LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC (EIN 95-4083895)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-11-14
IRS object ID
201623199349309722
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-14T15:50:00-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN770549163PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SOREN MCADAM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12068 ORANGE TREE LANE SUITE 100AddressLine1Txt
CityREDLANDSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92374ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN954083895EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LOMA LINDA UNIVERSITY PATHOLOGYBusinessNameLine1Txt
Business Name Line2MEDICAL GROUP INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLOMABusinessNameControlTxt
Phone9095806422PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1740AddressLine1Txt
CityLOMA LINDACityNm
State AbbreviationCAStateAbbreviationCd
ZIP923540240ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL C HERRMANN MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9095586422PhoneNum
Signature2016-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJASON LEWISPreparerPersonNm
PTINP01269855PTIN
Phone9097982222PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAUL C HERRMANN MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111234 ANDERSON STAddressLine1Txt
CityLOMA LINDACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92354ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,303,573GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionCOORDINATION 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.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,671,427PYContributionsGrantsAmt
CY Contributions Grants$2,643,602CYContributionsGrantsAmt
PY Program Service Revenue$3,439,907PYProgramServiceRevenueAmt
CY Program Service Revenue$3,534,167CYProgramServiceRevenueAmt
PY Investment Income$62,980PYInvestmentIncomeAmt
CY Investment Income$73,611CYInvestmentIncomeAmt
PY Other Revenue$52,193PYOtherRevenueAmt
CY Other Revenue$52,193CYOtherRevenueAmt
PY Total Revenue$6,226,507PYTotalRevenueAmt
CY Total Revenue$6,303,573CYTotalRevenueAmt
PY Grants And Similar Paid$536,132PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$15,411CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,828,779PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,940,586CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,828,534PYOtherExpensesAmt
CY Other Expenses$4,609,722CYOtherExpensesAmt
PY Total Expenses$6,193,445PYTotalExpensesAmt
CY Total Expenses$6,565,719CYTotalExpensesAmt
PY Revenues Less Expenses$33,062PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$262,146CYRevenuesLessExpensesAmt
Total Assets BOY$4,980,794TotalAssetsBOYAmt
Total Assets EOY$5,088,337TotalAssetsEOYAmt
Total Liabilities BOY$644,555TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,014,244TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,336,239NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,074,093NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOORDINATION 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,468,130ExpenseAmt
Revenue$2,798,610RevenueAmt
DescPATIENT CARE ACCOMPLISHMENT - 22,284 CLIENTS SERVED ($90,513 CHARITY CARE) ACTIVITY ACCOMPLISHMENT 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,936,820ExpenseAmt
Grant$15,411GrantAmt
Revenue$505,839RevenueAmt
DescTEACHING 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$766,026ExpenseAmt
Revenue$235,718RevenueAmt
DescRESEARCH AND CTTR PROGRAM ACCOMPLISHMENT - PROVIDED SUBSCRIPTION "A" (203 SUBSCRIBERS), SUBSCRIPTION "B" (136 SUBSCRIBERS) AND SUBSCRIPTION "C" (57 SUBSCRIBERS) IN ADDITION, THE CTTR PROGRAM HOSTED TWO SEPARATE SEMINARS TO 336 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 8 RESEARCH ABSTRACTS, 11 ARTICLES IN PEER REVIEW MEDICAL JOURNALS AND WEB-BASED JOURNALS; THEY WROTE 4 BOOK CHAPTERS. THEY SERVED AS PRIMARY INVESTIGATOR ON 7 PROJECTS AND AS CO-INVESTIGATORS ON 9 PROJECTS. ONE PATENT WAS FILED.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$6,170,976TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee11EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ATTN LISA PREVITE LOMA LINDA UNIV PATHOLOGY MEDICALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9095585170PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11911 WEST PARK AVEAddressLine1Txt
CityREDLANDSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92373ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RICARDO PEVERINI MD
CHAIRPERSON1.00Yes (X)$0$0$0
PAUL HERRMANN MD
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
DARRYL HEUSTIS MD
DIRECTOR/CFO40.00Yes (X)$226,786$0$36,744Yes (X)
DAVID HINSHAW MD
DIRECTOR1.00Yes (X)$0$0$0
LEONARD WERNER MD
DIRECTOR1.00Yes (X)$0$0$0
JEFF CAO MD
SECRETARY40.00$219,323$0$35,051Yes (X)
CHERYL GERMAIN
PATHOLOGISTS'S ASSISTANCE50.00$130,710$0$29,161Yes (X)
PAMELA J WAT MD
PHYSICIAN40.00$169,710$0$41,680Yes (X)
DONALD CHASE MD
PHYSICIAN40.00$115,105$0$34,441Yes (X)
RESA CHASE MD
PHYSICIAN25.00$123,922$0$16,110Yes (X)
BRIAN BULL MD
PHYSICIAN - FORMER PRESIDENT25.00$101,488$0$27,274Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,087,044TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$220,461TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LOMA LINDA UNIVERSITY HEALTH CAREBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line111175 CAMPUS STREET ROOM 11120AddressLine1Txt
CityLOMA LINDACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92350ZIPCd
FieldValueIRS element (for citing)
ServicesEMPLOYEE LEASING & MEDICAL BILLINGServicesDesc
Compensation$2,384,531CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$2,643,602RelatedOrganizationsAmt
Total Contributions$2,643,602TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE - NET621500$2,113,805$2,113,805
SALARY AND LEASED LABO621500$1,057,103$1,057,103
CTTR AND TEACHING621500$257,721$257,721
CAPITATION621500$105,538$105,538
FieldValueIRS element (for citing)
Total Program Service Revenue$3,534,167TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,611TotalRevenueColumnAmt
Exclusion$67,611ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$52,193RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$52,193RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,193TotalRevenueColumnAmt
Exclusion$52,193ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$6,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$6,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,000TotalRevenueColumnAmt
Related Or Exempt Func Income$6,000RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,303,573TotalRevenueColumnAmt
Related Or Exempt Func Income$3,540,167RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$119,804ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$15,411TotalAmt
Program Services$15,411ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$456,647TotalAmt
Program Services$367,714ProgramServicesAmt
Management And General$88,933ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,089,323TotalAmt
Program Services$1,089,323ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$196,232TotalAmt
Program Services$194,056ProgramServicesAmt
Management And General$2,176ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$102,341TotalAmt
Program Services$100,862ProgramServicesAmt
Management And General$1,479ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$96,043TotalAmt
Program Services$91,899ProgramServicesAmt
Management And General$4,144ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,888TotalAmt
Program Services$5ProgramServicesAmt
Management And General$21,883ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,005TotalAmt
Program Services$12,206ProgramServicesAmt
Management And General$8,799ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,891TotalAmt
Program Services$9,597ProgramServicesAmt
Management And General$1,294ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$155,584TotalAmt
Program Services$152,143ProgramServicesAmt
Management And General$3,441ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$99,741TotalAmt
Program Services$99,741ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$36,139TotalAmt
Program Services$31,532ProgramServicesAmt
Management And General$4,607ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT LABOR$2,286,506$2,060,306$226,200
PURCHASED MEDICAL SERVI$955,502$936,489$19,013
EDUCATION & RESEARCH$529,720$527,858$1,862
FEE ASSESSMENT$197,071$197,071

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$295,675TotalAmt
Program Services$284,763ProgramServicesAmt
Management And General$10,912ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,565,719TotalAmt
Program Services$6,170,976ProgramServicesAmt
Management And General$394,743ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$278,427BOYAmt
EOY$517,174EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$110,491BOYAmt
EOY$110,524EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$439,611BOYAmt
EOY$329,797EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,186BOYAmt
EOY$4,528EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,547,323LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,047,807LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,584,485BOYAmt
EOY$2,499,516EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,465,678BOYAmt
EOY$1,384,706EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$96,916BOYAmt
EOY$242,092EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,980,794BOYAmt
EOY$5,088,337EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$574,936BOYAmt
EOY$999,026EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$69,619BOYAmt
EOY$15,218EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$644,555BOYAmt
EOY$1,014,244EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,185,741BOYAmt
EOY$3,917,463EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$150,498BOYAmt
EOY$156,630EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,336,239BOYAmt
EOY$4,074,093EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,980,794BOYAmt
EOY$5,088,337EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$262,146ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LLU SCHOOL OF MEDICINEBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN951816009EIN
Organization Type2OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$14,811SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$14,811SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$713,400OtherCostOrOtherBasisAmt
Book Value$713,400BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,022,681OtherCostOrOtherBasisAmt
Depreciation$355,729DepreciationAmt
Book Value$1,666,952BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$237,796OtherCostOrOtherBasisAmt
Depreciation$166,477DepreciationAmt
Book Value$71,319BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$467,028OtherCostOrOtherBasisAmt
Depreciation$422,002DepreciationAmt
Book Value$45,026BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$106,418OtherCostOrOtherBasisAmt
Depreciation$103,599DepreciationAmt
Book Value$2,819BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,499,516TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescLLU FOUNDATION INVESTMENT POOLSDesc
Book Value$1,384,706BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$1,384,706TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt$6,303,573TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$6,303,573RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,303,573TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,565,719TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,565,719ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,565,719TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
11175 CAMPUS STREET CP A-1108LOMA LINDACA92350951816009501(C)(3)$14,811TEACHING AND RESEARCH
ADVENTISE DEVELOPMENT RELIEF AGENCY
12501 COLUMBIA PIKESILVER SPRINGSMD20901521752278501(C)(3)$100TEACHING AND RESEARCH
WESTMINSTER HIGH SCHOOL
14325 GOLDENWESTWESTMINSTERCA92350841535373501(C)(3)$500TEACHING AND RESEARCH
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, LINE 2FormAndLineReferenceDesc
ExplanationGRANTS 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DARRYL HEUSTIS MD
DIRECTOR/CFO$226,786$0$0$0$0$0$32,934$0$3,810$0$263,530$0$0$0
JEFF CAO MD
SECRETARY$219,323$0$0$0$0$0$32,208$0$2,843$0$254,374$0$0$0
CHERYL GERMAIN
PATHOLOGISTS'S ASSISTANCE$130,710$0$0$0$0$0$17,055$0$12,106$0$159,871$0$0$0
PAMELA J WAT MD
PHYSICIAN$169,710$0$0$0$0$0$25,919$0$15,761$0$211,390$0$0$0
BRIAN BULL MD
PHYSICIAN - FORMER PRESIDENT$101,488$0$0$0$0$0$14,170$0$13,104$0$128,762$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 11THE 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 12CBECAUSE 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 15EVERY QUARTER THE CEO, CFO, AND SECRETARY REVIEW THE COMPENSATION OF EVERY EMPLOYEE AGAINST A MATRIX.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE 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 RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
11175 CAMPUS STLOMA LINDACA92354951816009SCHOOL OF MEDICINECA501(C)(3)170(B)(1)(A)(I)N/A0
LOMA LINDA UNIVERSITY MEDICAL CENTER
11175 CAMPUS STLOMA LINDACA92354953522679HOSPITALCA501(C)(3)170(B)(1)(A)(V)N/A0
LOMA LINDA UNIVERSITY HEALTH CARE
11175 CAMPUS STLOMA LINDACA92354330364239HEALTH CARE MANAGEMENT SERVICE ORGANIZATIONCA501(C)(3)509(A)(3) TYPE IN/A0
ADVENTIST HEALTH SYSTEMS LOMA LINDA
11175 CAMPUS STLOMA LINDACA92354953484589CHURCHCA501(C)(3)170(B)(1)(A)(I)N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LOMA LINDA UNIVERSITY HEALTH CENTER
N$197,072CASH
LOMA LINDA UNIVERSITY HEALTH CENTER
K$95,592CASH
LOMA LINDA UNIVERSITY HEALTH CENTER
O$2,286,506CASH
LOMA LINDA UNIVERSITY HEALTH CENTER
L$105,538CASH
LOMA LINDA UNIVERSITY MEDICAL CENTER
O$374,766CASH
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
C$2,643,602CASH
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
O$484,046CASH
ADVENTIST HEALTH SYSTEMS LOMA LINDA
P$119,707CASH
LOMA LINDA UNIVERSITY MEDICAL CENTER
P$85,382CASH
LOMA LINDA UNIVERSITY HEALTH CENTER
S$97,435CASH

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.