LOMA LINDA UNIVERSITY CHILDRENS HOSPITAL FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LOMA LINDA UNIVERSITY CHILDRENS HOSPITAL FOUNDATION (EIN 33-0565591)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201113189349305191
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-14T15:08:06-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN330565591EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOMA LINDA UNIVERSITY CHILDREN'SBusinessNameLine1
Business Name Line2HOSPITAL FOUNDATIONBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlLOMANameControl
Phone9095588135Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2000 FINANCEAddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code92354ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVEN MOHRName
TitleSR VICE PRESIDENTTitle
Phone9095588135Phone
Date Signed2011-11-14DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonZAREH SARRAFIANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line111234 ANDERSON STAddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code92354ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3770283GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number1071GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.LLU.EDUWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO BE AN ADVOCATE FOR CHILDREN'S HEALTHCARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body35NbrVotingMembersGoverningBody
Nbr Independent Voting Members28NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3116773ContributionsGrantsPriorYear
Contributions Grants Current Year3280820ContributionsGrantsCurrentYear
Program Service Revenue Prior Year68784ProgramServiceRevenuePriorYear
Program Service Revenue CY154757ProgramServiceRevenueCY
Investment Income Prior Year269999InvestmentIncomePriorYear
Investment Income Current Year265675InvestmentIncomeCurrentYear
Other Revenue Prior Year-229557OtherRevenuePriorYear
Other Revenue Current Year-180700OtherRevenueCurrentYear
Total Revenue Prior Year3225999TotalRevenuePriorYear
Total Revenue Current Year3520552TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1583156GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1509950GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1035383TotalFundrsngExpCurrentYear
Other Expense Prior Year1119325OtherExpensePriorYear
Other Expenses Current Year1035383OtherExpensesCurrentYear
Total Expenses Prior Year2702481TotalExpensesPriorYear
Total Expenses Current Year2545333TotalExpensesCurrentYear
Revenues Less Expenses Prior Year523518RevenuesLessExpensesPriorYear
Revenues Less Expenses CY975219RevenuesLessExpensesCY
Total Assets BOY9441189TotalAssetsBOY
Total Assets EOY10466026TotalAssetsEOY
Total Liabilities BOY21829TotalLiabilitiesBOY
Total Liabilities EOY43994TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9419360NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10422032NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION IS TO ADVOCATE EXCELLENCE IN CHILDREN'S HEALTHCARE IN CALIFORNIA, THE UNITED STATES AND THE WORLD THROUGH THE SUPPORT OF THE LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL. TO ACCOMPLISH THIS THE FOUNDATION CONDUCTS VARIOUS FUNDRAISING ACTIVITIES AND COMMUNITY AWARENESS PROGRAMS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1509950Expense
Grants35076Grants
Revenue420432Revenue
DescriptionTHE MISSION OF LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION IS TO ADVOCATE EXCELLENCE IN CHILDREN'S HEALTHCARE IN CALIFORNIA, THE UNITED STATES AND THE WORLD THROUGH THE SUPPORT OF THE LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL. TO ACCOMPLISH THIS THE FOUNDATION CONDUCTS VARIOUS FUNDRAISING ACTIVITIES AND COMMUNITY AWARENESS PROGRAMS.Description
Total Program Service Expense1509950TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of1Form8282PropertyDisposedOf
Number Of8282 Filed11NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members35NbrVotingGoverningBodyMembers
Number Independent Voting Members28NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STEVEN MOHR SR VICE PRESIDENTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9095588135TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111234 ANDERSON STAddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code92354ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
CHRISTI BULOT
BOARD CHAIR0.50X000
BARBARA ROBINSON
BOARD VICE CHAIR0.50X000
ZAREH SARRAFIAN
PRESIDENT0.50X037441537498X
PATRICE PETTIS
SECRETARY-THROUGH JULY0.50X016388713709X
DAVID OLDHAM
TREASURER0.50X000X
SUSAN ATKINSON
BOARD MEMBER0.50X000X
BEVERLY BAILEY
BOARD MEMBER0.50X000
ROBERT CARDOZA
BOARD MEMBER0.50X000
RICHARD CHINNOCK
BOARD MEMBER0.50X000
TRIXIE FARGO
BOARD MEMBER0.50X000
RUTHITA FIKE
BOARD MEMBER0.50X01003324-5617
JANET GLESS
BOARD MEMBER0.50X000
MARTHA GREEN
BOARD MEMBER0.50X000
CATHERINE GRINNAN
BOARD MEMBER0.50X000
H ROGER HADLEY
BOARD MEMBER0.50X040083067862
RICHARD HART
BOARD MEMBER0.50X043739138502
ERNIE HWANG
BOARD MEMBER0.50X000
STEVE KIENLE
BOARD MEMBER0.50X000
WING LAU
BOARD MEMBER0.50X000
JEANNE MACE
BOARD MEMBER0.50X000
JOHN MACE
BOARD MEMBER0.50X000
JOHN MAGNESS
BOARD MEMBER0.50X000
KIM MCCLOUD
BOARD MEMBER0.50X000
MIKE NISHANIAN
BOARD MEMBER0.50X000
JAMES RAMOS
BOARD MEMBER0.50X000
KELLY ROBERTS
BOARD MEMBER0.50X000
PHILIP SAVAGE
BOARD MEMBER0.50X000
LARRY SHARP
BOARD MEMBER0.50X000
CANDACE SPEIL
BOARD MEMBER0.50X000
DENNIS TROESH
BOARD MEMBER0.50X000
NANCY VARNER
BOARD MEMBER0.50X000
DIXIE WATKINS
BOARD MEMBER0.50X000
JUDY WOOLEN
BOARD MEMBER0.50X000
MARY ANN XAVIER
BOARD MEMBER0.50X000
GILLIAN ZUCKER
BOARD MEMBER0.50X000
JOANNA DELEON
SECRETARY-INTERIM-AUG TO DEC0.50X08035110159X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2460198TotalReportableCompFrmRltdOrgs
Total Other Compensation162113TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns11179FederatedCampaigns
Fundraising Events721845FundraisingEvents
All Other Contributions2547796AllOtherContributions
Noncash Contributions191706NoncashContributions
Total Contributions3280820TotalContributions

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column154757TotalRevenueColumn
Related Or Exempt Function Income154757RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue154757TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column265675TotalRevenueColumn
Related Or Exempt Function Income265675RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events69031GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events721845CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses249731FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-180700TotalRevenueColumn
Exclusion-$180,700ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3520552TotalRevenueColumn
Related Or Exempt Function Income420432RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$180,700ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1474874Total
Program Services1474874ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total35076Total
Program Services35076ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total67959Total
Fundraising67959Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total195Total
Fundraising195Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total7026Total
Fundraising7026Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2501Total
Fundraising2501Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total426Total
Fundraising426Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
LEASED EMPLOYEES515149515149
PURCHASED SERVICES322794322794
DUES & SUBSCRIPTIONS81168116

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total111217Total
Fundraising111217Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2545333Total
Program Services1509950ProgramServices
Management And General0ManagementAndGeneral
Fundraising1035383Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY300BOY
EOY300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6590668BOY
EOY6867574EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2850221BOY
EOY3593540EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5038LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec426LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY4612EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9441189BOY
EOY10466026EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21829BOY
EOY43994EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21829BOY
EOY43994EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1810562BOY
EOY2114035EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6926835BOY
EOY7605290EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY681963BOY
EOY702707EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9419360BOY
EOY10422032EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9441189BOY
EOY10466026EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses975219ReconcilationRevenueExpenses
Reconcilation Other Changes27453ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN953522679EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$1,471,883Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts1471883SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance681963BeginningOfYearBalance
Investment Earnings Or Losses20745InvestmentEarningsOrLosses
End Of Year Balance702737EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance659091BeginningOfYearBalance
Investment Earnings Or Losses22872InvestmentEarningsOrLosses
End Of Year Balance681963EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance646561BeginningOfYearBalance
Investment Earnings Or Losses33530InvestmentEarningsOrLosses
Other Expenditures21000OtherExpenditures
End Of Year Balance659091EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5038OtherCostOrOtherBasis
Depreciation426Depreciation
Book Value4612BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4612TotalOfBookValueLandBuildings
Total Revenue3520552TotalRevenue
Total Expenses2545333TotalExpenses
Excess Or Deficit For Year975219ExcessOrDeficitForYear
Net Unrealized GL On Investments27453NetUnrealizedGLOnInvestments
Total Adjustments27453TotalAdjustments
Excess Or Deficit Per FS1002672ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationTHE SMIDERLE ENDOWMENT IS HELD IN PERPETUITY WITH THE INTEREST TO BE USED TO SUPPORT CHILDREN'S SERVICES AT LOMA LINDA UNIVERSITY MEDICAL CENTER.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1679056GrossReceiptsEvent1
Charitable Contributions Event1638556CharitableContributionsEvent1
Gross Revenue Event140500GrossRevenueEvent1
Other Direct Expenses Event1206410OtherDirectExpensesEvent1
Name Of Event2LL GUILD TEA & TRINKETSNameOfEvent2
Gross Receipts Event228979GrossReceiptsEvent2
Charitable Contributions Event220754CharitableContributionsEvent2
Gross Revenue Event28225GrossRevenueEvent2
Other Direct Expenses Event27481OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events82841GrossReceiptsOtherEvents
Charitable Contrib Other Events62535CharitableContribOtherEvents
Gross Revenue Other Events20306GrossRevenueOtherEvents
Other Direct Expenses Other Events35840OtherDirectExpensesOtherEvents
Gross Receipts Total790876GrossReceiptsTotal
Charitable Contributions Total721845CharitableContributionsTotal
Gross Revenue Total Events69031GrossRevenueTotalEvents
Other Direct Expenses Total Events249731OtherDirectExpensesTotalEvents
Direct Expense Summary Events249731DirectExpenseSummaryEvents
Net Income Summary-180700NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111234 ANDERSON STAddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code92354ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient953522679EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant1471883AmountOfCashGrant
Purpose Of GrantDONATIONS WERE MADE TO LOMA LINDA UNIVERSITY MEDICAL CENTER TO PROVIDE FOR THE NEEDS OF CHILDREN WHEN HOSPITALIZED.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
EQUIPMENT15000VENDOR INVOICEFREESTANDING TWO FUNCTION LIFT SYSTEM
REMODELING17881VENDOR INVOICEKITCHEN REMODEL
BURIAL SERVICES25452VENDOR INVOICEBURIAL & CREMATION EXPENSES
VARIOUS UNDER $5,000.0016743

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: LLUCHF PROVIDES SPONSORSHIPS, DONATIONS, AND OTHER ASSISTANCE TO ORGANIZATIONS AND INDIVIDUALS AS PART OF ITS COMMITMENT TO COMMUNITY OUTREACH. DISBURSEMENTS FOR GRANTS AND OTHER ASSISTANCE ARE REVIEWED AND APPROVED BY MANAGEMENT PRIOR TO DISBURSEMENT. MANAGEMENT RECEIVES PERIODIC REPORTS REGARDING THESE ACTIVITIES AS PART OF THE COMMUNITY BENEFITS REPORT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ZAREH SARRAFIAN
030393500070480010114027384041191300
PATRICE PETTIS
084851000790360473808971017759600
RUTHITA FIKE
06143200003890040150140-20631099770700
H ROGER HADLEY
033126000069570015014052848046869200
RICHARD HART
035000000087391015014023488047589300

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ALLUCHF'S 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. LLUCHF'S SENIOR EXECUTIVES ARE EMPLOYED BY LLUAHSC AND LLUAHSC BENEFITS PROVIDE FOR GROSS UP PAYMENTS TO APPROXIMATELY COVER THE TAXES ON THE IMPUTED COST OF THE GROUP TERM LIFE INSURANCE COVERAGE IN EXCESS OF $50,000.
PART I, LINE 6LOMA LINDA UNIVERSITY MEDICAL CENTER A RELATED ORGANIZATION TO LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION HAS AN INCENTIVE PLAN. PAYMENTS FOR INCENTIVE AWARDS ARE TRIGGERED ONLY IF, AMONG OTHER ESTABLISHED CRITERIA, NET INCOME EXCEEDS BUDGET BY AN ESTABLISHED PERCENTAGE.
PART IIIIRS FORM 990 DISCLOSURE ON SCHEDULE J PART III THE OFFICERS/DIRECTORS LISTED ON THE FORM 990, PART VII, LINE 1A OR ON SCHEDULE J, PART II ARE EMPLOYED BY LLUAHSC. LLUAHSC PAYS THE COMPENSATION FOR THE OFFICERS LISTED AND REPORTS THE COMPENSATION AMOUNTS IN THE FORMS W-2 FOR EACH OFFICER. AMOUNTS REPORTED ON THE FORM 990, PART VII, LINE 1A, COLUMNS E AND F, OR ON SCHEDULE J, PART II, COLUMN E(II) REPRESENT TOTAL AMOUNTS OF COMPENSATION RECEIVED BY EACH OFFICER FROM LLUAHSC. THE OFFICERS DO NOT RECEIVE ANY OTHER COMPENSATION AMOUNTS FROM RELATED ORGANIZATIONS. LLUAHSC ALLOCATES THE COMPENSATION AMOUNTS TO THE APPLICABLE RELATED ORGANIZATIONS AND RECEIVES REIMBURSEMENT PAYMENTS PURSUANT TO THE MANAGEMENT CONTRACT. ALLOCATION PERCENTAGES OF THE COMPENSATION PAYMENTS FOR THE OFFICERS ARE AS FOLLOWS: FIKE, RUTHITA J. IS EMPLOYED BY LLUAHSC. HER COMPENSATION, EXCLUDING THE SERP BENEFIT, IS FUNDED BY LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER (10%) AND LOMA LINDA UNIVERSITY MEDICAL CENTER (90%). THE SERP BENEFIT IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. HADLEY, HENRY ROGER IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS FUNDED BY LOMA LINDA UNIVERSITY NET OF $50,000 FROM LOMA LINDA UNIVERSITY HEALTH CARE AND HIS PRIVATE PRACTICE COMPENSATION FROM LOMA LINDA UNIVERSITY UROLOGY GROUP AND THE DEPARTMENT OF VETERANS AFFAIRS. HART, RICHARD HENRY IS EMPLOYED BY LLUAHSC. HIS COMPENSATION, EXCLUDING THE SERP BENEFIT, IS FUNDED BY LOMA LINDA UNIVERSITY (50%) AND LOMA LINDA UNIVERSITY MEDICAL CENTER (50%). THE SERP BENEFIT IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. SARRAFIAN, ZAREH HOVIK IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. PETTIS, PATRICE IS THE EXCEPTION EMPLOYED BY LOMA LINDA UNIVERSITY HEALTH SERVICES. HER COMPENSATION IS 100% FUNDED BY THEM. DELEON, JOANNA IS ALSO AN EXCEPTION EMPLOYED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. HER COMPENSATION IS 100% FUNDED BY THEM. SEE SCHEDULE O FOR THE ALLOCATION OF HOURS DEVOTED TO RELATED ORGANIZATIONS FOR OFFICERS LISTED ON PART VII, LINE 1A.SUPPLEMENTAL INFORMATION

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99070000NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9906360NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Collectibles Collectibles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9905000NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (7 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XPORTRAITURE113000FAIR MARKET VALUE
XTOYS228586FAIR MARKET VALUE
XJEWELRY110000FAIR MARKET VALUE
XVACATION HOUSE226500FAIR MARKET VALUE
XVACATION PACKAGE111760FAIR MARKET VALUE
XAIRFARE112500FAIR MARKET VALUE
XVARIOUS18000FAIR MARKET VALUE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THIS CORPORATION SHALL HAVE ONLY ONE MEMBER AS THE "MEMBER" IS DEFINED IN SECTION 5056 OF THE CALIFORNIA CORPORATIONS CODE. THE SOLE MEMBER OF THIS CORPORATION SHALL BE LOMA LINDA UNIVERSITY MEDICAL CENTER, A CALIFORNIA NONPROFIT RELIGIOUS CORPORATION (THE "CORPORATE MEMBER"). IN ACCORDANCE WITH SECTION 5056(C) OF THE CALIFORNIA CORPORATIONS CODE, THE CORPORATE MEMBER SHALL AUTHORIZE IN WRITING THREE (3) NATURAL PERSONS ("NATURAL PERSONS"), WHO SHALL ALSO BE TRUSTEES OF THE CORPORATE MEMBER, TO VOTE ON ITS BEHALF ON ALL MATTERS THAT MAY REQUIRE A VOTE OF THE CORPORATE MEMBER. SO LONG AS SUCH AUTHORIZATION REMAINS IN EFFECT, ALL ACTIONS TAKEN BY THE NATURAL PERSONS SHALL BE BINDING ON THE CORPORATE MEMBER. THE CORPORATE MEMBER SHALL NOTIFY THE BOARD OF DIRECTORS IN WRITING OF ANY CHANGE IN THE NATURAL PERSONS AUTHORIZED TO ACT ON ITS BEHALF.
FORM 990, PART VI, SECTION A, LINE 7AA DIRECTOR MAY BE REMOVED FROM OFFICE WITH OR WITHOUT CAUSE BY A MAJORITY VOTE OF THE CORPORATE MEMBER. IN THE EVENT ONE OR MORE OF THE DIRECTORS IS SO REMOVED OR HIS OR HER OFFICE IS DECLARED VACANT, NEW DIRECTORS MAY BE ELECTED BY THE MAJORITY VOTE OF THE CORPORATE MEMBER TO FILL THE UNEXPIRED TERMS OF THE DIRECTORS WHO WERE REMOVED OR WHOSE OFFICES WERE DECLARED VACANT.
FORM 990, PART VI, SECTION A, LINE 7BTHE POWERS RESERVED TO THE CORPORATE MEMBER, WHICH MAY ONLY BE EXERCISED BY THE CORPORATE MEMBER UPON THE AFFIRMATIVE VOTE OF TWO OF THE THREE NATURAL PERSONS DESIGNATED TO ACT FOR THE CORPORATE MEMBER AS SET FORTH IN SECTION 4.1 ARE TO: 1. APPROVE OR RATIFY ALL CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION. 2. ELECT THE BOARD OF DIRECTORS OF THE CORPORATION. 3. REMOVE FROM OFFICE ANY DIRECTOR OF THE CORPORATION WITH OR WITHOUT CAUSE. 4. APPROVE THE EXECUTIVE DIRECTOR OF THE CORPORATION. 5. APPROVE THE ANNUAL BUDGET OF THE CORPORATION. 6. APPROVE THE POLICIES OF THE CORPORATION FOR THE SOLICITATION, INVESTMENT AND DISBURSEMENT OF FUNDS RAISED BY THE CORPORATION. 7. REQUIRE THE CORPORATION TO ESTABLISH CONTRACTING POLICIES AND GUIDELINES. 8. APPROVE MAJOR FUNDRAISING EVENTS AND ACTIVITIES OF THE CORPORATION. 9. APPROVE THE DISPOSITION OF THE CORPORATION'S ASSETS WHEN THE TRANSACTION IS NOT IN THE CORPORATIONS USUAL AND REGULAR COURSE OF BUSINESS. 10. APPROVE ANY MERGER, CONSOLIDATION, DISSOLUTION, SALE OR TRANSFER OF THE ASSETS. 11. EXERCISE SUCH OTHER RIGHTS AFFORDED CORPORATE MEMBERS UNDER THE CALIFORNIA NONPROFIT BENEFIT CORPORATION LAW.
FORM 990, PART VI, SECTION B, LINE 11THIS FORM 990 IS REVIEWED BY INTERNAL AUDIT AND MANAGEMENT AND IS MADE AVAILABLE TO THE AUDIT COMMITTEE AND THE BOARD FOR REVIEW AND COMMENT BEFORE FILING.
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 12C
LLUAHSC, LLUCHF'S PARENT ORGANIZATION, EMPLOYS AN INDEPENDENT OUTSIDE CONSULTING FIRM TO BENCHMARK COMPENSATION FOR LLUAHSC EMPLOYEES. LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION'S CEO/PRESIDENT IS EMPLOYED BY LLUAHSC. THE LLUAHSC EXECUTIVE COMPENSATION COMMITTEE USES THE RESULTS OF THE INDEPENDENT SURVEY TO ESTABLISH PAY SCALES FOR THE NEXT FISCAL YEAR. THE EXECUTIVE COMPENSATION COMMITTEE SETS THE TOTAL COMPENSATION BELOW THE INDUSTRY MEAN AND MEDIAN AMOUNTS PROVIDED IN THE SURVEY. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF TRUSTEES APPOINTED BY THE LLUAHSC BOARD WHO ARE INDEPENDENT OF LLUAHSC'S MANAGEMENT. THE EXECUTIVE COMPENSATION COMMITTEE IS APPOINTED BY THE LLUAHSC BOARD OF TRUSTEES TO HAVE DIRECT RESPONSIBILITY FOR ESTABLISHING COMPENSATION, POLICIES, AND BENEFITS FOR THE SENIOR EXECUTIVES OF LLUAHSC. THE COMMITTEE'S PROCESS INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF DELIBERATIONS AND DECISIONS. THIS PROCESS WAS LAST UNDERTAKEN IN 12/09 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 SVP, ADMINISTRATOR, CHILDREN'S HOSPITAL HELD BY SARRAFIAN, ZAREH HOVIK. THIS PROCESS WAS LAST UNDERTAKEN IN 12/09 FOR THE POSITION OF PRESIDENT & CEO HELD BY HART, RICHARD HENRY.FORM 990, PART VI, SECTION B, LINE 15
THE IRS FORM 990 IS AVAILABLE ON THE GUIDESTAR.COM WEBSITE AND ALSO MAY BE OBTAINED BY MAKING A REQUEST TO THE SR. VICE PRESIDENT OF FINANCE AT 11234 ANDERSON ST., LOMA LINDA, CA. 92354.FORM 990, PART VI, SECTION C, LINE 18
LLUCHF WILL MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST AND IN ACCORDANCE WITH IRS GUIDELINES. THE CONFLICT OF INTEREST POLICY IS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE FOR EMPLOYEES. THE FINANCIAL STATEMENTS ARE INCLUDED IN THE IRS FORM 990 WHICH IS AVAILABLE TO THE PUBLIC ON THE GUIDESTAR WEBSITE.FORM 990, PART VI, SECTION C, LINE 19
LLUAHSC, AS THE PARENT ORGANIZATION, EMPLOYS THE SENIOR EXECUTIVES OF ITS RELATED ORGANIZATIONS. THE AVERAGE HOURS PER WEEK REPORTED FOR OFFICERS ON PART VII, LINE 1A, COLUMN B, REPRESENT TOTAL AVERAGE HOURS (AT LEAST 50 HOURS PER WEEK) DEVOTED BY EACH OFFICER TO LLUAHSC AND RELATED ORGANIZATIONS AS ALLOCATED TO THE APPLICABLE RELATED ORGANIZATIONS AS FOLLOWS: FIKE, RUTHITA J. - 45 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER AND 5 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER. HADLEY, ROGER H. - 35 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY, 7 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY HEALTH CARE AND 8 HOURS/WEEK DEVOTED TO PRIVATE PRACTICES AT LOMA LINDA UNIVERSITY UROLOGY GROUP AND THE DEPARTMENT OF VETERAN AFFAIRS. HART, RICHARD H. - 25 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER AND 25 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY. SARRAFIAN, ZAREH HOVIK - 50 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER.FORM 990, PART VII, LINE 1A:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 27,453.FORM 990, PART XI, LINE 5:
THE FINANCIAL STATEMENTS OF LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION WERE AUDITED BY AN INDEPENDENT FIRM AS PART OF THE 2010 COMBINED FINANCIAL STATEMENT AUDIT OF LOMA LINDA UNIVERSITY MEDICAL CENTER AND ITS AFFILIATES (WHICH ENCOMPASSES LOMA LINDA UNIVERSITY MEDICAL CENTER, LOMA LINDA MERCANTILE, LOMA LINDA UNIVERSITY MEDICAL ENTERPRISES, LOMA LINDA UNIVERSITY FACULTY PHARMACY, LOMA LINDA UNIVERSITY BEHAVIORAL MEDICAL CENTER, THE LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION, LOMA LINDA UNIVERSITY HEALTHCARE PROPERTIES, LLC, PHYSICIANS HOSPITAL OF MURRIETA, LLC, AND LOMA LINDA UNIVERSITY-URGENT CARE, LLC).FORM 990, PART XII, LINE 2B:
LOMA LINDA UNIVERSITY MEDICAL CENTER 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 THAT ENCOMPASSES THE LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION.FORM 990, PART XII, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LOMA LINDA UNIVERSITY MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111234 ANDERSON STAddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code92354ZIPCode
FieldValueIRS element (for citing)
EIN953522679EIN
Primary ActivitiesHOSPITALPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status3PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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