FACULTY MEDICAL GROUP OF LLUSM: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
FACULTY MEDICAL GROUP OF LLUSM (EIN 33-0672914)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-14
IRS object ID
201511349349309176
Schema version
2013v4.0
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)
Return2015-05-14T19:44:12-07:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330672914EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Faculty Medical Group of LLUSMBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlFACUBusinessNameControlTxt
Phone9095588292PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111175 Campus StreetAddressLine1
CityLoma LindaCity
StateCAState
ZIP Code92350ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRicardo Peverini MDPersonNm
Person TitlePresidentPersonTitleTxt
Signature2015-05-14SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$17,835,911GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionThe employment of the clinical faculty of Loma Linda University School of Medicine in the areas of Emergency Medicine, Hepatology, Radiology, and Transplant Surgery. Faculty Medical Group assists in the formation of Christian Physicians educated to serve as generalists and specialists providing competent whole-person care.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee124TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,415,625PYContributionsGrantsAmt
CY Contributions Grants$792,000CYContributionsGrantsAmt
PY Program Service Revenue$33,672,158PYProgramServiceRevenueAmt
CY Program Service Revenue$17,020,573CYProgramServiceRevenueAmt
PY Investment Income$38,747PYInvestmentIncomeAmt
CY Investment Income$23,338CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$35,126,530PYTotalRevenueAmt
CY Total Revenue$17,835,911CYTotalRevenueAmt
CY Grants And Similar Paid$5,412,043CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,271,242PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,649,439CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,033,417PYOtherExpensesAmt
CY Other Expenses$5,918,530CYOtherExpensesAmt
PY Total Expenses$35,304,659PYTotalExpensesAmt
CY Total Expenses$22,980,012CYTotalExpensesAmt
PY Revenues Less Expenses-$178,129PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,144,101CYRevenuesLessExpensesAmt
Total Assets BOY$9,576,199TotalAssetsBOYAmt
Total Assets EOY$120,123TotalAssetsEOYAmt
Total Liabilities BOY$4,336,531TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,556TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,239,668NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$95,567NetAssetsOrFundBalancesEOYAmt
MissionThe employment of the clinical faculty of Loma Linda University School of Medicine in the areas of Emergency Medicine, Hepatology, Radiology, and Transplant Surgery. Faculty Medical Group assists in the formation of Christian Physicians educated to serve as generalists and specialists providing competent whole-person care.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$21,767,966ExpenseAmt
Grant$5,412,043GrantAmt
DescProvided medical education, administrative, and clinical services to Loma Linda University School of Medicine, Loma Linda University Medical Center, and affilated organizations and medical clinics in San Bernardino and Riverside Counties.Desc
Total Program Service Expenses$21,767,966TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationYes (true)PartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee124EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJim HughesPersonNm
Phone9095588292PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111175 Campus Street Room 11120AddressLine1
CityLoma LindaCity
StateCAState
ZIP Code92350ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Kathy Clem MD
Director50.000.00Yes (X)$335,361$0$54,571
Richard Hart MD
Director1.0050.00Yes (X)$0$451,914$44,364
Gary Botimer MD
Director1.0050.00Yes (X)$0$463,608$61,788
H Roger Hadley MD
Chairman1.0050.00Yes (X)$0$450,053$42,942
Subhas Gupta MD
Director1.0049.00Yes (X)$0$356,712$60,863
Paul Herrmann MD
Vice President5.000.00Yes (X)$0$0$0Yes (X)
J Todd Martell MD
Director1.0049.00Yes (X)$0$218,544$53,899
David Hinshaw Jr MD
Director50.000.00Yes (X)$361,155$0$64,754
Ricardo Peverini MD
President10.0040.00Yes (X)$0$395,617$59,288Yes (X)
Robert Martin MD
Director1.000.00Yes (X)$0$0$0
Doug Hegstad MD
Director1.0049.00Yes (X)$0$276,867$59,288
Brian Tsao MD
Director1.0049.00Yes (X)$0$266,262$59,288
William Murdoch MD
Director1.0049.00Yes (X)$0$360,140$54,071
Jerry Slater MD
Director1.000.00Yes (X)$0$0$0
Kenneth Jutzy MD
Director1.0049.00Yes (X)$0$389,274$55,071
Francis Chan MD
Vice President1.0049.00$0$259,887$58,638Yes (X)
Michael De Vera MD
Physician50.000.00$597,337$0$63,288Yes (X)
Thomas Amankonah MD
Physician50.000.00$390,677$0$63,288Yes (X)
Paul Jacobsen MD
Physician50.000.00$346,908$0$64,288Yes (X)
Kendra Fisher MD
Physician50.000.00$343,075$0$59,071Yes (X)
Won Bae MD
Physician50.000.00$344,854$0$33,800Yes (X)
Kevin Lang
CFO1.0049.00$0$893,067$57,427Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,719,367TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,781,945TotReportableCompRltdOrgAmt
Total Other Compensation$1,069,987TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K52IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
LLU Adventist Health Sciences Ctr-Risk Mgt
11161 Anderson St Ste 200Loma LindaCA92354Insurance$1,306,604
Emergency Medicine Scribe Sys
PO Box 841854Los AngelesCA90084Transcription$197,044
Loma Linda University Medical Center
11234 Anderson StLoma LindaCA92350Staffing, supplies$494,572
MedData
Dept 5408 / PO Box 1170MilwaukeeWI53201Transcription$106,479
Loma Linda University Health Care
11175 Campus Street Room 11120Loma LindaCA92350Medical Group Mgt$3,888,852
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$792,000AllOtherContributionsAmt
Total Contributions$792,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Capitation621110$95,533$95,533
Contract & other revenue621110$5,356,233$5,356,233
Net patient service621110$11,523,537$11,523,537
Other621110$45,270$45,270
FieldValueIRS element (for citing)
Total Program Service Revenue$17,020,573TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,338TotalRevenueColumnAmt
Exclusion$23,338ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,835,911TotalRevenueColumnAmt
Related Or Exempt Func Income$17,020,573RelatedOrExemptFuncIncomeAmt
Exclusion$23,338ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,412,043TotalAmt
Program Services$5,412,043ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$815,841TotalAmt
Program Services$815,841ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,112,054TotalAmt
Program Services$8,112,054ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$876,125TotalAmt
Program Services$876,125ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,548,043TotalAmt
Program Services$1,548,043ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$297,376TotalAmt
Program Services$297,376ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$959,907TotalAmt
Management And General$959,907ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$70,193TotalAmt
Program Services$70,193ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$230,660TotalAmt
Management And General$230,660ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$34,270TotalAmt
Program Services$34,270ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$40,737TotalAmt
Program Services$31,456ProgramServicesAmt
Management And General$9,281ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$121,847TotalAmt
Program Services$111,738ProgramServicesAmt
Management And General$10,109ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$45,846TotalAmt
Program Services$45,786ProgramServicesAmt
Management And General$60ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$1,854,231TotalAmt
Program Services$1,852,484ProgramServicesAmt
Management And General$1,747ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$152TotalAmt
Program Services$148ProgramServicesAmt
Management And General$4ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$299TotalAmt
Program Services$299ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Bad debt$1,346,800$1,346,800
Contract physicians$833,230$833,230
Purchased services$267,456$267,456
Resident fund$50,506$50,506

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$62,396TotalAmt
Program Services$62,118ProgramServicesAmt
Management And General$278ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,980,012TotalAmt
Program Services$21,767,966ProgramServicesAmt
Management And General$1,212,046ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,619,314BOYAmt
EOY$6,198EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,048,666BOYAmt
EOY$110,751EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,090,779BOYAmt
EOY$1,651EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$793,874BOYAmt
EOY$1,523EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,250BOYAmt
EOY$0EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,316BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,576,199BOYAmt
EOY$120,123EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,584,912BOYAmt
EOY$7,422EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$751,619BOYAmt
EOY$17,134EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,336,531BOYAmt
EOY$24,556EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,239,668BOYAmt
EOY$95,567EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,239,668BOYAmt
EOY$95,567EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,576,199BOYAmt
EOY$120,123EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$5,144,101ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndSupported Org NotifiedSupportedOrgNotifiedIndUS OrganizedUSOrganizedIndSupportSupportAmt
Loma Linda University
951816009ReligiousYes (true)Yes (true)Yes (true)$0
Faculty Physicians and Surgeons of
330672915ReligiousYes (true)Yes (true)Yes (true)$5,412,043
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$5,412,043SupportSumAmt

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

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to affiliated organizationsDesc
Amt$17,134Amt
FieldValueIRS element (for citing)
Total Liability$17,134TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$17,835,911TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$17,835,911RevenueSubtotalAmt
Total Revenue Per Form990$17,835,911TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,980,012TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$22,980,012ExpensesSubtotalAmt
Total Expenses Per Form990$22,980,012TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Faculty Physicians and SurgeoBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line111175 Campus St Rm 11120AddressLine1
CityLoma LindaCity
StateCAState
ZIP Code92350ZIPCode
FieldValueIRS element (for citing)
Recipient EIN330672915RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$256,000CashGrantAmt
Non Cash Assistance$5,156,043NonCashAssistanceAmt
Valuation Method UsedBook valueValuationMethodUsedDesc
Non Cash AssistanceAccounts receivableNonCashAssistanceDesc
Purpose Of GrantSupport LLU clinical teachingPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmt
Brian Tsao MD
Director$190,000$76,262$33,800$25,488$325,550
David Hinshaw Jr MD
Director$243,100$118,055$33,800$30,954$425,909
Doug Hegstad MD
Director$275,000$1,867$33,800$25,488$336,155
Francis Chan MD
Vice President$140,000$119,887$33,150$25,488$318,525
Gary Botimer MD
Director$250,000$213,608$33,800$27,988$525,396
H Roger Hadley MD
Chairman$367,142$5,500$15,576$27,366$492,995$77,411
J Todd Martell MD
Director$166,550$51,994$28,411$25,488$272,443
Kathy Clem MD
Director$314,000$21,361$33,800$20,771$389,932
Kendra Fisher MD
Physician$224,000$119,075$33,800$25,271$402,146
Kenneth Jutzy MD
Director$310,000$79,274$33,800$21,271$444,345
Kevin Lang
CFO$579,462$51,380$15,576$41,851$950,494$262,225
Michael De Vera MD
Physician$500,000$97,337$33,800$29,488$660,625
Paul Jacobsen MD
Physician$214,000$132,908$33,800$30,488$411,196
Ricardo Peverini MD
President$320,000$75,617$33,800$25,488$454,905
Richard Hart MD
Director$363,462$15,576$28,788$496,278$88,452
Subhas Gupta MD
Director$353,281$3,431$33,800$27,063$417,575
Thomas Amankonah MD
Physician$360,000$30,677$33,800$29,488$453,965
William Murdoch MD
Director$270,000$90,140$33,800$20,271$414,211
Won Bae MD
Physician$213,000$131,854$33,800$378,654

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidAccounts receivable and cashAssetsDistriOrExpnssPaidDesc
Distribution2014-01-01DistributionDt
Fair Market Value Of Asset$5,412,043FairMarketValueOfAssetAmt
Method Of FMV DeterminationBook valueMethodOfFMVDeterminationTxt
EIN330672915EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Faculty Physicians and SurgeonsBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line111175 Campus St Rm 11120AddressLine1
CityLoma LindaCity
StateCAState
ZIP Code92350ZIPCode
FieldValueIRS element (for citing)
IRC Section501(c)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor2falseDirectorOfSuccessor2Ind
Employee Of Successor2Yes (true)EmployeeOfSuccessor2Ind
Owner Of Successor2falseOwnerOfSuccessor2Ind
Receive Compensation2falseReceiveCompensation2Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessIt is the intention that the 990 be reviewed by the governing body before filing; including an initial review by the Executive Dir of Finance; a secondary review by the Finance Committee, and final review and approval by the board of directors.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOrganization's general legal counsel requests annual conflict of interest statements from all director level and higher management staff. These statements are assessed and appropriate action taken if necessary.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe organization relies on data retrieved from similar organizations gathered by the American Assoc of Medical Colleges to set compensation levels.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableIn addition to responding to requests it receives, the organization relies on the websites of multiple organizations, both private and governmental, to make available 990s and governing documents.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
Loma Linda University
11175 Campus StLoma LindaCA92350951816009ReligiousCA501(c)3ReligiousN/Afalse
Loma Linda University Adventist Health
11175 Campus StLoma LindaCA92350953804495ReligiousCA501(c)3ReligiousN/Afalse
Faculty Physicians and Surgeons of LLUSM
11175 Campus St Rm 11120Loma LindaCA92350330672915Education/Support LLU School of MedicineCA501(c)3ReligiousN/Afalse
Loma Linda University Health Care
11175 Campus St Rm 11120Loma LindaCA92350330364239Support LLU School of MedicineCA501(c)(3)ReligiousN/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Loma Linda University
l$369,082Cash
Faculty Physicians and Surgeons of LLUSM
b$5,412,043Book value
Loma Linda University Health Care
k$2,475Cash
Loma Linda University Health Care
m$1,194,844Cash
Loma Linda University Health Care
p$2,141,764Cash

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