2021-11-12T19:11:25-06:00 2021-06-30 770549163 SOREN MCADAM LLP 2068 ORANGE TREE LANE SUITE 100 REDLANDS CA 92374 990 2020-07-01 954083895 LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC LOMA 9095585170 PO BOX 1740 LOMA LINDA CA 923540240 PAUL C HERRMANN MD PRESIDENT 9095586422 2021-11-12 1 PAUL HERRMANN MD 999009999 JASON LEWIS P01269855 9097982222 2021-11-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z PAUL C HERRMANN MD 11234 ANDERSON ST LOMA LINDA CA 92354 7479090 0 X N/A X 1986 CA COORDINATION OF THE CLINICAL PRACTICE PROGRAM OF THE CLINICAL FACULTY OF THE PATHOLOGY DEPARTMENT OF THE LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE IN THEIR UNIVERSITY SPONSORED AND UNIVERSITY AUTHORIZED FACULTY PRACTICE ACTIVITY AND TO ENHANCE THEIR EDUCATION AND RESEARCH ENDEAVORS. THE PROMOTION OF HEALTH BY THE PERFORMANCE OF MEDICAL CARE SERVICES FOR THE PUBLIC WITHOUT PROFIT TO ANY INDIVIDUAL. 5 3 15 0 0 0 2673975 1819549 4130148 4464833 59517 109649 53923 53753 6917563 6447784 305500 660897 0 0 2333881 1860309 0 0 0 4241753 3870387 6881134 6391593 36429 56191 5573998 5605075 918970 890671 4655028 4714404 X COORDINATION OF THE CLINICAL PRACTICE PROGRAM OF THE CLINICAL FACULTY OF THE PATHOLOGY DEPARTMENT OF THE LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE IN THEIR UNIVERSITY SPONSORED AND UNIVERSITY AUTHORIZED FACULTY PRACTICE ACTIVITY AND TO ENHANCE THEIR EDUCATION AND RESEARCH ENDEAVORS. THE PROMOTION OF HEALTH BY THE PERFORMANCE OF MEDICAL CARE SERVICES FOR THE PUBLIC WITHOUT PROFIT TO ANY INDIVIDUAL. 0 0 3485639 3506603 PATIENT CARE ACCOMPLISHMENT 14,475 CLIENTS SERVED ($9,659 CHARITY CARE) ACTIVITY ACCOMPLISHEMENT PROVIDED MEDICAL CARE TO ALL THE SICK AND INJURED WHO MAY COME FOR DIAGNOSIS, TREATMENT, AND CARE WITHOUT REGARD TO RACE, COLOR, CREED, SEX, AGE OR ABILITY TO PAY. 1973217 660897 931291 TEACHING ACCOMPLISHMENT - PROVIDED PROFESSORS TO TEACH PATHOLOGY, IMMUNOLOGY, MICROBIOLOGY, RELIGION, HISTOLOGY, CELLULAR AND MOLECULAR BIOLOGY COURSES TO LLU SCHOOL OF MEDICINE AND LLU SCHOOL OF ALLIED HEALTH FOR TRAINING DOCTORS, CYTOLOGIST, CLINICAL LABORATORY SCIENTISTS AND PATHOLOGISTS' ASSISTANTS. A ONE DAY VIRTUAL SEMINAR TO 78 PARTICIPANTS WAS HOSTED. 633006 27439 RESEARCH AND CTTR PROGRAM ACCOMPLISHMENT: THEY PUBLISHED 22 ABSTRACTS AND 14 PEER REVIEW ARTICLES IN MEDICAL JOURNALS; THEY PRESENTED 26 ABSTRACTS/CONFERENCE PRESENTATIONS WHICH WERE PEER REVIEWED AND 15 WHICH WERE NON-PEER REVIEWED; THEY PRESENTED 30 POSTERS AT CONFERENCES. THEY WROTE 6 BOOK CHAPTERS. THEY SERVED AS PRINCIPLE INVESTIGATORS ON 4 PROJECTS AND CO-INVESTIGATORS ON 4 PROJECTS. 6091862 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 15 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X ATTN SHANNA SMITH LOMA LINDA UNIV PATHOLOGY MEDICAL 9095585170 1911 WEST PARK AVE REDLANDS CA 92373 RICARDO PEVERINI MD CHAIRPERSON 1.00 X 0 0 0 TAMARA THOMAS MD CHAIRPERSON 1.00 X 0 0 0 PAUL HERMANN MD PRESIDENT 1.00 X X 0 0 0 HEATHER ROJAS MD DIRECTOR/CFO 1.00 X X 0 0 0 DAVID HINSHAW MD DIRECTOR 1.00 X 0 0 0 LEONARD WERNER DIRECTOR 1.00 X 0 0 0 JEFF CAO MD SECRETARY 32.00 X 173176 0 29609 DARRYL HEUSTIS MD PHYSICIAN 32.00 X 193686 0 26663 PAMELA J WAT MD PHYSICIAN 32.00 X 184210 0 53016 CHERYL GERMAIN PATHOLOGISTS'S ASSISTANT 40.00 X 138528 0 25894 RESA CHASE MD PHYSICIAN 25.00 X 120018 0 23050 MARIA RABINA PATHOLOGISTS'S ASSISTANT 40.00 X 115371 0 40469 924989 0 198701 11 0 1 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS STREET ROOM 11120 LOMA LINDA CA 92350 EMPLOYEE LEASING & MEDICAL BILLING 2472760 JOHN WETTELAND 39200 DONNELL RD AGUANGA CA 92536 CONTRACT LABOR 326659 2 1819549 1819549 PATIENT REVENUE - NET 621500 2388199 2388199 SALARY AND LEASED LABOR REIMBURSE 621500 1790493 1790493 CAPITATION 621500 258657 258657 CTTR AND TEACHING 621500 27484 27484 4464833 140455 140455 53753 0 53753 53753 53753 