990 Return ofOrganization ExemptFromIncomeTax990s.foundationcenter.org/990_pdf_archive/620/620646012/...ST JUDE CHILDREN' S RESEARCH HOSPITALINC FAddress change 62-0646012 Doing Business

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493133037334

Form990 Return of Organization Exempt From Income Tax OMB No 1545-0047

Under section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code ( except black lung2012benefit trust or private foundation)

Department of the Treasury

Internal Revenue Service 1-The organization may have to use a copy of this return to satisfy state reporting requirements

A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013

B Check if applicableC Name of organization D Employer identification number

'ST JUDE CHILDREN S RESEARCH HOSPITAL INCF Address change 62-0646012

Doing Business AsF Name change

fl Initial return Number and street (or P 0 box if mail is not delivered to street address) Room/suite E Telephone number262 DANNY THOMAS PLACE

p Terminated(901)595-2261

-( Amended return City or town, state or country, and ZIP + 4MEMPHIS, TN 381053678

1 Application pending G Gross receipts $ 696,462,528

F Name and address of principal officer H(a) Is this a group return forWILLIAM E EVANS affiliates? (-Yes No262 DANNY THOMAS PLACEMEMPHIS,TN 38105 H(b) Are all affiliates included? F Yes F_ No

If "No," attach a list (see instructions)I Tax-exempt status F 501(c)(3) 1 501(c) ( ) I (insert no ) (- 4947(a)(1) or F_ 527

H(c) Group exemption number 0-J Website : 1- WWW STJ U D E O RG

K Form of organization F Corporation 1 Trust F_ Association (- Other 0- L Year of formation 1959 M State of legal domicile TN

Summary

1 Briefly describe the organization's mission or most significant activitiesST JUDE CHILDREN'S RESEARCH HOSPITAL IS A RESEARCH, TREATMENT AND EDUCATION CENTER THE MISSION OFST JUDE CHILDREN'S RESEARCH HOSPITAL IS TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRICCATASTROPHIC 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

2 Check this box Of- if the organization discontinued its operations or disposed of more than 25% of its net assets

3 Number of voting members of the governing body (Part VI, line 1a) . . . . . . . 3 50

4 Number of independent voting members of the governing body (Part VI, line 1b) . . . . 4 44

5 Total number of individuals employed in calendar year 2012 (Part V, line 2a) . 5 4,187

6 Total number of volunteers (estimate if necessary) 6 1,601

7aTotal 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

Prior Year Current Year

8 Contributions and grants (Part VIII, line 1h) . 537,180,258 581,788,213

9 Program service revenue (Part VIII, line 2g) . . . . . . . . 95,536,676 104,014,142

N 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) . . . -1,847,021 -378,425

11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 7,517,144 10,303,717

12 Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line12) . . . . . . . . . . . . . . . . . . 638,387,057 695,727,647

13 Grants and similar amounts paid (Part IX, column (A), lines 1-3 ) . 2,525,909 544,459

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), lines5-10) 338,633,780 354,098,337

16a Professional fundraising fees (Part IX, column (A), line 11e) 0 0

LLJb Total fundraising expenses (Part IX, column (D), line 25) 0-0

17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . . . . 293,861,412 299,591,255

18 Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25) 635,021,101 654,234,051

19 Revenue less expenses Subtract line 18 from line 12 3,365,956 41,493,596

Beginning of CurrentEnd of Year

Year

20 Total assets (Part X, l i n e 1 6 ) . . . . . . . . . . . . 2,930,417,846 3,282,127,347

% 21 Total liabilities (Part X, line 26) . . . . . . . . . . . . 312,661,581 309,797,905

ZLL 22 Net assets or fund balances Subtract line 21 from line 20 2 617 756 265 2 972 329 442

lijaW Signature Block

Under penalties of perjury, I declare that I have examined this return, includinmy knowledge and belief, it is true, correct, and complete Declaration of prepspreparer has any knowledge

SignSignature of officer

Here MICHAEL C CANARIOS SVP & CFO

Type or print name and title

Print/Type preparer's name Preparers signature

PaidFirm's name 1- DELOITTE TAX LLP

Pre pare rUse Only Firm's address 1-100 PEABODY PLACE STE 800

MEMPHIS, TN 38103

May the IRS discuss this return with the preparer shown above? (see instructs

For Paperwork Reduction Act Notice, see the separate instructions.

Form 990 ( 2012) Page 2

Statement of Program Service AccomplishmentsCheck if Schedule 0 contains a response to any question in this Part III .F

1 Briefly describe the organization 's mission

ST JUDE CHILDREN'S RESEARCH HOSPITAL IS A RESEARCH, TREATMENT AND EDUCATION CENTER THE MISSION OF ST JUDECHILDREN'S RESEARCH HOSPITAL IS TO ADVANCE CURES, AND MEANS OF PREVENTION, FOR PEDIATRIC CATASTROPHICDISEASES THROUGH RESEARCH AND TREATMENT CONSISTENT WITH THE VISION OF OUR FOUNDER DANNY THOMAS, NOCHILD 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 onthe prior Form 990 or 990-EZ7 . . . . . . . . . . . . . . . . . . . . . . fl Yes F No

If"Yes,"describe these new services on Schedule 0

3 Did the organization cease conducting, or make significant changes in how it conducts, any programservices? . . . . . . . . . . . . . . . . . . . . . . . . . . . . F Yes F7 No

If"Yes,"describe these changes on Schedule 0

4 Describe the organization 's program service accomplishments for each of its three largest program services , as measured byexpenses Section 501(c)(3) and 501( c)(4) organizations 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 $ 315,814,938 including grants of $ ) (Revenue $

RESEARCH THE CURRENT BASIC SCIENCE AND CLINICAL RESEARCH AT THE HOSPITAL INCLUDES WORK IN GENE THERAPY, CHEMOTHERAPY, THE BIOCHEMISTRYOF NORMAL AND CANCEROUS CELLS, RADIATION TREATMENT, BLOOD DISEASES, RESISTANCE TO THERAPY, VIRUSES, HEREDITARY DISEASES, INFLUENZA,PEDIATRIC AIDS AND PHYSIOLOGICAL EFFECTS OF CATASTROPHIC ILLNESSES THE HOSPITAL AWARDS NO GRANTS TO OUTSIDE AGENCIES ALL RESEARCHACTIVITIES ARE CONDUCTED BY HOSPITAL PERSONNEL

4b (Code ) ( Expenses $ 8,013,887 including grants of $ 544,459 ) (Revenue $

EDUCATION AND TRAINING AS PART OF ITS EDUCATIONAL MISSION, THE HOSPITAL PROVIDES APPROXIMATELY 350 POSTDOCTORAL FELLOWSHIPS TOINDIVIDUALS WHO ALREADY HAVE EARNED AN MD, PHD, PHARMD, OR DVM THE HOSPITAL IS ALSO AFFILIATED WITH THE UNIVERSITY OF TENNESSEE HEALTHSCIENCES CENTER AT MEMPHIS, SERVING AS A TRAINING SITE FOR GRADUATE STUDENTS, MEDICAL STUDENTS, MEDICAL RESIDENTS, AND UNDERGRADUATESTUDENTS IN RELEVANT APPLIED HEALTH PROGRAMS THIS TRAINING IS PROVIDED IN A VARIETY OF SUBSPECIALTIES AND RESEARCH DISCIPLINES IN THECLINICAL 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 EDUCATIONACTIVITIES ST JUDE ALSO HAS GRADUATE PROGRAMS CONDUCTED UNDER FORMAL AFFILIATION AGREEMENTS WITH THE UNIVERSITY OF MEMPHIS AND THEUNIVERSITY OF MISSISSIPPI UNDERGRADUATE PROGRAMS INCLUDE THE RHODES COLLEGE SUMMER PLUS PROGRAM (RHODES COLLEGE) AND CHRISTIANBROTHERS UNIVERSITY

4c (Code ) ( Expenses $ 299,875,022 including grants of $ ) (Revenue $ 104,014,142 )

PATIENT CARE THE HOSPITAL PROVIDED 16,387 INPATIENT DAYS OF CARE DURING THE YEAR OUR BONE MARROW TRANSPLANTATION PROGRAM ACCOUNTEDFOR 5,049 OR 31% OF THOSE INPATIENT DAYS PATIENTS MADE 65,076 CLINIC VISITS DURING THE YEAR

4d Other program services (Describe in Schedule 0 )

(Expenses $ including grants of $ ) (Revenue $

4e Total program service expenses 0- 623,703,847

Form 990 (2012)

Form 990 (2012) Page 3

Checklist of Required Schedules

Yes No

1 Is the organization described in section 501(c)(3) or4947(a)(1) (other than a private foundation)? If "Yes," Yes

complete Schedule As . . . . . . . . . . . . . . . . . . . . . . . 1

2 Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? . 2 Yes

3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to No

candidates for public office? If "Yes,"complete Schedule C, Part Is . . . . . . . . .

4 Section 501 ( c)(3) organizations . Did the organization engage in lobbying activities, or have a section 501(h) Yes

election in effect during the tax year? If "Yes "complete Schedule C Part II . . . . . . . 4, ,

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 HIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 N o

6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have theright to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes,"complete

Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . 6N o

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 IIS . 7 No

8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"N o

complete Schedule D, Part 111 19 . . . . . . . . . . . . . . . . . . . 8

9 Did the organization report an amount in Part X, line 21 for escrow or custodial account liability, serve as acustodian 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 . . . . . . . . . . . . 9 No

10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, 10 Nopermanent endowments, or quasi-endowments? If "Yes,"complete Schedule D, Part V .

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, line 10?Yes

If "Yes,"complete Schedule D, Part VI. . . . . . . . . . . . . . . . . . . . lla

b Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more ofNo

its total assets reported in Part X, line 16? If "Yes, "complete Schedule D, Part VIIS . . . . . . llb

c Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more ofNo

its total assets reported in Part X, line 16? If "Yes, "complete Schedule D, Part VIII . . . . . . llc

d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assetsYes

reported in Part X, line 16? If "Yes," complete Schedule D, Part IX' . . . . . . . . . . . . lid

e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part )( I lle I Yes

f Did the organization's separate or consolidated financial statements for the tax year include a footnote thatllf Y

addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes,"completees

Schedule D, Part X. . . . . . . . . . . . . . . . . . . . . . . . . .

12a Did the organization obtain separate, independent audited financial statements for the tax year?

If "Yes,"complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . 12a Yes

b Was the organization included in consolidated, independent audited financial statements for the tax year? If12b Yes

"Yes,"and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional

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, investment, and program service activities outside the United States, or aggregate foreign investments

valued at $100,000 or more? If "Yes,"complete Schedule F, Parts I and IV . . . . . . . . 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 United States? If "Yes,"complete Schedule F, Parts II and IV 95 15 No

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 nited States? If "Yes,"complete Schedule F, Parts III and IV . . . IN 1 16 No

17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part 17 NoIX, column (A), lines 6 and 1l e? If "Yes,"complete Schedule G, Part I (see instructions) . . . .

18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on PartVIII, 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 19 No"Yes,"complete Schedule G, Part III . . . . . . . . . . . . . . . . . . .

20a Did the organization operate one or more hospital facilities? If "Yes,"completeScheduleH . . 19 20a Yes

b If"Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? IN20b Yes

Form 990 (2012)

Form 990 (2012) Page 4

Checklist of Required Schedules (continued)

21 Did the organization report more than $5,000 of grants and other assistance to any government or organization in 21 Yes

the United States on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II . . .

22 Did the organization report more than $5,000 of grants and other assistance to individuals in the United States 1 22on Part IX, column (A), line 2? If "Yes, "complete Schedule I, Parts I and III . . . . . . . .

'SNo

23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization'scurrent and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," 23 Yes

complete Schedule J . . . . . . . . . . . . . . . . . . . . . .

24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000as of the last day of the year, that was issued after December 31, 2002? If"Yes," answer lines 24b through 24d

and complete Schedule K. If "No,"go to line 25 . . . . . . . . . . . . . . . 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 yearto 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 . . . . . . . . 15 25a No

b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prioryear, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If 25b No

"Yes,"complete Schedule L, Part I . . . . . . . . . . . . . . . . . . 95

26 Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, odisqualified person outstanding as of the end of the organization's tax year? If "Yes," complete Schedule L, 26 NoPart II . . . . . . . . . . . . . . . . . . . . . . . . . .

27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantialcontributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family 27 No

member of any of these persons? If "Yes,"complete Schedule L, Part III . . . . . . . . 95

28 Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IVinstructions 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 . . . . . . . . . . . . . . . . . . . . . . . . . . 28a Yes

b A family member of a current or former officer, director, trustee, or key employee? If "Yes,"

complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . 28b Yes

c A n entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was

an officer, director, trustee, or direct or indirect owner? If "Yes,"complete Schedule L, Part IV . . 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 qualifiedconservation 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 N o

32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes, " completeSchedule N, Part II . . . . . . . . . . . . . . . . . . . . . 32 N o

33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations

sections 301 770 1-2 and 301 770 1-3? If "Yes," complete Schedule R, Part I . . . . . . . 33 Yes

34 Was the organization related to any tax-exempt or taxable entity? If "Yes,"complete Schedule R, Part II, III, orIV,

and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . t 34 Yes

35a Did the organization have a controlled entity within the meaning of section 512(b)(13)?35a Yes

b If'Yes'to line 35a, did the organization receive any payment from or engage in any transaction with a controlled35b No

entity within the meaning of section 512 (b)(13 )? If "Yes," complete Schedule R, Part V, line 2 . . .

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 . . . . . . . . . . . . . 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 VI 37 No

38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 1 lb and 19?Note . All Form 990 filers are required to complete Schedule 0 . . . . . . . . . . 38 Yes

Form 990 (2012)

Form 990 (2012) Page 5

MEW-Statements Regarding Other IRS Filings and Tax Compliance

Check if Schedule 0 contains a res p onse to an y q uestion in this Part V (-

Yes No

la Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable . la 933

b Enter the number of Forms W-2G included in line la Enter-0- if not applicable lb 0

c Did the organization comply with backup withholding rules for reportable payments to vendors and reportablegaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . 1c Yes

2a Enter the number of employees reported on Form W-3, Transmittal of Wage andTax Statements, filed for the calendar year ending with or within the year coveredby this return . . . . . . . . . . . . . . . . . 2a 4,187

b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?2b Yes

Note . If the sum of lines la and 2a is greater than 250, you may be required to e-file (see instructions)

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 authorityover, a financial account in a foreign country (such as a bank account, securities account, or other financialaccount)? . . . . . . . . . . . . . . . . . . . . . . . . . . 4a No

b If "Yes," enter the name of the foreign country 0-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? . .

b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

c If"Yes,"to line 5a or 5b, did the organization file Form 8886-T?

6a Does the organization have annual gross receipts that are normally greater than $100,000, and did theorganization solicit any contributions that were not tax deductible as charitable contributions? . .

b If "Yes," did the organization include with every solicitation an express statement that such contributions or giftswere not tax deductible? .

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 andservices provided to the payor? .

b If "Yes," did the organization notify the donor of the value of the goods or services provided? . .

c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required tofile Form 82827 .

d If "Yes," indicate the number of Forms 8282 filed during the year 7d 0

e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefitcontract? .

f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?

g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 asrequired? .

h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file aForm 1098-C? .

8 Sponsoring organizations maintaining donor advised funds and section 509(a )( 3) supporting organizations. Didthe supporting organization, or a donor advised fund maintained by a sponsoring organization, have excessbusiness holdings at any time during the year? .

9 Sponsoring organizations maintaining donor advised funds.

a Did the organization make any taxable distributions under section 4966? . .

b Did the organization make a distribution to a donor, donor advisor, or related person? . .

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 10bfacilities

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 sourcesagainst 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?

b If "Yes," enter the amount of tax-exempt interest received or accrued during theyear . . . . . . . . . . . . . . . . . . . 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 . See the instructions for additional information the organization must report on Schedule 0

b Enter the amount of reserves the organization is required to maintain by the statesin which the organization is licensed to issue qualified health plans 13b

c Enter the amount of reserves on hand 13c

5a N o

5b N o

5c

6a N o

6b

7a

7b

7c

7e

7f

7g

7h

8

9a

9b

12a

13a

14a Did the organization receive any payments for indoor tanning services during the tax year? . . . 14a No

b If "Yes," has it filed a Form 720 to report these payments? If "No,"provide an explanation in Schedule 0 . 14b

Form 990 (2012)

Form 990 ( 2012) Page 6

Lam 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 0.See instructions.Check if Schedule 0 contains a response to any question in this Part VI .F

Section A . Governing Body and Management

Yes No

la Enter the number of voting members of the governing body at the end of the taxla 50

year . .

If there are material differences in voting rights among members of the governingbody, or if the governing body delegated broad authority to an executive committeeor similar committee, explain in Schedule 0

b Enter the number of voting members included in line la, above, who areindependent . . . . . . . . . . . . . . . . . . lb 44

2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with anyother officer, director, trustee, or key employee? 2 Yes

3 Did the organization delegate control over management duties customarily performed by or under the direct3 No

supervision of officers, directors or trustees, or key employees to a management company or other person?

4 Did the organization make any significant changes to its governing documents since the prior Form 990 wasfiled? . . . . . . . . . . . . . . . . . . . . . . . . . . 4 No

5 Did the organization become aware during the year of a significant diversion of the organization's assets? 5 No

6 Did the organization have members or stockholders? 6 No

7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one ormore members of the governing body? . . . . . . . . . . . . . . . . . . . 7a No

b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, 7b Noor persons other than the governing body?

8 Did the organization contemporaneously document the meetings held or written actions undertaken during theyear 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 theorganization's mailing address? If "Yes,"provide the names and addresses in Schedule 0 . . . . . . 9 No

Section B. Policies ( This Section B requests information about p olicies not required b y the Internal Revenue Code.)Yes No

10a Did the organization have local chapters, branches, or affiliates? 10a Yes

b If"Yes," did the organization have written policies and procedures governing the activities of such chapters,affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? 10b Yes

11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filingthe form? . . . . . . . . . . . . . . . . . . . . . . . . . . . 11a Yes

b Describe in Schedule 0 the process, if any, used by the organization to review this Form 990

12a Did the organization have a written conflict of interest policy? If "No,"go to line 13 . 12a Yes

b Were officers, directors, or trustees, and key employees required to disclose annually interests that could giverise to conflicts? . . . . . . . . . . . . . . . . . . . . . . . . . 12b Yes

c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"describein Schedule 0 how this was done . 12c Yes

13 Did the organization have a written whistleblower policy? 13 Yes

14 Did 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 byindependent 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 15a or 15b, describe the process in Schedule 0 (see instructions)

16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with ataxable entity during the year? . . . . . . . . . . . . . . . . . . . . . 16a No

b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate itsparticipation in joint venture arrangements under applicable federal tax law, and take steps to safeguard theorganization'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 filed-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 made these available Check all that apply

F Own website fl Another' s website 17 Upon request fl Other ( explain in Schedule O )

19 Describe in Schedule 0 whether ( and if so, how), the organization made its governing documents , conflict ofinterest policy , and financial statements available to the public during the tax year

20 State the name, physical address, and telephone number of the person who possesses the books and records of the organization-MICHAEL C CA NARIOS 262 DANNY THOMAS PLACE MEMPHIS, TN (901) 595-2261

Form 990 (2012)

Form 990 (2012) Page 7

Compensation of Officers , Directors ,Trustees, Key Employees, Highest CompensatedEmployees , and Independent ContractorsCheck if Schedule 0 contains a response to any question in this Part VII .F

Section A. Officers, Directors, Trustees, Kev Employees, and Highest Compensated Employees

la Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organization'stax year* List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount

of compensation Enter-0- in columns (D), (E), and (F) if no compensation was paid

* List all of the organization's current key employees, if any See instructions for definition of "key employee "

* 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 theorganization and any related organizations

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

* List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of theorganization, 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, highestcompensated employees, and former such persons

fl Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee

(A)Name and Title

(B)Averagehours perweek (listany hours

(C)Position (do not check

more than one box, unlessperson is both an officerand a director/trustee)

(D)Reportable

compensationfrom the

organization (W-

( E)Reportable

compensationfrom relatedorganizations

(F)Estimated

amount of othercompensation

from thefor relatedorganizations

belowdotted line)

.ca:

J.•

4•

m_

D

0 =adoart

7

^

T 2/1099-MISC) (W- 2/1099-MISC)

organization andrelated

organizations

See Additional Data Table

Form 990 (2012)

Form 990 (2012) Page 8

Section A. Officers, Directors, Trustees , Key Employees, and Highest Compensated Employees (continued)

(A)Name and Title

(B)Averagehours perweek (listany hours

(C)Position (do not check

more than one box, unlessperson is both an officerand a director/trustee)

(D)Reportable

compensationfrom the

organization (W-

( E)Reportable

compensationfrom related

organizations (W-

(F)Estimated

amount of othercompensation

from thefor relatedorganizations

belowdotted line)

0--

C:SL

a

747.

;3

m_

;rl

!

M=

boo

fD

ur

T

a

2/1099-MISC) 2/1099-MISC) organization andrelated

organizations

lb Sub-Total . . . . . . . . . . . . . . . .

c Total from continuation sheets to Part VII, Section A . . . .

d Total ( add lines lb and 1c) . . . . . . . . . . . . 0- 7,128,108 625,147 680,427

Total number of individuals (including but not limited to those listed above) who received more than$100,000 of reportable compensation from the organization-489

No

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee

on line la? If "Yes," complete Schedule Jfor such individual . . . . . . . . . . . . . 3 No

4 For any individual listed on line la, is the sum of reportable compensation and other compensation from theorganization and related organizations greater than $150,0007 If "Yes," complete Schedule -7 for such

individual . . . . . . . . . . . . . . . . . . . . . . . . . . .

Did any person listed on line la 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 ofcompensation from the organization Report compensation for the calendar year ending with or within the organization's tax year

(A)Name and business address

(B)Description of services

(C)Compensation

FLINTCO LLC 2179 HILLSHIRE CIRCLE MEMPHIS TN 38133 GENERAL CONTRACTING 54,254,664

UNIVERSITY OF TENNESSEE 62 S DUNLAP ROOM 300 MEMPHIS TN 38163 MEDICAL 4,803,943

CERNER CORP 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 CONSULTING 4,251,117

DYNAMIX GROUP INC PO BOX 116609 ATLANTA GA 303686609 MAINTENANCE SERVICE 4,229,911

THE CRUMP FIRM INC 81 MONROE BUILDING MEMPHIS TN 38103 GENERAL CONTRACTING 2,759,866

2 Total number of independent contractors (including but not limited to those listed above ) who received more than$100,000 of compensation from the organization 0-166

Form 990 (2012)

Form 990 (2012) Page 9

Statement of RevenueCheck if Schedule 0 contains a response to any question in this Part VIII F

(A) (B) (C) (D)Total revenue Related or Unrelated Revenue

exempt business excluded fromfunction revenue tax underrevenue sections

512, 513, or514

la Federated campaigns . laZ

b Membership dues . . . . lb6- 0

0 E c Fundraising events . . . . 1c

d Related organizations . ld 488,001,943

CJE e Government grants (contributions) le 84,097,974

V f All other contributions, gifts, grants, and if 9,688,296^ similar amounts not included above

g Noncash contributions included in linesla-If $

h Total . Add lines la-1f . 581,788,213

Business Code

2a PATIENT CARE 621110 104,014,142 104,014,142

b

c

d

e

f All other program service revenue

g Total . Add lines 2a-2f . . . . . . . . 0- 104,014,142

3 Investment income (including dividends, interest,and other similar amounts) . . . . . . . 0-

4 Income from investment of tax-exempt bond proceeds • . 0-

5 Royalties . . . . . . . . . . . 0-

(i) Real (ii) Personal

6a Gross rents

b Less rentalexpenses

c Rental incomeor (loss)

d Net rental inco me or (loss) . . lim-

(i) Securities (ii) Other

7a Gross amountfrom sales of 330,973 25,483assets otherthan inventory

b Less cost orother basis and 285,723 449,158sales expenses

c Gain or (loss) 45,250 -423,675

d Net gain or (loss) . lim- -378,425 -378,425

8a Gross income from fundraisingW events (not including

$

of contributions reported on line 1c)See Part IV, line 18

a

s b Less direct expenses . b

c Net income or (loss) from fundraising events . . 0-

9a Gross income from gaming activitiesSee Part IV, line 19 . .

a

b Less direct expenses . b

c Net income or (loss) from gaming acti vities . . .0-

10a Gross sales of inventory, lessreturns and allowances .

a

b Less cost of goods sold . b

c Net income or (loss) from sales of inventory . lim-

Miscellaneous Revenue Business Code

11a P ATENTS/LICENSING INCO 900099 3,291,661 3,291,661

b CAFETERIA/VENDING 722212 3,119,452 3,119,452

C CHGME/CHCA 900099 1,112,814 1,112,814

d All other revenue 2,779,790 2,779,790

e Total.Add lines 11a-11d . 10-10,303,717

12 Total revenue . See Instructions 0- 1695,727,647 114,317,859 0 -378,425

Form 990 (2012)

Form 990 (2012) Page 10

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns All other organizations must complete column (A)

Check if Schedule 0 contains a response to any auestion in this Part IX . . . . . . . . . . . . . .

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 andgeneral expenses

(D)Fundraisingexpenses

1 Grants and other assistance to governments and organizations

in the United States See Part IV, line 21544,459 544,459

2 Grants and other assistance to individuals in theUnited States See Part IV, line 22

3 Grants and other assistance to governments,organizations , and individuals outside the UnitedStates See Part IV, lines 15 and 16

4 Benefits paid to or for members

5 Compensation of current officers, directors , trustees, and

key employees 4,678,206 3,106,125 1,572,081

6 Compensation not included above, to disqualified persons(as defined under section 4958(f)(1)) and personsdescribed in section 4958( c)(3)(B)

7 Other salaries and wages 275,291,594 257,853,679 17,437,915

8 Pension plan accruals and contributions ( include section 401(k)and 403(b) employer contributions ) 17,726,686 16,603,817 1,122,869

9 Other employee benefits 37,658,252 35,272,849 2,385,403

10 Payroll taxes 18,743,599 17,556,315 1,187,284

11 Fees for services ( non-employees)

a Management 19,253,626 18,190,836 1,062,790

b Legal 5,167 ,128 4,881,905 285,223

c Accounting 240,715 227,428 13,287

d Lobbying 33,200 33,200

e Professional fundraising services See Part IV, line 17

f Investment management fees . .

g Other ( If line 11g amount exceeds 10 % of line 25,

column (A) amount, list line 11g expenses on

Schedule 0 ) 59,881,944 53,378,008 6,503,936

12 Advertising and promotion 748,156 706,858 41,298

13 Office expenses 2,350,854 2,311,811 39,043

14 Information technology 10,247,268 9,681,624 565,644

15 Royalties

16 Occupancy 21,829,790 19,518,015 2,311,775

17 Travel . . . . . . . . . . . 10,096,211 9,575,054 521,157

18 Payments of travel or entertainment expenses for any federal,state, or local public officials

19 Conferences , conventions , and meetings 1,373,490 961,848 411,642

20 Interest 7,418,215 7,410,236 7,979

21 Payments to affiliates

22 Depreciation , depletion, and amortization 61,563,562 59,123,689 2,439,873

23 Insurance 1,056,757 685,267 371,490

24 Other expenses Itemize expenses not covered above (Listmiscellaneous expenses in line 24e If line 24e amount exceeds 10%of line 25, column ( A) amount, list line 24e expenses on Schedule 0

a LABORATORY SUPPLIES 33,427,098 32,871,944 555,154 0

b PHAMACEUTICAL SUPPLIES 31,182,992 30,665,108 517,884 0

c TELEPHONE 1,166,737 1,058,305 108,432 0

d ALLOCATION ADJUSTMENTS 0 12,176,361 -12,176,361 0

e All other expenses 32,553,512 29,309,106 3,244,406

25 Total functional expenses. Add lines 1 through 24e 654,234,051 623,703,847 30,530,204 0

26 Joint costs. Complete this line only if the organizationreported in column ( B) joint costs from a combinededucational campaign and fundraising solicitation Checkhere - fl if following SOP 98-2 (ASC 958-720)

Form 990 (2012)

Form 990 (2012) Page 11

Balance SheetCheck if Schedule 0 contains a response to any question in this Part X F

(A) (B)Beginning of year End of year

1 Cash-non-interest-bearing 630,443 1 6,872,920

2 Savings and temporary cash investments . . . . . . . . 10,208,625 2 10,327,250

3 Pledges and grants receivable, net 8,142,964 3 5,664,796

4 Accounts receivable, net . . . . . . . . . . . . 13,199,254 4 13,424,312

5 Loans and other receivables from current and former officers, directors, trustees,key employees, and highest compensated employees Complete Part II ofSchedule L . .

5

6 Loans and other receivables from other disqualified persons (as defined undersection 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributingemployers and sponsoring organizations of section 501(c)(9) voluntary employees'beneficiary organizations (see instructions) Complete Part II of Schedule L

6

7 Notes and loans receivable, net 7'cc

8 Inventories for sale or use 5,642,230 8 4,829,227

9 Prepaid expenses and deferred charges . 9,430,833 9 7,884,421

10a Land, buildings, and equipment cost or other basisComplete Part VI of Schedule D 10a 1,052,265,949

b Less accumulated depreciation . . . . 10b 590,922,336 425,933,712 10c 461,343,613

11 Investments-publicly traded securities . 1,479,342 11 1,612,504

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 . . . . . . . . . . 2,455,750,443 15 2,770,168,304

16 Total assets . Add lines 1 through 15 (must equal line 34) . 2,930,417,846 16 3,282,127,347

17 Accounts payable and accrued expenses 74,492,116 17 77,214,992

18 Grants payable . . . . . . . . . . . . . . . . 18

19 Deferred revenue . . . . . . . . . . . . . . . 5,893,609 19 5,893,607

20 Tax-exempt bond liabilities . . . . . . . . . . . . 229,186,492 20 223,667,040

21 Escrow or custodial account liability Complete Part IV of Schedule D . 21

22 Loans and other 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 (including federal income tax, payables to related third parties,and other liabilities not included on lines 17-24) Complete Part X of ScheduleD . 3,089,364 25 3,022,266

26 Total liabilities . Add lines 17 through 25 . 312,661,581 26 309,797,905

Organizations that follow SFAS 117 (ASC 958), check here 1- F and complete

lines 27 through 29, and lines 33 and 34.

C5 27 Unrestricted net assets 1,782,242,015 27 2,068,341,902

Mca

28 Temporarily restricted net assets 52,799,597 28 60,144,267

r29 Permanently restricted net assets . . . . . . . . . . 782,714,653 29 843,843,273

_Organizations that do not follow SFAS 117 (ASC 958), check here 1 andFW_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 2,617,756,265 33 2,972,329,442

34 Total liabilities and net assets/fund balances 2,930,417,846 34 3,282,127,347

Form 990 (2012)

Form 990 (2012) Page 12

« Reconcilliation of Net Assets('hark if crhariiila () rnntainc a rocnnnca to anv niiactinn in Chic Part YT 7

1 Total revenue (must equal Part VIII, column (A), line 12) . .

2 Total expenses (must equal Part IX, column (A), line 25) . .

3 Revenue less expenses Subtract line 2 from line 1

4 Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))

5 Net unrealized gains (losses) on investments

6 Donated services and use of facilities

7 Investment expenses . .

8 Prior period adjustments . .

9 Other changes in net assets or fund balances (explain in Schedule 0)

10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X, line 33,column (B))

1 695,727,647

2 654,234,051

3 41,493,596

4 2,617,756,265

5 61,800

6

7

8

9 313,017,781

10 2,972,329,442

Financial Statements and Reporting

Check if Schedule 0 contains a response to any question in this Part XII (-

Yes No

1 Accounting method used to prepare the Form 990 fl Cash 17 Accrual (OtherIf the organization changed its method of accounting from a prior year or checked " Other," explain inSchedule 0

2a Were the organization 's financial statements compiled or reviewed by an independent accountant? 2a No

If'Yes,'check a box below to indicate whether the financial statements for the year were compiled or reviewed ona separate basis, consolidated basis, or both

fl Separate basis fl Consolidated basis fl Both consolidated and separate basis

b Were the organization 's financial statements audited by an independent accountant? 2b Yes

If'Yes,'check a box below to indicate whether the financial statements for the year were audited on a separatebasis, consolidated basis, or both

fl Separate basis fl Consolidated basis F Both consolidated and separate basis

c If"Yes,"to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of theaudit, review , or compilation of its financial statements and selection of an independent accountant? 2c Yes

If the organization changed either its oversight process or selection process during the tax year, explain inSchedule 0

3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in theSingle Audit Act and 0 MB Circular A-1 33? 3a Yes

b If"Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required 3b Yesaudit or audits , explain why in Schedule 0 and describe any steps taken to undergo such audits

Form 990 (2012)

Additional Data

Software ID:

Software Version:

EIN: 62 -0646012

Name : ST JUDE CHILDREN'S RESEARCH HOSPITAL INC

Form 990, Part VII - Compensation of Officers, Directors,Trustees, Key Employees, HighestCompensated Employees, and Independent Contractors

(A) (B) (C) (D) ( E) (F)Name and Title Average Position (do not check Reportable Reportable Estimated amount

hours more than one box, compensation compensation of otherper unless person is both from the from related compensationweek an officer and a organization (W- organizations (W- from the(list director/trustee) 2/1099-MISC) 2/1099-MISC) organization andany

-nrelated

hours f moo organizationsfor s 74 m

related C: 7+_

organizations ° o '°belowdotted =71 (D mline) a'

V

JOYCE ABOUSSIE4 00

VOTING DIRECTORX 0 0 0

4 00

4 00SUSAN MACK AGUILLARD MD

X 0 0 0VOTING DIRECTOR

4 00

MAHIR AWDEH MD4 00


4 00

4 00JOSEPH S AYOUB JR ESQ


4 00

PAUL I AYOUB ESQ4 00


8 00

4 00FREDERICK M AZAR MD


4 00

JAMES B BARKATE4 00


4 00

8 00MARTHA PERINE BEARD


4 00

SHERYL BOURISK4 00


4 00

8 00ROBERT A BREIT MD


4 00

TERRY BURMAN8 00


4 00

4 00STEPHEN J CAMER MD


4 00

TONY CHARAF4 00


4 00

4 00ANN M DANNER


4 00

MICHAEL FRANCIS4 00


4 00

4 00FRED P GATTAS JR


4 00

FRED P GATTAS III PHARMD4 00


4 00

4 00CHRISTOPHER GEORGE MD


4 00

JUDY HABIB4 00


4 00

4 00GABRIEL GABY HADDAD MD


4 00

PAUL K HAJAR4 00


4 00

4 00CHUCK HAJJAR


4 00

FOUAD HAJJAR MD4 00


4 00

4 00FRED R HARRIS


4 00

BRUCE B HOPKINS4 00


4 00


(A) (B) (C) (D) ( E) (F)Name and Title Average Position (do not check Reportable Reportable Estimated amount

hours more than one box , compensation compensation of otherper unless person is both from the from related compensationweek an officer and a organization ( W- organizations (W- from the(list director/trustee ) 2/1099-MISC) 2/1099-MISC ) organization andany 0 ,o = T relatedhours -D ^Z organizationsfor m o ?

related_

r.

organizations 2

^

0

te

below - Kdotted K mline)

4 00RICHARD IEYOUB ESQ


4 00

SALLI LEVAN4 00


4 00

4 00PAUL MARCUS


4 00

MICHAEL D MCCOY4 00


4 00

4 00ROBERT T MOLINET ESQ


4 00

DWAYNE M MURRAY ESQ4 00


4 00

4 00JIM NAIFEH JR


4 00

HELEN NUGENT4 00


4 00

4 00RAMZI NUWAYHID


4 00

THOMAS PENN III4 00


4 00

4 00CAMILLE F SARROUF SR ESQ


4 00

CAMILLE F SARROUF JR ESQ4 00


8 00

4 00JOSEPH C SHAKER


4 00

JOSEPH G SHAKER4 00


4 00

4 00GEORGE A SIMON II


4 00

MICHAEL SIMON4 00


4 00

4 00PAUL I SIMON


4 00

TERRE THOMAS4 00


4 00

4 00TONY THOMAS


4 00

RICHARD M UNES4 00


8 00

4 00PAUL H WEIN ESQ


4 00

TOM WERTZ4 00


4 00

4 00RAMZI YOUNIS MD


4 00

TAMA ZAYDON4 00


4 00

1 00RICHARD SHADYAC JR

X 0 625,147 41,854EX-OFFICIO DIRECTOR

55 00


(A) (B) (C) (D) (E) (F)Name and Title Average Position (do not check Reportable Reportable Estimated amount

hours more than one box, compensation compensation of otherper unless person is both from the from related compensationweek an officer and a organization (W- organizations (W- from the(list director/trustee ) 2/1099-MISC) 2/1099-MISC ) organization andany 0 ,o = T relatedhours

2-D ^ Z organizations

forQ- ^Z

m o ?related

_r.

organizations 2

^ te

abelow - KD --dotted mline)

WILLIAM E EVANS55 00

DIRECTOR AND CEOX X 941,143 0 36,301

1 00

JAMES R DOWNING55 00

EVP/SCIENTIFIC DIR/DEP DIRX 782,915 0 52,045

0 00

LARRY KUN55 00

EVP/CLINICAL DIRECTORX 678,997 0 48,953

0 00

RICHARD GILBERTSON55 00

EVP/DIRECTOR CANCER CENTERX 537,831 0 90,080

0 00

JOSEPH H LAVER55 00

EVP/CLINICAL DIRECTORX 624,785 0 82,578

0 00

MICHAEL C CANARIOS55 00

SVP/CHIEF FINANCIAL OFFICERX 487,562 0 67,428

0 00

ANDREW DAVIDOFF55 00

CHAIR/FACULTYX 716,023 0 63,807

0 00

SUE KASTE55 00

FACULTYX 686,499 0 28,942

0 00

ELAINE TUOMANEN55 00

CHAIR/ FACULTYX 583,850 0 51,143

0 00

CHING-HON PUI55 00


0 00

DAVID ELLISON55 00


0 00


SCHEDULE A Public Charity Status and Public SupportOMB No 1545-0047

(Form 990 or 990EZ)2012Complete if the organization is a section 501(c)( 3) organization or a section

Department of the Treasury 4947( a)(1) nonexempt charitable trust.

Internal Revenue Service► Attach to Form 990 or Form 990-EZ . ► See separate instructions.

Name of the organization Employer identification numberST JUDE CHILDREN'S RESEARCH HOSPITAL INC

62-0646012

Reason for Public Charity Status (All organizations must complete this part.) See instructions.The organi zation is not a private foundation because it is (For lines 1 through 11, check only one box )

1 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

2 1 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E )

3 F A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

4 1 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the

hospital's name, city, and state5 fl An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170 ( b)(1)(A)(iv ). (Complete Part II )

6 fl A federal, state, or local government or governmental unit described in section 170 ( b)(1)(A)(v).

7 1 An organization that normally receives a substantial part of its support from a governmental unit or from the general publicdescribed in section 170 ( b)(1)(A)(vi ). (Complete Part II )

8 1 A community trust described in section 170 ( b)(1)(A)(vi ) (Complete Part II )

9 1 An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross

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 fl An organization organized and operated exclusively to test for public safety See section 509(a)(4).

11 1 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes ofone or more publicly supported organizations described in section 509 ( a)(1) or section 509(a )( 2) See section 509( a)(3). Checkthe box that describes the type of supporting organization and complete lines Ile through 11 h

a fl Type I b 1 Type II c fl Type III - Functionally integrated d (- Type III - Non - functionally integrated

e (- By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified personsother than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1 ) orsection 509(a)(2)

f If the organization received a written determination from the IRS that it is a Type I, Type II, orType III supporting organization,check this box (-

g Since August 17, 2006, has the organization accepted any gift or contribution from any of thefollowing persons?(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 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 Provide the following information about the supported organization(s)

(i) Name of (ii) EIN (iii) Type of (iv) Is the (v) Did you notify (vi) Is the (vii) Amount ofsupported organization organization in the organization organization in monetary

organization (described on col (i) listed in in col (i) of your col (i) organized supportlines 1- 9 above your governing support? in the U S ?or IRC section document?

(seeinstructions))

Yes No Yes No Yes No

Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ . Cat No 11285F ScheduleA(Form 990 or 990-EZ)2012

Schedule A (Form 990 or 990-EZ) 2012 Page 2

MU^ Support Schedule for Organizations Described in Sections 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 underPart III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A . Public SupportCalendar year (or fiscal year beginning (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total

in) 111111 Gifts, grants, contributions, and

membership fees received (Do notinclude any "unusualgrants ")

2 Tax revenues levied for theorganization's benefit and eitherpaid to or expended on itsbehalf

3 The value of services or facilitiesfurnished by a governmental unit tothe organization without charge

4 Total .Add lines 1 through 3

5 The portion of total contributionsby each person (other than agovernmental unit or publiclysupported organization) included online 1 that exceeds 2% of theamount shown on line 11, column(f)

6 Public support . Subtract line 5 fromline 4

Section B. Total SupportCalendar year ( or fiscal year beginning (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total

in) ►7 Amounts from line 4

8 Gross income from interest,dividends, payments received onsecurities loans, rents, royaltiesand income from similarsources

9 Net income from unrelatedbusiness activities, whether or notthe business is regularly carriedon

10 Other income Do not include gainor loss from the sale of capitalassets (Explain in Part IV )

11 Total support (Add lines 7 through10)

12 Gross receipts from related activities, etc (see instructions) 12

13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, checkthis box and stop here .ItE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Section C. Com p utation of Public Support Percenta g e14 Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) 14

15 Public support percentage for 2011 Schedule A, Part II, line 14 15

16a 331 / 3%support test-2012 . If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this boxand stop here . The organization qualifies as a publicly supported organization

b 331 / 3%support test-2011 . If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check thisbox and stop here . The organization qualifies as a publicly supported organization

17a 10%-facts-and -circumstances test -2012 . If the organization did not check a box on line 13, 16a, or 16b, and line 14is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here . Explainin Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly supportedorganization

b 10%-facts-and-circumstances test -2011 . If the organization did not check a box on line 13, 16a, 16b, or 17a, and line15 is 10% or more, and if the organization meets the "facts- and-circumstances" test, check this box and stop here.Explain in Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publiclysupported organization

18 Private foundation . If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and seeinstructions

Schedule A (Form 990 or 990-EZ) 2012


IMMITM Support Schedule for Organizations Described in Section 509(a)(2)(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify underPart II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A . Public SupportCalendar year ( or fiscal year beginning (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total

in) 111111 Gifts, grants, contributions, and

membership fees received (Do notinclude any "unusual grants ")

2 Gross receipts from admissions,merchandise sold or servicesperformed, or facilities furnished inany activity that is related to theorganization's tax-exemptpurpose

3 Gross receipts from activities thatare not an unrelated trade orbusiness under section 513

4 Tax revenues levied for theorganization's benefit and eitherpaid to or expended on itsbehalf

5 The value of services or facilitiesfurnished by a governmental unit tothe organization without charge

6 Total . Add lines 1 through 5

7a Amounts included on lines 1, 2,and 3 received from disqualifiedpersons

b Amounts included on lines 2 and 3received from other thandisqualified persons that exceedthe greater of$5,000 or 1% of theamount on line 13 for the year

c Add lines 7a and 7b

8 Public support (Subtract line 7cfrom line 6 )

Section B. Total SuuuortCalendar year ( or fiscal year beginning (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total

in) ►9 Amounts from line 6

10a Gross income from interest,dividends, payments received onsecurities loans, rents, royaltiesand income from similarsources

b Unrelated business taxableincome (less section 511 taxes)from businesses acquired afterJune 30, 1975

c Add lines 10a and 10b

11 Net income from unrelatedbusiness activities not includedin line 10b, whether or not thebusiness is regularly carried on

12 Other income Do not includegain or loss from the sale ofcapital assets (Explain in PartIV )

13 Total support . (Add lines 9, 1Oc,11, and 12 )

14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,check this box and stop here

Section C. Computation of Public Support Percentage

15 Public support percentage for 2012 ( line 8, column (f) divided by line 13, column (f)) 15

16 Public support percentage from 2011 Schedule A, Part III, line 15 16

Section D . Com p utation of Investment Income Percenta g e

17 Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) 17

18 Investment income percentage from 2011 Schedule A, Part III, line 17 18

19a 331 / 3%support tests-2012 . If the organization did not check the box on line 14 , and line 15 is more than 33 1/3%, and line 17 is notmore than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization lk'F-

b 331 / 3%support tests-2011 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization lk'F-

20 Private foundation . If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions



Supplemental Information . Complete this part to provide the explanations required by Part II, line 10;Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (Seeinstructions).

Facts And Circumstances Test

Explanation



SCHEDULE C Political Campaign and Lobbying Activities OMB No 1545-0047

(Form 990 or 990-EZ)For Organizations Exempt From Income Tax Under section 501(c) and section 527 201 2

Department of the Treasury 1- Complete if the organization is described below. 0- Attach to Form 990 or Form 990-EZ.

Internal Revenue Service0- See separate instructions . Open

I InspectionIf the organization answered "Yes" to Form 990, Part IV , Line 3 , or Form 990-EZ , Part V, line 46 (Political Campaign Activities), then• Section 501(c)(3) organizations Complete Parts I-A and B Do not complete Part I-C• Section 501(c) (other than section 501(c)(3)) organizations Complete Parts I-A and C below Do not complete Part I-B• 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• 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• 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 35c ( Proxy Tax), then* Section 501(c)(4), (5), or (6) organizations Complete Part IIIName of the organization Employer identification numberST JUDE CHILDREN'S RESEARCH HOSPITAL INC

62-0646012

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 in Part IV

2 Political expenditures 0- $

3 Volunteer hours

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 0- $

2 Enter the amount of any excise tax incurred by organization managers under section 4955 0- $

3 If the organization incurred a section 4955 tax, did it file Form 4720 for this year? fl Yes fl No

4a Was a correction made? fl Yes fl No

b If "Yes," describe in Part IV

rMWINT-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 0- $

2 Enter the amount of the filing organization's funds contributed to other organizations for section 527exempt function activities 0- $

3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-PO L, line 17b 0- $

4 Did the filing organization file Form 1120-POL for this year? fl Yes fl No

5 Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filingorganization made payments For each organization listed, enter the amount paid from the filing organization's funds Also enter theamount of political contributions received that were promptly and directly delivered to a separate political organization, such as aseparate 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 fromfiling organization's

funds If none, enter -0-

(e) Amount of politicalcontributions received

and promptly anddirectly delivered to a

separate politicalorganization If none,

enter -0-

i-or raperworK rteauction Act Notice, see the instructions Tor corm 99U or yyu -tc. Cat No 50084S Schedule C ( Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012 Page 2

Complete if the organization is exempt under section 501 ( c)(3) and filed Form 5768 (electionunder section 501(h)).

A Check - (- if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN,expenses, and share of excess lobbying expenditures)

B Check - (- if the filing organization checked box A and "limited control" provisions apply

Limits on Lobbying Expenditures(a) Filing (b) Affiliated

(The term "expenditures" means amounts paid or incurred .)organization's group

totals totals

la 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 la 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 bothcolumns

If the amount on line le, column (a) or (b ) is: The lobbying nontaxable amount is:

Not over $500,000 20% of the amount on line le

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 la If zero or less, enter-0-

i Subtract line 1f from line 1c If zero or less, enter-0-

i If there is an amount other than zero on either line 1h or line 11, did the organization file Form 4720 reportingsection 4911 tax for this year? F- Yes F- No

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 yearbeginning in)

(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total

2a Lobbying nontaxable amount

b Lobbying ceiling amount(150% of line 2a, column(e))

c Total lobbying expenditures

d Grassroots nontaxable amount

e Grassroots ceiling amount150% of line 2d column e

f Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012 Pa g e 3Complete if the organization is exempt under section 501 ( c)(3) and has NOTfiled Form 5768 election under section 501 ( h )) .

For each "Yes" response to lines la through li below, provide in Part IV a detailed description of the lobbying(a) (b)

activity. Yes No Amount

1 During the year, did the filing organization attempt to influence foreign, national, state or locallegislation, including any attempt to influence public opinion on a legislative matter or referendum,through the use of

a Volunteers? Yes

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 16,700

h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? Yes 1,425

i Other activities? Yes 15,075

j Total Add lines 1c through 11 33,200

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?

Complete if the organization is exempt under section 501 ( c)(4), section 501(c )( 5), or section501 ( 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 carry over lobbying and political expenditures from the prior year? 3

Complete if the organization is exempt under section 501(c)(4), section 501(c )( 5), or section

501(c )( 6) and if either ( a) BOTH Part 111-A , lines 1 and 2, are answered "No" OR (b) Part 111-A,line 3 , is answered "Yes."

1 Dues, assessments and similar amounts from members 1

2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of politicalexpenses 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 excessdoes the organization agree to carryover to the reasonable estimate of nondeductible lobbying andpolitical expenditure next year? 4

5 Taxable amount of lobbying and political expenditures (see instructions) 5

Su lementalInformation

Complete this part to provide the descriptions required for Part I-A, line 1, Part I-B, line 4, Part I-C, line 5, Part II-A (affiliated group list),Part II-A line 2 , and Part II-B line 1 Also , com p lete this p art for an y additional information

Identifier Return Reference Explanation

EXPLANATION OF LOBBYING PART II-B, LINE 1 A) TWO SEPARATE ST JUDE FAMILIES TRAVELED TO DCACTIVITIES ON BEHALF OF ST JUDE TO ADVOCATE WITH CONGRESS

FOR INCREASED NIH FUNDING, B) ST JUDE EMPLOYS ADIRECTOR OF GOVERNMENT AFFAIRS, G) PRORATEDSALARY OF DIRECTOR OF GOVERNMENT AFFAIRS, H) STJUDE PATIENT FAMILY MEMBER PARTICIPATED IN "RALLYFOR MEDICAL RESEARCH" SPONSORED BY AMERICANASSOCIATION OF CANCER RESEARCHERS, I) ST JUDERETAINED ALSTON & BIRD FOR FEDERAL POLICYCONSULTING AND SMITH HARRIS & CARR FOR STATEPOLICY CONSULTING AMOUNT LISTED IS RETAINER FEESPRORATED FOR DIRECT FEDERAL AND STATELEGISLATIVE CONTACTS

Schedule C (Form 990 or 990EZ) 2012

lefile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: 93493133037334

SCHEDULE D OMB No 1545-0047

(Form 990) Supplemental Financial Statements2012

1- Complete if the organization answered "Yes," to Form 990,Department of the Treasury Part IV, line 6, 7, 8, 9, 10, 11a 11b 11c 11d 11e 11f 12a , or 12b •' 'Internal Revenue Service 1- Attach to Form 990. 1- See separate instructions. -


62-0646012Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts . Complete if theorg anization 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 advisedfunds are the organization's property, subject to the organization's exclusive legal control? F Yes I No

6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can beused only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purposeconferring impermissible private benefit? fl Yes fl No

MRSTI-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)

1 Preservation of land for public use (e g , recreation or education) 1 Preservation of an historically important land area

1 Protection of natural habitat 1 Preservation of a certified historic structure

fl Preservation of open space

2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservationeasement on the last day of the tax year

a Total number of conservation easements

b Total acreage restricted by conservation easements

c Number of conservation easements on a certified historic structure included in (a)

d Number of conservation easements included in (c) acquired after 8/17/06, and not on ahistoric structure listed in the National Register

Held at the End of the Year

2a

2b

2c

2d

3 N umber of conservation easements modified, transferred , released, extinguished , or terminated by the organization during

the tax year 0-

4 N umber of states where property subject to conservation easement is located 0-

5 Does the organization have a written policy regarding the periodic monitoring , inspection , handling of violations, andenforcement of the conservation easements it holds? fl Yes fl No

6 Staff and volunteer hours devoted to monitoring , inspecting , and enforcing conservation easements during the year

0-

7 Amount of expenses incurred in monitoring , inspecting , and enforcing conservation easements during the year

0- $

8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)and section 170(h)(4)(B)(ii)? F Yes 1 No

9 In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, andbalance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describesthe organization's accounting for conservation easements

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.Complete if the oraanization answered "Yes" to Form 990. Part IV. line 8.

la If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of publicservice, provide, in Part XIII, the text of the footnote to its financial statements that describes these items

b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of publicservice, provide the following amounts relating to these items

(i) Revenues included in Form 990, Part VIII, line 1 $

(ii)Assets included in Form 990, Part X $

2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide thefollowing amounts required to be reported under SFAS 116 (ASC 958) relating to these items

a Revenues included in Form 990, Part VIII, line 1 $

b Assets included in Form 990, Part X $

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 52283D Schedule D ( Form 990) 2012

Schedule D (Form 990) 2012 Page 2

r:FTnFW Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets (continued)

3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of itscollection items (check all that apply)

a F_ Public exhibition d fl Loan or exchange programs

b 1 Scholarly research e (- Other

c F Preservation for future generations

4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose inPart XIII

5 During the year, did the organization solicit or receive donations of art, historical treasures or other similarassets to be sold to raise funds rather than to be maintained as part of the organization's collection? 1 Yes 1 No

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.

la Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets notincluded on Form 990, Part X7 1 Yes F No

b If "Yes," explain the arrangement in Part XIII and complete the following table

c Beginning balance 1c

d Additions during the year ld

e Distributions during the year le

f Ending balance if

A mount

2a Did the organization include an amount on Form 990, Part X, line 21? fl Yes fl No

b If"Yes," explain the arrangement in Part XIII Check here if the explanation has been provided in Part XI II . . . . . . . . F

MWAF-Endowment Funds . Com p lete If the org anization answered "Yes" to Form 990 , Part IV , line 10.

la Beginning of year balance .

b Contributions

c Net investment earnings, gains, and losses

d Grants or scholarships

e Other expenditures for facilitiesand programs

f Administrative expenses .

g End of year balance

(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back

2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as

a Board designated or quasi-endowment 0-

b Permanent endowment 0-

c Temporarily restricted endowment 0-

The percentages in lines 2a, 2b, and 2c should equal 100%

3a Are there endowment funds not in the possession of the organization that are held and administered for theorganization 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? . . I 3b

4 Describe in Part XIII the intended uses of the organization's endowment funds

Land . Buildings . and Eauiument. See Form 990. Part X. line 10.

Description of property (a) Cost or otherbasis ( investment )

(b)Cost or otherbasis (other)

(c) Accumulateddepreciation

(d) Book value

la Land

b Buildings 731 ,100,637 365,787,069 365,313,568

c Leasehold improvements . .

d Equipment 314,600,910 221,844,730 92,756,180

e Other 6,564,402 3,290,537 3,273,865

Total . Add lines la through le (Column (d) must equal Form 990, Part X, column (8), line 10 (c).) . 461,343,613

Schedule D (Form 990) 2012


Investments -Other Securities . See Form 990 , Part X , line 12.

(a) Description of security or category (b)Book value (c) Method of valuation(including name of security) Cost or end-of-year market value

(1 )Financial derivatives

(2)Closely-held equity interests

Other

Total . (Column (b) must equal Form 990, Part X, col (B) line 12 ) 0.1

Investments- Pro ram Related . See Form 990 , Part X , line 13.

(a) Description of investment typeI I

(b) Book value (c) Method of valuationCost or end-of-year market value

Total . (Column (b) must equal Form 990, Part X, col (8) line 13 ) 0. 1

Other Assets . See Form 990 , Part X line 15.

(a) Description (b) Book value

(1) INTEREST IN THE NET ASSETS OF AMERICAN SYRIAN LEBANESE ASSOCIATED CHARITIES 2,768,942,672

(2) UNAMORTIZED BOND ISSUANCE COSTS 1.225.632

Total . (Column (b) must equal Form 990, Part X, co/.(8) line 15.) . 0.1 2,770,168,304

Other Liabilities . See Form 990 , Part X line 25.

1 (a) Description of liability ( b) Book value

Federal income taxes

SELF INSURANCE LIABILITY 1,598,281

WORKMAN'S COMPENSATION 1,423,985

Total . (Column (b) must equal Form 990, Part X, col (8) line 25) p. I 3,022,266

2. Fin 48 (ASC 740) Footnote In Part XIII, provide the text of the footnote to the organization's financial statements that reports theorganization's liability for uncertain tax positions under FIN 48 (ASC 740) Check here if the text of the footnote has been provided inPart XIII F



- Reconciliation of Revenue per Audited Financial Statements With Revenue per Return171174T

1 Total revenue, gains, and other support per audited financial statements . 1 208,211,179

2 Amounts included on line 1 but not on Form 990, Part VIII, line 12

a Net unrealized gains on investments . 2a 61,800

b Donated services and use of facilities . 2b

c Recoveries of prior year grants 2c

d Other (Describe in Part XIII ) 2d

e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . 2e 61,800

3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . 3 208,149,379

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 XIII ) . . . . . . . . . . 4b 487,578,268

c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . 4c 487,578,268

5 Total revenue Add lines 3 and 4c. (This must equal Form 990, Part I, line 12 ) . . . . .

-

5 695,727,647

of Ex penses per Audited Financial Statements With Ex penses per Return191M.Off

1 Total expenses and losses per audited financial statements 1 654,234,051

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 XIII ) . . . . . . . . . . . 2d

e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . 2e 0

3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . 3 654,234,051

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 XIII ) . . . . . . . . . . . 4b

c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . 4c 0

5 Total expenses Add lines 3 and 4c. (This must equal Form 990, Part I, line 18 ) . . . . . 5 654,234,051

OTIT."M Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9, Part III, lines la and 4, Part IV, lines lb and 2b,Part V, line 4, Part X, line 2, Part XI, lines 2d and 4b, and Part XII, lines 2d and 4b Also complete this part to provide any additionalinformation


DESCRIPTION OF UNCERTAIN PART X, LINE 2 AS OF JUNE 30, 2013, THE HOSPITAL HAD NOTTAX POSITIONS UNDER FIN 48 IDENTIFIED ANY UNCERTAIN TAX POSITIONS UNDER ASC

TOPIC 740, INCOME TAXES, REQUIRING ADJUSTMENTSTO ITS CONSOLIDATED FINANCIAL STATEMENTS IN THEEVENT THE HOSPITAL WERE TO RECOGNIZE INTERESTAND PENALTIES RELATED TO UNCERTAIN TAXPOSITIONS, IT WOULD BE RECOGNIZED IN THECONSOLIDATED FINANCIAL STATEMENTS AS INTERESTEXPENSE FOR INTEREST AND MISCELLANEOUS FORPENALTIES GENERALLY, TAX YEARS ENDING IN 2010THROUGH 2013 ARE OPEN TO EXAMINATION BY THEFEDERAL AND STATE TAXING AUTHORITIES,RESPECTIVELY THERE ARE NO INCOME TAXEXAMINATIONS CURRENTLY IN PROCESS

PART XI, LINE 4B - OTHER NET SUPPORT RECEIVED FROM ALSAC 488,001,943 LOSSADJUSTMENTS FROM DISPOSAL OF PROPERTY AND EQUIPMENT -

423,675



SCHEDULE F Statement of Activities Outside the United StatesOMB No 1545-0047

(Form 990)Complete if the organization answered "Yes" to Form 990,

Part IV, line 14b, 15, or 16.

0-201 2

Department of the Treasury n Attach to Form 990. ► See separate instructions. O pen to PublicInternal Revenue Service Inspection

Name of the organizationST JUDE CHILDREN'S RESEARCH HOSPITAL INC

Employer identification number

62-0646012

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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . fl Yes fl No

2 For grantmakers . Describe in Part V the organization's procedures for monitoring the use of grant funds outsidethe United States.

3 Activites per Region (The following Part I, line 3 table can be duplicated if additional space is needed )

(a) Region (b) Number of (c) Number of (d) Activities conducted in (e) If activity listed in (d) is a (f) Total expendituresoffices in the employees, region (by type) (e g , program service, describe for and investments

region agents, and fundraising, program specific type of in regionindependent services, investments, grants service(s) in regioncontractors in to recipients located in the

re g ion reg ion

CENTRAL AMERICA &THE 0 0 PROGRAM SERVICES EDUCATION AND 856,796CARIBBEAN RAINING

EAST ASIA AND THE 0 0 PROGRAM SERVICES EDUCATION AND 397,408PACIFIC RAINING

MIDDLE EAST AND NORTH 0 1 PROGRAM SERVICES EDUCATION AND 1,350,069AFRICA RAINING

NORTH AMERICA 0 0 PROGRAM SERVICES EDUCATION AND 221,855RAINING

SOUTH AMERICA 0 0 PROGRAM SERVICES EDUCATION AND 647,442RAINING

3a Sub-total 0 1 3,473,570

b Total from continuation sheets 0to Part I

00

c Totals ( add lines 3a and 3b ) 0 1 1 i 3 , 473 , 570

For Paperwork Reduction Act Notice, see the Instructions for Form 990 . Cat N o 50082W Schedule F (Form 990) 2012

Schedule F (Form 990) 2012 Page 2

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. Part II can be duplicated if additional space is needed.

1(a) Name oforganization

(b) IRS codesection

and EIN ( ifapplicable)

( c) Region (d) Purpose ofgrant

(e) Amount ofcash grant

(f) Manner ofcash

disbursement

(g) Amount ofof non-cashassistance

(h) Descriptionof non-cashassistance

(i) Method ofvaluation

(book, FMV,appraisal, other)

2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized astax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter . . . .

Enter total number of other organizations or entities .

Schedule F (Form 990) 2012


Grants and Other Assistance to Individuals Outside the United States . Complete if the organization answered "Yes" to Form 990, Part IV, line 16.Part III can be duplicated if additional space is needed.

(a) Type of grant orassistance

(b) Region ( c) Number ofrecipients

( d) Amount ofcash grant

(e) Manner of cashdisbursement

(f) Amount ofnon-cashassistance

( g) Descriptionof non-cashassistance

(h) Method ofvaluation

(book, FMV,a pp raisal , other )



Foreign Forms

1 Was the organization a U S transferor of property to a foreign corporation during the tax year? If " Yes,"theorganization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (seeInstructions for Form 926) F- Yes F N o

2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organlzatlonmay berequired to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain ForeignGifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions forForms 3520 and 3520-A) F- Yes F N o

3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," theorganization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain ForeignCorporations. (see Instructions for Form 5471) F- Yes F N o

4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualifiedelecting fund during the tax year? If "Yes,"the organization may be required to file Form 8621, Return by aShareholder of a Passive Foreign Investment Company or Qualified Electing Fund . (see Instructions for Form 8621) F- Yes F N o

5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," theorganization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships.(see Instructions for Form 8865) F- Yes F N o

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 Form5713). F- Yes F No

Schedule F ( Form 990) 2012


Supplemental InformationComplete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3,column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1(accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients),


l efile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: 93493133037334

SCHEDULE H HospitalsOMB No 1545-0047

(Form 990)201 21- Complete if the organization answered "Yes" to Form 990, Part IV , question 20.

Department of the Treasury 1- Attach to Form 990. 1- See separate instructions. OpenInternal Revenue Service

I Inspection


62-0646012

Financial Assistance and Certain Other Community Benefits at CostYes No

la Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a la Yes

b If "Yes," was it a written policy? . . . . . . . . . . . . . . . . . . . . . . lb Yes

2 If the organization had multiple hospital facilities , indicate which of the following best describes application of thefinancial assistance policy to its various hospital facilities during the tax year

F Applied uniformly to all hospital facilities F Applied uniformly to most hospital facilities

F Generally tailored to individual hospital facilities

3 Answer the following based on the financial assistance eligibility criteria that applied to the largest number of theorganization ' s patients during the tax year

a Did the organization use Federal Poverty Guidelines ( FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care 3a No

F 100% F 150% F 200% F Other %

b Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes ," indicate

which of the following was the family income limit for eligibility for discounted care 3b No

F 200% F 250% F 300% F 350% F 400% F Other %

c If the organization used factors other than FPG in determining eligibility, describe in Part VI the income basedcriteria for determining eligibility for free or discounted care Include in the description whether the organizationused an asset test or other threshold , regardless of income, as a factor in determining eligibility for free ordiscounted care

4 Did the organization ' s financial assistance policy that applied to the largest number of its patients during the tax yea rprovide for free or discounted care to the " medically indigent"? 4 Yes

5a Did the organization budget amounts for free or discounted care provided under its financial assistance policy duringthe tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5a Yes

b If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? 5b Yes

c If "Yes" to line 5b, as a result of budget considerations , was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? 5c No

6a Did the organization prepare a community benefit report during the tax year? 6a No

b If "Yes," did 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 theseworksheets with the Schedule H

7 Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and (a) Number ofOb Persons (c) Total community Od Direct offsetting (e) Net community benefit (f) Percent of

Means-Testedactivities or served benefit expense revenue expense total expense

Government Programsprograms( optional)

(optional)

a Financial Assistance at cost(from Worksheet 1) . 44,957,440 300,370 44,657,070 6 830 %

b Medicaid (from Worksheet 3,column a ) . . . 104,812,800 27,552,128 77,260,672 11 810 %

c Costs of other means- testedgovernment programs (fromWorksheet 3, column b)

d Total Financial Assistanceand Means-TestedGovernment Programs 149,770,240 27,852,498 121,917,742 18 640 %

Other Benefitse Community health

improvement services andcommunity benefit operations(from Worksheet 4) . 12,364,356 12,364,356 1 890 %

f Health professions education(from Worksheet 5) . 8,168,783 247,106 7,921,677 1 210 %

g Subsidized health services(from Worksheet 6) . 15,177,257 15,177,257 2 320 %

h Research ( from Worksheet 7) 283,401,322 3,291,661 280,109,661 42 810 %

i Cash and in-kindcontributions for communitybenefit ( from Worksheet 8) 592,592 592,592 0 090 %

J Total . Other Benefits . 319,704,310 3,538,767 316,165,543 48 320 0/6

k Total . Add lines 7d and 7j 469,474,550 31,391,265 438,083 ,285 66 960 0/6

For Paperwork Reduction Act Notice, see the Instructions for Form 990 . Cat N o 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012 Page

Community Building Activities Complete this table if the organization conducted any community buildingactivities during the tax year, and describe in Part VI how its community building activities promoted the healthof the communities it serves-

(a) Number ofactivities orprograms(optional)

(b) Personsserved (optional)

(c) Total communitybuilding expense

(d) Direct offsettingrevenue

(e) Net communitybuilding expense

(f) Percent oftotal expense

1 Ph y sical im p rovements and housin g

2 Economic development 102,733 102,733 0 010 %

3 Community su pp ort

4 Environmental improvements

5 Leadership development and trainingfor community members

6 Coalition building 57,858 57,858 0 010 %

7 Community health improvementadvocacy

8 Workforce development 57,395 57,395 0 010 %

9 Other

10 Total 217,986 217,986 0 030 %

Ill: Bad Debt , Medicare , & Collection PracticesSection A. Bad Debt Expense Yes No

1 Did the organization report bad debt expense in accordance with Heathcare Financial Management AssociationStatement No 15? . . . . . . . . . . . . . . . . . . . . 1 No

2 Enter the amount of the organization's bad debt expense Explain in Part VI themethodology used by the organization to estimate this amount 2 492,000

3 Enter the estimated amount of the organization's bad debt expense attributable topatients eligible under the organization's financial assistance policy Explain in Part VIthe methodology used by the organization to estimate this amount and the rationale, ifany, for including this portion of bad debt as community benefit 3

4 Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expenseor the page number on which this footnote is contained in the attached financial statements

Section B. Medicare

5 Entertotal revenue received from Medicare (including DSH and IME) . . . . . 1 5

6 Enter Medicare allowable costs of care relating to payments on line 5 . 6 1,413,392

7 Subtract line 6 from line 5 This is the surplus (or shortfall) . 7 -1,413,392

8 Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefitAlso describe in Part VI the costing methodology or source used to determine the amount reported on line 6Check the box that describes the method used

r- Cost accounting system F Cost to charge ratio F Other

Section C. Collection Practices

9a Did the organization have a written debt collection policy during the tax year? .

b If "Yes," did the organization 's collection policy that applied to the largest number of its patients during the tax yearcontain provisions on the collection practices to be followed for patients who are known to qualify for financialassistance? Describe in Part VI 9b Yes. . . . . . . . . . . . . . . . . . . . . . .

MITUT Mananernent Comnanies and Joint VenturesrnvunPri ,n° nr mnra hvnfrarc rLrartnrc triictaac kavamnlnvaac and nhvananc-s inctrnrtinncl

(a) Name of entity (b) Description of primaryactivity of entity

(c) Organization'sprofit % or stockownership %

(d) Officers, directors,trustees, or key

employees' profit %or stock ownership

(e) Physicians'profit % or stockownership

1

2

3

4

5

6

7

8

9

10

11

12

13

Schedule H (Form 990) 2012


Facility Information

Section A . Hospital Facilities 5 s CD

(PCD {3

=2-, N

(list in order of size from largest to0 T

0 Cp

smallest-see instructions ) CL o 0How many hospital facilities did the 5 (P -0 (organization operate during the tax year? P_ o

1

e3 ^

Name , address, and primary website addressn

- Other (Describe) Facility reporting group

1 ST DUDE CHILDREN'S RESEARCHHOSPITAL262 DANNY THOMAS PLACE X X XMEMPHIS,TN 381053678WWW STJUDE ORG



Facility Information (continued)Section B. Facility Policies and Practices(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

ST JUDE CHILDREN'S RESEARCH HOSPITAL

Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

No

i Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a communityhealth needs assessment (CHNA)? If "No," skip to line 9 . . . . . . . . . . . . . . . . . . . 1 Yes

If"Yes," indicate what the CHNA report describes (check all that apply)

a 7 A definition of the community served by the hospital facility

b I Demographics of the community

c 7 Existing health care facilities and resources within the community that are available to respond to the health needs ofthe community

d I How data was obtained

e I The health needs of the community

f 7 Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minoritygroups

9 F The process for identifying and prioritizing community health needs and services to meet the community health needs

h F The process for consulting with persons representing the community's interests

i F Information gaps that limit the hospital facility's ability to assess the community's health needs

j F Other (describe in Part VI)

2 Indicate the tax year the hospital facility last conducted a CHNA 20 12

3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the communityserved by the hospital facility, including those with special knowledge of or expertise in public health? If"Yes," describe inPart VI how the hospital facility took into account input from persons who represent the community , and identify thepersons the hospital facility consulted . . . . . . . . . . . . . . . . . . . . 3 Yes

4 Was the hospital facility's CHNA conducted with one or more other hospital facilities? If"Yes," list the other hospitalfacilities in Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 No

5 Did the hospital facility make its CHNA report widely available to the public? . . . . . . . . . . . . . 5 Yes

If"Yes," indicate how the CHNA report was made widely available ( check all that apply)

a F Hospital facility's website

b 1 Available upon request from the hospital facility

c I Other( describe in Part VI)

6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that applyto date)

a F Adoption of an implementation strategy that addresses each of the community health needs identified through theCHNA

b 7 Execution of the implementation strategy

c F Participation in the development of a community- wide plan

d F Participation in the execution of a community- wide plan

e F Inclusion of a community benefit section in operational plans

f 7 Adoption of a budget for provision of services that address the needs identified in the CHNA

g I Prioritization of health needs in its community

h F Prioritization of services that the hospital facility will undertake to meet health needs in its community

i I Other ( describe in Part VI)

7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If"No," explain in Part VIwhich needs it has not addressed and the reasons why it has not addressed such needs . . . . . . . . 7 No

8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA asrequired by section 501( r)(3)? . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a No

b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? . . . . . . 8b

c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its

hospital facilities? $



Facility Information (continued)

Financial Assistance Policy Yes No

9 Did the hospital facility have in place during the tax year a written financial assistance policy that

Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes

10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care? . . . . . . . . . . . 10 No

If "Yes," indicate the FPG family income limit for eligibility for free careIf "No," explain in Part VI the criteria the hospital facility used

11 Used FPG to determine eligibility for providing discounted care? . . . . . . . . . . . . . . . . . 11 No

If"Yes," indicate the FPG family income limit for eligibility for discounted careIf "No," explain in Part VI the criteria the hospital facility used

12 Explained the basis for calculating amounts charged to patients? . . . . . . . . . . . . . . . . . 12 No

If"Yes," indicate the factors used in determining such amounts (check all that apply)

a F Income level

b F Asset level

c F Medical indigency

d F Insurance status

e F Uninsured discount

f F Medicaid/Medicare

g F State regulation

h F Other (describe in Part VI)

13 Explained the method for applying for financial assistance? . . . . . . . . . . . . . . . . . . . 13 Yes

14 Included measures to publicize the policy within the community served by the hospital facility? . . . . . . . 14 Yes

If"Yes," indicate how the hospital facility publicized the policy (check all that apply)

a I The policy was posted on the hospital facility's website

b 1 The policy was attached to billing invoices

c 1 The policy was posted in the hospital facility's emergency rooms or waiting rooms

d I The policy was posted in the hospital facility's admissions offices

e I The policy was provided, in writing, to patients on admission to the hospital facility

f F The policy was available upon request

g 1 Other (describe in Part VI)

Billing and Collections

15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financialassistance policy (FAP) that explained actions the hospital facility may take upon non-payment? . . . . . . . 15 Yes

16 Check all of the following actions against an individual that were permitted under the hospital facility's policies duringthe tax year before making reasonable efforts to determine the patient's eligibility under the facility's FA P

a F Reporting to credit agency

b F Lawsuits

c F Liens on residences

d F Body attachments

e F Other similar actions (describe in Part VI)

17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year beforemaking reasonable efforts to determine the patient's eligibility under the facility's FAP? . . . . . . . . . . 17 No

If"Yes," check all actions in which the hospital facility or a third party engaged

a F Reporting to credit agency

b F Lawsuits

c F Liens on residences

d F Body attachments

e FO ther similar actions (describe in Part VI)



Facility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply)

a F Notified individuals of the financial assistance policy on admission

b F Notified individuals of the financial assistance policy prior to discharge

c F Notified individuals of the financial assistance policy in communications with the patients regarding the patients' bills

d F- Documented its determination of whether patients were eligible for financial assistance under the hospital facility'sfinancial assistance policy

e 1 Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes No

19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requiresthe hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless oftheir eligibility under the hospital facility's financial assistance policy? . . . . . . . . . . 19 Yes

If"No," indicate why

a 1 The hospital facility did not provide care for any emergency medical conditions

b 1 The hospital facility's policy was not in writing

c 1 The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

d 1 Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP -Eligible Individuals)

20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FA P-eligible individuals for emergency or other medically necessary care

a F- The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts thatcan be charged

b F- The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating themaximum amounts that can be charged

c 1 The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

d I Other (describe in Part VI)

21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility providedemergency or other medically necessary services, more than the amounts generally billed to individuals who had insurancecovering such care? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 No

If"Yes," explain in Part VI

22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for anyservice provided to that individual? . . . . . . . . . . . . . . . . . . . . . . . . . 22 No

If"Yes," explain in Part VI



MWITZ-Facility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed , Registered, or Similarly Recognized as aHospital Facility(list in order of size, from largest to smallest)

How many non-hospital health care facilities did the organization operate during the tax year?

Name and address Typ e of Facility ( describe )

1

2

3

4

5

6

7

8

9

10



Supplemental Information

Complete this part to provide the following information

1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7, Part II, Part III, lines 4, 8, and 9b, Part V,Section A, and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22

2 Needs assessment . Describe how the organization assesses the health care needs of the communities it serves, in addition to anyneeds 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 maybe billed for patient care about their eligibility for assistance under federal, state, or local government programs or under theorganization's financial assistance policy

4 Community information . Describe the community the organization serves, taking into account the geographic area and demographicconstituents it serves

5 Promotion of community health . Provide any other information important to describing how the organization's hospital facilities orother health care facilities further its exempt purpose by promoting the health of the community (e g , open medical staff, communityboard, 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 theorganization 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, filesa community benefit report

8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required forPart V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22

Identifier ReturnReference Explanation

PART I, LINE 3C NO FAMILY EVER PAYS ST JUDE FORREATMENT A BILLING SYSTEM IS MAINTAINED FOR

EACH PATIENT SO THAT THE HOSPITAL CAN RECOVERINSURANCE IF IT IS AVAILABLE, BUT ST JUDE COVERSA LL COSTS NOT REIMBURSED BY INSURANCE, INCLUDINGCO-PAYS AND DEDUCTIBLES WE COVER TOTAL COSTSFOR THOSE WITHOUT INSURANCE IN ADDITION, STJUDE PROVIDES AN UNPARALLELED LEVEL OF SUPPORTSERVICES AT NO COST TO FAMILIES THIS INCLUDESLODGING AND TRANSPORTATION FOR FAMILIESRAVELING TO ST JUDE FOR CARE WE ALSO PROVIDE

GENEROUS MEAL ALLOWANCES FOR FAMILIES THANKSLARGELY TO DONATIONS FROM THE PUBLIC, WE ARE ABLEO PROVIDE THESE SERVICES TO ALL PATIENTS,REGARDLESS OF INCOME, SO WE DO NOT NEED TODETERMINE ELIGIBILITY FOR THIS ASSISTANCE BYDEFAULT, ALL PATIENTS ARE ELIGIBLE TO RECEIVEMEDICAL CARE AND SUPPORT SERVICES AT NO COST TOENSURE FAMILIES ARE TAPPING ALL RESOURCES FORWHICH THEY ARE ELIGIBLE, WE DO HAVE PROGRAMS TOASSIST FAMILIES IN ENROLLING IN VARIOUS PUBLICA SSISTANCE PROGRAMS FOR WHICH THEY MAY QUALIFY,INCLUDING BUT NOT LIMITED TO TENNCARE/MEDICAID,COVER TN, COVER KIDS, CHIPS AND SOCIAL SECURITYDOING SO ENSURES AN APPROPRIATE SAFETY NETSHOULD THE FAMILY SEEK TREATMENT OUTSIDE OF STDUDE AND IT ALLOWS US TO BE GOOD STEWARDS OFDONOR DOLLARS

PART I, LINE 7 COST-TO-CHARGE RATIO DERIVED FROMWORKSHEET 2, RATIO OF PATIENT CARE COST TOCHARGES COST-TO-CHARGE RATIO USED FOR LINE 7AFINANCIAL ASSISTANCE AT COST AND LINE 7BMEDICAID PART I, LINE 7C CHIPS IS INCLUDED INMEDICAID IN PART I, LINE 7B BECAUSE IN MANY STATESHE CHIPS PROGRAMS ARE MANAGED BY THE SAMEHIRD PARTY ADMINISTRATORS AND IT IS DIFFICULT TO

DISTINGUISH BETWEEN CHIPS AND MEDICAIDCOVERAGE


PART I, LINE 7G ST JUDE CHILDREN'S RESEARCHHOSPITAL INCLUDED AS SUBSIDIZED HEALTH SERVICESSUPPORT FOR SIX AFFILIATE CLINICS TOTALINGA PPROXIMATELY 6 MILLION

PART II THE ST JUDE CHILDREN'S RESEARCH HOSPITALCEO IS A MEMBER OF MEMPHIS TOMORROW MEMPHISTOMORROW IS AN ASSOCIATION OF CHIEF EXECUTIVEOFFICERS OF MEMPHIS' LARGEST ENTERPRISES THEPURPOSE IS TO BRING TOP BUSINESS LEADERSOGETHER WITH GOVERNMENT AND CIVIC LEADERS TO

FOSTER ECONOMIC PROSPERITY FOR ALL WHO LIVE INOUR COMMUNITY ST JUDE ALSO PARTICIPATES WITHMEMPHIS FAST FORWARD WHOSE STRATEGIES AREBASED ON THE COMMON SENSE PREMISE THATECONOMIC GROWTH AND PROSPERITY,AND IMPROVEDQUALITY OF LIFE, WILL FOLLOW ONCE MEMPHIS ANDSHELBY COUNTY SUCCESSFULLY ADDRESS THE BASICSGOOD JOBS, QUALITY EDUCATION, SAFE STREETS ANDEFFICIENT GOVERNMENT ST JUDE IS A MEMBER OFTHEHE MIDSOUTH EHEALTH ALLIANCE (MSEHA),A NON-

PROFIT INITIATIVE TO IMPROVE THE QUALITY, SAFETY,ND EFFICIENCY OF HEALTH CARE IN THE MID-SOUTH

REGION BY PROVIDING FOR THE ELECTRONICEXCHANGE OF HEALTH INFORMATION, HEALTHCAREPROVIDERS CAN SECURELY ACCESS PATIENTS' VITALHEALTH INFORMATION WHEN AND WHERE IT IS NEEDEDHE MSEHA CURRENTLY EXCHANGES DATA AMONG 16

HOSPITALS AND 16 AMBULATORY CLINICS IN THEREGION THE MSEHA IS CURRENTLY SHARING MEDICALINFORMATION BETWEEN HOSPITAL EMERGENCYDEPARTMENTS AND AMBULATORY CLINICS TO PROVIDEBETTER TREATMENT AND DIAGNOSTIC SERVICES FORPATIENTS HEALTH CARE PROVIDERS CAN MAKE BETTERCHOICES ABOUT A PATIENT'S CARE AND TREATMENTWHEN THEY HAVE AS MUCH INFORMATION AS POSSIBLEBOUT THAT PATIENT'S HEALTH FROM LAB TESTS,

MEDICAL HISTORY, MEDICINES, AND OTHER REPORTSHE ALLIANCE PERMITS PROVIDERS TO REVIEW MEDICAL

INFORMATION IN A SYSTEM THAT IS FASTER THANCONTACTING A PATIENT'S OTHER PROVIDERS ONE BYONE THE ALLIANCE SHARES INFORMATION ABOUT APATIENT'S MEDICAL CONDITION WITH HEALTH CAREPROVIDERS INVOLVED IN THAT PATIENT'S CARE FORCOORDINATION OF CARE THE ST JUDE CHIEFINFORMATION OFFICER IS CHAIRMAN OFTHE BOARD OFHE MEMPHIS COALITION FOR ADVANCED NETWORKING(MCAN)AND SERVES ON THE BOARD OFTHE MEMPHISRESEARCH CONSORTIUM MCAN SERVES TO ADVANCEEDUCATION, RESEARCH, PUBLIC SERVICE, ANDECONOMIC DEVELOPMENT INITIATIVES MCANESTABLISHES VERY HIGH SPEED OPTICAL BROADBANDCOMMUNICATION CONNECTIONS WITH OTHERREGIONAL INITIATIVES IN TENNESSEE TO FORM ASTATEWIDE HIGH SPEED RESEARCH BACKBONEFURTHER, MCAN CONNECTS THE MEMPHIS REGION WITHNATIONAL AND INTERNATIONAL RESEARCH ANDSCIENTIFIC NETWORKS, ENABLING MEMPHIS ANDENNESSEE A SIGNIFICANT COMPETITIVE ADVANTAGE

IN RESEARCH-DRIVEN ECONOMIC DEVELOPMENT THEMEMPHIS RESEARCH CONSORTIUM FUNDSCOLLABORATIVE RESEARCH CONDUCTED BY ITSMEMBERS INCLUDING ST JUDE,THE UNIVERSITY OFENNESSEE HEALTH SCIENCES CENTER AND THE

UNIVERSITY OF MEMPHIS THE ST JUDECOMPREHENSIVE CANCER CENTER DIRECTOR SERVES ONHE BOARD OF THE MEMPHIS BIOWORKS FOUNDATIONHE MEMPHIS BIOWORKS FOUNDATION IS EXECUTING A

STRATEGIC BUSINESS PLAN THAT LEVERAGES THECOMPETITIVE STRENGTHS WITHIN THE REGION WHILEEXPANDING THE INFRASTRUCTURE, EDUCATIONALOPPORTUNITIES, AND ENTREPRENEUR SUPPORT NEEDEDO EXPAND BIOSCIENCE INDUSTRIES ST JUDE IS AMEMBER OF THE ASPIRING FOR PURCHASINGEXCELLENCE (APEX) ASSOCIATION OF MEMPHIS APEX ISN ASSOCIATION OF PURCHASING AND PROCUREMENT

PROFESSIONALS FROM MEMPHIS ORGANIZATIONSWHOSE PURPOSE IS TO PROMOTE BEST PRACTICES INSUPPLIER DIVERSITY ADDITIONALLY, ST JUDE ISSILVER SPONSOR FORTHE MID-SOUTH MINORITYBUSINESS COUNCIL (MMBC) ECONOMIC DEVELOPMENTFAIR THE MMBC SERVES AS THE MID-SOUTH'SFOREMOST MINORITY BUSINESS DEVELOPMENTORGANIZATION THE MMBC HELPS TO DEVELOP ASTRONG MINORITY AND WOMEN BUSINESS COMMUNITYIN AN EFFORT TO IMPACT ECONOMICALLY THE ENTIREMID-SOUTH REGION THE ST JUDE OFFICE OFGOVERNMENT AFFAIRS DIRECTOR CO-CHAIRED THEENNESSEE CANCER COALITION (TCC) WHICH EXISTS TO

IDENTIFY AREAS OF GREATEST CANCER BURDEN ON THECITIZENS OF TENNESSEE HE CURRENTLY CHAIRS THEDVOCACY COMMITTEE THE ST JUDE COMPREHENSIVE

CANCER CENTER DIRECTOR HAS MET WITH STATELEADERS TO DISCUSS PUBLIC POLICY INITIATIVESDESIGNED TO PROMOTE CANCER CONTROL ANDPREVENTION IN TENNESSEE THE ST JUDE OFFICE OFGOVERNMENT AFFAIRS DIRECTOR SERVES ON THEBOARD OF DIRECTORS OFTHE RIVERFRONTDEVELOPMENT CORPORATION (RDC) IN ADDITION TOMANAGING ALL THE PARKS ON THE MEMPHISRIVERFRONT WHICH FOSTER HEALTHY LIFE STYLES,THERDC IS BUILDING A PLAYGROUND DESIGNEDSPECIFICALLY FOR CHILDREN AT BEALE ST LANDINGHIS WILL BE THE ONLY CHILD-DESIGNATEDPLAYGROUND ON THE MEMPHIS RIVERFRONT AND WILLFOSTER EXERCISE FOR CHILDREN LIVINGDOWNTOWN THE ST JUDE CHIEF NURSE OFFICER SERVESON THE BOARD OF THE NURSING INSTITUTE OFTHE MID-SOUTH,A NOT-FOR- PROFIT COLLABORATIVECOMPRISED OF LOCAL HOSPITALS AND SCHOOLS OFNURSING CHALLENGED WITH PROVIDINGCOMPREHENSIVE HEALTH EDUCATION AND SERVICES TOWIDELY DIVERSE, POVERTY-RIDDEN COMMUNITY AND

WITH ADDRESSING THE HEALTH DISPARITIES FOUNDMONG THESE RESIDENTS TENNESSEE HAS A

SIGNIFICANT PROJECTED NURSING WORKFORCESHORTAGE, RANKING FIFTH WORST IN 2010 THEPEDIATRIC ONCOLOGY PROGRAM BRINGS FIFTY TOSIXTY STUDENTS EACH SUMMER FOR INTERNSHIPS INBASIC SCIENCE OR CLINICAL RESEARCH ADDITIONALLY,EXPERIENTIAL LEARNING INTERNSHIPS ARESTRUCTURED IN MANY AREAS FROM SCIENCE TOCCOUNTING THESE PROGRAMS SUPPORT INCREASINGHE AWARENESS OF CAREERS IN RESEARCH SCIENCE OR

HEALTHCARE AND CONTRIBUTE TO PREPARINGSTUDENTS TO ENTER THESE CAREERS THE CLINICALEDUCATION AND TRAINING OFFICE HOSTS THIRTY TOFORTY STUDENTS AS PATIENT CARE OBSERVERS THESESTUDENTS ARE AT DIFFERENT STAGES OF TRAININGFROM HIGH SCHOOLTO COLLEGE OR PROFESSIONALHEALTHCARE SCHOOLS, INCLUDING MEDICAL SCHOOLSHE OBSERVERS ARE DECIDING ON OR CONFIRMING

CAREER HEALTHCARE DECISIONS THE VOLUNTEERSERVICES DEPARTMENT PROVIDES SUMMER PROGRAMSFOR HIGH SCHOOL AND COLLEGE STUDENTS THAT DRIVEENTRY INTO HEALTH CAREERS ST JUDE EMPLOYEES AREINVOLVED WITH THE INSTITUTE OF ELECTRICAL ANDELECTRONICS ENGINEERS (IEEE) PROMOTINGCONTINUING EDUCATION FOR ENGINEERINGPROFESSIONALS WITH THE ADDITIONAL GOALS OFINCREASING THE QUALITY OF STEM EDUCATION ANDHE NUMBER OF STUDENTS WHO CHOOSE SCIENCE AND

HEALTH CAREERS THE ST JUDE INTERNATIONALOUTREACH DIRECTOR FOR EDUCATION ANDINFORMATICS SERVES AS THE CHAIR OF BOTH THE IEEEMEMPHIS SECTION AND THE IEEE MEMPHIS COMPUTERSOCIETY ST JUDE IS ONE OF THE SPONSORS OF THEIEEE MEMPHIS STUDENT PROFESSIONAL DEVELOPMENTCONFERENCE THAT BRINGS TOGETHER STUDENTS FROMMID-SOUTH UNIVERSITIES AND LOCAL EMPLOYERS FORALKS ON CAREER DEVELOPMENT AND OPPORTUNITIESHE IEEE COMPUTER SOCIETY IS WORKING WITH THE

UNIVERSITY OF MEMPHIS TO PROMOTE COMPUTERSCIENCE EDUCATION WEEK THAT WILL INTRODUCECOMPUTER PROGRAMMING, SOMETHING THAT IS NOTCURRENTLY AVAILABLE IN MOST K-12 SCHOOLS, TOLOCAL STUDENTS AND TEACHERS


PART III, LINE 2 BAD DEBT EXPENSE IS EQUAL TO CHARGES ONA CCOUNTS DETERMINED TO BE UNCOLLECTIBLE SEENARRATIVE FOR PART 1, LINE 3C REGARDING THEORGANIZATION'S FINANCIAL ASSISTANCE POLICY PARTIII, LINE 4BAD DEBT EXPENSE EXPLANATION INFINANCIAL STATEMENTS FOOTNOTES IS ASFOLLOWS NET PATIENT SERVICE REVENUES ANDRECEIVABLES --- NO FAMILY EVER PAYS THE HOSPITALFOR THE CARE THEIR CHILD RECEIVES ACCORDINGLY,NET PATIENT SERVICE REVENUE CONSISTS ONLY OFESTIMATED NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS FOR SERVICES RENDERED, INCLUDINGESTIMATED RETROACTIVE REVENUE ADJUSTMENTS (IFNECESSARY) DUE TO FUTURE AUDITS, REVIEWS, ANDINVESTIGATIONS RETROACTIVE ADJUSTMENTS ARECONSIDERED IN THE RECOGNITION OF REVENUE ON ANESTIMATED BASIS IN THE PERIOD THE RELATEDSERVICES ARE RENDERED, AND SUCH AMOUNTS AREADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS

BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECTO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS

PATIENT SERVICE REVENUE HAS BEEN REDUCED BYADJUSTMENTS FOR UNCOLLECTIBLE ACCOUNTS

TOTALING APPROXIMATELY $492,000 AND $558,000 IN2013 AND 2012 RESPECTIVELY "ST JUDE CHILDREN'SRESEARCH HOSPITAL DOES NOT CONSIDER BAD DEBTEXPENSE A COMMUNITY BENEFIT

PART III, LINE 8 ST JUDE CHILDREN'S RESEARCHHOSPITAL DOES NOT CONSIDER THE MEDICARESHORTFALL A COMMUNITY BENEFIT THE SAME COSTMETHODOLOGY WAS USED FOR FINANCIAL ASSISTANCE,MEANS-TESTED GOVERNMENT PROGRAMS, ANDMEDICARE-THE COST TO CHARGE RATIO DERIVED FROMWORKSHEET 2


PART III, LINE 9B COLLECTION POLICIES ARE THE SAMEFOR ALL PATIENTS ANY LEGAL OBLIGATION OF PAYMENTFOR A PATIENT'S COSTS THAT ARE NOT COVERED BYINSURANCE IS COVERED BY THE GENEROUS ASSISTANCEOF ST DUDE DONORS WITH THE RESULTS THAT ST JUDEDOES NOT ASK ANY PATIENT TO PAY

ST JUDE CHILDREN'S RESEARCH PART V, SECTION B, LINE 3 THE COMMUNITY HEALTHHOSPITAL NEEDS ASSESSMENT WAS CONDUCTED BY TRIPP UMBACH

UNDER THE DIRECTION OF LEADERSHIP FROM ST JUDECHILDREN'S RESEARCH HOSPITAL INTERVIEWS WITH KEYSTAKEHOLDERS TRIPP UMBACH WORKED CLOSELY WITHHOSPITAL LEADERSHIP TO IDENTIFY LEADERS FROMORGANIZATIONS WITH SPECIAL KNOWLEDGE AND/OREXPERTISE IN PUBLIC HEALTH AND IN SPECIALTY AREASWHERE ST JUDE PROVIDES SERVICES SUCH PERSONSWERE INTERVIEWED AS PART OFTHE NEEDS ASSESSMENTPLANNING PROCESS REPRESENTATIVES FROM THEFOLLOWING ORGANIZATIONS PROVIDED DETAILEDINPUT DURING THE COMMUNITY HEALTH NEEDSSSESSMENT PROCESS -THE ST JUDE AFFILIATE CLINICT HUNTSVILLE, AL HOSPITAL FOR WOMEN AND

CHILDREN -DEPARTMENT OF PEDIATRICS FOR THEUNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER -RYAN WHITE PROGRAM -UNIVERSITY OF TENNESSEEHEALTH SCIENCE CENTER COLLEGE OF MEDICINE -METHODIST AFFILIATED SERVICES' HOME CARE,HOSPICE AND PALLIATIVE SERVICES-AMERICANSOCIETY FOR CLINICAL PHARMACOLOGY ANDTHERAPEUTICS -DEPARTMENTS OF BIOPHARMACEUTICALSCIENCES AND PHARMACEUTICAL CHEMISTRY, UCSF -ANDERBILT UNIVERSITY SCHOOL OF MEDICINE -

DEPARTMENT OF MEDICINE, SECTION OFHEMATOLOGY/ONCOLOGY, CANCER RESEARCH CENTER,UNIVERSITY OF CHICAGO -COMPREHENSIVE SICKLE CELLCENTER/BENIGN HEMATOLOGY, METHODIST UNIVERSITYHOSPITAL-METHODIST UNIVERSITY YOUNG ADULTRANSITION UNIT -UNIVERSITY OF MICHIGAN

SPECIALTY PEDIATRIC HEMATOLOGY/ONCOLOGY -ENNESSEE CANCER COALITION -THE ST JUDEFFILIATE CLINIC IN JOHNSON CITY,TN -BRISTOL

MEYERS MEDICAL MONITOR -THE HENRY J KAISERFAMILY FOUNDATION -THE WEST CLINIC, MEMPHIS,TN -CHILDREN'S HOSPITAL OF ILLINOIS -LE BONHEURCHILDREN'S MEDICAL CENTER-SARROUF LAW, LLP -STATEOF TENNESSEE DEPARTMENT OF HEALTH -ST JUDECHILDREN'S RESEARCH HOSPITAL FOCUS GROUPS WITHRELEVANT COMMITTEES TRIPP UMBACH WORKEDCLOSELY WITH THE HOSPITAL TO IDENTIFY GROUPSWITH KNOWLEDGE OF SPECIALIZED CHILDREN'S HEALTHISSUES WHO COULD BE REPRESENTED IN A FOCUSGROUP ST JUDE IDENTIFIED THE FAMILY ADVISORYCOUNCIL AND THE MEDICAL EXECUTIVE COMMITTEE ASGROUPS WITH EXPERIENCE AND UNDERSTANDING OFCHILDREN'S HEALTH NATIONALLY, REGIONALLY, ANDWITHIN ST JUDE TWO FOCUS GROUPS WERE CONDUCTEDWITH A TOTAL OF APPROXIMATELY 50 PARTICIPANTS


ST JUDE CHILDREN'S RESEARCH PART V, SECTION B, LINE 5C THE DIRECT WEBSITEHOSPITAL ADDRESS WHERE THE CHNA CAN BE ACCESSED--

WWW STJUDE ORG/CHNA

ST JUDE CHILDREN'S RESEARCH PART V, SECTION B, LINE 61 THE COMMUNITY HEALTHHOSPITAL NEEDS ASSESSMENT IMPLEMENTATION PLAN CAN BE

CCESSED AT THE WEBSITEWWWSTJUDE ORG/IMPLEMENTATIONPLAN


ST JUDE CHILDREN'S RESEARCH PART V, SECTION B, LINE 7 NATIONAL PEDIATRICHOSPITAL HEALTH NEEDS THAT WERE IDENTIFIED IN THE

SSESSMENT INCLUDE 1) IMPROVING ACCESS TOHEALTHCARE SERVICES 2) IMPROVING COORDINATIONOF CARE 3) IMPROVING CHILD HEALTH STATUSTHROUGH BEHAVIORAL MODIFICATION 4) IMPROVINGCCESS TO MENTAL HEALTH SERVICES IN ORDER TO

EFFECTIVELY ADDRESS THE NEEDS IDENTIFIED, ST JUDEIS FOCUSING ON THE FIRST THREE NEEDS LISTEDBOVE THERE WERE OTHER ISSUES THAT WERE

IDENTIFIED IN THE COMMUNITY HEALTH NEEDSSSESSMENT WHICH HAVE LESS IMMEDIATE IMPACT ONHE ST JUDE COMMUNITY, OR ARE OUTSIDE OF THE

MISSION AND PRIMARY EXPERTISE OF ST JUDE THESEISSUES MAY BE ADDRESSED IN A FUTURE PLAN IF THEOPPORTUNITY ARISES, OR MAY BE ADDRESSED BY OTHERCOMMUNITY PROVIDERS ONE OF THE FOUR NATIONALPEDIATRIC HEALTH NEEDS IDENTIFIED IN THE CHNA,BUT NOT ADDRESSED IN THIS IMPLEMENTATION PLAN, ISMENTAL HEALTH ALTHOUGH IMPROVING ACCESS TOMENTAL HEALTH EMERGED AS A NEED, IT IS OUTSIDE OFHE MISSION FOR ST JUDE THE MENTAL HEALTH

CHALLENGES FACING THE ST JUDE COMMUNITY ARESIMILAR TO THOSE FACING HOSPITALS ACROSS THECOUNTRY WHILE ST JUDE DOES NOT PLAN TO ADDRESSHIS NEED IN THE COMMUNITY, ITS PSYCHOLOGY AND

SOCIAL WORK DEPARTMENTS OFFER INTERVENTIONSND REFERRALS TO OUTSIDE RESOURCES AS

NECESSARY, AND ARE DEVELOPING OTHERS TO ADDRESSMENTAL HEALTH NEEDS OF THE ST, DUDE PATIENTPOPULATION

ST JUDE CHILDREN'S RESEARCH PART V, SECTION B, LINE 10 SEE NARRATIVE FOR PARTHOSPITAL 1, LINE 3C REGARDING THE ORGANIZATION'S FINANCIAL

SSISTANCE POLICY


ST JUDE CHILDREN'S RESEARCH PART V, SECTION B, LINE 11 SEE NARRATIVE FOR PARTHOSPITAL 1, LINE 3C REGARDING THE ORGANIZATION'S FINANCIAL

A SSISTANCE POLICY

ST JUDE CHILDREN'S RESEARCH PART V, SECTION B, LINE 16E SEE NARRATIVE FOR PARTHOSPITAL 1, LINE 3C REGARDING THE ORGANIZATION'S FINANCIAL

[A SSISTANCE POLICY


PART VI, LINE 2 HIVTHE ADOLESCENT MEDICINE TRIALSNETWORK (ATN)-SPONSORED NATIONAL PROJECT,CONNECT TO PROTECT (C2P), HAS BEEN A MAJORCONTRIBUTION TO THE STRONG COMMUNITY TIES THATHE ST JUDE ADOLESCENT TRIALS UNIT HAS

ESTABLISHED AND STRENGTHENED OVER THE PASTSEVEN YEARS THE C2P COALITION, THROUGH ITS WORKO DEVELOP SUSTAINABLE POLICIES, PROGRAMS AND

PRACTICES FOR THE SOLE PURPOSE OF REDUCING THENUMBER OF INFECTED INDIVIDUALS IN VULNERABLEPOPULATIONS, INCLUDES 26 LOCAL AGENCIESREPRESENTING A RICH AND DIVERSE MIX OFINDIVIDUALS FROM VARIOUS SECTORS IN THE MEMPHISCOMMUNITY THESE INCLUDE KEY STAKEHOLDERS FROMHE FAITH-BASED COMMUNITY, SCHOOLS, BUSINESS

SECTOR, CIVIC/COMMUNITY ORGANIZATIONS,HOSPITALS, YOUTH/YOUNG ADULTS AND HEALTH CAREORGANIZATIONS THESE STRATEGIC PARTNERSHIPSHAVE ALLOWED FOR SHARED RESPONSIBILITY IN THERANSFORMATION OF OUR COMMUNITIES THIS IS

ESPECIALLY IMPORTANT TO ENSURE OUR EFFORTS AREDEVELOPED IN A MANNER THAT GUARANTEESSUSTAINABILITY THE C2P TEAM USED FEDERAL, STATEA ND LOCAL RESOURCES TO IDENTIFY AT-RISK YOUTHA ND CREATE A PROFILE OF AVAILABLE COMMUNITYRESOURCES REPRESENTING SEVEN DIFFERENT SECTORS,HIS TEAM COMPARED DISEASE AND RISK RATES WITH

SERVICE AVAILABILITY, NEIGHBORHOOD STRENGTHS,A ND NEIGHBORHOOD NEEDS TO ZERO IN ONPREVENTION STRATEGIES MOST NEEDED TO PROTECTHE HEALTH OF OUR CITY'S YOUTH THE C2P MEMPHIS

COALITION HAS IDENTIFIED HIGH-RISK ZIP CODESWITHIN THE COMMUNITY AND AREAS OF HIGHPREVALENCE IN SURROUNDING RURAL AREAS THROUGHITS DEVELOPMENT OF AN EPIDEMIOLOGICAL PROFILE OFHIV RISK FACTORS THE IDENTIFIED ROOT CAUSES TOHIV ACQUISITION GATHERED THROUGH MIXED METHODSTOOLS-QUANTITATIVE AND QUALITATIVE-HELPED TOSHAPE A STRATEGIC PLAN AND IDENTIFYOPPORTUNITIES FOR IMPLEMENTATION OF STRUCTURALA ND SYSTEMATIC CHANGES THROUGHOUT THIS YEAR,HE COALITION HAS SUCCESSFULLY COMPLETED

THIRTEEN STRUCTURAL CHANGE OBJECTIVES AND MORET HAN 55 COMMUNITY ACTION STEPS TOWARD THESTRATEGIC PLAN ADDITIONALLY, THE COALITION HASCO-FACILITATED AND PARTICIPATED INAPPROXIMATELY 23 COMMUNITY BASED EDUCATIONA ND TESTING EVENTS WITH AN IMPACT OF WELL OVER4000 PEOPLE THIS CALENDAR YEAR OTHER COMMUNITYINITIATIVES INCLUDE THE STRATEGIC MULTISITEINITIATIVE FOR THE IDENTIFICATION, LINKAGE ANDENGAGEMENT IN CARE OF YOUTH WITH & UNDIAGNOSEDHIV INFECTION (SMILE), HISPANIC OUTREACH, AND PRE-EXPOSURE PROPHYLAXIS (PREP) OUR SMILE OUTREACHSTAFF OFFERS INDIVIDUAL SUPPORT SERVICES TOENSURE LINKAGE AND FULL ENGAGEMENT IN MEDICALCARE FOR HIV POSITIVE YOUTH AND YOUNG ADULTSA GES 13-24 TO DATE, WE HAVE INITIATED CONTACTWITH APPROXIMATELY 450 NEWLY INFECTED YOUTH ANDY OUNG ADULTS PARTICIPANTS IN THE SMILE PROJECTRECEIVE ASSISTANCE WITH LINKAGE AND ENGAGEMENTIN CARE, CASE MANAGEMENT, CRISIS INTERVENTION,A ND REFERRALS TO COMMUNITY SERVICES ANDRESOURCES OUR HISPANIC OUTREACH, FOCUSED ONIDENTIFYING UNDIAGNOSED ASYMPTOMATIC HIVINFECTION IN HISPANIC/LATINO ADOLESCENTS ANDY OUNG ADULTS BY USING SOCIAL AND SEXUALNETWORK-BASED HIV TESTING STRATEGIES FORREACHING THOSE MOST AT RISK USE OF THISAPPROACH INCLUDES IDENTIFICATION OF INDIVIDUALSWHO ARE HIV-INFECTED OR INDIVIDUALS WHO ARE ATINCREASED RISK FOR HIV INFECTION WHO ARE THENA SKED TO IDENTIFY AND REFER OTHERS IN THEIRSOCIAL AND SEXUAL NETWORKS WHO THEY THINK MAYBE AT RISK FOR HIV FOR COUNSELING, TESTINGREFERRAL SERVICES THROUGH COMMUNITY SUPPORTA ND BUY-IN FROM APPROXIMATELY 20 PARTNERA GENCIES, WE HAVE SUCCESSFULLY RECRUITED OVER335 PARTICIPANTS FOR THIS PROTOCOL OUR NEWESTINITIATIVE, PREP, EVALUATES PATTERNS OF USE OFPREP MEDICATIONS, RATES OF ADHERENCE ANDPATTERNS OF RISKY BEHAVIORS AMONGST HIVNEGATIVE INDIVIDUALS IN CERTAIN POPULATIONSTHROUGH SUCCESSFUL COLLABORATIONS WITHINCOMMUNITY SETTINGS, WE HAVE 11 PARTICIPANTSACTIVELY PARTICIPATING IN THE STUDY 1 AMERICANCANCER SOCIETY CANCER FACTS & FIGURES 2013A TLANTA AMERICAN CANCER SOCIETY, 2013 2 FORHE PERIOD FROM OCTOBER 1, 2011 TO SEPTEMBER 30,

2012

PART VI, LINE 3 AS NOTED IN PART I, LINE 3C, NOFAMILY EVER PAYS ST JUDE FOR TREATMENT INADDITION, ST JUDE PROVIDES AN UNPARALLED LEVELOF SUPPORT SERVICES AT NO COST TO FAMILIES WEA LSO HAVE PROGRAMS TO ASSIST FAMILIES INENROLLING IN VARIOUS PUBLIC ASSISTANCE PROGRAMSFOR WHICH THEY MAY QUALIFY, INCLUDING BUT NOTLIMITED TO TENNCARE/MEDICAID, COVER TN, COVERKIDS, CHIPS AND SOCIAL SECURITY DOING SO ENSURESN APPROPRIATE SAFETY NET SHOULD THE FAMILY SEEKREATMENT OUTSIDE OF ST JUDE AND IT ALLOWS US TO

BE GOOD STEWARDS OF DONOR DOLLARS WE UTILIZE ANOUTSIDE CONTRACTOR TO PROVIDE APPLICATIONA SSISTANCE THE HOSPITAL'S FINANCIAL ASSISTANCEPOLICY IS POSTED ON WWW STJUDE ORG THE POLICY ISCOMMUNICATED IN ENGLISH AND SPANISH FORFAMILIES SPEAKING OTHER LANGUAGES, WE UTILIZEONSITE INTERPRETER SERVICES AND/OR PROFESSIONALCONTRACTED TRANSLATION SERVICES


PART VI, LINE 5 THE FUNDRAISING SOURCE FOR STJUDE IS ALSAC WHICH RAISES FUNDS SOLELY FOR THEHOSPITAL BECAUSE OFTHE HOSPITAL'S MISSION,PEOPLE NATIONWIDE CONTRIBUTE VIA TENS OFHOUSANDS OF FUNDRAISING EFFORTS ALSAC

CONTRIBUTED $488 MILLION IN FISCAL YEAR 2013 TOSUPPORT ST JUDE VOLUNTEERS ENHANCE THE QUALITYOF PATIENT CARE BY PARTNERING WITH CLINICAL STAFFO PROVIDE THAT ADDITIONAL PERSONAL TOUCHJOV OLUNTEERS ALSO HELP ENSURE A SAFE ENVIRONMENTHEY LEND ASSISTANCE AND PROVIDE COMPASSIONATECONCERN BY OFFERINGA LISTENING EAR TO FAMILIEST A TIME WHEN THEY NEED IT MOST THEY ARE VITALMBASSADORS BETWEEN THE HOSPITAL AND

COMMUNITY

efile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN: 93493133037334

Schedule I OMB No 1545-0047

(Form 990 ) Grants and Other Assistance to Organizations,2012Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.Department of the Treasury l Attach to Form 990Internal Revenue Service

Name of the organization Employer identification number

ST JUDE CHILDREN'S RESEARCH HOSPITAL INC62-0646012

jlj^l General Information on Grants and Assistance

1 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, andthe selection criteria used to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F Yes 1 No

2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the U nited States

Grants and Other Assistance to Governments and Organizations in the United States . Complete if the organization answered "Yes" toForm 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of ( b) EIN (c ) IRC Code section (d) Amount of cash ( e) Amount of non- (f ) Method of (g) Description of (h) Purpose of grantorganization if applicable grant cash valuation non - cash assistance or assistance

or government assistance (book, FMV,appraisal,other)

(1)OSFSAINT FRANCIS 37-0662569 501(C)(3) 490,909 OPERATION OFTHEMEDICAL CENTER ST JUDE CLINIC AT530 NE GLEN OAK AVE OSFPEORIA,IL 616370000

(2) CHURCH HEALTH 58-1716113 501(C)(3) 40,000 GENERAL SUPPORTCENTER1210 PEABODY AVENUEMEMPHIS,TN 381040000

(3) CHILD LIFE COUNCIL 52-1799846 501(C)(3) 5,000 SPONSOR ANNUALINC CHILD LIFE11821 PARKLAWN DRIVE DIRECTORSSUITE 310 CONFERENCEROCKVILLE,MD208522539

(4) MIDSOUTH-MINORITY 62-1198163 501(C)(6) 7,500 SPONSORBUSINESS COUNCIL ECONOMICPO BOX 1000 DEPT 860 DEVELOPMENTMEMPHIS,TN 381480860 FORUM

3 Enter total number of other organizations listed in the line 1 table. . . . . . . . . . . . . . . . . . . . . . . . . ► 1

For Paperwork Reduction Act Notice, see the Instructions for Form 990 . Cat No 50055P Schedule I (Form 990) 2012

2 Enter total number of section 501 (c)(3) and government organizations listed in the line 1 table. . 3

Schedule I (Form 990) 2012 Pa g e 2Grants and Other Assistance to Individuals in the United States . Complete if the organization answered "Yes" to Form 990, Part IV, line 22.Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance (b)N umber of (c)Amount of (d)Amount of (e)Method of valuation (f)Description of non-cash assistancerecipients cash grant non-cash assistance (book,

FMV, appraisal, other)


PROCEDURE FOR PART I, LINE 2 SCHEDULE I, PART I, LINE 2 ST JUDE CHILDREN'S RESEARCH HOSPITAL IS ACTIVELY INVOLVED WITH THEMONITORING GRANTS DONEE THROUGH THIS ACTIVE INVOLVEMENT,THE ORGANIZATIONS ARE MONITORED TO ENSURE THEIN THE U S SUPPORT IS USED APPROPRIATELY

Schedule I (Form 990) 2012

Complete this Dart to provide the information required in Part I. line 2. Part III. column (b). and any other additional information


Schedule J Compensation Information OMB No 1545-0047

(Form 990)For certain Officers, Directors, Trustees, Key Employees, and Highest

2012Compensated Employees1- Complete if the organization answered "Yes" to Form 990,

Department of the Treasury Part IV, question 23. PublicOpen to

Internal Revenue Service 1- Attach to Form 990. 1- See separate instructions. Inspection



62-0646012

Questions Regarding Compensation

la Check the appropiate box(es ) if the organization provided any of the following to or for a person listed in Form990, Part VII , Section A, line la Complete Part III to provide any relevant information regarding these items

1 First-class or charter travel 1 Housing allowance or residence for personal use

F Travel for companions 1 Payments for business use of personal residence

F Tax idemnification and gross - up payments 1 Health or social club dues or initiation fees

1 Discretionary spending account 1 Personal services (e g , maid, chauffeur, chef)

Yes I No

b If any of the boxes in line la are checked, did the organization follow a written policy regarding payment orreimbursement or provision of all of the expenses described above? If "No," complete Part III to explain lb 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 la? 2 Yes

3 Indicate which , if any, of the following the filing organization used to establish the compensation of theorganization 's CEO/Executive Director Check all that apply Do not check any boxes for methodsused by a related organization to establish compensation of the CEO /Executive Director, but explain in Part III

F Compensation committee F Written employment contract

F Independent compensation consultant F Compensation survey or study

1 Form 990 of other organizations F Approval by the board or compensation committee

4 During the year, did any person listed in Form 990, Part VII, Section A, line la with respect to the filing organizationor 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 la, did the organization pay or accrue anycompensation 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 la, did the organization pay or accrue anycompensation 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 la, did the organization provide any non-fixedpayments 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 wassubject to the initial contract exception described in Regulations section 53 4958-4(a)(3)? If "Yes," describein Part III 8 No

9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulationssection 53 4958-6(c)? 9

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 50053T Schedule 3 (Form 990) 2012

Schedule J (Form 990) 2012 Page 2

Officers , Directors, Trustees , Key Employees, and Highest Compensated Employees . Use duplicate copies if additional space is 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 theinstructions, on row (ii) Do not list any individuals that are not listed on Form 990, Part VIINote . The sum of columns (B)(1)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line la, applicable column (D) and (E) amounts for that individual

(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and (D) Nontaxable (E) Total of (F) Compensation

(i) Base (ii) Bonus & (iii) Other other deferred benefits columns reported as deferred

compensationincentive reportable compensation (B)(i)-(D) in prior Form 990

compensation compensation

See Additional Data Table

Schedule 3 (Form 990) 2012

Schedule J (Form 990) 2012 Page 3

Supplemental InformationComplete this part to provide the information, explanation, or descriptions required for Part I, lines la, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part IIAlso complete this part for any additional information


PART I, LINE 1A PART I, LINE 1A TRAVEL FOR COMPANIONS FAMILY MEMBER OF ONE OFFICER AND AN EMPLOYEE OFTHE HOSPITAL, TRAVELS ON HOSPITAL BUSINESS AS REQUIRED BY THE POSITION TRAVEL EXPENSESARE REIMBURSED UNDER AN ACCOUNTABLE PLAN AND NOT RECORDED AS COMPENSATION TAXINDEMNICATIONS AND GROSS UP PAYMENTS FOUR OFFICERS WERE REIMBURSED GROSS UPDEPENDENT TUITION WHICH IS INCLUDED AS COMPENSATION TO THE OFFICERS

PART I, LINE 4B WILLIAM E EVANS, $117,693, JAMES R DOWNING, $74,340, MICHAEL C CANARIOS, $120,207, RICHARDGILBERTSON, $39,600, JOSEPH H LAVER, $30,533, ANDREW DAVIDOFF, $144,020, ELAINE TUOMANEN,$166,627, CHING-HON PUI, $43,650, DAVID ELLISON, $34,860

SUPPLEMENTAL INFORMATION PART III PART II RICHARD C SHADYAC,JR SERVES AS A VOTING DIRECTOR OFTHE BOARD OF ST JUDEMR SHADYAC IS EMPLOYED AS AN OFFICER OF ALSAC A RELATED ORGANIZATION TO ST JUDE THECOMPENSATION SHOWN IN COLUMNS (B), (C), (D)AND (E) WAS PAID TO MR SHADYAC BY ALSAC FOR HISDUTIES AS CEO OF ALSAC

Schedule 3 (Form 990) 2012

Additional Data

Software ID:

Software Version:

EIN: 62 -0646012


Form 990, Schedule J, Part II - Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

Return to Form

(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Deferred (D) Nontaxable (E) Total of columns (F) Compensation

(ii) Bonus & compensation benefits (B)(i)-(D) reported in prior Form

(i) Base (iii) Other 990 or Form 990-EZ

Compensationincentive

compensationcompensation

RICHARD SHADYAC (1) 0 0 0 0 0 0 0JR (u) 622,825 0 2,322 25,474 16,380 667,001 0

WILLIAM E EVANS (i) 819,066 0 122,077 27,500 8,801 977,444 0(H) 0 0 0 0 0 0 0

JAMES R DOWNING (i) 695,262 0 87,653 27,500 24,545 834,960 0(H) 0 0 0 0 0 0 0

LARRY KUN (i) 670,515 0 8,482 27,500 21,453 727,950 0(H) 0 0 0 0 0 0 0

RICHARD (1) 462,333 50,000 25,498 67,100 22,980 627,911 0GILBERTSON (ii) 0 0 0 0 0 0 0

JOSEPH H LAVER (i) 620,344 0 4,441 58,033 24,545 707,363 0(H) 0 0 0 0 0 0 0

MICHAEL C (i) 370,322 0 117,240 40,415 27,013 554,990 77,251CANARIOS (ii) 0 0 0 0 0 0 0

ANDREW DAVIDOFF (1) 539,354 0 176,669 39,430 24,377 779,830 70,206(H) 0 0 0 0 0 0 0

SUE KASTE (i) 422,830 0 263,669 27,500 1,442 715,441 0(H) 0 0 0 0 0 0 0

ELAINE TUOMANEN (i) 397,005 3,399 183,446 35,391 15,752 634,993 0(H) 0 0 0 0 0 0 0

CHING-HON PUI (i) 499,034 15,899 48,006 27,500 8,183 598,622 0(H) 0 0 0 0 0 0 0

DAVID ELLISON (i) 510,175 12,500 2,889 62,360 19,253 607,177 0(H) 0 0 0 0 0 0 0

efile GRAPHIC urint - DO NOT PROCESS I As Filed Data - I DLN: 93493133037334

Schedule K OMB No 1545-0047

(Form 990) Supplemental Information on Tax Exempt BondsComplete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,1- 2012

explanations, and any additional information in Part VI.

Department of the Treasury 1- Attach to Form 990. 1- See separate instructions. •

Internal Revenue Service

Name of the organization Employer identification number

ST JUDE CHILDREN'S RESEARCH HOSPITAL INC62-0646012

Bond Issues

(a) Issuer name ( b) Issuer EIN (c) CUSIP # ( d) Date issued ( e) Issue price (f) Description of purpose(g) Defeased

(h) Onbehalf ofissuer

(i) Poolfinancing

Yes No Yes No Yes No

THE HEALTH EDUCATIONAL$130 7 MILLION FOR

& HOUSING FACILITY BOARDCONSTRUCTION OF

A OF THE COUNTY OF 52-1283414 821697X33 12-21-2006 250,725,271 X X XINTEGRATED PATIENT CARE

SHELBYTNAND RESEARCH

•m.ii Proceeds

A B C D

1 Amount of bonds retired 27,058,231

2 Amount of bonds legally 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 escrows

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 finalallocation of proceeds?

X

fiii Private Business Use

A B C D


1 Was the organization a partner in a partnership, or a member of an LLC, which ownedproperty financed by tax-exempt bonds?

X

2 Are there any lease arrangements that may result in private business use of bond- Xfinanced property?

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 50193E Schedule K (Form 990) 2012

Schedule K (Form 990) 2012 Pa g e 2

Private Business Use (Continued)

A B C D


3a Are there any management or service contracts that may result in private business useof bond-financed property?

X

b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outsidecounsel to review any management or service contracts relating to the financedproperty?

c Are there any research agreements that may result in private business use of bond-financed property? X

d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outsidecounsel to review any research agreements relating to the financed property? X

4 Enter the percentage of financed property used in a private business use by entitiesother than a section 501(c)(3) organization or a state or local government 0- 0%

5 Enter the percentage of financed property used in a private business use as a result ofunrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government 0-

6 Total of lines 4 and 5 0%

7 Does the bond issue meet the private security or payment test? X

ga Has there been a sale or disposition of any of the bond financed property to anongovernmental person other than a 501(c)(3) organization since the bonds were Xissued?

b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of

c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections1 141-12 and 1 145-27

g Has the organization established written procedures to ensure that all nonqualifiedbonds of the issue are remediated in accordance with the requirements under X

Regulations sections 1 141-12 and 1 145-2?

ArbitrageA B C D


1 Has the issuerfiled Form 8038-T? X

2 If "No" to line 1, did the following apply?

a Rebate not due yet? X

b Exception to rebate? X

c No rebate due? X

If you checked No rebate due" in line 2c, provide in Part VIthe date the rebate computation was performed

3 Is the bond issue a variable rate issue? X

4a Has the organization or the governmental issuer enteredinto a qualified 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?

Schedule K (Form 990) 2012

Schedule K (Form 990) 2012 Page 3

Arbitrage (Continued)A B C D


5a Were gross proceeds invested in a guaranteed investment Xcontract (GIC)7

b Name of provider

c Term of GIC

d Was the regulatory safe harbor for establishing the fair marketvalue of the GIC satisfied?

6 Were any gross proceeds invested beyond an available temporaryperiod?

X

7 Has the organization established written procedures to monitorthe requirements of section 148?

X

Procedures To Undertake Corrective Action

Has the organization established written procedures to ensurethat violations of federal tax requirements are timely identifiedand corrected through the voluntary closing agreement program ifself-remediation is not available under arDlicable regulations?

A

I Yes I No I Yes I No I Yes I No I Yes I No

D

Su lemental Information . Com p lete this p art to p rovide additional information for res p onses to q uestions on Schedule K ( see instructions ) .


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, PART IV,ARBITRAGE, LINE 2C

DATE THE REBATE COMPUTATION WAS PERFORMED 12/21/2011

Schedule K (Form 990) 2012


Schedule L Transactions with Interested Persons OMB No 1545-0047

(Form 990 or 990-EZ) 1- Complete if the organization answered

2012"Yes" on Form 990, Part IV , lines 25a, 25b, 26, 27, 28a , 28b, or 28c,or Form 990-EZ, Part V, line 38a or 40b.

Department of the Treasury 1- Attach to Form 990 or Form 990-EZ . 1- See separate instructions . • . -




162-0646012

L^l Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).Cmmn Iata iftha nrnanvatinn ancwarad "Yac" nn Fnrm 99O Part TV Iin a 75a nr 75h nr Fnrm 990-F7 Part V Iina 40h

1 (a) Name of disqualified person (b) Relationship between disqualified (c) Description of transaction (d) Corrected?person and organization Yes No

2 Enter the amount of tax incurred by organization managers or disqualified persons during the year under section4958 . . . . . . . . . . . . . . . . . . . . . . . . . . . ► $

3 Enter the amount of tax, if any, on line 2, above, reimbursed by the organization . ► $

Loans to and / or From Interested Persons.Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26, or if the

(a) Name of (b) Relationship (c) Purpose (d) Loan to (e)Original (f)Balance (g) In (h) (i)Writteninterested with organization of loan or from the principal due default? Approved agreement?person organization? amount by board or

committee?

To From Yes No Yes No Yes No

Total ► $

Grants or Assistance Benefitting Interested Persons.Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested (b) Relationship between (c) Amount of assistance (d) Type of assistance (e) Purpose of assistanceperson interested person and the

organization

For Paperwork Reduction Act Noticee see the Instructions for Form 990 or 990 -EZ. Cat No 50056A Schedule L (Form 990 or 990 - EZ) 2012

Schedule L (Form 990 or 990-EZ) 2012 Page 2

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 (c) Amount of ( d) Description of transaction ( e) Sharing

between interested transaction ofperson and the organization'sorganization revenues?

Yes No

(1) RACHEL LAVER FAMILY MEMBER OF 20,502 EMPLOYMENT NoJOSEPH H LAVER,EVP/CLINICALDIRECTOR

(2) SUSANNA DOWNING FAMILY MEMBER OF 29,957 EMPLOYMENT NoJAMES R DOWNING,EVP/SCIENTIFICDIR/DEP DIR

(3) MARY RELLING FAMILY MEMBER OF 409,643 EMPLOYMENT NoWILLIAM E EVANS,DIRECTOR AND CEO

(4)JULIE GATTAS FAMILY MEMBER OF 48,062 EMPLOYMENT NoFRED P GATTAS, JR ,DIRECTOR

(5) SHAKER RECRUITMENT ENTITY MORE THAN 478,469 ADVERTISING NoADVERTISING AND COMMUNICATIONS 35% OWNED BY

DIRECTORS JOSEPHG SHAKER & ROBERTA BREIT

Supplemental Information

Identifier I Return Reference I Explanation

Schedule L (Form 990 or 990-EZ) 2012

efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493133037334

SCHEDULE 0OMB No 1545 0047

(Form 990 or 990-EZ ) Supplemental Information to Form 990 or 990-EZ2012

Department of the Treasury Complete to provide information for responses to specific questions onForm 990 or to provide any additional information . Open

Internal Revenue Service1- Attach to Form 990 or 990-EZ. Inspection



FORM 990, PART VI,SECTION A, LINE 2

FORM 990, PART VI, IN FEBRUARY OF EACH YEAR, THE AUDIT COMMITTEE ANDSECTION B, LINE 11 OFFICERS OF THE BOARD ARE PROVIDED WITH

A DRAFT COPY OF THE FORM 990 AND ALL REQUIREDSCHEDULES THE AUDIT COMMITTEE MEETS WITH ITS TAX PREPARER TO REVIEW THE DRAFT FORM 990 BEFORE ITIS FILED WITH THE IRS ADDITIONALLYTHE COMPENSATION COMMITTEE OF THE BOARD IS PROVIDEDWITH A DRAFT COPY OF THE COMPENSATIONSECTIONS OF THE FORM 990 FOR REVIEW BEFORE IT IS FILEDWITH THE IRS EACH VOTING MEMBER OFTHE BOARD IS PROVIDED WITH A FINAL COPY OF THE FORM990 AND ALL REQURIED SCHEDULES BEFOREIT IS FILED WITH THE IRS

FORM 990, PART VI, NEW BOARD MEMBERS ARE GIVEN A COPY OF THE CONFLICTSSECTION B, LINE 12C OF INTEREST POLICY, COMPLETE THE ORGAN

IZATION'S CONFLICTS OF INTEREST DISCLOSURE FORM ANDRECEIVE TRAINING ON CONFLICTS OF INTEREST THERE IS A CONFLICTS OF INTEREST COMMITTEE OF THEBOARD OF DIRECTORS THAT REVIEWS THEANNUAL CONFLICTS OF INTEREST DISCLOSURE STATEMENTSTHAT ARE COMPLETED BY EACH BOARD MEMBER AND DISCUSSES AND RESOLVES CONFLICTS OF INTERESTWITH APPEAL TO THE FULL BOARD IN ADDITION TO THE CONFLICTS OF INTEREST COMMITTEE, THEORGANIZATION HAS A COMPLIANCE OFFICER AMONG OTHER THINGS, THE COMPLIANCE OFFICER CONDUCTSANNUAL TRAINING FOR ALL EMPLOYEES ON CONFLICTS OF INTEREST CERTAIN EMPLOYEES ANNUALLYCOMPLETE A CONFLICTS OF INTEREST DISCLOSUREFORM WHICH IS REVIEWED BY THE COMPLIANCE OFFICERCONFLICTS OF INTEREST OF EMPLOYEES ARE HANDLED BY THE COMPLIANCE OFFICER WITH INVOLVEMENTFROM THE BOARD AS APPROPRIATE DEPENDINGUPON THE FACTS AND CIRCUMSTANCES OF THE CONFLICT,POTENTIAL RESTRICTIONS RANGE FROM PROHIBITING A TRANSACTION TO PROHIBITING SOMEONE FROMPARTICIPATING IN A DELIBERATION OR TRANSACTION TO DISCLOSURE TO THE BOARD OF THE CONFLICT OFINTEREST

FORM 990, PART VI, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARDSECTION B, LINE 15 COMMISSIONS BIANNUAL THIRD PARTY SALARY

SURVEYS TO DETERMINE COMPENSATION FOR THEFOLLOWING OFFICERS CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, SCIENTIFIC DIRECTOR, CANCER CENTERDIRECTOR, AND CLINICAL DIRECTORALL CHANGES TO SALARY FOR THE OFFICERS AREAPPROVED BY THE BOARD THE LAST REVIEW WAS COMPLETED IN 2013

FORM 990, PART VI, FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUESTSECTION C, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF I

NTEREST POLICY ARE MADE AVAILABLE ONLY AS REQUIREDBY APPLICABLE STATE LAW

AVG HOURS DEVOTED TO RELATED ORG(S) FORM 990, PART VII RICHARD C SHADYAC, JR SERVES AS A VOTING DIRECTORWHEN RELATED COMP IS REPORTED OF THE BOARD OF ST JUDE MR SHADYAC

IS EMPLOYED AS AN OFFICER OF ALSAC A RELATEDORGANIZATION TO ST JUDE THE COMPENSATION SHOWN IN COLUMN (E) WAS PAID TO MR SHADYAC BY ALSACFOR HIS DUTIES AS CEO OF ALSAC

CHANGES IN NET ASSETS OR FUND FORM 990, PART XI, LINE CHANGE IN INTEREST IN UNRESTRICTED NET ASSETS ALSACBALANCES 9 246,014,279 CHANGE IN INTEREST IN NET

ASSEST OF ALSAC 68,473,290 NET ASSETS TRANSFERREDTO ALSAC -1,469,788

jefile GRAPHIC print - DO NOT PROCESS

SCHEDULE R(Form 990)

Department of the Treasury


As Filed Data -

Related Organizations and Unrelated Partnerships

1- Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.1- Attach to Form 990. 1- See separate instructions.

DLN:93493133037334

OMB No 1545-0047

2012


62-0646012

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) (b) (c) (d) (e) (f)Name, address, and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state Total income End-of-year assets Direct controlling

or foreign country) entity

(1) CHILDREN'S GMP LLC VACCINE MANUFACTURER TN -1,750,522 661,983 ST JUDE CHILDREN'S RESEARCH262 DANNY THOMAS PLACE HOSPITAL INCMEMPHIS, TN 38105367862-0646012

(2) THANKS & GIVING LLC ROYALTY INCOME FROM TN 0 10,632 ST JUDE CHILDREN'S RESEARCH262 DANNY THOMAS PLACE RECORD SALES HOSPITAL INCMEMPHIS, TN 38105367820-1310435

(3) THE RIGHT WORDS LLC ROYALTY INCOME FROM BOOK NY 0 0 ST JUDE CHILDREN'S RESEARCH262 DANNY THOMAS PLACE SALES HOSPITAL INCMEMPHIS, TN 38105367895-4878579

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had oneor more related tax-exempt organizations during the tax year.)

( a)Name, address, and EIN of related organization

(b)Primary activity

(c)Legal domicile (stateor 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

entity?

Yes No

(1) AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INC

501 ST JUDE PLACE

MEMPHIS, TN 3810535-1044585

SOLICIT SUPPORT FORTHE OPERATION OF STJUDE

IL 501(C)(3) 170(B)(1)(A) (VI)

N/A

No

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 50135Y Schedule R (Form 990) 2012

Schedule R (Form 990) 2012 Page 2

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34because 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 orforeigncountry)

(d)Direct

controllingentity

(e)Predominant

income(related,unrelated,

excluded fromtax under

sections 512-514)

(f)Share of

total income

(g)Share of

end-of-yearassets

(h)Disproprtionateallocations?

(i)Code V-UBIamount in box

20 ofSchedule K-1(Form 1065)

U)General ormanagingpartner?

(k)Percentageownership

Yes No Yes No

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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, Scorp,

or trust)

(f)Share of total

income

(g)Share of end-

of-yearassets

(h)Percentageownership

(i)Section 512

(b)(13)controlledentity?

Yes No

Schedule R (Form 990) 2012


ff^ Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note . Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule

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 or (iv) rent from a controlled entity

b Gift, grant, or capital contribution to related organization(s)

c Gift, grant, or capital contribution from related organization(s)

d Loans or loan guarantees to or for related organization(s)

e Loans or loan guarantees by related organization(s)

f Dividends from related organization(s)

g Sale of assets to related organization(s)

h Purchase of assets from related organization(s)

i Exchange of assets with related organization(s)

j Lease of facilities, equipment, or other assets to related organization(s)

k Lease of facilities, equipment, or other assets from related organization(s)

I Performance of services or membership or fundraising solicitations for related organization(s)

m Performance of services or membership or fundraising solicitations by related organization(s)

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)

o Sharing of paid employees with related organization(s)

p Reimbursement paid to related organization(s) for expenses

q Reimbursement paid by related organization(s) for expenses

r Other transfer of cash or property to related organization(s)

s Other transfer of cash or property from related organization(s)

Page 3

YesFNo

No

No

Yes

No

No

if No

1g No

1h No

ii No

lj No

1k No

11 No

1m Yes

in No

10 No

1p Yes

1q Yes

lr Yes

is 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)Transactiontype (a-s)

(c)Amount involved

(d)Method of determining amount involved

(1) AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INC C 488,001,943 CASH

(2) AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INC M 488,001,943 CASH

(3) AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INC P 93,995 CASH

(4) AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INC Q 825,967 CASH

(5) AMERICAN LEBANESE SYRIAN ASSOCIATED CHARITIES INC R 1,469,788 NBV


Schedule R (Form 990) 2012 Page 4

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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 grossrevenue) 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 orforeigncountry)

(d)Predominant

income(related,unrelated,

excluded fromtax under

section 512-

(e)Are all partners

section501(c)(3)

organizations?

(f)Share of

totalincome

(g)Share of

end-of-yearassets

(h)Disproprtionateallocations?

(i)Code V-UBIamount inbox 20

of ScheduleK-1

(Form 1065)

U)General ormanagingpart ner?

(k)Percentageownership

514)Yes No Yes No Yes No


Additional Data

Software ID:

Software Version:

EIN: 62 -0646012



Return to Form

Page 5

JL^ffillll Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions)

Identifier I Return Reference I Explanation

St. Jude Children'sResearch Hospital, Inc.and SubsidiaryConsolidated Financial Statements as of andfor the Years Ended June 30, 2013 and 2012,and Independent Auditors' Report

ST. JUDE CHILDREN'S RESEARCH HOSPITAL, INC. AND SUBSIDIARY

TABLE OF CONTENTS

Page

INDEPENDENT AUDITORS REPORT

CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDEDJUNE '10. 20131 AND 2012.

Statements of Financial Position

Statements of ActiN sties

Statements of Functional Expenses

Statements of Cash Flows

1-2

4

Notes to Consolidated Financial Statements 7-20

Deloitte Deloitte & Touche LLP100 Peabody PlaceSuite 800Memphis, TN 38103-0830USA

Tel +1 901 322 6700Fax +1 901 322 6799www deloitte com

INDEPENDENT AUDITORS' REPORT

To the Board of GoN errors ofSt Jude Children's Research Hospital. IncMemphis. Tennessee

We haN e audited the accompany ing consolidated financial statements of St Jude Children's ResearchHospital. Inc and its ww hollN owned subsidiary (collectiN eIN . the "Hospital"). which comprise theconsolidated statements of financial position as of June 30. 2013 and 2012. and the related consolidatedstatements of actiN sties. functional expenses. and cash flows for the years then ended. and the relatednotes to the consolidated financial statements

Management 's Responsibility for the Consolidated Financial Statements

Management is responsible for the preparation and fair presentation of these consolidated financialstatements in accordance with accounting principles generallN accepted in the United States of America.this includes the design. implementation. and maintenance of internal control releN ant to the preparationand fair presentation of consolidated financial statements that are free from material misstatement.whether due to fraud or error

Auditors' Responsibility

Our responsibilit\ is to express an opinion on these consolidated financial statements based on our auditsWe conducted our audits in accordance with auditing standards generallN accepted in the United States ofAmerica Those standards require that ww e plan and perform the audit to obtain reasonable assurance aboutwhether the consolidated financial statements are free from material misstatement

An audit inN olh es performing procedures to obtain audit eN idence about the amounts and disclosures inthe consolidated financial statements The procedures selected depend on the auditor's judgment.including the assessment of the risks of material misstatement of the consolidated financial statements.whether due to fraud or error In making those risk assessments. the auditor considers internal controlreleN ant to the Hospital's preparation and fair presentation of the consolidated financial statements inorder to design audit procedures that are appropriate in the circumstances. but not for the purpose ofexpressing an opinion on the effectiN eness of the Hospital's internal control AccordmglN. we express nosuch opinion An audit also includes eN aluating the appropriateness of accounting policies used and thereasonableness of significant accounting estimates made bN management. as well as eN aluating the oN erallpresentation of the consolidated financial statements

We belies e that the audit eN idence we haN e obtained is sufficient and appropriate to pros ide a basis forour audit opinion

Member of

DeloitteToucheTohmatsu Limited

Opinion

In our opinion. the consolidated financial statements referred to aboN e present fairy. in all materialrespects, the financial position of the Hospital as of June 30. 2013 and 2012. and the changes in its netassets. and its cash flow s for the Nears then ended in accordance with accounting principles generalINaccepted in the United States of America.

he^.^i^e, e. iuc,&, ccP

October 7. 2013

-2-


CONSOLIDATED STATEMENTS OF FINANCIAL POSITION

AS OF JUNE 30, 2013 AND 2012

ASSETS

CURRENT ASSETS

Cash

Assets limited as to use held bN tiustee

Accounts iecen able

Patient case services net

Giants and contractsOthei

Inn entoriesPrepaid expenses and other assets

Total euirent assets

ASSETS LIMITED AS TO USE Excluding current portion

INTEREST IN NET ASSETS OF AMERICAN LEBANESE SYRIAN

ASSOCIATED CHARITIES. INC

PROPERTY AND EQUIPMENT Net

UNAMORTIZED BOND ISSUANCE COSTS

TOTAL

LIABILITIES AND NET ASSETS

CURRENT LIABILITIES

Cuiient portion of long-teem debt

Accounts paN able

Aeeiued paNioll costs

Aeetued interestEmploN ee health liability costs

Total current liabilities

LONG-TERM DEBT EWluding euiient portion

DEFERRED REVENUES FROM GRANTS AND CONTRACTS

OTHER LONG-TERM LIABILITIES

Total liabilities

COMMITMENTS AND CONTINGENCIES

NET ASSETS

Um estiieted

Tempoiank iestiietedPeimanentIN iestiieted

Total net assets

TOTAL

See notes to consolidated financial statements

2013 2012

$ 6.87020 $ 630.443

1O.327 25O 10?O8.625

13.112 953 12.79().434

5.664.796 8.142.964311.359 408.820

4.829 227 5.642.23O7.884A21 9.43().833

49.(1()2 926 47254.349

1.612.5O4 1.479.342

2.768.942.672 2.454.455.1O3

461.343.613 425933.712

1225.632 )1,295,340

$ 3281127347 $ 2.93O.-417.8 46

$ 4,890,000

37,358,007

25,880,735

5,437,250

$ 4.6».OOO

37.14().387

23.-413.613

5.553.625

77.214 992

223,667,040

5,893,607

309,797,905

74.-492.116

229.186.492

5,893,609

312.661.581

2.O68.341)O2 1,782,242,015

60A44267 52.799.597

$ 3281 127347 $ 2.93().-417.846

- J -


CONSOLIDATED STATEMENTS OF ACTIVITIESFOR THE YEARS ENDED JUNE 30, 2013 AND 2012

2013 2012Temporarily Permanently Temporarily Permanently

Unrestricted Restricted Restricted Total Unrestricted Restricted Restricted Total

RE\ ENUES GAINS AND OTHER SUPPORTNet patient sen ice la\ aline $ 104 111d 142 $ - $ - $ 10-1 01-1 1-12 $ 9> S'6 676 $ - $ - $ 9> S36 676

Research giants and contracts 93 786'_70 - - 93 786'_70 95 189 71-1 - - 95 189 71-1

Net lll\ e5t111ellt 111 ss l gain 133 162 - - 133 162 (16 5711) - - (16 5711)

1_Itllal 10'_77 6115 - - 10 277 605 7 SO-1 018 - - 7 50-1 018

Total ie% alines gains and othei support 208 211 179 - - 208 211 179 198_11, bib' - - 198 211, bib'

E\PENSES

Plogi a111 sell Ices

Patient cane sell ices 299 875 022 - - 299 875 022 289 -189 762 - - 289 -189 762Research i IS b'1-19118 - - "1S id 9118 09 b'1750 - - 1,119 81,1750

Education Hailing and collulllllllt \ sell ices 8 0 1 , 887 - - 8 (I 1 , 887 7 527 1149 - - 7 S27 1149

Total pi giant sen ices 62 7111, 847 - - 62 7111, 8-17 606 848 861 - - 6116 b'-lb' 861

Suppolting sell ices - adllulllstlatl\ e and genneial ill S 11 0 2II-1 - - ill Sill 20-1 28 1 72 2240 - - 28 1 72 2240

Total e\penses 65-1 21,-1 OSI - - 65-12_1,-1 OSI 63S 02_1101 - - 61S 0'_1101

HANGE IN INTEREST IN UNRESTRICTED

NET ASSETS OF ANIERIL AN LEBANESE Sl RIAN

ASSCK IATED L HARITIES IN( '_-1601- 279 - - '_-16111-'_79 7'_8'4198; - - 7'_8'-1198;

LOSS FROM DISPOSAL OF PROPERTl AND

EQUIPMENT 1-122; 675 1 - - (422; 675 ) 11 (7S S08 1 - - I1 87S S08 1

E\PENSES IN E\L ESS OF RE\ ENLIES,

GAINS AND OTHER SUPPORT 1'_00-11,'_2_68'1 - - 1'_111141,'_2_68'1 L3658'41178'8'1 - - L3658'-11178'8'1

NET SUPPORT RE( Eli ED FROM ANIERIL AN LEBANESE

S1 RIAN ASSIIL IATED L HARITIES IN( -l 8811111 941, - - _1881101 9-11, -1-11 990 S-1-1 - - -141 990 S-1-1

NET ASSETS TRANSFERRED TO ANIERIL AN LEBANESE

S1 RIAN ASSI:IL IATED L HARITIES IN( 11 -169 788) - - (1 469 788) - - - -

L HANGS IN INTEREST IN NET ASSETS OF ANIERIL AN

LEBANESE S}RIAN A SSIIL IATED LHARITIES IN( - 71,-146711 611'_8'62_11 68'471,'_911 - S88S 892 (S 918,737 ) li28_1S )

L HANGES IN NET ASSETS 2861199 887 7 1,-14 6711 61 128 6211 is4 S7, 177 76 149 7S6 S 88S 892 (S 918,737) 76 116 911

NET ASSETS Begnuune of \eal 1 782 242 015 52 999 597 782 714 653, 2 617 756 265 1 706 092 259 46 913 70S 788 633,390 2 541 639 354

NET ASSETS - End of\em $ '_ 11 682 1,4 1 9 112 $ 6 11 144'_6 7 $ 84', 84', '_7, $ '_ 972 1,29 4 42 $ 1 7 822'_4'_ 11 15 $ -'_ 799 597 $ 7 82 7 14,65 $ '_ 61 7 75 6 26S

See notes to consolid ated financial statements

_ L4 _


CONSOLIDATED STATEMENTS OF FUNCTIONAL EXPENSES

FOR THE YEARS ENDED JUNE 30, 2013 AND 2012

2013

SALARIES AND BENEFITS

PROFESSIONAL FEES AND

CONTRACT SERVICES

SUPPLIES

TELEPHONE

OCCUPANCY

TRAVEL AND MEETINGS

INTEREST AND AMORTIZATION

MISCELLANEOUS

Total before depreciation

DEPRECIATION

2012

Supporting Total

Services - Program andProgram Administrative Supporting

Services and General Services

$ 338.026.100 $ 16.072.237 $ 354.098.337

Supporting Total

Services - Program andProgram Administrative Supporting

Services and General Services

$ 323.675.032 $ 14.958.748 $ 338.633.78()

90.296.511 5.275.526 95.572.037 86.580.543 4.412.87() 90.993.413

92.894.890 1.568.844 94.463.734 85.764.856 1.362.414 87.127.270

1.083.473 83.264 1.166.737 1.1 19.147 112.696 1.261.843

18.483.361 2.189.227 20.672.588 18.920.575 2.046.374 20.966.949

9.790.876 305.335 10.096.211 10.167.132 247.455 10.414.587

7.110.236 7.979 7.418.215 10.016.249 18.641 10.034.890

6.130.546 2.752.084 9.182.6 30 10.263.1 11 2.758.678 13.021.789

564.415.993 28.254.496 592.670.489 546.536.645 25.917.876 572.454.521

59.287.854 2.275.708 61.563.562 60312.216 2.254.361 62.566.580

$ 623.703.847 $ 30.530.204 $ 654.234.051 $ 606.848.861 $ 28.172.240 $ 635.021.101

See note, to consolidated financial ,tatement,


CONSOLIDATED STATEMENTS OF CASH FLOWS

FOR THE YEARS ENDED JUNE 30, 2013 AND 2012

2013 2012

CASH FLOWS FROM OPERATING ACTIVITIESChanges in net assetsAdjustments to reconcile changes in net assets to net cashused in operating actiN sties:Support receiN ed from American Lebanese SN rianAssociated Charities. IncChange in interest in net assets of American LebaneseSN rian Associated Charities. Inc

DepreciationAmortizationNet realized and unrealized inN estment losses ( gains)Loss from disposal of propert\ and equipmentTransfer to affiliateChanges in operating assets and liabilitiesAccounts receiN ableInN entoriesPrepaid expenses and other assetsAccounts paN able and other accrued liabilities

Deferred reN enues from grants and contracts

Net cash used in operating actiN sties

CASH FLOWS FROM INVESTING ACTIVITIESNet decrease in assets limited as to useCapital expendituresProceeds from the sale of property and equipment

Net cash used in in esting actiN sties

CASH FLOWS FROM FINANCING ACTIVITIES.Support receiN ed from American Lebanese SN rianAssociated Charities. IncBond principal paN meat

Net cash pros ided bN financing actiN sties

NET CHANGE IN CASH

CASH - Beginning of year

CASH - End of year

See notes to consolidated financial statements.

$ 354.573.177 $ 76.116.911

(488.001 .943) (441.990.544)

314.487.569) (72.809.138)61.563.562 62.566.580

(559.744) (556.433)(133.162) 16.570423.675 1 .87-5.508

1.469.788 -

2.253.110 1.607.785813.003 (1.909.521)

1.546.412 1.772.8082.420.778 (25.004)

(2 ) (521.823 )

(378.118.915 ) (373.856.301 )

(118.625) 1.607.746(98.892.410) (67.141.428)

25.484 38.089

(98.985 .551 ) (65.495.593 )

488.001 .943 441.990.544(4.6».000 ) (4.435.000 )

483.346.943

6.242.477

630.443

$ 6.872.920

437.55x_544

(1.796.350)

2.426793

$ 630.443

-6-


NOTES TO CONSOLIDATED FINANCIAL STATEMENTSAS OF AND FOR THE YEARS ENDED JUNE 30, 2013 AND 2012

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

St Jude Children's Research Hospital. Inc (the "Hospital"). is a research. treatment. and educationcenter whose mission is to saN e children's In es bN finding the causes of catastrophic illnesses.improN ing related treatments. and finding cures for their diseases More than 7.800 patients are seen atthe Hospital y early , most of whom are treated on a continuing outpatient basis as part of ongoingresearch programs and account for approximatelN 65.000 hospital N isits per \ ear The current basicscience and clinical research at the Hospital includes work in gene therapy. chemotherapy. thebiochemistr\ of normal cancerous cells. radiation treatment. blood diseases. resistance to therapy.N iruses. hereditarv diseases. influenza. pediatric AIDS. and phN siological effects of catastrophicillnesses

The accompan\ ing consolidated financial statements do not include the indiN idual accounts of theHospital's affiliate. American Lebanese Styrian Associated Charities. Inc (ALSAC). which is the fundraising organization for the Hospital The bN laws of ALSAC pros ide that all fluids raised. except forfunds required for its operations and funds restricted as to other uses bN donors. be distributed to or heldfor the exclusiN e benefit of the Hospital

Hospital operations are oN erseen bN a Board of GoN ernors (the "Board") The research actiN sties of theHospital are reN ieww ed annually bN a Scientific AdN isorv Board composed of internationally prominentphysicians and scientists.

Cash - The Hospital has a cash management arrangement ww ith ALSAC. generallN pros iding forALSAC's reimbursement of Hospital funds when Hospital paN meats are presented for paN meat

Inventories - InN entories. consisting primarily of medical supplies and pharmaceuticals. are stated atthe lower of cost (first in, first out method) or replacement market N alue

Assets Limited as to Use - Assets limited as to use include assets set aside bN the Board for liabilityinsurance funding. oN er which the Board retains control and max. at its discretion. subsequentlN use forother purposes and assets held bN the bond trustee under related indenture agreements

Interest in Net Assets of ALSAC - The Hospital applies the pros isions of Financial AccountingStandards Board (FASB) Accounting Standards Codification (ASC) Topic 958. Not,for Profit EntitiesBecause of the Hospital's relationship as ALSAC's sole benefician and the oNerall financialinterrelationship of the Hospital and ALSAC. ASC Topic 958 requires that the Hospital report itsinterest in the net assets of ALSAC in the consolidated statements of financial position. withcorresponding changes in those net assets reported in a "quasi-equit\ -method" fashion in theaccompany mg consolidated statements of actiN sties

For purposes of classification as unrestricted. temporarily restricted. or permanently restricted. thechange in the interest in ALSAC's net assets is reported in the accompan\ing consolidated statements ofactiN sties consistent with the reporting of such changes in ALSAC' s financial statements

Costs of Borrowing - Bond issuance costs and bond premiums are amortized oN er the term of therelated bond issue. ApproumatelN $70.000 of bond issuance costs and approximately $626.000 of bondpremium were amortized during 2013 ApproumatelN $69.000 of bond issuance costs andapproximately $626.000 of bond premium were amortized during 2012

7-

The Hospital capitalizes interest cost on qualified construction expenditures. net of income earned onrelated trusteed assets. as a component of the cost of related projects Interest totaling approximatelN$2.897.000 and $5 16.000 was capitalized in 2013 and 2012. respecti's elN

Property and Equipment - Equipment is recorded at cost and is depreciated on a straight-line basisoN er estimated useful liN es of 3 to 20 N ears Leasehold interests are recorded at cost and are depreciatedon a straight-line basis oN er the term of their lease or their estimated useful liN es. ww hicheN er is shorterThe Hospital eN aluates the carry mg N alue of its propert\ and equipment under the proN isions of ASCTopic 360. Property, Plant, and Equipment Under ASC Topic 360. when eN ents. circumstances. andoperating results indicate that the carry mg' alue of propertv and equipment assets may be impaired. theHospital prepares projections of the undiscounted future cash flows expected to result from the use ofthe assets and their eN entual disposition If the projections indicate that the recorded amounts are notexpected to be recoN erable. such amounts are reduced to estimated fair N alue.

Temporarily and Permanently Restricted Net Assets - Temporarily restricted net assets are thosewhose use has been limited bN donors to a specific time period or purpose PermanentlN restricted netassets haN e been restricted bN donors to be maintained in perpetuit\

Net Patient Service Revenues and Receivables - No familN eN er paN s the Hospital for the care theirchild receiN es AccordmglN. net patient sere ice reN enue consists only of estimated net realizableamounts from third-party paN ors for sere ices rendered. including estimated retroactiN e reN enueadjustments (if necessary) due to future audits. reN iews. and inN estigations RetroactiN e adjustments areconsidered in the recognition of reN enue on an estimated basis in the period the related sere ices arerendered. and such amounts are adjusted in future periods as adjustments become known or as Nears areno longer subject to such audits. reN ieww s. and inN estigations Patient sere ice reN enue has been reducedbN adjustments for uncollectible accounts totaling approximateIN $492.000 and $558.000 in 2013 and2012. respectiN elf.

Charity Care - The Hospital pros ides charity care to patients for all charges in excess of thoserealizable from third-partv payors Because the Hospital does not pursue collection of amountsdetermined to qualifi as charity care. such amounts are not reported as reN enue

Grant and Contract Revenue Recognition - The Hospital is the direct recipient of funding fromN arious goN ernmental agencies and nongoN ermnental sources for designated research projects initiatedboth internally and bN these external entities ReN enues from grants and contracts are earned as relatedresearch costs are incurred

Income Taxes - The Hospital qualifies as tax exempt under existing pros isions of the InternalReN enue Code (the "Code"). and its income is generallN not subject to federal or state income taxes TheHospital is not considered a priN ate foundation as defined in Section 509(a) of the Code and. therefore.mdiN idual donors are entitled to the maximum charitable deduction under Section 170(c) of the Code

As of June 30. 2013. the Hospital had not identified anN uncertain tax positions under ASC Topic 740.Income Taxes, requiring adjustments to its consolidated financial statements In the eN ent the Hospitalw ere to recognize interest and penalties related to uncertain tax positions. it w ould be recognized in theconsolidated financial statements as interest expense for interest and miscellaneous for penalties.GenerallN. tax Nears ending in 2010 through 2013 are open to examination bN the federal and statetaxing authorities. respectiv elf- There are no income tax examinations currently in process

Use of Estimates - The preparation of consolidated financial statements in conformit< with accountingprinciples generally accepted in the United States of America requires that management make estimatesand assumptions affecting the reported amounts of assets. liabilities. reN enues. and expenses. as well asdisclosure of contingent assets and liabilities Actual results could differ from those estimates

-8-

Significant items subject to such estimates and assumptions include the determination of the allow ancesfor contractual adjustments. estimated professional and general liability costs. resen es for workers'compensation claims. and resen es for emploN ee health care claims In addition, laws and regulationsgoN erning N arious federal-sponsored and state-sponsored reimbursement programs are extremelycomplex and subject to interpretation As a result. there is at least a reasonable possibilitv that recordedestimates related to these programs maN change in the near term

Principles of Consolidation - The consolidated financial statements include the accounts of theHospital and its ww holIN owned subsidiarN. Children's GMP. LLC (GMP). The purpose of GMP is tolease. manage. and operate a facility that engages in the production of biologics and drugs as needed bNthe Hospital to complete research All significant mtercompan\ transactions haN e been eliminated inconsolidation

Subsequent Events - The Hospital has eN aluated the impact of significant subsequent eN ents TherehaN e been no subsequent eN ents through October 7.2013. the date the consolidated financial statementswere aN ailable to be issued. that require recognition or disclosure

Recent Accounting Pronouncements - In October 2012. the Financial Accounting Standards Board(FASB) issued Accounting Standard Update (ASU) No 2012-05, Statement ofCash Flows . whichamends ASC 230. Statement ofCash Flows. addressing how cash receipts arising from the sale ofcertain donated financial assets. such as securities . should be classified in the statement of cash flow s ofnot-for-profit (NFP) entities The ASU pros ides guidance for NFP entities to classif cash receipts fromthe sale of donated financial assets consistently with cash donations receiN ed in the statement of cashflows if those cash receipts were from the sale of donated financial assets that upon receipt were directedwithout the NFP imposing any limitations for sale and were cons erted nearlN muiiediatelN into cash Thenew guidance is effectiN e for reporting periods beginning after June 15. 2013 Management belieN es theadoption of this ASU will not haN e a material effect on the consolidated financial statements

In April 2013, the FASB issued ASU 2013-06. Services Received from Personnel ofan Affiliate, whichamends ASC Topic 958. Not-for-Profit Entities This ASU requires a recipient not-for-profit entity torecognize all sere ices receiN ed from personnel of an affiliate that directlN benefit the recipient not-for-profit entit' Those sen ices should be measured at the cost recognized bN the affiliate for the personnelpros iding those sen ices The new guidance is effectiN e for reporting periods beginning after June 15,2014. Management has not,, et determined the impact on the Hospital's consolidated financialstatements

-9-

2. ASSETS LIMITED AS TO USE

The composition of assets limited as to use as of June 30. 2013 and 2012. is as follows

Under bond indenture agreements - held by trusteeUnder self-insurance funding arrangements - pooledim estment funds

Less amounts classified as current assets

Total

2013 2012

$ 10.327.250 $ 10.208.625

1 r, 1') Snd

11.939.754

10 2 )7 ');n

1 d7Q 2d)

11.687.967

i n )nQ r) ;

$ 1.612.504 $ 1.479.342

Assets limited as to use under self-insurance funding arrangements are inN ested bN the Hospital in tw opooled in estment funds (the "Fluids") in exchange for units of those Funds The Funds are administeredbN a third-parts custodian and maintained for the exclusiN e use of the Hospital As monies becomeaN ailable for in estment. additional units in the Funds are purchased The units are carried at net assetN aloe (NAV) as computed based on the fair N aloe of underlN ing securities. principally composed oflimited inN estment partnerships. common stocks. and corporate and municipal bonds

The composition of net inN estment (loss) gain for the s ears ended June 30, 2013 and 2012. is as follows

2013 2012

Interest and diN idend income $ 14.489 $ 14.645Net realized and unrealized inNestment gains (losses ) 118.673 (31.215 )

Total $133.162 $ (16.570 )

3. TRUSTEED BOND FUNDS

The trusteed bond funds were established in accordance with the requirements of the indentures relatedto the Hospital ReN enue Bonds discussed in Note S The trusteed bond funds were approximately$10.327,000 and $10.209.000 as of June 30. 2013 and 2012. respecti's elN . These funds are held bN thebond trustee for the annual debt sere ice of the Hospital ReN enue Bonds

-10-

4. PROPERTY AND EQUIPMENT

A summan of property and equipment as of June 30. 2013 and 2012, is as follows

2013

Leasehold interestsLand improN ementsBuildings and improN ements

Oww ned propert\EquipmentConstruction in progress

Less accumulated depreciation

Total

All land improNements . buildings. and building improNements are leased from ALSAC The mayor termsof the lease are described in Note 13 The Hospital has reported land improN ements and buildings underlease from ALSAC as a capital lease Land improN ements and buildings haN e been capitalized at cost.which the Company estimates approximated the fair N alue at the inception of the lease

Construction in progress at June 30. 2013 . NN as principally composed of costs related to Tower II Thenew toww er. a near mirror image of the existing 340.000-square-foot Chili's Care Center (CCC). willhouse the Computational Biolog\ Department and new surgen and intensity e care suites Tow er II willalso be home to a new proton-beam radiation therapy center for pediatric cancer treatment Tower II is

expected to be substantialIN complete in the fall of calendar \ ear 2014. with the exception of the protonbeam facilit\ which is expected to be substantiallN complete the follow ing y ear The total estimated costof propert\ and equipment for this project is $198 8 million

5. LONG-TERM DEBT

$ 6.564.402631.588.219

314.600.91099.512.418

1.052.265.949 972.426.144

(590.922.336 ) (546.492.432 )

$ 461.343.613 $425.933.712

2012

$ 6.172.734628.275.431

301.489.06936.488.910

A summan of long-terns debt as of June 30. 2013 and 2012. is as follows

Series 2006 ReN enue Bonds due in annual installmentsthrough 2036. fixed interest from 4%-5%

Unamortized premium on bonds

2013

$ 217.490.00011.067.040

228.557.040

2012

Less current portion

Total

$ 222.145.00011.696.492

233.841.492

(4.890.000 ) (4.655.000 )

$ 223.667.040 $ 229.186.492

In NoN ember 2006. the Hospital entered into an agreement ww ith ShelbN Count-,. Tennessee. to issue$2')5.76-5.000 of Series 2006 Hospital ReN enue Bonds (the "Series 2006 Bonds") at a premium ofapproximately $14.960.000 The bonds were issued on December 21, 2006 The Series 2006 Bonds w ere

issued to refund a portion of the Series 1999 Hospital ReN enue Bonds. to refund prior capitalexpenditures funded bN ALSAC relating to the construction of the CCC. and to fund future constructioncosts of CCC Some of the funds wore used to paN issuance costs for the Series 2006 Bonds aspermitted

Payments of principal and interest on the Series 2006 Bonds are guaranteed bN ALSAC Under aguaranty agreement dated NoN ember 15. 2006. ALSAC has agreed to paN to the bond trustee on demandsuch amounts as are necessan to enable the bond trustee to make payments on the Series 2006 Bonds.The Hospital is also subject to certain coN enants. including limitations on the use of the proceeds.transfers of assets . and maintenance of corporate existence and status

Future maturities of long-term debt. b< Near and in the aggregate. are as follows

Years Ending Long-TermJune 30 Debt

2014 $ 4.890.0002015 5.130.0002016 5.390.0002017 5.660.0002018 5.940.000Thereafter 190.480.000

217.490.000

Plus unamortized premium on bonds 11.067.040

Total $ 228.557.040

The Hospital paid interest costs of approximateIN $11.000.000 and $11.200.000 during the sears endedJune 30. 2013 and 2012. respecti's elv

6. NET PATIENT SERVICE REVENUE

The Hospital has agreements with goN ermnental and other third-part`- paN ors that pros ide forreimbursement to the Hospital at amounts different from its established rates Contractual adjustmentsunder third-part\ reimbursement programs represent the difference between the Hospital's billings atestablished rates for sere ices and amounts reimbursed bN third-parts paN ors A summan of the basis ofreimbursement with mayor third-parts pavors is as follows

Medicaid - Inpatient and outpatient sere ices rendered to Medicaid program beneficiaries are general1Npaid based upon prospectiv e reimbursement methodologies established bN the beneficiaries' state ofresidence ReN enue from the Medicaid program accounted for approximateIN 26% and 26% of theHospital ' s net patient sen ice reN enue for the N ears ended June 30.2013 and 2012. respectiN ely.

Blue Cross - All acute care sere ices rendered to Blue Cross subscribers are reimbursed at prospectiN eINdetermined rates ReN enue from Blue Cross subscribers accounted for approximateIN 27% and 28% ofthe Hospital's net patient sen ice reN enue for the N ears ended June 30.2013 and 2012. respectiN eIN

-12-

The Hospital has also entered into other reimbursement arrangements pros iding for paNmentmethodologies. which include prospectiv elN determined rates per discharge. per diem amounts. anddiscounts from established charges

The components of net patient serN ice reN enue as of June 30. 2013 and 2012. consisted of the following

2013 2012

Gross patient sere ice reN enue - net of charit-N carecharges foregone $ 345.844 .928 $ 343.673.829

Less pros ision for contractual adjustments anduncollectible charges 241.830.786 248.137.153

Net patient sen ice reN enue $ 104.014.142 $ 95.536.676

7. CHARITY CARE AND CONTRACTUAL ADJUSTMENTS

It is the Hospital's policy to proN ide care to patients for all charges in excess of those realizable fromthird-part\ pad ors Following that policN. charges foregone. based on established rates. totaledapproximately $68.200.000 and $61.200.000 in 2013 and 2012, respectiN eIN Management's estimate of

costs incurred to proN ide charitN care were $49300.000 and $43.100,000 in 2013 and 2012.respectiv elN

The Hospital also participates in TennCare and other states' Medicaid programs Under these programs.the Hospital pros ides care to patients at paN meat rates. which are determined by state goN ernments.regardless of actual cost The Hospital recorded gross patient charges to Medicaid patients totalingapproximately $159.000.000 and $158.600.000. and was reimbursed approvmatelN $27.200.000 and$24.500,000 in 2013 and 2012. respectiN elN This resulted in a total contractual adjustment related toMedicaid programs of approximately $131.800.000 and $134.100.000. or 83% and 85%. of Medicaidprogram charges for 2013 and 2012, respectiN elN

In addition to the patient care benefits described aboN e. the Hospital pros ides significant researchbenefits to the broader communit-N and other outreach programs

8. EMPLOYEE RETIREMENT BENEFIT PLAN

The Hospital sponsors a defined contribution retirement annuity plan. generallN coh ering all emploN eesww ho haN e completed one N ear of sen ice The plan requires that the Hospital make annual contributionsbased on participants' base compensation The plan allows indiN iduals to begin making contributions tothe plan as pretax deferral as soon as admuustratiN ely feasible after hire date Hospital contributions are50% ' ested after two N ears of sere ice and 100% ' ested after three N ears of sere ice Employeecontributions are nnmediateIN 100% Nested Total cash contributions to the plan were approximateIN$17.900,000 and $16.800.000 for the s ears ended June 30. 2013 and 2012, respects' elN

-13-

9. ALSAC

The accompany ing consolidated financial statements do not include the indiN idea l accounts of ALSACBecause of the Hospital's relationship as ALSAC's sole beneficiary and the oN erall financialinterrelationship of the Hospital and ALSAC. the Hospital's interest in the net assets of ALSAC isreported in its statements of financial position. with corre sponding changes in tho se net assets reportedin a "quasi-equitv method" in the statements of actiN sties A sunimarv of the financial statements ofALSAC as of June 30. 2013 and 2012. and for the s ears then ended is as follows

2013 2012

AssetsCash and inNestments $ 2.717.114.846 $ 2.410,932.837Other assets 106.696.708 95.596.973

Total assets $ 2.823.811.»4 $ 2.506,529.810

Total liabilities $ 54.868.882 $ 52,074.707

Net assetsUnrestricted 1.864.955.132 1.618,940.853TemporarilN restricted 60.144.267 52,799.597Permanent1 restricted 843.843.273 782,714.653

Total net assets 2.768.942.672 2.454,455.103

Total liabilities and net assets $ 2.823.811.554 $ 2.506,529.810

ReN enues, gains, and other support $ 1.083.186.246 $ 780,63) 1%848

ExpensesHospital support 488.001.943 441,990.544Other program serN ices 68.212.427 63,996.851Supporting sere ices 213.304.506 201,835.311

Total expenses 769%5 18%876 707,822.710

Loss from disposal of propert\ and equipment (649.589 ) -

Net assets transferred from the Hospital 1.469.788 -

Changes in net assets 314.487.569 72,809.138

Net assets - beginning of year 2.454.455.103 2.381,645.965

Net assets - end of N ear $ 2.768.942.672 $ 2.454,455.103

-14-

Investments -The composition of ALSAC's mN estments as of June 30. 2013 and 2012. is as follows

2013 2012

Global equity $1 .068.432,022 $ 896.280,117Marketable alternatiN e 723. 566.183),064Real assets 389.863,714 383.035,148PriN ate equity 182.062,616 17-5.6543)68Fixed income 291.178,665 281.906,661Cash 26.912,273 24.467,983

Total $2.681.609,590 $ 2.327.527,341

Marketable alternatiN e mN estments included hedged equity . distressed debt. and multi-strategymanagers ALSAC is obligated under certain in estment contracts to periodicalIN adN ance funding up tocontractual leN els Such commitments were approximately $263.442,000 and $147.487.000 at June 30.2013 and 2012. respectiN eIN

The composition of net in estment (loss) income for the years ended June 30. 2013) and 2012. is asfollows

2013

Net realized and unrealized in estment (losses) gainsInterest and diN idend incomeInN estment expenses

Net inN estment ( loss) income

$ 175.564.11626,752.910

(880.343 )

S 201.436.683

2012

$ (50.686.366)

25.470.490(822.519 )

$ (26.038.395 )

Fair Value Measurements - ALSAC accounts for assets and liabilities measured at fair N alue usingASC Topic 820. Fair l'alue Measurefnent Certain assets and liabilities are required to be recorded atfair N alue on a recurring basis. while other assets and liabilities are recorded at fair N alue on anonrecurring basis. generallN as a result of impairment charges Under ASC Topic 820 . fair 's alue refersto the price that would be receiN ed to sell an asset or paid to transfer a liabilit-N ( an exit price) in theprincipal or most adN antageous market for the asset or liabilrth in an orderlN transaction betw een marketparticipants at the measurement date Assets measured at fair's alue on a nonrecurring basis include long-liN ed assets

The guidance enables the reader of the financial statements to assess the inputs used to deN elop thosemeasurements bN establishing a hierarchy for ranking the qualitN and reliability of the information usedto determine fair ' alues The fair ' alue of cash, receiN ables. and accounts paN able approximate theircam ing N slues. ALSAC considers the cam ing amounts of all working capital to approximate fair's aluebecause of the short-tern and/or nature of the instrument InN estments ww ith readilN aN ailable actiN elNquoted prices. or for which fair' alue can be measured from actiN eIN quoted prices. generallN. will haN ea higher degree of market price obserN ability and a lesser degree ofjudgment used in measuring fairN alue In the absence of actiN eIN quoted prices and obsen able inputs, ALSAC estimates prices based onaN ailable historical data and near-term future pricing information that reflects its market assumptions

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The follow ing describes the hierarchN of inputs used to measure fair N aloe and the primar< < aluationmethodologies used bN ALSAC for inN estments measured at fair N alue on a recurring basis

Level I - Inputs are unadjusted. quoted prices in actiN e markets for identical assets or liabilities that thereporting entit,, can access at the measurement date

Level 2 - Inputs are other than quoted prices included ww ithin LeN el 1 that are obsen able for the asset orliabilit-,. either directIN or indirectIN

Level 3 - Inputs are unobserN able and significant to the asset or liabilitN. and include situations wherethere is little. if any , market actiN itv for the asset or liabilitN

Most in estments classified within LeN el 2 and LeN el 3 consist of the shares/units (or equity alentoww nership interest in partner's capital) in inN estment funds rather than direct ownership in the funds'underlNing assets Since the net asset Value (NAV) reported bN each fund is used as a practical expedient

to estimate the fair N alue of ALSAC's ownership interest. the fund's classification within LeN el 2 orLeN el 3 of the fair N aloe bierarchN is based on ALSAC's abilitv to redeem its interest in the find. or aportion thereof. at the financial statement measurement date or within the near term

ALSAC considers the near term to be the period up to ninetN daN s after the measurement date In 2013.ALSAC formallN adopted this definition of near term based on guidance issued bN the AmericanInstitute of Certified Public Accountants relating to the measurement of alternatiN e inN estments thatqualifi for the NAV practical expedient Adoption of this change resulted in fair N alue estimate transfersfrom LeN el 2 to Le' el 3 approximating $316.758.000 during 2013

ALSAC's assets and inN estments by asset class and fair N alue hierarchN leN el as of June 30.2013 and2012. are as follows

2013Level 1 Level 2 Level 3 Total

Global equity $ 344.237.444 $ 699.209.556 $ 24.985.022 $1.068.432,022MarketablealternatiNe 36.575,551 341.641.404 344.943.345 723.160,300

Real assets 163.531.220 73.441.436 152.891.058 389.863,714Pri' ate equity - - 182.062.616 182.062,616Fixed income 62.887.908 228.290.757 - 291.178,665Cash 26.912.273 - - 26.912,273

Total $ 634.144.396 $1.342.583.153 $ 704.882.041 $2.681.609,590

2012Level1 Level2 Level3 Total

Global equity $ 220,456.111 $ 675.824.006 $ - $ 896.280,117Marketablealternati' e - 566.183.064 - 566.183,064

Real assets 142.358.188 132.234.398 108.442.562 383.035,148PriN ate equit\ - - 175.654.368 17-5.654,3)68Fixed income 55.692.856 226.213.805 - 281.906,661Cash 24.467.983 - - 24.467,98')-

Total $442.975. 138 $1.600,455.273 $ 284.096.930 $2.327.527,341

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There were no significant transfers betww een LeN el 1 and LeN el 2 (asset-leN el reclassifications) during thefiscal sear ended June 30. 2013

The changes in assets bN asset class measured at fair N aiue for which ALSAC used LeN e13 inputs todetermine fair N aiue for the s ears ended June 30. 2013 and 2012. are as follows

Besmnms balance at June 311. 2011

Tiansfeis into Lexel 3

Tiansfeis out of LeN el ?

Purchases

SalesDistubutionsInterest and do idendsRealized gain (b)Unrealized (loss) gain (b)

Ending balance at June ?0. 2012

Tiansfets into Lexel 3 (a)

Ti ansfeis out of Lex el 3

Purchases

SalesDistt ibutionsInterest and do idends

Realized gain (b)Unrealized (loss) gain (b)

Ending balance at June 311. 2013

Global Marketable Real Private

Equity Alternative Assets Equity Total

$ $ $ 1112.55 3.385 $ 16 3.5111.39-4 S 266.054.779

211.3,0.322 25 .108399 45 .4 8.721

(19.794.526) (24.639.447) (44.4 3.973)-4.180.8 34 2.266.151 6.4 46.98510.062.570 9.143.142 19.205.712(8.890 .023 ) 274.729 ( 8.615.294 )

108.442.562 175. 654.368 28 4.096.930

262.1155.783 54.702.697 - 316.758.480

24.985.022 67, , 16.112 15.880 .049 26.485.522 1 34.666.705

- (10.034.775) (937) - (10.015.712)(9.140.11110) (38 .6114.245) (46.472.132) (94.2163,77)

6 3.652.972 6.163.1153 9.816.1131

- %190.354 13.622.634 15.726.970 ?2.5.9.958- 31.555. 865 (4.811 4.674 ) 4.504.815 31.256.026

524.985.1122 $ 344.94,.345 $ 152.891.058 $ 182.062.616 S 704.882.041

(a) Ttansfets into Le%el 3 relate to the reclassification ofimestment funds, in full of in pact, that vvete not redeemable at the measutementdate of vvrtlun the 90 da,, neat tern all transfers into Le%el 3 are measured as of the beginning of 2013

(b) The total amounts of realized gain and unrealized ( loss) gain ate included in net investment income (loss) on \LS AC s statement of

actt\ [rtes

ALSAC's pollcN is to recognize transfers in and transfers out of LeN e13 securities as of the actual dateof the eN ent or change in circumstances that caused the transfer

ALSAC uses fund net asset N alues (NAV) as a practical expedient to estimate the fair N alue of ALSACoww nership interest for funds which ( a) do not haN e a readilN determinable fair's alue and ( b) prepare theirfinancial statements consistent with the measurement principles of an inN estment company or haN e theattributes of an inN estment company

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The inNestments in inNestment funds (in partnership format) bN mayor categor\ as of June 30. 2013 and2012. are as follows

Unfunded Redemption Redemption

2013 Fair Value Commitments Frequency Notice Period

Global equ th (a) $ 264,-465,O09 $ - Dail\ , monthl\ . quaiteiIN 0-60 da\ s

Maiketable alteinatiNes ( h) (c) 684 O77,O13 6,000,000 Monthl\, quaiteih, annualli,gieatei than one \ eat 3 0- 180 da\ s

Real assets (d) (e) 173,-455,559 110,460,680 Not redeemable, monthl\,

quaiteil\ 0-90 da\sPirate equit\ (1) 180,541,698 146,981 ,O07 Not Iedeemable

Total $ 1,3O2539 279 $263,-441,687

Unfunded Redemption Redemption

2012 Fair Value Commitments Frequency Notice Period

Global equit\ (a) $ 196,583333 $ - Monthl . quaiteil 35-6() da\ 5

Marketable altetnatn es (h) (c) 564,520,716 - Monthl\ . quaiteiIN 30-180 da\ s

Real assets (d) (e) 207,79O,231 66,769,-465 Monthl . quaiteil 0-90 da's

foi malketable Zeal assets

Pirate equit\ (1) 174,539,568 80,717,573 Not redeemable

Total $ 1,143,-433.8 48 $ 147,-487,()38

There are approximatelN $4.100.000 of funds undergoing full redemption from which ALSAC receiN esdistributions through liquidation bN fund managers of underlN ing. illiquid securities Liquidation ofapproximately $1.800.000 is expected to be completed within the next s ear Illiquid balances expectedto be distributed in the longer term remain from funds terminated in 2005 . 2008, and 2010 totalingapproximately $100.000. $1 .500.000. and $700.000. respecti'sel\

(a) Includes inNestments in global equit\ and long Short equtt\ hedge funds The long shoit equtt\ funds include shoit positionsas 'x ell as long positions and use lexerage Managers in this allocation pursue di cisitied strategies coxeiing multiplecapitalizations, st\Ies and geographic focus Some funds niaN he subject to lock-up prosisions

(h) Includes hedge fund strategies Such as hedged equit\, multi-stiateaN. aibitiage, global macro, distressed securities, and open

mandate strategies UndeiIN ing inxestments are puimaul liquid instruments and their deuxatixes in fixed income, assetbacked securities, cuiiencN. commodities, and equities The funds include short positions as ell as Iong positions and use

leN erage

(c) Include funds that niaN liaN e lock-up pioN isions of inN est in pi IN ate inN estments NNluch aie t\ picallN segiegated into "bidepockets" (a separate share class) and are not available for redemption until the in estment is liquidated bN the manages Thetime at 'x hich the investments in side pockets 'x ill he liquidated cannot he estimated

(d) Includes funds that inxest in a xaiiet\ of Zeal assets that include public and pirate Zeal estate, Zeal estate related debt and

securities, public and prix ate oil and gas and other eneigN (elated investments, timber, commodities, piectous metals, publicand pirate mining companies, and TIPS (Tieasui' Inflation Protected Securities)

(e) Includes illiquid inxestments held in limited partnership funds The nature of these illiquid in estments is such that

distiibutions aie ieceiNed through liquidation of the undeilN ing assets of the funds AS a iesult. the timing of distiibutionstiom these illiquid in estments is uncertain

(1) Includes in estment mandates for global pirate equit\ and such as lexeiaged bin outs, gio'. th equitl, Nentuie capital anddistressed investments The nature of these illiquid in estments i5 such that distiibutions ai e iecen ed through liquidation of

the undeilN ing assets of the funds As a result, the timing of distiihutions from these illiquid inxestments is uncertain Thefunds in this categor\ do not peinut redemptions

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10. BUSINESS AND CREDIT CONCENTRATIONS

The Hospital routinelN obtains assignment of (or is otherwise entitled to receiN e) patients' benefitspayable under their health insurance programs. plans. or policies (e g. Medicaid. Blue Cross. preferredpros ider arrangements. and commercial insurance policies)

The mix of accounts receiN able from third-party pa\ ors. net of contractual allowances. as of June 30.2013 and 2012. is as follows

2013 2012

Commercial insurance 52 % 47 %Medicaid 18 35Blue Cross 27 17

Other third-part\ paN ors 3 1

Total 100 % 100 %

11. FINANCIAL INSTRUMENTS

The carrying amounts of all applicable asset and liabilit\ financial instruments reported in theconsolidated statements of financial position (except debt instrments) approximate their estimated fairN alues. in all significant respects. as of June 30. 2013 and 2012. Fair N alue of a financial instrument isdefined as the amount at which the instrument could be exchanged in a current transaction betweenwilling parties

The fair N allies of the debt instruments haN e been estimated using interest rates currentlN aN ailable to theHospital for borrowings haN ing similar character. collateral. and duration The aggregate fair N alue ofsuch instruments approximated $232.600,000 and $240.815.000 as of June 30. 2013 and 2012.respectiN elN

12. SELF-INSURANCE PROGRAMS

The Hospital is self-insured for the following.

• ComprehensiN e general and professional liability coN erage up to $2 million per claim and $7 millionin the aggregate. with $100 million of excess claims-made coN erage aboN e the self-insuredretentions

Workers' compensation liabilities up to a specific retention of $500.000. with excess coN erage atstatutor\ limits

• EmploN ee health coN erage up to $400.000 per coN ered indiN ideal per claim with no lifetime limit

The Hospital records a reserN e for the estimated ultimate costs of both reported claims and claimsincurred but not reported related to the aboN e-described self-insurance programs The Hospital also has

substantial excess liability coN erage aN ailable under the pros isions of certain claims-made policies. Tothe extent that an,, claims-made coN erage is not renewed or replaced ww ith equi alent insurance. claims

based on occurrences during the term of such coN erage. but reported subsequentlN. ww ould be uninsuredManagement belies es. based on incidents identified through the Hospital's incident reporting s,, stem.that anN such claims would not haN e a material effect on the Hospital's consolidated results of

-19-

operations or financial position In an,, eN ent. management anticipates that the claims-made coN eragecurrently- in place will be renewed or replaced with equi alent insurance as the term of such coN erageexpires Excess policies for professional liabilitN coN erage. ww orkers' compensation coN erage. andemploN ee health coN erage expire on MaN 1. 2014. January 1. 2014. and December 31. 2013.respectiv elN

13. LEASES

Rental expense for all operating leases was approximately $1.300.000 and $1.600.000 for the N earsended June 30. 2013 and 2012, respecti's elN

A schedule by Near of future minimum lease paN meats under operating leases as of June 30. 2013. thathaN e initial or remaining lease terms in excess of one N ear is as follows.

Years EndingJune 30

2014 $ 938.2452015 754.7732016 241.2422017 172.610

Total $ 2.106.870

The Hospital conducts its operations from leased propert\ and facilities. which includes certain land.administration facilities. two parking garages. patient care facilities. and research facilities The term ofthe lease of the aforementioned propert\ and facilities between the Hospital and ALSAC is 100 years.commencing December 31. 1998. and expiring December 31. 2098 This lease is classified as a capitallease bN the Hospital

An analysis of leased propertv under the Hospital ' s capital lease bN mayor classes as of June 30. 2013and 2012. is as follows

Land improN ementsBuildings and improN ements

2013

$ 6.564.402631.588.219

638.152.621

2012

Less accumulated depreciation

$ 6.172.734628.27-5.43 1

634.448.165

(369.077.605 ) (343.027.111 )

$ 269.075.016 $ 291.421.054

There are no future minimum lease paNments under this capital lease

******

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Documents

990 Return ofOrganization ExemptFromIncomeTax990s.foundationcenter.org/990_pdf_archive/620/620646012/...ST JUDE CHILDREN' S RESEARCH HOSPITALINC FAddress change 62-0646012 Doing Business