2015-07-15T18:53:10-05:00 2014-08-31 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2013-09-01 770003859 Lucile Salter Packard Children's Hospital at Stanford % FINANCE DEPARTMENT LUCI 6504978000 725 Welch Road MC 5553 Suite Palo Alto CA 94304 DANA HAERING CFO 6507212222 2015-07-15 true GWEN SPENCER P00641463 6507212222 2013 2016-03-07 17:11:31Z Christopher G Dawes 725 WELCH ROAD PALO ALTO CA 94304 1138669218 false X www.lpch.org X 1983 CA SEE SCHEDULE O 31 21 3451 852 0 45437520 42069111 1079377262 1055949686 23031662 35746360 19599861 1980523 1167446305 1135745680 1222061 667833 0 0 404751152 428833531 0 0 12859579 566960980 607776183 972934193 1037277547 194512112 98468133 2229306180 2610509922 550981545 757117005 1678324635 1853392917 X SEE SCHEDULE O false false 305109000 339053000 SEE SCHEDULE O 207979000 268513000 SEE SCHEDULE 0 119967000 113445000 SEE SCHEDULE O 291092265 667833 334938686 924147265 true true false true false false false true false true true true false false true true false true false false true false false false false false true true true false true true false false false false false false false false true true false false false false false true true true false false true 289 0 true 3451 false false false false false false false false false false X 31 21 true false false false true true true 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 ELIZABETH DUNLEVIE DIRECTOR (until 12/31/13) 2.0 0.0 X KENNETH L COX MD DIRECTOR/CMO 2.0 52.0 X 0 502463 28764 CHRISTOPHER G DAWES PRESIDENT/CEO 50.0 2.0 X X 1371522 369620 MARIANN BYERWALTER DIRECTOR 2.0 2.0 X DAVID ALEXANDER MD DIRECTOR 2.0 0.0 X THOMAS KRUMMEL MD DIRECTOR 2.0 51.0 X 0 1031725 54929 CHRISTY SANDBORG MD DIRECTOR 2.0 50.0 X 0 407682 44516 BERNADINE C FONG DIRECTOR 2.0 1.0 X DANA G MEAD JR DIRECTOR 2.0 0.0 X MARY B CRANSTON CHAIR 2.5 2.0 X X HARRY R HAGEY DIRECTOR 2.0 0.0 X HUGH O'BRODOVICH MD DIRECTOR 2.0 50.0 X 0 680430 47166 SUSAN ORR VICE CHAIR 2.0 0.0 X X ANNE BASS DIRECTOR 2.0 0.0 X JEFFREY CHAMBERS DIRECTOR 2.0 0.0 X 13506 JONATHAN COSLET DIRECTOR 2.0 0.0 X WILLIAM CROWN DIRECTOR 2.0 0.0 X SUSAN FORD DORSEY DIRECTOR 2.0 0.0 X ANN LIVERMORE DIRECTOR 2.0 0.0 X AMIR DAN RUBIN DIRECTOR 2.0 52.0 X 0 2864651 347333 J TAYLOR CRANDALL DIRECTOR 2.0 0.0 X JANE SHAW DIRECTOR 2.0 2.0 X VAUGHN WILLIAMS DIRECTOR 2.0 2.0 X JAMES WOODY MD DIRECTOR 2.0 0.0 X Lloyd B Minor MD DIRECTOR 2.0 52.0 X 0 1727637 375607 Frank Lee Director 2.0 2.0 X John Lillie Director 2.0 0.0 X John Levin Director (as of 1/1/14) 2.0 0.0 X Janesta Noland Director 2.0 0.0 X Joel Podolny Director 2.0 0.0 X Jorge Titinger Director 2.0 0.0 X JOHN WALKER DIRECTOR 2.0 0.0 X DAVID GRUBB DIRECTOR (UNTIL 12/31/13) 2.0 0.0 X TIMOTHY W CARMACK VP & CFO (UNTIL 1/3/14) 50.0 2.0 X 785027 52970 ANNE McCUNE CHIEF OPERATING OFFICER 50.0 0.0 X 717096 87943 DANA HAERING INT CFO/CNTRLR(AS OF 11/19/13) 50.0 2.0 X 276451 26162 OWEN R AURELIO VP CLINICAL SERVICES 50.0 0.0 X 348627 73777 MARK TORTORICH VP PLANNING, DESIGN, CONSTRUC 25.0 25.0 X 0 421955 46569 EDWARD KOPETSKY VP & CIO 50.0 0.0 X 678321 107892 KIM ROBERTS INT CSO/CAO PHYSICIANS 25.0 25.0 X 436814 112408 SUSAN COSTELLO VP Patient Care Srvcs & CNO 50.0 0.0 X 522647 19838 Craig T Albanese VP OF QUALITY & PI 63.0 12.0 X 0 661292 81131 JAMES MCCAUGHEY SR VP BUS DEV & STRAT PLNG 50.0 0.0 X 452303 67037 GREGORY J SOUZA VP HR 50.0 0.0 X 515804 26266 WARREN CHANDLER LPCH Assistant CIO 50.0 0.0 X 385084 49380 JEANNINE D'ADDARIO CHIEF MARKETING OFFICER 50.0 0.0 X 386496 39966 ROSALINA LUNA Clinical Nurse IV 50.0 0.0 X 358919 42140 7235111 8311341 2101414 1445 false true false DPR CONSTRUCTION INC 1450 VETERANS BLVD REDWOOD CITY CA 94063 CONTRACT/CONSTRUCT 89351346 SHC 300 PASTEUR DRIVE STANFORD CA 94305 MEDICAL LAB SVCS 83769482 STANFORD UNIVERSITY 450 SERRA MALL STANFORD CA 94303 LEGAL & OTH. 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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 FY14, ROUGHLY 20% OF THE CHIEF GOVERNMENT RELATIONS OFFICER AND ROUGHLY 20% OF THE SENIOR POLICY MANAGER'S TIME WAS SPENT ON LOBBYING ON SPECIFIC LEGISLATIVE ISSUES-VALUE APPROXIMATELY $91,223 (INCLUDES DOLLARS ALLOCATED FOR BENEFITS). IN ADDITION, LPCH PAID TWO EXTERNAL LOBBYISTS IN FY14. LPCH BELONGS TO CERTAIN TRADE ASSOCIATIONS ON WHICH A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS SPENT ON EFFORTS TO INFLUENCE LEGISLATIVE MATTERS IN THE HEALTH CARE INDUSTRY. DURING THE FY2014, LPCH PAID DUES OF APPROXIMATELY $831,990 TO THESE TRADE ASSOCIATIONS AND THE APPROXIMATE AMOUNT OF THE DUES SPENT ON LOBBYING PURPOSE WAS $668,767. 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MANAGED POOL 943894768 F LIMITED ASSETS HELD BY TRUSTEE 259471534 F 1203366302 0 DUE TO GOVERNMENT AGENCIES 1514701 DUE TO RELATED PARTIES, NET 21722908 SELF-INSURANCE RESERVE 39101909 62339518 X SCHEDULE D, PART III, LINE 4 LPCH DOES NOT RECOGNIZE CONTRIBUTIONS OF WORKS OF ART ON LPCH'S FINANCIALS SINCE 1) THEY ARE HELD FOR PUBLIC EXHIBITION RATHER THAN FINANCIAL GAIN; 2) THEY ARE PROTECTED, KEPT UNENCUMBERED, CARED FOR, AND PRESERVED; 3) ARE SUBJECT TO AN ORGANIZATIONAL POLICY THAT REQUIRES THE PROCEEDS FROM SALES OF COLLECTION ITEMS TO BE USED TO ACQUIRE OTHER ITEMS FOR COLLECTION. SCHEDULE D, PART V, LINE 4 LPCH'S ENDOWMENT CONSISTS OF VARIOUS INDIVIDUAL FUNDS. THE USES OF THE FUNDS ARE RESTRICTED TO DONORS' STIPULATIONS. THESE FUNDS ARE USED TO SUPPORT THE MISSION OF LPCH. SCHEDULE D, PART X IN ACCORDANCE WITH THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT REGULARLY EVALUATES ITS TAX POSITIONS AND DOES NOT BELIEVE THE...HOSPITAL HA[S] ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE FINANCIAL STATEMENTS. 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PART I, LINE 7 SOME OF THE AMOUNTS IN LINE 7 WERE CALCULATED BASED ON A COST ACCOUNTING SYSTEM. THESE ITEMS INCLUDE CHARITY CARE AT COST, UNREIMBURSED MEDICAID COST, AND UNREIMBURSED COSTS RELATED TO OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS, BUT EXCLUDES RESEARCH AND SOME GRANT RELATED COSTS. OTHER BENEFIT COSTS ARE DIRECT, SEPARATELY IDENTIFIABLE COSTS INCURRED BY THE ORGANIZATION. Part II Community Building Activities LPCH invests in various Community Building activities in order to improve the community's health through a focus on the root causes of health problems, such as poverty, environmental issues, etc. LPCH'S Community Building activities include: support for community-based nonprofits working to address the root causes of health issues for children and expectant mothers; support for community emergency management, advocacy for children's health issues, and support for organizations working on economic development in the community. PART III, LINE 2 THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 2 IS BASED ON A COST ACCOUNTING SYSTEM. THE HOSPITAL APPLIED THE SAME SYSTEMWIDE COST TO CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM TO ITS 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 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 ITS RESERVES FOR DOUBTFUL ACCOUNTS, AND WRITE-OFFS TO BAD DEBT FOR SUCH THINGS AS THE PATIENT LIABILITY. BAD DEBT WRITE-OFFS RESULT FROM UNSETTLED ACCOUNTS WHERE THE INABILITY TO PAY HAS NOT BEEN DETERMINED. BAD DEBT WRITE-OFFS DO NOT APPLY TO ACCOUNTS THAT QUALIFY FOR CHARITY (IF AN ACCOUNT WAS INITIALLY DEEMED BAD DEBT BUT SUBSEQUENT INFORMATION QUALIFIED IT FOR CHARITY, THE BAD DEBT WRITE-OFF IS REVERSED AND REPLACED WITH CHARITY WRITE-OFFS). PART III, LINE 8 THE MEDICARE SHORTFALL OF ($3,820,108) 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 SHALL NOT, IN DEALING WITH PATIENTS ELIGIBLE UNDER LPCH'S CHARITY CARE OR DISCOUNT PAYMENT POLICIES, USE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. PART VI, LINE 2 LPCH participates in collaborative processes in San Mateo and Santa Clara counties that assess community health needs. The Affordable Care Act, enacted by Congress on March 23, 2010, and California Senate Bill 697 stipulates that non-profit hospital organizations complete a community health needs assessment every three years. LPCH fulfilled this requirement by conducting the assessment between September 2012 and March 2013, documenting it in May 2013 and posting it to the LPCH website. Per IRS requirements, the assessment included feedback from the community and experts in public health and clinical care and took into account the health needs of vulnerable populations, including minorities, those with chronic illness, low-income populations, and medically underserved populations. The community health needs assessment, and the resulting list of the prioritized health needs, are to serve as the basis for community benefit investments between 2014 and 2016. LPCH collaborated with other hospitals, the public health departments in two counties, and community organizations to prepare the 2013 triennial community-wide health needs assessments mandated under California Senate Bill 697 and the IRS. For more information about our 2013 Community Health Needs Assessment process and findings, please visit our website: http://www.communitybenefit.stanfordchildrens.org LPCH is currently in the process of conducting the next Community Health Needs Assessment to be completed in 2016. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FINANCIAL COUNSELING DEPARTMENT WORKS DIRECTLY WITH ANY PATIENT WHO EXPRESSES QUESTIONS OR CONCERNS ABOUT THEIR ABILITY TO PAY FOR SERVICES. FURTHER, FINANCIAL ASSISTANCE POLICIES ARE POSTED AND AVAILABLE IN ALL PATIENT CHECK-IN AREAS,ONLINE, AND ON PATIENT BILLING CORRESPONDENCE. ALL PATIENT SCHEDULING, REGISTRATION, CHECK-IN, AND CUSTOMER SERVICE STAFF ARE EDUCATED ON POLICIES AND ARE TRAINED TO DIRECT PATIENTS TO THE FINANCIAL COUNSELING DEPT. A. PUBLIC NOTICE CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY IS GIVEN BY THE FOLLOWING MEANS: 1. NOTICES ARE POSTED IN VISIBLE LOCATIONS WHERE THERE ARE HIGH VOLUMES OF INPATIENT AND/OR OUTPATIENT ADMITTING/REGISTRATIONS, BILLING OFFICES, ADMITTING OFFICES AND HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. POSTED NOTICES EXPLAIN THAT LPCH HAS A VARIETY OF OPTIONS AVAILABLE INCLUDING FINANCIAL ASSISTANCE AND DISCOUNTS TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED. 3. NOTICES INCLUDE A CONTACT TELEPHONE NUMBER A PATIENT CAN CALL TO OBTAIN MORE INFORMATION ABOUT THE POLICY AND TO APPLY FOR FINANCIAL ASSISTANCE. B. THE LPCH WEBSITE INCLUDES AN EXPLANATION OF THE FINANCIAL ASSISTANCE/CHARITY CARE POLICY, THE UNINSURED PATIENT DISCOUNT POLICY, THE AVAILABILITY OF SUCH ASSISTANCE AND DISCOUNTS, AND A CONTACT TELEPHONE NUMBER. C. LPCH BILLING STATEMENTS INFORM THE PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE BY CONTACTING THE LPCH CUSTOMER SERVICE CENTER. PART VI, LINE 4 LPCH is a regional hospital serving children, adolescents, and pregnant women from the greater San Francisco Bay Area, northern California, California and the western United States, community benefit programming is focused largely on Santa Clara and San Mateo counties, although we do perform community benefit projects in neighbouring counties as our patients span the breadth of the San Francisco Bay Area. Santa Clara and San Mateo counties are two counties are primarily urban-suburban, with some small rural communities along the San Mateo coast. There are 20 incorporated cities in San Mateo County and 15 in Santa Clara County, ranging from populations of 1 million to small enclaves of under 10,000. According to the latest (2010 & 2013 estimates) United States Census Bureau data, San Mateo County has a population of 747,373; 257,941 households; and 174,540 families with 30.7% having children under age 18. 