SANSUM CLINIC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SANSUM CLINIC (EIN 95-6419205)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201723189349313177
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

FieldValueIRS element (for citing)
Return2017-11-14T18:18:59-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Moss Adams LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 Second Street Suite 900AddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN956419205EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sansum ClinicBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSANSBusinessNameControlTxt
Phone8056817700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1200AddressLine1Txt
CitySANTA BARBARACityNm
State AbbreviationCAStateAbbreviationCd
ZIP931021200ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAlex BauerPersonNm
Person TitleCFOPersonTitleTxt
Phone8056817700PhoneNum
Signature2017-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRenie BurbankPreparerPersonNm
PTINP00159653PTIN
Phone4159561500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.129.7.100IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-14IPDt
IP Tm13:08:47IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id41F3D51277C721D7E64869098416E4BAA04E310DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAlex BauerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1200AddressLine1Txt
CitySANTA BARBARACityNm
State AbbreviationCAStateAbbreviationCd
ZIP931021200ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$287,575,432GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.sansumclinic.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1921FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTo provide medical services to the general public.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee1324TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,328,148PYContributionsGrantsAmt
CY Contributions Grants$6,812,315CYContributionsGrantsAmt
PY Program Service Revenue$254,781,524PYProgramServiceRevenueAmt
CY Program Service Revenue$276,037,127CYProgramServiceRevenueAmt
PY Investment Income-$5,542PYInvestmentIncomeAmt
CY Investment Income$21,065CYInvestmentIncomeAmt
PY Other Revenue$4,574,471PYOtherRevenueAmt
CY Other Revenue$4,457,573CYOtherRevenueAmt
PY Total Revenue$266,678,601PYTotalRevenueAmt
CY Total Revenue$287,328,080CYTotalRevenueAmt
PY Grants And Similar Paid$2,512,100PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,863,382CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$72,768,666PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$78,945,645CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$510,261CYTotalFundraisingExpenseAmt
PY Other Expenses$188,851,860PYOtherExpensesAmt
CY Other Expenses$203,328,554CYOtherExpensesAmt
PY Total Expenses$264,132,626PYTotalExpensesAmt
CY Total Expenses$284,137,581CYTotalExpensesAmt
PY Revenues Less Expenses$2,545,975PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,190,499CYRevenuesLessExpensesAmt
Total Assets BOY$122,161,654TotalAssetsBOYAmt
Total Assets EOY$122,055,972TotalAssetsEOYAmt
Total Liabilities BOY$76,563,995TotalLiabilitiesBOYAmt
Total Liabilities EOY$72,858,123TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$45,597,659NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$49,197,849NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe clinic provides medical services to the general public, including charity care to patients who are unable to pay and those under medicare and medi-cal programs at less than standard charges. Other health services in the community are also provided, such as wellness programs, educational service, speaking engagements and internship programs.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$251,369,805ExpenseAmt
Grant$1,863,382GrantAmt
Revenue$276,821,665RevenueAmt
DescSEE SCHEDULE OIN FURTHERANCE OF ITS CHARITABLE PURPOSE, THE CLINIC PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED CHARGE TO RESIDENTS OF THE COMMUNITY, PRIMARILY THROUGH: (A) SERVICES PROVIDED AT NO CHARGE TO THE UNINSURED; (B) THE DIFFERENCE BETWEEN PUBLIC PROGRAM PAYMENTS (PRIMARILY MEDI-CAL) AND THE RELATED COSTS OF PROVIDING SUCH SERVICES; AND (C) THE SERVICES PROVIDED TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE UNABLE DUE TO SOCIO-ECONOMIC FACTORS. ADDITIONAL ACTIVITIES UNDERTAKEN TO BENEFIT THE COMMUNITY AND TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE TO EVERY PATIENT IN AN ENVIRONMENT THAT FOSTERS CARING AND COMPASSION AND PROMOTES EDUCATION AND RESEARCH INCLUDE THE FOLLOWING:- PROVIDING FREE SPORTS PHYSICALS TO YOUTH WHO COULD NOT OTHERWISE AFFORD THEM.- PROVIDING THE LARGEST LOCAL FLU IMMUNIZATION CLINICS ANNUALLY FOR FREE OR FOR A NOMINAL DONATION.- PROVIDING FREE EYE EXAMINATIONS THROUGH SEE INTERNATIONAL TO CHILDREN WHO COULD NOT OTHERWISE AFFORD THEM.- PROVIDING MORE THAN 300 HEALTH EDUCATION CLASSES (E.G. ASTHMA, BACK AND NECK CARE, CHOLESTEROL, DIABETES, HEALTHY AGING, JOINT REPLACEMENT, STRESS, WEIGHT MANAGEMENT FOR CHILDREN AND ADULTS) THAT ARE OFFERED EACH YEAR. THE CLASSES ARE OPEN TO THE COMMUNITY, ARE OFFERED FOR FREE OR AT A NOMINAL FEE AND ARE AVAILABLE THROUGHOUT THE COUNTY.- LEADING CAMP WHEEZ AND PROVIDING PHYSICIANS AND SUPPORT STAFF FOR THIS WEEKLONG SUMMER CAMP FOR CHILDREN LIVING WITH ASTHMA.- COLLABORATING WITH SANTA BARBARA NEIGHBORHOOD CLINICS TO PROVIDE DIAGNOSTIC CARE AND SPECIALTY MEDICAL SERVICES TO RESIDENTS WHO COULD OTHERWISE NOT AFFORD THESE TESTS.- PROVIDING RELIABLE HEALTH AND RESOURCE INFORMATION FREE OF CHARGE TO ANY COMMUNITY MEMBER, PATIENTS AND NON-PATIENTS ALIKE, THROUGH OUR HEALTH RESOURCE CENTER.- PARTICIPATING IN A VARIETY OF RESEARCH PROJECT WITH PARTNERS SUCH AS UCLA, THE RAND CORPORATION AND SEVERAL PHARMACEUTICAL COMPANIES.- PARTICIPATING IN OVER A DOZEN ANNUAL HEALTH FAIRS AND FREE HEALTH SCREENING EVENTS.Desc
Total Program Service Expenses$251,369,805TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document458IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1324EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Alexander BauerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8056817500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1200AddressLine1Txt
CitySANTA BARBARACityNm
State AbbreviationCAStateAbbreviationCd
ZIP931021200ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Janet A Garufis
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
Vicki Hazard
VICE CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
Ed Rosenblatt
VICE CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
Michael Bernstein MD
TRUSTEE1.00Yes (X)$12,500$0$0
Kenneth Coates
TRUSTEE1.00Yes (X)$0$0$0
Chris Corpuz
TRUSTEE1.00Yes (X)$0$0$0
Roger P Craton
TRUSTEE1.00Yes (X)$0$0$0
Bret E Davis MD
TRUSTEE1.00Yes (X)$0$0$0
Paul Hartloff
TRUSTEE1.00Yes (X)$0$0$0
Chuck Kaye
TRUSTEE1.00Yes (X)$0$0$0
Tom Kenny
TRUSTEE1.00Yes (X)$0$0$0
Ron Latimer MD
TRUSTEE1.00Yes (X)$0$0$0
Julie McGovern
TRUSTEE1.00Yes (X)$0$0$0
Steve McHugh
TRUSTEE1.00Yes (X)$0$0$0
James McNamara MD
TRUSTEE1.00Yes (X)$0$0$0
Art Merovick
TRUSTEE1.00Yes (X)$0$0$0
David A Raphael MD
TRUSTEE1.00Yes (X)$0$0$0
George Rusznak
TRUSTEE1.00Yes (X)$0$0$0
Elizabeth Vos
TRUSTEE1.00Yes (X)$0$0$0
Kurt Ransohoff
CEO, MEDICAL DIRECTOR40.00Yes (X)$281,896$0$0
Chad Hine
COO AND VICE PRESIDENT40.00Yes (X)$433,855$0$36,830
Alex Bauer
CFO AND VICE PRESIDENT40.00Yes (X)$289,742$0$35,729
Kashmiri Chopra
MEDICAL RADIATION PHYSICIST40.00$403,584$0$0Yes (X)
John Rice
SENIOR MEDICAL DOSIMETRIST40.00$332,549$0$32,654Yes (X)
Sean Johnson
DIR ELEC HEALTH RECORDS40.00$280,657$0$35,581Yes (X)
Jonathan Andrews
ASSOCIATE VICE PRESIDENT40.00$252,440$0$29,752Yes (X)
Marjorie Newman
MED DIR ASSISTant40.00$251,234$0$12,203Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,538,457TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$182,749TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K85IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Sansum Santa Barbara Medical Clinic Inc
PO Box 1200Santa BarbaraCA93102Professional Services$68,828,141
Michaelsen Construction CO
14 W Valerio St BSanta BarbaraCA93101Professional Services$4,834,371
Santa Barbara Radiology Medical Group
320 W Pueblo StSanta BarbaraCA93101Radiology Services$3,612,752
Jackson Medical Group
517 West JuniperoSanta BarbaraCA93105Professional Services$3,284,547
Pacific Diagnostic Lab
PO Box 8180Santa BarbaraCA93118Laboratory Services$2,987,977
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K148CntrctRcvdGreaterThan100KCnt
All Other Contributions$6,812,315AllOtherContributionsAmt
Noncash Contributions$682,502NoncashContributionsAmt
Total Contributions$6,812,315TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescOther MEDICAL SRVC REVDesc
Business621110BusinessCd
Total Revenue Column$276,037,127TotalRevenueColumnAmt
Related Or Exempt Func Income$276,037,127RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$276,037,127TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,065TotalRevenueColumnAmt
Exclusion$1,065ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$448,565RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$247,352RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$201,213RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$201,213TotalRevenueColumnAmt
Exclusion$201,213ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$20,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$20,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,000TotalRevenueColumnAmt
Exclusion$20,000ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS INCOME900099$1,051,296$1,051,296
Administrative fees900099$978,957$978,957
ACO/Chronic Care Program900099$784,538$784,538

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,441,569TotalRevenueColumnAmt
Exclusion$1,441,569ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,256,360OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$287,328,080TotalRevenueColumnAmt
Related Or Exempt Func Income$276,821,665RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,694,100ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,863,382TotalAmt
Program Services$1,863,382ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,078,052TotalAmt
Management And General$1,078,052ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$58,857,205TotalAmt
Program Services$48,161,911ProgramServicesAmt
Management And General$10,454,031ManagementAndGeneralAmt
Fundraising$241,263FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,139,709TotalAmt
Program Services$1,044,181ProgramServicesAmt
Management And General$95,528ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,705,988TotalAmt
Program Services$12,528,978ProgramServicesAmt
Management And General$1,127,599ManagementAndGeneralAmt
Fundraising$49,411FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,164,691TotalAmt
Program Services$3,789,184ProgramServicesAmt
Management And General$359,022ManagementAndGeneralAmt
Fundraising$16,485FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$386,680TotalAmt
Management And General$386,680ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$149,662TotalAmt
Management And General$149,662ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$105,354,173TotalAmt
Program Services$95,854,964ProgramServicesAmt
Management And General$9,310,975ManagementAndGeneralAmt
Fundraising$188,234FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,407,059TotalAmt
Program Services$1,280,192ProgramServicesAmt
Management And General$126,867ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,443,844TotalAmt
Program Services$4,953,002ProgramServicesAmt
Management And General$475,974ManagementAndGeneralAmt
Fundraising$14,868FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,668,822TotalAmt
Program Services$3,338,024ProgramServicesAmt
Management And General$330,798ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,108,352TotalAmt
Program Services$8,264,799ProgramServicesAmt
Management And General$843,553ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$144,483TotalAmt
Program Services$131,456ProgramServicesAmt
Management And General$13,027ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$214,249TotalAmt
Program Services$194,931ProgramServicesAmt
Management And General$19,318ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,043,701TotalAmt
Program Services$949,596ProgramServicesAmt
Management And General$94,105ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,912,686TotalAmt
Program Services$8,109,078ProgramServicesAmt
Management And General$803,608ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,930,040TotalAmt
Program Services$1,756,019ProgramServicesAmt
Management And General$174,021ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICAL SUPPLIES$32,366,320$29,448,026$2,918,294
MEDICAL SUPPLIES$29,681,122$26,501,862$3,179,260
REPAIRS/MAINTENANCE$3,517,361$3,200,220$317,141

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$284,137,581TotalAmt
Program Services$251,369,805ProgramServicesAmt
Management And General$32,257,515ManagementAndGeneralAmt
Fundraising$510,261FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$19,877,211BOYAmt
EOY$17,185,806EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,858,218BOYAmt
EOY$2,542,642EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$19,725,602BOYAmt
EOY$17,150,640EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,417,258BOYAmt
EOY$4,133,474EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,941,124BOYAmt
EOY$4,263,278EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,146,058BOYAmt
EOY$2,565,984EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$137,743,582LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$79,567,158LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$54,220,694BOYAmt
EOY$58,176,424EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,803,569BOYAmt
EOY$6,881,789EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$422,721BOYAmt
EOY$591,236EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,749,199BOYAmt
EOY$8,564,699EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$122,161,654BOYAmt
EOY$122,055,972EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,396,484BOYAmt
EOY$29,818,974EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$36,640,741BOYAmt
EOY$32,769,053EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,526,770BOYAmt
EOY$10,270,096EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$76,563,995BOYAmt
EOY$72,858,123EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,065,697BOYAmt
EOY$43,411,404EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,237,143BOYAmt
EOY$4,485,726EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,294,819BOYAmt
EOY$1,300,719EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$45,597,659BOYAmt
EOY$49,197,849EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$122,161,654BOYAmt
EOY$122,055,972EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,190,499ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$409,691NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,409,208BeginningYearBalanceAmt
Contributions$672,567ContributionsAmt
Investment Earnings Or Losses$409,690InvestmentEarningsOrLossesAmt
End Year Balance$7,491,465EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,900,122BeginningYearBalanceAmt
Contributions$1,655,849ContributionsAmt
Investment Earnings Or Losses-$141,524InvestmentEarningsOrLossesAmt
Grants Or Scholarships$5,245GrantsOrScholarshipsAmt
End Year Balance$6,409,208EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,598,622BeginningYearBalanceAmt
Contributions$147,165ContributionsAmt
Investment Earnings Or Losses$154,335InvestmentEarningsOrLossesAmt
End Year Balance$4,900,122EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,502,880BeginningYearBalanceAmt
Contributions$520,508ContributionsAmt
Investment Earnings Or Losses$575,234InvestmentEarningsOrLossesAmt
End Year Balance$4,598,622EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,191,729BeginningYearBalanceAmt
Contributions$23,957ContributionsAmt
Investment Earnings Or Losses$287,194InvestmentEarningsOrLossesAmt
End Year Balance$3,502,880EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.23000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.17000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.60000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,033,858OtherCostOrOtherBasisAmt
Book Value$6,033,858BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,917,284OtherCostOrOtherBasisAmt
Depreciation$26,286,433DepreciationAmt
Book Value$33,630,851BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$68,738,466OtherCostOrOtherBasisAmt
Depreciation$53,280,725DepreciationAmt
Book Value$15,457,741BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,053,974OtherCostOrOtherBasisAmt
Book Value$3,053,974BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$58,176,424TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Bond Construction and Reserve Funds$2,007,905
DEFERRED COMPENSATION PLAN ASSETS$6,065,365
OTHER ASSETS$198,429
INSURANCE RECEIVABLE$183,000
ACQUISITION COSTS$110,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,564,699TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Deferred Compensation Plan Liabilities$6,065,365
MEDICAL MALPRACTICE LIABILITY$3,125,000
ACCRUED CENCAL DEFerred REVenue$1,079,731
FieldValueIRS element (for citing)
Total Liability$10,270,096TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$287,536,558TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$409,691NetUnrealizedGainsInvstAmt
Revenue Not Reported$409,691RevenueNotReportedAmt
Revenue Subtotal$287,126,867RevenueSubtotalAmt
Other Revenues Not Included$201,213OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$201,213RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$287,328,080TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$283,936,368TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$283,936,368ExpensesSubtotalAmt
Other Expenses Not Included$201,213OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$201,213ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$284,137,581TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The Clinic's endowment includes donor-restricted endowment funds and funds designated by the Board of Trustees to function as endowments.
Part X, Line 2:The Clinic 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 December 31, 2016 or 2015.
Part XI, Line 4b - Other Adjustments:Gross Rental Income reclassed from Expense Section 448,565. Rental Expenses Netted with Rental INcome -247,352.
Part XII, Line 4b - Other Adjustments:Gross Rental Income reclassified to Revenues 448,565. Rental Expenses reclassified to Statement of Revenue -247,352.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
CANCER FOUNDATION OF SANTA BARBARA
601 W JUNIPEROSANTA BARBARACA93101952158727501(C)(3)$1,850,732General Support
COTTAGE HOSPITAL FOUNDATION
PO BOX 689SANTA BARBARACA93102951644629501(C)(3)$6,000General Support
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationGRANT requests are reviewed and APPROVED BY THE BOARD OF TRUSTEES. Once approved, tHE FUNDING IS MONITORED BY SANSUM CLINIC FINANCE DEPARTMENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kurt Ransohoff
CEO, MEDICAL DIRECTOR$281,896$0$0$0$0$0$0$0$0$0$281,896$0$0$0
Chad Hine
COO AND VICE PRESIDENT$433,855$0$0$0$0$0$7,950$0$28,880$0$470,685$0$0$0
Alex Bauer
CFO AND VICE PRESIDENT$257,485$0$32,257$0$0$0$0$0$35,729$0$325,471$0$0$0
Kashmiri Chopra
MEDICAL RADIATION PHYSICIST$403,584$0$0$0$0$0$0$0$0$0$403,584$0$0$0
John Rice
SENIOR MEDICAL DOSIMETRIST$332,549$0$0$0$0$0$0$0$32,654$0$365,203$0$0$0
Sean Johnson
DIR ELEC HEALTH RECORDS$280,657$0$0$0$0$0$6,187$0$29,394$0$316,238$0$0$0
Jonathan Andrews
ASSOCIATE VICE PRESIDENT$252,440$0$0$0$0$0$1,002$0$28,750$0$282,192$0$0$0
Marjorie Newman
MED DIR ASSISTant$251,234$0$0$0$0$0$12,203$0$0$0$263,437$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1aFormAndLineReferenceDesc
ExplanationKurt Ransohoff MD/CEO submits an expense report that documents personal use which is included in his w-2 compensation.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonChristine McNamaraPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSpouse of James McNamara, TrusteeRelationshipDescriptionTxt
Transaction$113,385TransactionAmt
TransactionServices rendered as VP PROF SERVICESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6ContributionCnt
Noncash Contributions Rpt F990$682,502NoncashContributionsRptF990Amt
Method Of Determining RevenuesSales Price of SharesMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2CHRISTINE MCNAMARA, VICE PRESIDENT OF PROFESSIONAL SERVICES, AND DR. JAMES MCNAMARA, MEMBER OF THE BOARD OF TRUSTEES, HAVE A FAMILY RELATIONSHIP.
Form 990, Part VI, Section B, line 11bTHE BOARD OF TRUSTEES HAS DELEGATED THE FIDUCIARY RESPONSIBILITY OF THE REVIEW AND APPROVAL PROCESS OF THE 990 TAX RETURN TO THE FINANCE COMMITTEE AND THE CHIEF FINANCIAL OFFICER; UPON APPROVAL BY THE FINANCE COMMITTEE THE 990 TAX RETURN GOES TO THE BOARD OF TRUSTEES FOR FINAL APPROVAL. THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS ELECTRONICALLY PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. ONCE FINAL APPROVAL IS GIVEN, THE 990 TAX RETURN IS SUBMITTED TO THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Section B, line 12cIT IS THE POLICY OF SANSUM CLINIC TO MAIL OUT, ON AN ANNUAL BASIS, A CONFLICT OF INTEREST STATEMENT TO THE BOARD OF TRUSTEES FOR COMPLETION. THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND ALL RESPONSES FILED. PER POLICY ALL BOARD OF TRUSTEES MEMBERS HAVE A DUTY TO DISCLOSE POTENTIAL CONFLICT OF INTERESTS. A PROCESS IS IN PLACE TO EVALUATE AND DETERMINE IF POSSIBLE CONFLICT OF INTEREST EXISTS. PROCEDURES ARE IN PLACE TO ADDRESS CONFLICT OF INTEREST BY RECUSING THE MEMBER FROM PARTICIPATING IN THE BOARD OF TRUSTEES DELIBERATIONS.
Form 990, Part VI, Section B, line 15THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES ANNUALLY REVIEWS EXECUTIVE COMPENSATION. INDUSTRY BASED COMPENSATION SURVEYS BY MGMA AND AMGA ARE USED TO DETERMINE EXECUTIVE COMPENSATION. IN ADDITION, SALARY SURVEYS ARE PROVIDED BY THE EXECUTIVE SEARCH FIRM WHEN POSITIONS ARE BEING RECRUITED FOR. NO CHANGES TO EXECUTIVE COMPENSATION ARE IMPLEMENTED THAT ARE NOT BUDGETED FOR AND ARE NOT CONSISTENT WITH THE AVERAGE RATE OF PAY INCREASES FOR OTHER COMPANY EMPLOYEES. ANY EXCEPTIONS TO THIS ARE APPROVED, IN ADVANCE, BY THE EXECUTIVE COMMITTEE PRIOR TO IMPLEMENTATION.
Form 990, Part VI, Section C, line 19IT IS THE POLICY OF SANSUM CLINIC TO PROVIDE DOCUMENTATION UPON WRITTEN REQUEST BY MAIL TO THE CORPORATE LOCATION.
Form 990, Part IX, line 11gOutside Professional services: Program service expenses 95,854,964. Management and general expenses 9,310,975. Fundraising expenses 188,234. Total expenses 105,354,173.

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