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3.0 0.0 X 0 0 0 MINDY ROGERS DIRECTOR(AS OF 04/01/15) 3.0 2.0 X 0 0 0 BILL THOMPSON DIRECTOR (AS OF 01/01/15) 3.0 0.0 X 0 0 0 JORGE TITINGER DIRECTOR 3.0 0.0 X 0 0 0 ANNE MCCUNE CHIEF OPERATING OFFICER 50.0 0.0 X 679692 0 96496 DANA HAERING VP & CFO 50.0 2.0 X 461970 0 40998 OWEN R AURELIO VP CLINICAL SERVICES 50.0 0.0 X 345291 0 69516 MARK TORTORICH VP PLANNING, DESIGN, CONSTRUC 25.0 25.0 X 0 440439 48449 EDWARD KOPETSKY VP & CIO 50.0 0.0 X 686822 0 118828 KIM ROBERTS CAO PHYSICIAN PRAC 25.0 25.0 X 495724 0 122014 CRAIG T ALBANESE VP of Quality & PI 63.0 0.0 X 0 588342 81577 SUSAN COSTELLO VP PATIENT CARE SRVCS & CNO 50.0 0.0 X 566449 0 99233 MICHAEL LANE VP-LPCH CONSTRUCTION IN ADMIN 50.0 0.0 X 404322 0 98013 CAMERON D'ALPE VP Ambulatory Services 50.0 0.0 X 297505 0 35065 TIMOTHY W CARMACK FORMER VP & CFO 50.0 0.0 X 805055 0 3700 JAMES MCCAUGHEY Chief Strategy Officer 50.0 0.0 X 467873 0 68119 GREGORY J SOUZA VP HR 50.0 0.0 X 503210 0 26132 WARREN CHANDLER LPCH ASSISTANT CIO 50.0 0.0 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STAFF INTERACTS ON A REGULAR BASIS WITH ELECTED OFFICIALS AND THEIR STAFF ON ALL LEVELS OF GOVERNMENT. MOST IS RELATIONSHIP BUILDING AND MAINTAINING AS WELL AS WORKING ON COLLABORATIVE PROGRAMS AND PROJECTS TO ENHANCE THE OVERALL HEALTH OF THE COMMUNITY. IN FY15, ROUGHLY 20% OF THE CHIEF GOVERNMENT RELATIONS OFFICER'S TIME AND ROUGHLY 20% OF THE SENIOR POLICY MANAGER'S TIME WAS SPENT ON LOBBYING ON SPECIFIC LEGISLATIVE ISSUES - VALUE APPROXIMATELY $96,735 (INCLUDES DOLLARS ALLOCATED FOR BENEFITS). IN ADDITION, IN FY15, THE HOSPITAL HAD A LOBBYIST IN WASHINGTON D.C. AND A NON-LOBBYIST ADVOCATE IN SACRAMENTO. LPCH BELONGS TO CERTAIN TRADE ASSOCIATIONS, A PORTION OF DUES PAID TO WHICH IS SPENT ON EFFORTS TO INFLUENCE LEGISLATIVE MATTERS IN THE HEALTH CARE INDUSTRY. DURING THE FY2015, THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $94,421. 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SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS LPCH'S ENDOWMENT CONSISTS OF VARIOUS INDIVIDUAL FUNDS. THE USES OF THE FUNDS ARE RESTRICTED TO DONORS' STIPULATIONS. THESE FUNDS ARE USED TO SUPPORT THE MISSION OF LPCH. 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X X X X X X true true X X X X true X www.stanfordchildrens.org X www.stanfordchildrens.org X www.stanfordchildrens.org X X X X X true X false X X X X X true X false false PART V, SECTION B , LINE 5 IN TAX YEAR 2013, LPCH, IN COLLABORATION WITH LOCAL AREA NON-FOR-PROFIT HOSPITAL ORGANIZATIONS AND SAN MATEO AND SANTA CLARA COUNTY DEPARTMENTS OF PUBLIC HEALTH, CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH APPLIED SURVEY RESEARCH (ASR), A LOCAL NONPROFIT SOCIAL RESEARCH FIRM. THE PURPOSE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS TO COLLECT COMMUNITY INPUT VIA PRIMARY QUALITATIVE RESEARCH IN OUR DEFINED COMMUNITY AND PRIMARY SERVICE AREAS OF BOTH SAN MATEO AND SANTA CLARA COUNTIES, IN ORDER TO INFORM LPCHS COMMUNITY BENEFIT SERVICES AND ACTIVITIES. THE CHNA PROCESS UTILIZED BOTH PRIMARY AND SECONDARY DATA TO REACH CONCLUSIONS THAT ULTIMATELY LED TO THE IDENTIFICATION OF SIGNIFICANT HEALTH NEEDS. THIS RESEARCH FOCUSED ON THE ORGANIZATION'S TARGET POPULATION OF BABIES, CHILDREN, ADOLESCENTS, AND EXPECTANT MOTHERS. THE CHNA PROCESS USED THREE STRATEGIES FOR COLLECTING INPUT FROM PERSONS AND GROUPS THAT REPRESENT THE BROAD INTEREST OF THE COMMUNITY LPCH SERVES: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH COMMUNITY SERVICE PROVIDERS, AND FOCUS GROUPS WITH COUNTY RESIDENTS. EACH GROUP AND INTERVIEW WAS RECORDED AND SUMMARIZED AS A STAND-ALONE PIECE OF DATA. WHEN ALL GROUPS HAD BEEN CONDUCTED, THE TEAM USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE INFORMATION AND TABULATE ALL HEALTH CONDITIONS THAT WERE MENTIONED, ALONG WITH HEALTH DRIVERS DISCUSSED. ASR THEN ANALYZED THE LIST OF CONDITIONS THAT HAD BEEN MENTIONED IN MULTIPLE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS, WITH SPECIAL ATTENTION TO THOSE THAT HAD BEEN LISTED BY A FOCUS GROUP AS A TOP NEED. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS AND IS POSTED ON THE ORGANIZATION'S WEBSITE AT COMMUNITYBENEFIT.STANFORDCHILDRENS.ORG AND A PRINTED OR DIGITAL COPY IS ALSO AVAILABLE, FREE OF CHARGE, FROM THE HOSPITAL UPON REQUEST. INPUT FROM HEALTH EXPERTS AND COMMUNITY SERVICE PROVIDERS OVERALL: IN ALL, ASR CONSULTED WITH ALMOST 100 PROFESSIONALS WHO REPRESENTED VARIOUS ORGANIZATIONS AND SECTORS IN OUR SERVICE AREA. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IMPROVE HEALTH CONDITIONS BY SERVING THOSE FROM THE TARGET POPULATIONS. THE HEALTH EXPERTS AND COMMUNITY SERVICE PROVIDERS WHO WERE CONSULTED CAME FROM THE FOLLOWING TYPES OF ORGANIZATIONS: -Public health departments -County health & hospital systems -Private hospital systems -Health insurance providers -Mental/behavioral health or violence prevention providers -School system representatives -Community center representatives -Non-profit agencies providing basic needs -Other non-profit agencies serving children and families Organizations and other groups consulted with for completion of CHNA: -STARVista -Boys and Girls Club - North San Mateo County (SMC) -City of South San Francisco Parks and Recreation -City of South San Francisco Police Department -Asian American Recovery Services -Partnership for a Safe and Healthy Pacific -Pyramid Alternatives -SMC Probation Office -SMC Health System -Safe Harbor Shelter -SMC Human Service Agency -Daly City Youth Health Center -RotaCare Clinic - Daly City -North Peninsula Neighborhood Services -Kaiser Permanente -Ravenswood Family Health Center -Samaritan House -RotaCare Clinic Half Moon Bay -Peninsula Family Services Agency -Coastside Hope -Santa Clara County (SCC) Public Health Dept. -SCC County Health and Hospital System -Mayview Community Health Center -Asian American for Community Health (AACI) -Gardner Health System -Puente de le Costa Sur -Behavioral Health and Recovery Services -SMC Sheriff's office -Saint Francis Center of Redwood City -Healthy Weight Collaborative -San Mateo Medical Center -Community Health Partnership -Rebekah's Children Services -Community Solutions -CARAS -Gilroy Unified School District -City of Gilroy -City of Morgan Hill -Saint Louise Hospital -City of Gilroy Chamber of Commerce -Morgan Hill Unified School District Board -West Valley Community Services -United Way Silicon Valley -InnVision Shelter Network -Sunnyvale Community Services -Mountain View Community Services -Silicon Valley Council of Nonprofits -Santa Clara Family Health Foundation -Stanford Hospital and Clinics -City of Sunnyvale -The Health Trust -Second Harvest Food Bank -Somos Mayfair -SCC Dept. of Alcohol and Drug Services -Project Cornerstone -Kids in Common -Columbia Neighborhood Center -San Jose Unified School District -Abilities United -City of San Jose Mayor's Gang Prevention Task Force -Santa Clara County YMCA -Packard Children's Adolescent Medicine Clinic -Bay Area Women Sports Initiative -Community Health Awareness Council -Belmont-Redwood Shores School District -Ronald McDonald House at Stanford -Silicon Valley Community Foundation -Peninsula Conflict Resolution Center -San Mateo YMCA -Planned Parenthood Mar Monte -Peninsula YMCA -School Health Clinics PART V, SECTION B, LINE 6 LPCHS MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITAL FACILITIES: EL CAMINO HOSPITAL, KAISER PERMANENTE SAN MATEO REGION, KAISER PERMANENTE SANTA CLARA REGION, MILLS-PENINSULA HEALTH SERVICES, OCONNOR HOSPITAL, SAINT LOUISE REGIONAL HOSPITAL, SAN MATEO MEDICAL CENTER, SETON MEDICAL CENTER, SEQUOIA HOSPITAL, STANFORD HEALTH CARE. LPCHS MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS THAT ARE NOT HOSPITAL FACILITIES: HEALTH PLAN OF SAN MATEO, HOSPITAL CONSORTIUM OF SAN MATEO COUNTY, HOSPITAL COUNCIL OF NORTHERN & SOUTHERN CALIFORNIA, PENINSULA HEALTH CARE DISTRICT, SAN MATEO COUNTY HUMAN SERVICES AGENCY, SAN MATEO COUNTY HEALTH DEPARTMENT, SILICON VALLEY COMMUNITY FOUNDATION, SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT, UNITED WAY SILICON VALLEY LPCH IDENTIFIED 8 SIGNIFICANT HEALTH NEEDS AND PRIORITIZED 3 AREAS TO FOCUS ITS WORK AND RESOURCES BASED ON THE HOSPITALS EXPERTISE AND THE DEMOGRAPHICS OF THE COMMUNITY THE HOSPITAL SERVES. THE HOSPITAL CHOSE TO PRIORITIZE THREE SIGNIFICANT HEALTH NEEDS BASED UPON THE ABILITY TO AFFECT THE MOST CHANGE IN THESE AREAS. THE HOSPITAL, HOWEVER, WILL CONTINUE TO LEVERAGE ITS RESOURCES TO WORK WITH OTHERS ON THE REMAINING AREAS FOR THE LIFE OF THIS CHNA. MANY OF THE SIGNIFICANT HEALTH NEEDS OVERLAP AND THUS WILL RECEIVE ATTENTION AS THE HOSPITAL CONDUCTS ITS WORK AROUND THE THREE PRIORITY AREAS IDENTIFIED BELOW. AT THE END OF THE DAY, ALL EIGHT IDENTIFIED HEALTH NEEDS WILL RECEIVE ATTENTION AND RESOURCES. SIGNIFICANT HEALTH NEEDS: 1. MENTAL HEALTH 2. PEDIATRIC OBESITY 3. ACCESS TO PRIMARY HEALTH CARE SERVICES THE OTHER SIGNIFICANT IDENTIFIED HEALTH NEEDS INCLUDE: 1. DIABETES 2. SUBSTANCE ABUSE 3. VIOLENCE AND ABUSE 4. ASTHMA 5. INFANT/BIRTH OUTCOMES PART V, SECTION B, LINE 9 LPCH UPDATED ITS IMPLEMENTATION STRATEGY IN TAX YEAR 2013. PART V, SECTION B , LINE 11 PLEASE SEE RESPONSE TO PART V, SECTION B, LINE 6 ABOVE. PART V, SECTION B , LINE 16I LPCH ALSO ATTACHES A COPY OF ITS FINANCIAL ASSISTANCE POLICY TO BILLING INVOICES. PART V, SECTION B, LINE 20E WHEN PATIENTS EXPRESS INABILITY TO PAY, WE OFFER FINANCIAL ASSISTANCE TO PATIENTS/GUARANTORS. PART I, LINE 7, COLUMN (F) THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN (F) WAS $9,971,840. PART I, LINE 7 SOME OF THE AMOUNTS IN LINE 7 WERE CALCULATED BASED ON A COST ACCOUNTING SYSTEM. THESE ITEMS INCLUDE CHARITY CARE AT COST, UNREIMBURSED MEDICAID COST, AND UNREIMBURSED COSTS RELATED TO OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS, BUT EXCLUDES RESEARCH AND SOME GRANT RELATED COSTS. OTHER BENEFIT COSTS ARE DIRECT, SEPARATELY IDENTIFIABLE COSTS INCURRED BY THE ORGANIZATION. PART II COMMUNITY BUILDING ACTIVITIES LPCH INVESTS IN VARIOUS COMMUNITY BUILDING ACTIVITIES IN ORDER TO IMPROVE THE COMMUNITY'S HEALTH THROUGH A FOCUS ON THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, ENVIRONMENTAL ISSUES, ETC. LPCH'S COMMUNITY BUILDING ACTIVITIES INCLUDE: SUPPORT FOR COMMUNITY-BASED NONPROFITS WORKING TO ADDRESS THE ROOT CAUSES OF HEALTH ISSUES FOR CHILDREN AND EXPECTANT MOTHERS; SUPPORT FOR COMMUNITY EMERGENCY MANAGEMENT, ADVOCACY FOR CHILDREN'S HEALTH ISSUES, AND SUPPORT FOR ORGANIZATIONS WORKING ON ECONOMIC DEVELOPMENT IN THE COMMUNITY. PART III, LINE 2 THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 2 IS BASED ON A COST ACCOUNTING SYSTEM. THE HOSPITAL APPLIED THE SAME SYSTEM-WIDE COST TO CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM TO ITS BAD DEBT BASED ON CHARGES AS WAS APPLIED TO ITS CHARITY CARE BASED ON CHARGES. THE COST TO CHARGE RATIO FROM THE ORGANIZATION'S COST ACCOUNTING SYSTEM DOES ADDRESS ALL PATIENT SEGMENTS AND EXCLUDES RESEARCH AND SOME GRANT RELATED COSTS. PART III, LINE 4 THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A SPECIFIC FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. IN THE CONTEXT OF DESCRIBING THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTIBILTY OF PATIENT RECEIVABLES, THE FOOTNOTES DO NOTE THAT "REVISIONS IN THE RESERVE FOR DOUBTFUL ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO THE PROVISION FOR DOUBTFUL ACCOUNTS," OR BAD DEBT EXPENSE. SO INCLUDED IN THE ORGANIZATION'S BAD DEBT EXPENSE ARE REVISIONS TO ITS RESERVES FOR DOUBTFUL ACCOUNTS, AND WRITE-OFFS TO BAD DEBT FOR SUCH THINGS AS THE PATIENT LIABILITY. BAD DEBT WRITE-OFFS RESULT FROM UNSETTLED ACCOUNTS WHERE THE INABILITY TO PAY HAS NOT BEEN DETERMINED. BAD DEBT WRITE-OFFS DO NOT APPLY TO ACCOUNTS THAT QUALIFY FOR CHARITY (IF AN ACCOUNT WAS INITIALLY DEEMED BAD DEBT BUT SUBSEQUENT INFORMATION QUALIFIED IT FOR CHARITY, THE BAD DEBT WRITE-OFF IS REVERSED AND REPLACED WITH CHARITY WRITE-OFFS). PART III, LINE 8 THE MEDICARE SHORTFALL OF ($5,320,275) REPORTED IN PART III, LINE 7 WAS CALCULATED BASED ON A COST ACCOUNTING SYSTEM. THIS AMOUNT SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE THE RATES PAID BY MEDICARE DO NOT ACCURATELY REFLECT THE COST OF CARE PROVIDED BY THE HOSPITAL. ACCORDINGLY, THE HOSPITAL MUST SUBSIDIZE THE COST OF CARE PROVIDED TO MEDICARE BENEFICIARIES WITH OTHER REVENUES. PART III, LINE 9B IF A PATIENT IS ATTEMPTING TO QUALIFY FOR ELIGIBILITY UNDER LPCH'S CHARITY CARE OR DISCOUNT PAYMENT POLICY AND IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH LPCH BY NEGOTIATING A REASONABLE PAYMENT PLAN OR BY MAKING REGULAR PARTIAL PAYMENTS OF A REASONABLE AMOUNT, LPCH SHALL NOT SEND THE UNPAID BILL TO ANY COLLECTION AGENCY OR OTHER ASSIGNEE, UNLESS THAT ENTITY AGREES TO COMPLY WITH THE PROVISIONS OF ARTICLE 3 OF THE HEALTH AND SAFETY CODE. LPCH OR OTHER ASSIGNEE SHALL NOT, IN DEALING WITH PATIENTS ELIGIBLE UNDER LPCH'S CHARITY