TY 2023 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/1099-NEC)
(1) HART RICHARD HENRY...................................................................... PRESIDENT	0.50 ................. 50.00	X	X	731,774	118,416
(2) WRIGHT TREVOR G...................................................................... CEO	0.50 ................. 35.00	X	X	1,248,029	168,599
(3) THURBER GARY...................................................................... TRUSTEE	0.50 .................	X		0	0
(4) SCHELL RANDY...................................................................... TRUSTEE	0.50 .................	X		0	0
(5) SACRO JENNIFER...................................................................... TRUSTEE	0.50 .................	X		0	0
(6) ROBERTS SANDRA...................................................................... TRUSTEE	0.50 .................	X		0	0
(7) REECE ALBERT...................................................................... TRUSTEE	0.50 .................	X		0	0
(8) LOREDO JOSE...................................................................... TRUSTEE	0.50 .................	X		0	0
(9) SIMMONS ELLA...................................................................... TRUSTEE	0.50 .................	X		0	0
(10) HERRMANN PAUL...................................................................... TRUSTEE	0.50 .................	X		430,710	45,300
(11) SARRAFIAN ZAREH...................................................................... TRUSTEE	0.50 .................	X		0	0
(12) THOMAS TAMARA...................................................................... TRUSTEE, DEAN LLU SOM	0.50 .................	X		754,825	108,377
(13) HILLIARD ANTHONY...................................................................... TRUSTEE	0.50 .................	X		851,328	46,800
(14) WEHTJE RODNEY...................................................................... TRUSTEE	0.50 .................	X		0	0
(15) HARRIS WAYNE...................................................................... TRUSTEE	0.50 .................	X		0	0
(16) DAWES DANIEL...................................................................... TRUSTEE	0.50 .................	X		0	0
(17) LANDLESS PETER...................................................................... 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MCKINNEY BARBARA........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(19) CHANG SHIRLEY........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(20) OSBORN RICHARD........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(21) COLON WILFREDO........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(22) MOORHEAD SHERYL........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(23) KOHLER ERTON........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(24) BRYANT G ALEXANDER........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(25) WILSON TED........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(26) CHAN FRANCIS........................................................................ TRUSTEE	0.50 .......................	X				0	387,800	45,800
(27) RUCKLE HERBERT........................................................................ TRUSTEE	0.50 .......................	X				0	759,000	47,300
(28) PEVERINI RICARDO........................................................................ TRUSTEE	0.50 .......................	X				0	745,000	45,800
(29) DOUGLAS PAUL........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(30) MARTIN ROBERT........................................................................ TRUSTEE	0.50 .......................	X				0	1,238,832	46,800
(31) FILLER STEVEN........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(32) LEMON THOMAS........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(33) LEMON ROBERT........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(34) SHIM EUNMEE........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(35) WILSON APRIL........................................................................ TRUSTEE	0.50 .......................	X				0	267,847	35,842
(36) BEARDSLEY-HARDY LISA........................................................................ TRUSTEE	0.50 .......................	X				0	0	0
(37) HENDERSON WHITNEY........................................................................ ASST CORP SECRETARY	0.50 .......................50.00		X			0	137,709	40,983
(38) JEAN-MARIE JONATHAN........................................................................ SENIOR VP ADMIN	0.50 .......................50.00		X			0	576,619	115,840
(39) EDWARDS LYNDON........................................................................ COO	0.50 .......................25.00		X			0	889,197	136,930
(40) ROBINSON DENISE........................................................................ CNO	0.50 .......................0.00		X			0	355,118	28,522
(41) HUGGINS L ORLANDO........................................................................ ASST CORP SECRETARY	0.50 .......................50.00		X			0	183,454	46,656
(42) HUBBARD MARK LEE........................................................................ ASST CORP SECRETARY	0.50 .......................50.00		X			0	722,846	112,398
(43) SODERBLOM ALAN........................................................................ SVP FINANCE	0.50 .......................25.00		X			0	593,481	114,318
(44) HANNA MYRNA LEE........................................................................ CORP SECRETARY	0.50 .......................50.00		X			0	182,653	40,138
(45) LALAS ANGELA M........................................................................ CFO	0.50 .......................50.00		X			0	1,081,663	149,568
(46) MATUS SARAH........................................................................ VP HOSPITAL OPERATIONS	0.50 .......................25.00			X		0	344,364	85,170
(47) STAPLES-EVANS HELEN........................................................................ SVP PATIENT SERVICES	0.50 .......................33.00			X		0	711,678	102,348
(48) TOVAR RENE........................................................................ AVP CLINICAL OPERATIONS	0.50 .......................			X		263,037	0	37,846
(49) BOOTHBY ROBERT L........................................................................ EXEC DIR-INPATIENT SVCS	0.50 .......................			X		166,976	0	18,893
(50) SECOR LUCAS........................................................................ VP REVENUE CYCLE	25.00 .......................25.00			X		0	362,711	80,264
(51) GRANADASHARON S........................................................................ RN-CRITICAL CARE RES TEAM	0.50 .......................				X	124,138	0	18,323
(52) CASAS ISIDRO........................................................................ RN CATH LAB	0.50 .......................				X	127,478	0	30,350
(53) ARELLANO JASON T........................................................................ RN-OR/SURGERY	0.50 .......................				X	253,780	0	55,798
(54) LABARDARICHARD ERCILLA........................................................................ CLINICAL NURSE B-INPATIENT	0.50 .......................				X	120,590	0	9,225
(55) VINH LONG........................................................................ DIRECTOR-PHARMACY	0.50 .......................				X	268,498	0	37,976

(A) Name and business address	(B) Description of services	(C) Compensation
LOMA LINDA MERCANTILE PO BOX 926 LOMA LINDA,CA92354	SUPPLIER OF PRODUCTS & SERVICES	112,400,000
LOMA LINDA UNIVERSITY MEDICAL CENTER 11234 ANDERSON STREET LOMA LINDA,CA92350	MEDICAL SERVICES	56,759,428
LOMA LINDA UNIVERSITY HEALTH 11175 CAMPUS ST CSP 11006 LOMA LINDA,CA92354	SUPPORT & INSURANCE	30,560,789
LOMA LINDA UNIVERSITY SHARED SERVICES 197 CAROLINE ST SAN BERNARDINO,CA92408	SUPPORT SERVICES	18,707,735
LOMA LINDA UNIVERSITY 11145 ANDERSON ST LOMA LINDA,CA92354	MEDICAL SERVICES	132,847
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 5

- TIN:

SCHEDULE A
(Form 990)

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

2023

Open to Public
Inspection

Name of the organization

LOMA LINDA UNIVERSITY MED CNTR-MURRIETA

Employer identification number

37-1705906

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 5 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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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 5 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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2023

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2023

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 0.015 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 0.035	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) 2023

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2023

Name of the organization

LOMA LINDA UNIVERSITY MED CNTR-MURRIETA

Employer identification number

37-1705906

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) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization LOMA LINDA UNIVERSITY MED CNTR-MURRIETA

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
RESTRICTED	,	$ RESTRICTED	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) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization LOMA LINDA UNIVERSITY MED CNTR-MURRIETA		Employer identification number 37-1705906

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) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization LOMA LINDA UNIVERSITY MED CNTR-MURRIETA			Employer identification number 37-1705906
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) (2023)

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

LOMA LINDA UNIVERSITY MED CNTR-MURRIETA

Employer identification number

37-1705906

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....	9,963,264		9,963,264
b	Buildings ....	8,161,779	1,345,059	6,816,720
c	Leasehold improvements	9,344,545	4,643,880	4,700,665
d	Equipment ....	55,138,840	50,832,843	4,305,997
e	Other .....	22,201,689	20,797,918	1,403,771
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				27,190,417

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other 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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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)DEFERRED AFFILIATE OBLIGATION				16,333,113
(2)OPERATING LEASE ROU ASSETS				128,145,785
(3)FINANCE LEASED ASSETS				869,561
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				145,348,459

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
NOTE PAYABLE - LLUMC UNSECURED	81,981,613
RELATED PARTY PAYABLES	122,586,858
OPERATING LEASE LIABILITY	122,694,194
RISK MGMT TRUST SELF-INSURANCE	5,876,000
FINANCE LEASE LIABILITY	50,729




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	333,189,394
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) 2022

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

Schedule D (Form 990) 2022

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LOMA LINDA UNIVERSITY MED CNTR-MURRIETA

Employer identification number

37-1705906

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) . . .			1,708,089		1,708,089	0.500 %
b	Medicaid (from Worksheet 3, column a) . . . . .			86,894,572	63,713,675	23,180,897	6.810 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			88,602,661	63,713,675	24,888,986	7.310 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	6	698	10,967		10,967	0 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	6	698	10,967		10,967	0 %
k	Total. Add lines 7d and 7j .	6	698	88,613,628	63,713,675	24,899,953	7.310 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support		2,790	43,869		43,869	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total		2,790	43,869		43,869	0.010 %

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. ......

11,249,317

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. ......

1,876,488

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).....

53,463,736

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

72,173,268

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

-18,709,532

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) 2023

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)						Other (describe)
1	LOMA LINDA UNIVERSITY MED CTR-MURRIETA 28062 BAXTER ROAD MURRIETA,CA92563 WWW.LLUMCMURRIETA.ORG 550001535	X	X	X	X	SHORT-TERM ACUTE, ER 24 HOURS, NICU

Schedule H (Form 990) 2023

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 UNIVERSITY MED CNTR-MURRIETA
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 22

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. ............................

