2017-02-14T11:34:55-06:00 2016-03-01 ERNST & YOUNG US LLP 560 MISSION ST STE 1600 SAN FRANCISCO CA 94105 990 2016-01-01 941682256 SUTTER GOULD MEDICAL FOUNDATION % CARLA WHITE-SNYDER SUTT 9162866665 C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 PAIGE TERRA CFO 2017-02-07 true EVA NITTA P01286320 4158948000 2015 2021-01-29 14:40:06Z X JAMES CONFORTI C/O SH TAX 2200 RIVER PLAZA DR MODESTO CA 95355 60943550 false X WWW.SUTTERHEALTH.ORG X 1985 CA SEE SCHEDULE O X 17 15 0 70 0 67631 2340 354495057 60772930 797467 157387 67357 -7956 355427512 60924701 85852 9250 0 0 77690978 13472427 0 0 19913 274893947 49011204 352670777 62492881 2756735 -1568180 233280296 0 233455316 0 -175020 0 X SEE SCHEDULE O false true 57814147 9250 60772930 SEE SCHEDULE O 57814147 true false false false false false false false false false false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false true false false true true true false false true X 0 0 0 false false false false false false false false false false X 17 15 true false false false true true true true true false false false true true true true true true true false CA X CARLA WHITE-SNYDER 9162979847 9100 FOOTHILLS BLVD ROSEVILLE CA 95747 X DAVID ADKINS MD TRUSTEE 1.0 0.0 X 0 0 0 TIM BYRD TRUSTEE 1.0 0.0 X 0 0 0 JAMES CONFORTI PRESIDENT, VALLEY AREA 1.0 40.0 X X 0 194099 75934 VIVA ETTIN MD TRUSTEE 1.0 0.0 X 0 0 0 BEVERLY FINLEY TRUSTEE 1.0 0.0 X 0 0 0 GARY HOOPER TRUSTEE 1.0 0.0 X 0 0 0 SCOTT HOWELL TRUSTEE 1.0 0.0 X 0 0 0 I-MEI HSIU MD TRUSTEE 1.0 0.0 X 0 0 0 PETER HULL MD TRUSTEE 1.0 0.0 X 0 0 0 SARAH KREVANS CEO SUTTER HEALTH 1.0 40.0 X X 0 394325 289969 TED LELAND PHD TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL NEWELL TRUSTEE, CHAIR 1.0 0.0 X X 0 0 0 NARENDRA PATHIPATI TRUSTEE 1.0 0.0 X 0 0 0 TIMA SEWARD TRUSTEE, CHAIR FINANCE & PLAN 1.0 0.0 X X 0 0 0 KURT SHULER MD TRUSTEE 1.0 0.0 X 0 0 0 TODD C SMITH MD TRUSTEE 1.0 0.0 X 0 4583 0 HELEN THOMSON TRUSTEE 1.0 0.0 X 0 0 0 PAIGE TERRA CFO/VP OF FINANCE, VALLEY AREA 1.0 40.0 X 0 99984 26856 PENNY WESTFALL SEC. SGMF, COUNSEL VALLEY AREA 1.0 40.0 X 0 94321 22014 0 787312 414773 0 false true false GOULD MEDICAL GROUP INC 600 COFFEE RD MODESTO CA 95355 MEDICAL SERVICES 31527072 SUTTER CONNECT LLC 10470 OLD PLACERVILLE RD STE 110 SACRAMENTO CA 95827 BILLING SERVICES 2312342 CT BRAYTON AND SONS INC PO BOX 95 ESCALON CA 95320 CONSTRUCT/CONSULTING 169127 PRASAD DELIVERY SERVICES INC 3212 MERLE AVE MODESTO CA 95355 DELIVERY SERVICES 119141 RIGHTSOURCING INC PO BOX 515743 LOS ANGELES CA 900515118 STAFFING SERVICES 109029 6 2340 2340 PATIENT SERVICE REVENUE 622110 60772763 60772763 RENTAL TO AFFILIATES 900099 167 167 60772930 157387 157387 0 0 10893 18849 -7956 0 -7956 -7956 0 0 0 0 0 60924701 60772930 149431 X 9250 9250 0 0 0 0 0 7911663 6631630 1273458 6575 516407 432857 83550 4359299 3654005 702583 2711 685058 574222 110836 74524 71869 655 2000 6450 6450 0 0 0 21699 21699 28069891 27155204 914687 38499 38499 612264 504426 107654 184 677402 677402 0 1014304 1013850 454 35839 28671 7093 75 0 0 685728 685728 0 1512255 1487725 24530 158726 94995 63731 PURCHASED SERVICES 5540967 4937633 597132 6202 MEDICAL SUPPLIES 4545854 4545854 CAPITATED PURCHASED SERVICES 2593934 2593934 MANAGED CARE FEES 1545522 1545522 1877346 1130871 744309 2166 62492881 57814147 4658821 19913 0 0 67743599 0 3481 0 21302747 0 0 0 0 0 0 0 2184668 0 303068 0 0 0 135922751 0 2751270 0 0 0 0 0 0 0 3068712 0 233280296 0 64685267 0 0 0 0 0 168380463 0 0 0 0 0 0 0 0 0 389586 0 233455316 0 X -292431 0 117411 0 0 0 -175020 0 233280296 0 X -1568180 186414 1556786 X X false true X true false X 0 0 X SCHEDULE D, PART X, LINE 2 ASC 740 (FIN48) FOOTNOTE FROM AUDIT: SUTTER GOULD MEDICAL FOUNDATION (SGMF) IS AN AFFILIATE OF SUTTER HEALTH SYSTEM, WHICH ISSUES CONSOLIDATED INDEPENDENT AUDITED FINANCIAL STATEMENTS. SGMF'S SHORT PERIOD ENDING MARCH 1, 2016 WILL BE INCLUDED IN SUTTER HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS, WHICH ARE CURRENTLY UNDERGOING AUDIT. THE FOOTNOTE FROM THE AUDIT IS NOT YET AVAILABLE; HOWEVER, BELOW IS THE DRAFT FOOTNOTE DISCLOSURE: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. 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. X true true X X X X false true false false false false false true false JAMES CONFORTI PRESIDENT, VALLEY AREA 0 125131 0 56667 0 12301 0 71838 0 4096 0 270033 0 0 SARAH KREVANS CEO SUTTER HEALTH 0 254717 0 107882 0 31726 0 285488 0 4481 0 684294 0 28825 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 EMPLOYEES 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 SUTTERS EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATIONS 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 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. 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 PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PLAN BENEFITS 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 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 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. 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, REGION, 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 LONG TERM PERFORMANCE PLANS WHICH ARE 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 INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE. SCHEDULE J, PART II THE COMPENSATION BEING REPORTED IS AN ESTIMATE FOR THE PERIOD 1/1/16 TO 3/1/16. FULL 2016 COMPENSATION WILL BE REPORTED ON SUTTER VALLEY MEDICAL FOUNDATION'S 12/31/16 FORM 990. TRANSFER OF NET ASSETS DUE TO MERGER 2016-03-01 3710956 BOOK VALUE 680273974 SUTTER VALLEY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 501(C)(3) true false false false true true true true true false SCHEDULE N, PART I EFFECTIVE MARCH 1, 2016 SUTTER GOULD MEDICAL FOUNDATION MERGED INTO SUTTER VALLEY MEDICAL FOUNDATION (SVMF) A RELATED CALIFORNIA NONPROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3). SVMF IS THE SURVIVING ENTITY. SCHEDULE N, PART I, LINE 2A ALL OFFICERS AND TRUSTEES OF SGMF IN 2016 WERE ALSO OFFICERS AND TRUSTEES OF SUTTER VALLEY MEDICAL FOUNDATION, THE TRANSFEREE ORGANIZATION, BEFORE THE MERGER OF SGMF AND HAVE CONTINUED TO SERVE IN THOSE ROLES AFTER THE MERGER. SCHEDULE N, PART I, LINE 6C THE FILING ENTITY DID NOT ISSUE ANY TAX EXEMPT BONDS DIRECTLY. THE PARENT'S BOND PROCEEDS WERE USED BY THE FILING ORGANIZATION BUT UPON MERGER, THE LIABILITIES WERE ASSUMED BY THE SURVIVING ENTITY OF THE MERGER. FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT: THE MISSION OF SUTTER GOULD MEDICAL FOUNDATION IS TO ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NON-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. THE FOUNDATION CONTRACTS WITH GOULD MEDICAL GROUP, INC., A PROFESSIONAL CORPORATION THAT EMPLOYS LICENSED PHYSICIANS AND PROVIDERS. THE MISSION OF THE GROUP IS TO PROVIDE AND MANAGE HIGH QUALITY, COST EFFECTIVE, COMPASSIONATE HEALTH CARE FOR THE PATIENTS OF SUTTER GOULD MEDICAL FOUNDATION. FORM 990, PART III, LINE 3 PROGRAM SERVICES THAT THE ORGANIZATION CEASED CONDUCTING SUTTER GOULD MEDICAL FOUNDATION MERGED WITH AFFILIATED SUTTER VALLEY MEDICAL FOUNDATION AS OF 03/01/2016. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: HISTORY GOULD MEDICAL GROUP, INC. WAS FORMED IN 1948 BY DOCTORS J.H. BARR, BROTHERS C.R. AND V.J. MAINO, EVELYN MAYMAN AND HARRY STEWARD. THE CLINIC WAS NAMED IN HONOR OF LONGTIME LOCAL PHYSICIAN NED GOULD. OVER THE YEARS, THE GROUP CONTINUED TO ADD PROVIDERS AND BEGAN TO OUTGROW ITS SMALL CLINIC. IN 1955, THE MAIN CLINIC LOCATED AT 600 COFFEE ROAD WAS BUILT. DURING THE 1980S, GOULD OPENED CARE CENTERS IN MODESTO, CERES AND PATTERSON. THESE CARE CENTERS BRING HIGH QUALITY HEALTHCARE TO WHERE PATIENTS LIVE. IN 1986, THE PHYSICIANS FORMED THE GOULD MEDICAL FOUNDATION, A 501(C)(3) NON-PROFIT COMMUNITY BENEFIT ORGANIZATION. A CLINICAL RESEARCH DEPARTMENT, HEALTH EDUCATION DEPARTMENT AND THE HEALTH LIBRARY SUPPORT OUR COMMUNITY BENEFIT EFFORTS. IN 1993, GOULD MEDICAL FOUNDATION AFFILIATED WITH SUTTER HEALTH, ONE OF THE LARGEST NON-PROFIT HEALTH CARE SYSTEMS IN NORTHERN CALIFORNIA. SUTTER GOULD MEDICAL FOUNDATION (SGMF) HAS EXPANDED ITS CARE CENTERS TO CERES, TURLOCK, PATTERSON, LOS BANOS, TRACY, STOCKTON AND LODI. TODAY, THE FOUNDATION CONSISTS OF OVER 310 PROVIDERS IN 22 CARE CENTER LOCATIONS THROUGHOUT THE CENTRAL VALLEY. IN 2016, THERE WERE 83,474 PATIENTS SERVED. ON MARCH 1, 2016, SUTTER GOULD MEDICAL FOUNDATION MERGED INTO A RELATED 501(C)(3) ORGANIZATION, SUTTER VALLEY MEDICAL FOUNDATION. COMMUNITY BENEFIT AND CHARITY CARE BENEFITS SGMF AND SUTTER HEALTH ARE NOT-FOR-PROFIT ORGANIZATIONS WHOSE PRIMARY MISSION IS TO PROVIDE HIGH-QUALITY AFFORDABLE HEALTH CARE TO THE PUBLIC. AS SUCH, THEIR FACILITIES PROVIDE A NUMBER OF COMMUNITY BENEFITS, IN THE FORM OF CHARITABLE CONTRIBUTIONS, INDIGENT CARE AND COMMUNITY PROGRAMS. MEDICARE, MEDI-CAL, HEALTHY FAMILIES AND CARING FOR THE UNINSURED FOR THE CONVENIENCE OF PATIENTS, SGMF PARTICIPATES IN MORE THAN 16 MAJOR HEALTH INSURANCE PLANS, INCLUDING MANAGED CARE PLANS (HMOS), AND CARES FOR MEDICARE, MEDI-CAL AND SELF-PAY PATIENTS. AS THE LOCAL POPULATION AGES AND MEDICARE REIMBURSEMENT INCREASINGLY FAILS TO COVER COSTS, MANY SENIOR PERSONS HAVE DIFFICULTY ACCESSING HEALTH CARE SERVICES. SGMF REMAINS COMMITTED TO SERVING THE ENTIRE LOCAL COMMUNITY, AND IS ONE OF A SHRINKING NUMBER OF HEALTH CARE ENTITIES THAT ACCEPTS NEW MEDICARE PATIENTS, THROUGH ARRANGEMENTS WITH HEALTH INSURANCE COMPANIES SUCH AS UNITED HEALTHCARE (AARP MEDICAL COMPLETE), AND HEALTH NET (SENIORITY PLUS). MANY SGMF PATIENTS ARE INSURED THROUGH MEDICARE, MEDI-CAL OR HEALTHY FAMILIES. THIS GROUP ACCOUNTS FOR A SIGNIFICANT PORTION OF THE HEALTH CARE SERVICES WE PROVIDE, IN LARGE PART DUE TO THE INCREASED HEALTH CARE NEEDS OF SENIOR PATIENTS ON MEDICARE. IN THE FIRST TWO MONTHS OF 2016, SGMF CARED FOR OVER 6,807 MEDI-CAL PATIENTS, AND GOULD OB/GYNS DELIVERED 83 BABIES OF MEDI-CAL PATIENTS. REIMBURSEMENT FROM MEDI-CAL AND OTHER SERVICES