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LUCILE SALTER PACKARD CHILDRENS HOSPITAL AT STANFORD: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LUCILE SALTER PACKARD CHILDRENS HOSPITAL AT STANFORD (EIN 77-0003859)
Tax period
2010-09-01 to 2011-08-31
Filed
2012-07-13
IRS object ID
201221959349301157
Schema version
2010v3.7
Note
A later return for the same period supersedes this one.
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)
Timestamp2012-07-13T17:13:36-05:00Timestamp
Tax Period End Date2011-08-31TaxPeriodEndDate

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 Date2010-09-01TaxPeriodBeginDate

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)
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 Signed2012-07-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePRICEWATERHOUSECOOPERS LLPName
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts944935674GrossReceipts
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 Body27NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers804TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2856106ContributionsGrantsPriorYear
Contributions Grants Current Year18703148ContributionsGrantsCurrentYear
Program Service Revenue Prior Year771386384ProgramServiceRevenuePriorYear
Program Service Revenue CY881139616ProgramServiceRevenueCY
Investment Income Prior Year15856234InvestmentIncomePriorYear
Investment Income Current Year20657203InvestmentIncomeCurrentYear
Other Revenue Prior Year3916375OtherRevenuePriorYear
Other Revenue Current Year21709246OtherRevenueCurrentYear
Total Revenue Prior Year794015099TotalRevenuePriorYear
Total Revenue Current Year942209213TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year931748GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4159592GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year332726554SalariesEtcPriorYear
Salaries Etc Current Year355667312SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year7891247TotalFundrsngExpCurrentYear
Other Expense Prior Year411611235OtherExpensePriorYear
Other Expenses Current Year471641540OtherExpensesCurrentYear
Total Expenses Prior Year745269537TotalExpensesPriorYear
Total Expenses Current Year831468444TotalExpensesCurrentYear
Revenues Less Expenses Prior Year48745562RevenuesLessExpensesPriorYear
Revenues Less Expenses CY110740769RevenuesLessExpensesCY
Total Assets BOY1401616686TotalAssetsBOY
Total Assets EOY1584356175TotalAssetsEOY
Total Liabilities BOY313801498TotalLiabilitiesBOY
Total Liabilities EOY341739015TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1087815188NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1242617160NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense235670000Expense
Grants0Grants
Revenue266000000Revenue
DescriptionSEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense188760000Expense
Grants0Grants
Revenue209690000Revenue
DescriptionSEE SCHEDULE 0Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense101830000Expense
Grants0Grants
Revenue107910000Revenue
DescriptionSEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp228478785TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt4159592TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev297539616TotalOfOtherProgramServiceRev
Total Program Service Expense754738785TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 StmttrueIndependentAuditFinancialStmt
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 BondstrueInvestTaxExemptBonds
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 EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096407NumberFormsTransmittedWith1096
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 Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
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 PolicyfalseWhistleblowerPolicy
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 (43 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN LILLIE
CHAIR4.0X000
ELIZABETH DUNLEVIE
DIRECTOR2.0X000
CLIFTON R GAUS MHA SCD
DIRECTOR UNTIL 12/31/102.0X000
SANDRA HERNANDEZ MD
DIRECTOR UNTIL 9/8/102.0X000
MARISSA PETERSON
DIRECTOR2.0X000
DENISE O'LEARY
DIRECTOR2.0X000
JAMES N WOODY MD PHD
DIRECTOR UNTIL 12/31/102.0X000
KENNETH L COX MD
DIRECTOR2.0X039701726646
CHRISTOPHER G DAWES
PRESIDENT/CEO50.0X0115587748137X
MARIANN BYERWALTER
DIRECTOR2.0X000
PHILIP PIZZO MD
DIRECTOR2.0X0610317262738
DAVID ALEXANDER MD
DIRECTOR2.0X000
THOMAS KRUMMEL MD
DIRECTOR2.0X097768257660
CHRISTY SANDBORG MD
DIRECTOR2.0X028012841042
BERNADINE C FONG
DIRECTOR2.0X000
DANA MEAD JR
DIRECTOR2.0X000
MARY ANN CARMACK
DIRECTOR2.0X000
MARY B CRANSTON
DIRECTOR2.0X000
HARRY R HAGEY
DIRECTOR2.0X000
HUGH O BRODOVICH MD
DIRECTOR2.0X061572936319
SUSAN ORR
VICE CHAIR2.0X000
ANNE BASS
DIRECTOR2.0X000
JEFFREY CHAMBERS
DIRECTOR2.0X000
JONATHAN COSLET
DIRECTOR2.0X000
WILLIAM CROWN
DIRECTOR - AS OF 6/1/112.0X000
SUSAN FORD DORSEY
DIRECTOR - AS OF 1/1/112.0X000
ANN LIVERMORE
DIRECTOR - AS OF 6/1/112.0X000
JOHN WALKER
DIRECTOR2.0X000
DAVID GRUBB
DIRECTOR - AS OF 1/1/112.0X000
AMIR DAN RUBIN
DIRECTOR - AS OF 1/1/112.0X000
MICHAEL PETERSON
DIRECTOR UNTIL 12/31/102.0X000
SUSAN S FLANAGAN
COO50.0070775622211X
TIMOTHY W CARMACK
VP & CFO50.006166806891X
PAMELA A MOLANO
VP PHYSICIAN & AMB SVS50.0044622411533X
PAMELA J WELLS
CHIEF NURSING OFFICER50.0035911529505X
OWEN R AURELIO
VP CLINICAL SERVICES50.0033063845120X
MARK TORTORICH
VP PLANNING, DESIGN, CONSTRUC25.0042623233457X
EDWARD KOPETSKY
VP & CIO50.0058127737402X
BRADFORD TOUSSAINT
VP MGMT SYST STRATEGY & PLAN50.0038882142149X
JAMES MCCAUGHEY
SR VP BUS DEV & STRAT PLNG50.0042097442486X
GREGORY SOUZA
VP HR50.0041222823775X
ROSALINA LUNA
STAFF NURSE IV50.0033791630071X
JILL ANN SULLIVAN
VP TRANSFORMATION50.0031648451080X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs9381095TotalReportableCompFrmRltdOrgs
Total Other Compensation848222TotalOtherCompensation
Number Individuals GT100 K1123NumberIndividualsGT100K
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 SVCS80851411
STANFORD UNIVERSITY
750 SERRA MALLSTANFORDCA94303PURCHASED SERVICES40852487
DEPT OF HEALTH CARE SERVICE-ACCG SE
1501 CAPITAL AVE STE 712048SACRAMENTOCA958145005HEALTH CARE AGENCY21017192
HGA
701 WASHINGTON AVENUE NORTHMINNEAPOLISMN55401ARCHITECTS17611461
CARDINAL HEALTH
7000 CARDINAL PLACEDUBLINOH43017HEALTH CARE MANU/PCP16780218
FieldValueIRS element (for citing)
Number Of Contractors GT100 K245NumberOfContractorsGT100K
All Other Contributions18703148AllOtherContributions
Total Contributions18703148TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE900099667878447667878447
GOVERNMENT FUND90009958487635848763
MEDICARE/MEDICAID900099151623885151623885
PROVIDER FEE9000995120529051205290
NICU JOINT VENTURES90009945832314583231
FieldValueIRS element (for citing)
Total Program Service Revenue881139616TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column20657203TotalRevenueColumn
Exclusion$20,657,203ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1498064Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2726461Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-1228397Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1228397TotalRevenueColumn
Exclusion-$1,228,397ExclusionAmount

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
CAFETERIA9000991771208$1,771,208
PARKING900099376557$376,557
INVESTMENT INCOME FROM RELATED PROGRAM9000994725705$4,725,705

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column16064173TotalRevenueColumn
Exclusion$16,064,173ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue22937643TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column942209213TotalRevenueColumn
Related Or Exempt Function Income881139616RelatedOrExemptFunctionIncome
Exclusion$42,366,449ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4159592Total
Program Services4159592ProgramServices

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)
Total4030998Total
Program Services1736396ProgramServices
Management And General2061485ManagementAndGeneral
Fundraising233117Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total260034Total
Program Services260034ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total231566988Total
Program Services219401130ProgramServices
Management And General12165858ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total21791112Total
Program Services20744200ProgramServices
Management And General1046912ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total79216068Total
Program Services73934226ProgramServices
Management And General5281842ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total18802112Total
Program Services17831122ProgramServices
Management And General970990ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total9759681Total
Program Services5116019ProgramServices
Management And General4643662ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4385019Total
Management And General4385019ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total383910Total
Management And General383910ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total30000Total
Program Services30000ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total250000Total
Program Services250000ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total245065507Total
Program Services234657011ProgramServices
Management And General10408496ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total381520Total
Program Services381297ProgramServices
Management And General223ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total77141407Total
Program Services76233884ProgramServices
Management And General907523ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total23447665Total
Program Services13862980ProgramServices
Management And General9584685ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17088782Total
Program Services8628557ProgramServices
Management And General8460225ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total621758Total
Program Services496799ProgramServices
Management And General124959ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3417229Total
Program Services3402229ProgramServices
Management And General15000ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total36726226Total
Program Services30835221ProgramServices
Management And General5891005ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total9355985Total
Program Services7405582ProgramServices
Management And General1950403ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVIDER FEES1826826318268263
UNCOLLECTIBLES97108879710887
UTILITIES35843153335255249060
DUES AND SUBSCRIPTIONS1055000450438604562
LICENSES & TAXES723914272520451394

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10244472Total
Program Services3335143ProgramServices
Management And General-748801ManagementAndGeneral
Fundraising7658130Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total831468444Total
Program Services754738785ProgramServices
Management And General68838412ManagementAndGeneral
Fundraising7891247Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1495BOY
EOY1895EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY192226010BOY
EOY90312193EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY57843618BOY
EOY29731724EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY113543467BOY
EOY141290553EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4893467BOY
EOY5173077EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3158744BOY
EOY9130825EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis709542719LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec249817443LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY422393094BOY
EOY459725276EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY380607036BOY
EOY65262244EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY753932978EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4319448BOY
EOY13356362EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY222630307BOY
EOY16439048EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1401616686BOY
EOY1584356175EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY66570617BOY
EOY105186948EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY150654973BOY
EOY150525267EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY96575908BOY
EOY86026800EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY313801498BOY
EOY341739015EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY758035663BOY
EOY902008503EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY104749020BOY
EOY141750674EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY225030505BOY
EOY198857983EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1087815188BOY
EOY1242617160EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1401616686BOY
EOY1584356175EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses110740769ReconcilationRevenueExpenses
Reconcilation Other Changes44061203ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
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$143,156DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$86,095RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB229251TotalLobbyingExpendituresIIB
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 FY11 ROUGHLY 25% OF THE CHIEF GOVERNMENT RELATIONS OFFICER'S TIME AND ROUGHLY 20% OF THE SENIOR POLICY MANAGER'S TIME WAS SPENT ON LOBBYING ON SPECIFIC LEGISLATIVE ISSUES - VALUE APPROXIMATELY $113,156 (INCLUDES DOLLARS ALLOCATED FOR BENEFITS). IN ADDITION, IN FY11, 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 FY11, LPCH PAID DUES OF APPROXIMATELY $229,095 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $86,095.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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Balance0.74000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.26000TermEndowmentEOYBalance
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 Basis324243345OtherCostOrOtherBasis
Depreciation109499638Depreciation
Book Value214743707BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7990048OtherCostOrOtherBasis
Depreciation2339048Depreciation
Book Value5651000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis186260733OtherCostOrOtherBasis
Depreciation127207257Depreciation
Book Value59053476BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis191048593OtherCostOrOtherBasis
Depreciation10771500Depreciation
Book Value180277093BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings459725276TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMANAGED POOLDescription
Book Value753932978BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities753932978TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO GOVERNMENT AGENCIES$1,525,054
DUE TO RELATED PARTIES, NET$38,168,493
SELF-INSURANCE RESERVE$32,690,043
CAPITAL LEASE OBLIGATION-NET$13,643,210
FieldValueIRS element (for citing)
Total Of Amounts86026800TotalOfAmounts
Total Revenue942209213TotalRevenue
Total Expenses831468444TotalExpenses
Excess Or Deficit For Year110740769ExcessOrDeficitForYear
Net Unrealized GL On Investments99664954NetUnrealizedGLOnInvestments
Other-$55,603,751OtherAmount
Total Adjustments44061203TotalAdjustments
Excess Or Deficit Per FS154801972ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1044600628TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments99664954NetUnrealizedGainsInvestments
Revenue Not Rptd F99099664954RevenueNotRptdF990
Revenue Subtotal944935674RevenueSubtotal
Other Revenues Not Included-2726461OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-2726461RevenueNotRptdOnFinStmt
Total Revenue Per Form990942209213TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt834194905TotExpensesEtcAuditedFinclStmt
Other Expenses Included2726461OtherExpensesIncluded
Expenses Not Rptd F9902726461ExpensesNotRptdF990
Expenses Subtotal831468444ExpensesSubtotal
Total Expenses Per Form990831468444TotalExpensesPerForm990

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. SCHEDULE D, PART XI, LINE 8 CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 557,392 ADJUSTMENT FOR MINIMUM PENSION AND POST RETIREMENT LIABILITY 1,924,000 TRANSFER TO STANFORD UNIVERSITY AND OTHER (57,807,928) TRANSFER OF NET INVESTMENT LOSS ON CERTAIN ENDOWMENTS (277,215) ______________ (55,603,751) PART XII, LINE 4B RENTAL EXPENSES (2,726,461) PART XIII, LINE 2D RENTAL EXPENSES 2,726,461Explanation

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 Served403PersonsServed
Total Community Benefit Expense427336TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense427336NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served16626PersonsServed
Total Community Benefit Expense237250514TotalCommunityBenefitExpense
Direct Offsetting Revenue135427320DirectOffsettingRevenue
Net Community Benefit Expense101823194NetCommunityBenefitExpense
Percent Of Total Expense0.12390PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served5799PersonsServed
Total Community Benefit Expense18704729TotalCommunityBenefitExpense
Direct Offsetting Revenue8986656DirectOffsettingRevenue
Net Community Benefit Expense9718073NetCommunityBenefitExpense
Percent Of Total Expense0.01180PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served22828PersonsServed
Total Community Benefit Expense256382579TotalCommunityBenefitExpense
Direct Offsetting Revenue144413976DirectOffsettingRevenue
Net Community Benefit Expense111968603NetCommunityBenefitExpense
Percent Of Total Expense0.13620PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served7094PersonsServed
Total Community Benefit Expense1760572TotalCommunityBenefitExpense
Direct Offsetting Revenue13432DirectOffsettingRevenue
Net Community Benefit Expense1747140NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served440PersonsServed
Total Community Benefit Expense12140289TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense12140289NetCommunityBenefitExpense
Percent Of Total Expense0.01480PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served264PersonsServed
Total Community Benefit Expense270000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense270000NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

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 Programs8NumberOfActivitiesOrPrograms
Persons Served10892PersonsServed
Total Community Benefit Expense2149699TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2149699NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs23NumberOfActivitiesOrPrograms
Persons Served18690PersonsServed
Total Community Benefit Expense16320560TotalCommunityBenefitExpense
Direct Offsetting Revenue13432DirectOffsettingRevenue
Net Community Benefit Expense16307128NetCommunityBenefitExpense
Percent Of Total Expense0.01980PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs23NumberOfActivitiesOrPrograms
Persons Served41518PersonsServed
Total Community Benefit Expense272703139TotalCommunityBenefitExpense
Direct Offsetting Revenue144427408DirectOffsettingRevenue
Net Community Benefit Expense128275731NetCommunityBenefitExpense
Percent Of Total Expense0.15600PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense40386TotalCommunityBuildingExpense
Net Community Building Expense40386NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served1800PersonsServed
Total Community Building Expense400TotalCommunityBuildingExpense
Net Community Building Expense400NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense22095TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense22095NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense159542TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense159542NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served1800PersonsServed
Total Community Building Expense222423TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense222423NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,719,048BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare2437102AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare3801433CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1364331MedicareSurplusOrShortfall

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

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierPART I, LINE 3CIdentifier
ExplanationNOT 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 $9,710,887. 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 III, LINE 4 THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A SPECIFIC FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. IN THE CONTEXT OF DESCRIBING THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTIBILTY OF PATIENT RECEIVABLES, THE FOOTNOTES DO NOTE THAT "REVISIONS IN THE RESERVE FOR DOUBTFUL ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO THE PROVISION FOR DOUBTFUL ACCOUNTS," OR BAD DEBT EXPENSE. SO INCLUDED IN THE ORGANIZATION'S BAD DEBT EXPENSE ARE REVISIONS TO OUR RESERVES FOR DOUBTFUL ACCOUNTS, AND WRITE-OFFS TO BAD DEBT FOR SUCH THINGS AS THE PATIENT LIABILITY. BAD DEBT WRITE-OFFS RESULT FROM UNSETTLED ACCOUNTS WHERE THE INABILITY TO PAY HAS NOT BEEN DETERMINED. BAD DEBT WRITE-OFFS DO NOT APPLY TO ACCOUNTS THAT QUALIFY FOR CHARITY (IF AN ACCOUNT WAS INITIALLY DEEMED BAD DEBT BUT SUBSEQUENT INFORMATION QUALIFIED IT FOR CHARITY, THE BAD DEBT WRITE-OFF IS REVERSED AND REPLACED WITH CHARITY WRITE-OFFS). THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 2 IS BASED ON A COST ACCOUNTING SYSTEM. WE HAVE APPLIED THE SAME SYSTEMWIDE COST TO CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM TO OUR BAD DEBT BASED ON CHARGES AS WAS APPLIED TO OUR CHARITY CARE BASED ON CHARGES. THE COST TO CHARGE RATIO FROM OUR COST ACCOUNTING SYSTEM DOES ADDRESS ALL PATIENT SEGMENTS AND EXCLUDES RESEARCH AND SOME GRANT RELATED COSTS. PART III, LINE 8 THE MEDICARE SHORTFALL OF ($1,364,331) 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, THE EMERGENCY DEPARTMENT, 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 718,451 people (2010 census), 257,837 households, and 175,697 families with 30.8% having children under age 18. 22.2% of the total population is under age 18. Median household income is $82,748 with per capita income at $43,955. 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 162,870 children in San Mateo County: 33.9% Hispanic/Latino; 33.5% Caucasian/white; 23.7% Asian/Pacific Islander; 6% multi-ethnic; 2.8% African-American, and .2% Native American. Santa Clara County has 1,781,642 (2010) people, 604,204 households, and 426,824 families, with 34.8% of the households having children under 18. 24.1% of the population is under age 18. Median household income is $85,002, with per capita income at $32,796. About 8.9% of the population is below the FPL, with 10.4% of those under age 18 living in poverty. Ethnic breakdown for the 451,611 children living in Santa Clara County: 35.5% Hispanic/Latino; 29.3% Caucasian/white; 27.8% Asian/Pacific Islander; 4.9% Multi-ethnic; 2.1% African-American; .3% 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, 2010 data show 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 $87,945. 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 $4.45 million (not including its subsExplanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (18 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)30000DIETICIAN SUPPORT
