TY 2017 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) BEARDSLEY-HARDY LISA...................................................................... TRUSTEE	0.50 .................	X		0	0
(2) CHANG SHIRLEY...................................................................... TRUSTEE	0.50 .................	X		0	0
(3) CHINNOCK RICHARD E...................................................................... CMO	0.50 .................	X	X	365,914	40,100
(4) CHRISPENS JERE...................................................................... TRUSTEE	0.50 .................	X		0	0
(5) COLON WILFREDO...................................................................... TRUSTEE	0.50 .................	X		0	0
(6) DODDS SHERYL...................................................................... TRUSTEE	0.50 .................	X		0	0
(7) FILLER STEVEN...................................................................... TRUSTEE	0.50 .................	X		0	0
(8) GRAHAM RICARDO...................................................................... TRUSTEE	0.50 .................	X		0	0
(9) HADLEY HENRY ROGER...................................................................... TRUSTEE	0.50 ................. 49.50	X		494,716	58,224
(10) HART RICHARD HENRY...................................................................... PRESIDENT	0.50 ................. 49.50	X	X	515,854	56,739
(11) HEGSTAD DOUGLAS...................................................................... TRUSTEE	0.50 .................	X		315,000	40,100
(12) HEINRICH KERRY L...................................................................... CEO	0.50 ................. 49.50	X	X	1,139,621	69,360
(13) JACKSON DAN...................................................................... TRUSTEE	0.50 .................	X		0	0
(14) JOHNSON MARK...................................................................... TRUSTEE	0.50 .................	X		0	0
(15) KIDDER MELISSA...................................................................... TRUSTEE	0.50 .................	X		130,143	7,000
(16) LANDLESS PETER...................................................................... TRUSTEE	0.50 .................	X		0	0
(17) LEMON THOMAS...................................................................... TRUSTEE	0.50 .................	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) LEMON ROBERT........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(19) MARTIN ROBERT........................................................................ TRUSTEE	0.50 .......................	X				0	639,100	41,100
(20) MINOR PATRICK........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(21) MOORE LARRY........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(22) NG GT........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(23) PEVERINI RICARDO L........................................................................ TRUSTEE	0.50 .......................	X				0	388,750	40,100
(24) PRESTOL-PUESN JUAN........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(25) REINER SCOTT........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(26) RUCKLE HERBERT........................................................................ TRUSTEE	0.50 .......................	X				0	381,875	41,600
(27) SHIM EUNMEE........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(28) SMITH RON........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(29) TREVINO MAX........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(30) TSAO ERIC........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(31) WERNER TOM........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(32) WILLIAMS DAVID........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(33) WILSON TED........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(34) WOODRUFF ROGER........................................................................ TRUSTEE	0.50 .......................	X				0	270,000	40,100
(35) HANNAMYRNA LEE........................................................................ CORPORATE SECRETARY	0.50 .......................49.50		X			0	170,939	29,591
(36) HUBBARD MARK LEE........................................................................ ASST. CORPORATE SECRETARY	0.50 .......................49.50		X			0	605,165	64,099
(37) HUGGINS ORLANDO........................................................................ ASST. CORPORATE SECRETARY	0.50 .......................49.50		X			0	175,841	32,813
(38) LALAS ANGELA MANALO........................................................................ CFO AS OF 5/21/18/PRIOR SVP FINANCE	0.50 .......................49.50		X			0	570,934	59,761
(39) LANG KEVIN J........................................................................ CFO UNTIL 3/31/2018	5.00 .......................45.00		X			0	1,089,235	73,189
(40) PERRYMAN SCOTT........................................................................ SVP/ADMINISTRATOR	50.00 .......................0.00		X			557,082	0	49,000
(41) SMITH WHITNEY P........................................................................ ASST. CORPORATE SECRETARY	5.00 .......................49.50		X			0	135,724	48,929
(42) STAPLES-EVANS HELEN........................................................................ CNO	50.00 .......................		X			329,378	0	54,292
(43) WRIGHT TREVOR G........................................................................ COO	0.50 .......................49.50		X			0	669,150	61,074
(44) ZIRKELBACH MARK HS EE........................................................................ CIO	50.00 .......................		X			0	453,188	45,720
(45) MOORE RONALD O........................................................................ DIRECTOR-PHARMACY INPATIENT	40.00 .......................			X		198,368	0	35,661
(46) NOLFE SHERRY LYNN........................................................................ EXEC. DIRECTOR-PATIENT CARE SVCS	40.00 .......................			X		186,606	0	33,688
(47) OTIANGA TRUPHOSA O........................................................................ EXEC. DIRECTOR-PATIENT CARE SVCS	40.00 .......................			X		155,407	0	26,807
(48) PAMELA B KLUG........................................................................ SUPERVISOR-PATIENT INPATIENT	40.00 .......................			X		217,383	0	38,058
(49) PERRY JONATHAN D........................................................................ AVP-FINANCE	40.00 .......................			X		169,678	0	16,738
(50) EISELE MELVIN ARTHUR........................................................................ VP ADMINISTRATION	0.50 .......................49.50			X		0	386,667	55,784
(51) LENO SONDRA........................................................................ VP FINANCE	0.50 .......................49.50			X		0	295,665	53,636
(52) DAVID R ZUNG........................................................................ SUPERVISOR-PHARMACY INPATIENT	40.00 .......................				X	189,007	0	32,406
(53) JILL M HILDESHEIM-HOWIE........................................................................ SVC LINE DIRECTOR-PERINATAL	40.00 .......................				X	194,893	0	32,950
(54) PRISCILLA R PEGIS........................................................................ CLINICAL NURSE	40.00 .......................				X	193,766	0	36,236
(55) SCOTT D GLENNY........................................................................ SUPERVISOR-PHARMACY INPATIENT	40.00 .......................				X	195,025	0	35,933
(56) ZAHAR AZADBADI........................................................................ PHARMACY SPECIALIST-CLINICAL	40.00 .......................				X	133,081	48,023	36,302

(A) Name and business address	(B) Description of services	(C) Compensation
LOMA LINDA UNIV SHARED SERVICES PO BOX 926 LOMA LINDA,CA92354	SUPPORT SERVICES	45,931,752
LOMA LINDA UNIV ADV HEALTH RISK MANAGEME 101 E REDLANDS BLVD SAN BERNARDINO,CA92408	INSURANCE	18,063,621
FACULTY PHYSICIANS AND SURGEONS 11175 CAMPUS ST 1120 LOMA LINDA,CA92350	MEDICAL DIRECTORS, TEAM CLINIC SUPPORT	17,578,559
MEDLINE INDUSTRIES INC DEPT LA 21558 PASADENA,CA911851558	MEDICAL PRODUCTS	8,647,950
LOMA LINDA INLAND EMPIRE CONSORTIUM PO BOX 926 LOMA LINDA,CA92354	PHYSICIAN SERVICES	6,668,374
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 84

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

LOMA LINDA UNIVERSITY CHILDREN'S
HOSPITAL

Employer identification number

46-3214504

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

LOMA LINDA UNIVERSITY CHILDREN'S
HOSPITAL

Employer identification number

46-3214504

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL		Employer identification number 46-3214504

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL			Employer identification number 46-3214504
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

LOMA LINDA UNIVERSITY CHILDREN'S
HOSPITAL

Employer identification number

46-3214504

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

693,500

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

693,500

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	THE CRITICAL NEED FOR HEALTH CARE REFORM IS APPARENT TO ALL AMERICANS. LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL ("LLUCH") 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 LLUCH'S ROLE IN DEVELOPING BENEFICIAL HEALTH CARE POLICIES, LLUCH WORKS TO ESTABLISH RELATIONSHIPS WITH REPRESENTATIVES AND INDUSTRY ASSOCIATIONS WHICH CAN BE UTILIZED TO COMMUNICATE LLUCH'S POSITIONS ON MAJOR HEALTH CARE ISSUES. NATIONAL AND LOCAL REPRESENTATIVES ARE CONTACTED BY LLUCH AT KEY TIMES DURING THE LEGISLATIVE AND REGULATORY PROCESS TO COMMUNICATE HOW PROPOSED LAWS MIGHT HELP OR IMPEDE LLUCH'S ABILITY TO PROVIDE COST-EFFECTIVE, QUALITY CARE TO PATIENTS. LLUCH 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 LLUCH ARE PRIMARILY THAT OF AN EDUCATOR TO GOVERNMENT AND INDUSTRY REPRESENTATIVES ON THE PROVISION OF QUALITY CARE AND THE RELATED COST OF SUCH CARE. LLUCH IS INVOLVED IN THIS EDUCATION PROCESS DUE TO ITS PROMINENCE IN THE HEALTH CARE FIELD INCLUDING PATIENT CARE, TEACHING, AND MEDICAL RESEARCH.

