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LOMA LINDA UNIVERSITY HEALTH CARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LOMA LINDA UNIVERSITY HEALTH CARE (EIN 33-0364239)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201441359349307094
Schema version
2012v2.0
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)
Timestamp2014-05-15T12:57:55-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN330364239EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Loma Linda University Health CareBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLOMANameControl
Phone9095588292Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111175 Campus StAddressLine1
CityLoma LindaCity
StateCAState
ZIP Code92350ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDavid WrenName
TitleCEOTitle
Date Signed2014-05-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts115515013GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionLoma Linda University Health Care is organized to support the clinical teaching programs of Loma Linda University School of Medicine in conjunction with Loma Linda University and Loma Linda University Medical Center by providing medical administrative supporting services; to establish, support, and maintain medical clinics providing health care services through its affiliation with Loma Linda University School of Medicine; to sponsor, advance, and promote health and medical education; and to engage in medically related research services through affiliation with the Loma Linda University School of Medicine.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1748TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year173689440ProgramServiceRevenuePriorYear
Program Service Revenue CY115511488ProgramServiceRevenueCY
Investment Income Prior Year15814InvestmentIncomePriorYear
Investment Income Current Year3525InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year173705254TotalRevenuePriorYear
Total Revenue Current Year115515013TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year74413524SalariesEtcPriorYear
Salaries Etc Current Year78412236SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year120576571OtherExpensePriorYear
Other Expenses Current Year47149851OtherExpensesCurrentYear
Total Expenses Prior Year194990095TotalExpensesPriorYear
Total Expenses Current Year125562087TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-21284841RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-10047074RevenuesLessExpensesCY
Total Assets BOY41481799TotalAssetsBOY
Total Assets EOY37520138TotalAssetsEOY
Total Liabilities BOY24473975TotalLiabilitiesBOY
Total Liabilities EOY22863360TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17007824NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14656778NetAssetsOrFundBalancesEOY
Mission DescriptionLoma Linda University Health Care is organized to support the clinical teaching programs of Loma Linda University School of Medicine in conjunction with Loma Linda University and Loma Linda University Medical Center by providing medical administrative supporting services; to establish, support, and maintain medical clinics providing health care services through its affiliation with Loma Linda University School of Medicine; to sponsor, advance, and promote health and medical education; and to engage in medically related research services through affiliation with the Loma Linda University School of Medicine.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense108674381Expense
DescriptionLoma Linda University Health Care (LLUHC) operates medical clinics and provides administrative and management services in conjunction with Loma Linda University School of Medicine and Loma Linda University Medical Center. LLUHC provided administrative support to over 600 faculty physicians responsible for training and educating approximately 600 medical students and 450 residents. This combination of care providers saw over 45,000 patients on a monthly basis. A significant number of these patients received medi-cal or medicare assistance.Description
Total Program Service Expense108674381TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109638NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1748NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSteven OgilvieNamePerson
Telephone Number9095588292TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111175 Campus Street Room 11120AddressLine1
CityLoma LindaCity
StateCAState
ZIP Code92350ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Abel Torres MD
Director1.000.00X000
Richard Hart MD
Director1.0030.00X042371827541
Albert Simental MD
Director1.000.00X000
Kevin Lang
Director1.0040.00X087084255248
Ruthita Fike
Director1.0040.00X0134507361452
Richard Chinnock MD
Director1.000.00X000
Ricardo Peverini MD
Director1.000.00X000
Herbert Ruckle MD
Director1.000.00X000
Gary Botimer MD
Director1.000.00X000
Tom Werner
Director1.000.00X000
Doug Hegstad MD
Director1.000.00X000
Max Trevino
Director1.000.00X000
Daniel Fontoura MBA
Director1.0040.00X049551351209
Robert Carmen
Director1.000.00X000
Robert Martin MD
Director1.000.00X000
Zareh Sarrafian
Director1.0040.00X055700544613
Steve Mohr
Director1.0040.00X053014524678
H Roger Hadley MD
Director1.0020.00X042902540788X
David Wren
CEO49.001.00027371250504X
Michael Mahoney
Executive Director50.000.00183219010551X
Barbara Sharp
Executive Director50.000.00200031011728X
Padmini Davamony
Executive Director50.000.00190530011063X
Gary Fitzgerald MD
Executive Director50.000.00244097014813X
Steve Ogilvie CPA
Executive Director50.000.00221500013231X
Johannah U Corselli PhD
In-vitro specia50.000.0017029509647X
Mark E Wenborne
Perfusionist50.000.0015308908442X
Jay B Teele
Dir of FPBO50.000.00188061010890X
Tammie Wharton
Clinic Director50.000.0015287608427X
Lisa Previte
Clinic Director50.000.0015088708288X
Shon Brink
Executive Director50.000.00209141012479X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2063726TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4925033TotalReportableCompFrmRltdOrgs
Total Other Compensation475592TotalOtherCompensation
Number Individuals GT100 K45NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Lincoln Financial Group
PO Box 0821Carol StreamIL60132Insurance2630457
GE Healthcare IITS IDX
PO Box 845887BostonMA02284Software consulting1728010
Faculty Physicians and Surgeons of LLUSM
11175 Campus Street 11120Loma LindaCA92350Contract physician584032
Comphealth
PO Box 972651DallasTX75397Contract physician736527
Alls Well
PO Box 29048GlendaleCA91209Staffing services470093
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Rental revenue62111077798937779893
Miscellaneous revenue621110626094626094
Leased employee fee6211104855788848557888
Capitation revenue62111087858688785868
Administrative service6211104976174549761745
FieldValueIRS element (for citing)
Total Program Service Revenue115511488TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3525TotalRevenueColumn
Exclusion$3,525ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column115515013TotalRevenueColumn
Related Or Exempt Function Income115511488RelatedOrExemptFunctionIncome
Exclusion$3,525ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1100763Total
Program Services1100763ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total57800023Total
Program Services54180029ProgramServices
Management And General3619994ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2734539Total
Program Services2734539ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12533815Total
Program Services11200153ProgramServices
Management And General1333662ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4243096Total
Program Services4243096ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total62624Total
Program Services57757ProgramServices
Management And General4867ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total106397Total
Management And General106397ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total258054Total
Program Services255554ProgramServices
Management And General2500ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total125818Total
Program Services85166ProgramServices
Management And General40652ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8317780Total
Program Services8085257ProgramServices
Management And General232523ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total247006Total
Program Services195227ProgramServices
Management And General51779ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5329259Total
Program Services3974732ProgramServices
Management And General1354527ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total106765Total
Program Services106765ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Shared services394236919064442035925
Capitation claims61392796139279
Contract professional services90207118514039506672
Purchased services1099492142174986777423

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2498868Total
Program Services1678083ProgramServices
Management And General820785ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total125562087Total
Program Services108674381ProgramServices
Management And General16887706ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10929968BOY
EOY8153849EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1334743BOY
EOY1326422EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY476215BOY
EOY371050EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis37792636LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec30434971LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12449106BOY
EOY7357665EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY909744BOY
EOY817451EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15382023BOY
EOY19493701EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY41481799BOY
EOY37520138EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18440839BOY
EOY16491712EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6033136BOY
EOY6371648EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24473975BOY
EOY22863360EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17007824BOY
EOY14656778EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17007824BOY
EOY14656778EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41481799BOY
EOY37520138EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-10047074ReconcilationRevenueExpenses
Reconcilation Other Changes7696028ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
Loma Linda Univ Adv Health Science
953804495Religious/Churcfalsetruetrue$0
Loma Linda University Medical Ctr
953522679Hospitaltruetruetrue$0
Loma Linda University
951816009Religious/Churctruetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis175500OtherCostOrOtherBasis
Book Value175500BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis421875OtherCostOrOtherBasis
Book Value421875BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5506415OtherCostOrOtherBasis
Book Value5506415BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis29188637OtherCostOrOtherBasis
Book Value29188637BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2500209OtherCostOrOtherBasis
Depreciation30434971Depreciation
Book Value-27934762BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7357665TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Other receivables3469878
Other long term assets872370
Due from affiliated organizations15151453
FieldValueIRS element (for citing)
Total Book Value Other Assets19493701TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Long term deferred rent liabilities$889,750
Due to affiliated organizations$4,557,180
Deferred compensation$778,418
Capitation claims payable$146,300
FieldValueIRS element (for citing)
Total Of Amounts6371648TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt115515013TotRevenueEtcAuditedFinclStmt
Revenue Subtotal115515013RevenueSubtotal
Total Revenue Per Form990115515013TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt125562087TotExpensesEtcAuditedFinclStmt
Expenses Subtotal125562087ExpensesSubtotal
Total Expenses Per Form990125562087TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Zareh Sarrafian
Director41400044685983201004834565601618
Tammie Wharton
Clinic Director1528768427161303
Steve Ogilvie CPA
Executive Director22150013231234731
Steve Mohr
Director381000394771096681004814630554823
Shon Brink
Executive Director20914112479221620
Ruthita Fike
Director6710005388462018914948465041406525
Richard Hart MD
Director350000737181494812593451259
Padmini Davamony
Executive Director19053011063201593
Michael Mahoney
Executive Director18321910551193770
Mark E Wenborne
Perfusionist1530898442161531
Lisa Previte
Clinic Director1508878288159175
Kevin Lang
Director558000431872696551494840300926090
Johannah U Corselli PhD
In-vitro specia1702959647179942
Jay B Teele
Dir of FPBO18806110890198951
H Roger Hadley MD
Director353544754811494825840469813
Gary Fitzgerald MD
Executive Director24409714813258910
David Wren
CEO240000337121494835556324216
Daniel Fontoura MBA
Director39200030096734171494836261546722
Barbara Sharp
Executive Director20003111728211759

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances - Other IncreasesTransfers from affiliates = $7696028
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableIn addition to responding to requests it receives, the organization relys on the websites of multiple organizations both private and governmental to make available 990s and governing documents.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesOrganization relys on data retrieved from similar orgainzations gathered by the American Assoc of Medical Colleges to set compensation levels.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOrganization's general legal counsel requests annual conflict of interest statements from all director level and higher staff. These statements are assessed and appropriate action taken if necessary.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessIt is the intention that the 990 be reviewed by the governing body before filing; including an initial review by the Exec Dir of Finance, a secondary review by the Finance Committee, and the final review and approval by the board of directors.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Loma Linda University Medical Center
Anderson StLoma LindaCA92354953522679HospitalCA501(c)3HospitalN/Afalse
Loma Linda University
Campus StreetLoma LindaCA92350951816009ReligiousCA501(c)3ChurchN/Afalse
Loma Linda Univ Adventist Health Science
11175 Campus StreetLoma LindaCA92350953804495ReligiousCA501(c)3ChurchN/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Loma Linda University Medical Center
r23716000Transfer amt
Loma Linda University Medical Center
m5854415FMV
Loma Linda University Medical Center
k2521229FMV
Loma Linda University Medical Center
j904068FMV