ST JUDE CHILDRENS RESEARCH HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ST JUDE CHILDRENS RESEARCH HOSPITAL INC (EIN 62-0646012)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-04-26
- IRS object ID
- 201701169349300515
- Schema version
- 2015v3.0
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-04-26T09:25:30-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | 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 | 2015-07-01 | 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 | 2017-04-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | FRAN BEDARD | PreparerPersonNm |
| PTIN | P00752421 | PTIN |
| Phone | 6152591800 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $1,029,329,830 | 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 | 44 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 41 | VotingMembersIndependentCnt |
| Total Employee | 4549 | TotalEmployeeCnt |
| Total Volunteers | 2964 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $674,808,276 | PYContributionsGrantsAmt |
| CY Contributions Grants | $895,523,715 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $105,576,630 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $114,471,276 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$528,233 | PYInvestmentIncomeAmt |
| CY Investment Income | -$931,340 | CYInvestmentIncomeAmt |
| PY Other Revenue | $14,958,853 | PYOtherRevenueAmt |
| CY Other Revenue | $18,454,213 | CYOtherRevenueAmt |
| PY Total Revenue | $794,815,526 | PYTotalRevenueAmt |
| CY Total Revenue | $1,027,517,864 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,441,777 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,804,019 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $395,123,545 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $426,318,943 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $354,119,545 | PYOtherExpensesAmt |
| CY Other Expenses | $367,096,278 | CYOtherExpensesAmt |
| PY Total Expenses | $753,684,867 | PYTotalExpensesAmt |
| CY Total Expenses | $797,219,240 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $41,130,659 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $230,298,624 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,080,012,224 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,292,347,585 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $324,768,253 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $334,430,658 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,755,243,971 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,957,916,927 | 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 | $389,040,517 | ExpenseAmt |
| Grant | $3,792,406 | GrantAmt |
| Revenue | $116,557,100 | RevenueAmt |
| Desc | PATIENT CARE: THE HOSPITAL PROVIDED 18,298 INPATIENT DAYS OF CARE DURING THE YEAR. OUR BONE MARROW TRANSPLANTATION PROGRAM ACCOUNTED FOR 4,000 OR 22% OF THOSE INPATIENT DAYS. PATIENTS MADE 75,825 CLINIC VISITS DURING THE YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $357,418,656 | ExpenseAmt |
| Grant | $8,613 | 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 ILLNESSSES. THE HOSPITAL AWARDS NO GRANTS TO OUTSIDE AGENCIES. ALL RESEARCH ACTIVITIES ARE CONDUCTED BY HOSPTIAL PERSONNEL. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,334,892 | ExpenseAmt |
| Grant | $3,000 | GrantAmt |
| Desc | EDUCATION AND TRAINING: AS PART OF ITS EDUCATIONAL MISSION, THE HOSPITAL PROVIDES AN INTERNATIONAL OUTREACH PROGRAM. THE MISSION OF THE INTERNATIONAL OUTREACH PROGRAM (IOP) IS TO IMPROVE THE SURVIVAL RATES OF CHILDREN WITH CANCER AND OTHER CATASTROPHIC DISEASES WORLDWIDE. THE IOP 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. THESE INITIATIVES ARE SPEARHEADED BY ST. JUDE EXPERTS WHO WORK CLOSELY WITH HEALTHCARE PROFESSIONALS AT OUR PARTNER SITES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $758,794,065 | 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 | Yes (1) | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | 0 | 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 | 1094 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4549 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 44 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 41 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 (58 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 | |||
| SALEM ABRAHAM | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN MACK AGUILLARD MD | |||||||||
| VOTING DIRECTOR | 4.00 | 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 | 8.00 | 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 | |||
| JOSE BARRA | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| MARTHA PERINE BEARD | |||||||||
| VOTING DIRECTOR | 8.00 | 4.00 | 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 | |||
| FRED P GATTAS JR | |||||||||
| 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 | 4.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JUDY HABIB | |||||||||
| VOTING DIRECTOR | 4.00 | 4.00 | 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 | |||
| FRED R HARRIS | |||||||||
| 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 | |||
| DAVID KARAM | |||||||||
| 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 | |||
| JAMES NAIFEH JR | |||||||||
| 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 | |||
| 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 | |||
| TERRE THOMAS | |||||||||
| 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 | $698,661 | $75,431 | |||
| JAMES R DOWNING | |||||||||
| PRESIDENT AND CEO | 55.00 | 1.00 | Yes (X) | $996,444 | $0 | $136,555 | Yes (X) | ||
| LARRY KUN | |||||||||
| EVP/CLINICAL DIRECTOR | 55.00 | 0.00 | $872,440 | $0 | $49,055 | Yes (X) | |||
| RICHARD GILBERTSON | |||||||||
| EVP/DIRECTOR CANCER CENTER | 55.00 | 0.00 | $427,384 | $0 | $173,955 | Yes (X) | |||
| MARY ANNA QUINN | |||||||||
| EVP/CHIEF ADMIN OFFICER | 55.00 | 0.00 | $418,366 | $0 | $78,315 | Yes (X) | |||
| CHARLES M ROBERTS | |||||||||
| EVP/DIRECTOR CANCER CENTER | 55.00 | 0.00 | $406,284 | $0 | $5,034 | Yes (X) | |||
| CARLOS RODRIGUEZ-GALINDO | |||||||||
| EVP/CHAIR | 55.00 | 0.00 | $209,424 | $0 | $847 | Yes (X) | |||
| PAT KEEL | |||||||||
| SVP/CFO (BEGAN 2/1/16) | 55.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| ANDREW DAVIDOFF | |||||||||
| CHAIR | 55.00 | 0.00 | $665,204 | $0 | $110,560 | Yes (X) | |||
| THOMAS E MERCHANT | |||||||||
| CHAIR | 55.00 | 0.00 | $680,465 | $0 | $119,073 | Yes (X) | |||
| JAMES I MORGAN | |||||||||
| CHAIR | 55.00 | 0.00 | $699,527 | $0 | $49,055 | Yes (X) | |||
| CHING-HON PUI | |||||||||
| CHAIR | 55.00 | 0.00 | $691,608 | $0 | $36,676 | Yes (X) | |||
| LESLIE L ROBISON | |||||||||
| CHAIR | 55.00 | 0.00 | $758,063 | $0 | $46,555 | Yes (X) | |||
| MICHAEL C CANARIOS | |||||||||
| FORMER SVP/CHIEF FINANCIAL OFFICER | 0.00 | 0.00 | $488,562 | $0 | $37,123 | Yes (X) | |||
| WILLIAM E EVANS | |||||||||
| FACULTY/FORMER PRES. & CEO | 55.00 | 0.00 | $1,250,108 | $0 | $79,208 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,563,879 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $698,661 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $997,442 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 674 | 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 | $26,024,869 |
| UNIVERSITY OF TENNESSEE HEALTH SCIENCE C | |||||
| 62 SOUTH DUNLAP SUITE 300 | MEMPHIS | TN | 38163 | MEDICAL SERVICES | $7,993,462 |
| METHODIST HEALTHCARE MEMPHIS | |||||
| 1265 UNION AVE | MEMPHIS | TN | 38104 | MEDICAL SERVICES | $7,383,946 |
| BELZ CONSTRUCTION SERVICES | |||||
| 100 PEABODY PLACE SUITE 1400 | MEMPHIS | TN | 38103 | CONSTRUCTION CONTRACTOR | $4,988,078 |
| UT LEBONHEUR PEDIATRIC SPECIALISTS INC | |||||
| 50 N DUNLAP STREET | MEMPHIS | TN | 38103 | MEDICAL SERVICES | $4,898,638 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 196 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $806,726,696 | RelatedOrganizationsAmt |
| Government Grants | $75,326,935 | GovernmentGrantsAmt |
| All Other Contributions | $13,470,084 | AllOtherContributionsAmt |
| Total Contributions | $895,523,715 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT CARE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $114,471,276 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $114,471,276 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $114,471,276 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,530 | TotalRevenueColumnAmt |
| Exclusion | $3,530 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $424,456 | SecuritiesAmt |
| Other | $452,640 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $378,616 | SecuritiesAmt |
| Other | $1,433,350 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $45,840 | SecuritiesAmt |
| Other | -$980,710 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$934,870 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$980,710 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $45,840 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| PATENT/LICENSING INCOM | 900099 | $11,678,351 | $11,678,351 | |
| CAFETERIA/VENDNG | 722514 | $3,709,328 | $3,709,328 | |
| CHGME/CHCA | 900099 | $1,683,327 | $1,683,327 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,383,207 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,383,207 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $18,454,213 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,027,517,864 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $116,557,100 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,437,049 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,804,019 | TotalAmt |
