2015-11-13T15:33:38-06:00 2014-12-31 990 2014-01-01 953522679 SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER SEVE 9095585199 PO BOX 2000 FINANCE LOMA LINDA CA 92354 KEVIN J LANG CFO 9095585199 2015-11-13 2014 2016-03-07 17:11:31Z KEVIN J LANG 11175 CAMPUS ST LOMA LINDA CA 92354 1298923495 0 1071 X WWW.LLU.EDU X 1980 CA PROVIDE MEDICAL & HEALTH CARE SERVICES TO THE COMMUNITY 21 17 8639 1348 1768808 548754 5545177 23956040 1234408454 1249192094 12150011 8802800 5328214 6406874 1257431856 1288357808 3954727 3864639 0 0 583103074 617618203 0 0 2836858 616647063 596012406 1203704864 1217495248 53726992 70862560 1307654577 1617294088 674861258 999948250 632793319 617345838 X OUR MISSION IS TO CONTINUE THE HEALING MINISTRY OF JESUS CHRIST, "TOMAKE MAN WHOLE," IN A SETTING OF ADVANCING MEDICAL SCIENCE AND TOPROVIDE A STIMULATING CLINICAL AND RESEARCH ENVIRONMENT FOR THEEDUCATION OF PHYSICIANS, NURSES, AND OTHER HEALTH PROFESSIONALS. 0 0 997967840 3864639 1262622318 LLUMC PRIMARY SERVICE AREA CAN BE DEFINED, BROADLY, AS CALIFORNIA'S INLAND EMPIRE - RIVERSIDE AND SAN BERNARDINO COUNTIES. THE INLAND EMPIRE IS A REGION OF SOUTHERN CALIFORNIA SITUATED DIRECTLY EAST OF THE LOS ANGELES METROPOLITAN AREA. RIVERSIDE AND SAN BERNARDINO COUNTIES RANGE FROM LAKE ARROWHEAD IN THE NORTH, YUCAIPA IN THE EAST, PERRIS IN THE SOUTH, AND ONTARIO IN THE WEST, SERVING A LITTLE OVER 4 MILLION PEOPLE. A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2013, THE DETAILED PLANS FOR EACH LICENSED HOSPITAL WERE CREATED TO MEET THE IDENTIFIED COMMUNITY NEEDS, AND ADDRESS COMMUNITY PLANS TO ADDRESS NEEDS THE HOSPITALS ARE UNABLE TO PROVIDE. THE CHNA WAS CONDUCTED NOT ONLY IN RESPONSE TO CALIFORNIA'S COMMUNITY BENEFIT LEGISLATION (SB 697) AND THE AFFORDABLE CARE ACT (H.R. 3590) BUT TO TRULY FULFILL THE MISSION OF LLUH: TO FURTHER THE TEACHING AND HEALING MINISTRY OF JESUS CHRIST. THE CHNA WAS APPROVED ON AUGUST 27, 2013 FOR ALL THREE LICENSED HOSPITALS. LLUMC HAS TAKEN A UNIQUE APPROACH TO THE ASSESSMENT PROCESS TO INCREASE OUR EFFECTIVENESS IN OUR PRIMARY SERVICE AREA, AND TO BE ON THE LEADING EDGE OF IMPLEMENTING HEALTHCARE REFORM. FOCUSING ON THE LEADING HEALTH INDICATORS, ALONG WITH DEATH AND DISEASE, HAVE SHOWN TO REDUCE THE POOR HEALTH IN OUR REGION. WE WILL ASK THE QUESTIONS 1) WHAT IS REALLY HURTING OUR COMMUNITIES? 2) HOW CAN WE MAKE A DIFFERENCE? 3) WHAT ARE THE HIGH IMPACT INTERVENTIONS? 4) WHO ARE OUR PARTNERS?, AND 5) WHO NEEDS OUR HELP THE MOST? OUR GOAL IS TO IDENTIFY EMERGING HEALTH ISSUES AND NEEDS AND PROVIDE SUFFICIENT DETAIL AT DIFFERENT LEVELS OF AGGREGATION TO SUPPORT POLICY AND PROGRAMMATIC DECISIONS. THE DATA COLLECTED IN THIS DOCUMENT WILL BE USED FOR MULTIPLE PURPOSES AND WILL CONTINUALLY BE EVALUATED FOR INTEGRITY, ACCURACY, TIMELINESS, AND THE ABILITY TO ASSIST IN ELEVATING THE HEALTH STATUS OF THE INLAND EMPIRE. BUILDING A HEALTHY ENVIRONMENT REQUIRES MULTIPLE STAKEHOLDERS WORKING TOGETHER WITH A COMMON PURPOSE. THE PRIMARY FOCUS OF THE ASSESSMENT IS TO ELEVATE THE HEALTH STATUS OF OUR COMMUNITY AND THE DIVERSE POPULATIONS WE SERVE BY IDENTIFYING COMMUNITY NEED AND TO PRIORITIZE OUR COMMUNITY INTERVENTIONS.LLUH IS ROOTED IN PROMOTING WHOLENESS AND THE CHNA WAS MODELED AFTER THIS VALUE WITH OUR WHOLE COMMUNITY CARE MODEL THAT NOT ONLY INCLUDED THE HEALTH STATUS OF OUR POPULATION BUT THE BUILT ENVIRONMENT, THE SOCIAL DETERMINANTS IN OUR COMMUNITY, AND THE READINESS OF OUR HEALTH SYSTEM TO TRULY MEET THE NEEDS OF OUR COMMUNITY. IN ADDITION TO THE PROGRAMS AND INTERVENTIONS THROUGHOUT THE HEALTH SYSTEM, THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR LLUH IDENTIFIED 3 SYSTEM WIDE INITIATIVES: FAITH AND HEALTH, HEALTHY COMMUNITIES, AND HEALTH SYSTEM CARE AND UNIQUE STRATEGIES FOR EACH HOSPITAL HAVE BEEN IDENTIFIED. PRIORITY AREAS IN RESPONSE TO THE NEEDS WERE: * CANCER CARE - HIGH RATES OF BREAST, LUNG, AND COLORECTAL CANCER* CHRONIC DISEASE CARE - HEART DISEASE AND DIABETES* SICKLE CELL ANEMIA - INCREASED PREVALENCE OF SICKLE CELL ANEMIA IN THE REGION* AGING - HIGH RATES OF DEMENTIA AND ALZHEIMER'S* POOR EDUCATIONAL ATTAINMENT AND HIGH RATES OF POVERTY IN THE INLAND REGION* REHABILITATION CARE - LACK OF COMMUNITY SUPPORT FOR PEOPLE WITH DISABILITIES* BEHAVIORAL HEALTH- HIGH RATES OF 5150'S AND DIFFICULTY ACCESSING COMPREHENSIVE BEHAVIORAL HEALTH 997967840 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 1 822 0 1 8639 1 1 1 0 0 0 0 0 0 0 X 21 17 0 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X KEVIN J LANG CFO 9095585199 11175 CAMPUS ST CSP 11006 LOMA LINDA CA 92354 X FIKE RUTHITA J UNTIL 63014 CEO/ADMINISTRATOR 45.00 5.00 X X 0 689722 45482 HADLEY HENRY ROGER BOARD MEMBER 0.50 49.50 X 0 443305 43539 HART RICHARD HENRY BOARD MEMBER/PRESIDENT 25.00 25.00 X X 0 452139 45113 CARMEN ROBERT UNTIL 22514 BOARD MEMBER 0.50 X 0 0 0 CEBALLOS GLORIA BOARD MEMBER 0.50 X 0 250 0 CHRISPENS JERE BOARD MEMBER 0.50 X 0 250 0 COOPER LOWELL BOARD MEMBER 0.50 X 0 0 0 FRIESTAD CHRISTINE UNTIL 52014 BOARD MEMBER 0.50 X 0 0 0 GRAHAM RICARDO BOARD MEMBER 0.50 X 0 250 0 HEINRICH KERRY AS OF 63014 CEO/ADMINISTRATOR 30.00 20.00 X X 871440 250 0 JACKSON DANIEL BOARD MEMBER 0.50 X 0 250 0 LANDLESS PETER BOARD MEMBER 0.50 X 0 250 0 LEMON ROBERT BOARD MEMBER 0.50 X 0 250 0 PEVERINI RICARDO BOARD MEMBER 0.50 X 168300 0 0 REEVES MARK VP INSTITUTES 49.50 0.50 X X 220000 0 0 REINER SCOTT BOARD MEMBER 0.50 X 0 250 0 TREVINO MAX BOARD MEMBER 0.50 X 0 250 0 TSAO ERIC BOARD MEMBER 0.50 X 0 250 0 WERNER THOMAS BOARD MEMBER 0.50 X 0 250 0 WILLIAMS DAVID BOARD MEMBER 0.50 X 0 250 0 WILSON TED BOARD MEMBER 0.50 X 0 250 0 NG G T BOARD MEMBER 0.50 X 0 250 0 LANG KEVIN J AS OF 81014 CFO/TREASURER 35.00 15.00 X 0 864453 57772 MOHR STEVEN LAWRENCE UNTIL 8914 CFO 45.00 5.00 X 0 339943 38778 HANSEN TERRENCE COO 45.00 5.00 X 0 193042 0 GIANG DANIAL VP GRADUATE MEDICAL EDUCATION 50.00 X 243249 0 0 PAPPAS JAMES VP QUALITY & PATIENT SAFETY 50.00 X 405000 0 0 BULL BRIAN CORPORATE SECRETARY 0.50 X 0 0 0 STORFJELL JUDITH SR VP PATIENT CARE SERVICES 50.00 X 0 425591 0 HANNA MYRNA ASSIST CORPORATE SECRETARY 1.00 49.00 X 0 135730 26733 BAKER J PETER VP 50.00 X 0 281028 45508 BUSSELL RACHELLE VP PHILANTHROPY 25.00 25.00 X 0 343675 45810 EDWARDS LYNDON C VP & ADMINISTRATOR ECH/HSH 50.00 X 0 287575 45975 FONTOURA DANIEL ELBIO VP 50.00 X 0 302832 49596 HUBBARD MARK LEE VP HRM/RM, ASSIST CORPORATE SECRETARY 50.00 X 0 488542 50306 LALAS ANGELA MANALO VP FINANCE 25.00 25.00 X 0 197598 38882 MOCK FERMAN JESSE VP PATIENT ENGAGEMENT 50.00 X 0 252565 46183 RAWSON RICHARD VP 50.00 X 0 518160 49640 SARRAFIAN ZAREH HOVIK COO-FORMER 1.00 X 0 661216 19651 SCHMIDT CYNTHIA J VP REVENUE CYCLE 50.00 X 0 323083 57148 WINSLOW GERALD VP MISSION & CULTURE 47.50 2.50 X 0 279132 27784 KROETZ JANET CHIEF PATIENT CARE DIRECTOR 40.00 X 239058 0 35993 SCHULTE REINHARD PROGRAM SPECIALIST-RESEARCH 40.00 X 354513 26006 29792 PATYAL BALDEV CHIEF PHYSICIST 40.00 X 308514 0 39004 CHOI DONGRAK PHYSICIST PHD LEAD 40.00 X 258165 0 37691 HOLSHOUSER BARBARA PHYSICIST PHD 2 40.00 X 257929 0 37751 GHEBREMEDHIN GHEBRESELAS PHYSICIST PHD LEAD 40.00 X 257232 0 37628 DICKINSON ELIZABETH JANE VP-FORMER 0.00 X 0 302465 42197 3583400 7811302 993956 1071 1 1 0 FACULTY PHYSICIANS AND SURGEONS 11175 CAMPUS ST 11120 LOMA LINDA CA 92350 MEDICAL DIRECTORS, TEAM CLINIC SUPPORT, 46188394 LOMA LINDA UNIV HEALTH SERVICES 11145 ANDERSON ST 209 LOMA LINDA CA 92350 SHARED SERVICES 30958977 LOMA LINDA UNIV ADVENTIST HEALTH SCIENCE 11175 CAMPUS ST 11006 LOMA LINDA CA 92354 ADMINISTRATION FEES 8053279 ONELEGACY 221 S FIGUEROA ST STE 500 LOS ANGELES CA 90012 ORGAN PROCUREMENT 3943850 FACULTY MEDICAL GROUP OF LLUSM 11234 ANDERSON ST A108 LOMA LINDA CA 92354 MEDICAL DIRECTORS, TEAM CLINIC SUPPORT, 3758518 111 19502 85955 806548 1082706 21961329 35000 23956040 PATIENT CARE 446110 1073271567 1073271567 HOSPITAL QUALITY ASSURANCE PROGRA 446110 128662065 128662065 CAFETERIA 446110 4909689 4909689 42348773 42348773 1249192094 7433342 7433342 1369458 1369458 44685 85955 34043 10642 10642 15817017 10531644 5285373 4627424 657949 PARTNERSHIP INCOME-EPIC MANAGEMEN 523000 1110859 1110859 1110859 1288357808 1262622318 1768808 10642 3620256 3620256 244383 244383 8161061 275050 7886011 438493408 394968838 43741534 -216964 18041709 16156086 1885623 107387479 95325564 12061915 45534546 40786078 4748468 6518409 5540365 978044 495352 364314 131038 596479 447359 149120 53493773 49718948 3774825 12751028 12751028 217484135 212800757 4683378 4613520 3459125 1154395 54687635 42816943 11870692 1136251 808285 327966 826055 355187 470868 22838235 22838235 26367479 26367479 57336662 37121710 20214952 10491505 3147119 7344386 PURCHASED SERVICES 82098605 41362466 37682317 3053822 PROVIDER FEE EXPENSE 64037203 64037203 RESTRICTED FUND EXPENSE 2586222 2586222 -22346142 -17974418 -4371724 1217495248 997967840 216690550 2836858 290651089 268233414 62600966 64254971 213635371 297876256 20013619 21604167 4544476 15908159 1592162456 797790577 619955356 794371879 96253700 155045242 1307654577 1617294088 198228254 247210108 340368291 648507480 88535001 66483491 47729712 37747171 674861258 999948250 X 597028398 574218078 35764921 43127760 632793319 617345838 1307654577 1617294088 X 70862560 1632207 -87942248 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 596479 0 0 596479 0 PART II-B, LINE 1: THE CRITICAL NEED FOR HEALTH CARE REFORM IS APPARENT TO ALL AMERICANS. LOMA LINDA UNIVERSITY MEDICAL CENTER ("LLUMC") 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. 26382650 26382650 471930361 114989469 356940892 323656409 115344241 208312168 681083485 567456867 113626618 89109551 89109551 794371879 ASSETS WHOSE USE IS LIMITED, NET OF CURRENT PORTION 89708552 DEFERRED FINANCING COSTS 8292137 OTHER LONG-TERM ASSETS 56574025 FUNDS HELD IN ESCROW FOR ASSET CONSTRUCTION 470528 155045242 OTHER LONG-TERM LIABILITIES 37747171 37747171 X PART X, LINE 2: THE PRINCIPAL OPERATIONS OF LLUMC ARE EXEMPT FROM TAXATION PURSUANT TO IRC SECTION 501(C)(3) AND THE RELATED STATE PROVISIONS. 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 DECEMBER 31, 2014 OR 2013. 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 2011 IN MAJOR JURISDICTIONS. PROTON TREATMENT CENTER GOLF TOURNA 130640 85955 44685 34043 130640 85955 44685 34043 34043 10642 1 1 X 1 X 1 X 1 1 0 1 1 13996035 13996035 0.01150 588967151 404981023 183986128 0.15110 5384245 6020778 -636533 0.00000 608347431 411001801 197345630 0.16260 19 167259 1711836 110447 1601389 0.00130 2 59 56006233 5396331 50609902 0.04160 2 1236 4515917 3323514 1192403 0.00100 3517103 3517103 0.00290 3 11767 2976376 2976376 0.00240 26 180321 68727465 8830292 59897173 0.04920 26 180321 677074896 419832093 257242803 0.21180 1 1487 20688 20688 0.00000 1 25000 25000 0.00000 1 328 14812 14812 0.00000 3 1815 60500 60500 1 53200000 12906320 178008655 181037901 -3029246 X 1 1 1 1 LOMA LINDA UNIVERSITY MEDICAL CENTER 11234 ANDERSON ST LOMA LINDA CA 92354 X X X X X X X LOMA LINDA UNIVERSITY MEDICAL CENTER 1 0 0 1 X X X X X X X X X X 13 1 1 1 1 X HTTP://BEHAVIORAL-MEDICINE-CENTER.LOMALINDAHEALTH.ORG/SITES/BEHAVIORAL-MEDI X X 1 13 1 HTTP://BEHAVIORAL-MEDICINE-CENTER.LOMALINDAHEALTH.ORG/SITES/BEHAVIORAL-MEDI 0 0 1 X 200.000000000000 350.000000000000 X X X X X X 1 1 X X X X 1 X X X X X X X X X 1 0 1 X 0 0 LOMA LINDA UNIVERSITY MEDICAL CENTER PART V, SECTION B, LINE 13H: NUMBER OF FAMILY MEMBERS. LOMA LINDA UNIVERSITY MEDICAL CENTER PART V, SECTION B, LINE 16I: POLICY POSTED ON THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY LOMA LINDA UNIVERSITY MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: HTTP://BEHAVIORAL-MEDICINE-CENTER.LOMALINDAHEALTH.ORG/SITES/BEHAVIORAL-MEDI LOMA LINDA UNIVERSITY MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: HTTP://LOMALINDAHEALTH.ORG/MEDIA LOMA LINDA UNIVERSITY MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE: HTTP://LOMALINDAHEALTH.ORG PART III, LINE 2 EXPLANATION: PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THESE AMOUNTS ARE BASED ONMANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS,TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. SEE FOOTNOTE TO 2014 LLUMC'S FINANCIAL STATEMENTS, PAGE 12, NOTES TO COMBINED FINANCIAL STATEMENTS. PART III, LINE 3 EXPLANATION: 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 24.26% (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. PART III, LINE 4 EXPLANATION: FOOTNOTE TO 2014 LLUMC'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS FOUND ON PAGES 11-13, NOTES TO COMBINED FINANCIAL STATEMENTS. PART VI, LINE 1 EXPLANATION: REQUIRED DESCRIPTIONSPART I, LINE 3C: LLUMC USES FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.PART I, LINE 6A: LLUMC, LLUMC-MURRIETA, AND BMC SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT TO OSHPD.PART I, LINE 7G: HOME CARE (CC 8401) = $1,192,402 & UNREIMBURSED ORGAN COSTS.PART I, LINE 7 COLUMN E: HEALTH PROFESSIONALS EDUCATION AND RESEARCH - $54,127,005PART I, LINE 7: MEDICAL CARE SERVICES - $197,345,631, COMMUNITY HEALTH IMPROVEMENT - $4,904,963PART III, LINE 4: BAD DEBT - $10,648,405PART III, LINE 8: N/APART III, LINE 9B: YES, REFER TO CHARITY CARE AND FINANCIAL ASSISTANCE POLICYPART V, LICENSED HOSPITAL, GENERAL MEDICAL AND SURGICAL, CHILDREN'S HOSPITAL, TEACHING HOSPITAL, RESEARCH FACILITY, AND ER 24 HOURSPART II, THE TASK OF CREATING HEALTHY ENVIRONMENTS CAN BE DAUNTING. TO CHANGE THE BUILT ENVIRONMENT INCLUDING LAND USE, TRANSPORTATION, HOUSING, AND OPEN SPACE OCCURS AT A SLOW PACE. CHANGING THE MOMENTUM FROM CURRENT PLANNING PRACTICES IN THE INLAND EMPIRE THAT HAVE RESULTED IN UNHEALTHY DEVELOPMENT PATTERNS WILL TAKE TIME, ATTENTION, AND AN ONGOING COMMITMENT FROM THE HEALTH SECTOR. THERE IS A SENSE OF URGENCY WITH THE GROWING CHRONIC DISEASES IN OUR REGION. THE NEED TO TAKEACTION IS URGENT, HEALTH ORIENTED POLICIES ADOPTED TODAY WILL INFLUENCE ON-THE-GROUND DEVELOPMENT DECADES FROM NOW. THAT IS WHY OUR COMMUNITY PARTNERS ARE CRITICAL TO HELPING US ELEVATE THE HEALTH STATUS OF THE INLAND EMPIRE. BY WORKING TOGETHER AND COMBINING OUR RESOURCES AND STRENGTHS WE CAN MAKE A GREATER IMPACT IN OUR COMMUNITY. LLUMC SUPPORTS AND ENHANCES REGIONAL EFFORTS IN PLACE TO PROMOTE HEALTHIER OMMUNITIES. ONE OF THE OBJECTIVES IS TO PARTNER WITH OTHER NONPROFIT AND RELIGIOUS ORGANIZATIONS THAT SHARE OUR VALUES AND PRIORITIES TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITY WE SERVE. THIS IS AN INTENTIONAL EFFORT TO AVOID DUPLICATION AND LEVERAGE THE SUCCESSFUL WORK ALREADY IN EXISTENCE IN THE COMMUNITY. MANY IMPORTANT SYSTEMIC EFFORTS ARE UNDERWAY IN OUR REGION AND WE HAVE BEEN IN PARTNERSHIP WITH MULTIPLE NOT-FOR-PROFITS TO PROVIDE QUALITY CARE TO THE UNDERSERVED IN OUR REGION. PART VI, LINE 2 EXPLANATION: NEEDS ASSESSMENTA COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2013, THE DETAILED PLANS FOR EACH LICENSED HOSPITAL WERE CREATED TO MEET THE IDENTIFIED COMMUNITY NEEDS, AND ADDRESS COMMUNITY PLANS TO ADDRESS COMMUNITY PLANS TO ADDRESS NEEDS THE HOSPITALS ARE UNABLE TO PROVIDE. THE CHNA WAS CONDUCTED NOT ONLY IN RESPONSE TO CALIFORNIA'S COMMUNITY BENEFIT LEGISLATION (SB 697) AND THE AFFORDABLE CARE ACT (H.R. 3590) BUT TO TRULY FULFILL THE MISSION OF LLUH: TO FURTHER THE TEACHING ANDHEALING MINISTRY OF JESUS CHRIST. THE CHNA WAS APPROVED ON AUGUST 27,2013 FOR ALL FOUR LICENSED HOSPITALS. COMMUNITY HEALTH DEVELOPMENT OF LLUMC HAS TAKEN A UNIQUE APPROACH TO THE ASSESSMENT PROCESS TO INCREASE OUR EFFECTIVENESS IN OUR PRIMARY SERVICE AREA, AND TO BE ON THE LEADING EDGE OF IMPLEMENTING HEALTHCARE REFORM. FOCUSING ON THE LEADING HEALTH INDICATORS, ALONG WITH DEATH AND DISEASE, HAVE SHOWN TO REDUCE THE POOR HEALTH IN OUR REGION. WE WILL ASK THE QUESTIONS 1) WHAT IS REALLY HURTING OUR COMMUNITIES? 2) HOW CAN WE MAKE A DIFFERENCE? 3) WHAT ARE THE HIGH IMPACTINTERVENTIONS? 4) WHO ARE OUR PARTNERS?, AND 5) WHO NEEDS OUR HELP THE MOST? OUR GOAL IS TO IDENTIFY EMERGING HEALTH ISSUES AND NEEDS AND PROVIDE SUFFICIENT DETAIL AT DIFFERENT LEVELS OF AGGREGATION TO SUPPORT POLICY AND PROGRAMMATIC DECISIONS. THE DATA COLLECTED IN THIS DOCUMENT WILL BE USED FOR MULTIPLE PURPOSES AND WILL CONTINUALLY BE EVALUATED FOR INTEGRITY, ACCURACY, TIMELINESS, AND THE ABILITY TO ASSIST IN ELEVATING THE HEALTH STATUS OF THE INLAND EMPIRE. BUILDING A HEALTHY ENVIRONMENT REQUIRES MULTIPLE STAKEHOLDERS WORKING TOGETHER WITH A COMMON PURPOSE. THE PRIMARY FOCUS OF THE ASSESSMENT IS TO ELEVATE THE HEALTH STATUS OF THE COMMUNITY AND THE DIVERSE POPULATIONS WE SERVE BY IDENTIFYING COMMUNITY NEED AND TO PRIORITIZE OUR COMMUNITY INTERVENTIONS. LLUH IS ROOTED IN PROMOTING WHOLENESS AND THE CHNA WAS MODELED AFTER THIS VALUE WITH OUR WHOLE COMMUNITY CARE MODEL THAT NOT ONLY INCLUDED THE HEALTH STATUS OF OUR POPULATION BUT THE ENVIRONMENT, THE SOCIAL DETERMINANTS IN OUR COMMUNITY AND THE READINESS OF OUR HEALTH SYSTEM TO TRULY MEET THE NEEDS OF OUR COMMUNITY. THE CHNA WAS CONDUCTED IN CONJUNCTION WITH SAN BERNARDINO AND RIVERSIDE COUNTY DEPARTMENTS OF PUBLIC HEALTH. LLUH HAS PLAYED AN ACTIVE ROLE IN A COUNTYWIDE HEALTH IMPROVEMENT FRAMEWORK, COMMUNITY VITAL SIGNS (CVS), A COMMUNITY-LED EFFORT IN PARTNERSHIP WITH SAN BERNARDINO COUNTY. THIS EFFORT DEVELOPED EVIDENCE-BASED GOALS AND PRIORITIES FOR ACTION THAT ENCOMPASSES POLICY, EDUCATION, ENVIRONMENT, AND SYSTEMS CHANGE. THE ESTABLISHED GOALS AND PRIORITIES WILL ALIGN WITH NATIONAL AND STATEWIDE EFFORTS THROUGH HEALTHY PEOPLE 2020 AND HEALTHY CALIFORNIA 2020. THE RESOURCES GATHERED BY CVS WILL ASSIST ORGANIZATIONS AND AGENCIES IN THE COUNTY TO DEVELOP OR ENHANCE PROGRAMS AND POLICIES TO BETTER MEET THE NEEDS OF RESIDENTS.THIS COLLABORATIVE EFFORT WILL ALLOW FOR A COLLECTIVE IMPACT MODEL TO ADDRESS THE HEALTH CHALLENGES IN OUR REGION. EVERY EFFORT HAS BEEN MADE TO ALIGN OUR DATA WITH COUNTYWIDEEFFORTS.QUANTITATIVE DATA*MORBIDITY AND MORTALITY COLLECTED FROM THE COUNTY HEALTH PROFILES.*HOSPITALIZATION AND EMERGENCY DEPARTMENT UTILIZATION FROM OSHPD AND LLUMC.*SOCIAL DETERMINANTS OF HEALTH AND HEALTH INDICATOR DATA WERE COLLECTED FROM THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, COMMUNITY COMMONS, AND VARIOUS OTHER LOCAL, STATE, AND FEDERAL PUBLIC ACCESS DATABASES. TO VALIDATE THE DATA, AND TO ENSURE A BROAD REPRESENTATION OF THE COMMUNITY, QUALITATIVE DATA WAS COLLECTED FROM:QUALITATIVE DATA*PHYSICIAN SURVEYS, TO IDENTIFY AREAS IN WHICH THE HEALTH SYSTEM CAN SUPPORT THE HEALTH OF THEIR PATIENTS IN OUR COMMUNITY INITIATIVES.*COMMUNITY AGENCIES, SERVING OUR PRIMARY SERVICE AREA, TO ASSESS THEIR NEEDS AND TO IDENTIFY AREAS THAT LLUMC CAN BE A STRATEGIC PARTNER.*TELEPHONE INTERVIEWS FROM CONSUMERS IN THE PRIMARY SERVICE AREA.*KEY INFORMANT INTERVIEWS FROM KEY LEADERS, TO ENGAGE THEM IN THE DEVELOPMENT OF OUR INTERVENTIONS AND SOLICIT THEIR INPUT TO IMPROVING THE HEALTH OF OUR REGION.*FOCUS GROUPS WITH OUR PATIENTS WITH BROAD AND DIVERSE PERSPECTIVES.*FOCUS GROUPS WITH OUR CHAPLAINS, FIRE DEPARTMENTS, AND NURSES.A WRITTEN PUBLIC RECORD OF THE CHNA PROCESS ALONG WITH THREE COMMUNITY HEALTH PLANS (CHPS) AND ITS OUTCOMES WAS CREATED AND MADE AVAILABLE TO KEY STAKEHOLDERS IN THE COMMUNITY AND TO THE GENERAL PUBLIC. CHNA INFORMATION WILL BE DISSEMINATED TO PARTNERS AT MEETINGS, CONFERENCES, AND OTHER FUNCTIONS. IN ADDITION, THE REPORT IS PUBLICLY AVAILABLE ONLINE THROUGH LLUMC WEBSITE FOR INTERNAL AND EXTERNAL PURPOSES. THE WRITTEN PUBLIC REPORT INCLUDES:*A DESCRIPTION OF THE HOSPITAL FACILITY'S COMMUNITY AND HOW IT WAS DETERMINED;*THE PROCESS AND METHODS USED TO CONDUCT THE ASSESSMENT;*HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED;*ALL OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA AND THEIR PRIORITIES, AS WELL AS A DESCRIPTION OF THE PROCESS AND CRITERIA USED IN THE PRIORITIZATION; AND*EXISTING HEALTH CARE FACILITIES AND OTHER RESOURCES WITHIN THE COMMUNITY AVAILABLE TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA.3 SYSTEM WIDE INITIATIVES: FAITH AND HEALTH, HEALTHY COMMUNITIES, AND HEALTH SYSTEM CARE AND UNIQUE STRATEGIES FOR EACH HOSPITAL HAVE BEEN IDENTIFIED. PRIORITY AREAS IN RESPONSE TO THE NEEDS WERE:CHILD HEALTH- INCLUDING OBESITY AND ASTHMACANCER CARE - HIGH RATES OF BREAST, LUNG, AND COLORECTAL CANCERCHRONIC DISEASE CARE - HEART DISEASE AND DIABETESSICKLE CELL ANEMIA - INCREASED PREVALENCE OF SICKLE CELL ANEMIA IN THE REGIONAGING - HIGH RATES OF DEMENTIA AND ALZHEIMERS POOR EDUCATIONAL ATTAINMENT AND HIGH RATES OF POVERTY IN THE INLAND REGIONREHABILITATION CARE - LACK OF COMMUNITY SUPPORT FOR PEOPLE WITH DISABILITIESBEHAVIORAL HEALTH- HIGH RATES OF 5150'S AND DIFFICULTY ACCESSING COMPREHENSIVE BEHAVIORAL HEALTH SERVICES PART VI, LINE 3 EXPLANATION: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCELLUMC SHALL 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 SHALL ALSO BE POSTED AT ANY LOCATION WHERE A PATIENT MAY PAY THEIR BILL. NOTICES WILL INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE.1.1 THESE NOTICES SHALL BE 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 WILL BE MADE AVAILABLE TO THE PUBLIC UPON REASONABLE REQUEST. LLUMC WILL RESPOND TO SUCH REQUESTS IN A TIMELY MANNER. PART VI, LINE 4 EXPLANATION: COMMUNITY INFORMATIONLOMA LINDA UNIVERSITY HEALTH'S PRIMARY SERVICE AREA CAN BE DEFINED, BROADLY, AS CALIFORNIA'S INLAND EMPIRE - RIVERSIDE AND SAN BERNARDINO COUNTIES. THE INLAND EMPIRE IS A REGION OF SOUTHERN CALIFORNIA SITUATED DIRECTLY EAST OF THE LOS ANGELES METROPOLITAN AREA. RIVERSIDE AND SAN BERNARDINO CITIES RANGE FROM LAKE ARROWHEAD IN THE NORTH, YUCAIPA IN THE EAST, PERRIS IN THE SOUTH, AND ONTARIO IN THE WEST, SERVING A LITTLE OVER 4 MILLION PEOPLE WITH MORE THAN 90% FROM THE TWO COUNTIES. PART VI, LINE 5 EXPLANATION: PROMOTION OF COMMUNITY HEALTHIN 2009/2010 LLUMC CREATED THE COMMUNITY BENEFIT ADMINISTRATIVE COUNCIL (CBAC). CBAC REPORTS TO THE MISSION-FOCUSED SUBCOMMITTEE OF THE LLUMC BOARD OF TRUSTEES AND A BOARD MEMBER SERVES ON CBAC. IMPROVING THE HEALTH OF THE COMMUNITY AND DEVELOP INTERVENTIONS. CBACS COUNCIL MEMBERS MEET QUARTERLY TO REVIEW THE STATUS AND PROGRESS OF LLUCH, LLUMC LLUBMC, AND LLUMC-MURRIETA COMMUNITY BENEFIT INTERVENTIONS. ADDITIONALLY, THE COUNCIL MEMBERS ASSURE ORGANIZATIONAL COMPLIANCE WITH RELEVANT COMMUNITY BENEFIT LEGISLATION.CORE PRINCIPLES:1. EMPHASIS ON COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH NEEDS2. EMPHASIS ON PRIMARY PREVENTION CARE3. BUILD A SEAMLESS CONTINUUM OF CARE4. EMPHASIS ON COMMUNITY CAPACITY BUILDING5. EMPHASIS ON COLLABORATIVE GOVERNANCE PART VI, LINE 6 EXPLANATION: AFFILIATED HEALTH CARE SYSTEMLLUCH IS A PART OF LOMA LINDA UNIVERSITY HEALTH WHICH INCLUDES 4 LICENSED HOSPITALS, A UNIVERSITY, AND A FACULTY MEDICAL GROUP. LLU HOSPITALS JOINED TOGETHER WITH OTHER ENTITIES IN THE LOMA LINDAUNIVERSITY HEALTH SCIENCES SYSTEM IN FORMING THE INSTITUTE FOR COMMUNITY PARTNERSHIPS (ICP). ICP ASPIRES TO INCREASE COMMUNICATION, COLLABORATION, AND EMPOWERMENT OF ALL ON-CAMPUS ENTITIES SERVING THE LOCAL COMMUNITY AS WELL AS THEIR COMMUNITY PARTNERS. THE MEDICAL CENTER'S COMMUNITY HEALTH DEVELOPMENT DEPARTMENT IS ALSO ACTIVE IN CHANNELING STUDENT AND FACULTY VOLUNTEERS FROM LOMA LINDA UNIVERSITY INTO SERVICE AND SERVICE LEARNING PROJECTS IN THE LOCAL COMMUNITY. PART VI, LINE 7 EXPLANATION: STATE FILING OF COMMUNITY BENEFIT REPORTCALIFORNIA'S COMMUNITY BENEFIT LAW WAS PASSED IN 1994, AND ITS IMPLEMENTATION PLACED UNDER THE SUPERVISION OF OSHPD (OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT , SEE ESPECIALLY THE HOSPITAL COMMUNITY BENEFIT PROGRAM). BEGINNING IN 1995, LOMA LINDA UNIVERSITY MEDICAL CENTER SUBMITS AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL AND LOMA LINDA UNIVERSITY BEHAVIORAL MEDICAL CENTER. BEGINNING 2013,LLUMC MURRIETA WILL COMPLETE AN ANNUAL COMMUNITY BENEFIT REPORT. IN 2014, LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OBTAINED ITS OWN LICENSE, AND WILL COMPLETE AN ANNUAL COMMUNITY BENEFIT REPORT. 1 SAC HEALTH SYSTEM 1454 E 2ND ST SAN BERNARDINO CA 92408 330664371 2976342 DONATION TOWARDS OPERATIONAL COSTS CHILDREN'S FUND 348 WEST HOSPITALITY LN 110 SAN BERNARDINO CA 92408 330193286 400000 PROGRAMMATIC EXPENSES TO INCLUDE PHYSICIAN SERVICES AND ANCILLARY SUPPORT LOMA LINDA UNIV FOUNDATION BUSINESS CENTER 209 LOMA LINDA CA 92350 951816009 116000 DONATION TOWARDS CLINICAL LABORATORY SCIENCES STUDEN LOAN FUND AMERICAN HEART ASSOCIATION PO BOX 4002030 DES MOINES IA 503402030 135613797 20000 SPONSORSHIP 2015 LOMA LINDA UNIV 24760 STEWART ST LOMA LINDA CA 92350 951816009 15000 DONATION TOWARDS MISSION LEADER SCHOLORSHIP FUND COMMUNITY FOUNDATION OF RIVERSIDE 3700 SIXTH ST STE 200 RIVERSIDE CA 92501 330748536 10000 SPONSORSHIP-GIVE BIG SAN BERNARDINO LOMA LINDA UNIV SCHOOL OF PHARMACY LOMA LINDA CA 92354 951816009 10000 DONATION TOWARDS HONORS AND AWARDS CEREMONY SAN BERNARDINO CITY UNIFIED SCHL DIST 777 NORTH F ST SAN BERNARDINO CA 92410 952285577 5000 SPONSORSHIP-ANNUAL COMMUNITY GATHERING FOR EXCELLENCE LOMA LINDA ACADEMY 10656 ANDERSON ST LOMA LINDA CA 92354 951831069 5000 SPONSORSHIP-2014 ROADRUNNER GOLF CLASSIC LOMA LINDA CHAMBER OF COMMERCE PO BOX 343 LOMA LINDA CA 92354 952130840 5000 SPONSORSHIP-26TH ANNUAL GOLF TOURNAMENT ALS ASSOCIATION GOLDEN WEST CHAPTER INC PO BOX 565 AGOURA HILLS CA 91376 954163338 5000 SPONSORSHIP-WALK TO DEFEAT ALS SAN BERNARDINO CO MEDICAL SOCIETY 3993 JURUPA AVE STE 102 RIVERSIDE CA 92509 951878903 5000 SPONSORSHIP-ANNUAL INSTALLATION OF OFFICERS, RECOGNITION, AND AWARDS DINNER TIME FOR CHANGE FOUNDATION PO BOX 25040 SAN BERNARDINO CA 92406 522405277 5000 COMMUNITY BENEFIT HONOREE AWARD MISCLEEANEOUS LESS THAN 5000 42914 VARIOUS 13 0 PHARMACEUTICALS/MEDICAL EQUIPMENT RENTAL 24844 BOOK TRANSITIONAL LIVING/BOARD & CARE 194936 BOOK TRANSPORTATION 22206 BOOK FOOD 557 BOOK UTILITIES 1839 BOOK PART I, LINE 2: 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. X X 1 1 1 1 0 0 0 1 0 0 0 FIKE RUTHITA J UNTIL 63014 CEO/ADMINISTRATOR 0 360969 0 0 0 328753 0 15860 0 29622 0 735204 0 0 HADLEY HENRY ROGER BOARD MEMBER 0 365000 0 801 0 77504 0 15860 0 27679 0 486844 0 0 HART RICHARD HENRY BOARD MEMBER/PRESIDENT 0 365000 0 0 0 87139 0 15860 0 29253 0 497252 0 0 HEINRICH KERRY AS OF 63014 CEO/ADMINISTRATOR 871440 0 0 0 0 250 0 0 0 0 871440 250 0 0 PEVERINI RICARDO BOARD MEMBER 168300 0 0 0 0 0 0 0 0 0 168300 0 0 0 REEVES MARK VP INSTITUTES 220000 0 0 0 0 0 0 0 0 0 220000 0 0 0 LANG KEVIN J AS OF 81014 CFO/TREASURER 0 601000 0 0 0 263453 0 15860 0 41912 0 922225 0 0 MOHR STEVEN LAWRENCE UNTIL 8914 CFO 0 263846 0 0 0 76097 0 10660 0 28118 0 378721 0 0 HANSEN TERRENCE COO 0 193042 0 0 0 0 0 0 0 0 0 193042 0 0 GIANG DANIAL VP GRADUATE MEDICAL EDUCATION 243249 0 0 0 0 0 0 0 0 0 243249 0 0 0 PAPPAS JAMES VP QUALITY & PATIENT SAFETY 405000 0 0 0 0 0 0 0 0 0 405000 0 0 0 STORFJELL JUDITH SR VP PATIENT CARE SERVICES 0 425591 0 0 0 0 0 0 0 0 0 425591 0 0 HANNA MYRNA ASSIST CORPORATE SECRETARY 0 114439 0 926 0 20365 0 16173 0 10560 0 162463 0 0 BAKER J PETER VP 0 240000 0 0 0 41028 0 15860 0 29648 0 326536 0 0 BUSSELL RACHELLE VP PHILANTHROPY 0 275000 0 0 0 68675 0 15860 0 29950 0 389485 0 0 EDWARDS LYNDON C VP & ADMINISTRATOR ECH/HSH 0 245000 0 0 0 42575 0 15860 0 30115 0 333550 0 0 FONTOURA DANIEL ELBIO VP 0 268785 0 0 0 34047 0 15860 0 33736 0 352428 0 0 HUBBARD MARK LEE VP HRM/RM, ASSIST CORPORATE SECRETAR 0 343000 0 0 0 145542 0 15860 0 34446 0 538848 0 0 LALAS ANGELA MANALO VP FINANCE 0 168000 0 0 0 29598 0 11492 0 27390 0 236480 0 0 MOCK FERMAN JESSE VP PATIENT ENGAGEMENT 0 220000 0 0 0 32565 0 15340 0 30843 0 298748 0 0 RAWSON RICHARD VP 0 418000 0 0 0 100160 0 15860 0 33780 0 567800 0 0 SARRAFIAN ZAREH HOVIK COO-FORMER 0 15923 0 0 0 645293 0 0 0 19651 0 680867 0 0 SCHMIDT CYNTHIA J VP REVENUE CYCLE 0 275016 0 0 0 48067 0 15860 0 41288 0 380231 0 0 WINSLOW GERALD VP MISSION & CULTURE 0 225000 0 0 0 54132 0 12400 0 15384 0 306916 0 0 KROETZ JANET CHIEF PATIENT CARE DIRECTOR 184355 0 158 0 54545 0 25433 0 10560 0 275051 0 0 0 SCHULTE REINHARD PROGRAM SPECIALIST-RESEARCH 80750 25828 320 178 273443 0 19579 3613 4400 2200 378492 31819 0 0 PATYAL BALDEV CHIEF PHYSICIST 269273 0 320 0 38921 0 28444 0 10560 0 347518 0 0 0 CHOI DONGRAK PHYSICIST PHD LEAD 228107 0 320 0 29738 0 27131 0 10560 0 295856 0 0 0 HOLSHOUSER BARBARA PHYSICIST PHD 2 202859 0 320 0 54750 0 27191 0 10560 0 295680 0 0 0 GHEBREMEDHIN GHEBRESELAS PHYSICIST PHD LEAD 223393 0 320 0 33519 0 27068 0 10560 0 294860 0 0 0 DICKINSON ELIZABETH JANE VP-FORMER 0 253000 0 0 0 49465 0 15860 0 26337 0 344662 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'S RECEIVED A SEVERANCE PAYMENT: FIKE, RUTHITA J RECEIVED SEVERANCE OF $220,410. SARRAFIAN, ZAREH HOVIK RECEIVED SEVERANCE OF $641,700. THE FOLLOWING LLUAHSC EMPLOYEES PARTICIPATED IN, AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: BAKER, PETER J. $24,168 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. BUSSELL, RACHELLE $31,392 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. DICKINSON, ELIZABETH JANE $25,656 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. EDWARDS, LYNDON C. $24,415 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. 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. FONTOURA, DANIEL ELBIO $2,981 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS). $20,183 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. HUBBARD, MARK LEE $44,375 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $67,537 SERP FUNDING PAID TO EMPLOYEE IN CASH. LALAS, ANGELA MANALO $11,283 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. MOCK, FURMAN JESSE $2,179 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS). $16,147 NET FLEX PLAN CREDITS 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. RAWSON, RICHARD $67,294 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. SARRAFIAN, ZAREH HOVIK $2,501 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. SCHMIDT, CYNTHIA J $14,469 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS). $7,900 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. WINSLOW, GERALD $19,670 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. PART I, LINE 6 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. 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 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) 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 HADLEY, HENRY ROGER COMPENSATION: $50,000 FUNDED BY LOMA LINDA UNIVERSITY HEALTH CARE (LLUHC) PRIVATE PRACTICE COMPENSATION: FUNDED BY LOMA LINDA UNIVERSITY UROLOGY GROUP AND THE DEPARTMENT OF VETERAN AFFAIRS COMPENSATION IN EXCESS OF THE $50,000 FUNDED BY LLUHC AND THE PRIVATE PRACTICE COMPENSATION: 100% FUNDED BY LLU HART, RICHARD HENRY COMPENSATION, EXCLUDING SERP BENEFIT: 50% FUNDED BY LLU AND 50% FUNDED BY LLUMC SERP BENEFIT: 100% FUNDED BY LLUMC HUBBARD, MARK LEE COMPENSATION, EXCLUDING SERP BENEFIT: 20% FUNDED BY LLUAHSC'S RISK MANAGEMENT DEPARTMENT AND 80% 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 FONTOURA, DANIEL COMPENSATION: 100% FUNDED BY LLUMC MOHR, STEVEN LAWRENCE COMPENSATION: 100% FUNDED BY LLUMC RAWSON, RICHARD COMPENSATION: 70% FUNDED BY LLUMC-MURRIETA, 24% FUNDED BY LLUMC, 3.5% FUNDED BY LLU, 1.5% FUNDED BY LLUHC, AND 1% FUNDED BY LLUBMC SARRAFIAN, ZAREH HOVIK COMPENSATION: 100% FUNDED BY LLUMC A CITY OF LOMA LINDA 952662323 541482JM8 2005-10-26 162145294 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS; DEBT SERVICE 1 0 0 B CITY OF LOMA LINDA 952662323 541482JP1 2007-12-20 80000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 C CITY OF LOMA LINDA 952662323 541482JR7 2008-11-13 70000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS; DEBT SERVICE 1 0 0 D CITY OF LOMA LINDA 952662323 541482JS5 2008-11-13 25000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 A 24700000 137445294 165019155 15834500 2454233 1302095 17492753 127935574 2007 1 0 1 1 B 80000000 81042626 1597768 661048 78783810 2009 0 0 1 1 C 70000000 70033887 7000000 1333918 61699969 2010 0 0 1 1 D 25000000 25009187 475327 9187 24524673 2010 0 0 1 1 A 0 0 0 0 0.00200 0.00200 0 0 1 B 0 0 0 0 0.00200 0.00200 0 0 1 C 0 0 0 0 0.00200 0.00200 0 0 1 D 0 0 0 0 0.00200 0.00200 0 0 1 A 1 0 0 1 SOCIETE GENERALE 18.000000000000 1 0 1 B 0 0 0 1 1 1 GOLDMAN SACHS 30.000000000000 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 1 1 GOLDMAN SACHS 30.000000000000 0 0 0 0 1 A 0 B 0 C 0 D 0 A CITY OF LOMA LINDA 952662323 2008-11-13 15000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES 1 0 0 B CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2007-11-30 28809966 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 C CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2007-09-28 3195000 FINANCE THE COSTS OF CAPITAL EXPENDITURES 0 0 0 D CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2008-07-02 5000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 A 3943144 11056856 15000000 15000000 2009 0 0 1 1 B 8136730 30048936 1815028 235445 24882136 3116327 2010 0 0 1 1 C 592804 3195000 3195000 2007 0 0 1 1 D 4527276 5139048 40750 5098298 2011 0 0 1 1 A 0 0 0 0 0.00200 0.00200 0 0 1 B 1 1 0 0 0.02700 0.02700 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 0 B 0 C 0 D 0 A CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2009-06-16 4016964 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 B CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2009-12-22 8500000 FINANCE THE COSTS OF CAPITAL EXPENDITURES 0 0 0 C CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SEX8 2014-12-01 547575000 FINANCE THE COSTS OF CAPITAL EXPENDITURES 0 0 0 A 4016964 4025778 30231 3995547 2009 0 0 1 1 B 3774765 8500429 8500429 2010 0 0 1 1 C 573954611 37300500 6973307 11137907 463620546 54922351 2014 1 0 1 1 A 0 0 0 0 0.00200 0.00200 0 0 1 B 0 1 0 0 0.00300 0.00300 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 1 0 0 0 0 1 C 0 0 0 0 0 0 0 0 1 A 0 B 0 C 0 RIGSBY BEVERLY FAMILY OF OFFICER 176553 EMPLOYED BY LOMA LINDA UNIVERSITY MEDICAL CENTER AS THE SERVICE LINE DIRECTOR FOR THE WOMEN'S HEALTH CENTER DEPARTMENT. 0 WALKER AMY FAMILY OF BOARD MEMBER 90879 EMPLOYED BY LOMA LINDA UNIVERSITY MEDICAL CENTER AS A RADIOLOGIC SPECIALIST-MAMMO. 0 X 1 35000 FAIR MARKET VALUE X USE OF GOLF COURSE 1 15000 FAIR MARKET VALUE 0 1 1 PART I, LINE 32B: THE OFFICES OF PHILANTHROPY FOR LOMA LINDA UNIVERISTY, LOMA LINDA UNIVERSITY HEALTH SERVICES AND LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION ACCEPT MOST OF THE GIFTS FOR LOMA LINDA UNIVERSITY MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 5 TWO CASES OF MISAPPROPRIATIONS OF ASSETS WERE DISCOVERED DURING THE YEAR. BOTH CASES INVOLVED EMPLOYEES MISUSING THEIR POSITIONS TO DIVERT ORGANIZATIONAL ASSETS FOR PERSONAL GAIN. IN RESPONSE, LOMA LINDA UNIVERSITY MEDICAL CENTER (LLUMC) HAS IMPLEMENTED ADDITIONAL POLICIES AND PROCEDURES TO INCREASE INTERNAL CONTROLS. BOTH EMPLOYEES HAVE BEEN TERMINATED AND BOTH CASES ARE IN THE JUDICIAL SYSTEM AND HAVE BEEN CHARGED WITH FELONIES. ESTIMATED MISUSE OF ORGANIZATIONAL ASSETS FOR THE FIRST INCIDENT TOTALED $58,522. LLUMC HAS RECEIVED A CIVIL JUDGMENT OF $68,647 INCLUDING PRINCIPAL, INTEREST, ATTORNEY FEES, AND DAMAGES. FOR THE SECOND INCIDENT, THE LOSS TOTALED $796,431, IN WHICH LLUMC HAS INSURANCE COVERAGE WITH EXCEPTION TO A $200,000 DEDUCTIBLE AND IS WORKING WITH THE LEGAL SYSTEM FOR FULL RESTITUTION. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATE MEMBER OF LLUMC PURSUANT TO SECTION 9310 OF THE CALIFORNIA NONPROFIT RELIGIOUS CORPORATION LAW SHALL BE LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER, A CALIFORNIA NON-PROFIT RELIGIOUS CORPORATION, ACTING BY AND THROUGH ITS BOARD OF TRUSTEES. 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 LLUAHSC, 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. 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, LLUMC'S PARENT ORGANIZATION, EMPLOYS AN INDEPENDENT OUTSIDE CONSULTING FIRM TO BENCHMARK COMPENSATION FOR LLUAHSC EMPLOYEES. LLUMC'S CEO, CFO, AND VICE PRESIDENTS 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. 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 2013 FOR THE POSITION OF VP, BUSINESS DEVELOPMENT, LLUMC HELD BY BAKER, J. PETER. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF SVP, ADVANCEMENT HELD BY BUSSELL, RACHELLE. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF SVP/CNO, LLUMC-MURIETTA HELD BY DICKINSON, ELIZABETH JANE. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF VP, ADMINISTRATOR, EAST CAMPUS HELD BY EDWARDS, LYNDON C.. 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 EVP LLUAHSC, CEO UHS, DEAN SCHOOL OF MEDICINE HELD BY HADLEY, HENRY ROGER. 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 SVP, RISK MANAGEMENT HELD BY HUBBARD, MARK LEE. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF VP, LLUAHSC FINANCE HELD BY LALAS, ANGELA MANALO. 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 VP, PATIENT ENGAGEMENT HELD BY MOCK, FERMAN JESSE. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF SVP/CFO, LLUHS & LLUMC HELD BY MOHR, STEVEN LAWRENCE. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF ADMINISTRATOR, LLUMC- MURIETTA HELD BY RAWSON, RICHARD. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF COO, LLUMC HELD BY SARRAFIAN, ZAREH HOVIK. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF VP, REVENUE CYCLE MANAGEMENT HELD BY SCHMIDT, CYNTHIA J. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013 FOR THE POSITION OF VP, MISSION AND CULTURE, LLUHS HELD BY WINSLOW, GERALD. 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 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. 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 XI, LINE 9: EQUITY IN NET GAIN(LOSS) OF JOINT VENTURE 351,500. DONATED EQUIPMENT 1,321,582. TRANSFER OF RESTRICTED FUNDS AND NET ASSETS TO LLUCH -61,775,222. LOSS ON EXTINGUISHMENT OF DEBT -27,840,108. FORM 990, PART XII, LINE 2C: LLUMC HAS 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. FORM 990, PART XII, LINE 2B: THE FINANCIAL STATEMENTS OF LOMA LINDA UNIVERSITY MEDICAL CENTER 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). 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