ST JUDE CHILDRENS RESEARCH HOSPITAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ST JUDE CHILDRENS RESEARCH HOSPITAL INC (EIN 62-0646012)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-04-12
- IRS object ID
- 201901029349300230
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-04-12T13:09:17-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1033 DEMONBREUN SUITE 400 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620646012 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JUDE CHILDREN'S RESEARCH HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJU | BusinessNameControlTxt |
| Phone | 9015953903 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 262 DANNY THOMAS PLACE | AddressLine1Txt |
| City | MEMPHIS | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 381053678 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAT KEEL | PersonNm |
| Person Title | SVP AND CFO | PersonTitleTxt |
| Phone | 9015953903 | PhoneNum |
| Signature | 2019-04-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | FRANCIS J BEDARD | PreparerPersonNm |
| PTIN | P00752421 | PTIN |
| Phone | 6152591800 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.219.88.229 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-04-12 | IPDt |
| IP Tm | 12:59:26 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 81DE22CF9F7F0862406D1A466D95956A5FFF36F5 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7976E27EA537A2528AFD4534CEC7185AB37FE28A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES R DOWNING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 262 DANNY THOMAS PLACE | AddressLine1Txt |
| City | MEMPHIS | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 381053678 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $988,538,801 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STJUDE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1959 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF ST. JUDE CHILDREN'S RESEARCH HOSPITAL IS TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRIC CATASTROPHIC DISEASES THROUGH RESEARCH AND TREATMENT. CONSISTENT WITH THE VISION OF OUR FOUNDER DANNY THOMAS, NO CHILD IS DENIED TREATMENT BASED ON RACE, RELIGION OR A FAMILY'S ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 43 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 41 | VotingMembersIndependentCnt |
| Total Employee | 5185 | TotalEmployeeCnt |
| Total Volunteers | 3950 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $138,854 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $753,145,680 | PYContributionsGrantsAmt |
| CY Contributions Grants | $851,803,301 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $124,099,314 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $117,420,862 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,169,284 | PYInvestmentIncomeAmt |
| CY Investment Income | -$7,463,705 | CYInvestmentIncomeAmt |
| PY Other Revenue | $24,726,224 | PYOtherRevenueAmt |
| CY Other Revenue | $18,895,861 | CYOtherRevenueAmt |
| PY Total Revenue | $900,801,934 | PYTotalRevenueAmt |
| CY Total Revenue | $980,656,319 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,956,619 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,312,073 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $462,005,025 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $505,567,014 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $390,060,200 | PYOtherExpensesAmt |
| CY Other Expenses | $440,836,545 | CYOtherExpensesAmt |
| PY Total Expenses | $857,021,844 | PYTotalExpensesAmt |
| CY Total Expenses | $950,715,632 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $43,780,090 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $29,940,687 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,787,635,534 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,434,170,902 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $127,718,358 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $131,298,150 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,659,917,176 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,302,872,752 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF ST. JUDE CHILDREN'S RESEARCH HOSPITAL IS TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRIC CATASTROPHIC DISEASES THROUGH RESEARCH AND TREATMENT. CONSISTENT WITH THE VISION OF OUR FOUNDER DANNY THOMAS, NO CHILD IS DENIED TREATMENT BASED ON RACE, RELIGION OR A FAMILY'S ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $457,825,537 | ExpenseAmt |
| Grant | $4,160,447 | GrantAmt |
| Revenue | $113,179,305 | RevenueAmt |
| Desc | PATIENT CARE: THE HOSPITAL PROVIDED 19,202 INPATIENT DAYS OF CARE DURING THE YEAR. OUR BONE MARROW TRANSPLANTATION PROGRAM ACCOUNTED FOR 4,407 OR 23% OF THOSE INPATIENT DAYS. PATIENTS MADE 79,024 CLINIC VISITS DURING THE YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $410,716,516 | ExpenseAmt |
| Grant | $146,126 | GrantAmt |
| Desc | RESEARCH: THE CURRENT BASIC SCIENCE AND CLINICAL RESEARCH AT THE HOSPITAL INCLUDES WORK IN GENE THERAPY, CHEMOTHERAPY, THE BIOCHEMISTRY OF NORMAL AND CANCEROUS CELLS, RADIATION TREATMENT, BLOOD DISEASES, RESISTANCE TO THERAPY, VIRUSES, HEREDITARY DISEASES, INFLUENZA, PEDIATRIC AIDS AND PHYSIOLOGICAL EFFECTS OF CATASTROPHIC ILLNESSES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,767,276 | ExpenseAmt |
| Grant | $5,500 | GrantAmt |
| Desc | EDUCATION AND TRAINING: AS PART OF ITS MISSION, THE HOSPITAL HAS DEVELOPED A GLOBAL INITIATIVE (ST. JUDE GLOBAL) TO IMPROVE THE SURVIVAL RATES OF CHILDREN WITH CANCER AND OTHER CATASTROPHIC DISEASES WORLDWIDE. ST. JUDE GLOBAL ACCOMPLISHES THIS BY SHARING KNOWLEDGE, TECHNOLOGY AND ORGANIZATIONAL SKILLS, HELPING TO IMPLEMENT NEW APPROACHES TO TREAT PEDIATRIC CANCER GLOBALLY, AND DEVELOPING REGIONAL NETWORKS COMMITTED TO ERADICATING CANCER IN CHILDREN. THIS MISSION WILL BE ACHIEVED BY FOCUSING ON THREE OVERRIDING GOALS: (1) TO TRAIN THE CLINICAL WORKFORCE THAT WILL BE REQUIRED TO MEET OUR MISSION, (2) TO DEVELOP AND STRENGTHEN HEALTH SYSTEMS AND PATIENT-CENTERED INITIATIVES THAT ENCOMPASS THE ENTIRE CONTINUUM OF CARE REQUIRED FOR CHILDREN WITH CANCER AND NON-MALIGNANT HEMATOLOGICAL DISEASES, AND (3) TO ADVANCE KNOWLEDGE IN GLOBAL PEDIATRIC ONCOLOGY AND HEMATOLOGY THROUGH RESEARCH TO SUSTAIN A CONTINUOUS IMPROVEMENT IN THE LEVEL AND QUALITY OF CARE DELIVERED AROUND THE GLOBE. THESE INITIATIVES ARE SPEARHEADED BY ST. JUDE EXPERTS WHO WORK CLOSELY WITH HEALTHCARE PROFESSIONALS AT OUR PARTNER SITES. IN ADDITION, A GRADUATE PROGRAM IS OFFERED THROUGH A WHOLLY-OWNED SUBSIDIARY, ST. JUDE CHILDREN'S RESEARCH HOSPITAL GRADUATE SCHOOL OF BIOMEDICAL SCIENCES, LLC, TO EDUCATE AND TRAIN FUTURE GENERATIONS OF SCIENTISTS SEEKING TO UNDERSTAND THE MOLECULAR BASIS OF HUMAN DISEASE AND DEVELOP NOVEL THERAPIES BASED ON THAT UNDERSTANDING. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $890,309,329 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1394 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5185 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 43 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 41 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARON HENDRIX | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9015953903 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 262 DANNY THOMAS PLACE | AddressLine1Txt |
| City | MEMPHIS | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 381053678 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (55 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOYCE ABOUSSIE | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN MACK AGUILLARD MD | |||||||||
| VOTING DIRECTOR | 8.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| MAHIR AWDEH MD | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH S AYOUB JR ESQ | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL J AYOUB ESQ | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| FREDERICK M AZAR MD | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES B BARKATE | |||||||||
| VOTING DIRECTOR | 4.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| MARTHA PERINE BEARD | |||||||||
| VOTING DIRECTOR | 4.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| SHERYL BOURISK | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT A BREIT MD | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| TERRY BURMAN | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| ANN M DANNER | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH M DEVIVO | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| FRED P GATTAS III PHARMD | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| RUTH GAVIRIA | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER GEORGE MD | |||||||||
| VOTING DIRECTOR | 8.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JUDY HABIB | |||||||||
| VOTING DIRECTOR | 4.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| GABRIEL GABY HADDAD MD | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL K HAJAR | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| CHUCK HAJJAR | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| FOUAD HAJJAR MD | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| FREDERICK R HARRIS JR MD | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE B HOPKINS | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| J DAVID KARAM II | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| SHARON L MCCOLLAM | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL D MCCOY | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT T MOLINET ESQ | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| RAMZI NUWAYHID | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS PENN III | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTINA M RASHID | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| CAMILLE F SARROUF JR ESQ | |||||||||
| VOTING DIRECTOR | 8.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH C SHAKER | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH G SHAKER | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE A SIMON II | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL SIMON | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL J SIMON | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| TONY THOMAS | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD M UNES | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL H WEIN ESQ | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS WERTZ | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| TAMA ZAYDON | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD SHADYAC JR | |||||||||
| EX-OFFICIO DIRECTOR | 1.00 | 55.00 | Yes (X) | $0 | $794,032 | $99,557 | |||
| JAMES R DOWNING | |||||||||
| PRESIDENT/CEO | 55.00 | 1.00 | Yes (X) | $1,058,448 | $0 | $144,500 | Yes (X) | ||
| PATRICIA A KEEL | |||||||||
| SVP/CFO | 55.00 | 0.00 | $633,157 | $0 | $84,957 | Yes (X) | |||
| JAMES I MORGAN | |||||||||
| EVP/SCIENTIFIC DIRECTOR | 55.00 | 0.00 | $540,847 | $0 | $57,000 | Yes (X) | |||
| ELLIS NEUFELD | |||||||||
| EVP/CLINICAL DIRECTOR | 55.00 | 0.00 | $811,492 | $0 | $117,999 | Yes (X) | |||
| MARY ANNA QUINN | |||||||||
| EVP/CHIEF ADMIN OFFICER | 55.00 | 0.00 | $445,639 | $0 | $399,741 | Yes (X) | |||
| CHARLES M ROBERTS | |||||||||
| EVP/DIRECTOR CANCER CENTER | 55.00 | 0.00 | $780,623 | $0 | $163,941 | Yes (X) | |||
| CARLOS RODRIGUEZ-GALINDO | |||||||||
| EVP/CHAIR | 55.00 | 0.00 | $602,659 | $0 | $146,198 | Yes (X) | |||
| ANDREW DAVIDOFF | |||||||||
| CHAIR | 55.00 | 0.00 | $1,304,122 | $0 | $61,557 | Yes (X) | |||
| CHARALAMPOS KALODIMOS | |||||||||
| CHAIR | 55.00 | 0.00 | $862,969 | $0 | $21,036 | Yes (X) | |||
| THOMAS E MERCHANT | |||||||||
| CHAIR | 55.00 | 0.00 | $822,323 | $0 | $67,616 | Yes (X) | |||
| RAUL C RIBEIRO | |||||||||
| FACULTY | 55.00 | 0.00 | $974,588 | $0 | $42,061 | Yes (X) | |||
| STEPHEN W WHITE | |||||||||
| CHAIR | 55.00 | 0.00 | $809,046 | $0 | $103,615 | Yes (X) | |||
| WILLIAM E EVANS | |||||||||
| FACULTY/FORMER PRESIDENT/CEO | 55.00 | 0.00 | $681,292 | $0 | $41,198 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,327,205 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $794,032 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,550,976 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 887 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FLINTCO LLC | |||||
| 2179 HILLSHIRE CIRCLE | MEMPHIS | TN | 38133 | CONSTRUCTION CONTRACTOR | $16,730,625 |
| BELZ CONSTRUCTION SERVICES | |||||
| 100 PEABODY PLACE SUITE 1400 | MEMPHIS | TN | 38103 | CONSTRUCTION COTRACTOR | $12,946,531 |
| THE CRUMP FIRM INC | |||||
| 81 MONROE AVE SUITE 100 | MEMPHIS | TN | 38103 | ARCHITECT | $10,091,203 |
| CERNER CORP | |||||
| 2800 ROCKCREEK PARKWAY | KANSAS CITY | MO | 64117 | SOFTWARE SUPPORT | $8,346,513 |
| METHODIST HEALTHCARE MEMPHIS | |||||
| 1265 UNION AVE | MEMPHIS | TN | 38104 | MEDICAL SERVICES | $8,045,433 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 244 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $757,401,831 | RelatedOrganizationsAmt |
| Government Grants | $82,755,154 | GovernmentGrantsAmt |
| All Other Contributions | $11,646,316 | AllOtherContributionsAmt |
| Noncash Contributions | $2,017,179 | NoncashContributionsAmt |
| Total Contributions | $851,803,301 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT CARE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $117,420,862 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $117,420,862 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $117,420,862 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,469 | TotalRevenueColumnAmt |
| Exclusion | $11,469 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,297,052 | TotalRevenueColumnAmt |
| Exclusion | $11,297,052 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $369,380 | SecuritiesAmt |
| Other | $37,928 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $292,260 | SecuritiesAmt |
| Other | $7,590,222 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $77,120 | SecuritiesAmt |
| Other | -$7,552,294 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,475,174 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$7,552,294 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $77,120 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA/VENDING | 722514 | $4,288,072 | $4,288,072 | |
| CHGME/CHCA | 900099 | $2,351,842 | $2,351,842 | |
| HHMI | 900099 | $327,751 | $327,751 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $631,144 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $631,144 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,598,809 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $980,656,319 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $113,179,305 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,673,713 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,311,573 | TotalAmt |
| Program Services | $4,311,573 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500 | TotalAmt |
| Program Services | $500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,085,991 | TotalAmt |
| Program Services | $3,217,948 | ProgramServicesAmt |
| Management And General | $2,868,043 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $799,828 | TotalAmt |
| Program Services | $722,828 | ProgramServicesAmt |
| Management And General | $77,000 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $387,908,704 | TotalAmt |
| Program Services | $358,975,889 | ProgramServicesAmt |
| Management And General | $28,932,815 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,815,628 | TotalAmt |
| Program Services | $22,039,300 | ProgramServicesAmt |
| Management And General | $1,776,328 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,458,204 | TotalAmt |
| Program Services | $55,948,828 | ProgramServicesAmt |
| Management And General | $4,509,376 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,498,659 | TotalAmt |
| Program Services | $24,522,213 | ProgramServicesAmt |
| Management And General | $1,976,446 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,129,726 | TotalAmt |
| Program Services | $22,548,266 | ProgramServicesAmt |
| Management And General | $1,581,460 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,499,010 | TotalAmt |
| Program Services | $2,335,225 | ProgramServicesAmt |
| Management And General | $163,785 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,997 | TotalAmt |
| Program Services | $299,959 | ProgramServicesAmt |
| Management And General | $21,038 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,616 | TotalAmt |
| Management And General | $82,616 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,493,428 | TotalAmt |
| Program Services | $81,585,900 | ProgramServicesAmt |
| Management And General | $10,907,528 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $729,512 | TotalAmt |
| Program Services | $681,700 | ProgramServicesAmt |
| Management And General | $47,812 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,541,058 | TotalAmt |
| Program Services | $2,495,428 | ProgramServicesAmt |
| Management And General | $45,630 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,959,451 | TotalAmt |
| Program Services | $30,799,292 | ProgramServicesAmt |
| Management And General | $2,160,159 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,929,278 | TotalAmt |
| Program Services | $30,447,214 | ProgramServicesAmt |
| Management And General | $5,482,064 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,417,773 | TotalAmt |
| Program Services | $11,675,859 | ProgramServicesAmt |
| Management And General | $741,914 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,204,122 | TotalAmt |
| Program Services | $1,680,718 | ProgramServicesAmt |
| Management And General | $523,404 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,661,284 | TotalAmt |
| Program Services | $77,373,949 | ProgramServicesAmt |
| Management And General | $9,287,335 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,926,949 | TotalAmt |
| Program Services | $1,409,067 | ProgramServicesAmt |
| Management And General | $517,882 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICAL SUPPLIES | $52,287,399 | $51,348,474 | $938,925 |
| LABORATORY SUPPLIES | $49,243,057 | $48,358,799 | $884,258 |
| TELEPHONE | $1,453,871 | $1,246,308 | $207,563 |
| ALLOCATION ADJUSTMENTS | $0 | $18,503,310 | -$18,503,310 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,957,014 | TotalAmt |
| Program Services | $37,780,782 | ProgramServicesAmt |
| Management And General | $5,176,232 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950,715,632 | TotalAmt |
| Program Services | $890,309,329 | ProgramServicesAmt |
| Management And General | $60,406,303 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,110 | BOYAmt |
| EOY | $1,110,291 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,889,800 | BOYAmt |
| EOY | $22,491,694 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,183,301 | BOYAmt |
| EOY | $21,703,486 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,505,346 | BOYAmt |
| EOY | $7,732,327 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,177,850 | BOYAmt |
| EOY | $13,941,837 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,520,270,198 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $851,159,790 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $638,878,938 | BOYAmt |
| EOY | $669,110,408 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,045,240 | BOYAmt |
| EOY | $2,222,796 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,082,933,949 | BOYAmt |
| EOY | $4,695,858,063 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,787,635,534 | BOYAmt |
| EOY | $5,434,170,902 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,161,164 | BOYAmt |
| EOY | $112,276,799 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,299,828 | BOYAmt |
| EOY | $15,399,715 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,257,366 | BOYAmt |
| EOY | $3,621,636 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,718,358 | BOYAmt |
| EOY | $131,298,150 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,620,941,222 | BOYAmt |
| EOY | $4,201,630,278 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,722,532 | BOYAmt |
| EOY | $76,544,144 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $965,253,422 | BOYAmt |
| EOY | $1,024,698,330 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,659,917,176 | BOYAmt |
| EOY | $5,302,872,752 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,787,635,534 | BOYAmt |
| EOY | $5,434,170,902 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $29,940,687 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $90,775 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $612,924,114 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $611,432,510 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $674,808,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $895,523,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $753,145,680 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $851,803,301 | CurrentTaxYearAmt |
| Total | $3,786,713,482 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $611,432,510 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $674,808,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $895,523,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $753,145,680 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $851,803,301 | CurrentTaxYearAmt |
| Total | $3,786,713,482 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $3,786,713,482 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,413,935 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,579,828 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,681,881 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,641,541 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,308,521 | CurrentTaxYearAmt |
| Total | $59,625,706 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,697,307 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,390,478 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,775,862 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,138,461 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,598,809 | CurrentTaxYearAmt |
| Total | $50,600,917 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,896,940,105 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $558,989,512 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97170 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97190 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, SECTION B, LINE 10: | FormAndLineReferenceDesc |
| Explanation | EXPLANATION FOR OTHER INCOME: 2013 $ 3,314,275 - CAFETERIA/VENDING $ 1,955,292 - CHGME/CHCA $ 3,427,740 - OTHER REVENUE $ 8,697,307 - TOTAL OTHER INCOME 2014 $ 3,534,638 - CAFETERIA/VENDING $ 1,454,365 - CHGME/CHCA $ 2,401,475 - OTHER REVENUE $ 7,390,478 - TOTAL OTHER INCOME 2015 $ 3,709,328 - CAFETERIA/VENDING $ 1,683,327 - CHGME/CHCA $ 1,383,207 - OTHER REVENUE $ 6,775,862 - TOTAL OTHER INCOME 2016 $ 8,152,422 - BOND DEFEASANCE GAIN $ 4,086,280 - CAFETERIA/VENDING $ 2,058,124 - CHGME/CHCA $ 5,841,635 - OTHER REVENUE $ 20,136,461 - TOTAL OTHER INCOME 2017 $ 4,288,072 - CAFETERIA/VENDING $ 2,351,842 - CHGME/CHCA $ 327,751 - HHMI $ 631,144 - OTHER REVENUE $ 7,598,809 - TOTAL OTHER INCOME | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $20,605 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $62,011 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $82,616 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LINE 1B) ST. JUDE EMPLOYS A DIRECTOR OF GOVERNMENT AFFAIRS; LINE 1G) AMOUNT LISTED IS PRORATED SALARY OF DIRECTOR OF GOVERNMENT AFFAIRS PLUS TRAVEL EXPENSES; LINE 1I) AMOUNT LISTED IS RELATED TO PRORATED RETAINER FEES FOR DIRECT AND STATE LEGISLATIVE CONTACTS AS WELL AS PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING FOR THE CHGME PROGRAM. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $965,253,422 | BeginningYearBalanceAmt |
| Contributions | $21,281,957 | ContributionsAmt |
| Investment Earnings Or Losses | $92,690,065 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $54,527,114 | OtherExpendituresAmt |
| End Year Balance | $1,024,698,330 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $873,056,599 | BeginningYearBalanceAmt |
| Contributions | $12,552,432 | ContributionsAmt |
| Investment Earnings Or Losses | $103,475,245 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $23,830,854 | OtherExpendituresAmt |
| End Year Balance | $965,253,422 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $873,885,134 | BeginningYearBalanceAmt |
| Contributions | $2,341,719 | ContributionsAmt |
| Investment Earnings Or Losses | -$72,118 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,098,136 | OtherExpendituresAmt |
| End Year Balance | $873,056,599 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $915,104,075 | BeginningYearBalanceAmt |
| Contributions | $2,970,640 | ContributionsAmt |
| Investment Earnings Or Losses | $8,222,632 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $52,412,213 | OtherExpendituresAmt |
| End Year Balance | $873,885,134 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $843,843,273 | BeginningYearBalanceAmt |
| Contributions | $1,097,137 | ContributionsAmt |
| Investment Earnings Or Losses | $121,617,552 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $51,453,887 | OtherExpendituresAmt |
| End Year Balance | $915,104,075 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,072,930,987 | OtherCostOrOtherBasisAmt |
| Depreciation | $551,379,204 | DepreciationAmt |
| Book Value | $521,551,783 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $435,519,226 | OtherCostOrOtherBasisAmt |
| Depreciation | $293,417,281 | DepreciationAmt |
| Book Value | $142,101,945 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,819,985 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,363,305 | DepreciationAmt |
| Book Value | $5,456,680 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $669,110,408 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST IN NET ASSETS OF AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES, INC | Desc |
| Book Value | $4,695,858,063 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,695,858,063 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE LIABILITY | $2,433,543 |
| WORKERS COMPENSATION | $1,188,093 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,621,636 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $774,002,857 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $90,775 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $550,657,594 | OtherRevenueAmt |
| Revenue Not Reported | $550,748,369 | RevenueNotReportedAmt |
| Revenue Subtotal | $223,254,488 | RevenueSubtotalAmt |
| Other Revenues Not Included | $757,401,831 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $757,401,831 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $980,656,319 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $950,715,632 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $950,715,632 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $950,715,632 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENT FUNDS ARE HELD BY AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES, INC., A RELATED ORGANIZATION, AND ARE USED TO SUPPORT THE FUTURE NEEDS OF ST. JUDE. |
| PART X, LINE 2: | AS OF JUNE 30, 2018, THE ORGANIZATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER ASC TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS COMBINED FINANCIAL STATEMENTS. IN THE EVENT THE ORGANIZATION WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AS A GENERAL EXPENSE. GENERALLY, TAX YEARS ENDING IN 2015 THROUGH 2018 ARE OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES, RESPECTIVELY. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN INTEREST IN UNRESTRICTED NET ASSETS OF ALSAC 550,657,594. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTION - SUPPORT RECEIVED FROM ALSAC 755,384,652. NET ASSETS TRANSFERRED FROM ALSAC 2,017,179. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|---|
| CENTRAL AMERICA & THE CARIBBEAN | 0 | 0 | PROGRAM SERVICES | RESEARCH / EDUCATION AND TRAINING | $2,059,852 |
| EAST ASIA AND THE PACIFIC | 0 | 0 | PROGRAM SERVICES | RESEARCH / EDUCATION AND TRAINING | $3,880,595 |
| EUROPE (INCLUDING ICELAND AND GREENLAND) | 0 | 0 | PROGRAM SERVICES | RESEARCH / EDUCATION AND TRAINING | $480,768 |
| MIDDLE EAST AND NORTH AFRICA | 0 | 0 | PROGRAM SERVICES | RESEARCH / EDUCATION AND TRAINING | $4,294,023 |
| NORTH AMERICA | 0 | 0 | PROGRAM SERVICES | RESEARCH / EDUCATION AND TRAINING | $562,337 |
| RUSSIA AND NEIGHBORING STATES | 0 | 0 | PROGRAM SERVICES | RESEARCH / EDUCATION AND TRAINING | $18,889 |
| SOUTH AMERICA | 0 | 0 | PROGRAM SERVICES | RESEARCH / EDUCATION AND TRAINING | $1,185,385 |
| SOUTH ASIA | 0 | 0 | PROGRAM SERVICES | RESEARCH / EDUCATION AND TRAINING | $1,612 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $12,483,461 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $12,483,461 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3: | FormAndLineReferenceDesc |
| Explanation | EXPENDITURES ARE RECORDED ON AN ACCRUAL BASIS. PAYMENTS ARE ISSUED BASED ON CONTRACTUAL OBLIGATIONS UPON RECEIPT OF SUPPORTING DOCUMENTATION. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | 0 | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,232,400 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $437,689 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $81,794,711 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08600 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $142,079,478 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,173,380 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $110,906,098 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11670 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,276,642 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,524,151 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,752,491 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00920 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $235,588,520 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,135,220 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $201,453,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.21190 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,383,627 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,383,627 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02140 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,659,463 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $273,821 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,385,642 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01300 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,089,119 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,089,119 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02950 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $374,887,708 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $82,891,685 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $291,996,023 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.30710 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,142,358 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,142,358 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $438,162,275 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $83,165,506 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $354,996,769 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.37330 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $673,750,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $117,300,726 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $556,450,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.58520 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,361 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $77,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,334 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,334 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,855 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,855 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $106,550 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $106,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $773,000 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $0 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $465,779 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$465,779 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JUDE CHILDREN'S RESEARCH HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 262 DANNY THOMAS PLACE | AddressLine1Txt |
| City | MEMPHIS | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 381053678 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.STJUDE.ORG | WebsiteAddressTxt |
| State License | TN STATE LICENSE NUMBER 0000000113 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JUDE CHILDREN'S RESEARCH HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ST. JUDE CHILDREN'S RESEARCH HOSPITAL | PART V, SECTION B, LINE 5: ST. JUDE'S 2016 CHNA BUILDS UPON THE 2013 CHNA AND REFLECTS THE ACTIVITIES IDENTIFIED IN ST. JUDE'S 2013 COMMUNITY BENEFIT IMPLEMENTATION PLAN. THE 2016 CHNA WAS LED BY AN INTERNAL TEAM OF ST. JUDE STAFF MEMBERS. THE LEADERSHIP OF THIS TEAM ENGAGED HEALTH RESOURCES IN ACTION (HRIA), A NON-PROFIT PUBLIC HEALTH CONSULTANCY ORGANIZATION, TO CONDUCT THE CHNA. IN AN EFFORT TO DEVELOP A SOCIAL, ECONOMIC, AND HEALTH PORTRAIT OF THE COMMUNITY SERVED BY ST. JUDE FOR THE GREATER MEMPHIS AREA AND NATIONALLY, HRIA REVIEWED EXISTING DATA DRAWN FROM LOCAL, STATE, AND NATIONAL SOURCES. HRIA CONDUCTED QUALITATIVE RESEARCH WITH INTERNAL AND EXTERNAL ST. JUDE STAKEHOLDERS AS WELL AS PATIENTS AND FAMILY MEMBERS SERVED IN ORDER TO SUPPLEMENT QUANTITATIVE FINDINGS WITH PERCEPTIONS OF COMMUNITY STRENGTHS AND ASSETS, THEIR PRIORITY HEALTH CONCERNS, AND SUGGESTIONS FOR FUTURE PROGRAMMING AND SERVICES.FOCUS GROUPS FOCUS GROUPS WERE CONDUCTED WITH CURRENT AND FORMER ST. JUDE PATIENTS, PATIENT CAREGIVERS, AND ST. JUDE CLINICAL, RESEARCH, AND ADMINISTRATIVE STAFF. DIFFERENT TOPIC AREAS WERE EXPLORED BASED ON THE UNIQUE EXPERIENCES OF EACH OF THE GROUPS. THE PATIENT AND CAREGIVER FOCUS GROUPS, CONDUCTED WITH CURRENT PATIENTS AND REPRESENTATIVES OF THE FAMILY ADVISORY AND QUALITY OF LIFE/PALLIATIVE CARE STEERING COUNCILS, EXPLORED THE EXTENT TO WHICH ST. JUDE IS MEETING THE NEEDS OF CHILDREN WITH CATASTROPHIC ILLNESSES AND OPPORTUNITIES TO BRIDGE PATIENT NEEDS IN THE FUTURE. THE CLINICAL, RESEARCH, AND ADMINISTRATIVE STAFF FOCUS GROUP EXPLORED THESE TOPICS AS WELL AS SPECIFIC ISSUES RELATED TO THE GREATER MEMPHIS COMMUNITY. A SEMI-STRUCTURED MODERATOR'S GUIDE WAS USED ACROSS ALL DISCUSSIONS TO ENSURE CONSISTENCY IN THE TOPICS COVERED. WHILE SIMILAR, SEPARATE GUIDES WERE USED FOR THE CAREGIVER AND PATIENT FOCUS GROUPS SO THAT THEY WERE AGE AND DEVELOPMENTALLY APPROPRIATE. EACH FOCUS GROUP WAS FACILITATED BY AN EXPERIENCED HRIA STAFF MEMBER, WHILE A NOTE-TAKER TOOK DETAILED NOTES DURING THE DISCUSSION. ON AVERAGE, FOCUS GROUPS LASTED 30-90 MINUTES. BEFORE THE START OF THE GROUPS, HRIA EXPLAINED THE PURPOSE OF THE STUDY TO PARTICIPANTS AND PARTICIPANTS HAD AN OPPORTUNITY TO ASK QUESTIONS. THEY WERE ALSO NOTIFIED VERBALLY THAT GROUP DISCUSSIONS WOULD REMAIN CONFIDENTIAL, AND NO RESPONSES WOULD BE CONNECTED TO THEM PERSONALLY. PATIENT FOCUS GROUP PARTICIPANTS RECEIVED A $30 GIFT CERTIFICATE AS WELL AS FOOD AND BEVERAGES IN APPRECIATION FOR THEIR TIME. PARTICIPANTS WERE RECRUITED BY ST. JUDE STAFF, WHO ARRANGED ALL LOGISTICS FOR THE ONSITE FOCUS GROUPS.MEDICAL EXECUTIVE COMMITTEE/CLINICAL COUNCIL (INTERNAL) - EMILY BROWNE, DIRECTOR, PROFESSIONAL DEVELOPMENT AND APP - ANDREW M. DAVIDOFF, MD, CHAIR, SURGERY DEPARTMENT - PAM DOTSON, SVP, PATIENT CARE SERVICES/CNO - JANICE ENGLISH, DIRECTOR, NURSING - PATRICIA FLYNN, MD, MEMBER, SVP, MEDICAL DIRECTOR QUALITY AND PATIENT CARE - WILLIAM L. GREENE, PHARM D, CHIEF PHARMACEUTICAL OFFICER - LIZA JOHNSON, MD, STAFF PHYSICIAN, HOSPITALIST - PAT KEEL, SVP, CHIEF FINANCIAL OFFICER - CINDY LEKHY, VP, CLINICAL OPERATIONS - MONIKA METZGER, MD, REGIONAL DIRECTOR, CENTRAL AND SOUTH AMERICA REGIONS, INTERNATIONAL OUTREACH PROGRAM - SEAN PHIPPS, PHD, CHAIR, PSYCHOLOGY DEPARTMENT - ULRIKE REISS, MD, DIRECTOR, CLINICAL HEMATOLOGY DIVISION - GILES W. ROBINSON, MD, ASSISTANT MEMBER, ONCOLOGY DEPARTMENT - VICTOR SANTANA, MD, MEMBER, VP, CLINICAL TRIALS ADMINISTRATION - RON SMITH, VP, SCIENTIFIC OPERATIONS - ELAINE TUOMANEN, MD, CHAIR, DEPARTMENT OF INFECTIOUS DISEASES FAMILY ADVISORY COUNCIL AND QUALITY OF LIFE/PALLIATIVE CARE STEERING COUNCIL (INTERNAL AND EXTERNAL, SOME FAMILY MEMBERS AND FORMER PATIENTS ARE ALSO ST. JUDE EMPLOYEES), N=5ADOLESCENT PATIENTS, N=4 KEY INFORMANT INTERVIEWS HRIA CONDUCTED 16 INTERVIEWS; 6 WERE INTERNAL TO THE ST. JUDE HOSPITAL AND 10 WERE EXTERNAL REPRESENTATIVES. INTERVIEWEES REPRESENT A RANGE OF SECTORS, INCLUDING LEADERS IN HEALTH CARE AND HEALTH RESEARCH, GOVERNMENT, AND SOCIAL SERVICE ORGANIZATIONS FOCUSING ON VULNERABLE POPULATIONS. SIMILAR TO THE FOCUS GROUPS, A SEMI-STRUCTURED INTERVIEW GUIDE WAS USED ACROSS ALL DISCUSSIONS TO ENSURE CONSISTENCY IN THE TOPICS COVERED. INTERVIEWS WERE APPROXIMATELY 30 MINUTES IN LENGTH. INTERNAL KEY INFORMANT INTERVIEWS - CAROLYN RUSSO, MD, MEDICAL DIRECTOR AFFILIATE PROGRAM - JUSTIN BAKER, CHIEF, DIVISION OF QUALITY OF LIFE AND PALLIATIVE CARE - MARTHA PERINE BEARD, CHAIR, ST. JUDE BOARD OF GOVERNORS - FRAN GREESON, DIRECTOR OF SOCIAL WORK AND JANA KING, DIRECTOR OF DOMICILIARY SERVICES - MICHAEL LINK, MD, CHAIR, ST. JUDE SCIENTIFIC ADVISORY BOARD- ALICIA HUETTEL, DIRECTOR OF FAMILY CENTERED CARE EXTERNAL KEY INFORMANT INTERVIEWS - DR. JOHNATHAN MCCULLERS, CHAIR, DEPARTMENT OF PEDIATRICS, UTHSC/LE BONHEUR CHILDREN'S HOSPITAL - JENNIFER MARSHALL PEPPER, HIV/RYAN WHITE, SHELBY COUNTY - DR. DAVID STERN, DEAN UTHSC COLLEGE OF MEDICINE - DR. BARRY GOLDSPIEL, ACTING CHIEF, PHARMACY DEPARTMENT, CHIEF, CLINICAL PHARMACY SPECIALIST SECTION, NIH - DRS. NADA ELMAGBOUL AND ROBIN WOMEODU, SICKLE CELL DISEASE PROGRAM METHODIST LE BONHEUR HEALTHCARE - VALERIE NAGOSHINER, DEPUTY COMMISSIONER, TN DEPARTMENT OF HEALTH - ANGELA MOORE, PH COORDINATOR, COMMUNITY HEALTH PLANNING, SHELBY COUNTY HEALTH DEPARTMENT - JENNIFER MYRICK, HEALTH SYSTEMS MANAGER, AMERICAN CANCER SOCIETY MID-SOUTH - DEE WIMBERLY, CAROL WEIDENHOFFER, HUGH JONES, ZACHARY HIDINGER, ANDREA TUTOR, METHODIST LE BONHEUR HEALTHCARE CHNA TEAM - DR. MARTIN WHITSIDE, TENNESSEE CANCER COALITION |
