2025-07-15T13:55:51-04:00 2024-08-31 PwC US Tax LLP 2001 MARKET STREET SUITE 1800 PHILADELPHIA PA 19103 990 2023-09-01 320359189 PACKARD CHILDREN'S HEALTH ALLIANCE % DANA HAERING PACK 6504978000 725 WELCH ROAD MC 5551 PALO ALTO CA 94304 DANA HAERING CFO 6507212222 2025-07-12 true true ROBERT W FRIZ P00438748 2673303000 2025-07-09 2023 2025-03-06 01:10:19Z Chantal Volel-Torres 725 WELCH ROAD MC 5551 PALO ALTO CA 94304 149445663 false X WWW.STANFORDCHILDRENS.ORG X 2011 CA SEE SCHEDULE O 8 3 508 0 0 0 1218042 0 134806474 149445663 0 0 0 0 136024516 149445663 0 0 0 0 45432017 44817996 0 0 0 104776208 115315093 150208225 160133089 -14183709 -10687426 40546958 46694798 31230820 36066086 9316138 10628712 X SEE SCHEDULE O false false 146147562 149445663 SEE SCHEDULE O 146147562 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 67 0 true 508 true false false false false false false false false false false false false X 8 3 true false false false true true true true true false false true true true true true true false true false CA X DANA HAERING 6507235636 725 WELCH ROAD MC 5551 PALO ALTO CA 94304 X Dana Haering EVP & CFO 3.0 47.0 X 0 1104861 86599 Dennis P Lund MD Director (until 6/24) 1.0 50.0 X X 0 980815 76036 Patrick Idemoto Former Interim CEO 10.0 40.0 X 0 676825 158341 Allen Metzenberg Dir., Secretary (as of 1/1/24) 1.0 50.0 X X 0 673647 71138 Tim Cornell MD Director 1.0 50.0 X 0 594510 85904 Chantal Volel-Torres Director and CEO 17.0 33.0 X X 0 557065 112725 Andrew Smith MD CMO 50.0 0.0 X X 0 534123 98610 Rick Vance COO 50.0 0.0 X 499972 0 52901 Tzielan Lee MD Secr(to 12/23), VC(as of 1/24) 1.0 50.0 X X 0 370276 123760 Tika Martin Director, Human Resources 50.0 0.0 X 304436 0 78847 Tammy Ojeda-Leao Director General Pediatrics 50.0 0.0 X 275467 0 106751 Emily Kruger DIR., PHYSICIAN NETWORK FIN. 50.0 0.0 X 104381 192565 55358 Michael Lipman Director, Provider Recruit. 50.0 0.0 X 291010 0 27691 Samar S Shakoor DIR - PHYSICIAN RELATIONS 50.0 0.0 X 0 248306 54800 Ivana Chang Director, Compliance 50.0 0.0 X 227802 0 64945 Dorothy Naidu Director, Clinical Quality 50.0 0.0 X 230455 0 45740 Danielle Kumar Practice Manager 50.0 0.0 X 153555 0 98290 Susan Ault PRACTICE MANAGER III 50.0 0.0 X 195522 0 40157 Bill Thompson Director (as of 3/20) 1.0 0.0 X 0 0 0 John Walker Dir., Chair (AS OF 1/1/24) 1.0 0.0 X X 0 0 0 Lisa Erburu MD Director 1.0 0.0 X 0 0 0 MALINDA MITCHELL Dir., Chair (until 12/31/23) 1.0 0.0 X X 0 0 0 2282600 5932993 1438593 71 true true false PACKARD MEDICAL GROUP INC 725 WELCH ROAD MC 5551 PALO ALTO CA 94304 PHYSICIAN SERVICES 64582259 G AND G ORGANIZATION LTD DBA PFS GR 2600 NORTH LOOP WEST SUITE 150 HOUSTON TX 77092 staffing services 2486180 ENVISION CONSTRUCTION AND DESI 6711 SIERRA COURT SUITE D DUBLIN CA 94568 CONSTRUCTION 2030435 PEOPLE 20 GLOBAL INC PO BOX 31001-1288 PASADENA CA 911101288 LABOR SERVICES 946195 LIGHTHOUSE MGMT GROUP INC 333 WEST SAN CARLOS ST STE 600 SAN JOSE CA 951102731 LABOR SERVICES 808789 17 0 PATIENT SERVICES 900099 131559091 131559091 MEDICARE/MEDICAID 900099 8147926 8147926 PROGRAM SUPPORT 900099 8862164 8862164 ALL OTHER PROGRAM SERVICE REVENUE 900099 876482 876482 149445663 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149445663 149445663 0 X 0 0 0 0 1518794 1113385 405409 0 25144194 20899201 4244993 1182909 619203 563706 14768718 12666338 2102380 2203381 1930293 273088 274844 20815 254029 274012 274012 54459 54459 0 0 0 79504168 75460360 4043808 0 101055 53064 47991 21276350 20819252 457098 4422574 4422574 0 7098350 7098350 66774 38679 28095 0 0 0 0 1868771 1745095 123676 582149 582149 UNCOLLECTIBLES 1786279 1786279 LICENSES & TAXES 294635 25614 269021 DUES & SUBSCRIPTIONS 267455 188023 79432 UTILITIES 189756 189756 -2746538 -2928719 182181 160133089 146147562 13985527 0 0 0 -374734 -687392 0 0 13138439 15656453 0 0 0 0 0 0 0 0 938411 923319 25473346 19527551 4751409 5945795 0 0 0 0 0 0 4800160 3985660 17293273 20870963 40546958 46694798 8170010 9174735 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23060810 26891351 31230820 36066086 X 9314865 10627439 1273 1273 9316138 10628712 40546958 46694798 X -10687426 12000000 X false true X true false X SCHEDULE A, PART I PACKARD CHILDREN'S HEALTH ALLIANCE WAS RECOGNIZED AS A HEALTHCARE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE. PCHA DOES NOT OPERATE A FACILITY THAT IS OR IS REQUIRED TO BE LICENSED AS A HOSPITAL. THEREFORE, PCHA IS NOT REQUIRED TO FILE FORM 990, SCHEDULE H. 9286160 6163542 3122618 16187186 13364009 2823177 5945795 OTHER ASSETS 4315070 RIGHT OF USE LEASE ASSETS 16488607 SECURITY DEPOSITS 67286 20870963 0 DUE TO RELATED PARTIES, NET 9953413 RIGHT OF USE LEASE LIABILITIES 16937938 26891351 X SCHEDULE D, PART X, LINE 2 FIN 48 PCHA IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF STANFORD UNIVERSITY, WHICH INCLUDE THE FOLLOWING NOTE: MANAGEMENT REGULARLY EVALUATES ITS TAX POSITIONS AND DOES NOT BELIEVE THAT PCHA HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE IN OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. false true false false false false false true false Allen Metzenberg Dir., Secretary (as of 1/1/24) 0 559802 0 113300 0 545 0 19512 0 51626 0 744785 0 0 Andrew Smith MD CMO 0 453434 0 65040 0 15649 0 27450 0 71160 0 632733 0 0 Chantal Volel-Torres Director and CEO 0 441339 0 77209 0 38517 0 77789 0 34936 0 669790 0 4685 Dana Haering EVP & CFO 0 779179 0 165543 0 160139 0 65400 0 21199 0 1191460 0 0 Danielle Kumar Practice Manager 147993 0 5467 0 95 0 13594 0 84696 0 251845 0 0 0 Dennis P Lund MD Director (until 6/24) 0 464308 0 440922 0 75585 0 33000 0 43036 0 1056851 0 0 Dorothy Naidu Director, Clinical Quality 213207 0 17198 0 50 0 21002 0 24738 0 276195 0 0 0 Emily Kruger DIR., PHYSICIAN NETWORK FIN. 104381 167654 0 24834 0 77 9912 13319 13716 18411 128009 224295 0 0 Ivana Chang Director, Compliance 209214 0 18538 0 50 0 19730 0 45215 0 292747 0 0 0 Michael Lipman Director, Provider Recruit. 272177 0 18833 0 0 0 26281 0 1410 0 318701 0 0 0 Patrick Idemoto Former Interim CEO 0 495021 0 108637 0 73167 0 105487 0 52854 0 835166 0 46378 Rick Vance COO 415952 0 68420 0 15600 0 27450 0 25451 0 552873 0 0 0 Samar S Shakoor DIR - PHYSICIAN RELATIONS 0 219351 0 28955 0 0 0 23772 0 31028 0 303106 0 0 Susan Ault PRACTICE MANAGER III 187420 0 7877 0 225 0 15071 0 25086 0 235679 0 0 0 Tammy Ojeda-Leao Director General Pediatrics 242895 0 29614 0 2958 0 22055 0 84696 0 382218 0 0 0 Tika Martin Director, Human Resources 270323 0 34063 0 50 0 26762 0 52085 0 383283 0 0 0 Tim Cornell MD Director 0 347993 0 171844 0 74673 0 30101 0 55803 0 680414 0 0 Tzielan Lee MD Secr(to 12/23), VC(as of 1/24) 0 247447 0 122549 0 280 0 25583 0 98177 0 494036 0 0 SCHEDULE J, PART I, LINE 3 PROCEDURES FOR DETERMINING COMPENSATION PCHA RELIED ON LPCH, A RELATED ORGANIZATION, TO DETERMINE THE COMENSATION OF ITS CEO. LPCH'S PROCESS FOR DETERMINING 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 ANNUALLY PRIOR TO ANNUAL INCREASE 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. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CERTAIN OFFICERS OF PCHA ARE PROVIDED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") TO SUPPLEMENT THEIR RETIREMENT BENEFITS BY LPCH, A RELATED ORGANIZATION. FOR EACH CALENDAR YEAR, A HYPOTHETICAL ACCOUNT IS ESTABLISHED FOR EACH PARTICIPANT AND CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION) AS OF THE LAST DAY OF EACH QUARTER. THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN EACH CALENDAR YEAR ACCOUNT ON THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED (OR, IF LATER, THE DATE ON WHICH THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION). THE PARTICIPANT BECOMES FULLY VESTED IN HIS OR HER ACCOUNTS UNDER THE SERP UPON THE EARLIEST OF (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) ATTAINMENT OF AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; (D) COMPLETION OF SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) THE DATE OF DEATH, PRIOR TO PAYMENT OR FORFEITURE, WITH BENEFITS PAYABLE TO THE BENEFICIARY. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2023: DANA HAERING $ 95,406 PATRICK IDEMOTO $ 48,636 Chantal Volel-Torres $ 5,021 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C). ALLEN METZENBERG PARTICIPATED 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 THE SERP, WHICH WAS DESCRIBED ABOVE UNDER SCHEDULE J, PART I, LINE 4B. 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. PCHA 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 BONUSES RECOMMENDED BY THE CEO and HR Director AND WERE APPROVED BY THE COMPENSATION COMMITTEE. FORM 990, PART I, LINE 1 & PART III ORGANIZATION'S PRIMARY EXEMPT PURPOSE AT PCHA, THE FOCUS IS ON PATIENT CARE AND COMMUNITY OUTREACH TO ENSURE PATIENT ACCESS TO PCHA'S SERVICES. PCHA PHYSICIANS, NON-MD CLINICIANS, AND STAFF ASSUME THE ROLE OF EDUCATORS TO IMPROVE THE PHYSICAL AND BEHAVIORAL WELL-BEING OF CHILDREN IN THE COMMUNITIES IT SERVES. THE OVERALL STRATEGY TO ACCOMPLISH THE OBJECTIVE IS TWOFOLD: BECOME A RELIED UPON RESOURCE FOR CAREGIVERS/PARENTS AND PROVIDE PREVENTATIVE CARE FOR CHILDREN. EDUCATION IS THE KEY FOR BOTH STRATEGIES. WHILE MULTIPLE COMMUNITY SERVICES WILL BE OFFERED AT THE MEDICAL SITES, A SIGNIFICANT PART OF THE OUTREACH EFFORTS WILL BE SPENT SERVING THE PCHA COMMUNITY. COMMUNITY SERVICES WILL BE OFFERED AT THE MEDICAL SITES, A SIGNIFICANT PART OF THE OUTREACH EFFORTS WILL BE SPENT SERVING THE PCHA COMMUNITY. FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION DURING THE PERIOD OF SEPTEMBER 2023 THROUGH AUGUST 2024 (FY 2024), PCHA PRIMARILY FOCUSED ON OPERATIONS AND EXISTING PROVIDER VISIT GROWTH. IN ADDITION, WE CONTINUE TO INCREASE OUR AVAILABILITY AT MANY OF OUR SITES BY INCREASING THE NUMBER OF PROVIDERS. THIS YEAR WE CONTINUED TO IMPROVE SERVICES OFFERED VIA OUR PATIENT PORTAL INCLUDING DIRECTLY SCHEDULING APPOINTMENTS, REQUESTING PRESCRIPTIONS, VIEWING BILLING STATEMENTS AND COMMUNICATING WITH MEDICAL PROVIDERS. THE THREE LARGEST SERVICES PCHA OPERATED IN FISCAL YEAR 2024 WERE: GENERAL PEDIATRICS - BAYSIDE GENERAL PEDIATRICS - PENINSULA PEDIATRICS GENERAL PEDIATRICS - PEDIATRIC ASSOCIATES BAYSIDE BAYSIDE MEDICAL GROUP IS DEDICATED TO PROVIDING THE HIGHEST-QUALITY CARE TO OUR PATIENTS. WE SPECIALIZE IN THE CARE OF CHILDREN FROM BIRTH TO THE LATE TEEN YEARS. OUR TEAM OF CLINICIANS AND SPECIALLY TRAINED MEDICAL OFFICE STAFF HAVE EARNED A REPUTATION FOR EXCELLENCE, SERVING GENERATIONS OF FAMILIES IN THE BAY AREA. OUR CARE TEAM MEMBERS ARE CERTIFIED BY THE AMERICAN BOARD OF PEDIATRICS. OUR PEDIATRICIANS SPECIALIZE IN THE CARE OF NEWBORNS, CHILDREN AND ADOLESCENTS AT ALL 10 OF OUR OFFICES. PENINSULA PEDIATRICS AT PENINSULA PEDIATRIC MEDICAL GROUP, OUR FAMILY OF EXPERIENCED AND CARING PEDIATRICIANS HAS BEEN SERVING CHILDREN IN THE BAY AREA FOR GENERATIONS. WE SPECIALIZE IN CARING FOR NEWBORNS THROUGH ADOLESCENTS IN THEIR LATE TEENS AND TAKE THE TIME TO TALK WITH PARENTS TO HELP THEM UNDERSTAND THEIR CHILD'S NEEDS. OUR CARING AND INFORMED STAFF WORK HARD TO PUT YOU AND YOUR CHILD AT EASE. WE HAVE THREE CONVENIENT LOCATIONS IN BURLINGAME, MENLO PARK, AND SAN MATEO. WE OFFER SAME-DAY APPOINTMENTS FOR SICK PATIENTS, AND OUR KNOWLEDGEABLE NURSE ADVISORS ARE AVAILABLE TO ANSWER QUESTIONS OVER THE PHONE 24 HOURS A DAY. BY CHOOSING PENINSULA PEDIATRIC MEDICAL GROUP FOR YOUR CHILD'S MEDICAL NEEDS, YOU WILL BE WORKING WITH A DEDICATED AND COMPASSIONATE FAMILY OF DOCTORS. OUR SPECIALLY TRAINED MEDICAL OFFICE STAFF ARE ALSO HERE TO ASSIST YOU SO THAT TOGETHER WE CAN PROVIDE THE BEST ENVIRONMENT FOR YOUR CHILD TO GROW INTO A HEALTHY ADULT. PEDIATRIC ASSOCIATES MEDICAL GROUP THE PEDIATRIC ASSOCIATES MEDICAL GROUP HAS 11 PHYSICIANS IN TWO SAN JOSE LOCATIONS, SAMARITAN, AND CAMDEN. THE GROUP HAS BEEN PROVIDING THE FULL CONTINUUM OF GENERAL PEDIATRIC SERVICES TO CHILDREN AND YOUNG ADULTS FOR