2011-07-14T09:08:39-04:00 2010-08-31 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2009-09-01 770003859 Lucile Salter Packard Children's Hospital at Stanford LUCI 6504978000 725 Welch Road MC 5553 Palo Alto CA 94304 TIMOTHY CARMACK 2011-07-11 true PRICEWATERHOUSECOOPERS LLP 6175305000 2009 2016-02-24 21:20:13Z TIMOTHY W CARMACK 725 WELCH ROAD PALO ALTO CA 94304 798462232 false X www.lpch.org X 1983 CA SEE SCHEDULE O 24 14 0 752 0 31643245 2856106 710678203 771386384 21793377 15856234 7986597 3916375 772101422 794015099 1004401 931748 0 0 299515677 332726554 0 0 7782693 394934241 411611235 695454319 745269537 76647103 48745562 1363944921 1401616686 295885853 313801498 1068059068 1087815188 SEE SCHEDULE O false false 209550000 222410000 SEE SCHEDULE O 178920000 197150000 SEE SCHEDULE 0 87200000 86670000 SEE SCHEDULE O 205841480 931748 265156384 681511480 true true false true false false true false true true true true false false false false false false false false true true false true true true false false false false false false false true true false false false false false true true false false true 0 0 true 0 false false false false false false false false false 24 14 true false false false true false false true true false false true true true true true true true true false CA X FINANCE DEPARTMENT 6507212222 725 WELCH ROAD PALO ALTO CA 94304 X JOHN LILLIE 3.0 X ELIZABETH DUNLEVIE 2.0 X CLIFTON R GAUS MHA SCD 2.0 X SANDRA HERNANDEZ MD 2.0 X MICHAEL MCCAFFERY 2.0 X MARISSA PETERSON 2.0 X DENISE O'LEARY 2.0 X CAROLYN M TICKNOR 2.0 X JAMES N WOODY MD PHD 2.0 X KENNETH L COX MD 2.0 X 0 481252 26438 CHRISTOPHER G DAWES 50.0 X X 0 1067020 48074 MARTHA MARSH 2.0 X 0 1887070 37831 MARIANN BYERWALTER 2.0 X PHILIP PIZZO MD 2.0 X 0 601770 254115 DAVID ALEXANDER MD 2.0 X THOMAS KRUMMEL MD 2.0 X 0 975237 60379 CHRISTY SANDBORG MD 2.0 X 0 331068 51264 BERNADINE C FONG 2.0 X DANA MEAD JR 2.0 X MARY ANN CARMACK 2.0 X MARY B CRANSTON 2.0 X SUSAN HAMMER 2.0 X HARRY R HAGEY 2.0 X HUGH O BRODOVICH MD 2.0 X 0 624931 34673 SUSAN ORR 2.0 X X ANN BASS 2.0 X JEFFREY CHAMBERS 2.0 X JONATHAN COSLET 2.0 X SUSAN S FLANAGAN 50.0 X 0 698799 20540 TIMOTHY W CARMACK X 0 621741 29019 PAMELA A MOLANO X 0 480145 10780 PAMELA J WELLS X 0 424892 30102 OWEN R AURELIO X 0 343201 20223 MARK TORTORICH X 0 413454 32779 EDWARD KOPETSKY X 0 514131 15727 BRADFORD TOUSSAINT X 0 366395 42281 JAMES MCCAUGHEY X 0 399073 41720 GREGORY SOUZA X 0 471288 1648 ROSALINA LUNA X 0 308729 36338 KATHLEEN SCHNEIDER X 0 313206 35261 0 11323402 829192 1097 false true false STANFORD HOSPITAL AND CLINICS 300 PASTEUR DR STANFORD CA 94305 MED LAB/PURCH SVCS 85166545 CARDINAL HEALTH 7000 CARDINAL PLACE DUBLIN OH 43017 PATIENT CARE 18182097 STANFORD UNIVERSITY 750 SERRA MALL STANFORD CA 94303 PURCHASED SERVICES 59604087 OWENS AND MINOR 9120 LOCKWOOD BLVD MECHANANICSVILLE VA 23116 MED & SURG SUPPLIES 11834879 HGA 701 WASHINGTON AVENUE NORTH MINNEAPOLIS MN 55401 ARCHITECTS 14005535 206 2856106 2856106 PATIENT SERVICE 900099 612535030 606492241 6042789 GOVERNMENT FUND 900099 8136151 8136151 MEDICARE/MEDICAID 900099 150715203 150715203 771386384 15856234 15856234 0 0 3031798 4447133 -1415335 -1415335 -1415335 0 0 0 0 CAFETERIA 900099 1670823 1670823 PARKING 900099 337550 337550 INVESTMENT INCOME FROM RELATED PROGRAM 900099 -5268666 -5268666 8592003 8592003 5331710 794015099 765343595 25815398 931748 931748 0 0 0 4391010 1587615 2599091 204304 0 218954712 208985995 9968717 19948982 18916994 1031988 72043666 67635567 4408099 17388184 16540357 847827 7239978 2868849 4371129 2420804 2420804 373800 373800 30000 30000 0 293619 293619 226834262 217525501 9308761 481015 480591 424 70711762 69847703 864059 21888448 12119622 9768826 0 12753740 8094905 4658835 519610 391128 128482 0 0 2868136 2851569 16567 0 35272425 30173654 5098771 2892164 2892164 UTILITIES 2971329 2963294 8035 LICENSES & TAXES 915311 299503 615808 DUES & SUBSCRIPTIONS 1002887 438381 564506 RECRUITMENT 117256 83901 33355 UNCOLLECTIBLES 9875210 9875210 12149479 5683610 -1112520 7578389 745269537 681511480 55975364 7782693 1495 1495 114625502 192226010 83286607 57843618 105379667 113543467 4691316 4893467 1961983 3158744 636743818 214350724 419045585 422393094 398189506 380607036 13028856 4319448 223734404 222630307 1363944921 1401616686 62967829 66570617 150784676 150654973 82133348 96575908 295885853 313801498 X 639740783 758035663 145729331 104749020 282588954 225030505 1068059068 1087815188 1363944921 1401616686 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 143156 true 76238 false 219394 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 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. 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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 4,447,133 true true true X 400. true X true false true true 580 1087736 1087736 0.00150 16407 240347362 120217586 120129776 0.16340 6405 16068345 7231038 8837307 0.01200 23392 257503443 127448624 130054819 0.17690 8 7993 1895846 21532 1874314 0.00250 3 153 10931369 10931369 0.01490 1 53 160000 160000 0.00020 2 5 281300 281300 0.00040 7 6761 1116691 100000 1016041 0.00140 21 14965 14385206 121532 14263024 0.01940 21 38357 271888649 127570156 144317843 0.19630 1 43423 43423 0.00010 2 4380 8307 8307 2 44586 44586 0.00010 1 142784 142784 0.00020 6 4380 239100 239100 0.00040 true 2844060 0 2016843 5030831 -3013988 X true true NICU OPERATING CO NICU OPERATION - HEALTHCARE 0.49000 SVMHSLPCH JOINT VEN NICU OPERATION - HEALTHCARE 0.32000 LPCH AT STANFORD

725 WELCH ROAD PALO ALTO CA 94304

X X X X NOT 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 I true SCHOOL HEALTH CLINICS OF SANTA CLARA 5671 SANTA TERESA BLVD SAN JOSE CA 95123 770031679 501(c)(3) 40000 DIETICIAN SUPPORT SAN JOSE UNIFIED SCHOOL DISTRICT 855 LENZEN AVE SAN JOSE CA 95126 776002606 170(c) 265000 SCHOOL NURSE PROJECT SILICON VALLEY COMMUNITY FOUNDATION 2440 W CAMINO REAL MOUNTAIN VIEW CA 94040 205205488 501(c)(3) 50000 HEALTHY KIDS PROG. EATING DISORDERS RESOURCE CENTER 2105 S BASCOM AVE STE 220 CAMPBELL CA 95008 680616393 501(c)(3) 7500 CONTRIBUTION TO SUPPORT OPERATIONS RAVENSWOOD FAMILY HEALTH CENTER 1798A BAY RD EAST PALO ALTO CA 94303 943372130 501(c)(3) 90000 PEDIAT SERV. RAVENSWOOD FAMILY HEALTH CENTER 1798A BAY RD EAST PALO ALTO CA 94303 943372130 501(c)(3) 296426 MENTAL HEALTH SERV. FOR CHILDREN PATHWAYS HOSPICE FOUNDATION 585 NORTH MARY AVENUE SUNNYVALE CA 94085 770280660 501(c)(3) 5500 HEART BREAKFAST SPONS 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) 15000 FUNDRAISING EVENT HEALTHTEACHER INC 5500 MARYLAND WAY SUITE 200 BRENTWOOD TN 37027 203456491 