2016-11-14T15:57:54-06:00 2015-12-31 990 2015-01-01 330565591 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION LOMA 9095585199 PO BOX 2000 FINANCE LOMA LINDA CA 92354 JONATHAN PERRY CFO 9095584747 2016-11-14 2015 2017-02-10 21:41:12Z SCOTT M PERRYMAN 11234 ANDERSON ST LOMA LINDA CA 92354 4615301 0 1071 X WWW.LLU.EDU X 1992 CA TO BE AN ADVOCATE FOR CHILDREN'S HEALTHCARE. 33 26 0 0 0 0 3640165 3850031 206408 129138 573990 460083 -428259 -282969 3992304 4156283 1360344 1961159 0 0 0 0 0 0 876884 1157912 1165067 2518256 3126226 1474048 1030057 15549186 16813658 222709 273 15326477 16813385 X 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. 0 0 1961159 1961159 589221 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. 1961159 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 X 33 26 0 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 X ATKINSON SUSAN TRUSTEE 0.50 X 0 0 0 BOLTON THERESA TRUSTEE 0.50 X 0 0 0 BULOT CHRISTI J TRUSTEE 0.50 X 0 0 0 BUSSELL RACHELLE TRUSTEE 0.50 49.50 X 0 355393 47233 CARPIAC ANDY TRUSTEE 0.50 X 0 0 0 CHINNOCK RICHARD E TRUSTEE 0.50 X 0 0 0 FARGO TRIXIE 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 472781 44615 HEINRICH KERRY UNTIL 915 PRESIDENT/TRUSTEE 0.50 49.50 X X 0 1475820 0 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 MAGNESS JOHN TRUSTEE 0.50 X 0 0 0 MCCLOUD KIM TRUSTEE 0.50 X 0 0 0 MCCOY LAURIE TRUSTEE 0.50 X 0 0 0 OCONNELL JONATHAN TRUSTEE 0.50 X 0 0 0 OLDHAM DAVE TRUSTEE 0.50 X 0 0 0 PEVERINI RICARDO TRUSTEE 0.50 X 0 0 0 RAMOS JR JAMES 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 SAVAGE IV PHILIP M TRUSTEE 0.50 X 0 0 0 SEIGEL TERRY TRUSTEE 0.50 X 0 0 0 SPIEL CANDACE TRUSTEE 0.50 X 0 0 0 TROESH DENNIS TRUSTEE 0.50 X 0 0 0 WADELL ROGER TRUSTEE 0.50 X 0 0 0 WATKINS DIXIE TRUSTEE 0.50 X 0 0 0 WOOLEN JAMES E TRUSTEE 0.50 X 0 0 0 XAVIER MARY ANN TRUSTEE 0.50 X 0 0 0 LENO SONDRA TREASURER 0.50 39.50 X 0 201549 30583 PAYNE JILLIAN KRISTJEN SECRETARY 40.00 X 0 115640 25028 PERRYMAN MICHAEL SCOTT FROM 1015 PRESIDENT 0.50 49.50 X 0 138801 13563 0 2759984 161022 0 0 1 0 0 14791 1093613 194090 2547537 3850031 129138 129138 129138 460083 460083 123449 1093613 424018 -300569 -300569 52600 35000 17600 17600 4156283 589221 0 -282969 1947353 1947353 13806 13806 1000 1000 31833 10368 21465 4956 1614 3342 8030 2615 5415 50 16 34 648 211 437 LEASED EMPLOYEES 604917 196993 407924 FUNDRAISING 282236 282236 231397 75366 156031 3126226 1961159 288183 876884 147032 152345 8561456 9572510 6838678 7087431 5038 3666 2020 1372 15549186 16813658 222709 273 222709 273 X 5079959 6880410 9274178 8787631 972340 1145344 15326477 16813385 15549186 16813658 1030057 456851 0 X X 0 0 0 X X 2 SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER 953522679 3 1 903239 0 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL 463214504 3 1 965442 0 2 1868681 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 972340 140580 32424 1145344 939078 33262 972340 956405 32882 50209 939078 928608 27797 956405 702708 200000 25900 928608 0 1 1 5038 3666 1372 1372 PART V, LINE 4: THE SMIDERLE & ANDERSON ENDOWMENTS ARE HELD IN PERPETUITY WITH THE INTEREST TO BE USED TO SUPPORT CHILDREN'S SERVICES AT LOMA LINDA UNIVERSITY MEDICAL CENTER. X X X X X 1 GENE BRIDGES 21104 E 50TH TERRACE DR S BLUE SPRINGS MO 64015 RADIOTHON PRODUCER 0 307319 8274 299045 307319 8274 299045 CHILDREN'S HOSPITAL GALA 1001309 942954 58355 333747 DESERT GUILD LUNCHEON & BOUTIQUE SA 54504 39504 15000 24685 8 161249 111155 50094 65586 1217062 1093613 123449 424018 424018 -300569 52600 35000 0 52600 35000 35000 17600 CA 0 0 0 0 0 0 1 SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER 11234 ANDERSON ST LOMA LINDA CA 92354 953522679 501(C)(3) 903239 SUPPORT OF HOSPITAL PROGRAMS AND CHILDREN'S HEALTHCARE LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL 11234 ANDERSON ST LOMA LINDA CA 92354 463214504 501(C)(3) 965442 SUPPORT OF HOSPITAL PROGRAMS AND CHILDREN'S HEALTHCARE LOMA LINDA UNIVERSITY-SCHOOL OF MEDICINE 11145 ANDERSON ST LOMA LINDA CA 92350 951816009 501(C)(3) 42267 PURCHASE OF EQUIPMENT DESERT CLASSIC CHARATIES PO BOX 865 RANCHO MIRAGE CA 92270 330826474 501(C)(3) 27000 2016 CAREER BUILDER CHALLENGE LEVY PROM GOLF 484 INWOOD AVE NORTH OAKDALE MN 55128 371783629 9405 CATERING-CAREER BUILDER GOLF TOURNAMENT 4 1 BURIEL EXPENSES, TOYS AND CLOTHES FOR NEEDY FAMILIES 13806 INVOICES, STORE RECEIPTS BURIEL EXPENSES, TOYS & CLOTHES 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 290000 0 0 0 65393 0 16180 0 31053 0 402626 0 0 HART RICHARD HENRY TRUSTEE 0 376000 0 0 0 96781 0 16180 0 28435 0 517396 0 0 HEINRICH KERRY UNTIL 915 PRESIDENT/TRUSTEE 0 1475820 0 0 0 0 0 0 0 0 0 1475820 0 0 LENO SONDRA TREASURER 0 176936 0 4933 0 19680 0 21343 0 9240 0 232132 0 0 PERRYMAN MICHAEL SCOTT FROM 1015 PRESIDENT 0 84808 0 0 0 53993 0 0 0 13563 0 152364 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 EMPLOYEE RECEIVED A SEVERANCE PAYMENT: FIKE, RUTHITA J RECEIVED SEVERANCE OF $440,820. THE FOLLOWING LLUH EMPLOYEES PARTICIPATED IN, AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: BUSSELL, RACHELLE $34,167 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $1,853 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HART, RICHARD HENRY $57,093 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $668 TRAVEL FOR COMPANIONS. $5,248 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. PERRYMAN, MICHAEL SCOTT $11,518 NET FLEX PAN CREDITS PAID TO EMPLOYEE IN CASH. $32,998 HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE. $187 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 FORMS W-2 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 SERP BENEFIT: 100% FUNDED BY LLUSS. SERP BENEFIT: 100% FUNDED BY LLUMC HART, RICHARD HENRY COMPENSATION, EXCLUDING SERP BENEFIT: 50% FUNDED BY LLU AND 50% FUNDED BY LLUMC . SERP BENEFIT: 100% FUNDED BY LLUMC PERRYMAN, MICHAEL SCOTT COMPENSATION: 100% FUNDED BY LLUMC X WATCHES 1 41900 FAIR MARKET VALUE X VACATION 1 13400 FAIR MARKET VALUE X VARIOUS UNDER $5,000 3 7598 FAIR MARKET VALUE 0 0 0 0 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 11 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 2014 FOR THE POSITION OF SVP, ADVANCEMENT HELD BY BUSSELL, RACHELLE. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2014 FOR THE POSITION OF SVP/ADMINISTRATOR, LLUCH HELD BY PERRYMAN, MICHAEL SCOTT. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2014 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 THE GUIDESTAR.COM WEBSITE 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 VII, LINE 1A: 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. FORM 990, PART XII, LINE 2B: THE FINANCIAL STATEMENTS OF LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION WERE AUDITED BY AN INDEPENDENT FIRM AS PART OF THE 2015 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, 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. PART VI, LINE 3: LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION HAS NO EMPLOYEES LISTED IN THIS RETURN. THE EMPLOYEES ARE ALL EMPLOYED BY LOMA LINDA UNIVERSITY MEDICAL CENTER AND BILLED BACK TO THE FOUNDATION. THE COST TO THE FOUNDATION IS REPORTED ON PART IX, LINE 24A AS PURCHASED SERVICES. 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 N/A 0 LOMA LINDA UNIVERSITY 11145 ANDERSON ST LOMA LINDA CA 92350 951816009 UNIVERSITY CA 501(C)(3) 2 N/A 0 LOMA LINDA MERCANTILE PO BOX 2000 LOMA LINDA CA 92354 953858272 PURCHASING COMPANY CA 501(C)(3) 1 LOMA LINDA UNIVERSITY MEDICAL CENTER 0 LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER 1710 BARTON RD REDLANDS CA 92373 330245579 PSYCHIATRIC HOSPITAL CA 501(C)(3) 3 LOMA LINDA UNIVERSITY MEDICAL CENTER 0 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION PO BOX 2000 LOMA LINDA CA 92354 330565591 FOUNDATION CA 501(C)(3) 11A LOMA LINDA UNIVERSITY MEDICAL CENTER 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS ST LOMA LINDA CA 92354 330364239 HEALTHCARE MANAGEMENT SERVICE ORGANIZATION CA 501(C)(3) 11A N/A 0 LOMA LINDA UNIVERSITY MEDICAL ENTERPRISES 11234 ANDERSON ST LOMA LINDA CA 92354 330873998 OUTPATIENT PHARMACY CA 501(C)(3) 1 LOMA LINDA UNIVERSITY MEDICAL CENTER 0 LOMA LINDA UNIVERSITY FACULTY PHARMACY 11234 ANDERSON ST LOMA LINDA CA 92354 202834636 OUTPATIENT PHARMACY CA 501(C)(3) 1 LOMA LINDA UNIVERSITY MEDICAL CENTER 0 NATIONAL MEDICAL TECHNOLOGY TESTBED 11175 CAMPUS ST LOMA LINDA CA 92354 330578722 RESEARCH ORGANIZATION CA 501(C)(3) 1 N/A 0 UNIVERSITY INSURANCE COMPANY OF VERMONT 126 COLLEGE ST SUITE 400 BURLINGTON VT 05401 030311174 CAPTIVE INSURANCE PROVIDER VT 501(C)(3) 1 N/A 0 LOMA LINDA UNIVERSITY HEALTH SERVICES 11175 CAMPUS ST LOMA LINDA CA 92354 810661056 SERVICE ORGANIZATION CA 501(C)(3) 1 N/A 0 LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA 28062 BAXTER RD MURRIETA CA 92653 202859948 ACUTE CARE HOSPITAL CA 501(C)(3) 3 N/A 0 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL 11234 ANDERSON ST LOMA LINDA CA 92354 463214504 HOSPITAL CA 501(C)(3) 3 LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 LOMA LINDA UNIVERSITY MEDICAL CENTER R 1816834 LOMA LINDA UNIVERSITY MEDICAL CENTER P 604917