Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
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| Return Reference | Explanation |
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| SCHEDULE E LINE 3 | IN CONCERT WITH SOLICITATIONS FOR ITS INAUGURAL MEDICAL CLASS, THE ORGANIZATION PUBLISHED NOTICE OF ITS NONDISCRIMINATION POLICY ON FEBRUARY 14, 2014 IN THE LOS ANGELES TIMES, A NEWSPAPER OF GENERAL CIRCULATION THAT SERVES ALL RACIAL SEGMENTS OF THE UNIVERSITY'S COMMUNITY IN ACCORDANCE WITH REVENUE PROCEDURE 75-50. |
| SCHEDULE E, LINE 4A-D | THE MEDICAL SCHOOL IS STILL IN THE DEVELOPMENT PHASE. THE FOLLOWING RECORDS WILL BE MAINTAINED: 1. RECORDS INDICATING THE RACIAL COMPOSITION OF THE STUDENT BODY, FACULTY, AND ADMINISTRATIVE STAFF. 2. RECORDS DOCUMENTING THAT SCHOLARSHIPS AND OTHER FINANCIAL ASSISTANCE ARE AWARDED ON A RACIALLY NONDISCRIMINATORY BASIS. 3. COPIES OF ALL CATALOGUES, BROCHURES, ANNOUNCEMENTS, AND OTHER WRITTEN COMMUNICATIONS TO THE PUBLIC DEALING WITH STUDENT ADMISSIONS, PROGRAMS AND SCHOLARSHIPS. 4. COPIES OF ALL MATERIAL USED BY THE ORGANIZATION OR ON ITS BEHALF TO SOLICIT CONTRIBUTIONS. |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | BEFORE FILING, FORM 990 AND SUPPLEMENTAL INFORMATION TO FORM 990 IS SENT TO ALL BOARD MEMBERS FOR THEIR REVIEW, QUESTIONS AND COMMENTS. |
| FORM 990, PART VI, SECTION B, QUESTION 12C | THE CONFLICT OF INTEREST POLICY IS MONITORED BY GIVING AN INTERESTED PERSON THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES AND COMMITTEES MEMBERS. ANY POTENTIAL OR PERCEIVED CONFLICT OF INTEREST WILL BE A REGULAR ITEM IN THE BOARD AGENDA AND PERIODICALLY DISCUSSED BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION A, LINE 7A | One Board seat is filled, ex officio, by the Chair of the Board of Supervisors of San Bernardino County. PRIME HEALTHCARE FOUNDATION, INC. ("PHF"), A DELAWARE NONPROFIT, NON-STOCK CORPORATION EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS SOLE MEMBER OF THE ORGANIZATION, Has the right to appoint five trustees, PROVIDED, HOWEVER, THAT NO MORE THAN 49% OF THE BOARD AS A WHOLE MAY SIMULTANEOUSLY BE A DIRECTOR, EXECUTIVE OFFICER OR EMPLOYEE OF PHF. THE BOARD, BY MAJORITY VOTE OF THE FULL BOARD, ELECTS THE THREE REMAINING TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | ACTIONS REQUIRING CONSENT OF PHF INCLUDE: (a) The sale, lease, exchange or other disposition of all or substantially all of the ORGANIZATION's property by any means, including but not limited to transfers of assets or a corporate merger or other transaction, whether or not in the ordinary course of business; (b) The sale, lease, exchange or other disposition of any asset or group of similar assets owned by the ORGANIZATION with a combined fair market value in excess of $250,000; (c) The licensing or other transfer of intellectual property (or rights thereto) of the ORGANIZATION for consideration of any kind to any other party, except where the licensing or other transfer is "substantially related" to the ORGANIZATION's exempt purposes within the meaning of Section 513 of the InteRNal Revenue Code; and/or (d) The assumption or creation of any indebtedness of the ORGANIZATION in an amount exceeding $500,000, whether or not in the ordinary course of business. (e) The repeal or amendment of the Articles of Incorporation or Bylaws which would have an effect described in section 5150(a) of the California Nonprofit Public Benefit Corporation Law. For the avoidance of doubt, without limiting the foregoing, the consent of PHF shall not be required with respect to the Board's control over the activities and affairs of the ORGANIZATION as an educational institution, including student entrance requirements and acceptance decisions, graduation requirements, faculty control over the curriculum, the protection of academic freedom, and the hiring, oversight and evaluation of the President. |
| FORM 990, PART VI, SECTION A, LINE 2 | Dr. PREM Reddy and Dr. Kavitha Bhatia have a family relationship. Dr. PREM Reddy, Troy Schell, Mike Heather, and Dr. Kavitha Bhatia have a business relationship. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION'S ARTICLES OF INCORPORATION HAVE BEEN AMENDED AND RESTATED. THE SIGNIFICANT CHANGES TO THE ARTICLES OF INCORPORATION ARE AS FOLLOWS: - THE SPECIFIC PURPOSE CLAUSE IN THE ARTICLES OF INCORPORATION WAS UPDATED TO REFLECT THE ORGANIZATION'S CURRENT EXEMPT ACTIVITIES, NAMELY THE DEVELOPMENT AND OPERATION OF A HEALTH AND LIFE SCIENCES UNIVERSITY, INCLUDING COLLEGES, AND A RESEARCH INSTITUTE. THE EXEMPT PURPOSE OF THESE INSTITUTIONS AS WELL AS THE ORGANIZATION'S ORIGINALLY PLANNED GRADUATE SCHOOL OF MEDICINE, REMAINS THE SAME: TO EDUCATE FUTURE PHYSICIANS AND MEDICAL SUPPORT PERSONNEL AND CONDUCT MEDICAL RESEARCH AND/OR WORK WITH RESEARCH ORGANIZATIONS TO FURTHER THE SCIENCE AND ART OF MEDICINE. ADDITIONALLY, THE SPECIFIC PURPOSE CLAUSE WAS AMENDED TO CLARIFY THAT THE ORGANIZATION MAY ENGAGE IN ANY ACTIVITIES THAT ARE REASONABLY RELATED TO OR IN FURTHERANCE OF ITS STATED PURPOSES. - THE ORGANIZATION NOW HAS A SOLE MEMBER, PRIME HEALTHCARE FOUNDATION, INC. ("PHF"), A DELAWARE NONPROFIT, NON-STOCK CORPORATION EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION'S BYLAWS HAVE BEEN AMENDED AND RESTATED. THE SIGNIFICANT CHANGES TO THE BYLAWS ARE AS FOLLOWS: - THE SPECIFIC PURPOSE, VISION, AND MISSION STATEMENT WERE ADDED. THE SPECIFIC PURPOSE IS CONSISTENT WITH THE SPECIFIC PURPOSE INCLUDED IN THE ARTICLES OF INCORPORATION ABOVE. - THE ORGANIZATION NOW HAS A SOLE MEMBER, PHF. THE RIGHTS AND PRIVILEGES OF THE SOLE MEMBER HAVE BEEN ADDED. PLEASE REFER TO THE RESPONSES TO FORM 990, PART VI, SECTION A, LINES 7A AND 7B FOR ADDITIONAL INFORMATION REGARDING PHF'S RIGHTS AS SOLE MEMBER OF THE ORGANIZATION. - THE NUMBER OF TRUSTEES HAS BEEN INCREASED TO NINE AND THE SELECTION PROCESS HAS BEEN UPDATED AS SET FORTH IN THE RESPONSE TO FORM 990, PART VI, SECTION A, LINE 7A. THE TERMS OF OFFICE FOR SOME OF THE TRUSTEES HAS CHANGED AS WELL AS THE PROCESS FOR REMOVAL. - THE BYLAWS NOW PROVIDE FOR THE FOLLOWING ADDITIONAL OFFICER POSITIONS: CHAIR OF THE BOARD AND PROVOST. - THE BYLAWS NOW PROVIDE FOR THE FOLLOWING STANDING COMMITTEES: ACADEMIC AFFAIRS COMMITTEE, AUDIT COMMITTEE, FINANCE COMMITTEE, AND NOMINATING COMMITTEE. |
| FORM 990, PART VI, SECTION A, LINE 6 | PHF became the sole member of the Organization on February 22, 2016. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE ORGANIZATION USES A BENCHMARK BASED ON AAMC PUBLISHED DATA ON COMPENSATION FOR FACULTY AND DEANS. |
| FORM 990, PART III, LINE 2 | PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENT DESCRIPTIONS INCLUDED ON FORM 990, PART III, LINES 4A - 4C. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:46723 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING AND MGMT FEES TOTAL FEES:32456 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:10552 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DEVELOPMENT FEES TOTAL FEES:1856983 |
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