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LUCILE SALTER PACKARD CHILDRENS HOSPITAL AT STANFORD: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
LUCILE SALTER PACKARD CHILDRENS HOSPITAL AT STANFORD (EIN 77-0003859)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-07-14
IRS object ID
201131959349300008
Schema version
2009v1.7
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)
Timestamp2011-07-14T09:08:39-04:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

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 Date2009-09-01TaxPeriodBeginDate

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 CARMACKName
TitleCFOTitle
Date Signed2011-07-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePRICEWATERHOUSECOOPERS LLPName
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts798462232GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.lpch.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers752TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year31643245ContributionsGrantsPriorYear
Contributions Grants Current Year2856106ContributionsGrantsCurrentYear
Program Service Revenue Prior Year710678203ProgramServiceRevenuePriorYear
Program Service Revenue CY771386384ProgramServiceRevenueCY
Investment Income Prior Year21793377InvestmentIncomePriorYear
Investment Income Current Year15856234InvestmentIncomeCurrentYear
Other Revenue Prior Year7986597OtherRevenuePriorYear
Other Revenue Current Year3916375OtherRevenueCurrentYear
Total Revenue Prior Year772101422TotalRevenuePriorYear
Total Revenue Current Year794015099TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1004401GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY931748GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year299515677SalariesEtcPriorYear
Salaries Etc Current Year332726554SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year7782693TotalFundrsngExpCurrentYear
Other Expense Prior Year394934241OtherExpensePriorYear
Other Expenses Current Year411611235OtherExpensesCurrentYear
Total Expenses Prior Year695454319TotalExpensesPriorYear
Total Expenses Current Year745269537TotalExpensesCurrentYear
Revenues Less Expenses Prior Year76647103RevenuesLessExpensesPriorYear
Revenues Less Expenses CY48745562RevenuesLessExpensesCY
Total Assets BOY1363944921TotalAssetsBOY
Total Assets EOY1401616686TotalAssetsEOY
Total Liabilities BOY295885853TotalLiabilitiesBOY
Total Liabilities EOY313801498TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1068059068NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1087815188NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense209550000Expense
Revenue222410000Revenue
DescriptionSEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense178920000Expense
Revenue197150000Revenue
DescriptionSEE SCHEDULE 0Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense87200000Expense
Revenue86670000Revenue
DescriptionSEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp205841480TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt931748TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev265156384TotalOfOtherProgramServiceRev
Total Program Service Expense681511480TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArttrueCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
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 EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
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
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
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)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN LILLIE
CHAIR3.0X
ELIZABETH DUNLEVIE
DIRECTOR2.0X
CLIFTON R GAUS MHA SCD
DIRECTOR2.0X
SANDRA HERNANDEZ MD
DIRECTOR2.0X
MICHAEL MCCAFFERY
DIRECTOR UNTIL 5/20102.0X
MARISSA PETERSON
VICE CHAIR2.0X
DENISE O'LEARY
DIRECTOR2.0X
CAROLYN M TICKNOR
DIRECTOR UNTIL 1/20102.0X
JAMES N WOODY MD PHD
DIRECTOR2.0X
KENNETH L COX MD
DIRECTOR2.0X048125226438
CHRISTOPHER G DAWES
PRESIDENT/CEO50.0X0106702048074X
MARTHA MARSH
DIRECTOR2.0X0188707037831
MARIANN BYERWALTER
DIRECTOR2.0X
PHILIP PIZZO MD
DIRECTOR2.0X0601770254115
DAVID ALEXANDER MD
DIRECTOR2.0X
THOMAS KRUMMEL MD
DIRECTOR2.0X097523760379
CHRISTY SANDBORG MD
DIRECTOR2.0X033106851264
BERNADINE C FONG
DIRECTOR2.0X
DANA MEAD JR
DIRECTOR2.0X
MARY ANN CARMACK
DIRECTOR2.0X
MARY B CRANSTON
DIRECTOR2.0X
SUSAN HAMMER
DIRECTOR UNTIL 11/20092.0X
HARRY R HAGEY
DIRECTOR2.0X
HUGH O BRODOVICH MD
DIRECTOR2.0X062493134673
SUSAN ORR
VICE-CHAIR2.0XX
ANN BASS
DIRECTOR2.0X
JEFFREY CHAMBERS
DIRECTOR2.0X
JONATHAN COSLET
DIRECTOR2.0X
SUSAN S FLANAGAN
COO50.0069879920540X
TIMOTHY W CARMACK
VP & CFO062174129019X
PAMELA A MOLANO
VP PHYSICIAN & AMB SVS048014510780X
PAMELA J WELLS
CHIEF NURSING OFFICER042489230102X
OWEN R AURELIO
VP CLINICAL SERVICES034320120223X
MARK TORTORICH
VP PLANNING, DESIGN, CONSTRUC041345432779X
EDWARD KOPETSKY
VP & CIO051413115727X
BRADFORD TOUSSAINT
VP MGMT SYST STRATEGY & PLAN036639542281X
JAMES MCCAUGHEY
SR VP BUS DEV & STRAT PLNG039907341720X
GREGORY SOUZA
VP HR04712881648X
ROSALINA LUNA
STAFF NURSE030872936338X
KATHLEEN SCHNEIDER
CONTROLLER031320635261X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs11323402TotalReportableCompFrmRltdOrgs
Total Other Compensation829192TotalOtherCompensation
Number Individuals GT100 K1097NumberIndividualsGT100K
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 SVCS85166545
CARDINAL HEALTH
7000 CARDINAL PLACEDUBLINOH43017PATIENT CARE18182097
STANFORD UNIVERSITY
750 SERRA MALLSTANFORDCA94303PURCHASED SERVICES59604087
OWENS AND MINOR
9120 LOCKWOOD BLVDMECHANANICSVILLEVA23116MED & SURG SUPPLIES11834879
HGA
701 WASHINGTON AVENUE NORTHMINNEAPOLISMN55401ARCHITECTS14005535
FieldValueIRS element (for citing)
Number Of Contractors GT100 K206NumberOfContractorsGT100K
All Other Contributions2856106AllOtherContributions
Total Contributions2856106TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PATIENT SERVICE900099612535030606492241$6,042,789
GOVERNMENT FUND90009981361518136151
MEDICARE/MEDICAID900099150715203150715203
FieldValueIRS element (for citing)
Total Program Service Revenue771386384TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15856234TotalRevenueColumn
Exclusion$15,856,234ExclusionAmount