DECADES. WE ARE HERE TO HELP GUIDE YOU WITH YOUR CHILDREN'S HEALTH CARE NEEDS AND BELIEVE IN WORKING WITH YOU TO ENSURE THAT YOUR CHILDREN MAINTAIN OPTIMAL HEALTH AS THEY GROW AND DEVELOP. PATIENT VISITS PROVIDED IN THE FISCAL YEAR 2024 FOR EACH OF THE LARGEST SERVICES ARE: BAYSIDE: 83,193 PENINSULA PEDIATRICS: 45,738 PEDIATRIC ASSOCIATES: 25,276 FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIP DANA HAERING IS AN OFFICER AND EMPLOYEE OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL. DENNIS LUND IS AN OFFICER AND DIRECTOR OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL. CHANTAL VOLEL-TORRES IS A KEY EMPLOYEE OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL. FORM 990, PART VI, LINE 6 MEMBERS STANFORD UNIVERSITY AND LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ARE THE MEMBERS OF PCHA. FORM 990, PART VI, LINE 7A STANFORD UNIVERSITY AND LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD, AS THE MEMBERS OF PCHA, APPOINT THE PCHA BOARD OF DIRECTORS. TWO OF THE DIRECTORS MUST BE PERSONS WHO RESIDE IN THE COMMUNITIES SERVED BY PCHA AND WHO ARE NOT COMPENSATED BY PCHA, THE MEMBERS, OR ANY MEDICAL GROUP AFFILIATED WITH PCHA. FORM 990, PART VI, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY ONE OR MORE MEMBERS: - ENTERING INTO PROFESSIONAL SERVICE AGREEMENTS WITH NEW MEDICAL GROUPS - ACQUISITION, MERGER, OR CONSOLIDATION OF ANY OTHER ENTITY. FORM 990, PART VI, LINE 11 PROCEDURES FOR REVIEWING FORM 990 FROM GOVERNING BODY WORKING WITH PWC US TAX LLP, 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. PWC US TAX LLP SIGNS THE FINAL RETURN AS PAID PREPARER. FORM 990, PART VI, LINE 12C PROCEDURES FOR MONITORING AND ENFORCING COMPLIANCE WITH CONFLICT-OF-INTEREST POLICY OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO COMPLETE AN INITIAL CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ("DISCLOSURE STATEMENT") AT THE TIME OF APPOINTMENT AT PCHA. ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. A DISCLOSURE THAT APPEARS TO BE A CONFLICT WILL BE RESOLVED BY A MUTUAL AGREEABLE PLAN WITH THE PCHA CHIEF EXECUTIVE OFFICER THAT OUTLINES THE STEPS THE OFFICER, DIRECTOR OR EMPLOYEE MUST TAKE TO RECTIFY THE CONFLICT. FORM 990, PART VI, LINE 15 PROCEDURES FOR DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER, PCHA RELIED ON LPCH, A RELATED ORGANIZATION, TO DETERMINE OFFICER COMPENSATION. LPCH'S PROCESS FOR DETERMINING COMPENSATION 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 ANNUALLY PRIOR TO ANNAUL INCREASE 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. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES WHO ARE EMPLOYEES OF PCHA IS DETERMINED BY A PROCESS THAT INCLUDES A REVIEW OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DECISION. COMPENSATION DECISIONS WITH RESPECT TO OFFICERS AND KEY EMPLOYEES WHOSE COMPENSATION EXCEEDS A SPECIFIED THRESHOLD ARE MADE BY THE PCHA COMPENSATION COMMITTEE. 