2016-11-09T16:45:28-06:00 2015-12-31 ERNST & YOUNG US LLP 4370 LA JOLLA VILLAGE DR STE 500 SAN DIEGO CA 92122 990 2015-01-01 941156621 SUTTER HEALTH SACRAMENTO SIERRA REGION % CARLA WHITE-SNYDER SUTT 9162866665 C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 PAIGE TERRA CFO 2016-11-04 true DEBRA HEISKALA P00649485 8585357200 2015 2017-02-10 21:41:12Z X JAMES CONFORTI C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95816 2101387655 false X WWW.SUTTERHEALTH.ORG X 1935 CA SEE SCHEDULE O 17 12 10030 1159 336211 -604835 11938059 8857818 1935783239 2085904099 3481561 1064782 3552356 3029804 1954755215 2098856503 4149472 9782824 0 0 889426297 976027857 0 0 88186 871558764 1065839883 1765134533 2051650564 189620682 47205939 1866955706 1855081331 1199059743 1139660646 667895963 715420685 X SEE SCHEDULE O false false 1793802192 9880004 2085904099 SEE SCHEDULE O 1793802192 true true false false false false false false false true true false false false true true false true false false false false false false true false true true true false true true false false false false false false false false true true true false false false false true true true false false true 981 0 true 10030 true true true false false false false true true false false false false X 17 12 false false true false true true true true true false false true true true true true true true true true true CA X CARLA WHITE-SNYDER 9162979847 9100 FOOTHILLS BLVD ROSEVILLE CA 95747 David Adkins MD Trustee (Part Year) 2.0 2.0 X 0 0 0 Timothy Byrd Trustee (Part Year) 2.0 2.0 X 0 0 0 James Conforti Regional President, SHSSR 40.0 4.0 X X 0 1358530 401195 Viva Ettin Trustee 2.0 2.0 X 0 0 0 Beverly M Finley Trustee (Part Year) 2.0 2.0 X 0 0 0 Patrick Fry President & CEO SH (PART YEAR) 2.0 40.0 X 0 3841745 3627909 Gary Hooper Trustee, Chair F&P (PART YEAR) 4.0 4.0 X X 0 0 0 Scott Howell Trustee 2.0 2.0 X 0 0 0 I-Mei Hsiu MD Trustee (Part Year) 2.0 2.0 X 0 0 0 Peter Hull MD Trustee 2.0 2.0 X 208000 0 0 Christopher Johnson Trustee (Part Year) 2.0 2.0 X 0 0 0 Richard Kramer Trustee (Part Year) 2.0 2.0 X 0 0 0 Sarah Krevans PRES & COO SH, ASST SEC. SHSSR 2.0 40.0 X X 0 2077694 496140 Pat Fong Kushida Trustee (Part Year) 2.0 2.0 X 0 0 0 Ted Leland PHD Trustee (Part Year) 2.0 2.0 X 0 0 0 Marion Leff MD Trustee (Part Year) 2.0 2.0 X 0 0 0 Jerry May PHD Trustee (PART YEAR) 4.0 4.0 X 0 0 0 Mike Newell Trustee, Chair 4.0 4.0 X X 0 0 0 Pat Pathipati Trustee 2.0 2.0 X 0 0 0 Fatima Seward Trustee, Chair F&P (PART YEAR) 4.0 2.0 X X 0 0 0 Kurt Shuler MD Trustee 2.0 2.0 X 0 0 0 Todd Smith MD Trustee (Part Year) 2.0 2.0 X 0 27500 0 Paige Stauss Trustee (Part Year) 2.0 2.0 X 0 0 0 Helen Thomson Trustee, Vice-Chair (PT YR) 4.0 2.0 X X 0 0 0 Paige Terra CONTROLLER, SHSSR 20.0 20.0 X 0 663502 127355 PENNY WESTFALL VP & REG COUNSEL, SSR 40.0 4.0 X 0 545472 112211 Thomas Blinn CEO, Reg Amb Care, SRR 20.0 20.0 X 0 859309 186074 Pat Brady CEO, Sutter Roseville Med. Ctr 40.0 0.0 X 0 893364 194884 Dennie Conrad REG VP, PLNNG & BUS DEV SHSSR 40.0 0.0 X 0 472356 80843 Terry Glubka CEO, Sutter Solano Medical Ctr 40.0 0.0 X 0 681570 133948 Mitch Hanna CAO, SAFH 40.0 0.0 X 0 625417 126969 Jennifer Maher CEO, Sutter Davis Hospital 40.0 0.0 X 0 323738 74932 Carrie Owen-Plietz CEO, Sutter Med Ctr Sacramento 40.0 0.0 X 0 908913 164454 Anne Platt CEO, SUTTER AMADOR HOSPITAL 40.0 0.0 X 0 474055 99894 Thomas Ream II Reg CIO, Sac Sierra Region 40.0 0.0 X 0 433687 60467 John Boyd CAO, MNTL HLTH & CONT CARE SSR 40.0 0.0 X 0 454967 96865 Shelly McGriff CNE Sutter Med Ctr Sac. 40.0 0.0 X 0 439544 50077 John Mesic MD CMO, Sac Sierra Region 40.0 0.0 X 0 838603 172370 BARBARA NELSON CNE, SUTTER ROSEVILLE MED. CTR 40.0 0.0 X 0 424423 66979 Jeffrey Szczesny Reg VP HR, Sac Sierra Region 40.0 0.0 X 0 627206 108540 Jeff Sprague SVP & CFO, SHSSR (FMR OFFICER) 0.0 40.0 X 0 1264833 516068 Janet Wagner CEO MILLS PNSLA DIV (FMR KEY) 0.0 40.0 X 0 689868 145527 208000 18926296 7043701 3058 true true false TOWERS WATSON DELAWARE INC 28025 NETWORK PL CHICAGO IL 606731280 CONSULTING SERVICES 16793546 AMN HEALTHCARE INC FILE 56157 LOS ANGELES CA 900746157 STAFFING SERVICES 16141778 SANTA ROSA CONSULTING INC PO BOX 347747 PITTSBURGH PA 152514747 MANAGEMENT SERVICES 15512813 UNGER CONSTRUCTION COMPANY 910 X STREET SACRAMENTO CA 95818 CONSTRUCTION SRVCS 10454724 ACUTE CARE SURGERY MEDICAL GROUP PO BOX 1528 SACRAMENTO CA 95812 MEDICAL SERVICES 5669105 240 50186 6050188 1319042 1438402 681407 8857818 PATIENT SERVICE REVENUE 621110 2080264279 2080264279 RENTAL TO AFFILIATES 621110 5319029 5319029 ROSEVILLE ENDOSCOPY 621110 394805 394805 SUTTER AMADOR SURGERY 621110 -74014 -74014 2085904099 1043018 1043018 0 0 5190917 2505541 2685376 0 2685376 2685376 25000 3236 21764 21764 21764 27022 50186 22375 4647 4647 3570 3570 3570 0 UBI - LABORATORY 621500 62228 62228 UBI - PARKING 812930 145616 145616 UBI - TELECOM 517000 128367 128367 336211 2098856503 2085904099 336211 3758375 9782824 9782824 0 0 0 11570572 11570572 111223 111223 634698250 549273625 85379695 44930 35540806 30209685 5331121 240192011 204138370 36024418 29223 53914995 45827746 8087249 8512274 8512274 994987 994987 87487 87487 0 0 340539 340539 111244179 92002595 19241584 1134810 1126186 8624 45578054 34531279 11044019 2756 68472582 67004936 1467646 0 27413004 27413004 1565535 1251915 312979 641 0 659418 591642 67776 29946052 29946052 0 96045559 96045559 13860385 11678489 2181896 MEDICAL SUPPLIES 291786580 289942540 1838211 5829 PURCHASED SERVICES 218197229 186507768 31689461 HOSPITAL PROVIDER FEES 89176986 89176986 SYSTEM ALLOCATIONS 23548960 23548960 37275263 27239768 10030688 4807 2051650564 1793802192 257760186 88186 0 0 83587028 43617450 75869 244967 270450987 299431571 0 0 0 0 0 0 26151250 26905318 11072282 15447926 2314279432 943262701 1290333370 1371016731 27042041 10476227 0 0 976468 916057 0 0 157266411 87025084 1866955706 1855081331 252113401 213312877 0 0 0 0 931085770 913286407 0 0 0 0 4795321 4931970 0 0 11065251 8129392 1199059743 1139660646 X 665425208 713841877 2470755 1578808 0 0 667895963 715420685 1866955706 1855081331 X 47205939 27610 291173 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19993368 408961 -670838 557657 19173834 20085053 999 293955 386639 19993368 17651842 151996 1678960 335757 19147041 16233588 1009 1935574 518329 17651842 17264360 1279 -456995 575056 16233588 0.53190 0.37910 0.08900 false true true 45258024 45258024 1503497178 532684321 970812857 19489223 10425045 9064178 515304711 362183739 153120972 230730296 37969596 192760700 1371016731 0 INSURANCE LIABILITIES 5231396 THIRD PARTY SETTLEMENTS 1054765 OTHER LIABILITIES 1843231 8129392 X SCHEDULE D, PART V, LINE 1A, COLUMN (B) PRIOR YEAR'S BEGINNING BALANCE INCLUDES A PRIOR YEAR ADJUSTMENT TO THE AUDITED FINANCIALS IN THE AMOUNT OF $938,012. SCHEDULE D, PART V, LINE 4 ENDOWMENTS ARE HELD BY RELATED FUNDRAISING ORGANIZATIONS FOR THE EXCLUSIVE PURPOSE OF VARIOUS PROGRAMS OF SUTTER HEALTH SACRAMENTO SIERRA REGION. SCHEDULE D, PART X, LINE 2 THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2015 AND 2014, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. THEME BALL 77208 50186 27022 2207 11206 2400 6562 0 77208 50186 27022 2207 11206 2400 6562 22375 4647 true true X true X 400. true true false true true 16038403 16038403 0.00780 586215622 384248229 201967393 0.09840 21095051 10986460 10108591 0.00490 623349076 395234689 228114387 0.11110 19 3330965 3330965 0.00160 12 3236401 1020083 2216318 0.00110 6 3237657 3237657 0.00160 6 2191048 1495061 695987 0.00030 28 12258266 12258266 0.00600 71 24254337 2515144 21739193 0.01060 71 647603413 397749833 249853580 0.12170 false 7270677 467650131 575158707 -107508576 X true true SUTTER AMADOR SURG C MEDICAL SERVICES 0.32 0.3 9 1 SUTTER GENERAL HOSPITAL 2801 L STREET SACRAMENTO CA 95816 www.checksutterfirst.org License #030000102 X X X A 2 SUTTER ROSEVILLE MEDICAL CENTER ONE MEDICAL PLAZA ROSEVILLE CA 956613037 WWW.SUTTERROSEVILLE.ORG LICENSE #030000083 X X X A 3 SUTTER MEMORIAL HOSPITAL 5151 F STREET SACRAMENTO CA 95819 www.checksutterfirst.org LICENSE #030000102 X X X A 4 SUTTER SOLANO MEDICAL CENTER 300 HOSPITAL DRIVE VALLEJO CA 945892574 WWW.SUTTERSOLANO.ORG LICENSE #110000082 X X X A 5 SUTTER AUBURN FAITH HOSPITAL 11815 EDUCATION STREET AUBURN CA 956022410 WWW.SUTTERAUBURNFAITH.ORG LICENSE #030000012 X X X A 6 SUTTER CENTER FOR PSYCHIATRY 7700 FOLSOM STREET SACRAMENTO CA 958262608 www.checksutterfirst.org LICENSE #030000347 X A 7 SUTTER AMADOR HOSPITAL 200 MISSION BLVD JACKSON CA 956422564 WWW.SUTTERAMADOR.ORG LICENSE #030000008 X X X A 8 SUTTER DAVIS HOSPITAL 2000 SUTTER PLACE DAVIS CA 956166201 WWW.SUTTERDAVIS.ORG LICENSE #030000124 X X X A 9 SUTTER MED CTR SAC WOMEN & CHILDRENS 2825 CAPITOL AVENUE SACRAMENTO CA 956165616 WWW.CHECKSUTTERFIRST.ORG LICENSE #030000102 X X X A 18 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 false true X 400. 0. X X true true X X X X true X X X X X X true X false X X X X true X X false false SUTTER MED CTR SAC WOMEN & CHILDRENS 9 true true false false true X 400. 0. X X true true X X X X true X X X X X X true X false X X X X true X X false false REPORTING FACILITY: A SCHEDULE H, PART V, SECTION B, LINE 5 SUTTER MEDICAL CENTER SACRAMENTO (A, 1, 3 & 6): SUTTER MEDICAL CENTER SACRAMENTO INCLUDES THE FOLLOWING FACILITIES LISTED IN PART V SECTION A: SUTTER GENERAL HOSPITAL, SUTTER MEMORIAL HOSPITAL, AND SUTTER CENTER FOR PSYCHIATRY. IN CONDUCTING ITS MOST RECENT CHNA, SUTTER MEDICAL CENTER SACRAMENTO, A FACILITY OF SUTTER HEALTH SACRAMENTO SIERRA REGION (SSR), DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). KEY INFORMANTS ARE HEALTH AND COMMUNITY EXPERTS FAMILIAR WITH POPULATIONS AND GEOGRAPHIC AREAS RESIDING WITHIN THE HSA. TO GAIN A DEEPER UNDERSTANDING OF THE HEALTH ISSUES PERTAINING TO CHRONIC DISEASE AND THE POPULATIONS LIVING IN THESE VULNERABLE COMMUNITIES, INPUT FROM 40 KEY INFORMANTS WAS GATHERED THROUGH INTERVIEWS CONDUCTED USING A THEORETICALLY GROUNDED INTERVIEW GUIDE. EACH INTERVIEW WAS RECORDED AND THOROUGH CONTENT ANALYSIS WAS CONDUCTED TO IDENTIFY KEY THEMES AND IMPORTANT POINTS PERTAINING TO EACH GEOGRAPHIC AREA. FINDINGS FROM THESE INTERVIEWS WERE USED TO HELP IDENTIFY COMMUNITIES IN WHICH FOCUS GROUPS WOULD MOST APTLY BE PERFORMED. INTERVIEWS WERE CONDUCTED WITH THE FOLLOWING PEOPLE: - KATY ROBB AND DANIELLE LAWRENCE, SOCIAL WORKERS FOR MUTUAL ASSISTANCE ORGANIZATION WITH EXPERTISE IN COMMUNITY HEALTH AND SOCIAL SUPPORT SERVICES. (INTERVIEW DATE: 4/20/12) - CHRISTINE GONZALES, FAMILY RESOURCE CENTER (FRC) COORDINATOR AND MICHELLE ALLEE, TEAM LEADER FOR BIRTH AND BEYOND - THE EFFORT NORTH HIGHLANDS WITH EXPERTISE IN COMMUNITY HEALTH SERVICES. (INTERVIEW DATE: 4/27/12) - GINA WARREN, PHARMACIST FOR PRIMARY HEALTH SERVICES WITH EXPERTISE IN CHRONIC DISEASE MANAGEMENT AND COMMUNITY HEALTH. (INTERVIEW DATE: 5/7/12) - ROMAN ROMASO, EXECUTIVE DIRECTOR FOR SLAVIC ASSISTANCE NETWORK WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 4/27/12) - GENEVIEVE DIEGNAN, PROGRAM DIRECTOR FOR SACRAMENTO FOOD BANK WITH EXPERTISE IN COMMUNITY SUPPORT SERVICES. (INTERVIEW DATE: 4/1/12) - MARTY KEALE, EXECUTIVE DIRECTOR FOR CAPITOL COMMUNITY HEALTH NETWORK WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 5/2/12) - DR. PATRICIA SAMUELSON, PHYSICIAN FOR MERCY CLINIC NORWOOD WITH EXPERTISE IN COMMUNITY CLINIC SERVICES. (INTERVIEW DATE: 5/11/12) - ABRAHAM DANIELS, PROGRAM OFFICER FOR SIERRA HEALTH FOUNDATION WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 5/15/12) - CAROLYN MARTIN, EXECUTIVE DIRECTOR FOR CALIFORNIA TOBACCO CONTROL ALLIANCE WITH EXPERTISE IN TOBACCO PREVENTION. (INTERVIEW DATE: 5/22/12) - SISTER LIBBY FERNANDEZ, EXECUTIVE DIRECTOR FOR LOAVES AND FISHES HOMELESS CLINIC WITH EXPERTISE IN COMMUNITY HEALTH AND HOMELESSNESS. (INTERVIEW DATE: 5/5/12) - HEALTH NAVIGATORS GROUP FOR CAPITOL COMMUNITY HEALTH NETWORK WITH EXPERTISE IN COMMUNITY HEALTH AND PATIENT NAVIGATION. (INTERVIEW DATE: 5/29/12) - CAROL MENNEL, NURSING ADMINISTRATOR FOR MERCY SAN JUAN WITH EXPERTISE IN EMERGENCY CARE. (INTERVIEW DATE: 5/29/12) - DR. OLIVIA KASIRYE, PUBLIC HEALTH OFFICER FOR SACRAMENTO COUNTY WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 5/30/12) - DR. LEONARD RANASINGHE, PHYSICIAN FOR NATOMAS CROSSROADS CLINIC WITH EXPERTISE IN COMMUNITY HEALTH CLINICS. (INTERVIEW DATE: 6/2/12) - CAROL MOSES, PASTOR AND DENISE ALDRED, MANAGER FOR NATOMAS CROSSROADS CLINIC WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 6/2/12) - MARCELLA GONSALVES, PROGRAM ADMINISTRATOR FOR HEALTH EDUCATION COUNCIL WITH EXPERTISE IN COMMUNITY HEALTH PROMOTION (INTERVIEW DATE: 6/11/12) - DR. JONATHAN PORTEUS, CEO FOR THE EFFORT, INC. WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 6/11/12) - ROBERT SANGER, EXECUTIVE DIRECTOR FOR FOLSOM CORDOVA COMMUNITY PARTNERSHIP WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 6/11/12) - KOUA FRANZ, CHIEF FAMILY AND COMMUNITY ENGAGEMENT CENTER OFFICER FOR SACRAMENTO CITY UNIFIED SCHOOL DISTRICT WITH EXPERTISE IN SCHOOL AND FAMILY HEALTH. (INTERVIEW DATE: 6/13/12) - DR. CATHERINE VIGRAN, PHYSICIAN FOR KAISER PERMANENTE WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 6/14/12) - SENG VANG, STAFF, AND PENNY LO, PROGRAM MANAGER, FOR HMONG WOMEN'S HERITAGE ASSOCIATION WITH EXPERTISE IN COMMUNITY HEALTH AND SOCIAL SUPPORT SERVICES IN HMONG POPULATION. (INTERVIEW DATE: 4/23/12) - TASHA BRYANT, MANAGER OF CLOTHING PROGRAM AND LORENA CARRANZA, MANAGER OF PARENT EDUCATION PROGRAM FOR SACRAMENTO FOOD BANK WITH EXPERTISE IN COMMUNITY SUPPORT SERVICES. (INTERVIEW DATE: 4/30/12) - JULIE DEBBS, PROGRAM COORDINATOR FOR COMMUNITIES AGAINST SEXUAL HARM WITH EXPERTISE IN COMMUNITY VIOLENCE AND HEALTH PROMOTION. (INTERVIEW DATE: 5/2/12) - DR. MAYA LEGGETT, TRAUMA SURGEON FOR KAISER PERMANENTE WITH EXPERTISE IN EMERGENCY HEALTH CARE. (INTERVIEW DATE: 5/31/12) - STEPHANIE NGUYEN, EXECUTIVE DIRECTOR FOR ASIAN RESOURCES WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 5/31/12) - DR. MELISSA BAYNE, PHYSICIAN, DEANGELO MACK AND DUANTE MOORE OF SACRAMENTO VIOLENCE INTERVENTION PROGRAM WITH EXPERTISE IN COMMUNITY VIOLENCE PREVENTION. (INTERVIEW DATE: 6/6/12) - MARCELLA GONSALVES, PROGRAM ADMINISTRATOR FOR HEALTH EDUCATION COUNCIL WITH EXPERTISE IN COMMUNITY HEALTH PROMOTION. (INTERVIEW DATE: 6/11/12) MEMBERS OF THE COMMUNITY REPRESENTING DEMOGRAPHIC SUBGROUPS, DEFINED AS GROUPS WITH UNIQUE ATTRIBUTES (RACE & ETHNICITY, AGE, SEX, CULTURE, LIFESTYLE, OR RESIDENTS OF A PARTICULAR AREA OF THE HSA), WERE RECRUITED TO PARTICIPATE IN FOCUS GROUPS. A STANDARD PROTOCOL WAS USED FOR ALL FOCUS GROUPS TO UNDERSTAND THE EXPERIENCES OF THESE COMMUNITY MEMBERS AS THEY RELATE TO HEALTH DISPARITIES AND CHRONIC DISEASE. IN ALL, 10 FOCUS GROUPS WITH 129 PARTICIPANTS WERE CONDUCTED. CONTENT ANALYSIS WAS PERFORMED ON FOCUS GROUP INTERVIEW NOTES AND/OR TRANSCRIPTS TO IDENTIFY KEY THEMES AND SALIENT HEALTH ISSUES AFFECTING THE COMMUNITY RESIDENTS. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. SUTTER ROSEVILLE MEDICAL CENTER (A, 2): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER ROSEVILLE MEDICAL CENTER, A FACILITY OF SUTTER HEALTH SACRAMENTO SIERRA REGION (SSR), DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). KEY INFORMANTS ARE HEALTH AND COMMUNITY EXPERTS FAMILIAR WITH POPULATIONS AND GEOGRAPHIC AREAS RESIDING WITHIN THE HSA. TO GAIN A DEEPER UNDERSTANDING OF THE HEALTH ISSUES PERTAINING TO CHRONIC DISEASE AND THE POPULATIONS LIVING IN THESE VULNERABLE COMMUNITIES, INPUT FROM 21 KEY INFORMANTS WAS GATHERED THROUGH INTERVIEWS CONDUCTED USING A THEORETICALLY GROUNDED INTERVIEW GUIDE. EACH INTERVIEW WAS RECORDED AND CONTENT ANALYSIS WAS CONDUCTED TO IDENTIFY KEY THEMES AND IMPORTANT POINTS PERTAINING TO EACH GEOGRAPHIC AREA. FINDINGS FROM THESE INTERVIEWS WERE USED TO HELP IDENTIFY COMMUNITIES IN WHICH FOCUS GROUPS WOULD MOST APTLY BE PERFORMED. INTERVIEWS WERE CONDUCTED WITH THE FOLLOWING PEOPLE: - DR. RICHARD BURTON, COUNTY HEALTH OFFICER FOR PLACER COUNTY HEALTH AND HUMAN SERVICES WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 5/22/12) - DR. DARLA CLARK, PHYSICIAN FOR CHAPA-DE INDIAN HEALTH WITH EXPERTISE IN LOW INCOME AND NATIVE AMERICAN COMMUNITY HEALTH. (INTERVIEW DATE: 5/21/12) - MARION CASTRO, CASE MANAGER FOR KIDS FIRST WITH EXPERTISE IN COMMUNITY HEALTH, YOUTH AND ADOLESCENT HEALTH. (INTERVIEW DATE: 2/9/13) - MARION CASTRO, DARYL MORALES, RINA ROJAS, SANTIAGO MAGANA, CASE WORKERS AND STAFF FOR LIGHTHOUSE FAMILY RESOURCE CENTER WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 10/9/12) - CHRISTINE GONZALES, FRC COORDINATOR AND MICHELLE ALLEE, TEAM LEADER FOR BIRTH AND BEYOND - THE EFFORT NORTH HIGHLANDS WITH EXPERTISE IN COMMUNITY HEALTH SERVICES. (INTERVIEW DATE: 4/27/12) - GINA WARREN, PHARMACIST FOR PRIMARY HEALTH SERVICES WITH EXPERTISE IN CHRONIC DISEASE MANAGEMENT AND COMMUNITY HEALTH. (INTERVIEW DATE: 5/7/12) - ROMAN ROMASO, EXECUTIVE DIRECTOR FOR SLAVIC ASSISTANCE NETWORK WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 4/27/12) - MARTY KEALE, EXECUTIVE DIRECTOR FOR CAPITOL COMMUNITY HEALTH NETWORK WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 5/2/12) - DR. PATRICIA SAMUELSON, PHYSICIAN FOR MERCY CLINIC NORWOOD WITH EXPERTISE IN COMMUNITY CLINIC SERVICES. (INTERVIEW DATE: 5/11/12) - ABRAHAM DANIELS, PROGRAM OFFICER FOR SIERRA HEALTH FOUNDATION WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 5/15/12) - CAROLE MCCOOKFUL, NURSE PRACTITIONER FOR MERCY CLINIC NORTH HIGHLANDS WITH EXPERTISE IN PUBLIC HEALTH NURSING. (INTERVIEW DATE: 5/21/12) - CAROLYN MARTIN, EXECUTIVE DIRECTOR FOR CALIFORNIA TOBACCO CONTROL ALLIANCE WITH EXPERTISE IN TOBACCO PREVENTION. (INTERVIEW DATE: 5/22/12) - HEALTH NAVIGATORS GROUP OF CAPITOL COMMUNITY HEALTH NETWORK WITH EXPERTISE IN COMMUNITY HEALTH AND PATIENT NAVIGATION. (INTERVIEW DATE: 5/29/12) - CAROL MENNEL, NURSING ADMINISTRATOR FOR MERCY SAN JUAN WITH EXPER SCHEDULE H, PART V, SECTION B, LINE 6A SUTTER GENERAL HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER, SUTTER MEMORIAL HOSPITAL, SUTTER SOLANO MEDICAL CENTER, SUTTER AUBURN FAITH HOSPITAL, SUTTER CENTER FOR PSYCHIATRY, SUTTER AMADOR HOSPITAL, AND SUTTER DAVIS HOSPITAL (A, 1-8) A COLLECTION OF FOUR NONPROFIT HOSPITALS, ALL SERVING PORTIONS OF OR THE SAME COMMUNITIES, COLLABORATED TO SPONSOR AND PARTICIPATE IN THE CHNA INCLUDING SUTTER HEALTH, DIGNITY HEALTH, KAISER PERMANENTE AND UC DAVIS MEDICAL CENTER. SCHEDULE H, PART V, SECTION B, LINE 7A, 7B AND 10A FILING ORG WEBSITES: - SUTTER GENERAL HOSPITAL, SUTTER MEMORIAL HOSPITAL, AND SUTTER CENTER FOR PSYCHIATRY (A, 1, 3 & 6): HTTP://WWW.SUTTERMEDICALCENTER.ORG/CHNA/FINAL_SUTTERMEDCENTER_CHNA.PDF - SUTTER ROSEVILLE MEDICAL CENTER (A, 2): HTTP://WWW.SUTTERROSEVILLE.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - SUTTER SOLANO MEDICAL CENTER (A, 4): HTTP://WWW.SUTTERSOLANO.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - SUTTER AUBURN FAITH HOSPITAL (A, 5): HTTP://WWW.SUTTERAUBURNFAITH.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - SUTTER AMADOR HOSPITAL (A, 7): HTTP://WWW.SUTTERAMADOR.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - SUTTER DAVIS HOSPITAL (A, 8): HTTP://WWW.SUTTERDAVIS.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, SECTION B, LINE 11 SUTTER GENERAL HOSPITAL, SUTTER MEMORIAL HOSPITAL, AND SUTTER CENTER FOR PSYCHIATRY (A, 1, 3 & 6): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER MEDICAL CENTER, SACRAMENTO INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - LACK OF ACCESS TO PRIMARY AND PREVENTATIVE SERVICES - LACK OF ADEQUATE COUNTY (SACRAMENTO) SAFETY NET/HEALTH NETWORK FOR LOW INCOME RESIDENTS; LACK OF CHRONIC DISEASE MANAGEMENT PROGRAMS; NO APPOINTMENTS AVAILABLE IN LOW COST/FREE CLINICS; RECENT JOB LOSSES RESULTING IN LOSS OF INCOME AND BENEFITS; NAVIGATING THE COMPLEX SYSTEM OF SOCIAL SERVICES; AND DISCRIMINATION BY PHYSICIAN TOWARDS LOW INCOME/MEDI-CAL INSURED POPULATIONS. - LACK OF ACCESS TO MENTAL HEALTH SERVICES - INADEQUATE MENTAL HEALTH SERVICES; STIGMAS IN SEEING MENTAL HEALTH SERVICES; DIFFICULTY NAVIGATING THE SYSTEM FOR PUBLIC ASSISTANCE TO RECEIVE MENTAL HEALTH SERVICES; REDUCTION IN SERVICES OFFERED BY COUNTY AND FINDING PRIVATE PRACTICE COUNSELORS THAT TAKE MEDI-CAL. - LACK OF ACCESS TO DENTAL CARE - LIMITED ACCESS TO DENTAL CARE (ALL FORMS OF ORAL HEALTH). - LACK OF ACCESS TO SPECIALTY CARE - LIMITED SPECIALISTS THAT ACCEPT MEDI-CAL PATIENTS. - LACK OF COORDINATION OF CARE AMONG PROVIDERS - LACK OF CHRONIC DISEASE MANAGEMENT AND CARE TRANSITION PROGRAMS; PATIENTS RECEIVING CARE FROM MULTIPLE PROVIDERS WORKING INDEPENDENTLY OF ONE ANOTHER. - LACK OF HOUSING, BASIC SHELTER - HOUSING INSTABILITY AND FEAR OF LOSING HOME. 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. SUTTER MEDICAL CENTER, SACRAMENTO (SMCS) 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. LIVING IN AN UNHEALTHY FOOD ENVIRONMENT: NOT ONLY IS THERE A LACK OF EFFECTIVE INTERVENTIONS TO ADDRESS THIS NEED, THIS IS NOT SOMETHING THAT WE ARE ABLE TO GREATLY AFFECT THROUGH COMMUNITY BENEFIT; THEREFORE, WE ARE FOCUSING OUR RESOURCES ELSEWHERE. PERCEIVED OR REAL FEAR FOR PERSONAL SAFETY: THIS IS PRIMARILY A LAW ENFORCEMENT ISSUE AND NOT SOMETHING THAT SMCS HAS THE EXPERTISE TO EFFECTIVELY ADDRESS. INABILITY TO EXERCISE AND BE ACTIVE: EXERCISE IS VERY IMPORTANT; HOWEVER SURROUNDING HEALTH SYSTEMS LIKE KAISER PUT GREAT EMPHASIS ON EXERCISE THROUGH THEIR "THRIVE" CAMPAIGN AND ORGANIZATIONS LIKE SPIRIT, WHO HOST THE "WALK WITH A DOC" EVENTS, WHICH ALLOWS US TO DEDICATE OUR RESOURCES TO MEETING OTHER NEEDS OUTLINED IN THE CHNA. ACCULTURATION/LIMITED CULTURAL COMPETENCE IN HEALTH AND RELATED SYSTEMS: WHILE WE WORK HARD TO PARTNER WITH CULTURALLY SENSITIVE/COMPETENT STAFF MEMBERS AND ATTEMPT TO MEET THE NEEDS OF DIVERSE GROUPS THROUGH OUR SPONSORSHIP AND COMMUNITY INVESTMENT AWARD FUNDING, THIS IS NOT A KEY PRIORITY AS THIS TIME, AS THE NEED IS NOT AS PRESSING AS OTHER PROBLEMS. LACK OF HEALTH LITERACY: WHILE THIS IS IMPORTANT AND WE SCRATCH THE SURFACE OF THIS ISSUE THROUGH THE HEALTHY ACCESS PROGRAM, THIS NEED IS NOT OUR PRIMARY FOCUS, WHICH IS EXPANDING ACCESS TO CARE AND BUILDING THE CAPACITY WE SO DESPERATELY NEED IN THE SACRAMENTO REGION. SUTTER ROSEVILLE MEDICAL CENTER (A, 2): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER ROSEVILLE MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - LACK OF ACCESS TO PRIMARY AND PREVENTATIVE SERVICES - LACK OF ADEQUATE COUNTY (SACRAMENTO) SAFETY NET/HEALTH NETWORK FOR LOW INCOME RESIDENTS; LACK OF CHRONIC DISEASE MANAGEMENT PROGRAMS; NO APPOINTMENTS AVAILABLE IN LOW COST/FREE CLINICS; RECENT JOB LOSSES RESULTING IN LOSS OF INCOME AND BENEFITS; NAVIGATING THE COMPLEX SYSTEM OF SOCIAL SERVICES; DISCRIMINATION BY PHYSICIAN TOWARDS LOW INCOME/MEDI-CAL INSURED POPULATIONS. - LACK OF ACCESS TO MENTAL HEALTH SERVICES - INADEQUATE MENTAL HEALTH SERVICES; STIGMAS IN SEEING MENTAL HEALTH SERVICES; DIFFICULTY NAVIGATING THE SYSTEM FOR PUBLIC ASSISTANCE TO RECEIVE MENTAL HEALTH SERVICES; REDUCTION IN SERVICES OFFERED BY SACRAMENTO COUNTY; FINDING PRIVATE PRACTICE COUNSELORS THAT TAKE MEDI-CAL. - LACK OF ACCESS TO DENTAL CARE - LIMITED DENTAL CARE. - LACK OF ACCESS TO SPECIALTY CARE - LIMITED SPECIALISTS THAT ACCEPT MEDI-CAL PATIENTS. - LACK OF COORDINATION OF CARE AMONG PROVIDERS - LACK OF CHRONIC DISEASE MANAGEMENT AND CARE TRANSITION PROGRAMS AND PATIENT RECEIVING CARE FROM MULTIPLE PROVIDERS WORKING INDEPENDENTLY OF ONE ANOTHER. - ACCULTURATION/LIMITED CULTURAL COMPETENCE IN HEALTH AND RELATED SYSTEMS - LACK OF CULTURAL COMPETENCE AMONG HEALTHCARE PROVIDERS; RACISM AND RELATED STRESS CAUSED BY; OVER RELIANCE ON PRESCRIPTIONS BY "WESTERN" DOCTORS; AND SUSPICION OF "WESTERN" MEDICINE, RELUCTANCE TO GET VACCINES, ETC. 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. SUTTER ROSEVILLE MEDICAL CENTER (SRMC) 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. LIVING IN AN UNHEALTHY FOOD ENVIRONMENT: NOT ONLY IS THERE A LACK OF EFFECTIVE INTERVENTIONS TO ADDRESS THIS NEED, THIS IS NOT SOMETHING THAT WE ARE ABLE TO GREATLY AFFECT THROUGH COMMUNITY BENEFIT; THEREFORE, WE ARE FOCUSING OUR RESOURCES ELSEWHERE. PERCEIVED OR REAL FEAR FOR PERSONAL SAFETY: THIS IS PRIMARILY A LAW ENFORCEMENT ISSUE AND NOT SOMETHING THAT SRMC HAS THE EXPERTISE TO EFFECTIVELY ADDRESS. LACK OF HEALTH LITERACY: WHILE THIS IS IMPORTANT, THIS NEED IS NOT AS OUR PRIMARY FOCUS, WHICH IS EXPANDING ACCESS TO CARE AND BUILDING THE CAPACITY WE SO DESPERATELY NEED IN THE PLACER COUNTY AND THE GREATER SACRAMENTO REGION. SUTTER SOLANO MEDICAL CENTER (A, 4): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER SOLANO MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - LACK OF OR LIMITED ACCESS TO HEALTH EDUCATION - NEED FOR MORE CLASSES AND SERVICES TO EDUCATE RESIDENTS ABOUT MAINTAINING THEIR HEALTH AND/OR MANAGING CHRONIC HEALTH CONDITIONS; MAY HELP AVOID A HEALTH CONDITION BECOMING A CRISIS. - LIMITED ACCESS TO FOLLOW-UP TREATMENT AND SPECIALTY CARE - DIFFICULTY GETTING REFERRALS THROUGH MEDI-CAL; MEDI-CAL REIMBURSEMENTS ARE TOO LOW; RESIDENTS ARE DIAGNOSED WITH A CONDITION BUT LACK THE FINANCIAL RESOURCES TO OBTAIN CARE. - TRANSPORTATION - PUBLIC TRANSIT MAY NOT HAVE STOPS NEAR HEALTHCARE OR SOCIAL SERVICE AND CLIENTS MAY NOT HAVE A CAR OR ABILITY TO PAY FOR GAS; MORE ROUTE AND BUS STOP LOCATION ISSUES IN URBAN SETTINGS; SIMPLE LACK OF TRANSIT AND TRANSIT THAT DOES NOT GO OUT OF TOWN IN THE RURAL AREAS. - LACK OF OR LIMITED ACCESS TO DENTAL CARE - MEDI-CAL NO LONGER COVERS DENTAL SERVICES AND PAYING FOR SERVICES IS TOO EXPENSIVE. - LIMITED ACCESS TO MEDICATIONS AND PRESCRIPTION DRUGS - PRESCRIPTIONS AND CO-PAYS ARE EXPENSIVE SO RESIDENTS GO WITHOUT OR HAVE TO SPACE APART DOSAGES. - LACK OF PREVENTIVE SERVICES AND COMMUNITY PROGRAMS - MANY CITY OR PARK PROGRAMS CHARGE A FEE; BUDGET CUTS HAVE LIMITED PUBLIC SERVICE AVAILABILITY; EXERCISE CLASSES AND GYM MEMBERSHIPS ARE EXPENSIVE. 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. SUTTER SOLANO MEDICAL CENTER (SSMC) 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. LIMITED ACCESS TO HEALTHY FOODS: NOT ONLY IS THERE A LACK OF EFFECTIVE INTERVENTIONS TO ADDRESS THIS NEED, THIS IS NOT SOMETHING THAT WE ARE ABLE TO GREATLY AFFECT THROUGH COMMUNITY BENEFIT; THEREFORE, WE ARE FOCUSING OUR RESOURCES ELSEWHERE. PERSONAL SAFETY: THIS IS PRIMARILY A LAW ENFORCEMENT ISSUE AND NOT SOMETHING THAT SSMC HAS THE EXPERTISE TO EFFECTIVELY ADDRESS. LIMITED PLACES TO WALK, BIKE, EXERCISE, OR PLAY: THIS IS PRIMARILY AN ISSUE THAT NEEDS TO BE REVIEWED BY THE CITY/COUNTY PLANNING AND PARKS AND RECREATION DEPARTMENTS AND IS NOT SOMETHING THAT SSMC HAS THE EXPERTISE OR RESOURCES TO EFFECTIVELY ADDRESS. LIMITED PLACES AND SOCIAL SPACE FOR CIVIC ENGAGEMENT: THIS IS PRIMARILY A CITY PLANNING AND BUSINESS ISSUE AND NOT SOMETHING THAT SSMC HAS THE EXPERTISE TO EFFECTIVELY ADDRESS. SUTTER AUBURN FAITH HOSPITAL (A, 5): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER AUBURN FAITH HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - LACK OF HEALT SCHEDULE H, PART V, SECTION B, LINE 15E SUTTER GENERAL HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER, SUTTER MEMORIAL HOSPITAL, SUTTER SOLANO MEDICAL CENTER, SUTTER AUBURN FAITH HOSPITAL, SUTTER CENTER FOR PSYCHIATRY, SUTTER AMADOR HOSPITAL, AND SUTTER DAVIS HOSPITAL (A, 1-8) 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, LINE 16I SUTTER GENERAL HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER, SUTTER MEMORIAL HOSPITAL, SUTTER SOLANO MEDICAL CENTER, SUTTER AUBURN FAITH HOSPITAL, SUTTER CENTER FOR PSYCHIATRY, SUTTER AMADOR HOSPITAL, AND SUTTER DAVIS HOSPITAL (A, 1-8) MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS' SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. 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 SUTTER GENERAL HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER, SUTTER MEMORIAL HOSPITAL, SUTTER SOLANO MEDICAL CENTER, SUTTER AUBURN FAITH HOSPITAL, SUTTER CENTER FOR PSYCHIATRY, SUTTER AMADOR HOSPITAL, AND SUTTER DAVIS HOSPITAL (A, 1-8) 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. SUTTER MEDICAL CENTER, SACRAMENTO (WOMEN'S AND CHILDREN'S) (9) SCHEDULE H, PART V, SECTION B, LINE 2 SUTTER MEDICAL CENTER, SACRAMENTO (WOMENS AND CHILDRENS HOSPITAL) WAS UNDER CONSTRUCTION DURING 2015. CONSTRUCTION WAS COMPLETED AND THE HOSPITAL BECAME LICENSED IN AUGUST 2015. SCHEDULE H, PART V, SECTION B, LINE 15E SUTTER MEDICAL CENTER, SACRAMENTO (WOMEN'S AND CHILDREN'S) (9) 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, LINE 16I SUTTER MEDICAL CENTER, SACRAMENTO (WOMEN'S AND CHILDREN'S) (9) 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 SUTTER MEDICAL CENTER, SACRAMENTO (WOMEN'S AND CHILDREN'S) (9) 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. 25 INFUSION THERAPY CENTER 11710 EDUCATION STREET AUBURN CA 95602 OUTPATIENT SERVICES INFUSIONOSTOMY DEPARTMENT 11710 EDUCATION STREET AUBURN CA 95602 OUTPATIENT SERVICES WOUND CAREOSTOMY DEPARTMENT 11775 EDUCATION STREET AUBURN CA 95602 OUTPATIENT SERVICES CARDIOPULMONARY REHAB SERVICES 11795 EDUCATION STREET 205 AUBURN CA 95603 OUTPATIENT SERVICES INFUSION SERVICES 2020 SUTTER PLACE DAVIS CA 95616 OUTPATIENT SERVICES CARDIAC REHABILITATION 2030 SUTTER PLACE DAVIS CA 95616 OUTPATIENT SERVICES SUTTER AMADOR WOMEN'S SERVICES 100 MISSION BLVD JACKSON CA 95642 OUTPATIENT SERVICES PEDIATRIC AND CARDIAC CENTER 100 MISSION BLVD JACKSON CA 95642 OUTPATIENT SERVICES DIABETES EDUCATION CLINIC 200 MISSION BLVD JACKSON CA 95642 OUTPATIENT SERVICES JACKSON FAMILY PRACTICE 255 NEW YORK RANCH ROAD STE C JACKSON CA 95642 OUTPATIENT SERVICES SUTTER SLEEP DISORDERS CENTER 1411 SECRET RAVINE PARKWAY STE 150 ROSEVILLE CA 95661 OUTPATIENT SERVICES OUTPATIENT SURGERY DEPARTMENT FOUR MEDICAL PLAZA ROSEVILLE CA 95661 OUTPATIENT SERVICES WOUND CARE CENTER ONE MEDICAL PLAZA ROSEVILLE CA 95661 OUTPATIENT SERVICES CHILDREN'S OUTPATIENT SERVICE CENTER 1625 STOCKTON BLVD SACRAMENTO CA 95819 OUTPATIENT SERVICES AMBULATORY SURGERY CENTER 2725 CAPITOL AVENUE SACRAMENTO CA 95816 OUTPATIENT SERVICES INFUSION CENTER 1020 29TH STREET STE 690 SACRAMENTO CA 95816 OUTPATIENT SERVICES OUTPATIENT SERVICE CENTER 2800 L STREET SACRAMENTO CA 95816 OUTPATIENT SERVICES FORT SUTTER SURGERY CENTER 2801 K STREET SACRAMENTO CA 95816 OUTPATIENT SERVICES AUDIOLOGY AND ADULT DIABETES CLINICS 5151 F STREET BUILDING E SACRAMENTO CA 95819 OUTPATIENT SERVICES SUTTER CENTER FOR PSYCHIATRY 855 HOWE AVENUE SACRAMENTO CA 95826 OUTPATIENT SERVICES SUTTER CANCER CENTER 100 HOSPITAL DRIVE VALLEJO CA 94589 OUTPATIENT SERVICES ROSEVILLE ENDOSCOPY CENTER 4 MEDICAL PLAZA ROSEVILLE CA 95661 OUTPATIENT SERVICES SUTTER AMADOR SURGERY CENTER 223 CLINTON RD JACKSON CA 95642 OUTPATIENT SERVICES SUTTER PIONEER HEALTH CENTER 24685 HIGHWAY 88 PIONEER CA 95666 OUTPATIENT SERVICES SUTTER REHABILITATION INSTITUTE 6 MEDICAL PLAZA ROSEVILLE CA 95661 OUTPATIENT SERVICES SCHEDULE H, PART I, LINE 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 7 COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. SCHEDULE H, PART III, LINE 2 METHODOLOGY FOR CALCULATING BAD DEBT (AT COST): THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 METHODOLOGY FOR DETERMINING THE AMOUNT OF BAD DEBT LIKELY ATTRIBUTABLE TO CHARITY CARE: AMOUNTS MAY BE INCLUDED IN BAD DEBT PENDING A CHARITY CARE DETERMINATION. UPON ELIGIBILITY THESE AMOUNTS WOULD BE RECLASSIFIED AS CHARITY CARE. SCHEDULE H, PART III, LINE 4 AUDIT FOOTNOTE THE ORGANIZATION IS AN AFFILIATE OF SUTTER HEALTH WHICH UNDERWENT A SYSTEM-WIDE AUDIT. THE AUDIT REPORT DOES NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. PROVISION FOR BAD DEBTS IS LISTED ON A SEPARATE LINE ITEM IN THE FINANCIAL STATEMENTS. THE AUDIT DOES INCLUDE A FOOTNOTE FOR PATIENT SERVICE REVENUES LESS PROVISION FOR BAD DEBTS. PATIENT SERVICE REVENUES FOOTNOTE: PATIENT SERVICE REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD-PARTY PAYERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT PROGRAMS WITH THIRD-PARTY PAYERS. ESTIMATED SETTLEMENTS UNDER THIRD-PARTY REIMBURSEMENT PROGRAMS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, PRIMARILY AS A RESULT OF FINAL COST REPORT SETTLEMENTS WITH GOVERNMENTAL AGENCIES. PATIENT SERVICE REVENUES LESS PROVISION FOR BAD DEBTS ARE REPORTED NET OF THE PROVISION FOR BAD DEBTS ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. SUTTER'S SELF-PAY WRITE-OFFS WERE $192 MILLION AND $287 MILLION FOR 2015 AND 2014, 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 SUTTER MEDICAL CENTER SACRAMENTO: BEGINNING IN EARLY 2012 THROUGH FEBRUARY 2013, VALLEY VISION, INC. CONDUCTED AN ASSESSMENT OF THE HEALTH NEEDS OF RESIDENTS LIVING IN THE SERVICE AREA OF SUTTER MEDICAL CENTER, SACRAMENTO (SMCS). FOR THE PURPOSES OF THE ASSESSMENT, A HEALTH NEED WAS DEFINED AS: "A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER." A HEALTH DRIVER WAS DEFINED AS: "A BEHAVIORAL, ENVIRONMENTAL, AND/OR CLINICAL FACTOR, AS WELL AS MORE UPSTREAM SOCIAL ECONOMIC FACTORS THAT IMPACT HEALTH." A COMMUNITY-BASED PARTICIPATORY RESEARCH ORIENTATION WAS USED TO CONDUCT THE ASSESSMENT THAT INCLUDED BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA COLLECTION INCLUDED INPUT FROM THE HEALTHY SACRAMENTO COALITION (FOCUSED ON SACRAMENTO COUNTY ONLY), EXPERT INTERVIEWS WITH 40 KEY INFORMANTS AND 10 FOCUS GROUP INTERVIEWS COMPRISED OF 129 COMMUNITY MEMBERS. IN ADDITION, A COMMUNITY HEALTH ASSETS ASSESSMENT COLLECTED DATA ON MORE THAN 200 HEALTH RELATED ASSETS IN ALL OF THE COUNTIES IN WHICH THE SMCS HOSPITAL SERVICE AREA (HSA) EXTENDED. SECONDARY DATA USED INCLUDED HEALTH OUTCOME DATA, SOCIO-DEMOGRAPHIC DATA, AND BEHAVIORAL AND ENVIRONMENTAL DATA AT THE ZIP CODE OR CENSUS TRACT LEVEL. HEALTH OUTCOME DATA INCLUDED EMERGENCY DEPARTMENT (ED) VISITS, HOSPITALIZATION, AND MORTALITY RATES RELATED TO HEART DISEASE, DIABETES, STROKE, HYPERTENSION, COPD, ASTHMA, AND SAFETY AND MENTAL HEALTH CONDITIONS. SOCIO-DEMOGRAPHIC DATA INCLUDED DATA ON RACE AND ETHNICITY, POVERTY (FEMALE-HEADED HOUSEHOLDS, FAMILIES WITH CHILDREN, PEOPLE OVER 65 YEARS OF AGE), EDUCATIONAL ATTAINMENT, INSURANCE STATUS, AND HOUSING ARRANGEMENT (RENT OR OWN). BEHAVIORAL AND ENVIRONMENTAL DATA HELPED DESCRIBE GENERAL LIVING CONDITIONS OF THE HOSPITAL SERVICE AREA (HSA) SUCH AS CRIME RATES, ACCESS TO PARKS, AVAILABILITY OF HEALTHY FOOD, AND LEADING CAUSES OF DEATH. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED SIX SPECIFIC ZIP CODE COMMUNITIES OF CONCERN WITHIN THE HSA THAT WERE LIVING WITH A HIGH BURDEN OF DISEASE. THESE SIX COMMUNITIES HAD CONSISTENTLY HIGH RATES OF NEGATIVE HEALTH OUTCOMES THAT FREQUENTLY EXCEEDED COUNTY, STATE, AND HEALTHY PEOPLE 2020 BENCHMARKS. THEY WERE CONFIRMED BY EXPERTS AS AREAS PRONE TO EXPERIENCE POORER HEALTH OUTCOMES RELATIVE TO OTHER COMMUNITIES IN THE HSA. AGE-ADJUSTED RATES OF ED VISITS AND HOSPITALIZATION DUE TO HEART DISEASE, DIABETES, STROKE, AND HYPERTENSION WERE NOTABLY HIGHER IN THESE ZIP CODES COMPARED TO OTHERS WITHIN THE HSA. WITH A FEW EXCEPTIONS, BLACKS AND WHITES HAD THE HIGHEST RATES FOR THESE CONDITIONS COMPARED TO OTHER RACIAL AND ETHNIC GROUPS. MORTALITY DATA FOR THESE CONDITIONS SHOWED HIGH RATES AS WELL. ANALYSIS OF ENVIRONMENTAL INDICATORS SHOWED THAT MANY OF THESE COMMUNITIES HAD CONDITIONS THAT WERE BARRIERS TO ACTIVE LIFESTYLES, SUCH AS ELEVATED CRIME RATES AND A TRAFFIC CLIMATE THAT IS UNFRIENDLY TO BICYCLISTS AND PEDESTRIANS. FURTHERMORE, THESE COMMUNITIES FREQUENTLY HAD HIGHER PERCENTAGES OF RESIDENTS THAT WERE OBESE OR OVERWEIGHT. ACCESS TO HEALTHY FOOD OUTLETS WAS LIMITED, WHILE THE CONCENTRATION OF FAST FOOD OUTLETS AND CONVENIENCE STORES WERE HIGH. ANALYSIS OF THE HEALTH BEHAVIORS OF THESE RESIDENTS ALSO SHOWED MANY BEHAVIORS THAT CORRELATE TO POOR HEALTH, SUCH AS HAVING A DIET THAT IS LIMITED IN FRUIT AND VEGETABLE CONSUMPTION. WHEN EXAMINING THESE FINDINGS WITH THOSE OF THE QUALITATIVE DATA (KEY INFORMANT INTERVIEW AND FOCUS GROUPS), A CONSOLIDATED LIST OF PRIORITY HEALTH NEEDS OF THESE COMMUNITIES WAS COMPILED. THESE PRIORITIZED HEALTH NEEDS ARE: 1. LACK OF ACCESS TO PRIMARY AND PREVENTATIVE SERVICES 2. LACK OF ACCESS TO MENTAL HEALTH SERVICES 3. LIVING IN AN UNHEALTHY FOOD ENVIRONMENT 4. PERCEIVED OR REAL FEAR FOR PERSONAL SAFETY 5. INABILITY TO EXERCISE AND BE ACTIVE 6. LACK OF ACCESS TO DENTAL CARE 7. LACK OF ACCESS TO SPECIALTY CARE 8. LACK OF COORDINATION OF CARE AMONG PROVIDERS 9. ACCULTURATION/LIMITED CULTURAL COMPETENCE IN HEALTH AND RELATED SYSTEMS 10. LACK OF HEALTH LITERACY 11. LACK OF HOUSING, BASIC SHELTER THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER MEDICAL CENTER, SACRAMENTO IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER ROSEVILLE MEDICAL CENTER: BEGINNING IN EARLY 2012 THROUGH FEBRUARY 2013, VALLEY VISION, INC. CONDUCTED AN ASSESSMENT OF THE HEALTH NEEDS OF RESIDENTS LIVING IN THE SUTTER ROSEVILLE MEDICAL CENTER (SRMC) SERVICE AREA. FOR THE PURPOSES OF THE ASSESSMENT, A HEALTH NEED WAS DEFINED AS, "A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER." A HEALTH DRIVER WAS DEFINED AS, "A BEHAVIORAL, ENVIRONMENTAL, AND/OR CLINIC FACTOR, AS WELL AS MORE UPSTREAM SOCIAL ECONOMIC FACTORS, THAT IMPACT HEALTH." A COMMUNITY-BASED PARTICIPATORY RESEARCH ORIENTATION WAS USED TO CONDUCT THE ASSESSMENT THAT INCLUDED BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA COLLECTION INCLUDED INPUT FROM THE HEALTHY SACRAMENTO COALITION (FOCUSED ON SACRAMENTO COUNTY ONLY), EXPERT INTERVIEWS WITH 21 KEY INFORMANTS, AND 12 FOCUS GROUP INTERVIEWS COMPRISED OF 148 COMMUNITY MEMBERS. IN ADDITION, A COMMUNITY HEALTH ASSETS ASSESSMENT COLLECTED DATA ON MORE THAN 260 HEALTH-RELATED ASSETS THROUGHOUT THE SRMC HOSPITAL SERVICE AREA (HSA) IN SACRAMENTO COUNTY AND PLACER COUNTY. SECONDARY DATA USED INCLUDED HEALTH OUTCOME DATA, SOCIO-DEMOGRAPHIC DATA, AND BEHAVIORAL AND ENVIRONMENTAL DATA AT THE ZIP CODE OR CENSUS TRACT LEVEL. HEALTH OUTCOME DATA INCLUDED EMERGENCY DEPARTMENT (ED) VISITS, HOSPITALIZATION, AND MORTALITY RATES RELATED TO HEART DISEASE, DIABETES, STROKE, HYPERTENSION, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, AND SAFETY AND MENTAL HEALTH CONDITIONS. SOCIO-DEMOGRAPHIC DATA INCLUDED DATA ON RACE AND ETHNICITY, POVERTY (FEMALE-HEADED HOUSEHOLDS, FAMILIES WITH CHILDREN, PEOPLE OVER 65 YEARS OF AGE), EDUCATIONAL ATTAINMENT, INSURANCE STATUS, AND HOUSING ARRANGEMENT (OWN OR RENT). FURTHER, HEALTH BEHAVIORAL AND ENVIRONMENTAL DATA HELPED DESCRIBE GENERAL LIVING CONDITIONS OF THE HSA, SUCH AS CRIME RATES, ACCESS TO PARKS, HEALTHY FOOD AVAILABILITY, AND LEADING CAUSES OF DEATH. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED SEVEN SPECIFIC ZIP CODE COMMUNITIES OF CONCERN THAT WERE LIVING WITH A HIGH BURDEN OF DISEASE. THESE SEVEN COMMUNITIES HAD CONSISTENTLY HIGH RATES OF NEGATIVE HEALTH OUTCOMES THAT FREQUENTLY EXCEEDED COUNTY, STATE, AND HEALTHY PEOPLE 2020 BENCHMARKS. THEY WERE CONFIRMED BY EXPERTS AS AREAS PRONE TO EXPERIENCE POORER HEALTH OUTCOMES RELATIVE TO OTHER COMMUNITIES IN THE HSA. AGE-ADJUSTED RATES OF ED VISITS AND HOSPITALIZATION DUE TO HEART DISEASE, DIABETES, STROKE, AND HYPERTENSION WERE NOTABLY HIGHER IN THESE ZIP CODES COMPARED TO OTHER ZIP CODES IN THE HSA. IN GENERAL, BLACKS AND WHITES HAD THE HIGHEST RATES FOR THESE CONDITIONS COMPARED TO OTHER RACIAL AND ETHNIC GROUPS WITH A FEW EXCEPTIONS. MORTALITY DATA FOR THESE CONDITIONS SHOWED HIGH RATES AS WELL. ANALYSIS OF ENVIRONMENTAL INDICATORS SHOWED THAT MANY OF THESE COMMUNITIES HAD CONDITIONS THAT WERE BARRIERS TO ACTIVE LIFESTYLES, SUCH AS ELEVATED RATES OF CRIME AND A TRAFFIC CLIMATE THAT WAS UNFRIENDLY TO BICYCLISTS AND PEDESTRIANS. FURTHERMORE, THESE COMMUNITIES FREQUENTLY HAD HIGHER PERCENTAGES OF RESIDENTS THAT WERE OBESE OR OVERWEIGHT. ACCESS TO HEALTHY FOOD OUTLETS WAS LIMITED, WHILE THE CONCENTRATION OF FAST FOOD AND CONVENIENCE STORES WAS HIGH. ANALYSIS OF THE HEALTH BEHAVIORS OF THESE RESIDENTS SHOWED MANY BEHAVIORS THAT CORRELATE TO POOR HEALTH, SUCH AS HAVING A DIET THAT IS LIMITED IN FRUIT AND VEGETABLE CONSUMPTION. WHEN EXAMINING THESE FINDINGS WITH THOSE OF THE QUALITATIVE DATA (KEY INFORMANT INTERVIEW AND FOCUS GROUPS), A CONSOLIDATED LIST OF PRIORITY HEALTH NEEDS OF THESE COMMUNITIES WAS COMPILED. THESE PRIORITIZED HEALTH NEEDS ARE: 1. LACK OF ACCESS TO PRIMARY AND PREVENTATIVE SERVICES 2. LACK OF ACCESS TO MENTAL HEALTH SERVICES 3. LIVING IN AN UNHEALTHY FOOD ENVIRONMENT 4. PERCEIVED OR REAL FEAR FOR PERSONAL SAFETY 5. INABILITY TO EXERCISE AND BE ACTIVE 6. LACK OF ACCESS TO DENTAL CARE 7. LACK OF ACCESS TO SPECIALTY CARE 8. LACK OF COORDINATION OF CARE AMONG PROVIDERS 9. ACCULTURATION/LIMITED CULTURAL COMPETENCE IN HEALTH AND RELATED SYSTEMS 10. LACK OF HEALTH LITERACY THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER ROSEVILLE MEDICAL CENTER IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER SOLANO MEDICAL CENTER: BEGINNING IN EARLY 2012 THROUGH FEBRUARY 2013, VALLEY VISION, INC. COMPLETED AN ASSESSMENT OF THE HEALTH NEEDS OF RESIDENTS LIVING IN THE SOLANO COUNTY HEALTH SERVICE AREA (HSA). FOR THE PURPOSES OF THE ASSESSMENT, A HEALTH NEED WAS DEFINED AS: "A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER." A HEALTH DRIVER WAS DEFINED AS: "A BEHAVIORAL, ENVIRONMENTAL, AND/OR CLINICAL FACTOR, AS WELL AS MORE UPSTREAM SOCIAL ECONOMIC FACTORS THAT IMPACT HEALTH." A COMMUNITY-BASED PARTICIPATORY RESEARCH ORIENTATION WAS USED TO CONDUCT THE ASSESSMENT, WHICH INCLUDED BOTH PRIMARY AND SECONDARY DATA. PRIMARY SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SACRAMENTO SIERRA REGION 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 SUTTER MEDICAL CENTER SACRAMENTO: THE ASSESSMENT STUDY AREA INCLUDED THE SMCS HOSPITAL SERVICE AREA (HSA). A KEY FOCUS WAS TO SHOW SPECIFIC COMMUNITIES (DEFINED GEOGRAPHICALLY) EXPERIENCING DISPARITIES AS THEY RELATED TO CHRONIC DISEASE AND MENTAL HEALTH. TO THIS END, ZIP CODE BOUNDARIES WERE SELECTED AS THE UNIT-OF-ANALYSIS FOR MOST INDICATORS. THIS LEVEL OF ANALYSIS ALLOWED FOR EXAMINATION OF HEALTH OUTCOMES AT THE COMMUNITY LEVEL THAT ARE OFTEN HIDDEN WHEN DATA ARE AGGREGATED AT THE COUNTY LEVEL. SOME INDICATORS (DEMOGRAPHIC, BEHAVIORAL, AND ENVIRONMENTAL IN NATURE) WERE INCLUDED IN THE ASSESSMENT AT THE CENSUS TRACT, CENSUS BLOCK, OR POINT PREVALENCE LEVEL, WHICH ALLOWED FOR DEEPER COMMUNITY LEVEL EXAMINATION. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. THE HSA WAS DETERMINED BY ANALYZING PATIENT DISCHARGE DATA FROM TWO OF THE THREE FACILITIES THAT MAKE UP SMCS. COLLECTION AND ANALYSIS OF THE ZIP CODES OF PATIENTS DISCHARGED FROM THE HOSPITALS OVER A SIX-MONTH PERIOD ALLOWED THE PRIMARY GEOGRAPHIC AREA SERVED BY THE HOSPITALS TO BE IDENTIFIED. THE HSA IDENTIFIED AS THE FOCUS OF THE NEEDS ASSESSMENT IS DEPICTED IN FIGURE 2 IN THE FINAL CHNA. BECAUSE THE HOSPITALS REPRESENTED IN SMCS (SUTTER GENERAL HOSPITAL, SUTTER MEMORIAL HOSPITAL, AND SUTTER CENTER FOR PSYCHIATRY) ARE CLOSE IN PROXIMITY, ANALYSIS REVEALED THAT THE HOSPITALS SERVED THE SAME GEOGRAPHIC AREAS. TO IDENTIFY COMMUNITIES OF CONCERN, INPUT FROM THE CHNA TEAM, PRIMARY DATA FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, ALONG WITH DETAILED ANALYSIS OF SECONDARY DATA, HEALTH OUTCOME INDICATORS, AND SOCIO-DEMOGRAPHICS WERE EXAMINED. ZIP CODE COMMUNITIES WITH RATES THAT CONSISTENTLY EXCEEDED COUNTY, STATE, OR HEALTHY PEOPLE 2020 BENCHMARKS FOR ED UTILIZATION, HOSPITALIZATION, AND MORTALITY WERE CONSIDERED. ZIP CODES WITH RATES THAT CONSISTENTLY FELL IN THE TOP 20% WERE NOTED AND THEN TRIANGULATED WITH PRIMARY DATA INPUT AND SOCIO-DEMOGRAPHIC DATA TO IDENTIFY SPECIFIC COMMUNITIES OF CONCERN. DATA ON SOCIO-DEMOGRAPHICS OF RESIDENTS IN THESE COMMUNITIES, WHICH INCLUDED SOCIO-ECONOMIC STATUS, RACE AND ETHNICITY, EDUCATIONAL ATTAINMENT, HOUSING ARRANGEMENT, EMPLOYMENT STATUS, AND HEALTH INSURANCE STATUS, WERE EXAMINED. AREA HEALTH NEEDS WERE DETERMINED VIA IN-DEPTH ANALYSIS OF QUALITATIVE AND QUANTITATIVE DATA, AND THEN CONFIRMED WITH SOCIO-DEMOGRAPHIC DATA. AS NOTED EARLIER, A HEALTH NEED WAS DEFINED AS A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER. A HEALTH NEED WAS INCLUDED AS A PRIORITY IF IT WAS REPRESENTED BY RATES WORSE THAN THE ESTABLISHED QUANTITATIVE BENCHMARKS OR WAS CONSISTENTLY MENTIONED IN THE QUALITATIVE DATA. THE COMMUNITIES OF CONCERN ARE HOME TO MORE THAN 200,000 RESIDENTS. THE AREAS CONSIST OF ZIP CODE COMMUNITIES OCCUPYING THE NORTHERN, DOWNTOWN, AND SOUTHERN PORTIONS OF THE SACRAMENTO COUNTY AREA. ALL OF THE ZIP CODE COMMUNITIES ARE DENSELY POPULATED, WITH THE SOUTH SACRAMENTO AREA HAVING THE HIGHEST POPULATION AND THE DOWNTOWN AREA HAVING THE LOWEST POPULATION. THE COMMUNITIES OF CONCERN ARE ZIP CODES 95660, 95814, 95815, 95823, 95824 AND 95838. SOCIO-DEMOGRAPHIC CONDITIONS, OR SOCIAL DETERMINANTS OF HEALTH, HELP PREDICT WHICH COMMUNITIES IN A BROAD GEOGRAPHIC AREA ARE MOST SUSCEPTIBLE TO POOR HEALTH OUTCOMES. IN GENERAL, THE VAST MAJORITY OF RESIDENTS LIVING IN THE COMMUNITIES OF CONCERN FELL INTO MULTIPLE CATEGORIES OF SOCIAL DETERMINANTS OFTEN ASSOCIATED WITH POOR HEALTH OUTCOMES. FOR EXAMPLE, ALL ZIP CODE COMMUNITIES FAR EXCEEDED THE NATIONAL BENCHMARKS FOR THE PERCENT OF FAMILIES IN A LIVING IN POVERTY WITH CHILDREN AND SINGLE-FEMALE HEADED HOUSEHOLDS WITH CHILDREN LIVING IN POVERTY. ALL COMMUNITIES HAD HIGH PERCENTAGES OF NON-WHITE OR HISPANIC RESIDENTS, WITH 84% IN 95823 AND 83% IN 95824 FALLING INTO THIS CATEGORY. FURTHER, ALL COMMUNITIES OF CONCERN HAD HIGH PERCENTAGES OF RESIDENTS WITHOUT HEALTH INSURANCE COMPARED TO STATE AND NATIONAL BENCHMARKS. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MEDICAL CENTER CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER MEDICAL CENTER, SACRAMENTO WOMENS AND CHILDRENS CENTER (ANDERSON LUCCHETTI WOMENS & CHILDRENS CENTER) THE ASSESSMENT STUDY AREA INCLUDED THE SMCS HOSPITAL SERVICE AREA (HSA). A KEY FOCUS WAS TO SHOW SPECIFIC COMMUNITIES (DEFINED GEOGRAPHICALLY) EXPERIENCING DISPARITIES AS THEY RELATED TO CHRONIC DISEASE AND MENTAL HEALTH. TO THIS END, ZIP CODE BOUNDARIES WERE SELECTED AS THE UNIT-OF-ANALYSIS FOR MOST INDICATORS. THIS LEVEL OF ANALYSIS ALLOWED FOR EXAMINATION OF HEALTH OUTCOMES AT THE COMMUNITY LEVEL THAT ARE OFTEN HIDDEN WHEN DATA ARE AGGREGATED AT THE COUNTY LEVEL. SOME INDICATORS (DEMOGRAPHIC, BEHAVIORAL, AND ENVIRONMENTAL IN NATURE) WERE INCLUDED IN THE ASSESSMENT AT THE CENSUS TRACT, CENSUS BLOCK, OR POINT PREVALENCE LEVEL, WHICH ALLOWED FOR DEEPER COMMUNITY LEVEL EXAMINATION. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. THE HSA WAS DETERMINED BY ANALYZING PATIENT DISCHARGE DATA FROM TWO OF THE THREE FACILITIES THAT MAKE UP SMCS. COLLECTION AND ANALYSIS OF THE ZIP CODES OF PATIENTS DISCHARGED FROM THE HOSPITALS OVER A SIX-MONTH PERIOD ALLOWED THE PRIMARY GEOGRAPHIC AREA SERVED BY THE HOSPITALS TO BE IDENTIFIED. THE HSA IDENTIFIED AS THE FOCUS OF THE NEEDS ASSESSMENT IS DEPICTED IN FIGURE 2 IN THE FINAL CHNA. BECAUSE THE HOSPITALS REPRESENTED IN SMCS (SUTTER GENERAL HOSPITAL, SUTTER MEMORIAL HOSPITAL, AND SUTTER CENTER FOR PSYCHIATRY) ARE CLOSE IN PROXIMITY, ANALYSIS REVEALED THAT THE HOSPITALS SERVED THE SAME GEOGRAPHIC AREAS. TO IDENTIFY COMMUNITIES OF CONCERN, INPUT FROM THE CHNA TEAM, PRIMARY DATA FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, ALONG WITH DETAILED ANALYSIS OF SECONDARY DATA, HEALTH OUTCOME INDICATORS, AND SOCIO-DEMOGRAPHICS WERE EXAMINED. ZIP CODE COMMUNITIES WITH RATES THAT CONSISTENTLY EXCEEDED COUNTY, STATE, OR HEALTHY PEOPLE 2020 BENCHMARKS FOR ED UTILIZATION, HOSPITALIZATION, AND MORTALITY WERE CONSIDERED. ZIP CODES WITH RATES THAT CONSISTENTLY FELL IN THE TOP 20% WERE NOTED AND THEN TRIANGULATED WITH PRIMARY DATA INPUT AND SOCIO-DEMOGRAPHIC DATA TO IDENTIFY SPECIFIC COMMUNITIES OF CONCERN. DATA ON SOCIO-DEMOGRAPHICS OF RESIDENTS IN THESE COMMUNITIES, WHICH INCLUDED SOCIO-ECONOMIC STATUS, RACE AND ETHNICITY, EDUCATIONAL ATTAINMENT, HOUSING ARRANGEMENT, EMPLOYMENT STATUS, AND HEALTH INSURANCE STATUS, WERE EXAMINED. AREA HEALTH NEEDS WERE DETERMINED VIA IN-DEPTH ANALYSIS OF QUALITATIVE AND QUANTITATIVE DATA, AND THEN CONFIRMED WITH SOCIO-DEMOGRAPHIC DATA. AS NOTED EARLIER, A HEALTH NEED WAS DEFINED AS A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER. A HEALTH NEED WAS INCLUDED AS A PRIORITY IF IT WAS REPRESENTED BY RATES WORSE THAN THE ESTABLISHED QUANTITATIVE BENCHMARKS OR WAS CONSISTENTLY MENTIONED IN THE QUALITATIVE DATA. THE COMMUNITIES OF CONCERN ARE HOME TO MORE THAN 200,000 RESIDENTS. THE AREAS CONSIST OF ZIP CODE COMMUNITIES OCCUPYING THE NORTHERN, DOWNTOWN, AND SOUTHERN PORTIONS OF THE SACRAMENTO COUNTY AREA. ALL OF THE ZIP CODE COMMUNITIES ARE DENSELY POPULATED, WITH THE SOUTH SACRAMENTO AREA HAVING THE HIGHEST POPULATION AND THE DOWNTOWN AREA HAVING THE LOWEST POPULATION. THE COMMUNITIES OF CONCERN ARE ZIP CODES 95660, 95814, 95815, 95823, 95824 AND 95838. SOCIO-DEMOGRAPHIC CONDITIONS, OR SOCIAL DETERMINANTS OF HEALTH, HELP PREDICT WHICH COMMUNITIES IN A BROAD GEOGRAPHIC AREA ARE MOST SUSCEPTIBLE TO POOR HEALTH OUTCOMES. IN GENERAL, THE VAST MAJORITY OF RESIDENTS LIVING IN THE COMMUNITIES OF CONCERN FELL INTO MULTIPLE CATEGORIES OF SOCIAL DETERMINANTS OFTEN ASSOCIATED WITH POOR HEALTH OUTCOMES. FOR EXAMPLE, ALL ZIP CODE COMMUNITIES FAR EXCEEDED THE NATIONAL BENCHMARKS FOR THE PERCENT OF FAMILIES IN A LIVING IN POVERTY WITH CHILDREN AND SINGLE-FEMALE HEADED HOUSEHOLDS WITH CHILDREN LIVING IN POVERTY. ALL COMMUNITIES HAD HIGH PERCENTAGES OF NON-WHITE OR HISPANIC RESIDENTS, WITH 84% IN 95823 AND 83% IN 95824 FALLING INTO THIS CATEGORY. FURTHER, ALL COMMUNITIES OF CONCERN HAD HIGH PERCENTAGES OF RESIDENTS WITHOUT HEALTH INSURANCE COMPARED TO STATE AND NATIONAL BENCHMARKS. SUTTER ROSEVILLE MEDICAL CENTER: THE HOSPITAL SERVICE AREA (HSA) WAS DETERMINED BY ANALYZING PATIENT DISCHARGE DATA. COLLECTING AND ANALYZING THE ZIP CODES OF PATIENTS DISCHARGED FROM THE HOSPITAL OVER A SIX-MONTH PERIOD ALLOWED THE PRIMARY GEOGRAPHIC AREA SERVED BY THE HOSPITAL TO BE IDENTIFIED. THE HSA DETERMINED TO BE THE FOCUS OF THE NEEDS ASSESSMENT IS DEPICTED IN FIGURE 2 IN THE FULL REPORT. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. THE FIRST STEP IN IDENTIFYING VULNERABLE COMMUNITIES WAS TO EXAMINE SOCIO-DEMOGRAPHICS IN ORDER TO IDENTIFY AREAS OF THE HSA WITH HIGH VULNERABILITY TO CHRONIC DISEASE DISPARITIES AND POOR MENTAL HEALTH OUTCOMES. RACE/ETHNICITY, HOUSEHOLD MAKE-UP, INCOME, AND AGE VARIABLES WERE COMBINED INTO A VULNERABILITY INDEX THAT DESCRIBED THE LEVEL OF VULNERABILITY OF EACH CENSUS TRACT. THIS INDEX WAS THEN MAPPED FOR THE ENTIRE HSA. A TRACT WAS CONS SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. THE 2013 - 2015 IMPLEMENTATION STRATEGIES FOR SUTTER HEALTH SACRAMENTO SIERRA REGION HOSPITALS DEFINE A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW. SUTTER MEDICAL CENTER SACRAMENTO: THE INTERIM CARE PROGRAM (ICP) AND ICP PLUS HELPS SUTTER MEDICAL CENTER, SACRAMENTO (SMCS) FULFILL ITS MISSION TO PROVIDE ACCESS TO CARE FOR VULNERABLE AND TRADITIONALLY UNDERSERVED RESIDENTS. A COLLABORATIVE OF THE FOUR HEALTH CARE SYSTEMS, COMMUNITY BASED ORGANIZATIONS AND THE COUNTY GOVERNMENT CAME TOGETHER IN SACRAMENTO TO CREATE A RESPITE CARE SHELTER FOR HOMELESS PATIENTS DISCHARGED FROM HOSPITALS, ESTABLISHING AN 18-BED SHELTER FOR HOMELESS MEN AND WOMEN TO RECUPERATE FROM MEDICAL CONDITIONS. STARTED IN 2004, THE INTERIM CARE PROGRAM LINKS PEOPLE IN NEED TO VITAL COMMUNITY SERVICES WHILE GIVING THEM A PLACE TO HEAL. THE CLIENTS WHO ARE ENROLLED IN THE ICP ARE HOMELESS ADULT INDIVIDUALS WHO OTHERWISE WOULD BE DISCHARGED TO THE STREET OR CARED FOR IN AN INPATIENT SETTING ONLY. THE PROGRAM IS DESIGNED TO OFFER CLIENTS UP TO SIX WEEKS DURING WHICH THEY CAN FOCUS ON RECOVERY AND DEVELOPING A PLAN FOR THEIR HOUSING AND CARE UPON DISCHARGE. THIS INNOVATIVE COMMUNITY PARTNERSHIP PROVIDES TEMPORARY RESPITE HOUSING IN SACRAMENTO THAT OFFER HOMELESS MEN AND WOMEN A PLACE TO RECUPERATE FROM THEIR MEDICAL CONDITIONS, LINK THEM TO VITAL COMMUNITY SERVICES, AND PROVIDE THEM A PLACE TO HEAL. ICP PLUS IS A PROGRAM DESIGNED FOR HOMELESS PATIENTS DISCHARGING FROM SMCS, AND IS AN ENHANCED VERSION OF THE ICP, WITH PATIENTS NEEDING A GREATER LEVEL OF SUPPORT AND SPECIAL RESOURCES. SMCS AND THE OTHER HEALTH SYSTEMS PROVIDE FINANCIAL SUPPORT FOR THIS PROGRAM. WELLSPACE HEALTH, SACRAMENTO'S FEDERALLY QUALIFIED HEALTH CENTER, PROVIDES ON-SITE NURSING AND SOCIAL SERVICES TO SUPPORT CLIENTS IN THEIR RECUPERATION AND HELP THEM MOVE OUT OF HOMELESSNESS. THE WELLSPACE CASE MANAGER LINKS CLIENTS WITH MENTAL HEALTH SERVICES, SUBSTANCE ABUSE RECOVERY, HOUSING WORKSHOPS AND PROVIDES DISABILITY APPLICATION ASSISTANCE. THE SALVATION ARMY PROVIDES 18 BEDS IN A DESIGNATED WING OF THE SHELTER WHERE CLIENTS HAVE THREE MEALS A DAY AND A SAFE, CLEAN PLACE TO RECOVER FROM THEIR HOSPITALIZATIONS. IN 2015, 44 SUTTER HEALTH PATIENTS WERE SERVED, WITH 42 OF THOSE PATIENTS SUCCESSFULLY CONNECTING TO A PRIMARY CARE PROVIDER. ICP PATIENTS SHOWED A 61% REDUCTION IN INPATIENT STAYS, POST-ICP AND A 56% REDUCTION IN INPATIENT BED DAYS, POST-ICP. ICP PATIENTS SHOWED A 56% REDUCTION IN NON-URGENT ED USAGE AND A 22% REDUCTION IN OVERALL HOSPITAL USAGE POST-ICP. MORE THAN 1,500 REFERRALS PROVIDED TO ICP CLIENTS IN 2015. TYPES OF REFERRALS PROVIDED TO ICP PATIENTS: ALCOHOL AND DRUG TREATMENT, PRIMARY AND MENTAL HEALTH CARE, GENERAL ASSISTANCE, SSI/SDI, TRANSPORTATION, HOUSING, INSURANCE, VA AND OTHER SOCIAL SERVICES. THE ICP+ PROGRAM WAS DISCONTINUED. SMCS IS A FOUNDING PARTNER OF TRIAGE, TRANSPORT, AND TREATMENT (T3), A PROGRAM LAUNCHED IN 2006 THAT PROVIDES SERVICES TO PATIENTS WHO SEEK EMERGENCY DEPARTMENT CARE FOR NEEDS THAT ARE BEST ADDRESSED THROUGH PREVENTIVE MEASURES AND BY PRIMARY CARE PROVIDERS. THIS PROGRAM IS A MODEL FOR THE KIND OF CHANGE BEING CALLED FOR IN VARIOUS HEALTH CARE REFORM PLANS. A HUGE OBSTACLE FOR HEALTHCARE PROVIDERS, INCLUDING SMSC, IS THE INAPPROPRIATE USE OF THE EMERGENCY DEPARTMENT. THIS ISSUE IS NOT ONLY PROBLEMATIC FOR THE HEALTHCARE PROVIDER, BUT ALSO FOR THE PATIENTS WHO ARE NOT RECEIVING THE APPROPRIATE CARE IN THE APPROPRIATE PLACE, AT THE APPROPRIATE TIME. PROGRAMS LIKE T3 SEEK TO CONNECT PEOPLE WHO FREQUENTLY AND INAPPROPRIATELY USE THE EMERGENCY DEPARTMENT TO THE CORRECT RESOURCES, INCLUDING HOUSING AND MENTAL HEALTH SERVICES, WHICH IS KEY TO THE POPULATION WHO UTILIZES T3. MOVING THESE PATIENTS FROM THE EMERGENCY DEPARTMENT IMPROVES THE PATIENTS' HEALTH BY PROVIDING THEM WITH THE APPROPRIATE CARE IN THE RIGHT SETTING, WHILE REDUCING THE WAIT FOR THOSE SEEKING CARE FOR REAL MEDICAL EMERGENCIES, AND DRAMATICALLY REDUCING COSTS TO OUR HEALTH CARE SYSTEM. SMCS PARTNERS WITH AND PROVIDES FUNDING TO WELLSPACE HEALTH, THE SACRAMENTO REGION'S LARGEST FEDERALLY QUALIFIED HEALTH CLINIC (FQHC), TO OFFER THIS PROGRAM TO SOME OF THE MOST VULNERABLE PATIENTS IN OUR SERVICE AREA. WE TRACK AND MEASURE THE OUTCOMES OF OUR T3 PROGRAM VERY CAREFULLY. T3 SACRAMENTO SERVES AN AVERAGE OF APPROXIMATELY 185 ACTIVE CLIENTS PER QUARTER. PATIENTS SHOWED A 44% REDUCTION IN INPATIENT STAYS AND A 37% REDUCTION IN HOSPITAL BED DAYS USED, POST-T3. 41% OF THE PATIENTS WHO WORKED WITH THE SMCS ED NAVIGATOR IN 2015 WERE SUCCESSFULLY ENROLLED IN T3. AT THE END OF 2015, T3 HAD 192 ACTIVE CLIENTS AND 473 PATIENTS WERE SERVED OVERALL. BETWEEN THE PLACER AND SACRAMENTO T3 PROGRAMS (WHICH COLLECTIVELY HAD MORE THAN 260 PATIENTS AT THE END OF 2015 AND SERVED MORE THAN 700 PEOPLE OVERALL), PATIENTS RECEIVED MORE THAN 7,000 REFERRALS TO SERVICES INCLUDING PRIMARY AND MENTAL HEALTH CARE, COMMUNITY RESOURCES, FOOD BANKS, TRANSPORTATION, HOUSING, INSURANCE, INCOME AND MANY OTHER SOCIAL SERVICES. ED NAVIGATORS ATTEND TO PATIENTS IN THE EMERGENCY DEPARTMENT (UPON REFERRAL FROM A SMCS EMPLOYEE AND AFTER PATIENT AGREEMENT) TO PROVIDE ASSISTANCE IN IDENTIFYING PRIMARY CARE PROVIDERS AND TO DETERMINE OTHER CLIENT NEEDS. SMCS PROVIDES FUNDING TO WELLSPACE TO OFFER THIS IMPORTANT PROGRAM TO THE UNDERSERVED IN OUR COMMUNITY. THE ED NAVIGATOR IS AN EMPLOYEE OF WELLSPACE HEALTH AND SERVES AS A VISIBLE ED BASED STAFF MEMBER WHO IS ABLE TO PROVIDE REFERRALS TO TREATMENT FOR THOSE WHO ARE SEEKING CARE IN THE ED FOR NON-URGENT MATTERS. THE ED NAVIGATOR WILL CONNECT WITH PATIENTS AND PROVIDE REFERRALS TO PRIMARY CARE APPOINTMENTS, THE T3 PROGRAM FOR PERSONS WHO ARE FREQUENT NON-URGENT USERS, WELLSPACE AND OTHER CLINICS FOR THOSE WHO NEED A MEDICAL HOME AND OTHER IMPORTANT COMMUNITY RESOURCES, SUCH AS INSURANCE AND HOUSING. THE ED NAVIGATORS ARE CRITICAL IN DIRECTING THOSE WHO NEED MEDICAL HOMES OR ACCESS TO SERVICES, TO THE RIGHT CARE IN THE RIGHT PLACE AT THE RIGHT TIME. THE ED NAVIGATOR PROGRAM IS ANOTHER EXAMPLE OF THE COLLABORATIVE AND INNOVATIVE RELATIONSHIP SHARED BETWEEN SMCS AND WELLSPACE HEALTH. IN 2015, SMCS NAVIGATORS CONNECTED WITH 461 PATIENTS, PROVIDING ALL OF THEM WITH VARIOUS HEALTH AND COMMUNITY RELATED SERVICES. 187 (OR 41%) OF THOSE PATIENTS WERE SUCCESSFULLY REFERRED TO THE T3 PROGRAM. BETWEEN THE SUTTER ROSEVILLE MEDICAL CENTER AND SMCS ED NAVIGATOR PROGRAMS, ED NAVIGATORS PROVIDED 1,062 REFERRALS TO PRIMARY AND MENTAL HEALTH APPOINTMENTS, TRANSPORTATION, SOCIAL SERVICES, FOOD BANKS, INSURANCE AND OTHER VITAL RESOURCES TO THE UNDERSERVED POPULATION. IN CONJUNCTION WITH WELLSPACE HEALTH, SMCS IS EXAMINING THE POSSIBILITY OF IMPLEMENTING AN INPATIENT NAVIGATION PROGRAM. THE VISION FOR THIS SERVICE IS WHERE ED NAVIGATORS, T3 AND THE INTERIM CARE PROGRAM INTERSECT. WE ARE REFERRING TO THIS PROGRAM AS T3+, AS PATIENTS WOULD RECEIVE CASE MANAGEMENT SERVICES LIKE IN THE REGULAR T3 PROGRAM, BUT FOR MORE INTENSIVE ISSUES AND NEEDS. WE CONTINUE TO SEE PATIENTS STAY IN THE HOSPITAL LONGER THAN NECESSARY, DUE TO HEALTH, SUBSTANCE ABUSE, MENTAL HEALTH AND OTHER ISSUES. THIS SERVICE WILL HELP CONNECT WITH PATIENTS WHO WOULD BE BETTER SERVED IF THEY HAD A SAFE PLACE TO GO, OR FOLLOW UP CASE MANAGEMENT UPON DISCHARGE. USING FQHC STAFF AS NAVIGATORS/T3+ CASE MANAGERS WITHIN THE WALLS OF OUR HOSPITALS, WE CAN INTEGRATE OUR CASE MANAGEMENT WITH THEIRS AND ENSURE SEAMLESS TRANSITION FOR PATIENTS WHO NEED TO BE DISCHARGED TO ANOTHER CARE ENVIRONMENT. THESE T3+ NAVIGATORS WOULD FOLLOW THE PATIENTS AFTER DISCHARGE AND WORK WITH STAFF TO PROVIDE A FOLLOW-UP HEALTH PLAN, TELE-HEALTH, PAIN MANAGEMENT, ETC. ALL OF THIS IS WHILE THE T3+ NAVIGATORS ENSURE THE SUCCESS OF THE PATIENTS OTHER NEEDS (E.G. HOUSING, INSURANCE ENROLLMENT, ETC.) AND ENSURE PREVENTIVE FUTURE CARE. IN ADDITION TO ADDRESSING THE LACK OF ACCESS TO PRIMARY AND PREVENTATIVE SERVICES, THE T3+ PROGRAM WOULD ALSO TACKLE LACK OF ACCESS TO MENTAL HEALTH SERVICES AND LACK OF HOUSING/BASIC SHELTER. T3+ HAS SERVED 41 PATIEN 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 WELLSPACE HEALTH 1820 J ST SACRAMENTO CA 95811 941713704 501(C)(3) 4698605 GENERAL SUPPORT HEALTHY CMNTY FORUM FOR GREATER SAC REG 8928 VOLUNTEER LN STE 220 SACRAMENTO CA 95826 680377256 501(C)(3) 1100000 GENERAL SUPPORT SACRAMENTO STEPS FORWARD 1331 GARDEN HWY STE 100 SACRAMENTO CA 95833 274907397 501(C)(3) 1000000 GENERAL SUPPORT COMMUNICARE HEALTH CENTERS PO BOX 1260 DAVIS CA 95617 942188574 501(C)(3) 600000 GENERAL SUPPORT TURNING POINT COMMUNITY PROGRAM 3440 VIKING DR STE 114 SACRAMENTO CA 95827 942609766 501(C)(3) 500000 GENERAL SUPPORT NEHEMIAH COMMUNITY REINVESTMENT FUND INC 640 BERCUT DR STE A STE 220 SACRAMENTO CA 95811 680365842 501(C)(3) 383333 GENERAL SUPPORT LOS RIOS COMM COLLEGE FNDT 1919 SPANOS CT SACRAMENTO CA 95825 942506591 501(c)(3) 284617 GENERAL SUPPORT LA CLINICA DE LA RAZA 1515 FRUITVALE AVE OAKLAND CA 94601 941744108 501(C)(3) 269786 GENERAL SUPPORT SENIORS FIRST 12183 LOCKSLEY LN STE 205 AUBURN CA 95602 680430154 501(C)(3) 187527 GENERAL SUPPORT VALLEY VISION INC 2320 BROADWAY SACRAMENTO CA 95818 943214572 501(C)(3) 90000 GENERAL SUPPORT SACRAMENTO NATIVE AMERICAN HEALTH CTR INC 2020 J ST SACRAMENTO CA 95811 204287737 501(C)(3) 150000 GENERAL SUPPORT GATHERING INN 201 BERKELEY AVE ROSEVILLE CA 95678 841657746 501(C)(3) 147020 GENERAL SUPPORT WEAVE PO BOX 161389 SACRAMENTO CA 95816 942493158 501(C)(3) 80000 GENERAL SUPPORT LATINO LEADERSHIP COUNCIL INC 2945 BELL RD STE 274 AUBURN CA 95603 270970476 501(C)(6) 50000 GENERAL SUPPORT SOLANO COALITION FOR BETTER HEALTH 1 HARBOR DR STE 270 SUISUN CITY CA 94585 943189914 501(C)(3) 48518 GENERAL SUPPORT COMMUNITY SERVICE EDUCATION 5380 ELVAS AVE SACRAMENTO CA 95819 237003581 501(c)(3) 35000 GENERAL SUPPORT KVIE INC DBA KVIE CHANNEL 6 2030 W EL CAMINO AVE SACRAMENTO CA 95833 941421463 501(C)(3) 35000 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES NORTHERN CA 2555 49TH ST SACRAMENTO CA 95817 680147193 501(C)(3) 25000 GENERAL SUPPORT AMADOR COMMUNITY FOUNDATION PO BOX 1154 JACKSON CA 95642 680447992 501(C)(3) 20000 GENERAL SUPPORT CENTER FOR HEALTHCARE DECISIONS INC 955 UNIVERSITY AVE STE C SACRAMENTO CA 95825 680441958 501(C)(3) 10000 GENERAL SUPPORT KEATON RAPHAEL MEMORIAL FOR NEUROBLASTOMA 2260 DOUGLAS BLVD STE 150 ROSEVILLE CA 95661 680406980 501(C)(3) 10000 GENERAL SUPPORT KIDS FIRST 124 MAIN ST ROSEVILLE CA 95678 680195225 501(C)(3) 10000 GENERAL SUPPORT LIGHTHOUSE COUNSELING & FAMILY RSRC CTR 427 A ST STE 400 LINCOLN CA 95648 352252834 501(C)(3) 10000 GENERAL SUPPORT SIERRA FOREVER FAMILIES 138 NEW MOHAWK RD STE 200 NEVADA CITY CA 95959 680002878 501(C)(3) 10000 GENERAL SUPPORT LEAPFROG GROUP 1660 L ST NW STE 308 WASHINGTON DC 20036 522359517 501(C)(3) 8800 GENERAL SUPPORT 24 1 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 PROJECTS BUDGET, INDICATING ANY UNUSED AMOUNT OF GRANT FUNDS. AT THE END OF EACH YEAR/REPORTING PERIOD, COMMUNITY BENEFIT ANALYZES FULL-YEAR DATA TO ENSURE COMMUNITY PARTNERS MET THE OBJECTIVES OUTLINED IN THE MOU OR BSA. IF THE COMMUNITY PARTNERS DID NOT REACH THE ANTICIPATED OUTCOMES, COMMUNITY BENEFIT WORKS TO UNDERSTAND WHAT CIRCUMSTANCES PREVENTED THE ORGANIZATION FROM 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 James Conforti Regional President, SHSSR 0 707108 0 579602 0 71820 0 376742 0 24453 0 1759725 0 363827 Patrick Fry President & CEO SH (PART YEAR) 0 1562833 0 1913420 0 365492 0 3592743 0 35166 0 7469654 0 1281022 Peter Hull MD Trustee 0 0 0 0 208000 0 0 0 0 0 208000 0 0 0 Sarah Krevans PRES & COO SH, ASST SEC. SHSSR 0 1045572 0 888993 0 143129 0 470092 0 26048 0 2573834 0 559293 Paige Terra CONTROLLER, SHSSR 0 417285 0 231744 0 14473 0 109542 0 17813 0 790857 0 122154 PENNY WESTFALL VP & REG COUNSEL, SSR 0 353869 0 190142 0 1461 0 100142 0 12069 0 657683 0 78012 Thomas Blinn CEO, Reg Amb Care, SRR 0 503301 0 291047 0 64961 0 167342 0 18732 0 1045383 0 140475 Pat Brady CEO, Sutter Roseville Med. Ctr 0 469528 0 322547 0 101289 0 175242 0 19642 0 1088248 0 212302 Dennie Conrad REG VP, PLNNG & BUS DEV SHSSR 0 293782 0 163575 0 14999 0 69042 0 11801 0 553199 0 78012 Terry Glubka CEO, Sutter Solano Medical Ctr 0 396683 0 249267 0 35620 0 115942 0 18006 0 815518 0 142653 Mitch Hanna CAO, SAFH 0 350257 0 206552 0 68608 0 109042 0 17927 0 752386 0 124098 Jennifer Maher CEO, Sutter Davis Hospital 0 269718 0 44807 0 9213 0 63795 0 11137 0 398670 0 0 Carrie Owen-Plietz CEO, Sutter Med Ctr Sacramento 0 488419 0 358753 0 61741 0 142592 0 21862 0 1073367 0 140475 Anne Platt CEO, SUTTER AMADOR HOSPITAL 0 273388 0 176335 0 24332 0 80792 0 19102 0 573949 0 78012 Thomas Ream II Reg CIO, Sac Sierra Region 0 228588 0 192668 0 12431 0 49891 0 10576 0 494154 0 87412 John Boyd CAO, MNTL HLTH & CONT CARE SSR 0 302546 0 134028 0 18393 0 85692 0 11173 0 551832 0 49948 Shelly McGriff CNE Sutter Med Ctr Sac. 0 288596 0 119863 0 31085 0 37892 0 12185 0 489621 0 67462 John Mesic MD CMO, Sac Sierra Region 0 524266 0 255760 0 58577 0 156842 0 15528 0 1010973 0 130954 BARBARA NELSON CNE, SUTTER ROSEVILLE MED. CTR 0 279568 0 124384 0 20471 0 58092 0 8887 0 491402 0 61467 Jeffrey Szczesny Reg VP HR, Sac Sierra Region 0 387740 0 211092 0 28374 0 91742 0 16798 0 735746 0 107843 Jeff Sprague SVP & CFO, SHSSR (FMR OFFICER) 0 676648 0 503008 0 85177 0 486742 0 29326 0 1780901 0 257560 Janet Wagner CEO MILLS PNSLA DIV (FMR KEY) 0 400297 0 249464 0 40107 0 128292 0 17235 0 835395 0 121295 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 INDIVIDUALS RECEIVED 457(F) NON-QUALIFIED PAYMENTS DURING THE YEAR: PAT BRADY - $17,446 THOMAS BLINN - $49,763 SCHEDULE J, PART 1, 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. A CSCDA 2003AB 680164610 130795EE3 2007-05-01 101118867 CONSTRUCTION & REFUND - 1/30/03 false false false B CSCDA 2004CD 680164610 130795TE7 2008-05-06 87750717 CONSTRUCTION & REFUND - 2/17/04 false false false C CSCDA 2005BC 680164610 130795EG8 2007-05-01 49994066 REFUNDING - 1995 false false false D CHFFA 2007A 521643828 13033FQ37 2007-05-01 790998316 CONSTRUCT & EQUIP FACILITY false false false A 0 0 105631049 9012451 0 0 0 0 0 0 96618598 0 true false true true B 18180000 0 89238919 8690798 0 0 0 0 0 0 80548121 0 true false true true C 0 0 52595244 3464786 0 0 0 0 0 0 49130458 0 true false true true D 0 0 858694930 0 55398317 0 0 0 0 783091871 20204742 0 2011 false false true true A false true true true true true 0.00100 0.00010 0.00110 false false false true B false true true true false 0.00010 0.00000 0.00010 false false false true C false true true true false 0 false false false true D false true true true true true 0.00480 0.00000 0.00480 false false false true A true false false 0 false 0 false true B false true false false false false 0 false 0 false true C true false false 0 false 0 false true D true false false 0 false 0 false true A true B true C true D true SCHEDULE K THE ORGANIZATION'S SOLE CORPORATE MEMBER IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES THAT ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS, INCLUDING THE ORGANIZATION. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THIS ORGANIZATION IS REPORTED ON FORM 990, PART X, BALANCE SHEET AND PART VI HEREIN. WITH THE EXCEPTION OF THIS PORTION OF PART VI, THE SCHEDULE K FOR THIS ORGANIZATION IS REPORTING INFORMATION FOR THE ENTIRE BOND ISSUE. SCHEDULE K, PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $71,057,880 FROM THE 2003AB ISSUE; $26,894,201 FROM THE 2004CD ISSUE; $11,462,772 FROM THE 2005BC ISSUE AND $87,364,713 FROM THE 2007A ISSUE. SCHEDULE K, PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $155,359,368 FROM THE 2008A ISSUE; $121,940,351 FROM THE 2008BC BOND ISSUE; $271,589,951 FROM THE 2011A ISSUE AND $25,717,260 FROM THE 2011C ISSUE. SCHEDULE K, PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $60,477,124 FROM THE 2011D ISSUE; $79,418,843 FROM THE 2012A ISSUE AND $46,787,674 FROM THE 2015A ISSUE. SCHEDULE K, PART I-1, LINE A, COLUMN (F)(CSCDA 2003AB): THE INITIAL BONDS ISSUED IN 2003 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. SCHEDULE K, PART I-1, LINE B, COLUMN (F) (CSCDA 2004CD): THE INITIAL BONDS ISSUED IN 2004 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 6, 2008. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. SCHEDULE K, PART I-1, LINE C, COLUMN (F) (CSCDA 2005BC): THE INITIAL BONDS ISSUED IN 2005 REFUNDED 1995 CERTIFICATES AND WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL REFUNDING BONDS. SCHEDULE K, PART I-2, LINE A, COLUMN (F) (CHFFA 2008A): THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2007, 2004 AND 2002 ISSUES. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1991 AND 1995. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION. THE REFUNDED BONDS ISSUED IN 2002 WERE USED TO REFUND BONDS ISSUED IN 1922, WHICH WERE USED TO REFUND BONDS ISSUED IN 1985, 1986 AND 1987. SCHEDULE K, PART II, LINE 7: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS. A CHFFA 2008A 521643828 13033F2L3 2008-05-14 329041638 REFUND - 5/21/02, 2/17/04, 5/01/07 false false false B CSCDA 2008BC 680164610 130795TD9 2008-05-14 291999417 CONSTRUCT & EQUIP FACILITY false false false C CSCDA 2011A 680164610 1307952Q9 2011-02-10 271589951 CONSTRUCT & EQUIP FACILITY false false false D CSCDA 2011C 680164610 1307954U8 2011-12-22 38777964 REFUNDING - 1999 false false false A 104255000 0 329041638 0 0 0 0 0 0 0 329041638 0 true false true true B 0 0 307344038 0 31655776 0 0 0 0 262891121 12797141 0 2015 false false true true C 0 0 276420623 0 0 0 0 0 0 276420623 0 0 2014 false false true true D 0 0 38777964 0 0 38777964 0 0 0 0 0 0 true false true true A false true true true true true 0.01010 0.00060 0.01070 false false false true B false true true true true true 0.00240 0.00020 0.00260 false false false true C false true true true true true 0.00140 0.00040 0.00180 false false false true D 0 A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true A CHFFA 2011D 521643828 13033LVW4 2011-12-22 331759643 CONSTRUCT & REFUNDING - 1998 false false false B CSCDA 2012A 680164610 1307956K8 2012-07-11 132681869 REFUNDING - 2002 false false false C CHFFA 2015A 521643828 13032UAR9 2015-11-12 204061105 REFUND. 2005A & 1995 CERTIFICATES false false false A 0 0 334684174 0 0 65070000 0 0 0 145589174 124025000 0 2014 true false true true B 0 0 132681869 0 0 0 0 0 0 0 132681869 0 true false true true C 0 0 204061105 0 0 0 0 0 0 0 204061105 0 true false true true A false false true true true true 0 false false false true B false true true true true true 0.00080 0.00000 0.00080 false false false true C 0.00000 0.00000 0.00000 A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true JENNIFER P NEWELL SEE PART V 94421 SEE PART V false MORAG M THOMSON SEE PART V 16802 SEE PART V false SCHEDULE L, PART IV DESCRIPTION OF BUSINESS TRANSACTIONS WITH INTERESTED PERSONS: MICHAEL NEWELL IS A TRUSTEE OF SUTTER HEALTH SACRAMENTO REGION (SHSSR). HIS SPOUSE IS AN RN AT SUTTER DAVIS HOSPITAL WHICH IS PART OF SHSSR. HELEN THOMSON IS A TRUSTEE OF SHSSR. HER DAUGHTER IS AN RN AT SHSSR. X 1 26141 FMV X 1 654500 FMV X GIFTS-IN-KIND 2 766 FMV 1 false true false SCHEDULE M, PART I, COLUMN (B) COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION - WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. VISION - SUTTER HEALTH LEADS THE TRANSFORMATION OF HEALTH CARE TO ACHIEVE THE HIGHEST LEVELS OF QUALITY, ACCESS AND AFFORDABILITY. VALUES - EXCELLENCE AND QUALITY, CARING AND COMPASSION, HONESTY AND INTEGRITY, TEAMWORK, COMMUNITY AND AFFORDABILITY. FORM 990, PART III, LINE 4A SUTTER HEALTH SACRAMENTO SIERRA REGION: SUTTER HEALTH SACRAMENTO SIERRA REGION SERVES SACRAMENTO, PLACER, AMADOR, EL DORADO, NEVADA, YOLO, SOLANO, YUBA AND SUTTER COUNTIES WITH COMPREHENSIVE HEALTH CARE. WE STRIVE TO PROVIDE ACCESS TO PRIMARY CARE PHYSICIANS AND SPECIALTY SERVICES IN EACH OF OUR COMMUNITIES, AND HAVE A NETWORK OF MORE THAN 1,000 PHYSICIANS REGIONALLY AND MORE THAN 5,000 THROUGHOUT THE SUTTER HEALTH SYSTEM. COMMUNITY BENEFIT PROGRAMS ALL SUTTER HEALTH SACRAMENTO SIERRA REGION HOSPITAL FACILLITIES PARTICIPATED IN THE FOLLOWING COMMUNITY BENEFIT PROGRAM: FREE MAMMOGRAM SCREENING PROGRAM: THROUGHOUT THE MONTH OF OCTOBER, SUTTER DIAGNOSTIC IMAGING CENTERS ACROSS THE REGION PROVIDED UNINSURED/UNDERINSURED WOMEN THE OPPORTUNITY TO RECEIVE FREE DIGITAL MAMMOGRAMS. AS A RESULT OF THESE COLLABORATIVE EVENTS, WE WERE ABLE TO SCREEN 502 UNINSURED WOMEN IN 2015. WE HAVE INSURANCE ENROLLMENT SPECIALISTS FROM COVERED CALIFORNIA ATTEND SOME OF THE SCREENING EVENTS TO EDUCATE, CONNECT AND ENROLL PATIENTS WHO NEED IT, IN HEALTH INSURANCE. IN ADDITION, WE HAVE INTEGRATED OUR ED NAVIGATORS AND FQHC PARTNERS INTO SOME OF THE SCREENING EVENTS, TO PROVIDE ONSITE PRIMARY AND MENTAL HEALTH CARE REFERRALS AND OTHER COMMUNITY RESOURCES TO THE WOMEN. CONNECTING THE UN- AND UNDERINSURED POPULATION TO INSURANCE AND A MEDICAL HOME IS MORE CRITICAL THAN EVER, AS WE ADAPT TO THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT. SUTTER AUBURN FAITH HOSPITAL: SUTTER AUBURN FAITH HOSPITAL IS LICENSED FOR 72 ACUTE BEDS, AND IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. IT IS MEDICARE CERTIFIED AND ACCEPTS MOST PRIVATE INSURANCE PLANS. SUTTER AUBURN FAITH HOSPITAL PROVIDES THE FOLLOWING SERVICES: CARDIAC CARE UNIT, CARDIAC CATHETERIZATION/VASCULAR LAB, CARDIOPULMONARY SERVICES, DIAGNOSTIC IMAGING, EMERGENCY DEPARTMENT, ENDOSCOPY SERVICES, FULL LABORATORY, HOME HEALTH/HOSPICE, INFUSION CENTER, INTENSIVE CARE UNIT, NUCLEAR MEDICINE, OUTPATIENT/INPATIENT SURGERY, PHYSICAL THERAPY, RADIOLOGY, SENIOR SERVICES, TELEMETRY AND WOUND CARE. SUTTER AUBURN FAITH HOSPITAL SERVES THE COMMUNITY THROUGH A VARIETY OF MEDICAL AND SURGICAL SPECIALTIES, INCLUDING: ANESTHESIOLOGY BARIATRIC SERVICES CARDIOLOGY CARDIAC CATH LAB DENTISTRY DERMATOLOGY DIAGNOSTIC IMAGING ENDOSCOPY EMERGENCY MEDICINE GASTROENTEROLOGY INFUSION THERAPY INTERNAL MEDICINE LABORATORY NEPHROLOGY NEUROLOGY NUCLEAR MEDICINE OUTPATIENT SURGERY OCCUPATIONAL MEDICINE ONCOLOGY OPHTHALMOLOGY ORAL SURGERY OTOLARYNGOLOGY PALLIATIVE CARE PATHOLOGY PEDIATRICS PLASTIC SURGERY PODIATRY PRIMARY CARE/FAMILY PRACTICE RADIATION ONCOLOGY RADIOLOGY RESPIRATORY THERAPY SOCIAL SERVICES SURGERY TRANSFUSION MEDICINE TELEMETRY UROLOGY WOMEN'S IMAGING CENTER WOUND CARE SUTTER AUBURN FAITH HOSPITAL'S MISSION IS TO SERVE THE HEALTHCARE NEEDS OF AUBURN AND THE SURROUNDING FOOTHILL COMMUNITIES. THROUGH PARTNERSHIPS WITH PHYSICIANS, PAYORS, OTHER HEALTH AND HUMAN SERVICES AGENCIES AND WITH OUR EMPLOYEES AND VOLUNTEER LEADERSHIP, SUTTER AUBURN FAITH HOSPITAL SEEKS TO PROVIDE A CONTINUUM OF HEALTH AND WELLNESS SERVICES TO ASSURE A HIGH QUALITY OF LIFE FOR THE PEOPLE LIVING IN OUR SERVICE AREA. COMMUNITY BENEFIT PROGRAMS IN 2015, SUTTER AUBURN FAITH HOSPITAL (SAFH) CONTRIBUTED $980,000 IN COMMUNITY BENEFIT AND CHARITY CARE INVESTMENTS TO THE UNDERSERVED IN PLACER COUNTY. IN ADDITION, SAFH SUPPORTS A NUMBER OF COMMUNITY BENEFIT PROGRAMS. T3 FOOTHILLS: THE TRIAGE, TRANSPORT AND TREAT PROGRAM (T3) PROVIDES ONGOING CASE MANAGEMENT TO PEOPLE WHO UTILIZE THE EMERGENCY DEPARTMENT FOR NON-URGENT REASONS AND CAN BE BETTER SERVED WITH A WARM-HANDOFF TO A MEDICAL HOME AND VARIOUS BEHAVIORAL AND SOCIAL SERVICES. T3 IS CRITICAL IN CONNECTING PATIENTS TO PRIMARY AND BEHAVIORAL HEALTH CARE, AS WELL AS LONG TERM COMMUNITY SUPPORT, ALLOWING THIS PATIENT POPULATION ACCESS CARE AND RESOURCES IN A MORE APPROPRIATE, CONSISTENT MANNER. ICP PLACER COUNTY: THE INTERIM CARE PROGRAM (ICP) PROVIDES A PLACE FOR HOMELESS PATIENTS TO HEAL, WHEN THEYRE READY TO BE DISCHARGED FROM THE HOSPITAL, BUT DO NOT HAVE A SAFE PLACE TO GO. ICP WRAPS PATIENTS WITH SERVICES, INCLUDING PRIMARY AND MENTAL HEALTH CARE, COMMUNITY SERVICES, HOUSING AND OTHER NECESSARY RESOURCES, NEEDED FOR PATIENTS TO LIVE A HEALTHIER LIFE. THIS PROGRAM PROVIDES VITAL LINKAGES BETWEEN SUTTER HEALTH AND OUR COMMUNITY PARTNERS, SUCH AS THE GATHERING INN, WELLSPACE HEALTH AND OTHER KEY HEALTH AND COMMUNITY BASED ORGANIZATIONS, TO ENSURE PATIENTS DONT FALL THROUGH THE CRACKS WHEN THEYRE DISCHARGED FROM AN INPATIENT HOSPITAL SETTING. PROMOTORAS: PROMOTORAS ARE NAVIGATORS FROM THE LATINO LEADERSHIP COUNCIL WHO WORK DIRECTLY WITH SPANISH-SPEAKING PATIENTS WHO NEED TRANSLATION SERVICES, CONNECTION TO EXTERNAL HEALTH AND SOCIAL RESOURCES AND CULTURALLY COMPETENT CASE MANAGEMENT SERVICES. THE PROMOTORA FOLLOWS PATIENTS FOR AS LONG AS NEEDED, ENSURING THAT THEY (ALONG WITH THEIR FAMILIES) UNDERSTAND FOLLOW UP CARE INSTRUCTIONS WHEN DISCHARGED FROM THE HOSPITAL, ARE CONNECTED WITH PRIMARY CARE APPOINTMENTS, HAVE LINKAGES TO THE NECESSARY SOCIAL RESOURCES AND THAT SUPPORT IS AVAILABLE FOR THE ENTIRE FAMILY. THIS PROGRAM SEEKS TO ENSURE THAT UNDERSERVED PATIENTS WHO DO NOT HAVE THE RESOURCES OR LANGUAGE SKILLS TO EFFECTIVELY COMMUNICATE THEIR EXTENSIVE NEEDS, ARE PROVIDED WITH WARM-HAND OFFS AND SUPPORT, EVEN AFTER THEY LEAVE THE HOSPITAL. FAMILY SUPPORT PROGRAM (FSP): THE FSP PROGRAM LINKS PLACER COUNTY RESIDENTS WITH COMMUNITY SUPPORT GROUPS AND SERVICES. SUTTER ROSEVILLE MEDICAL CENTER AND SUTTER AUBURN FAITH HOSPITAL CONTRACT WITH THE PLACER COUNTY DEPARTMENT OF HEALTH TO PROVIDE A PUBLIC HEALTH NURSE IN THE HOSPITAL TO CONNECT WITH PATIENTS AND PROVIDE EDUCATION AND REFERRALS. SENIOR RECREATION AND RESPITE PROGRAM: (R & R) IS DESIGNED TO MEET THE NEEDS OF OLDER ADULTS WITH MEMORY OR PHYSICAL IMPAIRMENT. THE PROGRAM PROVIDES RECREATIONAL, SOCIAL AND EDUCATIONAL ACTIVITIES FOR THE PARTICIPANTS, AND RESPITE FOR CAREGIVERS TO ENJOY SOME FREE TIME TO THEMSELVES. THE STAFF IS SUPPORTED BY ITS VALUABLE TEAM OF VOLUNTEERS AND COMPLETED BY PERSONAL CARE AIDS. ADDITIONALLY, THE SENIOR RESOURCE GUIDE IS A BOOKLET, FREE TO THE PUBLIC, WITH INFORMATION ON A MULTITUDE OF SENIOR SERVICES AVAILABLE IN PLACER COUNTY. THE GUIDE IS UPDATED AND DISTRIBUTED SEMI-ANNUALLY VIA PHYSICIAN OFFICES, SENIOR APARTMENT COMPLEXES, SENIOR CENTERS, SKILLED NURSING FACILITIES, LIBRARIES, MOBILE HOME COMMUNITIES, SENIOR SERVICE PROVIDERS, HOME HEALTH AND HOSPICE AGENCIES AND MANY OTHER SERVICE ORGANIZATIONS AND PUBLIC PLACES. WE ARE ABLE TO PRODUCE THIS GUIDE IN PARTNERSHIP WITH SENIORS FIRST, SUTTER ROSEVILLE MEDICAL CENTER AND SUTTER AUBURN FAITH HOSPITAL. HEALTH EXPRESS: HEALTH EXPRESS SEEKS TO PROVIDE TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS FOR PLACER COUNTYS MOST VULNERABLE POPULATIONS, INCLUDING SENIOR RESIDENTS. ONE OF THE KEY ISSUES OFTEN IDENTIFIED DURING COMMUNITY HEALTH NEEDS ASSESSMENTS ARE GAPS IN BASIC TRANSPORTATION SERVICES FOR SENIORS AND THE UNDERSERVED POPULATION, WHO OFTEN SITE LACK OF TRANSPORTATION AS A KEY BARRIER TO ACCESSING APPROPRIATE PRIMARY CARE AND HEALTH-RELATED APPOINTMENTS. HEALTH EXPRESS SEEKS TO BRIDGE THIS GAP, TO ENSURE THAT THE PLACER COUNTY CITIZENS WHO WOULD OTHERWISE NOT HAVE ACCESS TO TRANSPORTATION, NECESSARY TO OBTAIN APPROPRIATE MEDICAL CARE. SUTTER ROSEVILLE MEDICAL CENTER PROVIDES FUNDING TO HEALTH EXPRESS AND PARTNERS WITH SENIORS FIRST, PLACER COUNTY TRANSPORTATION PLANNING AGENCY AND KAISER PERMANENTE. THE HEALTH EXPRESS PARTNERSHIP PROVIDES TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS FOR PLACER COUNTYS UNDERSERVED, VULNERABLE AND ELDERLY POPULATION, WHO ARE UNABLE TO ACCESS NECESSARY MEDICAL CARE, DUE TO TRANSPORTATION CONSTRAINTS. THIS PROGRAM IS PUBLICIZED THROUGHOUT PLACER COUNTY TO ENCOURAGE USE. GROUPS, HEALTH FAIRS, AND COOPERATIVE PROGRAMS FOR VULNERABLE POPULATIONS AND COMMUNITY EFFORTS TO IMPROVE THE OVERALL QUALITY OF LIFE FOR LOCAL RESIDENTS. FORM 990, PART III, LINE 4A CONTINUED ADDITIONAL COMMUNITY SERVICES - SUTTER AUBURN FAITH HOSPITAL RESPONDS TO APPROXIMATELY 50,000 INPATIENT AND OUTPATIENT VISITS PER YEAR. ITS EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY AND IS LINKED TO THE TRAUMA CENTER AT SUTTER ROSEVILLE MEDICAL CENTER. - SUTTER AUBURN FAITH PROVIDES A FULL RANGE OF HOME HEALTH CARE THROUGH ITS AFFILIATED VISITING NURSES ASSOCIATION (VNA), WHICH CONTINUES TO EXPAND ITS PREVENTIVE HEALTH