21.7% of the total population is under age 18. Median household income is $88,202 with per capita income at $45,732. About 7.6% of the population is below the FPL, with 11% of those under age 18 living in poverty. Ethnic breakdown in San Mateo County: 25.4% Hispanic/Latino; 41.1% Caucasian/white; 28.5% Asian/Pacific Islander; 4.4% multi-ethnic; 3% African-American, and 0.9% Native American. Santa Clara County has a population of 1,862,041; 609,377 households; and 435,873 families, with 38.8% of the households having children under 18. 23.4% of the population is under age 18. Median household income is $91,702, with per capita inocme at $41,513. About 10.2% of the population is below the FPL, with 13% of those under age 18 living in poverty. Ethnic breakdown in Santa Clara County: 26.8% Hispanic/Latino; 33.9% Caucasian/white; 34.6% Asian/Pacific Islander; 4% Multi-ethnic; 2.2% African-American; 1.4% Native-American. San Mateo and Santa Clara counties are two of the most affluent counties in the nation. But, there are huge income disparities between the very wealthy whose numbers and magnitude of net worth skew data like average household income, and the very poor. In addition, the 2013 federal poverty guideline was defined as an annual income of $19,530 for a family of three. However, this guideline 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 measures how much income is needed for a family of a specific composition to adequately meet its minimal basic needs: housing, food, child care, out-of-pocket medical expenses, transportation and other necessary spending and provides a complete picture of what it takes for families to make ends meet. This standard is calculated by Dr. Diana Pearce at the University of Washington, in conjunction with Wider Opportunities for Women in Washington DC and the Insight Center of Community Economic Development. For a family of one adult, a pre-schooler and one school-aged child in San Mateo County, the income required is $78,945. In Santa Clara County, it is $77,973. The self-sufficiency income changes depending on the make-up of the family. The latest data available shows the percentage of children 0-18 living in poverty in Santa Clara County at 11% and in San Mateo County at 13%. However, as noted above, the federal poverty guidelines used to compile these numbers do not reflect the actual cost of living in these two counties, so the percentages are higher if this is taken into consideration. Another indicator is the percentage of public school children eligible to receive the free/reduced lunch programs: Most recent data suggets, 31% in Santa Clara County and 29% in San Mateo County. PART VI, LINE 5 The three priority focus areas for LPCH's community benefit work are improving access to primary health care services for children, teens and expectant mothers; preventive education programs with special attention to prevention of pediatric obesity; and improving the social and emotional health of youth. In FY2014 the hospital made multiple financial community health improvement investments to many nonprofit partners in the community in order to address these focus areas. These programs are fully described in the FY2014 Community Benefit Report and FY2015 Community Investment Plan filed February, 2015 with the State of California Office of Statewide Health Planning and Development. This is a brief listing of hospital-sponsored programs and support for programs managed by other community organizations that support each focus area: Focus Area One: Improving access to primary health care services for children, teens and expectant mothers . Members of the two counties have expressed concern about inadequate access to health insurance, financial means to obtain medication, transportation to access health facilities . There is a lack of primary care and specialty physicians in certain areas of the community . There is a lack of specialty physicians that speak languages in addition to English Strategy ----Interventions will include improved care coordination between health care organizations and systems as well as sustainable adoption and implementation of the medical home model. Focus Area Two: Prevention and treatment of pediatric obesity . More than 30% of San Mateo County newborns have high birth-WEIGHT . Hispanic/Latino children have the highest rates of obesity . An increasing amount of young patients are being diagnosed with diabetes in Santa Clara County Strategy----A holistic approach will be utilized to address the social determinants of maintaining a healthy weight, including the built environment and legislative policy, as well as the dissemination of evidence-based clinical treatment programs to children and families in the community. Focus Area Three: Improving the social and emotional health of children and youth . One fourth of kids in the community have reported feeling hopeless, depressed, and suicidal . The increased amount of youth suicides in 2008 and 2009 have raised awareness about youth mental instability . Domestic abuse and child abuse for certain ethnic subgroups is prevalent . Substance abuse is of high concern in Santa Clara and San Mateo Counties: 40% of San Mateo County eleventh graders reported they have tried marijuana; 12-13% of eleventh graders binge drink. Strategy ----Interventions will address the proven