2012-05-15T14:04:49-05:00 2011-06-30 SOREN MCADAM CHRISTENSON LLP 2068 ORANGE TREE LANE SUITE 100 REDLANDS CA 92374 990 2010-07-01 330292783 LOMA LINDA UNIVERSITY ANESTHESIOLOGY MEDICAL GROUP INC LOMA 9098244475 PO BOX 933 LOMA LINDA CA 92354 ROBERT MARTIN MD 9098244475 2012-05-15 1 KIRK G STITT 9097982222 2010 2016-02-24 21:20:13Z ROBERT MARTIN MD 11234 ANDERSON ST LOMA LINDA CA 92354 24080148 0 X N/A X 1988 CA PRIMARY PURPOSE IS TO IMPLEMENT A FACULTY PRACTICE PROGRAM FOR VARIOUS DEPARTMENT FACULTY MEMBERS OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE. 7 4 60 0 0 0 0 0 18927875 20278729 40171 19001 1000 0 18969046 20297730 0 0 0 0 12646851 13569116 0 0 0 6320704 6754029 18967555 20323145 1491 -25415 8421051 8088541 3141900 2836897 5279151 5251644 PRIMARY PURPOSE IS TO IMPLEMENT A FACULTY PRACTICE PROGRAM FOR VARIOUS DEPARTMENT FACULTY MEMBERS OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE. 0 0 16297018 20238179 PROVIDE 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. 240218 40550 RESEARCH PROJECTS RELATED TO MEDICAL RESEARCH ON CURRENT ISSUES IN THE FIELD OF ANESTHESIOLOGY. 16537236 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 61 0 1 60 1 0 0 0 0 0 0 0 0 X 7 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X SHIRLEY JONES 9095588172 11234 ANDERSON ST ROOM 2532 LOMA LINDA CA 92354 ROBERT MARTIN 40.00 X X 597109 0 46518 RICHARD APPLEGATE 40.00 X X 553407 0 47974 STAN BRAUER 40.00 X X 508028 0 38135 RICARDO PEVERINI 1.00 X 0 0 0 CHRISTOPHER JOBE 1.00 X 0 0 0 ROBERT WAGNER 1.00 X 0 0 0 RICHARD HART 1.00 X 0 437391 38502 MARTIN ALLARD 40.00 X 443798 0 35720 GARY STIER 40.00 X 423070 0 40376 CARL COLLIER 40.00 X 420382 0 47397 IHAB DOROTTA 40.00 X 383220 0 42425 MONICA NEUMANN 40.00 X 381242 0 34052 3710256 437391 371099 3 0 1 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS STREET 11120 LOMA LINDA CA 92354 EMPLOYEE LEASING 2163905 MCKESSON CORPORATION PO BOX 403421 ATLANTA GA 30384 PATIENT BILLING SERVICE 868679 2 PATIENT REVENUE - NET 621110 15803975 15803975 DIRECTORS' FEES 561000 4156800 4156800 CAPITATION PREMIUM 900099 222806 222806 HONORARIUM 900099 54598 54598 RESEARCH GRANTS 621500 40550 40550 20278729 21894 21894 3779000 525 3782418 -3418 525 -2893 -2893 20297730 20278729 0 19001 1724544 1724544 10391529 10391529 865155 865155 104053 104053 483835 483835 1810 1810 25035 25035 6261 2049 4212 60946 24235 36711 36160 36160 36719 36719 33603 33603 892573 892573 BILLING SERVICE FEE 2186835 2186835 CONTRACT LABOR 1552748 1552387 361 LEASED EMPLOYEES 1197315 1197315 CONTINUING EDUCATION 252012 251254 758 DUES & LICENSES 146537 137869 8668 325475 211806 113669 20323145 16537236 3785909 0 4809443 4316859 3368 6789 2791479 3252372 30691 37962 423664 297644 115658 126020 670412 348539 8421051 8088541 181290 112337 2960610 2724560 3141900 2836897 X 5279151 5251644 5279151 5251644 8421051 8088541 X -25415 -2092 X X 0 1 1 X 0 X X 0 0 0 LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE 951816009 2 1 1 1 0 LOMA LINDA UNIVERSITY MEDICAL CENTER 953522679 3 1 1 1 0 2 0 67438 16576 50862 356226 281068 75158 126020 DUE TO AFFILIATE ORGANIZATIONS 1415289 PATIENT REFUNDS PAYABLE 151403 ACCRUED PAYROLL AND BENEFITS 759260 ACCRUED PENSION PLAN 398608 2724560 20297730 20323145 -25415 -2092 -2092 -27507 20297730 0 20297730 0 20297730 20323145 0 20323145 0 20323145 X X 0 0 0 0 0 0 0 0 0 ROBERT MARTIN 465750 0 53200 0 78159 0 22000 0 24518 0 643627 0 656104 0 RICHARD APPLEGATE 389500 0 125750 0 38157 0 22000 0 25974 0 601381 0 559140 0 STAN BRAUER 317500 0 109500 0 81028 0 22000 0 16135 0 546163 0 478557 0 RICARDO PEVERINI 0 0 0 0 0 0 0 0 0 0 0 0 CHRISTOPHER JOBE 0 0 0 0 0 0 0 0 0 0 0 0 ROBERT WAGNER 0 0 0 0 0 0 0 0 0 0 0 0 RICHARD HART 0 350000 0 0 0 87391 0 15014 0 23488 0 475893 0 532419 MARTIN ALLARD 300000 0 106500 0 37298 0 22000 0 13720 0 479518 0 433949 0 GARY STIER 273000 0 97000 0 53070 0 20500 0 19876 0 463446 0 442781 0 CARL COLLIER 277500 0 92000 0 50882 0 22000 0 25397 0 467779 0 402632 0 IHAB DOROTTA 247000 0 66000 0 70220 0 16500 0 25925 0 425645 0 397885 0 MONICA NEUMANN 258000 0 87000 0 36242 0 22000 0 12052 0 415294 0 379903 0 RICHARD HART MD COMMON BOARD MEMBER -LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER THE 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 $865,767 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD REVIEWS A DRAFT OF THE TAX RETURN AND FINANCIAL STATEMENTS PRIOR TO FILING THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE IS ENFORCED VIA VERBAL QUESTIONS AND ANNUAL SIGNATURE ATTESTING TO COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION SUBJECT TO BOARD REVIEW AND APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE UPON REQUEST AT THE ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -2,092. FORM 990, PART XI, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 FACULTY MEDICAL GROUP INC 11175 CAMPUS ST LOMA LINDA CA 92354 330672914 MEDICAL EDUCATION, ADMINISTRATIVE & CLINICAL SERVICES 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 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 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 1 LOMA LINDA UNIVERSITY HEALTH CENTER R 222806 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER R 3440768 CASH LOMA LINDA UNIVERSITY HEALTH CENTER M 1292552 CASH LOMA LINDA UNIVERSITY HEALTH CENTER O 1279815 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER J 1552387 CASH ADVENTIST HEALTH SYSTEMS LOMA LINDA O 865764 CASH LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE J 10160 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER O 22200 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER N 1313040 CASH LOMA LINDA UNIVERSITY HEALTH CENTER Q 30472 CASH LOMA LINDA UNIVERSITY MEDICAL CENTER Q 1275201 CASH