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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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-07-15T16:03:55-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 High StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN770003859EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lucile Salter Packard Children'sBusinessNameLine1
Business Name Line2Hospital at StanfordBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% FINANCE DEPARTMENTInCareOfName
Name ControlLUCINameControl
Phone6504978000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1725 Welch Road MC 5553AddressLine1
Address Line2SuiteAddressLine2
CityPalo AltoCity
StateCAState
ZIP Code94304ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDANA HAERINGName
TitleINT. CFO/VP/CONTROL.Title
Phone6507212222Phone
Date Signed2014-07-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonChristopher G DawesNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1725 WELCH ROADAddressLine1
CityPALO ALTOCity
StateCAState
ZIP Code94304ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1167446305GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.lpch.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body32NbrVotingMembersGoverningBody
Nbr Independent Voting Members23NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers887TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year156503385ContributionsGrantsPriorYear
Contributions Grants Current Year45437520ContributionsGrantsCurrentYear
Program Service Revenue Prior Year942244172ProgramServiceRevenuePriorYear
Program Service Revenue CY1079377262ProgramServiceRevenueCY
Investment Income Prior Year23384218InvestmentIncomePriorYear
Investment Income Current Year23031662InvestmentIncomeCurrentYear
Other Revenue Prior Year20260773OtherRevenuePriorYear
Other Revenue Current Year19599861OtherRevenueCurrentYear
Total Revenue Prior Year1142392548TotalRevenuePriorYear
Total Revenue Current Year1167446305TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year849246GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1222061GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year378946961SalariesEtcPriorYear
Salaries Etc Current Year404751152SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year8311700TotalFundrsngExpCurrentYear
Other Expense Prior Year536666452OtherExpensePriorYear
Other Expenses Current Year566960980OtherExpensesCurrentYear
Total Expenses Prior Year916462659TotalExpensesPriorYear
Total Expenses Current Year972934193TotalExpensesCurrentYear
Revenues Less Expenses Prior Year225929889RevenuesLessExpensesPriorYear
Revenues Less Expenses CY194512112RevenuesLessExpensesCY
Total Assets BOY2028550838TotalAssetsBOY
Total Assets EOY2229306180TotalAssetsEOY
Total Liabilities BOY561684779TotalLiabilitiesBOY
Total Liabilities EOY550981545TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1466866059NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1678324635NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense273006000Expense
Revenue334615000Revenue
DescriptionSEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense212901000Expense
Revenue284873000Revenue
DescriptionSEE SCHEDULE 0Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense103897000Expense
Revenue128700000Revenue
DescriptionSEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp281393867TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt1222061TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev331189262TotalOfOtherProgramServiceRev
Total Program Service Expense871197867TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArttrueCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096345NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members32NbrVotingGoverningBodyMembers
Number Independent Voting Members23NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonFINANCE DEPARTMENTNamePerson
Telephone Number6507212222TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1725 WELCH ROADAddressLine1
CityPALO ALTOCity
StateCAState
ZIP Code94304ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (48 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN LILLIE
DIRECTOR2.00.0X000
ELIZABETH DUNLEVIE
DIRECTOR2.00.0X000
KENNETH L COX MD
SECRETARY, DIRECTOR, AND CMO2.052.0X047856528637X
CHRISTOPHER G DAWES
