PROVIDENCE SAINT JOHNS HEALTH CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE SAINT JOHNS HEALTH CENTER (EIN 95-1684082)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-16
- IRS object ID
- 201243219349300539
- Schema version
- 2011v1.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-16T12:23:41-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRUCE E BERNSTIEN & ASSOC PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10440 N CENTRAL EXPRESSWAY STE 1040 | AddressLine1 |
| City | DALLAS | City |
| State | TX | State |
| ZIP Code | 75231 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951684082 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT JOHN'S HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MICHELLE MOK CFO | InCareOfName |
| Name Control | SAIN | NameControl |
| Phone | 3108298411 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2121 Santa Monica Blvd | AddressLine1 |
| City | Santa Monica | City |
| State | CA | State |
| ZIP Code | 904042091 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHELLE MOK | Name |
| Title | cfo | Title |
| Date Signed | 2012-11-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRUCE E BERNSTIEN | Name |
| Phone | 2147060840 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LOU LAZATIN CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2121 SANTA MONICA BLVD | AddressLine1 |
| City | SANTA MONICA | City |
| State | CA | State |
| ZIP Code | 90404 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 292422365 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stjohns.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1942 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1799 | TotalNbrEmployees |
| Total Nbr Volunteers | 441 | TotalNbrVolunteers |
| Total Gross UBI | 7071206 | TotalGrossUBI |
| Contributions Grants Prior Year | 34539146 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 12937302 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 271036023 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 270314017 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 330848 | InvestmentIncomePriorYear |
| Investment Income Current Year | 520663 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3699682 | OtherRevenuePriorYear |
| Other Revenue Current Year | 8055610 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 309605699 | TotalRevenuePriorYear |
| Total Revenue Current Year | 291827592 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1735204 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1641754 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 123967749 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 124437078 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 185851795 | OtherExpensePriorYear |
| Other Expenses Current Year | 172302261 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 311554748 | TotalExpensesPriorYear |
| Total Expenses Current Year | 298381093 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1949049 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -6553501 | RevenuesLessExpensesCY |
| Total Assets BOY | 601720904 | TotalAssetsBOY |
| Total Assets EOY | 578011256 | TotalAssetsEOY |
| Total Liabilities BOY | 142554321 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 125428393 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 459166583 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 452582863 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 35843082 | Expense |
| Revenue | 39483876 | Revenue |
| Description | ORTHOPEDICS: 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 24921534 | Expense |
| Revenue | 24733944 | Revenue |
| Description | ONCOLOGY: INCLUDES BRAIN TUMOR CENTER, BREAST CENTER, ENDOCRINE CENTER AND BONE DISEASE CENTER. SERVICES INCLUDES: IMAGING DIAGNOSTIC; MINIMALLY INVASIVE SURGERY; RADIATION THERAPY; MEDICAL ONCOLOGY TREATMENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 23672171 | Expense |
| Revenue | 18228050 | Revenue |
| Description | 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. PERCUTANEOUS CORONARY INTERVENTIONS, ABLATIONS, AND TRADITIONAL CARDIAC SURGERIES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 183401791 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 188841626 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 267838578 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 244 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1799 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MICHELLE MOK CFO | NamePerson |
| Telephone Number | 3108298411 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2121 SANTA MONICA BLVD | AddressLine1 |
| City | SANTA MONICA | City |
| State | CA | State |
| ZIP Code | 904042091 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| DALE LAURANCE PHD | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| Mary H Flaherty | |||||||||
| CHAIRMAN | 1.0 | X | 0 | 0 | 0 | X | |||
| Allan Goldman esq | |||||||||
| TREASURER | 1.0 | X | 0 | 0 | 0 | X | |||
| Iao Katagiri | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| Lou Lazatin | |||||||||
| Chief Executive Officer | 40.0 | X | 0 | 1115556 | 40050 | X | |||
| Sister Marie Madeleine Shonka | |||||||||
| Board Member | 1.0 | X | 0 | 0 | 0 | ||||
| CARL W MCKINZIE | |||||||||
| SECRETARY | 1.0 | X | 0 | 0 | 0 | X | |||
| SISTER MARIANNA BAUDER | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| STEPHEN KUCHENBECKER MD | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| sister constance phelps | |||||||||
| board member | 1.0 | X | 0 | 0 | 0 | ||||
| Abbott Brown | |||||||||
| Board Member | 1.0 | X | 0 | 0 | 0 | ||||
| Steaven Jones | |||||||||
| Board Member | 1.0 | X | 0 | 0 | 0 | ||||
| Russ Kino MD | |||||||||
| Board Member | 1.0 | X | 0 | 0 | 0 | ||||
| LISA VASAK MD | |||||||||
| President, Medical Staff | 1.0 | X | 0 | 0 | 0 | ||||
| DANIEL EWELL | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| WILLIAM GARLAND III | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| MICHAEL SLUBOWSKI | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| DONNA TUTTLE | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| MICHELLE MOK | |||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 0 | 336235 | 48976 | X | ||||
| DAWNA HENDEL | |||||||||
| VP PATIENT CARE/CNO | 40.0 | 0 | 259321 | 43338 | X | ||||
| REBECCA SIASON | |||||||||
| DIRECTOR SURGICAL SVCS | 40.0 | 223453 | 0 | 16538 | X | ||||
| ELEANOR L RAMIREZ | |||||||||
| Chief Operating Officer | 40.0 | 0 | 648655 | 32217 | X | ||||
| BOB KLEIN | |||||||||
| VICE PRESIDENT OF FDTN | 40.0 | 216018 | 0 | 18964 | X | ||||
| TISH STARBUCK | |||||||||
| VP, MISSION & ETHICS | 40.0 | 0 | 397749 | 26548 | X | ||||
| HOWARD DAVIS | |||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 0 | 379467 | 65831 | X | ||||
| STEVEN SHARRER | |||||||||
| VP, HUMAN RESOURCE | 40.0 | 0 | 311977 | 22497 | X | ||||
| Randal Slates | |||||||||
| Radiation Physicist | 40.0 | 194404 | 28776 | X | |||||
| TAJQUAH HUDSON | |||||||||
| VP, STRATEGY & BUSINESS DEV | 0 | 288286 | 54328 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 633875 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3737246 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 398063 | TotalOtherCompensation |
| Number Individuals GT100 K | 213 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Cymetrix | |||||
| 5 Corporate Park Ste 280 | IRVINE | CA | 92606 | Revenue Cycle Mgmt | 8462333 |
| COMFORCE | |||||
| 17682 MITCHELL 100 | IRVINE | CA | 92614 | NURSING REGISTRY | 5557601 |
| Aramark Corporation | |||||
| PO Box 651009 | CHARLOTTE | NC | 282651009 | FOOD SERVICE | 4582774 |
| Medi-Dyn | |||||
| 13111 E Briarwood Ave Ste 2 | ENGLEWOOD | CA | 80112 | Environmental Svcs | 2518221 |
| TOWER GENERAL CONTRACTORS | |||||
| 10923 Randall ST STE E | SUN VALLY | CA | 91352 | General Contractor | 2076236 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 86 | NumberOfContractorsGT100K |
| Related Organizations | 6003886 | RelatedOrganizations |
| Government Grants | 729620 | GovernmentGrants |
| All Other Contributions | 6203796 | AllOtherContributions |
| Total Contributions | 12937302 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT CARE REVENUE | 621500 | 269002885 | 262402679 | 6600206 |
| RENTAL INCOME FROM AFFILIATED EXEMPT ORGANIZATION | 531190 | 1311132 | 1311132 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 270314017 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 520663 | TotalRevenueColumn |
| Unrelated Business Revenue | 471000 | UnrelatedBusinessRevenue |
| Exclusion | $49,663 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 956111 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 594773 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 361338 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 361338 | TotalRevenueColumn |
| Exclusion | $361,338 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA SALES | 722210 | 1016283 | $1,016,283 | |
| EDUCATION PROGRAM REVENUE | 611420 | 658412 | 658412 | |
| PARKING REVENUE | 812930 | 538914 | $538,914 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5480663 | TotalRevenueColumn |
| Related Or Exempt Function Income | 315067 | RelatedOrExemptFunctionIncome |
| Exclusion | $5,165,596 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7694272 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 291827592 | TotalRevenueColumn |
| Related Or Exempt Function Income | 264687290 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 7071206 | UnrelatedBusinessRevenue |
| Exclusion | $7,131,794 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1641754 | Total |
| Program Services | 1641754 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239991 | Total |
| Program Services | 239991 | ProgramServices |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97701949 | Total |
| Program Services | 91767289 | ProgramServices |
| Management And General | 5934660 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6247610 | Total |
| Program Services | 5432459 | ProgramServices |
| Management And General | 815151 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13216737 | Total |
| Program Services | 12688196 | ProgramServices |
| Management And General | 528541 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7030791 | Total |
| Program Services | 6693817 | ProgramServices |
| Management And General | 336974 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4546987 | Total |
| Program Services | 3339093 | ProgramServices |
| Management And General | 1207894 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2137372 | Total |
| Program Services | 45315 | ProgramServices |
| Management And General | 2092057 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42408 | Total |
| Management And General | 42408 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8783315 | Total |
| Program Services | 7267256 | ProgramServices |
| Management And General | 1516059 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2621086 | Total |
| Program Services | 7453 | ProgramServices |
| Management And General | 2613633 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3405563 | Total |
| Program Services | 3318244 | ProgramServices |
| Management And General | 87319 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4167377 | Total |
| Program Services | 698805 | ProgramServices |
| Management And General | 3468572 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12781871 | Total |
| Program Services | 11561153 | ProgramServices |
| Management And General | 1220718 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205041 | Total |
| Program Services | 81457 | ProgramServices |
| Management And General | 123584 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140902 | Total |
| Program Services | 62337 | ProgramServices |
| Management And General | 78565 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2845358 | Total |
| Program Services | 2845358 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8280652 | Total |
| Management And General | 8280652 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31171100 | Total |
| Program Services | 31112393 | ProgramServices |
| Management And General | 58707 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2666215 | Total |
| Program Services | 2666215 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 49581672 | 49404876 | 176796 |
| EQUIPMENT RENTAL & MAINTENANCE | 7819100 | 7819100 | |
| PATIENT BUSINESS AFFAIRS | 7090610 | 7090610 | |
| CA HOSPITAL QUALITY FEE | 4609694 | 4609694 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19405938 | Total |
| Program Services | 17445713 | ProgramServices |
| Management And General | 1960225 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 298381093 | Total |
| Program Services | 267838578 | ProgramServices |
| Management And General | 30542515 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18269644 | BOY |
| EOY | 30022464 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22052230 | BOY |
| EOY | 12985490 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30658161 | BOY |
| EOY | 30781293 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1708093 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5221705 | BOY |
| EOY | 5545990 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4749471 | BOY |
| EOY | 5011209 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 731474350 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 236017697 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 517844931 | BOY |
| EOY | 495456653 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1216669 | BOY |
| EOY | -1791843 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 601720904 | BOY |
| EOY | 578011256 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37116549 | BOY |
| EOY | 32205138 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107437772 | BOY |
| EOY | 93223255 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142554321 | BOY |
| EOY | 125428393 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 432294420 | BOY |
| EOY | 428441761 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26872163 | BOY |
| EOY | 24141102 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 459166583 | BOY |
| EOY | 452582863 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 601720904 | BOY |
| EOY | 578011256 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -6553501 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -30219 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $42,408 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 42408 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Lobbying Activity Explanation | Identifier |
| Return Reference | Schedule C, Part II-B, line 1i: | ReturnReference |
| Explanation | Saint 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 22270167 | BeginningOfYearBalance |
| Contributions | 181487 | Contributions |
| Investment Earnings Or Losses | 14905 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 769628 | GrantsOrScholarships |
| End Of Year Balance | 21696931 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20431739 | BeginningOfYearBalance |
| Contributions | 917103 | Contributions |
| Investment Earnings Or Losses | 2079752 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1158427 | GrantsOrScholarships |
| End Of Year Balance | 22270167 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 17779739 | BeginningOfYearBalance |
| Contributions | -246744 | Contributions |
| Investment Earnings Or Losses | 3254247 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 355503 | GrantsOrScholarships |
| End Of Year Balance | 20431739 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 23640016 | BeginningOfYearBalance |
| Contributions | -933455 | Contributions |
| Investment Earnings Or Losses | -4202031 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 724791 | GrantsOrScholarships |
| End Of Year Balance | 17779739 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.33900 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.66100 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30756765 | OtherCostOrOtherBasis |
| Book Value | 30756765 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 512732239 | OtherCostOrOtherBasis |
| Depreciation | 105317810 | Depreciation |
| Book Value | 407414429 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 169322987 | OtherCostOrOtherBasis |
| Depreciation | 126126194 | Depreciation |
| Book Value | 43196793 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18662359 | OtherCostOrOtherBasis |
| Depreciation | 4573693 | Depreciation |
| Book Value | 14088666 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 495456653 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED 3RD PARTY SETTLEMENT | $3,609,239 |
| DEBT GUAR TO SANTA MONICA WILS | $0 |
| PYBL TO JOHN WAYNE CANCER INST | $187,478 |
| OTHER PAYABLES | $426,538 |
| LONG TERM DEBT | $48,000,000 |
| NOTES PAYABLE | $41,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 93223255 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | INTENDED USES OF ENDOWNMENT FUNDS AT SAINT JOHN'S HEALTH CENTER/FOUNDATION | Identifier |
| Return Reference | SCHEDULE D, PART V, LINE 4: | ReturnReference |
| Explanation | INCOME IS USED TO SUPPORT VARIOUS PROGRAMS AND SERVICES OF SAINT JOHN'S HEALTH CENTER. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7207 | PersonsServed |
| Total Community Benefit Expense | 2456017 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2456017 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00830 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1382 | PersonsServed |
| Total Community Benefit Expense | 2939892 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1399676 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1540215 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3272 | PersonsServed |
| Total Community Benefit Expense | 564896 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 564896 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11861 | PersonsServed |
| Total Community Benefit Expense | 5960805 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1399676 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4561128 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01540 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 13 | NumberOfActivitiesOrPrograms |
| Persons Served | 10535 | PersonsServed |
| Total Community Benefit Expense | 1053544 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1053544 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 406 | PersonsServed |
| Total Community Benefit Expense | 519822 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23416 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 496406 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 1578 | PersonsServed |
| Total Community Benefit Expense | 4399476 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3432027 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 967449 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 13 | NumberOfActivitiesOrPrograms |
| Persons Served | 2271 | PersonsServed |
| Total Community Benefit Expense | 1680091 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 175 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1679916 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 42 | NumberOfActivitiesOrPrograms |
| Persons Served | 14790 | PersonsServed |
| Total Community Benefit Expense | 7652933 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3455618 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4197315 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01430 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 42 | NumberOfActivitiesOrPrograms |
| Persons Served | 26651 | PersonsServed |
| Total Community Benefit Expense | 13613738 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4855294 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8758443 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02970 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 62 | PersonsServed |
| Total Community Building Expense | 1041493 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 534308 | DirectOffsettingRevenue |
| Net Community Building Expense | 507185 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 265 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 265 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 324 | PersonsServed |
| Total Community Building Expense | 1122 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1122 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 30 | PersonsServed |
| Total Community Building Expense | 271 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 271 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 416 | PersonsServed |
| Total Community Building Expense | 1043151 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 534308 | DirectOffsettingRevenue |
| Net Community Building Expense | 508843 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,313,506 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 81894135 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 108586832 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -26692697 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SM Wilshire Imaging | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Outpatient Imaging Center | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT JOHN'S HEALTH CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2121 SANTA MONICA BLVD | AddressLine1 |
| City | SANTA MONICA | City |
| State | CA | State |
| ZIP Code | 90404 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT JOHN'S HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 10 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 300. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANTA MONICA WILSHIRE IMAGING | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200-2202 WILSHIRE BLVD | AddressLine1 |
| City | SANTA MONICA | City |
| State | CA | State |
| ZIP Code | 90404 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | OUTPAT/IMAGING CTR | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| REQUIRED DESCRIPTIONS | PART 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 11 PROGRAMS REPORTED AS SUBSIDIZED HEALTH SERVICES. THERE IS ONE SUPERVISING PSYCHIATRIST AND FIVE PHYSICIANS ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES AND TOTAL CONTRIBUTABLE AMOUNT IS $967,449. 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 CHARGES 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 2011. 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 2011, SAINT JOHN'S HEALTH CENTER PROVIDED A TOTAL OF $2,456,017 IN TRADITIONAL CHARITY CARE AND $1,540,215 UNPAID COST OF MEDICAID. | |
| NEEDS ASSESSMENT | AS 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 ASSISTANCE | SAINT 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 INFORMATION | IN 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 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. 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 IN TABLE 4.1. AMONG THE HIGHLIGHTS: 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 COMPLETED 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 THE HEALTHY PEOPLE 2010 TARGET (WHILE STILL CONSIDERABLY 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 EXPENSES. SOME ALSO MENTIONED LONG WAIT TIMES TO SEE A PHYSICIAN, PROVIDERS NOT ACCEPTING HMO PLANS WHILE EMPLOYERS MAY FAVOR THEM. ALSO MENTIONED WAS THE AFFORDABILI | |
| COMMUNITY BUILDING ACTIVITIES | WE 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 AN 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 2011, WE PROVIDED $9,492,393, 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 WILL 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 PHILIPINO 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 $204.8 MILLION. 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 ROLES | SAINT 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 ASSISTANCE | IF THE PATIENT IS QUALIFY FOR FAP, THERE IS NO CHARGE TO THIS PATIENT. | PART V, LINE 19D: |
| STATE FILING OF COMMUNITY BENEFIT REPORT | CA,CO,KS,MT, | 990 SCHEDULE H, PART VI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| OPCC | |||||||
| 1453 16TH STREET | SANTA MONICA | CA | 90404 | 956143865 | 501(C)(3) | 200000 | svcs to homeless, mentally ill women at daybreak shelter |
| PICO YOUTH AND FAMILY CENTER | |||||||
| 715 PICO BLVD | SANTA MONICA | CA | 90405 | 481269398 | 501(C)(3) | 18700 | mental health & other svcs to at risk youth |
| WESTSIDE FAMILY HEALTH CENTER | |||||||
| 1711 OCEAN PARK BLVD | SANTA MONICA | CA | 90405 | 952931931 | 501(C)(3) | 92000 | outpatient svcs to pregnant women |
| SANTA MONICA MALIBU UNITED SCHOOL DISTRICT | |||||||
| 1651 16TH STREET | SANTA MONICA | CA | 90404 | 956002855 | 501(C)(3) | 100000 | MENTAL HEALTH SERVICES FOR CHILDREN BETWEEN THE AGES OF 0-5 YEARS WHO ARE IDENTIFIED AT RISK OF CHILD ABUSE. |
| VENICE FAMILY CLINIC | |||||||
| 604 ROSE AVE | VENICE | CA | 90291 | 952769432 | 501(C)(3) | 176000 | OP svc. to under Federal poverty guidelines |
| WISE & HEALTHY AGING | |||||||
| 1527 4TH ST 2ND FL | SANTA MONICA | CA | 90401 | 952788014 | 501(C)(3) | 51000 | SUPPORT FOR CBO THAT SERVES THE ELDERLY AND DISABLED PERSONS |
| SAINT ANNE'S SCHOOL | |||||||
| 2015 COLORADO AVE | SANTA MONICA | CA | 90404 | 951690538 | 501(C)(3) | 50000 | Support for school qualified for Title XX. |
| SAINT JOSEPH CENTER | |||||||
| 204 HAMPTON DRIVE | VINICE | CA | 90291 | 953874381 | 501(C)(3) | 25000 | MENTAL HEALTH & OTHER SVC. TO THE POOR |
| AMERICAN RED CROSS OF SANTA MONICA | |||||||
| 1450 11TH STREET | SANTA MONICA | CA | 90401 | 951643966 | 501(C)(3) | 8000 | SUPPORT OF EMERGENCY PREPAREDNESS |
| SANTA MONICA CHAMBER OF COMMERCE | |||||||
| 1234 6TH ST STE 100 | SANTA MONICA | CA | 90401 | 951192245 | 501(C)(6) | 6000 | MENTAL HEALTH AND CASE MANAGEMENT SERVICES TO THE MENTALLY ILL IN SANTA MONICA |
| JOHN WAYNE CANCER INSTITUTE | |||||||
| 2200 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 954291515 | 501(C)(3) | 879754 | CANCER RESEARCH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 10 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | MONITORING USE OF GRANTS | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | Saint 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lou Lazatin | |||||||||||||
| 0 | 504961 | 0 | 517166 | 0 | 93429 | 0 | 33652 | 0 | 6398 | 0 | 1155606 | 0 | 0 |
| MICHELLE MOK | |||||||||||||
| 0 | 293396 | 0 | 35022 | 0 | 7817 | 0 | 47124 | 0 | 1852 | 0 | 385211 | 0 | 0 |
| DAWNA HENDEL | |||||||||||||
| 0 | 230228 | 0 | 27258 | 0 | 1835 | 0 | 41580 | 0 | 1758 | 0 | 302659 | 0 | |
| REBECCA SIASON | |||||||||||||
| 105414 | 0 | 0 | 0 | 118039 | 0 | 0 | 0 | 16538 | 0 | 239991 | 0 | 0 | 0 |
| BOB KLEIN | |||||||||||||
| 168758 | 0 | 22195 | 0 | 25065 | 0 | 0 | 0 | 18964 | 0 | 234982 | 0 | 0 | 0 |
| TAJQUAH HUDSON | |||||||||||||
| 0 | 286285 | 0 | 0 | 0 | 2001 | 0 | 48440 | 0 | 5888 | 0 | 342614 | 0 | 0 |
| TISH STARBUCK | |||||||||||||
| 0 | 204969 | 0 | 162208 | 0 | 30572 | 0 | 17328 | 0 | 9220 | 0 | 424297 | 0 | 0 |
| ELEANOR L RAMIREZ | |||||||||||||
| 0 | 312198 | 0 | 242266 | 0 | 94191 | 0 | 19600 | 0 | 12617 | 0 | 680872 | 0 | 54077 |
| HOWARD DAVIS | |||||||||||||
| 0 | 341239 | 0 | 31152 | 0 | 7076 | 0 | 50088 | 0 | 15743 | 0 | 445298 | 0 | 0 |
| STEVEN SHARRER | |||||||||||||
| 0 | 196818 | 0 | 24072 | 0 | 91087 | 0 | 16320 | 0 | 6177 | 0 | 334474 | 0 | 62853 |
| Randal Slates | |||||||||||||
| 191288 | 3000 | 116 | 0 | 28776 | 223180 | ||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION REVIEW PROCESS | Schedule J, Part I, Line 3 | PROCESS FOR DETERMING COMPENSATION SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS AND STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHARE SYSTEMS AND HOSPITALS. SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A REBECCA SIASON $86,822 |
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B | OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR IRS IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2011 WERE: LOURDES J. LAZATIN $29,494 ELEANOR L. RAMIREZ $42,023 STEVEN C. SHARRER $36,423 LATISHA D. STARBUCK $9,909 |
| SUPPLEMENTAL | SCHDULE 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 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 (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION | OTHER PROGRAM SERVICES | FORM 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 182,211 OUTPATIENT VISITS IN ADDITION TO THE 50,624 DAYS OF CARE PROVIDED TO THE 12,950 PATIENTS ADMITTED TO THE HEALTH CENTER DURING JANUARY 2011 TO DECEMBER 2011. 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 29,586 PATIENTS FROM JANUARY 2011 TO DECEMBER 2011. 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. THE FOLLOWING INDIVIDUALS DEVOTE A PERCENTAGE OF THEIR TIME TO EACH ENTITY: LOU LAZATIN: 90% SAINT JOHN'S, 5.5% SAINT JOHN'S FOUNDATION, 4.5% JOHN WAYNE; MICHELLE MOK: 95.5% SAINT JOHN'S, 4.5% JOHN WAYNE; STEVE SHARRER: 96.5% SAINT JOHN'S, 0.5% JOHN WAYNE, 3% SAINT JOHN'S FOUNDATION; DR.HOWARD DAVIS: 100% SAINT JOHN'S. 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 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 5 NET CHANGE ON GRANT TO JWCI $ 855,647 NET CHANGE ON ABRAXIS GRANT $ (3,981,531) EQUITY TRANSFER TO SCL $ (6,433,335) NET CHANGE ON OTHER GRANTS $ 10,000,000 GAIN FROM JOINT VENTURE SMWI $ (471,000) |
| STATEMENT OF CONTROLLED FOREIGN CORPORATION | SAINT JOHN'S HEALTH CENTER PARTICIPATION CORPORATION EIN: 95-1684082 FOR THE TAX YEAR ENDED DECEMBER 31, 2011 THIS STATEMENT IS BEING FILED PURSUANT TO TREAS. REG. 1.6038-2(J)(3). SAINT JOHN'S HEALTH CENTER'S FILING REQUIREMENT FOR FORM 5471 FOR THE CONTROLLED FOREIGN CORPORATIONS LISTED BELOW HAS BEEN SATISFIED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (FEIN:23-7379161). SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM HAS INCLUDED THE FORM 5471 WITH ITS FORM 990 WHICH WAS FILED ELECTRONICALLY. LEAVEN INSURANCE COMPANY, LTD. 98-0370522 23 LIMETREE BAY AVE., PO BOX 1051 GEORGETOWN, GRAND CAYMAN KY1-1102 CJ RIVERVIEW MULTI-SERIES FUND SPC, LTD. 510 THORNALL STREET, SUITE 220 EDISON, NJ 08837 JP MORGAN HEDGE FUND SPC-ACCESS MAR09 SEGREGATED 98-0680591 INT'L FUND SVCS LTD, 78 SIR JOHN ROGERSON'S QUAY DUBLIN, IRELAND 2 EI JP MORGAN HEDGE FUND SPC-ACCESS JUN09 SEGREGATED 98-0680582 INT'L FUND SVCS LTD, 78 SIR JOHN ROGERSON'S QUAY DUBLIN, IRELAND 2 EI |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| SISTERS OF CHARITY LEAVENWORTH HLTH SYST | ||||||||||
| 9801 RENNER BLVD STE 100 | LENEXA | KS | 66219 | 237379161 | SUPPORT MMBRS | KS | 501(C)(3) | 11B-TYPE II | NA | false |
| CARITAS CLINICS INC | ||||||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | CLINIC SVCS | KS | 501(C)(3) | 3 | SCLHS | true |
| MARIAN CLINIC INC | ||||||||||
| 1001 SW GARFIELD | TOPEKA | KS | 66604 | 481046905 | CLINIC SVCS | KS | 501(C)(3) | 3 | SCLHS | true |
| MARILLAC CLINIC INC | ||||||||||
| 2333 N 6TH STREET | GRAND JUNCTION | CO | 81501 | 841085822 | CLINIC SVCS | CO | 501(C)(3) | 3 | SCLHS | true |
| PROVIDENCE MEDICAL CENTER | ||||||||||
| 8929 PARALLEL PARKWAY | KANSAS CITY | KS | 66112 | 480784446 | HEALTHCARE | KS | 501(C)(3) | 3 | SCLHS | true |
| ST JOHN HOSPITAL INC | ||||||||||
| 3500 SOUTH FOURTH STREET | LEAVENWORTH | KS | 66048 | 480543768 | HEALTHCARE | KS | 501(C)(3) | 3 | PMC | true |
| BETHANY COMMUNITY PLAZA INC | ||||||||||
| 15 NORTH 12TH STREET | KANSAS CITY | KS | 66102 | 481207407 | HEALTHCARE | KS | 501(C)(3) | 3 | PMC | true |
| PROVIDENCEST JOHN FOUNDATION INC | ||||||||||
| 8929 PARALLEL PARKWAY | KANSAS CITY | KS | 661121689 | 480925688 | SUPPORT 501C3 | KS | 501(C)(3) | 7 | PMC | true |
| ST FRANCIS HEALTH CENTER INC | ||||||||||
| 1700 SW 7TH STREET | TOPEKA | KS | 66606 | 480547719 | HEALTHCARE | KS | 501(C)(3) | 3 | SCLHS | true |
| ST FRANCIS HEALTH CENTER FOUNDATION | ||||||||||
| 1700 SW 7TH STREET | TOPEKA | KS | 66606 | 481092520 | SUPPORT 501C3 | KS | 501(C)(3) | 11A-TYPE I | SFHC | true |
| ST MARYS HOSPITAL & MEDICAL CENTER INC | ||||||||||
| 2635 N 7TH STREET | GRAND JUNCTION | CO | 81502 | 840425720 | HEALTHCARE | CO | 501(C)(3) | 3 | SCLHS | true |
| ST MARYS HOSPITAL FOUNDATION | ||||||||||
| 2635 N 7TH STREET | GRAND JUNCTION | CO | 81502 | 237001007 | SUPPORT 501C3 | CO | 501(C)(3) | 11A-TYPE I | SMHMC | true |
| SAINT JOSEPH HOSPITAL FOUNDATION | ||||||||||
| 1835 FRANKLIN STREET | DENVER | CO | 80218 | 840735096 | SUPPORT 501C3 | CO | 501(C)(3) | 11A-TYPE I | SJH | true |
| HOLY ROSARY HEALTHCARE | ||||||||||
| 2600 WILSON | MILES CITY | MT | 59301 | 810231792 | HEALTHCARE | MT | 501(C)(3) | 3 | SCLHS | true |
| HOLY ROSARY HEALTHCARE FOUNDATION INC | ||||||||||
| 2600 WILSON | MILES CITY | MT | 59301 | 202270238 | SUPPORT 501C3 | MT | 501(C)(3) | 11A-TYPE I | HRHC | true |
| ST VINCENT HEALTHCARE | ||||||||||
| 1233 NORTH 30TH | BILLINGS | MT | 59101 | 810232124 | HEALTHCARE | MT | 501(C)(3) | 3 | SCLHS | true |
| ST VINCENT HEALTHCARE FOUNDATION | ||||||||||
| PO BOX 35200 | BILLINGS | MT | 591075200 | 810468034 | SUPPORT 501C3 | MT | 501(C)(3) | 7 | SVHC | true |
| NORTHWEST RESEARCH & EDUCATION INSTITUTE | ||||||||||
| 315 NORTH 25TH STREET | BILLINGS | MT | 59101 | 201343024 | COMM HLTH RES | MT | 501(C)(3) | 9 | SVHC | true |
| ST JAMES HEALTHCARE | ||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 597012328 | 810231785 | HEALTHCARE | MT | 501(C)(3) | 3 | SCLHS | true |
| ST JAMES HEALTHCARE FOUNDATION | ||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 651202190 | SUPPORT 501C3 | MT | 501(C)(3) | 11A-TYPE I | SJHC | true |
| JOHN WAYNE CANCER INSTITUTE | ||||||||||
| 2000 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 954291515 | CANCER R&D | CA | 501(C)(3) | 4 | SJHHC | true |
| SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN | ||||||||||
| 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 904042091 | 956100079 | SUPPORT 501C3 | CA | 501(C)(3) | 11A-TYPE I | SJHHC | true |
| EXEMPLA INC FKA LUTHERAN HOSPITAL | ||||||||||
| 2420 W 26TH AVE SUITE 100D | DENVER | CO | 80211 | 841103606 | HEALTHCARE | CO | 501(C)(3) | 3 | SCLHS | true |
| EXEMPLA LUTHERAN MEDICAL CENTER FNDTN | ||||||||||
| 2480 W 26TH AVESUITE 360B | DENVER | CO | 80211 | 208846152 | SUPPORT 501C3 | CO | 501(C)(3) | 7 | EXEMPLA INC | true |
| EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN | ||||||||||
| 200 EXEMPLA CIRCLE | LAFAYETTE | CO | 80026 | 841649162 | SUPPORT 501C3 | CO | 501(C)(3) | 7 | EXEMPLA INC | true |
| LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST | ||||||||||
| 2480 W 26TH AVESUITE 360B | DENVER | CO | 80211 | 742571584 | INSURANCE | CO | 501(C)(3) | 11A-TYPE I | EXEMPLA INC | true |
| SAINT JOSEPH HOSPITAL | ||||||||||
| 1835 FRANKLIN STREET | DENVER | CO | 80218 | 840417134 | HEALTHCARE | CO | 501(C)(3) | 3 | SCLHS | true |
| MOUNT ST VINCENT HOME INC | ||||||||||
| 4159 LOWELL BOULEVARD | DENVER | CO | 80211 | 840405260 | RESIDENT CARE | CO | 501(C)(3) | 11A-TYPE I | SCLHS | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType |
|---|---|---|---|---|---|---|---|---|
| PAVILION IMAGING LLC | ||||||||
| 750 WELLINGTON | GRAND JUNCTION | CO | 81501 | 030516198 | RADIOLOGY | CO | NA | N/A |
| GRAND VALLEY SURGICAL CENTER LLC | ||||||||
| 710 WELLINGTON | GRAND JUNCTION | CO | 81501 | 841505075 | OP SURGERY | CO | NA | N/A |
| SAN JUAN CANCER CENTER LLC | ||||||||
| 600 SOUTH 5TH STREET | MONTROSE | CO | 81401 | 202856331 | OP CANCER | CO | NA | N/A |
| BILLINGS MRI CENTER LLC | ||||||||
| 1041 NORTH 29TH STREET | BILLINGS | MT | 59101 | 810450943 | MRI-PET SCAN | MT | NA | N/A |
| LUTHERAN CAMPUS ASC LLC | ||||||||
| 3455 LUTHRN PKW SUITE 150 | WHEATRIDGE | CO | 800336028 | 020749532 | OP SURGERY | CO | NA | N/A |
| COLORADO SURGICAL VENTURES LLC | ||||||||
| 30 S WACKER DR SUITE 2302 | CHICAGO | IL | 60605 | 208038915 | OP SURGERY | CO | NA | N/A |
| COLORADO SURGICAL HOSPITAL LLC | ||||||||
| 30 S WACKER DR SUITE 2302 | CHICAGO | IL | 60605 | 208038977 | OP SURGERY | CO | NA | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARITAS INC AND SUBSIDIARIES | |||||||||||||
| 9801 RENNER BOULEVARD SUITE 100 | LENEXA | KS | 66219 | 480941069 | OTHER MEDICAL | KS | C CORP | ||||||
| LEAVEN INSURANCE COMPANY LTD | |||||||||||||
| 980370522 | INSURANCE | 23 LIME TREE BAY AVE PO BOX 1051 | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1102 | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| SAINT JOHN'S HEALTH CENTER FOUNDATION | ||
| P | 3264947 | CASH |
| JOHN WAYNE CANCER INSTITUTE | ||
| B | 875004 | CASH |
| SAINT JOHN'S HEALTH CENTER FOUNDATION | ||
| C | 5998554 | CASH |
| JOHN WAYNE CANCER INSTITUTE | ||
| A | 1311132 | CASH |
| JOHN WAYNE CANCER INSTITUTE | ||
| Q | 195668 | CASH |