FACULTY PHYSICIANS AND SURGEONS OF LLUSM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FACULTY PHYSICIANS AND SURGEONS OF LLUSM (EIN 33-0672915)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201441349349308554
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

FieldValueIRS element (for citing)
Timestamp2014-05-14T18:49:51-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN330672915EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Faculty Physicians & Surgeons of LLUSMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFACUNameControl
Phone9095588292Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameRicardo Peverini MDName
TitlePresidentTitle
Date Signed2014-05-14DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts219655402GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionThe employment of the clinical faculty of Loma Linda University School of Medicine in various specialties including surgery, pediatrics, and dermatology. Faculty Physicians and Surgeons assists in the formation of Christian Physicians educated to serve as generalists and specialists providing competent whole-person care.ActivityOrMissionDescription
Nbr Voting Members Governing Body27NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees648TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year167457246ProgramServiceRevenuePriorYear
Program Service Revenue CY218843812ProgramServiceRevenueCY
Investment Income Prior Year875823InvestmentIncomePriorYear
Investment Income Current Year811590InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year168333069TotalRevenuePriorYear
Total Revenue Current Year219655402TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year125278883SalariesEtcPriorYear
Salaries Etc Current Year142532507SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year42529597OtherExpensePriorYear
Other Expenses Current Year89015566OtherExpensesCurrentYear
Total Expenses Prior Year167808480TotalExpensesPriorYear
Total Expenses Current Year231548073TotalExpensesCurrentYear
Revenues Less Expenses Prior Year524589RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-11892671RevenuesLessExpensesCY
Total Assets BOY64709938TotalAssetsBOY
Total Assets EOY71173895TotalAssetsEOY
Total Liabilities BOY31920320TotalLiabilitiesBOY
Total Liabilities EOY34174937TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY32789618NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY36998958NetAssetsOrFundBalancesEOY
Mission DescriptionThe employment of the clinical faculty of Loma Linda University School of Medicine in various specialties including surgery, pediatrics, and dermatology. Faculty Physicians and Surgeons assists in the formation of Christian Physicians educated to serve as generalists and specialists providing competent whole-person care.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense216198758Expense
DescriptionProvided medical education, administrative, and clinical services to Loma Linda University School of Medicine, Loma Linda University Medical Center, and affiliated organizations and medical clinics in San Bernardino and Riverside Counties.Description
Total Program Service Expense216198758TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109680NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees648NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSteve OgilvieNamePerson
Telephone Number9095588292TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111175 Campus St 11120AddressLine1
CityLoma LindaCity
StateCAState
ZIP Code92350ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Jerry Slater MD
Director1.000.00X000
Alfred Simental MD
Director50.000.00X350632040150
Herbert Ruckle MD
Director50.000.00X231051036537
David Hinshaw MD
Director1.0049.00X036307043150
Anees Razzouk MD
Director50.000.00X793956040150
Subhas Gupta MD
Director50.000.00X363731040150
Howard Gimbel MD
Director20.000.00X136579022755
Brian Bull MD
Director1.000.00X000
Murray Brandstater MD
Director50.000.00X145860023962
Wayne Dysinger MD
Director50.000.00X191531029899
Austin Colohan MD
Director50.000.00X666162042150
Paul Herrmann MD
Vice President10.000.00X000X
Carlos Garberoglio MD
Director50.000.00X388855040150
Francis Chan MD
Vice President50.000.00X265500038150X
Robert Martin MD
CFO1.000.00X000X
Bryan Tsao MD
Vice President50.000.00X269875038150X
John Testerman MD
Director20.000.00X145000024510
Ricardo Peverini MD
President50.000.00X401230038150X
Kathy Clem MD
Director1.0049.00X033727938650
William Murdoch MD
Director50.000.00X362554038150
Douglas Hegstad MD
Director50.000.00X279981038150
Richard Hart MD
Director1.0030.00X042371827541
H Roger Hadley MD
Chairman27.0030.00X042902540788X
Abel Torres MD
Secretary50.000.00X337279038150X
Richard Chinnock MD
Director50.000.00X367947038150
Gary Botimer MD
Director50.000.00X466720040150
Ron Swenson MD
Director50.000.00X244390038771
David Chamberlin MD
Physician50.000.00897190042150X
Scott Nelson MD
Physician50.000.00533517040650X
Leonard Bailey MD
Physician50.000.00713896040150X
Wayne Cheng MD
Physician50.000.00472349040650X
Alexander Zouros MD
Physician50.000.00506852040150X
Donald Moores MD
Director50.000.00373757040150X
J Todd Martell MD
Director50.000.00221657033815X
Ken Jutzy MD
Director50.000.00391189039150X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10519240TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1553092TotalReportableCompFrmRltdOrgs
Total Other Compensation1153378TotalOtherCompensation
Number Individuals GT100 K410NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Loma Linda University Health Care
11175 Campus St Rm 11120Loma LindaCA92350Medical services70401143
Loma Linda University
Business Center Ste 209Loma LindaCA92350Information systems2673503
Loma Linda Univ Med Center
11234 Anderson StreetLoma LindaCA92350Medical services3787705
LLU Adventist Health Sciences Ctr-Risk Mgt
11161 Anderson St Ste 200Loma LindaCA92354Insurance12429741
Faculty Medical Group of LLUSM
11175 Campus St Rm 11120Loma LindaCA92350Medical services1812475
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net patient service621110144177443144177443
Contract revenue & other6211106702722767027227
Capitation62111076391427639142
FieldValueIRS element (for citing)
Total Program Service Revenue218843812TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column811590TotalRevenueColumn
Exclusion$811,590ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column219655402TotalRevenueColumn
Related Or Exempt Function Income218843812RelatedOrExemptFunctionIncome
Exclusion$811,590ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total7095217Total
Program Services7095217ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total95287505Total
Program Services94848327ProgramServices
Management And General439178ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10542926Total
Program Services10518554ProgramServices
Management And General24372ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total24597477Total
Program Services24582193ProgramServices
Management And General15284ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5009382Total
Program Services4995283ProgramServices
Management And General14099ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total11691693Total
Management And General11691693ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total271931Total
Program Services249486ProgramServices
Management And General22445ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2704734Total
Management And General2704734ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total39744981Total
Program Services39713476ProgramServices
Management And General31505ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total575942Total
Program Services575696ProgramServices
Management And General246ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1695352Total
Program Services1622366ProgramServices
Management And General72986ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8080937Total
Program Services8080936ProgramServices
Management And General1ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total972004Total
Program Services970031ProgramServices
Management And General1973ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1Total
Program Services1ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total496526Total
Program Services496526ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total400Total
Program Services400ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Purchased services2304827230481512
Contract other27413722415810325562
Medical & research supplies74883447488344
Bad debt expense74925547492554

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2753968Total
Program Services2748743ProgramServices
Management And General5225ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total231548073Total
Program Services216198758ProgramServices
Management And General15349315ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9575931BOY
EOY6990002EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY21148377BOY
EOY21938204EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23110701BOY
EOY29906559EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY10056361BOY
EOY9706948EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY114904BOY
EOY45102EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3083605LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec496526LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY703664BOY
EOY2587079EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY1EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY64709938BOY
EOY71173895EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23431050BOY
EOY25421643EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8489270BOY
EOY8753294EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY31920320BOY
EOY34174937EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY32789618BOY
EOY36998958EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32789618BOY
EOY36998958EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY64709938BOY
EOY71173895EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-11892671ReconcilationRevenueExpenses
Reconcilation Other Changes16102011ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Loma Linda UniversityBusinessNameLine1
FieldValueIRS element (for citing)
EIN951816009EIN
Type Of OrganizationChurchTypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1030481OtherCostOrOtherBasis
Depreciation138981Depreciation
Book Value891500BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1926651OtherCostOrOtherBasis
Depreciation352332Depreciation
Book Value1574319BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis126473OtherCostOrOtherBasis
Depreciation5213Depreciation
Book Value121260BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2587079TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to affiliated organizationsDescription
Amount$8,753,294Amount
FieldValueIRS element (for citing)
Total Of Amounts8753294TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt219655402TotRevenueEtcAuditedFinclStmt
Revenue Subtotal219655402RevenueSubtotal
Total Revenue Per Form990219655402TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt231548073TotExpensesEtcAuditedFinclStmt
Expenses Subtotal231548073ExpensesSubtotal
Total Expenses Per Form990231548073TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (31 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Related OrgsBonusRelatedOrgs
William Murdoch MD
Director32629936255331505000400704
Wayne Dysinger MD
Director13578755544248995000221430200
Wayne Cheng MD
Physician250000222349331507500512999
Subhas Gupta MD
Director363731331507000403881
Scott Nelson MD
Physician250000283517331507500574167
Ron Swenson MD
Director19062453766317717000283161
Richard Hart MD
Director350000737181494812593451259
Richard Chinnock MD
Director2444181177433315050004060975786
Ricardo Peverini MD
President36110740123331505000439380
Murray Brandstater MD
Director11668829172189625000169822
Leonard Bailey MD
Physician360450353446331507000754046
Ken Jutzy MD
Director242070149119331506000430339
Kathy Clem MD
Director31703933150550037592920240
John Testerman MD
Director145000195105000169510
J Todd Martell MD
Director17067650981288155000255472
Howard Gimbel MD
Director12292113658177555000159334
Herbert Ruckle MD
Director15480476247300376500267588
H Roger Hadley MD
Chairman353544754811494825840469813
Gary Botimer MD
Director261363205357331507000506870
Francis Chan MD
Vice President23895026550331505000303650
Douglas Hegstad MD
Director2768703111331505000318131
Donald Moores MD
Director29526878489331507000413907
David Hinshaw MD
Director2420703315010000406220121000
David Chamberlin MD
Physician500000397190331509000939340
Carlos Garberoglio MD
Director34997038885331507000429005
Bryan Tsao MD
Vice President20510564770331505000308025
Austin Colohan MD
Director59288473278331509000708312
Anees Razzouk MD
Director524011269945331507000834106
Alfred Simental MD
Director27349377139331507000390782
Alexander Zouros MD
Physician45000056852331507000547002
Abel Torres MD
Secretary31703920240331505000375429

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances - Other DecreasesTransfer to an affiliate = -$2432835
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances - Other IncreasesTransfer from an affiliate = $18534846
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableIn addition to responding to requests it receives, the organization relys on the websites of multiple organizations both private and governmental to make available 990s and governing documents.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesOrganization relys on data retrieved from similar organizations gathered by the American Assoc of Medical Colleges to set compensation levels.
Form 990, Part VI, Line 12cForm 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 staff. These statements are assessed and appropriate action taken if necessary.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessIt is the intention that the 990 be reviewed by the governing body including an initial review by the Exec Dir of Finance, a secondary review by the Finance Committee, and the final review and approval by the board of directors.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Faculty Medical Group of LLUSM
11175 Campus St Rm 11120Loma LindaCA92350330672914ReligiousCA501(c)3ChurchN/Afalse
Loma Linda University Adventist Health S
11175 Campus StLoma LindaCA92350953804495ReligiousCA501(C)3ChurchfalseNA
Loma Linda University
11175 Campus StLoma LindaCA92350951816009ReligiousCA501(c)3ChurchfalseNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Faculty Medical Group of LLUSM
q1134885FMV of expenses
Faculty Medical Group of LLUSM
p1812475FMV of expenses

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