2023-05-15T18:35:42-05:00 2022-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2021-07-01 330664371 SAC HEALTH SYSTEM SACH 9092599113 250 S G STREET SAN BERNARDINO CA 92410 JORDAN URBAN CFO 9092599113 2023-05-15 1 JORDAN URBAN 999009999 KURT J BENNION CPA P01469618 4252506100 2023-05-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z JASON LOHR 250 S G STREET SAN BERNARDINO CA 92410 102072340 0 X WWW.SACHEALTH.ORG X 1995 CA PROVIDE COMMUNITIES WITH PRIMARY HEALTH CARE SERVICES, DENTAL CARE & BEHAVIORAL HEALTH SERVICES. 13 13 580 15 0 0 19016024 20791990 48099571 79413975 5045 8040 2822568 1858335 69943208 102072340 5250 61362 0 0 34566036 39391126 104160 153135 153135 34227327 43121420 68902773 82727043 1040435 19345297 20750511 39362176 13566135 12326631 7184376 27035545 X TO REFLECT THE HEALING MINISTRY AND LOVE OF JESUS CHRIST THROUGH HEALTHCARE, EDUCATION, AND PARTNERSHIPS THAT EMPOWER OUR COMMUNITIES TO FLOURISH. 0 0 62084974 61362 71372865 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. 4105152 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. 2313962 0 8041110 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. 2878251 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. 2878251 0 0 71382339 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 13 0 580 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X DEL DENISE MORENO 9092599113 250 S G STREET SAN BERNARDINO CA 92410 DR JASON LOHR PRESIDENT & CEO 40.00 X 379475 0 67966 JUNE SULLIVAN CHIEF PEOPLE OFFICER (THROUGH SEP 2021) 40.00 X 348958 0 39168 GERRARD GIER CIO 40.00 X 235199 0 40205 LEE PODOLL CHIEF BUSINESS STRATEGY OFFICER 40.00 X 202738 0 59637 DR MARYELLEN WESTERBERG COO 40.00 X 226800 0 34326 JOHN SKELTON CFO 40.00 X 211419 0 34129 YVETTE FELIPE DENTIST 40.00 X 174348 0 42407 JOEL UMALI DIRECTOR DENTAL CLINIC 40.00 X 157133 0 52056 MICHAEL CONRAD NURSE PRACTITIONER 40.00 X 152376 0 37319 OSCAR LOPEZ DENTIST 40.00 X 147850 0 33633 LADONNA OELSCHLAEGER CI PHARM CQ PRGRM MGR 40.00 X 151842 0 14357 RODNEY NEAL BOARD CHAIR 0.80 X X 0 0 0 RAUL CASTILLO BOARD CO-CHAIR 0.80 X X 0 0 0 OLU TOMI DANIEL BOARD SECRETARY 0.80 X X 0 0 0 ANN ATKINSON BOARD MEMBER 0.50 X 0 0 0 PETER BAKER BOARD MEMBER 0.50 X 0 0 0 JESSICA GARCIA 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 MATT LIST BOARD MEMBER (THROUGH OCTOBER 2021) 0.50 X 0 0 0 LUISA LOUBRIEL BOARD MEMBER 0.50 X 0 0 0 PAT MORRIS BOARD MEMBER 0.50 X 0 0 0 DR ERIC NGO BOARD MEMBER 0.50 X 0 0 0 KEN RAMIREZ BOARD MEMBER 0.50 X 0 0 0 MAGDALENA WIESNER BOARD MEMBER 0.50 X 0 0 0 ELAINE ZUCCO BOARD MEMBER (THROUGH JULY 2021) 0.50 X 0 0 0 2388138 0 455203 39 0 1 0 FACULTY PHYSICIANS & SURGEONS OF LLUSM 350 E COMMERCIAL RD 101 SAN BERNARDINO CA 92408 PHYSICIAN SERVICES 13958616 LLU HEALTH EDUCATION CONSORTIUM 11165 MOUNTAIN VIEW AVE LOMA LINDA CA 92350 RESIDENTS CONTRACTOR 3718751 518 MEDICAL PROFESSIONALS PO BOX 910569 SAN DIEGO CA 921910569 PROFESSIONAL STAFFING SERVICES 1058119 7 LAYER IT SOLUTIONS INC 8921 FULLBRIGHT AVE CHATSWORTH CA 91311 TECH SUPPORT SERVICES 1039123 ALLIED UNIVERSAL SECURITY SERVICES PO BOX 31001-2374 PASADENA CA 911102374 SECURITY SERVICES 606165 23 15766408 5025582 3148422 20791990 PATIENT CARE REVENUE 621400 71076846 71076846 CAPITATION REVENUE 621400 8337129 8337129 79413975 8040 8040 OTHER INCOME 900099 1858335 1858335 1858335 102072340 79413975 0 1866375 X 61362 61362 2328814 2328814 27110069 14252877 12857192 1653005 956557 696448 6070072 3149518 2920554 2229166 1120567 1108599 482204 13500 468704 37660 37660 153135 153135 26324011 20743808 5580203 1128931 327294 801637 1263413 92693 1170720 6176407 4771338 1405069 93001 49567 43434 270997 14294 256703 692622 355531 337091 370132 4194 365938 MEDICAL SUPPLIES 5084614 4970784 113830 EQUIPMENT 475157 124345 350812 OTHER EXPENSES 349932 13123 336809 DUES & SUBSCRIPTIONS 132468 27755 104713 239871 20333232 -20093361 82727043 71382339 11191569 153135 5971827 12281309 642159 819500 4774699 3423943 4544094 6387354 514653 586930 58366 65729 339307 617837 10755370 4893680 3315318 5861690 590088 9317884 20750511 39362176 8191519 5335713 2132080 1225324 338268 211760 2903668 5553834 600 0 13566135 12326631 X 6786674 26204273 397702 831272 7184376 27035545 20750511 39362176 19345297 58130 447742 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 134372 12620 146992 127906 6466 134372 122643 5263 127906 74782 43615 4246 122643 70216 4566 74782 0.00000 0.10000 0.90000 0 0 399311 399311 5386062 2456912 2929150 10700 10700 0 3997584 2426068 1571516 961713 961713 5861690 ESTIMATED THIRD PARTY SETTLEMENT 9262797 DEPOSITS 55087 9317884 X 102976901 900000 17281 917281 102059620 12720 12720 102072340 83627043 900000 900000 82727043 0 82727043 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, 2022 OR 2021. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 17,281. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS WITH DONOR RESTRICTIONS 12,720. X X 1 AM DEVELOPMENT GROUP 10250 FARMINGTON STREET OAK HILLS CA 92344 CONSULTANT & GRANT WRITER 0 12242994 153135 12089859 12242994 153135 12089859 CA MD 1 LOMA LINDA CHILDREN'S HOSPITAL FOUNDATION 11234 ANDERSON STREET LOMA LINDA CA 92354 330565591 501(C)(3) 10000 0 DONATION TO 29TH ANNUAL FOUNDATION GALA COACHELLA VALLEY RESCUE MISSION 47470 VAN BUREN INDIO CA 92201 952684844 501(C)(3) 33962 0 GENERAL OPERATING SUPPORT 2 0 PART I, LINE 2: PRIOR TO SPONSORING A LOCAL CHARITY, SAC HEALTH SYSTEM CONFIRMS THAT THE RECIPIENT IS A QUALIFIED CHARITABLE ORGANIZATION OR GOVERNMENTAL AGENCY. ALL SPONSORSHIPS ARE GIVEN FOR GENERAL OPERATING SUPPORT, SO NO FOLLOW-UP IS CONDUCTED. X 1 0 X X X X 0 0 0 0 0 0 0 0 0 DR JASON LOHR PRESIDENT & CEO 377875 0 1600 0 0 0 30698 0 37268 0 447441 0 0 0 JUNE SULLIVAN CHIEF PEOPLE OFFICER (THROUGH SEP 20 347558 0 1400 0 0 0 13830 0 25338 0 388126 0 0 0 GERRARD GIER CIO 233799 0 1400 0 0 0 18054 0 22151 0 275404 0 0 0 LEE PODOLL CHIEF BUSINESS STRATEGY OFFICER 201138 0 1600 0 0 0 16493 0 43144 0 262375 0 0 0 DR MARYELLEN WESTERBERG COO 225200 0 1600 0 0 0 18263 0 16063 0 261126 0 0 0 JOHN SKELTON CFO 209819 0 1600 0 0 0 17083 0 17046 0 245548 0 0 0 YVETTE FELIPE DENTIST 172948 0 1400 0 0 0 14337 0 28070 0 216755 0 0 0 JOEL UMALI DIRECTOR DENTAL CLINIC 155733 0 1400 0 0 0 11409 0 40647 0 209189 0 0 0 MICHAEL CONRAD NURSE PRACTITIONER 151176 0 1200 0 0 0 9566 0 27753 0 189695 0 0 0 OSCAR LOPEZ DENTIST 146250 0 1600 0 0 0 11950 0 21683 0 181483 0 0 0 LADONNA OELSCHLAEGER CI PHARM CQ PRGRM MGR 150692 0 1150 0 0 0 12153 0 2204 0 166199 0 0 0 PART I, LINE 1A DURING 2021, THE ORGANIZATION GAVE HOLIDAY BONUSES OF $200 TO ALL EMPLOYEES AND THOSE BONUSES WERE GROSSED UP TO COVER TAXES. X 52156 3148422 INVOICE PRICE 0 0 0 0 PART I, COLUMN (B): THE NUMBER OF DONATED ITEMS RECEIVED DURING THE FISCAL YEAR IS REPORTED IN PART I, COLUMN B. FORM 990, PART VI, SECTION A, LINE 1A 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 THE CHIEF OF ACADEMICS, CMO, AND ASSISTANT CMO 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 PRIOR TO FILING THE IRS, THE FORM 990 WAS REVIEWED BY MANAGEMENT. A COPY WILL BE PROVIDED TO ANY BOARD MEMBER WHO REQUESTS IT. FORM 990, PART VI, SECTION B, LINE 12C THE CHIEF PEOPLE OFFICER 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 SACHS HR DOES A COMPENSATION SURVEY FOR CEO, CFO, COO AND CIO PAY, AND BOARD APPROVES SALARY. DURING 2021, AN INDEPENDENT COMPENSATION CONSULTANT PROVIDED A COMPENSATION REVIEW FOR THE ORGANIZATION. THEY PROVIDED A MARKET RATE ANALYSIS OF EXECUTIVE PAY USING REGIONAL COMPARATIVE DATE AND RATES WERE RECOMMENDED FOR APPROVAL BY THE BOARD. 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 20,743,808. MANAGEMENT AND GENERAL EXPENSES 5,580,203. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,324,011.