2019-05-21T19:22:33-05:00 2018-06-30 990 2017-07-01 330565591 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION LOMA 9095584000 PO BOX 926 FINANCE LOMA LINDA CA 92354 JONATHAN PERRY CFO 9095584747 2019-05-21 143.197.222.231 2019-05-21 19:22:23 PD P 6BBC17DB4F4C9B2E62F12B9B363E3AE092E5227F 0EB4CE1ACD44DB279B6C2D9A8476B20948576B96 2017 2019-02-21 02:37:17Z SCOTT M PERRYMAN 11234 ANDERSON ST LOMA LINDA CA 92354 6658742 0 1071 X WWW.LLUCH.ORG X 1992 CA TO BE AN ADVOCATE FOR CHILDREN'S HEALTHCARE. 39 30 0 257 0 0 5458301 5774234 122762 121491 426390 663268 -300519 -371021 5706934 6187972 894388 103000 0 0 0 0 0 0 678746 491127 1022003 1385515 1125003 4321419 5062969 23858456 29240936 -3865 261790 23862321 28979146 OUR CHILDREN'S HOSPITAL FOUNDATION IS DEDICATED TO SUPPORTING LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL'S MISSION TO BRING WHOLE-CHILD CARE TO THE REGION AND BEYOND. 0 0 103000 103000 784759 THE MISSION OF LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION IS TO ADVOCATE EXCELLENCE IN CHILDREN'S HEALTHCARE IN CALIFORNIA, THE UNITED STATES AND THE WORLD THROUGH THE SUPPORT OF THE LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL. TO ACCOMPLISH THIS THE FOUNDATION CONDUCTS VARIOUS FUNDRAISING ACTIVITIES AND COMMUNITY AWARENESS PROGRAMS. 103000 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 X 39 30 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X JONATHAN PERRY CFO 9095584747 11234 ANDERSON ST LOMA LINDA CA 92354 BUSSELL RACHELLE TRUSTEE 0.50 49.50 X 0 471490 57180 CARPIAC ANDY TRUSTEE 0.50 X 0 0 0 CHINNOCK RICHARD E TRUSTEE 0.50 X 0 365914 40100 DIAMOND-WARD ROBERT TRUSTEE 0.50 X 0 0 0 EVANS PATRICK TRUSTEE 0.50 X 0 0 0 FARGO TRIXIE TRUSTEE 0.50 X 0 0 0 GARRETT KEVIN TRUSTEE 0.50 X 0 0 0 GOLDEN JILL TRUSTEE 0.50 X 0 0 0 GREEN MARTHA E TRUSTEE 0.50 X 0 0 0 HART RICHARD HENRY TRUSTEE 0.50 49.50 X 0 515854 56739 HEINRICH KERRY L TRUSTEE 0.50 49.50 X 0 1139621 69360 HOLMES JONATHAN TRUSTEE 0.50 X 0 0 0 HWANG ERNIE TRUSTEE 0.50 X 0 0 0 KIENLE STEVE TRUSTEE 0.50 X 0 0 0 KOSS MELISSA TRUSTEE 0.50 X 0 0 0 LINSK SUSAN TRUSTEE 0.50 X 0 0 0 MACE JEANNE TRUSTEE 0.50 X 0 0 0 MATHEWS ALAINA TRUSTEE 0.50 X 0 0 0 MCCUSKER CHRISTINE TRUSTEE 0.50 X 0 0 0 MOSS GLENN TRUSTEE 0.50 X 0 0 0 O'CONNELL JONATHAN TRUSTEE 0.50 X 0 0 0 PAYNEJILLIAN KRISTJEN ASST VICE PRESIDENT 0.50 49.50 X X 0 183930 33368 PERRYJONATHAN DAVID TREASURER 0.50 49.50 X X 0 169678 15885 PERRYMAN MICHAEL SCOTT PRESIDENT 0.50 49.50 X X 0 557082 49000 PEVERINI RICARDO L TRUSTEE 0.50 X 0 388750 40100 RAMOS JR JAMES TRUSTEE 0.50 X 0 0 0 RAMOS MARIA TRUSTEE 0.50 X 0 0 0 ROBERTS KELLY TRUSTEE 0.50 X 0 0 0 ROBINSON BARBARA TRUSTEE 0.50 X 0 0 0 ROTNER DALE TRUSTEE 0.50 X 0 0 0 SAVAGE IV PHILIP CHAIR/TRUSTEE 0.50 X 0 0 0 SLEETH LYNN TRUSTEE 0.50 X 0 0 0 SPIEL