2012-11-14T15:48:25-06:00 2011-12-31 990 2011-01-01 810661056 LOMA LINDA UNIVERSITY HEALTH SERVICES INC LOMA 9095584534 11175 CAMPUS STREET CSP NO 11006 LOMA LINDA CA 92354 KEVIN J LANG 9095587570 2012-11-07 2011 2016-02-24 21:20:13Z KEVIN J LANG 11175 CAMPUS STREET CSP 11006 LOMA LINDA CA 92354 49096328 0 1071 X N/A X 2004 CA TO PARTICIPATE IN CHRIST'S MINISTRY OF HEALTH, HEALING, AND WHOLENESS FOR: EDUCATION, HEALTHCARE, AND RESEARCH BY PROVIDING SUPPORT TO THE LLUAHSC ENTITIES. 5 0 569 0 0 0 0 0 48031886 49096328 899 -21156 0 0 48032785 49075172 600 34000 0 0 27249306 27023240 0 0 3831820 20005733 21163458 47255639 48220698 777146 854474 15388759 13022926 12689063 10255091 2699696 2767835 TO PARTICIPATE IN CHRIST'S MINISTRY OF HEALTH, HEALING, AND WHOLENESS FOR: EDUCATION, HEALTHCARE, AND RESEARCH BY PROVIDING SUPPORT TO THE LLUAHSC ENTITIES. 0 0 43266667 34000 49075172 LLUHS PROVIDES SUPPORT SERVICES FOR ALL LLUAHSC ENTITIES WHICH INCLUDE HOSPITALS AND SCHOOLS. THE SERVICES PROVIDED INCLUDE HRM, PAYROLL, MAIL SERVICES, SECURITY SERVICES, PUBLIC RELATIONS, SPONSORED RESEARCH MANAGEMENT, COMPLIANCE, INTERNAL AUDIT AND MANY OTHER SERVICES. 43266667 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 34 0 1 569 1 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ANGELA LALAS 9095584534 11175 CAMPUS STREET CSP 11006 LOMA LINDA CA 92354 X LANG KEVIN J 1.00 X X 0 869961 -6466 FIKE RUTHITA 0.10 X 0 1120704 57949 HADLEY H ROGER 2.00 X 0 452871 38833 HART RICHARD 1.00 X 0 450987 54552 BULL BRIAN 1.00 X 0 0 0 HUBBARD MARK 4.00 X 0 471642 46985 LALASANGELA MANALO 40.00 X 142842 0 24999 POSSINGERRANDAL E 40.00 X 154778 0 24978 WILSONCHARLENE JUNIOUS 40.00 X 163499 0 23465 ELWELLELIZABETH ANNE 40.00 X 207941 0 30518 HOLMESTROY 40.00 X 214858 0 30643 JOHNSTONGEORGE EDWARD 40.00 X 208444 0 27018 WINSLOW GERALD 5.00 X 0 291767 36973 ZIRKELBACHMARK E 40.00 X 328939 0 35561 NORTONLIZETTE O 0.00 X 213867 0 9846 1635168 3657932 435854 42 1 1 0 LLU ADVENTIST HEALTH SCIENCES 11175 CAMPUS STREET CSP 11006 LOMA LINDA CA 92354 INSURANCE AND MANAGEMENT 10133073 TEK SYSTEMS INC P O BOX 198568 ATLANTA GA 303848568 COMMUNICATION NETWORK SUPPORT SERVICES 1081982 UNITED STATES POSTAL SERVICE TEAM-ONE-TMS CITIBANK LOCK BOX02 NEW CASTLE DE 19720 POSTAGE 901947 CEDARCRESTONE INC P O BOX 402521 ATLANTA GA 303842521 SOFTWARE LICENSE & MAINTENANCE 776115 BAYARD ADVERTISING AGENCY INC 902 BROADWAY 10TH FLOOR NEW YORK NY 10010 ADVERTISING 508783 5 ASSESSMENT FEES 561000 49096328 49096328 49096328 21156 -21156 -21156 -21156 49075172 49075172 0 0 34000 34000 758272 410677 167840 179755 18172239 16292990 244345 1634904 1047019 760478 221401 65140 5131686 5086215 -482068 527539 1914024 1405576 383184 125264 93415 91410 2005 168236 168236 5103870 4585055 64471 454344 813140 789937 23203 9522436 9134121 18896 369419 1197070 992916 4316 199838 437743 319582 24127 94034 386925 343207 6400 37318 24194 24194 2167638 2166946 692 150495 150407 88 OTHER EXPENSES 959546 815541 49987 94018 DUES & SUBSCRIPTIONS 147202 118384 6358 22460 LICENSES & TAXES 25088 25088 AUDIOVISUAL -5345 -5345 -28195 -32895 2901 1799 48220698 43266667 1122211 3831820 839001 195328 6674729 5185386 44172 46368 307132 1155815 20461576 14021547 7523725 6440029 15388759 13022926 12248641 9928563 440422 326528 12689063 10255091 X 2699696 2767835 2699696 2767835 15388759 13022926 X 854474 -786335 X X 0 1 1 X 0 X 796632 599522 197110 19308022 13422025 5885997 356922 356922 6440029 UNSECURED NOTE TO RELATED PARTY 71734 UNSECURED NOTE TO RELATED PARTY 254794 326528 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE LLUHS FINANCIAL STATEMENTS FOR 2011 DID NOT CONTAIN A FOOTNOTE REGARDING LLUHS' LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48 (ASC 740). THE ADOPTION OF FIN 48 DID NOT HAVE A MATERIAL IMPACT ON THE COMBINED FINANCIAL POSITION, RESULTS OF OPERATIONS OR CASH FLOWS OF LLUHS. 1 ADVENTIST HEALTH INTERNATIONAL 11060 ANDERSON STREET LOMA LINDA CA 92350 330940020 501(C)(3) 20000 CURACAO HOSPITAL REBUILDING PROJECT LOMA LINDA UNIVERSITY 11145 ANDERSON STREET LOMA LINDA CA 92350 951816009 501(C)(3) 9000 CENTER FOR SPRITUAL LIFE AND WHOLENESS LOMA LINDA UNIVERSITY 11145 ANDERSON STREET LOMA LINDA CA 92350 951816009 501(C)(3) 4500 CENTER FOR CHRISTIAN BIOETHICS 2 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: DISBURSEMENTS FOR GRANTS AND OTHER ASSISTANCE ARE REVIEWED AND APPROVED BY MANAGEMENT PRIOR TO DISBURSEMENT. PERIODIC REPORTS ON THE USE OF THE GRANT FUNDS ARE RECEIVED FROM THE RECIPIENT ORGANIZATION TO ENSURE THAT GRANT FUNDS ARE EXPENDED ACCORDING TO THE STATED PURPOSE. X X 1 1 0 1 0 0 0 0 1 0 0 LANG KEVIN J 0 537000 0 68351 0 264610 0 15014 0 -21480 0 863495 0 59374 FIKE RUTHITA 0 635000 0 130050 0 355654 0 15014 0 42935 0 1178653 0 0 HADLEY H ROGER 0 331790 0 0 0 121081 0 15014 0 23819 0 491704 0 0 HART RICHARD 0 350000 0 0 0 100987 0 15014 0 39538 0 505539 0 0 HUBBARD MARK 0 315000 0 53855 0 102787 0 15014 0 31971 0 518627 0 0 LALASANGELA MANALO 128416 0 342 0 14084 0 7860 0 17139 0 167841 0 0 0 POSSINGERRANDAL E 146828 0 4210 0 3740 0 8392 0 16586 0 179756 0 0 0 WILSONCHARLENE JUNIOUS 147180 0 299 0 16020 0 8499 0 14966 0 186964 0 0 0 ELWELLELIZABETH ANNE 159652 0 16092 0 32197 0 12415 0 18103 0 238459 0 0 0 HOLMESTROY 155094 0 28136 0 31628 0 12477 0 18166 0 245501 0 0 0 JOHNSTONGEORGE EDWARD 179392 0 0 0 29052 0 12449 0 14569 0 235462 0 0 0 WINSLOW GERALD 0 216000 0 27694 0 48073 0 14920 0 22053 0 328740 0 0 ZIRKELBACHMARK E 248393 0 8586 0 71960 0 15740 0 19821 0 364500 0 0 0 NORTONLIZETTE O 0 0 0 0 213867 0 0 0 9846 0 223713 0 0 0 PART I, LINE 1A LLUHS' SENIOR EXECUTIVES ARE EMPLOYED BY LLUAHSC AND LLUAHSC BENEFITS PROVIDE FOR PAYMENT OF THE TRAVEL EXPENSES FOR A SPOUSE TO ACCOMPANY AN EMPLOYEE ON ONE BUSINESS TRIP PER YEAR. IF USED, THE TAXABLE COST OF THIS BENEFIT IS INCLUDED IN THE EMPLOYEE'S W-2. LLUHS' SENIOR EXECUTIVES ARE EMPLOYED BY LLUAHSC AND LLUAHSC BENEFITS PROVIDE FOR GROSS-UP PAYMENTS TO APPROXIMATELY COVER THE TAXES ON THE IMPUTED COST OF GROUP-TERM LIFE INSURANCE COVERAGE IN EXCESS OF $50,000. PART I, LINE 3 LLUHS DID NOT PROVIDE ANY COMPENSATION TO ITS TOP MANAGEMENT OFFICIAL. PART I, LINE 4B THE FOLLOWING EMPLOYEES RECEIVED SERP FUNDING PAID TO EMPLOYEE IN CASH (LLUHS DID NOT PROVIDE ANY PORTION OF THESE AMOUNTS): FIKE, RUTHITA J. $183,324.50 HUBBARD, MARK LEE $ 28,791.00 LANG, KEVIN J.$ 28,944.00 THE FOLLOWING EMPLOYEES RECEIVED NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH(LLUHS DID NOT PROVIDE ANY PORTION OF THESE AMOUNTS): FIKE, RUTHITA J. $114,209.36 HADLEY, HENRY ROGER $ 53,709.66 HART, RICHARD HENRY $ 54,656.91 HUBBARD, MARK LEE $ 41,573.41 LANG, KEVIN J. $ 98,059.00 WINSLOW, GERALD $ 20,466.27 THE FOLLOWING EMPLOYEES RECEIVED EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS)(LLUHS DID NOT PROVIDE ANY PORTION OF THESE AMOUNTS): FIKE, RUTHITA J. $ 11,868.43 LANG, KEVIN J. $ (56,017.85) PART I, LINE 6 LLUAHSC 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 II COLUMN (F) $59,373.78 OF THE AMOUNT REPORTED ON SCHEDULE J IN COLUMN B(III) AS "OTHER COMPENSATION" WAS AN AMOUNT THAT BECAME VESTED AND TAXABLE IN 2011 UNDER AN EXECUTIVE FLEXIBLE BENEFIT PLAN ESTABLISHED FOR KEVIN J. LANG IN 2006 THAT RECEIVED EMPLOYER CONTRIBUTIONS FOR BENEFITS FROM 02/01/2006 THROUGH 02/01/2011. AS REQUIRED, THE CONTRIBUTIONS TO THIS PLAN THAT GENERATED THE AMOUNT REPORTED IN COLUMN (B)(III) AND THAT WERE REPORTED ON PRIOR YEARS' FORM 990S ARE REPORTED IN COLUMN (F). 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 ON FORM 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 PURSUANT TO THE MANAGEMENT CONTRACT. ALLOCATION PERCENTAGES OF THE COMPENSATION PAYMENTS FOR THE OFFICERS ARE AS FOLLOWS: FIKE, RUTHITA COMPENSATION, EXCLUDING THE SERP BENEFIT: 10% FUNDED BY LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER (LLUBMC) AND 90% FUNDED BY LLUMC SERP BENEFIT: 100% FUNDED BY LLUMC HADLEY, HENRY ROGER COMPENSATION: $50,000 FUNDED BY LOMA LINDA UNIVERSITY HEALTH CARE (LLUHC) PRIVATE PRACTICE COMPENSATION: FUNDED BY LOMA LINDA UNIVERSITY UROLOGY GROUP AND THE DEPARTMENT OF VETERAN AFFAIRS COMPENSATION IN EXCESS OF THE $50,000 FUNDED BY LLUHC AND THE PRIVATE PRACTICE COMPENSATION: 100% FUNDED BY LLU HART, RICHARD HENRY COMPENSATION, EXCLUDING SERP BENEFIT: 50% FUNDED BY LLU AND 50% FUNDED BY LLUMC SERP BENEFIT: 100% FUNDED BY LLUMC HUBBARD, MARK LEE COMPENSATION, EXCLUDING SERP BENEFIT: 20% FUNDED BY LLUAHSC'S RISK MANAGEMENT DEPARTMENT AND 80% FUNDED BY LLUMC. SERP BENEFIT: 100% FUNDED BY LLUMC LANG, KEVIN J. COMPENSATION, EXCLUDING SERP BENEFIT: 70% FUNDED BY LLUMC, 17.5% FUNDED BY LLU, 7.5% FUNDED BY LLUHC, AND 5% FUNDED BY LLUBMC SERP BENEFIT: 92.5% FUNDED BY LLUMC AND 7.5% FUNDED BY LLUHC SEE SCHEDULE O FOR THE ALLOCATION OF HOURS DEVOTED TO RELATED ORGANIZATIONS FOR OFFICERS LISTED ON PART VII LINE 1A. HUBBARD JEREMY FAMILY OF OFFICER 59576 EMPLOYEE COMPENSATION 0 MANALO JR JOSE FAMILY OF OFFICER 40958 EMPLOYEE COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 6 CORPORATE MEMBERSHIP. THE CORPORATE MEMBERSHIP (THE "MEMBERSHIP") OF LLUHS PURSUANT TO SECTION 9310 OF THE CALIFORNIA NONPROFIT RELIGIOUS CORPORATION LAW SHALL BE LLUAHSC ACTING BY AND THROUGH ITS BOARD OF TRUSTEES, MEETING AS THE "MEMBERSHIP" OR ITS EXECUTIVE COMMITTEE TO THE EXTENT SPECIFICALLY PROVIDED HEREIN. THE MEMBERSHIP OF THE CORPORATE MEMBER MAY NOT BE ASSIGNED, TRANSFERRED OR ENCUMBERED IN ANY MANNER WHATSOEVER, EITHER VOLUNTARILY OR INVOLUNTARILY. UNLESS OTHERWISE SPECIFIED HEREIN, ALL QUESTIONS SHALL BE DETERMINED BY A MAJORITY OF THE MEMBER'S BOARD OF TRUSTEES, OR ITS EXECUTIVE COMMITTEE, AS APPLICABLE, PRESENT AND VOTING, UNLESS OTHERWISE SPECIFIED IN THE MEMBER'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A LLUAHSC, AS THE CORPORATE MEMBER, THROUGH ITS BOARD OF TRUSTEES HAS RESERVED POWERS TO APPOINT THE GOVERNING BOARD OF LLUHS AND TO REMOVE FROM OFFICE ANY TRUSTEE OF THE GOVERNING BOARD OF LLUHS WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION A, LINE 7B POWERS RESERVED TO THE MEMBER. THE POWERS RESERVED FOR THE MEMBER, WHICH SHALL ONLY BE EXERCISED BY THE LLUAHSC BOARD UPON A MAJORITY VOTE OF ITS TRUSTEES PRESENT AND VOTING AT A REGULAR OR SPECIAL MEMBERSHIP MEETING WHENEVER A QUORUM IS PRESENT, ARE TO: 1. APPROVE OR RATIFY ALL CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS OF LLUHS, AS THE MEMBER. ALL SUCH CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS SHALL BE INITIATED BY THE BOARD OF LLUHS. 2. APPOINT THE BOARD FOR LLUHS 3. REMOVE FROM OFFICE ANY DIRECTOR OF LLUHS WITH OR WITHOUT CAUSE; 4. REVIEW AND CONSULT WITH THE BOARD OF DIRECTORS OF LLUHS REGARDING THE APPOINTMENT OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THIS ENTITY. HOWEVER, THE SELECTION, APPOINTMENT AND REMOVAL OF SUCH PRESIDENT AND CHIEF EXECUTIVE OFFICER IS THE LEGAL RESPONSIBILITY OF THE BOARD OF DIRECTORS OF LLUHS; 5. ESTABLISH GUIDELINES FOR THE BORROWING OF FUNDS BY LLUHS. 6. APPROVE ANY SIGNIFICANT CHANGE IN THE CORPORATE PURPOSES OF LLUHS. 7. APPROVE ANY MERGER, CONSOLIDATION, DISSOLUTION OR SALE OF LLUHS. 8. APPROVE ANY EXCEPTIONS TO THE GUIDELINES FOR THE BORROWING OF FUNDS BY LLUHS. 9. APPROVE MAJOR NEW CONSTRUCTION PROJECTS OF LLUHS; 10. APPROVE NEW CORPORATIONS SUBSIDIARIES TO LLUHS. 11. REVIEW THE ANNUAL AUDITED FINANCIAL STATEMENTS OF LLUHS; 12. RECEIVE THE ANNUAL BUDGETS OF LLUHS; 13. REQUIRE LLUHS TO ESTABLISH CONTRACTING GUIDELINES; AND 14. REQUIRE LLUHS TO HAVE A COMPLIANCE PROGRAM. IF THE MEMBERSHIP DOES NOT GIVE APPROVAL OR RATIFICATION OF AN ITEM UNDER THIS ARTICLE VII, THEN THE ITEM WILL BE RETURNED TO THE LLUHS BOARD OF DIRECTORS FOR RECONSIDERATION BEFORE RESUBMISSION. LIMITATION. NOTHING IN THESE BYLAWS IS INTENDED, NOR SHALL BE CONSTRUED, TO DIMINISH THE AUTHORITY OF THE LLUHS BOARD OF DIRECTORS OVER ITS OWN STRATEGIC, OPERATIONAL AND MANAGEMENT ISSUES AS REQUIRED BY CALIFORNIA LAW, ACCREDITING BODIES, AND/OR FINANCING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11 THIS 990 IS REVIEWED BY INTERNAL AUDIT AND MANAGEMENT AND IS MADE AVAILABLE TO 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, LLUHS' PARENT ORGANIZATION, EMPLOYS AN INDEPENDENT OUTSIDE CONSULTING FIRM TO BENCHMARK COMPENSATION FOR LLUAHSC EMPLOYEES, INCLUDING THE CEO AND TOP MANAGEMENT. LLUAHSC PROVIDES MANAGEMENTS SERVICES FOR LLUHS. 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, LLUHS MANAGEMENT, THROUGH THE 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 12/09 FOR THE POSITION OF EVP, HOSPITAL AFFAIRS & CEO, LLUMC HELD BY FIKE, RUTHITA J.. THIS PROCESS WAS LAST UNDERTAKEN IN 12/09 FOR THE POSITION OF EVP, MEDICAL AFFAIRS & DEAN, SCHOOL OF MEDICINE HELD BY HADLEY, HENRY ROGER. THIS PROCESS WAS LAST UNDERTAKEN IN 12/09 FOR THE POSITION OF PRESIDENT & CEO HELD BY HART, RICHARD HENRY. THIS PROCESS WAS LAST UNDERTAKEN IN 12/09 FOR THE POSITION OF EVP, FINANCE & ADMINISTRATION & CFO HELD BY LANG, KEVIN J.. THIS PROCESS WAS LAST UNDERTAKEN IN 12/09 FOR THE POSITION OF EVP, HUMAN RESOURCES AND RISK MANAGEMENT HELD BY HUBBARD, MARK LEE. FORM 990, PART VI, SECTION C, LINE 18 LLUHS' FORM 990 WILL BE MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST IN ACCORDANCE WITH IRS GUIDELINES. FORM 990, PART VI, SECTION C, LINE 19 LLUHS WILL MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST AND IN ACCORDANCE WITH IRS GUIDELINES. THE CONFLICT OF INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE FOR EMPLOYEES. THE FINANCIAL STATEMENTS ARE INCLUDED IN THE IRS FORM 990 WHICH IS AVAILABLE TO THE PUBLIC ON THE GUIDESTAR WEBSITE (WWW.GUIDESTAR.ORG). DESCRIPTION OF HOURS FOR RELATED ORGANIZATIONS PART VII, SECTION A, COLUMN (B) 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 5: TRANSFERS TO AFFILIATES -786,335. TOTAL TO FORM 990, PART XI, LINE 5: -786,335. 990 PART XII, LINE 2C LLUAHSC 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. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. LLUHS IS AN AFFILIATE OF LLUAHSC AND IS INCLUDED IN THIS PROCESS. LOMA LINDA UNIVERSITY MEDICAL CENTER 11234 ANDERSON STREET LOMA LINDA CA 92354 953522679 HOSPITAL CA 501(C)(#3) 3 LLUAHSC 0 LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER 11175 CAMPUS STREET CSP 11006 LOMA LINDA CA 92354 953804495 MANAGEMENT SERVICES CA 501(C)(#3) 1 N/A 0 LOAMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CNETER 1710 BARTON ROAD REDLANDS CA 92373 330245579 HOSPITAL CA 501(C)(#3) 3 LLUMC 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1