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SUTTER VALLEY MEDICAL FOUNDATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SUTTER VALLEY MEDICAL FOUNDATION (EIN 68-0273974)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-04
IRS object ID
201533089349302108
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-04T20:50:15-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14370 LA JOLLA VILLAGE DR STE 500AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92122ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680273974EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUTTER MEDICAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CHRIS BOUDREAUXInCareOfNm
Business Name ControlSUTTBusinessNameControlTxt
Phone9162866665PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12800 L STREET 7TH FLOORAddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95816ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAIGE TERRAPersonNm
Person TitleCFOPersonTitleTxt
Phone9162866665PhoneNum
Signature2015-11-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDEBRA HEISKALAPreparerPersonNm
PTINP00649485PTIN
Phone8585357200PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES CONFORTIPrincipalOfficerNm
Gross Receipts$922,081,522GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SUTTERHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee3683TotalEmployeeCnt
Total Volunteers34TotalVolunteersCnt
Total Gross UBI$300,222TotalGrossUBIAmt
PY Contributions Grants$938,651PYContributionsGrantsAmt
CY Contributions Grants$638,319CYContributionsGrantsAmt
PY Program Service Revenue$765,084,058PYProgramServiceRevenueAmt
CY Program Service Revenue$920,684,101CYProgramServiceRevenueAmt
PY Investment Income$332,187PYInvestmentIncomeAmt
CY Investment Income$245,738CYInvestmentIncomeAmt
PY Other Revenue$249,098PYOtherRevenueAmt
CY Other Revenue$309,448CYOtherRevenueAmt
PY Total Revenue$766,603,994PYTotalRevenueAmt
CY Total Revenue$921,877,606CYTotalRevenueAmt
PY Grants And Similar Paid$51,212PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$194,564,978PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$248,854,454CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$341,649CYTotalFundraisingExpenseAmt
PY Other Expenses$571,525,154PYOtherExpensesAmt
CY Other Expenses$676,356,850CYOtherExpensesAmt
PY Total Expenses$766,141,344PYTotalExpensesAmt
CY Total Expenses$925,211,304CYTotalExpensesAmt
PY Revenues Less Expenses$462,650PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,333,698CYRevenuesLessExpensesAmt
Total Assets BOY$345,208,495TotalAssetsBOYAmt
Total Assets EOY$380,967,624TotalAssetsEOYAmt
Total Liabilities BOY$123,238,524TotalLiabilitiesBOYAmt
Total Liabilities EOY$130,712,764TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$221,969,971NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$250,254,860NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$826,760,521ExpenseAmt
Grant$0GrantAmt
Revenue$920,684,101RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$826,760,521TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document326IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3683EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHRIS BOUDREAUXPersonNm
Phone9162978007PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19100 FOOTHILLS BOULEVARDAddressLine1Txt
CityROSEVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95747ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAMES CONFORTI
REGIONAL PRESIDENT, SAC SIERRA4.040.0Yes (X)Yes (X)$0$1,074,810$332,008
VIVA ETTIN
TRUSTEE2.02.0Yes (X)$0$0$0
PATRICK FRY
PRESIDENT & CEO, SUTTER HEALTH2.040.0Yes (X)$0$3,626,366$2,728,330
GARY HOOPER
TRUSTEE, CHAIR F & P4.02.0Yes (X)Yes (X)$0$0$0
SCOTT HOWELL
TRUSTEE2.02.0Yes (X)$0$0$0
PETER HULL MD
TRUSTEE2.02.0Yes (X)$0$0$0
JEFFREY JENKINS MD
TRUSTEE2.02.0Yes (X)$0$0$0
CHRISTOPHER JOHNSON
TRUSTEE2.02.0Yes (X)$0$0$0
RICHARD KRAMER
TRUSTEE2.04.0Yes (X)$0$0$0
SARAH KREVANS
COO SUTTER HEALTH2.040.0Yes (X)$0$1,762,485$424,237
PAT FONG KUSHIDA
TRUSTEE2.02.0Yes (X)$0$0$0
MARION LEFF MD
TRUSTEE2.02.0Yes (X)$0$0$0
JERRY MAY PHD
TRUSTEE, VICE CHAIR4.04.0Yes (X)Yes (X)$0$0$0
MIKE NEWELL
TRUSTEE, CHAIR4.04.0Yes (X)Yes (X)$0$0$0
PAT PATHIPATI
TRUSTEE2.02.0Yes (X)$0$0$0
PAIGE STAUSS
TRUSTEE2.02.0Yes (X)$0$0$0
HELEN THOMSON
TRUSTEE2.02.0Yes (X)$0$0$0
JEFFREY SPRAGUE
CFO, SAC SIERRA (PART-YEAR)4.040.0Yes (X)$0$1,054,869$399,561
PAIGE TERRA
CFO (PART-YEAR)40.00.0Yes (X)$0$555,721$101,568
PENNY WESTFALL
VP & REG. COUNSEL SAC SIERRA4.040.0Yes (X)$0$564,797$73,392
TOM BLINN
CEO, SUTTER MED FOUNDATION40.00.0$0$841,783$165,872Yes (X)
THERESA FREI
COO, SMF40.00.0$0$406,035$53,565Yes (X)
GLEN GROVES
FINANCE EXECUTIVE, SMF WEST40.00.0$188,270$22,240$19,432Yes (X)
SUHEIR HADDAD
FINANCE ADMIN SMF CENTRAL40.00.0$0$335,128$58,624Yes (X)
THERESA HEYLEN RUIZ
FINANCE EXECUTIVE, SMF NORTH40.00.0$0$243,810$15,463Yes (X)
ERIC RASMUSSEN
DIRECTOR GROWTH & DEVELOPMENT40.00.0$226,713$0$25,273Yes (X)
JOHN RAY
EXECUTIVE, SMF WEST DIVISION40.00.0$0$285,445$16,434Yes (X)
TERESA WILSON
SENIOR DIRECTOR MANAGED CARE40.00.0$241,280$0$21,032Yes (X)
DAVID YAMAMOTO
CEO, SMF NORTH40.00.0$0$226,847$19,895Yes (X)
GARY ZUFELT
COO, SMF CENTRAL40.00.0$0$619,260$109,422Yes (X)
PAMELA ADDY
REGIONAL OPERATIONS DIRECTOR40.00.0$185,284$0$23,562Yes (X)
DAVID ASCHE
DIRECTOR RADIATION PHYSICS40.00.0$204,926$0$13,612Yes (X)
JONATHAN BARENG
CHIEF PHYSICIST40.00.0$198,897$0$18,790Yes (X)
LISA BYNUM
DIRECTOR, CONTRACTS40.00.0$186,874$0$24,296Yes (X)
ROSETTA LI
REGIONAL FIN DIRECTOR (PT YR)40.00.0$227,616$0$23,518Yes (X)
KEVIN ENGLE
SERVICE LINE MANAGER0.040.0$141,665$0$5,250Yes (X)
MICHAEL D MARINO
DIRECTOR HR, SMF40.00.0$0$259,333$20,498Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,801,525TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,878,929TotReportableCompRltdOrgAmt
Total Other Compensation$4,693,634TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K291IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SUTTER MEDICAL GROUP
2800 L STREET SUITE 630SACRAMENTOCA95816MEDICAL SERVICES$264,410,250
SUTTER NORTH MEDICAL GROUP
969 PLUMAS ST STE 203YUBA CITYCA95991MEDICAL SERVICES$33,778,782
SUTTER CONNECT
PO BOX 255448SACRAMENTOCA95865MANAGEMENT SERVICES$18,794,889
TOWERS WATSON DELAWARE INC
LOCKBOX 28025 NETWORK PLCHICAGOIL606731280CONSULTING SERVICES$5,646,248
QUEST DIAGNOSTICS INC
3924 COLLECTION CTRCHICAGOIL606930039LABORATORY SERVICES$1,576,320
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K67CntrctRcvdGreaterThan100KCnt
Federated Campaigns$908FederatedCampaignsAmt
Fundraising$103,419FundraisingAmt
Government Grants$750GovernmentGrantsAmt
All Other Contributions$533,242AllOtherContributionsAmt
Total Contributions$638,319TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$905,650,010$905,650,010
ROSEVILLE ENDOSCOPY621110$2,007,239$2,007,239
SUTTER FAIRFIELD SURGERY CENTER621110$2,191,879$2,191,879
TWIN CITIES SURGICAL HOSPITAL621110$1,150,803$1,150,803
ASC OPERATORS LLC621110$4,636,521$4,636,521

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,047,649TotalRevenueColumnAmt
Related Or Exempt Func Income$5,047,649RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$920,684,101TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$245,738TotalRevenueColumnAmt
Exclusion$245,738ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$176,159RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$176,159RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$33,398FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$103,419ContriRptFundraisingEventAmt
Fundraising Direct Expenses$27,724FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,674TotalRevenueColumnAmt
Exclusion$5,674ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$3,585GamingGrossIncomeAmt
Gaming Direct Expenses$33GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,552TotalRevenueColumnAmt
Exclusion$3,552ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
UBI - SFSC ADMIN FEE541610$24,569$24,569
UBI - TWIN CITIES MANAGEMENT FEE541900$275,653$275,653
FieldValueIRS element (for citing)
Other Revenue Total$300,222OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$921,877,606TotalRevenueColumnAmt
Related Or Exempt Func Income$920,684,101RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$300,222UnrelatedBusinessRevenueAmt
Exclusion$254,964ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,141,821TotalAmt
Management And General$4,141,821ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$34,175TotalAmt
Program Services$34,175ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$154,020,882TotalAmt
Program Services$137,906,493ProgramServicesAmt
Management And General$15,978,093ManagementAndGeneralAmt
Fundraising$136,296FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,749,157TotalAmt
Program Services$7,628,877ProgramServicesAmt
Management And General$1,112,742ManagementAndGeneralAmt
Fundraising$7,538FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$67,885,598TotalAmt
Program Services$59,193,234ProgramServicesAmt
Management And General$8,648,172ManagementAndGeneralAmt
Fundraising$44,192FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,022,821TotalAmt
Program Services$12,227,279ProgramServicesAmt
Management And General$1,783,461ManagementAndGeneralAmt
Fundraising$12,081FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$633,795TotalAmt
Program Services$2,111ProgramServicesAmt
Management And General$631,684ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,128,660TotalAmt
Management And General$1,128,660ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$52,776TotalAmt
Management And General$52,776ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$136,661TotalAmt
Management And General$136,661ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,456,041TotalAmt
Program Services$6,456,041ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$410,954TotalAmt
Program Services$410,954ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,830,165TotalAmt
Program Services$6,586,649ProgramServicesAmt
Management And General$5,235,582ManagementAndGeneralAmt
Fundraising$7,934FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$23,982,373TotalAmt
Program Services$23,686,410ProgramServicesAmt
Management And General$295,963ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$31,909,312TotalAmt
Program Services$31,909,312ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,450,975TotalAmt
Program Services$1,265,186ProgramServicesAmt
Management And General$182,016ManagementAndGeneralAmt
Fundraising$3,773FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$216,119TotalAmt
Program Services$189,041ProgramServicesAmt
Management And General$27,078ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,026,779TotalAmt
Program Services$7,026,779ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$40,244,108TotalAmt
Program Services$40,244,108ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$811,007TotalAmt
Program Services$621,597ProgramServicesAmt
Management And General$189,410ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL GROUP COMPENSATION$323,408,121$323,408,121
PURCHASED SERVICES$94,415,611$54,940,850$39,474,761
CAPITATED SERVICES$67,376,140$67,376,140
MEDICAL SUPPLIES$39,943,849$39,943,849

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,923,404TotalAmt
Program Services$5,703,315ProgramServicesAmt
Management And General$19,090,254ManagementAndGeneralAmt
Fundraising$129,835FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$925,211,304TotalAmt
Program Services$826,760,521ProgramServicesAmt
Management And General$98,109,134ManagementAndGeneralAmt
Fundraising$341,649FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$30,867,283BOYAmt
EOY$30,066,242EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$309,085BOYAmt
