2011-11-14T15:00:34-06:00 2010-12-31 990 2010-01-01 953522679 SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER SEVE 9095588135 PO BOX 2000 LOMA LINDA CA 92354 STEVEN MOHR 9095588135 2011-11-14 2010 2016-02-24 21:20:13Z STEVEN MOHR 11234 ANDERSON ST LOMA LINDA CA 92354 1184449137 0 1071 X WWW.LLU.EDU X 1980 CA PROVIDE MEDICAL & HEALTH CARE SERVICES TO THE COMMUNITY. 21 18 8459 2506 1298815 276686 11064154 12419151 997144907 1141854244 5255244 10396863 5889866 6430958 1019354171 1171101216 291707 2277654 0 0 518872894 529695437 0 0 1072189 455450132 578896015 974614733 1110869106 44739438 60232110 1109905278 1127475123 657809767 643393302 452095511 484081821 X OUR MISSION IS TO CONTINUE THE HEALING MINISTRY OF JESUS CHRIST, "TO MAKE MAN WHOLE," IN A SETTING OF ADVANCING MEDICAL SCIENCE AND TO PROVIDE A STIMULATING CLINICAL AND RESEARCH ENVIRONMENT FOR THE EDUCATION OF PHYSICIANS, NURSES, AND OTHER HEALTH PROFESSIONALS. 0 0 902547476 2138764 1157341991 LLUMC COMMUNITY BENEFITSLLUMC IS COMMITTED TO ELEVATING THE HEALTH STATUS OF THE INLAND EMPIRE, WHICH CONSISTS OF RIVERSIDE AND SAN BERNARDINO COUNTIES. LOMA LINDA UNIVERSITY MEDICAL CENTER IS THE ONLY LEVEL-ONE REGIONAL TRAUMA CENTER FOR INYO, MONO, RIVERSIDE, AND SAN BERNARDINO COUNTIES. THESE COUNTIES CONSIST OF A DIVERSE POPULATION, AND MEETING THE HEALTH NEEDS OF THE REGION CAN BE CHALLENGING. IN 2010, LLUMC CONDUCTED ITS COMMUNITY HEALTH ASSESSMENT TO IDENTIFY EMERGING HEALTH ISSUES AND TO PRIORITIZE OUR COMMUNITY INTERVENTIONS.THE COMMUNITY HEALTH ASSESSMENT WAS CONDUCTED NOT ONLY TO FULFILL THE REQUIREMENT OF CALIFORNIA'S COMMUNITY BENEFIT LEGISLATION (SB 697), BUT IN RESPONSE TO THE MISSION OF THE HOSPITAL: TO FURTHER THE TEACHING AND HEALING MINISTRY OF JESUS CHRIST. THE COMMUNITY HEALTH ASSESSMENT ALSO MEETS THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (H.R. 3590) FOR NON-PROFIT HOSPITALS, WHICH WILL BE ENFORCED AFTER MARCH 23, 2012.COMMUNITY HEALTH DEVELOPMENT OF LLUMC HAS TAKEN A UNIQUE APPROACH TO THE ASSESSMENT PROCESS TO INCREASE OUR EFFECTIVENESS IN HEALTH IMPROVEMENT AND TO BE ON THE LEADING EDGE OF IMPLEMENTING HEALTHCARE REFORM.THE PRIMARY FOCUS OF THE ASSESSMENT WAS TO ELEVATE THE HEALTH OF OUR COMMUNITY AND THE DIVERSE POPULATIONS WE SERVE, BY IDENTIFYING COMMUNITY NEEDS AND PRIORITIZING OUR COMMUNITY INTERVENTIONS. THE ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH LOMA LINDA UNIVERSITY'S SCHOOL OF PUBLIC HEALTH AND BOTH RIVERSIDE AND SAN BERNARDINO COUNTIES' PUBLIC HEALTH DEPARTMENTS. A SYSTEM FOR GEOCODING PATIENT UTILIZATION IS BEING DEVELOPED AND WILL BE USED TO IMPROVE THE HEALTH STATUS OF OUR REGION, BETTER MANAGE CHRONIC DISEASE, ELIMINATE UNNECESSARY HOSPITALIZATIONS, AND REDUCE READMISSIONS. WE ASKED THE QUESTIONS 1) WHAT IS REALLY HURTING OUR COMMUNITIES? 2) HOW CAN WE MAKE A DIFFERENCE? 3) WHAT ARE THE HIGH IMPACT INTERVENTIONS? 4) WHO ARE OUR PARTNERS? AND, 5) WHO NEEDS OUR HELP THE MOST?IN ADDITION TO THE TRADITIONAL HEALTH INDICATORS OF OUR COMMUNITY, WE FOCUSED ON MANY SOCIAL DETERMINANTS OF HEALTH. SOCIAL DETERMINANTS OF HEALTH ARE THE CONDITIONS, IN WHICH PEOPLE ARE BORN, GROW UP IN, LIVE WITH, AND WORK IN. THEY INCLUDE AGE, AND THE SYSTEMS THAT ARE PUT INTO PLACE, TO DEAL WITH ILLNESS. THESE CIRCUMSTANCES ARE, IN TURN, SHAPED BY A WIDER SET OF FORCES: ECONOMICS, SOCIAL POLICIES, AND POLITICS. HEALTH STARTS IN HOMES, SCHOOLS, WORKPLACES, AND COMMUNITIES. THE CONDITIONS IN WHICH PEOPLE LIVE DETERMINE, IN PART, WHY SOME AMERICANS ARE HEALTHIER THAN OTHERS, AND WHY AMERICANS ARE GENERALLY NOT AS HEALTHY AS THEY COULD BE. LACK OF OPTIONS FOR HEALTHY, AFFORDABLE FOOD, OR SAFE PLACES TO PLAY IN SOME NEIGHBORHOODS; MAKE IT NEARLY IMPOSSIBLE FOR RESIDENTS TO MAKE HEALTHY CHOICES. IN CONTRAST, PEOPLE LIVING IN NEIGHBORHOODS WITH SAFE PARKS, GOOD SCHOOLS, AND HIGH EMPLOYMENT RATES, ARE PROVIDED MANY OF THE KEY REQUIREMENTS FOR BETTER HEALTH.TRADITIONAL, PUBLICLY AVAILABLE DATA WERE INCLUDED IN THE ASSESSMENT, ALONG WITH QUALITATIVE DATA COLLECTED FROM A BROAD REPRESENTATION OF THE COMMUNITY. KEY HEALTH INDICATORS WERE GEOGRAPHICALLY DISPLAYED TO FOCUS INTERVENTIONS IN STRATEGIC LOCATIONS AND TO IDENTIFY MEASURABLE OUTCOMES FOR OUR COMMUNITY BENEFIT PROGRAM.QUANTITATIVE DATA* MORBIDITY AND MORTALITY COLLECTED FROM THE COUNTY HEALTH PROFILES* HOSPITALIZATION AND EMERGENCY DEPARTMENT UTILIZATION FROM OSHPD AND LLUMC* SOCIAL DETERMINANTS OF HEALTH COLLECTED FROM THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY (2006 - 2008)* HEALTH INDICATOR DATA COLLECTED FROM A VARIETY OF PUBLICLY AVAILABLE DATATO VALIDATE THE DATA, AND TO ENSURE A BROAD REPRESENTATION OF THE COMMUNITY, QUALITATIVE DATA WAS COLLECTED FROM:QUALITATIVE* EMPLOYEES WITHIN BOTH LOMA LINDA UNIVERSITY AND LOMA LINDA UNIVERSITY MEDICAL CENTER, TO ASSESS COLLABORATION WITHIN OUR HEALTH SYSTEM* PHYSICIAN SURVEYS, TO IDENTIFY AREAS IN WHICH THE HEALTH SYSTEM CAN SUPPORT THE HEALTH OF THEIR PATIENTS IN OUR COMMUNITY INITIATIVES* COMMUNITY AGENCIES, SERVING OUR PRIMARY SERVICE AREA, TO ASSESS THEIR NEEDS AND TO IDENTIFY AREAS THAT LLUMC CAN BE A STRATEGIC PARTNER* KEY INFORMANT INTERVIEWS FROM KEY LEADERS, TO ENGAGE THEM IN THE DEVELOPMENT OF OUR INTERVENTIONS AND SOLICIT THEIR INPUT TO IMPROVING THE HEALTH OF OUR REGIONRECENTLY IDENTIFIED COMMUNITY NEEDS:* AFFORDABLE ACCESS TO AFFORDABLE HEALTH CARE, PARTICULARLY MENTAL HEALTH SERVICES;* TRANSPORTATION BARRIERS FOR ACCESSING HEALTH CARE SERVICES;* ENOUGH QUALIFIED HEALTH CARE WORKERS TO MEET EMERGING COMMUNITY NEEDS;* SOLUTIONS FOR INCREASING RATES OF HEART DISEASE, DIABETES, OBESITY, CANCER, AND ASTHMA; AND,* ACCESS TO PREVENTION AND WELLNESS SERVICES IN THE COMMUNITYWHAT OUR COMMUNITY TOLD US:* INCREASE COLLABORATION WITH COMMUNITY AGENCIES;* COLLABORATE WITHIN LLU AND LLUMC MORE EFFECTIVELY, AS THE COMMUNITY SEES LLU AS ONE ENTITY;* IMPROVED ACCESS TO ALL SERVICES PROVIDED BY LLUMC;* LLUMC NEEDS TO PROVIDE SERVICES IN THE LOCAL COMMUNITY;* ENSURE ACCESS TO NUTRITIOUS FOODS;* PROMOTE PHYSICAL ACTIVITY THROUGH A SAFELY BUILT ENVIRONMENT;* PROVIDE PREVENTIVE AND HEALTH PROMOTING ACTIVITIES;* LEAD THE COUNTY IN ELEVATING THE HEALTH STATUS BY EXAMPLE;* CONSIDER NEW MEDIUMS TO COMMUNICATE WITH THE COMMUNITY, ENCOURAGING IT TO BEGIN THINKING ABOUT THE INTERNET. THIS RESOURCE IS ESPECIALLY USEFUL WITH COMMUNITY MEMBERS WHO CANNOT AFFORD HEALTH CARE BUT STILL HAVE QUESTIONS ABOUT THEIR HEALTH;* APPROACH HEALTH FROM A MULTI-SECTION PERSPECTIVE: COMMUNITY, HEALTH, SCHOOLS, AND BUSINESSES;* EDUCATE COMMUNITY LEADERS TO ADVOCATE FOR POSITIVE HEALTH POLICY CHANGES;* INVOLVE THE COMMUNITY WITH SMALL, SIMPLE STEPS TOWARDS A HEALTHIER LIFESTYLE2010 COMMUNITY BENEFIT DETAILCANCERTHE LOMA LINDA UNIVERSITY CANCER CENTER (LLUCC) WAS ESTABLISHED IN 1991 WITH THE PURPOSE OF LEADING AND COORDINATING CANCER-RELATED ACTIVITIES AND SERVICES. LLUCC IS RESPONSIBLE FOR THE DEVELOPMENT AND COORDINATION OF INSTITUTION-WIDE, MULTI-SPECIALTY APPROACHES FOR CANCER PATIENTS, INCLUDING EARLY DETECTION, OPTIMAL TREATMENT AND TOTAL CARE, CLINICAL RESEARCH, AND BASIC SCIENCE RESEARCH. NAVIGATORS ARE AVAILABLE TO GUIDE PATIENTS THROUGH THE HEALTHCARE SYSTEM WHILE PROVIDING EDUCATION, SUPPORT, AND ADVOCACY, BUT THE ULTIMATE GOAL IS TO PROVIDE THE NECESSARY SUPPORT TO ENABLE OUR PATIENTS TO FIND STRENGTH, WHICH CAN LEAD TO HEALING.LAST YEAR, THE DEPARTMENT SERVED 16,172 PEOPLE IN CANCER OUTREACH INTERVENTIONS, SUCH AS BREAST CANCER AWARENESS AND EDUCATION, CANCER PREVENTION AND EDUCATION, CANCER SCREENINGS, CANCER SUPPORT GROUPS, AND CANCER WALKS. ALL INTERVENTIONS HAVE A FOCUS ON FAMILY CONCERNS, WHILE PROMOTING POSITIVE SELF IMAGE, FOSTERING EMPOWERMENT, AND REDUCING DEPRESSION.CHARITY MEDICATIONSCHARITY MEDICATIONS ASSIST PATIENTS WHO ARE: M/CAL PENDING, MEDICALLY INDIGENT ADULTS (MIA), MEDI-CARE WITHOUT PRESCRIPTION COVERAGE, AND UNINSURED. THIS INTERVENTION BENEFITS PATIENTS AND HELPS REDUCE RE-ADMISSIONS DUE TO A LACK OF CONTINUITY OF CARE OR POSSIBLE ADMISSIONS.COMMUNITY CLINIC SUPPORTLOMA LINDA UNIVERSITY MEDICAL CENTER PROVIDES SUPPORT TO LOCAL COMMUNITY CLINICS THAT SERVE THE COMMUNITY'S POPULATION WHO ARE UNABLE TO ACCESS THE HEALTH CARE SYSTEM. THE SERVICES RENDERED TO THE MEDICALLY UNDERSERVED COMMUNITY BY THESE CLINICS, ARE A RESULT OF A COLLABORATIVE EFFORT ON THE PART OF PUBLIC AND PRIVATE COMMUNITY REPRESENTATIVES WHO SEE THESE CLINICS AS VITAL TO HEALTH CARE IN THE REGION. SERVICES PROVIDED TO THE COMMUNITY THROUGH THESE CLINICS INCLUDE:* CARE FOR ACUTE AND CHRONIC ILLNESSES* MENTAL HEALTH SERVICES* DENTAL CARE* PHYSICAL, OCCUPATION, AND SPEECH THERAPY* PRENATAL CARE AND OTHER WOMEN'S SERVICES* IMMUNIZATION* HEALTH PROMOTION AND PREVENTATIVE CARE* SPECIALIZED CARE FOR HIV/AIDSTHE DEMOGRAPHIC MAKE-UP OF THE 10,000 UNDUPLICATED PATIENTS SERVED BY THESE CLINICS:* 2/3 ARE UNINSURED AND DO NOT QUALIFY UNDER MEDI-CAL* 90 PERCENT ARE MINORITIES, 57 PERCENT ARE HISPANIC* 64 PERCENT ARE WOMEN, 35 PERCENT ARE CHILDRENDIABETES EDUCATIONTHE DIABETES TREATMENT CENTER (DTC) IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION FOR PROVIDING UP-TO-DATE AND ACCURATE PATIENT SELF-MANAGEMENT EDUCATION TO PERSONS WITH DIABETES. THE COMMUNITY BENEFIT PROVIDED BY THE DTC IS ACCOMPLISHED THROUGH BLOOD GLUCOSE SCREENING AND DIABETES EDUCATION AND AWARENESS. THESE SERVICES ARE PROVIDED AT VENUES SUCH AS HEALTH CONFERENCES, UNIVERSITIES, SEMINARS, AND WELLNESS FAIRS. LAST YEAR, MORE THAN 1,283 COMMUNITY MEMBERS WERE SERVED. 902547476 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 0 1 0 1 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 1 388 0 1 8459 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X STEVEN MOHR SR VICE PRESIDENT 9095588135 11234 ANDERSON ST LOMA LINDA CA 92354 X MATTHEW BEDIAKO 1.00 X 0 0 0 ROBERT CARMEN 1.00 X 0 500 0 JERE CHRISPENS 1.00 X 0 250 0 LOWELL COOPER 1.00 X 0 0 0 CARI DOMINGUEZ 1.00 X 0 0 0 RUTHITA FIKE 45.00 X X 0 1003324 -5617 RICARDO GRAHAM 1.00 X 0 250 0 ROGER HADLEY 1.00 X 0 400830 67862 ALLAN HANDYSIDES 1.00 X 0 250 0 RICHARD HART 25.00 X X 0 437391 38502 DAVID HINSHAW JR 1.00 X 0 250 0 DAN JACKSON 1.00 X 0 0 0 ROBERT LEMON 1.00 X 0 250 0 GT NG 1.00 X 0 0 0 JAN PAULSEN 1.00 X 0 0 0 MONICA REED 1.00 X 0 0 0 DON SCHNEIDER 1.00 X 0 0 0 CLAUDETTE SHEPARD 1.00 X 0 0 0 JUDY STORFJELL 1.00 X 0 0 0 TAMARA THOMAS 1.00 X 0 0 0 MAX TREVINO 1.00 X 0 250 0 ERIC TSAO 1.00 X 0 0 0 THOMAS WERNER 1.00 X 0 0 0 TED WILSON 1.00 X 0 0 0 KEVIN LANG 35.00 X 0 668179 74347 DANIEL FONTOURA 50.00 X 0 398547 36672 MICHAEL JACKSON 50.00 X 0 328900 26663 ZAREH SARRAFIAN 50.00 X 0 374415 37498 ELIZABETH DICKINSON 50.00 X 0 287138 38073 STEVEN MOHR 50.00 X 0 408080 68280 MELVIN SAUDER 37.50 X 0 211443 1960 JESSE MOCK 50.00 X 0 240086 48830 DANIEL GIANG 50.00 X 0 236435 31119 MARK HUBBARD 40.00 X 0 367810 49179 JAMES PAPPAS 50.00 X 0 263250 8440 MARK REEVES X 0 0 0 CYNTHIA SCHMIDT 50.00 X 0 231737 36247 GERALD WINSLOW 47.50 X 0 243435 38230 BRIAN BULL X 0 0 0 MYRNA HANNA 50.00 X 0 108894 20013 BRENDA BRUNEAU 40.00 X 175055 0 22134 BALDEV PATYAL 40.00 X 281261 0 32057 ABIEL GHEBREMEDHIN 40.00 X 219515 0 29392 PAUL NORRIS 40.00 X 216446 0 29132 DONGRAK CHOI 40.00 X 215131 0 28998 BARBARA HOLSHOUSER 40.00 X 212924 0 28873 1320332 6211894 786884 546 0 1 0 LOMA LINDA UNIV HEALTH SERVICES 11145 ANDERSON ST 209 LOMA LINDA CA 92354 SHARED SERVICES 21942684 LOMA LINDA UNIV HEALTH CARE 11175 CAMPUS ST 11120 LOMA LINDA CA 92354 MEDICAL DIRECTORS, TEAM CLINIC SUPPORT, 19996736 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 INFORMATION SERVICES/COMPUTER SERVICES 5766736 LOMA LINDA UNIV ADVENTIST HEALTH SCIENCE PO BOX 728 LOMA LINDA CA 92354 MANAGEMENT FEES 5632010 ONE LEGACY 221 S FIGUEROA ST SUITE 500 LOS ANGELES CA 90012 ORGAN PROCUREMENT 4353750 5 32060 136250 1471883 2525117 8253841 71100 12419151 PATIENT CARE 446110 966123644 966123644 HOSPITAL QUALITY ASSUR 446110 153632882 153632882 CAFETERIA 446110 4716514 4716514 TUITION 446110 125901 125901 MEDICAL RECORDS 446110 59984 59984 17195319 17195319 1141854244 8353253 8353253 1734989 1734989 3736283 4801529 -1065246 -1065246 -1065246 1311747 1003126 308621 308621 308621 43400 136250 2141 41259 41259 14996070 7541125 7454945 6156130 1298815 1171101216 1157341991 1298815 41259 2057591 2057591 81173 81173 138890 138890 5724070 5724070 383853768 349924109 34056270 -126611 14519548 13066616 1452932 91505816 82577521 8928295 34092235 30141869 3950366 2338 2338 4483464 3267874 1215590 217575 163181 54394 768655 768655 43271103 39047735 4223368 12732709 12732709 182783597 179379361 3404236 12707277 9532757 3174520 57094105 42086373 15007732 663861 573280 90581 453735 273111 180624 18535361 264330 18271031 27767920 27767920 47393976 35441901 11952075 12346989 2970 12344019 PROVIDER FEE EXPENSES 68513075 53182708 15330367 PURCHASED SERVICES 43373826 16075165 26099861 1198800 