2019-01-10T19:51:07-06:00 2018-06-30 770549163 SOREN MCADAM LLP 2068 ORANGE TREE LANE SUITE 100 REDLANDS CA 92374 990 2017-07-01 954083895 LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC LOMA 9095806422 PO BOX 1740 LOMA LINDA CA 923540240 PAUL C HERRMANN MD PRESIDENT 9095586422 2018-12-12 1 JASON LEWIS P01269855 9097982222 2018-12-12 173.51.36.98 2018-12-12 16:26:47 PS P 7B84092C0AE579E00CE7BA9FD33361A99891AF2E 4114CBBEA23848A7AFE5AA0D2533DA7EC1429255 2017 2019-02-21 02:37:17Z PAUL C HERRMANN MD 11234 ANDERSON ST LOMA LINDA CA 92354 7035157 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 16 3 0 0 2456739 2708541 4106937 4195837 59072 77462 52193 53317 6674941 7035157 111000 445800 0 0 2162225 2028855 0 0 0 4353924 4124491 6627149 6599146 47792 436011 4907186 5822292 785301 1264396 4121885 4557896 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 3615365 3250696 PATIENT CARE ACCOMPLISHMENT - 17,233 CLIENTS SERVED ($9,924.52 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. 2056476 445800 603931 TEACHING ACCOMPLISHMENT - PROVIDED PROFESSORS TO TEACH PATHOLOGY, IMMUNOLOGY, MICROBIOLOGY, RELIGION, HISTOLOGY, CELLULAR AND MOELCUAR BIOLOGY COURSES TO LLU SCHOOL OF MEDICINE AND LLU SCHOOL OF ALLIED HEALTH FOR TRAINING DOCTORS, CYTOLOGIST, CLINICAL LABORATORY SCIENTISTS AND PATHOLOGISTS' ASSISTANTS. 650690 341210 RESEARCH AND CTTR PROGRAM ACCOMPLISHMENT PROVIDED 196 GLASS SLIDE SUBSCRIPTIONS TO 278 PARTICIPANTS AND 29 DIGITAL SLIDE SUBSCRIPTIONS TO 51 PARTICIPANTS IN ADDITION, THE CTTR PROGRAM HOSTED TWO SEPARATE SEMINARS TO 225 PARTICIPANTS; ACTIVITY OBJECTIVE - THE GROUP GIVES LECTURES AND PUBLISH INFORMATION CONCERNING PATHOLOGICAL PROBLEMS AND RESEARCH RESULTS IN ORDER TO EDUCATE MEDICAL PROFESSIONALS ON SUCH PROBLEMS; THEY PUBLISHED 25 ABSTRACTS AND PEER REVIEW ARTICLES IN MEDICAL JOURNALS AND WEB-BASED JOURNALS; THEY PRESENTED 18 ABSTRACTS/CONFERENCE PRESENTATIONS WHICH WERE PEER REVIEWED AND 26 WHICH WERE NON-PEER REVIEWED; THEY PRESENTED 15 POSTERS AT CONFERENCES.THEY WROTE 3 BOOK CHAPTERS. THEY SERVED AS PRIMARY INVESTIGATOR ON 11 PROJECTS AND CO-INVESTIGATORS ON 14 PROJECTS. THEY RECEIVED 3 PATENTS. 6322531 1 1 0 0 0 0 0 0 0 1 1 1 0 1 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 7 0 1 16 1 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 LISA PREVITE LOMA LINDA UNIV PATHOLOGY MEDICAL 9095585170 1911 WEST PARK AVE REDLANDS CA 92373 RICARDO PEVERINI MD CHAIRPERSON 1.00 X 0 0 0 PAUL HERRMANN MD PRESIDENT 1.00 X X 0 0 0 DARRYL HEUSTIS MD DIRECTOR/CFO 40.00 X X 228736 0 37004 DAVID HINSHAW MD DIRECTOR 1.00 X 0 0 0 LEONARD WERNER MD DIRECTOR 1.00 X 0 0 0 JEFF CAO MD SECRETARY 40.00 X 219151 0 48648 CHERYL GERMAIN PATHOLOGISTS'S ASSISTANT 40.00 X 137010 