LUCILE SALTER PACKARD CHILDRENS HOSPITAL AT STANFORD: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: LUCILE SALTER PACKARD CHILDRENS HOSPITAL AT STANFORD (EIN 77-0003859)
Tax period: 2022-09-01 to 2023-08-31
Filed: 2024-07-15
IRS object ID: 202401979349300985
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-07-15T11:57:04-05:00	ReturnTs
Tax Period End	2023-08-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PwC US Tax LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET STREET STE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-09-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	770003859	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LUCILE SALTER PACKARD CHILDREN'S	BusinessNameLine1Txt
Business Name Line2	HOSPITAL AT STANFORD	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% FINANCE DEPARTMENT	InCareOfNm
Business Name Control	LUCI	BusinessNameControlTxt
Phone	6504978000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	725 WELCH ROAD MC 5553	AddressLine1Txt
City	PALO ALTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94304	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANA HAERING	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6507212222	PhoneNum
Signature	2024-07-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DANA	PersonFirstNm
Person Last	HAERING	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ROBERT W FRIZ	PreparerPersonNm
PTIN	P00438748	PTIN
Phone	2673303000	PhoneNum
Preparation	2024-07-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PAUL KING	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	725 WELCH ROAD	AddressLine1Txt
City	PALO ALTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94304	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,566,092,737	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STANFORDCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	6787	TotalEmployeeCnt
Total Volunteers	342	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$174,729,856	PYContributionsGrantsAmt
CY Contributions Grants	$53,139,116	CYContributionsGrantsAmt
PY Program Service Revenue	$2,192,031,471	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,462,364,459	CYProgramServiceRevenueAmt
PY Investment Income	$27,650,560	PYInvestmentIncomeAmt
CY Investment Income	$41,626,904	CYInvestmentIncomeAmt
PY Other Revenue	$2,560,990	PYOtherRevenueAmt
CY Other Revenue	$8,189,241	CYOtherRevenueAmt
PY Total Revenue	$2,396,972,877	PYTotalRevenueAmt
CY Total Revenue	$2,565,319,720	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,130,900	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,622,862	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,006,416,358	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,141,518,132	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$16,929,281	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,214,661,401	PYOtherExpensesAmt
CY Other Expenses	$1,284,873,880	CYOtherExpensesAmt
PY Total Expenses	$2,222,208,659	PYTotalExpensesAmt
CY Total Expenses	$2,428,014,874	CYTotalExpensesAmt
PY Revenues Less Expenses	$174,764,218	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$137,304,846	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,321,625,761	TotalAssetsBOYAmt
Total Assets EOY	$4,358,908,813	TotalAssetsEOYAmt
Total Liabilities BOY	$1,488,365,761	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,448,765,996	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,833,260,000	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,910,142,817	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$533,416,152	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$508,837,409	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$445,753,884	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$606,492,667	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$290,501,390	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$270,150,754	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$954,465,929	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,622,862	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$1,076,883,629	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$2,224,137,355	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	201	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6787	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	FINANCE DEPARTMENT	PersonNm
Phone	6507212222	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	725 WELCH ROAD	AddressLine1Txt
City	PALO ALTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94304	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd
David Entwistle
Director	2.0	54.65	Yes (X)	$0	$4,675,833	$438,576
Lloyd B Minor MD
Director	2.0	52.3	Yes (X)	$0	$4,398,331	$72,491
Paul King
Dir., Pres & CEO	50.0	2.3	Yes (X)	$2,133,596	$0	$72,369	Yes (X)
Rick Majzun
EVP & COO	50.0	0.0		$1,004,614	$0	$172,697	Yes (X)
Randy Livingston
Director	2.0	52.0	Yes (X)	$0	$887,487	$245,418
Dana Haering
EVP & CFO	47.0	3.0		$980,661	$0	$79,281	Yes (X)
Dennis P Lund MD
Director/CMO	50.0	1.0	Yes (X)	$0	$962,191	$68,684	Yes (X)
Mary Leonard MD
Director	2.0	50.3	Yes (X)	$0	$909,595	$32,852
Edward Kopetsky
SVP & CIO	50.0	0.0		$790,707	$0	$91,560		Yes (X)
Helen Wilmot
Former SHC Admin - COO	0.0	50.0		$0	$715,115	$92,472			Yes (X)
Patrick Idemoto
EVP & Chief Strategy Officer	40.0	10.0		$662,494	$0	$140,519				Yes (X)
Jesus Cepero
SVP - Patient Care Services	50.0	0.0		$629,682	$0	$149,531				Yes (X)
Lisa Grisim
VP & Associate CIO	50.0	0.0		$680,168	$0	$90,381		Yes (X)
Marcie Atchison
SVP & Chief HR Officer	50.0	0.0		$602,694	$0	$108,345		Yes (X)
Jana Uherkova-Hale
CLINICAL NURSE, OPERATING ROOM	50.0	0.0		$640,330	$0	$70,564		Yes (X)
Carolyn Ford Hemann
VP, Ambulatory Services	50.0	0.0		$636,480	$0	$52,627			Yes (X)
Chantal Volel-Torres
SVP & CAO Phy Prac/CEO PCHA	33.0	17.0		$594,261	$0	$76,699				Yes (X)
Jill Ann Sullivan
SVP - Strat Spc Pln & Gen Srvs	50.0	0.0		$538,979	$0	$102,672				Yes (X)
WILLIAM WILSON JR
VP & Chief Technology Officer	50.0	0.0		$498,110	$0	$114,358				Yes (X)
Leslie Lifter
SVP & Chief Marketing Officer	50.0	0.0		$531,846	$0	$75,419		Yes (X)
Matt Pearson
VP, SHC D&C PRGM MGMT	2.0	50.0		$0	$521,020	$81,572			Yes (X)
Amy Semple
VP - Surgical and Interv Svcs	50.0	0.0		$471,747	$0	$117,363				Yes (X)
Gregory Hogue
VP, Finance	50.0	0.0		$469,667	$0	$101,821				Yes (X)
RISHI SETH
VP - OPERATIONS ADMINISTRATION	50.0	0.0		$397,095	$0	$107,997				Yes (X)
Michele Sanchez
CORPORATE SECRETARY	50.0	0.0		$153,613	$0	$34,977	Yes (X)
Jimena Almendares
Director (as of 6/1/2023)	2.0	0.0	Yes (X)	$0	$0	$0
Afia Asamoah
Director	2.0	0.0	Yes (X)	$0	$0	$0
Sue Bostrom
Director (until 8/31/2023)	2.0	0.0	Yes (X)	$0	$0	$0
Mariann Byerwalter
Vice Chair (Until 12/31/21)	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
Sierra Clark
Director	2.0	0.0	Yes (X)	$0	$0	$0
Jonathan Coslet
Director, Chair	10.0	2.3	Yes (X)	$0	$0	$0	Yes (X)
J Taylor Crandall
Director	2.0	0.0	Yes (X)	$0	$0	$0
Elizabeth Dunlevie
Director	2.0	0.3	Yes (X)	$0	$0	$0
Susan Ford Dorsey
Director (as of 1/1/2023)	2.0	0.3	Yes (X)	$0	$0	$0	Yes (X)
Brad Geier
Director	2.0	0.0	Yes (X)	$0	$0	$0
Ying-Ying Goh MD
Director	2.0	0.0	Yes (X)	$0	$0	$0
Marc Jones
Director	2.0	7.0	Yes (X)	$0	$0	$0
Tonia Karr
Director	2.0	5.0	Yes (X)	$0	$0	$0
Jennifer Mulloy
Director	2.0	0.0	Yes (X)	$0	$0	$0
Anthony Noto
Director	2.0	0.0	Yes (X)	$0	$0	$0
Mindy Rogers
Director, Vice Chair	2.0	7.3	Yes (X)	$0	$0	$0	Yes (X)
Amit Sinha
Director	2.0	0.0	Yes (X)	$0	$0	$0
William Thompson III
Director	2.0	0.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,416,744	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,069,572	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,791,245	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3450	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
STANFORD UNIVERSITY
450 SERRA MALL	PALO ALTO	CA	94305	PURCHASED SERVICES	$225,560,814
STANFORD HEALTH CARE
300 PASTEUR DR	STANFORD	CA	94305	MEDICAL LABORATORY	$138,833,480
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVE	SAN DIEGO	CA	92130	TEMP LABOR SERVICE	$46,792,585
ALIGHT SOLUTIONS LLC
PO BOX 95135	CHICAGO	IL	606945135	EMPLOYEE BENEFIT ADM	$31,064,283
AYA HEALTHCARE INC
DEPT 3519 PO BOX 123519	DALLAS	TX	75312	TRAVEL NURSE SERVICE	$19,207,238

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	428	CntrctRcvdGreaterThan100KCnt
Government Grants	$11,881,397	GovernmentGrantsAmt
All Other Contributions	$41,257,719	AllOtherContributionsAmt
Noncash Contributions	$380,508	NoncashContributionsAmt
Total Contributions	$53,139,116	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE	900099	$1,904,093,377	$1,904,093,377
MEDICARE/MEDICAID	900099	$368,250,592	$368,250,592
PROVIDER FEE	900099	$136,655,335	$136,655,335
OUTREACH PROGRAMS	900099	$25,888,753	$25,888,753
REVENUE FROM HEALTH RELATED ACTIVITIES	900099	$13,226,933	$13,226,933

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,249,469	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,249,469	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,462,364,459	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$41,787,891	TotalRevenueColumnAmt
Exclusion	$41,787,891	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,164	TotalRevenueColumnAmt
Exclusion	$18,164	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,815,163	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$531,466	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,283,697	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,283,697	TotalRevenueColumnAmt
Exclusion	$1,283,697	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$62,400	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$241,551	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$179,151	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$179,151	TotalRevenueColumnAmt
Exclusion	-$179,151	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	900099	$4,674,812	$4,674,812
INVESTMENT INCOME FROM RELATED PROGRAM	900099	-$15,689,397	-$15,689,397
PARKING INCOME	900099	$422,844	$422,844

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,497,285	TotalRevenueColumnAmt
Exclusion	$17,497,285	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,905,544	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,565,319,720	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,462,364,459	RelatedOrExemptFuncIncomeAmt
Exclusion	$49,816,145	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,622,862	TotalAmt
Program Services	$1,622,862	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,195,921	TotalAmt
Program Services	$4,639,170	ProgramServicesAmt
Management And General	$4,194,199	ManagementAndGeneralAmt
Fundraising	$362,552	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$925,506	TotalAmt
Program Services	$216,850	ProgramServicesAmt
Management And General	$708,656	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$736,622,543	TotalAmt
Program Services	$657,924,226	ProgramServicesAmt
Management And General	$78,698,317	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$73,892,381	TotalAmt
Program Services	$67,413,050	ProgramServicesAmt
Management And General	$6,479,331	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$263,507,084	TotalAmt
Program Services	$254,893,624	ProgramServicesAmt
Management And General	$8,613,460	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$57,374,697	TotalAmt
Program Services	$54,309,169	ProgramServicesAmt
Management And General	$3,065,528	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$13,668,098	TotalAmt
Program Services	$10,362,464	ProgramServicesAmt
Management And General	$3,305,634	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,145,651	TotalAmt
Program Services	$649	ProgramServicesAmt
Management And General	$3,145,002	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$899,173	TotalAmt
Program Services	$8,150	ProgramServicesAmt
Management And General	$891,023	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$34,131	TotalAmt
Program Services	$34,131	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$699,506,578	TotalAmt
Program Services	$660,665,290	ProgramServicesAmt
Management And General	$38,841,288	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$8,021,558	TotalAmt
Program Services	$165,950	ProgramServicesAmt
Management And General	$7,855,608	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$265,192,972	TotalAmt
Program Services	$262,450,230	ProgramServicesAmt
Management And General	$2,742,742	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$26,004,921	TotalAmt
Program Services	$27,659,458	ProgramServicesAmt
Management And General	-$1,654,537	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$32,957,557	TotalAmt
Program Services	$22,732,937	ProgramServicesAmt
Management And General	$10,224,620	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,269,997	TotalAmt
Program Services	$867,269	ProgramServicesAmt
Management And General	$402,728	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$31,257,593	TotalAmt
Program Services	$31,257,593	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$85,792,592	TotalAmt
Program Services	$84,181,606	ProgramServicesAmt
Management And General	$1,610,986	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,071,328	TotalAmt
Program Services	$3,408,917	ProgramServicesAmt
Management And General	$9,662,411	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PROVIDER FEES	$37,598,065	$37,598,065
UNCOLLECTIBLES	$16,290,140	$16,290,140
UTILITIES	$13,930,677	$13,502,194	$428,483
LICENSES & TAXES	$4,170,408	$2,173,674	$1,996,734

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$32,062,441	TotalAmt
Program Services	$9,759,687	ProgramServicesAmt
Management And General	$5,736,025	ManagementAndGeneralAmt
Fundraising	$16,566,729	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,428,014,874	TotalAmt
Program Services	$2,224,137,355	ProgramServicesAmt
Management And General	$186,948,238	ManagementAndGeneralAmt
Fundraising	$16,929,281	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$9,800	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$426,694,230	BOYAmt
EOY	$429,174,647	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$182,932,638	BOYAmt
EOY	$112,990,562	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$587,841,831	BOYAmt
EOY	$682,681,313	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$4,567,500	BOYAmt
EOY	$3,530,556	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$970,000	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$74,599,660	BOYAmt
EOY	$79,138,323	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,634,196	BOYAmt
EOY	$18,083,002	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$40,505,186	BOYAmt
EOY	$44,805,606	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,686,155,301	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$946,181,526	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,741,896,300	BOYAmt
EOY	$1,739,973,775	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$77,486,036	BOYAmt
EOY	$81,304,667	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,041,464,792	BOYAmt
EOY	$1,056,905,346	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	-$97,978,456	BOYAmt
EOY	-$112,656,429	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$223,981,848	BOYAmt
EOY	$221,997,645	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,321,625,761	BOYAmt
EOY	$4,358,908,813	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$340,588,535	BOYAmt
EOY	$304,159,752	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$821,831,050	BOYAmt
EOY	$810,203,352	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$325,946,176	BOYAmt
EOY	$334,402,892	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,488,365,761	BOYAmt
EOY	$1,448,765,996	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,070,261,639	BOYAmt
EOY	$2,137,981,967	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$762,998,361	BOYAmt
EOY	$772,160,850	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,833,260,000	BOYAmt
EOY	$2,910,142,817	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,321,625,761	BOYAmt
EOY	$4,358,908,813	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$137,304,846	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,865,793	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$71,287,822	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$36,584,832	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$35,125,094	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$76,806,327	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$173,554,212	CurrentTaxYearMinus1YearAmt
Current Tax Year	$53,139,116	CurrentTaxYearAmt
Total	$375,209,581	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$36,584,832	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$35,125,094	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$76,806,327	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$173,554,212	CurrentTaxYearMinus1YearAmt
Current Tax Year	$53,139,116	CurrentTaxYearAmt
Total	$375,209,581	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$136,784,491	SubstantialContributorsTotAmt
Public Support Total170	$238,425,090	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,654,141	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$19,785,049	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$26,594,782	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$29,559,608	CurrentTaxYearMinus1YearAmt
Current Tax Year	$43,621,218	CurrentTaxYearAmt
Total	$133,214,798	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,678,959	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	-$10,353,509	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,774,045	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,350,163	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,905,544	CurrentTaxYearAmt
Total	$5,355,202	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$513,779,581	TotalSupportAmt
Gross Receipts Rltd Activities	$10,403,752,842	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.46406	PublicSupportCY170Pct
Public Support PY170	0.00000	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$212,595	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$197,094	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$409,689	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	ORGANIZATIONS EXEMPT UNDER SECTION 501(C)(3)	FormAndLineReferenceDesc
Explanation	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 OF THE INTERACTION IS RELATIONSHIP BUILDING MAINTAINING AS WELL AS WORKING ON COLLABORATIVE PROGRAMS AND PROJECTS TO ENHANCE THE OVERALL HEALTH OF THE COMMUNITY. IN FY23, ROUGHLY 20% OF THE CHIEF GOVERNMENT RELATIONS OFFICER, THE GOVERNMENT RELATIONS MANAGER AND THE SENIOR POLICY MANAGER'S TIME WAS SPENT ON LOBBYING ON SPECIFIC LEGISLATIVE ISSUES - VALUE APPROXIMATELY $153,193(INCLUDES DOLLARS ALLOTTED FOR BENEFITS). IN ADDITION, IN FY23, THE HOSPITAL HAD A LOBBYIST IN WASHINGTON D.C AND A NON-LOBBYIST ADVOCATE IN SACRAMENTO. THE APPROXIMATE VALUE WAS $43,901. LPCH BELONGS TO CERTAIN TRADE ASSOCIATIONS, WITH A PORTION OF DUES PAID SPENT ON EFFORTS TO INFLUENCE LEGISLATIVE MATTERS IN THE HEALTH CARE INDUSTRY. DURING FY23, THE APPROXIMATE AMOUNT OF DUES SPENT ON LOBBYING PURPOSES WAS $212,595.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Solicited Assets Sale	false	SolicitedAssetsSaleInd
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$486,879,000	BeginningYearBalanceAmt
Contributions	$9,582,000	ContributionsAmt
Investment Earnings Or Losses	$17,592,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$22,202,000	OtherExpendituresAmt
End Year Balance	$491,851,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$519,466,000	BeginningYearBalanceAmt
Contributions	$3,103,000	ContributionsAmt
Investment Earnings Or Losses	-$17,340,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$18,350,000	OtherExpendituresAmt
End Year Balance	$486,879,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$399,694,000	BeginningYearBalanceAmt
Contributions	$8,425,000	ContributionsAmt
Investment Earnings Or Losses	$130,731,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$19,384,000	OtherExpendituresAmt
End Year Balance	$519,466,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$371,437,000	BeginningYearBalanceAmt
Contributions	$15,589,000	ContributionsAmt
Investment Earnings Or Losses	$30,789,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$18,121,000	OtherExpendituresAmt
End Year Balance	$399,694,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$362,582,000	BeginningYearBalanceAmt
Contributions	$7,252,000	ContributionsAmt
Investment Earnings Or Losses	$18,944,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$17,341,000	OtherExpendituresAmt
End Year Balance	$371,437,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.01970	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.55870	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.42160	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,232,500	OtherCostOrOtherBasisAmt
Book Value	$24,232,500	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,902,945,679	OtherCostOrOtherBasisAmt
Depreciation	$480,023,394	DepreciationAmt
Book Value	$1,422,922,285	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,769,478	OtherCostOrOtherBasisAmt
Depreciation	$36,285,183	DepreciationAmt
Book Value	$22,484,295	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$495,906,524	OtherCostOrOtherBasisAmt
Depreciation	$395,147,355	DepreciationAmt
Book Value	$100,759,169	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$204,301,120	OtherCostOrOtherBasisAmt
Depreciation	$34,725,594	DepreciationAmt
Book Value	$169,575,526	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,739,973,775	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENTS IN UNIVERSITY MP	$1,066,150,947	F
ASSETS LIMITED AS TO USE, HELD	$7,971	F
BOARD DESIGNATED CASH	-$9,253,572	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$1,056,905,346	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$23,292,440
BENEFICIAL INTEREST IN TRUSTS	$17,153,339
RIGHT OF USE LEASE ASSETS	$181,551,866

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$221,997,645	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO GOVERNMENT AGENCIES	$53,710,613
SELF-INSURANCE RESERVE	$73,998,513
DUE TO RELATED PARTIES, NET	$12,661,633
RIGHT OF USE LIABILITIES	$194,032,133

Field	Value	IRS element (for citing)
Total Liability	$334,402,892	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART III, LINE 4	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL ("LPCH") DOES NOT RECOGNIZE CONTRIBUTIONS OF WORKS OF ART ON LPCH'S FINANCIALS AS 1) THEY ARE HELD FOR PUBLIC EXHIBITION RATHER THAN FINANCIAL GAIN; 2) THEY ARE PROTECTED, KEPT UNENCUMBERED, CARED FOR, AND PRESERVED; AND 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 FUNDS CONSIST OF VARIOUS INDIVIDUAL FUNDS. THE USES OF THE FUNDS ARE RESTRICTED TO DONORS' STIPULATIONS. LPCH ALSO HAS BOARD DESIGNATED FUNDS FUNCTIONING AS AN ENDOWMENT. THESE FUNDS ARE USED TO SUPPORT THE MISSION OF LPCH.