SAN JOSE UNIFIED SCHOOL DISTRICT
855 LENZEN AVESAN JOSECA95126776002606GOVT ENTITY265000SCHOOL 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)386464PEDIAT SERV.
RAVENSWOOD FAMILY HEALTH CENTER
1798A BAY RDEAST PALO ALTOCA94303943372130501(c)(3)2000000CAPITAL CONTRIBUTION
PALO ALTO FAMILY YMCA
3412 ROSS ROADPALO ALTOCA94303941156318501(c)(3)8000FUNDRAISING EVENT
PATHWAYS HOSPICE FOUNDATION
585 NORTH MARY AVENUESUNNYVALECA94085770280660501(c)(3)5500FUNDRAISING EVENT
RONALD MCDONALD HOUSE
520 SAND HILL ROADPALO ALTOCA94304942538615501(c)(3)12000FUNDRAISING EVENT
AMERICAN HEART ASSOCIATION
1710 GILBRETH RDBURLINGAMECA94010135613797501(C)(3)10000FUNDRAISING EVENT
HEALTHTEACHER INC
5500 MARYLAND WAYBRENTWOODTN3702720345649118375ONLINE HEALTH EDUCATIONSUITE 200
YWCA OF SILICON VALLEY
375 S THIRD STREETSAN JOSECA95112941186196501(C)(3)8000SPONSORSHIP FOR AWARDS DINNER
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
SAN MATEO MEDICAL CENTER
222 WEST 39TH AVESAN MATEOCA94403946000532GOVT ENTITY1277253OB & PEDIATRIC SUPP
PALO ALTO FAMILY YMCA
3412 ROSS RDPALO ALTOCA94303941156318501(C)(3)9000SPONSORSHIP
PROJECT CORNERSTONEYMCA
1922 The AlamedaSan JoseCA95112941156318501(c)(3)6000SPONSORSHIP
NATIONAL BRAIN TUMOR SOCIETY
124 WATERTOWN STWATERTOWNMA02472043068130501(c)(3)6500SPONSORSHIP
MARCH OF DIMES
1101 S WINCHESTER BLVDSAN JOSECA95128131846366501(C)(3)10000SPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants17TotalNbrOf501C3AndGovtGrants
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 FUNDING TO 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 PaymentfalseSeverancePayment
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 (18 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
0247547023032012643802450002146042366300
CHRISTOPHER G DAWES
0691648029325101709780269500211870120401400
PHILIP PIZZO MD
0591226000190910238500024238087305500
THOMAS KRUMMEL MD
05069840470698000245000331600103534200
SUSAN S FLANAGAN
0479469013208309620400022211072996700
CHRISTY SANDBORG MD
0189697035431055000023301017741032117000
TIMOTHY W CARMACK
042435701189790733440006891062357100
HUGH O BRODOVICH MD
04005490762940138886016514019805065204800
PAMELA A MOLANO
030999009170604452800011533045775700
PAMELA J WELLS
026184204655105072202205007455038862000
OWEN R AURELIO
0244442053858032338022050023070037575800
MARK TORTORICH
0275788065878084566022050011407045968900
BRADFORD TOUSSAINT
0255072055416078333022050020099043097000
JAMES MCCAUGHEY
0294368084011042595022050020436046346000
GREGORY SOUZA
028969906699305553602205001725043600300
ROSALINA LUNA
017194100016597502358206489036798700
EDWARD KOPETSKY
0405902091599083776022050015352061867900
JILL ANN SULLIVAN
0227866055360033258025566025514036756400

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierHOUSINGIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 1ReturnReference
ExplanationEDWARD KOPETSKY AND MARK TORTORICH RECEIVED HOUSING AS A TAXABLE BENEFIT AND THE AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). 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 2010: CHRISTOPHER G DAWES $118,198 SUSAN S FLANAGAN $58,815 TIMOTHY W CARMACK $53,152 PAMELA MOLANO $26,508 PAMELA J WELLS $33,082 OWEN AURELIO $20,263 GREGORY SOUZA $35,416 JAMES MCCAUGHEY $36,764 BRADFORD TOUSSAINT $64,440 MARK TORTORICH $34,401 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 $355,667,312 AND IS INCLUDED IN PART IX, LINES 5-10. THE TOTAL NUMBER OF EMPLOYEES LEASED FROM SHC FOR THE FISCAL YEAR 2011 WAS 2,883.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
California Health Facilities Financing Authority
52164382813033FPB02003-07-09118112900to finance health facilitiesfalsefalsefalse
California Health Facilities Financing Authority
52164382813033F5E62008-08-1393450000refinance 2003 issuefalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindOther Spent ProceedsOtherSpentProceeds
60000000132946826419884316565501270914332009falsefalsetruetrue
9345000010500002011truefalsetruetrue92400000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruefalsetrue0.000000.000000.00000true
falsefalsetruefalsetrue0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsetruefalsetruefalse
falsetruefalsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSEE SCHEDULE OIdentifier

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BETH DAWES
SEE PART V64762COMP FOR EMPLOYMENTfalse
KATHLEEN COX
SEE PART V195272COMP FOR EMPLOYMENTfalse
MEDTRONIC
SEE PART V1124876PAYMENT FOR PRODUCTSfalse
BLUESHIELD HEALTH PLAN
SEE PART V4394629INSURANCE PAYMENTSfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierRELATIONSHIP BETWEEN PERSON AND ORGANIZATIONIdentifier
ExplanationFORM 990, SCHEDULE L, PART IV COLUMN (B) BETH DAWES: EMPLOYEE IS A FAMILY MEMBER OF AN OFFICER/DIRECTOR. KATHLEEN COX: EMPLOYEE IS A FAMILY MEMBER OF A DIRECTOR. 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. BLUESHIELD HEALTHPLAN: A DIRECTOR OF LPCH IS ALSO A DIRECTOR OF BLUESHIELD HEALTH PLAN. THE DIRECTOR DID NOT PARTICIPATE IN ANY WAY IN DECISION MAKING OR DISCUSSION OF THE RELATIONSHIP BETWEEN LPCH AND BLUESHIELD.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 2011, WE CONTINUED TO SERVE THE ACADEMIC MISSION OF THE STANFORD SCHOOL OF MEDICINE FACULTY AND THE COMMUNITY THROUGH OUR COMPREHENSIVE MATERNITY PROGRAM. WITH A STRONG SUPPORT FROM LOCAL PROVIDERS, OBSTETRICIANS IN PRIVATE PRACTICE CONTINUED TO CHOOSE LPCH TO DELIVER THEIR PATIENTS. THE JOHNSON CENTER ALSO MANAGES FIVE CLINICAL OUTREACH SERVICES IN MATERNAL-FETAL MEDICINE, PROVIDING EARLY DIAGNOSIS AND CONSULTATIVE SERVICES FOR HIGH RISK MATERNITY CARE THROUGHOUT THE REGION: PALO ALTO, MOUNTAIN VIEW, FREMONT, SALINAS AND SANTA CRUZ. IN 2011, 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. 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. IN THE PAST YEAR, THE REGION HAS EXPERIENCED A DECLINE IN BIRTHS OF ABOUT 7%. NOTABLY THE 4,637 OBSTETRIC DISCHARGES FROM LPCH'S JOHNSON CENTER IN FISCAL YEAR 2011 WERE BELOW THE PRIOR YEAR OF 4,882. THE AVERAGE LENGTH OF STAY FOR OBSTETRIC PATIENTS REMAINED STABLE AT 3.1 DAYS COMPARED TO 3.2 DAYS IN THE PRIOR YEAR. OBSTETRIC PATIENTS FROM THE PRIMARY SERVICE AREA COUNTIES OF SAN MATEO AND SANTA CLARA ACCOUNTED FOR 89% OF DISCHARGES. NINE 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 1,427 INPATIENTS COMPARED TO 1,501 IN THE PRIOR YEAR. OF THESE, 62% WERE FROM THE PRIMARY SERVICE AREA, WITH 33% COMING FROM THE EIGHT-COUNTY BAY AREA AND 5% FROM OTHER CALIFORNIA COUNTIES. THE SERVICE HAD AN AVERAGE LENGTH OF STAY OF 13.1 DAYS WITH A CASE MIX INDEX OF 2.71. FORM 990, PART III, LINE 4b PROGRAM SERVICE DESCRIPTION CHILDREN'S HEART CENTER THE HEART CENTER HAS IDENTIFIED A VISION 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 BASIS, DRAWING PATIENTS FROM ALL OVER CALIFORNIA AND VARIOUS PARTS OF THE COUNTRY. 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 RADIOLOGY. ADDITIONALLY, WE CONTINUE TO FOCUS ON EARLY IDENTIFICATION OF CARDIAC ANOMALIES THROUGH OUR FETAL ECHOCARDIOGRAPHY PROGRAM, IN CONJUNCTION WITH THE LPCH MATERNAL FETAL MEDICINE PROGRAM. IN 2011, OUR VENTRICULAR ASSIST DEVICE PROGRAM EXPANDED SIGNIFICANTLY TO CARE FOR THE SICKEST OF CHILDREN WITH ADVANCED HEART FAILURE, AND WE IMPLANTED 14 ASSIST DEVICES. IN FISCAL YEAR 2011, 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 PASO ROBLES, CRESCENT CITY, AND CHICO. THE NUMBER OF INPATIENTS SERVED BY THE HEART CENTER IN FISCAL YEAR 2011 WAS 772. OF THESE, THERE WERE 428 CARDIAC SURGERIES AND 16 HEART TRANSPLANTS. THE INPATIENT PROGRAM HAD A CASE MIX INDEX OF 5.21, INDICATING THE HIGHLY COMPLEX POPULATION THAT WE SERVE. TWENTY-SIX PERCENT OF PATIENTS CAME FROM OUR PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 27% CAME FROM THE EIGHT-COUNTY BAY AREA, 25% CAME FROM OTHER AREAS WITHIN CALIFORNIA, AND 22% 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 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 150 NEW CANCER PATIENTS PER YEAR. IN FISCAL YEAR 2011, THERE WAS A FOCUSED COMMITMENT TO GROW THE STEM CELL TRANSPLANT PROGRAM. GIVEN THIS STRATEGIC OBJECTIVE, THERE WAS TREMENDOUS GROWTH IN THE STEM CELL TRANSPLANT PROGRAM, WHICH PERFORMED 38 TRANSPLANTS IN FISCAL YEAR 2011 COMPARED TO 23 TRANSPLANTS IN THE PRIOR YEAR. THERE ALSO CONTINUED TO BE FOCUSED EFFORTS TO REDUCE LENGTH OF STAY WITHIN THE STEM CELL TRANSPLANT PROGRAM TO ENSURE MARKET COMPETITIVE STANDARDS. THE AVERAGE LENGTH OF STAY DECREASED 43% FROM 42 TO 28 DAYS. THE CENTER ALSO EXPANDED ITS INPATIENT CAPACITY BY INCREASING ITS INPATIENT CHEMOTHERAPY INFUSION ADMISSIONS AT THE EL CAMINO HOSPITAL LOCATION. THE DAYS OF CARE PROVIDED IN THE BASS CENTER CONTINUED TO GROW IN FISCAL YEAR 2011. INPATIENT DAYS GREW 12%, REACHING 9,891 DAYS IN 2011 (COMPARED TO PRIOR YEARS OF 8,837 AND 7,902). INPATIENT DISCHARGES TOTALED 1,242 WITH A CASE MIX INDEX OF 1.69 AND AN AVERAGE LENGTH OF STAY OF EIGHT DAYS. THE BASS CENTER IS A STRONG REGIONAL PROGRAM WITH 48% OF PATIENTS COMING FROM THE PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 38% FROM THE EIGHT SURROUNDING BAY AREA COUNTIES, 12% FROM OTHER CALIFORNIA COUNTIES AND 2% FROM OUTSIDE THE STATE OF CALIFORNIA.
FORM 990, PART III, LINE 4dPROGRAM SERVICE DESCRIPTION OTHER PROGRAMS IN ADDITION TO THE THREE PROGRAMS DESCRIBED ABOVE, LUCILE PACKARD CHILDREN'S HOSPITAL PROVIDES CLINICAL SERVICES THROUGH THREE ADDITIONAL CENTERS OF EXCELLENCE: CENTER FOR CHILDREN'S BRAIN AND BEHAVIOR THIS CENTER SPECIALIZES IN TREATING DISORDERS OF BRAIN DEVELOPMENT AND FUNCTION, WHICH MAY MANIFEST THEMSELVES IN BEHAVIORAL, EMOTIONAL, LEARNING, LANGUAGE, DEVELOPMENT, SENSATION OR MOVEMENT ABNORMALITIES. THE CENTER COMBINES THE EXPERTISE OF SPECIALISTS IN A BROAD RANGE OF DISEASES, INCLUDING EPILEPSY, AUTISM AND DEVELOPMENTAL DISORDERS, MOVEMENT DISORDERS, CEREBROVASCULAR DISORDERS, DEPRESSION, BIPOLAR AND ANXIETY DISORDERS, TRAUMATIC BRAIN INJURY, NEUROGENETIC DISORDERS, BRAIN TUMORS, AND CONGENITAL CENTRAL NERVOUS SYSTEM DEFECTS. THE HOSPITAL'S CENTER FOR BRAIN TUMORS IS ONE OF THE LEADING PROGRAMS IN THE COUNTRY. THE EATING DISORDER PROGRAM LINKS AN INPATIENT PROGRAM WITH AN EVIDENCE-BASED OUTPATIENT PROGRAM THAT COORDINATES MEDICAL AND PSYCHIATRIC TREATMENT. IN ALL THESE 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 A 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 149 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.
FAMILY/BUSINESS RELATIONSHIPSFORM 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 13 LPCH CURRENTLY HAS A WHISTLEBLOWER POLICY. HOWEVER, THE WHISTLEBLOWER POLICY WAS NOT APPROVED BY THE BOARD OR AN AUTHORIZED COMMITTEE PRIOR TO THE END OF THE FISCAL YEAR 2011. 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 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 $355,667,312 AND IS INCLUDED IN PART IX, LINES 5-10. THE TOTAL NUMBER OF EMPLOYEES LEASED FROM SHC FOR THE FISCAL YEAR 2011 WAS 2,883. FORM 990, PART X, COLUMN (B) END OF YEAR BALANCES REFLECT THE FOLLOWING RECLASSIFICATIONS: - BOARD DESIGNATED FUNDS FROM LINE 15 (OTHER ASSETS) TO LINE 12 (INVESTMENTS-OTHER SECURITIES) - MANAGED POOL FUNDS FROM LINE 11 (INVESTMENTS-PUBLICLY TRADED SECURITIES) TO LINE 12 (INVESTMENTS-OTHER SECURITIES) RECONCILIATION FORM 990, PART XI, LINE 5 CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 557,392 ADJUSTMENT FOR MINIMUM PENSION AND POST RETIREMENT LIABILITY 1,924,000 TRANSFER TO STANFORD UNIVERSITY AND OTHER (57,807,928) TRANSFER OF NET INVESTMENT LOSS ON CERTAIN ENDOWMENTS (277,215) UNREALIZED GAIN ON UNIVERSITY MANAGED POOLED FUND 99,664,954 ______________ 44,061,203 SCHEDULE K, PART II, LINE 3 DIFFERENCE IN COLUMN (A) REPRESENTS INVESTMENT EARNINGS. SCHEDULE K, Part II, Line 1 In July 2003, the California Health Facilities Financing Authority ("CHEFA") ISSUED, ON BEHALF OF LPCH UNDER THE LPCH MASTER INDENTURE, revenue bonds in the aggregate par amount of $115,000. The 2003 bonds are comprised of $60,000 of Series A and B auction rate revenue bonds and $55,000 of Series C fixed rate revenue bonds. The interest rates on the 2003 Series A and B bonds are reset every 7 days. The 2003 Bonds were a limited obligation of the CHFFA and are payable solely from payments made by LPCH. In August 2008 LPCH redeemed the 2003 Series A and B bonds. 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 (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
STANFORD HOSPITAL AND CLINICS
300 PASTEUR DRIVE MC 5555STANFORDCA94304946174066HEALTHCARECA501(C)(3)3STANFORDtrue
SU BOARD OF TRUSTEES OF LSJU
3145 PORTER DRPALO ALTOCA94304941156365ACADEMIACA501(C)(3)2STANFORDfalse
THE FREIDENRICH SUPPORT FOUNDATION
3145 PORTER DRIVEPALO ALTOCA94304300519583EDUCATIONALCA501(C)(3)11, TYPE 1STANFORDtrue
SHR HOLDINGS INC
3145 PORTER DRIVEPALO ALTOCA94304943187167REAL ESTATECA501(C)(25)N/ASTANFORDtrue
STANFORD UNIV TRUST POST RETEMPYNT BEN
3145 PORTER DRIVEPALO ALTOCA94304943246199BENEFITSCA501(C)(9)N/ASTANFORDtrue
UNIVERSITY HEALTHCARE ALLIANCE
855 OAK GROVE AVE SUITE 100MENLO PARKCA94205943192446HEALTHCARECA501(C)(3)3NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (29 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsCode VCodeVAmountPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
ARCOLA LP
C/O ARCOLOA GP LLC 1 EMBARCADERO CSAN FRANCISCOCA02108204222260REAL ESTATE DDENAN/A00$00.00000
ATWATER 12 LP
2001 ROSS AVENUE SUITE 3400DALLASTX75201752944481REAL ESTATE IDENAN/A00$00.00000
AVENUE ASIA CAPITAL PARTNERS LP
399 Park Avenue 6th FloorNEW YORKNY10022010553224FOREIGN INV.DENAN/A00$00.00000
JER R E QUALIFIED PARTNERS EUROPE LP
C/O JE ROBERT COS 1650 TYSON BLSTE MCLEANVA22102542029560REAL ESTATE IDENAN/A00$00.00000
KEB INVESTORS II LP
FOREIGN INV.NAN/A00$00.00000wASHINGTON MALL STE 304 7 REID STHAMILTONBDBDBDBD
LINCOLN COMMERCE PARK II LTD
PO BOX 1920DALLASTX75221204681486REAL ESTATE DDENAN/A00$00.00000
PALO ALTO LP
FOREIGN INV.NAN/A00$00.00000WHITELEY CHAMBERS DON STREETST. HELIERJEXC JE4 9WGJE
PARMENTER REALTY FUND II LP
1111 BRICKELL AVENUE SUITE 2910MIAMIFL33131200973616REAL ESTATE IDENAN/A00$00.00000
REGENT OFFICE CENTER LP
c/o Bentall Kennedy US LP 1215 4SEATTLEWA98161912116424REAL ESTATE ITXNAN/A00$00.00000
SANDPIPER FUND LP
2100 MCKINNEY AVENUE SUITE 1770DALLASTX75201260341626INV. IN SECURTXNAN/A00$00.00000
SAROFIM MULTIFAMILY PARTNERS LP
8115 PRESTON ROAD SUITE 400DALLASTX75225201929002Real Estate DDENAN/A00$00.00000
SIC PARTNERS LLC
C/O STANFORD MGT CO 635 KNIGHT WASTANFORDCA94305300312996REAL ESTATE DCANAN/A00$00.00000
SKY HARBOR ASSOCIATES LP
PO BOX 1920DALLASTX75221205803431COMM. PROP. IDENAN/A00$00.00000
SNOWCREEK VI PARTNERS LLC
C/O SMC 2770 SAND HILL RDMENLO PARKCA94025861089966REAL ESTATE DCANAN/A00$00.00000
STERLING STAMOS REAL ASSETS FUND (A) LP
250 PARK AVENUE 29TH FLOORNEW YORKNY10022203949682REAL ESTATE IDENAN/A00$00.00000
DEK PORTFOLIO LLC
C/O SPAULDING SLYE INV 1 PO SBOSTONMA02109043446765REAL ESTATE IDENAN/A00$00.00000
BROWN BARK I LP
PO BOX 1068STAFFORDTX774971068721604614NOTES REC. INDENAN/A00$00.00000
BROWN BARK II LP
PO BOX 1068STAFFORDTX774971068208727391NOTES REC. INDENAN/A00$00.00000
BROWN BARK III LP
PO BOX 1068STAFFORDTX774971068261780743NOTES REC. INDENAN/A00$00.00000
FORTRESS IW COINVESTMENT (FUND B) LP
1345 AVE OF THE AMERICAS 23RD FLNEW YORKNY10105980509639TRAVEL INVNAN/A00$00.00000CJ
JER REAL ESTATE PARTNERS EUROPE II LP
REAL ESTATE INAN/A00$00.00000CLARGES HOUSE 6-12 CLARGES STLONDONENUKW1J 8ADUK
GRE PROPERTIES LLC
3145 PORTER DRIVEPALO ALTOCA94304941156365REAL ESTATEAZNAN/A00$00.00000
STANFORD PET-CT LLC
300 PASTEUR DRIVE M/C 5555STANFORDCA94305611423414MED. DIAGNOSICANAN/A00$00.00000
CYPRESS MARINA HEIGHTS LP
2716 COEAN PARK BLVD SUITE 3025SANTA MONICACA90405954887979REAL ESTATE INVCACYPRESS MARINAN/A00$00.00000
CEE EQUITY HOLDINGS LP
INVESTMENTSNAN/A00$00.00000Elizabeth House 9 Castle StSt. Helier, JerseyCJJE4 2QPCJ
LSF V DHB HOLDINGS LP
2711 North Haskell Avenue Suite 17DALLASTX75204272858604INVESTMENTS IN REDENAN/A00$00.00000
SIC SNOWCREEK VIII LLC
635 KNIGHT WAYSTANFORDCA94305275431605REAL ESTATE DEVCANAN/A00$00.00000
SHI LLC
1209 ORANGE STREETTURLOCKCA95382HOLDING CODENAN/A00$00.00000
STANFORD EMANUAL RADIATION ONC
880 EAST TUOLUME ROADTURLOCKCA95382RADIATIONCANANONE00$00.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (19 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodePrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipEINEINLegal Domicile StateLegalDomicileStateAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCode
MARINER VOYAGER INTERNATIONAL LTD
C/O STUARTS CORP SVCS PO BOX 2510GEORGE TOWNN/ACJN/AINVESTMENTSCJNAC CORP000.00000
NWQ CONCENTRATED FUND LTD
WALKER HOUSE 87 MARY STREETGEORGE TOWNN/ACJKY1-9002INVESTMENTSNAC CORP000.00000680661555CA
STANFORD SGGS EUROPE INC
UGLAND HOUSE S CHURCH STPO BOX 309GT, GEORGE TOWNN/ACJN/AINVESTMENTSNAC CORP000.00000131684331CA
BLACK RIVER EMEA INVESTORS FUND LTD
UGLAND HOUSE S CHURCH STGEORGE TOWNN/ACJN/AINVESTMENTSCJNAC CORP000.00000980428006
EAST SAIL
C/O INTL FS INC IFS COURTTWENTYEIGHT, CYBERCITY, EBENEN/AMPN/AINVESTMENTSMPNAC CORP000.00000
GAVEA INVESTMENT FUND II-C LP
PO BOX 896GT HARBOUR CENTREGEORGE TOWNN/ACJN/AINVESTMENTSCJNAC CORP000.00000980537952
JER ALBERTA LP
INVESTMENTSCANAC CORP000.00000980423557C/O JE ROBERT COS 1650 TYSON BLVDMCLEANVA22102
JER ALBERTA III LP
INVESTMENTSCANAC CORP000.00000980493425c/o JE ROBERT COS 1650 TYSON BLVDMCLEANVA22102
MARBLETON PROPERTY FUND (ALBERTA) LP
Real Estate ICANAC CORP000.00000980531893C/O JE ROBERT COMPANIES 1650 TYSMCLEANVA22102
CLAT (16)
CHARITABLE TRUSTSNATRUST000.00000CA
CRT (493)
CHARITABLE TRUSTSNATRUST000.00000CA
OTHER (11)
CHARITABLE TRUSTSNATRUST000.00000CA
PIF (94)
CHARITABLE TRUSTSNATRUST000.00000CA
PARDUS SPECIAL OPPORTUNITIES FUND II LTD
c/o Walkers SPV Ltd WALKER HOUSE87 MARY ST GEORGE TOWNCJCJKY1-9002INVESTMENTCJNAC CORP000.00000
MIDPOINT TECHNOLOGY PARK
REAL ESTATENAC CORP000.00000943287254CA3145 PORTER DRPALO ALTOCA94304
NORTHWEST CAMPUS MIDPOINT
REAL ESTATENAC CORP000.00000201627958CA3145 PORTER DRPALO ALTOCA94304
STANFORD PROGRAMME (CAPE TOWN)
WAVERLY BUSINESS PARK BUILDING 11CAPE TOWNSFEDUCATIONSFNAC CORP000.00000
THE HONG KONGSU CHARITABLE TRUST
EDUCATIONHKNATRUST000.00000
THE STANFORD TRUST (UK)
EDUCATIONUKNATRUST000.00000
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 OrgsfalseRentalOfFacilitiesFrOtherOrgs
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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
STANFORD HOSPITAL AND CLINIC (SHC)
L62892686FMV
STANFORD HOSPITAL AND CLINIC (SHC)
N17958725FMV
STANFORD HOSPITAL AND CLINIC (SHC)
O320878921FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSCHEDULE R, PART VIdentifier
ExplanationTHE 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