Yes

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): HTTPS://MURRIETA.LLUH.ORG/

Other website (list url): REFER TO SCHEDULE H SUPPLEMENTAL INFORMATION

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 22

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

Yes

If "Yes" (list url): REFER TO SCHEDULE H SUPPLEMENTAL INFORMATION

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	LOMA LINDA UNIVERSITY MED CNTR-MURRIETA
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) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	LOMA LINDA UNIVERSITY MED CNTR-MURRIETA
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) 2023

Page 7

Part VFacility Information (continued)

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

	LOMA LINDA UNIVERSITY MED CNTR-MURRIETA
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) 2023

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 UNIVERSITY MED CNTR-MURRIETA	PART V, SECTION B, LINE 3J: LLUH CONDUCTS A COMPREHENSIVE CHNA THAT INCLUDES PATIENT DEMOGRAPHIC AND CHRONIC DISEASE TRENDS AND ASSESSES COMMUNITY NEEDS BASED SURVEYS AND FOCUS GROUPS TO DETERMINE PRIORITIES FOR THE SOCIAL DETERMINANT OF HEALTH.
LOMA LINDA UNIVERSITY MED CNTR-MURRIETA	PART V, SECTION B, LINE 5: THE 2022 CHNA SUPPORTING THE FY 23, 24 & 25 IMPLEMENTATION YEARS WAS DESIGNED TO BE A STATISTICALLY VALID SAMPLING OF BOTH THE PATIENT POPULATION AND THE GENERAL PUBLIC QUALITATIVE COMMUNITY SURVEYS AND QUANTITATIVE FOCUS GROUPS WITH EMPHASIS ON PEOPLE REPRESENTING HOUSEHOLDS OF $50,000 OR LESS TO ACHIEVE A MORE ACCURATE UNDERSTANDING OF COMMUNITY MEMBER SOCIAL DETERMINANT OF HEALTH NEEDS FOR VULNERABLE POPULATIONS. PUBLIC HEALTH EXPERTS WERE PART OF THE CHNA DESIGN AND OUTCOMES ANALYSIS FROM THE LLUH HEALTH SYSTEM INCLUDING LLU SCHOOL OF PUBLIC HEALTH FACULTY, AND THE CHNA WAS REVIEWED BY THE SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH, WHICH PROVIDED A LETTER OF SUPPORT IN THE CHNA DOCUMENT. TO VIEW THE COUNTY DEPARTMENT PUBLIC HEALTH ENDORSEMENT OF THE CHNA FINDINGS AND SEE THE COMPLETE REPORT: PLEASE VISIT THE PUBLICLY AVAILABLE ON THE LLUH CHNA & CHIS AND THE ANNUAL COMMUNITY BENEFIT REPORTS FOR THE LLUH HOSPITALS, PLEASE VISIT: HTTPS://LLUH.ORG/ABOUT-US/COMMUNITY-BENEFIT/REPORTS-AND-RESOURCES.
LOMA LINDA UNIVERSITY MED CNTR-MURRIETA	PART V, SECTION B, LINE 6A: THE LOMA LINDA UNIVERSITY HEALTH SYSTEM IS COMPRISED OF FOUR LICENSED HOSPITALS THAT CONDUCT ONE SYSTEM COMMUNITY HEALTH NEEDS ASSESSMENT AND PROGRAMMATICALLY REPORT THEIR COMMUNITY BENEFIT IMPLEMENTATION AND OUTCOMES TOGETHER FOR COLLECTIVE IMPACT IN OUR REGION WHILE THE FINANCIALS AND INVESTMENTS ARE REPORTED PER LICENSED HOSPITAL IN KEEPING WITH FEDERAL AND CALIFORNIA STATE REGULATIONS. THE FOUR LICENSED HOSPITALS REPRESENTED BY THE FOLLOWING COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE: LOMA LINDA UNIVERSITY MEDICAL CENTER (EIN: 95-3522679);LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL (EIN: 46-3214504);LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER (EIN: 33-0245579); LOMA LINDA UNIVERSITY MEDICAL CENTER MURRIETA (EIN: 37-1705906).LLUH DID NOT CONDUCT THE 2022 ASSESSMENT WITH OTHER HOSPITALS THIS CYCLE BUT IS WORKING WITH OTHER HOSPITAL SYSTEMS TO IMPLEMENT INTERVENTIONS IN A COLLABORATIVE, COLLECTIVE IMPACT MODEL. THE COMMUNITY BENEFIT REPORT IS COMPLIANT WITH STATE AND FEDERAL REGULATIONS INCLUDING CALIFORNIA'S OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) FOR THE FILING OF THE ANNUAL COMMUNITY BENEFIT REPORT BOTH WITH THE STATE AND ON THE PUBLIC WEBSITE, PER THE DEADLINE OR EXTENSION GRANTED EACH YEAR.
LOMA LINDA UNIVERSITY MED CNTR-MURRIETA	PART V, SECTION B, LINE 6B: THREE ORGANIZATIONS WERE PARTNERED WITH LLUH ON THE 2022 CHNA: -EL SOL NEIGHBORHOOD EDUCATION CENTER (SAN BERNARDINO COUNTY)-COPE: CONGREGATIONS FOR PROPHETIC ENGAGEMENT (SAN BERNARDINO COUNTY)- FIND FOOD BANK (COACHELLA VALLEY, RIVERSIDE COUNTY) -SYMBA CENTER (HIGH DESERT, SAN BERNARDINO COUNTY)
LOMA LINDA UNIVERSITY MED CNTR-MURRIETA	PART V, SECTION B, LINE 7D: THE CHNA IS AVAILABLE ON OUR WEBSITE, IS DISTRIBUTED ELECTRONICALLY TO OVER 100 COMMUNITY-PARTNERS ORGANIZATIONS, IS PRINTED AND PRINTABLE FOR WHEN REQUESTED BY COMMUNITY MEMBERS, AND THE FULL DATA SET OF FINDINGS IS IN THE APPENDIX OF THE REPORT SO ANY COMMUNITY AGENCY CAN USE THE ASSESSMENT DATA. FACILITY WEBSITE: HTTPS://LLUH.ORG/LOCATIONS/LOMA-LINDA-UNIVERSITY-MEDICAL-CENTER-MURRIETACHNA WEBSITE: HTTPS://LLUH.ORG/ABOUT-US/COMMUNITY-BENEFIT/REPORTS-AND-RESOURCES
LOMA LINDA UNIVERSITY MED CNTR-MURRIETA	PART V, SECTION B, LINE 11: REFER TO SCHEDULE H SUPPLEMENTAL INFORMATION
LOMA LINDA UNIVERSITY MED CNTR-MURRIETA	PART V, SECTION B, LINE 13B: NUMBER OF FAMILY MEMBERS
LOMA LINDA UNIVERSITY MED CNTR-MURRIETA	PART V, SECTION B, LINE 16J: THE POLICY IS POSTED ON THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE.
PART V, SECTION B, LINE 11:	POPULATIONS SERVED THROUGH 2023-2025 IMPLEMENTATION CYCLE: WORKFORCE DEVELOPMENT (YOUTH/ADULTS FROM SAN BERNARDINO & RIVERSIDE COUNTIES; HOUSEHOLDS AT 400% BELOW FEDERAL POVERTY LINE; 1ST GENERATION COLLEGE STUDENTS; INTERNSHIP AND WORKFORCE DEVELOPMENT PROGRAMS TO EXTEND ACCESS TO JOB EXPERIENCE FOR UNDERREPRESENTED GROUPS, COMMUNITIES, AND PEOPLE OF COLOR). EDUCATION (STUDENTS FROM UNDERREPRESENTED GROUPS, COMMUNITIES, OR PEOPLE OF COLOR; SCHOOL-AGE YOUTH EXPERIENCING CHRONIC ABSENTEEISM FROM SCHOOL; PIPELINE PROGRAMS TO LINK MIDDLE AND HIGH SCHOOL YOUTH TO WORKFORCE OPPORTUNITIES IN MULTIPLE SECTORS, ESPECIALLY HEALTH CARE; BRIDGE SCHOLARSHIPS FOR YOUTH TO INCREASE ACCESS TO HIGHER EDUCATION). GREEN SPACES (SAN BERNARDINO RESIDENTS LIVING IN FOOD DESERTS AND THOSE WHO LACK ACCESS TO AFFORDABLE PRODUCE; FAMILIES WITHIN A 5-MILE RADIUS OF THE SAC NORTON 3RD STREET CLINIC IN NEED OF SAFE GREEN SPACES FOR RECREATION). BEHAVIORAL HEALTH: (OUTREACH TO MIDDLE AND HIGH SCHOOL YOUTH EXPERIENCING BEHAVIORAL HEALTH CONCERNS, ACCESS TO BEHAVIORAL HEALTH RESOURCES FOR ADOLESCENTS AND TEENS). FOOD SECURITY (ACCESS TO HEALTHY, ORGANIC FOOD FOR PEOPLE LIVING IN FOOD DESERTS; COMMUNITY ENGAGEMENT THROUGH GARDENING IN OUTDOOR COMMUNITY CENTERS AND LOCALLY GROWN FOOD AND SAFE GREEN SPACES; MICROLOAN OPPORTUNITIES FOR LOW-INCOME RESIDENTS PURSUING ENTREPRENEURSHIP, ACCESS TO HEALTHCARE FOR UNDER-REPRESENTED POPULATIONS (FQHC POPULATIONS; RURAL COMMUNITIES & AGRICULTURAL WORKERS; COMMUNITY INJURY PREVENTION; MOTHERS & MEDICALLY FRAGILE INFANTS (SERVING FAMILIES IN THE NICU, BLACK DOULA TRAINING, AND INVOLVEMENT IN REGIONAL INITIATIVES); LIFESTYLE (METABOLIC SYNDROME; PEOPLE EXPERIENCING: HOMELESSNESS; DISABILITY, CANCER, PRE-DIABETES AND DIABETES). COMMUNITY HEALTH IMPLEMENTATION STRATEGY FY 23-FY 25: THE THREE-YEAR PLAN FOR THE FY 23- FY 25 FISCAL YEARS CENTERS ON LLUH'S ATTEMPT TO ADDRESS THE ROOT CAUSE OF POVERTY IN OUR REGION THROUGH WORKFORCE DEVELOPMENT AND EDUCATION AND TO INCREASE ACCESS TO CARE FOR VULNERABLE POPULATIONS WHO LIVE WITH UN-MET HEALTH NEEDS THAT CLUSTER INTO "LIFESTYLE DISEASES." THE TWO ARE INEXTRICABLY LINKED AS POVERTY DECREASES HEALTH STATUS IS A WELL-DOCUMENTED CONTRIBUTOR TO CHRONIC STRESS AND HIGHER RATES OF HYPERTENSION, DIABETES, DECREASED CARDIAC HEALTH, AND EVEN ENVIRONMENTALLY TRIGGERED CONDITIONS LIKE ASTHMA. POPULATIONS LIVING AT THE LOWER LEVELS OF INCOME, OR HAVING A LOW SOCIOECONOMIC STATUS, IS ALSO A WELL-DOCUMENTED CORRELATION TO A DECREASE IN MENTAL AND BEHAVIORAL HEALTH AND HIGHER PREVALENCE RATES OF SUBSTANCE USE. WHEN POVERTY IS PERVASIVE, THOSE LIVING IN POVERTY CANNOT MAXIMIZE THEIR HEALTH STATUS AS SURVIVAL CONCERNS DECREASE OVERALL HEALTH AND WELLNESS. TO MAXIMIZE OUR WORK AND INVESTMENTS IN COMMUNITIES OF HIGHEST NEED, LLUH IS BUILDING ON OUR STRENGTHS AS AN ECONOMIC ANCHOR IN OUR REGION IN ORDER TO STRATEGICALLY RESPOND TO THE NEEDS EXPRESSED BY OUR COMMUNITY. LLUH EMPLOYS OVER 17,000 PEOPLE BETWEEN OUR UNIVERSITY AND HEALTHCARE SYSTEM AND WE ARE A JOB ENGINE FOR PEOPLE IN OUR COMMUNITY AND PROVIDE ACCESS TO HIGHER, LIVABLE WAGES THROUGH OUR HEALTH SYSTEM. AS LLUH IS ALSO A GRADUATE INSTITUTION FOR HEALTH EDUCATION, WE CAN INCREASE LOCAL RESIDENT'S ACCESS TO EDUCATION THROUGH OUR EXPERTISE IN THIS INDUSTRY. THE MISSION OF LLUH IS TO CONTINUE BOTH THE TEACHING AND HEALING MINISTRY OF JESUS CHRIST TO MAKE MAN WHOLE WITH EQUAL EMPHASIS AS ON BOTH ASPECTS OF THE MISSION, INCLUDING HOW THIS MISSION INFORMS OUR RESPONSIVENESS TO THE COMMUNITIES WE SERVE. FOR THE FY 23 FY 25 THREE YEAR CYCLE, LLUH IS COMMITTED TO ADDRESSING UN-MET HEALTH NEEDS THAT ARE EXACERBATED BY POVERTY THROUGH A FOCUS OF COMMUNITY BENEFIT INVESTMENT IN WORKFORCE DEVELOPMENT & EDUCATION AND HEALTH AND WELLNESS ISSUES WHERE LLUH CAN MAKE TARGETED INVESTMENTS IN INTERVENTIONS IN OUR WORK WITH NON-PROFIT PARTNERS AND COMMUNITY MEMBERS. RESOURCES ALLOCATED TO THE NEEDS: THE FOLLOWING IMPLEMENTATION STRATEGY OUTLINES THE ACTIVITIES AND INVESTMENTS MADE BY THE FOUR LICENSED HOSPITALS AS EXECUTED THROUGH THE INSTITUTE FOR COMMUNITY PARTNERSHIPS. MAJOR INITIATIVES ARE COVERED IN THE FOLLOWING IMPLEMENTATION STRATEGY, ROUTINE SYSTEM ACTIVITIES RELATED TO HEALTH ACCESS OR OUTREACH ARE REPORTED ANNUALLY ONLY AS THEY FIT AND ADDRESS THE NEEDS IDENTIFIED FOR FOCUS BY THE FY 23 FY 25 CHIS. THE FOUR MAJOR GOALS FOR LLUH COMMUNITY BENEFIT INCLUDE: IMPROVING ECONOMIC MOBILITY THROUGH EDUCATIONAL AND WORKFORCE OPPORTUNITIES, ADVANCING HEALTH EQUITY, INCREASING ACCESS TO HEALTH AND WELLNESS RESOURCES, AND IMPROVING MATERNAL AND CHILD HEALTH OUTCOMES. GOAL 1 PROGRAMS INCLUDE DISCOVERY AND MYCAMPUS WHICH FOCUS ON EXPOSING YOUTH IN OUR REGION TO DIFFERENT CAREERS IN HEALTHCARE. GOAL 2 PROGRAMS CENTER AROUND OUR COMMUNITY HEALTH WORKERS WORKFORCE. THROUGH ICP, THE HOSPITALS ARE INVESTING IN THE DEVELOPMENT OF THE COMMUNITY HEALTH WORKER WORKFORCE IN OUR REGION IN SCHOOL DISTRICTS, WITH NON-PROFIT PARTNERS, AND IN HEALTH SYSTEMS. THE IMPLEMENTATION PLAN FOR THIS EFFORT INCLUDES THE FOLLOWING MAJOR INITIATIVES: 1) ICP CONTRACTS AND PROVIDES TECHNICAL ASSISTANCE TO SCHOOL DISTRICTS TO CREATE CHEW JOBS: LLUH THROUGH ICP CONTINUES ITS COMMUNITY HEALTH EDUCATION WORKER TEAMS (CHEWS) IN LOCAL SCHOOL DISTRICTS IN ORDER TO EXTEND OUTREACH TO AT-RISK POPULATIONS OF STUDENTS, OR YOUTH WHO ARE AT-PROMISE, BASED ON WHAT DISTRICTS MOST NEED ADDRESSED. THE CHEWS ARE TRAINED TO WORK IN THE EDUCATION SYSTEM AND THROUGH RELATIONSHIP BUILDING AND HOME VISITS, EXTEND OUTREACH, SOCIAL SUPPORTS, LINKAGES AND ACCOMPANIMENTS TO FAMILIES, RESOURCE SUPPORT, AND INFORMAL PEER COUNSELING TO HELP STUDENTS WHO ARE CHRONICALLY ABSENT, FACE UNDUE HEALTH CHALLENGES, OR ARE EXPERIENCING MENTAL OR BEHAVIORAL HEALTH CRISIS HAVE ADDITIONAL, INTENSIVE SUPPORTIVE RESOURCES. ICP CURRENTLY CONTRACTS WITH 2 SCHOOL DISTRICTS AND EMPLOYS 13 CHEWS WORKING IN THE COMMUNITY, A MANAGER OF INTEGRATION TO OVERSEE THE PROJECT, AND IS CONDUCTING INTERVENTIONS WITH FAMILIES WHO HAVE CHILDREN WHO ARE CHRONICALLY ABSENT (ONE DISTRICT) AND THE OTHER DISTRICT IS A FOCUSED INTERVENTION TO PREVENT AGAINST SUICIDAL IDEATION OR ACTION (BEHAVIORAL HEALTH PREVENTION). RESOURCES ALLOCATED: ALL FOUR LICENSED HOSPITALS INVEST IN ICP OPERATIONS IN ORDER TO CARRY OUT THIS LEVEL OF PARTNERSHIP, RESPONSIVENESS, AND INTERVENTION IN OUR COMMUNITIES. ONLY EXPENSES ABOVE AND BEYOND CONTRACTUAL REVENUE ARE REPORTED AS COMMUNITY BENEFIT. ICP IS INVESTING IN NON-PROFIT, COMMUNITY-BASED ORGANIZATIONAL PARTNERS WHO WANT TO EXPAND OUTREACH TO THEIR POPULATIONS THROUGH THE ADDITION OF COMMUNITY HEALTH WORKERS THROUGH EITHER SEED FUNDING FOR COMMUNITY HEALTH WORKER POSITIONS OR, THROUGH TECHNICAL ASSISTANCE WITH GRANT ACTIVITIES TO HELP INCREASE PARTNER POTENTIAL TO ACQUIRE DOLLARS TO HIRE COMMUNITY HEALTH WORKERS. ICP INVESTED IN A COMMUNITY HEALTH WORKER INTEGRATION PROGRAM WITH A NON-PROFIT PARTNER IN THE COACHELLA VALLEY WHERE FIND FOOD BANK ADDED A CHW TO THEIR OUTREACH TEAM. THE CHW WORKING THERE IS FOCUSED ON INTENSIVE OUTREACH VISITS TO AT-RISK FAMILIES IN THE HIGH NEED NORTH SHORE AREA. RESOURCES ALLOCATED: ALL FOUR LICENSED HOSPITALS INVEST IN ICP OPERATIONS IN ORDER TO CARRY OUT THIS LEVEL OF PARTNERSHIP, RESPONSIVENESS, AND INTERVENTION IN OUR COMMUNITIES. LLUMC AND LLUCH DOLLARS ARE CURRENTLY INVESTED IN THE NON-PROFIT PARTNER CHW POSITION. CREATION AND INTEGRATION OF THE CHW WORKFORCE IN THE LLUH SYSTEM. IN FY 2019 LLUH CONDUCTED A PILOT WITH 2 CHWS WHO INTEGRATED INTO HIGH-RISK AREAS WHERE VULNERABLE POPULATIONS ACCESS OUR HEALTH SYSTEM BUT FACE UNDUE HEALTH BURDENS IN TRYING TO ADDRESS THEIR HEALTH AND WELLNESS POST-ENCOUNTER IN EITHER INPATIENT OUR OUTPATIENT SETTINGS. THIS INCLUDES LINKAGES TO LLUH'S PRIORITY ON DISEASE RELATED TO POVERTY THROUGH A FOCUS ON AT-RISK INFANTS AND MOTHERS IN THE NICU AND AT-RISK ADULTS WITH DIABETES IN THE OUTPATIENT DIABETES TREATMENT CENTER. DUE TO THE INITIAL SUCCESS OF THE