Return Reference

Explanation

PART II-B, LINE 1:

THE CRITICAL NEED FOR HEALTH CARE REFORM IS APPARENT TO ALL AMERICANS. LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL ("LLUCH") 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 LLUCH'S ROLE IN DEVELOPING BENEFICIAL HEALTH CARE POLICIES, LLUCH WORKS TO ESTABLISH RELATIONSHIPS WITH REPRESENTATIVES AND INDUSTRY ASSOCIATIONS WHICH CAN BE UTILIZED TO COMMUNICATE LLUCH'S POSITIONS ON MAJOR HEALTH CARE ISSUES. NATIONAL AND LOCAL REPRESENTATIVES ARE CONTACTED BY LLUCH AT KEY TIMES DURING THE LEGISLATIVE AND REGULATORY PROCESS TO COMMUNICATE HOW PROPOSED LAWS MIGHT HELP OR IMPEDE LLUCH'S ABILITY TO PROVIDE COST-EFFECTIVE, QUALITY CARE TO PATIENTS. LLUCH 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 LLUCH ARE PRIMARILY THAT OF AN EDUCATOR TO GOVERNMENT AND INDUSTRY REPRESENTATIVES ON THE PROVISION OF QUALITY CARE AND THE RELATED COST OF SUCH CARE. LLUCH IS INVOLVED IN THIS EDUCATION PROCESS DUE TO ITS PROMINENCE IN THE HEALTH CARE FIELD INCLUDING PATIENT CARE, TEACHING, AND MEDICAL RESEARCH.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LOMA LINDA UNIVERSITY CHILDREN'S
HOSPITAL

Employer identification number

46-3214504

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements	100,540,442	5,427,997	95,112,445
d	Equipment ....	11,736,512	5,132,746	6,603,766
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				101,716,211

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)ASSETS WHOSE USE IS LIMITED, NET OF CURRENT PORTION				237,306,657
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				237,306,657

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,205,683
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

THE EXPLANATION BELOW IS TAKEN FROM THE "COMBINED FINANCIAL STATEMENTS AND SUPPLEMENTARY INFORMATION" FOR LOMA LINDA UNIVERSITY MEDICAL CENTER AND AFFILIATES YEARS ENDED JUNE 30, 2018 AND JUNE 30, 2017. THE PRINCIPAL OPERATIONS OF LLUCH 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 LIABILITY FOR TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED OR NEEDED TO BE ACCRUED AT JUNE 30, 2018 OR 2017. LLUMC CURRENTLY FILES FORM 990 (INFORMATIONAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAXES) AND FORM 990-T (BUSINESS INCOME TAX RETURN FOR AN EXEMPT ORGANIZATION) IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA FOR EACH TAX-EXEMPT ORGANIZATION AS APPROPRIATE. LLUMC IS NOT SUBJECT TO INCOME TAX EXEMINATION PRIOR TO 2014 IN MAJOR JURISDICTIONS. THE TAX CUTS AND JOBS ACT (THE ACT) WAS ENACTED ON DECEMBER 22, 2017. THE PROVISIONS OF THE ACT DO NOT HAVE A MATERIAL TAX EFFECT ON LLUMC'S COMBINED FINANCIAL STATEMENTS. CERTAIN REGULATORY GUIDANCE PROVIDES FOR A MEASUREMENT PERIOD OF UP TO ONE YEAR, DURING WHICH ACCOUNTING FOR THE TAX EFFECTS OF THE ACT MAY BE COMPLETED. LLUCH WILL CONTINUE TO EVALUATE THE IMPACT OF THE ACT AND MAY RECORD ADJUSTMENTS AS ADDITIONAL INFORMATION AND GUIDANCE IS RELEASED BY THE INTERNAL REVENUE SERVICE ON PROVISIONS OF THE ACT THAT IMPACTS TAX-EXEMPT ORGANIZATIONS.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LOMA LINDA UNIVERSITY CHILDREN'S
HOSPITAL

Employer identification number

46-3214504

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			824,723		824,723	0.180 %
b	Medicaid (from Worksheet 3, column a) . . . . .			349,924,351	331,456,682	18,467,669	4.030 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			105,222	61,807	43,415	0.010 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			350,854,296	331,518,489	19,335,807	4.220 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	15	13,520	489,465		489,465	0.110 %
f	Health professions education (from Worksheet 5) . . .			22,778,496		22,778,496	4.980 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .			10,691,008		10,691,008	2.340 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	5		163,332		163,332	0.040 %
j	Total. Other Benefits . .	20	13,520	34,122,301		34,122,301	7.470 %
k	Total. Add lines 7d and 7j .	20	13,520	384,976,597	331,518,489	53,458,108	11.690 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	5	350	76,438	76,438	0.020 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	5	700	92,343	92,343	0.020 %
8	Workforce development
9	Other
10	Total	10	1,050	168,781	168,781	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

4,951,000

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

894,150

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

629,555

Enter Medicare allowable costs of care relating to payments on line 5.....

1,283,500

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-653,945

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	LOMA LINDA UNIV CHILDREN'S HOSPITAL 11234 ANDERSON ST LOMA LINDA,CA92354	X	X	X	X	X	X	X

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	LOMA LINDA UNIV CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.LLUCH.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	LOMA LINDA UNIV CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

LLUH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

LLUH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
LLUH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	LOMA LINDA UNIV CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	LOMA LINDA UNIV CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
LOMA LINDA UNIV CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL PERFORMED A COMMUNITY HEALTH NEEDS ASSESMENT AND OBTAINED QUALITATIVE DATA IN ORDER TO VALIDATE AND ENSURE A BROAD REPRESENTATION OF THE COMMUNITY. THE DATA WAS GATHERED THROUGH MULTIPLE SOURCES SUCH AS EMPLOYEES WITHIN BOTH LOMA LINDA UNIVERSITY AND LOMA LINDA UNIVERSITY MEDICAL CENTER TO ASSESS COLLABORATION WITHIN THEIR SYSTEM; PHYSICIAN SURVEY TO IDENTIFY AREAS OF THE HEALTH SYSTEM THAT CAN SUPPORT THE HEALTH OF THEIR PATIENTS IN THEIR COMMUNITY INITIATIVES; SURVEY OF COMMUNITY AGENCIES SERVING OUR PRIMARY SERVICE AREA TO ASSESS THEIR NEEDS AND IDENTIFY AREAS WHERE LOMA LINDA UNIVERSITY HEALTH CAN BE A STRATEGIC PARTNER; KEY INFORMANT INTERVIEWS WITH COMMUNITY LEADERS TO ENGAGE THEM IN THE DEVELOPMENT OF OUR INTERVENTIONS AND SOLICIT THEIR INPUT TO IMPROVE THE HEALTH OF THE REGION; FOCUS GROUPS WITH PATIENTS ON HOW LLUMC CAN BETTER SERVE THE HEALTH NEEDS OF THE COMMUNITY.FOR PURPOSES OF THIS ASSESSMENT IT SHOULD BE NOTED THAT THE KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEY RESULTS ARE BASED ON A STRATIFIED RANDOM SAMPLE OF RESIDENTS THROUGHOUT THE INLAND EMPIRE OR A RANDOM SAMPLE OF EMPLOYEES IN EACH FACILITY. THE PERSPECTIVES CAPTURED IN THIS DATA SIMPLY REPRESENT THE COMMUNITY MEMBERS WHO ATTEND A FOCUS GROUP WITH AN INTEREST IN HEALTH CARE. SIMILARLY, THE PERSPECTIVES OF THE COMMUNITY PARTNERS CAPTURE IMPRESSIONS OF THOSE WHO WERE INVITED TO COMPLETE THE SURVEY ONLINE. THE KEY INFORMANTS WERE NOT CHOSEN BASED ON RANDOM SAMPLING TECHNIQUES, BUT INSTEAD INVITED BECAUSE THEIR COMMENTS REPRESENTED THE UNDERSERVED, LOW INCOME, MINORITY, AND CHRONOLOGICALLY ILL POPULATIONS. FINALLY, THIS ASSESSMENT RELIES ON SEVERAL NATIONAL AND STATE ENITITIES WITH PUBLICLY AVAILABLE DATA. ALL LIMITATIONS INHERENT IN THESE SOURCES REMAIN PRESENT FOR THIS ASSESSMENT.
LOMA LINDA UNIV CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS ISSUED BY LOMA LINDA UNIVERSITY HEALTH WHICH INCLUDES THE FOLLOWING FACILITIES:1) LOMA LINDA UNIVERSITY MEDICAL CENTER2) LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL3) LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER4) LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETATHE REPORT IS PUBLICALLY AVAILABLE ON THE MEDICAL CENTER'S WEBSITE: HTTPS://LLUH.ORG/ABOUT-US/COMMUNITY-BENEFIT/REPORTS-AND-RESOURCES. PAPER COPY OF ANNUAL COMMUNITY BENEFIT REPORT, COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN 2017-2019 ARE AVAILABLE BOTH ONLINE AND UPON REQUEST.
LOMA LINDA UNIV CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 7D: DISTRIBUTED AT COMMUNITY MEETINGS AND USED AS A REFERENCE FOR THE DEPARTMENT OF PUBLIC HEALTH'S COMMUNITY HEALTH NEEDS ASSESSMENT.
LOMA LINDA UNIV CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: OUR OFFICE FOR COMMUNITY BENEFIT IS CURRENTLY WORKING ON UPDATING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA 2019) FOR OUR SERVICE AREA AND BROADER COMMUNITY. THE CHNA FINDINGS AND OUR INSTITUTIONS IMPLEMENTATION STRATEGY (2020-2022) WILL BE AVAILABLE IN THE 990 SCHEDULE H FILINGS FOR FISCAL YEAR 2019.THE PREVIOUS CHNA WAS CONDUCTED IN 2016. DETAILED PLANS FOR EACH LICENSED HOSPITAL WERE CREATED TO MEET THE IDENTIFIED COMMUNITY NEEDS, AND ADDRESS COMMUNITY PLANS TO ADDRESS NEEDS THE HOSPITALS ARE UNABLE TO PROVIDE. WORKING AS A COHESIVE GROUP TO GATHER AND ANALYZE DATA FOR VARIOUS SERVICE AREAS WAS VITAL. A THREE-TIERED DATA COLLECTION METHOD WAS USED AND INCLUDED THE COLLECTION AND ANALYSIS OF HEALTH INDICATORS, FOCUS GROUP SESSIONS AND A QUALITY OF LIFE SURVEY (QOL). PRIMARY AND SECONDARY HEALTH INDICATOR DATA WAS ASSESSED, BRINGING AREAS OF NEED TO THE FOREFRONT. FOCUS GROUPS WERE HELD IN EIGHT DIFFERENT LOCATIONS, BRINGING TOGETHER SEVERAL COMMUNITY LEADERS, HOSPITALS EXECUTIVES, BOARD REPRESENTATIVES, AND MEMBERS OF THE COMMUNITY. ALLOWING COMMUNITY MEMBERS TO COME TOGETHER TO DISCUSS POINTS OF CONCERN, RESOURCES, POSITIVE CHANGES THAT HAVE BEEN MADE AND AREAS OF IMPROVEMENT WAS EXTREMELY EFFECTIVE. ADDITIONALLY, UNDERSTANDING THE CONCERNS OF THE INDIVIDUALS WHO LIVE AND WORK IN THE INLAND EMPIRE ALLOWED FOR DISCUSSION AND POSITIVE BRAIN STORMING. MASS DISTRIBUTION OF A QOL SURVEY WAS DISSEMINATED ACROSS THE INLAND EMPIRE.IN ADDITION TO IDENTIFYING RESPONDENT'S VIEWS ON VARIOUS COMMUNITY ISSUES AND HEALTH BEHAVIORS, THE SURVEY SERVES AS AN INSTRUMENT TO PRIORITIZE NEXT STEPS. HEALTH INDICATORS (HOSPITALIZATIONS, SOCIAL DETERMINANTS OF HEALTH, DISCHARGES, MATERNAL AND CHILD HEALTH, MORTALITY AND MORBIDITY) WERE GATHERED FROM MULTIPLE PRIMARY AND SECONDARY PUBLIC DATA SOURCES. DATA WAS ABSTRACTED AND TRANSFERRED INTO AN EXCEL SPREADSHEET AND CLEANED. ALGORITHMS AND FORMULAS WERE CREATED IN SPREADSHEETS TO CHECK DATA FOR ACCURACY. ONCE DATA WAS CLEANED, IT WAS TRANSFERRED TO A STATA DATABASE USING STAT TRANSFER 10 AND WAS THEN ANALYZED. DATA ELEMENTS WERE STRATIFIED BY GENDER, AGE GROUPS, RACE/ETHNICITY AND LOCATION. PERCENTAGES AND RATES WERE CALCULATED AND ANALYZED FOR STATISTICAL SIGNIFICANCE. CONFIDENCE INTERVALS WERE USED TO SHOW THE DIFFERENCES IN THE OUTCOMES FOR SPECIFIC INDICATORS DISPLAYED IN BAR GRAPHS AND IN TABLES. THE QOL SURVEY WAS DESIGNED TO GAIN ANONYMOUS FEEDBACK FROM THOSE WHO LIVE AND WORK IN THE INLAND EMPIRE. THE SURVEY WAS DESIGNED TO BE ADMINISTERED ELECTRONICALLY THROUGH SURVEY MONKEY AND ALSO TO BE COMPLETED AS A PAPER DOCUMENT. THE QOL SURVEY WAS DISTRIBUTED IN VARIOUS FORMS INCLUDING, EMAIL LISTS, PAPER COPIES, MANY OF WHICH WERE PASSED OUT AT FOCUS GROUPS, LINKS ON SOCIAL MEDIA PAGES AND ALSO GIVEN AT HEALTH CARE FACILITIES. SPANISH VERSIONS WERE AVAILABLE FOR THOSE WHOSE FIRST LANGUAGE WAS NOT ENGLISH.THE REGIONAL CHNA WAS APPROVED AND FINALIZED ON APRIL 5, 2016 FOR ALL LICENSED HOSPITALS AND THE OTHER HASC MEMBER HOSPITALS. THE CHNA REPORT IS A CRITICAL TOOL FOR LLUH HOSPITALS TO DEVELOP COMMUNITY BASED HEALTH PLANS AND INITIATIVE IN ADDITION TO THE REGULATORY REQUIREMENTS (CALIFORNIA'S COMMUNITY BENEFIT LEGISLATION - SB 697) AND THE AFFORDABLE CARE ACT - H.R. 3590). THE CHNA REPORT INCLUDED TOP DIAGNOSIS-RELATED GROUP (DRG) DISCHARGES FOR LLUH SERVICE AREAS (TOP 6 FOR LLUH: PSYCHOSES, SEPTICEMIA, JOINT REPLACEMENT, HEART FAILURE & SHOCK, DIGESTIVE DISORDER AND PNEUMONIA & PLEURISY). OUR INITIATIVES AND PROGRAMS WILL CONTINUE TO PROVIDE COMMUNITY MEMBERS WITH EDUCATION AND SUPPORT FOR POST DISCHARGE CARE. THE CHNA CONTINUES TO SUPPORT AND FULFILL LLUH'S MISSION: TO FURTHER THE TEACHING AND HEALING MINISTRY OF JESUS CHRIST. A WRITTEN PUBLIC RECORD OF THE CHNA PROCESS ALONG WITH THE LLUH COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) AND ITS OUTCOMES WAS CREATED AND MADE AVAILABLE TO KEY STAKEHOLDERS IN THE COMMUNITY AND TO THE GENERAL PUBLIC. CHNA INFORMATION WILL BE DISSEMINATED TO PARTNERS AT MEETINGS, CONFERENCES, AND OTHER FUNCTIONS. IN ADDITION, THE REPORT IS PUBLICLY AVAILABLE ONLINE THROUGH FOR INTERNAL AND EXTERNAL PURPOSES. LLUH IS ACTIVELY INVOLVED IN THE DEVELOPMENT OF COUNTYWIDE INITIATIVES. LLUH WAS HIGHLIGHTED THE COUNTY HEALTH RANKINGS FOR THEIR COLLABORATIVE WORK IN THE SAN BERNARDINO COUNTY. LLUH CONTINUES TO IDENTIFY THE AREAS OF GREATEST NEEDS AND STRATEGICALLY INTEGRATES HEALTH AND WELLNESS PROGRAMS TO ADDRESS THE COMMUNITY NEEDS. LLUH IS ROOTED IN PROMOTING WHOLENESS AND OUR COMMUNITY BENEFIT INVESTMENTS ARE DESIGNED TO SUPPORT THE COMMUNITY NEEDS. THE INITIATIVE AND PROGRAMS INCLUDES AN UNDERSTANDING OF THE COMMUNITY HEALTH STATUS AND THE BUILT-IN ENVIRONMENT FOR OUR HEALTH SYSTEM'S READINESS TO MEET THE NEEDS OF OUR COMMUNITY.
LOMA LINDA UNIV CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 13H: NUMBER OF FAMILY MEMBERS.
LOMA LINDA UNIV CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 16J: POLICY POSTED ON THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCHEDULE H SECTION C	LLUCH DISCLOSURESPURSUANT TO TREASURY REGULATION SECTION 1.501(R)-3(B)(5)(I)(C), LLUCH MUST TAKE INTO ACCOUNT PUBLIC COMMENTS RECEIVED ON FACILITY'S CHNA AND IMPLEMENTATION STRATEGY (IS). IN 2016, LLUCH RECEIVED FEEDBACK FROM THE COMMUNITY SERVED VIA FOCUS GROUPS THAT WERE INCLUDED IN THE 2016 CHNA REPORT. THE COMMUNITY BENEFIT ADVISORY COUNCIL (CBAC) WAS CREATED IN 2012; MEMBERS INCLUDE LLUH LEADERSHIP, COUNTY LEADERSHIP, COMMUNITY-BASED ORGANIZATION LEADERS AND POPULATION HEALTH PHYSICIANS. STARTING JULY 1, 2017, THE INSTITUTION CREATED COMMUNITY BENEFIT STEERING COMMITTEE (CBSC) IN ADDITION TO THE CBAC, TO RECEIVE ONGOING FEEDBACK AND SHARE THE COMMUNITY BENEFIT ACTIVITIES. THE CBSC HAS GROUP OF COMMUNITY LEADERS, COMMUNITY REPRESENTATIVES, HEALTH CARE PROFESSIONALS AND PUBLIC HEALTH PROFESSIONALS FROM OUR COMMUNITY. THE MEMBERS WILL CONTRIBUTE TO LOMA LINDA UNIVERSITY HEALTH'S EFFORTS TO BETTER UNDERSTAND THE NEEDS OF OUR COMMUNITY; AND EVALUATE OUR COMMUNITY BENEFIT INITIATIVES ON AN ONGOING BASIS. THE COMMITTEE ALSO HAS AN INTEGRAL ROLE IN CHNA AND ADVISES THE ORGANIZATION ON THE IS. LLUCH'S COMMUNITY BENEFITS TEAM HAS DEVELOPED A PROCESS AND DOCUMENTATION TO ENSURE STRONGER COMMUNITY INVOLVEMENT IN ITS CHNA AND IS.PURSUANT TO TREASURY REGULATION SECTION 1.501(R)-3(C), LLUCH MUST ADOPT AN IMPLEMENTATION STRATEGY TO DESCRIBE HOW THE HOSPITAL FACILITY WILL AND WILL NOT ADDRESS THE SIGNIFICANT HEALTH NEEDS AS IDENTIFIED IN THE CHNA. THE COMMUNITY HEALTH PLAN REPORT 2017-2019 (ALSO KNOWN AS THE IMPLEMENTATION STRATEGY) DETAILED THE SIGNIFICANT HEALTH NEEDS IT WOULD ADDRESS. TO ENSURE ALL REGULATORY REQUIREMENTS ARE MET, THE COMMUNITY BENEFIT 2016 REPORT, COMMUNITY HEALTH NEEDS ASSESSMENT 2016 REPORT AND COMMUNITY HEALTH PLAN 2017-2019 REPORT, WERE AUDITED BY EXTERNAL AGENCY AND LEGAL ADVISORS. ALL GENERAL GUIDELINES AND REQUIREMENTS WERE MET FOR THE INSTITUTION. HOWEVER, THE REPORT DID NOT CLEARLY INCLUDE THE ANTICIPATED IMPACT OF THE ACTIONS, THE RESOURCES TO BE COMMITTED TO ADDRESSING THE NEEDS, AND ALL THE COLLABORATION EFFORTS IT INTENDS TO TAKE WITH OTHER ORGANIZATIONS. LLUCH ALSO DID NOT CLEARLY LIST AND RATIONALIZE THE SIGNIFICANT HEALTH NEEDS THEY WOULD NOT BE ADDRESSING. IN MARCH 2018, LLUCH PUBLISHED A REVISED COMMUNITY HEALTH IMPLEMENTATION STRATEGY 2017-2019 THAT WAS ADOPTED BY THE ORGANIZATION. LLUCH'S COMMUNITY BENEFIT REPORTING TEAM HAS UPDATED ITS INTERNAL PROCESSES TO ENSURE FUTURE REPORTS MEET THE REQUIREMENTS.HOWEVER, PURSUANT TO IRS REVENUE PROCEDURE 2015-21, LLUCH AND ALL AFFILIATED HOSPITALS UNDER THE LOMA LINDA UNIVERSITY HEALTH UMBRELLA ARE FOLLOWING CERTAIN PROCEDURES TO CORRECT AND IMPROVE UPON ITS CURRENT COMPLIANCE WITH 501 (R) REGULATIONS BY REVIEWING ON A CONCURRENT BASIS ALL POLICIES AND PROCEDURES AS IT PERTAINS TO OUR CHNA, FINANCIAL ASSISTANCE POLICY AND BILLING & COLLECTION POLICY. WE HAVE IDENTIFIED AREAS WHERE CORRECTIVE ACTION IS BEING TAKEN TO BRING ABOUT GREATER TRANSPARENCY WITH THE COMMUNITY WE SERVE. WE BELIEVE OUR COMMUNITY MUST HAVE THE MOST CURRENT INFORMATION AVAILABLE TO MAKE BETTER INFORMED DECISIONS ABOUT THE AVAILABLE OF HEALTHCARE RESOURCES AVAILABLE IN MEETING THEIR RESPECTIVE HEALTHCARE NEEDS. THIS IN TURN GIVES GREATER COMMUNITY AWARENESS OF OUR MISSION, "TO CONTINUE THE HEALING AND TEACHING MINISTRY OF JESUS CHRIST". UNDER OUR FINANCIAL ASSISTANCE POLICY, WE HAVE ESTABLISHED AN ANNUAL DEADLINE FOR UPDATING OUR EXISTING POLICIES AND OUR POLICY UPDATES ARE ADOPTED ACROSS ALL HOSPITALS AT THE SAME TIME. WE ARE FURTHER REVISING OUR FINANCIAL APPLICATION FORM AND PROCESS TO; 1) INCLUDE THE MOST CURRENT CONTACT INFORMATION, CHANGES IN TELEPHONE NUMBERS, IF ANY, 2) PHYSICAL LOCATION OF THE FACILITY OFFICE OR DEPARTMENT, OR AGENCY THAT CAN PROVIDE ASSISTANCE WITH THE FAP APPLICATION PROCESS AND 3) PROVIDING A GENERAL DESCRIPTION AND STEPS ON HOW AN INDIVIDUAL APPLIES FOR FINANCIAL ASSISTANCE AND THE PROCESS AN INDIVIDUAL GOES THROUGH WHEN APPLYING FOR ASSISTANCE UNDER THE FAP, 4) COLLECTIVELY LOOK AT ALTERNATIVE CHANNELS OF DISSEMINATING AND MARKETING OUR FAP AMONG OUR COMMUNITY IN A MORE DEFINED PROCESS THAN TRADITIONAL MEANS OF COMMUNICATION. OUR MOST RECENT FAP AS WELL AS A SAMPLE APPLICATION CAN BE FOUND AT WEBSITE LISTED ON PART V. LINE 16A.UNDER OUR BILLING AND COLLECTIONS POLICY, WE HAVE ALSO ESTABLISHED AN ANNUAL DEADLINE FOR UPDATING OUR EXISTING POLICIES AND OUR POLICY UPDATES ARE ADOPTED ACROSS ALL HOSPITALS AT THE SAME TIME. WE ARE FURTHER REVISING OUR BILLING AND COLLECTIONS POLICY TO; 1) IMPROVE RESPONSIVE EFFICIENCY WITH ELIGIBILITY / INELIGIBILITY AND INCOMPLETE APPLICATIONS, 2) COORDINATING BILLING ACTIONS BEYOND THE APPLICATION PERIOD, AND 3) EXPEDITING THE APPLICATION PROCESS.
PART III, LINE 2:	PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. SEE FOOTNOTE TO 2018 LLUMC'S FINANCIAL STATEMENTS, PAGE 12 & 13, NOTES TO COMBINED FINANCIAL STATEMENTS.
PART III, LINE 3:	ESTIMATED AMOUNT OF BAD DEBT EXPENSE REPORTED FOR PATIENTS ELIGIBLE UNDER LLUCH'S FINANCIAL ASSISTANCE POLICY IS DERIVED BY DEVELOPING A COST-TO-CHARGE RATIO OF 18.06% (ADJUSTED PATIENT CARE COSTS/GROSS PATIENT CHARGES) AND MULTIPLYING AGAINST BAD DEBT EXPENSE. LLUCH'S ESTIMATED COSTS OF CARE FOR ELIGIBLE PATIENTS REPRESENT THE AMOUNT OF BAD DEBT EXPENSE RELATED TO COMMUNITY BENEFIT. THE RATIONALE FOR THIS METHODOLOGY IS THAT ELIGIBLE PATIENTS WILL QUALIFY FOR DEEPLY DISCOUNTED OR FULLY DISCOUNTED PAYMENT FINANCIAL ASSISTANCE THAT WOULD RESULT IN ADJUSTED CHARGES THAT ARE COMPARABLE WITH ACTUAL COST.
PART III, LINE 4:	FOOTNOTE TO 2018 LLUMC'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS FOUND ON PAGES 12 & 13, NOTES TO COMBINED FINANCIAL STATEMENTS.
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 2018 MEDICARE COST REPORT.
PART III, LINE 9B:	AS A FAITH BASED ORGANIZATION, LLUMC STRIVES TO MEET THE HEALTH CARE NEEDS OF PATIENTS IN ITS GEOGRAPHIC SERVICE AREA. THE FIRST AND FOREMOST RESPONSIBILITY OF LLUCH IS TO SEE THAT ITS PATIENTS RECEIVE COMPASSIONATE, TIMELY, AND APPROPRIATE MEDICAL CARE WITH CONSIDERATION FOR PATIENT PRIVACY, DIGNITY, AND INFORMED CONSENT.ELIGIBILITY UNDER THE LLUCH FINANCIAL ASSISTANCE POLICY IS PROVIDED FOR ANY PATIENT WHOSE FAMILY INCOME IS LESS THAN 350% OF THE CURRENT FEDERAL POVERTY LEVEL, IF NOT COVERED BY THIRD PARTY INSURANCE OR, IF COVERED BY THIRD PARTY INSURANCE WHICH DOES NOT RESULT IN FULL PAYMENT OF THE ACCOUNT.
PART VI, LINE 3:	LLUCH 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 LLUCH, INCLUDING BUT NOT LIMITED TO, THE EMERGENCY DEPARTMENT, BILLING OFFICE, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS OR OTHER COMMON PATIENT WAITING AREAS OF LLUCH. 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 LLUCH'S SERVICE AREA.2) A COPY OF THIS CHARITY CARE/DISCOUNT PAYMENT POLICY WILL BE MADE AVAILABLE TO THE PUBLIC UPON REASONABLE REQUEST. LLUCH WILL RESPOND TO SUCH REQUESTS IN A TIMELY MANNER.
PART VI, LINE 4:	LLUCH'S PRIMARY MARKET AREA CAN BE DEFINED, BROADLY, AS CALIFORNIA'S INLAND EMPIRE - RIVERSIDE AND SAN BERNARDINO COUNTIES. THE INLAND EMPIRE IS A REGION SITUATED DIRECTLY EAST OF THE LOS ANGELES METROPOLITAN AREA. ITS 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, SERVES A LITTLE OVER 4 MILLION PEOPLE. MORE THAN 90% OF THE LLUCH'S PATIENTS COME FROM THESE TWO COUNTIES. THE SOUTHERN CALIFORNIA ASSOCIATION OF GOVERNMENTS FORECASTS THAT THE INLAND EMPIRE, WHICH IS COMPRISED OF RIVERSIDE AND SAN BERNARDINO COUNTIES, WILL GROW BY 1.7 MILLION BETWEEN 2000 AND 2020.
PART VI, LINE 5:	IN 2016/2017 LLUH UPDATED THEIR COMMUNITY HEALTH IMPLEMENTATION STRATEGY FOR 2017 - 2019. FULL DRAFT OF THE REPORT IS AVAILABLE ON THE MEDICAL CENTER'S WEBSITE (HTTPS://LLUH.ORG/ABOUT-US/COMMUNITY-BENEFIT). LLUH COMMUNITY BENEFIT PROGRAM WILL SPECIFICALLY INCLUDE EVALUATION-BASED COMMUNITY PROGRAMS AND INITIATIVES TO ADDRESS THE PRIMARY CONCERNS OF THE COMMUNITY. THE RECENT UPDATE TO THE CHIS 2017-2019, INCLUDES THE PLAN REGARDING ALLOCATING SPECIFIC RESOURCES TO THE INSTITUTION'S COMMUNITY BENEFIT PROGRAM. FROM A SOCIAL DETERMINATES OF HEALTH, LLUH INVESTING PRIMARILY IN PROGRAMS THAT ARE FOCUSED TOWARDS SUPPORTING AND ENHANCING EDUCATION AND WORKFORCE DEVELOPMENT FRO THE IN-NEED POPULATION. SCHOLARSHIP (FULL AND PARTIAL) IS CREATED AT SAN MANUEL GATEWAY COLLEGE. THE COLLEGE HAS INTEGRATED TRAINING PROGRAMS IN HEALTH CAREER WITH CLINICAL EXPERIENCE, ALLOWING RECENT GRADUATES OF HIGH SCHOOL AND COMMUNITY MEMBERS TO BENEFIT FROM HAND-ON TRAINING AND MENTORING BY LOMA LINDA UNIVERSITY HEALTH FACULTY AND STAFF. THESE 6-18 MONTH HEALTH CAREER CERTIFICATE PROGRAMS PROVIDE JOB ENTRY SKILLS FOR EMPLOYMENT OPPORTUNITIES AND VALUABLE COLLEGE CREDIT FOR STUDENTS WHO ELECT TO FURTHER THEIR EDUCATION. TRAINING PROGRAMS INCLUDE: MEDICAL ASSITANT, CERTIFIED NURSING ASSISTANT, PHARMACY TECH AND COMMUNITY HEALTH WORKERS/PROMOTERS. THIS IN TURN DIRECTLY HELPS WITH OUR COMMITMENT TO WORKFORCE DEVELOPMENT AND CREATING JOB OPPORTUNITIES AND PLACEMENT FOR COMMUNITY MEMBERS.FROM A CLINICAL AND HEALTH CONDITION, WE WILL BE INVESTING AND SUPPORTING PROGRAMS THROUGH OUR COMMUNITY HEALTH INITIATIVES PILOT AWARDS AND SPONSORSHIP PROGRAM, SPECIFICALLY TO PROGRAMS THAT ARE FOCUSED ON IMPROVING MENTAL HEALTH, MANAGING AND ENHANCING CARE FOR INDIVIDUALS DIAGNOSED WITH DIABETES AND OBESITY. IN ADDITION, LISTED BELOW ARE KEY WHOLE PERSONEL CARE PROGRAMS AND AREA OF INVESTMENTS INSTITUTION-WIDE ON CONTINUING BASIS: - AGING CARE - BEHAVIORAL HEALTH CARE - CANCER CARE - CHILD CARE - CHRONIC DISEASE MANAGEMENT - REHABILITATION CARE - SICKLE CELL ANEMIA CARE - HEALTH CAREER PIPELINE PROJECTS - FAITH AND HEALTH INITIATIVES COMMUNITY BENEFIT ADMINISTRATIVE COUNCIL (CBAC): WE COLLABORATED WITH LLUH LEADERS AND LEADERS OF OTHER ORGANIZATIONS IN THE COMMUNITY TO JOIN OUR COUNCIL IN FURTHER STRENGTHENING AND GUIDING THE COMMUNITY HEALTH DEVELOPMENT EFFORTS. CBAC REPORTS TO THE MISSION-FOCUSED SUBCOMMITEE OF THE LLUMC BOARD OF TRUSTEES AND A LLUH BOARD MEMBER CONTINUES TO SERVE ON OUR CBAC. CBAC'S COUNCIL MEMBERS MEET QUARTERLY TO REVIEW THE STATUS AND PROGRESS OF LLUH, LLUMC, LLUBMC, AND LLUMC-MURRIETA COMMUNITY BENEFIT INTERVENTIONS.IN 2017, LLUH FORMALLY CREATED THE COMMUNITY BENEFIT STEERING COMMITTEE (CBSC). CBSC IS A GROUP OF COMMUNITY LEADERS AND COMMUNITY REPRESENTATIVES, FROM VARIOUS COMMUNITY BASED-ORGANIZATIONS. THE MEMBERS WILL CONTRIBUTE TO LOMA LINDA UNIVERSITY HEALTH'S EFFORTS TO BETTER UNDERSTAND THE NEEDS OF OUR COMMUNITY; AND EVALUATE OUR PROGRAMS, INITIATIVES, AND EFFORTS ON AN ONGOING BASIS. THE COMMITTEE WILL ALSO HAVE AN INTEGRAL ROLE IN COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADISE THE ORGANIZATION ON THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS).THE COUNCIL MEMBERS AND STEERING COMMITTEE WILL ASSURE ORGANIZATIONAL COMPLIANCE WITH RELEVANT COMMUNITY BENEFIT LEGISLATION.CORE PRINCIPLES:1) EMPHASIS ON COMMINITIES WITH DISPROPORTIONATE UNMET HEALTH NEEDS2) EMPHASIS ON PRIMARY PREVENTION CARE3) BUILD A SEAMLESS CONTINUUM OF CARE4) EMPHASIS ON COMMUNITY CAPACITY BUILDING 5) EMPHASIS ON COLLABORATIVE GOVERNANCE
PART VI, LINE 6:	WE ARE AFFILIATED WITH LOMA LINDA UNIVERSITY HEALTH SYSTEM WHICH INCLUDES 4 HOSPITALS, A UNIVERSITY, AND A FACULTY MEDICAL GROUP; COLLECTIVELY PLAYING AN ACTIVE ROLE IN PROMOTING THE HEALTH OF THEIR COMMUNITIES. A DETAILED COMMUNITY BENEFIT REPORT OF THE HOSPITAL'S ACTIVITIES WILL BE PROVIDED UPON REQUEST.

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LOMA LINDA UNIVERSITY CHILDREN'S
HOSPITAL

Employer identification number

46-3214504

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Yes

Any related organization? ......................

Yes

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CHINNOCK RICHARD E CMO	(i) (ii)	0 ------------- 300,000	0 ------------- 0	0 ------------- 65,914	0 ------------- 35,100	0 ------------- 5,000	0 ------------- 406,014	0 ------------- 0
2HADLEY HENRY ROGER TRUSTEE	(i) (ii)	0 ------------- 390,238	0 ------------- 0	0 ------------- 104,478	0 ------------- 34,228	0 ------------- 23,996	0 ------------- 552,940	0 ------------- 0
3HART RICHARD HENRY PRESIDENT	(i) (ii)	0 ------------- 414,000	0 ------------- 0	0 ------------- 101,854	0 ------------- 34,476	0 ------------- 22,263	0 ------------- 572,593	0 ------------- 0
4HEGSTAD DOUGLAS TRUSTEE	(i) (ii)	0 ------------- 275,000	0 ------------- 0	0 ------------- 40,000	0 ------------- 35,100	0 ------------- 5,000	0 ------------- 355,100	0 ------------- 0
5HEINRICH KERRY L CEO	(i) (ii)	0 ------------- 758,000	0 ------------- 175,745	0 ------------- 205,876	0 ------------- 43,502	0 ------------- 25,858	0 ------------- 1,208,981	0 ------------- 0
6MARTIN ROBERT TRUSTEE	(i) (ii)	0 ------------- 550,000	0 ------------- 0	0 ------------- 89,100	0 ------------- 35,100	0 ------------- 6,000	0 ------------- 680,200	0 ------------- 0
7PEVERINI RICARDO L TRUSTEE	(i) (ii)	0 ------------- 348,750	0 ------------- 0	0 ------------- 40,000	0 ------------- 35,100	0 ------------- 5,000	0 ------------- 428,850	0 ------------- 0
8RUCKLE HERBERT TRUSTEE	(i) (ii)	0 ------------- 341,875	0 ------------- 0	0 ------------- 40,000	0 ------------- 35,100	0 ------------- 6,500	0 ------------- 423,475	0 ------------- 0
9WOODRUFF ROGER TRUSTEE	(i) (ii)	0 ------------- 270,000	0 ------------- 0	0 ------------- 0	0 ------------- 35,100	0 ------------- 5,000	0 ------------- 310,100	0 ------------- 0
10HANNAMYRNA LEE CORPORATE SECRETARY	(i) (ii)	0 ------------- 127,914	0 ------------- 17,293	0 ------------- 25,732	0 ------------- 17,315	0 ------------- 12,276	0 ------------- 200,530	0 ------------- 0
11HUBBARD MARK LEE ASST. CORPORATE SECRETARY	(i) (ii)	0 ------------- 378,000	0 ------------- 85,192	0 ------------- 141,973	0 ------------- 35,794	0 ------------- 28,305	0 ------------- 669,264	0 ------------- 0
12HUGGINS ORLANDO ASST. CORPORATE SECRETARY	(i) (ii)	0 ------------- 139,675	0 ------------- 16,996	0 ------------- 19,170	0 ------------- 20,537	0 ------------- 12,276	0 ------------- 208,654	0 ------------- 0
13LALAS ANGELA MANALO CFO AS OF 5/21/18/PRIOR SVP FINANCE	(i) (ii)	0 ------------- 400,000	0 ------------- 78,678	0 ------------- 92,256	0 ------------- 35,192	0 ------------- 24,569	0 ------------- 630,695	0 ------------- 0
14LANG KEVIN J CFO UNTIL 3/31/2018	(i) (ii)	0 ------------- 656,000	0 ------------- 147,859	0 ------------- 285,376	0 ------------- 42,815	0 ------------- 30,374	0 ------------- 1,162,424	0 ------------- 0
15PERRYMAN SCOTT SVP/ADMINISTRATOR	(i) (ii)	386,000 ------------- 0	88,059 ------------- 0	83,023 ------------- 0	26,888 ------------- 0	22,112 ------------- 0	606,082 ------------- 0	0 ------------- 0
16SMITH WHITNEY P ASST. CORPORATE SECRETARY	(i) (ii)	0 ------------- 97,879	0 ------------- 5,100	0 ------------- 32,745	0 ------------- 32,745	0 ------------- 16,184	0 ------------- 184,653	0 ------------- 0
17STAPLES-EVANS HELEN CNO	(i) (ii)	248,000 ------------- 0	42,707 ------------- 0	38,671 ------------- 0	31,782 ------------- 0	22,510 ------------- 0	383,670 ------------- 0	0 ------------- 0
18WRIGHT TREVOR G COO	(i) (ii)	0 ------------- 466,000	0 ------------- 104,014	0 ------------- 99,136	0 ------------- 36,626	0 ------------- 24,448	0 ------------- 730,224	0 ------------- 0
19ZIRKELBACH MARK HS EE CIO	(i) (ii)	0 ------------- 309,760	0 ------------- 106,780	0 ------------- 36,648	0 ------------- 33,444	0 ------------- 12,276	0 ------------- 498,908	0 ------------- 0
20MOORE RONALD O DIRECTOR-PHARMACY INPATIENT	(i) (ii)	174,766 ------------- 0	8,436 ------------- 0	15,166 ------------- 0	23,385 ------------- 0	12,276 ------------- 0	234,029 ------------- 0	0 ------------- 0
21NOLFE SHERRY LYNN EXEC. DIRECTOR-PATIENT CARE SVCS	(i) (ii)	155,233 ------------- 0	18,540 ------------- 0	12,833 ------------- 0	21,428 ------------- 0	12,260 ------------- 0	220,294 ------------- 0	0 ------------- 0
22OTIANGA TRUPHOSA O EXEC. DIRECTOR-PATIENT CARE SVCS	(i) (ii)	122,084 ------------- 0	16,098 ------------- 0	17,225 ------------- 0	14,531 ------------- 0	12,276 ------------- 0	182,214 ------------- 0	0 ------------- 0
23PAMELA B KLUG SUPERVISOR-PATIENT INPATIENT	(i) (ii)	190,633 ------------- 0	2,792 ------------- 0	23,958 ------------- 0	25,782 ------------- 0	12,276 ------------- 0	255,441 ------------- 0	0 ------------- 0
24PERRY JONATHAN D AVP-FINANCE	(i) (ii)	140,552 ------------- 0	7,567 ------------- 0	21,559 ------------- 0	15,884 ------------- 0	854 ------------- 0	186,416 ------------- 0	0 ------------- 0
25EISELE MELVIN ARTHUR VP ADMINISTRATION	(i) (ii)	0 ------------- 291,000	0 ------------- 50,651	0 ------------- 45,016	0 ------------- 32,496	0 ------------- 23,288	0 ------------- 442,451	0 ------------- 0
26LENO SONDRA VP FINANCE	(i) (ii)	0 ------------- 227,000	0 ------------- 30,643	0 ------------- 38,022	0 ------------- 30,894	0 ------------- 22,742	0 ------------- 349,301	0 ------------- 0
27DAVID R ZUNG SUPERVISOR-PHARMACY INPATIENT	(i) (ii)	176,892 ------------- 0	795 ------------- 0	11,320 ------------- 0	21,224 ------------- 0	11,182 ------------- 0	221,413 ------------- 0	0 ------------- 0
28JILL M HILDESHEIM-HOWIE SVC LINE DIRECTOR-PERINATAL	(i) (ii)	162,237 ------------- 0	20,853 ------------- 0	11,803 ------------- 0	20,674 ------------- 0	12,276 ------------- 0	227,843 ------------- 0	0 ------------- 0
29PRISCILLA R PEGIS CLINICAL NURSE	(i) (ii)	165,544 ------------- 0	2,689 ------------- 0	25,533 ------------- 0	23,010 ------------- 0	13,226 ------------- 0	230,002 ------------- 0	0 ------------- 0
30SCOTT D GLENNY SUPERVISOR-PHARMACY INPATIENT	(i) (ii)	178,480 ------------- 0	1,603 ------------- 0	14,942 ------------- 0	23,657 ------------- 0	12,276 ------------- 0	230,958 ------------- 0	0 ------------- 0
31ZAHAR AZADBADI PHARMACY SPECIALIST-CLINICAL	(i) (ii)	112,693 ------------- 46,973	612 ------------- 400	19,776 ------------- 650	18,600 ------------- 3,069	9,507 ------------- 5,126	161,188 ------------- 56,218	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	LLUCH'S SENIOR EXECUTIVES ARE EMPLOYED BY LLUH AND LLUH 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 BENEFITS IS INCLUDED IN THE EMPLOYEE'S W-2. LLUCH'S SENIOR EXECUTIVES ARE EMPLOYED BY LLUH AND LLUH BENEFITS PROVIDE FOR GROSS-UP PAYMENTS TO APPROXIMATELY COVER THE TAXES ON THE IMPUTED COST OF GROUP-TERM LIFE INSURANCE COVERAGE IN EXCESS OF $50,000.
PART I, LINE 3	PLEASE SEE EXPLANATION FOR PART VI, SECTION B, LINE 15 THAT IS LISTED UNDER SCHEDULE O.
PART I, LINES 4A-B	THE FOLLOWING LLUH EMPLOYEES PARTICIPATED IN, AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: HADLEY, HENRY ROGER $61,172 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $9,012 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HART, RICHARD HENRY $62,882 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $4,678 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HEINRICH, KERRY L. $146,823 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $183 TRAVEL FOR COMPANIONS. $2,619 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HUBBARD, MARK LEE $47,015 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $6,436 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. LALAS, ANGELA MANALO $57,846 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $76,112 SERP FUNDING PAID TO EMPLOYEE IN CASH. $733 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. LANG, KEVIN J $3,356 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS). $119,789 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $136,317 SERP FUNDING PAID TO EMPLOYEE IN CASH. $6,245 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. PERRYMAN, SCOTT $55,535 NET FLEX PLAN CREDITS PAID TO EMPLOYEES IN CASH. $747 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. STAPELS-EVANS, HELEN $19,938 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $4,362 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. WRIGHT, TREVOR $74,686 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $1,494 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. EISELE, MELVIN A. $28,911 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $1,196 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. LENO, SONDRA $16,740 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH. $2,141 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS.
PART I, LINE 6	LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL HAS AN INCENTIVE PLAN. PAYMENTS FOR INCENTIVE AWARDS ARE TRIGGERED ONLY IF, AMONG OTHER ESTABLISHED CRITERIA, NET INCOME EXCEEDS BUDGET BY AN ESTABLISHED PERCENTAGE.
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 LLUH. LLUH PAYS THE COMPENSATION FOR THE OFFICERS LISTED AND REPORTS THE COMPENSATION AMOUNTS IN THE W-2'S 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 LLUH. THE OFFICERS DO NOT RECEIVE ANY OTHER COMPENSATION AMOUNTS FROM RELATED ORGANIZATIONS. LLUH ALLOCATES THE COMPENSATION AMOUNTS TO THE APPLICABLE RELATED ORGANIZATIONS AND RECEIVES REIMBURSEMENT PAYMENTS. ALLOCATION PERCENTAGES OF THE COMPENSATION PAYMENTS FOR THE OFFICERS ARE AS FOLLOWS: HADLEY, HENRY ROGER COMPENSATION: 3% FUNDED BY LLUCH, 12% FUNDED BY LLUMC AND 85% FUNDED BY LLU. NET OF $50,000 FUNDED BY LLUHC AND $50,000 FUNDED BY LOMA LINDA UNIVERSITY UROLOGY GROUP AND THE DEPARTMENT OF VETERAN AFFAIRS. SERP BENEFIT: 100% FUNDED BY LLU. HART, RICHARD HENRY COMPENSATION, EXCLUDING SERP BENEFIT: 32% FUNDED BY LLU, 1% FUNDED BY LLUBMC, 12% FUNDED BY LLUCH, 5% FUNDED BY MURRIETA AND 50% FUNDED BY LLUMC. SERP BENEFIT: 100% FUNDED BY LLUMC. HEINRICH, KERRY L. COMPENSATION, EXCLUDING INCENTIVE AND SERP BENEFIT: 10% FUNDED BY MURRIETA, 23% FUNDED BY LLUCH, 2% FUNDED BY LLUBMC AND 65% FUNDED BY LLUMC. INCENTIVE AND SERP BENEFIT: 100% FUNDED BY LLUMC. HUBBARD, MARK LEE COMPENSATION, EXCLUDING INCENTIVE AND SERP BENEFIT: 3% FUNDED BY LLUCH, 2% FUNDED BY MURRIETA, 15% FUNDED BY LLUSS, 70% FUNDED BY LLUH'S RISK MANAGEMENT DEPARTMENT AND 10% FUNDED BY LLUMC. SERP BENEFIT: 20% FUNDED BY LLUMC AND 80% FUNDED BY LLUH'S RISK MANAGEMENT DEPARTMENT. INCENTIVE BENEFIT: 100% FUNDED BY LLUMC. LALAS, ANGELA MANALO COMPENSATION, EXCLUDING INCENTIVE AND SERP BENEFIT: 15% FUNDED BY LLUSS, 8% FUNDED BY MURRIETA, 20% FUNDED BY LLUCH, 2% FUNDED BY LLUBMC AND 55% FUNDED BY LLUMC. INCENTIVE AND SERP BENEFIT: 100% FUNDED BY LLUMC. LANG, KEVIN J. COMPENSATION, EXCLUDING INCENTIVE AND SERP BENEFIT: 49% FUNDED BY LLUMC, 17% FUNDED BY LLUCH, 7% FUNDED BY MURRIETA, 17.5% FUNDED BY LLU, 7.5% FUNDED BY LLUHC, AND 2% FUNDED BY LLUBMC. SERP BENEFIT: 92.5% FUNDED BY LLUMC AND 7.5% FUNDED BY LLUHC. INCENTIVE BENEFIT: 100% FUNDED BY LLUMC. PERRYMAN, MICHAEL SCOTT COMPENSATION: 100% FUNDED BY LLUCH. STAPLES-EVANS, HELEN COMPENSATION, EXCLUDING INCENTIVE: 100% FUNDED BY LLUCH. INCENTIVE: 100% FUNDED BY LLUMC WRIGHT, TREVOR COMPENSATION, EXCLUDING INCENTIVE AND SERP BENEFIT: 10% FUNDED BY MURRIETA, 23% FUNDED BY LLUCH, 2% FUNDED BY LLUBMC AND 65% FUNDED BY LLUMC. INCENTIVE AND SERP BENEFIT: 100% FUNDED BY LLUMC. EISELE, MELVIN ARTHUR COMPENSATION, EXCLUDING INCENTIVE AND SERP BENEFIT: 10% FUNDED BY MURRIETA, 23% FUNDED BY LLUCH, 2% FUNDED BY LLUBMC AND 65% FUNDED BY LLUMC. INCENTIVE AND SERP BENEFIT: 100% FUNDED BY LLUMC LENO, SONDRA COMPENSATION, EXCLUDING INCENTIVE AND SERP BENEFIT: 3% FUNDED BY LLU, 10% FUNDED BY MURRIETA, 32% FUNDED BY LLUCH, 8% FUNDED BY LLUBMC AND 47% FUNDED BY LLUMC. INCENTIVE AND SERP BENEFIT: 100% FUNDED BY LLUMC

Schedule J (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LOMA LINDA UNIVERSITY CHILDREN'S
HOSPITAL

Employer identification number

46-3214504

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	870	102,196	FAIR MARKET VALUE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2019)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 32B:	THE OFFICES OF PHILANTHROPY FOR LOMA LINDA UNIVERSITY, LOMA LINDA UNIVERSITY HEALTH SERVICES AND LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION ACCEPT MOST OF THE GIFTS FOR LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL.

Schedule M (Form 990) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

LOMA LINDA UNIVERSITY CHILDREN'S
HOSPITAL

Employer identification number

46-3214504

Return Reference	Explanation
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 PER THE BY-LAWS OF THE CORPORATION. DELEGATION IS ADMINISTERED THEREOF.
FORM 990, PART VI, SECTION A, LINE 6	THE CORPORATE MEMBER OF LLUCH PURSUANT TO SECTION 9310 OF THE CALIFORNIA NONPROFIT RELIGIOUS CORPORATION LAW SHALL BE LOMA LINDA UNIVERSITY HEALTH, A CALIFORNIA NON-PROFIT RELIGIOUS CORPORATION, ACTING BY AND THROUGH ITS BOARD OF TRUSTEES. 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 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	LLUH, AS CORPORATE MEMBER, AT EACH REGULAR OR SPECIAL MEETING, SHALL INFORM ITSELF ON THE BUSINESS OF THE CHILDREN'S HOSPITAL TO BE TRANSACTED; SHALL RECEIVE THE ANNUAL REPORT OF THE CHILDREN'S HOSPITAL BUDGET AND AUDIT, AND TRANSACT SUCH OTHER BUSINESS AS MAY BE REQUESTED BY THE CHILDREN'S HOSPITAL BOARD. FURTHER FUNCTIONS OF THE MEMBER ARE: (1) TO REMOVE FROM OFFICE ANY TRUSTEE OF THE CHILDREN'S HOSPITAL WITH OR WITHOUT CAUSE. (2) TO REVIEW AND CONSULT WITH THE CHILDREN'S HOSPITAL BOARD REGARDING THE APPOINTMENT OF THE CHILDREN'S HOSPITAL 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 LLUCH 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 LLUCH. (5) TO APPROVE ANY SIGNIFICANT CHANGE IN THE CORPORATE PURPOSE OF LLUCH.
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, LLUCH'S PARENT ORGANIZATION, EMPLOYS AN INDEPENDENT OUTSIDE CONSULTING FIRM TO BENCHMARK COMPENSATION FOR LLUH EMPLOYEES. LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL CEO/PRESIDENT IS 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 2016 FOR THE POSITION OF EVP LLUH, CEO UHC, DEAN SCHOOL OF MEDICINE HELD BY HADLEY, HENRY ROGER. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2016 FOR THE POSITION OF PRESIDENT, LLUH HELD BY HART, RICHARD HENRY. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2016 FOR THE POSITION OF SVP-FINANCE HELD BY LALAS, ANGELA MANALO. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2016 FOR THE POSITION OF EVP-FINANCE & ADMINISTRATION, LLUH HELD BY LANG, KEVIN J. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2016 FOR THE POSITION OF SVP HRM & RM HELD BY HUBBARD, MARK LEE. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2016 FOR THE POSITION OF SVP-ADMINISTRATOR, LLUCH HELD BY PERRYMAN, SCOTT. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2016 FOR THE POSITION OF COO, LLUCH HELD BY WRIGHT, TREVOR. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2016 FOR THE POSITION OF CNO, LLUCH HELD BY STAPLES-EVANS, HELEN. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2016 FOR THE POSITION OF VP REVENUE CYCLE HELD BY EISELE, MELVIN A. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2016 FOR THE POSITION OF VP FINANCE HELD BY LENO, SONDRA
FORM 990, PART VI, SECTION C, LINE 18	THE IRS FORM 990 IS AVAILABLE ON WWW.GUIDESTAR.ORG AND MAY ALSO 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	LLUCH 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.
FORM 990, PART VII, LINE 1A:	FOR EMPLOYEES OF LLUH OR LLUH AFFILIATES (ORGANIZATION(S)) RELATED TO THE FILING ORGANIZATION WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN PART VII, SECTION A, COLUMN (B) OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) WERE PROVIDED IN CONJUNCTION WITH THEIR RESPONSIBILITIES AND ROLES IN OTHER POSITIONS FOR ORGANIZATIONS RELATED TO THE FILING ORGANIZATION. THESE INDIVIDUALS EACH DEVOTE APPROXIMATELY 50 HOURS PER WEEK SERVING IN THEIR RESPECTIVE POSITIONS WITHIN THE ORGANIZATION.
FORM 990, PART XI, LINE 9:	FUND BALANCE TRANSFERS FROM AFFILIATED ORGANIZATION -28,919,964. CHANGE IN ADMIN RESTRICTED ASSETS 28,817. DONATED EQUIPMENT 12,564.
FORM 990, PART XII, LINE 2B:	THE FINANCIAL STATEMENTS OF LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL WERE AUDITED BY AN INDEPENDENT FIRM AS PART OF THE 2018 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 CHILDREN'S HOSPITAL, LOMA LINDA UNIVERSITY BEHAVIORAL MEDICAL CENTER, THE LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION, LOMA LINDA UNIVERSITY HEALTHCARE PROPERTIES, LLC, LOMA LINDA UNIVERSITY - URGENT CARE, LLC, LLUH BEAUMONT-BANNING, LLC AND LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA).
FORM 990, PART XII, LINE 2C:	DUE TO THE FACT THAT LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE COMBINED FINANCIAL STATEMENT AUDIT FOR LOMA LINDA UNIVERSITY MEDICAL CENTER AND ITS AFFILIATES, LLUMC'S FINANCE AND AUDIT COMMITTEES OF THE BOARD OF TRUSTEES ALSO ASSUME RESPONSIBILITY FOR OVERSIGHT OF LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL'S FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT FIRM.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LOMA LINDA UNIVERSITY CHILDREN'S
HOSPITAL

Employer identification number

46-3214504

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS 12501 OLD COLUMBIA PIKE SILVER SPRING,MD20904 52-0643036	CHURCH	CA	501(C)(3)	1	N/A		No
(2)LOMA LINDA UNIVERSITY HEALTH 11175 CAMPUS ST LOMA LINDA,CA92354 95-3804495	PARENT COMPANY	CA	501(C)(3)	1	GCOSDA		No
(3)LOMA LINDA UNIVERSITY 11145 ANDERSON ST LOMA LINDA,CA92350 95-1816009	UNIVERSITY	CA	501(C)(3)	2	LLUH		No
(4)LOMA LINDA MERCANTILE PO BOX 2000 LOMA LINDA,CA92354 95-3858272	PURCHASING COMPANY	CA	501(C)(3)	1	LLUMC		No
(5)LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER 1710 BARTON RD REDLANDS,CA92373 33-0245579	PSYCHIATRIC HOSPITAL	CA	501(C)(3)	3	LLUMC		No
(6)LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION PO BOX 2000 LOMA LINDA,CA92354 33-0565591	FOUNDATION	CA	501(C)(3)	12C	LLUMC		No
(7)LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS ST LOMA LINDA,CA92354 33-0364239	HEALTHCARE MANAGEMENT SERVICE ORGANIZATION	CA	501(C)(3)	12C	LLUH		No
(8)LOMA LINDA UNIVERSITY MEDICAL ENTERPRISES 11234 ANDERSON ST LOMA LINDA,CA92354 33-0873998	OUTPATIENT PHARMACY	CA	501(C)(3)	12A	LLUMC		No
(9)LOMA LINDA UNIVERSITY FACULTY PHARMACY 11234 ANDERSON ST LOMA LINDA,CA92354 20-2834636	OUTPATIENT PHARMACY	CA	501(C)(3)	12A	LLUMC		No
(10)NATIONAL MEDICAL TECHNOLOGY TESTBED 11175 CAMPUS ST LOMA LINDA,CA92354 33-0578722	RESEARCH ORGANIZATION	CA	501(C)(3)	12A	LLUMC		No
(11)UNIVERSITY INSURANCE COMPANY OF VERMONT 126 COLLEGE ST SUITE 400 BURLINGTON,VT05401 03-0311174	CAPTIVE INSURANCE PROVIDER	VT	501(C)(3)	1	LLUH		No
(12)LOMA LINDA UNIVERSITY SHARED SERVICES 11175 CAMPUS ST LOMA LINDA,CA92354 81-0661056	SERVICE ORGANIZATION	CA	501(C)(3)	1	LLUH		No
(13)LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA 28062 BAXTER RD MURRIETA,CA92653 20-2859948	ACUTE CARE HOSPITAL	CA	501(C)(3)	3	LLUMC		No
(14)LOMA LINDA UNIVERSITY MEDICAL CENTER 11234 ANDERSON ST LOMA LINDA,CA92354 95-3522679	HOSPITAL	CA	501(C)(3)	3	LLUH		No
(15)LOMA LINDA-INLAND EMPIRE CONSORTIUM FOR HEALTHCARE EDUCATION 11175 CAMPUS ST LOMA LINDA,CA92354 46-1612773	GRADUATE MEDICAL EDUCATION	CA	501(C)(3)	10	LLUH		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved
(1) LOMA LINDA UNIVERSITY MEDICAL CENTER	K	18,619,356
(2) LOMA LINDA UNIVERSITY MEDICAL CENTER	C	28,491,080
(3) LOMA LINDA UNIVERSITY HEALTH	P	142,753
(4) LOMA LINDA UNIVERSITY HEALTH	M	2,103,616
(5) LOMA LINDA INLAND EMPIRE CONSORTIUM FOR HEALTHCARE EDUCATION	M	8,340,229
(6) LOMA LINDA UNIVERSITY SHARED SERVICES	M	781,305
(7) LOMA LINDA UNIVERSITY SHARED SERVICES	K	79,491
(8) LOMA LINDA UNIVERSITY SHARED SERVICES	P	53,728,125
(9) LOMA LINDA UNIVERSITY	P	582,280
(10) LOMA LINDA UNIVERSITY	M	294,222
(11) LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION	S	103,000
(12) LOMA LINDA MERCANTILE	P	9,212,610

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE MEDICAL & HEALTH CARE SERVICES TO THE COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	34
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	25
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	1,954
6	Total number of volunteers (estimate if necessary) .............	6	350
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	137,294

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	118,479	2,737,037
9	Program service revenue (Part VIII, line 2g) .........	224,708,694	609,866,312
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	500,602	991,765
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	225,327,775	613,595,114
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	106,202	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	99,080,798	215,456,075
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,277,828
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	98,324,906	242,368,674
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	197,511,906	457,824,749
19	Revenue less expenses. Subtract line 18 from line 12.......	27,815,869	155,770,365
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	571,351,528	698,491,726
21	Total liabilities (Part X, line 26).............	457,270,107	457,072,162
22	Net assets or fund balances. Subtract line 21 from line 20.....	114,081,421	241,419,564

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 289,939,326 including grants of $ ) (Revenue $ 610,858,077 )
	LLUCH'S PRIMARY SERVICE AREA CAN BE DEFINED, BROADLY, AS CALIFORNIA'S INLAND EMPIRE - RIVERSIDE AND SAN BERNARDINO COUNTIES. THE INLAND EMPIRE IS A REGION OF SOUTHERN CALIFORNIA SITUATED DIRECTLY EAST OF THE LOS ANGELES METROPOLITAN AREA. RIVERSIDE AND SAN BERNARDINO COUNTIES RANGE FROM LAKE ARROWHEAD IN THE NORTH, YUCIPA IN THE EAST, PERRIS IN THE SOUTH, AND ONTARIO IN THE WEST, SERVING A LITTLE OVER 4 MILLION PEOPLE. IN JANUARY 2016, THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC) CONTRACTED WITH SCIENTIFIC TECHNOLOGIES CORPORATION TO COMPLETE A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT FOR SEVERAL OF ITS MEMBER HOSPITALS (INCLUDING, LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL, LOMA LINDA UNIVERSITY MEDICAL CENTER, LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER AND LOMA LINDA UNIVERSITY MURRIETA), REPRESENTING THE GREATER INLAND EMPIRE. THE REGIONAL CHNA WAS FINALIZED ON APRIL 5, 2016 FOR ALL THREE LICENSED HOSPITALS AND THE OTHER HASC MEMBER HOSPITALS. THE CHNA REPORT IS A CRITICAL TOOL FOR LLUH HOSPITALS TO DEVELOP THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY AND INITIATIVE IN ADDITION TO THE REGULATORY REQUIREMENTS (CALIFORNIA'S COMMUNITY BENEFIT LEGISLATION - SB 697 AND THE AFFORDABLE CARE ACT - H.R. 3590). THE CHNA REPORT INCLUDED TOP DIAGNOSIS-RELATED GROUP (DRG) DISCHARGES FOR LLUH SERVICE AREAS (TOP 6 FOR LLUH: PSYCHOSES, SEPTICEMIA, JOINT REPLACEMENT, HEART FAILURE & SHOCK, DIGESTIVE DISORDER AND PNEUMONIA &PLEURISY). OUR INITIATIVES AND PROGRAMS WILL ALSO CONTINUE TO PROVIDE COMMUNITY MEMBERS WITH EDUCATION AND SUPPORT FOR POST DISCHARGE CARE. THE CHNA ALSO CONTINUES TO SUPPORT AND FULFILL LLUH'S MISSION: TO FURTHER THE TEACHING AND HEALING MINISTRY OF JESUS CHRIST. IN 2016/2017 LLUH UPDATED THEIR COMMUNITY HEALTH IMPLEMENTATION STRATEGY FOR 2017 - 2019. FULL DRAFT OF THE REPORT IS AVAILABLE ON THE MEDICAL CENTER'S WEBSITE: (HTTPS://LLUH.ORG/ABOUT-US/COMMUNITY-BENEFIT/REPORTS-AND-RESOURCES)LLUH COMMUNITY BENEFIT PROGRAM WILL SPECIFICALLY INCLUDE EVALUATION-BASED COMMUNITY PROGRAMS AND INITIATIVES TO ADDRESS THE PRIMARY CONCERNS OF THE COMMUNITY. THE RECENT UPDATE TO THE CHIS 2017-2019, INCLUDES THE PLAN REGARDING ALLOCATING SPECIFIC RESOURCES TO THE INSTITUTION'S COMMUNITY BENEFIT PROGRAM. FROM SOCIAL DETERMINATES OF HEALTH, TO LLUH INVESTING PRIMARILY IN PROGRAMS THAT ARE FOCUSED TOWARDS SUPPORTING AND ENHANCING EDUCATION AND WORKFORCE DEVELOPMENT FOR THE IN-NEED POPULATION. SCHOLARSHIP'S (FULL AND PARTIAL) ARE CREATED AT SAN MANUEL GATEWAY COLLEGE. THE COLLEGE HAS INTEGRATED TRAINING PROGRAMS IN HEALTH CAREERS WITH CLINICAL EXPERIENCE, ALLOWING RECENT GRADUATES OF HIGH SCHOOL AND COMMUNITY MEMBERS TO BENEFIT FROM HANDS-ON TRAINING AND MENTORING BY LOMA LINDA UNIVERSITY HEALTH FACULTY AND STAFF. THESE SIX TO 18-MONTH HEALTH CAREER CERTIFICATE PROGRAMS PROVIDE JOB ENTRY SKILLS FOR EMPLOYMENT OPPORTUNITIES AND VALUABLE COLLEGE CREDIT FOR STUDENTS WHO ELECT TO FURTHER THEIR EDUCATION. TRAINING PROGRAMS INCLUDE: MEDICAL ASSISTANT, CERTIFIED NURSING ASSISTANT, PHARMACY TECH AND COMMUNITY HEALTH WORKERS/PROMOTERS. LLUH IS ACTIVELY INVOLVED IN THE DEVELOPMENT OF COUNTYWIDE INITIATIVES. LLUH WAS HIGHLIGHTED IN COUNTY HEALTH RANKINGS FOR THEIR COLLABORATIVE WORK IN THE SAN BERNARDINO COUNTY. LLUH CONTINUES TO IDENTIFY THE AREA OF GREATEST NEED AND STRATEGICALLY INTEGRATE HEALTH AND WELLNESS PROGRAMS TO ADDRESS THE COMMUNITY NEEDS. LISTED BELOW ARE KEY PROGRAM HIGHLIGHTS AND AREA OF INVESTMENTS SPECIFIC TO THE LLUCH: CHILD CARE: EDUCATION, WELLNESS AND RESOURCE PROGRAMS (INCLUDING, NOT LIMITED TO)* ASTHMA* BREASTFEEDING* OBESITY * SAFE KIDS * YOUTH HOPE (SUBSTANCE ABUSE AND DRUG INTERVENTION)* YOUTH EDUCATION AND CAREER SOLUTIONLLUCH'S GOAL IS TO ENGAGE THE COMMUNITY OF LOCAL, REGIONAL AND STATE AGENCIES, AND NON-PROFIT ENTITIES TO CREATE A SYSTEM OF CARE IMPROVES THE WHOLENESS OF ALL THE CHILDREN IN OUR REGION.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses289,939,326

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,719,674	9,241,504	1,387,090

1a	Federated campaigns..		1a	3,539
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	57,213
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,676,285

g	Noncash contributions included in lines 1a - 1f:$		1g	102,196

h Total. Add lines 1a-1f.......		2,737,037

		Business Code
2a	PATIENT SERVICE REVENUE	446110	352,537,405	352,537,405
b	HOSPITAL QUALITY ASSURANCE PROGRA	446110	247,468,357	247,468,357
c
d
e
f	All other program service revenue.		9,860,550	9,860,550
g	Total. Add lines 2a–2f .....		609,866,312

3 Investment income (including dividends, interest, and othersimilar amounts) ......			991,765	991,765
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			613,595,114	610,858,077	0	0

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,818,044		1,818,044
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	163,304,359	146,618,770	16,685,589
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	9,325,745	7,821,783	1,501,949	2,013
9	Other employee benefits .......	31,809,228	29,666,523	2,128,018	14,687
10	Payroll taxes ...........	9,198,699	8,551,784	642,262	4,653
11	Fees for services (non-employees):
a	Management ......	5,618	18	5,600
b	Legal .........
c	Accounting ...........	4,312		4,312
d	Lobbying ...........	693,500		693,500
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	21,326,924	13,009,257	8,317,667
12	Advertising and promotion ....
13	Office expenses .......	9,749,099	8,470,183	1,278,916
14	Information technology ......	5,602,473	38,602	5,563,871
15	Royalties ..
16	Occupancy ...........	19,940,840	1,017,643	18,921,871	1,326
17	Travel ............	114,105	50,766	60,635	2,704
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	124,516	80,898	43,568	50
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	3,427,022	2,837,799	589,223
23	Insurance ...	976,453	224,052	752,401
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PURCHASED SERVICES	85,200,531	24,276,109	58,672,027	2,252,395
b	MEDICAL SUPPLIES	47,882,688	47,142,018	740,670
c	PROVIDER FEE EXPENSE	44,970,425		44,970,425
d	DUES & SUBSCRIPTIONS	935,734	98,495	837,239
e	All other expenses	1,414,434	34,626	1,379,808
25	Total functional expenses. Add lines 1 through 24e	457,824,749	289,939,326	165,607,595	2,277,828
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			60,703,514	1	105,465,305
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			2,049,233	3	4,565,012
4	Accounts receivable, net .............			185,902,202	4	246,281,327
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			2,750,256	8	2,456,765
9	Prepaid expenses and deferred charges ......			441,458	9	700,449
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	112,276,954
b	Less: accumulated depreciation	10b	10,560,743	83,439,210	10c	101,716,211
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			236,065,655	15	237,306,657
16	Total assets. Add lines 1 through 15 (must equal line 33)...			571,351,528	16	698,491,726

17	Accounts payable and accrued expenses .....	223,896,209	17	223,901,438
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	231,965,041	20	231,761,867
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	203,174	23	203,174
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,205,683	25	1,205,683
26	Total liabilities. Add lines 17 through 25..	457,270,107	26	457,072,162

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	114,081,421	32	241,419,564
33	Total liabilities and net assets/fund balances ........	571,351,528	33	698,491,726