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LOMA LINDA UNIVERSITY ANESTHESIOLOGY: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LOMA LINDA UNIVERSITY ANESTHESIOLOGY (EIN 33-0292783)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201211369349305616
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)
Timestamp2012-05-15T14:04:49-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12068 ORANGE TREE LANE SUITE 100AddressLine1
CityREDLANDSCity
StateCAState
ZIP Code92374ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN330292783EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOMA LINDA UNIVERSITY ANESTHESIOLOGYBusinessNameLine1
Business Name Line2MEDICAL GROUP INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlLOMANameControl
Phone9098244475Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 933AddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code92354ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT MARTIN MDName
TitlePRESIDENTTitle
Phone9098244475Phone
Date Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIRK G STITTName
Phone9097982222Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT MARTIN MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line111234 ANDERSON STAddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code92354ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24080148GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionPRIMARY PURPOSE IS TO IMPLEMENT A FACULTY PRACTICE PROGRAM FOR VARIOUS DEPARTMENT FACULTY MEMBERS OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees60TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18927875ProgramServiceRevenuePriorYear
Program Service Revenue CY20278729ProgramServiceRevenueCY
Investment Income Prior Year40171InvestmentIncomePriorYear
Investment Income Current Year19001InvestmentIncomeCurrentYear
Other Revenue Prior Year1000OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year18969046TotalRevenuePriorYear
Total Revenue Current Year20297730TotalRevenueCurrentYear
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 Year12646851SalariesEtcPriorYear
Salaries Etc Current Year13569116SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6320704OtherExpensePriorYear
Other Expenses Current Year6754029OtherExpensesCurrentYear
Total Expenses Prior Year18967555TotalExpensesPriorYear
Total Expenses Current Year20323145TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1491RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-25415RevenuesLessExpensesCY
Total Assets BOY8421051TotalAssetsBOY
Total Assets EOY8088541TotalAssetsEOY
Total Liabilities BOY3141900TotalLiabilitiesBOY
Total Liabilities EOY2836897TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5279151NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5251644NetAssetsOrFundBalancesEOY
Mission DescriptionPRIMARY PURPOSE IS TO IMPLEMENT A FACULTY PRACTICE PROGRAM FOR VARIOUS DEPARTMENT FACULTY MEMBERS OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16297018Expense
Revenue20238179Revenue
DescriptionPROVIDE A FACULTY PRACTICE FOR VARIOUS PHYSICIAN DEPARTMENT FACULTY MEMBERS OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE OPERATED PRIMARILY FOR THE PURPOSE OF MEDICAL EDUCATION OF THE STUDENTS OF THE SCHOOL OF MEDICINE. ANY FEES DERIVED FROM THE PROGRAM ARE ANCILLARY TO THE PROGRAM'S PRIMARY PURPOSE OF PROVIDING STUDENTS AN EDUCATION IN THE FIELD OF MEDICINE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense240218Expense
Revenue40550Revenue
DescriptionRESEARCH PROJECTS RELATED TO MEDICAL RESEARCH ON CURRENT ISSUES IN THE FIELD OF ANESTHESIOLOGY.Description
FieldValueIRS element (for citing)
Total Program Service Expense16537236TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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 Stmt1IndependentAuditFinancialStmt
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 Rltnshp1OfficerEntityWithBsnssRltnshp
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 With109661NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees60NumberOfEmployees
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 Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SHIRLEY JONESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9095588172TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111234 ANDERSON ST ROOM 2532AddressLine1
CityLOMA LINDACity
StateCAState
ZIP Code92354ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT MARTIN
PRESIDENT40.00XX597109046518
