2013 LLUH Annual Report by Loma Linda University Health

WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH

WHOLENESS 2013 Annual Report WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE PREVENTION HEALING TOUCH RESEARCH CLINICAL SETTINGS GIVING GRATEFUL PATIENT LEARNING COMMUNITY OUTREACH WHOLENESS CLINICAL SETTINGS GLOBAL SERVICE Loma Linda University Health

MANY STRENGTHS. ONE MISSION. A Seventh-day Adventist Organization

Table of Contents Mission Statement..................................... 2 Message from the President...................... 3 Personal Stories Clinical Settings.......................................... 4 Community Outreach.................................. 6 Giving.......................................................... 8 Global Service........................................... 10 Grateful Patient......................................... 12 Healing Touch............................................ 14 Learning .................................................. 16 Prevention ............................................... 18 Research.................................................. 20 Restoration............................................... 22 Year In Review Heritage Society...................................... 24 Facts & Figures........................................ 26 Financial Summary................................... 30 Philanthropy Support .............................. 31 Boards of Trustees / Directors................. 32 Presidentâ&#x20AC;&#x2122;s Advisory Cabinet.................... 34 Loma Linda University Health Corporate Officers.................................... 36

Faithful to Our Mission

To continue the teaching and healing ministry of Jesus Christ

Fulfilling Our Vision

Transforming lives through education, health care and research

Through Our Values Compassion Excellence Freedom Humility Integrity Justice Purity / Self-Control Teamwork Wholeness

| Many Strengths. One Mission.

Message from the President At Loma Linda University Health (LLUH), opportunities to transform individual, community and global health have shaped our identity since 1905, when the first students arrived and our first patients came to us for care. As we continue to act on the vision for a healthy world, founded on the belief that God has given us a commission to provide healing and hope, we continue to put much thought and prayer into our strategic planning. Many of the changes we are now making will facilitate the impact we have locally and globally, into the next century. This is no small task. In 2013, we continued to implement important changes rivaling any in the history of LLUH. It has been heartening to see individuals throughout the organization work together to make our strategic plans a vital reality. The single biggest accomplishment of 2013 was the establishment of Loma Linda University Health System (LLUHS), an integrated network that builds on our six hospitals and 958 physicians. Managing and sharing information throughout LLUHS was critical to the plan’s success. When Loma Linda University Electronic Access Portal (LLEAP) went live, a system-wide electronic health record system was born. Shared electronic medical records, available on a unified service platform, and streamlined scheduling and registration now benefit our patients. As an example, a primary physician who is preparing to meet a patient accesses LLEAP. He sees notes from every LLUHS doctor who has provided care. He learns she’s a new mother who experienced gestational diabetes; she also fell during pregnancy and broke her wrist. With the new system, he can see the whole patient in one place, across disciplines, specialties and geography. These changes are helping LLUH face new challenges. Sometime in 2014, expanded coverage under the

Affordable Care Act is projected to result in a six-fold increase in Medi-Cal patients. Plans for a new San Bernardino campus are progressing, promising to be a place where LLUH can provide expanded clinical coverage. LLUH is collaborating with the city of San Bernardino and the San Bernardino City Unified School District to create a Gateway College on this campus, creating a place where students can pursue their dreams. This would not be possible without major philanthropic gifts and support. Acting on the belief that God has given LLUH a unique calling to restore humankind to the wholeness in which we were created, we continue to build on our vision for a healthy world. In 2013, 158 visiting professionals from 17 countries observed and received training and mentoring at LLUH. In addition, 428 of our students provided international service in 29 countries. While the reach of our global activities is far too great to summarize here, it appears in greater detail in this report. Even with immense change, the goal of LLUH remains this — to be the example for the way patients are cared for and students are taught, in an effort to help people live longer, healthier lives. At LLUH, our commitment to wholeness goes beyond our jobs, it is how we “Live It.” Powerful stories that show how we “Live It” can be found at lomalindahealth.org/liveit/. The theme of this year’s annual report is wholeness; a person’s physical, mental, emotional and spiritual connections that, together, enable healing, health and wellness. Inside, please enjoy the stories of patients, students, faculty and researchers who are finding and sharing wholeness in this special place.

Sincerely,

Richard H. Hart, MD, DrPH President, LLUH

Loma Linda University Health | 2013 Annual Report |

Clinical Settings

“We do our best to reach out to the whole person.”

KeriAnn Ensworth (left) and Dr. Mark Bussell

March The Loma Linda University Medical Center (LLUMC) Women’s Cancer and Surgical Oncology Center opened, continuing the commitment to medical research and providing access to advances in the prevention, detection and treatment of cancer. 4

| Many Strengths. One Mission.

June The 100th open heart surgery at LLUMC – Murrieta took place, performed by cardiothoracic surgeons Alfredo Rasi, MD and Nahidh Hasaniya, MD, PhD.

July The Pediatric Multiple Sclerosis (MS) Center at Loma Linda University Children’s Hospital (LLUCH) was named a Pediatric MS Center by the National MS Society.

100th

$2.6 million

LLUCH received a funding commitment from the Network of Pediatric MS Centers to support infrastructure to facilitate MS research.

Hope for Those Living with Neuropathy KeriAnn Ensworth was on her high school’s cross country team— the miles passed quickly as she ran, her energy levels high. Then, while sitting in class in early 2013, she felt intense stomach pain, tingling in her spine, pain and numbness. She had experienced the symptoms of neuropathy intermittently for more than two years. The next day she stayed home. “I couldn’t stand,” she says, “and my fever was 104.” She would eventually be hospitalized twice at Loma Linda University Children’s Hospital (LLUCH). “I needed an NG (nasogastric) tube for nourishment,” she says. “It would be 100 degrees outside but I’d be freezing and my skin would turn purple.” Her mom, Janeen, took KeriAnn for outpatient physical therapy treatments at Loma Linda University Medical Center East Campus, where she was referred to Mark Bussell, a physical therapist.

When Dr. Bussell met KeriAnn “she was sitting on a mat,” he says, “wrapped in a blanket.” As he placed pressure on veins in KeriAnn’s wrist and arm, her hand turned pink. “KeriAnn had experienced eight months of suffering,” says Janeen. “When Dr. Bussell explained how he could help, I teared up.” Therapy sessions improved KeriAnn’s circulation and alleviated her symptoms, enabling her to walk again. She’s now following a diet for people with celiac disease and has started a charity that’s helping kids at LLUCH. “I know what it feels like to need hope,” she says. “God blessed me with people and organizations who helped me, and I want to do the same by providing comfort items for hospital stays.” “The actual mechanism for the success of this peripheral neuropathy treatment is under research,” says Dr. Bussell. “However, it’s thought that through joint position, the relationship

between the arteries and the neural connective tissue is improved, allowing more blood to enter into the neural connective tissue.” Dr. Bussell created the therapy for his own children. “I have two special needs kids at home,” he shares. To help them thrive, he began using skills he had learned as a physical therapist, which led to his developing the therapy. A patient who had lived with diabetic neuropathy received this new physical therapy treatment, and felt the carpet with his feet for the first time in 10 years. For people living with neuropathy caused by diabetes, cancer treatment, surgery or injury, chronic inflammatory demyelinating neuropathy and others, there is hope. “At Loma Linda University Health,” says Dr. Bussell, “we do our best to reach out to the whole person.” He is proceeding with research and much prayer.

Referenced in this story: Mark Bussell, DPT, OCS, physical therapist, rehabilitation services, LLUMC East Campus

Regaining One’s Vision After losing his vision to macular degeneration, Roy Kennedy, a retired teacher, received a call. Loma Linda University Medical Center would be the first in the region to perform a new procedure — implanting a telescope-like device to restore sight. Was he interested? After Dr. Michael Rauser implanted the device into Roy’s left eye his wife, Kay, remembers: “He said ‘there’s snow on the mountains.’ He could see the snow.” The couple is thrilled. “I’m happy for him,” says Kay. “I feel like Loma Linda gave me a whole new husband.” Referenced in this story: Michael Rauser, MD, chair of ophthalmology, LLU School of Medicine

August KOLA Cares For Kids Radiothon (KOLA 99.9 FM) raised $54,019 for LLUCH.

August § LLUMC – Murrieta was accredited as a designated STEMI receiving center from Riverside County’s Emergency Medical Services Agency, bringing care to those who suffer from the most deadly form of heart attack. § U.S. News Best Hospitals 2013 named LLUMC number one in the Inland Empire and ranked the gynecology program among the best in the United States.

October § The neonatal intensive care unit celebrated its 40th anniversary at LLUMC and LLUCH. § A team of cardiologists and vascular surgeons completed Loma Linda’s first trans-catheter aortic valve replacement (TAVR). This new therapy is used to treat patients who are symptomatic with severe aortic valve stenosis, shortness of breath, chest pain, heart failure and/or lightheadedness. Loma Linda University Health | 2013 Annual Report |

Community Outreach

An artist’s rendering of the new San Bernardino campus of Loma Linda University Health

“The enthusiasm in the city and school system is palpable, and we look forward to cementing this growing relationship.”

April More than 800 physically challenged and able-bodied athletes participated in the 11th annual Loma Linda University PossAbilities Triathlon. The event included:

150-yard swim

11-mile bike ride

3.1-mile

| Many Strengths. One Mission.

run

May The 28th annual Children’s Day was attended by 1,700 kids and adults. Sponsored by Farmer Boys, the event was held on the Campus Mall and offered lessons on first aid and fire safety, dental health, nutrition and a teddy bear clinic. The activities focused on health and safety, and helped ease the children’s fear of a hospital visit.

July Loma Linda University Drayson Center hosted the Los Angeles Clippers Youth Hoops Program and the National Basketball Academy for a basketball camp. Boys and girls from 6 to 17 years old participated. During the camp, attendees learned about health, nutrition and activities that enhance wellness.

New Campus to Increase Care, Expand Educational Opportunities A life of wholeness includes the chance to reach one’s potential. One of poverty’s injustices is that it robs people of the ability to develop their talents. The City of San Bernardino is minutes from Loma Linda but worlds away in terms of opportunity. Loma Linda University Health (LLUH) is working to change that through a new strategic partnership — the Gateway Initiative — with the San Bernardino City Unified School District and other community agencies. “We have all watched individuals flourish when they get a chance to break free from their past and fully develop the intellectual gifts and energy God has given them,” says Dr. Richard Hart, president, LLUH. “We will give youth the knowledge and skills needed to become selfsustaining through careers in the health professions,” says Dr. Juan Carlos Belliard, assistant vice president for community partnerships

and diversity. This includes supporting the local school district’s K–12 science and math education programs, and assisting the district as it expands certificate programs for adults. San Bernardino Campus A major part of the Gateway Initiative is the San Bernardino Campus of LLUH. In 2013, LLUH purchased a 7.25 acre parcel of land, adjacent to the 215 Freeway. “We expect the San Bernardino Campus to be an asset to our community in terms of providing health care and training our local residents for careers in the health care field,” says Dr. Hart. Expanded health insurance coverage under the Affordable Care Act is projected to increase the number of visits to the Social Action Community (SAC) Health System Clinic, located in San Bernardino, from 30,000 to 200,000 per year.

