2013-11-15T10:50:23-06:00 2012-12-31 990 2012-01-01 953522679 SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER SEVE 9095588135 PO BOX 2000 FINANCE LOMA LINDA CA 92354 STEVEN MOHR 9095588135 2013-11-15 2012 2016-03-07 17:11:31Z STEVEN MOHR 11234 ANDERSON ST LOMA LINDA CA 92354 1230727231 0 1071 X WWW.LLU.EDU X 1980 CA PROVIDE MEDICAL & HEALTH CARE SERVICES TO THE COMMUNITY 21 17 8491 1629 1577229 598812 8551324 7664488 1156341987 1194850663 8871923 11014278 8962893 7995137 1182728127 1221524566 3312257 4213030 0 0 541582533 560982388 0 0 2182912 574186007 604152969 1119080797 1169348387 63647330 52176179 1218838149 1265966338 710467465 699556110 508370684 566410228 X OUR MISSION IS TO CONTINUE THE HEALING MINISTRY OF JESUS CHRIST, "TOMAKE MAN WHOLE," IN A SETTING OF ADVANCING MEDICAL SCIENCE AND TOPROVIDE A STIMULATING CLINICAL AND RESEARCH ENVIRONMENT FOR THEEDUCATION OF PHYSICIANS, NURSES, AND OTHER HEALTH PROFESSIONALS. 0 0 931697147 4213030 1212243028 LLUMC'S MARKET AREA IS DEFINED AS CALIFORNIA'S INLAND EMPIRE REGION. THE INLAND EMPIRE REGION IS COMPRISED OF THE ENTIRETY OF THE COUNTIES OF RIVERSIDE AND SAN BERNARDINO. IT IS HOME TO APPROXIMATELY 4.2 MILLION PEOPLE AS OF THE 2010 CENSUS. LLUMC ACHIEVED MANY GREAT SUCCESSES IN 2012 IN REDEFINING OUR RANDOM ACTS OF KINDNESS AND UNMANAGED CHARITY TO MORE STRATEGIC COMMUNITY INVESTMENTS WHILE WE CONTINUE TO STRIVE FOR EXCELLENCE AND BETTER ACCOUNTABILITY FOR ELEVATING THE HEALTH STATUS OF OUR COMMUNITY. LLUMC IS INVESTING IN A COMMUNITY HEALTH MANAGEMENT SYSTEM AND WILL USE THIS AS THE BASIS FOR EVALUATING FUTURE COMMUNITY HEALTH INTERVENTIONS. LLUMC SUPPORTS AND ENHANCES REGIONAL EFFORTS IN PLACE TO PROMOTE HEALTHIER COMMUNITIES. PARTNERSHIP IS NOT USED AS A LEGAL TERM, BUT A DESCRIPTION OF THE RELATIONSHIPS OF CONNECTIVITY THAT IS NECESSARY TO COLLECTIVELY IMPROVE THE HEALTH OF OUR REGION. ONE OF THE OBJECTIVES IS TO PARTNER WITH OTHER NONPROFIT AND RELIGIOUS ORGANIZATIONS THAT SHARE OUR VALUES AND PRIORITIES TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITY WE SERVE. THIS IS AN INTENTIONAL EFFORT TO AVOID DUPLICATION AND LEVERAGE THE SUCCESSFUL WORK ALREADY IN EXISTENCE IN THE COMMUNITY. MANY IMPORTANT SYSTEMIC EFFORTS ARE UNDERWAY IN OUR REGION AND WE HAVE BEEN IN PARTNERSHIP WITH MULTIPLE NOT-FOR-PROFITS TO PROVIDE QUALITY CARE TO THE UNDERSERVED IN OUR REGION. IN ADDITION TO THE PROGRAMS AND INTERVENTIONS THROUGHOUT THE HEALTH SYSTEM, THE 2010 COMMUNITY HEALTH NEEDS ASSESSMENT FOR LLUH IDENTIFIED THREE PRIORITY AREAS FOR ITS COMMUNITY HEALTH INVESTMENTS 1) HEART HEALTH, 2) MENTAL HEALTH, AND 3) CHILDREN'S HEALTH AND RESILIENCY. IN 2012 WE SERVED OVER 234,384 INDIVIDUALS THROUGH OUR COMMUNITY HEALTH IMPROVEMENTS. 931697147 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 1 598 0 1 8491 1 1 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 X 21 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X STEVEN MOHR SR VICE PRESIDENT 9095588135 11234 ANDERSON ST LOMA LINDA CA 92354 X ROBERT CARMEN 0.50 X 0 0 250 JERE CHRISPENS 0.50 X 0 0 250 LOWELL COOPER 0.50 X 0 0 0 RUTHITA FIKE 45.00 5.00 X X 0 1345073 61452 CHRISTINE FRIESTAD 0.50 X 0 0 250 RICARDO GRAHAM 0.50 X 0 0 250 ROGER HADLEY 0.50 X 0 429025 40788 ALLAN HANDYSIDES 0.50 X 0 0 250 RICHARD HART 25.00 25.00 X X 0 423718 27541 DAN JACKSON 0.50 X 0 0 250 PAUL JACOBSON 0.50 X 0 0 0 ROBERT LEMON 0.50 X 0 0 250 G T NG 0.50 X 0 0 250 DAVID WILLIAMS 0.50 X 0 0 250 ERIC TSAO 0.50 X 0 0 250 MAX TREVINO 0.50 X 0 0 250 RICARDO PEVERINI 0.50 X 0 0 0 SCOTT REINER 0.50 X 0 0 250 TED WILSON 0.50 X 0 0 250 THOMAS WERNER 0.50 X 0 0 250 ELIZABETH DICKINSON 50.00 X 0 345929 30520 DANIEL FONTOURA 50.00 X 0 495513 51209 MARK HUBBARD 50.00 X 0 498022 47746 KEVIN LANG 35.00 15.00 X 0 870842 55248 JESSE MOCK 50.00 X 0 275353 34333 STEVEN MOHR 50.00 X 0 530145 24678 ZAREH SARRAFIAN 50.00 X 0 557005 44613 CYNTHIA SCHMIDT 50.00 X 0 267409 53838 BRIAN BULL 1.00 X 0 0 0 DANIEL GIANG 50.00 X 0 0 0 JAMES PAPPAS 50.00 X 0 0 0 MARK REEVES 50.00 X 0 0 0 MYRNA HANNA 1.00 49.00 X 0 0 0 GERALD WINSLOW 47.50 2.50 X 0 282530 37299 LYNDON EDWARDS 50.00 X 0 239583 40004 RACHELLE BUSSELL 35.00 15.00 X 0 338424 35586 JENNIFER CRUIKSHANK 40.00 X 196666 0 19858 DONNA BENNETT 40.00 X 302074 0 27115 BALDEV PATYAL 40.00 X 281974 0 33321 PAUL NORRIS 40.00 X 253425 0 32914 DONGRAK CHOI 40.00 X 245739 0 32492 BARBARA HOLSHOUSER 40.00 X 244154 0 32402 1524032 6898571 766457 724 0 1 0 LOMA LINDA UNIV HEALTH SERVICES 11145 ANDERSON ST 209 LOMA LINDA CA 92350 SHARED SERVICES 22255607 FACULTY PHYSICIANS AND SURGEONS 11175 CAMPUS ST 11120 LOMA LINDA CA 92350 MEDICAL DIRECTORS, TEAM CLINIC SUPPORT, 20954292 LOMA LINDA UNIV HEALTH CARE 11175 CAMPUS ST 11120 LOMA LINDA CA 92354 MEDICAL DIRECTORS, TEAM CLINIC SUPPORT, 13701088 LOMA LINDA UNIV ADVENTIST HEALTH SCIENCE 11175 CAMPUS ST 11006 LOMA LINDA CA 92354 ADMINISTRATION FEES 7514869 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 641412702 INFORMATION SERVICES/COMPUTER SERVICES 6245623 87 32948 159674 323677 1518758 5629431 85933 7664488 PATIENT CARE 446110 1026805974 1026805974 HOSPITAL QUALITY ASSURANCE PROGRA 446110 137803930 137803930 CAFETERIA 446110 4927445 4927445 TUITION 446110 126697 126697 MEDICAL RECORDS 446110 7529 7529 25179088 25179088 1194850663 9133202 9133202 1871036 1871036 1653704 1643664 10040 10040 10040 43000 159674 3179 39821 39821 15257740 7555822 7701918 6378087 1323831 PARTNERSHIP INCOME-EPIC MANAGEMEN 523000 253398 253398 253398 1221524566 1212243028 1577229 39821 4078904 4078904 134126 134126 5968235 5968235 402592533 367667177 35059410 -134054 14648675 13178544 1470131 95143790 85474406 9669384 42629155 38923640 3705515 6035358 6035358 397677 397677 50636499 44480687 6155812 11428978 11428978 195294857 192236298 3058559 10288196 7591245 2696951 60022377 46411579 13610798 847901 584284 263617 444892 350814 94078 16933689 -388946 17322635 8666860 8666860 47012822 33586075 13426747 7706717 2363449 5343268 PROVIDER FEE EXPENSE 74456222 74456222 PURCHASED SERVICES 70040199 26876141 40847092 2316966 EQUITY IN NET GAIN(LOSS 51731711 51731711 RESTRICTED FUND EXPENSE 4409970 4409970 -12201956 -10717468 -1484488 1169348387 931697147 235468328 2182912 243849677 281061516 48936987 54603320 216939803 193994672 15108470 20575688 9008503 5575702 1341911203 740260215 582989332 601650988 102005377 108504452 1218838149 1265966338 167597076 176967151 364584190 312767815 103957405 138933645 74328794 70887499 710467465 699556110 X 478045225 533501954 30325459 32908274 508370684 566410228 1218838149 1265966338 X 52176179 5604271 259094 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 558965 0 0 558965 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE CRITICAL NEED FOR HEALTH CARE REFORM IS APPARENT TO ALL AMERICANS. LOMA LINDA UNIVERSITY MEDICAL CENTER ("LLUMC") BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY ASSISTING OUR REPRESENTATIVES AND THEIR STAFF MEMBERS TO BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICY ISSUES. TO CARRY OUT LLUMC'S ROLE IN DEVELOPING BENEFICIAL HEALTH CARE POLICIES, LLUMC WORKS TO ESTABLISH RELATIONSHIPS WITH REPRESENTATIVES AND INDUSTRY ASSOCIATIONS WHICH CAN BE UTILIZED TO COMMUNICATE LLUMC'S POSITIONS ON MAJOR HEALTH CARE ISSUES. NATIONAL AND LOCAL REPRESENTATIVES ARE CONTACTED BY LLUMC AT KEY TIMES DURING THE LEGISLATIVE AND REGULATORY PROCESS TO COMMUNICATE HOW PROPOSED LAWS MIGHT HELP OR IMPEDE LLUMC'S ABILITY TO PROVIDE COST- EFFECTIVE, QUALITY CARE TO PATIENTS. LLUMC PARTICIPATES WITH VARIOUS HEALTH CARE INDUSTRY ASSOCIATIONS IN ADVOCATING HEALTH CARE PUBLIC POLICY INTERESTS. NO TIME IS SPENT INTERVENING IN ANY POLITICAL CAMPAIGN. THE LOBBYING EFFORTS OF LLUMC ARE PRIMARILY THAT OF AN EDUCATOR TO GOVERNMENT AND INDUSTRY REPRESENTATIVES ON THE PROVISION OF QUALITY CARE AND THE RELATED COST OF SUCH CARE. LLUMC IS INVOLVED IN THIS EDUCATION PROCESS DUE TO ITS PROMINENCE IN THE HEALTH CARE FIELD INCLUDING PATIENT CARE, TEACHING, AND MEDICAL RESEARCH. 39955065 39955065 274509908 102819570 171690338 227885519 98337712 129547807 621834638 539102933 82731705 177726073 177726073 601650988 ASSETS WHOSE USE IS LIMITED, NET OF CURRENT PORTION 33876767 DEFERRED FINANCING COSTS 5976443 OTHER LONG-TERM ASSETS 68651242 108504452 OTHER LONG-TERM LIABILITIES 70887499 70887499 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: EVEN THOUGH THERE IS NO FOOTNOTE FOR FIN 48 IN OUR AUDITED FINANCIAL STATEMENTS DUE TO IMMATERIALITY THE FOLLOWING EXPLANATION IS BEING INCLUDED: ON JANUARY 1, 2007, LLUMC ADOPTED FIN 48. IN JULY 2006, FASB INTERPRETATION NO. 48(FIN48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES, WAS ISSUED. FIN 48 CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF FIN 48, TAX-EXEMPT ORGANIZATIONS COULD NOW BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. PRIOR TO FIN 48, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH FASB STATEMENT NO. 5, ACCOUNTING FOR CONTINGENCIES. THE ADOPTION OF FIN 48 DID NOT HAVE A MATERIAL IMPACT ON THE COMBINED FINANCIAL POSITION, RESULTS OF OPERATIONS OR CASH FLOWS OF LLUMC. PROTON TREATMENT CENTER GOLF TOURNA 202674 159674 43000 3179 202674 159674 43000 3179 3179 39821 1 1 X 1 X 1 X 1 1 0 1 1 23871193 23871193 0.02040 410319129 399994818 10324311 0.00880 27376487 22536170 4840317 0.00410 461566809 422530988 39035821 0.03330 43 194530 1907135 1907135 0.00160 3 37 48486045 5177823 43308222 0.03700 3 1296 4580532 3675261 905271 0.00080 1 3606772 3606772 0.00310 4 1401 3932078 3932078 0.00340 54 197264 62512562 8853084 53659478 0.04590 54 197264 524079371 431384072 92695299 0.07920 1 95758 95758 0.00010 1 9182 9182 0.00000 2 104940 104940 0.00010 1 49833692 10071389 174005335 170978950 3026385 X 1 1 1 1 LOMA LINDA UNIVERSITY MEDICAL CENTER

11234 ANDERSON ST LOMA LINDA CA 92354

X X X X X X LOMA LINDA UNIVERSITY MEDICAL CENTER 1 1 X X X X X X X X X X 10 1 0 1 X X X X X X X X X X X 1 0 1 1 200.000000000000 1 350.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 LOMA LINDA UNIVERSITY MEDICAL CENTER PART V, SECTION B, LINE 12H: NUMBER OF FAMILY MEMBERS. LOMA LINDA UNIVERSITY MEDICAL CENTER PART V, SECTION B, LINE 14G: POLICY POSTED ON THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. REQUIRED DESCRIPTIONS PART VI, LINE 1 PART I, LINE 3C: LLUMC USES FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.PART I, LINE 6A: LLUMC AND BMC SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT TO OSHPD.PART I, LINE 7G: HOME CARE (CC 8401) = $ & UNREIMBURSED ORGAN COSTS =PART I, LINE 7 COLUMN F: HEALTH PROFESSIONALS EDUCATION AND RESEARCH - $48,032,684PART I, LINE 7: MEDICAL CARE SERVICES - $39,418,910, COMMUNITY HEALTH IMPROVEMENT - $5,654,768 PART III, LINE 2: PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. SEE FOOTNOTE TO 2012 LLUMC'S FINANCIAL STATEMENTS, PAGE 13, NOTES TO COMBINED FINANCIAL STATEMENTS.PART III, LINE 3: ESTIMATED AMOUNT OF BAD DEBT EXPENSE REPORTED FOR PATIENTS ELIGIBLE UNDER LLUMC'S FINANCIAL ASSISTANCE POLICY IS DERIVED BY DEVELOPING A COST-TO-CHARGE RATIO OF 20.21% (ADJUSTED PATIENT CARE COSTS/GROSS PATIENT CHARGES) AND MULTIPLYING AGAINST BAD DEBT EXPENSE. LLUMC'S ESTIMATED COSTS OF CARE FOR ELIGIBLE PATIENTS REPRESENT THE AMOUNT OF BAD DEBT EXPENSE RELATED TO COMMUNITY BENEFIT. THE RATIONALE FOR THIS METHODOLOGY IS THAT ELIGIBLE PATIENTS WILL QUALIFY FOR DEEPLY DISCOUNTED OR FULLY DISCOUNTED PAYMENT FINANCIAL ASSISTANCE THAT WOULD RESULT IN ADJUSTED CHARGES THAT ARE COMPARABLE WITH ACTUAL COST. PART III, LINE 4: BAD DEBT - $7,484,664-LLUMC IS REIMBURSED FOR SERVICES PROVIDED TO PATIENTS UNDER CERTAIN PROGRAMS ADMINISTERED BY GOVERNMENTAL AGENCIES. LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE COMPLEX AND SUBJECT TO INTERPRETATION. LLUMC BELIEVES THAT IT IS IN COMPLIANCE WITH ALL APPLICABLE LAWS AND REGULATIONS. LLUMC IS NOT AWARE OF ANY PENDING OR THREATENED INVESTIGATIONS INVOLVING ALLEGATIONS OF POTENTIAL WRONGDOING BEYOND THOSE DISCLOSED IN NOTE 11. COMPLIANCE WITH SUCH LAWS AND REGULATIONS CAN BE SUBJECT TO FUTURE GOVERNMENT REVIEW AND INTERPRETATION AS WELL AS SIGNIFICANT REGULATORY ACTION INCLUDING FINES, PENALTIES, AND EXCLUSION FROM THE MEDICARE AND MEDICAID PROGRAMS. LLUMC HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. IN SOME CASES, REIMBURSEMENT IS BASED ON FORMULAS WHICH CANNOT BE DETERMINED UNTIL AFTER COST REPORTS ARE FILED AND AUDITED OR OTHERWISE SETTLED BY VARIOUS PROGRAMS. DIFFERENCES BETWEEN FINAL SETTLEMENTS AND AMOUNTS ACCRUED IN PREVIOUS YEARS ARE REFLECTED IN NET PATIENT SERVICE REVENUE AS CHANGES IN ESTIMATE. LLUMC RECOGNIZED AN INCREASE IN NET PATIENT SERVICE REVENUE OF APPROXIMATELY $10,869,000 IN 2012 AND $8,127,000 IN 2011, DUE TO FINAL SETTLEMENTS AND REVISIONS MADE TO FINAL SETTLEMENTS FOR PRIOR YEAR MEDICARE COST REPORTS. PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS COLLECTIONS DATA BY MAJOR PAYOR SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF LLUMC'S SELF-PAY PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, LLUMC RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED TO SELF-PAY PATIENTS. LLUMC'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELFPAY PATIENTS WAS 93% AND 86% OF SELF-PAY ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2012 AND 2011, RESPECTIVELY. THE INCREASE IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM 2011 TO 2012 IS PRIMARILY DUE TO AN INCREASED TREND IN UNINSURED PATIENTS AND INSURED PATIENTS WITH SUBSTANTIAL COPAYS AND DEDUCTIBLES UNWILLING TO PAY FOR SERVICES RENDERED. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, LLUMC ANALYZES CONTRACTUALLY AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH LLUMC'S POLICIES.PART III, LINE 8: N/APART III, LINE 9B: YES, REFER TO CHARITY CARE AND FINANCIAL ASSISTANCE POLICYPART V: LICENSED HOSPITAL, GENERAL MEDICAL AND SURGICAL, CHILDREN'S HOSPITAL, TEACHING HOSPITAL, RESEARCH FACILITY, AND ER 24 HOURS. NEEDS ASSESSMENT PART VI, LINE 2 THE TASK OF CREATING HEALTHY ENVIRONMENTS CAN BE DAUNTING. TO CHANGE THE BUILT ENVIRONMENT INCLUDING LAND USE, TRANSPORTATION, HOUSING, AND OPEN SPACE OCCURS AT A SLOW PACE. CHANGING THE MOMENTUM FROM CURRENT PLANNING PRACTICES IN THE INLAND EMPIRE THAT HAVE RESULTED IN UNHEALTHY DEVELOPMENT PATTERNS WILL TAKE TIME, ATTENTION, AND AN ONGOING COMMITMENT FROM THE HEALTH SECTOR. THERE IS A SENSE OF URGENCY WITH THE GROWING CHRONIC DISEASES IN OUR REGION. THE NEED TO TAKE ACTION IS URGENT, HEALTH ORIENTED POLICIES ADOPTED TODAY WILL INFLUENCE ON-THE-GROUND DEVELOPMENT DECADES FROM NOW. THAT IS WHY OUR COMMUNITY PARTNERS ARE CRITICAL TO HELPING US ELEVATE THE HEALTH STATUS OF THE INLAND EMPIRE. BY WORKING TOGETHER AND COMBINING OUR RESOURCES AND STRENGTHS WE CAN MAKE A GREATER IMPACT IN OUR COMMUNITY. LLUMC SUPPORTS AND ENHANCES REGIONAL EFFORTS IN PLACE TO PROMOTE HEALTHIER COMMUNITIES. ONE OF THE OBJECTIVES IS TO PARTNER WITH OTHER NONPROFIT AND RELIGIOUS ORGANIZATIONS THAT SHARE OUR VALUES AND PRIORITIES TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITY WE SERVE. THIS IS AN INTENTIONAL EFFORT TO AVOID DUPLICATION AND LEVERAGE THE SUCCESSFUL WORK ALREADY IN EXISTENCE IN THE COMMUNITY. MANY IMPORTANT SYSTEMIC EFFORTS ARE UNDERWAY IN OUR REGION AND WE HAVE BEEN IN PARTNERSHIP WITH MULTIPLE NOT-FOR-PROFITS TO PROVIDE QUALITY CARE TO THE UNDERSERVED IN OUR REGION.LOMA LINDA UNIVERSITY MEDICAL CENTER (LLUMC) IS LEADING THE WAY FORWARD IN UNDERSTANDING OUR COMMUNITY BY CONDUCTING A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT. DEVELOPING PRIORITIES AND TARGETED INTERVENTIONS FROM THE KNOWLEDGE GAINED THROUGH THIS ASSESSMENT INCREASES OUR ABILITY TO IMPROVE THE HEALTH OF RIVERSIDE AND SAN BERNARDINO COUNTIES. DEVELOPING A SHARED UNDERSTANDING OF THE CHALLENGES AND OPPORTUNITIES IS A CRITICAL NEXT STEP IN POPULATION HEALTH IMPROVEMENT.COMMUNITY HEALTH DEVELOPMENT OF LLUMC HAS TAKEN A UNIQUE APPROACH TO THE ASSESSMENT PROCESS TO INCREASE OUR EFFECTIVENESS IN OUR PRIMARY SERVICE AREA, AND TO BE ON THE LEADING EDGE OF IMPLEMENTING HEALTHCARE REFORM. FOCUSING ON THE LEADING HEALTH INDICATORS, ALONG WITH DEATH AND DISEASE, HAVE SHOWN TO REDUCE THE POOR HEALTH IN OUR REGION. WE WILL ASK THE QUESTIONS 1) WHAT IS REALLY HURTING OUR COMMUNITIES? 2) HOW CAN WE MAKE A DIFFERENCE? 3) WHAT ARE THE HIGH IMPACT INTERVENTIONS? 4) WHO ARE OUR PARTNERS?, AND 5) WHO NEEDS OUR HELP THE MOST? OUR GOAL IS TO IDENTIFY EMERGING HEALTH ISSUES AND NEEDS AND PROVIDE SUFFICIENT DETAIL AT DIFFERENT LEVELS OF AGGREGATION TO SUPPORT POLICY AND PROGRAMMATIC DECISIONS. THE DATA COLLECTED IN THIS DOCUMENT WILL BE USED FOR MULTIPLE PURPOSES AND WILL CONTINUALLY BE EVALUATED FOR INTEGRITY, ACCURACY, TIMELINESS, AND THE ABILITY TO ASSIST IN ELEVATING THE HEALTH STATUS OF THE INLAND EMPIRE.BUILDING A HEALTHY ENVIRONMENT REQUIRES MULTIPLE STAKEHOLDERS WORKING TOGETHER WITH A COMMON PURPOSE. THE PRIMARY FOCUS OF THE ASSESSMENT IS TO ELEVATE THE HEALTH STATUS OF OUR COMMUNITY AND THE DIVERSE POPULATIONS WE SERVE BY IDENTIFYING COMMUNITY NEED AND TO PRIORITIZE OUR COMMUNITY INTERVENTIONS.THE ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH RIVERSIDE AND SAN BERNARDINO COUNTY PUBLIC HEALTH DEPARTMENTS. A SYSTEM FOR GEOCODING PATIENT UTILIZATION IS BEING DEVELOPED AND WILL BE USED TO IMPROVE THE HEALTH STATUS OF OUR REGION, BETTER MANAGE CHRONIC DISEASE, ELIMINATE UNNECESSARY HOSPITALIZATIONS, AND REDUCE READMISSION.TRADITIONAL PUBLICLY AVAILABLE DATA WAS INCLUDED IN THE ASSESSMENT ALONG WITH QUALITATIVE DATA COLLECTED FROM A BROAD REPRESENTATION OF THE COMMUNITY, KEY HEALTH INDICATORS WILL BE GEOGRAPHICALLY DISPLAYED TO FOCUS INTERVENTIONS IN STRATEGIC LOCATIONS AND TO IDENTIFY MEASURABLE OUTCOMES FOR OUR COMMUNITY BENEFITS PROGRAM.QUANTITATIVE DATA:-MORBIDITY AND MORTALITY COLLECTED FROM THE COUNTY HEALTH PROFILES-HOSPITALIZATION AND EMERGENCY DEPARTMENT UTILIZATION FROM OSHPD AND LLUMC ED-SOCIAL DETERMINANTS OF HEALTH COLLECTED FROM THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY (2007 - 2011)-HEALTH INDICATOR DATA COLLECTED FROM A VARIETY OF PUBLICLY AVAILABLE DATATO VALIDATE THE DATA AND TO ENSURE A BROAD REPRESENTATION OF THE COMMUNITY QUALITATIVE DATA WAS COLLECTED FROM:QUALITATIVE DATA:-PHYSICIAN SURVEY TO IDENTIFY AREAS THE HEALTH SYSTEM CAN SUPPORT THE HEALTH OF THEIR PATIENTS IN OUR COMMUNITY INITIATIVES.-COMMUNITY AGENCIES SERVING OUR PRIMARY SERVICE AREA TO ASSESS THEIR NEEDS AND TO IDENTIFY AREAS THAT LLLUMC CAN BE A STRATEGIC PARTNER.-KEY INFORMANT INTERVIEWS FROM KEY LEADERS TO ENGAGE THEM IN THE DEVELOPMENT OF OUR INTERVENTIONS AND ILLICIT THEIR INPUT TO IMPROVING THE HEALTH OF OUR REGION.A WRITTEN PUBLIC RECORD OF THE CHNA PROCESS AND ITS OUTCOMES WAS CREATED AND MADE AVAILABLE TO KEY STAKEHOLDERS IN THE COMMUNITY AND TO THE GENERAL PUBLIC. CHNA INFORMATION WILL BE DISSEMINATED TO PARTNERS AT MEETINGS, CONFERENCES, AND OTHER FUNCTIONS. IN ADDITION, THE REPORT IS PUBLICLY AVAILABLE ONLINE THROUGH LLUMC WEBSITE FOR INTERNAL AND EXTERNAL PURPOSES. THE WRITTEN PUBLIC REPORT INCLUDES:-A DESCRIPTION OF THE HOSPITAL FACILITY'S COMMUNITY AND HOW IT WAS DETERMINED;-THE PROCESS AND METHODS USED TO CONDUCT THE ASSESSMENT;-HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED;-ALL OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA AND THEIR PRIORITIES, AS WELL AS A DESCRIPTION OF THE PROCESS AND CRITERIA USED IN THE PRIORITIZATION; AND-EXISTING HEALTH CARE FACILITIES AND OTHER RESOURCES WITHIN THE COMMUNITY AVAILABLE TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA.IN RESPONSE TO THE 2010 CHNA LLUH HAS OUTLINED THE FOLLOWING STRATEGIES TO COMPREHENSIVELY MEET THE NEEDS OF OUR COMMUNITY:-CHILDREN'S HEALTH AND RESILIENCY-HEART HEALTH-MENTAL HEALTHLLUMC IS IN THE FINAL STAGES OF COMPLETING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 LLUMC SHALL POST NOTICES INFORMING THE PUBLIC OF THE CHARITY CARE/DISCOUNT PAYMENT POLICY. SUCH NOTICES SHALL BE POSTED IN HIGH VOLUME INPATIENT, AND OUTPATIENT SERVICE AREAS OF LLUMC, INCLUDING BUT NOT LIMITED TO, THE EMERGENCY DEPARTMENT, BILLING OFFICE, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS OR OTHER COMMON PATIENT WAITING AREAS OF LLUMC. NOTICES SHALL ALSO BE POSTED AT ANY LOCATION WHERE A PATIENT MAY PAY THEIR BILL. NOTICES WILL INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE.1.1 THESE NOTICES SHALL BE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN LLUMC'S SERVICE AREA.2. A COPY OF THIS CHARITY CARE/DISCOUNT PAYMENT POLICY WILL BE MADE AVAILABLE TO THE PUBLIC UPON REASONABLE REQUEST. LLUMC WILL RESPOND TO SUCH REQUESTS IN A TIMELY MANNER. COMMUNITY INFORMATION PART VI, LINE 4 LOMA LINDA UNIVERSITY HEALTH'S PRIMARY SERVICE AREA CAN BE DEFINED, BROADLY, AS CALIFORNIA'S INLAND EMPIRE - RIVERSIDE AND SAN BERNARDINO COUNTIES. THE INLAND EMPIRE IS A REGION OF SOUTHERN CALIFORNIA SITUATED DIRECTLY EAST OF THE LOS ANGELES METROPOLITAN AREA. RIVERSIDE AND SAN BERNARDINO COUNTIES RANGE FROM LAKE ARROWHEAD IN THE NORTH, YUCAIPA IN THE EAST, PERRIS IN THE SOUTH, AND ONTARIO IN THE WEST, SERVING A LITTLE OVER 4 MILLION PEOPLE WITH MORE THAN 90% FROM THE TWO COUNTIES. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 IN 2009/2010 LLUMC CREATED THE COMMUNITY BENEFIT ADMINISTRATIVE COUNCIL (CBAC). CBAC REPORTS TO THE MISSION-FOCUSED SUBCOMMITTEE OF THE LLUMC BOARD OF TRUSTEES AND A BOARD MEMBER SERVES ON CBAC. IMPROVING THE HEALTH OF THE COMMUNITY AND DEVELOP INTERVENTIONS. CBACS COUNCIL MEMBERS MEET QUARTERLY TO REVIEW THE STATUS AND PROGRESS OF LLUMC AND LLUBMC, AND LLUMC-MURRIETA COMMUNITY BENEFIT INTERVENTIONS. ADDITIONALLY, THE COUNCILMEMBERS ASSURE ORGANIZATIONAL COMPLIANCE WITH RELEVANT COMMUNITY BENEFIT LEGISLATION.CORE PRINCIPLES:1. EMPHASIS ON COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH NEEDS2. EMPHASIS ON PRIMARY PREVENTION CARE3. BUILD A SEAMLESS CONTINUUM OF CARE4. EMPHASIS ON COMMUNITY CAPACITY BUILDING5. EMPHASIS ON COLLABORATIVE GOVERNANCE AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 LLUMC BELIEVES THAT PARTNERSHIPS ARE EFFECTIVE TOOLS IN IMPROVING THE HEALTH OF OUR COMMUNITY. TOGETHER, WE ARE ABLE TO LEVERAGE OUR RESOURCES AND STRENGTHS AND HAVE A GREATER IMPACT. WE CAN BUILD A GREATER SENSE OF COMMUNITY AND A SHARED COMMITMENT TOWARDS HEALTH IMPROVEMENT.LLU HOSPITALS JOINED TOGETHER WITH OTHER ENTITIES IN THE LOMA LINDA UNIVERSITY HEALTH SCIENCES SYSTEM IN FORMING THE INSTITUTE FOR COMMUNITY PARTNERSHIPS (ICP). ICP ASPIRES TO INCREASE COMMUNICATION, COLLABORATION, AND EMPOWERMENT OF ALL ON-CAMPUS ENTITIES SERVING THE LOCAL COMMUNITY AS WELL AS THEIR COMMUNITY PARTNERS. THE MEDICAL CENTER'S COMMUNITY HEALTH DEVELOPMENT DEPARTMENT IS ALSO ACTIVE IN CHANNELING STUDENT AND FACULTY VOLUNTEERS FROM LOMA LINDA UNIVERSITY INTO SERVICE AND SERVICE LEARNING PROJECTS IN THE LOCAL COMMUNITY. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 CALIFORNIA'S COMMUNITY BENEFIT LAW WAS PASSED IN 1994, AND ITS IMPLEMENTATION PLACED UNDER THE SUPERVISION OF OSHPD (OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, SEE ESPECIALLY THE HOSPITAL COMMUNITY BENEFIT PROGRAM). BEGINNING IN 1995, LOMA LINDA UNIVERSITY MEDICAL CENTER SUBMITS AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL AND LOMA LINDA UNIVERSITY BEHAVIORAL MEDICAL CENTER.BEGINNING 2013, LLUMC MURRIETA WILL COMPLETE AN ANNUAL COMMUNITY BENEFIT REPORT. 1 SAC HEALTH SYSTEM 1454 E 2ND ST SAN BERNARDINO CA 92408 330664371 3576684 BOOK DONATION TOWARDS OPERATIONAL COSTS CHILDREN'S FUND 348 WEST HOSPITALITY LN 110 SAN BERNARDINO CA 92408 330193286 400000 BOOK GIFT FOR PROGRAM SERVICE LOMA LINDA UNIV SCH OF PUBLIC HEALTH 24951 NORTH CIRCLE DR LOMA LINDA CA 92350 951816009 30000 BOOK SPONSORSHIP-2012 HEALTHY PEOPLE CONFERENCE LOMA LINDA CHAMBER OF COMMERCE PO BOX 343 LOMA LINDA CA 92354 952130840 5000 BOOK SPONSORSHIP-2012 GOLF TOURNAMENT LOMA LINDA LOPERS PO BOX 495 LOMA LINDA CA 92354 330042686 5000 BOOK SPONSORSHIP-2012 MARATHON CLINIC & HOLIDAY CLASSIC RIVERSIDE COMMUNITY HEALTH FOUNDATION 4445-A MAGNOLIA AVE RIVERSIDE CA 92501 237276444 5000 BOOK SPONSORSHIP-2012 ANNUAL CELEBRATION NATIONAL HEALTH FOUNDATION 515 S FIGUEROA ST STE 1300 LOS ANGELES CA 90071 237314808 5000 BOOK SPONSORSHIP-RICHARD YOCHUM TRIBUTE DINNER MISCELLANEOUS LESS THAN 5000 52220 BOOK VARIOUS 7 0 PHARMACEUTICALS 41029 BOOK TRANSITIONAL LIVING 34560 BOOK TRANSPORTATION 56169 BOOK FOOD 201 BOOK UTILITIES 2167 BOOK PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: LLUMC PROVIDES SPONSORSHIPS, DONATIONS, AND OTHER ASSISTANCE TO ORGANIZATIONS AND INDIVIDUALS AS PART OF ITS COMMITMENT TO COMMUNITY OUTREACH. DISBURSEMENTS FOR GRANTS AND OTHER ASSISTANCE ARE REVIEWED AND APPROVED BY MANAGEMENT PRIOR TO DISBURSEMENT. MANAGEMENT RECEIVES PERIODIC REPORTS REGARDING THESE ACTIVITIES AS PART OF THE COMMUNITY BENEFITS REPORT. X X 1 1 0 1 0 0 0 1 0 0 0 RUTHITA FIKE 0 671000 0 53884 0 620189 0 14948 0 46504 0 1406525 0 0 ROGER HADLEY 0 353544 0 0 0 75481 0 14948 0 25840 0 469813 0 0 RICHARD HART 0 350000 0 0 0 73718 0 14948 0 12593 0 451259 0 0 ELIZABETH DICKINSON 0 241000 0 40570 0 64359 0 14948 0 15572 0 376449 0 0 DANIEL FONTOURA 0 392000 0 30096 0 73417 0 14948 0 36261 0 546722 0 0 MARK HUBBARD 0 328000 0 29569 0 140453 0 14948 0 32798 0 545768 0 0 KEVIN LANG 0 558000 0 43187 0 269655 0 14948 0 40300 0 926090 0 0 JESSE MOCK 0 212000 0 20713 0 42640 0 14948 0 19385 0 309686 0 0 STEVEN MOHR 0 381000 0 39477 0 109668 0 10048 0 14630 0 554823 0 0 ZAREH SARRAFIAN 0 414000 0 44685 0 98320 0 10048 0 34565 0 601618 0 0 CYNTHIA SCHMIDT 0 209000 0 23181 0 35228 0 14948 0 38890 0 321247 0 0 GERALD WINSLOW 0 225000 0 5400 0 52130 0 12950 0 24349 0 319829 0 0 LYNDON EDWARDS 0 187692 0 5975 0 45916 0 14347 0 25657 0 279587 0 0 RACHELLE BUSSELL 0 260000 0 0 0 78424 0 14948 0 20638 0 374010 0 0 JENNIFER CRUIKSHANK 157508 0 21484 0 17674 0 19018 0 840 0 216524 0 0 0 DONNA BENNETT 164435 0 18150 0 119489 0 17755 0 9360 0 329189 0 0 0 BALDEV PATYAL 241309 0 316 0 40349 0 23961 0 9360 0 315295 0 0 0 PAUL NORRIS 211652 0 21779 0 19994 0 23554 0 9360 0 286339 0 0 0 DONGRAK CHOI 218971 0 316 0 26452 0 23132 0 9360 0 278231 0 0 0 BARBARA HOLSHOUSER 207996 0 2685 0 33473 0 23042 0 9360 0 276556 0 0 0 PART I, LINE 3 PLEASE SEE EXPLANATION FOR PART VI, SECTION B, LINE 15 THAT IS LISTED UNDER SCHEDULE O. PART I, LINE 4B THE FOLLOWING LLUAHSC EMPLOYEES PARTICIPATED IN, AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: BUSSELL, RACHELLE $30,598 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. DICKINSON, ELIZABETH JANE $24,857 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. EDWARDS, LYNDON C. $14,709 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. FONTOURA, DANIEL ELBIO $2,981 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS). $59,437 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. HADLEY, HENRY ROGER $52,333 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. HART, RICHARD HENRY $53,429 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. HUBBARD, MARK LEE $42,960 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $64,583 SERP FUNDING PAID TO EMPLOYEE IN CASH. LANG, KEVIN J $3,356 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS). $102,278 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $101,165 SERP FUNDING PAID TO EMPLOYEE IN CASH. MOCK, FURMAN JESSE $2,062 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS). $16,234 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. MOHR, STEVEN LAWRENCE $1,822 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS). $57,854 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. SARRAFIAN, ZAREH HOVIK $68,286 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. SCHMIDT, CYNTHIA J $14,469 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS). $4,629 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. WINSLOW, GERALD $21,150 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. PART I, LINE 6 LOMA LINDA UNIVERSITY MEDICAL CENTER HAS AN INCENTIVE PLAN. PAYMENTS FOR INCENTIVE AWARDS ARE TRIGGERED ONLY IF, AMONG OTHER ESTABLISHED CRITERIA, NET INCOME EXCEEDS BUDGET BY AN ESTABLISHED PERCENTAGE. SUPPLEMENTAL INFORMATION PART III IRS FORM 990 DISCLOSURE ON SCHEDULE J PART III THE OFFICERS LISTED ON THE FORM 990, PART VII, LINE 1A OR ON SCHEDULE J, PART II ARE EMPLOYED BY LLUAHSC. LLUAHSC PAYS THE COMPENSATION FOR THE OFFICERS LISTED AND REPORTS THE COMPENSATION AMOUNTS IN THE FORMS W-2 FOR EACH OFFICER. AMOUNTS REPORTED ON THE FORM 990, PART VII, LINE 1A, COLUMNS E AND F, OR ON SCHEDULE J, PART II, COLUMN E(II) REPRESENT TOTAL AMOUNTS OF COMPENSATION RECEIVED BY EACH OFFICER FROM LLUAHSC. THE OFFICERS DO NOT RECEIVE ANY OTHER COMPENSATION AMOUNTS FROM RELATED ORGANIZATIONS. LLUAHSC ALLOCATES THE COMPENSATION AMOUNTS TO THE APPLICABLE RELATED ORGANIZATIONS AND RECEIVES REIMBURSEMENT PAYMENTS. ALLOCATION PERCENTAGES OF THE COMPENSATION PAYMENTS FOR THE OFFICERS ARE AS FOLLOWS: 1. BUSSELL, RACHELLE IS EMPLOYED BY LLUAHSC. HER COMPENSATION IS FUNDED BY LOMA LINDA UNIVERSITY HEALTHCARE (5%), LOMA LINDA UNIVERSITY (25%) AND LOMA LINDA UNIVERSITY MEDICAL CENTER (70%). 2. DICKINSON, ELIZABETH JANE IS EMPLOYED BY LLUAHSC. HER COMPENSATION IS FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER (17%) AND LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETTA (83%). 3. EDWARDS, LYNDON C. IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 4. 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. 5. FONTOURA, DANIEL ELBIO IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 6. HADLEY, HENRY ROGER IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS FUNDED BY LOMA LINDA UNIVERSITY NET OF $50,000 FROM LOMA LINDA UNIVERSITY HEALTH CARE AND HIS PRIVATE PRACTICE COMPENSATION FROM LOMA LINDA UNIVERSITY UROLOGY GROUP AND THE DEPARTMENT OF VETERANS AFFAIRS. 7. 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. 8. HUBBARD, MARK LEE IS EMPLOYED BY LLUAHSC. HIS COMPENSATION, EXCLUDING THE SERP BENEFIT, IS FUNDED BY LLUAHSC'S RISK MANAGEMENT DEPARTMENT (20%) AND LOMA LINDA UNIVERSITY MEDICAL CENTER (80%). THE SERP BENEFIT IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 9. LANG, KEVIN J. IS EMPLOYED BY LLUAHSC. HIS COMPENSATION, EXCLUDING THE SERP BENEFIT, IS FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER (70%), LOMA LINDA UNIVERSITY (17.5%), LOMA LINDA UNIVERSITY HEALTH CARE (7.5%) AND LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER (5%). THE SERP BENEFIT IS FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER (92.5%) AND LOMA LINDA UNIVERSITY HEALTH CARE (7.5%). 10. MOCK, FURMAN JESSE IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 11. MOHR, STEVEN LAWRENCE IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 12. SARRAFIAN, ZAREH HOVIK IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 13. SCHMIDT, CYNTHIA J IS EMPLOYED BY LLUAHSC. HER COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 14. WINSLOW, GERALD IS EMPLOYED BY LLUAHSC. HIS COMPENSATION, EXCLUDING THE SERP BENEFIT, IS FUNDED BY LOMA LINDA UNIVERSITY HEALTH SERVICES (5%) AND LOMA LINDA UNIVERSITY MEDICAL CENTER (95%). THE SERP BENEFIT IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. A CITY OF LOMA LINDA 952662323 541482JM8 2005-10-26 162145294 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS; DEBT SERVICE 0 0 0 B CITY OF LOMA LINDA 952662323 541482JP1 2007-12-20 80000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 C CITY OF LOMA LINDA 952662323 541482JR7 2008-11-13 70000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS; DEBT SERVICE 0 0 0 D CITY OF LOMA LINDA 952662323 541482JS5 2008-11-13 25000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 A 12285000 165019155 15834500 2454233 1302095 17492753 127935574 2007 1 0 1 1 B 81042626 1597768 661048 78783810 2009 0 0 1 1 C 70033887 7000000 1333918 61699969 2010 0 0 1 1 D 25009187 475327 9187 24524673 2010 0 0 1 1 A 0 0 0 0 0.00200 0.00200 0 0 1 B 0 0 0 0 0.00200 0.00200 0 0 1 C 0 0 0 0 0.00200 0.00200 0 0 1 D 0 0 0 0 0.00200 0.00200 0 0 1 A 1 0 0 1 SOCIETE GENERALE 18.000000000000 1 0 1 B 0 0 0 1 1 1 GOLDMAN SACHS 30.000000000000 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 1 1 GOLDMAN SACHS 30.000000000000 0 0 0 0 1 A CITY OF LOMA LINDA 952662323 2008-11-13 15000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES 0 0 0 B CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2007-11-30 28809966 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 C CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2007-09-28 3195000 FINANCE THE COSTS OF CAPITAL EXPENDITURES 0 0 0 D CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2008-07-02 5000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 A 2421218 15000000 15000000 2009 0 0 1 1 B 6101728 30048936 1815028 235445 24882136 3116327 2010 0 0 1 1 C 408286 3195000 3195000 2007 0 0 1 1 D 2988480 5139048 40750 5098298 2011 0 0 1 1 A 0 0 0 0 0.00200 0.00200 0 0 1 B 1 1 0 0 0.02700 0.02700 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2008-05-30 4200000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 B CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2009-06-16 4016964 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 C CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2009-12-22 8500000 FINANCE THE COSTS OF CAPITAL EXPENDITURES 0 0 0 A 2621868 4222891 43592 4179299 2009 0 0 1 1 B 2952361 4025778 30231 3995547 2009 0 0 1 1 C 2162473 8500429 8500429 2010 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0.00200 0.00200 0 0 1 C 0 1 0 0 0.00300 0.00300 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 FONTOURA VICKI FAMILY OF OFFICER 227 EMPLOYED BY LOMA LINDA UNIVERSITY MEDICAL CENTER AS A COORDINATOR OF EAST CAMPUS PATIENT CARE SERVICES. 0 HIDALGO DERREK FAMILY OF OFFICER 102425 EMPLOYED BY LOMA LINDA UNIVERSITY MEDICAL CENTER AS A CLINICAL EDUCATOR. 0 MOCK DONNA FAMILY OF OFFICER 58680 EMPLOYED BY LOMA LINDA UNIVERSITY MEDICAL CENTER AS A RELEASE OF INFORMATION SPECIALIST. 0 RIGSBY BEVERLY FAMILY OF OFFICER 176759 EMPLOYED BY LOMA LINDA UNIVERSITY MEDICAL CENTER AS THE SERVICE LINE DIRECTOR FOR THE WOMEN'S HEALTH CENTER DEPARTMENT. 0 WALKER AMY FAMILY OF BOARD MEMBER 84672 EMPLOYED BY LOMA LINDA UNIVERSITY MEDICAL CENTER AS A RADIOLOGIC SPECIALIST-MAMMO. 0 X 1 50410 FAIR MARKET VALUE X 1 12000 FAIR MARKET VALUE X USE OF GOLF COURSE 1 15000 FAIR MARKET VALUE X DISNEYLAND TICKETS 1 1727 FAIR MARKET VALUE X WEB HOSTING/PBX SERVICES 1 6796 FAIR MARKET VALUE 0 0 1 1 THIRD PARTY USE: PART I, LINE 32B: THE OFFICES OF PHILANTHROPY FOR LOMA LINDA UNIVERISTY, LOMA LINDA UNIVERSITY HEALTH SERVICES AND LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION ACCEPT MOST OF THE GIFTS FOR LOMA LINDA UNIVERSITY MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATE MEMBER OF LLUMC PURSUANT TO SECTION 9310 OF THE CALIFORNIA NONPROFIT RELIGIOUS CORPORATION LAW SHALL BE LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER, A CALIFORNIA NON-PROFIT RELIGIOUS CORPORATION, ACTING BY AND THROUGH ITS BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A LLUAHSC, AS THE CORPORATE MEMBER, ELECTS THE BOARD OF TRUSTEES AT ITS QUINQUENNIAL MEETING. LLUAHSC SHALL ALSO HAVE THE POWER TO FILL VACANCIES ON THE BOARD OF TRUSTEES BETWEEN THE QUINQUENNIAL ORGANIZATION MEETINGS. FORM 990, PART VI, SECTION A, LINE 7B LLUAHSC, AS CORPORATE MEMBER, AT EACH REGULAR OR SPECIAL MEETING, SHALL INFORM ITSELF ON THE BUSINESS OF THE MEDICAL CENTER TO BE TRANSACTED; SHALL RECEIVE THE ANNUAL REPORT OF THE MEDICAL CENTER BUDGET AND AUDIT, AND TRANSACT SUCH OTHER BUSINESS AS MAY BE REQUESTED BY THE MEDICAL CENTER BOARD. FURTHER FUNCTIONS OF THE MEMBER ARE: (1) TO REMOVE FROM OFFICE ANY TRUSTEE OF THE MEDICAL CENTER WITH OR WITHOUT CAUSE. (2) TO REVIEW AND CONSULT WITH THE MEDICAL CENTER BOARD REGARDING THE APPOINTMENT OF THE MEDICAL CENTER PRESIDENT AND THE CHIEF EXECUTIVE OFFICER. HOWEVER, THE APPOINTMENT AND REMOVAL OF THE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER ARE SOLELY THE LEGAL RESPONSIBILITY OF THE LLUMC BOARD. (3) TO APPROVE ALL CHANGES TO THE ARTICLES OF INCORPORATION AND BY-LAWS. (4) TO APPROVE ANY MERGER, CONSOLIDATION, DISSOLUTION, SALE OR TRANSFER OF MORE THAN TWENTY-FIVE PERCENT OF THE ASSETS OF LLUMC. (5) TO APPROVE ANY SIGNIFICANT CHANGE IN THE CORPORATE PURPOSE OF LLUMC. FORM 990, PART VI, SECTION B, LINE 11 THIS FORM 990 IS REVIEWED BY 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, LLUMC'S PARENT ORGANIZATION, EMPLOYS AN INDEPENDENT OUTSIDE CONSULTING FIRM TO BENCHMARK COMPENSATION FOR LLUAHSC EMPLOYEES. LLUMC'S CEO, CFO, AND VICE PRESIDENTS ARE EMPLOYED BY LLUAHSC. THE LLUAHSC EXECUTIVE COMPENSATION COMMITTEE USES THE RESULTS OF THE INDEPENDENT SURVEY TO ESTABLISH PAY SCALES FOR THE NEXT FISCAL YEAR. THE EXECUTIVE COMPENSATION COMMITTEE SETS THE TOTAL COMPENSATION BELOW THE INDUSTRY MEAN AND MEDIAN AMOUNTS PROVIDED IN THE SURVEY. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF TRUSTEES APPOINTED BY THE LLUAHSC BOARD WHO ARE INDEPENDENT OF LLUAHSC'S MANAGEMENT. THE EXECUTIVE COMPENSATION COMMITTEE IS APPOINTED BY THE LLUAHSC BOARD OF TRUSTEES TO HAVE DIRECT RESPONSIBILITY FOR ESTABLISHING COMPENSATION, POLICIES, AND BENEFITS FOR THE SENIOR EXECUTIVES OF LLUAHSC. THE COMMITTEE'S PROCESS INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF DELIBERATIONS AND DECISIONS. FOR KEY EMPLOYEES OTHER THAN THE OFFICERS AS WELL AS EMPLOYEES IN LEADERSHIP POSITIONS, LLUMC MANAGEMENT, THROUGH ITS HUMAN RESOURCE DEPARTMENT, OBTAINS THE SERVICES OF AN INDEPENDENT CONSULTING FIRM TO CONDUCT NATIONWIDE COMPENSATION SURVEYS. MANAGEMENT USES THE COMPARABLE BENCHMARKS IN THE SURVEY RESULTS TO ESTABLISH OR REVIEW PAY SCALES FOR THE POSITION. THIS SURVEY CONDUCTED BY THE INDEPENDENT CONSULTING FIRM IS PERFORMED FOR THE ORGANIZATION EVERY TWO YEARS. INTERNALLY, THE HUMAN RESOURCE DEPARTMENT, CONDUCTS ANNUAL SURVEYS USING AT LEAST THREE SURVEY RESULTS FROM INDEPENDENT FIRMS TO ESTABLISH OR REVIEW THE REASONABLENESS OF COMPENSATION AMOUNTS. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 FOR THE POSITION OF VP, HELD BY BUSSELL, RACHELLE. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 FOR THE POSITION OF VP, PATIENT CARE SERVICES HELD BY DICKINSON, ELIZABETH JANE. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 FOR THE POSITION OF SVP, ADMINISTRATOR, EAST CAMPUS HOSPITAL HELD BY EDWARDS, LYNDON C. 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, UNIVERSITY HOSPITAL & SVP, ANCILLARY CLINICAL SERVICES HELD BY FONTOURA, DANIEL ELBIO. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 FOR THE POSITION OF EVP, MEDICAL AFFAIRS & DEAN, SCHOOL OF MEDICINE HELD BY HADLEY, HENRY ROGER. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 FOR THE POSITION OF PRESIDENT & CEO HELD BY HART, RICHARD HENRY. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 FOR THE POSITION OF EVP, HUMAN RESOURCES AND RISK MANAGEMENT HELD BY HUBBARD, MARK LEE. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 FOR THE POSITION OF EVP, FINANCE & ADMINISTRATION & CFO HELD BY LANG, KEVIN J.. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 FOR THE POSITION OF VP, HELD BY MOCK, FERMAN JESSE. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 FOR THE POSITION OF SVP, FINANCE HELD BY MOHR, STEVEN LAWRENCE. 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 VP, REVENUE CYCLE MANAGEMENT HELD BY SCHMIDT, CYNTHIA J.. THIS PROCESS WAS LAST UNDERTAKEN IN 12/11 FOR THE POSITION OF VP, SPIRITUAL LIFE & WHOLENESS HELD BY WINSLOW, GERALD. FORM 990, PART VI, SECTION C, LINE 18 THE IRS FORM 990 IS AVAILABLE ON THE GUIDESTAR.COM WEBSITE AND ALSO MAY BE OBTAINED BY MAKING A REQUEST TO THE SR. VICE PRESIDENT OF FINANCE AT 11234 ANDERSON ST., LOMA LINDA, CA. 92354. FORM 990, PART VI, SECTION C, LINE 19 LLUMC WILL MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST AND IN ACCORDANCE WITH IRS GUIDELINES. THE CONFLICT OF INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE FOR EMPLOYEES. LLUMC MAKES ITS UN-AUDITED QUARTERLY FINANCIAL STATEMENTS AND YEAR-END AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC PURSUANT TO ITS CONTINUING DISCLOSURE AGREEMENTS WITH BONDHOLDERS. FORM 990, PART VII, LINE 1A: FOR EMPLOYEES OF LLUAHSC OR LLUAHSC AFFILIATES (ORGANIZATION(S)) RELATED TO THE FILING ORGANIZATION WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN PART VII, SECTION A, COLUMN (B) OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) WERE PROVIDED IN CONJUNCTION WITH THEIR RESPONSIBILITIES AND ROLES IN OTHER POSITIONS FOR ORGANIZATIONS RELATED TO THE FILING ORGANIZATION. THESE INDIVIDUALS EACH DEVOTE APPROXIMATELY 50 HOURS PER WEEK SERVING IN THEIR RESPECTIVE POSITIONS WITHIN THE ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS USED FOR CAPITAL RELATED ACTIVITIES 2,146,538. PURCHASE OF PHM MEMBERSHIP INTEREST -1,887,444. FORM 990, PART XII, LINE 2B: THE FINANCIAL STATEMENTS OF LOMA LINDA UNIVERSITY MEDICAL CENTER WERE AUDITED BY AN INDEPENDENT FIRM AS PART OF THE 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). FORM 990, PART XII, LINE 2C: LLUMC HAS FINANCE AND AUDIT COMMITTEES OF THE BOARD OF TRUSTEES THAT ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT FIRM. FORM 990, PART V, LINE 7C: DID THE ORGANIZATION SELL, EXCHANGE, OR OTHERWISE DISPOSE OF TANGIBLE PERSONAL PROPERTY FOR WHICH IT WAS REQUIRED TO FILE FORM 8282? LLUMC MANAGEMENT DID NOT TIMELY FILE FORM 8282 FOR A DONATED ITEM THAT WAS ULTIMATELY SOLD 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 8282'S ARE FILED TIMELY ON A GO-FORWARD BASIS. 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