SUTTER VISITING NURSE ASSOCIATION AND HOSPICE: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: SUTTER VISITING NURSE ASSOCIATION AND HOSPICE (EIN 94-6068843)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-13
IRS object ID: 202513179349312371
Schema version: 2024v5.2
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 I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-13T21:08:37-06:00	ReturnTs
Tax Period End	2024-12-31	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	560 MISSION ST STE 1600	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	946068843	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTER VISITING NURSE ASSOCIATION	BusinessNameLine1Txt
Business Name Line2	AND HOSPICE	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% KENNETH YOUNG	InCareOfNm
Business Name Control	SUTT	BusinessNameControlTxt
Phone	9162866665	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O SH TAX 2300 RIVER PLAZA DRIVE	AddressLine1Txt
City	SACRAMENTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95833	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Patrick Brown	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9162866665	PhoneNum
Signature	2025-11-06	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Eva Nitta	PreparerPersonNm
PTIN	P01286320	PTIN
Phone	4158948000	PhoneNum
Preparation	2025-11-04	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	SAME AS C ABOVE	AddressLine1Txt
City	SACRAMENTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95833	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$559,306,471	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	1908	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2758	TotalEmployeeCnt
Total Volunteers	297	TotalVolunteersCnt
Total Gross UBI	$5,063,129	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,613,427	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,786,965	PYContributionsGrantsAmt
CY Contributions Grants	$1,835,372	CYContributionsGrantsAmt
PY Program Service Revenue	$481,784,085	PYProgramServiceRevenueAmt
CY Program Service Revenue	$547,053,886	CYProgramServiceRevenueAmt
PY Investment Income	$1,224,604	PYInvestmentIncomeAmt
CY Investment Income	$5,208,955	CYInvestmentIncomeAmt
PY Other Revenue	$5,120,767	PYOtherRevenueAmt
CY Other Revenue	$5,061,069	CYOtherRevenueAmt
PY Total Revenue	$491,916,421	PYTotalRevenueAmt
CY Total Revenue	$559,159,282	CYTotalRevenueAmt
PY Grants And Similar Paid	$142,099	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$156,814	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$309,339,816	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$349,508,863	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,760,325	CYTotalFundraisingExpenseAmt
PY Other Expenses	$149,100,153	PYOtherExpensesAmt
CY Other Expenses	$165,315,949	CYOtherExpensesAmt
PY Total Expenses	$458,582,068	PYTotalExpensesAmt
CY Total Expenses	$514,981,626	CYTotalExpensesAmt
PY Revenues Less Expenses	$33,334,353	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$44,177,656	CYRevenuesLessExpensesAmt
Total Assets BOY	$169,234,264	TotalAssetsBOYAmt
Total Assets EOY	$544,803,592	TotalAssetsEOYAmt
Total Liabilities BOY	$65,162,877	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$73,901,438	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$104,071,387	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$470,902,154	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	$471,776,784	ExpenseAmt
Grant	$156,814	GrantAmt
Revenue	$547,053,886	RevenueAmt
Desc	PROGRAM SERVICE ACCOMPLISHMENTS PRIMARY EXEMPT PURPOSE: Provide health care to patients in their homes. SERVICE ACCOMPLISHMENTS: Sutter VNA & Hospice is a state licensed, Medicare-certified home care agency that provides a broad spectrum of multi-disciplinary services and offers a range of specialty programs to residents of Northern California. Sutter VNA & Hospice provides health care services to patients who require these services outside of a hospital setting (primarily in the home), for which a fee is charged to cover the cost of providing these services. These services are provided to Medicare, Medi-Cal, and private insurance patients. Charitable care is provided when deemed appropriate. The health care services provided by Sutter VNA & Hospice include the following: - Skilled Nursing: Nurses work with patients who have heart disease, cancer, diabetes, ostomies, AIDS, or other chronic diseases and illnesses, or who have recently had surgery or an acute care episode. - Rehabilitation services including physical, occupational, and speech therapy. Physical and occupational therapy is provided for patients with difficulties due to strokes, amputation or fractures, surgery, and for patients who are paraplegics or quadriplegics. Speech therapy is provided for patients with speech or swallowing problems. - Home infusion therapy services: provided for patients who need intravenous treatments. Services include hydration, chemotherapy, total parenteral nutrition, antibiotics, injectable medications, pain management, and enteral nutrition - Maternal/child care services; provided to women with difficult pregnancies and new mothers needing assistance. - Psychiatric Home Care: This program provides home health services with focus on psychiatric care (assessment, teaching, referrals and follow-up) by specialty trained clinicians. - Medical Social Work services: provides assistance to persons who need guidance in developing self-help and problem solving skills, and access to community resources - Hospice and Bereavement Services; helps terminally ill patients and their families who need support and care. Services include nursing care, pain management, symptom control, and bereavement counseling. - Home health aides and volunteer respite care; provides aid to patients who cannot care for themselves; includes bathing and personal care, companionship, and relief for caregivers - Respiratory Therapy and Durable Medical Equipment; provides patients with respiratory therapy services, equipment, and supplies, beds, wheelchairs, and other durable medical equipment. Community Benefit Services In 2024, Sutter VNA & Hospice provided $1,020,980 worth of Community Benefit. The Community Benefit programs and services provided include the following: - Hospice bereavement groups (ex. Adult Grief Support Groups, Children's Workshops, Daughter/Mom Loss Support Group, Adult Traumatic Loss) - Preceptorships and internships provided for students Charitable Activity In 2024 Sutter VNA & Hospice provided $1,372,291 worth of Charity Care. Charity Care was provided in the form of home health services, hospice services, respiratory therapy and durable medical equipment service and products, and home infusion therapy services. Unpaid Cost of Medicaid In 2024 Sutter VNA & Hospice provided $13,493,851 worth of unpaid services to Medicaid patients.	Desc
Total Program Service Expenses	$471,776,784	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
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
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	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	217	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2758	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	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KENNETH YOUNG	PersonNm
Phone	9162866665	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2300 RIVER PLAZA DR	AddressLine1Txt
City	Sacramento	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95833	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Keith Lagnese MD
CMO,SCAH/Asst Sec SVNAH(pt-yr)	2.0	40.0	Yes (X)	Yes (X)	$0	$802,459	$624,448
Mark McPherson
CEO, SCAH/President SVNAH	2.0	40.0	Yes (X)	Yes (X)	$0	$672,032	$529,612
Anna Kiger
CNO, Asst Sec SVNAH (pt-yr)	2.0	40.0	Yes (X)	Yes (X)	$0	$1,086,676	$96,858
Albert Chan MD
SH VP, CHI Officer	1.0	40.0	Yes (X)		$0	$765,479	$315,966
Romelia Garcia
CAO, SCAH	0.0	40.0			$0	$725,857	$328,992	Yes (X)
Theresa Frei
Former CEO, SVMF	0.0	0.0			$0	$1,048,576	$0	Yes (X)
Ursula Boynton MD
CME, AMSMC	1.0	40.0	Yes (X)		$0	$632,700	$266,520
Ryan Stice
SH VP,CPO/Asst Sec SVNAH	1.0	40.0		Yes (X)	$0	$577,535	$289,031
David Adams
Deputy General Counsel	0.0	40.0			$0	$411,538	$99,496	Yes (X)
Frank Wong
Director, Home Health Pharmacy	40.0	0.0			$398,046	$0	$103,612		Yes (X)
Carolyn A Goodall
SR. Director, Hospice & H.H.	40.0	0.0			$371,717	$0	$91,127		Yes (X)
Praba Koomson
Sr. Director, Hospice & H.H.	40.0	0.0			$355,735	$0	$78,109			Yes (X)
Megan Merz
DEPUTY GEN COUNSEL, SEC SVNAH	1.0	40.0		Yes (X)	$0	$334,922	$88,128
Susan White
Senior Director, Quality	40.0	0.0			$336,152	$0	$81,201			Yes (X)
Meg Lopez
Administrator	40.0	0.0			$290,385	$0	$81,539			Yes (X)
Patrick Brown
CFO, SVNAH (pt-yr)	1.0	40.0		Yes (X)	$0	$256,530	$98,166
Patricia A Jellison-LaVine
Administrator	40.0	0.0			$275,311	$0	$72,470	Yes (X)
Mark Wheeler
CFO, SVNAH(pt-yr) & SH Pacific	1.0	40.0		Yes (X)	$0	$296,759	$32,333
Robert Grande
Wound Care Nurse Lead	40.0	0.0			$311,370	$0	$17,103			Yes (X)
Philip Stevens
Staff RN II	40.0	0.0			$289,058	$0	$15,662			Yes (X)
George T Block MD
DIRECTOR/CHAIR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Jim Gray
Director	1.0	0.0	Yes (X)		$0	$0	$0
Manuel Jimenez
Director	1.0	0.0	Yes (X)		$0	$0	$0
Alden Chip McDonald MD
Director, Chair F & P	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Andy Pansini
Director	1.0	0.0	Yes (X)		$0	$0	$0
Ria Paul MD
Director	1.0	0.0	Yes (X)		$0	$0	$0
David Seidenwurm MD
Director	1.0	0.0	Yes (X)		$0	$0	$0
Jeffrey Strawn
Director	1.0	0.0	Yes (X)		$0	$0	$0
Douglas Wagemann
Director	1.0	0.0	Yes (X)		$0	$0	$0
Amy Yang
Director	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,627,774	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,611,063	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,310,373	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1239	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
WELLSKY CORPORATION
11300 SWITZER RD	OVERLAND PARK	KS	662103665	IT Consult & Svcs	$4,731,290
NETSMART TECHNOLOGIES INC
11100 NALL AVE	OVERLAND PARK	KS	662111205	CONSULTING SERVICES	$3,218,082
SIVIA INVESTMENTS INC
3879 FENWAY CIR	ROCKLIN	CA	956774060	Physician Services	$468,420
SAEED MEDICAL CORPORATION
5831 WEDGEWOOD DR	GRANITE BAY	CA	957466705	Physician Services	$467,081
MMJH HOME CARE INC
7005 TUSCANY WY	EL DORADO HILLS	CA	957625410	Home Healthcare Svcs	$424,737

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	27	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$11,541	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$9,542	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$1,814,289	AllOtherContributionsAmt
Noncash Contributions	$3,005	NoncashContributionsAmt
Total Contributions	$1,835,372	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	621610	BusinessCd
Total Revenue Column	$547,053,886	TotalRevenueColumnAmt
Related Or Exempt Func Income	$547,053,886	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$547,053,886	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,894,033	TotalRevenueColumnAmt
Exclusion	$3,894,033	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$96,147	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$98,207	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$2,060	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,060	TotalRevenueColumnAmt
Exclusion	-$2,060	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,358,704	SecuritiesAmt
Other	$5,200	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$48,982	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,309,722	SecuritiesAmt
Other	$5,200	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,314,922	TotalRevenueColumnAmt
Exclusion	$1,314,922	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	SUTTER INFUSION PHARMACY SERVICES	Desc
Business	621610	BusinessCd
Total Revenue Column	$5,063,129	TotalRevenueColumnAmt
Unrelated Business Revenue	$5,063,129	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,063,129	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$559,159,282	TotalRevenueColumnAmt
Related Or Exempt Func Income	$547,053,886	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,063,129	UnrelatedBusinessRevenueAmt
Exclusion	$5,206,895	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$156,814	TotalAmt
Program Services	$156,814	ProgramServicesAmt

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	$964,502	TotalAmt
Management And General	$964,502	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$347,781	TotalAmt
Management And General	$347,781	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$237,094,761	TotalAmt
Program Services	$225,731,688	ProgramServicesAmt
Management And General	$10,375,949	ManagementAndGeneralAmt
Fundraising	$987,124	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,329,755	TotalAmt
Program Services	$6,976,762	ProgramServicesAmt
Management And General	$352,993	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$83,569,120	TotalAmt
Program Services	$79,357,696	ProgramServicesAmt
Management And General	$3,747,939	ManagementAndGeneralAmt
Fundraising	$463,485	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,202,944	TotalAmt
Program Services	$19,165,321	ProgramServicesAmt
Management And General	$969,680	ManagementAndGeneralAmt
Fundraising	$67,943	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,781,956	TotalAmt
Program Services	$48,246	ProgramServicesAmt
Management And General	$3,697,710	ManagementAndGeneralAmt
Fundraising	$36,000	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$47,053	TotalAmt
Program Services	$47,053	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$15,660	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$15,660	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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	$329,003	TotalAmt
Management And General	$329,003	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,689,349	TotalAmt
Program Services	$7,689,349	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$46,994	TotalAmt
Management And General	$46,994	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,138,391	TotalAmt
Program Services	$4,943,437	ProgramServicesAmt
Management And General	$1,121,526	ManagementAndGeneralAmt
Fundraising	$73,428	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,652,612	TotalAmt
Program Services	$8,069,075	ProgramServicesAmt
Management And General	$3,583,537	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,994,769	TotalAmt
Program Services	$6,111,115	ProgramServicesAmt
Management And General	$331,455	ManagementAndGeneralAmt
Fundraising	$552,199	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,617,488	TotalAmt
Program Services	$6,325,121	ProgramServicesAmt
Management And General	$285,296	ManagementAndGeneralAmt
Fundraising	$7,071	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$129,281	TotalAmt
Program Services	$97,572	ProgramServicesAmt
Management And General	$30,339	ManagementAndGeneralAmt
Fundraising	$1,370	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$699	TotalAmt
Program Services	$699	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,702,064	TotalAmt
Program Services	$4,046,210	ProgramServicesAmt
Management And General	$655,256	ManagementAndGeneralAmt
Fundraising	$598	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,686,774	TotalAmt
Program Services	$772,048	ProgramServicesAmt
Management And General	$909,303	ManagementAndGeneralAmt
Fundraising	$5,423	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$61,057,666	$61,057,666	$0	$0
SYSTEM ALLOCATION FEES	$25,710,507	$14,453,031	$10,992,487	$264,989
PURCHASED SERVICES	$24,076,805	$23,532,066	$278,695	$266,044
TAXES - UBI RELATED	$891,000	$0	$891,000	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,747,878	TotalAmt
Program Services	$3,195,815	ProgramServicesAmt
Management And General	$517,412	ManagementAndGeneralAmt
Fundraising	$34,651	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$514,981,626	TotalAmt
Program Services	$471,776,784	ProgramServicesAmt
Management And General	$40,444,517	ManagementAndGeneralAmt
Fundraising	$2,760,325	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	$37,524,821	BOYAmt
EOY	$403,558,918	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$112,103	BOYAmt
EOY	$217,463	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$81,578,643	BOYAmt
EOY	$81,058,754	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	$3,181,214	BOYAmt
EOY	$3,778,940	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,292,770	BOYAmt
EOY	$3,725,094	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$28,854,875	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$22,401,757	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$5,028,921	BOYAmt
EOY	$6,453,118	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$26,471,592	BOYAmt
EOY	$29,594,925	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	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,044,200	BOYAmt
EOY	$16,416,380	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$169,234,264	BOYAmt
EOY	$544,803,592	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$55,283,336	BOYAmt
EOY	$59,356,489	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	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,879,541	BOYAmt
EOY	$14,544,949	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,162,877	BOYAmt
EOY	$73,901,438	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$98,953,203	BOYAmt
EOY	$465,290,702	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,118,184	BOYAmt
EOY	$5,611,452	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$104,071,387	BOYAmt
EOY	$470,902,154	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$169,234,264	BOYAmt
EOY	$544,803,592	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$44,177,656	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,135,651	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$321,517,460	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	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,559,983	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,278,956	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,123,304	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,786,965	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,835,372	CurrentTaxYearAmt
Total	$13,584,580	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$448,778,738	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$465,029,846	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$445,786,879	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$481,784,085	CurrentTaxYearMinus1YearAmt
Current Tax Year	$547,053,886	CurrentTaxYearAmt
Total	$2,388,433,434	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