PRESIDENT/CEO50.02.0X01173878357484X
MARIANN BYERWALTER
DIRECTOR2.02.0X000
PHILIP A PIZZO MD
DIRECTOR (UNTIL 12/1/2012)2.052.0X0670765294039
DAVID ALEXANDER MD
DIRECTOR2.00.0X000
THOMAS KRUMMEL MD
DIRECTOR2.051.0X0102696653110
Lloyd B Minor MD
DIRECTOR (AS OF 12/1/2012)2.052.0X073416929784
CHRISTY SANDBORG MD
DIRECTOR2.050.0X038077743089
BERNADINE C FONG
DIRECTOR2.01.0X000
DANA G MEAD JR
DIRECTOR2.00.0X000
MARY ANN CARMACK MD
DIRECTOR (UNTIL 12/31/2012)2.00.0X000
MARY B CRANSTON
CHAIR2.02.0X000X
HARRY R HAGEY
DIRECTOR2.00.0X000
HUGH O'BRODOVICH MD
DIRECTOR2.050.0X064450443178
SUSAN ORR
VICE CHAIR2.00.0X000X
ANNE BASS
DIRECTOR2.00.0X000
JEFFREY CHAMBERS
DIRECTOR2.00.0X000
JONATHAN COSLET
DIRECTOR2.00.0X000
WILLIAM CROWN
DIRECTOR2.00.0X000
SUSAN FORD DORSEY
DIRECTOR2.00.0X000
ANN LIVERMORE
DIRECTOR2.00.0X000
JOHN WALKER
DIRECTOR2.00.0X000
DAVID GRUBB
DIRECTOR2.00.0X000
J TAYLOR CRANDALL
DIRECTOR2.00.0X000
JANE SHAW
DIRECTOR (AS OF 9/1/2012)2.02.0X000
VAUGHN WILLIAMS
DIRECTOR2.02.0X000
JAMES WOODY MD
DIRECTOR2.00.0X000
FRANK LEE
DIRECTOR (AS OF 01/01/2013)2.02.0X000
AMIR DAN RUBIN
DIRECTOR2.050.0X02519239323338
JANESTA NOLAND
DIRECTOR (AS OF 01/01/13)2.00.0X000
JOEL PODOLNY
DIRECTOR (AS OF 04/01/2013)2.00.0X000
JORGE TITINGER
DIRECTOR (AS OF 01/01/2013)2.00.0X000
SUSAN S FLANAGAN
COO (UNTIL 2/27/2013)50.00.0065486032866X
Anne McCune
COO (as of 1/1/13)50.00.001766395619X
TIMOTHY W CARMACK
VP & CFO50.02.0060669890746X
PAMELA A MOLANO
VP PHYSICIAN & AMB SVS50.00.0041630751377X
PAMELA J WELLS
CHIEF NURSING OFFICER50.00.0067039838481X
OWEN R AURELIO
VP CLINICAL SERVICES50.00.0030042254676X
MARK TORTORICH
VP PLANNING, DESIGN, CONSTRUC25.025.0047560048527X
EDWARD KOPETSKY
VP & CIO50.00.00566438103761X
KIM ROBERTS
VP PHY NW DEV & MGMT25.025.0035848787491X
BRADFORD P TOUSSAINT
VP MGMT SYST STRATEGY & PLAN50.00.0067229448251X
Jeannine D'Addario
CHIEF MARKETING OFFICER50.00.0035243722798X
Rosalina Luna
CLINICAL NURSE IV50.00.0033230043743X
JAMES MCCAUGHEY
SR VP BUS DEV & STRAT PLNG50.00.0048540046375X
GREGORY J SOUZA
VP HR50.00.0040455640602X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs14101699TotalReportableCompFrmRltdOrgs
Total Other Compensation1887972TotalOtherCompensation
Number Individuals GT100 K1368NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
STANFORD HOSPITAL AND CLINICS
300 PASTEUR DRSTANFORDCA94305MED LAB/PURCH SVCS86705895
DPR CONSTRUCTION INC
1450 VETERANS BLVDREDWOOD CITYCA94063CONSTRUCTION59621551
STANFORD UNIVERSITY
450 SERRA MALLSTANFORDCA94303PURCHASED SERVICES24593514
CARDINAL HEALTH
7000 CARDINAL PLACEDUBLINOH43017HEALTH CARE MANU/PCP14079962
OWENS MINOR
18250 STANFORD ROADTRACYCA95377MED PROD SUPPLIER13704358
FieldValueIRS element (for citing)
Number Of Contractors GT100 K325NumberOfContractorsGT100K
All Other Contributions45437520AllOtherContributions
Total Contributions45437520TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE900099830955986830955986
GOVERNMENT FUND9000991015470110154701
MEDICARE/MEDICAID900099147531045147531045
PROVIDER FEE9000998295842882958428
JOINT VENTURES90009977771027777102
FieldValueIRS element (for citing)
Total Program Service Revenue1079377262TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column22383726TotalRevenueColumn
Exclusion$22,383,726ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column647936TotalRevenueColumn
Exclusion$647,936ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA9000991199669$1,199,669
INVESTMENT INCOME FROM RELATED PROGRAM900099-5865200-$5,865,200
PARKING900099315541$315,541

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column23949851TotalRevenueColumn
Exclusion$23,949,851ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue19599861TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1167446305TotalRevenueColumn
Related Or Exempt Function Income1079377262RelatedOrExemptFunctionIncome
Exclusion$42,631,523ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1222061Total
Program Services1222061ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6032765Total
Program Services2183186ProgramServices
Management And General3577016ManagementAndGeneral
Fundraising272563Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total267007592Total
Program Services253742321ProgramServices
Management And General13265271ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total23401755Total
