LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC (EIN 95-4083895)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2011-11-14
- IRS object ID
- 201113189349304381
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T16:00:29-06:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOREN MCADAM CHRISTENSON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2068 ORANGE TREE LANE SUITE 100 | AddressLine1 |
| City | REDLANDS | City |
| State | CA | State |
| ZIP Code | 92374 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 954083895 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LOMA | NameControl |
| Phone | 9095806422 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1740 | AddressLine1 |
| City | LOMA LINDA | City |
| State | CA | State |
| ZIP Code | 923540240 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRIAN BULL MD | Name |
| Title | DIRECTOR/PRESIDENT | Title |
| Phone | 9095586422 | Phone |
| Date Signed | 2011-11-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIRK G STITT | Name |
| Phone | 9097982222 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BRIAN BULL MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11234 ANDERSON ST | AddressLine1 |
| City | LOMA LINDA | City |
| State | CA | State |
| ZIP Code | 92354 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 11275922 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 28 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2910710 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2914461 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7683368 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8288773 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 85993 | InvestmentIncomePriorYear |
| Investment Income Current Year | 72253 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 226300 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10906371 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11275487 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 89316 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 49536 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5683311 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5737944 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4610446 | OtherExpensePriorYear |
| Other Expenses Current Year | 4569391 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10383073 | TotalExpensesPriorYear |
| Total Expenses Current Year | 10356871 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 523298 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 918616 | RevenuesLessExpensesCY |
| Total Assets BOY | 5450900 | TotalAssetsBOY |
| Total Assets EOY | 6223438 | TotalAssetsEOY |
| Total Liabilities BOY | 1066313 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 920235 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4384587 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5303203 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6795063 | Expense |
| Revenue | 7756378 | Revenue |
| Description | PATIENT CARE ACCOMPLISHMENT 52,249 CLIENTS SERVED ($66,805 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1742080 | Expense |
| Revenue | 278784 | Revenue |
| Description | 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 | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1109335 | Expense |
| Revenue | 253611 | Revenue |
| Description | RESEARCH AND CTTR PROGRAM ACCOMPLISHMENT PROVIDED SUBSCRIPTION "A" (240 SUBSCRIBERS), SUBSCRIPTION "B" (158 SUBSCRIBERS) AND SUBSCRIPTION "C" 59 SUBSCRIBERS) IN ADDITION, THE CTTR PROGRAM HOSTED TWO SEPARATE SEMINARS TO 276 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 28 ARTICLES IN PEER REVIEW MEDICAL JOURNALS AND PUBLISHED 14 WEB-BASED PUBLICATIONS | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 9646478 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 28 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATTN LISA PREVITE LOMA LINDA UNIV PATHOLOGY MEDICAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9095585170 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1911 WEST PARK AVE | AddressLine1 |
| City | REDLANDS | City |
| State | CA | State |
| ZIP Code | 92373 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| RICARDO PEVERINI MD | |||||||
| CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | ||
| BRIAN BULL MD | |||||||
| DIRECTOR/PRESIDENT | 30.00 | X | 158834 | 0 | 2843 | X | |
| DARRYL HEUSTIS MD | |||||||
| DIRECTOR/CFO | 40.00 | X | 205780 | 0 | 23980 | X | |
| DAVID HINSHAW MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LEONARD WERNER MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JEFF CAO MD | |||||||
| SECRETARY | 40.00 | 205474 | 0 | 25810 | X | ||
| JAMES PAPPAS MD | |||||||
| PHYSICIAN | 50.00 | 263250 | 0 | 8440 | X | ||
| GEORGE SAUKEL MD | |||||||
| PHYSICIAN | 50.00 | 230666 | 0 | 23290 | X | ||
| CRAIG ZUPPAN MD | |||||||
| PHYSICIAN | 50.00 | 255845 | 0 | 0 | X | ||
| JUN WANG MD | |||||||
| PHYSICIAN | 50.00 | 217370 | 0 | 22690 | X | ||
| KEVIN THOMPSON MD | |||||||
| PHYSICIAN | 50.00 | 211787 | 0 | 17190 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1749006 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 124243 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY HEALTH CARE | |||||
| 11175 CAMPUS STREET ROOM 11120 | LOMA LINDA | CA | 92350 | EMPLOYEE LEASING & MEDICAL BILLING | 3141725 |
| IM TECHNOLOGIES INC | |||||
| 613 VIA HORQUILLA | PALOS VERDES ESTATES | CA | 90274 | HISTOCOMPATIBILITY LAB SUPERVISION | 125000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| All Other Contributions | 2914461 | AllOtherContributions |
| Total Contributions | 2914461 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT REVENUE - NET | 621500 | 5133196 | 5133196 |
| DIRECTORS' FEES | 621500 | 2315760 | 2315760 |
| SALARY AND LEASED LABO | 621500 | 337761 | 337761 |
| CTTR | 621500 | 271054 | 271054 |
| CAPITATION | 621500 | 231002 | 231002 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8288773 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 72688 | TotalRevenueColumn |
| Exclusion | $72,688 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 435 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -435 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -435 | TotalRevenueColumn |
| Exclusion | -$435 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11275487 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8288773 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $72,253 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49536 | Total |
| Program Services | 49536 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 570088 | Total |
| Program Services | 287041 | ProgramServices |
| Management And General | 283047 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4000471 | Total |
| Program Services | 4000471 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 512734 | Total |
| Program Services | 481907 | ProgramServices |
| Management And General | 30827 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 415590 | Total |
| Program Services | 398176 | ProgramServices |
| Management And General | 17414 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239061 | Total |
| Program Services | 225917 | ProgramServices |
| Management And General | 13144 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150 | Total |
| Management And General | 150 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26017 | Total |
| Management And General | 26017 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50513 | Total |
| Program Services | 47816 | ProgramServices |
| Management And General | 2697 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14583 | Total |
| Program Services | 12445 | ProgramServices |
| Management And General | 2138 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 235411 | Total |
| Program Services | 212829 | ProgramServices |
| Management And General | 22582 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85788 | Total |
| Program Services | 84445 | ProgramServices |
| Management And General | 1343 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 178164 | Total |
| Program Services | 171810 | ProgramServices |
| Management And General | 6354 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACT LABOR | 2471598 | 2206492 | 265106 |
| FEE ASSESSMENT | 508593 | 488249 | 20344 |
| EDUCATION & RESEARCH | 325795 | 325469 | 326 |
| SUPPLIES | 306204 | 301676 | 4528 |
| PURCHASED MEDICAL SERVI | 173877 | 173877 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192698 | Total |
| Program Services | 178322 | ProgramServices |
| Management And General | 14376 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10356871 | Total |
| Program Services | 9646478 | ProgramServices |
| Management And General | 710393 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145710 | BOY |
| EOY | 749952 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109957 | BOY |
| EOY | 110185 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 694731 | BOY |
| EOY | 759994 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22587 | BOY |
| EOY | 14240 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3648861 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 652017 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 382193 | BOY |
| EOY | 2996844 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3954732 | BOY |
| EOY | 1479867 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140990 | BOY |
| EOY | 112356 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5450900 | BOY |
| EOY | 6223438 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1032723 | BOY |
| EOY | 849150 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33590 | BOY |
| EOY | 71085 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1066313 | BOY |
| EOY | 920235 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4227807 | BOY |
| EOY | 5153493 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156780 | BOY |
| EOY | 149710 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4384587 | BOY |
| EOY | 5303203 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5450900 | BOY |
| EOY | 6223438 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 918616 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| LLU SCHOOL OF MEDICINE | |||||
| 951816009 | 2 | 0 | 0 | 1 | $49,286 |
| LLU MEDICAL CENTER | |||||
| 953522679 | 3 | 0 | 0 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 49286 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 713400 | OtherCostOrOtherBasis |
| Book Value | 713400 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2935461 | OtherCostOrOtherBasis |
| Depreciation | 652017 | Depreciation |
| Book Value | 2283444 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2996844 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LLU FOUNDATION INVESTMENT POOLS | Description |
| Book Value | 1479867 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 1479867 | TotalOfBookValueSecurities |
| Total Revenue | 11275487 | TotalRevenue |
| Total Expenses | 10356871 | TotalExpenses |
| Excess Or Deficit For Year | 918616 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 918616 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 11281015 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 5528 | OtherRevenues |
| Revenue Not Rptd F990 | 5528 | RevenueNotRptdF990 |
| Revenue Subtotal | 11275487 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 11275487 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 10362399 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 5528 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 5528 | ExpensesNotRptdF990 |
| Expenses Subtotal | 10356871 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 10356871 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENT REIMBURSEMENTS NETTED WITH EXPENSE ON FORM 990 5,528. |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENT REIMBURSEMENTS NETTED WITH EXPENSE ON FORM 990 5,528. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE | |||||||
| 11175 CAMPUS STREET CP A-1108 | LOMA LINDA | CA | 92350 | 951816009 | 170(B)(1)(A)(II) | 49286 | EDUCATIONAL |
| PROFESSIONALS ANALYZING PAP SMEARS TEAM INTERNATIONAL | |||||||
| 1332 CRESTVIEW ROAD | REDLANDS | CA | 92374 | 952352122 | 501(C)(3) | 250 | EDUCATIONAL |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 2 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | RESEARCH ASSISTANCE | TypeOfGrant |
| Number Of Recipients | 1 | NumberOfRecipients |
| Amount Of Cash Grant | 12000 | AmountOfCashGrant |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN BULL MD | |||||||||||||
| 158834 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2843 | 0 | 161677 | 0 | 142726 | 0 |
| DARRYL HEUSTIS MD | |||||||||||||
| 205780 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 1980 | 0 | 229760 | 0 | 208651 | 0 |
| JEFF CAO MD | |||||||||||||
| 205474 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 3810 | 0 | 231284 | 0 | 221251 | 0 |
| JAMES PAPPAS MD | |||||||||||||
| 263250 | 0 | 0 | 0 | 0 | 0 | 7750 | 0 | 690 | 0 | 271690 | 0 | 229040 | 0 |
| GEORGE SAUKEL MD | |||||||||||||
| 230666 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 1290 | 0 | 253956 | 0 | 227340 | 0 |
| CRAIG ZUPPAN MD | |||||||||||||
| 255845 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 255845 | 0 | 228240 | 0 |
| JUN WANG MD | |||||||||||||
| 217370 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 690 | 0 | 240060 | 0 | 217460 | 0 |
| KEVIN THOMPSON MD | |||||||||||||
| 211787 | 0 | 0 | 0 | 0 | 0 | 16500 | 0 | 690 | 0 | 228977 | 0 | 211320 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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. | |
| 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 12C | |
| EVERY QUARTER THE CEO, CFO, AND SECRETARY REVIEW THE COMPENSATION OF EVERY EMPLOYEE AGAINST A MATRIX. | FORM 990, PART VI, SECTION B, LINE 15 | |
| AVAILABLE UPON REQUEST | FORM 990, PART VI, SECTION C, LINE 19 | |
| 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Comments