PROVISION FOR UNCOLLECT 41209418 41209418 RESTRICTED FUND EXPENSE 5602261 5602261 AMORTIZATION OF BOND IS 500231 327142 173089 -1525461 -1869860 344399 1110869106 902547476 207249441 1072189 153453594 167120664 46579292 48480935 166323396 194565066 15395001 16857724 9192268 7265259 1235624783 651777955 592327868 583846828 28937500 97696359 109338647 1109905278 1127475123 150570484 139913433 384910667 375847052 106560788 90358340 15767828 37274477 657809767 643393302 X 429515982 456934434 22579529 27147387 452095511 484081821 1109905278 1127475123 X 60232110 -28245800 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 768655 768655 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE CRITICAL NEED FOR HEALTH CARE REFORM IS APPARENT TO ALL AMERICANS. LOMA LINDA UNIVERSITY MEDICAL CENTER ("LLUMC") BELIEVES THAT HEALTH CARE PROVIDERS MUST PARTICIPATE IN FORMING HEALTH CARE POLICY BY ASSISTING OUR REPRESENTATIVES AND THEIR STAFF MEMBERS TO BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTH CARE POLICY ISSUES. TO CARRY OUT LLUMC'S ROLE IN DEVELOPING BENEFICIAL HEALTH CARE POLICIES, LLUMC WORKS TO ESTABLISH RELATIONSHIPS WITH REPRESENTATIVES AND INDUSTRY ASSOCIATIONS WHICH CAN BE UTILIZED TO COMMUNICATE LLUMC'S POSITIONS ON MAJOR HEALTH CARE ISSUES. NATIONAL AND LOCAL REPRESENTATIVES ARE CONTACTED BY LLUMC AT KEY TIMES DURING THE LEGISLATIVE AND REGULATORY PROCESS TO COMMUNICATE HOW PROPOSED LAWS MIGHT HELP OR IMPEDE LLUMC'S ABILITY TO PROVIDE COST- EFFECTIVE, QUALITY CARE TO PATIENTS. LLUMC PARTICIPATES WITH VARIOUS HEALTH CARE INDUSTRY ASSOCIATIONS IN ADVOCATING HEALTH CARE PUBLIC POLICY INTERESTS. NO TIME IS SPENT INTERVENING IN ANY POLITICAL CAMPAIGN. THE LOBBYING EFFORTS OF LLUMC ARE PRIMARILY THAT OF AN EDUCATOR TO GOVERNMENT AND INDUSTRY REPRESENTATIVES ON THE PROVISION OF QUALITY CARE AND THE RELATED COST OF SUCH CARE. LLUMC IS INVOLVED IN THIS EDUCATION PROCESS DUE TO ITS PROMINENCE IN THE HEALTH CARE FIELD INCLUDING PATIENT CARE, TEACHING, AND MEDICAL RESEARCH. 41373352 41373352 271336835 90011684 181325151 196026797 79002567 117024230 570585392 482763704 87821688 156302407 156302407 583846828 ASSETS WHOSE USE IS LIMITED, NET OF CURRENT PORTION 34038829 FUNDS HELD IN ESCROW FOR ASSET CONSTRUCTION 1977148 DEFERRED FINANCING COSTS 7067191 OTHER LONG-TERM ASSETS 66255479 109338647 87378 OTHER LONG TERM LIABILITIES 37187099 37274477 1171101216 1110869106 60232110 1588750 -29834550 -28245800 31986310 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: EVEN THOUGH THERE IS NO FOOTNOTE FOR FIN 48 IN OUR AUDITED FINANCIAL STATEMENTS DUE TO IMMATERIALITY THE FOLLOWING EXPLANATION IS BEING INCLUDED: ON JANUARY 1, 2007, LLUMC ADOPTED FIN 48. IN JULY 2006, FASB INTERPRETATION NO. 48(FIN48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES, WAS ISSUED. FIN 48 CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF FIN 48, TAX-EXEMPT ORGANIZATIONS COULD NOW BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. PRIOR TO FIN 48, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH FASB STATEMENT NO. 5, ACCOUNTING FOR CONTINGENCIES. THE ADOPTION OF FIN 48 DID NOT HAVE A MATERIAL IMPACT ON THE COMBINED FINANCIAL POSITION, RESULTS OF OPERATIONS OR CASH FLOWS OF LLUMC. PART XI, LINE 8 - OTHER ADJUSTMENTS: AUDIT ADJUSTMENT BOOKED DIRECTLY TO FUND BALANCE -29,834,550. 0 VARIOUS PROGRAM SERVICES PROVISION OF INTERNATIONAL PATIENT CHARITY CARE 138890 0 0 0 138890 0 138890 INTERNATIONAL PATIENT CHARITY CARE VARIOUS 10 138890 MEDICAL SERVICES AND SUPPLIES COST OF CARE 0 0 0 0 0 0 METHOD USED TO ACCCOUNT FOR EXPENDITURES: SCHEDULE F, PART I, LINE 3: EXPENDITURES FOR GRANTS AND ASSISTANCE CONDUCTED OUTSIDE THE UNITED STATES REPORTED ON THIS LINE PERTAIN TO NON-CASH ASSISTANCE IN THE FORM OF MEDICAL SERVICES/CHARITY CARE PROVIDED TO SELECTED INDIVIDUALS. THE AMOUNT IS ACCOUNTED FOR USING THE COST THE ORGANIZATION WOULD HAVE CHARGED FOR THE PATIENT CARE PROVIDED. OTHER INFORMATION SCHEDULE F, PART V SCHEDULE F, PART I, LINE 2: AS PART OF ITS PROGRAM SERVICES AND ITS COMMITMENT TO COMMUNITY OUTREACH, LLUMC PROVIDES ASSISTANCE TO INDIVIDUALS OUTSIDE THE UNITED STATES IN THE FORM OF MEDICAL SERVICES AND SUPPLIES. THE PROVISION OF ASSISTANCE TO THE SELECTED RECIPIENTS UNDERGOES MANAGEMENT REVIEW, APPROVAL, AND PERIODIC REPORTING. PROTON GOLF TOURNAMENT 179650 136250 43400 2141 179650 136250 43400 2141 2141 41259 1 1 X 1 X 1 X 1 1 0 1 1 15493994 15493994 0.01480 374769352 209268438 165500914 0.15860 24582485 14630323 9952162 0.00950 414845831 223898761 190947070 0.18290 31 114434 892959 380000 512959 0.00050 2 52854489 4943939 47910550 0.04590 3 212 4684206 3883845 800361 0.00080 1 4207402 4207402 0.00400 3 10273 1709538 1709538 0.00160 40 124919 64348594 9207784 55140810 0.05280 40 124919 479194425 233106545 246087880 0.23570 2 17 438 438 0.00000 2 17 438 438 1 9303681 175014827 166833476 8181351 X 1 1 1 1 LOMA LINDA UNIVERSITY MEDICAL CENTER

11234 ANDERSON ST LOMA LINDA CA 92354

X X X X X X NOT REQUIRED 1 0 0 0 0 0 0 0 0 1 0 0 PART VI, LINE 2: PART I, 3C--LLUMC USES FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.PART I, 6A--LLUMC AND BMC SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT TO OSHPD.PART I, LINE 7--A RATIO OF COST TO CHARGES WAS USED TO DERIVE FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS AT COST. OTHER BENEFITS AT COST WAS DERIVED FROM THE HOSPITAL'S FINANCIAL RECORDS.PART II--THE TASK OF CREATING HEALTH ENVIRONMENTS CAN BE DAUNTING. TO CHARGE THE BUILT ENVIRONMENT INCLUDING LAND USE, TRANSPORTATION, HOUSING, AND OPEN SPACE OCCURS AT A SLOW PACE. CHANGING THE MOMENTUM FROM CURRENT PLANNING PRACTICES IN THE INLAND EMPIRE THAT HAVE RESULTED IN UNHEALTHY DEVELOPMENT PATTERNS WILL TAKE TIME, ATTENTION, AND AN ONGOING COMMITMENT FROM THE HEALTH SECTOR. THERE IS A SENSE OF URGENCY WITH THE GROWING CHRONIC DISEASES IN OUR REGION. THE NEED TO TAKE ACTION IS URGENT, HEALTH ORIENTED POLICIES ADOPTED TODAY WILL INFLUENCE ON-THE-GROUND DEVELOPMENT DECADES FROM NOW. THAT IS WHY OUR COMMUNITY PARTNERS ARE CRITICAL TO HELPING US EVALUATE THE HEALTH STATUS OF THE INLAND EMPIRE. BY WORKING TOGETHER AND COMBINING OUR RESOURCES AND STRENGTHS WE CAN MAKE A GREATER IMPACT IN OUR COMMUNITY.PART III, LINE4 --THE COSTING METHODOLOGY USED IN ESTIMATING BAD DEBT EXPENSE AT COST IS PATIENT CARE COST TO CHARGE RATIO PROVIDED BY WORKSHEET 2. WE DO NOT HAVE ANY BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY.PART III, LINE 8--WE DO NOT HAVE ANY MEDICARE SHORTFALL THAT SHOULD BE TREATED AS COMMUNITY BENEFIT. THE AMOUNT REPORTED ON PART III LINE 6 IS DERIVED FROM AMOUNTS REPORTED IN THE 2010 MEDICARE COST REPORT.PART III, LINE 9B--WE HAVE A WRITTEN CREDIT AND COLLECTIONS POLICY WHICH SPECIFICALLY ADDRESSES PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE.PART V--LICENSED HOSPITAL, GENERAL MEDICAL AND SURGICAL, CHILDREN'S HOSPITAL, TEACHING HOSPITAL, RESEARCH FACILITY, AND ER 24 HOURS.PART VI, LINE 2--LOMA LINDA UNIVERSITY MEDICAL CENTER (LLUMC) IS LEADING THE WAY FORWARD IN UNDERSTANDING OUR COMMUNITY BY CONDUCTING A TRIENNIAL COMMUNITY HEALTH ASSESSMENT. DEVELOPING PRIORITIES AND TARGETED INTERVENTIONS FROM THE KNOWLEDGE GAINED THROUGH THIS ASSESSMENT INCREASES OUR ABILITY TO IMPROVE THE HEALTH OF RIVERSIDE AND SAN BERNARDINO COUNTIES. DEVELOPING A SHARED UNDERSTANDING OF THE CHALLENGES AND OPPORTUNITIES IS A CRITICAL NEXT STEP IN POPULATION HEALTH IMPROVEMENT. COMMUNITY HEALTH DEVELOPMENT OF LLUMC HAS TAKEN A UNIQUE APPROACH TO THE ASSESSMENT PROCESS TO INCREASE OUR EFFECTIVENESS IN OUR PRIMARY SERVICE AREA, AND TO BE ON THE LEADING EDGE OF IMPLEMENTING HEALTHCARE REFORM. FOCUSING ON THE LEADING HEALTH INDICATORS, ALONG WITH DEATH AND DISEASE, HAVE SHOWN TO REDUCE THE POOR HEALTH IN OUR REGION. WE WILL ASK THE QUESTIONS 1) WHAT IS REALLY HURTING OUR COMMUNITIES? 2) HOW CAN WE MAKE A DIFFERENCE? 3) WHAT ARE THE HIGH IMPACT INTERVENTIONS? 4) WHO ARE OUR PARTNERS?, AND 5) WHO NEEDS OUR HELP THE MOST? OUR GOAL IS TO IDENTIFY EMERGING HEALTH ISSUES AND NEEDS AND PROVIDE SUFFICIENT DETAIL AT DIFFERENT LEVELS OF AGGREGATION TO SUPPORT POLICY AND PROGRAMMATIC DECISIONS. THE DATA COLLECTED IN THIS DOCUMENT WILL BE USED FOR MULTIPLE PURPOSES AND WILL CONTINUALLY BE EVALUATED FOR INTEGRITY, ACCURACY, TIMELINESS, AND THE ABILITY TO ASSIST IN ELEVATING THE HEALTH STATUS OF THE INLAND EMPIRE. BUILDING A HEALTHY ENVIRONMENT REQUIRES MULTIPLE STAKEHOLDERS WORKING TOGETHER WITH A COMMON PURPOSE. THE PRIMARY FOCUS OF THE ASSESSMENT IS TO ELEVATE THE HEALTH STATUS OF OUR COMMUNITY AND THE DIVERSE POPULATIONS WE SERVE BY IDENTIFYING COMMUNITY NEED AND TO PRIORITIZE OUR COMMUNITY INTERVENTIONS. THE ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH LOMA LINDA UNIVERSITY SCHOOL OF PUBLIC HEALTH AND BOTH RIVERSIDE AND SAN BERNARDINO COUNTY PUBLIC HEALTH DEPARTMENTS. A SYSTEM FOR GEOCODING PATIENT UTILIZATION IS BEING DEVELOPED AND WILL BE USED TO IMPROVE THE HEALTH STATUS OF OUR REGION, BETTER MANAGE CHRONIC DISEASE, ELIMINATE UNNECESSARY HOSPITALIZATIONS, AND REDUCE READMISSION. TRADITIONAL PUBLICLY AVAILABLE DATA WAS INCLUDED IN THE ASSESSMENT ALONG WITH QUALITATIVE DATA COLLECTED FROM A BROAD REPRESENTATION OF THE COMMUNITY. KEY HEALTH INDICATORS WILL BE GEOGRAPHICALLY DISPLAYED TO FOCUS INTERVENTIONS IN STRATEGIC LOCATIONS AND TO IDENTIFY MEASURABLE OUTCOMES FOR OUR COMMUNITY BENEFITS PROGRAM. QUANTITATIVE DATA: -MORBIDITY AND MORTALITY COLLECTED FROM THE COUNTY HEALTH PROFILES-HOSPITALIZATION AND EMERGENCY DEPARTMENT UTILIZATION FROM OSHPD AND LLUMC ED-SOCIAL DETERMINANTS OF HEALTH COLLECTED FROM THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY (2006 - 2008)-HEALTH INDICATOR DATA COLLECTED FROM A VARIETY OF PUBLICLY AVAILABLE DATA TO VALIDATE THE DATA AND TO ENSURE A BROAD REPRESENTATION OF THE COMMUNITY QUALITATIVE DATA WAS COLLECTED FROM: QUALITATIVE DATA: -EMPLOYEES WITHIN BOTH LOMA LINDA UNIVERSITY AND LOMA LINDA UNIVERSITY MEDICAL CENTER TO ASSESS COLLABORATION WITHIN OUR HEALTH SYSTEM.-PHYSICIAN SURVEY TO IDENTIFY AREAS THE HEALTH SYSTEM CAN SUPPORT THE HEALTH OF THEIR PATIENTS IN OUR COMMUNITY INITIATIVES.-COMMUNITY AGENCIES SERVING OUR PRIMARY SERVICE AREA TO ASSESS THEIR NEEDS AND TO IDENTIFY AREAS THAT LLUMC CAN BE A STRATEGIC PARTNER.-KEY INFORMANT INTERVIEWS FROM KEY LEADERS TO ENGAGE THEM IN THE DEVELOPMENT OF OUR INTERVENTIONS AND ILLICIT THEIR INPUT TO IMPROVING THE HEALTH OF OUR REGION. PART VI, LINE 3: LLUMC SHALL POST NOTICES INFORMING THE PUBLIC OF THE CHARITY CARE/DISCOUNT PAYMENT POLICY. SUCH NOTICES SHALL BE POSTED IN HIGH VOLUME INPATIENT, AND OUTPATIENT SERVICE AREAS OF LLUMC, INCLUDING BUT NOT LIMITED TO, THE EMERGENCY DEPARTMENT, BILLING OFFICE, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS OR OTHER COMMON PATIENT WAITING AREAS OF LLUMC. NOTICES SHALL ALSO BE POSTED AT ANY LOCATION WHERE A PATIENT MAY PAY THEIR BILL. NOTICES WILL INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE. 1. THESE NOTICES SHALL BE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN LLUMC'S SERVICE AREA. 2. A COPY OF THIS CHARITY CARE/DISCOUNT PAYMENT POLICY WILL BE MADE AVAILABLE TO THE PUBLIC UPON REASONABLE REQUEST. LLUMC WILL RESPOND TO SUCH REQUESTS IN A TIMELY MANNER. PART VI, LINE 4: LOMA LINDA UNIVERSITY MEDICAL CENTER'S PRIMARY MARKET AREA CAN BE DEFINED, BROADLY, AS CALIFORNIA'S INLAND EMPIRE--RIVERSIDE AND SAN BERNARDINO COUNTIES. IT'S PRIMARY SERVICE AREA, WHERE PLANNING EFFORTS ARE CONCENTRATED SPAN FROM LAKE ARROWHEAD IN THE NORTH, YUCAIPA IN THE EAST, PERRIS IN THE SOUTH AND ONTARIO IN THE WEST, SERVING A LITTLE OVER 4 MILLION PEOPLE. MORE THAN 90% OF THE LLUMC'S PATIENTS COME FROM THESE TWO COUNTIES. FOR THE PURPOSE OF COMMUNITY HEALTH DEVELOPMENT A "SERVICE AREA" FOR LOMA LINDA UNIVERSITY MEDICAL CENTER (LLUMC) INCLUDES THE GEOGRAPHIC AREA WHERE THE MEDICAL CENTER DEPLOYS ITS FREE AND UNDER REIMBURSED SERVICES IN THE EFFORT TO IMPROVE POPULATION HEALTH AND QUALITY OF LIFE.-LLUMC SECONDARY SERVICE AREAS INCLUDE PALM SPRINGS AND VICTORVILLE-LLUMC IS LOCATED IN THE HEART OF SOUTHERN CALIFORNIA AND IS THE ONLY TERTIARY CARE CENTER AND LEVEL I TRAUMA CENTER FOR 25% OF CALIFORNIANS-LLUMC CONTINUES TO SERVE A DIVERSE GEOGRAPHICAL REGION WHICH INCLUDES SOME OF THE LARGEST RURAL, URBAN, AND WILDERNESS AREAS IN THE COUNTY-COMMUNITY HEALTH DEVELOPMENT HAS CHOSEN STRATEGIC LOCATIONS TO DELIBERATELY CONCENTRATE COMMUNITY INTERVENTIONS AND SERVICE WHERE THE VULNERABLE AND MEDICALLY-UNDERSERVED ARE MOST LIKELY TO TURN TO LLUMC AS A "SAFETY NET" FOR HEALTHCARE. PART VI, LINE 6: AS A PART OF THE COMMUNITY BENEFIT OBJECTIVE FOR 2009/2010, LLUMC CREATED THE COMMUNITY BENEFIT ADMINISTRATIVE COUNCIL (CBAC). CBAC REPORTS TO THE MISSION-FOCUSED SUBCOMMITTEE OF THE BOARD AND A BOARD MEMBER SERVES ON CBAC.THE COMMUNITY BENEFIT ADMINISTRATIVE COUNCIL'S (CBAC) PURPOSE IS TO ENHANCE COMMUNICATION AND HELP CREATE SYNERGY AMONG COMMUNITY BENEFIT INTERVENTIONS, AIMED AT IMPROVING THE HEALTH OF THE COMMUNITY AND AT DEVELOPING INTERVENTIONS. CBAC COUNCIL MEMBERS MEET QUARTERLY TO REVIEW THE STATUS AND PROGRESS OF LLUMC AND LLUBMC COMMUNITY BENEFIT INTERVENTIONS. ADDITIONALLY, THE COUNCIL MEMBERS ASSURE ORGANIZATIONAL COMPLIANCE WITH RELEVANT COMMUNITY BENEFIT LEGISLATION. CORE PRINCIPLES:1. EMPHASIS ON COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH NEEDS2. EMPHASIS ON PRIMARY PREVENTION CARE3. BUILD A SEAMLESS CONTINUUM OF CARE4. EMPHASIS ON COMMUNITY CAPACITY BUILDING5. EMPHASIS ON COLLABORATIVE GOVERNANCE PART VI, LINE 7: LLUMC BELIEVES THAT PARTNERSHIPS ARE EFFECTIVE TOOLS IN IMPROVING THE HEALTH OF OUR COMMUNITY. TOGETHER, WE ARE ABLE TO LEVERAGE OUR RESOURCES AND STRENGTHS AND HAVE A GREATER IMPACT. WE CAN BUILD A GREATER SENSE OF COMMUNITY AND A SHARED COMMITMENT TOWARDS HEALTH IMPROVEMENT. IN AN EFFORT TO INTENTIONALLY PARTNER WITH OUR COMMUNITY TO ELEVATE THE HEALTH STATUS IN OUR REGION, THE LLU HOSPITALS JOINED TOGETHER WITH OTHER ENTITIES IN THE LOMA LINDA UNIVERSITY HEALTH SCIENCES SYSTEM IN FORMING THE INSTITUTE FOR COMMUNITY PARTNERSHIPS (ICP). ICP ASPIRES TO INCREASE COMMUNICATION, COLLABORATION, AND EMPOWERMENT OF ALL ON-CAMPUS ENTITIES SERVING THE LOCAL COMMUNITY AS WELL AS THEIR COMMUNITY PARTNERS. THE MEDICAL CENTER'S COMMUNITY HEALTH DEVELOPMENT DEPARTMENT IS ALSO ACTIVE IN CHANNELING STUDENT AND FACULTY VOLUNTEERS FROM LOMA LINDA UNIVERSITY INTO SERVICE AND SERVICE LEARNING PROJECTS IN THE LOCAL COMMUNITY. PART VI, LINE 7--CALIFORNIA'S COMMUNITY BENEFIT LAW WAS PASSED IN 1994, AND ITS IMPLEMENTATION PLACED UNDER THE SUPERVISION OF OSHPD (OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, SEE ESPECIALLY THE HOSPITAL COMMUNITY BENEFIT PROGRAM).BEGINNING IN 1995, LOMA LINDA UNIVERSITY MEDICAL CENTER SUBMITS AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL AND LOMA LINDA UNIVERSITY BEHAVIORAL MEDICAL CENTER. 1 SAC HEALTH SYSTEM 1454 E 2ND ST SAN BERNARDINO CA 92408 330664371 501(C)(3) 1707528 DONATION TOWARDS OPERATIONAL COSTS UBM MEDICA LLC PO BOX 30266 NEW YORK NY 10087 800113055 99461 SPONSORSHIP-2010 BLOOD BANK SAN BERNARDINO-RIV FNDT PO BOX 1429 SAN BERNARDINO CA 924021429 208911074 5000 SPONSORSHIP-2010 CALIFORNIA GOVERNOR FIRST LADYS CONFERENCE 1601 DOVE ST NEWPORT BEACH CA 92660 201465357 30000 SPONSORSHIP-2010 SAN BERNARDINO COUNTY MEDICAL SOCIETY 3993 JURUPA AVE RIVERSIDE CA 92506 951878903 5000 SPONSORSHIP-2010 MESA GRANDE ACADEMY 975 S FREMONT CALIMESA CA 92320 270000351 501(C)(3) 5440 SPONSORSHIP-2010 KIDS CUP GOLF TOURNAMENT BARRETT-JACKSON AUCTION CO LLC 7400 E MMONTE CRISTO AVE SCOTTSDALE AZ 85260 860857597 5500 SPONSORSHIP-2010 ORANGE COUNTY EVENT AMERICAN HEART ASSOCIATION 1710 GILBRETH RD BURLINGAME CA 94010 7500 SPONSORSHIP-2010 GO RED FOR WOMEN PEDIATRIC CANCER RESEARCH FOUNDATION 9272 JERONIMO RD 107A IRVINE CA 92618 953772528 501(C)(3) 5000 SPONSORSHIP-2010 LOMA LINDA UNIV SCH OF PUBLIC HEALTH NICHOL HALL 1202 LOMA LINDA CA 92350 951816009 501(C)(3) 30000 SPONSORSHIP-2010 HEALTHY PEOPLE CONFERENCE BIG BEAR CHAMBER OF COMMERCE PO BOX 2860 BIG BEAR LAKE CA 92315 952501377 25000 SPONSORSHIP-AMGEN TOUR OF CALIFORNIA LOMA LINDA UNIV ADVENTIST HEALTH SCIENCE CENTER PO BOX 728 LOMA LINDA CA 92354 953804495 501(C)(3) 25000 SPONSORSHIP-THE ADVENTIST FILM PROJECT AMERICAN CANCER SOCIETY INLAND EMPIRE 1240 PALMYRITA AVE UNIT A RIVERSIDE CA 92507 941170350 6000 SPONSORSHIP-2010 INLAND EMPIRE GALA INLAND EMPIRE AFFILIATE OF SUSAN G KOMEN 43397 BUSINESS PARK DR D-9 TEMECULA CA 92590 330802964 5000 SPONSORSHIP-2010 INLAND EMPIRE RACE FOR THE CURE STAKEHOLDERS SOLUTION GROUP 7095 INDIANA AVE 120 RIVERSIDE CA 92506 270988405 8000 SPONSORSHIP-2010 I-215 SOUTH CORRIDOR ECONOMIC DEVELOPMENT SUMMIT ASSOCIATION OF ADVENTIST FORUMS PO BOX 619047 ROSEVILLE CA 95661 521006614 501(C)(3) 5000 SPONSORSHIP-2010 ADVENTIST FORUM LOMA LINDA ACADEMY 10656 ANDERSON ST LOMA LINDA CA 92354 501(C)(3) 7000 SPONSORSHIP-2010 ROAD RUNNER GOLF CLASSIC RIVERSIDE COMMUNITY HEALTH FOUNDATION 4445A MAGNOLIA AVE RIVERSIDE CA 92501 237276444 501(C)(3) 5000 SPONSORSHIP-2010 GALA CALIFORNIA FIRE CHIEFS ASSOCIATION PO BOX 8453 REDLANDS CA 92375 320241356 501(C)(3) 15000 SPONSORSHIP-2010 GOLD LEVEL CFED CONFERENCE 9 10 MEDICAL SUPPLIES 1739 BOOK PHARMACEUTICALS 37971 BOOK TRANSITIONAL LIVING 12425 BOOK TRANSPORTATION 25785 BOOK MEALS 1059 BOOK UTILITIES 2194 BOOK PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: LLUMC 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. X X 1 1 X X X X X 0 0 0 0 0 1 0 0 0 RUTHITA FIKE 0 614320 0 0 0 389004 0 15014 0 -20631 0 997707 0 0 ROGER HADLEY 0 331260 0 0 0 69570 0 15014 0 52848 0 468692 0 0 RICHARD HART 0 350000 0 0 0 87391 0 15014 0 23488 0 475893 0 0 KEVIN LANG 0 506292 0 0 0 161887 0 15014 0 59333 0 742526 0 0 DANIEL FONTOURA 0 312827 0 0 0 85720 0 15014 0 21658 0 435219 0 37083 MICHAEL JACKSON 0 260470 0 0 0 68430 0 15014 0 11649 0 355563 0 0 ZAREH SARRAFIAN 0 303935 0 0 0 70480 0 10114 0 27384 0 411913 0 0 ELIZABETH DICKINSON 0 235498 0 0 0 51640 0 15014 0 23059 0 325211 0 0 STEVEN MOHR 0 344000 0 0 0 64080 0 12052 0 56228 0 476360 0 0 MELVIN SAUDER 0 160776 0 0 0 50667 0 12665 0 -10705 0 213403 0 0 JESSE MOCK 0 211169 0 0 0 28917 0 14488 0 34342 0 288916 0 0 DANIEL GIANG 0 216242 0 20193 0 0 0 31119 0 0 0 267554 0 0 MARK HUBBARD 0 287525 0 0 0 80285 0 15014 0 34165 0 416989 0 0 JAMES PAPPAS 0 263250 0 0 0 0 0 7750 0 690 0 271690 0 0 CYNTHIA SCHMIDT 0 195972 0 0 0 35765 0 14086 0 22161 0 267984 0 0 GERALD WINSLOW 0 206466 0 0 0 36969 0 11537 0 26693 0 281665 0 0 BRENDA BRUNEAU 146264 0 9147 0 19644 0 6617 0 15517 0 197189 0 0 0 BALDEV PATYAL 246398 0 0 0 34863 0 15014 0 17043 0 313318 0 0 0 ABIEL GHEBREMEDHIN 195598 0 0 0 23917 0 13230 0 16162 0 248907 0 0 0 PAUL NORRIS 185929 0 9386 0 21131 0 13015 0 16117 0 245578 0 0 0 DONGRAK CHOI 200101 0 0 0 15030 0 12921 0 16077 0 244129 0 0 0 BARBARA HOLSHOUSER 194545 0 0 0 18379 0 12769 0 16104 0 241797 0 0 0 PART I, LINE 1A LLUMC'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. LLUMC'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 6 LOMA LINDA UNIVERSITY MEDICAL CENTER 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 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: 1. DICKINSON, ELIZABETH JANE IS EMPLOYED BY LLUAHSC. HER COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 2. 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. 3. FONTOURA, DANIEL ELBIO IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 4. 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. 5. 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. 6. HUBBARD, MARK LEE IS EMPLOYED BY LLUAHSC. HIS COMPENSATION, EXCLUDING THE SERP BENEFIT, IS FUNDED BY LLUAHSC'S RISK MANAGEMENT DEPARTMENT (20%) AND LOMA LINDA UNIVERSITY MEDICAL CENTER (80%). THE SERP BENEFIT IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 7. JACKSON, MICHAEL HENDERSON IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 8. LANG, KEVIN J. IS EMPLOYED BY LLUAHSC. HIS COMPENSATION, EXCLUDING THE SERP BENEFIT, IS FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER (70%), LOMA LINDA UNIVERSITY (17.5%), LOMA LINDA UNIVERSITY HEALTH CARE (7.5%) AND LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER (5%). THE SERP BENEFIT IS FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER (92.5%) AND LOMA LINDA UNIVERSITY HEALTH CARE (7.5%). 9. MOCK, FURMAN JESSE IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 10. MOHR, STEVEN LAWRENCE IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 11. SARRAFIAN, ZAREH HOVIK IS EMPLOYED BY LLUAHSC. HIS COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 12. SAUDER, MELVIN D. IS EMPLOYED BY LLUAHSC. HIS COMPENSATION, EXCLUDING THE SERP BENEFIT, IS FUNDED BY LOMA LINDA UNIVERSITY (25%) AND LOMA LINDA UNIVERSITY MEDICAL CENTER (75%). THE SERP BENEFIT IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 13. SCHMIDT, CYNTHIA J IS EMPLOYED BY LLUAHSC. HER COMPENSATION IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. 14. WINSLOW, GERALD IS EMPLOYED BY LLUAHSC. HIS COMPENSATION, EXCLUDING THE SERP BENEFIT, IS FUNDED BY LOMA LINDA UNIVERSITY HEALTH SERVICES (5%) AND LOMA LINDA UNIVERSITY MEDICAL CENTER (95%). THE SERP BENEFIT IS 100% FUNDED BY LOMA LINDA UNIVERSITY MEDICAL CENTER. SEE SCHEDULE O FOR THE ALLOCATION OF HOURS DEVOTED TO RELATED ORGANIZATIONS FOR OFFICERS LISTED ON PART VII, LINE 1A. CITY OF LOMA LINDA CA 952662323 541482JM8 2005-10-26 162145295 REFUND SERIES 1992-A(ISSUED 4/30/92), 1993-A(ISSUED 7/28/93) 1993-B 0 0 0 CITY OF LOMA LINDA CA 952662323 541482JP1 2007-12-20 80000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 CITY OF LOMA LINDA CA 952662323 541482JR7 2008-11-13 70000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 CITY OF LOMA LINDA CA 952662323 541482JS5 2008-11-13 25000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 7915000 165019155 15834500 2454233 1302095 17492753 127935574 2007 1 0 1 1 81042626 1597768 661048 78783810 2009 0 0 1 1 70033887 7000000 1333918 61699969 2010 0 0 1 1 25009187 475327 9187 24524673 2010 0 0 1 1 0 0 0 0 1 0.00000 0.00200 0.00200 1 0 0 0 0 1 0.00000 0.00200 0.00200 1 0 0 0 0 1 0.00000 0.00200 0.00200 1 0 0 0 0 1 0.00000 0.00200 0.00200 1 1 0 0 NA 1 SOCIETE GENERALE 18.000000000000 1 0 1 0 1 1 GOLDMAN SACHS 30.000000000000 0 0 0 NA 0 1 0 0 0 NA 0 NA 0 1 0 1 1 GOLDMAN SACHS 30.000000000000 0 0 0 NA 0 1 SCHEDULE K SUPPLENTAL INFORMATION SCHEDULE K, PART III, LINES 1 AND 4, ISSUE __ - LOMA LINDA HEALTHCARE PROPERTIES, LLC (LLHP) IS A SOLE-MEMBER DISREGARDED ENTITY OF LLUMC INCLUDED IN THIS RETURN. LLHP ENTERED INTO TWO LOAN AGREEMENTS (A TAX-EXEMPT LOAN AND A TAXABLE LOAN) FOR THE CONSTRUCTION OF A MEDICAL OFFICE BUILDING IN BEAUMONT, CA. THE TWO FINANCINGS WERE STRUCTURED IN RELATION TO THE EXPECTED MIX OF EXEMPT VS. NON-EXEMPT TENANTS. THIS BALANCE WAS REVIEWED IN 2009, AND THE RATIO WAS WITHIN THE IRS TOLERABLE LIMIT. SCHEDULE K, PART III, LINE 4, ISSUE __ - LOMA LINDA UNIVERSITY MEDICAL CENTER ENTERED INTO A TAX-EXEMPT LOAN AGREEMENT FOR THE REFINANCE OF A TAXABLE LOAN ON THE PROFESSIONAL PLAZA MEDICAL OFFICE BUILDING, AS WELL AS OTHER CAPITAL IMPROVEMENTS OF THE MEDICAL CENTER. OF THE $8,500,000 LOAN, $3,175,411.29 OF PROCEEDS WERE USED FOR THE RETIREMENT OF THE TAXABLE LOAN, AND WAS STRUCTURED IN RELATION TO MIX OF EXEMPT VS. NON-EXEMPT TENANTS OF THE PROFESSIONAL PLAZA BUILDING. THIS BALANCE WAS REVIEWED AT DECEMBER 31, 2009, AND THE RATIO WAS WITHIN THE IRS TOLERABLE LIMIT. CITY OF LOMA LINDA CA 952662323 2008-11-13 15000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES 0 0 0 CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2007-11-30 28809966 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2007-09-28 3195000 FINANCE THE COSTS OF CAPITAL EXPENDITURES 0 0 0 CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2008-07-02 5000000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 1132290 15000000 15000000 2009 0 0 1 1 4305289 30049056 1815028 235445 24882136 3116327 120 2010 0 0 1 1 239218 3195000 3195000 2007 0 0 1 1 1569048 5138933 40750 3121035 1977148 0 0 0 1 0 0 0 0 1 0.00000 0.00200 0.00200 1 1 1 0 0 1 0.02700 0.00000 0.02700 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00200 0.00200 1 0 0 0 NA 0 NA 0 1 0 0 0 NA 0 NA 0 0 0 0 0 NA 0 NA 0 1 0 0 0 NA 0 NA 0 1 CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2008-05-30 4200000 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2009-06-16 4016964 FINANCE THE COSTS OF CAPITAL EXPENDITURES; BOND ISSUE COSTS 0 0 0 CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 2009-12-22 8500000 FINANCE THE COSTS OF CAPITAL EXPENDITURES 0 0 0 CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 2004-10-07 13488000 FINANCE THE COSTS OF CAPITAL EXPENDITURES 0 0 0 1373120 4222891 43592 4179299 2009 0 0 1 1 1149849 4025778 30231 3995547 2009 0 0 1 1 688701 8500429 8500429 2010 0 0 1 1 11328946 14131672 14131672 2005 0 0 1 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00200 0.00200 1 0 1 0 0 1 0.00200 0.00000 0.00200 1 0 0 0 0 1 0.00000 0.00200 0.00200 1 0 0 0 NA 0 NA 0 1 0 0 0 NA 0 NA 0 1 0 0 0 NA 0 NA 0 1 0 0 0 NA 0 NA 0 1 BEVERLY BULL RIGSBY DAUGHTER OF CORPORATE SECRETARY 146040 EMPLOYED BY LOMA LINDA UNIVERSITY MEDICAL CENTER AS THE SERVICE LINE DIRECTOR FOR THE WOMEN'S HEALTH CENTER DEPARTMENT. 0 X 2 17825 FAIR MARKET VALUE X 2 38275 FAIR MARKET VALUE X USE OF GOLF COURSE FOR PROTON GOLF TOURNAMENT 1 15000 FAIR MARKET VALUE 0 0 0 PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION: FORM 990, PART III, LINE 4A: HEALTH LIBRARY EACH MONTH AN AVERAGE OF 1,300 PEOPLE ACCESS THE HEALTH LIBRARY. THE HEALTH LIBRARY IS AN ONLINE HEALTH INFORMATION SERVICE WITH THE GOAL OF PROMOTING AN UNDERSTANDING NUMEROUS HEALTH AND WELLNESS TOPICS. ONLINE SERVICES INCLUDE: A LIBRARY ON DISEASES AND CONDITIONS, HEALTHY LIVING, HEALTH CENTERS, DAILY HEALTH NEWS, DAILY HEALTH TIPS. ADDITIONAL FEATURES, INCLUDING HEALTHY LIVING MODULES, PROVIDE INFORMATION ON BLOOD PRESSURE, SMOKING STRESS, AND WEIGHT LOSS; A HEALTHY RECIPES DATABASE IS ALSO AVAILABLE AND CAN BE ACCESSED. INTERACTIVE TOOLS INCLUDE ADULT AND CHILD BMI CALCULATORS, A WIDE RANGE OF HEALTH AND MENTAL HEALTH QUIZZES, AND A SYMPTOM CHECKER. HEART HEALTH EDUCATION LOMA LINDA INTERNATIONAL HEART INSTITUTE OPENED IN 1987, AND SERVES AS THE CARDIAC SERVICE LINE OF LOMA LINDA UNIVERSITY MEDICAL CENTER. CARDIOLOGISTS, CARDIOTHORACIC SURGEONS, NURSES, AND OTHER CLINICIANS ARE COMMITTED TO WORK AS AN INTEGRATED CARDIAC SPECIALTY TEAM, PROVIDING COMPASSIONATE PATIENT-CENTERED CARE. THE HEART INSTITUTE OFFERS FULL CARDIAC SERVICES, FROM DIAGNOSTIC PROCEDURES SUCH AS ECHOCARDIOGRAMS AND CARDIAC STRESS TESTS, TO CARDIAC SURGERY AND TRANSPLANTATION. THE COMMUNITY OUTREACH COMPONENT OF THE HEART INSTITUTE INCLUDES HEART HEALTH PREVENTION, EDUCATION, AWARENESS, AND SCREENING AT MULTIPLE VENUES IN THE COMMUNITY. SUPPORT GROUPS ARE ALSO AVAILABLE FOR CARDIAC PATIENTS AND THEIR FAMILIES. THE GOAL OF THE COMMUNITY OUTREACH IS TO EDUCATE OUR COMMUNITY TO REDUCE THE RISK OF HEART DISEASE MORTALITY IN OUR REGION. LAST YEAR, 6,060 HEARTS WERE SERVED. JUST FOR SENIORS JUST FOR SENIORS IS A FREE COMMUNITY SERVICE PROGRAM AVAILABLE TO ANYONE OVER 55 YEARS OF AGE. THE PROGRAM BEGAN IN 1990, HAS A MEMBERSHIP OF OVER 35,000 SENIORS, AND GROWS EVERY DAY. MEMBERSHIP BENEFITS INCLUDE A NEWSLETTER, A RESOURCE DIRECTORY, SEMINARS ON HEALTH, SOCIAL, AND FINANCIAL CONCERNS, LIFE SKILLS EDUCATION CLASSES, AN INFORMATION LINE 1-877-LLUMC-55, AND SENIOR ADVOCATES. A BIMONTHLY "WELL-BEING" NEWSLETTER IS MAILED TO HOMES, AND COVERS RELEVANT TOPICS ON PREVENTATIVE HEALTH CARE, TRAVEL, FAMILY, FINANCES, DAILY LIVING, AND MUCH MORE. LLUMCEC RECOGNIZES THAT SENIORS NEED A SAFE AND POSITIVE ENVIRONMENT TO ENGAGE IN. SENIORS POSSESS A WIDE RANGE OF SKILLS, TALENTS, AND RESOURCES, AND THAT CONNECTING WITH A GROUP IS BENEFICIAL TO THE MIND, BODY, AND SPIRIT. OK KIDS (OUTREACH TO "KOMMUNITY KIDS") OK KIDS IS A PEDIATRIC OUTREACH TO THE CHILDREN IN OUR COMMUNITY, WITH THE GOAL OF INCREASING HEALTH AWARENESS AND IMPROVING BEHAVIOR. THIS COMPREHENSIVE HEALTH EDUCATION PROGRAM IS GIVEN OVER EIGHT WEEKS EMPHASIZING PERSONAL HEALTH AND NUTRITION, EXERCISE, SLEEP, AND BULLYING. ALSO, THROUGHOUT THE YEAR, SAFETY SEMINARS WITH HANDS ON ACTIVITIES ARE GIVEN TO SECOND GRADE CLASSROOMS. OPERATION FIT IS A WEEK LONG SUMMER CAMP FOR YOUTH WITH PARENT EDUCATION CLASSES ADDRESSING THE ISSUES OF OBESITY IN OUR COUNTY. IN ADDITION, PARENTING CLASSES FOR PREGNANT TEENS, STREET OUTREACH, AND HOMELESS CHILDREN CLINICS ARE AREAS OF SERVICES AND ENGAGEMENT WITH OUR COMMUNITY. THESE ACTIVITIES OCCUR FOR THE YOUTH IN OUR TITLE I SCHOOLS OF SAN BERNARDINO COUNTY UNIFIED SCHOOL DISTRICT. NON-EMERGENCY MEDICAL TRANSPORTATION IN 2007, THE CASE MANAGEMENT DEPARTMENT STARTED A CHARITY NON-EMERGENCY MEDICAL TRANSPORTATION SERVICE. THIS SERVICE PROVIDES GURNEY OR WHEELCHAIR TRANSPORT TO PATIENTS WHO NEED TO BE TRANSFERRED HOME OR TO A SKILLED NURSING FACILITY. MOST OF THE PATIENTS DO NOT QUALIFY FOR AMBULANCE TRANSPORT, HAVE NO INCOME TO PAY FOR TRANSPORT, OR DO NOT HAVE FAMILY MEMBERS THAT CAN ASSIST THEM. THIS SERVICE IS PROVIDED ON A CASE-BY-CASE BASIS; NEED IS DETERMINED BY THE PATIENTS' CASE MANAGER. IN 2010, OVER 212 PATIENTS WERE SERVED. POSSABILITIES POSSABILITIES IS A COMMUNITY OUTREACH PROGRAM, DEVELOPED IN 2003, BY THE LOMA LINDA UNIVERSITY MEDICAL CENTER EAST CAMPUS (LLUMCEC). LAST YEAR, THE PROGRAM HAD 30,000 MEMBERS, COMPRISED OF ABLE-BODIED (SUPPORT MEMBERS) AND DISABLED MEMBERS. THE GOAL OF THE PROGRAM IS TO PROVIDE ACTIVITIES AND PRACTICAL HELP TO DISABLED INDIVIDUALS WHO WERE BORN WITH, OR HAVE SUFFERED, A PERMANENT PHYSICAL INJURY. THE PROGRAM PROVIDES PARTICIPANTS A SENSE OF COMMUNITY AS THEY INTEGRATE BACK INTO LIFE, ONCE AGAIN BECOMING VALUABLE MEMBERS OF SOCIETY. LLUMCEC RECOGNIZES THAT THIS DISENFRANCHISED POPULATION IS OFTEN LEFT WITHOUT RESOURCES OR SUPPORT, FOR DEALING WITH THE MANY ADJUSTMENTS THEY MUST MAKE PHYSICALLY, MENTALLY, AND EMOTIONALLY, IN ORDER TO HAVE FULFILLING LIVES. THE MISSION IS TO PROVIDE NEW DIRECTION AND HOPE THROUGH PHYSICAL, SOCIAL, EDUCATIONAL, AND SPIRITUAL INTERACTION WITH PEERS AND THEIR COMMUNITY. THIS FREE MEMBERSHIP PROGRAM IS TAILORED TO PERSONS WITH PHYSICAL DISABILITIES SUCH AS LIMB AMPUTATIONS, STROKE, SPINAL CORD INJURIES, TRAUMATIC BRAIN INJURIES, MULTIPLE SCLEROSIS, MUSCULAR DYSTROPHY, SPINA BIFIDA, AND OTHERS. THE VARIOUS SPORTS LEAGUES, SCHOOL SPONSORED POSSABILITIES CLUBS, AND THE ANNUAL TRIATHLON, IMPROVES THE SOCIAL CONNECTEDNESS AND POSSIBILITY FOR INTERACTION, PARTICULARLY FOR THE DISABLED; EACH YEAR, WORLD RENOWNED PROFESSIONAL, COMMUNITY AND DISABLED ATHLETES JOIN PARTICIPANTS AT THE START LINE, AND BEGIN THE RACE TOGETHER, REGARDLESS OF SKILL OR ABILITY. SAFE KIDS INLAND EMPIRE AT LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL, THE TRAUMA SERVICES UNIT LEADS OUT IN THE LOCAL PROGRAMS, TEACHING FIRE, WATER, GUN, BICYCLE, AND AUTO SAFETY TO PARTICIPATING CHILDREN AND THEIR PARENTS. THE SAFE KIDS COALITION WAS ESTABLISHED IN 1991 BY THE TRAUMA DEPARTMENT TO DEAL WITH THE EPIDEMIC OF ACCIDENTAL INJURY TO KIDS; SAFE KIDS INLAND EMPIRE BRINGS TOGETHER SAFETY EXPERTS, EDUCATORS, FOUNDATIONS, GOVERNMENTS, AND VOLUNTEERS. DISCUSSION TOPICS INCLUDE DEVELOPING INJURY PREVENTION INTERVENTIONS THROUGHOUT THE INLAND EMPIRE, WITH ISSUES SUCH AS FIRE, WATER, BICYCLE, AND AUTO SAFETY. THE BUCKLE UP VAN IS PROVIDED TO COMMUNITY MEMBERS, FOR CAR SEAT CHECKUP EVENTS. THE PURPOSE IS TO EDUCATE, CREATE AWARENESS, AND PROVIDE HANDS-ON INSTRUCTION TO PARENTS AND CAREGIVERS ABOUT SAFETY IN THE CAR. TOPICS SUCH AS PROPER INSTALLATION OF CAR SEATS, BOOSTER SEATS AND SEAT BELTS ARE ADDRESSED, AS WELL AS, EDUCATION ON SAFETY, IN AND AROUND THE CAR. WORKFORCE DEVELOPMENT TRAINING PEOPLE SERVICES HAS PARTNERED WITH POPLAR STREET APARTMENTS TO PROVIDE WORKFORCE DEVELOPMENT TO THEIR WORKING POOR, UNIT RESIDENTS, BUT IS OPEN TO ANYONE WISHING TO RECEIVE TRAINING. APARTMENT STAFF ASSISTS RESIDENTS AND COMMUNITY MEMBERS WITH MOCK JOB INTERVIEWS, RESUME WORKSHOPS, MOCK JOB APPLICATIONS, AND FEEDBACK. THE PRIMARY OBJECTIVE OF THIS PARTNERSHIP IS TO PROVIDE THE NECESSARY TOOLS AND RESOURCES TO ENHANCE AND IMPROVE THE CHANCES OF GAINING EMPLOYMENT. CREATING THE FUTURE TOGETHER LOMA LINDA UNIVERSITY MEDICAL CENTER IS COMMITTED TO ELEVATING THE HEALTH STATUS OF THE COMMUNITY. IMPROVING THE CONDITIONS IN WHICH PEOPLE LIVE, LEARN, WORK, AND PLAY AND ADDRESSING THE INTER-RELATIONSHIP BETWEEN THESE CONDITIONS, WILL CREATE A HEALTHIER POPULATION. INTEGRATING HEALTH POLICY EFFORTS WITH THOSE RELATED TO EDUCATION, HOUSING, BUSINESS, TRANSPORTATION, AGRICULTURE, MEDIA, AND OTHER AREAS OUTSIDE OF THE HEALTH SECTOR, WILL ULTIMATELY IMPROVE THE HEALTH, SAFETY, AND PROSPERITY OF THE NATION. BUILDING A HEALTHY ENVIRONMENT REQUIRES MULTIPLE STAKEHOLDERS WORKING TOGETHER WITH A COMMON PURPOSE. THE HEALTH CHALLENGES ARE TOO LARGE TO ADDRESS IN ISOLATION, AND A KEY FOCUS OF THE COMMUNITY HEALTH DEVELOPMENT INTERVENTIONS WILL BE ANCHORED THROUGH A "HEALTHY COMMUNITY MODEL" IMPLEMENTED THROUGHOUT SAN BERNARDINO COUNTY. IN COLLABORATION WITH OUR COMMUNITY, WE HAVE COLLECTIVELY PRIORITIZED OUR HEALTH CONCERNS, AND WILL SEEK SOLUTIONS ACROSS A BROAD RANGE OF SECTORS TO CREATE COMMUNITIES WE ALL WANT FOR OUR CHILDREN AND OURSELVES. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATE MEMBER OF LLUMC PURSUANT TO SECTION 9310 OF THE CALIFORNIA NONPROFIT RELIGIOUS CORPORATION LAW SHALL BE LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER, A CALIFORNIA NON-PROFIT RELIGIOUS CORPORATION, ACTING BY AND THROUGH ITS BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A LLUAHSC, AS THE CORPORATE MEMBER, ELECTS THE BOARD OF TRUSTEES AT ITS QUINQUENNIAL MEETING. LLUAHSC 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 LLUAHSC, AS CORPORATE MEMBER, AT EACH REGULAR OR SPECIAL MEETING, SHALL INFORM ITSELF ON THE BUSINESS OF THE MEDICAL CENTER TO BE TRANSACTED; SHALL RECEIVE THE ANNUAL REPORT OF THE MEDICAL CENTER BUDGET AND AUDIT, AND TRANSACT SUCH OTHER BUSINESS AS MAY BE REQUESTED BY THE MEDICAL CENTER BOARD. FURTHER FUNCTIONS OF THE MEMBER ARE: (1) TO REMOVE FROM OFFICE ANY TRUSTEE OF THE MEDICAL CENTER WITH OR WITHOUT CAUSE. (2) TO REVIEW AND CONSULT WITH THE MEDICAL CENTER BOARD REGARDING THE APPOINTMENT OF THE MEDICAL CENTER PRESIDENT AND THE CHIEF EXECUTIVE OFFICER. HOWEVER, THE APPOINTMENT AND REMOVAL OF THE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER ARE SOLELY THE LEGAL RESPONSIBILITY OF THE LLUMC BOARD. (3) TO APPROVE ALL CHANGES TO THE ARTICLES OF INCORPORATION AND BY-LAWS. (4) TO APPROVE ANY MERGER, CONSOLIDATION, DISSOLUTION, SALE OR TRANSFER OF MORE THAN TWENTY-FIVE PERCENT OF THE ASSETS OF LLUMC. (5) TO APPROVE ANY SIGNIFICANT CHANGE IN THE CORPORATE PURPOSE OF LLUMC. FORM 990, PART VI, SECTION B, LINE 11 THIS 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. 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, LLUMC'S PARENT ORGANIZATION, EMPLOYS AN INDEPENDENT OUTSIDE CONSULTING FIRM TO BENCHMARK COMPENSATION FOR LLUAHSC EMPLOYEES. LLUMC'S CEO, CFO, AND VICE PRESIDENTS ARE 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. FOR KEY EMPLOYEES OTHER THAN THE OFFICERS AS WELL AS EMPLOYEES IN LEADERSHIP POSITIONS, LLUMC MANAGEMENT, THROUGH ITS 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 SVP, FINANCE HELD BY MOHR, STEVEN LAWRENCE. THIS PROCESS WAS LAST UNDERTAKEN IN 12/09 FOR THE POSITION OF SVP, ADMINISTRATOR, EAST CAMPUS HOSPITAL HELD BY JACKSON, MICHAEL HENDERSON. 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 VP, BUSINESS DEVELOPMENT HELD BY SAUDER, MELVIN D.. THIS PROCESS WAS LAST UNDERTAKEN IN 12/09 FOR THE POSITION OF VP, REVENUE CYCLE MANAGEMENT HELD BY SCHMIDT, CYNTHIA J.. THIS PROCESS WAS LAST UNDERTAKEN IN 12/09 FOR THE POSITION OF VP, SPIRITUAL LIFE & WHOLENESS HELD BY WINSLOW, GERALD. THIS PROCESS WAS LAST UNDERTAKEN IN 12/09 FOR THE POSITION OF SVP, ADMINISTRATOR, UNIVERSITY HOSPITAL & SVP, ANCILLARY CLINICAL SERVICES HELD BY FONTOURA, DANIEL ELBIO. THIS PROCESS WAS LAST UNDERTAKEN IN 12/09 FOR THE POSITION OF EVP, HUMAN RESOURCES AND RISK MANAGEMENT HELD BY HUBBARD, MARK LEE. THIS PROCESS WAS LAST UNDERTAKEN IN 12/09 FOR THE POSITION OF VP, PATIENT CARE SERVICES HELD BY DICKINSON, ELIZABETH JANE. FORM 990, PART VI, SECTION C, LINE 18 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 19 LLUMC 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. LLUMC MAKES ITS UN-AUDITED QUARTERLY FINANCIAL STATEMENTS AND YEAR-END AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC PURSUANT TO ITS CONTINUING DISCLOSURE AGREEMENTS WITH BONDHOLDERS. FORM 990, PART VII, LINE 1A: 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. LANG, KEVIN J. - 35 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER, 8.75 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY, 3.75 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY HEALTH CARE AND 2.5 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER. MOHR, STEVEN LAWRENCE - 45 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER AND 5 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER. DICKINSON, ELIZABETH JANE - 50 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER. FONTOURA, DANIEL ELBIO - 50 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER. HUBBARD, MARK LEE - 40 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER AND 10 HOURS/WEEK DEVOTED TO LLUAHSC'S RISK MANAGEMENT DEPARTMENT. JACKSON, MICHAEL HENDERSON - 50 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER. MOCK, FURMAN JESSE - 50 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER. SARRAFIAN, ZAREH HOVIK - 50 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER. SAUDER, MELVIN D. - 50 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER. SCHMIDT, CYNTHIA J. - 50 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERISTY MEDICAL CENTER. WINSLOW, GERALD - 47.5 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER AND 2.5 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY HEALTH SERVICES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,588,750. AUDIT ADJUSTMENT BOOKED DIRECTLY TO FUND BALANCE -29,834,550. TOTAL TO FORM 990, PART XI, LINE 5: -28,245,800. FORM 990, PART XII, LINE 2B: THE FINANCIAL STATEMENTS OF LOMA LINDA UNIVERSITY MEDICAL CENTER 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 2C: LLUMC 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. 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