SUTTER VALLEY HOSPITALS: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SUTTER VALLEY HOSPITALS (EIN 94-1156621)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201903189349314975
Schema version: 2018v3.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T19:22:55-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4365 EXECUTIVE DRIVE SUITE 1600	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92121	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941156621	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTER VALLEY HOSPITALS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CARLA WHITE-SNYDER	InCareOfNm
Business Name Control	SUTT	BusinessNameControlTxt
Phone	9162866665	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O SH TAX 2200 RIVER PLAZA DRIVE	AddressLine1Txt
City	SACRAMENTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95833	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAIGE TERRA	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9162866665	PhoneNum
Signature	2019-10-29	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DEBRA HEISKALA	PreparerPersonNm
PTIN	P00649485	PTIN
Phone	8585357200	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.253	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	68127220193185000049	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	C8EB7D7F4A43AD7C11A3CC780D94EAED606DA475	AtSubmissionCreationDeviceId
At Submission Filing Device Id	60675C4D1F17B690FA0BEE9AFEFDB41A38C23E4C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PAIGE TERRA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O SH TAX 2200 RIVER PLAZA DR	AddressLine1Txt
City	SACRAMENTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95816	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,410,949,883	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SUTTERHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1935	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	14335	TotalEmployeeCnt
Total Volunteers	1748	TotalVolunteersCnt
Total Gross UBI	$361,983	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,572,760	PYContributionsGrantsAmt
CY Contributions Grants	$8,973,638	CYContributionsGrantsAmt
PY Program Service Revenue	$3,122,910,112	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,392,411,061	CYProgramServiceRevenueAmt
PY Investment Income	$2,172,814	PYInvestmentIncomeAmt
CY Investment Income	$4,620,503	CYInvestmentIncomeAmt
PY Other Revenue	$2,365,199	PYOtherRevenueAmt
CY Other Revenue	$2,204,191	CYOtherRevenueAmt
PY Total Revenue	$3,139,020,885	PYTotalRevenueAmt
CY Total Revenue	$3,408,209,393	CYTotalRevenueAmt
PY Grants And Similar Paid	$15,051,726	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$16,980,111	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,342,195,183	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,496,986,634	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$496,169	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,453,132,630	PYOtherExpensesAmt
CY Other Expenses	$1,643,125,416	CYOtherExpensesAmt
PY Total Expenses	$2,810,379,539	PYTotalExpensesAmt
CY Total Expenses	$3,157,092,161	CYTotalExpensesAmt
PY Revenues Less Expenses	$328,641,346	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$251,117,232	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,405,146,153	TotalAssetsBOYAmt
Total Assets EOY	$2,349,883,890	TotalAssetsEOYAmt
Total Liabilities BOY	$1,519,849,064	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,444,300,762	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$885,297,089	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$905,583,128	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$2,834,038,412	ExpenseAmt
Grant	$16,980,111	GrantAmt
Revenue	$3,392,411,061	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$2,834,038,412	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	848	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	14335	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CARLA WHITE-SNYDER	PersonNm
Phone	9162866665	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9100 FOOTHILLS BLVD	AddressLine1Txt
City	ROSEVILLE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95747	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David Adkins MD
Director	2.0	2.0	Yes (X)	$0	$0	$0
Timothy Byrd
Director	2.0	2.0	Yes (X)	$0	$0	$0
James Conforti
SH SVP / COO	4.0	40.0	Yes (X)	$0	$1,323,800	$482,604	Yes (X)
Viva Ettin MD
Director	2.0	2.0	Yes (X)	$0	$0	$0
Bronwyn Fields RN
Director	2.0	2.0	Yes (X)	$0	$0	$0
Dan Flores
Director	2.0	2.0	Yes (X)	$0	$0	$0
Gary Hooper
Director	2.0	2.0	Yes (X)	$0	$0	$0
Scott Howell
Director	2.0	2.0	Yes (X)	$0	$0	$0
I-Mei Hsiu MD
Director	2.0	2.0	Yes (X)	$0	$0	$0
Peter Hull MD
Director/CME, SRMC	2.0	40.0	Yes (X)	$0	$403,550	$52,484
Sarah Krevans
President & CEO, Sutter Health	4.0	40.0	Yes (X)	$0	$2,850,301	$1,935,821	Yes (X)
Maria Pallavicini
Director	2.0	2.0	Yes (X)	$0	$0	$0
Pat Pathipati
Director	2.0	2.0	Yes (X)	$0	$0	$0
Fatima Seward
DIRECTOR, CHAIR F&P	4.0	4.0	Yes (X)	$0	$0	$0	Yes (X)
Kurt Shuler MD
Director	2.0	3.0	Yes (X)	$4,000	$0	$0
Todd Smith MD
Director	2.0	2.0	Yes (X)	$0	$0	$0
Helen Thomson
Director/Chair	4.0	4.0	Yes (X)	$0	$0	$0	Yes (X)
Jerry Tokunaga
Director	2.0	2.0	Yes (X)	$0	$0	$0
Grant Davies
CEO, Valley Area Hospitals	2.0	40.0		$0	$1,196,023	$200,742	Yes (X)
Paige Terra
CFO, SH Valley Area	2.0	40.0		$0	$712,555	$101,349	Yes (X)
Penny Westfall
CHIEF LEGAL OFC SH VALLEY AREA	2.0	40.0		$0	$570,753	$76,422	Yes (X)
Brian Alexander
CEO, SRMC (part-year)	0.0	40.0		$0	$523,023	$94,395		Yes (X)
Pat Brady
CEO, SRMC (PART-YEAR)	0.0	40.0		$0	$381,142	$3,093		Yes (X)
David Cheney
CEO, SMCS	0.0	40.0		$0	$704,112	$168,752		Yes (X)
Abhishek Dosi
CEO, SSMC	0.0	40.0		$0	$375,025	$103,758		Yes (X)
Daryn Kumar
CEO, MMC (part-year)	0.0	40.0		$0	$717,755	$49,564		Yes (X)
Jennifer Maher
CEO, SRMC (PART-YEAR)	0.0	40.0		$0	$426,109	$59,908		Yes (X)
Eugene Patrizio
CEO, MMC (part-year)	0.0	40.0		$0	$224,803	$51,421		Yes (X)
Jeffrey D Szczesny
VP, HR, SH Valley area	0.0	40.0		$0	$551,184	$79,076		Yes (X)
Jose A Arevalo
Chief Medical Officer	40.0	0.0		$381,686	$0	$37,807			Yes (X)
Lisa Cassaday
Staff Nurse II	40.0	0.0		$331,661	$0	$29,459			Yes (X)
Sherry E Emick
VAD Clinical Specialist-RN	40.0	0.0		$310,878	$0	$35,225			Yes (X)
Linda Horn
Executive Consultant	40.0	0.0		$615,407	$0	$18,948			Yes (X)
Russiel M Roper
Mgr, Assistant Nurse	40.0	0.0		$318,341	$0	$34,991			Yes (X)
Doug Archer
ADMIN, MEMORIAL HOSP LOS BANOS	0.0	40.0		$0	$320,997	$48,873				Yes (X)
Mitch Hanna
CEO, SCH & SAFH	0.0	40.0		$0	$558,365	$113,352				Yes (X)
Anne Platt
CEO, Sutter Amador Hospital	0.0	40.0		$0	$423,411	$60,988				Yes (X)
David Thompson
CEO, STCH & MHLB	0.0	40.0		$0	$555,145	$117,286				Yes (X)
Thomas Blinn
FORMER CEO VALLEY FOUNDATION	0.0	0.0		$0	$291,377	$0				Yes (X)
John W Boyd
CEO, Mental Health Services	0.0	40.0		$0	$522,905	$104,111				Yes (X)
Michael Cohill
FORMER CEO, SMCS	0.0	0.0		$0	$605,821	$0				Yes (X)
Terry Glubka
CEO, SSCD	0.0	40.0		$0	$683,911	$116,280				Yes (X)
Jeff Sprague
SH SVP & CFO	0.0	40.0		$0	$1,204,864	$519,110				Yes (X)
Janet Wagner
CEO, MPHS	0.0	40.0		$0	$645,077	$130,937				Yes (X)
Asit Gokli MD
CMO, SH Valley Area	0.0	40.0		$0	$708,380	$88,710				Yes (X)
John Mesic MD
PHYSICIAN EXEC, SH VALLEY AREA	0.0	40.0		$0	$864,341	$95,113				Yes (X)
Phillip Yu MD
CME, STCH	0.0	40.0		$0	$448,332	$57,405				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,961,973	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$18,793,061	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,067,984	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	5079	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RIGHTSOURCING INC
999 STEWART AVE STE 100	BETHPAGE	NY	117143632	STAFFING SERVICES	$22,035,523
ACUTE CARE SURGERY MEDICAL GROUP IN
PO BOX 1528	SACRAMENTO	CA	958121528	PHYSICIAN SERVICES	$6,508,103
CROTHALL LAUNDRY SERVICES INC
13028 COLLECTIONS CENTER DR	CHICAGO	IL	60693	LAUNDRY SERVICES	$6,041,089
MEDICAL GROUP INC
1300 ETHAN WY STE 600	SACRAMENTO	CA	958252296	PHYSICIAN SERVICES	$5,632,699
CENTRAL ANESTHESIA SVC EXCHANGE MED
PO BOX 660910	SACRAMENTO	CA	958660910	ANESTHESIOLOGY SRVRS	$5,490,479

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	349	CntrctRcvdGreaterThan100KCnt
Fundraising	$175,450	FundraisingAmt
Related Organizations	$7,472,873	RelatedOrganizationsAmt
Government Grants	$873,226	GovernmentGrantsAmt
All Other Contributions	$452,089	AllOtherContributionsAmt
Noncash Contributions	$54,000	NoncashContributionsAmt
Total Contributions	$8,973,638	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621110	$3,379,701,765	$3,379,701,765
RENTAL TO AFFILIATES	621110	$11,306,953	$11,306,953
HEALTHCARE RELATED JV INCOME	621110	$1,402,343	$1,402,343

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,392,411,061	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,262,294	TotalRevenueColumnAmt
Exclusion	$2,262,295	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,842,207	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,031,877	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,810,330	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,810,330	TotalRevenueColumnAmt
Exclusion	$1,810,330	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$687,169	SecuritiesAmt
Other	$3,314,763	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,643,723	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$687,169	SecuritiesAmt
Other	$1,671,040	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,358,209	TotalRevenueColumnAmt
Exclusion	$2,358,209	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$85,853	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$175,450	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$64,701	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,152	TotalRevenueColumnAmt
Exclusion	$21,152	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$10,915	GamingGrossIncomeAmt
Gaming Direct Expenses	$189	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,726	TotalRevenueColumnAmt
Exclusion	$10,726	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PARKING	812930	$181,707	$181,707
LABORATORY	621500	$180,276	$180,276

Field	Value	IRS element (for citing)
Other Revenue Total	$361,983	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,408,209,393	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,392,411,061	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$361,983	UnrelatedBusinessRevenueAmt
Exclusion	$6,462,712	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$16,207,876	TotalAmt
Program Services	$16,207,876	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$772,235	TotalAmt
Program Services	$772,235	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,000	TotalAmt
Program Services	$4,000	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$25,642	TotalAmt
Program Services	$25,642	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$983,340,767	TotalAmt
Program Services	$912,148,642	ProgramServicesAmt
Management And General	$70,979,548	ManagementAndGeneralAmt
Fundraising	$212,577	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$84,977,972	TotalAmt
Program Services	$78,825,903	ProgramServicesAmt
Management And General	$6,152,069	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$344,691,707	TotalAmt
Program Services	$319,737,391	ProgramServicesAmt
Management And General	$24,852,691	ManagementAndGeneralAmt
Fundraising	$101,625	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$83,946,546	TotalAmt
Program Services	$77,869,148	ProgramServicesAmt
Management And General	$6,077,398	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$10,816,060	TotalAmt
Program Services	$1,082,028	ProgramServicesAmt
Management And General	$9,734,032	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,560,140	TotalAmt
Program Services	$2,560,140	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$270,553	TotalAmt
Management And General	$270,553	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$387,405	TotalAmt
Management And General	$387,405	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$146,047,243	TotalAmt
Program Services	$129,999,043	ProgramServicesAmt
Management And General	$16,048,200	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$26,798	TotalAmt
Management And General	$26,798	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,003,085	TotalAmt
Program Services	$23,763,836	ProgramServicesAmt
Management And General	$6,236,708	ManagementAndGeneralAmt
Fundraising	$2,541	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$132,355,173	TotalAmt
Program Services	$74,548,439	ProgramServicesAmt
Management And General	$57,806,734	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$44,615,796	TotalAmt
Program Services	$42,608,859	ProgramServicesAmt
Management And General	$2,006,937	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,108,389	TotalAmt
Program Services	$1,498,391	ProgramServicesAmt
Management And General	$608,117	ManagementAndGeneralAmt
Fundraising	$1,881	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,094,122	TotalAmt
Program Services	$838,278	ProgramServicesAmt
Management And General	$255,844	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$30,433,763	TotalAmt
Program Services	$30,433,763	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$170,996,579	TotalAmt
Program Services	$147,268,988	ProgramServicesAmt
Management And General	$23,727,591	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$23,484,225	TotalAmt
Program Services	$19,091,050	ProgramServicesAmt
Management And General	$4,393,175	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$454,161,860	$454,161,860
PROVIDER FEE	$137,021,775	$137,021,775
CAPITATED SERVICES	$133,314,610	$133,314,610
SYSTEM ALLOCATIONS	$182,741,889	$100,831,385	$81,772,373	$138,131

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$140,685,951	TotalAmt
Program Services	$129,425,130	ProgramServicesAmt
Management And General	$11,221,407	ManagementAndGeneralAmt
Fundraising	$39,414	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,157,092,161	TotalAmt
Program Services	$2,834,038,412	ProgramServicesAmt
Management And General	$322,557,580	ManagementAndGeneralAmt
Fundraising	$496,169	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$42,848,654	BOYAmt
EOY	$45,877,865	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$277,482	BOYAmt
EOY	$188,146	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$395,638,546	BOYAmt
EOY	$363,386,176	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$41,329,146	BOYAmt
EOY	$42,113,463	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,548,487	BOYAmt
EOY	$15,060,343	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,113,407,673	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,570,576,801	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,534,711,769	BOYAmt
EOY	$1,542,830,872	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$11,953,306	BOYAmt
EOY	$3,176,955	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,179,224	BOYAmt
EOY	$1,189,213	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$361,659,539	BOYAmt
EOY	$336,060,857	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,405,146,153	BOYAmt
EOY	$2,349,883,890	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$480,458,420	BOYAmt
EOY	$423,940,394	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,014,890,127	BOYAmt
EOY	$993,402,344	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,163,444	BOYAmt
EOY	$5,249,812	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,337,073	BOYAmt
EOY	$21,708,212	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,519,849,064	BOYAmt
EOY	$1,444,300,762	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$882,877,974	BOYAmt
EOY	$903,781,865	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,419,115	BOYAmt
EOY	$1,796,308	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$885,297,089	BOYAmt
EOY	$905,583,128	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,405,146,153	BOYAmt
EOY	$2,349,883,890	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$251,117,232	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,107,005	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$229,724,188	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$41,036,603	BeginningYearBalanceAmt
Contributions	$60,011	ContributionsAmt
Investment Earnings Or Losses	-$1,329,855	InvestmentEarningsOrLossesAmt
Other Expenditures	$348,976	OtherExpendituresAmt
End Year Balance	$39,417,783	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,064,697	BeginningYearBalanceAmt
Contributions	$239,395	ContributionsAmt
Investment Earnings Or Losses	$4,080,760	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,438,328	OtherExpendituresAmt
End Year Balance	$22,946,524	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,173,834	BeginningYearBalanceAmt
Contributions	$329,568	ContributionsAmt
Investment Earnings Or Losses	$1,007,628	InvestmentEarningsOrLossesAmt
Other Expenditures	$446,333	OtherExpendituresAmt
End Year Balance	$20,064,697	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,993,368	BeginningYearBalanceAmt
Contributions	$408,961	ContributionsAmt
Investment Earnings Or Losses	-$670,838	InvestmentEarningsOrLossesAmt
Other Expenditures	$557,657	OtherExpendituresAmt
End Year Balance	$19,173,834	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,085,053	BeginningYearBalanceAmt
Contributions	$999	ContributionsAmt
Investment Earnings Or Losses	$293,955	InvestmentEarningsOrLossesAmt
Other Expenditures	$386,639	OtherExpendituresAmt
End Year Balance	$19,993,368	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.09410	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.17580	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.73010	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,909,093	OtherCostOrOtherBasisAmt
Book Value	$44,909,093	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,092,155,838	OtherCostOrOtherBasisAmt
Depreciation	$878,638,643	DepreciationAmt
Book Value	$1,213,517,195	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,604,638	OtherCostOrOtherBasisAmt
Depreciation	$18,196,741	DepreciationAmt
Book Value	$20,407,897	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$792,282,501	OtherCostOrOtherBasisAmt
Depreciation	$634,534,846	DepreciationAmt
Book Value	$157,747,655	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$145,455,603	OtherCostOrOtherBasisAmt
Depreciation	$39,206,571	DepreciationAmt
Book Value	$106,249,032	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,542,830,872	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLES	$36,795,653
NOTES RECEIVABLE	$793,550
OTHER RECEIVABLES	$273,632,317
OTHER CURRENT ASSETS	$11,789,443
OTHER NONCURRENT ASSETS	$13,049,894

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$336,060,857	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INSURANCE LIABILITIES	$8,510,565
THIRD PARTY SETTLEMENTS	$7,489,610
OTHER LIABILITIES	$5,708,037

Field	Value	IRS element (for citing)
Total Liability	$21,708,212	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 1A, COLUMN (B)

THE BEGINNING BALANCE FOR 2014 INCLUDES A PRIOR YEAR ADJUSTMENT TO THE AUDITED FINANCIALS IN THE AMOUNT OF $938,012. SCHEDULE D, PART V, LINE 1B, COLUMN (B) ON MAY 1, 2017, SUTTER CENTRAL VALLEY HOSPITALS MERGED INTO SUTTER VALLEY HOSPITALS. THE 2017 CONTRIBUTIONS HAVE BEEN ADJUSTED TO REFLECT THE ENDOWMENTS HISTORICALLY HELD BY SUTTER CENTRAL VALLEY HOSPITALS. SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS: SUTTER MEDICAL CENTER SACRAMENTO'S ENDOWMENT EARNINGS ARE TO BE USED TO SUPPORT THE CHILD LIFE DEPARTMENT. ALL OTHER ENDOWMENTS ARE HELD BY RELATED FUNDRAISING ORGANIZATIONS FOR THE EXCLUSIVE PURPOSE OF VARIOUS PROGRAMS OF SUTTER VALLEY HOSPITALS.

SCHEDULE D, PART X, LINE 2

ASC 740 FOOTNOTE FROM AUDIT: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MANY AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD AND GENERALLY ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER 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. THE STATUTE OF LIMITATIONS FOR TAX YEARS 2015 THROUGH 2017 REMAIN OPEN IN U.S. TAX JURISDICTIONS IN WHICH SUTTER AND ITS AFFILIATES ARE SUBJECT TO TAXATION. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2018 AND 2017, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	SAHF Ball	Event1Nm
Gross Receipts Event1	$135,098	GrossReceiptsEvent1Amt
Charitable Contri Event1	$101,567	CharitableContriEvent1Amt
Gross Revenue Event1	$33,531	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$750	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$15,711	FoodAndBeverageEvent1Amt
Entertainment Event1	$750	EntertainmentEvent1Amt
Other Direct Expenses Event1	$4,419	OtherDirectExpensesEvent1Amt
Event2	Gala	Event2Nm
Gross Receipts Event2	$126,205	GrossReceiptsEvent2Amt
Charitable Contri Event2	$73,883	CharitableContriEvent2Amt
Gross Revenue Event2	$52,322	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$3,893	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$20,199	FoodAndBeverageEvent2Amt
Entertainment Event2	$1,800	EntertainmentEvent2Amt
Other Direct Expenses Event2	$17,179	OtherDirectExpensesEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Other Events	$0	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$0	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$0	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$0	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$0	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$261,303	GrossReceiptsTotalAmt
Charitable Contributions Tot	$175,450	CharitableContributionsTotAmt
Gross Revenue Total Events	$85,853	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$4,643	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$35,910	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$2,550	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$21,598	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$64,701	DirectExpenseSummaryEventsAmt
Net Income Summary	$21,152	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.	FreeCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,030,397	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,030,397	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$777,975,543	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$684,388,831	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$93,586,712	NetCommunityBenefitExpnsAmt
Total Expense	0.02960	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,890,066	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,209,376	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,680,690	NetCommunityBenefitExpnsAmt
Total Expense	0.00880	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$890,896,006	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$737,598,207	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$153,297,799	NetCommunityBenefitExpnsAmt
Total Expense	0.04850	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	41	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,266,107	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,800	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,264,307	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	27	PersonsServedCnt
Total Community Benefit Expns	$5,550,384	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,159,612	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,390,772	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8,720,226	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$451,101	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,269,125	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,132,784	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,085,932	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,046,852	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	56	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$18,670,099	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$750,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,920,099	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	119	ActivitiesOrProgramsCnt
Persons Served	27	PersonsServedCnt
Total Community Benefit Expns	$38,339,600	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,448,445	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,891,155	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	119	ActivitiesOrProgramsCnt
Persons Served	27	PersonsServedCnt
Total Community Benefit Expns	$929,235,606	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$744,046,652	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$185,188,954	NetCommunityBenefitExpnsAmt
Total Expense	0.05850	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Reimbursed By Medicare	$711,009,132	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$857,229,122	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$146,219,990	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
SUTTER AMADOR SURG
MEDICAL SERVICES	0.32	0.0	0.24
ROSEVILLE ENDOSCOPY
MEDICAL SERVICES	0.11	0.0	0.49
STANISLAUS SURG HOSP
MEDICAL SERVICES	0.20002	0.0	0.3077
MEMORIAL MED BLDG
OFFICE RENTAL	0.5003	0.0	0.2496

Field	Value	IRS element (for citing)
Hospital Facilities	12	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (12 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
OSE ADAMS MEDICAL PAVILION
1	2825 CAPITOL AVENUE	SACRAMENTO	CA	95816	WWW.SUTTERMEDICALCENTER.ORG	LICENSE #030000102	Yes (X)	Yes (X)	Yes (X)	B
SUTTER MED CTR SAC WOMEN & CHILDRENS
2	2825 CAPITOL AVENUE	SACRAMENTO	CA	95816	WWW.SUTTERMEDICALCENTER.ORG	LICENSE #030000102	Yes (X)	Yes (X)	Yes (X)	B
MEMORIAL MEDICAL CENTER
3	1700 COFFEE ROAD	MODESTO	CA	95355	WWW.MEMORIALMEDICALCENTER.ORG	LICENSE #030000061	Yes (X)	Yes (X)	Yes (X)
SUTTER ROSEVILLE MEDICAL CENTER
4	ONE MEDICAL PLAZA	ROSEVILLE	CA	956613037	WWW.SUTTERROSEVILLE.ORG	LICENSE #030000083	Yes (X)	Yes (X)	Yes (X)	A
SUTTER SOLANO MEDICAL CENTER
5	300 HOSPITAL DRIVE	VALLEJO	CA	945892574	WWW.SUTTERSOLANO.ORG	LICENSE #110000082	Yes (X)	Yes (X)	Yes (X)	A
SUTTER TRACY COMMUNITY HOSPITAL
6	1420 N TRACY BLVD	TRACY	CA	95376	WWW.SUTTERTRACY.ORG	LICENSE #030000105	Yes (X)	Yes (X)	Yes (X)
SUTTER CENTER FOR PSYCHIATRY
7	7700 FOLSOM STREET	SACRAMENTO	CA	958262608	www.suttermedical center.org/psychiatry	LICENSE #030000347	Yes (X)			B
SUTTER AUBURN FAITH HOSPITAL
8	11815 EDUCATION STREET	AUBURN	CA	956022410	WWW.SUTTERAUBURNFAITH.ORG	LICENSE #030000012	Yes (X)	Yes (X)	Yes (X)	A
SUTTER AMADOR HOSPITAL
9	200 MISSION BLVD	JACKSON	CA	956422564	WWW.SUTTERAMADOR.ORG	LICENSE #030000008	Yes (X)	Yes (X)	Yes (X)	A
SUTTER DAVIS HOSPITAL
10	2000 SUTTER PLACE	DAVIS	CA	956166201	WWW.SUTTERDAVIS.ORG	LICENSE #030000124	Yes (X)	Yes (X)	Yes (X)	A
MEMORIAL HOSPITAL LOS BANOS
11	520 West I Street	Los Banos	CA	936353419	WWW.MEMORIALLOSBANOS.ORG	LICENSE #040000177	Yes (X)	Yes (X)	Yes (X)
STANISLAUS SURGICAL HOSPITAL
12	1421 OAKDALE ROAD	MODESTO	CA	953553356	WWW.STANISLAUSSURGICAL.COM	LICENSE #030000695	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (6 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	FacilityFacilityNum	Asset Level CriteriaAssetLevelCriteriaInd	No Emergency CareNoEmergencyCareInd
A
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	400.	0.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
B
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	400.	0.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
MEMORIAL MEDICAL CENTER
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	400.	0.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	3
SUTTER TRACY COMMUNITY HOSPITAL
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	400.	0.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	6
MEMORIAL HOSPITAL LOS BANOS
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	16	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	400.	0.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	11
STANISLAUS SURGICAL HOSPITAL
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V, SECTION C			Yes (X)	Yes (true)	19	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	100	350.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	Yes (X)	false	false	12	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (30 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
REPORTING FACILITY: A	SCHEDULE H, PART V, SECTION B, LINE 3E SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO MEDICAL CENTER, SUTTER AUBURN FAITH HOSPITAL, SUTTER AMADOR HOSPITAL, SUTTER DAVIS HOSPITAL (GROUP A, 4-5, 8-10): THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. REPORTING FACILITY: A SCHEDULE H, PART V, SECTION B, LINE 5 SUTTER ROSEVILLE MEDICAL CENTER (A, 4): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER ROSEVILLE MEDICAL CENTER, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). COMMUNITY INPUT AND PRIMARY DATA ON HEALTH NEEDS WERE OBTAINED VIA INTERVIEWS WITH SERVICE PROVIDERS AND COMMUNITY KEY INFORMANTS AND THROUGH FOCUS GROUPS WITH MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. TRANSCRIPTS AND NOTES FROM INTERVIEWS AND FOCUS GROUPS WERE ANALYZED TO LOOK FOR THEMES AND TO DETERMINE IF A HEALTH NEED WAS IDENTIFIED AS SIGNIFICANT AND/OR A PRIORITY TO ADDRESS. PRIMARY DATA FOR SRMC/SAFH INCLUDED 38 KEY INFORMANT INTERVIEWS WITH 58 PARTICIPANTS AND 11 FOCUS GROUPS CONDUCTED WITH 88 PARTICIPANTS INCLUDING COMMUNITY MEMBERS AND SERVICE PROVIDERS. A COMPLETE LIST OF KEY INFORMANT INTERVIEW DATA SOURCES IS AVAILABLE IN APPENDIX F AND A COMPLETE LIST OF FOCUS GROUP DATA IS AVAILABLE IN APPENDIX G OF THE CHNA. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER ROSEVILLE MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER SOLANO MEDICAL CENTER (A, 5): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER SOLANO MEDICAL CENTER, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). COMMUNITY INPUT AND PRIMARY DATA ON HEALTH NEEDS WERE OBTAINED VIA INTERVIEWS WITH SERVICE PROVIDERS AND COMMUNITY KEY INFORMANTS AND THROUGH FOCUS GROUPS WITH MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. IN TOTAL, PRIMARY DATA FOR THE CHNA INCLUDED 11 KEY INFORMANT INTERVIEWS WITH 24 PARTICIPANTS AND 6 FOCUS GROUPS CONDUCTED WITH 67 COMMUNITY MEMBER PARTICIPANTS. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER SOLANO MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER AUBURN FAITH HOSPITAL (A, 8): IN CONDUCTING ITS MOST RECENT SUTTER AUBURN FAITH HOSPITAL, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). COMMUNITY INPUT AND PRIMARY DATA ON HEALTH NEEDS WERE OBTAINED VIA INTERVIEWS WITH SERVICE PROVIDERS AND COMMUNITY KEY INFORMANTS AND THROUGH FOCUS GROUPS WITH MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. TRANSCRIPTS AND NOTES FROM INTERVIEWS AND FOCUS GROUPS WERE ANALYZED TO LOOK FOR THEMES AND TO DETERMINE IF A HEALTH NEED WAS IDENTIFIED AS SIGNIFICANT AND/OR A PRIORITY TO ADDRESS. PRIMARY DATA FOR SRMC/SAFH INCLUDED 38 KEY INFORMANT INTERVIEWS WITH 58 PARTICIPANTS AND 11 FOCUS GROUPS CONDUCTED WITH 88 PARTICIPANTS INCLUDING COMMUNITY MEMBERS AND SERVICE PROVIDERS. A COMPLETE LIST OF KEY INFORMANT INTERVIEW DATA SOURCES IS AVAILABLE IN APPENDIX F AND A COMPLETE LIST OF FOCUS GROUP DATA IS AVAILABLE IN APPENDIX G OF THE CHNA. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER AUBURN FAITH HOSPITAL'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER AMADOR HOSPITAL (A, 9): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER AMADOR HOSPITAL, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH TWO MAIN MECHANISMS: KEY INFORMANT INTERVIEWS WITH COMMUNITY HEALTH EXPERTS AND SERVICE PROVIDERS AND FOCUS GROUP DISCUSSIONS WITH COMMUNITY MEMBERS. INSTRUMENTS USED IN PRIMARY DATA COLLECTION INCLUDED A PARTICIPANT INFORMED CONSENT, AN INTERVIEW QUESTION GUIDE, A PROJECT SUMMARY SHEET, AND A REFLECTION SHEET. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW (APPENDIX C). THE INTERVIEW QUESTION GUIDE WAS USED FOR BOTH THE KEY INFORMANT AND FOCUS GROUP INTERVIEWS. THE PROJECT SUMMARY SHEET (APPENDIX E) WAS GIVEN TO PARTICIPANTS TO PROVIDE THEM WITH INFORMATION ABOUT THE PROJECT AS WELL AS CONTACT INFORMATION FOR THE CHNA STAFF. AFTER THE INTERVIEW OR FOCUS GROUP WAS CONDUCTED THE FACILITATOR CAPTURED THE MAIN FINDINGS IN A REFLECTION SHEET. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH AREA SERVICE PROVIDERS AND EXPERTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WHO WERE FAMILIAR WITH THE POPULATIONS IN THE HSA. PRIMARY DATA COLLECTION BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SAH HSA, INCLUDING INPUT FROM THE AMADOR COUNTY PUBLIC HEALTH DEPARTMENT AND THE CALAVERAS COUNTY PUBLIC HEALTH DEPARTMENT. FINDINGS FROM THE AREA-WIDE INFORMANTS WERE COMBINED WITH QUANTITATIVE DATA SHOWING LOCATIONS OF POPULATIONS EXPERIENCING DISPARITIES, TO IDENTIFY AND INTERVIEW KEY INFORMANTS WITH KNOWLEDGE ABOUT THESE SPECIFIC POPULATIONS AND LOCATIONS. THESE TARGETED PRIMARY DATA SOURCES WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE NEEDS OF PARTICULAR GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS EXPERIENCING DISPARITIES. A TOTAL OF 7 KEY INFORMANT INTERVIEWS WERE DONE WITH 33 SERVICE PROVIDERS WHICH ARE LISTED ON APPENDIX F. THE KEY INFORMANT INTERVIEWS WERE USED TO IDENTITY ADDITIONAL KEY SERVICE PROVIDERS TO INCLUDE IN THE ASSESSMENT, AS WELL AS IDENTIFY SPECIFIC POPULATIONS THAT SHOULD BE INCLUDED IN THE FOCUS GROUP INTERVIEWS. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE HSA IDENTIFIED AS LOCATIONS WHERE RESIDENTS EXPERIENCE AN OVERWHELMING AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS IN THE SAH HSA, AS WELL AS DIRECT OUTREACH FROM CHI TO ACQUIRE INPUT FOR A SPECIAL POPULATION GROUP. A TOTAL OF THREE FOCUS GROUP DISCUSSIONS WERE CONDUCTED WITH A TOTAL OF 24 COMMUNITY MEMBERS AND ARE LISTED IN APPENDIX G. THE FINDINGS FROM KEY INFORMANT INTERVIEWS IN SUTTER AMADOR HOSPITAL'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER DAVIS HOSPITAL (A, 10): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER DAVIS HOSPITAL, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). COMMUNITY INPUT AND PRIMARY DATA ON HEALTH NEEDS WERE OBTAINED VIA INTERVIEWS WITH SERVICE PROVIDERS AND COMMUNITY KEY INFORMANTS AND THROUGH FOCUS GROUPS WITH MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. TRANSCRIPTS AND NOTES FROM INTERVIEWS AND FOCUS GROUPS WERE ANALYZED TO LOOK FOR THEMES AND TO DETERMINE IF A HEALTH NEED WAS IDENTIFIED AS SIGNIFICANT AND/OR A PRIORITY TO ADDRESS. PRIMARY DATA FOR SUTTER DAVIS INCLUDED 16 KEY INFORMANT INTERVIEWS WITH 20 PARTICIPANTS AND SIX FOCUS GROUPS CONDUCTED WITH 69 PARTICIPANTS INCLUDING COMMUNITY MEMBERS AND SERVICE PROVIDERS. A COMPLETE LIST OF KEY INFORMANT INTERVIEW DATA SOURCES IS AVAILABLE IN APPENDIX F AND A COMPLETE LIST OF FOCUS GROUP DATA IS AVAILABLE IN APPENDIX F OF THE CHNA. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER DAVIS HOSPITAL'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T
SCHEDULE H, PART V, SECTION B, LINE 6A	SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO MEDICAL CENTER, SUTTER AUBURN FAITH HOSPITAL, SUTTER AMADOR HOSPITAL, SUTTER DAVIS HOSPITAL (GROUP A, 4-5, 8-10) A COLLECTION OF FOUR NONPROFIT HOSPITAL SYSTEMS, ALL SERVING PORTIONS OR THE SAME COMMUNITIES, COLLABORATED TO SPONSOR AND PARTICIPATE IN THE CHNA INCLUDING SUTTER HEALTH, DIGNITY HEALTH, KAISER PERMANENTE AND UC DAVIS HEALTH SYSTEM.
SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A	FILING ORG WEBSITES: - SUTTER ROSEVILLE MEDICAL CENTER (A, 4): HTTP://WWW.SUTTERROSEVILLE.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - SUTTER SOLANO MEDICAL CENTER (A, 5): HTTP://WWW.SUTTERSOLANO.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - SUTTER AUBURN FAITH HOSPITAL (A, 8): HTTP://WWW.SUTTERAUBURNFAITH.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - SUTTER AMADOR HOSPITAL (A, 9): HTTP://WWW.SUTTERAMADOR.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - SUTTER DAVIS HOSPITAL (A, 10): HTTP://WWW.SUTTERDAVIS.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T
SCHEDULE H, PART V, SECTION B, LINE 11	SUTTER ROSEVILLE MEDICAL CENTER (A, 4): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER ROSEVILLE MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BEHAVIORAL HEALTH SERVICES 2. ACCESS TO HIGH QUALITY HEALTH CARE AND SERVICES 3. ACTIVE LIVING AND HEALTHY EATING 4. BASIC NEEDS (FOOD SECURITY, HOUSING, ECONOMIC SECURITY, EDUCATION) 5. AFFORDABLE AND ACCESSIBLE TRANSPORTATION DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SRMC IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. DISEASE PREVENTION, MANAGEMENT AND TREATMENT: WHILE MANY OF OUR PROGRAMS EXPAND ACCESS TO PRIMARY CARE, IN TURN, CONNECTING PATIENTS WITH DISEASE PREVENTION, MANAGEMENT AND TREATMENT RESOURCES, THIS IS NOT A PRIMARY FOCUS IN THE SRMC/SAFH HSA; HOWEVER, WE'RE IN THE PROCESS OF DEVELOPING COMMUNITY DIABETES EDUCATION COURSES. 2. SAFE, CRIME AND VIOLENCE FREE COMMUNITIES: THIS IS PRIMARILY A LAW ENFORCEMENT ISSUE AND NOT SOMETHING THAT SRMC HAS THE EXPERTISE TO EFFECTIVELY ADDRESS. 3. POLLUTION-FREE LIVING AND WORK ENVIRONMENTS: WHILE THIS IS AN IMPORTANT ISSUE, THIS IS NOT SOMETHING THAT WE ARE ABLE TO GREATLY AFFECT THROUGH COMMUNITY BENEFIT; THEREFORE, WE ARE FOCUSING OUR RESOURCES ELSEWHERE, ESPECIALLY GIVEN THAT REGIONAL COMMUNITY PARTNERS LIKE SACOG, THE CLEANER AIR PARTNERSHIP AND OTHERS, ARE WORKING ON THESE VITAL ISSUES. SUTTER SOLANO MEDICAL CENTER (A, 5): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER SOLANO MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BEHAVIORAL HEALTH SERVICES 2. DISEASE PREVENTION, MANAGEMENT AND TREATMENT 3. AFFORDABLE AND ACCESSIBLE TRANSPORTATION 4. ACCESS TO HIGH QUALITY HEALTH CARE AND SERVICES DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER SOLANO MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. HEALTHY EATING AND ACTIVE LIVING: WHILE THERE ARE CURRENTLY NO HEALTHY EATING OR ACTIVE LIVING SSMC COMMUNITY BENEFIT PROGRAMS IN THE SSMC HSA, WE DO FUND PROGRAMS/ORGANIZATIONS AND EFFORTS THAT ADDRESS THIS NEED THROUGH OUR SPONSORSHIP PROGRAM. 2. SAFE, CRIME AND VIOLENCE FREE COMMUNITIES: THIS IS PRIMARILY A LAW ENFORCEMENT ISSUE AND NOT SOMETHING THAT SAFH HAS THE EXPERTISE TO EFFECTIVELY ADDRESS. 3. BASIC NEEDS (FOOD SECURITY, HOUSING, ECONOMIC SECURITY, EDUCATION): WHILE MANY OF OUR PROGRAMS SEEK TO CONNECT PATIENTS TO BASIC NEEDS LIKE HOUSING, INCOME AND FOOD RESOURCES, THIS PRIORITY NEED IS NOT A MAIN FOCUS AT SSMC AT THIS TIME. 4. POLLUTION-FREE LIVING AND WORK ENVIRONMENTS: WHILE THIS IS AN IMPORTANT ISSUE, THIS IS NOT SOMETHING THAT WE ARE ABLE TO GREATLY AFFECT THROUGH COMMUNITY BENEFIT; THEREFORE, WE ARE FOCUSING OUR RESOURCES ELSEWHERE, ESPECIALLY GIVEN THAT REGIONAL COMMUNITY PARTNERS AND LOCAL JURISDICTIONS ARE WORKING ON THESE VITAL ISSUES. SUTTER AUBURN FAITH HOSPITAL (A, 8): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER AUBURN FAITH HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BEHAVIORAL HEALTH SERVICES 2. ACCESS TO HIGH QUALITY HEALTH CARE AND SERVICES 3. ACTIVE LIVING AND HEALTHY EATING 4. BASIC NEEDS (FOOD SECURITY, HOUSING, ECONOMIC SECURITY, EDUCATION) 5. AFFORDABLE AND ACCESSIBLE TRANSPORTATION DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SAFH IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. DISEASE PREVENTION, MANAGEMENT AND TREATMENT: WHILE MANY OF OUR PROGRAMS EXPAND ACCESS TO PRIMARY CARE, IN TURN, CONNECTING PATIENTS WITH DISEASE PREVENTION, MANAGEMENT AND TREATMENT RESOURCES, THIS IS NOT A PRIMARY FOCUS IN THE SRMC/SAFH HSA; HOWEVER, WE'RE IN THE PROCESS OF DEVELOPING COMMUNITY DIABETES EDUCATION COURSES. 2. SAFE, CRIME AND VIOLENCE FREE COMMUNITIES: THIS IS PRIMARILY A LAW ENFORCEMENT ISSUE AND NOT SOMETHING THAT SAFH HAS THE EXPERTISE TO EFFECTIVELY ADDRESS. 3. POLLUTION-FREE LIVING AND WORK ENVIRONMENTS: WHILE THIS IS AN IMPORTANT ISSUE, THIS IS NOT SOMETHING THAT WE ARE ABLE TO GREATLY AFFECT THROUGH COMMUNITY BENEFIT; THEREFORE, WE ARE FOCUSING OUR RESOURCES ELSEWHERE, ESPECIALLY GIVEN THAT REGIONAL COMMUNITY PARTNERS LIKE SACOG, THE CLEANER AIR PARTNERSHIP AND OTHERS, ARE WORKING ON THESE VITAL ISSUES. SUTTER AMADOR HOSPITAL (A, 9): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT SUTTER AMADOR HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO MENTAL, BEHAVIORAL AND SUBSTANCE ABUSE SERVICES. 2. ACCESS TO QUALITY PRIMARY CARE SERVICES AND PRESCRIPTIONS 3. ACCESS TO TRANSPORTATION AND MOBILITY DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SAH IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ACCESS TO BASIC NEEDS: THIS IS A CRITICAL ISSUE AND SOMETHING SAH HOPES TO ADDRESS IN THE FUTURE; HOWEVER, THE CURRENT FOCUS IS DEVELOPING A COMMUNITY HEALTH CENTER IN AMADOR COUNTY. 2. ACCESS TO SPECIALTY CARE: THIS IS A CRITICAL ISSUE AND SOMETHING SAH HOPES TO ADDRESS IN THE FUTURE; HOWEVER, THE CURRENT FOCUS IS DEVELOPING A COMMUNITY HEALTH CENTER IN AMADOR COUNTY. 3. ACCESS TO HEALTH EDUCATION AND HEALTH LITERACY: THIS IS AN IMPORTANT ISSUE AND ONE WE'RE ABLE TO ADDRESS THROUGH OUR COMMUNITY SPONSORSHIP PROGRAM, BY FUNDING EFFORTS LIKE THE ARC OF AMADOR AND CALAVERAS HEALTHY LIFESTYLE PROGRAM, THE AMADOR COUNTY RECREATION AGENCY AND THE SAH COMMUNITY WALKING TRAIL. 4. ACCESS TO AFFORDABLE, HEALTHY FOOD: THIS IS AN IMPORTANT ISSUE AND ONE WE'RE ABLE TO ADDRESS THROUGH OUR COMMUNITY SPONSORSHIP PROGRAM, BY FUNDING ORGANIZATIONS LIKE THE LOCAL FOOD BANK. 5. ACCESS TO DENTAL CARE AND PREVENTION: THIS IS A CRITICAL ISSUE AND SOMETHING SAH HOPES TO ADDRESS IN THE FUTURE; HOWEVER, THE CURRENT FOCUS IS DEVELOPING A COMMUNITY HEALTH CENTER IN AMADOR COUNTY, WITH THE POSSIBILITY OF PROVIDING DENTAL SERVICES IN THE YEARS TO COME. 6. SAFE AND VIOLENCE FREE ENVIRONMENT: THIS IS PRIMARILY A LAW ENFORCEMENT ISSUE AND NOT SOMETHING THAT SMCS HAS THE EXPERTISE TO EFFECTIVELY ADDRESS. 7. POLLUTION FREE LIVING: WHILE THIS IS AN IMPORTANT ISSUE, THIS IS NOT SOMETHING THAT WE ARE ABLE TO GREATLY AFFECT THROUGH COMMUNITY BENEFIT; THEREFORE, WE ARE FOCUSING OUR RESOURCES ELSEWHERE. SUTTER DAVIS HOSPITAL (A, 10): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER DAVIS HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACTIVE LIVING AND HEALTHY EATING 2. ACCESS TO BEHAVIORAL HEALTH SERVICES 3. ACCESS TO HIGH QUALITY HEALTH CARE AND SERVICES 4. BASIC NEEDS (FOOD SECURITY, HOUSING, ECONOMIC SECURITY, EDUCATION) DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER DAVIS HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. TH
SCHEDULE H, PART V, SECTION B, LINE 15E	SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO MEDICAL CENTER, SUTTER AUBURN FAITH HOSPITAL, SUTTER AMADOR HOSPITAL, SUTTER DAVIS HOSPITAL (GROUP A, 4-5, 8-10): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO MEDICAL CENTER, SUTTER AUBURN FAITH HOSPITAL, SUTTER AMADOR HOSPITAL, SUTTER DAVIS HOSPITAL (GROUP A, 4-5, 8-10): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER VALLEY HOSPITALS WEBSITE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16J	SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO MEDICAL CENTER, SUTTER AUBURN FAITH HOSPITAL, SUTTER AMADOR HOSPITAL, SUTTER DAVIS HOSPITAL (GROUP A, 4-5, 8-10): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 22D SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO MEDICAL CENTER, SUTTER AUBURN FAITH HOSPITAL, SUTTER AMADOR HOSPITAL, SUTTER DAVIS HOSPITAL (GROUP A, 4-5, 8-10): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
REPORTING FACILITY: B	SCHEDULE H, PART V, SECTION B, LINE 3E OSE ADAMS MEDICAL PAVILION, SUTTER MEDICAL CENTER SACRAMENTO (WOMEN'S AND CHILDREN'S HOSPITAL), SUTTER CENTER FOR PSYCHIATRY (GROUP B, 1-2 & 7): THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA SCHEDULE H, PART V, SECTION B, LINE 5 OSE ADAMS MEDICAL PAVILION, SUTTER MEDICAL CENTER SACRAMENTO (WOMEN'S AND CHILDREN'S HOSPITAL), SUTTER CENTER FOR PSYCHIATRY (GROUP B, 1-2 & 7): SUTTER MEDICAL CENTER SACRAMENTO INCLUDES THE FOLLOWING FACILITIES LISTED IN PART V SECTION A: OSE ADAMS MEDICAL PAVILION, SUTTER MED CENTER, SACRAMENTO WOMEN & CHILDREN'S, AND SUTTER CENTER FOR PSYCHIATRY. IN CONDUCTING ITS MOST RECENT CHNA, SUTTER MEDICAL CENTER SACRAMENTO, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). COMMUNITY INPUT AND PRIMARY DATA ON HEALTH NEEDS WERE OBTAINED VIA INTERVIEWS WITH SERVICE PROVIDERS AND COMMUNITY KEY INFORMANTS AND THROUGH FOCUS GROUPS WITH MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. TRANSCRIPTS AND NOTES FROM INTERVIEWS AND FOCUS GROUPS WERE ANALYZED TO LOOK FOR THEMES AND TO DETERMINE IF A HEALTH NEED WAS IDENTIFIED AS SIGNIFICANT AND/OR A PRIORITY TO ADDRESS. PRIMARY DATA FOR SMCS & SCP INCLUDED 45 KEY INFORMANT INTERVIEWS WITH 56 PARTICIPANTS AND 20 FOCUS GROUPS CONDUCTED WITH 228 PARTICIPANTS INCLUDING COMMUNITY MEMBERS AND SERVICE PROVIDERS. A COMPLETE LIST OF KEY INFORMANT INTERVIEW DATA SOURCES IS AVAILABLE IN APPENDIX E AND A COMPLETE LIST OF FOCUS GROUP DATA IS AVAILABLE IN APPENDIX F OF THE CHNA. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T
SCHEDULE H, PART V, SECTION B, LINE 6A	OSE ADAMS MEDICAL PAVILION, SUTTER MEDICAL CENTER SACRAMENTO (WOMEN'S AND CHILDREN'S HOSPITAL), SUTTER CENTER FOR PSYCHIATRY (GROUP B, 1-2 & 7): A COLLECTION OF FOUR NONPROFIT HOSPITALS, ALL SERVING PORTIONS OF OR THE SAME COMMUNITIES, COLLABORATED TO SPONSOR AND PARTICIPATE IN THE CHNA INCLUDING SUTTER HEALTH, DIGNITY HEALTH, KAISER PERMANENTE AND UC DAVIS HEALTH SYSTEM. SCHEDULE H, PART V, SECTION B, LINES 7A, 7B, 10A OSE ADAMS MEDICAL PAVILION, SUTTER MEDICAL CENTER SACRAMENTO (WOMEN'S AND CHILDREN'S HOSPITAL), SUTTER CENTER FOR PSYCHIATRY (GROUP B, 1-2 & 7): FILING ORG WEBSITES: - SUTTER MEDICAL CENTER SACRAMENTO HTTP://WWW.SUTTERMEDICALCENTER.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T
SCHEDULE H, PART V, SECTION B, LINE 11	OSE ADAMS MEDICAL PAVILION, SUTTER MEDICAL CENTER SACRAMENTO (WOMEN'S AND CHILDREN'S HOSPITAL), SUTTER CENTER FOR PSYCHIATRY (GROUP B, 1-2 & 7): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER MEDICAL CENTER, SACRAMENTO INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BEHAVIORAL HEALTH SERVICES 2. ACTIVE LIVING AND HEALTHY EATING 3. ACCESS TO HIGH QUALITY HEALTH CARE AND SERVICES 4. BASIC NEEDS (FOOD SECURITY, HOUSING, ECONOMIC SECURITY, EDUCATION) DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER MEDICAL CENTER, SACRAMENTO IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. DISEASE PREVENTION, MANAGEMENT AND TREATMENT: WHILE MANY OF OUR PROGRAMS EXPAND ACCESS TO PRIMARY CARE, IN TURN, CONNECTING PATIENTS WITH DISEASE PREVENTION, MANAGEMENT AND TREATMENT RESOURCES, THIS IS NOT A PRIMARY FOCUS IN THE SMCS HSA. 2. AFFORDABLE AND ACCESSIBLE TRANSPORTATION: WE ARE CONTINUOUSLY LOOKING FOR OPPORTUNITIES TO PROVIDE COLLABORATIVE TRANSPORTATION OPTIONS TO THE UNDERSERVED COMMUNITIES; HOWEVER, WE HAVE NOT YET FOUND THE PERFECT FIT IN SACRAMENTO COUNTY. ALTHOUGH WE DON'T HAVE CURRENT PLANS TO ADDRESS TRANSPORTATION, THERE IS ALWAYS A CHANCE THAT ONE MAY DEVELOP IN THE YEARS AHEAD. 3. POLLUTION-FREE LIVING AND WORK ENVIRONMENTS: WHILE THIS IS AN IMPORTANT ISSUE, THIS IS NOT SOMETHING THAT WE ARE ABLE TO GREATLY AFFECT THROUGH COMMUNITY BENEFIT; THEREFORE, WE ARE FOCUSING OUR RESOURCES ELSEWHERE, ESPECIALLY GIVEN THAT REGIONAL COMMUNITY PARTNERS LIKE SACOG, THE CLEANER AIR PARTNERSHIP AND OTHERS, ARE WORKING ON THESE VITAL ISSUES.
SCHEDULE H, PART V, SECTION B, LINE 15E	OSE ADAMS MEDICAL PAVILION, SUTTER MEDICAL CENTER SACRAMENTO (WOMEN'S AND CHILDREN'S HOSPITAL), SUTTER CENTER FOR PSYCHIATRY (GROUP B, 1-2 & 7): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE - OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. PART V, LINES 16A, 16B, & 16C OSE ADAMS MEDICAL PAVILION, SUTTER MEDICAL CENTER SACRAMENTO (WOMEN'S AND CHILDREN'S HOSPITAL), SUTTER CENTER FOR PSYCHIATRY (GROUP B, 1-2 & 7): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER VALLEY HOSPITALS WEBSITE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16J	OSE ADAMS MEDICAL PAVILION, SUTTER MEDICAL CENTER SACRAMENTO (WOMEN'S AND CHILDREN'S HOSPITAL), SUTTER CENTER FOR PSYCHIATRY (GROUP B, 1-2 & 7): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 22D OSE ADAMS MEDICAL PAVILION, SUTTER MEDICAL CENTER SACRAMENTO (WOMEN'S AND CHILDREN'S HOSPITAL), SUTTER CENTER FOR PSYCHIATRY (GROUP B, 1-2 & 7): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
REPORTING FACILITY: MEMORIAL MEDICAL CENTER	SCHEDULE H, PART V, SECTION B, LINE 3E MEMORIAL MEDICAL CENTER (FACILITY 3): THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 MEMORIAL MEDICAL CENTER (FACILITY 3): IN CONDUCTING ITS MOST RECENT CHNA, MEMORIAL MEDICAL CENTER (MMC), A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM LOCAL PUBLIC HEALTH DEPARTMENTS AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ADDITIONALLY, WHERE APPLICABLE, OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE CONSULTED. AD LUCEM CONSULTING CONDUCTED STAKEHOLDER INTERVIEWS WITH SEVEN INDIVIDUALS REPRESENTING A DIVERSITY OF SECTORS INCLUDING: PUBLIC HEALTH, COMMUNITY BASED ORGANIZATIONS, SAFETY NET, EDUCATION AND GOVERNMENT. THE STAKEHOLDERS WERE IDENTIFIED BY MEMORIAL MEDICAL CENTER AND KAISER FOUNDATION HOSPITAL (KFH) MODESTO STAFF. ALL INTERVIEWS WERE CONDUCTED BY TELEPHONE IN ENGLISH AND TOOK APPROXIMATELY 30-45 MINUTES TO COMPLETE. THE INTERVIEWS FOLLOWED A STANDARD SET OF INTERVIEW QUESTIONS AND THE INTERVIEWER TOOK DETAILED NOTES DURING THE CALL. AT THE BEGINNING OF THE INTERVIEW, CONFIDENTIALITY WAS ASSURED AND THE RESPONDENTS WERE INVITED TO SKIP QUESTIONS NOT APPLICABLE TO THE RESPONDENT'S EXPERIENCE. INTERVIEW QUESTIONS WERE DEVELOPED BY AD LUCEM CONSULTING WITH INPUT FROM MMC AND KFH MODESTO. FOR THE COMPLETE LIST OF INTERVIEW QUESTIONS, SEE APPENDIX C OF THE CHNA. QUESTIONS ADDRESSED THE FOLLOWING TOPICS: - TOP THREE HEALTH ISSUES IN STANISLAUS COUNTY - FACTORS THAT CONTRIBUTE TO THE TOP HEALTH ISSUES - IMPACTS ON SPECIFIC POPULATIONS (E.G. LOW INCOME, RACIAL/ETHNIC SUBPOPULATIONS) - SUCCESSFUL STRATEGIES AND COMMUNITY ASSETS TO ADDRESS TOP HEALTH ISSUES - OPPORTUNITIES AND ROLE FOR COMMUNITY AND MMC TO ADDRESS TOP HEALTH ISSUES UPON COMPLETION OF EACH INTERVIEW, RESPONSES WERE GROUPED BY QUESTION AND ANALYZED FOR COMMON THEMES ACROSS ALL RESPONDENTS. DATA WERE THEN CODED AND A SET OF RELEVANT THEMES SELECTED. THE CODES WERE SUBSEQUENTLY QUANTIFIED AND TALLIED FOR THEIR PRESENCE IN RESPONSE TO EACH QUESTION. THE NUMBER OF TIMES EACH THEME OCCURRED WAS TABULATED. THE MOST PROMINENT THEMES WERE IDENTIFIED AND INCLUDED IN EACH RELEVANT TOPIC AREA IN THE HEALTH NEEDS PROFILES AND USED TO INFORM BOTH THE IDENTIFICATION AND HEALTH NEED PRIORITIZATION PROCESS. AD LUCEM CONSULTING CONDUCTED EIGHT COMMUNITY RESIDENT FOCUS GROUPS IN FIVE DIFFERENT GEOGRAPHIC AREAS WITHIN THE MMC SERVICE AREA, INCLUDING CERES, PATTERSON, TURLOCK, HUGHSON AND MODESTO. FOUR GROUPS WERE CONDUCTED IN SPANISH, THREE WERE CONDUCTED IN ENGLISH AND ONE WAS CONDUCTED IN SPANISH AND ENGLISH. PARTICIPANTS WERE MALE AND FEMALE ADULTS WHO REPRESENTED UNDERSERVED, LOW-INCOME, AND VARIED ETHNIC COMMUNITIES. POPULATION GROUPS REPRESENTED INCLUDED PROMOTORS, COMMUNITY SERVICE AGENCY CLIENTS, AND OLDER ADULTS. PARTICIPANTS WERE RECRUITED FROM COMMUNITIES THROUGHOUT THE MMC SERVICE AREA. MMC AND KFH MODESTO STAFF RECRUITED PARTICIPANTS AND ORGANIZED LOGISTICS FOR THE FOCUS GROUPS, INCLUDING PROVIDING INCENTIVES AND REFRESHMENTS. EACH FOCUS GROUP SESSION AVERAGED 90 MINUTES AND WAS FACILITATED BY AD LUCEM CONSULTING. ALL FOCUS GROUPS WERE RECORDED AND THE MODERATOR OR CO-MODERATOR TOOK NOTES. COMMUNITY RESIDENT PARTICIPANTS WERE PROVIDED WITH A MEAL OR SNACK AND RECEIVED A GIFT CARD IN APPRECIATION OF THEIR PARTICIPATION. A FOCUS GROUP GUIDE WAS USED TO ENSURE CONSISTENCY ACROSS GROUPS. THE FOCUS GROUP QUESTIONS WERE DEVELOPED BY AD LUCEM CONSULTING WITH INPUT FROM MMC AND KFH MODESTO. QUESTIONS WERE OPEN-ENDED AND ADDITIONAL PROBING QUESTIONS WERE USED AS NEEDED TO ELICIT MORE IN-DEPTH RESPONSES AND RICHER DETAILS. THE QUESTIONS WERE TRANSLATED INTO SPANISH BY A NATIVE SPANISH-SPEAKER EXPERIENCED IN TRANSLATION; THE GUIDE WAS MODIFIED SLIGHTLY TO MAINTAIN QUESTION FLOW AND INTENT IN SPANISH. AT THE BEGINNING OF EACH FOCUS GROUP SESSION, PARTICIPANTS WERE WELCOMED AND ASSURED ANONYMITY OF THEIR RESPONSES AND IDENTITY. AN OVERVIEW OF THE DISCUSSION WAS PROVIDED AS WELL AS A REVIEW OF DISCUSSION GROUND RULES, SUCH AS "THERE ARE NO RIGHT OR WRONG ANSWERS." FOR THE COMPLETE LIST OF FOCUS GROUP QUESTIONS, SEE APPENDIX D OF THE CHNA. QUESTIONS ADDRESSED THE FOLLOWING TOPICS: 1. VISION FOR A HEALTHY COMMUNITY 2. TOP THREE HEALTH ISSUES IN STANISLAUS COUNTY 3. FACTORS THAT CONTRIBUTE TO THE TOP HEALTH ISSUES 4. SUCCESSFUL STRATEGIES AND COMMUNITY ASSETS TO ADDRESS TOP HEALTH ISSUES AND RESOURCES NEEDED 5. OPPORTUNITIES TO ENGAGE COMMUNITY MEMBERS IN CREATING A HEALTHY COMMUNITY AUDIO RECORDINGS OF THE FOCUS GROUPS WERE TRANSCRIBED VERBATIM BY A PROFESSIONAL TRANSCRIPTION COMPANY. RESPONSES WERE ANALYZED BY KEY QUESTIONS AND THEMES WERE IDENTIFIED AND CODED ACROSS FOCUS GROUPS IN A SYSTEMATIC MANNER. IN REPORTING THE RESULTS, CARE WAS TAKEN TO ENSURE THAT THE VIEWS OF THE PARTICIPANTS WERE VOICED. THE MOST PROMINENT THEMES WERE IDENTIFIED AND INCLUDED IN EACH RELEVANT TOPIC AREA IN THE HEALTH NEEDS PROFILES AND USED TO INFORM BOTH THE IDENTIFICATION AND HEALTH NEED PRIORITIZATION PROCESS.
SCHEDULE H, PART V, SECTION B, LINE 6A	MEMORIAL MEDICAL CENTER (FACILITY 3): MEMORIAL MEDICAL CENTER AND KAISER FOUNDATION HOSPITAL - MODESTO COLLABORATED ON THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A MEMORIAL MEDICAL CENTER (FACILITY 3): HTTP://WWW.MEMORIALMEDICALCENTER.ORG/ABOUT/COMMUNITY-BENEFIT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T
SCHEDULE H, PART V, SECTION B, LINE 11	MEMORIAL MEDICAL CENTER (FACILITY 3): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MEMORIAL MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - HIGH RATE OF OBESITY: HEALTHY EATING, ACTIVE LIVING, DIABETES - MENTAL HEALTH - ACCESS TO CARE - CANCERS - CARDIO VASCULAR DISEASE/STROKE - SUBSTANCE ABUSE AND TOBACCO DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL THE HEATH NEEDS IN THE COMMUNITY. MEMORIAL MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - ASTHMA IS AN IDENTIFIED LOW PRIORITY HEALTH NEED THAT MEMORIAL MEDICAL CENTER IS NOT ADDRESSING. THE RATIONALE FOR THIS IS: THERE ARE RESOURCES AVAILABLE THROUGH OUR SISTER AFFILIATE, SUTTER GOULD MEDICAL CENTER. THEY OFFER EXPERT PHYSICIAN CARE, AN ANNUAL ASTHMA FAIR AND THEY PARTICIPATE ON THE COMMUNITY ASTHMA COALITION - VIOLENCE - THIS IS A SIGNIFICANT NEED BUT WAS IDENTIFIED AS A "LOW PRIORITY". THE HOSPITAL HAS DECIDED NOT TO ADDRESS THIS AREA AS OUR CITY OFFICIALS AND LAW ENFORCEMENT AS WELL AS THE COMMUNITY ARE ADDRESSING THIS NEED. WE WILL SUPPORT THEIR ENDEAVORS WHENEVER POSSIBLE. - ECONOMIC SECURITY - ALSO IDENTIFIED AS A "LOW PRIORITY" OF THE HEALTH NEEDS IS A MAJOR CONCERN IN OUR COMMUNITY. AS IN VIOLENCE, THE HOSPITAL HAS DECIDED NOT TO ADDRESS THIS AREA AS OUR GOVERNMENT PROGRAMS ARE ASSISTING CITIZENS TO PROVIDE BASIC NEEDS, FOOD, SHELTER, ETC. WE WILL SUPPORT THEIR ENDEAVORS WHENEVER POSSIBLE.
SCHEDULE H, PART V, SECTION B, LINE 15E	MEMORIAL MEDICAL CENTER (FACILITY 3): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE - OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C MEMORIAL MEDICAL CENTER (FACILITY 3): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE MEMORIAL MEDICAL CENTER WEBSITE AT: HTTP://WWW.MEMORIALMEDICALCENTER.ORG/ABOUT/FINANCIAL-ASSISTANCE.HTML
SCHEDULE H, PART V, SECTION B, LINE 16J	MEMORIAL MEDICAL CENTER (FACILITY 3): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 22D MEMORIAL MEDICAL CENTER (FACILITY 3): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
REPORTING FACILITY: SUTTER TRACY COMMUNITY HOSPITAL	SCHEDULE H, PART V, SECTION B, LINE 3E SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 6): THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 6): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER TRACY COMMUNITY HOSPITAL DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF RESIDENTS AND LEADERS THROUGH A COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. A COMMUNITY SURVEY WAS ADMINISTERED TO 2,927 RESIDENTS OF SAN JOAQUIN COUNTY IN THE PARTICIPANT'S SELF-IDENTIFIED DOMINANT LANGUAGE (ENGLISH OR SPANISH) OR VERBALLY IN OTHER LANGUAGES (HMONG OR CAMBODIAN). APPROXIMATELY 10% OF SURVEYS WERE ADMINISTERED IN SPANISH. THE SURVEY WAS AVAILABLE ONLINE AND IN A PAPER VERSION. AMONG ALL RESPONDENTS, 19.2% WERE UNDER AGE 25 AND 7.2% WERE OVER AGE 60. RESPONDENTS WERE 71.7% FEMALE, 43.0% IDENTIFIED AS LATINO, AND 26.6% SPOKE SPANISH AT HOME. A TOTAL OF 34 INDIVIDUALS IDENTIFIED BY THE CORE PLANNING GROUP AS HAVING VALUABLE KNOWLEDGE, INFORMATION, AND EXPERTISE WERE INTERVIEWED. INTERVIEWEES INCLUDED REPRESENTATIVES FROM THE LOCAL PUBLIC HEALTH DEPARTMENT, AS WELL AS LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND THOSE WITH A CHRONIC DISEASE. OTHER INDIVIDUALS FROM VARIOUS SECTORS WITH EXPERTISE IN LOCAL HEALTH NEEDS WERE ALSO CONSULTED. TO MAXIMIZE RESOURCES AND STRENGTHEN RELATIONSHIPS, ALL INTERVIEWS WERE CONDUCTED BY MEMBERS OF THE CORE PLANNING GROUP. FOR A COMPLETE LIST OF INDIVIDUALS WHO PROVIDED INPUT, SEE APPENDIX F. FOR A SUMMARY OF KEY THEMES RELATED TO HEALTH NEEDS THAT AROSE FROM THESE INTERVIEWS, SEE APPENDIX E. ADDITIONALLY, 29 FOCUS GROUPS WERE CONDUCTED THROUGHOUT THE COUNTY, REACHING 348 RESIDENTS. TO MAXIMIZE RESOURCES AND LEVERAGE RELATIONSHIPS WITH COMMUNITY GROUPS AND RESIDENTS, THESE GROUPS WERE FACILITATED BY LOCAL VOLUNTEERS WHO HAD BEEN TRAINED BY MIG STAFF. COMMUNITY PARTNERS PROVIDED INVALUABLE ASSISTANCE IN RECRUITING AND ENROLLING FOCUS GROUP PARTICIPANTS. INDIVIDUALS WHO PARTICIPATED IN FOCUS GROUPS INCLUDED LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, CHRONICALLY DISEASED, AND MINORITY POPULATIONS. PARTICIPANTS ALSO REPRESENTED A BREADTH OF GEOGRAPHIC REGIONS, RACIAL/ETHNIC SUBPOPULATIONS, AND AGE CATEGORIES. FOR MORE INFORMATION ABOUT SPECIFIC POPULATIONS REACHED IN FOCUS GROUPS, SEE APPENDIX F. FOR A SUMMARY OF KEY THEMES RELATED TO HEALTH NEEDS THAT AROSE FROM THESE FOCUS GROUPS, SEE APPENDIX E. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN THE SUTTER TRACY COMMUNITY HOSPITAL'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T
SCHEDULE H, PART V, SECTION B, LINE 6A & 6B	SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 6): THE SAN JOAQUIN COUNTY CHNA WAS A COLLABORATIVE EFFORT THAT INCLUDED SAN JOAQUIN'S NONPROFIT HOSPITALS AND SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, AS WELL AS MANY PARTNER ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE COUNTY. THE PROCESS WAS GUIDED BY A STEERING COMMITTEE THAT SUPPORTED AND PROVIDED INPUT ALONG THE WAY, AND WAS LED BY A CORE PLANNING GROUP THAT WAS RESPONSIBLE FOR PLANNING AND KEY DECISION-MAKING, INCLUDING PROVIDING SUBSTANTIAL ASSISTANCE IN DEVELOPING THE DATA COLLECTION INSTRUMENTS, WORKING ALONGSIDE CONSULTANTS TO COLLECT AND ANALYZE DATA, AND ULTIMATELY PRODUCE THIS REPORT. CORE PLANNING GROUP MEMBERS: - COMMUNITY MEDICAL CENTERS - COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN - DAMERON HOSPITAL ASSOCIATION - DIGNITY HEALTH-ST. JOSEPH'S MEDICAL CENTER - FIRST 5 SAN JOAQUIN - HEALTH NET - HEALTH PLAN OF SAN JOAQUIN - KAISER PERMANENTE - SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - SUTTER TRACY COMMUNITY HOSPITAL SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 6): FILING ORG WEBSITES: HTTPS://WWW.SUTTERHEALTH.ORG/STCH/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSE SSMENT OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T
SCHEDULE H, PART V, SECTION B, LINE 11	SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 6): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER TRACY COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. OBESITY & DIABETES 2. YOUTH GROWTH AND DEVELOPMENT 3. ECONOMIC SECURITY 4. VIOLENCE AND INJURY 5. ACCESS TO HOUSING 6. ACCESS TO MEDICAL CARE 7. MENTAL HEALTH 8. ORAL HEALTH DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER TRACY COMMUNITY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - EDUCATION: WHEN FURTHER EVALUATING THE DISPARITIES REGARDING HIGH SCHOOL GRADUATION AND DROP-OUT RATES FOR RESIDENTS IN THE HOSPITAL'S SERVICE AREA, IT WAS FOUND THAT LOCAL RESIDENTS ARE PERFORMING BETTER THAN NEIGHBORS THROUGHOUT THE SAN JOAQUIN COUNTY IN GENERAL. TRACY UNIFIED SCHOOL DISTRICT DATA NOTES A SIGNIFICANT REDUCTION IN DROP-OUT RATES AND AN INCREASE IN GRADUATION RATES WITHIN THE LAST THREE YEARS, AND METRICS ARE BETTER THAN STATE RATES. BASED ON THESE FINDINGS, THERE IS NO NEED FOR THE HOSPITAL TO IMPLEMENT PLANS TO ADDRESS THIS NEED. - SUBSTANCE USE: ALTHOUGH THE HOSPITAL DOES NOT HAVE A SPECIFIC STRATEGY TO CONFRONT THIS HEALTH ISSUE HEAD ON, IT DOES INTEND TO INDIRECTLY ADDRESS THE PRIORITY FINDING THROUGH THE VARIOUS OTHER INTERVENTIONS AS MENTIONED IN THIS REPORT. MANY OF THE STRATEGIES IN THIS PLAN LOOK TO PROVIDE WHOLE-PERSON CARE, AND WILL OFFER REFERRALS TO SUBSTANCE ABUSE RESOURCES TO INDIVIDUALS AS NECESSARY. - ASTHMA/AIR QUALITY: DUE TO LIMITED RESOURCES AND ABILITY TO IMPACT ENVIRONMENTAL POLICIES, THE HOSPITAL DOES NOT INTEND TO DIRECTLY ADDRESS THIS HEALTH ISSUE. HOWEVER, COMMUNITY BENEFIT STAFF WILL REMAIN ENGAGED IN BUILDING AWARENESS, INCREASING PREVENTION, AND GROWING EDUCATIONAL OPPORTUNITIES THROUGH INVOLVEMENT IN THE SAN JOAQUIN COUNTY CHRONIC DISEASE AND OBESITY TASKFORCE - ASTHMA AND COPD SUBCOMMITTEE.
SCHEDULE H, PART V, SECTION B, LINE 15E	SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 6): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE - OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. PART V, LINES 16A, 16B, & 16C SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 6): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER TRACY COMMUNITY HOSPITAL WEBSITE AT: HTTP://WWW.SUTTERTRACY.ORG/ABOUT/FINANCIAL-ASSISTANCE.HTML
SCHEDULE H, PART V, SECTION B, LINE 16J	SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 6): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 22D SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 6): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
REPORTING FACILITY: MEMORIAL HOSPITAL LOS BANOS	SCHEDULE H, PART V, SECTION B, LINE 3E MEMORIAL HOSPITAL LOS BANOS (FACILITY 11): THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 MEMORIAL HOSPITAL LOS BANOS (FACILITY 11): IN CONDUCTING ITS MOST RECENT CHNA, MEMORIAL HOSPITAL LOS BANOS DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY MEMORIAL HOSPITAL LOS BANOS; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS REPRESENTED IN THIS PROCESS WERE ASKED TO EVALUATE HEALTH NEEDS SPECIFICALLY IN THE LOS BANOS AREA. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 79 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS OR MEDICALLY UNDERSERVED POPULATIONS.
SCHEDULE H, PART V, SECTION B, LINE 6A	MEMORIAL HOSPITAL LOS BANOS (FACILITY 11): MEMORIAL HOSPITAL LOS BANOS AND MERCY MEDICAL CENTER MERCED COLLABORATED ON THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A MEMORIAL HOSPITAL LOS BANOS (FACILITY 11): FILING ORG WEBSITES: HTTP://WWW.MEMORIALLOSBANOS.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T
SCHEDULE H, PART V, SECTION B, LINE 11	MEMORIAL HOSPITAL LOS BANOS (FACILITY 11): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT MEMORIAL HOSPITAL LOS BANOS INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 2. ACCESS TO HEALTHCARE SERVICES 3. MENTAL HEALTH 4. DIABETES 5. INJURY AND VIOLENCE 6. IMMUNIZATION & INFECTIOUS DISEASES DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH ADDITIONAL EFFORTS ON BEHALF OF MEMORIAL HOSPITAL LOS BANOS. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MEMORIAL HOSPITAL LOS BANOS IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - HEART DISEASE AND STROKE - AT THIS TIME MHLB DOES NOT HAVE SPECIFIC STRATEGIES TO INCREASE SERVICES OR PROGRAMS TO ADDRESS IS THIS NEED. MHLB CURRENTLY HAS PHYSICIANS AND DIAGNOSTIC SERVICES FOCUSED ON HEART DISEASE AND STROKE. - SUBSTANCE ABUSE - WHILE THERE IS NOT A CURRENT STRATEGY TO ADDRESS SUBSTANCE ABUSE, PROGRAMS AND/OR SERVICES OFFERED THROUGH THE MENTAL HEALTH STRATEGIES MAY ADDRESS THIS ISSUE. - ORAL HEALTH - THIS NEED IS CURRENTLY BEING ADDRESSED BY OTHER FACILITIES IN THE COMMUNITY. - RESPIRATORY DISEASES - A RELATIVELY LOW PRIORITY WAS ASSIGNED TO THIS NEED BY THE COMMUNITY. - CANCER - A RELATIVELY LOW PRIORITY WAS ASSIGNED TO THIS NEED AND MHLB CURRENTLY DOES HAVE FACULTY WITH THE EXPERTISE TO EFFECTIVELY ADDRESS THIS NEED. - DEMENTIA, INCLUDING ALZHEIMER'S DISEASE - A RELATIVELY LOW PRIORITY WAS ASSIGNED TO THIS NEED. - POTENTIALLY DISABLING CONDITIONS - A RELATIVELY LOW PRIORITY WAS ASSIGNED TO THIS NEED. SCHEDULE H, PART V, SECTION B, LINE 15E MEMORIAL HOSPITAL LOS BANOS (FACILITY 11): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C MEMORIAL HOSPITAL LOS BANOS (FACILITY 11): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE MEMORIAL HOSPITAL LOS BANOS WEBSITE AT: HTTP://WWW.MEMORIALLOSBANOS.ORG/ABOUT/FINANCIAL-ASSISTANCE.HTML
SCHEDULE H, PART V, SECTION B, LINE 16J	MEMORIAL HOSPITAL LOS BANOS (FACILITY 11): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 22D MEMORIAL HOSPITAL LOS BANOS (FACILITY 11): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
REPORTING FACILITY: STANISLAUS SURGICAL HOSPITAL	SCHEDULE H, PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 STANISLAUS SURGICAL HOSPITAL (FACILITY 12): IN CONDUCTING ITS MOST RECENT CHNA, STANISLAUS SURGICAL HOSPITAL (SSH) A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM LOCAL PUBLIC HEALTH DEPARTMENTS AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ADDITIONALLY, WHERE APPLICABLE, OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE CONSULTED. THE FOLLOWING QUESTIONS SERVED AT THE INTERVIEW GUIDES FOR BOTH KEY INFORMANT AND FOCUS GROUP INTERVIEWS: KEY INFORMANT INTERVIEW QUESTIONS 1. WHAT ARE STANISLAUS COUNTY'S 3 MOST CRITICAL HEALTH ISSUES? WHY ARE THESE THE TOP PRIORITIES? 2. STARTING WITH (HEALTH ISSUE #1), WHAT ARE THE FACTORS THAT CONTRIBUTE TO MAKING THIS A PRIORITY? 3. HOW DO THE HEALTH ISSUES YOU'VE IDENTIFIED SPECIFICALLY IMPACT LOW INCOME, UNDERSERVED/UNINSURED POPULATIONS? WHICH POPULATIONS DO THE ISSUES IMPACT MOST? 4. HOW DO THE HEALTH ISSUES YOU'VE IDENTIFIED IMPACT ETHNIC/RACIAL SUBPOPULATIONS? WHICH POPULATIONS DO THE ISSUES IMPACT MOST? 5. BASED ON YOUR KNOWLEDGE AND EXPERTISE, WHAT ARE THE SUCCESSFUL STRATEGIES THAT COULD BE IMPLEMENTED TO ADDRESS THE TOP 3 HEALTH ISSUES YOU HAVE IDENTIFIED? WHAT ARE SOME OF THE CHALLENGES TO ADDRESSING THE HEALTH ISSUES? 6. WHAT ASSETS AND SERVICES ARE AVAILABLE IN STANISLAUS COUNTY TO ADDRESS THE TOP HEALTH ISSUES? 7. BEYOND THE 3 TOP HEALTH ISSUES YOU'VE IDENTIFIED, ARE THERE ANY OTHER HEALTH ISSUES THAT YOU THINK ARE ALSO IMPORTANT TO ADDRESS? 8. WHAT ARE YOUR SUGGESTIONS FOR WAYS TO ENGAGE COMMUNITY MEMBERS, PARTICULARLY LOW INCOME, UNDERSERVED/UNINSURED POPULATIONS AND ETHNIC/RACIAL SUBPOPULATIONS, IN ADDRESSING THE HEALTH ISSUES? 9. WHAT ROLE CAN KAISER PERMANENTE CENTRAL VALLEY AND SUTTER HEALTH MEMORIAL MEDICAL CENTER PLAY IN ADDRESSING THE HEALTH ISSUES? 10. IS THERE ANYTHING ELSE YOU WOULD LIKE TO SHARE ABOUT THE TOP HEALTH ISSUES IN STANISLAUS COUNTY AND HOW TO ADDRESS THE ISSUES? FOCUS GROUP INTERVIEW QUESTIONS 1. PLEASE DESCRIBE FOR ME YOUR IDEA OF WHAT A HEALTHY COMMUNITY LOOKS LIKE. 2. NOW THINK ABOUT HOW YOUR COMMUNITY IS RIGHT NOW. WHAT IS HEALTHY ABOUT YOUR COMMUNITY? - WHAT MAKES IT EASY TO BE HEALTHY IN YOUR COMMUNITY? - WHAT MAKES IT DIFFICULT TO BE HEALTHY IN YOUR COMMUNITY? 3. IN 2013, WE ASKED COMMUNITY MEMBERS TO DESCRIBE THE TOP HEALTH ISSUES IN THE COMMUNITY. ASTHMA, OBESITY/OVERWEIGHT/DIABETES AND ACCESS TO CARE CAME UP AS TOP HEALTH ISSUES FACING YOUR COMMUNITY. HOW IMPORTANT DO YOU THINK THESE ISSUES ARE TODAY? - WHAT OTHER HEALTH ISSUES ARE IMPORTANT? - OF ALL THE HEALTH ISSUES WE'VE DISCUSSED WHAT WOULD YOU SAY ARE THREE MOST URGENT ONES? 4. WHAT ARE THE TOP THREE THINGS THAT COULD BE DONE TO MAKE YOUR COMMUNITY HEALTHIER? - FOR EACH OF THESE, WHAT ARE SOME SUCCESSFUL WAYS TO ADDRESS THEM THAT YOU'VE SEEN EITHER IN YOUR COMMUNITY OR OTHER COMMUNITIES YOU KNOW ABOUT? - IF YOU HAVEN'T SEEN OR HEARD ABOUT THINGS THAT HAVE BEEN SUCCESSFUL, DO YOU HAVE ANY IDEAS FOR WAYS TO MAKE YOUR COMMUNITY HEALTHIER? 5. WHAT ARE SOME ORGANIZATIONS, SERVICES OR RESOURCES IN YOUR COMMUNITY THAT HELP PEOPLE TO BE HEALTHY? - HOW DO THESE ORGANIZATIONS, SERVICES OR RESOURCES HELP PEOPLE TO BE HEALTHY? 6. WHAT DOES THE COUNTY/YOUR COMMUNITY NEED IN TERMS OF HEALTH (SERVICES, PROGRAMS, ETC.) THAT DOES NOT CURRENTLY EXIST IN THE COMMUNITY? 7. WHAT DO YOU RECOMMEND AS THE BEST WAYS TO GET PEOPLE IN YOUR COMMUNITY INVOLVED IN MAKING YOUR COMMUNITY HEALTHIER? PLEASE BE SPECIFIC. - WHAT ARE THE CHALLENGES TO ENGAGING PEOPLE IN YOUR COMMUNITY? - HOW CAN THESE CHALLENGES BE OVERCOME? 8. WE'RE JUST ABOUT READY TO WRAP UP. IS THERE ANYTHING ELSE YOU FEEL IS IMPORTANT FOR US TO KNOW ABOUT HEALTH IN YOUR COMMUNITY?
SCHEDULE H, PART V, SECTION B, LINE 6A	STANISLAUS SURGICAL HOSPITAL (FACILITY 12): STANISLAUS SURGICAL HOSPITAL, MEMORIAL MEDICAL CENTER AND KAISER FOUNDATION HOSPITAL - MODESTO COLLABORATED ON THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, SECTION B, LINES 7A AND 7B STANISLAUS SURGICAL HOSPITAL (FACILITY 12): HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/STANISLAUS-2018-CHNA.PD F OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/STANISLAUS-2018-CHNA.PD F SCHEDULE H, PART V, SECTION B, LINE 10A STANISLAUS SURGICAL HOSPITAL (FACILITY 12): HTTPS://WWW.SUTTERHEALTH.ORG/PDF/FOR-PATIENTS/CHNA/SSH-2019-IMPLEMENTATION -STRATEGY.PDF
SCHEDULE H, PART V, SECTION B, LINE 11	STANISLAUS SURGICAL HOSPITAL (FACILITY 12): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT STANISLAUS SURGICAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. SAFE AND VIOLENCE-FREE ENVIRONMENT 2. ACCESS TO MENTAL/BEHAVIORAL/SUBSTANCE ABUSE SERVICES 3. ACTIVE LIVING/HEALTH EATING 4. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 5. ACCESS TO BASIC NEEDS, SUCH AS HOUSING AND EMPLOYMENT DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL THE HEATH NEEDS IN THE COMMUNITY. STANISLAUS SURGICAL HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. INJURY AND DISEASE PREVENTION MANAGEMENT - THIS IS AN IDENTIFIED LOW PRIORITY HEALTH NEED THAT SSH IS NOT ADDRESSING. THE RATIONALE FOR THIS IS: THERE ARE RESOURCES AVAILABLE THROUGH OUR SISTER AFFILIATE, SUTTER GOULD MEDICAL CENTER AND SUTTER TRACY COMMUNITY HOSPITAL. THEY OFFER DIABETES MANAGEMENT THROUGH COMMUNITY MEDICAL CENTERS. 2. ACCESS TO FUNCTIONAL NEEDS - TRANSPORTATION AND DISABILITY THAT PREVENT ACCESS THROUGH MOVEMENT - THIS IS ALSO IDENTIFIED AS A LOW PRIORITY HEALTH NEED THAT SSH IS NOT ADDRESSING. MANY HEALTH PLANS OFFER TRANSPORTATION THROUGH THEIR MEDI-CAL PLANS AND WE WILL PARTNER WITH THEM TO PROVIDE THIS AS NEEDED. IN ADDITION, OUR HOSPITAL PROVIDES TAXI VOUCHERS AND OTHER TRANSPORTATION OPTIONS ON A CASE BY CASE BASIS. 3. ACCESS TO SPECIALTY CARE - ALSO IDENTIFIED AS A LOW PRIORITY HEALTH NEED THAT SSH IS NOT ADDRESSING. OUR FOCUS IS ON ESTABLISHING PATIENTS WITH PRIMARY CARE AND MENTAL HEALTH CARE AS THOSE WERE BOTH IDENTIFIED AS HIGHER PRIORITY AREAS.
SCHEDULE H, PART V, SECTION B, LINE 15E	STANISLAUS SURGICAL HOSPITAL (FACILITY 12): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE - OTHER: PATIENTS MAY SUBMIT CHARITY CARE APPLICATIONS TO THE COLLECTIONS SUPERVISOR. SCHEDULE H, PART V, LINES 16A, 16B, & 16C STANISLAUS SURGICAL HOSPITAL (FACILITY 12): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE STANISLAUS SURGICAL HOSPITAL WEBSITE AT: HTTPS://STANISLAUSSURGICAL.COM/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16J	STANISLAUS SURGICAL HOSPITAL (12) MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22D STANISLAUS SURGICAL HOSPITAL (12) AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR SLIDING SCALE CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 350% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED.

Field	Value	IRS element (for citing)
Facility	25	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
INFUSION THERAPY CENTER
11710 EDUCATION STREET	AUBURN	CA	95602	OUTPATIENT SERVICES
WOUND CAREOSTOMY DEPARTMENT
11775 EDUCATION STREET	AUBURN	CA	95602	OUTPATIENT SERVICES
URGENT CARE
11795 EDUCATION STREET	AUBURN	CA	95602	OUTPATIENT SERVICES
INFUSION SERVICES
2020 SUTTER PLACE	DAVIS	CA	95616	OUTPATIENT SERVICES
CARDIAC REHABILITATION
2030 SUTTER PLACE	DAVIS	CA	95616	OUTPATIENT SERVICES
SUTTER AMADOR WOMEN'S SERVICES
100 MISSION BLVD	JACKSON	CA	95642	OUTPATIENT SERVICES
DIABETES EDUCATION CLINIC
200 MISSION BLVD	JACKSON	CA	95642	OUTPATIENT SERVICES
SUTTER SLEEP DISORDERS CENTER
1411 SECRET RAVINE PARKWAY STE 150	ROSEVILLE	CA	95661	OUTPATIENT SERVICES
OUTPATIENT SURGERY DEPARTMENT
FOUR MEDICAL PLAZA	ROSEVILLE	CA	95661	OUTPATIENT SERVICES
WOUND CARE CENTER
ONE MEDICAL PLAZA	ROSEVILLE	CA	95661	OUTPATIENT SERVICES
CHILDREN'S OUTPATIENT SERVICE CENTER
1625 STOCKTON BLVD	SACRAMENTO	CA	95819	OUTPATIENT SERVICES
AMBULATORY SURGERY CENTER
2725 CAPITOL AVENUE	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
OUTPATIENT SERVICE CENTER
2800 L STREET	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
FORT SUTTER SURGERY CENTER
2801 K STREET	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
SUTTER CENTER FOR PSYCHIATRY
7919 FOLSOM BLVD STE 100	SACRAMENTO	CA	95826	OUTPATIENT SERVICES
SUTTER CANCER CENTER
100 HOSPITAL DRIVE	VALLEJO	CA	94589	OUTPATIENT SERVICES
ROSEVILLE ENDOSCOPY CENTER
4 MEDICAL PLAZA	ROSEVILLE	CA	95661	OUTPATIENT SERVICES
SUTTER AMADOR SURGERY CENTER
223 CLINTON RD	JACKSON	CA	95642	OUTPATIENT SERVICES
SUTTER PIONEER HEALTH CENTER
24685 HIGHWAY 88	PIONEER	CA	95666	OUTPATIENT SERVICES
SUTTER REHABILITATION INSTITUTE
6 MEDICAL PLAZA	ROSEVILLE	CA	95661	OUTPATIENT SERVICES
SUTTER PLYMOUTH HEALTH CENTER
9279 LOCUST STREET	PLYMOUTH	CA	95669	OUTPATIENT SERVICES
MHLB RURAL HEALTH CLINIC
1253 WEST I STREET	LOS BANOS	CA	93635	RURAL HEALTH CLINIC
MEMORIAL SURGERY CENTER
1401 SPANOS COURT	MODESTO	CA	95355	OUTPATIENT SERVICES
SUTTER TRACY HOSPITAL IMAGING CENTER
1530 BESSIE AVENUE SUITE 109	TRACY	CA	95376	OUTPATIENT SERVICES
SUTTER SENIORCARE PACE
444 NORTH 3RD STREET SUITE 150	SACRAMENTO	CA	95814	ALL-INCLUSIVE CARE FOR THE ELDERLY

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINES 3A & 3C	FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION THE ORGANIZATION HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE PATIENT'S FAMILY INCOME. SUTTER VALLEY HOSPITALS ACQUIRED A 20% OWNERSHIP INTEREST IN STANISLAUS SURGICAL HOSPITAL IN 2016. THIS HOSPITAL PROVIDES PREDOMINANTLY ELECTIVE SURGERIES AND DOES NOT PROVIDE EMERGENCY CARE. STANISLAUS SURGICAL HOSPITAL PROVIDES FREE CHARITY CARE FOR MEDICALLY NECESSARY PROCEDURES FOR UNINSURED PATIENTS FOR FAMILY INCOMES THAT ARE AT OR BELOW 100% OF FPG. SCHEDULE H, PART I, LINE 3B SUTTER VALLEY HOSPITALS IS COMMITTED TO PROVIDING CHARITY CARE. SUTTER VALLEY HOSPITALS PROVIDES FREE CARE AT HIGH PERCENTAGE OF FPG. IT DOES NOT PROVIDE DISCOUNTED CARE. STANISLAUS SURGICAL HOSPITAL PROVIDES DISCOUNTED CHARITY CARE BASED ON A SLIDING SCALE UP TO 350% OF FPG.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: SUTTER VALLEY HOSPITALS DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2018.
SCHEDULE H, PART III, LINE 4	PART III, Section B - BAD DEBT THE ORGANIZATION IS AN AFFILIATE OF SUTTER HEALTH WHICH UNDERWENT A SYSTEM-WIDE AUDIT. THE AUDIT REPORT DOES NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. EFFECTIVE JANUARY 1, 2018, SUTTER ENTITIES IMPLEMENTED THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS UPDATE (ASU), REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE ACCOUNTING CHANGE MODIFIED BAD DEBT REPORTING, AND AS A RESULT, BAD DEBT IS ONLY REPORTED IN LIMITED SITUATIONS.
SCHEDULE H, PART III, LINE 7	MEDICARE COSTS: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS.
SCHEDULE H, PART III, LINE 8	COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT.
SCHEDULE H, PART III, LINE 9B	DEBT COLLECTION POLICY: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF FEDERAL AND CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. AT DISCHARGE PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 210 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS.
SCHEDULE H, PART VI, LINE 2	SUTTER MEDICAL CENTER SACRAMENTO: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 - 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MEMORIAL MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 - 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER ROSEVILLE MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 - 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER SOLANO MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 - 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER TRACY COMMUNITY HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 - 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER AUBURN FAITH HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 - 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER AMADOR HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 - 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER DAVIS HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 - 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MEMORIAL HOSPITAL LOS BANOS: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 - 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. STANISLAUS SURGICAL HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2018 - 2020 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER HOSPITALS FOLLOW A SUTTER HEALTH SYSTEM-WIDE FINANCIAL ASSISTANCE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. LANGUAGES: THE POLICY SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA. IN ADDITION, ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. INFORMATION PROVIDED TO PATIENTS DURING THE PROVISION OF HOSPITAL SERVICES: A. DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND IDENTIFY THE DEPARTMENT THAT PATIENTS CAN VISIT TO RECEIVE INFORMATION ABOUT, AND ASSISTANCE WITH APPLYING FOR, FINANCIAL ASSISTANCE. B. FINANCIAL ASSISTANCE COUNSELORS: PATIENTS WHO MAY BE UNINSURED PATIENTS SHALL BE ASSIGNED FINANCIAL COUNSELORS, WHO SHALL VISIT WITH THE PATIENTS IN PERSON AT THE HOSPITAL, PROVIDE PATIENTS A FINANCIAL ASSISTANCE APPLICATION, ASSIST WITH THE APPLICATION PROCESS, AND PROVIDE A CONTACT INFORMATION FOR THE PATIENT TO CALL FOR QUESTIONS. C. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITALS SHALL PROVIDE ALL PATIENTS A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. D. APPLICATIONS PROVIDED AT DISCHARGE: AT THE TIME OF DISCHARGE, HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. E. INFORMATION PROVIDE TO PATIENTS AT OTHER TIMES: 1. CONTACT INFORMATION WHICH INCLUDES A PHONE NUMBER AND HOSPITAL DEPARTMENT TO OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE AND ASSISTANCE WITH THE APPLICATION PROCESS. 2. BILLING STATEMENTS: BILLING STATEMENTS PROVIDED TO PATIENTS SHALL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, A PHONE NUMBER FOR PATIENTS TO CALL WITH QUESTIONS ABOUT FINANCIAL ASSISTANCE, AND THE WEBSITE ADDRESS WHERE PATIENTS CAN OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE APPLICATION FOR FINANCIAL ASSISTANCE. 3. UPON REQUEST: HOSPITALS SHALL PROVIDE PATIENTS WITH PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST AND WITHOUT CHARGE. F. PUBLICITY OF FINANCIAL ASSISTANCE INFORMATION 1. PUBLIC POSTING: HOSPITALS SHALL POST COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IN A PROMINENT LOCATION IN THE EMERGENCY ROOM, ADMISSIONS AREA, AND ANY OTHER LOCATION IN THE HOSPITAL WHERE THERE IS A HIGH VOLUME OF PATIENT TRAFFIC, INCLUDING BUT NOT LIMITED TO THE WAITING ROOMS, BILLING OFFICES, AND HOSPITAL OUTPATIENT SERVICE SETTINGS. THESE PUBLIC NOTICES SHALL INCLUDE INFORMATION ABOUT THE RIGHT TO REQUEST AN ESTIMATE OF FINANCIAL RESPONSIBILITY FOR SERVICES. 2. WEBSITE: THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY SHALL BE AVAILABLE IN A PROMINENT PLACE ON THE SUTTER HEALTH WEBSITE (WWW.SUTTERHEALTH.ORG) AND ON EACH INDIVIDUAL HOSPITAL'S WEBSITE. PERSONS SEEKING INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL NOT BE REQUIRED TO CREATE AN ACCOUNT OR PROVIDE ANY PERSONAL INFORMATION BEFORE RECEIVING INFORMATION ABOUT FINANCIAL ASSISTANCE. 3. MAIL: PATIENTS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY BE SENT BY MAIL, AT NO COST TO THE PATIENT. 4. ADVERTISEMENTS/PRESS RELEASES: AS NECESSARY AND ON AT LEAST AN ANNUAL BASIS, SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT HOSPITALS IN THE PRINCIPAL NEWSPAPER(S) IN THE COMMUNITIES SERVED BY SUTTER HEALTH, OR WHEN DOING SO IS NOT PRACTICAL, SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THIS INFORMATION, OR USE OTHER MEANS THAT SUTTER HEALTH CONCLUDES WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY TO AFFECTED PATIENTS IN OUR COMMUNITIES. 5. COMMUNITY AWARENESS: SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY (ESPECIALLY THOSE WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE) ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4	SUTTER MEDICAL CENTER SACRAMENTO (SMCS): THE HOSPITAL SERVICE AREA (HSA) IS DEFINED AS THE GEOGRAPHIC AREA (BY ZIP CODE) IN WHICH SUTTER MEDICAL CENTER, SACRAMENTO, OSE ADAMS MEDICAL PAVILION, AND SUTTER CENTER FOR PSYCHIATRY RECEIVES ITS TOP 80% OF DISCHARGES. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. THE SMCS HSA IS LOCATED IN NORTHERN CALIFORNIA AND HAS APPROXIMATELY 1 MILLION RESIDENTS. THE AREA IS CONSIDERABLY DIVERSE IN POPULATION, ECONOMIC STABILITY (INCOME AND POVERTY), AND INSURANCE STATUS. THE POPULATION OF THE SMCS HSA MAKES UP APPROXIMATELY 2.68% OF ALL RESIDENTS IN THE STATE OF CALIFORNIA. THE MAJORITY OF THE POPULATION COUNT FOR THE HSA COMES FROM RESIDENTS LIVING IN SACRAMENTO COUNTY. POPULATION COUNTS AT THE ZIP CODE LEVEL VARIED FROM 240 RESIDENTS IN ZIP CODE 95837 (SACRAMENTO INTERNATIONAL AIRPORT) TO 74,154 RESIDENTS IN ZIP CODE 95823 (FRUITRIDGE). THE MEDIAN AGE AT THE ZIP CODE LEVEL RANGED FROM 26.2 YEARS IN 95832 (SOUTH MEADOWVIEW) TO 53.3 YEARS IN 95612 (SOUTHEASTERN YOLO). THE MEDIAN INCOME BY ZIP CODE FOR THE HSA RANGED SIGNIFICANTLY FROM APPROXIMATELY $29,771 IN 95824 (PARKWAY) TO $81,076 IN 95819 (EAST SAC/RIVER PARK), A RANGE OF $51,305 PER YEAR. IN AN ATTEMPT TO UNDERSTAND THE EXTENT OF AND LOCATION OF THE MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS LIVING IN THE SMCS HSA, SPECIFIC INDICATORS WERE EXAMINED. THE PERCENT OF POPULATION LIVING IN POVERTY IN THE SMCS HSA WAS GREATER THAN BOTH THE SACRAMENTO AND YOLO COUNTY AND STATE PERCENTAGES. THE SMCS HSA ZIP CODE WITH THE HIGHEST PERCENT OF POPULATION IN POVERTY WAS 95824 (PARKWAY) AT 36.7%, COMPARED TO THE LOWEST PERCENT POVERTY IN ZIP CODE 95830 (EAST FLORIN ROAD) AT 4.1%. THE PERCENT OF RESIDENTS UNINSURED WAS LOWEST IN YOLO COUNTY AS COMPARED TO THE SMCS HSA, SACRAMENTO COUNTY AND THE STATE PERCENT BENCHMARKS. THE ZIP CODE WITH THE HIGHEST PERCENT UNINSURED WAS 95824 (PARKWAY) AT 24.7% AND THE LOWEST PERCENT WAS 4.7% IN ZIP CODE 95830 (EAST FLORIN ROAD). THE SMCS HSA PERCENT OF MINORITY RESIDENTS WAS 58.7%, LOWER THAN STATE RATE OF 60.3%, BUT HIGHER THAN BOTH THE SACRAMENTO COUNTY (52.1%) AND YOLO COUNTY (50.6%) PERCENTAGES. AN EXAMINATION OF AREAS THROUGHOUT THE COUNTY REVEALED A LARGE VARIATION IN THE DEGREE OF DIVERSITY, OR PERCENT MINORITY. ZIP CODE 95832 (MEADOWVIEW) SHOWED A PERCENT OF MINORITY POPULATIONS AT 85.6%. THIS PERCENT IS DRASTICALLY DIFFERENT FROM THE ZIP CODE OF 95837 (SACRAMENTO INTERNATIONAL AIRPORT) WHICH ONLY HAD 15.0% MINORITY RESIDENTS. CENSUS DATA SHOWED THAT WHITES/CAUCASIANS MAKE UP THE HIGHEST PERCENT OF RESIDENTS IN THE SMCS HSA, FOLLOWED BY HISPANICS/LATINOS AND ASIANS. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MEDICAL CENTER CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T MEMORIAL MEDICAL CENTER: SUTTER HEALTH MEMORIAL MEDICAL CENTER IS LOCATED IN MODESTO, CALIFORNIA, AND ITS SERVICE AREA INCLUDES THE CITIES OF CERES, HUGHSON, MODESTO, NEWMAN, OAKDALE, PATTERSON, RIVERBANK, TURLOCK AND WATERFORD. THE SERVICE AREA INCLUDES ALL OF STANISLAUS COUNTY, MAKING STANISLAUS COUNTY DATA A GOOD PROXY FOR DATA FOR THE SHMMC AREA. THERE ARE THREE HOSPITALS THAT SERVE THE COMMUNITY. THE DEMOGRAPHICS INCLUDE A TOTAL POPULATION OF 518,321 CITIZENS, WITH 76.51% WHITE (INCLUDING HISPANIC), 2.82% BLACK, 5.28% ASIAN, AND OF THAT POPULATION, 42.5% LATINO. THE POPULATION DENSITY IS MUCH HIGHER IN STANISLAUS COUNTY THANK CALIFORNIA AS A WHOLE. 44.19% LIVE IN POVERTY, 28.32% CHILDREN ARE LIVING IN POVERTY, 10.4% ARE UNEMPLOYED, 17.84% ARE UNINSURED AND 23/59% HAVE NOT GRADUATED FROM HIGH SCHOOL. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA, WITH SOURCES, IS AVAILABLE IN THE MEMORIAL MEDICAL CENTER'S 2016 CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER ROSEVILLE MEDICAL CENTER: THE COMMUNITY OR HOSPITAL SERVICE AREA (HSA) IS DEFINED AS THE GEOGRAPHIC AREA (BY ZIP CODE) IN WHICH THE HOSPITAL RECEIVES ITS TOP 80% OF DISCHARGES. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. THE SUTTER ROSEVILLE MEDICAL CENTER/SUTTER AUBURN FAITH HOSPITAL HSA IS LOCATED IN NORTHERN CALIFORNIA AND HAS NEARLY 700,000 RESIDENTS. THE AREA IS DIVERSE IN POPULATION, ECONOMIC STABILITY (INCOME AND POVERTY), AND INSURANCE STATUS. TABLE 1 (IN THE FULL REPORT) SHOWS THE TOTAL POPULATION COUNT, THE MEDIAN AGE AND THE MEDIAN INCOME OF ALL 41 ZIP CODES IN THE SRMC/SAFH HSA COMPARED TO THE STATE AND COUNTY BENCHMARKS. TABLE 2 (IN THE FULL REPORT) PROVIDES INFORMATION ON THE PRESENCE OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY RESIDENTS IN ALL 41 ZIP CODES IN THE SRMC/SAFH HSA COMPARED TO THE STATE AND COUNTY BENCHMARKS. THE POPULATION OF THE SRMC/SAFH HSA MAKES UP NEARLY 2% OF ALL RESIDENTS IN THE STATE OF CALIFORNIA. THE MAJORITY OF THE POPULATION COUNT FOR THE SRMC/SAFH HSA COMES FROM RESIDENTS LIVING IN PLACER COUNTY. TWENTY-TWO OF THE 41 ZIP CODES THAT MAKE UP THE SRMC/SAFH HSA ARE LOCATED IN PLACER COUNTY; TEN ZIP CODES ARE LOCATED IN SACRAMENTO COUNTY, THREE ZIP CODES ARE LOCATED IN EL DORADO COUNTY, TWO ZIP CODES ARE LOCATED IN YUBA COUNTY AND ONE ZIP CODE IS LOCATED IN NEVADA COUNTY. POPULATION COUNTS AT THE ZIP CODE LEVEL VARIED FROM 88 RESIDENTS IN ZIP CODE 95715 (EMIGRANT GAP) TO 53,452 RESIDENTS IN ZIP CODE 95747 (ROSEVILLE). THE MEDIAN AGE OF THE SRMC/SAFH HSA AT THE ZIP CODE LEVEL RANGED FROM 21.5 YEARS IN 95736 (WEIMAR) TO 62.4 YEARS IN 95714 (DUTCH FLAT). THE MEDIAN INCOME BY ZIP CODE FOR THE SRMC/SAFH HSA RANGED SIGNIFICANTLY FROM APPROXIMATELY $36,967 IN 95841 (NORTH HIGHLANDS) TO $127,736 IN 95746 (GRANITE BAY), A RANGE OF ALMOST $90,000 DOLLARS A YEAR. IN AN ATTEMPT TO UNDERSTAND THE EXTENT OF AND LOCATION OF THE MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS LIVING IN THE SRMC/SAFH HSA, SPECIFIC INDICATORS WERE EXAMINED. THE PERCENT OF POPULATION LIVING IN POVERTY FOR THE SRMC/SAFH HSA WAS 11.8%, MUCH GREATER THAN THE PLACER COUNTY BENCHMARK, BUT LOWER THAN BOTH THE SACRAMENTO COUNTY BENCHMARK AND STATE BENCHMARK. THE ZIP CODE IN THE SRMC/SAFH HSA WITH THE HIGHEST PERCENT OF POPULATION IN POVERTY WAS 95841 (NORTH HIGHLANDS) WITH 27.9% OF ITS POPULATION LIVING BELOW 100% FEDERAL POVERTY LEVEL, COMPARED TO THE LOWEST PERCENT OF POPULATION IN POVERTY IN 95714 (DUTCH FLAT) AND 95715 (EMIGRANT GAP), BOTH WITH 0% OF THEIR POPULATIONS LIVING IN POVERTY. THE PERCENT OF UNINSURED RESIDENTS IN THE SRMC/SAFH HSA WAS 12.1%, HIGHER THAT THE PERCENT UNINSURED IN PLACER COUNTY, BUT LOWER THAN BOTH THE STATE AND SACRAMENTO COUNTY PERCENTAGES. THE ZIP CODE WITH THE HIGHEST PERCENT UNINSURED WAS 95736 (WEIMAR) WITH 36.3%, WHILE ZIP CODE 95715 (EMIGRANT GAP) HAD 0% OF ITS POPULATION IN POVERTY. THE PERCENT OF MINORITY RESIDENTS IN THE SRMC/SAFH HSA WAS 27.4%, WHICH IS HIGHER THAN THE PLACER COUNTY PERCENT MINORITY, BUT LOWER THAN THE SACRAMENTO COUNTY AND STATE PERCENTAGES OF MINORITY. AN EXAMINATION OF THE ZIP CODES IN THE SRMC/SAFH HSA REVEALED A LARGE VARIATION IN THE DEGREE OF DIVERSITY, OR PERCENT MINORITY. THE HIGHEST PERCENT MINORITY IN THE SRMC/SAFH HSA WAS FOUND IN 95736 (WEIMAR) WITH 48.9% AND THE LOWEST PERCENT MINORITY IN THE SRMC/SAFH HSA WAS FOUND IN 95715 (EMIGRANT GAP), WITH 0% OF ITS POPULATION CLASSIFIED AS MINORITY. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER ROSEVILLE MEDICAL CENTER CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER SOLANO MEDICAL CENTER: FOR THE PURPOSES OF THIS REPORT, THE HEALTH SERVICE AREA (HSA) IS THE 18 ZIP CODES WHICH MAKE UP SOLANO COUNTY, CALIFORNIA. THE HSA WAS DESIGNATED AS SOLANO COUNTY BECAUSE ALL SOLANO CHNA COLLABORATIVE PARTNERS SERVE COMMUNITIES WITHIN THE COUNTY. DUE TO DATA AVAILABILITY, THE HSA WAS EXAMINED TWO SEPARATE WAYS. ONE APPROACH WAS TO USE SOLANO COUNTY AS THE SERVICE AREA. WHILE THIS APPROACH WAS THE MOST NATURAL AND BEST REFLECTED THE FOCUS AREA OF COLLABORATIVE MEMBERS, IT DID NOT ALLOW FOR A CONSIDERATION OF VARIATION IN CONDITIONS ACROSS THE COUNTY. AN ALTERNATIVE APPROACH WAS ALSO USED IN WHICH THE SERVICE AREA WAS DEFINED BASED ON THE ZIP CODE TABULATION AREAS (ZCTAS), AS DEFINED BY THE US CENSUS BUREAU. IN THIS APPROACH, ALL ZCTAS THAT HAD A MEANINGFUL OVERLAP WITH SOLANO COUNTY WERE INCLUDED IN THE ANALYSES. THE BENEFIT OF THIS APPROACH WAS THAT IT ALLOWED FOR THE CALCULATION OF MORBIDITY AND MORTALITY RATES BASED ON DATA AVAILABLE AT THE ZIP CODE LEVEL. THIS ALLOWED FOR A BETTER UNDERSTANDING OF HOW THESE CONDITIONS VARIED WITHIN THE COUNTY. THERE ARE THREE HOSPITALS THAT SERVE THE COMMUNITY. THE HEALTH SERVICE AREA OF SOLANO COUNTY IS LOCATED IN NORTHERN CALIFORNIA AND HAS APPROXIMATELY 417 THOUSAND RESIDENTS. AS TABLES 2 AND 3 (IN THE FULL REPORT) SHOW, THE AREA IS CONSIDERABLY DIVERSE IN POPULATION, ECONOMIC STABILITY (INCOME AND POVERTY), AND INSURANCE STATUS. TABLE 2 SHOWS THE TOTAL POPULATIO
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. SUTTER MEDICAL CENTER SACRAMENTO THE 2016 - 2018 IMPLEMENTATION STRATEGIES FOR SUTTER MEDICAL CENTER SACRAMENTO (SMCS) DEFINE A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW. THE NEED FOR MENTAL HEALTH SERVICES AND RESOURCES, ESPECIALLY FOR THE UNDERSERVED, HAS REACHED A BREAKING POINT ACROSS THE SUTTER HEALTH VALLEY OPERATING UNIT. THIS IS WHY WE ARE FOCUSED ON BUILDING A COMPREHENSIVE MENTAL HEALTH STRATEGY THAT INTEGRATES KEY ELEMENTS SUCH AS POLICY AND ADVOCACY, COUNTY SPECIFIC INVESTMENTS, STIGMA REDUCTION, INCREASED AWARENESS AND EDUCATION, WITH TANGIBLE OUTREACH SUCH AS EXPANDED MENTAL HEALTH RESOURCES TO PROFESSIONALS IN THE WORKPLACE AND TELEPYSCH OPTIONS TO THE UNDERSERVED. IN 2018, THROUGH THE STEINBERG INSTITUTE AND SUTTER HEALTH PARTNERSHIP, OVER 300 MEETINGS WERE HOSTED, $2 BILLION WAS SECURED VIA PROP 2 FOR THE "NO PLACE LIKE HOME" INITIATIVE THAT WILL FUND UP TO 20,000 PERMANENT SUPPORTIVE HOUSING UNITS ACROSS CALIFORNIA AND FORGED ALLIANCES THAT BROUGHT TECH ENTREPRENEURS TOGETHER WITH COUNTY PROVIDERS TO ADVANCE APPROACHES TO TREATMENT OF MENTAL ILLNESS. SUTTER MEDICAL CENTER SACRAMENTO CONTINUES TO PARTNER WITH WELLSPACE HEALTH THROUGH THE ICP PROGRAM, ICP EXPANSION STREET NURSE PROGRAM, AND THE T3 PROGRAMS. THROUGH THESE PROGRAMS, THOUSANDS OF PATIENTS RECEIVE REFERRALS TO A VARIETY OF SERVICES. SACRAMENTO COVERED (SC), IS A COMMUNITY-BASED NON-PROFIT ORGANIZATION DEDICATED TO IMPROVING THE OVERALL HEALTH OF THE REGION BY CONNECTING PEOPLE TO MEDICAL COVERAGE, PRIMARY AND PREVENTATIVE CARE, AND OTHER NEEDED RESOURCES. THE HEALTH NAVIGATION PROGRAM'S GOAL IS TO ESTABLISH MEDICAL HOMES, THEREBY REDUCING DEPENDENCE ON EMERGENCY ROOM SYSTEMS OF CARE. IN 2018, SACRAMENTO COVERED PROVIDED SERVICES TO A TOTAL OF 7,778 INDIVIDUALS WITH 828 SERVICE REFERRALS, 156 TRANSPORTATION SERVICES AND 21,834 OTHER SERVICES. SMCS FUNDS MANY PARTNERS THAT FOCUS ON EARLY CHILDHOOD HEALTH AND WELLNESS, INCLUDING PHYSICAL ACTIVITY, NUTRITION, EDUCATION AND THE ARTS. SOME OF THOSE PROGRAMS, INCLUDE, SOIL BORN FARMS (COMMUNITY FARMS/HEALTHY EATING), AMERICAN RIVER PARKWAY (FOUNDATION CAMPFIRE SITE, AIMED TO BRING THOUSANDS OF CHILDREN TO RIVER BEND PARK FOR HEALTHY, ACTIVE EXPERIENCES), SACRAMENTO BALLET (PROVIDING COMMUNITY PERFORMANCES AND SCHOOL ASSEMBLIES IN SCHOOLS/COMMUNITIES IN UNDERSERVED COMMUNITIES, TO ENSURE KIDS ARE EXPOSED TO THE ARTS AND MOVEMENT) AND THE CROCKER ART MUSEUM (PROGRAMS FOR UNDERSERVED CHILDREN). IN 2018, THESE PROGRAMS SAW THE FOLLOWING IMPACT: - YOUTH EDUCATION AND FOOD/AGRICULTURE CAREER PATHWAY DEVELOPMENT: 10 SCHOOLS IN RANCHO CORDOVA ARE NOW ENGAGED IN FIELD TRIPS AT THE FARM AND 6 SCHOOLS ARE NOW RUNNING ACTIVE SCHOOL GARDENS PROGRAMS WITH SUPPORT FROM COLLABORATIVE PARTNERS. IN THE 2018 PROGRAM YEAR, SOIL BORN FARMS WORKED WITH 1,998 STUDENTS AT THE FARM AND SCHOOL SITES IN THE COMMUNITY. IMPORTANTLY, THE SCHOOL DISTRICT IS NOW COMMITTED TO CREATING A FULL CAREER PATHWAY EMPHASIS THAT ALLOWS STUDENTS TO PROGRESS UNINTERRUPTED THROUGH AGRICULTURE/GARDEN-BASED LEARNING, HEALTHY COOKING, NUTRITION EDUCATION AND ENVIRONMENTAL STEWARDSHIP CURRICULUM FROM ELEMENTARY TO HIGH SCHOOL. - FOOD ACCESS: FIVE COMMUNITY PARTNERS COMPRISE THE FOOD ACCESS ACTION TEAM. IN 2018 SIGNIFICANT IMPROVEMENTS WERE MADE TO SOIL BORN'S FARM STAND HELPING TO INCREASE ACCESS TO FRESH PRODUCE FOR THE LOCAL COMMUNITY. WITH ADDITIONS OF CLASSES, MUSIC, INCENTIVES, COOKING DEMOS AND KIDS ACTIVITIES OVER 1450 FAMILIES SHOPPED THE FARM STAND ON 24 SATURDAY SHOPPING DAYS. - ADULT EDUCATION: COMMUNITY PARTNERS HOSTED OVER 175 CLASSES FOR OVER 1800 COMMUNITY ADULTS TO HELP THEM TO IMPROVE THEIR OVERALL HEALTH. CLASSES INCLUDED A BROAD RANGE OF TOPICS SUCH AS GROWING FOOD, HEALTHY COOKING, SCHOOL GARDEN TRAINING FOR TEACHERS, USING CULINARY AND MEDICINAL HERBS, HERBAL STUDIES, MIND/BODY WELLNESS AND MANY MORE. SACRAMENTO STEPS FORWARD (SSF) UTILIZES A THREE-STEP HOUSING CRISIS RESOLUTION SYSTEM AS A STRATEGY TO END HOMELESSNESS IN THE SACRAMENTO REGION. THIS SYSTEM IS BASED ON A HOUSING FIRST MODEL THAT PROVIDES PEOPLE WITH A CONTINUUM OF CARE. THE COORDINATED EXIT PROGRAM IS DESIGNED TO MOVE INDIVIDUALS AND FAMILIES OUT OF HOMELESSNESS AS EFFICIENTLY AND AS QUICKLY AS POSSIBLE BY PLACING THEM IN EMERGENCY, TRANSITIONAL, OR PERMANENT HOUSING WHILE CONCURRENTLY WRAPPING THEM WITH OTHER SUPPORTIVE SERVICES. THESE SERVICES OFTEN INCLUDE ACCESS TO HEALTH CARE, COORDINATION OF SOCIAL SERVICES, ENROLLMENT IN EMPLOYMENT PROGRAMS AND OTHER CLIENT-CENTERED SUPPORT SERVICES TO MAINTAIN ONGOING STABILITY AND BREAK THE CYCLE OF HOMELESSNESS. SUTTER HEALTH INVESTED $433,000 TO EXPAND SERVICES AT THE SALVATION ARMY'S CENTER OF HOPE EMERGENCY SHELTER AND VOLUNTEERS OF AMERICA'S A STREET MEN'S SHELTER TO 24 HOURS A DAY, SEVEN DAYS A WEEK. IN ADDITION, SUTTER HEALTH COMMITTED $1 MILLION AND SECURED A $300,000 MATCHING GRANT FROM LOCAL DEVELOPER DAVID TAYLOR TO KEEP VOLUNTEERS OF AMERICA'S RAILROAD STREET TRIAGE SHELTER OPEN IN 2018. SUTTER HEALTH ALSO INVESTED AN ADDITIONAL $1.3 MILLION TO SUPPORT THE CITY AS IT CREATES LONGER-TERM EMERGENCY TRIAGE SHELTERS. THROUGHOUT 2018 338 INDIVIDUALS WERE SERVED RESULTING IN 18,200 BED NIGHTS PROVIDED AND 44 INDIVIDUALS HAD POSITIVE HOUSING OUTCOMES. MEDZONE AND OAK PARK SMART ARE TWO MAJOR ELEMENTS OF THE WAY UP INITIATIVE. MEDZONE, A COLLABORATION WITH UC DAVIS MEDICAL CENTER, SUTTER HEALTH, KAISER PERMANENTE, AND DIGNITY HEALTH IS WAYUP'S CORNERSTONE WORKFORCE DEVELOPMENT AND EMPLOYMENT INITIATIVE. THE INITIATIVE IS A STRATEGIC TOOL FOR COMMUNITY ECONOMIC DEVELOPMENT TO FOSTER A VIBRANT AND HEALTHY NEIGHBORHOOD THAT RESULTS IN A THRIVING LOCAL ECONOMY, AN EDUCATED LOCAL WORKFORCE AND JOBS FOR LOCAL RESIDENTS. OAK PARK SMART IS A PLACE-BASED NETWORK OF OAK PARK SCHOOLS AND EDUCATIONAL FACILITIES THAT PROMOTES POSITIVE ACHIEVEMENTS OF ITS SCHOOLS IN THE COMMUNITY, AND PROVIDES A SPRINGBOARD FOR COORDINATED EDUCATION-FOCUSED INITIATIVES. IN 2018 2,200 CHILDREN WERE SERVED. WEAVE'S VIOLENCE PREVENTION NAVIGATOR (VPN) PROGRAM FUNCTIONS IN ALIGNMENT WITH THE CONTINUUM OF CARE SYSTEM AND BETTER INTEGRATES WITH LAW ENFORCEMENT AND THE MEDICAL COMMUNITY TO PROVIDE SPECIALIZED RESPONSE SERVICES TO VICTIMS OF DOMESTIC VIOLENCE, EDUCATES OTHER COMMUNITY SERVICE PROVIDERS, AND WORKS WITH WEAVE LEADERSHIP TO IDENTIFY AND IMPLEMENT INTERNAL POLICY CHANGES TO BETTER ALIGN WEAVE'S RESPONSE MODEL WITH EXISTING COMMUNITY EFFORTS. IN 2018, VPN SERVED 352 UNIQUE INDIVIDUALS. THE INCREASE IN CLIENTS SERVED CAN BE ATTRIBUTED TO THE CONSISTENT OUTREACH THE VPN HAS BEEN DOING OVER THE YEAR WITH HOSPITAL STAFF AND THE COMMUNITY. WELLSPACE HEALTH ED NAVIGATION PROGRAM CONNECTS PATIENTS WITH HEALTH AND SOCIAL SERVICES, AND ULTIMATELY A MEDICAL HOME, AS WELL AS OTHER PROGRAMS (LIKE T3) WHEN APPROPRIATE. IN 2018, THE PROGRAM WORKED WITH 437 PATIENTS PROVIDING 2,159 REFERRALS TO A VARIETY OF SOCIAL SERVICES. WELLSPACE HEALTH'S SUICIDE PREVENTION ED FOLLOW UP (EDFUSP) PROGRAM IS DESIGNED TO PREVENT SUICIDE DURING A HIGH RISK PERIOD, MONITOR FOR ONGOING SUICIDALITY POST-DISCHARGE, PROVIDE EMOTIONAL SUPPORT AND CONTINUING EVIDENCE-BASED RISK ASSESSMENT AND MONITORING FOR SUICIDALITY, CREATE PERSONALIZED SAFE PLANS, PROVIDE EDUCATIONAL AND SENSITIVE OUTREACH MATERIALS ABOUT SURVIVING A SUICIDE ATTEMPT AND RECOVERY, 24HR ACCESS TO WELLSPACE HEALTH'S SUICIDE PREVENTION CRISIS LINES, AND REFERRALS OFFERED TO COMMUNITY-BASED RESOURCES FOR ONGOING TREATMENT AND SUPPORT. IN 2018, 15 PATIENT REFERRALS WERE RECEIVED FROM SUTTER MEDICAL CENTER EMERGENCY DEPARTMENTS DURING THE REPORTING PERIOD, A DECREASE IN REFERRAL RATES. OF THESE, 14 WERE REFERRED POST DISCHARGE FOR SUICIDAL IDEATION, 1 POST-DISCHARGE AFTER A SUICIDE ATTEMPT. 99% RECEIVED THEIR FIRST FOLLOW UP CALL FROM OUR EDFU STAFF WITHING 24HRS POST-DISCHARGE! THERE WERE 72 CONTACTS TOTAL. REFERRALS INCLUDED SOME ETHNIC DIVERSITY, INCLUDING: 2 AFRICAN AMERICAN, 8 CAUCASIAN, 4 HISPANIC, 1 ASIAN. IN PARTNERSHIP WITH WELLSPACE HEALTH, THE INTERIM CARE PROGRAM (
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: THE ORGANIZATION IS AFFILIATED WITH SUTTER HEALTH, A NOT-FOR-PROFIT NETWORK OF HOSPITALS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS WHO CARE FOR MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, WE'RE CREATING A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. THE HOSPITAL'S MISSION IS TO ENHANCE THE WELL-BEING OF PEOPLE IN THE COMMUNITIES WHERE WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTHCARE SERVICES. AT SUTTER HEALTH, WE BELIEVE THERE SHOULD BE NO BARRIERS TO RECEIVING TOP-QUALITY MEDICAL CARE. WE STRIVE TO PROVIDE ACCESS TO EXCELLENT HEALTHCARE SERVICES FOR NORTHERN CALIFORNIANS, REGARDLESS OF ABILITY TO PAY. AS PART OF OUR NOT-FOR-PROFIT MISSION, SUTTER HEALTH INVESTS MILLIONS OF DOLLARS BACK INTO THE COMMUNITIES WE SERVE - AND BEYOND. THROUGH THESE INVESTMENTS AND COMMUNITY PARTNERSHIPS, WE'RE PROVIDING AND PRESERVING VITAL PROGRAMS AND SERVICES, THEREBY IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. OVER THE PAST FIVE YEARS, SUTTER HEALTH HAS COMMITTED NEARLY $4 BILLION TO CARE FOR PATIENTS WHO COULDN'T AFFORD TO PAY, AND TO SUPPORT PROGRAMS THAT IMPROVE COMMUNITY HEALTH. OUR 2018 COMMITMENT OF $734 MILLION INCLUDES UNREIMBURSED COSTS OF PROVIDING CARE TO MEDI-CAL PATIENTS, TRADITIONAL CHARITY CARE AND INVESTMENTS IN HEALTH EDUCATION AND PUBLIC BENEFIT PROGRAMS. FOR EXAMPLE: - IN 2018, SUTTER HEALTH INVESTED $435 MILLION MORE THAN THE STATE PAID TO CARE FOR MEDI-CAL PATIENTS. MEDI-CAL ACCOUNTED FOR NEARLY 19 PERCENT OF SUTTER HEALTH'S GROSS PATIENT SERVICE REVENUES IN 2018. - THROUGHOUT OUR HEALTHCARE SYSTEM, WE PARTNER WITH AND SUPPORT COMMUNITY HEALTH CENTERS TO ENSURE THAT THOSE IN NEED HAVE ACCESS TO PRIMARY AND SPECIALTY CARE. WE ALSO SUPPORT CHILDREN'S HEALTH CENTERS, FOOD BANKS, YOUTH EDUCATION, JOB TRAINING PROGRAMS AND SERVICES THAT PROVIDE COUNSELING TO DOMESTIC VIOLENCE VICTIMS. EVERY THREE YEARS, SUTTER HEALTH HOSPITALS PARTICIPATE IN A COMPREHENSIVE AND COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IDENTIFIES LOCAL HEALTH CARE PRIORITIES AND GUIDES OUR COMMUNITY BENEFIT STRATEGIES. THE ASSESSMENTS HELP ENSURE THAT WE INVEST OUR COMMUNITY BENEFIT DOLLARS IN A WAY THAT TARGETS AND ADDRESS REAL COMMUNITY NEEDS. FOR MORE FACTS AND INFORMATION VISIT WWW.SUTTERHEALTH.ORG.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (98 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
WELLSPACE HEALTH
777 12TH ST STE 250	SACRAMENTO	CA	95814	941713704	501(C)(3)	$4,165,155	GENERAL SUPPORT
CITY OF SACRAMENTO
915 I ST STE 104	SACRAMENTO	CA	95814	946000410	GOVT	$1,286,149	GENERAL SUPPORT
HEALTHY COMMUNITY FORUM FOR GREATER SAC
819 19TH ST	SACRAMENTO	CA	95811	680377256	501(C)(3)	$1,112,500	GENERAL SUPPORT
FOOD BANK OF YOLO COUNTY
1244 FORTNA AVE	WOODLAND	CA	95776	237111782	501(C)(3)	$1,000,000	GENERAL SUPPORT
PLACER COUNTY OF AIR POLUTION CONTROL DIST
110 MAPLE ST	AUBURN	CA	95603	946000527	501(C)(3)	$1,000,000	GENERAL SUPPORT
MENTAL HEALTH LEADERSHIP INITIATIVE INC
14 CENTRAL AVE	ISLAND HEIGHTS	NJ	08732	465714524	501(C)(3)	$510,000	GENERAL SUPPORT
GOLDEN VALLEY HEALTH CENTERS
737 W CHILDS AVE	MERCED	TN	95340	942196086	501(C)(3)	$400,054	GENERAL SUPPORT
VALLEY CONSORTIUM FOR MEDICAL EDUCATION
1400 FLORIDA AVE STE 200	MODESTO	CA	95350	270506209	501(C)(3)	$400,028	GENERAL SUPPORT
COMMUNICARE HEALTH CENTERS
PO BOX 1260	DAVIS	CA	95617	942188574	501(C)(3)	$400,000	GENERAL SUPPORT
SIERRA HEALTH FOUNDATION CTR FOR HEALTH PROG MGMT
1321 GARDEN HWY STE 210	SACRAMENTO	CA	95833	455282243	501(C)(3)	$359,000	GENERAL SUPPORT
UNITED WAY OF STANISLAUS CO
PO BOX 3066	MODESTO	CA	95353	941212129	501(C)(3)	$305,000	GENERAL SUPPORT
COMMUNITY PARTNERSHIP FOR FAMILIES
PO BOX 1569	STOCKTON	CA	95201	680475602	501(C)(3)	$271,803	GENERAL SUPPORT
CATHOLIC CHARITIES OF DIOCESE OF STOCKTON
1106 NO EL DORADO ST	STOCKTON	CA	95201	941629114	501(C)(3)	$264,733	GENERAL SUPPORT
SHADY CREEK OUTDOOR EDUCATION
FOUNDATION 970 KLAMATH LN	YUBA CITY	CA	95993	680239809	501(C)(3)	$231,264	GENERAL SUPPORT
LA CLINICA DE LA RAZA
1515 FRUITVALE AVE	OAKLAND	CA	94601	941744108	501(C)(3)	$221,893	GENERAL SUPPORT
GLOBAL DEVELOPMENT INCUBATOR
1401 K ST NW STE 900	WASHINGTON	DC	20005	141945286	501(C)(3)	$200,000	GENERAL SUPPORT
SACRAMENTO STEPS FORWARD
1331 GARDEN HWY STE 100	SACRAMENTO	CA	95833	274907397	501(C)(3)	$195,860	GENERAL SUPPORT
SOLANO COALITION FOR BETTER HEALTH
1 HARBOR DR STE 270	SUISUN CITY	CA	94585	943189914	501(C)(3)	$170,783	GENERAL SUPPORT
SENIORS FIRST
12183 LOCKSLEY LN STE 205	AUBURN	CA	95602	680430154	501(C)(3)	$160,000	GENERAL SUPPORT
DOWNTOWN SACTO PARTNERSHIP
980 NINTH ST STE 400	SACRAMENTO	CA	95814	680270320	501(C)(3)	$135,000	GENERAL SUPPORT
SACRAMENTO CONVENTION AND VISITORS BUREAU
1608 I ST	SACRAMENTO	CA	95814	940824640	501(C)(6)	$130,000	GENERAL SUPPORT
INTERNATIONAL STUDENT TOURS
5080 ROBERT J MATHEWS PKWY	EL DORADO	CA	95762	911915695	501(C)(3)	$129,428	GENERAL SUPPORT
CITY OF ROSEVILLE
311 VERNON ST	ROSEVILLE	CA	95678	946000409	GOVT	$125,000	GENERAL SUPPORT
TOURO UNIVERSITY
1310 CLUB DR	VALLEJO	CA	94592	133838740	501(C)(3)	$124,000	GENERAL SUPPORT
WEAVE INC
1900 K ST	SACRAMENTO	CA	95811	942493158	501(C)(3)	$111,000	GENERAL SUPPORT
GATHERING INN
201 BERKELEY AVE	ROSEVILLE	CA	95678	841657746	501(C)(3)	$105,046	GENERAL SUPPORT
BOYS AND GIRLS CLUB OF MERCED COUNTY
615 W 15TH ST	MERCED	CA	95340	770357487	501(C)(3)	$100,000	GENERAL SUPPORT
BOYS AND GIRLS CLUB OF TRACY
753 W LOWELL AVE	TRACY	CA	95376	680028682	501(C)(3)	$100,000	GENERAL SUPPORT
GREATER WASHINGTON EDUCATIONAL TELECOM
3939 CAMPBELL AVE	ARLINGTON	VA	22206	530242992	501(C)(3)	$100,000	GENERAL SUPPORT
HEALTH COMMUNICATION RESEARCH INSTITUTE INC
5025 J ST STE 311	SACRAMENTO	CA	95819	680195121	501(C)(3)	$100,000	GENERAL SUPPORT
IFRED
PO BOX 17598	BALTIMORE	MD	21297	201427003	501(C)(3)	$100,000	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION INC
PO BOX 17598	DALLAS	TX	75231	135613797	501(C)(3)	$97,161	GENERAL SUPPORT
RONALD MCDONALD HOUSE CHARITIES NORTHERN CALIFORNI
2555 49TH ST	SACRAMENTO	CA	95817	680147193	501(C)(3)	$82,500	GENERAL SUPPORT
SACRAMENTO FOOD BANK SERVICES
3333 3RD AVE	SACRAMENTO	CA	95817	943315566	501(C)(3)	$80,000	GENERAL SUPPORT
LATINO LEADERSHIP COUNCIL INC
2945 BELL RD STE 274	AUBURN	CA	95603	270970476	501(C)(3)	$75,000	GENERAL SUPPORT
CRHS SACRAMENTO WORK STUDY INC
6200 MCMAHON DR	SACRAMENTO	CA	95824	412191660	501(C)(3)	$70,000	GENERAL SUPPORT
SOIL BORN FARMS URBAN AGRICULTURE PROJECT
PO BOX 661175	SACRAMENTO	CA	95866	200774693	501(C)(3)	$65,000	GENERAL SUPPORT
SACRAMENTO METROPOLITAN CHAMBER OF COMMERCE
ONE CAPITOL MALL STE 300	SACRAMENTO	CA	95814	940824600	501(C)(6)	$63,250	GENERAL SUPPORT
AMERICAN CANCER SOCIETY INC
250 WILLIAMS ST NW STE 400	ATLANTA	GA	30303	131788491	501(C)(3)	$52,500	GENERAL SUPPORT
SACRAMENTO ASIAN PACIFIC CHAMBER OF COM
2331 ALHAMBRA BLVD STE 100	SACRAMENTO	CA	95817	680306606	501(C)(6)	$50,000	GENERAL SUPPORT
SOW A SEED COMMUNITY FNDT
35 E 10TH ST STE D1	TRACY	CA	95376	113821058	501(C)(3)	$50,000	GENERAL SUPPORT
STABILITY NETWORK
114 GARFIELD	SEATTLE	WA	98109	823605300	501(C)(3)	$50,000	GENERAL SUPPORT
WOMENS CENTER OF SAN JOAQUIN COUNTY
620 NO SAN JOAQUIN ST	STOCKTON	CA	95202	942341360	501(C)(3)	$43,000	GENERAL SUPPORT
SACRAMENTO METRO CHAMBER FNDT
1 CAPITOL MALL STE 700	SACRAMENTO	CA	95814	202381828	501(C)(3)	$40,500	GENERAL SUPPORT
DIGNITY HEALTH
1091 INDUSTRIAL RD STE 200	SAN CARLOS	CA	94070	941196203	501(C)(3)	$40,000	GENERAL SUPPORT
ROSEVILLE CHAMBER OF COMMERCE
650 DOUGLAS BLVD	ROSEVILLE	CA	95678	941079379	501(C)(6)	$40,000	GENERAL SUPPORT
GIFTS TO SHARE INC
915 I ST FLR 3	SACRAMENTO	CA	95814	942985546	501(C)(3)	$37,500	GENERAL SUPPORT
COMMUNITY SERVICE EDUCATION
5380 ELVAS AVE	SACRAMENTO	CA	95819	237003581	501(C)(3)	$36,500	GENERAL SUPPORT
YOLO COMMNUNITY CARE CONTINUUM
PO BOX 1101	DAVIS	CA	95617	942623205	501(C)(3)	$36,500	GENERAL SUPPORT
SALVATION ARMY
180 E OCEAN BLVD	LONG BEACH	CA	90802	941156347	501(C)(3)	$35,000	GENERAL SUPPORT
BEAUTIFUL MINDS WELLNESS
13300 NEW AIRPORT RD STE 100	AUBURN	CA	95602	465365497	501(C)(3)	$33,000	GENERAL SUPPORT
DELTA COLLEGE FOUNDATION
5151 PACIFIC AVE	STOCKTON	CA	95207	237367633	501(C)(3)	$30,000	GENERAL SUPPORT
FAIRYTALE TOWN INC
3901 LAND PARK DR	SACRAMENTO	CA	95822	941669088	501(C)(3)	$30,000	GENERAL SUPPORT
CRISTO REY HIGH SCHOOL SACRAMENTO
8475 JACKSON RD	SACRAMENTO	CA	95826	043832927	501(C)(3)	$27,000	GENERAL SUPPORT
SHADOWCHASE RUNNING CLUB
1325 11TH ST	MODESTO	CA	95354	942751030	501(C)(3)	$27,000	GENERAL SUPPORT
CALIFORNIA DENTAL ASSN FNDT
1201 K ST STE 1511	SACRAMENTO	CA	95814	680411536	501(C)(3)	$25,000	GENERAL SUPPORT
MAKE A WISH FOUNDATION
1401 HALYARD DR STE 130	WEST SACRAMENTO	CA	95691	680027351	501(C)(3)	$25,000	GENERAL SUPPORT
MENTAL HEALTH AMERICA INC
500 MONTGOMERY ST STE 820	ALEXANDRIA	VA	22314	131614906	501(C)(3)	$25,000	GENERAL SUPPORT
NATIONAL LEAGUE OF CITIES INSTITUTE
660 NO CAPITAL ST NW STE 450	WASHINGTON	DC	20001	526055762	501(C)(3)	$25,000	GENERAL SUPPORT
SOCIETY FOR THE BLIND INC
1238 S ST	SACRAMENTO	CA	95811	941384666	501(C)(3)	$25,000	GENERAL SUPPORT
SOLANO ECONOMIC DEVCO CORP
360 CAMPUS LN STE 102	FAIRFIELD	CA	94534	911790564	501(C)(3)	$25,000	GENERAL SUPPORT
STANISLAUS COMMUNITY FNDT
1029 16TH ST	MODESTO	CA	95534	680483054	501(C)(3)	$25,000	GENERAL SUPPORT
AMERICAN LEADERSHIP FORUM MOUNTAIN VALLEY
1601 RESPONSE RD STE 350	SACRAMENTO	CA	95815	911792774	501(C)(3)	$22,500	GENERAL SUPPORT
LEAVEN PROGRAM
2220 BOYNTON AVE STE A	FAIRFIELD	CA	94533	263653717	501(C)(3)	$20,000	GENERAL SUPPORT
LOVE OUR CITIES INC
1401 F ST	MODESTO	CA	95354	471989572	501(C)(3)	$20,000	GENERAL SUPPORT
FRIENDS OF SUTTERS FORT
2701 L ST	SACRAMENTO	CA	95816	942608741	501(C)(3)	$18,000	GENERAL SUPPORT
CHILD ABUSE PREVENTION COUNCIL SACRAMENTO
4700 ROSEVILLE RD STE 102	NORTH HIGHLANDS	CA	94533	942833431	501(C)(3)	$17,100	GENERAL SUPPORT
LIGHTHOUSE COUNSELING & FAMILY RESOURCE CTR
427 A ST STE 400	LINCOLN	CA	95648	352252834	501(C)(3)	$15,000	GENERAL SUPPORT
MARCH OF DIMES
PO BOX 1657	WILKESBARRE	PA	18703	131846366	501(C)(3)	$15,000	GENERAL SUPPORT
SOLANO NAPA HABITAT FOR HUMANITY INC
5130 FULTON DR STE R	FAIRFIELD	CA	94534	680252525	501(C)(3)	$15,000	GENERAL SUPPORT
VALLEY VISION INC
3400 3RD AVE	SACRAMENTO	CA	95817	943214572	501(C)(3)	$15,000	GENERAL SUPPORT
YOLO CRISIS NURSERY INC
1477 DREW AVE STE 103	DAVIS	CA	95618	471006055	501(C)(3)	$15,000	GENERAL SUPPORT
AMERICAN CITY BUSINESS JOURNAL
120 W MOREHEAD ST STE 320	CHARLOTTE	NC	28202	431366184	501(C)(3)	$14,670	GENERAL SUPPORT
CENTER FOR HUMAN SERVICES
1700 MCHENRY VILLAGE WY STE 11	MODESTO	CA	95350	941725620	501(C)(3)	$12,750	GENERAL SUPPORT
DAVIS FARMERS MARKET ALLIANCE
PO BOX 1813	DAVIS	CA	95617	474702989	501(C)(3)	$12,000	GENERAL SUPPORT
VOLUNTEERS OF AMERICA NORTHERN CA & NEVADA
1900 POINT WEST WY STE 270	SACRAMENTO	CA	95815	946001984	501(C)(3)	$11,000	GENERAL SUPPORT
ALL ABOUT SACRAMENTO
555 CAPITOL MALL STE 1425	SACRAMENTO	CA	95814	813819431	GOVT	$10,000	GENERAL SUPPORT
CALIFORNIA PRIMARY CARE ASSOC
1215 K ST STE 700	SACRAMENTO	CA	95814	943215565	501(C)(3)	$10,000	GENERAL SUPPORT
COMMUNITY HOSPICE INC
4368 SPYRES WY	MODESTO	CA	95356	942638213	501(C)(3)	$10,000	GENERAL SUPPORT
ELK GROVE CHAMBER OF COMMERCE
9401 E STOCKTON BLVD STE 125	ELK GROVE	CA	95624	941483392	501(C)(6)	$10,000	GENERAL SUPPORT
FRIENDS OF SIERRA COLLEGE YES ON MEASURE E
PO BOX 345	ROCKLIN	CA	95677	820671030	501(C)(4)	$10,000	GENERAL SUPPORT
HABITAT FOR HUMANITY YUBA SUTTER INC
202 D ST	MARYSVILLE	CA	95901	680301692	501(C)(3)	$10,000	GENERAL SUPPORT
COUNTY OF MERCED
403 F ST	LOS BANOS	CA	93635	946000521	GOVT	$10,000	GENERAL SUPPORT
MIDTOWN SACRAMENTO PBID CORP
1401 21ST ST STE A	SACRAMENTO	CA	95811	461549378	501(C)(3)	$10,000	GENERAL SUPPORT
PLACER BREAST CANCER ENDOWMENT
PO BOX 564	ROSEVILLE	CA	95678	270690037	501(C)(3)	$10,000	GENERAL SUPPORT
SACRAMENTO REG COALITION TO END HOMELESSNESS
1331 GARDEN HWY STE 101	SACRAMENTO	CA	95833	463175193	501(C)(3)	$10,000	GENERAL SUPPORT
SIERRA COLLEGE FOUNDATION
5100 SIERRA COLLEGE BLVD	ROCKLIN	CA	95677	237241877	501(C)(3)	$10,000	GENERAL SUPPORT
STANISLAUS PARTNERS IN EDUCATION
PO BOX 4477	MODESTO	CA	95352	770294263	501(C)(3)	$10,000	GENERAL SUPPORT
YUBA SUTTER PINK OCTOBER
871 E ONSTOTT RD	YUBA CITY	CA	95991	201530007	501(C)(3)	$9,000	GENERAL SUPPORT
CAPITAL AIRSHOW GROUP
10425 NORDEN AVE	MATHER	CA	95655	743212900	501(C)(3)	$8,000	GENERAL SUPPORT
CITY OF LOS BANOS
645 7TH ST	LOS BANOS	CA	93635	946000363	GOVT	$7,500	GENERAL SUPPORT
SACRAMENTO BLACK CHAMBER OF COMMERCE FNDN
5770 FREEPORT BLVD STE 44	SACRAMENTO	CA	95822	954818928	501(C)(3)	$7,500	GENERAL SUPPORT
SAINT JOHNS SHELTER FOR WOMEN AND CHILDREN
2443 FAIR OAKS BLVD STE 369	SACRAMENTO	CA	95825	680132934	501(C)(3)	$7,500	GENERAL SUPPORT
STANISLAUS COUNTY HEALTH SVC AGENCY FDN
PO BOX 302	MODESTO	CA	95353	942830419	501(C)(3)	$7,250	GENERAL SUPPORT
DAVIS CITY OF CHAMBER OF COMMERCE
604 THIRD ST	DAVIS	VA	95616	940420636	501(C)(6)	$7,000	GENERAL SUPPORT
LOS BANOS CHURCH OF CHRIST
645 W L ST	LOS BANOS	CA	93635	464666855	501(C)(3)	$6,097	GENERAL SUPPORT
AMADOR TRANSIT
11400 AMERICAN LEGION DR	JACKSON	CA	95642	452446817	501(C)(3)	$6,000	GENERAL SUPPORT
LINCOLN AREA CHAMBER OF COMMERCE
540 F ST	LINCOLN	CA	95648	941506195	501(C)(6)	$5,150	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	90	Total501c3OrgCnt
Total Other Org	8	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	PATIENT ASSISTANCE	GrantTypeTxt
Recipient	5669	RecipientCnt
Non Cash Assistance	$772,235	NonCashAssistanceAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Non Cash Assistance	MEDICATION/TRANSPORT	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: IN ORDER TO CLOSELY MONITOR EFFICIENCY AND EFFECTIVENESS, THE COMMUNITY BENEFIT FUNCTION OUTLINES MEASURABLE REPORTING (QUARTERLY, SIX-MONTH AND/OR YEAR-END), PROGRAM AND FUNDING REQUIREMENTS IN A MEMORANDUM OF UNDERSTANDING (MOU), BUSINESS SERVICES AGREEMENT (BSA), OR JOINT VENTURE AGREEMENT FOR EACH INVESTMENT MADE WITH A COMMUNITY PARTNER. WHERE IT IS DETERMINED NECESSARY, ADDITIONAL EFFORTS ARE MADE TO MONITOR EFFECTIVENESS AND EFFICIENCY OF INVESTMENTS, WHICH COULD INCLUDE: - QUARTERLY MEETINGS WITH COMMUNITY PARTNERS - E-MAIL AND TELEPHONIC COMMUNICATIONS WITH COMMUNITY PARTNERS - CONTINUED DIALOGUE WITH INVOLVED HOSPITAL STAFF AND COMMUNITY PARTNERS THROUGHOUT DURATION OF PROGRAM - SITE VISITS WITH COMMUNITY PARTNERS - BI-ANNUAL "OUTCOMES" SURVEY (6-MONTH AND/OR YEAR-END OUTCOMES) - REVIEW OF HOSPITAL USAGE AND PATIENT LEVEL DATA - COLLECTION OF PATIENT STORIES AND NARRATIVES - COLLABORATIVE DISCUSSIONS AROUND AD-HOC SUCCESSES AND CHALLENGES THAT ARISE - REPORTING TO INCLUDE YEAR-END FINANCIAL SUMMARY THAT COMPARES ACTUAL EXPENDITURES TO THE FUNDED PROJECT'S BUDGET, INDICATING ANY UNUSED AMOUNT OF GRANT FUNDS. AT THE END OF EACH YEAR/REPORTING PERIOD, COMMUNITY BENEFIT ANALYZES FULL-YEAR DATA TO ENSURE COMMUNITY PARTNERS MET THE OBJECTIVES OUTLINED IN THE MOU OR BSA. IF THE COMMUNITY PARTNERS DID NOT REACH THE ANTICIPATED OUTCOMES, COMMUNITY BENEFIT WORKS TO UNDERSTAND WHAT CIRCUMSTANCES PREVENTED THE ORGANIZATION FROM MEETING THE GOALS TO HELP IDENTIFY WAYS TO IMPROVE OR PERHAPS RE-EVALUATE WHAT SUCCESS OF THIS PROGRAM LOOKS LIKE, AND MAKES THE DETERMINATION TO CONTINUE OR TERMINATE FUNDING.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James Conforti
SH SVP / COO	$0	$882,157	$0	$310,854	$0	$130,789	$0	$460,359	$0	$22,245	$0	$1,806,404	$0	$113,665
Peter Hull MD
Director/CME, SRMC	$0	$343,916	$0	$54,013	$0	$5,621	$0	$34,105	$0	$18,379	$0	$456,034	$0	$0
Sarah Krevans
President & CEO, Sutter Health	$0	$1,678,673	$0	$842,240	$0	$329,388	$0	$1,909,372	$0	$26,449	$0	$4,786,122	$0	$300,989
Grant Davies
CEO, Valley Area Hospitals	$0	$663,863	$0	$239,440	$0	$292,720	$0	$180,204	$0	$20,538	$0	$1,396,765	$0	$274,829
Paige Terra
CFO, SH Valley Area	$0	$512,533	$0	$147,915	$0	$52,107	$0	$81,501	$0	$19,848	$0	$813,904	$0	$43,475
Penny Westfall
CHIEF LEGAL OFC SH VALLEY AREA	$0	$404,767	$0	$112,151	$0	$53,835	$0	$67,268	$0	$9,154	$0	$647,175	$0	$43,042
Brian Alexander
CEO, SRMC (part-year)	$0	$402,963	$0	$97,552	$0	$22,508	$0	$78,744	$0	$15,651	$0	$617,418	$0	$18,225
Doug Archer
ADMIN, MEMORIAL HOSP LOS BANOS	$0	$248,114	$0	$60,634	$0	$12,249	$0	$30,715	$0	$18,158	$0	$369,870	$0	$8,752
Pat Brady
CEO, SRMC (PART-YEAR)	$0	$6,262	$0	$100,045	$0	$274,835	$0	$1,167	$0	$1,926	$0	$384,235	$0	$0
David Cheney
CEO, SMCS	$0	$523,739	$0	$167,433	$0	$12,940	$0	$153,438	$0	$15,314	$0	$872,864	$0	$0
Abhishek Dosi
CEO, SSMC	$0	$299,157	$0	$68,701	$0	$7,167	$0	$81,005	$0	$22,753	$0	$478,783	$0	$0
Mitch Hanna
CEO, SCH & SAFH	$0	$363,819	$0	$89,612	$0	$104,934	$0	$92,322	$0	$21,030	$0	$671,717	$0	$53,146
Daryn Kumar
CEO, MMC (part-year)	$0	$75,275	$0	$83,068	$0	$559,412	$0	$46,587	$0	$2,977	$0	$767,319	$0	$0
Jennifer Maher
CEO, SRMC (PART-YEAR)	$0	$231,052	$0	$99,152	$0	$95,905	$0	$52,381	$0	$7,527	$0	$486,017	$0	$23,396
Eugene Patrizio
CEO, MMC (part-year)	$0	$182,402	$0	$34,500	$0	$7,901	$0	$47,636	$0	$3,785	$0	$276,224	$0	$0
Anne Platt
CEO, Sutter Amador Hospital	$0	$300,320	$0	$81,830	$0	$41,261	$0	$44,305	$0	$16,683	$0	$484,399	$0	$28,440
Jeffrey D Szczesny
VP, HR, SH Valley area	$0	$382,993	$0	$121,505	$0	$46,686	$0	$59,561	$0	$19,515	$0	$630,260	$0	$39,482
David Thompson
CEO, STCH & MHLB	$0	$380,051	$0	$122,794	$0	$52,300	$0	$96,637	$0	$20,649	$0	$672,431	$0	$40,401
Jose A Arevalo
Chief Medical Officer	$373,959	$0	$0	$0	$7,727	$0	$14,105	$0	$23,702	$0	$419,493	$0	$0	$0
Lisa Cassaday
Staff Nurse II	$331,661	$0	$0	$0	$0	$0	$14,105	$0	$15,354	$0	$361,120	$0	$0	$0
Sherry E Emick
VAD Clinical Specialist-RN	$310,376	$0	$0	$0	$502	$0	$14,105	$0	$21,120	$0	$346,103	$0	$0	$0
Linda Horn
Executive Consultant	$562,407	$0	$38,000	$0	$15,000	$0	$14,105	$0	$4,843	$0	$634,355	$0	$0	$0
Russiel M Roper
Mgr, Assistant Nurse	$317,839	$0	$0	$0	$502	$0	$14,105	$0	$20,886	$0	$353,332	$0	$0	$0
Thomas Blinn
FORMER CEO VALLEY FOUNDATION	$0	$0	$0	$0	$0	$291,377	$0	$0	$0	$0	$0	$291,377	$0	$0
John W Boyd
CEO, Mental Health Services	$0	$382,291	$0	$103,300	$0	$37,314	$0	$86,655	$0	$17,456	$0	$627,016	$0	$29,352
Michael Cohill
FORMER CEO, SMCS	$0	$0	$0	$0	$0	$605,821	$0	$0	$0	$0	$0	$605,821	$0	$0
Terry Glubka
CEO, SSCD	$0	$459,643	$0	$152,351	$0	$71,917	$0	$101,080	$0	$15,200	$0	$800,191	$0	$54,879
Jeff Sprague
SH SVP & CFO	$0	$749,362	$0	$269,485	$0	$186,017	$0	$503,648	$0	$15,462	$0	$1,723,974	$0	$158,762
Janet Wagner
CEO, MPHS	$0	$448,358	$0	$116,940	$0	$79,779	$0	$113,861	$0	$17,076	$0	$776,014	$0	$66,955
Asit Gokli MD
CMO, SH Valley Area	$0	$519,512	$0	$121,276	$0	$67,592	$0	$73,781	$0	$14,929	$0	$797,090	$0	$53,192
John Mesic MD
PHYSICIAN EXEC, SH VALLEY AREA	$0	$591,730	$0	$190,373	$0	$82,238	$0	$80,505	$0	$14,608	$0	$959,454	$0	$66,742
Phillip Yu MD
CME, STCH	$0	$340,423	$0	$86,089	$0	$21,820	$0	$39,005	$0	$18,400	$0	$505,737	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF THIS ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARM'S LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. SEE SCHEDULE O NARRATIVE FOR PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: DARYN KUMAR RECEIVED SEVERANCE PAYMENTS OF $361,973.
SCHEDULE J, PART I, LINE 4B	NONQUALIFIED RETIREMENT PLAN: THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF 403(B) EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PENSION PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA PROVIDES 6% TO 12% OF BASE SALARY PLUS ANNUAL INCENTIVE PLAN AWARD (COMMENSURATE WITH MANAGEMENT LEVEL). CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457(F) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65 WITH 22.5 YEARS OF SERVICE. TARGET BENEFIT LEVELS ARE DISCOUNTED FOR YEARS OF SERVICE LESS THAN 22.5 AT AGE 65. UNLIKE SUTTER HEALTH'S QUALIFIED PENSION PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) NON-QUALIFIED PAYMENTS DURING THE YEAR: PAT BRADY - $207,368 PHILLIP YU, MD. - $16,651
SCHEDULE J, PART I, LINE 7	NON-FIXED PAYMENTS: SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% TO 10% OF GROSS ANNUAL SALARY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, OPERATING UNIT AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL LONG TERM PERFORMANCE PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTH'S OVERALL MISSION, VISION, AND VALUES, SUTTER'S LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE PRIOR TO PAYMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CHFFA 2008A
A	521643828	13033F2L3	2008-05-14	$329,041,638	REFUNDING 5/1/07, 04 & 02	false	false	false
CSCDA 2011A
B	680164610	1307952Q9	2011-02-10	$271,589,951	CONSTRUCT & EQUIP FACILITY	false	false	false
CSCDA 2011C
C	680164610	1307954U8	2011-12-22	$38,777,964	REFUNDING - 1999	false	false	false
CHFFA 2011D
D	521643828	13033LVW4	2011-12-22	$331,759,643	CONSTRUCT & REFUNDING	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$158,610,000	$118,730,000	$329,041,638	$0	$0	$0	$0	$0	$0	$0	$329,041,638	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$276,421,482	$0	$0	$0	$0	$0	$0	$276,421,482	$0	$0	false	false	Yes (true)	Yes (true)	2014
C	$0	$0	$38,777,964	$0	$0	$0	$0	$0	$0	$0	$38,777,964	$0	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$334,684,174	$0	$0	$0	$0	$0	$0	$145,589,174	$189,095,000	$0	Yes (true)	false	Yes (true)	Yes (true)	2014

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.02300	0.00160	0.02460	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false		0.00140	0.00030	0.00170	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false		0.00000	0.00000	0.00000	false	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00980	0.00070	0.01050	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
C	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
D	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE K

THE ORGANIZATIONS SOLE CORPORATE MEMBER IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES THAT ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS, INCLUDING THE ORGANIZATION. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THIS ORGANIZATION IS REPORTED ON FORM 990, PART X, BALANCE SHEET, AND PART VI HEREIN. WITH THE EXCEPTION OF THIS PORTION OF PART VI, THE SCHEDULE K FOR THIS ORGANIZATION IS REPORTING INFORMATION FOR THE ENTIRE BOND ISSUE.

SCHEDULE K, PART I-1, COLUMN (E):

THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $213,941,683 FROM THE 2008A ISSUE; $271,589,951 FROM THE 2011A ISSUE; $25,952,489 FROM THE 2011C ISSUE; AND $59,991,527 FROM THE 2011D ISSUE. THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) AND THE PROCEEDS OF ISSUE IN PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART I-2, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $132,681,869 FROM THE 2012A ISSUE; $46,787,671 FROM THE 2015A ISSUE; $190,388,783 FROM THE 2016B ISSUE; AND $266,365,544 FROM THE 2017A ISSUE. THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) AND THE PROCEEDS OF ISSUE IN PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART I-1, LINE B, COLUMN (F) (CHFFA 2008A): THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2002, 2004 AND 2007 ISSUES. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1991 AND 1995 AND TO REFUND BONDS ISSUED IN 1996 THAT WERE USED TO REFUND BONDS ISSUED IN 1985, 1989, 1990, 1991, 1992, AND 1995. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION. THE REFUNDED BONDS ISSUED IN 2002 WERE USED TO REFUND BONDS ISSUED IN 1992, WHICH WERE USED TO REFUND BONDS ISSUED IN 1985, 1986 AND 1987. SCHEDULE K, PART II, LINE 7: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS. SCHEDULE K, PART IV, LINE 2C: THE REBATE COMPUTATIONS WERE PERFORMED FOR BOND CHFFA 2008A ON 6/20/2018; BOND CSCDA 2011A ON 3/15/2016; BOND CSCDA 2011C ON 1/13/2016; AND BOND CHFFA 2011D ON 1/13/2016.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CSCDA 2012A
A	680164610	1307956K8	2012-07-11	$132,681,869	REFUNDING 2002	false	false	false
CHFFA 2015A
B	521643828	13032UAR9	2015-11-12	$204,061,105	REFUND 2005A & 1995 CERTIFICATES	false	false	false
CHFFA 2016B
C	521643828	13032UDW5	2016-08-17	$901,627,093	REFUND 2003AB, 2005BC & 2007A	Yes (true)	false	false
CHFFA 2017A
D	521643828	13032UNY0	2017-07-06	$496,319,743	Refund 2004CD,2008BC,Partial 2008A	Yes (true)	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$132,681,869	$0	$0	$0	$0	$0	$0	$0	$132,681,869	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$204,061,105	$0	$0	$0	$0	$0	$0	$0	$204,061,105	$0	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$902,923,938	$0	$0	$0	$0	$0	$0	$0	$902,923,938	$0	false	Yes (true)	Yes (true)	Yes (true)
D	$0	$0	$496,319,743	$0	$0	$0	$0	$0	$0	$0	$496,319,743	$0	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.00100	0.00030	0.00130	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00120	0.00000	0.00120	false	false	false	Yes (true)	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00240	0.00020	0.00260	false	false	false	Yes (true)	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.01360	0.00030	0.01390	false	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	false	false	false	0		Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MORAG THOMSON
SEE PART V	$25,642	SEE PART V	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$822,383	MEDICAL SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$278,200	MEDICAL SERVICES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF BUSINESS TRANSACTIONS WITH INTERESTED PERSONS: MORAG THOMSON, THE DAUGHTER OF TRUSTEE HELEN THOMSON, IS A RN AT SUTTER CENTER FOR PSYCHIATRY WHICH IS PART OF SVH.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$550	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$3,465	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$5,982	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (8 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	PIANO	1	$22,699	FMV
Yes (X)	TOYS	1	$8,540	FMV
Yes (X)	HOLIDAY GIFTS	1	$1,500	FMV
Yes (X)	GIFT CARDS	2	$3,500	FMV
Yes (X)	INFANT SEATS	1	$1,500	FMV
Yes (X)	IPADS AND ACCESSORIES	2	$3,289	FMV
Yes (X)	FRAMED QUILT	1	$1,850	FMV
Yes (X)	MISCELLANEOUS	2	$1,125	FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1	MISSION STATEMENT: MISSION - WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. VISION - SUTTER HEALTH LEADS THE TRANSFORMATION OF HEALTH CARE TO ACHIEVE THE HIGHEST LEVELS OF QUALITY, ACCESS AND AFFORDABILITY. VALUES - EXCELLENCE AND QUALITY, CARING AND COMPASSION, HONESTY AND INTEGRITY, TEAMWORK, COMMUNITY AND AFFORDABILITY.
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS: SUTTER VALLEY HOSPITALS: SUTTER VALLEY HOSPITALS SERVES SACRAMENTO, PLACER, AMADOR, EL DORADO, NEVADA, YOLO, SOLANO, YUBA, SUTTER, STANISLAUS, MERCED, AND SAN JOAQUIN COUNTIES WITH COMPREHENSIVE HEALTH CARE. WE STRIVE TO PROVIDE ACCESS TO PRIMARY CARE PHYSICIANS AND SPECIALTY SERVICES IN EACH OF OUR COMMUNITIES, AND HAVE A NETWORK OF MORE THAN 1,834 PHYSICIANS REGIONALLY AND MORE THAN 5,697 PHYSICIANS THROUGHOUT THE SUTTER HEALTH SYSTEM. SUTTER VALLEY HOSPITALS PROVIDES MORE THAN $890 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS AND HAD A TOTAL OF 386,818 PATIENT DAYS IN 2018. SUTTER VALLEY HOSPITALS IS COMPRISED OF THE FOLLOWING HOSPITALS: SUTTER AUBURN FAITH HOSPITAL IS LICENSED FOR 64 ACUTE BEDS, AND IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. IT IS MEDICARE CERTIFIED AND ACCEPTS MOST PRIVATE INSURANCE PLANS. SUTTER AUBURN FAITH HOSPITAL'S MISSION IS TO SERVE THE HEALTHCARE NEEDS OF AUBURN AND THE SURROUNDING FOOTHILL COMMUNITIES. THROUGH PARTNERSHIPS WITH PHYSICIANS, PAYORS, OTHER HEALTH AND HUMAN SERVICES AGENCIES AND WITH OUR EMPLOYEES AND VOLUNTEER LEADERSHIP, SUTTER AUBURN FAITH HOSPITAL SEEKS TO PROVIDE A CONTINUUM OF HEALTH AND WELLNESS SERVICES TO ASSURE A HIGH QUALITY OF LIFE FOR THE PEOPLE LIVING IN OUR SERVICE AREA. SUTTER AMADOR HOSPITAL IS A 52-BED ACUTE CARE HOSPITAL LOCATED IN JACKSON, CALIFORNIA APPROXIMATELY 55 MILES SOUTHEAST OF SACRAMENTO IN AMADOR COUNTY. THE HOSPITAL WAS ESTABLISHED IN THE MID-1800'S AND BECAME AFFILIATED WITH SUTTER HEALTH IN 1993. SUTTER AMADOR HOSPITAL'S MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF THE RESIDENTS IN THE COMMUNITIES SERVED BY PROVIDING COORDINATED, EFFECTIVE, AFFORDABLE AND ACCESSIBLE HEALTH AND WELLNESS SERVICES. SUTTER AMADOR HOSPITAL CONTINUOUSLY STRIVES TO IDENTIFY THE HEALTH CARE NEEDS OF THESE COMMUNITIES AND RESPOND BY PROVIDING HEALTH AND WELLNESS SERVICES CONSISTENT WITH THE STATED VALUES AND VISION OF THE HOSPITAL. SUTTER DAVIS HOSPITAL IS A TWO-STORY 90,000 SQUARE FOOT ACUTE CARE HOSPITAL LICENSED FOR 48 BEDS THAT SERVES THE HEALTH CARE NEEDS OF RESIDENTS LIVING IN DAVIS, DIXON, WOODLAND AND WINTERS. THE FACILITY IS LOCATED IN THE WESTERN-MOST SECTION OF THE CITY OF DAVIS AT THE CORNER OF HIGHWAY 113 AND COVELL BOULEVARD. SUTTER DAVIS IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. IT IS MEDICARE CERTIFIED AND ACCEPTS MOST PRIVATE INSURANCE PLANS. AS A NOT-FOR-PROFIT HOSPITAL, SUTTER DAVIS ALSO DONATES MANY COMMUNITY SERVICES. SUTTER MEDICAL CENTER OF SACRAMENTO MEDICAL CAMPUS INCLUDE TWO ACUTE CARE HOSPITALS - ANDERSON LUCCHETTI WOMEN'S AND CHILDREN'S CENTER AND OSE ADAMS MEDICAL PAVILION, ALONG WITH TWO BUILDINGS DEDICATED TO DOCTORS' OFFICES AND OTHER CARE FOUND IN AN OUTPATIENT SETTING. BY LOCATING ALL PRIMARY AND SPECIALTY CARE SERVICES IN A CENTRAL LOCATION WITH CONVENIENT FREEWAY ACCESS, PATIENTS AND FAMILIES NOW GAIN FASTER AND EASIER ACCESS TO NEEDED MEDICAL SERVICES. THE 242-BED ANDERSON LUCCHETTI WOMEN'S AND CHILDREN'S CENTER IS A 10-STORY ACUTE-CARE HOSPITAL WHERE PATIENTS AND THEIR FAMILIES CAN OBTAIN THE HIGHEST LEVEL OF NEONATAL AND PEDIATRIC INTENSIVE CARE SERVICES, PEDIATRIC CARDIAC, NEUROSURGERY AND CANCER SERVICES, AND HIGH-RISK AND CONVENTIONAL MATERNITY SERVICES. IT REPLACES SUTTER MEMORIAL HOSPITAL AS "SACRAMENTO'S BABY HOSPITALIS HOME TO THE SUTTER CHILDREN'S CENTER, SACRAMENTO, A COMPREHENSIVE CHILDREN'S HOSPITAL INSIDE THE WOMEN'S AND CHILDREN'S CENTER. AMONG THE FEATURES OF THE WOMEN'S AND CHILDREN'S CENTER: - ALL PRIVATE ROOMS, INCLUDING THOSE FOR NEW MOMS AND OUR PEDIATRIC PATIENTS. THE ROOMS HAVE FURNITURE THAT CONVERTS INTO BEDS FOR FAMILIES TO STAY OVERNIGHT WITH THEIR LOVED ONES. - A LIFE-SAVING HELISTOP ATOP THE BUILDING ADJACENT TO THE CAPITAL CITY FREEWAY WILL ALLOW FOR THE QUICK AND SAFE TRANSPORT OF PREEMIES AND OTHER SICK BABIES AS WELL AS OTHER PATIENTS. - MOTHERS WHO HAVE GIVEN BIRTH BEING TREATED TO SPACIOUS SUITES WITH 8TH-FLOOR VIEWS OF THE CITY'S SKYLINE AND THE FOOTHILLS. - THE NEONATAL INTENSIVE CARE UNIT FEATURES 61 BEDS FOR OUR TINIEST AND SICKEST BABIES IN A SETTING THAT LOOKS LIKE HOME AND ALLOWS FAMILIES TO BE MORE INVOLVED IN THE BABIES' CARE. - FACILITIES THAT INCLUDE WASHERS AND DRYERS AND A KITCHEN FOR FAMILIES WHO HAVE EXTENSIVE STAYS. OSE ADAMS MEDICAL PAVILION THE 281-BED OSE ADAMS MEDICAL PAVILION WAS PREVIOUSLY KNOWN AS SUTTER GENERAL HOSPITAL. WHILE THE OUTER SHELL OF THE OSE ADAMS MEDICAL PAVILION REMAINS MUCH THE SAME - WITH AN EXPANSION IN THE SOUTHEAST CORNER TO FACILITATE THE DEDICATED PEDIATRIC EMERGENCY DEPARTMENT AND OTHER SERVICES - THE TRANSFORMATION OF THE HOSPITAL INCLUDES MAJOR ENHANCEMENTS TO ALL FIVE FLOORS WITH EMPHASIS ON FIVE MAIN SERVICES: EMERGENCY MEDICINE, CARDIOVASCULAR, NEUROSCIENCES, ORTHOPEDICS AND ONCOLOGY. THE UPDATED THIRD FLOOR CONTAINS 24 OPERATING SUITES FOR INPATIENT SURGERIES. IT IS THE NEW HOME FOR THE SUTTER HEART & VASCULAR INSTITUTE, WHICH BEGAN AT SUTTER MEMORIAL HOSPITAL WITH THE REGION'S FIRST OPEN-HEART SURGERIES IN THE LATE 1950S AND EARLY 1960S. OSE ADAMS MEDICAL PAVILION HAS SIX NEW HEART CATHETERIZATION LABS AND HYBRID SUITES, AND FOUR SPECIALIZED OPERATING ROOMS DEDICATED TO HEART SURGERY - ONE SET UP SOLELY FOR PEDIATRIC HEART PATIENTS. BECAUSE OF THE COMPLEX BRAIN AND OTHER SURGERIES AND PROCEDURES, THE OSE ADAMS MEDICAL PAVILION HOUSES 10 SPECIALLY DESIGNED, PRIVATE OBSERVATION BEDS ON THE FIFTH FLOOR. THESE OBSERVATION UNITS WILL CONTAIN STATE-OF-THE-ART EQUIPMENT DEDICATED TO THE SPECIALIZED CARE OF SUTTER NEUROSCIENCE INSTITUTE PATIENTS. SUTTER ROSEVILLE MEDICAL CENTER (SRMC) WAS ESTABLISHED IN 1952 AND AFFILIATED WITH SUTTER HEALTH IN MAY 1993. IN 1997, SUTTER HEALTH OPENED A 172-BED FACILITY IN THE NORTHEAST AREA OF ROSEVILLE, APPROXIMATELY 20 MILES FROM DOWNTOWN SACRAMENTO. THE HOSPITAL TODAY HAS 328 BEDS AND PROVIDES RESIDENTS OF SOUTHERN PLACER AND NORTHEASTERN SACRAMENTO COUNTIES WITH COMPREHENSIVE COMMUNITY HEALTH CARE. THE FACILITY HAS AN EXPANDED HELIPAD ONSITE FOR QUICK ACCESS TO THE HOSPITAL'S LEVEL II TRAUMA CENTER, WHICH SERVES A SEVEN-COUNTY REGION THAT INCLUDES PLACER, YOLO, NEVADA, SUTTER AND YUBA COUNTIES, AND PORTIONS OF SACRAMENTO AND EL DORADO COUNTIES. SUTTER ROSEVILLE MEDICAL CENTER'S MISSION IS: TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE LIVING IN THE COMMUNITIES IT SERVES. SUTTER ROSEVILLE MEDICAL CENTER STRIVES CONTINUOUSLY TO IDENTIFY THE HEALTH CARE NEEDS OF THESE COMMUNITIES AND RESPOND BY PROVIDING WELLNESS, PREVENTIVE, CURATIVE AND RESTORATIVE PROGRAMS AND SERVICES CONSISTENT WITH THE STATED VALUES AND VISION OF THE HOSPITAL. SUTTER SOLANO MEDICAL CENTER (SSMC) IS A 106 LICENSED BED ACUTE CARE HOSPITAL IN VALLEJO, CALIFORNIA, BETWEEN SACRAMENTO AND SAN FRANCISCO. THE NOT-FOR-PROFIT, COMMUNITY-BASED FACILITY IS FULLY ACCREDITED BY THE JOINT COMMISSION AND PROVIDES A FULL-RANGE OF GENERAL, EMERGENCY AND MEDICAL/SURGICAL SPECIALTIES. SSMC AFFILIATED WITH SUTTER HEALTH IN 1984 ENSURING THE ABILITY TO CONTINUE PROVIDING AND IMPROVING HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITY. SUTTER SOLANO MEDICAL CENTER'S MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES SERVED, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. SUTTER CENTER FOR PSYCHIATRY IS A 73-BED ACUTE BEHAVIORAL MEDICINE SPECIALTY HOSPITAL THAT TREATS ADULTS, ADOLESCENTS AND CHILDREN. IT PROVIDES SERVICES TO CHILDREN FROM AGE 5 TO ELDERLY PATIENTS THROUGH A SPECTRUM OF CARE THAT ALLOWS EACH PERSON TO FIND THE LEVEL OF CARE NEEDED TO RETURN TO AN ACTIVE, HEALTHY LIFE. FAMILY MEMBERS AND SIGNIFICANT OTHERS ARE ENCOURAGED TO PARTICIPATE IN EACH PATIENT'S CARE BY TAKING PART IN EDUCATION SERVICES, THERAPY AND SUPPORT GROUPS. SCP ALSO OFFERS A CRITICAL INCIDENT DEBRIEFING TEAM TO HELP EMPLOYEES OF BUSINESSES COPE AFTER A TRAUMATIC OR VIOLENT EPISODE. SUTTER HEALTH EAP RESOURCES OFFERS CONFIDENTIAL ASSESSMENT, COUNSELING AND REFERRAL SERVICES TO EMPLOYEES OF LARGE AND SMALL BUSINESSES. SUTTER CENTER FOR PSYCHIATRY OFFERS THE ONLY INPATIENT EATING DISORDER PROGRAM IN NORTHERN CALIFORNIA. THIS NEW PROGRAM IS A SIX-BED SPECIALIZED TREATMENT PROGRAM FOR EATING DISORDER PATIENTS.
FORM 990, PART III, LINE 4A CONTINUED	MEMORIAL MEDICAL CENTER (MMC) IS AN ACUTE CARE FACILITY LOCATED IN MODESTO, CALIFORNIA, 90 MILES SOUTH OF SACRAMENTO IN STANISLAUS COUNTY. CENTRALLY LOCATED TO SERVE OUR IMMEDIATE COUNTY AND OUTLYING AREAS, MEMORIAL WAS ESTABLISHED IN 1970. MEMORIAL MEDICAL CENTER IS CURRENTLY LICENSED FOR 419 ACUTE CARE BEDS AND IS A SUTTER HEALTH AFFILIATE. MEMORIAL HOSPITAL LOS BANOS (MHLB) IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HOSPITAL INCORPORATED UNDER CALIFORNIA LAW TO PROVIDE HEALTH CARE SERVICES WITHIN FINITE RESOURCES, TO CITIZENS OF LOS BANOS AND THE SURROUNDING GEOGRAPHICAL AREAS. WE PROVIDE HIGH QUALITY COMPASSIONATE CARE AND EXERCISE PRUDENT FISCAL RESPONSIBILITY. MHLB OPENED IN 1967 AND IS PART OF THE SUTTER CENTRAL VALLEY REGION. THE ORGANIZATION AFFILIATED WITH SUTTER HEALTH IN 1996 AND IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. MEMORIAL HOSPITAL LOS BANOS IS CURRENTLY LICENSED FOR 40 ACUTE BEDS. SUTTER TRACY COMMUNITY HOSPITAL (STCH), SINCE 1948, CONTINUES TO BE THE ONLY FULL-SERVICE, 77 ACUTE CARE BEDS HOSPITAL WITHIN A 15-MILE RADIUS GEOGRAPHICALLY. LOCATED IN TRACY, CALIFORNIA, STCH STAFF HAS THE OPPORTUNITY TO DELIVER CULTURALLY COMPETENT CARE TO THE DIVERSE POPULATION WITHIN ITS SERVICE AREA. AS A STATE-OF-THE-ART FACILITY, IT FEATURES THE LATEST MEDICAL TECHNOLOGY AND DIAGNOSTIC EQUIPMENT AND OFFERS A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT SERVICES ON PAR WITH MANY LARGER, URBAN HOSPITALS. ADDITIONALLY, SUTTER TRACY IS COMMITTED TO BRINGING THE BEST AND BRIGHTEST PHYSICIANS AND THE LATEST ADVANCES IN MEDICINE TO THE COMMUNITY. IT IS AFFILIATED WITH MANY REMARKABLE, LOCAL PHYSICIANS WHO ARE AT THE FOREFRONT OF THEIR FIELD. SUTTER VALLEY HOSPITALS' SERVICES INCLUDE: - 24-HOUR EMERGENCY TREATMENT - ACUTE REHABILITATION - ANESTHESIOLOGY - BARIATRIC SURGERY - CANCER CARE - CARDIAC CATHETERIZATION LABORATORY - CARDIAC REHABILITATION - CARDIOPULMONARY SERVICES - CARDIOVASCULAR SERVICES - COMMUNITY BENEFIT - CONGESTIVE HEART FAILURE PROGRAM - CONTINENCE - CRITICAL CARE - DENTISTRY - DERMATOLOGY - DIABETES EDUCATION & TREATMENT - DIAGNOSTIC IMAGING - DIALYSIS - DIGITAL MAMMOGRAPHY - EDUCATION RESPIRATORY THERAPY - ENDOSCOPY - FAMILY BIRTH CENTER - GASTROENTEROLOGY - HEART AND VASCULAR INSTITUTE - HOME HEALTH AND HOSPICE CARE - INFUSION THERAPY - INTENSIVE CARE - INTERNAL MEDICINE - IV THERAPY - LABORATORY - LACTATION ASSISTANCE PROGRAM - LEVEL II TRAUMA CENTER - MAJOR TRAUMA PATIENT RECEIVING CENTER - MEDICAL LIBRARY ACCESS - MODERN FAMILY BIRTHING CENTER - NEO NATAL INTENSIVE CARE - NEPHROLOGY - NEUROLOGY - NUCLEAR MEDICINE - NUTRITIONAL SUPPORT SERVICES - OBSTETRICS AND PERINATAL CARE - OCCUPATIONAL MEDICINE - ONCOLOGY - OPHTHALMOLOGY - ORAL SURGERY - ORTHOPEDICS - OTOLARYNGOLOGY - OUTPATIENT SURGERY - PAIN MEDICINE - PALLIATIVE CARE - PASTORAL CARE - PATHOLOGY - PATIENT AND COMMUNITY EDUCATION - PEDIATRICS - PHARMACY - PLASTIC SURGERY - PODIATRY - PRIMARY CARE/FAMILY PRACTICE - PULMONARY REHABILITATION - RADIATION ONCOLOGY - RADIOLOGY - REHABILITATION / PHYSICAL THERAPY - REHABILITATION SERVICES - RESPIRATORY CARE - RESPIRATORY THERAPY - SENIOR SERVICES - SLEEP DISORDERS CENTER - SOCIAL SERVICES - SPECIALTY CARE - SPEECH THERAPY - SPIRITUAL SERVICES - SURGICAL SERVICES - SUTTER REHABILITATION INSTITUTE - TELEMETRY - TRANSFUSION MEDICINE - TRAUMA NEURO INTENSIVE CARE UNIT - UROLOGY - VNA (HOME HEALTH AND IV THERAPY) - WOMEN'S IMAGING CENTER - WOUND CARE SUTTER INSTITUTE FOR MEDICAL RESEARCH (SIMR): SUTTER VALLEY HOSPITALS OF SACRAMENTO SERVICE AREA IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE TO ITS PATIENTS, AND THE SUTTER INSTITUTE FOR MEDICAL RESEARCH SUPPORTS THIS COMMITMENT BY PROVIDING RESEARCH SUPPORT AND EDUCATION PROGRAMS. SIMR HAS A HISTORY OF OVER FIVE DECADES OF COMMITMENT TO MEDICAL RESEARCH. SIMR HAS GAINED RECOGNITION FOR ITS INVESTIGATIVE STUDIES IN THE AREAS OF HEART, CANCER, ORTHOPEDICS, RESPIRATORY, NEUROLOGY, GI/GU AND MANY OTHER AREAS OF MEDICINE. SIMR'S PRIMARY OBJECTIVE IS TO HELP HEALTH PROFESSIONALS CONDUCT RESEARCH IN A CLINICAL SETTING BY PROVIDING MANAGEMENT AND ADMINISTRATIVE RESOURCES OTHERWISE UNAVAILABLE TO THE PRIVATE PRACTITIONER. AT SIMR, SUTTER INVESTIGATORS RECEIVE SUPPORT IN FIVE AREAS. - RESEARCH ADMINISTRATIVE SERVICES - RESEARCH SUPPORT SERVICES - CLINICAL TRIALS PROGRAM - LABORATORY RESEARCH AND TRAINING - SUTTER HEALTH CENTRAL AREA INSTITUTIONAL REVIEW COMMITTEE (IRC) COMMUNITY BENEFIT THE MEDICAL FACILITIES IN SUTTER VALLEY HOSPITALS (SVH) PLAY INTEGRAL ROLES IN PROVIDING DIRECT HEALTH CARE SERVICES AS WELL AS MONETARY GRANTS OR SPONSORSHIPS TO NON-PROFIT ORGANIZATIONS TO ADDRESS THE COMMUNITY HEALTH NEEDS OF VULNERABLE, UNDERINSURED, AND UNINSURED POPULATIONS IN THEIR COMMUNITIES. THE COMMUNITY BENEFIT REPRESENTATIVES OF SVH WORK COLLABORATIVELY AND IN PARTNERSHIPS WITH A BROAD AND DIVERSE NETWORK OF COMMUNITY-BASED NON-PROFITS, CITY AND COUNTY AGENCIES, PHYSICIANS, AND NEIGHBORHOOD GROUPS TO IDENTIFY LOCAL NEEDS, FORMULATE COMMUNITY BENEFIT PLANS, AND TAKE APPROPRIATE FUNDING ACTIONS. WHILE SBH MANAGEMENT SETS OVERALL GOALS FOR COMMUNITY BENEFITS, EACH OF THE FACILITIES MEDICAL CENTER ADMINISTRATORS ARE RESPONSIBLE FOR IDENTIFYING HOW LOCAL NEEDS ARE TO BE ADDRESSED. IN FISCAL YEAR 2018, SUTTER VALLEY HOSPITALS PROVIDED A REGIONAL TOTAL OF $890,896,006 MILLION IN COST OF SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED: $32,030,397 IN FINANCIAL ASSISTANCE WITH MEANS-TESTED PROGRAMS OF $80,890,066 AND MEDICAID $777,975,543.
FORM 990, PART VI, LINE 1A	THE AFFAIRS AND MANAGEMENT OF THE SUTTER VALLEY HOSPITALS (SVH) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SVH DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF SVH'S CHAIR WHO SERVES AS CHAIR OF THE COMMITTEE, THE VICE CHAIR, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, THE IMMEDIATE PAST CHAIR, IF HE OR SHE CONTINUES TO SERVE AS A DIRECTOR, AN ADDITIONAL DIRECTOR AND THE PRESIDENT OF SVH. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR. FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES MADE TO THE ORGANIZATION'S GOVERNING DOCUMENTS: PREVIOUSLY: DESIGNATED DIRECTORS INCLUDED THE CHIEF OPERATING OFFICER OF THE GENERAL MEMBER AND ONE INDIVIDUAL DESIGNATED BY THE PRESIDENT AND CEO OF THE GENERAL MEMBER. CURRENTLY: DESIGNATED DIRECTORS INCLUDE THE CHIEF OPERATING OFFICER OF THE GENERAL MEMBER AND 2 INDIVIDUALS DESIGNATED BY THE PRESIDENT AND CEO OF THE GENERAL MEMBER. FORM 990, PART VI, LINES 6 & 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL.
FORM 990, PART VI, LINE 11B	PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED.
FORM 990, PART VI, LINE 12	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. THE BOARD MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR (OR COMMITTEE CHAIR AS APPLICABLE) MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL LEAVE THE ROOM PRIOR TO THE BOARD'S FINAL DISCUSSION AND VOTE.
FORM 990, PART VI, LINE 15	PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE), (C) TOTAL DIRECT CASH (BASE SALARY + ANNUAL INCENTIVE + LONG TERM INCENTIVE) AND (D) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY ADJUSTMENTS MAY BE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL ANNUALLY, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. THE 2018 EXECUTIVE COMPENSATION APPROVAL WAS COMPLETED IN DECEMBER 2017.
FORM 990, PART VI, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, COI POLICY & FINANCIAL STATEMENTS: THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. FORM 990, PART VII, SECTION A COMPENSATION OF BOARD MEMBERS: THE FOLLOWING BOARD MEMBERS OF THE ORGANIZATION ARE FULL-TIME EMPLOYEES (40 HOURS PER WEEK) OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARIES ARE REPORTED HEREIN. THESE INDIVIDUALS RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS OF THIS ORGANIZATION. - JAMES CONFORTI - PETER HULL, MD - SARAH KREVANS INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID FULLTIME BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF SUTTER HEALTH, A SEPARATE LEGAL ENTITY. IT IS THE INTENTION OF SUTTER HEALTH AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE SUTTER HEALTH EMPLOYEES WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN FUND BALANCE: K-1 ACTIVITY (1,664,371) PARTNERSHIP LOSS ON BOOKS 602,339 EQUITY TRANSFERS (NET) (228,662,156) ------------- TOTAL (229,724,188)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BETTER HEALTH EAST BAY FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	510160184	FUNDRAISING	CA	501(C)(3)	7	SUTTER BH	Yes (true)
CALIFORNIA PACIFIC MEDICAL CTR FOUND
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942728423	FUNDRAISING	CA	501(C)(3)	7	SUTTER BH	Yes (true)
EAST BAY PERINATAL CENTER
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	510172285	HEALTHCARE	CA	501(C)(3)	3	SUTTER BH	Yes (true)
MEMORIAL HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942290244	FUNDRAISING	CA	501(C)(3)	12A - I	SUTTER VH	Yes (true)
MILLS-PENINSULA HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	237288765	FUNDRAISING	CA	501(C)(3)	7	SUTTER BH	Yes (true)
SAMUEL MERRITT UNIVERSITY
450 30TH STREET STE 2840	OAKLAND	CA	94609	942992642	UNIVERSITY	CA	501(C)(3)	2	SUTTER BH	Yes (true)
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942594966	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER BAY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	940562680	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER BAY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	941156581	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER COAST HOSPITAL
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942988520	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER DAVIS HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	680217870	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER EAST BAY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	941196176	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER HEALTH
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942788907	SUPPORTING OR	CA	501(C)(3)	12C III-FI	NA	false
SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RD	EWA BEACH	HI	96706	990298651	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER HEALTH PLAN
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	461183948	HEALTH PLAN	CA	501(C)(4)	N/A	SUTTER HLTH	Yes (true)
SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 1100	HONOLULU	HI	96813	990289310	INSURANCE SER	HI	501(C)(3)	12C III-FI	SUTTER HLTH	Yes (true)
SUTTER MEDICAL CENTER FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942788906	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	680040113	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER SOLANO CHARITABLE FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942668262	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER VALLEY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	680273974	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER VISITING NURSE ASSOC AND HOSPICE
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	946068843	HEALTHCARE	CA	501(C)(3)	10	SUTTER HLTH	Yes (true)
TRACY HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	680318845	FUNDRAISING	CA	501(C)(3)	12A - I	SUTTER VH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
SURGERY CENTER OF ALTA BATES SMC
3875 TELEGRAPH	OAKLAND	CA	94609	470946086	PATIENT CARE	CA	NA
ALTA CT SERVICES LP
175 LENNON	WALNUT CREEK	CA	94598	943083464	PATIENT CARE	CA	NA
CALIFORNIA PACIFIC ADV IMAGING LLC
PO BOX 6102	NOVATO	CA	94598	562311840	PATIENT CARE	DE	NA
SAN FRANCISCO ENDOSCOPY CENTER
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	912160588	PATIENT CARE	CA	NA
PRESIDIO SURGERY CENTER LLC
1635 DIVISADERO	SAN FRANCISCO	CA	94115	320144060	PATIENT CARE	CA	NA
SUTTER FAIRFIELD SURGERY CENTER LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	300233892	PATIENT CARE	CA	NA
SUTTER AMADOR SURGERY CENTER LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	461398093	PATIENT CARE	CA	SVH	RELATED	-$185,376	$874,576	false	$0	Yes (true)	0.32000
ROSEVILLE ENDOSCOPY CENTER
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	870710513	PATIENT CARE	CA	SVH	RELATED	$598,964	$270,925	false	$0	Yes (true)	0.11000
STANISLAUS SURGICAL HOSPITAL LLC
1421 OAKDALE ROAD	MODESTO	CA	95355	911754157	PATIENT CARE	CA	SVH	RELATED	$988,755	$9,198,648	false	$0	Yes (true)	0.20002
MEMORIAL MEDICAL BUILDING 1
1800 COFFEE RD 76	MODESTO	CA	95355	770234236	OFFICE RENTAL	CA	SVH	RELATED	$119,789	-$67,142	false	$0	Yes (true)	0.75039
MEMORIAL MEDICAL BUILDING 2
1800 COFFEE RD 76	MODESTO	CA	95355	770287288	OFFICE RENTAL	CA	SVH	RELATED	$119,338	$294,967	false	$0	Yes (true)	0.96904
MAGNETIC IMAGING AFFILIATES LLC
2125 OAK GROVE ROAD	WALNUT CREEK	CA	94598	473696091	PATIENT CARE	CA	NA
ASC OPERATORS - SANTA ROSA LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	263386169	CARE MANAGEMENT	CA	NA
ASC OPERATORS - SAN LUIS OBISPO LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	272673776	CARE MANAGEMENT	CA	NA
ICG CREDIT OPPORTUNITIES FUND LP
11111 SANTA MONICA BLVD SUITE 2100	LOS ANGELES	CA	90025	814220441	INVESTMENTS	CA	NA
LA JOLLA ORTHOPEDIC SURGERY CENTER LLC
4120 LA JOLLA VILLAGE DRIVE	LA JOLLA	CA	92037	364397467	PATIENT CARE	CA	NA
CARLSBAD SURGERY CENTER LLC
6121 PASEO DEL NORTE STE 100	CARLSBAD	CA	92011	201413484	PATIENT CARE	CA	NA
COAST CTR FOR ORTHOPEDIC & ARTHROSCOPIC
3444 KEARNY VILLA ROAD	SAN DIEGO	CA	92123	330839637	PATIENT CARE	CA	NA
OTAY LAKES SURGERY CENTER LLC
955 LANE AVE SUITE 100	CHULA VISTA	CA	91914	200794766	PATIENT CARE	CA	NA
MADISON INTERNATIONAL GLOBAL VALUE REAL
410 PARK AVENUE 10TH FLOOR	NEW YORK	NY	10022	981310251	INVESTMENTS	NY	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SUTTER HEALTH DEFERRED COMP PLANS' TRUST
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	276851989	RABBI TRUST	CA	NA	TRUST	Yes (true)
NORTHWOOD EUROPE TE FEEDER LP
1819 WAZEE ST 2ND FLOOR	DENVER	CO	90202	981272216	HOLDING COMPA		NA	C CORP	Yes (true)	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (30 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SUTTER BAY HOSPITALS
P	$336,522	FMV
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
P	$2,704,825	FMV
SUTTER DAVIS HOSPITAL FOUNDATION
P	$62,735	FMV
SUTTER VALLEY MEDICAL FOUNDATION
P	$2,483,626	FMV
SUTTER SOLANO CHARITABLE FOUNDATION
Q	$80,090	FMV
SUTTER MEDICAL CENTER FOUNDATION
P	$2,951,846	FMV
SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION
P	$1,286,403	FMV
MEMORIAL HOSPITAL FOUNDATION
P	$606,453	FMV
MEMORIAL MEDICAL OFFICE BUILDING PARTNERSHIP
Q	$50,227	FMV
SUTTER VALLEY MEDICAL FOUNDATION
R	$3,221,043	FMV
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
M	$490,806	FMV
SUTTER DAVIS HOSPITAL FOUNDATION
M	$426,757	FMV
SUTTER SOLANO CHARITABLE FOUNDATION
M	$107,726	FMV
SUTTER MEDICAL CENTER FOUNDATION
M	$1,505,579	FMV
TRACY HOSPITAL FOUNDATION
M	$86,230	FMV
SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION
M	$1,103,687	FMV
SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION
C	$1,518,235	FMV
SUTTER MEDICAL CENTER FOUNDATION
C	$3,836,849	FMV
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
C	$423,376	FMV
SUTTER DAVIS HOSPITAL FOUNDATION
C	$263,447	FMV
SUTTER VALLEY MEDICAL FOUNDATION
C	$777,891	FMV
SUTTER SOLANO CHARITABLE FOUNDATION
C	$198,225	FMV
MEMORIAL HOSPITAL FOUNDATION
C	$137,823	FMV
SUTTER VALLEY MEDICAL FOUNDATION
J	$9,744,976	FMV
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
J	$183,064	FMV
ROSEVILLE ENDOSCOPY CENTER LLC
J	$237,957	FMV
SUTTER INSURANCE SERVICES CORPORATION
P	$22,517,561	FMV
SUTTER VALLEY MEDICAL FOUNDATION
K	$361,374	FMV
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
B	$357,868	FMV
SUTTER HEALTH PLAN
S	$111,589,433	FMV