2013-05-07T18:31:28-05:00 2012-06-30 770549163 SOREN MCADAM CHRISTENSON LLP 2068 ORANGE TREE LANE SUITE 100 REDLANDS CA 92374 990 2011-07-01 330292783 LOMA LINDA UNIVERSITY ANESTHESIOLOGY MEDICAL GROUP INC LOMA 9098244475 PO BOX 933 LOMA LINDA CA 92354 ROBERT MARTIN MD 9098244475 2013-04-29 1 KIRK G STITT P00167187 9097982222 2011 2016-02-25 16:41:14Z ROBERT MARTIN MD 11234 ANDERSON ST LOMA LINDA CA 92354 21048064 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 58 0 0 0 0 0 20278729 21043856 19001 4208 0 0 20297730 21048064 0 0 0 0 13569116 14691900 0 0 0 6754029 6680462 20323145 21372362 -25415 -324298 8088541 8036280 2836897 3112676 5251644 4923604 PRIMARY PURPOSE IS TO IMPLEMENT A FACULTY PRACTICE PROGRAM FOR VARIOUS DEPARTMENT FACULTY MEMBERS OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE. 0 0 17422300 20983937 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. 236883 59919 RESEARCH PROJECTS RELATED TO MEDICAL RESEARCH ON CURRENT ISSUES IN THE FIELD OF ANESTHESIOLOGY. 17659183 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 0 1 59 0 1 58 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 609629 0 29279 RICHARD APPLEGATE MD 40.00 X X 504871 0 32021 STAN BRAUER MD 40.00 X X 510482 0 35189 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 X 0 450987 54552 MARTIN ALLARD MD 40.00 X 397475 0 34256 GARY STIER MD 40.00 X 409993 0 29116 LOWELL REYNOLDS MD 40.00 X 394007 0 11445 IHAB DOROTTA MD 40.00 X 375908 0 26453 MONICA NEWMAN MD 40.00 X 362181 0 26820 3564546 450987 279131 3 0 1 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS STREET 11120 LOMA LINDA CA 92354 PAYROLL AND MANAGEMENT SERVICES 2838323 LOMA LINDA UNIVERSITY MEDICAL CENTER PO BOX 728 LOMA LINDA CA 92354 CRNA SERICES 1272720 MCKESSON CORPORATION PO BOX 403421 ATLANTA GA 30384 BILLING SERIVCE 837460 LOMA LINDA UNIVERSITY PHYSICIANS MEDICAL PO BOX 901 LOMA LINDA CA 92354 ICU SERVICES - CHEEK 128333 4 PATIENT REVENUE - NET 621110 16555945 16555945 DIRECTORS' FEES 561000 4208843 4208843 CAPITATION PREMIUM 900099 165543 165543 RESEARCH GRANTS 621500 59919 59919 HONORARIUM 900099 53606 53606 21043856 4208 4208 21048064 21043856 0 4208 1690982 1690982 11201429 11201429 1197457 1197457 109248 109248 492784 492784 1630 1630 30609 30609 2840 2632 208 53222 14844 38378 31660 31660 23356 23356 30430 30430 793076 793076 BILLING SERVICE FEE 2198675 2198675 CONTRACT LABOR 1856816 1855616 1200 LEASED EMPLOYEES 1128252 1128252 CONTINUING EDUCATION 189155 189155 340741 221208 119533 21372362 17659183 3713179 0 4316859 3357783 6789 3047 3252372 3969832 37962 32375 386170 246664 126020 139506 348539 533737 8088541 8036280 112337 68928 2724560 3043748 2836897 3112676 X 5251644 4923604 5251644 4923604 8088541 8036280 X -324298 -3742 X 0 1 1 X 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 21629 47489 317052 225035 92017 139506 DUE FROM AFFILIATE ORGANIZATION 454776 OTHER RECEIVABLE - AR MISCELLANEOUS 71851 AR NOTES RECEIVABLE - NONCURRENT 7110 533737 DUE TO AFFILIATE ORGANIZATIONS 1291070 PATIENT REFUNDS PAYABLE 110127 ACCRUED PAYROLL AND BENEFITS 1025923 ACCRUED PENSION PLAN 616628 3043748 21048064 21372362 -324298 -3742 -3742 -328040 21048064 0 21048064 0 21048064 21372362 0 21372362 0 21372362 X X 0 0 0 0 0 0 0 0 0 ROBERT MARTIN MD 434750 0 135000 0 39879 0 22000 0 7279 0 638908 0 643627 0 RICHARD APPLEGATE MD 391750 0 93000 0 20121 0 22000 0 10021 0 536892 0 601381 0 STAN BRAUER MD 315000 0 86000 0 109482 0 22000 0 13189 0 545671 0 546163 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 100987 0 15014 0 39538 0 505539 0 475893 MARTIN ALLARD MD 299500 0 70000 0 27975 0 22000 0 12256 0 431731 0 479518 0 GARY STIER MD 277500 0 67000 0 65493 0 20500 0 8616 0 439109 0 463446 0 LOWELL REYNOLDS MD 290125 0 99475 0 4407 0 11300 0 145 0 405452 0 164939 0 IHAB DOROTTA MD 249000 0 53000 0 73908 0 16500 0 9953 0 402361 0 425644 0 MONICA NEWMAN MD 249500 0 70000 0 42681 0 22000 0 4820 0 389001 0 415294 0 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 $301,955HEALTHCARE COVERAGE $450,101WORKERS' COMPENSATION COVERAGE $ 13,000 TOTAL EXPENSE $765,056 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -3,742. 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 1 0 0 1 1 1 0 1 1 LOMA LINDA UNIVERSITY HEALTH CENTER R 165543 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER R 3471301 CASH LOMA LINDA UNIVERSITY HEALTH CENTER M 1396643 CASH LOMA LINDA UNIVERSITY HEALTH CENTER O 1210752 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER J 1855616 CASH ADVENTIST HEALTH SYSTEMS LOMA LINDA O 826483 CASH LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE J 10160 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER O 19200 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER N 1725572 CASH LOMA LINDA UNIVERSITY HEALTH CENTER Q 217148 CASH ADVENTIST HEALTH SYSTEMS LOMA LINDA Q 90448 CASH