NATIONAL MEDICAL TECHNOLOGY TESTBED

Address
11175 CAMPUS STREET CSP NO 11006
LOMA LINDA, CA 92354
Contact
Phone: +1 (909) 558-7570
Nonprofit
NTEE: H119 - Medical research
EIN: 33-0578722

Mission

TO PROVIDE FUNDING TO DEVELOP AND PROTOTYPE TECHNOLOGY FOR MEDICAL USE.
 201220112010
Basic features of the organization
Year of formation1994
Subsection501(c)(3)
Organization typeCorporation
Metropolitan statistical area4472
Human resources, including compensation
Summary compensation info
Sum of reportable (W2/1099) compensation$0.00$0.00$0.00
Number of employees000
Number of people compensated >$100k000
Number of volunteers000
Personnel
7211, Jackson
Title FORMER PRESIDENT 
Name of key/compensated person JACKSON MICHAEL HENDERSON TO 7211 
Average hours per week working for org 0.10 
Reportable compensation from org $0.00 
Breakdown of reportable comp
Base reportable compensation from org $0.00 
Bonus and incentive reportable compensation $0.00 
Other reportable compensation from org $0.00 
Retirement and other deferred compensation $0.00 
Nontaxable benefits from org $0.00 
Compensation from org previously reported as deferred $0.00 
Other comp, non-reportable, from org and related orgs $37,480.00 
Sum of all compensation from org $0.00 
Position Former employee 
Corresponding comp from related orgs
Reportable compensation from related orgs  $563,071.00 
Base reportable compensation from related orgs $144,846.00 
Bonus and incentive reportable comp from related orgs $48,856.00 
Other reportable compensation from related orgs $369,369.00 
Retirement and other deferred compensation from related orgs $15,014.00 
Nontaxable benefits from related orgs $22,466.00 
Compensation from related orgs previously reported as deferred $0.00 
Sum of all compensation from related orgs $600,551.00 
Brian, Bull
TitleDIRECTOR, SECRETARYDIRECTOR, SECRETARYDIRECTOR, SECRETARY
Name of key/compensated personBULL BRIANBULL BRIANBULL BRIAN
Average hours per week working for org0.100.100.50
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or directorIndividual trustee or directorIndividual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Henry, Hart
TitleDIRECTORDIRECTOR 
Name of key/compensated personHART RICHARD HENRYHART RICHARD HENRY 
Average hours per week working for org0.100.10 
Reportable compensation from org$0.00$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00 
Bonus and incentive reportable compensation$0.00$0.00 
Other reportable compensation from org$0.00$0.00 
Retirement and other deferred compensation$0.00$0.00 
Nontaxable benefits from org$0.00$0.00 
Compensation from org previously reported as deferred$0.00$0.00 
Other comp, non-reportable, from org and related orgs$27,541.00$54,552.00 
Sum of all compensation from org$0.00$0.00 
PositionIndividual trustee or directorIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $423,718.00$450,987.00 
Base reportable compensation from related orgs$350,000.00$350,000.00 
Bonus and incentive reportable comp from related orgs$0.00$0.00 
Other reportable compensation from related orgs$73,718.00$100,987.00 
Retirement and other deferred compensation from related orgs$14,948.00$15,014.00 
Nontaxable benefits from related orgs$12,593.00$39,538.00 
Compensation from related orgs previously reported as deferred$0.00$0.00 
Sum of all compensation from related orgs$451,259.00$505,539.00 
J, Fike
TitleDIRECTORDIRECTOR 
Name of key/compensated personFIKE RUTHITA JFIKE RUTHITA J 
Average hours per week working for org0.100.10 
Reportable compensation from org$0.00$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00 
Bonus and incentive reportable compensation$0.00$0.00 
Other reportable compensation from org$0.00$0.00 
Retirement and other deferred compensation$0.00$0.00 
Nontaxable benefits from org$0.00$0.00 
Compensation from org previously reported as deferred$0.00$0.00 
Other comp, non-reportable, from org and related orgs$61,452.00$57,949.00 
Sum of all compensation from org$0.00$0.00 
PositionIndividual trustee or directorIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $1,345,073.00$1,120,704.00 
Base reportable compensation from related orgs$671,000.00$635,000.00 
Bonus and incentive reportable comp from related orgs$53,884.00$130,050.00 
Other reportable compensation from related orgs$620,189.00$355,654.00 
Retirement and other deferred compensation from related orgs$14,948.00$15,014.00 
Nontaxable benefits from related orgs$46,504.00$42,935.00 
Compensation from related orgs previously reported as deferred$0.00$0.00 
Sum of all compensation from related orgs$1,406,525.00$1,178,653.00 
J, Lang
TitleDIRECTORDIRECTOR 
Name of key/compensated personLANG KEVIN JLANG KEVIN J 
Average hours per week working for org0.100.10 
Reportable compensation from org$0.00$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00 
Bonus and incentive reportable compensation$0.00$0.00 
Other reportable compensation from org$0.00$0.00 
Retirement and other deferred compensation$0.00$0.00 
Nontaxable benefits from org$0.00$0.00 
Compensation from org previously reported as deferred$0.00$0.00 
Other comp, non-reportable, from org and related orgs$55,248.00-$6,466.00 
Sum of all compensation from org$0.00$0.00 
PositionIndividual trustee or directorIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $870,842.00$869,961.00 
Base reportable compensation from related orgs$558,000.00$537,000.00 
Bonus and incentive reportable comp from related orgs$43,187.00$68,351.00 
Other reportable compensation from related orgs$269,655.00$264,610.00 
Retirement and other deferred compensation from related orgs$14,948.00$15,014.00 
Nontaxable benefits from related orgs$40,300.00-$21,480.00 
Compensation from related orgs previously reported as deferred$0.00$59,374.00 
Sum of all compensation from related orgs$926,090.00$863,495.00 
Kevin, Lang
Title  DIRECTOR
Name of key/compensated person  LANG KEVIN
Average hours per week working for org  0.50
Reportable compensation from org  $0.00
Breakdown of reportable comp
Base reportable compensation from org  $0.00
Bonus and incentive reportable compensation  $0.00
Other reportable compensation from org  $0.00
Retirement and other deferred compensation  $0.00
Nontaxable benefits from org  $0.00
Compensation from org previously reported as deferred  $0.00
Other comp, non-reportable, from org and related orgs  $74,347.00
Sum of all compensation from org  $0.00
Position  Individual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs   $668,179.00
Base reportable compensation from related orgs  $506,292.00
Bonus and incentive reportable comp from related orgs  $0.00
Other reportable compensation from related orgs  $161,887.00
Retirement and other deferred compensation from related orgs  $15,014.00
Nontaxable benefits from related orgs  $59,333.00
Compensation from related orgs previously reported as deferred  $0.00
Sum of all compensation from related orgs  $742,526.00
Loren, Babiuk
TitleDIRECTORDIRECTORDIRECTOR
Name of key/compensated personBABIUK LORENBABIUK LORENBABIUK LOREN
Average hours per week working for org0.100.100.50
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or directorIndividual trustee or directorIndividual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Michael, Jackson
Title  PRESIDENT
Name of key/compensated person  JACKSON MICHAEL
Average hours per week working for org  0.50
Reportable compensation from org  $0.00
Breakdown of reportable comp
Base reportable compensation from org  $0.00
Bonus and incentive reportable compensation  $0.00
Other reportable compensation from org  $0.00
Retirement and other deferred compensation  $0.00
Nontaxable benefits from org  $0.00
Compensation from org previously reported as deferred  $0.00
Other comp, non-reportable, from org and related orgs  $26,663.00
Sum of all compensation from org  $0.00
Position  Individual trustee or director, Officer
Corresponding comp from related orgs
Reportable compensation from related orgs   $328,900.00
Base reportable compensation from related orgs  $260,470.00
Bonus and incentive reportable comp from related orgs  $0.00
Other reportable compensation from related orgs  $68,430.00
Retirement and other deferred compensation from related orgs  $15,014.00
Nontaxable benefits from related orgs  $11,649.00
Compensation from related orgs previously reported as deferred  $0.00
Sum of all compensation from related orgs  $355,563.00
Orlando, Huggins
TitleCFOCFOCFO
Name of key/compensated personHUGGINS L ORLANDOHUGGINS LIONEL ORLANDOHUGGINS L ORLANDO
Average hours per week working for org0.100.100.50
Reportable compensation from org$0.00$0.00$0.00
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00$0.00
Bonus and incentive reportable compensation$0.00$0.00$0.00
Other reportable compensation from org$0.00$0.00$0.00
Retirement and other deferred compensation$0.00$0.00$0.00
Nontaxable benefits from org$0.00$0.00$0.00
Compensation from org previously reported as deferred$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$22,800.00$38,562.00$30,138.00
Sum of all compensation from org$0.00$0.00$0.00
PositionOfficerOfficerOfficer
Corresponding comp from related orgs
Reportable compensation from related orgs $152,843.00$138,133.00$140,592.00
Base reportable compensation from related orgs$125,035.00$122,676.00$122,676.00
Bonus and incentive reportable comp from related orgs$0.00$0.00$0.00
Other reportable compensation from related orgs$27,808.00$15,457.00$17,916.00
Retirement and other deferred compensation from related orgs$5,767.00$7,533.00$7,705.00
Nontaxable benefits from related orgs$17,033.00$31,029.00$22,433.00
Compensation from related orgs previously reported as deferred$0.00$0.00$0.00
Sum of all compensation from related orgs$175,643.00$176,695.00$170,730.00
Richard, Hart
Title  DIRECTOR
Name of key/compensated person  HART RICHARD
Average hours per week working for org  0.50
Reportable compensation from org  $0.00
Breakdown of reportable comp
Base reportable compensation from org  $0.00
Bonus and incentive reportable compensation  $0.00
Other reportable compensation from org  $0.00
Retirement and other deferred compensation  $0.00
Nontaxable benefits from org  $0.00
Compensation from org previously reported as deferred  $0.00
Other comp, non-reportable, from org and related orgs  $38,502.00
Sum of all compensation from org  $0.00
Position  Individual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs   $437,391.00
Base reportable compensation from related orgs  $350,000.00
Bonus and incentive reportable comp from related orgs  $0.00
Other reportable compensation from related orgs  $87,391.00
Retirement and other deferred compensation from related orgs  $15,014.00
Nontaxable benefits from related orgs  $23,488.00
Compensation from related orgs previously reported as deferred  $0.00
Sum of all compensation from related orgs  $475,893.00
Ruthita, Fike
Title  DIRECTOR
Name of key/compensated person  FIKE RUTHITA
Average hours per week working for org  0.50
Reportable compensation from org  $0.00
Breakdown of reportable comp
Base reportable compensation from org  $0.00
Bonus and incentive reportable compensation  $0.00
Other reportable compensation from org  $0.00
Retirement and other deferred compensation  $0.00
Nontaxable benefits from org  $0.00
Compensation from org previously reported as deferred  $0.00
Other comp, non-reportable, from org and related orgs  -$5,617.00
Sum of all compensation from org  $0.00
Position  Individual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs   $1,003,324.00
Base reportable compensation from related orgs  $614,320.00
Bonus and incentive reportable comp from related orgs  $0.00
Other reportable compensation from related orgs  $389,004.00
Retirement and other deferred compensation from related orgs  $15,014.00
Nontaxable benefits from related orgs  -$20,631.00
Compensation from related orgs previously reported as deferred  $0.00
Sum of all compensation from related orgs  $997,707.00
William, Hughes
TitleDIRECTORDIRECTORDIRECTOR
Name of key/compensated personHUGHES III WALTER WILLIAMHUGHES III WALTER WILLIAMHUGHES WILLIAM
Average hours per week working for org0.100.100.50
Reportable compensation from org$0.00$0.00$0.00
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00$0.00
Bonus and incentive reportable compensation$0.00$0.00$0.00
Other reportable compensation from org$0.00$0.00$0.00
Retirement and other deferred compensation$0.00$0.00$0.00
Nontaxable benefits from org$0.00$0.00$0.00
Compensation from org previously reported as deferred$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$31,295.00$31,659.00$28,974.00
Sum of all compensation from org$0.00$0.00$0.00
PositionIndividual trustee or directorIndividual trustee or directorIndividual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs $196,516.00$195,067.00$178,544.00
Base reportable compensation from related orgs$195,566.00$193,976.00$176,904.00
Bonus and incentive reportable comp from related orgs$158.00$299.00$491.00
Other reportable compensation from related orgs$792.00$792.00$1,149.00
Retirement and other deferred compensation from related orgs$22,115.00$13,975.00$13,268.00
Nontaxable benefits from related orgs$9,180.00$17,684.00$15,706.00
Compensation from related orgs previously reported as deferred$0.00$0.00$0.00
Sum of all compensation from related orgs$227,811.00$226,726.00$207,518.00
Purpose: mission, activities & accomplishments
Mission or significant activitiesTO PROVIDE FUNDING TO DEVELOP AND PROTOTYPE TECHNOLOGY FOR MEDICAL USE.TO PROVIDE FUNDING TO DEVELOP AND PROTOTYPE TECHNOLOGY FOR MEDICAL USE.TO PROVIDE FUNDING TO DEVELOP AND PROTOTYPE TECHNOLOGY FOR MEDICAL USE.
Program expenses (total) $10.00$5,040.00
Programs, including revenue & expenses
DURING 2010 NMTB PROVIDED MANAGEMENT AND REVIEW OF EXISTING FUNDING PROVIDED TO VARIOUS PROJECTS TO DEVELOP AND PROTOTYPE TECHNOLOGY FOR MEDICAL USE.
Program expenses  $5,040.00
Grants and allocations made  $5,040.00
Program revenue  $6,732.00
Program description  DURING 2010 NMTB PROVIDED MANAGEMENT AND REVIEW OF EXISTING FUNDING PROVIDED TO VARIOUS PROJECTS TO DEVELOP AND PROTOTYPE TECHNOLOGY FOR MEDICAL USE.
DURING 2012 BANK FEES WERE PAID IN CONNECTION WITH MAINTAINING THE EXISTING FUNDING TO DEVELOP AND PROTOTYPE TECHNOLOGY FOR MEDICAL USE.
Program expenses $10.00 
Program revenue$179.00$444.00 
Program descriptionDURING 2012 BANK FEES WERE PAID IN CONNECTION WITH MAINTAINING THE EXISTING FUNDING TO DEVELOP AND PROTOTYPE TECHNOLOGY FOR MEDICAL USE.DURING 2011 BANK FEES WERE PAID IN CONNECTION WITH MAINTAINING THE EXISTING FUNDING TO DEVELOP AND PROTOTYPE TECHNOLOGY FOR MEDICAL USE 
Financial data
Expense categories (totals)
Sum (total functional expenses)$5.00$15.00$5,044.00
Program services (total functional expenses)$0.00$10.00$5,040.00
Management & general (total functional expenses)$5.00$5.00$4.00
Fundraising (total functional expenses)$0.00$0.00$0.00
Revenue
Total revenue$179.00$444.00$6,732.00
Program service revenue (total)$0.00$0.00$5,040.00
Revenue from contributions (total)$0.00$0.00 
Investment income$51.00$38.00$24.00
Total unrelated business revenue$0.00$0.00$0.00
Other revenue, current yr$128.00$406.00$1,668.00
Net unrelated business taxable revenue$0.00$0.00$0.00
Total revenue from grants, etc., current yr$0.00$0.00$0.00
Gross receipts$179.00$444.00$6,732.00
Other types of revenue
Royalties (total)$128.00$406.00$1,668.00
Income from dividends, interest, and similar investments$51.00$38.00$24.00
Net rental income$0.00$0.00 
Fees for services
Fundraising service fees (total)$0.00$0.00$0.00
Accounting service fees (total)$5.00$15.00$44.00
Assets and liabilities
Total assets$215,715.00$215,173.00$214,273.00
Total assets, beginning of year$215,173.00$214,273.00$216,861.00
Total liabilities$165,345.00$164,977.00$164,506.00
Total liabilities, beginning of year$164,977.00$164,506.00$168,782.00
Net assets$50,370.00$50,196.00$49,767.00
Net assets, beginning of year$50,196.00$49,767.00$48,079.00
Grants payable-$583.00-$583.00-$583.00
Other financial variables
Revenue less expenses$174.00$429.00$1,688.00
Savings & temp cash investment$215,715.00$215,173.00$214,273.00
Accounts payable & accrued expenses$165,928.00$165,560.00$165,089.00
Total net assets or fund balances$50,370.00$50,196.00$49,767.00
Governance and accountability
Number of voting members777
Number of independent voting members777
Tax year start date2012-01-012011-01-012010-01-01
Tax year end date2012-12-312011-12-312010-12-31
Accounting methodAccrualAccrualAccrual
Metadata about the filing
E-return type990990990
Date e-filing submitted2013-12-192012-12-262011-12-20
IRS schema version2012v2.12011v1.22010v3.4
Filing identifier201313179349306561201213199349306061201113159349303766
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