RICHARD APPLEGATE
VICE-CHAIR / SECRETARY40.00XX553407047974
STAN BRAUER
CFO40.00XX508028038135
RICARDO PEVERINI
CHAIRMAN1.00X000
CHRISTOPHER JOBE
DIRECTOR1.00X000
ROBERT WAGNER
DIRECTOR1.00X000
RICHARD HART
DIRECTOR1.00X043739138502
MARTIN ALLARD
PHYSICIAN40.00443798035720X
GARY STIER
PHYSICIAN40.00423070040376X
CARL COLLIER
PHYSICIAN40.00420382047397X
IHAB DOROTTA
PHYSICIAN40.00383220042425X
MONICA NEUMANN
PHYSICIAN40.00381242034052X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3710256TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs437391TotalReportableCompFrmRltdOrgs
Total Other Compensation371099TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LOMA LINDA UNIVERSITY HEALTH CARE
11175 CAMPUS STREET 11120LOMA LINDACA92354EMPLOYEE LEASING2163905
MCKESSON CORPORATION
PO BOX 403421ATLANTAGA30384PATIENT BILLING SERVICE868679
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE - NET6211101580397515803975
DIRECTORS' FEES56100041568004156800
CAPITATION PREMIUM900099222806222806
HONORARIUM9000995459854598
RESEARCH GRANTS6215004055040550
FieldValueIRS element (for citing)
Total Program Service Revenue20278729TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21894TotalRevenueColumn
Exclusion$21,894ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3779000Securities
Other525Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3782418Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-3418Securities
Other525Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2893TotalRevenueColumn
Exclusion-$2,893ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20297730TotalRevenueColumn
Related Or Exempt Function Income20278729RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$19,001ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1724544Total
Program Services1724544ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10391529Total
Program Services10391529ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total865155Total
Program Services865155ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total104053Total
Management And General104053ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total483835Total
Program Services483835ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1810Total
Management And General1810ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25035Total
Management And General25035ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6261Total
Program Services2049ProgramServices
Management And General4212ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total60946Total
Program Services24235ProgramServices
Management And General36711ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total36160Total
Management And General36160ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total36719Total
Management And General36719ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total33603Total
Management And General33603ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total892573Total
Program Services892573ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
BILLING SERVICE FEE21868352186835
CONTRACT LABOR15527483611552387
LEASED EMPLOYEES11973151197315
CONTINUING EDUCATION252012758251254
DUES & LICENSES1465378668137869

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total325475Total
Program Services211806ProgramServices
Management And General113669ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20323145Total
Program Services16537236ProgramServices
Management And General3785909ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4809443BOY
EOY4316859EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3368BOY
EOY6789EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2791479BOY
EOY3252372EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY30691BOY
EOY37962EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis423664LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec297644LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY115658BOY
EOY126020EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY670412BOY
EOY348539EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8421051BOY
EOY8088541EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY181290BOY
EOY112337EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2960610BOY
EOY2724560EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3141900BOY
EOY2836897EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5279151BOY
EOY5251644EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5279151BOY
EOY5251644EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8421051BOY
EOY8088541EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-25415ReconcilationRevenueExpenses
Reconcilation Other Changes-2092ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
9518160092111$0
LOMA LINDA UNIVERSITY MEDICAL CENTER
9535226793111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis67438OtherCostOrOtherBasis
Depreciation16576Depreciation
Book Value50862BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis356226OtherCostOrOtherBasis
Depreciation281068Depreciation
Book Value75158BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings126020TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATE ORGANIZATIONS$1,415,289
PATIENT REFUNDS PAYABLE$151,403
ACCRUED PAYROLL AND BENEFITS$759,260
ACCRUED PENSION PLAN$398,608
FieldValueIRS element (for citing)
Total Of Amounts2724560TotalOfAmounts
Total Revenue20297730TotalRevenue
Total Expenses20323145TotalExpenses
Excess Or Deficit For Year-25415ExcessOrDeficitForYear
Net Unrealized GL On Investments-2092NetUnrealizedGLOnInvestments
Total Adjustments-2092TotalAdjustments
Excess Or Deficit Per FS-27507ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt20297730TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal20297730RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99020297730TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20323145TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal20323145ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020323145TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (12 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
ROBERT MARTIN
465750053200078159022000024518064362706561040
RICHARD APPLEGATE
3895000125750038157022000025974060138105591400
STAN BRAUER
3175000109500081028022000016135054616304785570
RICARDO PEVERINI
000000000000
CHRISTOPHER JOBE
000000000000
ROBERT WAGNER
000000000000
RICHARD HART
03500000008739101501402348804758930532419
MARTIN ALLARD
3000000106500037298022000013720047951804339490
GARY STIER
273000097000053070020500019876046344604427810
CARL COLLIER
277500092000050882022000025397046777904026320
IHAB DOROTTA
247000066000070220016500025925042564503978850
MONICA NEUMANN
258000087000036242022000012052041529403799030

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
RICHARD HART MD
COMMON BOARD MEMBER -LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTERTHE ORGANIZATION HAS INSURANCE EXPENSES RELATED TO LLUAHSC. THE BREAKDOWN OF THE EXPENSES ARE AS FOLLOWS:MALPRACTICE INSURANCE TRUST $432,354HEALTHCARE COVERAGE $420,413WORKERS' COMPENSATION COVERAGE $ 13,000 TOTAL EXPENSE $865,7670
(no name)
0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE BOARD REVIEWS A DRAFT OF THE TAX RETURN AND FINANCIAL STATEMENTS PRIOR TO FILING THE TAX RETURN.
COMPLIANCE IS ENFORCED VIA VERBAL QUESTIONS AND ANNUAL SIGNATURE ATTESTING TO COMPLIANCE WITH THE CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION SUBJECT TO BOARD REVIEW AND APPROVAL.FORM 990, PART VI, SECTION B, LINE 15
DOCUMENTS AVAILABLE UPON REQUEST AT THE ORGANIZATION.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -2,092.FORM 990, PART XI, LINE 5:
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
11175 CAMPUS STLOMA LINDACA92354951816009SCHOOL OF MEDICINECA501(C)(3)170(B)(1)(A)(I)N/A0
LOMA LINDA UNIVERSITY MEDICAL CENTER
11175 CAMPUS STLOMA LINDACA92354953522679HOSPITALCA501(C)(3)170(B)(1)(A)(V)N/A0
LOMA LINDA FACULTY MEDICAL GROUP INC
11175 CAMPUS STLOMA LINDACA92354330672914MEDICAL EDUCATION, ADMINISTRATIVE & CLINICAL SERVICESCA501(C)(3)509(A)(3) TYPE IN/A0
ADVENTIST HEALTH SYSTEMS LOMA LINDA
11175 CAMPUS STLOMA LINDACA92354953484589CHURCHCA501(C)(3)170(B)(1)(A)(I)N/A0
LOMA LINDA UNIVERSITY HEALTH CARE
11175 CAMPUS STLOMA LINDACA92354330364239HEALTH CARE MANAGEMENT SERVICE ORGANIZATIONCA501(C)(3)509(A)(3) TYPE IN/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LOMA LINDA UNIVERSITY HEALTH CENTER
R222806CASH
LOMA LINDA UNIVERSITY MEDICAL CENTER
R3440768CASH
LOMA LINDA UNIVERSITY HEALTH CENTER
M1292552CASH
LOMA LINDA UNIVERSITY HEALTH CENTER
O1279815CASH
LOMA LINDA UNIVERSITY MEDICAL CENTER
J1552387CASH
ADVENTIST HEALTH SYSTEMS LOMA LINDA
O865764CASH
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
J10160CASH
LOMA LINDA UNIVERSITY MEDICAL CENTER
O22200CASH
LOMA LINDA UNIVERSITY MEDICAL CENTER
N1313040CASH
LOMA LINDA UNIVERSITY HEALTH CENTER
Q30472CASH
LOMA LINDA UNIVERSITY MEDICAL CENTER
Q1275201CASH