link between poor social, emotional, and mental health and poor behavioral health, including substance abuse and violence. In addition to providing direct services or funding others to provide community programs, LPCH, as an academic medical center invests significantly in training the health-care professionals of the future. In FY2014, LPCH invested $10,081,960 in health professions education. In addition to these substantial investments, the hospital invested in multiple community building activities (as defined by IRS) in the amount of $328,528, including advocacy for children's health issues. Furthermore, LPCH's leadership volunteers on multiple community boards, as listed below: . Abilities United . Project Cornerstone . Avenidas . Ravenswood Family Health Center . Health Improvement Partnership -- Santa Cruz . Ronald McDonald House . Kids in Common . Santa Clara Family Health Plan . March of Dimes . San Mateo County Health System -- Nurse Family Partnership Part VI, Line 7 CA true RAVENSWOOD FAMILY HEALTH CENTER 1798A BAY RD EAST PALO ALTO CA 94303 943372130 501(c)(3) 369000 Pediatrician & Mental Health Services for Children & adolescents HEALTH TEACHER INC 5500 MARYLAND WAY SUITE 200 BRENTWOOD TN 37027 203456491 C CORP 71833 Usage of online Health Education SAN MATEO COUNTY CHILDREN'S HEALTH INITIATIVE 701 GATEWAY BLVD SAN FRANCISCO CA 94080 946000532 501(C)(3) 50000 HEALTHY KIDS PREMIUMS United Way of Santa Cruz County 4450 Capitola Road Capitola CA 95010 941422471 501(c) (3) 50000 Community Investment for Health Kids Santa Cruz YMCA of Silicon Valley 80 Saratoga Ave Santa Clara CA 95051 941156318 501(c)(3) 10000 Support for Reach & Rise program Puente 620 NORTH STREET PESCADERO CA 94060 371484262 501(c) (3) 60000 Support for care coordination for South San Mateo County Coast residents Mayview Community Health Center 670 Grant Ave Palo Alto CA 94306 942239648 501(c)(3) 50000 6 1 SCHEDULE I, PART I, LINE 2 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 consults its most recent Community Health Needs Assessment in order to identify priority focus areas for hospital funding, identifies community organizations that are already working in that focus area, and identifies projects that are already addressing an issue and then commits funding to it. Or, the hospital may design, together with a community organization, a project that addresses an identified need and then commits funds to that project. Any organization receiving LPCH Community Investment funding must be a 501 C (3) organization or government organization located in the hospital's service area that shares the hospital's community benefit mission of improving the health status of local children, adolescents or pregnant women with a focus on serving the community's most vulnerable. In collaboration with the organization's leadership, metrics for each grant are determined annually before funding is provided. A progress report is required at six months, a site visit is conducted if appropriate, and a final annual report about progress toward metrics is required at the end of the funding cycle. In addition, a Grant Agreement accompanies each funding that clearly spells out the usage for the funds and the restricted nature of those funds. LPCH's grant making decisions receive oversight from both the Community Benefit Advisory Council, comprised of community leaders, as well as the LPCH Board of Directors. LPCH also provides smaller financial support (less than $10,000) to not-for-profit organizations serving children, adolescents and pregnant women to support their program or to present symposia, seminars or conferences. Typical examples are the hospital's sponsorship of Kids in Common's Children's Agenda 2015 conference and the hospital's support for the Eating Disorders Resource Center, which is a valued partner for the hospital in serving young people who suffer from eating disorders and their families. LPCH also provides funds in the $200 to $20,000 range to sponsor the fund-raising dinners, walks, and other events for organizations such as the March of Dimes, Ronald McDonald House, Local Federally Qualified Health Centers, etc. X X true true X X X X X false true false false false false false true false KENNETH L COX MD DIRECTOR/CMO 0 272940 0 228923 0 600 0 25500 0 3264 0 531227 0 0 CHRISTOPHER G DAWES PRESIDENT/CEO 854552 343284 173686 340500 29120 1741142 0 THOMAS KRUMMEL MD DIRECTOR 0 551504 0 479721 0 500 0 25500 0 29429 0 1086654 0 0 CHRISTY SANDBORG MD DIRECTOR 0 233321 0 174361 0 0 0 24011 0 20505 0 452198 0 0 TIMOTHY W CARMACK VP & CFO (UNTIL 1/3/14) 464978 115811 204238 39837 13133 837997 112670 HUGH O'BRODOVICH MD DIRECTOR 0 455205 0 197023 0 28202 0 24808 0 22358 0 727596 0 0 OWEN R AURELIO VP CLINICAL SERVICES 261822 46101 40704 38858 34919 422404 0 MARK TORTORICH VP PLANNING, DESIGN, CONSTRUC 0 280394 0 84035 0 57526 0 22950 0 23619 0 468524 0 0 JAMES MCCAUGHEY SR VP BUS DEV & STRAT PLNG 324321 77748 50234 40500 26537 519340 0 GREGORY J SOUZA VP HR 381144 59259 75401 23000 3266 542070 0 EDWARD KOPETSKY VP & CIO 438020 142735 97566 82701 25191 786213 53685 AMIR DAN RUBIN DIRECTOR 0 1617073 0 940000 0 307578 0 306226 0 41107 0 3211984 0 256827 KIM ROBERTS INT CSO/CAO PHYSICIANS 334136 66176 36502 76603 35805 549222 28419 Lloyd B Minor MD DIRECTOR 0 1300912 0 250000 0 176725 0 302550 0 73057 0 2103244 0 0 ANNE McCUNE CHIEF OPERATING OFFICER 500146 113344 103606 61951 25992 805039 0 DANA HAERING INT CFO/CNTRLR(AS OF 11/19/13) 242637 33814 0 17500 8662 302613 0 SUSAN COSTELLO VP Patient Care Srvcs & CNO 501800 0 20847 0 19838 542485 0 WARREN CHANDLER LPCH Assistant CIO 300714 81993 2377 23000 26380 434464 0 JEANNINE D'ADDARIO CHIEF MARKETING OFFICER 280456 82183 23857 5998 33968 426462 0 ROSALINA LUNA Clinical Nurse IV 197188 0 161731 23000 19140 401059 0 Craig T Albanese VP OF QUALITY & PI 0 302228 0 359064 0 0 0 25500 0 55631 0 742423 0 0 SCHEDULE J, PART I, LINE 1A FIRST CLASS TRAVEL ONE OFFICER AND TWO DIRECTORS OF THE ORGANIZATION TRAVELED FIRST CLASS VIA AIR IN CONNECTION WITH THE BUSINESS PURPOSES OF LPCH. SUCH TRAVEL WAS TREATED AS NON-TAXABLE AND REVIEWED AND APPROVED PURSUANT TO THE ORGANIZATION'S TRAVEL EXPENSE REIMBURSEMENT POLICY. HOUSING TWO OFFICERS, ONE KEY EMPLOYEE AND ONE HIGHEST COMPENSATED EMPLOYEE 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 LPCH AND stanford health care ("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 2013: CHRISTOPHER G. DAWES $147,465 TIMOTHY W. CARMACK $169,238 EDWARD KOPETSKY $53,685 KIM ROBERTS $29,757 OWEN R. AURELIO $21,921 GREGORY J. SOUZA $46,377 JAMES MCCAUGHEY $40,176 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C). CHRISTOPHER DAWES, PRESIDENT OF LPCH HAS A NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. UNDER THE AGREEMENT, MR. DAWES RECEIVES AN ANNUAL CREDIT TO HIS ACCOUNT THROUGH 2016 PROVIDED HE REMAINS EMPLOYED IN HIS CURRENT POSITION. AMOUNTS CREDITED UNDER THE PLAN WILL BE PAYABLE UPON THE EARLIER OF: (1) TERMINATION WITHOUT CAUSE; (2) DISABILITY; (3) DEATH; OR (4) AUGUST 31, 2016 PROVIDED MR. DAWES REMAINS EMPLOYED AT THAT DATE. THE CREDIT TO MR. DAWES ACCOUNT FOR CALENDER YEAR 2013 OF $300,000 IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). LLOYD B. MINOR PARTICIPATES IN A DEFERRED COMPENSATION PLAN AT STANFORD UNIVERSITY, A RELATED ORGANIZATION. ANNUALLY, AMOUNTS ARE CREDITED TO THE PLAN BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. THESE AMOUNTS APPEAR IN SCHEDULE J, PART II, COLUMN C. PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET. SCHEDULE J, PART I, LINE 7 CERTAIN OFFICERS AND OTHERS AS ENUMERATED IN SCHEDULE J, PART II PARTICIPATE IN A DEFERRED COMPENSATION PLAN SPONSORED BY LPCH. 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. LPCH HAS AN ANNUAL PERFORMANCE INCENTIVE PLAN. PERFORMANCE TARGETS AND PAYOUT METRICS ARE ESTABLISHED AND APPROVED BY THE COMPENSATION COMMITTEE AT THE BEGINNING OF EACH PERFORMANCE CYCLE. CERTAIN INDIVIDUALS ALSO RECEIVED DISCRETIONARY BONUSES RECOMMENDED BY THE CEO AND APPROVED BY THE COMPENSATION COMMITTEE. SCHEDULE J, PART II, DESCRIPTION FOR COLUMN B(III) OTHER REPORTABLE COMPENSATION IN SCHEDULE J, COLUMN B-III INCLUDES HOUSING ASSISTANCE, SEVERANCE PAYMENTS, SERP CASH DISTRIBUTION, ACCRUED VACATION PAY OUT, AND GROUP TERM LIFE. IN ADDITION, LPCH HAS PROVIDED VARIOUS ITEMS OF "LISTED PROPERTY" (E.G. COMPUTERS AND PERIPHERALS) TO THE ABOVE LISTED EMPLOYEES PRINCIPALLY FOR THEIR BUSINESS USE. Compensation of Leased Employees Schedule J, Part II Prior to December 22, 2012, LPCH leased its employees from Stanford Health Care (SHC) and reimbursed SHC for the cost of its employees. Starting December 22, 2012, LPCH assumed the Payroll function from SHC. LPCH, at that point, no longer leased its employees and they became employees of LPCH. The total number of employees for the fiscal year 2014 was 3,288. A CALIFORNIA HEALTH FACILITIES FINAN AUT 521643828 13033LWQ6 2012-03-21 93450000 REFUND 2008 ISSUE false false false B CALIFORNIA HEALTH FACILITIES FINAN AUT 521643828 13033LWR4 2012-03-21 270684581 FINANCE HEALTH FAC&REDEMPTION OF false false false C CALIFORNIA HEALTH FACILITIES FINAN AUT 521643828 13033L3G0 2014-05-08 208381669 FINANCE HEALTH FACILITY false false false A 0 0 93450000 0 0 0 547136 0 0 0 92902864 0 true false true true B 0 0 270684581 0 2021018 0 2687575 0 0 158058927 58857496 49059565 false true false true C 0 0 208381669 0 1042387 0 1996822 0 0 0 0 205342460 false false false true A false false true true false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false true false false 0 false 0 false true B false true true false false 0 false 0 false true C false true true false 0 false 0 false true A true B true C true Schedule K, Part IV, Line 2C ARBITRAGE REBATE ANALYSIS HAS BEEN PERFORMED FOR 2008 SERIES A,B, AND C BONDS AND 2012 SERIES A AND B BONDS IN FY2013. THE DATES OF THE ANALYSES IS PROVIDED BELOW. NO PAYMENT WAS DUE TO THE IRS FOR THESE BONDS IN FY2014 BOND A ARBITRAGE ANALYSIS OPINION LETTER ISSUED ON 9/26/2013 FOR BOND A. BOND B ARBITRAGE ANALYSIS OPINION LETTER ISSUED ON 4/4/2013 FOR BOND B. ELIZABETH DAWES SEE PART V 73474 COMP FOR EMPLOYMENT false KATHLEEN COX SEE PART V 188268 COMP FOR EMPLOYMENT false ANGELA KOPETSKY SEE PART V 128521 COMP FOR EMPLOYMENT false LUKE AURELIO SEE PART V 91786 COMP FOR EMPLOYMENT false SUMIT INSURANCE COMPANY SEE PART V 3761408 INSURANCE false McKesson SEE PART V 116412 SUPPLIES false Hewlett Packard SEE PART V 714466 IT SUPPORT false FORM 990, SCHEDULE L, PART IV COLUMN (B) ELIZABETH DAWES: EMPLOYEE IS A FAMILY MEMBER OF AN OFFICER. KATHLEEN COX: EMPLOYEE IS A FAMILY MEMBER OF A DIRECTOR. ANGELA KOPETSKY: EMPLOYEE IS A FAMILY MEMBER OF A KEY EMPLOYEE. LUKE AURELIO: EMPLOYEE IS A FAMILY MEMBER OF A KEY EMPLOYEE. SUMIT INSURANCE COMPANY: AN OFFICER AND A DIRECTOR OF LPCH ARE VOTING MEMBERS OF THE SUMIT INSURANCE COMPANY BOARD OF DIRECTORS. THE OFFICERS DID NOT PARTICIPATE IN ANY WAY IN DECISION MAKING OR DISCUSSION OF THE RELATIONSHIP BETWEEN LPCH AND SUMIT INSURANCE COMPANY. McKesson: A Director of LPCH is also a Director of McKesson. The director did not participate in any way in decision making or discussion of the relationship between LPCH and McKesson. Hewlett Packard : A Director of LPCH is also a Director of Hewlett Packard. The director did not participate in any way