2024-07-15T12:07:55-05:00 2023-08-31 PWC US TAX LLP 2001 MARKET STREET SUITE 1800 PHILADELPHIA PA 19103 990 2022-09-01 320359189 PACKARD CHILDREN'S HEALTH ALLIANCE % DANA HAERING PACK 6504978000 725 WELCH ROAD MC 5551 PALO ALTO CA 94304 DANA HAERING CFO 6507212222 2024-07-12 true DANA HAERING 999009999 ROBERT W FRIZ P00438748 2673303000 2024-07-11 3 2022 2023-04-26 12:10:37Z Chantal Volel-Torres 725 WELCH ROAD MC 5551 PALO ALTO CA 94304 136024516 false X WWW.STANFORDCHILDRENS.ORG X 2011 CA SEE SCHEDULE O 0 0 486 0 0 0 1657287 1218042 123028405 134806474 0 0 0 0 124685692 136024516 0 0 0 0 42398734 45432017 0 0 0 96253469 104776208 138652203 150208225 -13966511 -14183709 35559782 40546958 27059935 31230820 8499847 9316138 X SEE SCHEDULE O false false 134312618 134806474 SEE SCHEDULE O 134312618 true true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 68 0 true 486 true false false false false false false false false false false false false X 9 3 true false false false true true true true true false false true true true true true true false true false CA X DANA HAERING 6507235636 725 WELCH ROAD MC 5551 PALO ALTO CA 94304 X Dana Haering EVP & CFO 3.0 47.0 X 0 980661 79281 Dennis P Lund MD Director & Cmo 1.0 50.0 X X 0 962191 68684 Patrick Idemoto FORMER Interim CEO 10.0 40.0 X 0 662494 140519 Chantal Volel-Torres Director and CEO 17.0 33.0 X X 0 594261 76699 Tim Cornell MD Director 1.0 50.0 X 0 568920 82211 Andrew Smith MD Medical Director, Vice Chair 50.0 0.0 X X 0 524510 86150 Rick Vance COO 50.0 0.0 X 455141 0 42625 Tzielan Lee MD Secretary, Director 1.0 50.0 X X 0 367997 100477 Allen Metzenberg Director 1.0 49.0 X 0 416672 5926 Tika Martin Director, Human Resources 50.0 0.0 X 290016 0 64988 Tammy Ojeda-Leao Director General Pediatrics 50.0 0.0 X 256356 0 92279 Michael Lipman Director, Provider Recruit. 50.0 0.0 X 279437 0 20006 Samar S Shakoor DIR - PHYSICIAN RELATIONS 50.0 0.0 X 0 229234 50392 Emily Kruger DIR., PHYSICIAN NETWORK FIN. 50.0 0.0 X 225997 0 46711 Dorothy Naidu Director, Clinical Quality 50.0 0.0 X 222902 0 38055 Ivana Chang Director, Compliance 50.0 0.0 X 196763 0 55258 Susan Ault PRACTICE MANAGER III 50.0 0.0 X 186954 0 34372 MALINDA MITCHELL CHAIR, DIRECTOR 1.0 0.0 X X 0 0 0 John Walker Director 1.0 0.0 X 0 0 0 Lisa Erburu MD Director 1.0 0.0 X 0 0 0 2113566 5306940 1084633 51 true true false PACKARD MEDICAL GROUP INC 725 WELCH ROAD MC 5551 PALO ALTO CA 94304 PHYSICIAN SERVICES 61529565 G AND G ORGANIZATION LTD DBA PFS GR 2600 NORTH LOOP WEST SUITE 150 HOUSTON TX 77092 PFS SERVICES 2612003 LIGHTHOUSE MANAGEMENT GROUP INC 333 WEST SAN CARLOS STREET SUITE 6 SAN JOSE CA 951102731 LABOR SERVICES 1129727 PEOPLE 20 GLOBAL INC PO BOX 31001-1288 PASADENA CA 911101288 LABOR SERVICES 629038 EMCOR GOVERNMENT SERVICES INC 6363 WALKER LN STE 600 ALEXANDRIA VA 223103264 FACILITIES SERVICES 567635 16 1191042 27000 1218042 PATIENT SERVICES 900099 118751187 118751187 MEDICARE/MEDICAID 900099 7713109 7713109 PROGRAM SUPPORT 