SAC HEALTH SYSTEM: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SAC HEALTH SYSTEM (EIN 33-0664371)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201211369349307796
Schema version
2010v3.4
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)
Timestamp2012-05-15T18:39:34-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 SECOND STREET 9TH FLOORAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN330664371EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAC HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSACHNameControl
Phone9093827110Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11454 E 2ND STAddressLine1
CitySAN BERNARDINOCity
StateCAState
ZIP Code94208ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHOLLY YONEMOTOName
TitleVP,COO & CFOTitle
Phone9093827110Phone
Date Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRENIE BURBANKName
Phone4159561500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHOLLY YONEMOTONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11454 E 2ND STAddressLine1
CitySAN BERNARDINOCity
StateCAState
ZIP Code94208ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7036003GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number1071GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE OUR COMMUNITIES WITH PRIMARY HEALTH CARE SERVICES, DENTAL CARE, & BEHAVIORAL MEDICINE SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees65TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1781357ContributionsGrantsPriorYear
Contributions Grants Current Year4384496ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2827902ProgramServiceRevenuePriorYear
Program Service Revenue CY2613399ProgramServiceRevenueCY
Investment Income Prior Year13599InvestmentIncomePriorYear
Investment Income Current Year1020InvestmentIncomeCurrentYear
Other Revenue Prior Year35592OtherRevenuePriorYear
Other Revenue Current Year37088OtherRevenueCurrentYear
Total Revenue Prior Year4658450TotalRevenuePriorYear
Total Revenue Current Year7036003TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2892867SalariesEtcPriorYear
Salaries Etc Current Year4787889SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1375763OtherExpensePriorYear
Other Expenses Current Year2195953OtherExpensesCurrentYear
Total Expenses Prior Year4268630TotalExpensesPriorYear
Total Expenses Current Year6983842TotalExpensesCurrentYear
Revenues Less Expenses Prior Year389820RevenuesLessExpensesPriorYear
Revenues Less Expenses CY52161RevenuesLessExpensesCY
Total Assets BOY2616532TotalAssetsBOY
Total Assets EOY2836944TotalAssetsEOY
Total Liabilities BOY590376TotalLiabilitiesBOY
Total Liabilities EOY758628TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2026156NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2078316NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE OUR COMMUNITIES WITH PRIMARY HEALTH CARE SERVICE WHICH INCORPORATES THE PREPARATION OF HEALTH PROFESSIONALS, WHILE RESPECTING CULTURAL DIVERSITY, RESPONDING TO INDIVIDUAL NEEDS, PROMOTING FAMILY STRENGTH, AND EMPOWERING PEOPLE TO MAKE THEIR LIVES WHOLE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3894742Expense
Revenue2613399Revenue
DescriptionSACHS IS A THREE CLINIC SYSTEM THAT PROVIDES LOW COST COMMUNITY HEALTH SERVICES TO THE UNDERSERVED COMMUNITIES IN THE INLAND EMPIRE. DURING THE PERIOD FROM JULY 1, 2010 THRU JUNE 30, 2011, SACHS PROVIDED PRIMARY CARE SERVICES TO 21,596 PATIENTS, DENTAL CARE TO 7,826 PATIENTS, AND BEHAVIORAL MEDICINE SERVICES TO 2,691 PATIENTS.Description
Total Program Service Expense3894742TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees65NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HOLLY YONEMOTOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9093827110TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11455 E 3RD STREETAddressLine1
CitySAN BERNARDINOCity
StateCAState
ZIP Code92410ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
STEVEN LAWRENCE MOHR
TRUSTEE/BOARD MEMBER0.50X040808068281
LESLIE NELSON POLLARD
BOARD MEMBER0.50X017298611933
DAVID GORDON WREN
BOARD MEMBER0.50X025377540246
MARILYN HERMANN
TRUSTEE/SECRETARY0.50X015932527413X
JUAN BELLIARD
CO-CHAIRMAN0.50X08955819835X
EDELWEISS RAMAL
BOARD MEMBER0.50X07929818152
DAISY DELEON
BOARD MEMBER0.50X012852624572
DANIEL GIANG MD
BOARD MEMBER0.50X024338465919
CARLTON LOFGREN MD
BOARD CHAIRMAN0.50X000X
ERIC NGO MD
BOARD MEMBER0.50X000
ANN ATKINSON
TRUSTEE/BOARD MEMBER0.50X000
VERONICA REYES
BOARD MEMBER0.50X000
CINTHIA RAMIREZ
BOARD MEMBER0.50X000
KISHA R NORRIS
BOARD MEMBER0.50X000
KENNETH HART MD
MEDICAL DIRECTOR/CMO40.00011961345025X
NANCY YOUNG
PRESIDENT AND CEO40.00835631170457901X
HOLLY YONEMOTO
VP AND COO40.0032885803286391X
CYNTHIA ROLLINS
CFO40.0059665750384442X
CAMILLE EUGENIO
CONTROLLER40.0052622521339629X
ANITA ADORADOR
CHIEF PATIENT CARE OFFICER40.0039826625549011X
DONNA SMITH-BURGESS
BEHAVIORAL HEALTH MANAGER40.008954704442X
RITA PRIETO-GARCIA
BUSINESS OFFICE MANAGER40.009034507275X
MESEGA THOMAS
HUMAN RESOURCE MANAGER40.008066906123X
FieldValueIRS element (for citing)
Total Reportable Comp From Org268561TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2041643TotalReportableCompFrmRltdOrgs
Total Other Compensation358750TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns22500FederatedCampaigns
Related Organizations3915056RelatedOrganizations
Government Grants300350GovernmentGrants
All Other Contributions146590AllOtherContributions
Total Contributions4384496TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE REVENUE62140024672672467267
ALL OTHER PROGRAM REV621940146132146132
FieldValueIRS element (for citing)
Total Program Service Revenue2613399TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1020TotalRevenueColumn
Exclusion$1,020ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real37088Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real37088Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column37088TotalRevenueColumn
Exclusion$37,088ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7036003TotalRevenueColumn
Related Or Exempt Function Income2613399RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$38,108ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total477584Total
Management And General477584ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2472457Total
Program Services1406512ProgramServices
Management And General1065945ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total191829Total
Program Services92046ProgramServices
Management And General99783ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1359753Total
Program Services593780ProgramServices
Management And General765973ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total286266Total
Program Services150365ProgramServices
Management And General135901ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8381Total
Management And General8381ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26402Total
Management And General26402ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total711252Total
Program Services710377ProgramServices
Management And General875ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total468130Total
Program Services358716ProgramServices
Management And General109414ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total37009Total
Management And General37009ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total294365Total
Program Services195859ProgramServices
Management And General98506ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20810Total
Program Services19164ProgramServices
Management And General1646ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total78834Total
Program Services3444ProgramServices
Management And General75390ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total73505Total
Program Services51440ProgramServices
Management And General22065ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES411714257711154003
PROVISION FOR UNCOLLECT2232122321
DUES & SUBSCRIPTIONS220220

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total43010Total
Program Services33007ProgramServices
Management And General10003ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6983842Total
Program Services3894742ProgramServices
Management And General3089100ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY457107BOY
EOY1151540EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY515109BOY
EOY579285EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY846212BOY
EOY180672EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY324501BOY
EOY198327EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY110944BOY
EOY115234EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2777BOY
EOY14925EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1559322LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec962361LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY359882BOY
EOY596961EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2616532BOY
EOY2836944EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY589776BOY
EOY681139EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY600BOY
EOY77489EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY590376BOY
EOY758628EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1460584BOY
EOY1499030EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY515423BOY
EOY529137EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY50149BOY
EOY50149EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2026156BOY
EOY2078316EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2616532BOY
EOY2836944EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses52161ReconcilationRevenueExpenses
Reconcilation Other Changes-1ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance56331BeginningOfYearBalance
Investment Earnings Or Losses1020InvestmentEarningsOrLosses
End Of Year Balance57351EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance55503BeginningOfYearBalance
Investment Earnings Or Losses828InvestmentEarningsOrLosses
End Of Year Balance56331EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance54109BeginningOfYearBalance
Investment Earnings Or Losses1394InvestmentEarningsOrLosses
End Of Year Balance55503EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis654586OtherCostOrOtherBasis
Depreciation479743Depreciation
Book Value174843BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis904736OtherCostOrOtherBasis
Depreciation482618Depreciation
Book Value422118BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings596961TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEPOSITS$600
PAYABLE TO LLUHS/LLU$76,889
FieldValueIRS element (for citing)
Total Of Amounts77489TotalOfAmounts
Total Revenue7036003TotalRevenue
Total Expenses6983842TotalExpenses
Excess Or Deficit For Year52161ExcessOrDeficitForYear
Other-$1OtherAmount
Total Adjustments-1TotalAdjustments
Excess Or Deficit Per FS52160ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7936003TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities900000DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990900000RevenueNotRptdF990
Revenue Subtotal7036003RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9907036003TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7883843TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities900000DonatedServicesUseOfFacilities
Expenses Not Rptd F990900000ExpensesNotRptdF990
Expenses Subtotal6983843ExpensesSubtotal
Other Expenses Not Included-1OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-1ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906983842TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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.
PART XI, LINE 8 - OTHER ADJUSTMENTS:ROUNDING -1.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:ROUNDING -1.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEVEN LAWRENCE MOHR
034400000064080012052056229047636100
LESLIE NELSON POLLARD
0137041000359450660605327018491900
DAVID GORDON WREN
022087400032901015014025232029402100
MARILYN HERMANN
0159224000101011942015471018673800
DAISY DELEON
012831500021109624014948015309800
DANIEL GIANG MD
018826705011705000046119019800030930300
KENNETH HART MD
0111000046130400003752507500016463800
NANCY YOUNG
83563117045000022990560209146411704500

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 4EFFECTIVE JULY 15, 2010, THE ORGANIZATION MADE A CHANGE TO HAVE NO CORPORATE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATE MEMBERS ("MEMBERS") OF THIS CORPORATION PURSUANT TO THE CORPORATIONS CODE SECTION 5056(A) ARE LOMA LINDA UNIVERSITY, A CALIFORNIA NONPROFIT RELIGIOUS CORPORATION AND LOMA LINDA UNIVERSITY MEDICAL CENTER, A CALIFORNIA NONPROFIT RELIGIOUS CORPORATION. EFFECTIVE JULY 15, 2010, SAC HEALTH SYSTEM MADE A CHANGE TO HAVE NO CORPORATE MEMBERS AND BECAME AN INDEPENDENT 501(C)(3) NOT-FOR-PROFIT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7APURSUANT TO THE GOVERNING DOCUMENTS UNTIL THEY CHANGED IN JULY 2010 AND NOTWITHSTANDING ANY OTHER PROVISION OF THESE BYLAWS, THE MEMBERS SHALL HAVE THE FOLLOWING POWERS, WHICH THEY MAY EXERCISE WITHOUT APPROVAL FROM THIS CORPORATION: A. APPROVE THE MEMBERS OF THIS CORPORATION'S BOARD B. REMOVE THIS CORPORATION'S BOARD, IN WHOLE BUT NOT IN PART, IF DUE CAUSE FOR SUCH REMOVAL IS DETERMINED IN GOOD FAITH BY THE MEMBERS, UPON A VOTE OF TWO-THIRDS (2/3) OF THE AUTHORIZED TRUSTEES OF THE MEMBERS' BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BSUBJECT TO THE PROVISIONS AND LIMITATIONS OF THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW AND ANY OTHER APPLICABLE LAWS, AND SUBJECT TO LIMITATIONS OF THE ARTICLES OF INCORPORATION AND ARTICLE IV OF THE BYLAWS, THE CORPORATION'S ACTIVITIES AND AFFAIRS SHALL BE MANAGED, AND ALL CORPORATE POWERS SHALL BE EXERCISED, BY OR UNDER THE DIRECTION OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11THE 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.
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 12C
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.FORM 990, PART VI, SECTION B, LINE 15
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 VI, SECTION C, LINE 19
FORM 990, PART VII, LINE 1A: LLUAHSC, AS THE PARENT ORGANIZATION, EMPLOYS THE SENIOR EXECUTIVES OF ITS RELATED ORGANIZATIONS. THE AVERAGE HOURS PER WEEK REPORTED FOR OFFICERS ON PART VII, LINE 1A, COLUMN B, REPRESENT TOTAL AVERAGE HOURS (AT LEAST 50 HOURS PER WEEK) DEVOTED BY EACH OFFICER TO LLUAHSC AND RELATED ORGANIZATIONS AS ALLOCATED TO THE APPLICABLE RELATED ORGANIZATIONS AS FOLLOWS: MOHR, STEVEN L. 45.00 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY MEDICAL CENTER 04.50 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER 00.50 HOURS/WEEK DEVOTED TO SAC HEALTH SYSTEM POLLARD, LESLIE 50 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY HEALTH SERVICES 00.50 HOURS/WEEK DEVOTED TO SAC HEALTH SYSTEM WREN, DAVID G. 49.50 HOURS/WEEK DEVOTED TO LOMA LINDA UNIVERSITY HEALTH CARE 00.50 HOURS/WEEK DEVOTED TO SAC HEALTH SYSTEMFORM 990, PART VII, LINE 1A
CHANGES IN NET ASSETS OR FUND BALANCES:ROUNDING -1. TOTAL TO FORM 990, PART XI, LINE 5: -1.FORM 990, PART XI, LINE 5:
THE FINANCIAL STATEMENTS OF SAC HEALTH SYSTEM WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM.FORM 990, PART XII, LINE 2B
SAC HEALTH SYSTEM'S FINANCE/AUDIT COMMITTEE OF THE BOARD OF DIRECTORS ASSUME 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 XII, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER
11175 CAMPUS STLOMA LINDACA92354953804495PARENT COMPANYCA501(C)(3)1N/A0
LOMA LINDA UNIVERSITY
11145 ANDERSON STLOMA LINDACA92354951816009UNIVERSITYCA501(C)(3)20LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER
LOMA LINDA UNIVERSITY MEDICAL CENTER
11234 ANDERSON STLOMA LINDACA92354953522679HOSPITALCA501(C)(3)30LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER
LOMA LINDA MERCANTILE
24887 TAYLOR STLOMA LINDACA92354953858272PURCHASING COMPANYCA501(C)(3)10LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER
LOMA LINDA UNIVERSITY MEDICAL ENTERPRISES
PO BOX 2000LOMA LINDACA92354330873998OUTPATIENT PHARMACYCA501(C)(3)10LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER
LOMA LINDA UNIVERSITY FACULTY PHARMACY
PO BOX 2000LOMA LINDACA92354330873998OUTPATIENT PHARMACYCA501(C)(3)10LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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