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LUCILE SALTER PACKARD CHILDRENS HOSPITAL AT STANFORD: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LUCILE SALTER PACKARD CHILDRENS HOSPITAL AT STANFORD (EIN 77-0003859)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-07-15
IRS object ID
201341969349301329
Schema version
2011v1.5
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)
Timestamp2013-07-15T17:43:15-05:00Timestamp
Tax Period End Date2012-08-31TaxPeriodEndDate

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 Date2011-09-01TaxPeriodBeginDate

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
CityPalo AltoCity
StateCAState
ZIP Code94304ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY W CARMACKName
TitleCFOTitle
Date Signed2013-07-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTIMOTHY W CARMACKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1725 WELCH ROADAddressLine1
CityPALO ALTOCity
StateCAState
ZIP Code94304ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1142392548GrossReceipts
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 Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers878TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year18703148ContributionsGrantsPriorYear
Contributions Grants Current Year156503385ContributionsGrantsCurrentYear
Program Service Revenue Prior Year881139616ProgramServiceRevenuePriorYear
Program Service Revenue CY942244172ProgramServiceRevenueCY
Investment Income Prior Year20657203InvestmentIncomePriorYear
Investment Income Current Year23384218InvestmentIncomeCurrentYear
Other Revenue Prior Year21709246OtherRevenuePriorYear
Other Revenue Current Year20260773OtherRevenueCurrentYear
Total Revenue Prior Year942209213TotalRevenuePriorYear
Total Revenue Current Year1142392548TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4159592GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY849246GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year355667312SalariesEtcPriorYear
Salaries Etc Current Year378946961SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year8135509TotalFundrsngExpCurrentYear
Other Expense Prior Year471641540OtherExpensePriorYear
Other Expenses Current Year536666452OtherExpensesCurrentYear
Total Expenses Prior Year831468444TotalExpensesPriorYear
Total Expenses Current Year916462659TotalExpensesCurrentYear
Revenues Less Expenses Prior Year110740769RevenuesLessExpensesPriorYear
Revenues Less Expenses CY225929889RevenuesLessExpensesCY
Total Assets BOY1584356175TotalAssetsBOY
Total Assets EOY2028550838TotalAssetsEOY
Total Liabilities BOY341739015TotalLiabilitiesBOY
Total Liabilities EOY561684779TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1242617160NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1466866059NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense266960000Expense
Grants0Grants
Revenue276130000Revenue
DescriptionSEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense192900000Expense
Grants0Grants
Revenue237020000Revenue
DescriptionSEE SCHEDULE 0Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense111816000Expense
Grants0Grants
Revenue114721000Revenue
DescriptionSEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp254551449TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt849246TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev314373172TotalOfOtherProgramServiceRev
Total Program Service Expense826227449TotalProgramServiceExpense
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 FootnotefalseReportFin48Footnote
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 With1096366NumberFormsTransmittedWith1096
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 Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
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 (44 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN LILLIE
CHAIR (UNTIL 12/2011)4.0X
ELIZABETH DUNLEVIE
DIRECTOR2.0X
MARISSA PETERSON
DIRECTOR (UNTIL 12/2011)2.0X
DENISE O'LEARY
DIRECTOR (UNTIL 12/2011)2.0X
KENNETH L COX MD
DIRECTOR2.0X046092727944
CHRISTOPHER G DAWES
PRESIDENT/CEO50.0X1427666351195X
MARIANN BYERWALTER
DIRECTOR2.0X
PHILIP A PIZZO MD
DIRECTOR2.0X637592532745
DAVID ALEXANDER MD
DIRECTOR2.0X
THOMAS KRUMMEL MD
DIRECTOR2.0X100607951244
CHRISTY SANDBORG MD
DIRECTOR2.0X35504141740
BERNADINE C FONG
DIRECTOR2.0X
DANA G MEAD JR
DIRECTOR2.0X
MARY ANN CARMACK MD
DIRECTOR2.0X
MARY B CRANSTON
CHAIR (AS OF 1/2012)2.0X
HARRY R HAGEY
DIRECTOR2.0X
HUGH O'BRODOVICH MD
DIRECTOR2.0X62303938974
SUSAN ORR
VICE CHAIR2.0X
ANNE BASS
DIRECTOR2.0X
JEFFREY CHAMBERS
DIRECTOR2.0X
JONATHAN COSLET
DIRECTOR2.0X
WILLIAM CROWN
DIRECTOR2.0X
SUSAN FORD DORSEY
DIRECTOR2.0X
ANN LIVERMORE
DIRECTOR2.0X
JOHN WALKER
DIRECTOR2.0X
DAVID GRUBB
DIRECTOR2.0X
AMIR DAN RUBIN
DIRECTOR2.0X02816310284852
J TAYLOR CRANDALL
DIRECTOR (AS OF 6/2012)2.0X
JANE SHAW
DIRECTOR (AS OF 6/2012)2.0X
VAUGHN WILLIAMS
DIRECTOR (AS OF 4/2012)2.0X
JAMES WOODY MD
DIRECTOR (AS OF 1/2012)2.0X
SUSAN S FLANAGAN
COO50.0077083026659X
TIMOTHY W CARMACK
VP & CFO50.0064868086785X
PAMELA A MOLANO
VP PHYSICIAN & AMB SVS50.047932361883X
PAMELA J WELLS
CHIEF NURSING OFFICER50.0044520632402X
OWEN R AURELIO
VP CLINICAL SERVICES50.0039447445031X
MARK TORTORICH
VP PLANNING, DESIGN, CONSTRUC25.0043855671940X
EDWARD KOPETSKY
VP & CIO50.0661173100870X
KIM ROBERTS
VP PHY NW DEV & MGMT25.0035631165175X
BRADFORD P TOUSSAINT
VP MGMT SYST STRATEGY & PLAN50.0036561945062X
JAMES MCCAUGHEY
SR VP BUS DEV & STRAT PLNG50.045865883590X
GREGORY J SOUZA
VP HR50.0042230538644X
VICKI LINK
DIR-QUAL. MGMT50.035458122064X
BRET KELSEY
CHIEF REVENUE OFFICER50.0034751035423X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs13469880TotalReportableCompFrmRltdOrgs
Total Other Compensation2044222TotalOtherCompensation
Number Individuals GT100 K1261NumberIndividualsGT100K
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 SVCS83904028
DPR CONSTRUCTION INC
1450 VETERANS BLVDREDWOOD CITYCA94063CONSTRUCTION23271199
STANFORD UNIVERSITY
450 SERRA MALLSTANFORDCA94303PURCHASED SERVICES22603571
CARDINAL HEALTH
7000 CARDINAL PLACEDUBLINOH43017HEALTH CARE MANU/PCP17250045
OWENS MINOR
18250 STANFORD ROADTRACYCA95377MED PROD SUPPLIER14526216
FieldValueIRS element (for citing)
Number Of Contractors GT100 K314NumberOfContractorsGT100K
Government Grants98000000GovernmentGrants
All Other Contributions58503385AllOtherContributions
Total Contributions156503385TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE900099724515109724515109
GOVERNMENT FUND90009982119788211978
MEDICARE/MEDICAID900099137754667137754667
PROVIDER FEE9000996799397267993972
JOINT VENTURES90009937684463768446
FieldValueIRS element (for citing)
Total Program Service Revenue942244172TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column23074821TotalRevenueColumn
Exclusion$23,074,821ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column309397TotalRevenueColumn
Exclusion$309,397ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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
CAFETERIA9000991407868$1,407,868
INVESTMENT INCOME FROM RELATED PROGRAM9000991581007$1,581,007
PARKING900099383391$383,391

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column16888507TotalRevenueColumn
Exclusion$16,888,507ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue20260773TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1142392548TotalRevenueColumn
Related Or Exempt Function Income942244172RelatedOrExemptFunctionIncome
Exclusion$43,644,991ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total849246Total
Program Services849246ProgramServices

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)
Total5226384Total
Program Services2037330ProgramServices
Management And General2924150ManagementAndGeneral
Fundraising264904Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total503892Total
Program Services503892ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total251015735Total
Program Services238882320ProgramServices
Management And General12133415ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total22901023Total
Program Services21721250ProgramServices
Management And General1179773ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total79411763Total
Program Services74566348ProgramServices
Management And General4845415ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total19888164Total
Program Services18874784ProgramServices
Management And General1013380ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total13692850Total
Program Services7615092ProgramServices
Management And General6077758ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3456005Total
Management And General3456005ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total415334Total
Management And General415334ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total51282Total
Program Services51282ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total193831Total
Program Services193831ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total278939982Total
Program Services262971624ProgramServices
Management And General15968358ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total661241Total
Program Services660041ProgramServices
Management And General1200ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total84687693Total
Program Services83443655ProgramServices
Management And General1244038ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total24088393Total
Program Services13930012ProgramServices
Management And General10158381ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18714821Total
Program Services9769354ProgramServices
Management And General8945467ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total777476Total
Program Services605499ProgramServices
Management And General171977ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total6590001Total
Program Services6360251ProgramServices
Management And General229750ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total37378529Total
Program Services30430464ProgramServices
Management And General6948065ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8123553Total
Program Services4984644ProgramServices
Management And General3138909ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVIDER FEES3294139132941391
UNCOLLECTIBLES91490629149062
UTILITIES37351083160442574666
DUES AND SUBSCRIPTIONS1175859457980717879

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11894041Total
Program Services2067655ProgramServices
Management And General1955781ManagementAndGeneral
Fundraising7870605Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total916462659Total
Program Services826227449ProgramServices
Management And General82099701ManagementAndGeneral
Fundraising8135509Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1895BOY
EOY1895EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY90312193BOY
EOY85383505EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY29731724BOY
EOY147321453EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY141290553BOY
EOY203274071EOY

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)
BOY5173077BOY
EOY5164376EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9130825BOY
EOY4840561EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis798163801LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec277351832LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY459725276BOY
EOY520811969EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY65262244BOY
EOY66906974EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY753932978BOY
EOY961493848EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY13356362BOY
EOY15412023EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16439048BOY
EOY17940163EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1584356175BOY
EOY2028550838EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY105186948BOY
EOY134616984EOY

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)
BOY150525267BOY
EOY363765611EOY

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)
BOY86026800BOY
EOY63302184EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY341739015BOY
EOY561684779EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY902008503BOY
EOY982133648EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY141750674BOY
EOY284973150EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY198857983BOY
EOY199759261EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1242617160BOY
EOY1466866059EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1584356175BOY
EOY2028550838EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses225929889ReconcilationRevenueExpenses
Reconcilation Other Changes-1680990ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$146,143DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$110,374RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB256517TotalLobbyingExpendituresIIB
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 FY12, ROUGHLY 22% 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 $116,000 (INCLUDES DOLLARS ALLOCATED FOR BENEFITS). IN ADDITION, IN FY12, THE HOSPITAL HAD A LOBBYIST IN WASHINGTON D.C. DAVID WETMORE CARPI AND CLAY ONE MASSACHUSETTS AVE, NW SUITE 330 WASHINGTON, D.C. 20001 GOVERNMENT RELATIONS STAFF SEND LETTERS TO LEGISLATORS ON SPECIFIC PIECES OF LEGISLATION. IN ADDITION, MAILINGS OF PUBLICATIONS PRODUCED BY BOTH THE HOSPITAL AND THE LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH ARE SENT WITH A COVER LETTER SIGNED BY THE DIRECTOR OF GOVERNMENT RELATIONS FOUR TIMES A YEAR. 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 FY12, LPCH PAID DUES OF APPROXIMATELY $256,517 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $110,374.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 Balance270361140BeginningOfYearBalance
Contributions822000Contributions
Investment Earnings Or Losses8136000InvestmentEarningsOrLosses
Other Expenditures12925000OtherExpenditures
End Of Year Balance266394140EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance392255140BeginningOfYearBalance
Contributions18740000Contributions
Investment Earnings Or Losses-76431000InvestmentEarningsOrLosses
Other Expenditures21229000OtherExpenditures
End Of Year Balance313335140EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.75000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.25000TermEndowmentEOYBalance
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 Basis325450235OtherCostOrOtherBasis
Depreciation114702150Depreciation
Book Value210748085BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis13834251OtherCostOrOtherBasis
Depreciation4270446Depreciation
Book Value9563805BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis197671668OtherCostOrOtherBasis
Depreciation146245688Depreciation
Book Value51425980BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis261207647OtherCostOrOtherBasis
Depreciation12133548Depreciation
Book Value249074099BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings520811969TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MANAGED POOL762777263F
LIMITED ASSETS HELD BY TRUSTEE198716585F
FieldValueIRS element (for citing)
Total Of Book Value Securities961493848TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO GOVERNMENT AGENCIES$1,701,101
DUE TO RELATED PARTIES, NET$25,766,430
SELF-INSURANCE RESERVE$35,834,653
FieldValueIRS element (for citing)
Total Of Amounts63302184TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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 FIN 48 LIABILITY THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48.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 Served397PersonsServed
Total Community Benefit Expense646384TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense646384NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served21097PersonsServed
Total Community Benefit Expense341462533TotalCommunityBenefitExpense
Direct Offsetting Revenue146247286DirectOffsettingRevenue
Net Community Benefit Expense195215247NetCommunityBenefitExpense
Percent Of Total Expense0.21550PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served2790PersonsServed
Total Community Benefit Expense935690TotalCommunityBenefitExpense
Direct Offsetting Revenue109010DirectOffsettingRevenue
Net Community Benefit Expense826680NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served24284PersonsServed
Total Community Benefit Expense343044607TotalCommunityBenefitExpense
Direct Offsetting Revenue146356296DirectOffsettingRevenue
Net Community Benefit Expense196688311NetCommunityBenefitExpense
Percent Of Total Expense0.21710PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served6002PersonsServed
Total Community Benefit Expense1644872TotalCommunityBenefitExpense
Direct Offsetting Revenue18863DirectOffsettingRevenue
Net Community Benefit Expense1626009NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served432PersonsServed
Total Community Benefit Expense15578490TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense15578490NetCommunityBenefitExpense
Percent Of Total Expense0.01720PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served1271PersonsServed
Total Community Benefit Expense200326TotalCommunityBenefitExpense
Direct Offsetting Revenue4500DirectOffsettingRevenue
Net Community Benefit Expense195826NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served8911PersonsServed
Total Community Benefit Expense2818679TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2818679NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served16616PersonsServed
Total Community Benefit Expense20242367TotalCommunityBenefitExpense
Direct Offsetting Revenue23363DirectOffsettingRevenue
Net Community Benefit Expense20219004NetCommunityBenefitExpense
Percent Of Total Expense0.02230PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served40900PersonsServed
Total Community Benefit Expense363286974TotalCommunityBenefitExpense
Direct Offsetting Revenue146379659DirectOffsettingRevenue
Net Community Benefit Expense216907315NetCommunityBenefitExpense
Percent Of Total Expense0.23940PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense58727TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense58727NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served3000PersonsServed
Total Community Building Expense236311TotalCommunityBuildingExpense
Net Community Building Expense236311NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense12465TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense12465NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense159426TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense159426NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served3000PersonsServed
Total Community Building Expense466929TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense466929NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,570,886BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare2853544AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare6759520CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3905976MedicareSurplusOrShortfall

