2011-11-14T18:55:59-06:00 2010-12-31 990 2010-01-01 810661056 LOMA LINDA UNIVERSITY HEALTH SERVICES INC LOMA 9095584534 11175 CAMPUS STREET CSP NO 11006 LOMA LINDA CA 92354 KEVIN J LANG 9095587570 2011-11-11 2010 2016-02-24 21:20:13Z KEVIN J LANG 11175 CAMPUS STREET CSP 11006 LOMA LINDA CA 92354 48032785 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 0 579 0 0 0 0 0 47006964 48031886 -27559 899 0 0 46979405 48032785 16900 600 0 0 26571775 27249306 0 0 3482554 18123443 20005733 44712118 47255639 2267287 777146 15637265 15388759 12794559 12689063 2842706 2699696 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 41703126 48032785 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. 41703126 1 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 25 0 579 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 X ANGELA LALAS 9095584534 11175 CAMPUS STREET CSP 11006 LOMA LINDA CA 92354 HART RICHARD 1.00 X 0 437391 38502 LANG KEVIN J 1.00 X X 0 668179 74347 FIKE RUTHITA 1.00 X 0 1003324 -5617 HADLEY H ROGER 1.00 X 0 400830 67862 FROST ROBERT 40.00 X 155437 0 24014 HUBBARD MARK 1.00 X 0 367810 49179 BULL BRIAN 1.00 X 0 0 0 LALAS ANGELA 40.00 X 128236 0 21695 NORTONLIZETTE O 40.00 X X 202343 0 14285 ZIRKELBACH MARK E 40.00 X 326251 0 32834 WINSLOW GERALD 1.00 X 0 243435 38230 HOLMESTROY 40.00 X 190856 0 26550 POLLARD LESLIE 40.00 X 0 172986 11932 TUELLER ARLIN REED 40.00 X 160137 0 14818 1163260 3293955 408631 39 0 1 0 UNITED STATES POSTAL SERVICE TEAM-ONE-TMS CITIBANK LOCK BOX02 NEW CASTLE DE 19720 POSTAGE 900133 CEDARCRESTONE INC P O BOX 402521 ATLANTA GA 303842521 SOFTWARE LICENSE & MAINTENANCE 884448 BCSSYSTEMS 10333 RICHMOND AVE SUITE 610 HOUSTON TX 77042 SOFTWARE LICENSE & MAINTENANCE 717037 BAYARD ADVERTISING AGENCY INC ATTN ACCOUNTS RECEIVABLE 902 BROA NEW YORK NY 10010 ADVERTISING 523524 ORACLE USA INC P O BOX 44471 SAN FRANSICSO CA 941444471 SOFTWARE LICENSE & MAINTENANCE 333733 18 ASSESSMENT FEES 561000 48031886 48031886 48031886 899 899 899 899 48032785 48032785 0 0 600 600 546011 546011 18681965 16413750 501183 1767032 1024465 730543 220660 73262 5007973 4863812 -385478 529639 1988892 1468684 391022 129186 98927 98052 875 307975 307975 4066529 3597279 190429 278821 746749 741998 1000 3751 9235170 8882971 16908 335291 1030164 878146 4150 147868 400157 306484 26005 67668 400869 375602 5050 20217 33915 31038 2877 1946823 1944497 2326 436966 436848 118 OTHER EXPENSES 961119 601821 248432 110866 PRIOR YEAR EXPENSE 198405 198405 DUES & SUBSCRIPTIONS 113880 93911 4818 15151 LICENSES & TAXES 24624 24596 28 AUDIOVISUAL 3461 2978 483 47255639 41703126 2069959 3482554 839001 8147827 6674729 33958 44172 328571 307132 20277249 12753524 7126909 7523725 15637265 15388759 11747097 12248641 1047462 440422 12794559 12689063 X 2842706 2699696 2842706 2699696 15637265 15388759 X 777146 -920156 X X 0 1 1 X 0 X 1220049 954070 265979 18592556 11799454 6793102 464644 464644 7523725 UNSECURED NOTE TO RELATED PARTY 97102 UNSECURED NOTE TO RELATED PARTY 343320 440422 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE LLUHS FINANCIAL STATEMENTS FOR 2010 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 ADVERTISEMENT TO SUPPORT SILANG PIONEERS PROJECTADVERTISEMENT TO SUPPORT SILANG PIONEERS PROJECT 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 X X X X X 0 0 0 0 0 0 1 0 0 HART RICHARD 0 350000 0 0 0 87391 0 15014 0 23488 0 475893 0 0 LANG KEVIN J 0 506292 0 0 0 161887 0 15014 0 59333 0 742526 0 0 FIKE RUTHITA 0 614320 0 0 0 389004 0 15014 0 -20631 0 997707 0 0 HADLEY H ROGER 0 331260 0 0 0 69570 0 15014 0 52848 0 468692 0 0 FROST ROBERT 135695 0 1785 0 17957 0 8745 0 15269 0 179451 0 0 0 HUBBARD MARK 0 287525 0 0 0 80285 0 15014 0 34165 0 416989 0 0 NORTONLIZETTE O 76020 0 0 0 126323 0 4770 0 9515 0 216628 0 0 0 ZIRKELBACH MARK E 305915 0 12526 0 7810 0 15124 0 17710 0 359085 0 0 0 WINSLOW GERALD 0 206466 0 0 0 36969 0 11537 0 26693 0 281665 0 0 HOLMESTROY 135108 0 25627 0 30121 0 10804 0 15746 0 217406 0 0 0 POLLARD LESLIE 0 137041 0 0 0 35945 0 6606 0 5327 0 184919 0 0 TUELLER ARLIN REED 145263 0 0 0 14874 0 5871 0 8947 0 174955 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 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 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 LLUAHSCS 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. 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' 990 IS AVAILABLE ON THE GUIDESTAR WEBSITE AT WWW2.GUIDESTAR.ORG AND 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 (WWW2.GUIDESTAR.ORG). CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: TRANSFERS TO AFFILIATES -920,000. OTHER ADJUSTMENT -156. TOTAL TO FORM 990, PART XI, LINE 5: -920,156. 990 PART XI, 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