“Our goal,” says Dr. Hart, “is to establish a major clinical facility to host the SAC Health System, providing expanded clinical coverage, together with a Gateway College. The college will work with the school district to provide young people with job entry skills to the health professions.” In addition to offering clinical care to an underserved population, the new Gateway College will offer degrees that increase educational access in San Bernardino to the health professions. Some of these degrees may include dental assistant, pharmacy technician and medical scribe. “We must help students realize the full potential of their genetic code,” says Dr. Hart. “The enthusiasm in the city and school system is palpable, and we look forward to cementing this growing relationship.”

Referenced in this story: Juan Carlos Belliard, PhD, MPH, assistant vice president for community partnerships and diversity; Richard Hart, MD, DrPH, president, LLUH

Yohani Ramos Finds Meaning Through Education Standing next to the Peruvian river, Yohani Ramos was alarmed at its orange color — a result of mining contamination. The LLU School of Public Health student pondered its impact on nearby families. How many children had become sick? Yohani first learned about Loma Linda University’s academic offerings while attending Si Se Puede,* a program for minority high school students interested in health, science and math. “When I attended the

environmental health session, I rejoiced,” she says. “I realized I wanted to help people and help nature.” She went on to earn her BS degree in health data management and geoinformatics, and in 2013, completed an MPH in environmental epidemiology. She is the first in her family to finish college. “My sister wants to become a doctor,” she says. “I want her to follow and surpass what I am doing.”

*The Gateway Program was created by merging former summer programs for minority high school students interested in health, science and math: College Exodus and Si Se Puede. It enables underrepresented students to learn skills that prepare them for college while exploring fields within the health professions. It will be located on the new San Bernardino Campus when it opens.

October Individuals working together to create a healthier city attended “Wholeness and Holiness in Health: Ontario Clergy Convocation.” The event was hosted by LLU School of Religion. Clergy from Ontario, California, learned the history of the Adventist Church’s teachings about health. Resources to help their congregations live more healthful lives were also made available.

2013 First 5 Riverside, a service of Riverside County Children and Families Commission, awarded two grants to the LLU School of Dentistry. The grants expand access to dental care for children ages 1 to 5. The first, a four-year, $3 million grant, serves approximately 840 Riverside County children with special health care needs. The second, a $4.5 million grant, increases access to dental care for underserved children. Approximately 5,500 children will be screened for dental health issues each year, and approximately 700 of those children will receive treatment.

$7.5m in grants

Loma Linda University Health | 2013 Annual Report |

Giving

“I remain grateful for the moral and ethical values that were central to the school and its faculty.” Dr. Charles A. Sims

March The Cirque du Jubilee Gala raised more than $846,000 for Loma Linda University Children’s Hospital (LLUCH). The Gala, held at the National Orange Show Events Center in San Bernardino, California, celebrated 20 years of giving by generous donors. 8

| Many Strengths. One Mission.

May Friends and supporters celebrated the life of 1964 U.S. Open Champion and CBS golf broadcaster Ken Venturi during the 23rd annual Loma Linda University Proton Charity Invitational. Since 1991, Venturi served as chair and host of the Invitational, which has raised more than

$3.3 million for proton research.

September A 1957 Lincoln Continental Mark II sold for $700,000 at Barrett Jackson, The World’s Greatest Car Auctions, in Las Vegas, Nevada. All proceeds from the sale went to LLUCH. The classic car was donated by collectors Tom and Candace Spiel, from Riverside, California. It was their third car in the auction’s history benefiting LLUCH.

An Alumnus Remembers Lifelong Lessons For School of Medicine alumnus Dr. Charles A. Sims, pursuing wholeness has led to great accomplishment. As Dr. Sims began medical school at the College of Medical Evangelists (now Loma Linda University) in the mid-1950s, he struggled. He had hoped that his education would lead to a career in science. However, he found the endless amounts of things to memorize in medical school disheartening. Determined to achieve contentment professionally, he explored a career in pathology. He served as laboratory director of a national independent referral laboratory and, in 1976, became chief of pathology at Century City Hospital in Los Angeles. There, he met Dr. Cappy Rothman, a surgeon and urologist. The two founded California Cryobank with an initial

investment of $2,000, an old student microscope and used but functional lab equipment. “Our primary goal has always been to help people,” says Dr. Sims. The goal served them well; California Cryobank would become one of the leading sperm banks and cryogenic laboratories in the world. Dr. Sims is also founder of Quantum Clinical Laboratories, Inc. He is a fellow of both the College of American Pathologists and the American Society of Clinical Pathologists, and has served on the Standards Committee of the American Association of Tissue Banks. “Those who know Dr. Sims appreciate his gentle demeanor,” says Dr. Roger Hadley, dean of the LLU School of Medicine, “and his willingness to ask hard questions that challenge people to think and grow.” In 2013, he established the Charles A. Sims Endowed Chair in Molecular

and Cellular Medicine. “It was at LLU that I received my medical education,” he says. “When I was a freshman medical student, one of our teachers in a lecture told us that we could never be good physicians without integrity, regardless of how much we knew or how high our IQ was. I remain grateful for the moral and ethical values that were central to the school and its faculty. Those values have served as my daily guides as a physician in matters small and large.” The endowment will support research in the basic sciences and regenerative medicine at Loma Linda University School of Medicine. Dr. Sims hopes his gift will strengthen the core of medical education in knowledge and understanding of the causes of health and disease at the cellular level.

Referenced in this story: Charles A. Sims, MD, alumnus, LLU School of Medicine; Cappy Rothman, MD; Roger Hadley, MD, dean, LLU School of Medicine

The Gift That Keeps Giving Frank and Sirpa Lee’s proton journey began when his urologist said, “Frank, you have cancer.” Frank remembered a book by Robert J. Marckini, a former Loma Linda University Medical Center (LLUMC) proton patient. The book had sat on his bookshelf for seven years. After reading it, Frank chose proton therapy. “I had the best team at LLUMC,” he says, “and I experienced no side effects.” Now that he is cancer free, Frank and Sirpa marvel at the changes in his life. “He walks three miles every day and goes to the gym,” says Sirpa. The couple have included the James M. Slater, MD Proton Treatment & Research Center in their estate plan. “We remembered Loma Linda in our estate plan,” he says, “because we want to help others receive the help we received.”

October The sixth annual Believe Walk raised $494,339 to help support cancer-fighting organizations in the region. Sponsored by Stater Bros. Charities and Inland Women Fighting Cancer, Believe Walk has resulted in more than $1.7 million in donations $494,339 since it was first held in 2008. raised

December The LLU School of Medicine received two notable private donations. A $1 million bequest from Olive M. Canright was given to the Canright Endowed Scholarship Fund. Since her passing in 2011, Canright’s estate has distributed more than $2 million to this fund. A $750,000 planned gift from the estate of centenarian Marge Jetton was donated to the Centennial Tuition Fund. Jetton, who was featured in a National Geographic article about the blue zones, passed away in 2011 at the age of 106.

$1 million bequest

$750,000 planned gift

Loma Linda University Health | 2013 Annual Report |

Global Service

“I’m feeling good and proud to be useful in my life.” Dr. Craig Jackson, dean, School of Allied Health Professions (left), and Fortilus Cedieu

In 2013 A total of 158 visiting professionals from 17 countries observed and received training and mentoring at Loma Linda University Health as part of the Global Health Institute’s international visiting professionals program. In addition, 45 research scholars from 15 countries participated in research at Loma Linda University Health. 10

| Many Strengths. One Mission.

158 visiting professionals from 17 countries

45 research scholars from 15 countries

September 15 Sixteen Haitian students graduated with a Loma Linda University (LLU) rehabilitation technician certificate, giving them the skills to help the disabled population in Haiti do more and live more independently. The class of 2013 is the first cohort of the program, taught by School of Allied Health Professions faculty on the campus of Universite Adventiste d’Haiti in Port-au-Prince.

A New Program Helps Haitians Help Others In 2010, health professionals and others from Loma Linda University Health (LLUH) participated in relief efforts following Haiti’s catastrophic earthquake. Their ability to help was hindered by a shortage of physical and occupational therapists — a gap in Haiti’s medical infrastructure present even before the quake. Loma Linda University (LLU) School of Allied Health Professions responded with a long-term commitment, creating a physical therapy assistant training program in Haiti, taught by LLU faculty. The first cohort graduated in 2013. “Students are accepted into the program in part because they have a heart that aligns with the LLUH mission ‘to continue the teaching and healing ministry of Jesus

Christ,’” says program director Dr. Everett Lohman. A story told by a businessman during graduation illustrates how students are living the mission. A severe stroke had caused the man’s mother to be disabled on her right side. Roosvelt Pierre-Louis and Jackson Poustin, both LLU students, worked with her on their own time until she was able to attend church and cook lunch for her family. She and her son attribute her recovery to the rehabilitation she received and the program’s high caliber of training. The rehabilitation technician program also helps the students understand wholeness as they experience increased personal and professional fulfillment through higher education and helping others.

“I’m feeling good and proud to be useful in my life,” says Fortilus Cedieu. Fortilus had dreamed of becoming a doctor, but the cost prohibited him. Instead, he worked as a nurse, health promoter, and, after the earthquake, as a physical therapy aid and prosthetic technician. Loma Linda’s rehabilitation technician program has allowed him to continue to pursue meaning in serving others. “I thank God I am working in the medical field,” he says. On a bigger scale, the historic program — one of just a few in Haiti — is helping the country become more self-sufficient and stable. “It will be a good story to tell the little children of Haiti,” says graduate Condé Rachelle Appolon.

Referenced in this story: Everett Lohman, DSc, professor, physical therapy, LLU School of Allied Health Professions

Two Countries, One Goal The cardiothoracic team at Loma Linda University Children’s Hospital (LLUCH) worked for many hours, but the child’s heart anomaly proved too extensive. Dr. Xu, fellow and cardiothoracic surgeon, Zhejiang University Children’s Hospital, Hangzhou, China, had joined the team as part of the Global Health Institute’s international visiting professionals program. “Chaplains were present,” says Dr. Xu, “and as the surgeon spoke with the parents, he cried. It was eye-opening for me. I thought, ‘the staff have religion, that is good.’” Dr. Xu is intrigued by the concept of wholeness. “In China,” he says, “patients don’t ask questions. They expect physicians to heal them. At LLUCH, a multidisciplinary team works to provide a continuum of care with daily, two-way communication. Spirituality is present — Dr. Anees Razzouk, chair, department of cardiovascular and thoracic surgery, prays with his patients and their families.” Dr. Razzouk says, “Dr. Xu has a heart for children. His positive energy and skills as a cardiac surgeon will continue to make a difference in China when he returns home.” Referenced in this story: Anees Razzouk, MD, chair, department of cardiovascular and thoracic surgery, LLUMC; Jan Zumwalt, MBA, MS, associate director, Global Health Institute

August Nurses from 12 countries representing seven divisions of the Seventh-day Adventist Church gathered in Bali, Indonesia, to attend the 10th Global Partnerships in Nursing Conference. Attendees included staff nurses, faculty members and administrators from hospitals and schools of nursing. The conference, “The future of nursing: global Adventist perspectives,” was organized by the office of international nursing, LLU School of Nursing.

December A disaster response team from Loma Linda University Health (LLUH) was deployed to the Philippines, where it helped in recovery efforts in the wake of super typhoon Haiyan. The team spent three weeks in the Philippines as part of a joint effort between LLUH and Adventist Development and Relief Agency (ADRA) to bring on-theground relief to typhoon survivors and lend technical expertise needed for recovery. More than 5,000 people were killed and more than 4 million were displaced in the typhoon’s wake. It was considered one of the strongest storms in recorded history. Loma Linda University Health | 2013 Annual Report |

Grateful Patient

While he may not be there just yet, after bravely battling cancer, Surf is, and always will be, a superhero. May The Robert J. Marckini Chair in Proton Research was announced, made possible through the efforts of Brotherhood of the Balloon (BOB), a support group for current and former proton therapy prostate cancer patients at LLUMC and other proton centers across the world. BOB raised the $1.5 million needed to establish the chair. Marckini sought treatment at LLUMC Proton Treatment Center in 2000. 12

| Many Strengths. One Mission.

$1.5m Endowed Chair

August Advancement resources held training for physicians and caregivers about the new Healing Hands program, created for grateful patients and their families who want to change the world by giving back to Loma Linda University Health.

Training

Where Superheroes are Made Three-year-old Surf already knew what he wanted to be when he grew up — a superhero, just like Superman. Little did he know how soon his superhero training would begin. While getting him ready for bed one night, Surf’s mother, Chaili, noticed a golf ball sized lump protruding from her little boy’s side. After two visits to their local emergency room, Surf was diagnosed with Stage 4 kidney cancer. He was transported to Loma Linda University Children’s Hospital (LLUCH) for further diagnosis and treatment. Once admitted, Surf and his mother met with Dr. Albert Kheradpour, a cancer specialist. After hearing the diagnosis, Chaili froze, hardly able to hear the doctor’s words. But, in that time of complete devastation, she was given words of hope. “If Surf had

to choose cancer, this is the type of cancer we would want him to have. The survival rate is very high,” Dr. Kheradpour reassured her. With the tumor attached to Surf’s liver and almost reaching his ribs, chemotherapy began immediately to shrink the mass. Two months later, the brave superhero-intraining underwent surgery to remove his right kidney.

Because of the care he received at LLUCH, Surf has been cancerfree for two years. He returns for checkups every three months, and has an x-ray and ultrasound every six months. “Each time, I hold my breath and each time the results are negative, I can breathe again,” the thankful mother says. The doctors and staff at LLUCH have a special talent for

“Every day, they battled my child’s fear and guided us through the medical maze.” “During this entire time, the Children’s Hospital staff was incredible,” says Chaili. “The support, treatment and information all helped us survive during this difficult time. The staff became my family. Every day, they battled my child’s fear and guided us through the medical maze.”

understanding kids. “Everyone treated us with nothing but kindness,” says Chaili. “They always made Surf feel as comfortable as possible, and didn’t make him feel like he was in a hospital.” While he may not be there just yet, after bravely battling cancer, Surf is, and always will be, a superhero.

Referenced in this story: Albert Kheradpour, MD, pediatric hematology/oncology, LLUCH

Making Hearts Whole When baby Hannah was born with hypoplastic left heart syndrome, “we thought of Loma Linda and Dr. Bailey,” her mother, Cathy, recalls, referring to Leonard Bailey, MD, infant heart transplant pioneer. At 11 days old, Hannah received her new heart. She is now in high school, and enjoys cheerleading. Cathy shares, “My daughter was born with half a heart. She received a whole heart at Loma Linda.” In 2013, Hannah reunited with Dr. Bailey and her caregivers during 20th anniversary celebrations for Loma Linda University Children’s Hospital. Referenced in this story: Leonard Bailey, MD, surgeon-in-chief, LLUCH; distinguished professor of surgery and pediatrics, LLU School of Medicine

August San Bernardino County Sheriff Deputy Alex Collins and his wife recognized physicians and nurses from Loma Linda University Medical Center during a captain’s meeting at the Sheriff’s Department. Just shy of six months since he was wounded in a fatal gun battle broadcast across the nation, Collins appeared physically unaffected by the wounds that had impaired him. He attributes his recovery to the skilled team at LLUMC who immediately took action.

November Former pediatric patients who survived against incredible odds were reunited with their doctors, nurses and other medical care providers to kick off the 20th anniversary celebration for Loma Linda University Children’s Hospital.

20th

anniversary

Loma Linda University Health | 2013 Annual Report |

Healing Touch

“Loma Linda University Health was concerned about my wholeness.”

Sharon De Metz and her granddaughter, Brooke

January For over 20 years, children with many types of cancer have been treated at the James M. Slater, MD Proton Treatment & Research Center. “Pinpoint accuracy makes proton therapy the preferred method of radiation for children,” says Lilia Loredo, MD, assistant professor of radiation oncology, department of radiation medicine. “Because children are more sensitive to radiation than adults, standard radiation treatment is often avoided, especially for children under 3 years old.” Proton beam’s characteristics allow treatment while reducing the impact on surrounding normal tissues, dramatically increasing the likelihood of effective tumor control. 14

| Many Strengths. One Mission.

January At the LLU School of Dentistry’s 23rd annual Clinic With a Heart, 346 children and adults received care. LLU School of Nursing students were among the 533 volunteers, taking patient blood pressures. During the event, $45,022 in dental services was provided at no charge.

A Walking Ambassador When Sharon De Metz took her granddaughter to the park, she wasn’t content relaxing on a bench with the moms she met. She stayed by Brooke’s side as the child played. Sharon is a strong woman who, with her family, survived Hurricane Katrina. When she first experienced back pain, it was a minor inconvenience. Then, when the pain worsened, she visited a respected neurosurgeon near her home. He suggested that she contact a pain management specialist. “The pain became so intense,” she says, “that strong pain medication couldn’t help.” In less than two years, she needed a wheelchair for mobility. “I grieved,” she says, “remembering the simple joys — being pain free, standing and walking.” Then her doctor referred her to Loma Linda University Health (LLUH). “Knowing that Loma Linda is a Christian institution made me happy,” she says.

“My surgeon, Dr. Wayne Cheng, noticed how I moved my hands. He said that before operating on my back he would need to do a procedure on my neck. No one else had mentioned this. I began to have hope.” Before surgery, Dr. Cheng asked to pray with Sharon. She recalls, “It was the first time a doctor said, ‘Let’s pray.’ If my doctor wants to pray with me, I know I’m in the best of hands.” After the surgeries, she spent two weeks at Loma Linda University Medical Center East Campus. “The staff inspired confidence from me and my family,” she says. “Comfort is a big word when it comes to medical care, and I felt comfort.” As she healed and began to feel better, Sharon’s pain management doctor asked if she needed pain medication. “I was able to go off of it in one month,” she recalls.

As a surprise her husband, an engineer, had remodeled the kitchen. “He knew it would bring me joy,” she says. “When I got home I felt so good I thought I could do everything I’d done when I was in my 20s.” She retrieved an heirloom table, one of the cherished items that had survived Hurricane Katrina, and began stripping off the damage the salt water had caused. Eventually, her husband finished the restoration. Now pain free, Sharon again takes Brooke to the park. “LLUH restored my quality of life,” she says. “LLUH was concerned about my wholeness. They didn’t just think of me as a spine or bones, or a patient with medical issues — my needs and concerns were met.” She smiles. “I tell everyone about what LLUH did for me. I am an ambassador for LLUH, a walking ambassador.”

Referenced in this story: Wayne Cheng, MD, associate professor, orthopedic surgery, LLU School of Medicine

From Patient to Performer There was excitement when Hugo Ramos made it to the final six in “La Voce,” Telemundo’s version of NBC’s “The Voice,” in 2013. Beginning at 3 months old, the young performer received treatment from the craniofacial team at Loma Linda University Medical Center (LLUMC) for cleft palate. His first surgery, performed by Dr. Robert Hardesty, repaired Hugo’s lip; subsequent surgeries reconstructed his palate and jaw. Most recently, orthodontist Dr. Gabriella Garcia has addressed his teeth. Hugo’s parents are thankful to LLUMC for helping their son become whole. “LLUMC made it possible for Hugo to feel confident in all he does,” says his mother, Sandra. “Throughout the surgeries, everyone at Loma Linda has showed patience, affection and love.” Referenced in this story: Gabriella Garcia, DDS, MS, assistant professor, LLU School of Dentistry; Robert Hardesty, MD, former chief of plastic and reconstructive surgery, LLUMC

October The neonatal intensive care unit celebrated its 40th anniversary at Loma Linda University Medical Center and Loma Linda University Children’s Hospital (LLUCH).

November Nearly 1,000 members of the community, including current and past patient families, filled the campus lawn north of Loma Linda University Medical Center and Loma Linda University Children’s Hospital to celebrate the 20th anniversary of LLUCH. Partygoers were treated to entertainment for all ages.

20 Loma Linda University Children’s Hospital

November The City of Loma Linda offered a proclamation to Loma Linda University Children’s Hospital for its 20th anniversary.

Loma Linda University Health | 2013 Annual Report |

Learning

“The degree allows me to be a voice and advocate for both patients and nurses.”

Dr. Joseph Hacinas (left) and Dr. Marilyn Herrmann

February The Board approved the new LLU School of Medicine department of medical education. Its purpose is to grow, enhance and evaluate education programs for students and faculty; it will assess how to best accommodate the rapidly changing learning environment. 16

| Many Strengths. One Mission.

July A new pediatric pharmacy residency program, the third such program in the state of California, began. The residency takes place during the second postgraduate year for pharmacy students, and will be centered at Loma Linda University Children’s Hospital. It was made possible through a $20,000 grant from Cardinal Health.

July Ronald Dailey, PhD, became the new LLU School of Dentistry dean. He followed Charles J. Goodacre, DDS, MSD, who had served as dean since 1994.

New Doctoral Program Creates New Opportunities for Nurses Dr. Joseph Hacinas’s path to Loma Linda University Health (LLUH) began while he was serving as a Navy nurse. Wanting to continue his education, he began to pray, “God, please lead me to the right school.” Then, a patient in Japan, where he was stationed, suggested that he apply to LLU. He was accepted into the MS degree program at the LLU School of Nursing. In 2008, he moved with his wife, Ana, and their son, Josiah, to Loma Linda. Dr. Hacinas has always relied on his faith. “My family lived in an impoverished area of the Philippines,” he says. “I was 6 when my father was shot during political instability. When you’re scared and don’t know if you will eat the next day, you pray.” To escape the unrest, the family immigrated to America. After high school he joined the Navy and four years later, he earned his RN degree. Before applying to LLU he was stationed at Balboa Hospital San Diego, and later,

in Okinawa. “I took care of wounded warriors,” he recalls. “I wanted to serve them well.” While he was in LLU’s MA program, his professor, Susan Lloyd, announced that the school was starting a doctor of nursing practice (DNP) program. DNP graduates transition to advanced practice roles such as directors of clinical practice and services, education and research.

“I’m convinced… at LLUH, academic success and spirituality are like no other.” The first to apply to the program, Dr. Hacinas went on to complete it while stationed at Balboa Hospital in San Diego. His doctoral research

project explored ways to enhance the post-operative experience. “I learned,” he says, “that when patients open their eyes and the first thing they see is a loved one, they wake up less agitated. This positively impacts their recovery.” On June 16, 2013, during graduation, he received the School of Nursing Dean’s Award. “The degree,” he says, “allows me to be a voice and advocate for both patients and nurses. I feel comfortable sharing, ‘I’m a doctor too. Let’s work as a team to provide the best patient care.’” In August 2013, the Hacinas family returned to Japan, where he is stationed in Yokosuka. “LLU is top-notch scientifically and there’s a sense of family,” he says. “At LLU, I always received a text or call when I needed support. For me, that’s what sets Loma Linda apart. I’m convinced that at LLUH, academic success and spirituality are like no other.”

Referenced in this story: Susan Lloyd, PhD, associate professor, faculty of graduate studies, LLU School of Nursing. In the photo: Marilyn Herrmann, PhD, RN, dean, LLU School of Nursing presents the Dean’s Award to Joseph Hacinas, MS, DNP, during 2013 commencement ceremonies.

Celebrating 50 Years In Loma Linda University’s department of earth and biological sciences, students earn doctoral degrees in biology or geology in a program led and staffed by creationist faculty. The department celebrated its 50th anniversary in 2013. Most Adventist colleges and academies have one or more faculty who are alumni of the program.

July Sixty-eight K-12 educators came from across North America to spend a week at Loma Linda University to attend the EXSEED program. They discussed critical thinking strategies, educational techniques and technologies for learning. For two days they were joined by colleagues, including local high school teachers, exploring techniques for connecting young minds with science. Faculty also came from Adventist colleges and universities.

November The LLU School of Pharmacy class of 2013 achieved a high success rate in matching to residency programs throughout the nation. A survey revealed that of the students who applied for residencies, 79 percent matched. In contrast, the national match rate for positions beginning in 2013 was 63.4 percent, according to the American Society of Health-System Pharmacists. Loma Linda University Health | 2013 Annual Report |

Prevention

“I felt so much support from the staff at Loma Linda University Health while telling my story.”

Amanda Marsh (left) and Dr. Clare Sheridan-Matney

2013 — Ongoing research studies Two Loma Linda University Health (LLUH) studies are exploring the benefits of dietary practices long advocated on the campus: vegetarian nutrition and nut consumption.

The Adventist Health Studies examined data collected from more than 96,798 Seventh-day Adventists in the United States and Canada and revealed that vegetarians are slimmer, on average, than meat eaters.

Walnuts and Healthy Aging evaluates walnut consumption and brain, eye and cognitive function among adults ages 63 to 79.

Information on the Adventist Health Studies is available at llu.edu/public-health/health/index.page while information on Walnuts and Healthy Aging is available at WAHAstudy.org. 18

| Many Strengths. One Mission.

The Power of Talking “There was a girl, about age 6 or 7,” Dr. Clare Sheridan-Matney recalls, “who was very beaten. As I inspected the extent of her injuries I became quieter. She must have noticed because all of a sudden she reached her little hand out, took my hand in hers and said, ‘You don’t have to be so sad, it’s okay.’” Dr. Sheridan-Matney discovered her affinity for children suffering from abuse after taking on her first case years ago. “It’s terrible and I made it my problem,” she says. “It is a privilege when little kids tell you their darkest secrets and allow you to help them. They’ve been under-loved and neglected. Reaching out a hand helps them; it also helps your life and gives it purpose and meaning.” Dr. Sheridan-Matney is medical director

of the Children’s Assessment Center in San Bernardino. When one meets Amanda Marsh, they see a smiling, confident young woman. What they don’t see is a girl who was sexually abused from the ages of 13 to 17. “Child abuse affects one’s wholeness,” she says. “It will either make or break a person. Before I spoke up about being abused, I didn’t feel whole.” Amanda learned that if she remained silent, there would be no case against her stepfather. “I was stuck in manipulation for so long that I didn’t want to speak out. But when the same thing began happening to my younger sister, she told someone. I asked myself, ‘if my little sister who is four years younger can do it, why can’t I?’”

Amanda shared her story in a Loma Linda University Health (LLUH) video, “End it now — understanding and preventing child abuse,” with Dr. Sheridan-Matney. “If sharing my story helped one person,” she says, “then that’s enough.” “For a victim,” she says, “the hardest thing is not knowing if anyone will believe you, support you or stand by you. I felt so much support from the staff at LLUH while telling my story. The process has helped me become better at getting to know people on a personal level.” “Talk about the problem,” she encourages. “Get help, and know that it’s not your fault. Child and sexual abuse are not happy topics; they need to end. Talking about them makes the biggest difference.”

Referenced in this story: Clare Sheridan-Matney, MD, director of forensic pediatrics, LLUCH.

New Discoveries Lead the World to Healthier Living In February, groundbreaking research findings that are helping rewrite guidelines about a healthy diet were announced during Loma Linda University (LLU) School of Public Health’s 6th International Congress on Vegetarian Nutrition. Dr. Miguel Angel Martinez, a researcher from Spain’s University of Navarra, announced findings that plant-based Mediterranean diets can reduce cardiovascular disease risk by 30 percent. One of the largest research trials conducted in the field of nutrition, the study builds on research conducted 20 years ago at LLU that revealed that a diet rich in nuts can reduce the risk of cardiovascular disease. Pictured during the press conference held to announce the study are Dr. Martinez (right) and Dr. Joan Sabaté, lead researcher for the original LLU study. Referenced in this story: Miguel Angel Martinez, MD, PhD, MPH, chair of preventive medicine & public health, School of Medicine, University of Navarra; Joan Sabaté, MD, DrPH, professor, LLU Schools of Medicine & Public Health

April The Health Systems Learning Group, comprised of nearly 40 U.S.-based health systems, including LLUH, convened in Washington, D.C., to review a collaborative report on best practices and consider a call to action with the mission to improve health in low-income and other vulnerable communities. The meeting was co-hosted by the White House Office of Health and Human Services Center for Faith-based and Neighborhood Partnerships.

May Stories of patients, students, faculty, physicians and staff are highlighted in the new LLUH branding campaign. The message — LLUH is a leader in health, well-being and wholeness through clinical care, education and research. LLUH doesn’t just talk about its mission, it “Lives It.”

December The Loma Linda University Children’s Hospital Foundation received a $10,000 grant from Bank of America for the Adopt-a-School childhood obesity program. Dora Barilla, assistant vice president for strategy and innovation, LLUH and associate director, Institute for Community Partnerships, said $10,000 the program supports LLUH’s grant for overarching goal and mission Adopt-a-School of bringing healing and childhood obesity program education to the community. Loma Linda University Health | 2013 Annual Report |

Research February Celebrations were held to mark the Center for Perinatal Biology’s 40th anniversary. Lawrence D. Longo, MD, the center’s founder and director, was honored at the event. Ferid Murad, MD, PhD, 1998 Nobel Prize recipient for medicine or physiology, delivered the keynote address. 20

| Many Strengths. One Mission.

“Research is crucial to protecting the lives of children.”

May A National Institute of Child and Human Development-funded study attributed smoking cessation during pregnancy to prevention of low birth weight and preterm infants. Researchers from the LLU Schools of Medicine and Public Health, the department of pediatrics, LLU Center for Health Research and Loma Linda University Children’s Hospital contributed to the study.

June Vegetarians who were part of a sixyear study experienced fewer deaths than their peers who ate meat. The LLU study evaluated dietary patterns among 96,798 members of the Adventist Church. Findings were published in Journal of the American Medical Association (JAMA) Internal Medicine.

Saving Children’s Lives Through Continuous Research A 7-year-old boy with a rare form of cancer clings to life in the pediatric oncology unit at Loma Linda University Children’s Hospital (LLUCH) while powerful medications target cancer cells deep inside his brain. In a room nearby, doctors decide to prescribe proton therapy to target the inoperable tumor. Moments later, a 5-year-old girl is rushed to the pediatric emergency department following a car accident. In the Level 1 Trauma Center at LLUCH, her injuries are assessed and the trauma team implements a leadingedge treatment, saving her life. Thanks to research conducted at Loma Linda University Health and other investigational sites, the prognosis for these children — and millions like them — grows brighter every day. “Research is crucial to protecting the lives of children,”

says Dr. Stephen Ashwal, chief of pediatric neurology. A few years ago, Dr. Ashwal became concerned that increasing workloads and cuts in federal research dollars were keeping physicians from pursuing research. His solution was to create a pediatric research initiative that was approved by LLUCH in April 2013. The initiative will enable more physicians to conduct research today that will save the lives of children tomorrow. “The initiative was made possible because of the incredible support of Dr. Chinnock,” Dr. Ashwal insists. Dr. Richard Chinnock, chair of pediatrics, was willing to commit up to $1 million of department funds to support the initiative. In 2013, pediatric residents and faculty members were invited to apply for grants. Results will begin

improving children’s health care globally as the residents present their findings at medical conferences and in publications. “We awarded one of our first grants to Dr. Pilar Pichon, a secondyear pediatric neurology resident,” Dr. Chinnock says. “Dr. Pichon will analyze developmental outcomes after cardiac transplant in children who were assessed using magnetic resonance spectroscopy. The research is designed to allow scientists to better diagnose alterations in brain chemistry, which are associated with higher risk for neurological impairments.” He adds, “We will soon award two more grants to support research by the division of endocrinology.” By fostering an atmosphere of inquiry, the initiative encourages pediatric physicians to make research an integral part of their practice.