| ST. JUDE CHILDREN'S RESEARCH HOSPITAL | PART V, SECTION B, LINE 13H: SEE NARRATIVE FOR PART I, LINE 3C REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| ST. JUDE CHILDREN'S RESEARCH HOSPITAL | PART V, SECTION B, LINE 15E: SEE NARRATIVE FOR PART I, LINE 3C REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| ST. JUDE CHILDREN'S RESEARCH HOSPITAL | PART V, SECTION B, LINE 20E: ST. JUDE DOES NOT TAKE ANY OF THE COLLECTION ACTIONS DESCRIBED IN PART V, SECTION B, LINE 19 BECAUSE ST. JUDE COVERS ALL TREATMENTS, COPAYS, DEDUCTIBLES, COINSURANCE AND ANY OTHER COST SHARING OBLIGATIONS THAT ARE NOT COVERED BY INSURANCE. ST. JUDE TAKES NO ACTION TO COLLECT FROM PATIENTS OR THEIR FAMILIES AND DOES NOT REPORT TO CREDIT AGENCIES. |
| ST. JUDE CHILDREN'S RESEARCH HOSPITAL: | PART V, SECTION B, LINE 11: ST. JUDE CHILDREN'S RESEARCH HOSPITALCOMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION PLAN UPDATE (06/30/18) ST. JUDE: PATIENT POPULATION AND CLINICAL FOCUSTHE COMMUNITY SERVED BY ST. JUDE CAN BEST BE DEFINED BY UNDERSTANDING ST. JUDE'S PATIENT POPULATION AND SCOPE OF CLINICAL SERVICES. ST. JUDE IS A SPECIALTY HOSPITAL THAT TREATS PEDIATRIC CANCER AND BLOOD DISORDERS, AND CHILDREN AND ADOLESCENTS WITH HIV INFECTION. IT SERVES AS A NATIONAL REFERRAL CENTER FOR CHILDREN WITH CANCER AS WELL AS A LOCAL REFERRAL CENTER FOR CHILDREN WITH CANCER, BLOOD DISORDERS, AND HIV/AIDS. ST. JUDE TREATS CHILDREN AND YOUNG ADULTS WITH NEWLY DIAGNOSED OR SUSPECTED PEDIATRIC CANCER, HIV INFECTIONS, OR CERTAIN HEMATOLOGIC OR GENETIC DISEASES. WE ACCEPT MOST PATIENTS OUTSIDE OUR PRIMARY MARKET ON THE BASIS OF A REFERRAL FROM THEIR PHYSICIAN OR AN AFFILIATE CLINIC, THEIR AGE, AND THEIR ABILITY TO ENROLL IN AN OPEN CLINICAL TRIAL. IN ADDITION TO BEING TREATED AT ST. JUDE, PATIENTS MAY HAVE THE OPTION TO RECEIVE CARE AT ONE OF OUR EIGHT REGIONAL AFFILIATE CLINICS.ST. JUDE'S PRIMARY CLINICAL EFFORT CENTERS ON PROVIDING GROUND-BREAKING, RESEARCH-DRIVEN TREATMENTS FOR CHILDHOOD CANCERS AND OTHER CATASTROPHIC DISEASES IN CHILDREN. MORE SPECIFICALLY, APPROXIMATELY 7,800 PATIENTS ARE SEEN AT ST. JUDE ANNUALLY FOR ACTIVE THERAPY, TREATMENT-COMPLETION MONITORING, SURVIVORSHIP SUPPORT, OR PARTICIPATION IN RESEARCH PROGRAMS. THE HOSPITAL IS LICENSED FOR 80 INPATIENT BEDS AND CURRENTLY STAFFS 69 BEDS FOR PATIENTS REQUIRING HOSPITALIZATION DURING TREATMENT. IT SHOULD BE NOTED THAT ST. JUDE HAS DEVELOPED UNIQUE RESOURCES THAT ALLOW A SIGNIFICANT PORTION OF PATIENTS WHO MAY HAVE BEEN ADMITTED AS INPATIENTS AT MOST HOSPITALS TO BE TREATED AS OUTPATIENTS. THIS IS ACCOMPLISHED THROUGH PATIENT HOUSING DEDICATED SOLELY TO ST. JUDE PATIENT FAMILIES, DESIGNED WITH INFECTION CONTROL MEASURES SUCH AS HEPA AIR FILTRATION, INFECTION-RESISTANT SURFACES, AND OTHER MEDICAL SAFEGUARDS THAT ARE NOT AVAILABLE IN HOTELS OR PATIENTS' HOMES.THE ST. JUDE AFFILIATE PROGRAM MAKES TREATMENTS DEVELOPED AS CLINICAL TRIALS AT ST. JUDE CHILDREN'S RESEARCH HOSPITAL AVAILABLE TO MORE CHILDREN BY OFFERING MUCH OF THE CARE CLOSE TO HOME. THE ST. JUDE AFFILIATE PROGRAM IS A NETWORK OF PEDIATRIC HEMATOLOGY-ONCOLOGY CLINICS, HOSPITALS, AND IN SOME CASES, UNIVERSITIES UNITED TO EXTEND THE MISSION OF ST. JUDE. THE PHYSICIANS AND STAFF AT THESE SITES WORK IN COLLABORATION WITH THE STAFF OF ST. JUDE TO DELIVER STATE-OF-THE-ART CARE AND INNOVATIVE CLINICAL TRIALS TO CHILDREN WITH CANCER AND BLOOD DISORDERS. ST. JUDE ALSO OPERATES ST. JUDE GLOBAL. ITS MISSION IS TO IMPROVE THE SURVIVAL RATES OF CHILDREN WITH CANCER AND OTHER CATASTROPHIC DISEASES WORLDWIDE THROUGH THE SHARING OF KNOWLEDGE, TECHNOLOGY, AND ORGANIZATIONAL SKILLS. THERE ARE 3 OVERRIDING GOALS:- TO TRAIN THE CLINICAL WORKFORCE THAT WILL BE REQUIRED TO MEET OUR MISSION- TO DEVELOP AND STRENGTHEN HEALTH SYSTEMS AND PATIENT-CENTERED INITIATIVES THAT ENCOMPASS THE ENTIRE CONTINUUM OF CARE REQUIRED FOR CHILDREN WITH CANCER AND NON-MALIGNANT HEMATOLOGICAL DISEASES- TO ADVANCE KNOWLEDGE IN GLOBAL PEDIATRIC ONCOLOGY AND HEMATOLOGY THROUGH RESEARCH TO SUSTAIN A CONTINUOUS IMPROVEMENT IN THE LEVEL AND QUALITY OF CARE DELIVERED AROUND THE GLOBE.ST. JUDE IS A RESEARCH ORGANIZATION, AND THERE ARE TIMES WHEN BASIC RESEARCH DISCOVERIES PERTAIN TO DISEASES THAT ARE BEYOND THE SCOPE OF DISEASES TREATED AS A PRIMARY DIAGNOSIS AT ST. JUDE.FOR THE PURPOSES OF THIS REPORT, THE FOCUS IS SOLELY ON THOSE DISEASES FOR WHICH CHILDREN ARE ADMITTED TO ST. JUDE FOR TREATMENT.CONSISTENT WITH ST. JUDE'S PREVIOUS CHNA, THE FINDINGS IN 2016 HIGHLIGHTED THE ISSUES OF ACCESS TO CARE, CHILDHOOD CANCER, SICKLE CELL DISEASE AND HEMATOLOGY PATIENTS, LIVING WITH HIV AND AIDS, NEEDS OF THE PATIENTS' FAMILIES AND CAREGIVERS, POST TREATMENT AND CARE TRANSITION, HEALTH STATUS OF THE MEMPHIS COMMUNITY, AND ADDITIONAL GAPS FOR THE GENERAL PEDIATRIC POPULATION. ST. JUDE HAS CHOSEN TO ADDRESS THESE NEEDS IN THREE GENERAL FOCUS AREAS: IMPROVING ACCESS TO CARE, ENHANCING COORDINATION OF CARE, AND IMPROVING CHILD HEALTH STATUS THROUGH HEALTHY LIFESTYLE EDUCATION AND PREVENTION FOR CHILDREN. THESE INITIATIVES, WHICH OFTEN ADDRESS MULTIPLE ISSUES IDENTIFIED IN THE CHNA, WERE CHOSEN BECAUSE THEY ARE ALIGNED WITH OUR MISSION AND OUR CAPABILITIES. BELOW ARE THE THREE FOCUS AREAS, INITIATIVES, AND CORRESPONDING ISSUES FOR THE NEXT YEAR.AIM #1 IMPROVING ACCESS TO CAREPEDIATRIC HEATH NEED:ACCESS TO AFFORDABLE HEALTH INSURANCE COVERAGEHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MANAGED CARE DEPARTMENTANTICIPATED OUTCOME:ASSIST UNINSURED PATIENTS WITH ENROLLING IN FUNDING FOR WHICH THEY QUALIFY.ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. RENEW CONTRACT WITH VENDOR TO PROVIDE CERTIFIED APPLICATION COUNSELOR SERVICES TO ASSIST PATIENT FAMILIES APPLYING FOR HEALTH INSURANCE COVERAGE THROUGH THE FEDERALLY FACILITATED MARKETPLACE.2. CONDUCT AN AUDIT OF THE SCREENING PROCESS TO VALIDATE COMPLIANCE. MAKE PROCESS ADJUSTMENTS AS NEEDED.SELECTED ACCOMPLISHMENTS:- THE AGREEMENT WITH FIRSTSOURCE SOLUTIONS USA, LLC (DBA MEDASSIST) IS RENEWED ANNUALLY. MEDASSIST IS THE VENDOR USED TO PROVIDE CERTIFIED APPLICATION COUNSELOR SERVICES TO UNINSURED PATIENTS. - AN AUDIT OF THE SCREENING PROCESS IS CONDUCTED MONTHLY TO ENSURE THAT ALL FAMILIES ARE GIVEN ASSISTANCE WITH THE SCREENING AND ENROLLMENT PROCESS. IN FY18, 87% OF UNINSURED PATIENTS WERE OFFERED ASSISTANCE, AND FOURTEEN UNINSURED PATIENTS WERE ENROLLED IN HEALTH PLANS. THE REMAINING 13% WERE NOT CONTACTED BECAUSE THEY WERE IN THE AFTER COMPLETION OF THERAPY PROGRAM AND WERE NOT HERE LONG.PEDIATRIC HEALTH NEED:PALLIATIVE CAREHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, DEPARTMENT OF ONCOLOGY, DIVISION OF QUALITY OF LIFE AND PALLIATIVE CAREANTICIPATED OUTCOME:INCREASE THE NUMBER OF CLINICIANS TRAINED IN PALLIATIVE CARE MEDICINE (PCM) AND EDUCATIONAL OPPORTUNITIES FOR PCM.ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. RECRUIT AND TRAIN TWO PHYSICIAN FELLOWS IN THE PALLIATIVE CARE TRAINING PROGRAM.2. PROVIDE TRAINING IN PALLIATIVE CARE FOR ADVANCED PRACTICE HEALTHCARE PERSONNEL THROUGH TARGETED CONFERENCES AND OTHER EDUCATIONAL OPPORTUNITIES, INCLUDING THE END-OF-LIFE NURSING EDUCATION CONSORTIUM (ELNEC) CONFERENCE, AN INSTITUTION-DEVELOPED QUALITY OF LIFE SEMINAR (QOLA), AND A 2-DAY PEDIATRIC ONCOLOGY PALLIATIVE CARE CONFERENCE.3. EDUCATE COMMUNITY PROVIDERS ABOUT PCM THROUGH COMMUNITY-BASED BRIDGING PROGRAMS FOR HOME HEALTH AND HOSPICE CARE THROUGH THE QUALITY OF LIFE FOR ALL KIDS PROGRAM VIA A THREE-HOUR DIDACTIC CURRICULUM.4. ENHANCE TRAINING OPPORTUNITIES WITH ST. JUDE AFFILIATES.SELECTED ACCOMPLISHMENTS:- IN COMBINATION WITH THE UTHSC PALLIATIVE CARE FELLOWSHIP, WE ARE TRAINING THREE PEDIATRIC PALLIATIVE CARE PHYSICIAN FELLOWS IN ACADEMIC YEAR 2018-2019.- ENROLLMENT: FY16 FY17 FY18ELNEC 32 78 38QOLA 37 29 25PPOS 325 300+ *PPOS - PEDIATRIC PALLIATIVE ONCOLOGY CARE CONFERENCE- BEDSIDE NURSES ARE REQUIRED TO COMPLETE ELNEC WITHIN THREE YEARS. INPATIENT AND OUTPATIENT NURSES ARE REQUIRED AND SUPPORTED TO COMPLETE BOTH SEMINARS, A TOTAL OF 24.5 CEUS IN PCM.- A THREE-HOUR DIDACTIC CURRICULUM HAS BEEN HELD TWICE MONTHLY THROUGH OUR COMBINED FELLOWSHIP PROGRAM. AN AVERAGE OF 10 ATTENDEES, INCLUDING GRADUATE STUDENTS, MEDICAL STUDENTS, ADVANCED CLINICIANS, AND OTHERS, ARE PRESENT FOR EACH SESSION.- THE DIVISION OF QUALITY OF LIFE AND PALLIATIVE CARE FACULTY HOSTED A TOTAL OF 5 POE STUDENTS THROUGHOUT THE SUMMER, INVOLVING THEM IN ONGOING EDUCATIONAL EFFORTS. IN ADDITION, WE HOSTED APPROXIMATELY 8 GRADUATE STUDENTS FOR PALLIATIVE CARE ROTATIONS. - THE SJ AFFILIATE STAFF ARE INVITED TO PARTICIPATE IN ELNEC, THE QOL SEMINAR, AND THE PEDIATRIC PALLIATIVE ONCOLOGY SYMPOSIUM AT NO COST AND ARE INCLUDED IN THE NUMBERS CITED ABOVE.PEDIATRIC HEALTH NEED:HEALTHCARE OF CHILDHOOD CANCER SURVIVORSHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, DEPARTMENT OF ONCOLOGY, DIVISION OF CANCER SURVIVORSHIPANTICIPATED OUTCOME:PROVIDE CANCER SURVIVORSHIP INFORMATION TO BOTH CAREGIVERS AND SURVIVORS VIA SURVIVORS' DAY CONFERENCE AND ST. JUDE LIFE |
| ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED: | 1. PROVIDE WORKSHOPS AND SPEAKERS THAT OFFER INFORMATION ABOUT AVAILABLE RESOURCES.2. GIVE SURVIVORS AND THEIR FAMILIES THE OPPORTUNITY TO LEARN FROM OTHER SURVIVORS.3. ENSURE THAT SURVIVORS UNDERSTAND HOW TO APPROACH POST TREATMENT HEALTHCARE.4. OFFER AN ONLINE RESOURCE FOLLOWING THE CONFERENCE FOR A CONTINUOUSFLOW OF SURVIVORSHIP INFORMATION.5. ASSESS LATE EFFECTS OF CANCER THERAPY ON PEDIATRIC CANCER SURVIVORS.6. USE INFORMATION FROM THESE STUDIES TO DEFINE RISK GROUPS FOR VARIOUS LATE EFFECTS AND ASSESS INTERVENTIONS.SELECTED ACCOMPLISHMENTS:1. PROVIDE WORKSHOPS AND SPEAKERS THAT OFFER INFORMATION ABOUT AVAILABLE RESOURCES:THE ST. JUDE FACULTY PROVIDE LECTURES AND PARTICIPATE IN WORKSHOPS RELATED TO A VARIETY OF SURVIVORSHIP ISSUES. AUDIENCES INCLUDE SURVIVORS' HEALTHCARE PROVIDERS, SURVIVORS, AND SURVIVORS' FAMILIES.LECTURES/WORKSHOPS PROVIDED BY MELISSA M. HUDSON:- YOU ARE THE KEY TO HPV CANCER PREVENTION. SHELBY COUNTY SCHOOL SYSTEM HEALTH ADVISORY COUNCIL MEETING, JANUARY 18, 2018- CANCER OUTCOMES AND SURVIVORSHIP (ICOS) AND THE CENTER FOR OUTCOMES AND EFFECTIVENESS RESEARCH AND EDUCATION (COERE), "THE ROLE OF SURVIVORSHIP RESEARCH IN ADVANCING CHILDHOOD CANCER CARE AND QUALITY OF SURVIVAL," UNIVERSITY OF ALABAMA, BIRMINGHAM, BIRMINGHAM, ALABAMA, FEBRUARY 19, 2018 - ST. JUDE PEDIATRIC HEMATOLOGY-ONCOLOGY FELLOWS' ROUNDS, "THE ROLE OF SURVIVORSHIP RESEARCH IN ADVANCING CHILDHOOD CANCER CARE AND QUALITY OF SURVIVAL," MEMPHIS, TENNESSEE, APRIL 2, 2018LECTURES/WORKSHOPS PROVIDED BY DANIEL MULROONEY:- CARDIOVASCULAR SEQUELAE OF CHILDHOOD CANCER THERAPY AND IMPLICATIONS FOR ADULT HEALTH, RADIATION RESEARCH SOCIETY, CANCUN, MEXICO, OCTOBER 16, 2017 - THE PAST, PRESENT, AND FUTURE OF CANCER SURVIVORSHIP, AFFILIATE PHYSICIANS' CONFERENCE, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TENNESSEE, APRIL 7, 2018 - CARING FOR AND LEARNING FROM SURVIVORS OF CHILDHOOD CANCER, MINNESOTA CHILDHOOD CANCER SURVIVORSHIP SYMPOSIUM, UNIVERSITY OF MINNESOTA, MINNEAPOLIS, MINNESOTA, APRIL 27, 2018 2. GIVE SURVIVORS AND THEIR FAMILIES THE OPPORTUNITY TO LEARN FROM OTHER SURVIVORS:ST. JUDE HOSTS PERIODIC CELEBRATIONS OF SURVIVORSHIP ATTENDED BY SURVIVORS, FAMILIES, AND FRIENDS. THE EVENT PROVIDES A FORUM TO CELEBRATE SURVIVORSHIP, EDUCATE ATTENDEES ABOUT HEALTH EFFECTS OF CHILDHOOD CANCER AND RESEARCH PROGRESS IN THIS AREA, AND SHARE INFORMATION ABOUT HEALTH RESOURCES. ST. JUDE SURVIVOR DAY ACTIVITIES, SEPTEMBER 9, 2017: INSPIRATIONAL CANCER SURVIVOR DR. WENDY HARPHAM SHARED HER SURVIVORSHIP EXPERIENCES IN THE KEYNOTE ADDRESS ENTITLED "HAPPINESS IN A STORM." SURVIVORSHIP STAFF AND DR. HARPHAM LED WORKSHOPS FOCUSING ON HOPE AND RESILIENCY IN OVERCOMING THE OBSTACLES ASSOCIATED WITH THE CANCER EXPERIENCE AND ITS AFTERMATH.3. ENSURE THAT SURVIVORS UNDERSTAND HOW TO APPROACH HEALTHCARE POST TREATMENT:SURVIVORS AND THEIR FAMILIES ATTENDING THE AFTER COMPLETION OF THERAPY AND ST. JUDE LIFETIME COHORT CLINICS ROUTINELY RECEIVE COUNSELING ABOUT THEIR HEALTH HISTORY, CANCER-RELATED HEALTH RISKS, HEALTH SCREENING RECOMMENDED FOR THEIR SPECIFIC CANCER TREATMENT EXPOSURES, AND METHODS OF RISK REDUCTION. A SURVIVORSHIP CARE PLAN IS PROVIDED AT THE FIRST EVALUATION THAT DETAILS THE CANCER DIAGNOSIS, TREATMENT, MAJOR HEALTH EVENTS THAT HAVE OCCURRED DURING AND AFTER THERAPY, CANCER-RELATED HEALTH RISKS, AND RECOMMENDED HEALTH SCREENING. THE SURVIVORSHIP CARE PLAN IS UPDATED AFTER EVERY HEALTH EVALUATION. FOR SURVIVORS WHO DO NOT WISH TO PARTICIPATE IN THE ACT OR ST. JUDE LIFETIME COHORT PROGRAMS, THESE SAME SERVICES ARE AVAILABLE THROUGH THE ST. JUDE ALUMNUS PROGRAM OFFICE.SURVIVORSHIP STAFF HAVE BEEN INVOLVED IN MULTIDISCIPLINARY EFFORTS TO INTRODUCE AND CONSISTENTLY ADDRESS SURVIVORSHIP TRANSITION ISSUES, PARTICULARLY PSYCHOSOCIAL AND REHABILITATION NEEDS, AT EARLIER TIME POINTS AFTER DIAGNOSIS. THEIR EFFORTS ARE REFLECTED IN THE NEWLY DEVELOPED TRANSITION ONCOLOGY PROGRAM.4. OFFER AN ONLINE RESOURCE FOLLOWING THE CONFERENCE FOR A CONTINUOUS FLOW OF SURVIVORSHIP INFORMATION:PERIODIC BRIEF PUBLICATIONS FEATURE SURVIVOR STORIES AND EDUCATIONAL TOPICS:- LONG-TERM FOLLOW-UP NEWSLETTERS AND BRIEFS (AVAILABLE AT HTTPS://LTFU.STJUDE.ORG/) ARE PUBLISHED ON A QUARTERLY BASIS.- LIFELINE NEWSLETTERS (AVAILABLE AT HTTPS://WWW.STJUDE.ORG/TREATMENT/SURVIVORSHIP/PARTICIPATE-IN-ST-JUDE-LIFE-STUDY/LIFELINE-NEWSLETTER.HTML) ARE PUBLISHED SEMIANNUALLY.- OTHER SURVIVORSHIP RESOURCES ARE AVAILABLE AT: HTTPS://WWW.STJUDE.ORG/TREATMENT/SURVIVORSHIP/PARTICIPATE-IN-ST-JUDE-LIFE-STUDY/HANDOUTS.HTMLHTTPS://WWW.STJUDE.ORG/TREATMENT/SURVIVORSHIP/LIFE-AFTER-CANCER.HTML MORTON LM, SAMPSON JN, ARMSTRONG GT, CHEN TH, HUDSON MM, KARLINS E, DAGNALL CL, LI SA, WILSON CL, SRIVASTAVA DK, LIU W, KANG G, OEFFINGER KC, HENDERSON TO, MOSKOWITZ CS, GIBSON TM, MERINO DM, WONG JR, HAMMOND S, NEGLIA JP, TURCOTTE LM, MILLER J, BOWEN L, WHEELER WA, LEISENRING WM, WHITTON JA, BURDETTE L, CHUNG C, HICKS BD, JONES K, MACHIELA MJ, VOGT A, WANG Z, YEAGER M, NEALE G, LEAR M, STRONG LC, YASUI Y, STOVALL M, WEATHERS RE, SMITH SA, HOWELL R, DAVIES SM, RADLOFF GA, ONEL K, BERRINGTON DE GONZALEZ A, INSKIP PD, RAJARAMAN P, FRAUMENI JF, BHATIA S, CHANOCK SJ, TUCKER MA, ROBISON LL. GENOME-WIDE ASSOCIATION STUDY TO IDENTIFY SUSCEPTIBILITY LOCI THAT MODIFY RADIATION-RELATED RISK FOR BREAST CANCER AFTER CHILDHOOD CANCER. J NATL CANCER INST. 2017 NOV 1;109(11).CHEUNG YT, BRINKMAN TM, MULROONEY DA, MZAYEK Y, LIU W, BANERJEE P, PANOSKALTSIS-MORTARI A, SRIVASTAVA DK, PUI CH, ROBISON LL, HUDSON MM, KRULL KR. IMPACT OF SLEEP, FATIGUE AND SYSTEMIC INFLAMMATION ON NEUROCOGNITIVE AND BEHAVIORAL OUTCOMES IN LONG-TERM SURVIVORS OF CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA. CANCER. 2017 SEP 1;123(17):3410-3419.CHEMAITILLY W, LI Z, KRASIN MJ, BROOKE RJ, WILSON CL, GREEN DM, KLOSKY JL, BARNES N, CLARK KL, FARR JB, FERNANDEZ-PINEDA I, BISHOP MW, METZGER M, PUI CH, KASTE SC, NESS KK, SRIVASTAVA DK, ROBISON LL, HUDSON MM, YASUI Y, SKLAR CA. PREMATURE OVARIAN INSUFFICIENCY IN CHILDHOOD CANCER SURVIVORS: A REPORT FROM THE ST. JUDE LIFETIME COHORT. J CLIN ENDOCRINOL METAB. 2017 JUL 1;102(7):2242-2250.MULROONEY DA, SOLIMAN EZ, LU L, EHRHARDT MJ, DUPREZ DA, LUEPKER RV, ARMSTRONG GT, JOSHI VM, GREEN DM, SRIVASTAVA DK, KRASIN MJ, MORRIS GS, ROBISON LL, HUDSON MM, NESS KK. ELECTROCARDIOGRAPHIC ABNORMALITIES IN ADULT SURVIVORS OF CHILDHOOD CANCER: A CROSS-SECTIONAL STUDY FROM THE ST. JUDE LIFETIME COHORT. AM HEART J. 2017 JUL;189:19-27VUOTTO SC, OJHA RP, LI C, KIMBERG C, KLOSKY JL, KRULL KR, SRIVASTAVA DK, ROBISON LL, HUDSON MM, BRINKMAN TM. THE ROLE OF BODY IMAGE DISSATISFACTION IN THE ASSOCIATION BETWEEN TREATMENT-RELATED SCARRING OR DISFIGUREMENT AND PSYCHOLOGICAL DISTRESS IN ADULT SURVIVORS OF CHILDHOOD CANCER. PSYCHO-ONCOLOGY. 2018 JAN;27(1):216-222ARMSTRONG GT, TOLE JJ, PIANA R, SANTUCCI A, LEATHERS J, NESS KK, MULROONEY DA, GREEN DM, JOSHI, VM, ROBISON LL, HUDSON MM, LENIHAN D. EXERCISE RIGHT HEART CATHETERIZATION FOR PULMONARY HYPERTENSION IDENTIFIED ON SCREENING ECHOCARDIOGRAPHY IN ADULT SURVIVORS OF CHILDHOOD CANCER: A REPORT FROM THE ST. JUDE LIFETIME COHORT. PEDIATR BLOOD CANCER. 2018 JAN;65(1).STUDAWAY A, OJHA RP, BRINKMAN TM, ZHANG N, BAASSIRI M, BANERJEE P, EHRHARDT MJ, SRIVASTAVA D, ROBISON LL, HUDSON MM, KRULL KR. CHRONIC HEPATITIS C VIRUS INFECTION AND NEUROCOGNITIVE FUNCTION IN ADULT SURVIVORS OF CHILDHOOD CANCER. CANCER. 2017 NOV 15;123(22):4498-4505.INTERIANO RB, KASTE SC, LI C, SRIVASTAVA DK, RAO BN, WARNER WC JR, GREEN DM, KRASIN MJ, ROBISON LL, DAVIDOFF AM, HUDSON MM, FERNANDEZ-PINEDA I, NESS KK. ASSOCIATIONS BETWEEN TREATMENT, SCOLIOSIS, PULMONARY FUNCTION, AND PHYSICAL PERFORMANCE IN LONG-TERM SURVIVORS OF SARCOMA. J CANCER SURVIV. 2017 OCT;11(5):553-561.EHRHARDT MJ, MULROONEY DA, LI C, BAASSIRI MJ, BJORNARD K, SANDLUND JT, BRINKMAN TM, HUANG IC, SRIVASTAVA DK, NESS KK, ROBISON LL, HUDSON MM, KRULL KR. NEUROCOGNITIVE, PSYCHOSOCIAL, AND QUALITY-OF-LIFE OUTCOMES IN ADULT SURVIVORS OF CHILDHOOD NON-HODGKIN LYMPHOMA. CANCER. 2018 JAN 15;124(2):417-425.BHAKTA N, LIU Q, NESS KK, BAASSIRI M, EISSA H, YEO F, CHEMAITILLY W, EHRHARDT MJ, BASS J, BISHOP MW, SHELTON K, LU L, HUANG S, LI Z, CARON E, LANCTOT J, HOWELL C, FOLSE T, JOSHI V, GREEN DM, MULROONEY DA, ARMSTRONG GT, KRULL KR, BRINKMAN TM, KHAN RB, SRIVASTAVA DK, HUDSON MM, YASUI Y, ROBISON LL. THE CUMULATIVE BURDEN OF SURVIVING CHILDHOOD CANCER: AN INITIAL REPORT FROM THE ST. JUDE LIFETIME COHORT STUDY (SJLIFE). LANCET. 2017 DEC 9;390(10112):2569-2582EISSA HM, LU L, BAASSIRI M, BHAKTA N, EHRHARDT MJ, TRIPLETT BM, GREEN DM, MULROONEY DA, ROBISON LL, HUDSON MM, NESS KK. CHRONIC DISEASE BURDEN AND FRAILTY IN SURVIVORS OF CHILDHOOD HSCT: A REPORT FROM THE ST. JUDE LIFETIME COHORT STUDY. BLOOD ADV. 2017 NOV 7;1(24):2243-2246. |
| LIU W, CHEUNG YT, BRINKMAN TM, BANERJEE P, SRIVASTAVA D, NOLAN VG, ZHANG H, | GURNEY JG, PUI CH, ROBISON LL, HUDSON MM, KRULL KR. BEHAVIORAL SYMPTOMS AND PSYCHIATRIC DISORDERS IN CHILD AND ADOLESCENT LONG-TERM SURVIVORS OF CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA TREATED WITH CHEMOTHERAPY ONLY. PSYCHO-ONCOLOGY. 2018 JUN;27(6):1597-1607.LIU W, CHEUNG YT, CONKLIN HM, JACOLA LM, SRIVASTAVA D, NOLAN VG, ZHANG H, GURNEY JG, HUANG IC, ROBISON LL, PUI CH, HUDSON MM, KRULL KR. EVOLUTION OF NEUROCOGNITIVE FUNCTION IN LONG-TERM SURVIVORS OF CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA TREATED WITH CHEMOTHERAPY ONLY. J CANCER SURVIV. 2018 JUN;12(3):398-406.IM C, NESS KK, KASTE SC, CHEMAITILLY W, MOON W, SAPKOTA Y, BROOKE RJ, HUDSON MM, ROBISON LL, YASUI Y, WILSON CL. GENOME-WIDE SEARCH FOR HIGHER ORDER EPISTASIS AS MODIFIERS OF TREATMENT EFFECTS ON BONE MINERAL DENSITY IN CHILDHOOD CANCER SURVIVORS. EUR J HUM GENET. 2018 FEB;26(2):275-286.HOWELL CR, WILSON CL, EHRHARDT MJ, PARTIN RE, KASTE SC, LANCTOT JQ, PUI CH, ROBISON LL, HUDSON MM, NESS KK. CLINICAL IMPACT OF SEDENTARY BEHAVIORS IN ADULT SURVIVORS OF ACUTE LYMPHOBLASTIC LEUKEMIA: A REPORT FROM THE ST. JUDE LIFETIME COHORT STUDY. CANCER. 2018 MAR 1;124(5):1036-1043GIBSON TM, LI Z, GREEN DM, ARMSTRONG GT, MULROONEY DA, SRIVASTAVA D, BHAKTA N, NESS KK, HUDSON MM, ROBISON LL. BLOOD PRESSURE STATUS IN ADULT SURVIVORS OF CHILDHOOD CANCER: A REPORT FROM THE ST. JUDE LIFETIME COHORT STUDY. CANCER EPIDEMIOL BIOMARKERS PREV. 2017 DEC;26(12):1705-1713.ALLEN J, WILLARD VW, KLOSKY JL, LI C, SRIVASTAVA DK, ROBISON LL, HUDSON MM, PHIPPS S. POSTTRAUMATIC STRESS-RELATED PSYCHOLOGICAL FUNCTIONING IN ADULT SURVIVORS OF CHILDHOOD CANCER. J CANCER SURVIV. 2018 APR;12(2):216-223.CHOW EJ, CHEN Y, HUDSON MM, FEIJEN EAM, KREMER LC, BORDER WL, GREEN DM, MEACHAM LR, MULROONEY DA, NESS KK, OEFFINGER KC, RONCKERS CM, SKLAR CA, STOVALL M, VAN DER PAL HJ, VAN DIJK IWEM, VAN LEEUWEN FE, WEATHERS RE, ROBISON LL, ARMSTRONG GT, YASUI Y. PREDICTION OF ISCHEMIC HEART DISEASE AND STROKE IN SURVIVORS OF CHILDHOOD CANCER. J CLIN ONCOL. 2018 JAN 1;36(1):44-52.FELLAH S, CHEUNG YT, SCOGGINS MA, ZOU P, SABIN ND, PUI CH, ROBISON LL, HUDSON MM, OGG RJ, KRULL KR. BRAIN ACTIVITY ASSOCIATED WITH ATTENTION DEFICITS FOLLOWING CHEMOTHERAPY FOR CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA. J NATL CANCER INST. 2018 MAY 21. [EPUB AHEAD OF PRINT].HUANG IC, KLOSKY JL, YOUNG CM, MURPHY SE, KRULL KR, SRIVASTAVA DK, HUDSON MM, ROBISON LL. MISCLASSIFICATION OF SELF-REPORTED SMOKING. PEDIATR BLOOD CANCER. 2018; E27240.FERNANDEZ-PINEDA I, DAVIDOFF AM, LU L, RAO BN, WILSON CL, SRIVASTAVA DK, KLOSKY JL, METZGER ML, KRASIN MJ, NESS KK, PUI CH, ROBISON LL, HUDSON MM, SKLAR CA, GREEN DM, CHEMAITILLY W. IMPACT OF OVARIAN TRANSPOSITION BEFORE PELVIC IRRADIATION ON OVARIAN FUNCTION AMONG LONG-TERM SURVIVORS OF CHILDHOOD HODGKIN LYMPHOMA: A REPORT FROM THE ST. JUDE LIFETIME COHORT STUDY. PEDIATRI BLOOD CANCER. 2018 MAY 11: E27232.HUANG IC, BRINKMAN TM, MULLINS L, PUI CH, ROBISON LL, HUDSON MM, KRULL KR. CHILD SYMPTOMS, PARENT BEHAVIORS, AND FAMILY STRAIN IN LONG-TERM SURVIVORS OF CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA. PSYCHO-ONCOLOGY 2018;27(8):2031-8.MONAHAN K, LENIHAN D, BRITTAIN EL, SALIBA L, PIANA RN, ROBISON LL, HUDSON MM, ARMSTRONG GT. THE RELATIONSHIP BETWEEN PULMONARY ARTERY WEDGE PRESSURE AND PULMONARY BLOOD VOLUME DERIVED FROM CONTRAST ECHOCARDIOGRAPHY: A PROOF-OF-CONCEPT STUDY. ECHOCARDIOGRAPHY. 2018 MAY 14. [EPUB AHEAD OF PRINT].5 & 6. AS OF SEPTEMBER 30, 2018, 5,657 SURVIVORS HAVE BEEN ENROLLED ON THE ST. JUDE LIFETIME COHORT STUDY. AMONG 3,866 ENROLLED 10+ YEAR SURVIVORS 18+ YEARS OF AGE, 3,489 SURVIVORS HAVE COMPLETED ONE OR MORE COMPREHENSIVE EVALUATION WITH PARTICIPATION RATES REMAINING HIGH (92% OF THOSE CONTACTED AND 85% OF TOTAL ELIGIBLE). AMONG 5-YEAR SURVIVORS IN THE EXPANDED ELIGIBLE COHORT, 1,791 PARTICIPANTS HAVE BEEN RECRUITED (AVERAGING 29 SURVIVOR REGISTRATIONS PER MONTH IN LAST YEAR). IN ADDITION, 652 CONTROL SUBJECTS HAVE BEEN RECRUITED, OF WHOM 600 HAVE COMPLETED COMPREHENSIVE EVALUATIONS.PEDIATRIC HEALTH NEED:COMMUNITY EDUCATIONHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, COMMUNICATIONS & PUBLIC RELATIONS DEPARTMENTANTICIPATED OUTCOME:IMPROVED HEALTH OUTCOMES AND COMMUNITY UNDERSTANDING OF HEALTH CARE RESOURCES AND HEALTH CARE CAREERSACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. ST. JUDE PROFESSIONALS WILL PROVIDE INFORMATION AND RESOURCES ABOUT SICKLE CELL DISEASE, HIV, CANCER, FLU, AND OTHER PEDIATRIC LIFE-THREATENING DISEASES.2. INVENTORY EDUCATIONAL OPPORTUNITIES ABOUT HEALTHCARE CAREERS ALREADY AVAILABLE FROM ST. JUDE TO DETERMINE AREAS OF FOCUS.SELECTED ACCOMPLISHMENTS:ST. JUDE PROFESSIONALS PROVIDING INFORMATION AND RESOURCES:- ST. JUDE CONDUCTED MORE THAN 75 30-SECOND EDUCATIONAL RADIO SPOTS IN FY18. TOPICS INCLUDED THE HIV VOICES PROJECT, AIDS SUPPORT, SICKLE CELL TRANSITION E-LEARNING PROGRAM (STEP), BLOOD DONOR CENTER, AND THE HPV VACCINE FOR CANCER PREVENTION. - IN ADDITION, ST. JUDE DISTRIBUTED PUBLIC SERVICE ANNOUNCEMENT SCRIPTS TO INCREASE AWARENESS ABOUT THE HPV VACCINE TO LOCAL MEMPHIS AND REGIONAL RADIO STATIONS IN FY18.- ALSO, ST. JUDE SUBMITTED A PUBLIC SERVICE ANNOUNCEMENT IN MAY 2018 TO INVITE THE COMMUNITY TO A SYMPOSIUM ABOUT SICKLE CELL DISEASE. - MEDIA RELATIONS EFFORTS RESULTED IN A NUMBER OF ST. JUDE PROFESSIONALS BEING INTERVIEWED THIS YEAR ON COMMUNITY SUBJECTS, INCLUDING FLU AWARENESS AND REMINDERS TO GET THE FLU VACCINE. INFORMATION FROM DR. RICHARD WEBBY AND HIS TEAM ABOUT THE FLU VACCINE APPEARED IN MORE THAN 1,000 NEWS PIECES, INCLUDING 13 LOCAL MEMPHIS STORIES. - "PROMISE" MAGAZINE IS ONE VEHICLE USED BY THE ST. JUDE COMMUNICATIONS AND PUBLIC RELATIONS DEPARTMENT TO EDUCATE THE PUBLIC ABOUT SICKLE CELL DISEASE, HIV, CANCER AND OTHER DISEASES. EACH QUARTER, "PROMISE" IS MAILED TO BETWEEN 250,000 AND 300,000 READERS, INCLUDING DONORS, EMPLOYEES, PEER INSTITUTIONS, CEOS OF FORTUNE 500 COMPANIES, SELECT MEDIA, AND INDIVIDUALS WHO SUBSCRIBE THROUGH OUR ONLINE SUBSCRIPTION FORM. ALL THE ARTICLES APPEAR ONLINE, WHERE THEY HAVE AN EVEN WIDER READERSHIP. AN E-NEWSLETTER VERSION OF "PROMISE" IS ALSO SENT TO NEARLY 10,000 SUBSCRIBERS QUARTERLY.A FEW OF THE EDUCATIONAL ARTICLES IN "PROMISE" MAGAZINE ARE LISTED:- THE SUMMER 2018 "PROMISE" INCLUDED A STORY ON HOW ST. JUDE PARTNERS WITH THE COMMUNITY TO BRING CUTTING-EDGE HIV PREVENTION AND EDUCATION TO AT-RISK YOUTH.HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/SUMMER-2018/PARTNERS-FOR-HIV-PREVENTION.HTML- THE SPRING 2018 "PROMISE" FEATURED AN ARTICLE ON OUR SCHOOL LIAISON SERVICES THAT HELP PATIENTS MAKE A SEAMLESS TRANSITION BACK TO THE CLASSROOM. THE ARTICLE FEATURED A LOCAL BOY WHO HAD COMPLETED TREATMENT AND RETURNED TO HIS MEMPHIS CLASSROOM.HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/SPRING-2018/SCHOOL-LIAISON-SERVICES-HELP-KIDS-GO-BACK-TO-SCHOOL.HTML- THE SPRING 2018 ISSUE ALSO INCLUDED AN ARTICLE ABOUT USING VIRTUAL REALITY FOR RELIEF OF PAIN FROM SICKLE CELL DISEASE.HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/SPRING-2018/VIRTUAL-REALITY-A-DISTRACTION-FROM-SICKLE-CELL-PAIN.HTML- THE WINTER 2018 ISSUE FEATURED AN ARTICLE ABOUT HYDROXYUREA TREATMENT FOR KIDS WITH SICKLE CELL DISEASE.HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/WINTER-2018/HYDROXYUREA-WHEN-MORE-IS-BETTER.HTML- THE AUTUMN 2017 "PROMISE" INCLUDED A FEATURE ON FLU SURVEILLANCE.HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/AUTUMN-2017/KEEPING-FLU-AT-BAY.HTML- ST. JUDE HAS A PRESENCE ON SOCIAL MEDIA AS @STJUDERESEARCH ACROSS EIGHT PLATFORMS, WITH A TOTAL OF MORE THAN 38,000 FOLLOWERS. THE GOAL FOR SOCIAL MEDIA IS TO INCREASE THE RECOGNITION AND UNDERSTANDING OF ST. JUDE SCIENCE, MEDICINE, AND TRANSLATIONAL RESEARCH BY HIGHLIGHTING SCIENTIFIC AND MEDICAL STUDIES, SUCCESSES, PROJECTS, AND PROGRAMS. THE PLATFORMS ALSO FEATURE CAREER OPPORTUNITIES FOR RESEARCH AND CLINICAL CARE STAFF. THE AUDIENCE IS CURRENT AND POTENTIAL PHYSICIANS, SCIENTISTS, CLINICIANS, POSTDOCS, REFERRING PHYSICIANS, AND PATIENTS AND THEIR FAMILIES. WITHIN THE LAST YEAR, FEATURED TOPICS HAVE RANGED FROM CHILDHOOD CANCER FACTS TO PALLIATIVE CARE AWARENESS TO OPENINGS FOR SPECIALTY CANCER CLINICS.EDUCATIONAL OPPORTUNITIES ABOUT HEALTH CARE CAREERS:- THE SUMMER 2018 EDITION OF "PROMISE" INCLUDED AN UPDATE ON THE ST. JUDE CHILDREN'S RESEARCH HOSPITAL GRADUATE SCHOOL OF BIOMEDICAL SCIENCES, THE FIRST DEGREE-GRANTING PROGRAM EVER ESTABLISHED ON THE ST. JUDE CAMPUS.HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/SUMMER-2018/FROM-STUDENT-TO-SCIENTIST-ST-JUDE-GRADUATE-SCHOOL.HTML- THE SPRING 2018 ISSUE OF "PROMISE" INCLUDED AN ARTICLE ON ST. JUDE AS AN EMPLOYER AND WHY EMPLOYEES ENJOY THEIR CAREERS IN HEALTH CARE.HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/SPRING-2018/ST-JUDE-EMPLOYEES-THE-HEARTBEAT-OF-THE-HOSPITAL.HTML |
| - APPROXIMATELY 120 LOCAL HIGH SCHOOL STUDENTS AND TEACHERS VISITED ST. | JUDE IN MARCH 2018 FOR THE THIRD ANNUAL SCIENCE SCHOLARS OF TOMORROW SYMPOSIUM. THE DAY-LONG EVENT FEATURED SCIENTIFIC PRESENTATIONS AND TOURS OF LABORATORIES, CLINICS, AND CORE FACILITIES, ENABLING STUDENTS TO INTERACT WITH SCIENTISTS AND CLINICIANS.- MORE THAN 300 CANCER SURVIVORS, INCLUDING LOCAL MEMPHIS RESIDENTS, ATTENDED SURVIVORS DAY IN SEPTEMBER 2017, WHERE THEY RECEIVED INFORMATION ABOUT CANCER SURVIVORSHIP, SOCIAL WORK, EDUCATION, AND MORE.PEDIATRIC HEALTH NEED:ST. JUDE AFFILIATE NETWORKHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, AFFILIATE PROGRAM OFFICEANTICIPATED OUTCOME:THE ST. JUDE AFFILIATE NETWORK SHOULD BE MAINTAINED TO EXPAND OPPORTUNITIES FOR SERVICES TO A LARGER NUMBER OF CHILDREN.ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. EVALUATE OPPORTUNITIES TO EXPAND TO ADDITIONAL LOCATIONS.2. ENHANCE OPERATIONS AND INCREASE PATIENT VISITS AT ALL CLINICS.3. INCREASE ACCRUALS ON ST. JUDE CLINICAL TRIALS.4. ENHANCE THE PATIENT EXPERIENCE AND ENSURE HIGH-QUALITY CARE.SELECTED ACCOMPLISHMENTS:- THE NUMBER OF PATIENTS ENROLLED IN ST. JUDE PRIMARY THERAPEUTIC PROTOCOLS FROM THE AFFILIATE CLINICS HAS INCREASED EACH YEAR:FY15 62 FY16 69 (+11%)FY17 106 (+54%)FY18 107 (+.01%)- THE SICKLE CELL CLINICAL RESEARCH AND INTERVENTION PROGRAM HAS BEEN ACTIVELY ENROLLING AT THE BATON ROUGE, CHARLOTTE, AND PEORIA AFFILIATE CLINICS, WITH ~20% OF ACCRUALS FROM THE AFFILIATE AREAS.- THE REDUCTION IN TIME-TO-ANTIBIOTICS IN IMMUNOCOMPROMISED CHILDREN QUALITY IMPROVEMENT PROJECT WAS SUCCESSFULLY COMPLETED.- AN AMBULATORY IMPLANTED CATHETER CARE BUNDLE WAS INSTITUTED AT ALL EIGHT AFFILIATES, WITH REDUCTIONS IN CENTRAL LINE INFECTIONS.- A PATIENT NAVIGATOR POSITION WAS ESTABLISHED TO IMPROVE THE PATIENT EXPERIENCE.AIM #2 ENHANCING COORDINATION OF CAREPEDIATRIC HEALTH NEED:PHYSICIAN COORDINATION OF CAREHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITALST. JUDE AFFILIATE INSTITUTIONSALL DOMESTIC AND INTERNATIONAL REFERRING CLINICIANS AND CENTERSANTICIPATED OUTCOME:IMPROVE CONTINUITY OF CARE BY ENHANCING COMMUNICATION TOOLS AND EFFORTS TO PROVIDE PHYSICIANS WITH UNPARALLELED ACCESS TO PATIENT INFORMATION.ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. CONTINUE TO IMPROVE THE CLINICIAN PORTAL TO PERMIT REFERRING AND AFFILIATED PHYSICIANS' CONVENIENT ACCESS TO PATIENT INFORMATION, IN ACCORDANCE WITH APPLICABLE LAW. SELECTED ACCOMPLISHMENTS:- PROVIDERS IN THE AFFILIATE PROGRAM NOW HAVE FULL ACCESS TO THE ST. JUDE ELECTRONIC MEDICAL RECORD. - CLINICIAN PORTAL WORK IS ONGOING. A VENDOR HAS BEEN SELECTED TO BEGIN DEVELOPMENT OF PATIENTSAFE. PROCESSES ARE UNDERWAY TO INVITE PHYSICIANS TO HAVE ACCOUNTS AND ASSIGN THEM USERNAMES AND PASSWORDS. THERE IS AN ON-GOING REVIEW PROCESS TO FINALIZE THAT PHYSICIANS CONTINUE TO HAVE ACTIVE PATIENT CARE RELATIONSHIPS WITH ST. JUDE PATIENTS.- DESIGNED AND TESTED A WEB PORTAL TO BE USED BY REFERRING AND AFFILIATED PHYSICIANS TO ACCESS PATIENT RECORDS AND IMPROVE COMMUNICATION. POLICIES AND PROCEDURES ARE BEING DRAFTED, AND AN IMPLEMENTATION COMMITTEE HAS BEEN FORMED.- METRICS TO QUALIFY TIMELY ENTRY AND CLINICIAN USAGE ARE ALSO BEING DEFINED. A REFERRING PHYSICIAN TASK FORCE (COMPRISED OF CLINICAL DIRECTOR, CLINICAL SERVICE LEADERS, FACULTY MEMBERS, AND CLINICAL AND ADMINISTRATIVE PROCESS LEADERS [INFORMATION SCIENCES, HEALTH INFORMATION MANAGEMENT, PHYSICIAN/PATIENT REFERRAL OFFICE]) IS CURRENTLY REVIEWING COMMUNICATION PROCESSES BY CLINICAL SERVICES TO ENSURE COMPLIANCE WITH THE COMMUNICATION POLICY FOR EXTERNAL CLINICIANS. THERE HAS ALSO BEEN AN EFFORT TO EXTEND AN INVITATION TO THE AFFILIATE PHYSICIANS TO PARTICIPATE REMOTELY IN WEEKLY MULTIDISCIPLINARY CONFERENCES TO AID IN COMMUNICATION AND SERVE AS AN OPPORTUNITY FOR TRAINING. PEDIATRIC HEALTH NEED:TRANSITION OF PATIENTS FROM PEDIATRIC TO ADULT HEALTHCARE SERVICESHEALTH FACILITIES INVOLVED:SICKLE CELL DISEASE PROGRAM - ST. JUDE CHILDREN'S RESEARCH HOSPITAL, DEPARTMENT OF HEMATOLOGY, CLINICAL HEMATOLOGY DIVISIONDIGGS-KRAUS SICKLE CELL CENTER AT REGIONAL ONE HEALTHMETHODIST HEALTHCARE COMPREHENSIVE SICKLE CELL CENTER (MCSCC)ANTICIPATED OUTCOME:INCREASE THE NUMBER OF PATIENTS WITH SICKLE CELL DISEASE WHO ESTABLISH SUSTAINED ADULT CARE AFTER LEAVING PEDIATRIC CARE AT ST. JUDE.ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1.CONTINUE TO WORK WITH ADULT SICKLE CELL CENTERS IN THE COMMUNITY TO ENHANCE A SEAMLESS TRANSITION FROM PEDIATRIC CARE.2. ENHANCE ADOLESCENT AND YOUNG ADULTS (AYA) TRANSITION CLINICS WITH CO-LOCATION OF PEDIATRIC AND ADULT HEMATOLOGY PROVIDERS.3. AUGMENT FORMAL PROGRAMMING AND PLANNING PROCESSES FOR ADOLESCENTS WITH HEMATOLOGIC AND ONCOLOGIC DISEASES BY DEVELOPING DISEASE EDUCATIONAL CURRICULUM AND TRAINING MODULES TO FOSTER INCREASED ADOLESCENT AUTONOMY AND MEDICAL LITERACY.SELECTED ACCOMPLISHMENTS:- FY18 - 59 PATIENTS TRANSITIONED TO ADULT CARE.1. CONTINUE TO WORK WITH ADULT SICKLE CELL CENTERS IN THE COMMUNITY TO ENHANCE A SEAMLESS TRANSITION FROM PEDIATRIC CARE. WE CONTINUE TO PROVIDE THE QUARTERLY TEEN TRANSITION TOUR TO THE ADULT PROVIDERS IN MEMPHIS. LAST YEAR, 27 PATIENTS WITH SICKLE CELL DISEASE PARTICIPATED.A MONTHLY TRANSITION SKILLS LAB WAS IMPLEMENTED TO EQUIP YOUNG ADULTS WITH LIFE SKILLS THAT ARE NECESSARY AS THEY MOVE INTO THE ADULT REALM. LAST YEAR, 15 PATIENTS WITH SICKLE CELL DISEASE PARTICIPATED.DURING SKILLS LAB - THE TEENAGERS LEARN:A. HOW TO SCHEDULE A DOCTOR'S APPOINTMENTB. HOW TO ORDER MEDICATION REFILLC. HOW TO ACCESS INSURANCE BENEFITS D. WHAT A CO-PAY IS2. ENHANCE ADOLESCENT AND YOUNG ADULTS (AYA) TRANSITION CLINICS WITH CO-LOCATION OF PEDIATRIC AND ADULT HEMATOLOGY PROVIDERS. WE CONTINUE TO PROVIDE CO-LOCATION OF CARE FOR RECENTLY TRANSITIONED PATIENTS WITH SICKLE CELL DISEASE WHO CHOOSE TO CONTINUE CARE AT THE METHODIST COMPREHENSIVE SICKLE CELL CENTER. 3. AUGMENT FORMAL PROGRAMMING AND PLANNING PROCESSES FOR ADOLESCENTS WITH HEMATOLOGIC AND ONCOLOGIC DISEASES BY DEVELOPING DISEASE EDUCATIONAL CURRICULUM AND TRAINING MODULES TO FOSTER INCREASED ADOLESCENT AUTONOMY AND MEDICAL LITERACY.SINCE 2017, EDUCATION HAS BEEN DEVELOPED ON VARIOUS TOPICS, WITH THE GOAL OF INCREASING THE MEDICAL LITERACY AMONG PATIENTS WITH SICKLE CELL DISEASE.THE FOLLOWING TOPICS ARE PROVIDED TO ALL TRANSITIONING PATIENTS: A. COMPLICATIONS OF SICKLE CELL DISEASE AND HOW TO MANAGE THEM.B. WHAT ARE BLOOD COUNTS?C. WHAT IS BONE MARROW TRANSPLANT?AIM #3 IMPROVING CHILD HEALTH STATUS THROUGH HEALTHY LIFESTYLE EDUCATION AND PREVENTION FOR CHILDRENPEDIATRIC HEALTH NEED:CHILD KNOWLEDGE OF CANCER PREVENTION, NUTRITION, OBESITY, AND PHYSICAL ACTIVITYHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, GLOBAL PEDIATRIC MEDICINEANTICIPATED OUTCOME:INCREASE THE NUMBER OF STUDENTS AND TEACHERS PARTICIPATING IN ST. JUDE CANCER AND HEALTHY LIVING EDUCATION PROGRAM.INCREASE THE KNOWLEDGE THAT CHILDREN HAVE ON CANCER AND HEALTHY LIVING TOPICS (NUTRITION, EXERCISE, SUN PROTECTION, AVOIDING TOBACCO)WITH PRE AND POST QUIZZES. IMPROVE ATTITUDES OF CHILDREN TOWARD HEALTHY LIVING PRACTICES (AVOIDING SMOKING, BETTER NUTRITION HABITS, MORE EXERCISE, AVOIDING EXCESSIVE SUN) USING SURVEY INSTRUMENTS. |
| ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED: | 1. EVALUATE THE EFFECTIVENESS OF THE ST. JUDE CANCER EDUCATION FOR CHILDREN CURRICULUM AT INCREASING CHILDREN'S KNOWLEDGE OF CANCER AND HEALTHY LIVING TOPICS (NUTRITION, EXERCISE, SUN PROTECTION, AVOIDING TOBACCO). 2. EVALUATE THE EFFECTIVENESS OF THE ST. JUDE CANCER EDUCATION FOR CHILDREN CURRICULUM AT IMPROVING CHILDREN'S ATTITUDES TOWARDS HEALTHY LIVING PRACTICES (AVOIDING SMOKING, BETTER NUTRITION HABITS, MORE EXERCISE, AVOIDING EXCESSIVE SUN).3. PARTNER WITH LOCAL EDUCATION AGENCIES TO DISSEMINATE CANCER AND HEALTHY LIVING EDUCATIONAL PROGRAMS.SELECTED ACCOMPLISHMENTS:1. DEVELOP A FORMAL PROFESSIONAL DEVELOPMENT TRAINING SERIES FOR K-12 EDUCATORS INTERESTED IN INCORPORATING CANCER EDUCATION CONCEPTS INTO THEIR CLASSROOM CURRICULUM. THE ST. JUDE CANCER EDUCATORS CLASSROOM (SJCEC) IS A YEAR-LONG WORKSHOP SERIES THAT AIMS TO PROVIDE K-12 LEADERS AND EDUCATORS WITH VARIOUS FRAMEWORKS AND STRATEGIES FOR IMPROVING SCIENCE EDUCATION PEDAGOGY AND REDUCING STEREOTYPE THREATS THAT PREVENT INDIVIDUALS FROM UNDERREPRESENTED BACKGROUNDS FROM PURSUING CAREERS IN BIOMEDICAL RESEARCH. IN THIS INNOVATIVE APPROACH TO PROFESSIONAL DEVELOPMENT, PARTICIPANTS EXPLORED WAYS TO WEAVE TOGETHER SOCIAL AND EMOTIONAL LEARNING WITH SCIENCE EDUCATION IN A WAY THAT ENCOURAGES STUDENTS TO THINK CRITICALLY AND CREATIVELY, FOSTERS A FEARLESSNESS TO TACKLE WHAT ARE OFTEN BELIEVED TO BE UNSOLVABLE PROBLEMS, AND PROMOTES POSITIVE SELF-IDENTITIES THAT ENCOURAGE STUDENTS FROM UNDERREPRESENTED BACKGROUNDS TO PURSUE CAREERS IN BIOMEDICAL RESEARCH.THE SJCEC PILOT PROGRAM TOOK PLACE DURING THE 2017-2018 ACADEMIC YEAR WITH A GROUP OF 15 K-12 EDUCATORS AND 2 PROFESSIONAL LEARNING COACHES (PLCS) FROM 7 SCHOOLS THAT PREDOMINANTLY SERVE STUDENTS FROM LOW SOCIOECONOMIC BACKGROUNDS AND STUDENTS OF COLOR. ALL PARTICIPANTS WERE EMPLOYEES IN THE SHELBY COUNTY SCHOOL DISTRICT. LEARNING IN THIS PILOT PROGRAM TOOK PLACE THROUGH FOUR ONE-DAY INTERACTIVE WORKSHOPS AND A WEEK-LONG SUMMER COLLABORATIVE WORKSHOP.WORKSHOP 1: ENSURING A HIGH-QUALITY SCIENCE EDUCATION FOR ALL STUDENTS THIS WORKSHOP INTRODUCED TEACHERS TO PRACTICES AND METHODS THAT MAKE SCIENCE CONCEPTS RELEVANT TO ALL STUDENTS. PARTICIPANTS CONSIDERED SOME OF THE CHALLENGES AND BARRIERS TO STUDENT LEARNING IN RACIALLY IDENTIFIABLE SCHOOLS AND HIGH-POVERTY SCHOOLS AND BRAINSTORMED METHODS FOR OVERCOMING THESE BARRIERS.WORKSHOP 2: FOSTERING THINKING IN THE SCIENCE CLASSROOMTHIS WORKSHOP INTRODUCED EDUCATORS TO METHODS FOR FOSTERING THINKING IN THE SCIENCE CLASSROOM. PARTICIPANTS WERE ASKED TO REFLECT ON THEIR OWN CLASSROOM ENVIRONMENT AND TO IDENTIFY AREAS OF STRENGTH AND WEAKNESS.WORKSHOP 3: 3-DIMENSIONAL LESSON PLANNINGTHIS WORKSHOP GUIDED TEACHERS THROUGH THE NATIONAL ACADEMIES OF SCIENCES' A FRAMEWORK FOR K-12 SCIENCE EDUCATION TO EXPLORE CURRENT SHIFTS IN SCIENCE EDUCATION. PARTICIPANTS WORKED IN GRADE-LEVEL TEAMS TO IDENTIFY 3-DIMENSIONAL LESSONS WITHIN CANCER RESEARCH THEMES.WORKSHOP 4: CURRICULUM MAPPING AND ASSESSMENT PLANNINGTHIS WORKSHOP GUIDED TEACHERS THROUGH THE PROCESS OF CURRICULUM MAPPING AND ASSESSMENT PLANNING. PARTICIPANTS MODIFIED EXISTING CURRICULUM MAPS TO INCORPORATE 3-DIMENSIONAL LESSONS WITHIN CANCER RESEARCH THEMES AND CONNECT THEM TO TENNESSEE STATE SCIENCE STANDARDS.SUMMER COLLABORATIVE:THE SUMMER COLLABORATIVE WAS AN INTENSIVE, WEEK-LONG CURRICULUM DEVELOPMENT WORKSHOP. PARTICIPANTS WORKED IN SCHOOL TEAMS TO DESIGN 3-DIMENSIONAL LESSON PLANS FOCUSED ON CANCER EDUCATION THEMES. LESSONS INTEGRATED CONCEPTS FROM THE CULTURE OF THINKING (COT) PEDAGOGY WITH THE SCIENCE SCHOLARS OF TOMORROW (SSOT) CURRICULAR ITEMS. SEVERAL THEMES EMERGED THROUGHOUT THESE WORKSHOPS THAT DIRECTLY TIE TO NEGATIVE SELF-STEREOTYPES THAT CAN INHIBIT STUDENTS FROM UNDERREPRESENTED POPULATIONS FROM PURSUING CAREERS IN SCIENCE. THESE INCLUDE:- STUDENTS' FEELINGS OF HOPELESSNESS - FIXED MINDSETS (AND HOPELESSNESS) FORMED AS A RESULT OF LOW INCOME MOBILITY RATES IN MEMPHIS AND GENERATIONAL POVERTY- STUDENTS FEEL AS THOUGH THE SCHOOL IS PREPARING THEM FOR PRISON (THE SCHOOL-TO-PRISON PIPELINE WAS MENTIONED)- THE INVENTION OF COUNTER-CULTURES THAT PROVIDE A SPACE WHERE STUDENTS FEEL THAT THEY CAN SUCCEED (COUNTER-CULTURES ARE SUBCULTURES WHOSE VALUES AND NORMS OF BEHAVIOR ARE SUBSTANTIALLY DIFFERENT FROM THOSE OF MAINSTREAM SOCIETY, OFTEN IN OPPOSITION TO MAINSTREAM CULTURAL MORES)- STUDENTS OFTEN FAIL TO SEE HOW SCIENCE IS RELATED TO SOCIAL CHANGE AND WILL OFTEN WORK HARDER IN SOCIAL STUDIES AND HISTORY CLASSES THAN MATH AND SCIENCE CLASSES AS A RESULT. (THIS TIES TO A LACK OF UNDERSTANDING OF HOW SCIENCE IS RELEVANT TO THEM AND THEIR COMMUNITY, WHICH HAS SEVERAL IMPLICATIONS FOR CHALLENGES IN MINORITY INCLUSION ON CLINICAL TRIALS AS WELL.)PARTICIPANTS ALSO BRAINSTORMED PROGRAMMATIC EFFORTS TO REDUCE STEREOTYPE THREAT IN THEIR CLASSROOMS. THROUGH THESE CONVERSATIONS, FOUR ESSENTIAL COMPONENTS TO PROGRAMMATIC EFFORTS WERE IDENTIFIED:- PROVIDE COUNTER-STEREOTYPES: STUDENTS NEED TO SEE EXAMPLES OF UNDER REPRESENTED MINORITIES (URMS) PARTICIPATING IN SCIENTIFIC RESEARCH.- SUSTAIN INTERACTION: WHETHER THROUGH ONLINE/VIRTUAL INTERACTIONS, SCIENTIST VISITS TO THE CLASSROOM, OR FIELD TRIPS, STUDENTS NEED SUSTAINED INTERACTION WITH ST. JUDE/SCIENCE IN ORDER TO VIEW IT AS A POSSIBLE CAREER OPTION.- START YOUNG: STEREOTYPE THREAT BEGINS EARLY. MOST STUDENTS HAVE DECIDED WHETHER OR NOT THEY ARE GOOD AT/LIKE SOMETHING BY MIDDLE SCHOOL. WE NEED TO ENGAGE STUDENTS THROUGHOUT THE K-12 SPECTRUM WITH SUSTAINED EFFORTS THAT COUNTER STEREOTYPE THREATS.- ENGAGE ALL SCHOOL STAKEHOLDERS: SCHOOL ADMINISTRATORS NEED EDUCATION ON WHY SCIENCE AND STEM SHOULD BE AN IMPORTANT FOCUS IN K-5 CLASSROOMS IN ADDITION TO NUMERACY AND LITERACY. PARENTS NEED EDUCATION ON HOW TO SUPPORT A CHILD INTERESTED IN STEM CAREERS AS WELL AS COUNTER-STEREOTYPES THAT DEMONSTRATE THAT URM CHILDREN CAN HAVE SUCCESSFUL CAREERS IN SCIENCE. TEACHERS NEED GRADE-LEVEL PROFESSIONAL DEVELOPMENT RELATED TO HIGH-LEVEL SCIENCE CONCEPTS AND RESOURCES FOR TEACHING STUDENTS HIGH-LEVEL SCIENCE.THE SUMMER COLLABORATIVE YIELDED A VARIETY OF IDEAS AND STRATEGIES FOR IMPLEMENTING 3-DIMENSIONAL SCIENCE LESSONS IN THE CLASSROOM. THESE VARIED BASED ON GRADE-LEVEL AND SUBJECT TAUGHT, BUT ALL INVOLVED THE INCORPORATION OF CASE-BASED/PROBLEM-BASED LESSONS THAT CENTER AROUND A REAL-WORLD SCENARIO. THE ST. JUDE CANCER EDUCATION AND OUTREACH TEAM WILL CONTINUE TO WORK WITH THESE EDUCATORS FOR AT LEAST 3 YEARS FOLLOWING THE WORKSHOP SERIES TO CONTINUE TO HELP GROW AND FOSTER A CULTURE OF THINKING IN THE CLASSROOM, PROVIDE NECESSARY RESOURCES TO PROMOTE HIGH-QUALITY SCIENCE IN THE CLASSROOM THROUGH THE CANCER EDUCATION IN THE CLASSROOM LOAN KIT PROGRAM, AND COORDINATE SCIENTIST VISITS TO THE CLASSROOM THROUGH THE ST. JUDE SCIENCE AMBASSADORS PROGRAM. 2. PARTNER WITH LOCAL EDUCATION AGENCIES TO DISSEMINATE CANCER AND HEALTHY LIVING EDUCATIONAL PROGRAMS.THE ST. JUDE CANCER EDUCATION AND OUTREACH PROGRAM IS A SCHOOL-BASED OUTREACH PROGRAM THAT USES EDUCATION AND POSITIVE REINFORCEMENT TO HELP PROMOTE HEALTHY LIFESTYLE CHOICES AND TO REDUCE A CHILD'S LIFETIME RISK OF DEVELOPING CANCER. THE PROGRAM'S EDUCATIONAL OBJECTIVES ARE TO (A) EDUCATE ELEMENTARY SCHOOL CHILDREN ABOUT CANCER AND DISPEL COMMON MISCONCEPTIONS, (B) EDUCATE ABOUT AND PROMOTE HEALTHY LIFESTYLE CHOICES THAT CAN HELP CHILDREN REDUCE THEIR RISK OF CANCER IN ADULTHOOD, AND (C) INSPIRE AN INTEREST IN SCIENCE AND SCIENTIFIC CAREERS. IT SPECIFICALLY ADDRESSES OBESITY, NUTRITION, SMOKING, AND SUN EXPOSURE, IMPORTANT ISSUES IN PROMOTING CHILDHOOD HEALTH AND PRIMARY CANCER PREVENTION. DURING THE 2017-2018 SCHOOL YEAR, THE SCHOOL OUTREACH TEAM PARTNERED WITH 19 SCHOOLS TO DELIVER EDUCATIONAL CONTENT TO OVER 5,000 K-12 STUDENTS IN THE MEMPHIS AREA. |
| ST. JUDE CHILDREN'S RESEARCH HOSPITAL: | PART V, SECTION B, LINE 7A: THE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/FINANCIALS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.HTMLST. JUDE CHILDREN'S RESEARCH HOSPITAL:PART V, SECTION B, LINE 10A: THE HOSPTIAL FACILITY'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/FINANCIALS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.HTMLST. JUDE CHILDREN'S RESEARCH HOSPITAL:PART V, SECTION B, LINE 14: ST. JUDE CURRENTLY DOES NOT BILL NOR PURSUE PAYMENT FOR ANY ST. JUDE PATIENT; THEREFORE, ST. JUDE DOES NOT HAVE A BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS.ST. JUDE CHILDREN'S RESEARCH HOSPITAL:PART V, SECTION B, LINE 16A: THE FAP WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-POLICY.HTMLST. JUDE CHILDREN'S RESEARCH HOSPITAL:PART V, SECTION B, LINE 16B: BASED ON THE FINANCIAL ASSISTANCE STATEMENT (HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-STATEMENT.HTML) AND FINANCIAL ASSISTANCE POLICY(HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-POLICY.HTML), ST. JUDE DOES NOT HAVE AN APPLICATION FORM.ST. JUDE CHILDREN'S RESEARCH HOSPITAL:PART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-STATEMENT.HTML |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | NO FAMILY EVER PAYS ST. JUDE FOR TREATMENT. WE DO NOT NEED TO DETERMINE ELIGIBILITY FOR THIS ASSISTANCE. BY DEFAULT, ALL PATIENTS ARE ELIGIBLE TO RECEIVE MEDICAL CARE AND SUPPORT SERVICES AT NO COST. ALL PATIENTS ACCEPTED FOR ST. JUDE TREATMENT RECEIVE CARE WHETHER OR NOT THEY OR THEIR FAMILIES CAN PAY FOR IT. ST. JUDE DOES HAVE A BILLING SYSTEM, BUT PATIENTS DO NOT RECEIVE BILLS. IF THE PATIENT HAS INSURANCE, ST. JUDE BILLS THE INSURANCE PLAN OR OTHER ORGANIZATION THAT PAYS HEALTH COSTS. BILLING INSURANCE FOR THE COSTS THAT WOULD BE DUE AT ANY OTHER HOSPITAL ALLOWS ST. JUDE TO CONTINUE DOING SOME OF THE MOST ADVANCED RESEARCH IN THE WORLD. IT ALSO ALLOWS ST. JUDE TO PAY FOR TREATMENTS, COPAYMENTS, DEDUCTIBLES, COINSURANCE, AND ANY OTHER COSTS INSURANCE DOES NOT COVER.TO ENSURE FAMILIES ARE MAKING USE OF ALL RESOURCES FOR WHICH THEY ARE ELIGIBLE, WE HAVE PROGRAMS TO ASSIST FAMILIES IN ENROLLING IN VARIOUS PUBLIC ASSISTANCE PROGRAMS FOR WHICH THEY MAY QUALIFY, INCLUDING BUT NOT LIMITED TO TENNCARE/MEDICAID, COVERKIDS, CHIPS AND SOCIAL SECURITY. DOING SO ENSURES AN APPROPRIATE SAFETY NET SHOULD THE FAMILY SEEK TREATMENT OUTSIDE OF ST. JUDE AND IT ALLOWS US TO BE GOOD STEWARDS OF DONOR DOLLARS. WE ALSO CONTRACT WITH A VENDOR TO PROVIDE CERTIFIED APPLICATION COUNSELOR SERVICES TO ASSIST FAMILIES APPLYING FOR HEALTH INSURANCE COVERAGE THROUGH FEDERAL OR STATE FACILITATED MARKETPLACES. |
| PART I, LINE 7: | COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. COST-TO-CHARGE RATIO USED FOR LINE 7A FINANCIAL ASSISTANCE AT COST, LINE 7B MEDICAID, AND LINE 7C COSTS OF OTHER MEANS-TESTED GOVERNMENT PROGRAMS.SOME CHIPS VOLUME IS INCLUDED IN MEDICAID IN PART I, LINE 7B BECAUSE IN MANY STATES THE CHIPS PROGRAMS ARE MANAGED BY THE SAME THIRD PARTY ADMINISTRATORS, AND IT IS DIFFICULT TO DISTINGUISH BETWEEN CHIPS AND MEDICAID COVERAGE. |
| PART I, LINE 7G: | ST. JUDE CHILDREN'S RESEARCH HOSPITAL INCLUDED AS SUBSIDIZED HEALTH SERVICES SUPPORT FOR EIGHT AFFILIATE CLINICS TOTALING APPROXIMATELY $10.8 MILLION. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE ST. JUDE CHILDREN'S RESEARCH HOSPITAL CEO IS A MEMBER OF MEMPHIS TOMORROW. MEMPHIS TOMORROW IS AN ASSOCIATION OF CHIEF EXECUTIVE OFFICERS OF MEMPHIS' LARGEST ENTERPRISES. THE PURPOSE IS TO BRING TOP BUSINESS LEADERS TOGETHER WITH GOVERNMENT AND CIVIC LEADERS TO FOSTER ECONOMIC PROSPERITY FOR ALL WHO LIVE IN OUR COMMUNITY. THEIR INITIATIVES ARE FOCUSED IN THOSE AREAS WHICH DIRECTLY IMPACT ECONOMIC GROWTH AND OPPORTUNITY, INCLUDING: HUMAN CAPITAL DEVELOPMENT, INDUSTRY DEVELOPMENT, AND PUBLIC SAFETY. ST. JUDE ALSO PARTICIPATES WITH MEMPHIS FAST FORWARD WHOSE STRATEGIES ARE BASED ON THE COMMON SENSE PREMISE THAT ECONOMIC GROWTH AND PROSPERITY, AND IMPROVED QUALITY OF LIFE, WILL FOLLOW ONCE MEMPHIS AND SHELBY COUNTY SUCCESSFULLY ADDRESS THE BASICS: GOOD JOBS, QUALITY EDUCATION, SAFE STREETS AND EFFICIENT GOVERNMENT. THE ST. JUDE CHILDREN'S RESEARCH HOSPITAL CEO IS A MEMBER OF THE CHAIRMAN'S CIRCLE. THE CHAIRMAN'S CIRCLE ENGAGES MEMPHIS BUSINESS LEADERS ON ISSUES THAT AFFECT MEMPHIS AND THE MID-SOUTH. THE CHAIRMAN'S CIRCLE'S 100+ MEMBERS REPRESENT MORE THAN 100,000+ EMPLOYEES IN THE MEMPHIS BUSINESS COMMUNITY. ITS MISSION IS TO MAKE MEMPHIS GREAT BY USING OUR COLLECTIVE STRENGTHS AS COMMUNITY AND BUSINESS LEADERS TO CREATE A CLEAR PATH TO POSITIVE CHANGE IN MEMPHIS AND THE MID-SOUTH. ST. JUDE IS A MEMBER OF THE ASPIRING FOR PURCHASING EXCELLENCE (APEX) ASSOCIATION OF MEMPHIS. APEX IS AN ASSOCIATION OF PURCHASING AND PROCUREMENT PROFESSIONALS FROM MEMPHIS ORGANIZATIONS WHOSE PURPOSE IS TO PROMOTE BEST PRACTICES IN SUPPLIER DIVERSITY. ADDITIONALLY, ST. JUDE IS SILVER SPONSOR FOR THE MID-SOUTH MINORITY BUSINESS COUNCIL (MMBC) ECONOMIC DEVELOPMENT FAIR. THE MMBC SERVES AS THE MID-SOUTH'S FOREMOST MINORITY BUSINESS DEVELOPMENT ORGANIZATION. THE MMBC HELPS TO DEVELOP A STRONG MINORITY AND WOMEN BUSINESS COMMUNITY IN AN EFFORT TO IMPACT ECONOMICALLY THE ENTIRE MID-SOUTH REGION. THE PEDIATRIC ONCOLOGY EDUCATION PROGRAM BRINGS FIFTY TO SIXTY STUDENTS EACH SUMMER FOR INTERNSHIPS IN BASIC SCIENCE OR CLINICAL RESEARCH. ADDITIONALLY, EXPERIENTIAL LEARNING INTERNSHIPS ARE STRUCTURED BY AND MANAGED BY ACADEMIC PROGRAMS IN MANY AREAS FROM SCIENCE TO ACCOUNTING. THERE ARE ANOTHER 150 STUDENTS INVOLVED IN THESE INTERNSHIPS. THESE PROGRAMS SUPPORT INCREASING THE AWARENESS OF CAREERS IN RESEARCH SCIENCE, HEALTHCARE, OR HEALTHCARE MANAGEMENT AND CONTRIBUTE TO PREPARING STUDENTS TO ENTER THESE CAREERS. THE CLINICAL EDUCATION AND TRAINING OFFICE HOSTS FORTY TO FIFTY STUDENTS ANNUALLY AS PATIENT CARE OBSERVERS. THESE STUDENTS ARE AT DIFFERENT STAGES OF TRAINING AND ARE FROM UNDERGRADUATE COLLEGES OR PROFESSIONAL HEALTHCARE SCHOOLS INCLUDING MEDICAL SCHOOLS. THE OBSERVERS ARE DECIDING ON OR CONFIRMING A DESIRE TO PURSUE A CAREER IN HEALTHCARE. THE FAMILY, GUEST, AND VOLUNTEER SERVICES DEPARTMENT PROVIDES SUMMER PROGRAMS FOR HIGH SCHOOL AND COLLEGE STUDENTS THAT DRIVE ENTRY INTO HEALTH CAREERS.THE OFFICE OF LEGAL SERVICES OFFERS LEGAL INTERNSHIPS TO LOCAL (UNIVERSITY OF MEMPHIS, OLE MISS) LAW STUDENTS DURING THE ACADEMIC YEAR AND TO NATIONAL LAW SCHOOLS DURING THE SUMMER. INTERNS PERFORM LEGAL RESEARCH; DRAFT MEMORANDA, LETTERS, AND OTHER DOCUMENTS; DRAFT AND REVIEW CONTRACTUAL AGREEMENTS; PREPARE PRESENTATIONS TO ST. JUDE PERSONNEL; AND ASSIST WITH DRAFTING POLICIES. INTERNS ALSO LEARN THROUGH OBSERVATION OF AND PARTICIPATION IN DAY-TO-DAY LAW PRACTICE ACTIVITIES, INCLUDING LEGAL PROCEEDINGS, NEGOTIATIONS, MEETINGS, TRAININGS, AND COUNSELING SESSIONS. WHEN POSSIBLE, INTERNS WORK WITH CLIENT DEPARTMENTS AND DEPARTMENTAL STAFF TO GATHER INFORMATION AND TO GAIN INSIGHT INTO AND UNDERSTANDING OF RESEARCH, CLINICAL, BUSINESS, AND HEALTH CARE OPERATIONS.IN ADDITION, MEMBERS OF THE OFFICE OF LEGAL SERVICES ENGAGED IN THE FOLLOWING ACTIVITIES WITHIN THE MEMPHIS AND LARGER TENNESSEE COMMUNITIES:- FIVE LAWYERS VOLUNTEERED AT A SATURDAY LEGAL CLINIC ORGANIZED BY MEMPHIS AREA LEGAL SERVICES.- CO-PRESENTED ON "PEDIATRIC BIOETHICS AND THE LAW," AT THE UNIVERSITY OF MEMPHIS'S CECIL C. HUMPHREYS SCHOOL OF LAW, FEBRUARY 2018. - PRESENTED ON FUNDAMENTALS OF PROTECTION OF HUMAN SUBJECTS IN RESEARCH AT A PROGRAM BY THE HEALTH LAW SOCIETY AT THE UNIVERSITY OF MEMPHIS'S CECIL C. HUMPHREYS SCHOOL OF LAW IN NOVEMBER 2017. - PRESENTED AT THE TENNESSEE BAR ASSOCIATION ANNUAL HEALTH LAW PRIMER IN OCTOBER 2017. - PRESENTED A WEBINAR FOR THE TENNESSEE BAR ASSOCIATION ON "CONTROLLED SUBSTANCE PRESCRIBING: EVOLVING STANDARDS DURING THE OPIOID EPIDEMIC" IN SEPTEMBER 2017. - SERVED AS A PANELIST AT THE SOCIETY FOR HUMAN RESOURCE MANAGEMENT - MEMPHIS MEETING IN MARCH 2018. - PLANNED A HEALTH LAW NETWORKING EVENT AT THE UNIVERSITY OF MEMPHIS'S CECIL C. HUMPHREYS SCHOOL OF LAW.- SERVED ON THE TENNESSEE BAR ASSOCIATION HEALTH LAW SECTION EXECUTIVE COUNCIL.FINALLY, THE CHIEF GOVERNMENT AFFAIRS OFFICER WORKED IN COLLABORATION WITH LEGAL STAFF AND OUTSIDE ADVOCACY GROUPS TO SUPPORT EFFORTS TO CREATE A STATE PALLIATIVE CARE/QUALITY OF LIFE ADVISORY COUNCIL.THE ST. JUDE CHIEF GOVERNMENT AFFAIRS OFFICER CONTINUES TO SERVE ON THE BOARD OF DIRECTORS OF THE MEMPHIS RIVER PARKS PARTNERSHIP (MRPP), FORMERLY KNOWN AS THE RIVERFRONT DEVELOPMENT CORPORATION (RDC). THE MRPP IS A NON-PROFIT ORGANIZATION THAT, UNDER A LONG-TERM CONTRACT WITH THE CITY OF MEMPHIS, MANAGES ALL THE PARKS ALONG A 5-MILE STRETCH OF THE MEMPHIS RIVERFRONT INCLUDING ALONG DOWNTOWN MEMPHIS AND MUD ISLAND RIVER PARK. ELEMENTS ALONG THE RIVER FOSTER HEALTHY LIFESTYLES INCLUDING RIVERFIT, A SERIES OF PHYSICAL FITNESS CHALLENGES, AND A PLAYGROUND DESIGNED SPECIFICALLY FOR CHILDREN AT BEALE ST. LANDING, THE ONLY CHILD-DESIGNATED PLAYGROUND ON THE MEMPHIS RIVERFRONT. THE MRPP IS ALSO WORKING WITH THE CITY OF MEMPHIS TO IMPLEMENT A SERIES OF IMPROVEMENTS DESIGNED TO TIE THE RIVERFRONT CLOSER TO WORKERS AND RESIDENTS OF DOWNTOWN MEMPHIS TO MAKE ACCESS TO RIVERFRONT AMENITIES EASIER FOR ALL CITIZENS OF MEMPHIS AND TOURISTS VISITING THE CITY.THIS PAST YEAR THE CHIEF GOVERNMENT AFFAIRS OFFICER WAS ALSO APPOINTED TO SERVE ON THE BOARD OF COMMISSIONERS OF THE MEMPHIS AREA TRANSIT AUTHORITY (MATA) BY MEMPHIS MAYOR JIM STRICKLAND. IN THIS CAPACITY, HE HELPS TO PROMOTE THE HEALTH OF THE COMMUNITY BY ADVOCATING FOR POLICIES THAT ENABLE ENHANCED MOBILITY FOR A LARGER PERCENTAGE OF THE POPULATION OF MEMPHIS AND SHELBY COUNTY.THE CHIEF LEGAL OFFICER PARTICIPATES ON COMMITTEES OF THE MEMPHIS CHILD ADVOCACY CENTER, WHICH HELPS LOCAL CHILDREN FIND SAFETY AND HEALING (INCLUDING ACCESS TO A MENTAL HEALTH PROFESSIONAL) AFTER A REPORT OF SEXUAL OR OTHER SEVERE ABUSE, AND OFFERS ABUSE PREVENTION TRAINING TO COMMUNITY VOLUNTEERS AND PARENTS. THE CHIEF LEGAL OFFICER SERVES AS CHAIR OF THE ADVISORY BOARD OF THE INSTITUTE FOR HEALTH LAW & POLICY OF THE CECIL C. HUMPHREYS UNIVERSITY OF MEMPHIS SCHOOL OF LAW, WHICH ENDEAVORS TO ADDRESS UNMET HEALTH LAW NEEDS OF THE LOCAL COMMUNITY AND WORK WITH COMMUNITY LEADERS TO PROACTIVELY ADDRESS HEALTH POLICY NEEDS.THE SENIOR ASSOCIATE COUNSEL IS THE MEMPHIS BAR ASSOCIATION HEALTH LAW SECTION'S ELECTED REPRESENTATIVE TO THE BOARD OF THE MEMPHIS BAR ASSOCIATION. THE ASSOCIATE COUNSEL SERVES ON THE MEMPHIS BAR ASSOCIATION HEALTH LAW SECTION BOARD. THE ASSOCIATE COUNSEL CHAIRS THE COMMUNITY AFFAIRS COMMITTEE OF THAT SECTION AND THE CHIEF LEGAL OFFICER IS AN ACTIVE MEMBER OF THE COMMITTEE, WHICH ANNUALLY SPONSORS A SATURDAY LEGAL CLINIC PROVIDING UNREPRESENTED MEMBERS OF THE COMMUNITY AN OPPORTUNITY TO MEET WITH A VOLUNTEER ATTORNEY AND DISCUSS LEGAL ISSUES, INCLUDING THOSE THAT HAVE AN IMPACT ON PERSONAL HEALTH.THE MANAGER OF THE CANCER EDUCATION PROGRAM IN THE DEPARTMENT OF GLOBAL PEDIATRIC MEDICINE (GPM) DEDICATES 80% OF HER TIME, AND THE COORDINATOR FOR CANCER EDUCATION DEDICATES 100% OF HER TIME TO CANCER EDUCATION OUTREACH, INCLUDING ACTIVITIES SUCH AS K-12 CURRICULUM DEVELOPMENT, SCHOOL VISITS FOR CANCER AND HEALTHY LIVING EDUCATION, CAREER TALKS, TEACHER TRAINING WORKSHOPS AND PUBLIC-ACCESS WEBSITE DEVELOPMENT. |
| PART III, LINE 2: | BAD DEBT EXPENSE IS EQUAL TO CHARGES ON ACCOUNTS DETERMINED TO BE UNCOLLECTIBLE. SEE NARRATIVE FOR PART 1, LINE 3C REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| PART III, LINE 4: | BAD DEBT EXPENSE EXPLANATION IN FINANCIAL STATEMENTS FOOTNOTES IS AS FOLLOWS:NET PATIENT SERVICE REVENUES AND RECEIVABLES - NO FAMILY EVER PAYS THE HOSPITAL FOR THE CARE THEIR CHILD RECEIVES. ACCORDINGLY, NET PATIENT SERVICE REVENUE CONSISTS ONLY OF ESTIMATED NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS (IF NECESSARY) DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED AS AMOUNTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. PATIENT SERVICE REVENUE HAS BEEN REDUCED BY ADJUSTMENTS FOR UNCOLLECTIBLE ACCOUNTS TOTALING APPROXIMATELY $773,000 AND $512,000 IN 2018 AND 2017, RESPECTIVELY.ST. JUDE CHILDREN'S RESEARCH HOSPITAL DOES NOT CONSIDER BAD DEBT EXPENSE A COMMUNITY BENEFIT. |
| PART III, LINE 8: | ST. JUDE CHILDREN'S RESEARCH HOSPITAL DOES NOT CONSIDER THE MEDICARE SHORTFALL A COMMUNITY BENEFIT. THE COST TO CHARGE RATIO WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE. |
| PART III, LINE 9B: | ALL PATIENTS ACCEPTED FOR ST. JUDE TREATMENT RECEIVE CARE WHETHER OR NOT THEY OR THEIR FAMILIES CAN PAY FOR IT. ST. JUDE DOES HAVE A BILLING SYSTEM, BUT PATIENTS DO NOT RECEIVE BILLS. IF THE PATIENT HAS INSURANCE, ST. JUDE BILLS THE INSURANCE PLAN OR OTHER ORGANIZATION THAT PAYS HEALTH COSTS. THIS IS SET FORTH IN OUR FINANCIAL ASSISTANCE STATEMENT (HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-STATEMENT.HTML) AND FINANCIAL ASSISTANCE POLICY (HTTPS://WWW.STJUDE.ORG/ LEGAL/FINANCIAL-ASSISTANCE-POLICY.HTML). |
| PART VI, LINE 2: | ST. JUDE'S PRIMARY CLINICAL EFFORT CENTERS ON PROVIDING GROUND-BREAKING, RESEARCH-DRIVEN TREATMENTS FOR CHILDHOOD CANCERS AND OTHER CATASTROPHIC DISEASES IN CHILDREN. CANCERPEDIATRIC CANCERS ARE RARE COMPARED TO ADULT CANCERS. ONLY 10,590 NEW CASES ARE EXPECTED TO OCCUR AMONG CHILDREN 14 YEARS OF AGE AND YOUNGER IN 2018; HOWEVER, CANCER IS THE LEADING CAUSE OF DISEASE-RELATED DEATH IN U.S. CHILDREN (FOOTNOTE 1). THE PRINCIPAL FOCUS OF ST. JUDE CHILDREN'S RESEARCH HOSPITAL IS CANCER. SEVENTY-FIVE PERCENT OF ALL RESOURCES AT ST. JUDE ARE INVESTED IN ELUCIDATING BASIC BIOLOGICAL MECHANISMS OF PEDIATRIC CANCERS, AND TRANSLATING THIS KNOWLEDGE INTO IMPROVED DIAGNOSTIC TOOLS AND CURATIVE THERAPIES, WHILE MINIMIZING LONG-TERM SIDE EFFECTS. AS THE FIRST AND ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER FOCUSED EXCLUSIVELY ON CHILDREN, ST. JUDE SERVES AS A NATIONAL RESOURCE FOR RESEARCH AND TREATMENT OF PEDIATRIC CANCERS. OUR INITIATIVES ARE DESIGNED TO IMPACT PEDIATRIC CANCER TREATMENT ON A LOCAL, REGIONAL, NATIONAL AND GLOBAL SCALE. OUR CANCER PATIENTS COME FROM ALL OVER THE UNITED STATES AND ABROAD; HOWEVER, 66% OF THE NEW CANCER PATIENTS WE REGISTER RESIDE IN THE ST. JUDE CATCHMENT AREA, WHICH INCLUDES A 180-MILE RADIUS AROUND ST. JUDE LOCATED IN MEMPHIS, TN AND A 100-MILE RADIUS AROUND EACH OF OUR EIGHT AFFILIATES. THESE EIGHT AFFILIATES ARE LOCATED IN HUNTSVILLE, AL, CHARLOTTE, NC, JOHNSON CITY, TN, BATON ROUGE, LA, SHREVEPORT, LA, TULSA, OK, SPRINGFIELD, MO, AND PEORIA, IL. THE CATCHMENT POPULATION IS GENERALLY CHARACTERIZED BY A HIGHER PROPORTION OF NON-HISPANIC BLACK/AFRICAN-AMERICAN RACE, LOWER PROPORTION OF HISPANIC ETHNICITY, LOWER HOUSEHOLD INCOMES AND HOME VALUES, AND LOWER PROPORTION WITH AN EDUCATION BEYOND HIGH SCHOOL. APPROXIMATELY 4.9% OF THE POPULATION LIVE IN RURAL AREAS (BY RUCA CODE 10). TAKEN TOGETHER, THIS DIVERSE POPULATION INCLUDES MANY WITH LIMITED RESOURCES WHO ARE MEDICALLY UNDERSERVED. THROUGH ST. JUDE'S FOUNDING POLICY--THAT NO PATIENT BE DENIED TREATMENT BASED ON RACE, ETHNICITY, RELIGION, OR A FAMILY'S INABILITY TO PAY--AND WITH THE PROVISION OF RESOURCES TO OFFSET THE COSTS OF TRANSPORTATION AND HOUSING DURING CLINIC VISITS AND TREATMENT, WE REMOVE BARRIERS IN ACCESS TO OUR CUTTING-EDGE CLINICAL RESEARCH TRIALS AND EXCEPTIONAL CLINICAL CARE. ALL PEDIATRIC PATIENTS IN OUR CATCHMENT AREA ARE ACCEPTED TO ST. JUDE FOR TREATMENT OF THEIR CANCER.THE DEMOGRAPHICS OF THE PEDIATRIC CANCER POPULATION TREATED AT ST. JUDE CLOSELY MATCH THOSE OF OUR CATCHMENT AREA (BASED ON 2010 DATA FROM THE US CENSUS BUREAU) AND ALIGN WITH THE ESTIMATED INCIDENCE OF PEDIATRIC CANCER IN REPRESENTED RACIAL AND ETHNIC GROUPS (BASED ON SURVEILLANCE EPIDEMIOLOGY AND END RESULTS [SEER] 2009 DATA), CONFIRMING THAT ST. JUDE IS CLOSELY ALIGNED WITH THE NEEDS OF THE POPULATION IT SERVES. DEMOGRAPHICS FROM THE ST. JUDE PEDIATRIC CANCER COHORT ARE COMPARED WITH THE DEMOGRAPHICS OF THE CATCHMENT AREA ANNUALLY TO MONITOR DEMOGRAPHIC REPRESENTATION OF OUR CANCER PATIENTS IN RELATION TO THE AREA THAT WE SERVE. THERE ARE NO KNOWN DIFFERENCES IN PEDIATRIC CANCER INCIDENCE BY GEOGRAPHIC REGION IN THE U.S. CONSEQUENTLY, IT IS NOT POSSIBLE TO CATER OUR CLINICAL TRIALS TO TARGET PEDIATRIC CANCERS SPECIFICALLY PREVALENT IN OUR CATCHMENT AREA. WHILE NUMEROUS ADULT CANCERS HAVE BEEN SHOWN TO HAVE HIGH VARIATION IN INCIDENCE RATES ACROSS RACES AND ETHNICITIES, THE SITUATION IS LESS CLEAR IN PEDIATRIC CANCER, WHERE FEWER DISCREPANCIES HAVE BEEN IDENTIFIED. ALTHOUGH OUR CATCHMENT AREA HAS A HIGHER PROPORTION OF AFRICAN-AMERICAN PATIENTS THAN THE GENERAL U.S. POPULATION, THERE ARE VERY FEW EXAMPLES OF PEDIATRIC CANCERS IN WHICH THE INCIDENCE IS HIGHER IN RACIAL AND/OR ETHNIC MINORITIES (FOOTNOTES 2 AND 3). CONSEQUENTLY OUR RESEARCH AND CLINICAL TRIALS ADDRESS THE MOST PRESSING PROBLEMS IN PEDIATRIC CANCER. ST. JUDE OFFERS THERAPEUTIC TRIALS FOR THE TOP PEDIATRIC CANCERS (FOOTNOTE 1) INCLUDING ACUTE LYMPHOBLASTIC LEUKEMIA, MEDULLOBLASTOMA, NEUROBLASTOMA, HODGKIN LYMPHOMA, RETINOBLASTOMA, RHABDOMYOSARCOMA AND OTHERS. MANY OF THESE TRIALS ARE INSTITUTIONALLY SPONSORED; HOWEVER, ST. JUDE ALSO PARTICIPATES IN A NUMBER OF CLINICAL TRIALS CONSORTIA PROVIDING OUR CANCER PATIENTS ACCESS TO A VARIETY OF THERAPEUTIC STUDIES. PEDIATRIC CANCER PATIENTS MAY EXPERIENCE TREATMENT-RELATED SIDE EFFECTS MANY YEARS AFTER DIAGNOSIS. THE CHILDHOOD CANCER SURVIVOR STUDY AND ST. JUDE LIFE ARE TWO STUDIES, ACTIVE AT ST. JUDE, ASSESSING LATE EFFECTS OF CANCER THERAPY ON PEDIATRIC CANCER SURVIVORS. INFORMATION FROM THESE STUDIES WILL BE USED TO DEFINE RISK GROUPS FOR VARIOUS LATE EFFECTS AND ASSESS INTERVENTIONS.WHEN CONSIDERING HEALTH-RELATED FACTORS, OUR CATCHMENT POPULATION IS CHARACTERIZED AS HAVING HIGH RATES OF TOBACCO USE, HIGH PREVALENCE OF OVERWEIGHT/OBESITY, AND LOW PHYSICAL ACTIVITY LEVEL. ALTHOUGH THESE FEATURES ARE NOT KNOWN TO AFFECT THE INCIDENCE OF ANY TYPE OF PEDIATRIC CANCER, THEY ARE IMPORTANT FOR HEALTH OUTCOMES.ANOTHER KEY AREA THAT ST. JUDE IS PROMOTING IN OUR CATCHMENT AREA AND BEYOND IS PREVENTION OF HPV-RELATED CANCERS. THE AMERICAN CANCER SOCIETY AND OTHER ORGANIZATIONS HAVE PUT FORTH THE GOAL TO ERADICATE HPV-RELATED CANCERS THROUGH VACCINATION AND SCREENING. NEARLY 80 MILLION INDIVIDUALS IN THE U.S. - 1 OUT OF EVERY 4 PEOPLE - ARE INFECTED WITH HUMAN PAPILLOMAVIRUS (HPV). APPROXIMATELY 31,500 CANCERS ATTRIBUTABLE TO HPV OCCUR EACH YEAR (FOOTNOTE 4). U.S. VACCINATION RATES REMAIN SIGNIFICANTLY LOWER FOR HPV THAN FOR OTHER RECOMMENDED ADOLESCENT VACCINES. IN 2017, TENNESSEE'S COMBINED HPV VACCINATION COVERAGE FOR MALES AND FEMALES AGES 13-17 IS ONLY 56%, WHICH RANKS 46TH IN THE NATION. BY GENDER, FEWER THAN 50% OF GIRLS AND APPROXIMATELY 30% OF BOYS AGES 13-17 ARE UP-TO-DATE ON THE HPV VACCINE SERIES (FOOTNOTE 5). RESIDENTS OF TENNESSEE AND THE MID-SOUTH HAVE AMONG THE HIGHEST INCIDENCES OF HPV-RELATED CANCERS IN THE COUNTRY (FOOTNOTE 6). AS THE ONLY NCI-DESIGNATED CANCER CENTER DEVOTED SOLELY TO CHILDREN, ST. JUDE IS COMMITTED TO TAKING ON A NEW LEADERSHIP ROLE IN PROTECTING YOUNG PEOPLE FROM PREVENTABLE HPV-ASSOCIATED CANCERS LATER IN LIFE. RECENTLY, ST. JUDE LAUNCHED HPV AWARENESS EFFORTS INCLUDING EDUCATION AT LOCAL SCHOOLS, OUTREACH TO NEWS MEDIA, DEVELOPMENT OF WEB CONTENT, AND PARTNERING WITH OTHER NCI-DESIGNATED CANCER CENTERS TO ENDORSE A GOAL OF ELIMINATING HPV-ASSOCIATED CANCERS IN THE UNITED STATES. OVER THE NEXT 5 YEARS, OUR PLAN IS TO SIGNIFICANTLY EXPAND OUR EFFORTS TO HAVE A GREATER IMPACT IN THE PROMOTION OF HPV VACCINATION IN OUR LOCAL CATCHMENT AREA, IN THE STATE OF TENNESSEE, AND NATIONALLY.ACCORDING TO THE AMERICAN CANCER SOCIETY, INDIVIDUALS WITH LOWER SOCIOECONOMIC STATUS HAVE HIGHER CANCER INCIDENCE RATES DUE TO ENGAGING IN LIFESTYLE BEHAVIORS THAT INCREASE CANCER RISK (FOOTNOTE 1). THE ST. JUDE CANCER EDUCATION FOR CHILDREN PROGRAM IS A LOCAL COMMUNITY EFFORT THAT USES EDUCATION AND POSITIVE REINFORCEMENT TO PROMOTE HEALTHY LIFESTYLE CHOICES THAT CAN HELP CHILDREN REDUCE THEIR RISK OF CANCER IN ADULTHOOD. EDUCATIONAL COMPONENTS OF THE PROGRAM SPECIFICALLY ADDRESS OBESITY, NUTRITION, SMOKING, AND SUN EXPOSURE, IMPORTANT ISSUES IN PROMOTING CHILDHOOD HEALTH AND PRIMARY CANCER PREVENTION. THE PROGRAM DEVELOPMENT IS OVERSEEN BY A MULTIDISCIPLINARY TEAM COMPOSED OF ST. JUDE FACULTY AND STAFF, LOCAL EDUCATORS, AND LOCAL HEALTH EXPERTS WHO WORK TOGETHER TO ENSURE THAT THE CONTENT ACHIEVES THE GOALS OF THE PROGRAM WHILE ALIGNING TO STATE AND NATIONAL EDUCATION STANDARDS. DURING THE 2017-2018 SCHOOL YEAR, THE SCHOOL OUTREACH TEAM WORKED WITH THE SHELBY COUNTY SCHOOL DISTRICT TO DELIVER CANCER AND HEALTHY LIVING EDUCATION PROGRAMS TO OVER 5,000 K-12 STUDENTS.(NOTE: THIS NARRATIVE FOR PART VI, LINE 2 IS CONTINUED BELOW.) - SEE PAGE 109/116 |
| PART VI, LINE 3: | AS NOTED IN PART I, LINE 3C, NO FAMILY EVER PAYS ST. JUDE FOR TREATMENT. IN ADDITION, ST. JUDE PROVIDES AN UNPARALLELED LEVEL OF SUPPORT SERVICES AT NO COST TO FAMILIES. WE ALSO HAVE PROGRAMS TO ASSIST FAMILIES IN ENROLLING IN VARIOUS PUBLIC ASSISTANCE PROGRAMS FOR WHICH THEY MAY QUALIFY, INCLUDING BUT NOT LIMITED TO TENNCARE/MEDICAID, COVERKIDS, CHIPS AND SOCIAL SECURITY. FAMILIES ALSO HAVE ACCESS TO AN ONLINE EDUCATIONAL RESOURCE TITLED "YOU AND THE AFFORDABLE CARE ACT" (HTTPS://WWW.STJUDE.ORG/TREATMENT/PATIENT-RESOURCES/CAREGIVER-RESOURCES/PATIENT-FAMILY-EDUCATION-SHEETS/LEGAL-FINANCIAL/YOU-AND-THE-AFFORDABLE-CARE-ACT.HTML). THIS ENSURES AN APPROPRIATE SAFETY NET SHOULD THE FAMILY SEEK TREATMENT OUTSIDE OF ST. JUDE AND IT ALLOWS US TO BE GOOD STEWARDS OF DONOR DOLLARS. WE UTILIZE AN OUTSIDE CONTRACTOR TO PROVIDE APPLICATION ASSISTANCE. THE HOSPITAL'S FINANCIAL ASSISTANCE STATEMENT (HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-STATEMENT.HTML) AND FINANCIAL ASSISTANCE POLICY (HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-POLICY.HTML) ARE POSTED ON THE HOSPITAL'S WEBSITE AND AVAILABLE AT REGISTRATION. THE DOCUMENTS ARE AVAILABLE IN ENGLISH AND SPANISH. FOR FAMILIES SPEAKING OTHER LANGUAGES, WE UTILIZE ONSITE INTERPRETER SERVICES AND/OR PROFESSIONAL CONTRACTED INTERPRETATION AND TRANSLATION SERVICES. |
| PART VI, LINE 4: | ST. JUDE CHILDREN'S RESEARCH HOSPITAL IN MEMPHIS, TN, IS A SPECIALTY HOSPITAL THAT TREATS PEDIATRIC CATASTROPHIC DISEASES WITH A FOCUS ON CANCER AND BLOOD DISORDERS. PATIENTS AT ST. JUDE ARE REFERRED BY A PHYSICIAN, DIAGNOSED WITH A DISEASE CURRENTLY UNDER STUDY, AND ELIGIBLE FOR A RESEARCH PROTOCOL. ST. JUDE IS THE ONLY PEDIATRIC RESEARCH CENTER FOR CHILDREN WITH CATASTROPHIC DISEASES, INCLUDING CANCER AND BLOOD DISORDERS, WHERE FAMILIES NEVER PAY FOR TREATMENT NOT COVERED BY INSURANCE. IN FACT, NO FAMILY EVER PAYS ST. JUDE FOR ANYTHING. TRANSPORTATION, HOUSING AND FOOD ARE AMONG THE NO-COST SERVICES PROVIDED TO ENSURE FAMILIES COMING TO ST. JUDE CAN FOCUS ON THEIR CHILD. NO CHILD IS EVER DENIED TREATMENT DUE TO RACE, SEX, NATIONALITY, ETHNICITY, RELIGION, OR THE FAMILY'S ABILITY TO PAY. THE COMMUNITY SERVED BY ST. JUDE CAN BEST BE DEFINED BY UNDERSTANDING ST. JUDE'S PATIENT POPULATION AND SCOPE OF CLINICAL SERVICES. ST. JUDE SERVES AS A NATIONAL REFERRAL CENTER FOR CHILDREN WITH CATASTROPHIC DISEASES, SUCH AS CANCER AS WELL AS A LOCAL REFERRAL CENTER FOR CHILDREN WITH CANCER, BLOOD DISORDERS, AND HIV/AIDS. IT DOES NOT ADMIT CHILDREN FOR ANY DIAGNOSTIC GROUPS OUTSIDE OF THESE SERVICES AND DOES NOT OFFER MEDICAL SERVICES BEYOND THOSE NECESSARY TO CARE FOR CHILDREN WITH THESE DISEASES. ST. JUDE DOES NOT HAVE AN EMERGENCY ROOM (ER). A REFERRAL FROM A MEDICAL PROFESSIONAL EXTERNAL TO ST. JUDE, TYPICALLY THE CHILD'S PEDIATRICIAN OR A PEDIATRIC SUBSPECIALIST, IS NECESSARY PRIOR TO ACCEPTING A PATIENT FOR TREATMENT TO ST. JUDE. ST. JUDE'S PRIMARY CLINICAL EFFORT CENTERS ON PROVIDING GROUND-BREAKING, RESEARCH-DRIVEN TREATMENTS. SPECIFICALLY, MORE THAN 7,800 PATIENTS ARE SEEN AT ST. JUDE YEARLY, MOST OF WHO ARE ENROLLED ON CLINICAL TRIALS FOR NEW TREATMENTS DEVELOPED BY ST. JUDE, AND WHO ARE TREATED ON A CONTINUOUS OUTPATIENT BASIS. THE HOSPITAL HAS 69 OPERATIONAL BEDS FOR PATIENTS REQUIRING HOSPITALIZATION DURING TREATMENT. IT SHOULD BE NOTED THAT ST. JUDE HAS DEVELOPED UNIQUE RESOURCES THAT ALLOW A SIGNIFICANT PORTION OF PATIENTS TO BE TREATED AS OUTPATIENTS WHO WOULD BE ADMITTED INTO INPATIENT UNITS AT MOST HOSPITALS. THIS IS ACCOMPLISHED THROUGH PATIENT HOUSING DEDICATED SOLELY TO ST. JUDE PATIENT FAMILIES DESIGNED WITH INFECTION CONTROL MEASURES SUCH AS HEPA FILTRATION, INFECTION-RESISTANT SURFACES AND OTHER MEDICAL SAFEGUARDS THAT ARE NOT AVAILABLE IN HOTELS OR PATIENTS' HOMES. ST. JUDE HAS A NETWORK OF EIGHT AFFILIATED PEDIATRIC HEMATOLOGY/ONCOLOGY CLINICS IN THE U.S., ALLOWING ST. JUDE TO EXTEND CARE AND BENEFITS TO MORE CHILDREN AND INCREASE THE NUMBER OF CHILDREN ABLE TO BE TREATED ON ST. JUDE CLINICAL TRIAL.ST. JUDE ALSO OPERATES AN INTERNATIONAL OUTREACH PROGRAM IN GLOBAL PEDIATRIC MEDICINE (GPM), AIMED AT IMPROVING SURVIVAL RATES OF CHILDREN WITH CANCER AND OTHER CATASTROPHIC DISEASES WORLDWIDE. ST. JUDE ACCOMPLISHES THIS BY SHARING KNOWLEDGE, TECHNOLOGY AND ORGANIZATIONAL SKILLS, IMPLEMENTING NEW APPROACHES TO TREAT PEDIATRIC CANCER GLOBALLY, AND GENERATING INTERNATIONAL NETWORKS COMMITTED TO ERADICATING CANCER IN CHILDREN. THERE ARE AN ESTIMATED 175,000 NEWLY DIAGNOSED CASES OF CHILDHOOD CANCER WORLDWIDE EACH YEAR, AND 84% OCCUR IN LOW- AND MIDDLE-INCOME COUNTRIES. CANCER IS EMERGING AS A MAJOR CAUSE OF CHILDHOOD DEATH IN ALL DEVELOPING COUNTRIES, REPLACING OTHER CAUSES OF CHILDHOOD MORTALITY (E.G. HIV, MALNUTRITION, INFECTIONS). DESPITE VAST IMPROVEMENTS IN THERAPY AND SURVIVAL IN HIGH-INCOME COUNTRIES OVER THE PAST 30 YEARS, AN ESTIMATED 60% DO NOT HAVE ACCESS TO ADEQUATE DIAGNOSIS AND MODERN CARE. ST. JUDE STRIVES TO ADDRESS THE NEEDS OF THOSE CHILDREN IN COUNTRIES THAT LACK SUFFICIENT RESOURCES AND HELP THEM MANAGE THEIR OWN BURDEN OF CASES EFFECTIVELY. WHILE SICK CHILDREN FROM AROUND THE WORLD HAVE TRAVELED TO OUR HOSPITAL IN MEMPHIS, RECEIVING TREATMENT IN THEIR OWN COUNTRIES IS MORE EFFICIENT AND LESS DISRUPTIVE FOR THEM AND THEIR FAMILIES. AS A RESULT OF OUR INTERNATIONAL EFFORTS, WE ARE ABLE TO REACH FAR MORE CHILDREN THAN WOULD EVER BE ABLE TO COME TO MEMPHIS. A BASIC HEALTHCARE INFRASTRUCTURE IS NEEDED TO SUPPORT PEDIATRIC ONCOLOGY PROGRAMS, WHICH IN TURN FURTHER IMPROVES THE DEVELOPMENT OF BASIC HEALTHCARE. AT THE LOCAL LEVEL, GPM DEVELOPS PARTNERSHIPS WITH MEDICAL INSTITUTIONS AND FUND-RAISING ORGANIZATIONS AND FACILITATES THE INVOLVEMENT OF OTHER AND GOVERNMENT ORGANIZATIONS TO SUPPORT KEY PROGRAMS AND THE EDUCATION OF LOCAL PERSONNEL. AT THE REGIONAL LEVEL, GPM DEVELOPS PROGRAMS THROUGH THE USE OF TECHNOLOGY AND FOSTERS REGIONAL AND INTERNATIONAL COLLABORATIONS WITH OTHER PEDIATRIC MEDICAL INSTITUTIONS. THE PRIMARY GOAL IS TO DEVELOP LOCAL AND REGIONAL SELF-SUFFICIENCY. THIS MODEL RESULTS IN SIGNIFICANT OVERALL IMPROVEMENT IN HEALTHCARE FACILITIES, THE LEVEL OF PRACTICE, THE CONFIDENCE OF HEALTHCARE PROVIDERS, AND LOCAL COMMUNITY INVOLVEMENT. ST. JUDE EMPHASIZES THE BUILDING OF REGIONAL EXPERTISE AND DIAGNOSTIC CAPABILITIES, WHICH PROVIDE A CRITICAL MASS OF PROFESSIONALS WHO CONTINUALLY LEARN FROM AND ASSIST EACH OTHER. COST EFFICIENCY IS ALSO REALIZED BECAUSE OF SHARED RESOURCES.ST. JUDE HAS PARTNERSHIPS WITH 28 MEDICAL INSTITUTIONS ACROSS 17 DIFFERENT COUNTRIES - BRAZIL, CHILE, CHINA, COSTA RICA, DOMINICAN REPUBLIC, ECUADOR, EL SALVADOR, GUATEMALA, HAITI, HONDURAS, JORDAN, LEBANON, MEXICO, NICARAGUA, PHILIPPINES, URUGUAY AND VENEZUELA. ST. JUDE WORKS WITH ITS PARTNERS TO DEVELOP EVIDENCED-BASED TREATMENT PROTOCOLS TAILORED TO REGIONAL NEEDS AND RESOURCES. ADDITIONALLY, ST. JUDE PHYSICIANS AND NURSES SERVE AS MENTORS TO CLINICAL PERSONNEL AT PARTNER SITES, PROVIDE LOCAL AND ONLINE TRAINING FOR ONCOLOGY CARE, DIAGNOSIS, AND SUPPORTIVE CARE, AND PARTICIPATE IN ONLINE MEETINGS TO DISCUSS CLINICAL CARE BEST PRACTICES. THE MAJORITY OF ONLINE MEETINGS AND TRAINING ARE PROVIDED VIA ST. JUDE'S WEB-BASED PLATFORM, ST. JUDE CURE4KIDSTM (C4K), A FREE RESOURCE FOR PEDIATRIC ONCOLOGY PROFESSIONALS, SCIENTISTS AND RESEARCHERS, REGARDLESS OF THEIR AFFILIATION WITH ST. JUDE OR ITS PARTNERS. IN ADDITION TO CONTENT THAT INCLUDES MORE THAN 1,600 ONLINE SEMINARS, 18 SELF-PACED COURSES, AND 40 INSTRUCTOR-LED COURSES, C4K PROVIDES ONLINE MEETING AND CONFERENCE SPACE. IN FY18, C4K HAD 45,585 CONTENT VIEWS WITH 7,640 UNIQUE REGISTERED USERS, AND HOSTED 2,274 MEETINGS WITH 2,104 UNIQUE PARTICIPANTS FROM 150 DIFFERENT COUNTRIES; THERE ARE 64 NCI CENTERS THAT PARTICIPATE IN C4K. FINALLY, ST. JUDE PARTNERS WITH LOCAL FUNDRAISING ORGANIZATIONS THAT SUPPORT THE MEDICAL PROGRAMS. THIS MODEL HAS PROVEN TO BE HIGHLY EFFECTIVE IN PROVIDING POOR CHILDREN IN DEVELOPING COUNTRIES ACCESS TO MODERN TREATMENT AND CARE.ST. JUDE IS ALSO A RESEARCH ORGANIZATION, WITH RESEARCH COVERING A BROADER SCOPE OF HEALTH ISSUES THAN THE DISEASES TREATED AS A PRIMARY DIAGNOSIS. THE HOSPITAL'S OUTREACH INCLUDES THE LOCAL MARKET, AFFILIATE INSTITUTIONS, OTHER AREAS OF THE UNITED STATES/U.S. TERRITORIES, AND THE INTERNATIONAL COMMUNITY. THE LOCAL MARKET ENCOMPASSES MEMPHIS, TENNESSEE AND THE SURROUNDING GEOGRAPHIC AREA WITH APPROXIMATELY 25% OF NEW ONCOLOGY PATIENTS RESIDING WITHIN THIS AREA. FY18 NEW CANCER PATIENTSPATIENT ORIGIN % OF TOTALMEMPHIS, TN AND SURROUNDING AREA 25%AFFILIATE REFERRAL 39%NATIONAL REFERRAL (OTHER AREAS OF U.S.) 28%INTERNATIONAL REFERRAL 8%GRAND TOTAL 100%THE ST. JUDE AFFILIATE PROGRAM (AP) IS A NETWORK OF EIGHT AFFILIATED PEDIATRIC HEMATOLOGY/ONCOLOGY CLINICS IN THE U.S., ALLOWING ST. JUDE TO EXTEND CARE AND BENEFITS TO MORE CHILDREN AND INCREASE THE NUMBER OF CHILDREN ABLE TO BE TREATED ON ST. JUDE CLINICAL TRIALS CLOSER TO HOME. THE PHYSICIANS AND STAFF AT THESE SITES WORK IN COLLABORATION WITH THE STAFF AT ST. JUDE TO DELIVER PROTOCOL RELATED CARE OR EVIDENCE BASED TREATMENT WHEN NOT PARTICIPATING IN A TRIAL TO PEDIATRIC HEMATOLOGY-ONCOLOGY PATIENTS, SO THAT PATIENTS CAN RECEIVE CARE CLOSER TO HOME. AFFILIATES ARE CURRENTLY LOCATED IN BATON ROUGE, LA, CHARLOTTE, NC, HUNTSVILLE, AL, JOHNSON CITY, TN, PEORIA, IL, SHREVEPORT, LA, SPRINGFIELD, MO, AND TULSA, OK. THE AFFILIATES' ENROLLMENT OF PATIENTS ON ST. JUDE CLINICAL TRIALS HELPS ST. JUDE FIND CURES FASTER AND SAVE MORE CHILDREN. (NOTE: THIS NARRATIVE FOR PART VI, LINE 4 IS CONTINUED BELOW.) - SEE PAGE 115/116 |
| PART VI, LINE 5: | ST. JUDE CHILDREN'S RESEARCH HOSPITAL WAS OPENED IN 1962. OUR MISSION IS TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRIC CATASTROPHIC DISEASES THROUGH RESEARCH AND TREATMENT. CONSISTENT WITH THE VISION OF OUR FOUNDER, DANNY THOMAS, NO CHILD IS DENIED TREATMENT BASED ON RACE, RELIGION OR A FAMILY'S INABILITY TO PAY. OUR VISION IS TO BE THE WORLD LEADER IN ADVANCING THE TREATMENT AND PREVENTION OF CATASTROPHIC DISEASES IN CHILDREN. THIS VISION IS PURSUED BY PROVIDING OUTSTANDING PATIENT CARE; BY CONDUCTING BASIC, TRANSLATIONAL AND CLINICAL RESEARCH DESIGNED TO ELUCIDATE BIOLOGICAL MECHANISMS, UNDERSTAND DISEASE PATHOGENESIS, IMPROVE DIAGNOSIS, ENHANCE TREATMENT OUTCOME, PREVENT DISEASES AND MINIMIZE ADVERSE CONSEQUENCES OF TREATMENT; AND BY EDUCATING HEALTH CARE AND SCIENTIFIC RESEARCH PROFESSIONALS. THROUGH THESE EFFORTS, WE SEEK TO CURE AND ENHANCE THE QUALITY OF LIFE FOR AN INCREASING NUMBER OF CHILDREN WHO COME TO US FOR TREATMENT BY EXPANDING AND SHARING KNOWLEDGE TO ADVANCE TREATMENT OF CHILDREN WITH CATASTROPHIC DISEASES WORLDWIDE, WHILE DEVELOPING STRATEGIES TO PREVENT CATASTROPHIC DISEASES IN CHILDREN.ST. JUDE COMBINES LABORATORY AND CLINICAL RESEARCH TO ADVANCE THE CARE OF CHILDREN WITH CANCER AND OTHER CATASTROPHIC DISEASES. THE FOCUS IS ON PROVIDING OUTSTANDING PATIENT CARE RESULTS AND ON RESEARCH FINDINGS THAT TRANSLATE INTO IMPROVED PATIENT OUTCOMES. ST. JUDE HAS AN ACADEMIC FACULTY ENGAGED IN A BROAD SPECTRUM OF RESEARCH, INCLUDING THERAPEUTIC TRIALS, INVESTIGATION OF DISEASE PATHOGENESIS AND DISCOVERY-ORIENTED BASIC RESEARCH.HOSPITAL OPERATIONS ARE OVERSEEN BY A BOARD OF GOVERNORS, MOST OF WHICH ARE NEITHER EMPLOYEES, INDEPENDENT CONTRACTORS, OR THEIR FAMILY MEMBERS. RESEARCH ACTIVITIES ARE REVIEWED ANNUALLY BY A SCIENTIFIC ADVISORY BOARD COMPOSED OF INTERNATIONALLY PROMINENT PHYSICIANS AND SCIENTISTS.ST. JUDE CONTRIBUTED TO THE BUILDING OF A STATE-OF-THE ART NEUROSURGICAL FACILITY FOR TREATING LOCAL PEDIATRIC PATIENTS AND ST. JUDE BRAIN TUMOR PATIENTS. THE FACILITY IS EQUIPPED WITH INTRA-OPERATIVE IMAGING EQUIPMENT (IMRI). WHEN PURCHASED, ONLY TWO NEUROSURGICAL FACILITIES IN THE UNITED STATES PROVIDED PATIENTS WITH THIS LEVEL OF TREATMENT, WHICH ALLOWS IMAGING TO TAKE PLACE DURING SURGICAL PROCEDURES. IMRI EQUIPMENT ALLOWS SURGEONS TO MAKE INFORMED DECISIONS DURING THE SURGERY. LIVE WEB CASTS ALLOW OTHERS TO VIEW PROCEDURES. OUR ASSISTANCE WITH THIS FACILITY HELPS ASSURE THAT CHILDREN IN THE AREA HAVE ACCESS TO THE BEST NEUROSURGICAL TREATMENT AVAILABLE.ST. JUDE COMPLETED THE FIRST PHASE OF THE PEDIATRIC CANCER GENOME PROJECT (PCGP) IN JANUARY 2013 - A COLLABORATION WITH WASHINGTON UNIVERSITY TO FIND CLUES TO THE CAUSES OF CHILDHOOD CANCER AND POTENTIAL NEW TREATMENTS AND CURES. THE PROJECT HAS RESULTED IN GROUNDBREAKING DISCOVERIES IN A NUMBER OF CHILDHOOD CANCERS INCLUDING RETINOBLASTOMA, MEDULLOBLASTOMA, NEUROBLASTOMA, DIFFUSE INTRINSIC PONTINE GLIOMA, TWO AGGRESSIVE FORMS OF LEUKEMIA AND LOW-GRADE GLIOMAS. IN DECEMBER 2012, THE PCGP WAS RECOGNIZED AS ONE OF TIME MAGAZINE'S TOP 10 MEDICAL BREAKTHROUGHS AND, IN 2013, AS ONE OF TIME MAGAZINE'S TOP 100 NEW SCIENTIFIC DISCOVERIES. THE SECOND PHASE OF PCGP EXAMINED THE CANCER SAMPLES FROM 300 CHILDREN AND FOCUSED ON DEFINING MUTATIONS THAT CONTRIBUTE TO TUMOR FORMATION, CHARACTERIZING THE STATE OF THE CANCER CELL'S EPIGENOME AND DESCRIBING HOW IT DIFFERED FROM WHAT IS SEEN IN THE NORMAL CELLS. THE SECOND PHASE ALSO INCLUDED A CLINICAL GENOMICS PROJECT CALLED GENOMES FOR KIDS THAT INVOLVED NEXT-GENERATION SEQUENCING FOR CHILDREN WITH CANCER. WHEN PHASE 2 IS COMPLETE, ST. JUDE HOPES TO HAVE A MODEL FOR HOW TO EXTEND GENOME SEQUENCING TO EVERY CHILDHOOD CANCER PATIENT IN THE UNITED STATES. FROM ITS BEGINNINGS IN 2010, THE PCGP IS THE LARGEST, BROADEST, PRIVATELY FUNDED SEQUENCING PROJECT FOR CHILDREN WITH CANCER AND HAS SEQUENCED MORE THAN 800 MATCHED PAIRS OF TUMOR AND HEALTHY GENOMES FROM YOUNG PATIENTS. THE PCGP HAS PROVIDED NEW DETAILS ABOUT THE MUTATIONS THAT UNDERLIE THE DEVELOPMENT AND GROWTH OF A RANGE OF CHILDHOOD CANCERS, AND HAS LAID THE FOUNDATION FOR IMPROVED DIAGNOSTIC TESTING AND THE NEXT GENERATION OF MORE EFFECTIVE, LESS-TOXIC THERAPIES. THE PROJECT HAS LED TO NEW DIRECTIONS IN RESEARCH INVOLVING HIGH-RISK LEUKEMIA, BRAIN AND SOLID TUMORS AS WELL AS NEW COMPUTATIONAL METHODS THAT HAVE BEEN SHARED FOR FREE WITH THE GLOBAL SCIENTIFIC COMMUNITY.THE CYCLOTRON (PARTICLE ACCELERATOR) AT ST. JUDE ENABLES RESEARCHERS TO TRACK THE GROWTH OF CANCER CELLS, PINPOINT THE PRODUCTION OF NEW DNA BY TUMOR CELLS AND STUDY THE HEARTS OF ADULT CHILDHOOD CANCER SURVIVORS RETURNING TO ST. JUDE FOR LIFETIME FOLLOW-UP. THE CYCLOTRON HELPS RESEARCHERS BETTER UNDERSTAND CHILDHOOD CANCER BY ENABLING THEM TO PRODUCE NEW, VERY SHORT-ACTING TRACERS.ST. JUDE USES THE SERVICES OF CHILDREN'S GMP, LLC (OF WHICH ST. JUDE IS THE SOLE MEMBER). CHILDREN'S GMP, LLC, MANAGES AND OPERATES A GOOD MANUFACTURING PRACTICE (GMP) FACILITY THAT ENGAGES IN THE PRODUCTION OF BIOLOGICS AND DRUGS FOR RESEARCH. THE GMP OFFERS RESOURCES TO STUDY RARE DISEASES OVERLOOKED BY PHARMACEUTICAL COMPANIES BECAUSE THERE IS LITTLE PROFIT IN MANUFACTURING DRUGS FOR LESSER-KNOWN DISEASES. THE FACILITY, OPERATING ACCORDING TO APPROVED FDA STANDARDS, ALLOWS DOCTORS TO TAILOR TREATMENTS SPECIFICALLY FOR AN INDIVIDUAL CHILD.THE CELL AND TISSUE IMAGING CENTER INCLUDES ELECTRON MICROSCOPY AND LIGHT MICROSCOPY. THE FACILITY PROVIDES INVESTIGATORS ACCESS TO TRANSMISSION ELECTRON MICROSCOPY, CONFOCAL LASER SCANNING MICROSCOPY, MULTIPHOTON MICROSCOPY, IMAGE ANALYSIS, CELL MICROINJECTION AND LIVE CELL IMAGING. THE FEI TECNAI 20 200KV FEG ELECTRON MICROSCOPE, WHICH CAN MAGNIFY AN OBJECT 700,000 TIMES, IS AT THE HEART OF THIS PROGRAM. THIS TECHNOLOGY ALLOWS RESEARCHERS TO GET A CLOSER LOOK AT CANCER TO BETTER UNDERSTAND HOW IT GROWS AND SPREADS AND RESPONDS TO THERAPY. USING THE ELECTRON MICROSCOPE, RESEARCHERS LEARN HOW CANCER CELLS BREAK AWAY FROM THE TUMOR AND SPREAD THROUGHOUT THE BODY.ST. JUDE IS HOME TO THE ONLY PROTON BEAM RADIATION THERAPY CENTER DEVOTED SOLELY TO TREATING CHILDREN WITH BRAIN TUMORS AND SEVERAL OTHER CHILDHOOD CANCERS. PROTON THERAPY IS LESS DAMAGING TO SURROUNDING HEALTHY TISSUE THAN OTHER CURRENT RADIATION THERAPIES. THIS EQUIPMENT ENABLES ST. JUDE TO PROVIDE THIS THERAPY IN A MORE INTEGRATED MANNER TO OUTPATIENTS AND ALLOW OUR RADIATION ONCOLOGISTS TO LEAD THE DEVELOPMENT OF NEW TREATMENTS WITH PROTONS. TO FURTHER PALLIATIVE SERVICES IN THE COMMUNITY, ST. JUDE PARTICIPATED WITH LE BONHEUR CHILDREN'S HOSPITAL IN DEVELOPING THE QUALITY OF LIFE FOR ALL KIDS PALLIATIVE PROGRAM FOR SERIOUSLY ILL CHILDREN. HOSPICE STAFF, BOTH IN THE HOME AND IN THE HOSPICE RESIDENCE, PROVIDES INTERDISCIPLINARY CARE TO CHILDREN THROUGHOUT THE ILLNESS TRAJECTORY AND CONCURRENT THERAPIES.ST. JUDE ADMINISTRATIVE LEADERS AND FACULTY MEMBERS OF THE DEPARTMENT OF PHARMACEUTICAL SCIENCES HAVE BEEN AT THE FOREFRONT OF BRINGING NATIONAL ATTENTION TO THE PEDIATRIC CANCER DRUG SHORTAGE TOPIC, ACTIVELY ENGAGING REGULATORY AND LEGISLATIVE BODIES TO UNDERSTAND THE IMPACT THESE DRUG SHORTAGES HAVE ON PEDIATRIC CARE AND RESEARCH. PRESENTATIONS OR WRITTEN TESTIMONY HAVE BEEN PROVIDED TO THE FDA CENTER FOR DRUG EVALUATION AND RESEARCH WORKSHOP, TWO SENATE HEARINGS, AND HEALTH SUBCOMMITTEE OF THE HOUSE COMMITTEE ON ENERGY AND COMMERCE. ST. JUDE FOCUSES ON EDUCATING AND TRAINING THE NEXT GENERATION OF DOCTORS, NURSES, RESEARCHERS AND ACADEMIC LEADERS. FROM PROGRAMS FOR HIGH SCHOOL STUDENTS TO THE POSTDOCTORAL LEVEL, THE HOSPITAL PLAYS A MAJOR ROLE IN PREPARING FUTURE LEADERS OF SCIENCE AND MEDICINE. IN ADDITION TO ONSITE EDUCATION, THE ST. JUDE GLOBAL PROVIDES AN EDUCATION AND COLLABORATION WEB SITE, CURE4KIDS(TM) (WWW.CURE4KIDS.ORG). VIA THE CONNECT2PROTECT PROGRAM, ST. JUDE COLLABORATES WITH CHURCHES, OTHER HEALTH CARE ORGANIZATIONS AND CIVIC GROUPS TO RAISE AWARENESS ABOUT PREVENTING THE SPREAD OF HIV/AIDS. THE PRIMARY TARGET IS THE AFRICAN-AMERICAN COMMUNITY, ALTHOUGH OTHER ETHNIC GROUPS ARE ALSO SERVED INCLUDING ASIAN, CAUCASIAN AND HISPANIC.THE FUNDRAISING SOURCE FOR ST. JUDE IS ALSAC, WHICH RAISES FUNDS SOLELY FOR THE HOSPITAL. BECAUSE OF THE HOSPITAL'S MISSION, PEOPLE NATIONWIDE CONTRIBUTE VIA TENS OF THOUSANDS OF FUNDRAISING EFFORTS. ALSAC CONTRIBUTED $755 MILLION IN FY18 TO SUPPORT ST. JUDE.VOLUNTEERS ENHANCE THE QUALITY OF PATIENT CARE BY PARTNERING WITH CLINICAL STAFF TO PROVIDE AN ADDITIONAL PERSONAL TOUCH. VOLUNTEERS ALSO HELP ENSURE A SAFE ENVIRONMENT. THEY LEND ASSISTANCE AND PROVIDE COMPASSIONATE CONCERN BY OFFERING A LISTENING EAR TO FAMILIES AT A TIME WHEN THEY NEED IT MOST. THEY ARE VITAL AMBASSADORS FOR THE HOSPITAL AND COMMUNITY. |
| PART VI, LINE 2 (CONTINUATION FROM 98/116): | HEMATOLOGYTHE GEOGRAPHIC CATCHMENT AREA FOR ST. JUDE ENCOMPASSES 21 COUNTIES IN WESTERN TENNESSEE INCLUDING MEMPHIS, AND AREAS IN EAST ARKANSAS, NORTH MISSISSIPPI, AND A FEW COUNTIES IN MISSOURI. MORE THAN 70,000 PEOPLE IN THE UNITED STATES HAVE SICKLE CELL DISEASE (SCD), AND IT IS ESTIMATED THAT MORE THAN 1 MILLION PEOPLE WORLDWIDE SUFFER FROM THE DISEASE. IT IS THE MOST FREQUENT GENETIC BLOOD DISORDER IN THE WORLD. ST. JUDE HAS ONE OF THE LARGEST PEDIATRIC SCD PROGRAMS IN THE COUNTRY AND PROVIDES COMPREHENSIVE TREATMENT AND EDUCATION TO ABOUT 900 CHILDREN WITH SCD IN THE GEOGRAPHIC CATCHMENT AREA. SCD IS DIAGNOSED BY STATE-WIDE NEWBORN SCREENING IN ALL 50 STATES. ST. JUDE HAS A PARTNERSHIP WITH NEWBORN SCREENING PROGRAMS IN TN AND MS THAT ENSURES A STABLE RELATIONSHIP AMONG PARENTS, PATIENTS, PRIMARY CARE PROVIDERS. ABOUT 50 NEWBORNS WITH SCD ARE IDENTIFIED EACH YEAR IN OUR GEOGRAPHIC CATCHMENT AREA. OUR SCD INFANT TODDLER PROGRAM CONTACTS AND ACCEPTS ALL CHILDREN DIAGNOSED WITH THE DISEASE TO ITS COMPREHENSIVE CARE SERVICE. ADDITIONALLY, ST. JUDE PROVIDES TRAIT COUNSELING SERVICE TO INFANTS BORN WITH SICKLE CELL TRAIT TO 21 COUNTIES IN WESTERN TN. ST. JUDE PROVIDES CONFIRMATORY TESTING, EDUCATION AND COMPREHENSIVE CARE AND FOLLOW-UP THROUGHOUT CHILDHOOD FOR CHILDREN WITH SCD DISEASE. FROM BIRTH TO AGE 18 YEARS, PATIENTS ARE CLINICALLY EVALUATED AT LEAST EVERY 6 MONTHS, RECEIVE EDUCATION AND MULTI-DISCIPLINARY SERVICES ACCORDING TO STANDARDIZED TREATMENT AND EDUCATION GUIDELINES. SERVICES ALSO INCLUDE COMMUNITY OUTREACH AND EDUCATION OF THE LOCAL COMMUNITY. ST. JUDE HAS ESTABLISHED A FORMAL TRANSITION PROGRAM TO ADULT CARE FOR PATIENTS WITH SCD AND PROVIDES SUPPORT TO PATIENTS AND FAMILIES THROUGHOUT THE TRANSITION PROCESS BY WORKING CLOSELY WITH THE ADULT SCD PROGRAMS AT METHODIST UNIVERSITY HOSPITAL AND REGIONAL ONE HOSPITAL. IN THE PAST, THE SCD PROGRAM AT ST. JUDE HAS COLLABORATED WITH SEVERAL FEDERALLY QUALIFIED HEALTH CARE CENTERS, WITH COMMUNITY PRIMARY CARE PHYSICIANS, LATINO MEMPHIS (THE LARGEST HISPANIC SOCIAL AGENCY IN TENNESSEE), WITH THE SICKLE CELL FOUNDATION OF TENNESSEE (A COMMUNITY-BASED SCD ORGANIZATION), AND WITH REGIONAL SCD PROVIDERS TO ENSURE A MEDICAL HOME AND ADEQUATE SOCIAL SUPPORT FOR ALL SCD PATIENTS IN THE AREA. ST. JUDE ASSESSES PATIENT NEEDS THROUGH PARENT AND PATIENT SURVEYS, INTERACTIVE EDUCATION, MATERIALS REVIEW, AND THROUGH GROUP DISCUSSIONS WITH PARENTS AND PATIENTS.ST. JUDE ALSO PROVIDES CLINICAL SERVICES FOR APPROXIMATELY 800 CHILDREN PER YEAR WITH OTHER NON-MALIGNANT HEMATOLOGICAL DISORDERS THROUGH A STRONG RELATIONSHIP WITH LOCAL COMMUNITY PHYSICIANS. CHILDREN FROM THE GEOGRAPHIC CATCHMENT AREA OF ST. JUDE (AS OUTLINED ABOVE) WITH ILLNESSES SUCH AS HEMOPHILIA, APLASTIC ANEMIA, THROMBOSIS, THALASSEMIA, SPHEROCYTOSIS, AND IMMUNE THROMBOCYTOPENIC PURPURA AND OTHER NON-MALIGNANT HEMATOLOGIC DISORDERS ARE REFERRED TO AND RECEIVE STATE-OF THE-ART CARE FROM ST. JUDE PHYSICIANS AND MEDICAL STAFF. ST. JUDE IS ONE OF A SELECT GROUP OF FEDERALLY RECOGNIZED PEDIATRIC HEMOPHILIA TREATMENT CENTERS AND PROVIDES STATE-OF-THE-ART COMPREHENSIVE CARE TO APPROXIMATELY 300 CHILDREN WITH BLEEDING AND THROMBOSIS DISORDERS.IN ADDITION TO PROVIDING AND CONTINUOUSLY IMPROVING STANDARDIZED CARE TO THESE PATIENT POPULATIONS, ST. JUDE HEMATOLOGY DEDICATES A SIGNIFICANT AMOUNT OF RESOURCES TO CLINICAL, TRANSLATIONAL, AND BASIC RESEARCH TO IMPROVE SURVIVAL AND DECREASE MORBIDITY OF CHILDREN WITH NON-MALIGNANT CHRONIC BLOOD DISEASES. MOST PATIENTS PARTICIPATE IN RESEARCH STUDIES, WHICH HAVE RESULTED IN MAJOR IMPROVEMENTS IN CLINICAL CARE. FOR EXAMPLE, RECENT RESULTS FROM THE BABY HUG TRIAL SHOWED THAT DAILY ORAL HYDROXYUREA IS SAFE AND EFFECTIVE FOR INFANTS AND YOUNG CHILDREN WITH SCD, WHICH LED TO THE RECOMMENDATION OF ITS GENERAL USE IN THIS SUBPOPULATION. ALSO, IN A FIRST-IN-MAN TRIAL, ST. JUDE HEMATOLOGY SHOWED THE SAFETY AND EFFICACY OF A NOVEL GENE TRANSFER AGENT CARRYING THE FACTOR IX GENE FOR TREATMENT OF HEMOPHILIA B; ALL TEN ADULT PARTICIPANTS WITH SEVERE HEMOPHILIA B HAD NO SERIOUS UNEXPECTED SIDE EFFECTS AND ALL PARTICIPANTS SHOWED AN INCREASE IN FACTOR IX LEVELS LEADING TO A SUBSTANTIAL REDUCTION IN THEIR BLEEDING TENDENCY. ADDITIONALLY, ST. JUDE HAS DEVELOPED A VECTOR FOR GENE TRANSFER TO TREAT CHILDREN WITH X LINKED SEVERE COMBINED IMMUNODEFICIENCY (X LINKED SCID) DISEASE WHICH HAS SHOWN PROMISE AS A CURE FOR THE DISEASE. FUTURE EFFORTS WILL CONTINUE TO FOCUS ON FINDING VIABLE CURES AND/OR TREATMENTS TO PREVENT COMPLICATIONS IN CHILDREN WITH SCD AND OTHER NON-MALIGNANT, CHRONIC HEMATOLOGIC DISEASES.HIVIN 1987, ST. JUDE'S FOUNDING FATHER, DANNY THOMAS DECLARED AIDS A CATASTROPHIC ILLNESS. IT WAS THEN THAT THE COMPREHENSIVE HIV CARE AND PREVENTION PROGRAM FOR CHILDREN AND YOUTH WAS ESTABLISHED. THE PROGRAM, LOCATED IN THE MEMPHIS METROPOLITAN STATISTICAL AREA, IS IN A COMMUNITY WHERE DESPITE ADVANCES IN TREATMENT, AVAILABILITY OF RAPID HIV TESTING, AND THE INCREASE IN EVIDENCE-BASED PREVENTION INTERVENTIONS, NEW INFECTION RATES REMAIN HIGH FOR MINORITIES, MALES (79%), AND YOUNG ADULTS AGES 15-34 (63%). SINCE ITS BEGINNING, THE HIV CLINICAL AND RESEARCH PROGRAM HAS PROVIDED EXCEPTIONAL CARE TO PERINATALLY-INFECTED INFANTS AND CHILDREN AND AN EXCELLENT YOUTH-FOCUSED HIV PROGRAM FOR YOUTH AGES 13 TO 21. THE SERVICES INCLUDE A STANDALONE LABORATORY THAT SUPPORTS THE HIV/AIDS CLINICAL & RESEARCH PROGRAMS, COMPREHENSIVE MEDICAL CARE, CASE MANAGEMENT SERVICES, A FULL PHARMACY, PATIENT ADVOCACY, PSYCHOSOCIAL, AND SPIRITUAL SUPPORT FOR PATIENTS AND THEIR FAMILIES. OUR STRONG COMMUNITY INFRASTRUCTURE, FORMALLY ESTABLISHED 12 YEARS AGO, IS COMMITTED TO THE CAUSE OF HIV EDUCATION AND PREVENTION IN THE COMMUNITY. OUR COMMUNITY COALITION, CONNECT TO PROTECT (C2P), CONTINUES TO HAVE 23 CONSISTENT AND ACTIVE MEMBERS THAT REPRESENT AIDS SERVICE ORGANIZATIONS, LOCAL GOVERNMENT, FAITH-BASED AND SOCIAL SERVICE ORGANIZATIONS. QUARTERLY, THE COALITION MEMBERS CONTINUE TO IDENTIFY AT-RISK YOUTH AND CREATE A PROFILE OF AVAILABLE COMMUNITY RESOURCES BASED ON ELIMINATING BARRIERS TO BEING LINKED TO AND RETAINED IN CARE. IN ADDITION TO DEVELOPING A SOLID HIV PREVENTION PLAN, COALITION MEMBERS, ALONGSIDE OUR CLINICAL RESEARCH STAFF, HAVE CO-FACILITATED AND/OR PARTICIPATED IN APPROXIMATELY 95 OUTREACH EVENTS, TRAININGS, AND SPEAKING ENGAGEMENTS REACHING ABOUT 2,688 PEOPLE FOR THE YEAR OF 2018.WORKING TO ALIGN THE STRATEGIC PLAN WITH THE HIV CONTINUUM OF CARE THAT SPECIFICALLY ADDRESSES YOUTH BARRIERS TO TESTING, SURVEILLANCE REPORTING AND LINKAGE OF NEWLY DIAGNOSED HIV+ YOUTH TO MEDICAL CARE IN RESOURCE POOR COMMUNITIES HAS BEEN A STRONG ASSET TO OUR COMMUNITY INFRASTRUCTURE. FOR THIS CALENDAR YEAR, OUR STRATEGIC MULTISITE INITIATIVE FOR LINKAGE AND ENGAGEMENT (SMILE) INTO CARE EFFORTS RESULTED IN APPROXIMATELY 71% (88/124) OF NEWLY DIAGNOSED HIV+ YOUTH BEING ENGAGED IN MEDICAL CARE AND 92% (81/88) OF THEM BEING RETAINED IN CARE. THIS SUCCESS SPEAKS TO STRATEGIC COMMUNITY MOBILIZATION, PARTNER AGENCY PARTICIPATION AND IMPROVED ACCESS TO CARE FOR NEWLY DIAGNOSED HIV POSITIVE YOUTH. PARTICIPANTS IN THE SMILE PROGRAM RECEIVE ASSISTANCE WITH LINKAGE AND ENGAGEMENT IN CARE SERVICES, SPECIALIZED CASE MANAGEMENT, CRISIS INTERVENTION, AND INDIVIDUALIZED COMMUNITY SERVICE AND RESOURCE REFERRALS AS INDIVIDUAL BARRIERS ARE IDENTIFIED. THE SMILE PROGRAM DATA HAS BEEN USED TO FACILITATE CONTINUED DIALOGUE WITHIN THE C2P COALITION. THE INTEGRATION OF BOTH PROGRAMS HAS ENCOURAGED THE COALITION TO PRIORITIZE ALIGNMENT OF THE STRATEGIC PLAN WITH THE HIV CARE CONTINUUM THEREBY IMPROVING ENGAGEMENT AND RETENTION IN CARE OUTCOMES FOR INDIVIDUALS THAT PARTICIPATE IN THE SMILE PROGRAM.OUR COMMUNITY BASED PREVENTATIVE RESEARCH PROTOCOL, HIV PREVENTION TRIALS NETWORK (HPTN) 083, IMPLORES A COMMUNITY BASED PARTICIPATORY RESEARCH (CBPR) APPROACH TO HELP REACH ELIGIBLE AT-RISK YOUTH AND YOUNG ADULTS. WE RECEIVED BUY-IN AND SUPPORT FROM VARIOUS STAKEHOLDERS BY HOSTING COMMUNITY BASED HIV TESTING EVENTS THAT OFFER LINKAGE INTO CARE FOR NEWLY DIAGNOSED HIV+ YOUTH AND LINK TO PRE-EXPOSURE PROPHYLAXIS (PREP) FOR THOSE WHO PRESENT HIV NEGATIVE. THIS PAST YEAR, THE HIV PREVENTION TEAM, SUCCESSFULLY LED 25 STAKEHOLDER/GATEKEEPER MEETINGS THAT FOCUSED ON PLANNING AND COORDINATING SPECIFIC OUTREACH AND EDUCATIONAL STRATEGIES. THIS YIELDED EIGHT (6 SMALL AND 2 LARGE SCALE EVENTS (E.G., TRANS AWARENESS PANEL DISCUSSION AND GALA, MINI BALL EVENTS, A KARAOKE DAY PARTY, AND A COMMUNITY KICKBALL GAME) THAT REACHED OVER 599 YOUTH AND YOUNG ADULTS. AS A RESULT, THERE HAVE BEEN APPROXIMATELY 75 INDIVIDUALS APPROACHED AS ELIGIBLE STUDY PARTICIPANTS AND APPROXIMATELY 45 ENROLLED THIS CALENDAR YEAR. THIS BRINGS OUR TOTAL NUMBER OF HPTN STUDY PARTICIPANTS TO 86. |
| LASTLY, WE HAVE STARTED A RETENTION IN CARE PROGRAM THAT WORKS | SIMULTANEOUSLY WITH THE SOCIAL WORK TEAM TO FORMULATE A CARE PLAN IN PREPARATION FOR TRANSITIONING PATIENTS FROM ADOLESCENT CARE TO ADULT CARE. THE PRIMARY NURSE PRACTITIONER, ASSIGNED SOCIAL WORKER, AND RETENTION IN CARE COORDINATOR REVIEW BEHAVIORS, BARRIERS, AND AREAS IN NEED OF SPECIAL ATTENTION TO HELP PROMOTE AND ENCOURAGE SUCCESSFUL TRANSITION. THIS CALENDAR YEAR, THE COORDINATOR ASSISTED WITH AND IS CURRENTLY FOLLOWING APPROXIMATELY 32 PATIENTS WITH TRANSITION AND CURRENTLY WORKS WITH 120 PATIENTS TO SUCCESSFULLY ASSURE THEY ARE RETAINED IN MEDICAL CARE. 1. AMERICAN CANCER SOCIETY. CANCER FACTS & FIGURES 2018. ATLANTA: AMERICAN CANCER SOCIETY; 2018.2. LIU ET AL. J CLIN ONCOL 34(14):1634-43, 2016.3. BHATIA ET AL. CANCER 122(15):2426-2439, 2016.4. HOW MANY CANCERS ARE LINKED WITH HPV EACH YEAR? CENTERS FOR DISEASE CONTROL AND PREVENTION. [ONLINE] HTTPS://WWW.CDC.GOV/CANCER/HPV/STATISTICS/CASES.HTM.5. TEENVAXVIEW: 2017 ADOLESCENT HUMAN PAPILLOMAVIRUS (HPV) VACCINATION COVERAGE REPORT. CENTERS FOR DISEASE CONTROL AND PREVENTION. [ONLINE] HTTPS://WWW.CDC.GOV/VACCINES/IMZ-MANAGERS/COVERAGE/TEENVAXVIEW/DATA-REPORTS/HPV/DASHBOARD/2017.HTML.6. HPV-ASSOCIATED CANCER RATES BY STATE. CENTERS FOR DISEASE CONTROL AND PREVENTION. [ONLINE] HTTPS://WWW.CDC.GOV/CANCER/HPV/STATISTICS/STATE/INDEX.HTM. |
| PART VI, LINE 4 (CONTINUATION FROM 104/116): | ST. JUDE PROVIDES FINANCIAL SUPPORT FOR CLINICAL OPERATIONS TO ENSURE EXCELLENT QUALITY OF CARE THAT MEETS ST. JUDE PROTOCOL GUIDELINES AND TO PROVIDE PATIENT ASSISTANCE. THE AP AND OTHER STAFF ASSIST THE AFFILIATES IN THE DEVELOPMENT OF NEW PEDIATRIC HEMATOLOGY-ONCOLOGY PROGRAMS; PROVIDE MONITORING AND CONSULTATION TO IMPROVE PATIENT CARE AND CLINICAL PROCESSES FOR THE AFFILIATE CLINIC AND CHILDREN'S HOSPITAL; AND PROVIDE NUMEROUS EDUCATIONAL OFFERINGS AND MENTORING FOR AFFILIATE STAFF. IN ADDITION, ST. JUDE HAS MANY PROCESSES TO ENSURE GOOD CONTINUITY OF CARE BETWEEN THE AFFILIATES AND ST. JUDE. THE AFFILIATES' CLINICAL RECORDS FOR SHARED PATIENTS ARE AVAILABLE IN ST. JUDE MEDICAL RECORDS AND EVERY AFFILIATE HAS ACCESS TO ST. JUDE ELECTRONIC MEDICAL RECORDS OF SHARED PATIENTS. THE AFFILIATES ALSO HAVE ACCESS TO ALL ELECTRONIC RESOURCES, E.G. PATIENT EDUCATION MATERIALS, RESEARCH PROTOCOLS, CLINICAL GUIDELINES AND RESOURCES; EVERYTHING ON THE ST. JUDE INTRANET. IN ADDITION TO ASSISTING THE AFFILIATES, ST. JUDE PROVIDES CONSULTATION SERVICES FOR MORE THAN 3,000 NATIONAL AND 900 INTERNATIONAL PHYSICIAN REQUESTS. FOR FY18 PATIENT CONSULTATIONS BY CONTINENT TOTALED 3,937 AS FOLLOWS:CONTINENT NUMBER OF PATIENT CONSULTATIONSNORTH AMERICA (INCL. CENTRALAMERICA AND CARIBBEAN) 3,234SOUTH AMERICA 134EUROPE 153AFRICA 29ASIA 320AUSTRALIA 55 UNKNOWN LOCATION 12TOTAL 3,937 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF TENNESSEE | |||||||
| 50 NORTH DUNLAP | MEMPHIS | TN | 38105 | 626001636 | GOVERNMENT ENTITY | $1,144,497 | COLLABORATION AND SUPPORT AGREEMENT |
| SAINT FRANCIS MEDICAL CENTER | |||||||
| 530 NE GLEN OAK AVE | PEORIA | IL | 61637 | 370662569 | 501(C)(3) | $490,909 | OPERATION OF ST. JUDE CLINIC |
| CHURCH HEALTH CENTER OF MEMPHIS | |||||||
| 1350 CONCOURSE AVE SUITE 142 | MEMPHIS | TN | 38104 | 581716113 | 501(C)(3) | $100,000 | FINANCIAL SUPPORT |
| NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS | |||||||
| 600 13TH STREET NW SUITE 500 | WASHINGTON | DC | 20005 | 582176067 | 501(C)(6) | $7,800 | CONTRIBUTION |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER | |||||||
| 777 HENNESY BLVD | BATON ROUGE | LA | 70808 | 720423651 | 501(C)(3) | $2,000,000 | FINANCIAL SUPPORT |
| GORDON RESEARCH CONFERENCES | |||||||
| 512 LIBERTY LANE | WEST KINGSTON | RI | 028921502 | 260150662 | 501(C)(3) | $6,000 | INTRINSICALLY DISORDERED PROTEINS AND DNA TOPOISOMERASES IN BIOLOGY AND MEDICINE CONFERENCES |
| UNIVERSITY HEALTH SHREVEPORT | |||||||
| 1505 KINGS HIGHWAY | SHREVEPORT | LA | 71103 | 800944985 | 501(C)(3) | $517,464 | COLLABORATION AND SUPPORT AGREEMENT |
| BELMONT UNIVERSITY | |||||||
| 1900 BELMONT BLVD | NASHVILLE | TN | 37212 | 620465076 | 501(C)(3) | $8,950 | TN HEALTH CARE HALL OF FAME CONFERENCE |
| CENTER FOR MEDICAL TECHNOLOGY POLICY | |||||||
| 401 E PRATT STREET SUITE 631 | BALTIMORE | MD | 21202 | 271203017 | 501(C)(3) | $10,000 | FINANCIAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ST. JUDE CHILDREN'S RESEARCH HOSPITAL IS ACTIVELY INVOLVED WITH THE DONEE. THROUGH THIS ACTIVE INVOLVEMENT, THE ORGANIZATIONS ARE MONITORED TO ENSURE THE SUPPORT IS USED APPROPRIATELY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD SHADYAC JR | ||||||||||||||
| EX-OFFICIO DIRECTOR | $0 | $790,468 | $0 | $0 | $0 | $3,564 | $0 | $80,445 | $0 | $19,112 | $0 | $893,589 | $0 | $0 |
| JAMES R DOWNING | ||||||||||||||
| PRESIDENT/CEO | $978,811 | $0 | $150 | $0 | $79,487 | $0 | $119,700 | $0 | $24,800 | $0 | $1,202,948 | $0 | $0 | $0 |
| PATRICIA A KEEL | ||||||||||||||
| SVP/CFO | $564,121 | $0 | $50,350 | $0 | $18,686 | $0 | $57,658 | $0 | $27,299 | $0 | $718,114 | $0 | $0 | $0 |
| JAMES I MORGAN | ||||||||||||||
| EVP/SCIENTIFIC DIRECTOR | $531,766 | $0 | $150 | $0 | $8,931 | $0 | $29,700 | $0 | $27,300 | $0 | $597,847 | $0 | $0 | $0 |
| ELLIS NEUFELD | ||||||||||||||
| EVP/CLINICAL DIRECTOR | $582,932 | $0 | $190,150 | $0 | $38,410 | $0 | $89,583 | $0 | $28,416 | $0 | $929,491 | $0 | $0 | $0 |
| MARY ANNA QUINN | ||||||||||||||
| EVP/CHIEF ADMIN OFFICER | $436,558 | $0 | $150 | $0 | $8,931 | $0 | $375,000 | $0 | $24,741 | $0 | $845,380 | $0 | $0 | $0 |
| CHARLES M ROBERTS | ||||||||||||||
| EVP/DIRECTOR CANCER CENTER | $736,703 | $0 | $150 | $0 | $43,770 | $0 | $141,100 | $0 | $22,841 | $0 | $944,564 | $0 | $0 | $0 |
| CARLOS RODRIGUEZ-GALINDO | ||||||||||||||
| EVP/CHAIR | $598,887 | $0 | $150 | $0 | $3,622 | $0 | $134,700 | $0 | $11,498 | $0 | $748,857 | $0 | $0 | $0 |
| ANDREW DAVIDOFF | ||||||||||||||
| CHAIR | $713,319 | $0 | $17,850 | $0 | $572,953 | $0 | $29,700 | $0 | $31,857 | $0 | $1,365,679 | $0 | $189,272 | $0 |
| CHARALAMPOS KALODIMOS | ||||||||||||||
| CHAIR | $281,458 | $0 | $540,150 | $0 | $41,361 | $0 | $2,167 | $0 | $18,869 | $0 | $884,005 | $0 | $0 | $0 |
| THOMAS E MERCHANT | ||||||||||||||
| CHAIR | $734,883 | $0 | $17,850 | $0 | $69,590 | $0 | $29,700 | $0 | $37,916 | $0 | $889,939 | $0 | $0 | $0 |
| RAUL C RIBEIRO | ||||||||||||||
| FACULTY | $382,851 | $0 | $17,850 | $0 | $573,887 | $0 | $29,700 | $0 | $12,361 | $0 | $1,016,649 | $0 | $0 | $0 |
| STEPHEN W WHITE | ||||||||||||||
| CHAIR | $360,041 | $0 | $27,850 | $0 | $421,155 | $0 | $29,700 | $0 | $73,915 | $0 | $912,661 | $0 | $0 | $0 |
| WILLIAM E EVANS | ||||||||||||||
| FACULTY/FORMER PRESIDENT/CEO | $654,652 | $0 | $17,850 | $0 | $8,790 | $0 | $29,700 | $0 | $11,498 | $0 | $722,490 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | FIRST-CLASS TRAVEL: ONE FORMER OFFICER PURCHASED ONE FIRST CLASS TICKET, THE ECONOMY PORTION WAS REIMBURSED BY THE HOST AND ONLY THE UPGRADE PORTION OF $598.67 WAS PAID WITH ST. JUDE FUNDS. TRAVEL EXPENSES ARE REIMBURSED UNDER AN ACCOUNTABLE PLAN AND NOT RECORDED AS COMPENSATION. TRAVEL FOR COMPANIONS: FAMILY MEMBER OF ONE FORMER OFFICER, TRAVELS ON HOSPITAL BUSINESS AS REQUIRED BY THE POSITION. TRAVEL EXPENSES ARE REIMBURSED UNDER AN ACCOUNTABLE PLAN AND NOT RECORDED AS COMPENSATION. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: A PAYMENT WAS ISSUED FOR DEPENDENT TUITION FOR TWO OFFICERS. THE APPLICABLE EXPENSE WAS GROSSED-UP AND INCLUDED IN THE EMPLOYEE'S W-2 AS ADDITIONAL TAXABLE COMPENSATION. |
| PART I, LINE 4B | THE ORGANIZATION ESTABLISHED A NON-QUALIFIED DEFERRED COMPENSATION PLAN PURSUANT TO CODE SECTION 457(F) OF THE INTERNAL REVENUE CODE. THE PLAN AMOUNTS ARE SUBJECT TO SUBSTANTIAL FUTURE SERVICE REQUIREMENTS TO THE ORGANIZATION AND ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PAYMENTS WERE MADE TO THE FOLLOWING LISTED PERSONS IN PART VII UNDER THE NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE YEAR: RAUL C. RIBEIRO - $565,425 STEPHEN W. WHITE - $412,456 |
| SCHEDULE J, PART II: | RICHARD C. SHADYAC, JR. SERVES AS AN EX-OFFICIO VOTING DIRECTOR OF THE BOARD OF ST. JUDE. MR. SHADYAC IS EMPLOYED AS AN OFFICER OF ALSAC, A RELATED ORGANIZATION TO ST. JUDE. THE COMPENSATION SHOWN IN COLUMNS (B), (C), (D) AND (E) WAS PAID TO MR. SHADYAC BY ALSAC FOR HIS DUTIES AS CEO OF ALSAC. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MARY RELLING | |||
| SEE PART V | $528,041 | EMPLOYMENT | 0 |
| SUSANNA DOWNING | |||
| SEE PART V | $59,348 | EMPLOYMENT | 0 |
| DIANE ROBERTS | |||
| SEE PART V | $212,895 | EMPLOYMENT | 0 |
| JEREMY QUINN | |||
| SEE PART V | $73,845 | EMPLOYMENT | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF INTERESTED PERSON: MARY RELLING(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF FORMER OFFICER (PRESIDENT AND CEO), WILLIAM E. EVANS.(C) AMOUNT OF TRANSACTION: $528,041(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF INTERESTED PERSON: SUSANNA DOWNING(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF PRESIDENT AND CEO, JAMES R. DOWNING.(C) AMOUNT OF TRANSACTION: $59,348(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF INTERESTED PERSON: DIANE ROBERTS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF OFFICER, CHARLES M. ROBERTS.(C) AMOUNT OF TRANSACTION: $212,895(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF INTERESTED PERSON: JEREMY QUINN(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF OFFICER, MARY ANNA QUINN.(C) AMOUNT OF TRANSACTION: $73,845(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO | ExplanationTxt |
Schedule M IRS990ScheduleM
Real Estate Other RealEstateOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,017,179 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST OR SELLING PRICE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER IN COLUMN (B) REFERS TO THE NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | FAMILY RELATIONSHIP AMONG DIRECTORS: JOSEPH S. AYOUB, JR., ESQ. AND PAUL J. AYOUB, ESQ.; GEORGE A. SIMON, II AND PAUL J. SIMON; ROBERT A. BREIT, MD AND JOSEPH G. SHAKER; JOSEPH C. SHAKER AND JOSEPH G. SHAKER; PAUL J. SIMON AND MICHAEL SIMON. |
| FORM 990, PART VI, SECTION A, LINE 4 | ON JUNE 23, 2018, ST. JUDE CHILDREN'S RESEARCH HOSPITAL AMENDED ARTICLE IV, SECTION 3, PARAGRAPH 1 OF ITS BYLAWS TO REDUCE THE MAXIMUM NUMBER OF ELECTED BOARD MEMBERS FROM 55 TO 45 AS OF JULY 1, 2018. |
| FORM 990, PART VI, SECTION B, LINE 11B | IN FEBRUARY OF EACH YEAR, THE AUDIT COMMITTEE AND OFFICERS OF THE BOARD ARE PROVIDED WITH A DRAFT COPY OF THE FORM 990 AND ALL REQUIRED SCHEDULES. THE AUDIT COMMITTEE MEETS WITH ITS TAX PREPARER TO REVIEW THE DRAFT FORM 990 BEFORE IT IS FILED WITH THE IRS. ADDITIONALLY THE COMPENSATION COMMITTEE OF THE BOARD IS PROVIDED WITH A DRAFT COPY OF THE COMPENSATION SECTIONS OF THE FORM 990, AND THE CONFLICT OF INTEREST COMMITTEE OF THE BOARD IS PROVIDED WITH A DRAFT COPY OF THE CONFLICT-OF-INTEREST SECTIONS OF THE FORM 990 FOR REVIEW BEFORE THE FINALIZED DOCUMENT IS FILED WITH THE IRS. EACH VOTING MEMBER OF THE BOARD IS PROVIDED WITH A FINAL COPY OF THE FORM 990 AND ALL REQUIRED SCHEDULES BEFORE IT IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | NEW BOARD MEMBERS ARE GIVEN A COPY OF THE BOARD OF GOVERNOR'S CONFLICT OF INTEREST POLICY AND COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. THERE IS A CONFLICT OF INTEREST COMMITTEE OF THE BOARD THAT REVIEWS THE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS THAT ARE COMPLETED BY EACH BOARD MEMBER AND DISCUSSES AND RESOLVES CONFLICTS OF INTEREST, WITH OPPORTUNITY FOR APPEAL TO THE FULL BOARD. IN ADDITION, THE ORGANIZATION HAS A CHIEF COMPLIANCE OFFICER AND COMPLIANCE DEPARTMENT, WHICH ADMINISTER THE CONFLICT OF INTEREST DISCLOSURE PROCESS FOR ALL EMPLOYEES IN CLINICAL, RESEARCH, AND SELECT ADMINISTRATIVE DEPARTMENTS, AS WELL AS EMPLOYEES IDENTIFIED AS SUPERVISORS OR WHO HAVE PURCHASING AUTHORITY. ALL SUCH EMPLOYEES COMPLETE CONFLICT OF INTEREST TRAINING AND A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE COMPLIANCE OFFICER ENSURES EMPLOYEES MEET THESE REQUIREMENTS AND REVIEWS SUBMITTED DISCLOSURES. DISCLOSURES IDENTIFIED AS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARE ADDRESSED BY THE COMPLIANCE OFFICE WITH INVOLVEMENT OF THE INSTITUTIONAL CONFLICT OF INTEREST COMMITTEE AS APPROPRIATE. DEPENDING ON THE FACTS AND CIRCUMSTANCES, THE ACTIVITY MAY BE MANAGED PURSUANT TO A MANAGEMENT PLAN, OR PROHIBITED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD'S COMPENSATION COMMITTEE COMMISSIONS ANNUAL THIRD PARTY SALARY SURVEYS TO DETERMINE COMPENSATION FOR THE FOLLOWING OFFICERS: CHIEF EXECUTIVE OFFICER, SCIENTIFIC DIRECTOR, CANCER CENTER DIRECTOR, CHIEF ADMINISTRATIVE OFFICER, CHIEF FINANCIAL OFFICER, CLINICAL DIRECTOR, CHIEF GOVERNANCE OFFICER/CORPORATE SECRETARY, CHIEF LEGAL OFFICER, AND CHAIR, DEPARTMENT OF GLOBAL PEDIATRIC MEDICINE. IN ADDITION, FIVE EMPLOYEES ARE CONSIDERED "DISQUALIFIED" BECAUSE THEY ARE FORMER EXECUTIVES OR RELATIVES OF CURRENT OR FORMER EXECUTIVES, AND THEIR COMPENSATION THEREFORE FALLS WITHIN THE COMPENSATION COMMITTEE'S PURVIEW. ALL CHANGES TO OFFICERS' SALARIES ARE APPROVED BY THE COMPENSATION COMMITTEE AND REPORTED TO THE BOARD. THE LAST REVIEW WAS COMPLETED IN DECEMBER 2018. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE ONLY AS REQUIRED BY APPLICABLE STATE LAW. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN UNRESTRICTED NET ASSETS OF ALSAC 550,657,594. CHANGE IN INTEREST IN RESTRICTED NET ASSETS OF ALSAC 62,266,520. |
| ADDITIONAL HEALTH NEEDS IDENTIFIED | IN ADDITION TO THE HEALTH NEEDS OUTLINED IN ITS 2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION PLAN, ST. JUDE HAS ALSO CHOSEN TO ADDRESS THE FOLLOWING HEALTH NEEDS: PEDIATRIC HEALTH NEED (ALIGNING WITH AIM #1 OF THE CHNA): TRANSITION ONCOLOGY PROGRAM HEALTH FACILITIES INVOLVED: ST. JUDE CHILDREN'S RESEARCH HOSPITAL, ACT CLINIC, TRANSITION ONCOLOGY PROGRAM (TOP) ANTICIPATED OUTCOME: PROVIDE PROSPECTIVE, SYSTEMATIC, TRANSITION-RELATED SERVICES FOR ONCOLOGY PATIENTS ACROSS THE CONTINUUM OF CARE THAT WILL SUPPORT TRANSITIONS FROM ACTIVE THERAPY TO TREATMENT AND FROM TREATMENT COMPLETION TO ACT. ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED: 1. IDENTIFY AND IMPLEMENT APPROPRIATE MANAGEMENT AND OPERATIONS STRUCTURE, AND BEGIN STAFFING THE PROGRAM. 2. CLOSELY MONITOR RESOURCES TO STAFF THE CLINIC TO ITS FULLEST FORM, AND COMPLETE AN ASSESSMENT AFTER THE FIRST 18 MONTHS OF OPERATION TO ENSURE THAT THE PROGRAM IS MEETING ITS PURPOSE. 3. EVALUATE IMPACT ON INTERPRETER SERVICES, CLINICAL INFORMATICS, REHABILITATION SERVICES, CLINIC SPACE, HOUSING, AND TRAVEL COSTS. 4. EVALUATE RESOURCES IN ACT IN ANTICIPATION OF AN INCREASE IN ACT PATIENT VOLUMES. PEDIATRIC HEALTH NEED (ALIGNING WITH AIM #3 OF THE CHNA): PREVENTING VIRUS-ASSOCIATED CANCERS THROUGH INCREASED HPV VACCINATION (HEALTH STATUS OF THE MEMPHIS COMMUNITY) HEALTH FACILITIES INVOLVED: ST. JUDE CHILDREN'S RESEARCH HOSPITAL ANTICIPATED OUTCOME: INCREASE THE VACCINATION RATES FOR HPV VACCINE LOCALLY AND STATE-WIDE ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED: 1. CREATE A TASK FORCE TO GATHER INFORMATION ABOUT CURRENT INITIATIVES AND PROGRAMS IN MEMPHIS, ACROSS TENNESSEE, AND NATIONALLY AND TO EVALUATE PUBLISHED STUDIES ON PROGRAM APPROACHES. 2. DEVELOP GOALS, STRATEGIES, AND ACTIONS FOR A HPV VACCINATION INITIATIVE. SELECTED ACCOMPLISHMENTS: 1. CREATE A TASK FORCE TO GATHER INFORMATION ABOUT CURRENT INITIATIVES AND PROGRAMS IN MEMPHIS, ACROSS TENNESSEE, AND NATIONALLY AND TO EVALUATE PUBLISHED STUDIES ON PROGRAM APPROACHES. OVER THE PAST YEAR, A TASK FORCE WAS CREATED BY THE CANCER CENTER AT ST. JUDE. LEADERSHIP INCLUDED MELISSA HUDSON, MD, AND MELISSA JONES. SEVERAL ACTIONS WERE COMPLETED TO GATHER INFORMATION AND LEARN ABOUT PROGRAMS IN PLACE AND THE IMPACT THESE PROGRAMS HAVE ON HPV VACCINATION RATES. INFORMATION WAS ALSO GATHERED TO UNDERSTAND POTENTIAL BARRIERS AS WELL AS LOCAL AND STATE-WIDE SUPPORT FOR A BROADER INITIATIVE. ACTIONS COMPLETED INCLUDE: - PARTICIPATED IN STATEWIDE HPV MEETING IN NASHVILLE - ENGAGED SHELBY COUNTY SCHOOLS, TNAAP, AND HPV CANCER FREE TENNESSEE (TN DEPT OF HEALTH) - HOSTED WEST TN CHAPTER MEETING - MET WITH AND LOBBIED SENATORS, HEALTH COMMISSIONER, AND GOVERNOR ON IMPORTANCE OF VACCINE - ATTENDED THE NCI CANCER CENTER HPV VACCINE MEETING IN JUNE - COMPLETED PUBLIC RELATIONS EFFORTS TO RAISE AWARENESS - COMPLETED A REVIEW OF THE LITERATURE - INTERVIEWED AND GATHERED INFORMATION ON NATIONAL PROGRAMS 2. DEVELOP GOALS, STRATEGIES, AND ACTIONS FOR A HPV VACCINATION INITIATIVE. THE TASK FORCE ALSO WORKED OVER THIS PAST YEAR TO DEVELOP A MORE COMPREHENSIVE PROGRAM AND STRATEGY. A LARGER CONCEPT HAS BEEN DEVELOPED THAT WILL BE REVIEWED AND EVALUATED FOR IMPLEMENTATION IN FY20. THE PROPOSAL IS FOCUSED ON ACHIEVING THE AMERICAN CANCER SOCIETY'S AND OTHER ORGANIZATIONS' GOAL OF ELIMINATING HPV-RELATED CANCERS THROUGH VACCINATION AND SCREENING. THIS GOAL AND VISION WAS ENDORSED BY ALL NCI-DESIGNATED CANCER CENTERS IN JUNE 2018. THE PROGRAM IS FOCUSED ON DEVELOPING AND DEPLOYING STRATEGICALLY ALIGNED INITIATIVES IN THREE CRITICAL AND INTERCONNECTED DOMAINS OF COMMUNITY, HEALTHCARE PROVIDERS AND SYSTEMS, AND PUBLIC POLICY. THERE ARE EIGHT GOALS OUTLINED IN THE PLAN. FURTHER REVIEW OF THE PLAN WILL OCCUR EARLY IN FY19, WITH ANTICIPATED INCLUSION IN THE FY20 BUDGET. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S GMP LLC | |||||||||
| 262 DANNY THOMAS PLACE | MEMPHIS | TN | 381053678 | 474475625 | VACCINE MANUFACTURER | TN | $433,875 | $1,312,451 | ST JUDE CHILDREN'S RESEARCH HOSPITAL INC |
| THANKS & GIVING LLC | |||||||||
| 262 DANNY THOMAS PLACE | MEMPHIS | TN | 381053678 | 201310435 | ROYALTY INCOME FROM RECORD SALES | TN | $0 | $10,632 | ST JUDE CHILDREN'S RESEARCH HOSPITAL INC |
| THE RIGHT WORDS LLC | |||||||||
| 262 DANNY THOMAS PLACE | MEMPHIS | TN | 381053678 | 954878579 | ROYALTY INCOME FROM BOOK SALES | NY | $0 | $0 | ST JUDE CHILDREN'S RESEARCH HOSPITAL INC |
| ST JUDE CHILDREN'S RESEARCH HOSPITAL GRADUATE SCHOOL OF BIOMEDICAL SCIENCES | |||||||||
| 262 DANNY THOMAS PLACE | MEMPHIS | TN | 381053678 | 813240987 | HIGHER EDUCATION | TN | $7,319 | $827,699 | ST JUDE CHILDREN'S RESEARCH HOSPITAL INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 ST JUDE PLACE | AddressLine1Txt |
| City | MEMPHIS | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 38105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351044585 | EIN |
| Primary Activities | SOLICIT SUPPORT FOR OPERATION OF ST. JUDE | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |