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      <MissionDesc>OUR MISSION IS TO CONTINUE THE HEALING MINISTRY OF JESUS CHRIST, "TO MAKE MAN WHOLE," IN A SETTING OF ADVANCING MEDICAL SCIENCE AND TO PROVIDE A STIMULATING CLINICAL AND RESEARCH ENVIRONMENT FOR THE EDUCATION OF PHYSICIANS, NURSES, AND OTHER HEALTH PROFESSIONALS.</MissionDesc>
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      <Desc>WE ARE ENGAGING WITH OUR COMMUNITY BY PROVIDING CLINICAL, MEDICAL AND EDUCATION SERVICES, AND BY PARTNERING WITH LOCAL, REGIONAL AND STATE AGENCIES, AND NON-PROFIT ENTITIES WE ARE ABLE TO CREATE A SYSTEM OF CARE, WHICH IMPROVES THE HEALTH OF ALL INDIVIDUALS IN OUR REGION. IN THE COMMUNITY WE SERVE, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THOSE WHO ARE UNABLE TO AFFORD HEALTH CARE, IS $7,082,343 FOR FISCAL YEAR ENDING JUNE 30, 2019.INPATIENT SERVICES WERE PROVIDED TO 24,110 PATIENTS AND INCLUDE THE FOLLOWING SERVICES: 8,948 SURGERIES PERFORMED116,972 RADIOLOGY PROCEDURES PERFORMED 812 CARDIAC CATHERIZATIONS AND OTHER PROCEDURESOUTPATIENT SERVICES INCLUDE THE FOLLOWING SERVICES AS A PARTIAL REPORT OF TOTAL SERVICES PERFORMED: 83,847 EMERGENCY ROOM VISITS 12,749 OUTPATIENT SURGERIES PERFORMED188,215 RADIOLOGY PROCEDURES PERFORMED 1,138 HYPERBARIC OXYGEN THERAPY &amp; WOUND CARE TREATMENTS 44,160 RADIATION ONCOLOGY TREATMENTS 81,049 OUTPATIENT REHABILITATION SERVICES 2,053 CADIAC CATHERIZATIONS AND OTHER PROCEDURESIN ADDITION TO THE SERVICES WE PROVIDED, OUR COMMITMENT TO THE PEOPLE WE SERVE IS REFLECTED IN THE COMMUNITY HEALTH BENEFIT SELECTED PROGRAM HIGHLIGHTS BELOW:1. LLUMC INVESTMENT IN HEALTH AND WELLNESS SERVICES AT SOCIAL ACTION COMMUNITY HEALTH SYSTEM (SACHS): SAC HEALTH SYSTEM IS A NON-PROFIT COMMUNITY HEALTH CARE CORPORATION SERVING THE INLAND EMPIRE AND MAJOR PARTNER OF LLUH IN THE CARE OF VULNERABLE POPULATIONS. THE CLINICS PROVIDE AFFORDABLE HEALTH CARE SERVICES FOR ALL, BUT PRIMARILY SERVE UNINSURED PATIENTS AND THEIR FAMILIES. THEY ACCEPT MEDI-CAL AND MEDICARE, AND OFFER MANY FEDERAL, STATE, AND LOCAL PROGRAMS TO THOSE WHO QUALIFY. FOR THOSE WHO ARE INELIGIBLE FOR PROGRAMS, THEY OFFER A SLIDING FEE SCALE BASED UPON INCOME. FAMILY MEDICINE &amp; ADULT PRIMARY CARE: THE FAMILY MEDICINE TEAM IS DEDICATED TO PROVIDING ADULTS AND FAMILIES WITH HEALTH INFORMATION AND EXPERTISE IN COMMUNITY-BASED PRIMARY CARE SERVICES FOR CHILDREN AND FAMILIES. SACHS PROVIDES VITAL SCREENING AND PREVENTIVE TREATMENTS SUCH AS WELL ADULT CARE AND WELL CHILD CARE, REPRODUCTIVE CARE, VACCINES, AND CANCER SCREENING. BEHAVIORAL HEALTH: SACHS BEHAVIORAL HEALTH SERVICES ASSISTS INDIVIDUALS, COUPLES, AND FAMILIES CONFRONTED WITH BEHAVIORAL AND MENTAL HEALTH ISSUES. A DEDICATED TEAM OF PSYCHOLOGISTS, PSYCHIATRISTS, AND LICENSED CLINICAL THERAPISTS, AS PART OF THE OVERALL INTEGRATIVE HEALTH CARE TEAM AT SACHS, ARE COMMITTED TO MEETING THE BEHAVIORAL AND MENTAL HEALTH NEEDS OF OUR COMMUNITY. DENTAL SERVICES: COMPREHENSIVE ORAL HEALTH CARE SERVICES FOR THE FAMILIES IN THE INLAND EMPIRE INCLUDING NEIGHBORING COUNTIES. SERVICES INCLUDE: DIAGNOSTIC &amp; PREVENTIVE CARE EMERGENCY DENTAL SERVICES BASIC DENTAL SERVICES INCLUDING RESTORATIVE, BASIC ENDODONTIC, PERIODONTAL AND ORAL SURGERY (ROUTINE EXTRACTIONS) OTHER REHABILITATIVE SERVICES SUCH AS DENTURES, PARTIALS, CROWN &amp; BRIDGE AND OTHER ELECTIVE ORAL SURGICAL PROCEDURES. COMMUNITY RESOURCE CENTER: SACHS COMMUNITY RESOURCE CENTER (CRC) SUPPORTS ACCESS TO HEALTH CARE AND ENCOURAGES THE PHYSICAL, EMOTIONAL, AND SPIRITUAL HEALTH OF FAMILIES IN THE INLAND EMPIRE. SERVICES AND REFERRALS INCLUDE ASSISTANCE FOR FOOD, CLOTHING, UTILITIES, RENT, HOUSING, HEALTH, AND VARIOUS OTHER NEEDS. THE SACHS FOOD PANTRY PROVIDES IMMEDIATE FOOD ASSISTANCE FOR FAMILIES IN NEED. 2. HEALTH PROFESSIONS PIPELINE PROGRAMS THROUGH PROGRAMMING IMPLEMENTED BY ICP, LLUMC IS THE MAIN INVESTOR IN THE PROGRAMS DESIGNED TO INTRODUCE YOUTH TO THE HEALTH PROFESSIONS AND ADDRESS EDUCATION AND WORKFORCE DEVELOPMENT. GOAL 4 HEALTH TO INTRODUCE YOUTH TO THE HEALTH PROFESSIONS, ICP IMPLEMENTS THE GOAL 4 HEALTH PROGRAM FOR ELEMENTARY SCHOOL-AGE CHILDREN BY ENROLLING THEM IN FREE SOCCER LEAGUES TO PROMOTE PHYSICAL ACTIVITY AND COMBAT CHILDHOOD OBESITY. AS A REQUIREMENT OF THE PROGRAM, PARENTS MUST ATTEND HEALTH AND PARENTING EDUCATION THAT IS OFFERED IN ENGLISH AND SPANISH DURING SOCCER PRACTICE. OVER 600 PARTICIPANTS ENGAGE WITH THIS PROGRAM EVERY YEAR. SUMMER GATEWAY &amp; MY CAMPUS PROGRAMS - AS A LEADER IN HEALTH EDUCATION, LLUH HAS A DEEP UNDERSTANDING OF THE ACCESS YOUNG PEOPLE IN OUR REGION NEED TO ACCESS HIGHER EDUCATION AND THE ENORMITY OF HOW A COLLEGE DEGREE CAN CHANGE NOT ONLY THEIR LIFE AND SOCIOECONOMIC STATUS, BUT THE LIVES OF THEIR ENTIRE FAMILIES. WORKING WITH HIGH SCHOOL STUDENTS, ICP BRINGS STUDENTS TO THE LLUH CAMPUS MONTHLY FOR OUTREACH TO TEACH THEM ABOUT THE MEDICAL PROFESSIONS. MANY OF THESE STUDENTS APPLY FOR THE SUMMER GATEWAY PROGRAM, A TWO-WEEK SUMMER PROGRAM FOR UNDERSERVED YOUTH, THAT INCLUDES SPEAKERS AND ACTIVITIES, WITH AN OPTIONAL THIRD WEEK WHERE INTERESTED STUDENTS CAN SHADOW HEALTH PROFESSIONALS IN THE WORKPLACE.THE PROGRAM PROVIDES TRAINING IN HOW TO TAKE THE SAT, APPLY FOR FINANCIAL AID, AND IMPROVE STUDY SKILLS SO STUDENTS UNDERSTAND THAT OBTAINING A COLLEGE EDUCATION IS ATTAINABLE. SPEAKERS FROM ALL OF THE HEALTH SCIENCE SCHOOLS AT LOMA LINDA UNIVERSITY OFFER INSTRUCTION AND HANDS-ON ACTIVITIES FOR STUDENTS TO LEARN MORE ABOUT DIFFERENT HEALTH SCIENCE CAREER OPPORTUNITIES. THE PROGRAM NOT ONLY OFFERS ACADEMIC AND CAREER GUIDANCE, BUT FOCUSES ON WHOLENESS AND PHYSICAL ACTIVITY, HEALTHY MEALS, AND TEAM BUILDING ACTIVITIES TO ADDRESS THE NEEDS OF THE WHOLE PERSON. THE PROGRAM SERVES ABOUT 70 HIGH SCHOOL SENIORS A YEAR. 3. SCHOLARSHIPS FOR YOUTH, THE SAN MANUEL GATEWAY COLLEGE (SMGC) IS THE FIRST OF ITS KIND IN THE UNITED STATES. THE COLLEGE WILL INTEGRATE TRAINING PROGRAMS IN HEALTH CAREERS WITH CLINICAL EXPERIENCE, ALLOWING STUDENTS TO BENEFIT FROM HANDS-ON TRAINING AND MENTORING BY LOMA LINDA UNIVERSITY HEALTH FACULTY AND STUDENTS. THESE SIX- TO 18-MONTH HEALTH CAREER CERTIFICATE PROGRAMS WILL PROVIDE JOB ENTRY SKILLS, EMPLOYMENT AND COLLEGE CREDIT FOR STUDENTS WHO ELECT TO FURTHER THEIR EDUCATION. LLUMC PROVIDES SCHOLARSHIPS TO YOUTH WHO MEET THE CRITERIA OF REPRESENTING THE PRIORITY POPULATIONS AS PART OF OUR COMMUNITY BENEFIT PRIORITY TO EXTEND ACCESS TO EDUCATION. THE TECHNICAL CERTIFICATION PROGRAMS ARE TRULY A GATEWAY FOR UNDER-SERVED YOUTH AND ADULTS IN OUR COMMUNITY THROUGH THESE TRAINING PROGRAMS: CERTIFIED NURSING ASSISTANT*DIALYSIS TECH*MEDICAL ASSISTANT*PHARMACY TECH* SURGICAL TECH*COMMUNITY HEALTH WORKER4. INJURY PREVENTION PROGRAM LLUMC INVESTS IN PROGRAM MANAGERS TO SUPPORT SAFETY OUTREACH AND EDUCATION TO PREVENT INJURIES BASED ON TRENDS IN OUR EMERGENCY DEPARTMENT. AS LLUH IS THE HIGHEST LEVEL TRAUMA PROVIDER IN THE REGION, LLUH IS UNIQUELY POSITIONED TO RESPOND TO OUTREACH FOR THE PREVENTION OF TRAUMATIC INJURY ABOVE AND BEYOND THE STANDARD OF CARE REQUIREMENTS. SEE THE INJURY PREVENTION PROGRAM TABLE IN THE APPENDIX FOR DETAIL ON OUTREACH EFFORTS. 5. CANCER CENTER OUTREACH PROGRAM THE CANCER OBJECTIVES FOR HEALTHY PEOPLE 2020 SUPPORT MONITORING TRENDS IN CANCER INCIDENCE, MORTALITY, AND SURVIVAL TO BETTER ASSESS THE PROGRESS MADE TOWARD DECREASING THE BURDEN OF CANCER IN THE UNITED STATES. THE OBJECTIVES REFLECT THE IMPORTANCE OF PROMOTING EVIDENCE-BASED SCREENING FOR CERVICAL,COLORECTAL, AND BREAST CANCER BY MEASURING THE USE OF SCREENING TESTS. FOR CANCERS WITH EVIDENCE-BASED SCREENING TOOLS, EARLY DETECTION MUST INCLUDE THE CONTINUUM OF CARE FROM SCREENING TO APPROPRIATE FOLLOW-UP OF ABNORMAL TEST RESULTS AND REFERRAL TO CANCER TREATMENT. AT LLUH WE ARE COMMITTED TO TREATING INTERRELATED FACTORS THAT CONTRIBUTE TO THE RISK OF DEVELOPING CANCER. THESE SAME FACTORS CONTRIBUTE TO THE OBSERVED DISPARITIES IN CANCER INCIDENCE AND DEATH AMONG RACIAL, ETHNIC, AND UNDERSERVED GROUPS. THE MOST OBVIOUS FACTORS ARE ASSOCIATED WITH A LACK OF HEALTH CARE COVERAGE AND LOW SOCIOECONOMIC STATUS (SES). REFER TO SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION REGARDING OUR COMMUNITY SERVICE AREA, COMMUNITY ASSESSMENT &amp; IMPLEMENTATION STRATEGY.</Desc>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>360000</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40750</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILSON TED</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TREVINO MAX</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEGSTAD DOUGLAS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>323958</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40750</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REINER SCOTT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NG GT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARTIN ROBERT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>699671</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41750</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MOORE LARRY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LANDLESS PETER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISPENS JERE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACKSON DAN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAMS DAVID</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WERNER TOM</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TSAO ERIC</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHNSON MARK</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEARDSLEY-HARDY LISA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIDDER MELISSA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>6288</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SMITH RON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHIM EUNMEE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>COLON WILFREDO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RUCKLE HERBERT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>654684</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42250</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARRIS WAYNE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DODDS SHERYL</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FILLER STEVEN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEMON THOMAS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MINOR PATRICK</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOUMANNLARS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHINNOCK RICHARD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>383886</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40750</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GRAHAM RICHARDO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PEVERINI RICARDO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>450000</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40750</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PRESTOL-PUESAN JUAN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEMON ROBERT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHANG SHIRLEY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HENDERSON WHITNEY P</PersonNm>
        <TitleTxt>ASST. CORPORATE SECRE.</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>49.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>122491</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25129</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HUGGINSORLANDO</PersonNm>
        <TitleTxt>ASST. CORPORATE SECRE.</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>49.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>190776</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32518</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HUBBARD MARK</PersonNm>
        <TitleTxt>ASST. CORPORATE SECRE.</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>49.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>646171</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58040</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LALAS ANGELA</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>673347</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61036</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ZIRKELBACH MARK</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>484234</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41432</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HADLEY ROGER</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>49.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>526034</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49440</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBINSON MAVIS D</PersonNm>
        <TitleTxt>CNO 9-17-18</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>91371</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8889</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WRIGHT TREVOR</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>703707</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63894</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HANNAMYRNA LEE</PersonNm>
        <TitleTxt>CORPORATE SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>49.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>173615</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32117</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KROETZ JANET</PersonNm>
        <TitleTxt>PRIOR CNO/SVP PATIENT CAR SVC (UNTIL 12-31-18)</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>433782</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53843</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STAPLE-EVANS HELEN</PersonNm>
        <TitleTxt>PRIOR CNO/SVP PATIENT SVC</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>336393</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47822</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARDS LYDON</PersonNm>
        <TitleTxt>SR VP-ADULT HOSPITAL</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>595387</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>62245</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEAN-MARIE JONATHAN</PersonNm>
        <TitleTxt>VP-ADMINISTRATOR-EAST CAMP</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>344013</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>55515</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VANDENBOSCH DARRYL</PersonNm>
        <TitleTxt>VP-ADULT HOSPITAL</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>504697</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>62067</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WREN DAVID</PersonNm>
        <TitleTxt>VP-AMBULATORY SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>331796</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58855</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SODERBLOM ALAN</PersonNm>
        <TitleTxt>VP-FINANCE UNTIL 12-10-18</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>460076</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58401</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUND JOSHUA S</PersonNm>
        <TitleTxt>ASST VP SUPPLY CHAIN</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>203309</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31566</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHATIGNY JUDY M</PersonNm>
        <TitleTxt>AVP-ANCILLARY SVC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>320777</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42312</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ARIAS PABLO A</PersonNm>
        <TitleTxt>AVP-CARE COORDINATION</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>224907</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32948</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIFOSQUE AILEEN F</PersonNm>
        <TitleTxt>AVP-FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>201925</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NATION ISLA A</PersonNm>
        <TitleTxt>AVP-PERIOPERATIVE SVC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>206933</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31568</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARKOVICH SUSAN</PersonNm>
        <TitleTxt>EXEC DIR-CRITICAL CAR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>215546</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36929</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CUNNINGHAM CONNIE</PersonNm>
        <TitleTxt>EXEC DIRECTOR-EMERGENCY SV</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>208880</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31703</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SWAGER OLIVIA A</PersonNm>
        <TitleTxt>EXEC DIRECTOR-MEDICAL LAB</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>224819</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32077</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BENCITO ACA AC NORIE R</PersonNm>
        <TitleTxt>EXEC DIRECTOR-PATIENT CARE</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <OtherCompensationAmt>34654</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ARYAN KARLA ANN</PersonNm>
        <TitleTxt>EXEC DIRECTOR-PATIENT CARE</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANTONY GOBIN</PersonNm>
        <TitleTxt>EXEC DIRECTOR-PHARMACY</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>252476</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34878</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCHILT ERIC N</PersonNm>
        <TitleTxt>FORMER AVP/VP-CONSTR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40032</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HANSEN KENT</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>49.50</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>652239</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LENO SONDRA</PersonNm>
        <TitleTxt>PRIOR VP FIN/VP REV CYCLE 4-1-19</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>325653</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48163</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BUSSELL RACHELLE</PersonNm>
        <TitleTxt>SVP ADVANCEMENT</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>487125</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NORTON LIZETTE</PersonNm>
        <TitleTxt>VP HRM ADMINISTRATION</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>301662</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EISELE MELVIN ARTHUR</PersonNm>
        <TitleTxt>VP REVENUE CYCLE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>49.50</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>248736</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48238</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATYAL BALDEV</PersonNm>
        <TitleTxt>CHIEF PHYSICIST</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTENSEN JASEN</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
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        <OtherCompensationAmt>18337</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GHEBREMEDHIN ABIEL</PersonNm>
        <TitleTxt>PHYSICIST PHD LEAD</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHOI DONGRAK</PersonNm>
        <TitleTxt>PHYSICIST PHD LEAD</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EVANS JUDY</PersonNm>
        <TitleTxt>SVC LN DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAPPAS JAMES</PersonNm>
        <TitleTxt>ASSOC. CHIEF-QP&amp;SR</TitleTxt>
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        <OtherCompensationAmt>40750</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LANG KEVIN</PersonNm>
        <TitleTxt>FORMER CFO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BROWN JENNIFER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DONKOR KOFI</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39884</OtherCompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCCARTHY BUILDING COMPANIES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>20401 SE BIRCH STREET SUITE 300</AddressLine1Txt>
            <CityNm>NEWPORT BEACH</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92660</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LOMA LINDA UNIVERSITY SHARED SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>197 E CAROLINE ST</AddressLine1Txt>
            <CityNm>SAN BERNARDINO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92408</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LOMA LINDA UNIV ADV HEALTH RISK MANAGEME</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>101 E REDLANDS BLVD</AddressLine1Txt>
            <CityNm>SAN BERNARDINO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92408</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CAPTIVE INSURANCE PROVIDER</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LOMA LINDA UNIVERSITY FACULTY MEDICAL GR</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11175 CAMPUS ST 1120</AddressLine1Txt>
            <CityNm>LOMA LINDA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92350</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LOMA LINDA INLAND EMPIRE CONSORTIUM FOR</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11175 CAMPUS ST CSP 11006</AddressLine1Txt>
            <CityNm>LOMA LINDA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92354</ZIPCd>
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      <InfoInScheduleOPartVIIIInd>X</InfoInScheduleOPartVIIIInd>
      <FederatedCampaignsAmt>4225</FederatedCampaignsAmt>
      <AllOtherContributionsAmt>11061771</AllOtherContributionsAmt>
      <TotalContributionsAmt>11065996</TotalContributionsAmt>
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        <Desc>PATIENT CARE</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>1037862149</TotalRevenueColumnAmt>
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        <Desc>OTHER PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>178192476</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>178192476</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>HOSPITAL QUALITY ASSURANCE PROGRA</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>123911045</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>123911045</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>NET ASSETS RELEASED FROM RESTRICT</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>541153</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>541153</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>18928421</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18928421</RelatedOrExemptFuncIncomeAmt>
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      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>1234625</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1234625</RelatedOrExemptFuncIncomeAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
        <OtherAmt>-1528187</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1528187</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-1528187</RelatedOrExemptFuncIncomeAmt>
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      <GrossSalesOfInventoryAmt>21681197</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>14544764</CostOfGoodsSoldAmt>
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        <TotalRevenueColumnAmt>7136433</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6254399</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>882034</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>RADIOLOGY IMAGING</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>163326</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>163326</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>163326</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>1377507437</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1365559407</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>882034</UnrelatedBusinessRevenueAmt>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CRITICAL NEED FOR HEALTH CARE REFORM IS APPARENT TO ALL AMERICANS. LOMA LINDA UNIVERSITY MEDICAL CENTER BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY ASSISTING OUR REPRESENTATIVES AND THEIR STAFF MEMBERS TO BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICY ISSUES. TO CARRY OUT LLUMC'S ROLE IN DEVELOPING BENEFICIAL HEALTH CARE POLICIES, LLUMC WORKS TO ESTABLISH RELATIONSHIPS WITH REPRESENTATIVES AND INDUSTRY ASSOCIATIONS WHICH CAN BE UTILIZED TO COMMUNICATE LLUMC'S POSITIONS ON MAJOR HEALTH CARE ISSUES. NATIONAL AND LOCAL REPRESENTATIVES ARE CONTACTED BY LLUMC AT KEY TIMES DURING THE LEGISLATIVE AND REGULATORY PROCESS TO COMMUNICATE HOW PROPOSED LAWS MIGHT HELP OR IMPEDE LLUMC'S ABILITY TO PROVIDE COST-EFFECTIVE, QUALITY CARE TO PATIENTS. LLUMC PARTICIPATES WITH VARIOUS HEALTH CARE INDUSTRY ASSOCIATIONS IN ADVOCATING HEALTH CARE PUBLIC POLICY INTERESTS. NO TIME IS SPENT INTERVENING IN ANY POLITICAL CAMPAIGN. THE LOBBYING EFFORTS OF LLUMC ARE PRIMARILY THAT OF AN EDUCATOR TO GOVERNMENT AND INDUSTRY REPRESENTATIVES ON THE PROVISION OF QUALITY CARE AND THE RELATED COST OF SUCH CARE. LLUMC IS INVOLVED IN THIS EDUCATION PROCESS DUE TO ITS PROMINENCE IN THE HEALTH CARE FIELD INCLUDING PATIENT CARE, TEACHING, AND MEDICAL RESEARCH.</ExplanationTxt>
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        <ExplanationTxt>THE EXPLAINATION BELOW IS TAKEN FROM THE "COMBINED FINANCIAL STATEMENTS AND SUPPLEMENTARY INFORMATION" FOR LOMA LINDA UNIVERSITY MEDICAL CENTER AND AFFILIATES YEARS ENDED JUNE 30, 2019 AND JUNE 30, 2018. THE PRINCIPAL OPERATIONS OF LLUMC ARE EXEMPT FROM TAXATION PURSUANT TO IRC SECTION 501(C)(3) AND THE RELATED STATE PROVISIONS. ACCOUNTING STANDARDS CODIFICATION TOPIC (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2019 OR JUNE 30, 2018. LLUMC CURRENTLY FILES FORM 990 (INFORMATIONAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAXES) AND FORM 990-T (BUSINESS INCOME TAX RETURN FOR AN EXEMPT ORGANIZATION) IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA FOR EACH TAX-EXEMPT ORGANIZATION AS APPROPRIATE. LLUMC IS NOT SUBJECT TO INCOME TAX EXAMINATIONS PRIOR TO 2013 IN MAJOR JURISDICTIONS. THE TAX CUTS AND JOBS ACT (THE ACT) WAS ENACTED ON DECEMBER 22, 2017. THE PROVISIONS OF THE ACT DID NOT HAVE A MATERIAL TAX EFFECT ON LLUMC'S COMBINED FINANCIAL STATEMENTS.</ExplanationTxt>
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        <USAddress>
          <AddressLine1Txt>11234 ANDERSON ST</AddressLine1Txt>
          <CityNm>LOMA LINDA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92354</ZIPCd>
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        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
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        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>18</CHNAConductedYr>
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        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.LLUH.ORG</OwnWebsiteURLTxt>
        <OtherWebsiteURLTxt>SEE SECTION C</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>18</ImplementationStrategyAdptYr>
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        <StrategyWebsiteURLTxt>REFER TO SUPPLEMENTAL SECTION OF SCHEDULE H</StrategyWebsiteURLTxt>
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        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>350.000000000000</FPGFamilyIncmLmtDscntCarePct>
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        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
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        <FAPAvailableOnWebsiteURLTxt>LLUH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE</FAPAvailableOnWebsiteURLTxt>
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        <FAPAppAvailableOnWebsiteURLTxt>LLUH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>LLUH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE</FAPSummaryOnWebsiteURLTxt>
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        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
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        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <NoneMadeInd>X</NoneMadeInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LOMA LINDA UNIVERSITY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3J: SOCIAL DETERMINANTS AND THE BUILT ENVIRONMENT WERE ALSO ASSESSED FOR A MORE HOLISTIC VIEW OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LOMA LINDA UNIVERSITY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: LOMA LINDA UNIVERSITY HEALTH PERFORMED A COMMUNITY HEALTH NEEDS ASSESMENT AND OBTAINED QUALITATIVE DATA IN ORDER TO VALIDATE AND ENSURE A BROAD REPRESENTATION OF THE COMMUNITY. THE DATA WAS GATHERED THROUGH MULTIPLE SOURCES SUCH AS EMPLOYEES WITHIN BOTH LOMA LINDA UNIVERSITY AND LOMA LINDA UNIVERSITY MEDICAL CENTER TO ASSESS COLLABORATION WITHIN THEIR SYSTEM; PHYSICIAN SURVEY TO IDENTIFY AREAS OF THE HEALTH SYSTEM THAT CAN SUPPORT THE HEALTH OF THEIR PATIENTS IN THEIR COMMUNITY INITIATIVES; SURVEY OF COMMUNITY AGENCIES SERVING OUR PRIMARY SERVICE AREA TO ASSESS THEIR NEEDS AND IDENTIFY AREAS WHERE LOMA LINDA UNIVERSITY HEALTH CAN BE A STRATEGIC PARTNER; KEY INFORMANT INTERVIEWS WITH COMMUNITY LEADERS TO ENGAGE THEM IN THE DEVELOPMENT OF OUR INTERVENTIONS AND SOLICIT THEIR INPUT TO IMPROVE THE HEALTH OF THE REGION; FOCUS GROUPS WITH PATIENTS ON HOW LLUMC CAN BETTER SERVE THE HEALTH NEEDS OF THE COMMUNITY.FOR PURPOSES OF THIS ASSESSMENT IT SHOULD BE NOTED THAT THE KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEY RESULTS ARE BASED ON A STRATIFIED RANDOM SAMPLE OF RESIDENTS THROUGHOUT THE INLAND EMPIRE OR A RANDOM SAMPLE OF EMPLOYEES IN EACH FACILITY. THE PERSPECTIVES CAPTURED IN THIS DATA SIMPLY REPRESENT THE COMMUNITY MEMBERS WHO ATTEND A FOCUS GROUP WITH AN INTEREST IN HEALTH CARE. SIMILARLY, THE PERSPECTIVES OF THE COMMUNITY PARTNERS CAPTURE IMPRESSIONS OF THOSE WHO WERE INVITED TO COMPLETE THE SURVEY ONLINE. THE KEY INFORMANTS WERE NOT CHOSEN BASED ON RANDOM SAMPLING TECHNIQUES, BUT INSTEAD INVITED BECAUSE THEIR COMMENTS REPRESENTED THE UNDERSERVED, LOW INCOME, MINORITY, AND CHRONOLOGICALLY ILL POPULATIONS. FINALLY, THIS ASSESSMENT RELIES ON SEVERAL NATIONAL AND STATE ENITITIES WITH PUBLICLY AVAILABLE DATA. ALL LIMITATIONS INHERENT IN THESE SOURCES REMAIN PRESENT FOR THIS ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LOMA LINDA UNIVERSITY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS ISSUED BY LOMA LINDA UNIVERSITY HEALTH WHICH INCLUDES THE FOLLOWING FACILITIES:1) LOMA LINDA UNIVERSITY MEDICAL CENTER (LLUMC)2) LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL (LLUCH)3) LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER (LLUBMC)4) LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA (LLUMC-M)THE COMMUNITY BENEFIT REPORT SUBMITTED IS COMPLIANT WITH THE CALIFORNIA'S OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT REPORT SUBMISSION REQUIREMENTS FOR FISCAL YEAR 2019 (JULY 1, 2018 - JUNE 30, 2019).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LOMA LINDA UNIVERSITY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: THE CHNA REPORT IS DISTRIBUTED AT COMMUNITY MEETINGS AND IS USED AS A REFERENCE FOR THE DEPARTMENT OF PUBLIC HEALTH'S COMMUNITY HEALTH NEEDS ASSESSMENT. OUR 2019 CHNA AND COMMUNITY BENEFIT REPORT IS AVAILABLE ON THE INSTITUTION'S WEBSITE:HTTPS://LLUH.ORG/ABOUT-US/COMMUNITY-BENEFIT/REPORTS-AND-RESOURCES</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LOMA LINDA UNIVERSITY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: EXPLANATION:IN A THREE-YEAR FISCAL PERIOD (JANUARY 1, 2016 JUNE 30, 2018), LLUH REPORTED OVER $500 MILLION IN BENEFIT TO THE COMMUNITY, BASED ON THE REPORTING CATEGORIES. WITHIN A FIVE-YEAR PERIOD (2014-2018) LLUH CONTRIBUTED OVER $1 BILLION IN BENEFITS TO THE COMMUNITY. OF THE OVER $7 MILLION IN COMMUNITY HEALTH INVESTMENT IN THE LAST THREE YEARS, LLUH HAS IMPACTED THE LIVES OF OVER 600,000+ COMMUNITY MEMBERS IN OUR TWO-COUNTY SERVICE REGION. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IS ABOUT OUR COMMUNITY. IT IS A TIME CAPTURE OF THE STRENGTHS, RESILIENCIES, AND NEEDS OF THE COMMUNITIES SERVED BY LOMA LINDA UNIVERSITY HEALTH. TO BETTER UNDERSTAND THE COMMUNITY, THE ASSESSMENT WAS BUILT ON A COMMUNITY-FIRST APPROACH, WITH A TOTAL OF 1,339 PEOPLE FROM THE SURROUNDING INLAND EMPIRE PARTICIPATING IN SURVEYS AND COMMUNITY CONVERSATIONS (FOCUS GROUPS). OVER AND OVER AGAIN, THE DIFFICULTIES PEOPLE FACE DAY-TO-DAY IN AFFORDING THE ESSENTIALS AND IN EXPERIENCING POVERTY WERE ECHOED AS PEOPLE SHARED THE DIFFICULTIES WITH COST OF LIVING IN OUR REGION. THE TOP SOCIAL DETERMINANTS OF HEALTH IDENTIFIED WERE: JOBS, FOOD SECURITY, SAFE GREEN SPACES, AFFORDABLE HOUSING, AND ACCESS TO HEALTH CARE. THE TOP HEALTH NEEDS IDENTIFIED WERE: BEHAVIORAL HEALTH, ASTHMA, DIABETES, AND OTHER LIFESTYLE-RELATED CONDITIONS. THE MOST UNANTICIPATED NEED IDENTIFIED BY THE ASSESSMENT WAS THE PREVALENCE OF A FEELING OF ISOLATION: 1 IN 3 PEOPLE SHARED FEELING ISOLATED. ALTHOUGH THE INTENT OF A CHNA IS TO IDENTIFY NEEDS, THE METHODOLOGY OF THIS ASSESSMENT WAS A NEEDS AND ASSET-BASED APPROACH TO COMMUNITY ASSESSMENT. THE RESILIENCY OF THE PEOPLE WHO LIVE AND WORK IN THE INLAND EMPIRE IS AT THE CORE OF THE ASSETS IDENTIFIED. RESILIENCY IS ALSO THE BACKBONE TO THE NEEDS THE COMMUNITY EXPRESSED. IN THE MANY ENCOURAGING COMMUNITY CONVERSATIONS, PEOPLE TOLD US AGAIN AND AGAIN THAT THEY WANT MORE COMMUNITY AND THAT THEY WERE AWARE THEY NEEDED TO INCREASE THE HEALTH OF OUR COMMUNITY. THERE WAS A STRONG SENSE OF HOPE FOR THE FUTURE. THE RESOUNDING MESSAGE OF THE 2019 ASSESSMENT IS THAT WE TRULY ARE HEALTHIER WHEN WE ARE TOGETHER IN COMMUNITY. OUR INITIATIVES AND PROGRAMS WILL ALSO CONTINUE TO PROVIDE COMMUNITY MEMBERS WITH EDUCATION AND SUPPORT FOR POST DISCHARGE CARE. THE CHNA ALSO CONTINUES TO SUPPORT AND FULFILL LLUH'S MISSION: TO FURTHER THE TEACHING AND HEALING MINISTRY OF JESUS CHRIST. AT LLUH, WE HAVE BEEN WORKING WITH THE PEOPLE OF THE INLAND EMPIRE FOR OVER 100 YEARS IN FULFILLMENT OF OUR INSTITUTIONAL MISSION TO CONTINUE CHRIST'S WORK ON EARTH THROUGH BOTH OUR EDUCATIONAL AND HEALTH CARE MISSION. LLUH IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE IN OUR COMMUNITY THROUGH OUR COMMUNITY BENEFIT INVESTMENTS AND STRATEGIES. THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS) 2020-2022 IS BASED ON THE COLLECTIVE VOICE OF THE COMMUNITY MEMBERS WE SURVEYED, WILL BE IMPLEMENTED ON BEHALF OF THE COMMUNITY, AND WILL BE EVALUATED BY THE COMMUNITY THROUGH OUR ONGOING COMMUNITY CONVERSATIONS. ADOPTED BY OUR BOARD ON AUGUST 27TH, 2019, THE NEEDS, PRIORITIES, AND STRATEGIES REPRESENTED HERE ARE OUR COMMITMENT TO IMPLEMENTATION THROUGH THE WORK OF THE LLUH INSTITUTE FOR COMMUNITY PARTNERSHIPS (ICP) AS ICP TRANSLATES LLUH'S PLAN FOR ITS FOUR LICENSED HOSPITALS INTO ACTION. WE WILL GO WHERE THOSE IN OUR COMMUNITY ASK LLUH TO WORK WITH COMMUNITY MEMBERS, NON-PROFIT PARTNERS, AND PUBLIC PARTNERS TO PROVIDE RESOURCES, ACCESS TO SERVICES, LINKAGES, SOCIAL SUPPORTS, AND MOST IMPORTANTLY, INCREASED CONNECTION AND COMMUNITY. LLUH IS UNIQUE AMONG MANY HEALTH SYSTEMS AS THE HOSPITALS HAVE MADE A CONSISTENT AND HISTORIC INVESTMENT IN THE OPERATIONS NECESSARY TO EFFECTIVELY COORDINATE AND PARTNER WITH OUR COMMUNITY. THE INSTITUTE FOR COMMUNITY PARTNERSHIPS (ICP) AND THE OFFICE OF COMMUNITY BENEFIT ARE THE STRATEGIC ARM OF THE FOUR HOSPITALS COMMUNITY BENEFIT PROGRAMMING. THE FOUR LICENSED HOSPITALS WITHIN THE LLUH SYSTEM COORDINATE THEIR COMMUNITY BENEFIT INVESTMENTS THROUGH THE INSTITUTE FOR COMMUNITY PARTNERSHIPS IN ORDER MAXIMIZE THE STRATEGIC USE OF FUNDS TO HAVE A GREATER IMPACT ON BEHALF OF THE COMMUNITIES THEY SERVE. WHILE ICP CENTRALIZES AND COORDINATES IMPLEMENTATION EFFORTS, ALL COMMUNITY BENEFIT ALLOCATIONS ARE TRACKED AND REPORTED, PER LICENSED HOSPITAL'S 990 SCHEDULE H. THE THREE-YEAR PLAN FOR THE FY 2020 - FY2022 FISCAL YEARS CENTERS ON LLUH'S ATTEMPT TO ADDRESS THE ROOT CAUSE OF POVERTY IN OUR REGION THROUGH WORKFORCE DEVELOPMENT AND EDUCATION AND TO INCREASE ACCESS TO CARE FOR VULNERABLE POPULATIONS WHO LIVE WITH UN-MET HEALTH NEEDS THAT CLUSTER INTO "LIFESTYLE DISEASES." THE TWO ARE INEXTRICABLY LINKED AS POVERTY DECREASES HEALTH STATUS IS A WELL-DOCUMENTED CONTRIBUTOR TO CHRONIC STRESS AND HIGHER RATES OF HYPERTENSION, DIABETES, DECREASED CARDIAC HEALTH, AND EVEN ENVIRONMENTALLY TRIGGERED CONDITIONS LIKE ASTHMA. POPULATIONS LIVING AT THE LOWER LEVELS OF INCOME, OR HAVING A LOW SOCIOECONOMIC STATUS, IS ALSO A WELL-DOCUMENTED CORRELATION TO A DECREASE IN MENTAL AND BEHAVIORAL HEALTH AND HIGHER PREVALENCE RATES OF SUBSTANCE USE. WHEN POVERTY IS PERVASIVE, THOSE LIVING IN POVERTY CANNOT MAXIMIZE THEIR HEALTH STATUS AS SURVIVAL CONCERNS DECREASE OVERALL HEALTH AND WELLNESS.-PRIMARY FOCUS AREA: WORKFORCE DEVELOPMENT &amp; EDUCATIONSCHOLARSHIPS: WORKFORCE ENTRY FOR ADULTS, YOUTH AND PEOPLE FROM HIGH-NEEDSPIPELINE PROGRAMS TO HIGHER EDUCATION FOR UNDERSERVED MIDDLE SCHOOL &amp; HIGH SCHOOL STUDENTS COMMUNITY HEALTH WORKERS WORKFORCE DEVELOPMENT &amp; INTEGRATION: COMMUNITY-BASED, SCHOOL- BASED AND CLINIC-BASED COMMUNITY HEALTH WORKERS-SECONDARY FOCUS AREA: HEALTH &amp; WELLNESS INCREASE ACCESS TO HEALTH AND AFFORDABLE FOOD OPTIONS THROUGH COMMUNITY HEALTH WORKERS AND COMMUNITY GARDENSDECREASE SOCIAL ISOLATION THROUGH MULTI-GENERATIONAL COMMUNITY ENGAGEMENT; INCREASE ACCESS TO MENTAL HEALTH RESOURCES, SCREENINGS, AND SUPPORT FOR PARENTS AND SCHOOL AGE CHILDRENHEALTH SYSTEM INTERVENTIONS TO ADDRESS LIFESTYLE DISEASE (OBESITY, ASTHMA, DIABETES AND HYPERTENSION); EXTEND ACCESS TO CARE FOR THE MOST VULNERABLE POPULATIONLLUH IS ROOTED IN PROMOTING WHOLENESS AND OUR COMMUNITY BENEFIT INVESTMENTS ARE DESIGNED TO SUPPORT THE COMMUNITY NEEDS. THE INITIATIVE AND PROGRAMS INCLUDES AN UNDERSTANDING OF THE COMMUNITY HEALTH STATUS AND THE BUILT IN ENVIRONMENT FOR OUR HEALTH SYSTEM'S READINESS TO MEET THE NEED OF OUR COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LOMA LINDA UNIVERSITY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13H: NUMBER OF FAMILY MEMBERS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LOMA LINDA UNIVERSITY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 16J: THE POLICY IS POSTED ON THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>LLUMC USES FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>LLUH, ON BEHALF OF LLUMC, SUBMITS AN ANNUAL COMMUNITY BENEFIT REPORT TO OSHPD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>WE USED THE WORKSHEETS AVAILABLE IN THE INSTRUCTION SECTION OF SCHEDULE H TO DERIVE THE AMOUNTS REPORTED IN THIS SECTION.PART I, LINE 7G: HOME CARE -$214,466 &amp; UNREIMBURSED ORGAN COSTS .PART I, LINE 7 COLUMN E: HEALTH PROFESSIONALS EDUCATION &amp; RESEARCH -$11,907,427PART I, LINE 7: MEDICAL CARE SERVICES - $88,808,742, COMMUNITY HEALTHIMPROVEMENT - $3,596,383 PART III, LINE 3: BAD DEBT - $6,192,680 PART</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>WE DID NOT INCLUDE ANY COST ATTRIBUTABLE TO A PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>REFER TO 990, PART III, LN 4A &amp; SCHEDULE O FOR MORE INFORMATION LOMA LINDA UNIVERSITY MEDICAL CENTER - COMMUNITY HEALTH BENEFIT SELECTED PROGRAM HIGHLIGHTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN FY19, LLUMC ADOPTED THE NEW REVENUE STANDARD USING THE MODIFIED RETROSPECTIVE METHOD. PATIENT SERVICE REVENUES ARE PRESENTED NET OF ESTIMATED IMPLICIT PRICE CONCESSION REVENUE DEDUCTIONS. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND EXPECTED COLLECTIONS BASED ON HISTORICAL COLLECTIONS. SEE FOOTNOTE TO 2019 LLUMC'S COMBINED FINANCIAL STATEMENTS, PAGE 14-16, NOTES TOCOMBINED FINANCIAL STATEMENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>ESTIMATED AMOUNT OF BAD DEBT EXPENSE REPORTED FOR PATIENTS ELIGIBLE UNDER LLUMC'S FINANCIAL ASSISTANCE POLICY IS DERIVED BY DEVELOPING A COST-TO-CHARGE RATIO OF 19.29% (ADJUSTED PATIENT CARE COSTS/GROSS PATIENT CHARGES) AND MULTIPLYING AGAINST BAD DEBT EXPENSE. LLUMC'S ESTIMATED COSTS OF CARE FOR ELIGIBLE PATIENTS REPRESENT THE AMOUNT OF BAD DEBT EXPENSE RELATED TO COMMUNITY BENEFIT. THE RATIONALE FOR THIS METHODOLOGY IS THAT ELIGIBLE PATIENTS WILL QUALIFY FOR DEEPLY DISCOUNTED OR FULLY DISCOUNTED PAYMENT FINANCIAL ASSISTANCE THAT WOULD RESULT IN ADJUSTED CHARGES THAT ARE COMPARABLE WITH ACTUAL COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOOTNOTE TO 2019 LLUMC'S COMBINED FINANCIAL STATEMENTS THATDESCRIBES BAD DEBT EXPENSE IS FOUND ON PAGES 14-16, NOTES TO COMBINED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A FAITH BASED ORGANIZATION, LLUMC STRIVES TO MEET THE HEALTH CARE NEEDS OF PATIENTS IN ITS GEOGRAPHIC SERVICE AREA. THE FIRST AND FOREMOST RESPONSIBILITY OF LLUMC IS TO SEE THAT ITS PATIENTS RECEIVE COMPASSIONATE, TIMELY, AND APPROPRIATE MEDICAL CARE WITH CONSIDERATION FOR PATIENT PRIVACY, DIGNITY, AND INFORMED CONSENT.ELIGIBILITY UNDER THE LLUMC FINANCIAL ASSISTANCE POLICY IS PROVIDED FOR ANY PATIENT WHOSE FAMILY INCOME IS LESS THAN 350% OF THE CURRENT FEDERAL POVERTY LEVEL, IF NOT COVERED BY THIRD PARTY INSURANCE OR, IF COVERED BY THIRD PARTY INSURANCE WHICH DOES NOT RESULT IN FULL PAYMENT OF THE ACCOUNT.FOR FURTHER INFORMATION, PLEASE REFER TO OUR CHARITY CARE AND FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>LIKE MANY ACADEMIC MEDICAL PROVIDERS, LLUH IMPLEMENTED A NUMBER OF COMMUNITY-BASED PROGRAMS AND SERVICES AS WELL AS OUTREACH ACTIVITIES THAT IMPACT THE LIVES OF MANY PEOPLE IN OUR REGION. LLUH IS FORTUNATE WITH THE BLESSING OF HAVING MANY SYSTEM ACTIVITIES WE CAN IDENTIFY THAT BENEFIT THE COMMUNITY. WHILE LLUH HAS A GOOD FINANCIAL ACCOUNTING AND TRACKING OF THESE COMMUNITY BENEFIT ACTIVITIES, THE COLLECTION OF STANDARDIZED DATA REMAINS THE PRIMARY FOCUS OF THE 2020-2022 CHIS CYCLES TO INCREASE OUR ABILITY TO TELL THE STORY OF THE IMPACT WE HAVE ON THE COMMUNITY. THE FOLLOWING INITIATIVES WILL BE PRIMARY STRATEGIES FOR THE 2020- 2022 COMMUNITY HEALTH IMPLEMENTATION STRATEGY: BETTER MEASURE THE SOCIAL DETERMINANT OF HEALTH BURDEN ON LOW-INCOME POPULATIONS: LLUH WILL CONDUCT CONTINUOUS ASSESSMENTS AND EVALUATIONS THROUGH COMMUNITY-BASED SURVEYING AND COMMUNITY CONVERSATIONS, IN ORDER TO ASSESS THE NEEDS AND STRENGTHS OF COMMUNITIES AS THEY EVOLVE, AND IN ORDER TO HAVE COMPARISON DATA TO THE BASELINE DATA COLLECTED IN THE CHNA. LLUH IS COMMITTED TO IMPLEMENTING A SOCIAL DETERMINANTS SCREENING THROUGH THE ELECTRONIC HEALTH RECORD SYSTEM FOR OUR PATIENTS TO IMPROVE DATA COLLECTION AND ENHANCE PHYSICIAN DECISION-MAKING ON HOW TO BETTER CARE FOR POPULATIONS OF PEOPLE WHO EXPERIENCE HEALTH BARRIERS DUE TO THE BURDEN OF THE SOCIAL DETERMINANTS OF HEALTH. STANDARDIZE DATA COLLECTION ACROSS COMMUNITY BENEFIT INITIATIVES, PROGRAMS, AND OUTREACH FOR IMPROVED OUTCOMES TRACKINGIN ADDITION TO ANNUAL PROGRAMS AND INTERVENTIONS THROUGHOUT THE COMMUNITY, LLUH IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY ADDRESSING THE FINDINGS OF CHNA. LLUH WILL PROACTIVELY INITIATE AND ENGAGE IN PROGRAMS, WHICH EMPHASIZE ON THE SOCIAL, DETERMINATES OF HEALTH, COMMUNITY VITAL SIGNS AND THE HEALTHY PEOPLE 2020 GOALS. LLUH'S COMMUNITY HEALTH STRATEGY (2020-2022) WILL ALSO ALIGN WITH THE LLUH VISION 2020 INITIATIVES AND PRIORITY AREAS. OUR WEBSITE IS: HTTPS://LLUH.ORG/ABOUT-US/COMMUNITY-BENEFIT/REPORTS-AND-RESOURCES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>LLUMC POST NOTICES INFORMING THE PUBLIC OF THE CHARITY CARE/DISCOUNT PAYMENT POLICY. SUCH NOTICES SHALL BE POSTED IN HIGH VOLUME INPATIENT, AND OUTPATIENT SERVICE AREAS OF LLUMC, INCLUDING BUT NOT LIMITED TO, THE EMERGENCY DEPARTMENT, BILLING OFFICE, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS OR OTHER COMMON PATIENT WAITING AREAS OF LLUMC. NOTICES ARE ALSO POSTED AT ANY LOCATION WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE.1) THES NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN LLUMC'S SERVICE AREA.2) A COPY OF THIS CHARITY CARE/DISCOUNT PAYMENT POLICY IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. LLUMC WILL RESPOND TO SUCH REQUESTS IN A TIMELY MANNER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOMA LINDA UNIVERSITY HEALTH (LLUH)'S, WHICH INCLUDES LLUMC, PRIMARY SERVICE AREA CAN BE DEFINED, BROADLY, AS CALIFORNIA'S SAN BERNARDINO, RIVERSIDE, AND ONTARIO METROPOLITAN AREAS. SAN BERNARDINO AND RIVERSIDE COUNTIES MAKE UP THE GEOGRAPHIC AREA HISTORICALLY NAMED "THE INLAND EMPIRE" DUE TO THE REGION'S RICH DIVERSITY OF NATIVE PEOPLES AND AGRICULTURAL HISTORY. THAT IDENTITY IS BECOMING MORE INCLUSIVE OF THE GREATER "INLAND REGION" OF CALIFORNIA AS THE CENTRAL AND COACHELLA VALLEY'S SHARE GEOGRAPHIC, CULTURAL, ECONOMIC, AND AGRICULTURAL CHARACTERISTICS WITH THE INLAND EMPIRE. SITUATED APPROXIMATELY 60 MILES EAST FROM THE LOS ANGELES METROPOLITAN AREA AND THE PACIFIC OCEAN, THE INLAND EMPIRE IS HOME TO OVER 4.5 MILLION PEOPLE AND IS THE 3RD MOST POPULOUS METROPOLITAN AREA IN THE STATE OF CALIFORNIA AND THE 13TH MOST POPULOUS METROPOLITAN AREA IN THE UNITED STATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INSTITUTE FOR COMMUNITY PARTNERSHIPS SERVES AS THE PRIMARY PORTAL FOR CONNECTING HOSPITAL RESOURCES TO THE NEEDS AND PEOPLE AS THE LLUH LIAISON TO OUR COMMUNITY. THE MISSION OF ICP IS TO ENSURE LLUH REMAINS RESPONSIVE AND RELEVANT TO THE COMMUNITY. THE INSTITUTE IS COMMITTED TO STRATEGICALLY WORKING WITH OUR COMMUNITY PARTNERS TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY THROUGH ACTIVITIES SUCH AS RESEARCH, TEACHING, AND SERVICE-BASED LEARNING. COMMUNITY PARTICIPATION IS AT THE CORE OF OUR EFFORTS, WITH STRUCTURED LEARNING OPPORTUNITIES FOR UNDERREPRESENTED MINORITY STUDENTS, TRAINING PROGRAMS FOR COMMUNITY HEALTH WORKERS AND COMMUNITY RESEARCH PROJECTS. ICP IMPLEMENTS THE LLUH-OPERATED COMMUNITY BENEFIT PROGRAMS AND ASSESSMENT AND PROVIDES THE RESEARCH NECESSARY TO BETTER TARGET HEALTH SYSTEM INTERVENTIONS TO THE UNDERREPRESENTED PEOPLE AND IN UNDER-ESTIMATED COMMUNITIES TO PROMOTE RESILIENCY AND HOPE. THE INSTITUTE IMPLEMENTS RESEARCH AND PROGRAMS OPERATED BY LLUH AND OVERSEES THE OFFICE OF TO ENSURE THE STRATEGIC INVESTMENT WITH PARTNER ORGANIZATIONS, AND THE COORDINATION AND REPORTING OF COMMUNITY BENEFIT OUTCOMES ON BEHALF OF LLUH. THIS UNIQUE MODEL ALLOWS LLUH TO FOCUS OUR IMPACT ON THE COMMUNITY TOWARDS THE SOCIAL DETERMINANTS (WORKFORCE DEVELOPMENT AND EDUCATION) AND IN THE HEALTH PRIORITIES WHERE WE ARE WORKING TO INCREASE ACCESS TO CARE FOR VULNERABLE POPULATIONS. COMMUNITY-BASED PARTNERSHIPS WITH NON-PROFITS ON ASSESSMENT AND INTERVENTIONS FOR TARGET POPULATIONS. THIS INCLUDES FUNDING COMMUNITY PARTNER'S WORK OR COLLABORATING WITH PARTNERS TO EXTEND ACCESS TO VULNERABLE POPULATIONS, LIKE THROUGH THE COACHELLA CONNECT HEALTH ACCESS EVENTS WHERE SCREENINGS, OPHTHALMOLOGY, AND DENTAL SERVICES ARE PROVIDED TO LOWER INCOME COMMUNITIES. ICP LEADS LLUH'S EFFORTS IN LISTENING TO THE COMMUNITY AND DOCUMENTING THE NEEDS IN ORDER TO MAXIMIZE OUR RESPONSIVENESS THROUGH VARIOUS METHODS: MAINTAINING A COMMUNITY BASED ADVISORY COUNCIL, A COMMUNITY MEMBER ADVISORY COUNCIL, AND REGULAR TOWN HALL MEETINGS TO BRING EXTERNAL AND INTERNAL MEMBERS OF LLUH TOGETHER ON IMPORTANT TOPICS AND INTERVENTIONS IN THE COMMUNITY. ADDITIONALLY, ICP CONDUCTS ONGOING COMMUNITY CONVERSATIONS IN ORDER TO MAINTAIN AN OPEN DIALOGUE WITH OUR COMMUNITY. DEVELOPING THE COMMUNITY HEALTH WORKER WORKFORCE IN NON-PROFITS (BOTH HEALTH SYSTEMS, COMMUNITY-BASED ORGANIZATIONS, AND IN SCHOOL DISTRICTS). LLUH IS DEVELOPING A COMMUNITY HEALTH WORKER PROGRAM IN OUR SYSTEM WITH THE GOAL OF MAINTAINING 60% OF THE CHWS TIME IN THE COMMUNITY WORKING WITH PATIENTS AND THEIR FAMILIES TO OVERCOME UNDUE BURDENS DUE TO THE SOCIAL DETERMINANTS OF HEALTH. THESE CHWS CONDUCT HOME VISITS AND PROVIDE LINKAGES AND ACCOMPANIMENTS WITH PATIENTS TO SOCIAL SERVICES, THE PATIENT'S OUTPATIENT PRIMARY AND SPECIALTY CARE PROVIDERS (REGARDLESS OF THE HEALTH SYSTEM), AND PEER SUPPORT AND INFORMAL COACHING TO INCREASE SELFEFFICACY OF THOSE WHO FACE UNDUE BURDENS. SERVICE LEARNING COORDINATION FOR ALL OF LLUH'S GRADUATE SCHOOLS AND IMPLEMENTATION OF THE CAPS PROGRAM, OR COMMUNITY-ACADEMIC PARTNERS IN SERVICE, SO THE LLUH GRADUATE STUDENT POPULATIONS ARE SERVING OR VOLUNTEERING IN OUR LOCAL COMMUNITIES AS PART OF THEIR EDUCATION HERE AT LLUH. THROUGH THE COMMUNITY-ACADEMIC PARTNERS IN SERVICE (CAPS) PROGRAM, ICP IMPLEMENTS ALL PIPELINE PROGRAMS DESIGNED TO INTRODUCE UNDERSERVED YOUTH TO THE HEALTH PROFESSIONS IN ORDER TO ENCOURAGE YOUTH TO PURSUE HIGHER EDUCATION AND CONSIDER THE HEALTH PROFESSIONS AS PART OF THE WORKFORCE DEVELOPMENT GOALS OF LLUH. APPROXIMATELY 240 MIDDLE AND HIGH SCHOOL STUDENTS ATTEND THE LLUH PIPELINE PROGRAMS PER YEAR PRODUCING IMPACTFUL SUCCESS STORIES THAT IMPROVE THE LIVES OF THE STUDENTS, THEIR FAMILIES, AND THEIR COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION: AFFILIATED HEALTHCARE SYSTEMWE ARE AFFILIATED WITH LOMA LINDA UNIVERSITY HEALTH SYSTEM WHICH INCLUDES 4 HOSPITALS, A UNIVERSITY, AND A FACULTY MEDICAL GROUP; COLLECTIVELY PLAYING AN ACTIVE ROLE IN PROMOTING THE HEALTH OF THEIR COMMUNITIES. A DETAILED COMMUNITY BENEFIT REPORT OF THE HOSPITAL'S ACTIVITIES WILL BE PROVIDED UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>CA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAC HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>250 S G ST</AddressLine1Txt>
          <CityNm>SAN BERNARNDINO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92410</ZIPCd>
        </USAddress>
        <RecipientEIN>330664371</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>950000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION TOWARDS OPERATIONAL COSTS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CALIF FIRE CHIEFS &amp; EMS FIRE &amp; EDUC FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1743 MIRO WAY</AddressLine1Txt>
          <CityNm>RIALTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92376</ZIPCd>
        </USAddress>
        <RecipientEIN>320241356</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>CONFERENCE SPONSORSHIP-GOLD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIVERSIDE UNIVERSITY HEALTH SYSTEM FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 9850</AddressLine1Txt>
          <CityNm>MORENO VALLEY</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92552</ZIPCd>
        </USAddress>
        <RecipientEIN>330374018</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP 2018</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOMA LINDA UNIVERSITY CHURCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11125 CAMPUS ST</AddressLine1Txt>
          <CityNm>LOMA LINDA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92354</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>187500</CashGrantAmt>
        <PurposeOfGrantTxt>VARIOUS</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>4</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>PHARMACEUTICALS/MEDICAL EQUIPMENT RENTAL</GrantTypeTxt>
        <NonCashAssistanceAmt>9807</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>PHARMACEUTICALS/MEDICAL EQUIPMENT RENTAL</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TRANSITIONAL LIVING/BOARD &amp; CARE</GrantTypeTxt>
        <NonCashAssistanceAmt>717021</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>TRANSITIONAL LIVING/BOARD &amp; CARE INCL MEDICAL SERVICES</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TRANSPORTATION</GrantTypeTxt>
        <NonCashAssistanceAmt>793163</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>TRANSPORTATION</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>FOOD</GrantTypeTxt>
        <RecipientCnt>1323</RecipientCnt>
        <NonCashAssistanceAmt>11357</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>FOOD-VEGAN MEALS FOR HOMEBOUND PATIENTS</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>UTILITIES</GrantTypeTxt>
        <NonCashAssistanceAmt>3393</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>UTILITIES</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>LLUMC PROVIDES SPONSORSHIPS, DONATIONS, AND OTHER ASSISTANCE TO ORGANIZATIONS AND INDIVIDUALS AS PART OF ITS COMMITMENT TO COMMUNITY OUTREACH. DISBURSEMENTS FOR GRANTS AND OTHER ASSISTANCE ARE REVIEWED AND APPROVED BY MANAGEMENT PRIOR TO DISBURSEMENT. MANAGEMENT RECEIVES PERIODIC REPORTS REGARDING THESE ACTIVITIES AS PART OF THE COMMUNITY BENEFITS REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <TravelForCompanionsInd>X</TravelForCompanionsInd>
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>1</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEINRICH KERRY</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>822885</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>117765</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>192294</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>43776</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>14437</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1191157</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HART RICHARD</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>454208</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>87882</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>35220</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>18247</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>595557</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WOODRUFF ROGER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>305000</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>55000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>35750</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5000</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>400750</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEGSTAD DOUGLAS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>303125</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>20833</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>35750</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5000</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>364708</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARTIN ROBERT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>600417</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>99254</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>35750</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6000</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>741421</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUCKLE HERBERT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>442709</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>211975</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>35750</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6500</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>696934</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHINNOCK RICHARD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>312500</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>71386</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>35750</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5000</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>424636</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PEVERINI RICARDO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>393333</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>56667</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>35750</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5000</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>490750</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HUGGINSORLANDO</PersonNm>
        <TitleTxt>ASST. CORPORATE SECRE.</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>41175</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>28407</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15716</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>337455</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAPPAS JAMES</PersonNm>
        <TitleTxt>ASSOC. CHIEF-QP&amp;SR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>300000</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1089</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>35750</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5000</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>341839</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LANG KEVIN</PersonNm>
        <TitleTxt>FORMER CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>357231</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>221535</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>303154</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>14604</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>896524</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BROWN JENNIFER</PersonNm>
        <TitleTxt>FORMER HIGHLY COMPENSATED</TitleTxt>
        <BaseCompensationFilingOrgAmt>191656</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>400</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>32378</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24590</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13063</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>262087</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONKOR KOFI</PersonNm>
        <TitleTxt>FORMER HIGHLY COMPENSATED</TitleTxt>
        <BaseCompensationFilingOrgAmt>231062</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>485</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>17506</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23582</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16302</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>288937</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>LLUMC'S SENIOR EXECUTIVES ARE EMPLOYED BY LLUH AND LLUH BENEFITS PROVIDE FOR PAYMENT OF THE TRAVEL EXPENSES FOR A SPOUSE TO ACCOMPANY AN EMPLOYEE ON ONE BUSINESS TRIP PER YEAR. IF USED, THE TAXABLE COST OF THIS BENEFITS IS INCLUDED IN THE EMPLOYEE'S W-2. LLUMC'S SENIOR EXECUTIVES ARE EMPLOYED BY LLUH AND LLUH BENEFITS PROVIDE FOR GROSS-UP PAYMENTS TO APPROXIMATELY COVER THE TAXES ON THE IMPUTED COST OF GROUP-TERM LIFE INSURANCE COVERAGE IN EXCESS OF $50,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE SEE EXPLANATION FOR PART VI, SECTION B, LINE 15 THAT IS LISTED UNDER SCHEDULE O.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING LLUH EMPLOYEES PARTICIPATED IN, AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SERP FUNDING PAID TO EMPLOYEE IN CASH: - HUBBARD, MARK LEE: 85,272 - LANG, KEVIN J.: 142,966 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH: - BUSSELL, RACHELLE: 44,873 - EDWARDS, LYNDON C: 65,901 - EISELE, MELVIN ARTHUR: 20,716 - HADLEY, HENRY ROGER: 65,274 - HANSEN, KENT: 73,090 - HART, RICHARD HENRY: 67,007 - HEINRICH, KERRY L: 153,006 - HUBBARD, MARK LEE: 57,121 - JEAN-MARIE, JOHNATHAN: 24,767 - JOHNSTON, CHRISTIAN W: 22,584 - KROETZ, JANET: 30,728 - LALAS, ANGELA MANALO: 79,223 - LANG, KEVIN J.: 66,408 - LENO, SONDRA: 20,802 - NORTON, LIZETTE: 14,449 - SODERBLOM, ALAN BRYCE: 45,553 - VANDERBOSCH, DARRYL WAYNE: 48,880 - WREN, DAVID GORDON: 18,279 - WRIGHT, TREVOR: 87,348 - ROBINSON, MAVIS D.: 7,324 - STAPLE-EVANS, HELEN: 21,533 TRAVEL FOR COMPANIONS: -NONE TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: - BUSSELL, RACHELLE: 2,025 - EDWARDS, LYNDON C: 2,258 - HANSEN, KENT: 5,716 - HADLEY, HENRY ROGER: 9,012 - HART, RICHARD HENRY: 4,678 - HEINRICH, KERRY L: 12,819 - HUBBARD, MARK LEE: 6,436 - JEAN-MARIE, JOHNATHAN: 583 - JOHNSTON, CHRISTIAN W: 1,072 - KROETZ, JANET: 4,617 - LALAS, ANGELA MANALO: 1,083 - LANG, KEVIN J: 3,122 - LENO, SONDRA: 3,287 - NORTON, LIZETTE: 4,109 - SODERBLOM, ALAN BRYCE: 1,145 - VANDERBOSCH, DARRYL WAYNE: 2,423 - WREN, DAVID GORDON: 3,139 - WRIGHT, TREVOR: 1,679 - MAVIS D. ROBINSON: 329 - STAPLE-EVANS, HELEN: 4,644 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS): - LANG, KEVIN J.: 3,356 - WREN, DAVID: 2,923</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>LOMA LINDA UNIVERSITY MEDICAL CENTER HAS AN INCENTIVE PLAN. PAYMENTS FOR INCENTIVE AWARDS ARE TRIGGERED ONLY IF, AMONG OTHER ESTABLISHED CRITERIA, NET INCOME EXCEEDS BUDGET BY AN ESTABLISHED PERCENTAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>680164610</BondIssuerEIN>
        <CUSIPNum>13080SEX8</CUSIPNum>
        <BondIssuedDt>2014-12-23</BondIssuedDt>
        <IssuePriceAmt>573954611</IssuePriceAmt>
        <PurposeDesc>TO FINANCE CAPITAL PROJECTS &amp; REFUND PRIOR OBLIGATIONS &amp; COA, ETC.</PurposeDesc>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>680164610</BondIssuerEIN>
        <CUSIPNum>13080SML5</CUSIPNum>
        <BondIssuedDt>2016-05-11</BondIssuedDt>
        <IssuePriceAmt>994737092</IssuePriceAmt>
        <PurposeDesc>TO FINANCE CAPITAL PROJECTS &amp; REFUND TAXABLE BONDS, ETC.</PurposeDesc>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>680164610</BondIssuerEIN>
        <CUSIPNum>13080SVN1</CUSIPNum>
        <BondIssuedDt>2018-08-23</BondIssuedDt>
        <IssuePriceAmt>431698839</IssuePriceAmt>
        <PurposeDesc>TO FINANCE NEW CAPITAL PROJECTS, DEBT SERVICE &amp; PAY COA</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>578427367</TotalProceedsAmt>
        <InReserveFundAmt>38376547</InReserveFundAmt>
        <CapitalizedInterestAmt>729531</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>6747295</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>66326319</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>466247674</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>1017692923</TotalProceedsAmt>
        <InReserveFundAmt>79118814</InReserveFundAmt>
        <CapitalizedInterestAmt>146263883</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>13254779</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>546199011</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>13191786</OtherSpentProceedsAmt>
        <UnspentAmt>219664650</UnspentAmt>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceedsAmt>439181724</TotalProceedsAmt>
        <InReserveFundAmt>36767581</InReserveFundAmt>
        <CapitalizedInterestAmt>16938525</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>6392415</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>22253042</CapitalExpendituresAmt>
        <UnspentAmt>356830160</UnspentAmt>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>1</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>1</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.00100</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.00100</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMN A: PART I(F): THE BONDS REFUND THE BORROWER'S SERIES 2014 TAXABLE BONDS (ISSUED 08/14/2014), TAXABLE LOANS (ISSUED 12/01/2010), SERIES 2008ABC (ISSUED 11/13/2008), SERIES 2007B1 &amp; B2 BONDS (ISSUED 12/20/2007), AND SERIES 2005AB BONDS (ISSUED 09/08/2005). COLUMN B: PART I(F): THE TAXABLE BONDS WERE ISSUED ON DECEMBER 23, 2014. COLUMNS A, B, C: THE DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS DUE TO INTEREST ON BOND PROCEEDS. COLUMNS A, B, C: PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THEPRVIATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS RELATED REPORTED ON PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. COLUMN A: PART IV, LINE 2(B): THE PORTION OF BONDS THAT FINANCED THE CURRENT REFUNDING OF THE SERIES 2014 TAXABLE BONDS, TAXABLE LOANS &amp; SERIES 2007B1&amp;B2 BONDS MET THE 6-MONTH SPENDING EXCEPTION TO REBATE. COLUMN B: PART IV, LINE 2(B): THE REFUNDING PORTION OF THE BONDS HAS MEET THE 6-MONTH SPENDING EXCEPTION TO REBATE. COLUMN C: PART V: PROCEDURES TO UNDERTAKE CORRECTION ACTION: THE ANSWER IS "YES".</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BEVERLY RIGSBY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY</RelationshipDescriptionTxt>
        <TransactionAmt>167382</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>48078</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FAMILY RELATIONSHIPS MAY EXIST AMONG OTHER OFFICER'S, DIRECTOR'S, OR KEY EMPLOYEES OF OTHER RELATED EXEMPT ORGANIZATIONS. THE NATURE OF THE BUSINESS RELATIONSHIP IS EMPLOYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DELEGATION IS PER THE BY-LAWS OF THE CORPORATION. DELEGATION IS ADMINISTERED THEREOF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE MEMBER OF LLUMC PURSUANT TO SECTION 9310 OF THE CALIFORNIA NONPROFIT RELIGIOUS CORPORATION LAW SHALL BE LOMA LINDA UNIVERSITY HEALTH, A CALIFORNIA NON-PROFIT RELIGIOUS CORPORATION, ACTING BY AND THROUGH ITS BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>LLUH, AS THE CORPORATE MEMBER, ELECTS THE BOARD OF TRUSTEES AT ITS QUINQUENNIAL MEETING. LLUH SHALL ALSO HAVE THE POWER TO FILL VACANCIES ON THE BOARD OF TRUSTEES BETWEEN THE QUINQUENNIAL ORGANIZATION MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>LLUH, AS CORPORATE MEMBER, AT EACH REGULAR OR SPECIAL MEETING, SHALL INFORM ITSELF ON THE BUSINESS OF THE MEDICAL CENTER TO BE TRANSACTED; SHALL RECEIVE THE ANNUAL REPORT OF THE MEDICAL CENTER BUDGET AND AUDIT, AND TRANSACT SUCH OTHER BUSINESS AS MAY BE REQUESTED BY THE MEDICAL CENTER BOARD. FURTHER FUNCTIONS OF THE MEMBER ARE: (1) TO REMOVE FROM OFFICE ANY TRUSTEE OF THE MEDICAL CENTER WITH OR WITHOUT CAUSE. (2) TO REVIEW AND CONSULT WITH THE MEDICAL CENTER BOARD REGARDING THE APPOINTMENT OF THE MEDICAL CENTER PRESIDENT AND THE CHIEF EXECUTIVE OFFICER. HOWEVER, THE APPOINTMENT AND REMOVAL OF THE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER ARE SOLELY THE LEGAL RESPONSIBILITY OF THE LLUMC BOARD. (3) TO APPROVE ALL CHANGES TO THE ARTICLES OF INCORPORATION AND BY-LAWS. (4) TO APPROVE ANY MERGER, CONSOLIDATION, DISSOLUTION, SALE OR TRANSFER OF MORE THAN TWENTY-FIVE PERCENT OF THE ASSETS OF LLUMC. (5) TO APPROVE ANY SIGNIFICANT CHANGE IN THE CORPORATE PURPOSE OF LLUMC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS FORM 990 HAS BEEN REVIEWED BY INTERNAL AUDIT AND MANAGEMENT AND IS MADE AVAILABLE TO THE AUDIT COMMITTEE AND THE BOARD FOR REVIEW AND COMMENT BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>GENERAL COUNSEL ANNUALLY OBTAINS STATEMENTS OF DISCLOSURE FROM TRUSTEES, OFFICERS, ADMINISTRATORS, KEY EMPLOYEES, AND OTHERS WHO MAKE OR AFFECT SIGNIFICANT DECISIONS AND REVIEWS THE FINDINGS WITH APPROPRIATE BOARDS AND COMMITTEES. THE BOARD OF TRUSTEES MAKES THE DECISIONS REGARDING QUESTIONS WHICH HAVE NOT BEEN SATISFACTORILY ANSWERED AFTER ADMINISTRATIVE CONSIDERATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>LLUH, LLUMC'S PARENT ORGANIZATION, EMPLOYS AN INDEPENDENT OUTSIDE CONSULTING FIRM TO BENCHMARK COMPENSATION FOR LLUH EMPLOYEES. LLUMC'S CEO, CFO, AND VICE PRESIDENTS ARE EMPLOYED BY LLUH. THE LLUH EXECUTIVE COMPENSATION COMMITTEE USES THE RESULTS OF THE INDEPENDENT SURVEY TO ESTABLISH PAY SCALES FOR THE NEXT FISCAL YEAR. THE EXECUTIVE COMPENSATION COMMITTEE SETS THE TOTAL COMPENSATION BELOW THE INDUSTRY MEAN AND MEDIAN AMOUNTS PROVIDED IN THE SURVEY. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF TRUSTEES APPOINTED BY THE LLUH BOARD WHO ARE INDEPENDENT OF LLUH'S MANAGEMENT. THE EXECUTIVE COMPENSATION COMMITTEE IS APPOINTED BY THE LLUH BOARD OF TRUSTEES TO HAVE DIRECT RESPONSIBILITY FOR ESTABLISHING COMPENSATION, POLICIES, AND BENEFITS FOR THE SENIOR EXECUTIVES OF LLUH. THE COMMITTEE'S PROCESS INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF DELIBERATIONS AND DECISIONS. FOR KEY EMPLOYEES OTHER THAN THE OFFICERS AS WELL AS EMPLOYEES IN LEADERSHIP POSITIONS, LLUMC MANAGEMENT, THROUGH ITS HUMAN RESOURCE DEPARTMENT, OBTAINS THE SERVICES OF AN INDEPENDENT CONSULTING FIRM TO CONDUCT NATIONWIDE COMPENSATION SURVEYS. MANAGEMENT USES THE COMPARABLE BENCHMARKS IN THE SURVEY RESULTS TO ESTABLISH OR REVIEW PAY SCALES FOR THE POSITION. THIS SURVEY CONDUCTED BY THE INDEPENDENT CONSULTING FIRM IS PERFORMED FOR THE ORGANIZATION EVERY TWO YEARS. INTERNALLY, THE HUMAN RESOURCE DEPARTMENT, CONDUCTS ANNUAL SURVEYS USING AT LEAST THREE SURVEY RESULTS FROM INDEPENDENT FIRMS TO ESTABLISH OR REVIEW THE REASONABLENESS OF COMPENSATION AMOUNTS. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2017 FOR THE POSITION OF SVP ADULT SERVICES, HELD BY EDWARDS, LYNDON C. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2017 FOR THE POSITION OF EVP LLUAHSC, CEO UHS, DEAN SCHOOL OF MEDICINE HELD BY HADLEY, HENRY ROGER. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2017 FOR THE POSITION OF PRESIDENT, LLUH HELD BY HART, RICHARD HENRY. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2017 FOR THE POSITION OF EVP &amp; CEO LLUMC HELD BY HEINRICH, KERRY L. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2017 FOR THE POSITION OF SVP RISK MANAGEMENT HELD BY HUBBARD, MARK LEE. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2017 FOR THE POSITION OF VP/ADMINISTRATOR EC/SH HELD BY JEAN-MARIE, JONATHAN. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2017 FOR THE POSITION OF SVP PATIENT CARE &amp; CNO HELD PRIOR BY KROETZ, JANET. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2017 FOR THE POSITION OF CFO/SVP-FINANCE, HELD BY LALAS, ANGELA MANALO. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2017 FOR THE POSITION OF EVP-FINANCE &amp; ADMINISTRATION, LLUH FORMERLY HELD BY LANG, KEVIN J. THIS PROCESS WAS LAST UNDERTAKEN IN AUGUST OF 2017 FOR THE POSITION OF VP FINANCE HELD BY SODERBLOM, ALAN BRYCE. THIS PROCESS WAS LAST UNDERTAKEN IN JUNE OF 2017 FOR THE POSITION OF SVP ADULT HOSPITAL HELD BY VANDENBOSCH, DARRYL WAYNE. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2017 FOR THE POSITION OF VP AMBULATORY SERVICES HELD BY WREN, DAVID G. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2017 FOR THE POSITION OF COO HELD BY WRIGHT, TREVOR. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2017 FOR THE POSITION OF SVP PATIENT CARE HELD BY STAPLES-EVANS, HELEN. THIS PROCESS WAS LAST UNDERTAKEN IN SEPTEMBER OF 2018 FOR THE POSITION OF CNO ADULT HOSPITAL HELD BY ROBINSON, MAVIS DENISE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE IRS FORM 990 IS AVAILABLE ON THE GUIDESTAR.COM WEBSITE AND ALSO MAY BE OBTAINED BY MAKING A REQUEST TO THE CFO AT 11175 CAMPUS ST., CSP 11006, LOMA LINDA, CA 92354.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>LLUMC WILL MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST AND IN ACCORDANCE WITH IRS GUIDELINES. THE CONFLICT OF INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE FOR EMPLOYEES. LLUMC MAKES ITS UN-AUDITED QUARTERLY FINANCIAL STATEMENTS AND YEAR-END AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC PURSUANT TO ITS CONTINUING DISCLOSURE AGREEMENTS WITH BONDHOLDERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, PART II:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOMA LINDA UNIVERSITY MEDICAL CENTER - COMMUNITY HEALTH BENEFIT SELECTED PROGRAM HIGHLIGHTS CONTINUED.. 6. POSSABILITIES &amp; JUST FOR SENIORS COMMUNITY DEVELOPMENT &amp; OUTREACH THE POSSABILITIES PROGRAM WAS ORIGINALLY DEVELOPED IN 2000 IN RESPONSE TO THE NEED FOR THE CONTINUUM OF CARE FOR OUR PATIENTS AND THEIR FAMILIES AFTER A LENGTHY HOSPITAL STAY OR A TRAUMATIC ACCIDENT. THROUGH FEEDBACK AND DIRECTION FROM HEALTH CARE PROFESSIONALS AND COMMUNITY MEMBERS, THE PROGRAM QUICKLY EVOLVED INTO AN ALL INCLUSIVE SERVICE TO EXTEND ACCESS TO THE DISABLED. AS THE PROGRAM GREW, POSSABILITIES GAINED THE SUPPORT OF THE LLUH SYSTEM AND VITAL COMMUNITY PARTNERS, SUCH AS THE SAN MANUEL BAND OF MISSION INDIANS. THE INVESTMENTS MADE BY SAN MANUEL ALLOW THE PROGRAM TO OPERATE MULTIPLE SUPPORT GROUPS, RESOURCE FAIRS, EVENTS, AND TO PROVIDE ACCESS TO SPORTS AND RECREATIONAL ACTIVITIES FOR MEMBERS. THE PROGRAM OFFERS PHYSICALLY DISABLED INDIVIDUALS WHO WERE BORN WITH, OR HAVE SUFFERED A PERMANENT PHYSICAL INJURY, A SENSE OF COMMUNITY AND A HEALTHY SOCIAL NETWORK. THE MISSION OF THE PROGRAM IS TO PROVIDE NEW DIRECTION AND HOPE THROUGH PHYSICAL, SOCIAL, AND EDUCATIONAL INTERACTION WITH PEERS AND THEIR COMMUNITY. THE PROGRAM IS DESIGNED TO SUPPORT PERSONS WITH PHYSICAL DISABILITIES SUCH AS LIMB AMPUTATION, STROKE, SPINAL CORD INJURY, TRAUMATIC BRAIN INJURY, MULTIPLE SCLEROSIS, MUSCULAR DYSTROPHY, SPINA BIFIDA, AND OTHERS. POSSABILITIES IS A FREE COMMUNITY OUTREACH AND INCLUDES SERVICES FOR CHILDREN AND ADULTS. 7. COMMUNITY INVESTMENT GRANTS FY 2017 FY 2019 IN FY 2017 LLUH'S HOSPITALS INITIATED A GRANT OPPORTUNITY AND FUNDED COMMUNITY HEALTH BENEFIT DOLLARS FOR COMMUNITY-BASED NON-PROFIT ORGANIZATIONS TO WORK WITH PARTNERS ON THE IMPLEMENTATION OF PROGRAMMATIC INTERVENTIONS AND OUTCOMES IN THE AREAS OF WORKFORCE DEVELOPMENT, EDUCATION, OBESITY, DIABETES, AND MENTAL HEALTH. TO INCREASE PARTNERSHIP COLLABORATIONS BETWEEN LLUH AND COMMUNITY-BASED NON-PROFITS, ICP ADVERTISED AN OPPORTUNITY THROUGH "GRANTS AND COMMUNITY INVESTMENTS'' FOR NON-PROFIT COMMUNITY BASED ORGANIZATIONS (CBOS) THAT WOULD PROVIDE THEM WITH MONETARY SUPPORT AND EXPERT CONSULTATION FOR PROGRAM DESIGN AND EVALUATION. THE PURPOSE OF THE ANNUAL FUNDING OPPORTUNITY IS TO SPONSOR AND OVERSEE PROGRAMS OR ACTIVITIES THROUGH DIRECT COMMUNITY ENGAGEMENT THAT PROMOTE HEALTH AND HEALING IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS. LICENSED PUBLIC OR PRIVATE NONPROFIT COMMUNITY BASED ORGANIZATIONS IN SAN BERNARDINO OR RIVERSIDE COUNTIES WERE ELIGIBLE TO APPLY. THE FUNDED ORGANIZATIONS ARE FEATURED IN THE COMMUNITY BENEFIT HIGHLIGHTS SECTION. OBJECTIVES OF COMMUNITY INVESTMENT GRANTS: PROVIDE TECHNICAL ASSISTANCE FOR FUNDED PARTNERS TO SUSTAIN INNOVATIVE PILOT PROGRAMS AND/OR HELP SUSTAIN ONGOING PROGRAMS EMPOWER AND SUPPORT LOCAL NON-PROFIT COMMUNITY PROGRAMS WITHIN OUR COMMUNITY ALIGNED WITH LLUH COMMUNITY BENEFIT FOCUS AREAS: WORKFORCE DEVELOPMENT, EDUCATION, OBESITY, DIABETES, AND MENTAL HEALTH. STRATEGICALLY INVEST THE HOSPITALS' COMMUNITY BENEFIT DOLLARS TO PARTNERS THAT SUSTAIN INTERVENTIONS AND RESOURCES ON BEHALF OF THE MOST VULNERABLE, SOCIO-ECONOMICALLY DISADVANTAGED, OR UNDER-SERVED MEMBERS OF OUR COMMUNITY. 8. SCHOLARSHIPS TO SUPPORT WORKFORCE DEVELOPMENT &amp; EDUCATION OVER THE PAST THREE YEARS, LLUH HAS INVESTED IN OVER $100,000 IN SCHOLARSHIPS TO LOCAL YOUTH TO INCREASE THEIR ACCESS TO A COLLEGE EDUCATION THROUGH SUPPORT OF COMMUNITY PARTNERS WHOSE MISSION IS TO INCREASE ACCESS TO UNDERSERVED, UNDER-REPRESENTED, AND MINORITY YOUTH IN OUR REGION. SAN MANUEL GATEWAY COLLEGE, SCHOLARSHIPS TO SUBSIDIZE THE COST OF A PROFESSIONAL CERTIFICATE PROGRAM, AND/OR TECHNICAL TRAINING PROGRAMS: MEDICAL ASSISTANT CERTIFIED NURSING ASSISTANT, PHARMACY TECH, SURGICAL TECH, AND COMMUNITY HEALTH WORKERS. SAN BERNARDINO CITY UNIFIED SCHOOL DISTRICT, THROUGH THE MAKING HOPE HAPPEN FOUNDATION, PROVIDES SCHOLARSHIPS FOR STUDENTS FROM FINANCIALLY CHALLENGED HOUSEHOLDS AND SITUATIONS SO THEY CAN ATTEND THE COLLEGE OF THEIR CHOICE. THE SCHOLARSHIPS PROVIDE $3,000 PER STUDENT AWARDED WITH A MENTOR TO HELP SUPPORT THEM TO ENSURE THE SUCCESS OF THEIR TRANSITION INTO A COLLEGE EDUCATION. LLUH AWARDED 20 SCHOLARSHIPS IN 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR EMPLOYEES OF LLUH OR LLUH AFFILIATES (ORGANIZATION(S)) RELATED TO THE FILING ORGANIZATION WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN PART VII, SECTION A, COLUMN (B) OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) WERE PROVIDED IN CONJUNCTION WITH THEIR RESPONSIBILITIES AND ROLES IN OTHER POSITIONS FOR ORGANIZATIONS RELATED TO THE FILING ORGANIZATION. THESE INDIVIDUALS EACH DEVOTE APPROXIMATELY 50 HOURS PER WEEK SERVING IN THEIR RESPECTIVE POSITIONS WITHIN THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VIII, LINE 1F:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SUBSTANTIAL DIFFERENCE IN CONTRIBUTIONS ON LINE 1F AND SCHEDULE B IS DUE TO THE PLEDGES BEING REPORTED ON THE GENERAL LEDGER WHEN THE PLEDGE COMMITMENT IS MADE AS OPPOSED TO WHEN RECEIVED ON SCHEDULE B.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,669,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,669,800. MEDICAL TEST EXPENSE: PROGRAM SERVICE EXPENSES 1,589,012. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,589,012. HEALTHCARE MEDICAL SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,482,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,482,400. RELATED PARTY EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 741,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 741,964.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUND BALANCE TRANSFERS TO AFFILIATED ORGRANIZATION -36,168,663. CHANGE IN ADMIN RESTRICTED ASSETS 968,159. OTHER EQUITY ADJUSTMENT 549,018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL STATEMENTS OF LOMA LINDA UNIVERSITY MEDICAL CENTER WERE AUDITED BY AN INDEPENDENT FIRM AS PART OF THE FY2019 COMBINED FINANCIAL STATEMENT AUDIT OF LOMA LINDA UNIVERSITY MEDICAL CENTER AND ITS AFFILIATES (WHICH ENCOMPASSES LOMA LINDA UNIVERSITY MEDICAL CENTER, LOMA LINDA MERCANTILE, LOMA LINDA UNIVERSITY MEDICAL ENTERPRISES, LOMA LINDA UNIVERSITY FACULTY PHARMACY, LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL, LOMA LINDA UNIVERSITY BEHAVIORAL MEDICAL CENTER, THE LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION, LOMA LINDA UNIVERSITY HEALTHCARE PROPERTIES, LLC, LOMA LINDA UNIVERSITY - URGENT CARE, LLC, LLUH BEAUMONT-BANNING, LLC, HIGHLAND SPRINGS IMAGING CENTER, LLC, AND LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>LLUMC HAS A FINANCE AND AUDIT COMMITTEES OF THE BOARD OF TRUSTEES THAT ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT FIRM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <AddressLine1Txt>RISK MANAGEMENT 101 E REDLANDS BLVD</AddressLine1Txt>
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          <AddressLine1Txt>11175 CAMPUS STREET 11120</AddressLine1Txt>
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          <BusinessNameLine1Txt>LOMA LINDA INLAND EMPIRE CONSORTIUM FOR HEALTHCARE EDUCATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 926</AddressLine1Txt>
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          <BusinessNameLine1Txt>LOMA LINDA MERCANTILE</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 2000</AddressLine1Txt>
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          <BusinessNameLine1Txt>LOMA LINDA UNIVERSITY HEALTH</BusinessNameLine1Txt>
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        <InvolvedAmt>145336551</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOMA LINDA UNIVERSITY HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>222417</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOMA LINDA MERCANTILE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>636348955</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOMA LINDA UNIVERSITY SHARED SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1772723</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>6437800</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOMA LINDA UNIVERSITY BEAUMONT-BANNING LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>258866</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOMA LINDA UNIVERSITY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>160058</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOMA LINDA INLAND EMPIRE CONSORTIUM FOR HEALTHCARE EDUCATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>971847</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOMA LINDA UNIVERSITY MED CNTR-MURRIETA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>594948</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>436164</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>