SCHEDULE D, PART X, LINE 2	FIN 48 LPCH IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF STANFORD UNIVERSITY, WHICH INCLUDE THE FOLLOWING NOTE: IN ACCORDANCE WITH THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT REGULARLY EVALUATES ITS TAX POSITIONS AND DOES NOT BELIEVE THE UNIVERSITY, SHC, OR LPCH HAVE ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Europe (Including Iceland and Greenland)	Program Services	CONFERENCES & SEMINARS	$13,076
North America	Program Services	CONFERENCES & SEMINARS	$288
Middle East and North Africa	Program Services	CONFERENCES & SEMINARS	$27,131
East Asia and the Pacific	Program Services	CONFERENCES & SEMINARS	$1,271

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$41,766	SubtotalSpentAmt
Total Spent	$41,766	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	392	PersonsServedCnt
Total Community Benefit Expns	$1,638,146	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,638,146	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	26657	PersonsServedCnt
Total Community Benefit Expns	$825,993,232	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$586,075,267	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$239,917,965	NetCommunityBenefitExpnsAmt
Total Expense	0.09950	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	27049	PersonsServedCnt
Total Community Benefit Expns	$827,631,378	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$586,075,267	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$241,556,111	NetCommunityBenefitExpnsAmt
Total Expense	0.10020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	134614	PersonsServedCnt
Total Community Benefit Expns	$10,637,243	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,956,615	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,680,628	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	27022	PersonsServedCnt
Total Community Benefit Expns	$43,210,857	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,544,831	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,666,026	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	3052	PersonsServedCnt
Total Community Benefit Expns	$2,461,976	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$232,551	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,229,425	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	238307	PersonsServedCnt
Total Community Benefit Expns	$2,177,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,177,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	402995	PersonsServedCnt
Total Community Benefit Expns	$58,487,826	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,733,997	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,753,829	NetCommunityBenefitExpnsAmt
Total Expense	0.01850	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	430044	PersonsServedCnt
Total Community Benefit Expns	$886,119,204	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$599,809,264	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$286,309,940	NetCommunityBenefitExpnsAmt
Total Expense	0.11870	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$75,165	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,165	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	10040	PersonsServedCnt
Total Community Benefit Expns	$2,619,316	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,619,316	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$330,260	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$330,260	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	23	PersonsServedCnt
Total Community Benefit Expns	$102,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$102,650	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	10063	PersonsServedCnt
Total Community Benefit Expns	$3,127,391	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,127,391	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,768,992	BadDebtExpenseAmt
Reimbursed By Medicare	$3,417,388	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,986,573	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,569,185	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LUCILE SALTER PACKARD CHILDREN'S HSPT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	725 WELCH ROAD	AddressLine1Txt
City	PALO ALTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94304	ZIPCd

Field	Value	IRS element (for citing)
State License	070000659	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LUCILE SALTER PACKARD CHILDREN'S HSPT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	COMMUNITYBENEFITS.STANFORDCHILDRENS.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	COMMUNITYBENEFITS.STANFORDCHILDRENS.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH'S") VALUES AND PRIORITIZES INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS - AS OUTLINED BELOW. IN ADDITION, IN FY23 LPCH MAINTAINED CLOSE CONNECTIONS TO COMMUNITY PARTNERS, GRANT RECIPIENTS, LOCAL LEADERS AND COMMUNITY STAKEHOLDERS TO UNDERSTAND THE ISSUES THAT AFFECT OUR SURROUNDING COMMUNITIES AND THEIR EFFECTS ON THE SOCIAL DETERMINANTS OF HEALTH. THOSE EFFORTS RESULTED IN A DEEPER UNDERSTANDING OF HOW THE COMMUNITY'S NEEDS HAVE CHANGED OR DEEPENED OVER THE PAST YEAR. IN FISCAL YEAR 2022, IN COLLABORATION WITH LOCAL AREA NONPROFIT HOSPITAL ORGANIZATIONS AND THE SAN MATEO AND SANTA CLARA COUNTY DEPARTMENTS OF PUBLIC HEALTH, WE FINALIZED A CHNA THAT INCLUDED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS AND COMMUNITY SERVICE LEADERS, FOCUS GROUPS WITH RESIDENTS, AND FOCUS GROUPS WITH PROFESSIONALS WHO REPRESENT AND/OR SERVE THE COMMUNITY OR RESIDENTS. INDIVIDUALS REPRESENTING HIGH-NEED POPULATIONS (LOW-INCOME, MARGINALIZED COMMUNITIES, MEDICALLY UNDERSERVED, HOMELESS, OLDER ADULT AND YOUTH) WERE INCLUDED. THE MEMBERS OF THE INFORMAL CHNA COLLABORATIVE STARTED PLANNING THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT IN JANUARY 2021 AND BEGAN COLLECTING DATA IN SPRING 2021. TO ENSURE CONSISTENCY ACROSS EACH INTERVIEW AND FOCUS GROUP, THE STUDY TEAM GENERATED RESEARCH PROTOCOLS. THIS CHNA SOUGHT TO BUILD ON PRIOR CHNAS BY FOCUSING THE PRIMARY RESEARCH ON TOPICS AND SUBPOPULATIONS THAT ARE LESS WELL-UNDERSTOOD BY THE STATISTICAL DATA. FOR EXAMPLE, THE EXPERIENCES OF THE BLACK POPULATION IN SAN MATEO AND SANTA CLARA COUNTIES ARE OFTEN OBSCURED BY STATISTICS THAT REPRESENT AN ENTIRE COUNTY'S POPULATION RATHER THAN THE BLACK POPULATION AS A PARTICULAR SUBGROUP. THE 2022 STUDY TEAM SPECIFICALLY CONVENED A FOCUS GROUP OF BLACK PROFESSIONALS TO BETTER UNDERSTAND THROUGH THIS PRIMARY QUALITATIVE RESEARCH. THE STUDY TEAM CONDUCTED THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS FOR THIS ASSESSMENT AND RECORDED EACH INTERVIEW AND FOCUS GROUP. RECORDINGS WERE TRANSCRIBED AND QUALITATIVE RESEARCH SOFTWARE TOOLS WERE USED TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. THE STUDY GROUP ALSO TABULATED HOW MANY TIMES HEALTH NEEDS WERE PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN A KEY INFORMANT INTERVIEW. THE STUDY TEAM USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES. IN ALL, THE STUDY TEAMS SOLICITED INPUT FROM NEARLY 100 COMMUNITY MEMBERS, COMMUNITY LEADERS, AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES WORK EITHER IN THE HEALTH FIELD OR IN A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM HIGH-NEED POPULATIONS. IN MARCH AND APRIL 2021, THE STUDY TEAM SPOKE WITH 15 EXPERTS FROM VARIOUS ORGANIZATIONS IN SAN MATEO AND SANTA CLARA COUNTIES. INTERVIEWS WERE CONDUCTED VIRTUALLY VIA ZOOM FOR APPROXIMATELY ONE HOUR. PRIOR TO EACH INTERVIEW, PARTICIPANTS WERE ASKED TO COMPLETE A SHORT ONLINE SURVEY IN WHICH THEY WERE ASKED TO IDENTIFY THE HEALTH NEEDS THEY FELT WERE THE MOST PRESSING AMONG THE PEOPLE THEY SERVED. INTERVIEWEES COULD CHOOSE UP TO THREE NEEDS FROM THE LIST OF NEEDS PRESENTED TO THEM, WHICH HAD BEEN IDENTIFIED IN ONE OR BOTH COUNTIES IN 2019, OR COULD WRITE IN NEEDS THAT WERE NOT ON THE COMBINED 2019 LIST. ALSO IN THE SURVEY, PARTICIPANTS WERE ADVISED OF HOW THEIR INTERVIEW DATA WOULD BE USED AND WERE ASKED TO CONSENT TO BE RECORDED. FINALLY, PARTICIPANTS WERE OFFERED THE OPTION OF BEING LISTED IN THE REPORT AND WERE ASKED TO PROVIDE SOME BASIC DEMOGRAPHIC INFORMATION (ALSO OPTIONAL). THE DISCUSSIONS CENTERED AROUND FOUR QUESTIONS FOR EACH HEALTH NEED THAT WAS PRIORITIZED BY INTERVIEWEES: 1. HOW DO YOU SEE THIS NEED PLAYING OUT IN THE COMMUNITY? 2. WHICH POPULATIONS ARE EXPERIENCING INEQUITIES WITH RESPECT TO THIS NEED? 3. HOW HAS THIS NEED CHANGED IN THE PAST FEW YEARS; HOW WERE THINGS GOING PRIOR TO THE PANDEMIC, AND HOW ARE THEY GOING NOW? 4. WHAT IS NEEDED (INCLUDING MODELS/BEST PRACTICES) TO BETTER ADDRESS THIS NEED? IN FY23, LPCH CONDUCTED FURTHER WORK WITH COMMUNITY-BASED ORGANIZATIONS TO BETTER UNDERSTAND HOW TO IMPROVE THE CHNA PROCESS IN RELATION TO COMMUNITY-ENGAGEMENT. MULTIPLE STAKEHOLDER MEETINGS WERE HELD AND LEARNINGS WERE GATHERED TO FURTHER IMPROVE THE COMMUNITY INPUT PROCESS THROUGH OUR NEXT CHNA CYCLE. FURTHER DATA REGARDING THIS GATHERED COMMUNITY INPUT IS CONTAINED IN THE FULL CHNA AVAILABLE AT https://www.stanfordchildrens.org/content-public/pdf/community-health-asse ssment-2022.pdf ALTHOUGH CONTACT INFORMATION FOR THE MANAGER OF COMMUNITY BENEFITS IS INCLUDED IN THE COMMUNITY BENEFITS REPORT AND ON THE WEBSITE, WE HAVE NOT RECEIVED WRITTEN COMMENTS TO DATE. HTTPS://WWW.STANFORDCHILDRENS.ORG/EN/ABOUT/GOVERNMENT-COMMUNITY/BENEFITS-R EPORTS
PART V, SECTION B LINE 6	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITAL FACILITIES AND ORGANIZATIONS: . EL CAMINO HEALTH . SUTTER HEALTH . STANFORD HEALTH CARE . SAMARITAN HOUSE . GARDNER HEALTH SERVICEs . BAY AREA COMMUNITY HEALTH ADVISORY COUNCIL
PART V, SECTION B, LINE 11	LPCH SELECTED FOUR HEALTH NEEDS IDENTIFIED AND PRIORITIZED BY THE COMMUNITY THROUGH THE CHNA PROCESS. LPCH SELECTED COMMUNITY HEALTH NEEDS THAT WERE PRIORITIZED THROUGH COMMUNITY INPUT AND ISSUE AREAS THAT REFLECT LPCH'S MISSION AND EXPERTISE. THE FOUR SELECTED HEALTH NEEDS ARE: - BEHAVIORAL HEALTH - ECONOMIC INSECURITY - HEALTH CARE ACCESS AND DELIVERY - MATERNAL AND INFANT HEALTH THE FOLLOWING OUTLINES LPCH'S GOALS, STRATEGIES AND THE ANTICIPATED IMPACT OF OUR EFFORTS AROUND THE SELECTED HEALTH NEEDS. 1. SOCIAL/EMOTIONAL HEALTH 1A. GOALS - PROVIDE HIGH-QUALITY MENTAL HEALTH SERVICES TO YOUTH 1A. SOCIAL/EMOTIONAL HEALTH STRATEGIES - EXPAND ACCESS TO PROGRAMS AND SERVICES THAT PREVENT POOR MENTAL HEALTH (E.G., MINDFULNESS-BASED STRESS REDUCTION) - EXPAND ACCESS TO PROGRAMS AND SERVICES (INCLUDING SCREENING AND COUNSELING/THERAPY) THAT ADDRESS STRESS, DEPRESSION, AND SUICIDAL IDEATION, INCLUDING INCREASING MENTAL/BEHAVIORAL HEALTH WORKFORCE - SUPPORT SCHOOL-BASED INTERVENTIONS, POLICIES, PROGRAMS, AND APPROACHES TO IMPROVE SCHOOL CLIMATE AND PREVENT OR REDUCE BULLYING - SUPPORT PROGRAMS AND POLICIES THAT PREVENT OR REDUCE DOMESTIC VIOLENCE AND INCREASE HEALTHY RELATIONSHIPS, BOTH BETWEEN ADULTS AND CHILDREN AND BETWEEN PEERS - PARTICIPATE IN COLLABORATIVES AND PARTNERSHIPS TO ADDRESS MENTAL HEALTH IN THE COMMUNITY 1A. ANTICIPATED IMPACT - REDUCED BULLYING - IMPROVED ACCESS TO SOCIAL/EMOTIONAL HEALTH PROGRAMS AND SERVICES - INCREASED KNOWLEDGE AMONG YOUTH ABOUT METHODS OF COPING WITH STRESS AND DEPRESSION - INCREASED PROPORTION OF YOUTH SERVED WITH EFFECTIVE SOCIAL/EMOTIONAL HEALTH SERVICES - IMPROVED SOCIAL/EMOTIONAL HEALTH AMONG THOSE SERVED - IMPROVED COPING SKILLS AMONG THOSE SERVED - HEALTHIER RELATIONSHIPS FOR THOSE SERVED - REDUCED DISCIPLINARY ACTIONS (SUSPENSIONS, EXPULSIONS) IN SCHOOLS SERVED - IMPROVED SCHOOL CLIMATE IN SCHOOLS SERVED 1B. GOALS - ADDRESS THE SYSTEMIC/INSTITUTIONAL BARRIERS TO MENTAL HEALTH 1B. STRATEGIES - SUPPORT COLLABORATION AND REFERRALS BETWEEN PRIMARY CARE PROVIDERS, EDUCATIONAL PROFESSIONALS, SOCIAL WORKERS, AND OTHERS, AND MENTAL HEALTH SPECIALISTS (AKA YOUTH MENTAL HEALTH CONTINUUM OF CARE) - SUPPORT COORDINATION OF BEHAVIORAL HEALTH CARE AND PHYSICAL HEALTH CARE, SUCH AS CO-LOCATION OF SERVICES, AND MENTAL/BEHAVIORAL HEALTH PROVIDERS TO SUPPORT CO-LOCATED SERVICES - ADVOCACY FOR MENTAL HEALTH PARITY LEGISLATION 1B. ANTICIPATED IMPACT - AMONG PROVIDERS/PROFESSIONALS, INCREASED KNOWLEDGE OF LOCAL RESOURCES AVAILABLE FOR TREATMENT OF DEPRESSION AND RELATED DISORDERS - GREATER COLLABORATION AND COORDINATION IN PROVIDING MENTAL HEALTH SERVICES TO YOUTH - IMPROVED ACCESS TO COORDINATED SOCIAL/EMOTIONAL HEALTH SERVICES 1C. GOALS - IMPROVE MEDIA LITERACY AMONG YOUTH IN LIGHT OF MENTAL HEALTH 1C. STRATEGIES - SUPPORT INITIATIVES, PROGRAMS, AND SERVICES FOR YOUTH TARGETING MEDIA LITERACY, CRITICAL THINKING, AND THE ROLE OF PEERS 1C. ANTICIPATED IMPACT - GREATER MEDIA LITERACY AMONG THOSE SERVED - INCREASED CRITICAL THINKING ABILITIES AMONG THOSE SERVED - HEALTHIER USE OF SOCIAL MEDIA BY THOSE SERVED - REDUCED IMPACT OF CYBERBULLYING AMONG THOSE SERVED 2. ECONOMIC STABILITY 2A. GOALS - REDUCE HOUSING INSTABILITY AMONG VULNERABLE COMMUNITY MEMBERS TO SUPPORT BETTER HEALTH OUTCOMES 2A. STRATEGIES - SUPPORT EFFORTS TO IMPROVE EQUITABLE ACCESS TO SOCIAL SERVICES THAT ADDRESS HOUSING INSECURITY AND FINANCIAL INSTABILITY - SUPPORT LOCAL HOMELESSNESS PREVENTION ORGANIZATIONS AND COLLABORATIVES THAT PROVIDE TEMPORARY FINANCIAL ASSISTANCE, LEGAL SUPPORT, CASE MANAGEMENT AND/OR OTHER NEEDED SERVICES TO LOW-INCOME INDIVIDUALS AND FAMILIES AT RISK OF LOSING THEIR HOUSING - SUPPORT INTEGRATED CASE MANAGEMENT PROGRAMS THAT LINK VULNERABLE INDIVIDUALS WITH HOUSING 2A. ANTICIPATED IMPACT - INCREASED EQUITABLE ACCESS TO SOCIAL SERVICES TO PREVENT HOMELESSNESS - INCREASED UTILIZATION OF SOCIAL SERVICES - REDUCED PROPORTION OF INDIVIDUALS WHO ARE HOUSING INSECURE - REDUCED RACIAL/ETHNIC DISPARITIES IN HOUSING INSTABILITY - INCREASED HOUSING STABILITY AMONG THOSE SERVED - INCREASED FINANCIAL STABILITY AMONG THOSE SERVED - IMPROVED HEALTH OUTCOMES AMONG THOSE SERVED 2B. GOALS - REDUCE FOOD INSECURITY AMONG VULNERABLE COMMUNITY MEMBERS TO SUPPORT BETTER HEALTH OUTCOMES 2B. STRATEGIES - SUPPORT EFFORTS TO IMPROVE EQUITABLE ACCESS TO SOCIAL SERVICES THAT ADDRESS FOOD INSECURITY - SUPPORT EFFORTS TO INCREASE ENROLLMENT IN CALFRESH/SNAP & WIC - SUPPORT EFFORTS TO INCREASE EQUITABLE UTILIZATION OF EXISTING FOOD BANKS AND OTHER FOOD DISTRIBUTION SITES, - SUPPORT IMPROVEMENTS IN SOCIAL DETERMINANTS OF HEALTH SCREENING AND REFERRAL SYSTEMS IN HOSPITALS AND COMMUNITY CLINICS - SUPPORT HEALTHY FOOD ACCESS INTERVENTIONS IN COMMUNITIES (E.G., COMMUNITY GARDENS, FARMERS MARKETS) - SUPPORT OPPORTUNITIES FOR COMMUNITY HEALTH EDUCATION ABOUT NUTRITION/HEALTHY EATING 2B. ANTICIPATED IMPACT - INCREASED EQUITABLE ACCESS TO SOCIAL SERVICES TO REDUCE FOOD INSECURITY - INCREASED UTILIZATION OF SOCIAL SERVICES - REDUCED RACIAL/ETHNIC DISPARITIES IN FOOD INSECURITY - INCREASED FOOD SECURITY AMONG THOSE SERVED - IMPROVED HEALTH OUTCOMES AMONG THOSE SERVED 2C. GOALS - REDUCE ECONOMIC INSTABILITY AMONG VULNERABLE COMMUNITY MEMBERS TO SUPPORT BETTER HEALTH OUTCOMES 2C. STRATEGIES - SUPPORT DISTRIBUTION OF "ESSENTIAL RESOURCES" TO VULNERABLE COMMUNITY MEMBERS - SUPPORT EFFORTS TO INCREASE WORKFORCE-RELATED EDUCATIONAL ATTAINMENT AND/OR JOB TRAINING - ADVOCACY FOR UNIVERSAL BASIC INCOME PILOTS 2C. ANTICIPATED IMPACT - MORE FAMILIES CAN MEET THEIR BASIC NEEDS - REDUCED UNEMPLOYMENT RATES - REDUCED PAY DISPARITIES - REDUCED INEQUITIES IN EDUCATIONAL ATTAINMENT - REDUCED POVERTY RATES 3. ACCESS TO CARE 3A. GOALS - INCREASE AVAILABILITY OF HEALTH CARE SERVICES FOR VULNERABLE CHILDREN, YOUTH, AND YOUNG ADULTS (AGES 0-24) 3A. STRATEGIES - SUPPORT HEALTH CARE CLINICS IN CLOSE GEOGRAPHIC PROXIMITY TO VULNERABLE POPULATIONS OF (E.G. LOW SOCIOECONOMIC STATUS NEIGHBORHOODS AND OTHER NEIGHBORHOODS WHERE HEALTH CARE DISPARITIES EXIST) - SUPPORT SYSTEMS APPROACHES TO INCREASED ACCESS TO CARE, INCLUDING TELEMEDICINE, AFTER-HOURS AVAILABILITY, ETC. 3A. ANTICIPATED IMPACT - INCREASED NUMBER OF CHILDREN AND EXPECTANT MOTHERS SERVED - INCREASED ACCESS TO PREVENTATIVE MEDICINE - INCREASED EQUITABLE ACCESS TO HEALTH CARE SERVICES - IMPROVED PATIENT RELATIONSHIPS WITH PRIMARY CARE PHYSICIANS - REDUCED UNNECESSARY ED VISITS/HOSPITALIZATIONS - INCREASED VACCINATION RATES - DECREASED OUTBREAKS OF VACCINE PREVENTABLE DISEASES - REDUCED HEALTH INEQUITIES 3B. GOALS - DIRECT PROVISION OF CARE TO VULNERABLE PATIENTS 3B. STRATEGIES - CONTINUE TO PROVIDE UNCOMPENSATED MEDICAL CARE TO MEDICAL PATIENTS - CONTINUE TO PROVIDE CHARITY CARE TO LOW-INCOME PATIENTS 3B. ANTICIPATED IMPACT - INCREASED NUMBER OF CHILDREN AND EXPECTANT MOTHERS SERVED - INCREASED EQUITABLE ACCESS TO HEALTH CARE SERVICES - REDUCED HEALTH INEQUITIES 3C. GOALS - ENSURE FUTURE SUPPLY OF DIVERSE HEALTH CARE PROVIDERS 3C. STRATEGIES - PROVIDE TRAINING TO HEALTH CARE PROFESSIONALS - SUPPORT EFFORTS TO INCREASE DIVERSITY OF HEALTH CARE WORKFORCE 3C. ANTICIPATED IMPACT - INCREASED NUMBER OF QUALIFIED PROVIDERS IN THE COMMUNITY FOCUSED ON COMMUNITY-BASED PRACTICES - STANDARD OF CARE RAISED - INCREASED EQUITABLE ACCESS TO HEALTH CARE SERVICES 3D. GOALS - ADDRESS SYSTEMIC/INSTITUTIONAL BARRIERS TO ACCESS 3D. STRATEGIES - ADVOCATE FOR HEALTH CARE POLICY CHANGE AT THE LOCAL, STATE, AND FEDERAL LEVELS THAT IMPROVE HEALTH CARE ACCESS FOR VULNERABLE CHILDREN AND FAMILIES 3D. ANTICIPATED IMPACT - SYSTEM-WIDE HEALTH CARE IMPROVEMENTS FOR CHILDREN AND FAMILIES - INCREASED EQUITABLE ACCESS TO HEALTH CARE SERVICES - REDUCED HEALTH INEQUITIES 4. MATERNAL AND INFANT HEALTH 4A. GOALS - REDUCE THE RATES OF TEEN BIRTHS AND IMPROVE THE LIVES OF TEEN MOTHERS AND THEIR CHILDREN 4A. STRATEGIES - EXPAND ACCESS TO TEEN PREGNANCY PREVENTION PROGRAMS AMONG POPULATIONS WITH HISTORICALLY HIGH RATES OF TEEN PREGNANCY - EXPAND ACCESS TO DEPRESSION SCREENING PROGRAMS FOR PREGNANT AND NEW TEEN MOTHERS, INDIVIDUAL OR GROUP-BASED PARENTING PROGRAMS, HOME VISITS, AND NURSE/FAMILY PARTNERSHIPS 4A. ANTICIPATED IMPACT - LOWER RATE OF TEEN BIRTHS - REDUCED DISPARITIES IN TEEN BIRTH RATES - IMPROVED MENTAL HEALTH OF PREGNANT TEENS AND TEEN PARENTS 4B. GOALS - INCREASE LEVELS OF ADEQUATE PRENATAL CARE 4B. STRATEGIES - EXPAND ACCESS TO ENHANCED PRENATAL CARE PROGRAMS AMONG BLACK WOMEN AND OTHER POPULATIONS WITH HISTORICAL DISPARITIES IN BIRTH OUTCOMES - EXPAND ACCESS TO GROUP PRENATAL CARE AMONG BLACK WOMEN AND OTHER POPULATIONS WITH HISTORICAL DISPARITIES IN BIRTH OUTCOMES - EXPAND COMMUNITY ACCESS TO PRENATAL HEALTH EDUCATION 4B. ANTICIPATED IMPACT AMONG BLACK WOMEN AND WOMEN FROM OTHER POPULATIONS WITH HISTORICAL DISPARITIES IN BIRTH OUTCOMES: - INCREASED NUMBER OF PREGNANT WOMEN WHO BENEFIT FROM HOME VISITS - IMPROVED ACCESS TO PRENATAL HEALTH EDUCATION - HIGHER ENROLLMENT IN GROUP PRENATAL CARE PROGRAMS - IMPROVED ACCESS TO PRENATAL CARE - MORE FAVORABLE BIRTH
PART V, SECTION B, LINE 16A, 16B & 16C	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") MAKES ITS FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY AVAILABLE TO THE PUBLIC AT HTTPS://WWW.STANFORDCHILDRENS.ORG/EN/PATIENT-FAMILY-RESOURCES/FINANCIAL-AS SISTANCE-ENGLISH. IT IS ALSO AVAILABLE ON THE STATEMENTS SENT TO PATIENTS.
PART V, SECTION B, LINE 20A	FINANCIAL ASSISTANCE DISCUSSION OCCURS AT THE TIME OF ADMISSION WHEN THE PATIENT SPEAKS WITH A FINANCIAL COUNSELOR. FINANCIAL ASSISTANCE INFORMATION IS ALSO INCLUDED IN THE ADMISSION PACKETS PROVIDED TO PATIENTS. LPCH WILL PURSUE PAYMENT FOR DEBTS OWED FOR HEALTH CARE SERVICES PROVIDED BY LPCH. ALL PATIENT ACCOUNT BALANCES THAT MEET LPCH CRITERIA FOR ASSIGNMENT TO BAD DEBT ACCORDING TO LPCH POLICY AND PROCEDURES ARE ELIGIBLE FOR PLACEMENT WITH A COLLECTION AGENCY. HOWEVER, LPCH DOES NOT CURRENTLY ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITY (ECA).
PART V, SECTION B, LINE 20B & 20C	FINANCIAL ASSISTANCE DISCUSSION MAY ALSO OCCUR AT THE TIME OF DISCHARGE WITH A FINANCIAL COUNSELOR IF THE PATIENT EXPRESSES CONCERN ABOUT FINANCIAL LIABILITY.
PART V, SECTION B, LINES 20D AND 20E	LPCH DID NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS IN FY23.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

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SCHEDULE H, PART I, LINE 3C	FOR FINANCIAL ASSISTANCE PROGRAM, LPCH CONSIDERS US RESIDENCY AS THE CRITERIA FOR ELIGIBILITY. FOR CHARITY CARE, LPCH DOES NOT LIMIT IT TO US RESIDENCY; INTERNATIONAL PATIENTS COULD ALSO BE ELIGIBLE. SCHEDULE H, PART I, LINE 6 THE ORGANIZATION PREPARED A COMMUNITY BENEFIT REPORT FOR FISCAL YEAR 2022 AND IT IS AVAILABLE TO THE PUBLIC AT https://www.stanfordchildrens.org/en/about/government-community/benefits-r eports.html SCHEDULE H, PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN F WAS $16,290,140. SCHEDULE H, 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.
SCHEDULE H, 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 NON-PROFITS 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.
SCHEDULE H, 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 SYSTEM-WIDE COST TO CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM TO ITS PROVISION FOR DOUBTFUL ACCOUNTS BASED ON CHARGES AS WAS APPLIED TO ITS CHARITY CARE BASED ON CHARGES. THE COST TO CHARGE RATIO FROM THE ORGANIZATION'S COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND EXCLUDES RESEARCH AND SOME GRANT RELATED COSTS.
SCHEDULE H, PART III, LINE 4	THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A SPECIFIC FOOTNOTE THAT DESCRIBES PROVISION FOR DOUBTFUL ACCOUNTS. EFFECTIVE SEPTEMBER 1, 2018, LPCH ADOPTED ASU 2014-09, "REVENUE FROM CONTRACTS WITH CUSTOMERS" (FASB ASC 606) USING A MODIFIED RETROSPECTIVE METHOD OF APPLICATION TO ALL CONTRACTS EXISTING UPON ADOPTION. THE MOST SIGNIFICANT IMPACT OF ADOPTING THE NEW STANDARD IS IN THE PRESENTATION IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS WHERE HISTORICAL PROVISION FOR BAD DEBTS IS NOW CONSIDERED AN IMPLICIT PRICE CONCESSION IN DETERMINING THE CONSIDERATION EXPECTED TO BE PAID TO LPCH, AND IS THEREFORE RECORDED AS A DIRECT REDUCTION OF PATIENT REVENUE AND PATIENT ACCOUNTS RECEIVABLE.
SCHEDULE H, PART III, LINE 8	THE MEDICARE SHORTFALL OF ($11,569,185) 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.
SCHEDULE H, PART III, LINE 9B	LPCH HAS A DEBT COLLECTION POLICY, WHICH PROVIDES INFORMATION REGARDING THE BILLING AND COLLECTION OF PATIENT DEBT, INCLUDING PATIENTS WHO QUALIFY UNDER FINANCIAL ASSISTANCE. THIS POLICY COMPLIES WITH CALIFORNIA HEALTH SAFETY CODE AND THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. A. LPCH WILL PURSUE PAYMENT FOR DEBTS OWED FOR HEALTH CARE SERVICES PROVIDED BY LPCH ACCORDING TO LPCH POLICY AND PROCEDURES. THE PROCEDURES FOR ASSIGNMENT TO COLLECTIONS/BAD DEBT WILL BE APPLICABLE TO ALL LPCH GUARANTORS. B. LPCH WILL COMPLY WITH RELEVANT FEDERAL AND STATE LAWS AND REGULATIONS IN THE ASSIGNMENT OF BAD DEBT. C. ALL PATIENT ACCOUNT BALANCES THAT MEET THE FOLLOWING CRITERIA ARE ELIGIBLE FOR PLACEMENT WITH A COLLECTION AGENCY: 1. LPCH HAS MADE ATTEMPTS TO COLLECT PAYMENT USING REASONABLE COLLECTION EFFORTS. LPCH WILL ATTEMPT TO MAIL FOUR (4) GUARANTOR STATEMENTS AFTER THE DATE OF DISCHARGE FROM OUTPATIENT OR INPATIENT CARE, WITH A FINAL 10 DAY NOTICE APPEARING ON THE FOURTH GUARANTOR STATEMENT, INDICATING THE ACCOUNT MAY BE PLACED WITH A COLLECTION AGENCY. ALL BILLING STATEMENTS INCLUDE A NOTICE ABOUT THE LPCH FINANCIAL ASSISTANCE/CHARITY CARE POLICY. 2. ACCOUNTS WITH A "RETURNED MAIL" STATUS ARE ELIGIBLE FOR COLLECTIONS ASSIGNMENT AFTER ALL GOOD FAITH EFFORTS HAVE BEEN DOCUMENTED AND EXHAUSTED. 3. IF A PATIENT CURRENTLY HAS OTHER ACCOUNTS THAT ARE OPEN OR UNRESOLVED BAD DEBT BALANCES, LPCH RESERVES THE RIGHT TO SEND ACCOUNTS TO COLLECTIONS EARLIER. 4. LPCH WILL SUSPEND ANY AND ALL COLLECTION ACTIONS IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, INCLUDING ALL REQUISITE SUPPORTING DOCUMENTATION, IS RECEIVED. FURTHER, IF LPCH DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, IT WILL PROMPTLY REFUND ANY OVERPAID AMOUNTS. D. AS STATED IN LPCH'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY, A PATIENT WHO QUALIFIES FOR A FINANCIAL HARDSHIP DISCOUNT, MAY NEGOTIATE AN EXTENDED INTEREST-FREE PAYMENT PLAN FOR ANY PATIENT OUT-OF-POCKET FEES. THE PAYMENT PLAN SHALL TAKE INTO ACCOUNT THE PATIENT'S INCOME, ESSENTIAL LIVING EXPENSES, ASSETS, THE AMOUNT OWED, AND ANY PRIOR PAYMENTS. E. IF A GUARANTOR DISAGREES WITH THE ACCOUNT BALANCE, THE GUARANTOR MAY REQUEST THE ACCOUNT BALANCE BE RESEARCHED AND VERIFIED PRIOR TO ACCOUNT ASSIGNMENT TO A COLLECTION AGENCY.
SCHEDULE H, PART VI, LINE 2	IN ADDITION TO CONDUCTING A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT AND AN ANNUAL IMPLEMENTATION STRATEGY REPORT, LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") PARTICIPATES IN NUMEROUS OTHER ENDEAVORS THAT SEEK TO INFORM OUR ASSESSMENT OF THE OVERALL HEALTH OF THE COMMUNITY WE SERVE. THOSE ENDEAVORS ARE LISTED BELOW: 1) LPCH IS A MEMBER OF TWO COLLABORATIVE GROUPS THAT SEEK TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS AS THEIR MAIN FUNCTION: HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY, AND SANTA CLARA COUNTY COMMUNITY BENEFIT COALITION. 2) LPCH HAS DEDICATED COMMUNITY BENEFIT STAFF THAT ACTIVELY ENGAGE WITH COMMUNITY NONPROFITS AND PUBLIC HEALTH DEPARTMENTS WORKING ON BOTH PUBLIC HEALTH AND SOCIAL DETERMINANTS OF HEALTH ISSUES. 3) LPCH IS A MEMBER OF MULTIPLE CHAMBERS OF COMMERCE, REGIONAL ECONOMIC DEVELOPMENT ASSOCIATIONS AND SERVICE CLUBS THAT SEEK TO SHARE KNOWLEDGE ABOUT THE OVERALL HEALTH OF OUR COMMUNITY AND TO ADVOCATE FOR CHANGE THAT SEEKS TO IMPROVE THE HEALTH OF OUR COMMUNITY. THE SILICON VALLEY COUNCIL OF NONPROFITS, A NONPROFIT ASSOCIATION THAT ADVOCATES FOR NONPROFIT SERVICES IS ONE EXAMPLE. 4) LPCH HAS DEDICATED ADVOCACY STAFF THAT WORKS WITH COMMUNITY LEADERS, ELECTED OFFICIALS, AND ADVOCACY ORGANIZATIONS IN ORDER TO INFORM OUR UNDERSTANDING OF THE HEALTH OF OUR COMMUNITY AS WELL AS LARGER NATIONWIDE ISSUES. 5) LPCH LEADERSHIP PLAYS PIVOTAL ROLES ON VARIOUS BOARDS AND COMMITTEES IN THE COMMUNITY AND ACROSS THE NATION THAT INFORMS OUR UNDERSTANDING OF THE HEALTH OF OUR COMMUNITY AS WELL AS NATIONWIDE ISSUES. 6) LPCH HAS A DEEP RELATIONSHIP WITH STANFORD UNIVERSITY SCHOOL OF MEDICINE THAT INFORMS OUR UNDERSTANDING OF THE HEALTH OF OUR COMMUNITY AND THE NATION VIA ACCESS TO WORLD-RENOWNED FACULTY AND RESEARCH. 7) LPCH ROUTINELY INVESTS IN PROCESS IMPROVEMENT, PROGRAM IMPROVEMENT AND STRATEGIC PLANNING INITIATIVES THAT SEEK TO IMPROVE THE QUALITY AND IMPACT OF THE ORGANIZATION'S COMMUNITY INVESTMENTS. LPCH PARTNERS WITH PUBLIC HEALTH EXPERTS TO EVALUATE OUR CURRENT EFFORTS AND TO IMPROVE OUR DATA COLLECTION PROCESSES AND REPORTING. THESE, AND OTHER EFFORTS HELP LPCH BETTER UNDERSTAND THE IMPACT OF COMMUNITY HEALTH IMPROVEMENT EFFORTS ON THE UNDERSERVED MEMBERS OF OUR COMMUNITY. 8) LPCH OFFERS TECHNICAL SUPPORT ASSISTANCE TO ITS COMMUNITY INVESTMENTS GRANTS PROGRAM MEMBER ORGANIZATIONS IN ORDER TO HELP BUILD ORGANIZATIONAL SUSTAINABILITY OVER THE LONG TERM. 9) IN FY20, LPCH SURVEYED COMMUNITY PARTNERS, GRANTEES, LOCAL LEADERS AND COMMUNITY STAKEHOLDERS IN ORDER TO BETTER UNDERSTAND THE IMPACTS OF COVID-19 AND THE ACCOMPANYING ECONOMIC CHALLENGES. THAT COMMUNITY INPUT HELPED LPCH BUILD A COVID-19 COMMUNITY RESPONSE PLAN THAT FOCUSED ON PROVIDING ESSENTIAL NEEDS SUPPORT TO DISADVANTAGED FAMILIES AND CHILDREN IN OUR COMMUNITY. 10) LPCH MAINTAINS CLOSE RELATIONSHIPS TO COMMUNITY PARTNERS, GRANT RECIPIENTS, LOCAL LEADERS, AND COMMUNITY STAKEHOLDERS IN ORDER TO UNDERSTAND BETTER THE IMPACTS OF COVID-19 AND THE EFFECTS IT HAS HAD ON THE SOCIAL DETERMINANTS OF HEALTH IN OUR COMMUNITY. THOSE EFFORTS RESULTED IN A DEEPER UNDERSTANDING OF HOW THE COMMUNITY'S NEEDS HAVE CHANGED OR DEEPENED OVER THE PAST YEAR. 11) LPCH IS FOCUSED ON NUMEROUS HEALTH EQUITY INITIATIVES THAT SEEK TO REDUCE HEALTH DISPARITIES IN THE COMMUNITY. THE EFFORTS ARE FOCUSED ON ADOPTING A HEALTH EQUITY FRAMEWORK FOR GRANTMAKING, CULTURAL DIVERSITY AND EQUITY AND INCLUSION TRAINING AND STRATEGIC PLANNING.
SCHEDULE H, PART VI, LINE 3	THE 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 DEPARTMENT. 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 AND 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 DEBT COLLECTION POLICY, FINANCIAL ASSET APPLICATION, FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY, THE UNINSURED PATIENT DISCOUNT POLICY, THE AVAILABILITY OF SUCH ASSISTANCE AND DISCOUNTS, AND A TELEPHONE NUMBER. C. LPCH BILLING STATEMENTS INFORM THE PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE BY CONTACTING THE LPCH CUSTOMER SERVICE CENTER.
