2018-05-15T11:51:07-05:00 2017-06-30 910189318 Moss Adams LLP 10960 Wilshire Blvd Suite 1100 Los Angeles CA 90024 990 2016-07-01 330664371 Sac Health System SACH 9097712826 250 S G Street San Bernardino CA 92410 Steve Ogilvie CFO 9097712826 2018-05-15 1 Lauren A Haverlock P00545829 3104770450 2018-05-14 172.90.17.200 2018-05-15 09:58:14 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 41F3D51277C721D7E64869098416E4BAA04E310D 2016 2021-01-29 14:40:06Z Steve Ogilvie 250 S G Street San Bernardino CA 92410 35120058 0 X https://www.wearesachs.org/ X 1995 CA PROVIDE COMMUNITIES WITH PRIMARY HEALTH CARE SERVICES, DENTAL CARE & BEHAVIORAL MEDICINE SERVICES. 9 9 259 19 0 0 6627422 10883572 19534014 23752463 23455 12967 1630640 471056 27815531 35120058 0 0 0 0 8966061 16474799 0 124060 124060 9182924 24087617 18148985 40686476 9666546 -5566418 16114988 15910072 2180008 7517736 13934980 8392336 X 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. 0 0 25602285 17451296 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. 4099235 4099235 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. 1140602 1337700 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. 864232 864232 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. 864232 864232 31706354 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 16 0 1 259 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Del Denise Moreno 9097712826 250 S G Street SAN BERNARDINO CA 92410 RODNEY NEAL BOARD CHAIRMAN 0.75 X X 0 0 0 RAUL CASTILLO BOARD Member 0.75 X X 0 0 0 DR ERIC NGO BOARD SECRETARY 0.50 X X 0 0 0 ANN ATKINSON BOARD MEMBER 0.75 X 0 0 0 DR MARILYN HERRMANN BOARD MEMBER 0.50 X 0 0 0 DR JUAN CARLOS BELLIARD BOARD MEMBER 0.50 X 0 0 0 ELAINE ZUCCO BOARD MEMBER 0.50 X 0 0 0 DR RICHARD HART BOARD MEMBER 0.75 X 0 0 0 DR BONNIE CHI-LUM BOARD MEMBER 0.50 X 0 0 0 DR EDELWEISS RAMAL BOARD MEMBER (thru 9/26/16) 0.50 X 0 0 0 NANCY YOUNG PRESIDENT & CEO 40.00 X 207773 0 21147 JONATHAN PERRY VICE PRESIDENT & CFO (thru 7/28/16) 40.00 X 73744 0 7464 Steven Ogilvie VICE PRESIDENT & CFO (from 10/3/16) 40.00 X 39773 0 3632 Monica Mccarthy VICE PRESIDENT & COO 40.00 X 103835 0 11967 Engers A Fernandez Nunez VICE PRESIDENT & CIO 40.00 X 95090 0 7621 Maryellen S Westerberg EXECUTIVE DIRECTOR 40.00 X 106022 0 11798 626237 0 63629 3 0 1 0 LOMA LINDA UNIVERSITY HEALTH EDUCATION C 11165 Mountain View Ave Loma Linda CA 92354 PHYSICIAN SERVICES CONTRACTOR 4187501 FACULTY PHYSICIANS AND SURGEONS OF LLUSM 11175 Campus Street Room 11120 Loma Linda CA 92350 PHYSICIAN SERVICES CONTRACTOR 3379790 LOMA LINDA UNIV SCHOOL OF DENTISTRY 11092 Anderson St Loma Linda CA 92354 DENTAL SERVICES CONTRACTOR 1010950 PUBLIC SAFETY SERVICES INC 500 West Graham Ave 354 Lake Elsinore CA 92531 UNIFORMED SECURITY SVCS 373354 518 Medical Professionals PO Box 910569 San Diego CA 92191 Professional Staffing resource 280807 5 5329579 5553993 10883572 Patient Care Revenue 621400 19957321 19957321 Capitation Revenue 621400 3795142 3795142 23752463 12967 12967 2550 0 2550 2550 2550 Other Income 900099 468506 468506 468506 35120058 23752463 0 484023 708318 181427 526891 9517606 7039285 2478321 5132282 3683750 1448532 1116593 818301 298292 182929 172268 10661 27781 27781 104177 104177 124060 124060 899105 384375 514730 1300278 44104 1256174 5329400 4321269 1008131 172944 32857 140087 101101 1021 100080 345107 232228 112879 97245 901 96344 Clinical Contracts Fees 9200451 9080126 120325 Purchased Services 5372213 4885789 486424 Medical/Dental Supplies 777894 774788 3106 Repairs & Maintenance 100065 39925 60140 76927 13940 62987 40686476 31706354 8856062 124060 1740955 1523843 730475 813135 1862807 4604354 612278 2684120 57689 82653 196415 72698 4803594 2779434 2104594 2024160 8809775 4105109 16114988 15910072 1501728 4131098 0 509162 0 12284 678280 2865192 2180008 7517736 X 13204505 7579006 680326 763181 50149 50149 13934980 8392336 16114988 15910072 -5566418 23774 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 66572 3644 70216 63259 3313 66572 61574 1685 63259 60000 1574 61574 58571 1429 60000 0.00000 0.08400 0.91600 1 0 2956216 1354604 1601612 10700 10700 0 1836678 1414130 422548 2024160 Due From Third Party 165062 Estimated third party settlement 3940047 4105109 Deposits 600 Due to LLUHS/LLU 898666 Note Payable to LLUMC 1400000 Note Payable to LLU 565926 2865192 X 36043832 23774 900000 923774 35120058 0 35120058 41586476 900000 900000 40686476 0 40686476 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. X X 1 AM Development Group 10250 Farmington Street Oak Hills CA 92344 Fundraising 0 9183572 124060 9059512 9183572 124060 9059512 CA MD X X 0 0 0 0 0 0 0 0 0 NANCY YOUNG PRESIDENT & CEO 207773 0 0 0 0 0 19517 0 1630 0 228920 0 0 0 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.