FACULTY MEDICAL GROUP OF LLUSM: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FACULTY MEDICAL GROUP OF LLUSM (EIN 33-0672914)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201421349349308412
- Schema version
- 2012v2.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T18:49:07-07:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330672914 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Faculty Medical Group of LLUSM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FACU | NameControl |
| Phone | 9095588292 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11175 Campus Street | AddressLine1 |
| City | Loma Linda | City |
| State | CA | State |
| ZIP Code | 92350 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Ricardo Peverini MD | Name |
| Title | President | Title |
| Date Signed | 2014-05-14 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 34013655 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | The 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 141 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 31231577 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 33974908 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 63345 | InvestmentIncomePriorYear |
| Investment Income Current Year | 38747 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 31294922 | TotalRevenuePriorYear |
| Total Revenue Current Year | 34013655 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 26423040 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 24271242 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6106236 | OtherExpensePriorYear |
| Other Expenses Current Year | 10604761 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 32529276 | TotalExpensesPriorYear |
| Total Expenses Current Year | 34876003 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1234354 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -862348 | RevenuesLessExpensesCY |
| Total Assets BOY | 10043837 | TotalAssetsBOY |
| Total Assets EOY | 9680313 | TotalAssetsEOY |
| Total Liabilities BOY | 4626040 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4332337 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5417797 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5347976 | NetAssetsOrFundBalancesEOY |
| Mission Description | The 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 32302595 | Expense |
| Description | Provided 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. | Description |
| Total Program Service Expense | 32302595 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 8 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 141 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | false | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Steve Ogilvie | NamePerson |
| Telephone Number | 9095588292 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11175 Campus Street Room 11120 | AddressLine1 |
| City | Loma Linda | City |
| State | CA | State |
| ZIP Code | 92350 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Kenneth Jutzy MD | ||||||||
| Director | 1.00 | 49.00 | X | 0 | 391189 | 39150 | ||
| Jerry Slater MD | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Donald Moores MD | ||||||||
| Director | 1.00 | 49.00 | X | 0 | 373757 | 40150 | ||
| Brian Tsao MD | ||||||||
| Director | 1.00 | 49.00 | X | 0 | 269875 | 38150 | X | |
| Gary Botimer MD | ||||||||
| Director | 1.00 | 49.00 | X | 0 | 466720 | 40150 | ||
| Robert Martin MD | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Ricardo Peverini MD | ||||||||
| President | 10.00 | 40.00 | X | 0 | 401230 | 38150 | X | |
| David Hinshaw Jr MD | ||||||||
| Director | 50.00 | 0.00 | X | 363070 | 0 | 43150 | ||
| J Todd Martell MD | ||||||||
| Director | 1.00 | 49.00 | X | 0 | 221657 | 33815 | ||
| Francis Chan MD | ||||||||
| Vice President | 1.00 | 49.00 | X | 0 | 265500 | 38150 | X | |
| Subhas Gupta MD | ||||||||
| Director | 1.00 | 49.00 | X | 0 | 363731 | 40150 | ||
| H Roger Hadley MD | ||||||||
| Chairman | 1.00 | 49.00 | X | 0 | 429025 | 40788 | X | |
| Austin Colohan MD | ||||||||
| Director | 1.00 | 49.00 | X | 0 | 666162 | 42150 | ||
| Richard Hart MD | ||||||||
| Director | 1.00 | 49.00 | X | 0 | 423718 | 27541 | ||
| Brian Bull MD | ||||||||
| Secretary | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |
| Kathy Clem MD | ||||||||
| Director | 50.00 | 0.00 | X | 337279 | 0 | 38650 | ||
| Kevin Lang | ||||||||
| CFO | 1.00 | 49.00 | 0 | 870842 | 55248 | X | ||
| Paul Hermann MD | ||||||||
| Vice President | 5.00 | 0.00 | 0 | 0 | 0 | X | ||
| Michael De Vera MD | ||||||||
| Physician | 50.00 | 0.00 | 600450 | 0 | 42150 | X | ||
| Thomas Amankonah MD | ||||||||
| Physician | 50.00 | 0.00 | 391738 | 0 | 40150 | X | ||
| Kendra Fisher MD | ||||||||
| Physician | 50.00 | 0.00 | 361765 | 0 | 43150 | X | ||
| Paul J Jacobsen MD | ||||||||
| Physician | 50.00 | 0.00 | 348500 | 0 | 43150 | X | ||
| Won Bae MD | ||||||||
| Physician | 50.00 | 0.00 | 332946 | 0 | 43150 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2735748 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5143406 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 767142 | TotalOtherCompensation |
| Number Individuals GT100 K | 80 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Loma Linda University Medical Center | |||||
| 11234 Anderson St | Loma Linda | CA | 92350 | Staffing, supplies | 1002915 |
| Loma Linda University Health Care | |||||
| 11175 Campus Street Room 11120 | Loma Linda | CA | 92350 | Medical Group Mgt | 6800528 |
| LLU Adventist Health Sciences Ctr-Risk Mgt | |||||
| 11161 Anderson St Ste 200 | Loma Linda | CA | 92354 | Insurance | 2249079 |
| Faculty Physicians & Surgeons of LLUSM | |||||
| 11370 Anderson Street Ste 1100 | Loma Linda | CA | 92350 | Physician Svcs | 1134884 |
| Emergency Medicine Scribe Svcs | |||||
| PO Box 841854 | Los Angeles | CA | 90084 | Transcription | 292369 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Service | 621110 | 22447612 | 22447612 |
| Contract & other revenue | 621110 | 11324566 | 11324566 |
| Capitation | 621110 | 202730 | 202730 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 33974908 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 38747 | TotalRevenueColumn |
| Exclusion | $38,747 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34013655 | TotalRevenueColumn |
| Related Or Exempt Function Income | 33974908 | RelatedOrExemptFunctionIncome |
| Exclusion | $38,747 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 782149 | Total |
| Program Services | 782149 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17512722 | Total |
| Program Services | 17512722 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1931568 | Total |
| Program Services | 1931568 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3179866 | Total |
| Program Services | 3179866 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 864937 | Total |
| Program Services | 865829 | ProgramServices |
| Management And General | -892 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2073004 | Total |
| Management And General | 2073004 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134487 | Total |
| Program Services | 132982 | ProgramServices |
| Management And General | 1505 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 465080 | Total |
| Management And General | 465080 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3381451 | Total |
| Program Services | 3377111 | ProgramServices |
| Management And General | 4340 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50750 | Total |
| Program Services | 50682 | ProgramServices |
| Management And General | 68 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109429 | Total |
| Program Services | 89923 | ProgramServices |
| Management And General | 19506 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 359234 | Total |
| Program Services | 357506 | ProgramServices |
| Management And General | 1728 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109513 | Total |
| Program Services | 109480 | ProgramServices |
| Management And General | 33 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 254 | Total |
| Program Services | 254 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Residency and academic | 89368 | 89368 | |
| Purchased services | 552803 | 552803 | |
| Contract physicians | 1553432 | 1545516 | 7916 |
| Bad debt expense | 1633814 | 1633814 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92142 | Total |
| Program Services | 91022 | ProgramServices |
| Management And General | 1120 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34876003 | Total |
| Program Services | 32302595 | ProgramServices |
| Management And General | 2573408 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1585519 | BOY |
| EOY | 1408795 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1009919 | BOY |
| EOY | 1048666 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5063155 | BOY |
| EOY | 6194892 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2367744 | BOY |
| EOY | 1004393 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17500 | BOY |
| EOY | 19250 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4570 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 254 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 4316 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10043837 | BOY |
| EOY | 9680313 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3615157 | BOY |
| EOY | 3580718 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1010883 | BOY |
| EOY | 751619 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4626040 | BOY |
| EOY | 4332337 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5417797 | BOY |
| EOY | 5347976 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5417797 | BOY |
| EOY | 5347976 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10043837 | BOY |
| EOY | 9680313 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -862348 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 792527 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Loma Linda University | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951816009 | EIN |
| Type Of Organization | Church | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 4570 | InvestmentCostOrOtherBasis |
| Depreciation | 254 | Depreciation |
| Book Value | 4316 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4316 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to affiliated organizations | Description |
| Amount | $751,619 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 751619 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 34013655 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 34013655 | RevenueSubtotal |
| Total Revenue Per Form990 | 34013655 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 34876003 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 34876003 | ExpensesSubtotal |
| Total Expenses Per Form990 | 34876003 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Won Bae MD | |||||||||||
| Physician | 213000 | 119946 | 33150 | 10000 | 376096 | ||||||
| Thomas Amankonah MD | |||||||||||
| Physician | 337222 | 54516 | 33150 | 7000 | 431888 | ||||||
| Subhas Gupta MD | |||||||||||
| Director | 363731 | 33150 | 7000 | 403881 | |||||||
| Richard Hart MD | |||||||||||
| Director | 350000 | 14948 | 12593 | 451259 | 73718 | ||||||
| Ricardo Peverini MD | |||||||||||
| President | 361107 | 33150 | 5000 | 439380 | 40123 | ||||||
| Paul J Jacobsen MD | |||||||||||
| Physician | 211000 | 137500 | 33150 | 10000 | 391650 | ||||||
| Michael De Vera MD | |||||||||||
| Physician | 500000 | 100450 | 33150 | 9000 | 642600 | ||||||
| Kevin Lang | |||||||||||
| CFO | 558000 | 14948 | 40300 | 926090 | 269655 | 43187 | |||||
| Kenneth Jutzy MD | |||||||||||
| Director | 242070 | 33150 | 6000 | 430339 | 149119 | ||||||
| Kendra Fisher MD | |||||||||||
| Physician | 222125 | 139640 | 33150 | 10000 | 404915 | ||||||
| Kathy Clem MD | |||||||||||
| Director | 317039 | 20240 | 33150 | 5500 | 375929 | ||||||
| J Todd Martell MD | |||||||||||
| Director | 170676 | 28815 | 5000 | 255472 | 50981 | ||||||
| H Roger Hadley MD | |||||||||||
| Chairman | 353544 | 14948 | 25840 | 469813 | 75481 | ||||||
| Gary Botimer MD | |||||||||||
| Director | 261363 | 33150 | 7000 | 506870 | 205357 | ||||||
| Francis Chan MD | |||||||||||
| Vice President | 238950 | 33150 | 5000 | 303650 | 26550 | ||||||
| Donald Moores MD | |||||||||||
| Director | 295268 | 33150 | 7000 | 413907 | 78489 | ||||||
| David Hinshaw Jr MD | |||||||||||
| Director | 242070 | 121000 | 33150 | 10000 | 406220 | ||||||
| Brian Tsao MD | |||||||||||
| Director | 205105 | 33150 | 5000 | 308025 | 64770 | ||||||
| Austin Colohan MD | |||||||||||
| Director | 592884 | 33150 | 9000 | 708312 | 73278 | ||||||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Increases | Transfers from affiliates = $792530 |
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Decreases | Prior year rounding = -$3 |
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | In 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. |
| Form 990, Part VI, Line 15b | Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The 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 12c | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Organization'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 11b | Form 990, Part VI, Line 11b: Form 990 Review Process | It is the intention that the 990 be reviewed by the governing body 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Faculty Physicians and Surgeons of LLUSM | ||||||||||
| 11175 Campus St Rm 11120 | Lomja Linda | CA | 92350 | 330672915 | Religious | CA | 501(c)3 | Church | N/A | false |
| Loma Linda University Adventist Health | ||||||||||
| 11175 Campus St | Loma Linda | CA | 92350 | 953804495 | Religious | CA | 501(c)3 | Church | N/A | false |
| Loma Linda University | ||||||||||
| 11175 Campus St | Loma Linda | CA | 92350 | 951816009 | Religious | CA | 501(c)3 | Church | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Faculty Physicians and Surgeons of LLUSM | ||
| q | 1812475 | FMV of expense |
| Faculty Physicians and Surgeons of LLUSM | ||
| p | 1134885 | FMV of expense |
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