LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC (EIN 95-4083895)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-08
IRS object ID
201233139349302268
Schema version
2011v1.2
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)
Timestamp2012-11-08T16:06:16-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN770549163EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SOREN MCADAM CHRISTENSON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12068 ORANGE TREE LANE SUITE 100AddressLine1
CityREDLANDSCity
StateCAState
ZIP Code92374ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN954083895EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLOMANameControl
Phone9095806422Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1740AddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code923540240ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRIAN BULL MDName
TitleDIRECTOR/PRESIDENTTitle
Phone9095586422Phone
Date Signed2012-11-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIRK G STITTName
PTINP00167187PTIN
Phone9097982222Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRIAN BULL MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line111234 ANDERSON STAddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code92354ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11409181GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionCOORDINATION 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees29TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2914461ContributionsGrantsPriorYear
Contributions Grants Current Year2012000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8288773ProgramServiceRevenuePriorYear
Program Service Revenue CY9339858ProgramServiceRevenueCY
Investment Income Prior Year72253InvestmentIncomePriorYear
Investment Income Current Year57323InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11275487TotalRevenuePriorYear
Total Revenue Current Year11409181TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year49536GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY73221GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5737944SalariesEtcPriorYear
Salaries Etc Current Year6691609SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4569391OtherExpensePriorYear
Other Expenses Current Year4972652OtherExpensesCurrentYear
Total Expenses Prior Year10356871TotalExpensesPriorYear
Total Expenses Current Year11737482TotalExpensesCurrentYear
Revenues Less Expenses Prior Year918616RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-328301RevenuesLessExpensesCY
Total Assets BOY6223438TotalAssetsBOY
Total Assets EOY6177562TotalAssetsEOY
Total Liabilities BOY920235TotalLiabilitiesBOY
Total Liabilities EOY1202660TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5303203NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4974902NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCOORDINATION 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7930613Expense
Revenue8834245Revenue
DescriptionPATIENT CARE ACCOMPLISHMENT 53,997 CLIENTS SERVED ($48,021 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1871124Expense
Revenue286990Revenue
DescriptionTEACHING 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 SCIENTISTSDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1204770Expense
Revenue218623Revenue
DescriptionRESEARCH AND CTTR PROGRAM ACCOMPLISHMENT PROVIDED SUBSCRIPTION "A" (234 SUBSCRIBERS), SUBSCRIPTION "B" (156 SUBSCRIBERS) AND SUBSCRIPTION "C" 73 SUBSCRIBERS) IN ADDITION, THE CTTR PROGRAM HOSTED TWO SEPARATE SEMINARS TO 270 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 13 RESEARCH ABSTRACTS, 27 ARTICLES IN PEER REVIEW MEDICAL JOURNALS AND PUBLISHED 12 WEB-BASED PUBLICATIONS; THEY WROTE 5 BOOK CHAPTERS AND 1 BOOK AND PRODUCED 1 PATENT.Description
FieldValueIRS element (for citing)
Total Program Service Expense11006507TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees29NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ATTN LISA PREVITE LOMA LINDA UNIV PATHOLOGY MEDICALBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9095585170TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11911 WEST PARK AVEAddressLine1
CityREDLANDSCity
StateCAState
ZIP Code92373ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
RICARDO PEVERINI MD
CHAIRPERSON1.00X000
BRIAN BULL MD
DIRECTOR/PRESIDENT30.00X16331902843X
DARRYL HEUSTIS MD
DIRECTOR/CFO40.00X206012023980X
DAVID HINSHAW MD
DIRECTOR1.00X000
LEONARD WERNER MD
DIRECTOR1.00X000
JEFF CAO MD
SECRETARY40.00206743025810X
JAMES PAPPAS MD
PHYSICIAN50.0026400001290X
GEORGE SAUKEL MD
PHYSICIAN50.00232440017190X
CRAIG ZUPPAN MD
PHYSICIAN50.00230680023290X
JUN WANG MD
PHYSICIAN50.00225371022690X
KEVIN THOMPSON MD
PHYSICIAN50.00216820021950X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1745385TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation139043TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LOMA LINDA UNIVERSITY HEALTH CARE
11175 CAMPUS STREET ROOM 11120LOMA LINDACA92350EMPLOYEE LEASING & MEDICAL BILLING3276307
IM TECHNOLOGIES INC
613 VIA HORQUILLAPALOS VERDES ESTATESCA90274HISTOCOMPATIBILITY LAB SUPERVISION125000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions2012000AllOtherContributions
Total Contributions2012000TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE - NET62150064382626438262
DIRECTORS' FEES62150021265322126532
SALARY AND LEASED LABO621500366330366330
CTTR621500237110237110
CAPITATION621500171624171624
FieldValueIRS element (for citing)
Total Program Service Revenue9339858TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column56123TotalRevenueColumn
Exclusion$56,123ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1200Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1200Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1200TotalRevenueColumn
Exclusion$1,200ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11409181TotalRevenueColumn
Related Or Exempt Function Income9339858RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$57,323ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total73221Total
Program Services73221ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total576074Total
Program Services263518ProgramServices
Management And General312556ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4747641Total
Program Services4747641ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total716724Total
Program Services675464ProgramServices
Management And General41260ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total389369Total
Program Services374310ProgramServices
Management And General15059ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total261801Total
Program Services248281ProgramServices
Management And General13520ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total125Total
Management And General125ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33067Total
Program Services12587ProgramServices
Management And General20480ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total46402Total
Program Services46058ProgramServices
Management And General344ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total30936Total
Program Services30036ProgramServices
Management And General900ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total159149Total
Program Services157576ProgramServices
Management And General1573ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total144287Total
Program Services144287ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total113448Total
Program Services108630ProgramServices
Management And General4818ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACT LABOR28645332562124302409
FEE ASSESSMENT5401085401080
EDUCATION & RESEARCH272784272077707
PURCHASED MEDICAL SERVI1824781824780

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total585335Total
Program Services568111ProgramServices
Management And General17224ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11737482Total
Program Services11006507ProgramServices
Management And General730975ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY749952BOY
EOY308131EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY110185BOY
EOY110300EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY759994BOY
EOY1092935EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14240BOY
EOY9850EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3692357LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec754527LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2996844BOY
EOY2937830EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1479867BOY
EOY1623926EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY112356BOY
EOY94590EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6223438BOY
EOY6177562EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY849150BOY
EOY1144859EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY71085BOY
EOY57801EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY920235BOY
EOY1202660EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5153493BOY
EOY4831556EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY149710BOY
EOY143346EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5303203BOY
EOY4974902EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6223438BOY
EOY6177562EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-328301ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
LLU SCHOOL OF MEDICINE
9518160092001$55,971
LLU MEDICAL CENTER
9535226793001$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts55971SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis713400OtherCostOrOtherBasis
Book Value713400BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2978957OtherCostOrOtherBasis
Depreciation754527Depreciation
Book Value2224430BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2937830TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionLLU FOUNDATION INVESTMENT POOLSDescription
Book Value1623926BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1623926TotalOfBookValueSecurities
Total Revenue11409181TotalRevenue
Total Expenses11737482TotalExpenses
Excess Or Deficit For Year-328301ExcessOrDeficitForYear
Excess Or Deficit Per FS-328301ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11409181TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal11409181RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011409181TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11737482TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11737482ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011737482TotalExpensesPerForm990

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintained
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent0SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent0TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionEUROPE (INCLUDING ICELAND & GREENLAND)Region
Purpose Of Grant6TH STEM CELL MATH LAB - UNDER THE TOPIC "CLONALITY THEORETICAL CONCEPTS, EXPERIMENTAL TECHNIQUES AND CLINICAL CHALLENGES." CONCENTRATING ON ASPECTS OF CLONAL DYNAMICS WITH A PARTICULAR FOCUS ON APPLICATIONS IN GENE THERAPY. ALSO, INCLUDING NEW TECHNOLOGIES (E.G. CELLULAR BARCODING) TO INDIVIDUALLLY MARK INDIVIDUAL STEM CELL CLONES.PurposeOfGrant
Amount Of Cash Grant12000AmountOfCashGrant
Manner Of Cash DisbursementCASH PAYMENTMannerOfCashDisbursement
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs0TotalNumberOf501c3Orgs
Total Number Of Other Orgs1TotalNumberOfOtherOrgs
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
11175 CAMPUS STREET CP A-1108LOMA LINDACA92350951816009170(B)(1)(A)(II)55971EDUCATIONALEDUCATIONAL
PROFESSIONALS ANALYZING PAP SMEARS TEAM INTERNATIONAL
1332 CRESTVIEW ROADREDLANDSCA92374952352122501(C)(3)5000EDUCATIONAL
CAP FOUNDATION
325 WAUKEGAN ROADNORTHFIELDIL60093362118323501(C)(3)250EDUCATIONAL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRIAN BULL MD
16331900000002843016616201616770
DARRYL HEUSTIS MD
206012000002200001980022999202297600
JEFF CAO MD
206743000002200003810023255302312840
JAMES PAPPAS MD
26400000000001290026529002716900
GEORGE SAUKEL MD
23244000000165000690024963002539560
CRAIG ZUPPAN MD
230680000002200001290025397002558450
JUN WANG MD
22537100000220000690024806102400600
KEVIN THOMPSON MD
216820000001650005450023877002289770

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATIONS TAX RETURNS ARE HAND DELIVERED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CBECAUSE 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 15EVERY QUARTER THE CEO, CFO, AND SECRETARY REVIEW THE COMPENSATION OF EVERY EMPLOYEE AGAINST A MATRIX.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
11175 CAMPUS STLOMA LINDACA92354951816009SCHOOL OF MEDICINECA501(C)(3)170(B)(1)(A)(I)N/A0
LOMA LINDA UNIVERSITY MEDICAL CENTER
11175 CAMPUS STLOMA LINDACA92354953522679HOSPITALCA501(C)(3)170(B)(1)(A)(V)N/A0
LOMA LINDA UNIVERSITY HEALTH CARE
11175 CAMPUS STLOMA LINDACA92354330364239HEALTH CARE MANAGEMENT SERVICE ORGANIZATIONCA501(C)(3)509(A)(3) TYPE IN/A0
ADVENTIST HEALTH SYSTEMS LOMA LINDA
11175 CAMPUS STLOMA LINDACA92354953484589CHURCHCA501(C)(3)170(B)(1)(A)(I)N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
B55971CASH
LOMA LINDA UNIVERSITY HEALTH CENTER
M540109CASH
LOMA LINDA UNIVERSITY HEALTH CENTER
J95592CASH
LOMA LINDA UNIVERSITY HEALTH CENTER
N2864020CASH
LOMA LINDA UNIVERSITY HEALTH CENTER
O14940CASH
LOMA LINDA UNIVERSITY HEALTH CENTER
K171624CASH
LOMA LINDA UNIVERSITY MEDICAL CENTER
K2126532CASH
LOMA LINDA UNIVERSITY MEDICAL CENTER
N161661CASH
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
C2012000CASH
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
N152889CASH
ADVENTIST HEALTH SYSTEMS LOMA LINDA
O436389CASH
LOMA LINDA UNIVERSITY MEDICAL CENTER
O96098CASH

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