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)
Real3031798Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real4447133Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-1415335Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1415335TotalRevenueColumn
Exclusion-$1,415,335ExclusionAmount

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
CAFETERIA9000991670823$1,670,823
PARKING900099337550$337,550
INVESTMENT INCOME FROM RELATED PROGRAM900099-5268666-$5,268,666

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8592003TotalRevenueColumn
Exclusion$8,592,003ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5331710TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column794015099TotalRevenueColumn
Related Or Exempt Function Income765343595RelatedOrExemptFunctionIncome
Exclusion$25,815,398ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total931748Total
Program Services931748ProgramServices

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)
Total4391010Total
Program Services1587615ProgramServices
Management And General2599091ManagementAndGeneral
Fundraising204304Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total218954712Total
Program Services208985995ProgramServices
Management And General9968717ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total19948982Total
Program Services18916994ProgramServices
Management And General1031988ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total72043666Total
Program Services67635567ProgramServices
Management And General4408099ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total17388184Total
Program Services16540357ProgramServices
Management And General847827ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total7239978Total
Program Services2868849ProgramServices
Management And General4371129ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2420804Total
Management And General2420804ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total373800Total
Management And General373800ManagementAndGeneral

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)
Total293619Total
Program Services293619ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total226834262Total
Program Services217525501ProgramServices
Management And General9308761ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total481015Total
Program Services480591ProgramServices
Management And General424ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total70711762Total
Program Services69847703ProgramServices
Management And General864059ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total21888448Total
Program Services12119622ProgramServices
Management And General9768826ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12753740Total
Program Services8094905ProgramServices
Management And General4658835ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total519610Total
Program Services391128ProgramServices
Management And General128482ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2868136Total
Program Services2851569ProgramServices
Management And General16567ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total35272425Total
Program Services30173654ProgramServices
Management And General5098771ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2892164Total
Program Services2892164ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
UTILITIES297132929632948035
LICENSES & TAXES915311299503615808
DUES & SUBSCRIPTIONS1002887438381564506
RECRUITMENT1172568390133355
UNCOLLECTIBLES98752109875210

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12149479Total
Program Services5683610ProgramServices
Management And General-1112520ManagementAndGeneral
Fundraising7578389Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total745269537Total
Program Services681511480ProgramServices
Management And General55975364ManagementAndGeneral
Fundraising7782693Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1495BOY
EOY1495EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY114625502BOY
EOY192226010EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY83286607BOY
EOY57843618EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY105379667BOY
EOY113543467EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4691316BOY
EOY4893467EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1961983BOY
EOY3158744EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis636743818LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec214350724LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY419045585BOY
EOY422393094EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY398189506BOY
EOY380607036EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY13028856BOY
EOY4319448EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY223734404BOY
EOY222630307EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1363944921BOY
EOY1401616686EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY62967829BOY
EOY66570617EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY150784676BOY
EOY150654973EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY82133348BOY
EOY96575908EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY295885853BOY
EOY313801498EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY639740783BOY
EOY758035663EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY145729331BOY
EOY104749020EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY282588954BOY
EOY225030505EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1068059068BOY
EOY1087815188EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1363944921BOY
EOY1401616686EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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$76,238RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB219394TotalLobbyingExpendituresIIB
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 FY10 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 $113,000 (INCLUDES DOLLARS ALLOCATED FOR BENEFITS). IN ADDITION, IN FY10, THE HOSPITAL HAD A LOBBYIST IN WASHINGTON D.C. DAVID WETMORE CARPI AND CLAY ONE MASSACHUSETTS AVE, NW SUITE 330 WASHINGTON, D.C. 20001 ANNUAL CONTRACT - MONTHLY RETAINER $2,500 PAYMENT FOR FY10 IS $30,000 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 THE FISCAL YEAR ENDED 8/31/2010, LPCH PAID DUES OF APPROXIMATELY $219,394 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSES WAS $76,238.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 Balance313335140BeginningOfYearBalance
Contributions581000Contributions
Investment Earnings Or Losses33016000InvestmentEarningsOrLosses
Other Expenditures76460000OtherExpenditures
End Of Year Balance270472140EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Balance0.01000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.83000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.18000TermEndowmentEOYBalance
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 Basis314670168OtherCostOrOtherBasis
Depreciation96533908Depreciation
Book Value218136260BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis4904666OtherCostOrOtherBasis
Depreciation1239844Depreciation
Book Value3664822BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis178446853OtherCostOrOtherBasis
Depreciation107168013Depreciation
Book Value71278840BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis138722131OtherCostOrOtherBasis
Depreciation9408959Depreciation
Book Value129313172BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings422393094TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
OTHER ASSETS2385753
BY TRUSTEE37081
BOARD DESIGNATED FUNDS206579370
BENEFICIAL INTEREST IN TRUSTS13628103
FieldValueIRS element (for citing)
Total Book Value Other Assets222630307TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO GOVERNMENT AGENCIES$253,467
DUE TO RELATED PARTIES, NET$53,167,451
SELF-INSURANCE RESERVE$27,583,130
CAPITAL LEASE OBLIGATION-NET$15,571,860
FieldValueIRS element (for citing)
Total Of Amounts96575908TotalOfAmounts
Total Revenue794015099TotalRevenue
Total Expenses745269537TotalExpenses
Excess Or Deficit For Year48745562ExcessOrDeficitForYear
Net Unrealized GL On Investments62777013NetUnrealizedGLOnInvestments
Other-$91,766,455OtherAmount
Total Adjustments-28989442TotalAdjustments
Excess Or Deficit Per FS19756120ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt861239245TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments62777013NetUnrealizedGainsInvestments
Revenue Not Rptd F99062777013RevenueNotRptdF990
Revenue Subtotal798462232RevenueSubtotal
Other Revenues Not Included-4447133OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-4447133RevenueNotRptdOnFinStmt
Total Revenue Per Form990794015099TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt749716670TotExpensesEtcAuditedFinclStmt
Other Expenses Included4447133OtherExpensesIncluded
Expenses Not Rptd F9904447133ExpensesNotRptdF990
Expenses Subtotal745269537ExpensesSubtotal
Total Expenses Per Form990745269537TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART XIdentifier
Return ReferenceFIN 48 LiabilityReturnReference
ExplanationTHE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. PART III, LINE 4 - LPCH MAINTAINS A COLLECTION OF DONATED ART FOR PUBLIC EXHIBITION AT HOSPITAL FACILITIES. SCHEDULE D, PART V ENDOWMENT FUNDS CHANGES WERE MADE TO COLUMN B (PRIOR YEAR) IN ORDER TO MORE ACCURATELY REFLECT ENDOWMENT FUND ACTIVITIES FOR THAT PERIOD. 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. PART XI, LINE 8 - CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS (238,185) ADJUSTMENT FOR MINIMUM PENSION AND POST RETIREMENT LIABILITY (1,239,000) TRANSFER TO STANFORD UNIVERSITY (88,003,800) TRANSFER OF NET INVESTMENT LOSS ON CERTAIN ENDOWMENTS (2,285,470) _______________ (91,766,455) PART XII, LINE 4B - RENTAL EXPENSES (4,447,133) PART XIII, LINE 2D - RENTAL EXPENSES 4,447,133Explanation

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 Served580PersonsServed
Total Community Benefit Expense1087736TotalCommunityBenefitExpense
Net Community Benefit Expense1087736NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served16407PersonsServed
Total Community Benefit Expense240347362TotalCommunityBenefitExpense
Direct Offsetting Revenue120217586DirectOffsettingRevenue
Net Community Benefit Expense120129776NetCommunityBenefitExpense
Percent Of Total Expense0.16340PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served6405PersonsServed
Total Community Benefit Expense16068345TotalCommunityBenefitExpense
Direct Offsetting Revenue7231038DirectOffsettingRevenue
Net Community Benefit Expense8837307NetCommunityBenefitExpense
Percent Of Total Expense0.01200PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served23392PersonsServed
Total Community Benefit Expense257503443TotalCommunityBenefitExpense
Direct Offsetting Revenue127448624DirectOffsettingRevenue
Net Community Benefit Expense130054819NetCommunityBenefitExpense
Percent Of Total Expense0.17690PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served7993PersonsServed
Total Community Benefit Expense1895846TotalCommunityBenefitExpense
Direct Offsetting Revenue21532DirectOffsettingRevenue
Net Community Benefit Expense1874314NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served153PersonsServed
Total Community Benefit Expense10931369TotalCommunityBenefitExpense
Net Community Benefit Expense10931369NetCommunityBenefitExpense
Percent Of Total Expense0.01490PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served53PersonsServed
Total Community Benefit Expense160000TotalCommunityBenefitExpense
Net Community Benefit Expense160000NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served5PersonsServed
Total Community Benefit Expense281300TotalCommunityBenefitExpense
Net Community Benefit Expense281300NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served6761PersonsServed
Total Community Benefit Expense1116691TotalCommunityBenefitExpense
Direct Offsetting Revenue100000DirectOffsettingRevenue
Net Community Benefit Expense1016041NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Persons Served14965PersonsServed
Total Community Benefit Expense14385206TotalCommunityBenefitExpense
Direct Offsetting Revenue121532DirectOffsettingRevenue
Net Community Benefit Expense14263024NetCommunityBenefitExpense
Percent Of Total Expense0.01940PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Persons Served38357PersonsServed
Total Community Benefit Expense271888649TotalCommunityBenefitExpense
Direct Offsetting Revenue127570156DirectOffsettingRevenue
Net Community Benefit Expense144317843NetCommunityBenefitExpense
Percent Of Total Expense0.19630PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense43423TotalCommunityBuildingExpense
Net Community Building Expense43423NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served4380PersonsServed
Total Community Building Expense8307TotalCommunityBuildingExpense
Net Community Building Expense8307NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense44586TotalCommunityBuildingExpense
Net Community Building Expense44586NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense142784TotalCommunityBuildingExpense
Net Community Building Expense142784NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served4380PersonsServed
Total Community Building Expense239100TotalCommunityBuildingExpense
Net Community Building Expense239100NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,844,060BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare2016843AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5030831CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3013988MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnership
NICU OPERATING CO
NICU OPERATION - HEALTHCARE0.49000
SVMHSLPCH JOINT VEN
NICU OPERATION - HEALTHCARE0.32000

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1LPCH AT STANFORDBusinessNameLine1

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 VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
General ExplanationNOT APPLICABLE. PART I, LINE 6A LPCH PREPARES ITS OWN ANNUAL COMMUNITY BENEFITS REPORT. THIS REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AT WWW.LPCH.ORG/PDF/COMMUNITYSERVICES/FY-2010-COMMUNITY-BENEFITS-REPORT.PDF. 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 $2,844,060. 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 DOES ADDRESS ALL PATIENT SEGMENTS, HOWEVER, AND 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 TO NOT APPLY TO ACCOUNTS THAT QUALIFY FOR CHARITY (IF AN ACCOUNT WAS INITIALLY DEEMED BAD DEBT BUT SUBSEQUENT INFORMATION QUALIFIED IT FOR CHARITY, THE BAD DEBT WRITE-OFF IS REVERSED AND REPLACED WITH CHARITY WRITE-OFFS). THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 2 IS BASED ON A COST ACCOUNTING SYSTEM. WE HAVE APPLIED THE SAME SYSTEMWIDE COST TO CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM TO OUR BAD DEBT BASED ON CHARGES AS WAS APPLIED TO OUR CHARITY CARE BASED ON CHARGES. THE COST TO CHARGE RATIO FROM OUR COST ACCOUNTING SYSTEM DOES ADDRESS ALL PATIENT SEGMENTS AND EXCLUDES RESEARCH AND SOME GRANT RELATED COSTS. PART III, LINE 8 THE MEDICARE SHORTFALL OF ($3,013,988) REPORTED IN PART III, LINE 7 WAS CALCULATED BASED ON A COST ACCOUNTING SYSTEM. THIS AMOUNT SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE THE RATES PAID BY MEDICARE DO NOT ACCURATELY REFLECT THE COST OF CARE PROVIDED BY THE HOSPITAL. ACCORDINGLY, THE HOSPITAL MUST SUBSIDIZE THE COST OF CARE PROVIDED TO MEDICARE BENEFICIARIES WITH OTHER REVENUES. PART III, LINE 9B IF A PATIENT IS ATTEMPTING TO QUALIFY FOR ELIGIBILITY UNDER LPCH'S CHARITY CARE OR DISCOUNT PAYMENT POLICY AND IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH LPCH BY NEGOTIATING A REASONABLE PAYMENT PLAN OR BY MAKING REGULAR PARTIAL PAYMENTS OF A REASONABLE AMOUNT, LPCH SHALL NOT SEND THE UNPAID BILL TO ANY COLLECTION AGENCY OR OTHER ASSIGNEE, UNLESS THAT ENTITY AGREES TO COMPLY WITH THE PROVISIONS OF ARTICLE 3 OF THE HEALTH AND SAFETY CODE. LPCH OR OTHER ASSIGNEE WHICH IS AN AFFILIATE OR SUBSIDIARY OF LPCH SHALL NOT, IN DEALING WITH PATIENTS ELIGIBLE UNDER LPCH'S CHARITY CARE OR DISCOUNT PAYMENT POLICIES, USE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. PART V NOT APPLICABLE PART VI, LINE 2 LPCH PARTICIPATES WITH OTHER HOSPITALS, PUBLIC HEALTH DEPARTMENTS IN TWO COUNTIES, AND COMMUNITY ORGANIZATIONS TO PREPARE THE TRIENNIAL COMMUNITY-WIDE HEALTH NEEDS ASSESSMENTS MANDATED UNDER SENATE BILL 697 AND NOW BY THE IRS. SANTA CLARA COUNTY RELEASED ITS NEEDS ASSESSMENT DOCUMENT, BASED UPON RESULTS FROM THE 2009 BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY, ON JULY 20, 2010. THE FULL REPORT IS AVAILABLE AT WWW.SCCPHD.ORG. SAN MATEO COUNTY HAS DONE A REVIEW OF THE MOST RECENT SECONDARY DATA, BUT WILL NOT FIELD A COMMUNITY SURVEY UNTIL 2013. SAN MATEO COUNTY WILL BE USING THE HEALTHY CITIES WEBSITE, WHICH GOES LIVE STATEWIDE IN FEBRUARY 2011 FOR PUBLIC POSTING OF ALL SAN MATEO COUNTY ASSESSMENT REPORTS. OF MORE VALUE TO LPCH AS A CHILDREN'S HOSPITAL THOUGH, IS THE FOCUSED DATA POSTED AND CONTINUALLY UPDATED ON KIDSDATA.ORG, WHICH IS SPONSORED BY THE LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH. THIS RESOURCE PROVIDES A ROBUST ARRAY OF DATA ABOUT THE HEALTH AND WELL-BEING OF CHILDREN AND ADOLESCENTS AND LAST YEAR EXPANDED TO COVER ALL CALIFORNIA COUNTIES. THIS VALUABLE DATA SOURCE IS ACCESSED AT WWW.KIDSDATA.ORG. IN ADDITION, LPCH ACCESSES MORE FOCUSED NEEDS STUDIES SUCH AS: "AN ASSESSMENT OF COMMUNITY HEALTH CENTER PARTNERSHIPS WITH STANFORD MEDICINE" CONDUCTED IN THE SUMMER OF 2009 BY SHRUTI KOTHARI, AN MPH CANDIDATE, WHO INTERVIEWED LEADERS AT A NUMBER OF LOCAL COMMUNITY HEALTH CLINICS TO ASCERTAIN THEIR NEEDS AND CHALLENGES IN PROVIDING SAFETY NET CARE. "CHILDREN WITH SPECIAL HEALTH CARE NEEDS: A PROFILE OF KEY ISSUES IN CALIFORNIA" RELEASED IN NOVEMBER 2010 BY THE LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH AND THE CHILD AND ADOLESCENT HEALTH MEASUREMENT INITIATIVE. THIS IS AVAILABLE AT WWW.LPFCH.ORG/SPECIALNEEDS. PART VI, LINE 3 A. PUBLIC NOTICE CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THIS POLICY SHALL BE 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 LPCH'S PRIMARY SERVICE AREA IS SAN MATEO AND SANTA CLARA COUNTIES. BASED ON LPCH 2010 DISCHARGE DATA, 54% OF LPCH INPATIENT PEDIATRIC CASES (EXCLUDING NORMAL NEWBORNS) AND 90% OF OBSTETRICS CASES CAME FROM SAN MATEO AND SANTA CLARA COUNTIES. AN ADDITIONAL 30% OF PEDIATRIC VOLUME AND 8% OF OBSTETRICS VOLUME CAME FROM EIGHT OTHER NORTHERN CALIFORNIA COUNTIES, INCLUDING ALAMEDA, CONTRA COSTA, SAN FRANCISCO, SANTA CRUZ, MONTEREY, SAN BENITO, STANISLAUS AND SAN JOAQUIN COUNTIES. ACCORDING TO 2009 OSHPD DISCHARGE DATA, IN THE TWO-COUNTY PRIMARY SERVICE AREA, LPCH RANKS FIRST IN MARKET SHARE (24.9%) FOR PEDIATRICS AND FOURTH FOR OBSTETRICS (11.9%). IN THE 10-COUNTY NORTHERN CALIFORNIA AREA, LPCH RANKS THIRD FOR PEDIATRICS, WITH 10.4% MARKET SHARE, AND FIFTH FOR OBSTETRICS, WITH 4.2% MARKET SHARE. IN ADDITION TO PROGRAMS AND SERVICES AT ITS PALO ALTO CAMPUS, LPCH ALSO OPERATES LPCH-LICENSED BEDS IN SATELLITE UNITS AT THREE LOCAL AREA HOSPITALS: A SPECIAL-CARE NURSERY AT WASHINGTON HOSPITAL IN FREMONT (9 BEDS), A SPECIAL-CARE NURSERY AT SEQUOIA HOSPITAL IN REDWOOD CITY (6 BEDS), AND ADOLESCENT AND GENERAL PEDIATRICS INPATIENT UNITS AT EL CAMINO HOSPITAL IN MOUNTAIN VIEW (30 BEDS). ACCORDING TO 2009 CALIFORNIA DEPARTMENT OF FINANCE DEMOGRAPHIC DATA, THERE WERE 614,481 CHILDREN AGES 0-18 IN THE TWO COUNTIES, WITH THE VAST MAJORITY, 451,611, LIVING IN SANTA CLARA COUNTY AND 162,870 IN SAN MATEO COUNTY. RACIAL MAKEUP OF CHILD POPULATION: THE CHILD POPULATION OF THE SERVICE AREA CONSISTS PRIMARILY OF HISPANIC OR LATINO (33.9% IN SAN MATEO COUNTY, 35.5% IN SANTA CLARA COUNTY) AND WHITE (33.5% IN SAN MATEO COUNTY, 29.3% IN SANTA CLARA COUNTY). ASIANS COMPRISE 23.7% OF THE CHILD POPULATION IN SAN MATEO AND 27.8% IN SANTA CLARA, AFRICAN AMERICANS/BLACKS ARE 2.8% OF THE CHILD POPULATION IN SAN MATEO AND 2.1% IN SANTA CLARA, AND NATIVE AMERICANS ARE 2.8% OF THE CHILD POPULATION IN SAN MATEO AND .3% IN SANTA CLARA. THE AREA HAS A LARGER PERCENTAGE OF AFRICAN AMERICANS/BLACKS, ASIANS/PACIFIC ISLANDERS, AND NATIVE AMERICANS WHEN COMPARED TO THE STATE. THE AREA HAS A SMALLER PERCENTAGE OF LATINOS AND WHITES WHEN COMPARED TO THE STATE. CHILDREN LIVING IN POVERTY: OF THE CHILD POPULATION IN THE SERVICE AREA, 8.5% IN SAN MATEO AND 9.9% IN SANTA CLARA ARE LIVING IN POVERTY. THE FEDERAL POVERTY GUIDELINE WAS DEFINED IN 2010 AS AN ANNUAL INCOME OF $27,562 FOR A FAMILY OF FOUR. HOWEVER, THIS GUIDELINE CLEARLY DOES NOT TAKE INTO ACCOUNT THE ACTUAL COST TO BE BARELY SELF-SUFFICIENT IN THESE TWO HIGH-COST COUNTIES. A BETTER MEASURE IS THE SELF-SUFFICIENCY STANDARD FOR CALIFORNIA, WHICH DESCRIBES THE INCOME REQUIRED BY CALIFORNIA WORKING FAMILIES TO PAY FOR THE BASIC NEEDS OF RENT, FOOD, CHILD CARE, HEALTH CARE, TRANSPORTATION, TAXES, AND MISCELLANEOUS COSTS ON A COUNTY-BY-COUNTY BASIS. THIS STANDARD IGeneralExplanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
SCHOOL HEALTH CLINICS OF SANTA CLARA
5671 SANTA TERESA BLVDSAN JOSECA95123770031679501(c)(3)40000DIETICIAN SUPPORT
SAN JOSE UNIFIED SCHOOL DISTRICT
855 LENZEN AVESAN JOSECA95126776002606170(c)265000SCHOOL NURSE PROJECT
SILICON VALLEY COMMUNITY FOUNDATION
2440 W CAMINO REALMOUNTAIN VIEWCA94040205205488501(c)(3)50000HEALTHY KIDS PROG.
EATING DISORDERS RESOURCE CENTER
2105 S BASCOM AVE STE 220CAMPBELLCA95008680616393501(c)(3)7500CONTRIBUTION TO SUPPORT OPERATIONS
RAVENSWOOD FAMILY HEALTH CENTER
1798A BAY RDEAST PALO ALTOCA94303943372130501(c)(3)90000PEDIAT SERV.
RAVENSWOOD FAMILY HEALTH CENTER
1798A BAY RDEAST PALO ALTOCA94303943372130501(c)(3)296426MENTAL HEALTH SERV. FOR CHILDREN
PATHWAYS HOSPICE FOUNDATION
585 NORTH MARY AVENUESUNNYVALECA94085770280660501(c)(3)5500HEART BREAKFAST SPONS
RONALD MCDONALD HOUSE
520 SAND HILL ROADPALO ALTOCA94304942538615501(c)(3)12000FUNDRAISING EVENT
AMERICAN HEART ASSOCIATION
1710 GILBRETH RDBURLINGAMECA94010135613797501(C)(3)15000FUNDRAISING EVENT
HEALTHTEACHER INC
5500 MARYLAND WAYBRENTWOODTN3702720345649160822ONLINE HEALTH EDUCATIONSUITE 200
HEALTHTEACHER INC
5500 MARYLAND WAYBRENTWOODTN3702720345649117500COOR. FOR ONLINE PROG.SUITE 200
YWCA OF SILLICON VALLEY
THRID STREETSAN JOSECA95112941186196501(C)(3)6500SPONSORSHIP FOR AWARDS DINNER
SUSTAINABLE VALLEY FOUNDATION
224 AIRPORT PKWYSAN JOSECA95110912140464501(C)(3)5500SPON. EVENTSUITE 620
SANTA CLARA FAMILY HEALTH FOUNDATION
210 HACIENDA AVENUECAMPBELLCA95008770545774501(C)(3)50000HEALTHY KIDS PROG.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants12TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

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. GENERALLY, ANY ORGANIZATION RECEIVING LPCH COMMUNITY INVESTMENT FUNDING MUST BE A 501(C)(3) ORGANIZATION OR A GOVERNMENT ORGANIZATION LOCATED IN OR SERVING THE NEEDS OF SANTA CLARA OR SAN MATEO COUNTIES AND THAT SHARE 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 THE FUNDING IS PROVIDED. A PROGRESS REPORT IS REQUIRED AT SIX MONTHS, A SITE VISIT IS CONDUCTED AT SIX MONTHS, 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 FINANCIAL ASSISTANCE FOR NOT-FOR-PROFIT ORGANIZATIONS SERVING CHILDREN, ADOLESCENTS AND PREGNANT WOMEN TO PRESENT SYMPOSIA, SEMINARS OR CONFERENCES. AN EXAMPLE IS THE HOSPITAL'S SPONSORSHIP OF KIDS IN COMMON'S CHILDREN'S AGENDA 2015 CONFERENCE. 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 (19 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
02461100234542060002450001938050769000
CHRISTOPHER G DAWES
068525803351670465950269500211240111509400
MARTHA MARSH
096492108429130792360220500157810192490100
PHILIP PIZZO MD
0582187000195830229500024615085588500
THOMAS KRUMMEL MD
05015600472638010390245000358790103561600
SUSAN S FLANAGAN
0489454014254106680400020540071933900
CHRISTY SANDBORG MD
0187227014384100023333027931038233200
TIMOTHY W CARMACK
0436147013446405113002205006969065076000
HUGH O BRODOVICH MD
03974550207400020076015124019549065960400
PAMELA A MOLANO
0318600010110006044500010780049092500
PAMELA J WELLS
026902806266209320202205008052045499400
OWEN R AURELIO
025446706463302410100020223036342400
MARK TORTORICH
0282485061544069425022050010729044623300
BRADFORD TOUSSAINT
0262308057999046088022050020231040867600
JAMES MCCAUGHEY
029953209077308768022050019670044079300
GREGORY SOUZA
02859260887850965770001648047293600
ROSALINA LUNA
0168962010000138767023645012693034506700
EDWARD KOPETSKY
0362635010300004849600015727052985800
KATHLEEN SCHNEIDER
0241488041257030461021734013527034846700

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierHOUSINGIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 1ReturnReference
ExplanationMARK 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 2009: CHRISTOPHER G DAWES $14,203 SUSAN S FLANAGAN $59,849 TIMOTHY W CARMACK $51,130 PAMELA MOLANO $23,481 PAMELA J WELLS $31,907 OWEN AURELIO $19,181 GREGORY SOUZA $87,891 JAMES MCCAUGHEY $4,240 BRADFORD TOUSSAINT $20,714 MARTHA MARSH $61,929 MARK TORTORICH $32,651 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. CELLULAR PHONES, 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 $332,726,554 AND IS INCLUDED IN PART IX, LINES 5-10. THE TOTAL NUMBER OF EMPLOYEES LEASED FROM SHC FOR THE FISCAL YEAR 2010 WAS 2,749.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
52164382813033fpb02003-07-09118112900to finance health facilitiesfalsefalse
California Health Facilities Financing Authority
52164382813033F5e62008-08-1393450000refinance 2003 issuefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
5720500016565501270914332009falsefalsetruetrue
934500001050000truefalsetruetrue

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 UseTotalPrivateBusinessUse
falsefalsetruefalsetrue0.000000.000000.00000
falsefalsetruefalsetrue0.000000.000000.00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsetruefalsefalsetruefalse
falsetruefalsefalsefalsetrue

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BETH DAWES
SEE SCHEDULE O59600COMP FOR EMPLOYMENTfalse
KATHLEEN COX
SEE SCHEDULE 0198408COMP FOR EMPLOYMENTfalse
MEDTRONIC
SEE SCHEDULE O1666381PAYMENT FOR PRODUCTSfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 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 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 2010 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 2010, 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, BY THEIR NATURE, ARE MORE LOCAL. IN THE PAST YEAR THE REGION HAS EXPERIENCED A DECLINE IN BIRTHS OF ABOUT 7%. NOTABLY THE 4,882 OBSTETRIC DISCHARGES FROM LPCH'S JOHNSON CENTER IN FISCAL YEAR 2010 WERE BELOW THE PRIOR YEAR OF 5,005. HOWEVER, THE AVERAGE LENGTH OF STAY FOR OBSTETRIC PATIENTS INCREASED TO 3.2 DAYS, COMPARED TO 3.1 IN THE PRIOR YEAR. OBSTETRIC PATIENTS FROM THE PRIMARY SERVICE AREA COUNTIES OF SAN MATEO AND SANTA CLARA NUMBERED 90%. EIGHT 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 1,501 INPATIENTS AS COMPARED TO 1,523 IN THE PRIOR YEAR. OF THESE 61% WERE FROM THE PRIMARY SERVICE AREA, WITH 35% COMING FROM THE EIGHT-COUNTY BAY AREA, 4% FROM OTHER CALIFORNIA COUNTIES, AND 1% FROM OUTSIDE OF CALIFORNIA. THE SERVICE HAD AN AVERAGE LENGTH OF STAY OF 13.3 DAYS WITH A CASE MIX INDEX OF 2.70, AN INCREASE OVER THE PRIOR YEAR OF 2.52. FORM 990, PART III, LINE 4b: PROGRAM SERVICE DESCRIPTION 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 OF THE CLINICAL, ADMINISTRATIVE, AND ACADEMIC ACTIVITIES TO BETTER SERVE OUR PEDIATRIC POPULATION-- CARDIOLOGY, CARDIAC SURGERY, CARDIAC INTENSIVE CARE, CARDIAC ANESTHESIA AND CARDIAC RADIOLOGY. IN FISCAL YEAR 2010, THE HEART CENTER FOCUSED ON IMPROVING THE CAPABILITIES OF THE 20-BED CARDIOVASCULAR INTENSIVE CARE UNIT THAT WAS OPENED LAST YEAR. THE CENTER ALSO CONTINUED TO EXPAND THE SERVICES OFFERED, BOTH IN LOCATION AND SPECIALTY. ONE EXAMPLE IS THE DEVELOPMENT OF THE ADULT CONGENITAL HEATH PROGRAM IN CONJUNCTION WITH STANFORD HOSPITAL & CLINICS, A PARTNERSHIP TO CARE FOR PATIENTS WITH CONGENITAL HEART DEFECTS AS THEY REACH ADULTHOOD. AS A CONSEQUENCE OF THE CENTER'S FOCUS ON EXPANDING ITS CAPABILITIES AND OFFERINGS, THE NUMBER OF INPATIENTS SERVED BY THE HEART CENTER IN FISCAL YEAR 2010 GREW TO 793 (FROM A PRIOR YEAR TOTAL OF 700). OF THESE, THERE WERE 526 CARDIAC SURGERIES AND 12 HEART TRANSPLANTS. THE INPATIENT PROGRAM HAD A CASE MIX INDEX OF 4.75, INDICATING THE HIGHLY COMPLEX POPULATION THAT WE SERVE. 24% OF PATIENTS CAME FROM OUR PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 23% CAME FROM THE EIGHT-COUNTY BAY AREA, 29% CAME FROM OTHER AREAS WITHIN CALIFORNIA, AND 23% CAME FROM OTHER STATES (TOTAL OF 30 PATIENTS). FORM 990, PART III, LINE 4c PROGRAM SERVICE DESCRIPTION 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 IS STAFFED BY INDIVIDUALS TRAINED IN THE SPECIALIZED NEEDS OF PEDIATRIC CANCER PATIENTS AND INCLUDES APPROPRIATE ISOLATION ROOMS. THE PROGRAM DIAGNOSES AND TREATS APPROXIMATELY 150-190 NEW CANCER PATIENTS PER YEAR. IN FISCAL YEAR 2010, AN ADDITIONAL STEM CELL TRANSPLANT PHYSICIAN WAS RECRUITED TO CONTINUE DEVELOPING AND ENHANCING THE CENTER'S CLINICAL, RESEARCH AND EDUCATIONAL ENDEAVORS. THE CENTER ALSO EXPANDED ITS OFFERINGS BY OPENING A MULTI-DISCIPLINARY CLINIC FOR TUMOR PATIENTS. THE DAYS OF CARE PROVIDED IN THE BASS CENTER CONTINUED TO GROW IN FISCAL YEAR 2010 TO 8,837 (FROM PRIOR YEARS OF 7,902 AND 6,551). DISCHARGES FROM THE INPATIENT PROGRAM TOTALED 1,112 WITH A CASE MIX INDEX OF 1.43 AND AN AVERAGE LENGTH OF STAY OF 7.9 DAYS. THE BASS CENTER IS A STRONG REGIONAL PROGRAM WITH 53% OF PATIENTS COMING FROM THE PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 40% FROM THE EIGHT SURROUNDING BAY AREA COUNTIES, 6% FROM OTHER CALIFORNIA COUNTIES AND 1% FROM OUTSIDE THE STATE OF CALIFORNIA. FORM 990, PART III, LINE 4d PROGRAM SERVICE DESCRIPTION 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 IS COMPRISED OF EXPERTS FROM THREE DISCIPLINES (NEUROSURGERY, NEUROLOGY AND CHILD PSYCHIATRY) WHO WORK TOGETHER TO CARE FOR CHILDREN WITH A BROAD RANGE OF DISEASES, INCLUDING EPILEPSY, NEURO-ONCOLOGY, AUTISM AND DEVELOPMENTAL DISORDERS, MOVEMENT DISORDERS, CEREBROVASCULAR DISORDERS, DEPRESSION, BIPOLAR AND ANXIETY DISORDERS, TRAUMATIC BRAIN INJURY, NEUROGENETIC DISORDERS, AND CONGENITAL CENTRAL NERVOUS SYSTEMS DEFECTS. THE HOSPITAL'S CENTER FOR BRAIN TUMORS IS AMONG THE LEADING PROGRAMS IN THE NATION. IT'S EATING DISORDERS PROGRAM IS THE LARGEST IN NORTHERN CALIFORNIA. CENTER FOR CYSTIC FIBROSIS AND PULMONARY DISEASES THIS CENTER INTEGRATES A TEAM OF CLINICIANS AND RESEARCHERS FROM THE HOSPITAL AND STANFORD SCHOOL OF MEDICINE. THEIR COMBINED EFFORTS HAVE LED TO AN INCREASING NUMBER OF PATIENTS WITH CYSTIC FIBROSIS LIVING BEYOND THEIR 30'S, WHICH RARELY OCCURRED A GENERATION AGO. IN ADDITION TO CYSTIC FIBROSIS, THE HOSPITAL CARES FOR A LARGE NUMBER OF CHILDREN WITH ASTHMA, CHRONIC LUNG DISEASE OF INFANCY RESULTING FROM PREMATURE BIRTH AND IMMATURE LUNGS, MULTI-SYSTEM DISORDERS THAT AFFECT BREATHING AND LUNGS SUCH AS CEREBRAL PALSY, NEUROMUSCULAR DISEASES SUCH AS MULTIPLE SCLEROSIS THAT IMPACT SWALLOWING AND BREATHING, SLEEP-RELATED PROBLEMS RESULTING FROM BREATHING OBSTRUCTION AND CHRONIC OR ACUTE RESPIRATORY INFECTIONS. 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 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 16 RESIDENCY/FELLOWSHIP PROGRAMS APPROVED BY THE ACCREDITATION COUNCIL FOR
GRADUATE MEDICAL EDUCATIONS WITH OVER 148 ENROLLED RESIDENT 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 INNOVATIVE PROGRAMS (PRIMARILY WITHIN ITS PRIMARY SERVICE 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 MARTHA MARSH IS AN EMPLOYEE, CHIEF EXECUTIVE OFFICER AND A DIRECTOR OF STANFORD HOSPITAL AND CLINICS. THE FOLLOWING INDIVIDUALS ARE DIRECTORS AT STANFORD HOSPITAL AND CLINICS: CHRISTOPHER DAWES MARIANN BYERWALTER DENISE O'LEARY JOHN LILLIE JOHN FREIDENRICH PHILIP PIZZO KENNETH COX, THOMAS KRUMMEL, HUGH O'BRODOVICH, PHILIP PIZZO AND CHRISTY SANDBORG ARE EMPLOYEES OF STANFORD UNIVERSITY, AND PHILIP PIZZO IS THE DEAN OF THE STANFORD SCHOOL OF MEDICINE. MARIANN BYERWALTER AND MARY CRANSTON ARE TRUSTEES AT 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. PROCEDURES FOR REVIEWING FORM 990 FROM GOVERNING BODY FORM 990, PART VI, LINE 10 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. 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 MARTHA MARSH: 50 HOURS AT STANFORD HOSPITAL AND CLINICS 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 CHRISTY SANDBORG: 50 HOURS AT STANFORD UNIVERSITY 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 $332,726,554 AND IS INCLUDED IN PART IX, LINES 5-10. THE TOTAL NUMBER OF EMPLOYEES LEASED FROM SHC FOR THE FISCAL YEAR 2010 WAS 2,749. 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. RELATIONSHIP BETWEEN PERSON AND ORGANIZATION FORM 990, SCHEDULE L, PART IV COLUMN (B) BETH DAWES: EMPLOYEE IS A FAMILY MEMBER OF AN OFFICER. 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SU BOARD OF TRUSTEES OF LSJU
3145 PORTER DRIVEPALO ALTOCA94304941156365TEACHING&RSCHCA501(c)(3)170(B)IAiiNA
STANFORD HOSPITAL AND CLINICS
300 PASTEUR DRIVE MC5555STANFORDCA94305946174066HEALTH CARECA501(c)(3)170(B)IAIIINA
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 OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1STANFORD HOSPITAL AND CLINIC (SHC)BusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeL,NTransactionType
Amount Involved85166545AmountInvolved