2013-11-07T18:10:08-06:00 2013-06-30 770549163 SOREN MCADAM CHRISTENSON LLP 2068 ORANGE TREE LANE SUITE 100 REDLANDS CA 92374 990 2012-07-01 954083895 LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC LOMA 9095806422 PO BOX 1740 LOMA LINDA CA 923540240 BRIAN BULL MD 9095586422 2013-11-01 1 KIRK G STITT P00167187 9097982222 2012 2016-02-24 21:20:13Z BRIAN BULL MD 11234 ANDERSON ST LOMA LINDA CA 92354 11683769 0 X N/A X 1986 CA COORDINATION OF THE CLINICAL PRACTICE PROGRAM OF THE CLINICAL FACULTY OF THE PATHOLOGY DEPARTMENT OF THE LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE IN THEIR UNIVERSITY SPONSORED AND UNIVERSITY AUTHORIZED FACULTY PRACTICE ACTIVITY AND TO ENHANCE THEIR EDUCATION AND RESEARCH ENDEAVORS. THE PROMOTION OF HEALTH BY THE PERFORMANCE OF MEDICAL CARE SERVICES FOR THE PUBLIC WITHOUT PROFIT TO ANY INDIVIDUAL. 5 3 31 0 0 0 2012000 3049160 9339858 8430351 57323 76758 0 127500 11409181 11683769 73221 80170 0 0 6691609 6397747 0 0 0 4972652 4837082 11737482 11314999 -328301 368770 6177562 6575142 1202660 1231470 4974902 5343672 X COORDINATION OF THE CLINICAL PRACTICE PROGRAM OF THE CLINICAL FACULTY OF THE PATHOLOGY DEPARTMENT OF THE LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE IN THEIR UNIVERSITY SPONSORED AND UNIVERSITY AUTHORIZED FACULTY PRACTICE ACTIVITY AND TO ENHANCE THEIR EDUCATION AND RESEARCH ENDEAVORS. THE PROMOTION OF HEALTH BY THE PERFORMANCE OF MEDICAL CARE SERVICES FOR THE PUBLIC WITHOUT PROFIT TO ANY INDIVIDUAL. 0 0 7526276 80170 8046216 PATIENT CARE ACCOMPLISHMENT 49,167 CLIENTS SERVED ($38,330 CHARITY CARE) ACTIVITY ACCOMPLISHMENT PROVIDE MEDICAL CARE TO ALL THE SICK AND INJURED WHO MAY COME FOR DIAGNOSIS, TREATMENT, AND CARE WITHOUT REGARD TO RACE, COLOR, CREED, SEX, AGE OR ABILITY TO PAY. 1934325 284077 TEACHING ACCOMPLISHMENT; PROVIDED PROFESSORS TO TEACH PATHOLOGY, IMMUNOLOGY, RELIGION, HISTOLOGY, CELLULAR AND MOLECULAR BIOLOGY COURSES TO LLU SCHOOL OF MEDICINE AND LLU SCHOOL OF ALLIED HEALTH FOR TRAINING DOCTORS, CYTOLOGIST AND CLINICAL LABORATORY SCIENTISTS 1127025 227558 RESEARCH AND CTTR PROGRAM ACCOMPLISHMENT PROVIDED SUBSCRIPTION "A" (232 SUBSCRIBERS), SUBSCRIPTION "B" (152 SUBSCRIBERS) AND SUBSCRIPTION "C" 66 SUBSCRIBERS) IN ADDITION, THE CTTR PROGRAM HOSTED TWO SEPARATE SEMINARS TO 266 PARTICIPANTS; ACTIVITY OBJECTIVE - THE GROUP GIVES LECTURES AND PUBLISH INFORMATION CONCERNING PATHOLOGICAL PROBLEMS AND RESEARCH RESULTS IN ORDER TO EDUCATE MEDICAL PROFESSIONALS ON SUCH PROBLEMS; THEY PUBLISHED 18 RESEARCH ABSTRACTS, 32 ARTICLES IN PEER REVIEW MEDICAL JOURNALS AND PUBLISHED 12 WEB-BASED PUBLICATIONS; THEY WROTE 2 BOOK CHAPTERS AND 1 BOOK REVIEW. THEY SERVED AS PRIMARY INVESTIGATOR ON 12 PROJECTS AND AS CO-INVESTIGATORS ON 20 PROJECTS. 10587626 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 1 31 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X ATTN LISA PREVITE LOMA LINDA UNIV PATHOLOGY MEDICAL 9095585170 1911 WEST PARK AVE REDLANDS CA 92373 RICARDO PEVERINI MD 1.00 X 0 0 0 BRIAN BULL MD 30.00 X X 219527 0 17299 DARRYL HEUSTIS MD 40.00 X X 216343 0 24068 DAVID HINSHAW MD 1.00 X 0 0 0 LEONARD WERNER MD 1.00 X 0 0 0 JEFF CAO MD 40.00 X 205632 0 40564 MIA PEREZ MD 50.00 X 222956 0 37564 GEORGE SAUKEL MD 50.00 X 240678 0 39116 CRAIG ZUPPAN MD 50.00 X 271531 0 43729 JUN WANG MD 50.00 X 234786 0 43254 KEVIN THOMPSON MD 50.00 X 239766 0 37754 1851219 0 283348 23 0 1 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS STREET ROOM 11120 LOMA LINDA CA 92350 EMPLOYEE LEASING & MEDICAL BILLING 3589144 IM TECHNOLOGIES INC 613 VIA HORQUILLA PALOS VERDES ESTATES CA 90274 HISTOCOMPATIBILITY LAB SUPERVISION 125000 2 3049160 3049160 PATIENT REVENUE - NET 621500 5516486 5516486 DIRECTORS' FEES 621500 2120532 2120532 SALARY AND LEASED LABOR REIMBURSE 621500 397638 397638 CTTR AND TEACHING 621500 243555 243555 CAPITATION 621500 152140 152140 8430351 76758 76758 MEANINGFUL USE EMR INCENTIVE 621500 127500 127500 127500 11683769 8557851 0 76758 80170 80170 723433 445832 277601 4388039 4388039 644178 610935 33243 391388 377479 13909 250709 238150 12559 34093 7910 26183 53408 45396 8012 37478 31683 5795 169030 160222 8808 139222 139222 158711 153628 5083 CONTRACT LABOR 2734182 2411566 322616 FEE ASSESSMENT 649375 649375 EDUCATION & RESEARCH 323852 323852 PURCHASED MEDICAL SERVI 146030 146030 391701 378137 13564 11314999 10587626 727373 0 308131 179769 110300 110396 1092935 1098078 9850 6126 3690684 878412 2937830 2812272 1623926 2200631 94590 167870 6177562 6575142 1144859 1165970 57801 65500 1202660 1231470 X 4831556 5204826 143346 138846 4974902 5343672 6177562 6575142 368770 0 X X 0 1 X 1 0 X X 0 0 0 LLU SCHOOL OF MEDICINE 951816009 2 0 1 1 68670 LLU MEDICAL CENTER 953522679 3 0 1 1 0 2 68670 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 713400 713400 2022681 150366 1872315 237796 118918 118878 591465 489878 101587 125342 119250 6092 2812272 LLU FOUNDATION INVESTMENT POOLS 2200631 C 2200631 11683769 0 11683769 0 11683769 11314999 0 11314999 0 11314999 1 0 0 0 0 0 0 0 0 0 EUROPE (INCLUDING ICELAND & GREENLAND) - 2013 RED CELLS GORDON RESEARCH SEMINAR AND RED CELLS GORDON RESEARCH CONFERENCE. 10000 CASH PAYMENT 0 1 0 0 0 0 0 0 1 LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE 11175 CAMPUS STREET CP A-1108 LOMA LINDA CA 92350 951816009 501(C)(3) 68670 EDUCATIONAL ADVENTIST HEALTH INTERNATIONAL 11060 ANDERSON STREET LOMA LINDA CA 92350 330940020 501(C)(3) 1500 EDUCATIONAL X X X 0 0 0 0 0 0 0 0 0 BRIAN BULL MD 219527 0 0 0 0 0 0 0 17299 0 236826 0 166162 0 DARRYL HEUSTIS MD 216343 0 0 0 0 0 22500 0 1568 0 240411 0 229992 0 JEFF CAO MD 205632 0 0 0 0 0 22500 0 18064 0 246196 0 232553 0 MIA PEREZ MD 222956 0 0 0 0 0 17000 0 20564 0 260520 0 233770 0 GEORGE SAUKEL MD 240678 0 0 0 0 0 22500 0 16616 0 279794 0 249630 0 CRAIG ZUPPAN MD 271531 0 0 0 0 0 22500 0 21229 0 315260 0 253970 0 JUN WANG MD 234786 0 0 0 0 0 22500 0 20754 0 278040 0 248061 0 KEVIN THOMPSON MD 239766 0 0 0 0 0 17000 0 20754 0 277520 0 238770 0 FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATIONS TAX RETURNS ARE HAND DELIVERED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BECAUSE THIS IS AN ACADEMIC HEALTH CENTER WITH INTERLOCKING BOARDS THERE ARE CONFLICT OF INTEREST POLICIES THAT COVER THE ENTIRE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 EVERY QUARTER THE CEO, CFO, AND SECRETARY REVIEW THE COMPENSATION OF EVERY EMPLOYEE AGAINST A MATRIX. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST THERE HAVE NOT BEEN ANY CHANGES IN THE CURRENT YEAR IN REGARDS TO THE ORGANIZATION HAVING A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. 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 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 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 0 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 1 LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE B 68670 CASH LOMA LINDA UNIVERSITY HEALTH CENTER N 587125 CASH LOMA LINDA UNIVERSITY HEALTH CENTER K 95592 CASH LOMA LINDA UNIVERSITY HEALTH CENTER O 2864020 CASH LOMA LINDA UNIVERSITY HEALTH CENTER P 14969 CASH LOMA LINDA UNIVERSITY HEALTH CENTER L 152140 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER L 2120532 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER O 163957 CASH LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE C 3049160 CASH LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE O 144000 CASH ADVENTIST HEALTH SYSTEMS LOMA LINDA P 484922 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER P 95097 CASH LOMA LINDA UNIVERSITY HEALTH CENTER S 191631 CASH