900099 8342178 8342178 134806474 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 136024516 134806474 X 0 0 0 0 1545781 1139788 405993 0 25477952 19236242 6241710 2456823 921863 1534960 13718779 12459637 1259142 2232682 1818225 414457 153969 5 153964 261156 261156 52420 52420 0 0 0 74938855 71316312 3622543 0 54536 35377 19159 16999979 16441379 558600 4319391 4319391 0 6851237 6851237 56792 36638 20154 0 0 0 0 1756969 1538491 218478 481996 481996 UNCOLLECTIBLES 747941 747941 LICENSES & TAXES 410253 26538 383715 UTILITIES 205450 205450 DUES & SUBSCRIPTIONS 123691 68787 54904 -2638427 -2850683 212256 150208225 134312618 15895607 0 0 0 415894 -374734 0 0 11724825 13138439 0 0 0 0 0 0 0 0 895931 938411 24021734 19270325 2965109 4751409 0 0 0 0 0 0 5742785 4800160 13815238 17293273 35559782 40546958 6070354 8170010 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20989581 23060810 27059935 31230820 X 8494847 9314865 5000 1273 8499847 9316138 35559782 40546958 X -14183709 15000000 X false true X true false X SCHEDULE A, PART I PACKARD CHILDREN'S HEALTH ALLIANCE WAS RECOGNIZED AS A HEALTHCARE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE. PCHA DOES NOT OPERATE A FACILITY THAT IS OR IS REQUIRED TO BE LICENSED AS A HOSPITAL. THEREFORE, PCHA IS NOT REQUIRED TO FILE FORM 990, SCHEDULE H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8293627 5913973 2379654 15215088 13325840 1889248 513019 30512 482507 4751409 OTHER ASSETS 3427866 RIGHT OF USE LEASE ASSETS 13798121 SECURITY DEPOSITS 67286 17293273 0 DUE TO RELATED PARTIES, NET 8907897 RIGHT OF USE LEASE LIABILITIES 14152913 23060810 X SCHEDULE D, PART X, LINE 2 FIN 48 PCHA IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF STANFORD UNIVERSITY, WHICH INCLUDE THE FOLLOWING NOTE: IN ACCORDANCE WITH THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT REGULARLY EVALUATES ITS TAX POSITIONS AND DOES NOT BELIEVE PCHA HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE IN OR ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. false true false false false false false true false Allen Metzenberg Director 0 348535 0 36767 0 31370 0 4249 0 1677 0 422598 0 0 Andrew Smith MD Medical Director, Vice Chair 0 447932 0 76578 0 0 0 20300 0 65850 0 610660 0 0 Chantal Volel-Torres Director and CEO 0 421178 0 59888 0 113195 0 45952 0 30747 0 670960 0 0 Dana Haering EVP & CFO 0 715604 0 165735 0 99322 0 60150 0 19131 0 1059942 0 0 Dennis P Lund MD Director & Cmo 0 442397 0 443683 0 76111 0 30500 0 38184 0 1030875 0 0 Dorothy Naidu Director, Clinical Quality 203732 0 19020 0 150 0 14947 0 23108 0 260957 0 0 0 Emily Kruger DIR., PHYSICIAN NETWORK FIN. 206806 0 19091 0 100 0 5239 0 41472 0 272708 0 0 0 Ivana Chang Director, Compliance 181066 0 15697 0 0 0 12871 0 42387 0 252021 0 0 0 Michael Lipman Director, Provider Recruit. 