FURP.ORG / PUBLIC DATA EXPLORER

ST JUDE CHILDRENS RESEARCH HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ST JUDE CHILDRENS RESEARCH HOSPITAL INC (EIN 62-0646012)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-03
IRS object ID
201831239349301983
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-03T20:36:28-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11033 DEMONBREUN SUITE 400AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37203ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN620646012EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JUDE CHILDREN'S RESEARCH HOSPITALBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSTJUBusinessNameControlTxt
Phone9015953903PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1262 DANNY THOMAS PLACEAddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP381053678ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAT KEELPersonNm
Person TitleSVP AND CFOPersonTitleTxt
Phone9015953903PhoneNum
Signature2018-05-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFRAN BEDARDPreparerPersonNm
PTINP00752421PTIN
Phone6152591800PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address99.169.247.132IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-05-03IPDt
IP Tm20:11:05IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id5CFFDD8923AB131445275696BFBBD59E6AC5F298AtSubmissionCreationDeviceId
At Submission Filing Device Id31FE60C2ABD567A878DE2EF8F6F522EFC42D780DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES R DOWNINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1262 DANNY THOMAS PLACEAddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP381053678ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$902,595,854GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STJUDE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1959FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTHE MISSION OF ST. JUDE CHILDREN'S RESEARCH HOSPITAL IS TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRIC CATASTROPHIC DISEASES THROUGH RESEARCH AND TREATMENT. CONSISTENT WITH THE VISION OF OUR FOUNDER DANNY THOMAS, NO CHILD IS DENIED TREATMENT BASED ON RACE, RELIGION OR A FAMILY'S ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body43VotingMembersGoverningBodyCnt
Voting Members Independent41VotingMembersIndependentCnt
Total Employee4929TotalEmployeeCnt
Total Volunteers3506TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$895,523,715PYContributionsGrantsAmt
CY Contributions Grants$753,145,680CYContributionsGrantsAmt
PY Program Service Revenue$114,471,276PYProgramServiceRevenueAmt
CY Program Service Revenue$124,099,314CYProgramServiceRevenueAmt
PY Investment Income-$931,340PYInvestmentIncomeAmt
CY Investment Income-$1,169,284CYInvestmentIncomeAmt
PY Other Revenue$18,454,213PYOtherRevenueAmt
CY Other Revenue$24,726,224CYOtherRevenueAmt
PY Total Revenue$1,027,517,864PYTotalRevenueAmt
CY Total Revenue$900,801,934CYTotalRevenueAmt
PY Grants And Similar Paid$3,804,019PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,956,619CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$426,318,943PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$462,005,025CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$367,096,278PYOtherExpensesAmt
CY Other Expenses$390,060,200CYOtherExpensesAmt
PY Total Expenses$797,219,240PYTotalExpensesAmt
CY Total Expenses$857,021,844CYTotalExpensesAmt
PY Revenues Less Expenses$230,298,624PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$43,780,090CYRevenuesLessExpensesAmt
Total Assets BOY$4,292,347,585TotalAssetsBOYAmt
Total Assets EOY$4,787,635,534TotalAssetsEOYAmt
Total Liabilities BOY$334,430,658TotalLiabilitiesBOYAmt
Total Liabilities EOY$127,718,358TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,957,916,927NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,659,917,176NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF ST. JUDE CHILDREN'S RESEARCH HOSPITAL IS TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRIC CATASTROPHIC DISEASES THROUGH RESEARCH AND TREATMENT. CONSISTENT WITH THE VISION OF OUR FOUNDER DANNY THOMAS, NO CHILD IS DENIED TREATMENT BASED ON RACE, RELIGION OR A FAMILY'S ABILITY TO PAY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$427,944,725ExpenseAmt
Grant$4,863,669GrantAmt
Revenue$130,698,282RevenueAmt
DescPATIENT CARE: THE HOSPITAL PROVIDED 19,732 INPATIENT DAYS OF CARE DURING THE YEAR. OUR BONE MARROW TRANSPLANTATION PROGRAM ACCOUNTED FOR 4,704 OR 24% OF THOSE INPATIENT DAYS. PATIENTS MADE 78,587 CLINIC VISITS DURING THE YEAR.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$368,333,510ExpenseAmt
Grant$92,950GrantAmt
DescRESEARCH: THE CURRENT BASIC SCIENCE AND CLINICAL RESEARCH AT THE HOSPITAL INCLUDES WORK IN GENE THERAPY, CHEMOTHERAPY, THE BIOCHEMISTRY OF NORMAL AND CANCEROUS CELLS, RADIATION TREATMENT, BLOOD DISEASES, RESISTANCE TO THERAPY, VIRUSES, HEREDITARY DISEASES, INFLUENZA, PEDIATRIC AIDS AND PHYSIOLOGICAL EFFECTS OF CATASTROPHIC ILLNESSES. THE HOSPITAL AWARDS NO GRANTS TO OUTSIDE AGENCIES. ALL RESEARCH ACTIVITIES ARE CONDUCTED BY HOSPITAL PERSONNEL.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$15,778,174ExpenseAmt
DescEDUCATION AND TRAINING: AS PART OF ITS MISSION, THE HOSPITAL HAS DEVELOPED A GLOBAL INITIATIVE (ST. JUDE GLOBAL) TO IMPROVE THE SURVIVAL RATES OF CHILDREN WITH CANCER AND OTHER CATASTROPHIC DISEASES WORLDWIDE. ST. JUDE GLOBAL ACCOMPLISHES THIS BY SHARING KNOWLEDGE, TECHNOLOGY AND ORGANIZATIONAL SKILLS, IMPLEMENTING NEW APPROACHES TO TREAT PEDIATRIC CANCER GLOBALLY, AND GENERATING INTERNATIONAL NETWORKS COMMITTED TO ERADICATING CANCER IN CHILDREN. THESE INITIATIVES ARE SPEARHEADED BY ST. JUDE EXPERTS WHO WORK CLOSELY WITH HEALTHCARE PROFESSIONALS AT OUR PARTNER SITES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$812,056,409TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1144IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4929EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members43GoverningBodyVotingMembersCnt
Independent Voting Member41IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHARON HENDRIXBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9015953903PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1262 DANNY THOMAS PLACEAddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP381053678ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (57 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOYCE ABOUSSIE
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
SUSAN MACK AGUILLARD MD
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
MAHIR AWDEH MD
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
JOSEPH S AYOUB JR ESQ
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
PAUL J AYOUB ESQ
VOTING DIRECTOR4.008.00Yes (X)$0$0$0
FREDERICK M AZAR MD
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
JAMES B BARKATE
VOTING DIRECTOR4.008.00Yes (X)$0$0$0
MARTHA PERINE BEARD
VOTING DIRECTOR8.004.00Yes (X)$0$0$0
SHERYL BOURISK
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
ROBERT A BREIT MD
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
TERRY BURMAN
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
ANN M DANNER
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
JOSEPH M DEVIVO
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
FRED P GATTAS III PHARMD
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
RUTH GAVIRIA
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
CHRISTOPHER GEORGE MD
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
JUDY HABIB
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
GABRIEL GABY HADDAD MD
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
PAUL K HAJAR
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
CHUCK HAJJAR
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
FOUAD HAJJAR MD
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
FREDERICK R HARRIS
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
FREDERICK R HARRIS JR MD
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
BRUCE B HOPKINS
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
J DAVID KARAM II
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
MICHAEL D MCCOY
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
ROBERT T MOLINET ESQ
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
JAMES NAIFEH JR
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
RAMZI NUWAYHID
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
THOMAS PENN III
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
CAMILLE F SARROUF JR ESQ
VOTING DIRECTOR8.004.00Yes (X)$0$0$0
JOSEPH C SHAKER
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
JOSEPH G SHAKER
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
GEORGE A SIMON II
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
MICHAEL SIMON
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
PAUL J SIMON
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
TONY THOMAS
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
RICHARD M UNES
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
PAUL H WEIN ESQ
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
THOMAS WERTZ
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
TAMA ZAYDON
VOTING DIRECTOR4.004.00Yes (X)$0$0$0
RICHARD SHADYAC JR
EX-OFFICIO DIRECTOR1.0055.00Yes (X)$0$772,284$96,359
JAMES R DOWNING
PRESIDENT & CEO, EX-OFFICIO DIRECTOR55.001.00Yes (X)$1,039,955$0$47,189Yes (X)
PAT KEEL
SVP/CFO55.000.00$598,921$0$30,147Yes (X)
JAMES I MORGAN
EVP/SCIENTIFIC DIRECTOR55.000.00$594,267$0$49,630Yes (X)
ELLIS NEUFELD
EVP/CLINICAL DIR (BEGAN 2/7/17)55.000.00$0$0$0Yes (X)
MARY ANNA QUINN
EVP/CHIEF ADMIN OFFICER55.000.00$665,750$0$71,119Yes (X)
CHARLES M ROBERTS
EVP/DIRECTOR CANCER CENTER55.000.00$750,846$0$143,369Yes (X)
CARLOS RODRIGUEZ-GALINDO
EVP/CHAIR55.000.00$757,311$0$36,096Yes (X)
DAVID ELLISON
CHAIR55.000.00$869,626$0$69,223Yes (X)
THOMAS E MERCHANT
CHAIR55.000.00$1,190,070$0$59,558Yes (X)
CHING-HON PUI
CHAIR55.000.00$923,008$0$79,222Yes (X)
LESLIE L ROBISON
CHAIR55.000.00$879,554$0$47,130Yes (X)
ELAINE I TUOMANEN
CHAIR55.000.00$750,272$0$44,184Yes (X)
MICHAEL C CANARIOS
FORMER SVP/CHIEF FINANCIAL OFFICER0.000.00$466,200$0$17,363Yes (X)
WILLIAM E EVANS
FACULTY/FORMER PRES. & CEO55.000.00$678,640$0$37,822Yes (X)
LARRY KUN
FORMER EVP/CLINICAL DIRECTOR55.000.00$524,216$0$39,155Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,688,636TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$772,284TotReportableCompRltdOrgAmt
Total Other Compensation$867,566TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K766IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FLINTCO LLC
2179 HILLSHIRE CIRCLEMEMPHISTN38133CONSTRUCTION CONTRACTOR$37,621,274
BELZ CONSTRUCTION SERVICES
100 PEABODY PLACE SUITE 1400MEMPHISTN38103CONSTRUCTION CONTRACTOR$8,869,892
UNIVERSITY OF TENNESSEE
62 SOUTH DUNLAP SUITE 300MEMPHISTN38163MEDICAL SERVICES$8,402,521
METHODIST HEALTHCARE MEMPHIS
1265 UNION AVEMEMPHISTN38104MEDICAL SERVICES$6,751,458
PHILIPS HEALTHCARE
3000 MINUTEMAN RD MS2214ANDOVERMA01810MAINTENANCE SERVICES$5,793,524
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K215CntrctRcvdGreaterThan100KCnt
Related Organizations$663,714,692RelatedOrganizationsAmt
Government Grants$79,430,395GovernmentGrantsAmt
All Other Contributions$10,000,593AllOtherContributionsAmt
Total Contributions$753,145,680TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT CAREDesc
Business621110BusinessCd
Total Revenue Column$124,099,314TotalRevenueColumnAmt
Related Or Exempt Func Income$124,099,314RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$124,099,314TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,778TotalRevenueColumnAmt
Exclusion$53,778ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,587,763TotalRevenueColumnAmt
Exclusion$4,587,763ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$532,943SecuritiesAmt
Other$37,915OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$455,214SecuritiesAmt
Other$1,338,706OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$77,729SecuritiesAmt
Other-$1,300,791OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,223,062TotalRevenueColumnAmt
Related Or Exempt Func Income-$1,300,791RelatedOrExemptFuncIncomeAmt
Exclusion$77,729ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BOND DEFEASANCE GAIN900099$8,152,422$8,152,422
CAFETERIA/VENDING722514$4,086,280$4,086,280
CHGME/CHCA900099$2,058,124$2,058,124

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,841,635TotalRevenueColumnAmt
Related Or Exempt Func Income$5,841,635RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$20,138,461OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$900,801,934TotalRevenueColumnAmt
Related Or Exempt Func Income$130,698,282RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$16,957,972ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,956,619TotalAmt
Program Services$4,956,619ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,847,287TotalAmt
Program Services$2,862,030ProgramServicesAmt
Management And General$2,985,257ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,007,480TotalAmt
Program Services$788,139ProgramServicesAmt
Management And General$219,341ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$355,728,362TotalAmt
Program Services$329,928,888ProgramServicesAmt
Management And General$25,799,474ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,068,722TotalAmt
Program Services$20,468,171ProgramServicesAmt
Management And General$1,600,551ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$52,835,044TotalAmt
Program Services$49,003,142ProgramServicesAmt
Management And General$3,831,902ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$24,518,130TotalAmt
Program Services$22,739,934ProgramServicesAmt
Management And General$1,778,196ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$22,053,885TotalAmt
Program Services$20,952,761ProgramServicesAmt
Management And General$1,101,124ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,306,008TotalAmt
Program Services$2,190,872ProgramServicesAmt
Management And General$115,136ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$249,522TotalAmt
Program Services$237,064ProgramServicesAmt
Management And General$12,458ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$44,215TotalAmt
Management And General$44,215ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$78,481,617TotalAmt
Program Services$69,646,578ProgramServicesAmt
Management And General$8,835,039ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$806,218TotalAmt
Program Services$765,965ProgramServicesAmt
Management And General$40,253ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,535,016TotalAmt
Program Services$2,492,051ProgramServicesAmt
Management And General$42,965ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,817,392TotalAmt
Program Services$20,728,076ProgramServicesAmt
Management And General$1,089,316ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,352,986TotalAmt
Program Services$27,126,463ProgramServicesAmt
Management And General$3,226,523ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,294,999TotalAmt
Program Services$10,723,676ProgramServicesAmt
Management And General$571,323ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,876,999TotalAmt
Program Services$1,456,156ProgramServicesAmt
Management And General$420,843ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$77,810,083TotalAmt
Program Services$74,037,738ProgramServicesAmt
Management And General$3,772,345ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,576,077TotalAmt
Program Services$1,163,902ProgramServicesAmt
Management And General$412,175ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICAL SUPPLIES$56,705,552$55,744,479$961,073
LABORATORY SUPPLIES$40,496,773$39,810,415$686,358
TELEPHONE$1,399,353$1,213,498$185,855
ALLOCATION ADJUSTMENTS$0$17,568,038-$17,568,038

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$40,253,505TotalAmt
Program Services$35,451,754ProgramServicesAmt
Management And General$4,801,751ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$857,021,844TotalAmt
Program Services$812,056,409ProgramServicesAmt
Management And General$44,965,435ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$26,610BOYAmt
EOY$21,110EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$207,132,006BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,181,367BOYAmt
EOY$20,889,800EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$21,496,532BOYAmt
EOY$19,183,301EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,178,927BOYAmt
EOY$7,505,346EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,966,158BOYAmt
EOY$16,177,850EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,448,743,860LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$809,864,922LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$599,678,476BOYAmt
EOY$638,878,938EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,822,937BOYAmt
EOY$2,045,240EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,425,864,572BOYAmt
EOY$4,082,933,949EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,292,347,585BOYAmt
EOY$4,787,635,534EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$109,714,635BOYAmt
EOY$113,161,164EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,792,331BOYAmt
EOY$11,299,828EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$211,247,710BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,675,982BOYAmt
EOY$3,257,366EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$334,430,658BOYAmt
EOY$127,718,358EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,019,955,372BOYAmt
EOY$3,620,941,222EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$64,904,956BOYAmt
EOY$73,722,532EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$873,056,599BOYAmt
EOY$965,253,422EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,957,916,927BOYAmt
EOY$4,659,917,176EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,292,347,585BOYAmt
EOY$4,787,635,534EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$43,780,090ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$135,494NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$658,084,665OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$581,788,213CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$611,432,510CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$674,808,276CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$895,523,715CurrentTaxYearMinus1YearAmt
Current Tax Year$753,145,680CurrentTaxYearAmt
Total$3,516,698,394TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$581,788,213CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$611,432,510CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$674,808,276CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$895,523,715CurrentTaxYearMinus1YearAmt
Current Tax Year$753,145,680CurrentTaxYearAmt
Total$3,516,698,394TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$3,516,698,394PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,291,661CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,413,935CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,579,828CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,681,881CurrentTaxYearMinus1YearAmt
Current Tax Year$4,641,541CurrentTaxYearAmt
Total$51,608,846TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,012,056CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,697,307CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,390,478CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,775,862CurrentTaxYearMinus1YearAmt
Current Tax Year$20,138,461CurrentTaxYearAmt
Total$50,014,164TotalAmt
FieldValueIRS element (for citing)
Total Support$3,618,321,404TotalSupportAmt
Gross Receipts Rltd Activities$545,582,792GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97190PublicSupportCY170Pct
Public Support PY1700.97510PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, SECTION B, LINE 10:FormAndLineReferenceDesc
ExplanationEXPLANATION FOR OTHER INCOME: 2012 $ 3,119,452 - CAFETERIA/VENDING $ 1,112,814 - CHGME/CHCA $ 2,779,790 - OTHER REVENUE $ 7,012,056 - TOTAL OTHER INCOME 2013 $ 3,314,275 - CAFETERIA/VENDING $ 1,955,292 - CHGME/CHCA $ 3,427,740 - OTHER REVENUE $ 8,697,307 - TOTAL OTHER INCOME 2014 $ 3,534,638 - CAFETERIA/VENDING $ 1,454,365 - CHGME/CHCA $ 2,401,475 - OTHER REVENUE $ 7,390,478 - TOTAL OTHER INCOME 2015 $ 3,709,328 - CAFETERIA/VENDING $ 1,683,327 - CHGME/CHCA $ 1,383,207 - OTHER REVENUE $ 6,775,862 - TOTAL OTHER INCOME 2016 $ 8,152,422 - BOND DEFEASANCE GAIN $ 4,086,280 - CAFETERIA/VENDING $ 2,058,124 - CHGME/CHCA $ 5,841,635 - OTHER REVENUE $ 20,136,461- TOTAL OTHER INCOMEExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$19,189DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$25,026OtherActivitiesAmt
Total Lobbying Expenditures$44,215TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationLINE 1A) A ST. JUDE PATIENT/FAMILY TRAVELED TO DC ON BEHALF OF ST. JUDE TO ADVOCATE WITH CONGRESS FOR INCREASED NIH FUNDING; LINE 1B) ST. JUDE EMPLOYS A DIRECTOR OF GOVERNMENT AFFAIRS; LINE 1G) AMOUNT LISTED IS PRORATED SALARY OF DIRECTOR OF GOVERNMENT AFFAIRS PLUS TRAVEL EXPENSES; LINE 1I) AMOUNT LISTED IS RELATED TO PRORATED RETAINER FEES FOR DIRECT AND STATE LEGISLATIVE CONTACTS AS WELL AS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$873,056,599BeginningYearBalanceAmt
Contributions$12,552,432ContributionsAmt
Investment Earnings Or Losses$103,475,245InvestmentEarningsOrLossesAmt
Other Expenditures$23,830,854OtherExpendituresAmt
End Year Balance$965,253,422EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$873,885,134BeginningYearBalanceAmt
Contributions$2,341,719ContributionsAmt
Investment Earnings Or Losses-$72,118InvestmentEarningsOrLossesAmt
Other Expenditures$3,098,136OtherExpendituresAmt
End Year Balance$873,056,599EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$915,104,075BeginningYearBalanceAmt
Contributions$2,970,640ContributionsAmt
Investment Earnings Or Losses$8,222,632InvestmentEarningsOrLossesAmt
Other Expenditures$52,412,213OtherExpendituresAmt
End Year Balance$873,885,134EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$843,843,273BeginningYearBalanceAmt
Contributions$1,097,137ContributionsAmt
Investment Earnings Or Losses$121,617,552InvestmentEarningsOrLossesAmt
Other Expenditures$51,453,887OtherExpendituresAmt
End Year Balance$915,104,075EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$782,714,653BeginningYearBalanceAmt
Contributions$705,311ContributionsAmt
Investment Earnings Or Losses$69,209,599InvestmentEarningsOrLossesAmt
Other Expenditures$8,786,290OtherExpendituresAmt
End Year Balance$843,843,273EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,023,680,309OtherCostOrOtherBasisAmt
Depreciation$511,335,832DepreciationAmt
Book Value$512,344,477BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$415,473,178OtherCostOrOtherBasisAmt
Depreciation$292,841,681DepreciationAmt
Book Value$122,631,497BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,590,373OtherCostOrOtherBasisAmt
Depreciation$5,687,409DepreciationAmt
Book Value$3,902,964BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$638,878,938TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescINTEREST IN NET ASSETS OF AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES, INCDesc
Book Value$4,082,933,949BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,082,933,949TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
SELF INSURANCE LIABILITY$2,013,404
WORKERS COMPENSATION$1,243,962
FieldValueIRS element (for citing)
Total Liability$3,257,366TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$786,140,580TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$135,494NetUnrealizedGainsInvstAmt
Other Revenue$557,070,266OtherRevenueAmt
Revenue Not Reported$557,205,760RevenueNotReportedAmt
Revenue Subtotal$228,934,820RevenueSubtotalAmt
Other Revenues Not Included$671,867,114OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$671,867,114RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$900,801,934TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$857,021,844TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$857,021,844ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$857,021,844TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENT FUNDS ARE HELD BY AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES, INC., A RELATED ORGANIZATION, AND ARE USED TO SUPPORT THE FUTURE NEEDS OF ST. JUDE.
