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SUTTER BAY HOSPITALS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SUTTER BAY HOSPITALS (EIN 94-0562680)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201813179349307561
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-13T18:18:09-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14365 EXECUTIVE DR STE 1600AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN940562680EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUTTER BAY HOSPITALSBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CARLA WHITE-SNYDERInCareOfNm
Business Name ControlSUTTBusinessNameControlTxt
Phone9162866665PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O SH TAX 2200 RIVER PLAZA DRAddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95833ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN GATESPersonNm
Person TitleCFOPersonTitleTxt
Signature2018-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDEBRA HEISKALAPreparerPersonNm
PTINP00649485PTIN
Phone8585357200PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address164.57.159.253IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id68127220183175000025FederalOriginalSubmissionId
Federal Original Submission Id2018-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id856506003E7717BB4C5FA0BAF50AAA2B61E0405FAtSubmissionCreationDeviceId
At Submission Filing Device IdC8EB7D7F4A43AD7C11A3CC780D94EAED606DA475AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFF GERARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7999AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95833ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,086,910,467GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SUTTERHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1854FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee12076TotalEmployeeCnt
Total Volunteers1839TotalVolunteersCnt
Total Gross UBI$2,508,962TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$216,193NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$38,032,397PYContributionsGrantsAmt
CY Contributions Grants$50,706,494CYContributionsGrantsAmt
PY Program Service Revenue$2,299,467,712PYProgramServiceRevenueAmt
CY Program Service Revenue$2,965,658,835CYProgramServiceRevenueAmt
PY Investment Income$28,099,950PYInvestmentIncomeAmt
CY Investment Income$27,196,580CYInvestmentIncomeAmt
PY Other Revenue$8,620,891PYOtherRevenueAmt
CY Other Revenue$15,882,869CYOtherRevenueAmt
PY Total Revenue$2,374,220,950PYTotalRevenueAmt
CY Total Revenue$3,059,444,778CYTotalRevenueAmt
PY Grants And Similar Paid$3,490,507PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,906,799CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,114,342,196PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,365,717,344CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$498,032CYTotalFundraisingExpenseAmt
PY Other Expenses$1,088,776,607PYOtherExpensesAmt
CY Other Expenses$1,450,459,159CYOtherExpensesAmt
PY Total Expenses$2,206,609,310PYTotalExpensesAmt
CY Total Expenses$2,820,083,302CYTotalExpensesAmt
PY Revenues Less Expenses$167,611,640PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$239,361,476CYRevenuesLessExpensesAmt
Total Assets BOY$4,124,139,690TotalAssetsBOYAmt
Total Assets EOY$4,548,225,034TotalAssetsEOYAmt
Total Liabilities BOY$2,270,521,747TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,302,346,677TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,853,617,943NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,245,878,357NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,488,701,839ExpenseAmt
Grant$3,906,799GrantAmt
Revenue$2,965,658,835RevenueAmt
Descsee schedule ODesc
Total Program Service Expenses$2,488,701,839TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1705IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee12076EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCARLA WHITE-SNYDERPersonNm
Phone9162866665PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19100 FOOTHILLS BOULEVARDAddressLine1Txt
CityROSEVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95747ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER BECNEL
TRUSTEE2.08.0Yes (X)$0$0$0
DIANA BELL
TRUSTEE2.08.0Yes (X)$0$0$0
DAVID BLACK MD
TRUSTEE2.08.0Yes (X)$0$0$0
WILLIAM BRUNETTI
TRUSTEE2.08.0Yes (X)$0$0$0
RICHARD CARY HILL MD
TRUSTEE2.08.0Yes (X)$0$0$0
THEODORE DEIKEL
TRUSTEE2.08.0Yes (X)$0$0$0
EMIL ROY EISENHARDT
TRUSTEE2.08.0Yes (X)$0$0$0
EDWARD EISLER MD
TRUSTEE, COS, CPMC22.08.0Yes (X)$56,888$8,775$0
ERIC FLOWERS
TRUSTEE2.08.0Yes (X)$0$0$0
OWEN GARRICK MD
TRUSTEE2.09.0Yes (X)$0$0$0
MICHAEL GAULKE
TRUSTEE, SH BOARD2.018.0Yes (X)$0$27,500$0
JEFF GERARD
President, SH Bay Area40.08.0Yes (X)$0$1,773,130$415,629Yes (X)
VINITA GUPTA
TRUSTEE, SH BOARD2.015.0Yes (X)$0$27,500$0
KATHERINE HSIAO MD
TRUSTEE, CHIEF GYN. DIV., CPMC2.08.0Yes (X)$37,971$0$0
STEVEN KATZNELSON MD
TRUSTEE2.08.0Yes (X)$0$0$0
SARAH KREVANS
PRES & CEO SH, ASST SEC SBH2.040.0Yes (X)$0$4,314,787$1,951,858Yes (X)
JOSEPH LACY MD
TRUSTEE2.08.0Yes (X)$0$0$0
RICHARD LEVY PHD
TRUSTEE, CHAIR F&P2.08.0Yes (X)$0$0$0Yes (X)
DENNIS O'CONNELL
TRUSTEE2.08.0Yes (X)$0$0$0
STEVEN OLIVER
TRUSTEE2.08.0Yes (X)$0$0$0
UMESH PADVAL
TRUSTEE2.04.0Yes (X)$0$0$0
JOHN RYAN
TRUSTEE2.08.0Yes (X)$0$0$0
RON SINHA MD
TRUSTEE2.08.0Yes (X)$0$0$0
MARGARET TAYLOR
TRUSTEE2.09.0Yes (X)$0$0$0
ANTHONY WAGNER
TRUSTEE, CHAIR2.012.0Yes (X)$0$0$0Yes (X)
JOHN GATES
CFO BAY AREA40.05.0$0$1,166,412$182,158Yes (X)
KAREN HALL
CLO, BAY Area, SECRETARY40.04.0$0$735,005$121,239Yes (X)
ANNE BARR
VP, Info & Ops Integration, SH40.01.0$0$660,173$107,941Yes (X)
WARREN BROWNER MD
CEO, CPMC40.00.0$0$1,488,961$221,770Yes (X)
THERESA C GLUBKA
CEO EMC, CEO SSCD (PART YEAR)20.020.0$0$826,964$146,010Yes (X)
STEPHEN GRAY
CEO, EMC (PART YEAR)40.00.0$0$433,915$83,085Yes (X)
MAYNARD L JENKINS III
SH VP, HR, BAY AREA40.00.0$0$628,456$106,668Yes (X)
CYNTHIA LEE
VP, STRGY & Bus Dev, SH Bay40.00.0$0$644,776$117,333Yes (X)
JULIE A PETRINI
CEO, BAY AREA HOSPITALS25.015.0$0$1,149,973$190,610Yes (X)
MICHAEL L PURVIS
CEO, SSRRH & NCH40.00.0$0$768,470$252,383Yes (X)
JANET A WAGNER
CEO, MPHS40.00.0$0$869,864$166,322Yes (X)
VERNON L GIANG MD
CME, CPMC40.00.0$0$639,378$87,653Yes (X)
RANJIT HUNDAL MD
CME, MPHS40.00.0$0$565,007$91,635Yes (X)
HAMILA KOWNACKI
COO, CPMC40.00.0$0$506,364$83,762Yes (X)
SIDNEY E WANETICK MD
CME, EMC40.00.0$0$570,823$50,053Yes (X)
HENRY W YU
CFO HOSPT - WEST BAY40.00.0$0$555,755$96,407Yes (X)
MICHAEL COHILL
CEO, SMCS0.040.0$0$1,055,428$87,098Yes (X)
MICHAEL DUNCHEON
FRMR VP, REGIONAL COUNSEL WBR0.00.0$0$155,853$438Yes (X)
PATRICK FRY
FORMER PRESIDENT & CEO, SH0.00.0$0$1,614,802$0Yes (X)
BRIAN ALEXANDER
VP STRGY & BUS DEV, SH VALLEY0.040.0$0$591,984$82,696Yes (X)
GRANT DAVIES
CEO, VALLEY AREA HOSPITALS0.040.0$0$1,361,658$229,553Yes (X)
SIRI T NELSON
CAO, SUTTER LAKESIDE HOSPITAL40.00.0$0$293,053$13,374Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$94,859TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$23,434,766TotReportableCompRltdOrgAmt
Total Other Compensation$4,885,675TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4205IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RIGHTSOURCING INC
PO BOX 515743LOS ANGELESCA900515118STAFFING SERVICES$30,755,989
PACIFIC INPATIENT MEDICAL GROUP INC
PO BOX 1230SUISUN CITYCA945851230PHYSICIAN SERVICES$12,566,117
HURON CONSULTING GROUP INC
3005 MOMENTUM PLCHICAGOIL606895330CONSULTING SERVICES$11,001,136
DONOR NETWORK WEST
PO BOX 768NOVATOCA94948ORGAN DONATION SVCS$10,851,590
ARAMARK RECEIVABLES LLC
27310 NETWORK PLCHICAGOIL606731273UNIFORM SERVICES$7,634,121
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K245CntrctRcvdGreaterThan100KCnt
Federated Campaigns$69FederatedCampaignsAmt
Fundraising$430,351FundraisingAmt
Related Organizations$28,026,228RelatedOrganizationsAmt
All Other Contributions$22,249,846AllOtherContributionsAmt
Total Contributions$50,706,494TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$2,941,199,608$2,941,199,608
HEALTHCARE RELATED JV INCOME900099$15,676,992$15,676,992
RENTAL TO AFFILIATES900099$8,782,235$8,782,235
FieldValueIRS element (for citing)
Total Program Service Revenue$2,965,658,835TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,809,231TotalRevenueColumnAmt
Exclusion$2,809,231ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$17,659,266RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$10,320,316RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,338,950RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,338,950TotalRevenueColumnAmt
Exclusion$7,338,950ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,069,791SecuritiesAmt
Other$35,281,524OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$16,963,966OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,069,791SecuritiesAmt
Other$18,317,558OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,387,349TotalRevenueColumnAmt
Exclusion$24,387,349ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$218,722FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$430,351ContriRptFundraisingEventAmt
Fundraising Direct Expenses$181,407FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,315TotalRevenueColumnAmt
Exclusion$37,315ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$31,810GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,810TotalRevenueColumnAmt
Exclusion$31,810ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
LABORATORY621500$145,467$145,467
PARKING812930$2,225,976$2,225,976
CAFETERIA900099$5,965,832$5,965,832

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$137,519TotalRevenueColumnAmt
Unrelated Business Revenue$137,519UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,474,794OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,059,444,778TotalRevenueColumnAmt
Related Or Exempt Func Income$2,965,658,835RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,508,962UnrelatedBusinessRevenueAmt
Exclusion$40,570,487ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,894,373TotalAmt
Program Services$3,894,373ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$12,426TotalAmt
Program Services$12,426ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,901,644TotalAmt
Management And General$8,901,644ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$853,639,845TotalAmt
Program Services$802,950,192ProgramServicesAmt
Management And General$50,523,494ManagementAndGeneralAmt
Fundraising$166,159FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$94,741,720TotalAmt
Program Services$88,196,201ProgramServicesAmt
Management And General$6,545,519ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$338,290,306TotalAmt
Program Services$314,918,493ProgramServicesAmt
Management And General$23,285,125ManagementAndGeneralAmt
Fundraising$86,688FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$70,143,829TotalAmt
Program Services$65,297,730ProgramServicesAmt
Management And General$4,846,099ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$29,694,615TotalAmt
Program Services$2,023,331ProgramServicesAmt
Management And General$27,671,284ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,954,648TotalAmt
Program Services$122,314ProgramServicesAmt
Management And General$1,832,334ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$74,046TotalAmt
Program Services$736ProgramServicesAmt
Management And General$73,310ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$775,936TotalAmt
Management And General$775,936ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$174,595,797TotalAmt
Program Services$153,491,757ProgramServicesAmt
Management And General$21,104,040ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,112,268TotalAmt
Management And General$2,112,268ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$29,542,740TotalAmt
Program Services$26,311,968ProgramServicesAmt
Management And General$3,195,344ManagementAndGeneralAmt
Fundraising$35,428FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$107,455,406TotalAmt
Program Services$66,407,540ProgramServicesAmt
Management And General$41,047,866ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$43,326,955TotalAmt
Program Services$38,132,014ProgramServicesAmt
Management And General$5,194,941ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,206,476TotalAmt
Program Services$1,514,189ProgramServicesAmt
Management And General$691,578ManagementAndGeneralAmt
Fundraising$709FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,046,152TotalAmt
Program Services$950,704ProgramServicesAmt
Management And General$95,448ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$24,619,344TotalAmt
Program Services$24,619,344ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$188,649,242TotalAmt
Program Services$170,811,173ProgramServicesAmt
Management And General$17,838,069ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,805,972TotalAmt
Program Services$12,772,967ProgramServicesAmt
Management And General$6,033,005ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$287,257,506$287,257,506
PURCHASED SERVICES$197,959,702$170,597,679$27,360,060$1,963
SYSTEM ALLOCATION FEE$175,347,741$101,452,525$73,744,001$151,215
HOSPITAL FEE$128,083,874$128,083,874

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$36,950,739TotalAmt
Program Services$28,882,803ProgramServicesAmt
Management And General$8,012,066ManagementAndGeneralAmt
Fundraising$55,870FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,820,083,302TotalAmt
Program Services$2,488,701,839ProgramServicesAmt
Management And General$330,883,431ManagementAndGeneralAmt
Fundraising$498,032FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,068,499BOYAmt
EOY$5,686,239EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$368,681BOYAmt
EOY$212,161EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$366,787,886BOYAmt
EOY$356,005,025EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$38,250,157BOYAmt
EOY$39,697,404EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,312,357BOYAmt
EOY$19,718,305EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,332,318,538LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,635,573,475LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,247,357,366BOYAmt
EOY$3,696,745,063EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$145,580,260BOYAmt
EOY$108,295,944EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$13,706,801BOYAmt
EOY$16,303,728EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,980,359BOYAmt
EOY$2,980,359EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$297,727,324BOYAmt
EOY$302,580,806EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,124,139,690BOYAmt
EOY$4,548,225,034EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$443,612,507BOYAmt
EOY$518,660,948EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,809,809,862BOYAmt
EOY$1,754,142,515EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,099,378BOYAmt
EOY$29,543,214EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,270,521,747BOYAmt
EOY$2,302,346,677EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,837,535,696BOYAmt
EOY$2,229,026,060EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,082,247BOYAmt
EOY$16,852,297EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,853,617,943BOYAmt
EOY$2,245,878,357EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,124,139,690BOYAmt
EOY$4,548,225,034EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$239,361,476ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$13,219,014NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$139,679,924OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$92,793,529BeginningYearBalanceAmt
Contributions$5,507,832ContributionsAmt
Investment Earnings Or Losses$15,840,643InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,105,457GrantsOrScholarshipsAmt
Other Expenditures$13,559,585OtherExpendituresAmt
End Year Balance$97,476,962EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$83,834,470BeginningYearBalanceAmt
Contributions$5,657,867ContributionsAmt
Investment Earnings Or Losses$6,530,863InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$3,229,671OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$92,793,529EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$76,169,704BeginningYearBalanceAmt
Contributions$3,852,741ContributionsAmt
Investment Earnings Or Losses-$4,742,895InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$732,385OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$74,547,165EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$56,482,750BeginningYearBalanceAmt
Contributions$16,122,121ContributionsAmt
Investment Earnings Or Losses$3,568,844InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$4,011OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$76,169,704EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$59,522,141BeginningYearBalanceAmt
Contributions$1,070,016ContributionsAmt
Investment Earnings Or Losses$8,391,250InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$12,500,657OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$56,482,750EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.15000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.75000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.10000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$194,213,715OtherCostOrOtherBasisAmt
Book Value$194,213,715BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,146,068,791OtherCostOrOtherBasisAmt
Depreciation$959,862,560DepreciationAmt
Book Value$1,186,206,231BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$73,989,009OtherCostOrOtherBasisAmt
Depreciation$66,573,064DepreciationAmt
Book Value$7,415,945BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$758,694,071OtherCostOrOtherBasisAmt
Depreciation$578,002,163DepreciationAmt
Book Value$180,691,908BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,159,352,952OtherCostOrOtherBasisAmt
Depreciation$31,135,688DepreciationAmt
Book Value$2,128,217,264BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,696,745,063TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$208,520,271
INTERCOMPANY RECEIVABLES$69,660,906
OTHER ASSETS$24,399,629
FieldValueIRS element (for citing)
Total Book Value Other Assets$302,580,806TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
3RD PARTY SETTLEMENTS$16,368,843
INSURANCE LIABILITIES$8,503,810
OTHER LIABILITIES$4,670,561
FieldValueIRS element (for citing)
Total Liability$29,543,214TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART V, LINE 4FormAndLineReferenceDesc
ExplanationINTENDED USE OF ENDOWMENT FUNDS: THE FOLLOWING ENDOWMENTS ARE HELD AT MILLS-PENINSULA HOSPITAL FOUNDATION AND CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION FOR THE BENEFIT OF SUTTER BAY HOSPITALS: ELLIS PERMANENT ENDOWMENT INCOME TO BE USED TO PROVIDE SCHOLARSHIPS AND GRANTS TO NEEDY GIRLS SEEKING CAREERS IN MEDICAL AND ALLIED FIELDS. REID PERMANENT ENDOWMENT EARNINGS TO SUPPORT FREE BEDS, CLINICS, AND MEDICAL SERVICES TO THE POOR AND NEEDY. MALMQUIST PERMANENT ENDOWMENT - INCOME TO SUPPORT THE HOSPITAL'S HEALTH CARE SERVICES RELATED TO ARTHRITIS, UNTIL AND UNLESS SUCH A USE WOULD NOT BE POSSIBLE AT THE HOSPITALS, IN WHICH CASE, THE FOUNDATION'S BOARD OF TRUSTEES MAY CHOOSE ANOTHER USE FOR THE INCOME AND MAY, IF NECESSARY AND IN THE BEST INTERESTS OF THE HOSPITALS EXPEND THE PRINCIPAL. BARSHAD PERMANENT ENDOWMENT - INCOME TO BE USED TO BENEFIT THE SENIOR FOCUS PROGRAM. COAKLEY PERMANENT ENDOWMENT - INCOME SHALL BE USED TO SUPPORT ANY PURPOSE EXCEPT CONSTRUCTION OR GENERAL EXPENSES OF MILLS PENINSULA MEDICAL CENTER. RAFFO PERMANENT ENDOWMENT - TO SUPPORT CANCER AND CARDIAC CARE, BUT NOT FOR ANIMAL RESEARCH. RUPPART PERMANENT ENDOWMENT - INCOME USED TO SUPPORT PURPOSES DEEMED MOST APPROPRIATE BY THE BOARD OF TRUSTEES OF MILLS PENINSULA HOSPITAL FOUNDATION AND THE PRINCIPAL IS TO BE MAINTAINED IN ITS ENTIRETY. DESIRED, BUT NOT MANDATORY IS THAT THE INCOME BE USED TO FUND CARE AND MAINTAIN THE SPECIAL CARE UNIT AND SHORT STAY SURGICAL RECOVERY UNIT. ZIELINSKY PERMANENT ENDOWMENT - FUND INCOME, BUT NO PART OF THE PRINCIPAL OR APPRECIATION (REALIZED OR UNREALIZED), SHALL BE USED TO FURTHER THE GENERAL OBJECTIVES AND PURPOSES OF THE MILLS PENINSULA HOSPITAL FOUNDATION. MCKAY PERMANENT ENDOWMENT - INCOME ONLY (INTEREST), BUT NO PART OF THE FUND PRINCIPAL OR APPRECIATION (REALIZED OR UNREALIZED), SHALL BE USED TO FURTHER THE GENERAL OBJECTIVES AND PURPOSES OF MILLS PENINSULA HOSPITAL FOUNDATION. DISTINGUISHED ENDOWED CHAIR IN CARDIOLOGY- QUASI ENDOWMENT - SUPPORT THE WORK OF CPMC'S ATRIAL FIBRILLATION & ARRHYTHMIA PROGRAM'S SR. MEDICAL DIRECTOR. PROGRAM IN MEDICINE & HUMANS QUASI-ENDOWMENT EARNINGS SUPPORT PROGRAM IN MEDICINE & HUMAN VALUES. ROSENBERG/NICHOLS OVARIAN/REPRODUCTIVE CANCER QUASI-ENDOWMENT - ANNUAL RELEASE OF 5% WILL GO TO SUPPORT OVARIAN/REPRODUCTIVE CANCER RECOVERY PROGRAM GENERAL EXPENSES. MCCLELLAND FUND - DIV OF CARDIOLOGY QUASI-ENDOWMENT - FOR THE GENERAL USE BY THE DIVISION OF CARDIOLOGY. PAYDEN CENTER FOR MELANOMA RESEARCH & TREATMENT QUASI-ENDOWMENT - SUPPORT THE MELANOMA CENTER IN ITS EFFORTS WITH RESEARCH, EDUCATION, PATIENT CARE, SALARY SUPPORT & EQUIPMENT PURCHASE. CHAIR IN MELANOMA RESEARCH AND TREATMENT QUASI-ENDOWMENT - SUPPORT THE MELANOMA CENTER IN EFFORTS WITH RESEARCH & EDUCATION, PATIENT CARE, SALARY SUPPORT & EQUIPMENT PURCHASE. RAY DOLBY CHAIR IN BRAIN HEALTH RESEARCH QUASI-ENDOWMENT - SUPPORT A CHAIR AT THE CPMC RAY DOLBY BRAIN HEALTH CENTER. CHAIR IN BREAST HEALTH SERVICES QUASI-ENDOWMENT - SUPPORT A CHAIR IN BREAST HEALTH SERVICES. ST. LUKE'S ENDOWMENT - TO SUPPORT ST. LUKE'S GENERAL OPERATIONS. H. SMITH ENDOWED CHAIR ENDOWMENT - ENDOWED CHAIR AT CPMCRI. WILLIAM GREENBACH ENDOWMENT - CANCER RESEARCH AT CPMCRI. CANCER RESEARCH CPMCRI G.BRUSH ENDOWMENT - CANCER RESEARCH AT CPMCRI. M. WILCOX ENDOWMENT - FOR EQUIPMENT; REFURBISHING OF ROOMS/ACCOMMODATIONS & FOR EDUCATION OF STAFF & PATIENTS RELATED TO CANCER RESEARCH. BASSO-KLEISER/GUEST FUND IN CARDIOLOGY ENDOWMENT - SUPPORT A CHAIR IN CARDIOLOGY. F. GERBODE HEART RESEARCH ENDOWMENT - HEART RESEARCH. HEART RESEARCH EDUCATIONAL ENDOWMENT - HEART RESEARCH, EDUCATION AND/OR PROGRAM DEVELOPMENT. IN MEMORY OF RUTH MARY PRITCHARD JENKINS ENDOWMENT - SUPPORT THE CARE FOR CLERGY & THEIR FAMILIES IN THE HOSPITAL. BIOETHICS ENDOWMENT - PROGRAM IN MEDICINE & HUMAN VALUES. CPMC PMHV SENIOR SCHOLAR ENDOWMENT - SUPPORT RESEARCH, EDUCATION AND SCHOLARSHIP INITIATIVES IN CLINICAL ETHICS. M. HAIM ENDOWMENT - SUPPORT THE MICHAEL HAIM, M.D. MEMORIAL LECTURE IN DERMATOLOGY, SUBJECT CHOSEN BY THE CHIEF OF DEPARTMENT. J. GAMBLE TEACHING ENDOWMENT - DEPARTMENT OF MEDICINE TEACHING FUND. NOBLE ENDOWED CHAIR - SUSTAIN & ENHANCE EDUCATION OF RESIDENTS, WHILE CONTRIBUTING TO THE EXCELLENCE OF PATIENT CARE THROUGH AN ENDOWED CHAIR. CPMCF BROTHERTON PERINATAL MENTAL HEALTH ENDOWMENT - TO FUND PERINATAL MENTAL HEALTH CARE AT CPMC'S VALENCIA AND CESAR CHAVEZ CAMPUS. CPMCRI C&A FINLEY ENDOWED CHAIR NEURO RESEARCH - ENDOWED CHAIR AT CPMCRI. WATKINS BURBANK LOAN & SCHOLARSHIP ENDOWMENT - TO SUPPORT THE NURSING EDUCATION ACTIVITIES AT ST. LUKE'S. JOHN N CALLANDER ORTHOPEDIC ENDOWMENT - PRIORITY NEEDS OF THE CPMC'S ORTHOPEDIC DEPARTMENT. C. HUGHEY TRUST ENDOWMENT - SUPPORT PATIENT CARE FOR CRIPPLED CHILDREN'S PROGRAM. CPMC A. MORRISON CHILD DEVELOPMENT ENDOWMENT - GENERAL USE FOR THE CHILD DEVELOPMENT DEPARTMENT. CMPCF TAKAHASHI SENIOR SERVICE ENDOWMENT - TOMOYE TAKAHASHI EDNOWMENT FUND TO BENEFIT SENIOR SERVICES. MARGARET H. PAGE ENDOWMENT - PROGRAM AND CAPITAL SUPPORT. ST. LUKE'S ENDOWMENT - TO SUPPORT ST. LUKE'S GENERAL OPERATIONS. SF POLYCLINIC ENDOWMENT - PROVIDE CARE OF MEDICALLY INDIGENT PATIENTS AND SUBSIDIZE PROGRAMS OF INTEREST TO THE PRIMARY PHYSICIAN. 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 BASES 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 2014 THROUGH 2016 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, 2017 AND 2016, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. THE TAX CUTS AND JOBS ACT (TAX ACT) WAS ENACTED ON DECEMBER 22, 2017. THE TAX ACT REDUCES THE US FEDERAL CORPORATE TAX RATE FROM 35% TO 21%, REQUIRES COMPANIES TO PAY A ONE-TIME TRANSITION TAX ON EARNINGS OF CERTAIN FOREIGN SUBSIDIARIES THAT WERE PREVIOUSLY TAX DEFERRED, CREATES NEW TAXES ON CERTAIN FOREIGN SOURCED EARNINGS, PROVIDES FOR A NEW EXCISE TAX ON CERTAIN COMPENSATION OF EXEMPT ORGANIZATIONS OVER $1 MILLION, AND REQUIRES THE SEPARATE CALCULATION OF UNRELATED BUSINESS TAXABLE INCOME FOR EACH TRADE OR BUSINESS CARRIED ON. AS OF DECEMBER 31, 2017, WE HAVE NOT COMPLETED OUR ACCOUNTING FOR THE TAX EFFECTS OF ENACTING THE TAX ACT, THEREFORE WE CONTINUE TO ACCOUNT FOR THOSE ITEMS BASED ON OUR EXISTING ACCOUNTING UNDER ASC 740, INCOME TAXES, AND THE PROVISIONS OF THE TAX LAWS THAT WERE IN EFFECT IMMEDIATELY PRIOR TO ENACTMENT. WE WILL CONTINUE TO MAKE AND REFINE OUR CALCULATIONS AS ADDITIONAL ANALYSIS IS COMPLETED. IN ADDITION, OUR ESTIMATES MAY ALSO BE AFFECTED AS WE GAIN A MORE THOROUGH UNDERSTANDING OF THE TAX LAW AS WELL AS RECEIVING GUIDANCE FROM ORGANIZATIONS AND TAXABLE AFFILIATES. THE INTERNAL REVENUE SERVICE ON HOW THESE PROVISIONS APPLY TO TAX-EXEMPT ORGANIZATIONS AND TAXABLE AFFILIATES.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF INVITEvent1Nm
Gross Receipts Event1$304,225GrossReceiptsEvent1Amt
Charitable Contri Event1$144,125CharitableContriEvent1Amt
Gross Revenue Event1$160,100GrossRevenueEvent1Amt
Rent Facility Costs Event1$41,000RentFacilityCostsEvent1Amt
Food And Beverage Event1$55,529FoodAndBeverageEvent1Amt
Entertainment Event1$1,360EntertainmentEvent1Amt
Other Direct Expenses Event1$4,932OtherDirectExpensesEvent1Amt
Event2CATWALKEvent2Nm
Gross Receipts Event2$240,784GrossReceiptsEvent2Amt
Charitable Contri Event2$201,584CharitableContriEvent2Amt
Gross Revenue Event2$39,200GrossRevenueEvent2Amt
Non Cash Prizes Event2$562NonCashPrizesEvent2Amt
Rent Facility Costs Event2$19,597RentFacilityCostsEvent2Amt
Food And Beverage Event2$13,240FoodAndBeverageEvent2Amt
Entertainment Event2$1,200EntertainmentEvent2Amt
Other Direct Expenses Event2$3,068OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$104,064GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$84,642CharitableContriOtherEventsAmt
Gross Revenue Other Events$19,422GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$1,613NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$15,873RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$13,329FoodAndBeverageOtherEventsAmt
Entertainment Other Events$600EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$9,504OthDirectExpnssOtherEventsAmt
Gross Receipts Total$649,073GrossReceiptsTotalAmt
Charitable Contributions Tot$430,351CharitableContributionsTotAmt
Gross Revenue Total Events$218,722GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$2,175NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$76,470RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$82,098FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,160EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$17,504OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$181,407DirectExpenseSummaryEventsAmt
Net Income Summary$37,315NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$31,810GrossRevenueOtherGamingAmt
Volunteer Labor Other GamingYes (true)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming0.81000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$31,810GrossRevenueTotalGamingAmt
Net Gaming Income Summary$31,810NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConductedCd
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersYes (true)GamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Own Facility0.00800GamingOwnFacilityPct
Gaming Other Facility0.99200GamingOtherFacilityPct
Individual With BooksSEE SCH G PART IVIndividualWithBooksNm
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonSEE SCH G PART IVGamingManagerPersonNm
Charitable Distribution RqrYes (true)CharitableDistributionRqrInd
Distributed$31,810DistributedAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE G, PART III, LINE 14NAME: CONNIE PETTY ADDRESS: 30 MARK WEST SPRINGS ROAD SANTA ROSA, CA 95403 NAME: SHAUN RALSTON ADDRESS: 30 MARK WEST SPRINGS ROAD SANTA ROSA, CA 95403 NAME: CASSIE BETTIS ADDRESS: 180 ROWLAND WAY NOVATO, CA 94945
SCHEDULE G, PART III, LINE 16NAME: PENNY CLEARY SERVICES PROVIDED: COORDINATES SUTTER GOLF INVITATIONAL, CATWALK FOR A CURE. GAMING COMPENSATION: $1,031 POSITION: EMPLOYEE OF SUTTER BAY HOSPITALS NAME: CYNTHIA GREGORY SERVICES PROVIDED: COORDINATES NCH GOLF EVENT. GAMING COMPENSATION: $205 POSITION: EMPLOYEE OF SUTTER BAY HOSPITALS

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.FreeCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,638,884TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,638,884NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$577,784,088TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$500,924,341DirectOffsettingRevenueAmt
Net Community Benefit Expns$76,859,747NetCommunityBenefitExpnsAmt
Total Expense0.02730TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,684,116TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,705,418DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,978,698NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$615,107,088TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$511,629,759DirectOffsettingRevenueAmt
Net Community Benefit Expns$103,477,329NetCommunityBenefitExpnsAmt
Total Expense0.03670TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs61ActivitiesOrProgramsCnt
Persons Served110565PersonsServedCnt
Total Community Benefit Expns$6,797,439TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$458,891DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,338,548NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served733PersonsServedCnt
Total Community Benefit Expns$40,858,078TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,513,938DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,344,140NetCommunityBenefitExpnsAmt
Total Expense0.01220TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs31ActivitiesOrProgramsCnt
Persons Served62375PersonsServedCnt
Total Community Benefit Expns$89,899,849TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,739,049DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,160,800NetCommunityBenefitExpnsAmt
Total Expense0.00890TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$16,582,922TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$301,436DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,281,486NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs84ActivitiesOrProgramsCnt
Persons Served33748PersonsServedCnt
Total Community Benefit Expns$17,818,292TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$144,669DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,673,623NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs198ActivitiesOrProgramsCnt
Persons Served207421PersonsServedCnt
Total Community Benefit Expns$171,956,580TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,157,983DirectOffsettingRevenueAmt
Net Community Benefit Expns$99,798,597NetCommunityBenefitExpnsAmt
Total Expense0.03540TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs198ActivitiesOrProgramsCnt
Persons Served207421PersonsServedCnt
Total Community Benefit Expns$787,063,668TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$583,787,742DirectOffsettingRevenueAmt
Net Community Benefit Expns$203,275,926NetCommunityBenefitExpnsAmt
Total Expense0.07210TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served360PersonsServedCnt
Total Community Benefit Expns$10,917TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,917NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$564TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$564NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served144PersonsServedCnt
Total Community Benefit Expns$10,319TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,319NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$12,813TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,813NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$15,005TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,005NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served78PersonsServedCnt
Total Community Benefit Expns$58,691TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,691NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served582PersonsServedCnt
Total Community Benefit Expns$108,309TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$93,309NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$9,056,866BadDebtExpenseAmt
Reimbursed By Medicare$656,656,427ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$718,580,787CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$61,924,360MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
SF Endoscopy LLC
Medical Services0.510.00.472
SL SURGERY Center
Medical Services0.45030.00.4527
FieldValueIRS element (for citing)
Hospital Facilities12HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (12 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDescCritical Access HospitalCriticalAccessHospitalInd
CPMC-CALIF WEST CAMPUS
13700 CALIFORNIA STREETSAN FRANCISCOCA94118WWW.CPMC.ORGLICENSE #220000197Yes (X)Yes (X)Yes (X)A
CPMC-PACIFIC CAMPUS
22333 BUCHANAN STREETSAN FRANCISCOCA941151925WWW.CPMC.ORGLICENSE #220000197Yes (X)Yes (X)Yes (X)A
MILLS PENINSULA MEDICAL CENTER
31501 TROUSDALE DRIVEBURLINGAMECA94010WWW.MILLS-PENINSULA.ORGLICENSE #220000037Yes (X)Yes (X)Yes (X)BOUTPATIENT SERVICES
CPMC-ST LUKE'S CAMPUS
43555 CESAR CHAVEZ STREETSAN FRANCISCOCA94110WWW.CPMC.ORGLICENSE #220000070Yes (X)Yes (X)Yes (X)A
CPMC-DAVIES CAMPUS
5601 DUBOCE AVENUESAN FRANCISCOCA94117WWW.CPMC.ORGLICENSE #220000197Yes (X)Yes (X)Yes (X)A
EDEN MEDICAL CENTER
620103 LAKE CHABOT ROADCASTRO VALLEYCA945465305WWW.EDENMEDICALCENTER.ORGLICENSE #140000030Yes (X)Yes (X)Yes (X)OUTPATIENT SERVICES
SUTTER SANTA ROSA REGIONAL HOSPITAL
730 MARK WEST SPRINGS ROADSANTA ROSACA95403WWW.SUTTERSANTAROSA.ORGLICENSE #110000005Yes (X)Yes (X)Yes (X)
MILLS HEALTH CENTER
8100 SOUTH SAN MATEO DRIVESAN MATEOCA94401WWW.MILLS-PENINSULA.ORGLICENSE #220000037Yes (X)Yes (X)BOUTPATIENT SERVICES
NOVATO COMMUNITY HOSPITAL
9180 ROLAND WAYNOVATOCA94945WWW.NOVATOCOMMUNITY.ORGLICENSE #110000375Yes (X)Yes (X)Yes (X)
SUTTER LAKESIDE HOSPITAL
105176 HILL ROADLAKEPORTCA95463WWW.SUTTERLAKESIDE.ORGLICENSE #110000094Yes (X)Yes (X)Yes (X)Yes (X)
SUTTER MATERNITY & SURGERY SANTA CRUZ
112900 CHANTICLEER AVESANTA CRUZCA95065WWW.SUTTERSANTACRUZ.ORGLICENSE #070000399Yes (X)Yes (X)BOUTPATIENT SERVICES
MENLO PARK SURGICAL HOSPITAL
12570 WILLOW ROADMENLO PARKCA940252617WWW.PAMF.ORG/MPSHLICENSE #220000276Yes (X)Yes (X)BOUTPATIENT SERVICES

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (6 entries)

First Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndOther MethodOtherMethodIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndProspective Medicare MedicaidProspectiveMedicareMedicaidIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndFacilityFacilityNum
A
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (true)16Yes (true)SEE PART V, SECTION CfalseYes (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 CYes (X)SEE PART V, SECTION CYes (X)SEE PART VYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
B
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (true)16Yes (true)SEE PART V, SECTION CfalseYes (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 CYes (X)SEE PART V, SECTION CYes (X)SEE PART VYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
EDEN MEDICAL CENTER
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (true)16Yes (true)SEE PART V, SECTION CfalseYes (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 CYes (X)SEE PART V, SECTION CYes (X)SEE PART VYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse6
SUTTER SANTA ROSA REGIONAL HOSPITAL
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (true)16Yes (true)SEE PART V, SECTION CfalseYes (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 CYes (X)SEE PART V, SECTION CYes (X)SEE PART VYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse7
NOVATO COMMUNITY HOSPITAL
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (true)16Yes (true)SEE PART V, SECTION CfalseYes (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 CYes (X)SEE PART V, SECTION CYes (X)SEE PART VYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse9
SUTTER LAKESIDE HOSPITAL
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)falseYes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (true)16Yes (true)SEE PART V, SECTION CfalseYes (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 CYes (X)SEE PART V, SECTION CYes (X)SEE PART VYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse10

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
REPORTING FACILITY: A, (1-2, 4-5)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, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 1-2, 4-5): IN CONDUCTING ITS MOST RECENT CHNA, CALIFORNIA PACIFIC MEDICAL CENTER, A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE GOALS OF THE COMMUNITY ENGAGEMENT COMPONENT OF THE CHNA WERE TO: - IDENTIFY SAN FRANCISCANS' HEALTH PRIORITIES, ESPECIALLY THOSE OF VULNERABLE POPULATIONS; - OBTAIN DATA ON POPULATIONS FOR WHICH WE HAVE LITTLE QUANTITATIVE DATA; - BUILD RELATIONSHIPS BETWEEN THE COMMUNITY AND SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP); - MEET THE REGULATORY REQUIREMENTS INCLUDING THE IRS RULES FOR CHARITABLE 501(C)(3) HOSPITALS, PUBLIC HEALTH ACCREDITATION BOARD REQUIREMENTS FOR THE SAN FRANCISCO HEALTH DEPARTMENT, AND SAN FRANCISCO'S PLANNING CODE REQUIREMENTS FOR A HEALTH CARE SERVICES MASTER PLAN. WE WORKED WITH COMMUNITY PARTNERS TO CO-HOST COMMUNITY MEETINGS WITH TARGET POPULATIONS. TARGET POPULATIONS WERE SELECTED BASED ON FOUR FACTORS: 1) THE POPULATION HAS KNOWN HEALTH DISPARITIES; 2) LITTLE INFORMATION DESCRIBING THE HEALTH OF THE POPULATION WAS AVAILABLE; 3) THE POPULATION WAS NOT INCLUDED IN A RECENT HEALTH ASSESSMENT; AND 4) THE POPULATION WAS REACHABLE THROUGH AN EXISTING COMMUNITY GROUP. WHERE POSSIBLE, WE JOINED EXISTING MEETINGS IN AN EFFORT TO INCREASE EFFICIENCY AND FACILITATE PARTICIPATION BY RESIDENTS. SUCCESSFUL COMMUNITY ENGAGEMENT WOULD NOT HAVE BEEN POSSIBLE WITHOUT THE CONTRIBUTIONS OF THESE COMMUNITY PARTNERS: - ASIAN AMERICANS ADVANCING JUSTICE - ASIAN LAW CAUCUS - AFRICAN AMERICAN ART AND CULTURE COMPLEX - ASOCIACIN MAYAB - CARECEN - FILIPINO AMERICAN DEVELOPMENT FOUNDATION - INSTITUTO FAMILIAR DE LA RAZA - LARKIN STREET YOUTH SERVICES - SF LGBT COMMUNITY CENTER - NATIVE AMERICAN HEALTH CENTER - ON LOK 30TH STREET SENIOR CENTER - SWORDS TO PLOWSHARES - TRANSITIONS CLINIC WE FACILITATED ALL MEETINGS USING TWO TECHNOLOGY OF PARTICIPATION TECHNIQUES - THE FOCUSED CONVERSATION METHOD AND THE CONSENSUS WORKSHOP METHOD. THE MAIN QUESTION WE ASKED OF PARTICIPANTS WAS, WHAT ACTIONS CAN WE TAKE - INCLUDING RESIDENTS, COMMUNITY GROUPS, AND SFHIP - TO IMPROVE HEALTH? PARTICIPANTS WERE ALSO ASKED ABOUT THE ASSETS AND BARRIERS WHICH EXIST IN THEIR COMMUNITIES REGARDING HEALTH. IN TOTAL, 127 PARTICIPANTS ATTENDED 11 MEETINGS BETWEEN JULY 1 AND OCTOBER 2, 2015. PARTICIPANTS CAME FROM A VARIETY OF BACKGROUNDS. THE ETHNIC GROUPS WITH THE LARGEST REPRESENTATION IN THE MEETINGS WERE LATINO (23 PERCENT), BLACK/AFRICAN AMERICAN (15 PERCENT), WHITE (17 PERCENT), AND ASIAN (12 PERCENT). OTHER SELF-REPORTED ETHNICITIES INCLUDED ARAB, FILIPINO, JEWISH, MIDDLE EASTERN, AND NATIVE AMERICAN. THE MAJORITY OF PARTICIPANTS WERE FEMALE (59 PERCENT). AT THE MEETING WE IDENTIFIED THESE COMMUNITY HEALTH PRIORITIES: ACCESS TO HEALTHY FOODS AND PHYSICAL ACTIVITY OPPORTUNITIES, SAFE AND AFFORDABLE HOUSING, HEALTH EDUCATION AND EMPOWERMENT, ECONOMIC OPPORTUNITIES, CLEAN AND SAFE PARKS, RESTROOMS, AND OTHER SHARED ENVIRONMENTS, AND ACCESS TO HEALTH CARE SERVICES THAT ARE CULTURALLY AND LINGUISTICALLY APPROPRIATE. FURTHER DETAILS ON THE METHODS AND FINDINGS ARE AVAILABLE IN APPENDIX B'S "2016 CHNA COMMUNITY ENGAGEMENT" SECTION. HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 6A & 6B CHNA HOSPITAL COLLABORATORS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 1-2, 4-5): AS A MEMBER OF SFHIP, CPMC PARTICIPATES IN A COLLECTIVE NEEDS ASSESSMENT PROCESS TO ENSURE THAT OUR COMMUNITY BENEFIT INVESTMENTS ARE RESPONSIVE TO REAL COMMUNITY HEALTH NEEDS. SFHIP'S SAN FRANCISCO COMMUNITY HEALTH NEEDS ASSESSMENT 2016 SERVES AS THE FOUNDATION FOR CPMC'S COMMUNITY HEALTH NEEDS ASSESSMENT 2016-2018. THE PROCESSES AND FINDINGS DESCRIBED WITHIN THIS DOCUMENT REFER TO THOSE OF SFHIP'S 2016 NEEDS ASSESSMENT. THE ORIGINAL 2016 CHNA DOCUMENT COLLECTIVELY DEVELOPED BY SFHIP AND PREPARED BY SFDPH CAN BE FOUND AT WWW.SFHIP.ORG. SFHIP IS A COLLABORATIVE BODY WHOSE MISSION IS TO EMBRACE COLLECTIVE IMPACT AND TO IMPROVE COMMUNITY HEALTH AND WELLNESS IN SAN FRANCISCO. MEMBERSHIP IN SFHIP INCLUDES: - SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH - AFRICAN AMERICAN COMMUNITY HEALTH EQUITY COUNCIL - ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION - CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION - HUMAN SERVICES NETWORK - DIGNITY HEALTH SAINT FRANCIS MEMORIAL HOSPITAL - DIGNITY HEALTH ST. MARY'S MEDICAL CENTER - SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER - KAISER PERMANENTE - CHINESE HOSPITAL - SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM - METTA FUND - SAN FRANCISCO FOUNDATION FAITHS PROGRAM - SAN FRANCISCO UNIFIED SCHOOL DISTRICT - SAN FRANCISCO MAYOR'S OFFICE - UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE'S COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM A COMPLETE LISTING OF HOSPITALS AND PARTNERS WHO COLLABORATED ON THE CHNA IS AVAILABLE FOR DOWNLOAD AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 7A, 7B, 10A CHNA AVAILABILITY ONLINE: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 1-2, 4-5): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.CPMC.ORG/ABOUT/COMMUNITY/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 1-2, 4-5): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT CPMC INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO CARE 2. HEALTHY EATING AND PHYSICAL ACTIVITY 3. BEHAVIORAL 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, CPMC 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: - ECONOMIC BARRIERS TO HEALTH - RACIAL HEALTH INEQUITIES - SAFETY AND VIOLENCE - HOUSING STABILITY AND HOMELESSNESS - SUBSTANCE ABUSE AS A MEMBER OF THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), CPMC WILL CONTINUE TO WORK IN COLLABORATION WITH OTHER LOCAL HOSPITALS AND HEALTH PLANS TO IDENTIFY GAPS IN SERVICE AND TO DETERMINE WHERE EFFORTS SHOULD BE COLLECTIVELY REDIRECTED IN ORDER TO MOST EFFECTIVELY IMPROVE THE HEALTH OF SAN FRANCISCO RESIDENTS. FOR MORE INFORMATION ABOUT SFHIP, PLEASE VISIT WWW.SFHIP.ORG. SCHEDULE H, PART V, LINE 15E CALIFORNIA PACIFIC MEDICAL (REPORTING GROUP A, 1-2, 4-5): 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 CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 1-2, 4-5): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 1-2, 4-5): 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
REPORTING FACILITY: B, (3, 8, 11-12)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, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: REPORTING GROUP B, 3, 8, 11-12: MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL: IN CONDUCTING ITS MOST RECENT CHNA, MILLS-PENINSULA MEDICAL CENTER AND MENLO PARK SURGICAL HOSPITAL DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE HEALTHY COMMUNITY COLLABORATIVE CONTRACTED WITH APPLIED SURVEY RESEARCH (ASR) TO CONDUCT THE PRIMARY RESEARCH. THEY USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS AND COMMUNITY SERVICE EXPERTS, FOCUS GROUPS WITH PROFESSIONALS, AND RESIDENT FOCUS GROUPS. ACROSS THE FOCUS GROUPS WITH PROFESSIONALS AND KEY INFORMANT INTERVIEWS, ASR CONSULTED WITH 38 COMMUNITY REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTHCARE FIELD OR IN A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED POPULATIONS. IN THE LIST BELOW, THE NUMBER IN PARENTHESES INDICATES THE NUMBER OF PARTICIPANTS FROM EACH SECTOR: - SAN MATEO COUNTY HEALTH DEPARTMENT (1) - SAN MATEO COUNTY HEALTH & HOSPITAL SYSTEM (5) - SAN MATEO COUNTY SUPERVISORS OR COMMISSIONERS (3) - OTHER SAN MATEO COUNTY EMPLOYEES (3) - NONPROFIT AGENCIES (22) - FAITH-BASED LEADERS (2) - BUSINESS SECTOR (2) ASR CONDUCTED KEY INFORMANT INTERVIEWS WITH 29 SAN MATEO COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS WHO HAD COUNTYWIDE EXPERTISE. THESE EXPERTS INCLUDED THE PUBLIC HEALTH OFFICER, COMMUNITY CLINIC MANAGERS, AND CLINICIANS. ASR INTERVIEWED INFORMANTS IN PERSON OR BY TELEPHONE, AND ASKED THEM TO IDENTIFY THE TOP NEEDS OF THEIR CONSTITUENCIES, HOW ACCESS TO HEALTHCARE HAS CHANGED IN THE POST-AFFORDABLE CARE ACT ENVIRONMENT, THE IMPACT OF THE PHYSICAL ENVIRONMENT ON HEALTH, AND THE EFFECT OF THE USE OF NEW TECHNOLOGIES FOR HEALTH-RELATED ACTIVITIES. THE FINDINGS IN MILLS PENINSULA MEDICAL CENTER AND MENLO PARK SURGICAL HOSPITAL'S CHNAS ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER MATERNITY & SURGERY CENTER, SANTA CRUZ: SUTTER MATERNITY & SURGERY CENTER SANTA CRUZ (SMSC), A FACILITY OF MPMC, CONTRACTED WITH APPLIED SURVEY RESEARCH (ASR) TO FACILITATE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN 2016. ASR USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, A FOCUS GROUP WITH HEALTH CARE PROFESSIONALS, AND TELEPHONE SURVEYS WITH 700 RANDOMLY SELECTED RESIDENTS AS PART OF THE YEARLY COMMUNITY ASSESSMENT PROJECT. APPLIED SURVEY RESEARCH CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH THREE SANTA CRUZ COUNTY HEALTH EXPERTS. THESE INCLUDED, THE HEALTH SERVICES AGENCY DIRECTOR, AND TWO COMMUNITY CLINIC DIRECTORS. THESE EXPERTS WERE SELECTED IN-PART FOR THEIR COUNTYWIDE EXPERIENCE AND EXPERTISE AND WERE INTERVIEWED BY PHONE FOR APPROXIMATELY ONE HOUR. EACH PARTICIPANT WAS ASKED TO IDENTIFY THE TOP HEALTH NEEDS OF THEIR CONSTITUENCIES, HOW ACCESS TO HEALTHCARE HAS CHANGED POST-AFFORDABLE CARE ACT, THE IMPACT OF THE PHYSICAL ENVIRONMENT ON HEALTH, AND THE EFFECT OF THE USE OF NEW TECHNOLOGIES ON HEALTH-RELATED INTERVENTIONS. IN ADDITION, ONE FOCUS GROUP WITH STAKEHOLDERS WAS CONDUCTED IN JUNE 2016. THE QUESTIONS WERE THE SAME AS THOSE FOR KEY INFORMANTS. EACH INTERVIEW AND THE FOCUS GROUP WAS THEN SUMMARIZED AS A STAND-ALONE PIECE OF DATA. WHEN ALL DATA COLLECTION HAD BEEN CONDUCTED, ASR ANALYZED THE DATA AND TABULATED ALL HEALTH NEEDS THAT WERE MENTIONED, ALONG WITH HEALTH DRIVERS DISCUSSED. ASR THEN MADE A LIST OF ALL THE CONDITIONS THAT HAD BEEN MENTIONED, COUNTED HOW MANY GROUPS OR INFORMANTS LISTED THE CONDITION AND HOW MANY TIMES THEY HAD BEEN PRIORITIZED BY A FOCUS GROUP. THE FINDINGS IN SUTTER MATERNITY & SURGERY CENTER'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 6A & 6B REPORTING GROUP B, 3, 8, 11-12: MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL: THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY CONSISTS OF REPRESENTATIVES FROM NONPROFIT HOSPITALS, COUNTY HEALTH DEPARTMENT AND HUMAN SERVICES, PUBLIC AGENCIES, AND COMMUNITY BASED ORGANIZATIONS, AND WAS CREATED TO IDENTIFY AND ADDRESS THE SHARED HEALTH NEEDS OF THE COMMUNITY. SINCE ITS FORMATION IN 1995, THE HCC HAS CONDUCTED PRIOR COMMUNITY HEALTH ASSESSMENTS FOR SAN MATEO COUNTY (1995, 1998, 2001, 2004, 2008, 2011, AND 2013), AND THIS REPORT MARKS THE EIGHTH SUCH ASSESSMENT. THE ORGANIZATIONS THAT COLLABORATED ON THE 2016 CHNA ARE MILLS-PENINSULA MEDICAL CENTER, DIGNITY HEALTH SEQUOIA HOSPITAL, SAN MATEO COUNTY HEALTH DEPARTMENT, HOSPITAL CONSORTIUM OF SAN MATEO COUNTY, KAISER PERMANENTE SAN MATEO AREA, PENINSULAR HEALTH CARE DISTRICT, SAN MATEO COUNTY HUMAN SERVICES AGENCY, SETON MEDICAL CENTER AND SETON COASTSIDE, LUCILE PACKARD CHILDREN'S HOSPITAL STANFORD, AND STANFORD HEALTH CARE. SUTTER MATERNITY & SURGERY SANTA CRUZ: SUTTER MATERNITY & SURGERY CENTER COLLABORATED WITH LOCAL HEALTH OFFICIALS, COUNTY HEALTH DEPARTMENT REPRESENTATIVES, AND COMMUNITY BENEFIT ORGANIZATIONS TO CONDUCT ITS COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, LINES 7A, 7B, 10A REPORTING GROUP B, 3, 8, 11-12: REPORTING FACILITY WEBSITES: MILLS PENINSULA MEDICAL CENTER HTTP://WWW.MILLS-PENINSULA.ORG/COMMUNITY/NEEDS-ASSESSMENT.HTML MENLO PARK SURGICAL HOSPITAL HTTP://WWW.PAMF.ORG/MPSH/COMMUNITY SUTTER MATERNITY & SURGERY SANTA CRUZ HTTP://WWW.SUTTERSANTACRUZ.ORG/COMMUNITY/ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 REPORTING GROUP B, 3, 8, 11-12: MILLS PENINSULA MEDICAL CENTER THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THE MILLS PENINSULA MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - HEALTH CARE AND DELIVERY - DENTAL/ORAL HEALTH - BEHAVIORAL HEALTH - WELL BEING 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. MPMC 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. ALZHEIMER'S DISEASE AND DEMENTIA - INDIRECTLY THROUGH OTHER ORGANIZATIONS 2. ARTHRITIS - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 3. BIRTH OUTCOME - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 4. CANCER - INDIRECTLY THROUGH OTHER ORGANIZATIONS 5. CHILDHOOD OBESITY - INDIRECTLY THROUGH OTHER ORGANIZATIONS 6. CLIMATE CHANGE - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 7. COMMUNICABLE DISEASES - INDIRECTLY THROUGH OTHER ORGANIZATIONS 8. DIABETES - INDIRECTLY THROUGH OTHER ORGANIZATIONS 9. FITNESS, DIET & NUTRITION - INDIRECTLY THROUGH OTHER ORGANIZATIONS 10. HEART DISEASE AND STROKE - INDIRECTLY THROUGH OTHER ORGANIZATIONS 11. HOUSING AND HOMELESSNESS - INDIRECTLY THROUGH OTHER ORGANIZATIONS 12. INCOME AND EMPLOYMENT - INDIRECTLY THROUGH OTHER ORGANIZATIONS 13. RESPIRATORY CONDITIONS - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 14. SEXUALLY TRANSMITTED DISEASES - INDIRECTLY THROUGH OTHER ORGANIZATIONS 15. TRANSPORTATION AND TRAFFIC - INDIRECTLY THROUGH OTHER ORGANIZATIONS 16. UNINTENDED INJURIES - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 17. VIOLENCE AND ABUSE - INDIRECTLY THROUGH OTHER ORGANIZATIONS MENLO PARK SURGICAL HOSPITAL THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MENLO PARK SURGICAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - HEALTH CARE AND DELIVERY - ORAL/DENTAL HEALTH DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF MENLO PARK SURGICAL HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MPSH 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 T
REPORTING FACILITY: #6, EDEN MEDICAL CENTERSCHEDULE 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, LINE 5 EDEN MEDICAL CENTER (FACILITY #6): IN CONDUCTING ITS MOST RECENT CHNA, EDEN MEDICAL CENTER (EMC) DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. 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. THE INTERVIEW QUESTION GUIDE WAS USED FOR BOTH THE KEY INFORMANT AND FOCUS GROUP INTERVIEWS. THE PROJECT SUMMARY SHEET WAS GIVEN TO PARTICIPANTS TO PROVIDE THEM WITH INFORMATION ABOUT THE PROJECT AND CONTACT INFORMATION FOR CHNA STAFF. AFTER THE INTERVIEW OR FOCUS GROUP WAS CONDUCTED, THE FACILITATOR CAPTURED THE MAIN FINDINGS BY COMPLETING 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, INCLUDING INPUT FROM THE ALAMEDA 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 14 KEY INFORMANT INTERVIEWS WERE COMPLETED WITH 19 SERVICE PROVIDERS. THE KEY INFORMANT INTERVIEWS WERE USED TO IDENTIFY ADDITIONAL KEY SERVICE PROVIDERS TO INCLUDE IN THE ASSESSMENT, AS WELL AS TO 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 IN WHICH RESIDENTS EXPERIENCED A DISPARATE AMOUNT OF POOR SOCIO-ECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS IN THE SUTTER MEDICAL CENTER, CASTRO VALLEY HEALTH SERVICE AREA, AS WELL AS DIRECT OUTREACH FROM CHVI TO ACQUIRE INPUT FOR A SPECIAL POPULATION GROUP. FOUR FOCUS GROUP DISCUSSIONS WERE CONDUCTED WITH A TOTAL OF 44 COMMUNITY MEMBERS. SCHEDULE H, PART V, LINES 6A & 6B EDEN MEDICAL CENTER (FACILITY #6): THIS CHNA WAS CONDUCTED BY COMMUNITY HEALTH INSIGHTS, ON BEHALF OF EDEN MEDICAL CENTER OVER A PERIOD OF 8 MONTHS, BEGINNING IN MAY OF 2015 AND CONCLUDING IN DECEMBER OF 2015. THE DATA USED TO CONDUCT THE CHNA WERE BOTH IDENTIFIED AND ORGANIZED USING THE WIDELY RECOGNIZED ROBERT WOOD JOHNSON FOUNDATION'S COUNTY HEALTH RANKINGS MODEL AND A DEFINED SET OF DATA COLLECTION AND ANALYTIC STAGES WERE DEVELOPED. THE DATA THAT WERE COLLECTED AND ANALYZED INCLUDED BOTH PRIMARY, OR QUALITATIVE, DATA, AND SECONDARY, OR QUANTITATIVE DATA. SCHEDULE H PART V, LINES 7A, 7B, 10A HOSPITAL FACILITY'S WEBSITE: EDEN MEDICAL CENTER (FACILITY #6): HTTPS://WWW.SUTTERHEALTH.ORG/EDEN/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSE SSMENT OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 EDEN MEDICAL CENTER (FACILITY #6): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT EDEN MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES. PRIMARY CARE RESOURCES INCLUDE COMMUNITY CLINICS, PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS, INTERNISTS, NURSE PRACTITIONERS, PHARMACISTS, TELEPHONE ADVICE NURSES, AND SIMILAR. PRIMARY CARE SERVICES ARE TYPICALLY THE FIRST POINT OF CONTACT WHEN AN INDIVIDUAL SEEKS HEALTHCARE AND ARE THE FRONT LINE IN THE PREVENTION AND TREATMENT OF COMMON DISEASES AND INJURIES IN A COMMUNITY. - ACCESS TO AFFORDABLE, HEALTHY FOOD. EATING A HEALTHY DIET IS IMPORTANT FOR ONE'S OVERALL HEALTH AND WELL-BEING. WHEN ACCESS TO HEALTHY FOODS IS CHALLENGING FOR COMMUNITY RESIDENTS, MANY TURN TO UNHEALTHY FOODS THAT ARE CONVENIENT, AFFORDABLE, AND READILY AVAILABLE. COMMUNITIES EXPERIENCING SOCIAL VULNERABILITY AND POOR HEALTH OUTCOMES OFTEN ARE OVERLOADED WITH FAST FOOD AND OTHER ESTABLISHMENTS WHERE UNHEALTHY FOOD IS SOLD. - ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES. INDIVIDUAL HEALTH AND WELL-BEING ARE INSEPARABLE FROM INDIVIDUAL MENTAL AND EMOTIONAL OUTLOOK. COPING WITH DAILY LIFE STRESSORS IS CHALLENGING FOR MANY PEOPLE, ESPECIALLY WHEN OTHER SOCIAL, FAMILIAL AND ECONOMIC CHALLENGES ALSO OCCUR. ADEQUATE ACCESS TO MENTAL, BEHAVIORAL AND SUBSTANCE ABUSE SERVICES HELPS COMMUNITY MEMBERS TO OBTAIN ADDITIONAL SUPPORT WHEN NEEDED. - ACCESS TO BASIC NEEDS, SUCH AS HOUSING AND EMPLOYMENT. ACCESS TO AFFORDABLE AND CLEAN HOUSING, STABLE EMPLOYMENT, QUALITY EDUCATION, AND ADEQUATE FOOD FOR HEALTH MAINTENANCE ARE VITAL FOR SURVIVAL. MASLOW'S HIERARCHY OF NEEDS SAYS THAT ONLY WHEN MEMBERS OF A SOCIETY HAVE THEIR BASIC PHYSIOLOGICAL AND SAFETY NEEDS MET CAN THEY THEN BECOME ENGAGED MEMBERS OF SOCIETY AND SELF-ACTUALIZE OR LIVE TO THEIR FULLEST POTENTIAL, INCLUDING THEIR HEALTH. - ACCESS TO TRANSPORTATION AND MOBILITY. HAVING ACCESS TO TRANSPORTATION SERVICES TO SUPPORT INDIVIDUAL MOBILITY IS A NECESSITY OF DAILY LIFE. WITHOUT TRANSPORTATION, INDIVIDUALS STRUGGLE TO ATTAIN THEIR BASIC NEEDS, INCLUDING THOSE THAT PROMOTE AND SUPPORT A HEALTHY LIFE. 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. EDEN 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: - HEALTH EDUCATION AND HEALTH LITERACY - SAFE AND VIOLENCE FREE ENVIRONMENT - ACCESS TO SPECIALTY CARE EDEN MEDICAL CENTER DOES NOT HAVE THE RESOURCES AND/OR EXPERTISE TO RESPOND TO THESE COMMUNITY NEEDS AT THIS TIME. THE MEDICAL CENTER IS A COLLABORATIVE PARTNER TO NUMEROUS COMMUNITY ORGANIZATIONS AND ON OCCASION WILL SPONSOR PROGRAMS AND INITIATIVES THAT ADDRESS THE NEEDS LISTED ABOVE. HOWEVER, THESE NEEDS WILL NOT BE THE AREA OF FOCUS FOR 2016-2018. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: EDEN MEDICAL CENTER (FACILITY #6): 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 EDEN MEDICAL CENTER (FACILITY #6): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: EDEN MEDICAL CENTER (FACILITY #6): 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
REPORTING FACILITY: #7, SUTTER SANTA ROSA REGIONAL HOSPITALSCHEDULE 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, LINE 5 SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #7): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER SANTA ROSA REGIONAL HOSPITAL, A FACILITY OF SUTTER BAY 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 AND LEADERS THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INDIVIDUALS IDENTIFIED BY THE SONOMA COUNTY (SC) CHNA COLLABORATIVE AS HAVING VALUABLE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE INTERVIEWED. INTERVIEWEES INCLUDED REPRESENTATIVES FROM THE LOCAL PUBLIC HEALTH DEPARTMENT, AS WELL AS MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, CHRONICALLY DISEASED, AND MINORITY POPULATIONS. OTHER INDIVIDUALS FROM VARIOUS SECTORS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE ALSO CONSULTED. A TOTAL OF 21 KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING THIS NEEDS ASSESSMENT. FOR A COMPLETE LIST OF INDIVIDUALS WHO PROVIDED INPUT, SEE APPENDIX C OF THE CHNA. ADDITIONALLY, FIVE FOCUS GROUPS WERE CONDUCTED THROUGHOUT SONOMA COUNTY, REACHING 64 RESIDENTS. THESE GROUPS WERE INTENTIONALLY SAMPLED TO REACH RESIDENTS IN SPECIFIC GEOGRAPHIC REGIONS IDENTIFIED AS AREAS OF HIGH CONCERN IN THE PORTRAIT OF SONOMA COUNTY REPORT. THESE SUBPOPULATIONS INCLUDED RESIDENTS IN PETALUMA, THE BOYES HOT SPRINGS IN SONOMA VALLEY, CLOVERDALE, ROSELAND IN SOUTHWEST SANTA ROSA, AND THE RUSSIAN RIVER AREA. FOCUS GROUPS WERE MONOLINGUAL, AND THE LANGUAGE OF FACILITATION WAS SELECTED TO ENCOURAGE PARTICIPATION FROM THE TARGET POPULATION FOR EACH CONVERSATION. THE SC CHNA COLLABORATIVE WORKED CLOSELY WITH COMMUNITY ORGANIZATIONS TO ENSURE THAT THE LOCATION AND LANGUAGE OF FACILITATION SELECTED WAS APPROPRIATE AND CONVENIENT FOR RESIDENTS IN EACH COMMUNITY. GROUPS IN CLOVERDALE AND THE BOYES HOT SPRINGS IN SONOMA VALLEY WERE CONDUCTED IN SPANISH; ALL OTHERS WERE CONDUCTED IN ENGLISH. THE FINDINGS FROM KEY INFORMANT INTERVIEWS, SURVEY, AND FOCUS GROUPS IN SUTTER SANTA ROSA REGIONAL HOSPITAL'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 6A & 6B SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #7): THE SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES (DHS), ALONG WITH KFH-SANTA ROSA, ST. JOSEPH HEALTH-SONOMA COUNTY, AND SUTTER HEALTH, SONOMA COUNTY, FORM THE SC CHNA COLLABORATIVE, WHICH WORKED TOGETHER WITH PARTNERS AT HEALDSBURG DISTRICT HOSPITAL, PALM DRIVE HOSPITAL, AND SONOMA VALLEY HOSPITAL ON THE 2016 CHNA PROCESS. SCHEDULE H, PART V, LINES 7A, 7B, 10A CHNA AVAILABILITY ONLINE: SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #7): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.SUTTERSANTAROSA.ORG/RELATIONS/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #7): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER SANTA ROSA REGIONAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ECONOMIC AND HOUSING INSECURITY 2. ACCESS TO HEALTH CARE 3. OBESITY AND DIABETES 4. ACCESS TO EDUCATION 5. 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 SANTA ROSA REGIONAL 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: - EARLY CHILDHOOD DEVELOPMENT-THE PRIMARY ISSUE WITHIN THIS IDENTIFIED PRIORITY IS ADVERSE CHILDHOOD EXPERIENCE, OR ACES. SSRRH DOES NOT HAVE ANY EXPERTISE OR STRATEGIC ACTIVITY IN THIS AREA. THERE ARE MANY ROBUST PROGRAMS AND AGENCIES COUNTY-WIDE THAT ARE ADDRESSING THESE ISSUES AND WE WILL CONSIDER SMALL REQUESTS FOR SUPPORT. - MENTAL HEALTH-THOUGH A SIGNIFICANT ISSUE IN OUR COMMUNITY, IT IS NOT WITHIN THE SCOPE OF THE HOSPITALS SERVICES TO PROVIDE MENTAL HEALTH PROGRAMS NOR DO WE HAVE THIS EXPERTISE. THOUGH NOT A MAJOR PRIORITY FOR SSRRH, WE HAVE AND WILL CONTINUE TO RESPOND TO MODEST REQUESTS FOR FUNDING TO SUPPORT PROGRAMS THAT ADDRESS THESE ISSUES. - SUBSTANCE ABUSE- THOUGH A SIGNIFICANT ISSUE IN OUR COMMUNITY, IT IS NOT WITHIN THE SCOPE OF THE HOSPITALS SERVICES TO PROVIDE SUBSTANCE ABUSE TREATMENT OR PREVENTION PROGRAMS NOR DO WE HAVE THIS EXPERTISE. THOUGH NOT A MAJOR PRIORITY FOR SSRRH, WE HAVE AND WILL CONTINUE TO RESPOND TO MODEST REQUESTS FOR FUNDING TO SUPPORT PROGRAMS THAT ADDRESS THESE ISSUES. - VIOLENCE AND UNINTENTIONAL INJURY-THERE ARE SEVERAL PROGRAMS IN THE COMMUNITY THAT ARE WORKING, SEPARATELY AND COLLABORATIVELY TO ADDRESS THIS ISSUE, PARTICULARLY IN THE AREAS OF DOMESTIC AND GANG VIOLENCE. THOUGH NOT A MAJOR PRIORITY FOR SSRRH, WE HAVE AND WILL CONTINUE TO RESPOND TO MODEST REQUESTS FOR FUNDING TO SUPPORT PROGRAMS THAT ADDRESS THESE ISSUES. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #7): 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 SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #7): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #7): MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS 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 SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #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. RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
REPORTING FACILITY #9, NOVATO COMMUNITY HOSPITALSCHEDULE 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, LINE 5 NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #9): IN CONDUCTING ITS MOST RECENT CHNA, NOVATO COMMUNITY HOSPITAL, A FACILITY OF SUTTER BAY 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 AND LEADERS THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INDIVIDUALS IDENTIFIED BY THE MARIN COUNTY CHNA COLLABORATIVE AS HAVING VALUABLE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE INTERVIEWED. INTERVIEWEES INCLUDED REPRESENTATIVES FROM THE LOCAL PUBLIC HEALTH DEPARTMENT AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. OTHER INDIVIDUALS FROM VARIOUS SECTORS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE ALSO CONSULTED. A TOTAL OF 20 KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING THIS NEEDS ASSESSMENT. FOR A COMPLETE LIST OF INDIVIDUALS WHO PROVIDED INPUT, SEE APPENDIX C OF THE CHNA. ADDITIONALLY, EIGHT FOCUS GROUPS WERE CONDUCTED THROUGHOUT MARIN COUNTY. THESE GROUPS WERE INTENTIONALLY SAMPLED TO REACH SPECIFIC SUBPOPULATIONS OF THE COUNTY THAT WERE IDENTIFIED AS HIGH-RISK POPULATIONS BY THE MARIN COUNTY CHNA COLLABORATIVE. THESE SUBPOPULATIONS INCLUDED YOUTH, ADULTS IN RECOVERY FROM SUBSTANCE ABUSE, INDIVIDUALS EXPERIENCING HOMELESSNESS, AND RESIDENTS IN MARIN CITY, NOVATO, SAN GERONIMO, CANAL, AND WEST MARIN. FOCUS GROUPS WERE MONOLINGUAL, CONDUCTED IN EITHER ENGLISH OR SPANISH. COMMUNITY PARTNERS PROVIDED INVALUABLE ASSISTANCE IN RECRUITING AND ENROLLING FOCUS GROUP PARTICIPANTS. MANY INDIVIDUALS WHO PARTICIPATED IN FOCUS GROUPS IDENTIFIED AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, CHRONICALLY DISEASED, AND MINORITY POPULATIONS. FOR MORE INFORMATION ABOUT SPECIFIC POPULATIONS REACHED IN FOCUS GROUPS, SEE APPENDIX C OF THE CHNA. ADDITIONAL DETAILS ON KEY INFORMANTS, COLLABORATIVE PARTNERS AND FOCUS GROUPS CAN BE FOUND IN NOVATO COMMUNITY HOSPITAL'S CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 6A & 6B NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #9): PARTNER HOSPITALS HAVE WORKED CLOSELY TOGETHER THROUGHOUT THE CHNA PROCESS TO ENSURE THE CHNA COMPLIED WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT AND INCLUDED DATA ON WHICH TO BUILD EFFECTIVE IMPLEMENTATION STRATEGIES. MEMBERS OF THE MARIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVE INCLUDE: HEALTHY MARIN PARTNERSHIP - TERI ROCKAS, PROJECT MANAGER HEALTH EDUCATION & PROMOTION, MEMBER OUTREACH, KAISER PERMANENTE MARIN GENERAL HOSPITAL - JAMIE MAITES, DIRECTOR OF COMMUNICATIONS KAISER PERMANENTE-SAN RAFAEL - CARL CAMPBELL, PUBLIC AFFAIRS DIRECTOR - JEANNIE DULBERG, COMMUNITY BENEFIT MANAGER - MOLLY BERGSTROM, COMMUNITY BENEFIT MANAGER NOVATO COMMUNITY HOSPITAL - MARY STREBIG APR, MANAGER, COMMUNITY RELATIONS, COMMUNITY BENEFIT, & COMMUNICATIONS MARIN COUNTY HEALTH & HUMAN SERVICES - ROCHELLE EREMAN, MS, MPH, COMMUNITY EPIDEMIOLOGY PROGRAM CHIEF - KATHY KOBLICK, MPH, PUBLIC HEALTH DIVISION DIRECTOR CONSULTANTS - HARDER+COMPANY COMMUNITY RESEARCH WAS INSTRUMENTAL IN SUPPORTING THE COMMUNITY HEALTH NEED PRIORITIZATION PROCESS BY PRESENTING EXTENSIVE DATA IN A USEFUL WAY AND FACILITATING A MEANINGFUL CONVERSATION THAT RESULTED IN ESTABLISHMENT OF COMMUNITY PRIORITIES ON WHICH FUTURE DECISIONS CAN BE BASED. SCHEDULE H, PART V, LINES 7A, 7B, 10A CHNA AVAILABILITY ONLINE: NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #9): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #9): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT NOVATO COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO HEALTH CARE: WITH THE IMPLEMENTATION OF THE ACA, MANY ADULTS IN MARIN COUNTY ARE ABLE TO OBTAIN INSURANCE COVERAGE AND ACCESS REGULAR HEALTH CARE. WHILE MARIN COUNTY SCORES BETTER THAN THE CALIFORNIA STATE AVERAGE ON MANY INDICATORS MEASURING HEALTH CARE ACCESS, THE COUNTY CONTINUES TO WORK TOWARDS PROVIDING AFFORDABLE AND CULTURALLY COMPETENT CARE FOR ALL RESIDENTS. LOWER-INCOME RESIDENTS FACE THE GREATEST CHALLENGES; MANY PROVIDERS THAT SEE LOW-INCOME PATIENTS ARE AT CAPACITY, AND PUBLIC INSURANCE IS NOT ACCEPTED BY MANY PHYSICIANS IN THE COUNTY. IN ADDITION TO BARRIERS IN OBTAINING AFFORDABLE CARE, MARIN RESIDENTS HAVE NOTABLY LOW UTILIZATION RATES FOR CHILDHOOD VACCINATIONS COMPARED TO CALIFORNIA AS A WHOLE. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF NOVATO COMMUNITY HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. NOVATO 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: - OBESITY AND DIABETES: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - EDUCATION: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - ECONOMIC AND HOUSING INSECURITY: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - MENTAL HEALTH: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - SUBSTANCE ABUSE: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - ORAL HEALTH: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - VIOLENCE AND UNINTENTIONAL INJURY: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED SCHEDULE H, PART V, LINE 15E NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #9): 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 NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #9): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #9): 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 NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #9): 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
REPORTING FACILITY: #10, SUTTER LAKESIDE HOSPITALSCHEDULE 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, LINE 5 SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #10): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER LAKESIDE HOSPITAL, A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE COMMUNITY INPUT-USING A WIDELY DISTRIBUTED SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS-SOLICITED OPINIONS ABOUT HEALTH CONCERNS AND SUGGESTIONS FOR IMPROVEMENT, AND VALIDATED AND ENRICHED THE STATISTICAL DATA. A SURVEY WAS DEVELOPED IN ENGLISH AND SPANISH THAT SOLICITED PEOPLE'S OPINIONS ABOUT MOST-IMPORTANT HEALTH NEEDS, BARRIERS TO ACCESS, AND SUGGESTIONS FOR COMMUNITY HEALTH IMPROVEMENTS. CERTAIN QUESTIONS THAT SERVE AS MARKERS FOR ACCESS TO SERVICES WERE ALSO INCLUDED. THE SURVEY WAS DISTRIBUTED IN HARD COPY BY MEMBERS OF THE COLLABORATIVE TO LOCATIONS WHERE THE GROUPS OF INTEREST WOULD BEST BE REACHED, SUCH AS AT BRANCHES OF PUBLIC LIBRARIES, LAUNDROMATS, CHURCHES, NAIL SALONS, AND FAMILY RESOURCE CENTERS THROUGHOUT THE COUNTY, AS WELL AS PROMOTED THROUGH EFFORTS SUCH AS AT THE 2-DAY VALLEY FIRE "REBUILD EXPO" IN MIDDLETOWN AND OVER THE AIR ON KPFZ'S "SENIOR MOMENTS" SHOW. THE SURVEY WAS ALSO AVAILABLE BY ONLINE (ENGLISH ONLY) AND NOTICES ABOUT THE ELECTRONIC VERSION WERE POSTED ON THE COUNTY'S AND VARIOUS ORGANIZATIONS' WEBSITES AND IN NEWSLETTERS. ALL OF THE ELECTRONIC AND HARD-COPY SURVEY DATA WERE CLEANED, CODED, AND ENTERED INTO AN EXCEL SPREADSHEET AND ANALYZED USING SPSS VERSION 20.0. THREE COMMUNITIES-CLEARLAKE, LAKEPORT AND KELSEYVILLE-ENSURED GEOGRAPHIC REPRESENTATION AT THE 6 COMMUNITY FOCUS GROUPS THAT WERE CONDUCTED. KEY COMMUNITY-BASED ORGANIZATIONS AND SOCIAL CLUBS WERE IDENTIFIED BY THE COLLABORATIVE AND INVITED TO HOST A FOCUS GROUP. IN EACH CASE, THE FOCUS GROUPS WERE CO-SCHEDULED DURING A TIME THE PARTICIPANTS WERE ALREADY MEETING THERE FOR OTHER PURPOSES (E.G., YOUNG MOTHERS ATTENDING A MOTHER-WISE PARENTING MEETING) TO FACILITATE ACCESS AND PROMOTE ATTENDANCE. ALTHOUGH THE PARTICIPANTS CONSTITUTED A CONVENIENCE SAMPLE, THERE WAS THE EXPECTATION THAT IN THE AGGREGATE THE GROUPS WOULD BE DIVERSE AND INCLUDE THE POPULATIONS OF HIGHEST INTEREST. A COMMON SET OF STRUCTURED KEY QUESTIONS WAS USED FOR ALL GROUPS. THE QUESTIONS WERE GENERALLY OPEN-ENDED; PROMPTING WITH INFORMATION OR DATA WAS LIMITED TO REDUCE THE POTENTIAL FOR BIAS OR LEADING OF PARTICIPANTS TO ANY CONCLUSIONS. PARTICIPANTS WERE NOT ASKED TO "VOTEOTHERWISE RANK THE ITEMS THEY IDENTIFIED AS NEEDS, PROBLEMS OR SOLUTIONS. THE FOCUS GROUP DATA WERE RECORDED ON A FLIP CHART OR NOTEBOOK BY THE FACILITATOR DURING THE MEETINGS THEN TRANSFERRED TO WRITTEN SUMMARY FORMATS WHERE THE NOTES WERE THEN CODED FOR ANALYSIS. A $20 SAFEWAY GIFT CARD WAS OFFERED IN MOST GROUPS IN APPRECIATION FOR PARTICIPATION. THE AGENCIES AND ORGANIZATIONS THAT SPONSORED THE COMMUNITY MEETINGS HELPED TO PUBLICIZE THE SESSIONS AND PROMOTE ATTENDANCE. TELEPHONE INTERVIEWS USING A STRUCTURED SET OF QUESTIONS (WITH ADDITIONAL, PERSONALIZED QUESTIONS TO OBTAIN MORE IN-DEPTH INFORMATION) WERE CONDUCTED WITH 12 OF THE 16 INVITED INDIVIDUALS WHO AGREED TO PARTICIPATE IN A KEY INFORMANT INTERVIEW. THE INTERVIEWS PROVIDED AN INFORMED PERSPECTIVE FROM THOSE WHO WORK DIRECTLY WITH THE PUBLIC AND/OR DETERMINE SOME OF THE POLICIES THAT AFFECT THE COMMUNITY'S HEALTH. THESE INDIVIDUALS WERE ABLE TO OFFER INFORMATION ABOUT LOCAL RESOURCES AND GAPS IN SERVICES, HIGH-PRIORITY HEALTH NEEDS, AND SUGGESTIONS FOR POSITIVE CHANGE. THE INTERVIEWS ALSO FOCUSED THE NEEDS ASSESSMENT ON PARTICULAR ISSUES OF CONCERN WHERE INDIVIDUALS WITH CERTAIN EXPERTISE COULD CONFIRM OR DISPUTE PATTERNS IN THE DATA AND IDENTIFY DATA AND OTHER STUDIES THE COLLABORATIVE MIGHT NOT OTHERWISE BE AWARE OF. THE FINDINGS FROM KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEY IN SUTTER LAKESIDE HOSPITAL'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 6A SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #10): THE COLLABORATIVE INCLUDED THE TWO LAKE COUNTY HOSPITALS, ST. HELENA CLEAR LAKE AND SUTTER LAKESIDE. SCHEDULE H, PART V, LINES 7A, 7B, 10A CHNA AVAILABILITY ONLINE: SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #10): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.SUTTERLAKESIDE.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 SUTTER LAKESIDE HOSPITALS (HOSPITAL FACILITY #10): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AS NEEDS THAT SUTTER LAKESIDE HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO HEALTHCARE SERVICES 2. COMMUNITY HEALTH EDUCATION 3. ALCOHOL AND DRUG ABUSE PREVENTION 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 LAKESIDE 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: - HOUSING AND HOMELESSNESS SUTTER LAKESIDE HOSPITAL WILL LOOK TO SUPPORT HOUSING AND HOMELESSNESS INITIATIVES AS OPPORTUNITIES ARISE WITH OUR COMMUNITY PARTNERS. HOWEVER, HOUSING AND HOMELESSNESS WILL NOT BE ONE OF SUTTER LAKESIDE'S PRIMARY FOCUSES. - MENTAL HEALTH WHILE SUTTER LAKESIDE SUPPORTS ORGANIZATIONS THAT ADDRESS THE STATE OF MENTAL HEALTH IN LAKE COUNTY, MENTAL HEALTH WILL NOT BE ONE OF SUTTER LAKESIDE'S PRIMARY FOCUSES. SCHEDULE H, PART V, LINE 15E SUTTER LAKESIDE HOSPITALS (HOSPITAL FACILITY #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 LAKESIDE HOSPITAL (HOSPITAL FACILITY #10): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J SUTTER LAKESIDE HOSPITALS (HOSPITAL FACILITY #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, LINE 22D SUTTER LAKESIDE HOSPITALS (HOSPITAL FACILITY #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.
FieldValueIRS element (for citing)
Facility26FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CALIFORNIA CAMPUS - ALZHEIMERS RES CARE
3773 SACRAMENTO STREETSAN FRANCISCOCA94118SKILLED NURSING FACILITY
CPMC - BREAST HEALTH CENTER
3698 CALIFORNIA STREETSAN FRANCISCOCA94118OUTPATIENT SERVICES - MAMMOGRAPHY
SUTTER LAKESIDE FAMILY MEDICAL CLINIC
5176 HILL ROAD EASTLAKEPORTCA95453RURAL HEALTH CLINIC
SAN FRANCISCO ENDOSCOPY CENTER
3468 CALIFORNIA STSAN FRANCISCOCA94118OUTPATIENT SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2100 WEBSTER STREET SUITE 103SAN FRANCISCOCA94115RAD/LAB/ULTRASOUND SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
3838 CALIFORNIA STREET SUITE 106SAN FRANCISCOCA94115OUTPATIENT SERVICES - LABORATORY/IMAGING
CPMC PACIFIC CAMPUS - STANFORD BUILDING
2351 CLAY STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES - AMBULATORY SURGERY & CANCER
CPMC PACIFIC CAMPUS - ANNEX BUILDING
2340 CLAY STREET SUITE 114ASAN FRANCISCOCA94115OUTPATIENT SERVICES - HEART TRANSPLANT CLINIC
CPMC PACIFIC CAMPUS - ANNEX BUILDING
2340 CLAY STREET 4TH FLOORSAN FRANCISCOCA94115OUTPATIENT SERVICES - LIVER, PANCREAS, KIDNEY TRANSPLANT CLINIC
CPMC PACIFIC CAMPUS - ANNEX BUILDING
2340 CLAY STREET 5TH FLOORSAN FRANCISCOCA94115OUTPATIENT SERVICES - OPTHAMOLOGY CLINIC
100 ROWLAND WAY CARE CENTER
100 ROWLAND WAYNOVATOCA94945OUTPATIENT SERVICES
DIAGNOSTIC CENTER
165 ROWLAND WAYNOVATOCA94945OUTPATIENT SERVICES - LABORATORY
CPMC PACIFIC CAMPUS - STANFORD BUILDING
2351 CLAY STREET SUITE 600SAN FRANCISCOCA94115OUTPATIENT SERVICES - IES
CALIFORNIA PACIFIC MEDICAL CENTER
2360 CLAY STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES - PT, OT & CARDIAC REHAB
IMAGING SERVICES
1375 SUTTER STREETSAN FRANCISCOCA94119OUTPATIENT SERVICES
KALMANOVITZ CHILD DEVELOPMENT CENTER
1580 VALENCIA STREET SUITE 701SAN FRANCISCOCA94110OUTPATIENT SERVICES - CHILD DEVELOPMENT
KALMANOVITZ CHILD DEVELOPMENT CENTER
1625 VAN NESSSAN FRANCISCOCA94109OUTPATIENT SERVICES - CHILD DEVELOPMENT
SAN MATEO SATELLITE HAND THERAPY CLINIC
101 NORTH EL CAMINOSAN MATEOCA94401OUTPATIENT SERVICES - HAND THERAPY
TERRA LINDA HEALTH PLAZA
4000 CIVIC CENTER DRIVESAN RAFAELCA94903OUTPATIENT SERVICES
PRESIDIO SURGERY CENTER
1635 DIVISADERO STREET SUITE 200SAN FRANCISCOCA94115OUTPATIENT SERVICES
MILLS-PENINSULA SKILLED NURSING FACILITY
1609 TROUSDALE DRIVEBURLINGAMECA94010SKILLED NURSING FACILITY
FITNESS AND THERAPY CENTER
1875 TROUSDALE DRIVEBURLINGAMECA94010CARDIAC rehabilitation, PHYSICAL AND OCCUPATIONAL THERAPY
REHABILITATION SERVICES
14207 E 14TH STREETSAN LEANDROCA94578OUTPATIENT REHAB SERVICES
SAN LEANDRO SURGERY CENTER
15035 EAST 14TH STREETSAN LEANDROCA94578OUTPATIENT SERVICES
MENTAL HEALTH CENTER
2323 SACRAMENTO STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES
CPMC PACIFIC CAMPUS - INSTIT OF HEALTH
2300 CALIFORNIA STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINES 3A & 3CFINANCIAL 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 PATIENTS FAMILY INCOME. SCHEDULE H, PART I, LINE 3B SUTTER BAY HOSPITALS IS COMMITTED TO PROVIDING CHARITY CARE AND THEREFORE, PROVIDES FREE CARE AT HIGH PERCENTAGE OF FPG. THE ORGANIZATION DOES NOT PROVIDE DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.
SCHEDULE H, PART I, LINE 7GCALIFORNIA PACIFIC MEDICAL CENTER: THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $10,498,923.
SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES: CALIFORNIA PACIFIC MEDICAL CENTER CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. BUILDING THE SAN FRANCISCO WORKFORCE, ESPECIALLY CREATING OPPORTUNITIES FOR YOUTH, IS A MAJOR FOCUS FOR CPMC. IN 2017, CPMC PROVIDED WORK-READINESS TRAINING AND CAREER EXPLORATION EXPERIENCES TO INDIVIDUALS THROUGH ITS COMMUNITY WORKFORCE PROGRAMS. THESE PARTNERSHIPS HELP EDUCATE AND INSPIRE UNDERSERVED YOUTH TO PURSUE HEALTH CAREERS. THEY INCLUDE: GALILEO HEALTH ACADEMY OFFERS TWO 12-WEEK SPEAKER SERIES THAT TAKES PLACE IN THE SPRING AND FALL OF THE ACADEMIC YEAR FOR HIGH SCHOOL JUNIORS. TWICE A WEEK, CPMC EMPLOYEES PROVIDE LECTURES, DEMONSTRATIONS, TOURS AND ACTIVITIES TO ENHANCE STUDENTS' UNDERSTANDING OF THE COMPLEXITIES AND OPPORTUNITIES IN A MODERN, COMPREHENSIVE ACUTE CARE MEDICAL CENTER. CPMC ALSO PROVIDES SIX-WEEK SUMMER INTERNSHIPS FOR GALILEO STUDENTS TO GAIN EXPERIENCE WORKING IN A HOSPITAL ENVIRONMENT. CPMC CONTRIBUTES TO IMMACULATE CONCEPTION ACADEMY WORK STUDY PROGRAM, WHICH PROVIDES A COLLEGE PREPARATORY EDUCATION WITH MEANINGFUL WORK STUDY EXPERIENCE TO STUDENTS COMING FROM FAMILIES WITH LIMITED FINANCIAL MEANS. CPMC'S CHILD DEVELOPMENT CENTER IS PART OF THE FIRST 5 CALIFORNIA COALITIONS. FIRST 5 CALIFORNIA REPRESENTS AN IMPORTANT PART OF OUR STATE'S EFFORT TO NURTURE AND PROTECT OUR MOST PRECIOUS RESOURCE - OUR CHILDREN. FIRST 5 CALIFORNIA'S SERVICES AND SUPPORT ARE DESIGNED TO ENSURE THAT MORE CHILDREN ARE BORN HEALTHY AND REACH THEIR FULL POTENTIAL. THE NATIONAL COUNCIL ON AGING SENIOR COMMUNITY SERVICE PROGRAM: CREATED IN 1965, SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM IS THE NATION'S OLDEST PROGRAM TO HELP LOW INCOME, UNEMPLOYED INDIVIDUALS AGED 55+ FIND WORK. A CPMC EMPLOYEE SPENDS TIME SUPPORTING TWO PROGRAM PARTICIPANTS. MERITUS COLLEGE FUND HELPS LOW-INCOME SAN FRANCISCO YOUTH COMPLETE A COLLEGE DEGREE AND PREPARE FOR POST-COLLEGE SUCCESS THROUGH A COMBINATION OF SCHOLARSHIPS, COACHING AND CAREER MENTORSHIP. INTERNSHIPS AT CPMC EXPOSE STUDENTS TO A RANGE OF EXPERIENCES LEADING TO INFORMED DECISION-MAKING ABOUT POST COLLEGE OPPORTUNITIES. CPMC'S COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE SUPPORTING LEADERSHIP AND CIVIC DEVELOPMENT TRAINING AND COALITION BUILDING ACTIVITIES THROUGH SPONSORSHIPS AND MEMBERSHIPS. MILLS PENINSULA MEDICAL CENTER MILLS PENINSULA MEDICAL CENTER AND MILLS HEALTH CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2017. SUTTER MATERNITY & SURGERY CENTER FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. THE ENVIRONMENTAL AWARENESS PROGRAM AT SUTTER MATERNITY & SURGERY CENTER FOCUSES ON REDUCTION OF COMMUNITY ENVIRONMENTAL HAZARDS ALONG WITH THE SHARING IN HEALTH CARE FACILITY ENVIRONMENTAL RESPONSIBILITY, WHICH INCLUDES WASTE REDUCTION, GREEN PURCHASING AND OTHER ECOLOGY INITIATIVES. EDEN MEDICAL CENTER EDEN MEDICAL CENTER FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. YOUTH BRIDGE IS A YEAR-ROUND CAREER DEVELOPMENT PROGRAM FOR STUDENTS FROM 6TH GRADE THROUGH COLLEGE THAT EMPOWER AT-RISK EAST BAY YOUTH TO COMPLETE HIGH SCHOOL, GAIN MEANINGFUL EMPLOYMENT EXPERIENCE, LEARN ABOUT HEALTH-RELATED CAREERS AND PURSUE FURTHER ACADEMIC AND VOCATIONAL EDUCATION. YOUTH BRIDGE HAS SERVED MORE THAN 1,200 EAST BAY YOUTH SINCE ITS INCEPTION 26 YEARS AGO, WITH THE GOAL OF ENCOURAGING AND SUPPORTING THESE CHILDREN IN THEIR TRANSITION FROM ADOLESCENCE TO ADULTHOOD. EDEN MEDICAL CENTER PROVIDES FUNDING TO COMMUNITY SUPPORT GROUPS. SUTTER SANTA ROSA REGIONAL HOSPITAL SUTTER SANTA ROSA REGIONAL HOSPITAL FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. SUTTER SANTA ROSA REGIONAL HOSPITAL EMPLOYEES PARTICIPATE ON THE HEALTH ACTION COMMITTEE. SONOMA COUNTY DEVELOPED THIS MULTI-PRONGED APPROACH TO BECOMING THE "HEALTHIEST COUNTY IN CALIFORNIA" BY 2020 THAT INVOLVES LEADERS FROM ACROSS HEALTHCARE, COMMUNITY-BASED ORGANIZATIONS AND INDUSTRY TO WORK TOGETHER TO IMPROVE HEALTH AND QUALITY OF LIFE FOR ALL. THE HOSPITAL ALSO PROVIDES MONETARY SUPPORT FOR THE SONOMA HEALTH ALLIANCE AND PARTICIPATES IN THE HEALTHCARE WORKFORCE DEVELOPMENT ROUNDTABLE. NOVATO COMMUNITY HOSPITAL NOVATO COMMUNITY HOSPITAL FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. NOVATO COMMUNITY HOSPITAL SUPPORTS LEADERSHIP DEVELOPMENT FOR COMMUNITY MEMBERS THROUGH THE NOVATO CHAMBER OF COMMERCE, AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY THROUGH THE HEALTHY MARIN PARTNERSHIP. SUTTER LAKESIDE HOSPITAL SUTTER LAKESIDE HOSPITAL FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. SUTTER LAKESIDE HOSPITAL SUPPORTS WORKFORCE DEVELOPMENT THROUGH VOLUNTEER PROGRAM ADMINSTRATION.
SCHEDULE H, PART III, LINE 2METHODOLOGY FOR CALCULATING BAD DEBT (AT COST): THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.
SCHEDULE H, PART III, LINE 3METHODOLOGY FOR DETERMINING THE AMOUNT OF BAD DEBT LIKELY ATTRIBUTABLE TO CHARITY CARE: AMOUNTS MAY BE INCLUDED IN BAD DEBT PENDING A CHARITY CARE DETERMINATION. UPON ELIGIBILITY THESE AMOUNTS WOULD BE RECLASSIFIED AS CHARITY CARE.
SCHEDULE H, PART III, LINE 4AUDIT FOOTNOTE 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. PROVISION FOR BAD DEBTS IS LISTED ON A SEPARATE LINE ITEM IN THE FINANCIAL STATEMENTS. THE AUDIT DOES INCLUDE A FOOTNOTE FOR PATIENT SERVICE REVENUES LESS PROVISION FOR BAD DEBTS. PATIENT SERVICE REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD-PARTY PAYERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT PROGRAMS WITH THIRD-PARTY PAYERS. ESTIMATED SETTLEMENTS UNDER THIRD-PARTY REIMBURSEMENT PROGRAMS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, PRIMARILY AS A RESULT OF FINAL COST REPORT SETTLEMENTS WITH GOVERNMENTAL AGENCIES. PATIENT SERVICE REVENUES LESS PROVISION FOR BAD DEBTS ARE REPORTED NET OF THE PROVISION FOR BAD DEBTS ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. SUTTER'S SELF-PAY WRITE-OFFS WERE $189 MILLION AND $204 MILLION FOR 2017 AND 2016, RESPECTIVELY.
SCHEDULE H, PART III, LINE 7MEDICARE 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 8COSTING 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 9BDEBT 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 2NEEDS ASSESSMENT: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MILLS HEALTH CENTER (REPORTING GROUP B): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 - 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MENLO PARK SURGICAL HOSPITAL (REPORTING GROUP B): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER MATERNITY & SURGERY CENTER (REPORTING GROUP B): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. EDEN 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 SANTA ROSA REGIONAL HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. NOVATO 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 LAKESIDE HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED.
SCHEDULE H, PART VI, LINE 3PATIENT 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. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY 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 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 PROVIDED 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 4COMMUNITY INFORMATION: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): THE HOSPITAL SERVICE AREA FOR CALIFORNIA PACIFIC MEDICAL CENTER INCLUDES ALL POPULATIONS RESIDING IN THE CITY AND COUNTY OF SAN FRANCISCO. THERE ARE 13 HOSPITALS IN SAN FRANCISCO COUNTY. SAN FRANCISCO IS THE CULTURAL AND COMMERCIAL CENTER OF THE BAY AREA AND IS THE ONLY CONSOLIDATED CITY AND COUNTY JURISDICTION IN CALIFORNIA. AT ROUGHLY 47 SQUARE MILES, IT IS THE SMALLEST COUNTY IN THE STATE, BUT IS THE MOST DENSELY POPULATED LARGE CITY IN CALIFORNIA (WITH A POPULATION DENSITY OF 18,187 RESIDENTS PER SQUARE MILE) AND THE SECOND MOST DENSELY POPULATED MAJOR CITY IN THE U.S., AFTER NEW YORK CITY. BETWEEN 2010 AND 2014, THE POPULATION IN SAN FRANCISCO GREW BY 5 PERCENT TO 845,602, OUTPACING POPULATION GROWTH IN CALIFORNIA (3.9 PERCENT). BY 2030, SAN FRANCISCOS POPULATION IS EXPECTED TO TOTAL NEARLY 970,000. THE PROPORTION OF SAN FRANCISCOS POPULATION THAT IS 65 YEARS AND OLDER IS EXPECTED TO INCREASE FROM 13.7 PERCENT IN 2010 TO 19.9 PERCENT IN 2030. THE PROPORTION OF THE POPULATION 75 YEARS AND OLDER WILL INCREASE FROM 6.9 PERCENT TO 9.8 PERCENT. AT THE SAME TIME, IT IS ESTIMATED THAT THE PROPORTION OF WORKING AGE RESIDENTS (25 TO 64 YEARS OLD) WILL DECREASE FROM 63.4 PERCENT IN 2010 TO 57.7 PERCENT IN 2030. THIS SHIFT COULD HAVE IMPLICATIONS FOR THE PROVISION OF SOCIAL SERVICES. IN THE PAST 50 YEARS, THE MOST NOTABLE ETHNIC SHIFTS HAVE BEEN A STEEP INCREASE IN THE ASIAN AND PACIFIC ISLANDER POPULATION AND A DECREASE IN THE BLACK/AFRICAN AMERICAN POPULATION. BY 2030, GROWTH IS EXPECTED IN THE NUMBER OF MULTI-ETHNIC AND LATINO RESIDENTS, WHILE THE NUMBER OF BLACK/AFRICAN AMERICAN RESIDENTS WILL LIKELY CONTINUE TO DROP. THE WHITE POPULATION IS EXPECTED TO CONTINUE TO INCREASE IN NUMBERS, BUT WILL DECREASE AS A PERCENTAGE OF THE TOTAL POPULATION. CURRENTLY, ABOUT ONE THIRD OF SAN FRANCISCOS POPULATION IS FOREIGN BORN AND 23 PERCENT OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAK ENGLISH LESS THAN "VERY WELL." THE MAJORITY OF THE FOREIGN-BORN POPULATION COMES FROM ASIA (64 PERCENT), WHILE 20 PERCENT WERE BORN IN LATIN AMERICA, MAKING CHINESE (MANDARIN, CANTONESE, AND OTHER) (18 PERCENT) AND SPANISH (12 PERCENT) THE MOST COMMON NON-ENGLISH LANGUAGES SPOKEN IN THE CITY. ALTHOUGH SAN FRANCISCO HAS A RELATIVELY SMALL PROPORTION OF HOUSEHOLDS WITH CHILDREN (19 PERCENT) COMPARED TO THE STATE OVERALL (36 PERCENT), THE NUMBER OF SCHOOL-AGED CHILDREN IS PROJECTED TO RISE. AS OF 2013, SAN FRANCISCO WAS HOME TO 58,000 FAMILIES WITH CHILDREN, 29 PERCENT OF WHICH WERE HEADED BY SINGLE PARENTS. THERE WERE APPROXIMATELY 114,000 CHILDREN UNDER THE AGE OF 18. ALTHOUGH THE OVERALL NUMBER OF CHILDREN UNDER 18 DECREASED BY 7 PERCENT IN THE LAST 20 YEARS, THE NUMBER OF SCHOOL-AGED CHILDREN IS PROJECTED TO RISE BY 28 PERCENT BY 2020. FOR A FAMILY OF FOUR, THE FEDERAL POVERTY LEVEL IS $24,250 (2015). ALMOST 1 IN 3 SAN FRANCISCANS (211,000 PEOPLE) LIVE BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. 14 PERCENT OF CHILDREN LIVE IN POVERTY. IN SAN FRANCISCO, THERE IS SIGNIFICANT INEQUALITY IN HOUSEHOLD INCOME BETWEEN RACES: WHITE HOUSEHOLD MEDIAN INCOME IS OVER $100,000, WHILE BLACK/AFRICAN AMERICAN HOUSEHOLD MEDIAN INCOME IS $30,000. THE NEIGHBORHOODS WITH THE GREATEST PROPORTION OF HOUSEHOLDS WITH CHILDREN ARE: SEACLIFF, BAYVIEW HUNTERS POINT, VISITACION VALLEY, OUTER MISSION, EXCELSIOR, TREASURE ISLAND, AND PORTOLA. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE CALIFORNIA PACIFIC MEDICAL CENTER CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP B: MILLS PENINSULA MEDICAL CENTER (MPMC) AND MENLO PARK SURGICAL CENTER (MPSC): THE HOSPITAL SERVICE AREA OF MPMC AND MPSC IS DEFINED AS SAN MATEO COUNTY (SMC). THERE ARE FIVE HOSPITALS IN SAN MATEO COUNTY. SPREADING OVER 744 SQ. MILES, SAN MATEO COUNTY (SMC) IS LOCATED ON THE SAN FRANCISCO PENINSULA. IT CONTAINS 20 CITIES AND TOWNS, AND IS BORDERED BY THE CITY OF SAN FRANCISCO ON THE NORTH, SAN FRANCISCO BAY ON THE EAST, SANTA CLARA COUNTY ON THE SOUTH, AND THE PACIFIC OCEAN ON THE WEST. SMC IS A MIX OF URBAN AND SUBURBAN INDUSTRIAL, SMALL BUSINESS, AND RESIDENTIAL USE. THE COASTAL AREA IS RENOWNED FOR ITS SIGNIFICANT AGRICULTURAL, FISHING, SMALL BUSINESS AND TOURISM. ACCORDING TO THE US CENSUS THE ESTIMATED POPULATION IN 2014 WAS 744,581. THE COUNTYS POPULATION IS AGING AND THE TREND IS EXPECTED TO INCREASE OVER THE NEXT DECADES. LESS THAN ONE QUARTER (24%) OF THE RESIDENTS ARE UNDER THE AGE OF 20, WHILE 35% ARE BETWEEN THE AGES OF 20 AND 44, AND THE REST (41%) OF THE RESIDENTS ARE OVER THE AGE OF 44. THOSE AGED 60 AND OLDER WILL INCREASE FROM 20.0% (IN 2014) TO 30.9%. BY 2050, THE ASIAN/PACIFIC ISLANDER AND HISPANIC SENIORS WILL COMPRISE THE LARGEST PROPORTION OF SENIORS. SMC IS ALSO BECOMING INCREASINGLY DIVERSE. THE US CENSUS ESTIMATES THAT BY 2050, THE WHITE POPULATION WILL DROP FROM 43% TO 22%, THE LATINO POPULATION WILL INCREASE FROM 26% TO 38%, THE ASIAN/PACIFIC ISLANDER POPULATION WILL INCREASE FROM 26% TO 32% AND THE AFRICAN-AMERICAN POPULATION WILL EXPERIENCE A SLIGHT INCREASE FROM 3% TO 4%. CURRENTLY, THE CHILD POPULATION IS MORE DIVERSE THAN THE ADULT POPULATION. ONE IN TEN CHILDREN AGED 18 AND YOUNGER LIVE BELOW THE FEDERAL POVERTY LEVEL (FPL) AND 8% OF ALL SMC INDIVIDUALS LIVE BELOW FPL. ACCORDING TO THE 2014 FAMILY SELF-SUFFICIENCY STANDARD (FSSS), A SINGLE PARENT WITH TWO CHILDREN LIVING IN SMC MUST EARN APPROXIMATELY $97,200 ANNUALLY TO MEET THE FAMILYS BASIC NEEDS THE EQUIVALENT OF FIVE FULL-TIME MINIMUM-WAGE JOBS IN SMC. BETWEEN 2013 AND 2014, THERE WAS A 12% DROP IN THE NUMBER OF UNINSURED CALIFORNIANS AGED 18-64 YEARS OLD ACCORDING TO DATA CITED BY THE CALIFORNIA HEALTHCARE FOUNDATION. THE SAN MATEO COUNTY HEALTH SYSTEM REPORTED THAT AS OF MARCH 2016 (BASED ON 2014 CENSUS DATA) AN ESTIMATED 62,000 COUNTY RESIDENTS HAD ENROLLED IN HEALTH INSURANCE COVERAGE, MADE POSSIBLE BY ACA. HOWEVER, AN ESTIMATE OF 50,000 ADULTS REMAIN UNINSURED IN SMC, APPROXIMATING AN UNINSURED RATE OF 7%. SMC NO LONGER INSURES UNDOCUMENTED IMMIGRANTS BECAUSE THEY ARE ELIGIBLE FOR COVERED CA AND WITHOUT SMCS SUBSIDY THE CARE OFFERED THROUGH COVERED CA IS UNAFFORDABLE FOR MOST UNDOCUMENTED IMMIGRANTS. ACCORDING TO THE 2013 HEALTH & QUALITY OF LIFE SURVEY COMMISSIONED BY THE HCC, THE PERCENTAGE OF ADULTS LIVING BELOW 200% OF THE FEDERAL POVERTY LEVEL IS INCREASING, FROM 13% IN 2001 TO 19% IN 2013. POVERTY IS MORE PREVALENT AMONG ADULTS WHO ARE LESS EDUCATED (THOSE WITH A HIGH SCHOOL DIPLOMA OR LESS), AND WHO ARE LATINO, AFRICAN AMERICAN, YOUNGER (AGED 18-39), AND WHO LIVE IN SOUTH COUNTY. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE MILLS PENINSULA MEDICAL CENTERS CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER MATERNITY & SURGERY SANTA CRUZ (REPORTING GROUP B): BASED ON ANALYSIS OF PATIENT DISCHARGE DATA, SMSCS SERVICE AREA IS CONSIDERED TO BE SANTA CRUZ COUNTY. SANTA CRUZ COUNTY SITS SOUTH OF SAN MATEO COUNTY, WEST OF SANTA CLARA COUNTY, AND NORTH OF MONTEREY COUNTY AND WAS HOME TO APPROXIMATELY 271,804 AND COVERS 445 SQUARE MILES. THERE ARE TWO HOSPITALS IN SANTA CRUZ COUNTY. THE TWO MAJOR CITIES ARE SANTA CRUZ, LOCATED ON THE NORTHERN SIDE OF THE MONTEREY BAY, AND WATSONVILLE, SITUATED IN THE SOUTHERN PART OF THE COUNTY. THE CITY OF SANTA CRUZ, WHICH IS THE COUNTY SEAT, HAD AN ESTIMATED POPULATION OF 63,789 AS OF JANUARY 2015. AS OF JANUARY 2015, THE CITY OF WATSONVILLE HAD AN ESTIMATED POPULATION OF 52,087. THE COUNTY IS 58% WHITE AND 33% LATINO WITH THE REMAINDER OF THE POPULATION COMPRISED OF ASIAN, AFRICAN AMERICAN AND OTHER ETHNIC BACKGROUNDS. THE COUNTY HAS A RELATIVELY MATURE POPULATION WITH 52% OF THE RESIDENTS AGES 35 OR OLDER. MEDIAN FAMILY INCOME WAS $80,788 IN SANTA CRUZ COUNTY IN 2014, HIGHER THAN IN CALIFORNIA ($71,015) AND THE NATION OVERALL ($65,910). THE UNEMPLOYMENT RATE WAS 8.7% FOR THE COUNTY DURING 2014, HIGHER THAN THE STATE OVERALL (7.5%). THE CITY OF WATSONVILLE HAD THE HIGHEST UNEMPLOYMENT RATE AT 11.2% FOR 2014. THE COUNTY OF SANTA CRUZ REPORTED IN 2014 THAT THE FOLLOWING PERCENTAGES BY AGE GROUP LIVED BELOW THE POVERTY LEVEL: 21% UNDER 18 YEARS OF AGE, 17.4% 18 TO 64 YEARS AND 7.4% 65 YEARS AND OVER. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MATERNITY & SURGERY CENTERS CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T EDEN MEDICAL CENTER: EDEN MEDICAL CENTER IS LOCATED IN CASTRO VALLEY, CALIFORNIA, A COMMUNITY LOCATED IN ALAMEDA COUNTY. CASTRO VALLEY IS THE LARGEST UNINCORPORATED COMMUNITY IN ALAMEDA COUNTY, AND THE FIFTH LARGEST IN CALIFORNIA. THE LARGER COMMUNITY SERVED BY SUTTER MEDICAL CENTER, CASTRO VALLEY WAS DEFINED USING ZIP CODE BOUNDARIES. THE HOSPITAL SERVICE AREA (HSA) INCLUDED A GEOGRAPHIC AREA COMPRISED OF 10 ZI
SCHEDULE H, PART VI, LINE 5PROMOTION 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. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC): THE 2016 2018 IMPLEMENTATION STRATEGY FOR CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: CPMCS AFRICAN AMERICAN BREAST HEALTH PROJECT AND SISTER TO SISTER PROGRAMS OFFER WOMEN MAMMOGRAPHY SCREENING AND ALL THE SUBSEQUENT BREAST HEALTH DIAGNOSTIC TESTING AND TREATMENT THEY MAY NEED AT NO COST. PARTNERING ORGANIZATIONS SUCH AS HEALTHRIGHT 360, SAN FRANCISCO FREE CLINIC, CLINIC BY THE BAY, AND THE SAN FRANCISCO CHAPTER OF THE NATIONAL COALITION OF 100 BLACK WOMEN REFER UNINSURED, UNDERINSURED, DISADVANTAGED AND AT-RISK WOMEN FOR MAMMOGRAPHY SERVICES. IN 2017, THE PROGRAM PROVIDED 433 PATIENT VISITS AND 427 MAMMOGRAMS AND OTHER DIAGNOSTIC SCREENINGS. CPMCS BREAST CENTER AT THE ST. LUKES CAMPUS PROMOTES BREAST HEALTH IN UNDERSERVED COMMUNITIES BY PARTNERING WITH NEIGHBORHOOD CLINICS AND COMMUNITY AGENCIES, INCLUDING SOUTHEAST HEALTH CENTER, MISSION NEIGHBORHOOD HEALTH CENTER, AND LATINA BREAST CANCER AGENCY. INCLUDED IN THE METRICS BELOW ARE SERVICES PROVIDED THROUGH CPMCS GRANT TO LATINA BREAST CANCER AGENCY, ONE OF THE PRINCIPLE ORGANIZATIONS REFERRING WOMEN TO THE ST. LUKES BREAST CENTER FOR SERVICES, AS WELL AS A GRANT TO SHANTI PROJECT FOR CARE NAVIGATION SERVICES. IN 2017, 632 PATIENTS RECEIVED NAVIGATION SERVICES. THE CENTER FOR YOUTH WELLNESS IS AN INTEGRATED CENTER FOR CHILDREN, OFFERING PEDIATRIC CARE THAT ADDRESSES THE ROOT CAUSES OF POOR OUTCOMES FOR CHILDREN AND YOUTH IN HIGH-RISK COMMUNITIES. IN 2017, THERE WERE 1,356 ENCOUNTERS INCLUDING 76 CLIENTS CONNECTED TO MENTAL HEALTH SERVICES AND 146 CLIENTS RECEIVED CASE MANAGEMENT. THE COMMUNITY HEALTH RESOURCE CENTER (CHRC) COLLABORATES WITH OVER 20 DIFFERENT HEALTH CARE CENTERS IN SAN FRANCISCO, PROVIDING SUPPORTIVE SERVICES TO THOUSANDS OF CLIENTS THROUGH THE MANY FREE OR LOW-COST PROGRAMS, SCREENINGS AND COUNSELING SERVICES THAT ARE AVAILABLE TO ANYONE IN THE COMMUNITY. PROGRAMS INCLUDE DIETITIANS, SOCIAL WORK COUNSELING, NUTRITION GUIDANCE, COMMUNITY HEALTH SCREENINGS, EDUCATIONAL LECTURES INCLUDING MONTHLY WELLNESS EVENTS, HEALTH INFORMATION AND LOCAL RESOURCES, EMPLOYEE AND GROUP WELLNESS PRESENTATIONS, AND SUPPORT GROUPS. IN 2017, CHRC PRESENTED 21 CLASSES ON NUTRITION/EXERCISE WITH 1,022 ATTENDEES, CONDUCTED 2,510 HEALTH SCREENINGS AND SECURED 3,140 APPOINTMENTS FOR BEHAVIORAL HEALTH/SOCIAL SERVICES. CPMC GRANTS AND SPONSORSHIP PROGRAM IS FOCUSED ON HELPING TO EXPAND THE CITYS SAFETY NET BY MAKING HEALTH CARE SERVICES MORE READILY AVAILABLE TO PUBLICLY INSURED AND UNINSURED POPULATIONS, AND MAKING THOSE SERVICES CULTURALLY AND LINGUISTICALLY APPROPRIATE. A FEW OF THE GRANTEES FOCUSED ON ENHANCING ACCESS TO CARE INCLUDE APA FAMILY SUPPORT SERVICES: PROVIDES FAMILY SUPPORT SERVICES IN SAN FRANCISCOS CHINATOWN AND TENDERLOIN NEIGHBORHOODS IN ORDER TO PREVENT CHILD ABUSE AND DOMESTIC VIOLENCE. IN 2017, 368 FAMILIES SERVED THROUGH IN-LANGUAGE PARENTING CLASSES, SUPPORT GROUPS, AND IN-HOME SUPPORT RESOURCES. ASIAN AND PACIFIC ISLANDER WELLNESS CENTER: PROVIDES PRIMARY AND PREVENTIVE CARE, EARLY INTERVENTION, AND BEHAVIORAL HEALTH SERVICES IN THE TENDERLOIN, WITH PARTICULAR ATTENTION TO THE NEEDS OF LGBTQ AND ASIAN & PACIFIC ISLANDER COMMUNITIES. IN 2017, 450 PERSONS SERVED, 400 HEALTH SCREENINGS PROVIDED AND 100 PERSONS CONNECTED TO MENTAL HEALTH. A SAMPLING OF GRANTEES FOCUSED ON INCREASING ACCESS TO MENTAL HEALTH AND HEALTHY CHILD DEVELOPMENT INCLUDE: CONARD HOUSE: PROVIDES SAFE, AFFORDABLE HOUSING IN THE TENDERLOIN AND SOUTH OF MARKET WITH ON-SITE MENTAL HEALTH AND HUMAN SERVICES FOR THOSE WITH CHRONIC MENTAL ILLNESS. CPMC GRANT IS FOR HEALTH NAVIGATORS WHO PROVIDE RESIDENTS WITH MEDICAL APPOINTMENT SUPPORT. IN 2017, 36 PERSONS WERE CONNECTED TO A PRIMARY CARE PROVIDER, MENTAL HEALTH SERVICES AND SOCIAL SERVICES. MAITRI: PROVIDES RESIDENTIAL CARE TO PEOPLE LIVING WITH AIDS WHO ARE IN NEED OF HOSPICE OR 24-HOUR CARE. MANY MAITRI CLIENTS HAVE A HISTORY OF HOMELESSNESS, SUBSTANCE ABUSE, PSYCHIATRIC DISABILITY, AND/OR MILD TO MODERATE DEMENTIA. IN 2017, 44 PERSONS WERE SERVED. A SAMPLING OF GRANTEES FOCUSED ON HEALTHY EATING AND PHYSICAL EXERCISE INCLUDE: PORTOLA FAMILY CONNECTIONS: PROVIDES COMMUNITY AND FAMILY PROGRAMS IN THE PORTOLA AND EXCELSIOR NEIGHBORHOODS. CPMC GRANT SUPPORTS THE HEALTHY CONNECTIONS INITIATIVE OFFERING NUTRITION EDUCATION, EXERCISE OPPORTUNITIES, HEALTH SCREENINGS, AND OTHER SUPPORT. IN 2017, 312 PERSONS WERE SERVED AND 102 WORKSHOPS AND EXERCISE CLASSES WERE PRESENTED. WILLIAM MCKINLEY ELEMENTARY SCHOOL: CPMC GRANT FOR MCKINLEY NOON HOUR WELLNESS PROGRAM DURING LUNCHTIME RECESS, FOCUSING ON FITNESS ACTIVITIES, COOPERATIVE SKILLS DURING PLAY, TEAM BUILDING, AND HEALTHY NUTRITION. IN 2017, 360 CHILDREN PARTICIPATED IN MODERATE TO VIGOROUS PHYSICAL ACTIVITY DURING THEIR LUNCH TIME RECESS FIVE DAYS A WEEK AND WERE INTRODUCED TO HEALTHY NUTRITION AND FITNESS CONCEPTS. HEALTHFIRST, A CENTER FOR HEALTH EDUCATION AND DISEASE PREVENTION AFFILIATED WITH ST. LUKES HEALTH CARE CENTER, SERVES PATIENTS IN CHRONIC DISEASE MANAGEMENT BY INTEGRATING COMMUNITY HEALTH WORKERS (CHWS) INTO THE MULTIDISCIPLINARY HEALTH CARE TEAM. IN 2017, 100% OF ASTHMA PATIENTS HAD UP-TO-DATE ASTHMA ACTIONS PLANS, WHICH ARE UPDATED AT LEAST ANNUALLY. 91% OF PATIENTS HAD THEIR A1C LEVEL CONTROLLED (<9%). IN COMPLIANCE WITH ITS DEVELOPMENT AGREEMENT WITH THE CITY AND COUNTY OF SAN FRANCISCO, CPMC MADE CONTRIBUTIONS FOR THE FOLLOWING MANDATED CATEGORIES, TOTALING $7.1 MILLION IN 2017: AFFORDABLE HOUSING: $3,457,000 TRANSIT: $2,500,000 HEALTHCARE INNOVATION FUND: $1,125,000 JOINT VENTURE HEALTH (JVH) IS A PARTNERSHIP BETWEEN UC BERKELEY SCHOOL OF PUBLIC HEALTH, NORTH EAST MEDICAL SERVICES (NEMS), AND CPMC. CPMCS CONTRIBUTION SUPPORTS THE CREATION OF A COST-EFFECTIVE, COMPREHENSIVE DEVELOPMENTAL AND BEHAVIORAL HEALTH SCREENING, TREATMENT AND REFERRAL PROGRAM FOR THE 10,000 CHILDREN AND THEIR FAMILIES WHO HAVE NEMS AS THEIR MEDICAL HOME. IN 2017, SERVICES WERE EXPANDED TO FIVE ADDITIONAL NEMS CLINICS IN SAN FRANCISCO FOR A TOTAL OF SEVEN CLINICS. OF THE CHILDREN SCREENED IN 2017, 18% WERE AT MODERATE TO HIGH RISK FOR DEVELOPMENTAL DELAYS AND PSYCHOSOCIAL ISSUES. ALL WERE CONNECTED TO APPROPRIATE RESOURCES AND EARLY INTERVENTION. CPMCS KALMANOVITZ CHILD DEVELOPMENT CENTER (KCDC) PROVIDES DIAGNOSIS, EVALUATION, TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH LEARNING DISABILITIES AND DEVELOPMENTAL OR BEHAVIORAL PROBLEMS CAUSED BY PREMATURITY, AUTISM SPECTRUM DISORDER, EPILEPSY, DOWN SYNDROME, ATTENTION DEFICIT DISORDER, OR CEREBRAL PALSY. BESIDES OPERATING ITS OWN CLINICS, KCDC ALSO EXTENDS ITS SERVICES TO A LARGE NUMBER OF AT-RISK CHILDREN AND BRINGS SERVICES TO THEM IN THEIR COMMUNITY BY PARTNERING WITH LOCAL SCHOOLS AND OTHER COMMUNITY ORGANIZATIONS. IN 2017, 15,389 CLINIC VISITS WERE PROVIDED. LIONS EYE FOUNDATION AND CPMC PARTNER TOGETHER TO PROVIDE HIGHLY SPECIALIZED EYE CARE PROCEDURES FREE OF CHARGE TO PEOPLE WITHOUT INSURANCE OR FINANCIAL RESOURCES. IN 2017, 1,891 DIAGNOSTIC TESTS WERE PERFORMED, 175 PATIENTS UNDERWENT GENERAL SURGICAL PROCEDURES AND 132 HAD LASER SURGERY. A KEY PART OF CPMCS MEDI-CAL PROGRAM IS THE MEDI-CAL MANAGED CARE PARTNERSHIP WITH NORTH EAST MEDICAL SERVICES (NEMS) COMMUNITY CLINIC AND SAN FRANCISCO HEALTH PLAN (SFHP), A LICENSED COMMUNITY HEALTH PLAN THAT PROVIDES AFFORDABLE HEALTH CARE COVERAGE TO OVER 130,000 LOW- AND MODERATE-INCOME SAN FRANCISCO RESIDENTS. WORKING TOGETHER WITH NEMS, CPMC SERVES AS THE HOSPITAL PARTNER FOR THESE MEDI-CAL BENEFICIARIES WHO SELECT NEMS AS THEIR MEDICAL GROUP THROUGH SAN FRANCISCO HEALTH PLAN, PROVIDING THEM WITH INPATIENT SERVICES, HOSPITAL-BASED SPECIALTY AND ANCILLARY SERVICES, AND EMERGENCY CARE. CPMC ALSO PROVIDES ACCESS TO QUALITY SERVICES AT THE ST. LUKES CAMPUS FOR PATIENTS WHO SELECT HILL PHYSICIANS OR BROWN & TOLAND AS THEIR MEDICAL GROUP THROUGH SAN FRANCISCO HEALTH PLAN. IN 2017, CPMC SERVED ONE-THIRD OF SFHPS TOTAL MEMBERSHIP, WHO OTHERWISE MAY HAVE FACED DIFFICULTIES IN
SCHEDULE H, PART VI, LINE 6AFFILIATED 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, WERE CREATING A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. THE HOSPITALS 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, WERE 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 MORE THAN $4 BILLION TO CARE FOR PATIENTS WHO COULDNT AFFORD TO PAY, AND TO SUPPORT PROGRAMS THAT IMPROVE COMMUNITY HEALTH. OUR 2017 COMMITMENT OF $612 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 2017, SUTTER HEALTH INVESTED $334 MILLION MORE THAN THE STATE PAID TO CARE FOR MEDI-CAL PATIENTS. MEDI-CAL ACCOUNTED FOR 19 PERCENT OF SUTTER HEALTHS GROSS PATIENT SERVICE REVENUES IN 2017. - 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 CHILDRENS 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 ADDRESSES REAL COMMUNITY NEEDS. FOR MORE FACTS AND INFORMATION VISIT WWW.SUTTERHEALTH.ORG.
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (83 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
COMMUNITY HEALTH RESOURCE CENTER
2100 WEBSTER ST STE 100SAN FRANCISCOCA94115942944137501(c)(3)$500,000Program Support
NORTH EAST MEDICAL SERVICE
1520 STOCKTON STSAN FRANCISCOCA94133941722562501(c)(3)$356,000Program Support
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVEDALLASTX75231135613797501(c)(3)$335,000Program Support
SANTA CRUZ WOMENS HLTH CENTER
250 LOCUST STSANTA CRUZCA95060237428303501(c)(3)$300,000Program Support
SOUTH COUNTY COMM HLTH CTR INC
1885 BAY RDE PALO ALTOCA94303943372130501(c)(3)$200,000Program Support
CENTER FOR YOUTH WELLNESS
3450 THIRD ST STE 2ASAN FRANCISCOCA94124452527627501(c)(3)$200,000Program Support
SAN FRANCISCO MEDICAL CENTER
229 7TH STSAN FRANCISCOCA94103237304921501(c)(3)$150,000Program Support
SALUD PARA LA GENTE
195 AVIATION WY STE 200WATSONVILLECA95076942705747501(c)(3)$125,000Program Support
CAMINAR
2600 SO EL CAMINO REAL STE 200SAN MATEOCA94403941639389501(c)(3)$85,000Program Support
ICA SAN FRANCISCO WORK STUDY
3625 24TH STSAN FRANCISCOCA94110264450576501(c)(3)$60,000Program Support
MISSION HOSPICE OF SAN MATEO COUNTY
1670 SO AMPHLETT BLVD STE 300SAN MATEOCA94402942567162501(c)(3)$60,000Program Support
PENINSULA FAMILY SERVICE
24 SECOND AVESAN MATEOCA94401941186169501(C)(3)$50,000Program Support
PORTOLA FAMILY CONNECTIONS
2565 SAN BRUNO AVESAN FRANCISCOCA94134943213689501(c)(3)$50,000Program Support
COUNTY OF SANTA CRUZ HEALTH SVCS AGENCY
1080 EMELINE AVESANTA CRUZCA95061946000534GOVT$50,000Program Support
COMMUNITY CENTER PROJECT OF SAN FRANCISCO
1800 MARKET STSAN FRANCISCOCA94102943236718501(c)(3)$45,000Program Support
OPERATION ACCESS
1119 MARKET ST STE 400SAN FRANCISCOCA94103943180356501(c)(3)$40,000Program Support
HEALTH IMPROVEMENT PARTNERSHIP SANTA CRUZ
1800 GREEN HILLS RD STE 100SCOTTS VALLEYCA95066010826156501(c)(3)$37,500Program Support
MENDOCINO COLLEGE FOUNDATION
1000 HENSLEY CREEK RDUKIAHCA95482680040876501(c)(3)$33,350Program Support
OCCIDENTAL ARTS AND ECOLOGY CENTER
15290 COLEMAN VALLEY RDOCCIDENTALCA95465680359676501(c)(3)$30,000Program Support
SAFE AND SOUND
1757 WALLER STSAN FRANCISCOCA94117942455072501(c)(3)$30,000Program Support
ASIAN AND PACIFIC ISLANDER WELLNESS CENTER
730 POLK ST 4TH FLRSAN FRANCISCOCA94109943096109501(c)(3)$25,500Program Support
WOMENS COMMUNITY CLINIC
1833 FILLMORE STSAN FRANCISCOCA94115946129071501(c)(3)$25,000Program Support
LATINA BREAST CANCER AGENCY
4271 MISSION ST 2ND FLRSAN FRANCISCOCA94112010628124501(c)(3)$25,000Program Support
NATIONAL KIDNEY FOUNDATION INC
30 E 33 STNEW YORKNY10016131673104501(c)(3)$25,000Program Support
KIMOCHI INC
1715 BUCHANAN STSAN FRANCISCOCA94115237117402501(c)(3)$25,000Program Support
CURRY SENIOR CENTER
333 TURK STSAN FRANCISCOCA94102237362588501(c)(3)$25,000Program Support
COMPASS FAMILY SERVICES
49 POWELL ST 3RD FLSAN FRANCISCOCA94102941156622501(c)(3)$25,000Program Support
PLANNED PARENTHOOD SHASTA DIABLO INC
2185 PACHECO STCONCORDCA94520941575233501(c)(3)$25,000Program Support
HUCKLEBERRY YOUTH PROGRAMS INC
3310 GEARY BLVDSAN FRANCISCOCA94118941687559501(c)(3)$25,000Program Support
SHANTI PROJECT
730 POLK STSAN FRANCISCOCA94109942297147501(c)(3)$25,000Program Support
PALCARE INC
945 CALIFORNIA DRBURLINGAMECA94010943048383501(c)(3)$25,000Program Support
EPISCOPAL COMMUNITY SERVICES
165 8TH ST 3RD FLSAN FRANCISCOCA94103943096716501(c)(3)$25,000Program Support
APA FAMILY SUPPORT SERVICES
10 NOTTINGHAM PLSAN FRANCISCOCA94133943164091501(c)(3)$25,000Program Support
MAITRI COMPASSIONATE CARE
401 DUBOCE AVESAN FRANCISCOCA94117943189198501(c)(3)$25,000Program Support
SAN FRANCISCO GENERAL HOSPITAL FOUNDATION
2789 25TH ST STE 2028SAN FRANCISCOCA94110943189424501(c)(3)$25,000Program Support
DEMARILLAC ACADEMY
175 GOLDEN GATE AVESAN FRANCISCOCA94102943390330501(c)(3)$25,000Program Support
HEALTHRIGHT 360
1563 MISSION STSAN FRANCISCOCA94103946129071501(c)(3)$25,000Program Support
LIFE MOVES
181 CONSTITUTION DRMENLO PARKCA94025770160469501(c)(3)$20,000Program Support
ROTACARE BAY AREA INC
514 VALLEY WYMILPITASCA95035770328723501(c)(3)$20,000Program Support
NORTHERN CALIFORNIA CENTER FOR WELL BEING
101 BROOKWOOD AVE STE ASANTA ROSACA95404931144835501(c)(3)$20,000Program Support
HOMEWARD BOUND OF MARIN
1385 NO HAMILTON PKWYNOVATOCA94949680011405501(c)(3)$18,750Program Support
MARCH OF DIMES
PO BOX 1657WILKESBARREPA18703131846366501(c)(3)$17,193Program Support
SAN FRANCISCO VILLAGE
3220 FULTON STSAN FRANCISCOCA94118261300020501(c)(3)$15,000Program Support
BOARD OF TRUSTEES OF THE GLIDE FOUNDATION
330 ELLIS STSAN FRANCISCOCA94102941156481501(C)(3)$15,000Program Support
INDIVIDUALS NOW INC
2447 SUMMERFIELD RDSANTA ROSACA95405941711490501(c)(3)$15,000Program Support
SELF HELP FOR THE ELDERLY
731 SANSOME ST STE 100SAN FRANCISCOCA94111941750717501(c)(3)$15,000Program Support
CHINATOWN COMMUNITY DEVELOPEMENT CENTER
1525 GRANT AVESAN FRANCISCOCA94133942514053501(c)(3)$15,000Program Support
SAN FRANCISCO PUBLIC HEALTH FOUNDATION
375 LAGUNA HONDA BLVD STE B303SAN FRANCISCOCA94116943117093501(c)(3)$15,000Program Support
PENINSULA JEWISH COMMUNITY CTR
2440 CARLMONT DRBELMONTCA94002943227262501(c)(3)$15,000Program Support
SPUR
654 MISSION STSAN FRANCISCOCA94105941498232501(c)(3)$13,750Program Support
BREAST CANCER EMERGENCY FUND
12 GRACE ST STE 300SAN FRANCISCOCA94103203203899501(c)(3)$12,500Program Support
ON LOK INC SENIOR HEALTH SERVICES
1333 BUSH STSAN FRANCISCOCA94109943101464501(c)(3)$12,500Program Support
HOMELESS PRENATAL PROGRAM INC
2500 18TH STSAN FRANCISCOCA94110943146280501(c)(3)$12,500Program Support
SAN MATEO POLICE ACTIVITIES LEAGUE INC
200 FRANKLIN PKWYSAN MATEOCA94403311503896501(c)(3)$10,750Program Support
ALZHEIMERS DISEASE & RELATED DISORDERS ASSN
2290 NO 1ST ST STE 101SAN JOSECA95131942897949501(C)(3)$10,000Program Support
STRIDES FOR LIFE FOUNDATION
1525 ROLLINS RD STE BBURLINGAMECA94010134285830501(c)(3)$10,000Program Support
SAN FRANCISCO NAACP
1290 FILLMORE ST STE 109SAN FRANCISCOCA94115237177411501(c)(4)$10,000Program Support
PEDIATRIC DENTAL INITIATIVE OF THE N COAST
1380 19TH HOLE DRWINDSORCA95482342012430501(c)(3)$10,000Program Support
PUENTE DE LA COSTA SUR
PO BOX 554PESCADEROCA94060371484262501(c)(3)$10,000Program Support
GUM MOON RESIDENCE HALL
940 WASHINGTON STSAN FRANCISCOCA94108941156357501(C)(3)$10,000Program Support
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRSANTA ROSACA95402941231005501(C)(3)$10,000Program Support
CONARD HOUSE INC
1385 MISSION ST STE 200SAN FRANCISCOCA94103941489356501(C)(3)$10,000Program Support
SAINT ANTHONY FOUNDATION
150 GOLDEN GATE AVESAN FRANCISCOCA94102941513140501(C)(3)$10,000Program Support
PARTNERS&ADVOCATES FOR REMARKABLE CHILDREN
800 AIRPORT BLVD STE 320BURLINGAMECA94010941650851501(C)(3)$10,000Program Support
MEALS ON WHEELS OF SAN FRANCISCO INC
1375 FAIRFAX AVESAN FRANCISCOCA94124941741155501(C)(3)$10,000Program Support
JEWISH VOCATIONAL AND CAREER COUNSELING SVC
17 GEARY ST STE 401SAN FRANCISCOCA94108942213100501(C)(3)$10,000Program Support
SAN FRANCISCO COMMUNITY CLINIC
CORP 1550 BRYANT ST STE 450SAN FRANCISCOCA94103942897258501(C)(3)$10,000Program Support
COASTSIDE ADULT DAY HEALTH CTR
925 MAIN ST STE AHALF MOON BAYCA94019942935784501(C)(3)$10,000Program Support
INSTITUTE ON AGING
3575 GEARY BLVDSAN FRANCISCOCA94118942978977501(C)(3)$10,000Program Support
CHINESE HOSPITAL MEDICAL STAFF
845 JACKSON STSAN FRANCISCOCA94133943165001501(C)(3)$10,000Program Support
SAN MATEO CITY OF SAN MATEO SENIOR CENTER
2645 ALAMEDA DE LAS PULGASSAN MATEOCA94403GOVT$10,000Program Support
LAKEPORT FIRE PROTECTION DISTRICT
445 NO MAIN STLAKEPORTCA95453govt$8,000Program Support
NATIONAL COALITION OF BLACK WOMAN INC SF CH
PO BOX 423314SAN FRANCISCOCA94103201573025501(C)(3)$7,500Program Support
COLLECTIVE IMPACT
PO BOX 156853SAN FRANCISCOCA94115208964069501(C)(3)$7,500Program Support
SAN MATEO ROTARY FOUNDATIONS
PO BOX 95SAN MATEOCA94401237101037501(C)(3)$7,500Program Support
SAN FRANCISCO PARKS ALLIANCE
1663 MISSION ST STE 320SAN FRANCISCOCA94103237131784501(C)(3)$7,500Program Support
SAN MATEO CHAMBER OF COMMERCE
1700 SO EL CAMINO REAL STE 108SAN MATEOCA94402940838880501(C)(6)$7,500Program Support
YOUNG MENS CHRISTIAN ASSN OF SAN FRANCISCO
360 18TH AVESAN FRANCISCOCA94121940997140501(C)(3)$7,500Program Support
HOSPICE SERVICES OF LAKE CNTY
1717 SO MAIN STLAKEPORTCA95453942678796501(C)(3)$7,125Program Support
HUMAN INVESTMENT PROJECT INC
369 SO RAILROAD AVESAN MATEOCA94401942154614501(C)(3)$6,000Program Support
CLEARLAKE COMMUNITY UNITED METHODIST CHURCH
14521 PEARL AVECLEARLAKECA95422942390402501(C)(3)$6,000Program Support
LATINO SERVICE PROVIDERS
930 SHILOH RD BLDG 40 STE AWINDSORCA95492464107589501(C)(3)$5,500Program Support
HOMELESS SERVICES CENTER
115 CORAL ST STE BSANTA CRUZCA95060770126783501(C)(3)$5,500Program Support
FieldValueIRS element (for citing)
Total501c3 Org80Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCOMMUNITY ASSISTANCEGrantTypeTxt
Recipient13RecipientCnt
Cash Grant$12,426CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationPROCEDURES 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 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

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFF GERARD
President, SH Bay Area$0$805,713$0$829,693$0$137,724$0$396,353$0$19,276$0$2,188,759$0$383,520
SARAH KREVANS
PRES & CEO SH, ASST SEC SBH$0$1,681,729$0$2,410,475$0$222,583$0$1,926,153$0$25,705$0$6,266,645$0$1,297,143
JOHN GATES
CFO BAY AREA$0$649,068$0$445,307$0$72,037$0$163,503$0$18,655$0$1,348,570$0$275,667
KAREN HALL
CLO, BAY Area, SECRETARY$0$412,695$0$294,719$0$27,591$0$102,003$0$19,236$0$856,244$0$144,061
ANNE BARR
VP, Info & Ops Integration, SH$0$361,728$0$276,500$0$21,945$0$89,703$0$18,238$0$768,114$0$138,284
WARREN BROWNER MD
CEO, CPMC$0$611,509$0$784,519$0$92,933$0$201,153$0$20,617$0$1,710,731$0$332,977
THERESA C GLUBKA
CEO EMC, CEO SSCD (PART YEAR)$0$427,609$0$341,771$0$57,584$0$130,378$0$15,632$0$972,974$0$190,026
STEPHEN GRAY
CEO, EMC (PART YEAR)$0$280,411$0$133,517$0$19,987$0$64,033$0$19,052$0$517,000$0$56,401
MAYNARD L JENKINS III
SH VP, HR, BAY AREA$0$370,543$0$237,887$0$20,026$0$93,103$0$13,565$0$735,124$0$125,397
CYNTHIA LEE
VP, STRGY & Bus Dev, SH Bay$0$395,730$0$245,966$0$3,080$0$99,403$0$17,930$0$762,109$0$109,920
JULIE A PETRINI
CEO, BAY AREA HOSPITALS$0$620,641$0$440,011$0$89,321$0$181,553$0$9,057$0$1,340,583$0$250,070
MICHAEL L PURVIS
CEO, SSRRH & NCH$0$396,441$0$326,399$0$45,630$0$232,980$0$19,403$0$1,020,853$0$178,677
JANET A WAGNER
CEO, MPHS$0$425,597$0$374,580$0$69,687$0$148,603$0$17,719$0$1,036,186$0$222,740
VERNON L GIANG MD
CME, CPMC$0$415,837$0$191,981$0$31,560$0$74,853$0$12,800$0$727,031$0$96,038
RANJIT HUNDAL MD
CME, MPHS$0$401,777$0$155,971$0$7,259$0$73,253$0$18,382$0$656,642$0$47,880
HAMILA KOWNACKI
COO, CPMC$0$349,117$0$130,649$0$26,598$0$70,053$0$13,709$0$590,126$0$57,151
SIDNEY E WANETICK MD
CME, EMC$0$366,982$0$173,585$0$30,256$0$41,553$0$8,500$0$620,876$0$96,684
HENRY W YU
CFO HOSPT - WEST BAY$0$363,153$0$160,356$0$32,246$0$78,553$0$17,854$0$652,162$0$89,920
BRIAN ALEXANDER
VP STRGY & BUS DEV, SH VALLEY$0$301,244$0$262,886$0$27,854$0$70,170$0$12,526$0$674,680$0$122,719
MICHAEL COHILL
CEO, SMCS$0$959$0$759,945$0$294,524$0$85,084$0$2,014$0$1,142,526$0$348,360
GRANT DAVIES
CEO, VALLEY AREA HOSPITALS$0$664,382$0$618,289$0$78,987$0$206,353$0$23,200$0$1,591,211$0$319,997
MICHAEL DUNCHEON
FRMR VP, REGIONAL COUNSEL WBR$0$0$0$129,960$0$25,893$0$0$0$438$0$156,291$0$86,640
PATRICK FRY
FORMER PRESIDENT & CEO, SH$0$0$0$0$0$1,614,802$0$0$0$0$0$1,614,802$0$0
SIRI T NELSON
CAO, SUTTER LAKESIDE HOSPITAL$0$30,349$0$223,587$0$39,117$0$9,863$0$3,511$0$306,427$0$102,480

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ATAX INDEMNIFICATION: STANDARD POLICY FOR ALL SUTTER HEALTH EMPLOYEES IS THAT NON-CASH GIFTS AND AWARDS ARE GROSSED-UP FOR TAX PURPOSES. THE AMOUNT OF THE GROSS-UP IS ADDED TO THE EMPLOYEES WAGES AND TAXED ACCORDINGLY.
SCHEDULE J, PART I, LINE 3SUPPLEMENTAL 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 4BNONQUALIFIED 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 AND TO ADDRESS THE SHORTFALLS DESCRIBED ABOVE, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA HAS TWO PARTS: (1) 4% TO 7% OF BASE SALARY (COMMENSURATE WITH MANAGEMENT LEVEL), PLUS (2) A CONTRIBUTION STARTING AT 5% (BASED UPON TENURE) FOR ELIGIBLE EARNINGS BEYOND THE IRS DEFINITION OF INCLUDIBLE COMPENSATION ("PENSION PAY CAP"). THE LATTER OF WHICH IS DESIGNED TO HELP RESTORE LOST PENSION BENEFITS FORFEITED UNDER THE QUALIFIED PENSION PLAN FOR EARNINGS OVER THE PENSION PAY CAP LIMIT. 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 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: JEFF GERARD - $127,706 Michael Cohill - $250,804 Siri T. Nelson - $12,519
SCHEDULE J, PART I, LINE 7NON-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. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD UP TO 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS A LONG TERM PERFORMANCE PLAN WHICH IS 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 PERFORMANCE 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CHFFA 2008A
A52164382813033f2l32008-05-14$329,041,638Refunding 5/1/07, 04, & 02falsefalsefalse
CHFFA 2011B
B52164382813033LKW62011-02-10$470,318,145Construct New Facilitiesfalsefalsefalse
CHFFA 2011D
C52164382813033LVW42011-12-22$331,759,643Construct & Refundingfalsefalsefalse
CHFFA 2013A
D52164382813033LW522013-04-24$487,683,000Construct & Equip Facilityfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndSubstantial CompletionSubstantialCompletionYr
A$153,305,000$118,730,000$329,041,638$0$0$0$0$0$0$0$329,041,638$0Yes (true)falseYes (true)Yes (true)
B$0$0$472,888,501$0$0$0$0$0$0$472,888,501$0$0falsefalseYes (true)Yes (true)2012
C$0$0$334,684,174$0$0$0$0$0$0$145,589,174$189,095,000$0Yes (true)falseYes (true)Yes (true)2014
D$0$0$497,320,472$0$0$0$0$0$0$483,919,445$0$13,401,027falsefalseYes (true)Yes (true)2014

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)false0.018000.004300.02230falsefalsefalseYes (true)
BfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
CfalseYes (true)Yes (true)Yes (true)false0.007100.000100.00720falsefalsefalseYes (true)
DfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
CfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
DfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
.Schedule K The organization's 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, Column (E) THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $61,674,224 FROM THE 2008A ISSUE, 287,141,604 FROM THE 2011B ISSUE, $47,749,333 FROM THE 2011D ISSUE, $187,683,000 FROM THE 2013A ISSUE, $9,161,337 FROM THE 2015A ISSUE, $550,000,605 FROM THE 2016A ISSUE, $629,448,648 FROM THE 2016B ISSUE, AND $100,000,000 FROM THE 2016C ISSUE.
SCHEDULE K, PART I, CHFFA 2008A, Column (f)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 2007 issue. The refunded bonds issued in 2007 were used to refund bonds issued in 1996 that were used to refund bonds issued in 1985, 1989, 1990, 1991, and 1995.
SCHEDULE K, PART II, LINE 7THE ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS.
SCHEDULE K, PART IV, LINE 2CTHE REBATE COMPUTATIONS WERE PERFORMED FOR BOND CHFFA 2008A ON 6/21/2013; CHFFA 2011B ON 3/15/2016; AND CHFFA 2011D ON 1/13/2016.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CHFFA 2015A
A52164382813032UAR92015-11-12$204,061,105Refund 2005A & 1995 Cerficatesfalsefalsefalse
CHFFA 2016A
B52164382813032UCK22016-02-03$550,000,605Construct & Equip Facilityfalsefalsefalse
CHFFA 2016B
C52164382813032UDWS2016-08-17$901,627,093Refund 2005BC, 2003AB & 2007AYes (true)falsefalse
CHFFA 2016C
D52164382813032UDW52016-08-17$100,000,000Construct & Equip Facilityfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndSubstantial CompletionSubstantialCompletionYr
A$0$0$204,061,105$0$0$0$0$0$0$0$204,061,105$0Yes (true)falseYes (true)Yes (true)
B$0$0$550,000,605$0$0$0$0$0$0$0$550,000,605$0falsefalseYes (true)Yes (true)
C$0$0$902,923,938$0$0$0$0$0$0$0$902,923,938$0falseYes (true)Yes (true)Yes (true)
D$0$0$100,000,000$0$0$0$0$0$0$0$100,000,000$0falsefalseYes (true)Yes (true)2016

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)false0.002500.000000.00250falsefalsefalseYes (true)
BfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
CfalseYes (true)Yes (true)Yes (true)false0.003800.000000.00380falsefalsefalseYes (true)
DfalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
DfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$731,923INDPNDT CONTRACTOR ARRANGEMENTfalse
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$689,041INDPNDT CONTRACTOR ARRANGEMENTfalse
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$375,940INDPNDT CONTRACTOR ARRANGEMENTfalse
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$186,105INDPNDT CONTRACTOR ARRANGEMENTfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1MISSION STATEMENT: WE ENHANCE THE 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.
FORM 990, PART III, LINE 4APROGRAM SERVICE ACCOMPLISHMENTS: GENERAL DESCRIPTION SUTTER BAY HOSPITALS (SBH) IS A GROUP OF MEDICAL FACILITIES LOCATED IN THE SAN FRANCISCO BAY AREA AND CONSISTS OF CALIFORNIA PACIFIC MEDICAL CENTER, EDEN MEDICAL CENTER, MILLS HEALTH CENTER, MILLS-PENINSULA MEDICAL CENTER, NOVATO COMMUNITY HOSPITAL, SUTTER LAKESIDE HOSPITAL, AND SUTTER SANTA ROSA REGIONAL HOSPITAL. EDEN MEDICAL CENTER JOINED SBH ON JUNE 1, 2016, AND MILLS-PENINSULA MEDICAL CENTER JOINED SBH ON AUGUST 1, 2016. SUTTER BAY HOSPITALS HAD A TOTAL OF 318,891 PATIENT DAYS IN 2017. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) IS ONE OF THE LARGEST PRIVATE, COMMUNITY BASED, NOT-FOR-PROFIT, TEACHING MEDICAL CENTERS IN CALIFORNIA. CPMC IS A TERTIARY REFERRAL CENTER PROVIDING ACCESS TO LEADING EDGE MEDICINE WHILE DELIVERING THE BEST POSSIBLE PERSONALIZED CARE. IT PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; HOSPICE SERVICES; PREVENTIVE AND COMPLEMENTARY CARE; AND HEALTH EDUCATION. CPMC COMPRISES FOUR OF THE OLDEST HOSPITALS IN SAN FRANCISCO. THE DAVIES CAMPUS, FORMERLY DAVIES MEDICAL CENTER, WAS FOUNDED IN 1854 TO HELP SAN FRANCISCO'S GERMAN-SPEAKING IMMIGRANTS FIND WORK, SHELTER, FOOD, CLOTHING AND HEALTH CARE. THE PACIFIC CAMPUS WAS FOUNDED IN 1857 AND WAS THE FIRST MEDICAL SCHOOL IN THE AMERICAN WEST. THE CALIFORNIA CAMPUS WAS FOUNDED IN 1875 AS THE PACIFIC DISPENSARY FOR WOMEN AND CHILDREN, A HOSPITAL RUN BY WOMEN, FOR WOMEN. FINALLY, THE ST. LUKE'S CAMPUS WAS FORMED IN THE 1870'S AND HAS BEEN PROVIDING QUALITY HEALTH SERVICES TO ALL SAN FRANCISCANS FOR OVER 140 YEARS. TOGETHER THE DAVIES, CALIFORNIA, PACIFIC AND ST. LUKE'S CAMPUSES COMPRISE CPMC'S 1,059 LICENSED BEDS. EDEN MEDICAL CENTER (EMC) IS A STATE-OF-THE-ART FACILITY THAT REPLACED THE OLD EDEN MEDICAL CENTER IN DECEMBER 2012. EDEN MEDICAL CENTER BRINGS TOGETHER PATIENT-CENTERED CARE, TECHNOLOGY AND SOPHISTICATED DESIGN IN A LEED-CERTIFIED SUSTAINABLE AND SEISMICALLY-SAFE BUILDING. EDEN MEDICAL CENTER WAS MERGED INTO SUTTER BAY HOSPITALS ON JUNE 1, 2016. THE FACILITY HAS 130 PRIVATE PATIENT ROOMS, WITH AN ADDITIONAL 34-BED UNIVERSAL CARE UNIT AND IS HOME TO THE SUTTER EAST BAY NEUROSCIENCE INSTITUTE, A PRIMARY STROKE CENTER, THE REGIONAL LEVEL II TRAUMA CENTER FOR SOUTHERN ALAMEDA COUNTY, AND A WIDE RANGE OF CENTERS OF EXCELLENCE INCLUDING CANCER CARE, ADVANCED IMAGING SERVICES, REHABILITATION AND COMPLETE SURGICAL AND ACUTE-CARE SERVICES. OUR AWARD-WINNING HOSPITAL WAS RECENTLY NAMED A TOP PERFORMER IN KEY QUALITY MEASURES BY THE JOINT COMMISSION, A DIAGNOSTIC IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, RECEIVED HOSPITAL SAFETY SCORE A RATING BY THE LEAPFROG GROUP, RECEIVED THE GOLD AWARD FOR ORGAN DONOR REGISTRATION EFFORTS BY THE US DEPARTMENT OF HEALTH & HUMAN SERVICES, AND GET WITH THE GUIDELINES STROKE GOLD, GOLD PLUS ELITE, ELITE PLUS TARGET AWARDS BY THE AMERICAN STROKE ASSOCIATION. EDEN WAS RECOGNIZED AS A TOP 20 HOSPITAL IN BAY AREA FOR PATIENT SATISFACTION BY THE US DEPARTMENT OF HEALTH AND A HIGH PERFORMING HOSPITAL BY THE US NEWS & WORLD REPORT. EDEN ALSO WAS RECOGNIZED BY HEALTH GRADES AS ONE OF AMERICA'S 100 BEST HOSPITALS, DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE, PATIENT SAFETY EXCELLENCE AWARD, WOMEN'S HEALTH EXCELLENCE AWARD, STROKE CARE EXCELLENCE AWARD, CRITICAL CARE EXCELLENCE AWARD, NEUROSCIENCE EXCELLENCE AWARD AND PULMONARY CARE EXCELLENCE AWARD. IN ADDITION, EDEN WAS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IN THE AREA OF EDUCATION FOR OUR DIABETES SELF-MANAGEMENT PROGRAM. EDEN MEDICAL CENTER IS PART OF THE SUTTER HEALTH NETWORK OF CARE, A FAMILY OF DOCTORS, NOT-FOR-PROFIT HOSPITALS AND OTHER HEALTH CARE SERVICE PROVIDERS THAT JOIN RESOURCES AND SHARE EXPERTISE TO ADVANCE HEALTH CARE QUALITY AND ACCESS FOR PATIENTS IN MORE THAN 100 NORTHERN CALIFORNIA CITIES AND TOWNS. FROM JANUARY 1, 2017 THROUGH DECEMBER 31, 2017, EDEN MEDICAL CENTER HAD 38,178 INPATIENT DAYS. MILLS-PENINSULA MEDICAL CENTER (MPMC) WAS FOUNDED BY PROMINENT CALIFORNIAN ELIZABETH MILLS REID, IN 1908 WITH JUST SIX BEDS. MANY CHANGES HAVE OCCURRED OVER THE YEARS AND NOW MPMC INCLUDES: -241 BEDS HOSPITAL OPENED IN 2011. -MILLS HEALTH CENTER IN SAN MATEO WHICH PROVIDES A WIDE RANGE OF OUTPATIENT SERVICES, INCLUDING SURGERY, REHABILITATION AND DIAGNOSTICS. THE MILLS HEALTH CENTER IS ALSO HOME TO MILLS-PENINSULA'S INPATIENT REHABILITATION PROGRAM. -SUTTER MATERNITY AND SURGERY CENTER IN SANTA CRUZ IS A 30 BED ACUTE CARE HOSPITAL FACILITY. -MILLS-PENINSULA SENIOR FOCUS PROGRAM SERVING AS EDUCATOR, SERVICE PROVIDER, AND ADVOCATE FOR ELDERS BOTH IN THE HOSPITAL AND AT HOME IN THE COMMUNITY. NOVATO COMMUNITY HOSPITAL (NCH) HAS SERVED THE NORTHERN MARIN AND SOUTHERN SONOMA COMMUNITIES SINCE 1961. NCH IS A 47 BED ACUTE CARE HOSPITAL WHICH OPERATES A 24-HOUR EMERGENCY DEPARTMENT, INPATIENT/OUTPATIENT SURGERY, A CRITICAL CARE UNIT, IMAGING SERVICES, OUTPATIENT LABORATORY, PHYSICAL THERAPY AND IS NOTED FOR ITS ORTHOPEDIC SURGERY PROGRAM. SUTTER SANTA ROSA REGIONAL HOSPITAL (SSRRH), FORMERLY SUTTER MEDICAL CENTER SANTA ROSA, HAS A LONG HISTORY IN SONOMA COUNTY DATING BACK TO 1866 WHEN THE HOSPITAL FIRST OPENED. 84 BED STATE-OF-THE ART MEDICAL FACILITY OPENED IN 2014 WITH A FULL RANGE OF FIVE-STAR PERSONALIZED CARE SERVICES. SUTTER LAKESIDE HOSPITAL (LAKESIDE) IS A 30 BED CRITICAL ACCESS HOSPITAL AND IS ONE OF ONLY TWO HOSPITALS THAT SERVE THE 64,000 RESIDENTS OF LAKE COUNTY, CALIFORNIA. SUTTER LAKESIDE PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; SURGICAL SERVICES; FAMILY BIRTH SERVICES; PREVENTIVE CARE; AND PRIMARY CARE THROUGH OUR CLINICS AND HEALTH EDUCATION. SUTTER BAY HOSPITALS CLINICAL PROGRAMS INCLUDE: -ASTHMA EDUCATION PROGRAM -BREAST FEEDING CENTERS -BREAST HEALTH CENTERS -CALIFORNIA PACIFIC MEDICAL CENTER RESEARCH INSTITUTE -CANCER RECOVERY PROGRAMS -COMING HOME HOSPICE -COMMUNITY BENEFITS PROGRAMS (DETAILED BELOW) -COMMUNITY HEALTH RESOURCE CENTER -COMPREHENSIVE STROKE CENTER -DIABETES EDUCATION PROGRAM -END-STAGE ORGAN FAILURE/TRANSPLANTATION PROGRAMS (HEART, KIDNEY, LIVER, PANCREAS) -FORBES NORRIS MDA/ALDS CENTER -HAND CLINIC -HOSPITALIST PROGRAM -INSTITUTE FOR HEALTH AND HEALING -IRENE SWINDELLS ALZHEIMER'S RESIDENTIAL CARE CENTER -LIONS EYE CLINIC -LOW VISION REHABILITATION CENTER -MUSCULAR DYSTROPHY ASSOCIATION NEUROMUSCULAR CLINIC -PACIFIC VISION FOUNDATION -PALLIATIVE CARE PROGRAM -PEDIATRIC SPECIALTY SERVICES -REHABILITATION SERVICES (ACUTE AND OUTPATIENT) -SIBLING CENTER -SMITH KETTLEWELL EYE RESEARCH INSTITUTE (THEY ARE INDEPENDENT OF CPMC.) -SUB-ACUTE CARE PROGRAM -TELEMEDICINE SERVICE (STROKE) -VISITING NURSES AND HOSPICE OF SAN FRANCISCO -WHITNEY NEWBORN ICU FOLLOW-UP CLINIC -WOMEN'S HEALTH RESOURCE CENTER -WOMEN'S SERVICES CLINICAL SERVICE OFFERINGS INCLUDE: -AIDS & HIV SERVICES -ALZHEIMER'S -ARTHRITIS -BARIATRIC SURGERY SERVICES -CANCER SERVICES -CARDIOVASCULAR SERVICES -CLINICAL LABORATORY -COMPLEMENTARY MEDICINE -COMPREHENSIVE STROKE SERVICES -CRITICAL CARE SERVICES -DIABETES SERVICES (ADULT & PEDIATRIC) -DIAGNOSTIC SERVICES/LABORATORIES -DIALYSIS SERVICES -EMERGENCY SERVICES -EPILEPSY -GASTROENTEROLOGY DISEASE SERVICES -HOME HEALTH & HOSPICE -INTERVENTIONAL ENDOSCOPY SERVICES -KALMONOVITZ CHILD DEVELOPMENT CENTERS -MEDICAL TRANSPORT SERVICES -MICROSURGERY AND LIMB SALVAGE SERVICES -NEONATAL INTENSIVE CARE -NEUROLOGY -NEURO-ONCOLOGY SURGERY -NUCLEAR MEDICINE -NUTRITION AND WEIGHT MANAGEMENT -OBSTETRICS & GYNECOLOGY -OCCUPATIONAL HEALTH -OPHTHALMOLOGY -ORGAN TRANSPLANTATION -ORTHOPEDICS -OTOLARYNGOLOGY -OUTPATIENT CLINICS & SERVICES -PATHOLOGY -PEDIATRIC EMERGENCY DEPARTMENT -PEDIATRIC SERVICES/PROGRAMS -PERIOPERATIVE SERVICES (OR AND POST-ANESTHESIA RECOVERY UNIT) -PHARMACY -PHYSICAL MEDICINE & REHABILITATION SERVICES -PSYCHIATRY -RADIOLOGY & DIAGNOSTIC IMAGING -RESPIRATORY CARE -RESIDENCY TRAINING AND FELLOWSHIP PROGRAMS -SURGICAL SERVICES/AMBULATORY SURGERY -URGENT CARE CENTER -VENTRICULAR ASSIST DEVICE (VAD) PROGRAM -WOMEN'S HEALTH PROGRAMS -WOUND CARE NON-CLINICAL SERVICES INCLUDE: -ADMINISTRATIVE SERVICES -CHAPLAINCY SERVICES -CHARITY CARE PROGRAM -COMMUNITY HEALTH RESOURCE CENTER -CONTINUING MEDICAL EDUCATION -INTERPRETER SERVICES -PATIENT SERVICES -RESEARCH INSTITUTE -SURGICAL TRAINING CENTER -VOLUNTEER SERVICES -WEB NURSERY -CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION -NOVATO COMMUNITY HOSPITAL DEVELOPMENT OFFICE -SUTTER LAKESIDE FOUNDATION
COMMUNITY BENEFITTHE MEDICAL FACILITIES IN SUTTER BAY HOSPITALS (SBH) 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 SBH 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 2017, SUTTER BAY HOSPITALS PROVIDED A REGIONAL TOTAL OF $203 MILLION IN COST OF SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED: $4,506,154 COMMUNITY HEALTH IMPROVEMENT SERVICES, $34,344,140 IN HEALTH PROFESSIONALS EDUCATION, $25,160,800 SUBSIDIZED HEALTH SERVICES, $16,281,486 IN RESEARCH, $17,673,623 IN FINANCIAL AND IN-KIND CONTRIBUTIONS, $93,309 IN COMMUNITY BUILDING ACTIVITIES AND $1,832,394 IN COMMUNITY BENEFIT OPERATIONS, WHILE PROVIDING $22,638,884 IN FINANCIAL ASSISTANCE WITH MEANS-TESTED PROGRAMS OF $3,978,698 AND MEDICAID $76,859,747. FORM 990, PART VI, LINE 1A: THE AFFAIRS AND MANAGEMENT OF SUTTER BAY HOSPITALS (SBH) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SBH DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF SBH'S CHAIR WHO SERVES AS CHAIR OF THE COMMITTEE, THE VICE CHAIR, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, THE PRESIDENT OF SBH AND UP TO NINE ADDITIONAL DIRECTORS. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR. 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 11BPROCESS 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 12PROCESS 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 THAT INCLUDES AN ACKNOWLEDGEMENT THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. 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. THE BOARD MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. 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. 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 BOARDS FINAL DISCUSSION AND VOTE.
FORM 990, PART VI, LINES 15A & 15BPROCESS 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. EXECUTIVE COMPENSATION REVIEW WAS LAST COMPLETED IN DECEMBER 2017.
FORM 990, PART VI, LINE 19AVAILABILITY 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 ACOMPENSATION OF BOARD MEMBERS: KATHERINE HSIAO AND EDWARD EISLER'S COMPENSATIONS WERE FOR SERVICES PROVIDED AS INDEPENDENT CONTRACTORS AND NOT FOR SERVICES PROVIDED AS BOARD MEMBERS OF SBH. 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. - SARAH KREVANS
FORM 990, PART XI, LINE 9OTHER CHANGES IN FUND BALANCE: EQUITY TRANSFERS (NET) $ 142,693,420 PARTNERSHIP INCOME BOOKED ON RETURN 15,820,656 K-1 ACTIVITY (15,932,975) CHANGE IN SPLIT INTEREST 12,613 CAPITAL REIMBURSEMENTS (2,913,790) --------------- TOTAL $ 139,979,924 ===============

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CATHEDRAL HEIGHTS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7999AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94120ZIPCd
FieldValueIRS element (for citing)
EIN200511266EIN
Primary ActivitiesRENTAL PROP.PrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ADOLESCENT TREATMENT CENTERS INC
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833680088443HEALTHCARECA501(C)(3)3SUTTER EBHYes (true)
BETTER HEALTH EAST BAY FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833510160184FUNDRAISINGCA501(C)(3)7SUTTER EBHYes (true)
CALIFORNIA PACIFIC MEDICAL CTR FOUND
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833942728423FUNDRAISINGCA501(C)(3)7SUTTER BHYes (true)
EAST BAY PERINATAL CENTER
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833510172285HEALTHCARECA501(C)(3)3SUTTER EBHYes (true)
EDEN MEDICAL CENTER
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833942948100HEALTHCARECA501(C)(3)10SUTTER HLTHYes (true)
MEMORIAL HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833942290244FUNDRAISINGCA501(C)(3)12A - ISUTTER VHYes (true)
MILLS-PENINSULA HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833237288765FUNDRAISINGCA501(C)(3)7SUTTER BHYes (true)
SAMUEL MERRITT UNIVERSITY
450 30TH STREET STE 2840OAKLANDCA94609942992642UNIVERSITYCA501(C)(3)2SUTTER EBHYes (true)
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833942594966FUNDRAISINGCA501(C)(3)7SUTTER VHYes (true)
SUTTER BAY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833941156581HEALTHCARECA501(C)(3)3SUTTER HLTHYes (true)
SUTTER CENTRAL VALLEY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833941080917HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
SUTTER COAST HOSPITAL
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833942988520HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
SUTTER DAVIS HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833680217870FUNDRAISINGCA501(C)(3)7SUTTER VHYes (true)
SUTTER EAST BAY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833941196176HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
SUTTER EAST BAY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833942690415HEALTHCARECA501(C)(3)12B - IISUTTER HLTHYes (true)
SUTTER HEALTH
2200 RIVER PLAZA DRIVESACRAMENTOCA95833942788907SUPPORTING ORCA501(C)(3)12C III-FINAfalse
SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RDEWA BEACHHI96706990298651HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
SUTTER HEALTH PLAN
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833461183948HEALTH PLANCA501(C)(4)N/ASUTTER HLTHYes (true)
SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 1100HONOLULUHI96813990289310INSURANCE SERHI501(C)(3)12C III-FISUTTER HLTHYes (true)
SUTTER MEDICAL CENTER FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833942788906FUNDRAISINGCA501(C)(3)7SUTTER VHYes (true)
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833680040113FUNDRAISINGCA501(C)(3)7SUTTER VHYes (true)
SUTTER SOLANO CHARITABLE FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833942668262FUNDRAISINGCA501(C)(3)7SUTTER VHYes (true)
SUTTER VALLEY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833941156621HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
SUTTER VALLEY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833680273974HEALTHCARECA501(C)(3)3SUTTER HLTHYes (true)
SUTTER VISITING NURSE ASSOC AND HOSPICE
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833946068843HEALTHCARECA501(C)(3)10SUTTER HLTHYes (true)
SUTTER WEST BAY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833942948131HEALTHCARECA501(C)(3)3SUTTER HLTHYes (true)
TRACY HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRSACRAMENTOCA95833680318845FUNDRAISINGCA501(C)(3)12A - ISUTTER VHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
MAGNETIC IMAGING AFFILIATES LLC
175 LENNONWALNUT CREEKCA94598942953833PATIENT CARECANA
SURGERY CENTER OF ALTA BATES SMC
3875 TELEGRAPHOAKLANDCA94609470946086PATIENT CARECANA
ALTA CT SERVICES LP
175 LENNONWALNUT CREEKCA94598943083464PATIENT CARECANA
CALIFORNIA PACIFIC ADV IMAGING LLC
PO BOX 6102NOVATOCA94598562311840PATIENT CAREDESUTTER BHRELATED$1,184,772$740,465falseYes (true)0.51000
SAN FRANCISCO ENDOSCOPY CENTER
2200 RIVER PLAZA DRIVESACRAMENTOCA95833912160588PATIENT CARECASUTTER BHRELATED$4,293,981$1,438,696falseYes (true)0.51000
PRESIDIO SURGERY CENTER LLC
1635 DIVISADEROSAN FRANCISCOCA94115320144060PATIENT CARECASUTTER BHRELATED$9,735,496$6,040,566falseYes (true)0.51000
SUTTER FAIRFIELD SURGERY CENTER LLC
2200 RIVER PLAZA DRIVESACRAMENTOCA95833300233892PATIENT CARECANA
SUTTER AMADOR SURGERY CENTER LLC
2200 RIVER PLAZA DRIVESACRAMENTOCA95833461398093PATIENT CARECANA
ROSEVILLE ENDOSCOPY CENTER
2200 RIVER PLAZA DRIVESACRAMENTOCA95833870710513PATIENT CARECANA
STANISLAUS SURGICAL HOSPITAL LLC
1421 OAKDALE ROADMODESTOCA95355911754157PATIENT CARECANA
MEMORIAL MEDICAL BUILDING 1
1800 COFFEE RD 76MODESTOCA95355770234236OFFICE RENTALCANA
MEMORIAL MEDICAL BUILDING 2
1800 COFFEE RD 76MODESTOCA95355770287288OFFICE RENTALCANA
MAGNETIC IMAGING AFFILIATES LLC
2125 OAK GROVE ROADWALNUT CREEKCA94598473696091PATIENT CARECANA
ASC OPERATORS - SANTA ROSA LLC
2200 RIVER PLAZA DRIVESACRAMENTOCA95833263386169CARE MANAGEMENTCANA
ASC OPERATORS - SAN LUIS OBISPO LLC
2200 RIVER PLAZA DRIVESACRAMENTOCA95833272673776CARE MANAGEMENTCANA
DRZ EMERGING MARKETS LP
250 PARK AVE SOUTH SUITE 250WINTER PARKFL32789611729868INVESTMENTSFLNA
STRATEGIC COMMODITIES FUND LLC
257 PARK AVE SOUTH SUITE 700NEW YORKNY10010562493292INVESTMENTSNYNA
ICG CREDIT OPPORTUNITIES FUND LP
11111 SANTA MONICA BLVD SUITE 2100LOS ANGELESCA90025814220441INVESTMENTSCANA
LA JOLLA ORTHOPEDIC SURGERY CENTER LLC
4120 LA JOLLA VILLAGE DRIVELA JOLLACA92037364397467PATIENT CARECASOS
CARLSBAD SURGERY CENTER LLC
6121 PASEO DEL NORTE STE 100CARLSBADCA92011201413484PATIENT CARECASOS
COAST CTR FOR ORTHOPEDIC & ARTHROSCOPIC
3444 KEARNY VILLA ROADSAN DIEGOCA92123330839637PATIENT CARECASOS
OTAY LAKES SURGERY CENTER LLC
955 LANE AVE SUITE 100CHULA VISTACA91914200794766PATIENT CARECASOS
MADISON INTL GLOBAL
410 PARK AVENEW YORKNY10022981310251INVESTMENTSNYNA
SF PEDIATRIC VENTURES
2200 RIVER PLAZASACRAMENTOCA95833454474910PATIENT CARECASUTTER BHRELATED-$1,300$592,500falseYes (true)0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
SUTTER HEALTH DEFERRED COMP PLANS' TRUST
2200 RIVER PLAZA DRIVESACRAMENTOCA95833276851989RABBI TRUSTCANAC CORPYes (true)
NORTHWOOD EUROPE TE FEEDER LP
1819 WAZEE ST 2ND FLOORDENVERCO90202981272216HOLDING COMPANYNATRUSTYes (true)CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (27 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
SUTTER HEALTH PLAN
S$44,568,742
SUTTER WEST BAY MEDICAL FOUNDATION
P$4,743,399
SUTTER EAST BAY MEDICAL FOUNDATION
P$237,365
SISCO
P$15,921,470
BETTER HEALTH EAST BAY FOUNDATION
Q$2,026,540
SUTTER EAST BAY HOSPITALS
P$27,267,750
CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION
P$4,415,197
MILLS-PENINSULA HOSPITAL FOUNDATION
Q$2,047,649
SUTTER VALLEY HOSPITALS
P$298,877
SUTTER BAY MEDICAL FOUNDATION
Q$4,257,659
SAMUEL MERRITT UNIVERSITY
P$9,820,583
PENINSULA ENDOSCOPY CENTER LLC
Q$79,481
SAN FRANCISCO PEDIATRIC VENTURE LLC
P$592,500
BETTER HEALTH EAST BAY FOUNDATION
R$235,144
CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION
R$8,291,185
SAN FRANCISCO PEDIATRIC VENTURE LLC
R$395,000
SUTTER WEST BAY MEDICAL FOUNDATION
K$152,991
SUTTER WEST BAY MEDICAL FOUNDATION
B$410,632
SUTTER WEST BAY MEDICAL FOUNDATION
J$3,244,032
SUTTER EAST BAY HOSPITALS
J$79,067
SUTTER BAY MEDICAL FOUNDATION
J$4,689,400
BETTER HEALTH EAST BAY FOUNDATION
C$2,261,684
CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION
C$18,599,933
MILLS-PENINSULA HOSPITAL FOUNDATION
C$2,918,697
SUTTER BAY MEDICAL FOUNDATION
C$1,745,914
SUTTER BAY MEDICAL FOUNDATION
B$135,785
SUTTER BAY MEDICAL FOUNDATION
K$116,221