2024-06-24T14:04:45-05:00 2023-08-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2022-09-01 770440090 LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH LUCI 6504619800 400 HAMILTON AVENUE 340 PALO ALTO CA 94301 KATHRYN COULBOURN CFO 6504619868 2024-06-24 1 KATHRYN COULBOURN XXX-XX-XXXX 0 MEGAN R RYAN P00737884 4254544919 2024-06-20 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KATHRYN COULBOURN 400 HAMILTON AVENUE 340 PALO ALTO CA 94301 147023091 0 X WWW.LPFCH.ORG X 1996 CA THE LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH UNLOCKS PHILANTHROPY TO TRANSFORM HEALTH FOR CHILDREN AND FAMILIES IN OUR COMMUNITY AND AROUND THE WORLD. WE FOCUS ON FUNDRAISING FOR LUCILE PACKARD CHILDREN'S HOSPITAL AND THE MATERNAL AND CHILD HEALTH PROGRAMS OF STANFORD UNIVERSITY SCHOOL OF MEDICINE, ADVANCING EQUITY AND ACCESS TO CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND RAISING AWARENESS AND SUPPORT FOR CHILDREN'S HEALTH ISSUES. 31 29 153 423 0 134093 201991701 92198414 28359562 34679032 -183849 285736 -134836 4561626 230032578 131724808 111820786 170322267 0 0 21110509 25375987 156550 104275 28508274 9378067 11874053 142465912 207676582 87566666 -75951774 458952440 396420935 51281050 59017208 407671390 337403727 X THE LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH UNLOCKS PHILANTHROPY TO TRANSFORM HEALTH FOR CHILDREN AND FAMILIES IN OUR COMMUNITY AND AROUND THE WORLD. WE FOCUS ON FUNDRAISING FOR LUCILE PACKARD CHILDREN'S HOSPITAL AND THE MATERNAL AND CHILD HEALTH PROGRAMS OF STANFORD UNIVERSITY SCHOOL OF MEDICINE, ADVANCING EQUITY AND ACCESS TO CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND RAISING AWARENESS AND SUPPORT FOR CHILDREN'S HEALTH ISSUES. 0 0 167742706 167742706 34679032 DEVELOPMENT: THE FOUNDATION RAISES FUNDS TO SUPPORT THE LUCILE PACKARD CHILDREN'S HOSPITAL STANFORD AND THE CHILD HEALTH PROGRAMS AT THE STANFORD SCHOOL OF MEDICINE. ONE HUNDRED PERCENT OF FUNDS RAISED ARE TRANSFERRED TO THE HOSPITAL AND SCHOOL OF MEDICINE ON A MONTHLY BASIS. THE FOUNDATION COMPLETED ITS LAST CAMPAIGN AT THE END OF 2012, RAISING A TOTAL OF $548M AGAINST A CAMPAIGN GOAL OF $500M. THE FOUNDATION HAS ENTERED A NEW CAMPAIGN AND IS SOLICITING LEAD GIFTS. 4844867 2579561 CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS: THROUGH ITS PROGRAM WORK, THE FOUNDATION SEEKS TO BUILD AWARENESS ABOUT ISSUES AFFECTING CHILDREN'S HEALTH BY INVESTING IN PROGRAMS TO ENHANCE THE SYSTEM OF CARE FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES. DURING THE FISCAL YEAR ENDED AUGUST 31, 2023, THE FOUNDATION INVESTED APPROXIMATELY $4.8 MILLION IN THIS AREA. 172587573 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 1 1 1 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 120 0 153 1 1 1 0 0 0 0 1 1 1 1 0 0 0 0 0 X 31 29 