Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $2,193,262

• 2a · Program service revenue: PATIENT SERVICE REVENUE

  total $365,162,341 · related or exempt $365,162,341 · unrelated business $0 · excluded $0

• 2b · Program service revenue: ON CALL COVERAGE/PHYSICIAN OUTSIDE REV

  total $3,870,665 · related or exempt $3,870,665 · unrelated business $0 · excluded $0

• 2c · Program service revenue: TEACHING REVENUE

  total $2,676,279 · related or exempt $2,676,279 · unrelated business $0 · excluded $0

• 2d · Program service revenue: OTHER OPERATING REVENUE - CLINIC

  total $5,325,674 · related or exempt $5,325,674 · unrelated business $0 · excluded $0

• 2e · Program service revenue: MEDICARE SHARED SAVINGS PROGRAM (MSSP)

  total $17,590,911 · related or exempt $17,590,911 · unrelated business $0 · excluded $0

• 2f · All other program service revenue

  total $3,103,043 · related or exempt $3,103,043 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $1,634,597 · related or exempt $0 · unrelated business $0 · excluded $1,634,597

• 4 · Income from investment of tax-exempt bond proceeds

  total $0

• 5 · Royalties

  total $0

• 6c · Rental income or loss

  real property $0 · personal property $0

• 6d · Net rental income or loss

  total $0

• 7a · Gross sales of assets other than inventory

  other assets $42,900

• 7b · Less cost or other basis and sales expenses

  other assets $157,176

• 7c · Gain or loss

  other assets -$114,276

• 7d · Net gain or loss

  total -$114,276 · related or exempt -$114,276

• 8a · Fundraising events: gross income

  $0

• 8b · Fundraising events: direct expenses

  $0

• 8c · Net income from fundraising events

  total $0

• 9a · Gaming: gross income

  $0

• 9b · Gaming: direct expenses

  $0

• 9c · Net income from gaming

  total $0

• 10a · Gross sales of inventory

  $0

• 10b · Cost of goods sold

  $0

• 10c · Net income from sales of inventory

  total $0

• 11a · Other revenue: LOSS ON DISPOSAL OF ASSETS

  total -$370,043 · related or exempt -$370,043

• 11e · Other revenue, total

  -$370,043

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $0

• 2 · Grants to domestic individuals

  total $0

• 3 · Grants to foreign organizations and individuals

  total $0

• 4 · Benefits paid to or for members

  total $0

• 5 · Compensation of officers, directors and key employees

  total $3,573,449 · program services $0 · management and general $3,573,449 · fundraising $0

• 6 · Compensation of disqualified persons

  total $0

• 7 · Other salaries and wages

  total $90,071,274 · program services $70,131,162 · management and general $19,940,112 · fundraising $0

• 8 · Pension plan contributions

  total $5,773,891 · program services $4,349,461 · management and general $1,424,430 · fundraising $0

• 9 · Other employee benefits

  total $46,773,443 · program services $43,843,325 · management and general $2,930,118 · fundraising $0

• 10 · Payroll taxes

  total $5,840,737 · program services $4,108,577 · management and general $1,732,160 · fundraising $0

• 11a · Fees: management

  total $531,184 · program services $107,308 · management and general $423,876 · fundraising $0

• 11b · Fees: legal

  total $995,773 · program services $0 · management and general $995,773 · fundraising $0

• 11c · Fees: accounting

  total $204,667 · program services $0 · management and general $204,667 · fundraising $0

• 11d · Fees: lobbying

  total $0

• 11e · Fees: professional fundraising services

  total $0

• 11f · Fees: investment management

  total $0

• 11g · Fees: other

  total $215,238,181 · program services $210,997,363 · management and general $4,240,818 · fundraising $0

• 12 · Advertising and promotion

  total $814 · program services $0 · management and general $814 · fundraising $0

• 13 · Office expenses

  total $62,292,402 · program services $60,356,472 · management and general $1,935,930 · fundraising $0

• 14 · Information technology

  total $858,351 · program services $116,509 · management and general $741,842 · fundraising $0

• 15 · Royalties

  total $0

• 16 · Occupancy

  total $28,527,131 · program services $23,265,257 · management and general $5,261,874 · fundraising $0

• 17 · Travel

  total $283,208 · program services $250,975 · management and general $32,233 · fundraising $0

• 18 · Travel or entertainment for public officials

  total $0

• 19 · Conferences, conventions and meetings

  total $37,532 · program services $12,735 · management and general $24,797 · fundraising $0

• 20 · Interest

  total $0

• 21 · Payments to affiliates

  total $0

• 22 · Depreciation, depletion and amortization

  total $8,947,269 · program services $8,087,933 · management and general $859,336 · fundraising $0

• 23 · Insurance

  total $1,133,959 · program services $141,280 · management and general $992,679 · fundraising $0

• 24a · Other expenses: TEMPORARY PERSONNEL

  total $4,036,686 · program services $3,931,971 · management and general $104,715 · fundraising $0

• 24b · Other expenses: BANK FEES

  total $549,294 · program services $0 · management and general $549,294 · fundraising $0

• 24c · Other expenses: MARKETING

  total $500,000 · program services $0 · management and general $500,000 · fundraising $0

• 24d · Other expenses: DUES

  total $269,274 · program services $176,318 · management and general $92,956 · fundraising $0

• 24e · All other expenses

  total $407,458 · program services $422,875 · management and general -$15,417

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $700 · end of year $0

• 2 · Savings and temporary cash investments

  beginning of year $35,118,815 · end of year $36,550,387

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $27,493,185 · end of year $27,164,539

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $22,097,507 · end of year $19,798,056

• 8 · Inventories for sale or use

  beginning of year $781,986 · end of year $1,171,720

• 9 · Prepaid expenses and deferred charges

  beginning of year $15,204,396 · end of year $15,334,011

• 10a · Land, buildings and equipment: cost or other basis

  $89,471,565

• 10b · Land, buildings and equipment: accumulated depreciation

  $59,726,575

• 10c · Land, buildings and equipment, net

  beginning of year $31,685,545 · end of year $29,744,990

• 11 · Investments: publicly traded securities

  beginning of year $0 · end of year $0

• 12 · Investments: other securities

  beginning of year $3,420,530 · end of year $5,136,769

• 13 · Investments: program-related

  beginning of year $0 · end of year $0

• 14 · Intangible assets

  beginning of year $0 · end of year $0

• 15 · Other assets

  beginning of year $48,179,700 · end of year $50,302,687

• 17 · Accounts payable and accrued expenses

  beginning of year $63,416,650 · end of year $55,676,672

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $590,080 · end of year $608,325

• 20 · Tax-exempt bond liabilities

  beginning of year $0 · end of year $0

• 21 · Escrow or custodial account liability

  beginning of year $0 · end of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $0 · end of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $59,916,426 · end of year $61,211,261

• 27 · Net assets without donor restrictions

  beginning of year $60,059,208 · end of year $67,706,901

• 28 · Net assets with donor restrictions

  beginning of year $0 · end of year $0

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3

THE ORGANIZATION RELIES ON SHC TRI-VALLEY, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. SHC TRI-VALLEY UTILIZES THE SERVICES OF WILLIS TOWERS WATSON FOR COMPENSATION BENCHMARKING, ANALYSIS, AND REPORTING. THE BOARD OF DIRECTORS HAS A COMPENSATION & WORKFORCE SUB-COMMITTEE WHO REVIEWS THE RESULTS OF THE COMPENSATION REVIEW AND IS ASSURED THAT TOTAL COMPENSATION IS CONSISTENT WITH THE MARKET. THIS PROCESS WAS LAST PERFORMED IN NOVEMBER 2023. 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 COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE DELIBERATION AND DECISION.

SCHEDULE J, PART I, LINE 4A

DURING CALENDAR YEAR 2022, NORMAN RIZK RECEIVED A PAYMENT OF $1,189,946 THAT WAS PAYABLE ON HIS RETIREMENT FROM HIS POSITION AT THE STANFORD SCHOOL OF MEDICINE. MICHAEL O'CONNELL RECEIVED A LUMP SUM SEVERANCE PAYMENT OF $210,658 IN 2022.

SCHEDULE J, PART I, LINE 4B

CERTAIN OFFICERS AND DIRECTORS OF UNIVERSITY HEALTHCARE ALLIANCE (UHA) DBA STANFORD MEDICINE PARTNERS (SMP) ARE PROVIDED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS BY STANFORD HEALTH CARE, A RELATED ORGANIZATION. FOR EACH CALENDAR YEAR, A HYPOTHETICAL ACCOUNT IS ESTABLISHED FOR EACH PARTICIPANT AND CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION) AS OF THE LAST DAY OF EACH QUARTER. THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN EACH CALENDAR YEAR ACCOUNT ON THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED (OR, IF LATER, THE DATE ON WHICH THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION). THE PARTICIPANT BECOMES FULLY VESTED IN HIS OR HER ACCOUNTS UNDER THE SERP UPON THE EARLIEST OF (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) ATTAINMENT OF AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; (D) COMPLETION OF SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) DEATH. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2022: CATHERINE KRNA $ 53,176 QUINN MCKENNA $ 152,613 LINDA HOFF $ 117,466 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 2022, IF ANY, ARE REPORTED IN COLUMN (F). AS SHC TRI-VALLEY'S PRESIDENT, RICK SHUMWAY PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT HIS RETIREMENT BENEFITS. UNDER THE PLAN, A HYPOTHETICAL ACCOUNT IS ESTABLISHED FOR THE PARTICIPANT AND CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY AS OF THE LAST DAY OF EACH QUARTER. THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. THE PARTICIPANT BECOMES VESTED IN EACH CALENDAR YEAR ACCOUNT ON THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED (OR, IF LATER, THE DATE ON WHICH THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION). THE PARTICIPANT BECOMES FULLY VESTED IN HIS OR HER ACCOUNTS UNDER THE SERP UPON THE EARLIEST OF (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) ATTAINMENT OF AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; (D) COMPLETION OF SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) DEATH. THE FOLLOWING AMOUNT BECAME VESTED AND WAS PAID TO RICK SHUMWAY IN CALENDAR YEAR 2022: $65,868.

SCHEDULE J, PART I, LINE 7

OFFICERS AND OTHERS WITH AMOUNTS IN COLUMN (B)(II) RECEIVE BONUS AWARDS AND INCENTIVE COMPENSATION. THE ANNUAL INCENTIVE PLAN (AIP) IS BASED ON ACHIEVING CERTAIN GOALS ESTABLISHED PRIOR TO THE NEW FISCAL YEAR. THE GOALS ARE BASED ON THE FOCUSED AREAS, SUCH AS PATIENT CARE, QUALITY/SAFETY SERVICE, FINANCIAL RESULT, AND DEPARTMENT/PERSONAL PERFORMANCE.

SCHEDULE J, PART II

DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS OF SMP. HOWEVER, THE INDIVIDUALS LISTED WERE ALSO EMPLOYEES OF RELATED ORGANIZATIONS, POSITIONS FOR WHICH THEY RECEIVED COMPENSATION AS REPORTED IN PART II.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• UHA ACO LLC

  MSSP ACO · CA · income $17,590,911 · assets $18,093,806

  Directly controlled by SMP

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• ADOM PARTNERS LP

  INVESTMENTS · DE

  Directly controlled by NA

• ALBUS SELECT FUND LP

  INVESTMENTS · DE

  Directly controlled by NA

• AM ENGINE HOLDINGS FUND I LP

  INVESTMENTS · DE

  Directly controlled by NA

• ARCOLA VENTURE LLC

  REAL ESTATE · DE

  Directly controlled by NA

• CANARY SC FUND LP

  INVESTMENTS · DE

  Directly controlled by NA

• CANARY SC MASTER FUND LP

  INVESTMENTS · CJ

  Directly controlled by NA

• CARLSBAD CO-INVEST LP

  INVESTMENTS · DE

  Directly controlled by NA

• CERASUS FUND II CAYMAN LP

  INVESTMENTS · CJ

  Directly controlled by NA

• CHP GTS BLOCKER HOLDINGS A LP

  INVESTMENTS · DE

  Directly controlled by NA

• CROSSPOINT CAPITAL FUND II LP

  INVESTMENTS · CA

  Directly controlled by NA

• CYPRESS MARINA HEIGHTS LLC

  INVESTMENTS · CA

  Directly controlled by NA

• DGD INVESTMENT LP

  INVESTMENTS · CJ

  Directly controlled by NA

• EAGLE ROCK LI HOLDINGS LLC

  INVESTMENTS · DE

  Directly controlled by NA

• EDEN RADIATION THERAPY SERVICES LLC

  HEALTHCARE · CA

  Directly controlled by NA

• ER-S JV LLC

  INVESTMENTS · DE

  Directly controlled by NA

• ER-S JV II LLC

  INVESTMENTS · DE

  Directly controlled by NA

• ER-S INVESTOR LLC

  INVESTMENTS · DE

  Directly controlled by NA

• ER-S INVESTOR II LLC

  INVESTMENTS · DE

  Directly controlled by NA

• ER PROPERTIES FUND LLC

  INVESTMENTS · DE

  Directly controlled by NA

• ER PROPERTIES FUND II LLC

  INVESTMENTS · DE

  Directly controlled by NA

• EZP OPPORTUNITY LP

  INVESTMENTS · DE

  Directly controlled by NA

• FORTRESS IW COINVESTMENT (FUND B) LP

  INVESTMENTS · CJ

  Directly controlled by NA

• FOUR CROSSINGS INSTITUTIONAL PARTNERS V

  INVESTMENTS · DE

  Directly controlled by NA

• FOXLANE LP

  INVESTMENTS · DE

  Directly controlled by NA

• HHBG-II INVESTMENT LP

  INVESTMENTS · CJ

  Directly controlled by NA

• KEB INVESTORS II LP

  INVESTMENTS · BD

  Directly controlled by NA

• KF VERMILLION FUND LP

  INVESTMENTS · DE

  Directly controlled by NA

• LSF V DHB HOLDINGS LP

  INVESTMENTS · DE

  Directly controlled by NA

• OLIFANT FUND LTD

  INVESTMENTS · CJ

  Directly controlled by NA

• ONCOLOGY SOLUTIONS VENTURE LLC

  HEALTHCARE · CA

  Directly controlled by NA

• OUTLAWS CASINO LTD

  HOLDING COMPANY · CO

  Directly controlled by NA

• SANDPIPER FUND LP

  INVESTMENT · TX

  Directly controlled by NA

• SCP REAL ASSETS FUND (A) LP

  INVESTMENTS · DE

  Directly controlled by NA

• SEQUOIA MFM OPERATING COMPANY LLC

  MFM PROGRAM · CA

  Directly controlled by NA

• SP SMC PARTNERS LLC

  INVESTMENTS · DE

  Directly controlled by NA

• STANFORD EMANUEL RADIATION ONCOLOGY CENT

  RADIOLOGY · CA

  Directly controlled by NA

• STANFORD PET-CT LLC

  MED. DIAGNOST · CA

  Directly controlled by NA

• STANFORD-STARTX FUND LLC

  INVESTMENTS · DE

  Directly controlled by NA

• SUMIT HOLDING INTERNATIONAL LLC

  HOLDING COMPANY · DE

  Directly controlled by NA

• TESSERA IONIC LP

  INVESTMENTS · DE

  Directly controlled by NA

• VEDA INVESTORS FUND LP

  INVESTMENTS · DE

  Directly controlled by NA

• VERMILION PEAK MASTER FUND

  INVESTMENTS · CJ

  Directly controlled by NA

• WREP III A LP

  INVESTMENTS · DE

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• BREP VII ALBERTA FDR (OFFSHORE) TE7 LP

  C CORP · INVESTMENTS · CA

  Directly controlled by NA

• BREP VII ALBERTA FDR (OFFSHORE) TE7-NQ

  C CORP · INVESTMENTS · CA

  Directly controlled by NA

• CANARY SC FUND LTD

  C CORP · INVESTMENTS · CJ

  Directly controlled by NA

• CLAT (13)

  TRUST · CHARITABLE TR · CA

  Directly controlled by NA

• CLUT (2)

  TRUST · CHARITABLE TR · CA

  Directly controlled by NA

• CRT (561)

  TRUST · CHARITABLE TR · CA

  Directly controlled by NA

• EAST SAIL

  C CORP · INVESTMENTS · MP

  Directly controlled by NA

• ER-S REIT LLC

  C CORP · INVESTMENTS · DE

  Directly controlled by NA

• ER-S REIT II LLC

  C CORP · INVESTMENTS · DE

  Directly controlled by NA

• GAVEA INVESTMENT FUND II-C LP

  C CORP · INVESTMENTS · CJ

  Directly controlled by NA

• HHBG SF LIMITED

  C CORP · INVESTMENTS · CJ

  Directly controlled by NA

• KAIZEN FUND

  C CORP · INVESTMENTS · CJ

  Directly controlled by NA

• LS ALBERTA III LP

  C CORP · INVESTMENTS · CA

  Directly controlled by NA

• LUMINA STRATEGIC SOLUTIONS FEEDER FUND (

  C CORP · INVESTMENTS · CA

  Directly controlled by NA

• OTHER (4)

  TRUST · CHARITABLE TR · CA

  Directly controlled by NA

• PIF (2)

  TRUST · CHARITABLE TR · CA

  Directly controlled by NA

• PEPPERTREE CAPITAL CAYMAN ISLAND FUND LP

  C CORP · INVESTMENTS · CJ

  Directly controlled by NA

• PROFESSIONAL EXCHANGE ASSURANCE COMPANY

  C CORP · INSURANCE · HI · 63.43% owned · share of income -$308,812 · share of assets $9,295,651 · controlled entity

  Directly controlled by SMP

• SBFF LTD

  C CORP · INVESTMENTS · CJ

  Directly controlled by NA

• SOLKATT LIMITED

  C CORP · INVESTMENTS · CJ

  Directly controlled by NA

• STANFORD (BEIJING) CNSLTNG CO LTD (WFOE)

  C CORP · EDUCATION · CH

  Directly controlled by NA

• STANFORD IN JAPAN GODO KAISHA

  C CORP · EDUCATION · JA

  Directly controlled by NA

• STANFORD INDIA PVT LTD

  C CORP · EDUCATION · IN

  Directly controlled by NA

• STANFORD MEDICINE INTL (HONG KONG) CO LT

  C CORP · PATIENT SRVC · HK

  Directly controlled by NA

• STANFORD UNIV MED NETWORK RISK AUTHORITY

  C CORP · RISK MGMT CON · CA

  Directly controlled by NA

• THE RUBRUM FUND

  C CORP · INVESTMENTS · CJ

  Directly controlled by NA

• TRIVISTA FUND

  C CORP · INVESTMENTS · CJ

  Directly controlled by NA

• TVC MATSU FUND

  C CORP · INVESTMENTS · CJ

  Directly controlled by NA

• VERMILION PEAK FUND

  C CORP · INVESTMENTS · CJ

  Directly controlled by NA

• WOODBOURNE CANADA PARTNERS II - CAYMAN

  C CORP · INVESTMENTS · CJ

  Directly controlled by NA