2014-07-15T16:03:55-05:00 2013-08-31 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2012-09-01 770003859 Lucile Salter Packard Children's Hospital at Stanford % FINANCE DEPARTMENT LUCI 6504978000 725 Welch Road MC 5553 Suite Palo Alto CA 94304 DANA HAERING 6507212222 2014-07-11 true 6175305000 2012 2015-11-30 17:44:51Z Christopher G Dawes 725 WELCH ROAD PALO ALTO CA 94304 1167446305 false X www.lpch.org X 1983 CA SEE SCHEDULE O 32 23 0 887 0 156503385 45437520 942244172 1079377262 23384218 23031662 20260773 19599861 1142392548 1167446305 849246 1222061 0 0 378946961 404751152 0 0 8311700 536666452 566960980 916462659 972934193 225929889 194512112 2028550838 2229306180 561684779 550981545 1466866059 1678324635 X SEE SCHEDULE O false false 273006000 334615000 SEE SCHEDULE O 212901000 284873000 SEE SCHEDULE 0 103897000 128700000 SEE SCHEDULE O 281393867 1222061 331189262 871197867 true true false true false false false true false true true true false false true true false 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87491 BRADFORD P TOUSSAINT 50.0 0.0 X 0 672294 48251 Jeannine D'Addario 50.0 0.0 X 0 352437 22798 Rosalina Luna 50.0 0.0 X 0 332300 43743 JAMES MCCAUGHEY 50.0 0.0 X 0 485400 46375 GREGORY J SOUZA 50.0 0.0 X 0 404556 40602 0 14101699 1887972 1368 false true false STANFORD HOSPITAL AND CLINICS 300 PASTEUR DR STANFORD CA 94305 MED LAB/PURCH SVCS 86705895 DPR CONSTRUCTION INC 1450 VETERANS BLVD REDWOOD CITY CA 94063 CONSTRUCTION 59621551 STANFORD UNIVERSITY 450 SERRA MALL STANFORD CA 94303 PURCHASED SERVICES 24593514 CARDINAL HEALTH 7000 CARDINAL PLACE DUBLIN OH 43017 HEALTH CARE MANU/PCP 14079962 OWENS MINOR 18250 STANFORD ROAD TRACY CA 95377 MED PROD SUPPLIER 13704358 325 45437520 45437520 PATIENT SERVICE 900099 830955986 830955986 GOVERNMENT FUND 900099 10154701 10154701 MEDICARE/MEDICAID 900099 147531045 147531045 PROVIDER FEE 900099 82958428 82958428 JOINT VENTURES 900099 7777102 7777102 1079377262 22383726 22383726 647936 647936 0 0 0 0 0 0 0 0 CAFETERIA 900099 1199669 1199669 INVESTMENT INCOME FROM RELATED PROGRAM 900099 -5865200 -5865200 PARKING 900099 315541 315541 23949851 23949851 19599861 1167446305 1079377262 42631523 X 1222061 1222061 0 0 0 6032765 2183186 3577016 272563 0 267007592 253742321 13265271 23401755 22162676 1239079 87663167 81979191 5683976 20645873 19513861 1132012 15600867 6379883 9220984 2110943 500 2110443 502302 502302 81598 81598 0 0 308307875 288417203 19890672 1969706 1966300 3406 84843116 83713565 1129551 26097849 15047357 11050492 0 18982540 9453643 9528897 709426 565825 143601 0 0 13277152 13277152 0 37281996 30850751 6431245 6073187 3331396 2741791 PROVIDER FEES 23871483 23871483 UNCOLLECTIBLES 6072442 6072442 UTILITIES 4492463 3993060 499403 DUES AND SUBSCRIPTIONS 1399141 498839 900302 15286894 2873574 4374183 8039137 972934193 871197867 93424626 8311700 1895 1895 85383505 184787929 147321453 23463009 203274071 236882664 0 0 0 0 0 0 5164376 4639613 4840561 8043449 954163023 313991907 520811969 640171116 66906974 67407221 961493848 1031392223 15412023 13450990 0 0 17940163 19066071 2028550838 2229306180 134616984 120261546 0 0 0 0 363765611 360908762 0 0 0 0 0 0 0 0 63302184 69811237 561684779 550981545 X 982133648 1139136696 284973150 338447237 199759261 200740702 1466866059 1678324635 2028550838 2229306180 X 194512112 69029159 -52082695 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 141813 true 107357 false 249170 false ORGANIZATIONS EXEMPT UNDER SECTION 501(C)(3) FORM 990, SCHEDULE C, PART II B LESS THAN 1% OF THE TOTAL VOLUNTEER HOURS DONATED TO LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") WERE USED TO ATTEMPT TO INFLUENCE LEGISLATIVE MATTERS. STAFF INTERACTS ON A REGULAR BASIS WITH ELECTED OFFICIALS AND THEIR STAFF ON ALL LEVELS OF GOVERNMENT. MOST IS RELATIONSHIP BUILDING AND MAINTAINING AS WELL AS WORKING ON COLLABORATIVE PROGRAMS AND PROJECTS TO ENHANCE THE OVERALL HEALTH OF THE COMMUNITY. IN FY13, ROUGHLY 20% OF THE CHIEF GOVERNMENT RELATIONS OFFICER'S TIME AND ROUGHLY 30% OF THE SENIOR POLICY MANAGER'S TIME WAS SPENT ON LOBBYING ON SPECIFIC LEGISLATIVE ISSUES - VALUE APPROXIMATELY $104,813 (INCLUDES DOLLARS ALLOCATED FOR BENEFITS). IN ADDITION, IN FY13, THE HOSPITAL HAD LOBBYISTS IN WASHINGTON D.C. DAVID WETMORE CARPI AND CLAY ONE MASSACHUSETTS AVE, NW SUITE 330 WASHINGTON, D.C. 20001 FRED NOTEWARE NOTEWARE GOVERMENT RELATIONS 1201 K STREET, SUITE 1030 SACRAMENTO, CA 95814 LPCH BELONGS TO CERTAIN TRADE ASSOCIATIONS IN WHICH A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS SPENT ON EFFORTS TO INFLUENCE LEGISLATIVE MATTERS IN THE HEALTH CARE INDUSTRY. DURING FY13, LPCH PAID DUES OF APPROXIMATELY $240,170.43 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $107,357.43. X false false false 266394140 1184000 29497000 16276000 280799140 270361140 822000 8136000 12925000 266394140 270472140 34000 41601000 41746000 270361140 313335140 581000 33016000 76460000 270472140 392255140 18740000 -76431000 21229000 313335140 0.72000 0.28000 false true true 342171787 128518414 213653373 16306120 6733691 9572429 214347922 165244206 49103716 381337194 13495596 367841598 640171116 MANAGED POOL 831891798 F LIMITED ASSETS HELD BY TRUSTEE 199500425 F 1031392223 0 DUE TO GOVERNMENT AGENCIES 1534672 DUE TO RELATED PARTIES, NET 32322265 SELF-INSURANCE RESERVE 35954300 69811237 X SCHEDULE D, PART III, LINE 4 LPCH DOES NOT RECOGNIZE CONTRIBUTIONS OF WORKS OF ART ON LPCH'S FINANCIALS SINCE 1) THEY ARE HELD FOR PUBLIC EXHIBITION RATHER THAN FINANCIAL GAIN; 2) THEY ARE PROTECTED, KEPT UNENCUMBERED, CARED FOR, AND PRESERVED; 3) ARE SUBJECT TO AN ORGANIZATIONAL POLICY THAT REQUIRES THE PROCEEDS FROM SALES OF COLLECTION ITEMS TO BE USED TO ACQUIRE OTHER ITEMS FOR COLLECTION. SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS LPCH'S ENDOWMENT CONSISTS OF VARIOUS INDIVIDUAL FUNDS. THE USES OF THE FUNDS ARE RESTRICTED TO DONORS' STIPULATIONS. THESE FUNDS ARE USED TO SUPPORT THE MISSION OF LPCH. SCHEDULE D, PART X In accordance with the guidance on accounting for uncertainty in income taxes, management regularly evaulates its tax positions and does not believe the ... Hospital ha[s] any uncertain tax positions that require disclosure or adjustment to the financial statements. true true true X 400. true X true false true true 365 574272 574272 0.00060 22052 340413153 226704033 113709120 0.11750 1601 315394 41435 273959 0.00030 24018 341302819 226745468 114557351 0.11840 10 6476 1269891 11420 1258471 0.00130 5 301 15548813 5756964 9791849 0.01010 3 1082 331726 331726 0.00030 5 3269415 3269415 0.00340 23 7859 20419845 5768384 14651461 0.01510 23 31877 361722664 232513852 129208812 0.13350 1 2127 254134 254134 0.00030 30985 30985 1 26 63422 63422 0.00010 2 2153 348541 348541 0.00040 true 1603124 1912284 3764654 -1852370 X true true 1 1 LUCILE SALTER PACKARD CHILDREN'S HSPT

725 WELCH ROAD PALO ALTO CA 94304

X X LUCILE SALTER PACKARD CHILDREN'S HSPT 1 true X X X X X X X X 12 true true true X X X X X X X true false true true 400. true 400. true X X X X X X X true true X X X X X X true false true X false false PART I, LINE 3C NOT APPLICABLE. PART I, LINE 6A NOT APPLICABLE. PART I, LINE 7G NOT APPLICABLE PART I, LINE 7, COLUMN (F) THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN (F) WAS $6,072,442. PART I, LINE 7 SOME OF THE AMOUNTS IN LINE 7 WERE CALCULATED BASED ON A COST ACCOUNTING SYSTEM. THESE ITEMS INCLUDE CHARITY CARE AT COST, UNREIMBURSED MEDICAID COST, AND UNREIMBURSED COSTS RELATED TO OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS, BUT EXCLUDES RESEARCH AND SOME GRANT RELATED COSTS. OTHER BENEFIT COSTS ARE DIRECT, SEPARATELY IDENTIFIABLE COSTS INCURRED BY THE ORGANIZATION. PART II COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS IN ORDER TO IMPROVE HEALTH STATUS AND QUALITY OF LIFE FOR THE COMMUNITY. THEY FOCUS ON THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL ISSUES. FOR PACKARD CHILDREN'S, OUR COMMUNITY BUILDING ACTIVITIES INCLUDE ADVOCACY EFFORTS FOR EXPECTANT MOTHERS AND CHILDREN'S HEALTH ISSUES, SUPPORT FOR COMMUNITY-BASED SERVICE CLUBS AND YOUTH SERVING ORGANIZATIONS, AND SUPPORT FOR COMMUNITY EMERGENCY MANAGEMENT PROGRAMS. PART III, LINE 4 THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A SPECIFIC FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. IN THE CONTEXT OF DESCRIBING THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTIBILTY OF PATIENT RECEIVABLES, THE FOOTNOTES DO NOTE THAT "REVISIONS IN THE RESERVE FOR DOUBTFUL ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO THE PROVISION FOR DOUBTFUL ACCOUNTS," OR BAD DEBT EXPENSE. SO INCLUDED IN THE ORGANIZATION'S BAD DEBT EXPENSE ARE REVISIONS TO OUR RESERVES FOR DOUBTFUL ACCOUNTS, AND WRITE-OFFS TO BAD DEBT FOR SUCH THINGS AS THE PATIENT LIABILITY. BAD DEBT WRITE-OFFS RESULT FROM UNSETTLED ACCOUNTS WHERE THE INABILITY TO PAY HAS NOT BEEN DETERMINED. BAD DEBT WRITE-OFFS DO NOT APPLY TO ACCOUNTS THAT QUALIFY FOR CHARITY (IF AN ACCOUNT WAS INITIALLY DEEMED BAD DEBT BUT SUBSEQUENT INFORMATION QUALIFIED IT FOR CHARITY, THE BAD DEBT WRITE-OFF IS REVERSED AND REPLACED WITH CHARITY WRITE-OFFS). THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 2 IS BASED ON A COST ACCOUNTING SYSTEM. WE HAVE APPLIED THE SAME SYSTEMWIDE COST TO CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM TO OUR BAD DEBT BASED ON CHARGES AS WAS APPLIED TO OUR CHARITY CARE BASED ON CHARGES. THE COST TO CHARGE RATIO FROM OUR COST ACCOUNTING SYSTEM DOES ADDRESS ALL PATIENT SEGMENTS AND EXCLUDES RESEARCH AND SOME GRANT RELATED COSTS. PART III, LINE 8 THE MEDICARE SHORTFALL OF ($1,852,370) REPORTED IN PART III, LINE 7 WAS CALCULATED BASED ON A COST ACCOUNTING SYSTEM. THIS AMOUNT SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE THE RATES PAID BY MEDICARE DO NOT ACCURATELY REFLECT THE COST OF CARE PROVIDED BY THE HOSPITAL. ACCORDINGLY, THE HOSPITAL MUST SUBSIDIZE THE COST OF CARE PROVIDED TO MEDICARE BENEFICIARIES WITH OTHER REVENUES. PART III, LINE 9B IF A PATIENT IS ATTEMPTING TO QUALIFY FOR ELIGIBILITY UNDER LPCH'S CHARITY CARE OR DISCOUNT PAYMENT POLICY AND IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH LPCH BY NEGOTIATING A REASONABLE PAYMENT PLAN OR BY MAKING REGULAR PARTIAL PAYMENTS OF A REASONABLE AMOUNT, LPCH SHALL NOT SEND THE UNPAID BILL TO ANY COLLECTION AGENCY OR OTHER ASSIGNEE, UNLESS THAT ENTITY AGREES TO COMPLY WITH THE PROVISIONS OF ARTICLE 3 OF THE HEALTH AND SAFETY CODE. LPCH OR OTHER ASSIGNEE WHICH IS AN AFFILIATE OR SUBSIDIARY OF LPCH SHALL NOT, IN DEALING WITH PATIENTS ELIGIBLE UNDER LPCH'S CHARITY CARE OR DISCOUNT PAYMENT POLICIES, USE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. Part V, Section B, line 3 Packard Children's contracted with Applied Survey Research (ASR) to collect community input via primary qualitative research in SCC and SMC. This research focused on our target population of babies, children, adolescents, and expectant mothers. ASR used three strategies for collecting community input: key informant interviews with health experts, focus groups with community service providers, and focus groups with county residents. Each group and interview was recorded and summarized as a stand-alone piece of data. When all groups had been conducted, the team used qualitative research software tools to analyze the information and tabulate all health conditions that were mentioned, along with health drivers discussed. ASR then analyzed the list of conditions that had been mentioned in multiple focus groups and key informant interviews, with special attention to those that had been listed by a focus group as a top need. Input from Health Experts and Community Service Providers Overall: In all, ASR consulted with almost 100 professionals who represented various organizations and sectors in our service area. These representatives either work in the health field or improve health conditions by serving those from the target populations. The health experts and community service providers who were consulted came from the following types of organizations: -Public health departments -County health & hospital systems -Private hospital systems -Health insurance providers -Mental/behavioral health or violence prevention providers -School system representatives -Community center representatives -Non-profit agencies providing basic needs -Other non-profit agencies serving children and families Organizations and other groups Packard consulted with for completion of CHNA: -StarVista -Boys and Girls Club - North San Mateo County (SMC) -City of South San Francisco Parks and Recreation -City of South San Francisco Police Department -Asian American Recovery Services -Partnership for a Safe and Healthy Pacific -Pyramid Alternatives -SMC Probation Office -SMC Health System -Safe Harbor Shelter -SMC Human Service Agency -Daly City Youth Health Center -RotaCare Clinic - Daly City -North Peninsula Neighborhood Services -Kaiser Permanente -Ravenswood Family Health Center -Samaritan House -RotaCare Clinic Half Moon Bay -Peninsula Family Services Agency -Coastside Hope -Santa Clara County (SCC) Public Health Dept. -SCC County Health and Hospital System -Mayview Community Health Center -Asian American for Community Health (AACI) -Gardner Health System -Puente de le Costa Sur -Behavioral Health and Recovery Services -SMC Sheriff's office -Saint Francis Center of Redwood City -Healthy Weight Collaborative -San Mateo Medical Center -Community Health Partnership -Rebekah's Children Services -Community Solutions -CARAS -Gilroy Unified School District -City of Gilroy -City of Morgan Hill -Saint Louise Hospital -City of Gilroy Chamber of Commerce -Morgan Hill Unified School District Board -West Valley Community Services -United Way Silicon Valley -InnVision Shelter Network -Sunnyvale Community Services -Mountain View Community Services -Silicon Valley Council of Nonprofits -Santa Clara Family Health Foundation -Stanford Hospital and Clinics -City of Sunnyvale -The Health Trust -Second Harvest Food Bank -Somos Mayfair -SCC Dept. of Alcohol