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 AL AR CA FL GA HI IL KS KY MD MA MI MN MS NH NJ NM NY NC OR PA RI SC TN UT VA WV WI X KATHRYN COULBOURN 6504619868 400 HAMILTON AVENUE SUITE 340 PALO ALTO CA 94301 PAUL KING DIRECTOR 0.30 50.00 X 0 2133596 67969 CYNTHIA BRANDT PRESIDENT & CEO 40.00 0.00 X X 1024651 0 86858 JEFFREY SHILLING SVP, INDIVIDUAL GIVING 40.00 0.00 X 501617 0 83386 KATHRYN COULBOURN CFO 40.00 0.00 X 503733 0 59280 ANN ROSE SENIOR DIRECTOR FOUNDATIONS 40.00 0.00 X 446761 0 53385 ANDREW KAUFTEIL SVP STRATEGIC COMMUNICATIONS 40.00 0.00 X 373510 0 66183 SARAH COLLINS VP PRINCIPAL GIFTS 40.00 0.00 X 380928 0 33698 JAMES DEASY VP STRATEGY & INSTITUTIONAL REL 40.00 0.00 X 312557 0 75213 JEFFORY JOLIN DIRECTOR DEVELOPMENT SYSTEMS 40.00 0.00 X 320148 0 47125 RACHEL OLINGER EXECUTIVE DIRECTOR, CSHCN 40.00 0.00 X 298185 0 57439 CINDI TROST ASSOCIATE VP CAMPAIGNS 40.00 0.00 X 285956 0 50721 SUSAN FORD DORSEY CHAIR 0.30 0.00 X X 0 0 0 PAUL KWAN VICE CHAIR 0.30 0.00 X X 0 0 0 MINDY ROGERS VICE CHAIR (THRU 12/22) 0.30 3.00 X X 0 0 0 DAN BOMZE DIRECTOR 0.30 0.00 X 0 0 0 JONATHAN COSLET DIRECTOR 0.30 10.00 X 0 0 0 C BRYAN CAMERON DIRECTOR 0.30 0.00 X 0 0 0 YVONNE MALDONADO DIRECTOR 0.30 0.00 X 0 0 0 LISA COLE DIRECTOR 0.30 0.00 X 0 0 0 KATE DACHS DIRECTOR 0.30 0.00 X 0 0 0 ELIZABETH DUNLEVIE DIRECTOR 0.30 2.00 X 0 0 0 JANE DUNLEVIE DIRECTOR 0.30 0.00 X 0 0 0 PAUL FISHER MD DIRECTOR 0.30 0.00 X 0 0 0 CHRIS GALLO DIRECTOR 0.30 0.00 X 0 0 0 MARY B LEONARD MD DIRECTOR 0.30 2.00 X 0 0 0 JOHN LILLIE DIRECTOR 0.30 0.00 X 0 0 0 LLOYD MINOR MD DIRECTOR 0.30 2.00 X 0 0 0 PETER MUNZIG DIRECTOR 0.30 0.00 X 0 0 0 KATHERINE ORR DIRECTOR 0.30 0.00 X 0 0 0 SUSAN P ORR DIRECTOR 0.30 0.00 X 0 0 0 MICHELLE SANDBERG MD DIRECTOR 0.30 0.00 X 0 0 0 DAVID K STEVENSON MD DIRECTOR 0.30 0.00 X 0 0 0 GEORGE TIDMARSH MD PHD DIRECTOR 0.30 0.00 X 0 0 0 HILARY VALENTINE DIRECTOR 0.30 0.00 X 0 0 0 CHARLOTTE WAXMAN DIRECTOR 0.30 0.00 X 0 0 0 ELIZABETH WEIL DIRECTOR 0.30 0.00 X 0 0 0 JEFF CHAMBERS DIRECTOR 0.30 0.00 X 0 0 0 JENNIFER DUDA MD DIRECTOR 0.30 0.00 X 0 0 0 CINDY GOLDBERG DIRECTOR 0.30 0.00 X 0 0 0 MOHAMAD MAKHZOUMI DIRECTOR 0.30 0.00 X 0 0 0 CELINA TENEV DIRECTOR 0.30 0.00 X 0 0 0 4448046 2133596 681257 61 0 1 0 ONE WORKPLACE L FERRARI LLC 2500 DE LA CRUZ BLVD SANTA CLARA CA 95050 CONSTRUCTION/CONSULTING 3448423 DAVINCI DIRECT INC 3 VILLAGE GREEN N 311 PMBB6 PLYMOUTH MA 02360 CONSULTING/PRODUCTION/PRINTING 628349 PARACHUTE TECHNOLOGY INC 2010 CROW CANYON PL STE 260 SAN RAMON CA 94583 CONSULTING/IT SERVICES 420938 KATE WOLF CONSULTING INC 4025 N HAIGHT AVE PORTLAND OR 97227 CONSULTING/SYSTEMS SETUP & TRAINING 401600 CAMBRIDGE ASSOCIATES LLC 125 HIGH STREET BOSTON MA 02110 CONSULTING/INVESTMENTS 374701 23 1240 801130 98000 91298044 1587461 92198414 DEVELOPMENT FEES REIMB 900099 34679032 34679032 34679032 1154096 1154096 14124718 14993078 -868360 -868360 -868360 178455 801130 305205 -126750 -126750 FACILITY REIMBURSEMENT 900099 4688376 4688376 4688376 131724808 34679032 0 4847362 170316928 170316928 5339 5339 3223306 484140 272429 2466737 7111 7111 17549074 622931 2242437 14683706 1513186 56947 229040 1227199 1838575 74611 386118 1377846 1244735 62877 142152 1039706 228184 228184 104275 104275 284323 284323 5517840 499522 1868721 3149597 267793 58514 35 209244 659807 18224 110027 531556 636117 25750 203999 406368 1934290 99263 255193 1579834 242214 19988 35821 186405 141692 3843 73205 64644 499547 9596 24604 465347 206106 2719 150731 52656 PRINTING 539201 2214 874 536113 TAXES & LICENSES 254653 210797 31050 12806 PUBLICATIONS & SUBSCRIP 171412 1926 13491 155995 DONOR RELATIONS 123422 357 916 122149 167452 11087 27385 128980 207676582 172587573 6580735 28508274 126383 92950 39824139 50060664 245620160 173580238 1073682 1037917 746366 785161 6657985 1856210 3161508 4801775 26379157 24084646 128913802 130255730 13107243 11721854 458952440 396420935 4480689 4986683 1925615 2371697 9409883 4378628 35464863 47280200 51281050 59017208 X 135053368 139137212 272618022 198266515 407671390 337403727 458952440 396420935 X -75951774 5229759 454352 X 0 1 X 1 0 X 140831261 85001090 151133651 201991701 92198414 671156117 140831261 85001090 151133651 201991701 92198414 671156117 174092578 497063539 592472 497152 286450 383110 1154096 2913280 4688376 4688376 678757773 124841727 0.73230 0.72640 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: REIMBURSEMENT FOR A CAPITAL EXPENDITURE - 2022 AMOUNT: $ 4,688,376. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 134980049 4836581 1410639 2442087 358330 135605574 153162075 -12435534 2100601 3406205 239686 134980049 118883388 39885897 2233924 2985942 387344 153162075 116637637 9154414 1681052 7099088 -1871477 118883388 118241165 489705 2094558 2814728 -2816053 116637637 1.00000 0.00000 0.00000 0 0 4465117 308442 4156675 1292947 1120616 172331 899921 427152 472769 4801775 HEDGE FUNDS 23405770 F INTERNATIONAL EQUITY TRUSTS 44426052 F REAL ASSET FUNDS 12817976 F VENTURE CAPITAL/PRIVATE EQUITY 37629048 F DEBT SECURITIES 5354561 F FIXED INCOME 6622323 F 130255730 FUNDS TO BE TRANSFERRED TO LPCH AND SOM 27730323 FUNDS TO BE TRANSFERRED TO OTHERS 472675 PAYMENTS FOR TRUST BENEFICIARY 6876267 LEASE LIABILITY - REAL ESTATE 12200935 47280200 X 137375106 5229759 454352 5684111 131690995 284323 -250510 33813 131724808 207642769 305205 305205 207337564 284323 54695 339018 207676582 PART V, LINE 4: THE FOUNDATION USES ITS ENDOWMENT TO FUND ACTIVITIES TO SUPPORT ITS PROGRAMMATIC OBJECTIVES IN CHILDREN'S HEALTH AND RELATED ADMINISTRATIVE COSTS. PROGRAMMATIC OBJECTIVES INCLUDE ENHANCING THE SYSTEM OF CARE AND