SYNERGY HOMECARE - FOUNDER & PRESIDENT, HOME SAFETY SERVICES COMMUNITY LEADERS AND REPRESENTATIVES - SANTA CLARA COUNTY - PUBLIC HEALTH OFFICER, SANTA CLARA COUNTY PUBLIC HEALTH DEPT - INJURY AND VIOLENCE PREVENTION PROVIDERS, SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT - HEALTH CARE PROGRAM MANAGER, SANTA CLARA COUNTY PUBLIC HEALTH DEPT - BOARD CHAIRPERSON, SOUTH COUNTY COLLABORATIVE - PUBLIC GUARDIAN, ADULT PROTECTIVE SERVICES - COMMUNITY LIBRARIAN, GILROY LIBRARY - INJURY AND VIOLENCE PREVENTION, PUBLIC HEALTH DEPARTMENT - PROJECT MANAGER, SANTA CLARA COUNTY DEPARTMENT OF AGING AND ADULT SERVICES - BOARD MEMBER, SANTA CLARA COUNTY OFFICE OF EDUCATION - STAFF REPRESENTING HOMELESS-POPULATION, SANTA CLARA COUNTY OFFICE OF HOUSING AND HOMELESS SUPPORT SERVICES - MD FAMILY MEDICINE, DEPARTMENT OF OBGYN, VALLEY HEALTH CENTER, GILROY - ASSOCIATE SUPERINTENDENT, CAMPBELL UNION SCHOOL DISTRICT - MENTAL HEALTH PROGRAM MANAGER, CUPERTINO UNION SCHOOL DISTRICT - SCHOOL NURSE, CUPERTINO UNION SCHOOL DISTRICT - DIRECTOR OF EDUCATIONAL AND SPECIAL SERVICES, FREMONT UNION HIGH SCHOOL DISTRICT - COLLEGE HEALTH NURSE, GAVILAN COLLEGE - SCHOOL LINKED SERVICES COORDINATOR, GILROY UNIFIED SCHOOL DISTRICT - ASSISTANT SUPERINTENDENT, MOUNTAIN VIEW WHISMAN SCHOOL DISTRICT - EMPLOYEE WELLNESS SENIOR PROGRAM MANAGER, COUNTY OF SANTA CLARA HEALTH & HOSPITAL SYSTEM - PHYSICIAN/CHILD & ADOLESCENT PSYCHIATRIST, EL CAMINO HOSPITAL; STANFORD ADJUNCT FACULTY - CEO, GARDNER HEALTH SERVICES - REGISTERED NURSE, GOOD SAMARITAN HOSPITAL - PROFESSOR, LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD - CLINICAL PROFESSOR, LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD - DIRECTOR, PEDIATRIC HEALTHY LIFESTYLE CENTER (SUNNYVALE) - SENIOR MANAGER, SANTA CLARA COUNTY BEHAVIORAL HEALTH SERVICES - DIRECTOR OF CLINIC SERVICES, SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY - CHIEF, DIVISION OF ADOLESCENT MEDICINE, STANFORD UNIVERSITY SCHOOL OF MEDICINE - CLINICAL PROFESSOR, DIVISION OF ADOLESCENT MEDICINE, STANFORD UNIVERSITY SCHOOL OF MEDICINE - STAFF REPRESENTING HOMELESS-POPULATION, ADOBE SERVICES - RETIRED-EXECUTIVE DIRECTOR, ADVENT GROUP MINISTRIES - CLINICAL DIRECTOR, ALUM ROCK COUNSELING CENTER - INTERIM EXECUTIVE DIRECTOR, ALZHEIMER'S ACTIVITY CENTER - EDUCATION SERVICES MANAGER, ALZHEIMER'S ASSOCIATION - MEDICAL OUTREACH SPECIALIST, ALZHEIMER'S ASSOCIATION, NORTHERN CA AND NORTHERN NV - MANAGING DIRECTOR FOR SANTA CLARA COUNTY, ASIAN AMERICAN RECOVERY SERVICES - EVP MENTAL HEALTH AND COMMUNITY PROGRAMS, ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT - OA DIVISION PROGRAM MANAGER, ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT - STAFF REPRESENTING HOMELESS POPULATION, CATHOLIC CHARITIES - EXECUTIVE DIRECTOR, COMMUNITY HEALTH AWARENESS COUNCIL - CEO, COMMUNITY HEALTH PARTNERSHIP - ASSOCIATE DIRECTOR, COMMUNITY SERVICES AGENCY - CHIEF DEVELOPMENT OFFICER, COMMUNITY SOLUTIONS - CLINICAL PROGRAM MANAGER-ADULT BEHAVIORAL SERVICES DIVISION, COMMUNITY SOLUTIONS - STAFF REPRESENTING THE HOMELESS POPULATION - COMMUNITY SOLUTIONS - CASE MANAGER & STAFF, DOWNTOWN STREETS - BOARD MEMBER, EATING DISORDERS RESOURCE CENTER - EXECUTIVE DIRECTOR, EATING DISORDERS RESOURCE CENTER - LMFT, EATING DISORDERS RESOURCE CENTER - EXECUTIVE DIRECTOR, EMQ FAMILIES FIRST - DIRECTOR, SENIOR RESOURCES SANTA CLARA COUNTY, EPISCOPAL SENIOR COMMUNITIES - DIRECTOR OF GRANTS, FAMILY & CHILDREN SERVICES OF SILICON VALLEY - DIRECTOR OF OPERATIONS, FAMILY & CHILDREN SERVICES OF SILICON VALLEY - DIRECTOR OF SUBSTANCE USE DISORDER SERVICES, FAMILY & CHILDREN SERVICES OF SILICON VALLEY - FAMILY CONSULTANT, FAMILY CAREGIVER ALLIANCE - DIRECTOR OF PROGRAMS, FRESH LIFELINES FOR YOUTH - DIRECTOR OF HEALTHY AGING, HEALTH TRUST - INTENSIVE MEDICAL CASE MANAGER, HEALTH TRUST - CASE MANAGERS, HOMEFIRST - PROGRAM MANAGER, HOMEFIRST - STAFF REPRESENTING THE HOMELESS POPULATION, HOMEFIRST - VETERANS CASE MANAGER, HOMEFIRST - HOUSING SERVICES, INNVISION-SHELTER NETWORK - REGIONAL DIRECTOR OF COMMUNITY LIVING SERVICES, INSTITUTE ON AGING - CEO, LAW FOUNDATION OF SILICON VALLEY - COMMUNITY COORDINATOR/CASE MANAGER, MOMENTUM FOR MENTAL HEALTH - STAFF REPRESENTING THE HOMELESS POPULATION, MONTGOMERY STREET INN - EXECUTIVE DIRECTOR, NAMI SANTA CLARA COUNTY - FORMER PRESIDENT, NAMI SANTA CLARA COUNTY - SOCIAL WORK CASE MANAGER, PENINSULA HEALTHCARE CONNECTION/NEW DIRECTIONS - CLINICAL DIRECTOR, PENINSULA HEALTHCARE CONNECTION/NEW DIRECTIONS - EXECUTIVE DIRECTOR, PLAYWORKS - CHIEF CLINICAL OFFICER, COMMUNITY AND OUTPATIENT SERVICES, REBEKAH CHILDREN'S SERVICES - OPERATIONS DIRECTOR, SAN BENITO HEALTH FOUNDATION - EXECUTIVE DIRECTOR, SANTA CLARA COUNTY DENTAL SOCIETY - OPERATIONS DIRECTOR, SANTA CLARA FAMILY HEALTH PLAN - DIRECTOR, SENECA FAMILY OF AGENCIES - EXECUTIVE DIRECTOR, SILICON VALLEY COUNCIL OF NONPROFITS - PROGRAM COORDINATOR, SILICON VALLEY HEALTHY AGING PARTNERSHIP - SERVICES COORDINATOR, ST. JOSEPH'S FAMILY CENTER - CASE MANAGER, ST. JOSEPH'S FAMILY CENTER - PROGRAM MANAGER AND HOMELESS OUTREACH, ST. JOSEPH'S FAMILY CENTER - EMERGENCY DEPARTMENT MEDICAL DIRECTOR, ST. LOUISE REGIONAL ED - ASSISTANT NURSE MANAGER, VALLEY HEALTH CENTER, GILROY - DIRECTOR OF INTAKE, LA VENTANA TREATMENT PROGRAMS - LMFT, PRIVATE PRACTICE - PSYCHOLOGIST, PRIVATE PRACTICE - PROGRAM DIRECTOR, THE HEALTH TEEN PROJECT
PART V, SECTION B, LINE 6A THE CHNA WAS CONDUCTED BY TWO COMMUNITY-BASED COLLABORATIVE GROUPS FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING CRITICAL HEALTH NEEDS OF THE COMMUNITY. THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY AND THE SANTA CLARA COUNTY COMMUNITY BENEFIT COALITION ARE GROUPS OF ORGANIZATIONS THAT INCLUDE NONPROFIT HOSPITALS, PUBLIC HEALTH DEPARTMENTS, AND OTHER COMMUNITY ORGANIZATIONS. THE OTHER HOSPITAL FACILITIES PARTICIPATING IN EACH COLLABORATIVE ARE LISTED BELOW: SAN MATEO COUNTY: - KAISER PERMANENTE, SAN MATEO AREA - LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD - SEQUOIA HOSPITAL - SETON MEDICAL CENTER - STANFORD HEALTH CARE - SUTTER HEALTH MILLS-PENINSULA HEALTH SERVICES SANTA CLARA COUNTY: - EL CAMINO HOSPITAL - KAISER PERMANENTE, SOUTH BAY AREA - LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD - O'CONNOR HOSPITAL - SAINT LOUISE REGIONAL HOSPITAL - STANFORD HEALTH CARE - SUTTER HEALTH
PART V, SECTION B, LINE 6B THE CHNA WAS CONDUCTED BY TWO COMMUNITY-BASED COLLABORATIVE GROUPS FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING CRITICAL HEALTH NEEDS OF THE COMMUNITY. THE HEALTH COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY AND THE SANTA CLARA COUNTY COMMUNITY BENEFIT COALITION ARE GROUPS OF ORGANIZATIONS THAT INCLUDE NONPROFIT HOSPITALS, PUBLIC HEALTH DEPARTMENTS, AND OTHER COMMUNITY ORGANIZATIONS. THE OTHER NON-HOSPITAL ORGANIZATIONS PARTICIPATING IN EACH COLLABORATIVE ARE LISTED BELOW: SAN MATEO COUNTY: - COUNTY OF SAN MATEO HUMAN SERVICES AGENCY - HOSPITAL CONSORTIUM OF SAN MATEO COUNTY - PENINSULA HEALTH CARE DISTRICT - SAN MATEO COUNTY HEALTH SYSTEM SANTA CLARA COUNTY: - HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA - SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT
PART V, SECTION B, LINE 11 THE CHNA IDENTIFIED 21 SIGNIFICANT HEALTH NEEDS IN SAN MATEO AND SANTA CLARA COUNTIES. OF THE 21 HEALTH NEEDS, SHC SELECTED FIVE HEALTH NEEDS TO ADDRESS; BEHAVIORAL HEALTH, CANCER, COMMUNICABLE DISEASES, DIABETES AND OBESITY, AND HEALTHCARE ACCESS AND DELIVERY. THESE FIVE HEALTH NEEDS WERE SELECTED BY APPLYING THE FOLLOWING CRITERIA: CRITERION 1: CUTS ACROSS BOTH SAN MATEO AND SANTA CLARA COUNTIES (IMPACTS SHC'S COMMUNITY) CRITERION 2: IDENTIFIED AS A PRIORITY HEALTH NEED BY COMMUNITY INPUT CRITERION 3: SHC HAS THE REQUIRED EXPERTISE AND RESOURCES TO MAKE AN IMPACT CRITERION 4: MAGNITUDE/SCALE - AFFECTS A LARGE NUMBER OF INDIVIDUALS CRITERION 5: ALTHOUGH NOT A NEED IN THE GENERAL POPULATION, DISPARITIES OR INEQUITIES EXIST *EACH OF SHC'S FIVE PRIORITIZED HEALTH NEEDS MET ALL FIVE PRIORITIZATION CRITERIA: SHC'S 2017-2019 IMPLEMENTATION STRATEGY PROVIDES DETAILED INFORMATION ABOUT SHC'S STRATEGIES FOR ADDRESSING THE 5 PRIORITIZED HEALTH NEEDS AND CAN BE FOUND HERE: HTTPS://STANFORDHEALTHCARE.ORG/CONTENT/DAM/SHC/ABOUT-US/PUBLIC-SERVICES-AN D-COMMUNITY-PARTNERSHIPS/DOCS/SHC-FY17-19-IS-FINAL-WITH-COVER.PDF THE REMAINING 16 HEALTH NEEDS NOT PRIORITIZED FOR SHC DID NOT MEET ONE OR MORE PRIORITIZATION CRITERIA. - HOUSING - DID NOT MEET CRITERION 3 - ORAL & DENTAL HEALTH - DID NOT MEET CRITERION 3 - VIOLENCE & ABUSE: DID NOT MEET CRITERION 3 & 4 - ALZHEIMER'S DISEASE AND DEMENTIA - DID NOT MEET CRITERION 2 & 5 - BIRTH OUTCOMES - DID NOT MEET CRITERION 2 & 3 - CEREBROVASCULAR DISEASES - DID NOT MEET CRITERION 2 - ECONOMIC SECURITY - DID NOT MEET CRITERION 2 & 3 - RESPIRATORY CONDITIONS - DID NOT MEET CRITERION 2 - SEXUAL HEALTH - DID NOT MEET CRITERION 2, 3, & 4 - DIET/FITNESS/NUTRITION - DID NOT MEET CRITERION 1, 3, 4, & 5 - LEARNING DISABILITIES - DID NOT MEET CRITERION 1, 3, 4, & 5 - TOBACCO USE - DID NOT MEET CRITERION 1, 3, 4, & 5 - TRANSPORTATION AND TRAFFIC - DID NOT MEET CRITERION 1, 3, 4, & 5 - ARTHRITIS - DID NOT MEET CRITERION 1 - 5 - CLIMATE CHANGE - DID NOT MEET CRITERION 1 - 5 - UNINTENTIONAL INJURIES - DID NOT MEET CRITERION 1, 2, 4, & 5
PART V, SECTION B, LINE 16A-C URL AT WHICH THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE: HTTPS://STANFORDHEALTHCARE.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE. HTML
PART V, SECTION B, LINE 20A SHC WILL PURSUE PAYMENT FOR DEBTS OWED FOR HEALTH CARE SERVICES PROVIDED BY SHC. ALL PATIENT ACCOUNT BALANCES THAT MEET SHC CRITERIA FOR ASSIGNMENT TO BAD DEBT ACCORDING TO SHC POLICY AND PROCEDURES ARE ELIGIBLE FOR PLACEMENT WITH A COLLECTION AGENCY. HOWEVER, SHC DOES NOT CURRENTLY ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITY (ECA). PER SHC POLICY, ECA IS DEFINED TO INCLUDE PLACING LIENS ON INDIVIDUAL PROPERTY, FORECLOSING ON REAL PROPERTY, ATTACHING OR SEIZING AN INDIVIDUALS BANK ACCOUNT OR OTHER PERSONAL PROPERTY, COMMENCING A CIVIL ACTION AGAINST AN INDIVIDUAL, CAUSING AN INDIVIDUALS ARREST, GARNISHING WAGES, REPORTING ADVERSE INFORMATION TO A CREDIT AGENCY, DEFERRING OR DENYING MEDICALLY NECESSARY CARE, REQUIRING PAYMENT BEFORE PROVIDING MEDICALLY NECESSARY CARE BECAUSE OF OUTSTANDING BILLS, AND SALE OF DEBT TO A THIRD PARTY.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2017
Page 9
Schedule H (Form 990) 2017
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?5
Name and address Type of Facility (describe)
1 STANFORD EMPLOYER HEALTH CLINIC AT CISCO
3571 N 1ST STREET
SAN JOSE,CA95134 		STANFORD EMPL HEALTH CLINIC AT CISCO
2 STANFORD EMP HEALTH CLINIC AT QUALCOMM
5535 MOREHOUSE DRIVE
SAN DIEGO,CA92121 		STANFORD EMP HEALTH CLINIC AT QUALCOMM
3 STANFORD EMP HEALTH CLINIC AT QUALCOMM
10155 PACIFIC HEIGHTS BLVD
SAN DIEGO,CA92121 		STANFORD EMP HEALTH CLINIC AT QUALCOMM
4 STANFORD EMP HEALTH CLINIC AT YAHOO
741 FIRST AVENUE BUILDING B
SUNNYVALE,CA94089 		STANFORD EMP HEALTH CLINIC AT YAHOO
5 STANFORD EMP HEALTH CLINIC AT QUALCOMM
1650 Technology Drive
SAN JOSE,CA95110 		STANFORD EMP HEALTH CLINIC AT QUALCOMM
6
7
8
9
10
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 6A YES, STANFORD HEALTH CARE PREPARED A COMMUNITY BENEFIT REPORT DURING THE 2017 TAX YEAR. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS TOTALED $7,774,227 IN FY18.
PART I, LINE 7F HEALTH PROFESSIONS EDUCATION CONTRIBUTIONS FOR COMMUNITY BENEFIT TOTALED $110,684,943 IN FY18. THE HEALTH PROFESSIONS EDUCATION PROGRAM CONSISTS OF FIVE PROGRAMS: - MEDICAL STUDENT, RESIDENT, AND FELLOW TRAINING: STUDENT TRAINING PROGRAMS INCLUDED ALL PRIMARY AND SPECIALTY PROGRAMS. - NURSE STUDENT TRAINING - ALLIED HEALTH PROFESSIONS TRAINING, INCLUDING: - CLINICAL LABORATORY - CLINICAL NUTRITION - NUCLEAR MEDICINE - PARAMEDIC/EMERGENCY MEDICAL TECHNICIAN (EMT) - PHARMACY - PSYCHOLOGY - RADIOLOGY - REHABILITATION SERVICES - RESPIRATORY CARE SERVICES - OTHER HEALTH PROFESSIONS EDUCATION, INCLUDING - CONTINUING EDUCATION FOR SOCIAL WORK PROFESSIONALS AND SENIOR CARE PROVIDERS. - CLINICAL PASTORAL EDUCATION: STUDENTS, FROM A RANGE OF RELIGIOUS TRADITIONS, ENROLL IN THIS PROGRAM TO PREPARE FOR A CAREER IN CHAPLAINCY OR RECEIVE CONTINUING EDUCATION IN PASTORAL/SPIRITUAL CARE. UPON COMPLETION OF THIS YEAR-LONG PROGRAM, STUDENTS USE THEIR TRAINING AS CLERGY TO PROVIDE EFFECTIVE SPIRITUAL CARE TO INDIVIDUALS AND FAMILIES FACING HEALTH CHALLENGES, INCLUDING DEATH, DYING, AND BEREAVEMENT.
PART I, LINE 7G SUBSIDIZED HEALTH SERVICES CONTRIBUTIONS TOTALED $3,530,258 IN FY18. STANFORD HEALTH CARE SUBSIDIZED HEALTH SERVICES INCLUDES THE STANFORD LIFE FLIGHT PROGRAM. HELICOPTER TRANSPORT OF CRITICALLY ILL AND INJURED ADULT, PEDIATRIC, AND NEONATAL PATIENTS TO DEFINITIVE CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. PART I, LINE 7H RESEARCH CONTRIBUTIONS TOTALED $1,693,965 IN FY18. STANFORD HEALTH CARE'S OFFICE OF RESEARCH IS STAFFED BY RESEARCH SCIENTISTS AND COORDINATORS, CONDUCTS RESEARCH AND STUDENTS AND CLINICAL TRIALS TO IMPROVE CARE DELIVERY AND HEALTH OUTCOMES ACROSS THE HEALTH CARE FIELD. FY18 RESEARCH INITIATIVES INCLUDED: - REFINING STROKE DIAGNOSIS AND TREATMENT PROTOCOLS FOR EMERGENCY MANAGEMENT PERSONNEL AND STREAMLINING STROKE TREATMENT REFERRALS - HEALTHCARE CON: AN INTERDISCIPLINARY CONFERENCE DEVELOPED TO DISSEMINATE THE LATEST IN RESEARCH, INNOVATION, QUALITY AND EVIDENCE-BASED HEALTHCARE IMPROVEMENT PROJECTS.
PART I, LINE 7I CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT TOTALED $73,659,550 IN FY18.
PART II, LINE 1 PHYSICAL IMPROVEMENTS AND HOUSING: SHC SPONSORED THE 2017 REBUILDING TOGETHER PENINSULA DAY, WHICH SUPPORTED VOLUNTEER EFFORTS TO PROVIDE HOUSING IMPROVEMENTS TO A LOW-INCOME FAMILY. HOUSING IMPROVEMENTS INCLUDED PAINTING THE HOUSE, LANDSCAPING, ROOF REPAIRS, AND INSTALLATION OF WINDOW SECURITY BARS. PART II, LINE 2 ECONOMIC DEVELOPMENT: SHC PARTICIPATES IN LOCAL ECONOMIC DEVELOPMENT ACTIVITIES THROUGH THE REDWOOD CITY CHAMBER OF COMMERCE. THESE ACTIVITIES ARE FOCUSED ON UNDERSERVED RESIDENTS AND/OR IMPROVING THE SOCIAL DETERMINANTS OF HEALTH ACROSS REDWOOD CITY.
PART II, LINE 3 COMMUNITY SUPPORT: SHC'S OFFICE OF EMERGENCY MANAGEMENT (OEM) PLAYS A KEY ROLE IN DISASTER PLANNING FOR THE COMMUNITY. THROUGH OEM, SHC COLLABORATES WITH LOCAL MUNICIPALITIES, COUNTY GOVERNMENT, AND OTHER HOSPITALS TO COORDINATE PLANNING, MITIGATION, REPOSE, AND RECOVERY ACTIVITIES FOR EVENTS THAT COULD ADVERSELY IMPACT THE COMMUNITY. THE GOAL OF THESE ACTIVITIES IS TO MINIMIZE THE IMPACT ON LIFE, PROPERTY, AND THE ENVIRONMENT FROM CATASTROPHIC EVENTS SUCH AS PANDEMIC FLU, EARTHQUAKES, AND OTHER DISASTERS. OEM WORKS WITH EMERGENCY MEDICAL SERVICES IN BOTH SAN MATEO AND SANTA CLARA COUNTIES ON JOINT DISASTER EXERCISES, DISASTER PLANNING AND MITIGATION, AND BEST PRACTICES. OEM PROVIDES A CRITICAL SERVICES FOR SAN MATEO AND SANTA CLARA COUNTIES' EMS AND OTHER AGENCIES, AS WELL AS THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND OTHER HOSPITALS BY MAINTAINING CACHES OF EMERGENCY MEDICAL EQUIPMENT AND SUPPLIES FOR READY ACCESS AND DEPLOYMENT IN THE CASE OF DISASTER OR EMERGENCIES. OEM PROVIDES REGULAR INVENTORY REVIEW AND 24/7 SECURITY TO ENSURE THAT THESE EMS SUPPLIES ARE SERVICE-READY AT ALL TIMES.
