SAINT JOHN S CANCER INSTITUTE: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SAINT JOHN S CANCER INSTITUTE (EIN 95-4291515)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201243209349308124
- Schema version
- 2011v1.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule G
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T16:01:14-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRUCE E BERNSTIEN & ASSOC PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10440 N CENTRAL EXPRESSWAY STE 1040 | AddressLine1 |
| City | DALLAS | City |
| State | TX | State |
| ZIP Code | 75231 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 954291515 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | John Wayne Cancer Institute | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MICHELLE MOK | InCareOfName |
| Name Control | JOHN | NameControl |
| Phone | 3108298411 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 SANTA MONICA BLVD | AddressLine1 |
| City | SANTA MONICA | City |
| State | CA | State |
| ZIP Code | 90404 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | michelle mok | Name |
| Title | cfo | Title |
| Date Signed | 2012-11-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRUCE E BERNSTIEN | Name |
| Phone | 2147060840 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LOU LAZATIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 Santa Monica Blvd | AddressLine1 |
| City | Santa Monica | City |
| State | CA | State |
| ZIP Code | 90404 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12197591 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | http://www.jwci.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO SUPPORT RESEARCH AND DEVELOPMENT OF, AND EDUCATION IN, THE BASIC AND CLINICAL SCIENCES FOR THE PREVENTION, DETECTION, DIAGNOSIS, AND TREATMENT OF CANCER. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 135 | TotalNbrEmployees |
| Total Nbr Volunteers | 22 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 15455573 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 11785088 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 254798 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 383449 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 196155 | InvestmentIncomePriorYear |
| Investment Income Current Year | -30947 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -4839 | OtherRevenuePriorYear |
| Other Revenue Current Year | 14034 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15901687 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12151624 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8740826 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8024818 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 621361 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9995074 | OtherExpensePriorYear |
| Other Expenses Current Year | 8230889 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 18735900 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16255707 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2834213 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4104083 | RevenuesLessExpensesCY |
| Total Assets BOY | 19709745 | TotalAssetsBOY |
| Total Assets EOY | 14813954 | TotalAssetsEOY |
| Total Liabilities BOY | 1678523 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1325966 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 18031222 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13487988 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO SUPPORT RESEARCH AND DEVELOPMENT OF, AND EDUCATION IN, THE BASIC AND CLINICAL SCIENCES FOR THE PREVENTION, DETECTION, DIAGNOSIS, AND TREATMENT OF CANCER. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 4204426 | Expense |
| Description | MELANOMA RESEARCH: AS ONE OF THE LARGEST MELANOMA CENTERS IN THE U.S., THE INSTITUTE CONDUCTS LANDMARK RESEARCH TO IDENTIFY NEW OR RECURRING MELANOMA AT ITS EARLIEST STAGES, PREDICT AND MONITOR THE RESPONSE TO SYSTEMIC TREATMENTS, AND DEVELOP ACTIVE AND PASSIVE IMMUNOTHERAPIES FOR SURGICAL AND NON-SURGICAL PATIENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1707137 | Expense |
| Description | MOLECULAR ONCOLOGY: THE KEY FOCUS OF THE DEPARTMENT OF MOLECULAR ONCOLOGY IS THE DEVELOPMENT AND APPLICATION OF MOLECULAR/GENETIC BIOMARKERS FOR THE DIAGNOSIS, PROGNOSIS AND PREDICTION OF TREATMENT RESPONSE OF SOLID TUMORS. EMPHASIS OF STUDIES ARE OF THE SKIN (MELANOMA), BREAST, AND GASTROINTESTINAL TRACT. THE DEPARTMENT HAS DEVELOPED MULTIPLE PLATFORMS TO ASSESS RNA AND DNA OF DIFFERENT TYPES OF TISSUES AND CANCERS TO IMPROVE DIAGNOSIS, PROGNOSIS AND PREDICTION OF TREATMENT RESPONSE AND HAS OVER 12 YEARS OF EXPERIENCE IN THE FIELD AND IS CONTINUALLY IMPROVING APPROACHES TO TRANSLATIONAL QUANTITATIVE ONCOLOGY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 925347 | Expense |
| Revenue | 383449 | Revenue |
| Description | RESEARCH TRAINING: THE SURGICAL ONCOLOGY FELLOWSHIP PROGRAM IS THE ONLY ONE OF SIXTEEN CENTERS APPROVED BY THE SOCIETY OF SURGICAL ONCOLOGY. OVER THE PAST THREE DECADES, THE INSTITUTE HAS TRAINED OVER 100 SURGICAL ONCOLOGISTS IN THE CLINICAL TRANSITIONAL RESEARCH AND TRAIN IN ALL MAJOR AREAS OF CANCER TREATMENT INCLUDING SURGERY, MEDICAL AND RADIATION ONCOLOGY. | Description |
Activity Other ActivityOther (10 entries)
| ExpenseExpense | DescriptionDescription |
|---|---|
| 721795 | Translational Immunology |
| 609750 | Breast & Endocrine Clinical Research |
| 383036 | Experimental Therapeutics Research |
| 319556 | neuro-oncology |
| 217402 | Endocrin/Bone Research |
| 149110 | Translational Breast Research |
| 72162 | melanoma research |
| 13417 | other program svcs |
| 4040 | biotech sciences |
| 3027 | Hepatobiliary and Pancreas |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 2493295 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 9330205 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 47 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 135 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MICHELLE MOK | NamePerson |
| Telephone Number | 3108298411 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2121 SANTA MONICA BLVD | AddressLine1 |
| City | Santa Monica | City |
| State | CA | State |
| ZIP Code | 90404 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Patrick Wayne | |||||||||
| Chairman of the Board | 1.0 | X | X | 0 | 0 | 0 | |||
| Lou Lazatin | |||||||||
| President, CEO | 40.0 | X | X | 0 | 1115556 | 40050 | |||
| William P Rutledge | |||||||||
| Treasurer | 1.0 | X | X | 0 | 0 | 0 | |||
| Jerome L Coben Esq | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| Julia S Gouw | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| Jay B Lichter PhD | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| David B Tillman MD MPH | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| Michael I Wayne Esq | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| Michelle Mok | |||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | X | 0 | 336235 | 48976 | ||||
| Donald L Morton | |||||||||
| Chief, Melanoma Program | 40.0 | 302558 | 0 | 29410 | X | ||||
| Ashley Baker-Lee | |||||||||
| CHIEF ADMINISTRATIVE OFFICER | 40.0 | 227412 | 0 | 34408 | X | ||||
| Dave S Hoon | |||||||||
| Director, Molecular Oncology L | 40.0 | 208783 | 0 | 13781 | X | ||||
| Delphine Lee | |||||||||
| Director, Translational Immuno | 40.0 | 209895 | 0 | 13704 | X | ||||
| Andrew Trilling | |||||||||
| Interim VP, Public Affairs & D | 40.0 | 181664 | 0 | 29308 | X | ||||
| Myles C Cabot | |||||||||
| Director, Experimental Therape | 40.0 | 148944 | 0 | 17769 | X | ||||
| Stacey L Stern | |||||||||
| Director, Data Management | 40.0 | 140645 | 0 | 10649 | X | ||||
| Leland Foshag | |||||||||
| Director, Clinical Trials | 40.0 | 132222 | 0 | 28694 | X | ||||
| Tajquah Hudson | |||||||||
| vp, stragety & bus devl | 0 | 288286 | 54328 | X | |||||
| Armando Giuliano | |||||||||
| Chief, Science & Medicine | 0.0 | 207023 | 0 | 1250 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1759146 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1740077 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 322327 | TotalOtherCompensation |
| Number Individuals GT100 K | 13 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line1AddressOfContractor/AddressForeign/AddressLine1 | CityAddressOfContractor/AddressForeign/City | Province Or StateAddressOfContractor/AddressForeign/ProvinceOrState | CountryAddressOfContractor/AddressForeign/Country | Postal CodeAddressOfContractor/AddressForeign/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|
| huron consulting svcs llc | ||||||||||
| 4795 paysphere circle | CHICAGO | IL | 60674 | financial consulting | 829468 | |||||
| perkins coie llp | ||||||||||
| 1201 3rd ave | SEATTLE | WA | 98101 | legal svcs | 423594 | |||||
| regents of the university of califo | ||||||||||
| 10920 wilshire blvd ste 107 | LOS ANGELES | CA | 90024 | subgrant | 393374 | |||||
| melanoma institute australia | ||||||||||
| subgrant | 119200 | 40 ROCKLANDS RD | NORTH SYDNEY | NSW | AS | 2060 | ||||
| brooks kushman pc | ||||||||||
| 1000 town center | SOUTHFIELD | MI | 48075 | legal svcs | 116504 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Fundraising Events | 31554 | FundraisingEvents |
| Related Organizations | 776035 | RelatedOrganizations |
| Government Grants | 7393862 | GovernmentGrants |
| All Other Contributions | 3583637 | AllOtherContributions |
| Total Contributions | 11785088 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FELLOWS SURGERY BILLING REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 383449 | TotalRevenueColumn |
| Related Or Exempt Function Income | 383449 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 383449 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 30947 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -30947 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -30947 | TotalRevenueColumn |
| Exclusion | -$30,947 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 29054 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 31554 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 15020 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14034 | TotalRevenueColumn |
| Exclusion | $14,034 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12151624 | TotalRevenueColumn |
| Related Or Exempt Function Income | 383449 | RelatedOrExemptFunctionIncome |
| Exclusion | -$16,913 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1024625 | Total |
| Program Services | 762805 | ProgramServices |
| Management And General | 261820 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5471159 | Total |
| Program Services | 4227721 | ProgramServices |
| Management And General | 1142686 | ManagementAndGeneral |
| Fundraising | 100752 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 253900 | Total |
| Management And General | 253900 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 743534 | Total |
| Program Services | 1392987 | ProgramServices |
| Management And General | -713989 | ManagementAndGeneral |
| Fundraising | 64536 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 531600 | Total |
| Management And General | 531600 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 523937 | Total |
| Program Services | 75 | ProgramServices |
| Management And General | 523862 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113230 | Total |
| Management And General | 113230 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1248977 | Total |
| Program Services | 303641 | ProgramServices |
| Management And General | 944841 | ManagementAndGeneral |
| Fundraising | 495 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58946 | Total |
| Program Services | 24222 | ProgramServices |
| Management And General | 9681 | ManagementAndGeneral |
| Fundraising | 25043 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 921630 | Total |
| Program Services | 653566 | ProgramServices |
| Management And General | 222350 | ManagementAndGeneral |
| Fundraising | 45714 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1812140 | Total |
| Program Services | 986 | ProgramServices |
| Management And General | 1811154 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 348660 | Total |
| Program Services | 208354 | ProgramServices |
| Management And General | 23947 | ManagementAndGeneral |
| Fundraising | 116359 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296891 | Total |
| Management And General | 296891 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 216298 | Total |
| Program Services | 115412 | ProgramServices |
| Management And General | 100886 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| OUTSIDE SERVICES | 1225596 | 990989 | 197038 | 37569 |
| SUBGRANT COSTS | 780854 | 609991 | 117698 | 53165 |
| EQUIPMENT RENT AND MAINTENANCE | 352442 | 26336 | 313610 | 12496 |
| PUBLIC RELATIONS & DIRECT MAIL | 167723 | 1100 | 166623 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163565 | Total |
| Program Services | 13120 | ProgramServices |
| Management And General | 151836 | ManagementAndGeneral |
| Fundraising | -1391 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16255707 | Total |
| Program Services | 9330205 | ProgramServices |
| Management And General | 6304141 | ManagementAndGeneral |
| Fundraising | 621361 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1730647 | BOY |
| EOY | -2766746 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2509589 | BOY |
| EOY | 3923731 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14191358 | BOY |
| EOY | 11919061 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161617 | BOY |
| EOY | 104265 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 215728 | BOY |
| EOY | 157524 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11995885 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 10680577 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 880101 | BOY |
| EOY | 1315308 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20705 | BOY |
| EOY | 160811 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19709745 | BOY |
| EOY | 14813954 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 573207 | BOY |
| EOY | 545128 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1105316 | BOY |
| EOY | 780838 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1678523 | BOY |
| EOY | 1325966 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -886006 | BOY |
| EOY | -669271 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18917228 | BOY |
| EOY | 14157259 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18031222 | BOY |
| EOY | 13487988 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19709745 | BOY |
| EOY | 14813954 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -4104083 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -439151 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | false | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Medical Research Org170b1 Aiii | X | MedicalResearchOrg170b1Aiii |
Hospital Name And Address HospitalNameAndAddress
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | st john's health center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| City | santa monica | City |
| State | CA | State |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 113200 | OtherCostOrOtherBasis |
| Depreciation | 5007 | Depreciation |
| Book Value | 108193 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6333201 | OtherCostOrOtherBasis |
| Depreciation | 6072445 | Depreciation |
| Book Value | 260756 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5545327 | OtherCostOrOtherBasis |
| Depreciation | 4603125 | Depreciation |
| Book Value | 942202 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4157 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 4157 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1315308 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED SALARIES & EMPLOYEE BENEFITS | $741,314 |
| DEFERRED REVENUE | $39,524 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 780838 | TotalOfAmounts |
| Total Revenue | 12151624 | TotalRevenue |
| Total Expenses | 16255707 | TotalExpenses |
| Excess Or Deficit For Year | -4104083 | ExcessOrDeficitForYear |
| Other | -$439,151 | OtherAmount |
| Total Adjustments | -439151 | TotalAdjustments |
| Excess Or Deficit Per FS | -4543234 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 11747493 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -404131 | OtherRevenues |
| Revenue Not Rptd F990 | -404131 | RevenueNotRptdF990 |
| Revenue Subtotal | 12151624 | RevenueSubtotal |
| Total Revenue Per Form990 | 12151624 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 16290727 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 35020 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 35020 | ExpensesNotRptdF990 |
| Expenses Subtotal | 16255707 | ExpensesSubtotal |
| Total Expenses Per Form990 | 16255707 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGE IN NET ASSETS | form 990, SCHEDULE D, PART XI, LINE 8: | BENEFICIAL INTEREST IN FOUNDATION PLEDGE $ 750,000 BENEFICIAL INTEREST IN FOUNDATION NPV ADJ $ 267,219 SAINT JOHN'S HEALTH CENTER GRANT NPV ADJ $ 19,357 UNEXPENDED CONTRIBUTIONS RETURNED $(1,175,727) Ghandour pledge balance write-off $ (300,000) |
| RECONCILIATION OF REVENUE | form 990, SCHEDULE D, Part XII, line 2D: | BENEFICIAL INTEREST IN FOUNDATION PLEDGE $ 750,000 BENEFICIAL INTEREST IN FOUNDATION NPV ADJ $ 267,219 SAINT JOHN'S HEALTH CENTER GRANT NPV ADJ $ 19,357 fundraising event expenses net in revenue $ 15,020 SAINT JOHN'S medical staff expenses $ 20,000 UNEXPENDED CONTRIBUTIONS RETURNED $(1,175,727) Ghandour pledge balance write-off $ (300,000) |
| RECONCILIATION OF EXPENSES | form 990, SCHEDULE D, PART XIII, LINE 2D: | fundraising event expenses net in revenue $ 15,020 SAINT JOHN'S medical staff expenses $ 20,000 |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | true | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Specific Services ProvidedSpecificServicesProvided | Total ExpendituresTotalExpenditures |
|---|---|---|---|---|---|
| Europe (Including Iceland and Greenland) | 0 | 0 | Program Services | SITE STUDIES | 156225 |
| East Asia and the Pacific | 0 | 0 | Program Services | site studies | 141225 |
| Middle East and North Africa | 0 | 0 | Program Services | site studies | 17600 |
| North America | 0 | 0 | Program Services | SITE STUDIES | 6100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 321150 | SubtotalAmountSpent |
| Total Amount Spent | 321150 | TotalAmountSpent |
| Transfer To Foreign Corp | false | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | false | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Monitor Use of Funds | Identifier |
| Return Reference | form 990, Schedule F, Part I, line 2: | ReturnReference |
| Explanation | PAYMENT IS MADE ONLY WHEN DATA SUBMISSION CONFIRMS PROTOCOL COMPLIANCE. THE INSTITUTE ENFORCES CONTROL OF THE WORK PRODUCT AT ALL TIMES. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | pumpkin pink | NameOfEvent1 |
| Gross Receipts Event1 | 31554 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 2500 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 29054 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 15020 | OtherDirectExpensesEvent1 |
| Name Of Event2 | none | NameOfEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 31554 | GrossReceiptsTotal |
| Charitable Contributions Total | 2500 | CharitableContributionsTotal |
| Gross Revenue Total Events | 29054 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 15020 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 15020 | DirectExpenseSummaryEvents |
| Net Income Summary | 14034 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lou Lazatin | |||||||||||||
| 0 | 504961 | 0 | 517166 | 0 | 93429 | 0 | 33652 | 0 | 0 | 0 | 1149208 | 0 | 0 |
| Michelle Mok | |||||||||||||
| 0 | 293396 | 0 | 35022 | 0 | 7817 | 0 | 47124 | 0 | 1852 | 0 | 385211 | 0 | 0 |
| Donald L Morton | |||||||||||||
| 295494 | 0 | 0 | 0 | 7064 | 0 | 0 | 0 | 29410 | 0 | 331968 | 0 | 0 | 0 |
| Ashley Baker-Lee | |||||||||||||
| 219208 | 0 | 6887 | 0 | 1317 | 0 | 0 | 0 | 34408 | 0 | 261820 | 0 | 0 | 0 |
| Dave S Hoon | |||||||||||||
| 203820 | 0 | 0 | 0 | 4963 | 0 | 0 | 0 | 13781 | 0 | 222564 | 0 | 0 | 0 |
| Delphine Lee | |||||||||||||
| 209895 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13704 | 0 | 223599 | 0 | 0 | 0 |
| Armando Giuliano | |||||||||||||
| 169662 | 0 | 0 | 0 | 37361 | 0 | 0 | 0 | 1250 | 0 | 208273 | 0 | 0 | 0 |
| Andrew Trilling | |||||||||||||
| 158177 | 0 | 23487 | 0 | 0 | 0 | 0 | 0 | 29308 | 0 | 210972 | 0 | 0 | 0 |
| Myles C Cabot | |||||||||||||
| 148907 | 0 | 0 | 0 | 37 | 0 | 0 | 0 | 17769 | 0 | 166713 | 0 | 0 | 0 |
| Stacey L Stern | |||||||||||||
| 140608 | 0 | 0 | 0 | 37 | 0 | 0 | 0 | 10649 | 0 | 151294 | 0 | 0 | 0 |
| Leland Foshag | |||||||||||||
| 132185 | 0 | 0 | 0 | 37 | 0 | 0 | 0 | 28694 | 0 | 160916 | 0 | 0 | 0 |
| Tajquah Hudson | |||||||||||||
| 0 | 286285 | 0 | 0 | 0 | 2001 | 0 | 48440 | 0 | 5888 | 0 | 342614 | 0 | |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| questions regarding compensation | form 990, sch j, part i, line 1a: | FIRST CLASS TRAVEL IS NECESSARY DUE TO AGE AND FRAIL HEALTH OF THE TRAVELER. |
| executive compensation | form 990, sch j, part i, line 3: | SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS & STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHARE SYSTEMS AND HOSPITALS. |
| supplemental non-qualified retirement plan | form 990, sch j, part i, line 4b: | OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR IRS IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANTS EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANTS ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2011 WERE: lourdes j. lazatin $ 29,494 |
| officers, directors, trustees, key employee, and highest compensated | form 990, sch j, part ii: | THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND THREE CLINICS (AFFILIATES) IN FOUR STATES INCLUDING JOHN WAYN CANCER INSTITUTE'S (JWCI) IN SANTA MONICA, CALIFORNIA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. LOURDES J. LAZATIN IS PRESIDENT & CHIEF EXECUTIVE OFFICER AT SAINT JOHN'S HOSPITAL AND HEALTH CENTER (SAINT JOHN'S) IN SANTA MONICA, CALIFORNIA. SHE ALSO SERVES AS A MEMBER OF JWCI'S BOARD. THE COMPENSATION REFLECTED IS THAT OF MS. LAZATIN'S POSITION AS A SAINT JOHN'S EXECUTIVE AND NOT AS A MEMBER OF JWCI'S BOARD. MICHELLE MOK IS VICE PRESIDENT & CHIEF FINANCIAL OFFICER AT SAINT JOHN'S HEALTH CENTER (SAINT JOHN'S) IN SANTA MONICA, CALIFORNIA. SHE ALSO SERVES AS AN OFFICER OF JWCI. THE COMPENSATION REFLECTED IS THAT OF MS. MOK'S POSITION AS A SAINT JOHN'S EXECUTIVE AND NOT AS AN OFFICER OF JWCI. TAJQUAH J. HUDSON IS A VICE PRESIDENT OF SCLHS IN DENVER, COLORADO. SHE ALSO SERVED AS AN OFFICER OF JWCI. THE COMPENSATION REFLECTED IS THAT OF MS. HUDSON'S POSITION AS AN SCLHS EXECUTIVE AND NOT AS AN OFFICER OF JWCI. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | James Hardin | NamePerson |
| Purpose Of Loan | Recruitment Loan | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $400,000 | OriginalPrincipalAmount |
| Balance Due | 81782 | BalanceDue |
| Default | true | Default |
| Approved By Board | true | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 81782 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FAMILY OR BUSINESS RELATIONSHIP | FORM 990, PART VI, SECTION A, LINE 2: | DIRECTORS OF THE INSTITUTION, PATRICK WAYNE AND MICHAEL WAYNE ARE RELATED TO ONE ANOTHER BY FAMILY. delegate control over management: from 990, part vi, section a, line 3: ALTHOUGH THESE SERVICES MAY NOT ALL RISE TO THE LEVEL OF MANAGEMENT CONTROL AS DEFINED IN THE 990 INSTRUCTION, WE HAVE IN THE SPIRIT OF FULL TRANSPARENCY PROVIDED THE FOLLOWING DISCLOSURE. AS A MEMBER OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, THIS PROVIDER MAY HAVE INDIVIDUAL AND/OR SYSTEM CONTRACT(S) THAT HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES IN SOME OR ALL OF THE FOLLOWING AREAS: DIETARY AND FOOD SERVICE HOUSEKEEPING SUPPLY CHAIN REVENUE CYCLE SECURITY SUPPLY CHAIN REVENUE CYCLE |
| DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, SECTION A, LINE 6: | SAINT JOHN'S HEALTH CENTER IS THE SOLE CORPORATE MEMBER OF JOHN WAYNE CANCER INSTITUTE. |
| ELECTING THE GOVERNING BODY | FORM 990, PART VI, SECTION A, LINE 7A & 7B: | PURSUANT TO THE BYLAWS, JOHN WAYNE CANCER INSTITUTE HAS A SOLE CORPORATE MEMBER, WHICH IS SAINT JOHN'S HEALTH CENTER. INDIVIDUALS NOMINATED FOR APPOINTMENT TO JOHN WAYNE CANCER INSTITUTE'S BOARD OF DIRECTORS ARE RECOMMENDED AND APPROVED BY THE SAINT JOHN'S HEALTH CENTER BOARD OF DIRECTORS. CEO AND SOME OF THE OFFICERS HAVE SHARED RESPONSIBILITIES BETWEEN JOHN WAYNE CANCER INSTITUTE AND SAINT JOHN'S HEALTH CENTER. THE FOLLOWING INDIVIDUALS DEVOTE A PERCENTAGE OF THEIR TIME TO EACH ENTITY: LOU LAZATIN: 90% SAINT JOHN'S, 5% SAINT JOHN'S FDTN, 5% JOHN WAYNE MICHELLE MOK: 95% SAINT JOHN'S, 5% JOHN WAYNE |
| FORM 990 REVIEW | FORM 990, PART VI, SECTION B, LINE 11B: | A COPY OF THE form 990 AND ITS SUPPORTING SCHEDULES are DISTRIBUTED TO THE JOHN WAYNE CANCER INSTITUTE MANAGEMENT, GOVERNING BODY, and SCLHS SYSTEM OFFICE FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. THE RETURN IS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING. |
| MONITORING AND ENFORCING COMPLIANCE | FORM 990, PART VI, SECTION B, LINE 12C: | THE ADMINISTRATIVE DIRECTOR OF COMPLIANCE AND LEGAL, THE AUDIT COMMITTEE, AND THE GOVERNING BOARD REVIEWS THE CONFLICT OF INTEREST STATEMENTS. POTENTIAL CONFLICTS ARE REVIEWED BY THE ORGANIZATIONAL RESPONSIBILITY OFFICER AND THE CEO. SIGNIFICANT ISSUES ARE REVIEWED BY THE COMPLIANCE AND LEGAL, THE AUDIT COMMITTEE AND THE GOVERNING BOARD AND RESOLVED ACCORDINGLY UNDER GUIDANCE FROM LEGAL COUNSEL. |
| PUBLIC VIEWING OF DOCUMENTS | FORM 990, PART VI, SECTION C, LINE 19: | JOHN WAYNE CANCER INSTITUTE PROVIDES VIEWING OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS UPON REQUEST THROUGH ADMINISTRATION. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5: | BENEFICIAL INTEREST IN FOUNDATION PLEDGE $ 750,000 BENEFICIAL INTEREST IN FOUNDATION NPV ADJ $ 267,219 SAINT JOHN'S HEALTH CENTER GRANT NPV ADJ $ 19,357 UNEXPENDED CONTRIBUTIONS RETURNED $(1,175,727) Ghandour pledge balance write-off $ (300,000) |
| STATEMENT OF CONTROLLED FOREIGN CORPORATION | john wayne cancer institute, PARTICIPATION CORPORATION EIN: 95-4291515 FOR THE TAX YEAR ENDED DECEMBER 31, 2011 THIS STATEMENT IS BEING FILED PURSUANT TO TREAS. REG. 1.6038-2(J)(3). john wayne cancer institute'S FILING REQUIREMENT FOR FORM 5471 FOR THE CONTROLLED FOREIGN CORPORATIONS LISTED BELOW HAS BEEN SATISFIED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (FEIN:23-7379161). SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM HAS INCLUDED THE FORM 5471 WITH ITS FORM 990 WHICH WAS FILED ELECTRONICALLY. LEAVEN INSURANCE COMPANY, LTD. 98-0370522 23 LIMETREE BAY AVE., PO BOX 1051 GEORGETOWN, GRAND CAYMAN KY1-1102 CJ RIVERVIEW MULTI-SERIES FUND SPC, LTD. 510 THORNALL STREET, SUITE 220 EDISON, NJ 08837 JP MORGAN HEDGE FUND SPC-ACCESS MAR09 SEGREGATED 98-0680591 %INT'L FUND SVCS LTD, 78 SIR JOHN ROGERSON'S QUAY DUBLIN, IRELAND 2 EI JP MORGAN HEDGE FUND SPC-ACCESS JUN09 SEGREGATED 98-0680582 %INT'L FUND SVCS LTD, 78 SIR JOHN ROGERSON'S QUAY DUBLIN, IRELAND 2 EI |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (29 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| SISTERS OF CHARITY LEAVENWORTH HLTH SYST | ||||||||||
| 9801 RENNER BLVD STE 100 | LENEXA | KS | 66219 | 237379161 | SUPPORT MMBRS | KS | 501(c)(3) | 11B-TYPE II | NA | false |
| CARITAS CLINICS INC | ||||||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | CLINIC SVCS | KS | 501(c)(3) | 3 | sclhs | true |
| MARIAN CLINIC INC | ||||||||||
| 1001 SW GARFIELD | TOPEKA | KS | 66604 | 481046905 | CLINIC SVCS | KS | 501(c)(3) | 3 | sclhs | true |
| MARILLAC CLINIC INC | ||||||||||
| 2333 N 6TH STREET | GRAND JUNCTION | CO | 81501 | 841085822 | CLINIC SVCS | CO | 501(c)(3) | 3 | sclhs | true |
| PROVIDENCE MEDICAL CENTER | ||||||||||
| 8929 PARALLEL PARKWAY | KANSAS CITY | KS | 66112 | 480784446 | HEALTHCARE | KS | 501(c)(3) | 3 | sclhs | true |
| ST JOHN HOSPITAL INC | ||||||||||
| 3500 SOUTH FOURTH STREET | LEAVENWORTH | KS | 66048 | 480543768 | HEALTHCARE | KS | 501(c)(3) | 3 | pmc | true |
| BETHANY COMMUNITY PLAZA INC | ||||||||||
| 15 NORTH 12TH STREET | KANSAS CITY | KS | 66102 | 481207407 | HEALTHCARE | KS | 501(c)(3) | 3 | pmc | true |
| PROVIDENCEST JOHN FOUNDATION INC | ||||||||||
| 8929 PARALLEL PARKWAY | KANSAS CITY | KS | 66112 | 480925688 | SUPPORT 501C3 | KS | 501(c)(3) | 7 | pmc | true |
| ST FRANCIS HEALTH CENTER INC | ||||||||||
| 1700 SW 7TH STREET | TOPEKA | KS | 66606 | 480547719 | HEALTHCARE | KS | 501(c)(3) | 3 | sclhs | true |
| ST FRANCIS HEALTH CENTER FOUNDATION | ||||||||||
| 1700 SW 7TH STREET | TOPEKA | KS | 66606 | 481092520 | SUPPORT 501C3 | KS | 501(c)(3) | 11A-TYPE I | sfhc | true |
| ST MARYS HOSPITAL & MEDICAL CENTER INC | ||||||||||
| 2635 N 7TH STREET | GRAND JUNCTION | CO | 81502 | 840425720 | HEALTHCARE | CO | 501(c)(3) | 3 | sclhs | true |
| ST MARYS HOSPITAL FOUNDATION | ||||||||||
| 2635 N 7TH STREET | GRAND JUNCTION | CO | 81502 | 237001007 | SUPPORT 501C3 | CO | 501(c)(3) | 11A-TYPE I | smhmc | true |
| SAINT JOSEPH HOSPITAL FOUNDATION | ||||||||||
| 1835 FRANKLIN STREET | DENVER | CO | 80218 | 840735096 | SUPPORT 501C3 | CO | 501(c)(3) | 11A-TYPE I | sjh | true |
| HOLY ROSARY HEALTHCARE | ||||||||||
| 2600 WILSON | MILES CITY | MT | 59301 | 810231792 | HEALTHCARE | MT | 501(c)(3) | 3 | sclhs | true |
| HOLY ROSARY HEALTHCARE FOUNDATION INC | ||||||||||
| 2600 WILSON | MILES CITY | MT | 59301 | 202270238 | SUPPORT 501C3 | MT | 501(c)(3) | 11A-TYPE I | hrhc | true |
| ST VINCENT HEALTHCARE | ||||||||||
| 1233 NORTH 30TH | BILLINGS | MT | 59101 | 810232124 | HEALTHCARE | MT | 501(c)(3) | 3 | sclhs | true |
| ST VINCENT HEALTHCARE FOUNDATION | ||||||||||
| PO BOX 35200 | BILLINGS | MT | 59107 | 810468034 | SUPPORT 501C3 | MT | 501(c)(3) | 7 | svhc | true |
| NORTHWEST RESEARCH & EDUCATION INSTITUTE | ||||||||||
| 315 NORTH 25TH STREET | BILLINGS | MT | 59101 | 201343024 | COMM HLTH RES | MT | 501(c)(3) | 9 | svhc | true |
| ST JAMES HEALTHCARE | ||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 810231785 | HEALTHCARE | MT | 501(c)(3) | 3 | sclhs | true |
| ST JAMES HEALTHCARE FOUNDATION | ||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 651202190 | SUPPORT 501C3 | MT | 501(c)(3) | 11A-TYPE I | sjhc | true |
| SAINT JOHNS HEALTH CENTER | ||||||||||
| 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 951684082 | HEALTHCARE | CA | 501(c)(3) | 3 | sclhs | true |
| SAINT JOHNS HEALTH CENTER FNDTN | ||||||||||
| 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 956100079 | SUPPORT 501C3 | CA | 501(c)(3) | 11A-TYPE I | sjhc | true |
| EXEMPLA INC FKA LUTHERAN HOSPITAL | ||||||||||
| 2420 W 26TH AVE SUITE 100D | DENVER | CO | 80211 | 841103606 | HEALTHCARE | CO | 501(c)(3) | 3 | sclhs | true |
| EXEMPLA LUTHERAN MEDICAL CENTER FNDTN | ||||||||||
| 2480 W 26TH AVESUITE 360B | DENVER | CO | 80211 | 208846152 | SUPPORT 501C3 | CO | 501(c)(3) | 7 | exempla inc | true |
| EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN | ||||||||||
| 200 EXEMPLA CIRCLE | LAFAYETTE | CO | 80026 | 841649162 | SUPPORT 501C3 | CO | 501(c)(3) | 7 | exempla inc | true |
| LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST | ||||||||||
| 2480 W 26TH AVESUITE 360B | DENVER | CO | 80211 | 742571584 | INSURANCE | CO | 501(c)(3) | 11A-TYPE I | exempla inc | true |
| SAINT JOSEPH HOSPITAL | ||||||||||
| 1835 FRANKLIN STREET | DENVER | CO | 80218 | 840417134 | HEALTHCARE | CO | 501(c)(3) | 3 | sclhs | true |
| JOHN WAYNE CANCER INSTITUE AUXILIARY | ||||||||||
| 2200 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 953987691 | support 501c3 | CA | 501(c)(3) | 11A-TYPE I | sjhhc | true |
| mount st vincent home inc | ||||||||||
| 4159 lowell blvd | denver | CO | 80211 | 840405260 | resident care | CO | 501(c)(3) | 11a-type ii | sclhs | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| PAVILION IMAGING LLC | |||||||
| 750 WELLINGTON | GRAND JUNCTION | CO | 81501 | 030516198 | RADIOLOGY | CO | NA |
| GRAND VALLEY SURGICAL CENTER LLC | |||||||
| 710 WELLINGTON | GRAND JUNCTION | CO | 81501 | 841505075 | OP SURGERY | CO | NA |
| SAN JUAN CANCER CENTER LLC | |||||||
| 600 SOUTH 5TH STREET | MONTROSE | CO | 81401 | 202856331 | OP CANCER | CO | NA |
| BILLINGS MRI CENTER LLC | |||||||
| 1041 NORTH 29TH STREET | BILLINGS | MT | 59101 | 810450943 | MRI-PET SCAN | MT | NA |
| LUTHERAN CAMPUS ASC LLC | |||||||
| 3455 LUTHRN PKW SUITE 150 | WHEATRIDGE | CO | 800336028 | 020749532 | OP SURGERY | CO | NA |
| COLORADO SURGICAL VENTURES LLC | |||||||
| 30 S WACKER DR SUITE 2302 | CHICAGO | IL | 60605 | 208038915 | OP SURGERY | CO | NA |
| COLORADO SURGICAL HOSPITAL LLC | |||||||
| 30 S WACKER DR SUITE 2302 | CHICAGO | IL | 60605 | 208038977 | OP SURGERY | CO | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARITAS INC AND SUBSIDIARIES | |||||||||||||
| 9801 RENNER BOULEVARD SUITE 100 | LENEXA | KS | 66219 | 480941069 | OTHER MEDICAL | KS | C CORP | ||||||
| LEAVEN INSURANCE COMPANY LTD | |||||||||||||
| 980370522 | INSURANCE | 23 LIME TREE BAY AVE POB 1051 | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1102 | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| john wayne cancer institute auxiliary | ||
| c | 404155 | cash |
| saint john's health center fdtn | ||
| C | 371880 | cash |
| SAINT JOHN'S HEALTH CENTER fdtn | ||
| n | 216740 | cash |
| SAINT JOHN's HEALTH CENTER | ||
| c | 875004 | cash |
| SAINT JOHN'S HEALTH CENTER | ||
| j | 1311132 | fmv |
| SAINT JOHN'S HEALTH CENTER | ||
| r | 195668 | cash |