60822 ONLINE HEALTH EDUCATION HEALTHTEACHER INC 5500 MARYLAND WAY SUITE 200 BRENTWOOD TN 37027 203456491 17500 COOR. FOR ONLINE PROG. YWCA OF SILLICON VALLEY THRID STREET SAN JOSE CA 95112 941186196 501(C)(3) 6500 SPONSORSHIP FOR AWARDS DINNER SUSTAINABLE VALLEY FOUNDATION 224 AIRPORT PKWY SUITE 620 SAN JOSE CA 95110 912140464 501(C)(3) 5500 SPON. EVENT SANTA CLARA FAMILY HEALTH FOUNDATION 210 HACIENDA AVENUE CAMPBELL CA 95008 770545774 501(C)(3) 50000 HEALTHY KIDS PROG. 12 2 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. 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. X true true X X X X X false true false false false false false true false KENNETH L COX MD 0 246110 0 234542 0 600 0 24500 0 1938 0 507690 0 0 CHRISTOPHER G DAWES 0 685258 0 335167 0 46595 0 26950 0 21124 0 1115094 0 0 MARTHA MARSH 0 964921 0 842913 0 79236 0 22050 0 15781 0 1924901 0 0 PHILIP PIZZO MD 0 582187 0 0 0 19583 0 229500 0 24615 0 855885 0 0 THOMAS KRUMMEL MD 0 501560 0 472638 0 1039 0 24500 0 35879 0 1035616 0 0 SUSAN S FLANAGAN 0 489454 0 142541 0 66804 0 0 0 20540 0 719339 0 0 CHRISTY SANDBORG MD 0 187227 0 143841 0 0 0 23333 0 27931 0 382332 0 0 TIMOTHY W CARMACK 0 436147 0 134464 0 51130 0 22050 0 6969 0 650760 0 0 HUGH O BRODOVICH MD 0 397455 0 207400 0 20076 0 15124 0 19549 0 659604 0 0 PAMELA A MOLANO 0 318600 0 101100 0 60445 0 0 0 10780 0 490925 0 0 PAMELA J WELLS 0 269028 0 62662 0 93202 0 22050 0 8052 0 454994 0 0 OWEN R AURELIO 0 254467 0 64633 0 24101 0 0 0 20223 0 363424 0 0 MARK TORTORICH 0 282485 0 61544 0 69425 0 22050 0 10729 0 446233 0 0 BRADFORD TOUSSAINT 0 262308 0 57999 0 46088 0 22050 0 20231 0 408676 0 0 JAMES MCCAUGHEY 0 299532 0 90773 0 8768 0 22050 0 19670 0 440793 0 0 GREGORY SOUZA 0 285926 0 88785 0 96577 0 0 0 1648 0 472936 0 0 ROSALINA LUNA 0 168962 0 1000 0 138767 0 23645 0 12693 0 345067 0 0 EDWARD KOPETSKY 0 362635 0 103000 0 48496 0 0 0 15727 0 529858 0 0 KATHLEEN SCHNEIDER 0 241488 0 41257 0 30461 0 21734 0 13527 0 348467 0 0 HOUSING SCHEDULE J, PART I, LINE 1 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 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. CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033fpb0 2003-07-09 118112900 to finance health facilities false false California Health Facilities Financing Authority 521643828 13033F5e6 2008-08-13 93450000 refinance 2003 issue false false 57205000 1656550 127091433 2009 false false true true 93450000 1050000 true false true true false false true false true 0.00000 0.00000 0.00000 false false true false true 0.00000 0.00000 0.00000 false true false false true false false true false false false true BETH DAWES SEE SCHEDULE O 59600 COMP FOR EMPLOYMENT false KATHLEEN COX SEE SCHEDULE 0 198408 COMP FOR EMPLOYMENT false MEDTRONIC SEE SCHEDULE O 1666381 PAYMENT FOR PRODUCTS false 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 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. SU BOARD OF TRUSTEES OF LSJU 3145 PORTER DRIVE PALO ALTO CA 94304 941156365 TEACHING&RSCH CA 501(c)(3) 170(B)IAii NA STANFORD HOSPITAL AND CLINICS 300 PASTEUR DRIVE MC5555 STANFORD CA 94305 946174066 HEALTH CARE CA 501(c)(3) 170(B)IAIII NA false false false false false false false false false false false true false true false false false false STANFORD HOSPITAL AND CLINIC (SHC) L,N 85166545