PART II, LINE 8 WORKFORCE DEVELOPMENT: STANFORD MEDICINE YOUTH SCIENCE PROGRAM IS A FIVE-WEEK SCIENCE AND MEDICINE-BASED ENRICHMENT PROGRAM THAT TAKES PLACE ANNUALLY AND IS OPEN TO LOW-INCOME, ETHNICALLY DIVERSE HIGH SCHOOL SOPHOMORES AND JUNIORS. THE GOAL OF THE PROGRAM IS TO PROMOTE THE REPRESENTATION OF ETHNIC MINORITY AND LOW-INCOME GROUPS IN THE HEALTH PROFESSIONS. SHC STAFF MENTOR STUDENTS IN A VARIETY OF DEPARTMENTS, INCLUDING ORTHOPEDICS, PHARMACY, LIFE FLIGHT, PHYSICAL THERAPY, EMERGENCY. PART III, LINE 2 & 4 THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
PART III, LINE 8 SHC HAS BEEN UTILIZING A COST ACCOUNTING (EPSI) SYSTEM TO MONITOR ITS OPERATION COST. THE SYSTEM SEPARATES THE COST INTO 4 MAJOR CATEGORIES, VARIABLE DIRECT COST, FIXED DIRECT COST, VARIABLE INDIRECT COST AND FIXED INDIRECT COST. THE OVERHEAD COSTS ARE ALLOCATED TO THE REVENUE GENERATED PATIENT CARE COST CENTERS AND INDIVIDUAL PATIENT ACCOUNT BASED ON THE STEP DOWN METHODOLOGY AND VARIOUS STATISTICAL UNITS OF SERVICES. THE COST OF CHARGE RATIO (RCC) FOR MEDICARE PROGRAM IS DETERMINED BY THE TOTAL COST OF SHC DISCHARGED AND FINAL BILLED MEDICARE PATIENTS, INCLUDING ALL 4 COST CATEGORIES MENTIONED ABOVE AND DIVIDED BY THE TOTAL CORRESPONDING DISCHARGED AND FINAL BILLED MEDICARE CHARGES FOR FY 2017. THE AMOUNT OF THE COST FOR PART III, SECTION B LINE 6 IS DETERMINED BY APPLYING THE PAYER SPECIFIC RCC TO ALL CHARGES FOR MEDICARE RELATED PROGRAMS, INCLUDING TRADITIONAL MEDICARE PROGRAM AND MANAGED CARE SENIOR PROGRAMS RESPECTIVELY. SHC'S LARGEST COMMUNITY BENEFIT INVESTMENT IS IN IMPROVING ACCESS TO NEEDED HEALTHCARE SERVICES FOR VULNERABLE COMMUNITY MEMBERS. BENEFITS AND THE SERVICES ARE NOT ONLY PROVIDED TO THE POOR BUT TO THOSE WHO NEED SPECIAL SERVICES AND SUPPORT, WHICH INCLUDES MEDICARE BENEFICIARIES. THUS, TOTAL COMMUNITY BENEFIT EXPENSE INCLUDES UNCOMPENSATED COSTS OF PUBLIC PROGRAM FOR TREATING MEDICARE BENEFICIARIES IN EXCESS OF GOVERNMENT PAYMENTS.
PART III, LINE 9B IT IS THE POLICY OF SHC TO FOLLOW THE STANDARDS AND PRACTICES FOR COLLECTION OF PATIENT DEBT IN ACCORDANCE WITH THE REQUIREMENTS OF CALIFORNIA ASSEMBLY BILL 774. SHC HAS A VARIETY OF OPTIONS FOR PATIENTS FACING FINANCIAL HARDSHIP, INCLUDING UNINSURED DISCOUNTING, NO INTEREST PAYMENT ARRANGEMENTS, AND A CHARITY CARE PROGRAM. PATIENTS WHO APPLY FOR CHARITY CARE AND QUALIFY MAY RECEIVE UP TO 100% FINANCIAL ASSISTANCE. SHC WILL SUSPEND ANY AND ALL COLLECTION ACTIONS IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, INCLUDING ALL REQUISITE SUPPORTING OCUMENTATION, IS RECEIVED. SHC DOES NOT ALLOW THEIR COLLECTION AGENCIES TO REPORT DEBT TO CREDIT BUREAUS, GARNISH WAGES, OR FILE LIENS ON PRIMARY RESIDENCES.
PART VI, LINE 2 NEEDS ASSESSMENT LOCAL COLLABORATIVES WERE FORMED IN SAN MATEO AND SANTA CLARA COUNTIES FOR THE PURPOSE OF IDENTIFYING AND ADDRESSING CRITICAL HEALTH NEEDS OF THE COMMUNITY. THESE COLLABORATIVE ARE GROUPS OF ORGANIZATIONS THAT INCLUDE NONPROFIT HOSPITALS, PUBLIC HEALTH DEPARTMENTS AND OTHER COMMUNITY ORGANIZATIONS. BETWEEN 2015 AND 2016, SHC WORKED TOGETHER WITH THESE COLLABORATIVES TO CONDUCT AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), WHICH MEETS ALL REQUIREMENTS OF THE CALIFORNIA STATE SENATE BILL 697 AS WELL AS IRS REQUIREMENTS FOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGIES PURSUANT TO THE 2010 AFFORDABLE CARE ACT (SECTION 1.501(R)(3)). THROUGH THIS PROCESS, THE COLLABORATIVES COMPILED STATISTICAL DATA AND PROVIDED COMPARISONS AGAINST HEALTHY PEOPLE 2020 BENCHMARKS. WHERE HEALTHY PEOPLE 2020 BENCHMARKS WERE NOT AVAILABLE, STATEWIDE AVERAGES AND RATES WERE USED AS BENCHMARKS. THE COLLABORATIVE CONDUCTED PRIMARY RESEARCH USING THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH COMMUNITY LEADERS AND STAKEHOLDERS, AND RESIDENT FOCUS GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY, AND IN ALIGNMENT WITH THE IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICAL UNDERSERVED, IN POVERTY, AND OF MINORITY POPULATIONS. IN SANTA CLARA COUNTY, THE COLLABORATIVE GATHERED FURTHER COMMUNITY INPUT THROUGH AN ONLINE SURVEY. THE SURVEY ASKED PARTICIPANTS TO RANK A LIST OF HEALTH NEEDS IN SANTA CLARA COUNTY AND INVITED THEM TO ADD OTHER NEEDS TO THE LIST. SURVEY PARTICIPANTS ALSO CONTRIBUTED INFORMATION ABOUT THE CURRENT ASSETS AND RESOURCES AVAILABLE TO MEET HEALTH NEEDS. THIS DATA COLLECTION WAS SYNTHESIZED AND PRODUCED A LIST OF 21 SIGNIFICANT HEALTH NEEDS ACROSS SANTA CLARA AND SAN MATEO COUNTIES. THE STANFORD HEALTH CARE COMMUNITY PARTNERSHIP PROGRAM STEERING COMMITTEE PRIORITIZED THE LIST OF SIGNIFICANT HEALTH NEEDS BY APPLYING THE FOLLOWING CRITERIA: - CRITERION 1: CUTS ACROSS BOTH SAN MATEO AND SANTA CLARA COUNTIES (IMPACTS SHC'S COMMUNITY) - CRITERION 2: IDENTIFIED AS A PRIORITY HEALTH NEED BY COMMUNITY INPUT - CRITERION 3: SHC HAS THE REQUIRED EXPERTISE AND RESOURCES TO MAKE AN IMPACT - CRITERION 4: MAGNITUDE/SCALE - AFFECTS A LARGE NUMBER OF INDIVIDUALS - CRITERION 5: ALTHOUGH NOT A NEED IN THE GENERAL POPULATION, DISPARITIES OR INEQUITIES EXIST FIVE OF THE 21 SIGNIFICANT HEALTH NEEDS ACROSS SANTA CLARA AND SAN MATEO COUNTIES MET ALL FIVE PRIORITIZATION CRITERIA. THESE FIVE HEALTH NEEDS ARE: ACCESS & DELIVERY OF CARE, BEHAVIORAL HEALTH, CANCER, COMMUNICABLE DISEASES, AND OBESITY & DIABETES. STRATEGIES TO ADDRESS THESE FIVE HEALTH NEEDS WERE INCLUDED IN THE 2017-2019 SHC IMPLEMENTATION STRATEGY, WHICH CAN BE FOUND HERE: HTTPS://STANFORDHEALTHCARE.ORG/CONTENT/DAM/SHC/ABOUT-US/PUBLIC- SERVICES-AND-COMMUNITY-PARTNERSHIPS/DOCS/SHC-FY17-19-IS-FINAL-WITH- COVER.PDF
PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SHC PROVIDES DEDICATED RESOURCES TO PATIENTS THAT APPLY FOR CHARITY CARE AND PROACTIVELY CONDUCTS OUTREACH TO PATIENTS TO INFORM THEM OF THE PROGRAM'S AVAILABILITY AND THEIR POTENTIAL ELIGIBILITY FOR ASSISTANCE. BROCHURES AND SIGNAGE ARE CONSPICUOUSLY DISPLAYED AT ALL CARE DELIVERY LOCATIONS WITH INSTRUCTION ON WHERE TO LOCATE ADDITIONAL INFORMATION ON ELIGIBILITY FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE APPLICATIONS, AND INSTRUCTIONS ON HOW TO APPLY ARE ALSO AVAILABLE ON THE SHC WEBSITE, VIA MAIL, AND IN ALL SHC CARE DELIVERY LOCATIONS.
