2017-07-11T13:27:49-05:00 2016-08-01 ERNST & YOUNG US LLP 560 MISSION ST STE 1600 SAN FRANCISCO CA 94105 990 2016-01-01 941156265 MILLS-PENINSULA HEALTH SERVICES % CARLA WHITE-SNYDER MILL 9162866665 C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 JOHN GATES CFO 2017-07-05 true EVA NITTA P01286320 4158948000 2015 2021-01-29 14:40:06Z X JEFF GERARD C/O SH TAX 2200 RIVER PLAZA DRIVE BURLINGAME CA 94010 369631338 false X WWW.SUTTERHEALTH.ORG X 1921 CA SEE SCHEDULE O X 25 23 0 700 0 0 4197213 652565 646611094 365244704 294564 163518 7984340 3378668 659087211 369439455 2634514 1119750 0 0 271911466 164861537 0 0 0 334492887 193164165 609038867 359145452 50048344 10294003 771804015 0 585451559 0 186352456 0 X SEE SCHEDULE O false true 333975090 1119750 365244704 SEE SCHEDULE O 333975090 true true false false false false false false false true false false false false false true false true false false false false false false false false true true true false true false false false false false false false false false false true false false true true true false false true X 0 0 0 false false false false false false false false false false X 25 23 false false false false true true true true true false false false true true true true true true true true true CA X CARLA WHITE-SNYDER 9162979847 9100 FOOTHILLS BLVD ROSEVILLE CA 95747 X CHRISTOPHER BECNEL TRUSTEE 1.0 0.0 X 0 0 0 DIANA BELL TRUSTEE 1.0 0.0 X 0 0 0 DAVID BLACK MD TRUSTEE 1.0 0.0 X 0 0 0 WILLIAM BRUNETTI TRUSTEE 1.0 0.0 X 0 0 0 EILEEN CONSORTI MD TRUSTEE 1.0 0.0 X 0 0 0 THEODORE DEIKEL TRUSTEE 1.0 0.0 X 0 0 0 EMIL ROY EISENHARDT TRUSTEE 1.0 0.0 X 0 0 0 ERIC FLOWERS TRUSTEE 1.0 0.0 X 0 0 0 OWEN GARRICK MD TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL GAULKE TRUSTEE 1.0 7.0 X 0 16042 0 JEFF GERARD PRESIDENT BAY AREA 1.0 40.0 X X 0 779600 465098 VINITA GUPTA TRUSTEE 1.0 0.0 X 0 0 0 RICHARD CARY HILL MD TRUSTEE 1.0 0.0 X 0 0 0 KATHERINE HSIAO MD TRUSTEE 1.0 0.0 X 0 0 0 STEVEN KATZNELSON MD TRUSTEE 1.0 0.0 X 0 0 0 SARAH KREVANS PRESIDENT & CEO, SH 1.0 40.0 X X 0 1380136 1593328 JOSEPH LACY MD TRUSTEE 1.0 0.0 X 0 0 0 RICHARD LEVY PHD TRUSTEE, CHAIR FIN & PLAN 1.0 0.0 X X 0 0 0 TIMOTHY MURPHY MD TRUSTEE 1.0 0.0 X 0 0 0 DENNIS O'CONNELL TRUSTEE 1.0 0.0 X 0 0 0 STEVEN OLIVER TRUSTEE 1.0 0.0 X 0 0 0 JOHN RYAN TRUSTEE 1.0 0.0 X 0 0 0 RON SINHA MD TRUSTEE 1.0 0.0 X 0 0 0 MARGARET TAYLOR TRUSTEE 1.0 0.0 X 0 0 0 ANTHONY WAGNER TRUSTEE, CHAIR 1.0 0.0 X X 0 0 0 JOHN GATES CFO BAY AREA 1.0 40.0 X 0 531901 231052 KAREN HALL CHIEF LEGAL OFF. BAY AREA/SEC. 1.0 40.0 X 0 346649 162370 SHASTA ADDESSI VP CLINICAL SERVICES 40.0 0.0 X 0 139498 18169 DOLORES GOMEZ COO, MPHS 40.0 0.0 X 0 295790 61162 RANJIT HUNDAL MD CME, MPHS 40.0 0.0 X 0 298146 112942 CATHERINE MESSMAN CFO MPHS, SMSCSC 40.0 0.0 X 0 222195 34530 JANET WAGNER CEO, MPHS 40.0 0.0 X 0 365274 209049 DANIEL BECKER MEDICAL DIRECTOR, MPHS 40.0 0.0 X 0 241291 22210 TRACEY GAJDACS STAFF NURSE II 40.0 0.0 X 0 219670 15035 GAIUS JARUDO STAFF NURSE II 40.0 0.0 X 0 206231 15510 YONIS A MUDEY STAFF NURSE 40.0 0.0 X 0 194466 17443 ELIZABETH G WEBER VP, PATIENT EXPERIENCE 40.0 0.0 X 0 196634 20157 ROBERT MERWIN CEO ACUTE CARE HSPS (FMR OFCR) 0.0 0.0 X 0 136920 0 CARRIE OWEN-PLIETZ CEO SHSSR (FRMR KEY EMPLOYEE) 0.0 40.0 X 0 219592 50280 0 5790035 3028335 0 true true false RIGHTSOURCING INC PO BOX 515743 LOS ANGELES CA 900515118 STAFFING SERVICES 7753404 MILLS PENINSULA MEDICAL GROUP INC 577 AIRPORT BLVD STE 300 BURLINGAME CA 94010 MEDICAL SERVICES 2441014 FASTAFF INC PO BOX 11407 BIRMINGHAM AL 35246 STAFFING SERVICES 2112478 ANESTHESIA CARE ASSOCIATES 643 BAIR ISLAND RD STE 105 REDWOOD CITY CA 94063 MEDICAL SERVICES 1598317 PANKOW SPECIAL PROJECTS LP 1111 BROADWAY STE 200 OAKLAND CA 94607 CONSTRUCTION SVCS 1556232 64 375600 241965 35000 652565 PATIENT SERVICE REVENUE 622110 361804200 361804200 RENTAL TO AFFILIATES 531120 2918120 2918120 PENINSULA ENDOSCOPY CENTER LLC 900099 522384 522384 365244704 97281 97281 0 0 2142232 191883 1950349 0 1950349 1950349 66237 66237 66237 66237 0 0 0 FOOD SERVICES 722310 953596 953596 AUXILIARY ACTIVITY 900099 413854 413854 PARKING REVENUES 812930 60869 60869 1428319 369439455 365244704 3542186 X 1119750 1119750 0 0 0 1756755 1756755 0 100337374 95378113 4959261 6540404 6110159 430245 47938383 44784872 3153511 8288621 7743374 545247 772230 7401 764829 141704 6413 135291 259 259 0 0 74720 74720 19210009 18341517 868492 2005 2005 5255908 4891680 364228 5718126 4012859 1705267 0 7476130 7362890 113240 111387 89110 22277 0 17345 16989 356 8788070 8788070 0 30825087 30316451 508636 2365744 1931049 434695 MEDICAL SUPPLIES 37728199 37728199 0 0 SYSTEM ALLOCATION FEES 37017475 30341503 6675972 0 PURCHASED SERVICES 13970497 12225308 1745189 0 HOSPITAL FEES 10184614 10184614 0 0 13504656 12592764 911892 359145452 333975090 25170362 0 0 0 20107950 0 0 0 72419397 0 0 0 0 0 0 0 10614549 0 3262369 0 637421456 -496957 0 0 0 7036209 0 0 0 21439042 0 771804015 0 77080040 0 0 0 0 0 505610069 0 0 0 0 0 0 0 0 0 2761450 0 585451559 0 X 185881694 0 470762 0 0 0 186352456 0 771804015 0 X 10294003 148205 687 -196795351 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9002263 293248 -465325 90288 8739898 8592203 471783 61723 9002263 7581253 1043730 32780 8592203 6698130 222000 724667 63544 7581253 0.75840 0.24160 false false 0 0 X SCHEDULE D, PART V, LINE 4 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ENDOWMENTS ARE USED TO SUPPORT THE PROGRAMS OF MILLS-PENINSULA HEALTH SERVICES. UPON MERGER WITH SUTTER BAY HOSPITALS, ENDOWMENT FUNDS WERE TRANSFERRED TO SUTTER BAY HOSPITALS AND REMAIN INTACT. SCHEDULE D, PART X, LINE 2 ASC 740 (FIN 48) FOOTNOTE FROM AUDIT: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX 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. true true X true X 400. true true false true true 1772017 1772017 0.00490 45789541 29272372 16517168 0.04600 278050 78507 199543 0.00060 47839608 29350879 18488728 0.05150 12 3678 359853 1411 358442 0.00100 2 1019 973624 973624 0.00270 4 4426 5452914 3221339 2231575 0.00620 18 8192 1624579 1017 1623563 0.00450 36 17315 8410970 3223767 5187204 0.01440 36 17315 56250578 32574646 23675932 0.06590 1 329 329 1 329 329 false 3860984 59981485 82422135 -22440650 X true true 3 1 MILLS-PENINSULA MEDICAL CENTER 1501 TROUSDALE DRIVE BURLINGAME CA 940104506 www.mills-peninsula.org LICENSE #220000037 X X X A 2 MENLO PARK SURGICAL HOSPITAL 570 WILLOW ROAD MENLO PARK CA 940252617 www.pamf.org/MPSH LICENSE #220000276 X X OUTPATIENT SERVICES A 3 SUTTER MATERNITY & SURGERY SANTA CRUZ 2900 CHANTICLEER AVE SANTA CRUZ CA 950651816 www.suttersantacruz.org LICENSE #070000399 X X OUTPATIENT SERVICES A A 13 false false true X X X X X X X X X 13 true true false true X SEE PART V, SECTION C X SEE PART V, SECTION C true 13 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE SECTION C X X X X X X true X false X X X X true X X false false SCHEDULE H, PART V, SECTION B, LINE 5 MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL (A, 1-2): IN CONDUCTING ITS MOST RECENT CHNA IN 2013, MILLS-PENINSULA MEDICAL CENTER AND MENLO PARK SURGICAL HOSPITAL DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE HEALTHY COMMUNITY COLLABORATIVE CONVENED A FOCUS GROUP OF 20 LOCAL COMMUNITY LEADERS AND KEY STAKEHOLDERS ON JANUARY 30, 2013. THE PURPOSE OF THIS CONVENING WAS TO ELICIT FEEDBACK AND PRIORITIZATION ON KEY FINDINGS FROM THE CHNA THROUGH A FOCUS GROUP METHOD. THE PARTICIPANTS WERE GIVEN A PRESENTATION ON THE MAJOR HEALTH CONDITIONS IDENTIFIED IN THE 2013 SAN MATEO COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE GROUP PROVIDED REACTIONS TO THESE FINDINGS, AND RATED THE 12 TOP HEALTH NEEDS IN THE COUNTY ACROSS FOUR DIMENSIONS. FOCUS GROUP PARTICIPANTS INCLUDED THE FOLLOWING PEOPLE: - REV. DR. LYNN BOWDISH, PASTOR, COMMUNITY ACTIVIST OF HOLY CHILD-ST. MARTIN EPISCOPAL CHURCH - PAT BROWN, EXECUTIVE DIRECTOR OF REDWOOD CITY 2020 - ERIN CLARK, INTERN FOR PENINSULA HEALTH CARE DISTRICT - KRISTEN DAMBROWSKI, ASSOCIATE EXECUTIVE DIRECTOR OF PENINSULA FAMILY YMCA - CHERYL FAMA, CEO OF PENINSULA HEALTH CARE DISTRICT - KIMBERLY GILLETTE, DIRECTOR OF DALY CITY YOUTH HEALTH CENTER - CAROLE GROOM, SUPERVISOR FOR SAN MATEO COUNTY BOARD OF SUPERVISORS - SAM HERZBERG, SENIOR PLANNER FOR SAN MATEO COUNTY PARKS AND RECREATION - LORI KANDALS, EXECUTIVE DIRECTOR OF CAMINAR - BARBARA LIEDTKE, SOUTH CITY HOME SHARE COORDINATOR FOR HUMAN INVESTMENT PROJECT HOUSING - DAISY LIU, HEALTH EDUCATOR FOR HEALTH PLAN OF SAN MATEO - LEE MICHELSON, CEO OF SEQUOIA HEALTHCARE DISTRICT - SARA LARIOS MITCHELL, CEO OF STAR-VISTA - RON MYERS, SAN MATEO COUNTY FIRE CHIEF - SHARON PETERSON, DIRECTOR OF OPERATIONS FOR SAMARITAN HOUSE - EMILY ROBERTS, CHILD HEALTH & DEVELOPMENT SPECIALIST FOR FIRST 5 SAN MATEO COUNTY - FONCET TAUAALO, INTERN FOR SAN MATEO COUNTY HUMAN SERVICE AGENCY - RITA TIMES, ADVISORY BOARD MEMBER FOR AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY - DEBORAH TORRES, DIRECTOR OF SAN MATEO COUNTY HUMAN SERVICE AGENCY - ART WOLF, SR. DEVELOPMENT OFFICER FOR PENINSULA JEWISH COMMUNITY CENTER. THE CHNA ALSO UTILIZED A NUMBER OF HEALTH AND WELL BEING INDICATORS COLLECTED FROM BOTH PRIMARY AND SECONDARY DATA. INPUT FROM THE COMMUNITY SERVED, OR PRIMARY DATA, WERE COLLECTED THROUGH A TELEPHONE SURVEY OF ADULTS (THE 2013 HEALTH & QUALITY OF LIFE SURVEY), AND INCLUDED BOTH HEALTH AND WELL BEING INDICATORS. HEALTH INDICATORS INCLUDED RISK BEHAVIORS SUCH AS SMOKING, PHYSICAL INACTIVITY, HIGH BLOOD PRESSURE, OVERWEIGHT PREVALENCE, AND PREVENTION SERVICES SUCH AS CANCER SCREENINGS AND ACCESS TO MEDICAL AND DENTAL CARE. THE SURVEY UTILIZED MANY QUESTIONS FROM THE CENTER FOR DISEASE CONTROL AND PREVENTIONS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. THE SURVEY ALSO COLLECTED QUALITY OF LIFE INDICATORS SUCH AS HOUSING, SOCIAL CAPITAL, CHILDCARE, TRANSPORTATION, AND EDUCATION. MANY OF THE SURVEY QUESTIONS WERE ADMINISTERED IN EARLIER ASSESSMENTS CONDUCTED FOR THE SERVICE AREA, AND THIS ALLOWED FOR TRENDING OVER TIME. THE SURVEY WAS CONDUCTED AMONG A RANDOM SAMPLE OF 1,000 ADULTS RESIDING IN THE SERVICE AREA OF SAN MATEO COUNTY. AN OVERSAMPLING OF AFRICAN AMERICAN, LOW INCOME (THOSE BELOW 400% OF FEDERAL POVERTY LEVEL (FPL), AND RESIDENTS LIVING IN COASTSIDE ZIP CODES WAS CONDUCTED TO ALLOW FOR ANALYSIS OF THESE POPULATIONS. IN TOTAL, 1,724 INTERVIEWS WERE CONDUCTED. THE FINDINGS IN MILLS-PENINSULA MEDICAL CENTERS CHNA ARE AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER MATERNITY & SURGERY SANTA CRUZ (A, 3): SMSC, A FACILITY OF MPHS, PARTICIPATED IN A COLLABORATIVE EFFORT TO CONDUCT A COUNTYWIDE COMMUNITY ASSESSMENT. THIS COMMUNITY ASSESSMENT PROJECT (CAP) WAS LED BY APPLIED SURVEY RESEARCH (ASR), UNITED WAY OF SANTA CRUZ COUNTY, AND DOMINICAN HOSPITAL, AND WAS SPONSORED BY A NUMBER OF COMMUNITY STAKEHOLDERS INCLUDING SMSC. THE SANTA CRUZ COUNTY CAP IS CONDUCTED EVERY TWO YEARS AND WAS MOST RECENTLY CONDUCTED IN 2012. THE ASSESSMENT INCLUDES A TEN-STEP COMMUNITY IMPROVEMENT CYCLE, WITH STEPS INCLUDING DATA COLLECTION, COMMUNITY GOAL SETTING, AND ACTION STEPS. THE CAP INCLUDES PRIMARY DATA FROM A REPRESENTATIVE PHONE SURVEY OF SANTA CRUZ COUNTY RESIDENTS AND A VARIETY OF SECONDARY DATA, SYNTHESIZED IN A COMPREHENSIVE REPORT EVALUATING SIX AREAS-- ECONOMY, EDUCATION, HEALTH, PUBLIC SAFETY, THE SOCIAL ENVIRONMENT, AND THE NATURAL ENVIRONMENT. THE 2012 CAP STEERING COMMITTEE ACTIVELY PARTICIPATED IN THE ASSESSMENT PROCESS AND CONSISTED OF INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING NONPROFIT HOSPITALS, COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY AND HUMAN SERVICES DEPARTMENTS, A NONPROFIT HEALTHCARE COALITION, NONPROFIT HEALTHCARE AND COMMUNITY FOUNDATIONS, COMMUNITY CLINICS, COMMUNITY-BASED ORGANIZATIONS, INDIVIDUALS IN LAW ENFORCEMENT AND EDUCATION, AND OTHER COMMUNITY STAKEHOLDERS. INTERVIEWS WERE HELD WITH THE FOLLOWING PEOPLE: - CALEB BASKIN OF BASKIN & GRANT WITH EXPERTISE IN LAW - DONNA BLITZER OF THE UNIVERSITY OF CALIFORNIA, SANTA CRUZ WITH EXPERTISE IN EDUCATION - SUSAN BRUTSCHY OF APPLIED SURVEY RESEARCH WITH EXPERTISE IN HEALTH RESEARCH - LESLIE CONNER OF SANTA CRUZ WOMEN'S HEALTH CENTER WITH EXPERTISE IN WOMAN'S HEALTH - CHRISTINA CUEVAS OF COMMUNITY FOUNDATION OF SANTA CRUZ COUNTY WITH EXPERTISE IN PHILANTHROPY - KAREN DELANEY OF VOLUNTEER CENTER OF SANTA CRUZ WITH EXPERTISE IN YOUTH, FAMILIES, ELDERLY, AND DISABLED PERSONS. - WILLY ELLIOT-MCCREA OF SECOND HARVEST FOOD BANK WITH EXPERTISE IN FOOD ACCESS - PEGGY FLYNN OF ETR ASSOCIATES WITH EXPERTISE IN EDUCATION, TRAINING & RESEARCH IN HEALTH & WELLNESS - WILL FOREST OF THE COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY WITH EXPERTISE IN EPIDEMIOLOGY - MARY LOU GOEKE OF UNITED WAY OF SANTA CRUZ COUNTY WITH EXPERTISE IN SERVICES FOR CHILDREN AND FAMILIES - DAN HAIFLEY OF O'NEILL SEA ODYSSEY WITH EXPERTISE IN ENVIRONMENTAL ISSUES - CHRISTINE JOHNSON-LYONS OF COMMUNITY ACTION BOARD WITH EXPERTISE IN LOW-INCOME POPULATIONS - SHEBREH KALANTARI-JOHNSON OF FIRST 5 SANTA CRUZ COUNTY WITH EXPERTISE IN YOUTH - BOB KENNEDY OF COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY WITH EXPERTISE IN ENVIRONMENTAL HEALTH AND PUBLIC HEALTH - RAMA KHALSA, COMMUNITY VOLUNTEER WITH EXPERTISE IN COMMUNITY HEALTH - KIRSTEN LISKE OF ECOLOGY ACTION WITH EXPERTISE IN ENVIRONMENTAL ISSUES - ELEANOR LITTMAN OF HEALTH IMPROVEMENT PARTNERSHIP SANTA CRUZ COUNTY WITH EXPERTISE IN HEALTHCARE ACCESS - ELLEN MURTHA OF SANTA CRUZ COMMUNITY VENTURES WITH EXPERTISE IN SOCIAL & ECONOMIC JUSTICE - MADELINE NOYA OF COUNTY OF SANTA CRUZ HUMAN SERVICES DEPARTMENT WITH EXPERTISE IN SOCIAL SERVICES - PAUL O'BRIEN, COMMUNITY VOLUNTEER WITH EXPERTISE IN HOMELESSNESS - MARTINA O'SULLIVAN OF DOMINICAN HOSPITAL WITH EXPERTISE IN COMMUNITY ENGAGEMENT - DOUG PATRICK, COMMUNITY VOLUNTEER WITH EXPERTISE IN DISABLED PERSONS - ROCK PFOTENHAUER OF CABRILLO COLLEGE WITH EXPERTISE IN EDUCATION - RAQUEL RAMIREZ RUIZ OF PAJARO VALLEY COMMUNITY HEALTH TRUST WITH EXPERTISE IN PUBLIC HEALTH AND HEALTHCARE ACCESS - JANET REED, COMMUNITY VOLUNTEER WITH EXPERTISE IN SOCIAL WORK AND YOUTH - JULIE REINHARDT OF IMAGINE SUPPORTED LIVING SERVICES WITH EXPERTISE IN ADULTS WITH DEVELOPMENTAL DISABILITIES - SUSAN ROZARIO OF COUNTY OF SANTA CRUZ SHERRIFF'S OFFICE WITH EXPERTISE IN LAW ENFORCEMENT - LAURA SEGURA OF WOMEN'S CRISIS SUPPORT/DEFENSA DE MUJERES WITH EXPERTISE IN DOMESTIC VIOLENCE AND SEXUAL ASSAULT - ABIGAIL STEVENS OF APPLIED SURVEY RESEARCH WITH EXPERTISE IN HEALTH RESEARCH - BRIAN SPECTOR OF WALDE RUHNKE AND DOST ARCHITECTS, LLP WITH EXPERTISE IN ARCHITECTURE (INCLUDING AFFORDABLE HOUSING, HEALTHCARE, EDUCATION) - SAM STOREY OF COMMUNITY BRIDGES WITH EXPERTISE IN YOUTH, FAMILIES, AND SENIORS - SUSAN TRUE OF FIRST 5 SANTA CRUZ COUNTY WITH EXPERTISE IN YOUTH - MICHAEL WATKINS OF SANTA CRUZ COUNTY OFFICE OF EDUCATION WITH EXPERTISE IN EDUCATION SCHEDULE H, PART V, SECTION B, LINE 6A MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL (A, 1-2): THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY WAS FORMED IN 1995 AND IS COMPRISED OF 14 MEMBER ORGANIZATIONS. THE COLLABORATIVE IS A SUBCOMMITTEE OF THE SAN MATEO COUNTY HOSPITAL CONSORTIUM. MEMBERS INCLUDE NONPROFIT HOSPITALS, A MEDICAL FOUNDATION, SAN MATEO COUNTY HEALTH DEPARTMENT AND HUMAN SERVICES AGENCY, A NONPROFIT HEALTHCARE PLAN, COMMUNITY CLINICS, TWO HEALTHCARE DISTRICTS, AND A COMMUNITY FOUNDATION. THE MISSION OF THE COLLABORATIVE IS TO PROMOTE THE HEALTH AND WELL BEING OF RESIDENTS LIVING IN SAN MATEO COUNTY BY IDENTIFYING AND ADDRESSING HEALTH NEEDS. THE HOSPITALS THAT COLLABORATED ON THE 2013 CHNA ARE MILLS-PENINSULA MEDICAL CENTER, SEQUOIA HOSPITAL, KAISER PERMANENTE SAN MATEO, LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD, SAN MATEO MEDICAL CENTER, SETON MEDICAL CENTER AND STANFORD HOSPITAL & CLINICS. SUTTER MATERNITY & SURGERY SANTA CRUZ (A, 3): SUTTER MATERNITY & SURGERY CENTER AND DOMINICAN HOSPITAL WERE TWO HOSPITALS THAT COLLABORATED ON THE COMMUNITY ASSESSMENT PROJECT. SCHEDULE H, PART V, SECTION B, LINES 7A AND 10A REPORTING FACILITY WEBSITES: MILLS PENINSULA MEDICAL CENTER (A, 1) HTTP://WWW.MILLS-PENINSULA.ORG/COMMUNITY/NEEDS-ASSESSMENT.HTML MENLO PARK SURGICAL HOSPITAL (A, 2) HTTP://WWW.PAMF.ORG/MPSH/COMMUNITY/ SUTTER MATERNITY & SURGERY SANTA CRUZ (A, 3) HTTP://WWW.SUTTERSANTACRUZ.ORG/COMMUNITY/ASSESSMENT.HTML SCHEDULE H, PART V, SECTION B, LINE 7B (A, 1-3) HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, SECTION B, LINE 11 MILLS-PENINSULA HEALTH SERVICES (A, 1) THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MILLS-PENINSULA MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO HEALTH CARE - UNINSURED AND UNDERINSURED COMMUNITY MEMBERS HAVE DIFFICULTY ACCESSING AND ENCOUNTER LONG WAITS FOR NEEDED HEALTH CARE FROM COMMUNITY CLINICS FOR BOTH PRIMARY AND SPECIALTY CARE. HEALTH NEEDS IDENTIFIED BY THE CHNA INCLUDE DIABETES, CARDIOVASCULAR DISEASE, OBESITY, CANCER, ASTHMA AND RESPIRATORY CONDITIONS, STDS/HIV-AIDS AND INFECTIOUS DISEASE. COGNITIVE ISSUES - SUPPORT OF COMMUNITY MEMBERS WITH COGNITIVE ISSUES IS LIMITED FOR BOTH THE PERSON WITH THE CONDITION AND THE CAREGIVER. DENTAL AND ORAL HEALTH - ADULTS ARE VISITING THE DENTIST FOR ROUTINE CHECKUP LESS FREQUENTLY, PARTICULARLY YOUNG ADULTS. THERE HAS BEEN AN INCREASE IN THE NUMBER OF COMMUNITY MEMBERS WHO DO NOT HAVE DENTAL INSURANCE. MENTAL HEALTH - ADULTS REPORT FEELING DEPRESSED IN HIGHER NUMBERS AND 24% OF ADULTS REPORT HAVING A PERIOD LASTING TWO YEARS OR LONGER IN WHICH THEY WERE DEPRESSED ON MOST DAYS. SUBSTANCE ABUSE - DATA INDICATED THAT BINGE DRINKING (CONSUMPTION OF FIVE OR MORE ALCOHOLIC DRINKS) INCREASED SIGNIFICANTLY AMONG MALES AGED 18 TO 24. FELONY AND MISDEMEANOR DUI ARRESTS ALSO INCREASED. BIRTHS - RACIAL AND ETHNIC DISPARITIES EXIST AMONG WOMEN THAT RECEIVED ADEQUATE PRENATAL CARE. PACIFIC ISLANDER WOMEN HAVE THE HIGHEST PROPORTIONS OF BIRTHS RECEIVING LESS THAN ADEQUATE PRENATAL CARE. THE PROPORTION OF BIRTHS DELIVERED BY C-SECTION HAS DRAMATICALLY INCREASED. 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. MILLS-PENINSULA HEALTH SERVICES 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 NEED THAT WAS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: - VIOLENCE AND SAFETY THESE SERVICES ARE NOT WITHIN THE SCOPE OF EXPERTISE OF MILLS-PENINSULA HEALTH SERVICES. MENLO PARK SURGICAL HOSPITAL (A, 2) THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MENLO PARK SURGICAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO SPECIALTY CARE - A SEGMENT OF SAN MATEO COUNTY'S UNDERSERVED/UNDERINSURED ADULTS REPORT THAT THEY HAVE NEEDED SURGICAL CARE FOR GENERAL, ORTHOPEDIC AND UROLOGIC CONDITIONS. ORAL HEALTH AND DENTAL CARE - MANY UNDERSERVED/UNDERINSURED CHILDREN AND ADULTS IN SAN MATEO COUNTY DO NOT HAVE ACCESS TO NEEDED PREVENTIVE AND INTERVENTIONAL DENTAL CARE. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF MENLO PARK SURGICAL HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MENLO PARK SURGICAL HOSPITAL (MPSH) IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. 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: - DIABETES - OBESITY - CARDIOVASCULAR DISEASE, HEART ATTACK AND STROKE - SUBSTANCE ABUSE - VIOLENCE AND SAFETY - CANCER - BIRTHS - COGNITIVE ISSUES - STDS, HIV/AIDS MPSH DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THESE NEEDS AND OTHER ORGANIZATIONS IN THE COMMUNITY ARE BETTER EQUIPPED TO FULFILL THIS ROLE. SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ (A, 3) THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER MATERNITY & SURGERY CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO PRIMARY CARE - A SEGMENT OF THE COUNTY'S ADULTS REPORT THAT THEY HAVE NEEDED HEALTHCARE BUT HAVE BEEN UNABLE TO RECEIVE IT. DISPARITIES BETWEEN LATINO AND NON-LATINO RESIDENTS REPORTING A REGULAR SOURCE OF HEALTHCARE ALSO PERSIST. HEALTH INSURANCE AMONG CHILDREN - A SEGMENT OF THE COUNTY'S CHILDREN AGE 0-17 REMAIN WITHOUT HEALTHCARE INSURANCE, AT A GREATER RATE THAN THE STATE AVERAGE. CHILDHOOD OBESITY - ROUGHLY ONE-QUARTER OF LOW-INCOME CHILDREN AGE 5-19 YEARS OLD IN SANTA CRUZ COUNTY ARE OBESE, AN INCREASING TREND THAT REMAINS HIGHER THAN THE STATE AVERAGE. 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. SMSC 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: - NUTRITION - WHILE NUTRITION IS ADDRESSED WITH A SUBSET OF THE POPULATION THROUGH THE SMSC PEDIATRIC WEIGHT MANAGEMENT PROGRAM'S EDUCATIONAL COMPONENT, SMSC DOES NOT HAVE THE EXPERTISE, NOR DOES SMSC HAVE SUFFICIENT NUTRITIONIST RESOURCES, TO EFFECTIVELY ADDRESS THIS NEED ON A BROADER SCALE IN THE COMMUNITY. - PHYSICAL ACTIVITY - WHILE PHYSICAL ACTIVITY IS ADDRESSED WITH A SUBSET OF THE POPULATION THROUGH THE SMSC PEDIATRIC WEIGHT MANAGEMENT PROGRAM'S EDUCATIONAL COMPONENT, SMSC DOES NOT HAVE THE EXPERTISE, NOR DOES SMSC HAVE SUFFICIENT PHYSICAL ACTIVITY RESOURCES, TO EFFECTIVELY ADDRESS THIS NEED ON A BROADER SCALE IN THE COMMUNITY. - DENTAL CARE - SMSC DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THIS NEED, AND OTHER ORGANIZATIONS IN THE COMMUNITY ARE BETTER EQUIPPED TO ADDRESS THIS NEED. - DIABETES - SMSC DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THIS NEED, AND OTHER ORGANIZATIONS IN THE COMMUNITY ARE BETTER EQUIPPED TO ADDRESS THIS NEED. - ALCOHOL AND DRUGS - SMSC DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THIS NEED, AND OTHER ORGANIZATIONS IN THE COMMUNITY ARE BETTER EQUIPPED TO ADDRESS THIS NEED. SCHEDULE H, PART V, SECTION B, LINE 15E (A, 1-3) 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, AND 16C (A, 1-3) HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND PLAIN LANGUAGE SUMMARY: http://www.mills-peninsula.org/about/charitycare.html SCHEDULE H, PART V, SECTION B, LINE 16I (A, 1-3) 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 (A, 1-3) 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. 4 MILLS-PENINSULA HEALTH CENTER 100 S SAN MATEO DRIVE SAN MATEO CA 94401 CHRONIC DIALYSIS RENAL DISEASE MILLS-PENINSULA SENIOR FOCUS 1720 EL CAMINO REAL BURLINGAME CA 94010 MEDICAL DAY CARE MILLS-PENINSULA SKILLED NURSING FACILITY 1609 TROUSDALE DRIVE BURLINGAME CA 94010 SKILLED NURSING FACILITY FITNESS AND THERAPY CENTER 1875 TROUSDALE DRIVE BURLINGAME CA 94010 CARDIAC REHABILITATION, PHYSICAL & OCCUPATIONAL THERAPY SCHEDULE H, PART I, LINES 3A AND 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 MILLS-PENINSULA HEALTH SERVICES 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 I, LINE 7G THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $841,040. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: MILLS PENINSULA HEALTH SERVICES & MENLO PARK SURGICAL HOSPITAL: MILLS-PENINSULA HEALTH SERVICES AND MENLO PARK SURGICAL HOSPITAL DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2015. SUTTER MATERNITY & SURGERY CENTER: SUTTER MATERNITY & SURGERY CENTER FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS 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. ENVIRONMENTAL AWARENESS PROGRAM: THE ENVIRONMENTAL AWARENESS PROGRAM AT SUTTER MATERNITY & SURGERY CENTER FOCUSES ON REDUCTION OF COMMUNITY ENVIRONMENTAL HAZARDS ALONG WITH THE SHARING IN HEALTH CARE FACILITY ENVIRONMENTAL RESPONSIBILITY, WHICH INCLUDES WASTE REDUCTION, GREEN PURCHASING AND OTHER ECOLOGY INITIATIVES. 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 REVENUE 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. SUTTER'S SELF-PAY WRITE-OFFS WERE $204 AND $192 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: MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL: IN ACCORDANCE WITH LEGISLATIVE REQUIREMENTS, MILLS-PENINSULA MEDICAL CENTER PARTICIPATED IN A COLLABORATIVE EFFORT TO CONDUCT A CHNA OF THE SERVICE AREA-SAN MATEO COUNTY. PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) (WWW.PRCONLINE.COM) CONDUCTED THE ASSESSMENT ON THE BEHALF OF THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY. PRC IS A RESEARCH FIRM DEDICATED TO THE IMPROVEMENT OF HEALTHCARE ACROSS ALL COMMUNITIES. SINCE 1994 PRC HAS CONDUCTED MULTIPLE HEALTH NEEDS ASSESSMENTS WORKING ON THE BEHALF OF NONPROFIT HOSPITALS, HEALTH DEPARTMENTS, FOUNDATIONS, CIVIC ORGANIZATIONS, AND HEALTH PROVIDERS NATION-WIDE. THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY WAS FORMED IN 1995 AND IS COMPRISED OF 14 MEMBER ORGANIZATIONS. THE COLLABORATIVE IS A SUBCOMMITTEE OF THE SAN MATEO COUNTY HOSPITAL CONSORTIUM. MEMBERS INCLUDE NONPROFIT HOSPITALS, A MEDICAL FOUNDATION, SAN MATEO COUNTY HEALTH DEPARTMENT AND HUMAN SERVICES AGENCY, A NONPROFIT HEALTHCARE PLAN, COMMUNITY CLINICS, TWO HEALTHCARE DISTRICTS, AND A COMMUNITY FOUNDATION. THE MISSION OF THE COLLABORATIVE IS TO PROMOTE THE HEALTH AND WELL BEING OF RESIDENTS LIVING IN SAN MATEO COUNTY BY IDENTIFYING AND ADDRESSING HEALTH NEEDS. THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOCUSED ON SAN MATEO COUNTY, AND WAS COMPLETED IN THE FALL OF 2013. THE FULL REPORT CAN BE ACCESSED ON THE INTERNET AT WWW.SMCHEALTH.ORG OR WWW.PLSINFO.ORG. THE PRIMARY OBJECTIVE OF THE CHNA WAS TO UNDERSTAND CURRENT CONDITIONS AND TRENDS OF THE HEALTH STATUS OF RESIDENTS LIVING IN THE SERVICE AREA, AND IDENTIFY AREAS FOR IMPROVEMENT. THE RESULTS WERE INTENDED TO BE A PLANNING TOOL SO THAT KEY STAKEHOLDERS COULD MAKE DATA-DRIVEN RECOMMENDATIONS AND DECISIONS TO IMPROVE HEALTH AMONG SERVICE AREA RESIDENTS. TWO SPECIFIC GOALS HELPED TO GUIDE THE ASSESSMENT AS IT WAS COMPLETED. THESE WERE: - TO PRODUCE A FUNCTIONAL, COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT THAT COULD BE USED FOR STRATEGIC PLANNING OF COMMUNITY PROGRAMS, AND AS A GUIDELINE FOR POLICY AND ADVOCACY EFFORTS; AND - TO PROMOTE COLLABORATIVE EFFORTS IN THE COMMUNITY AND DEVELOP COLLABORATIVE PROJECTS BASED ON THE DATA, COMMUNITY INPUT, IDENTIFIED SERVICE GAPS, AND GROUP CONSENSUS (2013 COMMUNITY HEALTH NEEDS ASSESSMENT) RECOGNIZING THAT HEALTH STATUS WAS NOT EVENLY DISTRIBUTED ACROSS THE SERVICE AREA, A FOCUS OF THE CHNA WAS TO IDENTIFY AND HIGHLIGHT COMMUNITIES AND POPULATIONS THAT WERE EXPERIENCING DISPARITIES. TO THIS END, WHEN AVAILABLE, INDICATORS WERE REPORTED BY RACE/ETHNICITY, GENDER, INCOME, AND REGIONS OF THE COUNTY. THE ASSESSMENT UTILIZED A NUMBER OF HEALTH AND WELL BEING INDICATORS COLLECTED FROM BOTH PRIMARY AND SECONDARY DATA. INPUT FROM THE COMMUNITY SERVED, OR PRIMARY DATA, WERE COLLECTED THROUGH A TELEPHONE SURVEY OF ADULTS (THE 2013 HEALTH & QUALITY OF LIFE SURVEY), AND INCLUDED BOTH HEALTH AND WELL BEING INDICATORS. HEALTH INDICATORS INCLUDED RISK BEHAVIORS SUCH AS SMOKING, PHYSICAL INACTIVITY, HIGH BLOOD PRESSURE, OVERWEIGHT PREVALENCE, AND PREVENTION SERVICES SUCH AS CANCER SCREENINGS AND ACCESS TO MEDICAL AND DENTAL CARE. THE SURVEY UTILIZED MANY QUESTIONS FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. THE SURVEY ALSO COLLECTED QUALITY OF LIFE INDICATORS SUCH AS HOUSING, SOCIAL CAPITAL, CHILDCARE, TRANSPORTATION, AND EDUCATION. MANY OF THE SURVEY QUESTIONS WERE ADMINISTERED IN EARLIER ASSESSMENTS CONDUCTED FOR THE SERVICE AREA, AND THIS ALLOWED FOR TRENDING OVER TIME. THE SURVEY WAS CONDUCTED AMONG A RANDOM SAMPLE OF 1,000 ADULTS RESIDING IN THE SERVICE AREA OF SAN MATEO COUNTY. AN OVERSAMPLING OF AFRICAN AMERICAN, LOW INCOME (THOSE BELOW 400% OF FEDERAL POVERTY LEVEL (FPL), AND RESIDENTS LIVING IN COASTSIDE ZIP CODES WAS CONDUCTED TO ALLOW FOR ANALYSIS OF THESE POPULATIONS. IN TOTAL, 1,724 INTERVIEWS WERE CONDUCTED. SECONDARY DATA WERE COLLECTED AND REPORTED AS WELL. WHEN AVAILABLE, BENCHMARK COMPARISONS WERE MADE TO HEALTHY PEOPLE 2020 OBJECTIVES. THESE DATA INCLUDED INDICATORS POINTING TO HEALTH STATUS AND QUALITY OF LIFE IN THE SERVICE AREA. EXAMPLES OF HEALTH STATUS INDICATORS INCLUDED YEARS OF POTENTIAL LIFE LOST; INFANT MORTALITY; MORTALITY RATES BY CAUSES SUCH AS CANCER AND CARDIOVASCULAR DISEASE; HOSPITALIZATIONS DUE TO VARIOUS CAUSES; MATERNAL AND CHILD HEALTH SUCH AS LOW BIRTH WEIGHT, CHILDHOOD IMMUNIZATION RATES, AND CHILDHOOD OBESITY; AND INCIDENCE AND PREVALENCE OF COMMUNICABLE DISEASES. EXAMPLES OF QUALITY OF LIFE DATA INCLUDED EDUCATION INDICATORS SUCH AS PRESCHOOL ENROLLMENT AND COLLEGE READINESS, CRIME RATES, PER CAPITA INCOME AND RELATED POVERTY INDICATORS, EMPLOYMENT RATES AND OTHER ECONOMIC INDICATORS, COMMUTING AND TRAVEL INDICATORS, HOUSING AFFORDABILITY, AND HOMELESSNESS ESTIMATES. DATA WERE COLLECTED AND ANALYZED AND PRESENTED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SAN MATEO COUNTY. A 454-PAGE REPORT DETAILS THE FINDINGS AND CAN BE ACCESSED ON THE INTERNET AT WWW.SMCHEALTH.ORG OR WWW.PLSINFO.ORG. THE 2013 SAN MATEO COMMUNITY NEEDS ASSESSMENT IDENTIFIED 12 HEALTH NEEDS. THESE WERE GENERATED FROM THE PRIMARY AND SECONDARY DATA COLLECTED AND ANALYZED IN THE CHNA, AS WELL AS INPUT IN THE FORM OF A COMMUNITY LEADER/KEY STAKEHOLDER FOCUS GROUP. THE 12 HEALTH NEEDS ARE: - OBESITY - CARDIOVASCULAR DISEASE, HEART ATTACK AND STROKE - SUBSTANCE ABUSE (ALCOHOL, TOBACCO, & OTHER DRUGS PROGRAM) - POOR ORAL HEALTH - VIOLENCE - INFECTIOUS DISEASE - DIABETES - POOR MENTAL HEALTH - CANCER - BIRTHS AND PRENATAL CARE - ASTHMA AND RESPIRATORY CONDITIONS - STDS INCLUDING HIV-AIDS THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR MILLS-PENINSULA MEDICAL CENTER IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER MATERNITY & SURGERY SANTA CRUZ: IN ACCORDANCE WITH THESE LEGISLATIVE REQUIREMENTS, SMSC PARTICIPATED IN A COLLABORATIVE EFFORT TO CONDUCT A COUNTYWIDE COMMUNITY ASSESSMENT. THIS COMMUNITY ASSESSMENT PROJECT (CAP) WAS LED BY APPLIED SURVEY RESEARCH (ASR), UNITED WAY OF SANTA CRUZ COUNTY, AND DOMINICAN HOSPITAL, AND WAS SPONSORED BY A NUMBER OF COMMUNITY STAKEHOLDERS INCLUDING SMSC. THE SANTA CRUZ COUNTY CAP IS CONDUCTED EVERY TWO YEARS AND WAS MOST RECENTLY CONDUCTED IN 2012. THE ASSESSMENT INCLUDES A TEN-STEP COMMUNITY IMPROVEMENT CYCLE, WITH STEPS INCLUDING DATA COLLECTION, COMMUNITY GOAL SETTING, AND ACTION STEPS. THE CAP INCLUDES PRIMARY DATA FROM A REPRESENTATIVE PHONE SURVEY OF SANTA CRUZ COUNTY RESIDENTS AND A VARIETY OF SECONDARY DATA, SYNTHESIZED IN A COMPREHENSIVE REPORT EVALUATING SIX AREAS -- ECONOMY, EDUCATION, HEALTH, PUBLIC SAFETY, THE SOCIAL ENVIRONMENT, AND THE NATURAL ENVIRONMENT. THE 2012 CAP STEERING COMMITTEE ACTIVELY PARTICIPATED IN THE ASSESSMENT PROCESS AND CONSISTED OF INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING NONPROFIT HOSPITALS, COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY AND HUMAN SERVICES DEPARTMENTS, A NONPROFIT HEALTHCARE COALITION, NONPROFIT HEALTHCARE AND COMMUNITY FOUNDATIONS, COMMUNITY CLINICS, COMMUNITY-BASED ORGANIZATIONS, INDIVIDUALS IN LAW ENFORCEMENT AND EDUCATION, AND OTHER COMMUNITY STAKEHOLDERS. THE 2012 CAP MARKS THE 18TH YEAR OF THE ONGOING PROJECT, WHICH HAS BEEN RECOGNIZED AS ONE OF THE STANDOUT COMMUNITY INDICATOR PROJECTS IN THE NATION, HAVING WON AN AWARD IN THE 2007 COMMUNITY INDICATORS CONSORTIUM INNOVATION AWARDS AND HAVING BEEN PROFILED IN BEST PRACTICES LITERATURE INCLUDING JOURNALS AND BOOKS. THE FULL 220-PAGE SANTA CRUZ CAP REPORT CAN BE ACCESSED ON THE INTERNET AT WWW.APPLIEDSURVEYRESEARCH.ORG AND WWW.UNITEDWAYSC.ORG. A SUMMARY DOCUMENT WAS DRAFTED FOR SUTTER MATERNITY & SURGERY CENTER AND SERVES TO HIGHLIGHT THE PRIORITY HEALTH NEEDS WITHIN THE AREA SERVED BY SMSC, AS DESCRIBED IN THE 2012 CAP. THE 27-PAGE SUMMARY CAN BE DOWNLOADED AT HTTP://WWW.SUTTERSANTACRUZ.ORG/COMMUNITY/ASSESSMENT.HTML THE 2012 CAP UTILIZED A NUMBER OF HEALTH AND WELLBEING INDICATORS COLLECTED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES. THE ASSESSMENT INCLUDED MORE THAN 100 INDICATORS DECIDED UPON BY TECHNICAL ADVISORY COMMITTEES. THESE COMMITTEES CONSISTED OF LOCAL EXPERTS IN THE SIX AREAS COVERED BY THE REPORT. CRITERIA FOR SELECTED INDICATORS INCLUDED THE NEED TO BE UNDERSTANDABLE TO THE GENERAL USER AND THE PUBLIC, RESPONSIVE TO CHANGE, RELEVANT FOR POLICY DECISIONS, AND UPDATED REGULARLY. PRIMARY DATA IN THE FORM OF COMMUNITY INPUT WERE COLLECTED THROUGH A REPRESENTATIVE 77-QUESTION TELEPHONE SURVEY OF SANTA CRUZ COUNTY ADULTS. THE OBJECTIVE OF THE SURVEY WAS TO MEASURE THE OPINIONS, ATTITUDES, DESIRES, AND NEEDS OF A DEMOGRAPHICALLY REPRESENTATIVE SAMPLE OF THE COUNTY'S RESIDENTS. THE PHONE SURVEY INCLUDED HEALTH INDICATOR QUESTIONS RELATED TO SMOKING, PHYSICAL ACTIVITY, FRUIT AND VEGETABLE CONSUMPTION, DIABETES, OBESITY, AND ACCESS TO MEDICAL AND DENTAL CARE, AMONG OTHERS. THE SURVEY ALSO EXAMINED INDICATORS SUCH AS HOUSING, CHILDCARE, TRANSPORTATION, SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: MILLS-PENINSULA MEDICAL CENTER 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 (FINANCE POLICY 14-227). 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: MILLS PENINSULA MEDICAL CENTER (MPMC) AND MENLO PARK SURGICAL CENTER (MPSC): THE HOSPITAL SERVICE AREA OF MPMC AND MPSC IS DEFINED AS SAN MATEO COUNTY. SAN MATEO COUNTY IS LOCATED IN NORTHERN CALIFORNIA AND ENCOMPASSES OVER 448 SQUARE MILES WITH 1,602.2 PERSONS LIVING IN A SQUARE MILE. THE COUNTY IS PART OF THE SAN FRANCISCO-OAKLAND-FREMONT METROPOLITAN STATISTICAL AREA. SEVEN HOSPITALS SERVICE THIS AREA. SAN MATEO COUNTY POPULATION WAS NEARLY 720,000 RESIDENTS IN 2010, AND ITS POPULATION IS PROJECTED TO INCREASE TO NEARLY 800,000 BY 2050. ACCORDING TO THE CALIFORNIA DEPARTMENT OF FINANCE, THE COUNTY WAS THE 14TH MOST POPULOUS OF CALIFORNIA'S 58 TOTAL COUNTIES. ACCORDING TO THE US CENSUS, 34% OF COUNTY RESIDENTS WERE FOREIGN BORN, AND 44.5% OF ALL RESIDENTS OVER THE AGE OF FIVE SPOKE A LANGUAGE OTHER THAN ENGLISH WHILE AT HOME. OF THESE RESIDENTS, 63.8% WERE WHITE, 3.1% BLACK, 0.9% AMERICAN INDIAN, 26.4% ASIAN, 1.6% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, AND 4.3% WERE TWO OR MORE RACES. 25.4% OF RESIDENTS WERE HISPANIC OR LATINO. THE MEDIAN AGE OF COUNTY RESIDENTS IN 2010 WAS 39.3 YEARS. AGE PROJECTIONS INDICATED THAT THE COUNTY WILL SEE A NOTABLE INCREASE AMONG THOSE 60 YEARS AND OLDER, AS THIS SEGMENT OF THE POPULATION IS FORECAST TO ACCOUNT FOR 30% OF THE POPULATION BY 2030. EDUCATION ATTAINMENT IS CORRELATED TO INDIVIDUAL HEALTH. FOR SAN MATEO COUNTY, EDUCATION ATTAINMENT WAS HIGHER THAN THE STATE AVERAGE IN BOTH HIGH SCHOOL AND COLLEGE LEVELS. IN 2009-2010 IT WAS ESTIMATED THAT OVER 9% OF SAN MATEO COUNTY STUDENTS WOULD DROP OUT WITHIN A FOUR-YEAR PERIOD. THIS RATE HAS BEEN IN DECLINE WHEN COMPARED TO PREVIOUS YEARS. HOWEVER, THIS RATE WAS NOT CONSISTENT AMONG ALL RACES AND ETHNICITIES AS BLACKS, HISPANICS, AND PACIFIC ISLANDER STUDENTS DROP OUT AT HIGHER RATES THAN ASIAN, WHITE, AND FILIPINO STUDENTS. SAN MATEO COUNTY BENEFITED FROM THE TECHNOLOGY BOOM IN THE 1990S AND MEDIAN HOUSEHOLD INCOME CONTINUES TO RISE. HOWEVER, LOW INCOME RESIDENTS STRUGGLE TO MAKE ENDS MEET LEAVING THEM VULNERABLE TO A NUMBER OF EMERGENCIES OR CRISES. THE US CENSUS ESTIMATED THAT 7% OF COUNTY RESIDENTS LIVED BELOW 100% OF THE FPL, OR EARN LESS THAN $18,530 ANNUALLY, AND SOME 18.9% OF ALL RESIDENTS LIVED BELOW 200% OF THE FPL. SAN MATEO COUNTY HAS ONE OF THE HIGHEST COSTS OF LIVING IN THE NATION, AND A SINGLE PARENT WITH TWO CHILDREN MUST EARN APPROXIMATELY $78,000 TO MEET BASIC NEEDS. PER CAPITA INCOME FOR COUNTY RESIDENTS WAS $45,346, AND MEDIAN HOUSEHOLD INCOME WAS $87,633. HOWEVER, RESIDENTS WITH HIGH LEVELS OF EDUCATION ATTAINMENT EARNED SIGNIFICANTLY MORE THAN THOSE WITHOUT. FURTHER, MALES IN GENERAL EARNED MORE THAN FEMALES. MOST RESIDENTS REPORTED THAT THE STRENGTH AND GROWTH OF THE LOCAL ECONOMY WAS "FAIR"GOOD." ACCORDING TO THE US CENSUS IN 2010 THE COUNTY HAD SOME 570,786 RESIDENTS OVER THE AGE OF 16, AND 391,664 WERE IN THE LABOR FORCE. THE UNEMPLOYMENT WAS 7.3%. THERE WERE APPROXIMATELY 314,500 WAGE JOBS IN THE COUNTY, WITH THE LARGEST EMPLOYER BEING UNITED AIRLINES WITH 9,600 JOBS. SAN MATEO COUNTY IS THE FOURTH LARGEST EMPLOYER WITH 5,443 JOBS. WHEN ASKED, OVER 40% OF ALL RESIDENTS FELT THAT LOCAL EMPLOYMENT OPPORTUNITIES WERE "FAIR"POOR." THESE RESPONSES WERE PARTICULARLY HIGH AMONG WOMEN, ADULTS WITHOUT EDUCATION BEYOND A HIGH SCHOOL DIPLOMA, THOSE LIVING BELOW 400% FPL, BLACKS, HISPANICS, AND RESIDENTS OF THE COASTSIDE AREA. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE MILLS-PENINSULA MEDICAL CENTER CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER MATERNITY & SURGERY SANTA CRUZ: BASED ON ANALYSIS OF PATIENT DISCHARGE DATA, SMSC'S SERVICE AREA WAS CONSIDERED TO BE SANTA CRUZ COUNTY. SANTA CRUZ COUNTY SITS SOUTH OF SAN MATEO COUNTY, WEST OF SANTA CLARA COUNTY, AND NORTH OF MONTEREY COUNTY AND WAS HOME TO 262,382 RESIDENTS IN 2010, WITH AN ESTIMATED INCREASE TO 266,776 IN 2012. THE 445 SQUARE-MILE COUNTY INCLUDES THE CITIES OF SANTA CRUZ (POPULATION 62,041), WATSONVILLE (POPULATION 51,881), SCOTTS VALLEY (POPULATION 11,670), AND CAPITOLA (POPULATION 10,012). THE COUNTY IS ALSO HOME TO 21 UNINCORPORATED TOWNS-AMESTI, APTOS, APTOS HILLS-LARKIN VALLEY, BEN LOMOND, BONNY DOON, BOULDER CREEK, BROOKDALE, CORRALITOS, DAVENPORT, DAY VALLEY, FELTON, FREEDOM, INTERLAKEN, LA SELVA BEACH, LIVE OAK, MOUNT HERMON, OPAL CLIFFS, RIO DEL MAR, SOQUEL, PASATIEMPO, AND TWIN LAKES. THE MAJOR INDUSTRIES IN SANTA CRUZ COUNTY CURRENTLY INCLUDE AGRICULTURE, TOURISM, EDUCATION, AND TECHNOLOGY. THERE ARE TWO HOSPITALS SERVING THE COMMUNITY. THE POPULATION OF SANTA CRUZ COUNTY IS 58.8% WHITE, 32.7% HISPANIC/LATINO, 4.4% ASIAN, 2.6% MULTI-RACE, 1.0% BLACK, AND 0.5% OTHER. INDIVIDUALS AGED 35-59 YEARS OLD MAKE UP THE LARGEST PERCENT OF COUNTY RESIDENTS AT 33.6%, FOLLOWED BY THOSE 20-34 YEARS OLD AT 23.1%, AGES 5-19 AT 19.5%, 60 AND ABOVE AT 18.2%, AND UNDER 5 YEARS OLD AT 5.7%. AMONG SANTA CRUZ COUNTY RESIDENTS, 67.8% SPEAK ENGLISH ONLY, WHILE 32.2% SPEAK A LANGUAGE OTHER THAN ENGLISH, WITH 26.5% SPEAKING SPANISH. EDUCATION ATTAINMENT IS CORRELATED TO INDIVIDUAL HEALTH. IN SANTA CRUZ COUNTY, 84.4% OF THE POPULATION HAVE A HIGH SCHOOL DEGREE OR HIGHER AND 37.4% HAVE A BACHELOR'S DEGREE OR HIGHER. BOTH OF THESE FIGURES EXCEED THE STATE PERCENTAGES OF 80.8% POSSESSING A HIGH SCHOOL DEGREE OR HIGHER AND 30.2% HAVING A BACHELOR'S DEGREE OR HIGHER. WHEN EXAMINING HIGH SCHOOL DROPOUT RATES BY ETHNICITY, DATA SHOWED THAT HISPANIC/LATINO STUDENTS WERE APPROXIMATELY TWICE AS LIKELY TO DROPOUT THAN WHITE STUDENTS, 16.5% AND 8.8% RESPECTIVELY. THE 2010 PER CAPITA INCOME OF SANTA CRUZ COUNTY RESIDENTS WAS $47,409, WHICH SURPASSES THE STATE'S PER CAPITA INCOME OF $42,514, AND THE NATIONAL PER CAPITA INCOME OF $39,937. IT IS NOTABLE THAT THE COUNTY'S PER CAPITA INCOME DECREASED IN BOTH 2009 AND 2010, WHILE THE STATE AND NATIONAL PER CAPITA INCOME SLIGHTLY INCREASED FROM 2009 TO 2010. WHILE THE MEDIAN FAMILY INCOME OF SANTA CRUZ COUNTY FAMILIES DROPPED TO $69,419 IN 2010, AN INCREASE TO $74,928 WAS SEEN IN 2011. THIS MEDIAN FAMILY INCOME IS HIGHER THAN THE STATE AND NATIONAL MEDIAN FAMILY INCOMES, AND THE INCREASE BETWEEN 2010 AND 2011 IN SANTA CRUZ COUNTY WAS NOTABLY GREATER THAN THE INCREASES SEEN AT THE STATE AND NATIONAL LEVELS. IN SANTA CRUZ COUNTY, THE PERCENTAGES OF THOSE LIVING IN POVERTY FALL BELOW THOSE WITHIN THE STATE AND NATION. AMONG INDIVIDUALS UNDER 17 YEARS OLD, 15.5% LIVE BELOW THE POVERTY LEVEL, 16.0% OF THOSE AGES 18-64, AND 7.2% OF THOSE 65 AND OLDER. IT IS NOTABLE THAT THE PERCENTAGE OF 18-64 YEAR OLDS LIVING BELOW THE POVERTY LEVEL WITHIN THE COUNTY HAS INCREASED 4.8% BETWEEN 2005 AND 2011. SELF-SUFFICIENCY INCOME STANDARDS ARE FREQUENTLY USED AS AN ADDITION TO FEDERAL POVERTY LEVEL DATA, AS THEY FACTOR IN COUNTY-SPECIFIC EXPENSE DIFFERENCES, HOUSING, CHILDCARE, TRANSPORTATION, AND FOOD COSTS, AMONG OTHERS. THE 2007 SELF-SUFFICIENCY DATA DISPLAYED BELOW SHOW THE PERCENT OF FAMILIES WHO ARE UNABLE TO SECURE BASIC NEEDS WITHOUT ADDITIONAL PUBLIC OR PRIVATE ASSISTANCE. WITHIN SANTA CRUZ COUNTY, 28.0% OF FAMILIES DID NOT MEET SELF-SUFFICIENCY STANDARDS. WHEN LOOKING AT THE DISPARITIES AMONG DIFFERENT GROUPS, LATINOS WERE TWICE AS LIKELY AS WHITES TO NOT MEET SELF-SUFFICIENCY STANDARDS, AT 46.7% AND 23.2% RESPECTIVELY. AMONG FAMILY TYPES, SINGLE FEMALE-HEADED HOUSEHOLDS WITH CHILDREN WERE THE MOST LIKELY TO NOT MEET SELF-SUFFICIENCY STANDARDS, FOLLOWED BY SINGLE MALE-HEADED HOUSEHOLDS WITH CHILDREN, MARRIED COUPLES WITH CHILDREN, AND FINALLY FAMILIES WITH NO CHILDREN AND NON-FAMILY HOUSEHOLDS. WHEN EXAMINING EDUCATIONAL ATTAINMENT, 58.5% OF INDIVIDUALS WITHOUT A HIGH SCHOOL DIPLOMA DID NOT MEET SELF-SUFFICIENCY STANDARDS, COMPARED TO 38.4% OF THOSE WITH A HIGH SCHOOL DIPLOMA. AS WAS THE TREND BOTH IN CALIFORNIA AND ACROSS THE UNITED STATES, THE UNEMPLOYMENT RATE IN SANTA CRUZ COUNTY REACHED A PEAK IN 2010 AND HAS SINCE BEEN DECREASING. IN 2012, SANTA CRUZ COUNTY DEMONSTRATED AN UNEMPLOYMENT RATE OF 9.9%, LOWER THAN THE STATE RATE OF 10.7%, BUT HIGHER THAN THE NATIONAL RATE OF 8.4%. SCHEUDLE 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. MILLS PENINSULA MEDICAL CENTER: THE 2013 - 2015 IMPLEMENTATION STRATEGY FOR MILLS-PENINSULA MEDICAL CENTER 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: MILLS-PENINSULA MEDICAL CENTER PARTNERS WITH SAN MATEO COUNTY TO ESTABLISH AN URGENT CARE SERVICE IN DALY CITY (THE DALY CITY CLINIC). USING A MID-LEVEL PRACTITIONER AS THE PRIMARY CARE PROVIDER, THE TEAM WORKS WITH THE CLINICS' ESTABLISHED PRIMARY CARE TEAMS TO PROVIDE URGENT CARE ACCESS WHEN THE PRIMARY CARE TEAM IS UNABLE TO DO SO EITHER BECAUSE OF FULL SCHEDULES OR ABSENCES. THE ANTICIPATED IMPACT OF THIS PARTNERSHIP INCLUDES REDUCTION OF TIME TO THIRD NEXT AVAILABLE APPOINTMENT (TTNAA) FROM THE CURRENT AVERAGE OF 14 DAYS TO LESS THAN 7 DAYS. THE PARTNERSHIP ALSO FUNCTIONS TO REDUCE THE NUMBER OF ESTABLISHED MEDICAL HOME PATIENTS PRESENTING TO THE SAN MATEO MEDICAL CENTER (SMMC) EMERGENCY DEPARTMENT FOR AMBULATORY SENSITIVE CONDITIONS. IN 2015, THE AVERAGE TIME FOR THE TTNAA IS 9 DAYS. DURING 2015, THERE WERE ADDITIONAL PHYSICIAN VACANCIES WITH DELAYS IN RECRUITMENT TO FILL THE VACANT POSITIONS. A NEW NURSE PRACTITIONER STARTED IN OCTOBER WHICH PROVIDED THE NEEDED ACCESS TO PATIENTS. A NEW PHONE SYSTEM WAS PUT IN PLACE, ASSISTING IN A SIGNIFICANT 10% DECREASE ON NO-SHOW APPOINTMENTS. THE NUMBER OF MEDICAL HOME PATIENTS PRESENTING TO THE SMMC EMERGENCY DEPARTMENT AVERAGED 14 PER MONTH. MPMC PARTNERS WITH SAMARITAN HOUSE TO INCREASE ACCESS TO PRIMARY CARE FOR NEW PATIENTS AND INCREASE THE NUMBER OF VISITS FOR EXISTING PATIENTS THROUGH EXPANDING CLINIC PERSONNEL, INCREASE IN PHARMACEUTICALS AND MEDICAL SUPPLIES AND THE EXPANSION OF THE ELECTRONIC SCHEDULING SYSTEM. SAMARITAN HOUSE HAS BEEN SERVING LOW-INCOME INDIVIDUALS AND FAMILIES IN SAN MATEO COUNTY SINCE 1974. IN 2015, SAMARITAN HOUSE EXPERIENCED A LEADERSHIP CHANGE AND A FEW STAFFING CHALLENGES. AS OF MAY 2015, DR. JASON WONG HAS BEEN OVERSEEING THE OPERATIONS OF ALL OF SAMARITAN HOUSE CLINICS. MID-WAY THROUGH THE YEAR, STAFFING CHANGED AND A PART-TIME STAFF MEMBER WAS HIRED SPECIFICALLY TO TREAT DIABETIC PATIENTS AND ONE ADDITIONAL PART- TIME CASE MANAGER WAS HIRED TO PERFORM ON-SITE INCOME VERIFICATION AND PATIENT ELIGIBILITY SCREENING. CAPACITY FOR TOTAL PATIENT VISITS INCREASED BY 27% FOR A TOTAL OF 4,242 PATIENT VISITS. THE CLINIC PROVIDED HEALTHCARE SERVICES FOR AN ADDITIONAL 276 NEW PATIENTS. MPMC PARTNERS WITH OPERATION ACCESS TO PROVIDE STAFF AND FREE ELECTIVE SURGERIES AT THE MILLS HEALTH CENTER OUTPATIENT SURGERY CENTER. OPERATION ACCESS, A NOT-FOR-PROFIT ORGANIZATION, BRINGS TOGETHER MEDICAL PROFESSIONALS AND HOSPITALS TO PROVIDE DONATED OUTPATIENT SURGICAL AND SPECIALTY CARE FOR THE UNINSURED AND UNDERSERVED. IN 2015, MPMC PROVIDED A TOTAL OF 49 SERVICES FOR 35 UNDUPLICATED PATIENTS WHICH INCLUDED 25 OPERATING ROOM PROCEDURES; 4 GASTROENTEROLOGY PROCEDURES; 15 MINOR RADIOLOGY PROCEDURES AND 5 SPECIALIST EVALUATIONS. REFERRAL SOURCES WERE THE SAMARITAN HOUSE MEDICAL CLINICS, SAN MATEO DEPARTMENT OF PUBLIC HEALTH, ROTACARE BAY AREA, AND RAVENSWOOD FAMILY HEALTH CENTER. IN PARTNERSHIP WITH THE AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE (AACHAC), MPMC HELPS INCREASE RESOURCES TO PROVIDE PREVENTIVE SCREENING AND EDUCATION FOR UNDERSERVED AND AT-RISK POPULATIONS IN SAN MATEO COUNTY, INCLUDING AFRICAN AMERICANS, HISPANIC AND PACIFIC ISLANDER COMMUNITIES. SCREENINGS INCLUDE MAMMOGRAPHY, PROSTATE CANCER, HYPERLIPIDEMIA, HYPERTENSION, OBESITY, HEARING AND VISION, AS WELL AS CULTURALLY APPROPRIATE CAREGIVER SUPPORT AND TRAINING AND NUTRITION AND FITNESS EDUCATION. IN 2015, 25 HEALTH-RELATED EVENTS WERE PROVIDED TO OVER 5,500 PEOPLE FROM THE AFRICAN-AMERICAN, HISPANIC AND PACIFIC ISLANDER COMMUNITIES IN SAN MATEO COUNTY. THESE EVENTS INCLUDED HEALTH SCREENINGS; SOUL STROLL FOR HEALTH; MENS HEALTH SYMPOSIUM; WOMENS HEALTH CONFERENCE; MENTAL HEALTH AWARENESS DAY; THE ANNUAL "OFF TO A GOOD START" NUTRITION AND PHYSICAL FITNESS DAY; A DIABETES PROGRAM FOR AFRICAN AMERICANS, HISPANIC AND PACIFIC ISLANDERS; THE NOVEMBER CAREGIVER PROGRAM; SUPPORT GROUPS FOR ADULT CHILDREN CARING FOR THEIR AGING PARENTS AND NON-RELATED CAREGIVERS. THE HEALTH SCREENINGS INCLUDED BREAST EXAMS (203); PSAS/DRES (82); BLOOD PRESSURE (1220); LIPID AND GLUCOSE (234); HIV (65) HCV (15); VISION (100) AND DENTAL (16). ALL SCREENINGS AND EVENTS ARE PROVIDED AT VARIOUS COMMUNITY ORGANIZATIONS AND ARE STAFFED BY VOLUNTEERS AND RETIRED NURSES. THE LAB TESTS, PROVIDED BY MPMC, WERE SENT DIRECTLY TO THE COMMUNITY MEMBER AND A SIMILAR PROTOCOL WAS FOLLOWED BY SAN MATEO COUNTY AND THE VISION PROGRAM. DENTAL RESULTS WERE PROVIDED ONSITE. AACHACS SUCCESS WITH THE UNDERSERVED AND COMMUNITIES OF COLOR CONTINUES WITH SPECIAL EMPHASIS ON OPENING DOORS THAT IDENTIFY THOSE WHO ARE THE MOST NEEDY. MPMC CONTINUES TO PROVIDE SUPPORT FOR NOT-FOR-PROFIT ORGANIZATIONS IN SAN MATEO COUNTY THAT PROVIDE A VARIETY OF HEALTH CARE ACCESS AND DELIVERY SERVICES, INCLUDING MENTAL HEALTH, SUBSTANCE ABUSE TREATMENTS, SENIOR PROGRAMS, DISABLED INDIVIDUALS, AND VIOLENCE AND ABUSE THROUGH THE ANNUAL COMMUNITY GRANTS PROGRAM. IN 2015, $412,500 WAS PROVIDED IN MONETARY GRANTS TO 35 SAN MATEO COUNTY ORGANIZATIONS. MPMC PARTNERS WITH SONRISAS TO INCREASE ACCESS TO DENTAL HEALTH EDUCATION, SCREENING AND TREATMENT TO UNDERSERVED POPULATIONS OF CHILDREN, YOUTH AND ADULTS IN SAN MATEO COUNTY. IN 2015, SONRISAS PROVIDED SERVICES TO 1,400 YOUNG PATIENTS AND MORE THAN 1,200 ADULT PATIENTS. THE SERVICES INCLUDED ORAL HEALTH SCREENINGS FOR CHILDREN IN THE CABRILLO UNIFIED AND LA HONDA/PESCADERO SCHOOL DISTRICTS; DENTAL HYGIENE INSTRUCTION; DENTAL CLEANING AND OPERATIVE DENTISTRY TO RESTORE FUNCTION AND SAVE TEETH; AND REDUCED THE NUMBER OF PATIENTS SEEKING EMERGENCY DENTAL CARE IN THE COASTSIDE REGION THROUGH EDUCATION AND PROPER HYGIENE TREATMENT. MPMC PARTNERS WITH SAN MATEO COUNTY TO PROVIDE PRENATAL SCREENING AND BIRTHING SERVICES TO WOMEN COVERED BY MEDI-CAL INSURANCE. MPMC FAMILY BIRTH CENTER DELIVERS MORE BABIES THAN ANY OTHER FACILITY IN SAN MATEO COUNTY. IN 2015, THE BIRTH CENTER DELIVERED 2,189 BABIES. MPMC PROVIDED FUNDING TO SEVEN ORGANIZATIONS LOCATED IN SAN MATEO COUNTY TO ASSIST IN MAINTAINING MENTAL HEALTH SUPPORT FOR THE UNINSURED, POOR, AND HOMELESS POPULATIONS. ORGANIZATIONS WHO RECEIVED FUNDING INCLUDED CALIFORNIA CLUBHOUSE AS THEY FOCUS ON YOUNG ADULTS WITH MENTAL ILLNESSES, CAMINAR FOR MENTAL HEALTH FOCUSES ON ADULTS WITH SEVERE MENTAL ILLNESS AND NAMI SAN MATEO COUNTY PROVIDES SUPPORT, EDUCATION AND ADVOCACY FOR PEOPLE WITH MENTAL ILLNESS AND THEIR FAMILIES. MENLO PARK SURGICAL HOSPITAL: MENLO PARK SURGICAL HOSPITAL PARTNERS WITH RAVENSWOOD FAMILY HEALTH CENTER TO SUPPORT THEIR DENTAL PROGRAM. THE DENTAL PROGRAM PROVIDES PREVENTIVE ORAL HEALTH TO THE PEDIATRICS CLINIC AND IN LOCAL ELEMENTARY SCHOOLS, DENTAL SERVICES FOR ADULTS AND CHILDREN, ORAL SURGERY FOR ADULTS, CHILDREN AND DISABLED CHILDREN AND ADULTS AND ORAL SURGERY WITH CONSCIOUS SEDATION AT LUCILE PACKARD'S CHILDREN'S HOSPITAL IN PALO ALTO. FROM JANUARY THROUGH NOVEMBER, 2015, COMPREHENSIVE ORAL HEALTH CARE SERVICES WERE PROVIDED TO 2,161 UNDUPLICATED ADULTS AND 2,926 UNDUPLICATED CHILDREN THROUGH 12,771 DENTAL VISITS. 345 ORAL SURGERY VISITS WERE PROVIDED TO 107 UNDUPLICATED PATIENTS AND THEY SURPASSED THEIR PROPOSED OBJECTIVES TO INCREASE ACCESS TO ORAL SURGERY FOR CHILDREN AND DISABLED ADULTS BY 49%. THERE HAS BEEN AN INCREASE IN DENTAL VISITS BY 4% AS COMPARED TO 2014. ORAL HEALTH CARE SERVICES INCLUDE PREVENTIVE, RESTORATIVE, AND SURGICAL UNDER BOTH SEDATION AND GENERAL ANESTHESIA, EMERGENCY, PERIODONTAL AND PRENATAL. 66% OF THE PATIENTS RECEIVING DENTAL CARE ARE FROM HOUSEHOLDS WITH INCOMES 100% BELOW THE FEDERAL POVERTY LEVEL. THE MAJORITY ARE ETHNIC MINORITIES AND SPEAK A LANGUAGE OTHER THAN ENGLISH. SUTTER MATERNITY & SURGERY SANTA CRUZ: SUTTER MATERNITY & SURGERY CENTER PARTNERS WITH THE PALO ALTO MEDICAL FOUNDATION TO EXPAND ITS OWN PRIMARY CARE PHYSICIAN BASE SERVING SANTA CRUZ COUNTY. SMSC HAS COMMITTED $1.5 MILLION FOR FIVE YEARS TO THE SANTA CRUZ 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 true SANTA CRUZ WOMENS HEALTH CENTER 250 LOCUST ST SANTA CRUZ CA 95060 237428303 501(C)(3) 300000 GENERAL SUPPORT SAN MATEO COUNTY HEALTH FOUNDATION 222 W 39TH AVE SAN MATEO CA 94403 943116070 501(C)(3) 200000 GENERAL SUPPORT SOUTH COUNTY COMMUNITY HEALTH CENTER 1885 BAY RD E PALO ALTO CA 94303 943372130 501(C)(3) 200000 GENERAL SUPPORT SAMARITAN HOUSE 4031 PACIFIC BLVD SAN MATEO CA 94403 237416272 501(C)(3) 185000 GENERAL SUPPORT ALZHEIMERS DISEASE & RELATED DISORDERS ASSC 2290 NO 1ST ST STE 101 SAN JOSE CA 95131 942897949 501(C)(3) 10000 GENERAL SUPPORT BAY AREA LEGAL AID 1735 TELEGRAPH AVE OAKLAND CA 94612 941631316 501(C)(3) 10000 GENERAL SUPPORT CABRILLO COLLEGE FOUNDATION 6500 SOQUEL DR APTOS CA 95003 946121953 501(C)(3) 10000 GENERAL SUPPORT CALIFORNIA CLUBHOUSE INC 2205 PALM AVE SAN MATEO CA 94403 462909253 501(C)(3) 10000 GENERAL SUPPORT CAMINAR 2600 SO EL CAMINO REAL STE 200 SAN MATEO CA 94403 941639389 501(C)(3) 10000 GENERAL SUPPORT CHILD CARE COORDINATING COUNCIL SAN MATEO 700 SO CLAREMONT ST STE 107 SAN MATEO CA 94402 942226587 501(C)(3) 10000 GENERAL SUPPORT COASTSIDE ADULT DAY HEALTH CTR 925 MAIN STREET HALF MOON BAY CA 94019 942935784 501(C)(3) 10000 GENERAL SUPPORT CORA COMMNTY OVERCOMING RELATIONSHIP ABUSE PO BOX 4245 BURLINGAME CA 94011 942481188 501(C)(3) 10000 GENERAL SUPPORT EL CENTRO DE LIBERTAD 500 ALLERTON AVE 3RD FLR REDWOOD CITY CA 94063 943189174 501(C)(3) 10000 GENERAL SUPPORT FRIENDS FOR YOUTH INC 1741 BROADWAY REDWOOD CITY CA 94063 942961034 501(C)(3) 10000 GENERAL SUPPORT HEALTH CONNECTED 480 JAMES AVE REDWOOD CITY CA 94062 943227947 501(C)(3) 10000 GENERAL SUPPORT HUMAN INVESTMENT PROJECT INC 369 SO RAILROAD AVE SAN MATEO CA 94401 942154614 501(C)(3) 10000 GENERAL SUPPORT LEGAL AID SOCIETY OF SAN MATEO COUNTY 521 E 5TH AVE SAN MATEO CA 94402 941451894 501(C)(3) 10000 GENERAL SUPPORT NAT ALLIANCE FOR MENTAL ILL SAN MATEO CO 1037 ALAMEDA DE LAS PULGAS 1037 ALAMEDA DE LAS PULGAS BELMONT BELMONT CA 94002 942650681 501(C)(3) 10000 GENERAL SUPPORT NOTRE DAME DE NAMUR UNIVERSITY 1500 RALSTON AVE BELMONT CA 94002 941156646 501(C)(3) 10000 GENERAL SUPPORT OMBUDSMAN SERVICES OF SAN MATEO COUNTY INC 711 NEVADA ST REDWOOD CITY CA 94061 943397402 501(C)(3) 10000 GENERAL SUPPORT RAPE TRAUMA SERVICES 1860 EL CAMINO REAL STE 406 BURLINGAME CA 94010 943215045 501(C)(3) 10000 GENERAL SUPPORT ROTACARE BAY AREA INC 514 VALLEY WY MILPITAS CA 95035 770328723 501(C)(3) 10000 GENERAL SUPPORT UNITED WAY SANTA CRUZ PO BOX 1458 CAPITOLA CA 95010 941422471 501(C)(3) 7500 GENERAL SUPPORT BAY AREA CANCER CONNECTIONS 2335 EL CAMINO REAL PALO ALTO CA 94306 770417605 501(C)(3) 7000 GENERAL SUPPORT 24 SCHEDULE I, PART I, LINE 2 IN ORDER TO CLOSELY MONITOR EFFICIENCY AND EFFECTIVENESS, THE COMMUNITY BENEFIT FUNCTION OUTLINES MEASURABLE REPORTING (QUARTERLY, SIX-MONTH AND/OR YEAR-END), PROGRAM AND FUNDING REQUIREMENTS IN A MEMORANDUM OF UNDERSTANDING (MOU), BUSINESS SERVICES AGREEMENT (BSA), OR JOINT VENTURE AGREEMENT FOR EACH INVESTMENT MADE WITH A COMMUNITY PARTNER. WHERE IT IS DETERMINED NECESSARY, ADDITIONAL EFFORTS ARE MADE TO MONITOR EFFECTIVENESS AND EFFICIENCY OF INVESTMENTS, WHICH COULD INCLUDE: - QUARTERLY MEETINGS WITH COMMUNITY PARTNERS - E-MAIL AND TELEPHONIC COMMUNICATIONS WITH COMMUNITY PARTNERS - CONTINUED DIALOGUE WITH INVOLVED HOSPITAL STAFF AND COMMUNITY PARTNERS THROUGHOUT DURATION OF PROGRAM - SITE VISITS WITH COMMUNITY PARTNERS - BI-ANNUAL "OUTCOMES" SURVEY (6-MONTH AND YEAR-END OUTCOMES) - REVIEW OF HOSPITAL USAGE AND PATIENT LEVEL DATA - COLLECTION OF PATIENT STORIES AND NARRATIVES - COLLABORATIVE DISCUSSIONS AROUND AD-HOC SUCCESSES AND CHALLENGES THAT ARISE - REPORTING TO INCLUDE YEAR-END FINANCIAL SUMMARY THAT COMPARES ACTUAL EXPENDITURES TO THE FUNDED PROJECT'S BUDGET, INDICATING ANY UNUSED AMOUNT OF GRANT FUNDS. AT THE END OF EACH YEAR/REPORTING PERIOD, COMMUNITY BENEFIT ANALYZES FULL-YEAR DATA TO ENSURE COMMUNITY PARTNERS MET THE OBJECTIVES OUTLINED IN THE MOU OR BAA. IF THE COMMUNITY PARTNERS DID NOT REACH THE ANTICIPATED OUTCOMES, COMMUNITY BENEFIT WORKS TO UNDERSTAND WHAT CIRCUMSTANCES PREVENTED THE ORGANIZATION FROM NOT MEETING THE GOALS TO HELP IDENTIFY WAYS TO IMPROVE OR PERHAPS RE-EVALUATE WHAT SUCCESS OF THIS PROGRAM LOOKS LIKE, AND MAKES THE DETERMINATION TO CONTINUE OR TERMINATE FUNDING. X true true X X X X false true false false false false false true false JOHN GATES CFO BAY AREA 0 374117 0 120560 0 37224 0 219183 0 11869 0 762953 0 35503 JEFF GERARD PRESIDENT BAY AREA 0 489114 0 221667 0 68819 0 452952 0 12146 0 1244698 0 66419 SARAH KREVANS PRESIDENT & CEO, SH 0 891510 0 377585 0 111041 0 1577643 0 15685 0 2973464 0 100886 ROBERT MERWIN CEO ACUTE CARE HSPS (FMR OFCR) 0 0 0 0 0 136920 0 0 0 0 0 136920 0 0 KAREN HALL CHIEF LEGAL OFF. BAY AREA/SEC. 0 248992 0 82473 0 15184 0 152002 0 10368 0 509019 0 14824 SHASTA ADDESSI VP CLINICAL SERVICES 0 126631 0 12700 0 167 0 7446 0 10723 0 157667 0 0 DOLORES GOMEZ COO, MPHS 0 214667 0 62788 0 18335 0 54355 0 6807 0 356952 0 0 RANJIT HUNDAL MD CME, MPHS 0 228114 0 66500 0 3532 0 107845 0 5097 0 411088 0 0 CATHERINE MESSMAN CFO MPHS, SMSCSC 0 159498 0 42376 0 20321 0 27111 0 7419 0 256725 0 13248 JANET WAGNER CEO, MPHS 0 239588 0 93333 0 32353 0 198839 0 10210 0 574323 0 27233 DANIEL BECKER MEDICAL DIRECTOR, MPHS 0 222669 0 16612 0 2010 0 9086 0 13124 0 263501 0 0 TRACEY GAJDACS STAFF NURSE II 0 217855 0 0 0 1815 0 9086 0 5949 0 234705 0 0 GAIUS JARUDO STAFF NURSE II 0 204187 0 0 0 2044 0 9086 0 6424 0 221741 0 0 YONIS A MUDEY STAFF NURSE 0 194466 0 0 0 0 0 9086 0 8357 0 211909 0 0 ELIZABETH G WEBER VP, PATIENT EXPERIENCE 0 172663 0 18559 0 5412 0 9086 0 11071 0 216791 0 0 CARRIE OWEN-PLIETZ CEO SHSSR (FRMR KEY EMPLOYEE) 0 83191 0 105625 0 30776 0 40067 0 10213 0 269872 0 0 SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION: STANDARD POLICY FOR ALL SUTTER HEALTH EMPLOYEES IS THAT NON-CASH GIFTS AND AWARDS ARE GROSSED-UP FOR TAX PURPOSES. THE AMOUNT OF THE GROSS-UP IS ADDED TO THE EMPLOYEES WAGES AND TAXED ACCORDINGLY. SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF THIS ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTERS EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATIONS OVERALL MISSION. SEE SCHEDULE O NARRATIVE FOR PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTHS OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTERS PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403(B) EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PLAN BENEFITS CAPS HAVE THE EFFECT OF SUBSTANTIALLY REDUCING RETIREMENT BENEFITS THAT ARE OTHERWISE PROVIDED TO ALL EMPLOYEES. THE EFFECT IS THAT EXECUTIVES OFTEN DO NOT RECEIVE THE SAME LEVEL OF RETIREMENT BENEFIT ON AN INCOME REPLACEMENT BASIS AS OTHER EMPLOYEES. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT AND TO ADDRESS THE SHORTFALLS DESCRIBED ABOVE, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA HAS TWO PARTS: (1) 4% TO 7% OF BASE SALARY (COMMENSURATE WITH MANAGEMENT LEVEL), PLUS (2) A CONTRIBUTION STARTING AT 5% (BASED UPON TENURE) FOR ELIGIBLE EARNINGS BEYOND THE IRS DEFINITION OF INCLUDIBLE COMPENSATION ("PENSION PAY CAP"). THE LATTER OF WHICH IS DESIGNED TO HELP RESTORE LOST PENSION BENEFITS FORFEITED UNDER THE QUALIFIED PLAN FOR EARNINGS OVER THE PENSION PAY CAP LIMIT. CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457(F)) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65 WITH 22.5 YEARS OF SERVICE. TARGET BENEFIT LEVELS ARE DISCOUNTED FOR YEARS OF SERVICE LESS THAN 22.5 AT AGE 65. UNLIKE SUTTER HEALTHS QUALIFIED PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTERS NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. THE FOLLOWING INDIVIDUAL RECEIVED 457(F) NON-QUALIFIED PAYMENTS DURING THE YEAR: CARRIE OWEN-PLIETZ - $29,427 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% TO 10% OF GROSS ANNUAL SALARY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD UP TO 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTERS LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTHS OVERALL MISSION, VISION, AND VALUES, SUTTERS LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE. SCHEDULE J, PART II THE COMPENSATION BEING REPORTED IS AN ESTIMATE FOR THE PERIOD 1/1/16 TO 8/1/16. FULL 2016 COMPENSATION WILL BE REPORTED ON SUTTER BAY HOSPITAL'S 12/31/16 FORM 990. TRANSFER OF NET ASSETS DUE TO MERGER 2016-08-01 143026604 BOOK VALUE 940562680 SUTTER BAY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 501(C)(3) true true false false true true true true true false SCHEDULE N, PART I EFFECTIVE AUGUST 1, 2016 MILLS-PENINSULA HEALTH SERVICES (MPHS) 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, LINE 2A AND 2B CERTAIN OFFICERS, TRUSTEES, AND KEY EMPLOYEES OF MPHS IN 2016 WERE ALSO OFFICERS, TRUSTEES AND KEY EMPLOYEES OF SUTTER BAY HOSPITALS, THE TRANSFEREE ORGANIZATION, BEFORE THE MERGER OF SBH AND HAVE CONTINUED TO SERVE IN THOSE ROLES AFTER THE MERGER. SCHEDULE N, PART I, LINE 6C THE FILING ENTITY DID NOT ISSUE ANY TAX EXEMPT BONDS DIRECTLY. THE PARENT'S BOND PROCEEDS WERE USED BY THE FILING ORGANIZATION BUT UPON MERGER, THE LIABILITIES WERE ASSUMED BY THE SURVIVING ENTITY OF THE MERGER. FORM 990, PART I, LINE 1 AND PART III, LINE 1 MILLS-PENINSULA HEALTH SERVICES' MISSION IS TO ENHANCE THE WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. FORM 990, PART III, LINE 3 PROGRAM SERVICES THAT THE ORGANIZATION CEASED CONDUCTING MILLS-PENINSULA HEALTH SERVICES (MPHS) MERGED WITH AFFILIATED SUTTER BAY HOSPITALS (SBH) AS OF 08/01/2016. FORM 990, PART III, LINE 4A ORGANIZATIONS PROGRAM AND SERVICE ACCOMPLISHMENTS: ON AUGUST 1, 2016, MILLS PENINSULA HEALTH SERVICES MERGED INTO A RELATED 501(C)(3) ORGANIZATION, SUTTER BAY HOSPITALS. MILLS-PENINSULA HEALTH SERVICES CONTINUES TO BE A COMMITTED PARTNER WITH THE COMMUNITIES WE SERVE. THROUGH JULY 31, 2016, WE PROVIDED $2 MILLION IN CHARITY CARE AND $1 MILLION IN OTHER COMMUNITY BENEFIT ACTIVITIES. THROUGH JULY 31, 2016, MILLS-PENINSULA HAD A TOTAL OF 34,019 PATIENT DAYS. IT SERVED 7,797 INPATIENTS, MANAGED 28,352 VISITS TO THE ER, HANDLED 204,731 OUTPATIENT VISITS, AND PERFORMED 4,518 OUTPATIENT SURGERIES. OTHER HIGHLIGHTS: SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ (SMSC), A 30 BED ACUTE CARE HOSPITAL, IS AN AFFILIATE OF SUTTER HEALTH, WHICH IS A NOT-FOR-PROFIT NETWORK OF HEALTH CARE ORGANIZATIONS. THE MISSION OF SUTTER HEALTH IS TO ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. SUTTER HEALTH LEADS THE TRANSFORMATION OF HEALTH CARE TO ACHIEVE THE HIGHEST LEVELS OF QUALITY, ACCESS AND AFFORDABILITY. IN ADDITION TO BEING AN AFFILIATE OF SUTTER HEALTH, SUTTER MATERNITY & SURGERY CENTER IS AFFILIATED WITH PALO ALTO MEDICAL FOUNDATION, A PHYSICIAN GROUP OF MORE THAN 1,345; SERVING APPROXIMATELY 950,000 PATIENTS AT MORE THAN 50 LOCATIONS. SINCE OPENING IN 1996, SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ HAS PROVIDED TWO SERVICE LINES TO THE COMMUNITY, PERINATAL SERVICES AND SURGICAL SERVICES. THE HOSPITAL SPECIALIZES IN MINIMALLY INVASIVE SURGICAL TECHNIQUES, INCLUDING ROBOTIC-ASSISTED SURGERY, WHEN APPROPRIATE. SUTTER MATERNITY & SURGERY CENTER HAS A ROBUST CHARITY CARE PROGRAM, PROVIDING $500,000 IN CHARITY CARE THROUGH JULY 31, 2016. EFFECTIVE MAY 1, 2009, SUTTER MATERNITY & SURGERY CENTER CAME UNDER THE OWNERSHIP OF MILLS PENINSULA HEALTH SERVICES. THE SANTA CRUZ COMMUNITY BOARD RETAINS RESPONSIBILITY FOR ENSURING THAT THE CORPORATIONS FACILITIES, CAREGIVERS, RESOURCE ALLOCATION, AND PROCESSES OF CARE ARE RESPONSIVE TO THE CARE DELIVERY AND HEALTH STATUS NEEDS OF THE SANTA CRUZ COMMUNITY. THE SANTA CRUZ COMMUNITY BOARD IS COMPRISED OF 11 VOLUNTEER COMMUNITY MEMBERS, FOUR MEMBERS OF THE MEDICAL STAFF (INCLUDING THE CHIEF OF STAFF WHO IS EX OFFICIO), THE COO OF PAMF, SANTA CRUZ, AND TWO SUTTER HEALTH REPRESENTATIVES. THE HOSPITAL CHIEF ADMINISTRATIVE OFFICER AND THE PRESIDENT OF PAMF, SANTA CRUZ SERVE AS EX OFFICIO MEMBERS. MEMBERS ARE SELECTED TO ENSURE THAT A VARIETY OF PERSPECTIVES ARE AVAILABLE TO ADDRESS ISSUES FACING THE COMMUNITY. PROGRAMS AND ACTIVITIES - THE SANTA CRUZ WOMENS HEALTH CENTER, A LOCAL FQHC COMMUNITY CLINIC, OPENED, IN MAY 2014, A NEW CLINIC IN LIVE OAK, AND EXPANDED THEIR SERVICES TO UNDERSERVED MEN AND CHILDREN, AND REBRANDED THEMSELVES THE SANTA CRUZ COMMUNITY HEALTH CENTERS. SMSC HAS SUPPORTED THE NEW FACILITY BY INVESTING $1.5 MILLION OVER THE COURSE OF FIVE YEARS TO HELP WITH START-UP AND OPERATION OF THE NEW CLINIC, INCLUDING THE PEDIATRICS PROGRAM. - SMSC ALSO SUPPORTS SALUD PARA LA GENTE, AN FQHC OF SOUTHERN SANTA CRUZ COUNTY AND NORTHERN MONTEREY COUNTY. SALUD IS IN THE PROCESS OF EXPANDING ONE OF THEIR MAIN CLINICS IN DOWNTOWN WATSONVILLE, WHICH WILL ULTIMATELY ALLOW THEM TO INCREASE THEIR NUMBER OF PATIENTS SERVED FROM 26,000 TO ABOUT 36,000. THE GRANT TO SALUD PARA LA GENTE WILL BE $750,000 OVER FIVE YEARS. - SMSC, IN CONJUNCTION WITH THE CENTRAL CALIFORNIA ALLIANCE FOR HEALTH, PROVIDES A $10,000 SCHOLARSHIP ANNUALLY TO A UCSC HEALTH SCIENCES GRADUATE WHO HAS BEEN ACCEPTED TO MEDICAL SCHOOL AND EXPRESSES THE INTENTION TO RETURN TO THE AREA AND PROVIDE PRIMARY CARE SERVICES TO PATIENTS, INCLUDING MEDI-CAL, MEDICRUZ, AND MEDICARE PATIENTS. - SMSC AND PAMF CONTINUE TO SUPPORT THE ALLIED HEALTH PROFESSIONAL AND NURSING PROGRAMS AT CABRILLO COLLEGE. THIS INCLUDES SUPPORT FOR THE NURSING, RADIOLOGY TECH, AND MEDICAL ASSISTANT PROGRAMS. - SMSC AND PAMF WORK CLOSELY WITH THE SANTA CRUZ COUNTY HEALTH SERVICES AGENCY, THEIR MEDICRUZ PROGRAM, AND LOCAL COMMUNITY CLINICS TO PROVIDE FREE OR DISCOUNTED SERVICES FOR UNDERSERVED PATIENTS THAT NEED TO ACCESS BIRTHING PROGRAMS, MEDICAL/SURGICAL SERVICES AND SPECIALIST CARE. - SMSC IS A MEMBER OF THE HEALTH IMPROVEMENT PARTNERSHIP OF SANTA CRUZ COUNTY (HIPSCC), CONSISTING OF ALL COMMUNITY CLINICS, MEDICAL GROUPS AND HOSPITALS IN SANTA CRUZ COUNTY TO ENSURE A SOLID SAFETY NET OF HEALTH CARE SERVICES FOR SANTA CRUZ COUNTY RESIDENTS. MILLS-PENINSULA PARTICIPATES IN THE SAN MATEO COUNTY HOSPITAL CONSORTIUMS HEALTHY COMMUNITY COLLABORATIVE. PART OF THE COLLABORATIVE WORK IS TO CONDUCT COMMUNITY HEALTH ASSESSMENTS EVERY THREE YEARS. OUR COMMUNITY BENEFIT PROGRAMS ARE DESIGNED TO MEET NEEDS IDENTIFIED IN THE ASSESSMENTS. THE PROGRAMS BELOW ARE EXAMPLES OF THE SIGNIFICANT CONTRIBUTION MILLS-PENINSULA PROVIDES IN OUR COMMUNITY. - ONGOING SUPPORT FOR SENIORS THROUGH MILLS-PENINSULAS SENIOR FOCUS PROGRAM THAT PROVIDES ADULT DAY HEALTH CARE, ALZHEIMERS DAY CARE RESOURCE CENTER AND EDUCATION - ONGOING EXPANSION OF MILLS-PENINSULAS AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE EFFORTS TO PROVIDE HEALTH SCREENING AND EDUCATION TO UNDERSERVED POPULATIONS - ONGOING SUPPORT FOR SAMARITAN HOUSE, A KEY NON-PROFIT SAFETY NET AGENCY THAT PROVIDES MEDICAL CARE, HOUSING, FOOD AND JOB TRAINING FOR THE UNDERSERVED - GRANTS PROGRAM FOR COMMUNITY NON-PROFITS THAT IN 2016 PROVIDED $217,000 IN FUNDING FOR SPECIAL PROJECTS SENIOR FOCUS: THE PROPORTION OF ADULTS AGED 60 AND OLDER IN SAN MATEO COUNTY IS EXPECTED TO ROUGHLY DOUBLE OVER THE NEXT FOUR DECADES. AS THE FASTEST-GROWING POPULATION SEGMENT, THE HEALTH AND SOCIAL NEEDS OF OLDER ADULTS REQUIRE INCREASING ATTENTION. SENIOR FOCUS SERVES OLDER ADULTS AND THEIR FAMILIES IN SAN MATEO COUNTY, PROVIDING SERVICES ACROSS THE SPECTRUM FROM PREVENTION EDUCATION TO MEDICAL DAY CARE. THOUSANDS OF PEOPLE ARE SERVED ANNUALLY. HEALTH EDUCATION CLASSES AND SCREENINGS PROMOTE A HEALTHY LIFESTYLE AND HELP SENIORS PREVENT OR MANAGE DISEASE WHEN IT OCCURS. VOLUNTEER PROGRAMS HELP SENIORS MAINTAIN AN ACTIVE LIFESTYLE AND CONTRIBUTE TO THE NON-PROFITS IN THE COMMUNITY. THE ADULT DAY HEALTH AND ALZHEIMER'S PROGRAMS ONE OF ONLY TWO IN THE COUNTY PROVIDE MULTIDISCIPLINARY HEALTH CARE SERVICES IN AN OUTPATIENT SETTING, ALLOWING FRAIL OR IMPAIRED SENIORS TO REMAIN LIVING AT HOME INSTEAD OF IN INSTITUTIONS. CAREGIVER SUPPORT SERVICES INCLUDE CLASSES, SUPPORT GROUPS, ONE TO ONE COUNSELING, REFERRAL TO COMMUNITY RESOURCES AND A CAREGIVER LIBRARY. THE PROGRAMS ALSO PROVIDE LEARNING OPPORTUNITIES TO HEALTH CARE AND SOCIAL SERVICES PROFESSIONALS IN THE COMMUNITY AND THOSE WHO ARE SEEKING CAREERS IN THE FIELD OF AGING. OUR ONGOING GOAL IS TO ENSURE STABILITY OF THE PROGRAMS IN LIGHT OF STATE BUDGET CONSTRAINTS THAT REDUCED STATE FUNDING. SENIOR FOCUS WAS CHOSEN TO PARTICIPATE IN PARTNERSHIP WITH SAN MATEO COUNTY FOR A CMS-SPONSORED DUALS PILOT PROJECT WITH THE GOAL OF PROVIDING MORE EFFICIENT, COORDINATED CARE TO REDUCE INAPPROPRIATE HOSPITALIZATIONS. WE CONTINUE TO WORK WITH THE COUNTY AND APPROPRIATE ADVOCACY ORGANIZATIONS TO ADDITIONALLY CREATE AND IMPLEMENT PROGRAM REVISIONS THAT WILL HELP MAKE SERVICES SUSTAINABLE. HEALTH SCREENINGS AND EDUCATION FOR AFRICAN AMERICAN, HISPANIC AND PACIFIC ISLANDER POPULATIONS IN SAN MATEO COUNTY: MILLS-PENINSULAS AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE (AACHAC) HAS SINCE 1995 PARTNERED PRIMARILY WITH COMMUNITY CHURCHES AND GRASS-ROOTS ORGANIZATIONS TO ADDRESS THE HIGHER INCIDENCE OF CANCER, HEART DISEASE, DIABETES, ASTHMA AND OTHER CHRONIC DISEASES IN THE AFRICAN AMERICAN COMMUNITY WITH EDUCATION AND SCREENINGS FOR EARLY DETECTION. IN 2016, THE COMMITTEE PROVIDED 200 UNINSURED WOMEN WITH MAMMOGRAM SCREENINGS; THE COMMITTEE ALSO PROVIDED THE COMMUNITY WITH 88 PSA AND DRES, 353 BLOOD PRESSURE SCREENINGS, 175 GLUCOSE TESTS, 93 FLU VACCINES, 50 HIV TESTS, AND 15 HEPATITIS C VACCINES. THE ASIAN, HISPANIC AND PACIFIC ISLANDER POPULATIONS ARE AMONG THE FASTEST GROWING IN SAN MATEO COUNTY AND AS EVIDENCED IN THE LAST TWO COMMUNITY NEEDS ASSESSMENTS, THESE POPULATIONS ARE MORE LIKELY TO HAVE LIMITED ACCESS TO SCREENINGS THAT CAN PROVIDE EARLY DETECTION AND EDUCATION FOR HEALTHIER LIFESTYLES. THE COMMITTEES GOAL IS TO CONTINUALLY INCREASE ITS OUTREACH TO THE ASIAN, HISPANIC AND PACIFIC ISLANDER COMMUNITIES. THE COMMITTEES SUCCESSFUL EXPERIENCE IN THE AFRICAN AMERICAN COMMUNITY WAS BASED LARGELY ON THE RELATIONSHIPS COMMITTEE LEADERS ENJOYED WITH THE COMMUNITY ITSELF. THAT SAME APPROACH HAS BEEN APPLIED TO OUTREACH IN THE ASIAN, HISPANIC AND PACIFIC ISLANDER COMMUNITIES. IN EACH DEMOGRAPHIC SEGMENT, LEADERS ARE BEING IDENTIFIED AND ARE ENCOURAGED TO CONTRIBUTE TO THE DEVELOPMENT OF CULTURALLY COMPETENT OUTREACH PROGRAMS AND SERVICES. FORM 990, PART III, LINE 4A (CONTINUED) THE AACHAC HAS ENJOYED EXTRAORDINARY SUCCESS IN ITS WORK. 1,062 PEOPLE WERE SCREENED FOR BREAST CANCER, HEART DISEASE, DIABETES AND OTHER HEALTH CONCERNS, AND ANOTHER 5,000 HAVE BEEN REACHED THROUGH ITS EDUCATIONAL PROGRAMS, SOCIAL MEDIA AND INDIVIDUAL CONTACT. SUPPORT FOR OUTPATIENT SERVICES FOR PEOPLE WHO HAVE NO INSURANCE: AS PART OF CHARITY CARE, MILLS-PENINSULA PROVIDES ONGOING FINANCIAL AND IN-KIND SERVICES FOR SAMARITAN HOUSE, A PRIVATE NONPROFIT ORGANIZATION THAT HELPS SERVE MORE THAN 12,000 LOW-INCOME PEOPLE WITHIN SAN MATEO COUNTY WITH A FULL SPECTRUM OF SERVICES INCLUDING A MEDICAL CLINIC STAFFED BY VOLUNTEERS. MILLS-PENINSULA PHYSICIANS VOLUNTEER THEIR TIME AND SERVICES, AND MILLS-PENINSULA PROVIDES IN-KIND SERVICES INCLUDING RADIOLOGY. IN 2016, THERE WERE 4,464 PATIENT VISITS TO SAMARITANS HOUSE HEALTH CLINICS. THE ESSENTIAL WORK OF SAMARITAN HOUSE CONTINUES STRONG EVEN THROUGH FUNDING REDUCTIONS. THE PROGRAM PROVIDES AN ESSENTIAL LAYER OF INFRASTRUCTURE IN THE HEALTH CARE SYSTEM. COMMUNITY GRANTS PROGRAM (2016 CONTRIBUTION $217,000): MILLS-PENINSULAS COMMUNITY GRANTS PROGRAM PROVIDES GRANTS OF $5,000 TO $15,000 EACH YEAR TO HELP WITH SPECIAL HEALTH-RELATED PROJECTS PROPOSED BY LOCAL NONPROFIT ORGANIZATIONS. THIS FUNDING IS PART OF OUR OVERALL GOAL TO HELP CREATE AND SUSTAIN A STRONG SUPPORT SYSTEM FOR THE UNDERSERVED IN OUR COMMUNITY. IN 2016, THE FOLLOWING 25 ORGANIZATIONS RECEIVED FUNDING FOR THEIR PROJECTS: ACKNOWLEDGE ALLIANCE ALZHEIMERS ASSOCIATION BAY AREA CANCER CONNECTIONS BAY AREA LEGAL AID BOYS & GIRLS CLUB OF NORTH SAN MATEO COUNTY CALIFORNIA CLUBHOUSE INC. CAMINAR FOR MENTAL HEALTH CENTER FOR INDEPENDENCE OF INDIVIDUALS WITH DISABILITIES CHILD CARE COORDINATING COUNCIL (4CS) COASTSIDE ADULT DAY HEALTH CENTER CORA EL CENTRO DE LIBERTAD FRIENDS OF YOUTH HEALTH CONNECTED (FORMERLY TEEN TALK SEXUALITY) HIP HOUSING LEGAL AID SOCIETY OF SAN MATEO COUNTY LIFE MOVES (FORMERLY INNVISION SHELTER NETWORK) MID-PENINSULA BOYS AND GIRLS CLUB NAMI OF SAN MATEO COUNTY NOTRE DAME DE NAMUR UNIVERSITY OMBUDSMAN SERVICES OF SAN MATEO COUNTY PARCA PENINSULA JEWISH COMMUNITY CENTER RAPE TRAUMA SERVICE REBUILDING TOGETHER PENINSULA 2016 AWARDS AND ACCOMPLISHMENTS: - FOR THE FIFTH YEAR IN A ROW, MILLS-PENINSULA RECEIVED THE 2015 AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS STROKE GOLD PLUS AWARD FOR HIGH QUALITY STROKE CARE. THE AWARD RECOGNIZES MILLS-PENINSULA FOR TREATING STROKE PATIENTS WITH 85 PERCENT OR HIGHER COMPLIANCE TO AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION STANDARDS OF CARE FOR AT LEAST TWO CONSECUTIVE YEARS AND ACHIEVING 75 PERCENT OR HIGHER COMPLIANCE WITH SEVEN OF 10 STROKE QUALITY MEASURES IN THE GET WITH THE GUIDELINES PROGRAM. FOR THE THIRD YEAR IN A ROW, MILLS-PENINSULA ALSO RECEIVED THE TARGET: STROKE HONOR ROLL RECOGNITION FOR QUICKLY TREATING STROKE PATIENTS WITH TISSUE PLASMINOGEN ACTIVATOR (TPA), THE DRUG THAT BREAKS UP CLOTS THAT CAUSE A STROKE. THE HONOR ROLL DESIGNATION MEANS THAT DURING THE PAST QUARTER, AT LEAST 50 PERCENT OF MILLS-PENINSULAS ELIGIBLE ISCHEMIC STROKE PATIENTS RECEIVED TPA WITHIN 60 MINUTES OF ARRIVAL TO THE HOSPITAL. - THE JOINT COMMISSION NAMED MILLS-PENINSULA HEALTH SERVICES A 2014 TOP PERFORMER ON KEY QUALITY MEASURES. THE TOP PERFORMER PROGRAM RECOGNIZES HOSPITALS FOR IMPROVING PERFORMANCE ON INTERVENTIONS THAT INCREASE THE CHANCES OF HEALTHY OUTCOMES FOR PATIENTS. MILLS-PENINSULA WAS RECOGNIZED FOR EXCELLENCE IN ACCOUNTABILITY MEASURES FOR HEART ATTACK, HEART FAILURE, PNEUMONIA, SURGICAL CARE AND PERINATAL CARE. - HEALTHGRADES RECOGNIZED MILLS-PENINSULA HEALTH SERVICES WITH THE 2015 AMERICAS 50 BEST HOSPITALS AWARD. THE DISTINCTION PLACES MILLS-PENINSULA AMONG THE TOP ONE PERCENT OF NEARLY 4,500 HOSPITALS NATIONWIDE FOR CONSISTENT, YEAR-OVER-YEAR SUPERIOR CLINICAL PERFORMANCE AS MEASURED BY HEALTHGRADES. MILLS-PENINSULA WAS FURTHERED SINGLED OUT BY HEALTHGRADES FOR CLINICAL EXCELLENCE IN CARDIAC CARE. - U.S. NEWS & WORLD REPORT NAMED MILLS-PENINSULA TO ITS LIST OF BEST HOSPITALS IN CALIFORNIA AND THE SAN FRANCISCO METRO AREA FOR HIGH PERFORMANCE IN HEART FAILURE, HIP, KNEE REPLACEMENT. THE ANNUAL U.S. NEWS RANKINGS RECOGNIZE HOSPITALS THAT EXCEL IN TREATING THE MOST CHALLENGING PATIENTS. - MILLS-PENINSULA WAS NAMED TO THE U.S. NEWS & WORLD REPORT LIST OF THE MOST CONNECTED HOSPITALS FOR 2015-16. MILLS-PENINSULA WAS ONE OF 159 MEDICAL CENTERS ACROSS THE COUNTRY RECOGNIZED FOR USE OF DIGITAL TECHNOLOGY IN HEALTH CARE. TO QUALIFY, THE HOSPITALS DEMONSTRATED THE ABILITY TO SHARE DATA WITH PROVIDERS, IMPROVE PATIENT SAFETY THROUGH COMPUTERIZATION AND ENGAGE PATIENTS IN THEIR CARE THROUGH ELECTRONIC ACCESS TO THEIR OWN MEDICAL INFORMATION. - PRESS GANEY RECOGNIZED MENLO PARK SURGICAL HOSPITAL WITH THE 2015 GUARDIAN OF EXCELLENCE AWARD FOR PATIENT SATISFACTION. THIS AWARD IS A NATIONALLY RECOGNIZED SYMBOL OF ACHIEVEMENT IN HEALTH CARE RECOGNIZING TOP-PERFORMING FACILITIES THAT CONSISTENTLY ACHIEVED THE 95TH PERCENTILE OF PERFORMANCE IN PATIENT EXPERIENCE. THIS HONOR IS AWARDED ANNUALLY BASED ON ONE YEAR OF DATA. - MEDICAL VALUE INDEX RANKED MILLS-PENINSULA HEALTH SERVICES NUMBER ONE IN THE BAY AREA FOR VALUE DELIVERED TO PATIENTS. THE MEDICAL VALUE INDEX USES PUBLICLY AVAILABLE CLINICAL AND COST DATA REPORTED TO MEDICARE TO CREATE A SCORE FOR EACH HOSPITAL THAT MEASURES A COMBINATION OF PATIENT SATISFACTION, CLINICAL QUALITY AND PRICE. FORM 990, PART VI, LINES 6 & 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B DESCRIPTION OF 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 THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THIS CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THIS CORPORATION; PROVIDED, HOWEVER, THAT IN RESPONDING TO BUDGETS PROPOSED BY THIS CORPORATION, THE GENERAL MEMBER SHALL ACCOMMODATE THIS CORPORATION'S OBLIGATIONS UNDER ITS LEASE OF HOSPITAL PREMISES AS DESCRIBED IN SECTION 4 OF THE ORGANIZATION'S BYLAWS; D. ADOPTION OF CAPITAL BUDGETS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; PROVIDED, HOWEVER, THAT IN RESPONDING TO BUDGETS PROPOSED BY THIS CORPORATION, THE GENERAL MEMBER SHALL ACCOMMODATE THIS CORPORATION'S OBLIGATIONS UNDER ITS LEASE OF HOSPITAL PREMISES AS DESCRIBED IN SECTION 4 OF THE ORGANIZATION'S BYLAWS; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL. FORM 990, PART VI, LINE 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR THE GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. FORM 990, PART VI, LINE 12 DESCRIPTION OF THE 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. 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 8/1/16. 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) $ (53,846,161) PARTNERSHIP INCOME ON BOOKS $ 587,021 K-1 ORDINARY INCOME $ (522,384) K-1 1231 LOSS $ 9,378 OTHER CHANGES $ 3,399 TRANSFER TO SUTTER BAY HOSPITALS FOR MERGER $(143,026,604) =============== $(196,795,351) ADOLESCENT TREATMENT CENTERS INC C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680088443 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true BETTER HEALTH EAST BAY FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 510160184 FUNDRAISING CA 501(C)(3) 7 SUTTER EBH true CALIFORNIA PACIFIC MEDICAL CTR FOUND C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942728423 FUNDRAISING CA 501(C)(3) 7 SUTTER BH true EAST BAY PERINATAL CENTER 3012 SUMMIT STREET 3RD FLOOR OAKLAND CA 94609 510172285 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true EDEN MEDICAL CENTER C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942948100 HEALTHCARE CA 501(C)(3) 9 SUTTER HLTH true MEMORIAL HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942290244 FUNDRAISING CA 501(C)(3) 11a - I SUTTER CVH true MILLS-PENINSULA HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 237288765 FUNDRAISING CA 501(C)(3) 7 MPHS 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 true SAMUEL MERRITT UNIVERSITY 450 30TH STREET STE 2840 OAKLAND CA 94609 942992642 UNIVERSITY CA 501(C)(3) 2 SUTTER EBH true SUTTER AUBURN FAITH HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942594966 FUNDRAISING CA 501(C)(3) 7 SUTTER VH 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 true SUTTER COAST HOSPITAL C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942988520 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER DAVIS HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680217870 FUNDRAISING CA 501(C)(3) 7 SUTTER VH 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 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 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 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 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 true SUTTER VALLEY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 941156621 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH 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 true SUTTER MEDICAL CENTER FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942788906 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER VALLEY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680273974 HEALTHCARE CA 501(C)(3) 11b - 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