in decision making or discussion of the relationship between LPCH and Hewlett Packard. ORGANIZATION'S PRIMARY EXEMPT PURPOSE FORM 990, PART I, LINE 1 THE SPECIFIC AND PRIMARY EXEMPT PURPOSES OF 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 health care ("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 SHC. FORM 990, PART III, LINE 4a PROGRAM SERVICE DESCRIPTION JOHNSON CENTER OF EXCELLENCE THE JOHNSON CENTER IS A CENTER OF EXCELLENCE THAT ENCOMPASSES MATERNITY CARE AND HIGH RISK OBSTETRICS AS WELL AS HEALTHY NEWBORN AND NEONATAL INTENSIVE CARE BUILT UPON A SUCCESSFUL ACADEMIC-COMMUNITY HOSPITAL PARTNERSHIP. WITH STRONG SUPPORT FROM LOCAL PROVIDERS, OBSTETRICIANS IN PRIVATE PRACTICE CONTINUE TO CHOOSE LPCH TO DELIVER THEIR PATIENTS. THE CENTER'S SERVICES INCLUDE PRENATAL DIAGNOSIS, GENETIC COUNSELING, HIGH RESOLUTION FETAL ULTRASOUND SERVICES, HIGH RISK PRENATAL CARE, DELIVERY, LACTATION AND PARENTING SUPPORT AND NEWBORN INTENSIVE CARE. IN ADDITION, THE BEHAVIORAL-DEVELOPMENT PEDIATRICS PROGRAM OFFERS LONG-TERM FOLLOW-UP FOR PATIENTS GRADUATING FROM THE NEONATAL INTENSIVE CARE UNIT. THE JOHNSON CENTER ALSO MANAGES SEVERAL CLINICAL OUTREACH SERVICES IN MATERNAL-FETAL MEDICINE, PROVIDING EARLY DIAGNOSIS AND CONSULTATIVE SERVICES FOR HIGH RISK MATERNITY CARE THROUGHOUT THE REGION, INCLUDING REDWOOD CITY, MOUNTAIN VIEW, FREMONT, SALINAS AND SANTA CRUZ. 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. OBSTETRIC DISCHARGES FROM THE JOHNSON CENTER INCREASED TO 4562 IN FISCAL YEAR 2014 - COMPARED TO THE PRIOR YEAR DISCHARGES OF 4528. IN 2014 THE AVERAGE LENGTH OF STAY FOR OBSTETRIC PATIENTS WAS 3.4 DAYS. OBSTETRIC PATIENTS FROM THE PRIMARY SERVICE AREA COUNTIES OF SAN MATEO AND SANTA CLARA ACCOUNTED FOR 84% OF DISCHARGES. TWELVE PERCENT OF PATIENTS CAME FROM THE EIGHT BAY AREA COUNTIES AND 2% FROM THE REMAINING CALIFORNIA COUNTIES. THE JOHNSON CENTER NEONATAL INTENSIVE CARE UNIT SERVED A TOTAL OF 1,406 INPATIENTS IN FISCAL YEAR 2014 WITH AN AVERAGE LENGTH OF STAY OF 14.2 DAYS. OF THESE INPATIENTS, 67% WERE FROM THE PRIMARY SERVICE AREA, WITH 29% COMING FROM THE EIGHT-COUNTY BAY AREA AND 5% FROM OUTSIDE THE BAY AREA. FORM 990, PART III, LINE 4b PROGRAM SERVICE DESCRIPTION CHILDREN'S HEART CENTER THE HEART CENTER'S VISION IS TO BRING TOGETHER PROFESSIONAL AND FACILITY RESOURCES UNDER ONE CENTER OF EXCELLENCE THAT SERVES BOTH OUR LOCAL PATIENTS AND THE GREATER COMMUNITY. WITH A MULTIDISCIPLINARY TEAM SPECIALLY TRAINED TO DIAGNOSE AND TREAT INFANTS, CHILDREN, AND YOUNG ADULTS WITH CONGENITAL AND ACQUIRED HEART DISEASES, THE CENTER CARES FOR CHILDREN REQUIRING SPECIALIZED CARDIOTHORACIC SERVICES ON A NATIONAL AND INTERNATIONAL BASIS, DRAWING PATIENTS FROM ALL OVER CALIFORNIA, AT LEAST 30 DIFFERENT STATES, AND SEVERAL DIFFERENT COUNTRIES. THE PROGRAM GOALS ARE AIMED AT CONTINUING THE INTEGRATION AND EXPANSION OF THE CLINICAL, ADMINISTRATIVE, AND ACADEMIC ACTIVITIES TO BETTER SERVE OUR PEDIATRIC POPULATION -- CARDIOLOGY, CARDIAC SURGERY, CARDIAC INTENSIVE CARE, CARDIAC ANESTHESIA, AND CARDIAC IMAGING. ADDITIONALLY, WE CONTINUE TO FOCUS ON EARLY IDENTIFICATION OF CARDIAC ANOMALIES THROUGH OUR FETAL ECHOCARDIOGRAPHY PROGRAM, IN CONJUNCTION WITH THE CENTER FOR FETAL AND MATERNAL HEALTH. IN 2014, OUR VENTRICULAR ASSIST DEVICE PROGRAM CONTINUED TO GROW TO CARE FOR THE SICKEST OF CHILDREN WITH ADVANCED HEART FAILURE, AND WE IMPLANTED 39 ASSIST DEVICES OVER THE PAST THREE YEARS. IN ADDITION, WE ADDED THE HEARTWARE SYSTEM TO OUR ARMAMENTARIUM OF IMPLANTABLE DEVICES IN APPROPRIATE CASES, WHICH ALLOWS FOR THE EARLY DISCHARGE OF PATIENTS ON VENTRICULAR ASSIST DEVICES TO A HOME SETTING WHILE THEY WAIT FOR THEIR HEART TRANSPLANT. THE NUMBER OF INPATIENTS SERVED BY THE HEART CENTER INCREASED FROM 907 IN FISCAL YEAR 2013 TO 1061 IN FISCAL YEAR 2014. OF THESE, THERE WERE 513 CARDIAC SURGERIES AND 14 HEART TRANSPLANTS. THE INPATIENT PROGRAM HAD A CASE MIX INDEX OF 4.66, REFLECTING THE HIGHLY COMPLEX POPULATION THAT WE SERVE. TWENTY-EIGHT PERCENT OF PATIENTS CAME FROM OUR PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 23% CAME FROM THE EIGHT-COUNTY BAY AREA, 32% CAME FROM OTHER AREAS WITHIN CALIFORNIA, 16% CAME FROM OTHER STATES AND 1% CAME FROM OTHER COUNTRIES. FORM 990, PART III, LINE 4c PROGRAM SERVICE DESCRIPTION CANCER CENTER OF EXCELLENCE THE BASS CENTER IS A CENTER OF EXCELLENCE THAT OFFERS COMPREHENSIVE CARE AND INNOVATIVE THERAPIES FOR CHILDREN WITH CANCER AND BLOOD DISEASES. THIS STATE-OF-THE-ART FACILITY INTEGRATES INPATIENT AND OUTPATIENT CARE AND HAS A 27-BED INPATIENT UNIT (15 HEMATOLOGY/ONCOLOGY BEDS AND 12 STEM CELL TRANSPLANT BEDS) ALONG WITH A CONTIGUOUS 8-BED DAY HOSPITAL, INFUSION ROOM, LAB, AND CLINIC. THE CENTER ALSO HAS EIGHT BEDS ALLOCATED TO THE PROGRAM TO SUPPORT CHEMOTHERAPY INPATIENT INFUSIONS AT THE LPCH-LICENSED INPATIENT UNIT AT EL CAMINO HOSPITAL OF MOUNTAIN VIEW CALIFORNIA. THE CENTER IS STAFFED BY INDIVIDUALS TRAINED IN THE SPECIALIZED NEEDS OF PEDIATRIC CANCER PATIENTS AND INCLUDES APPROPRIATE ISOLATION ROOMS. THE PROGRAM DIAGNOSES AND TREATS APPROXIMATELY 230 NEW CANCER PATIENTS PER YEAR AND PERFORMED 33 STEM CELL TRANSPLANT IN FISCAL YEAR 2014. THE BASS CENTER'S GOAL IS TO OFFER A COMPREHENSIVE PROGRAM THAT WILL SERVE MORE PATIENTS, TO DEVELOP A MORE ROBUST RESEARCH PLATFORM, AND TO EXPAND THE CENTER'S GEOGRAPHIC REACH TO PROVIDE MORE CHILDREN WITH ACCESS TO THE SPECIALIZED SERVICES OFFERED BY THE CENTER. INPATIENT DISCHARGES FOR HEMATOLOGY/ONCOLOGY AND STEM CELL TRANSPLANT IN FISCAL YEAR 2014 TOTALED 1,083 WITH AN AVERAGE LENGTH OF STAY OF 8.1 DAYS. THE BASS CENTER IS A STRONG REGIONAL PROGRAM WITH 43% OF PATIENTS COMING FROM THE PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 31% FROM THE EIGHT SURROUNDING BAY AREA COUNTIES, 23% FROM OTHER CALIFORNIA COUNTIES, AND 3% FROM OUTSIDE THE STATE OF CALIFORNIA. FORM 990, PART III, LINE 4d PROGRAM SERVICE DESCRIPTION OTHER PROGRAMS IN ADDITION TO THE THREE PROGRAMS DESCRIBED ABOVE, LPCH PROVIDES CLINICAL SERVICES THROUGH THREE ADDITIONAL CENTERS OF EXCELLENCE: CENTER FOR CHILDREN'S BRAIN AND BEHAVIOR THIS CENTER SPECIALIZES IN TREATING DISORDERS OF BRAIN DEVELOPMENT AND FUNCTION, WHICH MAY MANIFEST THEMSELVES IN BEHAVIORAL, EMOTIONAL, LEARNING, LANGUAGE, DEVELOPMENT, SENSATION, OR MOVEMENT ABNORMALITIES. THE CENTER COMBINES THE EXPERTISE OF SPECIALISTS IN A BROAD RANGE OF DISEASES, INCLUDING EPILEPSY, AUTISM AND DEVELOPMENTAL DISORDERS, MOVEMENT DISORDERS, CEREBROVASCULAR DISORDERS, DEPRESSION, BIPOLAR AND ANXIETY DISORDERS, TRAUMATIC BRAIN INJURY, NEUROGENETIC DISORDERS, BRAIN TUMORS, AND CONGENITAL CENTRAL NERVOUS SYSTEM DEFECTS. THE HOSPITAL'S CENTER FOR BRAIN TUMORS IS ONE OF THE LEADING PROGRAMS IN THE COUNTRY. THE EATING DISORDER PROGRAM LINKS AN INPATIENT PROGRAM WITH AN EVIDENCE-BASED OUTPATIENT PROGRAM THAT COORDINATES MEDICAL AND PSYCHIATRIC TREATMENT. IN 2014 THE CENTER CONTINUED TO EXPAND SERVICES FOR CHILDREN WITH COMPLEX NEUROLOGICAL DISEASES SUCH AS NEUROMUSCULAR DISEASE, MOVEMENT DISORDERS, STROKE AND EPILEPSY. IN ALL OF THE CENTER'S PROGRAMS, PSYCHIATRISTS, PSYCHOLOGISTS, NEUROSURGEONS, AND NEUROLOGISTS WORK CLOSELY WITH BASIC RESEARCHERS TO DISCOVER THE INNER WORKINGS OF THE BRAIN AND HOW IT IMPACTS BEHAVIOR SO THAT CHILDREN COPING WITH COMPLEX CONDITIONS MAY LEAD MORE FULL AND PRODUCTIVE LIVES. CENTER FOR CYSTIC FIBROSIS AND PULMONARY DISEASES THIS CENTER INTEGRATES AN INTERDISCIPLINARY TEAM OF CLINICIANS AND RESEARCHERS FROM LPCH AND THE STANFORD SCHOOL OF MEDICINE. THEIR COMBINED EFFORTS HAVE PRODUCED A PROGRAM THAT FOCUSES ON LEADING EDGE CARE OF CHILDREN WITH A PLETHORA OF RESPIRATORY AND PULMONARY CONDITIONS, FROM THE COMMON AND SIMPLE TO THE COMPLEX AND RARE. THE CENTER IS ONE OF THE LARGEST CARE PROVIDERS FOR CHILDREN WITH CONDITIONS SUCH AS CYSTIC FIBROSIS, ASTHMA, CHRONIC LUNG DISEASE OF INFANCY RESULTING FROM PREMATURE BIRTH AND IMMATURE LUNGS, ACUTE OR CHRONIC RESPIRATORY INFECTIONS, MULTI-SYSTEM DISORDERS THAT AFFECT BREATHING AND LUNGS SUCH AS CEREBRAL PALSY, NEUROMUSCULAR DISEASES SUCH AS SPINAL MUSCULAR ATROPHY (SMA) AND OTHER MUSCULAR DYSTROPHIES, AS WELL AS OTHER GENETIC AND METABOLIC DISORDERS THAT IMPACT SWALLOWING AND BREATHING. IN ADDITION, THE CENTER IS HOME TO A DEDICATED PEDIATRIC SLEEP PROGRAM AND OPERATES ONE OF THE FEW ACTIVE LUNG TRANSPLANT PROGRAMS IN THE UNITED STATES DEDICATED EXCLUSIVELY TO CHILDREN. CENTER FOR TRANSPLANT AND TISSUE ENGINEERING THIS CENTER PERFORMS PEDIATRIC KIDNEY, LIVER, AND INTESTINAL TRANSPLANTS AND SPECIALIZES IN DIALYSIS AND TRANSPLANTATION OF INFANTS, CHILDREN, AND HIGHLY COMPLEX CASES. THE TRANSPLANT PROGRAM RANKS AMONG THE TOP PROGRAMS IN THE NATION IN THE NUMBER OF PEDIATRIC KIDNEY AND LIVER TRANSPLANTS PERFORMED, AND CONTINUES TO DELIVER OUTCOMES AMONG THE BEST IN THE COUNTRY. THE TRANSPLANT TEAM HAS PIONEERED NEW APPROACHES TO IMMUNOSUPPRESSION AND CONTINUES TO DEVELOP AND IMPLEMENT INNOVATIVE TREATMENT STRATEGIES TO REDUCE POST-TREATMENT COMPLICATIONS AND IMPROVE OUTCOMES. ADDITIONALLY, RESEARCH AND EDUCATION ARE PRIMARY COMPONENTS OF THE HOSPITAL'S MISSION AND INTEGRAL TO THE HOSPITAL'S CLINICAL OPERATIONS. THE HOSPITAL IS COMMITTED TO SUPPORTING AND FUNDING QUALITY GRADUATE MEDICAL EDUCATION PROGRAMS AND EXCELLENCE IN RESIDENCY TRAINING AND RESEARCH. LPCH CURRENTLY SPONSORS 21 RESIDENCY/FELLOWSHIP PROGRAMS APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATIONS WITH OVER 165 ENROLLED RESIDENTS AND FELLOWS (STATED IN FULL TIME EQUIVALENTS). RESIDENCY PROGRAMS IN PHARMACY, SOCIAL WORK, HOSPITAL CHAPLAINCY, AND NURSING ARE ALSO PROVIDED. LPCH PARTNERS WITH STANFORD SCHOOL OF MEDICINE TO CONDUCT RESEARCH IN ALL SIX CENTERS OF EXCELLENCE DESCRIBED ABOVE. LPCH IS ALSO COMMITTED TO ADVOCACY AND COMMUNITY OUTREACH TO IMPROVE THE HEALTH STATUS OF CHILDREN AND PREGNANT WOMEN BY DEVELOPING AND SUPPORTING INNOVATIVE PROGRAMS (WITHIN ITS PRIMARY SERVICE AREAS OF SAN MATEO AND SANTA CLARA COUNTIES AND BEYOND) TO ENHANCE ITS OWN AND THE COMMUNITY'S CAPACITY TO CARE FOR CHILDREN AND PREGNANT WOMEN. THESE PROGRAMS INCLUDE: - MOBILE ADOLESCENCE HEALTH SERVICES - CARE A VAN FOR KIDS - PARTNERSHIPS WITH 3 FEDERALLY QUALIFIED HEALTH CLINICS - GRANT SUPPORT TO LOCAL NONPROFITS FOR COMMUNITY HEALTH IMPROVEMENT PROGRAMS - SUPPORT FOR PEDIATRIC WEIGHT CONTROL PROGRAM - SUPPORT OF CHILDREN'S HEALTH INSURANCE INITIATIVES - SUPPORT FOR PEDIATRIC RESIDENT ADVOCACY PROGRAM - VARIOUS COMMUNITY HEALTH EDUCATION PROGRAMS - PRACTICAL SUPPORT TO PATIENT AND FAMILIES (MEALS, TRANSPORTATION, INFANT CAR SEATS, BABY CARE EQUIPMENT, AND OTHER EXPENSES). EQUIPMENT AND SUPPLY DONATIONS TO A NUMBER OF OVERSEAS MISSIONS. IN THE COUNTIES THAT COMPRISE THE HOSPITAL'S PRIMARY SERVICE AREA, NEARLY ALL CHILDREN ARE ELIGIBLE FOR HEALTH INSURANCE COVERAGE THROUGH EITHER GOVERNMENT-SPONSORED OR LOCAL INITIATIVE INSURANCE PROGRAMS. HOWEVER, NEARLY ALL OF THESE PROGRAMS REIMBURSE THE HOSPITAL AT AMOUNTS FAR LESS THAN THE COST OF SERVICES PROVIDED. ADDITIONALLY, PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY RECEIVE SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. EXECUTIVE COMMITTEE FORM 990, PART VI, LINE 1A IF A MATTER NORMALLY REQUIRING ACTION BY THE BOARD OF DIRECTORS ARISES BETWEEN MEETINGS OF THE BOARD AND IS A MATTER WHICH, IN THE OPINION OF ANY FOUR (4) OUT OF SIX (6) OF THE CHAIR OF THE BOARD, THE VICE CHAIR, THE DEAN OF THE STANFORD UNIVERSITY SCHOOL OF MEDICINE, THE PRESIDENT OF THE CORPORATION, THE CHAIR OF THE FINANCE COMMITTEE AND THE CHAIR OF THE AUDIT COMMITTEE, REQUIRES ACTION BY THE BOARD BEFORE THE NEXT REGULAR OR SPECIAL MEETING OF THE BOARD, THEN ANY FOUR (4) OR MORE OUT OF THOSE SIX (6) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD OF DIRECTORS, ARE AUTHORIZED JOINTLY TO TAKE WHATEVER ACTION IS NECESSARY TO RESOLVE THE MATTER, AND SUCH ACTION WILL CONSTITUTE AUTHORIZED ACTION OF THE BOARD TO THE SAME EXTENT AS IF IT HAS BEEN ADOPTED AT A MEETING OF THE BOARD; PROVIDED, HOWEVER, THAT AT LEAST ONE (1) OF THE FOUR (4) DIRECTORS ACTING AS A COMMITTEE OF THE BOARD PURSUANT TO THIS SECTION SHALL BE AN "OUTSIDE DIRECTOR," AS DEFINED IN BYLAWS AND PROVIDED, FURTHER, THAT THE DIRECTORS ACTING AS A COMMITTEE OF THE BOARD SHALL NOT IN ANY CASE BE AUTHORIZED BY THIS SECTION TO EXERCISE THOSE POWERS WHICH BY LAW, THE ARTICLES OF INCORPORATION, THESE BYLAWS OR SPECIFIC ACTION BY THE MEMBER, SET FORTH IN A RESOLUTION OF THE MEMBER, MAY BE EXERCISED ONLY BY THE MEMBER OR MAY NOT BE DELEGATED TO A COMMITTEE OF THE BOARD. FAMILY/BUSINESS RELATIONSHIPS FORM 990, PART VI, LINE 2 KENNETH COX, THOMAS KRUMMEL, HUGH O'BRODOVICH, PHILIP PIZZO, LLOYD MINOR, AND CHRISTY SANDBORG ARE EMPLOYEES OF STANFORD UNIVERSITY. LLOYD MINOR IS THE DEAN OF THE STANFORD SCHOOL OF MEDICINE AND FRANK LEE AND VAUGHN WILLIAMS ARE TRUSTEES OF STANFORD UNIVERSITY. DAVID ALEXANDER IS THE CEO AND A DIRECTOR OF LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH (LPFCH). CHRISTOPHER DAWES, LLOYD MINOR, AND J. TAYLOR CRANDALL ARE DIRECTORS OF LPFCH. AMIR DAN RUBIN IS CEO AND A DIRECTOR AND MARK TORTORICH IS AN EMPLOYEE OF SHC. MARY CRANSTON, MARIANN BYERWALTER, CHRISTOPHER DAWES, LLOYD MINOR, AND PHILIP PIZZO ARE DIRECTORS OF SHC. CHRISTOPHER DAWES AND KENNETH COX ARE VOTING MEMBERS ON THE SUMIT INSURANCE BOARD OF DIRECTORS. CHRISTOPHER DAWES AND KENNETH COX ARE MEMBERS OF THE LLC GOVERNING BOARD OF CONTRA COSTA PEDIATRIC VENTURE. CHRISTOPHER DAWES AND KENNETH COX ARE MEMBERS OF THE LLC GOVERNING BOARD OF SAN FRANCISCO PEDIATRIC VENTURE. MEMBERS FORM 990, PART VI, LINE 6 STANFORD UNIVERSITY IS THE SOLE MEMBER OF LPCH. FORM 990, PART VI, LINE 7A STANFORD UNIVERSITY, AS THE SOLE MEMBER OF LPCH, APPOINTS THE LPCH BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B THE SOLE MEMBER, STANFORD UNIVERSITY, MAY REMOVE AN ELECTED DIRECTOR AT ANY TIME WITHOUT CAUSE. PROCEDURES FOR REVIEWING FORM 990 FROM GOVERNING BODY FORM 990, PART VI, LINE 11 WORKING WITH PRICEWATERHOUSECOOPERS, THE FORM 990 IS PREPARED FOR MANAGEMENT'S REVIEW. A DRAFT OF THE FORM 990 IS MAILED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW, ALONG WITH AN EXECUTIVE SUMMARY OF RECENT CHANGES AND NEW REQUIREMENTS. THE DRAFT FORM 990 IS REVIEWED AT THE AUDIT AND COMPLIANCE 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 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. Compensation of Leased Employees Form 990, Part IX, Lines 5-10 Prior to December 22, 2012, LPCH leased its employees from Stanford Health Care (SHC) and reimbursed SHC for the cost of its employees. Starting December 22, 2012, LPCH assumed the Payroll function from SHC. LPCH, at that point, no longer leased its employees and they became employees of LPCH. The total number of employees for the fiscal year 2014 was 3,288. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G Temp Labor - Medical Physician $19,148,876 Other Purchased services $184,665,455 Other Professional service $85,618 Other Medical Services (Medical Group) $126,043,254 ____________ TOTAL $329,943,203 RECONCILIATION FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS $2,149,517 ADJUSTMENT FOR MINIMUM PENSION ($925,000) AND POST RETIREMENT LIABILITY TRANSFER TO STANFORD UNIVERSITY AND OTHER ($26,662,760) TRANSFER OF NET INVESTMENT LOSS ON CERTAIN ENDOWMENTS $11,829 ______________ ($25,426,414) STANFORD HEALTHCARE 300 PASTEUR DRIVE MC 5555 STANFORD CA 94305 946174066 HEALTHCARE CA 501(C)(3) 3 STANFORD true THE FREIDENRICH SUPPORT FOUNDATION 3145 PORTER DRIVE PALO ALTO CA 94304 300519583 SUPPORT CA 501(C)(3) 11, TYPE 1 STANFORD true SHR HOLDINGS INC 3145 PORTER DRIVE PALO ALTO CA 94304 943187167 REAL ESTATE CA 501(C)(25) N/A STANFORD true SU EMP BEN TRUST POST RETEMPYNT BEN 3145 PORTER DRIVE PALO ALTO CA 94304 943246199 BENEFITS CA 501(C)(9) N/A STANFORD true UNIVERSITY HEALTHCARE ALLIANCE 855 OAK GROVE AVE SUITE 100 MENLO PARK CA 94205 943192446 HEALTHCARE CA 501(C)(3) 3 SHC true THE DUDLEY E CHAMBERS FOUNDATION JP MORGAN CHASE PO BOX 3038 MILWAUKEE WI 53201 386841793 SUPPORT NY 501(C)(3) 11,TYPE III STANFORD true STANFORD UNIVERSITY BOOK STORE BLDG 60 MAIN QUAD NO 105 STANFORD CA 94305 940894150 SUPPORT CA 501(C)(3) 11, TYPE I STANFORD true PACKARD CHILDREN'S HEALTH ALLIANCE 725 WELCH ROAD MC5551 PALO ALTO CA 94304 320359189 HEALTHCARE CA 501(C)(3) 3 LPCH true STANFORD HABITAT CONSERVATION BOARD 3160 PORTER DR STE 200 PALO ALTO CA 94304 461882243 CONSERVATION CA 501(C)(3) 7 STANFORD true STANFORD FACULTY CLUB PO BOX 7229 STANFORD CA 94309 941187089 FAC INTERACT. 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SCHEDULE R, PART IV, LINE 3 CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE 4 OTHER TRUSTS ARE PRINCIPALLY DOMICILIED IN CALIFORNIA. SCHEDULE R, PART IV, LINE 5 POOLED INVESTMENT FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART V THE PURCHASED SERVICES PAYMENT WITH SHC IS CALCULATED BASED ON THE RATIO OF DIRECT COST TO CHARGES PLUS NEGOTIATED OVERHEAD. THE SHARED SERVICES WITH SHC IS A NEGOTIATED FIXED DOLLAR ANNUAL RATE. FOR OTHER SERVICES, PAYMENT IS BASED ON EITHER NEGOTIATED RATE OR CONTRACT AGREEMENT.