PART VI, LINE 4 COMMUNITY INFORMATION SHC IS A REGIONAL REFERRAL CENTER FOR AN ARRAY OF ADULT SPECIALTIES, DRAWING PATIENTS FROM THROUGHOUT CALIFORNIA, ACROSS THE COUNTRY, AND INTERNATIONALLY. HOWEVER, DUE TO ITS LOCATION IN PALO ALTO, ON THE NORTHERN END OF SANTA CLARA COUNTY AND BORDERING SAN MATEO COUNTY, THE MAJORITY OF SHC'S PATIENTS (MORE THAN 66%) ARE RESIDENTS OF SAN MATEO AND SANTA CLARA COUNTIES. THEREFORE, FOR THE PURPOSES OF ITS COMMUNITY BENEFIT PROGRAM, SHC HAS IDENTIFIED THESE TWO COUNTIES AS ITS TARGET COMMUNITY. SHC MAINTAINS A STRONG COMMITMENT TO THE HEALTH OF ITS COMMUNITY MEMBERS AND DEDICATES CONSIDERABLE RESOURCES TO SUPPORT ITS COMMUNITY BENEFIT PROGRAM. ALTHOUGH SHC CARES FOR PATIENTS FROM THROUGHOUT CALIFORNIA, AS WELL AS NATIONALLY AND INTERNATIONALLY, MORE THAN TWO-THIRDS OF ITS PATIENTS LIVE IN SAN MATEO (SMC) AND SANTA CLARA (SCC) COUNTIES. THEREFORE, FOR THE PURPOSES OF ITS COMMUNITY BENEFIT INITIATIVES AND REPORTING, SHC HAS IDENTIFIED THESE TWO COUNTIES AS ITS TARGET COMMUNITY. IN 2016, APPROXIMATELY 1.9 MILLION RESIDENTS LIVED IN SANTA CLARA COUNTY. SAN MATEO COUNTY IS FAR SMALLER WITH APPROXIMATELY 765,000 RESIDENTS IN 2016. THE ETHNIC MAKE-UP OF BOTH COUNTIES IS APPROXIMATELY 60% WHITE, 33% ASIAN, 25% HISPANIC/LATINO, AND 3% BLACK/AFRICAN-AMERICAN. THE ASIAN PACIFIC ISLANDER POPULATION IS GREATER IN SAN MATEO COUNTY (2%) THAN IN SANTA CLARA COUNTY (0.5%). MORE THAN ONE-THIRD OF RESIDENTS IN BOTH COUNTIES ARE FOREIGN-BORN. THE FEDERAL POVERTY LINE (FPL) IS THE TRADITIONAL MEASURE OF POVERTY IN A COMMUNITY. UNFORTUNATELY, THE FPL DOES NOT TAKE INTO CONSIDERATION LOCAL CONDITIONS SUCH AS THE HIGH COST OF LIVING IN THE SAN FRANCISCO BAY AREA. AS SUCH, THE CALIFORNIA SELF-SUFFICIENCY STANDARD (CASSS) IS A BETTER ESTIMATE OF ECONOMIC STABILITY IN BOTH COUNTIES. CASSS CITES THAT APPROXIMATELY 30% OF HOUSEHOLDS ACROSS SCC AND SMC IN 2018 WERE UNABLE TO MEET THEIR BASIC NEEDS. FOR A SINGLE PARENT WITH 2 CHILDREN, CASSS ESTIMATES THAT AN ANNUAL INCOME OF $107,000 IN SCC AND $126,000 IN SMC WAS NECESSARY TO MEET BASIC NEEDS. WHILE MINIMUM WAGE WAS $13.00 (SCC) AND $13.50 (SMC) PER HOUR IN 2018, TO MEET THE CASSS ESTIMATE AN HOURLY WAGE OF $50 (SCC) AND $60 (SMC) WAS REQUIRED. LASTLY, CASSS REPORTS A 25% INCREASE IN THE COST OF LIVING ACROSS BOTH COUNTIES BETWEEN 2015 AND 2018. UNFORTUNATELY, THE BUREAU OF LABOR STATISTICS CITES ONLY A 4% PER YEAR AVERAGE INCREASE IN WAGES ACROSS THE SAN JOSE-SAN FRANCISCO-OAKLAND METROPOLITAN AREA DURING THE 2015-2018 TIME PERIOD. IN 2018, INSIGHT PUBLISHED THE COST OF BEING CALIFORNIAN, WHICH CITES SIGNIFICANT INCOME, ETHNIC, AND GENDER DISPARITIES EXIST ACROSS CALIFORNIA . THE KEY FINDINGS OF THE COST OF BEING CALIFORNIA REPORT, INCLUDE: - CALIFORNIA (CA) HOUSEHOLDS OF COLOR ARE TWICE AS LIKELY AS WHITE HOUSEHOLDS TO LACK ADEQUATE INCOME TO MEET THEIR BASIC NEEDS - 52% OF LATINO CA HOUSEHOLDS ARE STRUGGLING TO GET BY VS. 23% OF WHITE HOUSEHOLDS - CA HOUSEHOLDS OF COLOR MAKE UP 57% OF ALL CALIFORNIA HOUSEHOLDS, BUT CONSTITUTE 72% OF HOUSEHOLDS THAT FALL BELOW THE CASSS - WOMEN IN CA ARE MORE ECONOMICALLY DISADVANTAGED THAN MEN ACROSS MANY FACTORS, INCLUDING LOWER PAY, TAKING UNPAID TIME TO CARE FOR CHILDREN OR FAMILY MEMBERS, UNDEREMPLOYMENT, AND OCCUPATIONAL SEGREGATION - HAVING CHILDREN NEARLY DOUBLES THE CHANCE OF LIVING BELOW CASSS - POLICY CHANGE TO INCREASE WAGES, INSTITUTE COMPREHENSIVE PAID FAMILY LEAVE, CURB RISING HOUSING COSTS, AND ESTABLISH UNIVERSAL CHILD CARE ARE NEEDED
PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH STANFORD HEALTH CARE MAKES ANNUAL COMMUNITY INVESTMENT GRANTS TO COMMUNITY NONPROFITS WORKING ON SIGNIFICANT HEALTH NEEDS AS DETERMINED BY THE MOST RECENT CHNA. IN ADDITION, THE HOSPITAL MAKES SIGNIFICANT INVESTMENTS THAT PROMOTE THE HEALTH OF THE COMMUNITY. THESE PROGRAMS ARE FULLY DESCRIBED IN THE FY2018 COMMUNITY BENEFIT REPORT AND IMPLEMENTATION PLAN FILED JANUARY 2019 WITH THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. A THOROUGH ACCOUNTING OF THE HOSPITAL'S EFFORTS TO PROMOTE COMMUNITY HEALTH CAN BE READ IN THE REPORT, WHICH IS AVAILABLE AT HTTPS://STANFORDHEALTHCARE.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS.HTML. BELOW IS A LISTING OF STANFORD HEALTH CARE'S SERVICES AND ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE: HEALTH PROFESSIONS EDUCATION THE HOSPITAL IS A MAJOR EMPLOYER IN THE COMMUNITY IT SERVES AND, AS AN ACADEMIC MEDICAL CENTER, INVESTS SIGNIFICANTLY IN TRAINING THE HEALTH-CARE PROFESSIONALS OF THE FUTURE. THE HOSPITAL IS A MAJOR PROVIDER OF TRAINING FOR RESIDENT PHYSICIANS, FELLOWS AND MEDICAL STUDENTS, NURSES, AND ALLIED HEALTH PROFESSIONS FROM AROUND THE REGION FROM VARIOUS ORGANIZATIONS. COMMUNITY HEALTH IMPROVEMENT THE HOSPITAL CONDUCTS MULTIPLE PROGRAMS THAT ARE OFFERED AT NO COST TO COMMUNITY MEMBERS AND SEEKS TO IMPROVE THE HEALTH AND HEALTH KNOWLEDGE OF THE COMMUNITY. THESE ACTIVITIES INCLUDE CLINICAL TRIALS INFORMATION AND ENROLLMENT SERVICES, HEALTH INSURANCE ENROLLMENT SERVICES FOR LOW-INCOME ADULTS AND CHILDREN, COMMUNITY HEALTH EDUCATIONS PROGRAMS, SUPPORTIVE CARE PROGRAMS FOR CANCER AND NEUROSCIENCE PATIENTS, AND ONGOING RESEARCH IN THE AREAS OF CARE DELIVERY AND QUALITY IMPROVEMENT. COMMUNITY BUILDING ACTIVITIES THE HOSPITAL PARTICIPATES IN A MYRIAD OF COMMUNITY BUILDING ACTIVITIES THAT SEEK TO IMPROVE THE COMMUNITY'S HEALTH AND SAFETY. THESE SERVICES AND ACTIVITIES ARE EITHER PROVIDED BY THE HOSPITAL ITSELF OR INVOLVE SUPPORT FOR COMMUNITY ORGANIZATIONS WORKING IN THE AREAS OF: POVERTY, HOMELESSNESS, ECONOMIC DEVELOPMENT, ETC. HOSPITAL LEADERSHIP ALSO VOLUNTEERS THEIR EXPERTISE ON MULTIPLE COMMUNITY NONPROFIT BOARDS WORKING TO IMPROVE THE HEALTH OF THE COMMUNITY. THE HOSPITAL ALSO SUPPORTS LOCAL EMERGENCY MANAGEMENT EFFORTS, SUPPORTS ECONOMIC AND WORKFORCE DEVELOPMENT IN THE REGION, AND ADVOCATES FOR COMMUNITY HEALTH ISSUES. ACADEMIC MEDICAL CENTER - RESEARCH STANFORD HEALTH CARE IS PART OF STANFORD UNIVERSITY SCHOOL OF MEDICINE, THE WEST COAST'S OLDEST MEDICAL SCHOOL AND WORLDWIDE LEADER IN PATIENT CARE, EDUCATION, RESEARCH, AND INNOVATION. STANFORD HEALTH CARE IS PROUD TO BE THE PRIMARY TEACHING HOSPITAL OF STANFORD UNIVERSITY SCHOOL OF MEDICINE-ONE OF THE TOP RANKED ACADEMIC MEDICAL INSTITUTIONS IN THE COUNTRY. THROUGHOUT HISTORY, STANFORD UNIVERSITY SCHOOL OF MEDICINE HAS BEEN HOME TO CUTTING-EDGE MEDICAL ADVANCES, INCLUDING THE FIRST SUCCESSFUL ADULT HUMAN HEART TRANSPLANT IN THE COUNTRY AND THE FIRST COMBINED HEART-LUNG TRANSPLANT IN THE WORLD. STANFORD HEALTH CARE FUNDS ONGOING RESEARCH THROUGH STANFORD UNIVERSITY SCHOOL OF MEDICINE THAT SEEKS TO IMPROVE THE HEALTH OF OUR COMMUNITY.
PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM IN MAY 2015, THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS (VCHS) BECAME AN AFFILIATE OF STANFORD HEALTH CARE (SHC). VCHS PARTNERS WITH SHC TO SERVE THE EAST BAY'S TRI-VALLEY REGION OF LIVERMORE, DUBLIN AND PLEASANTON. VCHS'S FACILITIES IN LIVERMORE, DUBLIN AND PLEASANTON INCLUDE VALLEY MEDICAL CENTER, EMERGENCY SERVICES AND TWO URGENT CARE CENTERS. VCHS ALLOWS SHC TO EXPAND ITS PRESENCE IN THE CRITICAL TRI-VALLEY AREA BY PARTNERING WITH A HIGH QUALITY, HIGH VALUE COMMUNITY HOSPITAL. VCHS WILL PARTICIPATE IN ALL THREE OF SHC'S MISSIONS BY PROVIDING SHC'S LEADING EDGE CLINICAL CARE IN THE VCHS COMMUNITY, TRAINING FUTURE MEDICAL LEADERS THROUGH RESIDENCY ROTATIONS AND OTHER ACADEMIC PURSUITS, AND PROVIDING THE TRI-VALLEY AREA INCREASED ACCESS TO CLINICAL TRIALS FOR LIFE-SAVING TREATMENTS. IN ADDITION, SHC'S GROWING EXPERTISE IN POPULATION AND PRECISION HEALTH WILL BE LEVERAGED TO SERVE THIS COMMUNITY.
PART VI, LINE 7 ALL STATES IN WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: CALIFORNIA
Schedule H (Form 990) 2017
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