EOY$215,322EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$59,261,118BOYAmt
EOY$67,030,838EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,774,229BOYAmt
EOY$6,114,270EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,334,245BOYAmt
EOY$1,902,922EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$436,069,731LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$221,181,098LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$201,807,436BOYAmt
EOY$214,888,633EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,562,549BOYAmt
EOY$3,115,075EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$19,927,549BOYAmt
EOY$18,999,289EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,225,876BOYAmt
EOY$21,076,327EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,139,125BOYAmt
EOY$17,558,706EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$345,208,495BOYAmt
EOY$380,967,624EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$77,338,486BOYAmt
EOY$84,608,010EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,935,348BOYAmt
EOY$38,861,688EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$199,909BOYAmt
EOY$76,887EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,764,781BOYAmt
EOY$7,166,179EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$123,238,524BOYAmt
EOY$130,712,764EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$220,607,771BOYAmt
EOY$248,493,750EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,362,200BOYAmt
EOY$1,761,110EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$221,969,971BOYAmt
EOY$250,254,860EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$345,208,495BOYAmt
EOY$380,967,624EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,333,698ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$484,563NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$31,134,024OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SUTTER HEALTH SACRAMENTO SIERRA REGIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN941156621EIN
Organization Type03OrganizationTypeDesc
Governing Document ListedfalseGoverningDocumentListedInd
Support$26,722,053SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$26,722,053SupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (true)MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART IV, LINE 6In 2014, our not-for-profit Sutter Health network invested $767 million
SCHEDULE A, PART IV, SECTION CSUTTER MEDICAL FOUNDATION (SMF) IS A SUPPORTING ORGANIZATION TO SUTTER

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,775,421OtherCostOrOtherBasisAmt
Book Value$18,775,421BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$189,713,139OtherCostOrOtherBasisAmt
Depreciation$68,507,049DepreciationAmt
Book Value$121,206,090BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,855,002OtherCostOrOtherBasisAmt
Depreciation$27,287,207DepreciationAmt
Book Value$25,567,795BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$147,940,754OtherCostOrOtherBasisAmt
Depreciation$118,498,082DepreciationAmt
Book Value$29,442,672BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,785,415OtherCostOrOtherBasisAmt
Depreciation$6,888,760DepreciationAmt
Book Value$19,896,655BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$214,888,633TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INSURANCE LIABILITIES$501,571
OTHER LIABILITIES$6,664,608
FieldValueIRS element (for citing)
Total Liability$7,166,179TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationASC 740 (FIN48) AUDIT FOOTNOTE 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, 2014 AND 2013, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SWING INTO HLTHEvent1Nm
Gross Receipts Event1$103,527GrossReceiptsEvent1Amt
Charitable Contri Event1$82,856CharitableContriEvent1Amt
Gross Revenue Event1$20,671GrossRevenueEvent1Amt
Non Cash Prizes Event1$5,419NonCashPrizesEvent1Amt
Rent Facility Costs Event1$7,704RentFacilityCostsEvent1Amt
Food And Beverage Event1$8,294FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$851OtherDirectExpensesEvent1Amt
Event2HORSES & HATSEvent2Nm
Gross Receipts Event2$33,290GrossReceiptsEvent2Amt
Charitable Contri Event2$20,563CharitableContriEvent2Amt
Gross Revenue Event2$12,727GrossRevenueEvent2Amt
Food And Beverage Event2$3,542FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$1,914OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$136,817GrossReceiptsTotalAmt
Charitable Contributions Tot$103,419CharitableContributionsTotAmt
Gross Revenue Total Events$33,398GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$5,419NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$7,704RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$11,836FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$2,765OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$27,724DirectExpenseSummaryEventsAmt
Net Income Summary$5,674NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,964,720TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,964,720NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,942,609TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,057,041DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,885,569NetCommunityBenefitExpnsAmt
Total Expense0.03680TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$441TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,455DirectOffsettingRevenueAmt
Net Community Benefit Expns-$1,014NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,907,770TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,058,496DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,849,275NetCommunityBenefitExpnsAmt
Total Expense0.03890TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$74,224TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$74,224NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$368,294TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$231,756DirectOffsettingRevenueAmt
Net Community Benefit Expns$136,538NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,490,383TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,910,106DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,580,277NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$429,150TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$287,381DirectOffsettingRevenueAmt
Net Community Benefit Expns$141,769NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served286PersonsServedCnt
Total Community Benefit Expns$154,738TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$450DirectOffsettingRevenueAmt
Net Community Benefit Expns$154,288NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served286PersonsServedCnt
Total Community Benefit Expns$6,516,789TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,429,693DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,087,096NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served286PersonsServedCnt
Total Community Benefit Expns$66,424,559TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,488,189DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,936,371NetCommunityBenefitExpnsAmt
Total Expense0.04110TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$27,620TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,620NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$27,620TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,620NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$14,961,821BadDebtExpenseAmt
Reimbursed By Medicare$3,153,084ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,457,406CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,304,322MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1SUT AMADOR SURG CNTRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesMEDICAL SERVICESPrimaryActivitiesTxt
Org Profit Or Ownership0.32000OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.27000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUTTER SURGICAL HOSPITAL-NORTH VALLEYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1455 PLUMAS BLVDAddressLine1Txt
CityYUBA CITYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP959915074ZIPCd
FieldValueIRS element (for citing)
Website AddressSUTTERSURGICALHOSPITALNORTHVALLEY.ORGWebsiteAddressTxt
State LicenseLICENSE #550000989StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
OtherOUTPATIENT SERVICESOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SUTTER SURGICAL HOSPITAL NORTH VALLEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: IN CONDUCTING ITS MOST RECENT CHNA, SUTTER SURGICAL HOSPITAL NORTH VALLEY, A FACILITY OF SUTTER MEDICAL FOUNDATION (SMF), DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). KEY INFORMANTS WERE HEALTH AND COMMUNITY EXPERTS FAMILIAR WITH POPULATIONS AND GEOGRAPHIC AREAS RESIDING WITHIN THE HSA. TO GAIN A DEEPER UNDERSTANDING OF THE HEALTH ISSUES PERTAINING TO CHRONIC DISEASE AND THE POPULATIONS LIVING IN THESE VULNERABLE COMMUNITIES, INPUT FROM SIX KEY INFORMANT INTERVIEWS WAS COLLECTED AND ANALYZED USING A THEORETICALLY GROUNDED INTERVIEW GUIDE. ANALYSIS WAS CONDUCTED ON EACH INTERVIEW TO IDENTIFY KEY THEMES. INTERVIEWS WERE HELD WITH THE FOLLOWING PEOPLE: - AMERJIT BHATTAL, ASSISTANT DIRECTOR OF HUMAN SERVICES FOR SUTTER COUNTY PUBLIC HEALTH WITH EXPERTISE IN PUBLIC HEALTH. (INTERVIEW DATE: 6/5/13) - MONICA BROKENBROUGH, CENTER MANAGER FOR PLANNED PARENTHOOD MAR MONTE WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 6/5/13) - DR. LOU ANNE CUMMINGS, HEALTH OFFICER FOR SUTTER COUNTY PUBLIC HEALTH WITH EXPERTISE IN PUBLIC HEALTH. (INTERVIEW DATE: 6/5/13) - MARY DELONG, DIRECTOR OF STUDENT NUTRITION AND WAREHOUSE FOR YUBA CITY UNIFIED SCHOOL DISTRICT WITH EXPERTISE IN NUTRITION. (INTERVIEW DATE: 6/5/13) - RACHAEL FARELL, PA-C, CEO OF HARMONY HEALTH WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 6/6/13) - KATRINA HENRY, DIRECTOR OF NURSES FOR YUBA COUNTY, PUBLIC HEALTH DIVISION WITH EXPERTISE IN PUBLIC HEALTH. (INTERVIEW DATE: 6/6/13) - MICHELLE LAUGHLIN, SITE MANAGER FOR TRIBAL HEALTH WITH EXPERTISE IN TRIBAL HEALTH. (INTERVIEW DATE: 6/6/13) - SUSANA RAMIREX, CENTER MANAGER FOR PLANNED PARENTHOOD MAR MONTE WITH EXPERTISE IN COMMUNITY HEALTH. (INTERVIEW DATE: 6/5/13) THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER SURGICAL HOSPITAL NORTH VALLEY'S CHNA ARE AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML.
SCHEDULE H, PART V, SECTION B, LINE 6ACHNA HOSPITAL COLLABORATORS: THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER SURGICAL HOSPITAL NORTH VALLEY WAS NOT CONDUCTED WITH ONE OR MORE HOSPITAL FACILITIES; HOWEVER, IT WAS A COLLABORATIVE EFFORT.
SCHEDULE H, PART V, SECTION B, LINE 7A, 7B AND 10AREPORTING ORG WEBSITE HTTP://WWW.SUTTERSURGICALHOSPITALNORTHVALLEY.ORG/ABOUT-US/COMMUNITY-NEEDS- ASSESSMENT.HTML OTHER WEBSITE HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML
SCHEDULE H, PART V, SECTION B, LINE 11The following significant health needs were identified in the 2013 Community Health Needs Assessment are needs that Sutter Surgical Hospital North Valley intends to address through its implementation strategy: - Limited access to healthcare - No health insurance, isolation in the Foothills, limited transportation, chronic diseases, respiratory problems, mental and emotion health issues and dental issues - Poor Diet - Unaffordable fresh foods; unavailability of fresh foods; high concentration of fast food restaurants - Obesity/physical inactivity - Limited parks and recreation opportunities and lack of walk-friendly communities - Lack of preventative care - Policies that do not support health and wellbeing - Poverty Descriptions of the community benefit programs that address these significant health needs can be found in Part VI, along with additional critical efforts on behalf of Sutter Surgical Hospital North Valley.
