FURP.ORG / PUBLIC DATA EXPLORER

PROVIDENCE SAINT JOHNS HEALTH CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE SAINT JOHNS HEALTH CENTER (EIN 95-1684082)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201333179349304378
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)
EIN951684082EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT JOHN'S HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BARRY HARDINGInCareOfName
Name ControlSAINNameControl
Phone3108295511Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 Santa Monica BlvdAddressLine1
Address Line2SuiteAddressLine2
CitySanta MonicaCity
StateCAState
ZIP Code904042091ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namebarry hardingName
Titlebd memberTitle
Phone3108295511Phone
Date Signed2013-11-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRUCE E BERNSTIENName
Phone2147060840Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12121 SANTA MONICA BLVDAddressLine1
CitySANTA MONICACity
StateCAState
ZIP Code90404ZIPCode
FieldValueIRS element (for citing)
Gross Receipts313864317GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.stjohns.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1942YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionWE WILL IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees1855TotalNbrEmployees
Total Nbr Volunteers438TotalNbrVolunteers
Total Gross UBI6219107TotalGrossUBI
Net Unrelated Business Txbl Income1060595NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12937302ContributionsGrantsPriorYear
Contributions Grants Current Year20826974ContributionsGrantsCurrentYear
Program Service Revenue Prior Year270314017ProgramServiceRevenuePriorYear
Program Service Revenue CY286761822ProgramServiceRevenueCY
Investment Income Prior Year520663InvestmentIncomePriorYear
Investment Income Current Year2025772InvestmentIncomeCurrentYear
Other Revenue Prior Year8055610OtherRevenuePriorYear
Other Revenue Current Year3623684OtherRevenueCurrentYear
Total Revenue Prior Year291827592TotalRevenuePriorYear
Total Revenue Current Year313238252TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1641754GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY898028GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year124437078SalariesEtcPriorYear
Salaries Etc Current Year124335798SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year172302261OtherExpensePriorYear
Other Expenses Current Year194883448OtherExpensesCurrentYear
Total Expenses Prior Year298381093TotalExpensesPriorYear
Total Expenses Current Year320117274TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6553501RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-6879022RevenuesLessExpensesCY
Total Assets BOY578011256TotalAssetsBOY
Total Assets EOY180441946TotalAssetsEOY
Total Liabilities BOY125428393TotalLiabilitiesBOY
Total Liabilities EOY139221021TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY452582863NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY41220925NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE WILL IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense33657738Expense
Revenue38147591Revenue
DescriptionORTHOPEDICS: SPECIALIZING IN JOINT AND SPINAL SURGERY, SAINT JOHN'S HAS BEEN RECOGNIZED AS A TOP 100 ORTHOPEDICS SPECIALTY HOSPITAL FOR HIP REPLACEMENTS, AND IN 2008 WAS THE HOST FACILITY FOR THE PRESTIGIOUS INTERNATIONAL LETOURNEL SYMPOSIUM ON HIP AND PELVIC TRAUMA.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense19293729Expense
Revenue15278186Revenue
DescriptionCARDIAC CARE: SAINT JOHN'S PROGRAM INCLUDES A WIDE RANGE OF DIAGNOSTIC AND THERAPEUTIC CARDIAC SERVICES, INCLUDING LEADERSHIP WITH BLOODLESS MEDICINE AND BLOODLESS CARDIAC SURGERY, PERCUTANEOUS CORONARY INTERVENTIONS, ABLATIONS, AND TRADITIONAL CARDIAC SURGERIES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense17561129Expense
Revenue21806443Revenue
DescriptionOBSTETRICS: OUR OBSTETRICS PROGRAM INCLUDES LABOR, DELIVERY AND RECOVERY SUITES, MOTHER-BABY COUPLETE CARE UNIT, NEONATAL INTENSIVE CARE UNIT, LACTATION STORE, AND SUPPORT PROGRAM FOR BREASTFEEDING MOTHERS.Description

Activity Other ActivityOther (4 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
3728573632169804general medicine
2981161631390438general surgery
1518403517534142spine
128976119131238460other program svcs
FieldValueIRS element (for citing)
Total Of Other Program Service Exp211257506TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev212332844TotalOfOtherProgramServiceRev
Total Program Service Expense281770102TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash 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 With1096255NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1855NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
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 Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
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 VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
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 Code904042091ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Bauder Sr Marianna
Bd Member1.0X000
Ewell Daniel
Bd Member1.0X000
Brown Abbott
Bd Member1.0X000
Flaherty Mary
Chair1.0X000X
Goldman Allan
Treasurer1.0X000X
Geiser Thomas
Bd Member1.0X000
Kuhn MD Gilbert
Bd Member1.0X000
Laurance PhD Dale
Bd Member1.0X000
McKinizie Carl
Secretary1.0X000X
Garland William III
Bd Member1.0X000
Phelps Sr Constance
Bd Member1.0X000
Slubowski Michael
System President, CEO1.0X0151370336584X
Jones Steaven
Bd Member1.0X000
Kino MD Russ
Bd Member1.0X000
Tuttle Donna
Bd Member1.0X000
Lazatin Lou
Bd Member1.0X08398401288523
Phelps Sr Constance
Bd Member1.0X000
Howie Gordon
Bd Member1.0X000
Maureen Sr Hall
Bd Member1.0X000
Lynn Sr Casey
Bd Member1.0X000
Michelle Mok
CFO1.0035241850732X
Vasak MD Lisa
CMO1.0000X
Dawna Hendel
VP Patient Care/CNO1.0027489543860X
Ramirez L Eleanor
COO1.00102231930388X
Akhavan Jaleh
Director of Surgery1.016377106132X
Klein Robert O
Vice President1.0225341033333X
Bailey Dorothy A
Clinical Nurse1.0212547016807X
Streeter Kevin
Department Director Nursing1.0201772019758X
Slates Randal
Physicist1.0193552039460X
Khajehmiraki Sara
Charge Nurse1.0180335028120X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1177318TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4003175TotalReportableCompFrmRltdOrgs
Total Other Compensation1593697TotalOtherCompensation
Number Individuals GT100 K259NumberIndividualsGT100K
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 ServicesDescriptionOfServicesCompensationCompensation
Cymetrix
5 Corporate Park Ste 280IRVINECA92606Revenue Cycle Mgmt8527654
comforce
17682 MITCHELL 100IRVINECA92614NURSING REGISTRY6263742
Aramark Corporation
PO Box 651009CHARLOTTENC282651009FOOD SERVICE4608209
calcrete construction inc
11666 pendleton stSUN VALLEYCA91352construction svcs4040878
medi-dyn inc
13111 e briarwood ave ste 2ENGLEWOODCA80112environmental svcs2662727
FieldValueIRS element (for citing)
Number Of Contractors GT100 K71NumberOfContractorsGT100K
Related Organizations5926894RelatedOrganizations
Government Grants899135GovernmentGrants
All Other Contributions14000945AllOtherContributions
Total Contributions20826974TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT CARE REVENUE6215002845517582788257115726047
RENTAL INCOME FROM AFFILIATED EXEMPT ORGANIZATION53119022100642210064
FieldValueIRS element (for citing)
Total Program Service Revenue286761822TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1818557TotalRevenueColumn
Unrelated Business Revenue493060UnrelatedBusinessRevenue
Exclusion$1,325,497ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real929964Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real626065Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real303899Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column303899TotalRevenueColumn
Exclusion$303,899ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other207215Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other207215Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column207215TotalRevenueColumn
Exclusion$207,215ExclusionAmount

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA SALES7224101004627$1,004,627
EDUCATION PROGRAM REVENUE611420681938681938
PARKING REVENUE812930426989$426,989

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1206231TotalRevenueColumn
Related Or Exempt Function Income121304RelatedOrExemptFunctionIncome
Exclusion$1,084,927ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3319785TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column313238252TotalRevenueColumn
Related Or Exempt Function Income281839017RelatedOrExemptFunctionIncome
Unrelated Business Revenue6219107UnrelatedBusinessRevenue
Exclusion$4,353,154ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total898028Total
Program Services898028ProgramServices

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total97877991Total
Program Services91792178ProgramServices
Management And General6085813ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6239451Total
Program Services5494513ProgramServices
Management And General744938ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13213213Total
Program Services12540628ProgramServices
Management And General672585ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7005143Total
Program Services6655141ProgramServices
Management And General350002ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3860924Total
Program Services3860924ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2681617Total
Program Services105062ProgramServices
Management And General2576555ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total61019Total
Management And General61019ManagementAndGeneral

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)
Total8115891Total
Program Services6318602ProgramServices
Management And General1797289ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1534717Total
Program Services2737ProgramServices
Management And General1531980ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4790536Total
Program Services4641603ProgramServices
Management And General148933ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6389875Total
Program Services52875ProgramServices
Management And General6337000ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12183832Total
Program Services10963114ProgramServices
Management And General1220718ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total135577Total
Program Services40462ProgramServices
Management And General95115ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total101508Total
Program Services25234ProgramServices
Management And General76274ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3166180Total
Program Services3166180ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total14867540Total
Management And General14867540ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total30317676Total
Program Services30254529ProgramServices
Management And General63147ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3209270Total
Program Services3209270ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES4664144346523072118371
CA HOSPITAL QUALITY FEE1471402714714027
EQUIPMENT RENTAL & MAINTENANCE83235658323565
MEDICAL PROFESSIONAL FEES68628206089732773088

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total26925431Total
Program Services26098626ProgramServices
Management And General826805ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total320117274Total
Program Services281770102ProgramServices
Management And General38347172ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY30022464BOY
EOY4986822EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY12985490BOY
EOY2000000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY30781293BOY
EOY35929185EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY-39307EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5545990BOY
EOY5273028EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5011209BOY
EOY6203162EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis357615512LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec266726598LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY495456653BOY
EOY90888914EOY

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
EOY21261490EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY-1791843BOY
EOY13938652EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY578011256BOY
EOY180441946EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY32205138BOY
EOY35346378EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY46732EOY

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)
BOY93223255BOY
EOY103827911EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY125428393BOY
EOY139221021EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY428441761BOY
EOY35144386EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY24141102BOY
EOY6076539EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY452582863BOY
EOY41220925EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY578011256BOY
EOY180441946EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-6879022ReconcilationRevenueExpenses
Reconcilation Other Changes-404482916ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$61,019OtherActivitiesAmount
Total Lobbying Expenditures IIB61019TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying Activity ExplanationIdentifier
Return ReferenceSchedule C, Part II-B, line 1i:ReturnReference
ExplanationSaint John's Health Center is a member of and pays annual membership dues to the Alliance of Catholic Health Care and the Hospital Association of Southern California. Both organizations engage in lobbying activities and a percentage of the membership dues supports these activities.Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance21699193BeginningOfYearBalance
Contributions90527Contributions
Investment Earnings Or Losses2202784InvestmentEarningsOrLosses
Grants Or Scholarships939365GrantsOrScholarships
End Of Year Balance23053139EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance22270167BeginningOfYearBalance
Contributions181487Contributions
Investment Earnings Or Losses14905InvestmentEarningsOrLosses
Grants Or Scholarships769628GrantsOrScholarships
End Of Year Balance21696931EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance23640016BeginningOfYearBalance
Contributions-933455Contributions
Investment Earnings Or Losses-4202031InvestmentEarningsOrLosses
Grants Or Scholarships724791GrantsOrScholarships
End Of Year Balance17779739EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.37000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.63000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis30756765OtherCostOrOtherBasis
Book Value30756765BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis149889396OtherCostOrOtherBasis
Depreciation129102887Depreciation
Book Value20786509BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4202011OtherCostOrOtherBasis
Depreciation1059905Depreciation
Book Value3142106BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis172767341OtherCostOrOtherBasis
Depreciation136563806Depreciation
Book Value36203535BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings90888915TotalOfBookValueLandBuildings
Total Of Book Value Program Related21261490TotalOfBookValueProgramRelated

Other Assets OtherAssets (11 entries)

DescriptionDescriptionBook ValueBookValue
FOUNDATION RECEIVABLE2081714
DEPOSITS620567
JWCI RECEIVABLE322422
SCLHS RECEIVABLE-5018043
SJSM RECEIVABLE-573549
SMC RECEIVABLE573549
OTHER RECEIVABLE2291583
OTHER CURRENT ASSET0
GOODWILL13248000
INTANGIBLE-OTHER400000
SYSTEM OFFICE RECEIVABLE-7591
FieldValueIRS element (for citing)
Total Book Value Other Assets13938652TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
ESTIMATED 3RD PARTY SETTLEMENT$4,664,810
PYBL TO JOHN WAYNE CANCER INST$0
OTHER PAYABLES$444,195
LONG TERM DEBT$54,166,407
NOTES PAYABLE$43,806,302
ACCRUED INTEREST PAYABLE$746,197
FieldValueIRS element (for citing)
Total Of Amounts103827911TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierINTENDED USES OF ENDOWNMENT FUNDS AT SAINT JOHN'S HEALTH CENTER/FOUNDATIONIdentifier
Return ReferenceSCHEDULE D, PART V, LINE 4:ReturnReference
ExplanationINCOME IS USED TO SUPPORT VARIOUS PROGRAMS AND SERVICES OF SAINT JOHN'S HEALTH CENTER.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2493891TotalCommunityBenefitExpense
Net Community Benefit Expense2493891NetCommunityBenefitExpense
Percent Of Total Expense0.00790PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense3953947TotalCommunityBenefitExpense
Direct Offsetting Revenue1364910DirectOffsettingRevenue
Net Community Benefit Expense2599036NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense605741TotalCommunityBenefitExpense
Direct Offsetting Revenue4018DirectOffsettingRevenue
Net Community Benefit Expense601724NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense7053579TotalCommunityBenefitExpense
Direct Offsetting Revenue1368928DirectOffsettingRevenue
Net Community Benefit Expense5694651NetCommunityBenefitExpense
Percent Of Total Expense0.01810PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense950461TotalCommunityBenefitExpense
Net Community Benefit Expense950461NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense453434TotalCommunityBenefitExpense
Direct Offsetting Revenue21348DirectOffsettingRevenue
Net Community Benefit Expense432086NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4103598TotalCommunityBenefitExpense
Direct Offsetting Revenue2781741DirectOffsettingRevenue
Net Community Benefit Expense1321857NetCommunityBenefitExpense
Percent Of Total Expense0.00420PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense230051TotalCommunityBenefitExpense
Net Community Benefit Expense230051NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense898028TotalCommunityBenefitExpense
Net Community Benefit Expense898028NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6635572TotalCommunityBenefitExpense
Direct Offsetting Revenue2803089DirectOffsettingRevenue
Net Community Benefit Expense3832483NetCommunityBenefitExpense
Percent Of Total Expense0.01220PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense13689151TotalCommunityBenefitExpense
Direct Offsetting Revenue4172017DirectOffsettingRevenue
Net Community Benefit Expense9527134NetCommunityBenefitExpense
Percent Of Total Expense0.03030PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense5904TotalCommunityBuildingExpense
Net Community Building Expense5904NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense904275TotalCommunityBuildingExpense
Direct Offsetting Revenue540169DirectOffsettingRevenue
Net Community Building Expense364106NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense910179TotalCommunityBuildingExpense
Direct Offsetting Revenue540169DirectOffsettingRevenue
Net Community Building Expense370010NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,265,801BadDebtExpenseAmount
Amount Reimbursed By Medicare80284945AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare111081742CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-30796797MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1SM Wilshire ImagingBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityOutpatient Imaging CenterDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1saint johns health centerBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12121 santa monica blvdAddressLine1
Citysanta monicaCity
StateCAState
ZIP Code904042091ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1saint johns health centerBusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted10NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent250.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent250.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicyfalseNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1SANTA MONICA WILSHIRE IMAGINGBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12200-2202 WILSHIRE BLVDAddressLine1
CitySANTA MONICACity
StateCAState
ZIP Code90404ZIPCode
FieldValueIRS element (for citing)
Facility TypeOUTPAT/IMAGING CTRFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
REQUIRED DESCRIPTIONSPART I, LINE 3C: N/A PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS SUBMITTED TO THE STATE OF CALIFORNIA AND CITY OF SANTA MONICA AND IS AVAILABLE UPON REQUEST. THE REPORT WILL ALSO BE DISCUSSED DURING A COMMUNITY MEETING OPEN TO THE PUBLIC HELD AS PART OF THE COMMUNITY NEEDS ASSESSMENT. SAINT JOHN'S HEALTH CENTER ALSO PLACES THE COMMUNITY BENEFIT REPORT ON ITS WEBSITE. PART I, LINE 7G: SAINT JOHN'S HEALTH CENTER PROVIDES 10 PROGRAMS REPORTED AS SUBSIDIZED HEALTH SERVICES. THERE IS ONE MEDICAL DIRECTOR AND FIVE PHYSICIANS ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES AND TOTAL CONTRIBUTABLE AMOUNT IS $1,321,857. ALL SERVICES ARE MEETING IDENTIFIED COMMUNITY HEALTH NEEDS, AND THAT NEED IS VERIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2010. PART I, LINE 7, COLUMN F: BAD DEBT EXPENSE IS NOT INCLUDED IN THE DENOMINATOR. PART I, LINE 7: CHARITY CARE AND OTHER COMMUNITY BENEFIT COSTS ARE CALCULATED BASED ON THE COSTING METHODOLOGY AND DO NOT INCLUDE BAD DEBT EXPENSES OR NON-PATIENT CARE ACTIVITY REVENUE. PART II: OUR COMMUNITY BUILDING EXPENSES ARE THOSE IDENTIFIED IN OUR COMMUNITY NEEDS ASSESSMENT AS CONTRIBUTING TO THE HEALTH OF THE COMMUNITY, BUT NOT DIRECTLY PROVIDING HEALTH SERVICES. THE NEEDS ASSESSMENT IS VALIDATED BY OUR COMMUNITY ADVISORY COMMITTEE WHICH REVIEWS EACH ASSESSMENT AND COLLABORATES ON THE SELECTION OF PRIORITIZED NEEDS. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. WITHIN THE FINANCIAL STATEMENTS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, BAD DEBT EXPENSE IS INCLUDED WITHIN OPERATING EXPENSES, AT THE VALUE OF UNCOLLECTED AND ESTIMATED UNCOLLECTIBLE COSTS AFTER CONTRACTUAL ALLOWANCES AND SELF-PAY DISCOUNTS ARE APPLIED. PART III, LINE 8: SAINT JOHN'S HEALTH CENTER DID NOT REPORT ANY SHORTFALL IN MEDICARE REIMBURSEMENT AS COMMUNITY BENEFIT ON PART III, LINE 8. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST IS AS REPORTED ON SAINT JOHN'S HEALTH CENTER'S ANNUAL COST REPORT FILED WITH CMS FOR CALENDAR YEAR 2012. PART III, LINE 9B: SAINT JOHN'S HEALTH CENTER HAS BILLING AND COLLECTION PRACTICES IN PLACE THAT TAKE INTO ACCOUNT EACH PATIENT'S ABILITY TO PAY, AND THAT DEMONSTRATE OUR CORE VALUE OF RESPECT. WE WORK WITH EACH PATIENT TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS. AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. THIS BALANCE ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST, AND TO ENSURE THAT WE WILL BE HERE WHEN PEOPLE NEED US. SAINT JOHN'S HEALTH CENTER NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION, DISCHARGE AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. IN 2012, SAINT JOHN'S HEALTH CENTER PROVIDED A TOTAL OF $2,493,891 IN TRADITIONAL CHARITY CARE AND $2,589,036 UNPAID COST OF MEDICAID.
NEEDS ASSESSMENTAS PART OF OUR CORE VALUE OF RESPONSE TO NEED, WE TAKE STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD. SAINT JOHN'S HEALTH CENTER HAS REGULARLY PARTICIPATED IN NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. THE MOST RECENT SURVEY WAS CONDUCTED IN 2010, AND ONE IS SCHEDULED TO BE COMPLETED IN 2013. THIS ASSESSMENT STUDIES A DEFINED COMMUNITY SERVED BY SAINT JOHN'S HEALTH CENTER, AND IS DONE BY PARTNERING WITH LOCAL GOVERNMENT AND SOCIAL AGENCIES; COMBINING EFFORTS WITH OTHER LOCAL HOSPITALS AND HEALTH CARE ORGANIZATIONS; AND CONDUCTING SURVEYS AND ASSESSMENTS WITH THE ASSISTANCE OF OUTSIDE CONSULTANTS. WE ALSO CONTINUOUSLY ASSESS THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY, AND BY EVALUATING STATE AND COUNTY HEALTH STATISTICS. SAINT JOHN'S HEALTH CENTER MAKES THE ENTIRE COMMUNITY NEEDS ASSESSMENT AVAILABLE ON REQUEST. THE NEEDS ASSESSMENT IS VALIDATED BY SAINT JOHN'S COMMUNITY ADVISORY COMMITTEE, COMPOSED OF MEMBERS F LOCAL COMMUNITY BASED ORGANIZATIONS, AND LOCAL GOVERNMENTAL AGENCIES. THEN ONE TO THREE PRIORITIES ARE SELECTED AND COLLABORATED ON FOR A ONE YEAR PERIOD. EACH YEAR THE COMMITTEE REVIEWS THE IDENTIFIED PRIORITY NEEDS, VIEWS PROGRESS REPORTS ON PROJECTS ADDRESSING THE NEEDS, AND AGREES ON NEXT STEPS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESAINT JOHN'S HEALTH CENTER TREATS PATIENTS WITH RESPECT AND DIGNITY REGARDLESS OF THEIR ABILITY TO PAY. SAINT JOHN'S HEALTH CENTER HAS A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINS ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE AT VARIOUS LEVELS, INCLUDING A 100% DISCOUNT, AND IS BASED ON FEDERAL POVERTY GUIDELINES. WE WORK WITH PATIENTS TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS IN DEMONSTRATION OF OUR CORE VALUE OF RESPECT. AS PART OF OUR RESPONSIBILITY TO EDUCATE, WE INFORM OUR PATIENTS AND THEIR FAMILIES OF THE AVAILABILITY OF ASSISTANCE, INCLUDING GOVERNMENT PROGRAMS. WE COMMUNICATE THIS IN A VARIETY OF WAYS TO ENSURE THAT MESSAGES REACH MULTIPLE AUDIENCES. BEFORE, DURING AND/OR AFTER ADMISSION, WE ENCOURAGE OUR SELF PAY PATIENTS TO VISIT WITH A FINANCIAL COUNSELOR TO DISCUSS QUALIFICATIONS FOR FINANCIAL ASSISTANCE. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT TO COMPLETE A FINANCIAL ASSISTANCE FORM TO DETERMINE THE LEVEL OF DISCOUNT FOR WHICH THE PATIENT MAY BE ELIGIBLE. WE POST FINANCIAL ASSISTANCE INFORMATION IN EMERGENCY AND ADMISSIONS AREAS, ON BILLINGS INVOICES, IN VARIOUS AREAS AROUND THE HOSPITAL AND CLINIC SITES AND ON THE HOSPITAL WEBSITE. WE PROVIDE WRITTEN MATERIALS TO PATIENTS THAT DETAIL OUR FINANCIAL ASSISTANCE POLICY AND HOW IT IS ADMINISTERED. THIS COVERS ELIGIBILITY, STEPS TO FOLLOW TO DETERMINE IF A PATIENT QUALIFIES FOR ASSISTANCE, TYPICAL CHARGES A PATIENT MAY EXPECT FOR ROUTINE PROCEDURES, AND ASSISTANCE AVAILABLE BASED ON A PATIENT'S INCOME LEVEL. WE PROVIDE MATERIALS AND EDUCATION WHEN PATIENTS ARE DISCHARGED, AND INCLUDE INFORMATION IN BILLING STATEMENTS, INCLUDING PHONE NUMBERS AND OTHER METHODS TO CONTACT US WITH QUESTIONS. WE ENSURE THAT OUR FINANCIAL COUNSELORS, ADMISSION EMPLOYEES, SOCIAL WORKERS AND OTHER EMPLOYEES UNDERSTAND OUR POLICIES TO BE ABLE TO ASSIST PATIENTS IN THE MOST APPROPRIATE WAY.
COMMUNITY INFORMATIONIN DEFINING ITS "COMMUNITY" FOR PURPOSES OF THE NEEDS ASSESSMENT AND BENEFITS PLAN, SAINT JOHN'S HEALTH CENTER CONSIDERED THE FOLLOWING THREE FACTORS: COLLABORATIVE RELATIONSHIPS WITH COMMUNITY GROUPS AND ORGANIZATIONS RELIANCE OF THE COMMUNITY ON SAINT JOHN'S, AS MEASURED BY THE HOSPITAL'S MARKET SHARE RECIPROCAL RELIANCE OF SAINT JOHN'S ON THE COMMUNITY, AS MEASURED BY PATIENT ORIGIN, AS REPORTED IN THE REGISTRATION PROCESS AT ADMISSION. DEFINITION OF COMMUNITY SAINT JOHN'S HEALTH CENTER DEFINED ITS "COMMUNITY" TO INCLUDE THE FOLLOWING CITIES AND NEIGHBORHOOD AREAS (ZIP CODES ARE SHOWN IN PARENTHESIS): " BEL AIR (90077) " BEVERLY HILLS (90210) " BRENTWOOD (90049) " CULVER CITY (90230 AND 90232) " ENCINO (91436) " MALIBU (90265) " MAR VISTA (90066) " MARINA DEL REY (90292) " PACIFIC PALISADES (90272) " PLAYA DEL REY (90293) " SANTA MONICA (90401 THROUGH 90405) " SHERMAN OAKS (91403) " VENICE (90291) " WEST HOLLYWOOD (90069) " WESTCHESTER (90045) " WESTWOOD (90024) " WEST LOS ANGELES PALMS AND RANCHO PARK (90025,90035 AND 90064) SAINT JOHN'S HEALTH CENTER IS LOCATED IN ZIP CODE 90404, IN THE CITY OF SANTA MONICA. SEE PAGE 10 FOR A MAP OF SAINT JOHN'S HEALTH CENTER SERVICE AREA. THREE OTHER HOSPITALS ARE PHYSICALLY LOCATED IN THE HEALTH CENTER'S SERVICE AREA (ZIP CODE LOCATION OF EACH HOSPITAL SHOWN IN PARENTHESIS): UCLA-SANTA MONICA HOSPITAL AND MEDICAL CENTER (90404) KAISER FOUNDATION HOSPITAL - WEST LOS ANGELES (90034) CENTINELA FREEMAN REGIONAL MEDICAL CENTER - MARINA (90292) IN ADDITION, OTHER AREA HOSPITALS USED BY RESIDENTS OF THE SERVICE AREA INCLUDE UCLA MEDICAL CENTER, CEDARS-SINAI MEDICAL CENTER, AND BROTMAN MEDICAL CENTER. THE DESCRIPTION OF OUR COMMUNITY IS BASED ON DEMOGRAPHICS AND HEALTH STATUS INDICATORS FROM OUR MOST RECENT COMMUNITY NEEDS ASSESSMENT CONDUCTED IN 2010. INFORMATION WAS OBTAINED FROM A VARIETY OF SOURCES - NIELSEN CLARITAS, (A NATIONAL VENDOR OF DEMOGRAPHIC DATA), CALIFORNIA DEPARTMENT OF HEALTH SERVICES, MANAGED RISK MEDICAL INSURANCE BOARD, UCLA CENTER FOR HEALTH POLICY RESEARCH, CALIFORNIA DEPARTMENT OF EDUCATION, CENTER FOR CALIFORNIA HEALTH WORKFORCE STUDIES AT THE UNIVERSITY OF CALIFORNIA - SAN FRANCISCO, CENTERS FOR MEDICARE AND MEDICAID, OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, AND UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. ADDITIONAL INFORMATION ON COMMUNITY HEALTH NEEDS IS SUMMARIZED AS FOLLOWING: " BASED ON ESTIMATES PROVIDED BY NIELSEN CLARITAS, THE 2010 POPULATION OF THE SERVICE AREA IS ESTIMATED AT 678,772 PERSONS (ESTIMATE BASED ON CENSUS 2000). " IN THE NEXT FIVE YEARS, THE SERVICE AREA POPULATION IS PROJECTED TO INCREASE 3.1 PERCENT, TO 669,814 PERSONS. " WITHIN THE SERVICE AREA, THE MAJORITY OF RESIDENTS ARE WHITE (60.9 PERCENT). APPROXIMATELY 16.9 PERCENT OF RESIDENTS ARE HISPANIC, 11.9 PERCENT ARE ASIAN/PACIFIC ISLANDER, 5.8 PERCENT ARE BLACK, AND 4.5 PERCENT ARE OF OTHER RACES OR TWO OR MORE RACES. " AMONG PERSONS AGE 5 YEARS AND OLDER IN THE SERVICE AREA, 63.5 PERCENT SPEAK ENGLISH AT HOME,15.2 PERCENT SPEAK SPANISH, 11.8 PERCENT SPEAK A EUROPEAN LANGUAGE, 7.2 PERCENT AN ASIAN OR PACIFIC ISLAND LANGUAGE, AND 2.3 PERCENT OTHER LANGUAGES. " AMONG PERSONS 25 YEARS AND OLDER LIVING IN THE SERVICE AREA, 11 PERCENT HAVE LESS THAN A HIGH SCHOOL EDUCATION (NO HIGH SCHOOL DIPLOMA), 12 PERCENT ARE HIGH SCHOOL GRADUATES, 19 PERCENT HAVE COMPLETE SOME COLLEGE (NO DEGREE), AND 59 PERCENT HAVE COLLEGE, GRADUATE OR PROFESSIONAL DEGREES. " THERE ARE AN ESTIMATED 194,177 HOUSEHOLDS IN THE SERVICE AREA; AVERAGE HOUSEHOLD SIZE IS ESTIMATED AT 2.05 PERSONS PER HOUSEHOLD. " OVERALL, 24.3 PERCENT OF HOUSEHOLDS IN THE SERVICE AREA HAVE AN ANNUAL INCOME UNDER $35,000, 27.7 PERCENT OF HOUSEHOLDS HAVE AN ANNUAL INCOME FROM $35,000 TO $74,999 AND 46.1 PERCENT OF HOUSEHOLDS HAVE AN ANNUAL INCOME OF $75,000 AND OVER. " BASED ON ENROLLMENT FIGURES PROVIDED FOR 2007 BY THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES, THERE ARE 31,803 PERSONS (AN ESTIMATED 8 PERCENT OF THE POPULATION) COVERED BY MEDI-CAL IN THE SERVICE AREA. " BASED ON ENROLLMENT FIGURES PROVIDED FOR 2007 BY MANAGED RISK MEDICAL INSURANCE BOARD, THERE ARE 2,816 PERSONS (AN ESTIMATED 1 PERCENT OF THE POPULATION) COVERED BY HEALTHY FAMILIES PROGRAM IN THE SERVICE AREA. " BASED ON 2007 ESTIMATES PROVIDED BY CLARITAS INC., THERE ARE 53,660 PERSONS AGE 65 YEARS AND OLDER (ESTIMATED AT 14 PERCENT OF THE TOTAL POPULATION) IN THE SERVICE AREA. " ON AVERAGE, THERE WERE 47,102 LIVE BIRTHS A YEAR IN THE SERVICE AREA DURING THE THREE-YEAR PERIOD FROM 2004 THROUGH 2006. DURING THIS PERIOD, 54.1 PERCENT OF THE BIRTHS IN THE SERVICE AREA WERE TO WHITE MOTHERS, 20.6 PERCENT TO HISPANIC MOTHERS, 15.1 PERCENT TO ASIAN/PACIFIC ISLANDER MOTHERS, 4 PERCENT TO BLACK MOTHERS, AND 6 PERCENT TO MOTHERS OF OTHER OR UNKNOWN ETHNICITIES. " DURING THE THREE-YEAR PERIOD, 2 PERCENT OF BIRTHS WERE TO MOTHERS UNDER AGE 20 YEARS, 25 PERCENT TO MOTHERS AGE 20 TO 29 YEARS, 34.6 PERCENT TO MOTHERS AGE 30 TO 35 YEARS, AND 38.4 PERCENT TO MOTHERS AGE 35 YEARS AND OVER. " DURING THE THREE-YEAR PERIOD, THE PERCENTAGE OF BIRTHS WITH LATE OR NO PRENATAL CARE WAS 5.6 PERCENT. THE SERVICE AREA MET THE HEALTHY PEOPLE 2010 OBJECTIVE OF LESS THAN 10 PERCENT LATE OR NO PRENATAL CARE. " DURING THE THREE-YEAR PERIOD, THE AVERAGE PERCENTAGE OF INFANTS OF LOW BIRTH WEIGHT (UNDER 5.5 POUNDS) WAS 7.7 PERCENT. THE SERVICE AREA DID NOT MEET THE HEALTHY PEOPLE 2010 OBJECTIVE OF LESS THAN 5.0 PERCENT LOW BIRTH WEIGHT INFANTS. " DURING THE THREE-YEAR PERIOD FROM 2006 TO 2008, THE AVERAGE NUMBER OF DEATHS A YEAR IN THE SERVICE AREA WAS 4,290 DEATHS. HEART DISEASE, CANCER, AND STROKE WERE THE THREE LEADING CAUSES OF DEATH IN THE SERVICE AREA. ONLY DEATH RATES FOR SUICIDE AND CIRRHOSIS WERE HIGHER THAN THE HEALTHY PEOPLE 2010 TARGET RATES " AMBULATORY CARE SENSITIVE (ACS) CONDITIONS ARE THOSE FOR WHICH TIMELY AND ADEQUATE CLINICAL PREVENTIVE AND PRIMARY CARE SERVICES MIGHT AVOID HOSPITALIZATION. TOP ACS CONDITIONS RESULTING IN HOSPITALIZATION AMONG RESIDENTS OF THE SERVICE AREA IN 2005-2006 WERE ASTHMA, WITH ASTHMA IN PERSONS OVER 65 YEARS OF AGE HIGHER THAN HEALTHY PEOPLE 2010 TARGET (WHILE STILL CONSIDERABLE LOWER THAN THE STATE AND/OR COUNTY RATE), UNCONTROLLED DIABETES IN AGE 18 TO 64 YEARS, AND IMMUNIZATION PREVENTABLE PNEUMONIA AND INFLUENZA IN AGE 65+. COMMUNITY CONSULTATION AS PART OF THE 2010 COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY LEADERS FROM LOCAL ORGANIZATIONS - CITY AND COUNTY HEALTH AND HUMAN SERVICES OFFICES, EDUCATION (KINDERGARTEN THROUGH HIGH SCHOOL AND COMMUNITY COLLEGE), FREE AND COMMUNITY CLINICS, AND NONPROFIT AGENCIES - WERE INTERVIEWED DURING A FOUR-WEEK PERIOD IN SEPTEMBER OF 2010. QUESTIONS FOCUSED ON OPINIONS REGARDING TOP HEALTH NEEDS OF THOSE PERSONS LIVING IN POVERTY AND TOP HEALTH NEEDS OF THE GENERAL POPULATION, EFFECTIVE APPROACHES FOR LOCAL ORGANIZATIONS TO ADDRESS IDENTIFIED HEALTH NEEDS, SUGGESTED ROLES AND ACTIVITIES FOR SAINT JOHN'S HEALTH CENTER, AND SAINT JOHN'S HEALTH CENTER COMMUNITY ACTIVITIES PERCEIVED AS STRENGTHS AND OPPORTUNITIES FOR IMPROVEMENT. FINDINGS ARE HIGHLIGHTED BELOW. TOP HEALTH NEEDS OF PERSONS LIVING IN POVERTY ACCESS TO HEALTH CARE SERVICES - ESPECIALLY FOR THE POOR AND UNINSURED WORKING POOR, UNDOCUMENTED FAMILIES, HOMELESS PERSONS, TEENAGERS AND THOSE WHO MAY BE ELIGIBLE BUT ARE UNAWARE THAT THEY MEET ELIGIBILITY CRITERIA. O REGULAR, ONGOING CARE (INCLUDING A MEDICAL HOME) O PRIMARY CARE O SPECIALTY CARE SUCH AS CARDIOLOGY, NEUROLOGY AND UROLOGY O HOSPITAL CARE O MEDICAL PROVIDERS O PREVENTIVE CARE (FOR EXAMPLE, FOR OLDER ADULTS AND SENIORS) O WELL CARE O MANAGEMENT OF CHRONIC HEALTH CONDITIONS SUCH AS DIABETES AND OBESITY O IMMUNIZATIONS FOR CHILDREN O MENTAL HEALTH CARE (SEE BELOW) O DENTAL CARE (SEE BELOW) O VISION CARE MENTAL HEALTH CARE - IN-HOSPITAL AND OUT-OF-HOSPITAL PSYCHIATRIC SERVICES FOR THE HOMELESS, MENTAL HEALTH SERVICES FOR SENIORS, MENTAL HEALTH SERVICES FOR THOSE AFFECTED BY STRESS, VIOLENCE OR TRAUMA. DENTAL CARE - ESPECIALLY AS DENTAL CARE RELATES TO OVERALL HEALTH AND THE DIFFICULTY ASSOCIATED WITH FINDING DENTAL PROVIDERS FOR ROUTINE EXAMINATIONS, PREVENTIVE SERVICES, FOLLOW-UP DENTAL CARE, HYGIENE AND CAVITIES. NUTRITION EATING POORLY FOR ONE'S HEALTH SITUATION. BOTH EXTREMES OF NUTRITION ARE SEEN AS UNMET HEALTH NEEDS OF THE POOR, HUNGER AND OBESITY IN CHILDREN. PARENTING AND EARLY CHILDHOOD EDUCATION - PARENTS NEED HELP RAISING CHILDREN FOR THE 21ST CENTURY, TO INCLUDE CONSIDERATIONS SUCH AS CULTURE OF LEARNING, EARLY LITERACY, POSITIVE DISCIPLINE METHODS, AND EARLY IDENTIFICATION FOR DEVELOPMENTAL DELAYS FOR CHILDREN. JOB TRAINING AND PLACEMENT SERVICES TOP HEALTH NEEDS OF THE GENERAL POPULATION: ACCESS TO AFFORDABLE HEALTH INSURANCE AND HEALTH CARE SERVICES - REGARDLESS OF AGE, RESPONDENTS IDENTIFIED CHALLENGES WITH BEING ABLE TO PURCHASE AND KEEP REASONABLE HEALTH INSURANCE, AND THE DELAYS CAUSED BY FINANCIAL CONSIDERATIONS SUCH AS CO-PAYMENTS, DEDUCTIBLES AND OUT OF POCKET MEDICAL EXPENS
COMMUNITY BUILDING ACTIVITIESWE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR COMMUNITY BUILDING ACTIVITIES DEMONSTRATE THIS COMMITMENT. DURING THIS YEAR, OUR COMMUNITY BUILDING ACTIVITIES INCLUDED ENVIRONMENTAL STEWARDSHIP, PRESENTATIONS TO EDUCATIONAL PROFESSIONAL BY CHILD & FAMILY DEVELOPMENT CENTER MENTAL HEALTH PROVIDERS, PARTICIPATION IN THE FAITH COMMITTEE OF THE WESTSIDE SHELTER & HUNGER COALITION. WE ARE AN IMPORTANT PART OF OUR COMMUNITY AND SERVE IN MANY WAYS, FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORT OF OTHER CIVIC GROUPS. IN 2012, WE PROVIDED $9,618,754, INCLUDING TRADITIONAL CHARITY CARE AND THE UNPAID COST OF MEDICAID. OUR EXECUTIVES SERVE ON THE BOARDS OF MANY LOCAL NON PROFIT AGENCIES THROUGHOUT THE COMMUNITY AND OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. WHEN SAINT JOHN'S HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS. WE HAVE AN OPEN MEDICAL STAFF, WE PROVIDE SEVERAL EDUCATIONAL EVENTS DESIGNED TO PROMOTE HEALTHY BEHAVIORS, AND ACCESS TO MEDICAL CARE, AND CONTINUE TO DONATE UNUSED SUPPLIES TO NON PROFIT CORPORATIONS IN THE COMMUNITY AND THOSE THAT SERVE INTERNATIONAL NEEDS. WE ALSO SUPPORT OUR EMPLOYEES IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS, AND PROVIDE OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS AUTISM ADVISORY BOARD CALIFORNIA PROFESSIONAL SOCIETY ON THE ABUSE OF CHILDREN (CAPSAC) CALIFORNIA STATE COLLEGE, LOS ANGELES CHILD ABUSE PROFESSIONAL PROVIDERS ASSOCIATION (CAPPA) CLARE FOUNDATION HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA INTERAGENCY COUNCIL ON ABUSE AND NEGLECT (ICAN) INSTITUTE OF CONTEMPORARY PSYCHOLOGY JOHN ADAMS MIDDLE SCHOOL STUDENT SUCCESS TEAM MEETINGS LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) LOS ANGELES SERVICE AREA 5 PROVIDER ADVISORY COMMITTEE LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH NETWORKING MEETINGS LOS ANGELES UNITED SCHOOL DISTRICT FAIR FOR PARENTS OF DEAF AND HARD OF HEARING CHILDREN LOS ANGELES CHAPTER OF THE HEARING LOSS ASSOCIATION LIFELONG LEARNING COMMUNITY PARTNERSHIP LINCOLN SCHOOL COUNSELOR MEETINGS MCKINLEY ELEMENTARY SCHOOL ENGLISH LANGUAGE ADVISORY COMMITTEE OPCC* (FORMERLY OCEAN PARK COMMUNITY CENTER) ORGANIZATION OF COMMUNITY HUMAN SERVICE AGENCIES PICO NEIGHBORHOOD PROJECT AND PICO YOUTH AND FAMILY CENTER RAND CORPORATION MEETINGS AS INVITED RIDESHARE SANTA MONICA CHAMBER OF COMMERCE SANTA MONICA CHILD CARE TASK FORCE SANTA MONICA COLLEGE - CHILD DEVELOPMENT DEPARTMENT SANTA MONICA EARLY CHILDHOOD TASK FORCE SANTA MONICA ROTARY CLUB SANTA-MONICA MALIBU UNIFIED SCHOOL DISTRICT SANTA MONICA COLLEGE FOUNDATION SEARCH TO INVOLVE PILIPINO AMERICANS SOUTHERN CALIFORNIA BIOETHICS CONSORTIUM ST. JOSEPH CENTER UNITY FAIR AT VIRGINIA AVE. PARK UPWARD BOUND HOUSE VENICE FAMILY CLINIC WEST SERVICE PLANNING AREA WESTSIDE CHILD TRAUMA COUNCIL WESTSIDE CHILDREN'S CENTER WESTSIDE DIABETES TASK FORCE WESTSIDE DIRECTORS (UCLA/CONNECTIONS FOR CHILDREN) WESTSIDE DOMESTIC VIOLENCE COALITION WESTSIDE FAMILY HEALTH CENTER WESTSIDE MEALS ON WHEELS WEST LOS ANGELES DEPARTMENT OF MENTAL HEALTH CHILD MENTAL HEALTH PROVIDERS GROUP WESTSIDE HEALTH COALITION WESTSIDE TRANSPORTATION COLLABORATIVE WISE & HEALTHY AGING YOUTH RESOURCE TEAM OF VIRGINIA AVENUE PARK YWCA OF SANTA MONICA WE ARE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY, INCLUDING: SANTA MONICA CHAMBER OF COMMERCE SANTA MONICA COLLEGE FOUNDATION SANTA MONICA POLICE ACTIVITIES LEAGUE SANTA MONICA FIRE DEPARTMENT WESTSIDE YMCA AND YWCA WESTSIDE DOMESTIC VIOLENCE NETWORK COMMUNITY BENEFITS PROVIDED IN 2011 THROUGHOUT SCLHS TOTALED $252 MILLIONS. AS PART OF SCLHS, WE PROMOTE THE SHARED MISSION THAT "WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE." WE ARE COMMITTED TO LIVING AND DEMONSTRATING OUR CORE VALUES OF EXCELLENCE, RESPECT, RESPONSE TO NEED, STEWARDSHIP AND WHOLENESS. SCLHS SUPPORTS ITS HOSPITALS BY PROVIDING GUIDANCE, OVERSIGHT, AND RESOURCES TO HELP THEM ACCOMPLISH INITIATIVES THAT IMPROVE HEALTH IN ALL OUR COMMUNITIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. OTHER WAYS SCLHS BENEFITS ITS HOSPITALS INCLUDE QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE IT IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; BENEFITS ADMINISTRATION (INCLUDING A WELLNESS PROGRAM FREE TO EMPLOYEES THAT PROMOTES THEIR HEALTH AND WELL-BEING); RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE. BY SHARING THE WORK ACROSS OUR SYSTEM WE ARE ABLE TO LIGHTEN THE BURDEN FOR ALL IN ORDER TO FULFILL OUR MISSION OF IMPROVING HEALTH IN OUR COMMUNITIES. SCLHS IMPROVES OVERALL HEALTH IN OUR COMMUNITIES BY PROVIDING INFRASTRUCTURE TO SUPPORT AND SUSTAIN FOUR CLINICS FOR THE UNINSURED IN KANSAS AND COLORADO. THE SCLHS CLINICS FOR THE UNINSURED ARE OFTEN THE ONLY SAFETY NET CLINIC IN THEIR COMMUNITY AND PROVIDE VALUABLE SERVICES FOR THOSE WHO ARE MOST VULNERABLE. EACH HOSPITAL IS SUPPORTED BY A FOUNDATION TO ACCESS AND OPTIMIZE LOCAL PHILANTHROPIC ORGANIZATIONS AND INDIVIDUALS. THESE FOUNDATIONS RAISE FUNDS THROUGH OUTREACH, SPECIAL EVENTS, AND BUILDING DONOR RELATIONS THROUGHOUT THEIR COMMUNITY TO SUPPORT THE NEEDS OF THE HOSPITAL.
AFFILIATED HEALTH CARE SYSTEM ROLESSAINT JOHN'S HEALTH CENTER IS PART OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS), A FAITH-BASED, MISSION-DRIVEN HEALTH CARE ORGANIZATION. SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION "TO REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE." SAINT JOHN'S HEALTH CENTER PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. SCLHS SUPPORTS THE EFFORTS OF THE HOSPITAL THROUGH STRATEGIC DIRECTION AND OPERATING OVERSIGHT. SCLHS SUPPLIES OVERHEAD SUPPORT SERVICES TO SAINT JOHN'S HEALTH CENTER, INCLUDING INFORMATION TECHNOLOGY SERVICES, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, SUPPLY CHAIN MANAGEMENT, BENEFITS ADMINISTRATION, RISK MANAGEMENT AND INSURANCE AND QUALITY IMPROVEMENT LEADERSHIP.
INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCEIF THE PATIENT IS QUALIFY FOR FAP, THERE IS NO CHARGE TO THIS PATIENT.PART V, LINE 20d:
STATE FILING OF COMMUNITY BENEFIT REPORTCA,CO,KS,MT,990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
OPCC
1453 16TH STREETSANTA MONICACA90404956143865501(C)(3)150000svcs to homeless, mentally ill women at daybreak shelter
PICO YOUTH AND FAMILY CENTER
715 PICO BLVDSANTA MONICACA90405481269398501(C)(3)7500mental health & other svcs to at risk youth
WESTSIDE FAMILY HEALTH CENTER
1711 OCEAN PARK BLVDSANTA MONICACA90405952931931501(C)(3)85000outpatient svcs to pregnant women
SANTA MONICA MALIBU UNITED SCHOOL DISTRICT
1651 16TH STREETSANTA MONICACA90404956002855501(C)(3)75000MENTAL HEALTH SERVICES FOR CHILDREN BETWEEN THE AGES OF 0-5 YEARS WHO ARE IDENTIFIED AT RISK OF CHILD ABUSE.
VENICE FAMILY CLINIC
604 ROSE AVEVENICECA90291952769432501(C)(3)178500OP svc. to under Federal poverty guidelines
WISE & HEALTHY AGING
1527 4TH ST 2ND FLSANTA MONICACA90401952788014501(C)(3)54500SUPPORT FOR CBO THAT SERVES THE ELDERLY AND DISABLED PERSONS
SAINT ANNE'S SCHOOL
2015 COLORADO AVESANTA MONICACA90404951690538501(C)(3)50000Support for school qualified for Title XX.
ST JOSEPH CENTER
204 HAMPTON DRIVEVINICECA90291953874381501(C)(3)50000MENTAL HEALTH & OTHER SVC. TO THE POOR
SANTA MONICA CHAMBER OF COMMERCE
1234 6TH ST STE 100SANTA MONICACA90401951192245501(C)(6)6000MENTAL HEALTH AND CASE MANAGEMENT SERVICES TO THE MENTALLY ILL IN SANTA MONICA
JOHN WAYNE CANCER INSTITUTE
2200 SANTA MONICA BLVDSANTA MONICACA90404954291515501(C)(3)192478CANCER RESEARCH
hebrew union college
3077 university avelos angelesCA90077310537067501(c)(3)8000support for jewish children's higher education
archdiocese of la nr
3424 wilshire blvdlos angelesCA90010951642382501(c)(3)6000general support
westside shelter & hudba communityu prtnrs
pob 7411santa monicaCA90406952785675501(c)(3)5500support to end hunger & homelessness
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants12TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationSaint John's monitors the use of the grant funds through representation on the organization's Board of Directors or regular meetings with agency representatives to discuss programs. In addition, Saint John's receives an annual report of fund usage on the number of patients served for certain programs.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

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
Slubowski Michael
System President, CEO0993061039897001216720241190124650155028700
Lazatin Lou
Bd Member0600633014748309172401281144073790212836300
Michelle Mok
CFO03019460485110196104857002162040315000
Dawna Hendel
VP Patient Care/CNO02348920377560224704141602444031875500
Ramirez L Eleanor
COO038460405363005840850180000123880105270700
Akhavan Jaleh
Director of Surgery146879075000939200061320169903000
Klein Robert O
Vice President1825350313500114560178500154830258674000
Bailey Dorothy A
Clinical Nurse2125310001601635604510229354000
Streeter Kevin
Department Director Nursing1767820248550135027460170120221530000
Slates Randal
Physicist1931310004210163330231270233012000
Khajehmiraki Sara
Charge Nurse1798310005040111360169840208455000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION REVIEW PROCESSSchedule J, Part I, Line 3PROCESS FOR DETERMING COMPENSATION SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS AND STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHARE SYSTEMS AND HOSPITALS.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BOTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR IRS IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2011 WERE: LOURDES J. LAZATIN $29,494 ELEANOR L. RAMIREZ $42,023 STEVEN C. SHARRER $36,423 LATISHA D. STARBUCK $9,909
SUPPLEMENTALSCHDULE J PART IITHE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND THREE CLINICS (AFFILIATES) IN FOUR STATES INCLUDING SAINT JOHN'S HOSPITAL AND HEALTH CENTER (SAINT JOHN'S) IN SANTA MONICA, CALIFORNIA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. TAJQUAH J. HUDSON IS A VICE PRESIDENT OF SCLHS IN DENVER, COLORADO. SHE FORMERLY SERVED AS VICE PRESIDENT OF ST. JOHN'S. THE COMPENSATION REFLECTED IS THAT OF MS. HUDSON'S POSITION AS AN SCLHS EXECUTIVE AND IS NOT RELATED TO ST JOHN'S. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceOTHER PROGRAM SERVICESReturnReference
ExplanationFORM 990, PART III, LINE 4D: SAINT JOHN'S HEALTH CENTER'S (SAINT JOHN'S OR THE HEALTH CENTER'S) PRIMARY EXEMPT PURPOSE IS TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY. SAINT JOHN'S PROVIDED 218,632 OUTPATIENT VISITS IN ADDITION TO THE 50,894 DAYS OF CARE PROVIDED TO THE 12,763 PATIENTS ADMITTED TO THE HEALTH CENTER DURING JANUARY 2012 TO DECEMBER 2012. FOR OVER SIXTY YEARS, SAINT JOHN'S HEALTH CENTER HAS OFFERED A RANGE OF HEALTH CARE PROGRAMS AND SERVICES UNPARALLELED ON THE WEST SIDE OF LOS ANGELES. IN ADDITION TO PRIMARY CARE, SAINT JOHN'S HAS BUILT A REPUTATION AS A LEADING PROVIDER OF SPECIALTY CARE BY RESPONDING TO THE NEEDS OF OUR PATIENTS AND COMMUNITY. SAINT JOHN'S COMMITMENT TO EXCELLENCE IN SPECIALTY CARE HAS MADE IT THE HOSPITAL OF CHOICE FOR MANY OF THE AREA'S TOP PHYSICIANS. SAINT JOHN'S IS HOME TO MANY PREMIER PROGRAMS, INCLUDING: CARDIAC CARE: SAINT JOHN'S PROGRAM INCLUDES A WIDE RANGE OF DIAGNOSTIC AND THERAPEUTIC CARDIAC SERVICES, INCLUDING LEADERSHIP WITH BLOODLESS MEDICINE AND BLOODLESS CARDIAC SURGERY, PERCUTANEOUS CORONARY INTERVENTIONS, ABLATIONS, AND TRADITIONAL CARDIAC SURGERIES. ORTHOPEDICS: SPECIALIZING IN JOINT AND SPINAL SURGERY, THE HIP AND PELVIS INSTITUTE AT SAINT JOHN'S IS CONSIDERED THE WORLD'S LEADING CENTER FOR ANTERIOR APPROACH HIP AND PELVIS SURGERY. CANCER: THE RESEARCH PROGRAMS OF JOHN WAYNE CANCER INSTITUTE (JWCI) ARE LOCATED AT SAINT JOHN'S. THE JWCI'S RESEARCH ON MELANOMA BENEFITS PATIENTS LOCALLY AND AROUND THE WORLD. THE JOYCE EISENBERG KEEFER BREAST CENTER IS A RECOGNIZED LEADER IN THE TREATMENT OF BREAST CANCER AND HAS BEEN RATED AMONG THE TOP TEN BREAST CANCER PROGRAMS IN THE NATION. MATERNAL AND CHILD HEALTH: OUR OBSTETRICS PROGRAM INCLUDES LABOR, DELIVERY AND RECOVERY SUITES, MOTHER-BABY COUPLET CARE UNIT, NEONATAL INTENSIVE CARE UNIT, LACTATION STORE, AND A SUPPORT PROGRAM FOR BREASTFEEDING MOTHERS. EMERGENCY CARE: SAINT JOHN'S 24-HOUR EMERGENCY DEPARTMENT IS A CRUCIAL FACILITY FOR THE WESTSIDE, TREATING OVER 30,372 PATIENTS FROM JANUARY 2012 TO DECEMBER 2012. CHILD AND FAMILY DEVELOPMENT CENTER: THE CENTER PROVIDES A COMPREHENSIVE RANGE OF CULTURALLY SENSITIVE AND LINGUISTICALLY RESPONSIVE MENTAL HEALTH, OUTREACH, DEVELOPMENTAL AND EDUCATIONAL SERVICES. AVAILABLE IN ENGLISH, SPANISH, AND AMERICAN SIGN LANGUAGE, SERVICES ARE OFFERED FOR CHILDREN, ADOLESCENTS, AND THEIR FAMILIES AT THE CENTER, SCHOOL SITES, HOMES AND OTHER LOCATIONS IN THE COMMUNITY. ELECTING THE GOVERNING BODY FORM 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 FORM 990, PART VI, SECTION A, LINEs 6, 7A & 7B: PURSUANT TO THE BYLAWS, SAINT JOHN'S HEALTH CENTER HAS A SOLE MEMBER, WHICH IS THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS). INDIVIDUALS NOMINATED FOR APPOINTMENT TO SAINT JOHN'S HEALTH CENTER'S BOARD OF DIRECTORS ARE RECOMMENDED TO AND MUST RECEIVE APPROVAL FROM SCLHS' BOARD OF DIRECTORS. THE CEO AND SOME MEMBERS OF THE OFFICERS HAVE SHARED RESPONSIBILITIES BETWEEN JOHN WAYNE CANCER INSTITUTE AND SAINT JOHN'S HEALTH CENTER. FORM 990 REVIEW FORM 990, PART VI, SECTION B, LINE 11B: AN ELECTRONIC COPY OF THE 990 AND ITS SUPPORTING SCHEDULES WERE DISTRIBUTED TO THE SAINT JOHN'S HEALTH CENTER MANAGEMENT TEAM AND GOVERNING BOARD, SYSTEM OFFICE AND AN INDEPENDENT ACCOUNTING FIRM that prepares the return FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. MONITORING & ENFORCING COMPLIANCE: FORM 990, PART VI, SECTION B, LINE 12C: THE ADMINISTRATIVE DIRECTOR OF COMPLIANCE AND LEGAL, AUDIT COMMITTEE, AND GOVERNING BOARD REVIEW 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 / AUDIT COMMITTEE AND THE GOVERNING BOARD AND RESOLVED ACCORDINGLY UNDER GUIDANCE FROM LEGAL COUNSEL. SAINT JOHN'S ADHERES TO THE SCLHS CONFLICT OF INTEREST POLICY FOR MEMBERS OF ALL BOARD OF DIRECTORS FOR ALL ENTITIES AND RELATED JOINT VENTURES; ALSO, SAINT JOHNS' REQUIRES CONFLICT OF INTEREST DISCLOSURE BY NON-BOARD OF DIRECTORS MEMBERS OR THE FINANCE AND THE AUDIT, COMPLIANCE COMMITTEES. THE RESTRICTIONS IMPOSED ON A PERSON WITH A CONFLICT OF INTEREST VARY DEPENDING ON THE TYPE OF THE CONFLICT AND THE ROLE OF THE PERSON DISCLOSING THE POTENTIAL CONFLICT. PUBLIC VIEWING OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19: SAINT JOHN'S HEALTH CENTER PROVIDES VIEWING OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS UPON REQUEST. ADDITIONAL COMPENSATION DISCLOSURE FORM 990 PART VII AND SCHEDULE J, PART II: THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING SAINT JOHN'S HEALTH CENTER (SAINT JOHN'S) IN SANTA MONICA, CALIFORNIA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THeIr SERVICE. LAND, BUILDING, AND EQUIPMENT FORM 990, PART X, line 10a: TITLE OWNERSHIP OF LAND AND BUILDINGS RECORDED ON SAINT JOHN'S HEALTH CENTER'S BALANCE SHEET RESIDES WITH THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM. FORM 990 PART XI LINE 9: NET CHANGE ON GRANT TO JWCI $ 187,478 NET CHANGE ON ABRAXIS GRANT $( 17,989,607) EQUITY TRANSFER TO SCL $(386,212,000) NET CHANGE ON OTHER GRANTS $ 24,273 GAIN FROM JOINT VENTURE SMWI $ (493,060)Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SISTERS OF CHARITY LEAVENWORTH HLTH SYST
2420 w 26th ave suite 100ddenverCO80211237379161SUPPORT MMBRSKS501(c)(3)11B-TYPE IINAtrue
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
JOHN WAYNE CANCER INSTITUTE
2000 SANTA MONICA BLVDSANTA MONICACA90404954291515CANCER R&DCA501(c)(3)4SJHHCtrue
SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN
2121 SANTA MONICA BLVDSANTA MONICACA90404956100079SUPPORT 501C3CA501(c)(3)11A-TYPE ISJHHCtrue
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
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARDDENVERCO80211840405260RESIDENT CARECO501(c)(3)11A-TYPE ISCLHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
PAVILION IMAGING LLC
750 WELLINGTONGRAND JUNCTIONCO81501030516198RADIOLOGYCONA
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTONGRAND JUNCTIONCO81501841505075OP SURGERYCONA
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401202856331OP CANCERCONA
BILLINGS MRI CENTER LLC
1041 NORTH 29TH STREETBILLINGSMT59101810450943MRI-PET SCANMTNA
LUTHERAN CAMPUS ASC LLC
3455 LUTHRN PKW SUITE 150WHEATRIDGECO800336028020749532OP SURGERYCONA
COLORADO SURGICAL VENTURES LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038915OP SURGERYCONA
COLORADO SURGICAL HOSPITAL LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038977OP SURGERYCONA

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
2420 w 26th ave ste 100ddenverCO80211480941069OTHER MEDICALKSC CORP
LEAVEN INSURANCE COMPANY LTD
980370522INSURANCE23 LIME TREE BAY AVE PO BOX 1051GEORGETOWNGRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
JOHN WAYNE CANCER INSTITUTE
a1287858CASH
john wayne cancer institute
b426229cash
SAINT JOHN'S HEALTH CENTER FOUNDATION
C5564650CASH
JOHN WAYNE CANCER INSTITUTE
o104655CASH
saint john's health center foundation
q4125873cash
JOHN WAYNE CANCER INSTITUTE
Q102049CASH