FOR THE POOR AND UNDERSERVED DOES NOT MEET THE ACTUAL COST OF PROVIDING CARE, AND EACH YEAR SGMF SPENDS MILLIONS OF DOLLARS TO CARE FOR THESE PATIENTS. THIS INCLUDES PROVIDING UNPAID CARE TO MEDICALLY INDIGENT PATIENTS AND DISCOUNTED CARE TO QUALIFIED PATIENTS. SGMF ALSO HELPS WORK OUT NO-INTEREST PAYMENT PLANS TO HELP PATIENTS WHO HAVE BECOME UNINSURED DUE TO LOSS OF EMPLOYMENT. FORM 990, PART V, LINES 1A AND 2A AT THE BEGINNING OF 2016, IN PREPARATION FOR THE MERGER, ALL SGMF EMPLOYEES WERE TRANSFERRED TO AND PAID BY SUTTER VALLEY MEDICAL FOUNDATION, A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, LINE 1A EXECUTIVE COMMITTEE: THE AFFAIRS AND MANAGEMENT OF SUTTER GOULD MEDICAL FOUNDATION (SGMF) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SGMF DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF SGMF'S CHAIR WHO SERVES AS CHAIR OF THE COMMITTEE, THE VICE CHAIR, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, AN ADDITIONAL DIRECTOR AND THE PRESIDENT OF THE SUTTER EAST BAY HOSPITALS. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR. FORM 990, PART VI, LINE 2 FAMILY AND BUSINESS RELATIONSHIPS: TODD SMITH, MD AND DAVID ADKINS, MD, TRUSTEES OF SUTTER GOULD MEDICAL FOUNDATION (SGMF), ARE ALSO MEMBERS AND SHAREHOLDERS OF GOULD MEDICAL GROUP (GMG). I-MEI HSIU, MD AND KURT SHULER, MD, TRUSTEES OF SGMF, ARE ALSO MEMBERS AND SHAREHOLDERS OF SUTTER MEDICAL GROUP (SMG). FORM 990, PART VI, LINES 6 & 7A DESCRIPTION OF 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 DESCRIBE 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 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, 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 ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN DECEMBER OF 2015. 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 VII, SECTION A THE COMPENSATION BEING REPORTED IS AN ESTIMATE FOR THE PERIOD 1/1/16 TO 3/1/16. FULL 2016 COMPENSATION WILL BE REPORTED ON SUTTER VALLEY MEDICAL FOUNDATION'S 12/31/16 FORM 990. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: EQUITY TRANSFERS (NET) 5,267,742 TRANSFER TO SUTTER VALLEY MEDICAL FDN FOR MERGER (3,710,956) ----------- TOTAL 1,556,786 FORM 990, PART XII SUTTER GOULD MEDICAL FOUNDATION (SGMF) IS AN AFFILIATE OF SUTTER HEALTH SYSTEM, WHICH ISSUES CONSOLIDATED INDEPENDENT AUDITED FINANCIAL STATEMENTS. SGMF'S SHORT PERIOD ENDING MARCH 1, 2016 WILL BE INCLUDED IN SUTTER HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS, WHICH ARE CURRENTLY UNDERGOING AUDIT. FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL GROUP COMPENSATION TOTAL FEES:27819201 FORM 990 PART IX LINE 11G DESCRIPTION:PROF-FEE PHYSICANS TOTAL FEES:14562 FORM 990 PART IX LINE 11G DESCRIPTION:THERAPISTS TECH & OTHER MED. TOTAL FEES:123853 FORM 990 PART IX LINE 11G DESCRIPTION:NON-PHYSICIAN MEDICAL TRAVELER TOTAL FEES:7671 FORM 990 PART IX LINE 11G DESCRIPTION:NURSE REGISTRY-RN TOTAL FEES:14942 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES - MED & LAB TOTAL FEES:89662 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 WBH 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 942948100 HOSPITAL CA 501(C)(3) 9 SUTTER HLTH true MEMORIAL HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942290244 FUNDRAISING CA 501(C)(3) 11a - 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