Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
262 DANNY THOMAS PLACE
 
Room/suite
City or town, state or country, and ZIP + 4
MEMPHIS, TN381053678
D Employer identification number

62-0646012
E Telephone number

G Gross receipts $ 574,006,112
F Name and address of principal officer:
WILLIAM E EVANS
262 DANNY THOMAS PLACE
MEMPHIS,TN381053678
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.STJUDE.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1959
M State of legal domicile: TN
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: ST. JUDE CHILDREN'S RESEARCH HOSPITAL IS A RESEARCH, TREATMENT AND EDUCATION CENTER WHOSE MISSION IS TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRIC CATASTROPHIC DISEASES THROUGH RESEARCH AND TREATMENT. CONSISTENT WITH THE FOUNDER, DANNY THOMAS, NO CHILD IS DENIED TREATMENT BASED ON RACE, RELIGION OR A FAMILY'S ABILITY TO PAY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 45
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 39
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 4,056
6 Total number of volunteers (estimate if necessary) .... 6 535
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 497,346,239 476,590,185
9 Program service revenue (Part VIII, line 2g) ......... 83,759,361 88,718,150
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -71,966 -10,080
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 8,851,455 8,438,765
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 589,885,089 573,737,020
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 22,000
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 313,143,592 321,457,685
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 281,780,339 278,552,019
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 594,923,931 600,031,704
19 Revenue less expenses. Subtract line 18 from line 12...... -5,038,842 -26,294,684
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 2,440,966,547 2,859,908,493
21 Total liabilities (Part X, line 26)............ 317,696,642 318,269,139
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 2,123,269,905 2,541,639,354
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: ST. JUDE CHILDREN'S RESEARCH HOSPITAL IS A RESEARCH, TREATMENT AND EDUCATION CENTER WHOSE MISSION IS TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRIC CATASTROPHIC DISEASES THROUGH RESEARCH AND TREATMENT. CONSISTENT WITH THE FOUNDER, DANNY THOMAS, NO CHILD IS DENIED TREATMENT BASED ON RACE, RELIGION OR A FAMILY'S ABILITY TO PAY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 299,348,142 including grants of $   ) (Revenue $   )
RESEARCH: THE CURRENT BASIC SCIENCE AND CLINICAL RESEARCH AT THE HOSPITAL INCLUDES WORK IN GENE THERAPY, CHEMOTHERAPY, THE BIOCHEMISTRY OF NORMAL AND CANCEROUS CELLS, RADIATION TREATMENT, BLOOD DISEASES, RESISTANCE TO THERAPY, VIRUSES, HEREDITARY DISEASES, INFLUENZA, PEDIATRIC AIDS AND PHYSIOLOGICAL EFFECTS OF CATASTROPHIC ILLNESSSES. THE HOSPITAL AWARDS NO GRANTS TO OUTSIDE AGENCIES. ALL RESEARCH ACTIVITIES ARE CONDUCTED BY HOSPTIAL PERSONNEL.
4b (Code:   ) (Expenses $ 7,804,188 including grants of $   ) (Revenue $   )
EDUCATION AND TRAINING: AS PART OF ITS EDUCATIONAL MISSION, THE HOSPITAL PROVIDES APPROXIMATELY 350 POSTDOCTORAL FELLOWSHIPS TO INDIVIDUALS WHO ALREADY HAVE EARNED AN MD, PHD, PHARMD, OR DVM. THE HOSPITAL IS ALSO AFFILIATED WITH THE UNIVERSITY OF TENNESSEE HEALTH SCIENCES CENTER AT MEMPHIS, SERVING AS A TRAINING SITE FOR GRADUATE STUDENTS, MEDICAL STUDENTS, MEDICAL RESIDENTS, AND UNDERGRADUATE STUDENTS IN RELEVANT APPLIED HEALTH PROGRAMS. THIS TRAINING IS PROVIDED IN A VARIETY OF SUBSPECIALTIES AND RESEARCH DISCIPLINES IN THE CLINICAL AND BASIC SCIENCES UNDER THE DIRECTION OF SENIOR CLINICAL AND RESEARCH FACULTY. A PEDIATRIC ONCOLOGY EDUCATION PROGRAM, OFFERING SUMMER TRAINING IN RESEARCH AND CLINICAL DISCIPLINES TO COLLEGE STUDENTS, IS AN INTEGRAL PART OF ST. JUDE'S COMMUNITY EDUCATION ACTIVITIES. ST. JUDE ALSO HAS GRADUATE PROGRAMS CONDUCTED UNDER FORMAL AFFILIATION AGREEMENTS WITH THE UNIVERSITY OF MEMPHIS AND THE UNIVERSITY OF MISSISSIPPI. UNDERGRADUATE PROGRAMS INCLUDE THE RHODES COLLEGE SUMMER PLUS PROGRAM (RHODES COLLEGE) AND CHRISTIAN BROTHERS UNIVERSITY.
4c (Code:   ) (Expenses $ 265,713,135 including grants of $   ) (Revenue $ 88,718,150 )
PATIENT CARE: THE HOSPITAL PROVIDED 14,857 INPATIENT DAYS OF CARE DURING THE YEAR. OUR BONE MARROW TRANSPLANTATION PROGRAM ACCOUNTED FOR 3,229 OR 22% OF THOSE INPATIENT DAYS. PATIENTS MADE 63,395 CLINIC VISITS DURING THE YEAR.
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 572,865,465
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
865
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
4,056
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
 
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
45
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
39
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
Yes
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
TN
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
MICHAEL C CANARIOS
262 DANNY THOMAS PLACE
MEMPHIS,TN381053678
(901) 595-2261
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) JOYCE ABOUSSIE
DIRECTOR
4.00 X           0 0 0
(2) THOMAS G ABRAHAM
DIRECTOR
4.00 X           0 0 0
(3) SUSAN MACK AGUILLARD MD
DIRECTOR
4.00 X           0 0 0
(4) MAHIR AWDEH MD
DIRECTOR
4.00 X           0 0 0
(5) JOSEPH S AYOUB JR ESQ
DIRECTOR
4.00 X           0 0 0
(6) PAUL J AYOUB ESQ
DIRECTOR
4.00 X           0 0 0
(7) JAMES B BARKATE
DIRECTOR
4.00 X           0 0 0
(8) MARTHA PERINE BEARD
DIRECTOR
8.00 X           0 0 0
(9) KATHIE BERLIN
DIRECTOR
4.00 X           0 0 0
(10) SHERYL BOURISK
DIRECTOR
4.00 X           0 0 0
(11) ROBERT A BREIT MD
DIRECTOR
8.00 X           0 0 0
(12) TERRY BURMAN
DIRECTOR
8.00 X           0 0 0
(13) STEPHEN J CAMER MD
DIRECTOR
4.00 X           0 0 0
(14) TONY CHARAF
DIRECTOR
4.00 X           0 0 0
(15) ANN M DANNER
DIRECTOR
4.00 X           0 0 0
(16) FRED P GATTAS JR
DIRECTOR
4.00 X           0 0 0
(17) FRED P GATTAS III
DIRECTOR
4.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) CHRISTOPHER GEORGE MD
DIRECTOR
4.00 X           0 0 0
(19) JUDY HABIB
DIRECTOR
4.00 X           0 0 0
(20) PAUL K HAJAR
DIRECTOR
4.00 X           0 0 0
(21) CHUCK HAJJAR
DIRECTOR
4.00 X           0 0 0
(22) FRED R HARRIS
DIRECTOR
4.00 X           0 0 0
(23) BRUCE B HOPKINS
DIRECTOR
4.00 X           0 0 0
(24) RICHARD IEYOUB
DIRECTOR
4.00 X           0 0 0
(25) RICHARD KARAM ESQ
DIRECTOR
4.00 X           0 0 0
(26) SALLI LEVAN
DIRECTOR
4.00 X           0 0 0
(27) PAUL MARCUS
DIRECTOR
4.00 X           0 0 0
(28) MICHAEL D MCCOY
DIRECTOR
4.00 X           0 0 0
(29) ROBERT T MOLINET
DIRECTOR
4.00 X           0 0 0
(30) JIM NAIFEH JR
DIRECTOR
4.00 X           0 0 0
(31) THOMAS PENN III
DIRECTOR
4.00 X           0 0 0
(32) MANAL SAAB
DIRECTOR
4.00 X           0 0 0
(33) CAMILLE F SARROUF SR ESQ
DIRECTOR
4.00 X           0 0 0
(34) CAMILLE F SARROUF JR ESQ
DIRECTOR
4.00 X           0 0 0
(35) JOSEPH G SHAKER
DIRECTOR
4.00 X           0 0 0
(36) GEORGE A SIMON II
DIRECTOR
4.00 X           0 0 0
(37) PAUL J SIMON
DIRECTOR
4.00 X           0 0 0
(38) TERRE THOMAS
DIRECTOR
4.00 X           0 0 0
(39) TONY THOMAS
DIRECTOR
4.00 X           0 0 0
(40) PAT KERR TIGRETT
DIRECTOR
4.00 X           0 0 0
(41) RICHARD M UNES
DIRECTOR
4.00 X           0 0 0
(42) PAUL H WEIN ESQ
DIRECTOR
4.00 X           0 0 0
(43) TOM WERTZ
DIRECTOR
4.00 X           0 0 0
(44) RAMZI T YOUNIS MD
DIRECTOR
4.00 X           0 0 0
(45) TAMA ZAYDON
DIRECTOR
4.00 X           0 0 0
(46) RAYMOND J ZOGHBY
DIRECTOR
4.00 X           0 0 0
(47) RICHARD C SHADYAC JR
EX-OFFICIO DIRECTOR
1.00 X           0 477,920 37,700
(48) WILLIAM E EVANS
DIRECTOR AND CEO
55.00 X   X       824,033 0 39,737
(49) JAMES R DOWNING
EVP/SCIENTIFIC DIRECTOR
55.00     X       713,609 0 41,040
(50) MICHAEL C CANARIOS
SVP/CHIEF FINANCIAL OFFICER
55.00     X       362,871 0 67,624
(51) MICHAEL B KASTAN
EVP/DIRECTOR CANCER CENTER
55.00     X       586,180 0 79,729
(52) JOSEPH H LAVER
SVP/CLINICAL DIRECTOR
55.00     X       574,337 0 67,569
(53) LARRY E KUN
CHAIR/FACULTY
55.00         X   734,940 0 43,053
(54) GEORGE B BIKHAZI
FACULTY
55.00         X   480,323 0 39,740
(55) ANDREW DAVIDOFF
CHAIR/FACULTY
55.00         X   531,937 0 85,451
(56) STEPHEN J SHOCHAT
FACULTY
55.00         X   503,725 0 42,332
(57) LESLIE L ROBISON
CHAIR/FACULTY
55.00         X   466,742 0 40,721
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,778,697 477,920 584,696
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet363
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
UNIVERSITY OF TENNESSEE
62 S DUNLAP RM 300
MEMPHIS,TN38163
MEDICAL 4,592,513
CERNER CORP
PO BOX 412702
KANSAS CITY,MO641412702
CONSULTING 4,369,238
UT MED GROUP INC
1407 UNION AVE SUITE 720
MEMPHIS,TN381043641
MEDICAL 3,960,299
DYNAMIX GROUP INC
PO BOX 116609
ATLANTA,GA303686609
MAINTENANCE SERVICE 2,911,108
GUARDSMARK LLC
PO BOX 11407
BIRMINGHAM,AL352463000
SECURITY 2,654,325
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet159
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 375,102,514
e Government grants (contributions)1e 91,558,250
f All other contributions, gifts, grants, and
similar amounts not included above
1f
9,929,421
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 476,590,185
 Program Service Revenue Business Code
2a PATIENT CARE 621,110 88,718,150 88,718,150    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 88,718,150
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet        
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 186,842 72,170
b Less: cost or other basis and sales expenses 144,500 124,592
c Gain or (loss) 42,342 -52,422
d Net gain or (loss)..........MediumBullet -10,080 -10,080    
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a PATENTS/LICENSING INCO 900,099 2,988,653 2,988,653    
b CAFETERIA/VENDING 722,212 2,758,811 2,758,811    
c CHGME/CHCA 900,099 1,409,444 1,409,444    
d All other revenue .... 1,281,857 1,281,857    
e Total. Add lines 11a–11d ......MediumBullet 8,438,765
12 Total revenue. See Instructions....MediumBullet 573,737,020 97,146,835 0 0
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 22,000 22,000
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 3,506,742 2,140,968 1,365,774  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 245,614,223 229,849,998 15,764,225  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 15,926,329 14,904,132 1,022,197  
9 Other employee benefits ....... 39,675,073 37,128,613 2,546,460  
10 Payroll taxes ........... 16,735,318 15,661,197 1,074,121  
11 Fees for services (non-employees):        
a Management ...... 4,336,675 4,153,561 183,114  
b Legal ......... 1,553,457 1,487,863 65,594  
c Accounting ........... 228,428 218,783 9,645  
d Lobbying ........... 29,000 29,000    
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 69,856,390 64,585,625 5,270,765  
12 Advertising and promotion .... 707,622 677,743 29,879  
13 Office expenses ....... 2,059,131 2,025,505 33,626  
14 Information technology ...... 10,042,735 9,618,685 424,050  
15 Royalties ..        
16 Occupancy ........... 20,723,028 18,062,217 2,660,811  
17 Travel ............ 9,444,440 9,052,859 391,581  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 1,269,066 949,329 319,737  
20 Interest ........... 10,402,374 10,383,524 18,850  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 63,101,064 60,135,931 2,965,133  
23 Insurance .............. 1,159,089   1,159,089  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a LABORATORY SUPPLIES 28,536,697 28,070,684 466,013 0
b PHAMACEUTICAL SUPPLIES 24,408,957 24,010,351 398,606 0
c PATIENT CARE SUPPLIES 6,094,552 5,995,026 99,526 0
d TELEPHONE 1,128,421 1,005,683 122,738 0
e ALLOCATION ADJUSTMENTS 0 10,239,539 -10,239,539 0
f All other expenses 23,470,893 22,456,649 1,014,244  
25 Total functional expenses. Add lines 1 through 24f 600,031,704 572,865,465 27,166,239 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 6,602,155 1 2,426,793
2 Savings and temporary cash investments ....... 10,752,450 2 10,099,500
3 Pledges and grants receivable, net ......... 8,044,487 3 11,133,917
4 Accounts receivable, net ......... 14,294,962 4 11,816,086
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 4,107,758 8 3,732,709
9 Prepaid expenses and deferred charges ............ 13,870,573 9 11,203,641
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 914,182,000
b Less: accumulated depreciation. ..... 10b 490,909,539 441,776,563 10c 423,272,461
11 Investments—publicly traded securities .......... 1,264,640 11 1,494,392
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 1,940,252,959 15 2,384,728,994
16 Total assets. Add lines 1 through 15 (must equal line 34)... 2,440,966,547 16 2,859,908,493
Liabilities 17 Accounts payable and accrued expenses . 71,047,212 17 75,926,446
18 Grants payable ..........   18  
19 Deferred revenue .......... 5,330,877 19 6,415,432
20 Tax-exempt bond liabilities .......... 239,523,268 20 234,467,223
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 1,795,285 25 1,460,038
26 Total liabilities. Add lines 17 through 25..... 317,696,642 26 318,269,139
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 1,423,253,486 27 1,704,992,562
28 Temporarily restricted net assets ..... 37,242,519 28 46,913,705
29 Permanently restricted net assets ..... 662,773,900 29 789,733,087
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 2,123,269,905 33 2,541,639,354
34 Total liabilities and net assets/fund balances ..... 2,440,966,547 34 2,859,908,493
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
573,737,020
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
600,031,704
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-26,294,684
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
2,123,269,905
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
444,664,133
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
2,541,639,354
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Part I
Contributors (see Instructions)
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
Organization's
Totals
(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
15,500
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
13,500
j
Total. lines 1c through 1i ...................................
29,000
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: ST. JUDE RETAINED SNR DENTON FOR FEDERAL POLICY CONSULTING AND SMITH, HARRIS & CARR FOR STATE POLICY CONSULTING. AMOUNT LISTED IS RETAINER FEES PRORATED FOR DIRECT FEDERAL AND STATE LEGISLATIVE CONTACTS.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........
     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................   624,749,060 311,325,546 313,423,514
c Leasehold improvements ............        
d Equipment ................   283,266,502 177,344,477 105,922,025
e Other .................   6,166,438 2,239,516 3,926,922
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 423,272,461
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INTEREST IN NET ASSETS OF AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES, INC 2,381,645,965
(2) UNAMORTIZED BOND ISSUANCE COSTS 1,364,638
(3) PROPERTY HELD FOR RESALE 1,718,391






Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 2,384,728,994
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
SELF INSURANCE LIABILITY 428,408
WORKER'S COMPENSATION 1,031,630







Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,460,038
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 573,737,020
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 600,031,704
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 -26,294,684
4 Net unrealized gains (losses) on investments .......................... 4 169,320
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 444,494,813
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 444,664,133
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 418,369,449
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 198,856,248
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 169,320
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e 169,320
3 Subtract line 2e from line 1..................... 3 198,686,928
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b 375,050,092
c Add lines 4a and 4b....................... 4c 375,050,092
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 573,737,020
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 600,031,704
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 600,031,704
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 600,031,704
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:   CHANGE IN INTEREST IN UNRESTRICTED NET ASSETS ALSAC 308,964,137. CHANGE IN INTEREST IN NET ASSET OF ALSAC 135,530,676.
PART XII, LINE 4B - OTHER ADJUSTMENTS:   NET SUPPORT RECEIVED FROM ALSAC 375,102,514. LOSS FROM DISPOSAL OF PROPERTY AND EQUIPMENT -52,422.
    PART X, LINE 2 - THE HOSPITAL ADOPTED THE PROVISIONS OF ASC TOPIC 740, INCOME TAXES ON JULY 1, 2009. APPLICATION OF ASC TOPIC 740 TO A TAX-EXEMPT ORGANIZATION IS PRIMARILY DIRECTED AT THE CHARACTERIZATION OF INCOME AS TAX EXEMPT (RELATED OR EXCLUDED EXEMPT FUNCTION INCOME) AND/OR TAXABLE AS UNREALTED BUSINESS INCOME AS DEFINED IN THE CODE. THE HOSPITAL EVALUATED THE EFFECT OF ASC TOPIC 740 AND DETERMINED THAT NO ADJUSTMENTS TO ITS CONSOLIDATED FINANCIAL STATEMENTS WERE REQUIRED UPON THE ADOPTION OF ASC TOPIC 740 ON JULY 1, 2009. AS OF JUNE 30, 2011, THE HOSPITAL HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER ASC 740 REQUIRING ADJUSTMENTS TO ITS CONSOLIDATED FINANCIAL STATEMENTS. IN THE EVENT THE HOSPITAL WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AS INTEREST EXPENSE FOR INTEREST AND MISCELLANEOUS FOR PENALTIES. GENERALLY, TAX YEARS 2007 THROUGH 2010 ARE OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES, RESPECTIVELY. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total
expenditures for region/investments
in region
CENTRAL AMERICA & THE CARIBBEAN 0 0 PROGRAM SERVICES EDUCATION & TRAINING 676,059
EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES EDUCATION & TRAINING 515,914
MIDDLE EAST AND NORTH AFRICA 0 1 PROGRAM SERVICES EDUCATION & TRAINING 1,619,497
NORTH AMERICA 0 0 PROGRAM SERVICES EDUCATION & TRAINING 169,196
RUSSIA & THE NEWLY INDEPENDENT STATES 0 0 PROGRAM SERVICES EDUCATION & TRAINING 6,818
SOUTH AMERICA 0 0 PROGRAM SERVICES EDUCATION & TRAINING 646,605
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 1 3,634,089
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 1 3,634,089
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
SOUTH AMERICA GENERAL SUPPORT     11,000 EQUIPMENT BOOK
CENTRAL AMERICA AND THE CARIBBEAN GENERAL SUPPORT     11,000 EQUIPMENT BOOK
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
2
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
 
No
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
 
No
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
 
No
6b
If "Yes," does the organization make it available to the public? ..............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) ..
    30,554,523 97,160 30,457,363 5.080 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
    86,736,031 22,112,840 64,623,191 10.770 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs .....
    117,290,554 22,210,000 95,080,554 15.850 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    11,788,710 251 11,788,459 1.960 %
f Health professions education
(from Worksheet 5) ..
    6,680,046 275,342 6,404,704 1.070 %
g Subsidized health services
(from Worksheet 6) ..
    16,542,687   16,542,687 2.760 %
h Research (from Worksheet 7)     266,392,204 2,988,654 263,403,550 43.900 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
    25,200   25,200 0 %
jTotal Other Benefits ...     301,428,847 3,264,247 298,164,600 49.690 %
kTotal. Add lines 7d and 7j. ..     418,719,401 25,474,247 393,245,154 65.540 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development     110,049   110,049 0.020 %
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building     5,519   5,519 0 %
7 Community health improvement advocacy            
8 Workforce development     64,831   64,831 0.010 %
9 Other            
10 Total     180,399   180,399 0.030 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
347,396
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
813,113
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
886,097
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-72,984
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 ST JUDE CHILDREN'S RESEARCH HOSPITAL
262 DANNY THOMAS PLACE
MEMPHIS,TN381053678
X   X     X     SEE SCHEDULE H, PART VI
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:(SECTION B OPTIONAL FOR 2010)
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 3C: ALL CHILDREN ARE TREATED AT ST. JUDE CHILDREN'S RESEARCH HOSPITAL REGARDLESS OF RACE, RELIGION, OR ABILITY TO PAY. A BILLING SYSTEM IS MAINTAINED FOR EACH PATIENT, BUT BILLS ARE NOT SENT TO ANY PATIENT. IF THE PATIENT HAS INSURANCE, THE HOSPITAL BILLS THE PATIENT'S HEALTH INSURANCE PLAN. BY COLLECTING INSURANCE PAYMENTS THAT WOULD BE DUE HAD THE PATIENT RECEIVED TREATMENT AT NEARLY ANY OTHER HOSPITAL IN THE COUNTRY, AND WITH THE ASSISTANCE OF ST. JUDE DONORS, ST. JUDE HAS BEEN ABLE TO USE OUR FINANCIAL RESOURCES TO CONDUCT CUTTING-EDGE RESEARCH AND COVER TREATMENTS, COPAYS, DEDUCTIBLES, AND COINSURANCE THAT ARE NOT COVERED BY INSURANCE. THUS, ANY LEGAL OBLIGATION OF PAYMENT FOR A PATIENT'S COSTS THAT ARE NOT COVERED BY INSURANCE IS COVERED BY THE GENEROUS ASSISTANCE OF ST. JUDE DONORS WITH THE RESULT THAT ST. JUDE DOES NOT ASK A PATIENT TO PAY. THE METHOD OF APPLYING FOR FINANCIAL ASSISTANCE AT ST. JUDE IS UNIVERSAL AND CONFORMS TO THE PRINCIPLES STATED. ALL ST. JUDE PATIENTS RECEIVE THE SAME FINANCIAL ASSISTANCE. ST. JUDE DOES NOT PURSUE COLLECTION EFFORTS AGAINST ANY PATIENT FAMILY.
    PART I, LINE 7: COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. COST-TO-CHARGE RATIO USED FOR LINE 7A FINANCIAL ASSISTANCE AT COST AND LINE 7B UNREIMBURSED MEDICAID.
    PART I, LINE 7G: ST. JUDE CHILDREN'S RESEARCH HOSPITAL INCLUDED AS SUBSIDIZED HEALTH SERVICES SUPPORT FOR SIX AFFILIATE CLINICS TOTALING APPROXIMATELY $6 MILLION.
  PART I, LINE 7C: CHIPS IS INCLUDED IN UNREIMBURSED MEDICAID IN PART I, LINE 7B BECAUSE IN MANY STATES THE CHIPS PROGRAMS ARE MANAGED BY THE SAME THIRD PARTY ADMINISTRATORS AND IT IS DIFFICULT TO DISTINGUISH BETWEEN CHIPS VS. MEDICAID COVERAGE.
    PART II: THE ST. JUDE CHILDREN'S RESEARCH HOSPITAL CEO IS A MEMBER OF MEMPHIS TOMORROW. MEMPHIS TOMORROW IS AN ASSOCIATION OF CHIEF EXECUTIVE OFFICERS OF MEMPHIS LARGEST ENTERPRISES. THE PURPOSE IS TO BRING TOP BUSINESS LEADERS TOGETHER WITH GOVERNMENT AND CIVIC LEADERS TO FOSTER ECONOMIC PROSPERITY FOR ALL WHO LIVE IN OUR COMMUNITY. ST. JUDE ALSO PARTICIPATES WITH MEMPHIS FAST FORWARD WHOSE STRATEGIES ARE BASED ON THE COMMON SENSE PREMISE THAT ECONOMIC GROWTH AND PROSPERITY, AND IMPROVED QUALITY OF LIFE, WILL FOLLOW ONCE MEMPHIS AND SHELBY COUNTY SUCCESSFULLY ADDRESS THE BASICS: GOOD JOBS, QUALITY EDUCATION, SAFE STREETS AND EFFICIENT GOVERNMENT. ST. JUDE IS A COMMUNITY PARTNER WITH THE MEMPHIS BIOWORKS FOUNDATION. THE MEMPHIS BIOWORKS FOUNDATION IS EXECUTING A STRATEGIC BUSINESS PLAN THAT LEVERAGES THE COMPETITIVE STRENGTHS WITHIN THE REGION WHILE EXPANDING THE INFRASTRUCTURE, EDUCATIONAL OPPORTUNITIES, AND ENTREPRENEUR SUPPORT NEEDED TO EXPAND BIOSCIENCE INDUSTRIES. ST. JUDE IS A MEMBER OF THE ASPIRING FOR PURCHASING EXCELLENCE (APEX) ASSOCIATION OF MEMPHIS. APEX IS AN ASSOCIATION OF PURCHASING AND PROCUREMENT PROFESSIONALS FROM MEMPHIS ORGANIZATIONS WHOSE PURPOSE IS TO PROMOTE BEST PRACTICES IN SUPPLIER DIVERSITY. ADDITIONALLY, ST. JUDE IS SILVER SPONSOR FOR THE MID-SOUTH MINORITY BUSINESS COUNCIL (MMBC) ECONOMIC DEVELOPMENT FAIR. THE MMBC SERVES AS THE MID-SOUTH'S FOREMOST MINORITY BUSINESS DEVELOPMENT ORGANIZATION. THE MMBC HELPS TO DEVELOP A STRONG MINORITY AND WOMEN BUSINESS COMMUNITY IN AN EFFORT TO IMPACT ECONOMICALLY THE ENTIRE MID-SOUTH REGION. ST. JUDE EMPLOYEES ARE INVOLVED IN THE TENNESSEE COMPREHENSIVE CANCER CONTROL COALITION WHICH EXISTS TO WAGE A UNIFIED FIGHT AGAINST CANCER ACROSS THE STATE. TO THIS AIM, THE COALITION HAS DEVELOPED AND SUSTAINED AN INTEGRATED AND COORDINATED APPROACH TO REDUCING CANCER INCIDENCE, MORTALITY, AND MORBIDITY AND IMPROVING THE QUALITY OF LIFE FOR THOSE AFFECTED BY CANCER IN TENNESSEE. ST. JUDE EMPLOYEES PARTICIPATE IN HEALTHY MEMPHIS COMMON TABLE WHICH FOCUSES ITS ENERGIES ON BUILDING COMMUNITY-WIDE COLLABORATION FOR POPULATION HEALTH, HEALTH EQUITY, AND IMPROVING THE HEALTH CARE DELIVERY SYSTEMS OF CARE.THE ST. JUDE CHIEF NURSE OFFICER CHAIRS THE NURSING INSTITUTE OF THE MID-SOUTH WHICH IS A MEMBER COLLABORATIVE COMPRISED OF LOCAL HOSPITALS AND SCHOOLS OF NURSING CHALLENGED WITH PROVIDING COMPREHENSIVE HEALTH EDUCATION AND SERVICES TO A WIDELY DIVERSE, POVERTY-RIDDEN COMMUNITY AND WITH ADDRESSING THE HEALTH DISPARITIES FOUND AMONG THESE RESIDENTS. TENNESSEE HAS A SIGNIFICANT PROJECTED NURSING WORKFORCE SHORTAGE; RANKING FIFTH WORST IN 2010.THE HEMATOLOGY, PATHOLOGY, AND VOLUNTEER SERVICES DEPARTMENTS AT ST. JUDE PROVIDE SUMMER PROGRAMS FOR HIGH SCHOOL AND COLLEGE STUDENTS THAT DRIVE ENTRY INTO HEALTH CAREERS. ST. JUDE EMPLOYEES ARE INVOLVED WITH THE INSTITUTE OF ELECTRICAL AND ELECTRONICS ENGINEERS AND THE MID-SOUTH STEM (SCIENCE, TECHNOLOGY, ENGINEERING, MATHEMATICS) ALLIANCE WHICH HAVE GOALS TO INCREASE THE NUMBER OF STUDENTS WHO CHOOSE SCIENCE AND HEALTH CAREERS AND INCREASE THE QUALITY OF STEM EDUCATION.
    PART III, LINE 4: BAD DEBT EXPENSE EXPLANATION IN FINANCIAL STATEMENT FOOTNOTES IS AS FOLLOWS:"NET PATIENT SERVICE REVENUES AND RECEIVABLES - NO FAMILY EVER PAYS THE HOSPITAL FOR THE CARE THEIR CHILD RECEIVES. ACCORDINGLY, NET PATIENT SERVICE REVENUE CONSISTS ONLY OF ESTIMATED NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS (IF NECESSARY) DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNISTION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. PATIENT SERVICE REVENUE HAS BEEN REDUCED BY ADJUSTMENTS FOR UNCOLLECTIBLE ACCOUNTS TOTALING APPROXIMATELY $532,000 AND $3,400,000 IN 2011 AND 2010, RESPECTIVELY.COSTING METHODOLOGY - THE SAME COSTING METHODOLOGY WAS USED FOR CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND BAD DEBT-THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2. BAD DEBT EXPENSE IS CALCULATED BY ACCUMULATING CHARGES ON ACCOUNTS DETERMINED TO BE UNCOLLECTIBLE. SEE NARRATIVE FOR PART I, LINE 3C REGARDING THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
    PART III, LINE 8: ST. JUDE CHILDREN'S RESEARCH HOSPITAL DOES NOT CONSIDER THE MEDICARE SHORTFALL A COMMUNITY BENEFIT. THE ARKANSAS MEDICAID COST REPORT IS THE SOURCE USED TO DETERMINE THE AMOUNT IN LINE 6.
    PART III, LINE 9B: COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. ANY LEGAL OBLIGATION OF PAYMENT FOR A PATIENT'S COSTS THAT ARE NOT COVERED BY INSURANCE IS COVERED BY THE GENEROUS ASSISTANCE OF ST. JUDE DONORS WITH THE RESULTS THAT ST. JUDE DOES NOT ASK A PATIENT TO PAY.
'OTHER' COLUMN PART V, SECTION A PHARMACY, ANATOMIC PATHOLOGY LAB, CLINICAL PHARMACOKINETICS LAB, CLINICAL PATHOLOGY LAB
    PART VI, LINE 2: IN 1962, ST. JUDE CHILDREN'S RESEARCH HOSPITAL OPENED WITH A MISSION TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRIC CATASTROPHIC DISEASES THROUGH RESEARCH AND TREATMENT. IT WAS AT THAT TIME THAT DANNY THOMAS, THE FOUNDER OF ST. JUDE, REALIZED THERE WAS A NEED TO TREAT CHILDREN WITH CATASTROPHIC DISEASES AND THAT NO CHILD SHALL DIE IN THE DAWN OF LIFE.CANCEROVER THE NEXT 5 YEARS, APPROXIMATELY 66,000 CHILDREN IN THE UNITED STATES WILL BE DIAGNOSED WITH CANCER. DESPITE TREATMENT ADVANCES MADE OVER THE PAST THREE DECADES, CANCER REMAINS THE NUMBER ONE CAUSE OF DEATH BY DISEASE AMONG CHILDREN IN THE UNITED STATES AGES 1-19. WHILE CURE RATES HAVE IMPROVED MATERIALLY, THE NUMBER OF CASES HAS GROWN NEARLY 5% OVER THE PAST 20 YEARS AND THOSE WHO SURVIVE FACE CHALLENGES AFTER TREATMENT. INCIDENCE AND MORTALITY RATES ARE AVAILABLE VIA SURVEILLANCE EPIDEMIOLOGY AND END RESULTS (SEER) DATABASE AND WORLD HEALTH ORGANIZATION MORTALITY DATABASE. ST. JUDE MONITORS THE INCIDENCE OF CHILDHOOD CANCER IN THE 172 COUNTIES IN THE LOCAL CATCHMENT AREA AND 334 COUNTIES SURROUNDING THE DOMESTIC AFFILIATES. A CLUSTER ANALYSIS WAS PERFORMED TO BETTER UNDERSTAND THE PROXIMITY OF CHILDREN COMING TO ST. JUDE FOR TREATMENT AND THEN COMPARED WITH CHILDREN'S ONCOLOGY GROUP (COG) CARE COVERAGE (300 MILE RADIUS SURROUNDING EACH COG CENTER) TO LOOK AT WHAT AREAS WITHIN THE UNITED STATES WHERE CHILDREN DO NOT HAVE ACCESS TO RECEIVE TREATMENT FOR CHILDHOOD CANCER. ST. JUDE'S INTERNATIONAL OUTREACH PROGRAM ASSESSES CANCER INCIDENCE AND MORTALITY RATES OUTSIDE OF THE UNITED STATES. CANCER IS EMERGING AS A MAJOR CAUSE OF CHILDHOOD DEATH IN DEVELOPING REGIONS OF ASIA, SOUTH AND CENTRAL AMERICA, NORTHWEST AFRICA AND THE MIDDLE EAST. WHILE IMPROVED THERAPY HAS DRAMATICALLY INCREASED SURVIVAL RATES FOR CHILDREN WITH CANCER OVER THE PAST THREE DECADES, STILL MORE THAN 70% OF THE WORLD'S CHILDREN WITH CANCER DO NOT HAVE ACCESS TO MODERN TREATMENT.HEMATOLOGY MORE THAN 70,000 PEOPLE IN THE UNITED STATES HAVE SICKLE CELL DISEASE (SCD), AND IT IS ESTIMATED MORE THAN 1 MILLION PEOPLE WORLDWIDE SUFFER FROM THE DISEASE. IT IS THE LARGEST GENETIC BLOOD DISORDER IN THE WORLD. ST. JUDE PROVIDES COMPREHENSIVE TREATMENT FOR CHILDREN WITH SCD. ST. JUDE HAS ONE OF THE LARGEST SCD PROGRAMS IN THE COUNTRY, WITH MORE THAN 750 PATIENTS. ST. JUDE HAS SEVERAL LABS THAT PERFORM RESEARCH ON SCD. LOCALLY: IN THE UNITED STATES, SCD AFFECTS MOSTLY AFRICAN AMERICANS, LATINOS, AND PEOPLE OF MEDITERRANEAN DESCENT. APPROXIMATELY 550,000 AFRICAN-AMERICANS RESIDE IN THE MEMPHIS METROPOLITAN AREA. THE LOCAL CATCHMENT AREA ENCOMPASSES 21 COUNTIES IN WESTERN TENNESSEE INCLUDING MEMPHIS WHERE ST. JUDE IS LOCATED. ST. JUDE PROVIDES COMPREHENSIVE TREATMENT AND EDUCATION TO MORE THAN 750 CHILDREN IN THE LOCAL AREA WITH SCD. ALSO, ST. JUDE PROVIDES COMMUNITY OUTREACH, EDUCATION AND SCREENING TO THE LOCAL COMMUNITY. NATIONALLY AND INTERNATIONALLY: ST. JUDE HAS A HISTORY OF DEVELOPING COLLABORATIVE RESEARCH PARTNERSHIPS WITH THE NATIONAL INSTITUTES OF HEALTH AND OTHER INSTITUTIONS THROUGHOUT THE WORLD. SOME OF THESE PARTNERSHIPS HAVE LED TO MAJOR IMPROVEMENTS IN THE TREATMENT OF CHILDREN WITH SCD WHICH HAVE BENEFITED CHILDREN AND ADULTS WITH SCD WORLDWIDE. FOR EXAMPLE, THE PROPHYLACTIC PENICILLIN STUDIES I AND II LED TO SCREENING FOR NEWBORNS WITH SCD AFTER SHOWING THAT GIVING PENICILLIN TO INFANTS HELPED REDUCE THE RISK OF DEATH FROM INFECTION BY 85%. BEFORE THIS STUDY LESS THAN 14 STATES SCREENED FOR SCD. TODAY ALL 50 STATES SCREEN FOR SCD. ST. JUDE WAS THE FIRST TO CURE SCD THROUGH BONE MARROW TRANSPLANTATION (BMT) WHICH REMAINS THE ONLY CURE FOR THE DISEASE. AS A RESULT, HUNDREDS OF CHILDREN AROUND THE WORLD HAVE RECEIVED BMT TO CURE SCD. BECAUSE THIS IS NOT A VIABLE CURE FOR EVERYONE WITH SCD, RESEARCH MUST CONTINUE. WHILE GREAT STRIDES HAVE BEEN MADE IN INCREASING THE LIFESPAN OF CHILDREN WITH SCD, MORE RESEARCH IS NEEDED TO FIND A VIABLE CURE AND/OR TREATMENTS THAT IMPROVE THE QUALITY OF LIFE FOR CHILDREN WITH SCD. IN ADDITION TO PROVIDING MEDICAL CARE, RESEARCH AND EDUCATION FOR SCD, ST. JUDE ALSO PROVIDES CLINICAL SERVICES FOR APPROXIMATELY ONE THOUSAND CHILDREN PER YEAR WITH OTHER NON-MALIGNANT HEMATOLOGICAL DISORDERS. CHILDREN WITH ILLNESSES SUCH AS HEMOPHILIA, APLASTIC ANEMIA, THROMBOSIS, THALASSEMIA, SPHEROCYTOSIS, AND IMMUNE THROMBOCYTOPENIC PURPURA RECEIVE STATE-OF THE-ART CARE FROM ST. JUDE PHYSICIANS AND MEDICAL STAFF.HIVTHE ADOLESCENT MEDICINE TRIALS NETWORK (ATN)-SPONSORED NATIONAL PROJECT, CONNECT TO PROTECT (C2P), HAS BEEN A MAJOR CONTRIBUTION TO THE STRONG COMMUNITY TIES THAT THE ST. JUDE ADOLESCENT TRIALS UNIT HAS ESTABLISHED AND STRENGTHENED OVER THE PAST 5 YEARS. THE CONNECT TO PROTECT MEMPHIS COALITION DEVELOPS SUSTAINABLE POLICIES, PROGRAMS AND PRACTICES FOR THE SOLE PURPOSE OF REDUCING THE NUMBER OF INFECTED INDIVIDUALS IN VULNERABLE POPULATIONS. THE CONNECT TO PROTECT MEMPHIS COALITION INCLUDES 25 AGENCIES REPRESENTING A RICH AND DIVERSE MIX OF REPRESENTATIVES FROM VARIOUS SECTORS IN THE MEMPHIS COMMUNITY, INCLUDING FAITH-BASED, SCHOOL, BUSINESS, CIVIC/COMMUNITY, HOSPITAL, YOUNG ADULT AND HEALTHCARE ORGANIZATIONS. THESE STRATEGIC PARTNERSHIPS HAVE ALLOWED FOR SHARED RESPONSIBILITY IN THE TRANSFORMATION OF OUR COMMUNITIES. THIS IS ESPECIALLY IMPORTANT TO ENSURE OUR EFFORTS ARE DEVELOPED IN A MANNER THAT GUARANTEES SUSTAINABILITY.THE C2P TEAM USED FEDERAL, STATE AND LOCAL RESOURCES TO IDENTIFY AT-RISK YOUTH AND CREATE A PROFILE OF AVAILABLE COMMUNITY RESOURCES. REPRESENTING SEVEN DIFFERENT SECTORS, THIS TEAM COMPARED DISEASE AND RISK RATES WITH SERVICE AVAILABILITY, NEIGHBORHOOD STRENGTHS, AND NEIGHBORHOOD NEEDS TO ZERO IN ON PREVENTION STRATEGIES MOST NEEDED TO PROTECT THE HEALTH OF OUR CITY'S YOUTH. THE C2P MEMPHIS WORK GROUP MEETS QUARTERLY AND HAS HAD 14 COMMITTEE MEETINGS AND 76 SUBCOMMITTEE MEETINGS. THE GROUP HAS IDENTIFIED HIGH-RISK ZIP CODES WITHIN THE COMMUNITY AND AREAS OF HIGH PREVALENCE IN SURROUNDING RURAL AREAS. THE IDENTIFIED ROOT CAUSES, GATHERED THROUGH MIXED METHODS TOOLS-QUANTITATIVE AND QUALITATIVE-HELPED TO SHAPE A STRATEGIC PLAN AND IDENTIFY OPPORTUNITIES FOR IMPLEMENTATION OF STRUCTURAL AND SYSTEMATIC CHANGES. THE COMMUNITY COALITION HAS SUCCESSFULLY COMPLETED 5 STRUCTURAL CHANGE OBJECTIVES AND MORE THAN 25 ACTIONS STEPS TOWARD OUR STRATEGIC PLAN OF ACTION.IN CONJUNCTION WITH THE CONNECT TO PROTECT COALITION, OTHER COMMUNITY INITIATIVES INCLUDE THE STRATEGIC MULTISITE INITIATIVE FOR THE IDENTIFICATION, LINKAGE AND ENGAGEMENT IN CARE OF YOUTH WITH & UNDIAGNOSED HIV INFECTION (SMILE) AND HISPANIC OUTREACH. OUR SMILE OUTREACH STAFF OFFERS INDIVIDUAL SUPPORT SERVICES TO ENSURE LINKAGE AND FULL ENGAGEMENT IN MEDICAL CARE FOR HIV POSITIVE YOUTH AND YOUNG ADULTS AGES 13-24. TO DATE, WE HAVE INITIATED CONTACT WITH APPROXIMATELY 200 NEWLY INFECTED YOUTH AND YOUNG ADULTS. PARTICIPANTS IN THE SMILE PROJECT RECEIVE: ASSISTANCE WITH LINKAGE TO CARE, CASE MANAGEMENT, CRISIS INTERVENTION, AND REFERRALS TO COMMUNITY SERVICES AND RESOURCES. OUR NEWEST INITIATIVE, HISPANIC OUTREACH, FOCUSES ON IDENTIFYING UNDIAGNOSED ASYMPTOMATIC HIV INFECTION IN HISPANIC/LATINO ADOLESCENTS AND YOUNG ADULTS BY USING SOCIAL AND SEXUAL NETWORK-BASED HIV TESTING STRATEGIES FOR REACHING THOSE MOST AT RISK. USE OF THIS APPROACH INCLUDES IDENTIFICATION OF INDIVIDUALS WHO ARE HIV-INFECTED OR INDIVIDUALS WHO ARE AT INCREASED RISK FOR HIV INFECTION WHO ARE THEN ASKED TO IDENTIFY AND REFER OTHERS IN THEIR SOCIAL AND SEXUAL NETWORKS WHO THEY THINK MAY BE AT RISK FOR HIV FOR COUNSELING, TESTING REFERRAL SERVICES. WE ARE BUILDING INROADS INTO THIS COMMUNITY AND STRONG BACKING FROM APPROXIMATELY 8 COMMUNITY PARTNERS THAT SERVE THIS POPULATION.ADDITIONALLY, OUR ESTABLISHED COMMUNITY NETWORKS ALLOW US TO ACCOMPLISH OUTREACH EFFORTS BY FACILITATED PARTNERSHIPS AMONG ORGANIZATIONS THAT SEEK TO DECREASE HIV/SEXUALLY TRANSMITTED INFECTION RATES AND IMPROVE THE OVERALL HEALTH AND WELL-BEING AMONG MEMPHIS AREA YOUTH AND YOUNG ADULTS. THROUGH OUR STRONG COLLABORATIVE RELATIONSHIP WITH MEDICAL AND SOCIAL SERVICE AGENCIES IN THE COMMUNITY WE HAVE SOLIDIFIED OUR COMMITMENT TO THE CAUSE OF HIV EDUCATION AND PREVENTION IN THE COMMUNITY. A QUALIFIED STAFF OF PHYSICIANS, NURSE PRACTITIONERS, SOCIAL WORKERS AND COMMUNITY OUTREACH STAFF PROVIDES HIV EDUCATION AND PREVENTION PRESENTATIONS THROUGHOUT THE COMMUNITY TO VARIOUS SECTORS THAT CATER TO YOUTH AND YOUNG ADULTS. WE HAVE ALSO WORKED WITH VARIOUS SECTORS TO IMPLEMENT INNOVATIVE TESTING STRATEGIES AND BUILD PREVENTATIVE AWARENESS CAMPAIGNS.
    PART VI, LINE 3: ALL CHILDREN ARE TREATED AT ST. JUDE CHILDREN'S RESEARCH HOSPITAL REGARDLESS OF RACE, RELIGION, OR ABILITY TO PAY. A BILLING SYSTEM IS MAINTAINED FOR EACH PATIENT, BUT BILLS ARE NOT SENT TO ANY PATIENT TREATED IN MEMPHIS AT ST.JUDE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED IN BOTH ENGLISH AND SPANISH. ANY OTHER INTERPRETATIVE INFORMATION NEEDED IS PROVIDED THROUGH ONSITE OR CONTRACTED SERVICES.ALL PATIENTS THAT DO NOT HAVE HEALTH INSURANCE OR ARE EXPECTED TO LOSE THEIR HEALTH INSURANCE ARE REFERRED TO AN ON-SITE FIRSTSOURCE SOLUTIONS UAS, LLC CONSULTANT. THE CONSULTANT CONTACTS THE PATIENT/FAMILY TO SET UP AN INTERVIEW AND COMPLETES A QUESTIONNAIRE TO HELP DETERMINE ELIGIBILITY FOR VARIOUS ASSISTANCE PROGRAMS INCLUDING BUT NOT LIMITED TO TENNCARE/MEDICAID, COVER TN, COVER KIDS, CHIPS, AND SOCIAL SECURITY.
    PART VI, LINE 4: ST. JUDE CHILDREN'S RESEARCH HOSPITAL HAS BEEN DESCRIBED AS "A HOSPITAL WITHOUT WALLS" BECAUSE THE HOSPITAL'S OUTREACH INCLUDES THE LOCAL MARKET, NATIONAL AFFILIATES AND THE INTERNATIONAL COMMUNITY. THE LOCAL MARKET ENCOMPASSES A 160 MILE-RADIUS OF MEMPHIS, TENNESSEE WITH APPROXIMATELY 27% OF NEW ONCOLOGY PATIENTS RESIDING WITHIN THIS AREA. THE DOMESTIC AFFILIATE PROGRAM EXTENDS THE PROTOCOL-STRUCTURED TREATMENT AND RESEARCH AT ST. JUDE TO CHILDREN BEYOND OUR PHYSICAL WALLS THROUGH CLINICAL, RESEARCH AND ACADEMIC PARTNERSHIPS WITH PEDIATRIC PROGRAMS WITHIN THE US. THE DOMESTIC AFFILIATE PROGRAM IS A NETWORK OF PEDIATRIC HEMATOLOGY-ONCOLOGY CLINICS, HOSPITALS AND UNIVERSITIES UNITED TO EXTEND THE MISSION OF ST. JUDE. THE PHYSICIANS AND STAFF AT THESE SITES WORK IN COLLABORATION WITH THE STAFF OF ST. JUDE TO DELIVER PROTOCOL RELATED CARE TO PEDIATRIC HEMATOLOGY-ONCOLOGY PATIENTS. AFFILIATES ARE CURRENTLY LOCATED IN BATON ROUGE, LA, HUNTSVILLE, AL, JOHNSON CITY, TN, PEORIA, IL, SHREVEPORT, LA, AND SPRINGFIELD, MO. IN ADDITION, ST. JUDE DRAWS APPROXIMATELY 40% OF ITS NEW ONCOLOGY PATIENTS FROM NATIONAL NON-AFFILIATE MARKETS. THREE PERCENT OF NEW ONCOLOGY PATIENTS ARE FROM OUTSIDE THE UNITED STATES AND ITS TERRITORIES. IN ADDITION, ST. JUDE PROVIDES CONSULTATION SERVICES FOR MORE THAN 2000 NATIONAL AND 600 INTERNATIONAL REQUESTS. THE MISSION OF ST. JUDE'S INTERNATIONAL OUTREACH PROGRAM (IOP) IS TO IMPROVE THE SURVIVAL RATE OF CHILDREN WITH CANCER AND OTHER CATASTROPHIC DISEASES WORLDWIDE, THROUGH THE SHARING OF KNOWLEDGE, TECHNOLOGY AND ORGANIZATIONAL SKILLS. THERE ARE AN ESTIMATED 160,000 NEWLY DIAGNOSED CASES OF CHILDHOOD CANCER WORLDWIDE EACH YEAR, AND CANCER IS EMERGING AS A MAJOR CAUSE OF CHILDHOOD DEATH IN THE DEVELOPING REGIONS OF ASIA, SOUTH AND CENTRAL AMERICA, NORTHWEST AFRICA AND THE MIDDLE EAST. WHILE OVER THE PAST 30 YEARS IMPROVED THERAPY HAS DRAMATICALLY INCREASED SURVIVAL RATES FOR CHILDREN WITH CANCER, STILL MORE THAN 70% OF THE WORLD'S CHILDREN WITH CANCER DO NOT HAVE ACCESS TO MODERN TREATMENT. ST. JUDE STRIVES TO ADDRESS THE NEEDS OF THOSE CHILDREN IN COUNTRIES THAT LACK SUFFICIENT RESOURCES AND HELP THEM MANAGE THEIR OWN BURDEN OF CASES EFFECTIVELY. WHILE SICK CHILDREN FROM AROUND THE WORLD HAVE TRAVELED TO OUR HOSPITAL IN MEMPHIS, RECEIVING TREATMENT IN THEIR OWN COUNTRIES IS MORE EFFICIENT AND LESS DISRUPTIVE FOR THEM AND THEIR FAMILIES. BECAUSE OF ST. JUDE'S INTERNATIONAL EFFORTS, WE ARE ABLE TO REACH FAR MORE CHILDREN THAN WOULD EVER BE ABLE TO COME TO MEMPHIS. A BASIC HEALTHCARE INFRASTRUCTURE IS NEEDED TO SUPPORT PEDIATRIC ONCOLOGY PROGRAMS, WHICH IN TURN FURTHER IMPROVES THE DEVELOPMENT OF BASIC HEALTHCARE. AT THE LOCAL LEVEL, THE IOP DEVELOPS PARTNERSHIPS WITH MEDICAL INSTITUTIONS AND FUND-RAISING ORGANIZATIONS AND FACILITATES THE INVOLVEMENT OF OTHER AGENCIES AND ORGANIZATIONS TO SUPPORT KEY PROGRAMS AND THE EDUCATION OF LOCAL PERSONNEL. AT THE REGIONAL LEVEL, THE IOP DEVELOPS PROGRAMS THROUGH THE USE OF TECHNOLOGY. THE PRIMARY GOAL IS TO DEVELOP LOCAL AND REGIONAL SELF-SUFFICIENCY. THIS MODEL RESULTS IN SIGNIFICANT OVERALL IMPROVEMENT IN HEALTHCARE FACILITIES, THE LEVEL OF PRACTICE, THE SELF-CONFIDENCE OF HEALTHCARE PROVIDERS, AND LOCAL COMMUNITY INVOLVEMENT. WE EMPHASIZE THE BUILDING OF REGIONAL EXPERTISE AND DIAGNOSTIC CAPABILITIES, WHICH PROVIDE A CRITICAL MASS OF PROFESSIONALS WHO CONTINUALLY LEARN FROM AND ASSIST EACH OTHER. COST EFFICIENCY IS ALSO REALIZED BECAUSE OF SHARED RESOURCES.ST. JUDE HAS PARTNER SITES ALL AROUND THE WORLD; THERE ARE CURRENTLY 19 OFFICIAL PARTNER SITES IN 14 DIFFERENT COUNTRIES AROUND THE WORLD-BRAZIL, CHILE, CHINA, COSTA RICA, ECUADOR, EL SALVADOR, GUATEMALA, HONDURAS, JORDAN, LEBANON, MEXICO, MOROCCO, PHILIPPINES, VENEZUELA. ST. JUDE HELPS PARTNER MEDICAL INSTITUTIONS DEVELOP TAILORED EVIDENCED-BASED PROTOCOLS FOR TREATING CHILDREN WITH CANCER AND OTHER CATASTROPHIC DISEASES. ST. JUDE PHYSICIANS SERVE AS MENTORS TO PHYSICIANS AT OUR PARTNER SITES AND CONSULT ON DIFFICULT CASES. WE TRAIN NURSES IN BEST PRACTICES IN CLINICAL CARE AND WORK WITH PATHOLOGISTS ON TECHNIQUES FOR ACCURATE DIAGNOSIS. WE ALSO PARTNER WITH LOCAL FUNDRAISING FOUNDATIONS THAT SUPPORT THE MEDICAL PROGRAMS. THIS MODEL HAS PROVEN TO BE HIGHLY EFFECTIVE IN PROVIDING POOR CHILDREN IN DEVELOPING COUNTRIES ACCESS TO MODERN TREATMENT AND CARE.BY SHARING KNOWLEDGE AND TECHNOLOGY WITH THE LOCAL GOVERNMENTS, HEALTHCARE PROVIDERS, AND THE PRIVATE SECTOR IN THESE COUNTRIES, ST. JUDE IS IMPROVING DIAGNOSES AND TREATMENTS TO INCREASE THE SURVIVAL RATES OF CHILDREN ALL ACROSS THE GLOBE.*DELIVERING BROAD BASED EDUCATION AND TRAINING ONSITE AT ST. JUDE, IN EACH SPECIFIC COUNTRY SITE, AND THROUGH THE ST. JUDE CURE4KIDSTM WEB SITE. *BUILDING CAPACITY WITHIN PARTICULAR COUNTRIES FOR TREATMENT, CARE AND RESEARCH.*SUPPORTING TARGETED RESEARCH THAT SEEKS TO UNDERSTAND THE FACTORS UNDERLYING THE EFFICACY OF TREATMENTS WITHIN A COUNTRY'S SPECIFIC CULTURAL, ECONOMIC AND MEDICAL INFRASTRUCTURE CONTEXT.
    PART VI, LINE 6: ST. JUDE CHILDREN'S RESEARCH HOSPITAL WAS OPENED IN 1962 BY ENTERTAINER DANNY THOMAS, WITH THE EXPRESS PURPOSE OF "IMPROVING CHILD HEALTH THROUGH RESEARCH IN BIOLOGY AND PEDIATRICS." OUR MISSION IS TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRIC CATASTROPHIC DISEASES THROUGH RESEARCH AND TREATMENT. CONSISTENT WITH THE VISION OF OUR FOUNDER DANNY THOMAS, NO CHILD IS DENIED TREATMENT BASED ON RACE, RELIGION OR A FAMILY'S ABILITY TO PAY. OUR VISION IS TO BE THE WORLD LEADER IN ADVANCING THE TREATMENT AND PREVENTION OF CATASTROPHIC DISEASES IN CHILDREN. THIS VISION IS PURSUED BY PROVIDING OUTSTANDING PATIENT CARE; BY CONDUCTING BASIC, TRANSLATIONAL AND CLINICAL RESEARCH DESIGNED TO ELUCIDATE BIOLOGICAL MECHANISMS, UNDERSTAND DISEASE PATHOGENESIS, IMPROVE DIAGNOSIS, ENHANCE TREATMENT OUTCOME, PREVENT DISEASES AND MINIMIZE ADVERSE CONSEQUENCES OF TREATMENT; AND BY EDUCATING HEALTHCARE AND SCIENTIFIC RESEARCH PROFESSIONALS. THROUGH THESE EFFORTS WE SEEK TO CURE AND ENHANCE THE QUALITY OF LIFE FOR AN INCREASING PROPORTION OF CHILDREN WHO COME TO US FOR TREATMENT, AND BY EXPANDING AND SHARING KNOWLEDGE, TO ADVANCE TREATMENT OF CHILDREN WITH CATASTROPHIC DISEASES WORLD-WIDE, WHILE DEVELOPING STRATEGIES TO PREVENT CATASTROPHIC DISEASES IN CHILDREN.ST. JUDE IS A RESEARCH AND CLINICAL INSTITUTION IN WHICH LABORATORY AND CLINICAL RESEARCH IS ORGANIZED SO AS TO ADVANCE THE CARE OF CHILDREN WITH CANCER AND OTHER CATASTROPHIC DISEASES. ITS FOCUS ON PROVIDING OUTSTANDING PATIENT CARE ENSURES THAT THERE IS AN ONGOING EFFORT TO TRANSLATE RESEARCH FINDINGS INTO IMPROVED PATIENT OUTCOME. ST. JUDE HAS AN ACADEMIC FACULTY ENGAGED IN A BROAD SPECTRUM OF RESEARCH THAT INCLUDES THERAPEUTIC TRIALS, INVESTIGATION OF DISEASE PATHOGENESIS AND DISCOVERY-ORIENTED BASIC RESEARCH.HOSPITAL OPERATIONS ARE OVERSEEN BY A BOARD OF GOVERNORS; THE MAJORITY OF THESE VOLUNTEERS ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE RESEARCH ACTIVITIES OF THE HOSPITAL ARE REVIEWED ANNUALLY BY A SCIENTIFIC ADVISORY BOARD COMPOSED OF INTERNATIONALLY PROMINENT PHYSICIANS AND SCIENTISTS.ST. JUDE PROVIDED ASSISTANCE TO THE PEDIATRIC COMMUNITY HOSPITAL FOR MEMPHIS AND SURROUNDING VICINITY BY CONTRIBUTING TO THE BUILDING OF A STATE-OF-THE ART NEUROSURGICAL FACILITY FOR TREATING PEDIATRIC PATIENTS INCLUDING ST. JUDE BRAIN TUMOR PATIENTS. THE NEUROSURGICAL FACILITY IS EQUIPPED WITH INTRA-OPERATIVE IMAGING EQUIPMENT (IMRI). WHEN THIS EQUIPMENT WAS SELECTED, ONLY TWO NEUROSURGICAL FACILITIES IN THE UNITED STATES PROVIDED PATIENTS THIS LEVEL OF IMAGING TECHNOLOGY WHICH ALLOWS IMAGING TO TAKE PLACE DURING SURGICAL PROCEDURES. WITH THE IMRI EQUIPMENT SURGEONS CAN MAKE INFORMED DECISIONS DURING THE SURGICAL PROCESS. LIVE WEB CASTING CAPABILITIES ALLOW OTHERS TO VIEW PROCEDURES. ST. JUDE'S ASSISTANCE WITH THIS FACILITY HELPS ASSURE THAT CHILDREN IN THE AREA HAVE ACCESS TO THE BEST NEUROSURGICAL TREATMENT AVAILABLE.ST. JUDE IN COLLABORATION WITH THE GENOME SEQUENCING CENTER AT WASHINGTON UNIVERSITY IN ST. LOUIS HAS EMBARKED ON AN UNPRECEDENTED PROJECT TO SEARCH THE GENETIC LANDSCAPE OF THE HUMAN GENOME AND DISCOVER MUTATIONS THAT DRIVE THE MALIGNANCIES OF CHILDHOOD CANCER. THE TEAM HAS JOINED FORCES TO DECODE THE GENOMES OF MORE THAN 600 CHILDHOOD CANCER PATIENTS WHO HAVE CONTRIBUTED TUMOR SAMPLES. DISCOVERIES RESULTING FROM THIS PROJECT WILL CONTRIBUTE TO FINDING TREATMENTS THAT WILL BE USED BY PHYSICIANS WORLDWIDE TO DEVELOP NEW DIAGNOSTIC TESTS AND A NEW GENERATION OF MORE EFFECTIVE DRUGS TO SAVE THE LIVES OF CHILDREN WITH CANCER. THE THREE-YEAR, $65 MILLION PROJECT WILL HELP SCIENTISTS IDENTIFY THE GENETIC MISSTEPS THAT TURN A WHITE BLOOD CELL INTO A CANCER CELL AND BENEFIT FUTURE CANCER DIAGNOSTICS AND THERAPEUTICS.THE CYCLOTRON (PARTICLE ACCELERATOR) LOCATED AT ST. JUDE IS TECHNOLOGY THAT ENABLES RESEARCHERS TO TRACK THE GROWTH OF CANCER CELLS, PINPOINT THE PRODUCTION OF NEW DNA BY TUMOR CELLS AND STUDY THE HEARTS OF ADULT PATIENTS RETURNING TO ST. JUDE FOR LIFETIME FOLLOW-UP. THE CYCLOTRON HELPS RESEARCHERS BETTER UNDERSTAND CHILDHOOD CANCER BY ENABLING THEM TO PRODUCE NEW, VERY SHORT-ACTING TRACERS.ST. JUDE LEASES, MANAGES AND OPERATES A GOOD MANUFACTURING PRACTICE (GMP) FACILITY WHICH ENGAGES IN THE PRODUCTION OF BIOLOGICS AND DRUGS USED IN RESEARCH. THE GMP OFFERS RESEARCHERS THE RESOURCES NEEDED TO STUDY RARE DISEASES OVERLOOKED BY PHARMACEUTICAL COMPANIES BECAUSE THERE IS LITTLE PROFIT FOR THESE COMPANIES IN STUDYING AND MANUFACTURING DRUGS FOR THE LESSER KNOWN DISEASES. THE FACILITY, OPERATING ACCORDING TO APPROVED FDA STANDARDS, GIVES DOCTORS THE CAPABILITIES NEEDED TO TAILOR TREATMENTS SPECIFICALLY FOR AN INDIVIDUAL CHILD.THE CELL AND TISSUE IMAGING CENTER INCLUDES ELECTRON MICROSCOPY AND LIGHT MICROSCOPY. THE FACILITY PROVIDES INVESTIGATORS ACCESS TO TRANSMISSION ELECTRON MICROSCOPY, CONFOCAL LASER SCANNING MICROSCOPY, MULTIPHOTON MICROSCOPY, IMAGE ANALYSIS, CELL MICROINJECTION AND LIVE CELL IMAGING. THE FEI TECNAI 20 200KV FEG ELECTRON MICROSCOPE, WHICH CAN MAGNIFY AN OBJECT 700,000 TIMES, IS AT THE HEART OF THIS PROGRAM. THE ELECTRON MICROSCOPE INSTRUMENT IS ONE OF ONLY 200 OF ITS TYPE IN THE WORLD. THIS TECHNOLOGY ALLOWS RESEARCHERS TO GET A CLOSER LOOK AT CANCER TO BETTER UNDERSTAND HOW IT GROWS AND SPREADS AND RESPONDS TO THERAPY. USING THE ELECTRON MICROSCOPE, RESEARCHERS LEARN HOW THE CANCER CELLS BREAKAWAY FROM THE TUMOR AND BEGIN TO SPREAD THROUGHOUT THE BODY.PREPARATIONS ARE UNDERWAY TO CONSTRUCT A NEW PATIENT CARE AND RESEARCH BUILDING ON THE ST. JUDE CAMPUS. ONCE COMPLETED, THE FACILITY WILL HOUSE PROTON BEAM RADIATION THERAPY TECHNOLOGY DESIGNED TO DELIVER RADIATION THERAPY FOR TREATING CHILDREN WITH BRAIN TUMORS AND SEVERAL OTHER CHILDHOOD CANCERS. THIS EQUIPMENT WILL ENABLE ST. JUDE TO PROVIDE THIS THERAPY IN A MORE INTEGRATED MANNER TO OUTPATIENTS AND ALLOW OUR RADIATION ONCOLOGISTS TO LEAD THE DEVELOPMENT OF NEW TREATMENTS WITH PROTONS.ALONG WITH OUTSTANDING PATIENT CARE AND RESEARCH, ST. JUDE FOCUSES ON EDUCATING AND TRAINING THE NEXT GENERATION OF DOCTORS, NURSES, RESEARCHERS AND ACADEMIC LEADERS. FROM PROGRAMS FOR HIGH SCHOOL STUDENTS TO THE POST-DOCTORAL LEVEL, THE HOSPITAL PLAYS A MAJOR ROLE IN PREPARING FUTURE LEADERS OF SCIENCE AND MEDICINE. IN ADDITION TO ONSITE EDUCATION, ST. JUDE'S INTERNATIONAL OUTREACH PROGRAM PROVIDES AN EDUCATION AND COLLABORATION WEB SITE, CURE4KIDSTM (WWW.CURE4KIDS.ORG). USE OF THE WEB SITE CONTINUES TO GROW AND NOW HAS MORE THAN 28,000 USERS IN 178 COUNTRIES. THE ONLINE CONTENT HAS BEEN ACCESSED MORE THAN 5 MILLION TIMES SINCE ITS INCEPTION IN 2002.AFRICAN AMERICANS AND HISPANICS COMBINED MAKEUP OVER 65% OF THE MEMPHIS POPULATION. BECAUSE OF THE LARGE NUMBER OF RESIDENTS WHO ARE OF AFRICAN OR HISPANIC DECENT AND A REPRESENTATIVE NUMBER OF PEOPLE OF MIDDLE EASTERN DECENT, THE NUMBER OF FAMILIES AFFECTED BY SICKLE CELL DISEASE (SCD) IS HIGH IN THE MEMPHIS COMMUNITY. AS THE ONLY PEDIATRIC SICKLE CELL CENTER IN THIS REGION, ST. JUDE TREATS MOST CHILDREN WITH SCD IN THIS AREA. IN CONJUNCTION WITH MEMPHIS CITY SCHOOLS, ST. JUDE HOLDS KNOW YOUR SICKLE STATUS TRAINING SESSIONS TO TEACH STUDENTS AND SPORTS MANAGERS TO RECOGNIZE THE ONSET OF SCD SYMPTOMS AND HOW TO RESPOND OR HELP STUDENTS WITH SCD MANAGE THEIR SYMPTOMS. ST. JUDE'S SICKLE CELL CENTER'S COMMUNITY FOCUS IS THE ENHANCEMENT OF PUBLIC AWARENESS ABOUT SCD AND OTHER HEMOGLOBINOPATHIES, AS WELL AS, THE AVAILABILITY OF COUNSELING AND TREATMENT SERVICES. ST. JUDE DOES THIS THROUGH A NUMBER OF ADVOCACY PROGRAMS THAT COORDINATE WITH LOCAL SCHOOL SYSTEMS AND COMMUNITY HEALTHCARE AGENCIES. VIA THE CONNECT2PROTECT PROGRAM, ST. JUDE COLLABORATES WITH COMMUNITY ORGANIZATIONS WHICH INCLUDE CHURCHES, OTHER HEALTHCARE ORGANIZATIONS AND CIVIC GROUPS TO RAISE AWARENESS ABOUT THE NEED TO PREVENT THE SPREAD OF HIV/AIDS. THE PRIMARY TARGET FOR THIS PROGRAM IS THE AFRICAN AMERICAN COMMUNITY.ST. JUDE'S CANCER EDUCATION PROGRAM FOR SCHOOL STUDENTS TEACHES HEALTHY EATING AND EXERCISE HABITS AS WELL AS DISCOURAGES SMOKING.ST. JUDE'S TOLL-FREE QUITLINE IS AVAILABLE TO ANYONE WHO HAS BEEN TREATED FOR PEDIATRIC CANCER IN ORDER TO ENCOURAGE SURVIVORS TO KICK THE SMOKING HABIT. CALLERS CAN ACCESS COUNSELORS TO RECEIVE SUPPORT AND TOOLS TO SUSTAIN THEIR EFFORTS.THE FUNDRAISING SOURCE FOR ST. JUDE IS ALSAC WHICH RAISES FUNDS SOLELY FOR THE HOSPITAL. BECAUSE OF THE HOSPITAL'S MISSION OF FINDING TREATMENTS FOR PEDIATRIC CANCERS, PEOPLE NATIONWIDE CONTRIBUTE VIA THOUSANDS OF FUND RAISING EFFORTS. ALSAC RAISED $729 MILLION IN FISCAL YEAR 2011 TO MEET ST. JUDE'S OPERATING COST. VOLUNTEERS ENHANCE THE QUALITY OF PATIENT CARE BY PARTNERING WITH CLINICAL STAFF TO PROVIDE THAT ADDITIONAL PERSONAL TOUCH. VOLUNTEERS ALSO HELP ENSURE A SAFE ENVIRONMENT. THEY PROVIDE CARE AND CONCERN AND A LISTENING EAR FOR FAMILIES AT A TIME WHEN THEY NEED IT MOST. THEY ARE VITAL AMBASSADORS BETWEEN THE HOSPITAL AND COMMUNITY.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) RICHARD C SHADYAC JR (i)
(ii)
0
476,678
0
0
0
1,242
0
21,645
0
16,055
0
515,620
0
0
(2) WILLIAM E EVANS (i)
(ii)
686,756
0
0
0
137,277
0
26,950
0
12,787
0
863,770
0
0
0
(3) JAMES R DOWNING (i)
(ii)
594,640
0
0
0
118,969
0
26,950
0
14,090
0
754,649
0
0
0
(4) MICHAEL C CANARIOS (i)
(ii)
345,061
0
0
0
17,810
0
51,063
0
16,561
0
430,495
0
0
0
(5) MICHAEL B KASTAN (i)
(ii)
542,553
0
0
0
43,627
0
65,610
0
14,119
0
665,909
0
0
0
(6) JOSEPH H LAVER (i)
(ii)
557,924
0
0
0
16,413
0
53,450
0
14,119
0
641,906
0
0
0
(7) LARRY E KUN (i)
(ii)
619,239
0
10,000
0
105,701
0
26,950
0
16,103
0
777,993
0
0
0
(8) GEORGE B BIKHAZI (i)
(ii)
461,862
0
10,000
0
8,461
0
26,950
0
12,790
0
520,063
0
0
0
(9) ANDREW DAVIDOFF (i)
(ii)
500,517
0
10,000
0
21,420
0
71,500
0
13,951
0
617,388
0
0
0
(10) STEPHEN J SHOCHAT (i)
(ii)
488,007
0
0
0
15,718
0
26,950
0
15,382
0
546,057
0
0
0
(11) LESLIE L ROBISON (i)
(ii)
453,825
0
10,000
0
2,917
0
26,950
0
13,771
0
507,463
0
0
0





Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 1A FIRST CLASS OR CHARTER TRAVEL: TWO CHARTER FLIGHTS WERE SCHEDULED FOR MULTIPLE EMPLOYEES, INCLUDING ONE OFFICER, TO ATTEND WORKING SESSIONS AT A COLLABORATING PARTNER SITE. THE EXPENSE WAS NOT TREATED AS COMPENSATION TO THE OFFICER. TRAVEL FOR COMPANIONS: FAMILY MEMBER OF ONE OFFICER AND AN EMPLOYEE OF THE HOSPITAL, TRAVELS ON HOSPITAL BUSINESS AS REQUIRED BY THE POSITION. TRAVEL EXPENSES ARE REIMBURSED UNDER AN ACCOUNTABLE PLAN AND NOT RECORDED AS COMPENSATION. TAX INDEMNIFICATIONS AND GROSS UP PAYMENTS: FOUR OFFICERS WERE REIMBURSED GROSS UP DEPENDENT TUITION WHICH IS INCLUDED AS COMPENSATION TO THE OFFICERS. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: ONE OFFICER IS REIMBURSED ANNUALLY FOR COUNTRY CLUB DUES. THESE DUES ARE TREATED AS COMPENSATION TO THE OFFICER.
  PART I, LINE 4B WILLIAM E. EVANS, $117,693.00; JAMES R. DOWNING, $74,340.00; MICHAEL C. CANARIOS, $24,112.90; MICHAEL B. KASTAN, $38,660.00; JOSEPH H. LAVER, $26,500.00; LARRY E. KUN, $101,345.00; ANDREW DAVIDOFF, $44,550.00
SUPPLEMENTAL INFORMATION PART III PART II: RICHARD C. SHADYAC, JR. SERVES AS A VOTING DIRECTOR OF THE BOARD OF ST.JUDE. MR.SHADYAC IS EMPLOYED AS AN OFFICER OF ALSAC A RELATED ORGANIZATION TO ST.JUDE. THE COMPENSATION SHOWN IN COLUMNS (B), (C), (D) AND (E) WAS PAID TO MR. SHADYAC BY ALSAC FOR HIS DUTIES AS CEO OF ALSAC.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number
62-0646012
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A THE HEALTH EDUCATIONAL & HOUSING FACILITY BOARD OF THE COUNTY OF SHELBYTN
 
52-1283414 821697XJ3 12-21-2006 250,725,271 $130.7 MILLION FOR CONSTRUCTION OF INTEGRATED PATIENT CARE AND RESEARCH   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 16,258,048      
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 252,012,996      
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds. 3,026,125      
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 1,658,551      
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . . 2,188,865      
10 Capital expenditures from proceeds . . 129,840,961      
11 Other spent proceeds . . 115,298,494      
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X            
15 Were the bonds issued as part of an advance refunding issue? X              
16 Has the final allocation of proceeds been made? . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X            
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X            
b Are there any research agreements that may result in private business use of bond-financed property? . . X              
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X              
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.460 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . . 0.460 %      
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X              
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X            
2 Is the bond issue a variable rate issue?   X            
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X            
b Name of provider .  
 
 
 
 
 
 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X            
b Name of provider .  
 
 
 
 
 
 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X            
6 Did the bond issue qualify for an exception to rebate? . . .   X            
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
    FACILITY; 120 MILLION TO ADVANCE REFUND 1999 SERIES ISSUE. PART II, LINE 3, TOTAL PROCEEDS OF ISSUE INCLUDE INVESTMENT EARNINGS IN THE AMOUNT OF $1,278,726.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) SHAKER RECRUITMENT ADVERTISING AND COMMUNICATIONS
 
ENTITY MORE THAN 35% OWNED BY DIRECTORS JOSEH G. SHAKER AND ROBERT A. BREIT 559,583 ADVERTISING   No
(2) MARY RELLING
 
FAMILY MEMBER OF WILLIAM E. EVANS, DIRECTOR/CEO AND EX-OFFICIO DIRECTOR 366,228 EMPLOYMENT   No
(3) RACHEL LAVER
 
FAMILY MEMBER OF JOSEPH H. LAVER, EVP/CLINICAL DIRECTOR 17,905 EMPLOYMENT   No
(4) SUSANNA DOWNING
 
FAMILY MEMBER OF JAMES R. DOWNING, EVP/SCIENTIFIC DIRECTOR 32,319 EMPLOYMENT   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2   FAMILY RELATIONSHIP AMONG DIRECTORS: JOSEPH S. AYOUB, JR. AND PAUL J. AYOUB; FRED P. GATTAS, III AND FRED P. GATTAS, JR.; CAMILLE F. SARROUF, SR. AND CAMILLE F. SARROUF, JR.; GEORGE A. SIMON II AND PAUL SIMON, TERRE THOMAS AND TONY THOMAS; ROBERT A. BREIT AND JOSEPH G. SHAKER BUSINESS RELATIONSHIP AMOUNG DIRECTORS: ROBERT BREIT AND JOSEPH G. SHAKER
FORM 990, PART VI, SECTION A, LINE 4   1. THE AUDIT COMMITTEE CHARTER NOW STATES THAT A QUORUM NECESSARY FOR CONDUCTING BUSINESS SHALL BE 1/3 OF THE VOTING MEMBERS FOR THE COMMITTEE. 2. THE AUDIT COMMITTEE CHARTER NOW STATES THAT MATTERS SHALL BE DETERMINED BY A MAJORITY VOTE OF THE MEMBERS PRESENT FOR ANY MEETING. 3. THE AUDIT COMMITTEE CHARTER NO LONGER INCLUDES REFERENCE TO REVIEWING THE EFFECTIVENESS OF THE CORPORATE COMPLIANCE PROGRAM OR OVERSIGHT ON THE CORPORATE COMPLIANCE OFFICER AND THE COMPLIANCE FUNCTION IN THE GOVERNANCE RESPONSIBILITIES OF THE COMMITTEE. THE LEGAL AND BYLAWS COMMITTEE PROVIDES OVERSIGHT OF THE CORPORATE COMPLIANCE PROGRAM, CORPORATE COMPLIANCE OFFICE, AND COMPLIANCE FUNCTION. 4. THE AUDIT COMMITTEE CHARTER MORE CLEARLY DEFINES THAT THE AUDITED FINANCIAL STATEMENTS ARE DISTRIBUTED TO THE ENTIRE BOARD, MANAGEMENT REPRESENTATION LETTERS ARE REVIEWED BY THE AUDIT COMMITTEE, DISTRIBUTED TO THE BOARD OFFICERS, AND MADE AVAILABLE UPON REQUEST TO ANY BOARD MEMBER. 5. THE AUDIT COMMITTEE CHARTER MORE CLEARLY DEFINES THAT THE COMMITTEE'S GOVERNANCE INCLUDES REPORTS RECEIVED FROM REGULATORS THAT MAY HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. 6. THE AUDIT COMMITTEE CHARTER MORE CLEARLY DEFINES THAT REPORTS REGARDING ACCOUNTING, INTERNAL CONTROL, AND AUDITING MATTERS RECEIVED FROM THE CONFIDENTIAL ANONYMOUS REPORTING MECHANISM ARE ROUTED THROUGH THE SVP AND CHIEF LEGAL OFFICER TO THE COMMITTEE. 7. THE AUDIT COMMITTEE CHARTER DEFINES THE RESPONSIBILITY OF THE COMMITTEE TO RECOMMEND TO THE BOARD OF GOVERNORS THE STRUCTURE OF THE INTERNAL AUDIT DEPARTMENT. 8. THE AUDIT COMMITTEE CHARTER MORE CLEARLY DEFINES THAT THE COMMITTEE IS TO CONSIDER ANNUALLY THE PUBLIC ACCOUNTANT RETENTION AND PARTNER ROTATION. 9. THE AUDIT COMMITTEE CHARTER MORE CLEARLY DEFINES THAT THE COMMITTEE IS TO ENSURE THAT CONFLICT OF INTEREST HAS BEEN MANAGED WITH RESPECT TO THE EXTERNAL AUDITOR. 10. THE AUDIT COMMITTEE CHARTER WAS EDITED TO REMOVE REFERENCES TO SPECIFIC YEARS AND BUDGET AMOUNTS FOR EXTERNAL AUDITOR AND INTERNAL AUDIT DEPARTMENT. 11. THE AUDIT COMMITTEE CHARTER MORE CLEARLY DEFINES THAT INTERNAL AUDIT HAS A SOLID LINE (FUNCTIONAL REPORTING) TO THE BOARD OF GOVERNORS AND A DOTTED LINE (ADMINISTRATIVE REPORTING) TO THE SVP AND CHIEF FINANCIAL OFFICER.
FORM 990, PART VI, SECTION B, LINE 11   IN FEBRUARY OF EACH YEAR, THE AUDIT COMMITTEE AND OFFICERS OF THE BOARD ARE PROVIDED WITH A DRAFT COPY OF THE FORM 990 AND ALL REQUIRED SCHEDULES. THE AUDIT COMMITTEE MEETS WITH ITS TAX PREPARER TO REVIEW THE DRAFT FORM 990 BEFORE IT IS FILED WITH THE IRS. ADDITIONALLY THE COMPENSATION COMMITTEE OF THE BOARD IS PROVIDED WITH A DRAFT COPY OF THE COMPENSATION SECTIONS OF THE FORM 990 FOR REVIEW BEFORE IT IS FILED WITH THE IRS. EACH VOTING MEMBER OF THE BOARD IS PROVIDED WITH A FINAL COPY OF THE FORM 990 AND ALL REQUIRED SCHEDULES BEFORE IT IS FILED WITH THE IRS.
  FORM 990, PART VI, SECTION B, LINE 12C NEW BOARD MEMBERS ARE GIVEN A COPY OF THE CONFLICTS OF INTEREST POLICY, COMPLETE THE ORGANIZATION'S CONFLICTS OF INTEREST DISCLOSURE FORM AND RECEIVE TRAINING ON CONFLICTS OF INTEREST. THERE IS A CONFLICTS OF INTEREST COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS THE ANNUAL CONFLICTS OF INTEREST DISCLOSURE STATEMENTS THAT ARE COMPLETED BY EACH BOARD MEMBER AND DISCUSSES AND RESOLVES CONFLICTS OF INTEREST WITH APPEAL TO THE FULL BOARD. IN ADDITION TO THE CONFLICTS OF INTEREST COMMITTEE, THE ORGANIZATION HAS A COMPLIANCE OFFICER. AMONG OTHER THINGS, THE COMPLIANCE OFFICER CONDUCTS ANNUAL TRAINING FOR ALL EMPLOYEES ON CONFLICTS OF INTEREST. CERTAIN EMPLOYEES ANNUALLY COMPLETE A CONFLICTS OF INTEREST DISCLOSURE FORM WHICH IS REVIEWED BY THE COMPLIANCE OFFICER. CONFLICTS OF INTEREST OF EMPLOYEES ARE HANDLED BY THE COMPLIANCE OFFICER WITH INVOLVEMENT FROM THE BOARD AS APPROPRIATE. DEPENDING UPON THE FACTS AND CIRCUMSTANCES OF THE CONFLICT, POTENTIAL RESTRICTIONS RANGE FROM PROHIBITING A TRANSACTION TO PROHIBITING SOMEONE FROM PARTICIPATING IN A DELIBERATION OR TRANSACTION TO DISCLOSURE TO THE BOARD OF THE CONFLICT OF INTEREST.
  FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD COMMISSIONS BIANNUAL THIRD PARTY SALARY SURVEYS TO DETERMINE COMPENSATION FOR THE FOLLOWING OFFICERS: CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, SCIENTIFIC DIRECTOR, CANCER CENTER DIRECTOR, CLINICAL DIRECTOR. ALL CHANGES TO SALARY FOR THE OFFICERS ARE APPROVED BY THE BOARD. THE LAST REVIEW WAS COMPLETED IN 2011.
  FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
AVG HOURS DEVOTED TO RELATED ORG(S) WHEN RELATED COMP IS REPORTED: FORM 990, PART VII: RICHARD C. SHADYAC, JR. SERVES AS A VOTING DIRECTOR ON THE BOARD OF ST. JUDE. MR. SHADYAC IS EMPLOYED AS AN OFFICER OF ALSAC, A RELATED ORGANIZATION TO ST. JUDE. THE COMPENSATION SHOWN IN COLUMN (E) WAS PAID TO MR. SHADYAC BY ALSAC FOR HIS DUTIES AS CEO OF ALSAC.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 169,320. CHANGE IN INTEREST IN UNRESTRICTED NET ASSETS ALSAC 308,964,137. CHANGE IN INTEREST IN NET ASSET OF ALSAC 135,530,676. TOTAL TO FORM 990, PART XI, LINE 5: 444,664,133.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
 
Employer identification number

62-0646012
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity









(1) CHILDREN'S GMP LLC
262 DANNY THOMAS PLACE
MEMPHIS,TN381053678
62-0646012
VACCINE MANUFACTURER TN -2,041,551 155,356 N/A
(2) THANKS & GIVING LLC
262 DANNY THOMAS PLACE
MEMPHIS,TN381053678
20-1310435
ROYALTY INCOME FROM BOOK SALES TN 712 10,448 N/A
(3) THE RIGHT WORDS LLC
262 DANNY THOMAS PLACE
MEMPHIS,TN381053678
95-4878579
ROYALTY INCOME FROM BOOK SALES NY 0 0 N/A






Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INC

501 STJUDE PLACE

MEMPHIS,TN381050000
35-1044585
SOLICIT SUPPORT FOR THE OPERATIONS OF ST.JUDE IL 501(C)(3) SECTION 170 (B)(1)(A N/A
 
No












For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership














Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1) AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INC

C 375,102,514 CASH VALUE
(2) AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INC

L 375,102,514 CASH VALUE
(3) AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INC

O 92,321 CASH VALUE
(4) AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INC

P 1,040,158 CASH VALUE
(5)

(6)

Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all
partners
section
501(c)(3)
organizations?
(e)
Share of
end-of-year
assets
(f)
Disproprtionate allocations?
(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: