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LOMA LINDA UNIVERSITY PHYSICIANS MEDICAL GROUP INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LOMA LINDA UNIVERSITY PHYSICIANS MEDICAL GROUP INC (EIN 33-0307946)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201201369349307820
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

FieldValueIRS element (for citing)
Timestamp2012-05-15T18:21:21-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1AHERN ADCOCK DEVLIN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12155 CHICAGO AVENUE SUITE 100AddressLine1
CityRIVERSIDECity
StateCAState
ZIP Code92507ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN330307946EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOMA LINDA UNIVERSITY PHYSICIANSBusinessNameLine1
Business Name Line2MEDICAL GROUP INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlLOMANameControl
Phone9095582191Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111370 ANDERSON STREET NO 3150AddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code92354ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL WALTER MDName
Title2ND VP AND CFOTitle
Phone9095582191Phone
Date Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLINDA S DEVLINName
Phone9516830672Phone
Date Prepared2012-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL WALTER MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line111370 ANDERSON STREET NO 3150AddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code92354ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20530081GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PERFORM FUNCTIONS OF THE INTERNAL MEDICINE DEPARTMENT OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE AND TO IMPLEMENT A FACULTY PRACTICE PROGRAM FOR DEPARTMENT FACULTY.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees64TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year421028ContributionsGrantsPriorYear
Contributions Grants Current Year404495ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17706588ProgramServiceRevenuePriorYear
Program Service Revenue CY20060462ProgramServiceRevenueCY
Investment Income Prior Year31026InvestmentIncomePriorYear
Investment Income Current Year19849InvestmentIncomeCurrentYear
Other Revenue Prior Year-7483OtherRevenuePriorYear
Other Revenue Current Year-20989OtherRevenueCurrentYear
Total Revenue Prior Year18151159TotalRevenuePriorYear
Total Revenue Current Year20463817TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12902484SalariesEtcPriorYear
Salaries Etc Current Year14932687SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5345092OtherExpensePriorYear
Other Expenses Current Year5877978OtherExpensesCurrentYear
Total Expenses Prior Year18247576TotalExpensesPriorYear
Total Expenses Current Year20810665TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-96417RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-346848RevenuesLessExpensesCY
Total Assets BOY4802958TotalAssetsBOY
Total Assets EOY5476751TotalAssetsEOY
Total Liabilities BOY1553323TotalLiabilitiesBOY
Total Liabilities EOY2573964TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3249635NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2902787NetAssetsOrFundBalancesEOY
Mission DescriptionTO PERFORM FUNCTIONS OF THE INTERNAL MEDICINE DEPARTMENT OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE AND TO IMPLEMENT A FACULTY PRACTICE PROGRAM FOR DEPARTMENT FACULTY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense17323628Expense
Revenue17766422Revenue
DescriptionPATIENT CARE:IMPLEMENTATION AND OPERATION OF A FACULTY PRACTICE, PRIMARILY FOR THE EDUCATION OF THE STUDENTS, RESIDENTS AND FELLOWS OF THE LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE(LLUSOM). A TOTAL OF 149,781 PROCEDURES WERE PERFORMED AND 97,173 PATIENTS VISITS TOOK PLACE DURING THE FISCAL YEAR.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense521338Expense
Revenue2273051Revenue
DescriptionACADEMICS:ACADEMIC TEACHING FOR THE DEPARTMENT OF MEDICINE OF LLUSOM MEDICAL STUDENTS, RESIDENTS AND FELLOWS. APPROXIMATELY 60 STUDENTS, 118 RESIDENTS AND 23 FELLOWS WERE TAUGHT. STUDENTS INCLUDE 25 IN SENIOR ELECTIVES AND 5 ASSIGNED TO LLUPMGI CLINICS DURING THE FISCAL YEAR. LLUPMGI PHYSICIANS HELD 11 TEACHING ROLES AND PARTICIPATED IN 127 LECTURES AND INTERACTIVE TEACHING.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense600904Expense
Revenue0Revenue
DescriptionRESEARCH:THE FACULTY EMPLOYEES OF LLUPMGI PARTICIPATED IN 35 RESEARCH AND GRANTSMANSHIP PROJECTS, ISSUED 7 PUBLICATIONS AND GAVE 4 PUBLIC PRESENTATIONS DURING THE FISCAL YEAR.Description
FieldValueIRS element (for citing)
Total Program Service Expense18445870TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees64NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSANDRA FISHERNamePerson
Telephone Number9095582191TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111370 ANDERSON STREET STE 3150AddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code92354ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ROGER HADLEY MD
DIRECTOR, SOM CHAIRMAN0.00X000
DOUGLAS HEGSTAD MD
DIRECTOR, PRESIDENT5.00X000X
DANIEL GIANG MD
DIRECTOR0.00X000
MICHAEL WALTER MD
DIRECTOR, 2ND VP&CFO50.00X289000053978X
ADRIAN COTTON MD
DIRECTOR50.00X211508032933
KENNETH JUTZY MD
DIRECTOR0.00X000
JAMES LARSEN MD
DIRECTOR, SECRETARY50.00X195258021473X
PHILIP M GOLD MD
FIRST VICE-PRES50.00214992044951X
DEBRA CRAIG MD
COMPLIANCE OFFICER50.00262208044613X
SANDRA FISHER
ASST SEC/ASST CFO50.00127082030420X
DAVID CONDON MD
PHYSICIAN50.00239234052754X
WICHIT SRIKUREJA MD
PHYSICIAN50.00240550036238X
TERENCE LEWIS MD
PHYSICIAN50.00261008054937X
ATHER MEHBOOB MD
PHYSICIAN50.00232758032933X
MICHAEL MENDLER MD
PHYSICIAN50.00236758039237X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2510356TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation444467TotalOtherCompensation
Number Individuals GT100 K39NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LOMA LINDA UNIVERSITY HEALTH CARE
11370 ANDERSON STREET STE 3000LOMA LINDACA92354LEASED EMPLOYEES, BILLING SERVICES, MAGM4767904
STAFF CARE INC
5001 STATESMAN DRIVEIRVINGTX75063PHYSICIAN SERVICES441113
BRUCE SAHBA MD A MEDICAL CORP
3865 CLAIREMONT DRIVESAN DIEGOCA92117CONTRACT MD SERVICES124500
RIVERSIDE COUNTY REGIONAL MED CENTER
26520 CACTUSMORENO VALLEYCA92555CONTRACT MD SERVICES110637
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations404495RelatedOrganizations
Total Contributions404495TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE6211101375593313755933
CONTRACT PATIENT CARE62111040104894010489
MEDICAL DIRECTORSHIPS62111018709201870920
ACADEMIC SUPPORT621110423120423120
FieldValueIRS element (for citing)
Total Program Service Revenue20060462TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column19849TotalRevenueColumn
Exclusion$19,849ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory45275GrossSalesOfInventory
Cost Of Goods Sold66264CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-20989TotalRevenueColumn
Related Or Exempt Function Income-20989RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20463817TotalRevenueColumn
Related Or Exempt Function Income20039473RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$19,849ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1283975Total
Program Services1194035ProgramServices
Management And General89940ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10241967Total
Program Services9495073ProgramServices
Management And General746894ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1021947Total
Program Services985599ProgramServices
Management And General36348ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1852439Total
Program Services1688282ProgramServices
Management And General164157ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total532359Total
Program Services504765ProgramServices
Management And General27594ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total889648Total
Program Services880206ProgramServices
Management And General9442ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total20725Total
Program Services19800ProgramServices
Management And General925ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26000Total
Management And General26000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2233457Total
Program Services1102343ProgramServices
Management And General1131114ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total563686Total
Program Services508077ProgramServices
Management And General55609ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7572Total
Program Services5643ProgramServices
Management And General1929ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total268831Total
Program Services241024ProgramServices
Management And General27807ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total77452Total
Program Services77342ProgramServices
Management And General110ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2295Total
Program Services1912ProgramServices
Management And General383ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total49329Total
Program Services43826ProgramServices
Management And General5503ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS12592941259342-48
PROFESSIONAL DEVELOPMEN2040831999214162
DUES & LICENSES1290641273281736
CULINARY79950732476703
MISCELLANEOUS442821579528487

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total22310Total
Program Services22310ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20810665Total
Program Services18445870ProgramServices
Management And General2364795ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1843320BOY
EOY2380685EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY395702BOY
EOY205550EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2267918BOY
EOY2540701EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY40607BOY
EOY49903EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY94794BOY
EOY105329EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis684213LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec489630LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY160617BOY
EOY194583EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4802958BOY
EOY5476751EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1522772BOY
EOY2491303EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY35264EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY30551BOY
EOY47397EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1553323BOY
EOY2573964EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3249635BOY
EOY2902787EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3249635BOY
EOY2902787EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4802958BOY
EOY5476751EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-346848ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
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

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOMA LINDA UNIVERSITY SCHOOL OF MEDICINEBusinessNameLine1
FieldValueIRS element (for citing)
EIN951816009EIN
Type Of OrganizationTYPE 2TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis104711OtherCostOrOtherBasis
Depreciation58310Depreciation
Book Value46401BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis579502OtherCostOrOtherBasis
Depreciation431320Depreciation
Book Value148182BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings194583TotalOfBookValueLandBuildings
Total Revenue20463817TotalRevenue
Total Expenses20810665TotalExpenses
Excess Or Deficit For Year-346848ExcessOrDeficitForYear
Excess Or Deficit Per FS-346848ExcessOrDeficitPerFS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 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
MICHAEL WALTER MD
24000004500004000022000031978034297803022920
ADRIAN COTTON MD
18700800024500000329330244441000
JAMES LARSEN MD
1570080003825006000015473021673102364010
PHILIP M GOLD MD
2149920000010500034451025994302589380
DEBRA CRAIG MD
20200800060200022000022613030682103556840
SANDRA FISHER
1266640004180165000139200157502000
DAVID CONDON MD
225000010000042340165000362540291988000
WICHIT SRIKUREJA MD
22500001000005550000362380276788000
TERENCE LEWIS MD
24499201000006016022000032937031594503191300
ATHER MEHBOOB MD
1720080006075000032933026569102914860
MICHAEL MENDLER MD
235008000175003000036237027599502934110

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 7ReturnReference
ExplanationMICHAEL WALTER, MD - RECEIVED $45,000 INCENTIVE COMPENSATION FOR ADDED FY RESPONSIBILTIES IN ASSOCIATION WITH HIS MEDICAL DIRECTORSHIP OF REGIONAL OUTREACH PROGRAM. DAVID CONDON, MD, AND TERENCE LEWIS, MD, - RECEIVED $10,000 EACH, GI PRODUCTION REVENUE BONUS FOR EXCEEDING FY PRODUCTION REVENUE ANTICIPATED IN FY BUDGET.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6LLUPMGI'S MEMBERS ARE ITS EMPLOYED PHYSICIANS.
FORM 990, PART VI, SECTION A, LINE 7ATHE PHYSICIANS/MEMBERS ELECT MEMBERS OF THE GOVERNING BODY UPON EXPIRATION OF THEIR TERM.
FORM 990, PART VI, SECTION B, LINE 11SUMMARY REVIEW PERFORMED BY CFO PRIOR TO FILING THE TAX RETURN.
ALTHOUGH LLUPMGI DOES NOT HAVE ITS OWN POLICY, IT UTILIZES THE UNIVERSITY-WIDE PROCESS.FORM 990, PART VI, SECTION B, LINE 12
USING EXTERNAL DATA, REVIEW AND APPROVAL BY THE FINANCE COMMITTEE.FORM 990, PART VI, SECTION B, LINE 15A
LLUPMGI MAKES ITS TAX FORMS AVAILABLE DURING NORMAL OFFICE HOURS UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
LLUPMGI DOES NOT MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS REGARDING THEIR AUDITED FINANCIAL STATEMENTS FROM THE PREVIOUS YEAR.FORM 990, PART XI, LINE 2C
RETURN PREPARATIONTHIS RETURN HAS BEEN PREPARED ON A BEST EFFORTS BASIS. THE ORGANIZATION HAS NOT COMPLETED THEIR JUNE 30, 2011 AUDIT. ONCE THE AUDIT IS COMPLETED THIS RETURN WILL BE AMENDED TO REPORT THEIR FISCAL ACTIVITIES CORRECTLY.FORM 990

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
LOMA LINDA UNIVERSITY
11145 STEWART STREETLOMA LINDACA92354951816009EDUCATIONCA501(C)(3)20
FACULTY PHYSICIANS AND SURGEONS OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
11175 CAMPUS STREET STE 11120LOMA LINDACA92354330672915SUPPORT LOMA LINDA UNIVERSITYCA509(A)(3)0
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg