SUTTER MEDICAL CENTER CASTRO VALLEY: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SUTTER MEDICAL CENTER CASTRO VALLEY (EIN 77-0146047)
Tax period: 2016-01-01 to 2016-06-01
Filed: 2017-05-11
IRS object ID: 201731319349302273
Schema version: 2015v3.0
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 H
Schedule J
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-11T11:37:51-05:00	ReturnTs
Tax Period End	2016-06-01	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	560 MISSION ST STE 1600	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	770146047	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTER MEDICAL CENTER CASTRO VALLEY	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	JOHN GATES	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9162979847	PhoneNum
Signature	2017-05-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN
Phone	4158948000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Final Return	Yes (X)	FinalReturnInd
Principal Officer	JEFF GERARD	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	$153,621,158	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	1986	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	25	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	85	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$240,529	PYContributionsGrantsAmt
CY Contributions Grants	$369,073	CYContributionsGrantsAmt
PY Program Service Revenue	$340,350,929	PYProgramServiceRevenueAmt
CY Program Service Revenue	$152,790,393	CYProgramServiceRevenueAmt
PY Investment Income	$130,860	PYInvestmentIncomeAmt
CY Investment Income	$64,660	CYInvestmentIncomeAmt
PY Other Revenue	$550,553	PYOtherRevenueAmt
CY Other Revenue	$245,472	CYOtherRevenueAmt
PY Total Revenue	$341,272,871	PYTotalRevenueAmt
CY Total Revenue	$153,469,598	CYTotalRevenueAmt
PY Grants And Similar Paid	$22,669	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,500	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$149,898,608	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$68,927,698	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$167,625,753	PYOtherExpensesAmt
CY Other Expenses	$69,936,658	CYOtherExpensesAmt
PY Total Expenses	$317,547,030	PYTotalExpensesAmt
CY Total Expenses	$138,866,856	CYTotalExpensesAmt
PY Revenues Less Expenses	$23,725,841	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,602,742	CYRevenuesLessExpensesAmt
Total Assets BOY	$425,143,116	TotalAssetsBOYAmt
Total Assets EOY	$0	TotalAssetsEOYAmt
Total Liabilities BOY	$340,201,843	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$84,941,273	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$0	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$130,458,295	ExpenseAmt
Grant	$2,500	GrantAmt
Revenue	$152,790,393	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$130,458,295	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	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	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	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	Yes (true)	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
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	25	GoverningBodyVotingMembersCnt
Independent Voting Member	22	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	false	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	false	InvestmentInJointVentureInd
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	9162979847	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 (42 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
CHRISTOPHER BECNEL
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
DIANA BELL
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
DAVID BLACK MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM BRUNETTI
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
EILEEN CONSORTI MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
THEODORE DEIKEL
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
EMIL ROY EISENHARDT
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
ERIC FLOWERS
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
OWEN GARRICK MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
MICHAEL GAULKE
TRUSTEE	1.0	7.0	Yes (X)	$0	$11,458	$0
JEFF GERARD
PRESIDENT BAY AREA	1.0	40.0	Yes (X)	$0	$556,857	$332,213	Yes (X)
VINITA GUPTA
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD CARY HILL MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
KATHERINE HSIAO MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
STEVEN KATZNELSON MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
SARAH KREVANS
PRESIDENT & CEO, SH	1.0	40.0	Yes (X)	$0	$985,811	$1,138,092	Yes (X)
JOSEPH LACY MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD LEVY PHD
TRUSTEE, CHAIR FIN & PLAN	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
TIMOTHY MURPHY MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
DENNIS O'CONNELL
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
STEVEN OLIVER
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JOHN RYAN
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
RON SINHA MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
MARGARET TAYLOR
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
ANTHONY WAGNER
TRUSTEE, CHAIR	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JOHN GATES
CFO BAY AREA	1.0	40.0		$0	$379,929	$165,037	Yes (X)
KAREN HALL
REGIONAL CNSL, EAST BAY/SEC.	1.0	40.0		$0	$247,607	$115,978	Yes (X)
BRYAN DAYLOR
COO	40.0	0.0		$0	$147,505	$56,494		Yes (X)
TERRY GLUBKA
ADMINISTRATIVE CEO	40.0	0.0		$0	$257,233	$128,467		Yes (X)
JULIE PETERSON
CFO	40.0	0.0		$0	$137,172	$52,031		Yes (X)
SIDNEY WANETICK
VP MEDICAL AFFAIRS	40.0	0.0		$0	$203,107	$62,072		Yes (X)
DAVID BONOVICH
MEDICAL DIRECTOR	40.0	0.0		$0	$118,750	$6,500			Yes (X)
QING LEI
MANAGER, MEDICAL PHYSICS	40.0	0.0		$0	$123,736	$15,794			Yes (X)
KAREN MANNERING
CHARGE NURSE	40.0	0.0		$0	$126,451	$10,715			Yes (X)
KATHERINE NAAS
NURSE STAFF II	40.0	0.0		$0	$126,504	$16,369			Yes (X)
JEFFREY SILVERS
MEDICAL DIRECTOR OF QUALITY	40.0	0.0		$0	$134,776	$17,649			Yes (X)
ED BERDICK
SVP SH SHARED SCVS (FMR OFCR)	0.0	40.0		$0	$609,473	$322,771				Yes (X)
GREGORY BROWN
VP & REG COUNSEL EB (FRMR OFC)	0.0	40.0		$0	$189,771	$97,109				Yes (X)
BRIAN HUNTER
SH VP, REV CYCLE (FMR OFFICER)	0.0	40.0		$0	$287,167	$38,336				Yes (X)
CATHERINE MESSMAN
ADMIN DIR FINANCE (FRMR KEY)	0.0	40.0		$0	$158,711	$24,665				Yes (X)
ROSE CORCORAN RN
CNE, SCH (FORMER KEY EMPLOYEE)	0.0	40.0		$0	$118,966	$48,319				Yes (X)
CHERYL HARLESS
CNE (FORMER KEY EMPLOYEE)	0.0	40.0		$0	$102,558	$13,845				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,023,542	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,662,456	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RIGHTSOURCING INC
PO BOX 515743	LOS ANGELES	CA	900515118	STAFFING SERVICES	$3,285,307
ALAMEDA ANESTHESIA ASSOCIATION INC
PO BOX 5641	PORTLAND	OR	972285641	MEDICAL SERVICES	$1,407,946
ALLIANCE ALAMEDA
1240 SOUTH LOOP ROAD	ALAMEDA	CA	94502	MEDICAL SERVICES	$1,328,029
HSS INC
PO BOX 17033	DENVER	CO	80217	BIOMEDICAL SERVICES	$623,205
PACIFIC BRAIN SPINE MEDICAL GROUP
1320 EL CAPITAN DRIVE 300	DANVILLE	CA	94523	MEDICAL SERVICES	$620,493

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
Related Organizations	$369,073	RelatedOrganizationsAmt
Total Contributions	$369,073	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$152,758,113	$152,758,113
RENTAL TO AFFILIATES	900099	$32,280	$32,280

Field	Value	IRS element (for citing)
Total Program Service Revenue	$152,790,393	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,660	TotalRevenueColumnAmt
Exclusion	$61,660	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	$397,032	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$151,560	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$245,472	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$245,472	TotalRevenueColumnAmt
Exclusion	$245,472	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$3,000	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$3,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,000	TotalRevenueColumnAmt
Exclusion	$3,000	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$153,469,598	TotalRevenueColumnAmt
Related Or Exempt Func Income	$152,790,393	RelatedOrExemptFuncIncomeAmt
Exclusion	$310,132	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	$2,500	TotalAmt
Program Services	$2,500	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	$1,044,082	TotalAmt
Management And General	$1,044,082	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	$44,482,078	TotalAmt
Program Services	$43,132,062	ProgramServicesAmt
Management And General	$1,350,016	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,024,622	TotalAmt
Program Services	$2,865,565	ProgramServicesAmt
Management And General	$159,057	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,313,386	TotalAmt
Program Services	$15,455,509	ProgramServicesAmt
Management And General	$857,877	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,063,530	TotalAmt
Program Services	$3,849,840	ProgramServicesAmt
Management And General	$213,690	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$449,004	TotalAmt
Program Services	$169,192	ProgramServicesAmt
Management And General	$279,812	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$29,136	TotalAmt
Management And General	$29,136	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$991	TotalAmt
Management And General	$991	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	$24,233	TotalAmt
Management And General	$24,233	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,019,937	TotalAmt
Program Services	$10,814,061	ProgramServicesAmt
Management And General	$205,876	ManagementAndGeneralAmt

Advertising AdvertisingGrp

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

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,225,377	TotalAmt
Program Services	$1,170,797	ProgramServicesAmt
Management And General	$54,580	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,605,949	TotalAmt
Program Services	$2,589,975	ProgramServicesAmt
Management And General	$1,015,974	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,686,818	TotalAmt
Program Services	$1,623,159	ProgramServicesAmt
Management And General	$63,659	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$25,293	TotalAmt
Program Services	$20,234	ProgramServicesAmt
Management And General	$5,059	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	$10,888	TotalAmt
Program Services	$4,558	ProgramServicesAmt
Management And General	$6,330	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,805,936	TotalAmt
Program Services	$3,805,936	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,653,922	TotalAmt
Program Services	$11,518,131	ProgramServicesAmt
Management And General	$135,791	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$800,356	TotalAmt
Program Services	$622,297	ProgramServicesAmt
Management And General	$178,059	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$12,888,288	$12,888,288
PURCHASED SERVICES	$10,451,122	$9,881,816	$569,306
HOSPITAL PROVIDER FEES	$8,169,851	$8,169,851
SYSTEM ALLOCATIONS	$2,262,086	$384,555	$1,877,531

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,827,471	TotalAmt
Program Services	$1,489,969	ProgramServicesAmt
Management And General	$337,502	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$138,866,856	TotalAmt
Program Services	$130,458,295	ProgramServicesAmt
Management And General	$8,408,561	ManagementAndGeneralAmt
Fundraising	$0	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	$3,168,187	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$56,628,646	BOYAmt
EOY	$0	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	$4,397,241	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$638,959	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$0	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$0	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$333,049,740	BOYAmt
EOY	$0	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$154,599	BOYAmt
EOY	$0	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	$132,402	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$26,973,342	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$425,143,116	BOYAmt
EOY	$0	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$51,666,350	BOYAmt
EOY	$0	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	$286,891,939	BOYAmt
EOY	$0	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	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,643,554	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$340,201,843	BOYAmt
EOY	$0	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$84,941,273	BOYAmt
EOY	$0	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$84,941,273	BOYAmt
EOY	$0	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$425,143,116	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,602,742	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$61,894	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$99,605,909	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp
Buildings		BuildingsGrp
Leasehold Improvements		LeaseholdImprovementsGrp
Equipment		EquipmentGrp
Other Land Buildings		OtherLandBuildingsGrp
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt
Total Liability	$0	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	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 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. 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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
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	$1,414,283	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,414,283	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,148,990	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,796,917	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$176,158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$184,382	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,739,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,981,299	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,414,283	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	5656	PersonsServedCnt
Total Community Benefit Expns	$379,713	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$379,713	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$171,644	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$171,644	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$410,458	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$410,458	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	5656	PersonsServedCnt
Total Community Benefit Expns	$961,815	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$961,815	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	5656	PersonsServedCnt
Total Community Benefit Expns	$44,701,246	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,981,299	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,376,098	NetCommunityBenefitExpnsAmt
Total Expense	0.01710	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$10,417	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,417	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$4,108	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,108	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$14,525	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,525	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$5,445,513	BadDebtExpenseAmt
Reimbursed By Medicare	$27,238,110	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$36,923,792	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,685,682	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
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EDEN MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20130 LAKE CHABOT ROAD	AddressLine1Txt
City	CASTRO VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	945465305	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.EDENMEDICALCENTER.ORG	WebsiteAddressTxt
State License	LICENSE #140000030	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	OUTPATIENT SERVICES	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	EDEN MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: IN CONDUCTING ITS MOST RECENT CHNA, EDEN MEDICAL CENTER DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (KEY INFORMANTS). KEY INFORMANTS ARE HEALTH AND COMMUNITY EXPERTS FAMILIAR WITH THE POPULATIONS AND GEOGRAPHIC AREAS WITHIN THE SERVICE AREA. TO GAIN A DEEPER UNDERSTANDING OF THE HEALTH ISSUES PERTAINING TO CHRONIC DISEASE AND THE POPULATIONS LIVING IN THESE VULNERABLE COMMUNITIES, INPUT FROM 35 KEY INFORMANT INTERVIEWS WAS GATHERED THROUGH INTERVIEWS CONDUCTED USING A THEORETICALLY GROUNDED INTERVIEW GUIDE. EACH INTERVIEW WAS RECORDED AND CONTENT ANALYSIS WAS CONDUCTED TO IDENTIFY KEY THEMES AND IMPORTANT POINTS PERTAINING TO EACH GEOGRAPHIC AREA. FINDINGS FROM THESE INTERVIEWS WERE USED TO HELP IDENTIFY COMMUNITIES IN WHICH FOCUS GROUPS WOULD MOST APTLY BE PERFORMED. A FULL LISTING OF ALL KEY INFORMANTS INTERVIEWED, INCLUDING NAME, PROFESSIONAL TITLE, DATE OF INTERVIEW, AND A DESCRIPTION OF KNOWLEDGE AND EXPERIENCE IN DETAIL: - LOUIS CHICOINE, EXECUTIVE DIRECTOR FOR ABODE SERVICES WITH EXPERTISE ON HOMELESS POPULATIONS. INTERVIEW DATE: MAR 13, 2013. - MARK FRIEDMAN, CEO AND CHRIS HWANG, EVALUATION & TECHNOLOGY ADMINISTRATOR OF FIRST 5-ALAMEDA WITH EXPERTISE ON CHILDREN AND FAMILIES. INTERVIEW DATE: JANUARY 28, 2013 - MARSHA VAUGHN, CLINICAL DIRECTOR OF COMMUNITY BASED SERVICES FOR BAY AREA YOUTH CENTER WITH EXPERTISE IN FOSTER CARE MENTAL HEALTH SERVICES AND YOUTH SERVICES. INTERVIEW DATE: MARCH 13, 2013 - JAIME JARAMILLO, EXECUTIVE DIRECTOR AND JOAQUIN ALMAGUER, BOARD MEMBER OF CENTRO DE SERVICIOS WITH EXPERTISE IN FAMILY SERVICES. INTERVIEW DATE: MARCH 27, 2013. - DARLENE FUJII, SENIOR MANAGER WITH THE ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT WITH EXPERTISE IN NUTRITION AND PHYSICAL ACTIVITY. INTERVIEW DATE: JANUARY 10, 2013 - ROSE PADILLA-JOHNSON, EXECUTIVE DIRECTOR FOR DAVIS STREET FAMILY RESOURCE CENTER WITH EXPERTISE IN FAMILY SERVICES, COMMUNITY HEALTH, DENTAL, AND MENTAL HEALTH SERVICES. INTERVIEW DATE: JANUARY 10, 2013. - DR. ZETTIE PAGE, INTERIM CEO, BETHSHEBA ORERO, HIV AND WOMEN'S HEALTH PLANNER, AND AMY O'CALLAGHAN, COMMUNITY HEALTH PROGRAMS PLANNER FOR TRI CITY HEALTH CENTER WITH EXPERTISE IN COMMUNITY HEALTH AND HEALTH EDUCATION. INTERVIEW DATE: MARCH 26, 2013 - CARLOS LONDONO, DIRECTOR OF PROGRAMS FOR TIBURCIO VASQUEZ HEALTH CENTER WITH EXPERTISE IN COMMUNITY HEALTH AND HEALTH EDUCATION. INTERVIEW DATE: FEBRUARY 1, 2013 - SHIRLEY SISK, EXECUTIVE DIRECTOR FOR LOV NEWARK WITH EXPERTISE IN VOLUNTEER COORDINATION AND RECREATION PROGRAMING. INTERVIEW DATE: MARCH 13, 2013 - PAUL MILLER, EXECUTIVE DIRECTOR FOR KIDANGO WITH EXPERTISE IN EARLY EDUCATION, CHILD DEVELOPMENT SERVICES AND FAMILY SERVICES. INTERVIEW DATE: MARCH 26, 2013 - JUDY JONES, HOSPITAL OUTREACH MANAGER WITH FIRST 5 - ALAMEDA WITH EXPERTISE IN PRE- AND POST-NATAL EDUCATION IN AREAS OF NUTRITION, LITERACY AND EARLY LANGUAGE, AND SMOKING CESSATION. INTERVIEW DATE: MARCH 29, 2013 - RODNEY CLARK, EXECUTIVE DIRECTOR FOR SAVE WITH EXPERTISE IN DOMESTIC VIOLENCE. INTERVIEW DATE: APRIL 23, 2013. - SUZAN BATESON, EXECUTIVE DIRECTOR, ALLISON PRATT, DIRECTOR OF POLICY & SERVICES, AND JUSTINE KAPLAN, DIRECTOR OF FOOD AGENCY & NUTRITION FOR ALAMEDA COUNTY COMMUNITY FOOD BANK WITH EXPERTISE ON FOOD ACCESS AND NUTRITION. INTERVIEW DATE: MAY 2, 2013. - DAVID KORTH, NEIGHBORHOOD SERVICES MANAGER FOR HAYWARD NEIGHBORHOOD SERVICES WITH EXPERTISE IN COMMUNITY ORGANIZING. INTERVIEW DATE: MAY 1, 2013. - JANE GARCIA, CEO AND PATRICIA ZAYAS, CHIEF MEDICAL OFFICER FOR LA CLINICA WITH EXPERTISE IN COMMUNITY HEALTH AND MEDICAL CARE. INTERVIEW DATE: APRIL 29, 2013. - MARIELLEN FARIA, CHIEF NURSING OFFICER FOR SAN LEANDRO HOSPITAL WITH EXPERTISE IN COMMUNITY HEALTH, PRIMARY CARE, AND MEDICAL CARE. INTERVIEW DATE: MARCH 13, 2013 - SAFIA ALOCOZY, HEALTH MANAGER FOR CHILD, FAMILY & COMMUNITY SERVICES, INC WITH EXPERTISE IN CHILDREN AND FAMILIES, NUTRITION, AND PERSIAN COMMUNITIES. INTERVIEW DATE: APRIL 24, 2013. - DR. DAMON FRANCIS OF THE ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT WITH EXPERTISE ON HOMELESS POPULATIONS. INTERVIEW DATE: APRIL 24, 2013. MEMBERS OF THE COMMUNITY REPRESENTING SUBGROUPS, GROUPS WITH UNIQUE ATTRIBUTES (RACE & ETHNICITY, AGE, SEX, CULTURE, LIFESTYLE, OR RESIDENTS OF A PARTICULAR AREA OF THE HSA) WERE RECRUITED TO PARTICIPATE IN FOCUS GROUPS. A STANDARD PROTOCOL WAS USED FOR ALL FOCUS GROUPS TO UNDERSTAND THE EXPERIENCES OF THESE COMMUNITY MEMBERS AS RELATED TO HEALTH DISPARITIES AND CHRONIC DISEASES. IN ALL, A TOTAL OF EIGHT FOCUS GROUPS WERE CONDUCTED WITH 105 COMMUNITY MEMBERS. CONTENT AND WORD COUNT ANALYSIS WAS PERFORMED ON FOCUS GROUP INTERVIEW NOTES AND/OR TRANSCRIPTS TO IDENTIFY KEY THEMES AND SALIENT HEALTH ISSUES AFFECTING THE COMMUNITY RESIDENTS. THIS INCLUDED THE IDENTIFICATION OF THEMES AND WORD COUNT ANALYSIS BY EACH THEME TO DETERMINE CONSISTENCIES ACROSS ALL QUALITATIVE DATA.
SCHEDULE H, PART V, SECTION B, LINE 6	CHNA HOSPITAL COLLABORATORS: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE REPORT COMMISSIONED BY FIVE LOCAL NON-PROFIT HOSPITALS IN THE EAST BAY - EDEN MEDICAL CENTER, ALTA BATES SUMMIT MEDICAL CENTER, ST. ROSE HOSPITAL, WASHINGTON HOSPITAL HEALTHCARE SYSTEM AND CHILDREN'S HOSPITAL & RESEARCH CENTER. THE CHNA CORE GROUP, A GROUP REPRESENTING THE COLLABORATING HOSPITALS, MEMBERS FROM ALAMEDA COUNTY PUBLIC HEALTH AND THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA WORKED IN PARTNERSHIP TO DEFINE SPECIFIC DEMOGRAPHIC AND HEALTH STATUS MEASURES FOR REVIEW AND ANALYSIS AND JOINTLY REVIEWED AND DISCUSSED THE RESULTS. THE HOSPITALS RETAINED VALLEY VISION, INC. TO CONDUCT THE TEN-MONTH ASSESSMENT PROCESS. VALLEY VISION, INC. IS A NON-PROFIT 501(C)(3) CONSULTING FIRM WITH OVER SEVEN YEARS EXPERIENCE IN CONDUCTING CHNAS.
SCHEDULE H, PART V, SECTION B, LINE 7A, 7B AND 10A	HOSPITAL FACILITY'S WEBSITE: www.edenmedicalcenter.org/philanthropy/philanthropy-community-need.html OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML
SCHEDULE H, PART V, SECTION B, LINE 11	THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT EDEN MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO HEALTH RESOURCES - INABILITY TO ADDRESS BASIC HEALTH CARE NEEDS DUE TO A LACK OF ACCESS TO RESOURCES TO MAINTAIN AND/OR IMPROVE ONE'S HEALTH, INCLUDING PRIMARY, SPECIALTY AND PREVENTATIVE CARE. HEALTH LITERACY - INABILITY TO IMPROVE ONE'S HEALTH DUE TO LIMITED HEALTH LITERACY AND EDUCATION, INCLUDING HOW TO MAINTAIN AND IMPROVE ONE'S HEALTH THROUGH HEALTHY BEHAVIORS SUCH AS DIET AND PHYSICAL ACTIVITY. NUTRITION - POOR DIETING HABITS RESULTING FROM LIVING IN AN UNHEALTHY FOOD ENVIRONMENT WITH LIMITED ACCESS TO FRESH AND HEALTHIER FOODS. MENTAL HEALTH - ISSUES ARISING FROM LIVING IN A STATE OF STRESS; LIVING IN A STRESSFUL ENVIRONMENT DUE TO LIMITED ECONOMIC RESOURCES; SAFETY CONCERNS FOR SELF AND FAMILY. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. EDEN MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: MENTAL HEALTH - BEHAVIORAL HEALTH & SUBSTANCE ABUSE EDEN MEDICAL CENTER IS NOT A LICENSED INPATIENT/OUTPATIENT MENTAL HEALTH FACILITY AND WE DO NOT HAVE SUFFICIENT RESOURCES (FINANCIAL AND PERSONNEL) TO EFFECTIVELY ADDRESS THE BEHAVIORAL HEALTH AND SUBSTANCE NEEDS OF THE COMMUNITY. RESOURCES IN THE HOSPITAL SERVICE AREA (HSA) SUCH AS LIFELONG, ALAMEDA COUNTY JOHN GEORGE PSYCHIATRIC PAVILION, LA CLINICA DE LA RAZA, REACH ASHLAND YOUTH CENTER AND TIBURCIO VASQUEZ HEALTH CENTER PROVIDE FREE OR LOW-COST SERVICES TO THOSE IN NEED OF MENTAL HEALTH SERVICES. ALSO WITHIN THE SUTTER HEALTH EAST BAY REGION, THE ALTA BATES SUMMIT HERRICK CAMPUS IN BERKELEY PROVIDES FULL BEHAVIORAL HEALTH SERVICES FOR ADOLESCENTS AND ADULTS IN THE BAY AREA. IN ADDITION, EDEN MEDICAL CENTER, LOCATED IN CASTRO VALLEY, WILL FOCUS ON ISSUES RELATED SAFETY AS THIS HAS BEEN IDENTIFIED AS ONE OF THE DRIVERS THAT CAN CREATE STRESSFUL CONDITIONS THAT CAN AFFECT A PERSON'S MENTAL HEALTH. DENTAL CARE EDEN MEDICAL CENTER DOES NOT HAVE THE EXPERTISE TO EFFECTIVELY ADDRESS DENTAL CARE. THERE ARE RESOURCES IN THE HSA SUCH AS TIBURCIO VASQUEZ HEALTH CENTER, CHABOT-LAS POSITAS COMMUNITY COLLEGE - DENTAL HYGIENE DEPARTMENT, SILVA PEDIATRIC MEDICAL & DENTAL CLINIC, REACH ASHLAND YOUTH CENTER AND THE DAVIS STREET FAMILY RESOURCE CENTER THAT OFFER FREE OR LOW-COST DENTAL SERVICES. POLLUTION EDEN MEDICAL CENTER DOES NOT HAVE THE EXPERTISE TO EFFECTIVELY ADDRESS ENVIRONMENTAL ISSUES SUCH AS AIR QUALITY. THE AREA IDENTIFIED AS AN AREA OF GREATEST NEED ACCORDING TO THE CHNA WAS THE ZIP CODE AREA OF 94545 WHERE PEOPLE ARE EXPERIENCING RESPIRATORY ISSUES SUCH AS ASTHMA AND COPD. WE DO NOT HAVE THE STAFFING OR FINANCIAL RESOURCES TO ADDRESS THIS NEED AND WOULD LIKE TO DEDICATE OUR RESOURCES TO HIGHER PRIORITY ISSUES THAT WERE IDENTIFIED IN THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 15E	METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, 16C HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND PLAIN LANGUAGE SUMMARY: www.edenmedicalcenter.org/about/charity%20care.html
SCHEDULE H, PART V, SECTION B, LINE 16I	MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. ON AN ANNUAL BASIS 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	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.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Rehabilitation Services	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14207 E 14th Street	AddressLine1Txt
City	San Leandro	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94578	ZIPCd

Field	Value	IRS element (for citing)
Facility	Outpatient Rehabilitation Svcs	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3A & 3C	FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION THE ORGANIZATION HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE PATIENTS FAMILY INCOME. SCHEDULE H, PART I, LINE 3B SUTTER MEDICAL CENTER CASTRO VALLEY IS COMMITTED TO PROVIDING CHARITY CARE AND THEREFORE, PROVIDES FREE CARE AT HIGH PERCENTAGE OF FPG. IT DOES NOT PROVIDE DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: SUTTER MEDICAL CENTER CASTRO VALLEY (SMCCV) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. THE YOUTH BRIDGE CAREER AND INTERNSHIP PROGRAM IS A COMPREHENSIVE, YEAR-ROUND YOUTH DEVELOPMENT PROGRAM DESIGNED TO ASSIST EAST BAY HIGH SCHOOL STUDENTS BY ENCOURAGING THEM TO COMPLETE THEIR SCHOOLING AND TO PURSUE HIGHER ACADEMIC AND/OR VOCATIONAL GOALS. THE MAJORITY OF STUDENTS INVOLVED IN YOUTH BRIDGE ARE CONSIDERED "HIGH-RISK" STUDENTS. ONE OF THE GOALS OF YOUTH BRIDGE IS TO ENCOURAGE STUDENTS TO "DREAM BEYOND THEIR CIRCUMSTANCE." THE PROGRAM IS DESIGNED TO HELP PARTICIPANTS LEARN TO SET GOALS, MAKE DECISIONS, COMPLETE TASKS, AND BENEFIT FROM OPPORTUNITIES THAT MAY ARISE. SUTTER MEDICAL CENTER CASTRO VALLEY PROVIDES FUNDING TO THE ALAMEDA COUNTY SHERIFFS OFFICE TO PROVIDE LEADERSHIP DEVELOPMENT FOR RE-ENTERING COMMUNITY MEMBERS, TO TEACH NEW SKILLS AND EDUCATION AS WELL AS PROVIDE FRESH FOOD TO THE COMMUNITY MEMBERS.
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 FOOTNOTE: 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 GOVERNMENT 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. SUTTERS SELF-PAY WRITE-OFFS WERE $204 MILLION AND $192 MILLION FOR 2016 AND 2015, 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	NEEDS ASSESSMENT: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE REPORT COMMISSIONED BY FIVE LOCAL NON-PROFIT HOSPITALS IN THE EAST BAY-SUTTER MEDICAL CENTER CASTRO VALLEY, ALTA BATES SUMMIT MEDICAL CENTER, ST. ROSE HOSPITAL, WASHINGTON HOSPITAL HEALTHCARE SYSTEM AND CHILDREN'S HOSPITAL & RESEARCH CENTER. THE CHNA CORE GROUP, A GROUP REPRESENTING THE COLLABORATING HOSPITALS, MEMBERS FROM ALAMEDA COUNTY PUBLIC HEALTH AND THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA WORKED IN PARTNERSHIP TO DEFINE SPECIFIC DEMOGRAPHIC AND HEALTH STATUS MEASURES FOR REVIEW AND ANALYSIS AND JOINTLY REVIEWED AND DISCUSSED THE RESULTS. THE HOSPITALS RETAINED VALLEY VISION, INC. TO CONDUCT THE TEN-MONTH ASSESSMENT PROCESS. VALLEY VISION, INC. IS A NON-PROFIT 501(C)(3) CONSULTING FIRM WITH OVER SEVEN YEARS EXPERIENCE IN CONDUCTING CHNAS. THE ASSESSMENT USED A MIXED METHOD DATA COLLECTION APPROACH THAT INCLUDED PRIMARY DATA SUCH AS KEY INFORMANT INTERVIEWS, COMMUNITY FOCUS GROUPS, AND A COMMUNITY ASSETS ASSESSMENT. SECONDARY DATA INCLUDED HEALTH OUTCOMES, DEMOGRAPHIC DATA, BEHAVIORAL DATA, AND ENVIRONMENTAL DATA. THE HEALTH NEEDS IDENTIFIED THROUGH ANALYSIS OF BOTH QUANTITATIVE AND QUALITATIVE DATA ARE AS FOLLOWS: - MENTAL HEALTH: ISSUES ARISING FROM LIVING IN A STATE OF STRESS, LIVING IN A STRESSFUL ENVIRONMENT DUE TO LIMITED ECONOMIC RESOURCES, SAFETY CONCERNS FOR SELF AND FAMILY - ACCESS TO HEALTH RESOURCES: INABILITY TO ADDRESS BASIC HEALTHCARE NEEDS DUE TO A LACK OF ACCESS TO RESOURCES TO MAINTAIN AND/OR IMPROVE ONE'S HEALTH, INCLUDING PRIMARY, SPECIALTY, AND PREVENTATIVE CARE - NUTRITION: POOR DIETING HABITS RESULTING FROM LIVING IN AN UNHEALTHY FOOD ENVIRONMENT WITH LIMITED ACCESS TO FRESH AND HEALTHIER FOODS - DENTAL CARE: ISSUES RESULTING FROM A LACK OF ACCESS TO DENTAL SERVICES - HEALTH LITERACY: INABILITY TO IMPROVE ONE'S HEALTH DUE TO LIMITED HEALTH LITERACY AND EDUCATION, INCLUDING HOW TO MAINTAIN AND IMPROVE ONE'S HEALTH THROUGH HEALTHY BEHAVIORS SUCH AS DIET AND PHYSICAL ACTIVITY - POLLUTION: RESPIRATORY AND RELATED ISSUES RESULTING FROM LIVING IN COMMUNITIES WITH POOR AIR QUALITY DUE TO HOUSING CONDITIONS AND ADJACENCY TO HIGH POLLUTION AREAS SUCH AS MAJOR INTERSTATE HIGHWAYS THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER MEDICAL CENTER CASTRO VALLEY IS AVAILABLE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER MEDICAL CENTER CASTRO VALLEY FOLLOWS A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. FOR A MORE DETAILED LOOK AT OUR CHARITY CARE POLICIES BY REGION, PLEASE VISIT THE OFFICE OF STATEWIDE AND HEALTH PLANNING'S WEBSITE AT HTTP://SYFPHR.OSHPD.CA.GOV. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY A. INFORMATION PROVIDED TO PATIENTS: 1. PREADMISSION OR REGISTRATION: DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITAL AFFILIATES SHALL PROVIDE: A. ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES (IMPORTANT BILLING INFORMATION FOR UNINSURED PATIENTS). B. PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED WITH A FINANCIAL ASSISTANCE APPLICATION SUBSTANTIALLY SIMILAR TO THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION, "STATEMENT OF FINANCIAL CONDITION". 2. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION". B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS: 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY. C. APPLICATIONS PROVIDED AT DISCHARGE: IF NOT PREVIOUSLY PROVIDED, HOSPITAL AFFILIATES SHALL PROVIDE UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL, HEALTHY FAMILIES, CALIFORNIA CHILDREN'S SERVICES, OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM AT THE TIME OF DISCHARGE. D. LANGUAGES: ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE AFFILIATE'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. E. NOTIFICATIONS TO UNINSURED PATIENTS OF ESTIMATED FINANCIAL RESPONSIBILITY: BY LAW, UNINSURED PATIENTS ARE ENTITLED TO RECEIVE AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES. EXCEPT IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL NOTIFY PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED PATIENTS THAT THEY MAY OBTAIN AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES, AND PROVIDE ESTIMATES TO THOSE PATIENTS UPON REQUEST. ESTIMATES SHALL BE WRITTEN, AND BE PROVIDED DURING NORMAL BUSINESS HOURS. ESTIMATES SHALL PROVIDE THE PATIENT WITH AN ESTIMATE OF THE AMOUNT THE HOSPITAL AFFILIATE WILL REQUIRE THE PATIENT TO PAY FOR THE HEALTH CARE SERVICES, PROCEDURES, AND SUPPLIES THAT ARE REASONABLY EXPECTED TO BE PROVIDED TO THE PATIENT BY THE HOSPITAL, BASED UPON THE AVERAGE LENGTH OF STAY AND SERVICES PROVIDED FOR THE PATIENT'S DIAGNOSIS.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: SUTTER MEDICAL CENTER CASTRO VALLEY'S PRIMARY HOSPITAL SERVICE AREA, OR HSA, IS BASED UPON COMMUNITIES WHERE A SIGNIFICANT PERCENTAGE OF DISCHARGES ORIGINATE, BASED UPON THE PATIENT'S HOME ZIP CODE. THESE ZIP CODES INCLUDED 94541, 94542, 94544, 94545, 94546, 94552, 94577, 94578, 94579, AND 94580. THE HSA INCLUDES A RICHLY DIVERSE POPULATION OF JUST OVER 362,000 RESIDENTS. WHITES, HISPANICS, ASIANS AND BLACKS MAKE UP THE LARGEST MAJORITY OF RESIDENTS WITH WHITES PREDOMINATELY RESIDING IN 94542, 94546, 94552, AND 94577 ZIP CODES; HISPANICS PREDOMINATELY RESIDING IN THE 94541, 94544, 94578 AND 94580 ZIP CODES; AND ASIANS PREDOMINATELY RESIDE IN 94545 AND 94579 ZIP CODES. THE ECONOMIC DIVERSITY OF THE HSA ALSO VARIES FROM ZIP CODE TO ZIP CODE. FOR EXAMPLE, THE MEDIAN INCOME OF RESIDENTS OF 94552 IS $134,256 WHILE THE MEDIAN INCOME OF RESIDENTS IN 94578 IS $52,512. TO IDENTIFY COMMUNITIES OF CONCERN, INPUT FROM THE CHNA TEAM, PRIMARY DATA FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, ALONG WITH DETAILED ANALYSIS OF SECONDARY DATA, HEALTH OUTCOME INDICATORS, AND SOCIO-DEMOGRAPHICS WERE EXAMINED. ZIP CODES WITH RATES THAT CONSISTENTLY EXCEEDED COUNTY, STATE, AND/OR HEALTHY PEOPLE 2020 BENCHMARKS FOR ED UTILIZATION, HOSPITALIZATION, AND MORTALITY WERE CONSIDERED. ZIP CODES WITH RATES THAT CONSISTENTLY FELL IN THE TOP 20% WERE NOTED AND TRIANGULATED WITH PRIMARY AND SOCIO-DEMOGRAPHIC DATA TO IDENTIFY PRELIMINARY COMMUNITIES OF CONCERN. THESE ZIP CODES WERE THEN CONFIRMED WITH EACH CORRESPONDING HOSPITAL CHNA WORKGROUP FOR MODIFICATION, AND IN SOME INSTANCES ADDITIONAL ZIP CODES WERE ADDED. THE COMMUNITIES OF CONCERN ARE HOME TO MORE THAN 250,000 COMMUNITY RESIDENTS. THE AREAS CONSIST OF SIX ZIP CODES, ALL LOCATED IN ALAMEDA COUNTY. ZIP CODE 94541 IS HOME TO THE ALL OR PORTIONS OF HAYWARD, FAIRVIEW, CHERRYLAND, AND ASHLAND, AND IS HOME TO OVER 60,000 RESIDENTS. ZIP CODE 94544 IS THE MOST HEAVILY POPULATED OF ALL THE COMMUNITIES OF CONCERN, AND IS HOME TO PORTIONS OF THE CITIES OF HAYWARD AND UNION CITY. ZIP CODE 94545 SITS TO THE WEST OF 94544, AND IS HOME TO PORTIONS OF THE CITY OF HAYWARD. NORTH OF THE CENTRAL HAYWARD AREA IS SAN LEANDRO ZIP CODE 94578, HOME TO OVER 38,000 RESIDENTS. ADJACENT AND TO THE WEST OF THIS ZIP CODE IS 94579, THE LEAST POPULATED AMONG ALL COMMUNITIES OF CONCERN WITH JUST OVER 20,000 RESIDENTS. TO THE SOUTH OF THIS ZIP CODE IS 94580, THE SAN LORENZO AREA, HOME TO OVER 27,000 RESIDENTS. THERE ARE FIVE HOSPITALS SERVING THE COMMUNITY. THE COMMUNITIES OF CONCERN SIT ADJACENT THE SAN FRANCISCO BAY AND ARE SITUATED ALONG THE INTERSTATE 880, 580, AND HIGHWAY 238 CORRIDORS, WHICH RUN NORTH AND SOUTH THROUGH THE EAST BAY AREA. HIGHWAY 92 AND THE SAN MATEO BRIDGE RUNS EAST AND WEST THROUGH THE AREA, AND CONNECT THE EAST BAY WITH SOUTH BAY AREA. FROM AN ECONOMIC PERSPECTIVE, ZIP CODES 94541 AND 94578 EXCEEDED BENCHMARKS FOR THE PERCENT OF FAMILIES WITH CHILDREN LIVING IN POVERTY. IN 94578, 22.4% OF ALL FAMILIES WITH CHILDREN, OR JUST OVER ONE IN FIVE, LIVED IN POVERTY. FURTHER, WELL OVER ONE-THIRD OF ALL SINGLE-FEMALE HEADED HOUSEHOLDS LIVED IN POVERTY IN THE ZIP CODE COMMUNITIES OF 94544, 94578, AND 94587. ALSO, EACH OF THE SIX COMMUNITIES OF CONCERN EXCEEDED BENCHMARKS FOR HIGH UNEMPLOYMENT RATES. LAST, NEARLY SIX IN TEN RESIDENTS OF 94578 RENTED THEIR RESIDENCE, AN INDICATOR OF ECONOMIC MEANS. ALL COMMUNITIES OF CONCERN WERE HOME TO DIVERSE POPULATIONS, WITH PEOPLES OF COLOR ACCOUNTING FOR THE MAJORITY OF COMMUNITY RESIDENTS. FOR EXAMPLE, NEARLY 9 OF 10 RESIDENTS OF ZIP CODES 94545 AND 94587 WERE NON-WHITE. FURTHER, EACH ZIP CODE EXCEEDED BENCHMARKS FOR THE PERCENT OF THE POPULATION OVER THE AGE OF FIVE THAT SPOKE LIMITED ENGLISH AT HOME, WITH 16.1% OF ALL RESIDENTS OVER THE AGE OF FIVE IN 94544 SPEAKING LIMITED ENGLISH AT HOME. FROM AN EDUCATIONAL PERSPECTIVE, ALL ZIP CODES EXCEEDED BENCHMARKS FOR THE PERCENT OF THE TOTAL POPULATION OVER THE AGE OF 25 WITHOUT A HIGH SCHOOL DIPLOMA. LAST, TWO OF THE ZIP CODE COMMUNITIES OF CONCERN EXCEEDED BENCHMARKS FOR THE PERCENT OF POPULATION THAT HAD NO HEALTH INSURANCE. ZIP CODES 94541 AND 94578 HAD 18.6% AND 18.8%, RESPECTIVELY, OF RESIDENTS WITHOUT HEALTH INSURANCE. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MEDICAL CENTER CASTRO VALLEY CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS- ASSESSMENT.HTML
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. ALL SUTTER MEDICAL CENTER CASTRO VALLEY COMMUNITY BENEFIT INITIATIVES ALIGN WITH THE FOLLOWING PILLARS: 1. CONNECT PATIENTS TO THE RIGHT CARE, PLACE AND TIME THROUGH ACCESS TO PRIMARY CARE AND MENTAL HEALTH SERVICES. 2. INVEST IN VULNERABLE AREAS TO ENSURE CAPACITY OF CARE MEETS DEMANDS OF VULNERABLE POPULATIONS. 3. COLLABORATE TO INFLUENCE BEHAVIOR TO UTILIZE PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT AND COMMUNITY SERVICES. 4. BUILD COMMUNITY CAPACITY AND IMPROVE HEALTH. THE 2013-2015 IMPLEMENTATION STRATEGY FOR SUTTER MEDICAL CENTER CASTRO VALLEY 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: THE LACK OF ACCESS TO HEALTH RESOURCES IS A PRIORITY HEALTH NEED FOR SUTTER MEDICAL CENTER CASTRO VALLEY. THE EMERGENCY DEPARTMENT UTILIZATION AND CARE INITIATIVE WILL FUNCTION TO ESTABLISH STRONGER WORKING RELATIONSHIPS WITH WINTON WELLNESS CENTER AND TIBURCIO HEALTH CENTER. THE GOALS OF THE INITIATIVE ARE TO IMPROVE CARE TRANSITIONS OF TARGETED PATIENTS BETWEEN SMCCV AND THESE HEALTH CENTERS, DECREASE LEVEL 1 AND LEVEL 2 EMERGENCY DEPARTMENT VISITS, DECREASE READMISSION OF PATIENTS FROM THESE CLINICS AND PROVIDE ACCESS FOR UNINSURED AND UNDERINSURED PATIENTS. IN JUNE OF 2014, SMCCV ENTERED INTO A CARE TRANSITIONS COLLABORATION WITH TIBURCIO VASQUEZ HEALTH CENTER. COMMUNITY BENEFIT DOLLARS FUNDED THE PLACEMENT OF A NURSE PRACTITIONER TO EXPAND CAPACITY FOR PATIENTS REFERRED FROM SMCCV. IN ADDITION, A NEW CARE TRANSITIONS NURSE AND MEDICAL ASSISTANT WERE PLACED AT TIBURCIO FOR THE PURPOSE OF ENSURING CONNECTION TO A MEDICAL HOME AND A PRIMARY CARE FOLLOW UP APPOINTMENT FOR BOTH INPATIENTS AND THOSE VISITING THE EMERGENCY DEPARTMENT. DUE TO ISSUES WITH EPIC ACCESS AND OTHER LOGISTICS, THERE WERE CHALLENGES WITH STARTUP. SINCE PROGRAM INCEPTION, 823 PATIENTS HAVE BEEN IDENTIFIED AND APPOINTMENTS REQUESTED. OF THOSE APPOINTMENTS MADE, 80% OF PATIENTS KEPT THE APPOINTMENTS. A CLERK WAS ALSO HIRED TO ASSIST THE CARE TRANSITION NURSE. TRANSPORTATION CAN BE A CHALLENGE FOR THOSE WHO ARE DISCHARGED FROM THE HOSPITAL AND HAVE NO MEANS OF RETURNING HOME. SMCCV ALLOCATED FUNDING TO SUPPORT THE TAXI VOUCHER PROGRAM, WHICH IN 2015 PROVIDED 914 DISCHARGED PATIENTS WITH VOUCHERS, ALLOWING PATIENTS THE ABILITY TO RETURN HOME SAFELY. ACCESS TO MEDICAL TREATMENT FOR UNDERSERVED POPULATIONS CAN BE A CHALLENGE. EVEN MORE CHALLENGING IS THE COST OF MEDICATIONS TO ENSURE THEIR RECOVERY. WITHOUT PRESCRIBED MEDICATIONS, PATIENTS MAY EXPERIENCE SLOW RECOVERY TIME, RELAPSE, COMPLICATIONS, AND POSSIBLE READMISSION. IMPROVING ACCESS TO NEEDED MEDICATIONS IMPROVES PATIENT OUTCOMES. THROUGH AN AGREEMENT WITH WALGREENS AND SAFEWAY, SMCCV PROVIDES FUNDING FOR PRESCRIPTION DRUGS FOR UP TO THE FIRST THREE DAYS OF A PATIENT'S DISCHARGE FOR PEOPLE WHO WOULD OTHERWISE BE UNABLE TO PAY FOR THEIR PRESCRIPTIONS. A TOTAL OF 13 COMMUNITY MEMBERS BENEFITTED FROM THIS PROGRAM IN 2015. SMCCV CONTINUES TO SUPPORT PROFESSIONAL EDUCATION TO ENSURE HEALTH CARE WORKERS RECEIVE THE SKILLS, TRAINING AND EXPERIENCE THEY NEED TO BUILD A SUSTAINABLE WORKFORCE AND IMPROVE ACCESS TO HEALTH CARE. WORKING WITH PROFESSIONAL EDUCATION INSTITUTIONS SUCH AS SAMUEL MERRITT NURSING SCHOOL AND TOURO UNIVERSITY, THE PRECEPTORSHIP AND INTERNSHIP PROGRAMS ALLOW STUDENTS THE ABILITY TO WORK ALONGSIDE STAFF AND GAIN VALUABLE CLINIC EXPERIENCE IN A MULTI-DISCIPLINARY ENVIRONMENT. EDUCATION AND TRAINING MANAGED THROUGH SMCCV LED TO JOB PLACEMENT IN THE COMMUNITY FOR APPROXIMATELY 60% OF THE TRANSITION TO PRACTICE STUDENTS. IN ADDITION, SMCCV EXPANDED ITS EFFORTS IN COLLABORATION WITH ALTA BATES SUMMIT'S YOUTH BRIDGE PROGRAM AND PROVIDED MENTORING AND PAID SUMMER INTERNSHIP PLACEMENTS FOR NINE HIGH SCHOOL STUDENTS FROM SOME OF THE MOST VULNERABLE ZIP CODES IN OUR COMMUNITIES. SMCCV CONTINUES TO WORK TO IMPROVE HEALTH DRIVERS THAT IMPACT MENTAL HEALTH (SAFETY). THE VIOLENCE/INJURY PREVENTION EDUCATION AND REDUCTION PROGRAMS AT SMCCV IS COORDINATED BY THE TRAUMA DEPARTMENT STAFF IN COLLABORATION WITH LOCAL FIRST RESPONDERS, SMCCV STAFF, CITY AND GOVERNMENT AGENCIES TO REDUCE UNINTENTIONAL INJURY, REDUCE INJURY FROM MOTOR VEHICLE ACCIDENTS AND REDUCE VIOLENCE IN YOUTH TO IMPROVE SAFETY IN THE COMMUNITY. THESE THREE PROGRAMS INCLUDE INJURY PREVENTION EDUCATION, "EVERY 15 MINUTES" PROGRAM FOR JUNIOR AND SENIOR HIGH SCHOOL STUDENTS, AND CAUGHT IN THE CROSSFIRE PROGRAM, A GANG DIVERSION PROGRAM. THROUGH CONTINUED EDUCATION AND AWARENESS ACTIVITIES, FAMILY MEMBERS AND SENIORS WILL BEGIN TO HAVE A GREATER SENSE OF AWARENESS ON HOW TO REDUCE FALLS, STUDENTS WILL HAVE A BETTER UNDERSTANDING OF THE RAMIFICATIONS OF DRUNK DRIVING AND POOR DECISIONS, AND YOUTH INVOLVED IN VIOLENCE WILL HAVE THE OPPORTUNITY TO TURN AWAY FROM VIOLENCE. THESE ACTIONS INCREASE SAFETY AND REDUCE STRESS NOT ONLY WITHIN FAMILIES, BUT IN THE COMMUNITIES WHERE WE LIVE. THE 2015 EVERY 15 MINUTES PROGRAM VIDEO, WHICH HIGHLIGHTS THE DANGERS OF DRINKING AND DRIVING, HAS REACHED OVER 30,000 PEOPLE ON YOUTUBE. THE MOCK CRASH AND ASSEMBLY WERE CARRIED OUT IN FRONT OF 1,500 HIGH SCHOOL JUNIORS AND SENIORS. AN EDUCATIONAL FALL PREVENTION FAIR WAS OFFERED FREE TO COMMUNITY SENIORS AND OFFERED INFORMATION ON HOW TO PREVENT A FALL INCLUDING MEDICATION MANAGEMENT AND EXERCISE. SMCCV ALSO OFFERED 2 8-WEEK FALL PREVENTION COURSES CALLED STEPPING ON TO 14 COMMUNITY MEMBERS. THE CLASS FOCUSED ON MEDICATION MANAGEMENT, BALANCE AND STRENGTHENING EXERCISES, HOME HAZARDS AND VISION. SMCCV ENTERED INTO A COLLABORATIVE RELATIONSHIP WITH THE ALAMEDA COUNTY DEPUTY SHERIFFS ACTIVITIES LEAGUE AND THEIR "DIG DEEP FARMS & PRODUCE" PROGRAM. THE PROGRAM INCREASES ACCESS TO HEALTHY FOOD IN THE ASHLAND AND CHERRYLAND COMMUNITY, AS WELL AS PROVIDES NUTRITION EDUCATION AND NUTRITION-RELATED ACTIVITIES TO THESE VULNERABLE FAMILIES. IN 2015, 611 BAGS OF PRODUCE WERE PROVIDED TO THESE FAMILIES. EACH BAG COMES WITH WRITTEN NUTRITION INFORMATION AND RECIPES FOR THE PRODUCE CONTAINED THEREIN. OF THESE 611 BAGS, 441 WERE GIVEN TO CLIENTS OF LA CLINCAS FUENTE WELLNESS CENTER ALONG WITH NUTRITION CLASSES AND RECIPES. UTILIZING SMCCVS SPEAKERS BUREAU (PHYSICIANS, NURSES, AND PROFESSIONAL STAFF), TO OFFER PROGRAMS IN THE COMMUNITIES OF CONCERN TO INCREASE COMMUNITY AWARENESS AND UNDERSTANDING OF THE IMPORTANCE OF PREVENTION AND MANAGEMENT OF DISEASES SUCH AS HYPERTENSION, STROKE, CANCER, AND RESPIRATORY DISEASES AS WELL AS THE IMPORTANCE OF MAINTAINING HEALTHY LIFESTYLES THROUGH DIET AND PHYSICAL ACTIVITY. IN 2015, THESE CLASSES AND PRESENTATIONS INCLUDED A FALL PREVENTION FAIR, CHILDBIRTH PREPARATION, BABY CARE, BREASTFEEDING BASICS, A CANCER SYMPOSIUM, AND DIABETES SELF-MANAGEMENT.
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 PEOPLE WHO LIVE IN MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, WE'RE CREATING A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. THE HOSPITAL'S MISSION IS TO ENHANCE THE WELL-BEING OF THE PEOPLE IN OUR COMMUNITIES THROUGH COMPASSION, EXCELLENCE AND INNOVATION IN HEALTH CARE SERVICES, RESEARCH AND EDUCATION. OVER THE PAST FIVE YEARS, SUTTER HEALTH HAS COMMITTED NEARLY $4 BILLION TO CARE FOR PATIENTS WHO COULDN'T AFFORD TO PAY, AND TO SUPPORT PROGRAMS THAT IMPROVE COMMUNITY HEALTH. OUR 2015 COMMITMENT OF $843 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: - TO PROVIDE CARE TO MEDI-CAL PATIENTS IN 2015, SUTTER HEALTH INVESTED $712 MILLION MORE THAN THE STATE PAID. SUTTER HEALTH HOSPITALS PROUDLY SERVE MORE MEDI-CAL PATIENTS IN OUR NORTHERN CALIFORNIA SERVICE AREA THAN ANY OTHER HEALTH CARE PROVIDER. - IN 2015, SUTTER HEALTH'S COMMITMENT TO DELIVERING CHARITY CARE TO PATIENTS WAS $52 MILLION. - THROUGHOUT OUR HEALTH CARE SYSTEM, WE PARTNER WITH AND SUPPORT COMMUNITY HEALTH CENTERS TO ENSURE THAT THOSE IN NEED HAVE ACCESS TO PRIMARY AND SPECIALTY CARE. WE ALSO SUPPORT CHILDREN'S HEALTH CENTERS, FOOD BANKS, YOUTH EDUCATION, JOB TRAINING PROGRAMS AND SERVICES THAT PROVIDE COUNSELING TO DOMESTIC VIOLENCE VICTIMS. EVERY THREE YEARS, SUTTER HEALTH HOSPITALS PARTICIPATE IN A COMPREHENSIVE AND COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IDENTIFIES LOCAL HEALTH CARE PRIORITIES AND GUIDES OUR COMMUNITY BENEFIT STRATEGIES. THE ASSESSMENTS HELP ENSURE THAT WE INVEST OUR COMMUNITY BENEFIT DOLLARS IN A WAY THAT TARGETS AND ADDRESSES REAL COMMUNITY NEEDS.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA

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 (15 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
JOHN GATES
CFO BAY AREA	$0	$267,226	$0	$86,115	$0	$26,588	$0	$156,559	$0	$8,478	$0	$544,966	$0	$25,360
JEFF GERARD
PRESIDENT BAY AREA	$0	$349,367	$0	$158,333	$0	$49,157	$0	$323,537	$0	$8,676	$0	$889,070	$0	$47,442
KAREN HALL
REGIONAL CNSL, EAST BAY/SEC.	$0	$177,851	$0	$58,909	$0	$10,847	$0	$108,573	$0	$7,405	$0	$363,585	$0	$10,589
SARAH KREVANS
PRESIDENT & CEO, SH	$0	$636,793	$0	$269,704	$0	$79,314	$0	$1,126,888	$0	$11,204	$0	$2,123,903	$0	$72,062
BRYAN DAYLOR
COO	$0	$107,487	$0	$31,451	$0	$8,567	$0	$49,533	$0	$6,961	$0	$203,999	$0	$5,719
TERRY GLUBKA
ADMINISTRATIVE CEO	$0	$171,737	$0	$66,387	$0	$19,109	$0	$120,828	$0	$7,639	$0	$385,700	$0	$16,807
JULIE PETERSON
CFO	$0	$103,511	$0	$29,250	$0	$4,411	$0	$46,808	$0	$5,223	$0	$189,203	$0	$4,230
SIDNEY WANETICK
VP MEDICAL AFFAIRS	$0	$148,776	$0	$43,260	$0	$11,071	$0	$58,884	$0	$3,188	$0	$265,179	$0	$10,235
JEFFREY SILVERS
MEDICAL DIRECTOR OF QUALITY	$0	$134,776	$0	$0	$0	$0	$0	$6,490	$0	$11,159	$0	$152,425	$0	$0
ED BERDICK
SVP SH SHARED SCVS (FMR OFCR)	$0	$335,577	$0	$209,912	$0	$63,984	$0	$313,297	$0	$9,474	$0	$932,244	$0	$0
GREGORY BROWN
VP & REG COUNSEL EB (FRMR OFC)	$0	$139,354	$0	$47,775	$0	$2,642	$0	$90,139	$0	$6,970	$0	$286,880	$0	$0
ROSE CORCORAN RN
CNE, SCH (FORMER KEY EMPLOYEE)	$0	$87,077	$0	$25,375	$0	$6,514	$0	$39,969	$0	$8,350	$0	$167,285	$0	$4,583
CHERYL HARLESS
CNE (FORMER KEY EMPLOYEE)	$0	$67,204	$0	$30,385	$0	$4,969	$0	$8,785	$0	$5,060	$0	$116,403	$0	$0
BRIAN HUNTER
SH VP, REV CYCLE (FMR OFFICER)	$0	$33,073	$0	$45,108	$0	$208,986	$0	$31,445	$0	$6,891	$0	$325,503	$0	$0
CATHERINE MESSMAN
ADMIN DIR FINANCE (FRMR KEY)	$0	$113,927	$0	$30,269	$0	$14,515	$0	$19,365	$0	$5,300	$0	$183,376	$0	$9,463

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	RELEVANT INFORMATION REGARDING COMPENSATION ITEMS: 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 THE 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 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. 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 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 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 HEALTH'S QUALIFIED PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) NON-QUALIFIED PAYMENTS DURING THE YEAR: ED BERDICK - $55,933 BRIAN HUNTER - $41,434
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. 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 PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTH'S OVERALL MISSION, VISION, AND VALUES, SUTTER'S LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED 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 6/1/16. FULL 2016 COMPENSATION WILL BE REPORTED ON SUTTER BAY HOSPITAL'S 12/31/16 FORM 990.

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	TRANSFER OF NET ASSETS DUE TO MERGER	AssetsDistriOrExpnssPaidDesc
Distribution	2016-06-01	DistributionDt
Fair Market Value Of Asset	$68,906,454	FairMarketValueOfAssetAmt
Method Of FMV Determination	BOOK VALUE	MethodOfFMVDeterminationTxt
EIN	940562680	EIN
Person	SUTTER BAY HOSPITALS	PersonNm

US Address USAddress

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

Field	Value	IRS element (for citing)
IRC Section	501(C)(3)	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor	Yes (true)	DirectorOfSuccessorInd
Employee Of Successor	Yes (true)	EmployeeOfSuccessorInd
Owner Of Successor	false	OwnerOfSuccessorInd
Receive Compensation	false	ReceiveCompensationInd
Assets Distributed	Yes (true)	AssetsDistributedInd
Required To Notify AG	Yes (true)	RequiredToNotifyAGInd
Attorney General Notified	Yes (true)	AttorneyGeneralNotifiedInd
Liabilities Paid	Yes (true)	LiabilitiesPaidInd
Bonds Outstanding	Yes (true)	BondsOutstandingInd
Bond Liabilities Discharged	false	BondLiabilitiesDischargedInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE N, PART I	EFFECTIVE JUNE 1, 2016 SUTTER MEDICAL CENTER CASTRO VALLEY (SMCCV) MERGED INTO SUTTER BAY HOSPITALS (SBH), A RELATED CALIFORNIA NONPROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3). SBH IS THE SURVIVING ENTITY.
SCHEDULE N, PART I, LINES 2A AND 2B	CERTAIN OFFICERS AND ALL KEY EMPLOYEES OF SMCCV IN 2016 WERE ALSO EMPLOYEES OF SUTTER HEALTH BEFORE THE MERGER. ALL KEY EMPLOYEES WILL CONTINUE TO SERVE IN THE SAME ROLES AT EDEN MEDICAL CENTER 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND 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, EXCELLENCE AND RESPECT FOR EVERY PERSON. FORM 990, PART III, LINE 3 PROGRAM SERVICES THAT THE ORGANIZATION CEASED CONDUCTING SUTTER MEDICAL CENTER, CASTRO VALLEY (SMCCV) MERGED WITH AFFILIATED SUTTER BAY HOSPITALS (SBH) AS OF 06/01/2016.
FORM 990, PART III, LINE 4A	EXEMPT PURPOSE ACHIEVEMENTS: SUTTER MEDICAL CENTER, CASTRO VALLEY IS A STATE-OF-THE-ART FACILITY THAT REPLACED THE OLD EDEN MEDICAL CENTER IN DECEMBER 2012. SUTTER MEDICAL CENTER, CASTRO VALLEY BRINGS TOGETHER PATIENT-CENTERED CARE, TECHNOLOGY AND SOPHISTICATED DESIGN IN A LEED-CERTIFIED SUSTAINABLE AND SEISMICALLY-SAFE BUILDING. ON JUNE 1, 2016, SUTTER MEDICAL CENTER, CASTRO VALLEY WAS MERGED INTO SUTTER BAY HOSPITALS, A RELATED 501(C)(3) ORGANIZATION. THE FACILITY NOW OPERATES AS SUTTER BAY HOSPITALS DBA EDEN MEDICAL CENTER. THE FACILITY HAS 130 PRIVATE PATIENT ROOMS, WITH AN ADDITIONAL 34-BED UNIVERSAL CARE UNIT AND IS HOME TO THE SUTTER EAST BAY NEUROSCIENCE INSTITUTE, A PRIMARY STROKE CENTER, THE REGIONAL LEVEL II TRAUMA CENTER FOR SOUTHERN ALAMEDA COUNTY, AND A WIDE RANGE OF CENTERS OF EXCELLENCE INCLUDING CANCER CARE, ADVANCED IMAGING SERVICES, REHABILITATION AND COMPLETE SURGICAL AND ACUTE-CARE SERVICES. OUR AWARD-WINNING HOSPITAL WAS RECENTLY NAMED A TOP PERFORMER IN KEY QUALITY MEASURES BY THE JOINT COMMISSION, A DIAGNOSTIC IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, RECEIVED HOSPITAL SAFETY SCORE A RATING BY THE LEAPFROG GROUP, RECEIVED THE GOLD AWARD FOR ORGAN DONOR REGISTRATION EFFORTS BY THE US DEPARTMENT OF HEALTH & HUMAN SERVICES, AND GET WITH THE GUIDELINES STROKE GOLD, GOLD PLUS ELITE, ELITE PLUS TARGET AWARDS BY THE AMERICAN STROKE ASSOCIATION. EDEN WAS RECOGNIZED AS A TOP 20 HOSPITAL IN BAY AREA FOR PATIENT SATISFACTION BY THE US DEPARTMENT OF HEALTH AND A HIGH PERFORMING HOSPITAL BY THE US NEWS & WORLD REPORT. EDEN ALSO WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICAS 100 BEST HOSPITALS, DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE, PATIENT SAFETY EXCELLENCE AWARD, WOMENS HEALTH EXCELLENCE AWARD, STROKE CARE EXCELLENCE AWARD, CRITICAL CARE EXCELLENCE AWARD, NEUROSCIENCE EXCELLENCE AWARD AND PULMONARY CARE EXCELLENCE AWARD. IN ADDITION, EDEN WAS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IN THE AREA OF EDUCATION FOR OUR DIABETES SELF-MANAGEMENT PROGRAM. SUTTER MEDICAL CENTER, CASTRO VALLEY IS PART OF THE SUTTER HEALTH NETWORK OF CARE, A FAMILY OF DOCTORS, NOT-FOR-PROFIT HOSPITALS AND OTHER HEALTH CARE SERVICE PROVIDERS THAT JOIN RESOURCES AND SHARE EXPERTISE TO ADVANCE HEALTH CARE QUALITY AND ACCESS FOR PATIENTS IN MORE THAN 100 NORTHERN CALIFORNIA CITIES AND TOWNS. SUTTER MEDICAL CENTER, CASTRO VALLEY SERVED 16,807 PATIENT DAYS THROUGH JUNE 1, 2016.
FORM 990, PART V, LINES 1A AND 2A	AT THE BEGINNING OF 2016, IN PREPARATION FOR THE MERGER, ALL SMCCV EMPLOYEES WERE TRANSFERRED TO AND PAID BY SUTTER BAY HOSPITALS, A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, LINE 1A THE AFFAIRS AND MANAGEMENT OF SUTTER MEDICAL CENTER CASTRO VALLEY (SMCCV) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SMCCV DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF AT LEAST FIVE (5) BOARD MEMBERS INCLUDING THE CORPORATION'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 CORPORATION. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR.
FORM 990, PART VI, LINE 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	DESCRIPTION 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, 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 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 6/1/16. FULL 2016 COMPENSATION WILL BE REPORTED ON SUTTER BAY HOSPITAL'S 12/31/16 FORM 990.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN FUND BALANCE: EQUITY TRANSFERS (NET) (30,586,837) HEALTHCARE INVESTMENT (112,619) TRANSFER TO SUTTER BAY HOSPITALS FOR MERGER (68,906,454) ----------- TOTAL (99,605,910) ===========

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 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 WBH	Yes (true)
EAST BAY PERINATAL CENTER
3012 SUMMIT STREET 3RD FLOOR	OAKLAND	CA	94609	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)	9	SUTTER HLTH	Yes (true)
MEMORIAL HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942290244	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER CVH	Yes (true)
MILLS-PENINSULA HEALTH SERVICES
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	941156265	HOSPITAL	CA	501(C)(3)	3	PAMF	Yes (true)
MILLS-PENINSULA HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	237288765	FUNDRAISING	CA	501(C)(3)	7	MPHS	Yes (true)
PALO ALTO MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	941156581	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	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 SSR	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 SSR	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)	11B - II	SUTTER HLTH	Yes (true)
SUTTER GOULD MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	941682256	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER HEALTH
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942788907	SUPPORTING OR	CA	501(C)(3)	11c 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 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 INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 1100	HONOLULU	HI	96813	990289310	INSURANCE SER	HI	501(C)(3)	11C 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 SSR	Yes (true)
SUTTER VALLEY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	680273974	HEALTHCARE	CA	501(C)(3)	11b - II	SUTTER HLTH	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 SSR	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 SSR	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)	9	SUTTER HLTH	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 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)	11a - I	SUTTER CVH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MAGNETIC IMAGING AF
PATIENT CARE	CA	NA
SURG CTR OF ABSMC
OUTPATIENT SURG	CA	NA
ALTA CT SERVICES LP
PATIENT CARE	CA	NA
CALIFORNIA PACIFIC ADV IMAGING LLC
MRI JOINT VENTURE	CA	NA
SAN FRANCISCO ENDOSCOPY CENTER LLC
ENDOSCOPY JV	CA	NA
PRESIDIO SURGERY CENTER LLC
AMBULATORY SURG	CA	NA
SUTTER FAIRFIELD SURGERY CTR
SURGERY	CA	NA
TWIN CITIES SURGICAL HOSPITAL LLC
SURGERY	CA	NA
SUTTER AMADOR SURGERY CENTER LLC
SURGERY	CA	NA
ROSEVILLE ENDOSCOPY CENTER LLC
ENDOSCOPY JV	CA	NA
MEMORIAL MEDICAL OFFICE BLDG 1
OFFICE RENTAL	CA	NA
MEMORIAL MEDICAL OFFICE BLDG 2
OFFICE RENTAL	CA	NA
DRZ EMERGING MRKETS
INVESTMENTS	FL	NA
ASC OPTRS-SLO LLC
PATIENT CARE	CA	NA
MGNTC IMGNG AF LLC
PATIENT CARE	CA	NA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	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	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SUTTER EAST BAY HOSPITALS
P	$8,631,984	FMV
SUTTER INSURANCE SERVICES CORPORATION
P	$811,515	FMV
SUTTER EAST BAY MEDICAL FOUNDATION
P	$393,119	FMV
SUTTER EAST BAY MEDICAL FOUNDATION
C	$369,073	FMV
BETTER HEALTH EAST BAY FOUNDATION
Q	$248,143	FMV
BETTER HEALTH EAST BAY FOUNDATION
R	$120,929	FMV
SUTTER BAY HOSPITALS
P	$98,922	FMV