Lucile Salter Packard Children'S

“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.”

“Members lloyd minor, randy livingston, dennis p. Lund, md, and mary leonard, md are employees of stanford university. Lloyd minor is the vice president of medical affairs. Randy livingston is vice president of business affairs and cfo. Amit sinha, mindy rogers, marc jones, and jeffrey e. Stone are trustees of stanford university. David entwistle is president and ceo of shc. David entwistle, lloyd minor, paul king, randy livingston, jonathan coslet, marc jones, mindy rogers, and amit sinha are directors of shc.”

“The bylaws were amended to increase the limit to three terms on the number of consecutive three-year terms that may be served by a clinical faculty member of the stanford university school of medicine who serves as an elected director, consistent with the term limits applicable to non-physician elected directors.”

“Stanford university is the sole member of lpch.”

“Stanford university, as the sole member of lpch, appoints the lpch board of directors.”

“The sole member, stanford university, may remove an elected director at any time without cause.”

“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.”

“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.”

“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.”

“Financial statements for both annual and quarterly periods can be accessed via the Electronic Municipal Market Access ("EMMA") system. Additionally, governing documents and the Conflict of Interest ("COI") policy are available upon request.”

“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.”

“PROGRAM SERVICE DESCRIPTION JOHNSON CENTER EXPENSE $604,505,011 GRANTS $0 REVENUE $583,113,147 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 2024, THERE WERE 5,394 OBSTETRIC DISCHARGES FROM THE JOHNSON CENTER AND THE AVERAGE LENGTH OF STAY FOR OBSTETRIC PATIENTS WAS 3.6 DAYS. OBSTETRIC PATIENTS FROM THE PRIMARY SERVICE AREA COUNTIES OF SAN MATEO AND SANTA CLARA ACCOUNTED FOR 83 PERCENT OF CASES, 15 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 1,192 INPATIENT discharges IN FISCAL YEAR 2024 WITH AN AVERAGE LENGTH OF STAY OF 16.5 DAYS. OF THESE INPATIENTS, 60 PERCENT WERE FROM THE PRIMARY SERVICE AREA, 35 PERCENT FROM THE SURROUNDING BAY AREA COUNTIES, AND 5 PERCENT FROM THE REMAINING CALIFORNIA COUNTIES AND OUT OF STATE.”

“Program service description moore children's heart center expense $447,329,567 grants $0 revenue $602,275,268 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 38 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 1,009 in fiscal year 2024. Of these, there were 15 heart transplants. The program had a case mix index of 4.6 reflecting the highly complex population that we serve. 24 percent of patients came from our primary service area of san mateo and santa clara counties, 28 percent came from surrounding bay area counties, 20 percent came from other areas within california, and 28 percent from other states and beyond in fiscal year 2024.”

“Program service description bass cancer center expense $304,959,601 grants $0 revenue $249,738,689 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 40 stem cell transplants in fiscal year 2024. 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 2024 totaled 1,216 with an average length of stay of 9.6 days. The cancer center is a strong regional program with 46 percent of patients coming from the primary service area of san mateo and santa clara counties, 37 percent from the surrounding bay area counties, 12 percent from other california counties, and 5 percent from outside the state of california.”

“Program service description other programs expense $1,087,608,506 grants $1,987,100 revenue $1,241,285,990 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 288.73 enrolled residents and fellows (s”

“Financial statements for both annual and quarterly periods can be accessed via the electronic municipal market access ("emma") system. Additionally, governing documents and the conflict of interest ("coi") policy are available upon request. Adjustment for minimum pension and post retirement liability $(2,132,000) transfers to stanford university and other $(72,838,474) -------------- total $(67,789,041)”

“Description:temp labor - medical phys total fees:61211533”

“Description:other professional service total fees:120217”

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“Description:other medical services total fees:xxx-xx-xxxx”