PILOT PROGRAM IN 2019, LLUH IS FORMALLY CREATED A CHW INTEGRATION AND INTERVENTION PROGRAM THROUGH THE INSTITUTE FOR COMMUNITY PARTNERSHIPS BASED ON THE FOLLOWING PARAMETERS: LLUH HOSPITALS CURRENTLY INVEST IN 8 CHW POSITIONS AND TWO OPERATIONS POSITIONS (2 MANAGERS) TO RUN THE PROGRAM. THE ICP MANAGEMENT/OPERATIONS POSITIONS OVERSEE THE ESTABLISHMENT OF THE CHW PROGRAM AT LLUH. THE LLUH CHWS WILL BE ENTIRELY FOCUSED ON THE TARGET POPULATION, THOSE FROM UNDERSERVED COMMUNITIES WHO LACK ACCESS TO SERVICES AND FACE POVERTY, BASED ON THE COMMUNITY BENEFIT INVESTMENT IN THIS COMMUNITY INTERVENTION. IT IS THE GOAL OF THIS PROGRAM TO USE THE HOSPITAL'S INVESTMENT TO INTERVENE AND LIGHTEN THE BURDEN OF THE SOCIAL DETERMINANTS OF HEALTH THROUGH COMMUNITY PEERS WHO ARE EXPERTLY TRAINED IN RECOGNIZING AND NAVIGATING THE SOCIAL DETERMINANTS OF HEALTH. WHILE THE CHWS ARE EMPLOYED BY LLUH AND MEET PEOPLE WHO REPRESENT VULNERABLE POPULATIONS IN OUR REGION, THEY ARE ASSIGNED TO WORK IN THE COMMUNITY WITH PATIENTS AND THEIR
PART V, SECTION B, LINE 11: CONTINUED	FAMILIES WHO REPRESENT THE TARGET POPULATION, AS DEFINED BY COMMUNITY BENEFIT PARAMETERS. LLUH CHWS FOCUS ON HOME VISITS AND COMMUNITY OUTREACH CLASSES/PEER SUPPORT GROUPS FOR VULNERABLE POPULATIONS WITH THE FOLLOWING PROGRAMMATIC GOALS: TIME IS THE MEDICINE UNLIKE MANY OF THE HEALTH CARE PROVIDERS AND WORKFORCE, CHWS ARE ABLE TO DO TIME-INTENSIVE INTERVENTIONS. THIS IS ACCOMPLISHED THROUGH A TRUSTED RELATIONSHIP AS CHWS ARE ABLE TO QUICKLY ESTABLISH AS COMMUNITY PEERS AND ENGAGE WITH COMMUNITY MEMBERS ONCE THEY ARE HOME. CHWS WORK WITH COMMUNITY MEMBERS AND THEIR FAMILY MEMBERS TO NAVIGATE COMPLEX SOCIAL AND HEALTH SYSTEMS TO ADDRESS, MANAGE, AND MAINTAIN THEIR HELP ONCE THESE COMMUNITY MEMBERS ARE NO LONGER "PATIENTS" IN OUR FACILITY, BUT INTEGRATING BACK TO THE HOME TO GET THE CARE THEY NEED. INTERVENTIONS WITHOUT BORDERS CHWS ARE ABLE TO PROVIDE SUPPORTIVE COACHING AND MENTORING TO HELP THOSE THEY WORK NAVIGATE COMPLEX SOCIAL SERVICES AND BENEFITS LIKE (DMV, SOCIAL SECURITY, VETERANS AFFAIRS, ETC.). CHWS ARE ALSO ABLE TO PROVIDE ACCOMPANIMENT BY MEETING WITH COMMUNITY MEMBERS AT APPOINTMENTS AND IN OUTPATIENT AND INPATIENT SYSTEMS OF CARE (BOTH LLUH AND NON-LLUH), AND CHWS ARE ABLE TO SUPPORT INDIVIDUALS IN ACCESSING RESOURCES FOR SURVIVAL NEEDS LIKE FOOD BANKS, HOUSING AND RENTAL ASSISTANCE, AND OTHER SUPPORTIVE SOURCES IN THE COMMUNITY OFFERED BY NON-PROFITS AND COMMUNITY ORGANIZATIONS. SPECIAL POPULATIONS FOCUS THE LLUH CHWS WILL BE STATIONED IN CRITICAL ACCESS AREAS OF THE HEALTH SYSTEM IN ORDER TO BECOME CONNECTED TO COMMUNITY MEMBERS WHO ARE EXPERIENCING THE HIGHEST LEVELS OF NEED. THE FOLLOWING ARE SPECIAL POPULATIONS THE CHW PROGRAM WILL ADDRESS: AT-RISK INFANTS AND MOTHERS; ADULTS WITH DIABETES; CHILDREN AND YOUTH WITH DIABETES; HOMELESS INDIVIDUALS IN OUR EMERGENCY DEPARTMENT; VIOLENCE PREVENTION; WHOLE FAMILY CARE; INDIVIDUALS EXPERIENCING ESCALATION OF SYMPTOMS RELATED TO HIV AND SICKLE CELL DISEASES; INDIVIDUALS EXPERIENCING A LACK OF ACCESS TO MENTAL HEALTH OR BEHAVIORAL HEALTH SERVICES AND RESOURCES; HIGH UTILIZERS OF THE LLUH SYSTEM WHO EXPERIENCE UNDUE SOCIAL DETERMINANT BURDEN AND REQUIRE EXTENSIVE, SUPPORTIVE ACCOMPANIMENT AND LINKAGE TO HEALTH AND SOCIAL SERVICES UPON DISCHARGE FROM THE LLUH INPATIENT SYSTEM. FINALLY, SPECIAL TO THIS PROGRAM IS THE TWO-FOR-ONE INVESTMENT THAT CREATING THE CHW WORKFORCE DOES TO CREATE JOBS AND DEVELOP THE WORKFORCE. TO GIVE CHWS JOBS IS AN ACT OF ECONOMIC DEVELOPMENT AS PEOPLE DOING THE WORK OF A CHW OFTEN NEED THE SAME ACCESS TO EMPLOYMENT AS THOSE THEY ARE TIRELESSLY SERVING. CHWS ARE TRADITIONALLY, NOT PART OF THE SYSTEMS THEY SUPPORT, NOR DO THEY HAVE ACCESS TO THE WORKPLACE BENEFITS. EMPLOYMENT REDUCES THE RELIANCE ON GRANT-BASED OR PROJECTBASED EMPLOYMENT FOR CHWS, A SOURCE OF INCOME INSECURITY. IN ADDITION TO THE PROGRAMMATIC OUTREACH AND INTERVENTION PROVIDED BY THE CHWS, THE CREATION OF THE JOBS FOR COMMUNITY MEMBERS WHO ARE TRAINED IN THIS WORK IS ALSO A FULFILLMENT OF THE COMMUNITY BENEFIT WORKFORCE DEVELOPMENT STRATEGY AS PRIORITY HIRING IS RESERVED FOR PEOPLE WITH LIVED EXPERIENCE IN NAVIGATING THE SOCIAL DETERMINANTS OF HEALTH, HAVING LIVED EXPERIENCE WITH POVERTY, AND THOSE WHO HAVE RECEIVED TRAINING TO BECOME COMMUNITY HEALTH WORKERS IN THE COMMUNITIES FROM WHICH THEY ARE FROM OR WITH SPECIAL POPULATIONS OF WHICH THEY HAVE SPECIAL KNOWLEDGE OR LIVED EXPERIENCE. GOAL 3 IS FOCUSED ON LIFESTYLE INTERVENTIONS THAT REDUCE CHRONIC DISEASES (I.E. GOAL 4 HEALTH SOCCER LEAGUE, HEALTH EDUCATION WORKSHOPS, AND CHW WORKFORCE TRAININGS TO BETTER SERVE THEIR PATIENTS). GOAL 4 SUPPORTS INITIAVES FOCUSED ON IMPROVING MATERNAL AND CHILD OUTCOMES THROUGH THE NICU, REACH OUT & READ PROGRAM, AND REGIONAL COLLABORATIONS. FINALLY, LLUH IS COMMITTED IN INVESTING DIRECT FINANCIAL RESOURCES INTO NONPROFIT ORGANIZATIONS FOCUSED ON ADDRESSING OUR FOUR GOALS IN WAYS THAT ARE BEYOND WHAT ICP AND LLUH COULD DO ON ITS OWN. RESOURCES ALLOCATED: ALL FOUR LICENSED HOSPITALS INVEST IN ICP OPERATIONS IN ORDER TO CARRY OUT THIS LEVEL OF PARTNERSHIP, RESPONSIVENESS, AND INTERVENTION IN OUR COMMUNITIES. ALL FOUR LICENSED HOSPITALS ARE INVESTING DOLLARS TO SUPPORT ICP OPERATIONS AND DIRECT FINANCIAL SUPPORT TO NONPROFIT PARTNERS. HOW THE NEEDS ARE DIRECTLY OR INDIRECTLY ADDRESSED: DUE TO THE REALITY THAT MORE NEEDS ARE OFTEN IDENTIFIED IN COMMUNITY HEALTH ASSESSMENTS THAN WHAT CAN BE ACTED UPON IN ORDER TO SHOW AN IMPACT, LLUH PRIORITIZED THE NEEDS AND IMPLEMENTATION STRATEGY ACCORDING TO THE HIGHEST PRIORITY NEEDS, REFLECTED IN THIS IMPLEMENTATION STRATEGY: A) DIRECTLY ADDRESSED BY THE CHIS AND THE ANNUAL SYSTEM ACTIVITIES THAT ARE IN ALIGNMENT WITH COMMUNITY BENEFIT PRINCIPLES AND CONNECTED TO THE 2022 CHNA NEEDS IDENTIFIED; B) INDIRECTLY ADDRESSED BY LLUH'S PARTNERSHIPS WITH OTHER ORGANIZATIONS ALREADY WORKING IN THESE AREAS IN THE COMMUNITY; C) NOT ADDRESSED DUE TO IT NOT BEING AN AREA OF EITHER DIRECT INVESTMENT OR INDIRECT WORK WITH PARTNER ORGANIZATIONS. TO LEARN ABOUT HOW ALL NEEDS IDENTIFIED BY LLUH WERE EITHER ADDRESSED DIRECTLY, INDIRECTLY, OR NOT ADDRESSED, PLEASE SEE THE CHIS DOCUMENT PUBLICLY POSTED ON THE LLUH REPORTS WEBSITE FOR AN INVENTORY. FOR COMPLETE INFORMATION ON LLUH CHNA & CHIS AND THE ANNUAL COMMUNITY BENEFIT REPORTS FOR THE LLUH HOSPITALS, PLEASE VISIT: HTTPS://LLUH.ORG/ABOUT-US/COMMUNITY-BENEFIT/REPORTS-AND-RESOURCES

Schedule H (Form 990) 2023

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) 2023

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
PART I, LINE 3C:	LLUMC-M USES FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.
PART I, LINE 6A:	LLUH, ON BEHALF OF LLUMC-M, SUBMITS AN ANNUAL COMMUNITY BENEFIT REPORT TO OSHPD.
PART I, LINE 7:	WE USE THE WORKSHEETS AVAILABLE IN THE INSTRUCTION SECTION OF SCHEDULE H TO DERIVE THE AMOUNTS REPORTED IN THIS SECTION.PART I, LINE 7, COLUMN E: HEALTH PROFESSIONALS EDUCATION AND RESEARCH-$0PART I, LINE 7: MEDICAL CARE SERVICES-$24,888,987; COMMUNITY HEALTH IMPROVEMENT-$54,836PART III, LINE 3: BAD DEBT-$1,876,488PART III, LINE 8: N/A
PART I, LINE 7G:	WE DID NOT INCLUDE ANY COST ATTRIBUTABLE TO A PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES:	REFER TO 990, PART III, LN 4A & SCHEDULE O FOR MORE INFORMATION ON LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA - COMMUNITY HEALTH BENEFIT SELECTED PROGRAM HIGHLIGHTS
PART III, LINE 2:	PRIOR TO FY202, LLUMC-M ADOPTED THE NEW REVENUE STANDARD USING THE MODIFIED RETROSPECTIVE METHOD. PATIENT SERVICE REVENUES ARE PRESENTED NET OF ESTIMATED IMPLICIT PRICE CONCESSION REVENUE DEDUCTIONS. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND EXPECTED COLLECTIONS BASED ON HISTORICAL COLLECTIONS. SEE FOOTNOTE TO FY2024 LLUMC'S COMBINED FINANCIAL STATEMENTS, PAGE 14-17, NOTES TO COMBINED FINANCIAL STATEMENTS.
PART III, LINE 3:	ESTIMATED AMOUNT OF BAD DEBT EXPENSE REPORTED FOR PATIENTS ELIGIBLE UNDER LLUMC'S FINANCIAL ASSITANCE POLICY IS DERIVED BY DEVELOPING A COST-TO-CHARGE RATIO OF 18.14% (ADJUSTED PATIENT CARE COSTS/GROSS PATIENT CHARGES) AND MUPLTIPLYING 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:	THE FOOTNOTE TO THE FY2023 LLUMC'S COMBINED FINANCIAL STATEMENTS THATDESCRIBES BAD DEBT EXPENSE IS FOUND ON PAGES 14-16, NOTES TO COMBINED FINANCIAL STATEMENTS.
PART III, LINE 9B:	AS A FAITH BASED ORGANIZATION, LLUMC-M STRIVES TO MEET THE HEALTH CARE NEEDS OF PATIENTS IN ITS GEOGRAPHIC SERVICE AREA. THE FIRST AND FOREMOST RESPOSIBILITY OF LLUMC-M 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 LLUMC-M 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.FOR FURTHER INFORMATION, PLEASE REFER TO OUR CHARITY CARE AND FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 2:	THE COMMUNITY HEALTH NEED ASSESSMENT 2022 AS THE BASELINE FOR 2023-2025 IMPLEMENTATION STRATEGY: IN 2022, LOMA LINDA UNIVERSITY HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH NON-PROFIT, COMMUNITY-BASED PARTNERS AND THEIR COMMUNITY HEALTH WORKERS IN ORDER TO IMPLEMENT A SOCIAL DETERMINANTS OF HEALTH SURVEY WITH 811 COMMUNITY MEMBERS; TO CONDUCT 22 COMMUNITY CONVERSATIONS IN BOTH ENGLISH AND SPANISH (FOCUS GROUPS) WITH OVER 150 COMMUNITY MEMBERS; AND TO CONDUCT 13 INTERVIEWS WITH 16 REGIONAL LEADERS ACTIVE IN PUBLIC HEALTH, EDUCATION, ADVOCACY, FAITH-BASED, AND/OR NON-PROFIT ORGANIZATIONS WITH DEEP KNOWLEDGE OF OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. SIXTY-THREE PERCENT OF THE PEOPLE WHO PARTICIPATED IN THE EXTENSIVE SURVEY EFFORT WERE FROM HOUSEHOLDS LIVING ON $50,000 A YEAR OR LESS, WITH THIRTY-THREE PERCENT OF PARTICIPANTS LIVING ON $25,000 OR LESS. THE CHNA ACHIEVED A STATISTICALLY SIGNIFICANT SAMPLING OF COMMUNITY MEMBERS LIVING ON LOWER INCOMES AND ACHIEVED REPRESENTATION FOR THE 4.7 MILLION PEOPLE IN OUR REGION, IN KEEPING WITH COMMUNITY BENEFIT GUIDELINES FOR IDENTIFYING THE UN-MET HEALTH NEEDS OF THE MOST VULNERABLE MEMBERS OF THE COMMUNITY. MOST IMPORTANTLY, THE NEEDS IDENTIFIED THROUGH THE METHODOLOGY OF THIS STUDY WERE THOSE THE COMMUNITY MEMBERS IDENTIFIED AS THE MOST PRESSING NEEDS IN THEIR COMMUNITIES. EMERGING AS THE LEADING HEALTH CHALLENGE IN OUR REGION WAS A FOCUS ON MENTAL HEALTH. CONTRIBUTING FACTORS INCLUDED THE HOUSING CRISIS/HOMELESSNESS, IMPACT OF COVID-19 (LOSS OF LOVED ONES, DEPRESSION, ANXIETY, SUBSTANCE ABUSE, ETC.), AND LIVING IN UNDERSERVED AREAS. THE STRESS AND ISOLATION FROM THE PANDEMIC HAVE HAD DEVASTATING EFFECTS ON NEARLY EVERY COMMUNITY AND POPULATION ACROSS THE REGION. THE PRIMARY AND SECONDARY DATA SOURCES ALSO REVEALED HEART DISEASE AND DIABETES AS THE LEADING CAUSES OF PREVENTABLE DEATH AND MORBIDITY IN THE INLAND EMPIRE. THESE CHRONIC DISEASES PLAGUE LOWER INCOME POPULATIONS AT HIGHER RATES DUE TO THE LACK OF HEALTHY FOOD CHOICES AND EASIER ACCESS TO UNHEALTHY FOODS IN AREAS OF LOW SOCIOECONOMIC STATUS. FINALLY, MATERNAL AND CHILD HEALTH WAS MENTIONED AS THE THIRD LEADING HEALTH CHALLENGE DUE TO THE HUGE DISPARITIES THAT EXIST FOR WOMEN OF COLOR AND BIRTHING OUTCOMES. MATERNAL MORTALITY RATES FOR WOMEN OF COLOR WERE 2.9 TIMES HIGHER THAN NON-HISPANIC WHITE WOMEN. INFANT MORTALITY RATES IN RIVERSIDE AND SAN BERNARDINO COUNTY WERE ALSO MUCH HIGHER THAN THE STATE AS A WHOLE, ESPECIALLY AMONG BLACKS AD HISPANICS.
PART VI, LINE 3:	AT THE TIME OF REGISTRATION, PATIENTS WHO ARE UNINSURED AND UNDERINSURED ARE PROVIDED INFORMATION ABOUT GOVERNMENT HEALTHCARE PROGRAMS. PATIENTS ALSO ARE ORALLY INFORMED OF THEIR RIGHT TO REQUEST CHARITY ASSISTANCE. SIGNS ARE DISPLAYED IN THE PATIENT BUSINESS OFFICE, PATIENT REGISTRATION AREAS AND THE EMERGENCY ROOM IN MULTIPLE LANGUAGES INFORMING PATIENTS OF THIS RIGHT AS WELL. THE HOSPITAL ALSO PROVIDES A BROCHURE DURING THE REGISTRATION PROCESS THAT EXPLAINS THE HOSPITAL BILLING AND COLLECTION PROCEDURES, AND HOW TO REQUEST FINANCIAL ASSISTANCE. IN ADDITION, SELF-PAY BILLING STATEMENTS SENT TO PATIENTS CONTAIN INFORMATION ON HOW TO REQUEST FINANCIAL ASSISTANCE.
PART VI, LINE 4:	THE COMMUNITY HEALTH NEED ASSESSMENT 2022 AS THE BASELINE FOR 2023-2025 IMPLEMENTATION STRATEGY: IN 2022, LOMA LINDA UNIVERSITY HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH NON-PROFIT, COMMUNITY-BASED PARTNERS AND THEIR COMMUNITY HEALTH WORKERS IN ORDER TO IMPLEMENT A SOCIAL DETERMINANTS OF HEALTH SURVEY WITH 811 COMMUNITY MEMBERS; TO CONDUCT 22 COMMUNITY CONVERSATIONS IN BOTH ENGLISH AND SPANISH (FOCUS GROUPS) WITH OVER 150 COMMUNITY MEMBERS; AND TO CONDUCT 13 INTERVIEWS WITH 16 REGIONAL LEADERS ACTIVE IN PUBLIC HEALTH, EDUCATION, ADVOCACY, FAITH-BASED, AND/OR NON-PROFIT ORGANIZATIONS WITH DEEP KNOWLEDGE OF OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. SIXTY-THREE PERCENT OF THE PEOPLE WHO PARTICIPATED IN THE EXTENSIVE SURVEY EFFORT WERE FROM HOUSEHOLDS LIVING ON $50,000 A YEAR OR LESS, WITH THIRTY-THREE PERCENT OF PARTICIPANTS LIVING ON $25,000 OR LESS. THE CHNA ACHIEVED A STATISTICALLY SIGNIFICANT SAMPLING OF COMMUNITY MEMBERS LIVING ON LOWER INCOMES AND ACHIEVED REPRESENTATION FOR THE 4.7 MILLION PEOPLE IN OUR REGION, IN KEEPING WITH COMMUNITY BENEFIT GUIDELINES FOR IDENTIFYING THE UN-MET HEALTH NEEDS OF THE MOST VULNERABLE MEMBERS OF THE COMMUNITY. MOST IMPORTANTLY, THE NEEDS IDENTIFIED THROUGH THE METHODOLOGY OF THIS STUDY WERE THOSE THE COMMUNITY MEMBERS IDENTIFIED AS THE MOST PRESSING NEEDS IN THEIR COMMUNITIES. EMERGING AS THE LEADING HEALTH CHALLENGE IN OUR REGION WAS A FOCUS ON MENTAL HEALTH. CONTRIBUTING FACTORS INCLUDED THE HOUSING CRISIS/HOMELESSNESS, IMPACT OF COVID-19 (LOSS OF LOVED ONES, DEPRESSION, ANXIETY, SUBSTANCE ABUSE, ETC.), AND LIVING IN UNDERSERVED AREAS. THE STRESS AND ISOLATION FROM THE PANDEMIC HAVE HAD DEVASTATING EFFECTS ON NEARLY EVERY COMMUNITY AND POPULATION ACROSS THE REGION. THE PRIMARY AND SECONDARY DATA SOURCES ALSO REVEALED HEART DISEASE AND DIABETES AS THE LEADING CAUSES OF PREVENTABLE DEATH AND MORBIDITY IN THE INLAND EMPIRE. THESE CHRONIC DISEASES PLAGUE LOWER INCOME POPULATIONS AT HIGHER RATES DUE TO THE LACK OF HEALTHY FOOD CHOICES AND EASIER ACCESS TO UNHEALTHY FOODS IN AREAS OF LOW SOCIOECONOMIC STATUS. FINALLY, MATERNAL AND CHILD HEALTH WAS MENTIONED AS THE THIRD LEADING HEALTH CHALLENGE DUE TO THE HUGE DISPARITIES THAT EXIST FOR WOMEN OF COLOR AND BIRTHING OUTCOMES. MATERNAL MORTALITY RATES FOR WOMEN OF COLOR WERE 2.9 TIMES HIGHER THAN NON-HISPANIC WHITE WOMEN. INFANT MORTALITY RATES IN RIVERSIDE AND SAN BERNARDINO COUNTY WERE ALSO MUCH HIGHER THAN THE STATE AS A WHOLE, ESPECIALLY AMONG BLACKS AD HISPANICS.
PART VI, LINE 5:	LLUH HAS A UNIQUE, BEST-PRACTICE MODEL IN THE IMPLEMENTATION OF COMMUNITY BENEFIT IN ORDER TO ACHIEVE COLLECTIVE IMPACT WITH THEIR INVESTMENT AND PROGRAM STRATEGY: SINCE 2012, ALL LICENSED HOSPITALS WITHIN THE LLUH SYSTEM HAVE CENTRALIZED THEIR COMMUNITY BENEFIT INVESTMENTS THROUGH THE INSTITUTE FOR COMMUNITY PARTNERSHIPS TO MORE STRATEGICALLY ALIGN AND IMPLEMENT COMMUNITY HEALTH INVESTMENTS AND SINCE THE BEGINNING, LLUH HAS REPORTED PROGRAMMATICALLY AT THE HEALTH SYSTEM LEVEL TO MAXIMIZE OUTCOMES. THE COMMUNITY BENEFIT NUMBERS ARE REPORTED FINANCIALLY AND INDEPENDENTLY ON EACH LICENSED HOSPITAL'S 990 SCHEDULE H BASED ON THEIR INDIVIDUAL HOSPITAL FINANCIALS WITH ATTENTIVE MANAGEMENT TO BOTH THE COLLECTIVE AND INDIVIDUAL PROGRAMS, ACTIVITIES, AND OUTCOMES REPORTED IN THE ANNUAL SYSTEM COMMUNITY BENEFIT REPORT, IN COMPLIANCE WITH THE ACA (2010) AND CALIFORNIA'S AB 204 (2019). THE CENTRALIZED MODEL ALLOWS THE HOSPITALS TO ACCOMPLISH MORE IMPACT IN THE COMMUNITY FROM THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS) AND IN MORE EFFECTIVELY WORKING WITH PARTNER ORGANIZATIONS WITH SIMILAR GOALS. THE INSTITUTE FOR COMMUNITY PARTNERSHIPS IS COMMITTED TO SUPPORTING IMPLEMENTATION OF LLUH'S HOSPITAL COMMUNITY BENEFIT INVESTMENTS AND FULFILLMENT OF THE PRIORITY FOCUS AREAS, IN CLOSE COLLABORATION WITH THE COMMUNITY, TO COMMUNITY-BASED RESEARCH, AND TO SERVICE-LEARNING AT LOMA LINDA UNIVERSITY HEALTH (LLUH). THE INSTITUTE PLAYS A CENTRALIZING, COORDINATING, AND IMPLEMENTATION FUNCTION FOR THE FOUR LICENSED HOSPITALS AT LLUH'S COMMUNITY BENEFIT INVESTMENT DOLLARS. OUR INSTITUTE IS COMMITTED TO STRATEGICALLY WORKING WITH OUR COMMUNITY PARTNERS TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY THROUGH ACTIVITIES SUCH AS RESEARCH, TEACHING, AND SERVICE-BASED LEARNING. COMMUNITY PARTICIPATION IS AT THE CORE OF OUR EFFORTS, WITH STRUCTURED LEARNING OPPORTUNITIES FOR UNDERREPRESENTED MINORITY STUDENTS, TRAINING PROGRAMS FOR COMMUNITY HEALTH WORKERS, AND COMMUNITY RESEARCH PROJECTS. THE INSTITUTE FOR COMMUNITY PARTNERSHIPS: SEEKS TO WORK "WITH" THE COMMUNITY RATHER THAN "IN" THE COMMUNITY; STRIVES TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY, WHILE RECOGNIZING AND CAPITALIZING ON ITS ASSETS; SEEKS TO INTEGRATE SERVICES FROM RESEARCH TO TEACHING THROUGH COMMUNITY-BASED PARTICIPATION AND SERVICE-BASED LEARNING; PROVIDES A SUPPORTING AND COORDINATING ROLE ACROSS THE VARIOUS SCHOOLS AND THE MEDICAL CENTER. OUR COMMUNITY BENEFIT OBJECTIVES INCLUDE: IMPROVING ACCESS TO HEALTH SERVICES; ENHANCING THE ROLE OF PUBLIC HEALTH IN HEALTH CARE SERVICES; SERVING THOSE WHO LIVE IN POVERTY OR OTHER VULNERABLE POPULATIONS; PROMOTING AND ENHANCING COMMUNITY BUILDING ACTIVITIES; AND COMMITTING TO COMMUNITY HEALTH IMPROVEMENT THROUGHOUT THE ORGANIZATION.
PART VI, LINE 6:	EXPLANATION: AFFILIATED HEALTHCARE SYSTEMWE 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 OUR COMMUNITIES. A DETAILED COMMUNITY BENEFIT REPORT OF THE HOSPITAL'S ACTIVITIES WILL BE PROVIDED UPON REQUEST.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule H (Form 990) 2023

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
LOMA LINDA UNIVERSITY MED CNTR-MURRIETA

Employer identification number
37-1705906

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) SUSAN G KOMEN CANCER FOUNDATION 1377 NOEL RD STE 801899 DALLAS,TX75380	75-1835298	501C3	5,000	0			SUPPORT THE FIGHT AGAINST CANCER

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation

Schedule I (Form 990) 2023

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
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LOMA LINDA UNIVERSITY MED CNTR-MURRIETA

Employer identification number

37-1705906

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? .............

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? ..................

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) 2023

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1WRIGHT TREVOR G CEO	(i) (ii)	0 ------------- 931,154	0 ------------- 130,875	0 ------------- 186,000	0 ------------- 196,633	0 ------------- 117,455	0 ------------- 1,562,117	0 ------------- 0
2MARTIN ROBERT TRUSTEE	(i) (ii)	0 ------------- 765,000	0 ------------- 413,752	0 ------------- 60,080	0 ------------- 39,600	0 ------------- 7,200	0 ------------- 1,285,632	0 ------------- 0
3LALAS ANGELA M CFO	(i) (ii)	0 ------------- 823,500	0 ------------- 96,125	0 ------------- 162,038	0 ------------- 144,572	0 ------------- 100,888	0 ------------- 1,327,123	0 ------------- 0
4EDWARDS LYNDON COO	(i) (ii)	0 ------------- 678,300	0 ------------- 80,375	0 ------------- 130,522	0 ------------- 142,448	0 ------------- 91,026	0 ------------- 1,122,671	0 ------------- 0
5HILLIARD ANTHONY TRUSTEE	(i) (ii)	0 ------------- 677,828	0 ------------- 142,624	0 ------------- 30,876	0 ------------- 39,600	0 ------------- 7,200	0 ------------- 898,128	0 ------------- 0
6THOMAS TAMARA TRUSTEE, DEAN LLU SOM	(i) (ii)	0 ------------- 621,923	0 ------------- 0	0 ------------- 132,902	0 ------------- 44,030	0 ------------- 64,347	0 ------------- 863,202	0 ------------- 0
7HART RICHARD HENRY PRESIDENT	(i) (ii)	0 ------------- 615,138	0 ------------- 0	0 ------------- 116,636	0 ------------- 45,612	0 ------------- 74,734	0 ------------- 852,120	0 ------------- 0
8HUBBARD MARK LEE ASST CORP SECRETARY	(i) (ii)	0 ------------- 552,115	0 ------------- 53,350	0 ------------- 117,381	0 ------------- 17,892	0 ------------- 68,890	0 ------------- 809,628	0 ------------- 0
9STAPLES-EVANS HELEN SVP PATIENT SERVICES	(i) (ii)	0 ------------- 539,000	0 ------------- 54,850	0 ------------- 117,828	0 ------------- 113,057	0 ------------- 58,944	0 ------------- 883,679	0 ------------- 0
10RUCKLE HERBERT TRUSTEE	(i) (ii)	0 ------------- 550,000	0 ------------- 209,000	0 ------------- 0	0 ------------- 39,600	0 ------------- 7,700	0 ------------- 806,300	0 ------------- 0
11PEVERINI RICARDO TRUSTEE	(i) (ii)	0 ------------- 495,000	0 ------------- 250,000	0 ------------- 0	0 ------------- 39,600	0 ------------- 6,200	0 ------------- 790,800	0 ------------- 0
12SODERBLOM ALAN SVP FINANCE	(i) (ii)	0 ------------- 471,904	0 ------------- 50,338	0 ------------- 71,239	0 ------------- 41,653	0 ------------- 72,665	0 ------------- 707,799	0 ------------- 0
13JEAN-MARIE JONATHAN SENIOR VP ADMIN	(i) (ii)	0 ------------- 470,400	0 ------------- 43,450	0 ------------- 62,769	0 ------------- 743,459	0 ------------- 74,432	0 ------------- 1,394,510	0 ------------- 0
14HERRMANN PAUL TRUSTEE	(i) (ii)	0 ------------- 336,654	0 ------------- 38,906	0 ------------- 55,150	0 ------------- 39,600	0 ------------- 5,700	0 ------------- 476,010	0 ------------- 0
15SECOR LUCAS VP REVENUE CYCLE	(i) (ii)	0 ------------- 302,269	0 ------------- 20,453	0 ------------- 39,989	0 ------------- 62,439	0 ------------- 41,890	0 ------------- 467,040	0 ------------- 0
16CHAN FRANCIS TRUSTEE	(i) (ii)	0 ------------- 350,000	0 ------------- 29,300	0 ------------- 8,500	0 ------------- 39,600	0 ------------- 6,200	0 ------------- 433,600	0 ------------- 0
17MATUS SARAH VP HOSPITAL OPERATIONS	(i) (ii)	0 ------------- 295,683	0 ------------- 22,313	0 ------------- 26,368	0 ------------- 61,259	0 ------------- 47,094	0 ------------- 452,717	0 ------------- 0
18ROBINSON DENISE CNO	(i) (ii)	0 ------------- 319,169	0 ------------- 18,779	0 ------------- 17,170	0 ------------- 476,081	0 ------------- 13,445	0 ------------- 844,644	0 ------------- 0
19ARELLANO JASON T RN-OR/SURGERY	(i) (ii)	241,229 ------------- 0	5,682 ------------- 0	6,869 ------------- 0	32,157 ------------- 0	23,641 ------------- 0	309,578 ------------- 0	0 ------------- 0
20VINH LONG DIRECTOR-PHARMACY	(i) (ii)	239,788 ------------- 0	12,672 ------------- 0	16,038 ------------- 0	14,334 ------------- 0	23,642 ------------- 0	306,474 ------------- 0	0 ------------- 0
21WILSON APRIL TRUSTEE	(i) (ii)	0 ------------- 234,703	0 ------------- 18,657	0 ------------- 14,487	0 ------------- 32,142	0 ------------- 3,700	0 ------------- 303,689	0 ------------- 0
22TOVAR RENE AVP CLINICAL OPERATIONS	(i) (ii)	247,806 ------------- 0	5,130 ------------- 0	10,101 ------------- 0	14,206 ------------- 0	23,640 ------------- 0	300,883 ------------- 0	0 ------------- 0
23HUGGINS L ORLANDO ASST CORP SECRETARY	(i) (ii)	0 ------------- 154,105	0 ------------- 11,183	0 ------------- 18,166	0 ------------- 23,016	0 ------------- 23,640	0 ------------- 230,110	0 ------------- 0
24HANNA MYRNA LEE CORP SECRETARY	(i) (ii)	0 ------------- 152,037	0 ------------- 12,240	0 ------------- 18,376	0 ------------- 22,834	0 ------------- 17,304	0 ------------- 222,791	0 ------------- 0
25BOOTHBY ROBERT L EXEC DIR-INPATIENT SVCS	(i) (ii)	159,227 ------------- 0	7,449 ------------- 0	300 ------------- 0	18,893 ------------- 0	0 ------------- 0	185,869 ------------- 0	0 ------------- 0
26HENDERSON WHITNEY ASST CORP SECRETARY	(i) (ii)	0 ------------- 116,517	0 ------------- 9,763	0 ------------- 11,429	0 ------------- 17,343	0 ------------- 23,640	0 ------------- 178,692	0 ------------- 0
27CASAS ISIDRO RN CATH LAB	(i) (ii)	105,188 ------------- 0	3,768 ------------- 0	18,522 ------------- 0	16,447 ------------- 0	13,903 ------------- 0	157,828 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

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	LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA (LLUMC-M) SENIOR EXECUTIVES ARE EMPLOYED BY LOMA LINDA UNIVERSITY HEALTH (LLUH). 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. LLUMC-M'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. ALL EMPLOYEES RECEIVE THIS BENEFIT. THE TAXABLE COST OF THIS BENEFIT IS INCLUDED IN THE EMPLOYEE'S W-2. LLUH BENEFITS FOR HOUSING ALLOWANCE. IF USED, THE TAXABLE COST OF THIS BENEFIT IS INCLUDED IN THE EMPLOYEE'S W-2.
PART I, LINE 3	PLEASE SEE EXPLANATION FOR PART VI, SECTION B, LINE 15 THAT IS LISTED UNDER SCHEDULE O.
PART I, LINE 4B	PART I LINE 4B-THE FOLLOWING EMPLOYEES PARTICIPATED IN, AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SERP FUNDING PAID TO EMPLOYEE IN CASH: - NONE NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH: - HART, RICHARD HENRY: 96,162 - MATUS, SARAH: 15,220 - HUBBARD, MARK LEE: 79,999 - LALAS, ANGELA M: 147,285 - SECOR, LUCAS: 26,576 - SODERBLOM, ALAN B.: 56,176 - ROBINSON, MAVIS: 10,651 - WRIGHT, TREVOR: 166,652 - THOMAS, TAMARA: 99,465 - STAPLES-EVANS, HELEN: 89,810 - EDWARDS, LYNDON, 103,185 - JEAN-MARIE, JONATHAN 50,330 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: - HART, RICHARD HENRY: 4,678 - HUBBARD, MARK LEE: 12,119 - LALAS, ANGELA M.: 1,942 - SECOR, LUCAS: 568 - SODERBLOM, ALAN B.: 2,141 - ROBINSON, MAVIS: 1,539 - WRIGHT, TREVOR: 4,167 - THOMAS, TAMARA: 10,557 - MATUS, SARAH: 448 - STAPLES-EVANS, HELEN: 8,099 - EDWARDS, LYNDON: 3,666 - JEAN-MARIE, JONATHAN: 1,034 TRAVEL FOR COMPANIONS: -LALAS, ANGELA: 311 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS): - NONE
PART I, LINE 6	LLUH HAS AN INCENTIVE PLAN. PAYMENTS FOR INCENTIVE AWARDS ARE TRIGGERED ONLY IF, AMONG OTHER ESTABLISHED CRITERIA, NET INCOME EXCEEDS BUDGET BY AN ESTABLISHED PERCENTAGE.

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LOMA LINDA UNIVERSITY MED CNTR-MURRIETA

Employer identification number

37-1705906

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2023

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) REFER TO STATEMENT	FAMILY		EMPLOYMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
FORM 990, SCHEDULE L	THE ORGANIZATION HAS EMPLOYEES WHO ARE RELATED AND THE NATURE OF THE RELATIONSHIP IS EMPLOYMENT.

Schedule L (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

LOMA LINDA UNIVERSITY MED CNTR-MURRIETA

Employer identification number

37-1705906

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 ORGANZATIONS. 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 HOSPITAL (LLUMC-M) IS ORGANIZED AS A NOT-FOR-PROFIT RELIGIOUS CORPORATION. THE SOLE CORPORATE MEMBER OF LLUMC-M PURSUANT TO SECTION 9310 OF THE CALIFORNIA NONPROFIT RELIGIOUS CORPORATION LAW IS LOMA LINDA UNIVERSITY HEALTH, A CALIFORNIA NON-PROFIT RELIGIOUS CORPORATION, ACTING BY AND THROUGH ITS BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7A	THE HOSPITAL BYLAWS DEFINE ITS BOARD OF TRUSTEES TO BE THE SAME INDIVIDUALS WHO ARE MEMBERS OF THE LOMA LINDA UNIVERSITY MEDICAL CENTER BOARD OF TRUSTEES. LLUH, A CALIFORNIA NOT-FOR-PROFIT RELIGIOUS CORPORATION, IS THE SOLE CORPORATE MEMBER OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS OF GOVERNING BOARD APPROVAL THE SOLE CORPORATE MEMBER, LLUH, MUST APPROVE ALL CHANGES TO THE ARTICLES OF INCORPORATION AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 IS REVIEWED BY INTERNAL AUDIT AND MANAGEMENT AND IS MADE AVAILABLE TO THE AUDIT COMMITTEE AND THE BOARD FOR REVIEW AND COMMENT BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	GENERAL COUNSEL ANNUALLY OBTAINS STATEMENTS OF DISCLOSURE FROM TRUSTEES, OFFICERS, ADMINISTRATORS, KEY EMPLOYEES, AND OTHERS WHO MAKE OR AFFECT SIGNIFICANT DECISIONS AND REVIEWS THE FINDINGS WITH APPROPRIATE BOARDS AND COMMITTEES. THE BOARD OF TRUSTEES MAKES THE DECISIONS REGARDING QUESTIONS WHICH HAVE NOT BEEN SATISFACTORILY ANSWERED AFTER ADMINISTRATIVE CONSIDERATION.
FORM 990, PART VI, SECTION B, LINE 15	LOMA LINDA UNIVERSITY HEALTH (LLUH) EMPLOYS AN INDEPENDENT OUTSIDE CONSULTING FIRM TO BENCHMARK COMPENSATION FOR LLUH EMPLOYEES, INCLUDING THE CEO AND TOP MANAGEMENT. 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 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. FOR KEY EMPLOYEES OTHER THAN THE OFFICERS AS WELL AS EMPLOYEES IN LEADERSHIP POSITIONS, LLUBMC MANAGEMENT, THROUGH THE HUMAN RESOURCE DEPARTMENT, OBTAINS THE SERVICES OF AN INDEPENDENT CONSULTING FIRM TO CONDUCT NATIONWIDE COMPENSATION SURVEYS. MANAGEMENT USES THE COMPARABLE BENCHMARKS IN THE SURVEY RESULTS TO ESTABLISH OR REVIEW PAY SCALES FOR THE POSITION. THIS SURVEY, CONDUCTED BY THE INDEPENDENT CONSULTING FIRM, IS PERFORMED FOR THE ORGANIZATION EVERY TWO YEARS. INTERNALLY, THE HUMAN RESOURCE DEPARTMENT CONDUCTS ANNUAL SURVEYS USING AT LEAST THREE SURVEY RESULTS FROM INDEPENDENT FIRMS TO ESTABLISH OR REVIEW THE REASONABLENESS OF COMPENSATION AMOUNTS. THE PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2023 FOR ALL OFFICERS OF LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETTA, INC.
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	THE HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS PUBLICLY AVAILABLE BEYOND REQUIRED REQUIRED FILINGS OF ARTICLES OF INCORPORATION WITH THE SECRETARY OF STATE. THE HOSPITAL DOES MAKE ITS CONFLICT OF INTEREST POLICY AVAILABLE ON THE ORGANIZATION'S INTERNAL WEBSITE FOR EMPLOYEES AND FILES MONTHLY/QUARTERLY SUMMARY FINANCIAL REPORTS WITH THE STATE HEALTH-PLANNING AGENCY.
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 VIII, LINE 1F & 1G:	THE AMOUNTS REPORTED ON LINES 1F & 1G ARE BELOW THE REQUIRED REPORTING THRESHOLD ESTABLISHED BY THE IRS FOR REPORTING ON SCHEDULE B AND SCHEDULE M.
FORM 990, PART XI, LINE 9:	TRANSFER FROM AFFILIATES 11,046,123. OTHER
FORM 990, PART XII, LINE 2B:	THE FINANCIAL STATEMENTS OF LOMA LINDA UNIVERSITY MEDICAL CENTER WERE AUDITED BY AN INDEPENDENT FIRM AS PART OF THE FISCAL YEAR 2024 COMBINED FINANCIAL STATEMENT AUDIT OF LOMA LINDA UNIVERSITY MEDICAL CENTER AND ITS AFFILIATES (WHICH ENCOMPASSES LOMA LINDA UNIVERSITY MEDICAL CENTER, LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL, LOMA LINDA UNIVERSITY BEHAVIORAL MEDICAL CENTER, THE LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION, HIGHLAND SPRINGS IMAGING CENTER, LLC, AND LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA).
FORM 990, PART XII, LINE 2C:	LLUMC HAS A FINANCE AND AUDIT COMMITTEES OF THE BOARD OF TRUSTEES THAT ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT FIRM.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LOMA LINDA UNIVERSITY MED CNTR-MURRIETA

Employer identification number

37-1705906

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	MD	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	GEN'L CONFERENCE OF SEVENTH-DAY ADVENTISTS		No
(3)LOMA LINDA UNIVERSITY 11145 ANDERSON ST LOMA LINDA,CA92350 95-1816009	UNIVERSITY	CA	501(C)(3)	2	LOMA LINDA UNIVERSITY HEALTH		No
(4)LOMA LINDA MERCANTILE PO BOX 926 LOMA LINDA,CA92354 95-3858272	PURCHASING COMPANY	CA	501(C)(3)	1	LOMA LINDA UNIVERSITY HEALTH		No
(5)LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER 1710 BARTON RD REDLANDS,CA92373 33-0245579	PSYCHIATRIC HOSPITAL	CA	501(C)(3)	3	LOMA LINDA UNIVERSITY HEALTH		No
(6)LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL FOUNDATION PO BOX 2000 LOMA LINDA,CA92354 33-0565591	FOUNDATION	CA	501(C)(3)	12C	LOMA LINDA UNIVERSITY MEDICAL CENTER		No
(7)LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS ST LOMA LINDA,CA92354 33-0364239	HEALTHCARE MANAGEMENT SERVICE ORGANIZATION	CA	501(C)(3)	12C	LOMA LINDA UNIVERSITY HEALTH		No
(8)UNIVERSITY INSURANCE COMPANY OF VERMONT 126 COLLEGE ST SUITE 400 BURLINGTON,VT05401 03-0311174	CAPTIVE INSURANCE PROVIDER	VT	501(C)(3)	1	LOMA LINDA UNIVERSITY HEALTH		No
(9)LOMA LINDA UNIVERSITY SHARED SERVICES 11175 CAMPUS ST LOMA LINDA,CA92354 81-0661056	SERVICE ORGANIZATION	CA	501(C)(3)	1	LOMA LINDA UNIVERSITY HEALTH		No
(10)LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL 11234 ANDERSON ST LOMA LINDA,CA92354 46-3214504	HOSPITAL	CA	501(C)(3)	3	LOMA LINDA UNIVERSITY HEALTH		No
(11)LLUH PROFESSIONALGEN LIABILITY TRUST 197 E CAROLINE ST SAN BERNARDINO,CA92408 36-6821892	INSURANCE TRUST	CA	501(C)(3)	12A	LOMA LINDA UNIVERSITY HEALTH		No
(12)LLU WORKERS COMP INVESTMENT TRUST BOFA ATTN EMR SALLEY PO BOX 366 PROVIDENCE,RI029019972 95-3458265	INSURANCE TRUST	RI	501(C)(3)	12A	LOMA LINDA UNIVERSITY HEALTH		No
(13)LOMA LINDA INLAND EMPIRE CONSORTIUM FOR HEALTHCARE EDUCATION PO BOX 926 LOMA LINDA,CA92354 46-1612773	GRADUATE MEDICAL EDUCATION	CA	501(C)(3)	10	LOMA LINDA UNIVERSITY HEALTH		No
(14)FACULTY PHYSICANS & SURGEONS OF LLSM 11370 ANDERSON ST SUITE 2600 LOMA LINDA,CA92354 33-0672915	GROUP HEALTH PRACTICE	CA	501(C)(3)	12C	LOMA LINDA UNIVERSITY HEALTH		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

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?		(k) Percentage ownership
(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	(k) Percentage ownership

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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2023

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) ............................

Yes

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) .......................

Yes

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) ............................

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	(d) Method of determining amount involved
(1) LOMA LINDA CHILDREN'S HOSPITAL	B	347,700	CASH
(2) LOMA LINDA UNIVERSITY MEDICAL CENTER	B	10,698,423	CASH
(3) FACULTY PHYSICIANS & SURGEONS	J	76,092
(4) LOMA LINDA UNIVERSTY HEALTHCARE	J	142,614
(5) LOMA LINDA UNIVERSITY SHARED SERVICES	K	82,076
(6) LOMA LINDA UNIVERSITY	M	242,379
(7) LOMA LINDA UNIVERSITY HEALTH	M	1,678,668
(8) FACULTY PHYSICIANS & SURGEONS	M	6,231,216
(9) LOMA LINDA UNIVERSITY SHARED SERVICES	M	20,186,859
(10) LOMA LINDA UNIVERSITY	P	53,352
(11) LOMA LINDA MERCANTILE	P	70,900,000

Schedule R (Form 990) 2023

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2023

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) 2023

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	36
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	26
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	1,777
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	299,513
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	12,438,147	2,578,929
9	Program service revenue (Part VIII, line 2g) .........	302,012,313	316,730,996
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-105,750	87,655
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	386,768	299,513
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	314,731,478	319,697,093
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	27,325	5,000
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)	164,873,753	163,748,941
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 783,211
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	166,008,475	176,856,562
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	330,909,553	340,610,503
19	Revenue less expenses. Subtract line 18 from line 12.......	-16,178,075	-20,913,410
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	316,408,645	296,326,658
21	Total liabilities (Part X, line 26).............	488,561,521	478,282,883
22	Net assets or fund balances. Subtract line 21 from line 20.....	-172,152,876	-181,956,225

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 265,990,429 including grants of $ 5,000 ) (Revenue $ 316,730,996 )
	WE ARE ENGAGING WITH OUR COMMUNITY BY PROVIDING CLINICAL, MEDICAL AND EDUCATION SERVICES, AND BY PARTNERING WITH LOCAL, REGIONAL AND STATE AGENCIES, AND NON-PROFIT ENTITIES WE ARE ABLE TO CREATE A SYSTEM OF CARE, WHICH IMPROVES THE HEALTH OF ALL INDIVIDUALS IN OUR REGION. IN OUR SERVICE COMMUNITY, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THOSE WHO ARE UNABLE TO AFFORD HEALTH CARE, IS $X1,670,857 FOR FISCAL YEAR ENDING JUNE 30, 2024.INPATIENT SERVICES WERE PROVIDED TO 11,164 PATIENTS AND INCLUDED THE FOLLOWING SERVICES: 1,329 BABIES DELIVERED 2,174 SURGERIES PERFORMED111,144 RADIOLOGY PROCEDURES PERFORMED 1,713 CARDIAC CATHERIZATIONS AND OTHER PROCEDURESOUTPATIENT SERVICES INCLUDE THE FOLLOWING SERVICES AS A PARTIAL REPORT OF TOTAL SERVICES PERFORMED"57,739 EMERGENCY ROOM VISITS 1,841 OUTPATIENT SURGERIES PERFORMED165,270 RADIOLOGY PROCEDURES PERFORMED 2,600 HYPERBARIC OXYGEN THERAPY & WOUND CARE TREATMENTS 5,979 RADIATION ONCOLOGY TREATMENTS 1,985 OUTPATIENT REHABILITATION SERVICES 1,602 CADIAC CATHERIZATIONS AND OTHER PROCEDURESIN ADDITION TO THE SERVICES WE PROVIDED, PLEASE REFER TO SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION FOR MORE INFORMATION ON OUR COMMUNITY SERVICE AREA, COMMUNITY NEEDS ASSESSMENT & IMPLEMENTATION STRATEGY.

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 expenses265,990,429

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,324,497	13,556,638	1,970,580

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	2,540,908

f	All other contributions, gifts, grants, and similar amounts not included above		1f	38,021

g	Noncash contributions included in lines 1a - 1f:$		1g	9,109

h Total. Add lines 1a-1f.......		2,578,929

		Business Code
2a	PATIENT SERVICE REVENUE	622100	280,292,008	280,292,008
b	PROVIDER FEE REVENUE	622100	33,110,506	33,110,506
c	OTHER PROGRAM SERVICE REVENUE	622100	3,328,482	3,328,482
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		316,730,996

3 Investment income (including dividends, interest, and othersimilar amounts) ......			87,655			87,655
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
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	2,464,226
b	Less: cost of goods sold ..		10b	2,164,713
c	Net income or (loss) from sales of inventory..			299,513		299,513

Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			319,697,093	316,730,996	299,513	87,655

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	5,000	5,000
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 ...........	2,003,452		2,003,452
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........	116,944,367	107,881,482	9,062,885
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,735,733	5,291,229	444,504
9	Other employee benefits .......	30,654,642	28,278,987	2,375,655
10	Payroll taxes ...........	8,410,747	7,811,620	599,127
11	Fees for services (non-employees):
a	Management ......	1,227,898	1,222,102	5,796
b	Legal .........	2,879	2,879
c	Accounting ...........	93,538	93,533	5
d	Lobbying ...........
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)	28,673,880	28,555,587	118,293
12	Advertising and promotion ....	3,314	3,314
13	Office expenses .......	5,938,332	3,375,562	2,562,770
14	Information technology ......	7,475,642	551,251	6,924,391
15	Royalties ..
16	Occupancy ...........	31,075,380	307,824	30,767,556
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	146,894	141,427	5,467
20	Interest ...........	3,508,251	2,584,841	923,410
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	2,272,609	1,674,434	598,175
23	Insurance ...	3,470,635	2,487,387	983,248
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	MEDICAL SUPPLIES	50,716,888	50,040,913	675,975
b	PURCHASED SERVICES	21,039,257	4,948,615	15,307,431	783,211
c	PROVIDER FEE EXPENSES	16,717,551	16,717,551	0
d	R&M-EQUIPMENT	2,863,295	2,655,353	207,942
e	All other expenses	1,630,319	1,359,538	270,781
25	Total functional expenses. Add lines 1 through 24e	340,610,503	265,990,429	73,836,863	783,211
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 ........			4,447,069	1	2,539,662
2	Savings and temporary cash investments .........			7,453,717	2	2,206,451
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			98,192,751	4	111,906,066
5	Loans and other receivables from 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 ............			7,546,530	8	6,743,327
9	Prepaid expenses and deferred charges ......			431,428	9	392,276
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	104,810,117
b	Less: accumulated depreciation	10b	77,619,700	27,711,664	10c	27,190,417
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 ...........			170,625,486	15	145,348,459
16	Total assets. Add lines 1 through 15 (must equal line 33)...			316,408,645	16	296,326,658

17	Accounts payable and accrued expenses .....	32,926,099	17	40,746,718
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	13,693,764	20	13,681,600
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 ..	71,996,167	23	73,010,822
24	Unsecured notes and loans payable to unrelated third parties ..	12,887,891	24	17,654,349
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	357,057,600	25	333,189,394
26	Total liabilities. Add lines 17 through 25..	488,561,521	26	478,282,883

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	-172,126,958	27	-181,904,122
28	Net assets with donor restrictions ...........	-25,918	28	-52,103
	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 ...........	-172,152,876	32	-181,956,225
33	Total liabilities and net assets/fund balances ........	316,408,645	33	296,326,658