SCHEDULE H, PART V, SECTION B, LINE 13HELIGIBILITY CRITERIA - OTHER: ADDITIONAL FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDES HOUSEHOLD SIZE, WHICH IS PART OF THE FEDERAL POVERTY GUIDELINES.
SCHEDULE H, PART V, SECTION B, LINE 16IMEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WAS POSTED ON THE HOSPITAL'S FACILITY'S WEBSITE, WAS ATTACHED TO BILLING INVOICES, WAS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY/WAITING ROOM, WAS POSTED IN THE HOSPITAL'S ADMISSIONS OFFICE, WAS PROVIDED IN WRITING ON ADMISSION TO THE HOSPITAL, AND WAS AVAILABLE ON REQUEST. PATIENTS ELIGIBLE FOR CHARITY CARE ARE TRACKED IN THE HOSPITAL'S LEGACY SYSTEM AND ARE REMINDED 30 DAYS AFTER CHARITY CARE PACKET IS RECEIVED IF PAPERWORK HAS NOT BEEN SUBMITTED. ORGANIZATION USES AN INCOME VALIDATION TOOL TO ALERT PATIENTS THAT THEY MAY BE ELIGIBLE FOR CHARITY CARE.
SCHEDULE H, PART V, SECTION B, LINE 22DAMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR DIFFERENT LEVELS OF ASSISTANCE FOR PATIENTS BASED ON VARIOUS ELIGIBILITY REQUIREMENTS INCLUDING, BUT NOT LIMITED TO (1) FULL CHARITY CARE, (2) PARTIAL CHARITY CARE, (3) SPECIAL CIRCUMSTANCES CHARITY CARE, (4) CATASTROPHIC CHARITY CARE, (5) HIGH COST MEDICAL CHARITY CARE, (6) UNINSURED PATIENT DISCOUNT, AND (7) PROMPT PAYMENT DISCOUNT. THE MAXIMUM AMOUNT BILLED TO THE PATIENT IS CALCULATED DIFFERENTLY DEPENDING ON THE CATEGORY OF FINANCIAL ASSISTANCE FOR WHICH THEY ARE ELIGIBLE.
FieldValueIRS element (for citing)
Facility70FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (70 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
MEDICAL OFFICE BUILDING
2702 LOW COURTFAIRFIELDCA94534OUTPATIENT SERVICES
MEDICAL OFFICE BUILDING
480 PLUMASYUBA CITYCA95991OUTPATIENT SERVICES
SUTTER FAIRFIELD SURGERY CENTER
2700 LOW COURT 2ND FLOORFAIRFIELDCA94534SUTTER FAIRFIELD SURGERY CENTER
AUBURN AMC FAMILY PRACTICE & ORTHOPEDICS
3133 PROFESSIONAL DRIVEAUBURNCA95603FAMILY PRACTICE AND ORTHOPEDICS
URGENT CARELABRADIOLOGYCARDIOLOGY
440 PLUMASYUBA CITYCA95991URGENT CARE, LAB, RADIOLOGY AND CARDIOLOGY
MEDICAL OFFICE BLDG-AMBULATORY SURG CTR
460 PLUMASYUBA CITYCA95991OUTPATIENT SERVICES AND SURGERY CENTER
CARE CENTER AND CALL CENTER
2450 MARTIN ROADFAIRFIELDCA94533OUTPATIENT SERVICES AND CALL CENTER
AMADOR CARDIO INVASIVE AND LAB
815 COURT STREETJACKSONCA95642CARDIOLOGY
AUBURN GASTROENTEROLOGY & NEUROLOGY
11795 EDUCATION STREETAUBURNCA95602GASTROENTEROLOGY AND NEUROLOGY
CLINICAL LAB
2715 K STREETSACRAMENTOCA95816LAB SERVICES
ROSEVILLE FAMILY PRACTICE & PHYS THERAPY
568 N SUNRISE AVEROSEVILLECA95661OUTPATIENT SERVICES AND PHYSICAL THERAPY
ELK GROVE - PHYSICAL THERAPY
9280 W STOCKTON BLVDELK GROVECA95758PHYSICAL THERAPY
GRASS VLY FAMILY PRACTICE & PHYS THERAPY
10058 WOLF ROADGRASS VALLEYCA95949OUTPATIENT SERVICES AND PHYSICAL THERAPY
AUBURN PHYSICAL THERAPY
11930 HERITAGE OAKS PLACEAUBURNCA95603PHYSICAL THERAPY
DAVIS - PHYSICAL THERAPY
1340 LAKE BLVDDAVISCA95616PHYSICAL THERAPY
LINCOLN PHYSICAL THERAPY
965 ORCHARD CREEK LANELINCOLNCA95648PHYSICAL THERAPY
PHYSICAL THERAPY
420 B STYUBA CITYCA95991PHYSICAL THERAPY
AUBURN OCCUPATIONAL MEDICINE
1330 AIRPORT BLVDAUBURNCA95602OCCUPATIONAL MEDICINE
OCCUPATIONAL HEALTH
1014 NORTH MARKET BLVDSACRAMENTOCA95834OCCUPATIONAL HEALTH
SUTTER FAIRFIELD DIAGNOSTIC IMAGING CTR
2700 LOW COURT 1ST FLOORFAIRFIELDCA94534DIAGNOSTIC IMAGING CENTER
ROSEVILLE PATIENT SERVICE CENTERS
MEDICAL PLAZA DRIVEROSEVILLECA95661OUTPATIENT SERVICES
DAVIS MEDICAL OFFICE BLDG ANESTHESIOLOGY
1801 HANOVER DRDAVISCA95616OUTPATIENT SERVICES AND ANESTHESIOLOGY
DAVIS PATIENT SERVICE CENTERS
2020 SUTTER PLACEDAVISCA95616OUTPATIENT SERVICES
SACRAMENTO AREA PATIENT SERVICE CENTERS
5301 F STSACRAMENTOCA95816OUTPATIENT SERVICES
FORT SUTTER PATIENT SERVICE CENTERS
1020 29TH STREETSACRAMENTOCA95816OUTPATIENT SERVICES
FOLSOM PATIENT SERVICE CENTERS
2575 E BIDWELL STFOLSOMCA95630OUTPATIENT SERVICES
SACRAMENTO AREA PATIENT SERVICE CENTERS
1625 STOCKTON BLVDSACRAMENTOCA95816OUTPATIENT SERVICES
FORT SUTTER PATIENT SERVICE CENTERS
2801 K STSACRAMENTOCA95816OUTPATIENT SERVICES
NORTHEAST SAC PATIENT SERVICE CENTERS
3100 DOUGLAS BLVDROSEVILLECA95661OUTPATIENT SERVICES
NORTHEAST SAC PATIENT SERVICE CENTERS
83 SCRIPPS DRSACRAMENTOCA95825OUTPATIENT SERVICES
SACRAMENTO AREA PATIENT SERVICE CENTERS
1201 ALHAMBRA BLVDSACRAMENTOCA95816OUTPATIENT SERVICES
SACRAMENTO AREA PATIENT SERVICE CENTERS
2725 CAPITOL AVESACRAMENTOCA95816OUTPATIENT SERVICES
YOLO AREA PATIENT SERVICE CENTERS
635 ANDERSON RDDAVISCA95616OUTPATIENT SERVICES
SACRAMENTO AREA PATIENT SERVICE CENTERS
8170 LAGUNA BLVDELK GROVECA95758OUTPATIENT SERVICES
YOLO AREA PATIENT SERVICE CENTERS
2210 DEL PASO RDSACRAMENTOCA95831OUTPATIENT SERVICES
PLACER AREA PATIENT SERVICE CENTERS
1160 SUNSET BLVDROCKLINCA95765OUTPATIENT SERVICES
PLACER AREA PATIENT SERVICE CENTERS
685 TWELVE BRIDGES DRLINCOLNCA95648OUTPATIENT SERVICES
RANCHO CORDOVA - PATIENT SERVICE CENTERS
11121 SUN CENTER DRRANCHO CORDOVACA95670OUTPATIENT SERVICES
WOODLAND PATIENT SERVICES CENTER
475 PIONEER AVEWOODLANDCA95776OUTPATIENT SERVICES
YOLO AREA PATIENT SERVICE CENTERS
125 N LINCOLN STDIXONCA95620OUTPATIENT SERVICES
PLACER AREA PATIENT SERVICE CENTERS
3288 BELL RDAUBURNCA95603OUTPATIENT SERVICES
NORTHEAST SAC PATIENT SERVICE CENTERS
5767 GREENBACK LANESACRAMENTOCA95814OUTPATIENT SERVICES
YOLO AREA PATIENT SERVICE CENTERS
7420 GREENHAVEN DRSACRAMENTOCA95831OUTPATIENT SERVICES
ROCKLIN - FAMILY PRACTICE
1160 SUNSET BLVDROCKLINCA95765OUTPATIENT SERVICES
AUBURN PARKHILL FAMILY PRACTICE
404 AUBURN-FOLSOM ROADAUBURNCA95603FAMILY PRACTICE
VACAVILLE CARE CENTER
770 MASON STREETVACAVILLECA95687OUTPATIENT SERVICES
RIO VISTA CARE CENTER
690 MAIN STREETRIO VISTACA94571OUTPATIENT SERVICES
VALLEJO CARE CENTER
100 HOSPITAL DRIVE 2ND FLOORVALLEJOCA94589OUTPATIENT SERVICES
SACRAMENTO CARDIO-INVASIVE
2575 E BIDWELL STFOLSOMCA95630CARDIO-INVASIVE
SACRAMENTO PATIENT SERVICE CENTERS
2800 L STSACRAMENTOCA95816OUTPATIENT SERVICES
SMUD OCCUPATIONAL HEALTH
1708 59TH STSACRAMENTOCA95816OCCUPATIONAL HEALTH
WINTERS - FAMILY PRACTICE
111 EAST GRANT AVEWINTERSCA95694OUTPATIENT SERVICES
PROCEDURE CENTER
550 B STYUBA CITYCA95991PROCEDURE CENTER
HOME HEALTHHOSPICE
400 PLUMASYUBA CITYCA95991HOME HEALTH/HOSPICE
DAVIS INTERNAL MEDICINE GASTROENTEROLOGY
2068 JOHN JOES WAYDAVISCA95616INTERNAL MEDICINE AND GASTROENTEROLOGY
L STREET MEDICAL NEUROLOGY
5275 F STSACRAMENTOCA95819NEUROLOGY
ROSEVILLE EXPRESS CLINIC
4004 FOOTHILLS BLVDROSEVILLECA95747OUTPATIENT SERVICES
EXPRESS CLINIC - PLACERVILLE ROAD
10470 OLD PLACERVILLE RDSACRAMENTOCA95827OUTPATIENT SERVICES
EXPRESS CLINIC - GREENHAVEN
980 FLORIN RDSACRAMENTOCA95831OUTPATIENT SERVICES
EXPRESS CLINIC - NATOMAS
2751 DEL PASO RDSACRAMENTOCA95835OUTPATIENT SERVICES
ORTHOPEDICS
470 PLUMASYUBA CITYCA95991ORTHOPEDICS
OBSTETRICS
924 CHESTNUTYUBA CITYCA95991OBSTETRICS
OBSTETRICS
969 PLUMASYUBA CITYCA95991OBSTETRICS
AUBURN MRI
11815 EDUCATION STREETAUBURNCA95602MRI
DAVIS ALLERGY CENTER
1970 LAKE BLVDDAVISCA95616ALLERGY TESTING
DERMATOLOGY
350 DEL NORTEYUBA CITYCA95991DERMATOLOGY
ROSEVILLE ENDOSCOPY CENTER
4 MEDICAL PLAZAROSEVILLECA95661OUTPATIENT SERVICES
SUTTER AMADOR SURGERY CENTER
223 CLINTON ROADJACKSONCA95642OUTPATIENT SERVICES
SUTTER FAIRFIELD SURGERY CENTER
2700 LOWER COURTFAIRFIELDCA94533OUTPATIENT SERVICES
SUTTER SURGICAL HOSPITAL NORTH VALLEY
455 PLUMAS BLVDYUBA CITYCA95991OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CFREE CARE ELIGIBILITY: TO BE ELIGIBLE FOR FREE CARE THE FILING ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 200% OF FPG. PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES APPLIES TO UNINSURED PATIENTS THAT WHOSE FAMILY INCOMES ARE BETWEEN 200% AND 400%. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: - SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. - CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 30% OF THEIR FAMILY INCOME. - HIGH MEDICAL COST CHARITY CARE (FOR INSURED PATIENTS): PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 400% OF FPG, MEDICAL EXPENSES EXCEED 10% OF THE PATIENT'S FAMILY INCOME, AND THE PATIENT'S INSURER HAS NOT PROVIDED A DISCOUNT. - UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAT THE CURRENT AVERAGE COMMERCIAL FEE-FOR-SERVICE DISCOUNT WITH MANAGED CARE PAYERS FOR PATIENTS WHOSE BENEFITS UNDER INSURANCE OR A GOVERNMENT PROGRAM HAVE BEEN EXHAUSTED PRIOR TO ADMISSION. - PROMPT PAYMENT DISCOUNT: PARTIAL WRITE-OFF AVAILABLE TO UNINSURED PATIENTS WHO PAY PROMPTLY, CONSISTING OF AT LEAST A 20% DISCOUNT FOR THOSE WHO PAY WITHIN 30 DAYS OF FINAL BILLING, OR A 20% DISCOUNT IF 50% OF THE ESTIMATED BILL IS PAID PRIOR TO DISCHARGE.
SCHEDULE H, PART I, LINE 7COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.
SCHEDULE H, PART I, LINE 7GFINANCIAL ASSISTANCE/OTHER COMMUNITY BENEFITS AT COST RELATED TO SUBSIDIZED HEALTH SERVICES: THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $1,525,882. SCHEDULE H, PART II SUTTER MEDICAL FOUNDATION EMPLOYEES DEDICATE STAFF TIME AND EXPERTISE TO A VARIETY OF NATIONAL AND LOCAL NOT-FOR-PROFIT BOARDS, INCLUDING THE ELK GROVE REGIONAL SCHOLARSHIP FOUNDATION, ROSEVILLE HOMESTART, AND THE BEAR PROGRAM.
SCHEDULE H, PART III, LINE 2METHODOLOGY 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 3METHODOLOGY 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 4BAD DEBT AUDITED FINANCIALS FOOTNOTE: THE ORGANIZATION MAKES EVERY EFFORT TO QUALIFY THOSE ELIGIBLE FOR CHARITY CARE. 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. 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 FOOTNOTES FOR PATIENT ACCOUNTS RECEIVABLE AND PATIENT SERVICE REVENUES LISTED BELOW. PATIENT ACCOUNTS RECEIVABLE AUDIT FOOTNOTE: SUTTER'S PRIMARY CONCENTRATION OF CREDIT RISK IS PATIENT ACCOUNTS RECEIVABLE, WHICH CONSIST OF AMOUNTS OWED BY VARIOUS GOVERNMENTAL AGENCIES, INSURANCE COMPANIES AND PRIVATE PATIENTS. SUTTER MANAGES THE RECEIVABLES BY REGULARLY REVIEWING ITS PATIENT ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE AMOUNTS. THESE ALLOWANCES ARE ESTIMATED BASED UPON AN EVALUATION OF HISTORICAL PAYMENTS, NEGOTIATED CONTRACTS AND GOVERNMENTAL REIMBURSEMENTS. SUTTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 90% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2014 AND 2013. ADJUSTMENTS AND CHANGES IN ESTIMATES ARE RECORDED IN THE PERIOD IN WHICH THEY ARE DETERMINED. SIGNIFICANT CONCENTRATIONS OF GROSS PATIENT ACCOUNTS RECEIVABLE ARE AS FOLLOWS: MEDICARE 29% AS OF 12/31/13 33% AS OF 12/31/13 MEDI-CAL 27% AS OF 12/31/13 21% AS OF 12/31/13 DURING 2014 AND 2013, CERTAIN AFFILIATES COLLECTED ON ACCOUNTS THAT WERE PREVIOUSLY DEEMED UNCOLLECTIBLE AND RESERVED. SUCH RECOVERIES ARE RECOGNIZED IN THE PERIOD THAT CASH IS RECEIVED AND WERE NOT MATERIAL. DUE TO THE INHERENT VARIABILITY IN THIS AREA OF PATIENT RECEIVABLE COLLECTIONS, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT THE ESTIMATION MAY CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. PATIENT SERVICE REVENUES FOOTNOTE: PATIENT SERVICE REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS AND OTHERS 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 $287 MILLION AND $375 MILLION FOR 2014 AND 2013, RESPECTIVELY.
SCHEDULE H, PART III, LINE 7MEDICARE SURPLUS/SHORTFALL: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. THEREFORE THE AMOUNT REFLECTED ON THE COST REPORT WILL LIKELY DIFFER FROM ACTUAL COSTS WHICH MAY BE REFLECTED IN THE COMMUNITY BENEFIT REPORT AND ON THIS FORM.
SCHEDULE H, PART III, LINE 8MEDICARE SHORTFALL 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 9BDEBT COLLECTION PRACTICE: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF 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. 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 30 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 2NEEDS ASSESSMENT: SUTTER SURGICAL HOSPITAL NORTH VALLEY (SSHNV) OF YUBA CITY, CALIFORNIA CONDUCTED A CHNA OF THE HOSPITAL SERVICE AREA (HSA). VALLEY VISION, INC. CONDUCTED THE CHNA OVER A PERIOD OF MONTHS. VALLEY VISION (WWW.VALLEYVISION.ORG) IS A NONPROFIT 501(C)(3) CONSULTING FIRM SERVING A BROAD RANGE OF COMMUNITIES ACROSS NORTHERN CALIFORNIA. THE ORGANIZATION'S MISSION IS TO IMPROVE QUALITY OF LIFE THROUGH THE DELIVERY RESEARCH ON IMPORTANT TOPICS SUCH AS HEALTHCARE, ECONOMIC DEVELOPMENT, AND SUSTAINABLE ENVIRONMENTAL PRACTICES. VALLEY VISION HAS CONDUCTED MULTIPLE CHNAS ACROSS AN ARRAY OF COMMUNITIES FOR OVER SEVEN YEARS. AS THE LEAD CONSULTANT, VALLEY VISION ASSEMBLED A TEAM OF EXPERTS FROM MULTIPLE SECTORS TO CONDUCT THE ASSESSMENT THAT INCLUDED: 1) A PUBLIC HEALTH EXPERT WITH OVER A DECADE OF EXPERIENCE IN CONDUCTING CHNAS, 2) A GEOGRAPHER WITH EXPERTISE IN USING GIS TECHNOLOGY TO MAP HEALTH-RELATED CHARACTERISTICS OF POPULATIONS ACROSS LARGE GEOGRAPHIC AREAS, AND 3) ADDITIONAL PUBLIC HEALTH PRACTITIONERS AND CONSULTANTS TO COLLECT AND ANALYZE DATA. THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER SURGICAL HOSPITAL NORTH VALLEY IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER SURGICAL HOSPITAL NORTH VALLEY FOLLOWS A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. FOR A MORE DETAILED LOOK AT OUR CHARITY CARE POLICIES BY REGION, PLEASE VISIT THE OFFICE OF STATEWIDE AND HEALTH PLANNING'S WEBSITE AT HTTP://SYFPHR.OSHPD.CA.GOV. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY A. INFORMATION PROVIDED TO PATIENTS: 1. PREADMISSION OR REGISTRATION: DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITAL AFFILIATES SHALL PROVIDE: A. ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES (IMPORTANT BILLING INFORMATION FOR UNINSURED PATIENTS). B. PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED WITH A FINANCIAL ASSISTANCE APPLICATION SUBSTANTIALLY SIMILAR TO THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION, "STATEMENT OF FINANCIAL CONDITION". 2. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION". B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS: 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY (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 4COMMUNITY INFORMATION: THE HSA WAS DETERMINED BY ANALYZING PATIENT DISCHARGE DATA WHERE IT WAS DETERMINED THAT APPROXIMATELY 74% OF ALL PATIENTS RESIDED IN FOUR ZIP CODES THAT WERE LOCATED IN TWO COUNTIES. ZIP CODES 95901 (MARYSVILLE AND LINDA AREAS) AND 95961 (OLIVEHURST AREA) ARE BOTH LOCATED IN YUBA COUNTY. ZIP CODES 95991 (SOUTH CENTRAL YUBA CITY AREA) AND 95933 (WESTERN YUBA CITY AREA) ARE BOTH LOCATED IN SUTTER COUNTY. A MAP OF THE SERVICE AREA IS SHOWN IN FIGURE 1. ZIP CODE BOUNDARIES IN RURAL COMMUNITIES ARE SOMETIMES NOT REPRESENTATIVE OF POPULATION DISTRIBUTIONS ACROSS A ZIP CODE. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. A KEY TO UNDERSTANDING COMMUNITY HEALTH IS UNDERSTANDING COMMUNITY VULNERABILITY TO POOR OR UNWANTED HEALTH OUTCOMES. THIS IS ACCOMPLISHED BY EXAMINING CERTAIN SOCIO-DEMOGRAPHICS, OFTEN REFERRED TO AS THE SOCIAL DETERMINANTS OF HEALTH, IN ORDER TO IDENTIFY AREAS OF THE HSA WITH HIGH VULNERABILITY TO UNWANTED HEALTH OUTCOMES. TO ACCOMPLISH THIS, RACE AND ETHNICITY, HOUSEHOLD MAKEUP, INCOME, AND AGE VARIABLES WERE COMBINED INTO A VULNERABILITY INDEX THAT DESCRIBED THE LEVEL OF VULNERABILITY OF EACH CENSUS TRACT. THIS INDEX WAS THEN MAPPED FOR THE ENTIRE HSA. A TRACT WAS CONSIDERED MORE VULNERABLE, OR MORE LIKELY TO HAVE HIGHER UNWANTED HEALTH OUTCOMES THAN OTHERS IN THE HSA, IF IT HAD HIGHER: 1) PERCENT NON-WHITE OR HISPANIC POPULATION; 2) PERCENT SINGLE FEMALE PARENT HEADED HOUSEHOLDS; 3) PERCENT BELOW 125% OF THE POVERTY LEVEL; 4) PERCENT UNDER FIVE YEARS OLD; AND 5) PERCENT 65 YEARS OF AGE OR OLDER LIVING IN THE CENSUS TRACT. FIGURE 2 SHOWS THE VULNERABILITY INDEX FOR EACH CENSUS TRACT LOCATED ALL OR IN PART OF THE SSHNV HSA. IN THE MAP, DARKER GRADIENT COLORS INDICATE HIGHER VULNERABILITY. CENTRAL YUBA CITY, THE LINDA AREA, AND PORTIONS OF OLIVEHURST WERE AREAS IDENTIFIED WITH THE HIGHEST VULNERABILITY IN THE HSA. THE HSA IS HOME TO APPROXIMATELY 135,000 RESIDENTS. THE RACIAL AND ETHNIC MAKEUP OF THE COMMUNITY IS SHOW IN TABLE 3 IN THE FULL REPORT. WHITES ACCOUNTED FOR OVER HALF OF THE HSA'S RESIDENTS (52.5% COMPARED TO ALL OF CA 40.7%). OTHER GROUPS THAT COMPRISED THE BULK OF THE HSA'S POPULATION INCLUDED HISPANICS (27.1%), ASIANS (12.3%), MULTI-RACE (2.4%), BLACKS (2.3%), AND AMERICAN INDIANS (1.0%). THE 2013 COUNTY HEALTH RANKINGS INDICATED THAT YUBA COUNTY RANKED 50 OUT OF 57 COUNTIES IN CALIFORNIA FOR OVERALL HEALTH. SUTTER COUNTY RANKED 33. MORTALITY RANKINGS SHOWED YUBA COUNTY RANKED 48 OF 57, WHILE SUTTER COUNTY RANKED 36. AS TO OVERALL MORBIDITY, YUBA RANKED 46 OF 57, WHILE SUTTER RANKED 30. DATA INDICATED THAT 22% AND 23% OF YUBA AND SUTTER COUNTY RESIDENTS, RESPECTIVELY, SELF-REPORTED THEIR HEALTH AS "POOR OR FAIR," COMPARED TO A CALIFORNIA BENCHMARK OF 19%, AND NATIONAL BENCHMARK OF 10%. FURTHER, YUBA AND SUTTER COUNTY RESIDENTS REPORTED THAT THAT ON AVERAGE THEY EXPERIENCED 4.1 AND 4.3 DAYS, RESPECTIVELY, OVER A 30-DAY PERIOD THAT THEIR PHYSICAL HEALTH WAS "NOT GOOD." THIS COMPARES TO THE STATE BENCHMARK OF 3.7 AND NATIONAL BENCHMARK OF 2.6 DAYS.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. THE 2013 - 2015 IMPLEMENTATION STRATEGY FOR SUTTER SURGICAL HOSPITAL NORTH VALLEY DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: SSHNV HOSTS WOMEN'S HEALTH SCREENING DAY ANNUALLY AND JOINS FORCES WITH THE YUBA-SUTTER PINK OCTOBER COMMITTEE TO INCREASE AWARENESS OF EARLY DETECTION OF BREAST CANCER. WOMEN'S HEALTH SCREENING DAY PROVIDES RECTAL, CLINICAL BREAST, PAP AND BONE DENSITY SCREENINGS AT A FREE OR MINIMAL COST TO WOMEN WHO EITHER ARE UNDER OR NOT INSURED. PROVIDERS FROM SUTTER NORTH MEDICAL GROUP, IN YUBA CITY AND THE RURAL COMMUNITY OF BROWNSVILLE, DONATE THEIR TIME TO THE WOMEN'S HEALTH SCREENING DAY WHICH SERVED 157 WOMEN IN 2014. INSURANCE ENROLLMENT SPECIALISTS FROM COVERED CALIFORNIA ATTENDED SOME OF THE SCREENING EVENTS TO EDUCATE, CONNECT AND ENROLL PATIENTS WHO NEED IT, IN HEALTH INSURANCE. AS A RESULT, THE COVERED CA TEAM MADE GREAT CONNECTIONS AND WILL BE FOLLOWING UP WITH MANY OF THE WOMEN TO HELP ENROLL THEM IN INSURANCE. THE ANNUAL PROSTATE SCREENING EVENT TAKES PLACE IN SEPTEMBER, IN HONOR OF PROSTATE AWARENESS MONTH. THIS EVENT TARGETS UNDERINSURED MEN, AND PROVIDES A PHYSICAL EXAM AND A BLOOD TEST CALLED PSA (PROSTATE SPECIFIC ANTIGEN) FOR $15. OUR GOAL IS NOT ONLY TO SCREEN THE UN AND UNDERINSURED MEN, BUT WE ALSO USE THESE EVENTS AS A CONNECTION POINT FOR THE UNDERSERVED MEMBERS OF OUR COMMUNITY, TO LINK THEM WITH A PRIMARY CARE PROVIDER AND FOLLOW UP RESOURCES IF NEEDED, AS WELL AS INSURANCE ENROLLMENT INFORMATION. IN 2014, DUE TO A STAFF SHORTAGE, ONLY A HALF DAY OF SCREENINGS WAS OFFERED. 31 MEN RECEIVED LOW COST SCREENINGS AT THE HALF DAY EVENT. MUCH LIKE THE WOMEN'S HEALTH AND MAMMO SCREENINGS, WE HAD INSURANCE ENROLLMENT SPECIALISTS FROM COVERED CALIFORNIA ATTEND THE PROSTATE SCREENING TO EDUCATE, CONNECT AND ENROLL PATIENTS WHO NEED IT, IN HEALTH INSURANCE. THE COVERED CA TEAM MADE MANY GREAT CONNECTIONS WITH MANY PATIENTS AND FOLLOWED UP WITH MANY OF THE MEN THEY MET AT THE PROSTATE SCREENING. ENROLLING THE UN- AND UNDERINSURED POPULATION WILL BE A MAJOR COMPONENT OF OUR CHNA IMPLEMENTATION PLANNING, AS THIS IS THE FIRST STEP TO CONNECTING PATIENTS WITH PRIMARY CARE. THIS PROGRAM WILL CONTINUE TO EVOLVE AS WE SEE THE NUMBER OF SCREENINGS DECREASE DUE TO THE IMPLEMENTATION OF ACA. SSHNV PROVIDED FUNDING TO SACRAMENTO COVERED TO PROVIDE ENROLLMENT SPECIALISTS FOR THE WOMEN'S HEALTH SCREENING AND PROSTATE SCREENING EVENTS, TO LINK THE UNINSURED AND UNDERINSURED WITH INSURANCE ENROLLMENT INFORMATION AND SERVICES. THIS SUPPORT NOT ONLY BENEFITS SSHNV'S ACTIVITIES, BUT SUPPORTS SACRAMENTO COVERED'S OUTREACH THROUGHOUT THE REGION. IN 2014, THE SUCCESSFUL BE STRONG PROGRAM MERGED WITH THE THRIVING FIT QUEST CURRICULUM, FOR A PILOT PROGRAM THAT INCLUDED ALL 5TH AND 6TH GRADE YUBA AND SUTTER COUNTY STUDENTS PARTICIPATING IN THE SHADY CREEK OUTDOOR PROGRAM. IN ADDITION TO THE CLASS BASED PROGRAM, THE EXPANSION INCLUDED A NEW FIT QUEST FAMILY CAMP, A WEEKEND LONG HEALTH, WELLNESS, AND FITNESS EDUCATION PROGRAM FOR FAMILIES OF STUDENTS PARTICIPATING IN THE FIT QUEST PROGRAM TO BE HELD AT SHADY CREEK. STUDENTS PARTICIPATED IN APPROPRIATE GRADE STANDARD BASED NUTRITION AND PHYSICAL FITNESS EXPERIENTIAL LEARNING PROGRAM WHICH WILL INCLUDE INSTRUCTION IN THE CLASSROOM AND EXTENSIVE INSTRUCTION DURING THEIR TIME AT SHADY CREEK. THE MERGER OF THE BE STRONG PROGRAM WITH FIT QUEST CURRICULUM ALLOWS SUTTER MEDICAL FOUNDATION TO BRING ONE COMPREHENSIVE YOUTH WELLNESS PROGRAM TO THE YUBA-SUTTER COMMUNITY AND REACH OVER 1,400 STUDENTS. THE PROGRAM PARTNERS WITH 25 SCHOOLS AND INCLUDES 75 SITE VISITS FROM TRAINED STAFF. THE PROGRAM TARGETS 5TH AND 6TH GRADE STUDENTS WHO ARE ELIGIBLE TO ATTEND SHADY CREEK OUTDOOR SCHOOL. STUDENTS LEARN HOW TO EAT MORE NUTRITIOUSLY, INCREASE PHYSICAL ACTIVITY AND ENHANCE MENTAL WELLNESS. CLASS PARTICIPANTS LEARN ABOUT ADOPTING A HEALTHIER LIFESTYLE THROUGH INTERACTIVE GAMES, PHYSICAL ACTIVITIES, COOKING DEMONSTRATIONS AND DISCUSSIONS ABOUT FOOD CHOICES AND BEHAVIORS. SSHNV CONTINUES TO PROVIDE GRANT FUNDING TO SUPPLEMENT THE SALARY FOR A PHYSICAL EDUCATION SPECIALIST THAT SERVICES THE YUBA CITY UNIFIED SCHOOL DISTRICT, GRADES K-8. WITHOUT THIS GRANT, THERE WOULD ONLY BE ONE PE SPECIALIST, WHICH IS NOT ENOUGH TO SUPPORT THE PE PROGRAMS IN THE LOCAL SCHOOLS, WHICH WOULD FURTHER CONTRIBUTE TO CHILDHOOD OBESITY, LACK OF EXERCISE AND ESTABLISHING A PATTERN OF UNHEALTHY HABITS FOR THE YOUTH IN THE SSHNV HSA. SSHNV ALSO PROVIDES PHYSICALS FOR THE FOOTBALL PLAYERS AT MARYSVILLE HIGH SCHOOL.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: SUTTER SURGICAL HOSPITAL NORTH VALLEY 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 2014 COMMITMENT OF $767 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 2014, SUTTER HEALTH INVESTED $535 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 2014, SUTTER HEALTH'S COMMITMENT TO DELIVERING CHARITY CARE TO PATIENTS WAS $91 MILLION. OUR CHARITY CARE INVESTMENT REPRESENTED AN AVERAGE OF NEARLY $1.8 MILLION PER WEEK. - 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 7STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAMELA ADDY