and Drug Services -Project Cornerstone -Kids in Common -Columbia Neighborhood Center -San Jose Unified School District -Abilities United -City of San Jose Mayor's Gang Prevention Task Force -Santa Clara County YMCA -Packard Children's Adolescent Medicine Clinic -Bay Area Women Sports Initiative -Community Health Awareness Council -Belmont-Redwood Shores School District -Ronald McDonald House at Stanford -Silicon Valley Community Foundation -Peninsula Conflict Resolution Center -San Mateo YMCA -Planned Parenthood Mar Monte -Peninsula YMCA -School Health Clinics Part V, Section B, line 4 LPCH conducted surveys and analyses with the hospitals below. However, LPCH prepared and adopted its own CHNA separate from those hosptials listed below: -Seton Medical Center -Stanford Hospital and Clinics -Mills-Peninsula Health Services -San Mateo Medical Center -Sequoia Hospital -Kaiser Permanente San Mateo Area -El Camino Hospital -Kaiser Permanente South Bay Area -Saint Louis Regional Hospital -O'Connor Hospital PART VI, LINE 2 Lucile Packard Children's Hospital at Stanford participates in collaborative processes in San Mateo and Santa Clara counties that assess community health needs. The Affordable Care Act, enacted by Congress on March 23, 2010, and California Senate Bill 697 stipulates that non-profit hospital organizations complete a community health needs assessment every three years. Packard Childrens fulfilled this requirement by conducting the assessment between September 2012 and March 2013 and documenting it in May 2013. Per IRS requirements, the assessment included feedback from the community and experts in public health and clinical care and took into account the health needs of vulnerable populations, including minorities, those with chronic illness, low-income populations, and medically underserved populations. The community health needs assessment, and the resulting list of The prioritized health needs, are to serve as the basis for community benefit investments between 2014 and 2016. Packard Childrens collaborated with other hospitals, the public health departments in two counties, and community organizations to prepare the 2013 triennial community-wide health needs assessments mandated under California Senate Bill 697 and the IRS. For more information about our 2013 Community Health Needs Assessment process and findings, please visit our website: http://www.LPCH.org/aboutus/community/index.html. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FINANCIAL COUNSELING DEPARTMENT WORKS DIRECTLY WITH ANY PATIENT WHO EXPRESSES QUESTIONS OR CONCERNS ABOUT THEIR ABILITY TO PAY FOR SERVICES. FURTHER, FINANCIAL ASSISTANCE POLICIES ARE POSTED AND AVAILABLE IN ALL PATIENT CHECK-IN AREAS,ONLINE, AND ON PATIENT BILLING CORRESPONDENCE. ALL PATIENT SCHEDULING, REGISTRATION, CHECK-IN, AND CUSTOMER SERVICE STAFF ARE EDUCATED ON POLICIES AND ARE TRAINED TO DIRECT PATIENTS TO THE FINANCIAL COUNSELING DEPT. A. PUBLIC NOTICE CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY IS GIVEN BY THE FOLLOWING MEANS: 1. NOTICES ARE POSTED IN VISIBLE LOCATIONS WHERE THERE ARE HIGH VOLUMES OF INPATIENT AND/OR OUTPATIENT ADMITTING/REGISTRATIONS, BILLING OFFICES, ADMITTING OFFICES AND HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. POSTED NOTICES EXPLAIN THAT LPCH HAS A VARIETY OF OPTIONS AVAILABLE INCLUDING FINANCIAL ASSISTANCE AND DISCOUNTS TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED. 3. NOTICES INCLUDE A CONTACT TELEPHONE NUMBER A PATIENT CAN CALL TO OBTAIN MORE INFORMATION ABOUT THE POLICY AND TO APPLY FOR FINANCIAL ASSISTANCE. B. THE LPCH WEBSITE INCLUDES AN EXPLANATION OF THE FINANCIAL ASSISTANCE/CHARITY CARE POLICY, THE UNINSURED PATIENT DISCOUNT POLICY, THE AVAILABILITY OF SUCH ASSISTANCE AND DISCOUNTS, AND A CONTACT TELEPHONE NUMBER. C. LPCH BILLING STATEMENTS INFORM THE PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE BY CONTACTING THE LPCH CUSTOMER SERVICE CENTER. PART VI, LINE 4 While LPCH is a regional hospital serving children, adolescents, and pregnant women from the greater San Francisco Bay Area, northern California, California and the western United States, community benefit programming is focused on Santa Clara and San Mateo counties. These two counties are primarily urban-suburban, with some small rural communities along the San Mateo coast. There are 20 incorporated cities in San Mateo County and 15 in Santa Clara County, ranging from populations of 1 million to small enclaves of under 10,000. San Mateo County has 739,311 people (2010 census), 257,369 households, and 175,697 families with 30.8% having children under age 18. 21.8% of the total population is under age 18. Median household income is $87,751 with per capita income at $45,458. About 7.4% of the population is below the FPL, with 8.9% of those under age 18 living under the FPL. Ethnic breakdown for the 163,248 children in San Mateo County: 34.6% Hispanic/Latino; 32.2% Caucasian/white; 23.6% Asian/Pacific Islander; 7.2% multi-ethnic; 2.2% African-American, and .1% Native American. Santa Clara County has 1,837,504 (2010 census) people, 604,455 households, and 426,824 families, with 34.8% of the households having children under 18. 23.6% of the population is under age 18. Median household income is $90,747, with per capita inocme at $41,041. About 9.7% of the population is below the FPL, with 10.4% of those under age 18 living in poverty. Ethnic breakdown for the 439,320 children living in Santa Clara County: 37% Hispanic/Latino; 23.3% Caucasian/white; 31.5% Asian/Pacific Islander; 5.9% Multi-ethnic; 2.2% African-American; .2% Native-American. San Mateo and Santa Clara counties are two of the most affluent counties in the nation. But, there are huge income disparities between the very wealthy whose numbers and magnitude of net worth skew data like average household income, and the very poor. In addition, the 2013 federal poverty guideline was defined as an annual income of $19,530 for a family of three. However, this guideline does not take into account the actual cost to be barely self-sufficient in these two high-cost counties. A better measure is the Self-Sufficiency Standard for California, which measures how much income is needed for a family of a specific composition to adequately meet its minimal basic needs: housing, food, child care, out-of-pocket medical expenses, transportation and other necessary spending and provides a complete picture of what it takes for families to make ends meet. This standard is calculated by Dr. Diana Pearce at the University of Washington, in conjunction with Wider Opportunities for Women in Washington DC and the Insight Center of Community Economic Development. For a family of one adult, a pre-schooler and one school-aged child in San Mateo County, the income required is $78,945. In Santa Clara County, it is $77,973. The self-sufficiency income changes depending on the make-up of the family. The latest data available shows the percentage of children 0-18 living in poverty in Santa Clara County at 12.4% and in San Mateo County at 9.5%. However, as noted above, the federal poverty guidelines used to compile these numbers do not reflect the actual cost of living in these two counties, so the percentages are higher if this is taken into consideration. Another indicator is the percentage of public school children eligible to receive the free/reduced lunch programs: In 2012, 37.7% in Santa Clara County and 35.5% in San Mateo County. PART VI, LINE 5 The three priority focus areas for LPCHs community benefit work are improving access to care services for children, teens and expectant mothers; preventive education programs with special attention to prevention of pediatric obesity; and improving the social and emotional health of youth. The hospital invested more than $5.1 million (not including its substantial commitment to government insured patients) in FY2013 in programs addressing these focus areas. These programs are fully described in the FY2013 Community benefit Report and FY2014 Community Investment Plan filed March 3, 2014 with the State of California Office of Statewide Health Planning and Development. This is a brief listing of hospital-sponsored programs and support for programs managed by other community organizations that support each focus area: Focus Area One: Improving access to primary health care services for children, teens and expectant mothers: -Members of the two counties have expressed concern about inadequate access to health insurance, financial means to obtain medication, transportation to access health facilities -There is a lack of primary care and specialty physicians in certain areas of the community -There is a lack of specialty physicians that speak languages in addition to English Strategy - Interventions will include improved care coordination between health care organizations and systems as well as sustainable adoption and implementation of the medical home model. Focus Area Two: Prevention and treatment of pediatric obesity: -More than 30% of San Mateo County newborns have high birth-weight -Hispanic/Latino children have the highest rates of obesity -An increasing amount of young patients are being diagnosed with diabetes in Santa Clara County Strategy - A holistic approach will be utilized to address the social determinants of maintaining a healthy weight, including the built environment and legislative policy, as well as the dissemination of evidence-based clinical treatment programs to children and families in the community. Focus Area Three:Improving the social and emotional health of children and youth: -One fourth of kids in the community have reported feeling hopeless, depressed, and suicidal -The increased amount of youth suicides in 2008 and 2009 have raised awareness about youth mental instability -Domestic abuse and child abuse for certain ethnic subgroups is prevalent -Substance abuse is of high concern in Santa Clara and San Mateo Counties: 40% of San Mateo County eleventh graders reported they have tried marijuana; 12-13% of eleventh graders binge drink. Strategy - Interventions will address the proven link between poor social, emotional, and mental health and poor behavioral health, including substance abuse and violence. In addition to providing direct services or funding others to provide community programs, LPCH, as an academic medical center invests significantly in training the health-care professionals of the future. In FY2013, 173 pediatric residents and fellows and 190 nursing students received their training and clinical experience at LPCH at a cost of $15,402,095. PART VI, LINE 6 NOT APPLICABLE. PART VI, LINE 7 CA true RAVENSWOOD FAMILY HEALTH CENTER 1798A BAY RD EAST PALO ALTO CA 94303 943372130 501(c)(3) 300000 Pediatrician & Mental Health Services for Children & adolescents HEALTH TEACHER INC 5500 MARYLAND WAY SUITE 200 BRENTWOOD TN 37027 203456491 55880 Usage of online Health Education SANTA CLARA FAMILY HEALTH FOUNDATION 210 HACIENDA AVENUE CAMPBELL CA 95008 770545774 501(C)(3) 50000 HEALTHY KIDS PREMIUMS SAN MATEO COUNTY CHILDREN'S HEALTH INITIATIVE 701 GATEWAY BLVD SAN FRANCISCO CA 94080 946000532 501(C)(3) 50000 HEALTHY KIDS PREMIUMS GARDNER FAMILY HEALTH NETWORK INC 160 EAST VIRGINIA STREET STE 100 SAN JOSE CA 95112 941743078 501(C)(3) 700000 CLINICAL OPERATION PALO ALTO UNIFIED SCHOOL DISTRICT 25 CHURCHILL AVE PALO ALTO CA 943061099 942168440 GOVT. 62000 SCHOOL PROGRAM SUPP. 5 1 ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE US SCHEDULE I, PART I, LINE 2 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD (LPCH) DOES NOT SPONSOR AN OPEN GRANT PROCESS THAT SOLICITS COMMUNITY ORGANIZATIONS TO APPLY FOR GRANTS, PARTICIPATE IN A GRANT SELECTION PROCESS, AND THEN BE "AWARDED" A GRANT. RATHER, THE HOSPITAL IDENTIFIES PRIORITY FOCUS AREAS FOR HOSPITAL FUNDING, IDENTIFIES COMMUNITY ORGANIZATIONS THAT ARE ALREADY WORKING IN THAT FOCUS AREA, AND IDENTIFIES PROJECTS THAT ARE ALREADY ADDRESSING AN ISSUE AND THEN COMMITS TO FUNDING IT. OR, THE HOSPITAL MAY DESIGN, TOGETHER WITH A COMMUNITY ORGANIZATION, A PROJECT THAT ADDRESSES AN IDENTIFIED NEED AND THEN COMMITS FUNDS TO THAT PROJECT. ANY ORGANIZATION RECEIVING LPCH COMMUNITY INVESTMENT FUNDING MUST BE A 501(C)(3) ORGANIZATION OR GOVERNMENT ORGANIZATION LOCATED IN SANTA CLARA OR SAN MATEO COUNTIES THAT SHARES THE HOSPITAL'S COMMUNITY BENEFIT MISSION OF IMPROVING THE HEALTH STATUS OF LOCAL CHILDREN, ADOLESCENTS, OR PREGNANT WOMEN. IN COLLABORATION WITH THE ORGANIZATION'S LEADERSHIP, METRICS FOR EACH GRANT ARE DETERMINED ANNUALLY BEFORE FUNDING IS PROVIDED. A PROGRESS REPORT IS REQUIRED AT SIX MONTHS, A SITE VISIT IS CONDUCTED IF APPROPRIATE, AND A FINAL ANNUAL REPORT ABOUT PROGRESS TOWARD METRICS IS REQUIRED AT THE END OF THE FUNDING CYCLE. IN ADDITION, A MEMORANDUM OF UNDERSTANDING ACCOMPANIES EACH FUNDING THAT CLEARLY SPELLS OUT THE USAGE FOR THE FUNDS. LPCH ALSO PROVIDES SMALLER FINANCIAL SUPPORT (LESS THAN $10,000) TO NOT-FOR-PROFIT ORGANIZATIONS SERVING CHILDREN, ADOLESCENTS, AND PREGNANT WOMEN TO SUPPORT THEIR PROGRAM OR TO PRESENT SYMPOSIA, SEMINARS, OR CONFERENCES. TYPICAL EXAMPLES ARE THE HOSPITAL'S SPONSORSHIP OF KIDS IN COMMON'S CHILDREN'S AGENDA 2015 CONFERENCE AND THE HOSPITAL'S SUPPORT FOR THE EATING DISORDERS RESOURCE CENTER, WHICH IS A VALUED PARTNER FOR THE HOSPITAL IN SERVING YOUNG PEOPLE WHO SUFFER FROM EATING DISORDERS AND THEIR FAMILIES. LPCH ALSO PROVIDES FUNDS IN THE $200 TO $12,000 RANGE TO SPONSOR THE FUND-RAISING DINNERS, WALKS, AND OTHER EVENTS FOR ORGANIZATIONS SUCH AS THE MARCH OF DIMES, NATIONAL BRAIN TUMOR SOCIETY, PATHWAYS HOSPICE FOUNDATION, RONALD MCDONALD HOUSE, ETC. X true true X X X X X true true false false false false false true false KENNETH L COX MD 0 261143 0 216322 0 1100 0 25000 0 3637 0 507202 0 0 CHRISTOPHER G DAWES 0 829338 0 138022 0 206518 0 327500 0 29984 0 1531362 0 0 PHILIP A PIZZO MD 0 656396 0 0 0 14369 0 268223 0 25816 0 964804 0 0 THOMAS KRUMMEL MD 0 533668 0 493298 0 0 0 25000 0 28110 0 1080076 0 0 Lloyd B Minor MD 0 376771 0 0 0 357398 0 0 0 29784 0 763953 0 0 SUSAN S FLANAGAN 0 513430 0 53153 0 88277 0 0 0 32866 0 687726 0 0 Anne McCune 0 133622 0 30000 0 13017 0 0 0 5619 0 182258 0 0 CHRISTY SANDBORG MD 0 226805 0 153972 0 0 0 23633 0 19456 0 423866 0 0 TIMOTHY W CARMACK 0 450248 0 59930 0 96520 0 80229 0 10517 0 697444 0 55125 HUGH O'BRODOVICH MD 0 421143 0 193395 0 29966 0 20752 0 22426 0 687682 0 0 PAMELA A MOLANO 0 325495 0 42504 0 48308 0 49473 0 1904 0 467684 0 26846 PAMELA J WELLS 0 247725 0 15812 0 406861 0 28226 0 10255 0 708879 0 1278 OWEN R AURELIO 0 256190 0 14987 0 29245 0 22500 0 32176 0 355098 0 0 MARK TORTORICH 0 276636 0 71390 0 127574 0 22500 0 26027 0 524127 0 69111 BRADFORD P TOUSSAINT 0 263163 0 28849 0 380282 0 22500 0 25751 0 720545 0 0 Jeannine D'Addario 0 158047 0 84660 0 109730 0 8023 0 14775 0 375235 0 0 Rosalina Luna 0 182668 0 0 0 149632 0 24473 0 19270 0 376043 0 0 JAMES MCCAUGHEY 0 314837 0 42761 0 127802 0 22500 0 23875 0 531775 0 77897 GREGORY J SOUZA 0 305853 0 32181 0 66522 0 22500 0 18102 0 445158 0 0 EDWARD KOPETSKY 0 424161 0 45890 0 96387 0 77578 0 26183 0 670199 0 51989 KIM ROBERTS 0 318413 0 34538 0 5536 0 56600 0 30891 0 445978 0 0 AMIR DAN RUBIN 0 1552140 0 926989 0 40110 0 293487 0 29851 0 2842577 0 0 HOUSING SCHEDULE J, PART I, LINE 1 TWO OFFICERS, ONE KEY EMPLOYEE AND ONE HIGHEST COMPENSATED EMPLOYEE RECEIVED HOUSING AS A TAXABLE BENEFIT AND THE AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A PAMELA WELLS RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $286,998 REPRESENTING 12 MONTHS BASE ANNUAL SALARY. BRADFORD TOUISSANT RECIEVED A SEVERANCE PAYMENT IN THE AMOUNT OF $276,156 REPRESENTING 12 MONTHS BASE ANNUAL SALARY. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") AND SHC PROVIDE ALL SENIOR EXECUTIVES WITH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS. AT THE LAST DATE OF EACH QUARTER EACH PARTICIPANT'S ACCOUNT IS CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION). THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN THE ACCOUNT AS FOLLOWS: (a) the first business day of January following the year in which the account was established and the participant completes two full years of participation; (b) discharge from employment; (c) entitlement to long-term disability; or (d) the participant attains the age of 60 while employed. The following amounts became vested and were paid to the following individuals in calendar year 2012: CHRISTOPHER G DAWES $143,538 SUSAN S FLANAGAN $63,287 TIMOTHY W CARMACK $55,125 EDWARD KOPETSKY $52,764 PAMELA A MOLANO $26,846 PAMELA J WELLS $26,030 OWEN R AURELIO $21,323 GREGORY J SOUZA $37,218 JAMES MCCAUGHEY $116,776 BRADFORD P TOUSSAINT $27,500 MARK TORTORICH $107,466 KIM ROBERTS $2,098 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C). THE INDIVIDUALS LISTED BELOW PARTICIPATE IN A DEFERRED COMPENSATION PLAN AT STANFORD UNIVERSITY, A RELATED ORGANIZATION. ANNUALLY, AMOUNTS ARE CREDITED TO THE PLAN BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. THESE AMOUNTS APPEAR IN SCHEDULE J, PART II, COLUMN (C). PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET. KENNETH L COX MD PHILIP A PIZZO MD THOMAS KRUMMEL MD CHRISTOPHER DAWES, PRESIDENT OF LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD HAS A NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. UNDER THE AGREEMENT, MR. DAWES RECEIVES AN ANNUAL CREDIT TO HIS ACCOUNT THROUGH 2016 PROVIDED HE REMAINS EMPLOYED IN HIS CURRENT POSITION. AMOUNTS CREDITED UNDER THE PLAN WILL BE PAYABLE UPON THE EARLIER OF: (1) TERMINATION WITHOUT CAUSE; (2) DISABILITY; (3) DEATH; OR (4) AUGUST 31, 2016 PROVIDED MR. DAWES REMAINS EMPLOYED AT THAT DATE. THE AMOUNT CREDITED TO MR. DAWES ACCOUNT FOR CALENDAR YEAR 2012 OF $300,000 IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). SCHEDULE J, PART I, LINE 7 OFFICERS AND OTHERS AS ENUMERATED IN SCHEDULE J, PART II PARTICIPATE IN A DEFERRED COMPENSATION PLAN SPONSORED BY SHC. ANNUALLY, AMOUNTS ARE CREDITED TO THE PLAN BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET. LPCH has an annual performance incentive plan. Performance targets and payout metrics are established and approved by the Compensation Committee at the beginning of each performance cycle. SCHEDULE J, PART II, DESCRIPTION FOR COLUMN B(III) OTHER REPORTABLE COMPENSATION in schedule J-1, Column B-III INCLUDES HOUSING ASSISTANCE, SEVERANCE PAYMENTS, SERP CASH DISTRIBUTION, ACCRUED VACATION PAY OUT, AND GROUP TERM LIFE. IN ADDITION, LPCH HAS PROVIDED VARIOUS ITEMS OF "LISTED PROPERTY" (E.G. COMPUTERS AND PERIPHERALS) TO THE ABOVE LISTED EMPLOYEES PRINCIPALLY FOR THEIR BUSINESS USE. SCHEDULE J, PART II, DESCRIPTION FOR COLUMN C & D THESE EMPLOYEES ACCRUE FUTURE BENEFITS THAT ARE AVAILABLE TO ALL STANFORD EMPLOYEES, SUCH AS EMPLOYER'S CONTRIBUTION TO QUALIFIED RETIRMENT PLAN. COMPENSATION OF LEASED EMPLOYEES SCHEDULE J, PART II LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") LEASES ITS EMPLOYEES FROM STANFORD HOSPITAL AND CLINICS ("SHC") AND REIMBURSES SHC FOR THE COST OF THE EMPLOYEES. LPCH'S REIMBURSEMENT OF SALARIES, BENEFITS AND PAYROLL TAXES TOTALED $123,850,000 AND IS INCLUDED IN PART IX, LINES 5-10. THE TOTAL NUMBER OF EMPLOYEES LEASED FROM SHC FOR THE FISCAL YEAR 2012 WAS 3,032. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LWQ6 2012-03-21 93450000 REFUND 2008 ISSUE false false false B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LWR4 2012-03-21 270684581 FINANCE HEALTH FAC & REDEMPTION OF false false false A 0 0 93450000 0 0 0 547136 0 0 0 92902864 0 true false true true B 0 0 270684581 0 315930 0 2687575 0 0 10754357 58857496 198069223 false true false true A false false true true false 0 false false false true B false false true true false 0 false false false true A false true true false false 0 false 0 false true B false true true true false 0 false 0 false true A true B true Schedule K,Part IV, Line 2c 0 Arbitrage Rebate analysis has been performed for 2008 Series A, B, and C bonds and 2012 Series A and B bonds in FY2013 with listed below for the analysis date. No payment was due to IRS for these bonds in FY2013. BOND A Arbitrage Analysis Opinion Letter issued on 9/26/2013 for BOND A. BOND B Arbitrage Analysis Opinion Letter issued on 4/4/2013 for BOND B. ELIZABETH DAWES SEE PART V 69542 COMP FOR EMPLOYMENT false KATHLEEN COX SEE PART V 214241 COMP FOR EMPLOYMENT false ANGELA KOPETSKY SEE PART V 113855 COMP FOR EMPLOYMENT false LUKE AURELIO SEE PART V 87519 COMP FOR EMPLOYMENT false MEDTRONIC SEE PART V 401139 PAYMENT FOR PRODUCTS false SUMIT INSURANCE COMPANY SEE PART V 5041665 Insurance false RELATIONSHIP BETWEEN PERSON AND ORGANIZATION FORM 990, SCHEDULE L, PART IV COLUMN (B) ELIZABETH DAWES: EMPLOYEE IS A FAMILY MEMBER OF A DIRECTOR. KATHLEEN COX: EMPLOYEE IS A FAMILY MEMBER OF A DIRECTOR. ANGELA KOPETSKY: EMPLOYEE IS A FAMILY MEMBER OF A KEY EMPLOYEE. LUKE AURELIO: EMPLOYEE IS A FAMILY MEMBER OF A KEY EMPLOYEE. MEDTRONIC: A DIRECTOR OF LPCH IS ALSO A DIRECTOR OF MEDTRONIC. THE DIRECTOR DID NOT PARTICIPATE IN ANY WAY IN DECISION MAKING OR DISCUSSION OF THE RELATIONSHIP BETWEEN LPCH AND MEDTRONIC. SUMIT INSURANCE COMPANY: TWO OFFICERS OF LPCH ARE VOTING MEMBERS OF THE SUMIT INSURANCE COMPANY BOARD OF DIRECTORS. THE OFFICERS DID NOT PARTICIPATE IN ANY WAY IN DECISION MAKING OR DISCUSSION OF THE RELATIONSHIP BETWEEN LPCH AND SUMIT INSURANCE COMPANY. ORGANIZATION'S PRIMARY EXEMPT PURPOSE FORM 990, PARTS I & III, LINE 1 THE SPECIFIC AND PRIMARY EXEMPT PURPOSES OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") ARE TO SUPPORT, BENEFIT AND FURTHER THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY (THE "UNIVERSITY"), INCLUDING ITS SCHOOL OF MEDICINE, AND STANFORD HOSPITAL AND CLINICS ("SHC") BY OPERATING AND MANAGING A CONSOLIDATED MEDICAL FACILITY THAT OFFERS COMPREHENSIVE MEDICAL CARE SERVICES FOR CHILDREN AND ADOLESCENTS AND OBSTETRICAL SERVICES FOR PREGNANT WOMEN AND FURTHERS TEACHING AND RESEARCH IN THE MEDICAL SCIENCES AND OTHER FIELDS RELATING TO THE HEALTH AND WELL-BEING OF INFANTS, CHILDREN, ADOLESCENTS AND PREGNANT WOMEN, IN COOPERATION WITH AND IN SUPPORT OF THE UNIVERSITY'S SCHOOL OF MEDICINE AND STANFORD HOSPITAL AND CLINICS. FORM 990, PART III, LINE 4a PROGRAM SERVICE DESCRIPTION JOHNSON CENTER OF EXCELLENCE THE JOHNSON CENTER IS A CENTER OF EXCELLENCE THAT ENCOMPASSES MATERNITY CARE AND HIGH RISK OBSTETRICS AS WELL AS HEALTHY NEWBORN AND NEONATAL INTENSIVE CARE BUILT UPON A SUCCESSFUL ACADEMIC-COMMUNITY HOSPITAL PARTNERSHIP. WITH A STRONG SUPPORT FROM LOCAL PROVIDERS, OBSTETRICIANS IN PRIVATE PRACTICE CONTINUE TO CHOOSE LUCILE PACKARD CHILDREN'S HOSPITAL TO DELIVER THEIR PATIENTS. THE CENTER'S SERVICES INCLUDE PRENATAL DIAGNOSIS, GENETIC COUNSELING, HIGH RESOLUTION FETAL ULTRASOUND SERVICES, HIGH RISK PRENATAL CARE, DELIVERY, LACTATION AND PARENTING SUPPORT AND NEWBORN INTENSIVE CARE. IN ADDITION, THE BEHAVIORAL-DEVELOPMENT PEDIATRICS PROGRAM OFFERS LONG-TERM FOLLOW-UP FOR PATIENT GRADUATING FROM THE NEONATAL INTENSIVE CARE UNIT. THE JOHNSON CENTER ALSO MANAGES SEVERAL CLINICAL OUTREACH SERVICES IN MATERNAL-FETAL MEDICINE, PROVIDING EARLY DIAGNOSIS AND CONSULTATIVE SERVICES FOR HIGH RISK MATERNITY CARE THROUGHOUT THE REGION, INCLUDING REDWOOD CITY, MOUNTAIN VIEW, FREMONT, SALINAS AND SANTA CRUZ. THE JOHNSON CENTER CONTINUES TO LEAD IN THE DEVELOPMENT AND EVALUATION OF SIMULATION TRAINING, BOTH IN THE LABORATORY, AND ON-SITE. SIMULATION TRAINING PROVIDES STAFF AND THE COMMUNITY AN OPPORTUNITY TO LEARN IN A SUPPORTED ENVIRONMENT. OBSTETRIC DISCHARGES FROM THE JOHNSON CENTER INCREASED TO 4,528 IN FISCAL YEAR 2013 - COMPARED TO THE PRIOR YEAR DISCHARGES OF 4,467. IN 2013 THE AVERAGE LENGTH OF STAY FOR OBSTETRIC PATIENTS WAS 3.1 DAYS. OBSTETRIC PATIENTS FROM THE PRIMARY SERVICE AREA COUNTIES OF SAN MATEO AND SANTA CLARA ACCOUNTED FOR 87% OF DISCHARGES. ELEVEN PERCENT OF PATIENTS CAME FROM THE EIGHT BAY AREA COUNTIES AND 1% FROM THE REMAINING CALIFORNIA COUNTIES. THE JOHNSON CENTER NEONATAL INTENSIVE CARE UNIT SERVED A TOTAL OF 1,487 INPATIENTS IN FISCAL YEAR 2013 WITH AN AVERAGE LENGTH OF STAY OF 13 DAYS. OF THESE INPATIENTS, 59% WERE FROM THE PRIMARY SERVICE AREA, WITH 36% COMING FROM THE EIGHT-COUNTY BAY AREA AND 5% FROM OUTSIDE THE BAY AREA. FORM 990, PART III, LINE 4b PROGRAM SERVICE DESCRIPTION CHILDREN'S HEART CENTER THE HEART CENTER'S VISION IS TO BRING TOGETHER PROFESSIONAL AND FACILITY RESOURCES UNDER ONE CENTER OF EXCELLENCE THAT SERVES BOTH OUR LOCAL PATIENTS AND THE GREATER COMMUNITY. WITH A MULTIDISCIPLINARY TEAM SPECIALLY TRAINED TO DIAGNOSE AND TREAT INFANTS, CHILDREN, AND YOUNG ADULTS WITH CONGENITAL AND ACQUIRED HEART DISEASES, THE CENTER CARES FOR CHILDREN REQUIRING SPECIALIZED CARDIOTHORACIC SERVICES ON A NATIONAL AND INTERNATIONAL BASIS, DRAWING PATIENTS FROM ALL OVER CALIFORNIA, AT LEAST 26 DIFFERENT STATES, AND SEVERAL DIFFERENT COUNTRIES. THE PROGRAM GOALS ARE AIMED AT CONTINUING THE INTEGRATION AND EXPANSION OF THE CLINICAL, ADMINISTRATIVE, AND ACADEMIC ACTIVITIES TO BETTER SERVE OUR PEDIATRIC POPULATION -- CARDIOLOGY, CARDIAC SURGERY, CARDIAC INTENSIVE CARE, CARDIAC ANESTHESIA, AND CARDIAC IMAGING. ADDITIONALLY, WE CONTINUE TO FOCUS ON EARLY IDENTIFICATION OF CARDIAC ANOMALIES THROUGH OUR FETAL ECHOCARDIOGRAPHY PROGRAM, IN CONJUNCTION WITH THE CENTER FOR FETAL AND MATERNAL HEALTH. IN 2013, OUR VENTRICULAR ASSIST DEVICE PROGRAM CONTINUED TO GROW TO CARE FOR THE SICKEST OF CHILDREN WITH ADVANCED HEART FAILURE, AND WE IMPLANTED 44 ASSIST DEVICES OVER THE PAST THREE YEARS. IN ADDITION, WE ADDED THE HEARTWARE SYSTEM TO OUR ARMAMENTARIUM OF IMPLANTABLE DEVICES IN APPROPRIATE CASES, WHICH ALLOWS FOR THE EARLY DISCHARGE OF PATIENTS ON VENTRICULAR ASSIST DEVICES TO A HOME SETTING WHILE THEY WAIT FOR THEIR HEART TRANSPLANT. THE NUMBER OF INPATIENTS SERVED BY THE HEART CENTER INCREASED FROM 863 IN FISCAL YEAR 2012 TO 907 IN FISCAL YEAR 2013. OF THESE, THERE WERE 456 CARDIAC SURGERIES AND 19 HEART TRANSPLANTS. THE INPATIENT PROGRAM HAD A CASE MIX INDEX OF 4.89, REFLECTING THE HIGHLY COMPLEX POPULATION THAT WE SERVE. TWENTY-EIGHT PERCENT OF PATIENTS CAME FROM OUR PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 24% CAME FROM THE EIGHT-COUNTY BAY AREA, 29% CAME FROM OTHER AREAS WITHIN CALIFORNIA, AND 19% CAME FROM OTHER STATES. FORM 990, PART III, LINE 4c PROGRAM SERVICE DESCRIPTION CANCER CENTER OF EXCELLENCE THE BASS CENTER IS A CENTER OF EXCELLENCE THAT OFFERS COMPREHENSIVE CARE AND INNOVATIVE THERAPIES FOR CHILDREN WITH CANCER AND BLOOD DISEASES. THIS STATE-OF-THE-ART FACILITY INTEGRATES INPATIENT AND OUTPATIENT CARE AND HAS A 27-BED INPATIENT UNIT (15 HEMATOLOGY/ONCOLOGY BEDS AND 12 STEM CELL TRANSPLANT BEDS) ALONG WITH A CONTIGUOUS 8-BED DAY HOSPITAL, INFUSION ROOM, LAB, AND CLINIC. THE CENTER ALSO HAS EIGHT BEDS ALLOCATED TO THE PROGRAM TO SUPPORT CHEMOTHERAPY INPATIENT INFUSIONS AT THE LPCH-LICENSED INPATIENT UNIT AT EL CAMINO HOSPITAL OF MOUNTAIN VIEW CALIFORNIA. THE CENTER IS STAFFED BY INDIVIDUALS TRAINED IN THE SPECIALIZED NEEDS OF PEDIATRIC CANCER PATIENTS AND INCLUDES APPROPRIATE ISOLATION ROOMS. THE PROGRAM DIAGNOSES AND TREATS APPROXIMATELY 160 NEW CANCER PATIENTS PER YEAR AND PERFORMED 35 STEM CELL TRANSPLANT IN FISCAL YEAR 2013. THE BASS CENTER'S GOAL IS TO OFFER A COMPREHENSIVE PROGRAM THAT WILL SERVE MORE PATIENTS, TO DEVELOP A MORE ROBUST RESEARCH PLATFORM, AND TO EXPAND THE CENTER'S GEOGRAPHIC REACH TO PROVIDE MORE CHILDREN WITH ACCESS TO THE SPECIALIZED SERVICES OFFERED BY THE CENTER. INPATIENT DISCHARGES FOR HEMATOLOGY/ONCOLOGY AND STEM CELL TRANSPLANT IN FISCAL YEAR 2013 TOTALED 1,076 WITH AN AVERAGE LENGTH OF STAY OF 7.8 DAYS. THE BASS CENTER IS A STRONG REGIONAL PROGRAM WITH 50% OF PATIENTS COMING FROM THE PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 35% FROM THE EIGHT SURROUNDING BAY AREA COUNTIES, 14% FROM OTHER CALIFORNIA COUNTIES, AND 1% FROM OUTSIDE THE STATE OF CALIFORNIA. FORM 990, PART III, LINE 4d PROGRAM SERVICE DESCRIPTION OTHER PROGRAMS IN ADDITION TO THE THREE PROGRAMS DESCRIBED ABOVE, LUCILE PACKARD CHILDREN'S HOSPITAL PROVIDES CLINICAL SERVICES THROUGH THREE ADDITIONAL CENTERS OF EXCELLENCE: CENTER FOR CHILDREN'S BRAIN AND BEHAVIOR THIS CENTER SPECIALIZES IN TREATING DISORDERS OF BRAIN DEVELOPMENT AND FUNCTION, WHICH MAY MANIFEST THEMSELVES IN BEHAVIORAL, EMOTIONAL, LEARNING, LANGUAGE, DEVELOPMENT, SENSATION, OR MOVEMENT ABNORMALITIES. THE CENTER COMBINES THE EXPERTISE OF SPECIALISTS IN A BROAD RANGE OF DISEASES, INCLUDING EPILEPSY, AUTISM AND DEVELOPMENTAL DISORDERS, MOVEMENT DISORDERS, CEREBROVASCULAR DISORDERS, DEPRESSION, BIPOLAR AND ANXIETY DISORDERS, TRAUMATIC BRAIN INJURY, NEUROGENETIC DISORDERS, BRAIN TUMORS, AND CONGENITAL CENTRAL NERVOUS SYSTEM DEFECTS. THE HOSPITAL'S CENTER FOR BRAIN TUMORS IS ONE OF THE LEADING PROGRAMS IN THE COUNTRY. THE EATING DISORDER PROGRAM LINKS AN INPATIENT PROGRAM WITH AN EVIDENCE-BASED OUTPATIENT PROGRAM THAT COORDINATES MEDICAL AND PSYCHIATRIC TREATMENT. IN 2013 THE CENTER CONTINUED TO EXPAND SERVICES FOR CHILDREN WITH COMPLEX NEUROLOGICAL DISEASES SUCH AS NEUROMUSCULAR DISEASE, MOVEMENT DISORDERS, STROKE AND EPILEPSY. IN ALL OF THE CENTER'S PROGRAMS, PSYCHIATRISTS, PSYCHOLOGISTS, NEUROSURGEONS, AND NEUROLOGISTS WORK CLOSELY WITH BASIC RESEARCHERS TO DISCOVER THE INNER WORKINGS OF THE BRAIN AND HOW IT IMPACTS BEHAVIOR SO THAT CHILDREN COPING WITH COMPLEX CONDITIONS MAY LEAD MORE FULL AND PRODUCTIVE LIVES. CENTER FOR CYSTIC FIBROSIS AND PULMONARY DISEASES THIS CENTER INTEGRATES AN INTERDISCIPLINARY TEAM OF CLINICIANS AND RESEARCHERS FROM PACKARD CHILDREN'S AND THE STANFORD SCHOOL OF MEDICINE. THEIR COMBINED EFFORTS HAVE PRODUCED A PROGRAM THAT FOCUSES ON LEADING EDGE CARE OF CHILDREN WITH A PLETHORA OF RESPIRATORY AND PULMONARY CONDITIONS, FROM THE COMMON AND SIMPLE TO THE COMPLEX AND RARE. THE CENTER IS ONE OF THE LARGEST CARE PROVIDERS FOR CHILDREN WITH CONDITIONS SUCH AS CYSTIC FIBROSIS, ASTHMA, CHRONIC LUNG DISEASE OF INFANCY RESULTING FROM PREMATURE BIRTH AND IMMATURE LUNGS, ACUTE OR CHRONIC RESPIRATORY INFECTIONS, MULTI-SYSTEM DISORDERS THAT AFFECT BREATHING AND LUNGS SUCH AS CEREBRAL PALSY, NEUROMUSCULAR DISEASES SUCH AS SPINAL MUSCULAR ATROPHY (SMA) AND OTHER MUSCULAR DYSTROPHIES, AS WELL AS OTHER GENETIC AND METABOLIC DISORDERS THAT IMPACT SWALLOWING AND BREATHING. IN ADDITION, THE CENTER IS HOME TO A DEDICATED PEDIATRIC SLEEP PROGRAM AND OPERATES ONE OF THE FEW ACTIVE LUNG TRANSPLANT PROGRAMS IN THE UNITED STATES DEDICATED EXCLUSIVELY TO CHILDREN. CENTER FOR TRANSPLANT AND TISSUE ENGINEERING THIS CENTER PERFORMS PEDIATRIC KIDNEY, LIVER, AND INTESTINAL TRANSPLANTS AND SPECIALIZES IN DIALYSIS AND TRANSPLANTATION OF INFANTS, CHILDREN, AND HIGHLY COMPLEX CASES. THE TRANSPLANT PROGRAM RANKS AMONG THE TOP PROGRAMS IN THE NATION IN THE NUMBER OF PEDIATRIC KIDNEY AND LIVER TRANSPLANTS PERFORMED, AND CONTINUES TO DELIVER OUTCOMES AMONG THE BEST IN THE COUNTRY. THE TRANSPLANT TEAM HAS PIONEERED NEW APPROACHES TO IMMUNOSUPPRESSION AND CONTINUES TO DEVELOP AND IMPLEMENT INNOVATIVE TREATMENT STRATEGIES TO REDUCE POST-TREATMENT COMPLICATIONS AND IMPROVE OUTCOMES. ADDITIONALLY, RESEARCH AND EDUCATION ARE PRIMARY COMPONENTS OF THE HOSPITAL'S MISSION AND INTEGRAL TO THE HOSPITAL'S CLINICAL OPERATIONS. THE HOSPITAL IS COMMITTED TO SUPPORTING AND FUNDING QUALITY GRADUATE MEDICAL EDUCATION PROGRAMS AND EXCELLENCE IN RESIDENCY TRAINING AND RESEARCH. PACKARD CHILDREN'S CURRENTLY SPONSORS 42 RESIDENCY/FELLOWSHIP PROGRAMS APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATIONS WITH OVER 200 ENROLLED RESIDENTS AND FELLOWS (STATED IN FULL TIME EQUIVALENTS). RESIDENCY PROGRAMS IN PHARMACY, SOCIAL WORK, HOSPITAL CHAPLAINCY, AND NURSING ARE ALSO PROVIDED. PACKARD CHILDREN'S PARTNERS WITH STANFORD SCHOOL OF MEDICINE TO CONDUCT RESEARCH IN ALL SIX CENTERS OF EXCELLENCE DESCRIBED ABOVE. PACKARD CHILDREN'S IS ALSO COMMITTED TO ADVOCACY AND COMMUNITY OUTREACH TO IMPROVE THE HEALTH STATUS OF CHILDREN AND PREGNANT WOMEN BY DEVELOPING AND SUPPORTING INNOVATIVE PROGRAMS (PRIMARILY WITHIN ITS PRIMARY SERVICE AREAS OF SAN MATEO AND SANTA CLARA COUNTIES AND BEYOND) TO ENHANCE ITS OWN AND THE COMMUNITY'S CAPACITY TO CARE FOR CHILDREN AND PREGNANT WOMEN. THESE PROGRAMS INCLUDE: - MOBILE ADOLESCENCE HEALTH SERVICES - CARE A VAN FOR KIDS - PARTNERSHIP WITH RAVENSWOOD FAMILY HEALTH CENTER - SUPPORT FOR PEDIATRIC WEIGHT CONTROL PROGRAM - SUPPORT OF CHILDREN'S HEALTH INSURANCE INITIATIVES - SUPPORT FOR PEDIATRIC RESIDENT ADVOCACY PROGRAM - VARIOUS COMMUNITY HEALTH EDUCATION PROGRAMS - PRACTICAL SUPPORT TO PATIENT AND FAMILIES (MEALS, TRANSPORTATION, INFANT CAR SEATS, BABY CARE EQUIPMENT, AND OTHER EXPENSES). EQUIPMENT AND SUPPLY DONATIONS TO A NUMBER OF OVERSEAS MISSIONS. IN THE COUNTIES THAT COMPRISE THE HOSPITAL'S PRIMARY SERVICE AREA, NEARLY ALL CHILDREN ARE ELIGIBLE FOR HEALTH INSURANCE COVERAGE THROUGH EITHER GOVERNMENT-SPONSORED OR LOCAL INITIATIVE INSURANCE PROGRAMS. HOWEVER, NEARLY ALL OF THESE PROGRAMS REIMBURSE THE HOSPITAL AT AMOUNTS FAR LESS THAN THE COST OF SERVICES PROVIDED. ADDITIONALLY, PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY RECEIVE SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. EXECUTIVE COMMITTEE FORM 990, PART VI, LINE 1A IF A MATTER NORMALLY REQUIRING ACTION BY THE BOARD OF DIRECTORS ARISES BETWEEN MEETINGS OF THE BOARD AND IS A MATTER WHICH, IN THE OPINION OF ANY FOUR (4) OUT OF SIX (6) OF THE CHAIR OF THE BOARD, THE VICE CHAIR, THE DEAN OF THE STANFORD UNIVERSITY SCHOOL OF MEDICINE, THE PRESIDENT OF THE CORPORATION, THE CHAIR OF THE FINANCE COMMITTEE AND THE CHAIR OF THE AUDIT COMMITTEE, REQUIRES ACTION BY THE BOARD BEFORE THE NEXT REGULAR OR SPECIAL MEETING OF THE BOARD, THEN ANY FOUR (4) OR MORE OUT OF THOSE SIX (6) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD OF DIRECTORS, ARE AUTHORIZED JOINTLY TO TAKE WHATEVER ACTION IS NECESSARY TO RESOLVE THE MATTER, AND SUCH ACTION WILL CONSTITUTE AUTHORIZED ACTION OF THE BOARD TO THE SAME EXTENT AS IF IT HAS BEEN ADOPTED AT A MEETING OF THE BOARD; PROVIDED, HOWEVER, THAT AT LEAST ONE (1) OF THE FOUR (4) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD PURSUANT TO THIS SECTION SHALL BE AN "OUTSIDE DIRECTOR," AS DEFINED IN BYLAWS AND PROVIDED, FURTHER, THAT THE DIRECTORS ACTING AS A COMMITTEE OF THE BOARD SHALL NOT IN ANY CASE BE AUTHORIZED BY THIS SECTION TO EXERCISE THOSE POWERS WHICH BY LAW, THE ARTICLES OF INCORPORATION, THESE BYLAWS OR SPECIFIC ACTION BY THE MEMBER, SET FORTH IN A RESOLUTION OF THE MEMBER, MAY BE EXERCISED ONLY BY THE MEMBER OR MAY NOT BE DELEGATED TO A COMMITTEE OF THE BOARD. FAMILY/BUSINESS RELATIONSHIPS FORM 990, PART VI, LINE 2 KENNETH COX, THOMAS KRUMMEL, HUGH O'BRODOVICH, PHILIP PIZZO, LLOYD MINOR, AND CHRISTY SANDBORG ARE EMPLOYEES OF STANFORD UNIVERSITY. PHILIP PIZZO WAS THE DEAN OF THE STANFORD SCHOOL OF MEDICINE (UNTIL 12/1/2012), LLOYD MINOR IS THE DEAN OF THE STANFORD SCHOOL OF MEDICINE (EFFECTIVE 12/1/2012), AND FRANK LEE AND VAUGHN WILLIAMS ARE TRUSTEES OF STANFORD UNIVERSITY. DAVID ALEXANDER IS THE CEO AND A DIRECTOR OF LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH (LPFCH). CHRISTOPHER DAWES, LLOYD MINOR, AND J. TAYLOR CRANDALL ARE DIRECTORS OF LPFCH. AMIR DAN RUBIN IS CEO AND A DIRECTOR AND MARK TORTORICH IS AN EMPLOYEE OF STANFORD HOSPITAL AND CLINICS. MARY CRANSTON, MARIANN BYERWALTER, CHRISTOPHER DAWES, LLOYD MINOR, AND PHILIP PIZZO ARE DIRECTORS OF SHC. CHRISTOPHER DAWES AND KENNETH COX ARE VOTING MEMBERS ON THE SUMIT INSURANCE BOARD OF DIRECTORS. CHRISTOPHER DAWES AND KENNETH COX ARE MEMBERS OF THE LLC GOVERNING BOARD OF CONTRA COSTA PEDIATRIC VENTURE. CHRISTOPHER DAWES AND KENNETH COX ARE MEMBERS OF THE LLC GOVERNING BOARD OF SAN FRANCISCO PEDIATRIC VENTURE. MEMBERS FORM 990, PART VI, LINE 6 STANFORD UNIVERSITY IS THE SOLE MEMBER OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD. FORM 990, PART VI, LINE 7A STANFORD UNIVERSITY, AS THE SOLE MEMBER OF LPCH, APPOINTS THE LPCH BOARD OF DIRECTORS. PROCEDURES FOR REVIEWING FORM 990 FROM GOVERNING BODY FORM 990, PART VI, LINE 11 WORKING WITH PRICEWATERHOUSECOOPERS, THE FORM 990 IS PREPARED FOR MANAGEMENT'S REVIEW. A DRAFT OF THE FORM 990 IS MAILED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW, ALONG WITH AN EXECUTIVE SUMMARY OF RECENT CHANGES AND NEW REQUIREMENTS. THE DRAFT FORM 990 IS REVIEWED AT THE AUDIT AND COMPLIANCE COMMITTEE MEETING. A FINAL FORM 990 IS THEN DISTRIBUTED TO THE FULL BOARD BEFORE FILING WITH THE IRS. PRICEWATERHOUSECOOPERS SIGNS THE FINAL RETURN AS PAID PREPARER. PROCEDURES FOR MONITORING AND ENFORCING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO COMPLETE AN INITIAL CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ("DISCLOSURE STATEMENT") WITHIN 30 DAYS OF BEGINNING SERVICE AT LUCILE PACKARD CHILDREN'S HOSPITAL (LPCH). ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. FURTHER, OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO UPDATE THEIR DISCLOSURE STATEMENT WITHIN TEN (10) BUSINESS DAYS OF A MATERIAL CHANGE IN THEIR SITUATIONS THAT MAY CREATE AN ACTUAL OR PERCEIVED CONFLICT-OF-INTEREST. A DISCLOSURE THAT APPEARS TO BE A CONFLICT WILL BE RESOLVED BY A MUTUAL AGREEABLE PLAN WITH THE VICE PRESIDENT OF HUMAN RESOURCES THAT OUTLINES THE STEPS THE OFFICER, DIRECTOR OR EMPLOYEE MUST TAKE TO RECTIFY THE CONFLICT. IN MATTERS THAT ARE UNCLEAR OR QUESTIONABLE, THE OFFICE OF CHIEF COMPLIANCE OFFICER WILL BE CONSULTED FOR A RULING. IF FURTHER INQUIRY IS NECESSARY THE OFFICE OF THE GENERAL COUNSEL WILL BE CONSULTED FOR A RULING. FORM 990, PART VI, LINE 14 LPCH currently has a document retention and destruction policy for its medical records that has been approved by its governing body. All other document retention and destruction policies have been approved by management. PROCEDURES FOR DETERMINING COMPENSATION FORM 990, PART VI, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR LPCH'S CEO AND OTHER TOP MANAGEMENT REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES THE COMMITTEE WITH COMPARABLE MARKET DATA FROM THE FORMS 990 OF COMPARABLE ORGANIZATIONS SUPPLEMENTED BY PUBLISHED COMPENSATION AND BENEFITS SURVEYS TO BE CONSIDERED IN EVALUATING TOTAL COMPENSATION PACKAGES FOR EACH INDIVIDUAL EXECUTIVE. THE COMMITTEE CONDUCTS A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTED ITS DELIBERATIONS AND DISCUSSION IN MINUTES THAT ARE RETAINED WITH THE OTHER GOVERNANCE MATERIALS OF LPCH. THE VALUE OF EACH PAY ELEMENT AND THE TOTAL PACKAGE ARE REVIEWED EACH SEPTEMBER PRIOR TO ANY PAY ACTIONS BEING APPROVED BY THE COMPENSATION COMMITTEE. SPECIFIC FACTS AND CIRCUMSTANCES OF EACH ROLE, INCUMBENT, THEIR PERFORMANCE, SKILLS, AND RESPONSIBILITIES ARE REVIEWED AND ASSESSED INDIVIDUALLY. THE COMMITTEE RECEIVES RECOMMENDATIONS FROM THE CEO AS TO PAY ACTIONS FOR EACH INCUMBENT. THESE RECOMMENDATIONS ARE DISCUSSED AND THE RESULTS OF THE DELIBERATIONS ARE DOCUMENTED AS TO THE FINAL PAY ACTION APPROVED ALONG WITH THE RATIONALE FOR THE DECISION. THIS PROCESS OCCURS ANNUALLY AND IN CONJUNCTION WITH ANY PROGRAMMATIC CHANGE THAT COULD POTENTIALLY IMPACT THE PAY OR BENEFITS OF EXECUTIVES. FORM 990, PART VI, LINE 19 THE STATEMENTS OF OPERATIONS AND BALANCE SHEET ARE INCLUDED IN THE ANNUAL REPORT POSTED ON THE ORGANIZATION'S PUBLIC WEBSITE. COPIES OF THE FINANCIAL STATEMENTS ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS. COPIES OF THE GOVERNING DOCUMENTS ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS. THE CONFLICT OF INTEREST POLICY IS NOT CURRENTLY AVAILABLE FOR PUBLIC INSPECTION. COMPENSATION OF LEASED EMPLOYEES FORM 990, PART IX, LINES 5-10 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") LEASES ITS EMPLOYEES FROM STANFORD HOSPITAL AND CLINICS ("SHC") AND REIMBURSES SHC FOR THE COST OF THE EMPLOYEES. LPCH'S REIMBURSEMENT OF SALARIES, BENEFITS AND PAYROLL TAXES TOTALED $122,810,432 AND IS INCLUDED IN PART IX, LINES 5-10. THE TOTAL NUMBER OF EMPLOYEES LEASED FROM SHC FOR THE FISCAL YEAR 2013 WAS 3,032. EMPLOYEES LEASED FROM SHC BECAME EMPLOYEES PAID DIRECTLY BY LPCH AS OF JANUARY 2013. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G Temp Labor - Medical Physician $15,014,142 Other Purchased services $34,877,190 Purchased Services to/from Stanford University $51,986,498 Purchased Services to/from Stanford Hospital & Clinics $86,706,150 Other Professional service $249,496 Other Medical Services (Medical Group) $119,474,399 TOTAL $443,307,875 RECONCILIATION FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 1,681,138 ADJUSTMENT FOR MINIMUM PENSION AND POST RETIREMENT LIABILITY 2,034,000 TRANSFER TO STANFORD UNIVERSITY AND OTHER (56,001,867) TRANSFER OF NET INVESTMENT LOSS ON CERTAIN ENDOWMENTS 204,034 ______________ (52,082,695) STANFORD HOSPITAL AND CLINICS 300 PASTEUR DRIVE MC 5555 STANFORD CA 94305 946174066 HEALTHCARE CA 501(C)(3) 3 STANFORD true THE FREIDENRICH SUPPORT FOUNDATION 3145 PORTER DRIVE PALO ALTO CA 94304 300519583 SUPPORT CA 501(C)(3) 11, TYPE I STANFORD true SHR HOLDINGS INC 3145 PORTER DRIVE PALO ALTO CA 94304 943187167 REAL ESTATE CA 501(C)(25) N/A STANFORD true SU EMP BEN TRUST POST RETEMPYNT BEN 3145 PORTER DRIVE PALO ALTO CA 94304 943246199 BENEFITS CA 501(C)(9) N/A STANFORD true UNIVERSITY HEALTHCARE ALLIANCE 855 OAK GROVE AVE SUITE 100 MENLO PARK CA 94205 943192446 HEALTHCARE CA 501(C)(3) 3 SHC true THE DUDLEY E CHAMBERS FOUNDATION JP MORGAN CHASE PO BOX 3038 MILWAUKEE WI 53201 386841793 SUPPORT NY 501(C)(3) 11,TYPE III STANFORD true STANFORD UNIVERSITY BOOK STORE BLDG 60 MAIN QUAD NO 105 STANFORD CA 94305 940894150 SUPPORT CA 501(C)(3) 11, TYPE I STANFORD true STANFORD SCHOOLS CORPORATION 475 POPE STREET MENLO PARK CA 94025 202699147 EDUCATIONAL CA 501(C)(3) 2 STANFORD true PACKARD CHILDREN'S HEALTH ALLIANCE 725 WELCH ROAD MC5551 PALO ALTO CA 94304 320359189 HEALTHCARE CA 501(C)(3) 3 LPCH true STANFORD HABITAT CONSERVATION BOARD 3160 PORTER DR STE 200 PALO ALTO CA 94304 461882243 CONSERVATION CA 501(C)(3) 7 STANFORD true STANFORD FACULTY CLUB PO BOX 7229 STANFORD CA 94309 941187089 FAC INTERACT. 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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.