2014-11-14T15:33:10-06:00 2013-12-31 990 2013-01-01 953858272 LOMA LINDA MERCANTILE LOMA 9095585199 PO BOX 2000 FINANCE LOMA LINDA CA 92354 KEVIN J LANG PRESIDENT/CFO 9095585199 2014-11-14 2013 2015-11-30 17:44:51Z KEVIN J LANG 11175 CAMPUS ST LOMA LINDA CA 92354 128893560 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 2476769 2323425 2476769 2323425 0 0 0 0 0 0 0 0 0 2476769 2323425 2476769 2323425 0 0 8275627 9561334 8275627 9561334 0 0 PURCHASING & DISTRIBUTION OF EQUIPMENT AND MEDICAL SUPPLIES FOR LOMALINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER ORGANIZATIONS. 0 0 1744569 2323425 PURCHASING & DISTRIBUTION OF EQUIPMENT AND MEDICAL SUPPLIES FOR LOMALINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER ORGANIZATIONS. 1744569 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 74 0 1 0 0 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 RICHARD HART CHAIRPERSON 1.00 49.00 X 0 451914 44364 RUTHITA FIKE BOARD MEMBER 1.00 49.00 X 0 1405395 49583 ROGER HADLEY BOARD MEMBER 1.00 49.00 X 0 450053 42942 KEVIN LANG PRESIDENT 1.00 49.00 X X 0 893067 57427 BRIAN BULL SECRETARY 1.00 X 0 0 0 STEVE MOHR CFO 1.00 49.00 X 0 534947 48138 0 3735376 242454 0 0 1 0 0 128893560 126570135 2323425 2323425 2323425 2323425 0 0 60513 45782 14731 77804 57892 19912 5280 3907 1373 815 603 212 15531 11874 3657 LEASED EMPLOYEES 1865568 1403284 462284 PURCHASED SERVICES 267138 198436 68702 30776 22791 7985 2323425 1744569 578856 0 4796653 6485547 3478974 3075787 987328 987328 0 0 8275627 9561334 8275627 9561334 8275627 9561334 X 0 0 8275627 9561334 0 0 X X 0 1 X 1 0 X 987328 987328 0 0 0 1 0 0 0 0 1 0 0 RICHARD HART CHAIRPERSON 0 363462 0 0 0 88452 0 15576 0 28788 0 496278 0 0 RUTHITA FIKE BOARD MEMBER 0 696808 0 70348 0 638239 0 15576 0 34007 0 1454978 0 0 ROGER HADLEY BOARD MEMBER 0 367142 0 5500 0 77411 0 15576 0 27366 0 492995 0 0 KEVIN LANG PRESIDENT 0 579462 0 51380 0 262225 0 15576 0 41851 0 950494 0 0 STEVE MOHR CFO 0 395654 0 50582 0 88711 0 10476 0 37662 0 583085 0 0 PART I, LINE 3 PLEASE SEE EXPLANATION FOR PART VI, SECTION B, LINE 15 THAT IS LISTED UNDER SCHEDULE O. PART I, LINE 4B 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). $120,188 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $433,332 SERP FUNDING PAID TO EMPLOYEE IN CASH. HADLEY, HENRY ROGER $50,992 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. HART, RICHARD HENRY $51,906 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). $108,979 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $101,165 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). $55,895 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. 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: 1. 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 2. 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 3. HART, RICHARD HENRY COMPENSATION, EXCLUDING SERP BENEFIT: 50% FUNDED BY LLU AND 50% FUNDED BY LLUMC SERP BENEFIT: 100% FUNDED BY LLUMC 4. 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 5. 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 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 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 12/12 FOR THE POSITION OF EVP, HOSPITAL AFFAIRS & CEO, LLUMC HELD BY FIKE, RUTHITA J.. THIS PROCESS WAS LAST UNDERTAKEN IN 12/12 FOR THE POSITION OF EVP, MEDICAL AFFAIRS & DEAN, SCHOOL OF MEDICINE HELD BY HADLEY, HENRY ROGER. THIS PROCESS WAS LAST UNDERTAKEN IN 12/12 FOR THE POSITION OF PRESIDENT & CEO HELD BY HART, RICHARD HENRY. THIS PROCESS WAS LAST UNDERTAKEN IN 12/12 FOR THE POSITION OF EVP, FINANCE & ADMINISTRATION & CFO HELD BY LANG, KEVIN J.. THIS PROCESS WAS LAST UNDERTAKEN IN 12/12 FOR THE POSITION OF SVP, FINANCE 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 2013 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 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 ADUIT 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 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