260226 0 19136 0 75 0 18585 0 1421 0 299443 0 0 0 Patrick Idemoto FORMER Interim CEO 0 477132 0 109162 0 76200 0 99097 0 41422 0 803013 0 46187 Rick Vance COO 381623 0 57918 0 15600 0 20300 0 22325 0 497766 0 0 0 Samar S Shakoor DIR - PHYSICIAN RELATIONS 0 205270 0 23885 0 79 0 23680 0 26712 0 279626 0 0 Susan Ault PRACTICE MANAGER III 179907 0 6802 0 245 0 10840 0 23532 0 221326 0 0 0 Tammy Ojeda-Leao Director General Pediatrics 228780 0 27576 0 0 0 13834 0 78445 0 348635 0 0 0 Tika Martin Director, Human Resources 264771 0 21168 0 4077 0 19137 0 45851 0 355004 0 0 0 Tim Cornell MD Director 0 336496 0 183997 0 48427 0 24381 0 57830 0 651131 0 0 Tzielan Lee MD Secretary, Director 0 290479 0 77518 0 0 0 23959 0 76518 0 468474 0 0 SCHEDULE J, PART I, LINE 3 PROCEDURES FOR DETERMINING COMPENSATION PCHA RELIED ON LPCH, A RELATED ORGANIZATION, TO DETERMINE OFFICER COMPENSATION. LPCH'S PROCESS FOR DETERMINING CEO AND OTHER TOP MANAGEMENT REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES THE COMMITTEE WITH COMPARABLE MARKET DATA FROM THE FORMS 990 OF COMPARABLE ORGANIZATIONS SUPPLEMENTED BY PUBLISHED COMPENSATION AND BENEFITS SURVEYS TO BE CONSIDERED IN EVALUATING TOTAL COMPENSATION PACKAGES FOR EACH INDIVIDUAL EXECUTIVE. THE COMMITTEE CONDUCTS A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTED ITS DELIBERATIONS AND DISCUSSION IN MINUTES THAT ARE RETAINED WITH THE OTHER GOVERNANCE MATERIALS OF LPCH. THE VALUE OF EACH PAY ELEMENT AND THE TOTAL PACKAGE ARE REVIEWED ANNUALLY PRIOR TO ANNUAL INCREASE PAY ACTIONS BEING APPROVED BY THE COMPENSATION COMMITTEE. SPECIFIC FACTS AND CIRCUMSTANCES OF EACH ROLE, INCUMBENT, THEIR PERFORMANCE, SKILLS, AND RESPONSIBILITIES ARE REVIEWED AND ASSESSED INDIVIDUALLY. THE COMMITTEE RECEIVES RECOMMENDATIONS FROM THE CEO AS TO PAY ACTIONS FOR EACH INCUMBENT. THESE RECOMMENDATIONS ARE DISCUSSED AND THE RESULTS OF THE DELIBERATIONS ARE DOCUMENTED AS TO THE FINAL PAY ACTION APPROVED ALONG WITH THE RATIONALE FOR THE DECISION. THIS PROCESS OCCURS ANNUALLY AND IN CONJUNCTION WITH ANY PROGRAMMATIC CHANGE THAT COULD POTENTIALLY IMPACT THE PAY OR BENEFITS OF EXECUTIVES. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CERTAIN OFFICERS OF PCHA ARE PROVIDED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO SUPPLEMENT THEIR RETIREMENT BENEFITS BY LPCH, A RELATED ORGANIZATION. FOR EACH CALENDAR YEAR, A HYPOTHETICAL ACCOUNT IS ESTABLISHED FOR EACH PARTICIPANT AND CREDITED WITH AN AMOUNT EQUAL TO A PERCENTAGE OF BASE SALARY (DEPENDING ON THE INDIVIDUAL'S POSITION) AS OF THE LAST DAY OF EACH QUARTER. THE COMPENSATION COMMITTEE MAY DETERMINE THAT CREDITS SHALL BE MADE IN ADDITION TO THOSE ABOVE IN ITS SOLE DISCRETION. A PARTICIPANT BECOMES VESTED IN EACH CALENDAR YEAR ACCOUNT ON THE FIRST BUSINESS DAY OF JANUARY FOLLOWING THE SECOND CALENDAR YEAR IN WHICH THE ACCOUNT WAS ESTABLISHED (OR, IF LATER, THE DATE ON WHICH THE PARTICIPANT COMPLETES TWO FULL YEARS OF PARTICIPATION). THE PARTICIPANT BECOMES FULLY VESTED IN HIS OR HER ACCOUNTS UNDER THE SERP UPON THE EARLIEST OF (A) DISCHARGE FROM EMPLOYMENT WITHOUT CAUSE; (B) ENTITLEMENT TO LONG-TERM DISABILITY INCOME BENEFITS; (C) ATTAINMENT OF AGE OF 60 WHILE EMPLOYED OR IF LATER, THE PARTICIPANT'S COMPLETION OF TWO FULL YEARS OF PARTICIPATION; (D) COMPLETION OF SEVEN YEARS AS AN ELIGIBLE EMPLOYEE; OR (E) THE DATE OF DEATH, PRIOR TO PAYMENT OR FORFEITURE, WITH BENEFITS PAYABLE TO THE BENEFICIARY. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2022: DANA HAERING $ 85,187 PATRICK IDEMOTO $ 48,137 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C). ALLEN METZENBERG PARTICIPATED IN A DEFERRED COMPENSATION PLAN AT STANFORD UNIVERSITY, A RELATED ORGANIZATION. ANNUALLY, AMOUNTS ARE CREDITED TO THE PLAN BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. THESE AMOUNTS APPEAR IN SCHEDULE J, PART II, COLUMN (C). PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET. SCHEDULE J, PART I, LINE 7 CERTAIN OFFICERS AND OTHERS AS ENUMERATED IN SCHEDULE J, PART II PARTICIPATE IN THE SERP, WHICH WAS DESCRIBED ABOVE UNDER SCHEDULE J, PART I, LINE 4B. ANNUALLY, AMOUNTS ARE CREDITED TO THE PLAN BASED ON PERFORMANCE AND CERTAIN OTHER FACTORS. PLAN BALANCES ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET. FORM 990, PART I, LINE 1 & PART III ORGANIZATION'S PRIMARY EXEMPT PURPOSE AT PCHA, THE FOCUS IS ON PATIENT CARE AND COMMUNITY OUTREACH TO ENSURE PATIENT ACCESS TO PCHA'S SERVICES. PCHA PHYSICIANS, NON-MD CLINICIANS, AND STAFF ASSUME THE ROLE OF EDUCATORS TO IMPROVE THE PHYSICAL AND BEHAVIORAL WELL-BEING OF CHILDREN IN THE COMMUNITIES IT SERVES. THE OVERALL STRATEGY TO ACCOMPLISH THE OBJECTIVE IS TWOFOLD: BECOME A RELIED UPON RESOURCE FOR CAREGIVERS/PARENTS AND PROVIDE PREVENTATIVE CARE FOR CHILDREN. EDUCATION IS THE KEY FOR BOTH STRATEGIES. WHILE MULTIPLE COMMUNITY SERVICES WILL BE OFFERED AT THE MEDICAL SITES, A SIGNIFICANT PART OF THE OUTREACH EFFORTS WILL BE SPENT SERVING THE PCHA COMMUNITY. FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION DURING THE PERIOD OF SEPTEMBER 2022 THROUGH AUGUST 2023 (FY 2023), PCHA PRIMARILY FOCUSED ON OPERATIONS AND EXISTING PROVIDER VISIT GROWTH. IN ADDITION, WE CONTINUE TO INCREASE OUR AVAILABILITY AT MANY OF OUR SITES BY INCREASING THE NUMBER OF PROVIDERS. THIS YEAR WE CONTINUED TO IMPROVE SERVICES OFFERED VIA OUR PATIENT PORTAL INCLUDING DIRECTLY SCHEDULING APPOINTMENTS, REQUESTING PRESCRIPTIONS, VIEWING BILLING STATEMENTS AND COMMUNICATING WITH MEDICAL PROVIDERS. THE THREE LARGEST SERVICES PCHA OPERATED IN FISCAL YEAR 2023 WERE: GENERAL PEDIATRICS - BAYSIDE GENERAL PEDIATRICS - PENINSULA PEDIATRICS GENERAL PEDIATRICS - PEDIATRIC ASSOCIATES BAYSIDE BAYSIDE MEDICAL GROUP IS DEDICATED TO PROVIDING THE HIGHEST-QUALITY CARE TO OUR PATIENTS. WE SPECIALIZE IN THE CARE OF CHILDREN FROM BIRTH TO THE LATE TEEN YEARS. OUR TEAM OF CLINICIANS AND SPECIALLY TRAINED MEDICAL OFFICE STAFF HAVE EARNED A REPUTATION FOR EXCELLENCE, SERVING GENERATIONS OF FAMILIES IN THE BAY AREA. OUR CARE TEAM MEMBERS ARE CERTIFIED BY THE AMERICAN BOARD OF PEDIATRICS. OUR PEDIATRICIANS SPECIALIZE IN THE CARE OF NEWBORNS, CHILDREN AND ADOLESCENTS AT ALL 10 OF OUR OFFICES. PENINSULA PEDIATRICS AT PENINSULA PEDIATRIC MEDICAL GROUP, OUR FAMILY OF EXPERIENCED AND CARING PEDIATRICIANS HAS BEEN SERVING CHILDREN IN THE BAY AREA FOR GENERATIONS. WE SPECIALIZE IN CARING FOR NEWBORNS THROUGH ADOLESCENTS IN THEIR LATE TEENS AND TAKE THE TIME TO TALK WITH PARENTS TO HELP THEM UNDERSTAND THEIR CHILD'S NEEDS. OUR CARING AND INFORMED STAFF WORK HARD TO PUT YOU AND YOUR CHILD AT EASE. WE HAVE THREE CONVENIENT LOCATIONS IN BURLINGAME, MENLO PARK, AND SAN MATEO. WE OFFER SAME-DAY APPOINTMENTS FOR SICK PATIENTS, AND OUR KNOWLEDGEABLE NURSE ADVISORS ARE AVAILABLE TO ANSWER QUESTIONS OVER THE PHONE 24 HOURS A DAY. BY CHOOSING PENINSULA PEDIATRIC MEDICAL GROUP FOR YOUR CHILD'S MEDICAL NEEDS, YOU WILL BE WORKING WITH A DEDICATED AND COMPASSIONATE FAMILY OF DOCTORS. OUR SPECIALLY TRAINED MEDICAL OFFICE STAFF ARE ALSO HERE TO ASSIST YOU SO THAT TOGETHER WE CAN PROVIDE THE BEST ENVIRONMENT FOR YOUR CHILD TO GROW INTO A HEALTHY ADULT. PEDIATRIC ASSOCIATES MEDICAL GROUP THE PEDIATRIC ASSOCIATES MEDICAL GROUP HAS 8 PHYSICIANS IN TWO SAN JOSE LOCATIONS, SAMARITAN, AND CAMDEN. THE GROUP HAS BEEN PROVIDING THE FULL CONTINUUM OF GENERAL PEDIATRIC SERVICES TO CHILDREN AND YOUNG ADULTS FOR DECADES. WE ARE HERE TO HELP GUIDE YOU WITH YOUR CHILDREN'S HEALTH CARE NEEDS AND BELIEVE IN WORKING WITH YOU TO ENSURE THAT YOUR CHILDREN MAINTAIN OPTIMAL HEALTH AS THEY GROW AND DEVELOP. PATIENT VISITS PROVIDED IN THE FISCAL YEAR 2023 FOR EACH OF THE LARGEST SERVICES ARE: BAYSIDE: 79,988 PENINSULA PEDIATRICS: 45,915 PEDIATRIC ASSOCIATES: 25,414 FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIP DANA HAERING IS AN OFFICER AND EMPLOYEE OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL. DENNIS LUND IS AN OFFICER AND DIRECTOR OF LUCILE SALTER PACKARD CHILDREN'S HOSPITAL. FORM 990, PART VI, LINE 6 MEMBERS STANFORD UNIVERSITY AND LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD ARE THE MEMBERS OF PCHA. FORM 990, PART VI, LINE 7A STANFORD UNIVERSITY AND LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD, AS THE MEMBERS OF PCHA, APPOINT THE PCHA BOARD OF DIRECTORS. TWO OF THE DIRECTORS MUST BE PERSONS WHO RESIDE IN THE COMMUNITIES SERVED BY PCHA AND WHO ARE NOT COMPENSATED BY PCHA, THE MEMBERS, OR ANY MEDICAL GROUP AFFILIATED WITH PCHA. FORM 990, PART VI, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY ONE OR MORE MEMBERS: - ENTERING INTO PROFESSIONAL SERVICE AGREEMENTS WITH NEW MEDICAL GROUPS - ACQUISITION, MERGER, OR CONSOLIDATION OF ANY OTHER ENTITY. FORM 990, PART VI, LINE 11 PROCEDURES FOR REVIEWING FORM 990 FROM GOVERNING BODY WORKING WITH PWC US TAX LLP, THE FORM 990 IS PREPARED FOR MANAGEMENT'S REVIEW. A DRAFT OF THE FORM 990 IS MAILED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW, ALONG WITH AN EXECUTIVE SUMMARY OF RECENT CHANGES AND NEW REQUIREMENTS. THE DRAFT FORM 990 IS REVIEWED AT THE AUDIT AND COMPLIANCE COMMITTEE MEETING. A FINAL FORM 990 IS THEN DISTRIBUTED