﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2009v1.7" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-05-16T15:54:38-07:00</Timestamp>
    <TaxPeriodEndDate>2010-06-30</TaxPeriodEndDate>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2009-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>330364239</EIN>
      <Name>
        <BusinessNameLine1>Loma Linda University Health Care</BusinessNameLine1>
      </Name>
      <NameControl>LOMA</NameControl>
      <Phone>9095588292</Phone>
      <USAddress>
        <AddressLine1>11175 Campus St</AddressLine1>
        <City>Loma Linda</City>
        <State>CA</State>
        <ZIPCode>92350</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>David Wren</Name>
      <Title>CEO</Title>
      <DateSigned>2011-05-16</DateSigned>
    </Officer>
    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="6">
    <IRS990 documentId="IRS990" referenceDocumentId=" IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <GrossReceipts>230713292</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <AllAffiliatesIncluded>false</AllAffiliatesIncluded>
      <Organization501c typeOf501cOrganization="3">X</Organization501c>
      <WebSite>N/A</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1989</YearFormation>
      <StateLegalDomicile>CA</StateLegalDomicile>
      <ActivityOrMissionDescription>Loma Linda University Health Care is organized to support the clinical teaching programs of Loma Linda University School of Medicine in conjunction with Loma Linda University and Loma Linda University Medical Center by providing medical administrative supporting services; to establish, support, and maintain medical clinics providing health care services through its affiliation with Loma Linda University School of Medicine; to sponsor, advance, and promote health and medical education; and to engage in medically related research services through affiliation with the Loma Linda University School of Medicine.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>17</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>12</NbrIndependentVotingMembers>
      <TotalNbrEmployees>0</TotalNbrEmployees>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsCurrentYear>0</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>213686232</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>230695479</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>21226</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>-9208</InvestmentIncomeCurrentYear>
      <OtherRevenueCurrentYear>0</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>213707458</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>230686271</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>63254463</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>67126017</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>167479980</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>181650176</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>230734443</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>248776193</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-17026985</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-18089922</RevenuesLessExpensesCY>
      <TotalAssetsBOY>55915502</TotalAssetsBOY>
      <TotalAssetsEOY>60620859</TotalAssetsEOY>
      <TotalLiabilitiesBOY>36888286</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>41522868</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>19027216</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>19097991</NetAssetsOrFundBalancesEOY>
      <MissionDescription>Loma Linda University Health Care is organized to support the clinical teaching programs of Loma Linda University School of Medicine in conjunction with Loma Linda University and Loma Linda University Medical Center by providing medical administrative supporting services; to establish, support, and maintain medical clinics providing health care services through its affiliation with Loma Linda University School of Medicine; to sponsor, advance, and promote health and medical education; and to engage in medically related research services through affiliation with the Loma Linda University School of Medicine.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>233292459</Expense>
      <Description>Loma Linda University Health Care (LLUHC) operates medical clinics and provides adminstrative and management services in conjunction with Loma Linda University School of Medicine and Loma Linda University Medical Center. LLUHC provided administrative support to over 600 faculty physicians responsible for training and educating approximately 600 medical students and 450 residents. This combination of care providers saw over 45,000 patients on a monthly basis. A significant number of these patients received medi-cal or medicare assistance.</Description>
      <TotalProgramServiceExpense>233292459</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId=" IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId=" IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId=" IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId=" IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId=" IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId=" IRS990ScheduleD">false</TermOrPermanentEndowments>
      <BalanceSheetAmountsReported referenceDocumentId=" IRS990ScheduleD">true</BalanceSheetAmountsReported>
      <IndependentAuditFinancialStmt referenceDocumentId=" IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId=" IRS990ScheduleD">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId=" IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <InvestTaxExemptBonds>false</InvestTaxExemptBonds>
      <EscrowAccount>false</EscrowAccount>
      <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId=" IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId=" IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity referenceDocumentId=" IRS990ScheduleR">false</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId=" IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId=" IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>124</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>false</ComplianceWithBackupWitholding>
      <NumberOfEmployees>0</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>false</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <Form990-TFiled>false</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <Form8886TFiled>false</Form8886TFiled>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <NonDeductibleDisclosure>false</NonDeductibleDisclosure>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <QuidProQuoDisclosure>false</QuidProQuoDisclosure>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <NumberOf8282Filed>0</NumberOf8282Filed>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <Form8899Filed>false</Form8899Filed>
      <Form1098CFiled>false</Form1098CFiled>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <FiledLieu1041>false</FiledLieu1041>
      <NbrVotingGoverningBodyMembers>17</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>12</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>false</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <PoliciesReferenceChapters>false</PoliciesReferenceChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>false</WrittenPolicyOrProcedure>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>Steven Ogilvie</NamePerson>
        <TelephoneNumber>9095588292</TelephoneNumber>
        <AddressUS>
          <AddressLine1>11175 Campus Street Room 11120</AddressLine1>
          <City>Loma Linda</City>
          <State>CA</State>
          <ZIPCode>92350</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Todd Martell MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Steven Ogilvie CPA</NamePerson>
        <Title>Executive Direc</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>165505</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19925</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Shon Brink MBA</NamePerson>
        <Title>Executive Direc</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>161927</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>33188</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ruthita Fike</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>2359236</ReportableCompFromRelatedOrgs>
        <OtherCompensation>129633</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert Martin MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Richard Hart MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>493606</ReportableCompFromRelatedOrgs>
        <OtherCompensation>61495</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Richard Chinnock MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ricardo Peverini MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Padmini Davamony MBA</NamePerson>
        <Title>Executive Direc</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>145269</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19362</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael Rauser MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael J Mahoney</NamePerson>
        <Title>Executive Direc</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>145136</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12453</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mark Reeves MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mark E Wenborne</NamePerson>
        <Title>Perfusionist</Title>
        <AverageHoursPerWeek>45.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>135444</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9271</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lisa Previte</NamePerson>
        <Title>Clinic Director</Title>
        <AverageHoursPerWeek>0.</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>121472</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20266</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kholoud Ali Nassar</NamePerson>
        <Title>Perfusionist</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>122180</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24521</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kevin Lang</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>972546</ReportableCompFromRelatedOrgs>
        <OtherCompensation>85350</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kathy Clem MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Testerman MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Johannah U Corselli PhD</NamePerson>
        <Title>In-vitro specia</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>151943</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>32703</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jay B Teele</NamePerson>
        <Title>Dir of FPBO</Title>
        <AverageHoursPerWeek>45.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>158447</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14110</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>H Roger Hadley MD</NamePerson>
        <Title>President</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>592449</ReportableCompFromRelatedOrgs>
        <OtherCompensation>50526</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gary Fitzgerald MD</NamePerson>
        <Title>Executive Direc</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>224387</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15497</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Doug Hegstad MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Wren</NamePerson>
        <Title>CEO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>294856</ReportableCompFromRelatedOrgs>
        <OtherCompensation>52996</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Hinshaw Jr MD</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Daniel Fontoura MBA</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>381989</ReportableCompFromRelatedOrgs>
        <OtherCompensation>78251</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Carlos Garberoglio MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brian Oshiro MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Barbara Sharp</NamePerson>
        <Title>Executive Direc</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>166258</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12648</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>1697968</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>5094682</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>672195</TotalOtherCompensation>
      <NumberIndividualsGT100K>11</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>The Hartford</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 8500-3690</AddressLine1>
            <City>Philadelphia</City>
            <State>PA</State>
            <ZIPCode>19178</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Group Benefits</DescriptionOfServices>
        <Compensation>1917446</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Medquist Transcription</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 10832</AddressLine1>
            <City>Newark</City>
            <State>NJ</State>
            <ZIPCode>07193</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Transcription</DescriptionOfServices>
        <Compensation>576500</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>GE Healthcare IITS IDX</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 845887</AddressLine1>
            <City>Boston</City>
            <State>MA</State>
            <ZIPCode>02284</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Software consulting</DescriptionOfServices>
        <Compensation>1864896</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Faculty Physicians and Surgeons of LLUSM</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>11175 Campus Street 11120</AddressLine1>
            <City>Loma Linda</City>
            <State>CA</State>
            <ZIPCode>92350</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Contract physician</DescriptionOfServices>
        <Compensation>98602891</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Faculty Medical Group of LLUSM</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>11175 Campus Street 11120</AddressLine1>
            <City>Loma Linda</City>
            <State>CA</State>
            <ZIPCode>92350</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Contract physician</DescriptionOfServices>
        <Compensation>26166211</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>20</NumberOfContractorsGT100K>
      <TotalContributions>0</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Rental revenue</Description>
        <TotalRevenueColumn>1472113</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1472113</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Net patient service</Description>
        <TotalRevenueColumn>131013897</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>131013897</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Leased employee fees</Description>
        <TotalRevenueColumn>11820944</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>11820944</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Capitation revenue</Description>
        <TotalRevenueColumn>15868138</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>15868138</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Administrative service</Description>
        <TotalRevenueColumn>69862286</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>69862286</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>658101</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>658101</RelatedOrExemptFunctionIncome>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>230695479</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>16593</TotalRevenueColumn>
        <ExclusionAmount>16593</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Other>1220</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>27021</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>-25801</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-25801</TotalRevenueColumn>
        <ExclusionAmount>-25801</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>230686271</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>230695479</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>-9208</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1121555</Total>
        <ProgramServices>1121555</ProgramServices>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>49548201</Total>
        <ProgramServices>44573218</ProgramServices>
        <ManagementAndGeneral>4974983</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>2370072</Total>
        <ProgramServices>2370072</ProgramServices>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>10437565</Total>
        <ProgramServices>8653581</ProgramServices>
        <ManagementAndGeneral>1783984</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>3648624</Total>
        <ProgramServices>3648624</ProgramServices>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>134240</Total>
        <ProgramServices>114488</ProgramServices>
        <ManagementAndGeneral>19752</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>221907</Total>
        <ProgramServices>67827</ProgramServices>
        <ManagementAndGeneral>154080</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>6572674</Total>
        <ProgramServices>6214991</ProgramServices>
        <ManagementAndGeneral>357683</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>0</Total>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>714959</Total>
        <ProgramServices>591801</ProgramServices>
        <ManagementAndGeneral>123158</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>3415571</Total>
        <ProgramServices>2989347</ProgramServices>
        <ManagementAndGeneral>426224</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>110000</Total>
        <ProgramServices>110000</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>Supplies</Description>
        <Total>7860450</Total>
        <ProgramServices>7657584</ProgramServices>
        <ManagementAndGeneral>202866</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Purchased services</Description>
        <Total>9270648</Total>
        <ProgramServices>4483440</ProgramServices>
        <ManagementAndGeneral>4787208</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Provision for Uncollectable AR</Description>
        <Total>13961000</Total>
        <ProgramServices>13961000</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Contract professional services</Description>
        <Total>125920448</Total>
        <ProgramServices>125651569</ProgramServices>
        <ManagementAndGeneral>268879</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Capitation claims</Description>
        <Total>6499815</Total>
        <ProgramServices>6499815</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>6968464</Total>
        <ProgramServices>4583547</ProgramServices>
        <ManagementAndGeneral>2384917</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>248776193</Total>
        <ProgramServices>233292459</ProgramServices>
        <ManagementAndGeneral>15483734</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>9504417</BOY>
        <EOY>8464761</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1310676</BOY>
        <EOY>1465865</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>18031525</BOY>
        <EOY>19833153</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1717265</BOY>
        <EOY>779014</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>40865258</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>25352826</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>11261097</BOY>
        <EOY>15512432</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>1105353</BOY>
        <EOY>1061537</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>12985169</BOY>
        <EOY>13504097</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>55915502</BOY>
        <EOY>60620859</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>15765925</BOY>
        <EOY>15700295</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>21122361</BOY>
        <EOY>25822573</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>36888286</BOY>
        <EOY>41522868</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>19027216</BOY>
        <EOY>19097991</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>19027216</BOY>
        <EOY>19097991</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>55915502</BOY>
        <EOY>60620859</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="09000047" softwareVersion="2009v1.7">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type3FuncInt>X</SupportingOrg509a3Type3FuncInt>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Loma Linda Univ Adv Health Science</BusinessNameLine1>
        </Name>
        <EIN>953804495</EIN>
        <TypeOfOrganization>Religious/Churc</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Loma Linda University Medical Ctr</BusinessNameLine1>
        </Name>
        <EIN>953522679</EIN>
        <TypeOfOrganization>Hospital</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Loma Linda University</BusinessNameLine1>
        </Name>
        <EIN>951816009</EIN>
        <TypeOfOrganization>Religious/Churc</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>3</TotalNumberOfSupportedOrgs>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="09000047" softwareVersion="2009v1.7">
      <Land>
        <OtherCostOrOtherBasis>175500</OtherCostOrOtherBasis>
        <BookValue>175500</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>421875</OtherCostOrOtherBasis>
        <BookValue>421875</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>5491680</OtherCostOrOtherBasis>
        <BookValue>5491680</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>32156511</OtherCostOrOtherBasis>
        <BookValue>32156511</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>2619692</OtherCostOrOtherBasis>
        <Depreciation>25352826</Depreciation>
        <BookValue>-22733134</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>15512432</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Other receivables</Description>
        <BookValue>1627561</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Due from affiliated organizations</Description>
        <BookValue>11876536</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>13504097</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Due to affiliated organizations</Description>
        <Amount>24598934</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Deferred compensation</Description>
        <Amount>1008625</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Capitation claims payable</Description>
        <Amount>215014</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>25822573</TotalOfAmounts>
      <TotalRevenue>230686271</TotalRevenue>
      <TotalExpenses>248776193</TotalExpenses>
      <ExcessOrDeficitForYear>-18089922</ExcessOrDeficitForYear>
      <OtherAmount>18160697</OtherAmount>
      <TotalAdjustments>18160697</TotalAdjustments>
      <ExcessOrDeficitPerFS>70775</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>230686271</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>230686271</RevenueSubtotal>
      <TotalRevenuePerForm990>230686271</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>248776193</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>248776193</ExpensesSubtotal>
      <TotalExpensesPerForm990>248776193</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>Transfers from affiliates $18160697</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="09000047" softwareVersion="2009v1.7">
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Steven Ogilvie CPA</NamePerson>
        <BaseCompensationFilingOrg>165505</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>14985</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4940</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>185430</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Shon Brink MBA</NamePerson>
        <BaseCompensationFilingOrg>161927</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>32768</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>420</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>195115</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ruthita Fike</NamePerson>
        <CompBasedOnRelatedOrgs>547975</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>51188</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>1760073</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>18517</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>111116</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>2488869</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Richard Hart MD</NamePerson>
        <CompBasedOnRelatedOrgs>374385</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>119221</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>18517</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>42978</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>555101</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Padmini Davamony MBA</NamePerson>
        <BaseCompensationFilingOrg>145269</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>15274</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4088</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>164631</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Michael J Mahoney</NamePerson>
        <BaseCompensationFilingOrg>145136</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>8313</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4140</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>157589</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kevin Lang</NamePerson>
        <CompBasedOnRelatedOrgs>455950</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>26797</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>489799</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>18517</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>66833</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>1057896</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Johannah U Corselli PhD</NamePerson>
        <BaseCompensationFilingOrg>151943</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>32283</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>420</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>184646</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jay B Teele</NamePerson>
        <BaseCompensationFilingOrg>158447</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>9292</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4818</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>172557</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>H Roger Hadley MD</NamePerson>
        <CompBasedOnRelatedOrgs>331884</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>260565</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>18517</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>32009</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>642975</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Gary Fitzgerald MD</NamePerson>
        <BaseCompensationFilingOrg>224387</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>13697</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>1800</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>239884</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David Wren</NamePerson>
        <CompBasedOnRelatedOrgs>220874</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>73982</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>18517</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>34479</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>347852</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Daniel Fontoura MBA</NamePerson>
        <CompBasedOnRelatedOrgs>252596</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>14474</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>114919</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>18517</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>59734</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>460240</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Barbara Sharp</NamePerson>
        <BaseCompensationFilingOrg>166258</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>9708</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>2940</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>178906</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>In addition to responding to requests it receives, the organization relys on the websites of multiple organizations both private and governmental to make available 990s and governing documents.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Organization relys on data retrieved from similar orgainzations gathered by the American Assoc of Medical Colleges to set compensation levels.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Organization's general legal counsel requests annual conflict of interest statements from all director level and higher staff. These statements are assessed and appropriate action taken if necessary.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>It is the intention that the 990 be reviewed by the governing body before filing; including an initial review by the Exec Dir of Finance, a secondary review by the Finance Committee, and the final review and approval by the board of directors.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="09000047" softwareVersion="2009v1.7">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Loma Linda University Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>Anderson St</AddressLine1>
          <City>Loma Linda</City>
          <State>CA</State>
          <ZIPCode>92354</ZIPCode>
        </AddressUS>
        <EIN>953522679</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)3</ExemptCodeSection>
        <PublicCharityStatus>Hospital</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Loma Linda University</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>Campus Street</AddressLine1>
          <City>Loma Linda</City>
          <State>CA</State>
          <ZIPCode>92350</ZIPCode>
        </AddressUS>
        <EIN>951816009</EIN>
        <PrimaryActivities>Religious</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)3</ExemptCodeSection>
        <PublicCharityStatus>Church</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Loma Linda Univ Adventist Health Science</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>11175 Campus Street</AddressLine1>
          <City>Loma Linda</City>
          <State>CA</State>
          <ZIPCode>92350</ZIPCode>
        </AddressUS>
        <EIN>953804495</EIN>
        <PrimaryActivities>Religious</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)3</ExemptCodeSection>
        <PublicCharityStatus>Church</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>