PART X, LINE 2:AS OF JUNE 30, 2017, THE ORGANIZATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER ASC TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS COMBINED FINANCIAL STATEMENTS. IN THE EVENT THE ORGANIZATION WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AS A GENERAL EXPENSE. GENERALLY, TAX YEARS ENDING IN 2014 THROUGH 2017 ARE OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES, RESPECTIVELY. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN INTEREST IN UNRESTRICTED NET ASSETS - ALSAC 557,070,266.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTION - SUPPORT RECEIVED FROM ALSAC 663,714,692. GAIN ON BOND DEFEASANCE 8,152,422.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA & THE CARIBBEAN00PROGRAM SERVICESRESEARCH / EDUCATION AND TRAINING$1,229,950
EAST ASIA AND THE PACIFIC00PROGRAM SERVICESRESEARCH / EDUCATION AND TRAINING$3,310,151
EUROPE (INCLUDING ICELAND AND GREENLAND)00PROGRAM SERVICESRESEARCH / EDUCATION AND TRAINING-$265,774
MIDDLE EAST AND NORTH AFRICA00PROGRAM SERVICESRESEARCH / EDUCATION AND TRAINING$4,582,761
NORTH AMERICA00PROGRAM SERVICESRESEARCH / EDUCATION AND TRAINING-$1,603
RUSSIA AND NEIGHBORING STATES00PROGRAM SERVICESRESEARCH / EDUCATION AND TRAINING$1,313
SOUTH AMERICA00PROGRAM SERVICESRESEARCH / EDUCATION AND TRAINING$832,337
SOUTH ASIA00PROGRAM SERVICESRESEARCH / EDUCATION AND TRAINING$3,383
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$9,692,518SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$9,692,518TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3:FormAndLineReferenceDesc
ExplanationEXPENDITURES ARE RECORDED ON AN ACCRUAL BASIS. PAYMENTS ARE ISSUED BASED ON CONTRACTUAL OBLIGATIONS UPON RECEIPT OF SUPPORTING DOCUMENTATION.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free Care0FPGReferenceFreeCareInd
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,493,760TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$391,930DirectOffsettingRevenueAmt
Net Community Benefit Expns$74,101,830NetCommunityBenefitExpnsAmt
Total Expense0.08650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$152,099,836TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,008,786DirectOffsettingRevenueAmt
Net Community Benefit Expns$119,091,050NetCommunityBenefitExpnsAmt
Total Expense0.13900TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,522,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,838,368DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,683,632NetCommunityBenefitExpnsAmt
Total Expense0.00780TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$235,115,596TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,239,084DirectOffsettingRevenueAmt
Net Community Benefit Expns$199,876,512NetCommunityBenefitExpnsAmt
Total Expense0.23330TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,192,693TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,192,693NetCommunityBenefitExpnsAmt
Total Expense0.02470TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,677,935TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$265,036DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,412,899NetCommunityBenefitExpnsAmt
Total Expense0.01100TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,572,063TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,572,063NetCommunityBenefitExpnsAmt
Total Expense0.02980TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$334,430,853TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$77,926,736DirectOffsettingRevenueAmt
Net Community Benefit Expns$256,504,117NetCommunityBenefitExpnsAmt
Total Expense0.29930TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,726,935TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,726,935NetCommunityBenefitExpnsAmt
Total Expense0.00550TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$395,600,479TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$78,191,772DirectOffsettingRevenueAmt
Net Community Benefit Expns$317,408,707NetCommunityBenefitExpnsAmt
Total Expense0.37030TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$630,716,075TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,430,856DirectOffsettingRevenueAmt
Net Community Benefit Expns$517,285,219NetCommunityBenefitExpnsAmt
Total Expense0.60360TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,532TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$85,532NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,329TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,329NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,268TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,268NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$115,129TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$115,129NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$512,000BadDebtExpenseAmt
Reimbursed By Medicare$0ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$455,285CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$455,285MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JUDE CHILDREN'S RESEARCH HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1262 DANNY THOMAS PLACEAddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP381053678ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.STJUDE.ORGWebsiteAddressTxt
State LicenseTN STATE LICENSE NUMBER 0000000113StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Research FacilityYes (X)ResearchFacilityInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST JUDE CHILDREN'S RESEARCH HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. JUDE CHILDREN'S RESEARCH HOSPITALPART V, SECTION B, LINE 5: ST. JUDE'S 2016 CHNA BUILDS UPON THE 2013 CHNA AND REFLECTS THE ACTIVITIES IDENTIFIED IN ST. JUDE'S 2013 COMMUNITY BENEFIT IMPLEMENTATION PLAN. THE 2016 CHNA WAS LED BY AN INTERNAL TEAM OF ST. JUDE STAFF MEMBERS. THE LEADERSHIP OF THIS TEAM ENGAGED HEALTH RESOURCES IN ACTION (HRIA), A NON-PROFIT PUBLIC HEALTH CONSULTANCY ORGANIZATION, TO CONDUCT THE CHNA. IN AN EFFORT TO DEVELOP A SOCIAL, ECONOMIC, AND HEALTH PORTRAIT OF THE COMMUNITY SERVED BY ST. JUDE FOR THE GREATER MEMPHIS AREA AND NATIONALLY, HRIA REVIEWED EXISTING DATA DRAWN FROM LOCAL, STATE, AND NATIONAL SOURCES. HRIA CONDUCTED QUALITATIVE RESEARCH WITH INTERNAL AND EXTERNAL ST. JUDE STAKEHOLDERS AS WELL AS PATIENTS AND FAMILY MEMBERS SERVED IN ORDER TO SUPPLEMENT QUANTITATIVE FINDINGS WITH PERCEPTIONS OF COMMUNITY STRENGTHS AND ASSETS, THEIR PRIORITY HEALTH CONCERNS, AND SUGGESTIONS FOR FUTURE PROGRAMMING AND SERVICES.FOCUS GROUPS FOCUS GROUPS WERE CONDUCTED WITH CURRENT AND FORMER ST. JUDE PATIENTS, PATIENT CAREGIVERS, AND ST. JUDE CLINICAL, RESEARCH, AND ADMINISTRATIVE STAFF. DIFFERENT TOPIC AREAS WERE EXPLORED BASED ON THE UNIQUE EXPERIENCES OF EACH OF THE GROUPS. THE PATIENT AND CAREGIVER FOCUS GROUPS, CONDUCTED WITH CURRENT PATIENTS AND REPRESENTATIVES OF THE FAMILY ADVISORY AND QUALITY OF LIFE/PALLIATIVE CARE STEERING COUNCILS, EXPLORED THE EXTENT TO WHICH ST. JUDE IS MEETING THE NEEDS OF CHILDREN WITH CATASTROPHIC ILLNESSES AND OPPORTUNITIES TO BRIDGE PATIENT NEEDS IN THE FUTURE. THE CLINICAL, RESEARCH, AND ADMINISTRATIVE STAFF FOCUS GROUP EXPLORED THESE TOPICS AS WELL AS SPECIFIC ISSUES RELATED TO THE GREATER MEMPHIS COMMUNITY. A SEMI-STRUCTURED MODERATOR'S GUIDE WAS USED ACROSS ALL DISCUSSIONS TO ENSURE CONSISTENCY IN THE TOPICS COVERED. WHILE SIMILAR, SEPARATE GUIDES WERE USED FOR THE CAREGIVER AND PATIENT FOCUS GROUPS SO THAT THEY WERE AGE AND DEVELOPMENTALLY APPROPRIATE. EACH FOCUS GROUP WAS FACILITATED BY AN EXPERIENCED HRIA STAFF MEMBER, WHILE A NOTE-TAKER TOOK DETAILED NOTES DURING THE DISCUSSION. ON AVERAGE, FOCUS GROUPS LASTED 30-90 MINUTES. BEFORE THE START OF THE GROUPS, HRIA EXPLAINED THE PURPOSE OF THE STUDY TO PARTICIPANTS AND PARTICIPANTS HAD AN OPPORTUNITY TO ASK QUESTIONS. THEY WERE ALSO NOTIFIED VERBALLY THAT GROUP DISCUSSIONS WOULD REMAIN CONFIDENTIAL, AND NO RESPONSES WOULD BE CONNECTED TO THEM PERSONALLY. PATIENT FOCUS GROUP PARTICIPANTS RECEIVED A $30 GIFT CERTIFICATE AS WELL AS FOOD AND BEVERAGES IN APPRECIATION FOR THEIR TIME. PARTICIPANTS WERE RECRUITED BY ST. JUDE STAFF, WHO ARRANGED ALL LOGISTICS FOR THE ONSITE FOCUS GROUPS.MEDICAL EXECUTIVE COMMITTEE/CLINICAL COUNCIL (INTERNAL) - EMILY BROWNE, DIRECTOR, PROFESSIONAL DEVELOPMENT AND APP - ANDREW M. DAVIDOFF, MD, CHAIR, SURGERY DEPARTMENT - PAM DOTSON, SVP, PATIENT CARE SERVICES/CNO - JANICE ENGLISH, DIRECTOR, NURSING - PATRICIA FLYNN, MD, MEMBER, SVP, MEDICAL DIRECTOR QUALITY AND PATIENT CARE- WILLIAM L. GREENE, PHARM D, CHIEF PHARMACEUTICAL OFFICER - LIZA JOHNSON, MD, STAFF PHYSICIAN, HOSPITALIST - PAT KEEL, SVP, CHIEF FINANCIAL OFFICER - CINDY LEKHY, VP, CLINICAL OPERATIONS - MONIKA METZGER, MD, REGIONAL DIRECTOR, CENTRAL AND SOUTH AMERICA REGIONS, INTERNATIONAL OUTREACH PROGRAM - SEAN PHIPPS, PHD, CHAIR, PSYCHOLOGY DEPARTMENT - ULRIKE REISS, MD, DIRECTOR, CLINICAL HEMATOLOGY DIVISION - GILES W. ROBINSON, MD, ASSISTANT MEMBER, ONCOLOGY DEPARTMENT - VICTOR SANTANA, MD, MEMBER, VP, CLINICAL TRIALS ADMINISTRATION - RON SMITH, VP, SCIENTIFIC OPERATIONS - ELAINE TUOMANEN, MD, CHAIR, DEPARTMENT OF INFECTIOUS DISEASES FAMILY ADVISORY COUNCIL AND QUALITY OF LIFE/PALLIATIVE CARE STEERING COUNCIL (INTERNAL AND EXTERNAL, SOME FAMILY MEMBERS AND FORMER PATIENTS ARE ALSO ST. JUDE EMPLOYEES) - AUDREY DAVIS - DEBBIE HIGGINS - CASEY PAPPAS - GABBY SALINAS - KELLY WADDELL ADOLESCENT PATIENTS, N=4 KEY INFORMANT INTERVIEWS HRIA CONDUCTED INTERVIEWS WITH 16 INDIVIDUALS; 6 WERE INTERNAL TO THE ST. JUDE HOSPITAL AND 10 WERE EXTERNAL REPRESENTATIVES. INTERVIEWEES REPRESENT A RANGE OF SECTORS, INCLUDING LEADERS IN HEALTH CARE AND HEALTH RESEARCH, GOVERNMENT, AND SOCIAL SERVICE ORGANIZATIONS FOCUSING ON VULNERABLE POPULATIONS. SIMILAR TO THE FOCUS GROUPS, A SEMI-STRUCTURED INTERVIEW GUIDE WAS USED ACROSS ALL DISCUSSIONS TO ENSURE CONSISTENCY IN THE TOPICS COVERED. INTERVIEWS WERE APPROXIMATELY 30 MINUTES IN LENGTH. INTERNAL KEY INFORMANT INTERVIEWS - CAROLYN RUSSO, MD, MEDICAL DIRECTOR AFFILIATE PROGRAM - JUSTIN BAKER, CHIEF, DIVISION OF QUALITY OF LIFE AND PALLIATIVE CARE - MARTHA PERINE BEARD, CHAIR, ST. JUDE BOARD OF GOVERNORS- FRAN GREESON, DIRECTOR OF SOCIAL WORK AND JANA KING, DIRECTOR OFDOMICILIARY SERVICES - MICHAEL LINK, MD, CHAIR, ST. JUDE SCIENTIFIC ADVISORY BOARD - ALICIA HUETTEL, DIRECTOR OF FAMILY CENTERED CARE EXTERNAL KEY INFORMANT INTERVIEWS - DR. JOHNATHAN MCCULLERS, CHAIR, DEPARTMENT OF PEDIATRICS, UTHSC/LE BONHEUR CHILDREN'S HOSPITAL - JENNIFER MARSHALL PEPPER, HIV/RYAN WHITE, SHELBY COUNTY - DR. DAVID STERN, DEAN UTHSC COLLEGE OF MEDICINE - DR. BARRY GOLDSPIEL, ACTING CHIEF, PHARMACY DEPARTMENT, CHIEF, CLINICAL PHARMACY SPECIALIST SECTION, NIH - DRS. NADA ELMAGBOUL AND ROBIN WOMEODU, SICKLE CELL DISEASE PROGRAM METHODIST LE BONHEUR HEALTHCARE - VALERIE NAGOSHINER, DEPUTY COMMISSIONER, TN DEPARTMENT OF HEALTH - ANGELA MOORE, PH COORDINATOR, COMMUNITY HEALTH PLANNING, SHELBY COUNTY HEALTH DEPARTMENT - JENNIFER MYRICK, HEALTH SYSTEMS MANAGER, AMERICAN CANCER SOCIETY MID-SOUTH - DEE WIMBERLY, CAROL WEIDENHOFFER, HUGH JONES, SACHARY HIDINGER, ANDREA TUTOR, METHODIST LE BONHEUR HEALTHCARE CHNA TEAM - DR. MARTIN WHITSIDE, TENNESSEE CANCER COALITION
ST. JUDE CHILDREN'S RESEARCH HOSPITALPART V, SECTION B, LINE 13H: SEE NARRATIVE FOR PART 1, LINE 3C REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
ST. JUDE CHILDREN'S RESEARCH HOSPITALPART V, SECTION B, LINE 15E: SEE NARRATIVE FOR PART 1, LINE 3C REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
ST. JUDE CHILDREN'S RESEARCH HOSPITALPART V, SECTION B, LINE 20E: ST. JUDE DOES NOT TAKE ANY OF THE COLLECTION ACTIONS DESCRIBED IN PART V, SECTION B, LINE 19.
ST. JUDE CHILDREN'S RESEARCH HOSPITAL:PART V, SECTION B, LINE 11: ST. JUDE CHILDREN'S RESEARCH HOSPITALCOMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION PLAN UPDATE (06/30/17)ST. JUDE: PATIENT POPULATION AND CLINICAL FOCUSTHE COMMUNITY SERVED BY ST. JUDE CAN BEST BE DEFINED BY UNDERSTANDING ST. JUDE'S PATIENT POPULATION AND SCOPE OF CLINICAL SERVICES. ST. JUDE IS A SPECIALTY HOSPITAL THAT TREATS PEDIATRIC CANCER AND BLOOD DISORDERS, AND CHILDREN AND ADOLESCENTS WITH HIV INFECTION. IT SERVES AS A NATIONAL REFERRAL CENTER FOR CHILDREN WITH CANCER AS WELL AS A LOCAL REFERRAL CENTER FOR CHILDREN WITH CANCER, BLOOD DISORDERS, AND HIV/AIDS. ST. JUDE TREATS CHILDREN AND YOUNG ADULTS WITH NEWLY DIAGNOSED OR SUSPECTED PEDIATRIC CANCER, HIV INFECTIONS OR CERTAIN HEMATOLOGIC OR GENETIC DISEASES. WE ACCEPT MOST PATIENTS OUTSIDE OUR PRIMARY MARKET BASED ON A REFERRAL FROM THEIR PHYSICIAN OR AN AFFILIATE CLINIC, THEIR AGE, AND THEIR ABILITY TO ENROLL IN AN OPEN CLINICAL TRIAL. IN ADDITION TO BEING TREATED AT ST. JUDE PATIENTS MAY HAVE THE OPTION TO RECEIVE CARE AT ONE OF OUR EIGHT REGIONAL AFFILIATE CLINICS.ST. JUDE'S PRIMARY CLINICAL EFFORT CENTERS ON PROVIDING GROUND-BREAKING, RESEARCH-DRIVEN TREATMENTS FOR CHILDHOOD CANCERS AND OTHER CATASTROPHIC DISEASES IN CHILDREN. MORE SPECIFICALLY, APPROXIMATELY 7,500 PATIENTS ARE SEEN AT ST. JUDE ANNUALLY FOR ACTIVE THERAPY, TREATMENT COMPLETION MONITORING, SURVIVORSHIP SUPPORT OR PARTICIPATION IN RESEARCH PROGRAMS. THE HOSPITAL IS LICENSED FOR 80 INPATIENT BEDS AND CURRENTLY STAFFS 67 BEDS FOR PATIENTS REQUIRING HOSPITALIZATION DURING TREATMENT. IT SHOULD BE NOTED THAT ST. JUDE HAS DEVELOPED UNIQUE RESOURCES THAT ALLOW A SIGNIFICANT PORTION OF PATIENTS TO BE TREATED AS OUTPATIENTS WHO MAY HAVE BEEN ADMITTED AS IN-PATIENTS AT MOST HOSPITALS. THIS IS ACCOMPLISHED THROUGH PATIENT HOUSING DEDICATED SOLELY TO ST. JUDE PATIENT FAMILIES DESIGNED WITH INFECTION CONTROL MEASURES SUCH AS HEPA AIR FILTRATION, INFECTION-RESISTANT SURFACES AND OTHER MEDICAL SAFEGUARDS THAT ARE NOT AVAILABLE IN HOTELS OR PATIENTS' HOMES.THE ST. JUDE AFFILIATE PROGRAM MAKES TREATMENTS DEVELOPED AS CLINICAL TRIALS AT ST. JUDE CHILDREN'S RESEARCH HOSPITAL AVAILABLE TO MORE CHILDREN BY OFFERING MUCH OF THE CARE CLOSE TO HOME. THE ST. JUDE AFFILIATE PROGRAM IS A NETWORK OF PEDIATRIC HEMATOLOGY-ONCOLOGY CLINICS, HOSPITALS, AND IN SOME CASES, UNIVERSITIES UNITED TO EXTEND THE MISSION OF ST. JUDE. THE PHYSICIANS AND STAFF AT THESE SITES WORK IN COLLABORATION WITH THE STAFF OF ST. JUDE TO DELIVER STATE-OF-THE-ART CARE AND INNOVATIVE CLINICAL TRIALS TO CHILDREN WITH CANCER AND BLOOD DISORDERS. ST. JUDE ALSO OPERATES ST. JUDE GLOBAL. ITS MISSION IS TO IMPROVE THE SURVIVAL RATES OF CHILDREN WITH CANCER AND OTHER CATASTROPHIC DISEASES WORLDWIDE THROUGH THE SHARING OF KNOWLEDGE, TECHNOLOGY AND ORGANIZATIONAL SKILLS. THERE ARE 3 OVERRIDING GOALS:- TO TRAIN THE CLINICAL WORKFORCE THAT WILL BE REQUIRED TO MEET OUR MISSION- TO DEVELOP AND STRENGTHEN HEALTH SYSTEMS AND PATIENT-CENTERED INITIATIVES THAT ENCOMPASS THE ENTIRE CONTINUUM OF CARE REQUIRED FOR CHILDREN WITH CANCER AND NON-MALIGNANT HEMATOLOGICAL DISEASES- TO ADVANCE KNOWLEDGE IN GLOBAL PEDIATRIC ONCOLOGY AND HEMATOLOGY THROUGH RESEARCH TO SUSTAIN A CONTINUOUS IMPROVEMENT IN THE LEVEL AND QUALITY OF CARE DELIVERED AROUND THE GLOBE.ST. JUDE IS A RESEARCH ORGANIZATION, AND THERE ARE TIMES WHEN BASIC RESEARCH DISCOVERIES PERTAIN TO DISEASES THAT ARE BEYOND THE SCOPE OF DISEASES TREATED AS A PRIMARY DIAGNOSIS AT ST. JUDE.FOR THE PURPOSES OF THIS REPORT, THE FOCUS IS SOLELY ON THOSE DISEASES FOR WHICH CHILDREN ARE ADMITTED TO ST. JUDE FOR TREATMENT.CONSISTENT WITH ST. JUDE'S PREVIOUS CHNA, THE FINDINGS IN 2016 HIGHLIGHTED THE ISSUES OF ACCESS TO CARE; CHILDHOOD CANCER; SICKLE CELL DISEASE AND HEMATOLOGY PATIENTS; LIVING WITH HIV AND AIDS; NEEDS OF THE PATIENTS' FAMILIES AND CAREGIVERS; POST TREATMENT AND CARE TRANSITION; HEALTH STATUS OF THE MEMPHIS COMMUNITY AND ADDITIONAL GAPS FOR THE GENERAL PEDIATRIC POPULATION. ST. JUDE HAS CHOSEN TO ADDRESS THESE NEEDS IN THREE GENERAL FOCUS AREAS: IMPROVING ACCESS TO CARE, ENHANCING COORDINATION OF CARE AND IMPROVING CHILD HEALTH STATUS THROUGH HEALTHY LIFESTYLE EDUCATION AND PREVENTION FOR CHILDREN. THESE INITIATIVES, WHICH OFTEN ADDRESS MULTIPLE ISSUES IDENTIFIED IN THE CHNA, WERE CHOSEN BECAUSE THEY ARE ALIGNED WITH OUR MISSION AND OUR CAPABILITIES.AIM #1 IMPROVING ACCESS TO CAREPEDIATRIC HEALTH NEED:ACCESS TO AFFORDABLE HEALTH INSURANCE COVERAGEHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MANAGED CARE DEPARTMENTANTICIPATED OUTCOME:ASSIST UNINSURED PATIENTS WITH ENROLLING IN FUNDING FOR WHICH THEY QUALIFYACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. RENEW CONTRACT WITH VENDOR TO PROVIDE CERTIFIED APPLICATION COUNSELOR SERVICES TO ASSIST PATIENT FAMILIES APPLYING FOR HEALTH INSURANCE COVERAGE THROUGH THE FEDERALLY-FACILITATED MARKETPLACE.2. CONDUCT AN AUDIT OF THE SCREENING PROCESS TO VALIDATE COMPLIANCE. MAKE PROCESS ADJUSTMENTS AS NEEDED.SELECTED ACCOMPLISHMENTS:- THE AGREEMENT WITH FIRSTSOURCE SOLUTIONS USA, LLC DBA MEDASSIST IS RENEWED ANNUALLY. MEDASSIST IS THE VENDOR USED TO PROVIDE CERTIFIED APPLICATION COUNSELOR SERVICES TO UNINSURED PATIENTS. - AN AUDIT OF THE SCREENING PROCESS HAS BEEN DEVELOPED AND WILL CONTINUE TO BE CONDUCTED ON A MONTHLY BASIS TO ENSURE THAT ALL FAMILIES ARE GIVEN ASSISTANCE WITH THE SCREENING AND ENROLLMENT PROCESS. IN FY17, 95% OF UNINSURED PATIENTS WERE OFFERED ASSISTANCE AND FIFTY UNINSURED PATIENTS WERE ENROLLED IN HEALTH PLANS. THE REMAINING 5% WERE NOT CONTACTED BECAUSE THEY WERE IN THE AFTER COMPLETION OF THERAPY PROGRAM AND WERE NOT HERE LONG.PEDIATRIC HEALTH NEED:PALLIATIVE CAREHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, DEPARTMENT OF ONCOLOGY, DIVISION OF QUALITY OF LIFE AND PALLIATIVE CAREANTICIPATED OUTCOME:INCREASE THE NUMBER OF CLINICIANS TRAINED IN PALLIATIVE CARE MEDICINE (PCM) AND EDUCATIONAL OPPORTUNITIES FOR PCMACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. RECRUIT AND TRAIN TWO PHYSICIAN FELLOWS IN THE PALLIATIVE CARE TRAINING PROGRAM.2. PROVIDE TRAINING IN PALLIATIVE CARE FOR ADVANCED PRACTICE HEALTHCARE PERSONNEL THROUGH TARGETED CONFERENCES AND OTHER EDUCATIONAL OPPORTUNITIES INCLUDING END-OF-LIFE NURSING EDUCATION CONSORTIUM (ELNEC) CONFERENCE, AN INSTITUTION-DEVELOPED QUALITY OF LIFE SEMINAR (QOLA), AND A 2 DAY PEDIATRIC ONCOLOGY PALLIATIVE CARE CONFERENCE.3. EDUCATE COMMUNITY PROVIDERS ABOUT PCM THROUGH COMMUNITY-BASED BRIDGING PROGRAMS FOR HOME HEALTH AND HOSPICE CARE THROUGH THE QUALITY OF LIFE FOR ALL KIDS PROGRAM VIA A THREE HOUR DIDACTIC CURRICULUM.4. ENHANCE TRAINING OPPORTUNITIES WITH ST. JUDE AFFILIATES.SELECTED ACCOMPLISHMENTS:- EACH YEAR THE PALLIATIVE CARE TRAINING PROGRAM HAS BEEN SUCCESSFUL IN RECRUITING AND TRAINING TWO PHYSICIAN FELLOWS.- ENROLLMENT: FY16 FY17ELNEC 32 78QOLA 37 29NEW PEDIATRIC ONCOLOGY PALLIATIVE CARE CONFERENCE 325IN ADDITION, ALL BEDSIDE NURSES ARE REQUIRED TO COMPLETE ELNEC WITHIN THREE YEARS. ALSO, INPATIENT AND OUTPATIENT NURSES ARE REQUIRED AND SUPPORTED TO COMPLETE BOTH SEMINARS (A TOTAL OF 24.5 CEUS IN PCM). - COMMUNITY PROVIDER EDUCATION HAPPENS TWICE A MONTH THROUGH ST. JUDE'S COMBINED FELLOWSHIP PROGRAM BOARD REVIEW SERIES. EACH SESSION AVERAGES 10 ATTENDEES RANGING FROM GRADUATE STUDENTS TO MEDICAL STUDENTS TO ADVANCED CLINICIANS.- THE SJ AFFILIATE STAFF ARE INVITED TO PARTICIPATE IN ELNEC, THE QOL SEMINAR AND THE PEDIATRIC PALLIATIVE ONCOLOGY SYMPOSIUM AT NO COST, AND ARE INCLUDED IN THE NUMBERS CITED ABOVE.PEDIATRIC HEALTH NEED:HEALTHCARE OF CHILDHOOD CANCER SURVIVORSHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, DEPARTMENT OF ONCOLOGY, DIVISION OF CANCER SURVIVORSHIPANTICIPATED OUTCOME:PROVIDE CANCER SURVIVORSHIP INFORMATION TO BOTH CAREGIVERS AND SURVIVORS VIA SURVIVORS' DAY CONFERENCE AND ST. JUDE LIFEACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. PROVIDE WORKSHOPS AND SPEAKERS THAT OFFER INFORMATION ABOUT AVAILABLE RESOURCES.2. GIVE SURVIVORS AND THEIR FAMILIES THE OPPORTUNITY TO LEARN FROM OTHER SURVIVORS.3. ENSURE THAT SURVIVORS UNDERSTAND HOW TO APPROACH HEALTHCARE POST-TREATMENT.4. OFFER AN ONLINE RESOURCE FOLLOWING THE CONFERENCE FOR CONTINUOUSFLOW OF SURVIVORSHIP INFORMATION.5. ASSESS LATE EFFECTS OF CANCER THERAPY ON PEDIATRIC CANCER SURVIVORS.6. USE INFORMATION FROM THESE STUDIES TO DEFINE RISK GROUPS FOR VARIOUS LATE EFFECTS AND ASSESS INTERVENTIONS.
