2013-11-11T14:29:09-06:00 2012-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2012-01-01 770440090 LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH LUCI 6504978365 400 HAMILTON AVENUE NO 340 PALO ALTO CA 94301 KATHRYN COULBOURN 6504978365 2013-11-11 1 JANE M SEARING P00000565 4254544919 2013-11-06 2012 2016-03-07 17:11:31Z DAVID ALEXANDER 400 HAMILTON AVENUE NO 340 PALO ALTO CA 94301 109472413 0 X WWW.LPFCH.ORG X 1996 CA TO ELEVATE THE PRIORITY OF CHILDREN'S HEALTH AND INCREASE THE QUALITY AND ACCESSIBILITY OF CHILDREN'S HEALTH CARE THROUGH LEADERSHIP AND DIRECT INVESTMENT. 24 23 79 26 -54940 -54940 56776864 64156841 10491468 11311159 4134275 3151925 856006 -25227 72258613 78594698 63093075 70183018 0 0 8463393 9223469 25700 24496 9987762 4327599 5157994 75909767 84588977 -3651154 -5994279 205045264 207087853 85125470 84612427 119919794 122475426 X THE MISSION OF THE LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH IS TO ELEVATE THE PRIORITY OF CHILDREN'S HEALTH AND INCREASE THE QUALITY AND ACCESSIBILITY OF CHILDREN'S HEALTH CARE THROUGH LEADERSHIP AND DIRECT INVESTMENT. WE WORK IN ALIGNMENT WITH LUCILE PACKARD CHILDREN'S HOSPITAL AND THE CHILD HEALTH PROGRAMS OF STANFORD UNIVERSITY. OUR VISION IS THAT ALL CHILDREN IN THE COMMUNITIES WE SERVE ARE ABLE TO REACH THEIR MAXIMUM HEALTH POTENTIAL. 0 0 3787534 3787534 0 CHILD HEALTH RESEARCH GRANTS: THE FOUNDATION PROVIDES GRANTS TO THE PEDIATRIC PROGRAMS AT THE STANFORD SCHOOL OF MEDICINE AND THE LUCILE PACKARD CHILDREN'S HOSPITAL TO FUND CLINICAL PROGRAMS, RESEARCH, EDUCATION, TRAINING, AND FACILITIES. THE GRANTS ARE FUNDED BY A GRANT RECEIVED FROM THE DAVID AND LUCILE PACKARD FOUNDATION BETWEEN 2000 AND 2004. THE FOUNDATION OVERSEES THE DISBURSEMENT OF THE PACKARD FOUNDATION GRANT FUNDS THROUGH INDEPENDENT REVIEW OF THE RESEARCH PROGRAMS. ANY FOUNDATION OVERSIGHT EXPENSES ARE PAID FOR BY THE INVESTMENT EARNINGS ON THE ORIGINAL GRANT. 64241187 64241187 11311159 DEVELOPMENT: THE FOUNDATION RAISES MONEY TO SUPPORT THE LUCILE PACKARD CHILDREN'S HOSPITAL AND THE PEDIATRIC PROGRAMS AT THE STANFORD SCHOOL OF MEDICINE. ONE HUNDRED PERCENT OF FUNDS RAISED ARE TRANSFERRED TO THE HOSPITAL AND SCHOOL OF MEDICINE ON A MONTHLY BASIS. AT THE END OF 2012, THE FOUNDATION COMPLETED ITS CURRENT CAMPAIGN, RAISING A TOTAL OF $548M AGAINST A CAMPAIGN GOAL OF $500M. THE CAMPAIGN HAD THREE PRIMARY OBJECTIVES: TO RAISE MONEY TO FUND A MAJOR EXPANSION OF THE CHILDREN'S HOSPITAL FACILITY, TO ENDOW RESEARCH AND TRAINING POSITIONS, AND TO SUPPORT ONGOING ACTIVITIES AT THE HOSPITAL AND SCHOOL. 