TO THE FULL BOARD BEFORE FILING WITH THE IRS. PWC US TAX LLP SIGNS THE FINAL RETURN AS PAID PREPARER. FORM 990, PART VI, LINE 12C PROCEDURES FOR MONITORING AND ENFORCING COMPLIANCE WITH CONFLICT-OF-INTEREST POLICY OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO COMPLETE AN INITIAL CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ("DISCLOSURE STATEMENT") AT THE TIME OF APPOINTMENT AT PCHA. ADDITIONALLY, AN UPDATED DISCLOSURE STATEMENT IS REQUIRED THEREAFTER ON AN ANNUAL BASIS. A DISCLOSURE THAT APPEARS TO BE A CONFLICT WILL BE RESOLVED BY A MUTUAL AGREEABLE PLAN WITH THE PCHA CHIEF EXECUTIVE OFFICER THAT OUTLINES THE STEPS THE OFFICER, DIRECTOR OR EMPLOYEE MUST TAKE TO RECTIFY THE CONFLICT. FORM 990, PART VI, LINE 15 PROCEDURES FOR DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER, PCHA RELIED ON LPCH, A RELATED ORGANIZATION, TO DETERMINE OFFICER COMPENSATION. LPCH'S PROCESS FOR DETERMINING COMPENSATION REQUIRES COMPENSATION TO BE REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT, WHO PROVIDES THE COMMITTEE WITH COMPARABLE MARKET DATA FROM THE FORMS 990 OF COMPARABLE ORGANIZATIONS SUPPLEMENTED BY PUBLISHED COMPENSATION AND BENEFITS SURVEYS TO BE CONSIDERED IN EVALUATING TOTAL COMPENSATION PACKAGES FOR EACH INDIVIDUAL EXECUTIVE. THE COMMITTEE CONDUCTS A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTED ITS DELIBERATIONS AND DISCUSSION IN MINUTES THAT ARE RETAINED WITH THE OTHER GOVERNANCE MATERIALS OF LPCH. THE VALUE OF EACH PAY ELEMENT AND THE TOTAL PACKAGE ARE REVIEWED ANNUALLY PRIOR TO ANNAUL INCREASE PAY ACTIONS BEING APPROVED BY THE COMPENSATION COMMITTEE. SPECIFIC FACTS AND CIRCUMSTANCES OF EACH ROLE, INCUMBENT, THEIR PERFORMANCE, SKILLS, AND RESPONSIBILITIES ARE REVIEWED AND ASSESSED INDIVIDUALLY. THE COMMITTEE RECEIVES RECOMMENDATIONS FROM THE CEO AS TO PAY ACTIONS FOR EACH INCUMBENT. THESE RECOMMENDATIONS ARE DISCUSSED AND THE RESULTS OF THE DELIBERATIONS ARE DOCUMENTED AS TO THE FINAL PAY ACTION APPROVED ALONG WITH THE RATIONALE FOR THE DECISION. THIS PROCESS OCCURS ANNUALLY AND IN CONJUNCTION WITH ANY PROGRAMMATIC CHANGE THAT COULD POTENTIALLY IMPACT THE PAY OR BENEFITS OF EXECUTIVES. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES WHO ARE EMPLOYEES OF PCHA IS DETERMINED BY A PROCESS THAT INCLUDES A REVIEW OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DECISION. COMPENSATION DECISIONS WITH RESPECT TO OFFICERS AND KEY EMPLOYEES WHOSE COMPENSATION EXCEEDS A SPECIFIED THRESHOLD ARE MADE BY THE PCHA COMPENSATION COMMITTEE. FORM 990, PART VI, LINE 19 THE STATEMENTS OF OPERATIONS AND BALANCE SHEET ARE INCLUDED IN THE ANNUAL REPORT POSTED ON THE ORGANIZATION'S PUBLIC WEBSITE. COPIES OF THE FINANCIAL STATEMENTS ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS. COPIES OF THE GOVERNING DOCUMENTS ARE GENERALLY NOT AVAILABLE FOR PUBLIC INSPECTION BUT REQUESTS WILL BE EVALUATED ON A CASE-BY-CASE BASIS. THE CONFLICT OF INTEREST POLICY IS NOT CURRENTLY AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART XI, LINE 9 RECONCILIATION EQUITY TRANSFERS TO PCHA FROM LPCH IN FY23 $15,000,000 FORM 990 PART IX LINE 11G DESCRIPTION:TEMP LABOR - MEDICAL PHYSICIAN TOTAL FEES:2527431 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:67424 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:5430072 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER MEDICAL SERVICES TOTAL FEES:66913928 THE BRD OF TRUST LELAND STANF JR UNIV 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 941156365 EDUCATION CA 501(C)(3) 2 NA false FUNDACION STANFORD UNIVERSITY EN CHILE AV CONDELL 189 PROVIDENCIA SANTIAGO CI EDUCATION CI 501(C)(3) STANFORD true STANFORD HEALTH CARE TRI-VALLEY 1111 E STANLEY BLVD LIVERMORE CA 94550 941429628 HOSPITAL CA 501(C)(3) 3 SHC true JAEDAN BUPIN STANFORD CENTER IN THE REPU RESEARCH KS 501(C)(3) N/A STANFORD true LUCILE PACKARD FOUNDATION FOR CHILDREN'S 400 HAMILTON AVENUE SUITE 340 PALO ALTO CA 94301 770440090 HEALTHCARE CA 501(C)(3) 7 LPCH true LUCILE SALTER PACKARD CHILDRENS HOSPITAL 725 WELCH ROAD MC 5553 PALO ALTO CA 94304 770003859 HEALTHCARE CA 501(C)(3) 3 STANFORD true SHR HOLDINGS INC 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 943187167 REAL ESTATE CA 501(C)(25) N/A STANFORD true STANFORD FACULTY CLUB PO BOX 7229 STANFORD CA 94309 941187089 FAC INTERACT. CA 501(C)(7) N/A STANFORD true STANFORD FEDERAL CREDIT UNION 1860 EMBARCADERO RD PALO ALTO CA 94303 941492212 CREDIT UNION CA 501(C)(1) N/A STANFORD true STANFORD HABITAT CONSERVATION BOARD 415 BROADWAY REDWOOD CITY CA 94063 461882243 CONSERVATION CA 501(C)(3) 7 STANFORD true STANFORD HEALTH CARE 300 PASTEUR DRIVE MC 5555 STANFORD CA 94305 946174066 HEALTHCARE CA 501(C)(3) 3 STANFORD true STANFORD PROGRAMME (CAPE TOWN) NPC WAVERLY BUSINESS PARK BLDG 11 CAPE TOWN SF EDUCATION SF 501(C)(3) N/A STANFORD true STANFORD UNIVERSITY BOOKSTORE 505 BROADWAY 6TH FLOOR MC 1065 REDWOOD CITY CA 94063 940894150 SUPPORT CA 501(C)(3) 12A, I STANFORD true SU EMP BEN TRUST POST RETEMPYNT BEN 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 943246199 BENEFITS CA 501(C)(9) N/A STANFORD true THE DUDLEY E CHAMBERS FOUNDATION JP MORGAN CHASE PO BOX 3038 MILWAUKEE WI 53201 386841793 SUPPORT NY 501(C)(3) 12D, III-O STANFORD true THE FREIDENRICH SUPPORT FOUNDATION 485 BROADWAY MAILCODE 8838 REDWOOD CITY CA 94063 300519583 SUPPORT CA 501(C)(3) 12A, I STANFORD true THE HONG KONGSU CHARITABLE TRUST 1401 CAROLINE CENTER 28 PING ROAD CAUSEWAY HK 986078093 SUPPORT HK 501(C)(3) N/A STANFORD true THE STANFORD TRUST 65 HIGH STREET OXFORD UK OX1 46L SUPPORT UK 501(C)(3) N/A STANFORD true UNIVERSITY HEALTHCARE ALLIANCE 7999 GATEWAY BLVD STE 300 NEWARK CA 94560 943192446 HEALTHCARE CA 501(C)(3) 3 SHC true VALLEYCARE MEDICAL FOUNDATION INC 1111 E STANLEY BLVD LIVERMORE CA 94550 262593526 SR. FACILITY CA 501(C)(3) PF SHC-TV true VALLEYCARE SENIOR HOUSING 1111 E STANLEY BLVD LIVERMORE CA 94550 943382224 SR. 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