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 HSPTLBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1725 WELCH ROADAddressLine1
CityPALO ALTOCity
StateCAState
ZIP Code94304ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LUCILE SALTER PACKARD CHILDREN'S HSPTLBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
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 (2 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 $9,149,062. 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 ($3,905,976) 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 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. As required by California Senate Bill 697, these formal assessments take place every three years. Both processes engage other not-for-profit hospitals, public health departments, appropriate community-based organizations, United Way etc. In both counties, data is derived from the Behavioral Risk Factor Surveillance Survey, the California Healthy Kids Survey, California Health Information Survey, and more focused assessments conducted by the Lucile Packard Foundation for Children's Health and other organizations working in the child health arena. In addition, ongoing involvement of hospital community benefit leaders with a number of community efforts such as Kids in Common's Children's Agenda, First Five, Project Safety Net, etc. provides continual updates on needs and concerns in the two-county area in which we concentrate community benefit programming. Santa Clara County conducted the Behavioral Risk Factor Surveillance Survey in fall 2009 and published results in July 2010. A process to complete a community assessment by spring 2013 is currently underway. San Mateo County performed a scan of the most recent secondary data in late fall 2010 and is fielding a telephone survey in spring 2012. In both counties, there will be a formal process to solicit community input into identifying priorities. PART VI, LINE 3 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 (2011 census), 256,423 households, and 175,697 families with 30.8% having children under age 18. 22.1% of the total population is under age 18. Median household income is $87,633 with per capita income at $45,346. About 7% of the population is below the FPL, with 8.9% of those under age 18 living under the FPL. Ethnic breakdown for the 157,167 children in San Mateo County: 35.1% Hispanic/Latino; 32% Caucasian/white; 22.7% Asian/Pacific Islander; 6.1% multi-ethnic; 2.1% African-American, and .2% Native American. Santa Clara County has 1,837,504 (2011 CENSUS) people, 599,652 households, and 426,824 families, with 34.8% of the households having children under 18. 23.9% of the population is under age 18. Median household income is $89,064, with per capita income at $40,698. About 9.2% of the population is below the FPL, with 10.4% of those under age 18 living in poverty. Ethnic breakdown for the 429,152 children living in Santa Clara County: 36.7% Hispanic/Latino; 24.3% Caucasian/white; 31% Asian/Pacific Islander; 5.5% Multi-ethnic; 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 federal poverty guideline is not a good measure of one's ability to be self-sufficient in these two counties, where housing, health care and other typical costs are very high. Using only the federal poverty guideline, the latest data shows that the percentage of children 0-18 years old living in poverty was 8.9 percent in San Mateo County and 10.4 percent in Santa Clara County. A better standard is the Self-Sufficiency Standard for California, which defines the income required by California families to pay for the basic costs of housing, food, child care, health care, transportation, taxes, and miscellaneous costs on a county-by county basis. For a family of one adult, one pre-school child and one school-aged child in San Mateo County, the required income is $78,945. In Santa Clara County, it is $77,973.
Both are much above the federal poverty level so that clearly, manymore families with young children than the federal poverty level statistics show are having a hard time making ends meet. PART VI, LINE 5 The three priority focus areas for LPCH's community benefit work are improving access to care, with focus on a medical home model; 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 $4.95 million (not including its substantial commitment to government insured patients) in FY2012 in programs addressing these focus areas. These programs are fully described in the FY2012 Community Benefit Report and FY2013 Community Investment Plan filed FEBRUARY 20, 2013 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 1: Improving access to primary health services focusing on building capacity into existing community resources and the medical home concept: - Community Health Network for the Underserved in San Mateo County: support for pediatric and OB capacity in San Mateo County clinics. - Support for Ravenswood Family Health Center, an East Palo Alto FQHC, for pediatric services, integrated mental health, and dental services. - Mobile Adolescent Health Services serving homeless and uninsured teens. - Support for children's health insurance programs in both counties. - Support for enhanced school nurse capacity in San Jose Unified School District. - Care A Van for Kids providing transportation to medical services for families that lack reliable transportation. Focus Area Two: Preventive and educational programs that provide awareness and education about pediatric health issues and help create community environments that promote improved health status for children, adolescents, and expectant women, with special attention to prevention of pediatric obesity. - Funding for the Silicon Valley Youth Health Literacy Collaborative providing a K-12 health education curriculum for local schools. - Funding for nutrition education in School Health Clinics of Santa Clara County. - Leadership in community collaborative efforts addressing obesity prevention. - Coordination of the SafeKids Coalition of San Mateo and Santa Clara counties. - Provision of child passenger seat fitting and parent education at a permanent site at the hospital and a mobile program going to community sites. - Perinatal, parenting, and community health education programming. Focus Area Three: Improving the Social and Emotional Health of Youth. - Leadership in Project Safety Net and the Health Care Alliance for Response to Adolescent Depression in Palo Alto. 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 FY2012, 167 pediatric residents and fellows and 190 nursing students received their training and clinical experience at LPCH at a cost of $15,578,490. PART VI, LINE 6 NOT APPLICABLE. PART VI, LINE 7 CA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
SCHOOL HEALTH CLINIC OF SANTA CLARA
5671 SANTA TERESA BLVDSAN JOSECA95123770031679501(c)(3)100000DIETICIAN SUPPORT
SAN JOSE UNIFIED SCHOOL DISTRICT
855 LENZEN AVESAN JOSECA95126776002606170C265000SCHOOL NURSE PROJECT
EATING DISORDER RESOURCE CENTER
2105 S BASCOM AVECAMPBELLCA95008680616393501(c)(3)7500EATING DISORDER PROGRAM
RAVENSWOOD FAMILY HEALTH CENTER
1798A BAY RDEAST PALO ALTOCA94303943372130501(c)(3)300000CHILD HEALTH SVCS.
HEALTH TEACHER INC
5500 MARYLAND WAYBRENTWOODTN3702720345649175213ONLINE 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
EDUCATION FOUNDATION CENTER
PO BOX 396MENLO PARKCA94026260166433501(C)(3)10000SCHOOL LUNCH PROGRAM
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants
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 (20 entries)

