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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
2020
Open to Public
Inspection
Name of the organization
SEVENTH-DAY ADVENTISTS LOMA LINDA
UNIVERSITY MEDICAL CENTER
Employer identification number
95-3522679
Part I
General Information on Grants and Assistance
1
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? ........................
2
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) ADVENTIST HEALTH POLICY ASSOC INC
20 F ST NW 7TH FLOOR
WASHINGTON,DC200016700 		27-3566344 501(C)(6) 111,948       SPONSORSHIP TO SUPPORT POLICY MAKING BODY FOR SDA HEALTH EDUCATION
(2) LOMA LINDA UNIVERSITY CHURCH
11125 CAMPUS ST
LOMA LINDA,CA92354 		501(C)(3) 187,500       SUPPORT FOR CHURCH EXPANSION
(3) RIVERSIDE UNIVERSITY HEALTH SYSTEM FOUNDATION
26520 CACTUS AVE
MORENO VALLEY,CA92552 		33-0374018 501(C)(3) 12,500       SPONSORSHIP
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
3
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020
Page 2

Schedule I (Form 990) 2020
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) PHARMACEUTICALS/MEDICAL EQUIPMENT RENTAL     18,072 BOOK PHARMACEUTICALS/MEDICAL EQUIPMENT RENTAL
(2) TRANSITIONAL LIVING/BOARD & CARE     326,243 BOOK TRANSITIONAL LIVING/BOARD & CARE INCL MEDICAL SERVICES
(3) MEDICAL TRANSPORTATION     645,807 BOOK TRANSPORTATION
(4) FOOD     12,285 BOOK FOOD-VEGAN MEALS FOR HOMEBOUND PATIENTS
(5) UTILITIES     2,068 BOOK UTILITIES
(6) SPONSORSHIP 6   48,513 BOOK SPONSORSHIP-POSSIBILITIES OUTREACH-PARAOLYMPIANS
(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
PART I, LINE 2: LLUMC PROVIDES SPONSORSHIPS, DONATIONS, AND OTHER ASSISTANCE TO ORGANIZATIONS AND INDIVIDUALS AS PART OF ITS COMMITMENT TO COMMUNITY OUTREACH. DISBURSEMENTS FOR GRANTS AND OTHER ASSISTANCE ARE REVIEWED AND APPROVED BY MANAGEMENT PRIOR TO DISBURSEMENT. MANAGEMENT RECEIVES PERIODIC REPORTS REGARDING THESE ACTIVITIES AS PART OF THE COMMUNITY BENEFITS REPORT.
Schedule I (Form 990) 2020



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