4899768 2154297 FOUNDATION PROGRAMS: THROUGH ITS PROGRAMS AND PARTNERSHIPS WORK, THE FOUNDATION SEEKS TO BUILD AWARENESS ABOUT ISSUES AFFECTING CHILDREN'S HEALTH AND INVESTS IN PROGRAMS TO ENHANCE THE SYSTEM OF CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES. IN 2012, THE FOUNDATION INVESTED APPROXIMATELY $4.9M IN THIS AREA. 72928489 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 1 0 0 1 1 0 0 1 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 1 77 0 1 79 1 1 1 0 0 0 0 1 1 0 0 0 0 X 24 23 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AL AK AZ AR CA CO CT FL GA HI IL KS KY LA ME MD MA MI MN MS MO NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WV WI X KATHRYN COULBOURN 6504978365 400 HAMILTON AVENUE SUITE 340 PALO ALTO CA 94301 DAVID ALEXANDER MD 40.00 0.00 X X 850183 0 78112 TIMOTHY BRACKNEY 1.00 0.00 X 0 0 0 CONSTANCE CHAMBERS 1.00 0.00 X X 0 0 0 HARVEY COHEN MD PHD 1.00 0.00 X 0 0 0 J TAYLOR CRANDALL 1.00 0.00 X X 0 0 0 CHRISTOPHER DAWES 1.00 0.00 X 0 0 0 GARY DILLABOUGH 1.00 0.00 X 0 0 0 KEITH FOX 1.00 0.00 X 0 0 0 KEN GOLDMAN 1.00 0.00 X 0 0 0 TESSIE GUILLERMO 1.00 0.00 X 0 0 0 CYNTHIA FRY GUNN 1.00 0.00 X 0 0 0 MANUEL HENRIQUEZ 1.00 0.00 X 0 0 0 BRAD KOENIG 1.00 0.00 X 0 0 0 JOHN KRIEWALL 1.00 0.00 X 0 0 0 ANNE C LAWLER 1.00 0.00 X 0 0 0 DAVID LEE 1.00 0.00 X 0 0 0 DOUG MACKENZIE 1.00 0.00 X 0 0 0 SUSAN P ORR 1.00 0.00 X 0 0 0 THAD PADUA MD FAAP 1.00 0.00 X 0 0 0 ANTOINETTE PATERSON 1.00 0.00 X 0 0 0 GEORGE PHIPPS 1.00 0.00 X X 0 0 0 PHILIP PIZZO MD 1.00 0.00 X 0 0 0 CHRIS SCHAEPE 1.00 0.00 X X 0 0 0 STEVEN A SCHROEDER MD 1.00 0.00 X 0 0 0 BOYD SMITH 1.00 0.00 X 0 0 0 WILLIAM C SONNEBORN 1.00 0.00 X 0 0 0 KATHRYN COULBOURN 32.00 0.00 X 203245 0 40281 LINDA COLLIER 40.00 0.00 X 376337 0 38941 BRIAN PERRONNE 40.00 0.00 X 350785 0 56415 EDWARD SCHOR 40.00 0.00 X 305206 0 47787 EILEEN WALSH 40.00 0.00 X 218431 0 32501 VICTORIA APPLEGATE 40.00 0.00 X 158805 0 28516 DONNA BANDELLONI 40.00 0.00 X 175313 0 34189 DUNCAN BURGERMEISTER 40.00 0.00 X 158708 0 24957 JEFFORY JOLIN 40.00 0.00 X 145228 0 35841 DANA PACE 40.00 0.00 X 182356 0 28209 3124597 0 445749 23 0 1 0 PATSONS PRESS INC 970 STEWART DRIVE SUNNYVALE CA 94085 PRINTING 315345 POPULATION REFERENCE BUREAU 1875 CONNECTICUT AVE NW 520 WASHINGTON DC 200095728 DATA COLLECTION FOR WEBSITE 200000 VELIR STUDIOS 212 ELM STREET STE 401 SOMERVILLE MA 02144 WEBSITE DEVELOPMENT & MAINTENANCE 175916 DATA MARKETING INC PO BOX 519 SANTA CLARA CA 95052 MARKETING 167586 STRATUS INC PO BOX 1902 WEST CHESTER PA 193801902 CONSULTING FOR ASPEN CONFERENCE 141514 8 10664 112768 64033409 1446205 64156841 FUNDRAISING REIMB. 900099 11311159 11311159 11311159 1982622 -54940 2037562 31923945 30754642 1169303 1169303 1169303 97846 112768 123073 -25227 -25227 78594698 11311159 -54940 3181638 70183018 70183018 2399946 799266 421710 1178970 5127189 487704 443455 4196030 413437 29582 42440 341415 815309 99703 89807 625799 467588 67175 50261 350152 68259 14344 15996 37919 137281 136636 645 24496 24496 176387 176387 1125365 155707 60809 908849 621377 135366 2958 483053 360631 18818 60047 281766 372231 174251 29848 168132 889124 126288 81788 681048 114281 41003 8983 64295 43532 17364 7276 18892 193498 91802 10085 91611 61992 9014 22318 30660 PROGRAM CONTRACTS 454201 454201 PRINTING 402598 1263 1335 400000 MEMBERSHIPS 55720 8161 3013 44546 MEALS 28777 3407 1304 24066 52740 11052 6270 35418 84588977 72928489 1672726 9987762 33628 24486 13011858 19225604 54084883 52428149 46015 267140 684850 600000 230352 503620 1027945 534114 473391 493831 41446742 37724193 94989034 95740979 44511 79851 205045264 207087853 1493720 1732228 1083587 1202735 3700855 3729385 78847308 77948079 85125470 84612427 X 94732374 98971649 25187420 23503777 119919794 122475426 205045264 207087853 X -5994279 8524032 25879 X 0 1 X 1 0 X 90103943 18300906 27246669 56776864 64156841 256585223 90103943 18300906 27246669 56776864 64156841 256585223 36537197 220048026 6284230 1608852 1701282 2879871 2037562 14511797 5795 27181 32976 271129996 47461785 0.81160 0.74530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 84712050 84712050 1000000 250000 0 0 1000000 1000000 1000000 3000000 4500000 15000 15000 250000 250000 250000 750000 1125000 15000 15000 94732374 9421558 4836020 346263 98971649 99541587 -1824327 2652022 332864 94732374 90886861 11093742 2070791 368225 99541587 78792816 15597235 2837584 665606 90886861 112160276 -28031697 4321968 1013795 78792816 1.00000 0.00000 0.00000 0 0 160968 47269 113699 420993 260104 160889 445984 226741 219243 493831 HEDGE FUNDS 33841667 F INTERNATIONAL EQUITY TRUSTS 20095986 F FIXED INCOME FUNDS 10324388 F REAL ASSET FUNDS 17332978 F VENTURE CAPITAL/PRIVATE EQUITY 14145960 F 95740979 DEFERRED RENT 550915 FUNDS TO BE TRANSFERRED TO LPCH AND SOM 77397164 77948079 X 22850108 8524032 -176387 8347645 14502463 64092235 64092235 78594698 20294476 0 20294476 176387 64118114 64294501 84588977 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE FOUNDATION USES ITS ENDOWMENT TO FUND THE COSTS OF ITS FOUNDATION PROGRAMS, INCLUDING ANY GRANTS, STRATEGIC CONTRACTS AND UNDERLYING OPERATING AND ADMINISTRATIVE COSTS TO SUPPORT THE ACTIVITIES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE FOUNDATION HAS EVALUATED THE FINANCIAL STATEMENT IMPACT OF POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN ITS TAX RETURNS. MANAGEMENT HAS DETERMINED THAT NO TAX LIABILITIES NEED BE RECORDED UNDER APPLICABLE ACCOUNTING GUIDANCE. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT EXPENSES -176,387. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT, NET -25,227. FUNDS RAISED 64,143,341. SALE OF DONATED SECURITIES -25,879. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT, NET -25,227. FUNDS RAISED 64,143,341. THE FOUNDATION RAISES FUNDS FOR THE LUCILE PACKARD CHILDREN'S HOSPITAL AND THE PEDIATRIC PROGRAMS AT THE STANFORD SCHOOL OF MEDICINE. FOR PURPOSES OF THE FOUNDATION'S AUDITED FINANCIAL STATEMENTS, FUNDS RAISED ARE RECLASSIFIED FROM REVENUE TO A LIABILITY (FUNDS DESIGNATED FOR OTHERS) AS REQUIRED UNDER ASC 958. THE FOUNDATION IS SUBJECT TO ASC 958 BASED ON ITS INDEPENDENT RELATIONSHIP WITH THE LUCILE PACKARD CHILDREN'S HOSPITAL AND THE STANFORD SCHOOL OF MEDICINE. FOR THE FORM 990, FUNDS RAISED ARE TREATED AS CONTRIBUTION REVENUE AND FUNDS TRANSFERRED TO LUCILE PACKARD CHILDREN'S HOSPITAL AND THE STANFORD SCHOOL OF MEDICINE ARE TREATED AS GRANTS EXPENSE. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENT N/A 23449938 0 0 0 0 0 0 23449938 0 23449938 1 0 0 1 0 0 SCHEDULE F, PART I, LINE 3: THE FOUNDATION'S DISCLOSURE IN PART I, LINE 3(1) REFLECTS THE DOMICILE OF CERTAIN INVESTMENT ENTITIES WHICH SERVE MERELY AS THE VEHICLE FOR SUBSEQUENT INVESTING OF FUNDS AND IS NOT REPRESENTATIVE OF THE UNDERLYING GEOGRAPHICAL STRATEGY OF THOSE INVESTMENTS. THE FOUNDATION'S INVESTMENTS ARE FULLY DIVERSIFIED ACROSS ASSET CLASSES, STRATEGIES AND GEOGRAPHICAL REGIONS. IT ADHERES TO AN APPROVED STATEMENT OF INVESTMENT OBJECTIVES AND POLICIES AND HAS IN PLACE A STRATEGIC ASSET ALLOCATION POLICY WHICH ALLOWS IT TO ACHIEVE ITS SHORT TERM FINANCIAL AND LONG TERM INVESTMENT OBJECTIVES. X X X 1 RUFFALOCODY 65 KIRKWOOD NORTH ROAD SW CEDAR RAPIDS IA 52404 TELEMARKETING 0 22331 24496 -2165 22331 24496 -2165 AL AK AZ AR CA CO CT FL GA HI IL KS KY LA ME MD MA MI MN MS MO NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WV WI WA SUMMER SCAMPER 169883 108493 61390 1165 23167 5596 500 79154 SIMON FASHION NOW 40731 4275 36456 13491 210614 112768 97846 1165 23167 5596 500 92645 123073 -25227 EXPLANATION OF FUNDRAISING PAYMENTS SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE FOUNDATION ENGAGES A THIRD PARTY PROFESSIONAL FUNDRAISER TO CALL DONORS AND SOLICIT GIFTS FROM LISTS PROVIDED BY THE FOUNDATION. IN 2012, THE FUNDRAISER CONDUCTED A FALL "PHONE CAMPAIGN". THE GOAL OF THE PHONE CAMPAIGN IS NOT ONLY TO RAISE DONATIONS BUT ALSO TO RE-ENGAGE LAPSED DONORS, STRENGTHEN RELATIONSHIPS, AND CREATE LONG TERM DONORS. PHONE CAMPAIGNS TARGET BOTH CURRENT AND LAPSED DONORS. 1 AMERICAN ACADEMY OF PEDIATRIC 1107 FAIR OAKS 111 SOUTH PASADENA CA 91030 330025512 501(C)(3) 219850 INVESTIGATING PHYSICIAN-PERCEIVED BARRIERS AND SUPPORTS TO CARING FOR CSHCN ASSOCIATION OF MATERNAL AND CHILD HEALTH PROGRAMS 2030 M STREET NW SUITE 350 WASHINGTON DC 20036 521529448 501(C)(3) 200000 NATIONAL SYSTEM STANDARDS OF CARE FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS BOARD OF TRUSTEES OF LELAND STANFORD JR UNIVERSITY PO BOX 442553 SAN FRANCISCO CA 94144 941156365 501(C)(3) 14600 STANFORD CARE OPTIMIZATION FOR PATIENTS & EDUCATION (SCOPE) YOUNG INVESTIGATOR BOARD OF TRUSTEES OF LELAND STANFORD JR UNIVERSITY RESEARCH MGMT GROUP SOM 301 RAVENSWOOD AVE MENLO PARK CA 94025 941156365 501(C)(3) 48692 YOUNG INVESTIGATOR AWARD - CHILDREN WITH SPECIAL HEALTH CARE NEEDS BOARD OF TRUSTEES OF LELAND STANFORD JR UNIVERSITY RESEARCH MGMT GROUP SOM 301 RAVENSWOOD AVE MENLO PARK CA 94025 941156365 501(C)(3) 108642 ASSESSING THE VALUE OF CARE FOR LOW-INCOME CHILDREN W/SPECIAL HEALTH CARE NEEDS IN CA BOSTON CHILDREN'S HOSPITAL 300 LONGWOOD AVENUE BOSTON MA 02115 042774441 501(C)(3) 245734 HOSPITAL DISCHARGE PLANNING FOR CHILDREN CALIFORNIA STATE UNIVERSITY SACRAMENTO 7667 FOLSOM BLVD SACRAMENTO CA 951896096 941337638 501(C)(3) 7896 SCHOOL'S ROLE TO IMPROVE SYSTEMS OF CARE FOR CHILDREN WITH HEALTH CARE NEEDS CENTER FOR THE STUDY OF SOCIAL POLICY RESEARCH 1575 EYE STREET NW STE 500 WASHINGTON DC 20005 521254948 501(C)(3) 148060 PROMOTING CHILDREN'S LONG TERM HEALTH FUNCTIONING CROTCHED MOUNTAIN FOUNDATION CENTER FOR MEDICAL HOME IMPROVEMENT 18 LOWER AVE STE1 CONCORD NH 03301 020222168 501(C)(3) 220753 CARE PLANNING & CARE PLANS CONSENSUS PROJECT CSU SACRAMENTO DIVISION OF NURSING 6000 J STREET SACRAMENTO CA 95819 941337638 501(C)(3) 220532 SCHOOL'S ROLE IN SYSTEMS OF CARE FOR CSHCN EXCEPTIONAL PARENTS UNLIMITED 4440 N FIRST STREET FRESNO CA 93726 770263702 501(C)(3) 50000 CENTRAL CALIFORNIA CARE COORDINATION PROJECT FIRST 5 KERN (KERN COUNTY CHILDREN AND FAMILIES COMMISSION) 2724 L STREET BAKERSFIELD CA 93301 770529128 501(C)(3) 40000 MEDICALLY VULNERABLE CARE COORDINATION PROJECT LUCILE PACKARD CHILDREN'S HOSPITAL - ON BEHALF OF CHILDREN'S REGIONAL INTEG 725 WELCH ROAD PALO ALTO CA 94304 770003859 501(C)(3) 10715 BUILDING A STATEWIDE ORGANIZATION OF CCS MEDICAL CONSULTANTS LUCILE PACKARD CHILDREN'S HOSPITAL & STANFORD SCHOOL OF MEDICINE 725 WELCH ROAD STANFORD CA 94305 941156365 501(C)(3) 3787534 CHILDREN'S HEALTH LUCILE PACKARD CHILDREN'S HOSPITAL & STANFORD SCHOOL OF MEDICINE 725 WELCH ROAD STANFORD CA 94305 941156365 501(C)(3) 64241187 CHILDREN'S HEALTH LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD 725 WELCH ROAD PALO ALTO CA 94304 770003859 501(C)(3) 17885 CHILDREN'S HEALTH LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD 725 WELCH ROAD PALO ALTO CA 94304 770003859 501(C)(3) 177980 CREATING A FCC LEARNING NETWORK TO ADVANCE FCC PRACTICES RAVENSWOOD EDUCATION PO BOX 396 MENLO PARK CA 94026 260166433 501(C)(3) 10000 SUMMER LUNCH PROGRAM REGENTS OF THE UNIVERSITY OF CA SAN FRANCISCO 3333 CALIFORNIA STE 315 SAN FRANCISCO CA 94143 946036493 501(C)(3) 213063 IMPROVING THE CARE EXPERIENCES OF FAMILIES WITH CSHCN: APPLYING ETHNOGRAPHIC FINDINGS REGENTS OF THE UNIVERSITY OF CA SAN FRANCISCO 3333 CALIFORNIA STE 315 SAN FRANCISCO CA 94143 946036493 501(C)(3) 14750 PERSPECTIVES IN TRANSITIONING: YOUTH REQUIRING INPATIENT CARE REGENTS OF THE UNIVERSITY OF CA LA 11000 KINROSS AVENUE LOS ANGELES CA 90095 956006143 501(C)(3) 45314 ASSURING CHILDREN'S ACCESS TO PEDIATRIC SUBSPECIALTY CARE REGENTS OF THE UNIVERSITY OF CA LA 11000 KINROSS AVENUE LOS ANGELES CA 90095 956006143 501(C)(3) 15000 RELATIONSHIP BETWEEN PRIMARY CARE & UTILIZATION AFTER DISCHARGE FOR CSHCN RONALD MCDONALD HOUSE 520 SAND HILL ROAD PALO ALTO CA 94304 942538615 501(C)(3) 8750 DENIM TO DIAMONDS EVENT SPONSORSHIP SUPPORT FOR FAMILIES 1663 MISSION STREET STE 700 SAN FRANCISCO CA 94103 942819062 501(C)(3) 10000 EVENT SPONSORSHIP: FAMILY VOICES CA HEALTH SUMMIT & LEGISLATIVE DAY SUPPORT FOR FAMILIES 1663 MISSION STREET STE 700 SAN FRANCISCO CA 94103 942819062 501(C)(3) 10000 FAMILY VOICES CA HEALTH SUMMIT & LEGISLATIVE DAY THE PUBLIC HEALTH FOUNDATION OF ALAMEDA COUNTY 1000 BROADWAY SUITE 500 OAKLAND CA 94607 946000501 501(C)(3) 8456 ALAMEDA COUNTY CCS PLUS CARE COORDINATION SUMMIT TIDES CENTER PO BOX 29907 SAN FRANCISCO CA 94129 943213100 501(C)(3) 30000 CHILDREN'S HEALTH BEAT TIDES CENTER (HEALTHYCAL) PO BOX 29907 SAN FRANCISCO CA 94129 943213100 501(C)(3) 30000 HEALTHYCAL.ORG - CHILDREN'S HEALTH REPORTING UNIVERSITY OF SOUTHERN CALIFORNIA 3500 S FIGUEROA SUITE 102 LOS ANGELES CA 900898001 951642394 501(C)(3) 25210 LPFCH FUND FOR HEALTH JOURNALISM 20 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: PROJECT FUNDING IS BASED ON PROPOSALS SUBMITTED BY ORGANIZATIONS. DECISIONS ARE MADE AFTER STAFF ANALYSIS OF THE ORGANIZATION'S EXPERTISE, PROPOSED GOALS AND OBJECTIVES, AND PROPOSED COSTS. MILESTONES AND DELIVERABLES ARE ESTABLISHED DURING THE REVIEW PROCESS. ALL MAJOR INVESTMENTS ARE APPROVED BY THE BOARD OF DIRECTORS. FOUNDATION STAFF MONITOR PROGRESS TO ENSURE THAT ALL OUTCOMES AND DELIVERABLES ARE COMPLETED. THE FOUNDATION ALSO HAS A FUNDRAISING DEPARTMENT WHOSE PRIMARY OBJECTIVE IS TO RAISE PHILANTHROPIC GIFTS FOR THE LUCILE PACKARD CHILDREN'S HOSPITAL AND THE PEDIATRIC PROGRAMS AT THE STANFORD SCHOOL OF MEDICINE. ALL GIFTS RAISED ARE FORWARDED TO THE HOSPITAL AND SCHOOL ON A MONTHLY BASIS. DONOR RESTRICTIONS ON GIFTS ARE CLEARLY COMMUNICATED WHEN THE GIFTS ARE TRANSFERRED. THE FOUNDATION ALSO MAINTAINS CLOSE ONGOING COMMUNICATION WITH THE SCHOOL AND HOSPITAL TO ENSURE THAT DONOR INTENT IS RESPECTED. X 0 1 X X X X X 0 1 0 0 0 0 0 0 0 DAVID ALEXANDER MD 475518 0 356409 0 18256 0 60158 0 17954 0 928295 0 0 0 KATHRYN COULBOURN 184885 0 17768 0 592 0 20728 0 19553 0 243526 0 0 0 LINDA COLLIER 302059 0 30409 0 43869 0 25000 0 13941 0 415278 0 0 0 BRIAN PERRONNE 290326 0 53038 0 7421 0 35625 0 20790 0 407200 0 0 0 EDWARD SCHOR 277986 0 14150 0 13070 0 25000 0 22787 0 352993 0 0 0 EILEEN WALSH 204371 0 11186 0 2874 0 21760 0 10741 0 250932 0 0 0 VICTORIA APPLEGATE 136616 0 6971 0 15218 0 15310 0 13206 0 187321 0 0 0 DONNA BANDELLONI 167929 0 5191 0 2193 0 17857 0 16332 0 209502 0 0 0 DUNCAN BURGERMEISTER 151796 0 4653 0 2259 0 8078 0 16879 0 183665 0 0 0 JEFFORY JOLIN 138823 0 4264 0 2141 0 14715 0 21126 0 181069 0 0 0 DANA PACE 163924 0 5027 0 13405 0 18419 0 9790 0 210565 0 0 0 PART I, LINE 1A ONE SR. VP WAS PAID A HOUSING ALLOWANCE AS PART OF HER ORIGINAL EMPLOYMENT CONTRACT (SHE WAS ONE OF THE FOUNDATION'S FIRST EMPLOYEES RECRUITED FROM STANFORD DEVELOPMENT). THE ALLOWANCE IS INCLUDED IN HER W-2 INCOME. PAYMENT OF THE ALLOWANCE TERMINATED IN 2012. IN GENERAL, THE FOUNDATION HAS NO POLICY TO PROVIDE HOUSING ALLOWANCES. PART I, LINE 4B THE FOUNDATION ADOPTED A 457(F) PLAN FOR SELECT MEMBERS OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. DURING 2012, THE CEO AND THREE SR. VPS WERE ELIGIBLE FOR 457(F) CONTRIBUTIONS. THE TOTAL AMOUNT CONTRIBUTED TO THE PLAN FOR 2012, BUT NOT PAID OUT, WAS $45,783. THE TOTAL AMOUNTS PAID OUT UNDER THE PLAN WERE $9,130 AND $4,851, TO LINDA COLLIER (SR VP MAJOR GIFTS AND SR. CAMPAIGN DIRECTOR) AND ED SCHOR (SR VP PROGRAMS & PARTNERSHIPS), RESPECTIVELY. DAVID ALEXANDER CEO HOUSING X 600000 600000 0 1 1 600000 X 55 1370429 AVERAGE MARKET VALUE X 1 31686 NET ASSET VALUE X JEWELRY 34 29045 APPRAISED VALUE X AUCTION ITEMS 23 11446 RETAIL VALUE X SUPPLIES 8 3599 RETAIL VALUE 2 0 1 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS WAS DETERMINED BASED ON THE NUMBER OF DONORS WHO MADE CONTRIBUTIONS. TOTAL NUMBER OF VOLUNTEERS FORM 990, PART I, LINE 6: VOLUNTEERS NOTED ABOVE CONSIST PRINCIPALLY OF THE FOUNDATION'S BOARD OF DIRECTORS. BOARD MEMBERS SERVE APPROXIMATELY 20 HOURS PER YEAR. THE FOUNDATION RECEIVES THE SERVICES OF ONE ADDITIONAL VOLUNTEER WHO IS NOT A BOARD MEMBER. HE ASSISTS IN THE STEWARDSHIP OF DONORS AND PROSPECTIVE DONORS AND WORKS APPROXIMATELY 10 HOURS PER WEEK. FORM 990, PART III, PROGRAM SERVICES AS DESCRIBED IN THE FORM 990, PART III, THE FOUNDATION HAS THREE PRIMARY PROGRAM AREAS: (I) CHILD HEALTH RESEARCH, (II) FUNDRAISING FOR LUCILE PACKARD CHILDREN'S HOSPITAL AND THE PEDIATRIC PROGRAMS AT THE STANFORD SCHOOL OF MEDICINE, AND (III) RESEARCH AND SUPPORT OF PROGRAMS THAT BUILD AWARENESS OF CHILD HEALTH ISSUES AND THAT SEEK TO ENHANCE THE SYSTEM OF CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS. THE FOUNDATION'S FUNDRAISING ACTIVITIES COMPRISE A SUBSTANTIAL AMOUNT OF ITS OVERALL ACTIVITIES. TWO POINTS HELP TO CLARIFY THE UNDERSTANDING OF THE FOUNDATION'S FORM 990: 1) THE FUNDRAISING PROGRAM REPRESENTS A KEY PART OF THE FOUNDATION'S MISSION AND IS A MAJOR COST COMPONENT, INVOLVING A SIGNIFICANT PERCENTAGE OF EMPLOYEES' TIME AND EFFORT. THE FOUNDATION, THEREFORE, HAS A LARGER ADMINISTRATIVE AND FINANCIAL INFRASTRUCTURE THAN WOULD BE THE CASE IF IT OPERATED ONLY A GRANTMAKING PROGRAM. 2) THE FOUNDATION'S FUNDRAISING ROLE ALSO AFFECTS THE LIST OF HIGHEST PAID INDIVIDUALS ON PART VII OF THE FORM 990 AND SCHEDULE J. THE FUNDRAISING PORTION OF THESE SALARIES IS FULLY PAID BY THE BENEFITING INSTITUTIONS. THE NON-FUNDRAISING PORTION IS FUNDED BY THE ENDOWMENT. ALL SALARIES ARE IN LINE WITH LOCAL MARKET RATES IN GRANTMAKING AND FUNDRAISING. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO TRANSACT ALL REGULAR BUSINESS OF THE FOUNDATION BETWEEN BOARD MEETINGS WITH THE EXCEPTION OF SPECIFIC POWERS DELEGATED TO THE BOARD, WHICH INCLUDE APPOINTING, REMOVING, OR AMENDING TERMS OF EMPLOYMENT OR ENGAGEMENT OF OFFICERS, AGENTS, AND KEY EMPLOYEES OF THE FOUNDATION; CHANGING LOCATION OF THE PRINCIPAL OFFICE OF THE FOUNDATION OR OTHERWISE EFFECTING CHANGES TO THE PRIMARY LOCATION FOR THE BOARD MEETINGS OR OPERATIONS; ADOPTING AND USING A CORPORATE SEAL AND/OR ALTERING THE FORM OF THE SEAL; BORROWING MONEY OR INCURRING INDEBTEDNESS. THE EXECUTIVE COMMITTEE IS COMPOSED OF THE CHAIRMAN OF THE BOARD, THE PRESIDENT/CEO OF THE FOUNDATION, AND THE CHAIRS OF ALL OTHER STANDING COMMITTEES. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 J TAYLOR CRANDALL, GEORGE PHIPPS, AND CHRIS SCHAEPE HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 THE FOUNDATION APPROVED AN AMENDMENT TO THE BY-LAWS TO SPECIFY ITS RELATIONSHIP TO ITS BENEFICIARIES BY ADDING THE FOLLOWING STATEMENT TO ITS OBJECTIVES AND PURPOSES: "(D) TO SERVE AS THE EXCLUSIVE FUNDRAISER FOR THE LUCILE PACKARD CHILDREN'S HOSPITAL AND THE PEDIATRIC PROGRAMS AT THE STANFORD SCHOOL OF MEDICINE;" FORM 990, PART VI, SECTION B, LINE 11 THE FOUNDATION'S AUDIT COMMITTEE AND BOARD ARE PRIMARILY RESPONSIBLE FOR REVIEWING AND APPROVING THE FOUNDATION'S FORM 990 BEFORE IT IS FILED WITH THE IRS. THE AUDIT COMMITTEE REVIEWS THE FORM 990 IN DETAIL AT ITS FALL MEETING. PENDING ANY OPEN QUESTIONS OR COMMENTS, THE AUDIT COMMITTEE APPROVES THE FORM 990 FOR RECOMMENDATION TO THE BOARD. A FINAL DRAFT OF THE FORM 990, AS APPROVED BY THE AUDIT COMMITTEE, IS MADE AVAILABLE TO THE FULL BOARD NO LESS THAN ONE WEEK PRIOR TO ITS ANNUAL MEETING. THE BOARD (OR EXECUTIVE COMMITTEE, IF REQUIRED FOR TIMING) APPROVES THE FORM 990 FOR FILING WITH THE IRS, SUBJECT TO ANY COMMENTS. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS, AND KEY EMPLOYEES ("KEY PERSONS") ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND TO DISCLOSE ALL REAL AND POTENTIAL CONFLICTS OF INTEREST. KEY PERSONS ARE REQUIRED TO CONFIRM THAT THEY HAVE REVIEWED THE POLICY BY SIGNING THAT THEY HAVE DONE SO, EVEN IF NO CONFLICTS ARE DISCLOSED. IN ADDITION, KEY PERSONS ARE REQUIRED TO DISCLOSE REAL OR APPARENT CONFLICTS AT THE TIME WHEN SUCH CONFLICTS COME UP FOR DISCUSSION BY THE BOARD, A BOARD COMMITTEE, OR STAFF. KEY PERSONS WITH CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM RELATED DISCUSSIONS AND DECISIONS. THE FOUNDATION'S CFO AND CEO ARE RESPONSIBLE FOR ENSURING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION HAS A COMPENSATION COMMITTEE COMPRISED ENTIRELY OF INDEPENDENT DIRECTORS, NONE OF WHOM HAVE A CONFLICT OF INTEREST WITH THE CEO, CFO OR ANY OF THE KEY EMPLOYEES. THE COMPENSATION COMMITTEE ESTABLISHES THE COMPENSATION PHILOSOPHY FOR THE ORGANIZATION AND MEETS ANNUALLY TO SET THE SALARY FOR THE CEO AND CFO AND REVIEW AND APPROVE SALARIES FOR KEY EMPLOYEES. THE COMMITTEE HAS ENGAGED A THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT TO ATTEND ITS ANNUAL MEETING THE LAST OF WHICH WAS HELD ON NOVEMBER 6, 2012. IN DETERMINING COMPENSATION LEVELS, THE COMMITTEE USES TWO INDEPENDENT THIRD PARTY SALARY SURVEYS, ONE PUBLISHED BY WOODMARK AND ONE PUBLISHED BY LASNIK BROIDA. IN ADDITION, THE COMMITTEE'S COMPENSATION CONSULTANT PREPARED AN INDEPENDENT REVIEW OF THE CEO'S COMPENSATION IN 2012. KEY DELIBERATIONS OF THE COMPENSATION COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING. FORM 990, PART VI, SECTION C, LINE 19 WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: SALE OF DONATED SECURITIES 25,879. CHARITABLE REMAINDER TRUST (8) INVESTMENT CA N/A T 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0