REGIONAL OPERATIONS DIRECTOR$162,848$0$12,025$0$10,411$0$3,706$0$19,856$0$208,846$0$0$0
DAVID ASCHE
DIRECTOR RADIATION PHYSICS$203,998$0$0$0$928$0$4,099$0$9,513$0$218,538$0$0$0
JONATHAN BARENG
CHIEF PHYSICIST$197,074$0$0$0$1,823$0$3,978$0$14,812$0$217,687$0$0$0
TOM BLINN
CEO, SUTTER MED FOUNDATION$0$468,913$0$296,489$0$76,381$0$148,086$0$17,786$0$1,007,655$0$60,906
LISA BYNUM
DIRECTOR, CONTRACTS$171,895$0$13,750$0$1,229$0$3,737$0$20,559$0$211,170$0$0$0
JAMES CONFORTI
REGIONAL PRESIDENT, SAC SIERRA$0$594,704$0$425,250$0$54,856$0$309,954$0$22,054$0$1,406,818$0$50,081
KEVIN ENGLE
SERVICE LINE MANAGER$121,159$0$9,475$0$11,031$0$2,833$0$2,417$0$146,915$0$0$0
THERESA FREI
COO, SMF$0$289,810$0$90,723$0$25,502$0$42,292$0$11,273$0$459,600$0$0
PATRICK FRY
PRESIDENT & CEO, SUTTER HEALTH$0$1,523,132$0$1,687,050$0$416,184$0$2,693,377$0$34,953$0$6,354,696$0$396,136
GLEN GROVES
FINANCE EXECUTIVE, SMF WEST$166,919$0$13,075$0$8,276$22,240$0$3,765$0$15,667$188,270$41,672$0$0
SUHEIR HADDAD
FINANCE ADMIN SMF CENTRAL$0$216,043$0$79,091$0$39,994$0$44,737$0$13,887$0$393,752$0$10,400
THERESA HEYLEN RUIZ
FINANCE EXECUTIVE, SMF NORTH$0$174,386$0$61,374$0$8,050$0$3,401$0$12,062$0$259,273$0$7,862
SARAH KREVANS
COO SUTTER HEALTH$0$916,159$0$689,878$0$156,448$0$399,554$0$24,683$0$2,186,722$0$142,787
ROSETTA LI
REGIONAL FIN DIRECTOR (PT YR)$169,488$0$13,350$0$44,778$0$4,552$0$18,966$0$251,134$0$0$0
MICHAEL D MARINO
DIRECTOR HR, SMF$0$178,978$0$55,795$0$24,560$0$10,600$0$9,898$0$279,831$0$6,300
ERIC RASMUSSEN
DIRECTOR GROWTH & DEVELOPMENT$196,746$0$15,375$0$14,592$0$4,534$0$20,739$0$251,986$0$0$0
JOHN RAY
EXECUTIVE, SMF WEST DIVISION$0$34,054$0$98,632$0$152,759$0$15,076$0$1,358$0$301,879$0$0
JEFFREY SPRAGUE
CFO, SAC SIERRA (PART-YEAR)$0$560,401$0$340,633$0$153,835$0$379,654$0$19,907$0$1,454,430$0$146,695
PAIGE TERRA
CFO (PART-YEAR)$0$349,201$0$191,624$0$14,896$0$86,451$0$15,117$0$657,289$0$10,967
PENNY WESTFALL
VP & REG. COUNSEL SAC SIERRA$0$340,787$0$195,043$0$28,967$0$62,721$0$10,671$0$638,189$0$0
TERESA WILSON
SENIOR DIRECTOR MANAGED CARE$222,209$0$14,400$0$4,671$0$4,826$0$16,206$0$262,312$0$0$0
DAVID YAMAMOTO
CEO, SMF NORTH$0$9,647$0$100,469$0$116,731$0$17,310$0$2,585$0$246,742$0$0
GARY ZUFELT
COO, SMF CENTRAL$0$366,282$0$218,174$0$34,804$0$90,565$0$18,857$0$728,682$0$24,990

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ARELEVANT 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 3SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF THE ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. SEE SCHEDULE O NARRATIVE PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH.
SCHEDULE J, PART I, LINE 4ATHE FOLLOWING PEOPLE RECEVED SEVERANCE PAYMENTS IN 2014: - ROSETTA LI: $35,388 - GLEN GROVES: $22,240 - DAVID YAMAMOTO: $95,894 SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403B EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PLAN BENEFITS CAPS HAVE THE EFFECT OF SUBSTANTIALLY REDUCING RETIREMENT BENEFITS THAT ARE OTHERWISE PROVIDED TO ALL EMPLOYEES. THE EFFECT IS THAT EXECUTIVES OFTEN DO NOT RECEIVE THE SAME LEVEL OF RETIREMENT BENEFIT ON AN INCOME REPLACEMENT BASIS AS OTHER EMPLOYEES. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT AND TO ADDRESS THE SHORTFALLS DESCRIBED ABOVE, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA HAS TWO PARTS: (1) 4% TO 7% OF BASE SALARY (COMMENSURATE WITH MANAGEMENT LEVEL), PLUS (2) A CONTRIBUTION STARTING AT 5% (BASED UPON TENURE) FOR EARNINGS BEYOND THE 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 457F) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65. TARGET BENEFIT LEVELS VARY BY YEARS OF SERVICE. UNLIKE SUTTER HEALTH'S QUALIFIED PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT.
SCHEDULE J, PART I, LINE 7NON-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% OF GROSS PAY. 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 +/- 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTH'S OVERALL MISSION, VISION, AND VALUES, SUTTER'S LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CSCDA 2003AB
A680164610130911NE62007-05-01$101,118,867CONSTRUCT & REFUNDING - 1/30/2003falsefalsefalse
CSCDA 2004CD
B680164610130795TE72008-05-06$87,750,717CONSTRUCT & REFUNDING - 2/17/2004falsefalsefalse
CHFFA 2008A
C52164382813033F2L32008-05-14$329,041,638CONSTRUCT & REFUNDING - 2/17/2004falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$105,555,193$8,937,127$0$0$0$0$0$0$96,618,066$0Yes (true)falseYes (true)Yes (true)
B$18,180,000$0$88,924,485$8,608,201$0$0$0$0$0$0$80,316,284$0Yes (true)falseYes (true)Yes (true)
C$104,255,000$0$329,041,638$0$0$0$0$0$0$0$329,041,638$0Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.000900.000100.00100falsefalse0.00000falseYes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.000400.000000.00040falsefalsefalseYes (true)
CfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.010200.000700.01090falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
0
AYes (true)falsefalsefalse0falseYes (true)
0
Bfalsefalsefalsefalse0falseYes (true)Yes (true)falsefalse
0
Cfalsefalsefalsefalse0falseYes (true)Yes (true)falsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE KTHE 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, LINE A, COLUMN (E)The filing organization received bond proceeds in the amounts of: $16,846,004 from the 2003AB issue; $11,483,497 from the 2004 CD issue and $15,965,405 from the 2008A issue. SCHEDULE K, PART I, LINE A, COLUMN (F) (CSCDA 2003AB) THE INITIAL BONDS ISSUED IN 2003 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY BONDS". SCHEDULE K, PART I, LINE B, COLUMN (F) (CSCDA 2004CD): THE INITIAL BONDS ISSUED IN 2004 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 6, 2008. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. SCHEDULE K, PART I, LINE C, 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 2004 ISSUE. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION.
SCHEDULE K, PART II, LINE 7ISSUANCE COSTS FROM PROCEEDS: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonVICKY LUCASPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$34,175TransactionAmt
TransactionSEE PART VTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, COLUMN (D)FormAndLineReferenceDesc
ExplanationDESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: THERESA HEYLEN (RUIZ), KEY EMPLOYEE OF SUTTER MEDICAL FOUNDATION, HAS A FAMILY MEMBER WHO WORKS AS A MEDICAL ASSISTANT FOR SMF-NORTH.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1MISSION STATEMENT: WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES.
FORM 990, PART III, LINE 4AEXEMPT PURPOSE ACHIEVEMENTS: SUTTER MEDICAL FOUNDATION (SMF) IS A COMMUNITY BASED, NOT-FOR-PROFIT MEDICAL ORGANIZATION SERVING NORTHERN CALIFORNIA COMMUNITIES AND SUPPORTING THE FOLLOWING CHARITABLE ORGANIZATIONS: SUTTER MEDICAL CENTER OF SACRAMENTO, SUTTER AUBURN FAITH HOSPITAL, SUTTER DAVIS HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO HOSPITAL AND SUTTER AMADOR HOSPITAL. WITH CARE CENTERS LOCATED IN SACRAMENTO, YOLO, SUTTER, YUBA, SOLANO PLACER AND AMADOR COUNTIES WE DO OUR PART TO ENSURE THE HEALTH AND WELL BEING OF OUR COMMUNITIES. OUR MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH NOT FOR PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE. WE VALUE EXCELLENCE AND QUALITY, CARING AND COMPASSION, HONESTY AND INTEGRITY, TEAMWORK AND COMMUNITY. SUTTER MEDICAL FOUNDATION IS ALIGNED WITH PHYSICIAN AND MID-LEVEL PROVIDERS OF SUTTER MEDICAL GROUP AND SUTTER NORTH MEDICAL GROUP OFFERING PRIMARY CARE AND SPECIALTY CARE TO OUR PATIENTS. OFFERING A FULL RANGE OF MEDICAL SERVICES, SUTTER MEDICAL FOUNDATION PROVIDES AMBULATORY SURGERY, URGENT CARE CLINICS, HOME HEALTH, HOSPICE AND STATE OF THE ART IMAGING AND CARDIOLOGY TECHNOLOGY. IN ADDITION WE OPERATE A RURAL HEALTH CLINIC IN THE COMMUNITY OF BROWNSVILLE, YUBA COUNTY. THE FOUNDATION PROVIDED MORE THAN $37 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT PROGRAMMING. THE FOUNDATION SERVED 3,860,432 PATIENTS IN 2014. FOCUS ON CHILDHOOD OBESITY AND HEALTH EDUCATION SUTTER MEDICAL FOUNDATION HAS PARTNERED WITH YUBA CITY UNIFIED SCHOOL DISTRICT TO ENHANCE THE PHYSICAL EDUCATION PROGRAMS FOR STUDENTS K-5. THE PARTNERSHIP INCLUDES DEDICATED TEACHING STAFF FOR PHYSICAL EDUCATION AND FAMILY EDUCATION PROGRAMS TO ASSIST PARENTS AND GUARDIANS IN MAKING HEALTHY CHOICES FOR THEIR FAMILIES. SMF ALSO PROVIDES PHYSICALS FOR THE FOOTBALL PLAYERS AT MARYSVILLE HIGH SCHOOL. IN ADDITION, SMF RUNS THE KIDSHAPE PROGRAM, WHICH EVOLVED INTO THE BESTRONG PROGRAM IN 2012. BESTRONG IS A PROGRAM DESIGNED FOR THE ENTIRE FAMILY AND TARGETS CHILDREN WHO CAN BENEFIT FROM EATING MORE NUTRITIOUSLY, INCREASING PHYSICAL ACTIVITY AND ENHANCING MENTAL WELLNESS. CLASS PARTICIPANTS LEARN ABOUT ADOPTING A HEALTHIER LIFESTYLE THROUGH INTERACTIVE GAMES, PHYSICAL ACTIVITIES, COOKING DEMONSTRATIONS AND DISCUSSIONS ABOUT FOOD CHOICES AND BEHAVIORS. IN 2013, SMF ANNOUNCED ITS PARTNERSHIP WITH FIT QUEST, WHICH HAS EXPANDED ITS NUTRITION AND FITNESS PROGRAM FOR YOUTH IN YUBA CITY AND MARYSVILLE SCHOOL DISTRICTS. THE MERGER OF THE BESTRONG PROGRAM WITH FIT QUEST CONTINUES TO ALLOW SMF TO BRING ONE COMPREHENSIVE CHILDREN WELLNESS PROGRAM TO THE YUBA-SUTTER COMMUNITY. FIT QUEST PROGRAM HAS EXPANDED TO REACH 36 SCHOOLS IN YUBA AND SUTTER COUNTIES IN THIS 2014/2015 SCHOOL YEAR, WITH 108 SCHOOL ASSEMBLIES AND AN EXPANDED CURRICULUM FOCUS ON NUTRITION, PHYSICAL ACTIVITY AND MENTAL WELLNESS AT SHADY CREEK OUTDOOR SCHOOL. OVER 2,400 LOCAL STUDENTS HAVE BEEN IMMERSED IN THE YEARLONG EXPOSURE TO THE FIT QUEST CURRICULUM, WHICH ARE 1,300 MORE STUDENTS THAN LAST YEAR. SEVERAL HUNDRED ADDITIONAL LOCAL STUDENTS HAVE PARTICIPATED IN THE FIT QUEST ASSEMBLIES AT VARIOUS SCHOOLS THAT ALSO INCLUDE THE YOUNGER STUDENTS. THE EXPANDED CURRICULUM AND ROLE MODELING OF THE NATURALISTS HAVE FAVORABLY IMPACTED THE NEARLY 5000 STUDENTS WHO HAVE ATTENDED FROM ALL COUNTIES IN OUR SERVICE AREA, IN CHOOSING TO DRINK WATER, MAKE BETTER NUTRITION CHOICES, TO STAY ACTIVE AND AN IMPROVED SENSE OF SELF. SUPPORT GROUPS SUTTER MEDICAL FOUNDATION PROVIDES A VARIETY OF FREE SUPPORT GROUPS TO OUR PATIENTS AND THE COMMUNITIES WE SERVE. PATIENTS CAN RECEIVE SUPPORT FOR DIABETES, CHILDBIRTH EDUCATION, AUTISM AND PARKINSON'S. LOOK GOOD, FEEL BETTER THE "LOOK GOOD FEEL BETTER" IS A NATIONWIDE PROGRAM THAT IS DESIGNED FOR WOMEN WHO ARE GOING THROUGH CANCER TREATMENT. THE PROGRAM SHOWS SURVIVORS HOW TO USE MAKE-UP, SCARVES AND WIGS THAT WILL HELP THEM LOOK MORE LIKE THEIR PRE-TREATMENT SELVES. PINK OCTOBER, WOMEN'S HEALTH SCREENING DAY & FREE MAMMO SCREENINGS SUTTER MEDICAL FOUNDATION HOSTS WOMEN'S HEALTH SCREENING DAY ANNUALLY AND JOINS FORCES WITH THE YUBA-SUTTER PINK OCTOBER COMMITTEE TO INCREASE AWARENESS OF EARLY DETECTION OF BREAST CANCER. WOMEN'S HEALTH SCREENING DAY PROVIDES RECTAL, CLINICAL BREAST, PAP AND BONE DENSITY SCREENINGS AT A FREE OR MINIMAL COST TO WOMEN WHO EITHER ARE UNDER OR NOT INSURED. PROVIDERS FROM SUTTER NORTH MEDICAL GROUP, IN YUBA CITY AND THE RURAL COMMUNITY OF BROWNSVILLE, DONATE THEIR TIME TO THE WOMEN'S HEALTH SCREENING DAY. ADDITIONALLY, THROUGHOUT THE MONTH OF OCTOBER, SUTTER DIAGNOSTIC IMAGING CENTERS ACROSS THE REGION PROVIDED UNINSURED AND UNDERINSURED WOMEN THE OPPORTUNITY TO RECEIVE FREE DIGITAL MAMMOGRAMS. AS A RESULT OF THESE COLLABORATIVE EVENTS, WE WERE ABLE TO SCREEN 395 UNINSURED WOMEN. IN YUBA CITY, THE ANNUAL PINK OCTOBER EFFORT WAS ANOTHER RESOUNDING SUCCESS, WITH 181 UNDERINSURED WOMEN RECEIVING LOW-COST MAMMOGRAMS AT OUR SUTTER FACILITIES IN THE YUBA-SUTTER SERVICE AREA, WHILE ANOTHER 157 WOMEN RECEIVED LOW COST WELL WOMAN EXAMS THROUGH THE WOMEN'S HEALTH SCREENING EVENT HELD AT SUTTER FACILITIES IN YUBA CITY AND BROWNSVILLE. BETWEEN THESE TWO CRUCIAL BREAST CANCER AWARENESS EFFORTS AND THE LOW COST HEALTH SCREENINGS, WE SERVED A TOTAL OF 733 WOMEN THROUGHOUT THE SUTTER HEALTH SACRAMENTO SIERRA REGION IN THE MONTH OF OCTOBER. AT MANY OF THE FREE MAMMOGRAM EVENTS, WE HAD INSURANCE ENROLLMENT SPECIALISTS FROM SACRAMENTO COVERED ONSITE TO EDUCATE, CONNECT AND ENROLL PATIENTS WHO NEEDED HEALTH INSURANCE. AS A RESULT, THE SACRAMENTO COVERED TEAM CONNECTED WITH 175 WOMEN AND PROVIDED THEM WITH INSURANCE EDUCATION AND RESOURCES. IN ADDITION, OUR ED NAVIGATORS FROM WELLSPACE HEALTH ATTENDED SOME OF THE SCREENING EVENTS TO PROVIDE ONSITE PRIMARY AND MENTAL HEALTH CARE REFERRALS AND OTHER COMMUNITY RESOURCES TO THE WOMEN, AS CONNECTING THE UN- AND UNDERINSURED POPULATION TO INSURANCE, COMMUNITY RESOURCES AND A MEDICAL HOME IS MORE CRITICAL THAN EVER. THE WELLSPACE HEALTH NAVIGATORS PROVIDED REFERRAL SERVICES AND EDUCATION TO 63 WOMEN. PROSTATE SCREENING SUTTER MEDICAL FOUNDATION CONTINUES TO HOST THE PROSTATE SCREENING EVENT. IN 2014, WE REDUCED THE EVENT TO A HALF DAY DUE TO BEING DOWN ONE PROVIDER. A TOTAL OF 30 MEN RECEIVED LOW COST SCREENINGS. MUCH LIKE THE WOMEN'S HEALTH AND MAMMO SCREENINGS, WE HAD INSURANCE ENROLLMENT SPECIALISTS FROM COVERED CALIFORNIA ATTEND THE PROSTATE SCREENING TO EDUCATE, CONNECT AND ENROLL PATIENTS WHO NEEDED HEALTH INSURANCE. THE COVERED CA TEAM MADE MANY GREAT CONNECTIONS WITH MANY PATIENTS AND FOLLOWED UP WITH MANY OF THE MEN THEY MET AT THE PROSTATE SCREENING. ENROLLING THE UN- AND UNDERINSURED POPULATION WILL BE A MAJOR COMPONENT OF OUR CHNA IMPLEMENTATION PLANNING, AS THIS IS THE FIRST STEP TO CONNECTING PATIENTS WITH PRIMARY CARE. 2014 COMMUNITY SPONSORED EVENTS IN 2014, SUTTER MEDICAL FOUNDATION DONATED TO SEVERAL VARIOUS COMMUNITY EVENTS. WE MAKE IT OUR POLICY TO SUPPORT LOCAL AND NATIONAL NOT-FOR-PROFIT ORGANIZATIONS AND PUBLIC INSTITUTIONS IN NEED OF ASSISTANCE. MOREOVER, OUR EMPLOYEES MAKE EVERY EFFORT TO DONATE THEIR TIME TO LOCAL CAUSES AND YOU WILL FIND MANAGEMENT, PROVIDERS AND STAFF VOLUNTEERING WITH THE AMERICAN CANCER SOCIETY, UNITED WAY, MARCH OF DIMES, NATIONAL DIABETES SOCIETY, AMERICAN HEART ASSOCIATION, KIWANIS, ROTARY, SOROPTIMIST, GIRLS ON THE RUN, CHAMBER OF COMMERCE AND IN COMMUNITY SCHOOLS AND RELIGIOUS ORGANIZATIONS. TATTOO REMOVAL PROGRAM THE TATTOO REMOVAL PROGRAM (TATS OFF) REMOVES VISIBLE GANG TATTOOS FROM THE FACE, NECK, HANDS OR WRISTS (AND ANKLES FOR WOMEN), ELIMINATING THE STIGMA OF A PAST LIFESTYLE. IT NORMALLY TAKES FROM THREE TO TEN LASER TREATMENTS TO COMPLETE THE REMOVAL OF EACH DESIGN. THESE SESSIONS ARE SCHEDULED ONE MONTH APART TO FACILITATE PROPER HEALING BEFORE THE NEXT TREATMENT. THE OBJECTIVE IS TO MAKE IT EASIER FOR PEOPLE TO BEGIN A NEW LIFE, OBTAIN EMPLOYMENT AND ESCAPE BEING NEGATIVELY AND INACCURATELY STEREOTYPED.
FORM 990, PART VI, LINE 1ATHE AFFAIRS AND MANAGEMENT OF SUTTER MEDICAL FOUNDATION (SMF) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SMF DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF AT LEAST FIVE BOARD MEMBERS INCLUDING SMF'S CHAIR WHO SHALL SERVE AS CHAIR OF THE COMMITTEE, THE VICE CHAIR, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, AN ADDITIONAL DIRECTOR AND THE PRESIDENT OF SMF. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR.
FORM 990, PART VI, LINE 6 & 7ADESCRIPTION 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 7BDESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & 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 11BDESCRIBE THE PROCESS USED BY MGMT &/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. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM.
FORM 990, PART VI, LINE 12DESCRIPTION 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 15PROCESS 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 2014.
FORM 990, PART XI, LINE 19AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS 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 9OTHER CHANGES IN FUND BALANCE: GAIN/(LOSS) ON HEALTH CARE INVESTMENTS $ 9,402,956 K-1 ORDINARY INCOME (9,326,030) K-1 GUARANTEED PAYMENTS (712,670) K-1 INTEREST INCOME (5,113) K-1 SECTION 1231 47,041 EQUITY TRANSFERS (NET) 31,713,018 OTHER CHANGES IN FUND BALANCE 14,822 TOTAL ------------- 31,134,024 =============

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ADOLESCENT TREATMENT CENTERS INC
390 40TH STREETOAKLANDCA94609680088443HEALTHCARECA501(C)(3)3SUTTER EBHYes (true)
BETTER HEALTH EAST BAY MED FOUNDATION
3012 SUMMIT STREET 3RD FLOOROAKLANDCA94609510160184FUNDRAISINGCA501(C)(3)7SUTTER EBHYes (true)
CALIFORNIA PACIFIC MEDICAL CTR FOUND
2015 STEINER STREET 2ND FLOORSAN FRANCISCOCA94115942728423FUNDRAISINGCA501(C)(3)7SUTTER WBHYes (true)
EAST BAY PERINATAL CENTER
3012 SUMMIT STREET 3RD FLOOROAKLANDCA94609510172285HEALTHCARECA501(C)(3)3SUTTER EBHYes (true)
EDEN MEDICAL CENTER
20103 LAKE CHABOT ROADCASTRO VALLEYCA94546942948100HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
MEMORIAL HOSPITAL FOUNDATION
1800 COFFEE ROAD SUITE 76MODESTOCA95355942290244FUNDRAISINGCA501(C)(3)11a - ISUTTER CVHYes (true)
MILLS-PENINSULA HEALTH SERVICES
1501 TROUSDALE DRIVEBURLINGAMECA94010941156265HOSPITALCA501(C)(3)3PAMFYes (true)
MILLS-PENINSULA HOSPITAL FOUNDATION
1501 TROUSDALE DRIVEBURLINGAMECA94010237288765FUNDRAISINGCA501(C)(3)7MPHSYes (true)
PALO ALTO MEDICAL FOUNDATION
2350 EL CAMINO REALMOUNTAIN VIEWCA94040941156581HEALTHCARECA501(C)(3)3SUTTER HLTHYes (true)
SAMUEL MERRITT UNIVERSITY
450 30TH STREET 2840OAKLANDCA94609942992642UNIVERSITYCA501(C)(3)2SUTTER EBHYes (true)
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
11815 EDUCATION STAUBURNCA95602942594966FUNDRAISINGCA501(C)(3)7SUTTER SSRYes (true)
SUTTER CENTRAL VALLEY HOSPITALS
1800 COFFEE ROAD SUITE 76MODESTOCA95355941080917HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
SUTTER COAST HOSPITAL
800 E WASHINGTON BLVDCRESCENT CITYCA95531942988520HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
SUTTER DAVIS HOSPITAL FOUNDATION
PO BOX 1617DAVISCA95617680217870FUNDRAISINGCA501(C)(3)7SUTTER SSRYes (true)
SUTTER EAST BAY HOSPITALS
3012 SUMMIT STREET 3RD FLOOROAKLANDCA94609941196176HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
SUTTER EAST BAY MEDICAL FOUNDATION
3687 MT DIABLO BLVD 200LAFAYETTECA94549942690415HEALTHCARECA501(C)(3)11B - IISUTTER HLTHYes (true)
SUTTER GOULD MEDICAL FOUNDATION
600 COFFEE ROADMODESTOCA95355941682256HEALTHCARECA501(C)(3)3SUTTER HLTHYes (true)
SUTTER HEALTH
2200 RIVER PLAZA DRIVESACRAMENTOCA95833942788907SUPPORTING ORCA501(C)(3)11c III-FINAfalse
SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RDEWA BEACHHI96706990298651HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
SUTTER HEALTH PLAN
2200 RIVER PLAZA DRIVESACRAMENTOCA95833461183948HEALTH PLANCAPENDINGPENDINGSUTTER HLTHYes (true)
SUTTER HEALTH SACRAMENTO SIERRA REGION
PO BOX 160727SACRAMENTOCA95816941156621HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 800HONOLULUHI96813990289310INSURANCE SERHI501(C)(3)11C III-FISUTTER HLTHYes (true)
SUTTER MEDICAL CENTER FOUNDATION
PO BOX 160727SACRAMENTOCA95816942788906FUNDRAISINGCA501(C)(3)7SUTTER SSRYes (true)
SUTTER MEDICAL CENTER CASTRO VALLEY
2200 RIVER PLAZA DRIVESACRAMENTOCA95833770146047HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
ONE MEDICAL PLAZAROSEVILLECA95661680040113FUNDRAISINGCA501(C)(3)7SUTTER SSRYes (true)
SUTTER SOLANO CHARITABLE FOUNDATION
300 HOSPITAL DRIVEVALLEJOCA94589942668262FUNDRAISINGCA501(C)(3)7SUTTER SSRYes (true)
SUTTER VISITING NURSE ASSOC AND HOSPICE
1900 POWELL ST 300EMERYVILLECA94608946068843HEALTHCARECA501(C)(3)9SUTTER HLTHYes (true)
SUTTER WEST BAY HOSPITALS
2333 BUCHANAN STREETSAN FRANCISCOCA94115940562680HOSPITALCA501(C)(3)3SUTTER HLTHYes (true)
SUTTER WEST BAY MEDICAL FOUNDATION
2015 STEINER STREET 1ST FLOORSAN FRANCISCOCA94115942948131HEALTHCARECA501(C)(3)3SUTTER HLTHYes (true)
TRACY HOSPITAL FOUNDATION
1420 N TRACY BLVDTRACYCA95376680318845FUNDRAISINGCA501(C)(3)11a - ISUTTER CVHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
MAGNETIC IMAGING AF
175 LENNONWLN CKCA94598942953833PATIENT CARECANA
SURG CTR OF ABSMC
3875 TELEGRAPHOAKLANDCA94609470946086OUTPATIENT SURGCANA
ALTA CT SERVICES LP
175 LENNONWLN CKCA94598943083464PATIENT CARECANA
CALIFORNIA PACIFIC ADV IMAGING LLC
PO BOX 6102NOVATOCA94948562311840MRI JOINT VENCANA
SAN FRANCISCO ENDOSCOPY CENTER LLC
3000 RIVERCHASEBIRMINGHAMAL35244912160588ENDOSCOPY JVCANA
PRESIDIO SURGERY CENTER LLC
1635 DIVISADEROSFCA94115320144060AMBULATORY SURGCANA
SUTTER FAIRFIELD SURGERY CTR
2700 LOW CTFAIRFIELDCA94533300233892SURGERYCASUTTER MED FDNRELATED$2,191,879$1,490,164false$0Yes (true)0.82500
TWIN CITIES SURGICAL HOSPITAL LLC
250 S WACKERCHICAGOIL60606352182617SURGERYCASUTTER MED FDNRELATED$1,151,711$5,271,516false$0false0.51470
SUTTER AMADOR SURGERY CENTER LLC
2200 RIVER PLAZA DRIVESACRAMENTOCA95833461398093SURGERYCANARELATED-$14,456$910,241false$0Yes (true)0.32000
ROSEVILLE ENDOSCOPY CENTER LLC
4 MEDICAL PLAZA SUITE 210ROSEVILLECA95661870710513ENDOSCOPY JVCANARELATED$2,007,239$460,024false$0Yes (true)0.40000
MEMORIAL MEDICAL OFFICE BUILDING PRTNR I
1800 COFFEE RD SUITE 76MODESTOCA95355770287288OFFICE RENTALCANA
MEMORIAL MEDICAL OFFICE BUILDING PRTNR I
1800 COFFEE RD SUITE 76MODESTOCA95355770287288OFFICE RENTALCANA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HEALTH VENTURES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 HAWTHORNE STAddressLine1Txt
CityOAKLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94609ZIPCd
FieldValueIRS element (for citing)
EIN942918780EIN
Primary ActivitiesHEALTH SERVICPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SUTTER MEDICAL CENTER CASTRO VALLEY
m$151,025FMV
SUTTER HEALTH SACRAMENTO SIERRA REGION
k$9,035,978FMV
SUTTER HEALTH SACRAMENTO SIERRA REGION
s$17,686,075FMV
SUTTER HEALTH SACRAMENTO SIERRA REGION
l$31,088,512FMV
SUTTER HEALTH SACRAMENTO SIERRA REGION
M$7,529,313FMV