CANDACE TRUSTEE 0.50 X 0 0 0 STREAM KEN TRUSTEE 0.50 X 0 0 0 TROESH DENNIS TRUSTEE 0.50 X 0 0 0 VARNER NANCY TRUSTEE 0.50 X 0 0 0 WADELL ROGER TRUSTEE 0.50 X 0 0 0 WOOLEN JAMES E TRUSTEE 0.50 X 0 0 0 XAVIER MARY ANN CHAIR/TRUSTEE 0.50 X 0 0 0 0 3792319 361732 0 0 1 0 0 27045 1168294 4578895 37500 5774234 121491 121491 121491 663268 663268 99749 1168294 470770 -371021 -371021 6187972 784759 0 -371021 103000 103000 75167 37290 37877 15610 7744 7866 4151 2059 2092 180 89 91 LEASED EMPLOYEES 592517 293948 298569 FUNDRAISING 330091 330091 4287 2127 2160 1125003 103000 343257 678746 108964 130360 10180438 10988903 16065 16065 13551536 18104335 5038 3765 1453 1273 23858456 29240936 -3865 261790 -3865 261790 X 11537389 15224619 8771443 10162147 3553489 3592380 23862321 28979146 23858456 29240936 5062969 53856 0 X X 0 1 X 1 0 X X 2 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL 463214504 3 1 103000 0 SEVENTH-DAY AVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER 953522679 3 1 0 0 2 103000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 X 1 0 PART IV, SECTION E, LINE 2A FOUNDED IN 1993, LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION SUPPORTS AND PROMOTES THE PHILOSOPHY AND MISSION OF THE LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL (LLUCH) THROUGH FUND RAISING EFFORTS, ASSISTANCE IN THE DEVELOPMENT OF EDUCATIONAL AND COMMUNITY PROJECTS, AND ADVOCACY FOR CHILDREN'S ISSUES. MORE SPECIFICALLY THE FOUNDATION WORKS WITH A WIDE RANGE OF COMMUNITY MEMBERS INCLUDING INDIVIDUALS, CORPORATIONS, PRIVATE AND FAMILY FOUNDATIONS. THE FOUNDATION RAISES AWARENESS AND FUNDS FOR THE PROGRAMS AND SERVICES OF LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL THROUGH INDIVIDUAL RELATIONSHIPS AND GIFTS, CORPORATE SPONSORSHIP OF SPECIAL EVENTS, GRANT WRITING, VOLUNTEER GROUPS AND CORPORATE HOSTED EVENTS. 3553488 38891 3592379 1094064 2541630 20778 12983 3553489 1145344 47209 1094064 972340 140580 32424 1145344 939078 33262 972340 1.00000 0 1 1 5038 3765 1273 1273 X PART X, LINE 2: THE EXPLANATION BELOW IS TAKEN FROM THE "COMBINED FINANCIAL STATEMENTS AND SUPPLEMENTARY INFORMATION" FOR LOMA LINDA UNIVERSITY MEDICAL CENTER AND AFFILIATES YEARS ENDED JUNE 30,2018 AND JUNE 30, 2017. THE PRINCIPAL OPERATIONS OF LLUMC ARE EXEMPT FROM TAXATION PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE RELATED STATE PROVISIONS. ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 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 LIABILITY FOR TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED OR NEEDED TO BE ACCRUED AT JUNE 30, 2018 OR 2017. 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 EXEMINATION PRIOR TO 2014 IN MAJOR JURISDICTIONS. THE TAX CUTS AND JOBS ACT (THE ACT) WAS ENACTED ON DECEMBER 22, 2017. THE PROVISIONS OF THE ACT DO NOT HAVE A MATERIAL TAX EFFECT ON LLUMC'S COMBINED FINANCIAL STATEMENTS. CERTAIN REGULATORY GUIDANCE PROVIDES FOR A MEASUREMENT PERIOD OF UP TO ONE YEAR, DURING WHICH ACCOUNTING FOR THE TAX EFFECTS OF THE ACT MAY BE COMPLETED. LLUMC WILL CONTINUE TO EVALUATE THE IMPACT OF THE ACT AND MAY RECORD ADJUSTMENTS AS ADDITIONAL INFORMATION AND GUIDANCE IS RELEASED BY THE INTERNAL REVENUE SERVICE ON PROVISIONS OF THE ACT THAT IMPACTS TAX-EXEMPT ORGANIZATIONS. PART V, LINE 4: THE SMIDERLE, ANDERSON & WOOLLEY-PETTIS ENDOWMENTS ARE HELD IN PERPETUITY WITH THE INTEREST TO BE USED TO SUPPORT CHILDREN'S SERVICES AT LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL. X X X X X 0 GENE BRIDGES 21104 E 50TH TERRACE DR SOUTH BLUE SPRINGS MO 64015 RADIOTHON PRODUCER 0 332864 8149 324715 332864 8149 324715 CHILDREN'S HOSPITAL GALA 992590 933740 58850 323617 DESERT GUILD GIRLFRIEND, GLAMOUR & 115888 102303 13585 50536 6 159565 132251 27314 33915 1268043 1168294 99749 408068 408068 -308319 CA 0 0 0 0 0 0 1 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL 11234 ANDERSON ST LOMA LINDA CA 92354 463214504 501(C)(3) 103000 SUPPORT OF HOSPITAL PROGRAMS AND CHILDREN'S HEALTHCARE 1 0 PART I, LINE 2: LLUCHF 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. 1 1 0 0 0 0 1 0 0 BUSSELL RACHELLE TRUSTEE 0 328000 0 72740 0 70750 0 33749 0 23431 0 528670 0 0 CHINNOCK RICHARD E TRUSTEE 0 300000 0 0 0 65914 0 35100 0 5000 0 406014 0 0 HART RICHARD HENRY TRUSTEE 0 414000 0 0 0 101854 0 34476 0 22263 0 572593 0 0 HEINRICH KERRY L TRUSTEE 0 758000 0 175745 0 205876 0 43502 0 25858 0 1208981 0 0 PAYNEJILLIAN KRISTJEN ASST VICE PRESIDENT 0 146095 0 18606 0 19229 0 21092 0 12276 0 217298 0 0 PERRYJONATHAN DAVID TREASURER 0 140552 0 7567 0 21559 0 15885 0 0 0 185563 0 0 PERRYMAN MICHAEL SCOTT PRESIDENT 0 386000 0 88059 0 83023 0 26888 0 22112 0 606082 0 0 PEVERINI RICARDO L TRUSTEE 0 348750 0 0 0 40000 0 35100 0 5000 0 428850 0 0 PART I, LINE 3 PLEASE SEE EXPLANATION FOR PART VI, SECTION B, LINE 15 THAT IS LISTED UNDER SCHEDULE O. PART I, LINES 4A-B THE FOLLOWING LLUH EMPLOYEES PARTICIPATED IN, AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: BUSSELL, RACHELLE $38,809 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $2,025 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HART, RICHARD HENRY $62,882 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $4,678 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HEINRICH, KERRY L. $146,823 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $183 TRAVEL FOR COMPANIONS. $2,619 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. PERRYMAN, MICHAEL SCOTT $55,535 NET FLEX PAN CREDITS PAID TO EMPLOYEE IN CASH. $747 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. PART I, LINE 6 LOMA LINDA UNIVERSITY MEDICAL CENTER A RELATED ORGANIZATION TO LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION HAS AN INCENTIVE PLAN. PAYMENTS FOR INCENTIVE AWARDS ARE TRIGGERED ONLY IF, AMONG OTHER ESTABLISHED CRITERIA, NET INCOME EXCEEDS BUDGET BY AN ESTABLISHED PERCENTAGE. DISCLOSURE ON SCHEDULE J PART III THE OFFICERS LISTED ON THE FORM 990, PART VII, LINE 1A OR ON SCHEDULE J, PART II ARE EMPLOYED BY LLUH. LLUH PAYS THE COMPENSATION FOR THE OFFICERS LISTED AND REPORTS THE COMPENSATION AMOUNTS IN THE W-2'S FOR EACH OFFICER. AMOUNTS REPORTED ON THE FORM 990, PART VII, LINE 1A, COLUMNS E AND F, OR ON SCHEDULE J, PART II, COLUMN E(II), REPRESENT TOTAL AMOUNTS OF COMPENSATION RECEIVED BY EACH OFFICER FROM LLUH. THE OFFICERS DO NOT RECEIVE ANY OTHER COMPENSATION AMOUNTS FROM RELATED ORGANIZATIONS. LLUH ALLOCATES THE COMPENSATION AMOUNTS TO THE APPLICABLE RELATED ORGANIZATIONS AND RECEIVES REIMBURSEMENT PAYMENTS. ALLOCATION PERCENTAGES OF THE COMPENSATION PAYMENTS FOR THE OFFICERS ARE AS FOLLOWS: BUSSELL, RACHELLE COMPENSATION, EXCLUDING INCENTIVE AND SERP BENEFIT: 100% FUNDED BY LLUSS. INCENTIVE AND SERP BENEFIT: 100% FUNDED BY LLUMC. HART, RICHARD HENRY COMPENSATION, EXCLUDING SERP BENEFIT: 32% FUNDED BY LLU, 1% FUNDED BY LLUBMC, 12% FUNDED BY LLUCH, 5% FUNDED BY MURRIETA AND 50% FUNDED BY LLUMC. SERP BENEFIT: 100% FUNDED BY LLUMC. HEINRICH, KERRY L. COMPENSATION, EXCLUDING INCENTIVE AND SERP BENEFIT: 10% FUNDED BY MURRIETA, 23% FUNDED BY LLUCH, 2% FUNDED BY LLUBMC AND 65% FUNDED BY LLUMC. INCENTIVE AND SERP BENEFIT: 100% FUNDED BY LLUMC. PERRYMAN, MICHAEL SCOTT COMPENSATION: 100% FUNDED BY LLUCH. X 3 13500 FAIR MARKET VALUE X 5000 FAIR MARKET VALUE X PORTRAITS 4 14000 FAIR MARKET VALUE X HANDMADE BLANKETS 70 5000 FAIR MARKET VALUE 0 1 1 PART I, LINE 32B: THE OFFICES OF PHILANTHROPY FOR LOMA LINDA UNIVERSITY, LOMA LINDA UNIVERSITY HEALTH SERVICES AND LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION ACCEPT MOST OF THE GIFTS FOR LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIPS MAY EXIST AMONG OTHER OFFICER'S, DIRECTOR'S, OR KEY EMPLOYEES OF OTHER RELATED ORGANZATIONS. THE NATURE OF THE BUSINESS RELATIONSHIP IS EMPLOYMENT. FORM 990, PART VI, SECTION A, LINE 6 THIS CORPORATION SHALL HAVE ONLY ONE MEMBER AS THE "MEMBER" IS DEFINED IN SECTION 5056 OF THE CALIFORNIA CORPORATIONS CODE. THE SOLE MEMBER OF THIS CORPORATION SHALL BE LOMA LINDA UNIVERSITY MEDICAL CENTER, A CALIFORNIA NONPROFIT RELIGIOUS CORPORATION (THE "CORPORATE MEMBER"). IN ACCORDANCE WITH SECTION 5056(C) OF THE CALIFORNIA CORPORATIONS CODE, THE CORPORATE MEMBER SHALL AUTHORIZE IN WRITING THREE (3) NATURAL PERSONS ("NATURAL PERSONS"), WHO SHALL ALSO BE TRUSTEES OF THE CORPORATE MEMBER, TO VOTE ON ITS BEHALF ON ALL MATTERS THAT MAY REQUIRE A VOTE OF THE CORPORATE MEMBER. SO LONG AS SUCH AUTHORIZATION REMAINS IN EFFECT, ALL ACTIONS TAKEN BY THE NATURAL PERSONS SHALL BE BINDING ON THE CORPORATE MEMBER. THE CORPORATE MEMBER SHALL NOTIFY THE BOARD OF DIRECTORS IN WRITING OF ANY CHANGE IN THE NATURAL PERSONS AUTHORIZED TO ACT ON ITS BEHALF. FORM 990, PART VI, SECTION A, LINE 7A A DIRECTOR MAY BE REMOVED FROM OFFICE WITH OR WITHOUT CAUSE BY A MAJORITY VOTE OF THE CORPORATE MEMBER. IN THE EVENT ONE OR MORE OF THE DIRECTORS IS SO REMOVED OR HIS OR HER OFFICE IS DECLARED VACANT, NEW DIRECTORS MAY BE ELECTED BY THE MAJORITY VOTE OF THE CORPORATE MEMBER TO FILL THE UNEXPIRED TERMS OF THE DIRECTORS WHO WERE REMOVED OR WHOSE OFFICES WERE DECLARED VACANT. FORM 990, PART VI, SECTION A, LINE 7B THE POWERS RESERVED TO THE CORPORATE MEMBER, WHICH MAY ONLY BE EXERCISED BY THE CORPORATE MEMBER UPON THE AFFIRMATIVE VOTE OF TWO OF THE THREE NATURAL PERSONS DESIGNATED TO ACT FOR THE CORPORATE MEMBER AS SET FORTH IN SECTION 4.1 ARE TO: 1) APPROVE OR RATIFY ALL CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION. 2) ELECT THE BOARD OF DIRECTORS OF THE CORPORATION. 3) REMOVE FROM OFFICE ANY DIRECTOR OF THE CORPORATION WITH OR WITHOUT CAUSE. 4) APPROVE THE EXECUTIVE DIRECTOR OF THE CORPORATION. 5) APPROVE THE ANNUAL BUDGET OF THE CORPORATION. 6) APPROVE THE POLICIES OF THE CORPORATION FOR THE SOLICITATION, INVESTMENT AND DISBURSEMENT OF FUNDS RAISED BY THE CORPORATION. 7) REQUIRE THE CORPORATION TO ESTABLISH CONTRACTING POLICIES AND GUIDELINES. 8) APPROVE MAJOR FUNDRAISING EVENTS AND ACTIVITIES OF THE CORPORATION. 9) APPROVE THE DISPOSITION OF THE CORPORATION'S ASSETS WHEN THE TRANSACTION IS NOT IN THE CORPORATIONS USUAL AND REGULAR COURSE OF BUSINESS. 10) APPROVE ANY MERGER, CONSOLIDATION, DISSOLUTION, SALE OR TRANSFER OF THE ASSETS. 11) EXERCISE SUCH OTHER RIGHTS AFFORDED CORPORATE MEMBERS UNDER THE CALIFORNIA NONPROFIT BENEFIT CORPORATION LAW. FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 LLUH, LLUCHF'S PARENT ORGANIZATION, EMPLOYS AN INDEPENDENT OUTSIDE CONSULTING FIRM TO BENCHMARK COMPENSATION FOR LLUH EMPLOYEES. LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION'S CEO/PRESIDENT IS 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. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2016 FOR THE POSITION OF SVP, ADVANCEMENT HELD BY BUSSELL, RACHELLE. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2016 FOR THE POSITION OF SVP/ADMINISTRATOR, LLUCH HELD BY PERRYMAN, MICHAEL SCOTT. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2016 FOR THE POSITION OF PRESIDENT, LLUH HELD BY HART, RICHARD HENRY. FORM 990, PART VI, SECTION C, LINE 18 THE IRS FORM 990 IS AVAILABLE ON WWW.GUIDESTAR.COM AND ALSO MAY BE OBTAINED BY MAKING A REQUEST TO THE CFO AT PO BOX 2000, LOMA LINDA, CA 92354. FORM 990, PART VI, SECTION C, LINE 19 LLUCHF 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. THE FINANCIAL STATEMENTS ARE INCLUDED IN THE IRS FORM 990 WHICH IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2B: THE FINANCIAL STATEMENTS OF LOMA LINDA UNIVERSITY FACULTY PHARMACY WERE AUDITED BY AN INDEPENDENT FIRM AS PART OF THE 2018 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 AND LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA). FORM 990, PART XII, LINE 2C: DUE TO THE FACT THAT LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE COMBINED FINANCIAL STATEMENT AUDIT FOR LOMA LINDA UNIVERSITY MEDICAL CENTER AND ITS AFFILIATES, LLUMC'S FINANCE AND AUDIT COMMITTEES OF THE BOARD OF TRUSTEES ALSO ASSUME RESPONSIBILITY FOR OVERSIGHT OF LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION'S FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT FIRM. GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS 12501 OLD COLUMBIA PIKE SILVER SPRING MD 20904 520643036 CHURCH CA 501(C)(3) 1 N/A 0 LOMA LINDA UNIVERSITY HEALTH 11175 CAMPUS ST LOMA LINDA CA 92354 953804495 PARENT COMPANY CA 501(C)(3) 1 GCOSDA 0 LOMA LINDA UNIVERSITY 11145 ANDERSON ST LOMA LINDA CA 92350 951816009 UNIVERSITY CA 501(C)(3) 2 LLUH 0 LOMA LINDA MERCANTILE PO BOX 2000 LOMA LINDA CA 92354 953858272 PURCHASING COMPANY CA 501(C)(3) 1 LLUMC 0 LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER 1710 BARTON RD REDLANDS CA 92373 330245579 PSYCHIATRIC HOSPITAL CA 501(C)(3) 3 LLUMC 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS ST LOMA LINDA CA 92354 330364239 HEALTHCARE MANAGEMENT SERVICE ORGANIZATION CA 501(C)(3) 12C LLUH 0 LOMA LINDA UNIVERSITY MEDICAL ENTERPRISES 11234 ANDERSON ST LOMA LINDA CA 92354 330873998 OUTPATIENT PHARMACY CA 501(C)(3) 12A LLUMC 0 LOMA LINDA UNIVERSITY FACULTY PHARMACY 11234 ANDERSON ST LOMA LINDA CA 92354 202834636 OUTPATIENT PHARMACY CA 501(C)(3) 12A LLUMC 0 NATIONAL MEDICAL TECHNOLOGY TESTBED 11175 CAMPUS ST LOMA LINDA CA 92354 330578722 RESEARCH ORGANIZATION CA 501(C)(3) 12A LLUMC 0 UNIVERSITY INSURANCE COMPANY OF VERMONT 126 COLLEGE ST SUITE 400 BURLINGTON VT 05401 030311174 CAPTIVE INSURANCE PROVIDER VT 501(C)(3) 1 LLUH 0 LOMA LINDA UNIVERSITY SHARED SERVICES 11175 CAMPUS ST LOMA LINDA CA 92354 810661056 SERVICE ORGANIZATION CA 501(C)(3) 1 LLUH 0 LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA 28062 BAXTER RD MURRIETA CA 92653 202859948 ACUTE CARE HOSPITAL CA 501(C)(3) 3 LLUMC 0 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL 11234 ANDERSON ST LOMA LINDA CA 92354 463214504 HOSPITAL CA 501(C)(3) 3 LLUMC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 LOMA LINDA UNIVERSITY SHARED SERVICES M 232828 LOMA LINDA UNIVERSITY SHARED SERVICES P 117681 LOMA LINDA UNIVERSITY CHILDRENS HOSPITAL R 103000 LOMA LINDA MERCANTILE P 97888 LATE FILED DUE TO CCH SOFTWARE OUTAGE.