SUTTER VALLEY MEDICAL FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SUTTER VALLEY MEDICAL FOUNDATION (EIN 68-0273974)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-13
IRS object ID: 201833179349308193
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-13T18:18:08-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	680273974	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAIGE TERRA	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2018-11-05	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.254	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	68127220183175000024	FederalOriginalSubmissionId
Federal Original Submission Id	2018-11-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	856506003E7717BB4C5FA0BAF50AAA2B61E0405F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C8EB7D7F4A43AD7C11A3CC780D94EAED606DA475	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAMES CONFORTI	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,445,877,425	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SUTTERHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1992	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	5110	TotalEmployeeCnt
Total Volunteers	152	TotalVolunteersCnt
Total Gross UBI	$36,995	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$5,885	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$687,022	PYContributionsGrantsAmt
CY Contributions Grants	$424,728	CYContributionsGrantsAmt
PY Program Service Revenue	$1,328,547,630	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,444,242,235	CYProgramServiceRevenueAmt
PY Investment Income	$1,092,193	PYInvestmentIncomeAmt
CY Investment Income	$1,066,894	CYInvestmentIncomeAmt
PY Other Revenue	$197,827	PYOtherRevenueAmt
CY Other Revenue	$73,696	CYOtherRevenueAmt
PY Total Revenue	$1,330,524,672	PYTotalRevenueAmt
CY Total Revenue	$1,445,807,553	CYTotalRevenueAmt
PY Grants And Similar Paid	$140,754	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$161,100	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$354,607,047	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$372,166,431	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$337,046	CYTotalFundraisingExpenseAmt
PY Other Expenses	$971,556,716	PYOtherExpensesAmt
CY Other Expenses	$1,087,822,809	CYOtherExpensesAmt
PY Total Expenses	$1,326,304,517	PYTotalExpensesAmt
CY Total Expenses	$1,460,150,340	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,220,155	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$14,342,787	CYRevenuesLessExpensesAmt
Total Assets BOY	$677,710,647	TotalAssetsBOYAmt
Total Assets EOY	$540,878,652	TotalAssetsEOYAmt
Total Liabilities BOY	$369,383,543	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$362,964,333	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$308,327,104	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$177,914,319	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,339,624,425	ExpenseAmt
Grant	$161,100	GrantAmt
Revenue	$1,444,242,235	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$1,339,624,425	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	211	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5110	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID ADKINS MD
TRUSTEE	2.0	4.0	Yes (X)	$0	$0	$0
TIMOTHY BYRD
TRUSTEE	2.0	4.0	Yes (X)	$0	$0	$0
JAMES CONFORTI
PRESIDENT, VALLEY AREA	4.0	40.0	Yes (X)	$0	$1,927,277	$428,024	Yes (X)
VIVA ETTIN MD
TRUSTEE	2.0	4.0	Yes (X)	$0	$0	$0
GARY HOOPER
TRUSTEE	2.0	4.0	Yes (X)	$0	$0	$0
SCOTT HOWELL
TRUSTEE	2.0	4.0	Yes (X)	$0	$0	$0
I-MEI HSIU MD
TRUSTEE	2.0	4.0	Yes (X)	$0	$0	$0
PETER HULL MD
TRUSTEE/CME SVH	2.0	40.0	Yes (X)	$0	$336,898	$72,144
SARAH KREVANS
PRESIDENT & CEO, SH	4.0	40.0	Yes (X)	$0	$4,314,787	$1,951,858	Yes (X)
TED LELAND PHD
TRUSTEE	2.0	4.0	Yes (X)	$0	$0	$0
MICHAEL NEWELL
TRUSTEE, CHAIR	4.0	8.0	Yes (X)	$0	$0	$0	Yes (X)
MARIA PALLAVICINI
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
PAT PATHIPATI
TRUSTEE	2.0	4.0	Yes (X)	$0	$0	$0
FATIMA SEWARD
TRUSTEE, CHAIR F & P	4.0	8.0	Yes (X)	$0	$0	$0	Yes (X)
KURT SHULER MD
TRUSTEE	2.0	4.0	Yes (X)	$0	$0	$0
TODD SMITH MD
TRUSTEE, SH BOARD	2.0	10.0	Yes (X)	$0	$27,500	$0
HELEN THOMSON
TRUSTEE	2.0	4.0	Yes (X)	$0	$0	$0
PAIGE TERRA
CFO VALLEY AREA	20.0	20.0		$0	$861,988	$142,601	Yes (X)
PENNY WESTFALL
CHIEF LEGAL OFCR, VALLEY AREA	1.0	40.0		$0	$736,931	$112,163	Yes (X)
TOM BLINN
CEO, VALLEY AREA FOUNDATION	40.0	0.0		$0	$723,176	$37,518		Yes (X)
THERESA FREI
CEO, SUTTER MED FOUNDATION	40.0	0.0		$0	$600,550	$128,038		Yes (X)
GARY ZUFELT
CEO, SUTTER GOULD MED FDN	40.0	0.0		$0	$803,390	$272,759		Yes (X)
SUHEIR HADDAD
CFO FDN, SUTTER HEALTH VALLEY	40.0	0.0		$0	$550,517	$88,612			Yes (X)
VIRGINIA JOYCE
MED DIR, QUAL & PATIENT SAFETY	40.0	0.0		$299,264	$0	$38,754			Yes (X)
KATHERINE T MANUEL
COO, SGMF	40.0	0.0		$0	$453,152	$70,776			Yes (X)
MICHAEL MARINO
VP, HR FOUNDATIONS, SH VALLEY	40.0	0.0		$0	$340,703	$52,654			Yes (X)
CHARLES SANDERS III
CFO FNDTN - SGMF/NORTH	40.0	0.0		$0	$343,795	$56,270			Yes (X)
JEFF SPRAGUE
SVP & CFO SH	0.0	40.0		$0	$1,648,581	$585,930				Yes (X)
PAMELA ADDY
REG. DIR. OUTPATIENT IMAGING	40.0	0.0		$210,166	$0	$27,384				Yes (X)
KEVIN ENGLE
SERVICE LINE MANAGER	40.0	0.0		$141,055	$0	$10,630				Yes (X)
GLENN GROVES
ADMIN DIR. REGIONAL	40.0	0.0		$186,234	$0	$26,636				Yes (X)
ERIC RASMUSSEN
DIR GROWTH & MED GRP STRT	40.0	0.0		$223,498	$0	$34,548				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,060,217	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,669,245	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,137,299	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	597	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDICINE PHYSICIANS INC
PO BOX 2743	ELK GROVE	CA	95757	STAFFING SERVICES	$7,846,222
CHG COMPANIES INC
PO BOX 972625	DALLAS	TX	753972625	STAFFING SERVICES	$2,758,388
QUEST DIAGNOSTICS INC
3924 COLLECTION CENTER DR	CHICAGO	IL	606930039	LABORATORY SERVICES	$1,872,734
ADVANCED BUILDING MAINTENANCE
PO BOX 19433	SACRAMENTO	CA	95819	JANITORIAL SERVICES	$1,757,700
SHASTA AM LINEN SUPPLY INC
1931 E ST	SACRAMENTO	CA	95811	LAUNDRY SERVICES	$1,260,520

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	72	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$377	FederatedCampaignsAmt
Fundraising	$54,197	FundraisingAmt
Related Organizations	$84,084	RelatedOrganizationsAmt
All Other Contributions	$286,070	AllOtherContributionsAmt
Total Contributions	$424,728	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621110	$1,431,393,787	$1,431,393,787
HEALTHCARE RELATED JV INCOME	621110	$11,113,163	$11,113,163
RENTAL TO AFFILIATES	621110	$1,104,981	$1,104,981
GUARANTEED PAYMENT JV INCOME	621110	$630,304	$630,304

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,444,242,235	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$989,748	TotalRevenueColumnAmt
Exclusion	$989,748	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$69,376	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$28,142	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$41,234	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$41,234	TotalRevenueColumnAmt
Exclusion	$41,234	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$102,200	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$25,054	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$77,146	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$77,146	TotalRevenueColumnAmt
Exclusion	$77,146	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$12,093	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$54,197	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$16,676	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,583	TotalRevenueColumnAmt
Exclusion	-$4,583	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$50	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50	TotalRevenueColumnAmt
Exclusion	$50	ExclusionAmt

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	SFSC ADMIN FEE	Desc
Business	541610	BusinessCd
Total Revenue Column	$36,995	TotalRevenueColumnAmt
Unrelated Business Revenue	$36,995	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$36,995	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,445,807,553	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,444,242,235	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$36,995	UnrelatedBusinessRevenueAmt
Exclusion	$1,103,595	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$161,100	TotalAmt
Program Services	$161,100	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,565,433	TotalAmt
Management And General	$2,565,433	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$222,780,824	TotalAmt
Program Services	$202,769,333	ProgramServicesAmt
Management And General	$19,996,983	ManagementAndGeneralAmt
Fundraising	$14,508	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,648,461	TotalAmt
Program Services	$15,880,302	ProgramServicesAmt
Management And General	$1,768,159	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$108,567,653	TotalAmt
Program Services	$97,690,509	ProgramServicesAmt
Management And General	$10,841,630	ManagementAndGeneralAmt
Fundraising	$35,514	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,604,060	TotalAmt
Program Services	$18,539,786	ProgramServicesAmt
Management And General	$2,064,274	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,542,988	TotalAmt
Program Services	$249,699	ProgramServicesAmt
Management And General	$2,293,289	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,122,940	TotalAmt
Program Services	$1,122,940	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$950	TotalAmt
Management And General	$950	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$263,730	TotalAmt
Management And General	$263,730	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$551,948,220	TotalAmt
Program Services	$538,266,387	ProgramServicesAmt
Management And General	$13,681,833	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$107,475	TotalAmt
Management And General	$107,475	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,911,647	TotalAmt
Program Services	$7,355,017	ProgramServicesAmt
Management And General	$4,554,994	ManagementAndGeneralAmt
Fundraising	$1,636	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$36,700,326	TotalAmt
Program Services	$23,910,407	ProgramServicesAmt
Management And General	$12,789,919	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$44,998,587	TotalAmt
Program Services	$42,872,879	ProgramServicesAmt
Management And General	$2,125,708	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,520,940	TotalAmt
Program Services	$1,261,759	ProgramServicesAmt
Management And General	$259,181	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$259,504	TotalAmt
Program Services	$122,492	ProgramServicesAmt
Management And General	$137,012	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,859,772	TotalAmt
Program Services	$7,859,772	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$47,343,974	TotalAmt
Program Services	$43,686,819	ProgramServicesAmt
Management And General	$3,657,155	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,896,545	TotalAmt
Program Services	$828,580	ProgramServicesAmt
Management And General	$1,067,965	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
CAPITATED SERVICES	$111,140,619	$111,140,619	$0	$0
PURCHASED SERVICES	$102,810,230	$90,704,249	$12,070,245	$35,736
MEDICAL SUPPLIES	$79,470,781	$79,470,781	$0	$0
SYSTEM ALLOCATIONS	$79,025,244	$51,163,047	$27,620,034	$242,163

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,898,337	TotalAmt
Program Services	$4,567,948	ProgramServicesAmt
Management And General	$2,322,900	ManagementAndGeneralAmt
Fundraising	$7,489	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,460,150,340	TotalAmt
Program Services	$1,339,624,425	ProgramServicesAmt
Management And General	$120,188,869	ManagementAndGeneralAmt
Fundraising	$337,046	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$156,687,696	BOYAmt
EOY	$58,277,321	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$162,748	BOYAmt
EOY	$86,382	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$89,534,269	BOYAmt
EOY	$87,031,602	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,046,697	BOYAmt
EOY	$9,286,740	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$813,972	BOYAmt
EOY	$677,384	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$735,270,954	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$405,542,019	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$337,308,625	BOYAmt
EOY	$329,728,935	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$21,745,593	BOYAmt
EOY	$435,119	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$20,722,084	BOYAmt
EOY	$16,357,289	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,283,299	BOYAmt
EOY	$24,283,299	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$16,405,664	BOYAmt
EOY	$14,714,581	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$677,710,647	BOYAmt
EOY	$540,878,652	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$146,577,115	BOYAmt
EOY	$153,857,416	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$214,950,781	BOYAmt
EOY	$202,287,649	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$64,245	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,791,402	BOYAmt
EOY	$6,819,268	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$369,383,543	BOYAmt
EOY	$362,964,333	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$304,986,320	BOYAmt
EOY	$176,634,376	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,240,184	BOYAmt
EOY	$1,166,918	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$100,600	BOYAmt
EOY	$113,025	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$308,327,104	BOYAmt
EOY	$177,914,319	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$677,710,647	BOYAmt
EOY	$540,878,652	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$14,342,787	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$85,099	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$115,984,899	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$100,600	BeginningYearBalanceAmt
Contributions	$12,425	ContributionsAmt
End Year Balance	$113,025	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Contributions	$100,600	ContributionsAmt
End Year Balance	$100,600	EndYearBalanceAmt

Field	Value	IRS element (for citing)
CY Minus2 Yr Endwmt Fund		CYMinus2YrEndwmtFundGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$43,429,133	OtherCostOrOtherBasisAmt
Book Value	$43,429,133	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$343,044,863	OtherCostOrOtherBasisAmt
Depreciation	$129,511,852	DepreciationAmt
Book Value	$213,533,011	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$70,758,592	OtherCostOrOtherBasisAmt
Depreciation	$50,647,323	DepreciationAmt
Book Value	$20,111,269	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$253,687,387	OtherCostOrOtherBasisAmt
Depreciation	$210,781,010	DepreciationAmt
Book Value	$42,906,377	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$24,350,979	OtherCostOrOtherBasisAmt
Depreciation	$14,601,834	DepreciationAmt
Book Value	$9,749,145	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$329,728,935	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
THIRD PARTY SETTLEMENTS	$459,597
INSURANCE LIABILITIES	$928,896
OTHER LIABILITIES	$5,430,775

Field	Value	IRS element (for citing)
Total Liability	$6,819,268	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

INTENDED USE OF ENDOWMENT FUNDS: THE EARNINGS ON THE ENDOWMENT ARE TO BE SPENT FOR THE PURPOSE OF PROVIDING SCHOLARSHIP SUPPORT FOR DISADVANTAGED HIGH SCHOOL STUDENTS PURSUING MEDICAL CAREERS.

SCHEDULE D, PART X, LINE 2

ASC 740 AUDIT FOOTNOTE 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 THE INTERNAL REVENUE SERVICE ON HOW THESE PROVISIONS APPLY TO TAX-EXEMPT ORGANIZATIONS AND TAXABLE AFFILIATES.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	SAH Theme Ball	Event1Nm
Gross Receipts Event1	$88,448	GrossReceiptsEvent1Amt
Charitable Contri Event1	$58,859	CharitableContriEvent1Amt
Gross Revenue Event1	$29,589	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$700	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$15,854	FoodAndBeverageEvent1Amt
Entertainment Event1	$600	EntertainmentEvent1Amt
Other Direct Expenses Event1	$7,151	OtherDirectExpensesEvent1Amt
Event2	Gala	Event2Nm
Gross Receipts Event2	$149,911	GrossReceiptsEvent2Amt
Charitable Contri Event2	$81,275	CharitableContriEvent2Amt
Gross Revenue Event2	$68,636	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$3,402	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$27,671	FoodAndBeverageEvent2Amt
Entertainment Event2	$3,000	EntertainmentEvent2Amt
Other Direct Expenses Event2	$24,661	OtherDirectExpensesEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$238,359	GrossReceiptsTotalAmt
Charitable Contributions Tot	$140,134	CharitableContributionsTotAmt
Gross Revenue Total Events	$98,225	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$4,102	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$43,525	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$3,600	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$31,812	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$83,039	DirectExpenseSummaryEventsAmt
Net Income Summary	$15,186	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Indiv Hospital Tailored Policy	Yes (X)	IndivHospitalTailoredPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$643,398	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$643,398	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,896,655	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,833,944	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,062,711	NetCommunityBenefitExpnsAmt
Total Expense	0.02540	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,772,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,231,226	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,541,297	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$98,312,576	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,065,170	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,247,406	NetCommunityBenefitExpnsAmt
Total Expense	0.02690	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	4678	PersonsServedCnt
Total Community Benefit Expns	$290,800	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$290,800	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	422	PersonsServedCnt
Total Community Benefit Expns	$2,192,689	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,632,601	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$560,088	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,150,211	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,008,004	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,142,207	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$577,428	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$399,195	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$178,233	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	3008	PersonsServedCnt
Total Community Benefit Expns	$1,901,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,901,138	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	34	ActivitiesOrProgramsCnt
Persons Served	8108	PersonsServedCnt
Total Community Benefit Expns	$9,112,466	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,040,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,072,466	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	34	ActivitiesOrProgramsCnt
Persons Served	8108	PersonsServedCnt
Total Community Benefit Expns	$107,425,042	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,105,170	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,319,872	NetCommunityBenefitExpnsAmt
Total Expense	0.02970	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$19,477,485	BadDebtExpenseAmt
Reimbursed By Medicare	$7,857,888	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,811,667	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,953,779	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	STANISLAUS SURG HOSP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	MEDICAL SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.31	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.3451	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	OtherOtherDesc
TWIN CITIES SURGICAL HOSPITAL
1	455 PLUMAS BLVD	YUBA CITY	CA	959915074	https://www.sutterhealth.org/sshnv	LICENSE #550000989	Yes (X)	Yes (X)	OUTPATIENT SERVICES
STANISLAUS SURGICAL HOSPITAL
2	1421 OAKDALE ROAD	MODESTO	CA	953553356	WWW.STANISLAUSSURGICAL.COM/	LICENSE #030000695	Yes (X)	Yes (X)	OUTPATIENT SERVICES

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

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

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
REPORTING FACILITY: #1, TWIN CITIES SURGICAL HOSPITAL	SCHEDULE H, PART V, SECTION B, LINE 3E TWIN CITIES SURGICAL HOSPITAL (1) THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 TWIN CITIES SURGICAL HOSPITAL (1) CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: 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. PRIOR TO THEIR PARTICIPATION ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW (APPENDIX C OF THE CHNA). 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 (FOR A LISTING SEE APPENDIX F OF THE CHNA). PRIMARY DATA COLLECTION BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE HSA, INCLUDING INPUT FROM BOTH SUTTER AND YUBA COUNTY PUBLIC HEALTH DIVISIONS. 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 10 KEY INFORMANT INTERVIEWS WERE COMPLETED WITH 18 COMMUNITY HEALTH EXPERTS AND 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 HSA, AS WELL AS DIRECT OUTREACH TO ACQUIRE INPUT FOR A SPECIAL POPULATION GROUP. SIX FOCUS GROUP DISCUSSIONS WERE CONDUCTED WITH A TOTAL OF 53 COMMUNITY MEMBERS (A LISTING CAN BE FOUND IN APPENDIX G OF THE CHNA). THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN TWIN CITIES SURGICAL HOSPITAL'S CHNA ARE AVAILABLE AT https://www.sutterhealth.org/sshnv/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASS ESSMENT
SCHEDULE H, PART V, SECTION B, LINE 6A	TWIN CITIES SURGICAL HOSPITAL (1) CHNA HOSPITAL COLLABORATORS: WORKING COLLABORATIVELY, RIDEOUT HEALTH, INCLUDING RIDEOUT REGIONAL MEDICAL CENTER, AND TWIN CITIES SURGICAL HOSPITAL CONTRACTED WITH COMMUNITY HEALTH INSIGHTS TO CONDUCT A CHNA FOR THEIR MUTUAL SERVICE AREAS.
SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A	TWIN CITIES SURGICAL HOSPITAL (1) REPORTING ORG WEBSITE https://www.sutterhealth.org/sshnv/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASS ESSMENT OTHER WEBSITE HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T
SCHEDULE H, PART V, SECTION B, LINE 11	TWIN CITIES SURGICAL HOSPITAL (1) THE FOLLOWING SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT TWIN CITIES SURGICAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES AND PRESCRIPTION DRUGS 2. ACCESS TO HEALTH EDUCATION AND HEALTH LITERACY 3. ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH ADDITIONAL CRITICAL EFFORTS ON BEHALF OF TWIN CITIES SURGICAL HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. TWIN CITIES SURGICAL HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ACCESS TO AFFORDABLE, HEALTHY FOOD: WHILE THIS IS AN IMPORTANT ISSUE, TWIN CITIES SURGICAL HOSPITAL DBA SUTTER SURGICAL HOSPITAL - NORTH VALLEY (SSHNV) CAN BE MORE EFFECTIVE FOCUSING ITS RESOURCES IN OTHER AREAS; HOWEVER, THROUGH OUR COMMUNITY SPONSORSHIP PROGRAM, WE ARE ABLE TO PROVIDE SUPPORT FOR ORGANIZATIONS WHO FOCUS WORK IN THIS AREA. 2. ACCESS TO SPECIALTY CARE: WHILE THIS IS AN IMPORTANT ISSUE, SSHNV IS CURRENTLY FOCUSING ITS RESOURCES IN OTHER AREAS; HOWEVER, WELL CONTINUE TO LOOK FOR OPPORTUNITIES TO INCREASE ACCESS TO SPECIALTY CARE. 3. ACCESS TO TRANSPORTATION AND MOBILITY: WHILE THIS IS AN IMPORTANT ISSUE, SSHNV IS CURRENTLY FOCUSING ITS RESOURCES IN OTHER AREAS; HOWEVER, WELL CONTINUE TO LOOK FOR OPPORTUNITIES TO INCREASE ACCESS TO TRANSPORTATION. 4. COLLABORATION AND COORDINATION AMONG COMMUNITY SERVICES AND PROGRAM: INCREASED COLLABORATION IS SOMETHING WE ALWAYS HOPE TO ACHIEVE, IN ALL SUTTER HEALTH SERVICE AREAS. WHILE WE DONT HAVE ANY COORDINATED EFFORTS WE CAN HIGHLIGHT IN THIS REPORT, THIS IS AN AREA WE PLAN TO EXPLORE. SCHEDULE H, PART V, LINE 15E TWIN CITIES SURGICAL HOSPITAL (1) 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 TWIN CITIES SURGICAL HOSPITAL (1) THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16J	TWIN CITIES SURGICAL HOSPITAL (1) 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, SECTION B, LINE 22D TWIN CITIES SURGICAL HOSPITAL (1) AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
REPORTING FACILITY: #2, STANISLAUS SURGICAL HOSPITAL	SCHEDULE H, PART V, SECTION B, LINE 2 STANISLAUS SURGICAL HOSPITAL (2) SUTTER VALLEY MEDICAL FOUNDATION ACQUIRED A 31% MEMBERSHIP INTEREST IN STANISLAUS SURGICAL HOSPITAL, LLC ON APRIL 1, 2016. PREVIOUSLY, THE HOSPITAL OPERATED AS A PARTNERSHIP WITHOUT TAX-EXEMPT OWNERSHIP.
SCHEDULE H, PART V, SECTION B, LINE 15E	STANISLAUS SURGICAL HOSPITAL (2) METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY SUBMIT CHARITY CARE APPLICATION TO THE COLLECTIONS SUPERVISOR. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C STANISLAUS SURGICAL HOSPITAL (2) THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTPS://STANISLAUSSURGICAL.COM/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16J	STANISLAUS SURGICAL HOSPITAL (2) MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS SERVICE AREA (ENGLISH & SPANISH). DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED THE FINANCIAL ASSISTANCE POLICY. THE FINANCIAL ASSISTANCE POLICY IS POSTED IN SEVERAL PROMINENT LOCATIONS WITHIN THE HOSPITAL, INCLUDING, BUT NOT LIMITED TO THE BILLING OFFICE, ADMISSIONS OFFICE, AND PATIENT WAITING AREA. THE HOSPITAL PROVIDES PATIENTS, IN A TIMELY MANNER, A COPY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST.

Field	Value	IRS element (for citing)
Facility	65	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (65 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SUTTER MED CARE CT & AMBULATORY SURG CT
460 Plumas	Yuba City	CA	95991	OUTPATIENT SERVICES/SURGERY CENTER
URGENT CARE
600 COFFEE ROAD	MODESTO	CA	95355	Urgent Care
STOCKTON MEDICAL PLAZA
2545 WEST HAMMER LANE	STOCKTON	CA	95209	Urgent Care/Surgery Center/ Outpatient Services
STOCKTON SURGERY CENTER
8011 DON AVENUE	STOCKTON	CA	95209	SURGERY CENTER
PATTERSON CARE CENTER
801 E STREET	PATTERSON	CA	95363	Lab/Outpatient Services
TURLOCK CARE CENTER
3100 W CHRISTOFFERSEN PARKWAY	TURLOCK	CA	95382	Urgent Care/Radiology/ Laboratory
SUTTER IMAGING SACRAMENTO
3161 L STREET	SACRAMENTO	CA	95816	Imaging
SUTTER ROSEVILLE CANCER CENTER
8 MEDICAL PLAZA DRIVE	ROSEVILLE	CA	95661	Outpatient Services
ROSEVILLE PATIENT SERVICE CENTERS
3 MEDICAL PLAZA DRIVE	ROSEVILLE	CA	95661	Outpatient Services
SUTTER IMAGING ROSEVILLE PARKWAY
1640 EAST ROSEVILLE PARKWAY	ROSEVILLE	CA	95661	Imaging
SUTTER IMAGING ROSEVILLE II
2 MEDICAL PLAZA DRIVE	ROSEVILLE	CA	95661	Imaging
DAVIS PATIENT SERVICE CENTERS
2020 SUTTER PLACE	DAVIS	CA	95616	Outpatient Services
SUTTER CANCER CENTER SACRAMENTO
2800 L ST	SACRAMENTO	CA	95816	Outpatient Services
SUTTER URGENT CARE FAIRFIELD
2702 LOW COURT	FAIRFIELD	CA	94534	Outpatient Services
SUTTER YUBA CITY MEDICAL CENTER
480 PLUMAS	YUBA CITY	CA	95991	Outpatient Services
VACAVILLE CARE CENTER
770 MASON STREET	VACAVILLE	CA	95687	Outpatient Services
VALLEJO CARE CENTER
100 HOSPITAL DRIVE	VALLEJO	CA	94589	Outpatient Services
SUTTER AMADOR SURGERY CENTER
223 CLINTON ROAD	JACKSON	CA	95642	Outpatient Services
SUTTER FAIRFIELD SURGERY CENTER
2700 LOW COURT	FAIRFIELD	CA	94534	SURGERY CENTER
AUBURN AMC FAMILY PRACTICE & ORTHOPEDICS
3133 PROFESSIONAL DRIVE	AUBURN	CA	95603	Family Practice & Orthopedics
URGENT CARELABRADIOLOGYCARDIOLOGY
440 PLUMAS	YUBA CITY	CA	95991	Urgent Care/Lab/Radiology/ CARDIOLOGY
AUBURN GASTROENTEROLOGY & NEUROLOGY
11795 EDUCATION STREET	AUBURN	CA	95602	Gastroenterology & Neurology
ROSEVILLE FAMILY PRACTICE & PHYS THERAPY
568 N SUNRISE AVE	ROSEVILLE	CA	95661	Outpatient Services & PHYSICAL THERAPY
ELK GROVE - PHYSICAL THERAPY
9280 W STOCKTON BLVD	ELK GROVE	CA	95758	PHYSICAL THERAPY
GRASS VALLEY FAMILY PRACTICE & PHYS THRP
10058 WOLF ROAD	GRASS VALLEY	CA	95949	Outpatient Services & PHYSICAL THERAPY
DAVIS - PHYSICAL THERAPY
11930 HERITAGE OAK PLACE	AUBURN	CA	95616	PHYSICAL THERAPY
PHYSICAL THERAPY
420 B ST	YUBA CITY	CA	95991	Physical Therapy
SUTTER FAIRFIELD DIAGNOSTIC IMAGING CTR
2700 LOW COURT	FAIRFIELD	CA	94534	Diagnostic Imaging Center
SUTTER IMAGING CAMPUS COMMONS
2 SCRIPPS DRIVE	SACRAMENTO	CA	95825	Diagnostic Imaging Center
SUTTER IMAGING SOUTH
8118 TIMBERLAKE WAY	SACRAMENTO	CA	95823	Diagnostic Imaging Center
FOLSOM PATIENT SERV CENTERSURGENT CARE
2575 E BIDWELL ST	FOLSOM	CA	95630	Outpatient Services/Urgent Care
SACRAMENTO AREA PATIENT SERVICE CENTERS
1625 STOCKTON BLVD	SACRAMENTO	CA	95816	Outpatient Services
FORT SUTTER PATIENT SERVICE CENTERS
2801 K ST	SACRAMENTO	CA	95816	Outpatient Services
NORTHEAST SAC PATIENT SERVICE CENTERS
3100 DOUGLAS BLVD	ROSEVILLE	CA	95661	Outpatient Services
SACRAMENTO AREA PATIENT SERVICE CENTERS
1201 ALHAMBRA BLVD	SACRAMENTO	CA	95816	Outpatient Services
SACRAMENTO AREA PATIENT SERVICE CENTERS
2725 CAPITOL AVE	SACRAMENTO	CA	95816	Outpatient Services
YOLO AREA PATIENT SERVICE CENTERS
635 ANDERSON RD	DAVIS	CA	95616	Outpatient Services
SACRAMENTO AREA PATIENT SERVICE CENTERS
8170 LAGUNA BLVD	ELK GROVE	CA	95758	Outpatient Services
SMF SURGERY CENTER
8200 LAGUNA BLVD	ELK GROVE	CA	95758	Ambulatory Surgery Center
YOLO AREA PATIENT SERVICE CENTERS
2210 DEL PASO RD	SACRAMENTO	CA	95831	Outpatient Services
PLACER AREA PATIENT SERVICE CENTERS
685 TWELVE BRIDGES DR	LINCOLN	CA	95648	Outpatient Services
SUTTER IMAGING FOLSOM I
1655 CREEKSIDE DRIVE	FOLSOM	CA	95630	Diagnostic Imaging Center
SUTTER IMAGING FOLSOM II
1661 CREEKSIDE DRIVE	FOLSOM	CA	95630	Diagnostic Imaging Center
WOODLAND PATIENT SERVICES CENTER
475 PIONEER AVE	WOODLAND	CA	95776	Outpatient Services
YOLO AREA PATIENT SERVICE CENTERS
125 N LINCOLN ST	DIXON	CA	95620	Outpatient Services
PLACER AREA PATIENT SERVICE CENTERS
3288 BELL RD	AUBURN	CA	95603	Outpatient Services
NORTHEAST SAC PATIENT SERVICE CENTERS
5767 GREENBACK LANE	SACRAMENTO	CA	95825	Outpatient Services
YOLO AREA PATIENT SERVICE CENTERS
7420 GREENHAVEN DR	SACRAMENTO	CA	95831	Outpatient Services
AUBURN PARKHILL FAMILY PRACTICE
404 AUBURN-FOLSOM ROAD	AUBURN	CA	95603	Family Practice
SUTTER IMAGING AUBURN
3123 PROFESSIONAL DRIVE	AUBURN	CA	95603	Diagnostic Imaging Center
CARDIOLOGY
2575 E BIDWELL ST	FOLSOM	CA	95630	Cardiology
SUTTER IMAGING CARMICHAEL
6620 COYLE AVENUE	CARMICHAEL	CA	95608	Diagnostic Imaging Center
PROCEDURE CENTER
550 B ST	YUBA CITY	CA	95991	Procedure Center
HOME HEALTHHOSPICE
400 PLUMAS	YUBA CITY	CA	95991	Home Health/Hospice
DAVIS INTERNAL MED & GASTROENTEROLOGY
2068 JOHN JONES WAY	DAVIS	CA	95616	Internal Medicine & Gastroenterology
L STREET MEDICAL NEUROLOGY
2800 L STREET	SACRAMENTO	CA	95819	Neurology
ORTHOPEDICS
470 PLUMAS	YUBA CITY	CA	95991	Orthopedics
SUTTER OBSTETRICS AND GYNECOLOGY
969 PLUMAS	YUBA CITY	CA	95991	Obstetrics
SUTTER ADVANCED DERMATOLOGY & LASER CTR
350 Del Norte	Yuba City	CA	95991	Dermatology
ROSEVILLE EXPRESS CLINIC
4010 FOOTHILLS BOULEVARD	ROSEVILLE	CA	95747	Outpatient Services
EXPRESS CLINIC - EL DORADO HILLS
3919 PARK DRIVE	EL DORADO HILLS	CA	95762	Outpatient Services
EXPRESS CLINIC - ELK GROVE
4810 ELK GROVE BOULEVARD	ELK GROVE	CA	95758	Outpatient Services
CITRUS HEIGHTS WALK-IN CARE
5406 SUNRISE BOULEVARD	CITRUS HEIGHTS	CA	95610	Outpatient Services
SUTTER GOULD CARDIOLOGY STOCKTON
1801 EAST MARCH LANE	STOCKTON	CA	95210	Cardiology
RADIATION ONCOLOGY SERVICES-VACAVILLE
200 BELLA VISTA ROAD	VACAVILLE	CA	95687	Outpatient Services

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINES 3A & 3C	FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: SUTTER VALLEY MEDICAL FOUNDATION OWNS 100% OF TWIN CITIES SURGICAL HOSPITAL, WHICH PROVIDES PREDOMINANTLY ELECTIVE SURGERIES AND DOES NOT PROVIDE EMERGENCY CARE. FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THIS FACILITY USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION TWIN CITIES SURGICAL HOSPITAL 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. SUTTER VALLEY MEDICAL FOUNDATION ACQUIRED A 31% OWNERSHIP INTEREST IN STANISLAUS SURGICAL HOSPITAL IN 2016. THIS HOSPITAL PROVIDES PREDOMINANTLY ELECTIVE SURGERIES AND DOES NOT PROVIDE EMERGENCY CARE. STANISLAUS SURGICAL HOSPITAL PROVIDES FREE CHARITY CARE FOR MEDICALLY NECESSARY PROCEDURES FOR UNINSURED PATIENTS FOR FAMILY INCOMES THAT ARE AT OR BELOW 100% OF FPG. SCHEDULE H, PART I, LINE 3B SUTTER VALLEY MEDICAL FOUNDATION IS COMMITTED TO PROVIDING CHARITY CARE. TWIN CITIES SURGICAL HOSPITAL PROVIDES FREE CARE AT HIGH PERCENTAGE OF FPG, SO IT DOES NOT PROVIDE DISCOUNTED CARE. STANISLAUS SURGICAL HOSPITAL PROVIDES DISCOUNTED CHARITY CARE BASED ON A SLIDING SCALE UP TO 350% OF FPG.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.
SCHEDULE H, PART I, LINE 7G	FINANCIAL ASSISTANCE/OTHER COMMUNITY BENEFITS AT COST RELATED TO SUBSIDIZED HEALTH SERVICES: THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $1,142,207. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES SUTTER VALLEY MEDICAL FOUNDATION (SVMF) DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT FOR 2017.
SCHEDULE H, PART III, LINE 2	METHODOLOGY 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 3	METHODOLOGY 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 4	AUDIT 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 7	MEDICARE COSTS: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS.
SCHEDULE H, PART III, LINE 8	COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT.
SCHEDULE H, PART III, LINE 9B	DEBT COLLECTION POLICY: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF FEDERAL AND CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. AT DISCHARGE PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 210 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS.
SCHEDULE H, PART VI, LINE 2	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 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER HOSPITALS FOLLOW A SUTTER HEALTH SYSTEM-WIDE FINANCIAL ASSISTANCE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. LANGUAGES: THE POLICY SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE HOSPITAL'S SERVICE AREA. IN ADDITION, ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN PRIMARY LANGUAGE(S) OF THE HOSPITAL'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. INFORMATION PROVIDED TO PATIENTS DURING THE PROVISION OF HOSPITAL SERVICES: A. DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND IDENTIFY THE DEPARTMENT THAT PATIENTS CAN VISIT TO RECEIVE INFORMATION ABOUT, AND ASSISTANCE WITH APPLYING FOR, FINANCIAL ASSISTANCE. B. FINANCIAL ASSISTANCE COUNSELORS: PATIENTS WHO MAY BE UNINSURED PATIENTS SHALL BE ASSIGNED FINANCIAL COUNSELORS, WHO SHALL VISIT WITH THE PATIENTS IN PERSON AT THE HOSPITAL, PROVIDE PATIENTS A FINANCIAL ASSISTANCE APPLICATION, ASSIST WITH THE APPLICATION PROCESS, AND PROVIDE A CONTACT INFORMATION FOR THE PATIENT TO CALL FOR QUESTIONS. C. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITALS SHALL PROVIDE ALL PATIENTS A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. D. APPLICATIONS PROVIDED AT DISCHARGE: AT THE TIME OF DISCHARGE, HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. E. INFORMATION 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 4	COMMUNITY INFORMATION: MARYSVILLE IS LOCATED IN YUBA COUNTY AND YUBA CITY IS LOCATED IN SUTTER COUNTY. SEPARATED BY THE FEATHER RIVER, THE CITIES ARE LOCATED ADJACENT TO ONE ANOTHER AND ARE PART OF THE YUBA CITY METROPOLITAN STATISTICAL AREA AS DESIGNATED BY THE US OFFICE OF MANAGEMENT AND BUDGET. THE COMMUNITY SERVED BY BOTH RRMC AND SSHNV, OR THE HOSPITAL SERVICE AREA (HSA), WAS DEFINED BY FIVE ZIP CODES NOTED IN THE TABLE BELOW. THIS AREA WAS IDENTIFIED AS THE HSA AS THE MAJORITY OF BOTH RRMC AND SSHNV PATIENTS RESIDED IN THESE ZIP CODES. THE HSA WAS HOME TO OVER 146,000 COMMUNITY RESIDENTS, AND WAS RICH IN DIVERSITY ALONG A NUMBER OF DIMENSIONS. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. DATA WERE ANALYZED TO IDENTIFY COMMUNITIES OF CONCERN WITHIN THE HSA. THESE ARE DEFINED GEOGRAPHIC AREAS AND POPULATIONS WITHIN THE HSA THAT HAVE THE GREATEST CONCENTRATION OF POOR HEALTH OUTCOMES AND ARE HOME TO MORE MEDICALLY UNDERSERVED, LOW INCOME, AND DIVERSE POPULATIONS AT GREATER RISK FOR POORER HEALTH. COMMUNITIES OF CONCERN WERE IMPORTANT TO THE OVERALL CHNA METHODOLOGY BECAUSE, AFTER ASSESSING THE HSA MORE BROADLY, THEY ALLOWED FOR A FOCUS ON THOSE PORTIONS OF THE HSA LIKELY EXPERIENCING THE GREATEST HEALTH DISPARITIES. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED FOUR COMMUNITIES THAT MET THE CRITERIA FOR CLASSIFICATION AS A COMMUNITY OF CONCERN. THESE COMMUNITIES ARE LINDA, LIVE OAK, OLIVE HURST AND YUBA CITY. THE HSA WAS HOME TO OVER 146,000 RESIDENTS. MEDIAN AGE VARIED FROM A LOW OF 29.9 YEARS FOR ZIP CODE 95961 TO A HIGH OF 38.8 FOR ZIP CODE 95993. MEDIAN INCOME RANGED FROM $40,260 FOR ZIP CODE 95901, TO $64,011 FOR 95993. FURTHER, THE PERCENT MINORITY POPULATION RANGED FROM 44.3% FOR ZIP CODE 95901, TO 62.6% FOR ZIP CODE 95953. THE SSHNV HSA COVERED A RURAL COMMUNITY. UNLIKE URBAN COMMUNITIES, THE GEOGRAPHIC AREA INCLUDED IN THE HSA HAD A RELATIVELY LOW POPULATION DENSITY. HSA RESIDENTS LIVED IN CONCENTRATED AREAS WITHIN THE ZIP CODES THAT COMPRISED THE HSA. FIGURE 2 (IN THE FULL REPORT) DISPLAYS A POPULATION DENSITY MAP (OR PEOPLE PER SQUARE MILE) THAT DEMONSTRATES THE DISTRIBUTION OF POPULATIONS ACROSS THE HSA, AND WITHIN EACH ZIP CODE. THE CONCENTRATION OF POPULATIONS RESIDED IN A CLUSTER WITHIN THE CITIES OF LINDA, MARYSVILLE, OLIVEHURST, AND YUBA CITY. LIVE OAK, SITUATED DUE NORTH OF YUBA CITY, SITS IN RELATIVE ISOLATION COMPARED TO THE YUBA CITY METROPOLITAN STATISTICAL AREA. MUCH OF THE GEOGRAPHIC AREA WITHIN THE ZIP CODE DEFINITIONS OF THE HSA IS FARMLAND, AND NOT INHABITED BY COMMUNITY RESIDENTS. THIS FACT BECOMES IMPORTANT WHEN ZIP CODE LEVEL DATA ARE DISCUSSED LATER IN THE REPORT. THE HSA WAS RICH IN RACIAL AND ETHNIC DIVERSITY AS WELL. FURTHER EXAMINATION OF RACIAL AND ETHNIC DIVERSITY IN THE HSA IS EXAMINED IN FIGURE 3 IN THE FULL REPORT. STANISLAUS SURGICAL HOSPITAL: STANISLAUS SURGICAL HOSPITAL IS LOCATED IN MODESTO, CALIFORNIA, AND ITS SERVICE AREA INCLUDES THE CITIES OF CERES, HUGHSON, MODESTO, NEWMAN, OAKDALE, PATTERSON, RIVERBANK, TURLOCK AND WATERFORD. THE SERVICE AREA INCLUDES ALL OF STANISLAUS COUNTY. THE DEMOGRAPHICS INCLUDE A TOTAL POPULATION OF 518,321 CITIZENS, WITH 76.51% WHITE (INCLUDING HISPANIC), 2.82% BLACK, 5.28% ASIAN, AND OF THAT POPULATION, 42.5% LATINO. THE POPULATION DENSITY IS MUCH HIGHER IN STANISLAUS COUNTY THAN CALIFORNIA AS A WHOLE. 44.19% LIVE IN POVERTY, 28.32% CHILDREN LIVE IN POVERTY, 10.4% ARE UNEMPLOYED, 17.84% ARE UNINSURED AND 23.59% HAVE NOT GRADUATED FROM HIGH SCHOOL. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE MEMORIAL MEDICAL CENTER 2016 CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. TWIN CITIES SURGICAL HOSPITAL THE 2016 - 2018 IMPLEMENTATION STRATEGY FOR TWIN CITIES SURGICAL HOSPITAL 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: SHADY CREEKS FITQUEST PROGRAM HAS STUDENTS PARTICIPATE IN 3 ASSEMBLIES AT EACH SCHOOL SITE, LEAD BY NATURALISTS, WITH A FOCUS ON HEALTH, WELLNESS, AND FITNESS EDUCATION, AS WELL AS A WEEK-LONG IMMERSION AT THE OUTDOOR SCHOOL. THE GOAL OF FITQUEST IS TO TEACH CHILDREN AND THEIR FAMILIES HEALTHY LESSONS ABOUT FITNESS, PHYSICAL ACTIVITY AND THE IMPORTANCE OF NUTRITIOUS EATING. DURING THE FALL CYCLE IN 2017, 2073 YOUTH & CHILDREN WERE SERVED. OUTREACH INCLUDED TEACHERS AND STAFF INVOLVEMENT IN ASSEMBLIES, AS WELL AS PRESENTATIONS TO ADULT SERVICE GROUPS TO BRING ATTENTION TO THE PROGRAM, SUTTER MEDICAL AND THE IMPACT ON THE KIDS AND SCHOOLS. STUDENTS ENGAGED IN THE INTERACTIVE PRESENTATIONS AND ENJOYED THE NON-COMPETITIVE GAMES. TO ENCOURAGE PHYSICAL MOVEMENT IN ELEMENTARY SCHOOL AGED-YOUTH, GONOODLE SUPPLIES TEACHERS WITH EASY TO USE VIDEOS AND ACTIVITIES TO ENCOURAGE MINDFUL MOVEMENT IN THE CLASSROOM. IN 2017, SVMF PROVIDED A $82,300 CONTRIBUTION TO SUPPORT THIS PROGRAM.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: THE ORGANIZATION IS AFFILIATED WITH SUTTER HEALTH, A NOT-FOR-PROFIT NETWORK OF HOSPITALS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS WHO CARE FOR MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, 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 7	STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTER VISITING NURSE ASSOC AND HOSPICE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2220 RIVER PLAZA DRIVE	AddressLine1Txt
City	SACRAMENTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95833	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	946068843	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$158,600	CashGrantAmt
Purpose Of Grant	Program Support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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 PROJECTS BUDGET, INDICATING ANY UNUSED AMOUNT OF GRANT FUNDS. AT THE END OF EACH YEAR/REPORTING PERIOD, COMMUNITY BENEFIT ANALYZES FULL-YEAR DATA TO ENSURE COMMUNITY PARTNERS MET THE OBJECTIVES OUTLINED IN THE MOU OR BSA. IF THE COMMUNITY PARTNERS DID NOT REACH THE ANTICIPATED OUTCOMES, COMMUNITY BENEFIT WORKS TO UNDERSTAND WHAT CIRCUMSTANCES PREVENTED THE ORGANIZATION FROM MEETING THE GOALS TO HELP IDENTIFY WAYS TO IMPROVE OR PERHAPS RE-EVALUATE WHAT SUCCESS OF THIS PROGRAM LOOKS LIKE, AND MAKES THE DETERMINATION TO CONTINUE OR TERMINATE FUNDING.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES CONFORTI
PRESIDENT, VALLEY AREA	$0	$772,743	$0	$795,319	$0	$359,215	$0	$404,353	$0	$23,671	$0	$2,355,301	$0	$693,304
PETER HULL MD
TRUSTEE/CME SVH	$0	$330,846	$0	$0	$0	$6,052	$0	$54,347	$0	$17,797	$0	$409,042	$0	$0
SARAH KREVANS
PRESIDENT & CEO, SH	$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
PAIGE TERRA
CFO VALLEY AREA	$0	$487,027	$0	$344,752	$0	$30,209	$0	$122,753	$0	$19,848	$0	$1,004,589	$0	$168,849
PENNY WESTFALL
CHIEF LEGAL OFCR, VALLEY AREA	$0	$396,471	$0	$303,172	$0	$37,288	$0	$103,703	$0	$8,460	$0	$849,094	$0	$151,555
TOM BLINN
CEO, VALLEY AREA FOUNDATION	$0	$14,705	$0	$503,421	$0	$205,050	$0	$35,557	$0	$1,961	$0	$760,694	$0	$224,760
THERESA FREI
CEO, SUTTER MED FOUNDATION	$0	$362,326	$0	$211,029	$0	$27,195	$0	$107,403	$0	$20,635	$0	$728,588	$0	$115,801
GARY ZUFELT
CEO, SUTTER GOULD MED FDN	$0	$429,131	$0	$319,485	$0	$54,774	$0	$249,792	$0	$22,967	$0	$1,076,149	$0	$185,593
SUHEIR HADDAD
CFO FDN, SUTTER HEALTH VALLEY	$0	$344,524	$0	$190,214	$0	$15,779	$0	$70,303	$0	$18,309	$0	$639,129	$0	$81,634
VIRGINIA JOYCE
MED DIR, QUAL & PATIENT SAFETY	$278,973	$0	$12,765	$0	$7,526	$0	$16,153	$0	$22,601	$0	$338,018	$0	$0	$0
KATHERINE T MANUEL
COO, SGMF	$0	$301,167	$0	$132,304	$0	$19,681	$0	$57,653	$0	$13,123	$0	$523,928	$0	$71,103
MICHAEL MARINO
VP, HR FOUNDATIONS, SH VALLEY	$0	$220,073	$0	$108,082	$0	$12,548	$0	$40,550	$0	$12,104	$0	$393,357	$0	$48,227
CHARLES SANDERS III
CFO FNDTN - SGMF/NORTH	$0	$234,284	$0	$92,782	$0	$16,729	$0	$42,683	$0	$13,587	$0	$400,065	$0	$49,475
JEFF SPRAGUE
SVP & CFO SH	$0	$724,980	$0	$778,891	$0	$144,710	$0	$564,953	$0	$20,977	$0	$2,234,511	$0	$471,045
PAMELA ADDY
REG. DIR. OUTPATIENT IMAGING	$195,827	$0	$8,490	$0	$5,849	$0	$11,710	$0	$15,674	$0	$237,550	$0	$0	$0
KEVIN ENGLE
SERVICE LINE MANAGER	$132,027	$0	$6,076	$0	$2,952	$0	$7,895	$0	$2,735	$0	$151,685	$0	$0	$0
GLENN GROVES
ADMIN DIR. REGIONAL	$175,204	$0	$8,041	$0	$2,989	$0	$10,477	$0	$16,159	$0	$212,870	$0	$0	$0
ERIC RASMUSSEN
DIR GROWTH & MED GRP STRT	$210,574	$0	$9,579	$0	$3,345	$0	$12,592	$0	$21,956	$0	$258,046	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	TAX 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 EMPLOYEE'S WAGES AND TAXED ACCORDINGLY.
SCHEDULE J, PART I, LINE 3	SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF THIS ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS 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 4B	NONQUALIFIED RETIREMENT PLAN: THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF 403(B) EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PENSION PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT 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 PENSION PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) NON-QUALIFIED PAYMENTS DURING THE YEAR: TOM BLINN - $107,492
SCHEDULE J, PART I, LINE 7	NON-FIXED PAYMENTS: SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% TO 10% OF GROSS ANNUAL SALARY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, OPERATING UNIT AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. 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 ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CHFFA 2008A
A	521643828	13033F2L3	2008-05-14	$329,041,638	REFUNDING 5/1/07, 04, & 02	false	false	false
CHFFA 2015A
B	521643828	13032UAR9	2015-11-12	$204,061,105	REFUND 2005A & 1995 CERFICATES	false	false	false
CHFFA 2016B
C	521643828	13032UDW5	2016-08-17	$901,627,093	REFUND 2005BC & 2003AB & 2007A	Yes (true)	Yes (true)	false
CHFFA 2017A
D	521643828	13032UNY0	2017-07-06	$496,319,743	REFUND 2004CD, 2008A (PT), 2008BC	Yes (true)	Yes (true)	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$153,305,000	$118,730,000	$329,041,638	$0	$0	$0	$0	$0	$0	$0	$329,041,638	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$204,061,105	$0	$0	$0	$0	$0	$0	$0	$204,061,105	$0	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$902,923,938	$0	$0	$0	$0	$0	$0	$0	$902,923,938	$0	false	Yes (true)	Yes (true)	Yes (true)
D	$0	$0	$496,319,743	$0	$0	$0	$0	$0	$0	$0	$496,319,743	$0	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.01800	0.00430	0.02230	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00250	0.00000	0.00250	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.00380	0.00000	0.00380	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0.01580	0.00380	0.01960	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	.	FormAndLineReferenceDesc
Explanation	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-1, LINE A, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $15,965,401 FROM THE 2008A ISSUE; $19,966,327 FROM THE 2015A ISSUE; $53,216,412 FROM THE 2016B ISSUE; AND $117,119,861 FROM THE 2017A ISSUE. SCHEDULE K, PART I, LINE A, COLUMN (F) (CHFFA 2008A) THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2004 ISSUE. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION. SCHEDULE K, PART II, LINE 7: ISSUANCE COSTS FROM PROCEEDS: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS. SCHEDULE K, PART IV, LINE 2C THE REBATE COMPUTATION WAS PERFORMED FOR BONDS CHFFA 2008A ON 6/21/2013.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$328,536,436	MEDICAL SERVICES ARRANGEMENT	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$40,308,951	MEDICAL SERVICES ARRANGEMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 & PART III, LINE 1	MISSION STATEMENT: WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES.
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS: SUTTER VALLEY MEDICAL FOUNDATION (SVMF) IS A COMMUNITY BASED, NOT-FOR-PROFIT MEDICAL ORGANIZATION SERVING CENTRAL AND NORTHERN CALIFORNIA COMMUNITIES AND SUPPORTING THE SUTTER HEALTH AFFILIATED HOSPITALS. SVMF HAS CARE CENTERS LOCATED IN AMADOR, MERCED, PLACER, SACRAMENTO, SAN JOAQUIN, SOLANO, STANISLAUS, SUTTER, YOLO AND YUBA COUNTIES. OUR MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH NOT FOR PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE. WE VALUE EXCELLENCE AND QUALITY, CARING AND COMPASSION, HONESTY AND INTEGRITY, TEAMWORK AND COMMUNITY. SUTTER VALLEY MEDICAL FOUNDATION IS ALIGNED WITH PHYSICIAN AND MID-LEVEL PROVIDERS OF GOULD MEDICAL GROUP, SUTTER MEDICAL GROUP AND SUTTER NORTH MEDICAL GROUP. WE OFFER A FULL RANGE OF PRIMARY CARE AND SPECIALTY CARE MEDICAL SERVICES, INCLUDING AMBULATORY SURGERY, URGENT AND WALK-IN CARE CLINICS AND STATE OF THE ART IMAGING, LAB AND CARDIOLOGY TECHNOLOGY. IN ADDITION WE OPERATE RURAL HEALTH CLINICS IN AMADOR AND YUBA COUNTIES AND THE MAINO COMMUNITY HEALTH LIBRARY IN STANISLAUS COUNTY. IN 2015 SUTTER MEDICAL FOUNDATION CHANGED ITS NAME TO SUTTER VALLEY MEDICAL FOUNDATION AND IN 2016 SUTTER GOULD MEDICAL FOUNDATION MERGED INTO SUTTER VALLEY MEDICAL FOUNDATION. IN 2017 THE FOUNDATION PROVIDED MORE THAN $40 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS AND PROVIDED PATIENT SERVICES IN EXCESS OF ALMOST 5.7 MILLION PATIENT VISITS. THE FOUNDATION ALSO PROVIDES COMMUNITY SUPPORT THROUGH DONATIONS AND PARTICIPATION IN VARIOUS NOT-FOR PROFIT COMMUNITY PROGRAMS INCLUDING BUT NOT LIMITED TO THE FOLLOWING: - AMERICAN CANCER SOCIETY - AMERICAN HEART ASSOCIATION - FITQUEST PROGRAM SUPPORTING STUDENT WELLNESS THOUGHT SCHOOLS IN SUTTER, YUBA, SACRAMENTO AND PLACER COUNTIES - GIRLS ON THE RUN - HEALTH CAREERS ACADEMY PROGRAM FOR HIGH SCHOOL STUDENTS - KIWANIS - LOOK GOOD FEEL BETTER PROGRAM SUPPORTING WOMEN RECEIVING CANCER TREATMENT - MARCH OF DIMES - NATIONAL DIABETES SOCIETY - ROTARY - SALVATION ARMY - SOROPTIMIST - SPONSOR OF SUPPORT GROUPS FOR DISEASE RELATED EDUCATION INCLUDING BUT NOT LIMITED TO DIABETES, CHILDBIRTH EDUCATION, AUTISM AND PARKINSONS - TATS OFF, TATTOO REMOVAL PROGRAM - UNITED WAY
FORM 990, PART VI, LINE 1A	THE AFFAIRS AND MANAGEMENT OF SUTTER VALLEY MEDICAL FOUNDATION (SVMF) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SVMF DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF AT LEAST FIVE BOARD MEMBERS INCLUDING SVMF'S CHAIR WHO SHALL SERVE AS CHAIR OF THE COMMITTEE, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, AN ADDITIONAL DIRECTOR AND THE PRESIDENT OF SVMF. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR.
FORM 990, PART VI, LINE 6 & 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL.
FORM 990, PART VI, LINE 11B	PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT RECEIVES AND PROVIDES TRAINING AND EDUCATION TO APPROPRIATE 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 REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, LEGAL DEPARTMENT, FINANCE, AND THE CFO BEFORE THE RETURN IS FILED.
FORM 990, PART VI, LINE 12	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES 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 & 15B	PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTERS EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATIONS 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 CALIFORNIAS 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 19	AVAILABILITY OF GOVERNING DOCUMENTS, COI POLICY & FINANCIAL STATEMENTS: THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. FORM 990, PART VII, SECTION A COMPENATION OF BOARD MEMBERS: THE FOLLOWING BOARD MEMBERS OF THE ORGANIZATION ARE FULL-TIME EMPLOYEES (40 HOURS PER WEEK) OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARIES ARE REPORTED HEREIN. THESE INDIVIDUALS RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS OF THIS ORGANIZATION. - SARAH KREVANS - JAMES CONFORTI
FORM 990, PART XI, LINE 9	OTHER CHANGES IN FUND BALANCE: GAIN/(LOSS) ON HEALTH CARE INVESTMENTS 6,942,284 HEALTHCARE RELATED JV INCOME (11,113,163) GUARANTEED PAYMENT JV INCOME (630,304) EQUITY TRANSFERS (NET) (109,614,974) DONATED ASSETS (81,000) OTHER CHANGES IN FUND BALANCE (1,487,742) --------------- TOTAL (115,984,899)
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL GROUP COMPENSATION TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEE - PHYSICIAN TOTAL FEES:15391630
FORM 990 PART IX LINE 11G	DESCRIPTION:THERAPISTS/OTHER MEDICAL TOTAL FEES:1636009
FORM 990 PART IX LINE 11G	DESCRIPTION:NURSE REGISTRY FEES TOTAL FEES:437116
FORM 990 PART IX LINE 11G	DESCRIPTION:NON-PHYSICIAN MEDICAL TOTAL FEES:42494
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED AIDES TOTAL FEES:18561

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	TWIN CITIES SURGICAL HOSPITAL LLC	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	352182617	EIN
Primary Activities	SURGERY	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Total Income	$25,567,041	TotalIncomeAmt
End Of Year Assets	$13,086,003	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ADOLESCENT TREATMENT CENTERS INC
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	680088443	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	Yes (true)
BETTER HEALTH EAST BAY FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	510160184	FUNDRAISING	CA	501(C)(3)	7	SUTTER EBH	Yes (true)
CALIFORNIA PACIFIC MEDICAL CTR FOUND
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942728423	FUNDRAISING	CA	501(C)(3)	7	SUTTER BH	Yes (true)
EAST BAY PERINATAL CENTER
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	510172285	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	Yes (true)
EDEN MEDICAL CENTER
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942948100	HEALTHCARE	CA	501(C)(3)	10	SUTTER HLTH	Yes (true)
MEMORIAL HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942290244	FUNDRAISING	CA	501(C)(3)	12A - I	SUTTER VH	Yes (true)
MILLS-PENINSULA HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	237288765	FUNDRAISING	CA	501(C)(3)	7	SUTTER BH	Yes (true)
SAMUEL MERRITT UNIVERSITY
450 30TH STREET STE 2840	OAKLAND	CA	94609	942992642	UNIVERSITY	CA	501(C)(3)	2	SUTTER EBH	Yes (true)
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942594966	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER BAY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	940562680	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER BAY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	941156581	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER CENTRAL VALLEY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	941080917	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER COAST HOSPITAL
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942988520	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER DAVIS HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	680217870	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER EAST BAY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	941196176	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER EAST BAY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942690415	HEALTHCARE	CA	501(C)(3)	12B - II	SUTTER HLTH	Yes (true)
SUTTER HEALTH
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942788907	SUPPORTING OR	CA	501(C)(3)	12C III-FI	NA	false
SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RD	EWA BEACH	HI	96706	990298651	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER HEALTH PLAN
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	461183948	HEALTH PLAN	CA	501(C)(4)	N/A	SUTTER HLTH	Yes (true)
SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 1100	HONOLULU	HI	96813	990289310	INSURANCE SER	HI	501(C)(3)	12C III-FI	SUTTER HLTH	Yes (true)
SUTTER MEDICAL CENTER FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942788906	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	680040113	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER SOLANO CHARITABLE FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942668262	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER VALLEY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	941156621	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER VISITING NURSE ASSOC AND HOSPICE
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	946068843	HEALTHCARE	CA	501(C)(3)	10	SUTTER HLTH	Yes (true)
SUTTER WEST BAY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942948131	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
TRACY HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	680318845	FUNDRAISING	CA	501(C)(3)	12A - I	SUTTER VH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MAGNETIC IMAGING AFFILIATES LLC
175 LENNON	WALNUT CREEK	CA	94598	942953833	PATIENT CARE	CA	NA
SURGERY CENTER OF ALTA BATES SMC
3875 TELEGRAPH	OAKLAND	CA	94609	470946086	PATIENT CARE	CA	NA
ALTA CT SERVICES LP
175 LENNON	WALNUT CREEK	CA	94598	943083464	PATIENT CARE	CA	NA
CALIFORNIA PACIFIC ADV IMAGING LLC
PO BOX 6102	NOVATO	DE	94598	562311840	PATIENT CARE	DE	NA
SAN FRANCISCO ENDOSCOPY CENTER
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	912160588	PATIENT CARE	CA	NA
PRESIDIO SURGERY CENTER LLC
1635 DIVISADERO	SAN FRANCISCO	CA	94115	320144060	PATIENT CARE	CA	NA
SUTTER FAIRFIELD SURGERY CENTER LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	300233892	PATIENT CARE	CA	SUTTER VMF	RELATED	$3,947,821	$3,221,138	false	$0	Yes (true)	0.79500
SUTTER AMADOR SURGERY CENTER LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	461398093	PATIENT CARE	CA	NA	RELATED	-$120,815	$949,551	false		Yes (true)	0.38000
ROSEVILLE ENDOSCOPY CENTER
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	870710513	PATIENT CARE	CA	NA	RELATED	$1,744,944	$1,013,190	false		Yes (true)	0.40000
STANISLAUS SURGICAL HOSPITAL LLC
1421 OAKDALE ROAD	MODESTO	CA	95355	911754157	PATIENT CARE	CA	NA	RELATED	-$27,326	$4,934,695	false		false	0.30998
MEMORIAL MEDICAL BUILDING 1
1800 COFFEE RD 76	MODESTO	CA	95355	770234236	OFFICE RENTAL	CA	NA
MEMORIAL MEDICAL BUILDING 2
1800 COFFEE RD 76	MODESTO	CA	95355	770287288	OFFICE RENTAL	CA	NA
MAGNETIC IMAGING AFFILIATES LLC
2125 OAK GROVE ROAD	WALNUT CREEK	CA	94598	473696091	PATIENT CARE	CA	NA
ASC OPERATORS - SANTA ROSA LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	263386169	CARE MANAGEMENT	CA	NA
ASC OPERATORS - SAN LUIS OBISPO LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	272673776	CARE MANAGEMENT	CA	NA
DRZ EMERGING MARKETS LP
250 PARK AVE SOUTH SUITE 250	WINTER PARK	FL	32789	611729868	INVESTMENTS	FL	NA
STRATEGIC COMMODITIES FUND LLC
257 PARK AVE SOUTH SUITE 700	NEW YORK	NY	10010	562493292	INVESTMENTS	NY	NA
ICG CREDIT OPP FUND
11111 SANTA MONICA	LOS ANGELES	CA	90025	814220441	INVESTMENTS	CA	NA
LA JOLLA ORTHOPEDIC SURGERY CENTER LLC
4120 LA JOLLA VILLAGE DRIVE	LA JOLLA	CA	92037	364397467	PATIENT CARE	CA	NA
CARLSBAD SURGERY CENTER LLC
6121 PASEO DEL NORTE STE 100	CARLSBAD	CA	92011	201413484	PATIENT CARE	CA	NA
COAST CTR FOR ORTHOPEDIC & ARTHROSCOPIC
3444 KEARNY VILLA ROAD	SAN DIEGO	CA	92123	330839637	PATIENT CARE	CA	NA
OTAY LAKES SURGERY CENTER LLC
955 LANE AVE SUITE 100	CHULA VISTA	CA	91914	200794766	PATIENT CARE	CA	NA
MADISON INTERNATIONAL GLOBAL VALUE REAL
410 PARK AVENUE 10TH FLOOR	NEW YORK	NY	10022	981310251	INVESTMENTS	NY	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

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

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

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SUTTER HEALTH PLAN
S	$57,332,985	FMV
SUTTER VALLEY HOSPITALS
K	$10,112,689	FMV
SUTTER VALLEY HOSPITALS
S	$3,120,181	FMV
SUTTER INSURANCE SERVICES CORPORATION
P	$1,747,994	FMV
SUTTER VALLEY HOSPITALS
P	$1,718,673	FMV
SUTTER CENTRAL VALLEY HOSPITALS
Q	$978,695	FMV
SUTTER FAIRFIELD SURGERY CENTER LLC
J	$704,873	FMV
SUTTER FAIRFIELD SURGERY CENTER LLC
Q	$425,597	FMV
SUTTER VALLEY HOSPITALS
J	$399,108	FMV
SUTTER VISITING NURSES ASSOCIATION & HOSPICE
B	$158,600	FMV
SUTTER VISITING NURSES ASSOCIATION & HOSPICE
P	$116,945	FMV
SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION
Q	$86,370	FMV
SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION
C	$84,084	FMV
SUTTER CENTRAL VALLEY HOSPITALS
K	$55,270	FMV