2024-05-15T15:25:04-05:00 2023-06-30 990 2022-07-01 330245579 LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER INC LOMA 9095584000 197 E CAROLINE ST 2100 SAN BERNARDINO CA 92408 ANGELA LALAS CFO 9095584000 2024-05-15 ANGELA LALAS 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ANGELA LALAS 11234 ANDERSON ST LOMA LINDA CA 92373 45676559 0 1071 X HTTPS://LLUH.ORG/BEHAVIORAL-HEALTH X 1990 CA PROVIDE MEDICAL & BEHAVIORAL HEALTH CARE TO THE COMMUNITY. 38 27 484 0 0 0 855348 157997 41546749 45516712 33824 1850 0 0 42435921 45676559 0 0 0 0 38047560 41518719 0 0 387051 17617057 18650539 55664617 60169258 -13228696 -14492699 41101150 40084771 67135655 77057092 -26034505 -36972321 X THE MISSION OF LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER IS TO PROVIDE THE COMMUNITY WITH HEALTH CARE IN A COMPETENT & COMPASSIONATE ENVIRONMENT, & TO CREATE A CLINICAL & RESEARCH ENVIRONMENT FOR THE EDUCATION OF PHYSICIANS & OTHER HEALTH PROFESSIONALS IN FULFILLING OUR CORE MISSION, "TO MAKE MAN WHOLE". "TO MAKE MAN WHOLE" ENCOMPASSES PROVIDING SERVICES TO INDIVIDUALS IN NEED OF EMOTIONAL & BEHAVIORAL RESTORATION IN A POSITIVE OUTCOME ENVIRONMENT CONCURRENT WITH THE EDUCATION OF PHYSICIANS & OTHER HEALTH CARE PROFESSIONALS. 0 0 43433319 45516712 LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER (LLUBMC) PROVIDES PSYCHIATRIC HEALTHCARE SERVICES TO THE COMMUNITY. IN THE COMMUNITY WE SERVE, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THOSE WHO ARE UNABLE TO AFFORD HEALTH CARE, IS $3,331,908 FOR FISCAL YEAR ENDING JUNE 30, 2022, AND TOTAL PATIENTS SERVED WAS 3,165.LLUBMC PROVIDES A RANGE OF SERVICES TO THE COMMUNITY THROUGH BEHAVIORAL HEALTH FAIRS DESIGNED TO PROVIDE SCREENINGS AND EDUCATE THE COMMUNITY ON BEHAVIORAL HEALTH CONDITIONS. THE LLUBMC COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO CHALLENGE THE STIGMA AND BARRIERS TO SEEKING BEHAVIORAL AND MENTAL HEALTH SERVICES. SELECTED COMMUNITY BENEFIT HIGHLIGHTS ARE AS FOLLOWS:1. MENTAL/BEHAVIORAL HEALTH EDUCATION AND AWARENESS OUTREACH BEHAVIORAL HEALTH EDUCATION AND AWARENESS ACTIVITIES INVOLVE TRAININGS, PRESENTATIONS, AND IN-SERVICE OPPORTUNITIES TYPICALLY GEARED TOWARDS PROFESSIONALS, CLINICIANS, GENERAL COMMUNITY AND/OR EMPLOYER ORGANIZATIONS. LLUBMC STAFF PROVIDES OUTREACH AND EDUCATION IN THE COMMUNITY. THE GOAL IS TO PROVIDE INFORMATION ON TOPICS WITHIN THE SCOPE OF BEHAVIORAL HEALTH THAT WILL REDUCE STIGMA, INCREASE KNOWLEDGE, AND ASSIST COMMUNITY MEMBERS IN ACCESSING SERVICES. TOPICS INCLUDE AWARENESS AROUND MENTAL HEALTH AND SUBSTANCE ABUSE FOR CHILDREN, ADOLESCENTS, AND ADULTS. 2. SENIOR BEHAVIORAL HEALTH SERVICES ACTIVITIES ADDRESSING SENIOR BEHAVIORAL HEALTH TYPICALLY ARE IN THE FORM OF GENERAL EDUCATION, SCREENINGS, AND AWARENESS ACTIVITIES AS MUCH OF THE GERIATRIC POPULATION ARE OFTEN RELUCTANT TO ACCESS MENTAL HEALTH SERVICES DUE TO THE STIGMA AND SHAME THEY MAY BE FEELING. ADDITIONALLY, THE MEDICAL DIRECTOR COLLABORATES WITH OTHER PROVIDERS AND EDUCATES THEM ON SIGNS AND SYMPTOMS TO LOOK FOR IN THEIR PATIENTS SO THEY ARE BETTER ABLE TO DETECT ANY UNDERLYING PSYCHIATRIC CONDITIONS THAT NEED TO BE ADDRESSED.3. BEHAVIORAL HEALTH SCREENINGS: LLUBMC SPONSORS THE PSYCHIATRIC INTERNS IN TRAINING TO CONDUCT SCREENINGS GEARED TOWARDS THE GENERAL COMMUNITY IN THE INLAND EMPIRE, SENIOR FACILITIES, AND OR EMPLOYER ORGANIZATIONS, OR WITH VULNERABLE POPULATIONS WHO MAY REQUIRE TREATMENT. AT LEAST ONE CLINICAL THERAPIST OR PROGRAM REPRESENTATIVE HANDLES PROGRAM SPECIFIC QUESTIONS AND INTERPRETS DEPRESSION SCREENING AND MENTAL HEALTH ASSESSMENT RESULTS.4. SUPPORT FOR ALCOHOLICS ANONYMOUS (AA): LLUBMC PROVIDES MEETINGS SPACE TO AA FREE OF CHARGE, FIVE-DAYS-A WEEK ALL YEAR LONG, AS A SUPPORTIVE SERVICE TO COMMUNITY MEMBERS WHO ARE IN RECOVERY FROM ADDITION. SPACE IN THE LLUBMC GYMNASIUM ALLOWS FOR A LARGE REGIONAL MEETING SPACE TO SUPPORT COMMUNITY MEMBERS WHO ARE COMMITTED TO THEIR SOBRIETY. 43433319 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 10 0 484 1 0 0 0 0 0 0 0 0 0 0 0 X 38 27 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X LEW MOWERY VICE PRES-FINANCE 9095584000 197 E CAROLINE ST STE 2100 SAN BERNARDINO CA 92408 BEARDSLEY-HARDY LISA TRUSTEE 0.50 X 0 0 0 CHANG SHIRLEY TRUSTEE 0.50 X 0 0 0 CHINNOCK RICHARD E TRUSTEE 0.50 X 0 369750 42800 CHRISPENS JERE TRUSTEE 0.50 X 0 0 0 COLON WILFREDO TRUSTEE 0.50 X 0 0 0 MOORHEAD SHERYL TRUSTEE 0.50 X 0 0 0 FILLER STEVEN TRUSTEE 0.50 X 0 0 0 CHAN FRANCIS TRUSTEE 0.50 X 0 387871 42800 HARRIS WAYNE TRUSTEE 0.50 X 0 0 0 HART RICHARD HENRY PRESIDENT 0.50 49.50 X X 0 664271 113498 HEGSTAD DOUGLAS TRUSTEE 0.50 X 0 350251 42800 HOUMANN LARS TRUSTEE 0.50 X 0 0 0 BRYANT G ALEXANDER TRUSTEE 0.50 X 0 0 0 JOHNSON MARK TRUSTEE 0.50 X 0 0 0 KIDDER MELISSA TRUSTEE 0.50 X 0 6828 9385 LANDLESS PETER TRUSTEE 0.50 X 0 0 0 LEMON ROBERT TRUSTEE 0.50 X 0 0 0 LEMON THOMAS TRUSTEE 0.50 X 0 0 0 MARTIN ROBERT TRUSTEE 0.50 X 0 1165437 43800 MINOR PATRICK TRUSTEE 0.50 X 0 0 0 WRIGHT TREVOR G CEO 0.50 49.50 X X 0 1171556 159979 DOUGLAS PAUL TRUSTEE 0.50 X 0 0 0 PEVERINI RICARDO L TRUSTEE 0.50 X 0 720000 42800 DAWES DANIEL TRUSTEE 0.50 X 0 0 0 HEINRICH KERRY TRUSTEE 0.50 X 0 0 0 RUCKLE HERBERT TRUSTEE 0.50 X 0 775675 44300 SARRAFIAN ZAREH TRUSTEE 0.50 X 0 0 0 NEWTON BRADFORD TRUSTEE 0.50 X 0 0 0 SHIM EUNMEE TRUSTEE 0.50 X 0 0 0 SMITH RON TRUSTEE 0.50 X 0 0 0 TREVINO MAX TRUSTEE 0.50 X 0 0 0 KOHLER ERTON TRUSTEE 0.50 X 0 0 0 CRAIG CARLOS TRUSTEE 0.50 X 0 0 0 WILSON TED TRUSTEE 0.50 X 0 0 0 WOODRUFF ROGER TRUSTEE 0.50 X 0 189649 28958 THOMAS TAMARA EVP LLU SOM 0.50 X 0 710591 101685 HERRMANN PAUL TRUSTEE 0.50 X 0 0 0 LLEWELLYN PAUL TRUSTEE 0.50 X 0 0 0 LOREDO JOSE TRUSTEE 0.50 X 0 0 0 REECE ALBERT TRUSTEE 0.50 X 0 0 0 ROBERTS SANDRA TRUSTEE 0.50 X 0 0 0 SACRO JENNIFER TRUSTEE 0.50 X 0 0 0 SCHELL RANDY TRUSTEE 0.50 X 0 0 0 THURBER GARY TRUSTEE 0.50 X 0 0 0 WEHTJE RODNEY TRUSTEE 0.50 X 0 0 0 WILSON APRIL TRUSTEE 0.50 X 0 259998 37400 HILLIARD ANTHONY TRUSTEE 0.50 X 0 906693 43800 EDWARDS LYNDON C CEO 0.50 49.50 X 0 839072 129711 FIELD EDWARD L VP/ADMINISTRATOR 50.00 X 0 379157 78351 HANNAMYRNA LEE CORPORATE SECRETARY 0.50 49.50 X 0 181557 36227 HENDERSON WHITNEY P ASST. CORPORATE SECRETARY 0.50 49.50 X 0 139535 39219 HUBBARD MARK LEE ASST. CORPORATE SECRETARY 0.50 49.50 X 0 941570 104657 HUGGINS L ORLANDO ASST. CORPORATE SECRETARY 0.50 49.50 X 0 186913 39351 LALAS ANGELA M CHIEF FINANCIAL OFFICER 0.50 49.50 X 0 1027979 140765 SODERBLOOM ALAN SVP FINANCE 0.50 X 0 543862 107967 ALBERTSONDIANA S ADMIN. DIRECTOR-QRM 50.00 X 204828 0 29154 MANGUNSONGDEVIYANTI ELIZABETH M EXEC DIR. NURSING SVCS 50.00 X 236158 0 47629 RESIWAINBRUCE A EXEC. DIRECTOR OF FINANCE 50.00 X 184416 0 40586 WEERASINGHEJEEVAKA PRASANNA EXEC. DIR. ADULT SVCS 50.00 X 236519 0 46460 MATUS SARA VP OPERATIONS 1.00 X 0 278596 60020 STAPLES-EVANS HELEN CNO 1.00 X 0 666303 93676 LENO SONDRA VP REVENUE CYCLE 25.00 25.00 X 0 413054 77287 BRASSFIELDCHRISTINE ELIZABETH DIRECTOR OF SOCIAL WORK 50.00 X 182739 0 44170 VELASCO EMILY CHIEF ADMIN NURSE 50.00 X 189223 0 29469 DUARTE-HERRERA PAULA MGR.-PATIENT CARE 50.00 X 176793 0 17362 BEDROS LESLIE L MGR.PATENT CARE 50.00 X 151159 0 25809 1561835 13276168 1941875 8 1 1 0 LOMA LINDA UNIVERSITY SHARED SERVICES 197 CAROLINE ST SAN BERNARDINO CA 92408 SUPPORT SERVICES 6162686 LOMA LINDA UNIVERSITY HEALTH 11175 CAMPUS ST CSP 11006 LOMA LINDA CA 92354 MGMT & CAPTIVE INSURANCE SERVICES 5050635 LOMA LINDA MERCANTILE 24887 TAYLOR ST LOMA LINDA CA 92354 SUPPLIES & SUPPORT SERVICES 2617550 LOMA LINDA UNIVERSITY MEDICAL CENTER 11234 ANDERSON ST LOMA LINDA CA 92354 MEDICAL & SUPPORT SERVICES 1738169 LOMA LINDA INLAND EMPIRE CONSORTIUM FOR 11175 CAMPUS ST CSP 11006 LOMA LINDA CA 92354 RESIDENT MEDICAL SERVICES 968438 5 97997 60000 157997 PATIENT SERVICE REVENUE 622210 39813924 39813924 NET ASSETS RELEASED FROM RESTRICT 622210 3763648 3763648 OTHER PATIENT SERVICE REVENUE 622210 2423214 2423214 MEDICAL OFFICES-RENTAL 531120 -484074 -484074 45516712 1850 1850 45676559 45516712 0 1850 551459 551459 28859440 24245744 4613696 1268302 1072856 195446 8446626 7138859 1307767 2392892 1859854 533038 128309 128309 17086 17086 2092149 1833210 258939 5633 5633 1312258 476363 835895 1424155 5396 1418759 1818354 1125653 692701 50843 28726 22117 610504 71959 538545 1073920 291463 782457 1317985 329496 988489 PURCHASED SERVICES 7462440 4296720 2778669 387051 MEDICAL SUPPLIES 932288 644449 287839 OTHER 402313 6938 395375 REPAIRS & MAINTENANCE 2302 2302 60169258 43433319 16348888 387051 3320035 605202 550190 230693 7552853 10488503 84595 80920 112339 110821 49502403 25148912 24869819 24353491 4611319 4215141 41101150 40084771 43621452 52504438 23514203 24552654 67135655 77057092 X -29086616 -38750183 3052111 1777862 -26034505 -36972321 41101150 40084771 X -14492699 14745 3540138 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4967188 4967188 30539148 14791984 15747164 5664524 1812784 3851740 9074168 8544144 530024 -742625 -742625 24353491 OTHER-RISK MGMT 934348 LONG-TERM ROU OPERATING LSE ASSETS 3280793 4215141 NOTES PAYABLE TO LLUMC BHI 12400000 NOTES PAYABLE TO LLUMC 5505576 OTHER 1115239 RIGHT OF USE OPERATING LEASES 3487543 RELATED PARTIES 2044296 24552654 X PART X, LINE 2: THE EXPLAINATION BELOW IS TAKEN FROM THE "COMBINED FINANCIAL STATEMENTS AND SUPPLEMENTARY INFORMATION" FOR LOMA LINDA UNIVERSITY MEDICAL CENTER AND AFFILIATES YEARS ENDED JUNE 30, 2022 AND JUNE 30, 2021. THE PRINCIPAL OPERATIONS OF LLUMC ARE EXEMPT FROM TAXATION PURSUANT TO IRC SECTION 501(C)(3) AND THE RELATED STATE PROVISIONS. ACCOUNTING STANDARDS CODIFICATION TOPIC (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2023 OR JUNE 30, 2022. LLUMC CURRENTLY FILES FORM 990 (INFORMATIONAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAXES) AND FORM 990-T (BUSINESS INCOME TAX RETURN FOR AN EXEMPT ORGANIZATION) IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA FOR EACH TAX-EXEMPT ORGANIZATION, AS APPROPRIATE. MANAGEMENT HAS DETERMINED THAT LLUMC IS NOT SUBJECT TO INCOME TAX EXAMINATIONS PRIOR TO 2018 IN MAJOR JURISDICTIONS. 1 1 X 1 X 1 X 1 1 0 1 1 2627325 2627325 0.04370 23737574 14460933 9276641 0.15420 26364899 14460933 11903966 0.19790 1102 93788 93788 0.00160 165875 9397 156478 0.00260 7 631 28000 28000 0.00050 7 1733 287663 9397 278266 0.00470 7 1733 26652562 14470330 12182232 0.20260 2408 45552 45552 0.00080 2408 45552 45552 0.00080 1 -872404 -488970 1494156 1746081 -251925 X 1 1 1 1 LOMA LINDA UNIV BEHAVIORAL MEDICINE CTR 1710 BARTON ROAD REDLANDS CA 923735304 HTTPS://LLUH.ORG/BEHAVIORAL-HEALTH 240000281 X X X LOMA LINDA UNIV BEHAVIORAL MEDICINE CTR 0 0 1 X X X X X X X X X X 22 1 1 1 1 X HTTPS://LLUH.ORG/BEHAVIORAL-HEALTH X REFER TO SCHEDULE H SUPPLEMENTAL INFORMATION X X 1 22 1 REFER TO SCHEDULE H SUPPLEMENTAL INFORMATION 0 1 X 200.000000000000 350.000000000000 X X X X X 1 1 X X X X 1 X LLUH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE X LLUH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE X LLUH.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X 1 X 0 0 LOMA LINDA UNIV. BEHAVIORAL MEDICINE CTR PART V, SECTION B, LINE 3J: LLUH CONDUCTS A COMPREHENSIVE CHNA THAT INCLUDES PATIENT DEMOGRAPHIC AND CHRONIC DISEASE TRENDS AND ASSESSES COMMUNITY NEEDS BASED SURVEYS AND FOCUS GROUPS TO DETERMINE PRIORITIES FOR THE SOCIAL DETERMINANT OF HEALTH. LOMA LINDA UNIV. BEHAVIORAL MEDICINE CTR PART V, SECTION B, LINE 5: THE 2022 CHNA SUPPORTING THE FY 23, 24 & 25 IMPLEMENTATION YEARS WAS DESIGNED TO BE A STATISTICALLY VALID SAMPLING OF BOTH THE PATIENT POPULATION AND THE GENERAL PUBLIC QUALITATIVE COMMUNITY SURVEYS AND QUANTITATIVE FOCUS GROUPS WITH EMPHASIS ON PEOPLE REPRESENTING HOUSEHOLDS OF $50,000 OR LESS TO ACHIEVE A MORE ACCURATE UNDERSTANDING OF COMMUNITY MEMBER SOCIAL DETERMINANT OF HEALTH NEEDS FOR VULNERABLE POPULATIONS. PUBLIC HEALTH EXPERTS WERE PART OF THE CHNA DESIGN AND OUTCOMES ANALYSIS FROM THE LLUH HEALTH SYSTEM INCLUDING LLU SCHOOL OF PUBLIC HEALTH FACULTY, AND THE CHNA WAS REVIEWED BY THE SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH, WHICH PROVIDED A LETTER OF SUPPORT IN THE CHNA DOCUMENT. TO VIEW THE COUNTY DEPARTMENT PUBLIC HEALTH ENDORSEMENT OF THE CHNA FINDINGS AND SEE THE COMPLETE REPORT: PLEASE VISIT THE PUBLICLY AVAILABLE ON THE LLUH CHNA & CHIS AND THE ANNUAL COMMUNITY BENEFIT REPORTS FOR THE LLUH HOSPITALS, PLEASE VISIT: HTTPS://LLUH.ORG/ABOUT-US/COMMUNITY-BENEFIT/REPORTS-AND-RESOURCES. LOMA LINDA UNIV. BEHAVIORAL MEDICINE CTR PART V, SECTION B, LINE 6A: THE LOMA LINDA UNIVERSITY HEALTH SYSTEM IS COMPRISED OF FOUR LICENSED HOSPITALS THAT CONDUCT ONE SYSTEM COMMUNITY HEALTH NEEDS ASSESSMENT AND PROGRAMMATICALLY REPORT THEIR COMMUNITY BENEFIT IMPLEMENTATION AND OUTCOMES TOGETHER FOR COLLECTIVE IMPACT IN OUR REGION WHILE THE FINANCIALS AND INVESTMENTS ARE REPORTED PER LICENSED HOSPITAL IN KEEPING WITH FEDERAL AND CALIFORNIA STATE REGULATIONS. THE FOUR LICENSED HOSPITALS REPRESENTED BY THE FOLLOWING COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE: LOMA LINDA UNIVERSITY MEDICAL CENTER (EIN: 95-3522679);LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL (EIN: 46-3214504);LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER (EIN: 33-0245579); LOMA LINDA UNIVERSITY MEDICAL CENTER MURRIETA (EIN: 37-1705906).LLUH DID NOT CONDUCT THE 2022 ASSESSMENT WITH OTHER HOSPITALS THIS CYCLE BUT IS WORKING WITH OTHER HOSPITAL SYSTEMS TO IMPLEMENT INTERVENTIONS IN A COLLABORATIVE, COLLECTIVE IMPACT MODEL. THE COMMUNITY BENEFIT REPORT IS COMPLIANT WITH STATE AND FEDERAL REGULATIONS INCLUDING CALIFORNIA'S OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) FOR THE FILING OF THE ANNUAL COMMUNITY BENEFIT REPORT BOTH WITH THE STATE AND ON THE PUBLIC WEBSITE, PER THE DEADLINE OR EXTENSION GRANTED EACH YEAR. LOMA LINDA UNIV. BEHAVIORAL MEDICINE CTR PART V, SECTION B, LINE 6B: THREE ORGANIZATIONS WERE PARTNERED WITH LLUH ON THE 2019 CHNA: -EL SOL NEIGHBORHOOD EDUCATION CENTER (SAN BERNARDINO COUNTY)-COPE: CONGREGATIONS FOR PROPHETIC ENGAGEMENT (SAN BERNARDINO COUNTY)- FIND FOOD BANK (COACHELLA VALLEY, RIVERSIDE COUNTY) -SYMBA CENTER (HIGH DESERT, SAN BERNARDINO COUNTY) LOMA LINDA UNIV. BEHAVIORAL MEDICINE CTR PART V, SECTION B, LINE 7D: THE CHNA IS AVAILABLE ON OUR WEBSITE, IS DISTRIBUTED ELECTRONICALLY TO OVER 100 COMMUNITY-PARTNERS ORGANIZATIONS, IS PRINTED AND PRINTABLE FOR WHEN REQUESTED BY COMMUNITY MEMBERS, AND THE FULL DATA SET OF FINDINGS IS IN THE APPENDIX OF THE REPORT SO ANY COMMUNITY AGENCY CAN USE THE ASSESSMENT DATA. FACILITY WEBSITE: HTTPS://LLUH.ORG/LOCATIONS/LOMA-LINDA-UNIVERSITY-BEHAVIORAL-MEDICINE-CENTER-BMCCHNA WEBSITE: HTTPS://LLUH.ORG/ABOUT-US/COMMUNITY-BENEFIT/REPORTS-AND-RESOURCES LOMA LINDA UNIV. BEHAVIORAL MEDICINE CTR PART V, SECTION B, LINE 11: REFER TO SCHEDULE H SUPPLEMENTAL INFORMATION LOMA LINDA UNIV. BEHAVIORAL MEDICINE CTR PART V, SECTION B, LINE 13H: NUMBER OF FAMILY MEMBERS LOMA LINDA UNIV. BEHAVIORAL MEDICINE CTR PART V, SECTION B, LINE 16J: THE POLICY IS POSTED ON THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. PART V, SECTION B, LINE 11: POPULATIONS ACCESS OUR HEALTH SYSTEM BUT FACE UNDUE HEALTH BURDENS IN TRYING TO ADDRESS THEIR HEALTH AND WELLNESS POST-ENCOUNTER IN EITHER INPATIENT OUR OUTPATIENT SETTINGS. THIS INCLUDES LINKAGES TO LLUH'S PRIORITY ON DISEASE RELATED TO POVERTY THROUGH A FOCUS ON AT-RISK INFANTS AND MOTHERS IN THE NICU AND AT-RISK ADULTS WITH DIABETES IN THE OUTPATIENT DIABETES TREATMENT CENTER. DUE TO THE INITIAL SUCCESS OF THE PILOT PROGRAM IN 2019, LLUH IS FORMALLY CREATED A CHW INTEGRATION AND INTERVENTION PROGRAM THROUGH THE INSTITUTE FOR COMMUNITY PARTNERSHIPS BASED ON THE FOLLOWING PARAMETERS: LLUH HOSPITALS CURRENTLY INVEST IN 8 CHW POSITIONS AND TWO OPERATIONS POSITIONS (2 MANAGERS) TO RUN THE PROGRAM. THE ICP MANAGEMENT/OPERATIONS POSITIONS OVERSEE THE ESTABLISHMENT OF THE CHW PROGRAM AT LLUH. THE LLUH CHWS WILL BE ENTIRELY FOCUSED ON THE TARGET POPULATION, THOSE FROM UNDERSERVED COMMUNITIES WHO LACK ACCESS TO SERVICES AND FACE POVERTY, BASED ON THE COMMUNITY BENEFIT INVESTMENT IN THIS COMMUNITY INTERVENTION. IT IS THE GOAL OF THIS PROGRAM TO USE THE HOSPITAL'S INVESTMENT TO INTERVENE AND LIGHTEN THE BURDEN OF THE SOCIAL DETERMINANTS OF HEALTH THROUGH COMMUNITY PEERS WHO ARE EXPERTLY TRAINED IN RECOGNIZING AND NAVIGATING THE SOCIAL DETERMINANTS OF HEALTH. WHILE THE CHWS ARE EMPLOYED BY LLUH AND MEET PEOPLE WHO REPRESENT VULNERABLE POPULATIONS IN OUR REGION, THEY ARE ASSIGNED TO WORK IN THE COMMUNITY WITH PATIENTS AND THEIR PART V, SECTION B, LINE 11: CONTINUED FAMILIES WHO REPRESENT THE TARGET POPULATION, AS DEFINED BY COMMUNITY BENEFIT PARAMETERS. LLUH CHWS FOCUS ON HOME VISITS AND COMMUNITY OUTREACH CLASSES/PEER SUPPORT GROUPS FOR VULNERABLE POPULATIONS WITH THE FOLLOWING PROGRAMMATIC GOALS: TIME IS THE MEDICINE UNLIKE MANY OF THE HEALTH CARE PROVIDERS AND WORKFORCE, CHWS ARE ABLE TO DO TIME-INTENSIVE INTERVENTIONS. THIS IS ACCOMPLISHED THROUGH A TRUSTED RELATIONSHIP AS CHWS ARE ABLE TO QUICKLY ESTABLISH AS COMMUNITY PEERS AND ENGAGE WITH COMMUNITY MEMBERS ONCE THEY ARE HOME. CHWS WORK WITH COMMUNITY MEMBERS AND THEIR FAMILY MEMBERS TO NAVIGATE COMPLEX SOCIAL AND HEALTH SYSTEMS TO ADDRESS, MANAGE, AND MAINTAIN THEIR HELP ONCE THESE COMMUNITY MEMBERS ARE NO LONGER "PATIENTS" IN OUR FACILITY, BUT INTEGRATING BACK TO THE HOME TO GET THE CARE THEY NEED. INTERVENTIONS WITHOUT BORDERS CHWS ARE ABLE TO PROVIDE SUPPORTIVE COACHING AND MENTORING TO HELP THOSE THEY WORK NAVIGATE COMPLEX SOCIAL SERVICES AND BENEFITS LIKE (DMV, SOCIAL SECURITY, VETERANS AFFAIRS, ETC.). CHWS ARE ALSO ABLE TO PROVIDE ACCOMPANIMENT BY MEETING WITH COMMUNITY MEMBERS AT APPOINTMENTS AND IN OUTPATIENT AND INPATIENT SYSTEMS OF CARE (BOTH LLUH AND NON-LLUH), AND CHWS ARE ABLE TO SUPPORT INDIVIDUALS IN ACCESSING RESOURCES FOR SURVIVAL NEEDS LIKE FOOD BANKS, HOUSING AND RENTAL ASSISTANCE, AND OTHER SUPPORTIVE SOURCES IN THE COMMUNITY OFFERED BY NON-PROFITS AND COMMUNITY ORGANIZATIONS. SPECIAL POPULATIONS FOCUS THE LLUH CHWS WILL BE STATIONED IN CRITICAL ACCESS AREAS OF THE HEALTH SYSTEM IN ORDER TO BECOME CONNECTED TO COMMUNITY MEMBERS WHO ARE EXPERIENCING THE HIGHEST LEVELS OF NEED. THE FOLLOWING ARE SPECIAL POPULATIONS THE CHW PROGRAM WILL ADDRESS: AT-RISK INFANTS AND MOTHERS; ADULTS WITH DIABETES; CHILDREN AND YOUTH WITH DIABETES; HOMELESS INDIVIDUALS IN OUR EMERGENCY DEPARTMENT; VIOLENCE PREVENTION; WHOLE FAMILY CARE; INDIVIDUALS EXPERIENCING ESCALATION OF SYMPTOMS RELATED TO HIV AND SICKLE CELL DISEASES; INDIVIDUALS EXPERIENCING A LACK OF ACCESS TO MENTAL HEALTH OR BEHAVIORAL HEALTH SERVICES AND RESOURCES; HIGH UTILIZERS OF THE LLUH SYSTEM WHO EXPERIENCE UNDUE SOCIAL DETERMINANT BURDEN AND REQUIRE EXTENSIVE, SUPPORTIVE ACCOMPANIMENT AND LINKAGE TO HEALTH AND SOCIAL SERVICES UPON DISCHARGE FROM THE LLUH INPATIENT SYSTEM. FINALLY, SPECIAL TO THIS PROGRAM IS THE TWO-FOR-ONE INVESTMENT THAT CREATING THE CHW WORKFORCE DOES TO CREATE JOBS AND DEVELOP THE WORKFORCE. TO GIVE CHWS JOBS IS AN ACT OF ECONOMIC DEVELOPMENT AS PEOPLE DOING THE WORK OF A CHW OFTEN NEED THE SAME ACCESS TO EMPLOYMENT AS THOSE THEY ARE TIRELESSLY SERVING. CHWS ARE TRADITIONALLY, NOT PART OF THE SYSTEMS THEY SUPPORT, NOR DO THEY HAVE ACCESS TO THE WORKPLACE BENEFITS. EMPLOYMENT REDUCES THE RELIANCE ON GRANT-BASED OR PROJECTBASED EMPLOYMENT FOR CHWS, A SOURCE OF INCOME INSECURITY. IN ADDITION TO THE PROGRAMMATIC OUTREACH AND INTERVENTION PROVIDED BY THE CHWS, THE CREATION OF THE JOBS FOR COMMUNITY MEMBERS WHO ARE TRAINED IN THIS WORK IS ALSO A FULFILLMENT OF THE COMMUNITY BENEFIT WORKFORCE DEVELOPMENT STRATEGY AS PRIORITY HIRING IS RESERVED FOR PEOPLE WITH LIVED EXPERIENCE IN NAVIGATING THE SOCIAL DETERMINANTS OF HEALTH, HAVING LIVED EXPERIENCE WITH POVERTY, AND THOSE WHO HAVE RECEIVED TRAINING TO BECOME COMMUNITY HEALTH WORKERS IN THE COMMUNITIES FROM WHICH THEY ARE FROM OR WITH SPECIAL POPULATIONS OF WHICH THEY HAVE SPECIAL KNOWLEDGE OR LIVED EXPERIENCE. GOAL 3 IS FOCUSED ON LIFESTYLE INTERVENTIONS THAT REDUCE CHRONIC DISEASES (I.E. GOAL 4 HEALTH SOCCER LEAGUE, HEALTH EDUCATION WORKSHOPS, AND CHW WORKFORCE TRAININGS TO BETTER SERVE THEIR PATIENTS). GOAL 4 SUPPORTS INITIAVES FOCUSED ON IMPROVING MATERNAL AND CHILD OUTCOMES THROUGH THE NICU, REACH OUT & READ PROGRAM, AND REGIONAL COLLABORATIONS. FINALLY, LLUH IS COMMITTED IN INVESTING DIRECT FINANCIAL RESOURCES INTO NONPROFIT ORGANIZATIONS FOCUSED ON ADDRESSING OUR FOUR GOALS IN WAYS THAT ARE BEYOND WHAT ICP AND LLUH COULD DO ON ITS OWN. RESOURCES ALLOCATED: ALL FOUR LICENSED HOSPITALS INVEST IN ICP OPERATIONS IN ORDER TO CARRY OUT THIS LEVEL OF PARTNERSHIP, RESPONSIVENESS, AND INTERVENTION IN OUR COMMUNITIES. ALL FOUR LICENSED HOSPITALS ARE INVESTING DOLLARS TO SUPPORT ICP OPERATIONS AND DIRECT FINANCIAL SUPPORT TO NONPROFIT PARTNERS. HOW THE NEEDS ARE DIRECTLY OR INDIRECTLY ADDRESSED: DUE TO THE REALITY THAT MORE NEEDS ARE OFTEN IDENTIFIED IN COMMUNITY HEALTH ASSESSMENTS THAN WHAT CAN BE ACTED UPON IN ORDER TO SHOW AN IMPACT, LLUH PRIORITIZED THE NEEDS AND IMPLEMENTATION STRATEGY ACCORDING TO THE HIGHEST PRIORITY NEEDS, REFLECTED IN THIS IMPLEMENTATION STRATEGY: A) DIRECTLY ADDRESSED BY THE CHIS AND THE ANNUAL SYSTEM ACTIVITIES THAT ARE IN ALIGNMENT WITH COMMUNITY BENEFIT PRINCIPLES AND CONNECTED TO THE 2022 CHNA NEEDS IDENTIFIED; B) INDIRECTLY ADDRESSED BY LLUH'S PARTNERSHIPS WITH OTHER ORGANIZATIONS ALREADY WORKING IN THESE AREAS IN THE COMMUNITY; C) NOT ADDRESSED DUE TO IT NOT BEING AN AREA OF EITHER DIRECT INVESTMENT OR INDIRECT WORK WITH PARTNER ORGANIZATIONS. TO LEARN ABOUT HOW ALL NEEDS IDENTIFIED BY LLUH WERE EITHER ADDRESSED DIRECTLY, INDIRECTLY, OR NOT ADDRESSED, PLEASE SEE THE CHIS DOCUMENT PUBLICLY POSTED ON THE LLUH REPORTS WEBSITE FOR AN INVENTORY. FOR COMPLETE INFORMATION ON LLUH CHNA & CHIS AND THE ANNUAL COMMUNITY BENEFIT REPORTS FOR THE LLUH HOSPITALS, PLEASE VISIT: HTTPS://LLUH.ORG/ABOUT-US/COMMUNITY-BENEFIT/REPORTS-AND-RESOURCES PART I, LINE 3C: LLUBMC USES FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. PART I, LINE 6A: LLUH, ON BEHALF OF LLUBMC, SUBMITS AN ANNUAL COMMUNITY BENEFIT REPORT TO HCAI. PART I, LINE 7: WE USED THE WORKSHEETS AVAILABLE IN THE INSTRUCTION SECTION OF SCHEDULE H TO DERIVE THE AMOUNTS REPORTED IN THIS SECTION.PART I, LINE 7-COLUMN E: HEALTH PROFESSIONALS EDUCATION AND RESEARCH-$156,478PART I, LINE 7 - MEDICAL CARE SERVICES-$11,903,966; COMMUNITY HEALTH IMPROVEMENTS-$167,340PART III, LINE 3-BAD DEBT EXPENSE-$(488,970) PART I, LINE 7G: WE DID NOT INCLUDE ANY COST ATTRIBUTABLE TO A PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: REFER TO 990, PART III, LN 4A & SCHEDULE O FOR MORE INFORMATION ON LOMA LINDA UNIVERSITY BEHAVIORIAL MEDICINE CENTER (LLUBMC) - COMMUNITY HEALTH BENEFIT SELECTED PROGRAM HIGHLIGHTS PART III, LINE 2: LLUBMC USES THE NEW REVENUE STANDARD, "MODIFIED RETROSPECTIVE METHOD". PATIENT SERVICE REVENUES ARE PRESENTED NET OF ESTIMATED IMPLICIT PRICE CONCESSION REVENUE DEDUCTIONS. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND EXPECTED COLLECTIONS BASED ON HISTORICAL COLLECTIONS. SEE FOOTNOTE TO FY2022 LLUMC'S FINANCIAL STATEMENTS, PAGE 14-16, NOTES TO COMBINED FINANCIAL STATEMENTS. PART III, LINE 3: ESTIMATED AMOUNT OF BAD DEBT EXPENSE REPORTED FOR PATIENTS ELIGIBLE UNDER LLBMC'S FINANCIAL ASSISTANCE POLICY IS DERIVED BY DEVELOPING A COST-TO-CHARGE RATIO OF 54.68% (ADJUSTED PATIENT CARE COSTS/GROSS PATIENT CHARGES) AND MULTIPLYING AGAINST BAD DEBT EXPENSE. LLUCH'S ESTIMATED COSTS OF CARE FOR ELIGIBLE PATIENTS REPRESENT THE AMOUNT OF BAD DEBT EXPENSE RELATED TO COMMUNITY BENEFIT. THE RATIONALE FOR THIS METHODOLOGY IS THAT ELIGIBLE PATIENTS WILL QUALIFY FOR DEEPLY DISCOUNTED OR FULLY DISCOUNTED PAYMENT FINANCIAL ASSISTANCE THAT WOULD RESULT IN ADJUSTED CHARGES THAT ARE COMPARABLE WITH ACTUAL COST. PART III, LINE 4: THE FOOTNOTE TO THE FY2023 LLUMC'S COMBINED FINANCIAL STATEMENTS THATDESCRIBES BAD DEBT EXPENSE IS FOUND ON PAGES 14-16, NOTES TO COMBINED FINANCIAL STATEMENTS. PART III, LINE 9B: AS A FAITH BASED ORGANIZATION, LLUBMC STRIVES TO MEET THE HEALTH CARE NEEDS OF PATIENTS IN ITS GEOGRAPHIC SERVICE AREA. THE FIRST AND FOREMOST RESPONSIBILITY OF LLUBMC IS TO SEE THAT ITS PATIENTS RECEIVE COMPASSIONATE, TIMELY, AND APPROPRIATE MEDICAL CARE WITH CONSIDERATION FOR PATIENT PRIVACY, DIGNITY, AND INFORMED CONSENT.ELIGIBILITY UNDER THE LLUBMC FINANCIAL ASSISTANCE POLICY IS PROVIDED FOR ANY PATIENT WHOSE FAMILY INCOME IS LESS THAN 350% OF THE CURRENT FEDERAL POVERTY LEVEL, IF NOT COVERED BY THIRD PARTY INSURANCE OR, IF COVERED BY THIRD PARTY INSURANCE WHICH DOES NOT RESULT IN FULL PAYMENT OF THE ACCOUNT.FOR FURTHER INFORMATION, PLEASE REFER TO OUR CHARITY CARE AND FINANCIAL ASSISTANCE POLICY. PART VI, LINE 2: THE COMMUNITY HEALTH NEED ASSESSMENT 2022 AS THE BASELINE FOR 2023-2025 IMPLEMENTATION STRATEGY: IN 2022, LOMA LINDA UNIVERSITY HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH NON-PROFIT, COMMUNITY-BASED PARTNERS AND THEIR COMMUNITY HEALTH WORKERS IN ORDER TO IMPLEMENT A SOCIAL DETERMINANTS OF HEALTH SURVEY WITH 811 COMMUNITY MEMBERS; TO CONDUCT 22 COMMUNITY CONVERSATIONS IN BOTH ENGLISH AND SPANISH (FOCUS GROUPS) WITH OVER 150 COMMUNITY MEMBERS; AND TO CONDUCT 13 INTERVIEWS WITH 16 REGIONAL LEADERS ACTIVE IN PUBLIC HEALTH, EDUCATION, ADVOCACY, FAITH-BASED, AND/OR NON-PROFIT ORGANIZATIONS WITH DEEP KNOWLEDGE OF OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. SIXTY-THREE PERCENT OF THE PEOPLE WHO PARTICIPATED IN THE EXTENSIVE SURVEY EFFORT WERE FROM HOUSEHOLDS LIVING ON $50,000 A YEAR OR LESS, WITH THIRTY-THREE PERCENT OF PARTICIPANTS LIVING ON $25,000 OR LESS. THE CHNA ACHIEVED A STATISTICALLY SIGNIFICANT SAMPLING OF COMMUNITY MEMBERS LIVING ON LOWER INCOMES AND ACHIEVED REPRESENTATION FOR THE 4.7 MILLION PEOPLE IN OUR REGION, IN KEEPING WITH COMMUNITY BENEFIT GUIDELINES FOR IDENTIFYING THE UN-MET HEALTH NEEDS OF THE MOST VULNERABLE MEMBERS OF THE COMMUNITY. MOST IMPORTANTLY, THE NEEDS IDENTIFIED THROUGH THE METHODOLOGY OF THIS STUDY WERE THOSE THE COMMUNITY MEMBERS IDENTIFIED AS THE MOST PRESSING NEEDS IN THEIR COMMUNITIES. EMERGING AS THE LEADING HEALTH CHALLENGE IN OUR REGION WAS A FOCUS ON MENTAL HEALTH. CONTRIBUTING FACTORS INCLUDED THE HOUSING CRISIS/HOMELESSNESS, IMPACT OF COVID-19 (LOSS OF LOVED ONES, DEPRESSION, ANXIETY, SUBSTANCE ABUSE, ETC.), AND LIVING IN UNDERSERVED AREAS. THE STRESS AND ISOLATION FROM THE PANDEMIC HAVE HAD DEVASTATING EFFECTS ON NEARLY EVERY COMMUNITY AND POPULATION ACROSS THE REGION. THE PRIMARY AND SECONDARY DATA SOURCES ALSO REVEALED HEART DISEASE AND DIABETES AS THE LEADING CAUSES OF PREVENTABLE DEATH AND MORBIDITY IN THE INLAND EMPIRE. THESE CHRONIC DISEASES PLAGUE LOWER INCOME POPULATIONS AT HIGHER RATES DUE TO THE LACK OF HEALTHY FOOD CHOICES AND EASIER ACCESS TO UNHEALTHY FOODS IN AREAS OF LOW SOCIOECONOMIC STATUS. FINALLY, MATERNAL AND CHILD HEALTH WAS MENTIONED AS THE THIRD LEADING HEALTH CHALLENGE DUE TO THE HUGE DISPARITIES THAT EXIST FOR WOMEN OF COLOR AND BIRTHING OUTCOMES. MATERNAL MORTALITY RATES FOR WOMEN OF COLOR WERE 2.9 TIMES HIGHER THAN NON-HISPANIC WHITE WOMEN. INFANT MORTALITY RATES IN RIVERSIDE AND SAN BERNARDINO COUNTY WERE ALSO MUCH HIGHER THAN THE STATE AS A WHOLE, ESPECIALLY AMONG BLACKS AD HISPANICS. PART VI, LINE 3: LLUBMC POST NOTICES INFORMING THE PUBLIC OF THE CHARITY CARE/DISCOUNT PAYMENT POLICY. SUCH NOTICES ARE BE POSTED IN HIGH VOLUME INPATIENT, AND OUTPATIENT SERVICE AREAS OF LLUBMC, INCLUDING BUT NOT LIMITED TO, THE BILLING OFFICE, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS OR OTHER COMMON PATIENT WAITING AREAS OF LLUBMC. NOTICES ARE ALSO POSTED AT ANY LOCATION WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE.1) THE NOTICES ARE BE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN LLUBMC'S SERVICE AREA.2) A COPY OF THE CHARITY CARE/DISCOUNT PAYMENT POLICY IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. LLUBMC WILL RESPOND TO SUCH REQUESTS IN A TIMELY MANNER. PART VI, LINE 4: LOMA LINDA UNIVERSITY HEALTH'S PRIMARY SERVICE AREA CAN BE DEFINED, BROADLY, AS CALIFORNIA'S SAN BERNARDINO, RIVERSIDE, AND ONTARIO METROPOLITAN AREAS. SAN BERNARDINO AND RIVERSIDE COUNTIES MAKE UP THE GEOGRAPHIC AREA HISTORICALLY NAMED "THE INLAND EMPIRE" DUE TO THE REGION'S RICH DIVERSITY OF NATIVE PEOPLES AND AGRICULTURAL HISTORY. THE REGION TOTALS 27,000 SQUARE MILES AND IS SITUATED APPROXIMATELY 60 MILES EAST FROM THE LOS ANGELES METROPOLITAN AREA AND THE PACIFIC OCEAN, THE INLAND EMPIRE IS HOME TO A QUICKLY GROWING POPULATION OVER 4.7 MILLION PEOPLE. THE TWO COUNTIES ARE HOME TO SOME OF THE MOST DIVERSE PEOPLE IN CALIFORNIA, WITH LATINOS REPRESENTING THE MAJORITY OF THE POPULATION. SAN BERNARDINO AND RIVERSIDE COUNTY HEALTH RANKINGS PUBLISHED ONLINE AT COUNTYHEALTHRANKINGS.ORG; THE RANKINGS HELP COUNTIES UNDERSTAND WHAT INFLUENCES THE HEALTH OF RESIDENTS AND AVERAGE LIFESPANS BY GEOGRAPHIC REGION. THE RANKINGS ARE UNIQUE IN THEIR ABILITY TO MEASURE THE CURRENT OVERALL HEALTH OF NEARLY EVERY COUNTY IN ALL 50 STATES. THEY ALSO LOOK AT A VARIETY OF MEASURES THAT AFFECT THE FUTURE HEALTH OF COMMUNITIES, SUCH AS HIGH SCHOOL GRADUATION RATES, ACCESS TO HEALTHY FOODS, RATES OF SMOKING, OBESITY AND TEEN BIRTHS. LLUH'S GOAL IS TO BRING PEOPLE TOGETHER TO LOOK AT THE MANY FACTORS THAT INFLUENCE HEALTH AND OPPORTUNITIES TO REDUCE HEALTH GAPS. FOR PROGRAMS AND INTERVENTIONS TO HAVE A LASTING IMPACT, THEY MUST FOCUS ON STRATEGIES THAT IMPROVE HEALTH FROM A POPULATION STANDPOINT. FOR LLUH, WE ARE STRATEGICALLY POSITIONED IN TWO COUNTIES THAT TOGETHER, FACE SIGNIFICANT ECONOMIC CHALLENGES. SAN BERNARDINO RANKS 40TH OUT OF 58 COUNTIES IN CALIFORNIA IN TERMS OF HEALTH FACTORS WHILE RIVERSIDE RANKS 27TH. DESPITE THE CHALLENGE, LLUH BELIEVES THAT OUR COMMUNITY IS RESILIENT AND WITH OUR COMMUNITY PARTNERS, WE ARE ADDRESSING POVERTY THROUGH WORKFORCE DEVELOPMENT, ADVANCING HEALTH EQUITY, INCREASING ACCESS TO HEALTH & WELLNESS, AND MATERNAL AND CHILD HEALTH INITIATIVES. THE PANDEMIC ALSO GREATLY IMPACTED THOSE LIVING IN THE REGION, WITH SOME OF THE BIGGEST CHALLENGES BEING FOOD INSECURITY, UNEMPLOYMENT, HOUSING BURDEN, AND SOCIAL ISOLATION. AS A RESULT OF THE PANDEMIC, THE NUMBER OF FOOD INSECURE HOUSEHOLDS HAS RISEN CONSIDERABLY, WITH LOCAL FOOD BANKS MORE THAN DOUBLING THE AMOUNT OF THEIR FOOD DISTRIBUTIONS. THE MOST GREATLY IMPACTED BY THE LACK OF ACCESS TO FOOD HAS BEEN MINORITY POPULATIONS AND FAMILIES WITH CHILDREN. THE HOUSING CRISIS HAS BECOME ANOTHER PREVALENT ISSUE AS MEDIAN HOME PRICES AND RENTAL PRICES CONTINUE TO CHALLENGE OUR REGION. UNPACED INCOME, COMBINED WITH AN ALREADY EXPENSIVE HOUSING MARKET THAT HAS RENT PRICES RISING AT A FASTER RATE THAN OTHER SOUTHERN CALIFORNIA COUNTIES, HAS INCREASED THE HOUSING BURDEN ON MANY HOUSEHOLDS IN THE REGION. IN 2022, LLUH HOSPITALS TREATED 56,710 PEOPLE IN OUR HOSPITALS, WITH NEARLY 2 MILLION PEOPLE IN THE OUTPATIENT SYSTEM WITH 164,006 OF THOSE OUTPATIENT VISITS TO OUR EMERGENCY DEPARTMENTS AS A LEVEL-1 TRAUMA CENTER. PART VI, LINE 5: LLUH HAS A CENTRALIZED COMMUNITY BENEFIT MODEL MANAGED BY AN INSTITUTE DEVOTED TO PROMOTING COMMUNITY HEALTH WITH PUBLIC HEALTH EXPERTISE: LLUH HAS A UNIQUE, BEST-PRACTICE MODEL IN THE IMPLEMENTATION OF COMMUNITY BENEFIT IN ORDER TO ACHIEVE COLLECTIVE IMPACT WITH THEIR INVESTMENT AND PROGRAM STRATEGY: SINCE 2006, ALL LICENSED HOSPITALS WITHIN THE LLUH SYSTEM HAVE CENTRALIZED THEIR COMMUNITY BENEFIT INVESTMENTS THROUGH THE INSTITUTE FOR COMMUNITY PARTNERSHIPS TO MORE STRATEGICALLY ALIGN AND IMPLEMENT COMMUNITY HEALTH INVESTMENTS AND SINCE THE BEGINNING, LLUH HAS REPORTED PROGRAMMATICALLY AT THE HEALTH SYSTEM LEVEL TO MAXIMIZE OUTCOMES. THE COMMUNITY BENEFIT NUMBERS ARE REPORTED FINANCIALLY AND INDEPENDENTLY ON EACH LICENSED HOSPITAL'S 990 SCHEDULE H BASED ON THEIR INDIVIDUAL HOSPITAL FINANCIALS WITH ATTENTIVE MANAGEMENT TO BOTH THE COLLECTIVE AND INDIVIDUAL PROGRAMS, ACTIVITIES, AND OUTCOMES REPORTED IN THE ANNUAL SYSTEM COMMUNITY BENEFIT REPORT, IN COMPLIANCE WITH THE ACA (2010) AND CALIFORNIA'S AB 204 (2019). THE CENTRALIZED MODEL ALLOWS THE HOSPITALS TO ACCOMPLISH MORE IMPACT IN THE COMMUNITY FROM THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS) AND IN MORE EFFECTIVELY WORKING WITH PARTNER ORGANIZATIONS WITH SIMILAR GOALS. THE INSTITUTE FOR COMMUNITY PARTNERSHIPS IS COMMITTED TO SUPPORTING IMPLEMENTATION OF LLUH'S HOSPITAL COMMUNITY BENEFIT INVESTMENTS AND FULFILLMENT OF THE PRIORITY FOCUS AREAS, IN CLOSE COLLABORATION WITH THE COMMUNITY, TO COMMUNITY-BASED RESEARCH, AND TO SERVICE-LEARNING AT LOMA LINDA UNIVERSITY HEALTH (LLUH). THE INSTITUTE PLAYS A CENTRALIZING, COORDINATING, AND IMPLEMENTATION FUNCTION FOR THE FOUR LICENSED HOSPITALS AT LLUH'S COMMUNITY BENEFIT INVESTMENT DOLLARS. OUR INSTITUTE IS COMMITTED TO STRATEGICALLY WORKING WITH OUR COMMUNITY PARTNERS TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY THROUGH ACTIVITIES SUCH AS RESEARCH, TEACHING, AND SERVICE-BASED LEARNING. COMMUNITY PARTICIPATION IS AT THE CORE OF OUR EFFORTS, WITH STRUCTURED LEARNING OPPORTUNITIES FOR UNDERREPRESENTED MINORITY STUDENTS, TRAINING PROGRAMS FOR COMMUNITY HEALTH WORKERS, AND COMMUNITY RESEARCH PROJECTS. THE INSTITUTE FOR COMMUNITY PARTNERSHIPS: SEEKS TO WORK "WITH" THE COMMUNITY RATHER THAN "IN" THE COMMUNITY; STRIVES TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY, WHILE RECOGNIZING AND CAPITALIZING ON ITS ASSETS; SEEKS TO INTEGRATE SERVICES FROM RESEARCH TO TEACHING THROUGH COMMUNITY-BASED PARTICIPATION AND SERVICE-BASED LEARNING; PROVIDES A SUPPORTING AND COORDINATING ROLE ACROSS THE VARIOUS SCHOOLS AND THE MEDICAL CENTER. OUR COMMUNITY BENEFIT OBJECTIVES INCLUDE: IMPROVING ACCESS TO HEALTH SERVICES; ENHANCING THE ROLE OF PUBLIC HEALTH IN HEALTH CARE SERVICES; SERVING THOSE WHO LIVE IN POVERTY OR OTHER VULNERABLE POPULATIONS; PROMOTING AND ENHANCING COMMUNITY BUILDING ACTIVITIES; AND COMMITTING TO COMMUNITY HEALTH IMPROVEMENT THROUGHOUT THE ORGANIZATION. PART VI, LINE 6: EXPLANATION: AFFILIATED HEALTHCARE SYSTEMWE ARE AFFILIATED WITH LOMA LINDA UNIVERSITY HEALTH SYSTEM, WHICH INCLUDES 4 HOSPITALS, A UNIVERSITY, AND A FACULTY MEDICAL GROUP; COLLECTIVELY PLAYING AN ACTIVE ROLE IN PROMOTING THE HEALTH OF OUR COMMUNITIES. A DETAILED COMMUNITY BENEFIT REPORT OF THE HOSPITAL'S ACTIVITIES WILL BE PROVIDED UPON REQUEST. PART VI, LINE 7, REPORTS FILED WITH STATES CA X X X 1 1 X X 0 1 0 0 0 0 1 0 0 WRIGHT TREVOR G CEO 0 887250 0 109832 0 174474 0 25209 0 111788 0 1308553 0 0 MARTIN ROBERT TRUSTEE 0 767500 0 305257 0 92680 0 36600 0 7200 0 1209237 0 0 LALAS ANGELA M CHIEF FINANCIAL OFFICER 0 787981 0 87938 0 152060 0 22296 0 95978 0 1146253 0 0 HUBBARD MARK LEE ASST. CORPORATE SECRETARY 0 518989 0 50350 0 372231 0 44141 0 60516 0 1046227 0 0 EDWARDS LYNDON C CEO 0 651754 0 63314 0 124004 0 18685 0 86857 0 944614 0 0 HILLIARD ANTHONY TRUSTEE 0 629412 0 264740 0 12541 0 36600 0 7200 0 950493 0 0 RUCKLE HERBERT TRUSTEE 0 514583 0 235000 0 26092 0 36600 0 7700 0 819975 0 0 THOMAS TAMARA EVP LLU SOM 0 583846 0 0 0 126745 0 40923 0 60762 0 812276 0 0 HART RICHARD HENRY PRESIDENT 0 554123 0 0 0 110148 0 8026 0 70985 0 743282 0 0 PEVERINI RICARDO L TRUSTEE 0 495000 0 225000 0 0 0 36600 0 6200 0 762800 0 0 STAPLES-EVANS HELEN CNO 0 506461 0 45096 0 114746 0 14954 0 53657 0 734914 0 0 SODERBLOOM ALAN SVP FINANCE 0 443365 0 31075 0 69422 0 0 0 69544 0 613406 0 0 LENO SONDRA VP REVENUE CYCLE 0 332605 0 23963 0 56486 0 4502 0 41174 0 458730 0 0 FIELD EDWARD L VP/ADMINISTRATOR 0 317100 0 21375 0 40682 0 449715 0 49814 0 878686 0 0 CHAN FRANCIS TRUSTEE 0 350000 0 32000 0 5871 0 36600 0 6200 0 430671 0 0 CHINNOCK RICHARD E TRUSTEE 0 340000 0 20000 0 9750 0 36600 0 6200 0 412550 0 0 HEGSTAD DOUGLAS TRUSTEE 0 321875 0 28376 0 0 0 36600 0 6200 0 393051 0 0 MATUS SARA VP OPERATIONS 0 246704 0 14460 0 17432 0 8072 0 35905 0 322573 0 0 WILSON APRIL TRUSTEE 0 231554 0 27881 0 563 0 31200 0 6200 0 297398 0 0 MANGUNSONGDEVIYANTI ELIZABETH M EXEC DIR. NURSING SVCS 194015 0 10693 0 31450 0 23429 0 24200 0 283787 0 0 0 WEERASINGHEJEEVAKA PRASANNA EXEC. DIR. ADULT SVCS 200559 0 10767 0 25193 0 22260 0 24200 0 282979 0 0 0 ALBERTSONDIANA S ADMIN. DIRECTOR-QRM 163898 0 8827 0 32103 0 20994 0 8160 0 233982 0 0 0 BRASSFIELDCHRISTINE ELIZABETH DIRECTOR OF SOCIAL WORK 150087 0 8605 0 24047 0 19561 0 24609 0 226909 0 0 0 HUGGINS L ORLANDO ASST. CORPORATE SECRETARY 0 147597 0 7966 0 31350 0 19656 0 19695 0 226264 0 0 RESIWAINBRUCE A EXEC. DIRECTOR OF FINANCE 159245 0 7589 0 17582 0 16386 0 24200 0 225002 0 0 0 VELASCO EMILY CHIEF ADMIN NURSE 160729 0 5323 0 23171 0 15094 0 14375 0 218692 0 0 0 WOODRUFF ROGER TRUSTEE 0 151136 0 35000 0 3513 0 22758 0 6200 0 218607 0 0 HANNAMYRNA LEE CORPORATE SECRETARY 0 149079 0 7657 0 24821 0 19211 0 17016 0 217784 0 0 DUARTE-HERRERA PAULA MGR.-PATIENT CARE 155298 0 0 0 21495 0 15537 0 1825 0 194155 0 0 0 HENDERSON WHITNEY P ASST. CORPORATE SECRETARY 0 121473 0 6189 0 11873 0 15987 0 23232 0 178754 0 0 BEDROS LESLIE L MGR.PATENT CARE 136569 0 424 0 14166 0 17309 0 8500 0 176968 0 0 0 PART I, LINE 1A LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER (LLUBMC) SENIOR EXECUTIVES ARE EMPLOYED BY LOMA LINDA UNIVERSITY HEALTH(LLUH). LLUH BENEFITS PROVIDE FOR PAYMENT OF THE TRAVEL EXPENSES FOR A SPOUSE TO ACCOMPANY AN EMPLOYEE ON ONE BUSINESS TRIP PER YEAR. IF USED, THE TAXABLE COST OF THIS BENEFITS IS INCLUDED IN THE EMPLOYEE'S W-2. LLUBMC'S SENIOR EXECUTIVES ARE EMPLOYED BY LLUH AND LLUH BENEFITS PROVIDE FOR GROSS-UP PAYMENTS TO APPROXIMATELY COVER THE TAXES ON THE IMPUTED COST OF GROUP-TERM LIFE INSURANCE COVERAGE IN EXCESS OF $50,000. ALL EMPLOYEES RECEIVE THIS BENEFIT. THE TAXABLE COST OF THIS BENEFIT IS INCLUDED IN THE EMPLOYEE'S W-2. LLUH BENEFITS FOR HOUSING ALLOWANCE. IF USED, THE TAXABLE COST OF THIS BENEFIT IS INCLUDED IN THE EMPLOYEE'S W-2. PART I, LINE 3 PLEASE SEE EXPLANATION FOR PART VI, SECTION B, LINE 15 THAT IS LISTED UNDER SCHEDULE O. PART I, LINE 4B PART I LINE 4B-THE FOLLOWING EMPLOYEES PARTICIPATED IN, AND RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SERP FUNDING PAID TO EMPLOYEE IN CASH: - HUBBARD, MARK LEE: 251,779 NET FLEX PLAN CREDITS PAID TO EMPLOYEE IN CASH: - EDWARDS, LYNDON C.: 97,593 - FIELD, EDWARD L.: 22,319 - HART, RICHARD HENRY: 89,474 - HUBBARD, MARK LEE: 72,413 - LALAS, ANGELA MANALO: 137,422 - LENO, SONDRA: 39,402 - MATUS, SARAH: 8,479 - WRIGHT, TREVOR: 154,926 - HADLEY, ROGER: 23,019 - SODERBLOM, ALAN: 51,463 - STAPLE-EVANS, HELEN: 81,345 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: - EDWARDS, LYNDON C.: 7,279 - FIELD, EDWARD L.: 3,629 - HADLEY, HENRY ROGER: 11,008 - HART, RICHARD HENRY: 4,678 - HUBBARD, MARK LEE: 17,089 - LALAS, ANGELA MANALO: 1,939 - LENO, SONDRA: 3,013 - MATUS, SARAH: 336 - WRIGHT, TREVOR: 4,167 - SODERBLOM, ALAN: 2,141 - STAPLES-EVANS, HELEN: 10,450 EMPLOYER CONTRIBUTIONS/PAYMENTS FOR ELECTIVE BENEFITS (INCLUDES VESTED AND FORFEITED BENEFITS FUNDED IN PRIOR YEARS): - NONE PART I, LINE 6 LLUH HAS AN INCENTIVE PLAN. PAYMENTS FOR INCENTIVE AWARDS ARE TRIGGERED ONLY IF, AMONG OTHER ESTABLISHED CRITERIA, NET INCOME EXCEEDS BUDGET BY AN ESTABLISHED PERCENTAGE. REFER TO PART V FAMILY EMPLOYMENT 0 990 SCHEDULE L, PART IV FAMILY RELATIONSHIPS MAY EXIST AMONG OTHER OFFICER'S DIRECTOR'S, OR KEY EMPLOYEES OF OTHER RELATED ORGANIZATIONS. THE NATURE OF THE BUSINESS RELATIONSHIP IS EMPLOYMENT. FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIPS MAY EXIST AMONG OTHER OFFICER'S, DIRECTOR'S, OR KEY EMPLOYEES OF OTHER RELATED ORGANZATIONS. THE NATURE OF THE BUSINESS RELATIONSHIP IS EMPLOYMENT. FORM 990, PART VI, SECTION A, LINE 3 DELEGATION IS PER THE BY-LAWS OF THE CORPORATION. DELEGATION IS ADMINISTERED THEREOF. FORM 990, PART VI, SECTION A, LINE 6 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. FORM 990, PART VI, SECTION A, LINE 7A 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. FORM 990, PART VI, SECTION A, LINE 7B 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. FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 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. THE PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2022 FOR THE OFFICERS OF LOMA LINDA UNIVERSITY BEHAVIORIAL MEDICINE CENTER, INC. FORM 990, PART VI, SECTION C, LINE 19 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. FORM 990, PART XI, LINE 9: CHANGE IN ADMIN RESTRICTED ASSETS -166,000. TRANSFER FROM AFFILIATE 5,000,000. CHANGE IN RESTRICTED CONTRIBUTION 2,484,031. NET ASSETS RELEASED FROM RESTRICTION -3,763,648. OTHER -14,245. FORM 990 PART XII, LINE 2C THE PROCESS DID NOT CHANGE FROM THE THE PRIOR YEAR. GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS 12501 OLD COLUMBIA PIKE SILVER SPRINGS MD 20904 520643036 CHURCH MD 501(C)(3) 1 N/A 0 LLUH PROFESSIONALGENERAL LIABILITY TRUST RISK MANAGEMENT 101 E REDLANDS BLVD SAN BERNARDINO CA 92408 366821892 INSURANCE IL 501(C)(3) 12A LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA FACULTY MEDICAL GROUP 11175 CAMPUS STREET 11120 LOMA LINDA CA 92350 330672915 PHYSICIAN PRACTICE GROUP CA 501(C)(3) 3 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA INLAND EMPIRE CONSORTIUM FOR HEALTHCARE EDUCATION PO BOX 926 LOMA LINDA CA 92504 461612773 GRADUATE MEDICAL EDUCATION CA 501(C)(3) 10 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA MERCANTILE PO BOX 2000 LOMA LINDA CA 92354 953858272 PURCHASING COMPANY CA 501(C)(3) 1 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY 11145 ANDERSON STREET LOMA LINDA CA 92350 951816009 UNIVERSITY CA 501(C)(3) 2 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY CHILDREN HOSPITAL FOUNDATION PO BOX 2000 LOMA LINDA CA 92354 330565591 FOUNDATION CA 501(C)(3) 12C LOMA LINDA UNIVERSITY MEDICAL CENTER 0 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL 11234 ANDERSON ST LOMA LINDA CA 92354 463214504 HOSPITAL CA 501(C)(3) 3 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY HEALTH 11175 CAMPUS ST LOMA LINDA CA 92354 953804495 PARENT COMPANY CA 501(C)(3) 1 GEN'L CONFERENCE OF SEVENTH-DAY ADVENTISTS 0 LOMA LINDA UNIVERSITY HEALTH CARE 11175 CAMPUS STREET LOMA LINDA CA 92354 330364239 HEALTHCARE MANAGEMENT SERVICE ORGANIZATIONS CA 501(C)(3) 12C LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY MEDICAL CENTER PO BOX 2000 FINANCE LOMA LINDA CA 92354 953522679 HOSPITAL CA 501(C)(3) 3 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA 28062 BAXTER ROAD MURRIETA CA 92653 371705906 HOSPITAL CA 501(C)(3) 3 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY SHARED SERVICES 11175 CAMPUS ST LOMA LINDA CA 92354 810661056 SERVICE ORGANIZATION CA 501(C)(3) 1 LOMA LINDA UNIVERSITY HEALTH 0 LOMA LINDA UNIVERSITY UNEMPLOYMENT COMPENSATION AND WORKERS' COMPENSATION S BANK OF AMERICAATTNENGRACIA M RODRI PROVIDENCE RI 029019972 953458265 INSURANCE CA 501(C)(3) 12A LOMA LINDA UNIVERSITY HEALTH 0 UNIVERSITY INSURANCE COMPANY OF VERMONT 40 MAIN STREET STE 500 BURLINGTON VT 05402 030311174 INSURANCE UNDERWRITING VT 501(C)(3) 1 LOMA LINDA UNIVERSITY HEALTH 0 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 LOMA LINDA UNIVERSITY P 64051 FACULTY PHYSICIANS & SURGEONS J 71785 LOMA LINDA UNIVERSITY M 87856 LOMA LINDA UNIVERSITY SHARED SERVICES K 100407 LOMA LIND UNIVERSITY SHARED SERVICES L 104023 LOMA LINDA UNIVERSITY SHARED SERVICES P 232494 LOMA LINDA UNIVERSITY HEALTH CARE J 234648 LOMA LINDA MERCANTILE P 1641114 LOMA LINDA UNIVERSITY HEALTH M 1888635 FACULTY PHYSICIANS & SURGEONS M 4765335 LOMA LINDA UNIVERSITY MEDICAL CENTER C 5000000 LOMA LINDA UNIVERSITY SHARED SERVICES M 21457550