1000000 500 1031306 0 -31306 500 -30806 500 -31306 6447784 4465333 0 162902 660897 660897 191806 138891 52915 1301275 1301275 159878 158116 1762 104170 104001 169 103180 101007 2173 27435 5218 22217 26373 5033 21340 6134 4615 1519 208981 202642 6339 98327 98327 20741 18279 2462 CONTRACT LABOR 2030502 1873129 157373 EDUCATION & RESEARCH 598138 598138 PURCHASED MEDICAL SERVI 402185 377739 24446 FEE ASSESSMENT 201169 201169 250402 243386 7016 6391593 6091862 299731 0 436801 289232 111189 100290 326764 381594 6591 5680 3970230 1386574 2240899 2583656 1966529 1978053 485225 266570 5573998 5605075 918970 890671 918970 890671 X 4470930 4521637 184098 192767 4655028 4714404 5573998 5605075 56191 3185 0 X 0 1 X 1 0 X X X 2 HEALTH MINISTRY FELLOWS ENDOWMENT 834492134 10 0 650000 0 LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE 951816009 3 0 0 10897 2 650000 10897 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 184098 8669 192767 177339 6759 184098 169973 7366 177339 163009 6964 169973 156629 6380 163009 1.00000 0 1 1 713400 713400 2157283 630554 1526729 237796 231286 6510 778150 468826 309324 83601 55908 27693 2583656 LLU FOUNDATION INVESTMENT POOLS 1978053 C 1978053 6450969 3185 3185 6447784 0 6447784 6391593 0 6391593 0 6391593 PART V, LINE 4: THIS ACCOUNT SHALL HOLD RESERVE FUNDS FOR INVESTMENT. INCOME EARNED THEREON MAY BE USED FOR TEACHING, RESEARCH AND THE SPONSORING OF CONFERENCES BY THE JOURNAL BLOOD CELLS MOLECULES & DISEASES. 1 HEALTH MINISTRY FELLOWS ENDOWMENT 11245 ANDERSON STREET SUITE 220 LOMA LINDA CA 92354 834492134 501(C)(3) 650000 EDUCATION AND TRAINING LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE 11175 CAMPUS STREET CP A-1108 LOMA LINDA CA 92354 951816009 501(C)(3) 10897 INVOICE AND RECEIPTS PANASONIC 8,000 LUMEN WUXGA LASER PROJECTOR RESEARCH SCHEDULE I, LINE 2 GRANTS ARE MADE BY THE BOARD OF DIRECTORS TO ORGANIZATIONS WHICH ALL FALL UNDER THE POLICIES AND PROCEDURES OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE. FINANCIAL INFORMATION OF THE DONEE ORGANIZATIONS IS AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS AND IS USED TO MAKE RECOMMENDATIONS REGARDING GRANTS. X X X 0 0 0 0 0 0 0 0 0 PAMELA J WAT MD PHYSICIAN 184210 0 0 0 0 0 25902 0 27114 0 237226 0 0 0 DARRYL HEUSTIS MD PHYSICIAN 193686 193686 0 0 0 0 25242 0 1421 0 220349 193686 0 0 JEFF CAO MD SECRETARY 173176 173176 0 0 0 0 21485 0 8124 0 202785 173176 0 0 CHERYL GERMAIN PATHOLOGISTS'S ASSISTANT 138528 0 0 0 0 0 16695 0 9199 0 164422 0 0 0 MARIA RABINA PATHOLOGISTS'S ASSISTANT 115371 0 0 0 0 0 14780 0 25689 0 155840 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE 3 OFFICERS OF THE ORGANIZATION HAVE THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S TAX RETURNS ARE HAND DELIVERED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BECAUSE THIS IS AN ACADEMIC HEALTH CENTER WITH INTERLOCKING BOARDS THERE ARE CONFLICT OF INTEREST POLICIES THAT COVER THE ENTIRE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED ANNUALLY. COMPENSATION FOR ALL EMPLOYEES, INCLUDING THE CEO AND CFO, IS DETERMINED FOLLOWING UNIVERSITY PRACTICE PLAN POLICY. SALARIES ARE COMPARED TO AND ALIGNED WITH BENCHMARKS INCLUDING SALARIES PUBLISHED BY THE AMERICAN ASSOCIATION OF MEDICAL COLLEGES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE 11175 CAMPUS ST LOMA LINDA CA 92354 951816009 SCHOOL OF MEDICINE CA 501(C)(3) 170(B)(1)(A)(I) N/A 0 LOMA LINDA UNIVERSITY MEDICAL CENTER 11175 CAMPUS ST LOMA LINDA CA 92354 953522679 HOSPITAL CA 501(C)(3) 170(B)(1)(A)(V) N/A 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS ST LOMA LINDA CA 92354 330364239 HEALTH CARE MANAGEMENT SERVICE ORGANIZATION CA 501(C)(3) 509(A)(3) TYPE I N/A 0 ADVENTIST HEALTH SYSTEMS LOMA LINDA 11175 CAMPUS ST LOMA LINDA CA 92354 953484589 CHURCH CA 501(C)(3) 170(B)(1)(A)(I) N/A 0 0 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 1