CARE OR DISCOUNT PAYMENT POLICIES, USE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. PART VI, LINE 2 LPCH PARTICIPATES IN COLLABORATIVE PROCESSES IN SAN MATEO AND SANTA CLARA COUNTIES THAT ASSESS COMMUNITY HEALTH NEEDS. THE AFFORDABLE CARE ACT, ENACTED BY CONGRESS ON MARCH 23, 2010, AND CALIFORNIA SENATE BILL 697 STIPULATES THAT NON-PROFIT HOSPITAL ORGANIZATIONS COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. LPCH FULFILLED THIS REQUIREMENT BY CONDUCTING THE ASSESSMENT BETWEEN SEPTEMBER 2012 AND MARCH 2013,RECEIVING APPROVAL FROM THE HOSPITALS BOARD OF TRUSTEES IN MAY 2013 AND POSTING IT TO LPCHS WEBSITE. PER IRS REQUIREMENTS, THE ASSESSMENT INCLUDED FEEDBACK FROM THE COMMUNITY AND EXPERTS IN PUBLIC HEALTH AND CLINICAL CARE AND TOOK INTO ACCOUNT THE HEALTH NEEDS OF VULNERABLE POPULATIONS, INCLUDING MINORITIES, THOSE WITH CHRONIC ILLNESS, LOW-INCOME POPULATIONS, AND MEDICALLY UNDERSERVED POPULATIONS. THE COMMUNITY HEALTH NEEDS ASSESSMENT, AND THE RESULTING LIST OF PRIORITIZED HEALTH NEEDS, ARE TO SERVE AS THE BASIS FOR COMMUNITY BENEFIT INVESTMENTS BETWEEN 2014 AND 2016. LPCH COLLABORATED WITH OTHER HOSPITALS, THE PUBLIC HEALTH DEPARTMENTS IN TWO COUNTIES, AND COMMUNITY ORGANIZATIONS TO PREPARE THE 2013 TRIENNIAL COMMUNITY-WIDE HEALTH NEEDS ASSESSMENTS MANDATED UNDER CALIFORNIA SENATE BILL 697 AND THE IRS. FOR MORE INFORMATION ABOUT OUR 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND FINDINGS, PLEASE VISIT OUR WEBSITE: HTTP://WWW.COMMUNITYBENEFIT.STANFORDCHILDRENS.ORG LPCH IS CURRENTLY IN THE PROCESS OF CONDUCTING THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT TO BE COMPLETED IN 2016. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FINANCIAL COUNSELING DEPARTMENT WORKS DIRECTLY WITH ANY PATIENT WHO EXPRESSES QUESTIONS OR CONCERNS ABOUT THEIR ABILITY TO PAY FOR SERVICES. FURTHER, FINANCIAL ASSISTANCE POLICIES ARE POSTED AND AVAILABLE IN ALL PATIENT CHECK-IN AREAS,ONLINE, AND ON PATIENT BILLING CORRESPONDENCE. ALL PATIENT SCHEDULING, REGISTRATION, CHECK-IN, AND CUSTOMER SERVICE STAFF ARE EDUCATED ON POLICIES AND ARE TRAINED TO DIRECT PATIENTS TO THE FINANCIAL COUNSELING DEPT. A. PUBLIC NOTICE CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY IS GIVEN BY THE FOLLOWING MEANS: 1. NOTICES ARE POSTED IN VISIBLE LOCATIONS WHERE THERE ARE HIGH VOLUMES OF INPATIENT AND/OR OUTPATIENT ADMITTING/REGISTRATIONS, BILLING OFFICES, ADMITTING OFFICES AND HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. POSTED NOTICES EXPLAIN THAT LPCH HAS A VARIETY OF OPTIONS AVAILABLE INCLUDING FINANCIAL ASSISTANCE AND DISCOUNTS TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED. 3. NOTICES INCLUDE A CONTACT TELEPHONE NUMBER A PATIENT CAN CALL TO OBTAIN MORE INFORMATION ABOUT THE POLICY AND TO APPLY FOR FINANCIAL ASSISTANCE. B. THE LPCH WEBSITE INCLUDES AN EXPLANATION OF THE FINANCIAL ASSISTANCE/CHARITY CARE POLICY, THE UNINSURED PATIENT DISCOUNT POLICY, THE AVAILABILITY OF SUCH ASSISTANCE AND DISCOUNTS, AND A TELEPHONE NUMBER. C. LPCH BILLING STATEMENTS INFORM THE PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE BY CONTACTING THE LPCH CUSTOMER SERVICE CENTER. PART VI, LINE 4 LPCH IS A REGIONAL HOSPITAL SERVING CHILDREN, ADOLESCENTS, AND PREGNANT WOMEN FROM THE GREATER SAN FRANCISCO BAY AREA, NORTHERN CALIFORNIA, CALIFORNIA AND THE WESTERN UNITED STATES, COMMUNITY BENEFIT PROGRAMMING IS FOCUSED LARGELY ON SANTA CLARA AND SAN MATEO COUNTIES, ALTHOUGH, WE DO PERFORM COMMUNITY BENEFIT PROJECTS IN NEIGHBORING COUNTIES AS OUR PATIENTS SPAN THE BREADTH OF THE SAN FRANCISCO BAY AREA. SANTA CLARA AND SAN MATEO COUNTIES ARE PRIMARILY URBAN-SUBURBAN, WITH SOME SMALL RURAL COMMUNITIES ALONG THE SAN MATEO COAST. THERE ARE 20 INCORPORATED CITIES IN SAN MATEO COUNTY AND 15 IN SANTA CLARA COUNTY, RANGING FROM POPULATIONS OF 1 MILLION TO SMALL ENCLAVES OF UNDER 10,000. ACCORDING TO THE LATEST DATA, SAN MATEO COUNTY HAS A POPULATION OF 758,581; 257,941 HOUSEHOLDS WITH CHILDREN; AND 33.35 PERCENT FAMILIES HAVE CHILDREN UNDER THE AGE OF 18. 22 PERCENT OF THE TOTAL POPULATION IS UNDER AGE 18. MEDIAN HOUSEHOLD INCOME IS $88,202 WITH PER CAPITA INCOME AT $45,732. ABOUT 7.6% OF THE POPULATION IS BELOW THE FPL WITH 11% OF THOSE UNDER AGE 18 LIVING IN POVERTY. ETHNIC BREAKDOWN IN SAN MATEO COUNTY: 62.5% WHITE, 3% BLACK, 29.3% ASIAN/PACIFIC ISLANDER, 25.3% HISPANIC OR LATINO, .9% NATIVE AMERICAN. SANTA CLARA COUNTY HAS A POPULATION OF 1,894,605; 609,377 HOUSEHOLDS; AND 435,873 FAMILIES, WITH 38.8% OF THE HOUSEHOLDS HAVING CHILDREN UNDER 18. 23.4% OF THE POPULATION IS UNDER AGE 18. MEDIAN HOUSEHOLD INCOME IS $91,702, WITH PER CAPITA INCOME AT $41,513. ABOUT 10.2% OF THE POPULATION IS BELOW THE FPL, WITH 13% OF THOSE UNDER AGE 18 LIVING IN POVERTY. ETHNIC BREAKDOWN IN SANTA CLARA COUNTY: 56.4% WHITE, 2.9% BLACK, 35.4% ASIAN/PACIFIC ISLANDER, 26.6% HISPANIC OR LATINO, 1.3% NATIVE AMERICAN. SAN MATEO AND SANTA CLARA COUNTIES ARE TWO OF THE MOST AFFLUENT COUNTIES IN THE NATION. BUT, THERE ARE HUGE INCOME DISPARITIES BETWEEN THE VERY WEALTHY, WHOSE NUMBERS AND MAGNITUDE OF NET WORTH SKEW DATA LIKE AVERAGE HOUSEHOLD INCOME, AND THE VERY POOR. IN ADDITION, THE 2015 FEDERAL POVERTY GUIDELINE WAS DEFINED AS AN ANNUAL INCOME OF $20,090 FOR A FAMILY OF THREE. HOWEVER, THIS GUIDELINE DOES NOT TAKE INTO ACCOUNT THE ACTUAL COST TO BE BARELY SELF-SUFFICIENT IN THESE TWO HIGH-COST COUNTIES. A BETTER MEASURE IS THE SELF-SUFFICIENCY STANDARD FOR CALIFORNIA, WHICH MEASURES HOW MUCH INCOME IS NEEDED FOR A FAMILY OF A SPECIFIC COMPOSITION TO ADEQUATELY MEET ITS MINIMAL BASIC NEEDS: HOUSING, FOOD, CHILD CARE, OUT-OF-POCKET MEDICAL EXPENSES, TRANSPORTATION, AND OTHER NECESSARY SPENDING AND PROVIDES A MORE COMPLETE PICTURE OF WHAT IT TAKES FOR FAMILIES TO MAKE ENDS MEET. THIS STANDARD IS CALCULATED BY DR. DIANA PEARCE AT THE UNIVERSITY OF WASHINGTON, IN CONJUNCTION WITH WIDER OPPORTUNITIES FOR WOMEN IN WASHINGTON DC AND THE INSIGHT CENTER OF COMMUNITY ECONOMIC DEVELOPMENT. FOR A FAMILY OF ONE ADULT, A PRESCHOOLER AND ONE SCHOOL-AGED CHILD IN SAN MATEO COUNTY, THE INCOME REQUIRED IS $78,945. IN SANTA CLARA COUNTY, IT IS $77,973. THE SELF-SUFFICIENCY INCOME NEEDS CHANGES DEPENDING ON THE MAKE-UP OF THE FAMILY. THE LATEST DATA AVAILABLE SHOWS THE PERCENTAGE OF CHILDREN 0-18 LIVING IN POVERTY IN SANTA CLARA COUNTY AT 11% AND IN SAN MATEO COUNTY AT 13%. HOWEVER, AS NOTED ABOVE, THE FEDERAL POVERTY GUIDELINES USED TO COMPILE THESE NUMBERS DO NOT REFLECT THE ACTUAL COST OF LIVING IN THESE TWO COUNTIES, SO THE PERCENTAGES OF ACTUAL POVERTY ARE HIGHER IF THIS IS TAKEN INTO CONSIDERATION. ANOTHER INDICATOR IS THE PERCENTAGE OF PUBLIC SCHOOL CHILDREN ELIGIBLE TO RECEIVE THE FREE/ REDUCED LUNCH PROGRAMS: MOST RECENT DATA SUGGESTS, 31% IN SANTA CLARA COUNTY AND 29% IN SAN MATEO COUNTY. PART VI, LINE 5 LPCH 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 FY2015 COMMUNITY BENEFIT REPORT AND IMPLEMENTATION STRATEGY FILED FEBRUARY 2015 WITH THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. A THOROUGH ACCOUNTING OF THE HOSPITALS EFFORTS TO PROMOTE COMMUNITY HEALTH CAN BE READ IN THE REPORT, WHICH IS AVAILABLE AT COMMUNITYBENEFIT.STANFORDCHILDRENS.ORG BELOW IS A LISTING OF LPCH'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. THE HOSPITAL PROVIDES ANNUAL FUNDING FOR PEDIATRIC RESIDENTS ADVOCACY AND COMMUNITY HEALTH TRAINING AND PARTICIPATES IN STATE AND NATIONAL COLLABORATIVES WORKING ON MATERNAL AND PEDIATRIC HEALTH. COMMUNITY HEALTH IMPROVEMENT THE HOSPITAL CONDUCTS MULTIPLE PROGRAMS THAT ARE OFFERED AT NO COST TO COMMUNITY MEMBERS AND SEEK TO IMPROVE THE HEALTH AND HEALTH KNOWLEDGE OF THE COMMUNITY. THESE ACTIVITIES INCLUDE DIRECT MEDICAL SERVICES FOR IMPOVERISHED TEENS, CHILD SAFETY PROGRAMS, COMMUNITY HEALTH LECTURES AND SEMINARS, ONGOING RESEARCH IN THE AREAS OF CHILD AND MATERNAL HEALTH ETC. COMMUNITY BUILDING ACTIVITIES THE HOSPITAL PARTICIPATES IN A MYRIAD OF COMMUNITY BUILDING ACTIVITIES THAT SEEK TO IMPROVE THE COMMUNITYS 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 DEVELOPMENT IN THE REGION THROUGH TRANSPORTATION AND HOUSING ADVOCACY, AND ADVOCATES FOR CHILDRENS HEALTH ISSUES. IN FISCAL YEAR 2015, LUCILE PACKARD CHILDRENS HOSPITAL STANFORD PROVIDED OVER $15,000,000 IN FUNDING FOR THESE EFFORTS. PART VI, LINE 7 CA true RAVENSWOOD FAMILY HEALTH CENTER 1798A BAY RD EAST PALO ALTO CA 94303 943372130 501(c)(3) 184500 CHILD HEALTH SVCS. SAN MATEO COUNTY CHILDREN'S HEALTH INITIATI 701 GATEWAY BLVD SAN FRANCISCO CA 94080 946000532 501(C)(3) 50000 HEALTHY KIDS PREMIUMS PUENTE 620 NORTH STREET PESCADERO CA 94060 371484262 501(C)(3) 25000 Support for care coordination for South San Mateo County Coastside residents MAYVIEW COMMUNITY HEALTH CENTER 670 GRANT AVE PALO ALTO CA 94306 942239648 502(C)(3) 25000 Community Benefit grant. HEALTH TEACHER INC 5500 MARYLAND WAY BRENTWOOD SUITE 200 BRENTWOOD TN 37027 203456491 C CORP 28000 ONLINE HEALTH EDUCATION SAN MATEO MEDICAL CENTER 222 WEST 39TH AVE SAN MATEO CA 94403 946000532 Government 600000 Community Partnership Admin HOSPITAL COUNCIL OF NORTHERN AND CENTRAL 1215 K StreetSte 730 Sacramento CA 95814 941533644 C Corp 6775 CHNA GRANT 5 2 SCHEDULE I, PART I, LINE 2 THE ORGANIZATIONS PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES. LPCH DOES NOT SPONSOR AN OPEN GRANT PROCESS THAT SOLICITS COMMUNITY ORGANIZATIONS TO APPLY FOR GRANTS, PARTICIPATE IN A GRANT SELECTION PROCESS, AND THEN BE "AWARDED" A GRANT. RATHER, THE HOSPITAL CONSULTS ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ORDER TO IDENTIFY PRIORITY COMMUNITY HEALTH NEEDS. LPCH THEN IDENTIFIES COMMUNITY ORGANIZATIONS THAT ARE WORKING IN AN ARENA THAT FOCUSES ON ONE OR MORE OF THE CHNA IDENTIFIED COMMUNITY HEALTH NEEDS, AND IDENTIFIES PROJECTS THAT POSE AN OPPORTUNITY FOR PARTNERSHIP AND HAVE THE POTENTIAL TO POSITIVELY IMPACT COMMUNITY HEALTH AND THEN COMMITS FUNDING TO IT. OR, THE HOSPITAL MAY DESIGN, TOGETHER WITH A COMMUNITY ORGANIZATION, A PROJECT THAT ADDRESSES AN IDENTIFIED NEED AND THEN COMMIT FUNDS TO THAT PROJECT. ANY ORGANIZATION RECEIVING LPCH COMMUNITY INVESTMENT FUNDING MUST BE A 501 (C)(3) ORGANIZATION OR GOVERNMENT ORGANIZATION LOCATED IN THE HOSPITALS PRIMARY OR SECONDARY SERVICE AREA THAT SHARES THE HOSPITALS COMMUNITY BENEFIT MISSION OF IMPROVING THE HEALTH STATUS OF LOCAL CHILDREN, ADOLESCENTS OR PREGNANT WOMEN WITH A FOCUS ON SERVING THE COMMUNITYS MOST VULNERABLE. IN COLLABORATION WITH THE GRANTEE ORGANIZATIONS LEADERSHIP, GRANT GOALS AND METRICS ARE DETERMINED ANNUALLY PRIOR TO FUNDING BEING AWARDED. A PROGRESS REPORT IS REQUIRED AT SIX MONTHS, A SITE VISIT IS CONDUCTED IF APPROPRIATE, AND A FINAL ANNUAL REPORT OUTLINING PROGRESS TOWARDS THE AGREED UPON GOALS IS REQUIRED AT THE END OF THE FUNDING CYCLE. IN ADDITION, A GRANT AGREEMENT ACCOMPANIES EACH FUNDING AWARD THAT CLEARLY ARTICULATES THE ALLOWED USAGE OF THE FUNDS AND THE RESTRICTED NATURE OF THOSE FUNDS. LPCHS GRANT MAKING DECISIONS RECEIVE OVERSIGHT FROM BOTH THE COMMUNITY BENEFIT ADVISORY COUNCIL, COMPRISED OF COMMUNITY LEADERS, AS WELL AS THE LPCH BOARD OF DIRECTORS. BOTH THE COMMUNITY BENEFIT ADVISORY COUNCIL AND THE LPCH BOARD OF DIRECTORS MEET THROUGHOUT THE YEAR. LPCH HAS DEDICATED COMMUNITY BENEFIT STAFF WHO, UNDER THE DIRECTION OF THE CHIEF GOVERNMENT AND COMMUNITY RELATIONS OFFICER, CONDUCTS ONGOING OVERSIGHT OF ALL GRANTEE ORGANIZATIONS THROUGHOUT THE GRANT YEAR. LPCH ALSO PROVIDES SMALLER FINANCIAL SUPPORT (LESS THAN $15,000) TO NOT-FOR-PROFIT ORGANIZATIONS SERVING CHILDREN, ADOLESCENTS AND PREGNANT WOMEN TO SUPPORT THEIR PROGRAM OR TO PRESENT SYMPOSIA, SEMINARS OR CONFERENCES. TYPICAL EXAMPLES OF THE HOSPITALS SPONSORSHIP ARE: KIDS IN COMMONS CHILDRENS AGENDA 2015 CONFERENCE AN ANNUAL ADVOCACY CONFERENCE DISCUSSING THE HEALTH AND WELLNESS OF CHILDREN AND ADOLESCENTS IN OUR COMMUNITY; SUPPORT FOR SUMMER LUNCH PROGRAMS TO FEED CHILDREN AND YOUTH WHO OTHERWISE HAVE LITTLE OR NO ACCESS TO FREE SCHOOL LUNCH; FUNDING FOR PEDIATRIC RESIDENTS TO CONDUCT HEALTH IMPROVEMENT PROJECTS IN THE COMMUNITY; AND SO ON. LPCH ALSO PROVIDES FUNDS IN THE $200 TO $20,000 RANGE TO SPONSOR BOTH EDUCATIONAL AND FUNDRAISING EVENTS FOR ORGANIZATIONS SUCH AS THE MARCH OF DIMES, RONALD MCDONALD HOUSE, FEDERALLY QUALIFIED HEALTH CENTERS, ETC. X true true X X X X X true true false false false false false true false KENNETH L COX MD DIRECTOR/CMO (UNTIL 03/16/15) 0 284382 0 207355 0 0 0 26000 0 13697 0 531434 0 0 CHRISTOPHER G DAWES PRESIDENT/CEO 885545 0 487700 0 176757 0 240500 0 30270 0 1820772 0 0 0 THOMAS KRUMMEL MD DIRECTOR 0 577257 0 510816 0 0 0 26000 0 20578 0 1134651 0 0 CHRISTY SANDBORG MD DIRECTOR 0 239032 0 144002 0 0 0 24807 0 24129 0 431970 0 0 TIMOTHY W CARMACK FORMER VP & CFO 14658 0 0 0 790397 0 0 0 3700 0 808755 0 0 0 HUGH O'BRODOVICH MD DIRECTOR 0 494235 0 218848 0 25840 0 25004 0 20892 0 784819 0 0 OWEN R AURELIO VP CLINICAL SERVICES 269756 0 44460 0 31075 0 38968 0 30548 0 414807 0 0 0 MARK TORTORICH VP PLANNING, DESIGN, CONSTRUC 0 288984 0 92739 0 58716 0 23400 0 25049 0 488888 0 0 JAMES MCCAUGHEY Chief Strategy Officer 334374 0 81606 0 51893 0 40500 0 27619 0 535992 0 0 0 EDWARD KOPETSKY VP & CIO 447793 0 139771 0 99258 0 89304 0 29524 0 805650 0 55078 0 AMIR DAN RUBIN DIRECTOR 0 1704324 0 1022000 0 321654 0 321942 0 37288 0 3407208 0 270987 KIM ROBERTS CAO PHYSICIAN PRAC 386566 0 66883 0 42275 0 82358 0 39656 0 617738 0 34100 0 LLOYD B MINOR MD DIRECTOR 0 1340166 0 200000 0 59653 0 315600 0 57385 0 1972804 0 0 CRAIG T ALBANESE VP of Quality & PI 0 308448 0 279894 0 0 0 26000 0 55577 0 669919 0 0 ANNE MCCUNE CHIEF OPERATING OFFICER 519505 0 116556 0 43631 0 67282 0 29214 0 776188 0 0 0 DANA HAERING VP & CFO 363693 0 98134 0 143 0 29924 0 11074 0 502968 0 0 0 SUSAN COSTELLO VP PATIENT CARE SRVCS & CNO 394418 0 159444 0 12587 0 70639 0 28594 0 665682 0 0 0 MICHAEL LANE VP-LPCH CONSTRUCTION IN ADMIN 357179 0 46310 0 833 0 75744 0 22269 0 502335 0 0 0 CAMERON D'ALPE VP Ambulatory Services 257564 0 39941 0 0 0 21225 0 13840 0 332570 0 0 0 GREGORY J SOUZA VP HR 326502 0 115534 0 61174 0 23000 0 3132 0 529342 0 0 0 WARREN CHANDLER LPCH ASSISTANT CIO 314039 0 83698 0 0 0 40500 0 27523 0 465760 0 0 0 MARK AMEY CTO 305301 0 80594 0 38769 0 35000 0 24110 0 483774 0 0 0 SCHEDULE J, PART I, LINE 1A HOUSING ONE OFFICER, ONE KEY EMPLOYEE, AND ONE HIGHEST COMPENSATED EMPLOYEE RECEIVED HOUSING AS A TAXABLE BENEFIT AND THE AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II,COLUMN B(III). SEVERANCE OR CHANGE-OF-CONTROL PAYMENT SCHEDULE J, PART I, LINE 4A UNDER THE TERMS OF A SEVERANCE ARRANGEMENT WITH TIMOTHY W CARMACK, HE RECEIVED A PAYMENT OF $719,945. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B LPCH AND stanford health care ("shc") PROVIDE ALL SENIOR EXECUTIVES WITH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS. AT THE LAST DATE OF EACH QUARTER EACH PARTICIPANT'S ACCOUNT IS CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION). THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN THE ACCOUNT AS FOLLOWS: (A) THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED AND THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION; (B) DISCHARGE FROM EMPLOYMENT; (C) ENTITLEMENT TO LONG-TERM DISABILITY; OR (D) THE PARTICIPANT ATTAINS THE AGE OF 60 WHILE EMPLOYED. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2014: CHRISTOPHER G. DAWES $153,393 EDWARD KOPETSKY $55,106 KIM ROBERTS $34,576 OWEN R. AURELIO $22,654 GREGORY J. SOUZA $36,217 JAMES MCCAUGHEY $41,518 Anne McCune $17,388 MARK TORTORICH $38,051 AMIR DAN RUBIN $284,718 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C). CHRISTOPHER DAWES, PRESIDENT OF LPCH HAS A NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. UNDER THE AGREEMENT, MR. DAWES RECEIVES AN ANNUAL CREDIT TO HIS ACCOUNT THROUGH 2016 PROVIDED HE REMAINS EMPLOYED IN HIS CURRENT POSITION. AMOUNTS CREDITED UNDER THE PLAN WILL BE PAYABLE UPON THE EARLIER OF: (1) TERMINATION WITHOUT CAUSE; (2) DISABILITY; (3) DEATH; OR (4) AUGUST 31, 2016 PROVIDED MR. DAWES REMAINS EMPLOYED AT THAT DATE. THE CREDIT TO MR. DAWES ACCOUNT FOR CALENDER YEAR 2014 OF $240,500 IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). LLOYD B. MINOR PARTICIPATES IN A DEFERRED COMPENSATION PLAN AT STANFORD UNIVERSITY, A RELATED ORGANIZATION. ANNUALLY, AMOUNTS ARE CREDITED TO THE PLAN BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. THESE AMOUNTS APPEAR IN SCHEDULE J, PART II, COLUMN C. PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET. SCHEDULE J, PART I, LINE 7 CERTAIN OFFICERS AND OTHERS AS ENUMERATED IN SCHEDULE J, PART II PARTICIPATE IN A DEFERRED COMPENSATION PLAN SPONSORED BY LPCH. ANNUALLY, AMOUNTS ARE CREDITED TO THE PLAN BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET. LPCH HAS AN ANNUAL PERFORMANCE INCENTIVE PLAN. PERFORMANCE TARGETS AND PAYOUT METRICS ARE ESTABLISHED AND APPROVED BY THE COMPENSATION COMMITTEE AT THE BEGINNING OF EACH PERFORMANCE CYCLE. CERTAIN INDIVIDUALS ALSO RECEIVED DISCRETIONARY BONUSES RECOMMENDED BY THE CEO AND APPROVED BY THE COMPENSATION COMMITTEE. SCHEDULE J, PART II, DESCRIPTION FOR COLUMN B(III) OTHER REPORTABLE COMPENSATION IN SCHEDULE J, COLUMN B-III INCLUDES HOUSING ASSISTANCE, SEVERANCE PAYMENTS, SERP CASH DISTRIBUTION, ACCRUED VACATION PAY OUT, AND GROUP TERM LIFE. IN ADDITION, LPCH HAS PROVIDED VARIOUS ITEMS OF "LISTED PROPERTY" (E.G. COMPUTERS AND PERIPHERALS) TO THE ABOVE LISTED EMPLOYEES PRINCIPALLY FOR THEIR BUSINESS USE. A CALIFORNIA HEALTH FACILITIES FINAN AUT 521643828 13033LWQ6 2012-03-21 93450000 REFUND 2008 ISSUE false false false B CALIFORNIA HEALTH FACILITIES FINAN AUTH 521643828 13033LWR4 2012-03-21 270684581 FINANCE HEALTH FAC & REDEMPTION OF false false false C CALIFORNIA HEALTH FACILITIES FINAN AUTH 521643828 13033L3G0 2014-05-08 208381669 TO FINANCE HEALTH FACILITIES false false false A 0 0 93450000 0 0 0 547136 0 0 0 92902864 0 true false true true B 0 0 270684581 0 2021018 0 2687575 0 0 210635687 58857496 0 false true false true C 208381669 0 0 0 5152068 0 1996822 0 0 117305255 0 83927524 false false false true A false false true true false 0 false false false true B false false false false 0 false false false true C false false true false 0 false false false true A false false false false 0 false 0 false true B false true true false false 0 false 0 false true C false false true false 0 false 0 false true A true B true C true SCHEDULE K, PART IV, LINE 2C AN ARBITRAGE REBATE ANALYSIS HAS BEEN PERFORMED FOR 2008 SERIES A,B, AND C BONDS AND 2012 SERIES A AND B BONDS IN FY2013. THE DATES OF THE ANALYSES IS PROVIDED BELOW. NO PAYMENT WAS DUE TO THE IRS FOR THESE BONDS IN FY2015. BOND A ARBITRAGE ANALYSIS OPINION LETTER ISSUED ON 9/26/2013 FOR BOND A. BOND B ARBITRAGE ANALYSIS OPINION LETTER ISSUED ON 4/4/2013 FOR BOND B. ELIZABETH DAWES SEE PART V 76646 COMP FOR EMPLOYMENT false KATHLEEN COX SEE PART V 176909 COMP FOR EMPLOYMENT false ANGELA KOPETSKY SEE PART V 134089 COMP FOR EMPLOYMENT false LUKE AURELIO SEE PART V 92291 COMP FOR EMPLOYMENT false FORM 990, SCHEDULE L, PART IV COLUMN (B) ELIZABETH DAWES: EMPLOYEE IS A FAMILY MEMBER OF AN OFFICER. KATHLEEN COX: EMPLOYEE IS A FAMILY MEMBER OF A DIRECTOR. ANGELA KOPETSKY: EMPLOYEE IS A FAMILY MEMBER OF A KEY EMPLOYEE. LUKE AURELIO: EMPLOYEE IS A FAMILY MEMBER OF A KEY EMPLOYEE. ORGANIZATION'S PRIMARY EXEMPT PURPOSE FORM 990, PART I, LINE 1 THE SPECIFIC AND PRIMARY EXEMPT PURPOSES OF LPCH ARE TO SUPPORT, BENEFIT AND FURTHER THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY (THE "UNIVERSITY"), INCLUDING ITS SCHOOL OF MEDICINE, AND STANFORD HEALTH CARE ("SHC") BY OPERATING AND MANAGING A CONSOLIDATED MEDICAL FACILITY THAT OFFERS COMPREHENSIVE MEDICAL CARE SERVICES FOR CHILDREN AND ADOLESCENTS AND OBSTETRICAL SERVICES FOR PREGNANT WOMEN AND FURTHERS TEACHING AND RESEARCH IN THE MEDICAL SCIENCES AND OTHER FIELDS RELATING TO THE HEALTH AND WELL-BEING OF INFANTS, CHILDREN, ADOLESCENTS AND PREGNANT WOMEN, IN COOPERATION WITH AND IN SUPPORT OF THE UNIVERSITY'S SCHOOL OF MEDICINE AND SHC. FORM 990, PART III, LINE 4a PROGRAM SERVICE DESCRIPTION JOHNSON CENTER OF EXCELLENCE THE JOHNSON CENTER IS A CENTER OF EXCELLENCE THAT ENCOMPASSES MATERNITY CARE AND HIGH RISK OBSTETRICS AS WELL AS HEALTHY NEWBORN AND NEONATAL INTENSIVE CARE BUILT UPON A SUCCESSFUL ACADEMIC-COMMUNITY HOSPITAL PARTNERSHIP. WITH A STRONG SUPPORT FROM LOCAL PROVIDERS, OBSTETRICIANS IN PRIVATE PRACTICE CONTINUED TO CHOOSE LPCH TO DELIVER THEIR PATIENTS. THE CENTER'S SERVICES INCLUDE PRENATAL DIAGNOSIS, GENETIC COUNSELING, HIGH RESOLUTION FETAL ULTRASOUND SERVICES, HIGH RISK PRENATAL CARE, DELIVERY, LACTATION AND PARENTING SUPPORT AND NEWBORN INTENSIVE CARE. IN ADDITION, THE BEHAVIORAL-DEVELOPMENT PEDIATRICS PROGRAM OFFERS LONG-TERM FOLLOW-UP FOR PATIENTS GRADUATING FROM THE NEONATAL INTENSIVE CARE UNIT. THE JOHNSON CENTER ALSO MANAGES SEVERAL CLINICAL OUTREACH SERVICES IN MATERNAL-FETAL MEDICINE, PROVIDING EARLY DIAGNOSIS AND CONSULTATIVE SERVICES FOR HIGH RISK MATERNITY CARE THROUGHOUT THE REGION: REDWOOD CITY, MOUNTAIN VIEW, FREMONT, SALINAS AND SANTA CRUZ. Additionally, we have added the Fertility and Reproductive Health Services to the Johnson Center, having transitioned them successfully from Stanford early in Fiscal 2015. These services run the spectrum of IUI, IVF, multiple pregnancy loss, and male fertility factor considerations. THE JOHNSON CENTER CONTINUES TO LEAD IN THE DEVELOPMENT AND EVALUATION OF SIMULATION TRAINING, BOTH IN THE LABORATORY AND ON-SITE. SIMULATION TRAINING PROVIDES STAFF AND THE COMMUNITY AN OPPORTUNITY TO LEARN IN A SUPPORTED ENVIRONMENT. OBSTETRIC DISCHARGES FROM THE JOHNSON CENTER INCREASED TO 4,774 IN FISCAL YEAR 2015 - COMPARED TO THE PRIOR YEAR DISCHARGES OF 4,685. IN 2015 THE AVERAGE LENGTH OF STAY FOR OBSTETRIC PATIENTS WAS 3.4 DAYS. OBSTETRIC PATIENTS FROM THE PRIMARY SERVICE AREA COUNTIES OF SAN MATEO AND SANTA CLARA ACCOUNTED FOR 85% OF DISCHARGES. TWELVE PERCENT OF PATIENTS CAME FROM THE EIGHT BAY AREA COUNTIES AND 2% FROM THE REMAINING CALIFORNIA COUNTIES. THE JOHNSON CENTER NEONATAL INTENSIVE CARE UNIT SERVED A TOTAL OF 1,630 INPATIENTS IN FISCAL YEAR 2015 WITH AN AVERAGE LENGTH OF STAY OF 12 DAYS. OF THESE INPATIENTS, 68% WERE FROM THE PRIMARY SERVICE AREA, WITH 26% COMING FROM THE EIGHT-COUNTY BAY AREA AND 6% FROM OUTSIDE THE BAY AREA. FORM 990, PART III, LINE 4b PROGRAM SERVICE DESCRIPTION CHILDREN'S HEART CENTER THE HEART CENTER'S VISION IS TO BRING TOGETHER PROFESSIONAL AND FACILITY RESOURCES UNDER ONE CENTER OF EXCELLENCE THAT SERVES BOTH OUR LOCAL PATIENTS AND THE GREATER COMMUNITY. WITH A MULTIDISCIPLINARY TEAM SPECIALLY TRAINED TO DIAGNOSE AND TREAT INFANTS, CHILDREN, AND YOUNG ADULTS WITH CONGENITAL AND ACQUIRED HEART DISEASES, THE CENTER CARES FOR CHILDREN REQUIRING SPECIALIZED CARDIOTHORACIC SERVICES ON A NATIONAL AND INTERNATIONAL BASIS, DRAWING PATIENTS FROM ALL OVER CALIFORNIA, AT LEAST 29 DIFFERENT STATES, AND SEVERAL DIFFERENT COUNTRIES. THE PROGRAM GOALS ARE AIMED AT CONTINUING THE INTEGRATION AND EXPANSION OF THE CLINICAL, ADMINISTRATIVE, AND ACADEMIC ACTIVITIES TO BETTER SERVE OUR PEDIATRIC POPULATION -- CARDIOLOGY, CARDIAC SURGERY, CARDIAC INTENSIVE CARE, CARDIAC ANESTHESIA, AND CARDIAC IMAGING. ADDITIONALLY, WE CONTINUE TO FOCUS ON EARLY IDENTIFICATION OF CARDIAC ANOMALIES THROUGH OUR FETAL ECHOCARDIOGRAPHY PROGRAM, IN CONJUNCTION WITH THE CENTER FOR FETAL AND MATERNAL HEALTH. IN 2015, OUR VENTRICULAR ASSIST DEVICE PROGRAM CONTINUED TO GROW TO CARE FOR THE SICKEST OF CHILDREN WITH ADVANCED HEART FAILURE, AND WE IMPLANTED 30 ASSIST DEVICES OVER THE PAST THREE YEARS. IN ADDITION, WE HAVE ADDED WE ADDED THE HEARTWARE SYSTEM TO OUR ARMAMENTARIUM OF IMPLANTABLE DEVICES IN APPROPRIATE CASES, WHICH ALLOWS FOR THE EARLY DISCHARGE OF PATIENTS ON VENTRICULAR ASSIST DEVICES TO A HOME SETTING WHILE THEY WAIT FOR THEIR HEART TRANSPLANT. THE NUMBER OF INPATIENTS SERVED BY THE HEART CENTER INCREASED FROM 1,061 IN FISCAL YEAR 2014 TO 1,114 IN FISCAL YEAR 2015. OF THESE, THERE WERE 558 CARDIAC SURGERIES AND 26 HEART TRANSPLANTS. THE INPATIENT PROGRAM HAD A CASE MIX INDEX OF 4.7, REFLECTING THE HIGHLY COMPLEX POPULATION THAT WE SERVE. TWENTY-FOUR PERCENT OF PATIENTS CAME FROM OUR PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 29% CAME FROM THE EIGHT-COUNTY BAY AREA, 28% CAME FROM OTHER AREAS WITHIN CALIFORNIA, 16% CAME FROM OTHER STATES IN FISCAL YEAR 2015. FORM 990, PART III, LINE 4c PROGRAM SERVICE DESCRIPTION CANCER CENTER OF EXCELLENCE THE BASS CENTER IS A CENTER OF EXCELLENCE THAT OFFERS COMPREHENSIVE CARE AND INNOVATIVE THERAPIES FOR CHILDREN WITH CANCER AND BLOOD DISEASES. THIS STATE-OF-THE-ART FACILITY INTEGRATES INPATIENT AND OUTPATIENT CARE AND HAS A 27-BED INPATIENT UNIT (15 HEMATOLOGY/ONCOLOGY BEDS AND 12 STEM CELL TRANSPLANT BEDS) ALONG WITH A CONTIGUOUS 8-BED DAY HOSPITAL, INFUSION ROOM, LAB, AND CLINIC. THE CENTER ALSO HAS EIGHT BEDS ALLOCATED TO THE PROGRAM TO SUPPORT CHEMOTHERAPY INPATIENT INFUSIONS AT THE LPCH-LICENSED INPATIENT UNIT AT EL CAMINO HOSPITAL OF MOUNTAIN VIEW CALIFORNIA. THE CENTER IS STAFFED BY INDIVIDUALS TRAINED IN THE SPECIALIZED NEEDS OF PEDIATRIC CANCER PATIENTS AND INCLUDES APPROPRIATE ISOLATION ROOMS. THE PROGRAM DIAGNOSES AND TREATS APPROXIMATELY 200 NEW CANCER PATIENTS PER YEAR AND PERFORMED 36 STEM CELL TRANSPLANT IN FISCAL YEAR 2015. THE BASS CENTER'S GOAL IS TO OFFER A COMPREHENSIVE PROGRAM THAT WILL SERVE MORE PATIENTS, TO DEVELOP A MORE ROBUST RESEARCH PLATFORM, AND TO EXPAND THE CENTER'S GEOGRAPHIC REACH TO PROVIDE MORE CHILDREN WITH ACCESS TO THE SPECIALIZED SERVICES OFFERED BY THE CENTER. INPATIENT DISCHARGES FOR HEMATOLOGY/ONCOLOGY AND STEM CELL TRANSPLANT IN FISCAL YEAR 2015 TOTALED 1,157 WITH AN AVERAGE LENGTH OF STAY OF 6.6 DAYS. THE BASS CENTER IS A STRONG REGIONAL PROGRAM WITH 50% OF PATIENTS COMING FROM THE PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 34% FROM THE EIGHT SURROUNDING BAY AREA COUNTIES, 13% FROM OTHER CALIFORNIA COUNTIES, AND 3% FROM OUTSIDE THE STATE OF CALIFORNIA. FORM 990, PART III, LINE 4D PROGRAM SERVICE DESCRIPTION OTHER PROGRAMS IN ADDITION TO THE THREE PROGRAMS DESCRIBED ABOVE, LPCH PROVIDES CLINICAL SERVICES THROUGH THREE ADDITIONAL CENTERS OF EXCELLENCE: CENTER FOR CHILDREN'S BRAIN AND BEHAVIOR THIS CENTER SPECIALIZES IN TREATING DISORDERS OF BRAIN DEVELOPMENT AND FUNCTION, WHICH MAY MANIFEST THEMSELVES IN BEHAVIORAL, EMOTIONAL, LEARNING, LANGUAGE, DEVELOPMENT, SENSATION, OR MOVEMENT ABNORMALITIES. THE CENTER COMBINES THE EXPERTISE OF SPECIALISTS IN A BROAD RANGE OF DISEASES, INCLUDING EPILEPSY, AUTISM AND DEVELOPMENTAL DISORDERS, MOVEMENT DISORDERS, CEREBROVASCULAR DISORDERS, DEPRESSION, BIPOLAR AND ANXIETY DISORDERS, TRAUMATIC BRAIN INJURY, NEUROGENETIC DISORDERS, BRAIN TUMORS, AND CONGENITAL CENTRAL NERVOUS SYSTEM DEFECTS. THE HOSPITAL'S CENTER FOR BRAIN TUMORS IS ONE OF THE LEADING PROGRAMS IN THE COUNTRY. THE EATING DISORDER PROGRAM LINKS AN INPATIENT PROGRAM WITH AN EVIDENCE-BASED OUTPATIENT PROGRAM THAT COORDINATES MEDICAL AND PSYCHIATRIC TREATMENT. IN 2015 THE CENTER CONTINUED TO EXPAND SERVICES FOR CHILDREN WITH COMPLEX NEUROLOGICAL DISEASES SUCH AS NEUROMUSCULAR DISEASE, MOVEMENT DISORDERS, STROKE AND EPILEPSY. IN ALL OF THE CENTER'S PROGRAMS, PSYCHIATRISTS, PSYCHOLOGISTS, NEUROSURGEONS, AND NEUROLOGISTS WORK CLOSELY WITH BASIC RESEARCHERS TO DISCOVER THE INNER WORKINGS OF THE BRAIN AND HOW IT IMPACTS BEHAVIOR SO THAT CHILDREN COPING WITH COMPLEX CONDITIONS MAY LEAD MORE FULL AND PRODUCTIVE LIVES. CENTER FOR CYSTIC FIBROSIS AND PULMONARY DISEASES THIS CENTER INTEGRATES AN INTERDISCIPLINARY TEAM OF CLINICIANS AND RESEARCHERS FROM LPCH AND THE STANFORD SCHOOL OF MEDICINE. THEIR COMBINED EFFORTS HAVE PRODUCED A PROGRAM THAT FOCUSES ON LEADING EDGE CARE OF CHILDREN WITH A PLETHORA OF RESPIRATORY AND PULMONARY CONDITIONS, FROM THE COMMON AND SIMPLE TO THE COMPLEX AND RARE. THE CENTER IS ONE OF THE LARGEST CARE PROVIDERS FOR CHILDREN WITH CONDITIONS SUCH AS CYSTIC FIBROSIS, ASTHMA, CHRONIC LUNG DISEASE OF INFANCY RESULTING FROM PREMATURE BIRTH AND IMMATURE LUNGS, ACUTE OR CHRONIC RESPIRATORY INFECTIONS, MULTI-SYSTEM DISORDERS THAT AFFECT BREATHING AND LUNGS SUCH AS CEREBRAL PALSY, NEUROMUSCULAR DISEASES SUCH AS SPINAL MUSCULAR ATROPHY (SMA) AND OTHER MUSCULAR DYSTROPHIES, AS WELL AS OTHER GENETIC AND METABOLIC DISORDERS THAT IMPACT SWALLOWING AND BREATHING. IN ADDITION, THE CENTER IS HOME TO A DEDICATED PEDIATRIC SLEEP PROGRAM AND OPERATES ONE OF THE FEW ACTIVE LUNG TRANSPLANT PROGRAMS IN THE UNITED STATES DEDICATED EXCLUSIVELY TO CHILDREN. CENTER FOR TRANSPLANT AND TISSUE ENGINEERING THIS CENTER PERFORMS PEDIATRIC KIDNEY, LIVER, AND INTESTINAL TRANSPLANTS AND SPECIALIZES IN DIALYSIS AND TRANSPLANTATION OF INFANTS, CHILDREN, AND HIGHLY COMPLEX CASES. THE TRANSPLANT PROGRAM RANKS AMONG THE TOP PROGRAMS IN THE NATION IN THE NUMBER OF PEDIATRIC KIDNEY AND LIVER TRANSPLANTS PERFORMED, AND CONTINUES TO DELIVER OUTCOMES AMONG THE BEST IN THE COUNTRY. THE TRANSPLANT TEAM HAS PIONEERED NEW APPROACHES TO IMMUNOSUPPRESSION AND CONTINUES TO DEVELOP AND IMPLEMENT INNOVATIVE TREATMENT STRATEGIES TO REDUCE POST-TREATMENT COMPLICATIONS AND IMPROVE OUTCOMES. ADDITIONALLY, RESEARCH AND EDUCATION ARE PRIMARY COMPONENTS OF THE HOSPITAL'S MISSION AND INTEGRAL TO THE HOSPITAL'S CLINICAL OPERATIONS. THE HOSPITAL IS COMMITTED TO SUPPORTING AND FUNDING QUALITY GRADUATE MEDICAL EDUCATION PROGRAMS AND EXCELLENCE IN RESIDENCY TRAINING AND RESEARCH. LPCH CURRENTLY SPONSORS 21 RESIDENCY/FELLOWSHIP PROGRAMS APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATIONS WITH OVER 165 ENROLLED RESIDENTS AND FELLOWS (STATED IN FULL TIME EQUIVALENTS). RESIDENCY PROGRAMS IN PHARMACY, SOCIAL WORK, HOSPITAL CHAPLAINCY, AND NURSING ARE ALSO PROVIDED. LPCH PARTNERS WITH STANFORD SCHOOL OF MEDICINE TO CONDUCT RESEARCH IN ALL SIX CENTERS OF EXCELLENCE DESCRIBED ABOVE. LPCH IS ALSO COMMITTED TO ADVOCACY AND COMMUNITY OUTREACH TO IMPROVE THE HEALTH STATUS OF CHILDREN AND PREGNANT WOMEN BY DEVELOPING AND SUPPORTING INNOVATIVE PROGRAMS (WITHIN ITS PRIMARY SERVICE AREAS OF SAN MATEO AND SANTA CLARA COUNTIES AND BEYOND) TO ENHANCE ITS OWN AND THE COMMUNITY'S CAPACITY TO CARE FOR CHILDREN AND PREGNANT WOMEN. THESE PROGRAMS INCLUDE: - MOBILE ADOLESCENCE HEALTH SERVICES - CARE A VAN FOR KIDS - PARTNERSHIPS WITH 3 FEDERALLY QUALIFIED HEALTH CLINICS - GRANT SUPPORT TO LOCAL NONPROFITS FOR COMMUNITY HEALTH IMPROVEMENT PROGRAMS - SUPPORT FOR PEDIATRIC WEIGHT CONTROL PROGRAM - SUPPORT OF CHILDREN'S HEALTH INSURANCE INITIATIVES - SUPPORT FOR PEDIATRIC RESIDENT ADVOCACY PROGRAM - VARIOUS COMMUNITY HEALTH EDUCATION PROGRAMS - PRACTICAL SUPPORT TO PATIENT AND FAMILIES (MEALS, TRANSPORTATION, INFANT CAR SEATS, BABY CARE EQUIPMENT, AND OTHER EXPENSES). EQUIPMENT AND SUPPLY DONATIONS TO A NUMBER OF OVERSEAS MISSIONS. IN THE COUNTIES THAT COMPRISE THE HOSPITAL'S PRIMARY SERVICE AREA, NEARLY ALL CHILDREN ARE ELIGIBLE FOR HEALTH INSURANCE COVERAGE THROUGH EITHER GOVERNMENT-SPONSORED OR LOCAL INITIATIVE INSURANCE PROGRAMS. HOWEVER, NEARLY ALL OF THESE PROGRAMS REIMBURSE THE HOSPITAL AT AMOUNTS FAR LESS THAN THE COST OF SERVICES PROVIDED. ADDITIONALLY, PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY RECEIVE SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. EXECUTIVE COMMITTEE FORM 990, PART VI, LINE 1A IF A MATTER NORMALLY REQUIRING ACTION BY THE BOARD OF DIRECTORS ARISES BETWEEN MEETINGS OF THE BOARD AND IS A MATTER WHICH, IN THE OPINION OF ANY FOUR (4) OUT OF SIX (6) OF THE CHAIR OF THE BOARD, THE VICE CHAIR, THE DEAN OF THE STANFORD UNIVERSITY SCHOOL OF MEDICINE, THE PRESIDENT OF THE CORPORATION, THE CHAIR OF THE FINANCE COMMITTEE AND THE CHAIR OF THE AUDIT COMMITTEE, REQUIRES ACTION BY THE BOARD BEFORE THE NEXT REGULAR OR SPECIAL MEETING OF THE BOARD, THEN ANY FOUR (4) OR MORE OUT OF THOSE SIX (6) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD OF DIRECTORS, ARE AUTHORIZED JOINTLY TO TAKE WHATEVER ACTION IS NECESSARY TO RESOLVE THE MATTER, AND SUCH ACTION WILL CONSTITUTE AUTHORIZED ACTION OF THE BOARD TO THE SAME EXTENT AS IF IT HAS BEEN ADOPTED AT A MEETING OF THE BOARD; PROVIDED, HOWEVER, THAT AT LEAST ONE (1) OF THE FOUR (4) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD PURSUANT TO THIS SECTION SHALL BE AN "OUTSIDE DIRECTOR," AS DEFINED IN BYLAWS AND PROVIDED, FURTHER, THAT THE DIRECTORS ACTING AS A COMMITTEE OF THE BOARD SHALL NOT IN ANY CASE BE AUTHORIZED BY THIS SECTION TO EXERCISE THOSE POWERS WHICH BY LAW, THE ARTICLES OF INCORPORATION, THESE BYLAWS OR SPECIFIC ACTION BY THE MEMBER, SET FORTH IN A RESOLUTION OF THE MEMBER, MAY BE EXERCISED ONLY BY THE MEMBER OR MAY NOT BE DELEGATED TO A COMMITTEE OF THE BOARD. FAMILY/BUSINESS RELATIONSHIPS FORM 990, PART VI, LINE 2 KENNETH COX, THOMAS KRUMMEL, HUGH O'BRODOVICH, LLOYD MINOR, AND CHRISTY SANDBORG ARE EMPLOYEES OF STANFORD UNIVERSITY. LLOYD MINOR IS THE DEAN OF THE STANFORD SCHOOL OF MEDICINE AND FRANK LEE AND VAUGHN WILLIAMS ARE TRUSTEES OF STANFORD UNIVERSITY. DAVID ALEXANDER IS THE CEO AND A DIRECTOR OF LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH (LPFCH). CHRISTOPHER DAWES, LLOYD MINOR, AND J. TAYLOR CRANDALL ARE DIRECTORS OF LPFCH. AMIR DAN RUBIN IS CEO AND A DIRECTOR AND MARK TORTORICH IS AN EMPLOYEE OF SHC. MARY CRANSTON, MARIANN BYERWALTER, CHRISTOPHER DAWES, AND LLOYD MINOR, ARE DIRECTORS OF SHC. CHRISTOPHER DAWES AND KENNETH COX ARE VOTING MEMBERS ON THE SUMIT INSURANCE BOARD OF DIRECTORS. CHRISTOPHER DAWES AND KENNETH COX ARE MEMBERS OF THE LLC GOVERNING BOARD OF CONTRA COSTA PEDIATRIC VENTURE. CHRISTOPHER DAWES AND KENNETH COX ARE MEMBERS OF THE LLC GOVERNING BOARD OF SAN FRANCISCO PEDIATRIC VENTURE. SIGNIFICANT CHANGES TO THE ORGANIZATION'S GOVERNING DOCUMENTS FORM 990, PART VI, LINE 4 EFFECTIVE FEBRUARY 2015 LPCH AMENDED ITS BYLAWS TO PROVIDE THAT THE CHAIR AND MEMBERS OF ALL COMMITTEES SHALL BE APPOINTED ANNUALLY BY THE CHAIR OF THE BOARD SUBJECT TO THE APPROVAL OF A MAJORITY VOTE OF THE DIRECTORS THEN IN OFFICE, AS PROVIDED IN SECTION 5212 OF THE NONPROFIT CORPORATION LAW. THE ORGANIZATION ALSO CREATED ADDITIONAL VICE CHAIR POSITIONS ON THE BOARD. EFFECTIVE JUNE 2015, LPCH AMENDED ITS BYLAWS TO INCREASE THE NUMBER OF ELECTED DIRECTORS TO 26 AND UPDATED THE JOB DESCRIPTION OF THE CHIEF MEDICAL OFFICER. MEMBERS FORM 990, PART VI, LINE 6 STANFORD UNIVERSITY IS THE SOLE MEMBER OF LPCH. FORM 990, PART VI, LINE 7A STANFORD UNIVERSITY, AS THE SOLE MEMBER OF LPCH, APPOINTS THE LPCH BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B THE SOLE MEMBER, STANFORD UNIVERSITY, MAY REMOVE AN ELECTED DIRECTOR AT ANY TIME WITHOUT CAUSE. PROCEDURES FOR REVIEWING FORM 990 FROM GOVERNING BODY FORM 990, PART VI, LINE 11 WORKING WITH PRICEWATERHOUSECOOPERS, THE FORM 990 IS PREPARED FOR MANAGEMENT'S REVIEW. A DRAFT OF THE FORM 990 IS MAILED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW, ALONG WITH AN EXECUTIVE SUMMARY OF RECENT CHANGES AND NEW REQUIREMENTS. THE DRAFT FORM 990 IS REVIEWED AT THE AUDIT AND COMPLIANCE COMMITTEE MEETING. A FINAL FORM 990 IS THEN DISTRIBUTED TO THE FULL BOARD BEFORE FILING WITH THE IRS. PRICEWATERHOUSECOOPERS SIGNS THE FINAL RETURN AS PAID PREPARER. PROCEDURES FOR MONITORING AND ENFORCING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO COMPLETE AN INITIAL CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ("DISCLOSURE STATEMENT") WITHIN 30 DAYS OF BEGINNING SERVICE AT LPCH. ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. FURTHER, OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO UPDATE THEIR DISCLOSURE STATEMENT WITHIN TEN (10) BUSINESS DAYS OF A MATERIAL CHANGE IN THEIR SITUATIONS THAT MAY CREATE AN ACTUAL OR PERCEIVED CONFLICT-OF-INTEREST. A DISCLOSURE THAT APPEARS TO BE A CONFLICT WILL BE RESOLVED BY A MUTUAL AGREEABLE PLAN WITH THE VICE PRESIDENT OF HUMAN RESOURCES THAT OUTLINES THE STEPS THE OFFICER, DIRECTOR OR EMPLOYEE MUST TAKE TO RECTIFY THE CONFLICT. IN MATTERS THAT ARE UNCLEAR OR QUESTIONABLE, THE OFFICE OF CHIEF COMPLIANCE OFFICER WILL BE CONSULTED FOR A RULING. IF FURTHER INQUIRY IS NECESSARY THE OFFICE OF THE GENERAL COUNSEL WILL BE CONSULTED FOR A RULING. PROCEDURES FOR DETERMINING COMPENSATION FORM 990, PART VI, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR LPCH'S CEO AND OTHER TOP MANAGEMENT REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES THE COMMITTEE WITH COMPARABLE MARKET DATA FROM THE FORMS 990 OF COMPARABLE ORGANIZATIONS SUPPLEMENTED BY PUBLISHED COMPENSATION AND BENEFITS SURVEYS TO BE CONSIDERED IN EVALUATING TOTAL COMPENSATION PACKAGES FOR EACH INDIVIDUAL EXECUTIVE. THE COMMITTEE CONDUCTS A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTED ITS DELIBERATIONS AND DISCUSSION IN MINUTES THAT ARE RETAINED WITH THE OTHER GOVERNANCE MATERIALS OF LPCH. THE VALUE OF EACH PAY ELEMENT AND THE TOTAL PACKAGE ARE REVIEWED EACH SEPTEMBER PRIOR TO ANY PAY ACTIONS BEING APPROVED BY THE COMPENSATION COMMITTEE. SPECIFIC FACTS AND CIRCUMSTANCES OF EACH ROLE, INCUMBENT, THEIR PERFORMANCE, SKILLS, AND RESPONSIBILITIES ARE REVIEWED AND ASSESSED INDIVIDUALLY. THE COMMITTEE RECEIVES RECOMMENDATIONS FROM THE CEO AS TO PAY ACTIONS FOR EACH INCUMBENT. THESE RECOMMENDATIONS ARE DISCUSSED AND THE RESULTS OF THE DELIBERATIONS ARE DOCUMENTED AS TO THE FINAL PAY ACTION APPROVED ALONG WITH THE RATIONALE FOR THE DECISION. THIS PROCESS OCCURS ANNUALLY AND IN CONJUNCTION WITH ANY PROGRAMMATIC CHANGE THAT COULD POTENTIALLY IMPACT THE PAY OR BENEFITS OF EXECUTIVES. FORM 990, FORM 990, PART VI, LINE 19 THE STATEMENTS OF OPERATIONS AND BALANCE SHEET ARE INCLUDED IN THE ANNUAL REPORT POSTED ON THE ORGANIZATION'S PUBLIC WEBSITE. COPIES OF THE FINANCIAL STATEMENTS ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS. COPIES OF THE GOVERNING DOCUMENTS ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS. THE CONFLICT OF INTEREST POLICY IS NOT CURRENTLY AVAILABLE FOR PUBLIC INSPECTION. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G Temp Labor - Medical Physician $23,020,807 Other Purchased services $205,332,014 Other Professional service $32,535 Other Medical Services (Medical Group) $147,464,993 ____________ TOTAL $375,850,349 RECONCILIATION FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS ($564,222) ADJUSTMENT FOR MINIMUM PENSION ($678,000) AND POST RETIREMENT LIABILITY TRANSFER TO STANFORD UNIVERSITY AND OTHER ($53,515,084) ______________ ($54,757,306) THE BRD OF TRUST LELAND STANF JR UNIV 3145 PORTER DRIVE PALO ALTO CA 94304 941156365 EDUCATION CA 501(C)(3) 2 NA false STANFORD HEALTH CARE 300 PASTEUR DRIVE MC 5555 STANFORD CA 94305 946174066 HEALTHCARE CA 501(C)(3) 3 STANFORD true HOSPITAL COMMITTEE FOR THE L-P AREAS 1111 E STANLEY BLVD LIVERMORE CA 94550 941429628 HOSPITAL CA 501(C)(3) 3 SHC true VALLEYCARE MEDICAL FOUNDATION INC 5655 W LAS POSITAS BLVD 220 PLEASANTON CA 94588 262593526 SUPPORT VCHS CA 501(C)(3) 9 HOSP CMTE LP true VALLEYCARE SENIOR HOUSING 1111 E STANLEY BLVD LIVERMORE CA 94550 943382224 SR. 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