2019-04-30T11:29:15-05:00 2018-06-30 910189318 MOSS ADAMS LLP 10960 WILSHIRE BLVD SUITE 1100 LOS ANGELES CA 90024 990 2017-07-01 330664371 SAC HEALTH SYSTEM SACH 9097712826 250 S G STREET SAN BERNARDINO CA 92410 JOHN SKELTON CFO 9097712826 2019-04-29 1 LAUREN A HAVERLOCK P00545829 3104770450 2019-04-26 172.90.17.200 2019-04-29 19:56:19 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 41F3D51277C721D7E64869098416E4BAA04E310D 2017 2020-01-14 16:20:31Z JOHN SKELTON 250 S G STREET SAN BERNARDINO CA 92410 45598625 0 X HTTPS://WWW.WEARESACHS.ORG/ X 1995 CA PROVIDE COMMUNITIES WITH PRIMARY HEALTH CARE SERVICES, DENTAL CARE & BEHAVIORAL MEDICINE SERVICES. 11 11 403 19 0 0 10883572 10926471 23752463 34131678 12967 53917 471056 486559 35120058 45598625 0 0 0 0 16474799 22638202 124060 117680 117680 24087617 26252879 40686476 49008761 -5566418 -3410136 15910072 12465715 7517736 7457916 8392336 5007799 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 30833288 25903434 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. 4548591 4991200 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. 2304249 2270423 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. 990102 966621 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. 990102 966621 38676230 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 14 0 1 403 1 0 0 0 0 0 0 0 0 0 0 X 11 11 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 OLU TOMI DANILES BOARD MEMBER 0.50 X 0 0 0 NANCY YOUNG PRESIDENT & CEO 40.00 X 259584 0 23485 STEVEN OGILVIE VICE PRESIDENT & CFO 40.00 X 183640 0 16370 MONICA MCCARTHY VICE PRESIDENT & COO 40.00 X 157593 0 16371 ENGERS A FERNANDEZ NUNEZ VICE PRESIDENT & CIO 40.00 X 143152 0 10833 TAMARA K BACHMAN CHIEF HUMAN RESOURCES OFFI 40.00 X 143152 0 14204 JANE L ATKINS CHIEF QUALITY & COMPLIANCE 40.00 X 143958 0 11975 MARYELLEN S WESTERBERG EXECUTIVE DIRECTOR 40.00 X 130909 0 13145 1161988 0 106383 11 0 1 0 FACULTY PHYSICIANS AND SURGEONS OF LLUSM 350 E COMMERCIAL RD SUITE 101 SAN BERNARDINO CA 92408 PHYSICIAN SERVICES CONTRACTOR 9826555 LOMA LINDA UNIVERSITY HEALTH EDUCATION C 11165 MOUNTAIN VIEW AVE LOMA LINDA CA 92354 RESIDENTS CONTRACTOR 3979168 LOMA LINDA UNIV SCHOOL OF DENTISTRY 11092 ANDERSON ST LOMA LINDA CA 92354 DENTAL SERVICES CONTRACTOR 844970 PUBLIC SAFETY SERVICES INC 500 WEST GRAHAM AVE 354 LAKE ELSINORE CA 92531 UNIFORMED SECURITY SVCS 575119 518 MEDICAL PROFESSIONALS PO BOX 910569 SAN DIEGO CA 921910569 PROFESSIONAL STAFFING RESOURCE 472708 17 6850749 4075722 10926471 PATIENT CARE REVENUE 621400 28785779 28785779 CAPITATION REVENUE 621400 4279149 4279149 EHR INCENTIVE REVENUE 900099 1066750 1066750 34131678 53917 53917 GLOBAL INCENTIVE PAYMENTS 900099 332119 332119 OTHER INCOME 900099 154440 154440 486559 45598625 34131678 0 540476 1234451 316144 918307 13294833 10678035 2616798 6800164 4905778 1894386 1308754 967236 341518 142519 142519 92555 92555 117680 117680 775850 307344 468506 232924 53846 179078 5200114 3824859 1375255 317452 75532 241920 113199 936 112263 425524 238483 187041 143169 316 142853 CLINICAL CONTRACTS FEES 11058725 10617765 440960 PURCHASED SERVICES 6451025 5519269 931756 MEDICAL/DENTAL SUPPLIES 1108903 1104607 4296 REPAIRS & MAINTENANCE 123259 50481 72778 67661 15599 52062 49008761 38676230 10214851 117680 1523843 783346 813135 721345 4604354 2830334 2684120 2964362 82653 76545 72698 148716 4900990 2890053 2024160 2010937 4105109 2930130 15910072 12465715 4131098 4303129 509162 753632 12284 5061 2865192 2396094 7517736 7457916 X 7579006 4286782 763181 670868 50149 50149 8392336 5007799 15910072 12465715 -3410136 25599 0 X 0 1 X 1 0 X 70216 4566 74782 66572 3644 70216 63259 3313 66572 61574 1685 63259 60000 1574 61574 0.00000 0.10000 0.90000 1 0 2956216 1554731 1401485 10700 10700 0 1910732 1324622 586110 23342 23342 2010937 DUE FROM THIRD PARTY 183785 ESTIMATED THIRD PARTY SETTLEMENT 2746345 2930130 DEPOSITS 600 DUE TO LLUHS/LLU 527030 NOTE PAYABLE TO LLUMC 1400000 NOTE PAYABLE TO LLU 468464 2396094 X 46524224 25599 900000 925599 45598625 0 45598625 49908761 900000 900000 49008761 0 49008761 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, 2018 OR 2017. X X 1 AM DEVELOPMENT GROUP 10250 FARMINGTON STREET OAK HILLS CA 92344 CONSULTANT & GRANT WRITER 0 9079338 117680 8961658 9079338 117680 8961658 CA MD X X 1 0 0 0 0 0 0 0 0 NANCY YOUNG PRESIDENT & CEO 259584 0 0 0 0 0 21603 0 1882 0 283069 0 0 0 STEVEN OGILVIE VICE PRESIDENT & CFO 183640 0 0 0 0 0 14691 0 1679 0 200010 0 0 0 MONICA MCCARTHY VICE PRESIDENT & COO 157593 0 0 0 0 0 12641 0 3730 0 173964 0 0 0 ENGERS A FERNANDEZ NUNEZ VICE PRESIDENT & CIO 143152 0 0 0 0 0 7158 0 3675 0 153985 0 0 0 TAMARA K BACHMAN CHIEF HUMAN RESOURCES OFFI 143152 0 0 0 0 0 11145 0 3059 0 157356 0 0 0 JANE L ATKINS CHIEF QUALITY & COMPLIANCE 143958 0 0 0 0 0 11517 0 458 0 155933 0 0 0 PART I, LINE 4A SEVERANCE WAS PAID TO PERSONS LISTED ON PART VII. 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 2017. 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.