Loma Linda University Economic Impact On The Inland Empire John Husing, Ph.D. Economics & Politics, Inc. Chief Economist, Inland Empire Economic Partnership

Gold Mine Theory of Local Economics Secondary Tier Primary Tier

Money from the Outside World Money From Non-local Sources Payments MediCare Payments MediCal Federal, State & Private Grants Insurance Company Payments Donations, Endowments Student Fees & Tuition Visitors NOT Local Residents Paying Directly To Use The Hospital or Go To The University

Direct Spending: Brings In The Money $1.336 Billion 95.6%

Inland Empire Spending On Supplies & Services $367.0 million Section Inland Empire Other So. California Southern California Other Areas Total Behavioral Medical Center $10,242,797 $2,166,661 $12,409,458 $5,153,671 $17,563,128 Faculty Medical Groups $376,734 $417,573 $794,307 $1,671,841 $2,466,147 Medical Center $291,219,183 $132,377,454 $423,596,636 $185,853,361 $609,449,997 University $79,491,507 $25,808,149 $105,299,656 $30,096,239 $135,395,895 University Health Care $2,575,195 $3,103,429 $5,678,623 $15,081,674 $20,760,297 $383,905,416 $163,873,264 $547,778,680 $237,856,785 $785,635,465 Inland Empire Share of So. Calif. 70.1% 29.9% 100.0%   Inland Empire Share of Total 48.9% 20.9% 69.7% 30.3% Inland Empire “Basic” Funds 95.6% Outside Funds $367,013,578

Staff & Employees Total Wage & Salary Employees 15,387 Inland Empire Residents 14,870 Share of Inland Empire 96.6%

Inland Empire Payroll: $866 Million Function Payroll @ $52,036 12% Benefits Total MC (Adult & Children's) $465,693,087 $55,883,170 $521,576,257 Behavioral Medicine $16,125,419 $1,935,050 $18,060,469 University Health Services $28,960,163 $3,475,220 $32,435,383 Faculty Medical Group $20,263,321 $2,431,598 $22,694,919 Faculty Physicans/Surgeons $101,659,683 $12,199,162 $113,858,845 University Health Care $60,180,266 $7,221,632 $67,401,898 Loma Linda University $107,801,172 $12,936,141 $120,737,313 Total Payroll Before Taxes (avg. $58,281) $800,683,111 $96,081,973 $896,765,084 Share of Payroll to Inland Empire 96.6% Payroll $773,459,885 $92,815,186 $866,275,071

Local Inland Empire Spending By Staff: $664 million of $866 million Category Share of Income Spent Amount Share Spent in IE Local IE Spent Food, Personal Services, Utilities, Local Taxes, HH expenses 38.6% $334,375,368 100.0% HH Equipment, Personal Care Products 2.8% $24,637,570 95.0% $23,405,691 Cash Contributions, Other Vehicle Expensive, Entertainment 9.4% $81,511,485 90.0% $73,360,337 Vehicle Purchases, Major HH Goods, Eating Out 12.6% $109,553,891 85.0% $93,120,807 Apparel, Reading Materials 3.8% $33,083,901 80.0% $26,467,121 Fuel, Entertainment, Education, Pets 7.5% $65,291,021 75.0% $48,968,266 Entertainment, Mortgages, Pension Cost 15.7% $135,623,538 25.0% $33,905,884 Totals 90.4% $784,076,774 80.8% $633,603,474

Inland Empire Student Spending: $51.4 million Department Dormitory   2007 with CPI Change Relatives Off Campus Total Number Budget Spending Allied Health 80 $10,740 $859,200 47 $7,852 $369,044 254 $13,982 $3,551,428 $4,779,672 (2nd year on) 62 $14,320 $887,840 35 $10,470 $366,450 293 $18,643 $5,462,399 $6,716,689 Dental 17 $12,037 $204,629 12 $94,224 107 $13,959 $1,493,613 $1,792,466 34 $16,049 $545,666 $125,640 333 $6,208,119 $6,879,425 SST* 10 $107,400 5 $39,260 93 $1,298,187 $1,444,847 14 $200,480 $177,990 256 $4,772,608 $5,151,078 Medicine 31 $497,519 $9,597 $95,970 157 $17,089 $2,682,973 $3,276,462 28 $400,960 19 $198,930 484 $9,023,212 $9,623,102 Nursing 39 $418,860 $266,968 $1,116,720 $1,802,548 67 $959,440 $973,710 154 $2,871,022 $4,804,172 Public Health 21 $225,540 $133,484 73 $1,019,007 $1,378,031 $443,920 $324,570 156 $2,908,308 $3,676,798 Pharmacy 26 $312,962 8 $62,816 42 $586,278 $962,056 38 $609,862 15 $157,050 170 $3,169,310 $3,936,222 Non-Local Share 498 99.0% 355 95.0% 2,652 90.0% 3,505 New Inland Empire Spending $6,607,535 $3,216,801 $41,546,866 $51,371,202

