Lucile Packard Foundation for Children's Health

Nonprofit profile at a glance

EIN
770440090
IRS 990 coverage
2011–2024
Official website data refreshed
Aug 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Palo Alto, CA, USA
Phone
6504619800
Rating
75
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Single Organization Support

Official website

Reported finances

Revenue
$160,912,640
Expenses
$177,985,656
Assets
$346,537,752
Liabilities
$43,295,245

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

46 people listed

Executive titles in this filing

  • CYNTHIA BRANDT (PRESIDENT & CEO)
  • RACHEL OLINGER (EXECUTIVE DIRECTOR CSHCN)

Highest reported compensation

  • LLOYD B MINOR MD (DIRECTOR): $3,727,284 total reported compensation
  • PAUL KING (DIRECTOR): $2,338,281 total reported compensation
  • CYNTHIA BRANDT (PRESIDENT & CEO): $1,905,822 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The Lucile Packard Foundation for Children's Health raises funds for Lucile Packard Children's Hospital Stanford and for child and maternal health programs at the Stanford School of Medicine. We also shape and support programs that make health care more accessible for children with complex health needs through grantmaking and advocacy.

What it reported doing in 2024

Through its grantmaking, thought leadership and advocacy, the foundation partners with grantees to identify opportunities to address inequities in the systems of care for children and youth with special health care needs and their families. The foundation engages family experts from a range of perspectives to review grant proposals and provides resources to ensure our work is accessible to all stakeholders. During the fiscal year ended august 31, 2025, the foundation invested approximately $7 million dollars in this area.

Operating model

Revenue model
Donor-supported. 74% of the money available for current operations came from contributions and gifts.
Distribution model
Grant intermediary. The nonprofit sent 98% of its reported program spending out as grants.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 73
  • Transparency & Controls: 75
  • Accountability: 83
  • Sustainability: 33
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 83.7%; rating input score 84
  • Program expense ratio: 75.5%; rating input score 76
  • Fundraising efficiency: $3.54 raised per $1 spent on fundraising; rating input score 13; 13th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 95.2%; rating input score 95; 35th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 78.8%; rating input score 79; 27th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -10.6%; rating input score 7; 7th percentile among comparable filings
  • Total-asset coverage ratio: 1.95; rating input score 62; 62nd percentile among comparable filings
  • Liabilities to assets ratio: 0.12; rating input score 79; 79th percentile among comparable filings
  • Officer compensation ratio: 4.7%; rating input score 19; 19th percentile among comparable filings

Growth

  • Program expense growth: 3.3% per year; rating input score 100; 24th percentile among comparable filings
  • Revenue growth: 4.8% per year; rating input score 100; 41st percentile among comparable filings
  • Asset growth: 5.6% per year; rating input score 100; 41st percentile among comparable filings

Details

  • What they do: 6 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 83.7% of revenue deployed · 75.5% of spending went to programs
  • Governance: 26 of 33 board members independent · 8 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $134.5M in reported program spending
  • Leadership: top reported pay $3.7M · 46 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $1.8M reported
  • Consistency: 41 of 43 current checks pass · 2 findings to review
  • Schedules: 10 filed schedules · includes major donors, foreign activity, grants, and executive pay
  • Filing history: 14 filing years from 2011 to 2024
  • Contacts: How to reach this organization
  • Money network: 35 filed money-flow records
  • Related organizations: 82 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Financial Efficiency: Fundraising efficiency scored 13/100.
  • High — Sustainability: Operating margin scored 7/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • High — Sustainability: Officer compensation ratio scored 19/100.
  • Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.