SELECTED ACCOMPLISHMENTS:LECTURES/WORKSHOPS PROVIDED BY MELISSA M. HUDSON:- 17TH ANNUAL ONCOLOGY SYMPOSIUM, AVERA CANCER INSTITUTE, "THE MYRIAD OF LATE AND LONG-TERM HEALTH RISKS OF CANCER SURVIVORS AND "CANCER SURVIVORSHIP CARE MODELS", SIOUX FALLS, SOUTH DAKOTA, SEPTEMBER 29-30, 2016- CANCER SURVIVORSHIP: OPTIMIZING CARE AND OUTCOMES, MICHAEL GARIL ENDOWED LECTURESHIP ON LATE EFFECTS: "CHILDHOOD SURVIVORSHIP COHORT RESEARCH: LESSONS LEARNED AND FUTURE DIRECTIONS", DANA FARBER CANCER INSTITUTE, BOSTON, MA, NOVEMBER 17-18, 2016- PFIZER, INC. U.S. GENOTROPIN ADVISORY BOARD MEETING, "SAFETY OF GROWTH HORMONE THERAPY IN CHILDHOOD CANCER SURVIVORS", NEW YORK, NEW YORK, DECEMBER 9, 2016- RONALD MCDONALD BOARD MEETING, SURVIVORSHIP RESEARCH AT ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TENNESSEE, JANUARY 17, 2017- PRIMARY CARE SYMPOSIUM - CANCER SURVIVORSHIP: A PRIMARY CARE AND ONCOLOGY COLLABORATION, "PRIMARY CARE OF SURVIVORS OF CHILDHOOD, ADOLESCENT AND YOUNG ADULT CANCERS" WEST CANCER CENTER, MEMPHIS, TENNESSEE, MARCH 7, 2017 TRANSLATIONAL CANCER RESEARCH SEMINAR SERIES, CINCINNATI CHILDREN'S HOSPITAL, "PEDIATRIC SURVIVORSHIP CARE IN THE 21ST CENTURY: EVOLVING AND EMERGING HEALTH RISKS", CINCINNATI, OHIO, APRIL 6, 2017- CANCER SURVIVORSHIP RESEARCH AND BEST PRACTICES CONFERENCE: CHANGING LIVES THROUGH QUALITY SURVIVORSHIP CARE, "OPTIMIZING HEALTH AND HEALTH CARE TRANSITIONS IN CHILDHOOD CANCER SURVIVORS", CINCINNATI, OHIO, APRIL 7, 2017- ANNA T. MEADOWS LECTURE IN PEDIATRIC CANCER SURVIVORSHIP, "THE ROLE OF SURVIVORSHIP RESEARCH IN ADVANCING CHILDHOOD CANCER CARE AND QUALITY OF SURVIVAL", THE CENTER FOR CHILDHOOD CANCER RESEARCH (CCCR) AT THE CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PENNSYLVANIA, APRIL 25, 2017LECTURES/WORKSHOPS PROVIDED BY DANIEL MULROONEY:- PEDIATRIC ONCOLOGY ISSUES, THE CHILDREN'S HOSPITAL AT SAINT FRANCIS, TULSA, OK, SEPTEMBER 30, 2016 - IMPLEMENTATION OF COG GUIDELINES FOR SURVIVORSHIP, THE CHILDREN'S HOSPITAL AT SAINT FRANCIS, TULSA, OK, SEPTEMBER 2016 - UPDATES IN FERTILITY OUTCOMES IN PEDIATRIC CANCER SURVIVORS, THE ONCOFERTILITY CONSORTIUM, PRENTICE WOMEN'S HOSPITAL, NORTHWESTERN UNIVERSITY, CHICAGO, IL, NOVEMBER 2, 2016 - THE SPECTRUM OF CARDIOVASCULAR DISEASE AFTER CHILDHOOD CANCER THERAPY, GREEHEY CHILDREN'S CANCER RESEARCH INSTITUTE SEMINAR SERIES, SAN ANTONIO, TX, JUNE 2, 2017 - FERTILITY PRESERVATION AT ST. JUDE: PAST, PRESENT, AND FUTURE, GRAND ROUNDS, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN, SEPTEMBER 8, 2016 - OPTIMIZING CARE FOR THE SURVIVOR OF CHILDHOOD CANCER, AFFILIATE PHYSICIANS' CONFERENCE, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN, APRIL 7, 2017LECTURES/WORKSHOPS PROVIDED BY MATTHEW EHRHARDT:- LATE EFFECTS OF CHILDHOOD CANCER: THE COST OF CURE. PEDIATRIC ONCOLOGY EDUCATION (POE) PROGRAM, LUNCH AND LEARN SERIES, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN, JULY 2016- PEDIATRIC CANCER SURVIVORSHIP: MODELS OF CARE AND SURVEILLANCE GUIDELINES, CHINA VISITING SCHOLAR PROGRAM, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN, JULY 2016- CHILDREN'S ONCOLOGY GROUP LONG-TERM FOLLOW-UP GUIDELINES FOR SURVIVORS OF CHILDHOOD, ADOLESCENT, AND YOUNG ADULT CANCERS. ADVANCING CARDIOVASCULAR CARE OF THE ONCOLOGY PATIENT, AMERICAN COLLEGE OF CARDIOLOGY, WASHINGTON, D.C., FEBRUARY 2017- EXERCISE BEFORE, DURING, AND AFTER THERAPY: HOW MUCH SHOULD THE CANCER PATIENT DO? ADVANCING CARDIOVASCULAR CARE OF THE ONCOLOGY PATIENT, AMERICAN COLLEGE OF CARDIOLOGY, WASHINGTON, D.C., FEBRUARY 2017- TAKING THE CUE: ELEMENTS OF A WELL-CHAMPIONED SURVIVORSHIP PROGRAM. ADVANCING CARDIOVASCULAR CARE OF THE ONCOLOGY PATIENT, AMERICAN COLLEGE OF C ARDIOLOGY, WASHINGTON, D.C., FEBRUARY 2017- HOW TO MITIGATE CARDIOTOXICITY: STATINS AND PROTON THERAPY FOR ALL CHILDHOOD AND ADULT CANCER PATIENTS AND SURVIVORS? ADVANCING CARDIOVASCULAR CARE OF THE ONCOLOGY PATIENT, AMERICAN COLLEGE OF CARDIOLOGY, WASHINGTON, D.C., FEBRUARY 2017- SURVIVING CHILDHOOD CANCER. ST. JUDE MIDWEST AFFILIATE PEDIATRIC CANCER SURVIVORSHIP CONFERENCE, PEORIA, IL, APRIL 2017- CANCER SURVIVORSHIP AND THE AFTER COMPLETION OF THERAPY CLINIC. ST. JUDE MIDWEST AFFILIATE ASSOCIATION OF PEDIATRIC HEMATOLOGY/ONCOLOGY NURSES (APHON), PEORIA, IL, APRIL 2017OPPORTUNITIES FOR SURVIVORS TO LEARN FROM EACH OTHER:- ST. JUDE HOSTS PERIODIC CELEBRATIONS OF SURVIVORSHIP ATTENDED BY SURVIVORS, FAMILIES AND FRIENDS. THE EVENT PROVIDES A FORUM TO CELEBRATE SURVIVORSHIP, EDUCATE ATTENDEES ABOUT HEALTH EFFECTS OF CHILDHOOD CANCER AND RESEARCH PROGRESS IN THIS AREA, AND SHARE INFORMATION ABOUT HEALTH RESOURCES. - ST. JUDE SURVIVOR DAY ACTIVITIES, SEPTEMBER 10, 2016: OVERVIEW OF PROGRESS IN PEDIATRIC CANCER TREATMENT BY DR. JAMES DOWNING. HEALTH FAIR WITH BOOTHS FEATURING HEALTH PROMOTION MATERIALS FROM HOSPITAL SERVICE AREAS.- PLANNED ACTIVITIES FOR 2017 ST. JUDE SURVIVOR DAY (SCHEDULED FOR SEPTEMBER 9, 2017): INSPIRATIONAL CANCER SURVIVOR DR. WENDY HARPHAM WILL SHARE HER SURVIVORSHIP EXPERIENCES IN KEYNOTE ADDRESS ENTITLED "HAPPINESS IN A STORM". SURVIVORSHIP STAFF AND DR. HARPHAM WILL LEAD WORKSHOPS FOCUSING ON HOPE AND RESILIENCY IN OVERCOMING THE OBSTACLES ASSOCIATED WITH THE CANCER EXPERIENCE AND ITS AFTERMATH.ENSURING THAT SURVIVORS UNDERSTAND HOW TO APPROACH HEALTHCARE POST-TREATMENT:- SURVIVORS AND THEIR FAMILIES ATTENDING THE AFTER COMPLETION OF THERAPY AND ST. JUDE LIFETIME COHORT CLINICS ROUTINELY RECEIVE COUNSELING ABOUT THEIR HEALTH HISTORY, CANCER-RELATED HEALTH RISKS, HEALTH SCREENING RECOMMENDED FOR THEIR SPECIFIC CANCER TREATMENT EXPOSURES, AND METHODS OF RISK REDUCTION. A SURVIVORSHIP CARE PLAN IS PROVIDED AT THE FIRST EVALUATION THAT DETAILS THE CANCER DIAGNOSIS, TREATMENT, MAJOR HEALTH EVENTS THAT HAVE OCCURRED DURING AND AFTER THERAPY, CANCER-RELATED HEALTH RISKS, AND RECOMMENDED HEALTH SCREENING. THE SURVIVORSHIP CARE PLAN IS UPDATED AFTER EVERY HEALTH EVALUATION. - FOR SURVIVORS WHO DO NOT WISH TO PARTICIPATE IN THE ACT OR ST. JUDE LIFETIME COHORT PROGRAMS, THESE SAME SERVICES ARE AVAILABLE THROUGH THE ST. JUDE ALUMNUS PROGRAM OFFICE.- RELATED TO A+ TRANSITION TASK FORCE ACTIVITIES, SURVIVORSHIP STAFF HAVE BEEN INVOLVED IN MULTIDISCIPLINARY EFFORTS TO INTRODUCE AND CONSISTENTLY ADDRESS SURVIVORSHIP TRANSITION ISSUES, PARTICULARLY PSYCHOSOCIAL AND REHABILITATION NEEDS, AT EARLIER TIME POINTS AFTER DIAGNOSIS. ONLINE RESOURCES:- PERIODIC BRIEF PUBLICATIONS FEATURE SURVIVOR STORIES AND EDUCATIONAL TOPICS:LONG-TERM FOLLOW-UP NEWSLETTERS AND BRIEFS (AVAILABLE AT HTTPS://LTFU.STJUDE.ORG/) ARE PUBLISHED ON A QUARTERLY BASIS.LIFELINE NEWSLETTERS (AVAILABLE AT HTTPS://WWW.STJUDE.ORG/TREATMENT/SURVIVORSHIP/PARTICIPATE-IN-ST-JUDE-LIFE-STUDY/LIFELINE-NEWSLETTER.HTML) ARE PUBLISHED SEMIANNUALLY.- OTHER SURVIVORSHIP RESOURCES ARE AVAILABLE AT: HTTPS://WWW.STJUDE.ORG/TREATMENT/SURVIVORSHIP/PARTICIPATE-IN-ST-JUDE-LIFE-STUDY/HANDOUTS.HTMLASSESSING LATE EFFECTS OF CANCER THERAPY ON PEDIATRIC CANCER SURVIVORS:- THE AFTER COMPLETION OF THERAPY AND ST. JUDE LIFETIME COHORT CLINICS CONTINUE TO EVALUATE MORE THAN 2000 LONG-TERM (5+ YEAR) SURVIVORS ON AN ANNUAL BASIS FOR COMPLICATIONS RELATED TO THEIR CANCER OR ITS TREATMENT.USING THE INFORMATION TO DEFINE RISK GROUPS FOR VARIOUS LATE EFFECTS AND ASSESS INTERVENTIONS:- ST. JUDE INVESTIGATORS HAVE PUBLISHED SEMINAL RESEARCH CHARACTERIZING TREATMENT-RELATED CARDIOVASCULAR, PULMONARY, ENDOCRINE, NEUROLOGIC, NEUROSENSORY, NEUROCOGNITIVE, AND PSYCHOSOCIAL OUTCOMES AMONG LONG-TERM SURVIVORS THAT HAS BEEN USED TO IDENTIFY SURVIVORS AT HIGH RISK FOR MORBIDITY WHO MAY BE TARGETED FOR PREVENTIVE/REMEDIAL INTERVENTIONS.WILSON CL, CHEMAITILLY W, JONES KE, KASTE SC, SRIVASTAVA DK, OJHA RP, YASUI Y, PUI CH, ROBISON LL, HUDSON MM, NESS KK. MODIFIABLE FACTORS ASSOCIATED WITH AGING PHENOTYPES AMONG ADULT SURVIVORS OF CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA. J CLIN ONCOL. 2016; 34(21):2509-15.BOLAND AM, GIBSON TM, LU L, KASTE SC, DELANY JP, PARTIN RE, LANCTOT JQ, HOWELL CR, NELSON HH, CHEMAITILLY W, PUI CH, ROBISON LL, MULROONEY DA, HUDSON MM, NESS KK. DIETARY PROTEIN INTAKE AND LEAN MASS IN SURVIVORS OF CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA: A REPORT FROM THE ST. JUDE LIFETIME COHORT STUDY. PHYS THER. 2016; 96(7): 1029-38.KRULL KR, CHEUNG YT, LIU W, FELLAH S, REDDICK WE, BRINKMAN TM, KIMBERG C, OGG R, SRIVASTAVA DK, PUI CH, ROBISON LL, HUDSON MM. CHEMOTHERAPY PHARMACODYNAMICS, NEUROIMAGING AND NEUROCOGNITIVE OUTCOMES IN LONG-TERM SURVIVORS OF CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA. J CLIN ONCOL. 2016; 34(22):2644-53.MOGIL RJ, KASTE SC, FERRY RJ, HUDSON MM, HOWELL CR, PARTIN RE, SRIVASTAVA DK, ROBISON LL, NESS KK. EFFECT OF LOW-MAGNITUDE, HIGH-FREQUENCY MECHANICAL STIMULATION ON BMD AMONG YOUNG CHILDHOOD CANCER SURVIVORS: A RANDOMIZED CLINICAL TRIAL. JAMA ONCOL. 2016; 2(7): 908-14.
EHRHARDT MJ, BHAKTA N, LIU Q, YASUI Y, KRASIN MJ, MULROONEY DA, HUDSONMM, ROBISON LL. ABSENCE OF BASAL CELL CARCINOMA IN IRRADIATED CHILDHOOD CANCER SURVIVORS OF BLACK RACE: A REPORT FROM THE ST. JUDE LIFETIME COHORT STUDY. CANCER EPIDEMIOL BIOMARKERS PREV. 2016; 25(9):1356-60.FERNANDEZ-PINEDA I, HUDSON MM, PAPPO AS, BISHOP MW, KLOSKY JL, BRINKMAN TM, SRIVASTAVA DK, NEEL MD, RAO BN, DAVIDOFF AM, KRULL KR, ROBISON LL, NESS KK. LONG-TERM FUNCTIONAL OUTCOMES AND QUALITY OF LIFE IN ADULT SURVIVORS OF CHILDHOOD EXTREMITY SARCOMAS: A REPORT FROM THE ST. JUDE LIFETIME COHORT STUDY. J CANCER SURVIV. 2017;11(1):1-12.GREEN DM, ZHU L, WANG M, NESS KK, KRASIN MJ, BHAKTA NH, MCCARVILLE MB, SRINIVASAN S, STOKES DC, SRIVASTAVA D, OJHA R, SHELTON K, PUI CH, ARMSTRONG GT, MULROONEY DA, METZGER M, SPUNT SL, NAVID F, DAVIDOFF AM, RAO BN, ROBISON LL, HUDSON MM. PULMONARY FUNCTION AFTER TREATMENT FOR CHILDHOOD CANCER: A REPORT FROM THE ST. JUDE LIFETIME COHORT STUDY (SJLIFE). ANN AM THORAC SOC. 2016; 13(9):1575-85.CHEUNG YT, EDELMANN MN, MULROONEY DA, GREEN DM, CHEMAITILLY W, JOHN N, ROBISON LL, HUDSON MM, KRULL KR. URIC ACID AND NEUROCOGNITIVE FUNCTION IN SURVIVORS OF CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA TREATED WITH CHEMOTHERAPY ONLY. CANCER EPIDEMIOL BIOMARKERS PREV. 2016; 25(8):1259-67.CHEUNG YT, SABIN ND, REDDICK WE, BHOJWANI D, LIU W, BRINKMAN TM, GLASS JO, HWANG SN, SRIVASTAVA D, PUI CH, ROBISON LL, HUDSON MM, KRULL KR. LEUKOENCEPHALOPATHY AND LONG-TERM NEUROBEHAVIORAL, NEUROCOGNITIVE AND BRAIN IMAGING OUTCOMES IN SURVIVORS OF CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA TREATED WITH CHEMOTHERAPY: A LONGITUDINAL ANALYSIS. LANCET HAEMATOL. 2016;3(10):E456-E466.ZHANG FF, OJHA RP, KRULL KR, GIBSON TM, LU L, LANCTOT J, CHEMAITILLY W, ROBISON LL, HUDSON MM. ADULT SURVIVORS OF CHILDHOOD CANCER HAVE POOR ADHERENCE TO DIETARY GUIDELINES. J NUTR. 2016;146(12):2497-2505.EHRHARDT MJ, SANDLUND JT, ZHANG N, LIU W, NESS KK, BHAKTA N, CHEMAITILLY W, KRULL KR, BRINKMAN TM, CROM DB, KUN L, KASTE SC, ARMSTRONG GT, GREEN DM, SRIVASTAVA K, ROBISON LL, HUDSON MM, MULROONEY DA. LATE OUTCOMES OF ADULT SURVIVORS OF CHILDHOOD NON-HODGKIN LYMPHOMA: A REPORT FROM THE ST. JUD LIFETIME COHORT STUDY. PEDIATR BLOOD CANCER. 2017 JUN;64(6).CHEUNG YT, CHEMAITILLY W, MULROONEY DA, BRINKMAN TM, LIU W, BANERJEE P, SRIVASTAVA D, PUI CH, ROBISON LL, HUDSON MM, KRULL KR. ASSOCIATION BETWEEN DEHYDROEPIANDROSTERONE-SULFATE AND ATTENTION IN LONG-TERM SURVIVORS OF CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA TREATED WITH ONLY CHEMOTHERAPY. PSYCHONEUROENDOCRINOLOGY. 2017;76:114-118.WILLARD VW, KLOSKY JL, LI C, SRIVASTAVA DK, BRINKMAN TM, ROBISON LL, HUDSON MM, PHIPPS S. THE IMPACT OF CHILDHOOD CANCER: PERCEPTIONS OF ADULT SURVIVORS. CANCER. 2017 MAY 1;123(9):1625-1634.HUDSON MM, EHRHARDT MJ, BHAKTA N, BAASSIRI M, EISSA H, CHEMAITILLY W, GREEN DM, MULROONEY DA, ARMSTRONG GT, BRINKMAN TM, KLOSKY JL, KRULL KR, SABIN ND, WILSON CL, HUANG IC, BASS JK, HALE K, KASTE S, KHAN RB, SRIVASTAVA DK, YASUI Y, JOSHI VM, SRINIVASAN S, STOKES D, HOEHN ME, WILSON M, NESS KK, ROBISON LL. APPROACH FOR CLASSIFICATION AND SEVERITY-GRADING OF LONG-TERM AND LATE-ONSET HEALTH EVENTS AMONG CHILDHOOD CANCER SURVIVORS IN THE ST. JUDE LIFETIME COHORT. CANCER EPIDEMIOL BIOMARKERS PREV. 2017 MAY;26(5):666-674.JIN J, ZHU L, TONG X, NESS KK. T-TYPE CORRECTED-LOSS ESTIMATION FOR ERROR-IN-VARIABLE MODEL. COMMUN STAT THEORY METHODS. 2017;46(2):616-627.CHEMAITILLY W, LI Z, KRASIN MJ, BROOKE RJ, WILSON CL, GREEN DM, KLOSKY JL, BARNES N, CLARK KL, FARR JB, FERNANDEZ-PINEDA I, BISHOP MW, METZGER M, PUI CH, KASTE SC, NESS KK, SRIVASTAVA DK, ROBISON LL, HUDSON MM, YASUI Y, SKLAR CA. PREMATURE OVARIAN INSUFFICIENCY IN CHILDHOOD CANCER SURVIVORS: A REPORT FROM THE ST. JUDE LIFETIME COHORT. J CLIN ENDOCRINOL METAB. MARCH 24, 2017. EPUB AHEAD OF PRINT.GREEN DM, ZHU L, WANG M, CHEMAITILLY W, SRIVASTAVA D, KUTTEH WH, KE RW, RIBEIRO RC, ROBISON LL, HUDSON MM. EFFECT OF CRANIAL IRRADIATION ON SPERM CONCENTRATION OF ADULT SURVIVORS OF CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA. A REPORT FROM THE ST. JUDE LIFETIME COHORT STUDY. HUM REPROD. 2017 JUN 1;32(6):1192-1201.VUOTTO SC, OJHA RP, LI C, KIMBERG C, KLOSKY JL, KRULL KR, SRIVASTAVA DK, ROBISON LL, HUDSON MM, BRINKMAN TM. THE ROLE OF BODY IMAGE DISSATISFACTION IN THE ASSOCIATION BETWEEN TREATMENT-RELATED SCARRING OR DISFIGUREMENT AND PSYCHOLOGICAL DISTRESS IN ADULT SURVIVORS OF CHILDHOOD CANCER. PSYCHOONCOLOGY. 2017 APR 18. EPUB AHEAD OF PRINT.PEDIATRIC HEALTH NEED:COMMUNITY EDUCATIONHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, COMMUNICATIONS & PUBLIC RELATIONS DEPARTMENTANTICIPATED OUTCOME:PROVIDE INFORMATION AND EDUCATION ABOUT HEALTHCARE RESOURCES AND HEALTHCARE CAREERSACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. ST. JUDE PROFESSIONALS WILL PROVIDE INFORMATION AND RESOURCES ABOUT SICKLE CELL DISEASE, HIV, CANCER, FLU, AND OTHER PEDIATRIC LIFE-THREATENING DISEASES.2. INVENTORY EDUCATIONAL OPPORTUNITIES ABOUT HEALTHCARE CAREERS ALREADY AVAILABLE FROM ST. JUDE TO DETERMINE AREAS OF FOCUS.SELECTED ACCOMPLISHMENTS:ST. JUDE PROFESSIONALS PROVIDING INFORMATION AND RESOURCES:- OFFERED RADIO STATION PRODUCERS ST. JUDE PROFESSIONALS WHO CAN PROVIDE LISTENERS WITH DETAILS ABOUT COMMUNITY RESOURCES AVAILABLE FOR LEARNING ABOUT AND BEING TESTED FOR DISORDERS/DISEASES SUCH AS SICKLE CELL TRAIT AND HIV- SICKLE CELL DISEASE - YVONNE CARROLL, LET'S TALK ABOUT IT WITH BOBBIE THOMPSON (PROGRAM NAME), LOK 8/30/16: HTTP://WWW.WLOK.COM/- IN ADDITION, ST. JUDE CONDUCTED MORE THAN 75 30-SECOND EDUCATIONAL SPOTS SEPTEMBER THROUGH DECEMBER 2016. TOPICS INCLUDED: HIV VOICES PROJECT, AIDS SUPPORT, SICKLE CELL STEP, BLOOD DONOR CENTER, CANCER EDUCATION, ST. JUDE SCIENCE AMBASSADORS AND SCIENCE SOUND BITES. AN HPV VACCINATION SPOT IS IN DEVELOPMENT.- "PROMISE" MAGAZINE IS ONE VEHICLE USED BY THE ST. JUDE COMMUNICATIONS AND PUBLIC RELATIONS DEPARTMENT TO EDUCATE THE PUBLIC ABOUT SICKLE CELL DISEASE, HIV, CANCER AND OTHER DISEASES. "PROMISE" IS MAILED TO BETWEEN 200,000 AND 300,000 READERS, WHICH INCLUDE DONORS, EMPLOYEES, PEER INSTITUTIONS, CEOS OF FORTUNE 500 COMPANIES, SELECT MEDIA AND INDIVIDUALS WHO SUBSCRIBE THROUGH OUR ONLINE SUBSCRIPTION FORM. ALL THE ARTICLES APPEAR ONLINE, WHERE THEY HAVE AN EVEN WIDER READERSHIP. AN E-NEWSLETTER VERSION OF "PROMISE" IS ALSO SENT TO NEARLY 10,000 SUBSCRIBERS.A FEW OF THE EDUCATIONAL ARTICLES IN THIS MAGAZINE HAVE INCLUDED: THE SUMMER 2016 "PROMISE" INCLUDED A STORY ON HOW ST. JUDE IS WORKING TO MAKE THE FLU VACCINE MORE EFFECTIVE, AND HOW NUTRITIONAL DEFICITS OF VITAMINS A AND D, ESPECIALLY PREVALENT IN THE MEMPHIS AREA, HAMPER THE VACCINE'S EFFICACY.HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/SUMMER-2016/FIGHTING-FLU-WITH-A-VITAMIN-BOOST.HTMLIN THE SAME ISSUE, WE SPOTLIGHTED A GROUP OF LOCAL YOUTH WHO MEET MONTHLY TO HELP CLINICIANS AND SCIENTISTS NATIONWIDE IMPROVE THE RESEARCH AND TREATMENT OF HIV/AIDS.HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/SUMMER-2016/A-SEAT-AT-THE-TABLE-YOUTH-HELP-HIV-AIDS-RESEARCHERS.HTML THE AUTUMN 2016 ISSUE OF "PROMISE" EXPLAINED HOW ST. JUDE RESEARCHERS ENSURE CODEINE IS GIVEN ONLY TO CHILDREN WITH SICKLE CELL DISEASE WHOSE GENES INDICATE IT'S SAFE AND EFFECTIVE.HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/AUTUMN-2016/WHEN-GENES-POINT-TO-THE-RIGHT-MEDICINE.HTML THE SPRING 2017 ISSUE OF "PROMISE" ALSO HIGHLIGHTED A FREE APP THAT PEOPLE CAN DOWNLOAD TO SCAN PICTURES OF THEIR CHILDREN FOR RETINOBLASTOMA, A COMMON CHILDHOOD EYE CANCER.HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/SPRING-2017/SAVING-EYES-AND-LIVES-WORLDWIDE.HTML- ST. JUDE HAS A PRESENCE ON SOCIAL MEDIA AS @STJUDERESEARCH ACROSS EIGHT PLATFORMS WITH A TOTAL OF ALMOST 35,000 FOLLOWERS. THE GOAL FOR SOCIAL MEDIA IS TO INCREASE THE RECOGNITION AND UNDERSTANDING OF ST. JUDE SCIENCE, MEDICINE AND TRANSLATIONAL RESEARCH BY HIGHLIGHTING SCIENTIFIC AND MEDICAL STUDIES, SUCCESSES, PROJECTS AND PROGRAMS. THE PLATFORMS ALSO FEATURE CAREER OPPORTUNITIES FOR RESEARCH AND CLINICAL CARE STAFF. THE AUDIENCE IS CURRENT AND POTENTIAL PHYSICIANS, SCIENTISTS, CLINICIANS, POSTDOCS, REFERRING PHYSICIANS, PATIENTS AND THEIR FAMILIES. WITHIN THE LAST YEAR, FEATURED TOPICS HAVE RANGED FROM CHILDHOOD CANCER FACTS TO PALLIATIVE CARE AWARENESS TO OPENINGS FOR SPECIALTY CANCER CLINICS.
EDUCATIONAL OPPORTUNITIES ABOUT HEALTHCARE CAREERS:- THE SUMMER 2016 EDITION OF PROMISE INCLUDED INFORMATION ABOUT THE ST. JUDE GRADUATE SCHOOL OF BIOMEDICAL SCIENCES, THE FIRST DEGREE-GRANTING PROGRAM EVER ESTABLISHED ON THE CAMPUS OF ST. JUDE CHILDREN'S RESEARCH HOSPITAL.HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/SUMMER-2016/NEXT-GENERATION-EDUCATION-THE-ST-JUDE-GRADUATE-SCHOOL.HTML- THE SPRING 2017 ISSUE OF PROMISE SHOWED HOW ST. JUDE DISPELS COMMON HEALTH CARE MYTHS FOR LOCAL SCHOOL CHILDREN AND MAKES SCIENCE COME TO LIFE FOR STUDENTS AND TEACHERS IN LOCAL CLASSROOMS. HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/STORIES/PROMISE-MAGAZINE/SPRING-2017/BRINGING-SCIENCE-INTO-THE-CLASSROOM.HTML- APPROXIMATELY 150 LOCAL HIGH SCHOOL STUDENTS AND TEACHERS VISITED ST. JUDE IN MARCH 2017 FOR THE SECOND ANNUAL SCIENCE SCHOLARS OF TOMORROW SYMPOSIUM. THE DAY-LONG EVENT FEATURED SCIENTIFIC PRESENTATIONS AND TOURS OF LABORATORIES, CLINICS AND CORE FACILITIES, ENABLING STUDENTS TO INTERACT WITH SCIENTISTS AND CLINICIANS.PEDIATRIC HEALTH NEED:ST. JUDE AFFILIATE NETWORKHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, AFFILIATE PROGRAM OFFICEANTICIPATED OUTCOME:THE ST. JUDE AFFILIATE NETWORK SHOULD BE MAINTAINED TO EXPAND OPPORTUNITIES FOR SERVICES TO A LARGER NUMBER OF CHILDREN.ACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. EVALUATE OPPORTUNITIES TO EXPAND TO ADDITIONAL LOCATIONS.2. ENHANCE OPERATIONS AND INCREASE PATIENT VISITS AT ALL CLINICS.SELECTED ACCOMPLISHMENTS:- THERE ARE NO CURRENT PLANS TO OPEN NEW AFFILIATE LOCATIONS.- NEW CANCER PATIENTS REFERRED TO ST. JUDE FROM THE AFFILIATES HAS INCREASED EACH YEAR:FY15 104FY16 144 + 38%FY17 166 + 15%- THE SICKLE CELL CLINICAL RESEARCH AND INTERVENTION PROGRAM HAS BEEN OPENED AT THE BATON ROUGE, CHARLOTTE AND PEORIA AFFILIATES ENABLING PATIENTS TO BENEFIT FROM THE PROTOCOL WHILE STAYING IN THEIR HOME COMMUNITIES.- THE NUMBER OF PATIENTS ENROLLED IN ST. JUDE PRIMARY THERAPEUTIC PROTOCOLS FROM THE AFFILIATE CLINICS HAS INCREASED EACH YEAR:FY15 62 FY16 69 +11%FY17 106 +54%AIM #2 ENHANCING COORDINATION OF CAREPEDIATRIC HEALTH NEED:PHYSICIAN COORDINATION OF CAREHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITALST. JUDE AFFILIATE INSTITUTIONSALL DOMESTIC AND INTERNATIONAL REFERRING CLINICIANS AND CENTERSANTICIPATED OUTCOME:IMPROVE CONTINUITY OF CARE BY ENHANCING COMMUNICATION TOOLS AND EFFORTS TO PROVIDE PHYSICIANS WITH UNPARALLELED ACCESS TO PATIENT INFORMATIONACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. CONTINUE TO IMPROVE THE CLINICIAN PORTAL TO PERMIT REFERRING AND AFFILIATED PHYSICIANS' CONVENIENT ACCESS TO PATIENT INFORMATION, IN ACCORDANCE WITH APPLICABLE LAW.SELECTED ACCOMPLISHMENTS:- CLINICIAN PORTAL WORK IS ONGOING. EXTERNAL PHYSICIAN TESTING HAS BEEN COMPLETED AND FEEDBACK HAS BEEN RECEIVED. - IN A LIMITED SCOPE, ST. JUDE PROVIDERS NOW HAVE THE ABILITY VIA DIRECT EMAIL (ENCRYPTED PROVIDER DIRECTORY DEVELOPED FOR SECURE DATA EXCHANGE) TO SEND AN ELECTRONIC SUMMARY OF CARE, ALONG WITH OTHER DOCUMENTS AS ATTACHMENTS, TO OUTSIDE PHYSICIANS TO WHOM WE ARE REFERRING OUR PATIENTS. WE WILL ALSO BE ABLE TO RECEIVE AN ELECTRONIC TRANSITION OF CARE DOCUMENT FROM OUTSIDE PROVIDERS AND AFFILIATES WHO ARE REFERRING A PATIENT TO ST. JUDE. THIS WILL BE ROLLING OUT IN A LIMITED AVAILABILITY THROUGH THE END OF THE YEAR SINCE IT REQUIRES OUTSIDE PROVIDERS TO HAVE A SPECIAL SECURE CONNECTION. - PROVIDERS IN THE AFFILIATE PROGRAM NOW HAVE ACCESS TO THEIR PATIENTS' ST. JUDE ELECTRONIC MEDICAL RECORD. PEDIATRIC HEALTH NEED:TRANSITION OF PATIENTS FROM PEDIATRIC TO ADULT HEALTHCARE SERVICESHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, DEPARTMENT OF HEMATOLOGY, CLINICAL HEMATOLOGY DIVISIONDIGGS-KRAUS SICKLE CELL CENTER AT REGIONAL ONE HEALTHMETHODIST HEALTHCARE COMPREHENSIVE SICKLE CELL CENTER (MCSCC)ANTICIPATED OUTCOME:INCREASE THE NUMBER OF PATIENTS WITH SICKLE CELL DISEASE WHO ESTABLISH SUSTAINED ADULT CARE AFTER LEAVING PEDIATRIC CARE AT ST. JUDEACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. CONTINUE TO WORK WITH ADULT SICKLE CELL CENTERS IN THE COMMUNITY TO ENHANCE A SEAMLESS TRANSITION FROM PEDIATRIC CARE.2. ENHANCE ADOLESCENT AND YOUNG ADULTS (AYA) TRANSITION CLINICS WITH CO-LOCATION OF PEDIATRIC AND ADULT HEMATOLOGY PROVIDERS.3. AUGMENT FORMAL PROGRAMMING AND PLANNING PROCESSES FOR ADOLESCENTS WITH HEMATOLOGIC AND ONCOLOGIC DISEASES, THROUGH DEVELOPMENT OF DISEASE EDUCATIONAL CURRICULUM AND TRAINING MODULES TO FOSTER INCREASED ADOLESCENT AUTONOMY AND MEDICAL LITERACY.SELECTED ACCOMPLISHMENTS:- WE CONTINUE TO OFFER THE TRANSITION TOUR QUARTERLY TO THE TWO ADULT CENTERS. WE ALSO CONTINUE TO PROVIDE CONTINUED COMMUNICATIONS WITH ADULT PROVIDERS TO OFFER PATIENT TRANSFER DATA TO AVOID INTERRUPTION IN CARE PLAN. WE ALSO HAVE PROVIDED TRAINING FOR METHODIST ADULT PROVIDER (NURSE PRACTITIONER) AT ST. JUDE TO ENSURE CONSISTENCY IN CARE PRACTICE.- IMPROVED COMMUNICATION BETWEEN EMERGENCY ROOM DOCTORS/STAFF AND DOCTORS/STAFF IN THE ADULT SICKLE CELL CENTER. CONTINUED TO HAVE OVERLAP IN PEDIATRIC AND ADULT CARE ON TWO LEVELS: PHYSICIAN (PEDIATRIC HEMATOLOGIST) AND CARE COORDINATION (TRANSITION NURSE CASE MANAGER) WHO WORK WITH BOTH THE PEDIATRIC AND ADULT SICKLE CELL POPULATION.- MANY INITIATIVES HAVE BEEN IMPLEMENTED TO ENHANCE TRANSITION:TRANSITION READINESS PROGRAMTRANSITION TOUR PROGRAMSKILLS LAB: YOUNG ADULTS ARE TAUGHT HOW TO ACCESS INSURANCE BENEFITS, HOW TO ORDER MEDICATION REFILLS, AND HOW TO SCHEDULE DOCTOR'S APPOINTMENT BY WAY OF ROLE PLAY.AIM #3 IMPROVING CHILD HEALTH STATUS THROUGH HEALTHY LIFESTYLE EDUCATION AND PREVENTION FOR CHILDRENPEDIATRIC HEALTH NEED:CHILD KNOWLEDGE OF CANCER PREVENTION, NUTRITION, OBESITY, AND PHYSICAL ACTIVITYHEALTH FACILITIES INVOLVED:ST. JUDE CHILDREN'S RESEARCH HOSPITAL, GLOBAL PEDIATRIC MEDICINEANTICIPATED OUTCOME:INCREASE THE NUMBER OF STUDENTS AND TEACHERS PARTICIPATING IN ST. JUDE CANCER AND HEALTHY LIVING EDUCATION PROGRAM INCREASE THE KNOWLEDGE THAT CHILDREN HAVE ON CANCER AND HEALTHY LIVING TOPICS (NUTRITION, EXERCISE, SUN PROTECTION, AVOIDING TOBACCO)WITH PRE AND POST QUIZZES IMPROVE ATTITUDES OF CHILDREN TOWARD HEALTHY LIVING PRACTICES (AVOIDING SMOKING, BETTER NUTRITION HABITS, MORE EXERCISE, AVOIDING EXCESSIVE SUN) USING SURVEY INSTRUMENTSACTION ITEMS TO MEET IDENTIFIED HEALTH NEED:1. EVALUATE THE EFFECTIVENESS OF THE ST. JUDE CANCER EDUCATION FOR CHILDREN CURRICULUM AT INCREASING CHILDREN'S KNOWLEDGE OF CANCER AND HEALTHY LIVING TOPICS (NUTRITION, EXERCISE, SUN PROTECTION, AVOIDING TOBACCO). 2. EVALUATE THE EFFECTIVENESS OF THE ST. JUDE CANCER EDUCATION FOR CHILDREN CURRICULUM AT IMPROVING CHILDREN'S ATTITUDES TOWARDS HEALTHY LIVING PRACTICES (AVOIDING SMOKING, BETTER NUTRITION HABITS, MORE EXERCISE, AVOIDING EXCESSIVE SUN). 3. PARTNER WITH LOCAL EDUCATION AGENCIES TO DISSEMINATE CANCER AND HEALTHY LIVING EDUCATIONAL PROGRAMS. 4. EVALUATE THE EFFECTIVENESS OF THE ST. JUDE CANCER EDUCATION FOR CHILDREN CURRICULUM AT IMPROVING CHILDREN'S ATTITUDES TOWARDS HEALTHY LIVING PRACTICES (AVOIDING SMOKING, BETTER NUTRITION HABITS, MORE EXERCISE, AVOIDING EXCESSIVE SUN). 5. PARTNER WITH LOCAL EDUCATION AGENCIES TO DISSEMINATE CANCER AND HEALTHY LIVING EDUCATIONAL PROGRAMS. SELECTED ACCOMPLISHMENTS:- THE ST. JUDE CANCER EDUCATION FOR CHILDREN PROGRAM DEVELOPED AN ELEMENTARY CURRICULUM FOR STUDENTS IN GRADES 3-5 THAT USES EDUCATION AND POSITIVE REINFORCEMENT TO HELP PROMOTE HEALTHY LIFESTYLE CHOICES AND TO REDUCE A CHILD'S LIFETIME RISK OF DEVELOPING CANCER. IT SPECIFICALLY ADDRESSES OBESITY, NUTRITION, SMOKING, AND SUN EXPOSURE, IMPORTANT ISSUES IN PROMOTING CHILDHOOD HEALTH AND PRIMARY CANCER PREVENTION. A FORMAL EVALUATION OF THE CURRICULUM TO DETERMINE THE IMPACT OF THE CURRICULUM ON STUDENT ATTITUDES TOWARDS HEALTHY LIVING TOPICS WAS CONDUCTED. THESE RESULTS WILL BE AVAILABLE IN FY18.THE FOLLOWING PUBLICATIONS RESULTED FROM THIS EVALUATION:AYERS, K., VILLALOBOS, A., LI, Z., KRASIN, M. (2014). THE ST. JUDE CANCER EDUCATION FOR CHILDREN PROGRAM PILOT STUDY: DETERMINING THE KNOWLEDGE ACQUISITION AND RETENTION OF 4TH-GRADE STUDENTS. JOURNAL OF CANCER EDUCATION.AYERS, K., VILLALOBOS, A., LI, Z., QUINTANA, Y., KLOSKY, J. (2016). THE ST. JUDE CANCER EDUCATION FOR CHILDREN PROGRAM: THE IMPACT OF A TEACHER-LED INTERVENTION ON STUDENT KNOWLEDGE GAINS. JOURNAL OF CANCER EDUCATION.
- DURING THE 2016-2017 SCHOOL YEAR, THE SCHOOL OUTREACH TEAM WORKED WITH 21SCHOOLS AND LOCAL LIBRARIES IN THE MEMPHIS AREA TO DELIVER CANCER AND HEALTHY LIVING EDUCATIONAL PROGRAMS TO OVER 2451 K-12 STUDENTS. THROUGH THESE PARTNERSHIPS, THE SCHOOL OUTREACH TEAM WAS ABLE TO INCREASE THE NUMBER OF STUDENTS AND TEACHERS WHO HAVE PARTICIPATE IN THE ST. JUDE CANCER EDUCATION FOR CHILDREN PROGRAM (TABLE 1).TABLE 1: THE NUMBER OF TEACHERS AND STUDENTS WHO PARTICIPATED IN EDUCATIONAL PROGRAMSSCHOOL YEAR NUMBER OF TEACHERS NUMBER OF STUDENTS 2012-2013 65 1,0142013-2014 143 9902014-2015 245 1622015-2016 115 1,7612016-2017 131 2,451IN ADDITION, THE SCHOOL OUTREACH TEAM PARTNERED WITH THE SHELBY COUNTY SCHOOLS' SUPERINTENDENT'S SUMMER LEARNING ACADEMY TO PROVIDE CANCER EDUCATION TO 1781 STUDENTS AT 12 SCHOOLS IN THE MEMPHIS AREA DURING THE 2017 SUMMER MONTHS.
ST. JUDE CHILDREN'S RESEARCH HOSPITAL:PART V, SECTION B, LINE 7A: THE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/FINANCIALS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.HTMLST. JUDE CHILDREN'S RESEARCH HOSPITAL:PART V, SECTION B, LINE 10A: THE HOSPTIAL FACILITY'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.STJUDE.ORG/ABOUT-ST-JUDE/FINANCIALS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.HTMLST. JUDE CHILDREN'S RESEARCH HOSPITAL:PART V, SECTION B, LINE 14: ST. JUDE CURRENTLY DOES NOT BILL NOR PURSUE PAYMENT FOR ANY ST. JUDE PATIENT; THEREFORE, ST. JUDE DOES NOT HAVE A BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS.ST. JUDE CHILDREN'S RESEARCH HOSPITAL:PART V, SECTION B, LINE 16A: THE FAP WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-POLICY.HTMLST. JUDE CHILDREN'S RESEARCH HOSPITAL:PART V, SECTION B, LINE 16B: BASED ON THE FINANCIAL ASSISTANCE STATEMENT (HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-STATEMENT.HTML) AND FINANCIAL ASSISTANCE POLICY (HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-POLICY.HTML), ST. JUDE DOES NOT HAVE AN APPLICATION FORM.ST. JUDE CHILDREN'S RESEARCH HOSPITAL:PART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-STATEMENT.HTML

Supplemental Information Detail SupplementalInformationDetail (14 entries)

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PART I, LINE 3C:NO FAMILY EVER PAYS ST. JUDE FOR TREATMENT. WE DO NOT NEED TO DETERMINE ELIGIBILITY FOR THIS ASSISTANCE. BY DEFAULT, ALL PATIENTS ARE ELIGIBLE TO RECEIVE MEDICAL CARE AND SUPPORT SERVICES AT NO COST. ALL PATIENTS ACCEPTED FOR ST. JUDE TREATMENT RECEIVE CARE WHETHER OR NOT THEY OR THEIR FAMILIES CAN PAY FOR IT. ST. JUDE DOES HAVE A BILLING SYSTEM, BUT PATIENTS DO NOT RECEIVE BILLS. IF THE PATIENT HAS INSURANCE, ST. JUDE BILLS THE INSURANCE PLAN OR OTHER ORGANIZATION THAT PAYS HEALTH COSTS. BILLING INSURANCE FOR THE COSTS THAT WOULD BE DUE AT ANY OTHER HOSPITAL ALLOWS ST. JUDE TO CONTINUE DOING SOME OF THE MOST ADVANCED RESEARCH IN THE WORLD. IT ALSO ALLOWS ST. JUDE TO PAY FOR TREATMENTS, COPAYMENTS, DEDUCTIBLES, COINSURANCE, AND ANY OTHER COSTS INSURANCE DOES NOT COVER. TO ENSURE FAMILIES ARE MAKING USE OF ALL RESOURCES FOR WHICH THEY ARE ELIGIBLE, WE HAVE PROGRAMS TO ASSIST FAMILIES IN ENROLLING IN VARIOUS PUBLIC ASSISTANCE PROGRAMS FOR WHICH THEY MAY QUALIFY, INCLUDING BUT NOT LIMITED TO TENNCARE/MEDICAID, COVERKIDS, CHIPS AND SOCIAL SECURITY. DOING SO ENSURES AN APPROPRIATE SAFETY NET SHOULD THE FAMILY SEEK TREATMENT OUTSIDE OF ST. JUDE AND IT ALLOWS US TO BE GOOD STEWARDS OF DONOR DOLLARS. WE ALSO CONTRACT WITH A VENDOR TO PROVIDE CERTIFIED APPLICATION COUNSELOR SERVICES TO ASSIST FAMILIES APPLYING FOR HEALTH INSURANCE COVERAGE THROUGH FEDERAL OR STATE FACILITATED MARKETPLACE.
PART I, LINE 7:COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. COST-TO-CHARGE RATIO USED FOR LINE 7A FINANCIAL ASSISTANCE AT COST, LINE 7B MEDICAID, AND LINE 7C COSTS OF OTHER MEANS-TESTED GOVERNMENT PROGRAMS.SOME CHIPS VOLUME IS INCLUDED IN MEDICAID IN PART I, LINE 7B BECAUSE IN MANY STATES THE CHIPS PROGRAMS ARE MANAGED BY THE SAME THIRD PARTY ADMINISTRATORS, AND IT IS DIFFICULT TO DISTINGUISH BETWEEN CHIPS AND MEDICAID COVERAGE.
PART I, LINE 7G:ST. JUDE CHILDREN'S RESEARCH HOSPITAL INCLUDED AS SUBSIDIZED HEALTH SERVICES SUPPORT FOR EIGHT AFFILIATE CLINICS TOTALING APPROXIMATELY $8.9 MILLION.
PART II, COMMUNITY BUILDING ACTIVITIES:THE ST. JUDE CHILDREN'S RESEARCH HOSPITAL CEO IS A MEMBER OF MEMPHIS TOMORROW. MEMPHIS TOMORROW IS AN ASSOCIATION OF CHIEF EXECUTIVE OFFICERS OF MEMPHIS' LARGEST ENTERPRISES. THE PURPOSE IS TO BRING TOP BUSINESS LEADERS TOGETHER WITH GOVERNMENT AND CIVIC LEADERS TO FOSTER ECONOMIC PROSPERITY FOR ALL WHO LIVE IN OUR COMMUNITY. THEIR INITIATIVES ARE FOCUSED IN THOSE AREAS WHICH DIRECTLY IMPACT ECONOMIC GROWTH AND OPPORTUNITY, INCLUDING: HUMAN CAPITAL DEVELOPMENT, INDUSTRY DEVELOPMENT, AND PUBLIC SAFETY. ST. JUDE ALSO PARTICIPATES WITH MEMPHIS FAST FORWARD WHOSE STRATEGIES ARE BASED ON THE COMMON SENSE PREMISE THAT ECONOMIC GROWTH AND PROSPERITY, AND IMPROVED QUALITY OF LIFE, WILL FOLLOW ONCE MEMPHIS AND SHELBY COUNTY SUCCESSFULLY ADDRESS THE BASICS: GOOD JOBS, QUALITY EDUCATION, SAFE STREETS AND EFFICIENT GOVERNMENT. ST. JUDE IS A MEMBER OF THE ASPIRING FOR PURCHASING EXCELLENCE (APEX) ASSOCIATION OF MEMPHIS. APEX IS AN ASSOCIATION OF PURCHASING AND PROCUREMENT PROFESSIONALS FROM MEMPHIS ORGANIZATIONS WHOSE PURPOSE IS TO PROMOTE BEST PRACTICES IN SUPPLIER DIVERSITY. ADDITIONALLY, ST. JUDE IS SILVER SPONSOR FOR THE MID-SOUTH MINORITY BUSINESS COUNCIL (MMBC) ECONOMIC DEVELOPMENT FAIR. THE MMBC SERVES AS THE MID-SOUTH'S FOREMOST MINORITY BUSINESS DEVELOPMENT ORGANIZATION. THE MMBC HELPS TO DEVELOP A STRONG MINORITY AND WOMEN BUSINESS COMMUNITY IN AN EFFORT TO IMPACT ECONOMICALLY THE ENTIRE MID-SOUTH REGION. THE ST. JUDE OFFICE OF GOVERNMENT AFFAIRS DIRECTOR CONTINUES TO SERVE ON THE BOARD OF DIRECTORS OF THE RIVERFRONT DEVELOPMENT CORPORATION (RDC). THE RDC MANAGES ALL THE PARKS ALONG A 5-MILE STRETCH OF THE MEMPHIS RIVERFRONT INCLUDING ALONG DOWNTOWN MEMPHIS AND MUD ISLAND RIVER PARK. ELEMENTS ALONG THE RIVER FOSTER HEALTHY LIFESTYLES INCLUDING RIVERFIT, A SERIES OF PHYSICAL FITNESS CHALLENGES, AND A PLAYGROUND DESIGNED SPECIFICALLY FOR CHILDREN AT BEALE ST. LANDING, THE ONLY CHILD-DESIGNATED PLAYGROUND ON THE MEMPHIS RIVERFRONT. THE RDC IS ALSO WORKING WITH THE CITY OF MEMPHIS TO IMPLEMENT A SERIES OF IMPROVEMENTS DESIGNED TO TIE THE RIVERFRONT CLOSER TO WORKERS AND RESIDENTS OF DOWNTOWN MEMPHIS TO MAKE ACCESS TO RIVERFRONT AMENITIES EASIER FOR ALL CITIZENS OF MEMPHIS AND TOURISTS VISITING THE CITY.THE PEDIATRIC ONCOLOGY EDUCATION PROGRAM BRINGS FIFTY TO SIXTY STUDENTS EACH SUMMER FOR INTERNSHIPS IN BASIC SCIENCE OR CLINICAL RESEARCH. ADDITIONALLY, EXPERIENTIAL LEARNING INTERNSHIPS ARE STRUCTURED BY AND MANAGED BY ACADEMIC PROGRAMS IN MANY AREAS FROM SCIENCE TO ACCOUNTING. THERE ARE ANOTHER 150 STUDENTS INVOLVED IN THESE INTERNSHIPS. THESE PROGRAMS SUPPORT INCREASING THE AWARENESS OF CAREERS IN RESEARCH SCIENCE, HEALTHCARE, OR HEALTHCARE MANAGEMENT AND CONTRIBUTE TO PREPARING STUDENTS TO ENTER THESE CAREERS. THE CLINICAL EDUCATION AND TRAINING OFFICE HOSTS THIRTY TO FORTY STUDENTS ANNUALLY AS PATIENT CARE OBSERVERS. THESE STUDENTS ARE AT DIFFERENT STAGES OF TRAINING FROM UNDERGRADUATE COLLEGE OR PROFESSIONAL HEALTHCARE SCHOOLS INCLUDING MEDICAL SCHOOLS. THE OBSERVERS ARE DECIDING ON OR CONFIRMING CAREER HEALTHCARE DECISIONS.THE VOLUNTEER SERVICES DEPARTMENT PROVIDES SUMMER PROGRAMS FOR HIGH SCHOOL AND COLLEGE STUDENTS THAT DRIVE ENTRY INTO HEALTH CAREERS.THE OFFICE OF LEGAL SERVICES OFFERS LEGAL INTERNSHIPS TO LOCAL (UNIVERSITY OF MEMPHIS, OLE MISS) LAW STUDENTS DURING THE ACADEMIC YEAR AND TO NATIONAL LAW SCHOOLS DURING THE SUMMER. INTERNS PERFORM LEGAL RESEARCH; DRAFT MEMORANDA, LETTERS, AND OTHER DOCUMENTS; DRAFT AND REVIEW CONTRACTUAL AGREEMENTS; PREPARE PRESENTATIONS TO ST. JUDE PERSONNEL; AND ASSIST WITH IDENTIFYING LEGAL FRAMEWORK FOR POLICIES. INTERNS ALSO LEARN THROUGH OBSERVATION OF AND PARTICIPATION IN DAY-TO-DAY LAW PRACTICE ACTIVITIES, INCLUDING LEGAL PROCEEDINGS, NEGOTIATIONS, MEETINGS, TRAININGS, AND COUNSELING SESSIONS. WHEN POSSIBLE, INTERNS WORK WITH CLIENT DEPARTMENTS AND DEPARTMENTAL STAFF TO GATHER INFORMATION AND TO GAIN INSIGHT INTO AND UNDERSTANDING OF RESEARCH, CLINICAL, BUSINESS, AND HEALTH CARE OPERATIONS.THE CHIEF LEGAL OFFICER PARTICIPATES ON COMMITTEES OF THE MEMPHIS CHILD ADVOCACY CENTER, WHICH HELPS LOCAL CHILDREN FIND SAFETY AND HEALING (INCLUDING ACCESS TO A MENTAL HEALTH PROFESSIONAL) AFTER A REPORT OF SEXUAL OR OTHER SEVERE ABUSE, AND OFFERS ABUSE PREVENTION TRAINING TO COMMUNITY VOLUNTEERS AND PARENTS.THE CHIEF LEGAL OFFICER SERVES AS CHAIR OF THE ADVISORY BOARD OF THE INSTITUTE FOR HEALTH LAW & POLICY OF THE CECIL C. HUMPHREYS UNIVERSITY OF MEMPHIS SCHOOL OF LAW, WHICH ENDEAVORS TO ADDRESS UNMET HEALTH LAW NEEDS OF THE LOCAL COMMUNITY AND WORK WITH COMMUNITY LEADERS TO PROACTIVELY ADDRESS HEALTH POLICY NEEDS.THE SENIOR ASSOCIATE COUNSEL IS THE MEMPHIS BAR ASSOCIATION HEALTH LAW SECTION'S ELECTED REPRESENTATIVE TO THE BOARD OF THE MEMPHIS BAR ASSOCIATION. THE CHIEF LEGAL OFFICER CHAIRS THE COMMUNITY AFFAIRS COMMITTEE OF THAT SECTION AND THE ASSOCIATE COUNSEL IS AN ACTIVE MEMBER OF THE COMMITTEE, WHICH ANNUALLY SPONSORS A SATURDAY LEGAL CLINIC PROVIDING UNREPRESENTED MEMBERS OF THE COMMUNITY AN OPPORTUNITY TO MEET WITH A VOLUNTEER ATTORNEY AND DISCUSS LEGAL ISSUES, INCLUDING THOSE THAT HAVE AN IMPACT ON PERSONAL HEALTH.THE MANAGER OF THE CANCER EDUCATION PROGRAM IN THE DEPARTMENT OF GLOBAL PEDIATRIC MEDICINE (GPM) DEDICATES 80% OF HER TIME TO CANCER EDUCATION OUTREACH, INCLUDING ACTIVITIES SUCH AS K-12 CURRICULUM DEVELOPMENT, SCHOOL VISITS FOR CANCER AND HEALTHY LIVING EDUCATION, CAREER TALKS, TEACHER TRAINING WORKSHOPS AND PUBLIC-ACCESS WEBSITE DEVELOPMENT.
PART III, LINE 2:BAD DEBT EXPENSE IS EQUAL TO CHARGES ON ACCOUNTS DETERMINED TO BE UNCOLLECTIBLE. SEE NARRATIVE FOR PART 1, LINE 3C REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:BAD DEBT EXPENSE EXPLANATION IN FINANCIAL STATEMENTS FOOTNOTES IS AS FOLLOWS:NET PATIENT SERVICE REVENUES AND RECEIVABLES. NO FAMILY EVER PAYS THE HOSPITAL FOR THE CARE THEIR CHILD RECEIVES. ACCORDINGLY, NET PATIENT SERVICE REVENUE CONSISTS ONLY OF ESTIMATED NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS (IF NECESSARY) DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. PATIENT SERVICE REVENUE HAS BEEN REDUCED BY ADJUSTMENTS FOR UNCOLLECTIBLE ACCOUNTS TOTALING APPROXIMATELY $512,000 AND $1,629,000 IN 2017 AND 2016, RESPECTIVELY.ST. JUDE CHILDREN'S RESEARCH HOSPITAL DOES NOT CONSIDER BED DEBT EXPENSE A COMMUNITY BENEFIT.
PART III, LINE 8:ST. JUDE CHILDREN'S RESEARCH HOSPITAL DOES NOT CONSIDER THE MEDICARE SHORTFALL A COMMUNITY BENEFIT. THE COST TO CHARGE RATIO WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE.
PART III, LINE 9B:ALL PATIENTS ACCEPTED FOR ST. JUDE TREATMENT RECEIVE CARE WHETHER OR NOT THEY OR THEIR FAMILIES CAN PAY FOR IT. ST. JUDE DOES HAVE A BILLING SYSTEM, BUT PATIENTS DO NOT RECEIVE BILLS. IF THE PATIENT HAS INSURANCE, ST. JUDE BILLS THE INSURANCE PLAN OR OTHER ORGANIZATION THAT PAYS HEALTH COSTS. THIS IS SET FORTH IN OUR FINANCIAL ASSISTANCE STATEMENT (HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-STATEMENT.HTML) AND FINANCIAL ASSISTANCE POLICY (HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-POLICY.HTML).
PART VI, LINE 2:ST. JUDE'S PRIMARY CLINICAL EFFORT CENTERS ON PROVIDING GROUND-BREAKING, RESEARCH-DRIVEN TREATMENTS FOR CHILDHOOD CANCERS AND OTHER CATASTROPHIC DISEASES IN CHILDREN. CANCERCHILDHOOD CANCERS ARE RARE. ONLY 10,270 NEW CASES ARE EXPECTED TO OCCUR AMONG CHILDREN 14 YEARS OF AGE AND YOUNGER IN 2017; HOWEVER, CANCER IS THE LEADING CAUSE OF DISEASE RELATED DEATH IN U.S. CHILDREN (FOOTNOTE 1). THE PRINCIPLE FOCUS OF ST. JUDE CHILDREN'S RESEARCH HOSPITAL IS CANCER. SEVENTY-FIVE PERCENT OF ALL RESOURCES AT ST. JUDE ARE INVESTED IN ELUCIDATING BASIC BIOLOGICAL MECHANISMS OF PEDIATRIC CANCERS, AND TRANSLATING THIS KNOWLEDGE INTO IMPROVED DIAGNOSTIC TOOLS AND CURATIVE THERAPIES, WHILE MINIMIZING LONG-TERM SIDE EFFECTS. SIXTY-SIX PERCENT OF OUR CANCER PATIENTS RESIDE IN THE ST. JUDE CATCHMENT AREA WHICH INCLUDES A 180-MILE RADIUS AROUND ST. JUDE LOCATED IN MEMPHIS, TN AND A 100-MILE RADIUS AROUND EACH OF OUR EIGHT AFFILIATES. THESE EIGHT AFFILIATES ARE LOCATED IN HUNTSVILLE, AL, CHARLOTTE, NC, JOHNSON CITY, TN, BATON ROUGE, LA, SHREVEPORT, LA, TULSA, OK, SPRINGFIELD IL, AND PEORIA, IL. ALL PATIENTS IN OUR CATCHMENT AREA ARE ACCEPTED TO ST. JUDE FOR TREATMENT OF THEIR CANCER REGARDLESS OF WHETHER AN APPROPRIATE CLINICAL TRIAL IS OPEN. THE DISTRIBUTION OF ST. JUDE CANCER CASES IN RELATION TO RACE, ETHNICITY, AND GENDER IS CONSISTENTLY ALIGNED WITH THE GENERAL DEMOGRAPHICS OF THE CATCHMENT AREA (BASED ON 2010 DATA FROM THE US CENSUS BUREAU) AND WITH THE CANCER SPECIFIC DEMOGRAPHICS (BASED ON SURVEILLANCE EPIDEMIOLOGY AND END RESULTS (SEER) 2009 DATA). FOR EXAMPLE, ESTIMATES FROM THE 2009 SEER DATA SUGGEST THAT WHITES COMPRISE 80%, BLACKS 18% AND HISPANICS 8% OF THE PEDIATRIC CANCER CASES IN THE CATCHMENT AREA. IN COMPARISON, 73%, 18%, AND 14.5%, RESPECTIVELY, OF WHITES, BLACKS AND HISPANICS CONSTITUTE OUR CANCER PATIENT POPULATION (FOOTNOTE 2). (NOT EQUAL TO 100% SINCE SUMMARIZES RACE AND ETHNICITY.) DEMOGRAPHICS FROM THE ST. JUDE PEDIATRIC CANCER COHORT ARE COMPARED WITH THE DEMOGRAPHICS OF THE CATCHMENT AREA ANNUALLY TO MONITOR DEMOGRAPHIC REPRESENTATION OF OUR CANCER PATIENTS IN RELATION TO THE AREA THAT WE SERVE. ALSO MONITORED ANNUALLY IS THE DISTRIBUTION OF SPECIFIC CANCERS IN THE CATCHMENT AREA AND COMPARED WITH THE ST. JUDE CANCER POPULATION.OUR RESEARCH AND CLINICAL TRIALS ARE INFORMED BY THE CHILDREN TREATED AT ST. JUDE AND OUR AFFILIATE CLINICS. ST. JUDE OFFERS THERAPEUTIC TRIALS FOR A VARIETY OF CANCERS INCLUDING CENTRAL NERVOUS SYSTEM (CNS) TUMORS, NON-CNS SOLID TUMORS, AND LEUKEMIA/LYMPHOMA. MANY OF THESE TRIALS ARE INSTITUTIONALLY SPONSORED; HOWEVER, ST. JUDE ALSO PARTICIPATES IN A NUMBER OF CLINICAL TRIALS CONSORTIA PROVIDING OUR CANCER PATIENTS ACCESS TO A VARIETY OF THERAPEUTIC STUDIES. PEDIATRIC CANCER PATIENTS MAY EXPERIENCE TREATMENT-RELATED SIDE EFFECTS MANY YEARS AFTER DIAGNOSIS. THE CHILDHOOD CANCER SURVIVOR STUDY AND ST. JUDE LIFE ARE TWO STUDIES, ACTIVE AT ST. JUDE, ASSESSING LATE EFFECTS OF CANCER THERAPY ON PEDIATRIC CANCER SURVIVORS. INFORMATION FROM THESE STUDIES WILL BE USED TO DEFINE RISK GROUPS FOR VARIOUS LATE EFFECTS AND ASSESS INTERVENTIONS.THE RARITY OF PEDIATRIC CANCERS AND OUR UNIQUE POSITION AS A NATIONAL RESOURCE FOR THE RESEARCH AND TREATMENT OF CANCER MEANS THAT OUR REACH IS EXTENSIVE, INCLUDING LOCAL, REGIONAL, NATIONAL, AND INTERNATIONAL LEVELS. MANY OF OUR INITIATIVES ARE DESIGNED TO IMPACT PEDIATRIC CANCER TREATMENT ON A GLOBAL SCALE. THE NATIONAL COMPREHENSIVE CANCER NETWORK (NCCN), A NOT-FOR-PROFIT ALLIANCE OF 27 OF THE WORLD'S LEADING CANCER CENTERS, IS DEDICATED TO IMPROVING THE QUALITY, EFFECTIVENESS AND EFFICIENCY OF CARE PROVIDED TO PATIENTS WITH CANCER (WWW.NCCN.ORG). ST. JUDE, A NCCN MEMBER IN COLLABORATION WITH THE UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER/THE WEST CLINIC, PARTICIPATES IN A NUMBER OF THE VARIOUS COMMITTEES AND GUIDELINES PANELS THAT WORK TOWARD THE GOAL OF IMPROVING THE QUALITY AND EFFECTIVENESS OF CARE PROVIDED TO PATIENTS WITH CANCER. THE NCCN GUIDELINES ARE WIDELY USED IN ONCOLOGY PRACTICE; IN 2016 THE NCCN GUIDELINES WERE DOWNLOADED MORE THAN 6.9 MILLION TIMES.ACCORDING TO THE AMERICAN CANCER SOCIETY, INDIVIDUALS WITH LOWER SOCIOECONOMIC STATUS HAVE HIGHER CANCER INCIDENCE RATES DUE TO ENGAGING IN LIFESTYLE BEHAVIORS THAT INCREASE CANCER RISK (FOOTNOTE 3). THE ST. JUDE CANCER EDUCATION FOR CHILDREN PROGRAM IS A LOCAL COMMUNITY EFFORT THAT USES EDUCATION AND POSITIVE REINFORCEMENT TO PROMOTE HEALTHY LIFESTYLE CHOICES THAT CAN HELP CHILDREN REDUCE THEIR RISK OF CANCER IN ADULTHOOD. EDUCATIONAL COMPONENTS OF THE PROGRAM SPECIFICALLY ADDRESS OBESITY, NUTRITION, SMOKING, AND SUN EXPOSURE, IMPORTANT ISSUES IN PROMOTING CHILDHOOD HEALTH AND PRIMARY CANCER PREVENTION. THE PROGRAM DEVELOPMENT IS OVERSEEN BY A MULTIDISCIPLINARY TEAM COMPOSED OF ST. JUDE FACULTY AND STAFF, LOCAL EDUCATORS, AND LOCAL HEALTH EXPERTS WHO WORK TOGETHER TO ENSURE THAT THE CONTENT ACHIEVES THE GOALS OF THE PROGRAM WHILE ALIGNING TO STATE AND NATIONAL EDUCATION STANDARDS. DURING THE 2016-2017 SCHOOL YEAR, THE SCHOOL OUTREACH TEAM WORKED WITH 29 SCHOOLS AND 8 COMMUNITY ORGANIZATIONS IN THE MEMPHIS AREA TO DELIVER CANCER AND HEALTHY LIVING EDUCATION PROGRAMS TO OVER 2,400 K-12 STUDENTS. OF THE 29 SCHOOLS THAT PARTICIPATED IN THE PROGRAM, 21 WERE TITLE 1 SCHOOLS; THIS PARTICIPATION IS IMPORTANT BECAUSE OF THE HIGH PERCENTAGE OF CHILDREN ENROLLED FROM LOW SOCIOECONOMIC FAMILIES. HEMATOLOGYTHE GEOGRAPHIC CATCHMENT AREA FOR ST. JUDE ENCOMPASSES 21 COUNTIES IN WESTERN TENNESSEE INCLUDING MEMPHIS, AND AREAS IN EAST ARKANSAS, NORTH MISSISSIPPI, AND A FEW COUNTIES IN MISSOURI. MORE THAN 70,000 PEOPLE IN THE UNITED STATES HAVE SICKLE CELL DISEASE (SCD), AND IT IS ESTIMATED THAT MORE THAN 1 MILLION PEOPLE WORLDWIDE SUFFER FROM THE DISEASE. IT IS THE MOST FREQUENT GENETIC BLOOD DISORDER IN THE WORLD. ST. JUDE HAS ONE OF THE LARGEST PEDIATRIC SCD PROGRAMS IN THE COUNTRY AND PROVIDES COMPREHENSIVE TREATMENT AND EDUCATION TO ABOUT 900 CHILDREN WITH SCD IN THE GEOGRAPHIC CATCHMENT AREA. SCD IS DIAGNOSED BY STATE-WIDE NEWBORN SCREENING IN ALL 50 STATES. ST. JUDE HAS A PARTNERSHIP WITH NEWBORN SCREENING PROGRAMS IN TN AND MS THAT ENSURES A STABLE RELATIONSHIP AMONG PARENTS, PATIENTS, PRIMARY CARE PROVIDERS. ABOUT 50 NEWBORNS WITH SCD ARE IDENTIFIED EACH YEAR IN OUR GEOGRAPHIC CATCHMENT AREA. OUR SCD INFANT TODDLER PROGRAM CONTACTS AND ACCEPTS ALL CHILDREN DIAGNOSED WITH THE DISEASE TO ITS COMPREHENSIVE CARE SERVICE. ADDITIONALLY, ST. JUDE PROVIDES TRAIT COUNSELING SERVICE TO INFANTS BORN WITH SICKLE CELL TRAIT TO 21 COUNTIES IN WESTERN TN. ST. JUDE PROVIDES CONFIRMATORY TESTING, EDUCATION AND COMPREHENSIVE CARE AND FOLLOW-UP THROUGHOUT CHILDHOOD FOR CHILDREN WITH SCD DISEASE. FROM BIRTH TO AGE 18 YEARS, PATIENTS ARE CLINICALLY EVALUATED AT LEAST EVERY 6 MONTHS, RECEIVE EDUCATION AND MULTI-DISCIPLINARY SERVICES ACCORDING TO STANDARDIZED TREATMENT AND EDUCATION GUIDELINES. SERVICES ALSO INCLUDE COMMUNITY OUTREACH AND EDUCATION OF THE LOCAL COMMUNITY. ST. JUDE HAS ESTABLISHED A FORMAL TRANSITION PROGRAM TO ADULT CARE FOR PATIENTS WITH SCD AND PROVIDES SUPPORT TO PATIENTS AND FAMILIES THROUGHOUT THE TRANSITION PROCESS BY WORKING CLOSELY WITH THE ADULT SCD PROGRAMS AT METHODIST UNIVERSITY HOSPITAL AND REGIONAL ONE HOSPITAL. IN THE PAST, THE SCD PROGRAM AT ST. JUDE HAS COLLABORATED WITH SEVERAL FEDERALLY QUALIFIED HEALTH CARE CENTERS, WITH COMMUNITY PRIMARY CARE PHYSICIANS, LATINO MEMPHIS (THE LARGEST HISPANIC SOCIAL AGENCY IN TENNESSEE), WITH THE SICKLE CELL FOUNDATION OF TENNESSEE (A COMMUNITY-BASED SCD ORGANIZATION), AND WITH REGIONAL SCD PROVIDERS TO ENSURE A MEDICAL HOME AND ADEQUATE SOCIAL SUPPORT FOR ALL SCD PATIENTS IN THE AREA. ST. JUDE ASSESSES PATIENT NEEDS THROUGH PARENT AND PATIENT SURVEYS, INTERACTIVE EDUCATION, MATERIALS REVIEW, AND THROUGH GROUP DISCUSSIONS WITH PARENTS AND PATIENTS.ST. JUDE ALSO PROVIDES CLINICAL SERVICES FOR APPROXIMATELY 800 CHILDREN PER YEAR WITH OTHER NON-MALIGNANT HEMATOLOGICAL DISORDERS THROUGH A STRONG RELATIONSHIP WITH LOCAL COMMUNITY PHYSICIANS. CHILDREN FROM THE GEOGRAPHIC CATCHMENT AREA OF ST. JUDE (AS OUTLINED ABOVE) WITH ILLNESSES SUCH AS HEMOPHILIA, APLASTIC ANEMIA, THROMBOSIS, THALASSEMIA, SPHEROCYTOSIS, AND IMMUNE THROMBOCYTOPENIC PURPURA AND OTHER NON-MALIGNANT HEMATOLOGIC DISORDERS ARE REFERRED TO AND RECEIVE STATE-OF THE-ART CARE FROM ST. JUDE PHYSICIANS AND MEDICAL STAFF. ST. JUDE IS ONE OF A SELECT GROUP OF FEDERALLY RECOGNIZED PEDIATRIC HEMOPHILIA TREATMENT CENTERS AND PROVIDES STATE-OF-THE-ART COMPREHENSIVE CARE TO APPROXIMATELY 300 CHILDREN WITH BLEEDING AND THROMBOSIS DISORDERS.(NOTE: THIS NARRATIVE FOR PART VI, LINE 2 IS CONTINUED BELOW.) - SEE PAGE 118/124
PART VI, LINE 3:AS NOTED IN PART I, LINE 3C, NO FAMILY EVER PAYS ST. JUDE FOR TREATMENT. IN ADDITION, ST. JUDE PROVIDES AN UNPARALLELED LEVEL OF SUPPORT SERVICES AT NO COST TO FAMILIES. WE ALSO HAVE PROGRAMS TO ASSIST FAMILIES IN ENROLLING IN VARIOUS PUBLIC ASSISTANCE PROGRAMS FOR WHICH THEY MAY QUALIFY, INCLUDING BUT NOT LIMITED TO TENNCARE/MEDICAID, COVERKIDS, CHIPS AND SOCIAL SECURITY. DOING SO ENSURES AN APPROPRIATE SAFETY NET SHOULD THE FAMILY SEEK TREATMENT OUTSIDE OF ST. JUDE AND IT ALLOWS US TO BE GOOD STEWARDS OF DONOR DOLLARS. WE UTILIZE AN OUTSIDE CONTRACTOR TO PROVIDE APPLICATION ASSISTANCE. THE HOSPITAL'S FINANCIAL ASSISTANCE STATEMENT (HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-STATEMENT.HTML) AND FINANCIAL ASSISTANCE POLICY (HTTPS://WWW.STJUDE.ORG/LEGAL/FINANCIAL-ASSISTANCE-POLICY.HTML) ARE POSTED ON THE HOSPITAL'S WEBSITE AND AVAILABLE AT REGISTRATION. THESE DOCUMENTS ARE AVAILABLE IN ENGLISH AND SPANISH. FOR FAMILIES SPEAKING OTHER LANGUAGES, WE UTILIZE ONSITE INTERPRETER SERVICES AND/OR PROFESSIONAL CONTRACTED TRANSLATION SERVICES.
PART VI, LINE 4:ST. JUDE CHILDREN'S RESEARCH HOSPITAL IN MEMPHIS, TN, IS A SPECIALTY HOSPITAL THAT TREATS PEDIATRIC CATASTROPHIC DISEASES WITH A FOCUS ON CANCER AND BLOOD DISORDERS. PATIENTS AT ST. JUDE ARE REFERRED BY A PHYSICIAN, DIAGNOSED WITH A DISEASE CURRENTLY UNDER STUDY, AND ELIGIBLE FOR A RESEARCH PROTOCOL. ST. JUDE IS THE ONLY PEDIATRIC RESEARCH CENTER FOR CHILDREN WITH CATASTROPHIC DISEASES, INCLUDING CANCER AND BLOOD DISORDERS, WHERE FAMILIES NEVER PAY FOR TREATMENT NOT COVERED BY INSURANCE. IN FACT, NO FAMILY EVER PAYS ST. JUDE FOR ANYTHING. TRANSPORTATION, HOUSING AND FOOD ARE AMONG THE NO-COST SERVICES PROVIDED TO ENSURE FAMILIES COMING TO ST. JUDE CAN FOCUS ON THEIR CHILD. NO CHILD IS EVER DENIED TREATMENT DUE TO RACE, SEX, NATIONALITY, ETHNICITY, RELIGION, OR THE FAMILY'S ABILITY TO PAY. THE COMMUNITY SERVED BY ST. JUDE CAN BEST BE DEFINED BY UNDERSTANDING ST. JUDE'S PATIENT POPULATION AND SCOPE OF CLINICAL SERVICES. ST. JUDE SERVES AS A NATIONAL REFERRAL CENTER FOR CHILDREN WITH CATASTROPHIC DISEASES, SUCH AS CANCER AS WELL AS A LOCAL REFERRAL CENTER FOR CHILDREN WITH CANCER, BLOOD DISORDERS, AND HIV/AIDS. IT DOES NOT ADMIT CHILDREN FOR ANY DIAGNOSTIC GROUPS OUTSIDE OF THESE SERVICES AND DOES NOT OFFER MEDICAL SERVICES BEYOND THOSE NECESSARY TO CARE FOR CHILDREN WITH THESE DISEASES. ST. JUDE DOES NOT HAVE AN EMERGENCY ROOM (ER). A REFERRAL FROM A MEDICAL PROFESSIONAL EXTERNAL TO ST. JUDE, TYPICALLY THE CHILD'S PEDIATRICIAN OR A PEDIATRIC SUBSPECIALIST, IS NECESSARY PRIOR TO ACCEPTING A PATIENT FOR TREATMENT TO ST. JUDE. ST. JUDE'S PRIMARY CLINICAL EFFORT CENTERS ON PROVIDING GROUND-BREAKING, RESEARCH-DRIVEN TREATMENTS. SPECIFICALLY, MORE THAN 7,500 PATIENTS ARE SEEN AT ST. JUDE YEARLY, MOST OF WHO ARE ENROLLED ON CLINICAL TRIALS FOR NEW TREATMENTS DEVELOPED BY ST. JUDE, AND WHO ARE TREATED ON A CONTINUOUS OUTPATIENT BASIS. THE HOSPITAL HAS 67 OPERATIONAL BEDS FOR PATIENTS REQUIRING HOSPITALIZATION DURING TREATMENT. IT SHOULD BE NOTED THAT ST. JUDE HAS DEVELOPED UNIQUE RESOURCES THAT ALLOW A SIGNIFICANT PORTION OF PATIENTS TO BE TREATED AS OUTPATIENTS WHO WOULD BE ADMITTED INTO INPATIENT UNITS AT MOST HOSPITALS. THIS IS ACCOMPLISHED THROUGH PATIENT HOUSING DEDICATED SOLELY TO ST. JUDE PATIENT FAMILIES DESIGNED WITH INFECTION CONTROL MEASURES SUCH AS HEPA FILTRATION, INFECTION-RESISTANT SURFACES AND OTHER MEDICAL SAFEGUARDS THAT ARE NOT AVAILABLE IN HOTELS OR PATIENTS' HOMES. ST. JUDE HAS A NETWORK OF EIGHT AFFILIATED PEDIATRIC HEMATOLOGY/ONCOLOGY CLINICS IN THE U.S., ALLOWING ST. JUDE TO EXTEND CARE AND BENEFITS TO MORE CHILDREN AND INCREASE THE NUMBER OF CHILDREN ABLE TO BE TREATED ON ST. JUDE CLINICAL TRIAL. ST. JUDE ALSO OPERATES AN INTERNATIONAL OUTREACH PROGRAM AIMED AT SHARING KNOWLEDGE AND RESOURCES TO IMPROVE THE SURVIVAL RATE OF CHILDREN WITH CANCER AND HEMATOLOGIC DISEASES WORLDWIDE. ST. JUDE HAS PARTNERSHIPS WITH 24 MEDICAL INSTITUTIONS IN 17 COUNTRIES.THE HOSPITAL'S OUTREACH INCLUDES THE LOCAL MARKET, AFFILIATE INSTITUTIONS, OTHER AREAS OF THE UNITED STATES/U.S. TERRITORIES, AND THE INTERNATIONAL COMMUNITY. THE LOCAL MARKET ENCOMPASSES MEMPHIS, TENNESSEE AND THE SURROUNDING GEOGRAPHIC AREA WITH APPROXIMATELY 28% OF NEW ONCOLOGY PATIENTS RESIDING WITHIN THIS AREA.FY17 NEW CANCER PATIENTSPATIENT ORIGIN % OF TOTALMEMPHIS, TN AND SURROUNDING AREA 28%AFFILIATE REFERRAL 38%NATIONAL REFERRAL (OTHER AREAS OF U.S.) 26%INTERNATIONAL REFERRAL 8%GRAND TOTAL 100%THE ST. JUDE AFFILIATE PROGRAM (AP) IS A NETWORK OF EIGHT AFFILIATED PEDIATRIC HEMATOLOGY/ONCOLOGY CLINICS IN THE U.S., ALLOWING ST. JUDE TO EXTEND CARE AND BENEFITS TO MORE CHILDREN AND INCREASE THE NUMBER OF CHILDREN ABLE TO BE TREATED ON ST. JUDE CLINICAL TRIALS CLOSER TO HOME. THE PHYSICIANS AND STAFF