2014-01-31T11:07:31-06:00 2013-06-30 770549163 SOREN MCADAM CHRISTENSON LLP 2068 ORANGE TREE LANE SUITE 100 REDLANDS CA 92374 990 2012-07-01 330292783 LOMA LINDA UNIVERSITY ANESTHESIOLOGY MEDICAL GROUP INC LOMA 9098244475 PO BOX 933 LOMA LINDA CA 92354 ROBERT MARTIN MD 9098244475 2014-01-24 1 KIRK G STITT P00167187 9097982222 2012 2015-11-30 17:44:51Z ROBERT MARTIN MD 11234 ANDERSON ST LOMA LINDA CA 92354 23123060 0 X N/A X 1988 CA PRIMARY PURPOSE IS TO IMPLEMENT A FACULTY PRACTICE PROGRAM FOR VARIOUS DEPARTMENT FACULTY MEMBERS OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE. 7 4 61 0 0 0 0 0 21043856 22889005 4208 305 0 233750 21048064 23123060 0 0 0 0 14691900 16365112 0 0 0 6680462 7621269 21372362 23986381 -324298 -863321 8036280 9901117 3112676 5840472 4923604 4060645 PRIMARY PURPOSE IS TO IMPLEMENT A FACULTY PRACTICE PROGRAM FOR VARIOUS DEPARTMENT FACULTY MEMBERS OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE. 0 0 19895911 22788865 PROVIDE A FACULTY PRACTICE FOR VARIOUS PHYSICIAN DEPARTMENT FACULTY MEMBERS OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE OPERATED PRIMARILY FOR THE PURPOSE OF MEDICAL EDUCATION OF THE STUDENTS OF THE SCHOOL OF MEDICINE. ANY FEES DERIVED FROM THE PROGRAM ARE ANCILLARY TO THE PROGRAM'S PRIMARY PURPOSE OF PROVIDING STUDENTS AN EDUCATION IN THE FIELD OF MEDICINE. 181325 100140 RESEARCH PROJECTS RELATED TO MEDICAL RESEARCH ON CURRENT ISSUES IN THE FIELD OF ANESTHESIOLOGY. 20077236 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 63 0 1 61 1 0 0 0 0 0 0 0 0 X 7 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X SHIRLEY JONES 9095588172 11234 ANDERSON ST ROOM 2532 LOMA LINDA CA 92354 ROBERT MARTIN MD 40.00 X X 664345 0 25832 RICHARD APPLEGATE MD 40.00 X X 525133 0 28500 STAN BRAUER MD 40.00 X X 531617 0 25434 RICARDO PEVERINI MD 1.00 X 0 0 0 CHRISTOPHER JOBE MD 1.00 X 0 0 0 ROBERT WAGNER MD 1.00 X 0 0 0 RICHARD HART MD 1.00 50.00 X 0 423718 27541 MARTIN ALLARD MD 40.00 X 443176 0 22500 GARY STIER MD 40.00 X 414126 0 28105 CARL COLLIER MD 40.00 X 407618 0 26683 IHAB DOROTTA MD 40.00 X 418323 0 20128 LOWELL REYNOLDS MD 40.00 X 413498 0 17081 3817836 423718 221804 43 0 1 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS 11120 COLEMAN PAVILLI LOMA LINDA CA 92354 PAYROLL & MANAGEMENT SERVICES 3061163 LOMA LINDA UNIVERSITY MEDICAL CENTER PO BOX 728 LOMA LINDA CA 92354 CRNA SERVICES 1354016 MCKESSON CORPORATION PO BOX 403421 ATLANTA CA 30384 BILLING SERVICE 787161 3 PATIENT REVENUE - NET 621110 16747270 16747270 DIRECTORS' FEES 561000 5464231 5464231 INCENTIVE 621110 335127 335127 CAPITATION PREMIUM 900099 147175 147175 RESEARCH GRANTS 621500 100140 100140 95062 95062 22889005 305 305 MEANINGFUL USE 621500 233750 233750 233750 23123060 22889005 0 234055 1788595 1788595 12781525 12781525 1102585 1102585 121642 121642 570765 570765 200 200 30170 30170 2686 2686 45833 12981 32852 12660 12660 23071 23071 34188 34188 984442 984442 BILLING SERVICE FEE 2536604 2536604 CONTRACT LABOR 2249920 2249920 LEASED EMPLOYEES 1125091 1125091 CONTINUING EDUCATION 209672 209672 366732 252423 114309 23986381 20077236 3909145 0 330625 491211 3030205 3030855 3969832 5178623 32375 52462 410430 280852 139506 129578 533737 1018388 8036280 9901117 68928 239814 3043748 5600658 3112676 5840472 X 4923604 4060645 4923604 4060645 8036280 9901117 -863321 362 0 X X 0 1 X 1 0 X X 0 0 0 LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE 951816009 2 1 1 1 0 LOMA LINDA UNIVERSITY MEDICAL CENTER 953522679 3 1 1 1 0 2 0 69118 26657 42461 341312 254195 87117 129578 DUE FROM AFFILIATED ORGANIZATIONS 821819 OTHER RECEIVABLE - MISCELLANEOUS 196569 1018388 DUE TO AFFILIATED ORGANIZATIONS 3040218 PATIENT REFUNDS PAYABLE 376460 ACCRUED PAYROLL AND BENEFITS 1593541 ACCRUED PENSION PLAN 590439 5600658 23123060 0 23123060 0 23123060 23986381 0 23986381 0 23986381 X X 0 0 0 0 0 0 0 1 0 ROBERT MARTIN MD 544583 0 62430 0 57332 0 22500 0 3332 0 690177 0 0 0 RICHARD APPLEGATE MD 407500 0 73500 0 44133 0 22500 0 6000 0 553633 0 0 0 STAN BRAUER MD 330000 0 67000 0 134617 0 22500 0 2934 0 557051 0 0 0 RICARDO PEVERINI MD 0 0 0 0 0 0 0 0 0 0 0 0 CHRISTOPHER JOBE MD 0 0 0 0 0 0 0 0 0 0 0 0 ROBERT WAGNER MD 0 0 0 0 0 0 0 0 0 0 0 0 RICHARD HART MD 0 350000 0 0 0 73718 0 14948 0 12593 0 451259 0 0 MARTIN ALLARD MD 307500 0 55000 0 80676 0 22500 0 0 0 465676 0 0 0 GARY STIER MD 290000 0 70075 0 54051 0 22500 0 5605 0 442231 0 0 0 CARL COLLIER MD 277500 0 63253 0 66865 0 22500 0 4183 0 434301 0 0 0 IHAB DOROTTA MD 271000 0 70457 0 76866 0 17000 0 3128 0 438451 0 0 0 LOWELL REYNOLDS MD 291100 0 110721 0 11677 0 11300 0 5781 0 430579 0 0 0 PART I, LINE 7 THE GROUP HAS BONUS AND INCENTIVE COMPENSATION BASED ON A POINTS SYSTEM AS DETERMINED BY THE BOARD OF DIRECTORS BASED ON FOUR AREAS INCLUDING: CLINICAL, ACADEMIC, ADMINISTRATIVE RESPONSIBILITIES AND DISCRETIONARY. RICHARD HART MD COMMON BOARD MEMBER -LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER THE ORGANIZATION HAS INSURANCE EXPENSES RELATED TO LLUAHSC. THE BREAKDOWN OF THE EXPENSES ARE AS FOLLOWS:MALPRACTICE INSURANCE TRUST $439,380HEALTHCARE COVERAGE $502,383WORKERS' COMPENSATION COVERAGE $ 12,000 TOTAL EXPENSE $953,763 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD REVIEWS A DRAFT OF THE TAX RETURN AND FINANCIAL STATEMENTS PRIOR TO FILING THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE IS ENFORCED VIA VERBAL QUESTIONS AND ANNUAL SIGNATURE ATTESTING TO COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION SUBJECT TO BOARD REVIEW AND APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE UPON REQUEST AT THE ORGANIZATION. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. 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 FACULTY MEDICAL GROUP INC 11175 CAMPUS ST LOMA LINDA CA 92354 330672914 MEDICAL EDUCATION, ADMINISTRATIVE & CLINICAL SERVICES 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 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 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 LOMA LINDA UNIVERSITY HEALTH CENTER L 147175 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER L 3975671 CASH LOMA LINDA UNIVERSITY HEALTH CENTER M 1741494 CASH LOMA LINDA UNIVERSITY HEALTH CENTER P 1125091 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER K 2178924 CASH ADVENTIST HEALTH SYSTEMS LOMA LINDA P 953763 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER O 78385 CASH