2013-07-15T17:43:15-05:00 2012-08-31 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2011-09-01 770003859 Lucile Salter Packard Children's Hospital at Stanford % FINANCE DEPARTMENT LUCI 6504978000 725 Welch Road MC 5553 Palo Alto CA 94304 TIMOTHY W CARMACK 2013-07-12 true 6175305000 2011 2016-02-24 21:20:13Z TIMOTHY W CARMACK 725 WELCH ROAD PALO ALTO CA 94304 1142392548 false X www.lpch.org X 1983 CA SEE SCHEDULE O 28 21 0 878 0 18703148 156503385 881139616 942244172 20657203 23384218 21709246 20260773 942209213 1142392548 4159592 849246 0 0 355667312 378946961 0 0 8135509 471641540 536666452 831468444 916462659 110740769 225929889 1584356175 2028550838 341739015 561684779 1242617160 1466866059 X SEE SCHEDULE O false false 266960000 0 276130000 SEE SCHEDULE O 192900000 0 237020000 SEE SCHEDULE 0 111816000 0 114721000 SEE SCHEDULE O 254551449 849246 314373172 826227449 true true false true false false false true false true true true false false true false false true false 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JONATHAN COSLET 2.0 X WILLIAM CROWN 2.0 X SUSAN FORD DORSEY 2.0 X ANN LIVERMORE 2.0 X JOHN WALKER 2.0 X DAVID GRUBB 2.0 X AMIR DAN RUBIN 2.0 X 0 2816310 284852 J TAYLOR CRANDALL 2.0 X JANE SHAW 2.0 X VAUGHN WILLIAMS 2.0 X JAMES WOODY MD 2.0 X SUSAN S FLANAGAN 50.0 X 0 770830 26659 TIMOTHY W CARMACK 50.0 X 0 648680 86785 PAMELA A MOLANO 50.0 X 479323 61883 PAMELA J WELLS 50.0 X 0 445206 32402 OWEN R AURELIO 50.0 X 0 394474 45031 MARK TORTORICH 25.0 X 0 438556 71940 EDWARD KOPETSKY 50.0 X 661173 100870 KIM ROBERTS 25.0 X 0 356311 65175 BRADFORD P TOUSSAINT 50.0 X 0 365619 45062 JAMES MCCAUGHEY 50.0 X 458658 83590 GREGORY J SOUZA 50.0 X 0 422305 38644 VICKI LINK 50.0 X 354581 22064 BRET KELSEY 50.0 X 0 347510 35423 0 13469880 2044222 1261 false true false STANFORD HOSPITAL AND CLINICS 300 PASTEUR DR STANFORD CA 94305 MED LAB/PURCH SVCS 83904028 DPR CONSTRUCTION INC 1450 VETERANS BLVD REDWOOD CITY CA 94063 CONSTRUCTION 23271199 STANFORD UNIVERSITY 450 SERRA MALL STANFORD CA 94303 PURCHASED 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256517 false ORGANIZATIONS EXEMPT UNDER SECTION 501(C)(3) FORM 990, SCHEDULE C, PART II B LESS THAN 1% OF THE TOTAL VOLUNTEER HOURS DONATED TO LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") WERE USED TO ATTEMPT TO INFLUENCE LEGISLATIVE MATTERS. STAFF INTERACTS ON A REGULAR BASIS WITH ELECTED OFFICIALS AND THEIR STAFF ON ALL LEVELS OF GOVERNMENT. MOST IS RELATIONSHIP BUILDING AND MAINTAINING AS WELL AS WORKING ON COLLABORATIVE PROGRAMS AND PROJECTS TO ENHANCE THE OVERALL HEALTH OF THE COMMUNITY. IN 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. X false false false 270361140 822000 8136000 12925000 266394140 270472140 34000 41601000 41746000 270361140 313335140 581000 33016000 76460000 270472140 392255140 18740000 -76431000 21229000 313335140 0.00000 0.75000 0.25000 false true true 325450235 114702150 210748085 13834251 4270446 9563805 197671668 146245688 51425980 261207647 12133548 249074099 520811969 MANAGED POOL 762777263 F LIMITED ASSETS HELD BY TRUSTEE 198716585 F 961493848 0 DUE TO GOVERNMENT AGENCIES 1701101 DUE TO RELATED PARTIES, NET 25766430 SELF-INSURANCE RESERVE 35834653 63302184 SCHEDULE D, PART III, LINE 4 LPCH DOES NOT RECOGNIZE CONTRIBUTIONS OF WORKS OF ART ON LPCH'S FINANCIALS SINCE 1) THEY ARE HELD FOR PUBLIC EXHIBITION RATHER THAN FINANCIAL GAIN; 2) THEY ARE PROTECTED, KEPT UNENCUMBERED, CARED FOR, AND PRESERVED; 3) ARE SUBJECT TO AN ORGANIZATIONAL POLICY THAT REQUIRES THE PROCEEDS FROM SALES OF COLLECTION ITEMS TO BE USED TO ACQUIRE OTHER ITEMS FOR COLLECTION. SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS LPCH'S ENDOWMENT CONSISTS OF VARIOUS INDIVIDUAL FUNDS. THE USES OF THE FUNDS ARE RESTRICTED TO DONORS' STIPULATIONS. THESE FUNDS ARE USED TO SUPPORT THE MISSION OF LPCH. SCHEDULE D, PART X FIN 48 LIABILITY THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. true true true X 400. true X true false true true 397 646384 0 646384 0.00070 21097 341462533 146247286 195215247 0.21550 2790 935690 109010 826680 0.00090 24284 343044607 146356296 196688311 0.21710 10 6002 1644872 18863 1626009 0.00180 5 432 15578490 0 15578490 0.01720 2 1271 200326 4500 195826 0.00020 0 0 0 0 0.00000 7 8911 2818679 0 2818679 0.00310 24 16616 20242367 23363 20219004 0.02230 24 40900 363286974 146379659 216907315 0.23940 1 58727 0 58727 0.00010 1 3000 236311 236311 0.00030 1 12465 0 12465 0.00000 2 159426 0 159426 0.00020 5 3000 466929 0 466929 0.00060 true 2570886 0 2853544 6759520 -3905976 X true true 1 1 LUCILE SALTER PACKARD CHILDREN'S HSPTL

725 WELCH ROAD PALO ALTO CA 94304

X X X X LUCILE SALTER PACKARD CHILDREN'S HSPTL 1 true true 400. true 400. true X X X X X X X true true X X X X X X true false true X false false PART I, LINE 3C NOT APPLICABLE. PART I, LINE 6A NOT APPLICABLE. PART I, LINE 7G NOT APPLICABLE. PART I, LINE 7, COLUMN (F) THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN (F) WAS $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, many more 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 true SCHOOL HEALTH CLINIC OF SANTA CLARA 5671 SANTA TERESA BLVD SAN JOSE CA 95123 770031679 501(c)(3) 100000 DIETICIAN SUPPORT SAN JOSE UNIFIED SCHOOL DISTRICT 855 LENZEN AVE SAN JOSE CA 95126 776002606 170C 265000 SCHOOL NURSE PROJECT EATING DISORDER RESOURCE CENTER 2105 S BASCOM AVE CAMPBELL CA 95008 680616393 501(c)(3) 7500 EATING DISORDER PROGRAM RAVENSWOOD FAMILY HEALTH CENTER 1798A BAY RD EAST PALO ALTO CA 94303 943372130 501(c)(3) 300000 CHILD HEALTH SVCS. HEALTH TEACHER INC 5500 MARYLAND WAY SUITE 200 BRENTWOOD TN 37027 203456491 75213 ONLINE HEALTH EDUCATION SANTA CLARA FAMILY HEALTH FOUNDATION 210 HACIENDA AVENUE CAMPBELL CA 95008 770545774 501(C)(3) 50000 HEALTHY KIDS PREMIUMS SAN MATEO COUNTY CHILDREN'S HEALTH INITIATIVE 701 GATEWAY BLVD SAN FRANCISCO CA 94080 946000532 501(C)(3) 50000 HEALTHY KIDS PREMIUMS EDUCATION FOUNDATION CENTER PO BOX 396 MENLO PARK CA 94026 260166433 501(C)(3) 10000 SCHOOL LUNCH PROGRAM 7 1 ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE US SCHEDULE I, PART I, LINE 2 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD (LPCH) DOES NOT SPONSOR AN OPEN GRANT PROCESS THAT SOLICITS COMMUNITY ORGANIZATIONS TO APPLY FOR GRANTS, PARTICIPATE IN A GRANT SELECTION PROCESS, AND THEN BE "AWARDED" A GRANT. RATHER, THE HOSPITAL IDENTIFIES PRIORITY FOCUS AREAS FOR HOSPITAL FUNDING, IDENTIFIES COMMUNITY ORGANIZATIONS THAT ARE ALREADY WORKING IN THAT FOCUS AREA, AND IDENTIFIES PROJECTS THAT ARE ALREADY ADDRESSING AN ISSUE AND THEN COMMITS TO FUNDING IT. OR, THE HOSPITAL MAY DESIGN, TOGETHER WITH A COMMUNITY ORGANIZATION, A PROJECT THAT ADDRESSES AN IDENTIFIED NEED AND THEN COMMITS FUNDS TO THAT PROJECT. ANY ORGANIZATION RECEIVING LPCH COMMUNITY INVESTMENT FUNDING MUST BE A 501(C)(3) ORGANIZATION OR GOVERNMENT ORGANIZATION LOCATED IN SANTA CLARA OR SAN MATEO COUNTIES THAT SHARES THE HOSPITAL'S COMMUNITY BENEFIT MISSION OF IMPROVING THE HEALTH STATUS OF LOCAL CHILDREN, ADOLESCENTS, OR PREGNANT WOMEN. IN COLLABORATION WITH THE ORGANIZATION'S LEADERSHIP, METRICS FOR EACH GRANT ARE DETERMINED ANNUALLY BEFORE FUNDING IS PROVIDED. A PROGRESS REPORT IS REQUIRED AT SIX MONTHS, A SITE VISIT IS CONDUCTED IF APPROPRIATE, AND A FINAL ANNUAL REPORT ABOUT PROGRESS TOWARD METRICS IS REQUIRED AT THE END OF THE FUNDING CYCLE. IN ADDITION, A MEMORANDUM OF UNDERSTANDING ACCOMPANIES EACH FUNDING THAT CLEARLY SPELLS OUT THE USAGE FOR THE FUNDS. LPCH ALSO PROVIDES SMALLER FINANCIAL SUPPORT (LESS THAN $10,000) TO NOT-FOR-PROFIT ORGANIZATIONS SERVING CHILDREN, ADOLESCENTS, AND PREGNANT WOMEN TO SUPPORT THEIR PROGRAM OR TO PRESENT SYMPOSIA, SEMINARS, OR CONFERENCES. TYPICAL EXAMPLES ARE THE HOSPITAL'S SPONSORSHIP OF KIDS IN COMMON'S CHILDREN'S AGENDA 2015 CONFERENCE AND THE HOSPITAL'S SUPPORT FOR THE EATING DISORDERS RESOURCE CENTER, WHICH IS A VALUED PARTNER FOR THE HOSPITAL IN SERVING YOUNG PEOPLE WHO SUFFER FROM EATING DISORDERS AND THEIR FAMILIES. LPCH ALSO PROVIDES FUNDS IN THE $200 TO $12,000 RANGE TO SPONSOR THE FUND-RAISING DINNERS, WALKS, AND OTHER EVENTS FOR ORGANIZATIONS SUCH AS THE MARCH OF DIMES, NATIONAL BRAIN TUMOR SOCIETY, PATHWAYS HOSPICE FOUNDATION, RONALD MCDONALD HOUSE, ETC. X true true X X X X X true true false false false false false true false KENNETH L COX MD 0 252962 0 17380 0 190585 0 24500 0 3444 0 488871 0 0 CHRISTOPHER G DAWES 805172 421398 201096 0 326950 0 24245 0 1778861 0 0 PHILIP A PIZZO MD 620862 0 16730 0 507937 0 24808 0 1170337 0 0 THOMAS KRUMMEL MD 518370 487709 0 0 24500 0 26744 0 1057323 0 0 SUSAN S FLANAGAN 0 501632 0 167924 0 101274 0 0 0 26659 0 797489 0 0 CHRISTY SANDBORG MD 202283 24869 127889 0 23408 0 18332 0 396781 0 0 TIMOTHY W CARMACK 0 437091 0 151711 0 59878 0 78904 0 7881 0 735465 0 55528 HUGH O'BRODOVICH MD 409628 0 213411 0 17983 0 20991 0 662013 0 0 PAMELA A MOLANO 325494 107531 46298 0 49475 0 12408 0 541206 0 27583 PAMELA J WELLS 0 269101 0 62603 0 113502 0 23328 0 9074 0 477608 0 33023 OWEN R AURELIO 0 254854 0 68649 0 70971 0 22050 0 22981 0 439505 0 42503 MARK TORTORICH 0 285838 0 77798 0 74920 0 57452 0 14488 0 510496 0 34532 BRADFORD P TOUSSAINT 0 262712 0 67175 0 35732 0 22050 0 23012 0 410681 0 0 JAMES MCCAUGHEY 309788 103186 45684 0 62565 0 21025 0 542248 0 38909 GREGORY J SOUZA 0 296833 0 80218 0 45254 0 22050 0 16594 0 460949 0 0 EDWARD KOPETSKY 416264 116169 128740 0 76362 0 24508 0 762043 0 44468 AMIR DAN RUBIN 0 1478121 0 1287800 0 50389 0 256827 0 28025 0 3101162 0 0 KIM ROBERTS 0 278305 0 75046 0 2960 0 42123 0 23052 0 421486 0 0 VICKI LINK 128212 31315 195054 0 16260 0 5804 0 376645 0 0 BRET KELSEY 0 232397 0 64530 0 50583 0 27100 0 8323 0 382933 0 0 HOUSING SCHEDULE J, PART I, LINE 1 EDWARD 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. CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LWQ6 2012-03-21 93450000 REFUND 2008 ISSUE false false false CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LWR4 2012-03-21 270684581 FINANCE HEALTH FAC & REDEMPTION OF false false false CALIFORNIA HEALTH FACILITES FINANCING AUTHORITY 521643828 13033FPB0 2003-07-09 118112900 TO FINANCE HEALTH FACILITIES true false false 0 0 93450000 0 0 0 547136 0 0 0 92902864 0 true false true true 0 0 270684581 0 183154 58857496 2931081 0 0 10754357 0 197958493 false true false true 60000000 55000000 132946826 0 4198843 0 1656550 0 0 127091433 0 0 2009 false false true true false false true true false 0.00000 0.00000 0.00000 true false false true true false 0.00000 0.00000 0.00000 true false false true true false 0 true false false 0 0 false true false true false 0 0 false false false true false 0 0 true false X SEE SCHEDULE O 0 ELIZABETH DAWES SEE PART V 77936 COMP FOR EMPLOYMENT false KATHLEEN COX SEE PART V 210648 COMP FOR EMPLOYMENT false ANGELA KOPETSKY SEE PART V 131611 COMP FOR EMPLOYMENT false LUKE AURELIO SEE PART V 83697 COMP FOR EMPLOYMENT false MEDTRONIC SEE PART V 1018654 PAYMENT FOR PRODUCTS false RELATIONSHIP BETWEEN PERSON AND ORGANIZATION FORM 990, SCHEDULE L, PART IV COLUMN (B) ELIZABETH DAWES: EMPLOYEE IS A FAMILY MEMBER OF A DIRECTOR. KATHLEEN COX: EMPLOYEE IS A FAMILY MEMBER OF A DIRECTOR. ANGELA KOPETSKY: EMPLOYEE IS A FAMILY MEMBER OF A KEY EMPLOYEE. LUKE AURELIO: EMPLOYEE IS A FAMILY MEMBER OF A KEY EMPLOYEE. MEDTRONIC: A DIRECTOR OF LPCH IS ALSO A DIRECTOR OF MEDTRONIC. THE DIRECTOR DID NOT PARTICIPATE IN ANY WAY IN DECISION MAKING OR DISCUSSION OF THE RELATIONSHIP BETWEEN LPCH AND MEDTRONIC. ORGANIZATION'S PRIMARY EXEMPT PURPOSE FORM 990, PART I, LINE 1 THE SPECIFIC AND PRIMARY EXEMPT PURPOSES OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") ARE TO SUPPORT, BENEFIT AND FURTHER THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY (THE "UNIVERSITY"), INCLUDING ITS SCHOOL OF MEDICINE, AND STANFORD HOSPITAL AND CLINICS ("SHC") BY OPERATING AND MANAGING A CONSOLIDATED MEDICAL FACILITY THAT OFFERS COMPREHENSIVE MEDICAL CARE SERVICES FOR CHILDREN AND ADOLESCENTS AND OBSTETRICAL SERVICES FOR PREGNANT WOMEN AND FURTHERS TEACHING AND RESEARCH IN THE MEDICAL SCIENCES AND OTHER FIELDS RELATING TO THE HEALTH AND WELL-BEING OF INFANTS, CHILDREN, ADOLESCENTS AND PREGNANT WOMEN, IN COOPERATION WITH AND IN SUPPORT OF THE UNIVERSITY'S SCHOOL OF MEDICINE AND STANFORD HOSPITAL AND CLINICS. FORM 990, PART III, LINE 4a PROGRAM SERVICE DESCRIPTION JOHNSON CENTER OF EXCELLENCE THE JOHNSON CENTER IS A CENTER OF EXCELLENCE THAT ENCOMPASSES MATERNITY CARE AND HIGH RISK OBSTETRICS AS WELL AS HEALTHY NEWBORN AND NEONATAL INTENSIVE CARE BUILT UPON A SUCCESSFUL ACADEMIC-COMMUNITY HOSPITAL PARTNERSHIP. 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 4d PROGRAM SERVICE DESCRIPTION OTHER PROGRAMS IN ADDITION TO THE THREE PROGRAMS DESCRIBED ABOVE, LUCILE PACKARD CHILDREN'S HOSPITAL PROVIDES CLINICAL SERVICES THROUGH THREE ADDITIONAL CENTERS OF EXCELLENCE: CENTER FOR CHILDREN'S BRAIN AND BEHAVIOR THIS CENTER SPECIALIZES IN TREATING DISORDERS OF BRAIN DEVELOPMENT AND FUNCTION, WHICH MAY MANIFEST THEMSELVES IN BEHAVIORAL, EMOTIONAL, LEARNING, LANGUAGE, DEVELOPMENT, SENSATION, OR MOVEMENT ABNORMALITIES. THE CENTER COMBINES THE EXPERTISE OF SPECIALISTS IN A BROAD RANGE OF DISEASES, INCLUDING EPILEPSY, AUTISM AND DEVELOPMENTAL DISORDERS, MOVEMENT DISORDERS, CEREBROVASCULAR DISORDERS, DEPRESSION, BIPOLAR AND ANXIETY DISORDERS, TRAUMATIC BRAIN INJURY, NEUROGENETIC DISORDERS, BRAIN TUMORS, AND CONGENITAL CENTRAL NERVOUS SYSTEM DEFECTS. THE HOSPITAL'S CENTER FOR BRAIN TUMORS IS ONE OF THE LEADING PROGRAMS IN THE COUNTRY. THE EATING DISORDER PROGRAM LINKS AN INPATIENT PROGRAM WITH AN EVIDENCE-BASED OUTPATIENT PROGRAM THAT COORDINATES MEDICAL AND PSYCHIATRIC TREATMENT. 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 COMMITTEE FORM 990, PART VI, LINE 1A IF A MATTER NORMALLY REQUIRING ACTION BY THE BOARD OF DIRECTORS ARISES BETWEEN MEETINGS OF THE BOARD AND IS A MATTER WHICH, IN THE OPINION OF ANY FOUR (4) OUT OF SIX (6) OF THE CHAIR OF THE BOARD, THE VICE CHAIR, THE DEAN OF THE STANFORD UNIVERSITY SCHOOL OF MEDICINE, THE PRESIDENT OF THE CORPORATION, THE CHAIR OF THE FINANCE COMMITTEE AND THE CHAIR OF THE AUDIT COMMITTEE, REQUIRES ACTION BY THE BOARD BEFORE THE NEXT REGULAR OR SPECIAL MEETING OF THE BOARD, THEN ANY FOUR (4) OR MORE OUT OF THOSE SIX (6) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD OF DIRECTORS, ARE AUTHORIZED JOINTLY TO TAKE WHATEVER ACTION IS NECESSARY TO RESOLVE THE MATTER, AND SUCH ACTION WILL CONSTITUTE AUTHORIZED ACTION OF THE BOARD TO THE SAME EXTENT AS IF IT HAS BEEN ADOPTED AT A MEETING OF THE BOARD; PROVIDED, HOWEVER, THAT AT LEAST ONE (1) OF THE FOUR (4) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD PURSUANT TO THIS SECTION SHALL BE AN "OUTSIDE DIRECTOR," AS DEFINED IN BYLAWS AND PROVIDED, FURTHER, THAT THE DIRECTORS ACTING AS A COMMITTEE OF THE BOARD SHALL NOT IN ANY CASE BE AUTHORIZED BY THIS SECTION TO EXERCISE THOSE POWERS WHICH BY LAW, THE ARTICLES OF INCORPORATION, THESE BYLAWS OR SPECIFIC ACTION BY THE MEMBER, SET FORTH IN A RESOLUTION OF THE MEMBER, MAY BE EXERCISED ONLY BY THE MEMBER OR MAY NOT BE DELEGATED TO A COMMITTEE OF THE BOARD. FAMILY/BUSINESS RELATIONSHIPS FORM 990, PART VI, LINE 2 KENNETH COX, THOMAS KRUMMEL, HUGH O'BRODOVICH, PHILIP PIZZO 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. 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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.