2016-05-16T18:39:13-05:00 2015-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2014-07-01 330664371 SAC HEALTH SYSTEM SACH 9096517527 1454 E 2ND ST SAN BERNARDINO CA 94208 JONATHAN PERRY CFO 9096517527 2016-05-16 1 RENIE BURBANK P00159653 4159561500 2014 2016-08-17 19:52:53Z JONATHAN PERRY 1454 E 2ND ST SAN BERNARDINO CA 94208 17232895 0 X N/A X 1995 CA PROVIDE COMMUNITIES WITH PRIMARY HEALTH CARE SERVICES, DENTAL CARE & BEHAVIORAL MEDICINE SERVICES. 9 9 101 14 0 0 6488221 7077745 7491016 10113082 2045 18416 460034 19413 14441316 17228656 0 0 0 0 7299577 7442425 0 0 0 5946248 8791323 13245825 16233748 1195491 994908 7589288 7642928 4398549 3414048 3190739 4228880 X SEE SCHEDULE OSOCIAL ACTION COMMUNITY HEALTH SYSTEM IS COMMITTED TO PROVIDING ACCESSIBLE, WHOLE-PERSON HEALTH CARE TO ALL THOSE IN NEED. SACHS EMPOWERS FAMILIES TO LIVE VIBRANT AND HEALTHY LIVES THROUGH THE DELIVERY OF CULTURALLY SENSITIVE AND HIGH-QUALITY, COMPREHENSIVE SERVICES. 0 0 3425703 3300000 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION-HRSA FUNDED PRIMARY CARE RESIDENCY PROGRAMS WHICH INCLUDE FAMILY MEDICINE, INTERNAL MEDICINE, OB & GYN, PSYCHIATRY. IT HELPS BUILD HEALTHY COMMUNITIES BY SUPPORTING QUALIFIED HEALTHCARE PROVIDERS DEDICATED TO WORKING IN UNDERSERVED AREAS OF THE US. IT PAYS FOR DIRECT & INDIRECT MEDICAL EDUCATION EXPENSES FOR TRAINING RESIDENTS IN NEW OR EXPANDING COMMUNITY BASED PRIMARY CARE RESIDENCY PROGRAMS. 608823 473513 FAMILY RESOURCE CENTER - FIRST 5 SAN BERNARDINO CONTINUOUSLY STRIVES TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF CHILDREN, PRENATAL TO AGE FIVE, THROUGHOUT THIS COUNTY. THIS IS PRIMARILY ACCOMPLISHED THROUGH PARTNERSHIPS WITH LOCAL SERVICE AGENCIES TO PROVIDE QUALITY PROGRAMS TO YOUNG CHILDREN AND THEIR FAMILIES. 361905 212874 COUNTY OF SAN BERNARDINO RYAN WHITE PART A PROGRAM IMPROVES OR MAINTAINS THE ORAL HEALTH OF HIV+ CLIENTS. 5822295 6126695 OTHER PROGRAM SERVICE REVENUES AND EXPENSES INCLUDE AMOUNTS FROM MULTIPLE RELATED FUNDING SOURCES THAT ARE PROVIDED TO SUPPORT OVERALL GENERAL OPERATION SHORTFALL, AND ARE NOT SPECIFIC TO ANY PARTICULAR PUBLIC OR PRIVATE DESIGNATED PROGRAM. 5822295 6126695 10218726 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 1 101 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 9093827176 1455 E 3RD STREET SAN BERNARDINO CA 92410 DR CARLTON LOFGREN BOARD CHAIRMAN 0.50 X X 0 0 0 DR JUAN CARLOS BELLIARD BOARD CO-CHAIRMAN 0.50 X X 0 0 0 DR ERIC NGO SECRETARY 0.50 X X 0 0 0 ANN ATKINSON BOARD MEMBER 0.50 X 0 0 0 DR RICHARD HART BOARD MEMBER 0.50 X 0 0 0 RAUL CASTILLO BOARD MEMBER 0.50 X 0 0 0 RODNEY NEAL BOARD MEMBER 0.50 X 0 0 0 DR MARILYN HERRMANN BOARD MEMBER 0.50 X 0 0 0 DR EDELWEISS RAMAL BOARD MEMBER 0.50 X 0 0 0 DR KENNETH HART CHIEF MEDICAL OFFICER 40.00 X 0 0 0 NANCY YOUNG PRESIDENT AND CEO 40.00 X 206862 0 40805 HOLLY YONEMOTO VP COO, CFO (THRU 10/2014) 40.00 X 176136 0 33757 ANITA ADORADOR CHIEF PATIENT CARE OFFICER 40.00 X 129089 0 31248 JONATHAN PERRY CFO 40.00 X 0 0 0 512087 0 105810 3 0 1 0 FACULTY PHYSICIANS AND SURGEONS OF LLUSM 11175 CAMPUS STREET ROOM 11120 LOMA LINDA CA 92350 CONTRACT PROVIDERS 1972186 LL INLAND EMPIRE CONSORTIUM FOR HEALTHCA 11145 CAMPUS ST 203 LOMA LINDA CA 92354 CONTRACT RESIDENTS 1421976 LOMA LINDA UNIV SCHOOL OF DENTISTRY 11092 ANDERSON ST LOMA LINDA CA 92354 CONTRACT DENTISTS 810291 LOMA LINDA UNIVERSITY MEDICAL CENTER P O BOX 728 LOMA LINDA CA 92354 PURCHASED SERVICES 285767 OFFICETEAM PO BOX 743295 LOS ANGELES CA 900743295 CONTRACT WORKERS 201385 15 6712 4121369 2949664 2940 7077745 PATIENT CARE REVENUE 621400 10113082 10113082 10113082 22655 22655 15300 0 15300 15300 15300 4239 -4239 -4239 -4239 OTHER INCOME 900099 4113 4113 4113 17228656 10113082 0 37829 578599 144650 433949 4224539 1524216 2700323 2220211 1015600 1204611 419076 200114 218962 28030 28030 238565 2288 236277 314942 19881 295061 163294 35734 127560 237598 237598 12767 6075 6692 96667 29449 67218 45595 1725 43870 406155 195845 210310 87103 316 86787 CLINICAL CONTRACTS FEES 4103557 3832368 271189 MEDICAL/DENTAL SUPPLIES 2356335 2356335 REPAIRS & MAINTENANCE 407239 407168 71 293476 209364 84112 16233748 10218726 6015022 0 2262099 1801237 724175 709150 481430 1062095 637214 644155 55334 36908 41253 75205 4403809 2100648 2376766 2303161 1011017 1011017 7589288 7642928 2425330 1369883 1011017 1011017 962202 1033148 4398549 3414048 X 2466564 3519725 674026 659006 50149 50149 3190739 4228880 7589288 7642928 994908 43233 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 61574 1685 63259 60000 1574 61574 58571 1429 60000 57351 1220 58571 56331 1020 57351 0.00000 0.07200 0.92800 1 0 2655967 951615 1704352 10700 10700 0 1449639 1138333 311306 287503 287503 2303161 DUE FROM THIRD PARTY 1011017 1011017 DEPOSITS 600 PAYABLE TO LLUHS/LLU 1032548 1033148 X 18176128 43233 900000 943233 17232895 -4239 -4239 17228656 17137987 900000 4239 904239 16233748 0 16233748 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 FOLLOWS THE PROVISIONS OF FASB ASC 740-10, 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, 2015 OR 2014. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS -4,239. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS 4,239. X X X X X X 0 0 0 0 0 0 0 0 0 NANCY YOUNG PRESIDENT AND CEO 206862 0 0 0 0 0 23000 0 17805 0 247667 0 0 0 HOLLY YONEMOTO VP COO, CFO (THRU 10/2014) 176136 0 0 0 0 0 14700 0 19057 0 209893 0 0 0 ANITA ADORADOR CHIEF PATIENT CARE OFFICER 129089 0 0 0 0 0 6951 0 24297 0 160337 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 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 IN APRIL OF 2010, SAC HEALTH SYSTEM HAD AN EVALUATION BY THE LLUAHSC'S HUMAN RESOURCES DEPARTMENT FOR EXECUTIVE COMPENSATION. THE MARKET RATE ANALYSIS OF EXECUTIVE COMPENSATION WAS EXECUTED BY USING REGIONAL COMPARATIVE DATA AND THE RATES WERE RECOMMENDED FOR APPROVAL. THE CURRENT WAGE RATE SCALE REMAINS THE SAME BASED ON THIS INITIAL REVIEW. 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. FORM 990, PART XII, LINE 2B THE FINANCIAL STATEMENTS OF SAC HEALTH SYSTEM WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM. FORM 990, PART XII, LINE 2C SAC HEALTH SYSTEM'S FINANCE/AUDIT COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF SAC HEALTH SYSTEM'S FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT FIRM. THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. FORM 990, PART VII, SECTION A OFFICERS, DIRECTORS, TRUSTEES, & KEY EMPLOYEES: SACHS LEASES DR HART'S SERVICES AS CHIEF MEDICAL OFFICER. SACHS PAYS AN ANNUAL AMOUNT TO AN UNRELATED ORGANIZATION (PROFESSIONAL MEDICAL GROUP) FOR THESE SERVICES.