AT THESE SITES WORK IN COLLABORATION WITH THE STAFF AT ST. JUDE TO DELIVER PROTOCOL RELATED CARE OR EVIDENCE BASED TREATMENT WHEN NOT PARTICIPATING IN A TRIAL TO PEDIATRIC HEMATOLOGY-ONCOLOGY PATIENTS, SO THAT PATIENTS CAN RECEIVE CARE CLOSER TO HOME. AFFILIATES ARE CURRENTLY LOCATED IN BATON ROUGE LA, CHARLOTTE NC, HUNTSVILLE AL, JOHNSON CITY TN, PEORIA IL, SHREVEPORT LA, SPRINGFIELD MO, AND TULSA OK. THE AFFILIATES' ENROLLMENT OF PATIENTS ON ST. JUDE CLINICAL TRIALS HELPS ST. JUDE FIND CURES FASTER AND SAVE MORE CHILDREN. ST. JUDE PROVIDES FINANCIAL SUPPORT FOR CLINICAL OPERATIONS TO ENSURE EXCELLENT QUALITY OF CARE THAT MEETS ST. JUDE PROTOCOL GUIDELINES AND TO PROVIDE PATIENT ASSISTANCE. THE AP AND OTHER STAFF ASSIST THE AFFILIATES IN THE DEVELOPMENT OF NEW PEDIATRIC HEMATOLOGY-ONCOLOGY PROGRAMS; PROVIDE MONITORING AND CONSULTATION TO IMPROVE PATIENT CARE AND CLINICAL PROCESSES FOR THE AFFILIATE CLINIC AND CHILDREN'S HOSPITAL; AND PROVIDE NUMEROUS EDUCATIONAL OFFERINGS AND MENTORING FOR AFFILIATE STAFF. IN ADDITION, ST. JUDE HAS MANY PROCESSES TO ENSURE GOOD CONTINUITY OF CARE BETWEEN THE AFFILIATES AND ST. JUDE. THE AFFILIATES' CLINICAL RECORDS FOR SHARED PATIENTS ARE AVAILABLE IN ST. JUDE MEDICAL RECORDS AND EVERY AFFILIATE HAS ACCESS TO ST. JUDE ELECTRONIC MEDICAL RECORDS OF SHARED PATIENTS. THE AFFILIATES ALSO HAVE ACCESS TO ALL ELECTRONIC RESOURCES, E.G. PATIENT EDUCATION MATERIALS, RESEARCH PROTOCOLS, CLINICAL GUIDELINES AND RESOURCES; EVERYTHING ON THE ST. JUDE INTRANET. IN ADDITION TO ASSISTING THE AFFILIATES, ST. JUDE PROVIDES CONSULTATION SERVICES FOR MORE THAN 3,400 NATIONAL AND 800 INTERNATIONAL PHYSICIAN REQUESTS. FOR FY17 PATIENT CONSULTATIONS BY CONTINENT TOTALED 4,191 AS FOLLOWS:CONTINENT NUMBER OF PATIENT CONSULTATIONSNORTH AMERICA 3,470SOUTH AMERICA 161EUROPE 198AFRICA 32ASIA 278AUSTRALIA 52TOTAL 4,191ST. JUDE ALSO OPERATES AN INTERNATIONAL OUTREACH PROGRAM IN GPM, AIMED AT IMPROVING SURVIVAL RATES OF CHILDREN WITH CANCER AND OTHER CATASTROPHIC DISEASES WORLDWIDE. ST. JUDE ACCOMPLISHES THIS BY SHARING KNOWLEDGE, TECHNOLOGY AND ORGANIZATIONAL SKILLS, IMPLEMENTING NEW APPROACHES TO TREAT PEDIATRIC CANCER GLOBALLY, AND GENERATING INTERNATIONAL NETWORKS COMMITTED TO ERADICATING CANCER IN CHILDREN. THERE ARE AN ESTIMATED 175,000 NEWLY DIAGNOSED CASES OF CHILDHOOD CANCER WORLDWIDE EACH YEAR, AND 84% OCCUR IN LOW- AND MIDDLE-INCOME COUNTRIES. CANCER IS EMERGING AS A MAJOR CAUSE OF CHILDHOOD DEATH IN ALL DEVELOPING COUNTRIES, REPLACING OTHER CAUSES OF CHILDHOOD MORTALITY (E.G. HIV, MALNUTRITION, INFECTIONS). DESPITE VAST IMPROVEMENTS IN THERAPY AND SURVIVAL IN HIGH-INCOME COUNTRIES OVER THE PAST 30 YEARS, AN ESTIMATED 60% DO NOT HAVE ACCESS TO ADEQUATE DIAGNOSIS AND MODERN CARE. ST. JUDE STRIVES TO ADDRESS THE NEEDS OF THOSE CHILDREN IN COUNTRIES THAT LACK SUFFICIENT RESOURCES AND HELP THEM MANAGE THEIR OWN BURDEN OF CASES EFFECTIVELY. WHILE SICK CHILDREN FROM AROUND THE WORLD HAVE TRAVELED TO OUR HOSPITAL IN MEMPHIS, RECEIVING TREATMENT IN THEIR OWN COUNTRIES IS MORE EFFICIENT AND LESS DISRUPTIVE FOR THEM AND THEIR FAMILIES. AS A RESULT OF OUR INTERNATIONAL EFFORTS, WE ARE ABLE TO REACH FAR MORE CHILDREN THAN WOULD EVER BE ABLE TO COME TO MEMPHIS. A BASIC HEALTHCARE INFRASTRUCTURE IS NEEDED TO SUPPORT PEDIATRIC ONCOLOGY PROGRAMS, WHICH IN TURN FURTHER IMPROVES THE DEVELOPMENT OF BASIC HEALTHCARE. AT THE LOCAL LEVEL, GPM DEVELOPS PARTNERSHIPS WITH MEDICAL INSTITUTIONS AND FUND-RAISING ORGANIZATIONS AND FACILITATES THE INVOLVEMENT OF OTHER AND GOVERNMENT ORGANIZATIONS TO SUPPORT KEY PROGRAMS AND THE EDUCATION OF LOCAL PERSONNEL. AT THE REGIONAL LEVEL, GPM DEVELOPS PROGRAMS THROUGH THE USE OF TECHNOLOGY AND FOSTERS REGIONAL AND INTERNATIONAL COLLABORATIONS WITH OTHER PEDIATRIC MEDICAL INSTITUTIONS. THE PRIMARY GOAL IS TO DEVELOP LOCAL AND REGIONAL SELF-SUFFICIENCY. THIS MODEL RESULTS IN SIGNIFICANT OVERALL IMPROVEMENT IN HEALTHCARE FACILITIES, THE LEVEL OF PRACTICE, THE CONFIDENCE OF HEALTHCARE PROVIDERS, AND LOCAL COMMUNITY INVOLVEMENT. ST. JUDE EMPHASIZES THE BUILDING OF REGIONAL EXPERTISE AND DIAGNOSTIC CAPABILITIES, WHICH PROVIDE A CRITICAL MASS OF PROFESSIONALS WHO CONTINUALLY LEARN FROM AND ASSIST EACH OTHER. COST EFFICIENCY IS ALSO REALIZED BECAUSE OF SHARED RESOURCES.ST. JUDE HAS PARTNERSHIPS WITH 24 MEDICAL INSTITUTIONS (AND THEIR SUPPORTING FOUNDATIONS) ACROSS 17 DIFFERENT COUNTRIES - BRAZIL, CHILE, CHINA, COSTA RICA, DOMINICAN REPUBLIC, ECUADOR, EL SALVADOR, GUATEMALA, HAITI, HONDURAS, JORDAN, LEBANON, MEXICO, MOROCCO, NICARAGUA, PHILIPPINES, AND VENEZUELA.(NOTE: THIS NARRATIVE FOR PART VI, LINE 4 IS CONTINUED BELOW.) - SEE PAGE 123/124
PART VI, LINE 5:ST. JUDE CHILDREN'S RESEARCH HOSPITAL WAS OPENED IN 1962. OUR MISSION IS TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRIC CATASTROPHIC DISEASES THROUGH RESEARCH AND TREATMENT. CONSISTENT WITH THE VISION OF OUR FOUNDER, DANNY THOMAS, NO CHILD IS DENIED TREATMENT BASED ON RACE, RELIGION OR A FAMILY'S INABILITY TO PAY. OUR VISION IS TO BE THE WORLD LEADER IN ADVANCING THE TREATMENT AND PREVENTION OF CATASTROPHIC DISEASES IN CHILDREN. THIS VISION IS PURSUED BY PROVIDING OUTSTANDING PATIENT CARE; BY CONDUCTING BASIC, TRANSLATIONAL AND CLINICAL RESEARCH DESIGNED TO ELUCIDATE BIOLOGICAL MECHANISMS, UNDERSTAND DISEASE PATHOGENESIS, IMPROVE DIAGNOSIS, ENHANCE TREATMENT OUTCOMES, PREVENT DISEASES AND MINIMIZE ADVERSE CONSEQUENCES OF TREATMENT; AND BY EDUCATING HEALTH CARE AND SCIENTIFIC RESEARCH PROFESSIONALS. THROUGH THESE EFFORTS, WE SEEK TO CURE AND ENHANCE THE QUALITY OF LIFE FOR AN INCREASING NUMBER OF CHILDREN WHO COME TO US FOR TREATMENT BY EXPANDING AND SHARING KNOWLEDGE TO ADVANCE TREATMENT OF CHILDREN WITH CATASTROPHIC DISEASES WORLDWIDE, WHILE DEVELOPING STRATEGIES TO PREVENT CATASTROPHIC DISEASES IN CHILDREN.ST. JUDE COMBINES LABORATORY AND CLINICAL RESEARCH TO ADVANCE THE CARE OF CHILDREN WITH CANCER AND OTHER CATASTROPHIC DISEASES. THE FOCUS IS ON PROVIDING OUTSTANDING PATIENT CARE RESULTS AND ON RESEARCH FINDINGS THAT TRANSLATE INTO IMPROVED PATIENT OUTCOMES. ST. JUDE HAS AN ACADEMIC FACULTY ENGAGED IN A BROAD SPECTRUM OF RESEARCH, INCLUDING THERAPEUTIC TRIALS, INVESTIGATION OF DISEASE PATHOGENESIS AND DISCOVERY-ORIENTED BASIC RESEARCH.HOSPITAL OPERATIONS ARE OVERSEEN BY A BOARD OF GOVERNORS, MOST OF WHICH ARE NEITHER EMPLOYEES, INDEPENDENT CONTRACTORS, OR THEIR FAMILY MEMBERS. RESEARCH ACTIVITIES ARE REVIEWED ANNUALLY BY A SCIENTIFIC ADVISORY BOARD COMPOSED OF INTERNATIONALLY PROMINENT PHYSICIANS AND SCIENTISTS.ST. JUDE CONTRIBUTED TO THE BUILDING OF A STATE-OF-THE ART NEUROSURGICAL FACILITY FOR TREATING LOCAL PEDIATRIC PATIENTS AND ST. JUDE BRAIN TUMOR PATIENTS. THE FACILITY IS EQUIPPED WITH INTRA-OPERATIVE IMAGING EQUIPMENT (IMRI). WHEN PURCHASED, ONLY TWO NEUROSURGICAL FACILITIES IN THE UNITED STATES PROVIDED PATIENTS WITH THIS LEVEL OF TREATMENT, WHICH ALLOWS IMAGING TO TAKE PLACE DURING SURGICAL PROCEDURES. IMRI EQUIPMENT ALLOWS SURGEONS TO MAKE INFORMED DECISIONS DURING THE SURGERY. LIVE WEB CASTS ALLOW OTHERS TO VIEW PROCEDURES. OUR ASSISTANCE WITH THIS FACILITY HELPS ASSURE THAT CHILDREN IN THE AREA HAVE ACCESS TO THE BEST NEUROSURGICAL TREATMENT AVAILABLE.ST. JUDE COMPLETED THE FIRST PHASE OF THE PEDIATRIC CANCER GENOME PROJECT (PCGP) IN JANUARY 2013 - A COLLABORATION WITH WASHINGTON UNIVERSITY TO FIND CLUES TO THE CAUSES OF CHILDHOOD CANCER AND POTENTIAL NEW TREATMENTS AND CURES. THE PROJECT HAS RESULTED IN GROUNDBREAKING DISCOVERIES IN A NUMBER OF CHILDHOOD CANCERS INCLUDING RETINOBLASTOMA, MEDULLOBLASTOMA, NEUROBLASTOMA, DIFFUSE INTRINSIC PONTINE GLIOMA, TWO AGGRESSIVE FORMS OF LEUKEMIA AND LOW-GRADE GLIOMAS. IN DECEMBER 2012, THE PCGP WAS RECOGNIZED AS ONE OF TIME MAGAZINE'S TOP 10 MEDICAL BREAKTHROUGHS AND, IN 2013, AS ONE OF TIME MAGAZINE'S TOP 100 NEW SCIENTIFIC DISCOVERIES. THE SECOND PHASE OF PCGP EXAMINED THE CANCER SAMPLES FROM 300 CHILDREN AND FOCUSED ON DEFINING MUTATIONS THAT CONTRIBUTE TO TUMOR FORMATION, CHARACTERIZING THE STATE OF THE CANCER CELL'S EPIGENOME AND DESCRIBING HOW IT DIFFERED FROM WHAT IS SEEN IN THE NORMAL CELLS. THE SECOND PHASE ALSO INCLUDED A CLINICAL GENOMICS PROJECT CALLED GENOMES FOR KIDS THAT INVOLVED NEXT-GENERATION SEQUENCING FOR CHILDREN WITH CANCER. WHEN PHASE 2 IS COMPLETE, ST. JUDE HOPES TO HAVE A MODEL FOR HOW TO EXTEND GENOME SEQUENCING TO EVERY CHILDHOOD CANCER PATIENT IN THE UNITED STATES. FROM ITS BEGINNINGS IN 2010, THE PCGP IS THE LARGEST, BROADEST, PRIVATELY FUNDED SEQUENCING PROJECT FOR CHILDREN WITH CANCER AND HAS SEQUENCED MORE THAN 800 MATCHED PAIRS OF TUMOR AND HEALTHY GENOMES FROM YOUNG PATIENTS. THE PCGP HAS PROVIDED NEW DETAILS ABOUT THE MUTATIONS THAT UNDERLIE THE DEVELOPMENT AND GROWTH OF A RANGE OF CHILDHOOD CANCERS, AND HAS LAID THE FOUNDATION FOR IMPROVED DIAGNOSTIC TESTING AND THE NEXT GENERATION OF MORE EFFECTIVE, LESS-TOXIC THERAPIES. THE PROJECT HAS LED TO NEW DIRECTIONS IN RESEARCH INVOLVING HIGH-RISK LEUKEMIA, BRAIN AND SOLID TUMORS AS WELL AS NEW COMPUTATIONAL METHODS THAT HAVE BEEN SHARED FOR FREE WITH THE GLOBAL SCIENTIFIC COMMUNITY.THE CYCLOTRON (PARTICLE ACCELERATOR) AT ST. JUDE ENABLES RESEARCHERS TO TRACK THE GROWTH OF CANCER CELLS, PINPOINT THE PRODUCTION OF NEW DNA BY TUMOR CELLS AND STUDY THE HEARTS OF ADULT PATIENTS RETURNING TO ST. JUDE FOR LIFETIME FOLLOW-UP. THE CYCLOTRON HELPS RESEARCHERS BETTER UNDERSTAND CHILDHOOD CANCER BY ENABLING THEM TO PRODUCE NEW, VERY SHORT-ACTING TRACERS.ST. JUDE USES THE SERVICES OF CHILDREN'S GMP, LLC (OF WHICH ST. JUDE IS THE SOLE MEMBER). CHILDREN'S GMP, LLC, MANAGES AND OPERATES A GOOD MANUFACTURING PRACTICE (GMP) FACILITY THAT ENGAGES IN THE PRODUCTION OF BIOLOGICS AND DRUGS FOR RESEARCH. THE GMP OFFERS RESOURCES TO STUDY RARE DISEASES OVERLOOKED BY PHARMACEUTICAL COMPANIES BECAUSE THERE IS LITTLE PROFIT IN MANUFACTURING DRUGS FOR LESSER-KNOWN DISEASES. THE FACILITY, OPERATING ACCORDING TO APPROVED FDA STANDARDS, ALLOWS DOCTORS TO TAILOR TREATMENTS SPECIFICALLY FOR AN INDIVIDUAL CHILD.THE CELL AND TISSUE IMAGING CENTER INCLUDES ELECTRON MICROSCOPY AND LIGHT MICROSCOPY. THE FACILITY PROVIDES INVESTIGATORS ACCESS TO TRANSMISSION ELECTRON MICROSCOPY, CONFOCAL LASER SCANNING MICROSCOPY, MULTIPHOTON MICROSCOPY, IMAGE ANALYSIS, CELL MICROINJECTION AND LIVE CELL IMAGING. THE FEI TECNAI 20 200KV FEG ELECTRON MICROSCOPE, WHICH CAN MAGNIFY AN OBJECT 700,000 TIMES, IS AT THE HEART OF THIS PROGRAM. THIS TECHNOLOGY ALLOWS RESEARCHERS TO GET A CLOSER LOOK AT CANCER TO BETTER UNDERSTAND HOW IT GROWS AND SPREADS AND RESPONDS TO THERAPY. USING THE ELECTRON MICROSCOPE, RESEARCHERS LEARN HOW CANCER CELLS BREAK AWAY FROM THE TUMOR AND SPREAD THROUGHOUT THE BODY.A NEW PATIENT CARE AND RESEARCH BUILDING ON THE ST. JUDE CAMPUS HOUSES PROTON BEAM RADIATION THERAPY TECHNOLOGY DESIGNED TO DELIVER RADIATION THERAPY FOR TREATING CHILDREN WITH BRAIN TUMORS AND SEVERAL OTHER CHILDHOOD CANCERS. PROTON THERAPY IS LESS DAMAGING TO SURROUNDING HEALTHY TISSUE THAN OTHER CURRENT RADIATION THERAPIES. THIS EQUIPMENT WILL ENABLE ST. JUDE TO PROVIDE THIS THERAPY IN A MORE INTEGRATED MANNER TO OUTPATIENTS AND ALLOW OUR RADIATION ONCOLOGISTS TO LEAD THE DEVELOPMENT OF NEW TREATMENTS WITH PROTONS. OURS WAS THE WORLD'S FIRST PROTON THERAPY CENTER DEDICATED SOLELY TO THE TREATMENT OF CHILDREN.TO FURTHER PALLIATIVE SERVICES IN THE COMMUNITY, ST. JUDE PARTICIPATED WITH LE BONHEUR CHILDREN'S HOSPITAL IN DEVELOPING THE QUALITY OF LIFE FOR ALL KIDS PALLIATIVE PROGRAM FOR SERIOUSLY ILL CHILDREN. HOSPICE STAFF, BOTH IN THE HOME AND IN THE HOSPICE RESIDENCE, PROVIDES INTERDISCIPLINARY CARE TO CHILDREN THROUGHOUT THE ILLNESS TRAJECTORY AND CONCURRENT THERAPIES.ST. JUDE ADMINISTRATIVE LEADERS AND FACULTY MEMBERS OF THE DEPARTMENT OF PHARMACEUTICAL SCIENCES HAVE BEEN AT THE FOREFRONT OF BRINGING NATIONAL ATTENTION TO THE PEDIATRIC CANCER DRUG SHORTAGE TOPIC, ACTIVELY ENGAGING REGULATORY AND LEGISLATIVE BODIES TO UNDERSTAND THE IMPACT THESE DRUG SHORTAGES HAVE ON PEDIATRIC CARE AND RESEARCH. PRESENTATIONS OR WRITTEN TESTIMONY HAVE BEEN PROVIDED TO THE FDA CENTER FOR DRUG EVALUATION AND RESEARCH WORKSHOP, TWO SENATE HEARINGS, AND HEALTH SUBCOMMITTEE OF THE HOUSE COMMITTEE ON ENERGY AND COMMERCE. ST. JUDE FOCUSES ON EDUCATING AND TRAINING THE NEXT GENERATION OF DOCTORS, NURSES, RESEARCHERS AND ACADEMIC LEADERS. FROM PROGRAMS FOR HIGH SCHOOL STUDENTS TO THE POSTDOCTORAL LEVEL, THE HOSPITAL PLAYS A MAJOR ROLE IN PREPARING FUTURE LEADERS OF SCIENCE AND MEDICINE. IN ADDITION TO ONSITE EDUCATION, THE INTERNATIONAL OUTREACH PROGRAM PROVIDES AN EDUCATION AND COLLABORATION WEB SITE, CURE4KIDSTM (WWW.CURE4KIDS.ORG). VIA THE CONNECT2PROTECT PROGRAM, ST. JUDE COLLABORATES WITH CHURCHES, OTHER HEALTH CARE ORGANIZATIONS AND CIVIC GROUPS TO RAISE AWARENESS ABOUT PREVENTING THE SPREAD OF HIV/AIDS. THE PRIMARY TARGET IS THE AFRICAN-AMERICAN COMMUNITY, ALTHOUGH OTHER ETHNIC GROUPS ARE ALSO SERVED INCLUDING ASIAN, CAUCASIAN AND HISPANIC.THE FUNDRAISING SOURCE FOR ST. JUDE IS ALSAC, WHICH RAISES FUNDS SOLELY FOR THE HOSPITAL. BECAUSE OF THE HOSPITAL'S MISSION, PEOPLE NATIONWIDE CONTRIBUTE VIA TENS OF THOUSANDS OF FUNDRAISING EFFORTS. ALSAC CONTRIBUTED $664 MILLION IN FY17 TO SUPPORT ST. JUDE.VOLUNTEERS ENHANCE THE QUALITY OF PATIENT CARE BY PARTNERING WITH CLINICAL STAFF TO PROVIDE AN ADDITIONAL PERSONAL TOUCH. VOLUNTEERS ALSO HELP ENSURE A SAFE ENVIRONMENT. THEY LEND ASSISTANCE AND PROVIDE COMPASSIONATE CONCERN BY OFFERING A LISTENING EAR TO FAMILIES AT A TIME WHEN THEY NEED IT MOST. THEY ARE VITAL AMBASSADORS FOR THE HOSPITAL AND COMMUNITY.
PART VI, LINE 2 (CONTINUATION FROM 100/124):IN ADDITION TO PROVIDING AND CONTINUOUSLY IMPROVING STANDARDIZED CARE TO THESE PATIENT POPULATIONS, ST. JUDE HEMATOLOGY DEDICATES A SIGNIFICANT AMOUNT OF RESOURCES TO CLINICAL, TRANSLATIONAL, AND BASIC RESEARCH TO IMPROVE SURVIVAL AND DECREASE MORBIDITY OF CHILDREN WITH NON-MALIGNANT CHRONIC BLOOD DISEASES. MOST PATIENTS PARTICIPATE IN RESEARCH STUDIES, WHICH HAVE RESULTED IN MAJOR IMPROVEMENTS IN CLINICAL CARE. FOR EXAMPLE, RECENT RESULTS FROM THE BABY HUG TRIAL SHOWED THAT DAILY ORAL HYDROXYUREA IS SAFE AND EFFECTIVE FOR INFANTS AND YOUNG CHILDREN WITH SCD, WHICH LED TO THE RECOMMENDATION OF ITS GENERAL USE IN THIS SUBPOPULATION. ALSO, IN A FIRST-IN-MAN TRIAL, ST. JUDE HEMATOLOGY SHOWED THE SAFETY AND EFFICACY OF A NOVEL GENE TRANSFER AGENT CARRYING THE FACTOR IX GENE FOR TREATMENT OF HEMOPHILIA B; ALL TEN ADULT PARTICIPANTS WITH SEVERE HEMOPHILIA B HAD NO SERIOUS UNEXPECTED SIDE EFFECTS AND ALL PARTICIPANTS SHOWED AN INCREASE IN FACTOR IX LEVELS LEADING TO A SUBSTANTIAL REDUCTION IN THEIR BLEEDING TENDENCY. ADDITIONALLY, ST. JUDE HAS DEVELOPED A VECTOR FOR GENE TRANSFER TO TREAT CHILDREN WITH X LINKED SEVERE COMBINED IMMUNODEFICIENCY (X LINKED SCID) DISEASE WHICH HAS SHOWN PROMISE AS A CURE FOR THE DISEASE. FUTURE EFFORTS WILL CONTINUE TO FOCUS ON FINDING VIABLE CURES AND/OR TREATMENTS TO PREVENT COMPLICATIONS IN CHILDREN WITH SCD AND OTHER NON-MALIGNANT, CHRONIC HEMATOLOGIC DISEASES.HIVIN 1987, ST. JUDE'S FOUNDING FATHER, DANNY THOMAS DECLARED AIDS A CATASTROPHIC ILLNESS. IT WAS THEN THAT THE COMPREHENSIVE HIV CARE AND PREVENTION PROGRAM FOR CHILDREN AND YOUTH WAS ESTABLISHED. THE PROGRAM, LOCATED IN THE MEMPHIS METROPOLITAN STATISTICAL AREA, IS IN A COMMUNITY WHERE IN 2013, 59% OF NEW DIAGNOSES WERE AMONG ADOLESCENT YOUTH. SINCE ITS BEGINNING, THE HIV CLINICAL AND RESEARCH PROGRAM HAS PROVIDED EXCEPTIONAL CARE TO PERINATALLY-INFECTED INFANTS AND CHILDREN AND AN EXCELLENT YOUTH-FOCUSED HIV PROGRAM FOR YOUTH AGES 13 TO 21. THE SERVICES INCLUDE A STANDALONE LABORATORY THAT SUPPORTS THE HIV/AIDS CLINICAL & RESEARCH PROGRAMS, COMPREHENSIVE MEDICAL CARE, CASE MANAGEMENT SERVICES, A FULL PHARMACY, PATIENT ADVOCACY, PSYCHOSOCIAL, AND SPIRITUAL SUPPORT FOR PATIENTS AND THEIR FAMILIES. OUR STRONG COMMUNITY INFRASTRUCTURE, FORMALLY ESTABLISHED 11 YEARS AGO, IS COMMITTED TO THE CAUSE OF HIV EDUCATION AND PREVENTION IN THE COMMUNITY. OUR COMMUNITY COALITION, CONNECT TO PROTECT (C2P), CONTINUES TO HAVE 25 CONSISTENT AND ACTIVE MEMBERS THAT REPRESENT AIDS SERVICE ORGANIZATIONS, LOCAL GOVERNMENT, FAITH-BASED AND SOCIAL SERVICE ORGANIZATIONS. QUARTERLY, THE COALITION MEMBERS CONTINUE TO IDENTIFY AT-RISK YOUTH AND CREATE A PROFILE OF AVAILABLE COMMUNITY RESOURCES BASED ON ELIMINATING BARRIERS TO BEING LINKED TO AND RETAINED IN CARE. IN ADDITION TO DEVELOPING A SOLID HIV PREVENTION PLAN, COALITION MEMBERS, ALONGSIDE OUR CLINICAL RESEARCH STAFF, HAVE CO-FACILITATED AND/OR PARTICIPATED IN APPROXIMATELY 187 EDUCATIONAL AND TESTING EVENTS, IMPACTING OVER 2,500 INDIVIDUALS. WORKING TO ALIGN THE STRATEGIC PLAN WITH THE HIV CONTINUUM OF CARE THAT SPECIFICALLY ADDRESSES YOUTH BARRIERS TO TESTING, SURVEILLANCE REPORTING AND LINKAGE OF NEWLY DIAGNOSED HIV+ YOUTH TO MEDICAL CARE IN RESOURCE POOR COMMUNITIES HAS BEEN A STRONG ASSET TO OUR COMMUNITY INFRASTRUCTURE. FOR THIS CALENDAR YEAR, OUR STRATEGIC MULTISITE INITIATIVE FOR LINKAGE AND ENGAGEMENT (SMILE) INTO CARE EFFORTS RESULTED IN APPROXIMATELY 90% (87/97) OF NEWLY DIAGNOSED HIV+ YOUTH BEING ENGAGED IN MEDICAL CARE AND 95% (83/87) OF THEM BEING RETAINED IN CARE. THIS SUCCESS SPEAKS TO STRATEGIC COMMUNITY MOBILIZATION, PARTNER AGENCY PARTICIPATION AND IMPROVED ACCESS TO CARE FOR NEWLY DIAGNOSED HIV POSITIVE YOUTH. PARTICIPANTS IN THE SMILE PROGRAM RECEIVE ASSISTANCE WITH LINKAGE AND ENGAGEMENT IN CARE SERVICES, SPECIALIZED CASE MANAGEMENT, CRISIS INTERVENTION, AND INDIVIDUALIZED COMMUNITY SERVICE AND RESOURCE REFERRALS AS INDIVIDUAL BARRIERS ARE IDENTIFIED. THE SMILE PROGRAM DATA HAS BEEN USED TO FACILITATE CONTINUED DIALOGUE WITHIN THE C2P COALITION. THE INTEGRATION OF BOTH PROGRAMS HAS ENCOURAGED THE COALITION TO PRIORITIZE ALIGNMENT OF THE STRATEGIC PLAN WITH THE HIV CARE CONTINUUM THEREBY IMPROVING ENGAGEMENT AND RETENTION IN CARE OUTCOMES FOR INDIVIDUALS THAT PARTICIPATE IN THE SMILE PROGRAM.OUR NEWEST COMMUNITY RESEARCH PROTOCOL, HIV PREVENTION TRIALS NETWORK (HPTN) 083, IMPLORES A COMMUNITY BASED PARTICIPATORY RESEARCH (CBPR) APPROACH TO HELP REACH ELIGIBLE AT-RISK YOUTH AND YOUNG ADULTS. WE RECEIVED BUY-IN AND SUPPORT FROM VARIOUS STAKEHOLDERS BY HOSTING COMMUNITY BASED HIV TESTING EVENTS THAT OFFER LINKAGE INTO CARE FOR NEWLY DIAGNOSED HIV+ YOUTH AND LINK TO PRE-EXPOSURE PROPHYLAXIS (PREP) FOR THOSE WHO PRESENT HIV NEGATIVE. THIS PAST YEAR, THE HIV PREVENTION TEAM, SUCCESSFULLY LED 21 STAKEHOLDER/GATEKEEPER MEETINGS THAT FOCUSED ON PLANNING AND COORDINATING SPECIFIC OUTREACH AND EDUCATIONAL STRATEGIES. THIS YIELDED FOUR (2 SMALL AND 2 LARGE SCALE EVENTS (E.G., INFORMAL DINNERS AT STAKEHOLDER FAMILY HOMES, REGIONAL FRATERNITY EVENTS, AND DANCE COMPETITIONS) THAT REACHED OVER 732 YOUTH AND YOUNG ADULTS. AS A RESULT THERE HAVE BEEN APPROXIMATELY 89 INDIVIDUALS APPROACHED AS ELIGIBLE STUDY PARTICIPANTS AND APPROXIMATELY 40 ENROLLED. 1. AMERICAN CANCER SOCIETY. CANCER FACTS & FIGURES 2017. ATLANTA: AMERICAN CANCER SOCIETY; 2017.2. FOR THE PERIOD FROM JULY 1, 2016 TO JUNE 30, 20173. AMERICAN CANCER SOCIETY. CANCER FACTS & FIGURES 2017. ATLANTA: AMERICAN CANCER SOCIETY; 2017.
PART VI, LINE 4 (CONTINUATION FROM 109/124):ST. JUDE WORKS WITH ITS PARTNERS TO DEVELOP EVIDENCED-BASED TREATMENT PROTOCOLS TAILORED TO REGIONAL NEEDS AND RESOURCES. ADDITIONALLY, ST. JUDE PHYSICIANS AND NURSES SERVE AS MENTORS TO CLINICAL PERSONNEL AT PARTNER SITES, PROVIDE LOCAL AND ONLINE TRAINING FOR ONCOLOGY CARE, DIAGNOSIS, AND SUPPORTIVE CARE, AND PARTICIPATE IN ONLINE MEETINGS TO DISCUSS CLINICAL CARE BEST PRACTICES. THE MAJORITY OF ONLINE MEETINGS AND TRAINING ARE PROVIDED VIA ST. JUDE'S WEB-BASED PLATFORM, ST. JUDE CURE4KIDSTM (C4K), A FREE RESOURCE FOR PEDIATRIC ONCOLOGY PROFESSIONALS, SCIENTISTS AND RESEARCHERS, REGARDLESS OF THEIR AFFILIATION WITH ST. JUDE OR ITS PARTNERS. IN ADDITION TO CONTENT THAT INCLUDES MORE THAN 1,500 ONLINE SEMINARS, 37 SELF-PACED COURSES, AND 37 INSTRUCTOR-LED COURSES, C4K PROVIDES ONLINE MEETING AND CONFERENCE SPACE. IN FY17, C4K HAD 63,650 CONTENT VIEWS WITH 4,980 UNIQUE REGISTERED USERS, AND HOSTED 1,956 MEETINGS WITH 8,000 UNIQUE PARTICIPANTS FROM 145 DIFFERENT COUNTRIES; THERE ARE 64 NCI CENTERS THAT PARTICIPATE IN C4K. FINALLY, ST. JUDE PARTNERS WITH LOCAL FUNDRAISING ORGANIZATIONS THAT SUPPORT THE MEDICAL PROGRAMS. THIS MODEL HAS PROVEN TO BE HIGHLY EFFECTIVE IN PROVIDING POOR CHILDREN IN DEVELOPING COUNTRIES ACCESS TO MODERN TREATMENT AND CARE.ST. JUDE IS ALSO A RESEARCH ORGANIZATION, WITH RESEARCH COVERING A BROADER SCOPE OF HEALTH ISSUES THAN THE DISEASES TREATED AS A PRIMARY DIAGNOSIS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF TENNESSEE
50 NORTH DUNLAPMEMPHISTN38105626001636GOVERNMENT ENTITY$3,239,885COLLABORATION AND SUPPORT AGREEMENT
SAINT FRANCIS MEDICAL CENTER
530 NE GLEN OAK AVEPEORIAIL61637370662569501(C)(3)$490,909OPERATION OF ST. JUDE CLINIC
CHURCH HEALTH CENTER OF MEMPHIS
1350 CONCOURSE AVE SUITE 142MEMPHISTN38104581716113501(C)(3)$100,000FINANCIAL SUPPORT
MID-SOUTH MINORITY BUSINESS COUNCIL
165 MADISON AVEMEMPHISTN38103621198163501(C)(6)$8,500SPONSOR CONFERENCE
NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS
600 13TH STREET NW SUITE 500WASHINGTONDC20005582176067501(C)(6)$6,500CONTRIBUTION
THE UNIVERSITY OF MEMPHIS FOUNDATION
635 NORMAL ST ALUMNI CENTER 108MEMPHISTN38152626048540501(C)(3)$6,000SUPPORT SCHOOL OF PUBLIC HEALTH
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
777 HENNESY BLVDBATON ROUGELA70808720423651501(C)(3)$1,000,000FINANCIAL SUPPORT
ASSOCIATION OF PEDIATRIC HEMATOLOGY ONCOLOGY NURSES
8735 W HIGGINS RD STE 300CHICAGOIL60631237446224501(C)(3)$10,000SPONSOR CONFERENCE
CHILD LIFE COUNCIL
1820 N FORT MEYER DR SUITE 520ARLINGTONVA22209521799846501(C)(3)$7,500SPONSOR CONFERENCE
FASEB SCIENCE RESEARCH
9650 ROCKVILLE PIKEBETHESDAMD20814520700497501(C)(3)$20,000SPONSOR CONFERENCE
C3 SUMMIT LLC
PO BOX 985AMAGANSETTNY11930455047215$50,000SPONSOR CONFERENCE
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationST. JUDE CHILDREN'S RESEARCH HOSPITAL IS ACTIVELY INVOLVED WITH THE DONEE. THROUGH THIS ACTIVE INVOLVEMENT, THE ORGANIZATIONS ARE MONITORED TO ENSURE THE SUPPORT IS USED APPROPRIATELY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD SHADYAC JR
EX-OFFICIO DIRECTOR$0$769,962$0$0$0$2,322$0$79,563$0$16,796$0$868,643$0$0
JAMES R DOWNING
PRESIDENT & CEO, EX-OFFICIO DIRECTOR$910,468$0$50,000$0$79,487$0$29,150$0$18,039$0$1,087,144$0$0$0
PAT KEEL
SVP/CFO$485,793$0$90,000$0$23,128$0$11,458$0$18,689$0$629,068$0$0$0
JAMES I MORGAN
EVP/SCIENTIFIC DIRECTOR$475,136$0$110,200$0$8,931$0$29,150$0$20,480$0$643,897$0$0$0
MARY ANNA QUINN
EVP/CHIEF ADMIN OFFICER$381,557$0$0$0$284,193$0$29,150$0$41,969$0$736,869$0$0$0
CHARLES M ROBERTS
EVP/DIRECTOR CANCER CENTER$711,738$0$0$0$39,108$0$129,291$0$14,078$0$894,215$0$0$0
CARLOS RODRIGUEZ-GALINDO
EVP/CHAIR$598,935$0$150$0$158,226$0$27,615$0$8,481$0$793,407$0$0$0
DAVID ELLISON
CHAIR$649,903$0$15,350$0$204,373$0$51,461$0$17,762$0$938,849$0$0$0
THOMAS E MERCHANT
CHAIR$708,034$0$15,350$0$466,686$0$29,150$0$30,408$0$1,249,628$0$0$0
CHING-HON PUI
CHAIR$595,842$0$28,791$0$298,375$0$29,150$0$50,072$0$1,002,230$0$0$0
LESLIE L ROBISON
CHAIR$559,243$0$25,350$0$294,961$0$29,150$0$17,980$0$926,684$0$0$0
ELAINE I TUOMANEN
CHAIR$457,452$0$18,591$0$274,229$0$29,150$0$15,034$0$794,456$0$0$0
MICHAEL C CANARIOS
FORMER SVP/CHIEF FINANCIAL OFFICER$342,205$0$100,118$0$23,877$0$0$0$17,363$0$483,563$0$0$0
WILLIAM E EVANS
FACULTY/FORMER PRES. & CEO$654,700$0$15,150$0$8,790$0$29,150$0$8,672$0$716,462$0$0$0
LARRY KUN
FORMER EVP/CLINICAL DIRECTOR$443,211$0$75,000$0$6,005$0$29,150$0$10,005$0$563,371$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATRAVEL FOR COMPANIONS: FAMILY MEMBER OF ONE FORMER OFFICER, TRAVELS ON HOSPITAL BUSINESS AS REQUIRED BY THE POSITION. TRAVEL EXPENSES ARE REIMBURSED UNDER AN ACCOUNTABLE PLAN AND NOT RECORDED AS COMPENSATION. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: A PAYMENT WAS ISSUED FOR DEPENDENT TUITION FOR ONE OFFICER. THE APPLICABLE EXPENSE WAS GROSSED-UP AND INCLUDED IN THE EMPLOYEE'S W-2 AS ADDITIONAL TAXABLE COMPENSATION.
PART I, LINE 4A:SEVERANCE PAY IN THE AMOUNT OF $344,860 WAS OFFERED TO THE FORMER CHIEF FINANCIAL OFFICER UNDER A SEPARATION AGREEMENT VOLUNTARILY ENTERED INTO BY THE PARTIES. THE TERMS OF THAT AGREEMENT ARE CONFIDENTIAL. ALL SEVERANCE AGREEMENTS CONTAIN, WHEN LEGALLY PERMITTED, A RELEASE OF CLAIMS.
PART I, LINE 4B:THE ORGANIZATION ESTABLISHED A NON-QUALIFIED DEFERRED COMPENSATION PLAN PURSUANT TO CODE SECTION 457(F) OF THE INTERNAL REVENUE CODE. THE PLAN AMOUNTS ARE SUBJECT TO SUBSTANTIAL FUTURE SERVICE REQUIREMENTS TO THE ORGANIZATION AND ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PAYMENTS WERE MADE TO THE FOLLOWING LISTED PERSONS IN PART VII UNDER THE NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE YEAR: MICHAEL C. CANARIOS - $23,877 CHING-HON PUI - $289,585 MARY ANNA QUINN - $275,360 LESLIE L. ROBISON - $286,030 ELAINE I. TUOMANEN - $265,433
SCHEDULE J, PART II:RICHARD C. SHADYAC, JR. SERVES AS AN EX-OFFICIO VOTING DIRECTOR OF THE BOARD OF ST. JUDE. MR. SHADYAC IS EMPLOYED AS AN OFFICER OF ALSAC, A RELATED ORGANIZATION TO ST. JUDE. THE COMPENSATION SHOWN IN COLUMNS (B), (C), (D) AND (E) WAS PAID TO MR. SHADYAC BY ALSAC FOR HIS DUTIES AS CEO OF ALSAC.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MARY RELLING
SEE PART V$508,689EMPLOYMENT0
SUSANNA DOWNING
SEE PART V$63,360EMPLOYMENT0
DIANE ROBERTS
SEE PART V$200,935EMPLOYMENT0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:FormAndLineReferenceDesc
Explanation(A) NAME OF INTERESTED PERSON: MARY RELLING(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF FORMER OFFICER (PRESIDENT AND CEO), WILLIAM E. EVANS.(C) AMOUNT OF TRANSACTION: $508,689(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF INTERESTED PERSON: SUSANNA DOWNING(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF PRESIDENT AND CEO, JAMES R. DOWNING.(C) AMOUNT OF TRANSACTION: $63,360(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF INTERESTED PERSON: DIANE ROBERTS(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF OFFICER, CHARLES M. ROBERTS.(C) AMOUNT OF TRANSACTION: $200,935(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NOExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2FAMILY RELATIONSHIP AMONG DIRECTORS: JOSEPH S. AYOUB, JR., ESQ. AND PAUL J. AYOUB, ESQ.; FREDERICK R. HARRIS AND FREDERICK R. HARRIS, JR., MD; GEORGE A. SIMON, II AND PAUL J. SIMON; ROBERT A. BREIT, MD AND JOSEPH G. SHAKER; JOSEPH C. SHAKER AND JOSEPH G. SHAKER; PAUL J. SIMON AND MICHAEL SIMON.
FORM 990, PART VI, SECTION A, LINE 4EFFECTIVE JUNE 24, 2017, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, INC. AMENDED ITS BYLAWS. THE SIGNIFICANT CHANGES ARE AS FOLLOWS: - BOARD MEMBERS ARE PERMITTED TO BE ELECTED AT ANY REGULARLY SCHEDULED BOARD MEETING; AND - THE AMENDMENT EXTENDS A NEW BOARD MEMBER'S INITIAL TERM TO TWO YEARS, FOLLOWED BY THREE-YEAR TERMS UNLESS THE MEMBERSHIP COMMITTEE RECOMMENDS A DIFFERENT TERM.
FORM 990, PART VI, SECTION B, LINE 11BIN FEBRUARY OF EACH YEAR, THE AUDIT COMMITTEE AND OFFICERS OF THE BOARD ARE PROVIDED WITH A DRAFT COPY OF THE FORM 990 AND ALL REQUIRED SCHEDULES. THE AUDIT COMMITTEE MEETS WITH ITS TAX PREPARER TO REVIEW THE DRAFT FORM 990 BEFORE IT IS FILED WITH THE IRS. ADDITIONALLY THE COMPENSATION COMMITTEE OF THE BOARD IS PROVIDED WITH A DRAFT COPY OF THE COMPENSATION SECTIONS OF THE FORM 990, AND THE CONFLICT OF INTEREST COMMITTEE OF THE BOARD IS PROVIDED WITH A DRAFT COPY OF THE CONFLICT-OF-INTEREST SECTIONS OF THE FORM 990 FOR REVIEW BEFORE THE FINALIZED DOCUMENT IS FILED WITH THE IRS. EACH VOTING MEMBER OF THE BOARD IS PROVIDED WITH A FINAL COPY OF THE FORM 990 AND ALL REQUIRED SCHEDULES BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CNEW BOARD MEMBERS ARE GIVEN A COPY OF THE BOARD OF GOVERNOR'S CONFLICT OF INTEREST POLICY AND COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. THERE IS A CONFLICT OF INTEREST COMMITTEE OF THE BOARD THAT REVIEWS THE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS THAT ARE COMPLETED BY EACH BOARD MEMBER AND DISCUSSES AND RESOLVES CONFLICTS OF INTEREST, WITH OPPORTUNITY FOR APPEAL TO THE FULL BOARD. IN ADDITION, THE ORGANIZATION HAS A CHIEF COMPLIANCE OFFICER AND COMPLIANCE DEPARTMENT, WHICH ADMINISTER THE CONFLICT OF INTEREST DISCLOSURE PROCESS FOR ALL EMPLOYEES IN CLINICAL, RESEARCH, AND SELECT ADMINISTRATIVE DEPARTMENTS, AS WELL AS EMPLOYEES IDENTIFIED AS SUPERVISORS OR WHO HAVE PURCHASING AUTHORITY. ALL SUCH EMPLOYEES COMPLETE CONFLICT OF INTEREST TRAINING AND A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE COMPLIANCE OFFICER ENSURES EMPLOYEES MEET THESE REQUIREMENTS AND REVIEWS SUBMITTED DISCLOSURES. DISCLOSURES IDENTIFIED AS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARE ADDRESSED BY THE COMPLIANCE OFFICE WITH INVOLVEMENT OF THE INSTITUTIONAL CONFLICT OF INTEREST COMMITTEE AS APPROPRIATE. DEPENDING ON THE FACTS AND CIRCUMSTANCES, THE ACTIVITY MAY BE MANAGED PURSUANT TO A MANAGEMENT PLAN, OR PROHIBITED.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD'S COMPENSATION COMMITTEE COMMISSIONS ANNUAL THIRD PARTY SALARY SURVEYS TO DETERMINE COMPENSATION FOR THE FOLLOWING OFFICERS: CHIEF EXECUTIVE OFFICER, SCIENTIFIC DIRECTOR, CANCER CENTER DIRECTOR, CHIEF ADMINISTRATIVE OFFICER, CHIEF FINANCIAL OFFICER, CLINICAL DIRECTOR, CHIEF GOVERNANCE OFFICER/CORPORATE SECRETARY, AND CHIEF LEGAL OFFICER. IN ADDITION, FIVE EMPLOYEES ARE CONSIDERED "DISQUALIFIED" BECAUSE THEY ARE FORMER EXECUTIVES OR RELATIVES OF CURRENT OR FORMER EXECUTIVES, AND THEIR COMPENSATION THEREFORE FALLS WITHIN THE COMPENSATION COMMITTEE'S PURVIEW. ALL CHANGES TO OFFICERS' SALARIES ARE APPROVED BY THE COMPENSATION COMMITTEE AND REPORTED TO THE BOARD. THE LAST REVIEW WAS COMPLETED IN NOVEMBER 2017.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE ONLY AS REQUIRED BY APPLICABLE STATE LAW.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN UNRESTRICTED NET ASSETS OF ALSAC 557,070,266. CHANGE IN INTEREST IN NET ASSETS OF ALSAC 101,014,399.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHILDREN'S GMP LLC
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THANKS & GIVING LLC
262 DANNY THOMAS PLACEMEMPHISTN381053678201310435ROYALTY INCOME FROM RECORD SALESTN$0$10,632ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
THE RIGHT WORDS LLC
262 DANNY THOMAS PLACEMEMPHISTN381053678954878579ROYALTY INCOME FROM BOOK SALESNY$0$0ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
ST JUDE CHILDREN'S RESEARCH HOSPITAL GRADUATE SCHOOL OF BIOMEDICAL SCIENCES
262 DANNY THOMAS PLACEMEMPHISTN381053678813240987HIGHER EDUCATIONTN$0$0ST JUDE CHILDREN'S RESEARCH HOSPITAL INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 ST JUDE PLACEAddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38105ZIPCd
FieldValueIRS element (for citing)
EIN351044585EIN
Primary ActivitiesSOLICIT SUPPORT FOR THE OPERATION OF ST. JUDEPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd