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SAINT JOHNS HEALTH CENTER FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SAINT JOHNS HEALTH CENTER FOUNDATION (EIN 95-6100079)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201143189349305054
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)
Timestamp2011-11-14T14:09:32-06:00Timestamp
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)
EIN956100079EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT JOHN'S HOSPITALHEALTH CTR FDNBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAINNameControl
Phone3108298424Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 Santa Monica BoulevardAddressLine1
CitySanta MonicaCity
StateCAState
ZIP Code904042091ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHELLE MOKName
TitleCFOTitle
Date Signed2011-11-08DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142901000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLou LazatinPresident CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12121 Santa Monica BoulevardAddressLine1
CitySanta MonicaCity
StateCAState
ZIP Code90404ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36419383GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.newstjohns.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1948YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionWE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE.ActivityOrMissionDescription
Nbr Voting Members Governing Body75NbrVotingMembersGoverningBody
Nbr Independent Voting Members74NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16979815ContributionsGrantsPriorYear
Contributions Grants Current Year30491636ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-123379InvestmentIncomePriorYear
Investment Income Current Year1229920InvestmentIncomeCurrentYear
Other Revenue Prior Year-19042OtherRevenuePriorYear
Other Revenue Current Year-248059OtherRevenueCurrentYear
Total Revenue Prior Year16837394TotalRevenuePriorYear
Total Revenue Current Year31473497TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year29422868GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY17315849GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1948551TotalFundrsngExpCurrentYear
Other Expense Prior Year4016422OtherExpensePriorYear
Other Expenses Current Year3929077OtherExpensesCurrentYear
Total Expenses Prior Year33439290TotalExpensesPriorYear
Total Expenses Current Year21244926TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-16601896RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10228571RevenuesLessExpensesCY
Total Assets BOY100692178TotalAssetsBOY
Total Assets EOY98305939TotalAssetsEOY
Total Liabilities BOY14531359TotalLiabilitiesBOY
Total Liabilities EOY8421833TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY86160819NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY89884106NetAssetsOrFundBalancesEOY
Mission DescriptionWE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7233776Expense
Grants7233776Grants
DescriptionPartial funding for the construction and capital equipment needs for the new state of the art Saint John's Health Center Facility.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense8927744Expense
Grants8927744Grants
DescriptionTo support various programs and services benefiting the heart ortho, nursing and other departments of the Saint John's Health Center.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1154329Expense
Grants1154329Grants
DescriptionSupport the ongoing research studies and treatment modalities at John Wayne Cancer Institute.Description
FieldValueIRS element (for citing)
Total Program Service Expense17315849TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members75NbrVotingGoverningBodyMembers
Number Independent Voting Members74NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
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 PersonSTELLA NICHOLSNamePerson
Telephone Number3108298424TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12121 SANTA MONICA BOULEVARDAddressLine1
CitySanta MonicaCity
StateCAState
ZIP Code90404ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (78 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
ROBERT AMONIC MD
SECRETARY2.0XX000
RAE W ARCHIBALD Ph D
TRUSTEE1.0X000
MARGOT S ARMBRUSTER
TRUSTEE1.0X000
LEE A AULT III
EXECUTIVE COMMITTEE2.0X000
DONNALISA Parks BARNUM
TRUSTEE1.0X000
JAMES P BIRDWELL JR
EXECUTIVE COMMITTEE2.0X000
ABBOTT L BROWN
TRUSTEE1.0XX000
JULES BUENABENTA
TRUSTEE1.0X000
WALDO H BURNSIDE
EXECUTIVE COMMITTEE2.0X000
CHARLES G CALE
TRUSTEE1.0X000
RICK J CARUSO
TRUSTEE1.0X000
CYNTHIA CONNOLLY
TRUSTEE1.0X000
MICHAEL W CROFT
trustee1.0X000
GEORGE H DAVIS JR
trustee1.0X000
MRS STUART DAVIS
TRUSTEE1.0X000
ROBERT A DAY
TRUSTEE1.0X000
CAROYLN DIRKS
TRUSTEE1.0X000
A REDMOND DOMS
EXECUTIVE COMMITTEE2.0X000
JERRY B EPSTEIN
EXECUTIVE COMMITTEE2.0X000
MARY H FLAHERTY
EXECUTIVE COMMITTEE2.0X000
FRANCES R FLANAGAN
TRUSTEE1.0X000
MICHAEL J FOURTICQ SR
TRUSTEE1.0X000
BRADFORD M FREEMAN
EXECUTIVE COMMITEE2.0X000
WILLIAM M GARLAND III
TRUSTEE1.0X000
MARK W GIBELLO
EXECUTIVE COMMITTEE2.0X000
ALLAN B GOLDMAN
CHAIRMAN2.0XX000
JULIA S GOUW
TRUSTEE1.0X000
PETER V HAIGHT
TRUSTEE1.0X000
PHYLLIS L HENNIGAN
TRUSTEE1.0X000
MARCIA WILSON HOBBS
TRUSTEE1.0X000
TONIAN HOHBERG
TRUSTEE1.0X000
AMBASSADOR GLEN HOLDEN
TRUSTEE1.0X000
JOHN G HUARTE
TRUSTEE1.0X000
STEAVEN K JONES JR
EXECUTIVE COMMITTEE2.0X000
MARY ELLEN KANOFF
TRUSTEE1.0X000
DALE R LAURANCE
EXECUTIVE COMMITTEE2.0X000
JUDITH D LICKLIDER
TRUSTEE1.0X000
CAROLYN K LUDWIG
TRUSTEE1.0X000
ROBERT F MAGUIRE III
TRUSTEE1.0X000
MRS THOMAS J MCCARTHY
TRUSTEE1.0X000
CARL W MCKINZIE
EXECUTIVE COMMITTEE2.0X000
HARRY T MCMAHON III
TRUSTEE1.0X000
BRUCE A MEYER
TRUSTEE1.0X000
JOHN H MICHEL
TRUSTEE1.0X000
MICHAEL M MINCHIN JR
TRUSTEE1.0X000
WILLIAM S MORTENSEN
TRUSTEE1.0X000
PETER W MULLIN
TRUSTEE1.0X000
MRS RICHARD G NEWMAN
TRUSTEE1.0X000
SHELBY NOTKIN
EXECUTIVE COMMITTEE2.0X000
DOMINIC J ORNATO
TRUSTEE1.0X000
DALLAS P PRICE-VAN BREDA
TRUSTEE1.0X000
JOHN M ROBERTSON MD
EXECUTIVE COMMITTEE2.0X000
WILLIAM P RUTLEDGE
TRUSTEE1.0X000
WILLIAM E SIMON JR
TREASURER2.0XX000
MICHAEL S SITRICK
TRUSTEE1.0X000
ERIC SMALL
TRUSTEE1.0X000
CHARLES F SMITH
EXECUTIVE COMMITTEE1.0X000
WILLIAM C SONNEBORN
TRUSTEE1.0X000
PATRICK SOON-SHIONG MD
EXECUTIVE COMMITTEE2.0X000
JAMES A THOMAS
TRUSTEE1.0X000
DONNA F TUTTLE
VICE CHAIRMAN2.0XX000
ANNE WALDECK
TRUSTEE1.0X000
GRETCHEN A WILLISON
TRUSTEE1.0X000
SISTER MAUREEN F CRAIG
TRUSTEE1.0X000
DANIEL A ALONI
TRUSTEE1.0X000
FRANK E BAXTER
TRUSTEE1.0X000
MICHAEL S BURKE
TRUSTEE1.0X000
C D EWELL
TRUSTEE1.0X000
MARC EZRALOW
TRUSTEE1.0X000
JAMES FORDYCE
TRUSTEE1.0X000
DAVID L HO
TRUSTEE1.0X000
CAROLE SCHWARTZ
TRUSTEE1.0X000
ROBERT M SINSKEY
TRUSTEE1.0X000
PATRICK J WAYNE
TRUSTEE1.0X000
LOU LAZATIN
PRESIDENT/CEO40.0X084602027143
MICHELLE MOK
CHIEF FINANCIAL OFFICER40.0X032420953514
WILLIAM A WATSON
SR VP/CHIEF DEV OFFICER40.0043022121484X
ROBERT O KLEIN
VP FDN & HLTH CENTER RELATIONS40.0019284737789X
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Total Reportable Comp Frm Rltd Orgs1793297TotalReportableCompFrmRltdOrgs
Total Other Compensation139930TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events657301FundraisingEvents
All Other Contributions29834335AllOtherContributions
Noncash Contributions2504709NoncashContributions
Total Contributions30491636TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1832929TotalRevenueColumn
Exclusion$1,832,929ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column1839TotalRevenueColumn
Exclusion$1,839ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real156080Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real117698Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real38382Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column38382TotalRevenueColumn
Exclusion$38,382ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

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Securities795330Securities
Other3011769Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

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Securities801369Securities
Other3608739Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-6039Securities
Other-596970Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-603009TotalRevenueColumn
Exclusion-$603,009ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events129800GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events657301CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses418080FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-288280TotalRevenueColumn
Exclusion-$288,280ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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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 Column31473497TotalRevenueColumn
Exclusion$981,861ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total17315849Total
Program Services17315849ProgramServices

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

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Total0Total

Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

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Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

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Total0Total

Fees For Services Legal FeesForServicesLegal

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Total6951Total
Management And General6951ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

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Total32268Total
Management And General32268ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

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Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total177249Total
Management And General177249ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total233071Total
Fundraising233071Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total137306Total
Management And General68653ManagementAndGeneral
Fundraising68653Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total176844Total
Management And General61895ManagementAndGeneral
Fundraising114949Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total33338Total
Fundraising33338Fundraising

Royalties Royalties

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Total0Total

Occupancy Occupancy

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Total219236Total
Management And General219236ManagementAndGeneral

Travel Travel

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Total4865Total
Management And General4865ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

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Management And General198030ManagementAndGeneral

Interest Interest

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Management And General10000ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

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Depreciation Depletion DepreciationDepletion

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Total52662Total
Management And General52662ManagementAndGeneral

Insurance Insurance

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Total0Total

Other Expenses OtherExpenses (5 entries)

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DONOR/VENDOR APPRECIATION2017020170
DONOR CULTIVATION4626746267
DONOR RECOGNITION8737287372
COMMUNITY SUPPORT4446544465

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Management And General5032ManagementAndGeneral
Fundraising1566Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
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Program Services17315849ProgramServices
Management And General1980526ManagementAndGeneral
Fundraising1948551Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY529761BOY
EOY444372EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY26482281BOY
EOY34377006EOY
FieldValueIRS element (for citing)
Accounts ReceivableAccountsReceivable
Land Buildings Equipment Basis1337300LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec28528LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2508626BOY
EOY1308772EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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BOY69187914BOY
EOY59551213EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1983596BOY
EOY2624576EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY100692178BOY
EOY98305939EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5000BOY
EOY0EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY1211569BOY
EOY1215902EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2000000BOY
EOY2000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11314790BOY
EOY5205931EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14531359BOY
EOY8421833EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY26351509BOY
EOY25307439EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY46060253BOY
EOY50432408EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY13749057BOY
EOY14144259EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY86160819BOY
EOY89884106EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY100692178BOY
EOY98305939EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10228571ReconcilationRevenueExpenses
Reconcilation Other Changes-6505284ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
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Current Tax Year Minus3 Years29371013CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36241805CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16979815CurrentTaxYearMinus1Year
Current Tax Year30491636CurrentTaxYear
Total170720516Total

Total170 Total170

FieldValueIRS element (for citing)
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Current Tax Year Minus3 Years29371013CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36241805CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16979815CurrentTaxYearMinus1Year
Current Tax Year30491636CurrentTaxYear
Total170720516Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total74397765AmountsSubstContributorsTotal
Public Support Total17096322751PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2390502CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1982067CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years724292CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year234825CurrentTaxYearMinus1Year
Current Tax Year1990848CurrentTaxYear
Total7322534Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years757524CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1796843CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total2554367Total
FieldValueIRS element (for citing)
Total Support180597417TotalSupport
Gross Receipts From Admissions Etc815525GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.53336PublicSupportPertcentage170
Public Support Pertcent Prior Year0.48380PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance20431739BeginningOfYearBalance
Contributions917103Contributions
Investment Earnings Or Losses2079752InvestmentEarningsOrLosses
Grants Or Scholarships1158427GrantsOrScholarships
End Of Year Balance22270167EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance17779739BeginningOfYearBalance
Contributions-246744Contributions
Investment Earnings Or Losses3254247InvestmentEarningsOrLosses
Grants Or Scholarships355503GrantsOrScholarships
End Of Year Balance20431739EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance23640016BeginningOfYearBalance
Contributions-933455Contributions
Investment Earnings Or Losses-4202031InvestmentEarningsOrLosses
Grants Or Scholarships724791GrantsOrScholarships
End Of Year Balance17779739EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.36500BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.63500PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis836688OtherCostOrOtherBasis
Book Value836688BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis450000OtherCostOrOtherBasis
Depreciation8823Depreciation
Book Value441177BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis50612OtherCostOrOtherBasis
Depreciation19705Depreciation
Book Value30907BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings1308772TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
CHARITABLE REMAINDER TRUST OBL$2,546,220
PAYABLE TO SJHC / JWCI$2,446,333
RENT LIABILITY$53,378
PAYABLE TO THIRD PARTY$160,000
FieldValueIRS element (for citing)
Total Of Amounts5205931TotalOfAmounts
Total Revenue31473497TotalRevenue
Total Expenses21244926TotalExpenses
Excess Or Deficit For Year10228571ExcessOrDeficitForYear
Net Unrealized GL On Investments3123834NetUnrealizedGLOnInvestments
Other-$9,629,118OtherAmount
Total Adjustments-6505284TotalAdjustments
Excess Or Deficit Per FS3723287ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt25321027TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3123834NetUnrealizedGainsInvestments
Other Revenues-9812084OtherRevenues
Revenue Not Rptd F990-6688250RevenueNotRptdF990
Revenue Subtotal32009277RevenueSubtotal
Other Revenues Not Included-535780OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-535780RevenueNotRptdOnFinStmt
Total Revenue Per Form99031473497TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt21597738TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities4283DonatedServicesUseOfFacilities
Other Expenses Included535780OtherExpensesIncluded
Expenses Not Rptd F990540063ExpensesNotRptdF990
Expenses Subtotal21057675ExpensesSubtotal
Other Expenses Not Included187251OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt187251ExpensesNotRptdOnFinStmt
Total Expenses Per Form99021244926TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, line 4Income is used to support various programs and services of Saint John's Hospital and Health Center.
RECONCILIATION OF CHANGE IN NET ASSETS FROM FORM 990 TO FINANCIAL STMTSSCHEDULE D, PART XI, LINE 8UNCOLLECTIBLE PLEDGES 15,582 CHANGE IN NET PV OF PLEDGES (8,937,675) CHANGE IN CHAR REM TRUSTS (707,025) ___________ (9,629,118)
RECONCILIATION OF REVENUE PER AFS WITH REVENUE PER RETURNSCHEDULE D, PART XII, LINE 2DUNCOLLECTIBLE PLEDGES 15,582 CHANGE IN NET PV OF PLEDGES (8,937,675) CHANGE IN CHAR REM TRUSTS (707,025) INTEREST PAID ON LOANS (10,000) BANK SERVICE CHARGES (177,249) DONATED GOODS 4,283 ___________ (9,812,084)
RECONCILIATION OF REVENUE PER AFS WITH REVENUE PER RETURNSCHEDULE D, PART XII, LINE 4BDIRECT EXPENSES ON EVENTS (418,080) RENTAL EXPENSES (117,698) ROUNDING (2) ________________ (535,780)
RECONCILIATION OF EXPENSES PER AFS WITH REVENUE PER RETURNSCHEDULE D, PART XIII, LINE 2DDIRECT EXPENSES ON EVENTS $418,080 RENTAL EXPENSES $117,698 ROUNDING $2 ______________ $535,780
RECONCILIATION OF EXPENSES PER AFS WITH REVENUE PER RETURNSCHEDULE D, PART XIII, LINE 4BINTEREST PAID ON LOANS $10,000 BANK SERVICE CHARGES 177,249 ROUNDING 2 _________ $187,251

