LOMA LINDA UNIVERSITY CHILDRENS HOSPITAL FOUNDATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- LOMA LINDA UNIVERSITY CHILDRENS HOSPITAL FOUNDATION (EIN 33-0565591)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201443189349307954
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T15:33:10-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330565591 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOMA LINDA UNIVERSITY CHILDREN'S | BusinessNameLine1 |
| Business Name Line2 | HOSPITAL FOUNDATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LOMA | BusinessNameControlTxt |
| Phone | 9095585199 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2000 FINANCE | AddressLine1 |
| City | LOMA LINDA | City |
| State | CA | State |
| ZIP Code | 92354 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN J LANG | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9095585199 | PhoneNum |
| Signature | 2014-11-14 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KEVIN J LANG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11175 CAMPUS ST | AddressLine1 |
| City | LOMA LINDA | City |
| State | CA | State |
| ZIP Code | 92354 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,672,728 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LLU.EDU | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO BE AN ADVOCATE FOR CHILDREN'S HEALTHCARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 33 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 26 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 600 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,436,006 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,938,802 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $133,747 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $151,044 | CYProgramServiceRevenueAmt |
| PY Investment Income | $347,999 | PYInvestmentIncomeAmt |
| CY Investment Income | $441,371 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$168,587 | PYOtherRevenueAmt |
| CY Other Revenue | -$282,018 | CYOtherRevenueAmt |
| PY Total Revenue | $3,749,165 | PYTotalRevenueAmt |
| CY Total Revenue | $3,249,199 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $406,850 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,037,544 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $791,459 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $928,585 | PYOtherExpensesAmt |
| CY Other Expenses | $949,602 | CYOtherExpensesAmt |
| PY Total Expenses | $1,335,435 | PYTotalExpensesAmt |
| CY Total Expenses | $1,987,146 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,413,730 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,262,053 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,372,791 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,726,997 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,912 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $111,953 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,363,879 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,615,044 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,037,544 | ExpenseAmt |
| Grant | $1,037,544 | GrantAmt |
| Revenue | $592,415 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $1,037,544 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | Yes (1) | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | 0 | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | Yes (1) | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 1 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 33 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 26 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEVIN J LANG CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9095585199 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11175 CAMPUS ST CSP 11006 | AddressLine1 |
| City | LOMA LINDA | City |
| State | CA | State |
| ZIP Code | 92354 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| RACHELLE BUSSELL | |||||||
| BOARD MEMBER | 0.50 | 49.50 | Yes (X) | $0 | $327,149 | $45,351 | |
| RICHARD HART MD DRPH | |||||||
| BOARD MEMBER | 0.50 | 49.50 | Yes (X) | $0 | $451,914 | $44,364 | |
| RUTHITA J FIKE | |||||||
| BOARD MEMBER | 0.50 | 49.50 | Yes (X) | $0 | $1,405,395 | $49,583 | |
| ZAREH SARRAFIAN | |||||||
| PRESIDENT | 0.50 | 49.50 | Yes (X) | $0 | $609,137 | $46,215 | Yes (X) |
| JILLIAN KRISTJEN PAYNE | |||||||
| SECRETARY | 0.50 | 49.50 | Yes (X) | $0 | $99,611 | $21,983 | Yes (X) |
| BARBARA ROBINSON | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| BEVERLY BAILEY | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CANDACE SPIEL | |||||||
| BOARD VICE CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTI J BULOT | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DAVE OLDHAM | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DAVID WILSON | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DENNIS TROESH | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DOLORES AEBERLI | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ELOISE HABEKOST | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ERNIE HWANG | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| GUS THEISEN | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JAMES RAMOS JR | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JOHN MAGNESS | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JOYCE ENGEL | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JUDY WOOLEN | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| KELLY ROBERTS | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| KIM MCCLOUD | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| LARRY SHARP | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MARTHA E GREEN | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MARY ANN XAVIER | |||||||
| BOARD CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| NANCY VARNER | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| PHILIP M SAVAGE IV | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| RICARDO PEVERINI MD | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD E CHINNOCK MD | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ROGER WADELL | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| STEVE KIENLE | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN ATKINSON | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| TRIXIE FARGO | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| LENOSONDRA LEE | |||||||
| TREASURER | 0.50 | 49.50 | $0 | $184,881 | $30,512 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,078,087 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $238,008 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $231 | FederatedCampaignsAmt |
| Fundraising | $780,259 | FundraisingAmt |
| All Other Contributions | $2,158,312 | AllOtherContributionsAmt |
| Noncash Contributions | $98,410 | NoncashContributionsAmt |
| Total Contributions | $2,938,802 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $151,044 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $151,044 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $151,044 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $441,371 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $441,371 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $72,611 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $780,259 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $384,940 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$312,329 | TotalRevenueColumnAmt |
| Exclusion | -$312,329 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $68,900 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $38,589 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,311 | TotalRevenueColumnAmt |
| Exclusion | $30,311 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,249,199 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $592,415 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$282,018 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,018,761 | TotalAmt |
| Program Services | $1,018,761 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,783 | TotalAmt |
| Program Services | $18,783 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,886 | TotalAmt |
| Management And General | $16,225 | ManagementAndGeneralAmt |
| Fundraising | $55,661 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,896 | TotalAmt |
| Management And General | $4,265 | ManagementAndGeneralAmt |
| Fundraising | $14,631 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,074 | TotalAmt |
| Management And General | $2,048 | ManagementAndGeneralAmt |
| Fundraising | $7,026 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $648 | TotalAmt |
| Management And General | $146 | ManagementAndGeneralAmt |
| Fundraising | $502 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| LEASED EMPLOYEES | $482,203 | $108,833 | $373,370 |
| FUNDRAISING | $248,925 | $248,925 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,970 | TotalAmt |
| Management And General | $26,626 | ManagementAndGeneralAmt |
| Fundraising | $91,344 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,987,146 | TotalAmt |
| Program Services | $1,037,544 | ProgramServicesAmt |
| Management And General | $158,143 | ManagementAndGeneralAmt |
| Fundraising | $791,459 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,085 | BOYAmt |
| EOY | $157,151 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,555,011 | BOYAmt |
| EOY | $7,826,357 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,701,379 | BOYAmt |
| EOY | $5,740,821 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,038 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,370 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,316 | BOYAmt |
| EOY | $2,668 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,372,791 | BOYAmt |
| EOY | $13,726,997 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,912 | BOYAmt |
| EOY | $111,953 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,912 | BOYAmt |
| EOY | $111,953 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,413,390 | BOYAmt |
| EOY | $4,382,126 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,994,084 | BOYAmt |
| EOY | $8,293,840 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $956,405 | BOYAmt |
| EOY | $939,078 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,363,879 | BOYAmt |
| EOY | $13,615,044 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,372,791 | BOYAmt |
| EOY | $13,726,997 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,262,053 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$10,888 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953522679 | EIN |
| Organization Type | 3 | OrganizationTypeDesc |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Supported Org Notified | Yes (1) | SupportedOrgNotifiedInd |
| US Organized | Yes (1) | USOrganizedInd |
| Support | $1,018,761 | SupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $1,018,761 | SupportSumAmt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $956,405 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $32,882 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $50,209 | OtherExpendituresAmt |
| End Year Balance | $939,078 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $928,608 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $27,797 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $956,405 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $702,708 | BeginningYearBalanceAmt |
| Contributions | $200,000 | ContributionsAmt |
| Investment Earnings Or Losses | $25,900 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $928,608 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $681,963 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $20,745 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $702,708 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $659,091 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $22,872 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $681,963 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,038 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,370 | DepreciationAmt |
| Book Value | $2,668 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,668 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $3,299,979 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$10,888 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $1,088,710 | OtherRevenueAmt |
| Revenue Not Reported | $1,077,822 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,222,157 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,027,042 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,027,042 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,249,199 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,362,752 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $487,539 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $487,539 | ExpensesNotReportedAmt |
| Expenses Subtotal | $875,213 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,111,933 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,111,933 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,987,146 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS FUNDRAISING EVENTS EXPENSES |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTIONS INVESTMENT INCOME OFFICE EXPENSES OTHER EXPENSES |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENTS EXPENSES NET ASSETS RELEASED FROM RESTRICTIONS |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | OFFICE EXPENSES OTHER EXPENSES BALANCE SHEET OTHER EXPENSES BALANCE SHEET FUNDRAISING EXPENSES DONATIONS TO LOMA LINDA UNIVERSITY MEDICAL CENTER |
| 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. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GENE BRIDGES | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21104 E 50TH TERRACE DR S | AddressLine1 |
| City | BLUE SPRINGS | City |
| State | MO | State |
| ZIP Code | 64015 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | RADIOTHON PRODUCER | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $330,789 | GrossReceiptsAmt |
| Retained By Contractor | $14,839 | RetainedByContractorAmt |
| Net To Organization | $315,950 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $330,789 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $14,839 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $315,950 | TotalNetToOrganizationAmt |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CHILDREN'S HOSPITAL GALA | NameOfEvent1Amt |
| Gross Receipts Event1 | $610,144 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $564,244 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $45,900 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $265,091 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | DESERT GUILD LUNCHEON & BOUTIQUE SA | NameOfEvent2Amt |
| Gross Receipts Event2 | $149,195 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $131,595 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $17,600 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $85,055 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 3 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $93,531 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $84,420 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $9,111 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $34,794 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $852,870 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $780,259 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $72,611 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $384,940 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $384,940 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$312,329 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $69,800 | GrossRevenueOtherGamingAmt |
| Non Cash Prizes Other Gaming | $38,000 | NonCashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $589 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $69,800 | GrossRevenueTotalGamingAmt |
| Non Cash Prizes Total Gaming | $38,000 | NonCashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $589 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $38,589 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $31,211 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | CA | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (1) | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11234 ANDERSON ST | AddressLine1 |
| City | LOMA LINDA | City |
| State | CA | State |
| ZIP Code | 92354 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 953522679 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $1,018,761 | CashGrantAmt |
| Purpose Of Grant | SUPPORT OF HOSPITAL PROGRAMS AND CHILDREN'S HEALTHCARE | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | TOYS AND CLOTHES FOR NEEDY FAMILIES | GrantTypeTxt |
| Non Cash Assistance | $18,783 | NonCashAssistanceAmt |
| Valuation Method Used | STORE RECEIPTS | ValuationMethodUsedDesc |
| Non Cash Assistance | TOYS & CLOTHES | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RACHELLE BUSSELL | ||||||||||||||
| BOARD MEMBER | $0 | $270,000 | $0 | $0 | $0 | $57,149 | $0 | $15,576 | $0 | $29,775 | $0 | $372,500 | $0 | $0 |
| RICHARD HART MD DRPH | ||||||||||||||
| BOARD MEMBER | $0 | $363,462 | $0 | $0 | $0 | $88,452 | $0 | $15,576 | $0 | $28,788 | $0 | $496,278 | $0 | $0 |
| RUTHITA J FIKE | ||||||||||||||
| BOARD MEMBER | $0 | $696,808 | $0 | $70,348 | $0 | $638,239 | $0 | $15,576 | $0 | $34,007 | $0 | $1,454,978 | $0 | $0 |
| ZAREH SARRAFIAN | ||||||||||||||
| PRESIDENT | $0 | $429,923 | $0 | $71,853 | $0 | $107,361 | $0 | $10,476 | $0 | $35,739 | $0 | $655,352 | $0 | $0 |
| LENOSONDRA LEE | ||||||||||||||
| TREASURER | $0 | $165,111 | $0 | $7,775 | $0 | $11,995 | $0 | $20,312 | $0 | $10,200 | $0 | $215,393 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: BUSSELL, RACHELLE $28,324 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). $120,188 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $433,332 SERP FUNDING PAID TO EMPLOYEE IN CASH. HART, RICHARD HENRY $51,906 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. SARRAFIAN, ZAREH HOVIK $65,862 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. |
| 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. |
| SCHEDULE J PART III | THE OFFICERS/DIRECTORS 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: BUSSELL, RACHELLE IS EMPLOYEED BY LLUAHSC. HER COMPENSATION, EXCLUDING THE SERP BENEFIT IS 100% FUNDED BY LOMA LINDA UNIVERSITY HEALTH SERVICES. THE SERP BENEFIT IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. FIKE, RUTHITA J. IS EMPLOYED BY LLUAHSC. HER COMPENSATION, EXCLUDING THE SERP BENEFIT, IS FUNDED BY LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER (10%) AND LOMA LINDA UNIVERSITY MEDICAL CENTER (90%). THE SERP BENEFIT IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. HART, RICHARD HENRY IS EMPLOYED BY LLUAHSC. HIS COMPENSATION, EXCLUDING THE SERP BENEFIT, IS FUNDED BY LOMA LINDA UNIVERSITY (50%) AND LOMA LINDA UNIVERSITY MEDICAL CENTER (50%). THE SERP BENEFIT IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. SARRAFIAN, ZAREH HOVIK IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. LENO, SONDRA IS AN EXCEPTION TO THE ABOVE AS SHE IS EMPLOYEED BY LOMA LINDA UNIVERSITY MEDICAL CENTER AND HER COMPENSATION IS 100% FUNDED BY THEM. PAYNE, JILLIAN IS AN EXCEPTION TO THE ABOVE AS SHE IS EMPLOYEED BY LOMA LINDA UNIVERSITY MEDICAL CENTER AND HER COMPENSATION IS 100% FUNDED BY THEM. |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $8,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Cars And Other Vehicles CarsAndOtherVehiclesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $75,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | LA KINGS & CL | 1 | $10,000 | FAIR MARKET VALUE |
| Yes (X) | VARIOUS UNDER | 8 | $5,410 | FAIR MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 1C: | DID THE ORGANIZATION COMPLY WITH BACKUP WITHHOLDING RULES: LLUCHF MANAGEMENT DID NOT TIMELY FILE FORM W-2G FOR A CERTAIN FUNDRAISING EVENT IN 2013. MANAGEMENT IS TAKING CORRECTIVE ACTION TO COMPLY WITH THE FILING REQUIREMENTS FOR 2014, AND IS MODIFYING ITS PROCEDURES TO ENSURE THAT ALL FORM W-2G'S ARE FILED TIMELY ON A GO-FORWARD BASIS. |
| 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 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, LLUCHF'S PARENT ORGANIZATION, EMPLOYS AN INDEPENDENT OUTSIDE CONSULTING FIRM TO BENCHMARK COMPENSATION FOR LLUAHSC EMPLOYEES. LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION'S CEO/PRESIDENT IS 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 VP, ADVANCEMENT HELD BY BUSSELL, RACHELLE. 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 SVP, ADMINISTRATOR, CHILDREN'S HOSPITAL HELD BY SARRAFIAN, ZAREH HOVIK. THIS PROCESS WAS LAST UNDERTAKEN IN 12/12 FOR THE POSITION OF PRESIDENT & CEO HELD BY HART, RICHARD HENRY. LOMA LINDA UNIVERSITY HEALTH SERVICES EMPLOY'S RANDALL POSSINGER AND HIS WAGES ARE BASED ON THEIR WAGE SCALES AND POLICIES. |
| 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 | 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 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 UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION 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, PHYSICIANS HOSPITAL OF MURRIETA, LLC, AND LOMA LINDA UNIVERSITY-URGENT CARE, LLC). |
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEVENTH-DAY ADVENTISTS-LOMA LINDA UNIVERSITY MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11234 ANDERSON ST | AddressLine1 |
| City | LOMA LINDA | City |
| State | CA | State |
| ZIP Code | 92354 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953522679 | EIN |
| Primary Activities | HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 3 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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