PROGRAMMING THROUGH SUCH OUTREACH EFFORTS AS FLU AND PNEUMONIA CLINICS FOR SENIORS AND PEOPLE WITH CHRONIC HEALTH PROBLEMS. - SUTTER AUBURN FAITH HAS A 24-HOUR PER DAY OUTPATIENT HOSPICE PROGRAM (MEDICARE CERTIFIED) THAT USES A TEAM OF MEDICAL PROFESSIONALS AND VOLUNTEERS TO PROVIDE IN-HOME AND CAREGIVER SUPPORT, PAIN MITIGATION, BEREAVEMENT SUPPORT GROUPS (INCLUDING A CHILDREN'S BEREAVEMENT ART PROGRAM) AND CHAPLAINCY ASSISTANCE. INSPIRED BY A GROUP OF LOCAL CITIZENS IN 1981, AND ASSISTED TODAY BY AN ACTIVE COMMUNITY ADVISORY BOARD, HOSPICE SERVICES ARE PROVIDED FREE OF CHARGE REGARDLESS OF INSURANCE COVERAGE OR ABILITY TO PAY. - THE SAFH GUILD IS COMPRISED OF MORE THAN 60 VOLUNTEERS WHO PROVIDE HIGHLY SPECIALIZED SKILLS AND EXPERIENCE-BOTH WITHIN THE HOSPITAL AND VIA OUTREACH EFFORTS TO THE COMMUNITY-WHICH WOULD NOT OTHERWISE BE AFFORDABLE. SUTTER AUBURN FAITH HOSPITAL HAS A STRONG TRADITION OF PROVIDING CHARITY AND UNCOMPENSATED CARE TO ITS COMMUNITIES. ADDITIONALLY, OVER THE YEARS, THE HOSPITAL HAS INITIATED AND PROVIDED SUPPORT TO A WIDE RANGE OF HEALTH EDUCATION CLASSES, HEALTH MAINTENANCE PROGRAMS, SPECIALIZED SUPPORT GROUPS, HEALTH FAIRS, AND COOPERATIVE PROGRAMS FOR VULNERABLE POPULATIONS AND COMMUNITY EFFORTS TO IMPROVE THE OVERALL QUALITY OF LIFE FOR LOCAL RESIDENTS. SUTTER AMADOR HOSPITAL: SUTTER AMADOR HOSPITAL IS A 52-BED ACUTE CARE HOSPITAL LOCATED IN JACKSON, CALIFORNIA APPROXIMATELY 55 MILES SOUTHEAST OF SACRAMENTO IN AMADOR COUNTY. THE HOSPITAL WAS ESTABLISHED IN THE MID-1800S AND BECAME AFFILIATED WITH SUTTER HEALTH IN 1993. AS ONE OF AMADOR COUNTYS LARGEST EMPLOYERS, SUTTER AMADOR HOSPITAL EMPLOYS MORE THAN 387 INDIVIDUALS. THE PATIENTS ARE SERVED BY A MEDICAL STAFF OF MORE THAN 50 ACTIVE MEDICAL STAFF PHYSICIANS AND AN ACTIVE AUXILIARY OF 92 VOLUNTEERS. IN ADDITION, SUTTER AMADOR HOSPITAL IS A UC DAVIS RURAL PRIME SITE FOR MEDICAL STUDENTS AND PARTICIPATES IN THE AMADOR AND CALAVERAS COUNTIES HIGH SCHOOL ROP PROGRAM. SUTTER AMADOR HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. IT IS MEDICARE CERTIFIED AND ACCEPTS MOST PRIVATE INSURANCE PLANS. AS A NOT-FOR-PROFIT HOSPITAL, SUTTER AMADOR HOSPITAL ALSO DONATES MANY COMMUNITY SERVICES AND HAS A STRONG TRADITION OF PROVIDING CHARITY AND UNCOMPENSATED CARE TO ITS COMMUNITIES. ADDITIONALLY, OVER THE YEARS, THE HOSPITAL HAS INITIATED AND PROVIDED SUPPORT TO A WIDE RANGE OF HEALTH EDUCATION CLASSES, HEALTH MAINTENANCE PROGRAMS, SPECIALIZED SUPPORT GROUPS, HEALTH FAIRS, AND COOPERATIVE PROGRAMS FOR VULNERABLE POPULATIONS AND COMMUNITY EFFORTS TO IMPROVE THE OVERALL QUALITY OF LIFE FOR LOCAL RESIDENTS. SUTTER AMADOR HOSPITAL SERVES THE COMMUNITY THROUGH A VARIETY OF COMPREHENSIVE PROGRAMS AND SERVICES, INCLUDING: 24-HOUR EMERGENCY DEPARTMENT WITH FAST TRACK SUTTER MEDICAL FOUNDATION PEDIATRIC CENTER SUTTER MEDICAL FOUNDATION WOMENS SERVICES FAMILY BIRTH CENTER INPATIENT AND OUTPATIENT SURGICAL AND MEDICAL CARE CRITICAL CARE WITH EICU CARDIOLOGY CARDIOPULMONARY SERVICES DIAGNOSTIC IMAGING INPATIENT REHABILITATION SERVICES ENDOSCOPY AND INFUSION SUITE GASTROENTEROLOGY SUTTER MEDICAL FOUNDATION LAB PATIENT SERVICE CENTER NEUROLOGY A CERTIFIED STROKE CENTER NUCLEAR MEDICINE OPHTHALMOLOGY ORTHOPEDICS INPATIENT AND OUTPATIENT HAND AND SPEECH THERAPY OUTPATIENT DIABETES EDUCATION PROGRAM SUTTER MEDICAL FOUNDATION FAMILY PRACTICE OFFICES LOCATED IN JACKSON, PIONEER, PLYMOUTH SLEEP DISORDERS CENTER SURGERY SUTTER AMADOR HOSPITALS MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF THE RESIDENTS IN THE COMMUNITIES SERVED BY PROVIDING COORDINATED, EFFECTIVE, AFFORDABLE AND ACCESSIBLE HEALTH AND WELLNESS SERVICES. SUTTER AMADOR HOSPITAL CONTINUOUSLY STRIVES TO IDENTIFY THE HEALTH CARE NEEDS OF THESE COMMUNITIES AND RESPOND BY PROVIDING HEALTH AND WELLNESS SERVICES CONSISTENT WITH THE STATED VALUES AND VISION OF THE HOSPITAL. COMMUNITY BENEFIT PROGRAMS: IN 2015, SUTTER AMADOR HOSPITAL CONTRIBUTED NEARLY $3.32 MILLION IN COMMUNITY BENEFIT AND CHARITY CARE INVESTMENTS TO THE UNDERSERVED IN AMADOR COUNTY. THE HOSPITAL ALSO MADE CRITICAL INVESTMENTS IN LOCAL FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER CRITICAL COMMUNITY PARTNERS IN AN EFFORT TO HELP INCREASE THEIR CAPACITY TO SERVE THE UNDERINSURED. SUTTER AMADOR HOSPITAL SUPPORTS A NUMBER OF COMMUNITY BENEFIT PROGRAMS. AMADOR RIDES: THE AMADOR RIDES PROGRAM IS VERY IMPORTANT, AS MANY SENIOR RESIDENTS IN AMADOR COUNTY LIVE IN RURAL AREAS, WITH WINDY ROADS THAT ARE FAR FROM PUBLIC TRANSPORTATION. THIS PROGRAM WAS DESIGNED TO PROVIDE RIDES TO AND FROM MEDICAL APPOINTMENTS FOR THE ELDERLY AND UNDERSERVED, ESPECIALLY IN THE RURAL AREAS OF AMADOR COUNTY. IN 2015, THIS PROGRAM SERVED 103 CLIENTS WITH 303 RIDES TO MEDICAL APPOINTMENTS. AMADOR LIFELINE: AMADOR LIFELINE HELPS INDIVIDUALS, OFTEN ISOLATED SENIORS, MAINTAIN INDEPENDENCE BY LIVING IN THEIR OWN ENVIRONMENT, AND PROVIDES SECURITY AND PEACE OF MIND AND PROMPT, CARING ASSISTANCE AT THE "TOUCH OF A BUTTON" 24 HOURS A DAY, 365 DAYS A YEAR. IN 2015, AMADOR LIFELINE SERVED A TOTAL OF 230 CLIENTS, WITH CLIENTS RANGING IN AGE FROM 50-107 YEARS, FOR MORE THAN 260 DIFFERENT ENCOUNTERS. CLIENTS MAINTAIN THEIR SELF- RESPECT, CONFIDENCE, DIGNITY AND INDEPENDENCE BY CONTINUING TO LIVE IN THEIR OWN RESIDENCES WITH THE SAFETY AND SECURITY WITH THE HELP OF AMADOR LIFELINES, EMERGENCY RESPONSE SERVICE. AMADOR LIFELINE PROVIDED 20 VARIOUS CLASSES/WORKSHOPS TO IMPROVE HEALTH AND 6 COMMUNITY EVENTS. FORM 990, PART III, LINE 4A CONTINUED SUTTER DAVIS HOSPITAL: SUTTER DAVIS HOSPITAL IS A TWO-STORY 90,000 SQUARE FOOT ACUTE CARE HOSPITAL LICENSED FOR 48 BEDS THAT SERVES THE HEALTH CARE NEEDS OF RESIDENTS LIVING IN DAVIS, DIXON, WOODLAND AND WINTERS. THE FACILITY IS LOCATED IN THE WESTERN-MOST SECTION OF THE CITY OF DAVIS AT THE CORNER OF HIGHWAY 113 AND COVELL BOULEVARD. AS DAVIS' THIRD LARGEST EMPLOYER, SUTTER DAVIS EMPLOYS APPROXIMATELY 400 INDIVIDUALS WHO PROVIDE ROUND-THE-CLOCK CARE TO THE SICK, THE INJURED AND THOSE RECUPERATING FROM SURGERY PERFORMED IN THE HOSPITAL'S THREE FULLY EQUIPPED OPERATING SUITES. THE PATIENTS ARE SERVED BY A MEDICAL STAFF OF MORE THAN 160; AN ACTIVE AUXILIARY OF 70 PEOPLE AND A GROUP OF STUDENTS SERVE THE HOSPITAL AS VOLUNTEERS. SUTTER DAVIS IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. IT IS MEDICARE CERTIFIED AND ACCEPTS MOST PRIVATE INSURANCE PLANS. AS A NOT-FOR-PROFIT HOSPITAL, SUTTER DAVIS ALSO DONATES MANY COMMUNITY SERVICES. SUTTER DAVIS HOSPITAL SEEKS TO PROVIDE A CONTINUUM OF HEALTH AND WELLNESS SERVICES TO ASSURE A HIGH QUALITY OF LIFE FOR THE PEOPLE LIVING IN OUR SERVICE AREA. SUTTER DAVIS HOSPITAL SERVES THE COMMUNITY THROUGH A VARIETY OF MEDICAL AND SURGICAL SERVICES, INCLUDING: CANCER CARE CARDIAC REHABILITATION DIGITAL MAMMOGRAPHY DIAGNOSTIC IMAGING EMERGENCY SERVICES HEART AND VASCULAR INSTITUTE INFUSION CENTER INTENSIVE CARE NUCLEAR MEDICINE FAMILY BIRTH CENTER COMMUNITY BENEFIT PROGRAMS IN 2015, SUTTER DAVIS HOSPITAL CONTRIBUTED NEARLY $1.13 MILLION IN COMMUNITY BENEFIT AND CHARITY CARE INVESTMENTS TO THE UNDERSERVED IN YOLO COUNTY. THE HOSPITAL ALSO MADE CRITICAL INVESTMENTS IN LOCAL FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER CRITICAL COMMUNITY PARTNERS IN AN EFFORT TO HELP INCREASE THEIR CAPACITY TO SERVE THE UNDERINSURED. SUTTER DAVIS HOSPITAL ALSO SUPPORTS A NUMBER OF COMMUNITY BENEFIT PROGRAMS. COMMUNICARE: EXPANDING ACCESS TO CARE AND BUILDING CAPACITY FOR THE UNDERSERVED REMAINS A TOP PRIORITY, WHICH IS ONE OF THE MAIN REASONS SDH SUPPORTS THE INCREDIBLE WORK OF COMMUNICARE. SDH HAS BEEN A LONGTIME PARTNER WITH COMMUNICARE AND WILL CONTINUE TO MAKE STRATEGIC INVESTMENTS AND PROVIDE SUPPORT TO THIS CRITICALLY IMPORTANT NETWORK, AS COMMUNICARE MEETS THE NEEDS OF MORE AND MORE PEOPLE THROUGHOUT YOLO COUNTY AND THE SDH HSA. COMMUNICARE PROVIDES CARE TO SOME OF THE MOST VULNERABLE POPULATIONS IN OUR REGION. BY CONTINUING TO MAKE STRATEGIC INVESTMENTS IN THIS IMPORTANT HEALTH CENTER, WE ARE ENSURING THE UNDERSERVED HAVE ACCESS TO CARE AND A MEDICAL HOME. THIS FEDERALLY QUALIFIED HEALTH CENTER (FQHC) HAS BEEN PROVIDING HEALTH CARE TO THOSE IN NEED SINCE 1972. COMMUNICARE OFFERS COMPREHENSIVE PRIMARY MEDICAL AND DENTAL SERVICES, SUBSTANCE ABUSE TREATMENT, BEHAVIORAL HEALTH SERVICES, HEALTH EDUCATION AND SUPPORT SERVICES IN YOLO COUNTY AND THE SURROUNDING COMMUNITIES THROUGH FIVE COMMUNITY CLINIC SITES AND OUTREACH PROGRAMS. IN 2015, COMMUNICARE HEALTH CENTERS SAW 31,645 PATIENTS AND PROVIDED 119,282 APPOINTMENTS, SHOWING AN INCREASE IN BOTH PATIENTS SERVED AND NUMBER OF APPOINTMENTS PROVIDED SINCE 2014. IN ADDITION, COMMUNICARE CONNECTED 28,450 PATIENTS TO A PRIMARY CARE PROVIDER. DAVIS FARMERS MARKET: SUTTER DAVIS HOSPITAL BECAME THE MAJOR SPONSOR FOR THE DAVIS FARMERS MARKET WITH THE GOAL OF BUILDING PUBLIC AWARENESS ABOUT THE RELATIONSHIP BETWEEN EATING FARM-FRESH, LOCAL FOODS AND GOOD HEALTH. IN ADDITION, SUTTER DAVIS HOSPITAL ALSO SUPPORTS THE FARM TO SCHOOL PROGRAM, WHICH BRINGS LOCALLY GROWN FARM-FRESH FOODS INTO THE LOCAL SCHOOLS. ADDITIONAL COMMUNITY SERVICES - 24-HOUR EMERGENCY SERVICES OUR EMERGENCY DEPARTMENT IS STAFFED AND EQUIPPED TO CARE FOR MOST EMERGENCY NEEDS AROUND THE CLOCK. - BIRTHING CENTER THE SELF-CONTAINED BIRTHING CENTER HAS SIX LABOR AND DELIVERY ROOMS AND 12 POSTPARTUM ROOMS, AS WELL AS ITS OWN DIAGNOSTIC CAPABILITIES AND OPERATING SUITE. ALTERNATIVE BIRTHING METHODS ARE ALSO AVAILABLE SUCH AS WATER BIRTHS, MIDWIVES AS WELL AS A VOLUNTEER DOULA PROGRAM. - INTENSIVE CARE UNIT AN INTENSIVE CARE UNIT IS STAFFED BY SPECIALLY TRAINED NURSES AND DIRECTED BY A BOARD-CERTIFIED CRITICAL CARE INTERNIST FOR AROUND-THE-CLOCK MONITORING OF THE EXTREMELY ILL. - THE HEART AND VASCULAR INSTITUTE AT SUTTER DAVIS HOSPITAL PROVIDES OUR PATIENTS WITH COMPREHENSIVE CARDIAC DIAGNOSTIC, REHABILITATION AND PREVENTION SERVICES. OUR RECENTLY RENOVATED CARDIAC REHABILITATION DEPARTMENT BOOSTS A 12 CHANNEL TELEMETRY SYSTEM AND A GYM WITH CARDIORESPIRATORY EMPHASIS - INCLUDING TREADMILLS, ELLIPTICAL WALKERS, NEUTEPS, BIKES, STRENGTH AND STRETCH TRAINING, AND BALANCE SYSTEM. USING THE LATEST TECHNOLOGY AND RESEARCH AVAILABLE, OUR CARING STAFF PROVIDES PATIENTS WITH AN INDIVIDUALIZED PROGRAM TO ENHANCE THEIR HEALTH AND WELL-BEING THROUGH EXERCISE AND PREVENTION. - CANCER CARE - AS A SATELLITE CARE CENTER OF SUTTER CANCER CENTER IN SACRAMENTO, SUTTER DAVIS GIVES LOCAL PATIENTS THE ABILITY TO RECEIVE QUALITY CARE, CLOSE TO HOME. OUR RECENTLY EXPANDED INFUSION CENTER PROVIDES INFUSION THERAPY, INCLUDING CHEMOTHERAPY, BLOOD TRANSFUSIONS, INTRAVENOUS INFUSIONS, INJECTIONS AND PATIENT EDUCATION. WE COORDINATE SERVICES WITH OUR LOCAL ONCOLOGISTS AND CANCER SURGEONS TO MAKE SURE PATIENTS WITH CANCER DONT HAVE TO TRAVEL TO RECEIVE GOOD CARE. - VAUGHN RESOURCE CENTER/CRONAN MEDICAL LIBRARY PROVIDER AND COMMUNITY-BASED VIDEOTAPES, BROCHURES AND HANDOUTS ARE AVAILABLE IN THIS INFORMATION CENTER. COMPUTER WORKSTATIONS PROVIDE LOCAL RESOURCES FOR SUPPORT GROUPS AND SERVICES; A DATABASE UPDATED MONTHLY WITH FOUR YEARS OF HARD-TO-FIND MEDICAL INFORMATION FROM PERIODICALS, PAMPHLETS AND REFERENCE BOOKS; AND ACCESS TO PROVIDER AND PATIENT EDUCATION INCLUDING BIBLIOMED REFERENCE LIBRARY, MEDICAL HOUSE CALLS AND CLINICAL REFERENCE SYSTEM ADULT HEALTH ADVISOR. THE RESOURCE CENTER IS STAFFED WEEKDAYS BY VOLUNTEERS. PHONE AND MAILING SERVICE IS AVAILABLE. - SUTTER DAVIS HOSPITAL AUXILIARY VOLUNTEERS CONTRIBUTE MANY HOURS OF SERVICE TO THE HOSPITAL EACH YEAR THROUGH DIRECT PATIENT CONTACT SERVICES TO THE MORE TRADITIONAL VOLUNTEER ROLES SUCH AS WORKING AT THE INFORMATION DESK AND GIFT SHOP. FORM 990, PART III, LINE 4A CONTINUED SUTTER MEDICAL CENTER OF SACRAMENTO (HOSPITAL ORGANIZATION): GENERAL DESCRIPTION IN 2015, SUTTER MEDICAL CENTER, SACRAMENTO EMBARKED ON A NEW ERA IN ITS NOT-FOR-PROFIT, COMMUNITY-BASED MISSION TO DELIVER THE VERY LATEST AND HIGHEST QUALITY HEALTH CARE TO THE GREATER SACRAMENTO COMMUNITY. THE MEDICAL CAMPUS INCLUDES TWO ACUTE CARE HOSPITALS ANDERSON LUCCHETTI WOMENS AND CHILDRENS CENTER AND OSE ADAMS MEDICAL PAVILION, ALONG WITH TWO BUILDINGS DEDICATED TO DOCTORS OFFICES AND OTHER CARE FOUND IN AN OUTPATIENT SETTING. BY LOCATING ALL PRIMARY AND SPECIALTY CARE SERVICES IN A CENTRAL LOCATION WITH CONVENIENT FREEWAY ACCESS, PATIENTS AND FAMILIES NOW GAIN FASTER AND EASIER ACCESS TO NEEDED MEDICAL SERVICES. FACILITIES WITHIN SUTTER MEDICAL CENTER, SACRAMENTO ANDERSON LUCCHETTI WOMENS AND CHILDRENS CENTER THE 242-BED ANDERSON LUCCHETTI WOMEN'S AND CHILDREN'S CENTER IS A 10-STORY ACUTE-CARE HOSPITAL WHERE PATIENTS AND THEIR FAMILIES CAN OBTAIN THE HIGHEST LEVEL OF NEONATAL AND PEDIATRIC INTENSIVE CARE SERVICES, PEDIATRIC CARDIAC, NEUROSURGERY AND CANCER SERVICES, AND HIGH-RISK AND CONVENTIONAL MATERNITY SERVICES. IT REPLACES SUTTER MEMORIAL HOSPITAL AS "SACRAMENTOS BABY HOSPITALIS HOME TO THE SUTTER CHILDRENS CENTER, SACRAMENTO, A COMPREHENSIVE CHILDRENS HOSPITAL INSIDE THE WOMENS AND CHILDRENS CENTER. AMONG THE FEATURES OF THE WOMENS AND CHILDRENS CENTER: - ALL PRIVATE ROOMS, INCLUDING THOSE FOR NEW MOMS AND OUR PEDIATRIC PATIENTS. THE ROOMS HAVE FURNITURE THAT CONVERTS INTO BEDS FOR FAMILIES TO STAY OVERNIGHT WITH THEIR LOVED ONES. - A LIFE-SAVING HELISTOP ATOP THE BUILDING ADJACENT TO THE CAPITAL CITY FREEWAY WILL ALLOW FOR THE QUICK AND SAFE TRANSPORT OF PREEMIES AND OTHER SICK BABIES AS WELL AS OTHER PATIENTS. - MOTHERS WHO HAVE GIVEN BIRTH BEING TREATED TO SPACIOUS SUITES WITH 8TH-FLOOR VIEWS OF THE CITYS SKYLINE AND THE FOOTHILLS. - THE NEONATAL INTENSIVE CARE UNIT FEATURES 61 BEDS FOR OUR TINIEST AND SICKEST BABIES IN A SETTING THAT LOOKS LIKE HOME AND ALLOWS FAMILIES TO BE MORE INVOLVED IN THE BABIES CARE. - FACILITIES THAT INCLUDE WASHERS AND DRYERS AND A KITCHEN FOR FAMILIES WHO HAVE EXTENSIVE STAYS. OSE ADAMS MEDICAL PAVILION THE 281-BED OSE ADAMS MEDICAL PAVILION WAS PREVIOUSLY KNOWN AS SUTTER GENERAL HOSPITAL. WHILE THE OUTER SHELL OF THE OSE ADAMS MEDICAL PAVILION REMAINS MUCH THE SAME WITH AN EXPANSION IN THE SOUTHEAST CORNER TO FACILITATE THE DEDICATED PEDIATRIC EMERGENCY DEPARTMENT AND OTHER SERVICES THE TRANSFORMATION OF THE HOSPITAL INCLUDES MAJOR ENHANCEMENTS TO ALL FIVE FLOORS WITH EMPHASIS ON FIVE MAIN SERVICES: EMERGENCY MEDICINE, CARDIOVASCULAR, NEUROSCIENCES, ORTHOPEDICS AND ONCOLOGY. THE UPDATED THIRD FLOOR CONTAINS 24 OPERATING SUITES FOR INPATIENT SURGERIES. IT IS THE NEW HOME FOR THE SUTTER HEART & VASCULAR INSTITUTE, WHICH BEGAN AT SUTTER MEMORIAL HOSPITAL WITH THE REGIONS FIRST OPEN-HEART SURGERIES IN THE LATE 1950S AND EARLY 1960S. OSE ADAMS MEDICAL PAVILION HAS SIX NEW HEART CATHETERIZATION LABS AND HYBRID SUITES, AND FOUR SPECIALIZED OPERATING ROOMS DEDICATED TO HEART SURGERY ONE SET UP SOLELY FOR PEDIATRIC HEART PATIENTS. BECAUSE OF THE COMPLEX BRAIN AND OTHER SURGERIES AND PROCEDURES, THE OSE ADAMS MEDICAL PAVILION HOUSES 10 SPECIALLY DESIGNED, PRIVATE OBSERVATION BEDS ON THE FIFTH FLOOR. THESE OBSERVATION UNITS WILL CONTAIN STATE-OF-THE-ART EQUIPMENT DEDICATED TO THE SPECIALIZED CARE OF SUTTER NEUROSCIENCE INSTITUTE PATIENTS. THESE TWO ACUTE-CARE FACILITIES ARE CONNECTED SEAMLESSLY BY A UNIQUE, THREE-STORY SPANNING STRUCTURE ACROSS L STREET THAT ALSO HOUSES CLINICAL SPACE. WITH ITS FUNCTIONALITY, THIS SPANNING STRUCTURE BLENDS THE TWO FACILITIES INTO ONE COMPREHENSIVE MEDICAL CENTER. IN ADDITION TO ITS PLETHORA OF SPECIALTY SERVICES, OTHER SERVICES INCLUDE 24-HOUR EMERGENCY SERVICES WITH A DEDICATED PEDIATRIC EMERGENCY DEPARTMENT, SURGERY, RESPIRATORY THERAPY, INTENSIVE CARE, DIAGNOSTIC IMAGING, REHABILITATION, CARDIOPULMONARY, OCCUPATIONAL HEALTH, LABORATORY, PHYSICAL THERAPY, HOME HEALTH AND HOSPICE SERVICES. SUTTER INSTITUTE FOR MEDICAL RESEARCH (SIMR) CLINICAL INVESTIGATION IS AN INCREASINGLY IMPORTANT LINK IN COORDINATING THE LATEST ADVANCES IN SCIENCE AND TECHNOLOGY WITH DIAGNOSIS AND TREATMENT. IN ORDER TO BENEFIT FROM THESE ADVANCES AND REMAIN AT THE FOREFRONT OF INNOVATION AND QUALITY IN HEALTHCARE SERVICES, IT IS ESSENTIAL THAT WE PROVIDE A CLINICAL SETTING FOR OUR PHYSICIANS AND HEALTHCARE PROFESSIONALS WHICH ARE COMPLEMENTED BY A COMPREHENSIVE RESEARCH AND DEVELOPMENT PROGRAM. SUTTER HEALTH SACRAMENTO SIERRA REGION SERVICE AREA IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE TO ITS PATIENTS, AND THE SUTTER INSTITUTE FOR MEDICAL RESEARCH SUPPORTS THIS COMMITMENT BY PROVIDING RESEARCH SUPPORT AND EDUCATION PROGRAMS. SIMR HAS A HISTORY OF OVER FIVE DECADES OF COMMITMENT TO MEDICAL RESEARCH. SIMR HAS GAINED RECOGNITION FOR ITS INVESTIGATIVE STUDIES IN THE AREAS OF HEART, CANCER, ORTHOPEDICS, RESPIRATORY, NEUROLOGY, GI/GU AND MANY OTHER AREAS OF MEDICINE. SIMRS PRIMARY OBJECTIVE IS TO HELP HEALTH PROFESSIONALS CONDUCT RESEARCH IN A CLINICAL SETTING BY PROVIDING MANAGEMENT AND ADMINISTRATIVE RESOURCES OTHERWISE UNAVAILABLE TO THE PRIVATE PRACTITIONER. AT SIMR, SUTTER INVESTIGATORS RECEIVE SUPPORT IN FIVE AREAS. RESEARCH ADMINISTRATIVE SERVICES: SIMR IS THE REGIONAL OVERSIGHT FOR ALL RESEARCH CONDUCTED IN THE SUTTER HEALTH SACRAMENTO SIERRA REGION. SINCE 1996 SIMRS OFFICE OF RESEARCH ADMINISTRATION (ORA) HAS BEEN CHARGED WITH ASSISTING, GUIDING AND FACILITATING THIS RESEARCH. THE ORA SERVES AS A CLEARINGHOUSE FOR THE REVIEW, ADMINISTRATION, REPORTING AND MONITORING OF ALL RESEARCH ACTIVITY CONDUCTED AT SUTTER AFFILIATES WITHIN THE REGION, INCLUDING SUTTER MEDICAL CENTER (SUTTER GENERAL AND MEMORIAL HOSPITALS, AND SUTTER CENTER FOR PSYCHIATRY), SUTTER DAVIS HOSPITAL, SUTTER AUBURN FAITH HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO, SUTTER YUBA CITY AND SUTTER MEDICAL FOUNDATION. RESEARCH SUPPORT SERVICES: SIMR PROVIDES A VARIETY OF SUPPORT SERVICES TO SUTTER CLINICAL INVESTIGATORS, INCLUDING A GRANTS PROGRAM FOR FUNDING MERITORIOUS RESEARCH PROJECTS INITIATED BY SUTTER INVESTIGATORS. FUNDS TO FINANCE THESE GRANTS COME FROM DONATIONS AND OTHER PHILANTHROPIC GIFTS MADE TO SUTTER MEDICAL CENTER FOUNDATION. SINCE 1989, SUTTER MEDICAL CENTER FOUNDATION AND SIMR HAVE FUNDED 40 RESEARCH PROJECTS TOTALING MORE THAN $1 MILLION. OTHER SERVICES INCLUDE STATISTICAL ANALYSIS AND CONSULTATION FOR CLINICAL RESEARCH PROJECTS, QUALITY INDICATOR STUDIES, CLINICAL EFFECTIVENESS AND CLINICAL OUTCOMES STUDIES. CLINICAL TRIALS PROGRAM: THE SIMR CLINICAL TRIALS PROGRAM PROVIDES AN ENVIRONMENT FOR BRINGING HEALTH PROFESSIONALS AT SUTTER HEALTH AND CLINICAL TRIAL SPONSORS TOGETHER TO PARTICIPATE IN INNOVATIVE CLINICAL RESEARCH PROGRAMS. OUR PROGRAM OFFERS A STRONG INFRASTRUCTURE FOR CLINICAL INVESTIGATORS WHO WISH TO OFFER THEIR PATIENTS THE LATEST INVESTIGATIVE TREATMENT MODALITIES. WE OFFER A COMPREHENSIVE MANAGEMENT AND CLINICAL SUPPORT SERVICES FOR THE CONDUCT OF CLINICAL RESEARCH AT SUTTER SITES INCLUDING SERVICES SUCH AS EXPERIENCED CLINICAL RESEARCH COORDINATORS, REGULATORY PREPARATION, CONTRACT PREPARATION, STUDY FINANCIAL MANAGEMENT, BILLING COMPLIANCE OVERSIGHT AND QUALITY ASSURANCE AUDITING. THROUGH PARTICIPATION IN CLINICAL TRIALS OF NEW TREATMENT MODALITIES, THE COMMUNITY IS PROVIDED ACCESS TO THE LATEST INNOVATIONS AND DISCOVERIES IN PATIENT CARE AND TREATMENT. SINCE ITS INCEPTION IN 1991, THOUSANDS OF SUTTER PATIENTS HAVE HAD ACCESS TO INVESTIGATIONAL TREATMENT MODALITIES OTHERWISE UNAVAILABLE TO THE PUBLIC. LABORATORY RESEARCH AND TRAINING: THE SIMR RESEARCH AND TRAINING LABORATORY PROVIDE FULLY EQUIPPED AND STAFFED SURGICAL RESEARCH AND TRAINING FACILITIES. THE LABORATORY PROGRAM SUPPORTS RESEARCH AND TRAINING IN AREAS THAT INCLUDE CARDIOLOGY, CARDIOVASCULAR SURGERY, GENERAL SURGERY, NEONATOLOGY, PULMONARY MEDICINE, THORACIC SURGERY AND UROLOGY. EVERY YEAR, DOZENS OF MEDICAL DEVICE COMPANIES UTILIZE THE LABORATORY TO CONDUCT RESEARCH AND DEVELOPMENT, AND HUNDREDS OF HEALTHCARE PROFESSIONALS PARTICIPATE IN RESEARCH AND TRAINING INVOLVING THE LATEST TECHNOLOGY. THE SIMR LABORATORY CONTINUES TO EXPAND ITS AREAS OF SUPPORT AND BROADEN THE SPECTRUM OF SERVICES PROVIDED THE LABORATORY IS HIGHLY ACCREDITED AND HAS A NATIONAL REPUTATION FOR EXCELLENCE. FORM 990, PART III, LINE 4A CONTINUED SUTTER HEALTH CENTRAL AREA INSTITUTIONAL REVIEW COMMITTEE (IRC): SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR) IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE TO ITS PATIENTS. THE IRC SUPPORTS THIS COMMITMENT BY PROVIDING RESEARCH REGULATORY COMPLIANCE OVERSIGHT AND EDUCATION PROGRAMS TO SUTTER-ALIGNED RESEARCHERS THROUGHOUT THE REGION. THE IRC IS THE ADMINISTRATIVE BODY MANDATED BY FEDERAL LAW TO PROTECT THE RIGHTS AND WELFARE OF HUMAN SUBJECTS PARTICIPATING IN RESEARCH ACTIVITIES CONDUCTED WITHIN INSTITUTIONS AND ORGANIZATIONS AFFILIATED WITH SHSSR. THE IRC'S PRIMARY RESPONSIBILITY IS THE PROTECTION OF SUBJECTS FROM UNDUE RISK AND FROM DEPRIVATION OF PERSONAL RIGHTS AND DIGNITY. AS SUCH THE IRC CONDUCTS REVIEW FOR RESEARCHERS AND ALL RESEARCH ACTIVITY CONDUCTED AT SUTTER AFFILIATES WITHIN THE SHSSR SERVICE AREA AND EDEN MEDICAL CENTER. OVER THE YEARS, THE IRC HAS REVIEWED AND APPROVED HUNDREDS OF NEW RESEARCH PROTOCOLS COVERING A WIDE SPECTRUM OF DISEASE AND HEALTHCARE ISSUES. CANCER CONTINUES TO BE A MAJOR AREA OF RESEARCH WITH NUMEROUS ADULT STUDIES, MOST FUNDED BY THE NATIONAL CANCER INSTITUTE THROUGH ITS COOPERATIVE PROJECTS RESEARCH PROGRAM. COMMUNITY BENEFIT PROGRAMS IN 2015, SUTTER MEDICAL CENTER, SACRAMENTO CONTRIBUTED $11 MILLION IN COMMUNITY BENEFIT AND CHARITY CARE INVESTMENTS TO THE UNDERSERVED IN THE GREATER SACRAMENTO COMMUNITY. SMCS ALSO MADE CRITICAL INVESTMENTS IN LOCAL FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER CRITICAL COMMUNITY PARTNERS IN AN EFFORT TO HELP INCREASE THEIR CAPACITY TO SERVE THE UNDERINSURED. T3: THE TRIAGE, TRANSPORT AND TREAT PROGRAM (T3) PROVIDES ONGOING CASE MANAGEMENT TO PEOPLE WHO UTILIZE THE EMERGENCY DEPARTMENT FOR NON-URGENT REASONS AND CAN BE BETTER SERVED WITH A WARM-HANDOFF TO A MEDICAL HOME AND VARIOUS BEHAVIORAL AND SOCIAL SERVICES. T3 IS CRITICAL IN CONNECTING PATIENTS TO PRIMARY AND BEHAVIORAL HEALTH CARE, AS WELL AS LONG TERM COMMUNITY SUPPORT, ALLOWING THIS PATIENT POPULATION ACCESS CARE AND RESOURCES IN A MORE APPROPRIATE, CONSISTENT MANNER. T3+: T3+ IS AN EXTENSION OF THE T3 PROGRAM THAT IDENTIFIES APPROPRIATE PATIENTS IN AN INPATIENT SETTING, RATHER THAN THE EMERGENCY DEPARTMENT. THIS PROGRAM MEETS THE NEEDS OF A MORE COMPLEX PATIENT POPULATION, AND NOT ONLY HELPS PATIENTS CONNECT TO OUTSIDE RESOURCES WHILE IN THE HOSPITAL, BUT ALSO PROVIDES HOME VISITS TO ENSURE THE PATIENTS CARE COORDINATION AND LINKAGE TO FOLLOW UP CARE, COMMUNITY RESOURCES AND OTHER CRITICAL HEALTH AND SOCIAL RESOURCES, STAYS INTACT, EVEN FOLLOWING DISCHARGE. ED NAVIGATION: ED NAVIGATORS ARE STAFF MEMBERS OF WELLSPACE HEALTH, WHO RESIDE IN THE EMERGENCY DEPARTMENT AND CONNECT WITH PATIENTS SEEKING NON-URGENT CARE. BY WORKING WITH PATIENTS DIRECTLY IN THE ED, THE ED NAVIGATOR IS ABLE TO LINK PATIENTS TO OTHER COMMUNITY BENEFIT PROGRAMS SUCH AS T3 (FOR PATIENTS NEEDING MORE LONG TERM SUPPORT) OR CAN PROVIDE MULTIPLE REFERRALS TO EVERYTHING FROM FOOD BANKS, HEALTH CLINICS, INSURANCE AND HOUSING FOR SOMEONE NEEDING LESS INTENSIVE ASSISTANCE. THE ED NAVIGATORS ARE A CRITICAL COMPONENT IN DIRECTING THOSE WHO NEED MEDICAL HOMES OR ACCESS TO SERVICES, TO THE RIGHT CARE, IN THE RIGHT PLACE, AT THE RIGHT TIME. COMMUNITY NAVIGATOR: THE COMMUNITY NAVIGATOR WORKS IN THE .25 MILE RADIUS SURROUNDING SUTTER MEDICAL CENTER, SACRAMENTO AND COMMUNICATES DIRECTLY WITH THE HOMELESS POPULATION TO CONNECT THEM WITH HOUSING, COMMUNITY RESOURCES, TRANSPORTATION, SUBSTANCE ABUSE TREATMENT AND PRIMARY AND MENTAL HEALTH CARE. THIS PROGRAM HAS BEEN EXTREMELY SUCCESSFUL IN EXTENDING THE REACH OF SMCS BEYOND THE WALLS OF THE HOSPITAL AND INTO THE GREATER COMMUNITY, TO ENSURE THAT LINKAGES ARE DRAWN BETWEEN THE OFTEN COMPLEX MEDICAL AND SOCIAL NEEDS OF SACRAMENTOS CHRONICALLY HOMELESS POPULATION. SERIAL INEBRIATE PROGRAM: THE AWARD WINNING SERIAL INEBRIATE PROGRAM (SIP) IS A COLLABORATIVE EFFORT, WHERE DOWNTOWN SACRAMENTO PARTNERSHIP (DSP) NAVIGATORS REACH OUT AND BUILD A ONE-ON-ONE RAPPORT WITH HOMELESS ADULTS LIVING ON THE STREETS OF SACRAMENTO, WORKING CLOSELY WITH THE HOMELESS POPULATION TO FACILITATE CONNECTION TO PRIMARY CARE, SUBSTANCE ABUSE TREATMENT, COMMUNITY RESOURCES AND HOUSING SERVICES. FOR THOSE CLIENTS BATTLING CHRONIC HOMELESSNESS AND DEBILITATING SUBSTANCE ABUSE ISSUES, THEY ARE MOVED INTO "SIP HOUSINGARE LINKED TO NECESSARY SUPPORT SERVICES AND RESOURCES. ULTIMATELY, THIS PROGRAM MOVES THIS VULNERABLE POPULATION OFF THE STREETS AND OUT OF THE BACKS OF POLICE CARS, AND INSTEAD, INTO THE TYPE OF SHELTER AND CARE SETTINGS THEY NEED, ENABLING MEN AND WOMEN TO GET OFF THE STREETS AND ON WITH THEIR LIVES. ICP: THE INTERIM CARE PROGRAM (ICP) PROVIDES A PLACE FOR HOMELESS PATIENTS TO HEAL, WHEN THEYRE READY TO BE DISCHARGED FROM THE HOSPITAL, BUT DO NOT HAVE A SAFE PLACE TO GO. ICP WRAPS PATIENTS WITH SERVICES, INCLUDING PRIMARY AND MENTAL HEALTH CARE, COMMUNITY SERVICES, HOUSING AND OTHER NECESSARY RESOURCES, NEEDED FOR PATIENTS TO LIVE A HEALTHIER LIFE. THIS PROGRAM PROVIDES VITAL LINKAGES BETWEEN SUTTER HEALTH AND OUR COMMUNITY PARTNERS, SUCH AS WELLSPACE HEALTH AND OTHER KEY HEALTH AND COMMUNITY BASED ORGANIZATIONS, TO ENSURE PATIENTS DONT FALL THROUGH THE CRACKS WHEN THEYRE DISCHARGED FROM AN INPATIENT HOSPITAL SETTING. SUTTER ROSEVILLE MEDICAL CENTER: SUTTER ROSEVILLE MEDICAL CENTER (SRMC) WAS ESTABLISHED IN 1952 AND AFFILIATED WITH SUTTER HEALTH IN MAY 1993. IN 1997, SUTTER HEALTH OPENED A 172-BED FACILITY IN THE NORTHEAST AREA OF ROSEVILLE, APPROXIMATELY 20 MILES FROM DOWNTOWN SACRAMENTO. THE HOSPITAL TODAY IS 328 BEDS AND PROVIDES RESIDENTS OF SOUTHERN PLACER AND NORTHEASTERN SACRAMENTO COUNTIES WITH COMPREHENSIVE COMMUNITY HEALTH CARE. THE FACILITY HAS AN EXPANDED HELIPAD ONSITE FOR QUICK ACCESS TO THE HOSPITALS LEVEL II TRAUMA CENTER, WHICH SERVES A SEVEN-COUNTY REGION THAT INCLUDES PLACER, YOLO, NEVADA, SUTTER AND YUBA COUNTIES, AND PORTIONS OF SACRAMENTO AND EL DORADO COUNTIES. OTHER SERVICES AVAILABLE AT SUTTER ROSEVILLE MEDICAL CENTER INCLUDE: INPATIENT AND OUTPATIENT SURGERY OBSTETRICS AND PERINATAL CARE NEO NATAL INTENSIVE CARE PEDIATRICS ONCOLOGY FAMILY BIRTH CENTER SUTTER CANCER CENTER CARDIAC CATHETERIZATION LABORATORY TELEMETRY LEVEL II TRAUMA CENTER CARDIAC REHABILITATION DIAGNOSTIC IMAGING IV THERAPY SOCIAL SERVICES 24-HOUR EMERGENCY TREATMENT BARIATRIC SERVICES RESPIRATORY THERAPY SUTTER REHABILITATION INSTITUTE LABORATORY CARDIOPULMONARY SERVICES ACUTE REHABILITATION MEDICAL LIBRARY ACCESS HOME HEALTH AND HOSPICE CARE NUTRITIONAL SUPPORT SERVICES PASTORAL CARE PATIENT AND COMMUNITY EDUCATION SENIOR SERVICES HOME INFUSION THERAPY CRITICAL CARE SUB-ACUTE UNIT TRAUMA NEURO INTENSIVE CARE UNIT NUCLEAR MEDICINE (NATIONALLY RECOGNIZED) WOUND CARE CENTER SUTTER ROSEVILLE MEDICAL CENTER'S MISSION IS: TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE LIVING IN THE COMMUNITIES IT SERVES. SUTTER ROSEVILLE MEDICAL CENTER STRIVES CONTINUOUSLY TO IDENTIFY THE HEALTH CARE NEEDS OF THESE COMMUNITIES AND RESPOND BY PROVIDING WELLNESS, PREVENTIVE, CURATIVE AND RESTORATIVE PROGRAMS AND SERVICES CONSISTENT WITH THE STATED VALUES AND VISION OF THE HOSPITAL. FORM 990, PART III, LINE 4A CONTINUED COMMUNITY BENEFIT PROGRAMS IN 2015, SUTTER ROSEVILLE MEDICAL CENTER CONTRIBUTED $4.16 MILLION IN COMMUNITY BENEFIT AND CHARITY CARE INVESTMENTS TO THE UNDERSERVED IN PLACER COUNTY. THE MEDICAL CENTER ALSO MADE CRITICAL INVESTMENTS IN LOCAL FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER CRITICAL COMMUNITY PARTNERS IN AN EFFORT TO HELP INCREASE THEIR CAPACITY TO SERVE THE UNDERINSURED. T3 FOOTHILLS: THE TRIAGE, TRANSPORT AND TREAT PROGRAM (T3) PROVIDES ONGOING CASE MANAGEMENT TO PEOPLE WHO UTILIZE THE EMERGENCY DEPARTMENT FOR NON-URGENT REASONS AND CAN BE BETTER SERVED WITH A WARM-HANDOFF TO A MEDICAL HOME AND VARIOUS BEHAVIORAL AND SOCIAL SERVICES. T3 IS CRITICAL IN CONNECTING PATIENTS TO PRIMARY AND BEHAVIORAL HEALTH CARE, AS WELL AS LONG TERM COMMUNITY SUPPORT, ALLOWING THIS PATIENT POPULATION ACCESS CARE AND RESOURCES IN A MORE APPROPRIATE, CONSISTENT MANNER. ED NAVIGATION: ED NAVIGATORS ARE STAFF MEMBERS OF WELLSPACE HEALTH, WHO RESIDE IN THE EMERGENCY DEPARTMENT AND CONNECT WITH PATIENTS SEEKING NON-URGENT CARE. BY WORKING WITH PATIENTS DIRECTLY IN THE ED, THE ED NAVIGATOR IS ABLE TO LINK PATIENTS TO OTHER COMMUNITY BENEFIT PROGRAMS SUCH AS T3 (FOR PATIENTS NEEDING MORE LONG TERM SUPPORT) OR CAN PROVIDE MULTIPLE REFERRALS TO EVERYTHING FROM FOOD BANKS, HEALTH CLINICS, INSURANCE AND HOUSING FOR SOMEONE NEEDING LESS INTENSIVE ASSISTANCE. THE ED NAVIGATORS ARE A CRITICAL COMPONENT IN DIRECTING THOSE WHO NEED MEDICAL HOMES OR ACCESS TO SERVICES, TO THE RIGHT CARE, IN THE RIGHT PLACE, AT THE RIGHT TIME. ICP PLACER COUNTY: THE INTERIM CARE PROGRAM (ICP) PROVIDES A PLACE FOR HOMELESS PATIENTS TO HEAL, WHEN THEYRE READY TO BE DISCHARGED FROM THE HOSPITAL, BUT DO NOT HAVE A SAFE PLACE TO GO. ICP WRAPS PATIENTS WITH SERVICES, INCLUDING PRIMARY AND MENTAL HEALTH CARE, COMMUNITY SERVICES, HOUSING AND OTHER NECESSARY RESOURCES, NEEDED FOR PATIENTS TO LIVE A HEALTHIER LIFE. THIS PROGRAM PROVIDES VITAL LINKAGES BETWEEN SUTTER HEALTH AND OUR COMMUNITY PARTNERS, SUCH AS THE GATHERING INN, WELLSPACE HEALTH AND OTHER KEY HEALTH AND COMMUNITY BASED ORGANIZATIONS, TO ENSURE PATIENTS DONT FALL THROUGH THE CRACKS WHEN THEYRE DISCHARGED FROM AN INPATIENT HOSPITAL SETTING. PROMOTORAS: PROMOTORAS ARE NAVIGATORS FROM THE LATINO LEADERSHIP COUNCIL WHO WORK DIRECTLY WITH SPANISH-SPEAKING PATIENTS WHO NEED TRANSLATION SERVICES, CONNECTION TO EXTERNAL HEALTH AND SOCIAL RESOURCES AND CULTURALLY COMPETENT CASE MANAGEMENT SERVICES. THE PROMOTORA FOLLOWS PATIENTS FOR AS LONG AS NEEDED, ENSURING THAT THEY (ALONG WITH THEIR FAMILIES) UNDERSTAND FOLLOW UP CARE INSTRUCTIONS WHEN DISCHARGED FROM THE HOSPITAL, ARE CONNECTED WITH PRIMARY CARE APPOINTMENTS, HAVE LINKAGES TO THE NECESSARY SOCIAL RESOURCES AND THAT SUPPORT IS AVAILABLE FOR THE ENTIRE FAMILY. THIS PROGRAM SEEKS TO ENSURE THAT UNDERSERVED PATIENTS WHO DO NOT HAVE THE RESOURCES OR LANGUAGE SKILLS TO EFFECTIVELY COMMUNICATE THEIR EXTENSIVE NEEDS, ARE PROVIDED WITH WARM-HAND OFFS AND SUPPORT, EVEN AFTER THEY LEAVE THE HOSPITAL. FAMILY SUPPORT PROGRAM: THE FSP PROGRAM LINKS PLACER COUNTY RESIDENTS WITH COMMUNITY SUPPORT GROUPS AND SERVICES. SUTTER ROSEVILLE MEDICAL CENTER AND SUTTER AUBURN FAITH HOSPITAL CONTRACT WITH THE PLACER COUNTY DEPARTMENT OF HEALTH TO PROVIDE A PUBLIC HEALTH NURSE IN THE HOSPITAL TO CONNECT WITH PATIENTS AND PROVIDE EDUCATION AND REFERRALS. SENIOR RECREATION AND RESPITE PROGRAM: (R & R) IS DESIGNED TO MEET THE NEEDS OF OLDER ADULTS WITH MEMORY OR PHYSICAL IMPAIRMENT. THE PROGRAM PROVIDES RECREATIONAL, SOCIAL AND EDUCATIONAL ACTIVITIES FOR THE PARTICIPANTS, AND RESPITE FOR CAREGIVERS TO ENJOY SOME FREE TIME TO THEMSELVES. THE STAFF IS SUPPORTED BY ITS VALUABLE TEAM OF VOLUNTEERS AND COMPLETED BY PERSONAL CARE AIDS. ADDITIONALLY, THE SENIOR RESOURCE GUIDE IS A BOOKLET, FREE TO THE PUBLIC, WITH INFORMATION ON A MULTITUDE OF SENIOR SERVICES AVAILABLE IN PLACER COUNTY. THE GUIDE IS UPDATED AND DISTRIBUTED SEMI-ANNUALLY VIA PHYSICIAN OFFICES, SENIOR APARTMENT COMPLEXES, SENIOR CENTERS, SKILLED NURSING FACILITIES, LIBRARIES, MOBILE HOME COMMUNITIES, SENIOR SERVICE PROVIDERS, HOME HEALTH AND HOSPICE AGENCIES AND MANY OTHER SERVICE ORGANIZATIONS AND PUBLIC PLACES. WE ARE ABLE TO PRODUCE THIS GUIDE IN PARTNERSHIP WITH SENIORS FIRST, SUTTER ROSEVILLE MEDICAL CENTER AND SUTTER AUBURN FAITH HOSPITAL. HEALTH EXPRESS: HEALTH EXPRESS SEEKS TO PROVIDE TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS FOR PLACER COUNTYS MOST VULNERABLE POPULATIONS, INCLUDING SENIOR RESIDENTS. ONE OF THE KEY ISSUES OFTEN IDENTIFIED DURING COMMUNITY HEALTH NEEDS ASSESSMENTS ARE GAPS IN BASIC TRANSPORTATION SERVICES FOR SENIORS AND THE UNDERSERVED POPULATION, WHO OFTEN SITE LACK OF TRANSPORTATION AS A KEY BARRIER TO ACCESSING APPROPRIATE PRIMARY CARE AND HEALTH-RELATED APPOINTMENTS. HEALTH EXPRESS SEEKS TO BRIDGE THIS GAP, TO ENSURE THAT THE PLACER COUNTY CITIZENS WHO WOULD OTHERWISE NOT HAVE ACCESS TO TRANSPORTATION, NECESSARY TO OBTAIN APPROPRIATE MEDICAL CARE. SRMC PROVIDES FUNDING TO HEALTH EXPRESS AND PARTNERS WITH SENIORS FIRST, PLACER COUNTY TRANSPORTATION PLANNING AGENCY AND KAISER PERMANENTE. THE HEALTH EXPRESS PARTNERSHIP PROVIDES TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS FOR PLACER COUNTYS UNDERSERVED, VULNERABLE AND ELDERLY POPULATION, WHO ARE UNABLE TO ACCESS NECESSARY MEDICAL CARE, DUE TO TRANSPORTATION CONSTRAINTS. THIS PROGRAM IS PUBLICIZED THROUGHOUT PLACER COUNTY TO ENCOURAGE USE. OTHER COMMUNITY SERVICES THE HOSPICE PROGRAM WAS ESTABLISHED IN 1984 TO PROVIDE MEDICAL, SOCIAL, EMOTIONAL AND SPIRITUAL SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES AT NO COST BEYOND WHAT INSURANCE, MEDICARE OR OTHER PROVIDERS PAY. THE CHILDREN'S BEREAVEMENT ART GROUP GREW OUT OF HOSPICE IN 1993 TO EXTEND EXISTING BEREAVEMENT SERVICES FOR ADULTS TO MEET THE SPECIAL NEEDS OF CHILDREN. IN 1987, THE HOSPITAL OPENED ITS PASTORAL CARE DEPARTMENT WITH A FULL-TIME CHAPLAIN TO WORK IN COORDINATION WITH THE HOSPITAL'S SOCIAL SERVICE PROGRAM. SUTTER ROSEVILLE MEDICAL CENTER IS AN ACTIVE PARTNER WITH THE SAFE KIDS COALITION OF PLACER COUNTY, WHICH IS COMPRISED OF REPRESENTATIVES FROM LOCAL HEALTH CARE AGENCIES, GOVERNMENT AND PRIVATE AGENCIES IN PLACER COUNTY. ITS GOAL IS TO REDUCE THE INCIDENCE OF INJURY RELATED TO MORBIDITY AND MORTALITY AND ADDRESSES THESE ISSUE THROUGH EDUCATION, TRAINING, ORGANIZATIONAL POLICY, NETWORKING, LEGISLATIVE ADVOCACY AND EVALUATION. FORM 990, PART III, LINE 4A CONTINUED SUTTER SOLANO MEDICAL CENTER: SUTTER SOLANO MEDICAL CENTER (SSMC) IS A 102 LICENSED BED ACUTE CARE HOSPITAL IN VALLEJO, CALIFORNIA, BETWEEN SACRAMENTO AND SAN FRANCISCO. THE NOT-FOR-PROFIT, COMMUNITY-BASED FACILITY IS FULLY ACCREDITED BY THE JOINT COMMISSION AND PROVIDES A FULL-RANGE OF GENERAL, EMERGENCY AND MEDICAL/SURGICAL SPECIALTIES. THE CARE TEAM AT SSMC INCLUDES 311 PHYSICIANS, 642 EMPLOYEES AND 90 VOLUNTEERS. SSMC AFFILIATED WITH SUTTER HEALTH IN 1984 ENSURING THE ABILITY TO CONTINUE PROVIDING AND IMPROVING HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITY. SUTTER SOLANO MEDICAL CENTERS MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES SERVED, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. HOSPITAL SERVICES SSMCS EMERGENCY DEPARTMENT IS STAFFED 24-HOURS A DAY, 7 DAYS A WEEK BY BOARD-CERTIFIED EMERGENCY MEDICAL PHYSICIANS AND NURSES WHO SPECIALIZE IN EMERGENCY MEDICINE ADULT AND PEDIATRIC. SSMC IS ONE OF THE ONLY FACILITIES IN THE AREA WITH A HELICOPTER LANDING ZONE FOR ACCESS TO TRANSFER PATIENTS TO A HIGHER LEVEL OF CARE WHEN REQUIRED. ON AVERAGE, SSMC DELIVERS 600 BABIES EACH YEAR AND SUPPORTS NEW FAMILIES THROUGH ITS FAMILY BIRTHING CENTER, PRIVATE LABOR/DELIVER/RECOVERY (LDR) SUITES AND A VARIETY OF PRENATAL CLASSES. IN ADDITION TO THE ACUTE CARE FACILITY, SSMC OPERATES A CANCER CENTER, FULLY ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS (ACOS). COMPREHENSIVE CANCER SERVICES INCLUDE CHEMOTHERAPY, INFUSION THERAPY, LABORATORY AND PATHOLOGY, GENETIC TESTING, PAIN MANAGEMENT AND RADIATION THERAPY. OTHER HOSPITAL SERVICES INCLUDE INPATIENT REHABILITATION SERVICES, DIAGNOSTIC IMAGING SERVICES, RADIATION ONCOLOGY, LABORATORY AND INFUSION THERAPY. CANCER SERVICES AVAILABLE INCLUDE PREVENTION, SCREENING, EDUCATION, LECTURES, THE CANCER RESOURCE LIBRARY, AND TREATMENT INCLUDING PROGRAMS SUCH AS RADIATION THERAPY, INTENSITY MODULATED RADIATION THERAPY, RESPIRATORY GAITING, CHEMOTHERAPY, INFUSION AND THE PATIENT NAVIGATOR PROGRAM WHICH PROVIDES A NURSE NAVIGATOR TO GUIDE CANCER PATIENTS THROUGH THEIR TREATMENT AND HEALING PROCESS. COMMUNITY BENEFIT PROGRAMS IN 2015, SUTTER SOLANO MEDICAL CENTER CONTRIBUTED $1 MILLION IN COMMUNITY BENEFIT AND CHARITY CARE INVESTMENTS TO THE UNDERSERVED IN SOLANO COUNTY. IN ADDITION, SSMC SUPPORTS A NUMBER OF COMMUNITY PROGRAMS: TRANSITIONAL CARE PROGRAM (TCP): THE TRANSITIONAL CARE PROGRAM (TCP) PROVIDES A SAFE PLACE TO DISCHARGE AND CONNECT HOMELESS PATIENTS, WHO ARE TRADITIONALLY UNDERSERVED, WITH RESOURCES AND SUPPORT. THIS PROGRAM LINKS HOMELESS ADULTS TO VITAL COMMUNITY SERVICES WHILE GIVING THEM A PLACE TO HEAL, AS WELL AS MEDICAL FOLLOW UP AND CASE MANAGEMENT. THE CLIENTS WHO ARE ENROLLED IN THE TCP ARE INDIVIDUALS WHO OTHERWISE WOULD BE DISCHARGED TO THE STREET OR CARED FOR IN AN INPATIENT SETTING ONLY. IN ADDITION, THE TCP ALLOWS PATIENTS TO FOCUS ON RECOVERY AND DEVELOPING A LONG-TERM PLAN TO GET OFF THE STREETS, ALL WHILE BEING LINKED TO VITAL COMMUNITY AND MEDICAL SERVICES. THE TCP HAS PRODUCED IMPRESSIVE CLIENT OUTCOMES BY PROVIDING "WRAPAROUND" SERVICES INCLUDING CONNECTION TO A MEDICAL HOME AND MENTAL/BEHAVIORAL HEALTH SERVICES, ENROLLMENT IN ELIGIBLE PROGRAMS AND COMMUNITY SUPPORT SERVICES FOR CLIENTS. THIS PROGRAM IS A COLLABORATIVE OF SSMC, THE SOLANO COALITION FOR BETTER HEALTH, KAISER PERMANENTE, NORTH BAY AND THE BENICIA COMMUNITY ACTION COUNCIL. SSMC EMERGENCY DEPARTMENT NAVIGATOR: THE EMERGENCY DEPARTMENT NAVIGATOR PROGRAM SEEKS TO CONNECT WITH PATIENTS WHO ARE INAPPROPRIATELY ACCESSING CARE AT THE SUTTER SOLANO MEDICAL CENTER EMERGENCY DEPARTMENT AND LINKS ALL NON-URGENT USERS OF THE ED TO IMMEDIATE COMMUNITY RESOURCES AND MEDICAL CARE. MORE SPECIFICALLY, ED NAVIGATORS REACH OUT TO PATIENTS WHO DO NOT HAVE A PRIMARY CARE PROVIDER AND PROVIDE EXTERNAL MANAGEMENT, CONNECTION TO SERVICES (HOUSING, COMMUNITY RESOURCES, SUBSTANCE ABUSE TREATMENT, ETC.) AND FOLLOW UP TO ENSURE A PRIMARY CARE PROVIDER IS BEING UTILIZED. ED NAVIGATORS ARE EMPLOYEES OF LA CLINCIA AND RESIDE IN THE SSMC ED. WHEN DHR PLACED REPRESENTATIVES IN THE ED, WE CHANGED OUR CERTIFIED APPLICATION ASSISTANT POSITION (WHO USED TO WORK IN CONJUNCTION WITH THE ED NAVIGATOR) INTO AN ED NAVIGATOR SUPPORT POSITION. THIS NEW POSITION HAS BEEN HIGHLY SUCCESSFUL, BY PROVIDING SUPPORT FOR THE ED NAVIGATOR, SSMC AND LA CLINICA STAFF. SUTTER CENTER FOR PSYCHIATRY: SUTTER CENTER FOR PSYCHIATRY IS A 69-BED ACUTE BEHAVIORAL MEDICINE SPECIALTY HOSPITAL THAT TREATS ADULTS, ADOLESCENTS AND CHILDREN. IT PROVIDES SERVICES TO CHILDREN FROM AGE 5 TO ELDERLY PATIENTS THROUGH A SPECTRUM OF CARE THAT ALLOWS EACH PERSON TO FIND THE LEVEL OF CARE NEEDED TO RETURN TO AN ACTIVE, HEALTHY LIFE. FAMILY MEMBERS AND SIGNIFICANT OTHERS ARE ENCOURAGED TO PARTICIPATE IN EACH PATIENT'S CARE BY TAKING PART IN EDUCATION SERVICES, THERAPY AND SUPPORT GROUPS. SCP ALSO OFFERS A CRITICAL INCIDENT DEBRIEFING TEAM TO HELP EMPLOYEES OF BUSINESSES COPE AFTER A TRAUMATIC OR VIOLENT EPISODE. SUTTER HEALTH EAP RESOURCES OFFERS CONFIDENTIAL ASSESSMENT, COUNSELING AND REFERRAL SERVICES TO EMPLOYEES OF LARGE AND SMALL BUSINESSES. SUTTER CENTER FOR PSYCHIATRY OFFERS THE ONLY INPATIENT EATING DISORDER PROGRAM IN NORTHERN CALIFORNIA. THIS NEW PROGRAM IS A SIX-BED SPECIALIZED TREATMENT PROGRAM FOR EATING DISORDER PATIENTS. FORM 990, PART VI, LINE 1A THE AFFAIRS AND MANAGEMENT OF THE SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SHSSR DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF SHSSR'S CHAIR WHO SERVES AS CHAIR OF THE COMMITTEE, THE VICE CHAIR, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, THE IMMEDIATE PAST CHAIR, IF HE OR SHE CONTINUES TO SERVE AS A DIRECTOR, AN ADDITIONAL DIRECTOR AND THE PRESIDENT OF SHSSR. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR. FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES MADE TO THE ORGANIZATION'S GOVERNING DOCUMENTS: BOARD COMPOSITION CHANGES FORMER: THE BOARD OF DIRECTORS SHALL CONSIST OF BETWEEN 5 AND 20 DIRECTORS. REVISED: THE BOARD OF DIRECTORS SHALL CONSIST OF BETWEEN 17 AND 25 DIRECTORS. FORMER: AT LEAST 3 PHYSICIANS SHALL BE MEMBERS OF THE BOARD. REVISED: BETWEEN 3 AND 8 PHYSICIANS SHALL BE MEMBERS OF THE BOARD. FORMER: A MAJORITY OF THE MEMBERS OF THE BOARD SHALL BE BROADLY REPRESENTATIVE OF THE AREAS SERVED BY THE CORPORATION. REVISED: BETWEEN 11 AND 14 INDIVIDUALS FROM THE COMMUNITY SHALL BE NOMINATED BY THE BOARD OF THE CORPORATION AND APPOINTED BY THE GENERAL MEMBER. THESE INDIVIDUALS SHOULD TOGETHER REFLECT A BREADTH OF DIVERSITY AND BE CHOSEN FOR THEIR WILLINGNESS AND ABILITY TO EFFECTIVELY CONTRIBUTE TO AND SUPPORT THE OBJECTIVES OF THE CORPORATION AND THE GENERAL MEMBER. FORMER: NO APPOINTED DIRECTOR MAY SERVE FOR MORE THAN NINE (9) CONSECUTIVE YEARS. REVISED: NO APPOINTED DIRECTOR MAY SERVE FOR MORE THAN TEN (10) CONSECUTIVE YEARS. FORM 990, PART VI, LINES 6 & 7A 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 SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL. FORM 990, PART VI, LINE 11B 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. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM. FORM 990, PART VI, LINE 12 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 THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN DECEMBER OF 2015. FORM 990, PART VI, LINE 19 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 XI, LINE 9 OTHER CHANGES IN FUND BALANCE: K-1 ORDINARY INCOME $ (320,791) K-1 INTEREST INCOME (34) PARTNERSHIP LOSS ON BOOKS 350,838 EQUITY TRANSFERS (NET) 272,392 OTHER CHANGES (11,232) ------------- TOTAL (291,173) ============= ADOLESCENT TREATMENT CENTERS INC C/O SH TAX 2200 RIVER PLAZA DRIVE 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 DRIVE 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 DRIVE SACRAMENTO CA 95833 942728423 FUNDRAISING CA 501(C)(3) 7 SUTTER WBH 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 DRIVE SACRAMENTO CA 95833 942948100 HEALTHCARE CA 501(C)(3) 9 SUTTER HLTH true MEMORIAL HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 942290244 FUNDRAISING CA 501(C)(3) 11a - I SUTTER CVH true MILLS-PENINSULA HEALTH SERVICES C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 941156265 HOSPITAL CA 501(C)(3) 3 PAMF true MILLS-PENINSULA HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 237288765 FUNDRAISING CA 501(C)(3) 7 MPHS true PALO ALTO MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 941156581 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true SAMUEL MERRITT UNIVERSITY 450 30TH STEET SUITE 2820 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 DRIVE SACRAMENTO CA 95833 942594966 FUNDRAISING CA 501(C)(3) 7 SUTTER SSR true SUTTER CENTRAL VALLEY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 941080917 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER COAST HOSPITAL C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 942988520 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER DAVIS HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 680217870 FUNDRAISING CA 501(C)(3) 7 SUTTER SSR true SUTTER EAST BAY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DRIVE 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 DRIVE 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 DRIVE 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 DRIVE SACRAMENTO CA 95833 461183948 HEALTH PLAN CA PENDING PENDING 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 DRIVE SACRAMENTO CA 95833 942788906 FUNDRAISING CA 501(C)(3) 7 SUTTER SSR true SUTTER MEDICAL CENTER CASTRO VALLEY C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 770146047 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER VALLEY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 680273974 HEALTHCARE CA 501(C)(3) 11b - II SUTTER HLTH true SUTTER ROSEVILLE MEDICAL CTR FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 680040113 FUNDRAISING CA 501(C)(3) 7 SUTTER SSR true SUTTER SOLANO CHARITABLE FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 942668262 FUNDRAISING CA 501(C)(3) 7 SUTTER SSR true SUTTER VISITING NURSE ASSOC AND HOSPICE C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 946068843 HEALTHCARE CA 501(C)(3) 9 SUTTER HLTH true SUTTER WEST BAY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 940562680 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER WEST BAY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 942948131 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true TRACY HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 680318845 FUNDRAISING CA 501(C)(3) 11a - I SUTTER CVH true SUTTER ROSEVILLE AUXILIARY C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 946089442 SUPPORT. ORG. CA 501(C)(3) 11D-III-NFI SUTTER SSR true MAGNETIC IMAGING AF 2125 OAK GROVE WLN CK CA 94598 942953833 PATIENT CARE CA NA SURG CTR OF ABSMC 3875 TELEGRAPH OAKLAND CA 94609 470946086 OUTPATIENT SURG CA NA ALTA CT SERVICES LP 2125 OAK GROVE WLN CK CA 94598 943083464 PATIENT CARE CA NA CALIFORNIA PACIFIC ADV IMAGING LLC PO BOX 6102 NOVATO CA 94948 562311840 MRI JOINT VENTURE CA NA SAN FRANCISCO ENDOSCOPY CENTER LLC 3000 RIVERCHASE BIRMINGHAM AL 35244 912160588 ENDOSCOPY JV CA NA PRESIDIO SURGERY CENTER LLC 1635 DIVISADERO SF CA 94115 320144060 AMBULATORY SURG CA NA SUTTER FAIRFIELD SURGERY CTR 2700 LOW CT FAIRFIELD CA 94533 300233892 SURGERY CA NA TWIN CITIES SURGICAL HOSPITAL LLC 250 S WACKER CHICAGO IL 60606 352182617 SURGERY CA NA SUTTER AMADOR SURGERY CENTER LLC 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 461398093 SURGERY CA NA RELATED -74014 867245 false 0 true 0.32000 ROSEVILLE ENDOSCOPY CENTER LLC 4 MEDICAL PLAZA SUITE 210 ROSEVILLE CA 95661 870710513 ENDOSCOPY JV CA NA RELATED 394839 236310 false 0 true 0.11000 MEMORIAL MEDICAL OFFICE BUILDING PRTNR I 1800 COFFEE RD SUITE 76 MODESTO CA 95355 770287288 OFFICE BLDG CA NA MEMORIAL MEDICAL OFFICE BUILDING PRTNR 2 1800 COFFEE RD SUITE 76 MODESTO CA 95355 770287288 OFFICE BLDG CA NA DRZ EMERGING MARKETS LP 250 PARK AVE SOUTH SUITE 250 WINTER PARK FL 32789 611729868 INVESTMENTS FL NA ASC OPERATORS - SAN LUIS OBISPO LLC 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 272673776 PATIENT CARE CA NA MAGNETIC IMAGING AFFILIATES LLC 2125 OAK GROVE RD STE 200 WALNUT CREEK CA 94598 473696091 PATIENT CARE CA NA false false true false false false false false true true false true false false true true true true SUTTER AUBURN FAITH HOSPITAL FOUNDATION Q 141842 FMV SUTTER COAST HOSPITAL Q 294925 FMV SUTTER CENTRAL VALLEY HOSPITALS P 56388 FMV SUTTER MEDICAL CENTER FOUNDATION Q 1623175 FMV SUTTER VISITING NURSE ASSOCIATION AND HOSPICE Q 188515 FMV SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION P 156284 FMV SUTTER VALLEY MEDICAL FOUNDATION P 948060 FMV SUTTER VALLEY MEDICAL FOUNDATION R 17382110 FMV SUTTER AUBURN FAITH HOSPITAL FOUNDATION C 350524 FMV SUTTER DAVIS HOSPITAL FOUNDATION C 520153 FMV SUTTER EAST BAY HOSPITALS R 15647613 FMV SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION C 316846 FMV SUTTER SOLANO CHARITABLE FOUNDATION C 50483 FMV SUTTER VALLEY MEDICAL FOUNDATION C 380884 FMV SUTTER HEALTH PLAN S 24072570 FMV SUTTER INSURANCE SERVICES CORPORATION P 15563550 FMV SUTTER AUBURN FAITH HOSPITAL FOUNDATION M 405930 FMV SUTTER SOLANO CHARITABLE FOUNDATION M 59598 FMV SUTTER DAVIS HOSPITAL FOUNDATION M 354291 FMV SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION M 919649 FMV SUTTER MEDICAL CENTER FOUNDATION M 1450682 FMV SUTTER MEDICAL CENTER FOUNDATION C 4431298 FMV SUTTER VALLEY MEDICAL FOUNDATION J 5177313 FMV SUTTER VALLEY MEDICAL FOUNDATION K 541571 FMV