LOMA LINDA UNIVERSITY CHILDRENS HOSPITAL FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LOMA LINDA UNIVERSITY CHILDRENS HOSPITAL FOUNDATION (EIN 33-0565591)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201323199349303297
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-15T10:50:23-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330565591 | EIN |
Name Name
| 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) |
|---|---|---|
| Name Control | LOMA | NameControl |
| Phone | 9095588135 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEVEN MOHR | Name |
| Title | SR VICE PRESIDENT | Title |
| Phone | 9095588135 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ZAREH SARRAFIAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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) |
|---|---|---|
| Gross Receipts | 4045708 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 1071 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LLU.EDU | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO BE AN ADVOCATE FOR CHILDREN'S HEALTHCARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 34 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 27 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 550 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3330784 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3436006 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 166146 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 133747 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 321567 | InvestmentIncomePriorYear |
| Investment Income Current Year | 347999 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -254845 | OtherRevenuePriorYear |
| Other Revenue Current Year | -168587 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3563652 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3749165 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 225102 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 406850 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 784294 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 801034 | OtherExpensePriorYear |
| Other Expenses Current Year | 928585 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1026136 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1335435 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2537516 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2413730 | RevenuesLessExpensesCY |
| Total Assets BOY | 9827703 | TotalAssetsBOY |
| Total Assets EOY | 12372791 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8912 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9827703 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 12363879 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 406850 | Expense |
| Grants | 406850 | Grants |
| Revenue | 481746 | Revenue |
| Description | 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. | Description |
| Total Program Service Expense | 406850 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 1 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 1 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 0 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 1 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 1 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form1098 C Filed | 1 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 34 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 27 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEVEN MOHR CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9095588135 | TelephoneNumber |
Address US AddressUS
| 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) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | OfficerOfficer |
|---|---|---|---|---|---|---|---|
| CHRISTI J BULOT | |||||||
| BOARD CHAIR | 0.50 | X | 0 | 0 | 0 | ||
| MARY ANN XAVIER | |||||||
| BOARD VICE CHAIR | 0.50 | X | 0 | 0 | 0 | ||
| ZAREH SARRAFIAN | |||||||
| PRESIDENT | 0.50 | X | 0 | 557005 | 44613 | 49.50 | X |
| ERNIE HWANG | |||||||
| TREASURER | 0.50 | X | 0 | 0 | 0 | X | |
| RANDAL POSSINGER | |||||||
| SECRETARY | 0.50 | X | 0 | 167481 | 25858 | 49.50 | X |
| SUSAN ATKINSON | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| BEVERLY BAILEY | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| RACHELLE BUSSELL | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 338424 | 35586 | 49.50 | |
| RICHARD E CHINNOCK MD | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| JOYCE ENGEL | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| TRIXIE FARGO | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| RUTHITA J FIKE MA | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 1345073 | 61452 | 49.50 | |
| MARTHA E GREEN | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| RICHARD HART MD DRPH | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 423718 | 27541 | 49.50 | |
| RICARDO PEVERINI MD | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| STEVE KIENLE | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| ROGER WADELL | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| DAVIC WILSON | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| ELOISE HABEKOST | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| JOHN MAGNESS | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| KIM MCCLOUD | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| DAVE OLDHAM | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| JAMES RAMOS JR | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| KELLY ROBERTS | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| BARBARA ROBINSON | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| PHILIP M SAVAGE IV | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| LARRY SHARP | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| CANDACE SPIEL | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| DENNIS TROESH | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| NANCY VARNER | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| DIXIE L WATKINS | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| JUDY WOOLEN | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| GUS THEISEN | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| DOLORES AEBERLI | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2831701 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 195050 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Federated Campaigns | 15430 | FederatedCampaigns |
| Fundraising Events | 943152 | FundraisingEvents |
| Related Organizations | 9960 | RelatedOrganizations |
| All Other Contributions | 2467464 | AllOtherContributions |
| Noncash Contributions | 87469 | NoncashContributions |
| Total Contributions | 3436006 | TotalContributions |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 133747 | TotalRevenueColumn |
| Related Or Exempt Function Income | 133747 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 133747 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 347999 | TotalRevenueColumn |
| Related Or Exempt Function Income | 347999 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 56756 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 943152 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 259715 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -202959 | TotalRevenueColumn |
| Exclusion | -$202,959 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 71200 | GrossIncomeGaming |
| Gaming Direct Expenses | 36828 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34372 | TotalRevenueColumn |
| Exclusion | $34,372 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3749165 | TotalRevenueColumn |
| Related Or Exempt Function Income | 481746 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$168,587 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 399608 | Total |
| Program Services | 399608 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7242 | Total |
| Program Services | 7242 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98578 | Total |
| Management And General | 22022 | ManagementAndGeneral |
| Fundraising | 76556 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 780 | Total |
| Management And General | 174 | ManagementAndGeneral |
| Fundraising | 606 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6165 | Total |
| Management And General | 1377 | ManagementAndGeneral |
| Fundraising | 4788 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16271 | Total |
| Management And General | 3635 | ManagementAndGeneral |
| Fundraising | 12636 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 648 | Total |
| Management And General | 145 | ManagementAndGeneral |
| Fundraising | 503 | Fundraising |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|
| LEASED EMPLOYEES | 486827 | 108770 | 378057 |
| FUNDRAISING | 282753 | 282753 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36563 | Total |
| Management And General | 8168 | ManagementAndGeneral |
| Fundraising | 28395 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1335435 | Total |
| Program Services | 406850 | ProgramServices |
| Management And General | 144291 | ManagementAndGeneral |
| Fundraising | 784294 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87891 | BOY |
| EOY | 113085 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7093264 | BOY |
| EOY | 7555011 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2642584 | BOY |
| EOY | 4701379 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5038 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1722 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3964 | BOY |
| EOY | 3316 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9827703 | BOY |
| EOY | 12372791 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 8912 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 8912 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2051939 | BOY |
| EOY | 3413390 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6847156 | BOY |
| EOY | 7994084 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 928608 | BOY |
| EOY | 956405 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9827703 | BOY |
| EOY | 12363879 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9827703 | BOY |
| EOY | 12372791 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2413730 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 122446 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| 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 |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $343,677 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 343677 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 928608 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 27797 | InvestmentEarningsOrLosses |
| End Of Year Balance | 956405 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 702708 | BeginningOfYearBalance |
| Contributions | 200000 | Contributions |
| Investment Earnings Or Losses | 25900 | InvestmentEarningsOrLosses |
| End Of Year Balance | 928608 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 681963 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 20745 | InvestmentEarningsOrLosses |
| End Of Year Balance | 702708 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 659091 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 22872 | InvestmentEarningsOrLosses |
| End Of Year Balance | 681963 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 646561 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 33530 | InvestmentEarningsOrLosses |
| Other Expenditures | 21000 | OtherExpenditures |
| End Of Year Balance | 659091 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5038 | OtherCostOrOtherBasis |
| Depreciation | 1722 | Depreciation |
| Book Value | 3316 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3316 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 2989134 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 122446 | NetUnrealizedGainsInvestments |
| Other Revenues | 721885 | OtherRevenues |
| Revenue Not Rptd F990 | 844331 | RevenueNotRptdF990 |
| Revenue Subtotal | 2144803 | RevenueSubtotal |
| Other Revenues Not Included | 1604362 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1604362 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 3749165 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1233322 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 365818 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 365818 | ExpensesNotRptdF990 |
| Expenses Subtotal | 867504 | ExpensesSubtotal |
| Other Expenses Not Included | 467931 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 467931 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1335435 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS DONATIONS EXPENSE FUNDRAISING EVENTS EXPENSES |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTIONS INVESTMENT INCOME NET ASSETS RELASED FROM RESTRICTIONS ASSISTANCE TO ORGANIZATIONS OTHER EXPENSE DONATIONS TO OUTSIDE ORGANIZATIONS INTERCOMPANY TRANSFERS DONATIONS FROM LOMA LINDA UNIVERSITY MEDICAL CENTER |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENTS EXPENSES NET ASSETS RELEASED FROM RESTRICTIONS DONATIONS EXPENSE INTERCOMPANY TRANSFERS |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | ASSISTANCE TO ORGANIZATIONS OTHER EXPENSES DONATIONS TO OUTSIDE ORGANIZATIONS BALANCE SHEET FUNDRAISING EXPENSES DONATIONS TO OUTSIDE ORGANIZATIONS DONATIONS TO LOMA LINDA UNIVERSITY MEDICAL CENTER |
| PART V, LINE 4: THE SMIDERLE ENDOWMENT IS 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 | X | MailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Individual | GENE BRIDGES | NameOfIndividual |
Address US AddressUS
| 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 | Activity |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFunds |
| Gross Receipts | 343868 | GrossReceipts |
| Amount Retained By Contractor | 16955 | AmountRetainedByContractor |
| Net To Organization | 326913 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 343868 | TotalGrossReceipts |
| Total Retained By Contractors | 16955 | TotalRetainedByContractors |
| Total Net To Organization | 326913 | TotalNetToOrganization |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CHILDREN'S HOSPITAL GALA | NameOfEvent1 |
| Gross Receipts Event1 | 928103 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 890553 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 37550 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 220893 | OtherDirectExpensesEvent1 |
| Name Of Event2 | DESERT GUILD LUNCHEON & BOUTIQUE SA | NameOfEvent2 |
| Gross Receipts Event2 | 39469 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 27969 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 11500 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 22880 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 32336 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 24630 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 7706 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 15942 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 999908 | GrossReceiptsTotal |
| Charitable Contributions Total | 943152 | CharitableContributionsTotal |
| Gross Revenue Total Events | 56756 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 259715 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 259715 | DirectExpenseSummaryEvents |
| Net Income Summary | -202959 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 71200 | GrossRevenueOtherGaming |
| Other Direct Expenses Other Gaming | 36828 | OtherDirectExpensesOtherGaming |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGaming |
| Gross Revenue Total Gaming | 71200 | GrossRevenueTotalGaming |
| Other Direct Expenses Total Gaming | 36828 | OtherDirectExpensesTotalGaming |
| Direct Expense Summary Gaming | 36828 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 34372 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | CA | StatesWhereGamingConducted |
| Licensed | 1 | Licensed |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 1 | GamingWithNonmembers |
| Member Of Other Entity | 0 | MemberOfOtherEntity |
| Percentage Of Gaming Othr Facility | 1.00000 | PercentageOfGamingOthrFacility |
| Contract With3rd Party For Gam Rev | 0 | ContractWith3rdPartyForGamRev |
| Charitable Distrib Required | 0 | CharitableDistribRequired |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| LOMA LINDA UNIV | |||||||
| 11226 CAMPUS ST | LOMA LINDA | CA | 92354 | 951816009 | 501(C)(3) | 37530 | 2012 OVERSEAS HEART SURGERY TRIP TO ALEXANDRIA EGYPT |
| LLUHC OPHTHALMOLOGY | |||||||
| 11370 ANDERSON ST | LOMA LINDA | CA | 92354 | 330303644 | 501(C)(3) | 10000 | VIP VISION PROGRAM |
| FACULTY PHYSICIANS & SURGEONS | |||||||
| 11175 CAMPUS ST | LOMA LINDA | CA | 92354 | 330672915 | 501(C)(3) | 7500 | PEDIATRIC CHRONIC PAIN MANAGEMENT SESSIONS |
| SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER | |||||||
| 11234 ANDERSON ST | LOMA LINDA | CA | 92354 | 953522679 | 501(C)(3) | 343677 | SUPPORT OF HOSPITAL PROGRAMS AND CHILDREN'S HEALTHCARE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SPIRIT OF CHRISTMAS-TOYS AND CLOTHES FOR NEEDY FAMILIES | TypeOfGrant |
| Number Of Recipients | 9 | NumberOfRecipients |
| Amount Of Non Cash Assistance | 4773 | AmountOfNonCashAssistance |
| Method Of Valuation | STORE RECEIPTS | MethodOfValuation |
| Description Of Non Cash Assistance | TOYS & CLOTHES | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: LLUCHF PROVIDES SPONSORSHIPS, DONATIONS, AND OTHER ASSISTANCE TO ORGANIZATIONS AND INDIVIDUALS AS PART OF ITS COMMITMENT TO COMMUNITY OUTREACH. DISBURSEMENTS FOR GRANTS AND OTHER ASSISTANCE ARE REVIEWED AND APPROVED BY MANAGEMENT PRIOR TO DISBURSEMENT. MANAGEMENT RECEIVES PERIODIC REPORTS REGARDING THESE ACTIVITIES AS PART OF THE COMMUNITY BENEFITS REPORT. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ZAREH SARRAFIAN | ||||||||||||||
| PRESIDENT | 0 | 414000 | 0 | 44685 | 0 | 98320 | 0 | 10048 | 0 | 34565 | 0 | 601618 | 0 | 0 |
| RANDAL POSSINGER | ||||||||||||||
| SECRETARY | 0 | 152614 | 0 | 316 | 0 | 14551 | 0 | 16498 | 0 | 9360 | 0 | 193339 | 0 | 0 |
| RACHELLE BUSSELL | ||||||||||||||
| BOARD MEMBER | 0 | 260000 | 0 | 0 | 0 | 78424 | 0 | 14948 | 0 | 20638 | 0 | 374010 | 0 | 0 |
| RUTHITA J FIKE MA | ||||||||||||||
| BOARD MEMBER | 0 | 671000 | 0 | 53884 | 0 | 620189 | 0 | 14948 | 0 | 46504 | 0 | 1406525 | 0 | 0 |
| RICHARD HART MD DRPH | ||||||||||||||
| BOARD MEMBER | 0 | 350000 | 0 | 0 | 0 | 73718 | 0 | 14948 | 0 | 12593 | 0 | 451259 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 $30,598 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). $121,964 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $433,332 SERP FUNDING PAID TO EMPLOYEE IN CASH. HART, RICHARD HENRY $53,429 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. SARRAFIAN, ZAREH HOVIK $68,286 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. | |
| PART III | IRS FORM 990 DISCLOSURE ON 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. POSSINGER, RANDALL IS THE EXCEPTION TO THE ABOVE AS HE IS EMPLOYEED BY LOMA LINDA UNIVERSITY HEALTH SERVICES AND HIS COMPENSATION IS 100% FUNDED BY THEM. | SUPPLEMENTAL INFORMATION |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 5000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 5932 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Cars And Other Vehicles CarsAndOtherVehicles
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 45000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 28000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | VARIOUS UNDER $5,000 | Description |
| Number Of Contributions | 4 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 4332 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 1 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DID THE ORGANIZATION COMPLY WITH BACKUP WITHHOLDING RULES: | PART V, LINE 1C: | LLUCHF MANAGEMENT DID NOT TIMELY FILE FORM W-2G FOR A CERTAIN FUNDRAISING EVENT IN 2012. MANAGEMENT IS TAKING CORRECTIVE ACTION TO COMPLY WITH THE FILING REQUIREMENTS FOR 2012, 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 12/11 FOR THE POSITION OF VP, ADVANCEMENT HELD BY BUSSELL, RACHELLE. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 FOR THE POSITION OF EVP, HOSPITAL AFFAIRS & CEO, LLUMC HELD BY FIKE, RUTHITA J.. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 FOR THE POSITION OF SVP, ADMINISTRATOR, CHILDREN'S HOSPITAL HELD BY SARRAFIAN, ZAREH HOVIK. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 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 BY MAKING A REQUEST TO THE SR. VICE PRESIDENT OF FINANCE AT 11234 ANDERSON ST., 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 2012 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
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEVENTH-DAY ADVENTISTS-LOMA LINDA UNIVERSITY MEDICAL CENTER | BusinessNameLine1 |
Address US AddressUS
| 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 | PrimaryActivities |
| Legal Domicile State | CA | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
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 Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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