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391211153 RIGHTSOURCING INC PO BOX 515743 LOS ANGELES CA 900515118 STAFFING SERVICES 193124513 SMITH GROUP INC 301 BATTERY ST 7TH FLOOR SAN FRANCISCO CA 94111 CONSTRUCTION SVCS 20326935 LEVEL 10 CONSTRUCTION LP 1050 ENTERPRISE WAY STE 250 SUNNYVALE CA 94089 CONSTRUCTION SVCS 16489575 GE MEDICAL SYSTEMS PO BOX 96483 CHICAGO IL 60693 REPAIRS & MAINT. 15983565 383 1914878 502725 2417603 MANAGEMENT SERVICES EXEMPT AFFIL. 900099 1237600847 1237600847 HEALTHCARE RELATED JV INCOME 900099 7254633 7254633 GUARANTEED PAYMENTS JV INCOME 900099 10456334 10456334 AFFILIATE RENTAL INCOME 900099 1160309 1160309 1256472123 78127914 1923449 76204465 0 85737 128 85609 1597027 2058113 -461086 0 -461086 -273764 -187322 17410085800 43403 17447533507 -37447707 43403 -37453708 -37453708 0 0 0 0 0 0 0 0 0 SUTTER PHYSICIAN SERVICES 621110 9261468 9261468 SURGERY CENTER MANAGEMENT 621400 4425429 4425429 SHARED LAB URINE TOXICOLOGY 541900 3448658 3448658 6531090 4020996 2510094 23666645 1322855228 1256472123 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MEDICAL FOUNDATION 942690415 3 true 8289486 0 SUTTER VALLEY MEDICAL FOUNDATION 680273974 3 true 47140289 0 ADOLESCENT TREATMENT CENTERS INC 680088443 3 true 0 0 17 1604302239 true false false false true true false false false false false false false false false true true true X true true SCHEDULE A, PART IV, SECTION A, LINE 5A THE FOLLOWING SUTTER HEALTH SUPPORTED ORGANIZATIONS MERGED WITH OTHER SUTTER HEALTH SUPPORTED ORGANIZATIONS DURING 2016: NAME: MILLS-PENINSULA HEALTH SERVICES EIN: 94-1156265 NAME: SUTTER GOULD MEDICAL FOUNDATION EIN: 94-1682256 NAME: SUTTER MEDICAL CENTER CASTRO VALLEY EIN: 77-0146047 SUTTER HEALTH HAD THE AUTHORITY TO AUTHORIZE THE MERGERS AND FILED THE APPROPRIATE AGREEMENTS OF MERGER WITH THE STATE OF CALIFORNIA. THESE ORGANIZATIONS WERE REMOVED AS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION A, LINE 6 IN 2016, OUR NOT-FOR-PROFIT SUTTER HEALTH NETWORK INVESTED $669 MILLION TO PROVIDE COMMUNITY BENEFIT PRIMARILY TO PEOPLE ACROSS NORTHERN CALIFORNIA, INCLUDING IN SOME OF OUR POOREST COMMUNITIES. A PORTION OF THESE INVESTMENTS INCLUDE GRANTS THAT SUPPORT HEALTH CENTERS AND OTHER COMMUNITY ORGANIZATIONS WHO SHARE OUR GOAL OF IMPROVING OVERALL COMMUNITY HEALTH. THESE PARTNERSHIPS SUPPORT ACCESS TO MEDICAL CARE, MENTAL HEALTH SERVICES AND KEY SOCIAL SERVICES, SUCH AS TRANSITIONAL HOUSING, TRANSPORTATION, MEALS FOR THE HUNGRY, EDUCATION, YOUTH JOB-TRAINING PROGRAMS, RESEARCH AND HEALTH CARE ADVOCACY. SCHEDULE A, PART IV, SECTION D, LINE 3 SUTTER HEALTH AND ITS SUPPORTED ORGANIZATIONS ARE ALL PART OF AN INTEGRATED HEALTH SYSTEM WITH AN INTERLOCKING GOVERNANCE MODEL. THIS CLOSE AND CONTINUING RELATIONSHIP PROVIDES THE SUPPORTED ORGANIZATIONS' INPUT INTO THE SUPPORTING ORGANIZATION'S INVESTMENT POLICIES AND USE OF ITS INCOME AND ASSETS. SCHEDULE A, PART IV, SECTION E, LINES 3A & 3B PURSUANT TO THE BYLAWS AND INTERLOCKING GOVERNANCE MODEL OF EACH SUPPORTED ORGANIZATION, SUTTER HEALTH IS THE SOLE CORPORATE MEMBER AND HAS THE POWER TO APPOINT OR REMOVE AT LEAST A