ADVANCING HEALTH EQUITY FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES. PART X, LINE 2: THE FOUNDATION FOLLOWS THE PROVISION OF THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX PROVISION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN AND PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. MANAGEMENT BELIEVES THAT NO SUCH UNCERTAIN TAX POSITIONS EXIST REQUIRING ACCRUAL OR DISCLOSURE AS OF AUGUST 31, 2023 OR 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF INVESTMENTS HELD IN TRUST 454,352. PART XI, LINE 4B - OTHER ADJUSTMENTS: DONATED GIFTS IN KIND 54,695. FUNDRAISING EXPENSES -305,205. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 305,205. PART XII, LINE 4B - OTHER ADJUSTMENTS: DONATED GIFTS IN KIND 54,695. 0 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 32072091 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 701139 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 FUNDRAISING REVENUES RECEIVED FROM DONORS IN THE REGION NORTH AMERICA 0 0 FUNDRAISING REVENUES RECEIVED FROM DONORS IN THE REGION EAST ASIA AND THE PACIFIC 0 0 FUNDRAISING REVENUES RECEIVED FROM DONORS IN THE REGION SOUTH AMERICA 0 0 FUNDRAISING REVENUES RECEIVED FROM DONORS IN THE REGION SOUTH ASIA 0 0 FUNDRAISING REVENUES RECEIVED FROM DONORS IN THE REGION EAST ASIA AND THE PACIFIC 0 0 FUNDRAISING 117262 MIDDLE EAST & NORTH AFRICA 0 0 MANAGEMENT & GENERAL 89319 NORTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 5339 0 0 0 0 0 0 32890492 94658 32985150 NORTH AMERICA ADDRESSING CLINICAL CHALLENGES IN THE CARE OF CHILDREN WITH MEDICAL COMPLEXITY 5339 WIRE 0 1 0 1 0 0 0 1 0 PART I, LINE 3: THE ACCRUAL BASIS WAS USED TO ACCOUNT FOR EXPENDITURES. PART III ACCOUNTING METHOD: SCHEDULE F, PART I THE FOUNDATION'S DISCLOSURE IN PART 1, LINE 3 REFLECTS THE DOMICILE OF CERTAIN INVESTMENT ENTITIES WHICH SERVE MERELY AS THE VEHICLE FOR SUBSEQUENT INVESTING OF FUNDS AND IS NOT REPRESENTATIVE OF THE UNDERLYING GEOGRAPHICAL STRATEGY OF THOSE INVESTMENTS. THE FOUNDATION'S INVESTMENTS ARE FULLY DIVERSIFIED ACROSS ASSET CLASSES, STRATEGIES AND GEOGRAPHICAL REGIONS. IT ADHERES TO AN APPROVED STATEMENT OF INVESTMENT OBJECTIVES AND POLICIES AND HAS IN PLACE A STRATEGIC ASSET ALLOCATION POLICY WHICH ALLOWS IT TO ACHIEVE ITS SHORT TERM FINANCIAL AND LONG TERM INVESTMENT OBJECTIVES. X X X X X X 1 GRENZEBACH GLIER & ASSOCIATES 200 S MICHIGAN AVENUE SUITE 2100 CHICAGO IL 60604 WRITING GIFT PROPOSALS AND DONOR IMPACT REPORTS 0 0 14400 -14400 RUTH RICHERSON CONSULTING 720 EVELYN AVENUE ALBANY CA 94706 FUNDRAISING CONSULTING & IMPLEMENTING FUNDRAISING STRATEGIES 0 0 48275 -48275 DAVINCI DIRECT 3 VILLAGE GREEN N 311 PMBB6 PLYMOUTH MA 02360 CREATIVE DIRECTION IN PLANNING DIRECT MAIL PROGRAM 0 0 41600 -41600 104275 -104275 AL AK AR CA CO CT FL GA HI IL KS KY LA ME MD MA MI MN MS MO NV NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI LUNCH AND LEARN 287300 216205 71095 40414 701 15455 SUMMER SCAMPER 692285 584925 107360 2350 81056 1783 2750 160696 979585 801130 178455 2350 121470 1783 3451 176151 305205 -126750 1 CALIFORNIA HEALTH REPORT (TIDES CENTER) 1012 TORNEY AVENUE SAN FRANCISCO CA 94129 943213100 501C(3) 44162 0 SOLUTIONS JOURNALISM STORIES AND COLUMNS ON CSHCN CALIFORNIA HEALTH REPORT (TIDES CENTER) 1013 TORNEY AVENUE SAN FRANCISCO CA 94130 943213100 501C(3) 284874 0 STORIES ABOUT CSHCN AND THEIR FAMILIES CHILDREN NOW 1404 FRANKLIN ST SUITE 700 OAKLAND CA 94708 943059243 501C(3) 50000 0 FAMILY ENGAGEMENT IN CHILDREN'S POLICYMAKING: CONVENING YOUTH & FAMILY ADVOCATES WHO PARTICIPATE IN STATEWIDE FORUMS CHILDREN NOW 1405 FRANKLIN ST SUITE 700 OAKLAND CA 94709 943059243 501C(3) 160000 0 FAMILY ENGAGEMENT IN CHILDREN'S POLICYMAKING: CREATING A PLAYBOOK FOR ONBOARDING & SUPPORTING CAREGIVER ADVOCATES CHILDREN'S REGIONAL INTEGRATED SERVICE SYSTEM (CRISS) 725 WELCH ROAD PALO ALTO CA 94304 770003859 501C(3) 44000 0 CALAIM AND CCS CHILDREN & YOUTH: MONITORING PLANNING & IMPLEMENTATION FAMILY VOICES 561 VIRGINIA RD SUITE 300 CONCORD MA 01742 850430800 501C(3) 222106 0 HELPING FAMILIES UNDERSTAND AND ADDRESS ISSUES RELATED TO THE UNWINDING OF THE PUBLIC HEALTH EMERGENCY NATIONAL HEALTH LAW PROGRAM INC 3701 WILSHIRE BLVD SUITE 750 LOS ANGELES CA 90010 953080947 501C(3) 265000 0 IMPROVING THE CALIFORNIA CHILDREN'S SERVICES PROGRAM STANFORD UNIVERSITY SCHOOL OF MEDICINE 485 BROADWAY ST REDWOOD CITY CA 94063 941156365 501C(3) 186499 0 CPQCC STATEWIDE NICU FAMILY ADVISORY COUNCIL STANFORD UNIVERSITY SCHOOL OF MEDICINE 486 BROADWAY ST REDWOOD CITY CA 94064 941156365 501C(3) 24665 0 PERSPECTIVES OF SPANISH SPEAKING CAREGIVERS ON PATIENT PORTAL USE FOR CHILDREN WITH CHRONIC CONDITIONS: THE CHILDREN'S PARTNERSHIP 700 S FLOWER ST SUITE 1000 LOS ANGELES CA 90017 464106389 501C(3) 100000 0 PROTECTING CHILD WELL-BEING DURING THE PHE UNWINDING UNIVERSITY OF CALIFORNIA SAN FRANCISCO 490 ILLINOIS ST 4TH FLOOR SAN FRANCISCO CA 94143 946036493 501C(3) 23891 0 PEDIATRIC ACCESS TO CARE SURVEY OF CALIFORNIAN UNIVERSITY OF CALIFORNIA SAN FRANCISCO 491 ILLINOIS ST 4TH FLOOR SAN FRANCISCO CA 94144 946036493 501C(3) 796417 0 AFFIRM CALIFORNIA UNIVERSITY OF COLORADO DENVER 1890 N REVERE CT MS F443 AURORA CO 80045 980256200 501C(3) 49564 0 CROWDSOURCING FACILITATORS OF FAMILY WELL-BEING FOR CYSHCN SUPPORT FOR FAMILIES WITH DISABILITIES 1663 MISSION STREET SAN FRANCISCO CA 94103 942819062 501C(3) 7500 0 FAMILY VOICES OF CA 2023 HEALTH SUMMIT UNIVERSITY OF CALIFORNIA SAN FRANCISCO 490 ILLINOIS ST 4TH FLOOR SAN FRANCISCO CA 94143 946036493 501C(3) 6000 0 THE AFFIRM 2021 STUDY SUPPLEMENT LUCILE PACKARD CHILDREN'S HOSPITAL 725 WELCH ROAD PALO ALTO CA 94304 770003859 501C(3) 111995207 0 CHILDREN'S HEALTH BOARD OF TRUSTEES OF LELAND STANFORD UNIVERSITY 485 BROADWAY ST REDWOOD CITY CA 94063 941156365 501C(3) 55747498 0 CHILDREN'S HEALTH LUCILE PACKARD CHILDREN'S HOSPITAL 725 WELCH ROAD PALO ALTO CA 94304 770003859 501C(3) 35950 0 CHILDREN'S HEALTH COASTAL KIDS HOME 427 PAJARO STREET SALINAS CA 93901 202549984 501C(3) 20000 0 DIRECT SUPPORT SERVICES TO FAMILIES GEORGE MARK CHILDREN 2121 GEORGE MARK LANE SAN LEANDRO CA 94578 943255845 501C(3) 20000 0 DIRECT SUPPORT SERVICES TO FAMILIES JACOB'S HEART CHILDREN'S CANCER SUPPORT SERVICES 567 AUTO CENTER DRIVE WATSONVILLE CA 95076 680413822 501C(3) 20000 0 DIRECT SUPPORT SERVICES TO FAMILIES RONALD MCDONALD HOUSE - BAY AREA 520 SAND HILL ROAD PALO ALTO CA 94304 942538615 501C(3) 20000 0 DIRECT SUPPORT SERVICES TO FAMILIES THERE WITH CARE OF THE BAY AREA 2682 MIDDLEFIELD RD SUITE H REDWOOD CITY CA 94063 453952029 501C(3) 20000 0 DIRECT SUPPORT SERVICES TO FAMILIES 18 0 PART I, LINE 2: GRANTS ARE AWARDED TO ORGANIZATIONS BASED ON THEIR ABILITY TO SUPPORT THE FOUNDATION'S CHARITABLE PROGRAM OBJECTIVES, SPECIFICALLY IN RESPECT OF THE FOUNDATION'S WORK TO ENHANCE THE SYSTEM OF CARE FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES. APPLICANT ORGANIZATIONS SUBMIT PROPOSALS BASED ON MUTUALLY AGREED UPON OBJECTIVES, MILESTONES AND DELIVERABLES. FOUNDATION PROGRAM STAFF ANALYZE THE APPLICANT'S EXPERTISE, PROJECT GOALS, AND COSTS BEFORE AWARDING A GRANT. GRANTS OVER $50,000 AND UP TO $250,000 MAY BE APPROVED BY THE CEO UPON REVIEW AND FORMAL RECOMMENDATION OF A MAJORITY OF THE MEMBERS OF THE PROGRAM COMMITTEE. GRANTS OVER $250,000 MUST BE APPROVED BY THE BOARD. X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 PAUL KING DIRECTOR 0 1237124 0 651703 0 244769 0 46600 0 21369 0 2201565 0 0 CYNTHIA BRANDT PRESIDENT & CEO 641780 0 282209 0 100662 0 73016 0 13842 0 1111509 0 0 0 JEFFREY SHILLING SVP, INDIVIDUAL GIVING 386973 0 112322 0 2322 0 53300 0 30086 0 585003 0 0 0 KATHRYN COULBOURN CFO 363735 0 94947 0 45051 0 30500 0 28780 0 563013 0 0 0 ANN ROSE SENIOR DIRECTOR FOUNDATIONS 85116 0 0 0 361645 0 12828 0 40557 0 500146 0 0 0 ANDREW KAUFTEIL SVP STRATEGIC COMMUNICATIONS 296532 0 76438 0 540 0 47972 0 18211 0 439693 0 0 0 SARAH COLLINS VP PRINCIPAL GIFTS 302581 0 70964 0 7383 0 30500 0 3198 0 414626 0 0 0 JAMES DEASY VP STRATEGY & INSTITUTIONAL REL 277862 0 21793 0 12902 0 46777 0 28436 0 387770 0 0 0 JEFFORY JOLIN DIRECTOR DEVELOPMENT SYSTEMS 67022 0 0 0 253126 0 10577 0 36548 0 367273 0 0 0 RACHEL OLINGER EXECUTIVE DIRECTOR, CSHCN 275932 0 21713 0 540 0 29765 0 27674 0 355624 0 0 0 CINDI TROST ASSOCIATE VP CAMPAIGNS 264235 0 20911 0 810 0 28510 0 22211 0 336677 0 0 0 PART I, LINE 1A CYNTHIA BRANDT RECEIVES A HOUSING ALLOWANCE THAT IS TREATED AS