SCHEDULE H, PART VI, LINE 4	BECAUSE OF ITS INTERNATIONAL REPUTATION FOR PROVIDING OUTSTANDING CARE TO BABIES, CHILDREN, ADOLESCENTS, AND EXPECTANT MOTHERS, LPCH SERVES PATIENTS AND THEIR FAMILIES AROUND THE ENTIRE SAN FRANCISCO BAY AREA. IN THE 13-COUNTY NORTHERN CALIFORNIA REGION LPCH RANKS FIRST FOR PEDIATRICS, WITH 10.1 PERCENT MARKET SHARE, AND THIRD FOR OBSTETRICS, WITH 4.4 PERCENT MARKET SHARE. HOWEVER, LPCH'S 2021 DISCHARGE DATA SHOW THAT SLIGHTLY LESS THAN HALF (46.7 PERCENT) OF ITS INPATIENT PEDIATRIC CASES (EXCLUDING NORMAL NEWBORNS) AND 81.1 PERCENT OF OBSTETRICS CASES COME FROM SAN MATEO AND SANTA CLARA COUNTIES. SO, FOR PURPOSES OF ITS COMMUNITY BENEFIT INITIATIVES, LPCH HAS IDENTIFIED THESE TWO COUNTIES AS ITS TARGET COMMUNITY. THIS HOSPITAL RANKS FIRST IN MARKET SHARE (19.9 PERCENT) FOR PEDIATRICS AND SECOND FOR OBSTETRICS (9.3 PERCENT) IN ITS PRIMARY SERVICE AREA. SAN MATEO COUNTY COMPRISES 19 CITIES AND MORE THAN TWO DOZEN UNINCORPORATED TOWNS AND AREAS. IT IS FAR LESS POPULOUS THAN SANTA CLARA COUNTY, WITH APPROXIMATELY 746,752 RESIDENTS IN 2019. DALY CITY IS SAN MATEO COUNTY'S LARGEST CITY BY POPULATION, WITH JUST OVER 106,000 PEOPLE (14% OF THE TOTAL). THE POPULATION OF THE COUNTY IS SUBSTANTIALLY MORE DENSE THAN THE STATE, WITH 9,206 PEOPLE PER SQUARE MILE COMPARED TO 8,486 PER SQUARE MILE IN CALIFORNIA. THE MEDIAN AGE IN SAN MATEO COUNTY IS 40.3 YEARS OLD. OVER 20% OF THE COUNTY'S RESIDENTS ARE UNDER THE AGE OF 18, AND NEARLY 16% ARE 65 YEARS OR OLDER. SANTA CLARA COUNTY COMPRISES 18 CITIES AND LARGE AREAS OF UNINCORPORATED RURAL LAND. IN 2019, APPROXIMATELY 1.92 MILLION PEOPLE LIVED THERE, MAKING IT THE SIXTH LARGEST COUNTY IN CALIFORNIA BY POPULATION. SAN JOSE IS ITS LARGEST CITY, WITH OVER 1.02 MILLION PEOPLE (53% OF THE TOTAL). THE POPULATION OF THE COUNTY IS SUBSTANTIALLY MORE DENSE THAN THE STATE, WITH 9,115 PEOPLE PER SQUARE MILE COMPARED TO 8,486 PER SQUARE MILE IN CALIFORNIA. THE MEDIAN AGE IN SANTA CLARA COUNTY IS 38.1 YEARS OLD. MORE THAN 22% OF THE COUNTY'S RESIDENTS ARE UNDER THE AGE OF 18, AND OVER 13% ARE 65 YEARS OR OLDER. IN BOTH COUNTIES, RESIDENTS AGED 0-14 MAKE UP ABOUT ONE FIFTH OF THE POPULATION, WHICH IS SIMILAR TO THE STATE. THE PERCENTAGE OF WOMEN AGED 15-50 WHO HAVE GIVEN BIRTH IS 5 PERCENT IN BOTH COUNTIES AND IN CALIFORNIA. THE ETHNIC MAKEUP OF BOTH COUNTIES IS EXTREMELY DIVERSE. IN TOTAL, THE NON-WHITE POPULATION OF SAN MATEO COUNTY REPRESENTS ABOUT 62% OF ITS TOTAL POPULATION, WHILE 70% OF SANTA CLARA COUNTY'S TOTAL POPULATION IS NON-WHITE. RACE/ETHNICITY SANTA CLARA COUNTY SAN MATEO COUNTY TOTAL PERCENTAGE OF COUNTY TOTAL PERCENTAGE OF COUNTY AMERICAN INDIAN/ALASKAN NATIVE 0.2 0.1 ASIAN 38.5 30.1 BLACK 2.3 2.2 HISPANIC/LATINX 25.1 24.2 PACIFIC ISLANDER/NATIVE HAWAIIAN 0.3 1.3 WHITE 29.9 37.8 MULTIRACIAL 3.4 4.0 SOME OTHER RACE 0.2 0.4 MORE THAN 34% OF RESIDENTS IN SAN MATEO COUNTY AND MORE THAN 39% OF RESIDENTS IN SANTA CLARA COUNTY ARE FOREIGN-BORN. THIS PERCENTAGE IS HIGHER THAN THE FOREIGN-BORN POPULATIONS STATEWIDE (27%) AND NATIONWIDE (14%). OUR COMMUNITIES EARN SOME OF THE HIGHEST ANNUAL MEDIAN INCOMES IN THE U.S., BUT THEY ALSO BEAR SOME OF THE HIGHEST COSTS OF LIVING. MEDIAN HOUSEHOLD INCOMES ARE $130,820 IN SAN MATEO COUNTY AND $129,210 IN SANTA CLARA COUNTY, BOTH FAR HIGHER THAN CALIFORNIA'S MEDIAN OF $82,053. YET THE CALIFORNIA SELF-SUFFICIENCY STANDARD, SET BY THE INSIGHT CENTER FOR COMMUNITY ECONOMIC DEVELOPMENT, SUGGESTS THAT MANY HOUSEHOLDS IN SAN MATEO AND SANTA CLARA COUNTIES ARE UNABLE TO MEET THEIR BASIC NEEDS. (THE STANDARD IN 2021 FOR A FAMILY WITH TWO CHILDREN, THE 2021 STANDARD WAS $166,257 IN SAN MATEO COUNTY AND $144,135 IN SANTA CLARA COUNTY.) HOUSING COSTS ARE HIGH: IN 2021, THE MEDIAN HOME PRICE WAS $1.6 MILLION AND THE MEDIAN RENT WAS $2,451 IN SAN MATEO COUNTY; THIS COMPARES TO $1.4 MILLION AND $2,374 IN SANTA CLARA COUNTY. IN BOTH COUNTIES, 26% OF CHILDREN ARE ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH AND CLOSE TO ONE QUARTER OF CHILDREN LIVE IN SINGLE-PARENT HOUSEHOLDS (22% OF CHILDREN IN SAN MATEO COUNTY AND 23% OF CHILDREN IN SANTA CLARA COUNTY). ABOUT 4% OF PEOPLE IN OUR COMMUNITIES ARE UNINSURED. THE MINIMUM WAGE IN SAN MATEO COUNTY WAS $14-$15.90 PER HOUR IN 2021 AND IN SANTA CLARA COUNTY WAS $14-$16.30 PER HOUR, WHERE SELF-SUFFICIENCY REQUIRES AN ESTIMATED $34-$39 PER HOUR. CALIFORNIA SELF-SUFFICIENCY STANDARD DATA SHOW A 26% INCREASE IN THE COST OF LIVING IN SAN MATEO COUNTY AND A 27% INCREASE IN SANTA CLARA COUNTY BETWEEN 2018 AND 2021, WHILE THE U.S. BUREAU OF LABOR STATISTICS REPORTS ONLY A 5.4% PER YEAR AVERAGE INCREASE IN WAGES IN THE SAN JOSE-SUNNYVALE-SANTA CLARA METROPOLITAN AREA BETWEEN 2018 AND 2020. JUDGING BY THE NEIGHBORHOOD DEPRIVATION INDEX, A COMPOSITE OF 13 MEASURES OF SOCIAL DETERMINANTS OF HEALTH SUCH AS POVERTY/WEALTH, EDUCATION, EMPLOYMENT, AND HOUSING CONDITIONS, BOTH COUNTIES' POPULATIONS OVERALL ARE HEALTHIER THAN THE NATIONAL AVERAGE. ALTHOUGH SAN MATEO AND SANTA CLARA COUNTIES ARE QUITE DIVERSE AND HAVE SUBSTANTIAL RESOURCES, THERE IS SIGNIFICANT INEQUALITY IN THEIR POPULATIONS' SOCIAL DETERMINANTS OF HEALTH AND HEALTH OUTCOMES. FOR EXAMPLE, THE GINI INDEX, A MEASURE OF INCOME INEQUALITY, IS HIGHER IN CERTAIN ZIP CODES COMPARED TO OTHERS. CERTAIN AREAS ALSO HAVE POORER ACCESS TO HIGH-SPEED INTERNET (E.G., ZIP CODES 95013, 94074), WALKABLE NEIGHBORHOODS (E.G., ZIP CODES 95002, 94060), OR JOBS (E.G., ZIP CODES 95020, 94044). IN OUR ASSESSMENT OF THE HEALTH NEEDS IN OUR COMMUNITY, WE FOCUS PARTICULARLY ON DISPARITIES AND INEQUITIES WITHIN OUR COMMUNITY RATHER THAN SIMPLY IN COMPARISON TO CALIFORNIA OR THE NATION AS A WHOLE.
SCHEDULE H, PART VI, LINE 5	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") MAKES ANNUAL COMMUNITY INVESTMENT GRANTS TO COMMUNITY NONPROFITS WORKING ON SIGNIFICANT HEALTH NEEDS AS DETERMINED BY THE MOST RECENT CHNA. IN ADDITION, THE HOSPITAL MAKES SIGNIFICANT INVESTMENTS THAT PROMOTE THE HEALTH OF THE COMMUNITY. THESE PROGRAMS ARE FULLY DESCRIBED IN THE FY2022 COMMUNITY BENEFIT REPORT AND FY2023 IMPLEMENTATION PLAN FILED FEBRUARY 2023 WITH THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. A THOROUGH ACCOUNTING OF THE HOSPITAL'S EFFORTS TO PROMOTE COMMUNITY HEALTH CAN BE READ IN THE REPORT, WHICH IS AVAILABLE AT COMMUNITYBENEFIT.STANFORDCHILDRENS.ORG BELOW IS A LISTING OF LPCH'S SERVICES AND ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE: HEALTH PROFESSIONS EDUCATION THE HOSPITAL IS A MAJOR EMPLOYER IN THE COMMUNITY IT SERVES AND, AS AN ACADEMIC MEDICAL CENTER, INVESTS SIGNIFICANTLY IN TRAINING THE HEALTH-CARE PROFESSIONALS OF THE FUTURE. THE HOSPITAL IS A MAJOR PROVIDER OF TRAINING FOR RESIDENT PHYSICIANS, FELLOWS AND MEDICAL STUDENTS, NURSES, AND ALLIED HEALTH PROFESSIONS FROM AROUND THE REGION FROM VARIOUS ORGANIZATIONS. THE HOSPITAL PROVIDES ANNUAL FUNDING FOR PEDIATRIC RESIDENTS ADVOCACY AND COMMUNITY HEALTH TRAINING AND PARTICIPATES IN STATE AND NATIONAL COLLABORATIVE WORKING ON MATERNAL AND PEDIATRIC HEALTH. COMMUNITY HEALTH IMPROVEMENT THE HOSPITAL CONDUCTS MULTIPLE PROGRAMS THAT ARE OFFERED AT NO COST TO COMMUNITY MEMBERS AND SEEKS TO IMPROVE THE HEALTH AND HEALTH KNOWLEDGE OF THE COMMUNITY. THESE ACTIVITIES INCLUDE DIRECT MEDICAL SERVICES FOR IMPOVERISHED TEENS, CHILD SAFETY PROGRAMS, COMMUNITY HEALTH LECTURES AND SEMINARS, ONGOING RESEARCH IN THE AREAS OF CHILD AND MATERNAL HEALTH, ETC. COMMUNITY HEALTH IMPROVEMENT GRANTS AT LPCH WE BELIEVE THAT WE CAN IMPACT THE HEALTH OF OUR COMMUNITY ON AN EVEN DEEPER LEVEL WHEN WE PARTNER WITH EXISTING COMMUNITY-BASED ORGANIZATIONS THAT ARE WORKING ON SHARED HEALTH INITIATIVES. WE ARE DEDICATED TO INVESTING IN LOCAL NONPROFITS THROUGH OUR COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM. ANNUALLY, WE FUND A WIDE ARRAY OF PROGRAMS AND PROJECTS SEEKING TO IMPROVE THE HEALTH OF OUR COMMUNITY. COMMUNITY BUILDING ACTIVITIES THE HOSPITAL PARTICIPATES IN A MYRIAD OF COMMUNITY BUILDING ACTIVITIES THAT SEEK TO IMPROVE THE COMMUNITY'S HEALTH AND SAFETY. THESE SERVICES AND ACTIVITIES ARE EITHER PROVIDED BY THE HOSPITAL ITSELF OR INVOLVE SUPPORT FOR COMMUNITY ORGANIZATIONS WORKING IN THE AREAS OF: POVERTY, HOMELESSNESS, ECONOMIC DEVELOPMENT, ETC. HOSPITAL LEADERSHIP ALSO VOLUNTEERS THEIR EXPERTISE ON MULTIPLE COMMUNITY NONPROFIT BOARDS WORKING TO IMPROVE THE HEALTH OF THE COMMUNITY. THE HOSPITAL ALSO SUPPORTS LOCAL EMERGENCY MANAGEMENT EFFORTS, SUPPORTS ECONOMIC DEVELOPMENT IN THE REGION THROUGH TRANSPORTATION AND HOUSING ADVOCACY, AND ADVOCATES FOR CHILDREN'S HEALTH ISSUES. ACADEMIC MEDICAL CENTER - RESEARCH LPCH IS PART OF STANFORD UNIVERSITY SCHOOL OF MEDICINE, THE WEST COAST'S OLDEST MEDICAL SCHOOL AND WORLDWIDE LEADER IN PATIENT CARE, EDUCATION, RESEARCH, AND INNOVATION. LPCH IS PROUD TO BE THE PRIMARY TEACHING HOSPITAL OF STANFORD UNIVERSITY SCHOOL OF MEDICINE-ONE OF THE TOP RANKED ACADEMIC MEDICAL INSTITUTIONS IN THE COUNTRY. THROUGHOUT HISTORY, STANFORD UNIVERSITY SCHOOL OF MEDICINE HAS BEEN HOME TO CUTTING-EDGE MEDICAL ADVANCES, INCLUDING THE FIRST SUCCESSFUL ADULT HUMAN HEART TRANSPLANT IN THE COUNTRY AND THE FIRST COMBINED HEART-LUNG TRANSPLANT IN THE WORLD. LPCH FUNDS ONGOING RESEARCH THROUGH STANFORD UNIVERSITY SCHOOL OF MEDICINE THAT SEEKS TO IMPROVE THE HEALTH OF OUR COMMUNITY.
SCHEDULE H, PART VI, LINE 7	LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ("LPCH") FILES AN ANNUAL COMMUNITY BENEFIT REPORT AND IMPLEMENTATION PLAN WITH THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT AS REQUIRED BY STATE LAW, SB 697 (TORRES, 1994).

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ACKNOWLEDGE ALLIANCE
2483 OLD WAY STE 201	MOUNTAIN VIEW	CA	94043	770393676	501(C)(3)	$50,000	PROMOTE POSITIVE SCH
ADOLESCENT COUNSELING SERVICES
643 BAIR ISLAND	REDWOOD CITY	CA	94063	510192551	501(C)(3)	$100,000	EMPOWER YOUTH IN OUR
FRESH APPROACH
5060 COMMERCIAL CIR STE C	CONCORD	CA	94520	262438206	501(C)(3)	$75,000	CREATE LONG-TERM CHA
LEGAL AID SOCIETY OF SAN MATEO COUNTY
330 TWIN DOLPHIN DR STE 123	REDWOOD CITY	CA	94065	941451894	501(C)(3)	$50,000	SUPPORT TO IMPROVE A
MY DIGITAL TAT2 INC
190 SOUTHWOOD DR	PALO ALTO	CA	943013134	812905686	501(C)(3)	$50,000	EMPOWER STUDENTS, FA
PUENTE DE LA COSTA SUR
620 NORTH STREET	PESCADERO	CA	94060	371484262	501(C)(3)	$100,000	SUPPORT TO IMPROVE A
RAVENSWOOD FAMILY HEALTH CENTER
1885 BAY ROAD	EAST PALO ALTO	CA	94303	943372130	501(C)(3)	$250,000	TO IMPROVE THE HEALT
SANTA CRUZ COMMUNITY HEALTH CENTERS
125 WATER ST STE A-2	SANTA CRUZ	CA	95060	237428303	501(C)(3)	$100,000	SUPPORT TO IMPROVE A
SONRISAS DENTAL HEALTH INC
430 N EL CAMINO REAL	SAN MATEO	CA	94401	943390196	501(C)(3)	$75,000	PROVISION OF QUALITY
ROOTS COMMUNITY HEALTH CENTER
7272 MACARTHUR BLVD	OAKLAND	CA	946052533	262583954	501(C)(3)	$75,000	MEDICAL AND BEHAVIOR
LIFEMOVES
181 CONSTITUTION DR	MENLO PARK	CA	94025	770160469	501(C)(3)	$100,000	TO FINDING SOLUTIONS
SACRED HEART COMMUNITY SERVICE
1381 SOUTH FIRST ST	SAN JOSE	CA	95110	237179787	501(C)(3)	$100,000	TO BUILD A COMMUNITY
SECOND HARVEST OF SILICON VALLEY
750 CURTNER AVENUE	SAN JOSE	CA	95125	942614101	501(C)(3)	$100,000	TO IMPROVE THE HEALT
SHINE TOGETHER INC
508 VALLEY WAY	MILPITAS	CA	95035	450702884	501(C)(3)	$75,000	EMPOWER YOUTH IN OUR
RONALD MCDONALD HOUSE CHARITIES BAY AREA
520 SAND HILL ROAD	PALO ALTO	CA	943042001	942538615	501(C)(3)	$15,000	TO PROVIDE COMMUNITIES SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	15	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	IN ADDITION TO ALL OTHER RELEVANT COMMUNITY BENEFIT SERVICES AND ACTIVITIES, LPCH ACTIVELY FUNDS GRANTS TO LOCAL COMMUNITY-BASED ORGANIZATIONS WORKING TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. THE MAJORITY OF GRANTS ARE MADE TO ORGANIZATIONS WORKING TO IMPROVE HEALTH NEEDS IDENTIFIED THROUGH THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZED BY THE COMMUNITY AND HOSPITAL. ADDITIONAL GRANTS ARE, AT TIMES, MADE TO ORGANIZATIONS WORKING TO ADDRESS HEALTH NEEDS THAT HAVE BEEN IDENTIFIED BY OTHER RESEARCH OR DATA. RATHER THAN CONDUCTING A REQUEST FOR PROPOSAL GRANT PROCESS, LPCH IDENTIFIES AND SOLICITS COMMUNITY ORGANIZATIONS TO APPLY FOR GRANTS, PARTICIPATE IN A GRANT SELECTION PROCESS, AND THEN BE "AWARDED" A GRANT THROUGH AN INTERNAL PROCESS. THIS INTERNAL PROCESS IS GUIDED BY BOTH HOSPITAL LEADERSHIP AND A COMMUNITY ADVISORY BOARD. MAINTENANCE OF RECORDS: LPCH'S GOVERNMENT & COMMUNITY RELATIONS DEPARTMENT HOUSES A COMMUNITY BENEFIT OPERATIONS TEAM THAT OVERSEES THE COMMUNITY INVESTMENT GRANTMAKING PROGRAM AND COORDINATES MAINTENANCE OF RECORDS THROUGHOUT THE ORGANIZATION, AS THEY PERTAIN TO COMMUNITY BENEFIT. LPCH UTILIZES MULTIPLE TOOLS TO MAINTAIN THE BROADER GRANTMAKING PROGRAM, INCLUDING: A DIGITAL GRANTS-MANAGEMENT PLATFORM, COMMUNITY BENEFIT ACCOUNTING SOFTWARE, ELECTRONIC GRANT AWARD AND ACCEPTANCE DOCUMENTS AND MULTIPLE FINANCIAL RECORDS HOUSED IN LPCH'S FINANCE DEPARTMENT. GRANTEE ELIGIBILITY: ANY ORGANIZATION RECEIVING LPCH COMMUNITY INVESTMENT FUNDING MUST BE A 501(C)(3) ORGANIZATION OR GOVERNMENT ORGANIZATION LOCATED IN THE HOSPITAL'S PRIMARY OR SECONDARY 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 GRANTEE ORGANIZATION'S LEADERSHIP, GRANT GOALS AND METRICS ARE DETERMINED ANNUALLY PRIOR TO FUNDING BEING AWARDED. A PROGRESS REPORT IS REQUIRED AT SIX MONTHS AND ACCOMPANIED BY A MID-YEAR PROGRESS CONFERENCE CALL, A SITE VISIT IS CONDUCTED IF APPROPRIATE, AND A FINAL ANNUAL REPORT OUTLINING PROGRESS TOWARDS THE AGREED UPON GOALS IS REQUIRED AT THE END OF THE FUNDING CYCLE. IN ADDITION, A GRANT AGREEMENT ACCOMPANIES EACH FUNDING AWARD THAT CLEARLY ARTICULATES THE ALLOWED USAGE OF THE FUNDS AND THE RESTRICTED NATURE OF THOSE FUNDS. WE ALSO INVEST HEAVILY IN COMMUNITY BENEFIT STRATEGIC PLANNING SERVICES LED BY PUBLIC HEALTH EXPERTS WITH YEARS OF EXPERIENCE IN COMMUNITY HEALTH IMPROVEMENT. SELECTION CRITERIA: WHEN SELECTING WHICH ORGANIZATIONS TO GRANT FUNDS, THE HOSPITAL CONSULTS ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IN ORDER TO IDENTIFY PRIORITY COMMUNITY HEALTH NEEDS. LPCH THEN IDENTIFIES COMMUNITY ORGANIZATIONS THAT ARE WORKING IN AN ARENA THAT FOCUSES ON ONE OR MORE OF THE CHNA IDENTIFIED COMMUNITY HEALTH NEEDS, IDENTIFIES EXISTING PROJECTS THAT POSE AN OPPORTUNITY FOR PARTNERSHIP AND HAVE THE POTENTIAL TO POSITIVELY IMPACT COMMUNITY HEALTH AND THEN INVITES THE COMMUNITY-BASED ORGANIZATION TO APPLY FOR A COMMUNITY HEALTH IMPROVEMENT GRANT, AND IF APPROVED, COMMITS FUNDING TO IT. OR, THE HOSPITAL MAY DESIGN, TOGETHER WITH A COMMUNITY ORGANIZATION, A PROJECT THAT ADDRESSES AN IDENTIFIED NEED AND THEN COMMIT FUNDS TO THAT PROJECT. LPCH GRANT MAKING DECISIONS RECEIVE OVERSIGHT FROM BOTH THE COMMUNITY BENEFIT ADVISORY COUNCIL, COMPRISED OF COMMUNITY LEADERS AND EXPERTS, AS WELL AS THE LPCH BOARD OF DIRECTORS. BOTH THE COMMUNITY BENEFIT ADVISORY COUNCIL AND THE LPCH BOARD OF DIRECTORS MEET QUARTERLY THROUGHOUT THE YEAR TO REVIEW COMMUNITY BENEFIT ACTIVITIES AND SPENDING. LPCH HAS DEDICATED COMMUNITY BENEFIT STAFF WHO, UNDER THE DIRECTION OF THE SENIOR VICE PRESIDENT AND CHIEF GOVERNMENT RELATIONS OFFICER, CONDUCTS OVERSIGHT OF ALL GRANTEE ORGANIZATIONS THROUGHOUT THE GRANT YEAR. LPCH ALSO PROVIDES SMALLER FINANCIAL SUPPORT (LESS THAN $25,000) TO NOT-FOR-PROFIT ORGANIZATIONS SERVING CHILDREN, ADOLESCENTS AND PREGNANT WOMEN TO SUPPORT THEIR PROGRAM OR TO PRESENT SYMPOSIA, SEMINARS OR CONFERENCES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Marcie Atchison
SVP & Chief HR Officer	$463,248	$0	$93,999	$0	$45,447	$0	$77,484	$0	$30,861	$0	$711,039	$0	$38,658	$0
Jesus Cepero
SVP - Patient Care Services	$484,951	$0	$99,514	$0	$45,217	$0	$100,250	$0	$49,281	$0	$779,213	$0	$0	$0
David Entwistle
Director	$0	$2,007,529	$0	$2,071,871	$0	$596,433	$0	$382,562	$0	$56,014	$0	$5,114,409	$0	$335,777
Carolyn Ford Hemann
VP, Ambulatory Services	$245,713	$0	$0	$0	$390,767	$0	$37,055	$0	$15,572	$0	$689,107	$0	$51,470	$0
Dana Haering
EVP & CFO	$715,604	$0	$165,735	$0	$99,322	$0	$60,150	$0	$19,131	$0	$1,059,942	$0	$0	$0
Gregory Hogue
VP, Finance	$327,325	$0	$87,464	$0	$54,878	$0	$57,927	$0	$43,894	$0	$571,488	$0	$26,827	$0
Patrick Idemoto
EVP & Chief Strategy Officer	$477,132	$0	$109,162	$0	$76,200	$0	$99,097	$0	$41,422	$0	$803,013	$0	$46,187	$0
Paul King
Dir., Pres & CEO	$1,237,124	$0	$651,703	$0	$244,769	$0	$51,000	$0	$21,369	$0	$2,205,965	$0	$0	$0
Edward Kopetsky
SVP & CIO	$577,338	$0	$106,908	$0	$106,461	$0	$60,150	$0	$31,410	$0	$882,267	$0	$0	$0
Mary Leonard MD
Director	$0	$516,288	$0	$392,707	$0	$600	$0	$30,500	$0	$2,352	$0	$942,447	$0	$0
Leslie Lifter
SVP & Chief Marketing Officer	$353,749	$0	$69,451	$0	$108,646	$0	$33,094	$0	$42,325	$0	$607,265	$0	$56,222	$0
Lisa Grisim
VP & Associate CIO	$461,488	$0	$95,130	$0	$123,550	$0	$60,150	$0	$30,231	$0	$770,549	$0	$73,376	$0
Randy Livingston
Director	$0	$842,924	$0	$44,563	$0	$0	$0	$206,367	$0	$39,051	$0	$1,132,905	$0	$0
Dennis P Lund MD
Director/CMO	$0	$442,397	$0	$443,683	$0	$76,111	$0	$30,500	$0	$38,184	$0	$1,030,875	$0	$0
Rick Majzun
EVP & COO	$739,919	$0	$168,236	$0	$96,459	$0	$120,199	$0	$52,498	$0	$1,177,311	$0	$84,676	$0
Lloyd B Minor MD
Director	$0	$2,126,523	$0	$363,000	$0	$1,908,808	$0	$30,500	$0	$41,991	$0	$4,470,822	$0	$1,300,000
Matt Pearson
VP, SHC D&C PRGM MGMT	$0	$361,394	$0	$92,962	$0	$66,664	$0	$39,650	$0	$41,922	$0	$602,592	$0	$2,382
Michele Sanchez
CORPORATE SECRETARY	$153,113	$0	$500	$0	$0	$0	$20,083	$0	$14,894	$0	$188,590	$0	$0	$0
Amy Semple
VP - Surgical and Interv Svcs	$355,878	$0	$92,248	$0	$23,621	$0	$83,149	$0	$34,214	$0	$589,110	$0	$0	$0
Jill Ann Sullivan
SVP - Strat Spc Pln & Gen Srvs	$409,094	$0	$73,214	$0	$56,671	$0	$60,150	$0	$42,522	$0	$641,651	$0	$0	$0
Jana Uherkova-Hale
CLINICAL NURSE, OPERATING ROOM	$639,774	$0	$500	$0	$56	$0	$37,874	$0	$32,690	$0	$710,894	$0	$0	$0
Chantal Volel-Torres
SVP & CAO Phy Prac/CEO PCHA	$421,178	$0	$59,888	$0	$113,195	$0	$45,952	$0	$30,747	$0	$670,960	$0	$0	$0
Helen Wilmot
Former SHC Admin - COO	$0	$498,352	$0	$130,253	$0	$86,510	$0	$39,650	$0	$52,822	$0	$807,587	$0	$4,650
WILLIAM WILSON JR
VP & Chief Technology Officer	$395,536	$0	$90,053	$0	$12,521	$0	$82,772	$0	$31,586	$0	$612,468	$0	$0	$0
RISHI SETH
VP - OPERATIONS ADMINISTRATION	$325,693	$0	$59,733	$0	$11,669	$0	$59,353	$0	$48,644	$0	$505,092	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	TAX GROSS-UP PAYMENTS ONE OFFICER, TWO KEY EMPLOYEES, AND ONE HIGHEST COMPENSATED EMPLOYEE RECEIVED LODGING OR RELOCATION BENEFITS. THE VALUE WAS GROSSED UP FOR TAX PURPOSES AND HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). THREE OFFICERS, SIX KEY EMPLOYEES, FOUR HIGHEST COMPENSATED EMPLOYEES, AND ONE FORMER KEY EMPLOYEE RECEIVED A YEAR END GIFT OF A COMPANY JACKET. THE VALUE WAS GROSSED UP FOR TAX PURPOSES AND HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). HOUSING ONE OFFICER AND FIVE KEY EMPLOYEES RECEIVED HOUSING AS A TAXABLE BENEFIT AND THE AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III).
SCHEDULE J, PART I, LINE 4A	CAROLYN FORD HEMANN RECEIVED A SEVERANCE PAYMENT OF $322,976 IN CALENDAR YEAR 2022. THIS PAYMENT IS INCLUDED ON SCHEDULE J, PART II, COLUMN B(III).
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN LPCH and STANFORD HEALTH CARE (SHC) PROVIDES ALL SENIOR EXECUTIVES WITH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS. 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 2022: Marcie Atchison 40,234 Carolyn Ford Hemann 65,426 Dana Haering 85,187 Gregory Hogue 27,964 Patrick Idemoto 48,137 Paul King 200,546 Edward Kopetsky 71,305 Leslie Lifter 87,044 Lisa Grisim 114,075 Rick Majzun 88,265 Jill Ann Sullivan 32,704 Seth Rishi 10,074 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C). LLOYD B. MINOR AND RANDY LIVINGSTON PARTICIPATE 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. DEFERRED COMPENSATION IS REPORTED IN SCHEDULE J, PART II, COLUMN (C), AS DESCRIBED ABOVE, AND IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III), AND COLUMN (F) IN THE YEAR OF PAYMENT, IF APPLICABLE. LLOYD B. MINOR RECEIVED PAYMENT FROM HIS DEFERRED COMPENSATION ACCOUNT DURING CALENDAR YEAR 2022 IN THE AMOUNT OF $1,901,224.
SCHEDULE J, PART I, LINE 7	CERTAIN OFFICERS AND OTHERS AS LISTED 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. 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA HEALTH FACILITIES FINANCE AUTHORITY
A	521643828	13032UYS1	2022-05-17	$230,594,375	SEE PART VI	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCE AUTHORITY
B	521643828	13033L3G0	2014-05-08	$208,381,669	FINANCE HEALTH FACILITIES	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCE AUTHORITY
C	521643828	13032UDC9	2016-03-31	$206,377,852	SEE PART VI	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCE AUTHORITY
D	521643828	13032UPX0	2017-08-17	$229,068,542	FINANCE HEALTH FACILITIES	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$2,910,000	$0	$230,594,375	$0	$0	$0	$2,182,084	$0	$0	$0	$228,412,291	$0	2016	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$208,381,669	$0	$0	$0	$1,996,822	$0	$0	$206,870,271	$0	$0	2017	false	false	Yes (true)	Yes (true)
C	$26,470,000	$0	$206,377,852	$0	$0	$0	$2,018,933	$0	$0	$113,527,667	$91,100,236	$0	2017	false	Yes (true)	Yes (true)	Yes (true)
D	$11,825,000	$0	$229,068,542	$0	$0	$0	$2,182,977	$0	$0	$227,083,531	$0	$0	2018	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct
A	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	false	Yes (true)	0.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	No Rebate DueNoRebateDueInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
C	false		false	false	false	0	false	Yes (true)	Yes (true)
0
D	false		false	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, LINE A, COLUMN (F)	FOR LEGAL DEFEASANCE AND REDEMPTION OF THE 2012 SERIES A BONDS AND PARTIAL REFUND OF THE 2012 SERIES B BONDS.
SCHEDULE K, PART I, LINE C, COLUMN (F)	FOR LEGAL DEFEASANCE AND REDEMPTION OF THE 2008 SERIES A, B, C REVENUE BONDS.
SCHEDULE K, PART II, LINE 2, COLUMN A (2022 BONDS)	THE 2022 BONDS WERE COMPRISED OF FORWARD DELIVERY REFUNDING BONDS. PROCEEDS OF THE 2022 BONDS WERE USED FOR LEGAL DEFEASANCE AND REDEMPTION OF THE 2012 SERIES A BONDS, PARTIAL REFUND OF THE 2012 SERIES B BONDS, AND PAYMENTS OF COSTS OF ISSUANCE.
SCHEDULE K, PART II, LINE 14, COLUMN A (2022 BONDS)	PROCEEDS OF THE 2022 BONDS WERE USED FOR LEGAL DEFEASANCE AND REDEMPTION OF THE 2012 SERIES A BONDS, PARTIAL REFUND OF THE 2012 SERIES B BONDS, AND PAYMENTS OF COSTS OF ISSUANCE.
SCHEDULE K, PART II, LINE 2, COLUMN C (2016 BONDS)	THE 2016 BONDS WERE COMPRISED OF SERIES A AND B REVENUE BONDS. PROCEEDS OF THE 2016 SERIES A WERE USED FOR THE LEGAL DEFEASANCE AND REDEMPTION OF THE 2008 SERIES A, B, AND C REVENUE BONDS. PROCEEDS OF THE 2016 SERIES B WERE USED TO FINANCE A PORTION OF THE ONGOING CONSTRUCTION, AND EXPANSION OF THE HOSPITAL, AND TO PAY FOR THE COST OF ISSUANCE.
SCHEDULE K, PART II, LINE 15, COLUMN C (2016 BONDS)	THE PROCEEDS OF THE 2016 SERIES A BONDS WERE USED TO REFUND, ON ADVANCE BASIS, THE 2008 SERIES BONDS.
SCHEDULE K, PART IV, LINE 2C, COLUMN C (2016 BONDS)	AN ARBITRAGE REBATE ANALYSIS WAS PERFORMED FOR 2016 SERIES A AND B BONDS MARCH 31, 2023. NO PAYMENT WAS DUE TO THE IRS FOR THESE BONDS IN FY2023.
SCHEDULE K, PART IV, LINE 2C, COLUMN D (2017 BONDS)	AN ARBITRAGE REBATE ANALYSIS WAS PERFORMED FOR 2017 SERIES A AND B BONDS AUGUST 17, 2023. NO PAYMENT WAS DUE TO THE IRS FOR THESE BONDS IN FY2023.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (4 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
PAUL KING
CEO	HOUSING LOAN	Yes (X)	$2,150,000	$1,750,000	false	Yes (true)	Yes (true)
JESUS CEPERO
SVP - PATIENT CARE SERVICES	HOUSING LOAN	Yes (X)	$500,000	$500,000	false	Yes (true)	Yes (true)
RICK MAJZUN
CPP	HOUSING LOAN	Yes (X)	$1,000,000	$980,556	false	Yes (true)	Yes (true)
GREG HOGUE
VP - FINANCE	HOUSING LOAN	Yes (X)	$300,000	$300,000	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$3,530,556	TotalBalanceDueAmt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	64	ContributionCnt
Noncash Contributions Rpt F990	$380,508	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND FORM 990, PART III, LINE 1	ORGANIZATION'S PRIMARY EXEMPT PURPOSE THE SPECIFIC AND PRIMARY 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 ("STANFORD UNIVERSITY"), INCLUDING ITS SCHOOL OF MEDICINE ("SOM"), 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 SCHOOL OF MEDICINE AND SHC.
FORM 990, PART III, LINE 4A	PROGRAM SERVICE DESCRIPTION JOHNSON CENTER EXPENSE $533,416,152 GRANTS $0 REVENUE $508,837,409 THE JOHNSON CENTER FOR PREGNANCY AND NEWBORN SERVICES 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 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD TO DELIVER THEIR PATIENTS. THE JOHNSON 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-DEVELOPMENTAL 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, MODESTO, AND SANTA CRUZ. ADDITIONALLY, THE FERTILITY AND REPRODUCTIVE HEALTH SERVICES WERE ADDED TO THE JOHNSON CENTER IN FY15. THESE SERVICES RUN THE SPECTRUM OF IUI, IVF, MULTIPLE PREGNANCY LOSS, AND MALE FERTILITY FACTOR CONSIDERATIONS. 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. IN FISCAL YEAR 2023, THERE WERE 5,103 OBSTETRIC DISCHARGES FROM THE JOHNSON CENTER AND 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 PERCENT OF CASES, 14 PERCENT OF PATIENTS CAME FROM THE SURROUNDING BAY AREA COUNTIES, AND 2 PERCENT FROM THE REMAINING CALIFORNIA COUNTIES AND OUT OF STATE. NEONATOLOGY SERVED A TOTAL OF 1,218 INPATIENT discharges IN FISCAL YEAR 2023 WITH AN AVERAGE LENGTH OF STAY OF 15.8 DAYS. OF THESE INPATIENTS, 61 PERCENT WERE FROM THE PRIMARY SERVICE AREA, 31 PERCENT FROM THE SURROUNDING BAY AREA COUNTIES, AND 8 PERCENT FROM THE REMAINING CALIFORNIA COUNTIES AND OUT OF STATE.
FORM 990, PART III, LINE 4B	PROGRAM SERVICE DESCRIPTION MOORE CHILDREN'S HEART CENTER EXPENSE $445,753,884 GRANTS $0 REVENUE $606,492,667 THE MOORE CHILDREN'S 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 HEART CENTER CARES FOR THOSE REQUIRING SPECIALIZED CARDIOTHORACIC SERVICES ON A NATIONAL AND INTERNATIONAL BASIS, DRAWING PATIENTS FROM ALL OVER CALIFORNIA, AT LEAST 40 DIFFERENT STATES, AND SEVERAL FOREIGN 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 FETAL AND PREGNANCY HEALTH PROGRAM. THE NUMBER OF INPATIENTS SERVED BY THE HEART CENTER WAS 1,013 IN FISCAL YEAR 2023. OF THESE, THERE WERE 28 HEART TRANSPLANTS. THE PROGRAM HAD A CASE MIX INDEX OF 4.8 REFLECTING THE HIGHLY COMPLEX POPULATION THAT WE SERVE. 18% OF PATIENTS CAME FROM OUR PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 28% CAME FROM SURROUNDING BAY AREA COUNTIES, 23% CAME FROM OTHER AREAS WITHIN CALIFORNIA, AND 31% FROM OTHER STATES AND BEYOND IN FISCAL YEAR 2023.
FORM 990, PART III, LINE 4C	PROGRAM SERVICE DESCRIPTION BASS CANCER CENTER EXPENSE $290,501,390 GRANTS $0 REVENUE $270,150,754 THE BASS CENTER FOR CHILDHOOD CANCER AND BLOOD DISEASES 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 49-BED INPATIENT UNIT WHICH OPENED IN DECEMBER 2019. IN THE UNIT, THERE ARE 25 HEMATOLOGY/ONCOLOGY BEDS AND 24 STEM CELL TRANSPLANT BEDS. THE CANCER PROGRAM ALSO HAS A 14-BED DAY HOSPITAL, INFUSION ROOM, LAB, AND CLINIC. THE CANCER 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 130-190 NEW CANCER PATIENTS PER YEAR AND PERFORMED 36 STEM CELL TRANSPLANTS IN FISCAL YEAR 2023. THE CANCER CENTER GOAL IS TO OFFER A COMPREHENSIVE PROGRAM THAT WILL SERVE MORE PATIENTS, TO DEVELOP A MORE ROBUST RESEARCH PLATFORM, AND TO EXPAND THE CANCER CENTER'S GEOGRAPHIC REACH TO PROVIDE MORE CHILDREN WITH ACCESS TO THE SPECIALIZED SERVICES OFFERED BY THE CANCER CENTER. INPATIENT DISCHARGES FOR HEMATOLOGY/ONCOLOGY AND STEM CELL TRANSPLANT IN FISCAL YEAR 2023 TOTALED 1,215 WITH AN AVERAGE LENGTH OF STAY OF 9.1 DAYS. THE CANCER CENTER IS A STRONG REGIONAL PROGRAM WITH 42% OF PATIENTS COMING FROM THE PRIMARY SERVICE AREA OF SAN MATEO AND SANTA CLARA COUNTIES, 37% FROM THE SURROUNDING BAY AREA COUNTIES, 14% FROM OTHER CALIFORNIA COUNTIES, AND 7% FROM OUTSIDE THE STATE OF CALIFORNIA.
FORM 990, PART III, LINE 4D	PROGRAM SERVICE DESCRIPTION OTHER PROGRAMS EXPENSE $954,465,929 GRANTS $1,622,862 REVENUE $1,076,883,629 IN ADDITION TO THE THREE CENTERS DESCRIBED ABOVE, LPCH PROVIDES CLINICAL SERVICES THROUGH FOUR ADDITIONAL CENTERS OF EXCELLENCE: - BRAIN AND BEHAVIOR CENTER 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 BRAIN AND BEHAVIOR CENTER COMBINES THE EXPERTISE OF SPECIALISTS IN A BROAD RANGE OF DISEASES, INCLUDING EPILEPSY, AUTISM AND DEVELOPMENTAL DISORDERS, MOVEMENT DISORDERS, CEREBROVASCULAR DISORDERS, DEPRESSION, BIPOLAR AND ANXIETY DISORDERS, TRAUMATIC BRAIN INJURY, NEUROGENETIC DISORDERS, BRAIN TUMORS, AND CONGENITAL CENTRAL NERVOUS SYSTEM DEFECTS. THE HOSPITAL'S CENTER FOR BRAIN TUMORS IS ONE OF THE LEADING PROGRAMS IN THE COUNTRY. THE EATING DISORDER PROGRAM LINKS AN INPATIENT PROGRAM WITH AN EVIDENCE-BASED OUTPATIENT PROGRAM THAT COORDINATES MEDICAL AND PSYCHIATRIC TREATMENT. IN ALL OF THE BRAIN AND BEHAVIOR 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. - PULMONARY MEDICINE AND CYSTIC FIBROSIS CENTER THIS CENTER INTEGRATES AN INTERDISCIPLINARY TEAM OF CLINICIANS AND RESEARCHERS FROM PACKARD CHILDREN'S 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 PULMONARY MEDICINE AND CYSTIC FIBROSIS 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 PULMONARY MEDICINE AND CYSTIC FIBROSIS 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. - TRANSPLANT CENTER 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. - CHILDREN'S ORTHOPEDIC AND SPORTS MEDICINE CENTER THIS CENTER PROVIDES FULLY INTEGRATED CARE FOR YOUNG ATHLETES, FROM EVALUATION AND DIAGNOSIS THROUGH INDIVIDUALIZED TREATMENT PLANS AND FOLLOW UP. IT ALSO HELP KIDS MINIMIZE THEIR RISK OF FUTURE INJURIES AND REACH THEIR GOALS BY TRAINING SMARTER AND SAFER. THE SERVICES INCLUDE A SPORTS NUTRITIONIST WHO CAN HELP DEVELOP CUSTOMIZED NUTRITION AND HYDRATION PLANS FOR YOUNG ATHLETES. 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'S CURRENTLY SPONSORS 44 RESIDENCY/FELLOWSHIP PROGRAMS APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND OVER 280.12 ENROLLED RESIDENTS AND FELLOWS (STATED IN FULL TIME EQUIVALENTS). RESIDENCY PROGRAMS IN PHARMACY, SOCIAL WORK, HOSPITAL CHAPLAINCY, AND NURSING ARE ALSO PROVIDED. LUCILE PACKARD CHILDREN'S HOSPITAL PARTNERS WITH STANFORD SCHOOL OF MEDICINE TO CONDUCT RESEARCH IN ALL SEVEN CENTERS OF EMPHASIS DESCRIBED ABOVE. LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD 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, AS WELL AS SANTA CRUZ, MONTEREY, ALAMEDA, SAN FRANCISCO, AND CONTRA COSTA COUNTIES) TO ENHANCE ITS OWN AND THE COMMUNITY'S CAPACITY TO CARE FOR CHILDREN AND PREGNANT WOMEN. THESE PROGRAMS INCLUDE: - CENTER FOR YOUTH MENTAL WELLNESS - CARE-A-VAN FOR KIDS - CHILD LIFE AND CREATIVE ARTS - CHILD SAFETY PROGRAMS - COMMUNITY HEALTH EDUCATION PROGRAMS - EARLY LIFE STRESS AND RESILIENCE PROGRAM - HEAL PROGRAM - HOSPITAL SCHOOL - HOUSING SUPPORT - MOBILE ADOLESCENT HEALTH SERVICES - TEEN VAN - PEDIATRIC WEIGHT CONTROL PROGRAM - PRACTICAL ASSISTANCE FOR FAMILIES - PROJECT SAFETY NET & HEALTH CARE ALLIANCE FOR RESPONSE TO ADOLESCENT DEPRESSION - RESIDENT PHYSICIANS, FELLOWS, MEDICAL STUDENT EDUCATION COSTS (EXCLUDES FEDERAL CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION [CHGME] REIMBURSEMENT) - NURSE AND ALLIED HEALTH PROFESSIONALS TRAINING - PEDIATRIC ADVOCACY PROGRAM - PERINATAL OUTREACH AND CONSULTATION SERVICES - CARE COORDINATION LIAISONS - SUSPECTED CHILD ABUSE AND NEGLECT SERVICES - COMMUNITY CLINIC CAPACITY BUILDING AND SUPPORT - COMMUNITY HEALTH IMPROVEMENT GRANTS - NONPROFIT SPONSORSHIP SUPPORT - ADVOCACY FOR CHILDREN'S HEALTH ISSUES - MARGUERITE SHUTTLE - ECONOMIC DEVELOPMENT ACTIVITIES - SERVICE CLUB ACTIVITIES - SUPPORT FOR COMMUNITY EMERGENCY MANAGEMENT - WORKFORCE DEVELOPMENT EFFORT 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. SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES.
FORM 990, PART VI, LINE 1A	EXECUTIVE COMMITTEE IF A MATTER NORMALLY REQUIRING ACTION BY THE BOARD OF DIRECTORS ARISES BETWEEN MEETINGS OF THE BOARD AND IS A MATTER OF WHICH, IN THE OPINION OF ANY FOUR (4) OF THE FIVE (5) OF THE CHAIR OF THE BOARD, A VICE CHAIR, THE DEAN OF THE STANFORD UNIVERSITY SCHOOL OF MEDICINE, THE PRESIDENT OF THE CORPORATION, AND THE CHAIR OF THE AUDIT AND COMPLIANCE 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 FIVE (5) 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 4.06 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.
FORM 990, PART VI, LINE 2	MEMBERS LLOYD MINOR AND RANDY LIVINGSTON ARE EMPLOYEES OF STANFORD UNIVERSITY. LLOYD MINOR IS THE VICE PRESIDENT OF MEDICAL AFFAIRS (AS OF 8/23/2023) . MINDY ROGERS, MARC JONES, AND TONIA KARR ARE TRUSTEES OF STANFORD UNIVERSITY. DAVID ENTWISTLE IS PRESIDENT AND CEO OF SHC. MARIANN BYERWALTER, DAVID ENTWISTLE, LLOYD MINOR, PAUL KING, RANDY LIVINGSTON, JONATHAN COSLET, MARC JONES, MINDY ROGERS, AND AMIT SINHA ARE DIRECTORS OF SHC.
FORM 990, PART VI, LINE 6	STANFORD UNIVERSITY IS THE SOLE MEMBER 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.
FORM 990, PART VI, LINE 11	PROCEDURES FOR REVIEWING FORM 990 WORKING WITH PWC US TAX LLP, THE FORM 990 IS PREPARED FOR MANAGEMENT'S REVIEW. A DRAFT OF THE FORM 990 IS PROVIDED 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") WITHIN 30 DAYS OF HIRE DATE, REHIRE DATE, OR DATE OF PROMOTION/TRANSFER TO A MANAGEMENT POSITION. ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS (NORMALLY DUE BY MARCH 31ST.) 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 MUTUALLY AGREEABLE PLAN WITH THE SENIOR 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.
FORM 990, PART VI, LINE 15	PROCEDURES FOR DETERMINING COMPENSATION 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 DOCUMENTS 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.
FORM 990, PART VI, LINE 19	ANNUAL AND QUARTERLY DISCLOSURE INFORMATION AVAILABLE THROUGH ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) SYSTEM.
FORM 990, PART XI, LINE 9	RECONCILIATION VALUE CHANGE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS $1,515,183 ADJUSTMENT FOR MINIMUM PENSION AND POST RETIREMENT LIABILITY $2,846,676 TRANSFERS TO STANFORD UNIVERSITY AND OTHER $(75,649,681) -------------- TOTAL $(71,287,822)
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMP LABOR - MEDICAL PHYS TOTAL FEES:85485297
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL SERVICE TOTAL FEES:314704
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER MEDICAL SERVICES TOTAL FEES:XXX-XX-XXXX

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Foreign PostalForeignAddress/ForeignPostalCd
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
					EDUCATION		501(C)(3)		STANFORD	Yes (true)	AV CONDELL 189 PROVIDENCIA	SANTIAGO	CI	CI
STANFORD HEALTH CARE TRI-VALLEY
1111 E STANLEY BLVD	LIVERMORE	CA	94550	941429628	HOSPITAL	CA	501(C)(3)	3	SHC	Yes (true)
JAEDAN BUPIN STANFORD CENTER IN THE REPU
					RESEARCH		501(C)(3)	N/A	STANFORD	Yes (true)				KS
LUCILE PACKARD FOUNDATION FOR CHILDREN'S
400 HAMILTON AVENUE SUITE 340	PALO ALTO	CA	94301	770440090	HEALTHCARE	CA	501(C)(3)	7	LPCH	Yes (true)
PACKARD CHILDREN'S HEALTH ALLIANCE
725 WELCH ROAD MC5551	PALO ALTO	CA	94304	320359189	HEALTHCARE	CA	501(C)(3)	3	LPCH	Yes (true)
SHR HOLDINGS INC
485 BROADWAY MAILCODE 8838	REDWOOD CITY	CA	94063	943187167	REAL ESTATE	CA	501(C)(25)	N/A	STANFORD	Yes (true)
STANFORD FACULTY CLUB
PO BOX 7229	STANFORD	CA	94309	941187089	FAC INTERACT.	CA	501(C)(7)	N/A	STANFORD	Yes (true)
STANFORD FEDERAL CREDIT UNION
1860 EMBARCADERO RD	PALO ALTO	CA	94303	941492212	CREDIT UNION	CA	501(C)(1)	N/A	STANFORD	Yes (true)
STANFORD HABITAT CONSERVATION BOARD
415 BROADWAY	REDWOOD CITY	CA	94063	461882243	CONSERVATION	CA	501(C)(3)	7	STANFORD	Yes (true)
STANFORD HEALTH CARE
300 PASTEUR DRIVE MC 5555	STANFORD	CA	94305	946174066	HEALTHCARE	CA	501(C)(3)	3	STANFORD	Yes (true)
STANFORD PROGRAMME (CAPE TOWN) NPC
					EDUCATION		501(C)(3)	N/A	STANFORD	Yes (true)	WAVERLY BUSINESS PARK BLDG 11	CAPE TOWN	SF	SF
STANFORD UNIVERSITY BOOKSTORE
505 BROADWAY 6TH FLOOR MC 1065	REDWOOD CITY	CA	94063	940894150	SUPPORT	CA	501(C)(3)	12A, I	STANFORD	Yes (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	Yes (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	Yes (true)
THE FREIDENRICH SUPPORT FOUNDATION
485 BROADWAY MAILCODE 8838	REDWOOD CITY	CA	94063	300519583	SUPPORT	CA	501(C)(3)	12A, I	STANFORD	Yes (true)
THE HONG KONGSU CHARITABLE TRUST
				986078093	SUPPORT		501(C)(3)	N/A	STANFORD	Yes (true)	1401 CAROLINE CENTER 28 PING ROAD	CAUSEWAY	HK	HK
THE STANFORD TRUST
					SUPPORT		501(C)(3)	N/A	STANFORD	Yes (true)	65 HIGH STREET	OXFORD	UK	UK	OX1 46L
UNIVERSITY HEALTHCARE ALLIANCE
7999 GATEWAY BLVD STE 300	NEWARK	CA	94560	943192446	HEALTHCARE	CA	501(C)(3)	3	SHC	Yes (true)
VALLEYCARE MEDICAL FOUNDATION INC
1111 E STANLEY BLVD	LIVERMORE	CA	94550	262593526	SR. FACILITY	CA	501(C)(3)	PF	SHC-TV	Yes (true)
VALLEYCARE SENIOR HOUSING
1111 E STANLEY BLVD	LIVERMORE	CA	94550	943382224	SR. FACILITY	CA	501(C)(3)	12A, I	SHC-TV	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (43 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
ADOM PARTNERS LP
3 COLUMBUS CIRCLE 15TH FL	NEW YORK	NY	10019	813083288	INVESTMENTS	DE	NA
ALBUS SELECT FUND LP
750 MENLO PARK AVE 380	MENLO PARK	CA	94025	812064357	INVESTMENTS	DE	NA
AM ENGINE HOLDINGS FUND I LP
635 KNIGHT WAY	STANFORD	CA	94305		INVESTMENTS	DE	NA
ARCOLA VENTURE LLC
7121 FAIRWAY DRIVE 410	Palm Beach Gardens	FL	33418	371689632	REAL ESTATE	DE	NA
CANARY SC FUND LP
65 E 55TH ST 35TH FLOOR	NEW YORK	NY	10022	475662144	INVESTMENTS	DE	NA
CANARY SC MASTER FUND LP
				981267847	INVESTMENTS		NA	89 NEXUS WAY CAMANA BAY	GRAND CAYMAN	CAYMAN ISLANDS	CJ	KY1-9009	CJ
CARLSBAD CO-INVEST LP
40 BEECHWOOD RD	SUMMIT	NJ	07901	471702425	INVESTMENTS	DE	NA
CERASUS FUND II CAYMAN LP
					INVESTMENTS		NA	190 ELGIN AVENUE GEORGE TOWN	GRAND CAYMAN		CJ	KY1-9008	CJ
CHP GTS BLOCKER HOLDINGS A LP
888 BOYLSTON STREET 1410	BOSTON	MA	02199	830881152	INVESTMENTS	DE	NA
CROSSPOINT CAPITAL FUND II LP
2500 SAND HILL ROAD SUITE 300	MENLO PARK	CA	94025	981656208	INVESTMENTS	CA	NA
CYPRESS MARINA HEIGHTS LLC
635 KNIGHT WAY	STANFORD	CA	94305	954887979	INVESTMENTS	CA	NA
DGD INVESTMENT LP
					INVESTMENTS		NA	190 ELGIN AVENUE GEORGE TOWN	GRAND CAYMAN		CJ	KY1-9008	CJ
EAGLE ROCK LI HOLDINGS LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	271694413	INVESTMENTS	DE	NA
EDEN RADIATION THERAPY SERVICES LLC
300 PASTEUR DRIVE	STANFORD	CA	94304	881276056	HEALTHCARE	CA	NA
ER-S JV LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	834068077	INVESTMENTS	DE	NA
ER-S JV II LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	882085249	INVESTMENTS	DE	NA
ER-S INVESTOR LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	834068357	INVESTMENTS	DE	NA
ER-S INVESTOR II LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	882004082	INVESTMENTS	DE	NA
ER PROPERTIES FUND LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	834260396	INVESTMENTS	DE	NA
ER PROPERTIES FUND II LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	881994509	INVESTMENTS	DE	NA
EZP OPPORTUNITY LP
160 BOVET RD STE 300	SAN MATEO	CA	94402	814562962	INVESTMENTS	DE	NA
FORTRESS IW COINVESTMENT (FUND B) LP
1345 AVE OF THE AMERICAS 46FL	NEW YORK	NY	10105	980509639	INVESTMENTS		NA						CJ
FOUR CROSSINGS INSTITUTIONAL PARTNERS V
ONE MARITIME PLAZA 2100	SAN FRANCISCO	CA	94111	814323705	INVESTMENTS	DE	NA
FOXLANE LP
550 E WATER ST 888	CHARLOTTESVILLE	VA	22902	813314647	INVESTMENTS	DE	NA
HHBG-II INVESTMENT LP
					INVESTMENTS		NA	89 NEXUS WAY CAMANA BAY PO BOX 31	GRAND CAYMAN		CJ	KY1-1205	CJ
KEB INVESTORS II LP
					INVESTMENTS		NA	WASHINGTON MALL STE 304 7 REID ST	HAMILTON	BD	BD	HM 11	BD
KF VERMILLION FUND LP
65 East 55TH STREET 35TH FLOOR	NEW YORK	NY	10022	883144517	INVESTMENTS	DE	NA
LSF V DHB HOLDINGS LP
2711 N HASKELL AVE 1700	DALLAS	TX	75204	272858604	INVESTMENTS	DE	NA
OLIFANT FUND LTD
				980404442	INVESTMENTS		NA	SUITE 5B201 2ND FL ONE NEXUS WAY	GRAND CAYMAN		CJ	KY1-1108	CJ
ONCOLOGY SOLUTIONS VENTURE LLC
300 PASTEUR DRIVE	STANFORD	CA	94304	863250041	HEALTHCARE	CA	NA
OUTLAWS CASINO LTD
415 BROADWAY	REDWOOD CITY	CA	94063	841457498	HOLDING COMPANY	CO	NA
SANDPIPER FUND LP
2000 MCKINNEY AVE STE 2125	DALLAS	TX	75201	260341626	INVESTMENT	TX	NA
SCP REAL ASSETS FUND (A) LP
2498 SAND HILL RD	MENLO PARK	CA	94025	203949682	INVESTMENTS	DE	NA
SEQUOIA MFM OPERATING COMPANY LLC
770 WELCH ROAD LPCH	PALO ALTO	CA	94304	475060529	MFM PROGRAM	CA	NA							RELATED	$524,536	$18,282	Yes (true)	$0	Yes (true)	0.70000
SP SMC PARTNERS LLC
PO BOX 5377	NEW YORK	NY	10185	473103791	INVESTMENTS	DE	NA
STANFORD EMANUEL RADIATION ONCOLOGY CENT
825 DELBON AV	TURLOCK	CA	95382	208885091	RADIOLOGY	CA	NA
STANFORD PET-CT LLC
300 PASTEUR DR	STANFORD	CA	94305	611423414	MED. DIAGNOST	CA	NA
STANFORD-STARTX FUND LLC
485 BROADWAY	REDWOOD CITY	CA	94063	464297719	INVESTMENTS	DE	NA
SUMIT HOLDING INTERNATIONAL LLC
1400 PAGE MILL RD	PALO ALTO	CA	94304	263934706	HOLDING COMPANY	DE	NA							RELATED	$92,817	$22,750,966	Yes (true)	$0	Yes (true)	0.18000
TESSERA IONIC LP
PO BOX 194170	SAN FRANCISCO	CA	941194170	830896257	INVESTMENTS	DE	NA
VEDA INVESTORS FUND LP
ONE FAWCETT PL	GREENWICH	CT	06830	811810345	INVESTMENTS	DE	NA
VERMILION PEAK MASTER FUND
				981327671	INVESTMENTS		NA	PO BOX 309 UGLAND HOUSE	GRAND CAYMAN		CJ	KY1-1104	CJ
WREP III A LP
6710 E CAMELBACK RD 100	SCOTTSDALE	AZ	85251	474780701	INVESTMENTS	DE	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
BREP VII ALBERTA FDR (OFFSHORE) TE7 LP
345 PARK AVENUE	NEW YORK	NY	10154	981066351	INVESTMENTS	CA	NA	C CORP
BREP VII ALBERTA FDR (OFFSHORE) TE7-NQ
345 PARK AVENUE	NEW YORK	NY	10154	981066355	INVESTMENTS	CA	NA	C CORP
CANARY SC FUND LTD
				921268195	INVESTMENTS		NA	C CORP	89 NEXUS WAY CAYMANA BAY	GRAND CAYMAN	CJ	KY1-9009	CJ
CLAT (13)
					CHARITABLE TR	CA	NA	TRUST
CLUT (2)
					CHARITABLE TR	CA	NA	TRUST
CRT (561)
					CHARITABLE TR	CA	NA	TRUST
EAST SAIL
					INVESTMENTS		NA	C CORP	C/O INTL FS INC IFS COURT	TWENTYEIGHT CYBERCITY EBENE	MP		MP
ER-S REIT LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	834068725	INVESTMENTS	DE	NA	C CORP
ER-S REIT II LLC
1670 OLD COUNTRY RD 227	PLAINVIEW	NY	11803	882004082	INVESTMENTS	DE	NA	C CORP
GAVEA INVESTMENT FUND II-C LP
				980537952	INVESTMENTS		NA	C CORP	PO BOX 309 UGLAND HOUSE	GRAND CAYMAN	CJ	KY1-1104	CJ
HHBG SF LIMITED
					INVESTMENTS		NA	C CORP	89 NEXUS WAY CAMANA BAY	GRAND CAYMAN	CJ	KY1-1205	CJ
KAIZEN FUND
					INVESTMENTS		NA	C CORP	PO BOX 448	GRAND CAYMAN	CJ	KY1-1106	CJ
LS ALBERTA III LP
					INVESTMENTS	CA	NA	C CORP	C/O LASALLE INV MGMT ONE CURZON ST	LONDON	UK	W1J 5HD
LUMINA STRATEGIC SOLUTIONS FEEDER FUND (
				981662307	INVESTMENTS	CA	NA	C CORP	199 BAY STREET SUITE 5300	TORONTO	CA	M5L 1B9
OTHER (4)
					CHARITABLE TR	CA	NA	TRUST
PIF (2)
					CHARITABLE TR	CA	NA	TRUST
PEPPERTREE CAPITAL CAYMAN ISLAND FUND LP
57 E WASHINGTON STREET	CHAGRIN FALLS	OH	44022	981235268	INVESTMENTS		NA	C CORP					CJ
PROFESSIONAL EXCHANGE ASSURANCE COMPANY
201 MERCHANT STREET SUITE 2400	HONOLULU	HI	96813	900897686	INSURANCE	HI	NA	C CORP
SBFF LTD
					INVESTMENTS		NA	C CORP	SUITE 5B201 2ND FL ONE NEXUS WAY	GRAND CAYMAN	CJ	KY1-1108	CJ
SOLKATT LIMITED
					INVESTMENTS		NA	C CORP	190 ELGIN AVENUE GEORGE TOWN	GRAND CAYMAN	CJ	KY1-9008	CJ
STANFORD (BEIJING) CNSLTNG CO LTD (WFOE)
					EDUCATION		NA	C CORP	5275TH FLBLDG CACADEMY SOUTH RD	BEIJING	CH		CH
STANFORD IN JAPAN GODO KAISHA
					EDUCATION		NA	C CORP	DOSHISHA UNIVERSITY MEITOKUKAN-NAI	KYOTOSHI	JA		JA
STANFORD INDIA PVT LTD
					EDUCATION		NA	C CORP	333 3RD FLOOR DEVIKA TOWER 6 NEH	DELHI	IN		IN
STANFORD MEDICINE INTL (HONG KONG) CO LT
					PATIENT SRVC		NA	C CORP	833 CHEUNG SHA WAN ROAD	KOWLOON	HK		HK
STANFORD UNIV MED NETWORK RISK AUTHORITY
1400 PAGE MILL RD MSC 5713	PALO ALTO	CA	94304	461132002	RISK MGMT CON	CA	NA	C CORP						-$24,980	$7,873	0.18000	Yes (true)
THE RUBRUM FUND
					INVESTMENTS		NA	C CORP	7 CLIFFORD STREET	LONDON	UK	W1S 2FT	CJ
TRIVISTA FUND
					INVESTMENTS		NA	C CORP	89 NEXUS WAY CAMANA BAY	GRAND CAYMAN	CJ	KY1-9009	CJ
TVC MATSU FUND
					INVESTMENTS		NA	C CORP	89 NEXUS WAY CAMANA BAY	GRAND CAYMAN	CJ	KY1-9009	CJ
VERMILION PEAK FUND
				981333885	INVESTMENTS		NA	C CORP	PO BOX 309 UGLAND HOUSE	GRAND CAYMAN	CJ	KY1-1104	CJ
WOODBOURNE CANADA PARTNERS II - CAYMAN
				980705321	INVESTMENTS		NA	C CORP	190 ELGIN AVE	GRAND CAYMAN	CJ	KY1-9005	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
STANFORD HOSPITAL AND CLINICS (SHC)
L,M	$86,903,031	FMV
STANFORD HOSPITAL AND CLINICS (SHC)
N	$51,902,393	FMV
STANFORD HOSPITAL AND CLINICS (SHC)
O	$4,975,698	FMV
STANFORD HOSPITAL AND CLINICS (SHC)
P,Q	$486,474	FMV
STANFORD HOSPITAL AND CLINICS (SHC)
R	$1,783,480	FMV
PACKARD CHILDREN'S HEALTH ALLIANCE (PCHA)
O	$3,380,220	FMV
PACKARD CHILDREN'S HEALTH ALLIANCE (PCHA)
S	$15,000,000	FMV
LUCILE PACKARD FNDN FOR CHILDREN'S HEALTH
P,Q	$17,049,996	FMV

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE R, PART IV, LINE 5	CHARITABLE LEAD ANNUITY TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE 6	CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE 15	OTHER TRUSTS ARE PRINCIPALLY DOMICILIED IN CALIFORNIA.
SCHEDULE R, PART IV, LINE 16	POOLED INVESTMENT FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.