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event189601GrossReceiptsEvent1
Charitable Contributions Event162401CharitableContributionsEvent1
Gross Revenue Event127200GrossRevenueEvent1
Rent Facility Costs Event150000RentFacilityCostsEvent1
Other Direct Expenses Event161516OtherDirectExpensesEvent1
Name Of Event2CARITAS GALANameOfEvent2
Gross Receipts Event2697500GrossReceiptsEvent2
Charitable Contributions Event2594900CharitableContributionsEvent2
Gross Revenue Event2102600GrossRevenueEvent2
Rent Facility Costs Event2181009RentFacilityCostsEvent2
Other Direct Expenses Event2125555OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total787101GrossReceiptsTotal
Charitable Contributions Total657301CharitableContributionsTotal
Gross Revenue Total Events129800GrossRevenueTotalEvents
Rent Facility Costs Total Events231009RentFacilityCostsTotalEvents
Other Direct Expenses Total Events187071OtherDirectExpensesTotalEvents
Direct Expense Summary Events418080DirectExpenseSummaryEvents
Net Income Summary-288280NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
SAINT JOHN'S HEALTH CENTER
1328 22ND STREETSANTA MONICACA90404951684082501(C)(3)16102345To support the various programs and services provided by the Health Center. Also, partially fund the construction and capital equipment needs for the new state of the art Saint John's Health Center Facility.
JOHN WAYNE CANCER INSTITUTE
2200 SM BlvdSanta MonicaCA90404954291515501(C)(3)1154329Support for ongoing Research studies and treament modalities at the Institute.
SISTERS OF CHARITY OF LEAVENWORTH
9801 RENNER BLVD 100LENEXAKS62219237379161501(C)(3)59175HUMANITARIAN SUPPORT FOR NATURAL DISASTERS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDescription of Organization's Procedures for Monitoring the Use of GrantsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationMonies to Saint John's Health Center are granted after the expenses have been incurred. The Health Center provides us with an itemized bill, supported by copies of invoices paid related to each grant. John Wayne Cancer Institute: The Foundation transfers the funds as soon as they are received. Funds given for specific protocols by qualifying private, industry and government entities are then assigned a Grant "G" number for financial tracking post-award by the contracts and grants office. Principal Investigators (PI's) make reports on the funds as required by the grantmaker, typically annually and finance prepares the spending report if required. Funds restricted for specific PI's that are not formally associated with a specific research protocol are placed into the PI's designated account.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
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 (4 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
LOU LAZATIN
05033770100189024245401960007543087316300
WILLIAM A WATSON
0382207000480140000043022100
ROBERT O KLEIN
0179950017160111810000019284700
MICHELLE MOK
0288688033218023030000032420900

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION REVIEW PROCESSForm 990, Schedule J, Part I, Line 3SCLHS 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 THELEVEL 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 AT 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 HEALTHCARE SYSTEMS AND HOSPITALS.
ADDITIONAL COMPENSATION DISCLOSUREFORM 990, SCHEDULE J, PART I, LINE 4BOTHER 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-$101,512

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions25NumberOfContributions
Noncash Contribs Rptd F990254709NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther

Real Estate Residential RealEstateResidential

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F9902250000NoncashContribsRptdF990
Method Of Determining RevenuesAppraisalMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GOVERNING BODY AND MANAGEMENTForm 990, Part VI, Section A, Lines 6, 7a and 7bThe organization has members who elect one or more members of the governing body. Decisions of the governing body are subject to approval by the members.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990Form 990, Part VI, Question 11BAn electronic copy of the 990 and its supporting schedules were distributed to the Saint John's Hospital and Health Center Foundation (Foundation) Management Team and Governing Body for their review prior to filing. The Foundation Form 990 is also reviewed by the Finance Department of Sisters of Charity of Leavenworth Health System, Inc. and an independent accounting firm prior to filing.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICForm 990, Part VI, Question 12cAudit Committee and Chief Compliance Officer review conflict of interest statements. They are resolved by the joint efforts of the Chairman of the Foundation, Vice President of the Foundation and representatives of the Audit Committee.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICForm 990, Part VI, Question 19Saint John's Hospital and Health Center Foundation provides viewing of its governing documents, conflict of interest policy, and financial statements upon request through Administration or Patient Business Affairs.
FINANCIAL STATEMENTS AND REPORTINGForm 990, Part XII, Lines 2 b and cOversight process is at the Sisters of Charity of Leavenworth Health System level.
ADDITIONAL COMPENSATION DISCLOSUREForm 990, Part VII and Form 990, Schedule J, Part IITHE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING SAINT JOHN'S HOSPITAL AND HEALTH CENTER FOUNDATION (FOUNDATION) 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 HEALTH CENTER (SAINT JOHN'S) IN SANTA MONICA, CALIFORNIA. SHE ALSO SERVES AS A MEMBER OF THE FOUNDATION'S BOARD. THE COMPENSATION REFLECTED IS THAT OF MS. LAZATIN'S POSITION AS A SAINT JOHN'S EXECUTIVE AND NOT AS A MEMBER OF THE FOUNDATION'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 A MEMBER OF THE FOUNDATION'S BOARD. THE COMPENSATION REFLECTED IS THAT OF MS. MOK'S POSITION AS A SAINT JOHN'S EXECUTIVE AND NOT AS A MEMBER OF THE FOUNDATION'S BOARD. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE.
OTHER CHANGES IN NET ASSETS OR FUND BALANCEFORM 990, PART XI, LINE 5CHANGES IN NPV - PLEDGES ($8,937,675) CHANGE IN CONTRIB RECV'BLE (TRUSTS) $ 58,942 CHANGES IN CRT PAYABLES (ANNUITIES) ($ 765,967) ALLOWANCE FOR UNCOLLECTIBLE PLEDGES $ 15,582 UNREALIZED GAINS $3,123,834 ____________ TOTAL ($6,505,284)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (28 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
1328 22ND STREETSANTA MONICACA90404951684082HEALTHCARECA501(C)(3)3NA
JOHN WAYNE CANCER INSTITUTE
2000 SANTA MONICA BLVDSANTA MONICACA90404954291515CANCER R&DCA501(C)(3)4NA
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

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
PAVILION IMAGING LLC
750 WELLINGTONGRAND JUNCTIONCO81501030516198RADIOLOGYCONAN/A00false$0false0.00000
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTONGRAND JUNCTIONCO81501841505075OP SURGERYCONAN/A00false$0false0.00000
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401202856331OP CANCERCONAN/A00false$0false0.00000
BILLINGS MRI CENTER LLC
1041 NORTH 29TH STREETBILLINGSMT59101810450943MRI-PET SCANMTNAN/A00false$0false0.00000
LUTHERAN CAMPUS ASC LLC
3455 LUTHRN PKW SUITE 150WHEATRIDGECO800336028020749532OP SURGERYCONAN/A00false$0false0.00000
COLORADO SURGICAL VENTURES LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038915OP SURGERYCONAN/A00false$0false0.00000
COLORADO SURGICAL HOSPITAL LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038977OP SURGERYCONAN/A00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
CARITAS INC AND SUBSIDIARIES
9801 RENNER BOULEVARD SUITE 100LENEXAKS66219480941069OTHER MEDICALKSN/AC CORP0.00000
LEAVEN INSURANCE COMPANY LTD
980370522InsuranceN/A0.0000023 Lime Tree Bay AveGeorgetownGrand CaymanCJKY101102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
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 OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
JOHN WAYNE CANCER INSTITUTE
B1124970
JOHN WAYNE CANCER INSTITUTE
N330926