TAXABLE COMPENSATION. PART I, LINES 4A-B LINE 4A: THE FOUNDATION MADE SEVERANCE PAYMENTS TO TWO EMPLOYEES IN THE AMOUNTS OF $317,674 AND $190,091. BOTH SEVERANCE AGREEMENTS INCLUDED A STANDARD RELEASE OF LIABILITY. LINE 4B: THE FOUNDATION OFFERS A 457(F) PLAN FOR SELECT MEMBERS OF EXECUTIVE MANAGEMENT. DURING THE CALENDAR YEAR 2022, THE CEO, CFO, SVP INDIVIDUAL GIVING, SVP STRATEGIC COMMUNICATIONS AND VP STRATEGY & INSTITUTIONAL RELATIONS WERE ELIGIBLE FOR EMPLOYER CONTIRBUTIONS TO THE PLAN. THE AMOUNTS CONTRIBUTED TO THE PLAN BUT NOT PAID WERE CYNTHIA BRANDT: $42,516, ANDREW KAUFTEIL: $17,472, JEFF SHILLING: $22,800, AND JAMES DEASY: $16,277. KATHRYN COULBOURN RECEIVED A DISTRIBUTION OF $42,729 FROM THE PLAN. PART I, LINE 7 THE CEO AND CFO RECEIVE AN INCENTIVE COMPENSATION PAYMENT EQUAL TO A PERCENTAGE OF TOTAL BASE COMPENSATION. THE PERCENTAGE IS DETERMINED BASED ON THE ACHIEVEMENT OF SPECIFIC GOALS BUT IS LIMITED TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN THE FOUNDATION'S POLICY RANGE OF THE 75TH TO 90TH PERCENTILE OF COMPENSATION AS PER SPECIFIC COMPENSATION SURVEYS. THE PERCENTAGE MAY VARY YEAR TO YEAR AS A RESULT OF THIS PROCESS. INCENTIVE COMPENSATION FOR THE CEO IS DETERMINED AND APPROVED BY THE COMPENSATION COMMITTEE. THE INCENTIVE COMPENSATION FOR THE CFO IS PROPOSED BY THE CEO AND APPROVED BY THE COMPENSATION COMMITTEE. X 71 1532766 AVERAGE MARKET VALUE X TICKETS 20 27067 RETAIL VALUE X ELECTRONICS 40 14278 RETAIL VALUE X SPORTS EQUIP. 46 12100 RETAIL VALUE X GIFT CARDS 50 1250 RETAIL VALUE 0 0 1 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS WAS DETERMINED BASED ON THE NUMBER OF ITEMS (OTHER) OR CONTRIBUTIONS RECEIVED (PUBLICLY TRADED STOCK). FORM 990, PART I, LINE 6: VOLUNTEERS INCLUDE THE FOUNDATION'S BOARD OF DIRECTORS AS WELL AS VOLUNTEERS WHO SUPPORT VARIOUS FOUNDATION FUNDRAISING EVENTS. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO TRANSACT ALL REGULAR BUSINESS OF THE BOARD BETWEEN BOARD MEETINGS WITH THE EXCEPTION OF CERTAIN SPECIFIC POWERS, AS SPECIFIED IN THE BYLAWS. THE EXECUTIVE COMMITTEE IS COMPOSED OF THE CHAIR OF THE BOARD, THE VICE CHAIR OF THE BOARD, THE PRESIDENT/CEO OF THE FOUNDATION, THE CHAIRS OF ALL OTHER STANDING COMMITTEES, THE DEAN OF THE STANFORD UNIVERSITY SCHOOL OF MEDICINE, AND THE PRESIDENT OF THE CHILDREN'S HOSPITAL AT STANFORD. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 JONATHAN COSLET, ELIZABETH DUNLEVIE, PAUL KING, MARY B. LEONARD, LLOYD MINOR, SUSAN P. ORR, SUSAN FORD DORSEY AND MINDY ROGERS HAVE A BUSINESS RELATIONSHIP. KATHERINE ORR AND SUSAN ORR HAVE A FAMILY RELATIONSHIP. ELIZABETH DUNLEVIE AND JANE DUNLEVIE HAVE A FAMILY RELATIONSHIP. KATE DACHS AND PETER MUNZIG HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD IS THE SOLE MEMBER OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B THE LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD (LPCH) IS THE SOLE MEMBER OF THE FOUNDATION. LPCH HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS OF THE FOUNDATION. LPCH MUST APPROVE ANY REVISIONS TO THE FOUNDATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT MAKES THE REDACTED FORM 990 AVAILABLE TO THE FULL BOARD AND ANY NON-DIRECTOR MEMBERS OF THE AUDIT COMMITTEE PRIOR TO THE AUDIT COMMITTEE MEETING AT WHICH THE FORM WILL BE REVIEWED. THE BOARD AND AUDIT COMMITTEE ARE ASKED TO PROVIDE FEEDBACK AND/OR QUESTIONS FOR DISCUSSION AT THE AUDIT COMMITTEE MEETING. UPON REVIEW OF THE FORM 990 AND AFTER ALL FEEDBACK AND QUESTIONS HAVE BEEN ADDRESSED, THE AUDIT COMMITTEE WILL VOTE WHETHER TO APPROVE A RECOMMENDATION TO THE FULL BOARD TO APPROVE THE FORM 990. THE FORM 990 IS THEN PRESENTED TO THE FULL BOARD FOR THE FINAL APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS, AND KEY EMPLOYEES ("KEY PERSONS") ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND TO DISCLOSE ALL REAL AND POTENTIAL CONFLICTS OF INTEREST. KEY PERSONS ARE REQUIRED TO CONFIRM THAT THEY HAVE REVIEWED THE POLICY BY SIGNING THAT THEY HAVE DONE SO, EVEN IF NO CONFLICTS ARE DISCLOSED. IN ADDITION, KEY PERSONS ARE REQUIRED TO DISCLOSE REAL OR APPARENT CONFLICTS AT THE TIME WHEN SUCH CONFLICTS ARISE DURING DISCUSSIONS OF THE BOARD, BOARD COMMITTEES, OR STAFF. KEY PERSONS WITH CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM RELATED DISCUSSIONS AND DECISIONS. THE FOUNDATION'S CEO IS RESPONSIBLE FOR ENSURING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION HAS A COMPENSATION COMMITTEE COMPRISED ENTIRELY OF INDEPENDENT DIRECTORS, NONE OF WHOM HAVE A CONFLICT OF INTEREST WITH THE CEO, CFO, OR ANY OF THE KEY EMPLOYEES. THE COMPENSATION COMMITTEE ESTABLISHES THE COMPENSATION PHILOSOPHY FOR THE ORGANIZATION AND MEETS ANNUALLY TO SET THE SALARIES FOR THE CEO, CFO, AND SVPS. THE COMMITTEE ALSO REVIEWS AND DISCUSSES SALARIES FOR KEY EMPLOYEES. THE COMMITTEE ENGAGES AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT TO ATTEND ITS ANNUAL MEETING. IN DETERMINING COMPENSATION LEVELS, THE FOUNDATION'S CONSULTANTS FREDERICK W. COOK & CO., INC. USE WOODMARK SURVEY DATA AND THEIR OWN DETAILED MARKET ANALYSIS. KEY DELIBERATIONS OF THE COMPENSATION COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING. THE LAST COMPENSATION REVIEW WAS DONE ON DECEMBER 6, 2023. FORM 990, PART VI, SECTION C, LINE 19 WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INVESTMENTS HELD IN TRUST 454,352. LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD 725 WELCH ROAD PALO ALTO CA 94304 770003859 HEALTHCARE/HOSPITAL CA 501(C)(3) LINE 3 N/A 0 CHARITABLE REMAINDER TRUST (12) INVESTMENT CA N/A T 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1