LUCILE SALTER PACKARD CHILDRENS HOSPITAL AT STANFORD: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LUCILE SALTER PACKARD CHILDRENS HOSPITAL AT STANFORD (EIN 77-0003859)
- Tax period
- 2012-09-01 to 2013-08-31
- Filed
- 2014-07-15
- IRS object ID
- 201411969349301566
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-07-15T16:03:55-05:00 | Timestamp |
| Tax Period End Date | 2013-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 High Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02110 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770003859 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lucile Salter Packard Children's | BusinessNameLine1 |
| Business Name Line2 | Hospital at Stanford | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % FINANCE DEPARTMENT | InCareOfName |
| Name Control | LUCI | NameControl |
| Phone | 6504978000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 Welch Road MC 5553 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Palo Alto | City |
| State | CA | State |
| ZIP Code | 94304 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANA HAERING | Name |
| Title | INT. CFO/VP/CONTROL. | Title |
| Phone | 6507212222 | Phone |
| Date Signed | 2014-07-11 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6175305000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Christopher G Dawes | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 WELCH ROAD | AddressLine1 |
| City | PALO ALTO | City |
| State | CA | State |
| ZIP Code | 94304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1167446305 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.lpch.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 32 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 23 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 887 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 156503385 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 45437520 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 942244172 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1079377262 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 23384218 | InvestmentIncomePriorYear |
| Investment Income Current Year | 23031662 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 20260773 | OtherRevenuePriorYear |
| Other Revenue Current Year | 19599861 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1142392548 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1167446305 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 849246 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1222061 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 378946961 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 404751152 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 8311700 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 536666452 | OtherExpensePriorYear |
| Other Expenses Current Year | 566960980 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 916462659 | TotalExpensesPriorYear |
| Total Expenses Current Year | 972934193 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 225929889 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 194512112 | RevenuesLessExpensesCY |
| Total Assets BOY | 2028550838 | TotalAssetsBOY |
| Total Assets EOY | 2229306180 | TotalAssetsEOY |
| Total Liabilities BOY | 561684779 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 550981545 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1466866059 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1678324635 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 273006000 | Expense |
| Revenue | 334615000 | Revenue |
| Description | SEE SCHEDULE O | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 212901000 | Expense |
| Revenue | 284873000 | Revenue |
| Description | SEE SCHEDULE 0 | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 103897000 | Expense |
| Revenue | 128700000 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 281393867 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 1222061 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 331189262 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 871197867 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | true | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 345 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 32 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 23 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | FINANCE DEPARTMENT | NamePerson |
| Telephone Number | 6507212222 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 WELCH ROAD | AddressLine1 |
| City | PALO ALTO | City |
| State | CA | State |
| ZIP Code | 94304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (48 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| JOHN LILLIE | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| ELIZABETH DUNLEVIE | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| KENNETH L COX MD | |||||||||
| SECRETARY, DIRECTOR, AND CMO | 2.0 | 52.0 | X | 0 | 478565 | 28637 | X | ||
| CHRISTOPHER G DAWES | |||||||||
| PRESIDENT/CEO | 50.0 | 2.0 | X | 0 | 1173878 | 357484 | X | ||
| MARIANN BYERWALTER | |||||||||
| DIRECTOR | 2.0 | 2.0 | X | 0 | 0 | 0 | |||
| PHILIP A PIZZO MD | |||||||||
| DIRECTOR (UNTIL 12/1/2012) | 2.0 | 52.0 | X | 0 | 670765 | 294039 | |||
| DAVID ALEXANDER MD | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| THOMAS KRUMMEL MD | |||||||||
| DIRECTOR | 2.0 | 51.0 | X | 0 | 1026966 | 53110 | |||
| Lloyd B Minor MD | |||||||||
| DIRECTOR (AS OF 12/1/2012) | 2.0 | 52.0 | X | 0 | 734169 | 29784 | |||
| CHRISTY SANDBORG MD | |||||||||
| DIRECTOR | 2.0 | 50.0 | X | 0 | 380777 | 43089 | |||
| BERNADINE C FONG | |||||||||
| DIRECTOR | 2.0 | 1.0 | X | 0 | 0 | 0 | |||
| DANA G MEAD JR | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| MARY ANN CARMACK MD | |||||||||
| DIRECTOR (UNTIL 12/31/2012) | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| MARY B CRANSTON | |||||||||
| CHAIR | 2.0 | 2.0 | X | 0 | 0 | 0 | X | ||
| HARRY R HAGEY | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| HUGH O'BRODOVICH MD | |||||||||
| DIRECTOR | 2.0 | 50.0 | X | 0 | 644504 | 43178 | |||
| SUSAN ORR | |||||||||
| VICE CHAIR | 2.0 | 0.0 | X | 0 | 0 | 0 | X | ||
| ANNE BASS | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| JEFFREY CHAMBERS | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| JONATHAN COSLET | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| WILLIAM CROWN | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| SUSAN FORD DORSEY | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| ANN LIVERMORE | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| JOHN WALKER | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| DAVID GRUBB | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| J TAYLOR CRANDALL | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| JANE SHAW | |||||||||
| DIRECTOR (AS OF 9/1/2012) | 2.0 | 2.0 | X | 0 | 0 | 0 | |||
| VAUGHN WILLIAMS | |||||||||
| DIRECTOR | 2.0 | 2.0 | X | 0 | 0 | 0 | |||
| JAMES WOODY MD | |||||||||
| DIRECTOR | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| FRANK LEE | |||||||||
| DIRECTOR (AS OF 01/01/2013) | 2.0 | 2.0 | X | 0 | 0 | 0 | |||
| AMIR DAN RUBIN | |||||||||
| DIRECTOR | 2.0 | 50.0 | X | 0 | 2519239 | 323338 | |||
| JANESTA NOLAND | |||||||||
| DIRECTOR (AS OF 01/01/13) | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| JOEL PODOLNY | |||||||||
| DIRECTOR (AS OF 04/01/2013) | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| JORGE TITINGER | |||||||||
| DIRECTOR (AS OF 01/01/2013) | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| SUSAN S FLANAGAN | |||||||||
| COO (UNTIL 2/27/2013) | 50.0 | 0.0 | 0 | 654860 | 32866 | X | |||
| Anne McCune | |||||||||
| COO (as of 1/1/13) | 50.0 | 0.0 | 0 | 176639 | 5619 | X | |||
| TIMOTHY W CARMACK | |||||||||
| VP & CFO | 50.0 | 2.0 | 0 | 606698 | 90746 | X | |||
| PAMELA A MOLANO | |||||||||
| VP PHYSICIAN & AMB SVS | 50.0 | 0.0 | 0 | 416307 | 51377 | X | |||
| PAMELA J WELLS | |||||||||
| CHIEF NURSING OFFICER | 50.0 | 0.0 | 0 | 670398 | 38481 | X | |||
| OWEN R AURELIO | |||||||||
| VP CLINICAL SERVICES | 50.0 | 0.0 | 0 | 300422 | 54676 | X | |||
| MARK TORTORICH | |||||||||
| VP PLANNING, DESIGN, CONSTRUC | 25.0 | 25.0 | 0 | 475600 | 48527 | X | |||
| EDWARD KOPETSKY | |||||||||
| VP & CIO | 50.0 | 0.0 | 0 | 566438 | 103761 | X | |||
| KIM ROBERTS | |||||||||
| VP PHY NW DEV & MGMT | 25.0 | 25.0 | 0 | 358487 | 87491 | X | |||
| BRADFORD P TOUSSAINT | |||||||||
| VP MGMT SYST STRATEGY & PLAN | 50.0 | 0.0 | 0 | 672294 | 48251 | X | |||
| Jeannine D'Addario | |||||||||
| CHIEF MARKETING OFFICER | 50.0 | 0.0 | 0 | 352437 | 22798 | X | |||
| Rosalina Luna | |||||||||
| CLINICAL NURSE IV | 50.0 | 0.0 | 0 | 332300 | 43743 | X | |||
| JAMES MCCAUGHEY | |||||||||
| SR VP BUS DEV & STRAT PLNG | 50.0 | 0.0 | 0 | 485400 | 46375 | X | |||
| GREGORY J SOUZA | |||||||||
| VP HR | 50.0 | 0.0 | 0 | 404556 | 40602 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 14101699 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1887972 | TotalOtherCompensation |
| Number Individuals GT100 K | 1368 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| STANFORD HOSPITAL AND CLINICS | |||||
| 300 PASTEUR DR | STANFORD | CA | 94305 | MED LAB/PURCH SVCS | 86705895 |
| DPR CONSTRUCTION INC | |||||
| 1450 VETERANS BLVD | REDWOOD CITY | CA | 94063 | CONSTRUCTION | 59621551 |
| STANFORD UNIVERSITY | |||||
| 450 SERRA MALL | STANFORD | CA | 94303 | PURCHASED SERVICES | 24593514 |
| CARDINAL HEALTH | |||||
| 7000 CARDINAL PLACE | DUBLIN | OH | 43017 | HEALTH CARE MANU/PCP | 14079962 |
| OWENS MINOR | |||||
| 18250 STANFORD ROAD | TRACY | CA | 95377 | MED PROD SUPPLIER | 13704358 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 325 | NumberOfContractorsGT100K |
| All Other Contributions | 45437520 | AllOtherContributions |
| Total Contributions | 45437520 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE | 900099 | 830955986 | 830955986 |
| GOVERNMENT FUND | 900099 | 10154701 | 10154701 |
| MEDICARE/MEDICAID | 900099 | 147531045 | 147531045 |
| PROVIDER FEE | 900099 | 82958428 | 82958428 |
| JOINT VENTURES | 900099 | 7777102 | 7777102 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1079377262 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22383726 | TotalRevenueColumn |
| Exclusion | $22,383,726 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 647936 | TotalRevenueColumn |
| Exclusion | $647,936 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA | 900099 | 1199669 | $1,199,669 |
| INVESTMENT INCOME FROM RELATED PROGRAM | 900099 | -5865200 | -$5,865,200 |
| PARKING | 900099 | 315541 | $315,541 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23949851 | TotalRevenueColumn |
| Exclusion | $23,949,851 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 19599861 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1167446305 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1079377262 | RelatedOrExemptFunctionIncome |
| Exclusion | $42,631,523 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1222061 | Total |
| Program Services | 1222061 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6032765 | Total |
| Program Services | 2183186 | ProgramServices |
| Management And General | 3577016 | ManagementAndGeneral |
| Fundraising | 272563 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 267007592 | Total |
| Program Services | 253742321 | ProgramServices |
| Management And General | 13265271 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23401755 | Total |
| Program Services | 22162676 | ProgramServices |
| Management And General | 1239079 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87663167 | Total |
| Program Services | 81979191 | ProgramServices |
| Management And General | 5683976 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20645873 | Total |
| Program Services | 19513861 | ProgramServices |
| Management And General | 1132012 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15600867 | Total |
| Program Services | 6379883 | ProgramServices |
| Management And General | 9220984 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2110943 | Total |
| Program Services | 500 | ProgramServices |
| Management And General | 2110443 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 502302 | Total |
| Management And General | 502302 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81598 | Total |
| Program Services | 81598 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 308307875 | Total |
| Program Services | 288417203 | ProgramServices |
| Management And General | 19890672 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1969706 | Total |
| Program Services | 1966300 | ProgramServices |
| Management And General | 3406 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84843116 | Total |
| Program Services | 83713565 | ProgramServices |
| Management And General | 1129551 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26097849 | Total |
| Program Services | 15047357 | ProgramServices |
| Management And General | 11050492 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18982540 | Total |
| Program Services | 9453643 | ProgramServices |
| Management And General | 9528897 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 709426 | Total |
| Program Services | 565825 | ProgramServices |
| Management And General | 143601 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13277152 | Total |
| Program Services | 13277152 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37281996 | Total |
| Program Services | 30850751 | ProgramServices |
| Management And General | 6431245 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6073187 | Total |
| Program Services | 3331396 | ProgramServices |
| Management And General | 2741791 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVIDER FEES | 23871483 | 23871483 | |
| UNCOLLECTIBLES | 6072442 | 6072442 | |
| UTILITIES | 4492463 | 3993060 | 499403 |
| DUES AND SUBSCRIPTIONS | 1399141 | 498839 | 900302 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15286894 | Total |
| Program Services | 2873574 | ProgramServices |
| Management And General | 4374183 | ManagementAndGeneral |
| Fundraising | 8039137 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 972934193 | Total |
| Program Services | 871197867 | ProgramServices |
| Management And General | 93424626 | ManagementAndGeneral |
| Fundraising | 8311700 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1895 | BOY |
| EOY | 1895 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85383505 | BOY |
| EOY | 184787929 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 147321453 | BOY |
| EOY | 23463009 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 203274071 | BOY |
| EOY | 236882664 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5164376 | BOY |
| EOY | 4639613 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4840561 | BOY |
| EOY | 8043449 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 954163023 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 313991907 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 520811969 | BOY |
| EOY | 640171116 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66906974 | BOY |
| EOY | 67407221 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 961493848 | BOY |
| EOY | 1031392223 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15412023 | BOY |
| EOY | 13450990 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17940163 | BOY |
| EOY | 19066071 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2028550838 | BOY |
| EOY | 2229306180 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134616984 | BOY |
| EOY | 120261546 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 363765611 | BOY |
| EOY | 360908762 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63302184 | BOY |
| EOY | 69811237 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 561684779 | BOY |
| EOY | 550981545 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 982133648 | BOY |
| EOY | 1139136696 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 284973150 | BOY |
| EOY | 338447237 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 199759261 | BOY |
| EOY | 200740702 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1466866059 | BOY |
| EOY | 1678324635 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2028550838 | BOY |
| EOY | 2229306180 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 194512112 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 69029159 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -52082695 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | true | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $141,813 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $107,357 | RalliesDemonstrationsAmount |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 249170 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ORGANIZATIONS EXEMPT UNDER SECTION 501(C)(3) | Identifier |
| Return Reference | FORM 990, SCHEDULE C, PART II B | ReturnReference |
| Explanation | LESS THAN 1% OF THE TOTAL VOLUNTEER HOURS DONATED TO LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") WERE USED TO ATTEMPT TO INFLUENCE LEGISLATIVE MATTERS. 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 FY13, ROUGHLY 20% OF THE CHIEF GOVERNMENT RELATIONS OFFICER'S TIME AND ROUGHLY 30% OF THE SENIOR POLICY MANAGER'S TIME WAS SPENT ON LOBBYING ON SPECIFIC LEGISLATIVE ISSUES - VALUE APPROXIMATELY $104,813 (INCLUDES DOLLARS ALLOCATED FOR BENEFITS). IN ADDITION, IN FY13, THE HOSPITAL HAD LOBBYISTS IN WASHINGTON D.C. DAVID WETMORE CARPI AND CLAY ONE MASSACHUSETTS AVE, NW SUITE 330 WASHINGTON, D.C. 20001 FRED NOTEWARE NOTEWARE GOVERMENT RELATIONS 1201 K STREET, SUITE 1030 SACRAMENTO, CA 95814 LPCH BELONGS TO CERTAIN TRADE ASSOCIATIONS IN WHICH A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS SPENT ON EFFORTS TO INFLUENCE LEGISLATIVE MATTERS IN THE HEALTH CARE INDUSTRY. DURING FY13, LPCH PAID DUES OF APPROXIMATELY $240,170.43 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $107,357.43. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Collect Used For Public Exhibition | X | CollectUsedForPublicExhibition |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 266394140 | BeginningOfYearBalance |
| Contributions | 1184000 | Contributions |
| Investment Earnings Or Losses | 29497000 | InvestmentEarningsOrLosses |
| Other Expenditures | 16276000 | OtherExpenditures |
| End Of Year Balance | 280799140 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 270361140 | BeginningOfYearBalance |
| Contributions | 822000 | Contributions |
| Investment Earnings Or Losses | 8136000 | InvestmentEarningsOrLosses |
| Other Expenditures | 12925000 | OtherExpenditures |
| End Of Year Balance | 266394140 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 270472140 | BeginningOfYearBalance |
| Contributions | 34000 | Contributions |
| Investment Earnings Or Losses | 41601000 | InvestmentEarningsOrLosses |
| Other Expenditures | 41746000 | OtherExpenditures |
| End Of Year Balance | 270361140 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 313335140 | BeginningOfYearBalance |
| Contributions | 581000 | Contributions |
| Investment Earnings Or Losses | 33016000 | InvestmentEarningsOrLosses |
| Other Expenditures | 76460000 | OtherExpenditures |
| End Of Year Balance | 270472140 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 392255140 | BeginningOfYearBalance |
| Contributions | 18740000 | Contributions |
| Investment Earnings Or Losses | -76431000 | InvestmentEarningsOrLosses |
| Other Expenditures | 21229000 | OtherExpenditures |
| End Of Year Balance | 313335140 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.72000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.28000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 342171787 | OtherCostOrOtherBasis |
| Depreciation | 128518414 | Depreciation |
| Book Value | 213653373 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16306120 | OtherCostOrOtherBasis |
| Depreciation | 6733691 | Depreciation |
| Book Value | 9572429 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 214347922 | OtherCostOrOtherBasis |
| Depreciation | 165244206 | Depreciation |
| Book Value | 49103716 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 381337194 | OtherCostOrOtherBasis |
| Depreciation | 13495596 | Depreciation |
| Book Value | 367841598 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 640171116 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| MANAGED POOL | 831891798 | F |
| LIMITED ASSETS HELD BY TRUSTEE | 199500425 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 1031392223 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO GOVERNMENT AGENCIES | $1,534,672 |
| DUE TO RELATED PARTIES, NET | $32,322,265 |
| SELF-INSURANCE RESERVE | $35,954,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 69811237 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE D, PART III, LINE 4 | Identifier |
| Explanation | LPCH DOES NOT RECOGNIZE CONTRIBUTIONS OF WORKS OF ART ON LPCH'S FINANCIALS SINCE 1) THEY ARE HELD FOR PUBLIC EXHIBITION RATHER THAN FINANCIAL GAIN; 2) THEY ARE PROTECTED, KEPT UNENCUMBERED, CARED FOR, AND PRESERVED; 3) ARE SUBJECT TO AN ORGANIZATIONAL POLICY THAT REQUIRES THE PROCEEDS FROM SALES OF COLLECTION ITEMS TO BE USED TO ACQUIRE OTHER ITEMS FOR COLLECTION. 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. SCHEDULE D, PART X In accordance with the guidance on accounting for uncertainty in income taxes, management regularly evaulates its tax positions and does not believe the ... Hospital ha[s] any uncertain tax positions that require disclosure or adjustment to the financial statements. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 400. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | false | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 365 | PersonsServed |
| Total Community Benefit Expense | 574272 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 574272 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 22052 | PersonsServed |
| Total Community Benefit Expense | 340413153 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 226704033 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 113709120 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11750 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1601 | PersonsServed |
| Total Community Benefit Expense | 315394 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41435 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 273959 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 24018 | PersonsServed |
| Total Community Benefit Expense | 341302819 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 226745468 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 114557351 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11840 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 6476 | PersonsServed |
| Total Community Benefit Expense | 1269891 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11420 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1258471 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 301 | PersonsServed |
| Total Community Benefit Expense | 15548813 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5756964 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9791849 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 1082 | PersonsServed |
| Total Community Benefit Expense | 331726 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 331726 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 3269415 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3269415 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 23 | NumberOfActivitiesOrPrograms |
