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SAINT JOHN S CANCER INSTITUTE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SAINT JOHN S CANCER INSTITUTE (EIN 95-4291515)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201133199349300503
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T01:35:22-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1190 CARONDELET PLAZA SUITE 1300AddressLine1
CityCLAYTONCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN954291515EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1John Wayne Cancer InstituteBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJOHNNameControl
Phone3108298411Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 SANTA MONICA BLVDAddressLine1
CitySANTA MONICACity
StateCAState
ZIP Code90404ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHELLE MOKName
TitleCFOTitle
Date Signed2011-11-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142901000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLOU LAZATIN CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12200 Santa Monica BlvdAddressLine1
CitySanta MonicaCity
StateCAState
ZIP Code90404ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15992616GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitehttp://www.jwci.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO 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 Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees130TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10549852ContributionsGrantsPriorYear
Contributions Grants Current Year15455573ContributionsGrantsCurrentYear
Program Service Revenue Prior Year292022ProgramServiceRevenuePriorYear
Program Service Revenue CY254798ProgramServiceRevenueCY
Investment Income Prior Year73777InvestmentIncomePriorYear
Investment Income Current Year196155InvestmentIncomeCurrentYear
Other Revenue Prior Year180507OtherRevenuePriorYear
Other Revenue Current Year-4839OtherRevenueCurrentYear
Total Revenue Prior Year11096158TotalRevenuePriorYear
Total Revenue Current Year15901687TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year75000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10410453SalariesEtcPriorYear
Salaries Etc Current Year8740826SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year991846TotalFundrsngExpCurrentYear
Other Expense Prior Year8837766OtherExpensePriorYear
Other Expenses Current Year9995074OtherExpensesCurrentYear
Total Expenses Prior Year19323219TotalExpensesPriorYear
Total Expenses Current Year18735900TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-8227061RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2834213RevenuesLessExpensesCY
Total Assets BOY23678248TotalAssetsBOY
Total Assets EOY19709745TotalAssetsEOY
Total Liabilities BOY3147512TotalLiabilitiesBOY
Total Liabilities EOY1678523TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20530736NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18031222NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4297208Expense
DescriptionMelanoma 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

FieldValueIRS element (for citing)
Expense1808665Expense
DescriptionMolecular 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

FieldValueIRS element (for citing)
Expense1227851Expense
Revenue254798Revenue
DescriptionResearch 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 (8 entries)

ExpenseExpenseDescriptionDescription
1058817Translational Immunology
1001363Breast & Endocrine Clinical Research
530352Experimental Therapeutics Research
213109Endocrin/Bone Research
506437Neuro-Oncology
268744Translational Breast Research
113768Hepatobiliary and Pancreas
402305Other Program Services
FieldValueIRS element (for citing)
Total Of Other Program Service Exp4094895TotalOfOtherProgramServiceExp
Total Program Service Expense11428619TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees130NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHELLE MOK CFONamePerson
Telephone Number3108298411TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12121 SANTA MONICA BLVDAddressLine1
CitySanta MonicaCity
StateCAState
ZIP Code90404ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Patrick Wayne
Chairman of the Board1.0XX000
ARMANDO GIULIANO MD
SECRETARY/CHIEF OF SCIENCE & M40.0XX310060026283
Lou Lazatin
President/CEO40.0XX084602027143
Michael I Wayne ESQ
DIRECTOR1.0X000
WILLIAM P RUTLEDGE
TREASURER1.0XX000
DAVID B TILLMAN MD MPH
DIRECTOR1.0X000
Julia S Gouw
DIRECTOR1.0X000
Jay B LichterPhD
DIRECTOR1.0X000
JEROME L COBEN ESQ
BOARD MEMBER1.0X000
Michelle Mok
Chief Financial Officer40.0X032420953514
Alexandria Carter
VP, Public Affairs & Developmt40.0X12099105903
Tajquah Hudson
VP, Strategy and Business Devl40.0X031460155294
WILLIAM WATSON
SENIOR VP OF DEVELOPMENT40.0X043022121484
DONALD MORTON
CHIEF, MELANOMA PROGRAM40.0298734037845X
DAVID HOON
DIRECTOR, LAB OF MOLECULAR ONC40.0206036026397X
Ashley Baker-Lee
Chief Administrative Officer40.0184703042898X
Myles Cabot
Dir Experim Therapeutics Lab40.0146145021594X
ANDREW TRILLING
Director, Development Officer40.0152516026018X
REIKO F IRIE
Director Biotechnology Science40.011695005726X
STACEY L STERN
Director, Data Management40.0118816018650X
CHRISTINE T KUO
Manager, Tech Intel Liaison40.0111844039554X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1766795TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1915051TotalReportableCompFrmRltdOrgs
Total Other Compensation408303TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line1AddressOfContractor/AddressForeign/AddressLine1CityAddressOfContractor/AddressForeign/CityProvince Or StateAddressOfContractor/AddressForeign/ProvinceOrStateCountryAddressOfContractor/AddressForeign/CountryPostal CodeAddressOfContractor/AddressForeign/PostalCode
Regents of the University of Califo
10920 Wilshire Blvd Suite 107LOS ANGELESCA90024SUBGRANT413605
Sydney Melanoma Unit
SUBGRANT368745PO BOX M123CAMPERDOWNNEW SOUTH WALESAS2050
Huron Consulting Services LLC
4795 Payshere CircleCHICAGOIL60674FINANCIAL CONSULTING865902
PERKINS COIE LLP
1201 THIRD AVESEATTLEWA98101LEGAL SERVICES301844
DANA FARBER INSTITUTE
10 BROOKLINE PL WEST FL 6BROOKLINEMA02445SUBGRANT106063
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Fundraising Events10500FundraisingEvents
Related Organizations1836988RelatedOrganizations
Government Grants8068635GovernmentGrants
All Other Contributions5539450AllOtherContributions
Total Contributions15455573TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionONCOLOGY SURGERY FELLOWSHIP BILLING REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column254798TotalRevenueColumn
Related Or Exempt Function Income254798RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue254798TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column196155TotalRevenueColumn
Exclusion$196,155ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events86090GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events10500CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses90929FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-4839TotalRevenueColumn
Exclusion-$4,839ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15901687TotalRevenueColumn
Related Or Exempt Function Income254798RelatedOrExemptFunctionIncome
Exclusion$191,316ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1259851Total
Program Services905355ProgramServices
Management And General227601ManagementAndGeneral
Fundraising126895Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5529757Total
Program Services4699335ProgramServices
Management And General555663ManagementAndGeneral
Fundraising274759Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total226352Total
Management And General226352ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1187834Total
Program Services1106338ProgramServices
Fundraising81496Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total537032Total
Management And General537032ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total755138Total
Management And General754878ManagementAndGeneral
Fundraising260Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total62860Total
Management And General62860ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1357496Total
Program Services226487ProgramServices
Management And General1121909ManagementAndGeneral
Fundraising9100Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total154890Total
Program Services38269ProgramServices
Management And General12028ManagementAndGeneral
Fundraising104593Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total987676Total
Program Services643438ProgramServices
Management And General230434ManagementAndGeneral
Fundraising113804Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2029268Total
Program Services25233ProgramServices
Management And General1993009ManagementAndGeneral
Fundraising11026Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total369908Total
Program Services252377ProgramServices
Management And General31942ManagementAndGeneral
Fundraising85589Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total293819Total
Program Services293819ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total318340Total
Program Services204708ProgramServices
Management And General113632ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OUTSIDE SERVICES2474252213066226527178319
LICENSES AND FEES225531397974001174
SUBGRANT COSTS93804979386511215932025
EQUIPMENT RENT AND MAINTENANCE191966947548455912653
PUBLIC RELATIONS & DIRECT MAIL6103888560153

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-22179Total
Management And General-22179ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18735900Total
Program Services11428619ProgramServices
Management And General6315435ManagementAndGeneral
Fundraising991846Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY272534BOY
EOY1730647EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3776001BOY
EOY2509589EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY17855489BOY
EOY14191358EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY263054BOY
EOY161617EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY220758BOY
EOY215728EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11362892LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10482791LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1116800BOY
EOY880101EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY173612BOY
EOY20705EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23678248BOY
EOY19709745EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1435732BOY
EOY573207EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1711780BOY
EOY1105316EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3147512BOY
EOY1678523EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-457971BOY
EOY-886006EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY20988707BOY
EOY18917228EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20530736BOY
EOY18031222EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23678248BOY
EOY19709745EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2834213ReconcilationRevenueExpenses
Reconcilation Other Changes334699ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research Org170b1 AiiiXMedicalResearchOrg170b1Aiii

Hospital Name And Address HospitalNameAndAddress

Name Name

FieldValueIRS element (for citing)
Business Name Line1St John's Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
CitySanta MonicaCity
StateCAState

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6333201OtherCostOrOtherBasis
Depreciation6033549Depreciation
Book Value299652BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5029691OtherCostOrOtherBasis
Depreciation4449242Depreciation
Book Value580449BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings880101TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED SALARIES AND EMPLOYEE$875,316
DEFERRED REVENUE$230,000
FieldValueIRS element (for citing)
Total Of Amounts1105316TotalOfAmounts
Total Revenue15901687TotalRevenue
Total Expenses18735900TotalExpenses
Excess Or Deficit For Year-2834213ExcessOrDeficitForYear
Other$334,699OtherAmount
Total Adjustments334699TotalAdjustments
Excess Or Deficit Per FS-2499514ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16327314TotRevenueEtcAuditedFinclStmt
Other Revenues425627OtherRevenues
Revenue Not Rptd F990425627RevenueNotRptdF990
Revenue Subtotal15901687RevenueSubtotal
Total Revenue Per Form99015901687TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18826829TotExpensesEtcAuditedFinclStmt
Other Expenses Included90929OtherExpensesIncluded
Expenses Not Rptd F99090929ExpensesNotRptdF990
Expenses Subtotal18735900ExpensesSubtotal
Total Expenses Per Form99018735900TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGE IN NET ASSETSSCHEDULE D, PART IX, LINE 8BENEFICIAL INTEREST IN FOUNDATION PLEDGE: $200,000 BENEFICIAL INTEREST IN FOUNDATION NPV ADJ: $69,270 SAINT JOHN'S HEALTH CENTER GRANT NPV ADJ: $65,429 TOTAL: $334,699
RECONCILIATION OF REVENUESCHEDULE D, Part XII, line 2DWHAT A PAIR FUNDRAISING EVENT EXPENSES: $90,929 BENEFICIAL INTEREST IN FOUNDATION PLEDGE: $200,000 BENEFICIAL INTEREST IN FOUNDATION NPV ADJ: $69,270 SAINT JOHN'S HEALTH CENTER GRANT NPV ADJ: $65,428 TOTAL: $425,627
RECONCILIATION OF EXPENSESSCHEDULE D, PART XII, LINE 2DWHAT A PAIR FUNDRAISING EVENT EXPENSES: $90,929

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpendituresNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployees
Europe (Including Iceland and Greenland)Program ServicesSITE STUDIES193480
East Asia and the PacificProgram ServicesSITE STUDIES38402000
Middle East and North AfricaProgram ServicesSITE STUDIES360000
North AmericaProgram ServicesSITE STUDIES12000
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent581220SubtotalAmountSpent
Total Amount Spent581220TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierMonitor Use of FundsIdentifier
Return ReferenceSchedule F, Part IVReturnReference
ExplanationPAYMENT 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

FieldValueIRS element (for citing)
Name Of Event1WHAT A PAIR!NameOfEvent1
Gross Receipts Event196590GrossReceiptsEvent1
Charitable Contributions Event110500CharitableContributionsEvent1
Gross Revenue Event186090GrossRevenueEvent1
Rent Facility Costs Event150763RentFacilityCostsEvent1
Other Direct Expenses Event140166OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total96590GrossReceiptsTotal
Charitable Contributions Total10500CharitableContributionsTotal
Gross Revenue Total Events86090GrossRevenueTotalEvents
Rent Facility Costs Total Events50763RentFacilityCostsTotalEvents
Other Direct Expenses Total Events40166OtherDirectExpensesTotalEvents
Direct Expense Summary Events90929DirectExpenseSummaryEvents
Net Income Summary-4839NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ARMANDO GIULIANO MD
287386000226740147000115830336343000
Lou Lazatin
050337701001890242454019600075430873163056530
Michelle Mok
02886880332180230304784505669037772300
DONALD MORTON
266275000324590147000231450336579000
DAVID HOON
184426000216100125030138940232433000
Tajquah Hudson
028425001320501714604844006854036989500
Ashley Baker-Lee
1570740100000176290123750305230227601000
WILLIAM WATSON
03822070004801401900002484045170500
Myles Cabot
1400860006059044890171050167739000
ANDREW TRILLING
1467830100004733023710236470178534000
CHRISTINE T KUO
9292200018922073250322290151398000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationFIRST-CLASS OR CHARTER TRAVEL FORM 990, SCHEDULE J, PART I, LINE 1A FIRST CLASS TRAVEL IS NECESSARY DUE TO AGE AND FRAIL HEALTH OF THE TRAVELER. Executive Compensation Form 990, Schedule J, Part I, Line 3 PROCESS FOR DETERMING COMPENSATION 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 AND 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. SCHEDULE 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 PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2010 WERE: LOURDES J. LAZATIN-$101,512Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonJames HardinNamePerson
Purpose Of LoanRecruitment LoanPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$400,000OriginalPrincipalAmount
Balance Due78112BalanceDue
DefaulttrueDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due78112TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER PROGRAM SERVICES EXPENSESFORM 990, PART III, LINE 4DOTHER PROGRAM SERVICES EXPENSES INCLUDE OTHER GENERAL RESEARCH PROGRAMS.
FAMILY OR BUSINESS RELATIONSHIPFORM 990, PART VI, SECTION A, LINE 2DIRECTORS OF THE INSTITUTION, PATRICK WAYNE AND MICHAEL WAYNE ARE RELATED TO ONE ANOTHER BY FAMILY. 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 SECURITY FORM 990, PART VI, SECTION A, LINE 2 DIRECTORS OF THE INSTITUTION, PATRICK WAYNE AND MICHAEL WAYNE ARE RELATED TO ONE ANOTHER BY FAMILY.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, SECTION A, LINE 6SAINT JOHN'S HEALTH CENTER IS THE SOLE CORPORATE MEMBER OF JOHN WAYNE CANCER INSTITUTE.
ELECTING THE GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7A & 7BPURSUANT 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 MEMBERS 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 FOUNDATION; 5% JOHN WAYNE MICHELLE MOK: 95% SAINT JOHN'S; 5% JOHN WAYNE WILLIAM WATSON: 75% SAINT JOHN'S FOUNDATION; 25% JOHN WAYNE TAJQUAH HUDSON: 60% SAINT JOHN'S; 40% JOHN WAYNE
FORM 990 REVIEWFORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE 990 AND ITS SUPPORTING SCHEDULES WILL BE DISTRIBUTED TO THE JOHN WAYNE CANCER INSTITUTE MANAGEMENT AND GOVERNING BODY & 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 COMPLIANCEFORM 990, PART VI, SECTION B, LINE 12CTHE 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 DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19JOHN WAYNE CANCER INSTITUTE PROVIDES VIEWING OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS UPON REQUEST THROUGH ADMINISTRATION.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5OTHER CHANGES TO NET ASSETS INCLUDE: BENEFICIAL INTEREST IN FOUNDATION PLEDGE: $200,000 BENEFICIAL INTEREST IN FOUNDATION NPV ADJ: $69,270 SAINT JOHN'S HEALTH CENTER GRANT NPV ADJ: $65,429 TOTAL: $334,699
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Lou Lazatin TITLE:President/CEO HOURS:38
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Michelle Mok TITLE:Chief Financial Officer HOURS:38
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Tajquah Hudson TITLE:VP, Strategy and Business Devl HOURS:30
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM WATSON TITLE:SENIOR VP OF DEVELOPMENT HOURS:30

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (29 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SISTERS OF CHARITY LEAVENWORTH HLTH SYST
9801 RENNER BLVD STE 100LENEXAKS66219237379161SUPPORT MMBRSKS501(C)(3)11B-TYPE IINA
CARITAS CLINICS INC
818 NORTH 7TH STREETLEAVENWORTHKS66048481009910CLINIC SVCSKS501(C)(3)3NA
MARIAN CLINIC INC
1001 SW GARFIELDTOPEKAKS66604481046905CLINIC SVCSKS501(C)(3)3NA
MARILLAC CLINIC INC
2333 N 6TH STREETGRAND JUNCTIONCO81501841085822CLINIC SVCSCO501(C)(3)3NA
PROVIDENCE MEDICAL CENTER
8929 PARALLEL PARKWAYKANSAS CITYKS66112480784446HEALTHCAREKS501(C)(3)3NA
ST JOHN HOSPITAL INC
3500 SOUTH FOURTH STREETLEAVENWORTHKS66048480543768HEALTHCAREKS501(C)(3)3NA
BETHANY COMMUNITY PLAZA INC
15 NORTH 12TH STREETKANSAS CITYKS66102481207407HEALTHCAREKS501(C)(3)3NA
PROVIDENCEST JOHN FOUNDATION INC
8929 PARALLEL PARKWAYKANSAS CITYKS661121689480925688SUPPORT 501C3KS501(C)(3)7NA
ST FRANCIS HEALTH CENTER INC
1700 SW 7TH STREETTOPEKAKS66606480547719HEALTHCAREKS501(C)(3)3NA
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREETTOPEKAKS66606481092520SUPPORT 501C3KS501(C)(3)11A-TYPE INA
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 N 7TH STREETGRAND JUNCTIONCO81502840425720HEALTHCARECO501(C)(3)3NA
ST MARYS HOSPITAL FOUNDATION
2635 N 7TH STREETGRAND JUNCTIONCO81502237001007SUPPORT 501C3CO501(C)(3)11A-TYPE INA
SAINT JOSEPH HOSPITAL FOUNDATION
1835 FRANKLIN STREETDENVERCO80218840735096SUPPORT 501C3CO501(C)(3)11A-TYPE INA
HOLY ROSARY HEALTHCARE
2600 WILSONMILES CITYMT59301810231792HEALTHCAREMT501(C)(3)3NA
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSONMILES CITYMT59301202270238SUPPORT 501C3MT501(C)(3)11A-TYPE INA
ST VINCENT HEALTHCARE
1233 NORTH 30THBILLINGSMT59101810232124HEALTHCAREMT501(C)(3)3NA
ST VINCENT HEALTHCARE FOUNDATION
PO BOX 35200BILLINGSMT591075200810468034SUPPORT 501C3MT501(C)(3)7NA
NORTHWEST RESEARCH & EDUCATION INSTITUTE
315 NORTH 25TH STREETBILLINGSMT59101201343024COMM HLTH RESMT501(C)(3)9NA
ST JAMES HEALTHCARE
400 SOUTH CLARK STREETBUTTEMT597012328810231785HEALTHCAREMT501(C)(3)3NA
ST JAMES HEALTHCARE FOUNDATION
400 SOUTH CLARK STREETBUTTEMT59701651202190SUPPORT 501C3MT501(C)(3)11A-TYPE INA
SAINT JOHNS HEALTH CENTER
2121 SANTA MONICA BLVDSANTA MONICACA90404951684082HEALTHCARECA501(C)(3)3NA
SAINT JOHNS HEALTH CENTER FNDTN
2121 SANTA MONICA BLVDSANTA MONICACA904042091956100079SUPPORT 501C3CA501(C)(3)11A-TYPE INA
EXEMPLA INC FKA LUTHERAN HOSPITAL
2420 W 26TH AVE SUITE 100DDENVERCO80211841103606HEALTHCARECO501(C)(3)3NA
EXEMPLA LUTHERAN MEDICAL CENTER FNDTN
2480 W 26TH AVESUITE 360BDENVERCO80211208846152SUPPORT 501C3CO501(C)(3)7NA
EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN
200 EXEMPLA CIRCLELAFAYETTECO80026841649162SUPPORT 501C3CO501(C)(3)7NA
LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST
2480 W 26TH AVESUITE 360BDENVERCO80211742571584INSURANCECO501(C)(3)11A-TYPE INA
MEDPARK INC
2480 W 26TH AVESUITE 360BDENVERCO80211841490379PARKINGCO501(C)(3)7NA
SAINT JOSEPH HOSPITAL
1835 FRANKLIN STREETDENVERCO80218840417134HEALTHCARECO501(C)(3)3NA
JOHN WAYNE CANCER INSTITUE AUXILIARY
2200 SANTA MONICA BLVDSANTA MONICACA90404953987691SUPPORT 501C3501(C)(3)11A-TYPE INA

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
PAVILION IMAGING LLC
750 WELLINGTONGRAND JUNCTIONCO81501030516198RADIOLOGYCONAN/A
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTONGRAND JUNCTIONCO81501841505075OP SURGERYCONAN/A
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401202856331OP CANCERCONAN/A
BILLINGS MRI CENTER LLC
1041 NORTH 29TH STREETBILLINGSMT59101810450943MRI-PET SCANMTNAN/A
LUTHERAN CAMPUS ASC LLC
3455 LUTHRN PKW SUITE 150WHEATRIDGECO800336028020749532OP SURGERYCONAN/A
COLORADO SURGICAL VENTURES LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038915OP SURGERYCONAN/A
COLORADO SURGICAL HOSPITAL LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038977OP SURGERYCONAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
CARITAS INC AND SUBSIDIARIES
9801 RENNER BOULEVARD SUITE 100LENEXAKS66219480941069OTHER MEDICALKSN/AC CORP
LEAVEN INSURANCE COMPANY LTD
980370522INSURANCEN/A23 LIME TREE BAY AVE PO BOX 1051GEORGETOWNGRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SAINT JOHN's HEALTH CENTER AUXILIARY
C1037659
SAINT JOHN'S HEALTH CENTER FOUNDATION
C1124970
SAINT JOHN's HEALTH CENTER
J1406652
SAINT JOHN'S HEALTH CENTER
K823692
SAINT JOHN'S HEALTH CENTER
O262211
SAINT JOHN'S HEALTH CENTER
C875004
SAINT JOHN'S HEALTH CENTER FOUNDATION
N330926