| Program Services | $3,804,019 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,445,572 | TotalAmt |
| Program Services | $2,489,719 | ProgramServicesAmt |
| Management And General | $1,955,853 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,764,479 | TotalAmt |
| Program Services | $1,329,698 | ProgramServicesAmt |
| Management And General | $434,781 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,772,537 | TotalAmt |
| Program Services | $308,342,749 | ProgramServicesAmt |
| Management And General | $21,429,788 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,768,597 | TotalAmt |
| Program Services | $19,418,980 | ProgramServicesAmt |
| Management And General | $1,349,617 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,885,469 | TotalAmt |
| Program Services | $43,838,685 | ProgramServicesAmt |
| Management And General | $3,046,784 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,682,289 | TotalAmt |
| Program Services | $21,208,313 | ProgramServicesAmt |
| Management And General | $1,473,976 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,804,560 | TotalAmt |
| Program Services | $24,467,622 | ProgramServicesAmt |
| Management And General | $1,336,938 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,313,922 | TotalAmt |
| Program Services | $1,245,848 | ProgramServicesAmt |
| Management And General | $68,074 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,986 | TotalAmt |
| Program Services | $266,428 | ProgramServicesAmt |
| Management And General | $14,558 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,939 | TotalAmt |
| Management And General | $47,939 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,493,473 | TotalAmt |
| Program Services | $68,926,362 | ProgramServicesAmt |
| Management And General | $8,567,111 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $895,085 | TotalAmt |
| Program Services | $848,711 | ProgramServicesAmt |
| Management And General | $46,374 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,642,545 | TotalAmt |
| Program Services | $2,600,276 | ProgramServicesAmt |
| Management And General | $42,269 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,052,365 | TotalAmt |
| Program Services | $15,220,690 | ProgramServicesAmt |
| Management And General | $831,675 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,318,103 | TotalAmt |
| Program Services | $23,502,066 | ProgramServicesAmt |
| Management And General | $2,816,037 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,087,891 | TotalAmt |
| Program Services | $9,572,870 | ProgramServicesAmt |
| Management And General | $515,021 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,488,843 | TotalAmt |
| Program Services | $1,148,622 | ProgramServicesAmt |
| Management And General | $340,221 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,312,850 | TotalAmt |
| Program Services | $6,303,856 | ProgramServicesAmt |
| Management And General | $8,994 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,525,916 | TotalAmt |
| Program Services | $66,282,584 | ProgramServicesAmt |
| Management And General | $3,243,332 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,497,284 | TotalAmt |
| Program Services | $1,095,181 | ProgramServicesAmt |
| Management And General | $402,103 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PHARMACEUTICAL SUPPLIES | $47,834,479 | $47,069,348 | $765,131 | $0 |
| LABORATORY SUPPLIES | $39,392,373 | $38,762,276 | $630,097 | $0 |
| TELEPHONE | $1,354,231 | $1,184,894 | $169,337 | $0 |
| ALLOCATION ADJUSTMENTS | $0 | $15,558,483 | -$15,558,483 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,753,433 | TotalAmt |
| Program Services | $34,305,785 | ProgramServicesAmt |
| Management And General | $4,447,648 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $797,219,240 | TotalAmt |
| Program Services | $758,794,065 | ProgramServicesAmt |
| Management And General | $38,425,175 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $672,963 | BOYAmt |
| EOY | $26,610 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,576,750 | BOYAmt |
| EOY | $207,132,006 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,106,541 | BOYAmt |
| EOY | $18,181,367 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,785,015 | BOYAmt |
| EOY | $21,496,532 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,915,766 | BOYAmt |
| EOY | $7,178,927 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,183,552 | BOYAmt |
| EOY | $10,966,158 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,345,223,327 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $745,544,851 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $558,384,695 | BOYAmt |
| EOY | $599,678,476 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,894,745 | BOYAmt |
| EOY | $1,822,937 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,453,492,197 | BOYAmt |
| EOY | $3,425,864,572 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,080,012,224 | BOYAmt |
| EOY | $4,292,347,585 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,181,607 | BOYAmt |
| EOY | $109,714,635 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,912,438 | BOYAmt |
| EOY | $10,792,331 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,881,404 | BOYAmt |
| EOY | $211,247,710 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,792,804 | BOYAmt |
| EOY | $2,675,982 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $324,768,253 | BOYAmt |
| EOY | $334,430,658 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,814,919,510 | BOYAmt |
| EOY | $3,019,955,372 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,439,327 | BOYAmt |
| EOY | $64,904,956 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $873,885,134 | BOYAmt |
| EOY | $873,056,599 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,755,243,971 | BOYAmt |
| EOY | $3,957,916,927 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,080,012,224 | BOYAmt |
| EOY | $4,292,347,585 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $230,298,624 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$68,222 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$27,557,446 | 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 | $537,180,258 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $581,788,213 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $611,432,510 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $674,808,276 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $895,523,715 | CurrentTaxYearAmt |
| Total | $3,300,732,972 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $537,180,258 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $581,788,213 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $611,432,510 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $674,808,276 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $895,523,715 | CurrentTaxYearAmt |
| Total | $3,300,732,972 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $3,300,732,972 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $13,967 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,453 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,530 | CurrentTaxYearAmt |
| Total | $28,950 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,517,144 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,303,717 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,097,275 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,958,853 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,454,213 | CurrentTaxYearAmt |
| Total | $84,331,202 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,385,093,124 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $517,020,154 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97510 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97490 | 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: 2011 $ 2,873,022 - PATENT/LICENSING INCOME $ 2,551,868 - CAFETERIA/VENDING $ 1,267,080 - CHGME/CHCA $ 825,174 - OTHER REVENUE $ 7,517,144 - TOTAL OTHER INCOME 2012 $ 3,291,661 - PATENT/LICENSING INCOME $ 3,119,452 - CAFETERIA/VENDING $ 1,112,814 - CHGME/CHCA $ 2,779,790 - OTHER REVENUE $ 10,303,717 - TOTAL OTHER INCOME 2013 $ 24,399,968 - PATENT/LICENSING INCOME $ 3,314,275 - CAFETERIA/VENDING $ 1,955,292 - CHGME/CHCA $ 3,427,740 - OTHER REVENUE $ 33,097,275 - TOTAL OTHER INCOME 2014 $ 7,568,375 - PATENT/LICENSING INCOME $ 3,534,638 - CAFETERIA/VENDING $ 1,454,365 - CHGME/CHCA $ 2,401,475 - OTHER REVENUE $ 14,958,853 - TOTAL OTHER INCOME 2015 $ 11,678,351 - PATENT/LICENSING INCOME $ 3,709,328 - CAFETERIA/VENDING $ 1,683,327 - CHGME/CHCA $ 1,383,207 - OTHER REVENUE $ 18,454,213 - TOTAL OTHER INCOME | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $18,625 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $29,314 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $47,939 | 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) 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 A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $782,714,653 | BeginningYearBalanceAmt |
| Contributions | $705,311 | ContributionsAmt |
| Investment Earnings Or Losses | $69,209,599 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $8,786,290 | OtherExpendituresAmt |
| End Year Balance | $843,843,273 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $788,633,390 | BeginningYearBalanceAmt |
| Contributions | $3,859,109 | ContributionsAmt |
