SUTTER BAY HOSPITALS: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SUTTER BAY HOSPITALS (EIN 94-0562680)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-09
IRS object ID: 201623149349302942
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-09T16:46:28-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4370 LA JOLLA VILLAGE DR STE 500	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	940562680	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTER WEST BAY HOSPITALS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CARLA WHITE-SNYDER	InCareOfNm
Business Name Control	SUTT	BusinessNameControlTxt
Phone	9162866665	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN GATES	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2016-11-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DEBRA HEISKALA	PreparerPersonNm
PTIN	P00649485	PTIN
Phone	8585357200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	MICHAEL COHILL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 7999	AddressLine1Txt
City	SACRAMENTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95833	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,789,969,962	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SUTTERHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1854	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	25	VotingMembersGoverningBodyCnt
Voting Members Independent	21	VotingMembersIndependentCnt
Total Employee	8660	TotalEmployeeCnt
Total Volunteers	1137	TotalVolunteersCnt
Total Gross UBI	$1,539,699	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$215,558	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$28,064,707	PYContributionsGrantsAmt
CY Contributions Grants	$27,736,162	CYContributionsGrantsAmt
PY Program Service Revenue	$1,600,426,315	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,693,627,687	CYProgramServiceRevenueAmt
PY Investment Income	$52,698,040	PYInvestmentIncomeAmt
CY Investment Income	$38,051,251	CYInvestmentIncomeAmt
PY Other Revenue	$11,199,354	PYOtherRevenueAmt
CY Other Revenue	$10,629,760	CYOtherRevenueAmt
PY Total Revenue	$1,692,388,416	PYTotalRevenueAmt
CY Total Revenue	$1,770,044,860	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,421,600	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,599,787	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$804,731,578	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$859,877,495	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$333,194	CYTotalFundraisingExpenseAmt
PY Other Expenses	$735,032,629	PYOtherExpensesAmt
CY Other Expenses	$806,415,144	CYOtherExpensesAmt
PY Total Expenses	$1,542,185,807	PYTotalExpensesAmt
CY Total Expenses	$1,670,892,426	CYTotalExpensesAmt
PY Revenues Less Expenses	$150,202,609	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$99,152,434	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,108,117,533	TotalAssetsBOYAmt
Total Assets EOY	$2,346,573,126	TotalAssetsEOYAmt
Total Liabilities BOY	$652,154,419	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$645,594,382	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,455,963,114	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,700,978,744	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,467,065,568	ExpenseAmt
Grant	$4,599,787	GrantAmt
Revenue	$1,693,629,688	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$1,467,065,568	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	986	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8660	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	25	GoverningBodyVotingMembersCnt
Independent Voting Member	21	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CARLA WHITE-SNYDER	PersonNm
Phone	9162979847	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9100 FOOTHILLS BOULEVARD	AddressLine1Txt
City	ROSEVILLE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95747	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER BECNEL
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
DIANA BELL
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
DAVID BLACK MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM BRUNETTI
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
MICHAEL COHILL PT-YR
REG PRES, WEST BAY (PT YR)	40.0	0.0	Yes (X)	$0	$2,216,045	$347,542	Yes (X)
EILEEN CONSORTI MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
THEODORE DEIKEL
TRUSTEE/CHAIR OF FIN (PT YR)	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
THOMAS DIETZ PHD
TRUSTEE (PART YEAR)	1.0	1.0	Yes (X)	$0	$0	$0
ROY EISENHARDT
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
EDWARD EISLER MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
ERIC FLOWERS
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
OWEN GARRICK MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
MICHAEL GAULKE
TRUSTEE SH BOARD	1.0	0.0	Yes (X)	$0	$27,500	$0
JEFF GERARD
PRESIDENT, SH BAY AREA	40.0	0.0	Yes (X)	$0	$1,503,468	$414,818	Yes (X)
VINITA GUPTA
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD CARY HILL MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
KATHERINE HSIAO MD
TRUSTEE/CHIEF GYN DIVISION	1.0	1.0	Yes (X)	$31,388	$0	$0
PETER JACOBI
TRUSTEE SH BOARD	1.0	7.0	Yes (X)	$0	$27,500	$0
STEVEN KATZNELSON
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
SARAH KREVANS
PRES & COO SH, ASST SEC. SWBH	1.0	40.0	Yes (X)	$0	$2,077,694	$496,140	Yes (X)
JOSEPH LACY MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
STEVEN LEVENBERG DO
TRUSTEE (PART YEAR)	1.0	1.0	Yes (X)	$0	$0	$0
RICHARD LEVY PHD
TRUSTEE, CHAIR FINANCE (PT YR)	1.0	1.0	Yes (X)	$0	$27,500	$0	Yes (X)
ALASTAIR MACTAGGART
TRUSTEE (PART YEAR)	1.0	1.0	Yes (X)	$0	$0	$0
TIMOTHY MURPHY MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
DENNIS O'CONNELL
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
STEVEN OLIVER
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
ROBERT A ROSENFELD
TRUSTEE, VICE-CHAIR (PT YR)	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JOHN RYAN
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
RON SINHA MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
LEE SOONG
TRUSTEE (PART YEAR)	1.0	1.0	Yes (X)	$0	$0	$0
MARGARET TAYLOR
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
MICHAEL VALAN MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
ANTHONY WAGNER
TRUSTEE, CHAIR	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
DEBORAH WYATT MD
TRUSTEE (PART YEAR)	1.0	1.0	Yes (X)	$0	$0	$0
MICHAEL DUNCHEON
VP, REG COUNSEL WB (PART YEAR)	40.0	0.0		$0	$646,805	$108,229	Yes (X)
JOHN GATES
CFO SUTTER HEALTH BAY AREA	40.0	0.0		$0	$967,966	$183,142	Yes (X)
KAREN HALL PT-YR
CHIEF LEGAL OFFICER, BAY AREA	40.0	0.0		$0	$588,758	$116,427	Yes (X)
WARREN BROWNER MD
CEO, SAN FRANCISCO HOSPITALS	40.0	0.0		$0	$1,038,474	$213,702		Yes (X)
GRANT DAVIES
EXECUTIVE VP WEST BAY	40.0	0.0		$0	$1,125,372	$216,473		Yes (X)
ANNE BARR
REGIONAL CIO, WEST BAY	40.0	0.0		$0	$534,927	$104,547			Yes (X)
HON-WAI LAM
REGIONAL VP & CMO, WEST BAY	40.0	0.0		$0	$754,662	$122,955			Yes (X)
MICHAEL L PURVIS
CAO, SMCSR	40.0	0.0		$0	$611,713	$119,542			Yes (X)
CHRISTOPHER WILLRICH
REG VP, STRATEGY WEST BAY	40.0	0.0		$0	$675,392	$64,215			Yes (X)
MAYNARD JENKINS
VP, HR BAY AREA	40.0	0.0		$0	$542,054	$91,977			Yes (X)
MARTIN BROTMAN MD
SVP SH (FORMER OFFICER)	0.0	40.0		$0	$1,998,930	$58,786				Yes (X)
PAT FRY
PRES & CEO, SH (FRMR OFFICER)	0.0	40.0		$0	$3,841,745	$3,627,909				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$31,388	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$19,206,505	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,286,404	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2618	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
NORTH EAST MEDICAL SERVICES
1520 STOCKTON ST	SAN FRANCISCO	CA	94133	MEDICAL SERVICES	$14,305,000
PACIFIC INPATIENT MEDICAL GROUP IN
PO BOX 573	NOVATO	CA	94958	PHYSICIAN SERVICES	$9,769,092
MEDICAL SOLUTIONS LLC
1010 NO 102ND ST STE 300	OMAHA	NE	68114	STAFFING SERVICES	$4,727,361
SAN FRANCISCO EMERGENCY MEDICAL ASS
DEPT LA 23518	PASADENA	CA	91185	MEDICAL SERVICES	$3,919,703
ANESTHESIA AND ANALGESIA INC
837 5TH ST 2ND FLR	SANTA ROSA	CA	95404	ANESTHESIOLOGISTS	$3,686,638

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	154	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$88	FederatedCampaignsAmt
Fundraising	$333,577	FundraisingAmt
Related Organizations	$11,161,736	RelatedOrganizationsAmt
Government Grants	$10,842,377	GovernmentGrantsAmt
All Other Contributions	$5,398,384	AllOtherContributionsAmt
Noncash Contributions	$59,770	NoncashContributionsAmt
Total Contributions	$27,736,162	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621110	$1,677,676,651	$1,677,676,651
CA PACIFIC ADVANCED IMAGING	621512	$2,382,406	$2,382,406
SAN FRAN ENDOSCOPY CENTER	621498	$4,279,715	$4,279,715
PRESIDIO SURGERY CENTER LLC	621493	$6,299,353	$6,299,353
RENTAL TO AFFILIATES	900099	$2,989,633	$2,989,633

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$71	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,930	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$2,001	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,693,627,687	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,287,896	TotalRevenueColumnAmt
Unrelated Business Revenue	$13,838	UnrelatedBusinessRevenueAmt
Exclusion	$3,274,058	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,035	TotalRevenueColumnAmt
Unrelated Business Revenue	$648	UnrelatedBusinessRevenueAmt
Exclusion	$5,387	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$15,477,536	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$9,992,235	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,485,301	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,485,301	TotalRevenueColumnAmt
Unrelated Business Revenue	$431	UnrelatedBusinessRevenueAmt
Exclusion	$5,484,870	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$9,199,425	SecuritiesAmt
Other	$35,324,085	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,112,369	SecuritiesAmt
Other	$4,647,786	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,087,056	SecuritiesAmt
Other	$30,676,299	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,763,355	TotalRevenueColumnAmt
Exclusion	$34,763,355	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$150,426	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$333,577	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$172,712	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$22,286	TotalRevenueColumnAmt
Exclusion	-$22,286	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$17,101	GamingGrossIncomeAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,101	TotalRevenueColumnAmt
Exclusion	$17,101	ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
UBI - LABORATORY	621500	$88,772	$88,772
UBI - PARKING	812930	$1,436,998	$1,436,998
CAFETERIA	900099	$3,614,569		$3,614,569

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,270	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,013	UnrelatedBusinessRevenueAmt
Exclusion	$2,257	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,143,609	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,770,044,860	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,693,629,688	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,539,699	UnrelatedBusinessRevenueAmt
Exclusion	$47,139,311	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,599,787	TotalAmt
Program Services	$4,599,787	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$12,261,054	TotalAmt
Management And General	$12,261,054	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$287,199	TotalAmt
Program Services	$287,199	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$519,941,508	TotalAmt
Program Services	$452,329,098	ProgramServicesAmt
Management And General	$67,612,410	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$82,854,115	TotalAmt
Program Services	$70,425,998	ProgramServicesAmt
Management And General	$12,428,117	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$199,773,351	TotalAmt
Program Services	$169,807,348	ProgramServicesAmt
Management And General	$29,966,003	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$44,760,268	TotalAmt
Program Services	$38,046,228	ProgramServicesAmt
Management And General	$6,714,040	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,283,932	TotalAmt
Management And General	$4,283,932	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,772,955	TotalAmt
Program Services	$1,629,452	ProgramServicesAmt
Management And General	$143,503	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$157,386	TotalAmt
Management And General	$157,386	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$697,783	TotalAmt
Management And General	$697,783	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$98,013,640	TotalAmt
Program Services	$72,679,566	ProgramServicesAmt
Management And General	$25,334,074	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,606,958	TotalAmt
Program Services	$2,605,151	ProgramServicesAmt
Management And General	$1,807	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,424,673	TotalAmt
Program Services	$17,456,519	ProgramServicesAmt
Management And General	$5,951,786	ManagementAndGeneralAmt
Fundraising	$16,368	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$60,449,833	TotalAmt
Program Services	$60,212,622	ProgramServicesAmt
Management And General	$237,211	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$22,734,033	TotalAmt
Program Services	$22,734,033	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,139,259	TotalAmt
Program Services	$911,407	ProgramServicesAmt
Management And General	$226,933	ManagementAndGeneralAmt
Fundraising	$919	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$17,862	TotalAmt
Program Services	$17,862	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$670,421	TotalAmt
Program Services	$577,093	ProgramServicesAmt
Management And General	$93,328	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,171,382	TotalAmt
Program Services	$14,171,382	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$108,643,168	TotalAmt
Program Services	$108,066,195	ProgramServicesAmt
Management And General	$576,973	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,010,999	TotalAmt
Program Services	$7,868,649	ProgramServicesAmt
Management And General	$2,142,350	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$162,648,156	$159,703,197	$2,944,959
HOSPITAL FEE	$67,147,143	$67,147,143
MEDICAL SUPPLIES	$182,441,244	$182,441,244
SYSTEM ALLOCATION FEE	$25,307,392		$25,307,392

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,076,925	TotalAmt
Program Services	$13,348,395	ProgramServicesAmt
Management And General	$6,412,623	ManagementAndGeneralAmt
Fundraising	$315,907	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,670,892,426	TotalAmt
Program Services	$1,467,065,568	ProgramServicesAmt
Management And General	$203,493,664	ManagementAndGeneralAmt
Fundraising	$333,194	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$36,811,219	BOYAmt
EOY	$19,458,103	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,554,186	BOYAmt
EOY	$740,683	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$201,763,000	BOYAmt
EOY	$232,530,416	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$16,301,522	BOYAmt
EOY	$19,161,952	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,908,917	BOYAmt
EOY	$6,140,861	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,781,272,717	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$973,066,660	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,519,724,012	BOYAmt
EOY	$1,808,206,057	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$158,166,871	BOYAmt
EOY	$141,203,846	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$6,653,003	BOYAmt
EOY	$6,940,760	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,980,359	BOYAmt
EOY	$2,980,359	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$157,254,444	BOYAmt
EOY	$109,210,089	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,108,117,533	BOYAmt
EOY	$2,346,573,126	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$231,758,367	BOYAmt
EOY	$232,460,794	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$413,127,670	BOYAmt
EOY	$403,829,148	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,268,382	BOYAmt
EOY	$9,304,440	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$652,154,419	BOYAmt
EOY	$645,594,382	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,435,939,933	BOYAmt
EOY	$1,685,738,524	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,023,181	BOYAmt
EOY	$15,240,220	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,455,963,114	BOYAmt
EOY	$1,700,978,744	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,108,117,533	BOYAmt
EOY	$2,346,573,126	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$99,152,434	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$14,323,672	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$160,186,868	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$76,169,704	BeginningYearBalanceAmt
Contributions	$3,852,741	ContributionsAmt
Investment Earnings Or Losses	-$4,742,895	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$732,385	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$74,547,165	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$56,482,750	BeginningYearBalanceAmt
Contributions	$16,122,121	ContributionsAmt
Investment Earnings Or Losses	$3,568,844	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,011	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$76,169,704	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$59,522,141	BeginningYearBalanceAmt
Contributions	$1,070,016	ContributionsAmt
Investment Earnings Or Losses	$8,391,250	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,500,657	OtherExpendituresAmt
End Year Balance	$56,482,750	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$55,376,860	BeginningYearBalanceAmt
Contributions	$1,340,347	ContributionsAmt
Investment Earnings Or Losses	$5,951,680	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,146,746	OtherExpendituresAmt
End Year Balance	$59,522,141	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$52,585,169	BeginningYearBalanceAmt
Contributions	$7,401,594	ContributionsAmt
Investment Earnings Or Losses	-$2,213,191	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,396,712	OtherExpendituresAmt
End Year Balance	$55,376,860	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.15480	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.87470	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.02950	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$165,452,707	OtherCostOrOtherBasisAmt
Book Value	$165,452,707	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,055,135,055	OtherCostOrOtherBasisAmt
Depreciation	$560,626,274	DepreciationAmt
Book Value	$494,508,781	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,226,812	OtherCostOrOtherBasisAmt
Depreciation	$27,472,775	DepreciationAmt
Book Value	$3,754,037	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$555,326,469	OtherCostOrOtherBasisAmt
Depreciation	$379,535,070	DepreciationAmt
Book Value	$175,791,399	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$974,131,674	OtherCostOrOtherBasisAmt
Depreciation	$5,432,541	DepreciationAmt
Book Value	$968,699,133	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,808,206,057	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INSURANCE LIABILITIES	$4,994,330
OTHER LIABILITIES	$2,493,443
3RD PARTY SETTLEMENTS	$1,809,667
NOTES RECEIVABLE	$7,000

Field	Value	IRS element (for citing)
Total Liability	$9,304,440	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	EPISCOPAL CHARITIES ADMINISTERS THE BROTHERTON CHARITABLE ENDOWMENT FOR PROGRAMS, SERVICES, AND CAPITAL NEEDS OF ST. LUKE'S MEDICAL CENTER. SCHEDULE D, PART X, LINE 2 ASC 740 (FIN48) FOOTNOTE FROM AUDIT: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. 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.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CATWALK	Event1Nm
Gross Receipts Event1	$234,662	GrossReceiptsEvent1Amt
Charitable Contri Event1	$198,556	CharitableContriEvent1Amt
Gross Revenue Event1	$36,106	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$453	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$24,653	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$14,851	FoodAndBeverageEvent1Amt
Entertainment Event1	$1,200	EntertainmentEvent1Amt
Other Direct Expenses Event1	$3,989	OtherDirectExpensesEvent1Amt
Event2	SSRF GOLF	Event2Nm
Gross Receipts Event2	$183,755	GrossReceiptsEvent2Amt
Charitable Contri Event2	$94,545	CharitableContriEvent2Amt
Gross Revenue Event2	$89,210	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$43,204	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$43,073	FoodAndBeverageEvent2Amt
Entertainment Event2	$638	EntertainmentEvent2Amt
Other Direct Expenses Event2	$5,557	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$65,586	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$40,476	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$25,110	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$864	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$8,821	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$15,006	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$1,196	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$9,207	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$484,003	GrossReceiptsTotalAmt
Charitable Contributions Tot	$333,577	CharitableContributionsTotAmt
Gross Revenue Total Events	$150,426	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$864	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$9,274	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$82,863	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$59,120	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$1,838	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$18,753	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$172,712	DirectExpenseSummaryEventsAmt
Net Income Summary	-$22,286	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Bingo	$11,481	GrossRevenueBingoAmt
Volunteer Labor Bingo	Yes (true)	VolunteerLaborBingoInd
Volunteer Labor Bingo	0.80000	VolunteerLaborBingoPct
Gross Revenue Pull Tabs	$5,260	GrossRevenuePullTabsAmt
Volunteer Labor Pull Tabs	Yes (true)	VolunteerLaborPullTabsInd
Volunteer Labor Pull Tabs	0.75000	VolunteerLaborPullTabsPct
Gross Revenue Other Gaming	$360	GrossRevenueOtherGamingAmt
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$17,101	GrossRevenueTotalGamingAmt
Net Gaming Income Summary	$17,101	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	CA	StatesWhereGamingConductedCd
Licensed	Yes (true)	LicensedInd
License Suspended Etc	Yes (true)	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (true)	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	SEE SCH G PART IV	IndividualWithBooksNm
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	SEE SCH G PART IV	GamingManagerPersonNm
Charitable Distribution Rqr	Yes (true)	CharitableDistributionRqrInd
Distributed	$15,391	DistributedAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE G, PART III, LINE 14	NAME: PENNY CLEARY ADDRESS: SR 30 MAR WEST SPRING ROAD SANTA ROSA, CA 95403 NAME: MARGARET WALKER ADDRESS: 180 ROWLAND WAY NOVATO, CA 94945
SCHEDULE G, PART III, LINE 16	NAME: PENNY CLEARY GAMING COMPENSATION: $2,246 SERVICES PROVIDED: COORDINATES CATWALK FOR A CURE, SRF GOLF EVENT. POSITION: EMPLOYEE OF SUTTER WEST BAY HOSPITALS NAME: MARGARET WALKER GAMING COMPENSATION: $1,275 SERVICES PROVIDED: COORDINATES NCH GOLF EVENT. POSITION: EMPLOYEE OF SUTTER WEST BAY HOSPITALS

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.	FreeCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,654,281	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,654,281	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$352,382,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$244,350,652	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,031,568	NetCommunityBenefitExpnsAmt
Total Expense	0.06470	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,754,298	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,525,506	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,228,792	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$375,790,799	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$249,876,158	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$125,914,641	NetCommunityBenefitExpnsAmt
Total Expense	0.07540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	46	ActivitiesOrProgramsCnt
Persons Served	104878	PersonsServedCnt
Total Community Benefit Expns	$2,547,813	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$393,982	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,153,831	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	217	PersonsServedCnt
Total Community Benefit Expns	$36,378,228	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,447,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,900,998	NetCommunityBenefitExpnsAmt
Total Expense	0.01790	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	38172	PersonsServedCnt
Total Community Benefit Expns	$57,502,131	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,526,840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,975,291	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	709	PersonsServedCnt
Total Community Benefit Expns	$19,339,784	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,226	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,039,558	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	59	ActivitiesOrProgramsCnt
Persons Served	5523	PersonsServedCnt
Total Community Benefit Expns	$6,975,879	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$591,659	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,384,220	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	145	ActivitiesOrProgramsCnt
Persons Served	149499	PersonsServedCnt
Total Community Benefit Expns	$122,743,835	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,259,937	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$74,453,898	NetCommunityBenefitExpnsAmt
Total Expense	0.04460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	145	ActivitiesOrProgramsCnt
Persons Served	149499	PersonsServedCnt
Total Community Benefit Expns	$498,534,634	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$298,136,095	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$200,368,539	NetCommunityBenefitExpnsAmt
Total Expense	0.11990	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$954	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$954	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	7039	PersonsServedCnt
Total Community Benefit Expns	$47,411	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,161	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,875	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,625	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1591	PersonsServedCnt
Total Community Benefit Expns	$38,205	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,205	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$25,178	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,178	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	218	PersonsServedCnt
Total Community Benefit Expns	$179,852	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,472	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$121,380	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	8848	PersonsServedCnt
Total Community Benefit Expns	$309,475	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,972	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$249,503	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$744,569	BadDebtExpenseAmt
Reimbursed By Medicare	$350,668,135	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$421,679,051	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$71,010,916	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	SF Endoscopy LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Medical Services	PrimaryActivitiesTxt
Org Profit Or Ownership	0.51	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.392	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	8	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (8 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
CPMC-ST LUKE'S CAMPUS
1	3555 CESAR CHAVEZ STREET	SAN FRANCISCO	CA	941104403	WWW.CPMC.ORG	LICENSE 220000070	Yes (X)	Yes (X)	Yes (X)	A
CPMC-PACIFIC CAMPUS
2	2333 BUCHANAN STREET	SAN FRANCISCO	CA	941151925	WWW.CPMC.ORG	LICENSE 220000197	Yes (X)	Yes (X)	Yes (X)	A
CPMC-CALIF WEST CAMPUS
3	3700 CALIFORNIA STREET	SAN FRANCISCO	CA	941181618	WWW.CPMC.ORG	LICENSE 220000197	Yes (X)	Yes (X)	Yes (X)	A
CPMC-EAST CAMPUS
4	3698 CALIFORNIA STREET	SAN FRANCISCO	CA	941181702	WWW.CPMC.ORG	LICENSE 220000197	Yes (X)	Yes (X)	Yes (X)	A
CPMC-DAVIES CAMPUS
5	601 DUBOCE AVENUE	SAN FRANCISCO	CA	941173389	WWW.CPMC.ORG	LICENSE 220000197	Yes (X)	Yes (X)	Yes (X)	A
NOVATO COMMUNITY HOSPITAL
6	180 ROLAND WAY	NOVATO	CA	949455009	WWW.NOVATOCOMMUNITY.ORG	LICENSE 110000375	Yes (X)	Yes (X)	Yes (X)
SUTTER LAKESIDE HOSPITAL
7	5176 HILL ROAD	LAKEPORT	CA	954636300	WWW.SUTTERLAKESIDE.ORG	LICENSE 110000094	Yes (X)	Yes (X)	Yes (X)		Yes (X)
SUTTER SANTA ROSA REGIONAL HOSPITAL
8	30 MARK WEST SPRINGS ROAD	SANTA ROSA	CA	954031707	WWW.SUTTERSANTAROSA.ORG	LICENSE 110000005	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	Communtity Notified FAPCommuntityNotifiedFAPInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Medicare RatesMedicareRatesInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
A
15	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	See section C	Yes (X)	See section C	Yes (true)	13	Yes (true)	See section C	false	false	Yes (true)	Yes (X)	400.	0.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	0	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	Yes (X)	false	false
NOVATO COMMUNITY HOSPITAL
6	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	See section C	Yes (X)	See section C	Yes (true)	13	Yes (true)	See section C	false	false	Yes (true)	Yes (X)	400.	0.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)						Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	Yes (X)	false	false
SUTTER LAKESIDE HOSPITAL
7	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	See Section C	Yes (X)	See Section C	Yes (true)	13	Yes (true)	See Section C	false	false	Yes (true)	Yes (X)	400.	0.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)						Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	Yes (X)	false	false
SUTTER SANTA ROSA REGIONAL HOSPITAL
8	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	See section C	Yes (X)	See section C	Yes (true)	13	Yes (true)	See section C	false	false	Yes (true)	Yes (X)	400.	0.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)						Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
REPORTING FACILITY: A, 1-5	SCHEDULE H, PART V, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, FACILITIES 1-5): IN CONDUCTING ITS MOST RECENT CHNA, CALIFORNIA PACIFIC MEDICAL CENTER, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE COMMUNITY BENEFIT PARTNERSHIP WORKED COLLECTIVELY TO IDENTIFY THE COMMUNITY'S HEALTH NEEDS AND TO DEVELOP THE CHNA REPORT. IN COLLABORATION WITH ACADEMIC PARTNERS, THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH AS WELL AS THE BROADER SAN FRANCISCO COMMUNITY, THE COMMUNITY BENEFIT PARTNERSHIP BUILT ON THE STRONG FOUNDATION OF YEARS WORKING ON THE PAST TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS. AN OUTGROWTH OF THE BUILDING A HEALTHIER SAN FRANCISCO (BHSF) NEEDS ASSESSMENT PROCESS AND THE CHARITY CARE PROJECT (CCP), THE COMMUNITY BENEFIT PARTNERSHIP SEEKS TO HARNESS THE COMBINED ENERGY AND RESOURCES OF SAN FRANCISCO'S PRIVATE NONPROFIT HOSPITALS, CITY DEPARTMENTS (PUBLIC HEALTH AND HUMAN SERVICES), COMMUNITY CLINICS, HEALTH PLANS, NONPROFIT PROVIDERS AND ADVOCACY GROUPS TO IMPROVE THE HEALTH STATUS OF SAN FRANCISCO RESIDENTS. THE COMMUNITY BENEFIT PARTNERSHIP WAS CONCEIVED IN 1999 TO COLLABORATIVELY IDENTIFY COMMUNITY HEALTH NEEDS AND SUPPORT COORDINATED DECISION-MAKING TO ADDRESS THE NEEDS. IT IS WITH THIS SAME DETERMINATION THAT THE PARTNERS UNDERTOOK A COMMUNITY ORIENTED PROCESS - IN ALIGNMENT WITH THE VALUES EXPRESSED BY THE NEIGHBORHOOD RESIDENTS - FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. DURING 2012, A NUMBER OF OTHER COMMUNITY-BASED NEEDS ASSESSMENTS WERE UNDERWAY AT THE SAME TIME AS THE CHNA. IN ORDER TO REDUCE DUPLICATION OF EFFORT, LEVERAGE RESOURCES, AND RESPECT COMMUNITY MEMBERS' TIME COMMITMENT TO THE PROCESS, THE CHNA PROCESS WAS COMBINED WITH THE DEPARTMENT OF PUBLIC HEALTH'S PROCESS TO COMPLETE A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND ITS COMMUNITY HEALTH ASSESSMENT (CHA). THIS COMBINATION OF EFFORTS BROUGHT TOGETHER A NUMBER OF ADDITIONAL PARTNERS THAT ENRICHED THE INPUT THROUGH A VARIETY OF PERSPECTIVES AND CONTRIBUTIONS TO THE PROCESS. SPECIFICALLY, THE COLLABORATING ORGANIZATIONS AND INDIVIDUALS INCLUDED: - HOSPITAL AND ACADEMIC PARTNERS, WHO CONTINUED TO PARTNER WITH SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH (SFDPH) ON SAN FRANCISCO'S CHA/CHIP LEADERSHIP COUNCIL, WHICH HAS GUIDED THE DEVELOPMENT AND WILL GUIDE THE IMPLEMENTATION OF SAN FRANCISCO'S CHIP. - COMMUNITY STAKEHOLDERS - INCLUDING REPRESENTATIVES FROM SAN FRANCISCO'S NONPROFIT HOSPITALS, ACADEMIC INSTITUTIONS, HEALTH PLANS, THE AFRICAN AMERICAN HEALTH DISPARITIES PROJECT, SAN FRANCISCO HUMAN SERVICES AGENCY, AND SFDPH. - COMMUNITY RESIDENTS AND MEMBERS OF THE LOCAL PUBLIC HEALTH SYSTEM - INCLUDING REPRESENTATIVES FROM K-12 EDUCATION, HIGHER EDUCATION, PHILANTHROPY, NONPROFIT AGENCIES, MINORITY HEALTH EQUITY COALITIONS, GOVERNMENT (INCLUDING THE SAN FRANCISCO MAYOR'S OFFICE AND HEALTH COMMISSION), HOSPITALS, AND MORE. - HEALTH CONTENT EXPERTS ENGAGED WITH SFDPH AS WELL AS ITS HOSPITAL AND ACADEMIC PARTNERS TO REFINE PRIORITY GOALS, OBJECTIVES, MEASURES, AND STRATEGIES THAT HAVE COME TO FORM THE CURRENT CHIP. A NUMBER OF CONSULTING FIRMS AND CONSULTANTS WERE INVOLVED THROUGHOUT THIS PROCESS, INCLUDING: 1) HEARTBEATS, FOR COMMUNITY ENGAGEMENT; 2) CIRCLE POINT, FOR ONGOING COMMUNICATION WITH STAKEHOLDERS; 3) HARDER+COMPANY, FOR DATA COLLECTION AND ANALYSIS; AND 4) NANCY SHEMICK, MPA, FOR MEETING FACILITATION AND REPORT-WRITING. FROM JULY 2011 UNTIL FEBRUARY 2013, THE PARTNERS ENGAGED A WIDE RANGE OF COMMUNITY RESIDENTS AND LOCAL PUBLIC HEALTH SYSTEM PARTNERS INCLUDING: - COMMUNITY RESIDENTS FROM EACH OF SAN FRANCISCOS 21 NEIGHBORHOOD AREAS. - SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH CONVENED A 42 MEMBER TASK FORCE THAT REPRESENTED HOSPITALS, CLINICS, K-12 EDUCATION, SMALL BUSINESS, URBAN PLANNING, CONSUMER GROUPS, NONPROFIT ORGANIZATIONS REPRESENTING DIFFERENT ETHNIC MINORITY GROUPS. THE TASK FORCE MET 10 TIME BETWEEN JULY 2011 AND MAY 2012 IN DIFFERENT SAN FRANCISCO NEIGHBORHOODS AND ENGAGED MORE THAN 100 COMMUNITY RESIDENTS. - THE CITY OF SAN FRANCISCO ENGAGE 224 COMMUNITY RESIDENTS IN FOCUS GROUPS AND INTERVIEWED 40 COMMUNITY STAKEHOLDERS TO DISCUSS DEFINITION OF HEALTH AND WELLNESS. - A 10-MEMBER DATA ADVISORY COMMITTEE COMPRISED OF LOCAL PUBLIC HEALTH SYSTEM PARTNERS, RESIDENTS, AND SFDPH STAFF OVERSAW THE SELECTION DATA INDICATORS. A COMPREHENSIVE LISTING OF THE MEETING ATTENDEES, INVITEES, ASSESSMENT PROCESS, TIMELINES, AND COMMUNITY INPUT ARE AVAILABLE IN CPMC'S CHNA AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, LINE 6A & 6B CHNA HOSPITAL COLLABORATORS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, FACILITIES 1-5): A COMPLETE LISTING OF HOSPITALS AND PARTNERS WHO COLLABORATED ON THE CHNA IS AVAILABLE FOR DOWNLOAD AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, LINE 7A, 7B, 10A CHNA AVAILABILITY ONLINE: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, FACILITIES 1-5): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.CPMC.ORG/ABOUT/COMMUNITY/ - OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, LINE 11 CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, FACILITIES 1-5): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT CPMC INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: INCREASE ACCESS TO HIGH-QUALITY HEALTH CARE AND SERVICES - ACCESS TO COMPREHENSIVE, HIGH-QUALITY HEALTH CARE AND OTHER SERVICES IS ESSENTIAL IN PREVENTING ILLNESS, PROMOTING WELLNESS, AND FOSTERING VIBRANT COMMUNITIES. THIS PRIORITY STRIVES TO BRIDGE EXISTING GAPS IN HEALTH CARE ACCESS DUE TO: LOW INCOME; LANGUAGE/LITERACY BARRIERS OR LACK OF CULTURAL COMPETENCY OF SERVICE PROVIDERS; LACK OF INSURANCE OR PROVIDERS NOT ACCEPTING COVERAGE SUCH AS MEDI-CAL BECAUSE OF LOW REIMBURSEMENT RATES. INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY - SCIENCE LINKS HEALTH CONDITIONS SUCH AS HEART DISEASE, DIABETES, AND CANCER TO DAILY PRACTICES LIKE EATING A HEALTHY, BALANCED DIET AND GETTING REGULAR EXERCISE. THIS PRIORITY STRIVES TO DEMONSTRATE THE LINK BETWEEN DIET, INACTIVITY, AND CHRONIC DISEASE AND TO HELP SAN FRANCISCO CREATE ENVIRONMENTS THAT MAKE HEALTHY CHOICES EASIER. DISPARITIES EXIST DUE TO SOCIOECONOMIC AND ENVIRONMENTAL FACTORS SUCH AS AFFORDABILITY AND ACCESSIBILITY OF HEALTHY FOOD OPTIONS, AND NEIGHBORHOOD SAFETY WHEN ENGAGING IN EXERCISE. OBESITY RISK ALSO VARIES ACCORDING TO DIFFERENT RACIAL/ETHNIC GROUPS. ENSURE SAFE AND HEALTHY LIVING ENVIRONMENTS - THIS PRIORITY HIGHLIGHTS THE NEED FOR HEALTH AND WELLNESS-ORIENTED LAND USE PLANNING, MEANINGFUL OPPORTUNITIES FOR OUTDOOR RECREATION, AND A POSITIVE BUILT ENVIRONMENT FOR THE HEALTH OF ALL INDIVIDUALS AND COMMUNITIES. IT SEEKS TO ADDRESS DISPARITIES IN ACCESS TO PARKS, PUBLIC TRANSIT, GROCERY STORES WITH HEALTHIER FOOD CHOICES, AND OTHER RESOURCES THAT BENEFIT HEALTH AND WELLNESS. CERTAIN NEIGHBORHOODS AND RACIAL/ETHNIC GROUPS - OFTEN POOR COMMUNITIES OF COLOR - ARE MORE IMPACTED BY CRIME AND VIOLENCE, AND ARE CLOSER TO FAST FOOD AND ALCOHOL OUTLETS, FREEWAYS, INDUSTRIAL POLLUTANTS, AND OTHER FACTORS THAT CONTRIBUTE TO HIGH RATES OF DISEASE, DEATH, INJURY, AND VIOLENCE. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. ALTHOUGH NO HOSPITAL CAN ADDRESS ALL ASPECTS OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, CPMC PLANS TO ADDRESS ALL THREE OF THE PRIORITIES IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. AS A MEMBER OF SFHIP (SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP), CPMC WILL CONTINUE TO WORK IN COLLABORATION WITH OTHER LOCAL HOSPITALS AND HEALTH PLANS TO IDENTIFY GAPS IN SERVICE AND TO DETERMINE WHERE EFFORTS SHOULD BE COLLECTIVELY REDIRECTED IN ORDER TO MOST EFFECTIVELY IMPROVE THE HEALTH OF SAN FRANCISCO RESIDENTS. FOR MORE INFORMATION ABOUT SFHIP, PLEASE VISIT HTTP://WWW.SFHIP.ORG. CPMC 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. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, FACILITIES 1-5): 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, LINE 16I MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, FACILITIES 1-5): THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS SERVICE AREA.
REPORTING FACILITY: #6, NOVATO COMMUNITY HOSPITAL	SCHEDULE H, PART V, LINE 5 NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #6): IN CONDUCTING ITS MOST RECENT CHNA, NOVATO COMMUNITY HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA THE THREE MARIN COUNTY NOT-FOR-PROFIT HOSPITALS (MARIN GENERAL HOSPITAL, NOVATO COMMUNITY HOSPITAL, AND KAISER PERMANENTE) WORKED TOGETHER WITH THE HEALTHY MARIN PARTNERSHIP (HMP) TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). CONSULTANTS FOR THE 2013 CHNA INCLUDED: - HUMAN IMPACT PARTNERS - ROCHELLE EREMAN, MS, MPH, MARIN HEALTH AND HUMAN SERVICES DEPARTMENT EPIDEMIOLOGIST - ABINADER GROUP - CO HERNNDEZ, MFT - LYNN H. BASKETT, MBA - WESTED INDIVIDUALS WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH THAT PROVIDED INPUT INCLUDED: - LARRY MEREDITH, PHD, DIRECTOR, MARIN COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT - ROCHELLE EREMAN, MS, MPH, COMMUNITY EPIDEMIOLOGY CHIEF, MARIN COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT - JENNIFER REINKS, PHD, FACULTY, FAMILY HEALTH OUTCOMES PROJECT, UNIVERSITY OF CALIFORNIA, SAN FRANCISCO - TOM PETERS, PHD, PRESIDENT, MARIN COMMUNITY FOUNDATION AND FORMER DIRECTOR, MARIN COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT - MATTHEW WILLIS, MD, MPH, MARIN COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT, PUBLIC HEALTH OFFICER - D.J. PIERCE, MARIN COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT, CHIEF OF DIVISION OF ALCOHOL, TOBACCO & OTHER DRUGS THESE PUBLIC HEALTH EXPERTS PARTICIPATED IN KEY INFORMANT INTERVIEWS. LARRY MEREDITH, PHD, JENNIFER REINKS, PHD, AND MATTHEW WILLIS, MD ALSO PARTICIPATED IN THE HMP-COORDINATED COMMUNITY CONVENING AND MS. EREMAN WAS A CONSULTANT TO THE CHNA WORK GROUP AND PROCESS. FROM APRIL 23, 2012 TO JUNE 11, 2012 SELMA ABINADER OF ABINADER GROUP CONDUCTED 25 PHONE INTERVIEWS OF STAKEHOLDERS SELECTED BY HMP LEADERSHIP. STAKEHOLDERS WERE HMP LEADERSHIP AND REPRESENTATIVES FROM HOSPITAL AND HEALTH ORGANIZATIONS, PUBLIC HEALTH EXPERTS, FUNDING INSTITUTIONS, GOVERNMENT, BUSINESS, EDUCATION, AND COMMUNITY BASED AGENCIES. KEY INFORMANTS, COMMUNITY PHYSICIANS AND THOSE PARTICIPATING IN THE HMP-COORDINATED COMMUNITY CONVENING INCLUDED 44 MARIN COUNTY RESIDENTS AND LEADERS REPRESENTING KEY POPULATIONS (MEDICALLY-UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE). FOCUS GROUPS WERE CONDUCTED BETWEEN APRIL 16 AND MAY 9, 2012 BY THE COUNTY OF MARIN DEPARTMENT OF HEALTH AND HUMAN SERVICES. THEY WERE HELD IN MARIN CITY, NOVATO, CANAL, SAN GERONIMO, WEST MARIN, WHISTLESTOP AND THE YOUTH LEADERSHIP INSTITUTE. A TOTAL OF 103 ENGLISH AND 50 SPANISH RESPONSES WERE OBTAINED. FOCUS GROUPS INCLUDED 144 COMMUNITY RESIDENTS REPRESENTING THE FOLLOWING GROUPS: LOCATION PARTICIPANTS MEDICALLY LOW MINORITY CHRONIC UNDERSERVED INCOME DISEASE PT. REYES/W. MARIN 13 X X X SAN GERONIMO 15 X X X X MARIN CITY 39 X X X X NOVATO 12 X X X X SAN RAFAEL/ CANAL 33 X X WHISTLESTOP 16 X X X X YOUTH LEADERSHIP INST. 16 X X X FOCUS GROUP PARTICIPANTS WERE SURVEYED ABOUT: - IMPORTANT HEALTH ISSUES THEY, THEIR FAMILIES, AND THEIR COMMUNITIES FACED - WHAT THEY SAW AS HEALTHY AND UNHEALTHY ABOUT THEIR COMMUNITIES - WHAT THEY WOULD CHANGE TO MAKE THEIR COMMUNITIES HEALTHIER. ADDITIONAL DETAILS ON KEY INFORMANTS, COLLABORATIVE PARTNERS AND FOCUS GROUPS CAN BE FOUND IN NOVATO COMMUNITY HOSPITAL'S CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, LINE 6A NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #6): THE THREE MARIN COUNTY NOT-FOR-PROFIT HOSPITALS, MARIN GENERAL HOSPITAL, NOVATO COMMUNITY HOSPITAL, AND KAISER PERMANENTE, WORKED TOGETHER WITH THE HEALTHY MARIN PARTNERSHIP TO COMPLETE THE CHNA. SCHEDULE H, PART V, LINE 7A, 7B, 10A CHNA AVAILABILITY ONLINE: NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #6): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/COMMUNITY_BENEFITS.HTML - OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, LINE 11 NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #6): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT NOVATO COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO PRIMARY AND SPECIALTY CARE - ALTHOUGH ACCESS TO HEALTH CARE AS MEASURED BY HEALTH INSURANCE IS RELATIVELY HIGH IN MARIN, THERE ARE SIGNIFICANT GEOGRAPHIES WHERE RESIDENTS LACK INSURANCE AND OBTAINING TIMELY AND EFFECTIVE SCREENING AND TREATMENT IS LACKING. LIMITATIONS ON ACCESS AFFECT PARTICIPATION IN SCREENINGS AND TREATMENT OF EARLY DIAGNOSIS FOR CANCER, HEART DISEASE, ASTHMA, MENTAL HEALTH, SUBSTANCE ABUSE, AND DIABETES. HEALTHY EATING AND ACTIVE LIVING - EATING HEALTHY FOODS AND ENGAGING IN AN ACTIVE LIFESTYLE ARE DETERMINANTS OF HEALTH FOR DIABETES, CANCER, HEART DISEASE, AND MENTAL HEALTH. SOCIAL SUPPORTS (INCLUDING FAMILY AND COMMUNITY SUPPORT SYSTEMS) - THESE SYSTEMS AND SERVICES DIRECTLY AFFECT MENTAL HEALTH, SUBSTANCE ABUSE, ACCESS TO HEALTH CARE, AND FALLS. MENTAL HEALTH - A GREATER PERCENTAGE OF MARIN ADULTS REPORT POOR MENTAL HEALTH AND HIGHER SUICIDE RATES THAN CALIFORNIA AND HEALTHY PEOPLE 2020. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF NOVATO COMMUNITY HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. NOVATO COMMUNITY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: - SUBSTANCE ABUSE (ALCOHOL AND OTHER DRUGS) - NCH DOES NOT HAVE SUFFICIENT RESOURCES (FINANCIAL AND PERSONNEL) TO ADDRESS THIS NEED. THE HOSPITAL DOES NOT HAVE THE EXPERTISE TO ADDRESS THIS NEED. OTHER FACILITIES AND ORGANIZATIONS IN THE COMMUNITY DO ADDRESS THIS NEED. (COMMUNITY ASSETS LISTED IN CHNA: HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/NCH_2013CHNAREPORT.PDF) - SOCIOECONOMIC STATUS - NCH DOES NOT HAVE SUFFICIENT RESOURCES (FINANCIAL AND PERSONNEL) TO ADDRESS THIS NEED. THE HOSPITAL DOES NOT HAVE THE EXPERTISE TO ADDRESS THIS NEED. OTHER FACILITIES AND ORGANIZATIONS IN THE COMMUNITY DO ADDRESS THIS NEED. (COMMUNITY ASSETS LISTED IN CHNA: HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/NCH_2013CHNAREPORT.PDF) - CANCER - NCH DOES NOT HAVE SUFFICIENT RESOURCES (FINANCIAL AND PERSONNEL) TO ADDRESS THIS NEED. THE HOSPITAL DOES NOT HAVE THE EXPERTISE TO ADDRESS THIS NEED. OTHER FACILITIES AND ORGANIZATIONS IN THE COMMUNITY DO ADDRESS THIS NEED. (COMMUNITY ASSETS LISTED IN CHNA: HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/NCH_2013CHNAREPORT.PDF) - HEART DISEASE - NCH DOES NOT HAVE SUFFICIENT RESOURCES (FINANCIAL AND PERSONNEL) TO ADDRESS THIS NEED. THE HOSPITAL DOES NOT HAVE THE EXPERTISE TO ADDRESS THIS NEED. OTHER FACILITIES AND ORGANIZATIONS IN THE COMMUNITY DO ADDRESS THIS NEED. (COMMUNITY ASSETS LISTED IN CHNA: HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/NCH_2013CHNAREPORT.PDF) SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #6): 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, LINE 16I MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #6): 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
REPORTING FACILITY: #7, SUTTER LAKESIDE HOSPITAL	SCHEDULE H, PART V, LINE 5 SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #7): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER LAKESIDE HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THREE PRIMARY METHODS OF COLLECTING INPUT FROM THE COMMUNITY WERE USED IN THE ASSESSMENT - COMMUNITY SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. KEY INFORMANT INTERVIEWS: TELEPHONE INTERVIEWS USING A STRUCTURED SET OF QUESTIONS (WITH ADDITIONAL, PERSONALIZED QUESTIONS TO OBTAIN MORE IN-DEPTH INFORMATION) WERE CONDUCTED WITH 16 INDIVIDUALS WHOSE PERCEPTIONS AND EXPERIENCE WERE INTENDED TO INFORM THE ASSESSMENT. THE INTERVIEWS PROVIDED AN INFORMED PERSPECTIVE FROM THOSE WORKING DIRECTLY WITH THE PUBLIC, INCREASED AWARENESS ABOUT AGENCIES AND SERVICES, OFFERED INPUT ABOUT GAPS AND POSSIBLE DUPLICATION IN SERVICES, AND SOLICITED IDEAS ABOUT RECOMMENDED STRATEGIES AND SOLUTIONS. THE INTERVIEWS ALSO FOCUSED THE NEEDS ASSESSMENT ON PARTICULAR ISSUES OF CONCERN WHERE INDIVIDUALS WITH CERTAIN EXPERTISE COULD CONFIRM OR DISPUTE PATTERNS IN THE DATA AND IDENTIFY DATA AND OTHER STUDIES THE COLLABORATIVE MIGHT NOT OTHERWISE BE AWARE OF. KEY INFORMANTS INTERVIEWED INCLUDE THE FOLLOWING: - DAVID SANTOS, VICE PRESIDENT OF OPERATIONS, ST. HELENA HOSPITAL CLEAR LAKE - DENISE RUSHING, SUPERVISOR, LAKE COUNTY BOARD OF SUPERVISORS - DENNIS FAY, EXECUTIVE DIRECTOR, COMMUNITY CARE MANAGEMENT CORPORATION - DIANE PEGE, MD, VICE PRESIDENT, MEDICAL AFFAIRS, SUTTER LAKESIDE HOSPITAL - KIMBERLY TANGERMANN, MANAGER, LIVE WELL & KONOCTI WELLNESS CENTER, ST. HELENA HOSPITAL CLEAR LAKE - LINDA MORRIS, DEPUTY DIRECTOR, CLINICAL SERVICES, LAKE COUNTY BEHAVIORAL HEALTH DEPARTMENT - LYN SCURI, HEALTH PLANNER, PARTNERSHIP HEALTH PLAN - MARK BUEHNERKEMPER, OPTOMETRIST, LAKE COUNTY RESIDENT - MERYL FEATHERSTONE, TRIBAL HEALTH - MONTE WINTERS, SPRING VALLEY RESIDENT - ROB BROWN, SUPERVISOR, LAKE COUNTY BOARD OF SUPERVISORS - ROBERT GARDNER, MD, MEDICAL DIRECTOR, LUCERNE COMMUNITY CLINIC - SIRI NELSON, CHIEF EXECUTIVE OFFICER, SUTTER LAKESIDE HOSPITAL - STEPHANIE LILLY, DIRECTOR OF PROGRAMS, LAKE FAMILY RESOURCE CENTER - TERESA CAMPBELL, CHIEF NURSING EXECUTIVE, SUTTER LAKESIDE HOSPITAL - WALLY HOLBROOK, SUPERINTENDENT OF SCHOOLS, LAKE COUNTY OFFICE OF EDUCATION - BOB PENNY, LAKE COUNTY VETERAN'S SERVICES - MARTA FULLER, DENTAL DISEASE PREVENTION, LAKE COUNTY PUBLIC HEALTH DEPARTMENT - SHERYLIN TAYLOR, LAKE COUNTY PUBLIC HEALTH DEPARTMENT A QUESTIONNAIRE WAS DEVELOPED IN ENGLISH AND SPANISH FOR THE GENERAL PUBLIC THAT SOLICITED PEOPLES OPINIONS ABOUT MOST-IMPORTANT HEALTH NEEDS, IDEAS FOR RESPONSIVE SOLUTIONS, AND HABITS THEY USED TO MAINTAIN THEIR OWN PERSONAL HEALTH. THE SURVEY WAS DISTRIBUTED IN HARD COPY BY MEMBERS OF THE COLLABORATIVE TO LOCATIONS WHERE THE GROUPS OF INTEREST WOULD BEST BE REACHED, SUCH AS AT CASINOS, A BOWLING ALLEY, BRANCHES OF PUBLIC LIBRARIES, AND FAMILY RESOURCE CENTERS THROUGHOUT THE COUNTY. IN ADDITION, THE SURVEY WAS AVAILABLE BY COMPUTER (ENGLISH ONLY) AND NOTICES ABOUT THE ONLINE VERSION WERE POSTED IN THE COUNTYS AND VARIOUS ORGANIZATIONS WEBSITES AND IN THEIR NEWSLETTER. FOUR LOCATIONS CLEARLAKE, MIDDLETOWN, LAKEPORT, AND KELSEYVILLE, ENSURED GEOGRAPHIC REPRESENTATION AND 8 COMMUNITY FOCUS GROUPS WERE CONDUCTED AT SITES INTENDED TO DRAW POPULATIONS THAT TYPICALLY GATHERED THERE. KEY COMMUNITY-BASED ORGANIZATIONS WERE IDENTIFIED BY THE COLLABORATIVE AND ASKED TO HOST A FOCUS GROUP. FOCUS GROUPS WERE CO-SCHEDULED AT THE SITES AMONG PARTICIPANTS WHO WERE ALREADY MEETING THERE FOR OTHER PURPOSES TO FACILITATE ACCESS AND PROMOTE ATTENDANCE. ALTHOUGH THE PARTICIPANTS CONSTITUTED A CONVENIENCE SAMPLE, THERE WAS THE EXPECTATION THAT IN THE AGGREGATE THE GROUPS WOULD BE DIVERSE AND INCLUDE POPULATIONS OF HIGH INTEREST. ONE OF THE GROUPS WAS FACILITATED IN SPANISH. THE FINDINGS FROM KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEY IN SUTTER LAKESIDE HOSPITAL'S CHNA ARE AVAILABLE AT: HTTP://WWW.SUTTERLAKESIDE.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML SCHEDULE H, PART V, LINE 6A SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #7): THE COLLABORATIVE INCLUDED THE TWO LAKE COUNTY HOSPITALS, ST. HELENA CLEAR LAKE AND SUTTER LAKESIDE. SCHEDULE H, PART V, LINE 7A, 7B, 10A CHNA AVAILABILITY ONLINE: SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #7): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.SUTTERLAKESIDE.ORG/ABOUT/ - OTHER WEBSITE: HTTP://WWW.SUTTERLAKESIDE.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML SCHEDULE H, PART V, LINE 11 SUTTER LAKESIDE HOSPITALS (HOSPITAL FACILITY #7): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT SUTTER LAKESIDE HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - RISK FACTORS AND IMPLICATIONS FROM TOBACCO USE, HIGH BLOOD PRESSURE, PHYSICAL INACTIVITY AND OBESITY; - LACK OF ACCESS TO COMMUNITY-BASED MENTAL HEALTH SERVICES; AND - HIGH RATES OF ALCOHOL AND DRUG USE. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH ADDITIONAL EFFORTS ON BEHALF OF SUTTER COAST HOSPITAL. ALTHOUGH NO HOSPITAL CAN ADDRESS ALL ASPECTS OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, SUTTER LAKESIDE HOSPITAL PLANS TO ADDRESS ALL FOUR OF THE PRIORITIES IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. SUTTER LAKESIDE HOSPITAL 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. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: SUTTER LAKESIDE HOSPITALS (HOSPITAL FACILITY #7) 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, LINE 16I MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: SUTTER LAKESIDE HOSPITALS (HOSPITAL FACILITY #7) 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, LINE 22D AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #7): 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.
REPORTING FACILITY: #8, SUTTER SANTA ROSA REGIONAL HOSPITAL	SCHEDULE H, PART V, LINE 5 SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #8): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER SANTA ROSA REGIONAL HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. KEY INFORMANT INTERVIEWS ARE IN-DEPTH EXPLORATIONS OF ISSUES OR CONCERNS. THE PURPOSE OF KEY INFORMANT INTERVIEWS IS TO COLLECT INFORMATION FROM A RANGE OF LEADERS WHO HAVE FIRST-HAND KNOWLEDGE ABOUT THE COMMUNITY. THIS TECHNIQUE IS A QUALITATIVE PROCESS THAT CONCENTRATES ON REVEALING UNDERLYING REASONING. THESE COMMUNITY EXPERTS, WITH THEIR PARTICULAR KNOWLEDGE AND UNDERSTANDING, PROVIDE IMPORTANT INSIGHTS ON THE NATURE OF COMMUNITY HEALTH ISSUES. BABS KAVANAUGH AND BARBARA GRAVES, CONSULTANTS, CONDUCTED EIGHTEEN KEY INFORMANT INTERVIEWS WITH INDIVIDUALS SELECTED BECAUSE OF THEIR EXPERTISE AND LEADERSHIP IN HEALTH AND SOCIAL SERVICES IN SONOMA COUNTY. THE PURPOSE OF THE INTERVIEWS WAS TO EXPLORE ISSUES THAT ARE IMPACTING THE HEALTH OF RESIDENTS IN SONOMA COUNTY, TO IDENTIFY THOSE POPULATIONS MOST AFFECTED BY THESE ISSUES AND TO GATHER INPUT ABOUT SYSTEM CHANGES AND PREVENTION APPROACHES THAT COULD HAVE POSITIVE IMPACT ON THESE ISSUES. ALL PARTICIPANTS RECEIVED THE SAME SET OF QUESTIONS IN ADVANCE OF THE INTERVIEWS. IN AN EFFORT TO GATHER DIVERSE POINTS OF VIEW THOSE INTERVIEWED REPRESENTED THE FOLLOWING SECTORS, SERVICES, ORGANIZATIONS AND AGENCIES: - HEALTH AND HUMAN SERVICES (6) - HOSPITALS (3) - SONOMA COUNTY SCHOOLS (1) - ORAL HEALTH SERVICES (1) - COMMUNITY HEALTH CENTERS (4) - COMMUNITY BASED ORGANIZATIONS (1) - HEALTH INSURANCE PLANS (1) - ECONOMIC DEVELOPMENT (1) KEY INFORMANTS INTERVIEWED INCLUDE: - RITA SCARDACI, DIRECTOR, DEPARTMENT OF HEALTH SERVICES - ELIZABETH CHICOINE, DIRECTOR OF PUBLIC HEALTH NURSING, DEPT OF HEALTH SERVICES, PUBLIC HEALTH DIVISION - MARK NETHERDA, MD, SC DEPUTY PUBLIC HEALTH OFFICER AND LYNN SILVER OF THE DEPARTMENT OF HEALTH SERVICES - ELLEN BAUER, HEALTH ACTION PROGRAM MANAGER, DEPT OF HEALTH SERVICES, PUBLIC HEALTH DIVISION - MIKE KENNEDY, MH/AODS DIRECTOR, DEPT OF HEALTH SERVICES, MENTAL HEALTH DIVISION - DIANE KALJIAN, DIRECTOR, DEPT OF HUMAN SERVICES, ADULT AND AGING DIVISION - KIRK PAPPAS, MD, KAISER PERMANENTE MEDICAL CENTER, SANTA ROSA - BILL CARROLL, CHIEF MEDICAL OFFICER, SUTTER SANTA ROSA REGIONAL HOSPITAL - GARY GREENSWEIG, CHIEF MEDICAL OFFICER, ST JOSEPH HEALTH SYSTEM, SONOMA COUNTY - MARY MADDUX-GONZALEZ, MD, EXECUTIVE DIRECTOR, REDWOOD COMMUNITY HEALTH COALITION - MOLIN MALICAY, CHIEF EXECUTIVE OFFICER, SONOMA COUNTY INDIAN HEALTH PROJECT - FRANCISCO TRILLA, MD, CHIEF MEDICAL OFFICER, SANTA ROSA COMMUNITY HEALTH CENTER - KATHIE POWELL, EXECUTIVE DIRECTOR, PETALUMA HEALTH CENTER - MICHAEL SPEILMAN, DRUG ABUSE ALTERNATIVE CENTER - BOB MOORE, MEDICAL DIRECTOR, PARTNERSHIP HEALTH PLAN OF CALIFORNIA - LYNN GARRIC, SCOE - SAFE SCHOOL PROJECT DIRECTOR - SUSAN COOPER, DDS, SONOMA COUNTY ORAL HEALTH ACCESS COALITION - BEN STONE, ECONOMIC DEVELOPMENT BOARD DURING JUNE AND JULY 2012, ST. JOSEPH HEALTH SYSTEM CONDUCTED A SERIES OF TARGETED, COMMUNITY-BASED FOCUS GROUPS ON BEHALF OF THE PROJECT PARTNERS. THE GOAL OF THE FOCUS GROUP PROCESS WAS TO GATHER INFORMATION FROM RESIDENTS OF LOW-INCOME NEIGHBORHOODS ON THEIR HEALTH CONCERNS, THE CHALLENGES THEY FACE IN MAINTAINING HEALTH AND THEIR IDEAS ON HOW TO IMPROVE THEIR COMMUNITYS HEALTH AND WELLBEING. FOUR FOCUS GROUPS WERE HELD, AVERAGING 8 PARTICIPANTS PER GROUP. GROUPS WERE FACILITATED IN BOTH SPANISH AND ENGLISH, BASED ON GROUP MAKE-UP. THE GROUPS WERE CONDUCTED IN COMMUNITIES OF SONOMA VALLEY, ROHNERT PARK, SANTA ROSA, AND CLOVERDALE AND WERE FACILITATED BY ST. JOSEPH'S STAFF USING STANDARDIZED QUESTIONS APPROVED BY THE CHNA PARTNERSHIP. IN THE SPRING OF 2012, ST. JOSEPH HEALTH SYSTEM CONTACTED 1500 PEOPLE (839 COMPLETED THE SURVEY) USING A SURVEY TOOL INCORPORATING QUESTIONS FROM THE NATIONAL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM SURVEY. THE SURVEY PROVIDED VALUABLE INFORMATION ON LOCAL HEALTH STATUS, HEALTH BEHAVIORS, EXPERIENCE WITH THE LOCAL HEALTH SYSTEMS AND HIGHLIGHTED THE LINKS BETWEEN SOCIAL DETERMINANTS, PREDOMINANTLY INCOME AND EDUCATION ATTAINMENT, AND DISPARITIES IN HEALTH AND HEALTH CARE ACCESS. THE FINDINGS FROM KEY INFORMANT INTERVIEWS, SURVEY, AND FOCUS GROUPS IN SUTTER SANTA ROSA REGIONAL HOSPITAL'S CHNA ARE AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, LINE 6A SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #8): SUTTER SANTA ROSA REGIONAL HOSPITAL, IN COLLABORATION WITH LOCAL PARTNERS KAISER PERMANENTE, ST. JOSEPH'S HEALTH SYSTEM AND THE SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2013. SCHEDULE H, PART V, LINE 7A, 7B, 10A CHNA AVAILABILITY ONLINE: SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #8): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.SUTTERSANTAROSA.ORG/RELATIONS/COMMUNITY_BENEFITS.HTML - OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, LINE 11 SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #8): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER SANTA ROSA REGIONAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: HEALTHY EATING AND PHYSICAL FITNESS - POOR NUTRITION AND LACK OF PHYSICAL ACTIVITY ARE DRIVING A NATIONAL AND LOCAL OBESITY EPIDEMIC AND ARE CONTRIBUTIONS TO INCREASING RATES OF CHRONIC DISEASE, DISABILITY AND PREMATURE MORTALITY IN SONOMA COUNTY. LOW-INCOME CHILDREN AND FAMILIES ARE ESPECIALLY AT RISK WHEN THEY RESIDE IN NEIGHBORHOODS THAT OFFER FEW OPTIONS TO OBTAIN HEALTHY, NUTRITIOUS FOOD OR ENGAGE SAFELY IN PHYSICAL ACTIVITY. EXPANSION OF CURRENT EFFORTS IN SCHOOLS AND COMMUNITIES TO IMPROVE NUTRITION AND FITNESS AMONG YOUTH AND ADULTS CAN HELP TO REDUCE THE GROWING BURDEN OF DISEASE. GAPS IN ACCESS TO PRIMARY CARE - STRONG PRIMARY CARE SYSTEMS ARE ASSOCIATED WITH IMPROVED HEALTH OUTCOMES AND REDUCED HEALTH CARE COSTS. WHILE MOST SONOMA COUNTY RESIDENTS HAVE A REGULAR SOURCE OF CARE AND CAN ACCESS HEALTH CARE WHEN THEY NEED IT, TOO MANY DO NOT. THOSE WHO ARE UNINSURED, LOW-INCOME, OR ARE MEMBERS OF RACIAL AND ETHNIC MINORITIES ARE LESS LIKELY TO HAVE AN ONGOING SOURCE OF CARE AND MORE LIKELY TO DEFER NEEDED CARE, MEDICINES AND DIAGNOSTICS, OFTEN AT THE COST OF UNNECESSARY SUFFERING AND POOR HEALTH OUTCOMES. INCREASING ACCESS TO AFFORDABLE, PREVENTION-FOCUSED PRIMARY CARE CAN HELP TO ELIMINATE HEALTH DISPARITIES AND PROMOTE HEALTH AND WELL-BEING. ACCESS TO SERVICES FOR SUBSTANCE USE DISORDERS - TREATMENT WORKS. EARLY SCREENING, INTERVENTION AND APPROPRIATE TREATMENT FOR HARMFUL SUBSTANCE USE AND ADDICTION BEHAVIORS ARE CRITICAL TO INTERVENING WITH TEENS, PREGNANT WOMEN AND OTHERS WHO CAN BENEFIT FROM TREATMENT. UNFORTUNATELY, DESPITE INCREASING LEVELS OF ADDICTION, ACCESS TO SUBSTANCE ABUSE TREATMENT IN SONOMA COUNTY IS SEVERELY LIMITED FOR LOW-INCOME INDIVIDUALS WITHOUT HEALTH CARE COVERAGE. INSURING TIMELY ACCESS TO CULTURALLY COMPETENT SUBSTANCE ABUSE TREATMENT, TAILORED TO THE SPECIFIC NEEDS OF THOSE SEEKING HELP, CAN BREAK THE CYCLE OF ADDICTION AND BENEFIT INDIVIDUALS, FAMILIES AND THE COMMUNITY. ACCESS TO MENTAL HEALTH SERVICES - MANY MENTAL HEALTH PROBLEMS CAN BE EFFECTIVELY TREATED AND MANAGED WITH ACCESS TO ASSESSMENT, EARLY DETECTION, AND LINKS TO ONGOING TREATMENT AND SUPPORTS. IN SONOMA COUNTY, HOWEVER, MANY LOW INCOME INDIVIDUALS WITH MENTAL HEALTH CONCERNS DO NOT HAVE ACCESS TO THE TREATMENT THEY NEED. INSUFFICIENT PRIVATE INSURANCE COVERAGE FOR MENTAL HEALTH SERVICES AND INSUFFICIENT AVAILABILITY OF PUBLICLY-FUNDED TREATMENT SERVICES ARE SIGNIFICANT BARRIERS FOR MANY. LIMITED INTEGRATION OF MENTAL HEALTH SERVICES WITHIN THE HEALTH CARE SYSTEM ALSO LEADS TO MISSED OPPORTUNITIES FOR EARLY PROBLEM IDENTIFICATION AND PREVENTION. CARDIOVASCULAR DISEASE - CARDIOVASCULAR DISEASE IS THE THIRD LEADING CAUSE OF DEATH FOR PEOPLE AGES 18 - 59 IN SONOMA COUNTY. FOR RESIDENTS, AGE 60 AND OLDER, CORONARY HEART DISEASE AND STROKE ARE THE SECOND AND THIRD MOST COMMON CAUSE OF DEATH, BEHIND CANCER. MAJOR BEHAVIORAL CONTRIBUTORS TO CARDIOVASCULAR DISEASE INCLUDE TOBACCO USE, PHYSICAL INACTIVITY, UNHEALTHY DIET AND HARMFUL USE OF ALCOHOL. EDUCATION AND PREVENTION EFFORTS TARGETING THESE "LIFESTYLE" CHOICES AND BEHAVIORS SHOULD BE EXPANDED ALONG WITH CONTINUED EMPHASIS ON EARLY DETECTION AND MANAGEMENT OF CHRONIC DISEASE. ACCESS TO HEALTH CARE COVERAGE - ENSURING ACCESS TO AFFORDABLE, QUALITY HEALTH CARE SERVICES IS IMPORTANT TO PROTECTING BOTH INDIVIDUAL AND POPULATION HEALTH, ELIMINATING HEALTH DISPARITIES AND PROMOTING OVERALL QUALITY OF LIFE IN THE COMMUNITY. FOR UNINSURED PEOPLE, THE COST OF BOTH ROUTINE AND EMERGENCY CARE CAN BE FINANCIALLY DEVASTATING. INDIVIDUALS WITHOUT HEALT

Field	Value	IRS element (for citing)
Facility	23	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
California Campus - Alzheimers Res Care
3773 Sacramento Street	San Francisco	CA	94118	Skilled Nursing Facility
Sutter Lakeside Family Medical Clinic
5176 Hill Road East	Lakeport	CA	95453	Rural Health Clinic
San Francisco Endoscopy Center
3468 California St	San Francisco	CA	94118	Outpatient Services
California Pacific Medical Center
2100 Webster Street Suite 103	San Francisco	CA	94115	RADIOLOGY/LABORATORY/ Ultrasound Services
California Pacific Medical Center
3838 California Street Suite 106	San Francisco	CA	94115	Outpatient Services - LABORATORY/IMAGING
California Pacific Medical Center
2351 Clay Street 4th Floor	San Francisco	CA	94115	Chronic Dialysis
California Pacific Medical Center
2340 Clay Street Suite 114A	San Francisco	CA	94115	Outpatient Services - HEART TRANSPLANT CLINIC
California Pacific Medical Center
2340 Clay Street 4th Floor	San Francisco	CA	94115	Outpatient Services - LIVER, PANCREAS, KIDNEY TRANSPLANT CLINIC
California Pacific Medical Center
2340 Clay Street 5th Floor	San Francisco	CA	94115	Outpatient Services - OPTHAMOLOGY CLINIC
Physical Therapy & Sport Fitness
100 Rowland Way	Novato	CA	94945	Outpatient Services
Diagnostic Center
165 Rowland Way	Novato	CA	94945	Outpatient Services
Surgery Transfusion Services
180 Rowland Way	Novato	CA	94945	Outpatient Services
California Pacific Medical Center
2351 Clay Street Suite 600	San Francisco	CA	94115	Outpatient Services - IES
California Pacific Medical Center
2360 Clay Street	San Francisco	CA	94115	Outpatient Services - PT, OT & CARDIAC REHAB
Imaging Services
1375 Sutter Street	San Francisco	CA	94119	Outpatient Services
California Pacific Medical Center
1580 Valencia Street Suite 440	San Francisco	CA	94115	Outpatient Services - CHILD DEVELOPMENT
California Pacific Medical Center
1625 Van Ness	San Francisco	CA	94115	Outpatient Services - CHILD DEVELOPMENT
California Pacific Medical Center
101 North El Camino Suite 1	San Mateo	CA	94402	Outpatient Services - HAND THERAPY
Terra Linda Health Plaza
4000 Civic Center Drive	San Rafael	CA	94903	Outpatient Services
Sutter Medical Center Santa Rosa Sports
4729 Hoen Avenue Suite A	Santa Rosa	CA	95405	Outpatient Services
Presidio Surgery Center
1635 Divisadero Street Suite 200	San Francisco	CA	94115	Outpatient Services
California Pacific Advanced Imaging
504 Redwood Blvd 300	Novato	CA	94949	Outpatient Services
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET SUITE 150	San Francisco	CA	94115	OUTPATIENT SERVICES - ALS

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3A & 3C	FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION THE ORGANIZATION HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE PATIENTS FAMILY INCOME.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.
SCHEDULE H, PART I, LINE 7G	CALIFORNIA PACIFIC MEDICAL CENTER: THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $16,438,043.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: CALIFORNIA PACIFIC MEDICAL CENTER: CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. BUILDING THE SAN FRANCISCO WORKFORCE, ESPECIALLY BY CREATING OPPORTUNITIES FOR YOUTH, IS A MAJOR FOCUS FOR CPMC. IN 2015, CPMC PROVIDED WORK-READINESS TRAINING AND CAREER EXPLORATION EXPERIENCES TO INDIVIDUALS THROUGH ITS COMMUNITY WORKFORCE PROGRAMS. THESE PARTNERSHIPS HELP EDUCATE AND INSPIRE UNDERSERVED YOUTH TO PURSUE HEALTH CAREERS. THEY INCLUDE: GALILEO HEALTH ACADEMY OFFERS TWO 12-WEEK SPEAKER SERIES THAT TAKE PLACE IN THE SPRING AND FALL OF THE ACADEMIC YEAR FOR HIGH SCHOOL JUNIORS. TWICE A WEEK, CPMC EMPLOYEES PROVIDE LECTURES, DEMONSTRATIONS, TOURS AND ACTIVITIES TO ENHANCE STUDENTS' UNDERSTANDING OF THE COMPLEXITIES AND OPPORTUNITIES IN A MODERN, COMPREHENSIVE ACUTE CARE MEDICAL CENTER. CPMC ALSO PROVIDES SIX-WEEK SUMMER INTERNSHIPS FOR GALILEO STUDENTS TO GAIN EXPERIENCE WORKING IN A HOSPITAL ENVIRONMENT. YEAR UP PLACES LOW-INCOME YOUNG ADULTS BETWEEN THE AGES OF 18 AND 24 INTO INFORMATION TECHNOLOGY INTERNSHIPS AT CPMC. ENABLING PATIENTS TO VOTE IS A PROGRAM THAT PROVIDES PATIENTS WITH THE OPPORTUNITY TO VOTE IN ELECTIONS. VOLUNTEERS ASSIST IN PROMOTING THIS PROGRAM THROUGHOUT CPMC OVER THE COURSE OF SEVERAL DAYS. VOLUNTEERS ALSO FAX BALLOT REQUESTS TO CITY HALL, PICK-UP ABSENTEE BALLOTS, DISTRIBUTE BALLOTS TO PATIENTS, COLLECT BALLOTS AT THE END OF THE DAY, AND DROP OFF BALLOTS AT POLLING SITES, AND CITY HALL, FOR TABULATION IN A TIMELY MANNER. PROJECT HOMELESS CONNECT IS SAN FRANCISCO'S SIGNATURE PROGRAM TO PROVIDE SERVICES TO ITS HOMELESS POPULATION. THE MISSION OF PROJECT HOMELESS CONNECT IS TO PROVIDE A SINGLE LOCATION WHERE NONPROFIT MEDICAL AND SOCIAL SERVICES PROVIDERS COLLABORATE TO SERVE THE HOMELESS OF SAN FRANCISCO WITH COMPREHENSIVE, HOLISTIC SERVICES. CPMC VOLUNTEERS HELP PROJECT HOMELESS CONNECT PROVIDE MEDICAL AND SOCIAL SERVICES TO SAN FRANCISCO'S MOST IMPOVERISHED RESIDENTS, INCLUDING PRIMARY MEDICAL CARE, EYE EXAMS, WHEELCHAIR REPAIR, DENTAL TREATMENT, SUBSTANCE ABUSE CONNECTIONS, AND EVEN ACUPUNCTURE AND MASSAGE. CPMC'S CHILD DEVELOPMENT CENTER IS PART OF THE FIRST 5 CALIFORNIA COALITIONS. FIRST 5 CALIFORNIA REPRESENTS AN IMPORTANT PART OF OUR STATE'S EFFORT TO NURTURE AND PROTECT OUR MOST PRECIOUS RESOURCE - OUR CHILDREN. FIRST 5 CALIFORNIA'S SERVICES AND SUPPORT ARE DESIGNED TO ENSURE THAT MORE CHILDREN ARE BORN HEALTHY AND REACH THEIR FULL POTENTIAL. AT RISK YOUTH INTERNSHIP PARTNERS CPMC WITH COMMUNITY AGENCIES TO PROVIDE INTERNSHIPS FOR AT-RISK YOUTH THROUGH THE VOLUNTEER SERVICES DEPARTMENT BOTH DURING THE SCHOOL YEAR AS WELL AS OFFERING SUMMER PROGRAMS. THE NATIONAL COUNCIL ON AGING SENIOR COMMUNITY SERVICE PROGRAM: CREATED IN 1965, SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM IS THE NATION'S OLDEST PROGRAM TO HELP LOW-INCOME, UNEMPLOYED INDIVIDUALS AGED 55+ FIND WORK. A CPMC EMPLOYEE SPENDS TIME SUPPORTING TWO PROGRAM PARTICIPANTS. MERITUS HELPS LOW-INCOME SAN FRANCISCO YOUTH COMPLETE A COLLEGE DEGREE AND PREPARE FOR POST-COLLEGE SUCCESS THROUGH A COMBINATION OF SCHOLARSHIPS, COACHING, AND CAREER MENTORSHIP. INTERNSHIPS AT CPMC EXPOSE STUDENTS TO A RANGE OF EXPERIENCES LEADING TO INFORMED DECISION-MAKING ABOUT POST COLLEGE OPPORTUNITIES. NOVATO COMMUNITY HOSPITAL: NOVATO COMMUNITY HOSPITAL (NCH) FUNDS THE FOLLOWING PROGRAM THAT HELPS ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. IN 1995, THE HEALTHY MARIN PARTNERSHIP WAS FORMED IN RESPONSE TO CALIFORNIA SENATE BILL 697, A LEGISLATIVE MANDATE REQUIRING NOT-FOR-PROFIT HOSPITALS TO COMPLETE A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS. NCH PARTICIPATES IN THIS PARTNERSHIP, ALONG WITH OTHER KEY STAKEHOLDERS, TO PRODUCE THE COMMUNITY HEALTH NEEDS ASSESSMENT. NOVATO COMMUNITY HOSPITAL PARTNERS WITH THE FRIENDS OF STAFFORD LAKE BICYCLE PARK TO PROMOTE HEALTHY EATING AND ACTIVE LIVING BY BUILDING AND MAINTAINING AN OFF-ROAD CYCLING PARK ON COUNTY LAND TO PROVIDE A SAFE RIDING ENVIRONMENT FOR ALL AGES WITH A COMPONENT TO INVOLVE YOUNG CHILDREN IN LEARNING THE SPORT. NOVATO COMMUNITY HOSPITAL PARTNERS WITH THE CITY OF SAN RAFAEL DOWNTOWN STREETS TEAM TO HELP REDUCE HOMELESS RELATED ISSUES ON THE STREET, TO CHANGE PERCEPTIONS ABOUT PEOPLE WITHOUT SHELTER AND TO SUPPORT THE TEAM MEMBERS IN FINDING EMPLOYMENT AND/OR PARTICIPATE IN COUNTYWIDE EMPLOYMENT TRAINING PROGRAMS. SUTTER LAKESIDE HOSPITAL: SUTTER LAKESIDE HOSPITAL FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. SUTTER LAKESIDE HOSPITAL STAFF MEMBERS ARE ASSIGNED TO COMMUNITY BOARDS, PANELS, COMMITTEES, AND GROUPS. SUTTER LAKESIDE HOSPITAL HOSTED ITS INAUGURAL HEROES OF HEALTH AND SAFETY FAIR, WHICH SERVES AS AN OPPORTUNITY FOR THEIR COMMUNITY TO SEE ALL OF THE COUNTY'S HEALTH AND SAFETY RESOURCES IN ONE LOCATION. SUTTER SANTA ROSA REGIONAL HOSPITAL: SUTTER SANTA ROSA REGIONAL HOSPITAL FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. SUTTER SANTA ROSA REGIONAL HOSPITAL EMPLOYEES PARTICIPATE ON THE HEALTH ACTION COMMITTEE. SONOMA COUNTY DEVELOPED THIS MULTI-PRONGED APPROACH TO BECOMING THE "HEALTHIEST COUNTY IN CALIFORNIA" BY 2020 THAT INVOLVES LEADERS FROM ACROSS HEALTHCARE, COMMUNITY-BASED ORGANIZATIONS AND INDUSTRY TO WORK TOGETHER TO IMPROVE HEALTH AND QUALITY OF LIFE FOR ALL.
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 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	NEEDS ASSESSMENT: CALIFORNIA PACIFIC MEDICAL CENTER DURING 2013, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE CITY AND COUNTY OF SAN FRANCISCO WAS CONDUCTED BY CPMC, THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, LOCAL NONPROFIT HOSPITALS AND ACADEMIC PARTNERS, AND MORE THAN 500 COMMUNITY RESIDENTS. SERVING CALIFORNIA'S ONLY CONSOLIDATED CITY AND COUNTY AND A DIVERSE POPULATION OF 805,235 RESIDENTS, THE PARTNERS MADE EVERY EFFORT TO CREATE A COMMUNITY-ORIENTED PROCESS ALIGNED WITH THE FOLLOWING VALUES: - TO FACILITATE ALIGNMENT OF SAN FRANCISCO'S PRIORITIES, RESOURCES, AND ACTIONS TO IMPROVE HEALTH AND WELL-BEING. - TO ENSURE THAT HEALTH EQUITY IS ADDRESSED THROUGHOUT PROGRAM PLANNING AND SERVICE DELIVERY. - TO PROMOTE COMMUNITY CONNECTIONS THAT SUPPORT HEALTH AND WELL-BEING. THE MEMBERS OF THIS COMMUNITY BENEFIT PARTNERSHIP, WITH A LONG HISTORY OF SUCCESSFUL COLLABORATION, AGREED TO TACKLE A NEW REQUIREMENT UNDER THE AFFORDABLE CARE ACT: TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS. THIS EFFORT IS NOT UNFAMILIAR TO SAN FRANCISCO'S NONPROFIT HOSPITALS, AS THEY HAVE UNDERGONE A SIMILAR PROCESS EVERY THREE YEARS SINCE CALIFORNIA SENATE BILL 697 WAS PASSED IN 1994; FOR MORE THAN A DECADE THIS COLLABORATIVE HAS CONDUCTED COLLECTIVE COMMUNITY NEEDS ASSESSMENTS. HELPFUL TO THIS YEAR'S PROCESS WAS THE NUMBER OF SIMILAR EFFORTS BEING UNDERTAKEN TO ASSESS COMMUNITY HEALTH NEEDS AND IMPROVEMENT STRATEGIES, SUCH AS THE HEALTH CARE SERVICES MASTER PLAN AND ACCREDITATION FOR THE SAN FRANCISCO PUBLIC HEALTH DEPARTMENT (SFDPH). TO LEVERAGE RESOURCES REQUIRED FOR THESE ENDEAVORS, THE COMMUNITY BENEFIT PARTNERSHIP MADE USE OF A COMMUNITY-DRIVEN PROCESS THAT ENGAGED MORE THAN 500 COMMUNITY RESIDENTS AND LOCAL PUBLIC HEALTH SYSTEM PARTNERS WHO IDENTIFIED THE FOLLOWING KEY HEALTH PRIORITIES FOR ACTION: - ENSURE SAFE AND HEALTHY LIVING ENVIRONMENTS - INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY - INCREASE ACCESS TO HIGH-QUALITY HEALTH CARE AND SERVICES FROM JULY 2011 UNTIL FEBRUARY 2013, THE PARTNERS ENGAGED IN A PROCESS TO: A) AGREE ON DATA ELEMENTS AND INDICATORS TO BE COLLECTED B) DETERMINE THE PARTIES RESPONSIBLE TO COLLECT THOSE DATA C) AGREE ON METHODS TO SOLICIT AND INCORPORATE COMMUNITY INPUT D) SHARE FINDINGS E) IDENTIFY PRIORITIZATION CRITERIA TO BE USED F) CONDUCT THE PRIORITIZATION PROCESS G) GET COMMUNITY STAKEHOLDERS' INPUT ON STRATEGIES TO ADDRESS THE HEALTH NEEDS TO YIELD A REPRESENTATIVE AND TRANSPARENT ASSESSMENT PROCESS, THE COMMUNITY BENEFIT PARTNERSHIP SOUGHT TO ENGAGE A RANGE OF COMMUNITY RESIDENTS AND LOCAL PUBLIC HEALTH SYSTEM PARTNERS AT EACH STEP. SPECIFICALLY: - COMMUNITY RESIDENTS FROM EACH OF SAN FRANCISCO'S 21 NEIGHBORHOOD AREAS CAME TOGETHER FOR A DAY-LONG EVENT TO DISCUSS THEIR VIEWS OF HEALTH AND THEIR HOPES FOR SAN FRANCISCO'S HEALTH FUTURE. THIS RESULTED IN ELEMENTS OF A COMMUNITY-GUIDED HEALTH VISION FOR THE CITY AND COUNTY OF SAN FRANCISCO. - SFDPH CONVENED A 42-MEMBER TASK FORCE TO SUPPORT SAN FRANCISCO'S CHA AND A PARALLEL EFFORT, THE HEALTH CARE SERVICES MASTER PLAN (HCSMP). TASK FORCE MEMBERS REPRESENTED A RANGE OF COMMUNITY STAKEHOLDERS SUCH AS HOSPITALS/CLINICS, K-12 EDUCATION, SMALL BUSINESS, URBAN PLANNING, CONSUMER GROUPS, NONPROFITS REPRESENTING DIFFERENT ETHNIC MINORITY GROUPS, AND MORE. TO ENSURE COMMUNITY PARTICIPATION IN THE HCSMP AND CHA PROCESSES, THE TASK FORCE MET A TOTAL OF 10 TIMES BETWEEN JULY 2011 AND MAY 2012 - FOUR OF THOSE IN DIFFERENT SAN FRANCISCO NEIGHBORHOODS - AND ENGAGED MORE THAN 100 COMMUNITY RESIDENTS IN DIALOGUE TO BETTER DETERMINE HOW TO IMPROVE THE HEALTH OF ALL SAN FRANCISCANS WITH A PARTICULAR FOCUS ON THE CITY/COUNTY'S MOST VULNERABLE POPULATIONS. TO ENCOURAGE COMMUNITY DIALOGUE, TASK FORCE NEIGHBORHOOD MEETINGS TOOK PLACE IN THE EVENING, AND SFDPH PROVIDED INTERPRETATION SERVICES IN SPANISH AND CANTONESE. - SAN FRANCISCO ENGAGED 224 COMMUNITY RESIDENTS IN FOCUS GROUPS AND INTERVIEWED 40 COMMUNITY STAKEHOLDERS TO LEARN MORE ABOUT SAN FRANCISCANS' DEFINITIONS OF HEALTH AND WELLNESS AS WELL AS THEIR PERCEPTIONS OF SAN FRANCISCO'S STRENGTHS VERSUS AREAS FOR HEALTH IMPROVEMENT. FOCUS GROUPS TARGETED SAN FRANCISCO SUBPOPULATIONS (SENIORS AND PERSONS WITH DISABILITIES, TRANSGENDERED PEOPLE, MONOLINGUAL SPANISH SPEAKERS, AND TEENS) AND SPECIFIC NEIGHBORHOODS (BAYVIEW HUNTERS POINT, CHINATOWN, EXCELSIOR, MISSION, SUNSET/RICHMOND, AND TENDERLOIN). FOCUS GROUP PARTICIPANTS GREATLY INFORMED SAN FRANCISCO'S HEALTH VISION AS WELL AS THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT. - A 10-MEMBER DATA ADVISORY COMMITTEE COMPRISED OF LOCAL PUBLIC HEALTH SYSTEM PARTNERS, RESIDENTS, AND SFDPH STAFF OVERSAW THE SELECTION OF DATA INDICATORS FOR THE COMMUNITY HEALTH STATUS ASSESSMENT (CHSA). THIS BODY ALSO ENSURED THE INTEGRITY OF THE CHSA'S METHODOLOGY AND QUANTITATIVE DATA. - IN JUNE 2013, THE CHIP AND CHNA WERE PUBLICLY LAUNCHED AT THE MAYOR'S BREAKFAST ATTENDED BY 400 COMMUNITY PARTNERS. SECONDARY DATA WERE GATHERED WITH THE ASSISTANCE OF HARDER+COMPANY. THE REPORT "COMMUNITY HEALTH STATUS ASSESSMENT: CITY AND COUNTY OF SAN FRANCISCO" WAS COMPLETED IN JULY 2012. THE HEALTH INDICTORS, SELECTED BY MEMBERS OF THE LEADERSHIP GROUP WITHIN THE COALITION, AS WELL AS EACH INDICATOR'S DATA SOURCE, ARE ALSO INCLUDED IN THE REPORT. THE PARTNERS CONDUCTED FOUR HEALTH ASSESSMENTS TO IDENTIFY COMMUNITY HEALTH NEEDS AND INFORM HEALTH PRIORITY SELECTION: COMMUNITY THEMES AND STRENGTHS ASSESSMENT, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, FORCES OF CHANGE ASSESSMENT, AND A COMMISSIONED COMMUNITY HEALTH STATUS ASSESSMENT. ONCE COLLECTED, SFDPH STAFF GROUPED DATA BY COMMON THEMES GROUPING LIKE DATA POINTS. THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CALIFORNIA PACIFIC MEDICAL CENTER IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML NOVATO COMMUNITY HOSPITAL: NOVATO COMMUNITY HOSPITAL (NCH) AND HEALTHY MARIN PARTNERSHIP (HMP) HAVE CONDUCTED COMMUNITY NEEDS ASSESSMENTS SINCE 1995 TO COMPLY WITH THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. THE 2013 CHNA RESULTED IN A RE- EXAMINATION OF OUR PROCESS AND ATTENTION TO COMMUNITY INPUT, TRANSPARENCY, SUBJECT MATTER EXPERTISE AND DATA COLLECTION. HMP CONDUCTED A COMMUNITY CONVENING OF MORE THAN 30 REPRESENTATIVES OF UNDERSERVED COMMUNITIES, PUBLIC HEALTH EXPERTS, AND COMMUNITY LEADERS. THEY PRESENTED THE GROUP WITH EXTENSIVE DATA, KEY INFORMANT INTERVIEWS AND COMMUNITY FOCUS GROUPS RESULTS. THE GROUP WAS ENGAGED IN A PROCESS TO EXAMINE AND DISCUSS THE INFORMATION. AS A FINAL STEP THEY IDENTIFIED THE FOLLOWING MARIN COUNTY HEALTH NEEDS IN PRIORITY ORDER: 1. MENTAL HEALTH 2. SUBSTANCE ABUSE 3. ACCESS TO HEALTH CARE/MEDICAL HOMES/HEALTH CARE COVERAGE 4. SOCIOECONOMIC STATUS (INCOME, EMPLOYMENT, EDUCATION LEVEL) 5. HEALTHY EATING AND ACTIVE LIVING (NUTRITION/HEALTHY FOOD/FOOD ACCESS/PHYSICAL ACTIVITY 6. SOCIAL SUPPORTS (FAMILY AND COMMUNITY SUPPORT SYSTEMS AND SERVICES; CONNECTEDNESS) 7. CANCER 8. HEART DISEASE THE NOVATO COMMUNITY HOSPITAL SERVICE AREA INCLUDES THE NORTHERN CALIFORNIA COUNTY OF MARIN AND PARTS OF SOUTHERN SONOMA COUNTY. FOR PURPOSES OF THIS CHNA, ACTIVITIES WERE RESTRICTED TO RESIDENTS WITHIN THE BORDERS OF MARIN COUNTY. THE COUNTY OF SONOMA IS ADDRESSED BY SUTTER SANTA ROSA REGIONAL HOSPITAL. MARIN'S THREE NOT-FOR-PROFIT HOSPITALS, MARIN GENERAL HOSPITAL, NOVATO COMMUNITY HOSPITAL AND KAISER PERMANENTE COLLABORATED WITH HMP TO COMPLETE THE CHNA. THE PROCESS INCLUDED FOUR PRIMARY ACTIVITIES: 1. KEY INFORMANT INTERVIEWS (PUBLIC HEALTH EXPERTS AND COMMUNITY LEADERS) 2. FOCUS GROUPS (UNDERSERVED COMMUNITIES IN ENGLISH AND SPANISH, WITH ADDITIONAL TRANSLATION AVAILABLE) 3. THE HMP COMMUNITY CONVENING (EXPERTS, LEADERS, AND RESIDENTS) 4. A COMPREHENSIVE DATA REVIEW OF 153 HEALTH INDICATORS. FINDINGS WERE COMPARED TO STATE AND NATIONAL AVERAGES AND, WHEN POSSIBLE MAPPED BY CENSUS TRACTS TO SHOW VARIATIONS AMONG GEOGRAPHIC AREAS ACROSS THE COUNTY. THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR NOVATO COMMUNITY HOSPITAL IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER LAKESIDE HOSPITAL: A COMMUNITY HEALTH NEEDS ASSESSMENT BUILDS THE FOUNDATION FOR ALL COMMUNITY HEALTH PLANNING, AND PROVIDES APPROPRIATE INFORMATION ON WHICH POLICYMAKERS, PROVIDER GROUPS, AND COMMUNITY ADVOCATES CAN BASE IMPROVEMENT EFFORTS; IT CAN ALSO INFORM FUNDERS ABOUT DIRECTING GRANT DOLLARS MOST APPROPRIATELY. IN 2012-2013, A COLLABORATIVE THAT INCLUDED THE TWO LAKE COUNTY HOSPITALS, ST. HELENA CLEAR LAKE AND SUTTER LAKESIDE, JOINED BY PUBLIC HEALTH AND OTHER LOCAL ORGANIZATIONS, RETAINED BARBARA AVED ASSOCIATES (BAA) TO UPDATE THE COMMUNITY HEALTH NEEDS ASSESSMENT BAA CONDUCTED IN 2010. THE PURPOSE OF THE STUDY WAS TO EXAMINE RELEVANT COMMUNITY HEALTH INDICATORS, IDENTIFY THE HIGHEST UNMET NEEDS AND PRIORITIZE AREAS FOR IMPROVING COMMUNITY HEALTH. THE ASSESSMENT MEETS THE PROVISIONS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA) FOR COMMUNIT
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER WEST BAY HOSPITALS FOLLOW 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: - 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) - PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED WITH A FINANCIAL ASSISTANCE APPLICATION SUBSTANTIALLY SIMILAR TO THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION, "STATEMENT OF FINANCIAL CONDITION" 2. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION". B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS: 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY (FINANCE POLICY 14-227). C. APPLICATIONS PROVIDED AT DISCHARGE: IF NOT PREVIOUSLY PROVIDED, HOSPITAL AFFILIATES SHALL PROVIDE UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL, HEALTHY FAMILIES, CALIFORNIA CHILDREN'S SERVICES, OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM AT THE TIME OF DISCHARGE. D. LANGUAGES: ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE AFFILIATE'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. E. NOTIFICATIONS TO UNINSURED PATIENTS OF ESTIMATED FINANCIAL RESPONSIBILITY: BY LAW, UNINSURED PATIENTS ARE ENTITLED TO RECEIVE AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES. EXCEPT IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL NOTIFY PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED PATIENTS THAT THEY MAY OBTAIN AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES, AND PROVIDE ESTIMATES TO THOSE PATIENTS UPON REQUEST. ESTIMATES SHALL BE WRITTEN, AND BE PROVIDED DURING NORMAL BUSINESS HOURS. ESTIMATES SHALL PROVIDE THE PATIENT WITH AN ESTIMATE OF THE AMOUNT THE HOSPITAL AFFILIATE WILL REQUIRE THE PATIENT TO PAY FOR THE HEALTH CARE SERVICES, PROCEDURES, AND SUPPLIES THAT ARE REASONABLY EXPECTED TO BE PROVIDED TO THE PATIENT BY THE HOSPITAL, BASED UPON THE AVERAGE LENGTH OF STAY AND SERVICES PROVIDED FOR THE PATIENT'S DIAGNOSIS.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: CALIFORNIA PACIFIC MEDICAL FOUNDATION: THE HOSPITAL SERVICE AREA FOR CALIFORNIA PACIFIC MEDICAL CENTER INCLUDES ALL POPULATIONS RESIDING IN THE CITY AND COUNTY OF SAN FRANCISCO. THERE ARE 12 HOSPITALS SERVING THE COMMUNITY. THE TOTAL POPULATION OF CPMC'S HOSPITAL SERVICE AREA IS 805,235. 48.5% OF THE POPULATION IS WHITE. 15.1% IS LATINO. 6.1% IS AFRICAN AMERICAN. 33.7% IS ASIAN AND PACIFIC ISLANDER. 0.5% IS NATIVE AMERICAN. MEDIAN AGE IS 38.2 YEARS. AVERAGE HOUSEHOLD INCOME IS $73,127. 11.86% OF THE POPULATION IS LIVING IN POVERTY. 15% OF CHILDREN ARE LIVING IN POVERTY. 9.5% OF THE POPULATION IS UNEMPLOYED. 11.53% OF THE POPULATION IS UNINSURED. 27.59% IS LIVING UNDER 200% POVERTY LEVEL. 24.78% IS LINGUISTICALLY ISOLATED. AND 14.29% OF THE POPULATION HAS NO HIGH SCHOOL DIPLOMA. (SOURCES: HTTP://WWW.COUNTYHEALTHRANKINGS.ORG; HTTP://WWW.CHNA.ORG/KP; HTTP://WWW.SFDPH.ORG/DPH/FILES/REPORTS/POLICYPROCOFC/CHSA_10162012.PDF) AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE CALIFORNIA PACIFIC MEDICAL CENTER CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML NOVATO COMMUNITY HOSPITAL: THE NOVATO COMMUNITY HOSPITAL SERVICE AREA INCLUDES THE NORTHERN CALIFORNIA COUNTY OF MARIN AND PARTS OF SOUTHERN SONOMA COUNTY. FOR PURPOSES OF THIS STUDY, ACTIVITIES WERE RESTRICTED TO RESIDENTS WITHIN THE BORDERS OF MARIN COUNTY. SUTTER SANTA ROSA REGIONAL HOSPITAL ADDRESSES THE COUNTY OF SONOMA. THERE ARE THREE HOSPITALS SERVING THE COMMUNITY. THE NOVATO COMMUNITY HOSPITAL SERVICE AREA COMPRISES MARIN COUNTY UNINCORPORATED AREAS AND CITIES INCLUDING BELVEDERE, CORTE MADERA, FAIRFAX, LARKSPUR, MILL VALLEY, NOVATO, ROSS, SAN ANSELMO, SAN RAFAEL, SAUSALITO, AND TIBURON AND THE COASTAL TOWNS OF STINSON BEACH, BOLINAS, POINT REYES, INVERNESS, MARSHALL, AND TAMALES. THE TOTAL POPULATION IN MARIN COUNTY IS 352,544. WHITES MAKE UP 81.94% OF MARIN COUNTY'S POPULATION. 16.68% ARE LATINO. 2.38% ARE AFRICAN AMERICAN. 5.33% ARE ASIAN AND PACIFIC ISLANDER. 0.36% ARE NATIVE AMERICAN. (DATA SOURCE: US CENSUS BUREAU, 2006-2010 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATE. KFH-SAN RAFAEL SERVICE AREA DATA) MEDIAN AGE IS 44 YEARS, WITH 15.47% OF THE POPULATION OVER THE AGE OF 65. 91.68% OF THE POPULATION GRADUATED ON TIME FROM HIGH SCHOOL. 9.22% OF CHILDREN LIVE IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IS $89,268. 9.36% OF THE POPULATION HAVE NO HIGH SCHOOL DIPLOMA. 8.6% OF THE POPULATION ARE MEDI-CAL/MEDI-CAID RECIPIENTS. THE UNEMPLOYMENT RATE IS 6.16%. 10.0% ARE UNINSURED, AND 11.33% LACK A SOURCE OF CONSISTENT PRIMARY CARE. MARIN COUNTY IS A HEALTHY AND AFFLUENT COUNTY COMPARED TO CALIFORNIA, AND THE NATION, AS A WHOLE. HOWEVER, A SUB-COUNTY GEOGRAPHIC QUANTITATIVE AND QUALITATIVE DATA ANALYSIS IDENTIFIES DISPARITIES IN SOCIOECONOMIC STATUS THAT LIMIT ACCESS TO HEALTH CARE AND THE CAPACITY OF SOME RESIDENTS TO MAKE CHOICES THAT CONTRIBUTE TO A HEALTHY LIFESTYLE. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS OF THE SERVICE AREA IS AVAILABLE IN THE NOVATO COMMUNITY HOSPITAL'S CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER LAKESIDE HOSPITALS: SUTTER LAKESIDE HOSPITAL'S HOSPITAL SERVICE AREA IS DEFINED AS LAKE COUNTY. THERE ARE TWO HOSPITALS SERVING THE COMMUNITY. LAKE COUNTY IS LOCATED IN NORTHERN CALIFORNIA JUST TWO HOURS BY CAR FROM THE SAN FRANCISCO BAY AREA, THE SACRAMENTO VALLEY, OR THE PACIFIC COAST. THE COUNTY'S ECONOMY IS BASED LARGELY ON TOURISM AND RECREATION, DUE TO THE ACCESSIBILITY AND POPULARITY OF ITS SEVERAL LAKES AND ACCOMPANYING RECREATIONAL AREAS. IT IS PREDOMINANTLY RURAL, ABOUT 100 MILES LONG BY ABOUT 50 MILES WIDE, AND INCLUDES THE LARGEST NATURAL LAKE ENTIRELY WITHIN CALIFORNIA BORDERS. LAKE COUNTY IS MOSTLY AGRICULTURAL, WITH TOURIST FACILITIES AND SOME LIGHT INDUSTRY. MAJOR CROPS INCLUDE PEARS, WALNUTS AND, INCREASINGLY, WINE GRAPES. DOTTED WITH VINEYARDS AND WINERIES, ORCHARDS AND FARM STANDS, AND SMALL TOWNS, THE COUNTY IS HOME TO CLEAR LAKE, CALIFORNIA'S LARGEST NATURAL FRESHWATER LAKE, KNOWN AS "THE BASS CAPITAL OF THE WEST,MT. KONOCTI, WHICH TOWERS OVER CLEAR LAKE. WITHIN LAKE COUNTY THERE ARE TWO INCORPORATED CITIES, THE COUNTY SEAT OF LAKEPORT AND THE CITY OF CLEARLAKE, THE LARGEST CITY, AND THE COMMUNITIES OF BLUE LAKES, CLEARLAKE OAKS, COBB, FINLEY, GLENHAVEN, HIDDEN VALLEY LAKE, KELSEYVILLE, LOCH LOMOND, LOWER LAKE, LUCERNE, NICE, MIDDLETOWN, SPRING VALLEY, ANDERSON SPRINGS, UPPER LAKE, AND WITTER SPRINGS. LAKE COUNTY IS BORDERED BY MENDOCINO AND SONOMA COUNTIES ON THE WEST; GLENN, COLUSA AND YOLO COUNTIES ON THE EAST; AND NAPA COUNTY ON THE SOUTH. THE TWO MAIN TRANSPORTATION CORRIDORS THROUGH THE COUNTY ARE STATE ROUTES 29 AND 20. STATE ROUTE 29 CONNECTS NAPA COUNTY WITH LAKEPORT AND STATE ROUTE 20 TRAVERSES CALIFORNIA AND PROVIDES CONNECTIONS TO HIGHWAY 101 AND INTERSTATE 5. ACCORDING TO CALIFORNIA LABOR MARKET DATA ABOUT COUNTY-TO-COUNTY COMMUTE PATTERNS (WHICH HAVE NOT BEEN UPDATED SINCE 2000), THE TOTAL NUMBER OF WORKERS THAT LIVE AND WORK IN LAKE IS 15,566 PERSONS: THE TOTAL FOR WORKERS COMMUTING IN WAS 1,046, AND 4,320 WORKERS COMMUTED OUT. ABOUT 67% OF PEOPLE WHO LIVE IN LAKE COUNTY ALSO WORK WITHIN THE COUNTY. WHILE THE POPULATION SIZE OF LAKE COUNTY WAS ESTIMATED AT 64,394 RESIDENTS IN JULY 2012, THE POPULATION CAN SWELL WITH DAYTIME WORK COMMUTERS AND SEASONAL TOURISTS. DEMOGRAPHICS: - POPULATION CHANGE IS MOSTLY STATIC. ESTIMATES OF ANNUAL PERCENT CHANGE BETWEEN JANUARY 2011 AND JANUARY 2012 SHOW ZERO GROWTH FOR THE COUNTY OVERALL. - WITH 21% OF RESIDENTS OVER THE AGE OF 65, THE COUNTY HAS NEARLY TWICE THE PROPORTION OF OLDER RESIDENTS THAN CALIFORNIA AS A WHOLE. THE OVER-AGE-60 GROUP IS ESTIMATED TO INCREASE 59% FROM 2010 TO 2030. THE ANTICIPATED SIGNIFICANT GROWTH IN THIS AGE GROUP WILL PUT A LARGER BURDEN ON THE HEALTH CARE SYSTEM AND LOCAL ECONOMY, WHICH MAY NOT HAVE SUFFICIENT COMMUNITY SERVICES OR TAX BASE TO SUPPORT IT. - LAKE COUNTY'S POPULATION IS PROJECTED TO BECOME INCREASINGLY CULTURALLY DIVERSE IN COMING YEARS. FOR EXAMPLE, THE HISPANIC POPULATION IS PROJECTED TO INCREASE SLIGHTLY MORE THAN 3-FOLD AND PERSONS IDENTIFYING AS MULTI-RACE BY ABOUT 2-FOLD FROM 2010 TO 2050. SOCIOECONOMIC FACTORS: - RECOVERY FROM THE RECESSION HAS BEEN SLOW; 21.4% (UP FROM 17.9% IN 2008) OF LAKE COUNTY RESIDENTS, ONE-THIRD HIGHER THAN THE STATE AVERAGE, LIVED BELOW THE FEDERAL POVERTY LEVEL IN 2011. - ONE-THIRD OF THE POPULATION WAS REPORTED TO BE "FOOD INSECURE. IN 2011, 61% OF STUDENTS ACROSS THE COUNTY WERE RECEIVING FREE-REDUCED PRICE LUNCHES. THESE FINDINGS, HOWEVER, SHOWED SLIGHT IMPROVEMENT FROM THE PRIOR ASSESSMENT PERIOD. - THE PROPORTION OF THE NON ELDERLY POPULATION (AGES 0-64) WHO WERE UNINSURED ALL OR PART OF THE YEAR IN LAKE COUNTY IS VERY SIMILAR TO THE STATEWIDE AVERAGE. - THERE WERE FEWER UNINSURED CHILDREN IN LAKE COUNTY THAN IN CALIFORNIA IN 2009, BUT THE PERCENTAGE COVERED BY EMPLOYMENT-BASED INSURANCE, 44.5%, WAS LOWER THAN THE STATE AVERAGE. - LAKE COUNTY HAS THE HIGHEST PERCENTAGE OF SENIORS COVERED BY A COMBINATION OF MEDICARE AND MEDI-CAL IN THE NORTHERN AND SIERRA COUNTIES REGION. IT HAS THE SECOND LOWEST PERCENTAGE OF SENIORS THAT HAVE PRIVATE SUPPLEMENTAL COVERAGE IN ADDITION TO MEDICARE. - MORE PEOPLE IN LAKE COUNTY, 86.3%, COMPARED TO CALIFORNIA, 80.7%, HAVE COMPLETED HIGH SCHOOL OR HIGHER. - LAKE COUNTY'S OVERALL HIGH SCHOOL DROPOUT RATE IN 2011-12, 2.8%, WAS MORE FAVORABLE THAN THE STATEWIDE RATE OF 4.0%, BUT SLIGHTLY HIGHER THAN THE PRIOR SCHOOL YEAR. NATIVE AMERICAN AND AFRICAN AMERICAN STUDENTS DROP OUT OF SCHOOL AT HIGHER RATES THAN THE OVERALL COUNTY AVERAGE. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE HOSPITAL CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER SANTA ROSA REGIONAL HOSPITAL: SUTTER SANTA ROSA REGIONAL HOSPITAL'S HOSPITAL SERVICE AREA IS DEFINED AS SONOMA COUNTY. THERE ARE THREE HOSPITALS SERVING THE COMMUNITY. DEMOGRAPHIC OVERVIEW: SONOMA COUNTY IS A LARGE, URBAN-RURAL COUNTY ENCOMPASSING 1,575 SQUARE MILES. THE COUNTY'S TOTAL POPULATION IS CURRENTLY ESTIMATED AT 487,011. ACCORDING TO PROJECTIONS FROM THE CALIFORNIA DEPARTMENT OF FINANCE, COUNTY POPULATION IS PROJECTED TO GROW BY 8.3% TO 546,204 IN 2020. THIS RATE OF GROWTH IS LESS THAN THAT PROJECTED FOR CALIFORNIA AS A WHOLE (10.1%). GEOGRAPHIC DISTRIBUTION OF POPULATION: SONOMA COUNTY RESIDENTS INHABIT NINE CITIES AND A LARGE UNINCORPORATED AREA, INCLUDING MANY GEOGRAPHICALLY ISOLATED COMMUNITIES. THE MAJORITY OF THE COUNTY'S POPULATION RESIDES WITHIN ITS CITIES, THE LARGEST OF WHICH ARE CLUSTERED ALONG THE HIGHWAY 101 CORRIDOR. SANTA ROSA IS THE LARGEST CITY WITH A POPULATION OF 168,841 AND IS THE SERVICE HUB FOR THE ENTIRE COUNTY AND THE LOCATION OF THE COUNTY'S THREE MAJOR HOSPITALS. SONOMA COUNTY'S UNINCORPORATED AREAS ARE HOME TO 146,739 RESIDENTS, 30.1% OF THE TOTAL POPULATION. A SIGNIFICANT NUM
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. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC): THE 2013 - 2015 IMPLEMENTATION STRATEGY FOR CALIFORNIA PACIFIC MEDICAL CENTER DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: CPMC'S ST. LUKE'S HEALTH CARE CENTER (SLHCC) PROVIDES A FULL RANGE OF OBSTETRIC AND GYNECOLOGICAL CARE AT ITS WOMEN'S CENTER; WELL-BABY CARE, WELL-CHILD CARE, AND CARE FOR ILL OR INJURED CHILDREN AT ITS PEDIATRIC CLINIC; AND PRIMARY, ACUTE AND CHRONIC CARE AT ITS ADULT INTERNAL MEDICINE CLINIC FOR TEENAGERS AND ADULTS. SLHCC'S CLINICIANS AND STAFF ARE BILINGUAL IN ENGLISH AND SPANISH, ENSURING CULTURALLY COMPETENT AND SENSITIVE CARE. SLHCC IS ANTICIPATED TO IMPROVE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED PATIENTS RESIDING IN COMMUNITIES SOUTH OF MARKET STREET IN SAN FRANCISCO. IN 2015, OVER 12,800 UNIQUE PATIENTS WERE SEEN AT ST. LUKES HEALTH CARE CENTER, WITH NEARLY 41,000 PATIENT VISITS. HEALTHFIRST, SLHCCS AFFILIATED CENTER FOR HEALTH EDUCATION AND DISEASE PREVENTION, HAD OVER 2,300 PATIENT VISITS, SERVING NEARLY 750 PATIENTS IN CHRONIC DISEASE MANAGEMENT. CPMC MAINTAINS SLHCC AT ITS ST. LUKES CAMPUS IN ORDER TO PROVIDE SUBSIDIZED PRIMARY CARE AND PREVENTIVE SERVICES TO UNDERSERVED RESIDENTS OF THE MISSION, AS WELL AS BAYVIEW, DOWNTOWN/CIVIC CENTER, VISITACION VALLEY AND EXCELSIOR SOME OF THE SAN FRANCISCO NEIGHBORHOODS IDENTIFIED AS HAVING THE HIGHEST DISPARITIES RELATED TO IMPORTANT SOCIO-ECONOMIC DETERMINANTS OF HEALTH. BY PROVIDING SERVICES SUCH AS THESE, CPMC CONTRIBUTES TO IMPROVED ACCESS TO CARE AS MEASURED BY A SHIFT IN THE NEEDS ASSESSMENT INDICATOR TRACKING THE NUMBER OF SAN FRANCISCANS WITH A USUAL SOURCE OF HEALTH CARE (FROM 86.8% IN 2009 TO 87.3% IN 2014) (WWW.SFHIP.ORG). BY ENSURING THAT SERVICES ARE CULTURALLY AND LINGUISTICALLY APPROPRIATE, CPMC HELPS TO BRIDGE GAPS IN ACCESSIBILITY DUE TO LANGUAGE AND CULTURAL BARRIERS FOR NON-NATIVE-ENGLISH SPEAKERS, AS MEASURED BY A SHIFT IN THE NEEDS ASSESSMENT INDICATOR MEASURING SAN FRANCISCOS PERCENTAGE OF ADULTS WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME WHO HAVE DIFFICULTY UNDERSTANDING THEIR DOCTORS (FROM 2.1% IN 2009 TO 1.7% IN 2011-2012) (WWW.SFHIP.ORG). THESE SERVICES ALSO COUNTER LIMITED ACCESS THAT MAY BE CAUSED BY PRIMARY CARE PROVIDERS BEING LESS LIKELY TO SERVE MEDI-CAL BENEFICIARIES DUE TO LOW GOVERNMENT REIMBURSEMENT RATES. CPMC'S KALMANOVITZ CHILD DEVELOPMENT CENTER (KCDC) PROVIDES DIAGNOSIS, EVALUATION, TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH LEARNING DISABILITIES AND DEVELOPMENTAL OR BEHAVIORAL PROBLEMS CAUSED BY PREMATURITY, AUTISM SPECTRUM DISORDER, EPILEPSY, DOWN SYNDROME, ATTENTION DEFICIT DISORDER, OR CEREBRAL PALSY. ITS COMPREHENSIVE ASSESSMENTS AND ONGOING THERAPY PROGRAMS INCLUDE THE FOLLOWING DISCIPLINES: DEVELOPMENTAL/BEHAVIORAL PEDIATRICS; PSYCHOLOGY AND PSYCHIATRY; SPEECH/LANGUAGE AND AUDITORY PROCESSING; OCCUPATIONAL THERAPY; BEHAVIOR MANAGEMENT CONSULTATIONS; EARLY INTERVENTION/ PARENT-INFANT PROGRAM; SOCIAL SKILLS GROUPS; FEEDING ASSESSMENT AND THERAPY; ASSESSMENT AND THERAPY FOR THE NEONATAL INTENSIVE CARE UNIT AND ASSESSMENT FOR THE FOLLOW-UP CLINIC; EDUCATIONAL ASSESSMENT, THERAPY AND TREATMENT. BESIDES OPERATING ITS OWN CLINICS, KCDC ALSO EXTENDS ITS SERVICES TO A LARGE NUMBER OF AT-RISK CHILDREN BY PARTNERING WITH LOCAL SCHOOLS AND OTHER COMMUNITY ORGANIZATIONS, SUCH AS DE MARILLAC ACADEMY, IMMACULATE CONCEPTION ACADEMY, AND FIRST 5 SAN FRANCISCO. KCDC IS ANTICIPATED TO IMPROVE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED PATIENTS RESIDING IN SAN FRANCISCO. IN 2015, KCDCS TWO SAN FRANCISCO LOCATIONS HAD OVER 16,700 PATIENT VISITS, SERVING 1,450 UNIQUE PATIENTS WHO OTHERWISE MAY NOT HAVE BEEN ABLE TO RECEIVE CHILD DEVELOPMENTAL SERVICES. THESE SERVICES PROVIDED AT REDUCED OR NO COST TO FAMILIES ARE PARTICULARLY IMPORTANT SINCE CHILDREN FROM LOW-INCOME FAMILIES HAVE A 50% HIGHER RISK OF DEVELOPMENTAL DISABILITIES; EARLY IDENTIFICATION AND TREATMENT CAN CHANGE THE COURSE OF THESE CHILDRENS LIVES. KCDC PROVIDED ADDITIONAL SERVICES THROUGH CPMC'S "JOINT VENTURE HEALTH" WITH UC BERKELEY'S SCHOOL OF PUBLIC HEALTH AND NORTH EAST MEDICAL SERVICES (NEMS); IN THIS PARTNERSHIP, KCDC DONATED THE LABOR TIME OF A DEDICATED CHILD DEVELOPMENT SPECIALIST STATIONED AT NEMS SO THAT KIDS WITH DEVELOPMENTAL DISABILITIES COULD RECEIVE DEVELOPMENTAL SERVICES AT AN INTEGRATED MEDICAL HOME WHERE THEY ALSO RECEIVE PRIMARY CARE. THROUGH THIS PROGRAM IN 2015, NEARLY 3,000 KIDS UNDER AGE 11 WERE SCREENED, OF WHOM 14 PERCENT WERE AT MODERATE OR HIGH RISK FOR DEVELOPMENTAL AND SOCIAL/EMOTIONAL DELAYS. ALL WERE CONNECTED TO APPROPRIATE RESOURCES FOR EARLY INTERVENTION. BAYVIEW CHILD HEALTH CENTER (BCHC) OFFERS ROUTINE PREVENTATIVE AND URGENT PEDIATRIC CARE IN ONE OF SAN FRANCISCO'S MOST MEDICALLY UNDERSERVED NEIGHBORHOODS, AND ADDRESSES PREVALENT COMMUNITY HEALTH ISSUES SUCH AS WEIGHT CONTROL AND ASTHMA MANAGEMENT. THE CENTER IS PARTICULARLY ATTUNED TO THE IMPACT OF COMMUNITY VIOLENCE AND CHILDHOOD TRAUMA ON CHILDREN'S MENTAL AND PHYSICAL HEALTH. THE CLINIC ALSO OFFERS PSYCHOLOGICAL AND CASE MANAGEMENT SERVICES TO FAMILIES THROUGH A PARTNERSHIP WITH THE CENTER FOR YOUTH WELLNESS. DENTAL SERVICES ARE PROVIDED ON SITE THROUGH A PARTNERSHIP WITH THE NATIVE AMERICAN HEALTH CENTER. THE CLINIC IS A COLLABORATION BETWEEN CPMC, SUTTER PACIFIC MEDICAL FOUNDATION, AND CPMC FOUNDATION. IN 2015, THE CLINIC SERVED AN ESTIMATED 700 UNIQUE PATIENTS, WITH AN ESTIMATED 1,700 TOTAL PATIENT VISITS. CPMC AND ITS PARTNERS OPENED BCHC IN ORDER TO PROVIDE SUBSIDIZED PRIMARY CARE TO CHILDREN IN ONE OF THE MOST VULNERABLE, UNDERSERVED NEIGHBORHOODS IN SAN FRANCISCO. THROUGH SERVICES SUCH AS THESE, CPMC HAS CONTRIBUTED TO IMPROVED ACCESS TO CARE AS MEASURED BY A SHIFT IN THE NEEDS ASSESSMENT INDICATOR TRACKING THE NUMBER OF SAN FRANCISCANS WITH A USUAL SOURCE OF HEALTH CARE (FROM 86.8% IN 2009 TO 87.3% IN 2014) (WWW.SFHIP.ORG). BY ENSURING THAT SERVICES ARE CULTURALLY AND LINGUISTICALLY APPROPRIATE, CPMC HELPS TO BRIDGE GAPS IN ACCESSIBILITY DUE TO LANGUAGE AND CULTURAL BARRIERS FOR NON-NATIVE-ENGLISH SPEAKERS, AS MEASURED BY A SHIFT IN THE NEEDS ASSESSMENT INDICATOR MEASURING SAN FRANCISCOS PERCENTAGE OF ADULTS WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME WHO HAVE DIFFICULTY UNDERSTANDING THEIR DOCTORS (FROM 2.1% IN 2009 TO 1.7% IN 2011-2012) (WWW.SFHIP.ORG). THESE SERVICES ALSO COUNTER LIMITED ACCESS THAT MAY BE CAUSED BY PRIMARY CARE PROVIDERS BEING LESS LIKELY TO SERVE MEDI-CAL BENEFICIARIES DUE TO LOW GOVERNMENT REIMBURSEMENT RATES. CPMC'S AFRICAN AMERICAN BREAST HEALTH (AABH) AND SISTER TO SISTER PROGRAMS OFFER WOMEN MAMMOGRAPHY SCREENING AND ALL THE SUBSEQUENT BREAST HEALTH DIAGNOSTIC TESTING AND TREATMENT THEY MAY NEED AT NO COST. PARTNERSHIP ORGANIZATIONS, SUCH AS BAYVIEW HUNTERS POINT SENIOR CENTER, CALVARY HILL COMMUNITY CHURCH, GLIDE HEALTH SERVICES, SAN FRANCISCO FREE CLINIC, AND CLINIC BY THE BAY, REFER UNINSURED, UNDERINSURED, DISADVANTAGED AND AT-RISK WOMEN FOR MAMMOGRAPHY SERVICES. CPMC'S BREAST CENTER AT THE ST. LUKE'S CAMPUS PROMOTES BREAST HEALTH IN UNDERSERVED COMMUNITIES BY PARTNERING WITH NEIGHBORHOOD CLINICS AND COMMUNITY AGENCIES, INCLUDING SOUTHEAST HEALTH CENTER, MISSION NEIGHBORHOOD HEALTH CENTER, AND LATINA BREAST CANCER AGENCY. IN 2015, CPMCS AFRICAN AMERICAN AND SISTER TO SISTER BREAST HEALTH PROGRAMS PROVIDED 142 SCREENINGS, WITH 175 TOTAL PATIENT VISITS AND 11 FIRST-TIME MAMMOGRAMS. CPMCS GRANT TO LATINA BREAST CANCER AGENCY PROVIDED ASSISTANCE FOR LOW-INCOME PATIENTS TO RECEIVE 325 MAMMOGRAMS AT CPMCS ST. LUKES CAMPUS. CPMCS LATE-2014 GRANT TO SHANTI PROJECT'S MARGOT MURPHY BREAST CANCER PROGRAM HELPED TO PROVIDE CARE NAVIGATION SERVICES TO 417 SHANTI PATIENTS RECEIVING FREE BREAST CANCER TREATMENT, PRIORITIZING WOMEN WHO FACED PARTICULAR CHALLENGES IN COMPLETING TREATMENT DUE TO BEING LOW-INCOME, UNINSURED/UNDERINSURED, WITH LIMITED ENGLISH PROFICIENCY, AND/OR FROM IMMIGRANT POPULATIONS. IN ADDITION, 65 WELLNESS WORKSHOPS EMPOWERED CLIENTS WITH SELF-MANAGEMENT AND HEALTH PROMOTION RESOURCES. CPMC'S COMING HOME H
SCHEDULE H, PART VI, LINE 5 (CONTINUED)	PROMOTION OF COMMUNITY HEALTH (CONTINUED) NOVATO COMMUNITY HOSPITAL: THE 2013-2015 IMPLEMENTATION STRATEGY FOR NOVATO COMMUNITY HOSPITAL (NCH) DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: THE ROTOCARE CLINIC IS OPERATED BY LOCAL ROTARY CLUBS AND DEPENDS ON DONATIONS AND IN-KIND SERVICES FROM HEALTH CARE PROVIDERS TO OFFER CARE TO UNINSURED AND UNDOCUMENTED INDIVIDUALS PRIMARILY MALES AGES 22 TO 44. NCH PROVIDES A CASH GRANT AND FREE OUTPATIENT LABORATORY EXAMS FOR THE CLINICS PATIENTS. IN 2015, NCH PROVIDED FREE OUTPATIENT LABORATORY SERVICES FOR APPROXIMATELY 200 ROTACARE PATIENTS AT A COST TO THE HOSPITAL OF AN ESTIMATED $100,000. HOMEWARD BOUND OF MARIN PROVIDES SERVICES TO THE COUNTYS HOMELESS POPULATION, INCLUDING THE TRANSITION TO WELLNESS PROGRAM PROVIDING BEDS FOR HOMELESS PATIENTS DISCHARGED FROM THE THREE MARIN ACUTE CARE HOSPITALS WHO NEED TEMPORARY CARE. NCH PROVIDES AN ANNUAL GRANT TO SUPPORT THIS PROGRAM. IN FY 2014-2015 HOMEWARD BOUND TRANSITION TO WELLNESS ADMITTED 6 OF 12 NCH REFERRALS TO THE PROGRAM, RESULTING IN SAVING 24 HOSPITAL DAYS FOR A COST OF $15,500 OR APPROXIMATELY $625 PER DAY COMPARED TO 24 HOSPITAL DAYS AT $3,000= $72,000. UPON DISCHARGE FROM TRANSITION TO WELLNESS, THESE PATIENTS ENTERED THE HOMEWARD BOUND SHELTER, TRAINING PROGRAM, TEMPORARY RESIDENCES AND ULTIMATELY TO INDEPENDENT LIVING. NCH SUPPORTS WHISTLESTOP, A COMMUNITY-BASED ORGANIZATION THAT PROVIDES SERVICES TO SENIORS AND DISABLED ADULTS IN THE COUNTY THROUGH A PROGRAM CALLED HEALTH EXPRESS. IN 2015, 103 RIDES TO MEDICAL APPOINTMENTS WERE PROVIDED TO LOW INCOME SENIORS AND DISABLED PERSONS. NCH PROVIDES A GRANT TO NOVATO UNIFIED SCHOOL DISTRICT TO COVER THE COST OF MEDICAL CARE FOR UNDERSERVED STUDENTS. IN 2015, 35 STUDENTS RECEIVED ONE-ON-ONE NURSING CARE FOR ACUTE CONDITIONS SUCH AS TYPE 1 DIABETES AND SPINA BIFIDA. THE ANNUAL INFLUENZA SEASON FROM OCTOBER THROUGH MARCH AFFECTS ALL MEMBERS OF THE COMMUNITY AND IT IS IN THE BEST INTEREST OF PUBLIC HEALTH TO IMMUNIZE AS MANY INDIVIDUALS AS POSSIBLE. NCH HOSTS FREE IMMUNIZATION CLINICS FOR THE COMMUNITY AND IN 2015, 180 VACCINES WERE ADMINISTERED. OPERATION ACCESS IS A NON-PROFIT ORGANIZATION THAT RECRUITS PHYSICIAN VOLUNTEERS AND HOSPITALS TO PROVIDE AMBULATORY SURGERIES FOR INDIVIDUALS WHO REQUIRE PROCEDURES NOT COVERED BY INSURANCE. NCH PROVIDES OPERATING ROOM PROCEDURES AND RADIOLOGY SERVICES, AND SPECIALIST EVALUATIONS IN 2015, 11 OR PROCEDURES, 2 MINOR AND RADIOLOGY SERVICES AND 8 SPECIALIST EVALUATIONS WERE PROVIDED FREE OF CHARGE. A LEADING CAUSE OF STROKE IS AN UNHEALTHY LIFESTYLE AND IN RESPONSE TO THIS HEALTH NEED, NCH PROVIDES A FREE EDUCATION PROGRAM TAUGHT BY A REGISTERED NURSE FOR THE COMMUNITY. CLASSES ARE HELD AT SENIOR CENTERS AND OTHER COMMUNITY GATHERING PLACES. THE CLASSES DISCUSS HOW UNHEALTHY EATING AND LACK OF EXERCISE CAN LEAD TO HIGH BLOOD PRESSURE, DIABETES, HEART DISEASE AND STROKE. PARTICIPANTS RECEIVE SAMPLE DIETS, EXERCISES, AND LEARN HOW TO RECOGNIZE THE SYMPTOMS OF A STROKE. 1040 PEOPLE RECEIVED INFORMATION FROM AN RN ABOUT STROKE PREVENTION IN 2015. NCH SUBSIDIZES THE KALMANOVITZ CHILD DEVELOPMENT CENTER IN MARIN COUNTY TO SERVE INFANTS THROUGH ADOLESCENTS AND THEIR FAMILIES WITH MENTAL HEALTH COUNSELING, SPEECH THERAPY, DEVELOPMENTAL AND EDUCATIONAL ASSESSMENT AND TREATMENT ON A SLIDING FEE SCALE. IN 2015, 449 CHILDREN AGES 1 THROUGH 21 RECEIVED EDUCATIONAL EVALUATIONS, PSYCHIATRIC COUNSELING, OCCUPATIONAL AND PHYSICAL THERAPY AT THE CLINIC. SUTTER LAKESIDE HOSPITAL: THE 2013-2015 IMPLEMENTATION STRATEGY FOR SUTTER LAKESIDE HOSPITAL (SLH) DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: SLH PROVIDES A FOOD BANK DONATION SITE LOCATED IN THE HOSPITAL'S FRONT LOBBY. COLLECTIONS ARE DELIVERED TO LOCAL FOOD BANK. 1030 POUNDS OF FOOD WAS DONATED IN 2015. SLH HAS A STROKE SUPPORT GROUP THAT HELPS IMPROVE THE EMOTIONAL HEALTH AND WELL-BEING OF STROKE PATIENTS. IN 2015, SLH HOSTED MONTHLY CHRONIC ILLNESS & STROKE SUPPORT GROUP MEETINGS THAT ENGAGED MEMBERS OF THE LAKE COUNTY COMMUNITY. THE GROUPS RANGED BETWEEN 1-9 MEMBERS. THE GROUP ALLOWS STROKE SURVIVORS AND THEIR FAMILIES TO NETWORK WITH OTHER INDIVIDUALS IN THE COMMUNITY AND BUILD UPON SHARED EXPERIENCES, DISCUSS DIFFICULTIES AND PROBLEM-SOLVE AS WELL AS REDUCE EMOTIONAL STRESS. PATIENTS ATTENDED THE GROUP 45 TIMES IN 2015. SLH MATCHES SUTTER HEALTHS ANNUAL DONATION TO OUR LOCAL FOOD BANK, AND DONATES MONEY AND MEAT TO FEED THE NEEDY. THE FOOD BANK DONATION EXPANDED THE CAPACITY OF LOCAL FOOD BANKS TO SERVE HUNGRY FAMILIES. BECAUSE OF SLHS DONATION, THE TASK FORCE FED 45 NEEDY FAMILIES. SLHS PHYSICAL THERAPY DEPARTMENT PROVICES A FREE ARTHRITIS FOUNDATION SPONSORED EXERCISE CLASS TO IMPROVE MOBILITY AND FUNCTION. IN 2015, 100 PERSONS PARTICIPATED IN THE PROGRAM. SUTTER SANTA ROSA REGIONAL HOSPITAL: THE 2013-2015 IMPLEMENTATION STRATEGY FOR SUTTER SANTA ROSA REGIONAL HOSPITAL DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: A SURVEY OF THE PATIENTS AT VISTA CLINIC, THE LOCAL COMMUNITY HEALTH CENTER, REVEALED THAT MORE THAN 60% OF THEIR PATIENTS EXPERIENCE REGULAR FOOD INSECURITY AND OFTEN NEED TO MAKE UNHEALTHY FOOD CHOICES BASED ON AFFORDABILITY, OR DON'T EAT AT ALL. IN RESPONSE TO THIS HEALTH NEED, SUTTER SANTA ROSA REGIONAL HOSPITAL ENTERED INTO A PARTNERSHIP WITH THE REDWOOD EMPIRE FOOD BANK TO BE A FOOD DROP-OFF LOCATION. EACH MONDAY, PATIENTS OF THE VISTA CLINIC ARE INVITED TO COME AND PICK UP ONE BOX OF HEALTHY, FRESH FOOD FOR THEIR FAMILIES. PATIENTS ARE ALSO EDUCATED ABOUT OTHER FOOD PROGRAMS AND FOOD STAMP EXCHANGES AT FARMERS MARKETS. IN 2015, 120 FAMILIES RECEIVE ANYWHERE FROM 2000-4000 LBS OF HEALTHY FOOD. SUTTER SANTA ROSA REGIONAL HOSPITAL SPONSORS A THREE-YEAR TRAINING PROGRAM FOR MEDICAL SCHOOL GRADUATES DESIRING TO BE PRIMARY CARE DOCTORS. THE TRAINING IS PROVIDED BY SUTTER PHYSICIANS WHO ARE ALSO ADJUNCT PROFESSORS WITH OUR PARTNER, THE UCSF MEDICAL SCHOOL. RESIDENTS ARE TRAINED IN THE HOSPITAL AND IN THE CLINIC SETTING BY CARING FOR PATIENTS UNDER THE CLINICAL SUPERVISION OF FACULTY. SUTTER HAS BEEN SPONSORING THE PROGRAM SINCE 1996, BUT IT HAS EXISTED IN OUR COMMUNITY FOR MORE THAN 40 YEARS. FUELING THE PRIMARY CARE PIPELINE IN SONOMA COUNTY IS VITAL TO THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THE COST OF LIVING IS QUITE HIGH AND WITHOUT THIS PROGRAM, IT WOULD BE VERY DIFFICULT TO RECRUIT FAMILY PHYSICIANS TO THE AREA. THE IMPACT OF THE SANTA ROSA FAMILY MEDICINE PROGRAM CAN BE MEASURED IN MANY WAYS. IN TERMS OF INCREASING ACCESS TO PRIMARY CARE IN OUR COMMUNITY, THE TWO BIGGEST WAYS OF MEASURING IMPACT ARE IN THE NUMBERS OF PATIENTS SEEN BY THE RESIDENTS (PRIMARILY LOW-INCOME) AND IN THE NUMBER OF GRADUATES WHO STAY AND PRACTICE IN SONOMA COUNTY FOLLOWING GRADUATION. IN 2015, 4 OUT OF 12 GRADUATES ARE PRACTICING IN SONOMA COUNTY. ADDITIONALLY, 5 OUT OF 12 GRADUATES ARE PRACTICING EXCLUSIVELY AT LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHC). THE SANTA ROSA FAMILY MEDICINE RESIDENCY PROGRAM PARTNERS WITH REDWOOD COALITION FOR HEALTH CARE, TO STAFF THEIR SANTA ROSA COMMUNITY HEALTH CENTER VISTA CLINIC WITH 36 FAMILY MEDICINE RESIDENTS, SUPERVISED BY FACULTY PHYSICIANS. THIS PARTNERSHIP ESSENTIALLY OFFERS FREE PHYSICIAN STAFFING TO A CLINIC THAT WOULD OTHERWISE HAVE TO HIRE STAFF PHYSICIANS, PROVIDING A SIGNIFICANTLY INCREASED CAPACITY THAT THE CLINIC WOULD NOT BE ABLE TO SUSTAIN ON ITS OWN. 24,763 PATIENT VISITS OCCURRED IN 2015 THROUGH THIS PARTNERSHIP, INCLUDING AN APPROXIMATE $1.6 MILLION SAVING TO THE FQHC IN PHYSICIAN SALARIES. THE HOMELESS YOUTH MOBILE VAN IS A PARTNERSHIP BETWEEN THE SANTA ROSA FAMILY MEDICINE RESIDENCY, SANTA ROSA COMMUNITY HEALTH CENTERS AND SOCIAL ADVOCATES FOR YOUTH (SAY). ONCE PER MONTH, TWO TO THREE RESIDENT PHYSICIANS, A VOLUNTEER COMMUNITY PRECEPTOR, A MEDICAL ASSISTANT AND AN HIV TESTING AND OUTREACH WORKER GO TO THE SHELTER RUN BY SAY IN A VAN EQUIPPED WITH TWO TREATMENT ROOMS AND MEDICAL SUPPLIES. WE OFFER BASIC URGENT CARE SERVICES, SUCH AS TREATMENT OF SKIN INFECTIONS AND RASHES, ASSESSMENTS OF WOUNDS AND ABRASIONS, GENERAL HEALTH SCREENING, HIV TESTING, REFERRALS FOR FULL STD TESTING, FAMILY PLANNING SERVICES, TESTING AND TREATMENT OF URINARY TRACT INFECTIONS, SCREENING FOR DIABETES, ETC. WHEN WE CANNOT TREAT PATIENTS AT THE VAN WE REFER THEM TO BROOKWOOD HEALTH CENTER FOR MORE COMPREHENSIVE CARE. WE ALSO OFFER INITIAL MENTAL HEALTH CONSULTATIONS AND HAVE EVEN SEEN PATIENTS FOR PRENATAL AND POSTPARTUM VISITS. IN ADDITION TO THESE SERVICES, WE SPEND TIME HAN
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: THE ORGANIZATION IS AFFILIATED WITH SUTTER HEALTH, A NOT-FOR-PROFIT NETWORK OF HOSPITALS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS WHO CARE FOR PEOPLE WHO LIVE IN MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, WE'RE CREATING A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. THE HOSPITAL'S MISSION IS TO ENHANCE THE WELL-BEING OF THE PEOPLE IN OUR COMMUNITIES THROUGH COMPASSION, EXCELLENCE AND INNOVATION IN HEALTH CARE SERVICES, RESEARCH AND EDUCATION. OVER THE PAST FIVE YEARS, SUTTER HEALTH HAS COMMITTED NEARLY $4 BILLION TO CARE FOR PATIENTS WHO COULDN'T AFFORD TO PAY, AND TO SUPPORT PROGRAMS THAT IMPROVE COMMUNITY HEALTH. OUR 2015 COMMITMENT OF $843 MILLION INCLUDES UNREIMBURSED COSTS OF PROVIDING CARE TO MEDI-CAL PATIENTS, TRADITIONAL CHARITY CARE AND INVESTMENTS IN HEALTH EDUCATION AND PUBLIC BENEFIT PROGRAMS. FOR EXAMPLE: - TO PROVIDE CARE TO MEDI-CAL PATIENTS IN 2015, SUTTER HEALTH INVESTED $712 MILLION MORE THAN THE STATE PAID. SUTTER HEALTH HOSPITALS PROUDLY SERVE MORE MEDI-CAL PATIENTS IN OUR NORTHERN CALIFORNIA SERVICE AREA THAN ANY OTHER HEALTH CARE PROVIDER. - IN 2015, SUTTER HEALTH'S COMMITMENT TO DELIVERING CHARITY CARE TO PATIENTS WAS $52 MILLION. - THROUGHOUT OUR HEALTH CARE SYSTEM, WE PARTNER WITH AND SUPPORT COMMUNITY HEALTH CENTERS TO ENSURE THAT THOSE IN NEED HAVE ACCESS TO PRIMARY AND SPECIALTY CARE. WE ALSO SUPPORT CHILDREN'S HEALTH CENTERS, FOOD BANKS, YOUTH EDUCATION, JOB TRAINING PROGRAMS AND SERVICES THAT PROVIDE COUNSELING TO DOMESTIC VIOLENCE VICTIMS. EVERY THREE YEARS, SUTTER HEALTH HOSPITALS PARTICIPATE IN A COMPREHENSIVE AND COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IDENTIFIES LOCAL HEALTH CARE PRIORITIES AND GUIDES OUR COMMUNITY BENEFIT STRATEGIES. THE ASSESSMENTS HELP ENSURE THAT WE INVEST OUR COMMUNITY BENEFIT DOLLARS IN A WAY THAT TARGETS AND ADDRESSES REAL COMMUNITY NEEDS.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (49 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
SAN FRANCISCO GENERAL HOSPITAL FOUNDATION
2789 25TH ST STE 2028	SAN FRANCISCO	CA	94110	943189424	501(C)(3)	$2,005,000	GENERAL SUPPORT
PATIENT ASSISTANCE FOUNDATION
2100 WEBSTER ST 100	SAN FRANCISCO	CA	94115	942944137	501(C)(3)	$507,995	GENERAL SUPPORT
HEALTHRIGHT360
1735 MISSION ST STE 2001	SAN FRANCISCO	CA	94103	946129071	501(C)(3)	$250,000	GENERAL SUPPORT
SAN FRANCISCO MEDICAL CENTER
229 7TH ST	SAN FRANCISCO	CA	94103	237304921	501(C)(3)	$250,000	GENERAL SUPPORT
NORTH EAST MEDICAL SERVICES
1520 STOCKTON ST	SAN FRANCISCO	CA	94133	941722562	501(C)(3)	$205,000	GENERAL SUPPORT
CENTER FOR YOUTH WELLNESS
3450 THIRD ST STE 2A	SAN FRANCISCO	CA	94124	452527627	501(C)(3)	$200,000	GENERAL SUPPORT
REGENTS OF THE UNIV OF CA UC BERKELEY CPHP
50 UNIVERSITY HALL MC7360	BERKELEY	CA	94720	946002123	GOVERNMENT	$169,936	GENERAL SUPPORT
NORTHERN CALIFORNIA CENTER FOR WELL BEING
101 BROOKWOOD AVE STE A	SANTA ROSA	CA	95404	931144835	501(C)(3)	$152,609	GENERAL SUPPORT
MISSION NEIGHBORHOOD CENTER
240 SHOTWELL ST	SAN FRANCISCO	CA	94110	941408150	501(C)(3)	$50,000	GENERAL SUPPORT
MARCH OF DIMES FULFILLMENT CENTER
PO BOX 1657	WILKESBARRE	PA	18703	131846366	501(C)(3)	$37,500	GENERAL SUPPORT
SAN FRANCISCO CHILD ABUSE PREVENTION CENTER
1757 WALLER ST	SAN FRANCISCO	CA	94117	942455072	501(C)(3)	$30,000	GENERAL SUPPORT
TIDES CENTER BODY POSITIVE
2417 PROSPECT ST STE A	BERKELEY	CA	94704	943213100	501(C)(3)	$28,000	GENERAL SUPPORT
COMPASS FAMILY SERVICES
49 POWELL ST 3RD FL	SAN FRANCISCO	CA	94102	941156622	501(C)(3)	$27,500	GENERAL SUPPORT
GRANT FOUNDATION
2840 LIBERTY AVE STE	PITTSBURGH	PA	15222	251017587	501(C)(3)	$25,987	GENERAL SUPPORT
AMBULATORY SURGERY ACCESS COALITION
1119 MARKET ST STE 400	SAN FRANCISCO	CA	94103	943180356	501(C)(3)	$25,000	GENERAL SUPPORT
APA FAMILY SUPPORT SERVICES
10 NOTTINGHAM PL	SAN FRANCISCO	CA	94133	943164091	501(C)(3)	$25,000	GENERAL SUPPORT
ASIAN AND PACIFIC ISLANDER WELLNESS CENTER
730 POLK ST 4TH FLR	SAN FRANCISCO	CA	94109	943096109	501(C)(3)	$25,000	GENERAL SUPPORT
COMMUNITY CENTER PROJECT OF SF
1800 MARKET ST	SAN FRANCISCO	CA	94102	943236718	501(C)(3)	$25,000	GENERAL SUPPORT
KIMOCHI INC
1715 BUCHANAN ST	SAN FRANCISCO	CA	94115	237117402	501(C)(3)	$25,000	GENERAL SUPPORT
LATINA BREAST CANCER AGENCY
4271 MISSION ST 2ND FLR	SAN FRANCISCO	CA	94112	010628124	501(C)(3)	$25,000	GENERAL SUPPORT
MAITRI COMPASSIONATE CARE
401 DUBOCE AVE	SAN FRANCISCO	CA	94117	943189198	501(C)(3)	$25,000	GENERAL SUPPORT
SAN FRANCISCO COMMUNITY CLINIC CORP
1550 BRYANT ST STE 450	SAN FRANCISCO	CA	94103	942897258	501(C)(3)	$24,400	GENERAL SUPPORT
CURRY SENIOR CENTER
333 TURK ST	SAN FRANCISCO	CA	94102	237362588	501(C)(3)	$20,000	GENERAL SUPPORT
LARKIN STREET YOUTH SERVICES
134 GOLDEN GATE AVE	SAN FRANCISCO	CA	94102	942917999	501(C)(3)	$20,000	GENERAL SUPPORT
YEAR UP INC
93 SUMMER ST	BOSTON	MA	02110	043534407	501(C)(3)	$19,953	GENERAL SUPPORT
SAN FRANCISCO HEARING SPEECH
1234 DIVISADERO ST	SAN FRANCISCO	CA	94115	941322198	501(C)(3)	$18,373	GENERAL SUPPORT
LUTHER BURBANK MEMORIAL FOUNDATION
50 MARK W SPRINGS RD	SANTA ROSA	CA	95403	942581084	501(C)(3)	$18,162	GENERAL SUPPORT
SAN FRANCISCO FOOD BANK
900 PENNSYLVANIA AVE	SAN FRANCISCO	CA	94107	943041517	501(C)(3)	$17,500	GENERAL SUPPORT
SAN FRANCISCO PLANNING & URBAN RSRCH ASSOC
654 MISSION ST	SAN FRANCISCO	CA	94105	941498232	501(C)(3)	$16,000	GENERAL SUPPORT
HOMEWARD BOUND OF MARIN
1385 NO HAMILTON PKWY	NOVATO	CA	94949	680011405	501(C)(3)	$15,385	GENERAL SUPPORT
EPISCOPAL COMMUNITY SERVICES
165 8TH ST 3RD FL	SAN FRANCISCO	CA	94103	943096716	501(C)(3)	$15,000	GENERAL SUPPORT
FRIENDS OF STAFFORD LAKE BIKE PARK
PO BOX 875	KENTFIELD	CA	94914	463245759	501(C)(3)	$15,000	GENERAL SUPPORT
GLIDE FOUNDATION
330 ELLIS ST	SAN FRANCISCO	CA	94102	941156481	501(C)(3)	$15,000	GENERAL SUPPORT
INSTITUTE ON AGING
3575 GEARY BLVD	SAN FRANCISCO	CA	94118	942978977	501(C)(3)	$15,000	GENERAL SUPPORT
MARIN COMMUNITY FOUNDATION
DBA CHILDRENS HLTH INITIATIVE 10 NO	SAN RAFAEL	CA	94903	943007979	501(C)(3)	$12,500	GENERAL SUPPORT
ON LOK INC SENIOR HEALTH SERVICES
1333 BUSH ST	SAN FRANCISCO	CA	94109	943101464	501(C)(3)	$11,000	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
426 17TH ST STE 300	OAKLAND	CA	94612	135613797	501(C)(3)	$11,000	GENERAL SUPPORT
CONARD HOUSE INC
1385 MISSION ST STE 200	SAN FRANCISCO	CA	94103	941489356	501(C)(3)	$10,000	GENERAL SUPPORT
JEWISH VOCATIONAL AND CAREER COUNSELING SVS
17 GEARY ST STE 401	SAN FRANCISCO	CA	94108	942213100	501(C)(3)	$10,000	GENERAL SUPPORT
MARIN COMMUNITY CLINIC
PO BOX 1868	NOVATO	CA	94948	942237120	501(C)(3)	$10,000	GENERAL SUPPORT
HUCKLEBERRY YOUTH PROGRAMS INC
3310 GEARY BLVD	SAN FRANCISCO	CA	94118	941687559	501(C)(3)	$8,800	GENERAL SUPPORT
COMMUNITY ACTION PARTNERSHIP OF SONOMA CTY
1300 NO DUTTON AVE	SANTA ROSA	CA	95401	941648949	501(C)(3)	$8,640	GENERAL SUPPORT
GREATER BAY AREA MAKE A WISH FOUNDATION INC
55 HAWTHORNE ST STE 800	SAN FRANCISCO	CA	94105	942958481	501(C)(3)	$7,500	GENERAL SUPPORT
GUM MOON RESIDENCE HALL
940 WASHINGTON ST	SAN FRANCISCO	CA	94108	941156357	501(C)(3)	$7,500	GENERAL SUPPORT
MISSION HIRING HALL INC
1048 FOLSOM ST	SAN FRANCISCO	CA	94103	941750329	501(C)(3)	$7,500	GENERAL SUPPORT
MARIN SENIOR COORDINATING COUNCIL INC
930 TAMALPAIS AVE	SAN RAFAEL	CA	94901	941422463	501(C)(3)	$6,338	GENERAL SUPPORT
YOUNG MENS CHRISTIAN ASSN OF RICHMOND DISTR
360 18TH AVE	SAN FRANCISCO	CA	94121	940997140	501(C)(3)	$6,250	GENERAL SUPPORT
MERITUS COLLEGE FUND
PO BOX 29024	SAN FRANCISCO	CA	94129	943257076	501(C)(3)	$5,625	GENERAL SUPPORT
LAKE COUNTY HUNGER TASK FORCE
PO BOX 1463	KELSEYVILLE	CA	95451	320400955	501(C)(3)	$5,050	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	49	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL COHILL PT-YR
REG PRES, WEST BAY (PT YR)	$0	$730,128	$0	$1,294,826	$0	$191,091	$0	$323,092	$0	$24,450	$0	$2,563,587	$0	$555,196
JEFF GERARD
PRESIDENT, SH BAY AREA	$0	$763,104	$0	$627,231	$0	$113,133	$0	$394,192	$0	$20,626	$0	$1,918,286	$0	$406,467
SARAH KREVANS
PRES & COO SH, ASST SEC. SWBH	$0	$1,045,572	$0	$888,993	$0	$143,129	$0	$470,092	$0	$26,048	$0	$2,573,834	$0	$559,293
MICHAEL DUNCHEON
VP, REG COUNSEL WB (PART YEAR)	$0	$374,593	$0	$237,367	$0	$34,845	$0	$94,842	$0	$13,387	$0	$755,034	$0	$109,244
JOHN GATES
CFO SUTTER HEALTH BAY AREA	$0	$633,354	$0	$285,096	$0	$49,516	$0	$163,042	$0	$20,100	$0	$1,151,108	$0	$135,078
KAREN HALL PT-YR
CHIEF LEGAL OFFICER, BAY AREA	$0	$357,431	$0	$206,850	$0	$24,477	$0	$99,242	$0	$17,185	$0	$705,185	$0	$107,824
WARREN BROWNER MD
CEO, SAN FRANCISCO HOSPITALS	$0	$577,330	$0	$384,556	$0	$76,588	$0	$194,692	$0	$19,010	$0	$1,252,176	$0	$185,528
GRANT DAVIES
EXECUTIVE VP WEST BAY	$0	$599,540	$0	$438,655	$0	$87,177	$0	$193,992	$0	$22,481	$0	$1,341,845	$0	$281,949
ANNE BARR
REGIONAL CIO, WEST BAY	$0	$334,372	$0	$199,851	$0	$704	$0	$87,742	$0	$16,805	$0	$639,474	$0	$91,701
HON-WAI LAM
REGIONAL VP & CMO, WEST BAY	$0	$473,272	$0	$242,494	$0	$38,896	$0	$113,992	$0	$8,963	$0	$877,617	$0	$109,244
MICHAEL L PURVIS
CAO, SMCSR	$0	$349,374	$0	$223,703	$0	$38,636	$0	$104,442	$0	$15,100	$0	$731,255	$0	$140,450
CHRISTOPHER WILLRICH
REG VP, STRATEGY WEST BAY	$0	$148,939	$0	$206,683	$0	$319,770	$0	$56,457	$0	$7,758	$0	$739,607	$0	$105,617
MARTIN BROTMAN MD
SVP SH (FORMER OFFICER)	$0	$14,892	$0	$440,765	$0	$1,543,273	$0	$57,487	$0	$1,299	$0	$2,057,716	$0	$475,122
PAT FRY
PRES & CEO, SH (FRMR OFFICER)	$0	$1,562,833	$0	$1,913,420	$0	$365,492	$0	$3,592,743	$0	$35,166	$0	$7,469,654	$0	$1,281,022
MAYNARD JENKINS
VP, HR BAY AREA	$0	$350,068	$0	$177,062	$0	$14,924	$0	$79,692	$0	$12,285	$0	$634,031	$0	$78,012

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	RELEVANT INFORMATION REGARDING COMPENSATION ITEMS: TAX INDEMNIFICATION: STANDARD POLICY FOR ALL SUTTER HEALTH EMPLOYEES IS THAT NON-CASH GIFTS AND AWARDS ARE GROSSED-UP FOR TAX PURPOSES. THE AMOUNT OF THE GROSS-UP IS ADDED TO THE EMPLOYEE'S WAGES AND TAXED ACCORDINGLY.
SCHEDULE J, PART I, LINE 3	SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF 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: CHRISTOPHER WILLRICH - $51,099 MARTIN BROTMAN - $405,115
SCHEDULE J, PART I, LINE 7	NON-FIXED PAYMENTS: SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% TO 10% OF GROSS ANNUAL SALARY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD UP TO 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTERS LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTHS OVERALL MISSION, VISION, AND VALUES, SUTTERS LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CHFFA 2007A
A	521643828	13033FQ37	2007-05-01	$790,998,316	Construct & Equip Facility	false	false	false
CHFFA 2008A
B	521643828	13033FEL3	2008-05-14	$329,041,638	Refunding 5/1/07, 04 & 02	false	false	false
CHFFA 2011D
C	521643828	13033LVW4	2011-12-22	$331,759,643	Construct & Refunding	false	false	false
CHFFA 2013A
D	521643828	13033LW52	2013-04-24	$187,683,000	Construct & Equip Facility	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$858,694,930	$0	$55,398,317	$0	$0	$0	$0	$783,091,871	$20,204,742	$0	2011	false	false	Yes (true)	Yes (true)
B	$104,255,000	$0	$329,041,638	$0	$0	$0	$0	$0	$0	$0	$329,041,638	$0		Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$334,684,174	$0	$0	$65,070,000	$0	$0	$0	$145,589,174	$124,025,000	$0	2014	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$496,712,142	$0	$0	$0	$0	$0	$0	$473,882,520	$0	$22,829,622	2014	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00480	0.00000	0.00480	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.01010	0.00060	0.01070	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0			false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00250	0.00000	0.00250	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
0
A	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	false	false	0	false	Yes (true)	Yes (true)	false	false
0
C	false	false	false	false	0	false	Yes (true)	Yes (true)	false	false
0
D	false	false	false	false	0	false	Yes (true)	Yes (true)	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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: $151,538,114 FROM THE 2007A ISSUE, $55,943,275 FROM THE 2008A ISSUE, $47,569,739 FROM THE 2011D ISSUE AND $187,683,000 FROM THE 2013A ISSUE. SCHEDULE K, PART I, LINE B, 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 ISSUE. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1996 THAT WERE USED TO REFUND BONDS ISSUED IN 1985, 1989, 1990, AND 1991. SCHEDULE K, PART II, LINE 7: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ANDREE S HEST
SEE PART V	$212,564	SEE PART V	false
ANTHONY WAGNER
SEE PART V	$74,634	SEE PART V	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: DEBORAH WYATT, TRUSTEE, AND ANTHONY WAGNER, TRUSTEE, OF SUTTER WEST BAY HOSPITALS (SWBH) EACH HAVE A FAMILY MEMBER WHO WORKS FOR SWBH.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$8,458	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp

Real Estate Other RealEstateOtherGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$50,000	NoncashContributionsRptF990Amt

Field	Value	IRS element (for citing)
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	SF 49ER TICKETS	1	$812	FMV
Yes (X)	GIFT CERTIFICATE	1	$500	FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1	MISSION STATEMENT: WE ENHANCE THE WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO COMPASSION, EXCELLENCE, INNOVATION AND A FULL CONTINUUM OF HEALTH CARE SERVICES.
FORM 990, PART III, LINE 4A	EXEMPT PURPOSE ACHIEVEMENTS: GENERAL DESCRIPTION SUTTER WEST BAY HOSPITALS WAS FORMED IN JANUARY 1, 2010. IT CONSISTS OF FOUR HOSPITALS: CALIFORNIA PACIFIC MEDICAL CENTER, NOVATO COMMUNITY HOSPITAL, SUTTER SANTA ROSA REGIONAL HOSPITAL, AND SUTTER LAKESIDE HOSPITAL. THERE WERE A TOTAL OF 225,007 PATIENT DAYS FOR 2015. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) IS ONE OF THE LARGEST PRIVATE, COMMUNITY BASED, NOT-FOR-PROFIT, TEACHING MEDICAL CENTERS IN CALIFORNIA. CPMC IS A TERTIARY REFERRAL CENTER PROVIDING ACCESS TO LEADING EDGE MEDICINE WHILE DELIVERING THE BEST POSSIBLE PERSONALIZED CARE. IT PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; HOSPICE SERVICES; PREVENTIVE AND COMPLEMENTARY CARE; AND HEALTH EDUCATION. CPMC COMPRISES OF FOUR OF THE OLDEST HOSPITALS IN SAN FRANCISCO. THE DAVIES CAMPUS, FORMERLY DAVIES MEDICAL CENTER, WAS FOUNDED IN 1854 TO HELP SAN FRANCISCOS GERMAN-SPEAKING IMMIGRANTS FIND WORK, SHELTER, FOOD, CLOTHING AND HEALTH CARE. THE PACIFIC CAMPUS WAS FOUNDED IN 1857 AND WAS THE FIRST MEDICAL SCHOOL IN THE AMERICAN WEST. THE CALIFORNIA CAMPUS WAS FOUNDED IN 1875 AS THE PACIFIC DISPENSARY FOR WOMEN AND CHILDREN, A HOSPITAL RUN BY WOMEN, FOR WOMEN. FINALLY, THE ST. LUKE'S CAMPUS FORMED IN THE 1870S HAS BEEN PROVIDING QUALITY HEALTH SERVICES TO ALL SAN FRANCISCANS FOR OVER 140 YEARS. TOGETHER THE DAVIES, CALIFORNIA, PACIFIC AND ST. LUKES CAMPUSES COMPRISE CPMCS 1,154 LICENSED BEDS. NOVATO COMMUNITY HOSPITAL (NOVATO) HAS SERVED THE NORTHERN MARIN AND SOUTHERN SONOMA COMMUNITIES SINCE 1961. IN 1985, THE HOSPITAL BECAME A SUTTER HEALTH AFFILIATE. THE NOVATO FACILITY IS A 47-BED ACUTE CARE HOSPITAL LOCATED AT 180 ROWLAND WAY AND IS NOTED FOR ITS ORTHOPEDIC SURGERY PROGRAM. SUTTER SANTA ROSA REGIONAL HOSPITAL (SSRRH), FORMERLY SUTTER MEDICAL CENTER SANTA ROSA, HAS A LONG HISTORY IN SONOMA COUNTY DATING BACK TO 1866 WHEN THE FIRST HOSPITAL OPENED. IN 1996, SSRRH BECAME AN AFFILIATE OF SUTTER HEALTH. A NEW STATE-OF-THE ART MEDICAL FACILITY OPENED WITH A NEW NAME IN OCTOBER 2014 WITH A FULL RANGE OF FIVE-STAR PERSONALIZED CARE SERVICES. THE HOSPITAL WAS RELOCATED TO 30 MARK WEST SPRINGS ROAD, SANTA ROSA, CA. SUTTER LAKESIDE HOSPITAL (LAKESIDE) IS A 25-BED CRITICAL ACCESS HOSPITAL AND IS ONE OF ONLY TWO HOSPITALS THAT SERVE THE 64,000 RESIDENTS OF LAKE COUNTY. IN 1992, THE HOSPITAL AFFILIATED WITH SUTTER HEALTH. SUTTER LAKESIDE PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; SURGICAL SERVICES; FAMILY BIRTH SERVICES; PREVENTIVE CARE; PRIMARY CARE THROUGH OUR CLINICS AND HEALTH EDUCATION. SWBH CARED FOR NEARLY 661 ADULT & PEDIATRIC INPATIENTS A DAY; ITS SEVEN EMERGENCY ROOMS ATTRACTED 405 VISITS A DAY; AND AT LEAST 73 SURGERIES A DAY WERE PERFORMED IN ITS FACILITIES. SEE ADDITIONAL DETAIL BELOW ON PATIENT ACTIVITY BY LOCATION. SWBH 2015 PATIENT ACTIVITY TOTAL ER VISITS 147,828 ACUTE DISCHARGES (INCL. PSYCH, REHAB) 38,229 SNF/ALZHEIMER/SUB ACUTE DISCHARGES 1,096 TOTAL DISCHARGES 39,235 DELIVERIES 7,568 TRANSPLANTS 305 SWBH CLINICAL PROGRAMS INCLUDE: - ASTHMA EDUCATION PROGRAM - BREAST FEEDING CENTERS - BREAST HEALTH CENTERS - CALIFORNIA PACIFIC MEDICAL CENTER RESEARCH INSTITUTE - CANCER RECOVERY PROGRAMS - COMING HOME HOSPICE - COMMUNITY BENEFITS PROGRAMS (DETAILED BELOW) - COMMUNITY HEALTH RESOURCE CENTER - COMPREHENSIVE STROKE CENTER - DIABETES EDUCATION PROGRAM - END-STAGE ORGAN FAILURE/TRANSPLANTATION PROGRAMS (HEART, KIDNEY, LIVER, PANCREAS) - FORBES NORRIS MDA/ALDS CENTER - HAND CLINIC - HOSPITALIST PROGRAM - INSTITUTE FOR HEALTH AND HEALING - IRENE SWINDELLS ALZHEIMER'S RESIDENTIAL CARE CENTER - LIONS EYE CLINIC - LOW VISION REHABILITATION CENTER - MUSCULAR DYSTROPHY ASSOCIATION NEUROMUSCULAR CLINIC - PACIFIC VISION FOUNDATION - PALLIATIVE CARE PROGRAM - PEDIATRIC SPECIALTY SERVICES - REHABILITATION SERVICES (ACUTE AND OUTPATIENT) - SIBLING CENTER - SMITH KETTLEWELL EYE RESEARCH INSTITUTE (THEY ARE INDEPENDENT OF CPMC.) - SUB-ACUTE CARE PROGRAM - TELEMEDICINE SERVICE (STROKE) - VISITING NURSES AND HOSPICE OF SAN FRANCISCO - WHITNEY NEWBORN ICU FOLLOW-UP CLINIC - WOMEN'S HEALTH RESOURCE CENTER - WOMEN'S SERVICES CLINICAL SERVICE OFFERINGS INCLUDE: - AIDS & HIV SERVICES - ALZHEIMER'S - ARTHRITIS - BARIATRIC SURGERY SERVICES - CANCER SERVICES - CARDIOVASCULAR SERVICES - CLINICAL LABORATORY - COMPLEMENTARY MEDICINE - COMPREHENSIVE STROKE SERVICES - CRITICAL CARE SERVICES - DIABETES SERVICES (ADULT & PEDIATRIC) - DIAGNOSTIC SERVICES/LABORATORIES - DIALYSIS SERVICES - EMERGENCY SERVICES - EPILEPSY - GASTROENTEROLOGY DISEASE SERVICES - HOME HEALTH & HOSPICE - INTERVENTIONAL ENDOSCOPY SERVICES - KALMONOVITZ CHILD DEVELOPMENT CENTERS - MEDICAL TRANSPORT SERVICES - MICROSURGERY AND LIMB SALVAGE SERVICES - NEONATAL INTENSIVE CARE - NEUROLOGY - NEURO-ONCOLOGY SURGERY - NUCLEAR MEDICINE - NUTRITION AND WEIGHT MANAGEMENT - OBSTETRICS & GYNECOLOGY - OCCUPATIONAL HEALTH - OPHTHALMOLOGY - ORGAN TRANSPLANTATION - ORTHOPEDICS - OTOLARYNGOLOGY - OUTPATIENT CLINICS & SERVICES - PATHOLOGY - PEDIATRIC EMERGENCY DEPARTMENT - PEDIATRIC SERVICES/PROGRAMS - PERIOPERATIVE SERVICES (OR AND POST-ANESTHESIA RECOVERY UNIT) - PHARMACY - PHYSICAL MEDICINE & REHABILITATION SERVICES - PSYCHIATRY - RADIOLOGY & DIAGNOSTIC IMAGING - RESPIRATORY CARE - RESIDENCY TRAINING AND FELLOWSHIP PROGRAMS - SURGICAL SERVICES/AMBULATORY SURGERY - URGENT CARE CENTER - VENTRICULAR ASSIST DEVICE (VAD) PROGRAM - WOMEN'S HEALTH PROGRAMS - WOUND CARE NON-CLINICAL SERVICES INCLUDE: - ADMINISTRATIVE SERVICES - CHAPLAINCY SERVICES - CHARITY CARE PROGRAM - COMMUNITY HEALTH RESOURCE CENTER - CONTINUING MEDICAL EDUCATION - INTERPRETER SERVICES - PATIENT SERVICES - RESEARCH INSTITUTE - SURGICAL TRAINING CENTER - VOLUNTEER SERVICES - WEB NURSERY - CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION - NOVATO COMMUNITY HOSPITAL DEVELOPMENT OFFICE - SUTTER LAKESIDE FOUNDATION
FORM 990, PART III, LINE 4A	EXEMPT PURPOSE ACHIEVEMENTS CONTINUED: COMMUNITY BENEFITS THE FOUR MEDICAL CENTERS IN SUTTER WEST BAY HOSPITALS (SWBH) PLAY INTEGRAL ROLES IN PROVIDING DIRECT HEALTH CARE SERVICES AS WELL AS MONETARY GRANTS OR SPONSORSHIPS TO NON-PROFIT ORGANIZATIONS TO ADDRESS THE COMMUNITY HEALTH NEEDS OF VULNERABLE, UNDERINSURED, AND UNINSURED POPULATIONS IN THEIR COMMUNITIES. THE HOSPITALS COMMUNITY BENEFIT REPRESENTATIVES WORK COLLABORATIVELY AND IN PARTNERSHIPS WITH A BROAD AND DIVERSE NETWORK OF COMMUNITY-BASED NON-PROFITS, CITY AND COUNTY AGENCIES, PHYSICIANS, AND NEIGHBORHOOD GROUPS TO IDENTIFY LOCAL NEEDS, FORMULATE COMMUNITY BENEFIT PLANS, AND TAKE APPROPRIATE FUNDING ACTIONS. WHILE SUTTER WEST BAY REGIONAL MANAGEMENT SETS OVERALL GOALS FOR COMMUNITY BENEFITS, EACH OF THE AFFILIATES MEDICAL CENTER ADMINISTRATORS ARE RESPONSIBLE FOR IDENTIFYING HOW LOCAL NEEDS ARE TO BE ADDRESSED. IN FISCAL YEAR 2015, SUTTER WEST BAY HOSPITALS PROVIDED A REGIONAL TOTAL OF $144 MILLION IN COST OF SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED: $11.7 MILLION IN TRADITIONAL CHARITY CARE, $108 MILLION IN THE UNPAID COSTS OF MEDICAID, $6.2 MILLION IN COSTS FOR OTHER MEANS-TESTED PROGRAMS, AND $18.1 MILLION IN OTHER BENEFITS FOR THE POOR AND UNDERSERVED. IN ADDITION, SUTTER WEST BAY HOSPITALS PROVIDED AN ADDITIONAL $56.6 MILLION IN BENEFITS FOR THE BROADER COMMUNITY, FOR A TOTAL OF $200.6 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS. IN ADDITION, THE FOLLOWING ARE HIGHLIGHTS BY HOSPITAL OF QUANTIFIABLE COMMUNITY BENEFITS. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) IN 2015, CPMC PROVIDED $129.8 MILLION IN COST OF SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED AND $40.7 MILLION IN BENEFITS TO THE BROADER COMMUNITY, FOR A TOTAL OF $170.5 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS. CPMC SUSTAINS ROBUST MEDICAL, NURSING, AND ALLIED HEALTH PROFESSIONS RESIDENCY PROGRAMS AS WELL AS A RESEARCH INSTITUTE THAT PROVIDES SIGNIFICANT COMMUNITY BENEFIT. CPMC SERVED 38,000 UNDUPLICATED MEDI-CAL AND CHARITY CARE PATIENTS IN 2015. CPMC IS A MEMBER OF THE SAN FRANCISCO CHARITY CARE PARTNERSHIP AND SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP) CONSORTIUMS LED BY THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH. THESE CONSORTIUMS CONSIST OF REPRESENTATIVES FROM ALL OF THE CITYS HOSPITALS AND OTHER HEALTHCARE-RELATED NON-PROFIT STAKEHOLDERS. CONSORTIUM MEMBERS CONDUCT A TRI-ANNUAL COMMUNITY NEEDS ASSESSMENT AS REQUIRED BY THE STATE AND FEDERAL GOVERNMENTS, AND COORDINATE EFFORTS TO ADDRESS THE CITYS HEALTH DISPARITIES IN SPECIFIC AT-RISK NEIGHBORHOODS OR VULNERABLE POPULATIONS. THE 2013-2015 COMMUNITY NEEDS ASSESSMENT IDENTIFIED THREE COMMUNITY HEALTH PRIORITIES; THESE PRIORITIES GUIDE CPMC'S COMMUNITY BENEFITS STRATEGY: 1. INCREASE ACCESS TO HIGH-QUALITY HEALTH CARE AND SERVICES CPMC MANAGES OR FUNDS MANY PROGRAMS FOCUSED ON IMPROVING ACCESS TO CARE, INCLUDING THE FOLLOWING: - ST. LUKES HEALTH CARE CENTER (ADULT, PEDIATRIC, AND WOMENS CLINICS) - KALMANOVITZ CHILD DEVELOPMENT CENTER (COMPREHENSIVE DEVELOPMENTAL ASSESSMENT AND TREATMENT PROGRAMS FOR INFANTS, PRESCHOOLERS, SCHOOL-AGE CHILDREN, AND FAMILIES) - BAYVIEW CHILD HEALTH CENTER (PRIMARY CARE FOR LOW-INCOME CHILDREN) - AFRICAN AMERICAN AND SISTER TO SISTER BREAST HEALTH PROGRAMS, AND ST. LUKES BREAST HEALTH PARTNERSHIPS (CANCER SCREENING AND PREVENTION) - COMING HOME HOSPICE (24-HOUR CARE FOR TERMINALLY ILL CLIENTS AND THEIR FAMILIES REGARDLESS OF ABILITY TO PAY) - JOINT VENTURE HEALTH (DEVELOPMENTAL SERVICES FOR CHILDREN AT THE CLINICS WHERE THEY RECEIVE PRIMARY CARE, SUCH AS NORTH EAST MEDICAL SERVICES) - MANAGED MEDI-CAL PARTNERSHIP WITH NORTH EAST MEDICAL SERVICES (PROVIDE AND TAKE RISK FOR INPATIENT AND SELECT OUTPATIENT SERVICES FOR ALMOST 32,000 MEDI-CAL AND HEALTHY KIDS MEMBERS) - HEALTHY SAN FRANCISCO (PROVIDE FREE HOSPITALIZATION AND SELECT SPECIALTY CARE TO HSF PARTICIPANTS WHO ARE ENROLLED IN NORTH EAST MEDICAL SERVICES OR BROWN & TOLAND AS THEIR MEDICAL HOME) - LIONS EYE CLINIC (OUTPATIENT COMPLEX EYE SERVICES FOR LOW-INCOME INDIVIDUALS) - OPERATION ACCESS (FREE DIAGNOSTIC SCREENINGS, SPECIALTY PROCEDURES, AND SURGICAL CARE TO LOW-INCOME UNINSURED) - PROJECT HOMELESS CONNECT (MEDICAL AND SOCIAL SERVICES TO THE HOMELESS) - SAN FRANCISCO GENERAL HOSPITAL DIAGNOSTICS (FREE ECHOCARDIOGRAMS AND OTHER DIAGNOSTIC SCREENINGS PROVIDED TO LOW-INCOME OR UNINSURED SFGH PATIENTS) 2. INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY CPMC MANAGES OR FUNDS PROGRAMS THAT AIM TO INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG LOW-INCOME POPULATIONS, INCLUDING THE FOLLOWING: - HEALTHFIRST: A CENTER FOR PREVENTION AND EDUCATION (MANAGEMENT OF CHRONIC DISEASES SUCH AS DIABETES THROUGH NUTRITION EDUCATION AND LIFESTYLE CHANGES) - COMMUNITY-BASED SERVICES FOR YOUTH THAT FOCUS ON HEALTHY LIFESTYLES, SUCH AS BAYVIEW CHILD HEALTH CENTERS NUTRITION SERVICES, WILLIAM MCKINLEY ELEMENTARY SCHOOLS NOON HOUR WELLNESS PROGRAM, AND DE MARILLAC ACADEMYS HEALTH CHAMPIONS PROGRAM 3. ENSURE SAFE AND HEALTHY LIVING ENVIRONMENTS CPMCS COMMUNITY HEALTH GRANTS AND SPONSORSHIPS PROGRAM SUPPORT ORGANIZATIONS THAT PROMOTE SAFE AND HEALTHY LIVING ENVIRONMENTS, INCLUDING THE FOLLOWING: - APA FAMILY SUPPORT SERVICES (SUPPORT SERVICES TO ASIAN/PACIFIC ISLANDER CHILDREN AND FAMILIES TO PREVENT CHILD ABUSE AND DOMESTIC VIOLENCE) - THE CENTER FOR YOUTH WELLNESS (TRAUMA-INFORMED PEDIATRIC CARE THAT ADDRESSES THE ROOT CAUSES OF POOR HEALTH OUTCOMES FOR CHILDREN AND YOUTH IN HIGH-RISK COMMUNITIES) - CHINATOWN COMMUNITY DEVELOPMENT CENTER (NEIGHBORHOOD ADVOCATES, COMMUNITY ORGANIZERS, PLANNERS, DEVELOPERS, AND MANAGERS OF AFFORDABLE HOUSING) - SAN FRANCISCO CHILD ABUSE PREVENTION CENTER AND THE CHILD ADVOCACY CENTER (SUPPORTIVE SERVICES TO CHILDREN AND FAMILIES; EDUCATION FOR CHILDREN, CAREGIVERS AND SERVICE PROVIDERS; AND ADVOCACY FOR SYSTEMS IMPROVEMENT AND COORDINATION) - KIMOCHI (JAPANESE LANGUAGE-BASED SERVICES FOR SENIORS, INCLUDING IN-HOME SUPPORT SERVICES, TRANSPORTATION, SOCIAL SERVICES, RESIDENTIAL/RESPITE CARE, ADULT SOCIAL DAY CARE, AND MEALS PROGRAM) SUTTER SANTA ROSA REGIONAL HOSPITAL (SSRRH) SSRRH SERVES SONOMA COUNTY, AS WELL AS OTHER COUNTIES IN THE NORTH BAY. IN 2015, SSRRH PROVIDED $10.2 MILLION IN COST OF SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED AND $11.3 MILLION IN BENEFITS FOR THE BROADER COMMUNITY, FOR A TOTAL OF $21.5 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS. COMMUNITY COLLABORATION SSRRH IS AN ACTIVE PARTNER IN MANY INNOVATIVE AND IMPORTANT COMMUNITY COLLABORATIONS THAT SEEK TO DEVELOP ACTIONABLE STRATEGIES IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY, PARTICULARLY AROUND ACCESS TO HEALTH AND DENTAL CARE. BELOW IS A PARTIAL LIST OF WORKGROUPS AND PROGRAMS: - COVERED SONOMA - SONOMA HEALTH ALLIANCE - HEALTH ACTION - FLUORIDE ADVISORY COUNCIL - DENTAL HEALTH NETWORK - HEALTHCARE WORKFORCE DEVELOPMENT ROUNDTABLE - DRUG FREE BABIES - SONOMA COUNTY FLU CONSORTIUM - HEALTHCARE FOR THE HOMELESS TASKFORCE - NORTHERN CALIFORNIA CENTER FOR WELL BEING - AMERICAN HEART ASSOCIATION - MARCH OF DIMES - OPERATION ACCESS - ELSIE ALLEN HIGH SCHOOL COMPACT FOR SUCCESS COMMUNITY BENEFIT IMPLEMENTATION PLAN UPDATES THE 2014-2016 IMPLEMENTATION PLANS (UNDER THE NEW FEDERAL GUIDELINES OF THE AFFORDABLE CARE ACT) WAS COMPLETED IN DECEMBER OF 2013. THE PLAN AND 2015 UPDATES CAN BE FOUND AT WWW.SUTTERSANTAROSA.ORG/COMMUNITY NOVATO COMMUNITY HOSPITAL (NOVATO) NOVATO COMMUNITY HOSPITAL SERVES MARIN COUNTY, AS WELL AS PORTIONS OF SOUTHERN SONOMA COUNTY. IN 2015, NOVATO PROVIDED A TOTAL OF $6.2 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS. NOVATO IS A MEMBER OF THE HEALTHY MARIN PARTNERSHIP A COLLABORATION OF THE THREE MARIN HOSPITALS KAISER PERMANENTE SAN RAFAEL, MARIN GENERAL HOSPITAL, AND NOVATO COMMUNITY HOSPITAL. THE GROUP WAS INITIALLY FORMED 16 YEARS AGO TO RESPOND TO CALIFORNIA SB697, WHICH REQUIRES ALL NOT-FOR-PROFIT HOSPITALS TO CONDUCT A TRI-ANNUAL COMMUNITY NEEDS ASSESSMENT. 2012 WAS THE FIRST YEAR OF AN ACCOUNTABLE CARE ACT FEDERAL MANDATE THAT 501(C)(3) HOSPITALS CONDUCT A TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT. NCH AGAIN WORKED WITH ITS HOSPITAL PARTNERS AND HMP TO COMPLETE THIS MORE PRESCRIPTIVE FEDERAL REQUIREMENT. THIS REPORT AND AN IMPLEMENTATION PLAN ARE FILED WITH THE IRS IN TAX YEAR 2014. THE HOSPITALS HAVE AGREED TO CONTINUE THIS RELATIONSHIP TO MAKE THE BEST USE OF THEIR COMMUNITY BENEFIT RESOURCES. NCH WILL FILE ANNUAL PROGRESS REPORTS ON THE 2014 PLAN IN 2015 AND 2016.
FORM 990, PART III, LINE 4A	EXEMPT PURPOSE ACHIEVEMENTS CONTINUED: SUTTER LAKESIDE HOSPITAL (LAKESIDE) IN 2015, LAKESIDE PROVIDED A TOTAL OF NEARLY $2.5 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS. THE POPULATION SERVED INCLUDES A HIGH PERCENTAGE OF FAMILIES WHOSE LOW INCOME AFFECTS THEIR ACCESS TO HEALTH CARE. SUTTER LAKESIDE'S COMMUNITY BENEFITS STRATEGY INCLUDES PREVENTIVE CARE, CLINICAL EDUCATION, AND SUBSIDIZING HEALTH SERVICES. LAKESIDE PREVENTIVE CARE INCLUDES THE SPONSORING AND FUNDING OF PROGRAMS THAT PROVIDE FREE OR LOW-COST PREVENTIVE CARE SCREENINGS AND TESTS, SUCH AS MAMMOGRAMS AND SEASONAL FLU VACCINATIONS. LAKESIDES ROLE IN CLINICAL EDUCATION IS TO PROVIDE OPPORTUNITIES FOR STUDENTS FROM MULTIPLE CLINICAL PROGRAMS TO APPLY THEIR LEARNING UNDER THE GUIDANCE AND SUPERVISION OF LAKESIDES STAFF. FINALLY, LAKESIDE SUBSIDIZES THE OPERATING COSTS OF HEALTH SERVICES THAT ARE CRUCIAL TO THE HEALTH AND WELL-BEING OF THE COMMUNITY, INCLUDING; EMERGENCY DEPARTMENT, FAMILY MEDICINE CLINIC, SUTTER LAKESIDE COMMUNITY CLINIC, MOBILE HEALTH CLINIC, AND BIRTH CENTER. MAY 15, 2015, THE MOBILE HEALTH CLINIC WAS CLOSED AND THE VAN WAS DONATED TO CENTRAL VALLEY CHARITY, CHILDRENS CRISIS CENTER OF STANISLAUS COUNTY. CPMC RESEARCH INSTITUTE FOSTERING CLOSE COLLABORATIONS AMONG SCIENTISTS WITHIN THE SUTTER HEALTH SYSTEM AND AT PARTNERING INSTITUTIONS, THE CPMC RESEARCH INSTITUTE (CPMCRI) IS A UNIQUE CENTER FOR TRANSLATIONAL RESEARCH. OUR INVESTIGATORS TAKE A CROSS-DISCIPLINARY APPROACH TO DISCOVERY RESEARCH IN COMMON HUMAN ILLNESSES-TRANSFORMING LABORATORY FINDINGS INTO NEW DIAGNOSTICS, PERSONALIZED THERAPIES, AND SUCCESSFUL CLINICAL STUDIES. OVER 80 CLINICAL INVESTIGATORS AT CPMC AND ACROSS THE SUTTER WEST BAY AREA LEAD INNOVATIVE RESEARCH INTO COMMON, CHRONIC ILLNESSES THAT IMPACT MILLIONS OF AMERICANS. OUR INVESTIGATORS MERGE RESEARCH INSTITUTE INTERESTS WITH THE NEEDS OF OUR MEDICAL CENTERS, MAKING RESEARCH AN INTEGRAL FOUNDATION FOR IMPROVED PATIENT CARE. RESEARCH IS CONDUCTED IN BOTH BASIC SCIENCE AND THE CLINICAL SETTING, INCLUDING MOLECULAR BIOLOGISTS, IMMUNOLOGISTS, PHARMACOLOGISTS, BIOCHEMISTS, PHYSICISTS, EPIDEMIOLOGISTS, BEHAVIORAL SCIENTISTS, BIOSTATISTICIANS, PHYSICIANS AND COMPUTER SCIENTISTS WORK WITHIN THE RESEARCH INSTITUTE AND THE MEDICAL CENTER. INNOVATIVE BIOMEDICAL RESEARCH IS CONDUCTED IN SUCH DIVERSE AREAS AS AGING, ARTHRITIS, EPILEPSY, DIABETES, NEUROBIOLOGY OF PAIN, CARDIOVASCULAR DISEASE, OSTEOPOROSIS, ORGAN TRANSPLANTATION, NEURODEGENERATIVE DISEASES (E.G. AMYOTROPHIC LATERAL SCLEROSIS), CANCER, AIDS, HEPATITIS AND OTHER INFECTIOUS DISEASES. SOME OF THESE SCIENTISTS ARE ENGAGED IN RESEARCH THAT WILL HELP US UNDERSTAND THE FUNCTION OF CERTAIN HUMAN CELLS, GENES, PROTEINS AND OTHER FUNDAMENTAL STRUCTURES WITHIN OUR BODIES. LARGE MULTI-CENTER STUDIES IN WOMEN'S HEALTH, AGING, COGNITIVE FUNCTION, CARDIOVASCULAR DISEASE, BREAST CANCER PREVENTION, OSTEOPOROSIS, AND ARTHRITIS INITIATED AT CPMCRI IN PARTNERSHIP WITH THE SAN FRANCISCO COORDINATING CENTER HAVE SIGNIFICANTLY ADVANCED RESEARCH INTO COMMON, CHRONIC ILLNESSES. OUR STUDIES ON LONGEVITY HAVE ACCUMULATED THE LARGEST, RICHEST DATASETS ABOUT AGING IN THE U.S. LARGE-COHORT STUDIES IN OSTEOPOROSIS AND BREAST CANCER HAVE YIELDED SOME OF THE MOST POWERFUL DATASETS IN THE U.S. TO HELP IMPROVE THE TREATMENT OF THESE ILLNESSES. OVER 200 CLINICAL TRIALS, SPONSORED BY PHARMACEUTICAL, BIOTECHNOLOGY AND THE NATIONAL CANCER INSTITUTE, ARE CURRENTLY CONDUCTED AT THE MEDICAL CENTER AND AFFILIATED SUTTER PACIFIC MEDICAL FOUNDATION CLINICS THROUGH THE CPMCRI OFFICE OF CLINICAL RESEARCH. OUR SCIENTISTS RECEIVED MORE THAN $16 MILLION IN RESEARCH FUNDING IN 2015. ONE OF OUR KEY PRIORITIES LIES IN TRAINING THE NEXT GENERATION OF CLINICIAN-SCIENTISTS. CPMCRI OFFERS RESOURCES FOR RESIDENTS AND FELLOWS AT CPMC WHO ARE MOTIVATED TO GAIN RESEARCH EXPERIENCE AND TRAINING, INCLUDING OPPORTUNITIES TO DESIGN AND CONDUCT THEIR OWN RESEARCH PROJECTS WITH CPMCRI CLINICAL AND BASIC SCIENCE RESEARCH FACULTY. OUR BASIC SCIENCE DISCOVERY LABS ALSO OFFER POST-DOCTORAL FELLOWSHIP TRAINING, AND CAN PROVIDE A MENTORED RESEARCH EXPERIENCE FOR VOLUNTEERS WHO WISH TO PURSUE A CAREER IN BASIC SCIENCE. HEALTH EDUCATION AND TRAINING TWO OF THE FOUR SUTTER WEST BAY HOSPITALS HAVE FORMAL HEALTH EDUCATION AND TRAINING PROGRAMS. SUTTER SANTA ROSA REGIONAL HOSPITAL ESTABLISHED ITS FAMILY MEDICINE TRAINING PROGRAM IN 1938. THE SANTA ROSA FAMILY MEDICINE RESIDENCY IS A CRITICAL STRATEGIC HEALTHCARE ASSET THAT ADDRESSES THE GROWING PHYSICIAN SHORTAGE IN SONOMA COUNTY. THE RESIDENCY HAS BEEN THE LARGEST SINGLE SOURCE OF FAMILY PHYSICIANS TO SONOMA COUNTY FOR OVER 80 YEARS; RESIDENCY GRADUATES COMPRISE NEARLY HALF OF FAMILY PHYSICIANS IN SONOMA COUNTY. RESIDENCY GRADUATES FILL POSITIONS IN PRIVATE PRACTICES, COMMUNITY CLINICS, AND LARGE MEDICAL GROUPS SUCH AS SUTTER MEDICAL GROUP OF THE REDWOODS, THE PERMANENTE MEDICAL GROUP, LOCAL COMMUNITY HEALTH CENTERS, AND SONOMA COUNTY HEALTH SERVICES AND LEADERSHIP POSITIONS THROUGHOUT THE MEDICAL COMMUNITY. THE THREE-YEAR PROGRAM IS AFFILIATED WITH THE UCSF DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE. CALIFORNIA PACIFIC MEDICAL CENTER PROVIDES A MODEL OF SPECIALTY CARE BY BLENDING EXCELLENCE IN ACADEMICS AND RESEARCH WITH A FOCUS ON PATIENT-CENTERED CARE. CPMC IS A MAJOR TEACHING AFFILIATE OF THE GEISEL SCHOOL OF MEDICINE AT DARTMOUTH (FORMERLY DARTMOUTH MEDICAL SCHOOL), PROVIDING CORE CLERKSHIPS IN INTERNAL MEDICINE, PSYCHIATRY, NEUROLOGY, FAMILY MEDICINE, PEDIATRICS AND OBSTETRICS-GYNECOLOGY. ADDITIONAL CORE CLERKSHIPS IN SURGERY AND OBSTETRICS-GYNECOLOGY ARE PROVIDED FOR MEDICAL STUDENTS FROM UCSF. MEDICAL STUDENTS FROM OTHER PRESTIGIOUS SCHOOLS ARE GRANTED A RANGE OF FINAL-YEAR ELECTIVES AND SUB-INTERNSHIPS IN DEPARTMENTS WHICH SPONSOR RESIDENCIES HERE. THE GRADUATE MEDICAL EDUCATION TRAINING PROGRAMS OFFERED AT CPMC ARE OF THE HIGHEST CALIBER WITH CPMCS PHYSICIANS EMBRACING THE ROLE OF EDUCATORS AS WELL AS CLINICIANS. RESIDENCIES AND FELLOWSHIPS EDUCATE PHYSICIANS IN SPECIFIC SPECIALTIES. CPMC HAS INDEPENDENT RESIDENCY AND FELLOWSHIP PROGRAMS IN INTERNAL MEDICINE, PSYCHIATRY, RADIATION ONCOLOGY, OPHTHALMOLOGY, CARDIOVASCULAR DISEASES, GASTROENTEROLOGY, PULMONARY/CRITICAL CARE MEDICINE, HEPATOLOGY/TRANSPLANT, ENDOCRINOLOGY, HAND SURGERY, KIDNEY TRANSPLANT, NEUROCRITICAL CARE, MRI, RETINA, OCULOPLASTIC SURGERY, MELANOMA SURGERY, AND SHOULDER SURGERY. CPMC ALSO OFFERS TRAINING IN SURGERY, ORTHOPEDIC SURGERY, AND PLASTIC SURGERY TO UCSF RESIDENTS. IN ADDITION, CPMC IS A TRAINING SITE FOR OPERATING ROOM NURSING STUDENTS, PHYSICIAN ASSISTANT STUDENTS, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS AND SURGICAL TECHNOLOGISTS. IN ADDITION TO THE AFOREMENTIONED EDUCATIONAL PROGRAMS FOR MEDICAL STUDENTS (UNDERGRADUATE MEDICAL EDUCATION) AND RESIDENTS/FELLOWS (GRADUATE MEDICAL EDUCATION), CPMC PROVIDES AN EXTENSIVE SELECTION OF CONTINUING MEDICAL EDUCATION THROUGH ITS NUMEROUS CONFERENCES FOR PHYSICIANS IN PRACTICE. CPMCS PHYSICIANS ALSO PROVIDE OUTREACH PROGRAMS IN CONTINUING MEDICAL EDUCATION LOCALLY, REGIONALLY, AND NATIONALLY.
FORM 990, PART VI, LINE 1A	THE AFFAIRS AND MANAGEMENT OF SUTTER WEST BAY HOSPITALS (SWBH) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SWBH DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF SWBH'S CHAIR WHO SERVES AS CHAIR OF THE COMMITTEE, THE VICE CHAIR, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, THE PRESIDENT OF SWBH AND UP TO NINE ADDITIONAL DIRECTORS. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR. FORM 990, PART VI, LINE 4 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 DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 7B	DESCRIPTION OF CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF 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	DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED.
FORM 990, PART VI, LINE 12	DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS AND OFFICERS THAT INCLUDES AN ACKNOWLEDGEMENT THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR WILL REVIEW THE STATEMENTS AND MONITOR SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION.
FORM 990, PART VI, LINE 15	PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY LEADERS OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN DECEMBER OF 2015.
FORM 990, PART VI, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS TO GENERAL PUBLIC: THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN FUND BALANCE: EQUITY TRANSFERS (NET) 160,000,127 PARTNERSHIP INCOME BOOKED ON RETURN 13,558,631 K-1 ORDINARY INCOME (12,961,403) K-1 INTEREST INCOME (19,498) K-1 ORDINARY DIVIDENDS (29,342) K-1 SHORT TERM CAPITAL GAIN (6,851) K-1 LONG TERM CAPITAL GAIN (254,398) K-1 SECTION 1231 GAIN (10,208) K-1 RENTAL INCOME (128,468) K-1 1250 GAIN (38) K-1 ROYALTY INCOME (6,035) K-1 OTHER INCOME (3,309) PRIOR PERIOD ADJ 7,981 OTHER ADJ TO BEG BALANCE 39,652 ------------ 160,186,868

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CATHEDRAL HEIGHTS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 7999	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94120	ZIPCd

Field	Value	IRS element (for citing)
EIN	200511266	EIN
Primary Activities	RENTAL PROP.	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$716,321	EndOfYearAssetsAmt
Direct Controlling NA	N/A	DirectControllingNACd

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ADOLESCENT TREATMENT CENTERS INC
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	680088443	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	Yes (true)
BETTER HEALTH EAST BAY FOUNDATION
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	510160184	FUNDRAISING	CA	501(C)(3)	7	SUTTER EBH	Yes (true)
CALIFORNIA PACIFIC MEDICAL CTR FOUND
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	942728423	FUNDRAISING	CA	501(C)(3)	7	SUTTER WBH	Yes (true)
EAST BAY PERINATAL CENTER
3012 SUMMIT STREET 3RD FLOOR	OAKLAND	CA	94609	510172285	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	Yes (true)
EDEN MEDICAL CENTER
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	942948100	HEALTHCARE	CA	501(C)(3)	9	SUTTER HLTH	Yes (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	Yes (true)
MILLS-PENINSULA HEALTH SERVICES
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	941156265	HOSPITAL	CA	501(C)(3)	3	PAMF	Yes (true)
MILLS-PENINSULA HOSPITAL FOUNDATION
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	237288765	FUNDRAISING	CA	501(C)(3)	7	MPHS	Yes (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	Yes (true)
SAMUEL MERRITT UNIVERSITY
450 30TH STEET SUITE 2820	OAKLAND	CA	94609	942992642	UNIVERSITY	CA	501(C)(3)	2	SUTTER EBH	Yes (true)
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	942594966	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes (true)
SUTTER CENTRAL VALLEY HOSPITALS
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	941080917	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER COAST HOSPITAL
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	942988520	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER DAVIS HOSPITAL FOUNDATION
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	680217870	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes (true)
SUTTER EAST BAY HOSPITALS
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	941196176	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER EAST BAY MEDICAL FOUNDATION
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	942690415	HEALTHCARE	CA	501(C)(3)	11B-II	SUTTER HLTH	Yes (true)
SUTTER GOULD MEDICAL FOUNDATION
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	941682256	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER HEALTH
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	942788907	SUPPORTING OR	CA	501(C)(3)	11c III-FI	NA	false
SUTTER HEALTH PACIFIC
91-2301 FORT WEAVER ROAD	EWA BEACH	HI	96706	990298651	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER HEALTH PLAN
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	461183948	HEALTH PLAN	CA	PENDING	PENDING	SUTTER HLTH	Yes (true)
SUTTER HEALTH SACRAMENTO SIERRA REGION
C/O SH Tax 2200 River Plaza Drive	SACRAMENTO	CA	95833	941156621	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 1100	HONOLULU	HI	96813	990289310	INSURANCE SVS	HI	501(C)(3)	11C III-FI	SUTTER HLTH	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MAGNETIC IMAGING AF
2125 OAK GROVE RD	WALNUT CREEK	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 RD	WALNUT CREEK	CA	94598	943083464	PATIENT CARE	CA	NA
CALIFORNIA PACIFIC ADV IMAGING LLC
PO BOX 6102	NOVATO	CA	94948	562311840	MRI JOINT VENTURE	CA	SWBH	RELATED	$2,383,715	$1,167,288	false	$0	Yes (true)	0.51000
SAN FRANCISCO ENDOSCOPY CENTER LLC
3000 RIVERCHASE	BIRMINGHAM	AL	35244	912160588	ENDOSCOPY JV	CA	SWBH	RELATED	$4,279,723	$1,714,548	false	$0	Yes (true)	0.51000
PRESIDIO SURGERY CENTER LLC
1635 DIVISADERO	SF	CA	94115	320144060	AMBULATORY SURG	CA	SWBH	RELATED	$6,304,637	$4,340,358	false	$0	Yes (true)	0.51000
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
ROSEVILLE ENDOSCOPY CENTER LLC
4 MEDICAL PLAZA SUITE 210	ROSEVILLE	CA	95661	870710513	ENDOSCOPY JV	CA	NA
MEMORIAL MEDICAL OFFICE BUILDING PRTNR I
1800 COFFEE RD SUITE 76	MODESTO	CA	95355	770287288	OFFICE RENTAL	CA	NA
MEMORIAL MEDICAL OFFICE BUILDING PRTNR I
1800 COFFEE RD SUITE 76	MODESTO	CA	95355	770287288	OFFICE RENTAL	CA	NA
SAN FRANCISCO PEDIATRIC VENTURE LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	454474910	PATIENT CARE	CA	SWBH	RELATED			false	$0	Yes (true)	0.50000
DRZ EMERGING MARKETS LP
250 PARK AVE SOUTH SUITE 250	WINTER PARK	FL	32789	611729869	INVESTMENTS	FL	NA
ASC OPERATORS-SLO 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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION
C	$12,444,820	FMV
SUTTER INSURANCE SERVICES CORPORATION
P	$8,370,085	FMV
CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION
R	$8,291,184	FMV
SUTTER WEST BAY MEDICAL FOUNDATION
Q	$7,874,253	FMV
CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION
P	$2,017,321	FMV
SUTTER WEST BAY MEDICAL FOUNDATION
P	$915,265	FMV
SUTTER WEST BAY MEDICAL FOUNDATION
B	$467,954	FMV
SUTTER HEALTH PLAN
S	$282,221	FMV
SUTTER WEST BAY MEDICAL FOUNDATION
k	$242,401	FMV
SUTTER EAST BAY HOSPITALS
Q	$121,384	FMV
SUTTER MEDICAL CENTER CASTRO VALLEY
Q	$108,992	FMV
SUTTER WEST BAY MEDICAL FOUNDATION
J	$105,964	FMV
MILLS-PENNINSULA HEALTH SERVICES
Q	$72,216	FMV
PALO ALTO MEDICAL FOUNDATION
P	$66,807