Program Services22162676ProgramServices
Management And General1239079ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total87663167Total
Program Services81979191ProgramServices
Management And General5683976ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total20645873Total
Program Services19513861ProgramServices
Management And General1132012ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15600867Total
Program Services6379883ProgramServices
Management And General9220984ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2110943Total
Program Services500ProgramServices
Management And General2110443ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total502302Total
Management And General502302ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total81598Total
Program Services81598ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total308307875Total
Program Services288417203ProgramServices
Management And General19890672ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1969706Total
Program Services1966300ProgramServices
Management And General3406ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total84843116Total
Program Services83713565ProgramServices
Management And General1129551ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total26097849Total
Program Services15047357ProgramServices
Management And General11050492ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18982540Total
Program Services9453643ProgramServices
Management And General9528897ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total709426Total
Program Services565825ProgramServices
Management And General143601ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total13277152Total
Program Services13277152ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total37281996Total
Program Services30850751ProgramServices
Management And General6431245ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6073187Total
Program Services3331396ProgramServices
Management And General2741791ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVIDER FEES2387148323871483
UNCOLLECTIBLES60724426072442
UTILITIES44924633993060499403
DUES AND SUBSCRIPTIONS1399141498839900302

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total15286894Total
Program Services2873574ProgramServices
Management And General4374183ManagementAndGeneral
Fundraising8039137Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total972934193Total
Program Services871197867ProgramServices
Management And General93424626ManagementAndGeneral
Fundraising8311700Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1895BOY
EOY1895EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY85383505BOY
EOY184787929EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY147321453BOY
EOY23463009EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY203274071BOY
EOY236882664EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5164376BOY
EOY4639613EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4840561BOY
EOY8043449EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis954163023LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec313991907LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY520811969BOY
EOY640171116EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY66906974BOY
EOY67407221EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY961493848BOY
EOY1031392223EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY15412023BOY
EOY13450990EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17940163BOY
EOY19066071EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2028550838BOY
EOY2229306180EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY134616984BOY
EOY120261546EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY363765611BOY
EOY360908762EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY63302184BOY
EOY69811237EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY561684779BOY
EOY550981545EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY982133648BOY
EOY1139136696EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY284973150BOY
EOY338447237EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY199759261BOY
EOY200740702EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1466866059BOY
EOY1678324635EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2028550838BOY
EOY2229306180EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses194512112ReconcilationRevenueExpenses
Reconciliation Unrealized Invest69029159ReconciliationUnrealizedInvest
Reconcilation Other Changes-52082695ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$141,813DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$107,357RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB249170TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierORGANIZATIONS EXEMPT UNDER SECTION 501(C)(3)Identifier
Return ReferenceFORM 990, SCHEDULE C, PART II BReturnReference
ExplanationLESS 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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance266394140BeginningOfYearBalance
Contributions1184000Contributions
Investment Earnings Or Losses29497000InvestmentEarningsOrLosses
Other Expenditures16276000OtherExpenditures
End Of Year Balance280799140EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance270361140BeginningOfYearBalance
Contributions822000Contributions
Investment Earnings Or Losses8136000InvestmentEarningsOrLosses
Other Expenditures12925000OtherExpenditures
End Of Year Balance266394140EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance270472140BeginningOfYearBalance
Contributions34000Contributions
Investment Earnings Or Losses41601000InvestmentEarningsOrLosses
Other Expenditures41746000OtherExpenditures
End Of Year Balance270361140EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance313335140BeginningOfYearBalance
Contributions581000Contributions
Investment Earnings Or Losses33016000InvestmentEarningsOrLosses
Other Expenditures76460000OtherExpenditures
End Of Year Balance270472140EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance392255140BeginningOfYearBalance
Contributions18740000Contributions
Investment Earnings Or Losses-76431000InvestmentEarningsOrLosses
Other Expenditures21229000OtherExpenditures
End Of Year Balance313335140EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.72000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.28000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis342171787OtherCostOrOtherBasis
Depreciation128518414Depreciation
Book Value213653373BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis16306120OtherCostOrOtherBasis
Depreciation6733691Depreciation
Book Value9572429BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis214347922OtherCostOrOtherBasis
Depreciation165244206Depreciation
Book Value49103716BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis381337194OtherCostOrOtherBasis
Depreciation13495596Depreciation
Book Value367841598BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings640171116TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MANAGED POOL831891798F
LIMITED ASSETS HELD BY TRUSTEE199500425F
FieldValueIRS element (for citing)
Total Of Book Value Securities1031392223TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO GOVERNMENT AGENCIES$1,534,672
DUE TO RELATED PARTIES, NET$32,322,265
SELF-INSURANCE RESERVE$35,954,300
FieldValueIRS element (for citing)
Total Of Amounts69811237TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART III, LINE 4Identifier
ExplanationLPCH 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

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage400.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served365PersonsServed
Total Community Benefit Expense574272TotalCommunityBenefitExpense
Net Community Benefit Expense574272NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served22052PersonsServed
Total Community Benefit Expense340413153TotalCommunityBenefitExpense
Direct Offsetting Revenue226704033DirectOffsettingRevenue
Net Community Benefit Expense113709120NetCommunityBenefitExpense
Percent Of Total Expense0.11750PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served1601PersonsServed
Total Community Benefit Expense315394TotalCommunityBenefitExpense
Direct Offsetting Revenue41435DirectOffsettingRevenue
Net Community Benefit Expense273959NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served24018PersonsServed
Total Community Benefit Expense341302819TotalCommunityBenefitExpense
Direct Offsetting Revenue226745468DirectOffsettingRevenue
Net Community Benefit Expense114557351NetCommunityBenefitExpense
Percent Of Total Expense0.11840PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served6476PersonsServed
Total Community Benefit Expense1269891TotalCommunityBenefitExpense
Direct Offsetting Revenue11420DirectOffsettingRevenue
Net Community Benefit Expense1258471NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served301PersonsServed
Total Community Benefit Expense15548813TotalCommunityBenefitExpense
Direct Offsetting Revenue5756964DirectOffsettingRevenue
Net Community Benefit Expense9791849NetCommunityBenefitExpense
Percent Of Total Expense0.01010PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served1082PersonsServed
Total Community Benefit Expense331726TotalCommunityBenefitExpense
Net Community Benefit Expense331726NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Total Community Benefit Expense3269415TotalCommunityBenefitExpense
Net Community Benefit Expense3269415NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs23NumberOfActivitiesOrPrograms
Persons Served7859PersonsServed
Total Community Benefit Expense20419845TotalCommunityBenefitExpense
Direct Offsetting Revenue5768384DirectOffsettingRevenue
Net Community Benefit Expense14651461NetCommunityBenefitExpense
Percent Of Total Expense0.01510PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs23NumberOfActivitiesOrPrograms
Persons Served31877PersonsServed
Total Community Benefit Expense361722664TotalCommunityBenefitExpense
Direct Offsetting Revenue232513852DirectOffsettingRevenue
Net Community Benefit Expense129208812NetCommunityBenefitExpense
Percent Of Total Expense0.13350PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served2127PersonsServed
Total Community Building Expense254134TotalCommunityBuildingExpense
Net Community Building Expense254134NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense30985TotalCommunityBuildingExpense
Net Community Building Expense30985NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served26PersonsServed
Total Community Building Expense63422TotalCommunityBuildingExpense
Net Community Building Expense63422NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served2153PersonsServed
Total Community Building Expense348541TotalCommunityBuildingExpense
Net Community Building Expense348541NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,603,124BadDebtExpenseAmount
Amount Reimbursed By Medicare1912284AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare3764654CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1852370MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1LUCILE SALTER PACKARD CHILDREN'S HSPTBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1725 WELCH ROADAddressLine1
CityPALO ALTOCity
StateCAState
ZIP Code94304ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Childrens HospitalXChildrensHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LUCILE SALTER PACKARD CHILDREN'S HSPTBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent400.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (3 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 3CNOT 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 Theprioritized 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 5The 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

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
RAVENSWOOD FAMILY HEALTH CENTER
1798A BAY RDEAST PALO ALTOCA94303943372130501(c)(3)300000Pediatrician & Mental Health Services for Children & adolescents
HEALTH TEACHER INC
5500 MARYLAND WAYBRENTWOODTN3702720345649155880Usage of online Health EducationSUITE 200
SANTA CLARA FAMILY HEALTH FOUNDATION
210 HACIENDA AVENUECAMPBELLCA95008770545774501(C)(3)50000HEALTHY KIDS PREMIUMS
SAN MATEO COUNTY CHILDREN'S HEALTH INITIATIVE
701 GATEWAY BLVDSAN FRANCISCOCA94080946000532501(C)(3)50000HEALTHY KIDS PREMIUMS
GARDNER FAMILY HEALTH NETWORK INC
160 EAST VIRGINIA STREET STE 100SAN JOSECA95112941743078501(C)(3)700000CLINICAL OPERATION
PALO ALTO UNIFIED SCHOOL DISTRICT
25 CHURCHILL AVEPALO ALTOCA943061099942168440GOVT.62000SCHOOL PROGRAM SUPP.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE USIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationLUCILE 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

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KENNETH L COX MD
SECRETARY, DIRECTOR, AND CMO026114302163220110002500003637050720200
CHRISTOPHER G DAWES
PRESIDENT/CEO08293380138022020651803275000299840153136200
PHILIP A PIZZO MD
DIRECTOR (UNTIL 12/1/2012)0656396000143690268223025816096480400
THOMAS KRUMMEL MD
DIRECTOR05336680493298000250000281100108007600
Lloyd B Minor MD
DIRECTOR (AS OF 12/1/2012)037677100035739800029784076395300
SUSAN S FLANAGAN
COO (UNTIL 2/27/2013)051343005315308827700032866068772600
Anne McCune
COO (as of 1/1/13)01336220300000130170005619018225800
CHRISTY SANDBORG MD
DIRECTOR0226805015397200023633019456042386600
TIMOTHY W CARMACK
VP & CFO04502480599300965200802290105170697444055125
HUGH O'BRODOVICH MD
DIRECTOR04211430193395029966020752022426068768200
PAMELA A MOLANO
VP PHYSICIAN & AMB SVS0325495042504048308049473019040467684026846
PAMELA J WELLS
CHIEF NURSING OFFICER02477250158120406861028226010255070887901278
OWEN R AURELIO
VP CLINICAL SERVICES0256190014987029245022500032176035509800
MARK TORTORICH
VP PLANNING, DESIGN, CONSTRUC027663607139001275740225000260270524127069111
BRADFORD P TOUSSAINT
VP MGMT SYST STRATEGY & PLAN02631630288490380282022500025751072054500
Jeannine D'Addario
CHIEF MARKETING OFFICER0158047084660010973008023014775037523500
Rosalina Luna
CLINICAL NURSE IV0182668000149632024473019270037604300
JAMES MCCAUGHEY
SR VP BUS DEV & STRAT PLNG031483704276101278020225000238750531775077897
GREGORY J SOUZA
VP HR0305853032181066522022500018102044515800
EDWARD KOPETSKY
VP & CIO04241610458900963870775780261830670199051989
KIM ROBERTS
VP PHY NW DEV & MGMT031841303453805536056600030891044597800
AMIR DAN RUBIN
DIRECTOR01552140092698904011002934870298510284257700

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierHOUSINGIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 1ReturnReference
ExplanationTWO 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 ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
A52164382813033LWQ62012-03-2193450000REFUND 2008 ISSUEfalsefalsefalse
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B52164382813033LWR42012-03-21270684581FINANCE HEALTH FAC & REDEMPTION OFfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A0093450000000547136000929028640truefalsetruetrue
B00270684581031593002687575001075435758857496198069223falsetruefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsetruetruefalse0falsefalsefalsetrue
Bfalsefalsetruetruefalse0falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsetruetruefalsefalsefalse0falsetrue
0
Bfalsetruetruetruefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSchedule K,Part IV, Line 2cIdentifier
Return Reference0ReturnReference
ExplanationArbitrage 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)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ELIZABETH DAWES
SEE PART V69542COMP FOR EMPLOYMENTfalse
KATHLEEN COX
SEE PART V214241COMP FOR EMPLOYMENTfalse
ANGELA KOPETSKY
SEE PART V113855COMP FOR EMPLOYMENTfalse
LUKE AURELIO
SEE PART V87519COMP FOR EMPLOYMENTfalse
MEDTRONIC
SEE PART V401139PAYMENT FOR PRODUCTSfalse
SUMIT INSURANCE COMPANY
SEE PART V5041665Insurancefalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierRELATIONSHIP BETWEEN PERSON AND ORGANIZATIONIdentifier
Return ReferenceFORM 990, SCHEDULE L, PART IV COLUMN (B)ReturnReference
ExplanationELIZABETH 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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PRIMARY EXEMPT PURPOSEFORM 990, PARTS I & III, LINE 1THE 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 4dPROGRAM 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 COMMITTEEFORM 990, PART VI, LINE 1AIF 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)

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Form990 Schedule R Part III Form990ScheduleRPartIII (30 entries)

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ARCOLA LP
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C/O JE ROBERT COS 1650 TYSON BLSTE MCLEANVA22102542029560INVESTMENTSDENA
LINCOLN COMMERCE PARK II LTD
PO BOX 1920DALLASTX75221204681486RE DEVELOPMENTDENA
PARMENTER REALTY FUND II LP
1111 BRICKELL AVE STE 2910MIAMIFL33131200973616INVESTMENTSDENA
REGENT OFFICE CENTER LP
c/o Bentall Kennedy US LP 1215 4SEATTLEWA33131912116424INVESTMENTSTXNA
SANDPIPER FUND LP
2100 MCKINNEY AVE STE 1770DALLASTX98161260341626INVESTMENTSTXNA
SAROFIM MULTIFAMILY PARTNERS LP
8115 PRESTON RD STE 400DALLASTX75201201929002RE DEVELOPMENTDENA
SKY HARBOR ASSOCIATES LP
PO BOX 1920DALLASTX75225205803431INVESTMENTSDENA
SNOWCREEK VI PARTNERS LLC
C/O SMC 2770 SAND HILL RDMENLO PARKCA75221861089966RE DEVELOPMENTCANA
STERLING STAMOS REAL ASSETS FUND (A) LP
250 PARK AVE 29TH FLNEW YORKNY94025203949682INVESTMENTSDENA
DEK PORTFOLIO LLC
C/O SPAULDING SLYE INV 1 PO SBOSTONMA10022043446765INVESTMENTSDENA
BROWN BARK I LP
PO BOX 1068STAFFORDTX77497721604614INVESTMENTSDENA
BROWN BARK II LP
PO BOX 1068STAFFORDTX77497208727391INVESTMENTSDENA
BROWN BARK III LP
PO BOX 1068STAFFORDTX77497261780743INVESTMENTSDENA
STANFORD PET-CT LLC
300 PASTEUR DRIVE M/C 5555STANFORDCA94305611423414MED. DIAGNOSICSCANA
LSF V DHB HOLDINGS LP
2711 N Haskell Ave Ste 1700DALLASTX75204272858604INVESTMENTSDENA
SIC SNOWCREEK VIII LLC
635 KNIGHT WAYSTANFORDCA94305275431605RE DEVELOPMENTCANA
SUMIT HOLDING INTERNATIONAL LLC
1400 PAGE MILL ROAD MC5713PALO ALTOCA94305263934706HOLDING COMPANYDENA
ARCOLA VENTURE LLC
C/O STANFORD MGMT CO 635 KNIGHT WSTANFORDCA94304371689632RE DEVELOPMENTDENA
BLACKSTONE REP VII TE 7-NQ LP
C/O THE BLACKSTONE GROUP 345 PARKNEW YORKNY943057297900878802INVESTMENTSDENA
OUTLAWS CASINO LTD
3160 PORTER DRPALO ALTOCA94304841457498HOLDING COMPANYCONA
STANFORD EMANUEL RAD ONCOLOGY
RADIOLOGYCANA
SAND HILL INVESTMENTS LP
C/O SMC 635 KNIGHT WAYSTANFORDCA943057297371557441INVESTMENTDENA
KEB INVESTORS II LP
FOREIGN INV.NAWASHINGTON MALL STE 304 7 REID STHAMILTONBDBD
PALO ALTO LP
FOREIGN INV.NAOGIER HOUSE THE ESPLANADEST. HELIERJEJEXC JE4 9WG
FORTRESS IW COINVESTMENT (FUND B) LP
1345 AVE OF THE AMERICAS 23RD FLNEW YORKNY10105980509639INVESTMENTSNACJ
JER REAL ESTATE PARTNERS EUROPE II LP
INVESTMENTSNACLARGES HOUSE 6-12 CLARGES STLONDONUKUKW1J 8ADEN
CEE EQUITY HOLDINGS LP
INVESTMENTSNAElizabeth House 9 Castle StSt. Helier,JEJEJE4 2QPJe

Form990 Schedule R Part IV Form990ScheduleRPartIV (24 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityEINEINAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateProvince Or StateAddressForeign/ProvinceOrState
MARINER VOYAGER INTERNATIONAL LTD
C/O STUARTS CORP SVCS PO BOX 2510GEORGE TOWNCJINVESTMENTSCJNAC CORP
STANFORD SGGS EUROPE INC
UGLAND HOUSE S CHURCH STPO BOX 309GT, GEORGE TOWNCJINVESTMENTSCJNAC CORP131684331
BLACK RIVER EMEA INVESTORS FUND LTD
UGLAND HOUSE S CHURCH STGEORGE TOWNCJINVESTMENTSCJNAC CORP980428006
EAST SAIL
C/O INTL FS INC IFS COURTTWENTYEIGHT, CYBERCITY, EBENEMPINVESTMENTSMPNAC CORP
GAVEA INVESTMENT FUND II-C LP
PO BOX 896GT HARBOUR CENTREGEORGE TOWNCJINVESTMENTSCJNAC CORP980537952
JER ALBERTA LP
INVESTMENTSCANAC CORP980537952C/O JE ROBERT COS 1650 TYSON BLVDMCLEANVA22102
JER ALBERTA III LP
INVESTMENTSCANAC CORP980423557C/O JE ROBERT COS 1650 TYSON BLVDMCLEANVA22102
MARBLETON PROPERTY FUND (ALBERTA) LP
INVESTMENTSCANAC CORP980493425C/O JE ROBERT COMPANIES 1650 TYSONMCLEANVA22102
CLAT (16)
CHARITABLE TRNATRUSTCA
CRT (513)
CHARITABLE TRNATRUSTCA
OTHER (10)
CHARITABLE TRNATRUSTCA
PIF (82)
CHARITABLE TRNATRUSTCA
MIDPOINT TECHNOLOGY PARK OWNERS ASSOC
REAL ESTATENAC CORP9432872543145 PORTER DRPALO ALTOCA94304CA
ALPINE CHALET INC
SKI LODGENAC CORPPO BOX 9988SOUTH LAKE TAHOECA96158CA
NW CAMPUS MIDPOINT TECH PARK OWNRS ASSOC
REAL ESTATECANAC CORP9432872543145 PORTER DRPALO ALTOCA94304
STANFORD CAMPUS RECREATION ASSOCIATION
SOCIAL CLUBCANAC CORP9415391273145 PORTER DRPALO ALTOCA94304
STANFORD (BEIJING) CNSLTNG CO LTD (WFOE)
5275TH FLBLDG CACADEMY SOUTH RDHAIDAN DISTRICTCHEDUCATIONCHNAC CORPBEIJING
STANFORD UNIV MED NETWORK RISK AUTHORITY
RISK MGMT CONSULTNAC CORP4611320021400 PAGE MILL RD MSC 5713PALO ALTOCA94304CA
PROFESSIONAL EXCHANGE ASSURANCE COMPANY
INSURANCENAC CORP900897686201 MERCHANT STREET SUITE 2400HONOLULUHI96813HI
ARCOLA RES DEVELOPMENT CORP
INVESTMENTNAC CORP800804754C/O SMC 635 KNIGHT WAYSTANFORDCA943057297CA
BREP VII ALBERTA FEEDER (OFFSHORE) TE7LP
INVESTMENTSNAC CORP981066351C/O THE BLACKSTONE GROUP 345 PARKNEW YORKNY10154CA
BREP VII ALBERTA FEEDER(OFFSHORE)TE7NQLP
INVESTMENTSNAC CORP981066355C/O THE BLACKSTONE GROUP 345 PARKNEW YORKNY10154CA
SPM DIRECT MORTGAGE PREPAY OFFSHORE FUND
INVESTMENTSCJNAC CORP
WOODBOURNE CANADA PARTNERS II -CAYMAN LP
INVESTMENTSCJNAC CORP980705321
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
STANFORD HOSPITAL AND CLINICS (SHC)
K,L67488379FMV
STANFORD HOSPITAL AND CLINICS (SHC)
N21157980FMV
STANFORD HOSPITAL AND CLINICS (SHC)
O,P135801519FMV
OTHER TRUST
C596980FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSCHEDULE R, PART IV, LINE 2Identifier
ExplanationCHARITABLE 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