| Investment Earnings Or Losses | -$8,877,846 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $900,000 | OtherExpendituresAmt |
| End Year Balance | $782,714,653 | 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 | $953,278,196 | OtherCostOrOtherBasisAmt |
| Depreciation | $467,324,857 | DepreciationAmt |
| Book Value | $485,953,339 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $382,946,801 | OtherCostOrOtherBasisAmt |
| Depreciation | $273,154,388 | DepreciationAmt |
| Book Value | $109,792,413 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,998,330 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,065,606 | DepreciationAmt |
| Book Value | $3,932,724 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $599,678,476 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN NET ASSETS OF AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES, INC | $3,424,849,284 |
| UNAMORTIZED BOND ISSUANCE COSTS | $1,015,288 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,425,864,572 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE LIABILITY | $1,756,708 |
| WORKERS COMPENSATION | $919,274 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,675,982 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $195,528,406 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$68,222 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$25,194,540 | OtherRevenueAmt |
| Revenue Not Reported | -$25,262,762 | RevenueNotReportedAmt |
| Revenue Subtotal | $220,791,168 | RevenueSubtotalAmt |
| Other Revenues Not Included | $806,726,696 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $806,726,696 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,027,517,864 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $797,219,240 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $797,219,240 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $797,219,240 | 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, 2016, 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 2013 THROUGH 2016 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 - ALSAC -25,194,540. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTION - SUPPORT RECEIVED FROM ALSAC 806,726,696. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (13 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|---|
| CENTRAL AMERICA & THE CARIBBEAN | 0 | 0 | PROGRAM SERVICES | EDUCATION & TRAINING | $998,097 |
| EAST ASIA AND THE PACIFIC | 0 | 0 | PROGRAM SERVICES | EDUCATION & TRAINING | $390,395 |
| EUROPE (INCLUDING ICELAND AND GREENLAND) | 0 | 0 | PROGRAM SERVICES | EDUCATION & TRAINING | $124,222 |
| MIDDLE EAST AND NORTH AFRICA | 0 | 0 | PROGRAM SERVICES | EDUCATION & TRAINING | $2,438,868 |
| NORTH AMERICA | 0 | 0 | PROGRAM SERVICES | EDUCATION & TRAINING | $285,023 |
| RUSSIA AND NEIGHBORING STATES | 0 | 0 | PROGRAM SERVICES | EDUCATION & TRAINING | $6,444 |
| SOUTH AMERICA | 0 | 0 | PROGRAM SERVICES | EDUCATION & TRAINING | $602,836 |
| SOUTH ASIA | 0 | 0 | PROGRAM SERVICES | EDUCATION & TRAINING | $20,815 |
| CENTRAL AMERICA & THE CARIBBEAN | 0 | 0 | PROGRAM SERVICES | RESEARCH | $53,301 |
| EAST ASIA AND THE PACIFIC | 0 | 0 | PROGRAM SERVICES | RESEARCH | $3,544,237 |
| EUROPE (INCLUDING ICELAND AND GREENLAND) | 0 | 0 | PROGRAM SERVICES | RESEARCH | $995,278 |
| MIDDLE EAST AND NORTH AFRICA | 0 | 0 | PROGRAM SERVICES | RESEARCH | $1,010,109 |
| NORTH AMERICA | 0 | 0 | PROGRAM SERVICES | RESEARCH | $94,069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $4,866,700 | SubtotalSpentAmt |
| Continuation Spent | $5,696,994 | ContinuationSpentAmt |
| Total Spent | $10,563,694 | 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 | $66,526,669 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $595,253 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $65,931,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08270 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $123,011,069 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,867,998 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $90,143,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11310 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,636,432 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,798,636 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,837,796 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $197,174,170 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,261,887 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $161,912,283 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.20310 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,643,932 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,204 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,641,728 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01960 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,269,896 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $359,639 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,910,257 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00990 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,450,365 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,450,365 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03690 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $324,334,380 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $84,851,953 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $239,482,427 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.30040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,556,991 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,556,991 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $382,255,564 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $85,213,796 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $297,041,768 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.37250 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $579,429,734 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $120,475,683 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $458,954,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.57560 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $79,386 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $79,386 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,427 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,427 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,213 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,213 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $104,026 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $104,026 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,629,008 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $0 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $920,608 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$920,608 | 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 000000113 | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| 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 | WWW.STJUDE.ORG/CHNA | 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 | WWW.STJUDE.ORG/IMPLEMENTATIONPLAN | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| 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 |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| 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) -AUDREY DAVIS -DEBBIE HIGGINS -CASEY PAPPAS -GABBY SALINAS -KELLY WADDELL ADOLESCENT PATIENTS, N=4 KEY INFORMANT INTERVIEWS HRIA CONDUCTED INTERVIEWS WITH 16 INDIVIDUALS; 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 BEARD, CHAIR, ALSAC BOARD OF DIRECTORS -FRAN GREESON, DIRECTOR OF SOCIAL WORK AND JANA KING, DIRECTOR OFDOMICILIARY SERVICES -DR. MICHAEL LINK, ST. JUDE 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, SACHARY 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 1, 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 1, 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. |
| ST. JUDE CHILDREN'S RESEARCH HOSPITAL | PART V, SECTION B, LINE 22D: SEE NARRATIVE FOR PART 1, LINE 3C REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| 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 (06/30/16)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 ONLY ADMITS CHILDREN WITH THESE DIAGNOSES AND DOES NOT OFFER MEDICAL SERVICES BEYOND THOSE NECESSARY TO CARE FOR CHILDREN WITH THESE DISEASES. ST. JUDE DOES NOT HAVE AN EMERGENCY ROOM.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, ABOUT 8,500 ACTIVE 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 IS LICENSED FOR 80 INPATIENT 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 MAY HAVE BEEN ADMITTED AS IN-PATIENTS AT MOST HOSPITALS. THIS IS ACCOMPLISHED THROUGH PATIENT HOUSING DEDICATED SOLELY TO ST. JUDE PATIENT FAMILIES (CAPACITY FOR 996 PATIENTS/FAMILY MEMBERS) 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.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 TRIALS CLOSER TO THEIR HOMES. ST. JUDE ALSO OPERATES AN INTERNATIONAL OUTREACH PROGRAM AIMED AT SHARING KNOWLEDGE AND RESOURCES TO IMPROVE THE SURVIVAL RATE OF CHILDREN WITH CANCER WORLDWIDE. ST. JUDE HAS 24 INTERNATIONAL PARTNER SITES IN 17 COUNTRIES.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. ST. JUDE HAS CHOSEN TO ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS PART OF THIS IMPLEMENTATION PLAN, BECAUSE THEY ARE ALIGNED WITH OUR MISSION AND OUR CAPABILITIES AND THERE-BY MAKING IT POSSIBLE FOR US TO ALLOCATE SUFFICIENT RESOURCES TO THE THREE PRIORITY HEALTH NEEDS IDENTIFIED BELOW. THROUGH THE RESEARCH AND RECOMMENDATIONS GLEANED FROM THE CHNA, HOSPITAL STAFF, AND ADMINISTRATION, THE FOLLOWING NEEDS WERE SELECTED AS PRIORITIES FOR IMPLEMENTATION:AIM #1 IMPROVING ACCESS TO HEALTHCARE SERVICES-TRANSITION OF PATIENTS FROM PEDIATRIC TO ADULT HEALTH CARE SERVICES-ACCESS TO AFFORDABLE HEALTH INSURANCE COVERAGE-PALLIATIVE CARE-HEALTH CARE OF CHILDHOOD CANCER SURVIVORS-COMMUNITY EDUCATIONAIM #2 IMPROVING COORDINATION OF CARE-PHYSICIAN COORDINATION OF CAREAIM #3 IMPROVING CHILD HEALTH STATUS THROUGH BEHAVIORAL MODIFICATION-CHILD KNOWLEDGE OF CANCER PREVENTION, NUTRITION, OBESITY, AND PHYSICAL ACTIVITYEACH OF THESE NEEDS IS ADDRESSED IN FURTHER DETAIL ON THE PAGES TO FOLLOW.AIM #1 IMPROVING ACCESS TO HEALTHCARE SERVICESPEDIATRIC HEALTH NEED:TRANSITION OF PATIENTS FROM PEDIATRIC TO ADULT HEALTH CARE SERVICESHEALTH FACILITIES/RESOURCES INVOLVED: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)SUMMARY METRIC:INCREASE THE NUMBER OF PATIENTS WITH SICKLE CELL DISEASE (SCD) WHO ESTABLISH SUSTAINED ADULT CARE AFTER LEAVING PEDIATRIC CARE AT ST. JUDE.PROGRESS ON ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. IDENTIFICATION OF POSSIBLE ADULT MEDICAL HOMES FOR ST. JUDE YOUNG ADULT PATIENTS WITH PEDIATRIC HEMATOLOGIC CONDITIONSTHERE ARE TWO SICKLE CELL CENTERS IN MEMPHIS WHERE YOUNG ADULTS WITH SCD TRANSFER TO POST PEDIATRIC CARE. DIGGS-KRAUS SICKLE CELL CENTER LOCATED AT 880 MADISON AVE. AND METHODIST HEALTHCARE COMPREHENSIVE SICKLE CELL CENTER LOCATED AT 1325 EASTMORELAND. IN FY16, 32 YOUNG ADULTS 18 YEARS OF AGE GRADUATED AND TRANSITIONED FROM ST. JUDE'S SICKLE CELL PROGRAM. OF THE 32 YOUNG ADULTS WHO TRANSITIONED, 28 SUCCESSFULLY TRANSITIONED TO ADULT CARE. THE OTHER 4 WERE LOST TO FOLLOW UP. THE TRANSITION CASE MANAGER CONTINUES TO REACH OUT TO THOSE WHO ARE LOST TO FOLLOW UP BY WAY OF PHONE, AND LETTERS TO GET THEM SCHEDULED FOR AN INITIAL VISIT WITH AN ADULT PROVIDER.A TRANSITION SKILLS LAB WAS IMPLEMENTED IN FY16 AND WAS ADDED TO THE TEEN PLAN OF CARE VISITS. IT IS STILL IN PILOT STATUS. THREE LIFE SKILLS MODULES ARE TAUGHT. THEY ARE AS FOLLOWS:-SCHEDULING A DOCTOR'S APPOINTMENT-ORDERING MEDICATION REFILLS-LEARNING HOW TO READ AND ACCESS BENEFITS ON THE MEDICAL INSURANCE CARD. SKILLS LAB IS HELD ONCE A MONTH FOR AN HOUR. THE DISCIPLINES INVOLVED IN FACILITATING THE MODULES ARE TRANSITION NURSE CASE MANAGER, PHARMACIST, PSYCHOLOGIST, AND MEDICAL SOCIAL WORKER. IN FY16, 25 PATIENTS PARTICIPATED IN THE SKILLS LAB.THE TEEN TRANSITION TOUR IS A QUARTERLY OUTING FOR ALL INTERESTED 17 AND 18 YEAR OLDS IN THE SCD PROGRAM, INCLUDING THEIR PARENTS. THE TOUR VISITS THE TWO ADULT SICKLE CELL CENTERS IN MEMPHIS, AND IN FY16, 20 PATIENTS PARTICIPATED IN THE TOUR. 2. CREATE ADOLESCENT AND YOUNG ADULTS (AYA) TRANSITION CLINICS WITH OVERLAP OF PEDIATRIC AND ADULT HEM/ONC CAREEFFORTS TO PARTNER WITH MSSCC TO CREATE A "TRANSITION PROGRAM" FOR YOUNG ADULTS AGES 18-25 ARE IN PLACE. THIS PROGRAM IS KEY IN DECREASING CARE ABANDONMENT ISSUES. IN AUGUST 2016 DR. JANE HANKINS WAS APPOINTED THE INTERIM MEDICAL DIRECTOR FOR THE ADULT METHODIST COMPREHENSIVE SCD PROGRAM. HER NEW ROLE IS OF THE DURATION OF 2 YEARS AND AIMS AT DEVELOPING THE ADULT PROGRAM THROUGH INTRODUCTION OF COLLABORATIVE RESEARCH WITH ST. JUDE AND RESTRUCTURING OF THE PROGRAM THROUGH THE CREATION OF AN INTERDISCIPLINARY TEAM (MIRRORING THAT OF THE PEDIATRIC PROGRAM AT ST. JUDE) TO CARE FOR ADULTS WITH SCD. THIS PROGRAM HAS APPROXIMATELY 200 ACTIVE ADULT PATIENTS (90% OF THEM UNDER THE AGE OF 25 AND FORMER ST. JUDE PATIENTS) AND HAS SERVED AS THE MAIN ADULT PROGRAM IN TOWN CURRENTLY RECEIVING EMERGING ADULTS WITH SCD (FROM ST. JUDE). DR. HANKINS' NEW ROLE AT THE ADULT METHODIST COMPREHENSIVE SCD PROGRAM IS PART OF A PARTNERSHIP BETWEEN BOTH INSTITUTIONS, ST. JUDE AND METHODIST, TO IMPROVE THE CARE AND ADVANCE RESEARCH FOR SCD IN MEMPHIS. IN ADDITION TO DR. HANKINS' INTERIM ROLE AS THE MEDICAL DIRECTOR OF THE ADULT PROGRAM AT METHODIST, OTHER STAFF WILL CONTINUE TO WORK IN HYBRID POSITIONS IN BOTH PROGRAMS A NURSE CASE MANAGER, A RESEARCH NURSE AND A CLINICAL PSYCHOLOGIST WERE CREATED. |
| 3. CREATE FORMAL PROGRAMMING AND PLANNING PROCESSES FOR | ADOLESCENTS WITH HEMATOLOGIC AND ONCOLOGIC DISEASES, THROUGH DEVELOPMENT OF DISEASE EDUCATIONAL CURRICULUM AND TRAINING MODULES TO FOSTER INCREASED ADOLESCENT AUTONOMY AND MEDICAL LITERACYEACH YOUNG ADULT PATIENT HAS AN INDIVIDUALIZED PLAN OF CARE. THE FREQUENCY OF THEIR VISIT IS DETERMINED BY WHETHER THEY ARE ON MEDICATION THERAPY LIKE HYDROXYUREA OR IF THEY ARE RECEIVING CHRONIC TRANSFUSION THERAPY. IF THE YOUNG ADULT IS NOT RECEIVING THERAPY, THEY ARE SCHEDULED FOR FOLLOW UP VISITS EVERY FOUR MONTHS DURING THE FIRST YEAR AND EVERY SIX MONTHS THEREAFTER.STARTING AT THE AGE OF 12 THE PLAN OF CARE VISITS START TO FOCUS ON PLANNING AND PROGRAMMING FOR TRANSITION. THE INITIATIVES IN THE PLAN OF CARE THAT TARGETS TRANSITION ARE AS FOLLOWS: QUARTERLY TRANSITION TOURS THAT ARE OFFERED TO OUR 17 AND 18 YEAR OLD YOUNG ADULTS; TRANSITION READINESS MULTIDISCIPLINARY TEAM MEETING MONTHLY TO DISCUSS READINESS OF THE 17 YEAR OLD BASED ON MEDICAL STABILITY, PSYCHOSOCIAL, EMOTIONAL AND ACADEMIC STATUS. WE'VE ALSO IMPLEMENTED A SKILLS LAB THAT IS IN THE PILOT STAGE, WHERE WE ARE TEACHING THEM HOW TO ORDER MEDICATION REFILLS, HOW TO IDENTIFY THE MEDICATION BASED ON THE DESCRIPTION WRITTEN ON THE BOTTLE, HOW TO SCHEDULE DOCTOR'S APPOINTMENTS BY WAY OF ROLE MODELING. THEY ARE ALSO LEARNING HOW TO READ THEIR HEALTH INSURANCE CARD AND IDENTIFY IMPORTANT PHONE NUMBERS THAT WILL GIVE THEM ACCESS TO THEIR BENEFITS. AT THE AGE OF 15, WE START SEEING THE PATIENT WITHOUT THE PARENT. THE PARENT IS ASKED TO REMAIN IN THE WAITING AREA. AT THE AGE OF 15 THE ADOLESCENT COMPLETES A PERSONAL HEALTH RECORD IN AN EFFORT TO PREPARE THEM FOR COMPLETING NECESSARY DOCUMENTATIONS AFTER LEAVING THE PEDIATRIC SETTING. IN ADDITION, THE "SICKLE CELL TRANSITION E-LEARNING PROGRAM (STEP) FOR TEENS WITH SICKLE CELL DISEASE", A WEB-BASED EDUCATION PROGRAM, WAS DEVELOPED TO PROVIDE ADOLESCENTS AND YOUNG ADULTS SICKLE CELL EDUCATION TO HELP PREPARE THEM FOR TRANSITION: HTTPS://WWW.STJUDE.ORG/TREATMENT/DISEASE/SICKLE-CELL-DISEASE/STEP-PROGRAM.HTMLPEDIATRIC HEALTH NEED:ACCESS TO AFFORDABLE HEALTH INSURANCE COVERAGEHEALTH FACILITIES/RESOURCES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MANAGED CARE DEPARTMENTSUMMARY METRIC:DECREASE THE NUMBER OF UNINSURED PATIENTS AT ST. JUDEPROGRESS ON ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. CONTRACT WITH VENDOR TO PROVIDE CERTIFIED APPLICATION COUNSELOR SERVICES TO ASSIST FAMILIES APPLYING FOR HEALTH INSURANCE COVERAGE THROUGH THE FEDERALLY-FACILITATED MARKETPLACE2. APPLY FOR A GRANT FROM THE TENNESSEE HOSPITAL ASSOCIATION TO ASSIST WITH ENROLLMENT PROCESSES3. DESIGN AND IMPLEMENT A SYSTEM TO FACILITATE THE CAC ENROLLMENT ASSISTANCE PROCESS AT ST. JUDE4. IDENTIFY UNINSURED PATIENTS AND FAMILIES AND HAVE CACS ASSIST IN THE ENROLLMENT PROCESSAN AGREEMENT WAS EXECUTED WITH FIRSTSOURCE SOLUTIONS USA, LLC DBA MEDASSIST, EFFECTIVE 9/9/13. THIS VENDOR ASSISTS PATIENTS IN ENROLLING IN A HEALTH PLAN VIA THE HEALTH INSURANCE MARKETPLACE WHEN ELIGIBLE.ST. JUDE CHILDREN'S RESEARCH HOSPITAL RECEIVED A $28,000 GRANT FROM THE TENNESSEE HOSPITAL ASSOCIATION, EFFECTIVE 11/5/13 TO ASSIST WITH THESE NEW ENROLLMENT PROCESSES. ONE HUNDRED PERCENT OF UNINSURED PATIENTS AND THEIR FAMILIES ARE REFERRED TO MEDASSIST PERSONNEL FOR EVALUATION VIA A DAILY REPORT GENERATED BY REGISTRATION RECORDS. IN THE EVENT THAT THEY ARE DEEMED ELIGIBLE, THE PATIENTS AND THEIR FAMILIES ARE GIVEN ASSISTANCE WITH THE ENROLLMENT PROCESS. THIS EFFORT WAS INITIATED IN FY14 AND IN THAT YEAR 22 UNINSURED PATIENTS WERE ENROLLED IN MEDICAID OR OTHER HEALTH PLANS AND IN FY15, 41 PATIENTS WERE ENROLLED AND IN FY16, 73 PATIENTS WERE ENROLLED. THIS IS QUITE AN IMPROVEMENT OVER FY13 (11 PATIENTS) AND FY12 (15 PATIENTS). WHILE THESE NUMBERS MAY LOOK LOW AS COMPARED TO A TRADITIONAL HOSPITAL, IT IS EXCELLENT GIVEN OUR RELATIVELY SMALL PATIENT POPULATION.PEDIATRIC HEALTH NEED:PALLIATIVE CAREHEALTH FACILITIES/RESOURCES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, DEPARTMENT OF ONCOLOGY, DIVISION OF QUALITY OF LIFE AND PALLIATIVE CARESUMMARY METRIC:INCREASE THE NUMBER OF CLINICIANS TRAINED IN PALLIATIVE CARE MEDICINE (PCM) AND EDUCATIONAL OPPORTUNITIES FOR PCMPROGRESS ON ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. RECRUIT AND TRAIN TWO PHYSICIAN FELLOWS IN THE NEWLY FORMED PALLIATIVE CARE TRAINING PROGRAM EACH YEAR THE PALLIATIVE CARE TRAINING PROGRAM HAS BEEN SUCCESSFUL IN RECRUITING AND TRAINING TWO PHYSICIAN FELLOWS2. PROVIDE TRAINING IN PALLIATIVE CARE FOR ADVANCED PRACTICE HEALTH CARE PERSONNEL THROUGH TARGETED CONFERENCES AND OTHER EDUCATIONAL OPPORTUNITIES.IN FISCAL YEAR 16, 32 CLINICIANS WERE TRAINED AT THE 2-DAY END-OF-LIFE NURSING EDUCATION CONSORTIUM. ALSO IN FISCAL YEAR 16, 37 CLINICIANS WERE TRAINED ST. JUDE'S QUALITY OF LIFE SEMINAR. SEVEN CLINICIANS COMPLETED A 2 DAY TRAINING COURSE "RESPECTING CHOICES INTERVIEW."3. CREATE A REQUIRED EDUCATION SERIES FOR BEDSIDE NURSES INVOLVING END-OF-LIFE NURSING EDUCATION CONSORTIUM (ELNEC) AND AN INSTITUTION-SPECIFIC QUALITY OF LIFE SEMINAR.ALL BEDSIDE NURSES ARE REQUIRED TO COMPLETE WITHIN THREE YEARS. INPATIENT AND OUTPATIENT NURSES ARE REQUIRED AND SUPPORTED TO COMPLETE BOTH SEMINARS (A TOTAL OF 24.5 CEUS IN PCM). 4. 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. A THREE HOUR DIDACTIC CURRICULUM HAS BEEN CREATED AND WILL BE IMPLEMENTED.THIS IS HAPPENING TWICE A MONTH THROUGH OUR COMBINED FELLOWSHIP PROGRAM BOARD REVIEW SERIES. EACH SESSION IS AVERAGING 10 ATTENDEES RANGING FROM GRADUATE STUDENTS TO MEDICAL STUDENTS TO ADVANCED CLINICIANS.PEDIATRIC HEALTH NEED:HEALTH CARE OF CHILDHOOD CANCER SURVIVORSHEALTH FACILITIES/RESOURCES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, ONCOLOGY DIVISION, CANCER SURVIVORSHIP DEPARTMENTSUMMARY METRIC:PROVIDE CANCER SURVIVORSHIP INFORMATION TO BOTH CAREGIVERS AND SURVIVORS VIA SURVIVORS' DAY CONFERENCEPROGRESS ON ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. PROVIDE WORKSHOPS AND SPEAKERS THAT OFFER INFORMATION ABOUT AVAILABLE RESOURCESTHE ST. JUDE FACULTY PROVIDE LECTURES AND PARTICIPATE IN WORKSHOPS RELATED TO A VARIETY OF SURVIVORSHIP ISSUES. AUDIENCES INCLUDE HEALTH CARE PROVIDERS OF SURVIVORS, SURVIVORS AND THEIR FAMILIES. |
| LECTURES/WORKSHOPS PROVIDED BY MELISSA M. HUDSON: | -AMERICAN ACADEMY OF PEDIATRICS NATIONAL CONFERENCE & EXHIBITION, "LONG-TERM FOLLOW-UP OF PEDIATRIC CANCER SURVIVORS", ORLANDO, FLORIDA, OCTOBER 26-29, 2013-GRAND ROUNDS, WINTHROP P. ROCKEFELLER CANCER INSTITUTE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, "THE ABCS OF ACHIEVING HIGH QUALITY SURVIVORSHIP CARE", LITTLE ROCK, ARKANSAS, NOVEMBER 20, 2013-AMERICAN ASSOCIATION OF PHYSICIANS ASSISTANTS CONFERENCE, "LONG-TERM FOLLOW-UP FOR PEDIATRIC CANCER SURVIVORS", BOSTON, MASSACHUSETTS, MAY 24, 2014-UNIVERSITY OF ALABAMA HUNTSVILLE GRAND ROUNDS, "LONG-TERM FOLLOW-UP OF PEDIATRIC CANCER SURVIVORS", HUNTSVILLE, ALABAMA, OCTOBER 14, 2014-AMERICAN SOCIETY OF PEDIATRIC HEMATOLOGY ONCOLOGY ESSENTIALS, "SUPPORTIVE CARE/SURVIVORSHIP", MONTEVIDEO, URUGUAY, NOVEMBER 4-6, 2014-BAPTIST CANCER CENTER MID-SOUTH CANCER SYMPOSIUM, "THE ABCS OF ACHIEVING HIGH QUALITY SURVIVORSHIP CARE", MEMPHIS, TENNESSEE, NOVEMBER 14, 2014-NATIONAL COALITION FOR CANCER SURVIVORSHIP CANCER POLICY ADVOCATE TRAINING PROGRAM, "LATE AND LONG-TERM EFFECTS: RECENT RESEARCH FINDINGS", WASHINGTON, D.C., JUNE 25, 2015-MODERATOR, GLOBAL CARDIO-ONCOLOGY SUMMIT, "CHILDHOOD CANCER SURVIVORSHIP, LATE CARDIAC TOXICITY, AND CV PREVENTION", NASHVILLE, TENNESSEE, OCTOBER 15, 2015-ADVOCATE CHILDREN'S HOSPITAL, CHILDHOOD CANCER SURVIVORSHIP CURE IS NOT ENOUGH, "ADVANCING PEDIATRIC ONCOLOGY CARE THROUGH SURVIVORSHIP RESEARCH", THE HYATT LODGE AT MCDONALD'S CAMPUS, OAK BROOK, ILLINOIS, OCTOBER 21, 2015-AMERICAN SOCIETY OF CLINICAL ONCOLOGY, CANCER SURVIVORSHIP SYMPOSIUM: ADVANCING CARE AND RESEARCH, RISK-BASED HEALTH CARE OF CANCER SURVIVORS IN THE 21ST CENTURY, "WHAT ARE THE RISKS?; FACULTY, LIFE CAF , SAN FRANCISCO, JANUARY 15-16, 2016-29TH ANNUAL MEETING OF THE AMERICAN SOCIETY OF PEDIATRIC HEMATOLOGY ONCOLOGY. EDUCATIONAL SESSION: WHEN SURVIVAL ISN'T ENOUGH, "HARMONIZING HEALTH SURVEILLANCE RECOMMENDATIONS FOR CHILDHOOD CANCER SURVIVORS: AN INTERNATIONAL COLLABORATION". MINNEAPOLIS, MINNESOTA, MAY 12, 2016LECTURES/WORKSHOPS PROVIDED BY DANIEL MULROONEY:-TRANSITION OF CARE TO THE ADULT WORLD, SURVIVORSHIP CONFERENCE, ALL CHILDREN'S HOSPITAL, TAMPA, FL, NOVEMBER 9, 2013-CHILDHOOD CANCER THERAPY: MORE THAN JUST A CURE, NEMOURS CHILDREN'S CLINIC, JACKSONVILLE, FL. NOVEMBER 16, 2013 -CHILDHOOD CANCER THERAPY - MORE THAN JUST A CURE, DOMESTIC AFFILIATE PROGRAM'S RN-CRA ANNUAL CONFERENCE ST. JUDE CHILDREN'S RESEARCH HOSPITAL, AUGUST 16-17, 2013-DOMESTIC AFFILIATE SOCIAL WORKER CONFERENCE: LATE EFFECTS IN CHILDHOOD CANCER SURVIVORS, ST. JUDE HOSPITAL, MEMPHIS, TN APRIL 2, 2014-CARDIOVASCULAR DISEASE IN ADULT SURVIVORS OF CHILDHOOD AND ADOLESCENT CANCER, GRAND ROUNDS, LOYOLA UNIVERSITY MEDICAL CENTER, CHICAGO, IL, JUNE 17, 2014-HEART HEALTH AFTER CANCER, CHILDHOOD CANCER SURVIVORS CONFERENCE, UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL, DALLAS, TX, NOVEMBER 8, 2014-THE SPECTRUM OF CARDIOVASCULAR OUTCOMES AFTER CHILDHOOD CANCER THERAPY, PEDIATRIC GRAND ROUNDS, BAYSTATE MEDICAL CENTER, SPRINGFIELD, MA, FEBRUARY 16, 2016-SURVIVING CHILDHOOD CANCER, OSF ST. FRANCIS MEDICAL CENTER, PEORIA, IL, APRIL 16, 2016 -TRANSITION OF CARE, OSF. ST. FRANCIS MEDICAL CENTER, PEORIA IL, APRIL 16, 2016 2. GIVE SURVIVORS AND THEIR FAMILIES THE OPPORTUNITY TO LEARN FROM OTHER SURVIVORSST. 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 7, 2013-SURVIVOR PANEL WITH Q & A ABOUT CANCER EXPERIENCES-GOOGLE HANG-OUT DISCUSSION, PARTICIPANTS: DANIEL MULROONEY, MD AND DEBBIE CROM, PNP, PHD TOPICS: "TALKING TO YOUR DOCTOR ABOUT YOUR UNIQUE HEALTH RISKS AND "THE IMPORTANCE OF STAYING HEALTHY"-WORKSHOP, PRESENTER: MELISSA HUDSON, MD, "SKILLS FOR SURVIVING AFTER GRADUATION FROM ST. JUDE" -WORKSHOP, PRESENTER: CYRINE HAIDAR, PHARMD. "WHAT MEDICINE IS RIGHT FOR ME? IT'S ALL IN THE DNA!"ST. JUDE SURVIVOR DAY ACTIVITIES, SEPTEMBER 6, 2014"HOW DOES YOUR HOPE GROW? ADAPTING AND CHANGING WITH THE SEASONS OF SURVIVORSHIP AND "PRACTICAL TOOLS FOR SUCCESSFUL SURVIVORSHIP" MODERATORS: MELISSA HUDSON, MD, MARRIAH MABE, LCSW, JAMES KLOSKY, PHD, DENISE WILLIAMS, LCSW, DANIEL MULROONEY, MD, MARY KEATHLEYST. JUDE SURVIVOR DAY ACTIVITIES, SEPTEMBER 10, 2016OVERVIEW OF PROGRESS IN PEDIATRIC CANCER TREATMENT BY DR. JAMES DOWNING. HEALTH FAIR WITH BOOTHS FEATURING HEALTH PROMOTION MATERIALS FROM HOSPITAL SERVICE AREAS.3. ENSURE THAT SURVIVORS UNDERSTAND HOW TO APPROACH HEALTHCARE POST-TREATMENTSURVIVORS 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.4. OFFER AN ONLINE RESOURCE FOLLOWING THE CONFERENCE FOR CONTINUOUS FLOW OF SURVIVORSHIP INFORMATIONPERIODIC 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.HTMLPEDIATRIC HEALTH NEED:COMMUNITY EDUCATIONHEALTH FACILITIES/RESOURCES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, COMMUNICATIONS AND PUBLIC RELATIONS DEPARTMENTSUMMARY METRIC:USE URBAN RADIO TO PROVIDE INFORMATION AND EDUCATION ABOUT HEALTH CARE RESOURCES AND HEALTH CARE CAREERSPROGRESS ON ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. OFFER RADIO STATION PRODUCERS ST. JUDE PROFESSIONALS THAT CAN PROVIDE LISTENERS DETAILS ABOUT COMMUNITY RESOURCES AVAILABLE FOR LEARNING ABOUT AND BEING TESTED FOR DISORDERS/DISEASES SUCH AS SICKLE CELL TRAIT AND HIVST. JUDE "VOICES" HELP AIDS PATIENTS FEEL LESS ISOLATEDWMOT | NPR MIDDLE TENNESSEEBY MICHAEL OSBORNE 11/18/14HTTP://WMOT.ORG/POST/ST-JUDE-VOICES-HELP-AIDS-PATIENTS-FEEL-LESS-ISOLATED#STREAM/0THROUGH STORYTELLING, 'VOICES PROJECT' EMPOWERS PEOPLE IMPACTED BY HIVWFAE | NPR CHARLOTTE BY MICHAEL TOMSIC 12/01/14HTTP://WFAE.ORG/POST/THROUGH-STORYTELLING-VOICES-PROJECT-EMPOWERS-PEOPLE-IMPACTED-HIVCANCER EDUCATION AT ST. JUDELET'S TALK ABOUT IT WITH BOBBIE THOMPSON (PROGRAM NAME)WLOK 5/31/16HTTP://WWW.WLOK.COM/IN ADDITION, ST. JUDE CONDUCTED APPOXIMATELY 24 30-SECOND EDUCATIONAL SPOTS DURING MAY AND JUNE. TOPICS INCLUDED: HIV/AIDS OUTREACH, BLOOD DONOR CENTER, CANCER EDUCATION, ST. JUDE SCIENCE AMBASSADORS, AND SCIENCE SOUND BITES.2. USE THIS PLATFORM TO DISPEL MYTHS AND MISCONCEPTIONS ABOUT THESE TWO DISEASES AND CHILDHOOD CANCERIN ADDITION TO THE RADIO WE HAVE UTILIZED ARTICLES IN OTHER FORUMS.THE AUTUMN 2014 PROMISE INCLUDED A STORY ON RESEARCH ABOUT BACTERIA THAT THREATENS KIDS WITH SCD INCLUDING A SIDEBAR EXPLAINING WHAT SCD IS:HTTPS://WWW.STJUDE.ORG/THWARTING-THE-THREATIN THE STRATEGIC PLAN STORY OF THE AUTUMN 2015 PROMISE, WE INCLUDED INFO ABOUT OUR PLANS FOR EXPANDING SICKLE CELL TREATMENT AND RESEARCH:HTTPS://WWW.STJUDE.ORG/IF-NOT-ST-JUDE-THEN-WHOIN THE WINTER 2016 EDITION OF PROMISE MAGAZINE, WE INCLUDED AN ARTICLE ABOUT ENHANCING OUR SICKLE CELL PROGRAM TO LOOK BEYOND SYMPTOM RELIEF TO A CURE: HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/WINTER-2016/SICKLE-CELL-DISEASE-A-HOSPITALS-COMMITMENT.HTML IN THAT SAME ISSUE, WE PUBLISHED AN ARTICLE ABOUT THE SICKLE CELL CLINICAL RESEARCH AND INTERVENTION PROGRAM, WHICH FOLLOWS PATIENTS THROUGHOUT THEIR LIFETIME: HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISEMAGAZINE/WINTER-2016/THE-FUTURE-STARTS-NOW.HTML PROMISE IS MAILED TO ABOUT 220,000 READERS, WHICH INCLUDE DONORS, EMPLOYEES, PEER INSTITUTIONS, CEOS OF FORTUNE 500 COMPANIES, SELECT MEDIA AND INDIVIDUALS WHO SUBSCRIBE THROUGH OUR ONLINE SUBSCRIPTION FORM. |
| AIM #2 IMPROVING COORDINATION OF CARE | PEDIATRIC HEALTH NEED:PHYSICIAN COORDINATION OF CAREHEALTH FACILITIES/RESOURCES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL ST. JUDE AFFILIATE INSTITUTIONS:ALL DOMESTIC AND INTERNATIONAL REFERRING CLINICIANS AND CENTERSSUMMARY METRIC:IMPROVE CONTINUITY OF CARE BY ENHANCING COMMUNICATION TOOLS AND EFFORTS TO PROVIDE PHYSICIANS WITH UNPARALLELED ACCESS TO PATIENT INFORMATIONPROGRESS ON ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. CONSIDER IMPLEMENTATION OF CLINICIAN PORTAL TO PERMIT REFERRING AND AFFILIATED PHYSICIANS' CONVENIENT ACCESS TO PATIENT INFORMATION, IN ACCORDANCE WITH APPLICABLE LAW.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 BEING 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. AIM #3 IMPROVING CHILD HEALTH STATUS THROUGH BEHAVIORAL MODIFICATIONPEDIATRIC HEALTH NEED:CHILD KNOWLEDGE OF CANCER PREVENTION, NUTRITION, OBESITY, AND PHYSICAL ACTIVITYHEALTH FACILITIES/RESOURCES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, DEPARTMENT OF GLOBAL PEDIATRIC MEDICINEST. JUDE CHILDREN'S RESEARCH HOSPITAL, COMPREHENSIVE CANCER CENTERSUMMARY METRICS:- INCREASE THE KNOWLEDGE THAT CHILDREN HAVE ON CANCER AND HEALTHY LIVING TOPICS (NUTRITION, EXERCISE, SUN PROTECTION, AVOIDING TOBACCO) -IMPROVE ATTITUDES OF CHILDREN TOWARD HEALTHY LIVING PRACTICES (AVOIDING SMOKING, BETTER NUTRITION HABITS, MORE EXERCISE, AVOIDING EXCESSIVE SUN) -INCREASE THE NUMBER OF STUDENTS AND TEACHERS PARTICIPATING IN ST. JUDE CANCER AND HEALTHY LIVING EDUCATION PROGRAMPROGRESS ON 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) THE ST. JUDE CANCER EDUCATION FOR CHILDREN PROGRAM DEVELOPED AN ELEMENTARY CURRICULUM FOR STUDENTS IN GRADES 3-5 THAT USES EDUCATION AND POSITIVE REINFORCEMENT TO HELP PROMOTE HEALTHY LIFESTYLE CHOICES AND TO REDUCE A CHILD'S LIFETIME RISK OF DEVELOPING CANCER. IT SPECIFICALLY ADDRESSES OBESITY, NUTRITION, SMOKING, AND SUN EXPOSURE, IMPORTANT ISSUES IN PROMOTING CHILDHOOD HEALTH AND PRIMARY CANCER PREVENTION. A FORMAL EVALUATION OF THE CURRICULUM SHOWED SIGNIFICANT GAINS IN KNOWLEDGE RELATED TO CELLS, CANCER, AND HEALTHY LIVING AMONGST 4TH GRADERS THAT PARTICIPATED IN THE PROGRAM INTERVENTION.THE FOLLOWING PUBLICATIONS RESULTED FROM THIS EVALUATION:AYERS, K., VILLALOBOS, A., LI, Z., KRASIN, M. (2014). THE ST. JUDE CANCER EDUCATION FOR CHILDREN PROGRAM PILOT STUDY: DETERMINING THE KNOWLEDGE ACQUISITION AND RETENTION OF 4TH-GRADE STUDENTS. JOURNAL OF CANCER EDUCATION.AYERS, K., VILLALOBOS, A., LI, Z., QUINTANA, Y., KLOSKY, J. (2016). THE ST. JUDE CANCER EDUCATION FOR CHILDREN PROGRAM: THE IMPACT OF A TEACHER-LED INTERVENTION ON STUDENT KNOWLEDGE GAINS. JOURNAL OF CANCER EDUCATION.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) THE ST. JUDE CANCER EDUCATION FOR CHILDREN PROGRAM DEVELOPED AN ELEMENTARY CURRICULUM FOR STUDENTS IN GRADES 3-5 THAT USES EDUCATION AND POSITIVE REINFORCEMENT TO HELP PROMOTE HEALTHY LIFESTYLE CHOICES AND TO REDUCE A CHILD'S LIFETIME RISK OF DEVELOPING CANCER. IT SPECIFICALLY ADDRESSES OBESITY, NUTRITION, SMOKING, AND SUN EXPOSURE, IMPORTANT ISSUES IN PROMOTING CHILDHOOD HEALTH AND PRIMARY CANCER PREVENTION. A FORMAL EVALUATION OF THE CURRICULUM TO DETERMINE THE IMPACT OF THE CURRICULUM ON STUDENT ATTITUDES TOWARDS HEALTHY LIVING TOPICS WAS CONDUCTED. THESE RESULTS ARE CURRENTLY UNDER ANALYSIS.3. PARTNER WITH LOCAL EDUCATION AGENCIES TO DISSEMINATE CANCER AND HEALTHY LIVING EDUCATIONAL PROGRAMS. DURING THE 2015-2016 SCHOOL YEAR, THE SCHOOL OUTREACH TEAM WORKED WITH 16 SCHOOLS IN THE MEMPHIS AREA TO DELIVER CANCER AND HEALTHY LIVING EDUCATIONAL PROGRAMS TO OVER 1700 K-12 STUDENTS. OF THE 16 SCHOOLS THAT PARTICIPATED IN THE PROGRAM, 9 WERE TITLE 1 SCHOOLS. OF THE 6 TITLE 1 SCHOOLS, 3 WERE IZONE SCHOOLS, WHICH ARE DEFINED AS SCHOOLS PERFORMING IN THE BOTTOM 5% OF SCHOOLS IN THE STATE AND RECEIVE FUNDS TO IMPROVE STUDENT ACHIEVEMENT. THROUGH THESE PARTNERSHIPS, THE SCHOOL OUTREACH TEAM WAS ABLE TO INCREASE THE NUMBER OF STUDENTS AND TEACHERS WHO HAVE PARTICIPATED IN THE ST. JUDE CANCER EDUCATION FOR CHILDREN PROGRAM (TABLE 1).TABLE 1: THE NUMBER OF TEACHERS AND STUDENTS WHO PARTICIPATED IN EDUCATIONAL PROGRAMSSCHOOL YEAR NUMBER OF TEACHERS NUMBER OF STUDENTS2012-2013 65 1,0142013-2014 143 9902014-2015 245 1,6212015-2016 115 1,761HEALTH NEEDS NOT BEING ADDRESSEDIN ORDER TO EFFECTIVELY ADDRESS THE NEEDS IDENTIFIED, ST. JUDE IS FOCUSING ON THE NEEDS OUTLINED ABOVE. THERE WERE OTHER ISSUES THAT WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH HAVE LESS IMMEDIATE IMPACT ON THE ST. JUDE COMMUNITY, OR ARE OUTSIDE OF THE MISSION AND PRIMARY EXPERTISE OF ST. JUDE. THESE ISSUES MAY BE ADDRESSED IN A FUTURE PLAN IF THE OPPORTUNITY ARISES, OR MAY BE ADDRESSED BY OTHER COMMUNITY PROVIDERS.ONE OF THE FOUR NATIONAL PEDIATRIC HEALTH NEEDS IDENTIFIED IN THE CHNA, BUT NOT ADDRESSED IN THIS IMPLEMENTATION PLAN, IS MENTAL HEALTH. ALTHOUGH IMPROVING ACCESS TO MENTAL HEALTH EMERGED AS A NEED, IT IS OUTSIDE OF THE MISSION FOR ST. JUDE. THE MENTAL HEALTH CHALLENGES FACING THE ST. JUDE COMMUNITY ARE SIMILAR TO THOSE FACING HOSPITALS ACROSS THE COUNTRY. WHILE ST. JUDE DOES NOT PLAN TO ADDRESS THIS NEED IN THE COMMUNITY, ITS PSYCHOLOGY AND SOCIAL WORK DEPARTMENTS OFFER INTERVENTIONS AND REFERRALS TO OUTSIDE RESOURCES AS NECESSARY, AND ARE DEVELOPING OTHERS TO ADDRESS MENTAL HEALTH NEEDS OF THE ST. JUDE PATIENT POPULATION.THE IMPLEMENTATION PLAN WILL BE ASSESSED ANNUALLY AND PROGRESS RECORDED. THE HOSPITAL RESERVES THE RIGHT TO AMEND THIS IMPLEMENTATION PLAN AT ANY TIME AS CIRCUMSTANCES WARRANT. COMMUNITY HEALTH NEEDS MAY EVOLVE, REQUIRING ADJUSTMENTS TO THE DESCRIBED STRATEGIC INITIATIVES. |
| ST. 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 (13 entries)
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| 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 MARKETPLACE. |
| 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 1, 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 $6.4 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. ST. JUDE IS A MEMBER OF THE MIDSOUTH EHEALTH ALLIANCE (MSEHA), A NON-PROFIT INITIATIVE TO IMPROVE THE QUALITY, SAFETY, AND EFFICIENCY OF HEALTH CARE IN THE MID-SOUTH REGION. BY PROVIDING FOR THE ELECTRONIC EXCHANGE OF HEALTH INFORMATION, HEALTHCARE PROVIDERS CAN SECURELY ACCESS PATIENTS' VITAL HEALTH INFORMATION WHEN AND WHERE IT IS NEEDED. THE MSEHA CURRENTLY EXCHANGES DATA AMONG 14 HOSPITALS AND 12 AMBULATORY CLINICS IN THE REGION. THE MSEHA IS CURRENTLY SHARING MEDICAL INFORMATION BETWEEN HOSPITAL EMERGENCY DEPARTMENTS AND AMBULATORY CLINICS TO PROVIDE BETTER TREATMENT AND DIAGNOSTIC SERVICES FOR PATIENTS. HEALTH CARE PROVIDERS CAN MAKE BETTER CHOICES ABOUT A PATIENT'S CARE AND TREATMENT WHEN THEY HAVE AS MUCH INFORMATION AS POSSIBLE ABOUT THAT PATIENT'S HEALTH FROM LAB TESTS, MEDICAL HISTORY, MEDICINES, AND OTHER REPORTS. THE ALLIANCE PERMITS PROVIDERS TO REVIEW MEDICAL INFORMATION IN A SYSTEM THAT IS FASTER THAN CONTACTING A PATIENT'S OTHER PROVIDERS ONE BY ONE. THE ALLIANCE SHARES INFORMATION ABOUT A PATIENT'S MEDICAL CONDITION WITH HEALTH CARE PROVIDERS INVOLVED IN THAT PATIENT'S CARE FOR COORDINATION OF CARE.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 ST. JUDE OFFICE OF GOVERNMENT AFFAIRS DIRECTOR CONTINUES TO SERVE ON THE BOARD OF DIRECTORS OF THE RIVERFRONT DEVELOPMENT CORPORATION (RDC). IN ADDITION TO MANAGING ALL THE PARKS ON THE MEMPHIS RIVERFRONT WHICH FOSTER HEALTHY LIFESTYLES, THE RDC HAS CONSTRUCTED A PLAYGROUND DESIGNED SPECIFICALLY FOR CHILDREN AT BEALE ST. LANDING. THIS IS THE ONLY CHILD-DESIGNATED PLAYGROUND ON THE MEMPHIS RIVERFRONT AND FOSTERS EXERCISE FOR CHILDREN LIVING DOWNTOWN.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 THIRTY TO FORTY STUDENTS ANNUALLY AS PATIENT CARE OBSERVERS. THESE STUDENTS ARE AT DIFFERENT STAGES OF TRAINING FROM UNDERGRADUATE COLLEGE OR PROFESSIONAL HEALTHCARE SCHOOLS INCLUDING MEDICAL SCHOOLS. THE OBSERVERS ARE DECIDING ON OR CONFIRMING CAREER HEALTHCARE DECISIONS. THE 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 IDENTIFYING LEGAL FRAMEWORK FOR 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.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 ON 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 CHAIR OF THE MEMPHIS BAR ASSOCIATION HEALTH LAW SECTION, AND THE CHIEF LEGAL OFFICER CHAIRS THE COMMUNITY AFFAIRS COMMITTEE OF THAT SECTION, 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, SUCH AS SOCIAL SECURITY DISABILITY AND HEALTH EXCHANGE ELIGIBILITY. THE COMMUNITY AFFAIRS COMMITTEE ALSO CONTRIBUTES TO THE MEMPHIS CHILDREN'S HEALTH LAW DIRECTIVE, THE ONLY MEDICO-LEGAL PARTNERSHIP SERVING THE MID-SOUTH.THE CANCER EDUCATION COORDINATOR IN INTERNATIONAL OUTREACH PARTICIPATES IN THE FOOD ADVISORY COUNCIL OF MEMPHIS. THIS AGENCY FOCUSES ON LOCAL FOOD POLICIES TO BUILD HEALTHIER COMMUNITIES IN THE MEMPHIS AREA. ST. JUDE IS ALSO INVOLVED IN THE CHRISTIAN BROTHERS HIGH SCHOOL STEMM COLAB, WHICH PROVIDES TEACHERS PROFESSIONAL DEVELOPMENT IN THE AREAS OF SCIENCE, TECHNOLOGY, ENGINEERING, MATH, AND MEDICINE IN THE MEMPHIS AREA. |
| 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 IN FUTURE PERIODS AS ADJUSTMENTS 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 $1,629,000 AND $831,000 IN 2016 AND 2015, RESPECTIVELY.ST. JUDE CHILDREN'S RESEARCH HOSPITAL DOES NOT CONSIDER BED 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. CANCERCHILDHOOD CANCERS ARE RARE. ONLY 10,380 NEW CASES ARE EXPECTED TO OCCUR AMONG CHILDREN 14 YEARS OF AGE AND YOUNGER IN 2016; HOWEVER, CANCER IS THE LEADING CAUSE OF DISEASE RELATED DEATH IN U.S. CHILDREN (FOOTNOTE 1). THE PRINCIPLE 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. SEVENTY PERCENT OF OUR CANCER PATIENTS ARE FROM A 10-STATE REGION. THIS INCLUDES THE IMMEDIATE VICINITY STATES OF TN, MS, AR, MO, AL, KY, GA, FL AND STATES WITH ST. JUDE AFFILIATE CLINICS (LA, IL, MO, AL, EASTERN TN). THE DISTRIBUTION OF ST. JUDE CANCER CASES IN RELATION TO RACE, ETHNICITY, AND GENDER IS CONSISTENTLY ALIGNED WITH THE GENERAL DEMOGRAPHICS OF THAT 10-STATE REGION (BASED ON 2010 DATA FROM THE US CENSUS BUREAU) AND WITH THE CANCER SPECIFIC DEMOGRAPHICS (BASED ON SURVEILLANCE EPIDEMIOLOGY AND END RESULTS (SEER) 2009 DATA). FOR EXAMPLE, ESTIMATES FROM THE 2009 SEER DATA SUGGEST THAT WHITES COMPRISE 63%, BLACKS 18.8% AND HISPANICS 15.9% OF THE PEDIATRIC CANCER CASES IN THE 10-STATE REGION. IN COMPARISON, 73%, 17%, AND 12%, RESPECTIVELY, OF WHITES, BLACKS AND HISPANICS CONSTITUTE OUR CANCER PATIENT POPULATION (FOOTNOTE 2). (NOT EQUAL TO 100% SINCE SUMMARIZES RACE AND ETHNICITY.) DEMOGRAPHICS FROM THE ST. JUDE PEDIATRIC CANCER COHORT ARE COMPARED WITH THE DEMOGRAPHICS OF THE 10-STATE REGION ANNUALLY TO MONITOR DEMOGRAPHIC REPRESENTATION OF OUR CANCER PATIENTS IN RELATION TO THE 10-STATE REGION. ALSO MONITORED ANNUALLY IS THE DISTRIBUTION OF SPECIFIC CANCERS IN THE 10-STATE REGION AND COMPARED WITH THE ST. JUDE CANCER POPULATION.OUR RESEARCH AND CLINICAL TRIALS ARE INFORMED BY THE CHILDREN TREATED AT ST. JUDE AND OUR AFFILIATE CLINICS. ST. JUDE OFFERS THERAPEUTIC TRIALS FOR A VARIETY OF CANCERS INCLUDING CENTRAL NERVOUS SYSTEM (CNS) TUMORS, NON-CNS SOLID TUMORS, AND LEUKEMIA/LYMPHOMA. 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.THE RARITY OF PEDIATRIC CANCERS AND OUR UNIQUE POSITION AS A NATIONAL RESOURCE FOR THE RESEARCH AND TREATMENT OF CANCER MEANS THAT OUR REACH IS EXTENSIVE, INCLUDING LOCAL, REGIONAL, NATIONAL, AND INTERNATIONAL LEVELS. MANY OF OUR INITIATIVES ARE DESIGNED TO IMPACT PEDIATRIC CANCER TREATMENT ON A GLOBAL SCALE. THE NATIONAL COMPREHENSIVE CANCER NETWORK (NCCN), A NOT-FOR-PROFIT ALLIANCE OF 27 OF THE WORLD'S LEADING CANCER CENTERS, IS DEDICATED TO IMPROVING THE QUALITY, EFFECTIVENESS AND EFFICIENCY OF CARE PROVIDED TO PATIENTS WITH CANCER (WWW.NCCN.ORG). ST. JUDE, A NCCN MEMBER IN COLLABORATION WITH THE UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER/THE WEST CLINIC, PARTICIPATES IN A NUMBER OF THE VARIOUS COMMITTEES AND GUIDELINES PANELS THAT WORK TOWARD THE GOAL OF IMPROVING THE QUALITY AND EFFECTIVENESS OF CARE PROVIDED TO PATIENTS WITH CANCER. THE NCCN GUIDELINES HAVE BECOME THE MOST WIDELY USED GUIDELINES IN ONCOLOGY PRACTICE AND HAVE BEEN REQUESTED BY CANCER CARE PROFESSIONALS IN MORE THAN 115 COUNTRIES.ACCORDING TO THE AMERICAN CANCER SOCIETY, INDIVIDUALS WITH LOWER SOCIOECONOMIC STATUS HAVE HIGHER CANCER INCIDENCE RATES BECAUSE OF ENGAGING IN LIFESTYLE BEHAVIORS THAT INCREASE CANCER RISK (FOOTNOTE 3). 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 2015-2016 SCHOOL YEAR, THE SCHOOL OUTREACH TEAM WORKED WITH 16 SCHOOLS IN THE MEMPHIS AREA TO DELIVER CANCER AND HEALTHY LIVING EDUCATION PROGRAMS TO OVER 1,700 K-12 STUDENTS. OF THE 16 SCHOOLS THAT PARTICIPATED IN THE PROGRAM, 9 WERE TITLE 1 SCHOOLS; THIS PARTICIPATION IS IMPORTANT BECAUSE OF THE HIGH PERCENTAGE OF CHILDREN ENROLLED FROM LOW SOCIOECONOMIC FAMILIES. OF THE 9 TITLE 1 SCHOOLS, 3 WERE IZONE SCHOOLS, WHICH ARE DEFINED AS SCHOOLS PERFORMING IN THE BOTTOM 5% OF SCHOOLS IN THE STATE AND RECEIVE FUNDS TO IMPROVE STUDENT ACHIEVEMENT. 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 SA |
| 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. 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 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. THESE DOCUMENTS ARE AVAILABLE IN ENGLISH AND SPANISH. FOR FAMILIES SPEAKING OTHER LANGUAGES, WE UTILIZE ONSITE INTERPRETER SERVICES AND/OR PROFESSIONAL CONTRACTED 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 8,000 ACTIVE 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 64 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 SEVEN 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 AIMED AT SHARING KNOWLEDGE AND RESOURCES TO IMPROVE THE SURVIVAL RATE OF CHILDREN WITH CANCER AND HEMATOLOGIC DISEASES WORLDWIDE. ST. JUDE HAS PARTNERSHIPS WITH 24 MEDICAL INSTITUTIONS IN 17 COUNTRIES.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 22% OF NEW ONCOLOGY PATIENTS RESIDING WITHIN THIS AREA. FY16 NEW CANCER PATIENTSPATIENT ORIGIN % OF TOTALMEMPHIS, TN AND SURROUNDING AREA 22%AFFILIATE REFERRAL 38%NATIONAL REFERRAL (OTHER AREAS OF U.S.) 32%INTERNATIONAL REFERRAL 8%GRAND TOTAL 100% THE ST. JUDE AFFILIATE PROGRAM (AP) IS A NETWORK OF SEVEN 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, AND SPRINGFIELD MO. THE AFFILIATES' ENROLLMENT OF PATIENTS ON ST. JUDE CLINICAL TRIALS HELPS ST. JUDE FIND CURES FASTER AND SAVE MORE CHILDREN. 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 800 INTERNATIONAL PHYSICIAN REQUESTS. FOR FY16 PATIENT CONSULTATIONS BY CONTINENT TOTALED 3,905 AS FOLLOWS:CONTINENT NUMBER OF PATIENTS CONSULTATIONSNORTH AMERICA 3,269SOUTH AMERICA 197EUROPE 113AFRICA 27ASIA 228AUSTRALIA 50UNKNOWN LOCATION 21TOTAL 3,905ST. JUDE ALSO OPERATES AN INTERNATIONAL OUTREACH PROGRAM (IOP) 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. BECAUSE 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, THE IOP 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, THE IOP 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 24 MEDICAL INSTITUTIONS (AND THEIR SUPPORTING FOUNDATIONS) ACROSS 17 DIFFERENT COUNTRIES-BRAZIL, CHILE, CHINA, COSTA RICA, DOMINICAN REPUBLIC, ECUADOR, EL SALVADOR, GUATEMALA, HAITI, HONDURAS, JORDAN, LEBANON, MEXICO, MOROCCO, NICARAGUA, PHILIPPINES, 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 HELD AND TRAINING PROVIDED IS VIA ST. JUDE'S WEB-BASED PLATFORM, ST. JUDE CURE4KIDS(TM), A FREE RESOURCE FOR ALL GLOBAL PEDIATRIC ONCOLOGY PROFESSIONALS, REGARDLESS OF THEIR AFFILIATION WITH ST. JUDE OR ITS PARTNERS. FINALLY, ST. JUDE PARTNERS WITH LOCAL FUNDRAISING ORGANIZ |
| PART VI, LINE 5: | ST. JUDE CHILDREN'S RESEARCH HOSPITAL WAS OPENED IN 1962 BY ENTERTAINER DANNY THOMAS, WITH THE PURPOSE OF "IMPROVING CHILD HEALTH THROUGH RESEARCH IN BIOLOGY AND PEDIATRICS." 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, NO CHILD IS DENIED TREATMENT BASED ON RACE, RELIGION OR A FAMILY'S ABILITY 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 HEALTHCARE AND SCIENTIFIC RESEARCH PROFESSIONALS. THROUGH THESE EFFORTS WE SEEK TO CURE AND ENHANCE THE QUALITY OF LIFE FOR AN INCREASING PROPORTION OF CHILDREN WHO COME TO US FOR TREATMENT, AND BY EXPANDING AND SHARING KNOWLEDGE, TO ADVANCE TREATMENT OF CHILDREN WITH CATASTROPHIC DISEASES WORLD-WIDE, 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. FOCUSING ON PROVIDING OUTSTANDING PATIENT CARE RESULTS IN RESEARCH FINDINGS THAT TRANSLATE INTO IMPROVED PATIENT OUTCOME. 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; THE MAJORITY ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. 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 PEDIATRIC PATIENTS IN THE SURROUNDING VICINITY 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 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 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 GROUND-BREAKING DISCOVERIES IN A NUMBER OF DIFFERENT AGGRESSIVE CHILDHOOD CANCERS INCLUDING RETINOBLASTOMA, MEDULLOBLASTOMA, NEUROBLASTOMA, DIFFUSE INTRINSIC PONTINE GLIOMA, TWO AGGRESSIVE FORMS OF LEUKEMIA AND LOW-GRADE GLIOMAS. IN DECEMBER 2012, THE PEDIATRIC CANCER GENOME PROJECT 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 PCGP RECENTLY LAUNCHED PHASE 2 OF THE PROJECT, A TWO-YEAR, $30 MILLION ENDEAVOR THAT WILL EXAMINE THE CANCER SAMPLES FROM 300 CHILDREN AND FOCUS ON DEFINING MUTATIONS THAT CONTRIBUTE TO TUMOR FORMATION, CHARACTERIZING THE STATE OF THE CANCER CELL'S EPIGENOME AND DESCRIBE HOW IT DIFFERS FROM WHAT IS SEEN IN THE NORMAL CELLS. THE SECOND PHASE ALSO INCLUDES A CLINICAL GENOMICS PROJECT CALLED GENOMES FOR KIDS THAT WILL INVOLVE NEXT-GENERATION SEQUENCING FOR EVERY CHILD WITH CANCER WHO WALKS THROUGH THE DOORS AT ST. JUDE. 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 NOW HAS SEQUENCED MORE THAN 700 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 PATIENTS 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 UTILIZES 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 WHICH 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. THE ELECTRON MICROSCOPE INSTRUMENT IS ONE OF ONLY 200 OF ITS TYPE IN THE WORLD. 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.CONSTRUCTION OF A NEW PATIENT CARE AND RESEARCH BUILDING ON THE ST. JUDE CAMPUS IS UNDERWAY. THE FACILITY WILL HOUSE PROTON BEAM RADIATION THERAPY TECHNOLOGY DESIGNED TO DELIVER RADIATION THERAPY FOR TREATING CHILDREN WITH BRAIN TUMORS AND SEVERAL OTHER CHILDHOOD CANCERS. PROTON THERAPY IS FAR LESS DAMAGING TO SURROUNDING HEALTHY TISSUE THAN OTHER CURRENT RADIATION THERAPIES. THIS EQUIPMENT WILL ENABLE 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. CURRENTLY THERE ARE NO OTHER PROTON THERAPY CENTERS IN THE WORLD DEDICATED SOLELY TO THE TREATMENT OF CHILDREN.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 POST-DOCTORAL LEVEL, THE HOSPITAL PLAYS A MAJOR ROLE IN PREPARING FUTURE LEADERS OF SCIENCE AND MEDICINE. IN ADDITION TO ONSITE EDUCATION, THE INTERNATIONAL OUTREACH PROGRAM PROVIDES AN EDUCATION AND COLLABORATION WEB SITE, CURE4KIDS(TM) (WWW.CURE4KIDS.ORG).VIA THE CONNECT2PROTECT PROGRAM, ST. JUDE COLLABORATES WITH CHURCHES, OTHER HEALTHCARE 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 $807 MILLION IN FY16 TO SUPPORT ST. JUDE.VOLUNTEERS ENHANCE THE QUALITY OF PATIE |
| PART VI, LINE 2 (CONTINUATION FROM 93/126) | THROUGH DATA OBTAINED FROM THE STRATEGIC MULTISITE INITIATIVE FOR LINKAGE AND ENGAGEMENT (SMILE) PROGRAM, COALITION MEMBERS FACILITATED DIALOGUE AND DISCUSSIONS WITH KEY STAKEHOLDERS, AND STRATEGIZED ON NEW POLICY AND PRACTICE CHANGES RELATED TO COMMONLY IDENTIFIED BARRIERS (DISCLOSURE, TIMELINES OF CONFIRMATORY TEST, MEDICATION/APPOINTMENT ADHERENCE). FROM PROGRAM LAUNCH (06/2010) THROUGH PROGRAM COMPLETION (02/2016) OUR EFFORTS RESULTED IN APPROXIMATELY 96% (489/510) OF NEWLY DIAGNOSED HIV+ YOUTH BEING ENGAGED IN MEDICAL 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.OTHER COMMUNITY INITIATIVES INCLUDE A 9-MONTH PILOT PROJECT TO ESTABLISH HIV TESTING AND LINKAGE TO PREVENTION SERVICES IN COMMUNITIES WITH DISPROPORTIONATE HIV RATES. THIS INVOLVED INTENTIONALLY IMPLORING A COMMUNITY BASED PARTICIPATORY RESEARCH (CBPR) APPROACH TO HELP REACH A MARGINALIZED POPULATION THAT IS EASILY ACCESSIBLE AND TO ASSURE BUY IN FROM THAT POPULATION. WE SUCCESSFULLY CONDUCTED 5 STAKEHOLDERS/GATEKEEPER MEETINGS TO DETERMINE SPECIFIC OUTREACH AND EDUCATION STRATEGIES, 3 FOCUS GROUPS WITH THE TARGETED POPULATION OF FOCUS TO EXPLORE ORGANIZATIONAL READINESS AND TO ASCERTAIN INNOVATIVE STRATEGIES FOR HIV EDUCATION, TESTING AND ACCESS TO CARE AND PREVENTION SERVICES. TESTING AND LINKAGE TO PREVENTION SERVICES REACHED OVER 642 YOUTH AND YOUNG ADULTS DURING THE PILOT PHASE OF THE PROJECT WITH CUMULATIVE HIV POSITIVITY RATE OF 4.5% (29). 1. AMERICAN CANCER SOCIETY. CANCER FACTS & FIGURES 2016. ATLANTA: AMERICAN CANCER SOCIETY; 2016. 2. FOR THE PERIOD FROM JULY 1, 2015 TO JUNE 30, 2016.3. AMERICAN CANCER SOCIETY. CANCER FACTS & FIGURES 2016. ATLANTA: AMERICAN CANCER SOCIETY; 2016. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF TENNESSEE | ||||||||||
| 50 NORTH DUNLAP SUITE 462R | MEMPHIS | TN | 38105 | 626001636 | GOVERNMENT ENTITY | $3,164,983 | 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 INC | ||||||||||
| 1210 PEABODY AVENUE | MEMPHIS | TN | 381040457 | 581716113 | 501(C)(3) | $100,000 | FINANCIAL SUPPORT | |||
| METHODIST LEBONHEUR | ||||||||||
| 1265 UNION AVE | MEMPHIS | TN | 381040457 | 620479367 | 501(C)(3) | PROVIDE EQUIPMENT | $9,419 | BOOK | EQUIPMENT | |
| NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS | ||||||||||
| 600 13TH STREET NW SUITE 500 | WASHINGTON | DC | 20005 | 582176067 | 501(C)(6) | $6,684 | CONTRIBUTIONS | |||
| MID-SOUTH MINORITY BUSINESS COUNCIL | ||||||||||
| 185 MADISON AVENUE | MEMPHIS | TN | 38103 | 621198163 | 501(C)(6) | $7,500 | SPONSOR CONFERENCE AND AWARDS LUNCHEON | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 2 | 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) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| 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 |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | 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 | $696,250 | $0 | $0 | $0 | $2,411 | $0 | $59,181 | $0 | $16,250 | $0 | $774,092 | $0 | $0 |
| JAMES R DOWNING | ||||||||||||||
| PRESIDENT AND CEO | $867,394 | $0 | $50,275 | $0 | $78,775 | $0 | $119,150 | $0 | $17,405 | $0 | $1,132,999 | $0 | $0 | $0 |
| LARRY KUN | ||||||||||||||
| EVP/CLINICAL DIRECTOR | $788,631 | $0 | $75,275 | $0 | $8,534 | $0 | $29,150 | $0 | $19,905 | $0 | $921,495 | $0 | $0 | $0 |
| RICHARD GILBERTSON | ||||||||||||||
| EVP/DIRECTOR CANCER CENTER | $416,013 | $0 | $125 | $0 | $11,246 | $0 | $162,650 | $0 | $11,305 | $0 | $601,339 | $0 | $0 | $0 |
| MARY ANNA QUINN | ||||||||||||||
| EVP/CHIEF ADMIN OFFICER | $414,021 | $0 | $275 | $0 | $4,070 | $0 | $62,900 | $0 | $15,415 | $0 | $496,681 | $0 | $0 | $0 |
| CHARLES M ROBERTS | ||||||||||||||
| EVP/DIRECTOR CANCER CENTER | $212,248 | $0 | $190,150 | $0 | $3,886 | $0 | $0 | $0 | $5,034 | $0 | $411,318 | $0 | $0 | $0 |
| CARLOS RODRIGUEZ-GALINDO | ||||||||||||||
| EVP/CHAIR | $69,099 | $0 | $140,150 | $0 | $175 | $0 | $0 | $0 | $847 | $0 | $210,271 | $0 | $0 | $0 |
| ANDREW DAVIDOFF | ||||||||||||||
| CHAIR | $663,241 | $0 | $275 | $0 | $1,688 | $0 | $88,287 | $0 | $22,273 | $0 | $775,764 | $0 | $0 | $0 |
| THOMAS E MERCHANT | ||||||||||||||
| CHAIR | $663,752 | $0 | $15,150 | $0 | $1,563 | $0 | $90,350 | $0 | $28,723 | $0 | $799,538 | $0 | $0 | $0 |
| JAMES I MORGAN | ||||||||||||||
| CHAIR | $426,138 | $0 | $35,150 | $0 | $238,239 | $0 | $29,150 | $0 | $19,905 | $0 | $748,582 | $0 | $0 | $0 |
| CHING-HON PUI | ||||||||||||||
| CHAIR | $604,811 | $0 | $29,341 | $0 | $57,456 | $0 | $29,150 | $0 | $7,526 | $0 | $728,284 | $0 | $0 | $0 |
| LESLIE L ROBISON | ||||||||||||||
| CHAIR | $539,158 | $0 | $25,400 | $0 | $193,505 | $0 | $29,150 | $0 | $17,405 | $0 | $804,618 | $0 | $22,408 | $0 |
| MICHAEL C CANARIOS | ||||||||||||||
| FORMER SVP/CHIEF FINANCIAL OFFICER | $199,611 | $0 | $6,882 | $0 | $282,069 | $0 | $14,997 | $0 | $22,126 | $0 | $525,685 | $0 | $0 | $0 |
| WILLIAM E EVANS | ||||||||||||||
| FACULTY/FORMER PRES. & CEO | $612,708 | $0 | $15,275 | $0 | $622,125 | $0 | $29,150 | $0 | $50,058 | $0 | $1,329,316 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | 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. |
| PART I, LINE 4A: | SEVERANCE PAY IN THE AMOUNT OF $280,700 WAS OFFERED TO THE FORMER CHIEF FINANCIAL OFFICER UNDER A SEPARATION AGREEMENT VOLUNTARILY ENTERED INTO BY THE PARTIES. THE TERMS OF THAT AGREEMENT ARE CONFIDENTIAL. ALL SEVERANCE AGREEMENTS CONTAIN, WHEN LEGALLY PERMITTED, A RELEASE OF CLAIMS. |
| 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: WILLIAM E. EVANS - $613,743 JAMES I. MORGAN - $229,705 |
| 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 K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HEALTH EDUCATION & HOUSING FACILITY BOARD OF THE COUNTY OF SHELBY TN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521283414 | BondIssuerEIN |
| CUSIP | 821697XJ3 | CUSIPNum |
| Bond Issued | 2006-12-21 | BondIssuedDt |
| Issue Price | $250,725,271 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $33,685,000 | RetiredAmt |
| Total Proceeds | $252,012,996 | TotalProceedsAmt |
| In Reserve Fund | $207,132,006 | InReserveFundAmt |
| Capitalized Interest | $3,026,125 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $1,658,551 | IssuanceCostsFromProceedsAmt |
| Working Capital Expenditures | $2,188,865 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $129,840,961 | CapitalExpendituresAmt |
| Other Spent Proceeds | $115,298,494 | OtherSpentProceedsAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | 0 | EngageBondCounselContractsInd |
| Any Research Agreements | Yes (1) | AnyResearchAgreementsInd |
| Engage Bond Counsel Research | Yes (1) | EngageBondCounselResearchInd |
| Private Bus Use By Others | 0.00060 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.00060 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: THE HEALTH, EDUCATION & HOUSING FACILITY BOARD OF THE COUNTY O DATE THE REBATE COMPUTATION WAS PERFORMED: 12/21/2011 |
| PART I, COLUMN(F): | $130.7 MILLION FOR CONSTRUCTION OF INTEGRATED FACILITY; $120 MILLION TO ADVANCE REFUND 1999 SERIES ISSUE. DATE ISSUED: 07/22/1999 |
| PART II, LINE 3: | TOTAL PROCEEDS OF ISSUE INCLUDE INVESTMENT EARNINGS IN THE AMOUNT OF $1,287,725. PART II, LINE 4: THE AMOUNT SHOWN HERE CONSISTS SOLELY OF DEBT SERVICE FUND DEPOSITS. THE BONDS WERE REDEEMED IN FULL WITH CASH ON JULY 1, 2016. THE REDEMPTION TRANSACTION DID NOT CONSITITUTE A LEGAL DEFEASANCE. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MARY RELLING | |||
| SEE PART V | $488,470 | EMPLOYMENT | 0 |
| SUSANNA DOWNING | |||
| SEE PART V | $56,806 | EMPLOYMENT | 0 |
| JULIE GATTAS | |||
| SEE PART V | $52,304 | EMPLOYMENT | 0 |
| DIANE ROBERTS | |||
| SEE PART V | $113,619 | 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: $488,470(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: $56,806(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF INTERESTED PERSON: JULIE GATTAS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF DIRECTOR, FRED P. GATTAS, JR.(C) AMOUNT OF TRANSACTION: $52,304(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: $113,619(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 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 AYOUB, ESQ.; FRED P. GATTAS, III, PHARMD AND FRED P. GATTAS, JR.; GEORGE A. SIMON, II AND PAUL J. SIMON; TERRE THOMAS AND TONY THOMAS; ROBERT A. BREIT, MD AND JOSEPH G. SHAKER; JOSEPH C. SHAKER AND JOSPEH G. SHAKER; PAUL J. SIMON AND MICHAEL SIMON. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE ROLE OF CHIEF FINANCIAL OFFICER WAS PERFORMED ON AN INTERIM BASIS BY STEPHEN PICKETT OF WARBIRD CONSULTING (7/1/2015 - 2/1/2016). |
| FORM 990, PART VI, SECTION B, LINE 11 | 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 FOR REVIEW BEFORE IT IS FILED WITH THE IRS. EACH VOTING MEMBER OF THE BOARD IS PROVIDED WITH A FINAL COPY OF THE FORM 990 AND ALL REQURIED 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 CONFLICT OF INTEREST POLICY, COMPLETE THE ORGANIZATION'S CONFLICT OF INTEREST DISCLOSURE FORM AND RECEIVE TRAINING ON CONFLICTS OF INTEREST. 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 APPEAL TO THE FULL BOARD. IN ADDITION TO THE CONFLICT OF INTEREST COMMITTEE, THE ORGANIZATION HAS A COMPLIANCE OFFICER. ALL EMPLOYEES IN CLINICAL, RESEARCH, AND SELECT ADMINISTRATIVE DEPARTMENTS, AND EMPLOYEES IDENTIFIED AS SUPERVISORS AND/OR HAVING PURCHASING AUTHORITY, COMPLETE CONFLICT OF INTEREST TRAINING AND A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. THE COMPLIANCE OFFICE 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 BY THE INSTITUTIONAL CONFLICT OF INTEREST COMMITTEE AS APPROPRIATE. DEPENDING UPON THE FACTS AND CIRCUMSTANCES OF THE CONFLICT, THE ACTIVITY MAY BE MANAGED ACCORDING 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, CHIEF FINANCIAL OFFICER, SCIENTIFIC DIRECTOR, CANCER CENTER DIRECTOR, CLINICAL DIRECTOR, CHIEF ADMINISTRATIVE OFFICER, CHIEF GOVERNANCE OFFICER/CORPORATE SECRETARY AND CHIEF LEGAL OFFICER. IN ADDITION, FOUR EMPLOYEES ARE CONSIDERED "DISQUALIFIED" BECAUSE THEY ARE FORMER EXECUTIVES OR RELATIVES OF CURRENT OR FORMER EXECUTIVES, AND THEIR COMPENSATION THEREFORE FALLS UNDER THE PURVIEW OF THE COMPENSATION COMMITTEE. ALL CHANGES TO OFFICERS' SALARY ARE APPROVED BY THE COMPENSATION COMMITTEE AND REPORTED TO THE BOARD. THE LAST REVIEW WAS COMPLETED IN 2016. |
| 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 ALSAC -25,194,540. CHNANGE IN INTEREST IN NET ASSETS OF ALSAC -2,362,906. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 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 | -$3,022,695 | $881,474 | 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 |
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 THE 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | 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 | 0 | TransferFromOtherOrgInd |