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. FORM 990, PART XI, LINE 9 RECONCILIATION EQUITY TRANSFERS TO PCHA FROM LPCH IN FY24 $12,000,000 FORM 990 PART IX LINE 11G DESCRIPTION:TEMP LABOR - MEDICAL PHYS TOTAL FEES:2878248 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:50071 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:7263560 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER MEDICAL SERVICES TOTAL FEES:69312289 THE BRD OF TRUST LELAND STANF JR UNIV 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 941156365 EDUCATION CA 501(C)(3) 2 NA false FUNDACION STANFORD UNIVERSITY EN CHILE AV CONDELL 189 PROVIDENCIA SANTIAGO CI EDUCATION CI 501(C)(3) N/A STANFORD true STANFORD HEALTH CARE TRI-VALLEY 1111 E STANLEY BLVD LIVERMORE CA 94550 941429628 HOSPITAL CA 501(C)(3) 3 SHC true JAEDAN BUPIN STANFORD CENTER IN THE REPU RESEARCH KS 501(C)(3) N/A STANFORD true LUCILE PACKARD FOUNDATION FOR CHILDREN'S 400 HAMILTON AVENUE SUITE 340 PALO ALTO CA 94301 770440090 HEALTHCARE CA 501(C)(3) 7 LPCH true LUCILE SALTER PACKARD CHILDREN'S HOSPITA 725 WELCH ROAD MC 5553 PALO ALTO CA 94304 770003859 HEALTHCARE CA 501(C)(3) 3 STANFORD true SHR HOLDINGS INC 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 943187167 REAL ESTATE CA 501(C)(25) N/A STANFORD true STANFORD FACULTY CLUB PO BOX 7229 STANFORD CA 94309 941187089 FAC INTERACT. CA 501(C)(7) N/A STANFORD true STANFORD FEDERAL CREDIT UNION 1860 EMBARCADERO RD PALO ALTO CA 94303 941492212 CREDIT UNION CA 501(C)(1) N/A STANFORD true STANFORD HABITAT CONSERVATION BOARD 415 BROADWAY REDWOOD CITY CA 94063 461882243 CONSERVATION CA 501(C)(3) 7 STANFORD true STANFORD HEALTH CARE 300 PASTEUR DRIVE MC 5555 STANFORD CA 94305 946174066 HEALTHCARE CA 501(C)(3) 3 STANFORD true STANFORD PROGRAMME (CAPE TOWN) NPC WAVERLY BUSINESS PARK BLDG 11 CAPE TOWN SF EDUCATION SF 501(C)(3) N/A STANFORD true STANFORD UNIVERSITY BOOKSTORE 505 BROADWAY 6TH FLOOR MC1065 REDWOOD CITY CA 94063 940894150 SUPPORT CA 501(C)(3) 12A, I STANFORD true SU EMP BEN TRUST POST RETEMPYNT BEN 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 943246199 BENEFITS CA 501(C)(9) N/A STANFORD true THE DUDLEY E CHAMBERS FOUNDATION JP MORGAN CHASE PO BOX 3038 MILWAUKEE WI 53201 386841793 SUPPORT NY 501(C)(3) 12D, III-O STANFORD true THE FREIDENRICH SUPPORT FOUNDATION 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 300519583 SUPPORT CA 501(C)(3) 12A, I STANFORD true THE HONG KONGSU CHARITABLE TRUST 1401 CAROLINE CENTER 28 PING ROAD CAUSEWAY HK 986078093 SUPPORT HK 501(C)(3) N/A STANFORD true THE STANFORD TRUST 65 HIGH STREET OXFORD UK OX1 46L SUPPORT UK 501(C)(3) N/A STANFORD true UNIVERSITY HEALTHCARE ALLIANCE 7999 GATEWAY BLVD STE 300 NEWARK CA 94560 943192446 HEALTHCARE CA 501(C)(3) 3 SHC true VALLEYCARE MEDICAL FOUNDATION INC 1111 E STANLEY BLVD LIVERMORE CA 94550 262593526 SR. FACILITY CA 501(C)(3) PF SHC-TV true VALLEYCARE SENIOR HOUSING 1111 E STANLEY BLVD LIVERMORE CA 94550 943382224 SR. 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