2015-11-13T11:29:02-06:00 2014-12-31 990 2014-01-01 953858272 LOMA LINDA MERCANTILE LOMA 9095585199 PO BOX 2000 FINANCE LOMA LINDA CA 92354 KEVIN J LANG PRESIDENT/CFO 9095585199 2015-11-13 2014 2016-03-07 17:11:31Z KEVIN J LANG 11175 CAMPUS ST LOMA LINDA CA 92354 122244471 0 1071 X N/A X 1983 CA PURCHASING & DISTRIBUTION OF EQUIPMENT AND MEDICAL SUPPLIES FOR LOMALINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER ORGANIZATIONS. 5 0 0 0 0 0 0 0 0 0 0 0 2323425 2230105 2323425 2230105 0 0 0 0 0 0 0 0 0 2323425 2230105 2323425 2230105 0 0 9561334 9381786 9561334 9381786 0 0 PURCHASING & DISTRIBUTION OF EQUIPMENT AND MEDICAL SUPPLIES FOR LOMALINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER ORGANIZATIONS. 0 0 1561372 2230105 PURCHASING & DISTRIBUTION OF EQUIPMENT AND MEDICAL SUPPLIES FOR LOMALINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER ORGANIZATIONS. 1561372 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 72 0 1 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X KEVIN J LANG PRESIDENTCFO 9095585199 11175 CAMPUS ST CSP 11006 LOMA LINDA CA 92354 X HADLEY HENRY ROGER BOARD MEMBER 0.50 49.50 X 0 443305 43539 HART RICHARD HENRY CHAIRPERSON 0.50 49.50 X 0 452139 45113 HEINRICH KERRY AS OF 7114 BOARD MEMBER 0.50 49.50 X 0 871690 0 LANG KEVIN J PRESIDENT 0.50 49.50 X X 0 864453 57772 FIKE RUTITA J UNTIL 63014 BOARD MEMBER 0.50 49.50 X 0 689722 45482 BULL BRIAN SECRETARY 0.50 X 0 0 0 MOHR STEVEN LAWRENCE UNTIL 8914 CFO 0.50 49.50 X 0 339943 38778 SEAGER JAMES AS OF 81014 CFO 0.50 49.50 X 0 223263 34450 0 3884515 265134 0 0 1 0 0 122244471 120014366 2230105 2230105 2230105 2230105 0 0 66493 46784 19709 87628 60074 27554 6742 4594 2148 60 41 19 14495 10419 4076 LEASED EMPLOYEES 1835630 1289306 546324 PURCHASED SERVICES 190886 130942 59944 28171 19212 8959 2230105 1561372 668733 0 6485547 5879398 3075787 3502388 987328 987328 0 0 9561334 9381786 9561334 9381786 9561334 9381786 X 0 0 9561334 9381786 0 0 X X 0 1 X 1 0 X 987328 987328 0 0 1 1 0 0 0 0 1 0 0 HADLEY HENRY ROGER BOARD MEMBER 0 365000 0 801 0 77504 0 15860 0 27679 0 486844 0 0 HART RICHARD HENRY CHAIRPERSON 0 365000 0 0 0 87139 0 15860 0 29253 0 497252 0 0 HEINRICH KERRY AS OF 7114 BOARD MEMBER 0 871440 0 0 0 250 0 0 0 0 0 871690 0 0 LANG KEVIN J PRESIDENT 0 601000 0 0 0 263453 0 15860 0 41912 0 922225 0 0 FIKE RUTITA J UNTIL 63014 BOARD MEMBER 0 360969 0 0 0 328753 0 15860 0 29622 0 735204 0 0 MOHR STEVEN LAWRENCE UNTIL 8914 CFO 0 263846 0 0 0 76097 0 10660 0 28118 0 378721 0 0 SEAGER JAMES AS OF 81014 CFO 0 207164 0 320 0 15779 0 23890 0 10560 0 257713 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 LLUAHSC EMPLOYEE RECEIVED A SEVERANCE PAYMENT: FIKE, RUTHITA J RECEIVED SEVERANCE OF $220,410. THE FOLLOWING LLUAHSC EMPLOYEES PARTICIPATED IN, AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: FIKE, RUTHITA J $11,868 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS). $66,042 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. HADLEY, HENRY ROGER $53,220 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. HART, RICHARD HENRY $55,087 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. LANG, KEVIN J $3,356 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS). $111,622 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $108,961 SERP FUNDING PAID TO EMPLOYEE IN CASH. MOHR, STEVEN LAWRENCE $1,822 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS). $41,766 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. PART I, LINE 6 LOMA LINDA UNIVERSITY MEDICAL CENTER A RELATED ORGANIZATION TO LOMA LINDA MERCANTILE HAS AN INCENTIVE PLAN. PAYMENTS FOR INCENTIVE AWARDS ARE TRIGGERED ONLY IF, AMONG OTHER ESTABLISHED CRITERIA, NET INCOME EXCEEDS BUDGET BY AN ESTABLISHED PERCENTAGE. FORM 990,SCHEDULE J,PART III THE OFFICERS LISTED ON THE FORM 990, PART VII, LINE 1A OR ON SCHEDULE J, PART II ARE EMPLOYED BY LLUAHSC. LLUAHSC 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) FOR RELATED ORGANIZATIONS REPRESENT TOTAL AMOUNTS OF COMPENSATION RECEIVED BY EACH OFFICER FROM LLUAHSC. THE OFFICERS DO NOT RECEIVE ANY OTHER COMPENSATION AMOUNTS FROM RELATED ORGANIZATIONS. LLUAHSC 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: FIKE, RUTHITA COMPENSATION, EXCLUDING THE SERP BENEFIT: 10% FUNDED BY LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER (LLUBMC) AND 90% FUNDED BY LLUMC SERP BENEFIT: 100% FUNDED BY LLUMC FONTOURA, DANIEL COMPENSATION: 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 LANG, KEVIN J. COMPENSATION, EXCLUDING SERP BENEFIT: 70% FUNDED BY LLUMC, 17.5% FUNDED BY LLU, 7.5% FUNDED BY LLUHC, AND 5% FUNDED BY LLUBMC SERP BENEFIT: 92.5% FUNDED BY LLUMC AND 7.5% FUNDED BY LLUHC MOHR, STEVEN LAWRENCE COMPENSATION: 100% FUNDED BY LLUMC FORM 990, PART VI, SECTION A, LINE 6 THERE SHALL BE A SINGLE CLASS OF MEMBERS OF LOMA LINDA MERCANTILE (LLM) WHICH SHALL BE LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER (LLUAHSC) ACTING BY AND THROUGH ITS BOARD. MEMBERSHIP IN THIS CORPORATION SHALL TERMINATE WHEN AN INDIVIDUAL CEASES, FOR WHATEVER REASON, TO BE A MEMBER OF THE LLUAHSC BOARD. NO MEMBER SHALL HAVE ANY RIGHT OR INTEREST IN ANY OF THE PROPERTY OR ASSETS OF LLM. NO MEMBER SHALL TRANSFER FOR VALUE OR OTHERWISE A MEMBERSHIP OR ANY RIGHT ARISING THEREFROM. FORM 990, PART VI, SECTION A, LINE 7A LLUAHSC, AS THE CORPORATE MEMBER, ELECTS THE BOARD OF TRUSTEES AT ITS QUINQUENNIAL MEETING. LLUAHSC SHALL ALSO HAVE THE POWER TO FILL VACANCIES ON THE BOARD OF TRUSTEES BETWEEN THE QUINQUENNIAL ORGANIZATION MEETINGS. FORM 990, PART VI, SECTION A, LINE 7B THE POWERS RESERVED BY LLUAHSC, WHICH SHALL ONLY BE EXERCISED BY THE LLUAHSC BOARD UPON A MAJORITY VOTE OF LLUAHSC'S TRUSTEES PRESENT AND VOTING AT A REGULAR OR SPECIAL MEETING WHENEVER A QUORUM IS PRESENT, ARE TO: 1 APPROVE OR RATIFY ALL CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS OF LLM. 2 ESTABLISH GUIDELINES FOR BORROWING OF FUNDS BY LLM. 3 APPROVE ANY MERGER, CONSOLIDATION, DISSOLUTION, SALE, OR TRANSFER OF MORE THAN TEN MILLION DOLLARS OF LLM. 4 APPROVE ANY EXCEPTIONS TO THE GUIDELINES FOR THE BORROWING OF FUNDS REQUESTED BY LLM'S BOARD. 5 REQUIRE THAT LLM ESTABLISH CONTRACTING GUIDELINES. 6 REQUIRE THAT LLM HAVE A COMPLIANCE PROGRAM. FORM 990, PART VI, SECTION B, LINE 11 THIS FORM 990 IS REVIEWED BY MANAGEMENT AND IS MADE AVAILABLE TO THE AUDIT COMMITTEE AND THE BOARD FOR REVIEW AND COMMENT BEFORE FILING. INTERNAL AUDIT HAS NOT REVIEWED THIS 990. 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 LLUAHSC, LOMA LINDA MERCANTILE'S PARENT ORGANIZATION, EMPLOYS AN INDEPENDENT OUTSIDE CONSULTING FIRM TO BENCHMARK COMPENSATION FOR LLUAHSC EMPLOYEES. LOMA LINDA MERCANTILE'S CEO AND CFO ARE EMPLOYED BY LLUAHSC. THE LLUAHSC 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 LLUAHSC BOARD WHO ARE INDEPENDENT OF LLUAHSC'S MANAGEMENT. THE EXECUTIVE COMPENSATION COMMITTEE IS APPOINTED BY THE LLUAHSC BOARD OF TRUSTEES TO HAVE DIRECT RESPONSIBILITY FOR ESTABLISHING COMPENSATION, POLICIES, AND BENEFITS FOR THE SENIOR EXECUTIVES OF LLUAHSC. THE COMMITTEE'S PROCESS INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF DELIBERATIONS AND DECISIONS. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF EVP, HOSPITAL OPERATIONS & CEO, LLUMC HELD BY FIKE, RUTHITA J.. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF SVP/ADMINISTRATOR, LLUMC ADULT SERVICES HELD BY FONTOURA, DANIEL ELBIO. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF VP, CHIEF WELLNESS OFFICER HELD BY FONTOURA, DANIEL ELBIO. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF PRESIDENT, LLUAHSC HELD BY HART, RICHARD HENRY. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF EVP, FINANCE & ADMINISTRATION, LLUAHSC HELD BY LANG, KEVIN J.. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF SVP/CFO, LLUHS & LLUMC HELD BY MOHR, STEVEN LAWRENCE. 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 11175 CAMPUS ST., CSP 11006, LOMA LINDA, CA 92354. FORM 990, PART VI, SECTION C, LINE 19 LOMA LINDA MERCANTILE 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 ON THE GUIDESTAR WEBSITE. FORM 990, PART VII, LINE 1A: FOR EMPLOYEES OF LLUAHSC OR LLUAHSC 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 MERCANTILE WERE AUDITED BY AN INDEPENDENT FIRM AS PART OF THE 2014 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 PHYSICIANS HOSPITAL OF MURRIETA, LLC). FORM 990, PART XII, LINE 2C: DUE TO THE FACT THAT LOMA LINDA MERCANTILE'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 MERCANTILE'S FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT FIRM. LOMA LINDA UNIVERSITY MEDICAL CENTER 11234 ANDERSON ST LOMA LINDA CA 92354 953522679 HOSPITAL CA 501(C)(3) 3 LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCEINCES CENTER 0 LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCEINCES CENTER 11175 CAMPUS ST LOMA LINDA CA 92354 953804495 PARENT COMPANY CA 501(C)(3) 1 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 N/A 0 SOCIAL ACTION COMMUNITY HEALTH SYSTEM 1475 EAST 3RD ST SAN BERNARDINO CA 92504 330664371 COMMUNITY HEALTH CLINIC CA 501(C)(3) 11A LOMA LINDA UNIVERSITY MEDICAL CENTER 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 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 CHILDREN'S HOSPITAL 11234 ANDERSON ST LOMA LINDA CA 92354 463214504 HOSPITAL CA 501(C)(3) 3 LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCEINCES CENTER 0 MEDICAL PROPERTIES OF LOMA LINDA 11175 CAMPUS ST LOMA LINDA CA 92354 953669452 PROPERTY OWNERSHIP CA LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0