Loma Linda University Behavioral Medicine Center Inc

“The sole corporate member of llubmc pursuant to section 9310 of the california nonprofit religious corporation law shall be lluh, a california non-profit religious corporation, acting by and through its board of trustees.”

“Lluh, as the corporate member, through its board of trustees has reserved powers to appoint the governing board of llubmc and to remove from office any trustee of the governing board of llubmc with or without cause.”

“The powers reserved by lluh as member, which may only be exercised by the lluh board upon the affirmative vote of two-thirds of the trustees present and voting at any regular or special meeting of the board at which a quorum is present are to: 1. Approve or ratify all changes to the articles of incorporation of bylaws of llubmc, as the member. 2. Appoint the governing board of llubmc as the member. 3. Approve any significant change in the corporate purposes of llubmc. The powers reserved by lluh as member, which shall only be exercised by the lluh board upon a majority vote of lluh's trustees present and voting at a regular or special meeting whenever a quorum is present, are to: 1. Remove from office any trustee of the governing board of llubmc with or without cause. 2. Review and consult with the governing board of llubmc regarding the appointment of the president/chief executive officer of this entity. However, the selection, appointment and removal of such president/chief executive officer is the legal responsibility of the governing board of llubmc. 3. Approve any merger, consolidation, dissolution, sale or transfer of more than ten million dollars of the assets of llubmc. 4. Require llubmc to have a policy for borrowing funds that is congruent with the lluh board-approved policy on borrowing. 5. Approve all borrowing of five million dollars or more by llubmc or its subsidiaries (see board-approved policy for borrowing of funds). 6. Approve any exceptions to the policy for the borrowing of funds by llubmc. 7. Approve the strategic plan of llubmc. 8. Approve major construction projects of llubmc. 9. Approve institutes; approve corporations subsidiary to llubmc. 10. Accept the annual audited financial statements of llubmc. 11. Approve the annual operating and capital budgets of llubmc. 12. Approve llubmc contracting guidelines. 13. Approve recommendations from llubmc and its subsidiaries for business development plans and activities. 14. Require llubmc to have a compliance program. If lluh does not give approval or ratification of an item noted above, then the item will be returned to the governing board of llubmc for reconsideration before resubmission. Nothing in the organization's bylaws is intended, nor shall be construed, to diminish the authority of the governing board and officers of llubmc over its own strategic, operational and management issues as required by california law, accrediting bodies, and/or financing documents.”

“This form 990 is reviewed by internal audit and management and is made available to the audit committee and the board for review and comment before filing.”

“General counsel annually obtains statements of disclosure from trustees, officers, administrators, key employees, and others who make or affect significant decisions and reviews the findings with appropriate boards and committees. The board of trustees makes the decisions regarding questions which have not been satisfactorily answered after administrative consideration.”

“Lluh, llubmc's parent organization, employs an independent outside consulting firm to benchmark compensation for lluh employees. Llubmc's ceo and cfo are employed by lluh. The lluh executive compensation committee uses the results of the independent survey to establish pay scales for the next fiscal year. The executive compensation committee sets the total compensation below the industry mean and median amounts provided in the survey. The executive compensation committee is composed of trustees appointed by the lluh board who are independent of lluh's management. The executive compensation committee is appointed by the lluh board of trustees to have direct responsibility for establishing compensation, policies, and benefits for the senior executives of lluh. The committee's process includes contemporaneous substantiation of deliberations and decisions. For key employees other than the officers as well as employees in leadership positions, llubmc management, through the human resource department, obtains the services of an independent consulting firm to conduct nationwide compensation surveys. Management uses the comparable benchmarks in the survey results to establish or review pay scales for the position. This survey, conducted by the independent consulting firm, is performed for the organization every two years. Internally, the human resource department conducts annual surveys using at least three survey results from independent firms to establish or review the reasonableness of compensation amounts. This process was last undertaken in december of 2015 for the position of vp & administrator, llubmc held by field, edward l. This process was last undertaken in december of 2013 for the position of evp, hospital operations & ceo, llumc held by fike, ruthita j.. This process was last undertaken in december of 2015 for the position of evp lluh, ceo uhs, dean school of medicine held by hadley, henry roger. This process was last undertaken in december of 2015 for the position of vp/cio, llu held by harris, david paul. This process was last undertaken in december of 2015 for the position of president, lluh held by hart, richard henry. This process was last undertaken in december of 2015 for the position of svp, risk management & hr held by hubbard, mark lee. This process was last undertaken in december of 2015 for the position of svp, finance held by lalas, angela manalo. This process was last undertaken in december of 2015 for the position of evp, finance & administration, lluh held by lang, kevin j.. This process was last undertaken in december of 2015 for the position of vp, student services, llu held by williams, ricky eugene. This process was last undertaken in december of 2015 for the position of coo held by wright, trevor”

“Llubmc will make its governing documents and conflict of interest policy available to the public upon request and in accordance with irs guidelines. The conflict of interest policy is posted on the organization's internal website for employees. Llubmc makes its un-audited quarterly financial statements and year-end audited financial statements available to the public pursuant to its continuing disclosure agreements with bondholders.”

“For employees of lluh or lluh affiliates (organization(s)) related to the filing organization who devote less than full-time to the filing organization (based upon the average number of hours per week shown in part vii, section a, column (b) of the return) the compensation amounts shown in columns (e) and (f) were provided in conjunction with their responsibilities and roles in other positions for organizations related to the filing organization. These individuals each devote approximately 50 hours per week serving in their respective positions within the organization.”

“Llubmc disclosures after the year end of december 31, 2016, llubmc underwent a thorough review of the organization's overall compliance with internal revenue code (irc) section 501(r) and final treasury regulations. During this assessment, llubmc and an external consultant reviewed the facilities' financial assistance policy (fap), billing and collections policy (b&c), plain language summary (pls), billing statements and notifications, community health needs assessment (chna), and related internal procedures. Several gaps, that were deemed to be minor during this review, were identified and are in the process of being corrected. Additional information is available upon request. Community health needs assessment pursuant to treasury regulation section 1.501(r)-3(b)(5)(i)(c), llubmc must take into account public comments received on facility's chna and implementation strategy (is). In 2016, llubmc received feedback from the community served via focus groups that were included in the 2016 chna report. The community benefit advisory council (cbac) was created in 2012; members include lluh leadership, county leadership, community-based organization leaders and population health physicians. Starting july 1, 2017, the institution created community benefit steering committee (cbsc) in addition to the cbac, to receive ongoing feedback and share the community benefit activities. The cbsc has group of community leaders, community representatives, health care professionals and public health professionals from our community. The members will contribute to loma linda university health's efforts to better understand the needs of our community; and evaluate our community benefit initiatives on an ongoing basis. The committee also has an integral role in chna and advises the organization on the is. Llubmc's community benefits team has developed a process and documentation to ensure stronger community involvement in its chna and is. Pursuant to treasury regulation section 1.501(r)-3(b)(6)(i)(f), llubmc must evaluate the impact the facility's actions have had on the community's health needs identified in the prior chna. During 2016, the process to evaluate the impact of the chna and is had not been closely monitored. Since january 1, 2017, the process has been improved to evaluate the impact of actions taken by llubmc. Pursuant to treasury regulation section 1.501(r)-3(c), llubmc must adopt an implementation strategy to describe how the hospital facility will and will not address the significant health needs as identified in the chna. The community health plan report 2017-2019 (also known as the implementation strategy) detailed the significant health needs it would address. To ensure all regulatory requirements are met, the community benefit 2016 report, community health needs assessment 2016 report and community health plan 2017-2019 report, were audited by external agency and legal advisors. All general guidelines and requirements were met for the institution. However, the report did not clearly include the anticipated impact of the actions, the resources to be committed to addressing the needs, and all the collaboration efforts it intends to take with other organizations. Llubmc also did not clearly list and rationalize the significant health needs they would not be addressing. On november15, 2017, llubmc published a revised community health implementation strategy 2017-2019 that was adopted by the organization. Llubmc's community benefit reporting team has updated its internal processes to ensure future reports meet the requirements.”

“Medical purchased services: program service expenses 1,559,874. Management and general expenses 55,242. Fundraising expenses 0. Total expenses 1,615,116. Repairs and maintenance services: program service expenses 366,530. Management and general expenses 0. Fundraising expenses 0. Total expenses 366,530. Other purchased services: program service expenses 4,415,252. Management and general expenses 910,724. Fundraising expenses 0. Total expenses 5,325,976.”

“Transfer from affiliate 452,112. Increase (decrease) of temporarily rest. Fund 162,949.”

“The process has not changed from the prior year.”