SAC HEALTH SYSTEM: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SAC HEALTH SYSTEM (EIN 33-0664371)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201841359349305754
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T11:51:07-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Moss Adams LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10960 Wilshire Blvd Suite 1100 | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90024 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330664371 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sac Health System | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SACH | BusinessNameControlTxt |
| Phone | 9097712826 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 S G Street | AddressLine1Txt |
| City | San Bernardino | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92410 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Steve Ogilvie | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9097712826 | PhoneNum |
| Signature | 2018-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lauren A Haverlock | PreparerPersonNm |
| PTIN | P00545829 | PTIN |
| Phone | 3104770450 | PhoneNum |
| Preparation | 2018-05-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 172.90.17.200 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-05-15 | IPDt |
| IP Tm | 09:58:14 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 41F3D51277C721D7E64869098416E4BAA04E310D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Steve Ogilvie | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 S G Street | AddressLine1Txt |
| City | San Bernardino | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92410 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,120,058 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.wearesachs.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE COMMUNITIES WITH PRIMARY HEALTH CARE SERVICES, DENTAL CARE & BEHAVIORAL MEDICINE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 259 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,627,422 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,883,572 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,534,014 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,752,463 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,455 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,967 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,630,640 | PYOtherRevenueAmt |
| CY Other Revenue | $471,056 | CYOtherRevenueAmt |
| PY Total Revenue | $27,815,531 | PYTotalRevenueAmt |
| CY Total Revenue | $35,120,058 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,966,061 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,474,799 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $124,060 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $124,060 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,182,924 | PYOtherExpensesAmt |
| CY Other Expenses | $24,087,617 | CYOtherExpensesAmt |
| PY Total Expenses | $18,148,985 | PYTotalExpensesAmt |
| CY Total Expenses | $40,686,476 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,666,546 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,566,418 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,114,988 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,910,072 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,180,008 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,517,736 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,934,980 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,392,336 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SAC Health System (SACHS) is committed to providing accessible whole person patient centered health care to our communities and educating future health care professionals.We empower our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $25,602,285 | ExpenseAmt |
| Revenue | $17,451,296 | RevenueAmt |
| Desc | SACHS is committed to providing accessible integrated healthcare(i.e. Medical, Dental & Behavioral Health) to all those in need inthe San Bernardino County. SACHS empowers families to livevibrant and healthy lives through the delivery of culturallysensitive and highquality, comprehensive services. Totalencounters as reported in our 2016 OSHPD report is 63,113. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,099,235 | ExpenseAmt |
| Revenue | $4,099,235 | RevenueAmt |
| Desc | TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION-HRSA FUNDED PRIMARYCARE RESIDENCY PROGRAMS WHICH INCLUDE FAMILY MEDICINE, INTERNALMEDICINE, OB & GYN, PSYCHIATRY. IT HELPS BUILD HEALTHY COMMUNITIES BYSUPPORTING QUALIFIED HEALTHCARE PROVIDERS DEDICATED TO WORKING INUNDERSERVED AREAS OF THE US. IT PAYS FOR DIRECT & INDIRECT MEDICALEDUCATION EXPENSES FOR TRAINING RESIDENTS IN NEW OR EXPANDINGCOMMUNITY BASED PRIMARY CARE RESIDENCY PROGRAMS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,140,602 | ExpenseAmt |
| Revenue | $1,337,700 | RevenueAmt |
| Desc | IEHP'S BEHAVIORAL HEALTH INTEGRATION & COMPLEX CARE INITIATIVEGRANT-THE GRANT'S OBJECTIVE IS TO TRANSFORM PROVIDER'S CLINICALPRACTICES IN 5 KEY AREAS WHICH INCLUDES ASSESSMENT PROCESSES,CARE PLANNING, SERVICE DELIVERY PRACTICES, POPULATION HEALTHCARE MANAGEMENT & HEALTH PROMOTION/PATIENT EXPERIENCE. ITSUPPORTS PRIMARY & BEHAVIORAL HEALTH CARE INTEGRATION (I.E.TEAM BASED CARE). THE GRANT PAYS FOR PERSONNEL INVOLVED INTHE OPERATION OF THE GRANT, AS WELL AS INDIRECT EXPENSES SUCHAS OFFICE SUPPLIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $864,232 | ExpenseAmt |
| Revenue | $864,232 | RevenueAmt |
| Desc | HRSA FULL 330 HEALTH CENTER PROGRAM GRANT. SACHS IS A FEDERALLYQUALIFIED HEALTH CENTER (FQHC) RECEIVING A GRANT UNDER SECTION330 OF THE PUBLIC HEALTH SERVICE (PHS) ACT (42 UNITED STATES CODESECTION 254A). FQHCs ARE PAID BASED ON THE FQHC PROSPECTIVEPAYMENT SYSTEM (PPS) FOR MEDICALLY-NECESSARY PRIMARY HEALTHSERVICES AND QUALIFIED PREVENTIVE HEALTH SERVICES FURNISHEDBY AN FQHC PRACTITIONER. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $864,232 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $864,232 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $31,706,354 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 259 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Del Denise Moreno | PersonNm |
| Phone | 9097712826 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 S G Street | AddressLine1Txt |
| City | SAN BERNARDINO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92410 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| RODNEY NEAL | |||||||
| BOARD CHAIRMAN | 0.75 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RAUL CASTILLO | |||||||
| BOARD Member | 0.75 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR ERIC NGO | |||||||
| BOARD SECRETARY | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANN ATKINSON | |||||||
| BOARD MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | ||
| DR MARILYN HERRMANN | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DR JUAN CARLOS BELLIARD | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ELAINE ZUCCO | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DR RICHARD HART | |||||||
| BOARD MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | ||
| DR BONNIE CHI-LUM | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DR EDELWEISS RAMAL | |||||||
| BOARD MEMBER (thru 9/26/16) | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| NANCY YOUNG | |||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | $207,773 | $0 | $21,147 | ||
| JONATHAN PERRY | |||||||
| VICE PRESIDENT & CFO (thru 7/28/16) | 40.00 | Yes (X) | $73,744 | $0 | $7,464 | ||
| Steven Ogilvie | |||||||
| VICE PRESIDENT & CFO (from 10/3/16) | 40.00 | Yes (X) | $39,773 | $0 | $3,632 | ||
| Monica Mccarthy | |||||||
| VICE PRESIDENT & COO | 40.00 | Yes (X) | $103,835 | $0 | $11,967 | ||
| Engers A Fernandez Nunez | |||||||
| VICE PRESIDENT & CIO | 40.00 | Yes (X) | $95,090 | $0 | $7,621 | ||
| Maryellen S Westerberg | |||||||
| EXECUTIVE DIRECTOR | 40.00 | $106,022 | $0 | $11,798 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $626,237 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $63,629 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY HEALTH EDUCATION C | |||||
| 11165 Mountain View Ave | Loma Linda | CA | 92354 | PHYSICIAN SERVICES CONTRACTOR | $4,187,501 |
| FACULTY PHYSICIANS AND SURGEONS OF LLUSM | |||||
| 11175 Campus Street Room 11120 | Loma Linda | CA | 92350 | PHYSICIAN SERVICES CONTRACTOR | $3,379,790 |
| LOMA LINDA UNIV SCHOOL OF DENTISTRY | |||||
| 11092 Anderson St | Loma Linda | CA | 92354 | DENTAL SERVICES CONTRACTOR | $1,010,950 |
| PUBLIC SAFETY SERVICES INC | |||||
| 500 West Graham Ave 354 | Lake Elsinore | CA | 92531 | UNIFORMED SECURITY SVCS | $373,354 |
| 518 Medical Professionals | |||||
| PO Box 910569 | San Diego | CA | 92191 | Professional Staffing resource | $280,807 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,329,579 | GovernmentGrantsAmt |
| All Other Contributions | $5,553,993 | AllOtherContributionsAmt |
| Total Contributions | $10,883,572 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Care Revenue | 621400 | $19,957,321 | $19,957,321 |
| Capitation Revenue | 621400 | $3,795,142 | $3,795,142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,752,463 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,967 | TotalRevenueColumnAmt |
| Exclusion | $12,967 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,550 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,550 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,550 | TotalRevenueColumnAmt |
| Exclusion | $2,550 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $468,506 | TotalRevenueColumnAmt |
| Exclusion | $468,506 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $468,506 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,120,058 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,752,463 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $484,023 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $708,318 | TotalAmt |
| Program Services | $181,427 | ProgramServicesAmt |
| Management And General | $526,891 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,517,606 | TotalAmt |
| Program Services | $7,039,285 | ProgramServicesAmt |
| Management And General | $2,478,321 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,132,282 | TotalAmt |
| Program Services | $3,683,750 | ProgramServicesAmt |
| Management And General | $1,448,532 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,116,593 | TotalAmt |
| Program Services | $818,301 | ProgramServicesAmt |
| Management And General | $298,292 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,929 | TotalAmt |
| Program Services | $172,268 | ProgramServicesAmt |
| Management And General | $10,661 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,781 | TotalAmt |
| Management And General | $27,781 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,177 | TotalAmt |
| Management And General | $104,177 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,060 | TotalAmt |
| Fundraising | $124,060 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $899,105 | TotalAmt |
| Program Services | $384,375 | ProgramServicesAmt |
| Management And General | $514,730 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,300,278 | TotalAmt |
| Program Services | $44,104 | ProgramServicesAmt |
| Management And General | $1,256,174 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,329,400 | TotalAmt |
| Program Services | $4,321,269 | ProgramServicesAmt |
| Management And General | $1,008,131 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,944 | TotalAmt |
| Program Services | $32,857 | ProgramServicesAmt |
| Management And General | $140,087 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,101 | TotalAmt |
| Program Services | $1,021 | ProgramServicesAmt |
| Management And General | $100,080 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,107 | TotalAmt |
| Program Services | $232,228 | ProgramServicesAmt |
| Management And General | $112,879 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,245 | TotalAmt |
| Program Services | $901 | ProgramServicesAmt |
| Management And General | $96,344 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Clinical Contracts Fees | $9,200,451 | $9,080,126 | $120,325 |
| Purchased Services | $5,372,213 | $4,885,789 | $486,424 |
| Medical/Dental Supplies | $777,894 | $774,788 | $3,106 |
| Repairs & Maintenance | $100,065 | $39,925 | $60,140 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,927 | TotalAmt |
| Program Services | $13,940 | ProgramServicesAmt |
| Management And General | $62,987 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,686,476 | TotalAmt |
| Program Services | $31,706,354 | ProgramServicesAmt |
| Management And General | $8,856,062 | ManagementAndGeneralAmt |
| Fundraising | $124,060 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,740,955 | BOYAmt |
| EOY | $1,523,843 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $730,475 | BOYAmt |
| EOY | $813,135 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,862,807 | BOYAmt |
| EOY | $4,604,354 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $612,278 | BOYAmt |
| EOY | $2,684,120 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,689 | BOYAmt |
| EOY | $82,653 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,415 | BOYAmt |
| EOY | $72,698 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,803,594 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,779,434 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,104,594 | BOYAmt |
| EOY | $2,024,160 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,809,775 | BOYAmt |
| EOY | $4,105,109 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,114,988 | BOYAmt |
| EOY | $15,910,072 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,501,728 | BOYAmt |
| EOY | $4,131,098 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $509,162 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $12,284 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $678,280 | BOYAmt |
| EOY | $2,865,192 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,180,008 | BOYAmt |
| EOY | $7,517,736 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,204,505 | BOYAmt |
| EOY | $7,579,006 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $680,326 | BOYAmt |
| EOY | $763,181 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,149 | BOYAmt |
| EOY | $50,149 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,934,980 | BOYAmt |
| EOY | $8,392,336 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,114,988 | BOYAmt |
| EOY | $15,910,072 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$5,566,418 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $23,774 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $66,572 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,644 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $70,216 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $63,259 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,313 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $66,572 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $61,574 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,685 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $63,259 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,574 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $61,574 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $58,571 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,429 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $60,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.08400 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.91600 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,956,216 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,354,604 | DepreciationAmt |
| Book Value | $1,601,612 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,700 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,700 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,836,678 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,414,130 | DepreciationAmt |
| Book Value | $422,548 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,024,160 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due From Third Party | $165,062 |
| Estimated third party settlement | $3,940,047 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,105,109 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Deposits | $600 |
| Due to LLUHS/LLU | $898,666 |
| Note Payable to LLUMC | $1,400,000 |
| Note Payable to LLU | $565,926 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,865,192 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $36,043,832 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $23,774 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $900,000 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $923,774 | RevenueNotReportedAmt |
| Revenue Subtotal | $35,120,058 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $35,120,058 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $41,586,476 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $900,000 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $900,000 | ExpensesNotReportedAmt |
| Expenses Subtotal | $40,686,476 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $40,686,476 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The principal of this permanent fund together with any additions shall be preserved in perpetuity and shall not be drawn upon. However, the income of this fund may be expended only as operating funds for the SACHS clinics. |
| Part X, Line 2: | The Organization is a private nonprofit corporation organized under the laws of the State of California. The Organization has been determined to be exempt from income taxes under Section 501(c) (3) of the Internal Revenue Code and Section 23701(d) of the State of California Revenue and Taxation Code by the IRS and Franchise Tax Board, respectively. Accordingly, no provision for income taxes is included in the accompanying financial statements. The Organization follows the provisions of FASB ASC 74010, Income Taxes, relating to accounting for uncertain tax positions, which has no financial statement impact to the Organization. The Organization recognizes the tax benefit from uncertain tax positions only if it is more likely than not that the tax positions will be sustained on examination by the tax authorities, based on the technical merits of the position. The tax benefit is measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no uncertain tax positions as of June 30, 2017 or 2016. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AM Development Group | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10250 Farmington Street | AddressLine1Txt |
| City | Oak Hills | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92344 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | Fundraising | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $9,183,572 | GrossReceiptsAmt |
| Retained By Contractor | $124,060 | RetainedByContractorAmt |
| Net To Organization | $9,059,512 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $9,183,572 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $124,060 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $9,059,512 | TotalNetToOrganizationAmt |
| Licensed States | CA | LicensedStatesCd |
| Licensed States | MD | LicensedStatesCd |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NANCY YOUNG | PersonNm |
| Title | PRESIDENT & CEO | TitleTxt |
| Base Compensation Filing Org | $207,773 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $19,517 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $1,630 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $228,920 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | The form 990 is reviewed by finance committee and management. A paper copy of the return is made available to the finance/audit committee and the board for review and comment before filing with the Internal Revenue Service. |
| Form 990, Part VI, Section B, line 12c | General counsel annually obtains statements of disclosure from board members, officers, administrators, key employees and others who make or affect significant decisions and reviews the findings with appropriate boards and committees. The board members make the decisions regarding questions which have not been satisfactorily answered after administrative consideration. An individual with a conflict would recuse them self from discussions, decision and vote, on any issue for which the conflict exists. |
| Form 990, Part VI, Section B, line 15 | SAC Health System had an evaluation by the SACHS' Human Resources Department for executive compensation and determined there is no employment agreement or contract. SACHS HR does a compensation survey for CEO, CFO, COO and CIO pay, and Board approves salary. Market Rate analysis of Executive pay by using regional comparative date and rates are recommended for approval by the board. The current wage scale remains the same based on review in 2016. |
| Form 990, Part VI, Section C, line 19 | SAC HEALTH SYSTEM 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. THE FINANCIAL INFORMATION IS INCLUDED IN THE IRS FORM 990 WHICH IS AVAILABLE TO THE PUBLIC ON THE GUIDESTAR WEBSITE. |
Comments