| Persons Served | 7859 | PersonsServed |
| Total Community Benefit Expense | 20419845 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5768384 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14651461 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01510 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 23 | NumberOfActivitiesOrPrograms |
| Persons Served | 31877 | PersonsServed |
| Total Community Benefit Expense | 361722664 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 232513852 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 129208812 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13350 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 2127 | PersonsServed |
| Total Community Building Expense | 254134 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 254134 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 30985 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 30985 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 26 | PersonsServed |
| Total Community Building Expense | 63422 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 63422 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 2153 | PersonsServed |
| Total Community Building Expense | 348541 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 348541 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,603,124 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 1912284 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 3764654 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1852370 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUCILE SALTER PACKARD CHILDREN'S HSPT | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 WELCH ROAD | AddressLine1 |
| City | PALO ALTO | City |
| State | CA | State |
| ZIP Code | 94304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Childrens Hospital | X | ChildrensHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUCILE SALTER PACKARD CHILDREN'S HSPT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 400. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Lowest Negotiated Rates | X | LowestNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART I, LINE 3C | NOT APPLICABLE. PART I, LINE 6A NOT APPLICABLE. PART I, LINE 7G NOT APPLICABLE PART I, LINE 7, COLUMN (F) THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN (F) WAS $6,072,442. 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 INCLUDE PROGRAMS THAT ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS IN ORDER TO IMPROVE HEALTH STATUS AND QUALITY OF LIFE FOR THE COMMUNITY. THEY FOCUS ON THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL ISSUES. FOR PACKARD CHILDREN'S, OUR COMMUNITY BUILDING ACTIVITIES INCLUDE ADVOCACY EFFORTS FOR EXPECTANT MOTHERS AND CHILDREN'S HEALTH ISSUES, SUPPORT FOR COMMUNITY-BASED SERVICE CLUBS AND YOUTH SERVING ORGANIZATIONS, AND SUPPORT FOR COMMUNITY EMERGENCY MANAGEMENT PROGRAMS. 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 OUR 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). THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 2 IS BASED ON A COST ACCOUNTING SYSTEM. WE HAVE APPLIED THE SAME SYSTEMWIDE COST TO CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM TO OUR BAD DEBT BASED ON CHARGES AS WAS APPLIED TO OUR CHARITY CARE BASED ON CHARGES. THE COST TO CHARGE RATIO FROM OUR COST ACCOUNTING SYSTEM DOES ADDRESS ALL PATIENT SEGMENTS AND EXCLUDES RESEARCH AND SOME GRANT RELATED COSTS. PART III, LINE 8 THE MEDICARE SHORTFALL OF ($1,852,370) 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 WHICH IS AN AFFILIATE OR SUBSIDIARY OF LPCH 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 V, Section B, line 3 Packard Children's contracted with Applied Survey Research (ASR) to collect community input via primary qualitative research in SCC and SMC. This research focused on our target population of babies, children, adolescents, and expectant mothers. ASR used three strategies for collecting community input: 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. 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 Packard 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 4 LPCH conducted surveys and analyses with the hospitals below. However, LPCH prepared and adopted its own CHNA separate from those hosptials listed below: -Seton Medical Center -Stanford Hospital and Clinics -Mills-Peninsula Health Services -San Mateo Medical Center -Sequoia Hospital -Kaiser Permanente San Mateo Area -El Camino Hospital -Kaiser Permanente South Bay Area -Saint Louis Regional Hospital -O'Connor Hospital PART VI, LINE 2 Lucile Packard Children's Hospital at Stanford 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. Packard Childrens fulfilled this requirement by conducting the assessment between September 2012 and March 2013 and documenting it in May 2013. 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 The | prioritized health needs, are to serve as the basis for community benefit investments between 2014 and 2016. Packard Childrens 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.LPCH.org/aboutus/community/index.html. 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 CONTACT 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 While 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 on Santa Clara and San Mateo counties. These two 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. San Mateo County has 739,311 people (2010 census), 257,369 households, and 175,697 families with 30.8% having children under age 18. 21.8% of the total population is under age 18. Median household income is $87,751 with per capita income at $45,458. About 7.4% of the population is below the FPL, with 8.9% of those under age 18 living under the FPL. Ethnic breakdown for the 163,248 children in San Mateo County: 34.6% Hispanic/Latino; 32.2% Caucasian/white; 23.6% Asian/Pacific Islander; 7.2% multi-ethnic; 2.2% African-American, and .1% Native American. Santa Clara County has 1,837,504 (2010 census) people, 604,455 households, and 426,824 families, with 34.8% of the households having children under 18. 23.6% of the population is under age 18. Median household income is $90,747, with per capita inocme at $41,041. About 9.7% of the population is below the FPL, with 10.4% of those under age 18 living in poverty. Ethnic breakdown for the 439,320 children living in Santa Clara County: 37% Hispanic/Latino; 23.3% Caucasian/white; 31.5% Asian/Pacific Islander; 5.9% Multi-ethnic; 2.2% African-American; .2% 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 2013 federal poverty guideline was defined as an annual income of $19,530 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 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 pre-schooler 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 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 12.4% and in San Mateo County at 9.5%. 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 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: In 2012, 37.7% in Santa Clara County and 35.5% in San Mateo County. |
| PART VI, LINE 5 | The three priority focus areas for LPCHs community benefit work are improving access to care services for children, teens and expectant mothers; preventive education programs with special attention to prevention of pediatric obesity; and improving the social and emotional health of youth. The hospital invested more than $5.1 million (not including its substantial commitment to government insured patients) in FY2013 in programs addressing these focus areas. These programs are fully described in the FY2013 Community benefit Report and FY2014 Community Investment Plan filed March 3, 2014 with the State of California Office of Statewide Health Planning and Development. This is a brief listing of hospital-sponsored programs and support for programs managed by other community organizations that support each focus area: Focus Area One: Improving access to primary health care services for children, teens and expectant mothers: -Members of the two counties have expressed concern about inadequate access to health insurance, financial means to obtain medication, transportation to access health facilities -There is a lack of primary care and specialty physicians in certain areas of the community -There is a lack of specialty physicians that speak languages in addition to English Strategy - Interventions will include improved care coordination between health care organizations and systems as well as sustainable adoption and implementation of the medical home model. Focus Area Two: Prevention and treatment of pediatric obesity: -More than 30% of San Mateo County newborns have high birth-weight -Hispanic/Latino children have the highest rates of obesity -An increasing amount of young patients are being diagnosed with diabetes in Santa Clara County Strategy - A holistic approach will be utilized to address the social determinants of maintaining a healthy weight, including the built environment and legislative policy, as well as the dissemination of evidence-based clinical treatment programs to children and families in the community. Focus Area Three:Improving the social and emotional health of children and youth: -One fourth of kids in the community have reported feeling hopeless, depressed, and suicidal -The increased amount of youth suicides in 2008 and 2009 have raised awareness about youth mental instability -Domestic abuse and child abuse for certain ethnic subgroups is prevalent -Substance abuse is of high concern in Santa Clara and San Mateo Counties: 40% of San Mateo County eleventh graders reported they have tried marijuana; 12-13% of eleventh graders binge drink. Strategy - Interventions will address the proven link between poor social, emotional, and mental health and poor behavioral health, including substance abuse and violence. In addition to providing direct services or funding others to provide community programs, LPCH, as an academic medical center invests significantly in training the health-care professionals of the future. In FY2013, 173 pediatric residents and fellows and 190 nursing students received their training and clinical experience at LPCH at a cost of $15,402,095. PART VI, LINE 6 NOT APPLICABLE. PART VI, LINE 7 CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| RAVENSWOOD FAMILY HEALTH CENTER | ||||||||
| 1798A BAY RD | EAST PALO ALTO | CA | 94303 | 943372130 | 501(c)(3) | 300000 | Pediatrician & Mental Health Services for Children & adolescents | |
| HEALTH TEACHER INC | ||||||||
| 5500 MARYLAND WAY | BRENTWOOD | TN | 37027 | 203456491 | 55880 | Usage of online Health Education | SUITE 200 | |
| SANTA CLARA FAMILY HEALTH FOUNDATION | ||||||||
| 210 HACIENDA AVENUE | CAMPBELL | CA | 95008 | 770545774 | 501(C)(3) | 50000 | HEALTHY KIDS PREMIUMS | |
| SAN MATEO COUNTY CHILDREN'S HEALTH INITIATIVE | ||||||||
| 701 GATEWAY BLVD | SAN FRANCISCO | CA | 94080 | 946000532 | 501(C)(3) | 50000 | HEALTHY KIDS PREMIUMS | |
| GARDNER FAMILY HEALTH NETWORK INC | ||||||||
| 160 EAST VIRGINIA STREET STE 100 | SAN JOSE | CA | 95112 | 941743078 | 501(C)(3) | 700000 | CLINICAL OPERATION | |
| PALO ALTO UNIFIED SCHOOL DISTRICT | ||||||||
| 25 CHURCHILL AVE | PALO ALTO | CA | 943061099 | 942168440 | GOVT. | 62000 | SCHOOL PROGRAM SUPP. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE US | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD (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 IDENTIFIES PRIORITY FOCUS AREAS FOR HOSPITAL FUNDING, IDENTIFIES COMMUNITY ORGANIZATIONS THAT ARE ALREADY WORKING IN THAT FOCUS AREA, AND IDENTIFIES PROJECTS THAT ARE ALREADY ADDRESSING AN ISSUE AND THEN COMMITS TO FUNDING IT. OR, THE HOSPITAL MAY DESIGN, TOGETHER WITH A COMMUNITY ORGANIZATION, A PROJECT THAT ADDRESSES AN IDENTIFIED NEED AND THEN COMMITS FUNDS TO THAT PROJECT. ANY ORGANIZATION RECEIVING LPCH COMMUNITY INVESTMENT FUNDING MUST BE A 501(C)(3) ORGANIZATION OR GOVERNMENT ORGANIZATION LOCATED IN SANTA CLARA OR SAN MATEO COUNTIES THAT SHARES THE HOSPITAL'S COMMUNITY BENEFIT MISSION OF IMPROVING THE HEALTH STATUS OF LOCAL CHILDREN, ADOLESCENTS, OR PREGNANT WOMEN. IN COLLABORATION WITH THE ORGANIZATION'S LEADERSHIP, METRICS FOR EACH GRANT ARE DETERMINED ANNUALLY BEFORE FUNDING IS PROVIDED. A PROGRESS REPORT IS REQUIRED AT SIX MONTHS, A SITE VISIT IS CONDUCTED IF APPROPRIATE, AND A FINAL ANNUAL REPORT ABOUT PROGRESS TOWARD METRICS IS REQUIRED AT THE END OF THE FUNDING CYCLE. IN ADDITION, A MEMORANDUM OF UNDERSTANDING ACCOMPANIES EACH FUNDING THAT CLEARLY SPELLS OUT THE USAGE FOR THE FUNDS. LPCH ALSO PROVIDES SMALLER FINANCIAL SUPPORT (LESS THAN $10,000) TO NOT-FOR-PROFIT ORGANIZATIONS SERVING CHILDREN, ADOLESCENTS, AND PREGNANT WOMEN TO SUPPORT THEIR PROGRAM OR TO PRESENT SYMPOSIA, SEMINARS, OR CONFERENCES. TYPICAL EXAMPLES ARE THE HOSPITAL'S SPONSORSHIP OF KIDS IN COMMON'S CHILDREN'S AGENDA 2015 CONFERENCE AND THE HOSPITAL'S SUPPORT FOR THE EATING DISORDERS RESOURCE CENTER, WHICH IS A VALUED PARTNER FOR THE HOSPITAL IN SERVING YOUNG PEOPLE WHO SUFFER FROM EATING DISORDERS AND THEIR FAMILIES. LPCH ALSO PROVIDES FUNDS IN THE $200 TO $12,000 RANGE TO SPONSOR THE FUND-RAISING DINNERS, WALKS, AND OTHER EVENTS FOR ORGANIZATIONS SUCH AS THE MARCH OF DIMES, NATIONAL BRAIN TUMOR SOCIETY, PATHWAYS HOSPICE FOUNDATION, RONALD MCDONALD HOUSE, ETC. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH L COX MD | ||||||||||||||
| SECRETARY, DIRECTOR, AND CMO | 0 | 261143 | 0 | 216322 | 0 | 1100 | 0 | 25000 | 0 | 3637 | 0 | 507202 | 0 | 0 |
| CHRISTOPHER G DAWES | ||||||||||||||
| PRESIDENT/CEO | 0 | 829338 | 0 | 138022 | 0 | 206518 | 0 | 327500 | 0 | 29984 | 0 | 1531362 | 0 | 0 |
| PHILIP A PIZZO MD | ||||||||||||||
| DIRECTOR (UNTIL 12/1/2012) | 0 | 656396 | 0 | 0 | 0 | 14369 | 0 | 268223 | 0 | 25816 | 0 | 964804 | 0 | 0 |
| THOMAS KRUMMEL MD | ||||||||||||||
| DIRECTOR | 0 | 533668 | 0 | 493298 | 0 | 0 | 0 | 25000 | 0 | 28110 | 0 | 1080076 | 0 | 0 |
| Lloyd B Minor MD | ||||||||||||||
| DIRECTOR (AS OF 12/1/2012) | 0 | 376771 | 0 | 0 | 0 | 357398 | 0 | 0 | 0 | 29784 | 0 | 763953 | 0 | 0 |
| SUSAN S FLANAGAN | ||||||||||||||
| COO (UNTIL 2/27/2013) | 0 | 513430 | 0 | 53153 | 0 | 88277 | 0 | 0 | 0 | 32866 | 0 | 687726 | 0 | 0 |
| Anne McCune | ||||||||||||||
| COO (as of 1/1/13) | 0 | 133622 | 0 | 30000 | 0 | 13017 | 0 | 0 | 0 | 5619 | 0 | 182258 | 0 | 0 |
| CHRISTY SANDBORG MD | ||||||||||||||
| DIRECTOR | 0 | 226805 | 0 | 153972 | 0 | 0 | 0 | 23633 | 0 | 19456 | 0 | 423866 | 0 | 0 |
| TIMOTHY W CARMACK | ||||||||||||||
| VP & CFO | 0 | 450248 | 0 | 59930 | 0 | 96520 | 0 | 80229 | 0 | 10517 | 0 | 697444 | 0 | 55125 |
| HUGH O'BRODOVICH MD | ||||||||||||||
| DIRECTOR | 0 | 421143 | 0 | 193395 | 0 | 29966 | 0 | 20752 | 0 | 22426 | 0 | 687682 | 0 | 0 |
| PAMELA A MOLANO | ||||||||||||||
| VP PHYSICIAN & AMB SVS | 0 | 325495 | 0 | 42504 | 0 | 48308 | 0 | 49473 | 0 | 1904 | 0 | 467684 | 0 | 26846 |
| PAMELA J WELLS | ||||||||||||||
| CHIEF NURSING OFFICER | 0 | 247725 | 0 | 15812 | 0 | 406861 | 0 | 28226 | 0 | 10255 | 0 | 708879 | 0 | 1278 |
| OWEN R AURELIO | ||||||||||||||
| VP CLINICAL SERVICES | 0 | 256190 | 0 | 14987 | 0 | 29245 | 0 | 22500 | 0 | 32176 | 0 | 355098 | 0 | 0 |
| MARK TORTORICH | ||||||||||||||
| VP PLANNING, DESIGN, CONSTRUC | 0 | 276636 | 0 | 71390 | 0 | 127574 | 0 | 22500 | 0 | 26027 | 0 | 524127 | 0 | 69111 |
| BRADFORD P TOUSSAINT | ||||||||||||||
| VP MGMT SYST STRATEGY & PLAN | 0 | 263163 | 0 | 28849 | 0 | 380282 | 0 | 22500 | 0 | 25751 | 0 | 720545 | 0 | 0 |
| Jeannine D'Addario | ||||||||||||||
| CHIEF MARKETING OFFICER | 0 | 158047 | 0 | 84660 | 0 | 109730 | 0 | 8023 | 0 | 14775 | 0 | 375235 | 0 | 0 |
| Rosalina Luna | ||||||||||||||
| CLINICAL NURSE IV | 0 | 182668 | 0 | 0 | 0 | 149632 | 0 | 24473 | 0 | 19270 | 0 | 376043 | 0 | 0 |
| JAMES MCCAUGHEY | ||||||||||||||
| SR VP BUS DEV & STRAT PLNG | 0 | 314837 | 0 | 42761 | 0 | 127802 | 0 | 22500 | 0 | 23875 | 0 | 531775 | 0 | 77897 |
| GREGORY J SOUZA | ||||||||||||||
| VP HR | 0 | 305853 | 0 | 32181 | 0 | 66522 | 0 | 22500 | 0 | 18102 | 0 | 445158 | 0 | 0 |
| EDWARD KOPETSKY | ||||||||||||||
| VP & CIO | 0 | 424161 | 0 | 45890 | 0 | 96387 | 0 | 77578 | 0 | 26183 | 0 | 670199 | 0 | 51989 |
| KIM ROBERTS | ||||||||||||||
| VP PHY NW DEV & MGMT | 0 | 318413 | 0 | 34538 | 0 | 5536 | 0 | 56600 | 0 | 30891 | 0 | 445978 | 0 | 0 |
| AMIR DAN RUBIN | ||||||||||||||
| DIRECTOR | 0 | 1552140 | 0 | 926989 | 0 | 40110 | 0 | 293487 | 0 | 29851 | 0 | 2842577 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | HOUSING | Identifier |
| Return Reference | SCHEDULE J, PART I, LINE 1 | ReturnReference |
| Explanation | TWO OFFICERS, 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 PAYMENT SCHEDULE J, PART I, LINE 4A PAMELA WELLS RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $286,998 REPRESENTING 12 MONTHS BASE ANNUAL SALARY. BRADFORD TOUISSANT RECIEVED A SEVERANCE PAYMENT IN THE AMOUNT OF $276,156 REPRESENTING 12 MONTHS BASE ANNUAL SALARY. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") AND 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 2012: CHRISTOPHER G DAWES $143,538 SUSAN S FLANAGAN $63,287 TIMOTHY W CARMACK $55,125 EDWARD KOPETSKY $52,764 PAMELA A MOLANO $26,846 PAMELA J WELLS $26,030 OWEN R AURELIO $21,323 GREGORY J SOUZA $37,218 JAMES MCCAUGHEY $116,776 BRADFORD P TOUSSAINT $27,500 MARK TORTORICH $107,466 KIM ROBERTS $2,098 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C). THE INDIVIDUALS LISTED BELOW PARTICIPATE 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. KENNETH L COX MD PHILIP A PIZZO MD THOMAS KRUMMEL MD CHRISTOPHER DAWES, PRESIDENT OF LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD 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 AMOUNT CREDITED TO MR. DAWES ACCOUNT FOR CALENDAR YEAR 2012 OF $300,000 IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). SCHEDULE J, PART I, LINE 7 OFFICERS AND OTHERS AS ENUMERATED IN SCHEDULE J, PART II PARTICIPATE IN A DEFERRED COMPENSATION PLAN SPONSORED BY SHC. 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. SCHEDULE J, PART II, DESCRIPTION FOR COLUMN B(III) OTHER REPORTABLE COMPENSATION in schedule J-1, 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. SCHEDULE J, PART II, DESCRIPTION FOR COLUMN C & D THESE EMPLOYEES ACCRUE FUTURE BENEFITS THAT ARE AVAILABLE TO ALL STANFORD EMPLOYEES, SUCH AS EMPLOYER'S CONTRIBUTION TO QUALIFIED RETIRMENT PLAN. COMPENSATION OF LEASED EMPLOYEES SCHEDULE J, PART II LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") LEASES ITS EMPLOYEES FROM STANFORD HOSPITAL AND CLINICS ("SHC") AND REIMBURSES SHC FOR THE COST OF THE EMPLOYEES. LPCH'S REIMBURSEMENT OF SALARIES, BENEFITS AND PAYROLL TAXES TOTALED $123,850,000 AND IS INCLUDED IN PART IX, LINES 5-10. THE TOTAL NUMBER OF EMPLOYEES LEASED FROM SHC FOR THE FISCAL YEAR 2012 WAS 3,032. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY | ||||||||
| A | 521643828 | 13033LWQ6 | 2012-03-21 | 93450000 | REFUND 2008 ISSUE | false | false | false |
| CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY | ||||||||
| B | 521643828 | 13033LWR4 | 2012-03-21 | 270684581 | FINANCE HEALTH FAC & REDEMPTION OF | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 93450000 | 0 | 0 | 0 | 547136 | 0 | 0 | 0 | 92902864 | 0 | true | false | true | true |
| B | 0 | 0 | 270684581 | 0 | 315930 | 0 | 2687575 | 0 | 0 | 10754357 | 58857496 | 198069223 | false | true | false | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | true | true | false | 0 | false | false | false | true |
| B | false | false | true | true | false | 0 | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| 0 | |||||||||
| A | false | true | true | false | false | false | 0 | false | true |
| 0 | |||||||||
| B | false | true | true | true | false | false | 0 | false | true |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | true |
| B | true |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule K,Part IV, Line 2c | Identifier |
| Return Reference | 0 | ReturnReference |
| Explanation | Arbitrage Rebate analysis has been performed for 2008 Series A, B, and C bonds and 2012 Series A and B bonds in FY2013 with listed below for the analysis date. No payment was due to IRS for these bonds in FY2013. 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. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ELIZABETH DAWES | |||
| SEE PART V | 69542 | COMP FOR EMPLOYMENT | false |
| KATHLEEN COX | |||
| SEE PART V | 214241 | COMP FOR EMPLOYMENT | false |
| ANGELA KOPETSKY | |||
| SEE PART V | 113855 | COMP FOR EMPLOYMENT | false |
| LUKE AURELIO | |||
| SEE PART V | 87519 | COMP FOR EMPLOYMENT | false |
| MEDTRONIC | |||
| SEE PART V | 401139 | PAYMENT FOR PRODUCTS | false |
| SUMIT INSURANCE COMPANY | |||
| SEE PART V | 5041665 | Insurance | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | RELATIONSHIP BETWEEN PERSON AND ORGANIZATION | Identifier |
| Return Reference | FORM 990, SCHEDULE L, PART IV COLUMN (B) | ReturnReference |
| Explanation | ELIZABETH DAWES: EMPLOYEE IS A FAMILY MEMBER OF A DIRECTOR. 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. MEDTRONIC: A DIRECTOR OF LPCH IS ALSO A DIRECTOR OF MEDTRONIC. THE DIRECTOR DID NOT PARTICIPATE IN ANY WAY IN DECISION MAKING OR DISCUSSION OF THE RELATIONSHIP BETWEEN LPCH AND MEDTRONIC. SUMIT INSURANCE COMPANY: TWO OFFICERS OF LPCH ARE VOTING MEMBERS OF THE SUMIT INSURANCE COMPANY BOARD OF DIRECTORS. THE OFFICERS DID NOT PARTICIPATE IN ANY WAY IN DECISION MAKING OR DISCUSSION OF THE RELATIONSHIP BETWEEN LPCH AND SUMIT INSURANCE COMPANY. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S PRIMARY EXEMPT PURPOSE | FORM 990, PARTS I & III, LINE 1 | THE SPECIFIC AND PRIMARY EXEMPT PURPOSES OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("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 HOSPITAL AND CLINICS ("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 STANFORD HOSPITAL AND CLINICS. 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 CONTINUE TO CHOOSE LUCILE PACKARD CHILDREN'S HOSPITAL 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 PATIENT 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, INCLUDING REDWOOD CITY, MOUNTAIN VIEW, FREMONT, SALINAS AND SANTA CRUZ. 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 4,528 IN FISCAL YEAR 2013 - COMPARED TO THE PRIOR YEAR DISCHARGES OF 4,467. IN 2013 THE AVERAGE LENGTH OF STAY FOR OBSTETRIC PATIENTS WAS 3.1 DAYS. OBSTETRIC PATIENTS FROM THE PRIMARY SERVICE AREA COUNTIES OF SAN MATEO AND SANTA CLARA ACCOUNTED FOR 87% OF DISCHARGES. ELEVEN PERCENT OF PATIENTS CAME FROM THE EIGHT BAY AREA COUNTIES AND 1% FROM THE REMAINING CALIFORNIA COUNTIES. THE JOHNSON CENTER NEONATAL INTENSIVE CARE UNIT SERVED A TOTAL OF 1,487 INPATIENTS IN FISCAL YEAR 2013 WITH AN AVERAGE LENGTH OF STAY OF 13 DAYS. OF THESE INPATIENTS, 59% WERE FROM THE PRIMARY SERVICE AREA, WITH 36% COMING FROM THE EIGHT-COUNTY BAY AREA AND 5% 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 26 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 2013, OUR VENTRICULAR ASSIST DEVICE PROGRAM CONTINUED TO GROW TO CARE FOR THE SICKEST OF CHILDREN WITH ADVANCED HEART FAILURE, AND WE IMPLANTED 44 ASSIST DEVICES OVER THE PAST THREE YEARS. IN ADDITION, 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 863 IN FISCAL YEAR 2012 TO 907 IN FISCAL YEAR 2013. OF THESE, THERE WERE 456 CARDIAC SURGERIES AND 19 HEART TRANSPLANTS. THE INPATIENT PROGRAM HAD A CASE MIX INDEX OF 4.89, REFLECTING THE HIGHLY COMPLEX POPULATION THAT WE SERVE. TWENTY-EIGHT PERCENT OF PATIENTS CAME FROM OUR PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 24% CAME FROM THE EIGHT-COUNTY BAY AREA, 29% CAME FROM OTHER AREAS WITHIN CALIFORNIA, AND 19% CAME FROM OTHER STATES. 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 160 NEW CANCER PATIENTS PER YEAR AND PERFORMED 35 STEM CELL TRANSPLANT IN FISCAL YEAR 2013. 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 2013 TOTALED 1,076 WITH AN AVERAGE LENGTH OF STAY OF 7.8 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, 35% FROM THE EIGHT SURROUNDING BAY AREA COUNTIES, 14% FROM OTHER CALIFORNIA COUNTIES, AND 1% 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, LUCILE PACKARD CHILDREN'S HOSPITAL 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 2013 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 PACKARD CHILDREN'S 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. PACKARD CHILDREN'S CURRENTLY SPONSORS 42 RESIDENCY/FELLOWSHIP PROGRAMS APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATIONS WITH OVER 200 ENROLLED RESIDENTS AND FELLOWS (STATED IN FULL TIME EQUIVALENTS). RESIDENCY PROGRAMS IN PHARMACY, SOCIAL WORK, HOSPITAL CHAPLAINCY, AND NURSING ARE ALSO PROVIDED. PACKARD CHILDREN'S PARTNERS WITH STANFORD SCHOOL OF MEDICINE TO CONDUCT RESEARCH IN ALL SIX CENTERS OF EXCELLENCE DESCRIBED ABOVE. PACKARD CHILDREN'S IS ALSO COMMITTED TO ADVOCACY AND COMMUNITY OUTREACH TO IMPROVE THE HEALTH STATUS OF CHILDREN AND PREGNANT WOMEN BY DEVELOPING AND SUPPORTING INNOVATIVE PROGRAMS (PRIMARILY 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 - PARTNERSHIP WITH RAVENSWOOD FAMILY HEALTH CENTER - 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, PHILIP PIZZO, LLOYD MINOR, AND CHRISTY SANDBORG ARE EMPLOYEES OF STANFORD UNIVERSITY. PHILIP PIZZO WAS THE DEAN OF THE STANFORD SCHOOL OF MEDICINE (UNTIL 12/1/2012), LLOYD MINOR IS THE DEAN OF THE STANFORD SCHOOL OF MEDICINE (EFFECTIVE 12/1/2012), 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 STANFORD HOSPITAL AND CLINICS. MARY CRANSTON, MARIANN BYERWALTER, CHRISTOPHER DAWES, LLOYD MINOR, AND PHILIP PIZZO 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. MEMBERS FORM 990, PART VI, LINE 6 STANFORD UNIVERSITY IS THE SOLE MEMBER OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD. FORM 990, PART VI, LINE 7A STANFORD UNIVERSITY, AS THE SOLE MEMBER OF LPCH, APPOINTS THE LPCH BOARD OF DIRECTORS. 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 LUCILE PACKARD CHILDREN'S HOSPITAL (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. FORM 990, PART VI, LINE 14 LPCH currently has a document retention and destruction policy for its medical records that has been approved by its governing body. All other document retention and destruction policies have been approved by management. 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, 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. COMPENSATION OF LEASED EMPLOYEES FORM 990, PART IX, LINES 5-10 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") LEASES ITS EMPLOYEES FROM STANFORD HOSPITAL AND CLINICS ("SHC") AND REIMBURSES SHC FOR THE COST OF THE EMPLOYEES. LPCH'S REIMBURSEMENT OF SALARIES, BENEFITS AND PAYROLL TAXES TOTALED $122,810,432 AND IS INCLUDED IN PART IX, LINES 5-10. THE TOTAL NUMBER OF EMPLOYEES LEASED FROM SHC FOR THE FISCAL YEAR 2013 WAS 3,032. EMPLOYEES LEASED FROM SHC BECAME EMPLOYEES PAID DIRECTLY BY LPCH AS OF JANUARY 2013. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G Temp Labor - Medical Physician $15,014,142 Other Purchased services $34,877,190 Purchased Services to/from Stanford University $51,986,498 Purchased Services to/from Stanford Hospital & Clinics $86,706,150 Other Professional service $249,496 Other Medical Services (Medical Group) $119,474,399 TOTAL $443,307,875 RECONCILIATION FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 1,681,138 ADJUSTMENT FOR MINIMUM PENSION AND POST RETIREMENT LIABILITY 2,034,000 TRANSFER TO STANFORD UNIVERSITY AND OTHER (56,001,867) TRANSFER OF NET INVESTMENT LOSS ON CERTAIN ENDOWMENTS 204,034 ______________ (52,082,695) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STANFORD HOSPITAL AND CLINICS | |||||||||||||||
| 300 PASTEUR DRIVE MC 5555 | STANFORD | CA | 94305 | 946174066 | HEALTHCARE | CA | 501(C)(3) | 3 | STANFORD | true | |||||
| THE FREIDENRICH SUPPORT FOUNDATION | |||||||||||||||
| 3145 PORTER DRIVE | PALO ALTO | CA | 94304 | 300519583 | SUPPORT | CA | 501(C)(3) | 11, TYPE I | STANFORD | true | |||||
| SHR HOLDINGS INC | |||||||||||||||
| 3145 PORTER DRIVE | PALO ALTO | CA | 94304 | 943187167 | REAL ESTATE | CA | 501(C)(25) | N/A | STANFORD | true | |||||
| SU EMP BEN TRUST POST RETEMPYNT BEN | |||||||||||||||
| 3145 PORTER DRIVE | PALO ALTO | CA | 94304 | 943246199 | BENEFITS | CA | 501(C)(9) | N/A | STANFORD | true | |||||
| UNIVERSITY HEALTHCARE ALLIANCE | |||||||||||||||
| 855 OAK GROVE AVE SUITE 100 | MENLO PARK | CA | 94205 | 943192446 | HEALTHCARE | CA | 501(C)(3) | 3 | SHC | true | |||||
| THE DUDLEY E CHAMBERS FOUNDATION | |||||||||||||||
| JP MORGAN CHASE PO BOX 3038 | MILWAUKEE | WI | 53201 | 386841793 | SUPPORT | NY | 501(C)(3) | 11,TYPE III | STANFORD | true | |||||
| STANFORD UNIVERSITY BOOK STORE | |||||||||||||||
| BLDG 60 MAIN QUAD NO 105 | STANFORD | CA | 94305 | 940894150 | SUPPORT | CA | 501(C)(3) | 11, TYPE I | STANFORD | true | |||||
| STANFORD SCHOOLS CORPORATION | |||||||||||||||
| 475 POPE STREET | MENLO PARK | CA | 94025 | 202699147 | EDUCATIONAL | CA | 501(C)(3) | 2 | STANFORD | true | |||||
| PACKARD CHILDREN'S HEALTH ALLIANCE | |||||||||||||||
| 725 WELCH ROAD MC5551 | PALO ALTO | CA | 94304 | 320359189 | HEALTHCARE | CA | 501(C)(3) | 3 | LPCH | true | |||||
| STANFORD HABITAT CONSERVATION BOARD | |||||||||||||||
| 3160 PORTER DR STE 200 | PALO ALTO | CA | 94304 | 461882243 | CONSERVATION | CA | 501(C)(3) | 7 | STANFORD | true | |||||
| STANFORD FACULTY CLUB | |||||||||||||||
| PO BOX 7229 | STANFORD | CA | 94309 | 941187089 | FAC INTERACT. | CA | 501(C)(7) | N/A | STANFORD | true | |||||
| LELAND STANFORD JUNIOR UNIVERSITY | |||||||||||||||
| 3145 PORTER DRIVE | PALO ALTO | CA | 94304 | 941156365 | ACADEMIA | CA | 501(C)(3) | 2 | NA | true | |||||
| STANFORD FEDERAL CREDIT UNION | |||||||||||||||
| 1860 EMBARCADERO RD | PALO ALTO | CA | 943033335 | 941492212 | CREDIT UNION | CA | 501(C)(1) | N/A | STANFORD | true | |||||
| THE HONG KONGSU CHARITABLE TRUST | |||||||||||||||
| SUPPORT | 501(C)(3) | STANFORD | true | 1401 CAROLINE CENTER | 28 PING ROAD | CAUSEWAY | HK | HK | |||||||
| THE STANFORD TRUST | |||||||||||||||
| SUPPORT | 501(C)(3) | STANFORD | true | 65 HIGH STREET | OXFORD | OX1 46L | UK | UK | |||||||
| STANFORD PROGRAMME (CAPE TOWN) NPC | |||||||||||||||
| EDUCATION | 501(C)(3) | STANFORD | true | WAVERLY BUSINESS PARK BUILDING 11 | CAPE TOWN | SF | SF | ||||||||
Form990 Schedule R Part III Form990ScheduleRPartIII (30 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Postal CodeAddressForeign/PostalCode | Province Or StateAddressForeign/ProvinceOrState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARCOLA LP | |||||||||||||
| C/O ARCOLOA GP LLC 1 EMBARCADERO C | SAN FRANCISCO | CA | 94111 | 204222260 | RE DEVELOPMENT | DE | NA | ||||||
| ATWATER 12 LP | |||||||||||||
| 2001 ROSS AVE STE 1600 | DALLAS | TX | 75201 | 752944481 | INVESTMENTS | DE | NA | ||||||
| AVENUE ASIA CAPITAL PARTNERS LP | |||||||||||||
| 399 Park Ave 6th Fl | NEW YORK | NY | 10022 | 010553224 | FOREIGN INV. | DE | NA | ||||||
| JER R E QUALIFIED PARTNERS EUROPE LP | |||||||||||||
| C/O JE ROBERT COS 1650 TYSON BL | STE MCLEAN | VA | 22102 | 542029560 | INVESTMENTS | DE | NA | ||||||
| LINCOLN COMMERCE PARK II LTD | |||||||||||||
| PO BOX 1920 | DALLAS | TX | 75221 | 204681486 | RE DEVELOPMENT | DE | NA | ||||||
| PARMENTER REALTY FUND II LP | |||||||||||||
| 1111 BRICKELL AVE STE 2910 | MIAMI | FL | 33131 | 200973616 | INVESTMENTS | DE | NA | ||||||
| REGENT OFFICE CENTER LP | |||||||||||||
| c/o Bentall Kennedy US LP 1215 4 | SEATTLE | WA | 33131 | 912116424 | INVESTMENTS | TX | NA | ||||||
| SANDPIPER FUND LP | |||||||||||||
| 2100 MCKINNEY AVE STE 1770 | DALLAS | TX | 98161 | 260341626 | INVESTMENTS | TX | NA | ||||||
| SAROFIM MULTIFAMILY PARTNERS LP | |||||||||||||
| 8115 PRESTON RD STE 400 | DALLAS | TX | 75201 | 201929002 | RE DEVELOPMENT | DE | NA | ||||||
| SKY HARBOR ASSOCIATES LP | |||||||||||||
| PO BOX 1920 | DALLAS | TX | 75225 | 205803431 | INVESTMENTS | DE | NA | ||||||
| SNOWCREEK VI PARTNERS LLC | |||||||||||||
| C/O SMC 2770 SAND HILL RD | MENLO PARK | CA | 75221 | 861089966 | RE DEVELOPMENT | CA | NA | ||||||
| STERLING STAMOS REAL ASSETS FUND (A) LP | |||||||||||||
| 250 PARK AVE 29TH FL | NEW YORK | NY | 94025 | 203949682 | INVESTMENTS | DE | NA | ||||||
| DEK PORTFOLIO LLC | |||||||||||||
| C/O SPAULDING SLYE INV 1 PO S | BOSTON | MA | 10022 | 043446765 | INVESTMENTS | DE | NA | ||||||
| BROWN BARK I LP | |||||||||||||
| PO BOX 1068 | STAFFORD | TX | 77497 | 721604614 | INVESTMENTS | DE | NA | ||||||
| BROWN BARK II LP | |||||||||||||
| PO BOX 1068 | STAFFORD | TX | 77497 | 208727391 | INVESTMENTS | DE | NA | ||||||
| BROWN BARK III LP | |||||||||||||
| PO BOX 1068 | STAFFORD | TX | 77497 | 261780743 | INVESTMENTS | DE | NA | ||||||
| STANFORD PET-CT LLC | |||||||||||||
| 300 PASTEUR DRIVE M/C 5555 | STANFORD | CA | 94305 | 611423414 | MED. DIAGNOSICS | CA | NA | ||||||
| LSF V DHB HOLDINGS LP | |||||||||||||
| 2711 N Haskell Ave Ste 1700 | DALLAS | TX | 75204 | 272858604 | INVESTMENTS | DE | NA | ||||||
| SIC SNOWCREEK VIII LLC | |||||||||||||
| 635 KNIGHT WAY | STANFORD | CA | 94305 | 275431605 | RE DEVELOPMENT | CA | NA | ||||||
| SUMIT HOLDING INTERNATIONAL LLC | |||||||||||||
| 1400 PAGE MILL ROAD MC5713 | PALO ALTO | CA | 94305 | 263934706 | HOLDING COMPANY | DE | NA | ||||||
| ARCOLA VENTURE LLC | |||||||||||||
| C/O STANFORD MGMT CO 635 KNIGHT W | STANFORD | CA | 94304 | 371689632 | RE DEVELOPMENT | DE | NA | ||||||
| BLACKSTONE REP VII TE 7-NQ LP | |||||||||||||
| C/O THE BLACKSTONE GROUP 345 PARK | NEW YORK | NY | 943057297 | 900878802 | INVESTMENTS | DE | NA | ||||||
| OUTLAWS CASINO LTD | |||||||||||||
| 3160 PORTER DR | PALO ALTO | CA | 94304 | 841457498 | HOLDING COMPANY | CO | NA | ||||||
| STANFORD EMANUEL RAD ONCOLOGY | |||||||||||||
| RADIOLOGY | CA | NA | |||||||||||
| SAND HILL INVESTMENTS LP | |||||||||||||
| C/O SMC 635 KNIGHT WAY | STANFORD | CA | 943057297 | 371557441 | INVESTMENT | DE | NA | ||||||
| KEB INVESTORS II LP | |||||||||||||
| FOREIGN INV. | NA | WASHINGTON MALL STE 304 7 REID ST | HAMILTON | BD | BD | ||||||||
| PALO ALTO LP | |||||||||||||
| FOREIGN INV. | NA | OGIER HOUSE THE ESPLANADE | ST. HELIER | JE | JE | XC JE4 9WG | |||||||
| FORTRESS IW COINVESTMENT (FUND B) LP | |||||||||||||
| 1345 AVE OF THE AMERICAS 23RD FL | NEW YORK | NY | 10105 | 980509639 | INVESTMENTS | NA | CJ | ||||||
| JER REAL ESTATE PARTNERS EUROPE II LP | |||||||||||||
| INVESTMENTS | NA | CLARGES HOUSE 6-12 CLARGES ST | LONDON | UK | UK | W1J 8AD | EN | ||||||
| CEE EQUITY HOLDINGS LP | |||||||||||||
| INVESTMENTS | NA | Elizabeth House 9 Castle St | St. Helier, | JE | JE | JE4 2QP | Je | ||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (24 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | EINEIN | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState | Province Or StateAddressForeign/ProvinceOrState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARINER VOYAGER INTERNATIONAL LTD | |||||||||||||
| C/O STUARTS CORP SVCS PO BOX 2510 | GEORGE TOWN | CJ | INVESTMENTS | CJ | NA | C CORP | |||||||
| STANFORD SGGS EUROPE INC | |||||||||||||
| UGLAND HOUSE S CHURCH ST | PO BOX 309GT, GEORGE TOWN | CJ | INVESTMENTS | CJ | NA | C CORP | 131684331 | ||||||
| BLACK RIVER EMEA INVESTORS FUND LTD | |||||||||||||
| UGLAND HOUSE S CHURCH ST | GEORGE TOWN | CJ | INVESTMENTS | CJ | NA | C CORP | 980428006 | ||||||
| EAST SAIL | |||||||||||||
| C/O INTL FS INC IFS COURT | TWENTYEIGHT, CYBERCITY, EBENE | MP | INVESTMENTS | MP | NA | C CORP | |||||||
| GAVEA INVESTMENT FUND II-C LP | |||||||||||||
| PO BOX 896GT HARBOUR CENTRE | GEORGE TOWN | CJ | INVESTMENTS | CJ | NA | C CORP | 980537952 | ||||||
| JER ALBERTA LP | |||||||||||||
| INVESTMENTS | CA | NA | C CORP | 980537952 | C/O JE ROBERT COS 1650 TYSON BLVD | MCLEAN | VA | 22102 | |||||
| JER ALBERTA III LP | |||||||||||||
| INVESTMENTS | CA | NA | C CORP | 980423557 | C/O JE ROBERT COS 1650 TYSON BLVD | MCLEAN | VA | 22102 | |||||
| MARBLETON PROPERTY FUND (ALBERTA) LP | |||||||||||||
| INVESTMENTS | CA | NA | C CORP | 980493425 | C/O JE ROBERT COMPANIES 1650 TYSON | MCLEAN | VA | 22102 | |||||
| CLAT (16) | |||||||||||||
| CHARITABLE TR | NA | TRUST | CA | ||||||||||
| CRT (513) | |||||||||||||
| CHARITABLE TR | NA | TRUST | CA | ||||||||||
| OTHER (10) | |||||||||||||
| CHARITABLE TR | NA | TRUST | CA | ||||||||||
| PIF (82) | |||||||||||||
| CHARITABLE TR | NA | TRUST | CA | ||||||||||
| MIDPOINT TECHNOLOGY PARK OWNERS ASSOC | |||||||||||||
| REAL ESTATE | NA | C CORP | 943287254 | 3145 PORTER DR | PALO ALTO | CA | 94304 | CA | |||||
| ALPINE CHALET INC | |||||||||||||
| SKI LODGE | NA | C CORP | PO BOX 9988 | SOUTH LAKE TAHOE | CA | 96158 | CA | ||||||
| NW CAMPUS MIDPOINT TECH PARK OWNRS ASSOC | |||||||||||||
| REAL ESTATE | CA | NA | C CORP | 943287254 | 3145 PORTER DR | PALO ALTO | CA | 94304 | |||||
| STANFORD CAMPUS RECREATION ASSOCIATION | |||||||||||||
| SOCIAL CLUB | CA | NA | C CORP | 941539127 | 3145 PORTER DR | PALO ALTO | CA | 94304 | |||||
| STANFORD (BEIJING) CNSLTNG CO LTD (WFOE) | |||||||||||||
| 5275TH FLBLDG CACADEMY SOUTH RD | HAIDAN DISTRICT | CH | EDUCATION | CH | NA | C CORP | BEIJING | ||||||
| STANFORD UNIV MED NETWORK RISK AUTHORITY | |||||||||||||
| RISK MGMT CONSULT | NA | C CORP | 461132002 | 1400 PAGE MILL RD MSC 5713 | PALO ALTO | CA | 94304 | CA | |||||
| PROFESSIONAL EXCHANGE ASSURANCE COMPANY | |||||||||||||
| INSURANCE | NA | C CORP | 900897686 | 201 MERCHANT STREET SUITE 2400 | HONOLULU | HI | 96813 | HI | |||||
| ARCOLA RES DEVELOPMENT CORP | |||||||||||||
| INVESTMENT | NA | C CORP | 800804754 | C/O SMC 635 KNIGHT WAY | STANFORD | CA | 943057297 | CA | |||||
| BREP VII ALBERTA FEEDER (OFFSHORE) TE7LP | |||||||||||||
| INVESTMENTS | NA | C CORP | 981066351 | C/O THE BLACKSTONE GROUP 345 PARK | NEW YORK | NY | 10154 | CA | |||||
| BREP VII ALBERTA FEEDER(OFFSHORE)TE7NQLP | |||||||||||||
| INVESTMENTS | NA | C CORP | 981066355 | C/O THE BLACKSTONE GROUP 345 PARK | NEW YORK | NY | 10154 | CA | |||||
| SPM DIRECT MORTGAGE PREPAY OFFSHORE FUND | |||||||||||||
| INVESTMENTS | CJ | NA | C CORP | ||||||||||
| WOODBOURNE CANADA PARTNERS II -CAYMAN LP | |||||||||||||
| INVESTMENTS | CJ | NA | C CORP | 980705321 | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| STANFORD HOSPITAL AND CLINICS (SHC) | ||
| K,L | 67488379 | FMV |
| STANFORD HOSPITAL AND CLINICS (SHC) | ||
| N | 21157980 | FMV |
| STANFORD HOSPITAL AND CLINICS (SHC) | ||
| O,P | 135801519 | FMV |
| OTHER TRUST | ||
| C | 596980 | FMV |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE R, PART IV, LINE 2 | Identifier |
| Explanation | CHARITABLE LEAD ANNUITY TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE 3 CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. LPCH IS THE DIRECT CONTROLLING ENTITY OF 6 OF THESE TRUSTS WHICH ARE SECTION 512(b)(13) CONTROLLED ENTITIES. SCHEDULE R, PART IV, LINE 4 OTHER TRUSTS ARE PRINCIPALLY DOMICILIED IN CALIFORNIA. LPCH IS THE DIRECT CONTROLLING ENTITY OF 1 OF THESE TRUSTS WHICH IS A SECTION 512(b)(13) CONTROLLED ENTITY. SCHEDULE R, PART IV, LINE 5 POOLED INVESTMENT FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART V THE PURCHASED SERVICES PAYMENT WITH STANFORD HOSPITAL AND CLINICS IS CALCULATED BASED ON THE RATIO OF DIRECT COST TO CHARGES PLUS NEGOTIATED OVERHEAD. THE SHARED SERVICES WITH STANFORD HOSPITAL AND CLINICS IS A NEGOTIATED FIXED DOLLAR ANNUAL RATE. FOR OTHER SERVICES, PAYMENT IS BASED ON EITHER NEGOTIATED RATE OR CONTRACT AGREEMENT. | Explanation |