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

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

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

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

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

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$451,338,721	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$467,308,802	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$448,910,183	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$485,571,050	CurrentTaxYearMinus1YearAmt
Current Tax Year	$548,889,258	CurrentTaxYearAmt
Total	$2,402,018,014	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$35,000	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$33,300	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,825	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,400	CurrentTaxYearAmt
Total	$94,525	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$35,000	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$33,300	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,825	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,400	CurrentTaxYearAmt
Total	$94,525	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$2,401,923,489	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$614,595	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$591,074	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$807,533	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,340,726	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,990,180	CurrentTaxYearAmt
Total	$7,344,108	TotalAmt

Post1975 UBTI Post1975UBTIGrp

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

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$614,595	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$591,074	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$807,533	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,340,726	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,990,180	CurrentTaxYearAmt
Total	$7,344,108	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$973,343	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,103,438	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,056,759	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,864,092	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,614,427	CurrentTaxYearAmt
Total	$6,612,059	TotalAmt

Other Income509 OtherIncome509Grp

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

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$452,926,659	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$469,003,314	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$450,774,475	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$488,775,868	CurrentTaxYearMinus1YearAmt
Current Tax Year	$554,493,865	CurrentTaxYearAmt
Total	$2,415,974,181	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99418	PublicSupportCY509Pct
Public Support PY509	0.99567	PublicSupportPY509Pct
Investment Income CY	0.00304	InvestmentIncomeCYPct
Investment Income PY	0.00175	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

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	$16,245,581	BeginningYearBalanceAmt
Contributions	$37,737	ContributionsAmt
Investment Earnings Or Losses	$1,714,524	InvestmentEarningsOrLossesAmt
Other Expenditures	$35,897	OtherExpendituresAmt
End Year Balance	$17,961,945	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,593,353	BeginningYearBalanceAmt
Contributions	$100,626	ContributionsAmt
Investment Earnings Or Losses	$1,553,573	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,971	OtherExpendituresAmt
End Year Balance	$16,245,581	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,034,743	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$898,041	InvestmentEarningsOrLossesAmt
Other Expenditures	$543,349	OtherExpendituresAmt
End Year Balance	$14,593,353	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,079,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,961,297	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,820	OtherExpendituresAmt
End Year Balance	$16,034,743	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,391,087	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,699,356	InvestmentEarningsOrLossesAmt
Other Expenditures	$11,177	OtherExpendituresAmt
End Year Balance	$14,079,266	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.97150	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.02500	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00350	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Land		LandGrp

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$108,067	OtherCostOrOtherBasisAmt
Depreciation	$84,161	DepreciationAmt
Book Value	$23,906	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,144,315	OtherCostOrOtherBasisAmt
Depreciation	$5,293,318	DepreciationAmt
Book Value	$850,997	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,593,202	OtherCostOrOtherBasisAmt
Depreciation	$17,024,278	DepreciationAmt
Book Value	$5,568,924	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,291	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$9,291	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$6,453,118	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
OPERATING LEASE LIAB. - NONCURRENT	$13,333,755
INSURANCE LIABILITIES	$886,245
INTERCOMPANY PAYABLES	$324,949

Field	Value	IRS element (for citing)
Total Liability	$14,544,949	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: Shirley Markinson Grieg Endowment - earnings to be used for hospice and volunteer training. ROBERT J AND DAVID R FIORITO FAMILY ENDOWMENT - TO SUPPORT HOSPICE OPERATIONS, PROGRAMS, AND/OR PATIENT CARE AT SUTTER CARE AT HOME. J. & L. Limburg and G. & F. Striley Endowment - earnings to be used at discretion of Board of Directors.

SCHEDULE D, PART X, LINE 2

THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: Sutter Health and many affiliates have been determined to be exempt organizations by the Internal Revenue Service and the California Franchise Tax Board and generally are not subject to taxes on income. Certain activities of Sutter are subject to income taxes; however, such activities are not significant to the consolidated financial statements. With respect to its taxable activities, Sutter records income taxes using the liability method, under which deferred tax assets and liabilities are determined based on the differences between the financial accounting and tax basis of assets and liabilities. Deferred tax assets or liabilities at the end of each period are determined using the currently enacted tax rate expected to apply to taxable income in the periods that the deferred tax asset or liability is expected to be realized or settled. Sutter recognizes the tax benefit from uncertain tax positions, only if it is more likely than not that the tax positions will be sustained on examination by the tax authorities, based on the technical merits of the position. The tax benefit is measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The statute of limitations for tax years 2021 through 2023 remains open in U.S. tax jurisdictions in which Sutter and its affiliates are subject to taxation. Sutter recognizes interest and penalties related to income tax matters in Operating expenses. There were no such uncertain tax positions recognized for the years ended December 31, 2024 and 2023.

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	PATIENT ASSISTANCE	GrantTypeTxt
Recipient	344	RecipientCnt
Non Cash Assistance	$156,814	NonCashAssistanceAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Non Cash Assistance	SEE PART IV	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE I, PART I, LINE 2

PROCEDURE 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 - Review of quarterly, six-month and/or year-end outcomes reports with community partners - Review of hospital usage and patient level data - Collection of patient/participant stories and narratives - Collaborative discussions around ad-hoc successes and challenges that arise - If any grant funds remained unspent, a year-end financial summary that compares actual expenditures to the funded project's budget is requested. At the end of the appropriate reporting period, Community Benefit analyzes 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 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. We also rely on the governance practices of the recipient organization to monitor the use of the funds.

SCHEDULE I, PART III, LINE 1

DESCRIPTION OF NON-CASH ASSISTANCE: PAYMENTS TO VENDORS ON BEHALF OF PATIENTS FOR ITEMS/SERVICES SUCH AS CAREGIVING SERVICES, FUNERAL SERVICES, MEDICAL SUPPLIES, TRANSPORTATION, UTILITIES.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	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 (20 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
Keith Lagnese MD
CMO,SCAH/Asst Sec SVNAH(pt-yr)	$0	$641,340	$0	$148,546	$0	$12,573	$0	$576,412	$0	$48,036	$0	$1,426,907	$0	$0
Mark McPherson
CEO, SCAH/President SVNAH	$0	$521,273	$0	$140,239	$0	$10,520	$0	$493,992	$0	$35,620	$0	$1,201,644	$0	$0
Anna Kiger
CNO, Asst Sec SVNAH (pt-yr)	$0	$283,012	$0	$335,431	$0	$468,233	$0	$71,757	$0	$25,101	$0	$1,183,534	$0	$78,920
Albert Chan MD
SH VP, CHI Officer	$0	$423,575	$0	$269,538	$0	$72,366	$0	$276,358	$0	$39,608	$0	$1,081,445	$0	$61,831
Romelia Garcia
CAO, SCAH	$0	$445,926	$0	$211,492	$0	$68,439	$0	$284,804	$0	$44,188	$0	$1,054,849	$0	$53,667
Theresa Frei
Former CEO, SVMF	$0	$0	$0	$0	$0	$1,048,576	$0	$0	$0	$0	$0	$1,048,576	$0	$0
Ursula Boynton MD
CME, AMSMC	$0	$438,984	$0	$154,737	$0	$38,979	$0	$228,612	$0	$37,908	$0	$899,220	$0	$32,557
Ryan Stice
SH VP,CPO/Asst Sec SVNAH	$0	$346,299	$0	$184,362	$0	$46,874	$0	$252,538	$0	$36,493	$0	$866,566	$0	$40,112
David Adams
Deputy General Counsel	$0	$340,750	$0	$63,222	$0	$7,566	$0	$73,838	$0	$25,658	$0	$511,034	$0	$63,222
Frank Wong
Director, Home Health Pharmacy	$327,827	$0	$58,978	$0	$11,241	$0	$72,081	$0	$31,531	$0	$501,658	$0	$58,978	$0
Carolyn A Goodall
SR. Director, Hospice & H.H.	$298,012	$0	$60,421	$0	$13,284	$0	$68,209	$0	$22,918	$0	$462,844	$0	$60,421	$0
Praba Koomson
Sr. Director, Hospice & H.H.	$290,010	$0	$53,461	$0	$12,264	$0	$64,863	$0	$13,246	$0	$433,844	$0	$53,461	$0
Megan Merz
DEPUTY GEN COUNSEL, SEC SVNAH	$0	$275,476	$0	$53,524	$0	$5,922	$0	$62,840	$0	$25,288	$0	$423,050	$0	$53,524
Susan White
Senior Director, Quality	$280,220	$0	$49,074	$0	$6,858	$0	$58,369	$0	$22,832	$0	$417,353	$0	$49,074	$0
Meg Lopez
Administrator	$240,241	$0	$42,859	$0	$7,285	$0	$50,042	$0	$31,497	$0	$371,924	$0	$0	$0
Patrick Brown
CFO, SVNAH (pt-yr)	$0	$220,290	$0	$30,000	$0	$6,240	$0	$87,424	$0	$10,742	$0	$354,696	$0	$0
Patricia A Jellison-LaVine
Administrator	$224,769	$0	$43,010	$0	$7,532	$0	$49,902	$0	$22,568	$0	$347,781	$0	$43,010	$0
Mark Wheeler
CFO, SVNAH(pt-yr) & SH Pacific	$0	$46,319	$0	$98,767	$0	$151,673	$0	$26,777	$0	$5,556	$0	$329,092	$0	$0
Robert Grande
Wound Care Nurse Lead	$309,182	$0	$0	$0	$2,188	$0	$5,966	$0	$11,137	$0	$328,473	$0	$0	$0
Philip Stevens
Staff RN II	$289,058	$0	$0	$0	$0	$0	$5,578	$0	$10,084	$0	$304,720	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	SUPPLEMENTAL COMPENSATION INFORMATION: 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 INDEPENDENT data sources and maintains an objective "arms length" decision-making process, ensuring the integrity of Sutter's executive programs and consistency with the organization's overall mission. SEE SCHEDULE O NARRATIVE FOR PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH.
SCHEDULE J, PART I, LINE 4A	SEVERANCE PAYMENTS: Theresa Frei RECEIVED SEVERANCE PAYMENTS OF $ 982,821 Anna Kiger RECEIVED SEVERANCE PAYMENTS OF $ 228,198
SCHEDULE J, PART I, LINE 4B	NONQUALIFIED RETIREMENT PLAN: The purpose of the nonqualified retirement plan is to provide Sutter Health executives with a competitive retirement benefit consistent with Sutter Health's overall compensation philosophy for all employees. Contributions are designed taking into consideration lost retirement benefits that would otherwise be obtained through the qualified pension plan and social security benefits. Sutter's plans are designed consistent with competitive industry practices. The retirement plan for Sutter Health employees is a combination of 403(b) employer match contributions and qualified pension plan benefits. Sutter Health executives are generally ineligible for employer match contributions. To ensure a competitive retirement benefit, Sutter Health makes an annual contribution to a non-qualified 457(f) plan for its executives. The formula provides 6% to 16% of base salary plus annual incentive plan award (commensurate with management level). Unlike Sutter Health's qualified PENSION plan where employee benefits are guaranteed (i.e., a defined benefit), Sutter's non-qualified plan benefits are not guaranteed by Sutter Health. Investment risk is borne by participants and benefits are not protected should Sutter Health become insolvent.
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, average amount of spot awards tend to not exceed 5% to 15% 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, operating unit and system-wide objectives that drive overall organization performance. Long Term Performance Plans: Sutter Health also employs a long term performance plan which is designed to focus on longer term strategic objectives of the organization. Sutter's long term performance plan approach is a combination of both longer term measures of organization success and key organization strategies which require the combined effort of all leadership to achieve success. Sutter uses a common fate approach in that all LONG TERM PERFORMANCE 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. 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 by the compensation committee prior to payment.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1	MISSION STATEMENT: MISSION: CARING FOR OUR PATIENTS FIRST AND OUR PEOPLE ALWAYS. VISION: TO BE THE MOST COMPREHENSIVE, INTEGRATED AND CONNECTED HEALTH SYSTEM FOR GETTING AND STAYING WELL. VALUES: -EXCELLENCE - We deliver high-quality, equitable care and take on the toughest challenges. -CURIOSITY - We are constantly learning and creating new ways to advance healthcare. -TEAMWORK - We collaborate with humility and solve for ONE Sutter. -COMPASSION - We show empathy and understanding in every personal interaction. INCLUSION - We respect our differences and similarities, and cultivate a sense of belonging. -INTEGRITY - We earn trust by doing the right thing and delivering on our commitments.
FORM 990, PART VI, LINE 6 & 7A	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	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 AFFILIATED ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY AFFILIATED ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY AFFILIATED 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 AFFILIATED ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES THAT EITHER EXCEED PREVIOUSLY APPROVED OPERATING OR CAPITAL BUDGETS, OR ARE UNBUDGETED, IF THE AMOUNT IN EXCESS OR THE UNBUDGETED EXPENDITURE IS HIGHER THAN THE SIGNATURE AUTHORITY OF THE PRESIDENT AND CEO OF THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS OF THE CORPORATION OR ANY AFFILIATED ENTITY 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 THE SIGNATURE AUTHORITY OF THE PRESIDENT AND CEO OF THE GENERAL MEMBER; G. APPOINTMENT OF AN INDEPENDENT AUDITOR BY THE CORPORATION OR ANY AFFILIATED ENTITY; H. THE HIRING OF INDEPENDENT COUNSEL BY THE CORPORATION OR ANY AFFILIATED ENTITY, UNLESS AT LEAST TWO-THIRDS (2/3) OF THE BOARD IN OFFICE ON THE DAY OF A VOTE DETERMINE THAT A MATERIAL CONFLICT OF INTEREST EXISTS BETWEEN THE CORPORATION AND THE GENERAL MEMBER AND, THEREFORE, THE BOARD MUST ENGAGE INDEPENDENT COUNSEL TO ASSIST IN EXERCISING THE BOARD'S FIDUCIARY DUTIES. TO PRESERVE THE INDEPENDENCE OF COUNSEL RETAINED PURSUANT TO THIS PROVISION, THE GENERAL MEMBER SHALL NOT CLAIM THAT ANY COMMUNICATION BETWEEN SUCH INDEPENDENT COUNSEL AND ANY PERSON ACTING ON BEHALF OF THE CORPORATION, EVEN IF THAT PERSON IS ALSO AN EMPLOYEE, OFFICER OR AGENT OF THE GENERAL MEMBER, CONSTITUTES A WAIVER OF THE ATTORNEY-CLIENT PRIVILEGE OR WORK-PRODUCT PROTECTION; I. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE, AS THAT TERM IS DEFINED IN CALIFORNIA CORPORATIONS CODE SECTION 150; J. CONTRACTING WITH ANY THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY AFFILIATED ENTITY; K. APPROVAL OF BUSINESS PLANS TO DEVELOP MAJOR PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY AFFILIATED ENTITY. MAJOR NEW PROGRAMS AND CLINICAL SERVICES SHALL INCLUDE, BUT NOT BE LIMITED TO: (I) ANY NEW PROGRAMS OR SERVICES THAT REQUIRE APPROVAL AND/OR ADDITIONAL LICENSURE FROM ANY REGULATORY AGENCY, OR (II) ANY OTHER PROGRAMS OR SERVICES THE GENERAL MEMBER DEEMS MAJOR; L. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY AFFILIATED ENTITY; M. ADOPTION OF QUALITY IMPROVEMENT POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; N. ANY SELF-DEALING TRANSACTION BETWEEN A DIRECTOR OF THE CORPORATION AND THE CORPORATION OR A SUBSIDIARY OF THE CORPORATION; OR O. REHIRING, CONTRACTING WITH, OR OTHERWISE COMPENSATING A SUTTER HEALTH EXECUTIVE, OR ANY OFFICER OR MEMBER OF MANAGEMENT OF THE CORPORATION OR ANY AFFILIATED ENTITY AFTER THEIR EMPLOYMENT HAS ENDED. 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	PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH 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 12C	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, officers and key employees. 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. 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. The Board may consult with the LEGAL AND RISK SERVICES DEPARTMENT as necessary. Until the potential conflict is resolved, the Board Chair (or committee chair as applicable) may request the individual to not participate during related presentations and discussions. In all circumstances involving an actual conflict, the interested individual shall leave the room prior to the board's final discussion and vote.
FORM 990, PART VI, LINES 15A & 15B	PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE independent 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. TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE), (C) TOTAL DIRECT CASH (BASE SALARY + ANNUAL INCENTIVE + LONG TERM INCENTIVE) AND (D) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH, ADJUSTED TO THE CALIFORNIA MARKET. THIS METHOD IS MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION UNDERGO AN ANNUAL REVIEW BY THE COMPENSATION COMMITTEE OR A DELEGATED SUB-COMMITTEE. APPROVAL IS RECORDED IN THE MINUTES. THE 2024 EXECUTIVE COMPENSATION APPROVAL WAS COMPLETED IN APRIL 2024.
FORM 990, PART VI, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, COI POLICY & FINANCIAL STATEMENTS: 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 and conflict of interest policy are not available to the public at this time.
FORM 990, PART VII, SECTION A	COMPENSATION OF BOARD MEMBERS: THE FOLLOWING BOARD MEMBERS OF THE ORGANIZATION ARE FULL-TIME EMPLOYEES (40 HOURS PER WEEK) OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARIES ARE REPORTED HEREIN. THESE INDIVIDUALS RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS OF THIS ORGANIZATION. - KEITH LAGNESE, MD - MARK MCPHERSON - ANNA KIGER - ALBERT CHAN, MD - URSULA BOYNTON, MD COMMON LAW EMPLOYEES: INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID FULLTIME BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF SUTTER HEALTH, A SEPARATE LEGAL ENTITY. IT IS THE INTENTION OF SUTTER HEALTH AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE SUTTER HEALTH EMPLOYEES WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION.
FORM 990, PART XI, LINE 9	OTHER CHANGE IN NET ASSETS OR FUND BALANCES: EQUITY TRANSFER, RELATED ENTITIES (NET) $ 321,450,592 CHANGE IN SPLIT INTEREST $ 66,868 ----------------- TOTAL $ 321,517,460

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 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
CALIFORNIA PACIFIC MEDICAL CTR FOUND
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	942728423	FUNDRAISING	CA	501(C)(3)	7	SUTTER BH	Yes (true)
SUTTER COMMUNITY HEALTH
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	510172285	HEALTHCARE	CA	501(C)(3)	3	SUTTER BH	Yes (true)
MEMORIAL HOSPITAL FOUNDATION
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	942290244	FUNDRAISING	CA	501(C)(3)	12A - I	SUTTER VH	Yes (true)
MILLS-PENINSULA HOSPITAL FOUNDATION
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	237288765	FUNDRAISING	CA	501(C)(3)	7	SUTTER BH	Yes (true)
SANSUM CLINIC
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	956419205	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	942594966	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER BAY HOSPITALS
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	940562680	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER BAY MEDICAL FOUNDATION
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	941156581	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER COAST HOSPITAL
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	942988520	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER DAVIS HOSPITAL FOUNDATION
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	680217870	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER HEALTH
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942788907	SUPPORTING OR	CA	501(C)(3)	12C III-FI	NA	false
SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RD	EWA BEACH	HI	96706	990298651	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER HEALTH ALLIANCE
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	461183948	HEALTH PLAN	CA	501(C)(4)	N/A	SUTTER HLTH	Yes (true)
SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 1100	HONOLULU	HI	96813	990289310	INSURANCE SER	HI	501(C)(3)	12C III-FI	SUTTER HLTH	Yes (true)
SUTTER MEDICAL CENTER FOUNDATION
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	942788906	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	680040113	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER VALLEY HOSPITALS
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	941156621	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER VALLEY MEDICAL FOUNDATION
C/O SH TAX 2300 RIVER PLAZA DR	SACRAMENTO	CA	95833	680273974	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
TRACY HOSPITAL FOUNDATION
C/O SH TAX 2300 RIVER PLAZA DR	Sacramento	CA	95833	680318845	Fundraising	CA	501(C)(3)	12A - I	SUTTER VH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd
SURG CTR OF ABSMC
3875 TELEGRAPH	OAKLAND	CA	94609	470946086	PATIENT CARE	CA	NA
CA PACIFIC ADV IMAG
PO BOX 6102	NOVATO	CA	94948	562311840	PATIENT CARE	CA	NA
SF ENDOSCOPY CENTER
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	912160588	PATIENT CARE	CA	NA
SUT FAIRFIELD SURG
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	300233892	PATIENT CARE	CA	NA
SUT AMADOR SURG CTR
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	461398093	PATIENT CARE	CA	NA
ROSEVILLE ENDOSCOPY
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	870710513	PATIENT CARE	CA	NA
MEMORIAL MED BLDG
1800 COFFEE RD 76	MODESTO	CA	95355	770234236	OFFICE RENTAL	CA	NA
MAGNETIC IMAGING AF
2125 OAK GROVE ROAD	WALNUT CREEK	CA	94598	473696091	PATIENT CARE	CA	NA
ASC OPTRS SNTA ROSA
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	263386169	CARE MANAGEMENT	CA	NA
ASC OPTRS - SLO LLC
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	272673776	CARE MANAGEMENT	CA	NA
ICG CREDIT OPP FUND
11111 SANTA MONICA BLVD	LOS ANGELES	CA	90025	814220441	INVESTMENTS	DE	NA
CARLSBAD SURG CTR
2300 River Plaza Dr	SACRAMENTO	CA	95833	201413484	PATIENT CARE	CA	NA
DIVISADERO HOLD LLC
1635 DIVISADERO	SAN FRANCISCO	CA	94115	320621050	CARE MANAGEMENT	CA	NA
PENINSULA ENDOSCOPY
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	271905059	PATIENT CARE	CA	NA
S Placer Surg Ctr
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	421540694	Patient Care	CA	NA
Sac Surg Ctr Assoc
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	680516588	Patient Care	CA	NA
FORT SUT SURG CTR
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	680116391	Patient Care	CA	NA
Sut Alhambra Surg
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	631221949	Patient Care	CA	NA
Auburn Surg CTR
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	364123623	Patient Care	CA	NA
ASC Operators LLC
2300 River Plaza Drive	SACRAMENTO	CA	95833	208970704	CARE MANAGEMENT	CA	NA
D E SHAW ALP PLUS
1166 AVENUE OF THE AMERICAS - 9TH F	NEW YORK	NY	10036	882890454	Investment	DE	NA
ICG CR OPP FUND 1A
11111 SANTA MONICA BLVD	LOS ANGELES	CA	90025	825045573	Investment	DE	NA
ICG CR OPP FUND 2A
11111 SANTA MONICA BLVD	LOS ANGELES	CA	90025	852303976	Investment	DE	NA
MAKENA RE II
2755 Sand Hill Road Suite 200	MENLO PARK	CA	94025	981298071	Investment		NA	CJ
D E SHAW ALL CTRY
1166 AVENUE OF THE AMERICAS - 9TH F	NEW YORK	NY	10036	832024364	Investment	DE	NA
ICG SPEC OPP FND I
11111 SANTA MONICA BLVD	LOS ANGELES	CA	90025	863196460	Investment	DE	NA
TAP CMDITYBLDR FUND
257 PARK AVENUE S SUITE 700	NEW YORK	NY	10010	274871720	INVESTMENT	NY	NA
MAKENA STRATEGIC OPPORTUNITIES FUND - SH
2755 SAND HILL ROAD SUITE 200	MENLO PARK	CA	94025	844965838	INVESTMENT	DE	NA
EHC SURGERY CENTER
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	943214614	PATIENT CARE	CA	NA
AG Net Lease Realty Fund V-QTE
				981743643	INVESTMENT		NA	CA	100 KING ST	TORONTO	CA	M5X1B8

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd
SUTTER HEALTH DEFERRED COMP PLANS' TRUST
2300 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	276851989	RABBI TRUST	CA	NA	TRUST	Yes (true)
NORTHWOOD EUROPE TE FEEDER LP
1819 WAZEE ST 2ND FLOOR	DENVER	CO	80202	981272216	HOLDING COMPANY		NA	C CORP	Yes (true)	CJ
WilSOP Segregated Portfolio 1
					INVESTMENT		NA	C CORP	Yes (true)	CJ	PO BOX 10008 WILLOW HOUSE	CRICKET SQUARE	GRAND CAYMAN	CJ
WilSOP Segregated Portfolio 2
					INVESTMENT		NA	C CORP	Yes (true)	CJ	PO BOX 10008 WILLOW HOUSE	CRICKET SQUARE	GRAND CAYMAN	CJ
BRIGADE LEVERAGED CAPITAL STRUCTURE OFFS
				981020330	INVESTMENT		NA	C Corp	Yes (true)	CJ	ONE NEXUS WAY	CAMANA BAY	GRAND CAYMAN	CJ	KY1-9005
AQR MULTI-STRATEGY FUND XXIII LP
ONE GREENWICH PLAZA STE 130	GREENWICH	CT	06830	981716386	INVESTMENT		NA	C CORP	Yes (true)	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	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 (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SUTTER INSURANCE SERVICES CORPORATION
P	$2,267,902	FMV
Sutter Valley Hospitals
S	$2,119,317	FMV
Sutter Valley Hospitals
K	$221,759	FMV
Sutter Valley Medical Foundation
S	$257,086	FMV
Sutter Bay Hospitals
K	$364,267	FMV
Sutter Bay Medical Foundation
S	$213,946	FMV