2012-07-13T17:13:36-05:00 2011-08-31 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2010-09-01 770003859 Lucile Salter Packard Children's Hospital at Stanford LUCI 6504978000 725 Welch Road MC 5553 Palo Alto CA 94304 TIMOTHY W CARMACK 2012-07-12 true PRICEWATERHOUSECOOPERS LLP 6175305000 2010 2016-02-24 21:20:13Z TIMOTHY W CARMACK 725 WELCH ROAD PALO ALTO CA 94304 944935674 false X www.lpch.org X 1983 CA SEE SCHEDULE O 27 20 0 804 0 2856106 18703148 771386384 881139616 15856234 20657203 3916375 21709246 794015099 942209213 931748 4159592 0 0 332726554 355667312 0 0 7891247 411611235 471641540 745269537 831468444 48745562 110740769 1401616686 1584356175 313801498 341739015 1087815188 1242617160 X SEE SCHEDULE O false false 235670000 0 266000000 SEE SCHEDULE O 188760000 0 209690000 SEE SCHEDULE 0 101830000 0 107910000 SEE SCHEDULE O 228478785 4159592 297539616 754738785 true true false true false false true false true true true false false true false true true false false 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0 MARY B CRANSTON 2.0 X 0 0 0 HARRY R HAGEY 2.0 X 0 0 0 HUGH O BRODOVICH MD 2.0 X 0 615729 36319 SUSAN ORR 2.0 X 0 0 0 ANNE BASS 2.0 X 0 0 0 JEFFREY CHAMBERS 2.0 X 0 0 0 JONATHAN COSLET 2.0 X 0 0 0 WILLIAM CROWN 2.0 X 0 0 0 SUSAN FORD DORSEY 2.0 X 0 0 0 ANN LIVERMORE 2.0 X 0 0 0 JOHN WALKER 2.0 X 0 0 0 DAVID GRUBB 2.0 X 0 0 0 AMIR DAN RUBIN 2.0 X 0 0 0 MICHAEL PETERSON 2.0 X 0 0 0 SUSAN S FLANAGAN 50.0 X 0 707756 22211 TIMOTHY W CARMACK 50.0 X 0 616680 6891 PAMELA A MOLANO 50.0 X 0 446224 11533 PAMELA J WELLS 50.0 X 0 359115 29505 OWEN R AURELIO 50.0 X 0 330638 45120 MARK TORTORICH 25.0 X 0 426232 33457 EDWARD KOPETSKY 50.0 X 0 581277 37402 BRADFORD TOUSSAINT 50.0 X 0 388821 42149 JAMES MCCAUGHEY 50.0 X 0 420974 42486 GREGORY SOUZA 50.0 X 0 412228 23775 ROSALINA LUNA 50.0 X 0 337916 30071 JILL ANN SULLIVAN 50.0 X 0 316484 51080 0 9381095 848222 1123 false true false STANFORD HOSPITAL AND CLINICS 300 PASTEUR DR STANFORD CA 94305 MED LAB/PURCH SVCS 80851411 STANFORD UNIVERSITY 750 SERRA 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false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 143156 true 86095 false 229251 false ORGANIZATIONS EXEMPT UNDER SECTION 501(C)(3) FORM 990, SCHEDULE C, PART II B LESS THAN 1% OF THE TOTAL VOLUNTEER HOURS DONATED TO LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") WERE USED TO ATTEMPT TO INFLUENCE LEGISLATIVE MATTERS. STAFF INTERACTS ON A REGULAR BASIS WITH ELECTED OFFICIALS AND THEIR STAFF ON ALL LEVELS OF GOVERNMENT. MOST IS RELATIONSHIP BUILDING AND MAINTAINING AS WELL AS WORKING ON COLLABORATIVE PROGRAMS AND PROJECTS TO ENHANCE THE OVERALL HEALTH OF THE COMMUNITY. IN 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. X false 270472140 34000 41601000 41746000 270361140 313335140 581000 33016000 76460000 270472140 392255140 18740000 -76431000 21229000 313335140 0.00000 0.74000 0.26000 false true true 324243345 109499638 214743707 7990048 2339048 5651000 186260733 127207257 59053476 191048593 10771500 180277093 459725276 MANAGED POOL 753932978 F 753932978 0 DUE TO GOVERNMENT AGENCIES 1525054 DUE TO RELATED PARTIES, NET 38168493 SELF-INSURANCE RESERVE 32690043 CAPITAL LEASE OBLIGATION-NET 13643210 86026800 942209213 831468444 110740769 99664954 -55603751 44061203 154801972 1044600628 99664954 99664954 944935674 -2726461 -2726461 942209213 834194905 2726461 2726461 831468444 831468444 SCHEDULE D, PART III, LINE 4 LPCH DOES NOT RECOGNIZE CONTRIBUTIONS OF WORKS OF ART ON LPCH'S FINANCIALS SINCE 1) THEY ARE HELD FOR PUBLIC EXHIBITION RATHER THAN FINANCIAL GAIN; 2) THEY ARE PROTECTED, KEPT UNENCUMBERED, CARED FOR, AND PRESERVED; 3) ARE SUBJECT TO AN ORGANIZATIONAL POLICY THAT REQUIRES THE PROCEEDS FROM SALES OF COLLECTION ITEMS TO BE USED TO ACQUIRE OTHER ITEMS FOR COLLECTION. SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS LPCH'S ENDOWMENT CONSISTS OF VARIOUS INDIVIDUAL FUNDS. THE USES OF THE FUNDS ARE RESTRICTED TO DONORS' STIPULATIONS. THESE FUNDS ARE USED TO SUPPORT THE MISSION OF LPCH. SCHEDULE D, PART X FIN 48 LIABILITY THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. 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 2,726,461 true true true X 400. true X true false true true 403 427336 0 427336 0.00050 16626 237250514 135427320 101823194 0.12390 5799 18704729 8986656 9718073 0.01180 22828 256382579 144413976 111968603 0.13620 8 7094 1760572 13432 1747140 0.00210 5 440 12140289 0 12140289 0.01480 2 264 270000 0 270000 0.00030 0 0 0 0 0.00000 8 10892 2149699 0 2149699 0.00260 23 18690 16320560 13432 16307128 0.01980 23 41518 272703139 144427408 128275731 0.15600 1 40386 40386 0.00000 1 1800 400 400 0.00000 1 22095 0 22095 0.00000 2 159542 0 159542 0.00000 5 1800 222423 0 222423 0.00000 true 2719048 0 2437102 3801433 -1364331 X true true 1 1 LUCILE SALTER PACKARD CHILDREN'S HSPTL

725 WELCH ROAD PALO ALTO CA 94304

X X X X LUCILE SALTER PACKARD CHILDREN'S HSPTL 1 PART I, LINE 3C NOT APPLICABLE. PART I, LINE 6A NOT APPLICABLE. PART I, LINE 7G NOT APPLICABLE. PART I, LINE 7, COLUMN (F) THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN (F) WAS $9,710,887. 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 subs true SCHOOL HEALTH CLINIC OF SANTA CLARA 5671 SANTA TERESA BLVD SAN JOSE CA 95123 770031679 501(c)(3) 30000 DIETICIAN SUPPORT SAN JOSE UNIFIED SCHOOL DISTRICT 855 LENZEN AVE SAN JOSE CA 95126 776002606 GOVT ENTITY 265000 SCHOOL NURSE PROJECT EATING DISORDER RESOURCE CENTER 2105 S BASCOM AVE CAMPBELL CA 95008 680616393 501(c)(3) 7500 EATING DISORDER PROGRAM RAVENSWOOD FAMILY HEALTH CENTER 1798A BAY RD EAST PALO ALTO CA 94303 943372130 501(c)(3) 386464 PEDIAT SERV. RAVENSWOOD FAMILY HEALTH CENTER 1798A BAY RD EAST PALO ALTO CA 94303 943372130 501(c)(3) 2000000 CAPITAL CONTRIBUTION PALO ALTO FAMILY YMCA 3412 ROSS ROAD PALO ALTO CA 94303 941156318 501(c)(3) 8000 FUNDRAISING EVENT PATHWAYS HOSPICE FOUNDATION 585 NORTH MARY AVENUE SUNNYVALE CA 94085 770280660 501(c)(3) 5500 FUNDRAISING EVENT RONALD MCDONALD HOUSE 520 SAND HILL ROAD PALO ALTO CA 94304 942538615 501(c)(3) 12000 FUNDRAISING EVENT AMERICAN HEART ASSOCIATION 1710 GILBRETH RD BURLINGAME CA 94010 135613797 501(C)(3) 10000 FUNDRAISING EVENT HEALTHTEACHER INC 5500 MARYLAND WAY SUITE 200 BRENTWOOD TN 37027 203456491 18375 ONLINE HEALTH EDUCATION YWCA OF SILICON VALLEY 375 S THIRD STREET SAN JOSE CA 95112 941186196 501(C)(3) 8000 SPONSORSHIP FOR AWARDS DINNER SANTA CLARA FAMILY HEALTH FOUNDATION 210 HACIENDA AVENUE CAMPBELL CA 95008 770545774 501(C)(3) 50000 HEALTHY KIDS PREMIUMS SAN MATEO COUNTY CHILDREN'S HEALTH INITIATIVE 701 GATEWAY BLVD SAN FRANCISCO CA 94080 946000532 501(C)(3) 50000 HEALTHY KIDS PREMIUMS SAN MATEO MEDICAL CENTER 222 WEST 39TH AVE SAN MATEO CA 94403 946000532 GOVT ENTITY 1277253 OB & PEDIATRIC SUPP PALO ALTO FAMILY YMCA 3412 ROSS RD PALO ALTO CA 94303 941156318 501(C)(3) 9000 SPONSORSHIP PROJECT CORNERSTONEYMCA 1922 The Alameda San Jose CA 95112 941156318 501(c)(3) 6000 SPONSORSHIP NATIONAL BRAIN TUMOR SOCIETY 124 WATERTOWN ST WATERTOWN MA 02472 043068130 501(c)(3) 6500 SPONSORSHIP MARCH OF DIMES 1101 S WINCHESTER BLVD SAN JOSE CA 95128 131846366 501(C)(3) 10000 SPONSORSHIP 17 1 ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE US SCHEDULE I, PART I, LINE 2 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD (LPCH) DOES NOT SPONSOR AN OPEN GRANT PROCESS THAT SOLICITS COMMUNITY ORGANIZATIONS TO APPLY FOR GRANTS, PARTICIPATE IN A GRANT SELECTION PROCESS, AND THEN BE "AWARDED" A GRANT. RATHER, THE HOSPITAL IDENTIFIES PRIORITY FOCUS AREAS FOR HOSPITAL FUNDING, IDENTIFIES COMMUNITY ORGANIZATIONS THAT ARE ALREADY WORKING IN THAT FOCUS AREA, AND IDENTIFIES PROJECTS THAT ARE ALREADY ADDRESSING AN ISSUE AND THEN COMMITS 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. X true true X X X X X false true false false false false false true false KENNETH L COX MD 0 247547 0 23032 0 126438 0 24500 0 2146 0 423663 0 0 CHRISTOPHER G DAWES 0 691648 0 293251 0 170978 0 26950 0 21187 0 1204014 0 0 PHILIP PIZZO MD 0 591226 0 0 0 19091 0 238500 0 24238 0 873055 0 0 THOMAS KRUMMEL MD 0 506984 0 470698 0 0 0 24500 0 33160 0 1035342 0 0 SUSAN S FLANAGAN 0 479469 0 132083 0 96204 0 0 0 22211 0 729967 0 0 CHRISTY SANDBORG MD 0 189697 0 35431 0 55000 0 23301 0 17741 0 321170 0 0 TIMOTHY W CARMACK 0 424357 0 118979 0 73344 0 0 0 6891 0 623571 0 0 HUGH O BRODOVICH MD 0 400549 0 76294 0 138886 0 16514 0 19805 0 652048 0 0 PAMELA A MOLANO 0 309990 0 91706 0 44528 0 0 0 11533 0 457757 0 0 PAMELA J WELLS 0 261842 0 46551 0 50722 0 22050 0 7455 0 388620 0 0 OWEN R AURELIO 0 244442 0 53858 0 32338 0 22050 0 23070 0 375758 0 0 MARK TORTORICH 0 275788 0 65878 0 84566 0 22050 0 11407 0 459689 0 0 BRADFORD TOUSSAINT 0 255072 0 55416 0 78333 0 22050 0 20099 0 430970 0 0 JAMES MCCAUGHEY 0 294368 0 84011 0 42595 0 22050 0 20436 0 463460 0 0 GREGORY SOUZA 0 289699 0 66993 0 55536 0 22050 0 1725 0 436003 0 0 ROSALINA LUNA 0 171941 0 0 0 165975 0 23582 0 6489 0 367987 0 0 EDWARD KOPETSKY 0 405902 0 91599 0 83776 0 22050 0 15352 0 618679 0 0 JILL ANN SULLIVAN 0 227866 0 55360 0 33258 0 25566 0 25514 0 367564 0 0 HOUSING SCHEDULE J, PART I, LINE 1 EDWARD 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. California Health Facilities Financing Authority 521643828 13033FPB0 2003-07-09 118112900 to finance health facilities false false false California Health Facilities Financing Authority 521643828 13033F5E6 2008-08-13 93450000 refinance 2003 issue false false false 60000000 132946826 4198843 1656550 127091433 2009 false false true true 93450000 1050000 92400000 2011 true false true true false false true false true 0.00000 0.00000 0.00000 true false false true false true 0.00000 0.00000 0.00000 true false true false true false false true false false true SEE SCHEDULE O BETH DAWES SEE PART V 64762 COMP FOR EMPLOYMENT false KATHLEEN COX SEE PART V 195272 COMP FOR EMPLOYMENT false MEDTRONIC SEE PART V 1124876 PAYMENT FOR PRODUCTS false BLUESHIELD HEALTH PLAN SEE PART V 4394629 INSURANCE PAYMENTS false RELATIONSHIP BETWEEN PERSON AND ORGANIZATION FORM 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. ORGANIZATION'S PRIMARY EXEMPT PURPOSE FORM 990, PART I, LINE 1 THE SPECIFIC AND PRIMARY EXEMPT PURPOSES OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") ARE TO SUPPORT, BENEFIT AND FURTHER THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY (THE "UNIVERSITY"), INCLUDING ITS SCHOOL OF MEDICINE, AND STANFORD HOSPITAL AND CLINICS ("SHC") BY OPERATING AND MANAGING A CONSOLIDATED MEDICAL FACILITY THAT OFFERS COMPREHENSIVE MEDICAL CARE SERVICES FOR CHILDREN AND ADOLESCENTS AND OBSTETRICAL SERVICES FOR PREGNANT WOMEN AND FURTHERS TEACHING AND RESEARCH IN THE MEDICAL SCIENCES AND OTHER FIELDS RELATING TO THE HEALTH AND WELL-BEING OF INFANTS, CHILDREN, ADOLESCENTS AND PREGNANT WOMEN, IN COOPERATION WITH AND IN SUPPORT OF THE UNIVERSITY'S SCHOOL OF MEDICINE AND STANFORD HOSPITAL AND CLINICS. FORM 990, PART III, LINE 4a PROGRAM SERVICE DESCRIPTION JOHNSON CENTER OF EXCELLENCE THE JOHNSON CENTER IS A CENTER OF EXCELLENCE THAT ENCOMPASSES MATERNITY CARE AND HIGH RISK OBSTETRICS AS WELL AS HEALTHY NEWBORN AND NEONATAL INTENSIVE CARE BUILT UPON A SUCCESSFUL ACADEMIC-COMMUNITY HOSPITAL PARTNERSHIP. IN 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 4d PROGRAM SERVICE DESCRIPTION OTHER PROGRAMS IN ADDITION TO THE THREE PROGRAMS DESCRIBED ABOVE, LUCILE PACKARD CHILDREN'S HOSPITAL PROVIDES CLINICAL SERVICES THROUGH THREE ADDITIONAL CENTERS OF EXCELLENCE: CENTER FOR CHILDREN'S BRAIN AND BEHAVIOR THIS CENTER SPECIALIZES IN TREATING DISORDERS OF BRAIN DEVELOPMENT AND FUNCTION, WHICH MAY MANIFEST THEMSELVES IN BEHAVIORAL, EMOTIONAL, LEARNING, LANGUAGE, DEVELOPMENT, SENSATION OR MOVEMENT ABNORMALITIES. THE CENTER COMBINES THE EXPERTISE OF SPECIALISTS IN A BROAD RANGE OF DISEASES, INCLUDING EPILEPSY, AUTISM AND DEVELOPMENTAL DISORDERS, MOVEMENT DISORDERS, CEREBROVASCULAR DISORDERS, DEPRESSION, BIPOLAR AND ANXIETY DISORDERS, TRAUMATIC BRAIN INJURY, NEUROGENETIC DISORDERS, BRAIN TUMORS, AND CONGENITAL CENTRAL NERVOUS SYSTEM DEFECTS. THE HOSPITAL'S CENTER FOR BRAIN TUMORS IS ONE OF THE LEADING PROGRAMS IN THE COUNTRY. THE EATING DISORDER PROGRAM LINKS AN INPATIENT PROGRAM WITH AN EVIDENCE-BASED OUTPATIENT PROGRAM THAT COORDINATES MEDICAL AND PSYCHIATRIC TREATMENT. IN 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 RELATIONSHIPS FORM 990, PART VI, LINE 2 KENNETH COX, THOMAS KRUMMEL, HUGH O'BRODOVICH, PHILIP PIZZO AND CHRISTY SANDBORG ARE EMPLOYEES OF STANFORD UNIVERSITY. PHILIP PIZZO IS THE DEAN OF THE STANFORD SCHOOL OF MEDICINE, AND MARIANN BYERWALTER IS A TRUSTEE OF STANFORD UNIVERSITY. DAVID ALEXANDER IS THE CEO AND A DIRECTOR OF LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH (LPFCH). CHRISTOPHER DAWES AND SUSAN ORR ARE DIRECTORS OF LPFCH. MEMBERS FORM 990, PART VI, LINE 6 STANFORD UNIVERSITY IS THE SOLE MEMBER OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD. FORM 990, PART VI, LINE 7A STANFORD UNIVERSITY, AS THE SOLE MEMBER OF LPCH, APPOINTS THE LPCH BOARD OF DIRECTORS. PROCEDURES FOR REVIEWING FORM 990 FROM GOVERNING BODY FORM 990, PART VI, LINE 11 WORKING WITH PRICEWATERHOUSECOOPERS, THE FORM 990 IS PREPARED FOR MANAGEMENT'S REVIEW. A DRAFT OF THE FORM 990 IS MAILED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW, ALONG WITH AN EXECUTIVE SUMMARY OF RECENT CHANGES AND NEW REQUIREMENTS. THE DRAFT FORM 990 IS REVIEWED AT THE AUDIT AND FINANCE COMMITTEE MEETING. A FINAL FORM 990 IS THEN DISTRIBUTED TO THE FULL BOARD BEFORE FILING WITH THE IRS. PRICEWATERHOUSECOOPERS SIGNS THE FINAL RETURN AS PAID PREPARER. PROCEDURES FOR MONITORING AND ENFORCING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO COMPLETE AN INITIAL CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ("DISCLOSURE STATEMENT") WITHIN 30 DAYS OF BEGINNING SERVICE AT LUCILE PACKARD CHILDREN'S HOSPITAL (LPCH). ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. FURTHER, OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO UPDATE THEIR DISCLOSURE STATEMENT WITHIN TEN (10) BUSINESS DAYS OF A MATERIAL CHANGE IN THEIR SITUATIONS THAT MAY CREATE AN ACTUAL OR PERCEIVED CONFLICT-OF-INTEREST. A DISCLOSURE THAT APPEARS TO BE A CONFLICT WILL BE RESOLVED BY A MUTUAL AGREEABLE PLAN WITH THE VICE PRESIDENT OF HUMAN RESOURCES THAT OUTLINES THE STEPS THE OFFICER, DIRECTOR OR EMPLOYEE MUST TAKE TO RECTIFY THE CONFLICT. IN MATTERS THAT ARE UNCLEAR OR QUESTIONABLE, THE OFFICE OF CHIEF COMPLIANCE OFFICER WILL BE CONSULTED FOR A RULING. IF FURTHER INQUIRY IS NECESSARY THE OFFICE OF THE GENERAL COUNSEL WILL BE CONSULTED FOR A RULING. FORM 990, PART VI, LINE 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. 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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.