Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
LUCILE PACKARD FOUNDATION FOR CHILDREN'S
HEALTH
Employer identification number
77-0440090
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) SUPPORT FOR FAMILIES OF CHILDREN WITH DISABILITIES
1663 MISSION ST 7TH FLOOR
SAN FRANCISCO,CA94103 		94-2819062 501(C)(3) 455,174       PARENT LEADERSHIP COORDINATION AND EXPANSION
(2) CHILDREN NOW
1404 FRANKLIN ST SUITE 700
OAKLAND,CA94612 		94-3059243 501(C)(3) 15,000       ANALYSIS OF FAMILY ENGAGEMENT IN CALIFORNIA'S POLICYMAKING
(3) CENTER FOR HEALTH POLICY DEVELOPMENT (NASHP)
2 MONUMENT SQUARE SUITE 910
PORTLAND,ME04101 		52-1576801 501(C)(3) 165,338       NATIONAL STANDARDS FOR IMPROVING QUALITY SYSTEMS OF CARE FOR CHILDREN AND YOUTH WITH SPECIAL CARE NEEDS
(4) CENTER FOR HEALTH POLICY DEVELOPMENT (NASHP)
2 MONUMENT SQUARE SUITE 910
PORTLAND,ME04101 		52-1576801 501(C)(3) 286,759       NATIONAL CARE COORDINATION STANDARDS FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS
(5) NATIONAL HEALTH LAW PROGRAM
3701 WILSHIRE BLVD SUITE 750
LOS ANGELES,CA90010 		95-3080947 501(C)(3) 30,000       IMPROVING ACCESS TO DURABLE MEDICAL EQUIPMENT IN THE CALIFORNIA CHILDREN'S SERVICES PROGRAM
(6) STANFORD CHILDREN'S HEALTH
180 EL CAMINO REAL SUITE M384
PALO ALTO,CA94304 		77-0003859 501(C)(3) 197,026       CREATING PARENT MENTOR/SELF-MANAGEMENT TRAINING CENTER FOR PEDIATRIC HEALTH SETTINGS
(7) NATIONAL ALLIANCE TO ADVANCE ADOLESCENT HEALTH (NAAAH)
1615 M ST NW SUITE 290
WASHINGTON,DC20036 		20-4145524 501(C)(3) 133,572       PHASE 2: A STRATEGIC DISSEMINATION PLAN TO PROMOTE THE USE OF VALUE-BASED PAYMENT AND CARE DELIVERY RECOMMENDATIONS FOR PEDIATRIC-TO-ADULT TRANSITIONAL CARE
(8) PUBLIC COUNSEL
610 SOUTH ARDMORE AVE
LOS ANGELES,CA90005 		23-7105149 501(C)(3) 135,000       EQUITABLE FUNDING FOR CHILDREN WITH DEVELOPMENTAL DISABILITIES IN CALIFORNIA
(9) OREGON HEALTH AND SCIENCE UNIVERSITY FOUNDATION
1121 SW SALMON ST SUITE 100
PORTLAND,OR97205 		23-7083114 501(C)(3) 166,608       GUIDING AND INFORM POLICY, SYSTEM AND PRACTICE-LEVEL EFFORTS FOCUSED ON CHILDREN WITH HEALTH COMPLEXITY
(10) CHILDREN'S HOSPITAL OF LOS ANGELES
4650 SUNSET BLVD
LOS ANGELES,CA90027 		95-1690977 501(C)(3) 158,030       IMPROVING HOME-BASED PALLIATIVE CARE FOR CHILDREN WITH MEDICAL COMPLEXITY
(11) FAMILY VOICE NATIONAL
PO BOX 37188
ALBUQUERQUE,NM87176 		85-0430800 501(C)(3) 174,334       THE FAMILY ENGAGEMENT IN SYSTEMS ASSESSMENT TOOL AND TOOLKIT: ENSURING MEANINGFUL USE
(12) THE ACHIEVABLE FOUNDATION
5840 UPLANDER WAY SUITE 101
CULVER CITY,CA90230 		95-4552419 501(C)(3) 25,000       IMPROVING HEALTHCARE FOR INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
(13) CENTER FOR HEALTH CARE STRATEGIES
200 AMERICAN METRO BLVD SUITE 119
HAMILTON,NJ08619 		22-3375015 501(C)(3) 127,135       FAMILY ENGAGEMENT IN MEDICAID: A 50-STATE SCAN OF EFFORTS TO MEANINGFULLY ENGAGE FAMILIES OF CSHCN IN MEDICAID POLICYMAKING
(14) LUCILE PACKARD CHILDREN'S HOSPITAL & STANFORD SCHOOL OF MEDICINE
725 WELCH ROAD
PALO ALTO,CA94304 		94-1156365 501(C)(3) 1,085,588       CHILDREN'S HEALTH INITIATIVE
(15) LUCILE PACKARD CHILDREN'S HOSPITAL & STANFORD SCHOOL OF MEDICINE
725 WELCH ROAD
PALO ALTO,CA94304 		94-1156365 501(C)(3) 113,641,277       CHILDREN'S HEALTH
(16) LUCILE PACKARD CHILDREN'S HOSPITAL & STANFORD SCHOOL OF MEDICINE
725 WELCH ROAD
PALO ALTO,CA94304 		77-0003859 501(C)(3) 24,762       CHILDREN'S HEALTH
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
13
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018
Page 2

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: GRANTS ARE AWARDED TO ORGANIZATIONS BASED ON THEIR ABILITY TO SUPPORT THE FOUNDATION'S CHARITABLE PROGRAM OBJECTIVES, SPECIFICALLY IN RESPECT OF THE FOUNDATION'S WORK TO ENHANCE THE SYSTEM OF CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES. APPLICANT ORGANIZATIONS SUBMIT PROPOSALS BASED ON MUTUALLY AGREED UPON OBJECTIVES, MILESTONES AND DELIVERABLES. FOUNDATION PROGRAM STAFF ANALYZE THE APPLICANT'S EXPERTISE, PROJECT GOALS, AND COSTS BEFORE AWARDING A GRANT. GRANTS OVER $50,000 AND UP TO $250,000 MAY BE APPROVED BY THE CEO UPON REVIEW AND FORMAL RECOMMENDATION OF A MAJORITY OF THE MEMBERS OF THE PROGRAMS AND PARTNERSHIPS COMMITTEE. GRANTS OVER $250,000 MUST BE APPROVED BY THE BOARD.
Schedule I (Form 990) 2018



Additional Data


Software ID:  
Software Version: