2020-07-10T11:49:57-05:00 2019-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2018-07-01 330664371 SAC HEALTH SYSTEM SACH 9097712826 250 S G STREET SAN BERNARDINO CA 92410 JOHN SKELTON CFO 9097712826 2020-07-04 1 KURT J BENNION CPA P01469618 4252506100 2020-07-04 67.137.57.251 2020-07-04 08:26:31 PD P B236117B9166D2F893B54FD65EE150CAF84F9165 32BF7EAB22DEFAF25B84558E1ABCE2756C2E0534 2018 2020-09-22 18:59:49Z JASON LOHR 250 S G STREET SAN BERNARDINO CA 92410 53464845 0 X WWW.WEARESACHS.ORG X 1995 CA PROVIDE COMMUNITIES WITH PRIMARY HEALTH CARE SERVICES, DENTAL CARE & BEHAVIORAL MEDICINE SERVICES. 10 10 403 11 0 0 10926471 13395586 34131678 39360790 53917 2737 486559 705732 45598625 53464845 0 2585 0 0 22638202 23238417 117680 107720 107720 26252879 29763006 49008761 53111728 -3410136 353117 12465715 15000277 7457916 9612277 5007799 5388000 X TO REFLECT THE HEALING MINISTRY AND LOVE OF JESUS CHRIST THROUGH HEALTHCARE, EDUCATION, AND PARTNERSHIPS THAT EMPOWER OUR COMMUNITIES TO FLOURISH. 1 0 35951747 2585 34074304 SACHS IS COMMITTED TO PROVIDING ACCESSIBLE INTEGRATED HEALTHCARE (I.E. MEDICAL, DENTAL & BEHAVIORAL HEALTH) TO ALL THOSE IN NEED IN THE SAN BERNARDINO COUNTY. SACHS EMPOWERS FAMILIES TO LIVE VIBRANT AND HEALTHY LIVES THROUGH THE DELIVERY OF CULTURALLY SENSITIVE AND HIGH QUALITY, COMPREHENSIVE SERVICES. 4649319 0 0 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 EDUCATION EXPENSES FOR TRAINING RESIDENTS IN NEW OR EXPANDING COMMUNITY BASED PRIMARY CARE RESIDENCY PROGRAMS. 1351746 0 5286486 IEHP'S BEHAVIORAL HEALTH INTEGRATION & COMPLEX CARE INITIATIVE GRANT - THE GRANT'S OBJECTIVE IS TO TRANSFORM PROVIDER'S CLINICAL PRACTICES IN 5 KEY AREAS WHICH INCLUDES ASSESSMENT PROCESSES, CARE PLANNING, SERVICE DELIVERY PRACTICES, POPULATION HEALTH CARE MANAGEMENT & HEALTH PROMOTION/PATIENT EXPERIENCE. IT SUPPORTS PRIMARY & BEHAVIORAL HEALTH CARE INTEGRATION (I.E. TEAM BASED CARE). THE GRANT PAYS FOR PERSONNEL INVOLVED IN THE OPERATION OF THE GRANT, AS WELL AS INDIRECT EXPENSES SUCH AS OFFICE SUPPLIES. 1090660 0 0 HRSA FULL 330 HEALTH CENTER PROGRAM GRANT. SACHS IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) RECEIVING A GRANT UNDER SECTION 330 OF THE PUBLIC HEALTH SERVICE (PHS) ACT (42 UNITED STATES CODE SECTION 254A). FQHCS ARE PAID BASED ON THE FQHC PROSPECTIVE PAYMENT SYSTEM (PPS) FOR MEDICALLY-NECESSARY PRIMARY HEALTH SERVICES AND QUALIFIED PREVENTIVE HEALTH SERVICES FURNISHED BY AN FQHC PRACTITIONER. 1090660 0 0 43043472 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 14 0 1 403 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 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 0.80 X X 0 0 0 DR ERIC NGO BOARD SECRETARY 0.80 X X 0 0 0 RAUL CASTILLO BOARD TREASURER 0.80 X X 0 0 0 ANN ATKINSON BOARD MEMBER 0.50 X 0 0 0 DR JUAN CARLOS BELLIARD BOARD MEMBER 0.50 X 0 0 0 OLU TOMI DANIEL BOARD MEMBER 0.50 X 0 0 0 DR RICHARD HART BOARD MEMBER 0.50 X 0 0 0 DR MARILYN HERRMANN BOARD MEMBER 0.50 X 0 0 0 MAGDALENA WIESNER BOARD MEMBER 0.50 X 0 0 0 ELAINE ZUCCO BOARD MEMBER 0.50 X 0 0 0 DR JASON LOHR PRESIDENT & CEO 40.00 X 20212 0 3848 STEVEN OGILVIE VICE PRES & CFO (THROUGH SEP 2018) 40.00 X 145064 0 13508 JOHN SKELTON VICE PRESIDENT & CFO 40.00 X 0 0 0 MONICA MCCARTHY VICE PRES & COO (THROUGH JULY 2018) 40.00 X 147370 0 20578 DR MARYELLEN WESTERBERG VICE PRESIDENT & COO 40.00 X 146155 0 34436 ENGERS FERNANDEZ-NUNEZ VICE PRES & CIO (THROUGH JULY 2018) 40.00 X 131376 0 22005 GERRARD GIER VICE PRESIDENT & CIO 40.00 X 0 0 0 TAMARA BACHMAN CHIEF HUMAN RESOURCES OFFICER 40.00 X 152636 0 41658 JANE ATKINS CHIEF QUALITY & COMPLIANCE OFFICER 40.00 X 150051 0 24271 LEE PODOLL CHIEF BUSINESS STRATEGY OFFICER 40.00 X 148931 0 40368 OSCAR LOPEZ DENTIST 40.00 X 135943 0 11204 MARIO ESQUIVEL PHYSICIAN ASSISTANT (THROUGH JAN 2019) 40.00 X 133271 0 19605 RANDY STINNETT PROVIDER MANAGER INTERIM 40.00 X 129357 0 21126 KATHY BRAHIER EXECUTIVE DIRECTOR OF NURSING 40.00 X 120772 0 9716 NANCY YOUNG FORMER CEO 0.00 X 446266 0 26036 2007404 0 288359 24 1 1 0 FACULTY PHYSICIANS & SURGEONS OF LLUSM 350 E COMMERCIAL RD 101 SAN BERNARDINO CA 92408 PHYSICIAN SERVICES 9872107 LLU HEALTH EDUCATION CONSORTIUM 11165 MOUNTAIN VIEW AVE LOMA LINDA CA 92350 RESIDENTS CONTRACTOR 5052085 LLU HEALTH SERVICES 11165 MOUNTAIN VIEW AVE 137 LOMA LINDA CA 92350 IT SUPPORT 2046667 518 MEDICAL PROFESSIONALS PO BOX 910569 SAN DIEGO CA 921910569 PROFEFSSIONAL STAFFING SERVICES 569059 LLU SCHOOL OF DENTISTRY 11092 ANDERSON STREET LOMA LINDA CA 92350 DENTAL SERVICES 386042 13 8326 9059480 4327780 1700000 13395586 PATIENT CARE REVENUE 621400 33202442 33202442 CAPITATION REVENUE 621400 6158348 6158348 39360790 2737 2737 OTHER INCOME 900099 705732 705732 705732 53464845 39360790 0 708469 X 2585 2585 1081293 1081293 14013502 11320487 2693015 968632 932742 35890 5826051 4530598 1295453 1348939 1035920 313019 122896 122896 89824 89824 107720 107720 18972931 17233856 1739075 583488 263787 319701 307563 147704 159859 5047124 3889012 1158112 46229 21941 24288 83830 19419 64411 417376 282140 135236 234937 211 234726 EQUIPMENT 1848238 1546681 301557 MEDICAL SUPPLIES 1736858 1720060 16798 FOOD 94035 23576 70459 OTHER PROGRAM COSTS 79151 53840 25311 98526 18913 79613 53111728 43043472 9960536 107720 783346 1543043 721345 725542 2830334 4408479 2964362 3651659 183785 1737150 76545 73812 148716 157939 5457808 3307433 2010937 2150375 2746345 552278 12465715 15000277 4771593 5747658 753632 1763786 5061 334703 1927030 1765530 600 600 7457916 9612277 X 4286782 4661124 670868 676727 50149 50149 5007799 5388000 12465715 15000277 353117 27084 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 74782 43615 4246 122643 70216 4566 74782 66572 3644 70216 63259 3313 66572 61574 1685 63259 0.00000 0.10000 0.90000 0 0 3026315 1750535 1275780 10700 10700 0 2393420 1546198 847222 27373 27373 2150375 DEPOSITS 600 600 X 54386070 900000 48807 948807 53437263 27582 27582 53464845 54011728 900000 900000 53111728 0 53111728 PART V, LINE 4: THE ENDOWMENT'S PRINCIPAL MAY NOT BE SPENT, BUT THE INCOME CAN BE EXPENDED 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, 2019 OR 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 48,807. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS WITH DONOR RESTRICTIONS 27,582. X X 1 AM DEVELOPMENT GROUP 10250 FARMINGTON STREET OAK HILLS CA 92344 CONSULTANT & GRANT WRITER 0 5456993 107720 5349273 5456993 107720 5349273 CA MD X X X 1 0 0 0 0 0 0 0 0 STEVEN OGILVIE VICE PRES & CFO (THROUGH SEP 2018) 145064 0 0 0 0 0 11698 0 1810 0 158572 0 0 0 MONICA MCCARTHY VICE PRES & COO (THROUGH JULY 2018) 105332 0 0 0 42038 0 8600 0 11978 0 167948 0 0 0 DR MARYELLEN WESTERBERG VICE PRESIDENT & COO 146155 0 0 0 0 0 9976 0 24460 0 180591 0 0 0 ENGERS FERNANDEZ-NUNEZ VICE PRES & CIO (THROUGH JULY 2018) 90338 0 0 0 41038 0 4604 0 17401 0 153381 0 0 0 TAMARA BACHMAN CHIEF HUMAN RESOURCES OFFICER 152636 0 0 0 0 0 11395 0 30263 0 194294 0 0 0 JANE ATKINS CHIEF QUALITY & COMPLIANCE OFFICER 150051 0 0 0 0 0 12092 0 12179 0 174322 0 0 0 LEE PODOLL CHIEF BUSINESS STRATEGY OFFICER 148931 0 0 0 0 0 11779 0 28589 0 189299 0 0 0 MARIO ESQUIVEL PHYSICIAN ASSISTANT (THROUGH JAN 201 133271 0 0 0 0 0 9586 0 10019 0 152876 0 0 0 RANDY STINNETT PROVIDER MANAGER INTERIM 129357 0 0 0 0 0 10050 0 11076 0 150483 0 0 0 NANCY YOUNG FORMER CEO 183063 0 0 0 263203 0 13965 0 12071 0 472302 0 0 0 PART I, LINE 4A DURING 2018, NANCY YOUNG RECEIVED A SEVERANCE PAYMENT OF $263,203, MONICA MCCARTHY RECEIVED A SEVERANCE PAYMENT OF $42,038 AND ENGERS FERNANDEZ-NUNEZ RECEIVED A SEVERANCE PAYMENT OF $41,038. X 22300 1700000 INVOICE PRICE 0 0 0 0 PART I, COLUMN (B): THE NUMBER REPORTED IN PART I, COLUMN B IS THE NUMBER OF ITEMS RECEIVED, RATHER THAN THE NUMBER OF DONATIONS RECEIVED. FORM 990, PART III, LINE 2 DURING THE FISCAL YEAR, A NEW CLINIC WAS OPENED IN INDIO, CALIFORNIA. THE CLINIC PRIMARILY PROVIDES PEDIATRIC MEDICAL, DENTAL, BEHAVIORAL HEALTH AND SPECIALTY SERVICES. FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE BOARD'S CHAIR AND SECRETARY, AS WELL AS THE CHAIRS OF ALL STANDING COMMITTEES. THE AFFAIRS AND MANAGEMENT OF THE ORGANIZATION ARE SUPERVISED BY THE EXECUTIVE COMMITTEE, WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF THE ORGANIZATION AND HAS THE FULL AUTHORITY OF THE BOARD DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD AND SUBJECT TO THE LIMITATIONS OF THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW. ADDITIONALLY, EVERY TWO YEARS, THE EXECUTIVE COMMITTEE REVIEWS THE BYLAWS AND RECOMMENDS REVISIONS AS NECESSARY TO ENSURE COMPLIANCE WITH APPLICABLE STATUTES, REGULATIONS, LICENSING AND ACCREDITATION REQUIREMENTS. THE EXECUTIVE COMMITTEE ALSO RECOMMENDS TO THE BOARD NOMINEES FOR DIRECTORS AND MAY RECOMMEND NOMINEES FOR THE OFFICERS OF THE ORGANIZATION. THE ACTIONS OF THE EXECUTIVE COMMITTEE MUST NOT SUPERSEDE THE FULL HEALTH CENTER GOVERNING BOARD'S AUTHORITIES, FUNCTIONS AND RESPONSIBILITIES. FORM 990, PART VI, SECTION A, LINE 3 CMO AND ASSISTANT CMO SERVICES ARE PROVIDED THROUGH A SERVICE AGREEMENT WITH FACULTY AND PHYSICIAN SERVICES OF LOMA LINDA UNIVERSITY, A SUBSIDIARY OF LOMA LINDA UNIVERSITY HEALTH. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY MANAGEMENT, BY THE FINANCE COMMITTEE AND BY THE BOARD OF DIRECTORS PRIOR TO 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 2018. FORM 990, PART VI, SECTION C, LINE 19 SAC HEALTH SYSTEM MAKES 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 IX, LINE 11G OTHER SERVICES: PROGRAM SERVICE EXPENSES 17,233,856. MANAGEMENT AND GENERAL EXPENSES 1,739,075. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,972,931.