MAJORITY OF THE DIRECTORS. IN ADDITION, THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS CERTAIN "RESERVED POWERS" WHICH REQUIRE THAT CERTAIN DECISIONS MADE BY SUPPORTED ORGANIZATION BOARDS MUST BE APPROVED BY THE SUTTER HEALTH BOARD OF DIRECTORS BEFORE BEING EFFECTIVE. SUCH DECISIONS INCLUDE, AMONG OTHERS, THE POWER TO APPROVE: - MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION; - AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; - ADOPTION OF OPERATING AND CAPITAL BUDGETS, AS WELL AS STRATEGIC PLANS; - CREATION OR ACQUISITION OF SUBSIDIARY CORPORATIONS; - CREATION OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES; - EXPENDITURES BEYOND APPROVED BUDGETS AND IN EXCESS OF LIMITS ESTABLISHED BY SUTTER HEALTH; AND - LONG-TERM OR MATERIAL AGREEMENTS, INCLUDING AGREEMENTS FOR THE INCURRENCE OF CERTAIN DEBT IN EXCESS OF LIMITS ESTABLISHED BY SUTTER HEALTH, OR THE PURCHASE, SALE, LEASE, DISPOSITION, EXCHANGE, GIFT, PLEDGE OR ENCUMBRANCE OF ANY ASSET IN EXCESS OF LIMITS ESTABLISHED BY SUTTER HEALTH. IN ADDITION, THE BYLAWS OF THE SUPPORTED ORGANIZATIONS STATE THAT THE PRESIDENT, THE CHIEF FINANCIAL OFFICER, AND ALL KEY MEMBERS OF MANAGEMENT SHALL BE EMPLOYEES OF SUTTER HEALTH, THAT THE SUPPORTED ORGANIZATION SHALL CONDUCT ITS OPERATIONS AND ACTIVITIES IN ACCORDANCE WITH SUTTER HEALTH SYSTEM POLICIES, AND THAT THE SUPPORTED ORGANIZATION SHALL PARTICIPATE IN ALL INITIATIVES AND PROGRAMS DEVELOPED AND DESIGNATED FOR IMPLEMENTATION BY SUTTER HEALTH. SUCH PARTICIPATION SHALL BE WITHOUT LIMITATION OR MODIFICATION EXCEPT AS APPROVED BY SUTTER HEALTH IN ITS SOLE DISCRETION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 5000 true 52 false true 295000 300052 false SCHEDULE C, PART II-B, LINE 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: GRANT PAID TO CALIFORNIA AMBULATORY SURGERY ASSOCIATION FOR ADVOCACY. SCHEDULE C, PART II-B, LINE 1G DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: ONE SUTTER HEALTH EMPLOYEE SPENT 8 HOURS LOBBYING A CALIFORNIA SENATE HEALTH COMMITTEE STAFF CONSULTANT CONCERNING PROPOSED HEALTH CARE LEGISLATION (SB 932). THE MEETING WAS LOCAL FOR THE EMPLOYEE. THE EXPENSE FOR THIS LOBBYING WAS PARKING CHARGES OF $52. SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: PAID CONSULTANTS THAT PERFORMED LOBBYING ACTIVITIES. 102619673 102619673 96574042 36405944 60168098 49770389 26970598 22799791 1232800019 843672757 389127262 38446723 1923099 36523624 611238448 INTERCOMPANY RECEIVABLES 299344979 OTHER RECEIVABLES 60638841 OTHER ASSETS 200306470 560290290 0 SELF INSURANCE RESERVE 393279018 TAXABLE BOND LIABILITIES 89643159 3RD PARTY SETTLEMENTS 21954 OTHER LIABILITIES 603838331 1086782462 X SCHEDULE D, PART X, LINE 2 ASC 740 (FIN 48) FOOTNOTE FROM AUDIT: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MANY AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD, AND GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE STATUTE OF LIMITATIONS FOR TAX YEARS 2013 THROUGH 2015 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, 2016 AND 2015, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. Central America and the Caribbean Investments 313607789 Europe (Including Iceland and Greenland) Investments 49787919 North America Investments 5630100 369025808 369025808 true false true true true false SCHEDULE F, PART I, LINE 3, COLUMN (F) ACCOUNTING METHOD THE ACCRUAL METHOD OF ACCOUNTING WAS USED TO DETERMINE THE AMOUNTS IN COLUMN (F). true ALAMEDA COUNTY FOOD BANK 7900 EDGEWATER DRIVE OAKLAND CA 946212004 942960297 501(c)(3) 12500 GENERAL SUPPORT AMERICAN RED CROSS PO BOX 100805 PASADENA CA 911890805 530196605 501(c)(3) 105000 GENERAL SUPPORT CERES COMMUNITY PROJECT PO BOX 1562 SEBASTOPOL CA 95473 262250997 501(c)(3) 6250 GENERAL SUPPORT COALITION FOR COMPASSIONATE CARE 1331 GARDEN HWY SUITE 100 SACRAMENTO CA 95833 270419836 501(c)(3) 60000 GENERAL SUPPORT ELK GROVE FOOD BANK PO BOX 1447 ELK GROVE CA 95759 383664737 501(c)(3) 6000 GENERAL SUPPORT FISHER HOUSE FOUNDATION INC 111 ROCKVILLE PIKE STE 420 ROCKVILLE MD 20850 113158401 501(c)(3) 25000 GENERAL SUPPORT FOOD BANK OF SOLANO AND CONTRA COSTA COUNTY 4010 NELSON AVE CONCORD CA 91520 942418054 501(c)(3) 31000 GENERAL SUPPORT FOOD BANK OF YOLO COUNTY 1244 FORTNA AVE WOODLAND CA 95776 237111782 501(c)(3) 6000 GENERAL SUPPORT FOOD PANTRY OF DAVIS STREET 3081 TEAGARDEN STREET SAN LEANDRO CA 94577 943121699 501(c)(3) 12500 GENERAL SUPPORT MARCH OF DIMES 1050 SANSOME STREET 4TH FLOOR SAN FRANCISCO CA 94111 131846366 501(c)(3) 135000 GENERAL SUPPORT MEDSHARE INTERNATIONAL 3240 CLIFTON SPRINGS RD DECATUR GA 30034 582433968 501(c)(3) 190000 GENERAL SUPPORT OAKLAND ATHLETICS COMMUNITY FUND 700 COLISEUM WAY OAKLAND CA 94621 942826655 501(c)(3) 75000 GENERAL SUPPORT OKIZU FOUNDATION 16 DIGITAL DRIVE SUITE 100 NOVATO CA 94949 680291178 501(c)(3) 25000 GENERAL SUPPORT AMBULATORY SURGERY ACCESS 1119 MARKET ST STE 400 SAN FRANCISCO CA 94103 943180356 501(c)(3) 105000 GENERAL SUPPORT OPERATION HOMEFRONT INC 8930 FOURWINDS DR STE 340 SAN ANTONIO TX 78239 320033325 501(c)(3) 10000 GENERAL SUPPORT PLACER FOOD BANK 133 CHURCH STREET ROSEVILLE CA 95678 941740316 501(c)(3) 9000 GENERAL SUPPORT REDWOOD EMPIRE FOOD BANK 3320 INDUSTRIAL DRIVE SANTA ROSA CA 95403 680121855 501(c)(3) 6250 GENERAL SUPPORT RIVER CITY FOOD BANK PO BOX 1803 SACRAMENTO CA 95812 911851398 501(c)(3) 15000 GENERAL SUPPORT SALVATION ARMY 286 SUTTER STREET AUBURN CA 95603 941170408 501(c)(3) 22500 GENERAL SUPPORT SAMARITAN HOUSE 4031 PACIFIC BLVD SAN MATEO CA 94403 237416272 501(c)(3) 13500 GENERAL SUPPORT SAN FRANCISCO FOOD BANK 900 PENNSYLVANIA AVENUE SAN FRANCISCO CA 94107 943041517 501(c)(3) 32500 GENERAL SUPPORT SECOND HARVEST FOOD BANK - SANTA CLARA 750 CURTNER AVENUE SAN JOSE CA 95125 942614101 501(c)(3) 17000 GENERAL SUPPORT SECOND HARVEST FOOD BANK-SANTA CRUZ COUNTY 800 OHLONE PARKWAY WATSONVILLE CA 95076 770326685 501(c)(3) 16500 GENERAL SUPPORT SECOND HARVEST FOOD BANK - SAN JOAQUIN 704 E INDUSTRIAL PARK DR MANTECA CA 95337 680376587 501(c)(3) 15000 GENERAL SUPPORT SEROTONIN SURGE CHARITIES 1955 COWELL BLVD DAVIS CA 95616 680411254 501(c)(3) 50000 GENERAL SUPPORT TRACY INTERFAITH MINISTRIES 311 W GRANT LINE ROAD TRACY CA 95376 943150638 501(c)(3) 10000 GENERAL SUPPORT UNIVERSITY OF CALIFORNIA BERKELEY 2080 ADDISTON ST 4200 BERKELEY CA 947204200 946002123 GOVT 89900 GENERAL SUPPORT 27 0 SCHEDULE I, PART I, LINE 2 SUTTER HEALTH DID NOT PROVIDE GRANTS BUT DID PROVIDE OTHER FINANCIAL ASSISTANCE EARMARKED TOWARDS SPECIFIC PROGRAMS, FUNDS, AND EFFORTS TO SUPPORT THE COMMUNITY AND SUTTER HEALTHS MISSION. WHEN NECESSARY SUTTER HEALTH MONITORS EFFECTIVENESS AND EFFICIENCY OF DONATIONS, WHICH MAY INCLUDE: - ANNUAL MEETINGS WITH COMMUNITY PARTNERS - E-MAIL AND TELEPHONIC COMMUNICATIONS WITH COMMUNITY PARTNERS - SITE VISITS WITH COMMUNITY PARTNERS - COLLECTION OF PATIENT STORIES AND NARRATIVES - REPORTING TO INCLUDE YEAR-END FINANCIAL SUMMARY THAT COMPARES ACTUAL EXPENDITURES TO THE FUNDED PROJECTS BUDGET, INDICATING ANY UNUSED AMOUNT OF FUNDS. IF THE COMMUNITY PARTNER DID NOT REACH THE ANTICIPATED OUTCOMES, THE COMMUNITY BENEFIT DEPARTMENT WORKS TO UNDERSTAND WHAT CIRCUMSTANCES PREVENTED THE ORGANIZATION FROM NOT MEETING THE GOALS AND HELP IDENTIFY WAYS TO IMPROVE. AN EVALUATION IS THEN COMPLETED AND A DETERMINATION WILL BE MADE TO CONTINUE OR TERMINATE FUNDING. X X X true true X X X X true true false false false false false true false PATRICK FRY PRESIDENT & CEO, SH (PT-YR) 116532 2164509 0 10880409 9375 273326 0 5851 0 13440627 9375 11519311 0 SARAH KREVANS PRESIDENT & CEO, SUTTER HEALTH 1528303 0 647289 0 190356 0 1484076 0 27074 0 3877098 0 345896 0 FLORENCE DI BENEDETTO SVP & GENERAL COUNSEL/ASST SEC 651722 0 360394 0 73153 0 351226 0 18812 0 1455307 0 129200 0 ED ERWIN DIR REAL ESTATE SVCS/ASST SEC 189624 0 26485 0 0 0 11150 0 12105 0 239364 0 0 0 JEFF SPRAGUE SVP & CFO 698248 0 337500 0 113751 0 509176 0 29023 0 1687698 0 104373 0 PETER ANDERSON CHIEF STRATEGY OFFICER 649434 0 288531 0 98930 0 274426 0 18445 0 1329766 0 80286 0 ED BERDICK SVP SHARED SVS/CEO SPS (PT-YR) 805384 0 503790 0 153561 0 294876 0 22775 0 1780386 0 0 0 JEFF BURNICH MD SVP SH MEDICAL NETWORK 643543 0 312900 0 69959 0 338026 0 20090 0 1384518 0 134021 0 JAMES CONFORTI PRESIDENT, SH VALLEY AREA 750788 0 340000 0 73808 0 376176 0 24682 0 1565454 0 70006 0 JEFF GERARD PRESIDENT, SH BAY AREA 838481 0 380000 0 117976 0 362276 0 20755 0 1719488 0 227721 0 DAVE MAGGENTI CEO/CFO SPS (PT-YR) 288481 0 119688 0 17756 0 29576 0 7981 0 463482 0 33892 0 JONATHAN MANIS SVP & CIO SUTTER HEALTH 647267 0 289204 0 99894 0 263426 0 23650 0 1323441 0 0 0 JILL RAGSDALE SVP/CHIEF PEOPLE & CULTURE OFF 514701 0 232640 0 14030 0 212326 0 24308 0 998005 0 0 0 CHARLES WIRTH CEO, SPS (PT-YR) 13708 0 161827 0 212806 0 35770 0 3772 0 427883 0 0 0 DON L WREDEN SVP PATIENT EXPERIENCE 661229 0 312500 0 67609 0 490326 0 33492 0 1565156 0 108083 0 DAVID BRADLEY REGIONAL PRESIDENT, EAST BAY 18194 0 424773 0 1209445 0 48315 0 4630 0 1705357 0 0 0 WARREN BROWNER CEO, CPMC 599861 0 250586 0 1141317 0 189676 0 22943 0 2204383 0 1202431 0 MIKE COHILL CEO, SMCS 607697 0 640948 0 214137 0 148376 0 23769 0 1634927 0 319021 0 GRANT DAVIES CEO, VALLEY AREA HOSPITALS 630125 0 244923 0 78442 0 195576 0 23204 0 1172270 0 65921 0 FRANCIS MARZONI DIVISION PRESIDENT, PAMF 28828 0 274012 0 872671 0 50407 0 7095 0 1233013 0 0 0 DAVID BENN REG PRES, CTL VALLEY 25419 0 302693 0 1745722 0 75806 0 5228 0 2154868 0 0 0 MIKE HELM FORMER SVP HUMAN RESOURCES 0 0 252559 0 453710 41162 0 0 485 0 706754 41162 175680 0 GORDON HUNT MD FORMER SVP & CMO SH 0 0 320202 0 534824 0 0 0 0 0 855026 0 239760 0 ROBERT REED FORMER SVP & CFO SH 0 0 0 0 0 211788 0 0 0 0 0 211788 0 0 RICHARD SLAVIN MD CEO BAY AREA MED FNDS 31647 0 306344 0 995092 0 41474 0 5794 0 1380351 0 0 0 JEFFREY SZCZESNY VP, HR, VALLEY AREA 362553 0 122535 0 32075 0 93526 0 17167 0 627856 0 47596 0 SCHEDULE J, PART I, LINE 1A RELEVANT INFORMATION REGARDING COMPENSATION ITEMS: FIRST-CLASS TRAVEL: CERTAIN OFFICERS AND KEY EMPLOYEES OF SUTTER HEALTH MAY UPGRADE TO FIRST-CLASS TRAVEL AS BUSINESS NEED DICTATES. UPGRADES ARE CONSIDERED A NECESSARY BUSINESS EXPENSE. 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 EMPLOYEES WAGES AND TAXED ACCORDINGLY. HOUSING ALLOWANCE: ONE (1) INDIVIDUAL, MIKE COHILL, RECEIVED A HOUSING ALLOWANCE. THE BENEFIT WAS REPORTED AS TAXABLE COMPENSATION ON HIS W-2. SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION: 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 4A SEVERANCE PAYMENTS: MICHAEL HELM RECEIVED SEVERANCE PAYMENTS OF $453,710 DAVID BRADLEY RECEIVED SEVERANCE PAYMENTS OF $621,682 FRANCIS MARZONI RECEIVED SEVERANCE PAYMENTS OF $657,199 DAVID BENN RECEIVED SEVERANCE PAYMENTS OF $579,774 GORDON HUNT, MD RECEIVED SEVERANCE PAYMENTS OF $534,824 RICHARD SLAVIN, MD RECEIVED SEVERANCE PAYMENTS OF $721,501 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 HEALTHS 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 AND SOCIAL SECURITY BENEFITS. SUTTERS PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403(B) EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PENSION PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PENSION PLAN AND SOCIAL SECURITY BENEFIT CAPS HAVE THE EFFECT OF SUBSTANTIALLY REDUCING RETIREMENT BENEFITS THAT ARE OTHERWISE PROVIDED TO ALL EMPLOYEES. THE EFFECT IS THAT EXECUTIVES OFTEN DO NOT RECEIVE THE SAME LEVEL OF RETIREMENT BENEFIT ON AN INCOME REPLACEMENT BASIS AS OTHER EMPLOYEES. 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 HEALTHS QUALIFIED PENSION PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTERS 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: PATRICK FRY - $10,648,923 (*SEE NOTE BELOW) ED BERDICK - $134,240 JONATHAN MANIS - $94,977 CHARLES WIRTH - $96,256 DAVID BRADLEY - $146,813 WARREN BROWNER - $1,054,631 FRANCIS MARZONI - $137,603 DAVID BENN - $1,027,449 RICHARD SLAVIN, MD - $126,544 *PATRICK FRY 2016 COMPENSATION: IN 2016 PATRICK FRY RETIRED AS CEO OF SUTTER HEALTH AFTER A CAREER SPANNING OVER 30 YEARS WITH OUR SYSTEM AND RECEIVED A LUMP-SUM PAYOUT OF A RETIREMENT BENEFIT. 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. SUTTERS 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 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 HEALTHS OVERALL MISSION, VISION, AND VALUES, SUTTERS 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. FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT: WE ENHANCE THE 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 4 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS SUTTER HEALTH PROVIDES ADMINISTRATIVE AND CONSULTING SERVICES TO ITS AFFILIATES. SUTTER HEALTH DOCTORS, HOSPITALS AND OTHER CAREGIVERS ACROSS MORE THAN 100 NORTHERN CALIFORNIA COMMUNITIES PARTNER WITH EACH OTHER TO ADVANCE OUR MEDICAL SERVICES AND INCREASE PATIENTS ACCESS TO THEM. SUTTER-AFFILIATED HOSPITALS ARE REGIONAL LEADERS IN CARDIAC CARE, WOMEN AND CHILDRENS SERVICES, CANCER CARE, ORTHOPEDICS AND ADVANCED PATIENT SAFETY TECHNOLOGY. SUTTER HEALTHS COMPREHENSIVE NETWORK OF CARE SPANS MORE THAN 20 COUNTIES ACROSS NORTHERN CALIFORNIA, FROM THE OREGON BORDER TO THE SAN JOAQUIN VALLEY AND FROM THE PACIFIC COAST TO THE SIERRA NEVADA FOOTHILLS. OUR NETWORK INCLUDES NINE PHYSICIAN ORGANIZATIONS, TWO DOZEN ACUTE CARE HOSPITALS AND A WIDE ARRAY OF MEDICAL RESEARCH FACILITIES, TRAINING PROGRAMS, CARE CENTERS AND SPECIALTY SERVICES. THE SUTTER HEALTH SYSTEM CONSISTS OF: * 53,000 EMPLOYEES AND 5,500 PHYSICIANS * 5,000 VOLUNTEERS * 24 ACUTE CARE HOSPITALS * 4,284 LICENSED ACUTE CARE BEDS * 35 OUTPATIENT SURGERY CENTERS * 6 CARDIAC CENTERS * 9 CANCER CENTERS * 5 ACUTE REHABILITATION CENTERS * 7 BEHAVIORAL HEALTH CENTERS * 5 TRAUMA CENTERS * 9 NEONATAL INTENSIVE CARE UNITS * MEDICAL RESEARCH CENTERS * HOME HEALTH AND HOSPICE SERVICES * EXPRESS MEDICAL CLINICS * EDUCATION CENTERS AND PHYSICIAN TRAINING PROGRAMS * PHILANTHROPIC PROGRAMS * HEALTH PLAN (SUTTER HEALTH PLUS) 2016 BY THE NUMBERS: * 33,749 BIRTHS * 193,161 DISCHARGES * 873,992 EMERGENCY ROOM VISITS * 519,703 SUTTER CARE AT HOME HEALTH VISITS * 217,084 SUTTER CARE AT HOME HOSPICE VISITS * 178,548 OUTPATIENT SURGERY CENTER PROCEDURES AS ONE OF THE NATIONS LEADING NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEMS, WE APPROACH CARE FROM A COMMON MISSION OF ENHANCING THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE. TO HELP CARRY OUT OUR MISSION, WE ARE GUIDED BY SEVEN CORE VALUES: 1. HONESTY AND INTEGRITY 2. EXCELLENCE AND QUALITY 3. COMMUNITY 4. INNOVATION 5. TEAMWORK 6. COMPASSION AND CARING 7. AFFORDABILITY HEADQUARTERED IN SACRAMENTO, A COMMUNITY-BASED BOARD OF DIRECTORS GOVERNS SUTTER HEALTH. TO VIEW A LIST OF SUTTER HEALTH AFFILIATES, PLEASE VIEW FORM 990, SCHEDULE R. FORM 990, PART VI, LINE 1A THE AFFAIRS AND MANAGEMENT OF SUTTER HEALTH ARE SUPERVISED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE BOARD AND TO TRANSACT ALL REGULAR BUSINESS DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, WHO SERVES AS CHAIR OF THE COMMITTEE, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, THE SECRETARY, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND AT LEAST ONE DIRECTOR-AT-LARGE OF THE CORPORATION. FORM 990, PART VI, LINE 4 SIGNIFICANT BYLAW CHANGES: IN 2016, THE SUTTER HEALTH BOARD OF DIRECTORS ADOPTED A NEW INVESTMENT COMMITTEE STRUCTURE UNDER THE SUTTER HEALTH BYLAWS. PRIOR TO THIS CHANGE, INVESTMENTS FOR BOTH SUTTER HEALTH AND ITS PENSION PLAN WERE OVERSEEN BY THE SUTTER HEALTH PENSION AND INVESTMENT COMMITTEE. EFFECTIVE AS OF FEBRUARY 4, 2016, INVESTMENTS RELATED TO SUTTER HEALTHS CORPORATE INVESTMENT PORTFOLIO ARE OVERSEEN BY THE SUTTER HEALTH CORPORATE PROGRAMS INVESTMENT COMMITTEE, AND INVESTMENTS PERTAINING TO SUTTER HEALTHS PENSION PLAN ARE OVERSEEN BY THE SUTTER HEALTH RETIREMENT BENEFITS INVESTMENT COMMITTEE. FORM 990, PART VI, LINE 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. FORM 990, PART VI, LINE 12 DESCRIPTION OF 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 AND OFFICERS 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 CEO AND BOARD CHAIR WILL REVIEW THE STATEMENTS AND MONITOR SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR 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 MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION. FORM 990, PART VI, LINE 15 PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTERS EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATIONS OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL 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 NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH. THIS METHOD IS MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION UNDERGO AN ANNUAL REVIEW BY THE COMPENSATION COMMITTEE OR A DELEGATED SUB-COMMITTEE. APPROVAL IS RECORDED IN THE MINUTES. EXECUTIVE COMPENSATION REVIEW WAS LAST COMPLETED IN DECEMBER 2016. FORM 990, PART VI, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS TO THE GENERAL PUBLIC: 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 X, LINE 20 SUTTER HEALTH IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES AND ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS OF WHICH IT IS THE SOLE CORPORATE MEMBER. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THESE SUBSIDIARY ORGANIZATIONS IS REPORTED ON EACH SUBSIDIARY ORGANIZATION'S FORM 990, PART X, BALANCE SHEET AND SCHEDULE K. FORM 990, PART XI, LINE 9 OTHER CHANGES IN FUND BALANCE: EQUITY TRANSFER (NET) 540,150,925 K-1 ACTIVITY (35,906,159) PARTNERSHIP INCOME ON BOOKS (1,823,420) PENSION RELATED CHANGES (214,436,916) OTHER CHANGES IN FUND BALANCE 3,956,966 ---------------- TOTAL $291,941,396 ================ FORM 990, BOX B REASON FOR AMENDED RETURN THIS RETURN IS BEING AMENDED TO UPDATE SCHEDULE R, PART V, LINE 2 TRANSACTION AMOUNTS FOR TRANSACTION TYPE L, PERFORMANCE OF SERVICES OR MEMBERSHIP OR FUNDRAISING SOLICITATIONS FOR RELATED ORGANIZATIONS. SUTTER CONNECT LLC 10470 OLD PLACERVILLE ROAD SACRAMENTO CA 95827 680209157 MGMT SERVICES CA 172918316 100953138 SUTTER HLTH SUTTER OUTPATIENT SERVICES LLC 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 454714483 MED STAFF SVC CA 60527573 22824172 SUTTER HLTH SUTTER SHARED LAB LLC 2950 COLLIER CANYON ROAD LIVERMORE CA 94551 475583986 LAB SERVICES CA 26385519 37987699 SUTTER HLTH ADOLESCENT TREATMENT CENTERS INC C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680088443 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH 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 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 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 true EDEN MEDICAL CENTER C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 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