2011-11-14T16:00:29-06:00 2011-06-30 SOREN MCADAM CHRISTENSON LLP 2068 ORANGE TREE LANE SUITE 100 REDLANDS CA 92374 990 2010-07-01 954083895 LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC LOMA 9095806422 PO BOX 1740 LOMA LINDA CA 923540240 BRIAN BULL MD 9095586422 2011-11-08 1 KIRK G STITT 9097982222 2010 2016-03-07 17:11:31Z BRIAN BULL MD 11234 ANDERSON ST LOMA LINDA CA 92354 11275922 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 28 0 0 0 2910710 2914461 7683368 8288773 85993 72253 226300 0 10906371 11275487 89316 49536 0 0 5683311 5737944 0 0 0 4610446 4569391 10383073 10356871 523298 918616 5450900 6223438 1066313 920235 4384587 5303203 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 6795063 7756378 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. 1742080 278784 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 1109335 253611 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 9646478 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 4 0 1 28 1 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 158834 0 2843 DARRYL HEUSTIS MD 40.00 X X 205780 0 23980 DAVID HINSHAW MD 1.00 X 0 0 0 LEONARD WERNER MD 1.00 X 0 0 0 JEFF CAO MD 40.00 X 205474 0 25810 JAMES PAPPAS MD 50.00 X 263250 0 8440 GEORGE SAUKEL MD 50.00 X 230666 0 23290 CRAIG ZUPPAN MD 50.00 X 255845 0 0 JUN WANG MD 50.00 X 217370 0 22690 KEVIN THOMPSON MD 50.00 X 211787 0 17190 1749006 0 124243 8 0 1 0 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 2 2914461 2914461 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 8288773 72688 72688 435 -435 -435 -435 11275487 8288773 0 72253 49536 49536 570088 287041 283047 4000471 4000471 512734 481907 30827 415590 398176 17414 239061 225917 13144 150 150 26017 26017 50513 47816 2697 14583 12445 2138 235411 212829 22582 85788 84445 1343 178164 171810 6354 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 192698 178322 14376 10356871 9646478 710393 0 145710 749952 109957 110185 694731 759994 22587 14240 3648861 652017 382193 2996844 3954732 1479867 140990 112356 5450900 6223438 1032723 849150 33590 71085 1066313 920235 X 4227807 5153493 156780 149710 4384587 5303203 5450900 6223438 918616 0 X X 0 1 1 X 0 X X 0 0 0 LLU SCHOOL OF MEDICINE 951816009 2 0 0 1 49286 LLU MEDICAL CENTER 953522679 3 0 0 1 0 2 49286 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 713400 713400 2935461 652017 2283444 2996844 LLU FOUNDATION INVESTMENT POOLS 1479867 C 1479867 11275487 10356871 918616 0 918616 11281015 5528 5528 11275487 0 11275487 10362399 5528 5528 10356871 0 10356871 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. 1 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 1 2 RESEARCH ASSISTANCE 1 12000 X X X 0 0 0 0 0 0 0 0 0 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0