Non-Local Visitor Spending: $51 million Activity Visitor Days Non-Local Number Avg. Spending Spending Board Meetings 960 75.0% 720 $338 $243,360 Banquets 2,266 50.0% 1,133 $382,954 Convention Attendees 7,455 5,591 $225 $1,258,031 Continuing Education Classes 12,454 63.0% 7,846 $1,765,355 Drayson Center 377,888 10.0% 37,789 $23 $869,142 Graduation Guests 18,900 90.0% 17,010 $5,749,380 Inpatients (3 not incl pt) LLUMC/CH/ECH 722,350 8.0% 57,788 $169 $9,766,167 Outpatients (3 incl pt) LLUMC & BMC 1,556,998 155,700 $113 $17,594,077 Outpatients Proton (2 incl pt)** 72,988 70.0% 51,092 $5,773,351 Outpatients (2 incl pt) FMO 1,207,782 120,778 $56 $6,763,579 Visitors Touring Campus 5,559 4,169 $704,565 Kids Care Fair & Other Fairs 4,725 15.0% 709 $39,690 Families Bringing Students 3,277 2,949 $333,261 Volunteer Visitor Days** 65,223 9,783 $225,019 Totals 4,058,824   473,057 New Inland Empire Spending $51,467,930

Total Funds Flowing Into Inland Empire: $644.1 million

Economic Impact On Inland Empire Secondary Tier $1.021 Billion Primary Tier $1.336 Billion Impact on Economy: $2.357 Billion

Other Types of Impacts

Highly Educated Population

Per Capita Taxable Sales Inland Empire City Per Capita Taxable Sales Ontario $42,740 Big Bear Lake $37,540 Palm Desert $33,029 Montclair $29,448 Loma Linda $29,252 Temecula $27,722 Barstow $26,912 Rancho Mirage $24,315 Chino $23,669 Norco $23,141

Per Capita Property Taxes San Bernardino County City Per Capita Assessed Valuation Big Bear Lake $660,116 Chino $140,195 Chino Hills $138,018 Ra. Cucamonga $136,252 Ontario $127,986 Redlands $120,101 Upland $111,285 Fontana $80,131 Montclair $77,107 Loma Linda $77,077

Changing The IE Economic Base Secondary Tier Primary Tier

Job Quality Issues

Educational Challenge For Adults & Their Children

Health Care

Health Care Job Growth

Inland Empire Job Growth 2011-2016 11% of Job Growth Median Pay $54,261

Inland Empire Underserved by Health Care Workers 26.6% More People Per Health Care Worker in 2015

Training Issue Athletic Trainers & Exercise Physiologists Cardiovascular Technologists and Technicians Coders Dental Assistants Dental Hygienists Diagnostic Medical Sonographers EMTs Massage Therapists Medical Laboratory Techs Medical Records & Health Information Techs Medical Transcriptionists MRI Techs Nuclear Medicine Techs Nursing (RN, LVN, Nurses Aids) Opticians Paramedics Pharmacy Techs Phlebotomists Physical Therapists Physician’s Assistants Physicians Radiological Techs Respiratory Techs

Educational Levels & Poverty

What is Needed To Attack Poverty? Short Course Adult Training in Specific Skills Sectors Where Education Barriers To Entry Can Be Overcome Median Incomes Approaching Middle Class Earnings Skill Ladders Up Which Workers Can Move To Median Incomes Sectors That Are Adding Jobs

LLU: San Manuel Gateway Campus

Training Programs Program 6-18 month certificate programs providing job entry skills, employment and college credit for students who elect to further their education. Entrance Requirement High School Diploma or GED Currently Medical Assistant Promoters Academy Planned Pharmacy Technician Operating Room Technician Occupational Therapist Technician

Innovation & Entrepreneurship

Filling A Need Proposals Funding Research Patents Company Formation Technology Transfer

Providing Care In A Scary World Safer

SAN BERNARDINO SHOOTING: Two of five shooting victims at Loma Linda University Medical Center in critical condition (UPDATE) Dr. Julian Seton Dr. James Appel Fighting Ebola

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