2015-11-13T17:32:05-06:00 2015-06-30 770549163 SOREN MCADAM CHRISTENSON LLP 2068 ORANGE TREE LANE SUITE 100 REDLANDS CA 92374 990 2014-07-01 954083895 LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC LOMA 9095806422 PO BOX 1740 LOMA LINDA CA 923540240 PAUL C HERRMANN MD PRESIDENT 9095586422 2015-11-12 1 KIRK G STITT P00167187 9097982222 2014 2016-04-25 22:37:26Z PAUL C HERRMANN MD 11234 ANDERSON ST LOMA LINDA CA 92354 6226507 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 11 0 0 0 2250100 2671427 5561119 3439907 90722 62980 26096 52193 7928037 6226507 533521 536132 0 0 4202583 1828779 0 0 0 4232427 3828534 8968531 6193445 -1040494 33062 4870276 4980794 567098 644555 4303178 4336239 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 3358875 5000 2844789 PATIENT CARE ACCOMPLISHMENT - 22,401 CLIENTS SERVED ($8,832 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. 1528017 531132 397174 TEACHING ACCOMPLISHMENT- PROVIDED PROFESSORS TO TEACH PATHOLOGY, IMMUNOLOGY, RELIGION, HISTOLOGY, CELLULAR AND MOLECULAR BIOLOGY COURSES TO LLU SCHOOL OF MEDICINE AND LLU SCHOOL OF ALLIED HEALTH FOR TRAINING DOCTORS, CYTOLOGIST AND CLINICAL LABORATORY SCIENTISTS. 1037570 197944 RESEARCH AND CTTR PROGRAM ACCOMPLISHMENT - PROVIDED SUBSCRIPTION "A" (199 SUBSCRIBERS), SUBSCRIPTION "B" (136 SUBSCRIBERS) AND SUBSCRIPTION "C" 53 SUBSCRIBERS) IN ADDITION, THE CTTR PROGRAM HOSTED TWO SEPARATE SEMINARS TO 275 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 5 RESEARCH ABSTRACTS, 29 ARTICLES IN PEER REVIEW MEDICAL JOURNALS AND WEB-BASED JOURNALS; THEY WROTE 7 BOOK CHAPTERS. THEY SERVED AS PRIMARY INVESTIGATOR ON 15 PROJECTS AND AS CO-INVESTIGATORS ON 15 PROJECTS. ONE PATENT WAS FILED. 5924462 1 1 0 0 0 0 0 0 0 0 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 4 0 1 11 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 229368 0 0 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 216190 0 0 DONALD CHASE MD PHYSICIAN 40.00 X 188860 0 0 PAMELA J WAT MD PHYSICIAN 40.00 X 174224 0 0 DONALD RANKIN MD PHYSICIAN 30.00 X 140506 0 0 RESA CHASE MD PHYSICIAN 30.00 X 118092 0 0 BRIAN BULL MD PHYSICIAN 30.00 X 140053 0 0 1207293 0 0 7 1 1 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS STREET ROOM 11120 LOMA LINDA CA 92350 EMPLOYEE LEASING & MEDICAL BILLING 2455081 IM TECHNOLOGIES INC 613 VIA HORQUILLA PALOS VERDES ESTATES CA 90274 HISTOCOMPATIBILITY LAB SUPERVISION 114583 7 2671427 2671427 PATIENT REVENUE - NET 621500 2267789 2267789 SALARY AND LEASED LABO 621500 718273 718273 CTTR AND TEACHING 621500 237399 237399 DIRECTORS' FEES 621500 125000 125000 CAPITATION 621500 91446 91446 3439907 62980 62980 52193 0 52193 52193 52193 6226507 3439907 0 115173 536132 536132 444009 355952 88057 1029729 1029729 175152 171976 3176 95855 92821 3034 84034 80158 3876 26085 118 25967 22701 22202 499 9972 8785 1187 159467 156048 3419 104943 104943 33003 29209 3794 CONTRACT LABOR 2076761 1948505 128256 PURCHASED MEDICAL SERVI 445135 445135 EDUCATION & RESEARCH 426042 426042 FEE ASSESSMENT 197652 197652 326773 319055 7718 6193445 5924462 268983 0 399881 278427 110457 110491 416757 439611 8184 5186 3532551 948066 2689428 2584485 1031368 1465678 214201 96916 4870276 4980794 508863 574936 58235 69619 567098 644555 X 4158572 4185741 144606 150498 4303178 4336239 4870276 4980794 X 33062 -1 X X 0 1 X 1 0 X X X 1 LLU SCHOOL OF MEDICINE 951816009 2 1 131132 0 1 131132 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 713400 713400 2022681 287926 1734755 237796 150624 87172 452256 407007 45249 106418 102509 3909 2584485 LLU FOUNDATION INVESTMENT POOLS 1465678 C 1465678 6226507 0 6226507 0 6226507 6193445 0 6193445 0 6193445 1 LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE 11175 CAMPUS STREET CP A-1108 LOMA LINDA CA 92350 951816009 501(C)(3) 131132 TEACHING AND RESEARCH FACULTY PHYSICIANS AND SURGEONS OF LLUSM 11370 ANDERSON STREET LOMA LINDA CA 92354 330672915 501(C)(3) 400000 TEACHING AND RESEARCH ADVENTIST HEALTH INTERNATIONAL 11060 ANDERSON ST LOMA LINDA CA 92350 330940020 501(C)(3) 5000 TEACHING AND RESEARCH 3 SCHEDULE I, LINE 2 GRANTS ARE MADE BY THE BOARD OF DIRECTORS TO ORGANIZATIONS WHICH ALL FALL UNDER THE POLICIES AND GUDIELINES 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 229368 0 0 0 0 0 23000 0 3810 0 256178 0 0 0 JEFF CAO MD SECRETARY 216190 0 0 0 0 0 23000 0 5902 0 245092 0 0 0 DONALD CHASE MD PHYSICIAN 188860 0 0 0 0 0 23000 0 1980 0 213840 0 0 0 PAMELA J WAT MD PHYSICIAN 174224 0 0 0 0 0 23000 0 1290 0 198514 0 0 0 BRIAN BULL MD PHYSICIAN 140053 0 0 0 0 0 0 0 350 0 140403 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 11 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 SECRETARY REVIEW THE COMPENSATION OF EVERY EMPLOYEE AGAINST A MATRIX. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART XI, LINE 9: ROUNDING -1. 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. 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 0 1 LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE B 136132 CASH LOMA LINDA UNIVERSITY HEALTH CENTER N 197652 CASH LOMA LINDA UNIVERSITY HEALTH CENTER K 95592 CASH LOMA LINDA UNIVERSITY HEALTH CENTER O 2076761 CASH LOMA LINDA UNIVERSITY HEALTH CENTER L 91446 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER L 125000 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER O 146525 CASH LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE C 2671427 CASH LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE O 357980 CASH ADVENTIST HEALTH SYSTEMS LOMA LINDA P 94755 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER P 86259 CASH LOMA LINDA UNIVERSITY HEALTH CENTER S 127608 CASH