2015-05-15T15:19:17-05:00 2014-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2013-07-01 330664371 SAC HEALTH SYSTEM SACH 9093827110 1454 E 2ND ST SAN BERNARDINO CA 94208 JONATHAN PERRY CFO 9093827110 2015-05-15 1 RENIE BURBANK P00159653 4159561500 2013 2016-02-25 16:41:14Z JONATHAN PERRY 1454 E 2ND ST SAN BERNARDINO CA 94208 14441316 0 X N/A X 1995 CA PROVIDE COMMUNITIES WITH PRIMARY HEALTH CARE SERVICES, DENTAL CARE & BEHAVIORAL MEDICINE SERVICES. 9 9 122 14 0 0 4851059 6488221 3681201 7491016 1406 2045 354102 460034 8887768 14441316 0 0 0 0 5475120 7299577 0 0 0 3719371 5946248 9194491 13245825 -306723 1195491 5431386 7589288 3461070 4398549 1970316 3190739 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 969641 1762500 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. 556191 443938 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. 78881 78881 FIRST 5 SAN BERNARDINOS COMMITMENT TO SERVING OUR YOUNGEST CHILDREN STEMS FROM THE RESEARCH IN BRAIN DEVELOPMENT SHOWING THAT THE EXPERIENCES OF CHILDREN IN THEIR EARLIEST YEARS SIGNIFICANTLY AFFECT THE WAY THEY GROW AND DEVELOP. POSITIVE RESULTS IN THE EARLY YEARS IMPACT DRAMATICALLY ON THEIR PHYSICAL, MENTAL, EMOTIONAL AND SOCIAL DEVELOPMENT. THIS, IN TURN, REDUCES THE SOCIAL AND FINANCIAL COSTS OF SERVICES THE CHILDREN MIGHT NEED IN LATER YEARS. 9153513 5205697 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. 9153513 5205697 10758226 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 23 0 1 122 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 9093827110 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 229862 0 24502 HOLLY YONEMOTO VP, COO, CFO 40.00 X 190836 0 24145 ANITA ADORADOR CHIEF PATIENT CARE OFFICER 40.00 X 136040 0 28475 556738 0 77122 7 0 1 0 PHYSICIANS & SURGEONS OF LLUSM 11175 CAMPUS ST ROOM 11120 LOMA LINDA AZ 92350 PHYSICIAN SERVICES 1519519 LL INLAND EMPIRE CONSORTIUM FOR HC EDUC 11145 CAMPUS ST BC 203 LOMA LINDA CO 92350 PHYSICIAN SERVICES 716749 LABOR READY SOUTHWEST INC PO BOX 31001-0257 PASADENA MD 91110 TEMPORARY SERVICES 301313 OFFICETEAM PO BOX 743295 LOS ANGELES AZ 900743295 TEMPORARY SERVICES 250068 LOMA LINDA UNIVERSITY MEDICAL CENTER 11234 ANDERSON STREET LOMA LINDA CA 92354 IT, TELECOM NETWORK, & OTHER SERVICES 181262 15 1869370 4618851 6488221 PATIENT CARE REVENUE 621400 7491016 7491016 7491016 2045 2045 28700 0 28700 28700 28700 OTHER INCOME 900099 431334 431334 431334 14441316 7491016 0 462079 650373 163300 487073 4187160 3559086 628074 2086335 1773385 312950 375709 319353 56356 10740 10740 103525 103525 303639 182184 121455 45711 45711 315814 315814 3846 2870 976 96246 28175 68071 48921 654 48267 336684 286182 50502 51697 51697 CLINICAL CONTRACTS FEES 2408930 2408930 PURCHASED SERVICES 1603018 1295056 307962 MEDICAL/DENTAL SUPPLIES 366685 366685 REPAIRS & MAINTENANCE 171185 33658 137527 79607 22894 56713 13245825 10758226 2487599 0 757141 2262099 692743 724175 228943 481430 531662 637214 85049 55334 69214 41253 4067019 1690253 2055617 2376766 1011017 1011017 5431386 7589288 1542808 2425330 1011017 1011017 907245 962202 3461070 4398549 X 1277574 2466564 642593 674026 50149 50149 1970316 3190739 5431386 7589288 1195491 24932 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 60000 1574 61574 58571 1429 60000 57351 1220 58571 56331 1020 57351 55503 828 56331 0.07200 0.92800 1 0 2274075 754684 1519391 10700 10700 0 1431673 924869 506804 350571 350571 2376766 DUE FROM THIRD PARTY 1011017 1011017 DEPOSITS 600 PAYABLE TO LLUHS/LLU 961602 962202 X 15366248 24932 900000 924932 14441316 0 14441316 14145825 900000 900000 13245825 0 13245825 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. X X X X X X 0 0 0 0 0 0 0 0 0 NANCY YOUNG PRESIDENT AND CEO 0 0 221228 0 8634 0 6697 0 17805 0 254364 0 0 0 HOLLY YONEMOTO VP, COO, CFO 0 0 190836 0 0 0 5088 0 19057 0 214981 0 0 0 ANITA ADORADOR CHIEF PATIENT CARE OFFICER 0 0 136040 0 0 0 4178 0 24297 0 164515 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 ORGANIZATIONS 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.