2023-05-10T20:54:37-05:00 2022-06-30 990 2021-07-01 953858272 LOMA LINDA MERCANTILE LOMA 9095584000 PO BOX 926 FINANCE LOMA LINDA CA 92354 ANGELA M LALAS CFO 9095584000 2023-05-10 ANGELA LALAS 999009999 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ANGELA M LALAS 11234 ANDERSON ST LOMA LINDA CA 92354 1543452046 0 1071 X N/A X 1983 CA PURCHASING & DISTRIBUTION OF EQUIPMENT, MEDICAL & OTHER SUPPLIES AND SERVICES FOR ALL LLUH RELATED ORGANIZATIONS. 7 0 0 0 0 0 0 0 892508935 1237826369 0 0 -36257 -11037 892472678 1237815332 0 0 0 0 0 0 0 0 0 892387776 1237826369 892387776 1237826369 84902 -11037 5623174 3202586 6103546 3693995 -480372 -491409 PURCHASING & DISTRIBUTION OF EQUIPMENT AND MEDICAL AND OTHER RELATED SUPPLIES FOR LOMA LINDA UNIVERSITY HEALTH ORGANIZATIONS. 0 0 1237826369 1237815332 PURCHASING & DISTRIBUTION OF EQUIPMENT, MEDICAL, AND OTHER RELATED SUPPLIES & SERVICES FOR LOMA LINDA UNIVERSITY HEALTH ORGANIZATIONS IN FULFILLING OUR MISSION, "TO MAKE MAN WHOLE". 1237826369 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 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 1 599 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 0 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X LEW MOWERY 9095584000 197 E CAROLINE ST STE 2100 SAN BERNARDINO CA 92408 CARTER RONALD EVP UNIVERSITY AFFAIRS 0.50 49.50 X 0 317755 50395 THOMAS TAMARA TRUSTEE 0.50 49.50 X 0 630377 70478 HANNAMYRNA LEE SECRETARY 0.50 49.50 X X 0 180861 35482 HANSEN KENT GENERAL COUNSEL 0.50 49.50 X 0 796917 75319 HART RICHARD HENRY TRUSTEE 0.50 49.50 X 0 609433 79514 HEINRICH KERRY L PRESIDENT UNTIL 11/29/21 0.50 49.50 X X 0 1459022 100160 LALAS ANGELA CFO 0.50 49.50 X X 0 1106546 99075 WRIGHT TREVOR PRESIDENT 12/13/21 0.50 49.50 X X 0 1097912 106071 LUND JOSHUA S ASST VP SUPPLY CHAIN 25.00 25.00 X 0 234581 42600 HADLEY HENRY ROGER FORMER TRUSTEE 0.50 49.50 X 0 345965 53991 0 6779369 713085 0 1 1 0 FACULTY PHYSICIANS & SURGEONS 11175 CAMPUS ST STE 11120 LOMA LINDA CA 92354 MEDICAL 117060118 MCCARTHY BUILDING COMPANIES INC 20401 SW BIRCH ST STE 300 NEWPORT BEACH CA 92660 CONSTRUCTION 88776912 LOMA LIND UNIVERSITY MEDICAL CENTER 11234 ANDERSON ST LOMA LINDA CA 92354 MEDICAL 45663366 LOMA LINDA UNIVERSITY HEALTH CARE 350 E COMMERCIAL RD 101 SAN BERNARDINO CA 92408 ADMIN SUPPORT 43793472 EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 53288 TECHNOLOGY 10827744 278 PROGRAM SERVICE REVENUE 561499 1237826369 1237826369 1237826369 305625677 305636714 -11037 -11037 1237815332 1237815332 0 0 SERVICES PROVIDED-RELAT 1237826369 1237826369 1237826369 1237826369 0 0 5603291 338138 12000 2864448 7883 987328 987328 0 0 5623174 3202586 6103546 3693995 6103546 3693995 X -480372 -491409 -480372 -491409 5623174 3202586 -11037 0 X X 0 1 X 1 0 X 987328 987328 0 0 X PART X, LINE 2: THE PRINCIPAL OPERATIONS OF LOMA LINDA MERCANTILE ARE EXEMPT FROM TAXATION PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE RELATED STATE PROVISIONS. ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED OR NEEDED TO BE ACCRUED AT JUNE 30, 2022 OR 2021. 0 1 0 0 0 0 1 0 0 HEINRICH KERRY L PRESIDENT UNTIL 11/29/21 0 800585 0 470130 0 188307 0 43372 0 56788 0 1559182 0 0 LALAS ANGELA CFO 0 662000 0 306363 0 138183 0 41201 0 57874 0 1205621 0 0 WRIGHT TREVOR PRESIDENT 12/13/21 0 685907 0 288073 0 123932 0 44234 0 61837 0 1203983 0 0 HANSEN KENT GENERAL COUNSEL 0 502615 0 187367 0 106935 0 39197 0 36122 0 872236 0 0 THOMAS TAMARA TRUSTEE 0 509723 0 0 0 120654 0 36781 0 33697 0 700855 0 0 HART RICHARD HENRY TRUSTEE 0 505861 0 0 0 103572 0 36598 0 42916 0 688947 0 0 HADLEY HENRY ROGER FORMER TRUSTEE 0 276153 0 0 0 69812 0 32451 0 21540 0 399956 0 0 CARTER RONALD EVP UNIVERSITY AFFAIRS 0 275262 0 0 0 42493 0 17656 0 32739 0 368150 0 0 LUND JOSHUA S ASST VP SUPPLY CHAIN 0 174719 0 37084 0 22778 0 19848 0 22752 0 277181 0 0 HANNAMYRNA LEE SECRETARY 0 126637 0 31382 0 22842 0 19114 0 16368 0 216343 0 0 PART I, LINE 3 PLEASE SEE EXPLANATION FOR PART VI, SECTION B, LINE 15 THAT IS LISTED UNDER SCHEDULE O. PART I, LINE 4B THE FOLLOWING LLUH EMPLOYEES PARTICIPATED IN, AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SERP FUNDING PAID TO EMPLOYEE IN CASH: NONE NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH: - CARTER, RONALD: 24,297 - HADLEY, HENRY ROGER: 27,023 - HANSEN KENT: 87,001 - HART, RICHARD HENRY: 82,198 - HEINRICH, KERRY L: 152,672 - LALAS, ANGELA: 123,172 - THOMAS, TAMARA: 88,841 - WRIGHT, TREVOR: 104,185 TRAVEL FOR COMPANIONS: - NONE TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: - CARTER, RONALD: 3,406 - HADLEY, HENRY ROGER: 14,618 - HANSEN, KENT: 3,890 - HART, RICHARD HENRY: 4,678 - HEINRICH, KERRY L: 11,504 - LALAS, ANGELA MANALO: 1,928 - THOMAS, TAMARA: 9,571 - WRIGHT, TREVOR: 4,167 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS) FUNDED IN PRIOR YEARS: - LANG, KEVIN J.: 1,922 PART I, LINE 6 LOMA LINDA UNIVERSITY MEDICAL CENTER, A RELATED ORGANIZATION TO LOMA LINDA MERCANTILE, HAS AN INCENTIVE PLAN. PAYMENTS FOR INCENTIVE AWARDS ARE TRIGGERED ONLY IF, AMONG OTHER ESTABLISHED CRITERIA, NET INCOME EXCEEDS BUDGET BY AN ESTABLISHED PERCENTAGE. FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIPS MAY EXIST AMONG OTHER OFFICER'S, DIRECTOR'S, OR KEY EMPLOYEES OF OTHER RELATED EXEMPT ORGANIZATIONS. THE NATURE OF THE BUSINESS RELATIONSHIP IS EMPLOYMENT. FORM 990, PART VI, SECTION A, LINE 3 DELEGATION IS ADMINISTERED IN ACCORDANCE WITH THE BY-LAWS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 6 THERE SHALL BE A SINGLE CLASS OF MEMBERS OF LOMA LINDA MERCANTILE (LLM) WHICH SHALL BE LOMA LINDA UNIVERSITY HEALTH (LLUH) ACTING BY AND THROUGH ITS BOARD. MEMBERSHIP IN THIS CORPORATION SHALL TERMINATE WHEN AN INDIVIDUAL CEASES, FOR WHATEVER REASON, TO BE A MEMBER OF THE LLUH BOARD. NO MEMBER SHALL HAVE ANY RIGHT OR INTEREST IN ANY OF THE PROPERTY OR ASSETS OF LLM. NO MEMBER SHALL TRANSFER FOR VALUE OR OTHERWISE A MEMBERSHIP OR ANY RIGHT ARISING THEREFROM. FORM 990, PART VI, SECTION A, LINE 7A LLUH, AS THE CORPORATE MEMBER, ELECTS THE BOARD OF TRUSTEES AT ITS QUINQUENNIAL MEETING. LLUH SHALL ALSO HAVE THE POWER TO FILL VACANCIES ON THE BOARD OF TRUSTEES BETWEEN THE QUINQUENNIAL ORGANIZATION MEETINGS. FORM 990, PART VI, SECTION A, LINE 7B THE POWERS RESERVED BY LLUH, WHICH SHALL ONLY BE EXERCISED BY THE LLUH BOARD UPON A MAJORITY VOTE OF LLUH'S TRUSTEES PRESENT AND VOTING AT A REGULAR OR SPECIAL MEETING WHENEVER A QUORUM IS PRESENT, ARE TO: 1) APPROVE OR RATIFY ALL CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS OF LLM. 2) ESTABLISH GUIDELINES FOR BORROWING OF FUNDS BY LLM. 3) APPROVE ANY MERGER, CONSOLIDATION, DISSOLUTION, SALE, OR TRANSFER OF MORE THAN TEN MILLION DOLLARS OF LLM. 4) APPROVE ANY EXCEPTIONS TO THE GUIDELINES FOR THE BORROWING OF FUNDS REQUESTED BY LLM'S BOARD. 5) REQUIRE THAT LLM ESTABLISH CONTRACTING GUIDELINES. 6) REQUIRE THAT LLM HAVE A COMPLIANCE PROGRAM. FORM 990, PART VI, SECTION B, LINE 11B THIS FORM 990 HAS BEEN REVIEWED BY INTERNAL AUDIT AND MANAGEMENT AND IS MADE AVAILABLE TO THE AUDIT COMMITTEE AND THE BOARD FOR REVIEW AND COMMENT BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C GENERAL COUNSEL ANNUALLY OBTAINS STATEMENTS OF DISCLOSURE FROM TRUSTEES, OFFICERS, ADMINISTRATORS, KEY EMPLOYEES, AND OTHERS WHO MAKE OR AFFECT SIGNIFICANT DECISIONS AND REVIEWS THE FINDINGS WITH APPROPRIATE BOARDS AND COMMITTEES. THE BOARD OF TRUSTEES MAKES THE DECISIONS REGARDING QUESTIONS WHICH HAVE NOT BEEN SATISFACTORILY ANSWERED AFTER ADMINISTRATIVE CONSIDERATION. FORM 990, PART VI, SECTION B, LINE 15 LLUH, LOMA LINDA MERCANTILE'S PARENT ORGANIZATION, EMPLOYS AN INDEPENDENT OUTSIDE CONSULTING FIRM TO BENCHMARK COMPENSATION FOR LLUH EMPLOYEES. LOMA LINDA MERCANTILE'S CEO AND CFO ARE EMPLOYED BY LLUH. THE LLUH 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 LLUH BOARD WHO ARE INDEPENDENT OF LLUH'S MANAGEMENT. THE EXECUTIVE COMPENSATION COMMITTEE IS APPOINTED BY THE LLUH BOARD OF TRUSTEES TO HAVE DIRECT RESPONSIBILITY FOR ESTABLISHING COMPENSATION, POLICIES, AND BENEFITS FOR THE SENIOR EXECUTIVES OF LLUH. THE COMMITTEE'S PROCESS INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF DELIBERATIONS AND DECISIONS. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2020 FOR THE OFFICERS OF LOMA LINDA MERCANTILE. FORM 990, PART VI, SECTION C, LINE 18 THE IRS FORM 990 IS AVAILABLE ON WWW.GUIDESTAR.COM, AND ALSO MAY BE OBTAINED BY MAKING A REQUEST TO THE CFO AT 11234 ANDERSON ST., LOMA LINDA, CA 92354. FORM 990, PART VI, SECTION C, LINE 19 LOMA LINDA MERCANTILE 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 UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS 12501 OLD COLUMBIA PIKE SILVER SPRING MD 20904 520643036 CHURCH CA 501(C)(3) 1 N/A 0 LOMA LINDA UNIVERSITY HEALTH 11175 CAMPUS ST LOMA LINDA CA 92354 953804495 PARENT COMPANY CA 501(C)(3) 1 GEN'L CONFERENCE OF SEVENTH DAY-ADVENTISTS 0 LOMA LINDA UNIVERSITY 11145 ANDERSON ST LOMA LINDA CA 92350 951816009 UNIVERSITY CA 501(C)(3) 2 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER 1710 BARTON RD REDLANDS CA 92373 330245579 PSYCHIATRIC HOSPITAL CA 501(C)(3) 3 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION PO BOX 2000 LOMA LINDA CA 92354 330565591 FOUNDATION CA 501(C)(3) 12C LOMA LINDA UNIVERSITY MEDICAL CENTER 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS ST LOMA LINDA CA 92354 330364239 HEALTHCARE MANAGEMENT SERVICE ORGANIZATION CA 501(C)(3) 12C LOMA LINDA UNIVERSITY HEALTH 0 UNIVERSITY INSURANCE COMPANY OF VERMONT 126 COLLEGE ST SUITE 400 BURLINGTON VT 05401 030311174 CAPTIVE INSURANCE PROVIDER VT 501(C)(3) 1 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY SHARED SERVICES 11175 CAMPUS ST LOMA LINDA CA 92354 810661056 SERVICE ORGANIZATION CA 501(C)(3) 1 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA 28062 BAXTER RD MURRIETA CA 92653 202859948 ACUTE CARE HOSPITAL CA 501(C)(3) 3 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL 11234 ANDERSON ST LOMA LINDA CA 92354 463214504 HOSPITAL CA 501(C)(3) 3 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY MEDICAL CENTER 11234 ANDERSON ST LOMA LINDA CA 92354 953522679 HOSPITAL CA 501(C)(3) 3 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA-INLAND EMPIRE CONSORTIUM FOR HEALTHCARE EDUCATION 11175 CAMPUS ST LOMA LINDA CA 92354 461612773 GRADUATE MEDICAL EDUCATION CA 501(C)(3) 10 LOMA LINDA UNIVERSITY HEALTH 0 LLUH PROFESSIONALGENERAL LIABILITY TRUST - RISK MANAGEMENT 101 E REDLANDS LOMA LINDA CA 92408 366821892 INSURANCE CA 501(C)(3) 12A LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA INLDAND EMPIRE CONSORTIUM FOR HEALTHCARE EDUCATION 11175 CAMPUS ST LOMA LINDA CA 92354 461612773 GRADUATE MEDICAL EDUCATION CA 501(C)(3) 10 GRADUATE MEDICAL EDUCATION 0 MEDICAL PROPERTIES OF LOMA LINDA 11175 CAMPUS ST LOMA LINDA CA 92354 953669452 PROPERTY OWNERSHIP CA LOMA LINDA UNIVERSITY HEALTH C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 LOMA LINDA UNIVERSITY Q 114400472 LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER Q 4856323 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL Q 113983202 LOMA LINDA UNIVERSITY MEDICAL CENTER Q 867488843 LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA Q 124477295 LOMA LINDA UNIVERSITY SHARED SERVICES Q 146249120 LOMA LINDA-INLAND EMPIRE CONSORTIUM FOR HEALTHCARE EDUCATION Q 12563717 LLUH PROFESSIONAL LIABILITY TRUST Q 19221984 LOMA LINDA UNIVERSITY HEALTH Q 2598299