0 31920 PAMELA J WAT MD PHYSICIAN 40.00 X 169460 0 42579 SHAWN MACLARY PATHOLOGISTS'S ASSISTANT 40.00 X 117806 0 29016 MARIA RABINA PATHOLOGISTS'S ASSISTANT 40.00 X 117204 0 29922 RESA CHASE MD PHYSICIAN 25.00 X 126962 0 30799 1116329 0 249888 9 0 1 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS STREET ROOM 11120 LOMA LINDA CA 92350 EMPLOYEE LEASING & MEDICAL BILLING 2377206 1 2708541 2708541 PATIENT REVENUE - NET 621500 2289987 2289987 SALARY AND LEASED LABO 621500 1517339 1517339 CTTR AND TEACHING 621500 281293 281293 CAPITATION 621500 107218 107218 4195837 77462 77462 53317 0 53317 53317 53317 7035157 4195837 0 130779 445800 445800 449978 374693 75285 1171774 1171774 185527 176096 9431 117429 117250 179 104147 100666 3481 4378 4378 26253 270 25983 23310 5598 17712 9499 6866 2633 187263 184378 2885 85854 85854 20922 16817 4105 CONTRACT LABOR 1969946 1866268 103678 PURCHASED MEDICAL SERVI 764962 742553 22409 EDUCATION & RESEARCH 518603 518333 270 FEE ASSESSMENT 192145 192145 321356 312792 8564 6599146 6322531 276615 0 415896 400655 110557 110590 380792 434962 4129 12332 3558093 1177608 2403724 2380485 1500022 1884992 92066 598276 4907186 5822292 755300 1264396 30001 0 785301 1264396 X 3958875 4387923 163010 169973 4121885 4557896 4907186 5822292 436011 0 X 0 1 X 1 0 X X X 1 LLU SCHOOL OF MEDICINE 951816009 2 1 437000 0 1 437000 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 PART 4 LINE 6 SMALL GRANTS WERE PROVIDED TO LOMA LINDA UNIVERSITY MEDICAL CENTER AND LOMA LINDA UNIVERSITY CHILDRENS HOSPITAL MADE PURSUANT TO REGS. 1.509(A)-4(E)(3) 163009 6964 169973 156629 6380 163009 150498 6132 156630 144606 5892 150498 148846 -4240 144606 1.00000 0 1 1 713400 713400 2022681 474571 1548110 237796 198183 39613 498351 419625 78726 85865 85229 636 2380485 LLU FOUNDATION INVESTMENT POOLS 1884992 C 1884992 DUE FROM AFFILIATES 598276 598276 7035157 0 7035157 0 7035157 6599146 0 6599146 0 6599146 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 LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE 11175 CAMPUS STREET CP A-1108 LOMA LINDA CA 92350 951816009 501(C)(3) 437000 TEACHING AND RESEARCH LOMA LINDA UNIVERSITY CHILDRENS HOSPITAL PO BOX 2000 LOMA LINDA CA 92354 433214504 501(C)(3) 7800 PROGRAMS AND RESEARCH 2 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 DARRYL HEUSTIS MD DIRECTOR/CFO 228736 0 0 0 0 0 33194 0 3810 0 265740 0 0 0 JEFF CAO MD SECRETARY 219151 0 0 0 0 0 32104 0 16544 0 267799 0 0 0 CHERYL GERMAIN PATHOLOGISTS'S ASSISTANT 137010 0 0 0 0 0 17874 0 14046 0 168930 0 0 0 PAMELA J WAT MD PHYSICIAN 169460 0 0 0 0 0 25893 0 16686 0 212039 0 0 0 RESA CHASE MD PHYSICIAN 126962 0 0 0 0 0 17443 0 13356 0 157761 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0