SAINT JOHN S CANCER INSTITUTE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SAINT JOHN S CANCER INSTITUTE (EIN 95-4291515)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201303179349304240
Schema version
2012v2.1
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)
Timestamp2013-11-13T14:16:12-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRUCE E BERNSTIEN & ASSOC PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110440 N CENTRAL EXPRESSWAY STE 1040AddressLine1
CityDALLASCity
StateTXState
ZIP Code75231ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN954291515EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1John Wayne Cancer InstituteBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BARRY HARDINGInCareOfName
Name ControlJOHNNameControl
Phone3108298411Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 SANTA MONICA BLVDAddressLine1
Address Line2SuiteAddressLine2
CitySANTA MONICACity
StateCAState
ZIP Code90404ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namebarry hardingName
TitlecfoTitle
Phone3108298411Phone
Date Signed2013-11-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRUCE E BERNSTIENName
Phone2147060840Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer Personmichael wallNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12200 Santa Monica BlvdAddressLine1
CitySanta MonicaCity
StateCAState
ZIP Code90404ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13776333GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitehttp://www.jwci.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT RESEARCH AND DEVELOPMENT OF, AND EDUCATION IN, THE BASIC AND CLINICAL SCIENCES FOR THE PREVENTION, DETECTION, DIAGNOSIS, AND TREATMENT OF CANCER.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees113TotalNbrEmployees
Total Nbr Volunteers26TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year11785088ContributionsGrantsPriorYear
Contributions Grants Current Year12956222ContributionsGrantsCurrentYear
Program Service Revenue Prior Year383449ProgramServiceRevenuePriorYear
Program Service Revenue CY330038ProgramServiceRevenueCY
Investment Income Prior Year-30947InvestmentIncomePriorYear
Investment Income Current Year490073InvestmentIncomeCurrentYear
Other Revenue Prior Year14034OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year12151624TotalRevenuePriorYear
Total Revenue Current Year13776333TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8024818SalariesEtcPriorYear
Salaries Etc Current Year8455713SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year755990TotalFundrsngExpCurrentYear
Other Expense Prior Year8230889OtherExpensePriorYear
Other Expenses Current Year7927556OtherExpensesCurrentYear
Total Expenses Prior Year16255707TotalExpensesPriorYear
Total Expenses Current Year16383269TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4104083RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2606936RevenuesLessExpensesCY
Total Assets BOY14813954TotalAssetsBOY
Total Assets EOY15639126TotalAssetsEOY
Total Liabilities BOY1325966TotalLiabilitiesBOY
Total Liabilities EOY4689957TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13487988NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10949169NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO SUPPORT RESEARCH AND DEVELOPMENT OF, AND EDUCATION IN, THE BASIC AND CLINICAL SCIENCES FOR THE PREVENTION, DETECTION, DIAGNOSIS, AND TREATMENT OF CANCER.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3884908Expense
Revenue4435897Revenue
DescriptionMELANOMA RESEARCH: AS ONE OF THE LARGEST MELANOMA CENTERS IN THE U.S., THE INSTITUTE CONDUCTS LANDMARK RESEARCH TO IDENTIFY NEW OR RECURRING MELANOMA AT ITS EARLIEST STAGES, PREDICT AND MONITOR THE RESPONSE TO SYSTEMIC TREATMENTS, AND DEVELOP ACTIVE AND PASSIVE IMMUNOTHERAPIES FOR SURGICAL AND NON-SURGICAL PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1767330Expense
Revenue2512773Revenue
DescriptionMOLECULAR ONCOLOGY: THE KEY FOCUS OF THE DEPARTMENT OF MOLECULAR ONCOLOGY IS THE DEVELOPMENT AND APPLICATION OF MOLECULAR/GENETIC BIOMARKERS FOR THE DIAGNOSIS, PROGNOSIS AND PREDICTION OF TREATMENT RESPONSE OF SOLID TUMORS. EMPHASIS OF STUDIES ARE OF THE SKIN (MELANOMA), BREAST, AND GASTROINTESTINAL TRACT. THE DEPARTMENT HAS DEVELOPED MULTIPLE PLATFORMS TO ASSESS RNA AND DNA OF DIFFERENT TYPES OF TISSUES AND CANCERS TO IMPROVE DIAGNOSIS, PROGNOSIS AND PREDICTION OF TREATMENT RESPONSE AND HAS OVER 12 YEARS OF EXPERIENCE IN THE FIELD AND IS CONTINUALLY IMPROVING APPROACHES TO TRANSLATIONAL QUANTITATIVE ONCOLOGY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1109167Expense
Revenue610983Revenue
DescriptionTranslational Immunology: Studying populations of patients with enhanced immunity to melanocytes (the autoimmune disease vitiligo) and examining archived specimens of tumor tissue. Using these translational tools to identify key pathways of the immune response to melanoma may provide insights to fighting cancer in general.Description

Activity Other ActivityOther (9 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
18705661350Breast & Endocrine Clinical Research
299165306793Experimental Therapeutics Research
324322460572neuro-oncology
127184175397Endocrin/Bone Research
-171Translational Breast Research
3291672103804melanoma research
10536741330541medical postgraduate edu
22523biotech stats
292530304007gastrointestinal
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2635450TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev4742464TotalOfOtherProgramServiceRev
Total Program Service Expense9396855TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109657NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees113NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBARRY HARDINGNamePerson
Telephone Number3108298411TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12121 SANTA MONICA BLVDAddressLine1
CitySanta MonicaCity
StateCAState
ZIP Code90404ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per Week RelatedAverageHoursPerWeekRelatedKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Jay B Lichter PhD
Director1.0X000
David B Tillman MD MPH
Director1.0X000
Patrick Wayne
Chairman1.0X000X
Michael I Wayne Esq
Vice Chairman1.0X000X
Julia S Gouw
Treasurer1.0X000X
Jerome L Coben Esq
Secretary1.0X000X
Lou Lazatin
President & CEO1.0X08398401288523X39.0
Anton Bilchik MD PhD
Director40.0X3547300483
William P Rutledge
treasurer1.0X000X
Michelle Mok
CFO1.0035241850732X39.0
Nancy Harris
CAO1.0022796524954X39.0
mike wall
acting president/ceo0.001834900X40.0
Donald L Morton
Chief, Melanoma Program40.0302126023510X
Dave S B Hoon PhD
Director, Molecular Oncology40.023448108548X
Lee Delphine
Director, Translational Immuno40.0299464017027X
Trilling Andrew
Vice President, Development40.0206622023513X
mark b faries
chief of fellowship & edu40.0190075022858X
myles c cabot
director, exprmntl thrptcs lab40.0149570013833X
stacey l stern
director, data mgmt40.0145113011258X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1882181TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1603713TotalReportableCompFrmRltdOrgs
Total Other Compensation1485239TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line1AddressOfContractor/AddressForeign/AddressLine1CityAddressOfContractor/AddressForeign/CityProvince Or StateAddressOfContractor/AddressForeign/ProvinceOrStateCountryAddressOfContractor/AddressForeign/CountryPostal CodeAddressOfContractor/AddressForeign/PostalCode
regents of university of california
10920 wilshire blvd ste 107LOS ANGELESCA90024subgrant, consulting650680
huron consulting services llc
4795 pasphere circleCHICAGOIL60674financial consulting608553
perkins coie llp
1201 third aveSEATTLEWA98101legal svcs152767
university of utah
201 s presidents circle rm 411SALT LAKE CITYUT84112subgrant, consulting145900
melanoma institute of australia
subgrant, consulting11960040 ROCKLANDS RDNORTH SYDNEYNSWAS2060
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations694661RelatedOrganizations
Government Grants7113125GovernmentGrants
All Other Contributions5148436AllOtherContributions
Total Contributions12956222TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionFELLOWS SURGERY BILLING REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column330038TotalRevenueColumn
Related Or Exempt Function Income330038RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue330038TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column490073TotalRevenueColumn
Exclusion$490,073ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13776333TotalRevenueColumn
Related Or Exempt Function Income330038RelatedOrExemptFunctionIncome
Exclusion$490,073ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total923878Total
Program Services923878ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5296019Total
Program Services4221742ProgramServices
Management And General809055ManagementAndGeneral
Fundraising265222Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total235206Total
Management And General235206ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1519648Total
Program Services1215261ProgramServices
Management And General270436ManagementAndGeneral
Fundraising33951Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total480962Total
Management And General480962ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total305896Total
Program Services1568ProgramServices
Management And General295079ManagementAndGeneral
Fundraising9249Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total-44250Total
Management And General-44250ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1024467Total
Program Services247707ProgramServices
Management And General731396ManagementAndGeneral
Fundraising45364Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total98918Total
Program Services25605ProgramServices
Management And General12370ManagementAndGeneral
Fundraising60943Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total838629Total
Program Services609315ProgramServices
Management And General207800ManagementAndGeneral
Fundraising21514Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1641462Total
Program Services715ProgramServices
Management And General1640747ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total244845Total
Program Services175695ProgramServices
Management And General10109ManagementAndGeneral
Fundraising59041Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total409485Total
Management And General409485ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total218070Total
Program Services135704ProgramServices
Management And General82366ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OUTSIDE SERVICES1781467116407760065016740
SUBGRANT COSTS7761936330109426148922
EQUIPMENT RENT AND MAINTENANCE4066153078136307212762
PUBLIC RELATIONS & DIRECT MAIL182239182239

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total43520Total
Program Services11797ProgramServices
Management And General31680ManagementAndGeneral
Fundraising43Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16383269Total
Program Services9396855ProgramServices
Management And General6230424ManagementAndGeneral
Fundraising755990Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-2766746BOY
EOY-2665115EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3923731BOY
EOY6535523EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY11919061BOY
EOY9221134EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY104265BOY
EOY44215EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY71914EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY157524BOY
EOY137618EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13281866LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11037241LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1315308BOY
EOY2244625EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY160811BOY
EOY49212EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14813954BOY
EOY15639126EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY545128BOY
EOY745060EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY780838BOY
EOY3944897EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1325966BOY
EOY4689957EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-669271BOY
EOY-744108EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14157259BOY
EOY11693277EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13487988BOY
EOY10949169EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14813954BOY
EOY15639126EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2606936ReconcilationRevenueExpenses
Reconcilation Other Changes68117ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research Org170b1 AiiiXMedicalResearchOrg170b1Aiii

Hospital Name And Address HospitalNameAndAddress

Name Name

FieldValueIRS element (for citing)
Business Name Line1saint john's health centerBusinessNameLine1
FieldValueIRS element (for citing)
Citysanta monicaCity
StateCAState

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis6625599OtherCostOrOtherBasis
Depreciation6176625Depreciation
Book Value448974BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis6656266OtherCostOrOtherBasis
Depreciation4860616Depreciation
Book Value1795650BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings2244624TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED SALARIES & EMPLOYEE BE$834,596
DEFERRED REVENUE$39,524
DUE TO RELATED PARTY$3,027,508
CAPITAL LEASE OBLIGATION$43,269
FieldValueIRS element (for citing)
Total Of Amounts3944897TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt13864451TotRevenueEtcAuditedFinclStmt
Other Revenues88118OtherRevenues
Revenue Not Rptd F99088118RevenueNotRptdF990
Revenue Subtotal13776333RevenueSubtotal
Total Revenue Per Form99013776333TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16403269TotExpensesEtcAuditedFinclStmt
Expenses Subtotal16403269ExpensesSubtotal
Total Expenses Per Form99016403269TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
Identifierreconciliation of expensesIdentifier
Return Referenceform 990, SCHEDULE D, PART XII, LINE 2d:ReturnReference
ExplanationBENEFICIAL INTEREST IN FOUNDATION NPV ADJ $ 74,510 SAINT JOHN'S MEDICAL STAFF EXPENSES $ 20,000 UNEXPENDED CONTRIBUTIONS RETURNED $ ( 6,393) rounding $ 1Explanation

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Europe (Including Iceland and Greenland)Program ServicesSITE STUDIES292700
East Asia and the PacificProgram Servicessite studies144250
North AmericaProgram Servicessite studies20075
Middle East and North AfricaProgram Servicessite studies1350
FieldValueIRS element (for citing)
Subtotal Amount Spent458375SubtotalAmountSpent
Total Amount Spent458375TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierMonitor Use of FundsIdentifier
Return Referenceform 990, Schedule F, Part I, line 2:ReturnReference
ExplanationPAYMENT IS MADE ONLY WHEN DATA SUBMISSION CONFIRMS PROTOCOL COMPLIANCE. THE INSTITUTE ENFORCES CONTROL OF THE WORK PRODUCT AT ALL TIMES.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Lou Lazatin
President & CEO0600633014748309172401281144073790212836300
Michelle Mok
CFO03019460485110196104857002162040315000
Nancy Harris
CAO01937700003419501987505079025291900
Anton Bilchik MD PhD
Director3538440008860004830355213000
Donald L Morton
Chief, Melanoma Program29177100010355000235100325636000
Dave S B Hoon PhD
Director, Molecular Oncology227016000746500085480243029000
Lee Delphine
Director, Translational Immuno2981270001337000170270316491000
Trilling Andrew
Vice President, Development1571180486140890000235130230135000
mark b faries
chief of fellowship & edu1889800001095000228580212933000
myles c cabot
director, exprmntl thrptcs lab1495700000000138330163403000
stacey l stern
director, data mgmt1451130000000112580156371000
mike wall
acting president/ceo018349000000000018349000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
questions regarding compensationform 990, sch j, part i, line 1a:FIRST CLASS TRAVEL IS NECESSARY DUE TO AGE AND FRAIL HEALTH OF THE TRAVELER.
executive compensationform 990, sch j, part i, line 3:SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS & STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHARE SYSTEMS AND HOSPITALS.
supplemental non-qualified retirement planform 990, sch j, part i, line 4b:OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR IRS IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANTS EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANTS ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2012 WERE: lourdes j. lazatin $ 51,667
officers, directors, trustees, key employee, and highest compensatedform 990, sch j, part ii:THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND THREE CLINICS (AFFILIATES) IN FOUR STATES INCLUDING JOHN WAYN CANCER INSTITUTE'S (JWCI) IN SANTA MONICA, CALIFORNIA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. LOURDES J. LAZATIN IS PRESIDENT & CHIEF EXECUTIVE OFFICER AT SAINT JOHN'S HOSPITAL AND HEALTH CENTER (SAINT JOHN'S) IN SANTA MONICA, CALIFORNIA. SHE ALSO SERVES AS A MEMBER OF JWCI'S BOARD. THE COMPENSATION REFLECTED IS THAT OF MS. LAZATIN'S POSITION AS A SAINT JOHN'S EXECUTIVE AND NOT AS A MEMBER OF JWCI'S BOARD. MICHELLE MOK IS VICE PRESIDENT & CHIEF FINANCIAL OFFICER AT SAINT JOHN'S HEALTH CENTER (SAINT JOHN'S) IN SANTA MONICA, CALIFORNIA. SHE ALSO SERVES AS AN OFFICER OF JWCI. THE COMPENSATION REFLECTED IS THAT OF MS. MOK'S POSITION AS A SAINT JOHN'S EXECUTIVE AND NOT AS AN OFFICER OF JWCI. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE.

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonJames HardinNamePerson
Relationship With Organizationpast ceoRelationshipWithOrganization
Purpose Of LoanRecruitment LoanPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$400,000OriginalPrincipalAmount
Balance Due71914BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due71914TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FAMILY OR BUSINESS RELATIONSHIPFORM 990, PART VI, SECTION A, LINE 2:DIRECTORS OF THE INSTITUTION, PATRICK WAYNE AND MICHAEL WAYNE ARE RELATED TO ONE ANOTHER BY FAMILY. delegate control over management: from 990, part vi, section a, line 3: ALTHOUGH THESE SERVICES MAY NOT ALL RISE TO THE LEVEL OF MANAGEMENT CONTROL AS DEFINED IN THE 990 INSTRUCTION, WE HAVE IN THE SPIRIT OF FULL TRANSPARENCY PROVIDED THE FOLLOWING DISCLOSURE. AS A MEMBER OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, THIS PROVIDER MAY HAVE INDIVIDUAL AND/OR SYSTEM CONTRACT(S) THAT HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES IN SOME OR ALL OF THE FOLLOWING AREAS: DIETARY AND FOOD SERVICE HOUSEKEEPING SUPPLY CHAIN REVENUE CYCLE SECURITY SUPPLY CHAIN REVENUE CYCLE
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, SECTION A, LINE 6:SAINT JOHN'S HEALTH CENTER IS THE SOLE CORPORATE MEMBER OF JOHN WAYNE CANCER INSTITUTE.
ELECTING THE GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7A & 7B:PURSUANT TO THE BYLAWS, JOHN WAYNE CANCER INSTITUTE HAS A SOLE CORPORATE MEMBER, WHICH IS SAINT JOHN'S HEALTH CENTER. INDIVIDUALS NOMINATED FOR APPOINTMENT TO JOHN WAYNE CANCER INSTITUTE'S BOARD OF DIRECTORS ARE RECOMMENDED AND APPROVED BY THE SAINT JOHN'S HEALTH CENTER BOARD OF DIRECTORS. CEO AND SOME OF THE OFFICERS HAVE SHARED RESPONSIBILITIES BETWEEN JOHN WAYNE CANCER INSTITUTE AND SAINT JOHN'S HEALTH CENTER. THE FOLLOWING INDIVIDUALS DEVOTE A PERCENTAGE OF THEIR TIME TO EACH ENTITY: LOU LAZATIN: 90% SAINT JOHN'S, 5% SAINT JOHN'S FDTN, 5% JOHN WAYNE MICHELLE MOK: 95% SAINT JOHN'S, 5% JOHN WAYNE
FORM 990 REVIEWFORM 990, PART VI, SECTION B, LINE 11B:A COPY OF THE form 990 AND ITS SUPPORTING SCHEDULES are DISTRIBUTED TO THE JOHN WAYNE CANCER INSTITUTE MANAGEMENT, GOVERNING BODY, and SCLHS SYSTEM OFFICE FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. THE RETURN IS ALSO prepared and REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING.
MONITORING AND ENFORCING COMPLIANCEFORM 990, PART VI, SECTION B, LINE 12C:THE ADMINISTRATIVE DIRECTOR OF COMPLIANCE AND LEGAL, THE AUDIT COMMITTEE, AND THE GOVERNING BOARD REVIEWS THE CONFLICT OF INTEREST STATEMENTS. POTENTIAL CONFLICTS ARE REVIEWED BY THE ORGANIZATIONAL RESPONSIBILITY OFFICER AND THE CEO. SIGNIFICANT ISSUES ARE REVIEWED BY THE COMPLIANCE AND LEGAL, THE AUDIT COMMITTEE AND THE GOVERNING BOARD AND RESOLVED ACCORDINGLY UNDER GUIDANCE FROM LEGAL COUNSEL.
PUBLIC VIEWING OF DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19:JOHN WAYNE CANCER INSTITUTE PROVIDES VIEWING OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS UPON REQUEST THROUGH ADMINISTRATION.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9:BENEFICIAL INTEREST IN FOUNDATION NPV ADJ $ 74,510 UNEXPENDED CONTRIBUTIONS RETURNED $ ( 6,393) rounding $ 1

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (29 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SISTERS OF CHARITY LEAVENWORTH HLTH SYST
2420 w 26th ave ste 100ddenverCO80211237379161support mmbrsKS501(c)(3)11B-TYPE IINA
CARITAS CLINICS INC
818 NORTH 7TH STREETLEAVENWORTHKS66048481009910CLINIC SVCSKS501(c)(3)3sclhstrue
MARIAN CLINIC INC
1001 SW GARFIELDTOPEKAKS66604481046905CLINIC SVCSKS501(c)(3)3sclhstrue
MARILLAC CLINIC INC
2333 N 6TH STREETGRAND JUNCTIONCO81501841085822CLINIC SVCSCO501(c)(3)3sclhstrue
PROVIDENCE MEDICAL CENTER
8929 PARALLEL PARKWAYKANSAS CITYKS66112480784446HEALTHCAREKS501(c)(3)3sclhstrue
ST JOHN HOSPITAL INC
3500 SOUTH FOURTH STREETLEAVENWORTHKS66048480543768HEALTHCAREKS501(c)(3)3pmctrue
BETHANY COMMUNITY PLAZA INC
15 NORTH 12TH STREETKANSAS CITYKS66102481207407HEALTHCAREKS501(c)(3)3pmctrue
PROVIDENCEST JOHN FOUNDATION INC
8929 PARALLEL PARKWAYKANSAS CITYKS66112480925688SUPPORT 501C3KS501(c)(3)7pmctrue
ST FRANCIS HEALTH CENTER INC
1700 SW 7TH STREETTOPEKAKS66606480547719HEALTHCAREKS501(c)(3)3sclhstrue
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREETTOPEKAKS66606481092520SUPPORT 501C3KS501(c)(3)11A-TYPE Isfhctrue
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 N 7TH STREETGRAND JUNCTIONCO81502840425720HEALTHCARECO501(c)(3)3sclhstrue
ST MARYS HOSPITAL FOUNDATION
2635 N 7TH STREETGRAND JUNCTIONCO81502237001007SUPPORT 501C3CO501(c)(3)11A-TYPE Ismhmctrue
SAINT JOSEPH HOSPITAL FOUNDATION
1835 FRANKLIN STREETDENVERCO80218840735096SUPPORT 501C3CO501(c)(3)11A-TYPE Isjhtrue
HOLY ROSARY HEALTHCARE
2600 WILSONMILES CITYMT59301810231792HEALTHCAREMT501(c)(3)3sclhstrue
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSONMILES CITYMT59301202270238SUPPORT 501C3MT501(c)(3)11A-TYPE Ihrhctrue
ST VINCENT HEALTHCARE
1233 NORTH 30THBILLINGSMT59101810232124HEALTHCAREMT501(c)(3)3sclhstrue
ST VINCENT HEALTHCARE FOUNDATION
PO BOX 35200BILLINGSMT59107810468034SUPPORT 501C3MT501(c)(3)7svhctrue
NORTHWEST RESEARCH & EDUCATION INSTITUTE
315 NORTH 25TH STREETBILLINGSMT59101201343024COMM HLTH RESMT501(c)(3)9svhctrue
ST JAMES HEALTHCARE
400 SOUTH CLARK STREETBUTTEMT59701810231785HEALTHCAREMT501(c)(3)3sclhstrue
ST JAMES HEALTHCARE FOUNDATION
400 SOUTH CLARK STREETBUTTEMT59701651202190SUPPORT 501C3MT501(c)(3)11A-TYPE Isjhctrue
SAINT JOHNS HEALTH CENTER
2121 SANTA MONICA BLVDSANTA MONICACA90404951684082HEALTHCARECA501(c)(3)3sclhstrue
SAINT JOHNS HEALTH CENTER FNDTN
2121 SANTA MONICA BLVDSANTA MONICACA90404956100079SUPPORT 501C3CA501(c)(3)11A-TYPE Isjhctrue
EXEMPLA INC FKA LUTHERAN HOSPITAL
2420 W 26TH AVE SUITE 100DDENVERCO80211841103606HEALTHCARECO501(c)(3)3sclhstrue
EXEMPLA LUTHERAN MEDICAL CENTER FNDTN
2480 W 26TH AVESUITE 360BDENVERCO80211208846152SUPPORT 501C3CO501(c)(3)7exempla inctrue
EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN
200 EXEMPLA CIRCLELAFAYETTECO80026841649162SUPPORT 501C3CO501(c)(3)7exempla inctrue
LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST
2480 W 26TH AVESUITE 360BDENVERCO80211742571584INSURANCECO501(c)(3)11A-TYPE Iexempla inctrue
SAINT JOSEPH HOSPITAL
1835 FRANKLIN STREETDENVERCO80218840417134HEALTHCARECO501(c)(3)3sclhstrue
JOHN WAYNE CANCER INSTITUE AUXILIARY
2200 SANTA MONICA BLVDSANTA MONICACA90404953987691support 501c3CA501(c)(3)11A-TYPE Isjhhctrue
mount st vincent home inc
4159 lowell blvddenverCO80211840405260resident careCO501(c)(3)11a-type iisclhstrue

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsGeneral Or Managing PartnerGeneralOrManagingPartnerCode VCodeVAmount
PAVILION IMAGING LLC
750 WELLINGTONGRAND JUNCTIONCO81501030516198RADIOLOGYCONAnone00false
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTONGRAND JUNCTIONCO81501841505075OP SURGERYCONAnone00false
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401202856331OP CANCERCONAnone00false
BILLINGS MRI CENTER LLC
1041 NORTH 29TH STREETBILLINGSMT59101810450943MRI-PET SCANMTNAnone00false
LUTHERAN CAMPUS ASC LLC
3455 LUTHRN PKW SUITE 150WHEATRIDGECO800336028020749532OP SURGERYCONA
COLORADO SURGICAL VENTURES LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038915OP SURGERYCONAnone00false$0
COLORADO SURGICAL HOSPITAL LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038977OP SURGERYCONA$0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
CARITAS INC AND SUBSIDIARIES
9801 RENNER BOULEVARD SUITE 100LENEXAKS66219480941069OTHER MEDICALKSC CORP
LEAVEN INSURANCE COMPANY LTD
980370522INSURANCE23 LIME TREE BAY AVE POB 1051GEORGETOWNGRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
john wayne cancer institute auxiliary
c281811cash
saint john's health center fdtn
C3664850cash
SAINT JOHN'S HEALTH CENTER fdtn
o193042cash
SAINT JOHN's HEALTH CENTER
c426229cash
SAINT JOHN'S HEALTH CENTER
k1287858cash
SAINT JOHN'S HEALTH CENTER
o104655cash
SAINT JOHN'S HEALTH CENTER
q1563516cash
SAINT JOHN'S HEALTH CENTER
p102049cash

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