Base 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
0252962017380019058502450003444048887100
CHRISTOPHER G DAWES
80517242139820109603269500242450177886100
PHILIP A PIZZO MD
62086201673005079370248080117033700
THOMAS KRUMMEL MD
51837048770900245000267440105732300
SUSAN S FLANAGAN
05016320167924010127400026659079748900
CHRISTY SANDBORG MD
20228324869127889023408018332039678100
TIMOTHY W CARMACK
04370910151711059878078904078810735465055528
HUGH O'BRODOVICH MD
4096280213411017983020991066201300
PAMELA A MOLANO
325494107531462980494750124080541206027583
PAMELA J WELLS
02691010626030113502023328090740477608033023
OWEN R AURELIO
02548540686490709710220500229810439505042503
MARK TORTORICH
02858380777980749200574520144880510496034532
BRADFORD P TOUSSAINT
0262712067175035732022050023012041068100
JAMES MCCAUGHEY
309788103186456840625650210250542248038909
GREGORY J SOUZA
0296833080218045254022050016594046094900
EDWARD KOPETSKY
4162641161691287400763620245080762043044468
AMIR DAN RUBIN
014781210128780005038902568270280250310116200
KIM ROBERTS
027830507504602960042123023052042148600
VICKI LINK
1282123131519505401626005804037664500
BRET KELSEY
023239706453005058302710008323038293300

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierHOUSINGIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 1ReturnReference
ExplanationEDWARD KOPETSKY, BRET KELSEY, AND MARK TORTORICH 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 VICKI LINK RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $175,445. 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 2011: CHRISTOPHER G DAWES $139,347 SUSAN S FLANAGAN $61,665 TIMOTHY W CARMACK $56,985 EDWARD KOPETSKY $47,528 PAMELA A MOLANO $27,751 PAMELA J WELLS $99,727 OWEN R AURELIO $63,287 GREGORY J SOUZA $36,251 JAMES MCCAUGHEY $39,511 BRADFORD P TOUSSAINT $21,414 MARK TORTORICH $36,909 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 INITIAL CREDIT TO MR. DAWES PLAN 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. SCHEDULE J, PART II, DESCRIPTION FOR COLUMN B(II) OFFICERS AND OTHERS WITH AMOUNTS IN THIS COLUMN RECEIVE BONUSES, AWARDS AND INCENTIVE COMPENSATION. 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 $378,946,962 AND IS INCLUDED IN PART IX, LINES 5-10. THE TOTAL NUMBER OF EMPLOYEES LEASED FROM SHC FOR THE FISCAL YEAR 2012 WAS 3,017.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
52164382813033LWQ62012-03-2193450000REFUND 2008 ISSUEfalsefalsefalse
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
52164382813033LWR42012-03-21270684581FINANCE HEALTH FAC & REDEMPTION OFfalsefalsefalse
CALIFORNIA HEALTH FACILITES FINANCING AUTHORITY
52164382813033FPB02003-07-09118112900TO FINANCE HEALTH FACILITIEStruefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount 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 MaintaindAdequateBooksAndRecdsMaintaindYear Of Subst CompletionYearOfSubstCompletion
0093450000000547136000929028640truefalsetruetrue
00270684581018315458857496293108100107543570197958493falsetruefalsetrue
600000005500000013294682604198843016565500012709143300falsefalsetruetrue2009

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruetruefalse0.000000.000000.00000true
falsefalsetruetruefalse0.000000.000000.00000true
falsefalsetruetruefalse0true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds
0
falsefalse0falsetrue
0
falsetrue0falsefalsefalse
0
falsetrue0truefalsefalse
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSEE SCHEDULE OIdentifier
Return Reference0ReturnReference

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ELIZABETH DAWES
SEE PART V77936COMP FOR EMPLOYMENTfalse
KATHLEEN COX
SEE PART V210648COMP FOR EMPLOYMENTfalse
ANGELA KOPETSKY
SEE PART V131611COMP FOR EMPLOYMENTfalse
LUKE AURELIO
SEE PART V83697COMP FOR EMPLOYMENTfalse
MEDTRONIC
SEE PART V1018654PAYMENT FOR PRODUCTSfalse

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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PRIMARY EXEMPT PURPOSEFORM 990, PART I, 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. IN 2012, WE CONTINUED TO SERVE THE ACADEMIC MISSION OF THE STANFORD SCHOOL OF MEDICINE FACULTY AND THE COMMUNITY THROUGH OUR COMPREHENSIVE MATERNITY PROGRAM AND NEONATAL PROGRAMS. WITH A STRONG SUPPORT FROM LOCAL PROVIDERS, OBSTETRICIANS IN PRIVATE PRACTICE CONTINUED TO CHOOSE LPCH TO DELIVER THEIR PATIENTS. THE JOHNSON CENTER ALSO MANAGES SIX CLINICAL OUTREACH SERVICES IN MATERNAL-FETAL MEDICINE, PROVIDING EARLY DIAGNOSIS AND CONSULTATIVE SERVICES FOR HIGH RISK MATERNITY CARE THROUGHOUT THE REGION: PALO ALTO, REDWOOD CITY, MOUNTAIN VIEW, FREMONT, SALINAS AND SANTA CRUZ. IN 2012, THE JOHNSON CENTER CONTINUED ITS INVESTMENT IN BEHAVIORAL-DEVELOPMENTAL PEDIATRICS. THIS HAS EXPANDED A CLINICAL SERVICE OF IMPORTANCE TO CHILDREN BY ENHANCING CAPABILITIES FOR LONG-TERM FOLLOW-UP FOR PATIENTS GRADUATING FROM THE NEONATAL INTENSIVE CARE UNIT. WITH A FOCUS OF ENHANCING OUR PATIENT EXPERIENCE, WE HAVE DEVELOPED TWO NEW PROGRAMS IN FY 2012. THE HOME SWEET HOME PROGRAM ALLOWS WOMEN WITH UNCOMPLICATED DELIVERIES TO GO HOME A DAY EARLY AND THEN HAVE A HOME VISIT WITH AN EXPERIENCED MOTHER-BABY RN. FOR HIGH RISK PREGNANT WOMEN, WE HAVE DEVELOPED AN ANTEPARTUM HOUSING PROGRAM. THE PROGRAM PROVIDES HOUSING FOR WOMEN FROM BOTH OUR FETAL CENTER AND HIGH RISK ANTEPARTUM UNIT. 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. THE JOHNSON CENTER SERVICES ARE LOCAL AND REGIONAL IN NATURE. THE REGION HAS EXPERIENCED A DECLINE IN BIRTHS IN RECENT YEARS. CONSISTENT WITH THIS MARKET TREND, OBSTETRIC DISCHARGES FROM LPCH'S JOHNSON CENTER DROPPED TO 4,467 IN FISCAL YEAR 2012 - COMPARED TO THE PRIOR YEAR DISCHARGES OF 4,637. THE AVERAGE LENGTH OF STAY FOR OBSTETRIC PATIENTS REMAINED STABLE AT 3.2 DAYS COMPARED TO 3.1 DAYS IN THE PRIOR YEAR. OBSTETRIC PATIENTS FROM THE PRIMARY SERVICE AREA COUNTIES OF SAN MATEO AND SANTA CLARA ACCOUNTED FOR 89% OF DISCHARGES IN FY 2012. TEN 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 1,330 INPATIENTS IN FISCAL YEAR 2012 COMPARED TO 1,427 IN THE PRIOR YEAR. OF THOSE PROVIDED IN FY 2012, 60% WERE FROM THE PRIMARY SERVICE AREA, WITH 36% COMING FROM THE EIGHT-COUNTY BAY AREA AND 5% FROM OUTSIDE THE BAY AREA. BOTH THE LENGTH OF STAY AND CASE MIX INDEX FOR NEONATAL PATIENTS INCREASED IN FISCAL YEAR 2012, INDICATING AN INCREASE IN THE ACUITY OF THE PATIENTS RECEIVING CARE AT PACKARD CHILDREN'S. THE SERVICE HAD AN AVERAGE LENGTH OF STAY OF 14.5 DAYS COMPARED TO 13.1 DAYS IN THE PRIOR YEAR, AND A CASE MIX INDEX OF 2.91 COMPARED TO 2.71 IN 2011. 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 34 DIFFERENT STATES, AND SEVERAL DIFFERENT COUNTRIES. THE PROGRAM GOALS FOR THE YEAR WERE 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 2012, OUR VENTRICULAR ASSIST DEVICE PROGRAM CONTINUED TO GROW TO CARE FOR THE SICKEST OF CHILDREN WITH ADVANCED HEART FAILURE, AND WE IMPLANTED 40 ASSIST DEVICES OVER THE PAST THREE YEARS. IN ADDITION, WE HAVE ADDED THE SYNCARDIA TOTAL ARTIFICIAL HEART TO OUR ARMAMENTARIUM OF CARE FOR IMPLANTABLE DEVICES IN APPROPRIATE CASES. IN FISCAL YEAR 2012, THE HEART CENTER FOCUSED ON IMPROVING THE CAPABILITIES OF THE 20-BED CARDIOVASCULAR INTENSIVE CARE UNIT. THE CENTER ALSO CONTINUED TO EXPAND THE SERVICES OFFERED, BOTH IN LOCATION AND SPECIALTY. ONE EXAMPLE IS THE DEVELOPMENT AND EXPANSION OF THE ADULT CONGENITAL HEART PROGRAM IN CONJUNCTION WITH STANFORD HOSPITAL & CLINICS, A PARTNERSHIP TO CARE FOR PATIENTS WITH CONGENITAL HEART DEFECTS AS THEY REACH ADULTHOOD. WE ALSO EXPANDED OUR OUTREACH CAPABILITIES BY ESTABLISHING OFFSITE OFFICES IN SAN FRANCISCO, PASO ROBLES, CRESCENT CITY, AND CHICO. THE NUMBER OF INPATIENTS SERVED BY THE HEART CENTER INCREASED FROM 772 IN FISCAL YEAR 2011 TO 863 IN FISCAL YEAR 2012. OF THESE, THERE WERE 487 CARDIAC SURGERIES AND 15 HEART TRANSPLANTS. THE INPATIENT PROGRAM HAD A CASE MIX INDEX OF 5.32, INDICATING THE HIGHLY COMPLEX POPULATION THAT WE SERVE. TWENTY-FOUR PERCENT OF PATIENTS CAME FROM OUR PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 26% CAME FROM THE EIGHT-COUNTY BAY AREA, 27% CAME FROM OTHER AREAS WITHIN CALIFORNIA, AND 29% 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 OF 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 OVER 160 NEW CANCER PATIENTS PER YEAR. IN 2012, THE CENTER DEVELOPED A FIVE-YEAR VISION AND STRATEGIC PLAN. THE BASS CENTER GOAL IS TO HAVE A COMPREHENSIVE PLAN THAT WILL SERVE MORE PATIENTS, DEVELOP A MORE ROBUST RESEARCH PLATFORM, AND EXPAND ITS 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 2012 TOTALED 1,115 WITH A CASE MIX INDEX OF 1.72 AND AN AVERAGE LENGTH OF STAY OF 8.3 DAYS. THE BASS CENTER IS A STRONG REGIONAL PROGRAM WITH 45% OF PATIENTS COMING FROM THE PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 40% 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. A NUMBER OF PHYSICIAN RECRUITMENTS WERE COMPLETED IN FISCAL YEAR 2012, WHICH WILL ALLOW THE CENTER TO EXPAND SERVICES FOR CHILDREN WITH COMPLEX NEUROLOGICAL DISEASES SUCH AS NEUROMUSCULAR DISEASE, MOVEMENT DISORDERS, STROKE AND EPILEPSY. IN ALL OF THE CENTER'S PROGRAMS, PSYCHIATRISTS, PSYCHOLOGISTS, NEUROSURGEONS, AND NEUROLOGISTS WORK CLOSELY WITH BASIC RESEARCHERS TO DISCOVER THE INNER WORKINGS OF THE BRAIN AND HOW IT IMPACTS BEHAVIOR SO THAT CHILDREN COPING WITH COMPLEX CONDITIONS MAY LEAD MORE FULL AND PRODUCTIVE LIVES. CENTER FOR CYSTIC FIBROSIS AND PULMONARY DISEASES THIS CENTER INTEGRATES AN INTERDISCIPLINARY TEAM OF CLINICIANS AND RESEARCHERS FROM LPCH AND THE STANFORD SCHOOL OF MEDICINE. THEIR COMBINED EFFORTS HAVE PRODUCED A PROGRAM THAT FOCUSES ON LEADING EDGE CARE OF CHILDREN WITH A PLETHORA OF RESPIRATORY AND PULMONARY CONDITIONS, FROM THE COMMON AND SIMPLE TO THE COMPLEX AND RARE. THE CENTER IS ONE OF THE LARGEST CARE PROVIDERS FOR CHILDREN WITH CONDITIONS SUCH AS CYSTIC FIBROSIS, ASTHMA, CHRONIC LUNG DISEASE OF INFANCY RESULTING FROM PREMATURE BIRTH AND IMMATURE LUNGS, ACUTE OR CHRONIC RESPIRATORY INFECTIONS, MULTI-SYSTEM DISORDERS THAT AFFECT BREATHING AND LUNGS SUCH AS CEREBRAL PALSY, NEUROMUSCULAR DISEASES SUCH AS SPINAL MUSCULAR ATROPHY (SMA) AND OTHER MUSCULAR DYSTROPHIES, AS WELL AS OTHER GENETIC AND METABOLIC DISORDERS THAT IMPACT SWALLOWING AND BREATHING. IN ADDITION, THE CENTER IS HOME TO A DEDICATED PEDIATRIC SLEEP PROGRAM AND OPERATES ONE OF THE FEW ACTIVE LUNG TRANSPLANT PROGRAMS IN THE UNITED STATES DEDICATED EXCLUSIVELY TO CHILDREN. CENTER FOR TRANSPLANT AND TISSUE ENGINEERING THIS CENTER PERFORMS PEDIATRIC KIDNEY, LIVER, AND INTESTINAL TRANSPLANTS AND SPECIALIZES IN DIALYSIS AND TRANSPLANTATION OF INFANTS, CHILDREN, AND HIGHLY COMPLEX CASES. THE TRANSPLANT PROGRAM RANKS AMONG THE TOP PROGRAMS IN THE NATION IN THE NUMBER OF PEDIATRIC KIDNEY AND LIVER TRANSPLANTS PERFORMED, AND CONTINUES TO DELIVER OUTCOMES AMONG THE BEST IN THE COUNTRY. THE TRANSPLANT TEAM HAS PIONEERED NEW APPROACHES TO IMMUNOSUPPRESSION AND CONTINUES TO DEVELOP AND IMPLEMENT INNOVATIVE TREATMENT STRATEGIES TO REDUCE POST-TREATMENT COMPLICATIONS AND IMPROVE OUTCOMES. ADDITIONALLY, RESEARCH AND EDUCATION ARE PRIMARY COMPONENTS OF THE HOSPITAL'S MISSION AND INTEGRAL TO THE HOSPITAL'S CLINICAL OPERATIONS. THE HOSPITAL IS COMMITTED TO SUPPORTING AND FUNDING QUALITY GRADUATE MEDICAL EDUCATION PROGRAMS AND EXCELLENCE IN RESIDENCY TRAINING AND RESEARCH. LUCILE PACKARD CHILDREN'S HOSPITAL CURRENTLY SPONSORS 23 RESIDENCY/FELLOWSHIP PROGRAMS APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATIONS WITH OVER 167 ENROLLED RESIDENTS AND FELLOWS (STATED IN FULL TIME EQUIVALENTS). RESIDENCY PROGRAMS IN PHARMACY, SOCIAL WORK, HOSPITAL CHAPLAINCY, AND NURSING ARE ALSO PROVIDED. LUCILE PACKARD CHILDREN'S PARTNERS WITH STANFORD SCHOOL OF MEDICINE TO CONDUCT RESEARCH IN ALL SIX CENTERS OF EXCELLENCE DESCRIBED ABOVE. LUCILE PACKARD CHILDREN'S HOSPITAL 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 OF PUTTING HEALTHCARE BACK IN SCHOOLS INITIATIVE - 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 AND CHRISTY SANDBORG ARE EMPLOYEES OF STANFORD UNIVERSITY. PHILIP PIZZO IS THE DEAN OF THE STANFORD SCHOOL OF MEDICINE, AND MARIANN BYERWALTER IS A TRUSTEE OF STANFORD UNIVERSITY. DAVID ALEXANDER IS THE CEO AND A DIRECTOR OF LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH (LPFCH). CHRISTOPHER DAWES AND SUSAN ORR ARE DIRECTORS OF LPFCH. 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 FINANCE 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. HOURS AT RELATED ORGANIZATIONS FORM 990, PART VII KENNETH COX: 50 HOURS AT STANFORD UNIVERSITY AND 1 HOUR AT UNIVERSITY HEALTHCARE ALLIANCE THOMAS KRUMMEL: 50 HOURS AT STANFORD UNIVERSITY HUGH O'BRODOVICH: 50 HOURS AT STANFORD UNIVERSITY PHILIP PIZZO: 50 HOURS AT STANFORD UNIVERSITY AND 2 HOURS AT STANFORD HOSPITAL AND CLINICS CHRISTY SANDBORG: 50 HOURS AT STANFORD UNIVERSITY MARIANN BYERWALTER: 2 HOURS AT STANFORD UNIVERSITY AND 2 HOURS AT STANFORD HOSPITAL AND CLINICS MARK TORTORICH: 25 HOURS AT STANFORD HOSPITAL AND CLINICS CHRISTOPHER G DAWES: 2 HOURS AT STANFORD HOSPITAL AND CLINICS DENISE O'LEARY: 2 HOURS AT STANFORD HOSPITAL AND CLINICS JOHN LILLIE: 2 HOURS AT STANFORD HOSPITAL AND CLINICS 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 $378,946,962 AND IS INCLUDED IN PART IX, LINES 5-10. THE TOTAL NUMBER OF EMPLOYEES LEASED FROM SHC FOR THE FISCAL YEAR 2012 WAS 3,017. RECONCILIATION FORM 990, PART XI, LINE 5 CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS (10,616) ADJUSTMENT FOR MINIMUM PENSION AND POST RETIREMENT LIABILITY 964,000 TRANSFER TO STANFORD UNIVERSITY AND OTHER (7,825,908) TRANSFER OF NET INVESTMENT LOSS ON CERTAIN ENDOWMENTS 60,853 UNREALIZED GAIN ON UNIVERSITY MANAGED POOLED FUND 5,130,681 ______________ (1,680,990) SCHEDULE K, PART II, LINE 3 DIFFERENCE IN COLUMN (A) REPRESENTS INVESTMENT EARNINGS. SCHEDULE K, PART III, LINES 4 & 5 LPCH HAS CONDUCTED AN EXTENSIVE ANALYSIS OF ALL ACTIVITIES CONDUCTED WITHIN ITS BOND-FINANCED FACILITIES AND HAS DETERMINED THAT, EXCEPT FOR A DE MINIMUS AMOUNT OF INCIDENTAL USE, THERE IS NO PRIVATE BUSINESS USE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

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PACKARD CHILDREN'S HEALTH ALLIANCE
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Form990 Schedule R Part III Form990ScheduleRPartIII (27 entries)

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2711 North Haskell Avenue Suite 17DALLASTX75204272858604INVESTMENTS IDEnan/a
SIC SNOWCREEK VIII LLC
635 KNIGHT WAYSTANFORDCA94305275431605REAL ESTATE DCAnan/a
SHI LLC
1400 PAGE MILL ROAD MC5713PALO ALTOCA94304263934706HOLDING COMPANYDESHCRELATEDfalse$0false0.18000
STANFORD EMANUEL RAD ONCOLOGY
880 TUOLUMNETURLOCKCA95382RADIOLOGYCANA

Form990 Schedule R Part IV Form990ScheduleRPartIV (17 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 CORP980423557C/O JE ROBERT COS 1650 TYSON BLVDMCLEANVA22102
JER ALBERTA III LP
INVESTMENTSCAnaC CORP980493425C/O JE ROBERT COS 1650 TYSON BLVDMCLEANVA22102
MARBLETON PROPERTY FUND (ALBERTA) LP
Real Estate ICAnaC CORP980531893C/O JE ROBERT COMPANIES 1650 TYSONMCLEANVA22102
CLAT (16)
CHARITABLE TRnaTRUSTCA
CRT (501)
CHARITABLE TRnaTRUSTCA
OTHER (11)
CHARITABLE TRnaTRUSTCA
PIF (89)
CHARITABLE TRnaTRUSTCA
MIDPOINT TECHNOLOGY PARK
REAL ESTATEnaC CORP9432872543145 PORTER DRPALO ALTOCA94304CA
NORTHWEST CAMPUS MIDPOINT
REAL ESTATEnaC CORP2016279583145 PORTER DRPALO ALTOCA94304CA
STANFORD PROGRAMME (CAPE TOWN)
WAVERLY BUSINESS PARK BUILDING 11CAPE TOWNSFEDUCATIONSFnaC CORP
THE HONG KONGSU CHARITABLE TRUST
1401 CAROLINE CENTER28 PING ROADHKEDUCATIONHKnaTRUSTCAUSEWAY
THE STANFORD TRUST (UK)
65 HIGH STREETOXFORD, OX1 46LUKEDUCATIONUKnaTRUST
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 OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
STANFORD HOSPITAL AND CLINICS (SHC)
K,L64214627FMV
STANFORD HOSPITAL AND CLINICS (SHC)
N19689401FMV
STANFORD HOSPITAL AND CLINICS (SHC)
O,P341163046FMV

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. SCHEDULE R, PART IV, LINE 4 OTHER TRUSTS ARE PRINCIPALLY DOMICILIED IN CALIFORNIA. 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