Referenced in this story: Stephen Ashwal, MD, chief of the pediatric neurology, LLU School of Medicine; Richard Chinnock, MD, chair of pediatrics, LLU School of Medicine

What Happens if a Substance from the Ocean Floor Proves to be a Powerful Ally in the War on Cancer? To find out, James L. Gulley, MD, PhD, chief of the genitourinary malignancies branch of the Center for Cancer Research at the National Cancer Center in Bethesda, Maryland, met with Wolff M. Kirsch, MD, director, Neurosurgery Center for Research, Training, and Education, Loma Linda University School of Medicine (LLUSM). Dr. Kirsch then approached the National Institutes of Health about conducting a Phase 1 investigation into chitosan, a substance extracted from the shells of crabs and shrimp, which has been shown to fight inflammation and stop bleeding without causing clot formation. Dr. Kirsch assembled a team of scientists from the LLUSM and North Carolina State University to develop a procedure for removing fever-producing pyrogenic toxins from chitosan using nitrogen gas plasma. He foresees a host of promising clinical applications, including a vaccination and treatment for superficial bladder cancer.

July John Zhang, MD, PhD, basic science researcher, LLU School of Medicine, secured $1,957,000 in funding from the National Institute for Neurological Disorders, National Institutes of Health for his study, “Harness Germinal Matrix Hemorrhage.”

September A National Institutes of Health (NIH)-funded study found that chronic pain might be reduced for patients with spinal cord injury by consuming a diet rich in omega-3 fatty acids. Findings were published in Neuroscience.

December NASA funded proposals by LLU investigators Xiao Wen Mao, MD, and Michal J. Pecaut, PhD. Mao will use ground-based models to study the impact of the space flight environment on the brain. Pecaut will utilize mice flown on the International Space Station in his study of the impact of space flight on antibody response against infectious agents. Loma Linda University Health | 2013 Annual Report |

Restoration

â&#x20AC;&#x153;I thank God every day that there were people there who were willing to be honest; they made me take a look inside myself to be a better person.â&#x20AC;?

From left to right: Aubrie, Jamie, Ian, Eddie and Mia Rocha

January The American Heart Association presented Fit-friendly Workplace awards to Loma Linda University Health (LLUH) executive leadership. 22

| Many Strengths. One Mission.

January A dedication was held for Serenity Square, a landscaped courtyard with shaded tables that provides a tranquil place for employees. The dedication ceremony took place during the 2013 Week of Renewal.

January The Fifth annual Spiritual Care Conference, a dynamic, campus-wide event, was held. It featured small group discussions and disciplinespecific presentations which allowed attendees to put theory into practice.

A Family Reunites When she was 18, a car accident left Jamie Rocha in excruciating pain. “Rather than physical therapy, I took medication,” she shares. She hid her addiction until Eddie, her husband, saw her withdrawing from their three children — Mia, now 15; Ian, 13 and Aubrie, 10. “My parents were fighting,” Aubrie says. “Mom wasn’t spending time with us. Whenever mom or dad would hug us, I’d ignore it.” “When I look back over the drugs I used, I could’ve killed myself,” says Jamie. “I decided I wanted to live for my children.” Then she heard about Loma Linda University Behavioral Medicine Center (BMC). “I am an addict as well as a wife, mother, sister, daughter, coworker and friend,” she reflects. “I entered the BMC deep in the throes of addiction to prescription painkillers.” At the BMC, recovery involves the whole family. “It can be easy

to make the mistake of focusing on the addict,” notes Dr. Ricardo Whyte, medical director for chemical dependency, LLU Behavioral Medicine Center, “and missing the reality that the addict is impacting a family system. Family participation reduces the rate of relapse and helps the patient continue in treatment.” “I learned it’s a disease,” Mia says. “Mom didn’t choose it, it just happened. They taught me that it’s important for the kids to be involved. The BMC gave me hope.” It’s now two years later, and Jamie remains drugfree. “Our relationship is 100 times better,” Eddie says. “Jamie and I learned to communicate.” Aubrie has noticed a big difference. “They don’t argue,” she says. “Mom spends more time with us, she’s not always in her room reading a book or sleeping.” For

Mia, Jamie’s sobriety has instilled confidence. “I trust my mom and my family a lot better.” “Loma Linda gave me hope for a better life,” Jamie beams. “I want to live my life the best I can, to be an example of what the BMC can do. I thank God every day that there were people there who were willing to be honest; they made me take

“Loma Linda University Behavorial Medicine Center gave me hope for a better life.” a look inside myself to be a better person.” Ian joins in. “What I like best about my mom is she’s funny and stuff,” he says. “I have my mom back.” Eddie chokes back tears. “Me, Jamie, my family, all of us together. How can you thank someone?”

Referenced in this story: Ricardo Whyte, MD, medical director for chemical dependency, LLU Behavioral Medicine Center

Healing Touch Restores a Young Person’s Wholeness When Erin Tharp was 14, a severe infection left her in a vegetative state for six months. Treated at Loma Linda University Children’s Hospital, Erin, 30, now uses a wheelchair for mobility and expresses her thoughts using an assistive speech keyboard. Dr. Murray Brandstater, her doctor at LLUMC East Campus, is whom she cites for contributing more to her personal wholeness than anyone else. “I can’t say enough about Dr. B,” she writes, “and I literally wouldn’t be here without Loma Linda.” Referenced in this story: Murray Brandstater, MBBS, PhD, professor of physical medicine and rehabilitation, LLU School of Medicine

February “The Power of Inclusion,” a two-day conference, highlighted the challenges and opportunities in today’s multi-ethnic, multigenerational workplace. The event concluded with an international food festival featuring the cuisine of seven continents.

May LLUH staff and the community enjoyed an evening of musical classics on the lawn as LLUH hosted the San Bernardino Symphony Orchestra in a free concert.

June The grand opening of Loma Linda Farmer’s Market took place, attended by representatives from LLUH, the city of Loma Linda and Loma Linda Chamber of Commerce. The market supports a commitment to contributing to California Healthy Cities and Communities goals, developing a robust city center at Loma Linda that serves as a community hub where faculty, staff, students, patients and their families join members of the community in walking, biking and pursuing a healthy lifestyle. Loma Linda University Health | 2013 Annual Report |

Legacy Gift Family remembers Gerald Wayne Miller, MD, with a gift to continue his legacy The family of Gerald Wayne Miller, MD, a 1957 graduate of the Loma Linda University School of Medicine, recently donated property in Dana Point, California, to the school’s Deferred Mission Appointee program to honor his legacy of serving others. Born June 24, 1926, in Nebraska, Miller moved to Colorado before settling in Hastings, Nebraska. At 16, he met Betty Betts, the love of his life, and learned to fly. In 1953, two years after graduating with a BA degree in biology from Union College, he proposed to Betty. They married on August 20 of that year and moved to California. While Dr. Miller studied, Betty brought their four children into the world. In 1957, Dr. Miller graduated from the College of Medical Evangelists, as Loma Linda University was originally known.

In 1958, he formed a professional partnership and personal friendship with fellow alumnus James Jetton, MD. As the practice boomed, Dr. Miller increasingly turned his attention to mission work. Cynthia Miller-Dobalian, MD, says her father’s Loma Linda University education inspired his altruism. “He was a medical director at Red Cross for many years,” she recalls. “He flew into Mexico for 20 years to do charitable work with Liga International and as head of World Health Volunteers. One of his big mission trips was to aid victims of the 1976 Guatemala earthquake.” “As Jerry’s little sister, I always trusted his wise counsel and knew I could depend on him,” Shirley Stewart remembers. “From a young age, he was the one family members went to for advice,

support and encouragement. He was the epitome of the ‘go to’ guy — a caring, effective mentor, a real patriarch.” Todd Mekelburg, director of planned giving at Loma Linda University Health, says the gift of real estate will help young people of limited means who are participating in the Deferred Mission Appointee program. “Because of Dr. Miller’s strong belief in medical missionary work,” Mekelburg observes, “the family requested the proceeds be used for the deferred mission appointee fund at the School of Medicine. The fund continues to grow because of gifts like these. Loma Linda University Health is equipped to receive gifts of real estate, and we’re thankful the Miller family chose to provide so generously.”

Gerald Wayne Miller, MD, left behind a legacy of trust, integrity, and a desire to serve others. Members of his family chose to honor the memory of Dr. Miller (as seen here in 1986), by a gift of property in his name. Proceeds from the sale of the property will benefit the deferred mission appointee program of Loma Linda University. Although the colors have faded, this image of Jerry and Betty Miller with their four children reveals the warmth and affection the family has enjoyed since the 1960s, when it was taken. The children are, from left to right, Cathy, Curt, Patty and Cynthia.

Readers interested in learning how gifts of real property benefit Loma Linda University Health are invited to contact Todd Mekelburg in the office of planned giving by phone at 909-558-4553 or online at llulegacy.org.

| Many Strengths. One Mission.

Charles E. Michaelis, M.D. Hassan and Mahvash Milani Roger & Ruth Miller Cyril* and Florence J. Mitchell Robert D. and Gladys E. Mitchell Violet Molnar Robert and Jacqueline* Moncrieff James D. Moore Jay and Nadine Munsey - Class ‘54 Jeanne Murray Ron MacKay and Christine M. Neish Doyce Z. and Janice A. Nicola Quint and Norene Nicola Irvin J. Olswanger Sherrie Padden-Fabian Edward F. and Dorothy V. Paquette David and Linda Peters Chester and Ellen Pflugrad Mel Phillips Jim and Jennifer Pinder Oliver J.* and Barbara G. Pogue Harvey and Lanell Price Olga L. Price Don and Lois Prior Dale S. Pyke and Carol J.* Pyke Robert Lee* and Vivian Raitz Lillian Webb Roach June Rogers Farmer Clyde Roggenkamp, DDS, MSD Max A. Rusher Austin R.* and Phyllis L. Sawvell Lilah C. Scalzo Willis L. and Doyleen E. Schlenker J. Andrew Schuchardt Ronald Raley and Louise B.* Scott Robert M. Seale Laurence A.* and Snoka T. Senseman Wynton G. and I. Darlene Shaw Paul Orlando and Ethel G.* Shearer Joni Ehrler Stephens Ted L. and Jerry E. Stephens Frances L. Stockman-Simpson Kendall and Jo Ann K. Studebaker Dr. and Mrs. George V. Summers William C. Swatek and Rose L. Swatek James C. Szana David L. and Maxine J. Taylor Robert D.* and Mary Ann Taylor Ralph J. and Carolyn J. Thompson The Honorable Shirley Pettis-Roberson W. Alvin and Marilyn M. Thunquest Charles Mason and Allene* von Henner Calvin and Joyce Wang James M.* and Audrey Whitlock Charles Wical, MD and Crystal Wical Scott and Anne Wilcox JH* and Nellie I. Williams Walter Willumson* and D. Jeanne Andrews (Willumson) Dr. and Mrs. Everet W. Witzel Drs. John B.* and Alice L. Wong Morton M. Woolley, M.D. and E. Jane Woolley, M.D. Junko Yamamoto, DDS (*=deceased) PLANNED GIFTS FULFILLED Anonymous (155) Melvin and Isla Andersen Vera Florine Anliker Judge and Mrs. William M. Auslen Florence E. Bachman Elsie Bader Celia Bennett Eleanor G. Christensen-Berecz and William Berecz, Jr. Ida Bergold

Dr. and Mrs. Fred Bradford Bruce and Elizabeth Branson A. Kendall and Leona W. Brown E. Jane Brown James Derl Brown Gordon Burdick Harold A. Bursell, M.D. Dan C. Butherus Earl G. Cantor Martha S. Cole Cora Murl Craig William C. Dalbey, M.D. Alan Dodd Gerhardt L. Dybdahl, M.D. Wilfred W. Eastman, M.D., Sr. Martin and Helen M. Faerber Eva Marie Gaede, M.D. Maurice and Marilyn Smith Archie E. and Margaret Gilbert Letha F. Graham Rudolf W. and Willette D. Hack Mervyn and Margaret Hardinge Beverly M. Henry Robert and Ruth Hervig Charles N. Heston Paul and Francis Heubach Matilda Anabelle Mills-Hills Lucille C. Innes Dr. and Mrs. George G. Innocent Caroll L. Jensen Claran Henry and Marjorie Jesse, Sr. James A. and Marge Jetton Joseph and Lois E. Johannes Virginia Madruga Lawrence and Wilma Kagels Gustave C. “Gus” Klammer Dick H. and Ardyce H. Koobs Gerald Leckner Hugh C. and Dollie Love Oliver I. Lowry Noel Culhane May, R.N. and Stanton B. May, M.D. H. J. McCracken Charles B. Moore Milton J. Murray and Virginia H. Murray Ruby E. Wheeler Odell and Olson Wheeler Dr. and Mrs. Elmer H. Olson Howard Osborne, M.D. Dr. John E. Peterson Sandra M. Peterson Dr. and Mrs. Troy M. Price, Class of ‘48 Emmord V. Pyle, M.D. W. H. and Bernice Raley Leonard W. and Kathryn M. Ramey Vincent and Virginia Ricci George E. and Nellie M. Richardson Chester M. Ross Dr. and Mrs. William M. Russell Frank W. Shearer ‘33 Chauncey L. and Lenna Smith Dunbar W. and Kathryn Smith Rollin F. Snide Werner G. and Waltraud Stammherr Dr. Walter L. and Lula Ann Stilson Elaine C. and Gordon W. Thompson James W. Totman Vera B. Turner Vando E. and Verna L. Unger Kenneth and Betty Vine Myatt W. Volentine Dorothy L. Wiggins, R.N. Finis E. Wiggins, M.D. Class of 1943 Bryce J. Young and Joylyn Jennings Young Ernest A. and Alma Zinke Melvin and Kathleen Zolber

Heritage Society

PLANNED GIFTS COMMITTED Anonymous (161) Wil and Mary Alexander Katherine L. Alfred Melodie A. Aschy-Norman Ron and Jeanine Ask Barbara B. Baldwin Arthur* and Barbara Barkan Dave and Lyn Behrens Basaraba Donald* & Dorothy Behling Richard E. Bennett Charles and Bonnie Bensonhaver Edna M. Bether Lucille Aitchison Bieber Carl and Charlotte Bowman Floyd* and Mary Brauer Frederick A. Brown Michael R. and Evva D.* Brown Ernest N. and Gloria Chan Ken & Penny Coley David Colwell William F. and Norma E. Colwell Roger C. and Darlene* Cook Arthur E. Dalgleish* and Helen M. Dalgleish Robert L. and Joann Darby M. Jerry* and Sylvia Davis Walter and Gean E. Deege Tom and Pat Dickinson Herb and Carol Domke John Wallace and Olive F.* Dowswell Richard and Marie Duncan Donald C. and Alice J.* Fahrbach Dr. and Mrs. Garry J. FitzGerald Robert* and Dorothy Jean Froeschle Lynn E.* and Thetis Gair Sylvia W. Giang in memory of Paul A. Giang Charles and Ruthy Goodacre Cornell and Beverly Greavu Harold Melvin and Elaine* Grundset Drs. William G. and Margaret S. Hafner Richard* and Emily Hammond Max and Carolyn Hammonds Lewis H. Hart, M.D., Ruth M. Hart Miss Bernice Hawkins Mrs. Sarah E. Heidland Norman L. Henderson, M.D. Ron & Karen Hendricks Leo and Claudine Herber Victor A. Hervig Til A. Hidalgo David A. Hodgson, Ph.D. in honor of Michael and John David Hodgson Herbert A. Holden, M.D. and R. Jan Dilworth-Holden William C. Hunter Alfred and Carolina Issler Karin and John M. Joye Ray M.* and Florence E. Kellogg Arlene Klooster Albert C. Koppel, DDS and Elizabeth Adams Koppel, MD* Ruth A. Kuester Frank K. Lee and Sirpa T. Lee Charles V. and Heather B. Lindsay Leslie Y.* and Cora M. Low Edwin O.* and Patricia Liu Lowe Charles H. and Roberta* Luss Shirley Jane and C. Grant* Macaulay J. Lynn and Karen Martell Yolanda T. Massie Wesley James and Iva M.* Masterjohn Del McCulloch Todd and Janya Mekelburg Dr. Franklin and Marie* Messinger Norm and Pat Meyer

Loma Linda University Health | 2013 Annual Report |

Facts & Figures

Loma Linda University Health Loma Linda University Medical Center (2013) § University Hospital/Adult Services § Loma Linda University Children’s Hospital § Loma Linda University Medical Center East Campus § Loma Linda University Behavioral Medicine Center § Loma Linda University Heart & Surgical Hospital § Loma Linda University Medical Center – Murrieta § Highland Springs Medical Plaza

Loma Linda University (2013) § School of Allied Health Professions § School of Behavioral Health § School of Dentistry § School of Medicine § School of Nursing § School of Pharmacy § School of Public Health § School of Religion

Number of Students

Loma Linda University Total 4,729

Allied Health Professions

1,377

Behavioral Health

368

| Many Strengths. One Mission.

Dentistry

658

Medicine

822

Nursing

645

Pharmacy

325

Public Health

503

Religion

International Service Missions

Students who served

Global Outreach

Clinics

Adventist Health International

Number of countries served

428

Number of countries served

Hospitals

Deferred Mission Appointee (DMA) Program Now Serving: Abroad serving globally..........................30 Physicians.........................................21 Dentists..............................................9 Number of countries served....................12 In training..................................................60 Global Service Award (GSA) Program (2013) Currently overseas........................................7 Number of countries served........................4

Pioneering Research Lifestyle and longevity Maternal / fetal / neonatal Proton treatment Regenerative medicine Infectious disease Cancer Stroke / traumatic brain / neurological § Dental materials § Health disparities among diverse populations § § § § § § §

Loma Linda University Health | 2013 Annual Report |

Facts & Figures

Areas of Clinical Leadership § § § § § § § § §

On January 1 LLUMC – Murrieta officially changed its status from a “for profit” organization to a non-profit”

Behavioral medicine Cancer treatment Cardiac care Orthopedics Pediatrics and neonatal Proton treatment Rehabilitation Transplantation Women’s services

Level 1 Regional Trauma Center serving 26 percent of the land mass of California

Number of Licensed Beds Loma Linda University Medical Center Total

1,076

| Many Strengths. One Mission.

University Hospital/Adult Services

371

Children’s Hospital

348

Medical Center East Campus

134

Behavioral Medicine Center

Heart & Surgical Hospital

Medical Center – Murrieta

106

Inpatient Discharges (2013)................................. 46,279 Medical Center (University Hospital / Adult Services).............. 14,036 Children’s Hospital ............................................... 15,009 Medical Center East Campus ................................ 3,275 Behavioral Medicine Center................................... 4,258 Heart & Surgical Hospital....................................... 1,151 Medical Center – Murrieta...................................... 8,550

Outpatient Visits (2013).....................................1,620,243 Medical Center (University Hospital / Adult Services).............650,211 Children’s Hospital................................................ 85,309 Medical Center East Campus ............................ 149,594 Behavioral Medicine Center ................................ 34,188 Heart & Surgical Hospital..................................... 34,143 Highland Springs Medical Plaza.......................... 18,704 Non-Facility Service Areas..................................... 5,782 Heath System...................................................... 642,312

OB-delivered Discharges (2013)..............................3,915 Children’s Hospital...................................................2,860 Medical Center – Murrieta.......................................1,055

Emergency Department Visits (2013)................... 97,691 Medical Center (University Hospital / Adult Services)...............59,016 Medical Center – Murrieta.....................................38,675

Faculty Physicians of School of Medicine

Number of Resident Physicians and Fellows Residents (not counting non-LLUMC residents rotating at LLUMC).................................................618 Fellows.......................................................................................93

853

Number of Accredited Residency Programs..........................46

Physicians with Admitting Privileges

958

Employees (2013) Loma Linda University Health Total.................................14,763 Loma Linda University........................................................3,868 Medical Center (University Hospital/Adult Services), Children’s Hospital, Medical Center East Campus and Heart & Surgical Hospital............................................9,361 Behavioral Medicine Center...................................................346 Health System......................................................................1,534 Shared Services......................................................................523 Medical Center – Murrieta......................................................990

Loma Linda University Health | 2013 Annual Report |

Financial Summary

(in thousands)

Loma Linda University Health

Net revenue from patient care and other sources of income Tuition from students and other supporting income

1,860,502 299,601

Total Revenue

2,160,103

Expenses for patient care, teaching students and other services

Employee Compensation Professional Fees Supplies Interest Depreciation and Amortization Other Expenses

Total Expenses

Funds available for equipment, plant and property improvement, working capital needs and repayment of long-term debt

Note: Financial statement amounts are for the fiscal year ended June 30, 2013, for LLU and LLUHS and December 31, 2013, for LLUMC.

| Many Strengths. One Mission.

1,231,117 104,850 297,487 36,069 89,799 313,025 2,072,347

87,756

Philanthropy Support “Because we recognize that we are stewards, and not owners, of everything God has given us, we want to give back while we are alive as well as at our death. My wife, Karen, and I have chosen to name Loma Linda University Health as a partial beneficiary in our estate. We know someone invested in proton research so I could have treatment, and we want to help this research continue for the future use of others.” — Ron Hendricks “I was impressed with my endodontist, Dr. Mahmoud Torabinejad. I felt honored to have someone work on me who was so caring. Now that I know the kind of work you do at Loma Linda University School of Dentistry, this won’t be the last gift I send.” — Barbara Hemphill “The reason I wanted to donate to Loma Linda University Children’s Hospital was to make kids who are sick smile. My mom said sometimes it’s hard to smile when you don’t feel well, and I thought a present would give them a reason to be happy.” — Melinna Galbraith, 11 years old

Other Organizations 14%

Total Support in 2013

$22,043,865

Foundations 9% Individuals 57%

100%

Corporations 9%

Bequests 11%

“This gift is on behalf of the highly skilled, amazingly compassionate emergency room team, who cared for my mother, Marjorie Clayton. The care was exactly what care in her last days should have been.” — Wayne Clayton “Loma Linda is such a caring, loving place with such high medical standards. It’s a wonderful place to give to. We were fortunate enough to benefit from treatment there, and wanted to pay it forward for people in the future.” — Scott and Anne Wilcox Loma Linda University Health | 2013 Annual Report |

Boards of Trustees / Directors Deep appreciation is expressed to the following individuals who have served on the Boards of Trustees / Directors of Loma Linda University Health entities at the conclusion of 2013. They have served selflessly to guide the institutions at Loma Linda in fulfillment of our mission. Samuel Achilefu, PhD Professor of Radiology, Washington University School of Medicine, St. Louis, Missouri (1, 2) Bruce Anderson, MD Psychiatrist, Angwin, California (4) Lisa Beardsley-Hardy, PhD Director, Department of Education, General Conference of Seventh-day Adventists, Silver Spring, Maryland (1, 2, 3A) Larry Blackmer, MS Director, Department of Education, North American Division of Seventh-day Adventists, Silver Spring, Maryland (1A, 2A)

Jere Chrispens, MA Information Technology Executive, Yucaipa, California (1, 2, 3) Kathleen Clem, MD Chair, Department of Emergency Medicine, LLU School of Medicine (6) Lowell Cooper, MDiv, MPH Vice President, General Conference of Seventh-day Adventists, Silver Spring, Maryland (Chair 1, 2, 3, 5)

Stephanie Bolton, MD President, Medical Staff, Loma Linda University Behavioral Medicine Center (4)

Jonathan Duffy, MPH President, Adventist Development and Relief Agency International, Silver Spring, Maryland (1A, 2A)

Gary Botimer, MD Chair, Department of Orthopedic Surgery, LLU School of Medicine (5, 6)

Wayne Dysinger, MD Chair, Department of Preventive Medicine, LLU School of Medicine (6)

Murray Brandstater, MD, PhD Chair, Department of Physical Medicine & Rehabilitation, LLU School of Medicine (6)

Ruthita Fike, MA Executive Vice President for Hospital Affairs, LLUH; CEO/Administrator, LLUMC; President/CEO, LLUBMC (1A, 2A, 3, 4, 5)

Beverly Buckles, DSW Dean, LLU School of Behavioral Health (4) Brian Bull, MD Chair, Department of Pathology and Human Anatomy, LLU School of Medicine (6) Ronald Cafferky, MD Psychiatrist, Portland, Oregon (4) Robert Carmen, OTR, MPA President, Adventist Health, Roseville, California (1, 2, 3, 5) Gloria Ceballos, PhD, RN Division Director for Quality and Patient Safety, Health Management Associates, Bowie, Maryland (1, 3) Shirley Chang, PhD Nursing Educator, Fremont, California (1, 2)

Richard Chinnock, MD Chair, Department of Pediatrics, LLU School of Medicine (5, 6)

| Many Strengths. One Mission.

Steven Filler, DDS, MS, MA Associate Dean for Student Alumni and External Affairs, University of Alabama at Birmingham, School of Dentistry, Birmingham, Alabama (1, 2) Gwen Foster, MPH Health and Fitness Consultant, Philadelphia, Pennsylvania (1E) Christine Friestad, JD Attorney, Friestad Law Firm, San Diego, California (1, 2, 3) Carlos Garberoglio, MD Chair, Department of General and Trauma Surgery, LLU School of Medicine (6) Ricardo Graham, DMin President, Pacific Union Conference of Seventh-day Adventists, Westlake Village, California (1, 2, 3)

Subhas Gupta, MD, PhD Chair, Department of Plastic and Reconstructive Surgery, LLU School of Medicine (6) Roger Hadley, MD Executive Vice President for Medical Affairs, LLUH; Dean, LLU School of Medicine (1A, 2A, 3, 4, 5; Chair 6) Richard Hart, MD, DrPH President/CEO, LLUH and LLU; President, LLUMC; CEO, LLUHS (1, 2, 3, Chair 4, 5, 6) Douglas Hegstad, MD Chair, Department of Medicine, LLU School of Medicine (5, 6) David Hinshaw Jr., MD Chair, Department of Radiology, LLU School of Medicine (6) Dan Jackson, MA President, North American Division of Seventh-day Adventists, Silver Spring, Maryland (1, 2, 3) Mark Johnson, BA President, Seventh-day Adventist Church in Canada, Oshawa, Ontario (1A, 2A) Al Kahn, MBA President and CEO, Crown Consulting, Inc., Arlington, Virginia (1, 2) Melissa Kidder, MD Interim Chair, Department of Gynecology and Obstetrics, LLU School of Medicine (6) as of 10/9/13 Donald King, DrPH President, Atlantic Union Conference of Seventh-day Adventists, South Lancaster, Massachusetts (1A, 2A) Peter Landless, MB, BCh Director, Department of Health Ministries, General Conference of Seventh-day Adventists, Silver Spring, Maryland (1, 2A, 3) Kevin Lang, MBA Executive Vice President, Finance and Administration/CFO, LLUH (1A, 2A, 3A, 4, 5)

Robert Lemon, MBA Treasurer, General Conference of Seventhday Adventists, Silver Spring, Maryland (1, 2, 3, 5) Thomas Lemon, MDiv President, Mid-America Union Conference of Seventh-day Adventists, Lincoln, Nebraska (1, 2) Don Livesay, MDiv President, Lake Union Conference of Seventh-day Adventists, Berrien Springs, Michigan (1A, 2A) Carlton Lofgren, DDS Business Executive, Riverside, California (1E) Robert Martin, MD Chair, Department of Anesthesiology, LLU School of Medicine (5, 6) David Mee-Lee, MD Psychiatrist, Davis, California (4) Steve Mohr, MBA Chief Financial Officer, LLUMC (5) Larry Moore, MDiv President, Southwestern Union Conference of Seventh-day Adventists, Burleson, Texas (1A, 2A) William Murdoch, MD Chair, Department of Psychiatry, LLU School of Medicine (4, 6) G. T. Ng, PhD Secretary, General Conference of Seventh-day Adventists, Silver Spring, Maryland (1, 2, 3) Luther Park Business Executive, Salem, Oregon (1E) Ricardo Peverini, MD Senior Vice President, Clinical Affairs, LLUH; President, LLU Faculty Medical Group (1, 3, 5, 6) Juan Prestol, MBA Undertreasurer, General Conference of Seventh-day Adventists, Silver Spring, Maryland (1A, 2A, 3A) Michael Rauser, MD Vice Chair, Clinical Affairs, Department of Ophthalmology, LLU School of Medicine (6)

Anees Razzouk, MD Chair, Cardiovascular and Thoracic Surgery, LLU School of Medicine (6)

Abel Torres, MD Chair, Department of Dermatology, LLU School of Medicine (5, 6)

Leroy Reese, MD Associate Dean, LLU School of Medicine (Los Angeles campus), Los Angeles, California (1E)

Max Trevino Immediate Past President of the Southwestern Union Conference of Seventhday Adventists, Burleson, Texas (1, 3)

Mark Reeves, MD President, Medical Staff, LLUMC (3)

Bryan Tsao, MD Chair, Department of Neurology, LLU School of Medicine (6)

Scott Reiner, BSN, MHA Executive Vice President/COO, Adventist Health, Roseville, California (1, 3)

Eric Tsao, MBBS Physician, Corona, California (1, 2, 3)

Herbert Ruckle, MD Chair, Department of Urology, LLU School of Medicine (5, 6) Mike Ryan, PhD Vice President, General Conference of Seventh-day Adventists, Silver Spring, Maryland (1A, 2A, 3A) Benjamin Schoun, DMin Vice President, General Conference of Seventh-day Adventists, Silver Spring, Maryland (1A, 2A, 3A) Alfred Simental, MD Chair, Department of Otolaryngology and Head and Neck, LLU School of Medicine (6) Ella Simmons, EdD Vice President, General Conference of Seventh-day Adventists, Silver Spring, Maryland (1A, 2A, 3A) Jerry Slater, MD Chair, Department of Radiation Medicine, LLU School of Medicine (6) Ron Smith, PhD, DMin President, Southern Union Conference of Seventh-day Adventists, Decatur, Georgia (1A, 2A) Judith Storfjell, PhD, RN Senior Vice President for Patient Care and CNO, LLU Medical Center; Associate Dean, LLU School of Nursing (5) John Testerman, MD, PhD Chair, Family Medicine, LLU School of Medicine (6) Max Torkelsen, II, MA, MPH President North Pacific Union Conference of Seventh-day Adventists, Ridgefield, Washington (1, 2)

Dave Weigley, MBA President, Columbia Union Conference of Seventh-day Adventists, Columbia, Maryland (1, 2) Thomas Werner, MBA Immediate Past President, Adventist Health-Sunbelt, Eustis, Florida (1, 3, 5) David Williams, PhD Professor of Public Health, Harvard University School of Public Health, Boston, Massachusetts (1, 2, 3) Ted Wilson, PhD President, General Conference of Seventhday Adventists, Silver Spring, Maryland (1, 2, 3) William Winston, MDiv President, South Atlantic Conference, Atlanta, Georgia (1A, 2A) Patrick Wong, MBBS Physician, San Francisco, California (1E) Tom Zapara Business Executive, South Laguna, California (1E) 1 = Loma Linda University Adventist Health Sciences Center, dba Loma Linda University Health 2 = Loma Linda University 3 = Loma Linda University Medical Center 4 = Operating Board of Loma Linda University Behavioral Medicine Center 5 = Loma Linda University Health System 6 = Loma Linda University Faculty Medical Group A = Advisor E = Emeritus Advisor

Loma Linda University Health | 2013 Annual Report |

President’s Advisory Cabinet Loma Linda University Health’s commitment to its mission, “To continue the teaching and healing ministry of Jesus Christ,” has led to excellence in clinical care, education and research. We believe that health care extends beyond the treatment of disease to include the physical, mental and spiritual — the whole person. From its beginning in 1905, wholeness has been integral to the care that Loma Linda provides. Loma Linda’s response to unprecedented changes in health care from the perspective of wholeness is propelling LLUH to even greater levels of influence and leadership nationally and globally. As new opportunities for growth and development are identified, the inaugural members of the President’s Advisory Cabinet are assisting the organization, bringing professional expertise, diversity of perspectives, connections to local and national resources and visibility to LLUH. As they share their distinctive knowledge and skills, Cabinet members are supporting LLUH as it fulfills its vision — “Transforming lives through education, health care and research.” We are indebted to this group of advisors as we poise for the expanding vision of LLUH. Beverly Bailey Beverly Bailey is president and CEO of Stronghold Engineering, Inc., a Southern California-based general contracting firm with more than 200 employees in the design-build, electrical, general and civil construction industry. She is highly regarded for her financial acumen and visionary approach to business — traits that have steered Stronghold to a leadership role in the industry. She founded the company in 1991 with her husband, Scott, out of their home, parlaying 20 years of electrical contracting experience into a start-up that has since grown to post annual sales of $100 million. Demonstrating a continued entrepreneurial spirit, she also established Lamb Energy, Inc. in January 2009. Bailey has served on boards of the Society of American Military Engineers, the National Associated Builders Construction Legal Rights Foundation, the Committee of 200 and the Riverside Art Museum. She currently sits on the Loma Linda University Children’s Hospital Foundation Board. Marshall Robert Ching, MD, and Phyllis Ching M. Robert Ching was born in Honolulu, Hawaii. His formative years were spent in San Leandro and Castro Valley, California. He attended Golden Gate Academy and La Sierra College. He graduated from Loma Linda University School of Medicine in 1970, interned at Los Angeles County – University of Southern California Medical Center, and did his residency in orthopedics at White Memorial Hospital. Phyllis Ching was born in Lanchow, China. Her family lived in Takoma Park, Maryland and Madison, Tennessee, before settling in Oneida, Kentucky. She attended Highland Academy and Collegedale Academy and graduated from Southern Missionary College. She

| Many Strengths. One Mission.

earned her master’s in public health education from University of Kentucky. After Dr. Ching’s residency, the couple moved to Oroville, California, in 1975. Their three sons attended LLU: Brian Ching (School of Medicine 1996), Brent Ching — deceased (School of Dentistry 1998) and Bradley Ching (School of Dentistry 2014). Irving Feldkamp III, DDS, and Pam Feldkamp Irving “Bud” Feldkamp, DDS, is a 1971 graduate of Loma Linda University School of Dentistry. Pam Feldkamp graduated from the School of Dentistry’s dental hygiene program in 1969. The Feldkamps are owners of Hospitality Dental, a family-oriented full service dental practice that specializes in a broad range of dental services, including dentistry for children, cosmetic, orthodontia and general dentistry. Hospitality Dental has eight locations throughout the Inland Empire and Las Vegas, Nevada. Feldkamp also owns Glen Helen Raceway in San Bernardino, the preeminent off-road motocross raceway in Southern California. Afzal ‘Al’ Khan and Hetty Khan Afzal Khan is president and CEO of Crown Consulting, Inc., a 120-person company that provides systems engineering and technology services to the Federal Aviation Administration and National Aeronautics and Space Administration. Before founding Crown Consulting in 1989, Khan was chief management analyst with Booz Allen Hamilton, providing mission planning and performance measurement support to several major federal agencies. He holds an MBA degree in finance from the University of Maryland. The Khans reside in Silver Spring, MD.

The Honorable Jerry Lewis and Arlene Lewis Charles Jeremy “Jerry” Lewis was born in Seattle, Washington. He graduated from San Bernardino High School in San Bernardino, California, where he captained the swim team and was a basketball star. In 1956, he received a BA degree from UCLA and went on to serve as a Coro Foundation fellow in San Francisco. After college, Lewis worked in the insurance business. Jerry Lewis was a U.S. Representative, last serving California’s 41st congressional district. He was first elected to Congress in 1978, having previously represented the 40th, 35th and 37th districts. These districts included the city of Loma Linda. He is a former chairman of the House Appropriations Committee, serving in that role during the 109th Congress. Roger Miller and Ruth Miller Roger and Ruth Miller are residents of Sun Valley, Idaho, and spend part of their winter months in Indian Wells, California. Roger Miller spent his childhood in Minnesota and started to travel with the Brooklyn Dodgers organization as a pitcher. After transferring to Los Angeles, he entered the car sales business and grew to own multiple dealerships across Southern California. Ruth Miller, a businesswoman in her own right, was one of the first female real estate developers in the Los Angeles and Orange County areas. She was born and raised in San Bernardino. The Millers have been married for nearly 40 years and enjoy a wide variety of friends both in California and Idaho. He enjoys golf, and she is a skilled tennis player. Mayor Patrick J. Morris and Sally Morris Patrick Morris graduated from University of Redlands in 1959 and from Stanford Law School in 1962. He spent six months on active duty with the United States Army followed by six years in the reserves. He began practicing law in San Bernardino, and served on the City Parks and Recreation Commission. He was a founding member of the Boys & Girls Club of San Bernardino, and with his wife, Sally, founded the local Habitat for Humanity chapter. He has served as a University of Redlands trustee for 40 years and was both a member and president of the San Bernardino Board of Education until his appointment to the Superior Court Bench in 1976. He helped to found San Bernardino County Children’s Network and the Children’s Fund, a public/private partnership, to support the needs of children under the court’s jurisdiction. In 1994, he established one of California’s first drug treatment courts, providing alternatives for non-violent addicts appearing in the criminal

justice system. In 1999, mental health courts were created when he expanded the concept to include mentally ill persons caught up in the criminal justice system. He served as mayor of San Bernardino from 2006 to 2014. Mike Parnell Mike Parnell is a native of Arkansas. He was vice president at OP Sunwear from 1975 – 1985 and then began a 15-year career at Oakley, leaving the company in 2000 as CEO. Since 2011, he has served as executive vice president of Red Digital Cinema. He enjoys snowboarding, flying, fly-fishing and skydiving. He was captain of the United States Skydiving Team from 1995 – 1998. Parnell and his wife live on Orcas Island, Washington, and have three children. He was a founder of the Orcas Christian School. Charles Smithgall III Charles A. Smithgall III was born in Atlanta, Georgia. When he was 6 years old, his family moved to Gainesville, GA, where his dad started a radio station and newspaper. In 1961, he graduated from The Baylor School in Chattanooga, Tennessee. In 1965, he earned a BS in industrial management from Georgia Institute of Technology. Smithgall worked for Holder Construction until 1975, when he entered Harvard Business School’s management development program. He also worked in the media industry, ultimately overseeing cable TV and radio companies. In the mid-1990s, a college buddy who had become an investment banker introduced him to the franchise world. In 1995, he began his franchising career with one store in Louisville, Kentucky. Today, he is chair and CEO of SEI/Aaron’s, Inc., the largest Aaron’s multi-unit franchisee, with annual revenue topping $135 million. Dennis Troesh and Carol Troesh Dennis and Carol Troesh are long-time Riverside residents and business leaders. In the 1970s he founded Robertson’s Ready Mix, growing the company into one of the largest ready-mix and construction aggregate operations in the western United States. Writing under the name of C.A. Hartnell, Carol Troesh has authored four historical fiction books for children. In 2013, she received the Mom’s Choice Silver Award for excellence in family friendly media, products and services. Dennis Troesh is a member of the Loma Linda University Children’s Hospital Foundation Board; Carol is a member of the Loma Linda University Children’s Hospital Foundation Guild. In that capacity she enjoys planning and conducting events that are both educational and entertaining for hospitalized children.

Loma Linda University Health | 2013 Annual Report |

Loma Linda University Adventist Health Sciences Center

Loma Linda University Health Corporate Officers 2013 dba

Richard Hart President & CEO

Daniel Fontoura Sr VP for Health Administration until 12/10/13

Judith Storfjell Sr VP for Patient Care Services

Kevin Lang Exec VP for Finance & Administration/ Chief Financial Officer

Mark Hubbard Sr VP for Risk Management / Assistant Secretary

David Wren Sr VP for Faculty Practice

Ruthita Fike Exec VP for Hospital Affairs

Steven Mohr Sr VP for Finance

Beverly Buckles VP for Behavioral Health Education; Dean, School of Behavioral Health

Roger Hadley Exec VP for Medical Affairs; Dean, School of Medicine

Rodney Neal Sr VP for Finance

Brian Bull Corporate Secretary

Rachelle Bussell Sr VP for Advancement

Ricardo Peverini Sr VP for Clinical Faculty

Ronald Dailey VP for Dentistry; Dean, School of Dentistry as of 7/1/13

Ronald Carter Sr VP for Educational Affairs

Richard Rawson Sr VP for Strategic Planning

Lyndon Edwards VP, East Campus / Heart & Surgical Hospital

Cari Dominguez Sr VP for Human Resources

Zareh Sarrafian Sr VP for LLUMC Operations

Daniel Fontoura VP for Wellness as of 12/10/13

| Many Strengths. One Mission.

Daniel Giang VP for Graduate Medical Education

Craig Jackson VP for Allied Health Professions Education; Dean, School of Allied Health Professions

Rick Williams VP for Student Services

Charles Goodacre VP for Dentistry; Dean, School of Dentistry until 6/30/13

Angela Lalas VP for Finance / Assistant Secretary

Gerald Winslow VP for Spiritual Life & Wholeness

Carolyn Hamilton VP for Philanthropy as of 12/10/13

Jesse Mock Vice President

Anthony Zuccarelli VP for Graduate Studies Education; Dean, Faculty of Graduate Studies

David P. Harris VP / CIO for Academia

James Pappas VP for Quality

Myrna Hanna Assistant Secretary

Douglas Hegstad VP for Clinical Network Integration

Tricia Penniecook VP for Public Health Education; Dean, School of Public Health

Marilyn Herrmann VP for Nursing Education; Dean, School of Nursing

Jon Paulien VP for Religion Education; Dean, School of Religion

W. William Hughes VP for Pharmacy Education; Dean, School of Pharmacy

Mark Reeves VP for Institutes

Loma Linda University Health | 2013 Annual Report |

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