2017-11-13T11:15:34-06:00 2017-06-30 770549163 SOREN MCADAM LLP 2068 ORANGE TREE LANE SUITE 100 REDLANDS CA 92374 990 2016-07-01 954083895 LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC LOMA 9095806422 PO BOX 1740 LOMA LINDA CA 923540240 PAUL C HERRMANN MD PRESIDENT 9095586422 2017-11-03 1 JASON LEWIS P01269855 9097982222 173.51.36.98 2017-11-03 13:20:53 PD P 895A3598EBC164FC89C5B1C908DD8E3A493FD8C6 486E5B6502465B49E02858DC598E3A85609AB992 2016 2018-03-14 21:41:22Z PAUL C HERRMANN MD 11234 ANDERSON ST LOMA LINDA CA 92354 6674941 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 2643602 2456739 3534167 4106937 73611 59072 52193 52193 6303573 6674941 15411 111000 0 0 1940586 2162225 0 0 0 4609722 4353924 6565719 6627149 -262146 47792 5088337 4907186 1014244 785301 4074093 4121885 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 3730616 3250687 PATIENT CARE ACCOMPLISHMENT 13,794 CLIENTS SERVED ($1,243.69 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. 1816512 111000 644742 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. 679880 212408 RESEARCH AND CTTR PROGRAM ACCOMPLISHMENT PROVIDED 190 GLASS SLIDE SUBSCRIPTIONS TO 321 PARTICIPANTS AND 34 DIGITAL SLIDE SUBSCRIPTIONS TO 55 PARTICIPATNS IN ADDITION, THE CTTR PROGRAM HOSTED TWO SEPARATE SEMINARS TO 236 PARTICIPANTS; ACTIVITY OBJECTIVE - THE GROUP GIVES LECTURES AND PUBLISH INFORMAITON CONCERNING PATHOLOGICAL PROBLEMS AND RESEARCH RESULTS IN ORDER TO EDUCATE MEDICAL PROFESSIONALS ON SUCH PROBLEMS; THEY PUBLISHED 58 ABSTRACTS AND PEER REVIEW ARTICLES IN MEDICAL JOURNALS AND WEB-BASED JOURNALS; THEY WROTE 3 BOOK CHAPTERS. THEY SERVED AS PRIMARY INVESTIGATOR ON 13 PROJECTS AND CO-INVESTIGATORS ON 15 PROJECTS. 6227008 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 5 0 1 15 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 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 243036 0 38260 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 214388 0 47596 CHERYL GERMAIN PATHOLOGISTS'S ASSISTANT 50.00 X 131210 0 30071 PAMELA J WAT MD PHYSICIAN 40.00 X 171910 0 42396 DONALD RANKIN MD PHYSICIAN 30.00 X 143175 0 20092 MARIA RABINA PATHOLOGISTS'S ASSISTANT 40.00 X 110136 0 28688 RESA CHASE MD PHYSICIAN 25.00 X 131105 0 23219 1144960 0 230322 9 0 1 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS STREET ROOM 11120 LOMA LINDA CA 92350 EMPLOYEE LEASING & MEDICAL BILLING 2718927 1 2456739 2456739 PATIENT REVENUE - NET 621500 2328996 2328996 SALARY AND LEASED LABO 621500 1428977 1428977 CTTR AND TEACHING 621500 238669 238669 CAPITATION 621500 110295 110295 4106937 58172 58172 52193 0 52193 52193 52193 900 0 900 900 900 6674941 4107837 0 110365 111000 111000 464447 375159 89288 1265561 1265561 203026 200819 2207 120672 119543 1129 108519 104444 4075 27464 60 27404 21789 21789 8691 3876 4815 176865 173790 3075 95792 95792 22545 22545 CONTRACT LABOR 2261136 2043673 217463 PURCHASED MEDICAL SERVI 662885 635044 27841 EDUCATION & RESEARCH 588416 588416 FEE ASSESSMENT 205282 205282 283059 260215 22844 6627149 6227008 400141 0 517174 415896 110524 110557 329797 380792 4528 4129 3495478 1091754 2499516 2403724 1384706 1500022 242092 92066 5088337 4907186 999026 755300 15218 30001 1014244 785301 X 3917463 3958875 156630 163010 4074093 4121885 5088337 4907186 47792 0 X X 0 1 X 1 0 X X X 1 LLU SCHOOL OF MEDICINE 951816009 2 1 111000 0 1 111000 0 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 156629 6380 163009 150498 6132 156630 144606 5892 150498 148846 -4240 144606 143346 5500 148846 1.00000 0 1 1 713400 713400 2022681 420511 1602170 237796 182330 55466 435736 404775 30961 85865 84138 1727 2403724 LLU FOUNDATION INVESTMENT POOLS 1500022 C 1500022 6674941 0 6674941 0 6674941 6627149 0 6627149 0 6627149 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) 111000 TEACHING AND RESEARCH 1 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 DIRECTOR'S 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 243036 0 0 0 0 0 34450 0 3810 0 281296 0 0 0 JEFF CAO MD SECRETARY 214388 0 0 0 0 0 31052 0 16544 0 261984 0 0 0 CHERYL GERMAIN PATHOLOGISTS'S ASSISTANT 131210 0 0 0 0 0 17120 0 12951 0 161281 0 0 0 PAMELA J WAT MD PHYSICIAN 171910 0 0 0 0 0 26205 0 16191 0 214306 0 0 0 DONALD RANKIN MD PHYSICIAN 143175 0 0 0 0 0 18721 0 1371 0 163267 0 0 0 RESA CHASE MD PHYSICIAN 131105 0 0 0 0 0 17469 0 5750 0 154324 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 EVERY QUARTER THE CEO, CFO, AND ADMINISTRATOR REVIEW THE COMPENSATION OF EVERY EMPLOYEE AGAINST A MATRIX. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART XII, LINE 2C: THERE HAVE NOT BEEN ANY CHANGES IN THE CURRENT YEAR IN REGARDS TO THE ORGANIZATION HAVING A COMMITTEE THAT ASSUMES RESPONSIBLITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. 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