FACULTY MEDICAL GROUP OF LLUSM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FACULTY MEDICAL GROUP OF LLUSM (EIN 33-0672914)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-01
IRS object ID
201301229349300000
Schema version
2011v1.5
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)
Timestamp2013-05-01T22:22:19-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN330672914EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Faculty Medical Group 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 Signed2013-05-01DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts31294922GrossReceipts
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 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 Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees142TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25618573ProgramServiceRevenuePriorYear
Program Service Revenue CY31231577ProgramServiceRevenueCY
Investment Income Prior Year59286InvestmentIncomePriorYear
Investment Income Current Year63345InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year25677859TotalRevenuePriorYear
Total Revenue Current Year31294922TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22815475SalariesEtcPriorYear
Salaries Etc Current Year26423040SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2372141OtherExpensePriorYear
Other Expenses Current Year6106236OtherExpensesCurrentYear
Total Expenses Prior Year25187616TotalExpensesPriorYear
Total Expenses Current Year32529276TotalExpensesCurrentYear
Revenues Less Expenses Prior Year490243RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1234354RevenuesLessExpensesCY
Total Assets BOY9928901TotalAssetsBOY
Total Assets EOY10043837TotalAssetsEOY
Total Liabilities BOY3276750TotalLiabilitiesBOY
Total Liabilities EOY4626040TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6652151NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5417797NetAssetsOrFundBalancesEOY
Mission DescriptionThe 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense31034337Expense
DescriptionProvided 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 Expense31034337TotalProgramServiceExpense
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 EquipfalseReportLandBldgEquip
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 With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees142NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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 VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
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 Street Room 11120AddressLine1
CityLoma LindaCity
StateCAState
ZIP Code92350ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Kenneth Jutzy MD
Director1.00X034442062255
Jerry Slater MD
Director1.00X000
Donald Moores MD
Director1.00X033691464145
Gary Botimer MD
Director1.00X040448741395
Robert Martin MD
Director1.00X000
David Hinshaw Jr MD
Director50.00X349890041955
J Todd Martell MD
Director1.00X000
Subhas Gupta MD
Director1.00X047906257895
Austin Colohan MD
Director1.00X074090959796
Richard Hart MD
Director1.00X045098754552
Kathy Clem MD
Director50.00X353282034005
Brian Tsao MD
Director1.00023984758395X
Kevin Lang
CFO1.000869961-6466X
Ricardo Peverini MD
President10.00033202066395X
Francis Chan MD
Vice President1.00024722642595X
Paul Hermann MD
Vice President5.00000X
H Roger Hadley MD
Chairman1.00045287138833X
Brian Bull MD
Secretary1.00000X
Michael De Vera MD
Physician50.00555557055600X
Pedro Baron MD
Physician50.00302618063395X
Arputharaj Kore MD
Physician50.00325040041395X
Kendra Fisher MD
Physician50.00287190061250X
Won Bae MD
Physician50.00285908057287X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2459485TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4898704TotalReportableCompFrmRltdOrgs
Total Other Compensation894677TotalOtherCompensation
Number Individuals GT100 K84NumberIndividualsGT100K
Formers ListedfalseFormersListed
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 Medical Center
11234 Anderson StLoma LindaCA92350Staffing, supplies619976
Loma Linda University Health Care
11175 Campus Street Room 11120Loma LindaCA92350Medical Group Mgt1244366
LLU Physicians Medical Group Inc
PO Box 901Loma LindaCA92354Physician Services526807
LLU Adventist Health Sciences Ctr-Risk Mgt
11161 Anderson St Ste 200Loma LindaCA92354Insurance2361394
Faculty Physicians & Surgeons of LLUSM
11370 Anderson Street Ste 1100Loma LindaCA92350Physician Svcs568549
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCode
Net Patient Service1183413611834136
Contract & other revenue1928813619288136621110
Capitation109305109305
FieldValueIRS element (for citing)
Total Program Service Revenue31231577TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column63345TotalRevenueColumn
Related Or Exempt Function Income63345RelatedOrExemptFunctionIncome

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 Column31294922TotalRevenueColumn
Related Or Exempt Function Income31294922RelatedOrExemptFunctionIncome

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)
Total779132Total
Program Services779132ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total19332836Total
Program Services19332836ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2306500Total
Program Services2306500ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3006755Total
Program Services3006755ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total997817Total
Program Services997817ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total976639Total
Management And General976639ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total40731Total
Program Services39267ProgramServices
Management And General1464ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total478879Total
Management And General478879ManagementAndGeneral

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)
Total1930304Total
Program Services1926012ProgramServices
Management And General4292ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total39981Total
Program Services36678ProgramServices
Management And General3303ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total61863Total
Program Services43930ProgramServices
Management And General17933ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total191676Total
Program Services191676ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total108228Total
Program Services107575ProgramServices
Management And General653ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Dues & subscriptions8126280897365
Research expense8930889308
Purchased services38023338016271
Contract physicians1719712170936410348

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7420Total
Program Services6428ProgramServices
Management And General992ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total32529276Total
Program Services31034337ProgramServices
Management And General1494939ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1071804BOY
EOY1585519EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2246573BOY
EOY1009919EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY5063155EOY

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)
BOY6610524BOY
EOY2367744EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY17500EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

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)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9928901BOY
EOY10043837EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3276750BOY
EOY3615157EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY1010883EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3276750BOY
EOY4626040EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6652151BOY
EOY5417797EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6652151BOY
EOY5417797EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9928901BOY
EOY10043837EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1234354ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

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

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Rounding$1
Due to affiliated organizations$1,010,882
FieldValueIRS element (for citing)
Total Of Amounts1010883TotalOfAmounts
Total Revenue31294922TotalRevenue
Total Expenses32529276TotalExpenses
Excess Or Deficit For Year-1234354ExcessOrDeficitForYear
Excess Or Deficit Per FS-1234354ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt31294922TotRevenueEtcAuditedFinclStmt
Revenue Subtotal31294922RevenueSubtotal
Total Revenue Per Form99031294922TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt32529276TotExpensesEtcAuditedFinclStmt
Expenses Subtotal32529276ExpensesSubtotal
Total Expenses Per Form99032529276TotalExpensesPerForm990

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 PlantrueSupplementalNonqualRetirePlan
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 (18 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Won Bae MD
21300072908538503437343195
Subhas Gupta MD
42500054062483509545536957
Richard Hart MD
3500001501439538505539100987
Ricardo Peverini MD
1760001560205385012545398415
Pedro Baron MD
26000042618538509545366013
Michael De Vera MD
50000055557483507250611157
Kevin Lang
5370006835115014-2148086349526461059374
Kenneth Jutzy MD
31000034420538508405406675
Kendra Fisher MD
20900078190538507400348440
Kathy Clem MD
31400039282318502155387287
H Roger Hadley MD
3317901501423819491704121081
Gary Botimer MD
250000154487318509545445882
Francis Chan MD
1400001072263185010745289821
Donald Moores MD
280000569145110013045401059
David Hinshaw Jr MD
2431001067903185010105391845
Brian Tsao MD
190000498474835010045298242
Austin Colohan MD
630000110909523967400800705
Arputharaj Kore MD
25000075040318509545366435

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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 relies 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 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 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 management staff. These statements are assessed and appropriate action taken if necessary.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: 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.

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 OrgControlledOrg
Faculty Physicians and Surgeons of LLUSM
11175 Campus St Rm 11120Lomja LindaCA92350330672915ReligiousCA501(c)3ChurchN/Afalse
Loma Linda University Adventist Health
11175 Campus StLoma LindaCA92350953804495ReligiousCA501(c)3ChurchN/Afalse
Loma Linda University
11175 Campus StLoma LindaCA92350951816009ReligiousCA501(c)3ChurchN/Afalse
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
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 OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Loma Linda UniversityBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypekTransactionType
Amount Involved269650AmountInvolved
Method Of Amt DeterminationFMV of ServicesMethodOfAmtDetermination

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