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SUTTER BAY HOSPITALS: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SUTTER BAY HOSPITALS (EIN 94-0562680)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-10-31
IRS object ID
201403049349301405
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-10-31T15:13:36-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14370 LA JOLLA VILLAGE DR STE 500AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code92122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN940562680EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUTTER WEST BAY HOSPITALSBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% HENRY YUInCareOfNm
Business Name ControlSUTTBusinessNameControlTxt
Phone9162866665PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7999AddressLine1
Address Line2SuiteAddressLine2
CitySAN FRANCISCOCity
StateCAState
ZIP Code94120ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn GatesPersonNm
Person TitleCFOPersonTitleTxt
Phone9162866665PhoneNum
Signature2014-10-28SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDEBRA HEISKALAPreparerPersonNm
PTINP00649485PTIN
Phone9162866665PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL COHILLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7999AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,691,210,053GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SUTTERHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1854FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body27VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee8415TotalEmployeeCnt
Total Volunteers1228TotalVolunteersCnt
Total Gross UBI$2,093,243TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$296,991NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$27,848,587PYContributionsGrantsAmt
CY Contributions Grants$29,978,182CYContributionsGrantsAmt
PY Program Service Revenue$1,569,977,771PYProgramServiceRevenueAmt
CY Program Service Revenue$1,507,113,696CYProgramServiceRevenueAmt
PY Investment Income$8,289,745PYInvestmentIncomeAmt
CY Investment Income$18,113,121CYInvestmentIncomeAmt
PY Other Revenue$4,323,474PYOtherRevenueAmt
CY Other Revenue$3,897,333CYOtherRevenueAmt
PY Total Revenue$1,610,439,577PYTotalRevenueAmt
CY Total Revenue$1,559,102,332CYTotalRevenueAmt
PY Grants And Similar Paid$1,654,996PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,750,207CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$788,424,176PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$799,647,156CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$689,953CYTotalFundraisingExpenseAmt
PY Other Expenses$605,287,903PYOtherExpensesAmt
CY Other Expenses$806,028,142CYOtherExpensesAmt
PY Total Expenses$1,395,367,075PYTotalExpensesAmt
CY Total Expenses$1,607,425,505CYTotalExpensesAmt
PY Revenues Less Expenses$215,072,502PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$48,323,173CYRevenuesLessExpensesAmt
Total Assets BOY$1,655,166,060TotalAssetsBOYAmt
Total Assets EOY$1,783,161,518TotalAssetsEOYAmt
Total Liabilities BOY$479,935,456TotalLiabilitiesBOYAmt
Total Liabilities EOY$665,509,264TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,175,230,604NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,117,652,254NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,504,784,257ExpenseAmt
Grant$1,750,207GrantAmt
Revenue$1,507,113,696RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$1,504,784,257TotalProgramServiceExpensesAmt
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 OrganizationsYes (true)GrantsToOrganizationsInd
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 MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
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 Document954IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8415EmployeeCnt
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 Members27GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
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 BodyfalseForm990ProvidedToGvrnBodyInd
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)
PersonHENRY YUPersonNm
Phone4156003850PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7999AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94120ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RT REV MARC H ANDRUS
TRUSTEE1.00.0Yes (X)$0$0$0
WILLIAM L BRUNETTI
TRUSTEE1.01.0Yes (X)$0$0$0
MICHAEL COHILL
REGIONAL PRESIDENT, WEST BAY40.04.0Yes (X)$0$1,644,927$278,172Yes (X)
THEODORE DEIKEL
TRUSTEE1.01.0Yes (X)$0$0$0
THOMAS J DIETZ PHD
TRUSTEE1.01.0Yes (X)$0$0$0
PETER JACOBI
TRUSTEE1.07.0Yes (X)$0$27,500$0
RONALD H KAUFMAN
TRUSTEE1.01.0Yes (X)$0$0$0
SARAH KREVANS
COO, SUTTER HEALTH1.040.0Yes (X)$0$2,264,199$372,873
STEVEN E LEVENBERG DO
TRUSTEE1.01.0Yes (X)$0$0$0
THOMAS E LINCOLN
TRUSTEE1.01.0Yes (X)$0$0$0
ALASTAIR A MACTAGGART
TRUSTEE1.01.0Yes (X)$0$0$0
ANTHONY W MILES
TRUSTEE1.01.0Yes (X)$0$0$0
SCOTT MINICK
TRUSTEE1.01.0Yes (X)$0$0$0
TIMOTHY MURPHY MD
TRUSTEE1.00.0Yes (X)$0$0$0
CYNTHIA NESTLE
TRUSTEE1.01.0Yes (X)$0$0$0
DENNIS J O'CONNELL
TRUSTEE1.01.0Yes (X)$0$0$0
STEVEN H OLIVER
TRUSTEE1.01.0Yes (X)$0$0$0
ROBERT W OSORIO MD
TRUSTEE1.01.0Yes (X)$0$0$0
MICHAEL ROKEACH MD
TRUSTEE/CHIEF OF STAFF5.04.0Yes (X)$45,833$0$0
ROBERT A ROSENFELD
TRUSTEE, VICE CHAIR1.01.0Yes (X)$0$0$0Yes (X)
TERRI SLAGLE MD
TRUSTEE1.00.0Yes (X)$26,025$0$0
LEO C H SOONG
TRUSTEE, CHAIR FIN & PLANNING1.01.0Yes (X)$0$0$0Yes (X)
ROBERT M TOMASELLO
TRUSTEE, CHAIR1.05.0Yes (X)$0$0$0Yes (X)
MICHAEL N VALAN MD
TRUSTEE1.01.0Yes (X)$0$0$0
ANTHONY G WAGNER
TRUSTEE1.01.0Yes (X)$0$0$0
RICHARD C WATTS
TRUSTEE1.09.0Yes (X)$0$0$0
DEBORAH D WYATT MD
TRUSTEE1.01.0Yes (X)$0$0$0
MICHAEL DUNCHEON
VP, REG COUNSEL, WEST BAY40.00.0$0$541,856$90,759Yes (X)
JOHN GATES
REGIONAL VP FINANCE, WEST BAY40.00.0$0$1,090,615$103,106Yes (X)
WARREN BROWNER MD
CEO, SAN FRANCISCO HOSP, SWBH40.00.0$0$1,033,801$314,990Yes (X)
GRANT DAVIES
CEO, NORTH BAY HOSPITALS40.00.0$0$818,070$159,566Yes (X)
TONI BRAYER MD
REGIONAL VP & CMO, WEST BAY40.00.0$0$701,162$113,519Yes (X)
MARK KIMBELL
CPMC FOUNDATION DIRECTOR40.00.0$0$532,049$90,368Yes (X)
ALLEN PONT MD
VP MEDICAL AFFAIRS, WEST BAY40.00.0$0$758,006$64,357Yes (X)
MICHAEL PURVIS
CAO, SMCSR40.00.0$0$513,665$87,910Yes (X)
CRAIG VERCRUYSSE
REGIONAL CIO, WEST BAY40.00.0$0$497,216$65,169Yes (X)
PATRICK FRY
PRESIDENT & CEO, SH (FORMER)0.040.0$0$3,989,362$2,020,826Yes (X)
MARTIN BROTMAN MD
SVP, SH (FORMER)0.040.0$0$1,226,797$193,229Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$71,858TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$15,639,225TotReportableCompRltdOrgAmt
Total Other Compensation$3,954,844TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2187IndivRcvdGreaterThan100KCnt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ARAMARK
2500 WARRENVILLE ROADDOWNERS GROVEIL60515FACILITY MANAGEMENT$17,324,381
SANTA ROSA CONSULTING
PO BOX 347747PITTSBURGPA15251CONSULTING SERVICES$11,344,425
PACIFIC INPATIENT MEDICAL GROUP IN
PO BOX 1230SUISUN CITYCA94585MEDICAL SERVICES$7,241,780
ANGELICA
DEPt 6777LOS ANGELESCA90084LAUNDRY SERVICES$5,585,501
HERRERO CONTRACTORS
2100 OAKDALE AVESAN FRANCISCOCA94124CONSTRUCTION$4,944,041
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K163CntrctRcvdGreaterThan100KCnt
Fundraising$50,734FundraisingAmt
Related Organizations$11,132,362RelatedOrganizationsAmt
Government Grants$12,364,129GovernmentGrantsAmt
All Other Contributions$6,430,957AllOtherContributionsAmt
Noncash Contributions$8,781NoncashContributionsAmt
Total Contributions$29,978,182TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE622110$1,489,171,297$1,489,171,297
CA PACIFIC ADVANCED IMAGING621512$1,887,636$1,887,636
SAN FRAN ENDOSCOPY CENTER621498$5,297,868$5,297,868
PRESIDIO SURGERY CENTER LLC621493$7,168,643$7,168,643
RENTAL TO AFFILIATES$3,588,252$3,588,252
FieldValueIRS element (for citing)
Total Program Service Revenue$1,507,113,696TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,852,504TotalRevenueColumnAmt
Unrelated Business Revenue$472UnrelatedBusinessRevenueAmt
Exclusion$7,852,032ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,631TotalRevenueColumnAmt
Exclusion$23,631ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$12,255,910RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$13,145,975RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$890,065RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$890,065TotalRevenueColumnAmt
Unrelated Business Revenue-$33UnrelatedBusinessRevenueAmt
Exclusion-$890,032ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$127,179,907SecuritiesAmt
Other$2,009,063OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$116,153,820SecuritiesAmt
Other$2,774,533OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,026,087SecuritiesAmt
Other-$765,470OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,260,617TotalRevenueColumnAmt
Unrelated Business Revenue$465UnrelatedBusinessRevenueAmt
Exclusion$10,260,152ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$25,561FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$50,734ContriRptFundraisingEventAmt
Fundraising Direct Expenses$30,893FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,332TotalRevenueColumnAmt
Exclusion-$5,332ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$3,375GamingGrossIncomeAmt
Gaming Direct Expenses$2,500GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$875TotalRevenueColumnAmt
Exclusion$875ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
UBI - LABORATORY621500$64,534$64,534
UBI - PARKING812930$2,031,879$2,031,879
CAFETERIA900099$3,372,225$3,372,225

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$700,414TotalRevenueColumnAmt
Unrelated Business Revenue-$4,074UnrelatedBusinessRevenueAmt
Exclusion-$696,340ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,768,224OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,559,102,332TotalRevenueColumnAmt
Related Or Exempt Func Income$1,507,113,696RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,093,243UnrelatedBusinessRevenueAmt
Exclusion$19,917,211ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,749,204TotalAmt
Program Services$1,749,204ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,003TotalAmt
Program Services$1,003ProgramServicesAmt

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$5,129,269TotalAmt
Management And General$5,129,269ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$316,129TotalAmt
Program Services$316,129ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$503,800,250TotalAmt
Program Services$488,367,616ProgramServicesAmt
Management And General$15,432,634ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$62,979,347TotalAmt
Program Services$60,563,980ProgramServicesAmt
Management And General$2,415,367ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$185,163,103TotalAmt
Program Services$176,318,906ProgramServicesAmt
Management And General$8,844,197ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$42,259,058TotalAmt
Program Services$40,686,072ProgramServicesAmt
Management And General$1,572,986ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,784,375TotalAmt
Program Services$5,025,320ProgramServicesAmt
Management And General$1,755,137ManagementAndGeneralAmt
Fundraising$3,918FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,939,504TotalAmt
Program Services$88,537ProgramServicesAmt
Management And General$1,850,967ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$196,948TotalAmt
Program Services$153,559ProgramServicesAmt
Management And General$43,389ManagementAndGeneralAmt

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$589,430TotalAmt
Management And General$589,430ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$106,524,666TotalAmt
Program Services$105,015,717ProgramServicesAmt
Management And General$1,508,949ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,583,151TotalAmt
Program Services$1,566,714ProgramServicesAmt
Management And General$16,437ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,633,304TotalAmt
Program Services$18,241,080ProgramServicesAmt
Management And General$389,828ManagementAndGeneralAmt
Fundraising$2,396FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$26,514,701TotalAmt
Program Services$5,014,059ProgramServicesAmt
Management And General$21,500,642ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,611,993TotalAmt
Program Services$15,427,312ProgramServicesAmt
Management And General$184,681ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,272,306TotalAmt
Program Services$962,852ProgramServicesAmt
Management And General$308,113ManagementAndGeneralAmt
Fundraising$1,341FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$868,027TotalAmt
Program Services$823,816ProgramServicesAmt
Management And General$44,211ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,263,348TotalAmt
Program Services$10,263,348ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$157,372,127TotalAmt
Program Services$157,131,226ProgramServicesAmt
Management And General$240,901ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,642,030TotalAmt
Program Services$10,371,153ProgramServicesAmt
Management And General$270,877ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
FEDERAL TAXES$200,600$200,600
PURCHASED SERVICES$145,439,087$129,531,467$15,782,877$124,743
REPAIRS & MAINTENANCE$25,914,925$25,599,612$315,313
MEDICAL SUPPLIES$142,417,656$142,417,656

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$133,259,964TotalAmt
Program Services$108,947,319ProgramServicesAmt
Management And General$23,755,090ManagementAndGeneralAmt
Fundraising$557,555FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,607,425,505TotalAmt
Program Services$1,504,784,257ProgramServicesAmt
Management And General$101,951,295ManagementAndGeneralAmt
Fundraising$689,953FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$41,464,225BOYAmt
EOY$30,845,261EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,716,042BOYAmt
EOY$2,185,188EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$199,945,289BOYAmt
EOY$219,029,254EOYAmt

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$15,593,146BOYAmt
EOY$16,667,720EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,404,842BOYAmt
EOY$4,476,583EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,118,214,018LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$861,769,914LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,142,380,883BOYAmt
EOY$1,256,444,104EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$167,689,664BOYAmt
EOY$172,566,815EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,032,608BOYAmt
EOY$7,435,368EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,980,359BOYAmt
EOY$2,980,359EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$69,959,002BOYAmt
EOY$70,530,866EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,655,166,060BOYAmt
EOY$1,783,161,518EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$228,492,483BOYAmt
EOY$235,061,681EOYAmt

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$238,014,566BOYAmt
EOY$420,048,236EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,428,407BOYAmt
EOY$10,399,347EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$479,935,456BOYAmt
EOY$665,509,264EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,150,304,030BOYAmt
EOY$1,092,627,539EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,926,574BOYAmt
EOY$25,024,715EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,175,230,604BOYAmt
EOY$1,117,652,254EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,655,166,060BOYAmt
EOY$1,783,161,518EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$48,323,173ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,886,699NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$11,141,876OtherChangesInNetAssetsAmt
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)
HospitalYes (X)HospitalInd

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)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$166,584,897OtherCostOrOtherBasisAmt
Book Value$166,584,897BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$761,727,518OtherCostOrOtherBasisAmt
Depreciation$496,128,365DepreciationAmt
Book Value$265,599,153BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$46,579,322OtherCostOrOtherBasisAmt
Depreciation$37,299,705DepreciationAmt
Book Value$9,279,617BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$488,375,900OtherCostOrOtherBasisAmt
Depreciation$324,799,843DepreciationAmt
Book Value$163,576,057BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$654,946,381OtherCostOrOtherBasisAmt
Depreciation$3,542,001DepreciationAmt
Book Value$651,404,380BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,256,444,104TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INSURANCE LIABILITIES$4,988,703
OTHER LIABILITIES$3,153,382
3RD PARTY SETTLEMENTS$2,257,262
FieldValueIRS element (for citing)
Total Liability$10,399,347TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2FormAndLineReferenceDesc
ExplanationTHIS 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 COMBINED 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, 2013 AND 2012, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1Amt
Gross Receipts Event1$69,480GrossReceiptsEvent1Amt
Charitable Contri Event1$50,734CharitableContriEvent1Amt
Gross Revenue Event1$18,746GrossRevenueEvent1Amt
Non Cash Prizes Event1$2,950NonCashPrizesEvent1Amt
Rent Facility Costs Event1$8,400RentFacilityCostsEvent1Amt
Food And Beverage Event1$8,758FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$9,347OtherDirectExpensesEvent1Amt
Name Of Event2TREE LIGHTINGNameOfEvent2Amt
Gross Receipts Event2$6,815GrossReceiptsEvent2Amt
Gross Revenue Event2$6,815GrossRevenueEvent2Amt
Non Cash Prizes Event2$1,438NonCashPrizesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Other Events$0GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Gross Receipts Total$76,295GrossReceiptsTotalAmt
Charitable Contributions Tot$50,734CharitableContributionsTotAmt
Gross Revenue Total Events$25,561GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$4,388NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$8,400RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$8,758FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$9,347OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$30,893DirectExpenseSummaryEventsAmt
Net Income Summary-$5,332NetIncomeSummaryAmt

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

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.FreeCareOtherPct
FieldValueIRS element (for citing)
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$29,958,144TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,958,144NetCommunityBenefitExpnsAmt
Total Expense0.01860TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$277,620,388TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$191,051,591DirectOffsettingRevenueAmt
Net Community Benefit Expns$86,568,797NetCommunityBenefitExpnsAmt
Total Expense0.05390TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,815,001TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,006,835DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,808,166NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$321,393,533TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$198,058,426DirectOffsettingRevenueAmt
Net Community Benefit Expns$123,335,107NetCommunityBenefitExpnsAmt
Total Expense0.07670TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs48ActivitiesOrProgramsCnt
Persons Served122621PersonsServedCnt
Total Community Benefit Expns$2,933,565TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$453,648DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,479,917NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs25ActivitiesOrProgramsCnt
Persons Served245PersonsServedCnt
Total Community Benefit Expns$33,460,872TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,369,096DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,091,776NetCommunityBenefitExpnsAmt
Total Expense0.01750TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served37689PersonsServedCnt
Total Community Benefit Expns$36,564,762TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,785,007DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,779,755NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1147PersonsServedCnt
Total Community Benefit Expns$19,443,296TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$430,874DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,012,422NetCommunityBenefitExpnsAmt
Total Expense0.01180TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs49ActivitiesOrProgramsCnt
Persons Served5479PersonsServedCnt
Total Community Benefit Expns$5,685,802TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$707,290DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,978,512NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs141ActivitiesOrProgramsCnt
Persons Served167181PersonsServedCnt
Total Community Benefit Expns$98,088,297TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,745,915DirectOffsettingRevenueAmt
Net Community Benefit Expns$59,342,382NetCommunityBenefitExpnsAmt
Total Expense0.03690TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs141ActivitiesOrProgramsCnt
Persons Served167181PersonsServedCnt
Total Community Benefit Expns$419,481,830TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$236,804,341DirectOffsettingRevenueAmt
Net Community Benefit Expns$182,677,489NetCommunityBenefitExpnsAmt
Total Expense0.11360TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served24PersonsServedCnt
Total Community Benefit Expns$6,623TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,623NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$3,524TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,524NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served2027PersonsServedCnt
Total Community Benefit Expns$62,747TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$62,747NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$30,846TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$30,846NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served132PersonsServedCnt
Total Community Benefit Expns$193,350TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$193,350NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs20ActivitiesOrProgramsCnt
Persons Served2183PersonsServedCnt
Total Community Benefit Expns$297,090TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$297,090NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$25,277,949BadDebtExpenseAmt
Reimbursed By Medicare$298,674,509ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$394,264,736CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$95,590,227MedicareSurplusOrShortfallAmt

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
Hospital Facilities9HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (9 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndCritical Access HospitalCriticalAccessHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
CALIFORNIA PACIFIC MEDICAL CENTER
145 CASTRO STREETSAN FRANCISCOCA941141010WWW.SUTTERHEALTH.ORGLICENSE# 220000197Yes (X)Yes (X)Yes (X)Yes (X)A
CPMC-ST LUKE'S CAMPUS
23555 CESAR CHAVEZ STREETSAN FRANCISCOCA941104403WWW.SUTTERHEALTH.ORGLICENSE# 220000070Yes (X)Yes (X)Yes (X)A
CPMC-PACIFIC CAMPUS
32333 BUCHANAN STREETSAN FRANCISCOCA94115WWW.SUTTERHEALTH.ORG220000197Yes (X)Yes (X)Yes (X)A
CPMC-CALIF WEST CAMPUS
43700 CALIFORNIA STREETSAN FRANCISCOCA94118WWW.SUTTERHEALTH.ORG220000197Yes (X)Yes (X)Yes (X)A
CPMC-EAST CAMPUS
53698 CALIFORNIA STREETSAN FRANCISCOCA94118WWW.SUTTERHEALTH.ORG220000197Yes (X)Yes (X)Yes (X)A
CPMC-DAVIES CAMPUS
6601 DUBOCE AVENUESAN FRANCISCOCA94117WWW.SUTTERHEALTH.ORG220000197Yes (X)Yes (X)Yes (X)A
NOVATO COMMUNITY HOSPITAL
7180 ROWLAND WAYNOVATOCA949455009WWW.SUTTERHEALTH.ORGLICENSE# 110000375Yes (X)Yes (X)Yes (X)
SUTTER LAKESIDE HOSPITAL
85176 HILL ROADLAKEPORTCA954636300WWW.SUTTERHEALTH.ORGLICENSE# 110000094Yes (X)Yes (X)Yes (X)
SUTTER MEDICAL CENTER SANTA ROSA
93325 CHANATE ROADSANTA ROSACA954041707WWW.SUTTERHEALTH.ORGLICENSE# 110000005Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)

CHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtRpt Available Upon RequestRptAvailableUponRequestIndAdopt Implementation StrategyAdoptImplementationStrategyIndExec Implementation StrategyExecImplementationStrategyIndPrioritize Health NeedsPrioritizeHealthNeedsIndPrioritize ServicesPrioritizeServicesIndAll Needs AddressedAllNeedsAddressedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareIndExplained BasisExplainedBasisIndIncome LevelIncomeLevelIndMedical IndigencyMedicalIndigencyIndMedicaid MedicareMedicaidMedicareIndState RegulationStateRegulationIndResidencyResidencyIndApp Financial Asst ExplnAppFinancialAsstExplnIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndAvailable On RequestAvailableOnRequestIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndMedicare RatesMedicareRatesIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndFacilityFacilityNum
A
Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (true)Yes (true)400.falseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falsefalse
NOVATO COMMUNITY HOSPITAL
Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)falsefalseYes (true)Yes (true)400.falseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falsefalse7
SUTTER LAKESIDE HOSPITAL
Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (true)Yes (true)200.falseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falsefalse8
SUTTER MEDICAL CENTER SANTA ROSA
Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)falsefalseYes (true)Yes (true)300.falseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falsefalse9

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
LINE 3CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): IN CONDUCTING ITS MOST RECENT CHNA, CALIFORNIA PACIFIC MEDICAL CENTER, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE COMMUNITY BENEFIT PARTNERSHIP WORKED COLLECTIVELY TO IDENTIFY THE COMMUNITY'S HEALTH NEEDS AND TO DEVELOP THE CHNA REPORT. IN COLLABORATION WITH ACADEMIC PARTNERS, THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH AS WELL AS THE BROADER SAN FRANCISCO COMMUNITY, THE COMMUNITY BENEFIT PARTNERSHIP BUILT ON THE STRONG FOUNDATION OF YEARS WORKING ON THE PAST TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS. AN OUTGROWTH OF THE BUILDING A HEALTHIER SAN FRANCISCO (BHSF) NEEDS ASSESSMENT PROCESS AND THE CHARITY CARE PROJECT (CCP), THE COMMUNITY BENEFIT PARTNERSHIP SEEKS TO HARNESS THE COMBINED ENERGY AND RESOURCES OF SAN FRANCISCO'S PRIVATE NONPROFIT HOSPITALS, CITY DEPARTMENTS (PUBLIC HEALTH AND HUMAN SERVICES), COMMUNITY CLINICS, HEALTH PLANS, NONPROFIT PROVIDERS AND ADVOCACY GROUPS TO IMPROVE THE HEALTH STATUS OF SAN FRANCISCO RESIDENTS. THE COMMUNITY BENEFIT PARTNERSHIP WAS CONCEIVED IN 1999 TO COLLABORATIVELY IDENTIFY COMMUNITY HEALTH NEEDS AND SUPPORT COORDINATED DECISION-MAKING TO ADDRESS THE NEEDS. IT IS WITH THIS SAME DETERMINATION THAT THE PARTNERS UNDERTOOK A COMMUNITY ORIENTED PROCESS - IN ALIGNMENT WITH THE VALUES EXPRESSED BY THE NEIGHBORHOOD RESIDENTS - FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. DURING 2012, A NUMBER OF OTHER COMMUNITY-BASED NEEDS ASSESSMENTS WERE UNDERWAY AT THE SAME TIME AS THE CHNA. IN ORDER TO REDUCE DUPLICATION OF EFFORT, LEVERAGE RESOURCES, AND RESPECT COMMUNITY MEMBERS' TIME COMMITMENT TO THE PROCESS, THE CHNA PROCESS WAS COMBINED WITH THE DEPARTMENT OF PUBLIC HEALTH'S PROCESS TO COMPLETE A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND ITS COMMUNITY HEALTH ASSESSMENT (CHA). THIS COMBINATION OF EFFORTS BROUGHT TOGETHER A NUMBER OF ADDITIONAL PARTNERS THAT ENRICHED THE INPUT THROUGH A VARIETY OF PERSPECTIVES AND CONTRIBUTIONS TO THE PROCESS. SPECIFICALLY, THE COLLABORATING ORGANIZATIONS AND INDIVIDUALS INCLUDED: - HOSPITAL AND ACADEMIC PARTNERS, WHO CONTINUED TO PARTNER WITH San Francisco Department of Public Health (SFDPH) ON SAN FRANCISCO'S CHA/CHIP LEADERSHIP COUNCIL, WHICH HAS GUIDED THE DEVELOPMENT AND WILL GUIDE THE IMPLEMENTATION OF SAN FRANCISCO'S CHIP. - COMMUNITY STAKEHOLDERS - INCLUDING REPRESENTATIVES FROM SAN FRANCISCO'S NONPROFIT HOSPITALS, ACADEMIC INSTITUTIONS, HEALTH PLANS, THE AFRICAN AMERICAN HEALTH DISPARITIES PROJECT, SAN FRANCISCO HUMAN SERVICES AGENCY, AND SFDPH. - COMMUNITY RESIDENTS AND MEMBERS OF THE LOCAL PUBLIC HEALTH SYSTEM - INCLUDING REPRESENTATIVES FROM K-12 EDUCATION, HIGHER EDUCATION, PHILANTHROPY, NONPROFIT AGENCIES, MINORITY HEALTH EQUITY COALITIONS, GOVERNMENT (INCLUDING THE SAN FRANCISCO MAYOR'S OFFICE AND HEALTH COMMISSION), HOSPITALS, AND MORE. - HEALTH CONTENT EXPERTS ENGAGED WITH SFDPH AS WELL AS ITS HOSPITAL AND ACADEMIC PARTNERS TO REFINE PRIORITY GOALS, OBJECTIVES, MEASURES, AND STRATEGIES THAT HAVE COME TO FORM THE CURRENT CHIP. A NUMBER OF CONSULTING FIRMS AND CONSULTANTS WERE INVOLVED THROUGHOUT THIS PROCESS, INCLUDING: 1) HEARTBEETS, FOR COMMUNITY ENGAGEMENT; 2) CIRCLE POINT, FOR ONGOING COMMUNICATION WITH STAKEHOLDERS; 3) HARDER+COMPANY, FOR DATA COLLECTION AND ANALYSIS; AND 4) NANCY SHEMICK, MPA, FOR MEETING FACILITATION AND REPORT-WRITING. A COMPREHENSIVE LISTING OF THE MEETING ATTENDEES AND INVITEES ARE AVAILABLE IN CPMC'S CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML NOVATO COMMUNITY HOSPITAL (Hospital Facility #7): IN CONDUCTING ITS MOST RECENT CHNA, NOVATO COMMUNITY HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA THE THREE MARIN COUNTY NOT-FOR-PROFIT HOSPITALS (MARIN GENERAL HOSPITAL, NOVATO COMMUNITY HOSPITAL, AND KAISER PERMANENTE) WORKED TOGETHER WITH THE HEALTHY MARIN PARTNERSHIP (HMP) TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). CONSULTANTS FOR THE 2013 CHNA INCLUDED: - HUMAN IMPACT PARTNERS - ROCHELLE EREMAN, MS, MPH, MARIN HEALTH AND HUMAN SERVICES DEPARTMENT EPIDEMIOLOGIST - ABINADER GROUP - CO HERNNDEZ, MFT - LYNN H. BASKETT, MBA - WESTED INDIVIDUALS WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH THAT PROVIDED INPUT INCLUDED: - LARRY MEREDITH, PHD, DIRECTOR, MARIN COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT - ROCHELLE EREMAN, MS, MPH, COMMUNITY EPIDEMIOLOGY CHIEF, MARIN COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT - JENNIFER REINKS, PH.D., FACULTY, FAMILY HEALTH OUTCOMES PROJECT, UNIVERSITY OF CALIFORNIA, SAN FRANCISCO - TOM PETERS, PH.D., PRESIDENT, MARIN COMMUNITY FOUNDATION AND FORMER DIRECTOR, MARIN COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT - MATHEW WILLIS, MD, MPH, MARIN COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT, PUBLIC HEALTH OFFICER - D.J. PIERCE, MARIN COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT, CHIEF OF DIVISION OF ALCOHOL, TOBACCO & OTHER DRUGS THESE PUBLIC HEALTH EXPERTS PARTICIPATED IN KEY INFORMANT INTERVIEWS. LARRY MEREDITH, PHD, JENNIFER REINKS, PHD, AND MATHEW WILLIS, M.D. ALSO PARTICIPATED IN THE HMP-COORDINATED COMMUNITY CONVENING AND MS. EREMAN WAS A CONSULTANT TO THE CHNA WORK GROUP AND PROCESS. FROM APRIL 23, 2012 TO JUNE 11, 2012 SELMA ABINADER OF ABINADER GROUP CONDUCTED 25 PHONE INTERVIEWS OF STAKEHOLDERS SELECTED BY HMP LEADERSHIP. STAKEHOLDERS WERE HMP LEADERSHIP AND REPRESENTATIVES FROM HOSPITAL AND HEALTH ORGANIZATIONS, PUBLIC HEALTH EXPERTS, FUNDING INSTITUTIONS, GOVERNMENT, BUSINESS, EDUCATION, AND COMMUNITY BASED AGENCIES. KEY INFORMANTS, COMMUNITY PHYSICIANS AND THOSE PARTICIPATING IN THE HMP-COORDINATED COMMUNITY CONVENING INCLUDED 44 MARIN COUNTY RESIDENTS AND LEADERS REPRESENTING KEY POPULATIONS (MEDICALLY-UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE). FOCUS GROUPS WERE CONDUCTED BETWEEN APRIL 16 AND MAY 9, 2012 BY THE COUNTY OF MARIN DEPARTMENT OF HEALTH AND HUMAN SERVICES. THEY WERE HELD IN MARIN CITY, NOVATO, CANAL, SAN GERONIMO, WEST MARIN, WHISTLESTOP AND THE YOUTH LEADERSHIP INSTITUTE. A TOTAL OF 103 ENGLISH AND 50 SPANISH RESPONSES WERE OBTAINED. FOCUS GROUP PARTICIPANTS WERE SURVEYED ABOUT: - IMPORTANT HEALTH ISSUES THEY, THEIR FAMILIES, AND THEIR COMMUNITIES FACED - WHAT THEY SAW AS HEALTHY AND UNHEALTHY ABOUT THEIR COMMUNITIES - WHAT THEY WOULD CHANGE TO MAKE THEIR COMMUNITIES HEALTHIER. ADDITIONAL DETAILS ON KEY INFORMANTS, COLLABORATIVE PARTNERS AND FOCUS GROUPS CAN BE FOUND IN NOVATO COMMUNITY HOSPITAL'S CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER LAKESIDE HOSPITAL (Hospital Facility #8): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER LAKESIDE HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THREE PRIMARY METHODS OF COLLECTING INPUT FROM THE COMMUNITY WERE USED IN THE ASSESSMENT - COMMUNITY SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. KEY INFORMANT INTERVIEWS: TELEPHONE INTERVIEWS USING A STRUCTURED SET OF QUESTIONS (WITH ADDITIONAL, PERSONALIZED QUESTIONS TO OBTAIN MORE IN-DEPTH INFORMATION) WERE CONDUCTED WITH 16 INDIVIDUALS WHOSE PERCEPTIONS AND EXPERIENCE WERE INTENDED TO INFORM THE ASSESSMENT. THE INTERVIEWS PROVIDED AN INFORMED PERSPECTIVE FROM THOSE WORKING DIRECTLY WITH THE PUBLIC, INCREASED AWARENESS ABOUT AGENCIES AND SERVICES, OFFERED INPUT ABOUT GAPS AND POSSIBLE DUPLICATION IN SERVICES, AND SOLICITED IDEAS ABOUT RECOMMENDED STRATEGIES AND SOLUTIONS. THE INTERVIEWS ALSO FOCUSED THE NEEDS ASSESSMENT ON PARTICULAR ISSUES OF CONCERN WHERE INDIVIDUALS WITH CERTAIN EXPERTISE COULD CONFIRM OR DISPUTE PATTERNS IN THE DATA AND IDENTIFY DATA AND OTHER STUDIES THE COLLABORATIVE MIGHT NOT OTHERWISE BE AWARE OF. KEY INFORMANTS INTERVIEWED INCLUDE THE FOLLOWING: - DAVID SANTOS, VICE PRESIDENT OF OPERATIONS, ST. HELENA HOSPITAL CLEAR LAKE - DENISE RUSHING, SUPERVISOR, LAKE COUNTY BOARD OF SUPERVISORS - DENNIS FAY, EXECUTIVE DIRECTOR, COMMUNITY CARE MANAGEMENT CORPORATION - DIANE PEGE, MD, VICE PRESIDENT, MEDICAL AFFAIRS, SUTTER LAKESIDE HOSPITAL - KIMBERLY TANGERMANN, MANAGER, LIVE WELL & KONOCTI WELLNESS CENTER, ST. HELENA HOSPITAL CLEAR LAKE - LINDA MORRIS, DEPUTY DIRECTOR, CLINICAL SERVICES, LAKE COUNTY BEHAVIORAL HEALTH DEPARTMENT - LYN SCURI, HEALTH PLANNER, PARTNERSHIP HEALTH PLAN - MARK BUEHNERKEMPER, OPTOMETRIST, LAKE COUNTY RESIDENT - MERYL FEATHERSTONE, TRIBAL HEALTH - MONTE WINTERS, SPRING VALLEY RESIDENT - ROB BROWN, SUPERVISOR, LAKE COUNTY BOARD OF SUPERVISORS - ROBERT GARDNER, M.D., MEDICAL DIRECTOR, LUCERNE COMMUNITY CLINIC - SIRI NELSON, CHIEF EXECUTIVE OFFICER, SUTTER LAKESIDE HOSPITAL - STEPHANIE LILLY, DIRECTOR OF PROGRAMS, LAKE FAMILY RESOURCE CENTER -
LINE 4CHNA HOSPITAL COLLABORATORS CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): A COMPLETE LISTING OF HOSPITALS AND PARTNERS WHO COLLABORATED ON THE CHNA IS AVAILABLE FOR DOWNLOAD AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML NOVATO COMMUNITY HOSPITAL: THE THREE MARIN COUNTY NOT-FOR-PROFIT HOSPITALS, MARIN GENERAL HOSPITAL, NOVATO COMMUNITY HOSPITAL, AND KAISER PERMANENTE, WORKED TOGETHER WITH THE HEALTHY MARIN PARTNERSHIP TO COMPLETE THE CHNA. SUTTER LAKESIDE HOSPITAL: THE COLLABORATIVE INCLUDED THE TWO LAKE COUNTY HOSPITALS, ST. HELENA CLEAR LAKE AND SUTTER LAKESIDE. SUTTER MEDICAL CENTER SANTA ROSA: SUTTER MEDICAL CENTER OF SANTA ROSA, IN COLLABORATION WITH LOCAL PARTNERS KAISER PERMANENTE, ST. JOSEPH'S HEALTH SYSTEM AND THE SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2013.
LINES 5A & 5BCHNA AVAILABILITY ONLINE CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.CPMC.ORG/ABOUT/COMMUNITY/ - OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML NAVATO COMMUNITY HOSPITAL: - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/COMMUNITY_BENEFITS.HTML - OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER LAKESIDE HOSPITAL: - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.SUTTERLAKESIDE.ORG/ABOUT/ - OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER MEDICAL CENTER SANTA ROSA: - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.SUTTERSANTAROSA.ORG/RELATIONS/COMMUNITY_BENEFITS.HTML - OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML
LINE 7COMMUNITY NEEDS UNADDRESSED BY SUTTER WEST BAY HOSPITALS CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): ALTHOUGH NO HOSPITAL CAN ADDRESS ALL ASPECTS OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, CPMC PLANS TO ADDRESS ALL THREE OF THE PRIORITIES IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. AS A MEMBER OF SFHIP (SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP), CPMC WILL CONTINUE TO WORK IN COLLABORATION WITH OTHER LOCAL HOSPITALS AND HEALTH PLANS TO IDENTIFY GAPS IN SERVICE AND TO DETERMINE WHERE EFFORTS SHOULD BE COLLECTIVELY REDIRECTED IN ORDER TO MOST EFFECTIVELY IMPROVE THE HEALTH OF SAN FRANCISCO RESIDENTS. FOR MORE INFORMATION ABOUT SFHIP, PLEASE VISIT WWW.SFHIP.ORG. CPMC IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. NAVATO COMMUNITY HOSPITAL: NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. NOVATO COMMUNITY HOSPITAL (NCH) IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NOT ADDRESSED BY NOVATO COMMUNITY HOSPITAL AT THIS TIME. - SUBSTANCE ABUSE (ALCOHOL AND OTHER DRUGS) - SOCIOECONOMIC STATUS - CANCER - HEART DISEASE NCH DOES NOT HAVE SUFFICIENT RESOURCES (FINANCIAL AND PERSONNEL), NOR THE EXPERTISE, TO ADDRESS THESE NEEDS. HOWEVER, IT IS IMPORTANT TO NOTE THAT OTHER FACILITIES AND ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THESE NEEDS, AS NOTED IN THE COMMUNITY ASSETS IDENTIFIED IN THE CHNA AT HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/NCH_2013CHNAREPORT.PDF SUTTER LAKESIDE HOSPITALS: ALTHOUGH NO HOSPITAL CAN ADDRESS ALL ASPECTS OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, SUTTER LAKESIDE HOSPITAL PLANS TO ADDRESS ALL FOUR OF THE PRIORITIES IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. SUTTER LAKESIDE HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. SUTTER MEDICAL CENTER SANTA ROSA: NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER MEDICAL CENTER OF SANTA ROSA IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: BARRIERS OF HEALTHY AGING: IN RECENT YEARS, SUTTER MEDICAL CENTER HAS PARTNERED ON SEVERAL INITIATIVES TO ADDRESS THE BARRIERS TO HEALTH AGING, MOST NOTABLY A GRANT TO PRESERVE THE COUNTY'S ONLY ADULT DAY HEALTH CARE CENTER AND SEVERAL FINANCIAL AND STAFF TIME COMMITMENTS TO DEVELOP AND IMPLEMENT "A MATTER OF BALANCE," A FALLS PREVENTION PROGRAM. AT THIS TIME, WE DO NOT HAVE THE BANDWIDTH TO COMMIT SIGNIFICANT RESOURCES TO ADDRESS THIS ISSUE. THERE ARE MANY LOCAL AGENCIES THAT, IN PARTNERSHIP WITH EACH OTHER AND THE COUNTY, HAVE DEVELOPED MANY PROGRAMS AND SERVICES TARGETING HEALTHY AGING (I.E. AGING IN PLACE). WE WILL CONTINUE TO MAKE MODEST FINANCIAL COMMITMENTS TO SUPPORT THESE LOCAL PROGRAMS. DISPARITIES IN EDUCATIONAL ATTAINMENT: SEEN AS ONE OF THE MANY SOCIAL DETERMINANTS OF HEALTH, ATTAINING AT LEAST A HIGH SCHOOL DIPLOMA IS VITAL TO THE HEALTH AND PROSPERITY OF COMMUNITIES BUT THIS ISSUE IS SIGNIFICANTLY OUTSIDE THE SCOPE OF SERVICES AND EXPERTISE OF OUR ORGANIZATION. THE GOOD NEWS IS THAT THERE ARE SEVERAL LOCAL INITIATIVES (E.G. CRADLE TO CAREER AND SCHOOLS OF HOPE) THAT ARE AGGRESSIVELY ADDRESSING THIS DISPARITY AND HAVE AMBITIOUS GOALS TO IMPROVE THE STATUS OF EDUCATIONAL ATTAINMENT, PARTICULARLY IN UNDERSERVED COMMUNITIES. THE HEALTH ACTION COUNCIL IS ACTIVELY WORKING TO ADDRESS THIS ISSUE. ADVERSE CHILDHOOD EXPOSURE TO STRESS (ACES): THOUGH THERE ARE A COUPLE OF PROMISING STUDIES THAT DEMONSTRATE A LINK BETWEEN CHILDHOOD TRAUMA AND LONG-TERM HEALTH IMPACT, THERE IS A LACK OF EVIDENCE-BASED APPROACH FOR ADDRESSING THE PROBLEM. THE HOSPITAL SIMPLY DOES NOT HAVE THE FINANCIAL OR HUMAN RESOURCES TO TAKE A LEADERSHIP ROLE IN DEVELOPING AND PILOTING PROGRAMS AND STRATEGIES FOR PREVENTING OR TREATING CHILDHOOD STRESS. TOBACCO USE: AT THIS TIME, SUTTER MEDICAL CENTER DOES NOT HAVE THE RESOURCES TO DEVELOP A FORMAL PROGRAM TO ADDRESS TOBACCO ADDICTION BUT THERE ARE TWO STRATEGIES THAT WE HAVE IMPLEMENTED THAT WE HOPE WILL HELP MANY OF OUR PATIENTS AND EMPLOYEES STOP SMOKING. FIRST, THE FAMILY MEDICINE RESIDENTS USE MOTIVATIONAL INTERVIEWING WHICH IS A COLLABORATIVE, PERSON-CENTERED FORM OF GUIDING TO ELICIT AND STRENGTHEN MOTIVATION FOR CHANGE FOR THEIR TOBACCO-ADDICTED PATIENTS. SECOND, THE HOSPITAL HAS RECENTLY BECOME A SMOKE-FREE CAMPUS WHICH HAS PROVIDED THE OPPORTUNITY FOR ENCOURAGING AND SUPPORTING TREATMENT SERVICE OPTIONS FOR EMPLOYEES AND PATIENTS WHO SMOKE. LUNG, BREAST AND COLORECTAL CANCER: AWARENESS AND EARLY DETECTION ARE THE KEYS TO REDUCING THE MORBIDITY AND MORTALITY OF CANCER. THE HOSPITAL IS NOT ADDRESSING THIS ISSUE BECAUSE OUR AFFILIATE PARTNER, SUTTER PACIFIC MEDICAL FOUNDATION, INVESTS CONSIDERABLE RESOURCES IN OUR COMMUNITY TO RAISE AWARENESS OF CANCER SCREENING. ADDITIONALLY, THE FOUNDATION PROVIDES MANY FREE CANCER SCREENING SERVICES TO UNINSURED PEOPLE AND DOES CONSIDERABLE OUTREACH TO OUR LATINO COMMUNITY.
LINE 12HBASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS SUTTER WEST BAY HOSPITALS ADDITIONAL FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDES HOUSEHOLD SIZE, WHICH IS PART OF THE FEDERAL POVERTY GUIDELINES.
LINE 14GMEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY SUTTER WEST BAY HOSPITAL FACILITIES USED THE FOLLOWING PRACTICE TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICIES: 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.
LINE 20DAMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS SUTTER WEST BAY HOSPITAL FACILITIES USED THE FOLLOWING PRACTICE FOR CHARGING 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)
Facility29FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (29 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
CALIFORNIA PACIFIC MEDICAL CENTER
2323 SACRAMENTO STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES-PSYCHIATRY
CALIFORNIA PACIFIC MEDICAL CENTER
1625 VAN NESS AVENUESAN FRANCISCOCA94115OUTPATIENT SERVICES - CHILD DEVELOPMENT
CALIFORNIA PACIFIC MEDICAL CENTER
1580 VALENCIA STREET SUITE 440SAN FRANCISCOCA94115OUTPATIENT SERVICES - CHILD DEVELOPMENT
CALIFORNIA PACIFIC MEDICAL CENTER
3838 CALIFORNIA STREET SUITE 106SAN FRANCISCOCA94115OUTPATIENT SERVICES - LABORATORY/IMAGING
CALIFORNIA PACIFIC MEDICAL CENTER
101 NORTH EL CAMINO SUITE 1SAN MATEOCA94402OUTPATIENT SERVICES - HAND THERAPY
SUTTER MED CTR SANTA ROSA-PERINATAL CTR
3327 CHANATE ROADSANTA ROSACA95404OUTPATIENT SERVICES
SMC SANTA ROSA-SPORTS & ORTHOPEDIC REHAB
4729 HORN AVENUE SUITE ASANTA ROSACA95405OUTPATIENT SERVICES
TERRA LINDA HEALTH PLAZA
4000 CIVIC CENTER DRIVESAN RAFAELCA94903OUTPATIENT SERVICES
PHYSICAL THERAPY & SPORT FITNESS
100 ROWLAND WAYNOVATOCA94945OUTPATIENT SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET 4TH FLOORSAN FRANCISCOCA94115CHRONIC DIALYSIS
CALIFORNIA PACIFIC MEDICAL CENTER
2323 SACRAMENTO STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2340 CLAY STREET SUITE 114ASAN FRANCISCOCA94115OUTPATIENT SERVICES - HEART TRANSPLANT CLINIC
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET SUITE 600SAN FRANCISCOCA94115OUTPATIENT SERVICES-IES
CALIFORNIA PACIFIC MEDICAL CENTER
2340 CLAY STREET 4TH FLOORSAN FRANCISCOCA94115OUTPATIENT SERVICES - LIVER, PANCREAS & KIDNEY TRANSPLANT CLINIC
CALIFORNIA PACIFIC MEDICAL CENTER
2340 CLAY STREET 5TH FLOORSAN FRANCISCOCA94115OUTPATIENT SERVICES - OPHTHAMOLOGY CLINIC
CALIFORNIA PACIFIC MEDICAL CENTER
2360 CLAY STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES - PT, OT & CARDIAC REHAB
CALIFORNIA PACIFIC MEDICAL CENTER
2100 WEBSTER STREET SUITE 103SAN FRANCISCOCA94115RAD/LAB/ULTRASOUND SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET SUITE 150SAN FRANCISCOCA94115OUTPATIENT SERVICES-ALS
SUTTER LAKESIDE FAMILY MEDICAL CLINIC
5176 HILL ROAD EASTLAKEPORTCA95453RURAL HEALTH CLINIC
SUTTER LAKESIDE OUTPATIENT DRAW STATION
5132 HILL ROAD EASTLAKEPORTCA95453OUTPATIENT SERVICES
SUTTER LAKESIDE UPPER LAKE COMM CLINIC
750 OLD LUCERNE ROADUPPER LAKECA95485RURAL HEALTH CLINIC
DIAGNOSTIC CENTER
165 ROWLAND WAYNAVATOCA94945OUTPATIENT SERVICES
SURGERY TRANSFUSION SERVICES
180 ROWLAND WAYNOVATOCA94945OUTPATIENT SERVICES
IMAGING SERVICES
1375 SUTTER STREETSAN FRANCISCOCA94119OUTPATIENT SERVICES
SAN FRANCISCO ENDOSCOPY CENTER
3468 CALIFORNIA STREETSAN FRANCISCOCA94118OUTPATIENT SERVICES
PRESIDIO SURGERY CENTER
1635 DIVISADERA STREET SUITE 200SAN FRANCISCOCA94115OUTPATIENT SERVICES
CALIFORNIA PACIFIC ADVANCED IMAGING
504 REDWOOD BLVD 300NOVATOCA94949OUTPATIENT SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET 100SAN FRANCISCOCA94115OUTPATIENT MRI
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET 502SAN FRANCISCOCA94115OUTPATIENT PULMONARY

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3A & 3CFPG FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY SUTTER WEST BAY HOSPITALS USE THE FOLLOWING INCOME LIMITS FOR FREE CARE ELIGIBILITY: * CALIFORNIA PACIFIC MEDICAL CENTER, 400%; * NOVATO COMMUNITY HOSPITAL, 400%; * SUTTER LAKESIDE HOSPITAL, 200%; AND * SUTTER MEDICAL CENTER SANTA ROSA, 300%. FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION, THE 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 15% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 15% 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. - UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAN 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. NOVATO COMMUNITY HOSPITAL: TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION, THE 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 15% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 15% 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. - UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAn 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 10% DISCOUNT FOR THOSE WHO PAY WITHIN 30 DAYS OF FINAL BILLING. SUTTER LAKESIDE HOSPTIAL: TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 200% OF FPG. PARTIAL CHARITY CARE IS A PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR COVERED SERVICES AVAILABLE TO PATIENTS WHOSE FAMILY INCOMES ARE BETWEEN 201% AND 400% OF FEDERAL POVERTY GUIDELINES. 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 15% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 15% OF THEIR FAMILY INCOME. - HIGH MEDICAL COST CHARITY CARE (FOR INSURED PATIENTS): FULL OR PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR COVERED SERVICES. HIGH MEDICAL COST CHARITY CARE IS NOT AVAILABLE FOR PATIENTS RECEIVING SERVICES THAT ARE ALREADY DISCOUNTED. - UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAN 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 A 15% TO 10% DISCOUNT FOR THOSE WHO PAY WITHIN 30 OR 60 DAYS OF FINAL BILLING. SUTTER MDICAL CENTER SANTA ROSA: TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 300% OF FPG. PARTIAL CHARITY CARE IS A PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR COVERED SERVICES AVAILABLE TO PATIENTS WHOSE FAMILY INCOME ARE BETWEEN 301% AND 400% OF FPG. 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 15% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 15% 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 350% OF FPG, MEDICAL EXPENSES EXCEED 10% OF THE PATIENT'S FAMILY INCOME, AND THE PATIENT'S INSURE HAS NOT PROVIDED A DISCOUNT. - UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAN 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 10% DISCOUNT FOR THOSE WHO PAY WITHIN 30 DAYS OF FINAL BILLING.
PART I, LINE 7COSTING METHODOLOGY COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.
PART I, LINE 7GCALIFORNIA PACIFIC MEDICAL CENTER: THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $11,563,655.
PART IICOMMUNITY BUILDING ACTIVITIES CALIFORNIA PACIFIC MEDICAL CENTER: CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. BUILDING THE SAN FRANCISCO WORKFORCE, ESPECIALLY BY CREATING OPPORTUNITIES FOR YOUTH, IS A MAJOR FOCUS FOR CPMC. IN 2013, CPMC PROVIDED WORK-READINESS TRAINING AND CAREER EXPLORATION EXPERIENCES TO ABOUT 180 INDIVIDUALS THROUGH ITS COMMUNITY WORKFORCE PROGRAMS. THESE PARTNERSHIPS HELP EDUCATE AND INSPIRE UNDERSERVED YOUTH TO PURSUE HEALTH CAREERS. THEY INCLUDE: GALILEO HEALTH ACADEMY OFFERS TWO 12-WEEK SPEAKER SERIES THAT TAKE PLACE IN THE SPRING AND FALL OF THE ACADEMIC YEAR FOR HIGH SCHOOL JUNIORS. TWICE A WEEK, CPMC EMPLOYEES PROVIDE LECTURES, DEMONSTRATIONS, TOURS AND ACTIVITIES TO ENHANCE STUDENTS' UNDERSTANDING OF THE COMPLEXITIES AND OPPORTUNITIES IN A MODERN, COMPREHENSIVE ACUTE CARE MEDICAL CENTER. CPMC ALSO PROVIDES SIX-WEEK SUMMER INTERNSHIPS FOR GALILEO STUDENTS TO GAIN EXPERIENCE WORKING IN A HOSPITAL ENVIRONMENT. YEAR UP PLACES LOW-INCOME YOUNG ADULTS BETWEEN THE AGES OF 18 AND 24 INTO INFORMATION TECHNOLOGY INTERNSHIPS AT CPMC. ENABLING PATIENTS TO VOTE IS A PROGRAM THAT PROVIDES PATIENTS WITH THE OPPORTUNITY TO VOTE IN THE ELECTIONS. VOLUNTEERS ASSIST IN PROMOTING THIS PROGRAM THROUGHOUT CPMC OVER THE COURSE OF SEVERAL DAYS. VOLUNTEERS ALSO FAX BALLOT REQUESTS TO CITY HALL, PICK-UP ABSENTEE BALLOTS, DISTRIBUTE BALLOTS TO PATIENTS, COLLECTING BALLOTS AT THE END OF THE DAY, AND DROPPING OFF BALLOTS AT POLLING SITES, AND CITY HALL, FOR TABULATION IN A TIMELY MANNER. PROJECT HOMELESS CONNECT IS SAN FRANCISCO'S SIGNATURE PROGRAM TO PROVIDE SERVICES TO ITS HOMELESS POPULATION. THE MISSION OF PROJECT HOMELESS CONNECT IS TO PROVIDE A SINGLE LOCATION WHERE NONPROFIT MEDICAL AND SOCIAL SERVICES PROVIDERS COLLABORATE TO SERVE THE HOMELESS OF SAN FRANCISCO WITH COMPREHENSIVE, HOLISTIC SERVICES. CPMC VOLUNTEERS HELP PROJECT HOMELESS CONNECT PROVIDE MEDICAL AND SOCIAL SERVICES TO SAN FRANCISCO'S MOST IMPOVERISHED RESIDENTS, INCLUDING PRIMARY MEDICAL CARE, EYE EXAMS, WHEELCHAIR REPAIR, DENTAL TREATMENT, SUBSTANCE ABUSE CONNECTIONS, AND EVEN ACUPUNCTURE AND MASSAGE. CPMC'S CHILD DEVELOPMENT CENTER IS PART OF THE FIRST 5 CALIFORNIA COALITIONS. FIRST 5 CALIFORNIA REPRESENTS AN IMPORTANT PART OF OUR STATE'S EFFORT TO NURTURE AND PROTECT OUR MOST PRECIOUS RESOURCE - OUR CHILDREN. FIRST 5 CALIFORNIA'S SERVICES AND SUPPORT ARE DESIGNED TO ENSURE THAT MORE CHILDREN ARE BORN HEALTH AND REACH THEIR FULL POTENTIAL. CPMC'S VOLUNTEER DEPARTMENT PARTNERS WITH COMMUNITY AGENCIES TO PROVIDE INTERNSHIPS FOR AT-RISK YOUTH. IN 2013, CPMC PARTNERED WITH JEWISH VOCATIONAL SERVICES HEALTH CARE BRIDGE, SAN FRANCISCO UNIFIED SCHOOL DISTRICT WORKABILITY PROGRAM, LIFE LEARNING ACADEMY AND CITY ARTS AND TECH HIGH SCHOOL. JVS FOSTER YOUTH HEALTHCARE CAREER EXPLORATION PROGRAM: A CPMC EMPLOYEE SPENDS TIME PREPARING AND GIVING TOURS OF OUR ST. LUKE'S CAMPUS TO PROGRAM PARTICIPANTS. THE PROGRAM IS FOR 17 - 21 YEAR OLDS WHO ARE CONSIDERING A FUTURE HEALTH CARE CAREER, OFFERING 1) 3 UNITS OF CREDIT AT CITY COLLEGE OF SF WITH OVERVIEW OF HEALTH CARE CAREERS AND MEDICAL TERMINOLOGY; 2) WEEKLY WORKSHOPS AT JVS TO BUILD COMPUTER, ACADEMIC, AND JOB READINESS SKILLS; 3) A PAID INTERNSHIP IN A HEALTH CARE SETTING; 4) CONNECTIONS WITH EMPLOYERS WHO CAN GET PARTICIPANTS STARTED IN A NEW CAREER. LIFE LEARNING ACADEMY: THIS PROGRAM MENTORS A LIFE LEARNING ACADEMY HIGH SCHOOL STUDENT ON-HALF HOUR PER WEEK FOR 12 WEEKS. THE NATIONAL COUNCIL ON AGING SENIOR COMMUNITY SERVICE PROGRAM: CREATED IN 1965, Senior Community Service Employment Program (SCSEP) IS THE NATION'S OLDEST PROGRAM TO HELP LOW-INCOME, UNEMPLOYED INDIVIDUALS AGED 55+ FIND WORK. A CPMC EMPLOYEE SPENDS TIME SUPPORTING TWO PROGRAM PARTICIPANTS. NOVATO COMMUNITY HOSPITAL: NOVATO COMMUNITY HOSPITAL (NCH) FUNDS THE FOLLOWING PROGRAM THAT HELPS ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. - IN 1995, THE HEALTHY MARIN PARTNERSHIP WAS FORMED IN RESPONSE TO CALIFORNIA SENATE BILL 697, A LEGISLATIVE MANDATE REQUIRING NOT-FOR-PROFIT HOSPITALS TO COMPLETE A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS. NCH PARTICIPATES IN THIS PARTNERSHIP, ALONG WITH OTHER KEY STAKEHOLDERS, TO PRODUCE THE COMMUNITY HEALTH NEEDS ASSESSMENT. SUTTER LAKESIDE HOSPTAL: SUTTER LAKESIDE HOSPITAL FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. SUTTER LAKESIDE HOSPITAL STAFF MEMBERS ARE ASSIGNED TO COMMUNITY BOARDS, PANELS, COMMITTEES, AND GROUPS. SUTTER LAKESIDE HOSPITAL SUPPORTED A LOCAL COMMUNITY HEALTH FAIR WITH A FIRST AID BOOTH AND HEALTH TESTING SUPPLIES (GLUCOSE TEST TRIPS, GLOVES, SWABS AND EQUIPMENT). SUTTER MEDICAL CENTER SANTA ROSA: SUTTER MEDICAL CENTER OF SANTA ROSA FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. REDWOOD EMPIRE FOOD BANK: THE FOOD BANK IS THE PRIMARY SOURCE OF FOOD FOR THE POOR AND HUNGRY IN THEIR COMMUNITY. IT SERVES AS A DISTRIBUTION CENTER TO HUNDREDS OF NEIGHBORHOOD FOOD PANTRIES AND KITCHENS THROUGHOUT SONOMA COUNTY. SUTTER MEDICAL CENTER OF SANTA ROSA SUPPORTS THE COMPACT FOR SUCCESS PROGRAM FOR ELSIE ALLEN HIGH SCHOOL. COMPACT FOR SUCCESS IS A PROGRAM DESIGNED TO SUPPORT STUDENTS FROM LOW SOCIOECONOMIC STATUS BACKGROUNDS IN GRADUATING HIGH SCHOOL, ATTENDING AND COMPLETING COLLEGE, AND PREPARING FOR COMMUNITY LEADERSHIP. SUTTER MEDICAL CENTER OF SANTA ROSA PROVIDES STAFF TIME TO COVERED SONOMA. COVERED SONOMA IS A COMMUNITY-WIDE COLLABORATIVE DESIGNED TO IDENTIFY AND PROVIDE ACCESS TO HEALTH INSURANCE FOR ALL ELIGIBLE UNINSURED PEOPLE IN SONOMA COUNTY. IN ADDITION, STAFF TIME IS PROVIDED FOR THE SONOMA HEALTH ALLIANCE, A COMMUNITY COLLABORATIVE TO PROMOTE IMPROVED COMMUNITY HEALTH AND WORK TOWARDS AN EFFECTIVE, SUSTAINABLE AND COORDINATED HEALTH CARE DELIVERY SYSTEM. THE HEALTHCARE WORKFORCE DEVELOPMENT ROUNDTABLE IS A GROUP THAT PROMOTES THE INTEREST IN HEALTH PROFESSIONS AND CREATES OPPORTUNITIES TO PURSUE HEALTH CAREERS FOR DIVERSE POPULATIONS IN SONOMA COUNTY. THIS PROGRAM IS A PARTNERSHIP WITH SANTA ROSA JUNIOR COLLEGE AND HAS BEEN AWARDED MULTIPLE GRANTS OVER THE YEARS TO CONTINUE ITS IMPORTANT OUTREACH, RECRUITMENT AND SUPPORT EFFORTS. SMCSR CONTINUES TO PROVIDE LEADERS TO THIS EFFORT, BOTH IN STRATEGIC PLANNING AND PROVIDING OPPORTUNITIES FOR STUDENTS TO SHADOW STAFF IN A VARIETY OF HEALTH PROFESSIONS WITH THE HOSPITAL SETTING. TODAY, THIS PARTNERSHIP HAS GROWN INTO A ROBUST CONTINUUM OF PROGRAMS AND SERVICES TARGETING HIGH SCHOOL AND COLLEGE STUDENTS OF COLOR.
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.
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.
PART III, LINE 4AUDIT 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% AND 89% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2013 AND 2012 RESPECTIVELY. 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 33% AS OF 12/31/13 29% AS OF 12/31/12 MEDI-CAL 21% AS OF 12/31/13 23% AS OF 12/31/12 DURING 2013 AND 2012, 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 CHANGES 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 $375 MILLION AND $370 MILLION FOR 2013 AND 2012, RESPECTIVELY.
PART III, LINE 7MEDICARE COSTS MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS.
PART III, LINE 8COSTING 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.
PART III, LINE 9BDEBT COLLECTION POLICY 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.
PART VI, LINE 2NEEDS ASSESSMENT CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): DURING 2013, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE CITY AND COUNTY OF SAN FRANCISCO WAS CONDUCTED BY CPMC, THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, LOCAL NONPROFIT HOSPITALS AND ACADEMIC PARTNERS, AND MORE THAN 500 COMMUNITY RESIDENTS. SERVING CALIFORNIA'S ONLY CONSOLIDATED CITY AND COUNTY AND A DIVERSE POPULATION OF 805,235 RESIDENTS, THE PARTNERS MADE EVERY EFFORT TO CREATE A COMMUNITY-ORIENTED PROCESS ALIGNED WITH THE FOLLOWING VALUES: - TO FACILITATE ALIGNMENT OF SAN FRANCISCO'S PRIORITIES, RESOURCES, AND ACTIONS TO IMPROVE HEALTH AND WELL-BEING. - TO ENSURE THAT HEALTH EQUITY IS ADDRESSED THROUGHOUT PROGRAM PLANNING AND SERVICE DELIVERY. - TO PROMOTE COMMUNITY CONNECTIONS THAT SUPPORT HEALTH AND WELL-BEING. THE MEMBERS OF THIS COMMUNITY BENEFIT PARTNERSHIP, WITH A LONG HISTORY OF SUCCESSFUL COLLABORATION, AGREED TO TACKLE A NEW REQUIREMENT UNDER THE AFFORDABLE CARE ACT: TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS. THIS EFFORT IS NOT UNFAMILIAR TO SAN FRANCISCO'S NONPROFIT HOSPITALS, AS THEY HAVE UNDERGONE A SIMILAR PROCESS EVERY THREE YEARS SINCE CALIFORNIA SENATE BILL 697 WAS PASSED IN 1994; FOR MORE THAN A DECADE THIS COLLABORATIVE HAS CONDUCTED COLLECTIVE COMMUNITY NEEDS ASSESSMENTS. HELPFUL TO THIS YEAR'S PROCESS WAS THE NUMBER OF SIMILAR EFFORTS BEING UNDERTAKEN TO ASSESS COMMUNITY HEALTH NEEDS AND IMPROVEMENT STRATEGIES, SUCH AS THE HEALTH CARE SERVICES MASTER PLAN AND ACCREDITATION FOR THE SAN FRANCISCO PUBLIC HEALTH DEPARTMENT. TO LEVERAGE RESOURCES REQUIRED FOR THESE ENDEAVORS, THE COMMUNITY BENEFIT PARTNERSHIP MADE USE OF A COMMUNITY-DRIVEN PROCESS THAT ENGAGED MORE THAN 500 COMMUNITY RESIDENTS AND LOCAL PUBLIC HEALTH SYSTEM PARTNERS WHO IDENTIFIED THE FOLLOWING KEY HEALTH PRIORITIES FOR ACTION: - ENSURE SAFE AND HEALTHY LIVING ENVIRONMENTS - INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY - INCREASE ACCESS TO HIGH-QUALITY HEALTH CARE AND SERVICES FROM JULY 2011 UNTIL FEBRUARY 2013, THE PARTNERS ENGAGED IN A PROCESS TO: A) AGREE ON DATA ELEMENTS AND INDICATORS TO BE COLLECTED B) DETERMINE THE PARTIES RESPONSIBLE TO COLLECT THOSE DATA C) AGREE ON METHODS TO SOLICIT AND INCORPORATE COMMUNITY INPUT D) SHARE FINDINGS E) IDENTIFY PRIORITIZATION CRITERIA TO BE USED F) CONDUCT THE PRIORITIZATION PROCESS G) GET COMMUNITY STAKEHOLDERS' INPUT ON STRATEGIES TO ADDRESS THE HEALTH NEEDS TO YIELD A REPRESENTATIVE AND TRANSPARENT ASSESSMENT PROCESS, THE COMMUNITY BENEFIT PARTNERSHIP SOUGHT TO ENGAGE A RANGE OF COMMUNITY RESIDENTS AND LOCAL PUBLIC HEALTH SYSTEM PARTNERS AT EACH STEP. SPECIFICALLY: - COMMUNITY RESIDENTS FROM EACH OF SAN FRANCISCO'S 21 NEIGHBORHOOD AREAS CAME TOGETHER FOR A DAY-LONG EVENT TO DISCUSS THEIR VIEWS OF HEALTH AND THEIR HOPES FOR SAN FRANCISCO'S HEALTH FUTURE. THIS RESULTED IN ELEMENTS OF A COMMUNITY-GUIDED HEALTH VISION FOR THE CITY AND COUNTY OF SAN FRANCISCO. - SFDPH CONVENED A 42-MEMBER TASK FORCE TO SUPPORT SAN FRANCISCO'S CHA AND A PARALLEL EFFORT, THE HEALTH CARE SERVICES MASTER PLAN (HCSMP). TASK FORCE MEMBERS REPRESENTED A RANGE OF COMMUNITY STAKEHOLDERS SUCH AS HOSPITALS/CLINICS, K-12 EDUCATION, SMALL BUSINESS, URBAN PLANNING, CONSUMER GROUPS, NONPROFITS REPRESENTING DIFFERENT ETHNIC MINORITY GROUPS, AND MORE. TO ENSURE COMMUNITY PARTICIPATION IN THE HCSMP AND CHA PROCESSES, THE TASK FORCE MET A TOTAL OF 10 TIMES BETWEEN JULY 2011 AND MAY 2012 - FOUR OF THOSE IN DIFFERENT SAN FRANCISCO NEIGHBORHOODS - AND ENGAGED MORE THAN 100 COMMUNITY RESIDENTS IN DIALOGUE TO BETTER DETERMINE HOW TO IMPROVE THE HEALTH OF ALL SAN FRANCISCANS WITH A PARTICULAR FOCUS ON THE CITY/COUNTY'S MOST VULNERABLE POPULATIONS. TO ENCOURAGE COMMUNITY DIALOGUE, TASK FORCE NEIGHBORHOOD MEETINGS TOOK PLACE IN THE EVENING, AND SFDPH PROVIDED INTERPRETATION SERVICES IN SPANISH AND CANTONESE. - SAN FRANCISCO ENGAGED 224 COMMUNITY RESIDENTS IN FOCUS GROUPS AND INTERVIEWED 40 COMMUNITY STAKEHOLDERS TO LEARN MORE ABOUT SAN FRANCISCANS' DEFINITIONS OF HEALTH AND WELLNESS AS WELL AS THEIR PERCEPTIONS OF SAN FRANCISCO'S STRENGTHS VERSUS AREAS FOR HEALTH IMPROVEMENT. FOCUS GROUPS TARGETED SAN FRANCISCO SUBPOPULATIONS (SENIORS AND PERSONS WITH DISABILITIES, TRANSGENDERED PEOPLE, MONOLINGUAL SPANISH SPEAKERS, AND TEENS) AND SPECIFIC NEIGHBORHOODS (BAYVIEW HUNTERS POINT, CHINATOWN, EXCELSIOR, MISSION, SUNSET/RICHMOND, AND TENDERLOIN). FOCUS GROUP PARTICIPANTS GREATLY INFORMED SAN FRANCISCO'S HEALTH VISION AS WELL AS THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT. - A 10-MEMBER DATA ADVISORY COMMITTEE COMPRISED OF LOCAL PUBLIC HEALTH SYSTEM PARTNERS, RESIDENTS, AND SFDPH STAFF OVERSAW THE SELECTION OF DATA INDICATORS FOR THE COMMUNITY HEALTH STATUS ASSESSMENT (CHSA). THIS BODY ALSO ENSURED THE INTEGRITY OF THE CHSA'S METHODOLOGY AND QUANTITATIVE DATA. - IN JUNE 2013, THE CHIP AND CHNA WERE PUBLICLY LAUNCHED AT THE MAYOR'S BREAKFAST ATTENDED BY 400 COMMUNITY PARTNERS. SECONDARY DATA WERE GATHERED WITH THE ASSISTANCE OF HARDER+COMPANY. THE REPORT "COMMUNITY HEALTH STATUS ASSESSMENT: CITY AND COUNTY OF SAN FRANCISCO" WAS COMPLETED IN JULY 2012. THE HEALTH INDICTORS, SELECTED BY MEMBERS OF THE LEADERSHIP GROUP WITHIN THE COALITION, AS WELL AS EACH INDICATOR'S DATA SOURCE, ARE ALSO INCLUDED IN THE REPORT. THE PARTNERS CONDUCTED FOUR HEALTH ASSESSMENTS TO IDENTIFY COMMUNITY HEALTH NEEDS AND INFORM HEALTH PRIORITY SELECTION: COMMUNITY THEMES AND STRENGTHS ASSESSMENT, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, FORCES OF CHANGE ASSESSMENT, AND A COMMISSIONED COMMUNITY HEALTH STATUS ASSESSMENT. ONCE COLLECTED, SFDPH STAFF GROUPED DATA BY COMMON THEMES GROUPING LIKE DATA POINTS. THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CALIFORNIA PACIFIC MEDICAL CENTER IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. NOVATO COMMUNITY HOSPITAL: NOVATO COMMUNITY HOSPITAL (NCH) AND HEALTHY MARIN PARTNERSHIP (HMP) HAVE CONDUCTED COMMUNITY NEEDS ASSESSMENTS SINCE 1995 TO COMPLY WITH THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. THE 2013 CHNA RESULTED IN A RE- EXAMINATION OF OUR PROCESS AND ATTENTION TO COMMUNITY INPUT, TRANSPARENCY, SUBJECT MATTER EXPERTISE AND DATA COLLECTION. HMP CONDUCTED A COMMUNITY CONVENING OF MORE THAN 30 REPRESENTATIVES OF UNDERSERVED COMMUNITIES, PUBLIC HEALTH EXPERTS, AND COMMUNITY LEADERS. THEY PRESENTED THE GROUP WITH EXTENSIVE DATA, KEY INFORMANT INTERVIEWS AND COMMUNITY FOCUS GROUPS RESULTS. THE GROUP WAS ENGAGED IN A PROCESS TO EXAMINE AND DISCUSS THE INFORMATION. AS A FINAL STEP THEY IDENTIFIED THE FOLLOWING MARIN COUNTY HEALTH NEEDS IN PRIORITY ORDER: 1. MENTAL HEALTH 2. SUBSTANCE ABUSE 3. ACCESS TO HEALTH CARE/MEDICAL HOMES/HEALTH CARE COVERAGE 4. SOCIOECONOMIC STATUS (INCOME, EMPLOYMENT, EDUCATION LEVEL) 5. HEALTHY EATING AND ACTIVE LIVING (NUTRITION/HEALTHY FOOD/FOOD ACCESS/PHYSICAL ACTIVITY 6. SOCIAL SUPPORTS (FAMILY AND COMMUNITY SUPPORT SYSTEMS AND SERVICES; CONNECTEDNESS) 7. CANCER 8. HEART DISEASE THE NOVATO COMMUNITY HOSPITAL SERVICE AREA INCLUDES THE NORTHERN CALIFORNIA COUNTY OF MARIN AND PARTS OF SOUTHERN SONOMA COUNTY. FOR PURPOSES OF THIS CHNA, ACTIVITIES WERE RESTRICTED TO RESIDENTS WITHIN THE BORDERS OF MARIN COUNTY. THE COUNTY OF SONOMA IS ADDRESSED BY SUTTER MEDICAL CENTER OF SANTA ROSA. MARIN'S THREE NOT-FOR-PROFIT HOSPITALS, MARIN GENERAL HOSPITAL, NOVATO COMMUNITY HOSPITAL AND KAISER PERMANENTE COLLABORATED WITH HMP TO COMPLETE THE CHNA. THE PROCESS INCLUDED FOUR PRIMARY ACTIVITIES: 1. KEY INFORMANT INTERVIEWS (PUBLIC HEALTH EXPERTS AND COMMUNITY LEADERS) 2. FOCUS GROUPS (UNDERSERVED COMMUNITIES IN ENGLISH AND SPANISH, WITH ADDITIONAL TRANSLATION AVAILABLE) 3. THE HMP COMMUNITY CONVENING (EXPERTS, LEADERS, AND RESIDENTS) 4. A COMPREHENSIVE DATA REVIEW OF 153 HEALTH INDICATORS. FINDINGS WERE COMPARED TO STATE AND NATIONAL AVERAGES AND, WHEN POSSIBLE MAPPED BY CENSUS TRACTS TO SHOW VARIATIONS AMONG GEOGRAPHIC AREAS ACROSS THE COUNTY. THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR NOVATO COMMUNITY HOSPITAL IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. SUTTER LAKESIDE HOSPITAL: A COMMUNITY HEALTH NEEDS ASSESSMENT BUILDS THE FOUNDATION FOR ALL COMMUNITY HEALTH PLANNING, AND PROVIDES APPROPRIATE INFORMATION ON WHICH POLICYMAKERS, PROVIDER GROUPS, AND COMMUNITY ADVOCATES CAN BASE IMPROVEMENT EFFORTS; IT CAN ALSO INFORM FUNDERS ABOUT DIRECTING GRANT DOLLARS MOST APPROPRIATELY. IN 2012-2013, A COLLABORATIVE THAT INCLUDED THE TWO LAKE COUNTY HOSPITALS, ST. HELENA CLEAR LAKE AND SUTTER LAKESIDE, JOINED BY PUBLIC HEALTH AND OTHER LOCAL ORGANIZATIONS, RETAINED BARBARA AVED ASSOCIATES (BAA) TO UPDATE THE COMMUNITY HEALTH NEEDS ASSESSMENT BAA CONDUCTED IN 2010. THE PURPOSE OF THE STUDY WAS TO EXAMINE RELEVANT COMMUNITY HEALTH INDICATORS, IDENTIFY THE HIGHEST UNMET NEEDS AND PRIORITIZE AREAS FOR IMPROVING COMMUNITY HEALTH. THE ASSESSMENT MEETS THE PROVISIONS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA
PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SUTTER WEST BAY HOSPITALS FOLLOW A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. FOR A MORE DETAILED LOOK AT OUR CHARITY CARE POLICIES BY REGION, PLEASE VISIT THE OFFICE OF STATEWIDE AND HEALTH PLANNING'S WEBSITE AT HTTP://SYFPHR.OSHPD.CA.GOV. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY A. INFORMATION PROVIDED TO PATIENTS: 1. PREADMISSION OR REGISTRATION: DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITAL AFFILIATES SHALL PROVIDE: - ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES (IMPORTANT BILLING INFORMATION FOR UNINSURED PATIENTS) - PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED WITH A FINANCIAL ASSISTANCE APPLICATION SUBSTANTIALLY SIMILAR TO THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION, "STATEMENT OF FINANCIAL CONDITION" 2. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION". B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS: 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY (FINANCE POLICY 14-227). C. APPLICATIONS PROVIDED AT DISCHARGE: IF NOT PREVIOUSLY PROVIDED, HOSPITAL AFFILIATES SHALL PROVIDE UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL, HEALTHY FAMILIES, CALIFORNIA CHILDREN'S SERVICES, OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM AT THE TIME OF DISCHARGE. D. LANGUAGES: ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE AFFILIATE'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. E. NOTIFICATIONS TO UNINSURED PATIENTS OF ESTIMATED FINANCIAL RESPONSIBILITY: BY LAW, UNINSURED PATIENTS ARE ENTITLED TO RECEIVE AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES. EXCEPT IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL NOTIFY PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED PATIENTS THAT THEY MAY OBTAIN AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES, AND PROVIDE ESTIMATES TO THOSE PATIENTS UPON REQUEST. ESTIMATES SHALL BE WRITTEN, AND BE PROVIDED DURING NORMAL BUSINESS HOURS. ESTIMATES SHALL PROVIDE THE PATIENT WITH AN ESTIMATE OF THE AMOUNT THE HOSPITAL AFFILIATE WILL REQUIRE THE PATIENT TO PAY FOR THE HEALTH CARE SERVICES, PROCEDURES, AND SUPPLIES THAT ARE REASONABLY EXPECTED TO BE PROVIDED TO THE PATIENT BY THE HOSPITAL, BASED UPON THE AVERAGE LENGTH OF STAY AND SERVICES PROVIDED FOR THE PATIENT'S DIAGNOSIS.
PART VI, LINE 4CALIFORNIA PACIFIC MEDIICAL FOUNDATION (REPORTING GROUP A): THE HOSPITAL SERVICE AREA FOR CALIFORNIA PACIFIC MEDICAL CENTER INCLUDES ALL POPULATIONS RESIDING IN THE CITY AND COUNTY OF SAN FRANCISCO. THERE ARE 12 HOSPITALS SERVING THE COMMUNITY. THE TOTAL POPULATION OF CPMC'S HOSPITAL SERVICE AREA IS 805,235. 48.5% OF THE POPULATION IS WHITE. 15.1% IS LATINO. 6.1% IS AFRICAN AMERICAN. 33.7% IS ASIAN AND PACIFIC ISLANDER. 0.5% IS NATIVE AMERICAN. MEDIAN AGE IS 38.2 YEARS. AVERAGE HOUSEHOLD INCOME IS $73,127. 11.86% OF THE POPULATION IS LIVING IN POVERTY. 15% OF CHILDREN ARE LIVING IN POVERTY. 9.5% OF THE POPULATION IS UNEMPLOYED. 11.53% OF THE POPULATION IS UNINSURED. 27.59% IS LIVING UNDER 200% POVERTY LEVEL. 24.78% IS LINGUISTICALLY ISOLATED. AND 14.29% OF THE POPULATION HAS NO HIGH SCHOOL DIPLOMA. (SOURCES: HTTP://WWW.COUNTYHEALTHRANKINGS.ORG; HTTP://WWW.CHNA.ORG/KP; HTTP://WWW.SFDPH.ORG/DPH/FILES/REPORTS/POLICYPROCOFC/CHSA_10162012.PDF). AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE CALIFORNIA PACIFIC MEDICAL CENTER CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. NOVATAO COMMUNITY HOSPITAL: THE NOVATO COMMUNITY HOSPITAL SERVICE AREA INCLUDES THE NORTHERN CALIFORNIA COUNTY OF MARIN AND PARTS OF SOUTHERN SONOMA COUNTY. FOR PURPOSES OF THIS STUDY, ACTIVITIES WERE RESTRICTED TO RESIDENTS WITHIN THE BORDERS OF MARIN COUNTY. SUTTER MEDICAL CENTER OF SANTA ROSA ADDRESSES THE COUNTY OF SONOMA. THERE ARE THREE HOSPITALS SERVING THE COMMUNITY. THE NOVATO COMMUNITY HOSPITAL SERVICE AREA COMPRISES MARIN COUNTY UNINCORPORATED AREAS AND CITIES INCLUDING BELVEDERE, CORTE MADERA, FAIRFAX, LARKSPUR, MILL VALLEY, NOVATO, ROSS, SAN ANSELMO, SAN RAFAEL, SAUSALITO, AND TIBURON AND THE COASTAL TOWNS OF STINSON BEACH, BOLINAS, POINT REYES, INVERNESS, MARSHALL, AND TAMALES. THE TOTAL POPULATION IN MARIN COUNTY IS 352,544. WHITES MAKE UP 81.94% OF MARIN COUNTY'S POPULATION. 16.68% ARE LATINO. 2.38% ARE AFRICAN AMERICAN. 5.33% ARE ASIAN AND PACIFIC ISLANDER. 0.36% ARE NATIVE AMERICAN. (DATA SOURCE: US CENSUS BUREAU, 2006-2010 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATE. KFH-SAN RAFAEL SERVICE AREA DATA) MEDIAN AGE IS 44 YEARS, WITH 15.47% OF THE POPULATION OVER THE AGE OF 65. 91.68% OF THE POPULATION GRADUATED ON TIME FROM HIGH SCHOOL. 9.22% OF CHILDREN LIVE IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IS $89,268. 9.36% OF THE POPULATION HAVE NO HIGH SCHOOL DIPLOMA. 8.6% OF THE POPULATION ARE MEDI-CAL/MEDI-CAID RECIPIENTS. THE UNEMPLOYMENT RATE IS 6.16%. 10.0% ARE UNINSURED, AND 11.33% LACK A SOURCE OF CONSISTENT PRIMARY CARE. MARIN COUNTY IS A HEALTHY AND AFFLUENT COUNTY COMPARED TO CALIFORNIA, AND THE NATION, AS A WHOLE. HOWEVER, A SUB-COUNTY GEOGRAPHIC QUANTITATIVE AND QUALITATIVE DATA ANALYSIS IDENTIFIES DISPARITIES IN SOCIOECONOMIC STATUS THAT LIMIT ACCESS TO HEALTH CARE AND THE CAPACITY OF SOME RESIDENTS TO MAKE CHOICES THAT CONTRIBUTE TO A HEALTHY LIFESTYLE. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS OF THE SERVICE AREA IS AVAILABLE IN THE NOVATO COMMUNITY HOSPITAL'S CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. SUTTER LAKESIDE HOSPITALS: SUTTER LAKESIDE HOSPITAL'S HOSPITAL SERVICE AREA IS DEFINED AS LAKE COUNTY. THERE ARE TWO HOSPITALS SERVING THE COMMUNITY. LAKE COUNTY IS LOCATED IN NORTHERN CALIFORNIA JUST TWO HOURS BY CAR FROM THE SAN FRANCISCO BAY AREA, THE SACRAMENTO VALLEY, OR THE PACIFIC COAST. THE COUNTY'S ECONOMY IS BASED LARGELY ON TOURISM AND RECREATION, DUE TO THE ACCESSIBILITY AND POPULARITY OF ITS SEVERAL LAKES AND ACCOMPANYING RECREATIONAL AREAS. IT IS PREDOMINANTLY RURAL, ABOUT 100 MILES LONG BY ABOUT 50 MILES WIDE, AND INCLUDES THE LARGEST NATURAL LAKE ENTIRELY WITHIN CALIFORNIA BORDERS. LAKE COUNTY IS MOSTLY AGRICULTURAL, WITH TOURIST FACILITIES AND SOME LIGHT INDUSTRY. MAJOR CROPS INCLUDE PEARS, WALNUTS AND, INCREASINGLY, WINE GRAPES. DOTTED WITH VINEYARDS AND WINERIES, ORCHARDS AND FARM STANDS, AND SMALL TOWNS, THE COUNTY IS HOME TO CLEAR LAKE, CALIFORNIA'S LARGEST NATURAL FRESHWATER LAKE, KNOWN AS "THE BASS CAPITAL OF THE WEST," AND MT. KONOCTI, WHICH TOWERS OVER CLEAR LAKE. WITHIN LAKE COUNTY THERE ARE TWO INCORPORATED CITIES, THE COUNTY SEAT OF LAKEPORT AND THE CITY OF CLEARLAKE, THE LARGEST CITY, AND THE COMMUNITIES OF BLUE LAKES, CLEARLAKE OAKS, COBB, FINLEY, GLENHAVEN, HIDDEN VALLEY LAKE, KELSEYVILLE, LOCH LOMOND, LOWER LAKE, LUCERNE, NICE, MIDDLETOWN, SPRING VALLEY, ANDERSON SPRINGS, UPPER LAKE, AND WITTER SPRINGS. LAKE COUNTY IS BORDERED BY MENDOCINO AND SONOMA COUNTIES ON THE WEST; GLENN, COLUSA AND YOLO COUNTIES ON THE EAST; AND NAPA COUNTY ON THE SOUTH. THE TWO MAIN TRANSPORTATION CORRIDORS THROUGH THE COUNTY ARE STATE ROUTES 29 AND 20. STATE ROUTE 29 CONNECTS NAPA COUNTY WITH LAKEPORT AND STATE ROUTE 20 TRAVERSES CALIFORNIA AND PROVIDES CONNECTIONS TO HIGHWAY 101 AND INTERSTATE 5. ACCORDING TO CALIFORNIA LABOR MARKET DATA ABOUT COUNTY-TO-COUNTY COMMUTE PATTERNS (WHICH HAVE NOT BEEN UPDATED SINCE 2000), THE TOTAL NUMBER OF WORKERS THAT LIVE AND WORK IN LAKE IS 15,566 PERSONS: THE TOTAL FOR WORKERS COMMUTING IN WAS 1,046, AND 4,320 WORKERS COMMUTED OUT. ABOUT 67% OF PEOPLE WHO LIVE IN LAKE COUNTY ALSO WORK WITHIN THE COUNTY. WHILE THE POPULATION SIZE OF LAKE COUNTY WAS ESTIMATED AT 64,394 RESIDENTS IN JULY 2012, THE POPULATION CAN SWELL WITH DAYTIME WORK COMMUTERS AND SEASONAL TOURISTS. DEMOGRAPHICS: - POPULATION CHANGE IS MOSTLY STATIC. ESTIMATES OF ANNUAL PERCENT CHANGE BETWEEN JANUARY 2011 AND JANUARY 2012 SHOW ZERO GROWTH FOR THE COUNTY OVERALL. - WITH 21% OF RESIDENTS OVER THE AGE OF 65, THE COUNTY HAS NEARLY TWICE THE PROPORTION OF OLDER RESIDENTS THAN CALIFORNIA AS A WHOLE. THE OVER-AGE-60 GROUP IS ESTIMATED TO INCREASE 59% FROM 2010 TO 2030. THE ANTICIPATED SIGNIFICANT GROWTH IN THIS AGE GROUP WILL PUT A LARGER BURDEN ON THE HEALTH CARE SYSTEM AND LOCAL ECONOMY, WHICH MAY NOT HAVE SUFFICIENT COMMUNITY SERVICES OR TAX BASE TO SUPPORT IT. - LAKE COUNTY'S POPULATION IS PROJECTED TO BECOME INCREASINGLY CULTURALLY DIVERSE IN COMING YEARS. FOR EXAMPLE, THE HISPANIC POPULATION IS PROJECTED TO INCREASE SLIGHTLY MORE THAN 3-FOLD AND PERSONS IDENTIFYING AS MULTI-RACE BY ABOUT 2-FOLD FROM 2010 TO 2050. SOCIOECONOMIC FACTORS: - RECOVERY FROM THE RECESSION HAS BEEN SLOW; 21.4% (UP FROM 17.9% IN 2008) OF LAKE COUNTY RESIDENTS, ONE-THIRD HIGHER THAN THE STATE AVERAGE, LIVED BELOW THE FEDERAL POVERTY LEVEL IN 2011. - ONE-THIRD OF THE POPULATION WAS REPORTED TO BE "FOOD INSECURE." AND, IN 2011, 61% OF STUDENTS ACROSS THE COUNTY WERE RECEIVING FREE-REDUCED PRICE LUNCHES. THESE FINDINGS, HOWEVER, SHOWED SLIGHT IMPROVEMENT FROM THE PRIOR ASSESSMENT PERIOD. - THE PROPORTION OF THE NON ELDERLY POPULATION (AGES 0-64) WHO WERE UNINSURED ALL OR PART OF THE YEAR IN LAKE COUNTY IS VERY SIMILAR TO THE STATEWIDE AVERAGE. - THERE WERE FEWER UNINSURED CHILDREN IN LAKE COUNTY THAN IN CALIFORNIA IN 2009, BUT THE PERCENTAGE COVERED BY EMPLOYMENT-BASED INSURANCE, 44.5%, WAS LOWER THAN THE STATE AVERAGE. - LAKE COUNTY HAS THE HIGHEST PERCENTAGE OF SENIORS COVERED BY A COMBINATION OF MEDICARE AND MEDI-CAL IN THE NORTHERN AND SIERRA COUNTIES REGION. IT HAS THE SECOND LOWEST PERCENTAGE OF SENIORS THAT HAVE PRIVATE SUPPLEMENTAL COVERAGE IN ADDITION TO MEDICARE. - MORE PEOPLE IN LAKE COUNTY, 86.3%, COMPARED TO CALIFORNIA, 80.7%, HAVE COMPLETED HIGH SCHOOL OR HIGHER. - LAKE COUNTY'S OVERALL HIGH SCHOOL DROPOUT RATE IN 2011-12, 2.8%, WAS MORE FAVORABLE THAN THE STATEWIDE RATE OF 4.0%, BUT SLIGHTLY HIGHER THAN THE PRIOR SCHOOL YEAR. NATIVE AMERICAN AND AFRICAN AMERICAN STUDENTS DROP OUT OF SCHOOL AT HIGHER RATES THAN THE OVERALL COUNTY AVERAGE. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE HOSPITAL CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. SUTTER MEDICAL CENTER SANTA ROSA: SUTTER MEDICAL CENTER OF SANTA ROSA'S HOSPITAL SERVICE AREA IS DEFINED AS SONOMA COUNTY. THERE ARE THREE HOSPITALS SERVING THE COMMUNITY. DEMOGRAPHIC OVERVIEW: SONOMA COUNTY IS A LARGE, URBAN-RURAL COUNTY ENCOMPASSING 1,575 SQUARE MILES. THE COUNTY'S TOTAL POPULATION IS CURRENTLY ESTIMATED AT 487,011. ACCORDING TO PROJECTIONS FROM THE CALIFORNIA DEPARTMENT OF FINANCE, COUNTY POPULATION IS PROJECTED TO GROW BY 8.3% TO 546,204 IN 2020. THIS RATE OF GROWTH IS LESS THAN THAT PROJECTED FOR CALIFORNIA AS A WHOLE (10.1%). GEOGRAPHIC DISTRIBUTION OF POPULATION: SONOMA COUNTY RESIDENTS INHABIT NINE CITIES AND A LARGE UNINCORPORATED AREA, INCLUDING MANY GEOGRAPHICALLY ISOLATED COMMUNITIES. THE MAJORITY OF THE COUNTY'S POPULATION RESIDES WITHIN ITS CITIES, THE LARGEST OF WHICH ARE CLUSTERED ALONG THE HIGHWAY 101 CORRIDOR. SANTA ROSA IS THE LARGEST CITY WITH A POPULATION OF 168,841 AND IS THE SERVICE HUB FOR THE ENTIRE COUNTY AND THE LOCATION OF THE COUNTY'S THREE MAJOR HOSPITALS. SONOMA COUNTY'S UNINCORPORATED AREAS ARE HOME TO 146,739 RESIDENTS, 30.1% OF THE TOTAL POPULATION. A SIGNIFICANT NUM
PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): 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 CALIFORNIA PACIFIC MEDICAL CENTER DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: CPMC'S ST. LUKE'S HEALTH CARE CENTER (SLHCC) PROVIDES A FULL RANGE OF OBSTETRIC AND GYNECOLOGICAL CARE AT ITS WOMEN'S CENTER; WELL-BABY CARE, WELL-CHILD CARE, AND CARE FOR ILL OR INJURED CHILDREN AT ITS PEDIATRIC CLINIC; AND PRIMARY, ACUTE AND CHRONIC CARE AT ITS ADULT INTERNAL MEDICINE CLINIC FOR TEENAGERS AND ADULTS. SLHCC'S CLINICIANS AND STAFF ARE BILINGUAL IN ENGLISH AND SPANISH, ENSURING CULTURALLY COMPETENT AND SENSITIVE CARE. SLHCC IS ANTICIPATED TO IMPROVE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED PATIENTS RESIDING IN COMMUNITIES SOUTH OF MARKET STREET IN SAN FRANCISCO. CPMC'S KALMANOVITZ CHILD DEVELOPMENT CENTER (KCDC) PROVIDES DIAGNOSIS, EVALUATION, TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH LEARNING DISABILITIES AND DEVELOPMENTAL OR BEHAVIORAL PROBLEMS CAUSED BY PREMATURITY, AUTISM SPECTRUM DISORDER, EPILEPSY, DOWN SYNDROME, ATTENTION DEFICIT DISORDER, OR CEREBRAL PALSY. ITS COMPREHENSIVE ASSESSMENTS AND ONGOING THERAPY PROGRAMS INCLUDE THE FOLLOWING DISCIPLINES: DEVELOPMENTAL/BEHAVIORAL PEDIATRICS; PSYCHOLOGY AND PSYCHIATRY; SPEECH/LANGUAGE AND AUDITORY PROCESSING; OCCUPATIONAL THERAPY; BEHAVIOR MANAGEMENT CONSULTATIONS; EARLY INTERVENTION/ PARENT-INFANT PROGRAM; SOCIAL SKILLS GROUPS; FEEDING ASSESSMENT AND THERAPY; ASSESSMENT AND THERAPY FOR THE NEONATAL INTENSIVE CARE UNIT AND ASSESSMENT FOR THE FOLLOW-UP CLINIC; EDUCATIONAL ASSESSMENT, THERAPY AND TREATMENT. BESIDES OPERATING ITS OWN CLINICS, KCDC ALSO EXTENDS ITS SERVICES TO A LARGE NUMBER OF AT-RISK CHILDREN BY PARTNERING WITH LOCAL SCHOOLS AND OTHER COMMUNITY ORGANIZATIONS, SUCH AS DE MARILLAC ACADEMY, IMMACULATE CONCEPTION ACADEMY, AND FIRST 5 SAN FRANCISCO. KCDC IS ANTICIPATED TO IMPROVE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED PATIENTS RESIDING IN SAN FRANCISCO. BAYVIEW CHILD HEALTH CENTER (BCHC) OFFERS ROUTINE PREVENTATIVE AND URGENT PEDIATRIC CARE IN ONE OF SAN FRANCISCO'S MOST MEDICALLY UNDERSERVED NEIGHBORHOODS, AND ADDRESSES PREVALENT COMMUNITY HEALTH ISSUES SUCH AS WEIGHT CONTROL AND ASTHMA MANAGEMENT. THE CENTER IS PARTICULARLY ATTUNED TO THE IMPACT OF COMMUNITY VIOLENCE AND CHILDHOOD TRAUMA ON CHILDREN'S MENTAL AND PHYSICAL HEALTH. THE CLINIC ALSO OFFERS PSYCHOLOGICAL AND CASE MANAGEMENT SERVICES TO FAMILIES THROUGH A PARTNERSHIP WITH THE CENTER FOR YOUTH WELLNESS. DENTAL SERVICES ARE PROVIDED ON SITE THROUGH A PARTNERSHIP WITH THE NATIVE AMERICAN HEALTH CENTER. THE CLINIC IS A COLLABORATION BETWEEN CPMC, SUTTER PACIFIC MEDICAL FOUNDATION, AND CPMC FOUNDATION. CPMC'S AFRICAN AMERICAN BREAST HEALTH (AABH) AND SISTER TO SISTER PROGRAMS OFFER WOMEN MAMMOGRAPHY SCREENING AND ALL THE SUBSEQUENT BREAST HEALTH DIAGNOSTIC TESTING AND TREATMENT THEY MAY NEED AT NO COST. PARTNERSHIP ORGANIZATIONS, SUCH AS BAYVIEW HUNTERS POINT SENIOR CENTER, CALVARY HILL COMMUNITY CHURCH, GLIDE HEALTH SERVICES, SAN FRANCISCO FREE CLINIC, AND CLINIC BY THE BAY, REFER UNINSURED, UNDERINSURED, DISADVANTAGED AND AT-RISK WOMEN FOR MAMMOGRAPHY SERVICES. CPMC'S BREAST CENTER AT THE ST. LUKE'S CAMPUS PROMOTES BREAST HEALTH IN UNDERSERVED COMMUNITIES BY PARTNERING WITH NEIGHBORHOOD CLINICS AND COMMUNITY AGENCIES, INCLUDING SOUTHEAST HEALTH CENTER, MISSION NEIGHBORHOOD HEALTH CENTER, AND LATINA BREAST CANCER AGENCY. CPMC'S COMING HOME HOSPICE PROVIDES 24-HOUR CARE FOR TERMINALLY ILL CLIENTS AND THEIR FAMILIES IN A CARING, HOMELIKE SETTING. CPMC ENSURES THAT HIGH-QUALITY RESIDENTIAL HOSPICE CARE IS ACCESSIBLE TO TERMINALLY ILL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, BY COVERING THE DIFFERENCE BETWEEN THE FULL COST OF PROVIDING THESE SERVICES AND PATIENT REVENUE. A KEY PART OF CPMC'S MEDI-CAL PROGRAM IS THE MEDI-CAL MANAGED CARE PARTNERSHIP WITH NORTH EAST MEDICAL SERVICES (NEMS) COMMUNITY CLINIC AND SAN FRANCISCO HEALTH PLAN (SFHP), A LICENSED COMMUNITY HEALTH PLAN THAT PROVIDES AFFORDABLE HEALTH CARE COVERAGE TO OVER 80,000 LOW- AND MODERATE-INCOME FAMILIES. WORKING TOGETHER WITH NEMS, CPMC SERVED AS THE HOSPITAL PARTNER FOR 16,000 OF THESE MEDI-CAL BENEFICIARIES IN 2012, WHICH WAS 22% OF SFHP'S TOTAL MEMBERSHIP. CPMC PARTICIPATES IN HEALTHY SAN FRANCISCO (HSF), A CITYWIDE PROGRAM THAT MAKES HEALTH CARE SERVICES ACCESSIBLE AND AFFORDABLE FOR UNINSURED SAN FRANCISCO RESIDENTS. THROUGH PARTNERSHIPS WITH NORTH EAST MEDICAL SERVICES (NEMS) COMMUNITY CLINIC AND BROWN & TOLAND MEDICAL GROUP, CPMC PROVIDES FREE HOSPITALIZATION AND SELECT SPECIALTY CARE TO HSF PARTICIPANTS WHO ARE ENROLLED WITH NEMS OR BROWN & TOLAND AS THEIR MEDICAL HOME. LIONS EYE FOUNDATION AND CPMC PARTNER TOGETHER TO PROVIDE HIGHLY SPECIALIZED EYE CARE PROCEDURES FREE OF CHARGE TO PEOPLE WITHOUT INSURANCE OR FINANCIAL RESOURCES. CPMC PARTNERS WITH OPERATION ACCESS AND THE SAN FRANCISCO ENDOSCOPY CENTER TO PROVIDE ACCESS TO DIAGNOSTIC SCREENINGS, SPECIALTY PROCEDURES, AND SURGICAL CARE AT NO COST FOR UNINSURED BAY AREA PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. CPMC PHYSICIANS VOLUNTEER THEIR TIME TO PROVIDE THESE FREE SURGICAL SERVICES, WHILE THE HOSPITAL DONATES THE USE OF ITS OPERATING ROOMS. CPMC ALSO PROVIDES A GRANT TO SUPPORT OPERATION ACCESS'S OPERATING COSTS. CPMC ANNUALLY SPONSORS A PROJECT HOMELESS CONNECT EVENT WHERE CPMC STAFF AND OTHER VOLUNTEERS HELP TO PROVIDE MEDICAL AND SOCIAL SERVICES TO SAN FRANCISCO'S HOMELESS, INCLUDING PRIMARY MEDICAL CARE, EYE EXAMS, WHEELCHAIR REPAIR, DENTAL TREATMENT, SUBSTANCE ABUSE CONNECTIONS, AND EVEN ACUPUNCTURE AND MASSAGE. HEALTHFIRST IS A CENTER FOR HEALTH EDUCATION AND DISEASE PREVENTION AFFILIATED WITH CPMC'S ST. LUKE'S HEALTH CARE CENTER. IT CONCENTRATES ON BEST PRACTICES IN CHRONIC DISEASE MANAGEMENT AND PARTICULARLY ON INTEGRATING COMMUNITY HEALTH WORKERS (CHWS) INTO THE MULTIDISCIPLINARY HEALTH CARE TEAM. CHWS PROVIDE HEALTH EDUCATION, ASSIST PATIENTS TO IMPROVE THEIR SELF-MANAGEMENT SKILLS, AND ENCOURAGE THEM TO RECEIVE TIMELY AND COMPREHENSIVE CARE. CHWS TEACH COMMUNITY WORKSHOPS IN HEALTHY EATING TO PARENTS OF CHILDREN AT RISK FOR OBESITY IN THE SOUTH OF MARKET, MISSION, AND BAYVIEW HUNTERS POINT DISTRICTS. THEY ALSO TEACH CLASSES ON NUTRITION DESIGNED TO MANAGE CHRONIC ADULT DIABETES. CPMC OFFERS A VARIETY OF YOUTH-BASED SERVICES FOR YOUTH, INCLUDING: - AT BAYVIEW CHILD HEALTH CENTER, A NUTRITIONIST IS AVAILABLE TO HELP CHILDREN LEARN TO EAT HEALTHIER THROUGH HEALTH EDUCATION AND WEIGHT MANAGEMENT PROGRAMS. - CPMC FUNDS FITNESS CONSULTANTS AT WILLIAM MCKINLEY ELEMENTARY SCHOOL TO DEVELOP AND IMPLEMENT A LUNCHTIME RECESS WELLNESS PROGRAM THAT INCLUDES MODERATE TO VIGOROUS ACTIVITIES FOR STUDENTS, EMPHASIZING TEAM BUILDING, SPORTSMANSHIP SKILLS, AND CONFLICT RESOLUTION AS WELL AS INTRODUCING HEALTHY NUTRITION AND FITNESS CONCEPTS. THE FITNESS CONSULTANTS PROVIDE TRAINING TO INTERNS, MCKINLEY TEACHERS, AND LUNCHTIME MONITORS TO IMPLEMENT THE PROGRAM FOR SUSTAINABILITY. - CPMC'S HEALTH CHAMPIONS PROJECT HAS PARTNERED WITH DE MARILLAC ACADEMY SINCE 2004, CREATING A HEALTHIER SCHOOL COMMUNITY FOR THESE CHILDREN FROM UNDERSERVED, LOW-INCOME FAMILIES IN THE TENDERLOIN AND OTHER AT-RISK COMMUNITIES IN SAN FRANCISCO. BY COMBINING NUTRITION EDUCATION, FOOD SHOPPING AND PREPARATION WITH HANDS-ON PHYSICAL ACTIVITIES LIKE MOUNTAIN BIKING AND ROPE CLIMBING, THE PROGRAM ESTABLISHES A CULTURE OF HEALTH CONSCIOUSNESS AMONG STUDENTS, FAMILIES, TEACHERS, AND STAFF. CPMC'S COMMUNITY HEALTH GRANTS AND SPONSORSHIPS PROGRAM SUPPORTS ORGANIZATIONS THAT PROMOTE SAFE AND HEALTHY LIVING ENVIRONMENTS. SOME EXAMPLES INCLUDE: - APA FAMILY SUPPORT SERVICES PROVIDES IN-HOME SUPPORT SERVICES TO ASIAN/PACIFIC ISLANDER CHILDREN AND FAMILIES TO PREVENT CHILD ABUSE AND DOMESTIC VIOLENCE. - THE CENTER FOR YOUTH WELLNESS OFFERS PEDIATRIC CARE THAT ADDRESSES THE ROOT CAUSES OF POOR OUTCOMES FOR CHILDREN AND YOUTH IN HIGH-RISK COMMUNITIES, BASED ON EMERGING DATA ON HOW EXPOSURE TO POVERTY, DOMESTIC AND COMMUNITY VIOLENCE AND OTHER EARLY LIFE STRE
PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH (CONTINUED) SUTTER LAKESIDE HOSPITAL: 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 LAKESIDE HOSPITAL DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: SLH PROVIDES A FOOD BANK DONATION SITE WITH A WAGON IN THE HOSPITAL'S FRONT LOBBY. COLLECTIONS ARE DELIVERED TO LOCAL FOOD BANK. SUTTER LAKESIDE HOSPITAL IS IN THE PROCESS OF OBTAINING LICENSING TO OPEN A NEW COMMUNITY CLINIC ADJACENT TO THE HOSPITAL IN 2014. THE SUTTER LAKESIDE COMMUNITY CLINIC IS ANTICIPATED TO DIRECTLY RECRUIT AND RETAIN PRIMARY CARE PROVIDERS. THE HOSPITAL WILL EVALUATE THE IMPACT OF THE CLINIC BASED ON THE NUMBER OF PROVIDERS RECRUITED TO THE AREA AND HOW LONG THEY STAY. IN ADDITION, SUTTER LAKESIDE HOSPITAL PROVIDES CASH AND IN-KIND DONATIONS TO SEVERAL COMMUNITY GROUPS, INDIVIDUALS AND ORGANIZATIONS IN SUPPORT OF THE PROGRAMS THAT IMPROVE OVERALL COMMUNITY HEALTH IN 2013, SUTTER LAKESIDE HOSPITAL CONTRIBUTED APPROXIMATELY $58,000 IN CASH AND IN-KIND SUPPORT. SUTTER MEDICAL CENTER SANTA ROSA: 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 MEDICAL CENTER OF SANTA ROSA DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: A SURVEY OF THE RESIDENTS' PATIENTS AT THE COMMUNITY HEALTH CENTER PARTNER REVEALED THAT MORE THAN 60% OF THEIR PATIENTS EXPERIENCE REGULAR FOOD INSECURITY AND OFTEN NEED TO MAKE UNHEALTHY FOOD CHOICES BASED ON AFFORDABILITY, OR DON'T EAT AT ALL. SUTTER MEDICAL CENTER OF SANTA ROSA ENTERED INTO A PARTNERSHIP WITH THE REDWOOD EMPIRE FOOD BANK TO BE A FOOD DROP-OFF LOCATION ONCE A WEEK. EACH MONDAY, PATIENTS OF THE VISTA CLINIC ARE INVITED TO COME AND PICK UP ONE BOX OF HEALTHY, FRESH FOOD FOR THEIR FAMILIES. PATIENTS ARE ALSO EDUCATED ABOUT OTHER FOOD PROGRAMS AND FOOD STAMP EXCHANGES AT FARMERS MARKETS. SUTTER MEDICAL CENTER OF SANTA ROSA SPONSORS A THREE-YEAR TRAINING PROGRAM FOR MEDICAL SCHOOL GRADUATES DESIRING TO BE PRIMARY CARE DOCTORS. THE TRAINING IS PROVIDED BY SUTTER PHYSICIANS WHO ARE ALSO ADJUNCT PROFESSORS WITH OUR PARTNER, THE UCSF MEDICAL SCHOOL. RESIDENTS ARE TRAINED IN THE HOSPITAL AND IN THE CLINIC SETTING BY CARING FOR PATIENTS UNDER THE CLINICAL SUPERVISION OF FACULTY. SUTTER HAS BEEN SPONSORING THE PROGRAM SINCE 1996 BUT IT HAS EXISTED IN OUR COMMUNITY FOR MORE THAN 40 YEARS. FUELING THE PRIMARY CARE PIPELINE IN SONOMA COUNTY IS VITAL TO THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THE COST OF LIVING IS QUITE HIGH AND WITHOUT THIS PROGRAM, IT WOULD BE VERY DIFFICULT TO RECRUIT FAMILY PHYSICIANS. THE SANTA ROSA FAMILY MEDICINE RESIDENCY PROGRAM PARTNERS WITH REDWOOD COALITION FOR HEALTH CARE, TO STAFF THEIR SANTA ROSA COMMUNITY HEALTH CENTER VISTA CLINIC WITH 36 FAMILY MEDICINE RESIDENTS, SUPERVISED BY FACULTY PHYSICIANS. THIS PARTNERSHIP ESSENTIALLY OFFERS FREE PHYSICIAN STAFFING TO A CLINIC THAT WOULD OTHERWISE HAVE TO HIRE STAFF PHYSICIANS, PROVIDING A SIGNIFICANTLY INCREASED CAPACITY THAT THE CLINIC WOULD NOT BE ABLE TO SUSTAIN ON ITS OWN. THE HOMELESS YOUTH MOBILE VAN IS A PARTNERSHIP BETWEEN THE SANTA ROSA FAMILY MEDICINE RESIDENCY, SANTA ROSA COMMUNITY HEALTH CENTERS AND SOCIAL ADVOCATES FOR YOUTH (SAY). ONCE PER MONTH, TWO TO THREE RESIDENT PHYSICIANS, A VOLUNTEER COMMUNITY PRECEPTOR, A MEDICAL ASSISTANT AND AN HIV TESTING AND OUTREACH WORKER GO TO THE SHELTER RUN BY SAY IN A VAN EQUIPPED WITH TWO TREATMENT ROOMS AND MEDICAL SUPPLIES. WE OFFER BASIC URGENT CARE SERVICES, SUCH AS TREATMENT OF SKIN INFECTIONS AND RASHES, ASSESSMENTS OF WOUNDS AND ABRASIONS, GENERAL HEALTH SCREENING, HIV TESTING, REFERRALS FOR FULL STD TESTING, FAMILY PLANNING SERVICES, TESTING AND TREATMENT OF URINARY TRACT INFECTIONS, SCREENING FOR DIABETES, ETC. WHEN WE CANNOT TREAT PATIENTS AT THE VAN WE REFER THEM TO BROOKWOOD HEALTH CENTER FOR MORE COMPREHENSIVE CARE. WE ALSO OFFER INITIAL MENTAL HEALTH CONSULTATIONS AND HAVE EVEN SEEN PATIENTS FOR PRENATAL AND POSTPARTUM VISITS. IN ADDITION TO THESE SERVICES, WE SPEND TIME HANGING OUT WITH THE YOUTH AND WORKING TO BUILD RAPPORT AND A LONGER PARTNERSHIP. IN ADDITION, OUR HIV OUTREACH TEAM OFFERS RAPID TESTING AND OUR MEDICAL ASSISTANT ENROLLS PATIENTS IN FPACT AND PROVIDES INFORMATION ON MEDI-CAL. THE FAMILY MEDICINE RESIDENTS SERVE MANY MEDICALLY FRAGILE AND POOR SENIORS WHO CANNOT GET INTO THE CLINIC FOR APPOINTMENTS. IN ORDER TO REDUCE ACCESS BARRIERS AND REDUCE UNNECESSARY ED VISITS OR HOSPITALIZATIONS, THE RESIDENTS MAKE REGULAR HOME VISITS TO THEIR HOMEBOUND PATIENTS. PREGNANCY AND CHILDBIRTH ARE TWO CRITICAL WINDOWS IN WHICH WOMEN ARE MOST RECEPTIVE TO MAKING POSITIVE CHANGES AROUND SUBSTANCE USE. DRUG-FREE BABIES (DFB) IS OUR MAIN REFERRAL SOURCE FOR CONNECTING MOTHERS/MOTHERS-TO-BE WITH COUNTY SUBSTANCE RECOVERY RESOURCES (RESIDENTIAL AND NON-RESIDENTIAL). POSSIBLE PARTICIPANTS GIVE CONSENT FOR US TO MAKE A PHONE REFERRAL. WE PROVIDE DFB WITH PATIENT CONTACT INFORMATION AND ENCOURAGE DFB STAFF TO MEET WITH PATIENTS AT THE HOSPITAL TO EXPEDITE ENTRY TO SERVICES. AT THE INITIAL MEETING, DFB STAFF CONDUCTS A FULL INTAKE UTILIZING AN INDUSTRY STANDARD COMPREHENSIVE AOD INTAKE TOOL. FROM THERE THEY CONSIDER CLIENT NEEDS, POSSIBLE FUNDING STREAM AND PROGRAM OPENINGS. DFB IS FUNDED THROUGH A PARTNERSHIP WITH SONOMA COUNTY FIRST FIVE COMMISSION. SUTTER MEDICAL CENTER OF SANTA ROSA'S SOCIAL WORK STAFF SITS ON A LOCAL ADVISORY COMMITTEE THAT HELPS TO PLAN LOCAL INTERVENTIONS. THE SONOMA COUNTY TASK FORCE ON THE HOMELESS CONVENED A WORK GROUP IN 2010 FOR THE COORDINATION OF HEALTH CARE SERVICES FOR HOMELESS PEOPLE IN OUR COMMUNITY. ALL OF THE HOSPITALS SEE A HIGH PERCENTAGE OF HOMELESS PEOPLE IN THE ED AND IN THE HOSPITAL BED. PROVIDING GOOD TRANSITIONS OF CARE FOR THIS POPULATION IS VERY CHALLENGING. THE GROUP WORKS TO DEVELOP PROCESSES AND "WRAP AROUND" SERVICES WITH THE GOAL OF REDUCING UNSAFE DISCHARGES FROM THE HOSPITAL TO THE STREET, AND TO WORK COLLABORATIVELY TO COORDINATE MEDICAL, MENTAL HEALTH, AND SUBSTANCE USE DISORDERS SERVICES FOR HOMELESS PATIENTS. SUTTER MEDICAL CENTER OF SANTA ROSA SUPPORTS THESE EFFORTS BY COMMITTING PROFESSIONAL STAFF TIME MONTHLY TO ATTEND MEETINGS AND PARTICIPATE IN PLANNING PROGRAMS AND SERVICES. ADDITIONALLY, SUTTER PROVIDES SIGNIFICANT FINANCIAL SUPPORT TO OPERATE THE COUNTY'S ONLY MEDICAL RESPITE SHELTER THAT PROVIDES A SAFE TRANSITION FOR HOMELESS PATIENTS FROM HOSPITAL TO COMMUNITY LIVING THAT ALLOWS EXTENDED CONVALESCENCE NOT TYPICALLY ALLOWED IN TRADITIONAL SHELTER SETTINGS. IN THE PREVIOUS TWO COMMUNITY HEALTH NEEDS ASSESSMENTS, SONOMA COUNTY IDENTIFIED ORAL HEALTH, PARTICULARLY FOR CHILDREN, AS ONE OF OUR MOST SIGNIFICANT COMMUNITY HEALTH CHALLENGES AND ONE OF OUR TOP PRIORITIES. SEVERAL LOCAL EFFORTS EMERGED INCLUDING THE TASK FORCE WHICH WAS CONVENED IN 2011 TO IDENTIFY SPECIFIC STRATEGIES THAT COULD BE DEVELOPED, IMPLEMENTED, AND SHOW MEASURABLE IMPACT IN THREE TO FIVE YEARS. SUTTER MEDICAL CENTER OF SANTA ROSA PARTICIPATES BY ASSIGNING SENIOR COMMUNITY BENEFIT STAFF TO THE TASK FORCE.
PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM SUTTER WEST BAY HOSPITALS ARE AFFILIATED WITH SUTTER HEALTH, A NOT-FOR-PROFIT NETWORK OF ALMOST 50,000 PHYSICIANS, EMPLOYEES, AND VOLUNTEERS WHO CARE FOR MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, WE'RE CREATING A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. IT'S BETTER FOR PATIENTS: WE BELIEVE THIS COMMUNITY-OWNED, NOT-FOR-PROFIT APPROACH TO HEALTH CARE BEST SERVES OUR PATIENTS AND OUR COMMUNITIES - FOR MULTIPLE REASONS. FIRST OF ALL, IT'S GOOD FOR PATIENTS. ACCORDING TO THE JOURNAL OF GENERAL INTERNAL MEDICINE (APRIL 2000), PATIENTS TREATED AT FOR-PROFIT OR GOVERNMENT-OWNED HOSPITALS WERE TWO-TO-FOUR TIMES MORE LIKELY TO SUFFER PREVENTABLE ADVERSE EVENTS THAN PATIENTS TREATED AT NOT-FOR-PROFIT INSTITUTIONS. OUR STOCKHOLDERS ARE OUR COMMUNITIES: INVESTOR-OWNED, FOR-PROFIT HEALTH SYSTEMS HAVE A FINANCIAL INCENTIVE TO AVOID CARING FOR UNINSURED AND UNDERINSURED PATIENTS. THEY ALSO HAVE A FINANCIAL INCENTIVE TO AVOID HARD-TO-SERVE POPULATIONS AND "UNDESIRABLE" GEOGRAPHIC AREAS SUCH AS RURAL AREAS. FOR MANY NORTHERN CALIFORNIA'S UNDERSERVED RURAL LOCALES, SUTTER HEALTH IS THE ONLY PROVIDER OF HOSPITAL AND EMERGENCY MEDICAL SERVICES IN THE COMMUNITY. PROVIDING CHARITY CARE AND SPECIAL PROGRAMS TO COMMUNITIES: OUR COMMUNITIES' SUPPORT HELPS US EXPAND SERVICES, INTRODUCE NEW PROGRAMS AND IMPROVE MEDICAL TECHNOLOGY. ACROSS OUR NETWORK, EVERY SUTTER HOSPITAL, PHYSICIAN ORGANIZATION AND CLINIC HAS A SPECIAL STORY TO TELL ABOUT FULFILLING VITAL COMMUNITY NEEDS. OUR COMMITMENT TO COMMUNITY BENEFIT: MEETING THE HEALTH CARE NEEDS OF OUR COMMUNITIES IS THE CORNERSTONE OF SUTTER HEALTH'S NOT-FOR-PROFIT MISSION. THIS INCLUDES DIRECTLY SERVING THOSE WHO CANNOT AFFORD TO PAY FOR HEALTH CARE AND SUPPORTING PROGRAMS AND SERVICES THAT HELP THOSE IN FINANCIAL NEED. SUTTER HEALTH NOW PROVIDES AN AVERAGE OF MORE THAN $3 MILLION IN CHARITY CARE PER WEEK. IN 2013, OUR NETWORK OF PHYSICIAN ORGANIZATIONS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS INVESTED $901 MILLION IN HEALTH CARE PROGRAMS, SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED. THIS INCLUDES: - THE COST OF PROVIDING CHARITY CARE; - THE UNPAID COSTS OF PARTICIPATING IN MEDI-CAL; AND - INVESTMENTS IN MEDICAL RESEARCH, HEALTH EDUCATION AND COMMUNITY-BASED PUBLIC BENEFIT PROGRAMS SUCH AS SCHOOL-BASED CLINICS AND PRENATAL CARE FOR PATIENTS. SUTTER HEALTH'S COMMITMENT TO DELIVERING CHARITY CARE TO PATIENTS CONTINUED TO GROW, REACHING ANOTHER ALL-TIME HIGH OF $166 MILLION IN 2013.
PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (42 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
PATIENT ASSISTANCE FOUNDATION
2100 WEBSTER ST STE 100SAN FRANCISCOCA94115942944137501(C)(3)$500,000GENERAL SUPPORT
REGENTS OF THE UNIV OF CALIFORNIA BERKELEY
417-L UNIVERSITY HALL 7360BERKELEYCA94720946002123501(C)(3)$274,088GENERAL SUPPORT
THE CENTER FOR YOUTH WELLNESS
1329 EVANS AVENUESAN FRANCISCOCA94124452527627501(C)(3)$200,000GENERAL SUPPORT
ASIANWEEK FOUNDATION
564 MARKET STSAN FRANCISCOCA94104201719535501(C)(3)$52,500GENERAL SUPPORT
CHINESE COMMUNITY HEALTH (CHINESE HOSPITAL)
845 JACKSON STSAN FRANCISCOCA94133940382780501(C)(3)$35,000GENERAL SUPPORT
SAN FRANCISCO CHILD ABUSE PREVENTION CTR
1757 WALLER STSAN FRANCISCOCA94117942455072501(C)(3)$30,697GENERAL SUPPORT
AMBULATORY SURGERY ACCESS COALITION
115 SANSOME STSAN FRANCISCOCA94104943180356501(C)(3)$25,000GENERAL SUPPORT
APA FAMILY SUPPORT SERVICES
10 NOTTINGHAM PLSAN FRANCISCOCA94133943164091501(C)(3)$25,000GENERAL SUPPORT
ASIAN & PACIFIC ISLANDER WELLNESS CENTER
730 POLK STSAN FRANCISCOCA94109943096109501(C)(3)$25,000GENERAL SUPPORT
DE MARILLAC ACADEMY
175 GOLDEN GATE AVESAN FRANCISCOCA94102943390330501(C)(3)$25,000GENERAL SUPPORT
KIMOCHI INC
1715 BUCHANAN STSAN FRANCISCOCA94115237117402501(C)(3)$25,000GENERAL SUPPORT
LATINA BREAST CANCER AGENCY
4271 MISSION STSAN FRANCISCOCA94112010628124501(C)(3)$25,000GENERAL SUPPORT
MARCH OF DIMES
101 MONTGOMERY ST STE 300SAN FRANCISCOCA94104131846366501(C)(3)$25,000GENERAL SUPPORT
SAN FRANCISCO LGBT COMMUNITY CENTER
1800 MARKET STSAN FRANCISCOCA94102943236718501(C)(3)$25,000GENERAL SUPPORT
TIDES CENTERBODY POSITIVE
1833 FILLMORE ST 3RD FLSAN FRANCISCOCA94115943213100501(C)(3)$25,000GENERAL SUPPORT
SAN FRANCISCO MEDICAL CENTER OUTPATIENT
229 7TH STSAN FRANCISCOCA94103237304921501(C)(3)$25,000GENERAL SUPPORT
SHANTI
730 POLK ST 3RD FLSAN FRANCISCOCA94109942297147501(C)(3)$25,000GENERAL SUPPORT
NOVATO HEALTH PARTNERSHIP
1015 SEVENTH STNOVATOCA94945680112169501(C)(3)$22,258GENERAL SUPPORT
INSTITUTE ON AGING
3575 GEARY BLVDSAN FRANCISCOCA94118942978977501(C)(3)$20,000GENERAL SUPPORT
MAITRI
401 DUBOCE AVESAN FRANCISCOCA94177943189198501(C)(3)$20,000GENERAL SUPPORT
SELF-HELP FOR THE ELDERLY
407 SANSOME STSAN FRANCISCOCA94111941750717501(C)(3)$20,000GENERAL SUPPORT
MENDOCINO LAKE COMMUNITY COLLEGE
1000 HENSLEY CREEK RDUKIAHCA95482946002711501(C)(3)$20,000GENERAL SUPPORT
CURRY SENIOR CENTER
333 TURK STSAN FRANCISCOCA94102237362588501(C)(3)$15,000GENERAL SUPPORT
MISSION NEIGHBORHOOD CENTERS
362 CAPP STSAN FRANCISCOCA94110942284365501(C)(3)$15,000GENERAL SUPPORT
NAACP DBA SAN FRANCISCO NAACP
1290 FILLMORE STSAN FRANCISCOCA94115237177411501(C)(3)$15,000GENERAL SUPPORT
SAN FRANCISCO PROJECT HOMELESS CONNECT
25 VAN NESS AVE STE 340SAN FRANCISCOCA94102204331462501(C)(3)$15,000GENERAL SUPPORT
HOMEWARD BOUND OF MARIN
1385 HAMILTON PKYNOVATOCA94949680011405501(C)(3)$14,400GENERAL SUPPORT
SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM
1550 BRYANT STSAN FRANCISCOCA94103942897258501(C)(3)$12,000GENERAL SUPPORT
AMERICAN RED CROSS
85 SECOND ST 8TH FLSAN FRANCISCOCA94105943045430501(C)(3)$10,000GENERAL SUPPORT
CONARD HOUSE INC
1385 MISSION STSAN FRANCISCOCA94103941489356501(C)(3)$10,000GENERAL SUPPORT
EPISCOPAL CHARITIES
1055 TAYLOR STSAN FRANCISCOCA94108943345498501(C)(3)$10,000GENERAL SUPPORT
GLIDE FOUNDATION
330 ELLIS STSAN FRANCISCOCA94102941156481501(C)(3)$10,000GENERAL SUPPORT
ON LOK INC
1333 BUSH STSAN FRANCISCOCA94109942162549501(C)(3)$10,000GENERAL SUPPORT
CITY OF SANTA ROSA (AMGEN TOUR)
PO BOX 1086SANTA ROSACA95402946000428GOVERNMENT$8,545GENERAL SUPPORT
MARIN COMMUNITY CLINICS
1177 E FRANCISCO BLVD STE BSAN RAFAELCA94901942237120501(C)(3)$8,545GENERAL SUPPORT
SAN FRANCISCO LGBT PRIDE CELEBRATION COMMITTEE INC
1841 MARKET ST 4TH FLSAN FRANCISCOCA94103943006693501(C)(3)$8,000GENERAL SUPPORT
MARCH OF DIMES
PO BOX 1657WILKESBARREPA18703131846366501(C)(3)$7,500GENERAL SUPPORT
MARCH OF DIMES
1050 SANSOME ST 4TH FLSAN FRANCISCOCA94111131846366501(C)(3)$7,000GENERAL SUPPORT
NORTH BAY LEADERSHIP COUNCIL
775 BAYWOOD DR STE 101PETALUMACA94954680234040501(C)(3)$6,409GENERAL SUPPORT
NORTH BAY CHILDREN'S CENTER
932 C STNOVATOCA94949943024246501(C)(3)$5,982GENERAL SUPPORT
GUM MOON RESIDENCE HALL
940 WASHINGTON STSAN FRANCISCOCA94108941156357501(C)(3)$5,780GENERAL SUPPORT
NORTH OF MARKET TENDERLOIN COMMUITY BENEFIT DIST
134A GOLDEN GATE AVESAN FRANCISCOCA94109203828997501(C)(3)$5,500GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org42Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2FormAndLineReferenceDesc
ExplanationPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS COMMUNITY HEALTH PROGRAM GRANTEES SIGN A CONTRACT WITH AFFILIATE OUTLINING TERMS AND CONDITIONS OF RECEIVING GRANT FUNDS SPECIFYING OBJECTIVES AND OUTCOMES. EACH AGENCY RECEIVING THE COMMUNITY HEALTH GRANTS ARE REQUIRED TO PREPARE AND SUBMIT OUTCOME-BASED REPORTS AT SIX-MONTHS AND TWELVE-MONTHS. AGENCIES RECEIVING SPONSORSHIP FUNDS GO THROUGH A DIFFERENT PROCESS; THEY ARE REQUESTED TO PROVIDE THE PURPOSE OF THE EVENT PRIOR TO SPONSORSHIP AS WELL AS A BRIEF SUMMARY OF THE OUTCOMES OF EVENT SOON AFTER THE EVENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
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 (13 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
TONI BRAYER MD
REGIONAL VP & CMO, WEST BAY$0$474,320$0$163,645$0$63,197$0$91,980$0$21,539$0$814,681$0$195,630
MARTIN BROTMAN MD
SVP, SH (FORMER)$0$516,150$0$544,112$0$166,535$0$173,931$0$19,298$0$1,420,026$0$681,492
WARREN BROWNER MD
CEO, SAN FRANCISCO HOSP, SWBH$0$552,011$0$380,047$0$101,743$0$294,727$0$20,263$0$1,348,791$0$445,671
MICHAEL COHILL
REGIONAL PRESIDENT, WEST BAY$0$703,968$0$718,603$0$222,356$0$256,516$0$21,656$0$1,923,099$0$696,352
GRANT DAVIES
CEO, NORTH BAY HOSPITALS$0$540,438$0$214,280$0$63,352$0$137,627$0$21,939$0$977,636$0$246,119
MICHAEL DUNCHEON
VP, REG COUNSEL, WEST BAY$0$359,239$0$152,306$0$30,311$0$71,883$0$18,876$0$632,615$0$174,415
PATRICK FRY
PRESIDENT & CEO, SH (FORMER)$0$1,568,936$0$1,958,195$0$462,231$0$1,986,744$0$34,082$0$6,010,188$0$2,310,942
JOHN GATES
REGIONAL VP FINANCE, WEST BAY$0$602,582$0$196,871$0$291,162$0$84,396$0$18,710$0$1,193,721$0$191,359
MARK KIMBELL
CPMC FOUNDATION DIRECTOR$0$379,531$0$125,781$0$26,737$0$72,483$0$17,885$0$622,417$0$125,781
SARAH KREVANS
COO, SUTTER HEALTH$0$909,010$0$875,587$0$479,602$0$348,316$0$24,557$0$2,637,072$0$1,312,940
ALLEN PONT MD
VP MEDICAL AFFAIRS, WEST BAY$0$282,170$0$146,450$0$329,386$0$58,667$0$5,690$0$822,363$0$276,051
MICHAEL PURVIS
CAO, SMCSR$0$343,088$0$144,390$0$26,187$0$73,383$0$14,527$0$601,575$0$163,288
CRAIG VERCRUYSSE
REGIONAL CIO, WEST BAY$0$341,227$0$128,257$0$27,732$0$47,394$0$17,775$0$562,385$0$150,069

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. DISCRETIONAL SPENDING: EXECUTIVES RECEIVE ACCESS TO DISCRETIONARY SPENDING. ACCESSED AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. IN 2013 THREE EMPLOYEES USED DISCRETIONARY SPENDING FOR PERKFLEX PURPOSES.
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 FOR PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH.
PART I, LINE 4BNONQUALIFIED 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.
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 (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CHFFA 2007A
A52164382813033FQ372007-05-01$790,998,316CONSTRUCT & EQUIP FACILITYfalsefalsefalse
CHFFA 2008A
B52164382813033F2L32008-05-14$329,041,638CONSTRUCT & REFUNDING - 5/1/07falsefalsefalse
CHFFA 2011D
C52164382813033LVW42011-12-22$331,759,643CONSTRUCT & REFUNDING 1998 AND 199falsefalsefalse
CHFFA 2013A
D52164382813033LW522013-04-24$187,683,000CONSTRUCT & EQUIP FACILITYfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$858,547,387$0$55,398,317$0$0$0$0$783,091,871$20,057,199$02011falsefalseYes (true)Yes (true)
B$92,525,000$0$329,041,638$0$0$0$0$0$0$0$329,041,638$0Yes (true)falseYes (true)Yes (true)
C$0$0$334,386,501$0$0$65,070,000$0$0$0$0$124,025,000$145,291,501Yes (true)falseYes (true)Yes (true)
D$0$0$489,226,568$0$0$0$0$0$0$372,937,981$0$116,288,587falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Concerning UBIPrivateBusConcerningUBIPct
AfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.007900.00790falsefalsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.018300.01860falsefalsefalseYes (true)0.00030
Cfalsefalsefalsefalsefalsefalse0falsefalsefalseYes (true)
Dfalsefalsefalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetInd
0
AYes (true)falsefalsefalse0falseYes (true)
0
Bfalsefalsefalsefalse0falseYes (true)Yes (true)
0
Cfalsefalsefalsefalse0falseYes (true)Yes (true)
0
Dfalsefalsefalsefalse0falseYes (true)Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GLOBAL DISCLOSUREPART I, COLUMN (E: THE ORGANIZATION'S SOLE CORPORATE MEMBER IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES THAT ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS, INCLUDING THE ORGANIZATION. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THIS ORGANIZATION IS REPORTED ON FORM 990, PART X, BALANCE SHEET AND PART VI HEREIN. WITH THE EXCEPTION OF THIS PORTION OF PART VI, THE SCHEDULE K FOR THIS ORGANIZATION IS REPORTING INFORMATION FOR THE ENTIRE BOND ISSUE. PART II, LINE 7: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS.
SWBH SPECIFICPART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $165,813,667 FROM THE 2007A ISSUE, $55,943,275 FROM THE 2008A ISSUE, $47,567,042 FROM THE 2011D ISSUE AND $187,683,000 FROM THE 2013A ISSUE. PART I, LINE B, COLUMN (F): THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2007 ISSUE. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1996 THAT WERE USED TO REFUND BONDS ISSUED IN 1985, 1989, 1990, AND 1991. PART III: THE CHFFA 2011D AND CHFFA 2013A BONDS ARE "NEW MONEY" BONDS FOR CONSTRUCTION NOT YET COMPLETED.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ANDREE S HEST
SEE PART V$202,816SEE PART Vfalse
RUTH M LINCOLN
SEE PART V$113,313SEE PART Vfalse
PEDIATRIX MEDICAL GROUP
SEE PART V$1,627,194SEE PART Vfalse
BROWN TOLLAND MEDICAL GROUP
SEE PART v$931,093SEE PART Vfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationDESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS DEBORAH WYATT, TRUSTEE AND TOM LINCOLN, TRUSTEE OF SUTTER WEST BAY HOSPITALS (SWBH) EACH HAVE A FAMILY MEMBER WHO WORKS FOR SWBH. TERRI SLAGLE, DIRECTOR OF SWBH IS ALSO A SHAREHOLDER PHYSICIAN OF PEDIATRIX MEDICAL GROUP. DURING THE YEAR, PEDIATRIX MEDICAL GROUP PROVIDED SERVICES TO SWBH VIA AN ARMS-LENGTH AGREEMENT. TERRI SLAGLE IS ALSO A SHAREHOLDER OF BROWN TOLLAND MEDICAL GROUP (BTMG). DURING THE YEAR BTMG PROVIDED SERVICES TO SWBH VIA AN ARMS-LENGTH AGREEMENT.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1MISSION STATEMENT WE ENHANCE THE WELL BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO COMPASSION, EXCELLENCE, INNOVATION AND A FULL CONTINUUM OF HEALTH CARE SERVICES.
FORM 990, PART III, LINE 4AEXEMPT PURPOSE ACHIEVEMENTS GENERAL DESCRIPTION SUTTER WEST BAY HOSPITALS WAS FORMED JANUARY 1, 2010. IT CONSISTS OF FOUR HOSPITALS: CALIFORNIA PACIFIC MEDICAL CENTER, NOVATO COMMUNITY HOSPITAL, SUTTER MEDICAL CENTER SANTA ROSA, AND LAKESIDE HOSPITAL. THERE WERE A TOTAL OF 218,965 PATIENT DAYS FOR 2013. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) IS ONE OF THE LARGEST PRIVATE, COMMUNITY BASED, NOT-FOR-PROFIT, TEACHING MEDICAL CENTERS IN CALIFORNIA. CPMC IS A TERTIARY REFERRAL CENTER PROVIDING ACCESS TO LEADING EDGE MEDICINE WHILE DELIVERING THE BEST POSSIBLE PERSONALIZED CARE. IT PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; HOSPICE SERVICES; PREVENTIVE AND COMPLEMENTARY CARE; AND HEALTH EDUCATION. CPMC IS COMPRISED OF THE FOUR OLDEST HOSPITALS IN SAN FRANCISCO. THE DAVIES CAMPUS, FORMERLY DAVIES MEDICAL CENTER, WAS FOUNDED IN 1854 TO HELP SAN FRANCISCO'S GERMAN-SPEAKING IMMIGRANTS FIND WORK, SHELTER, FOOD, CLOTHING AND HEALTH CARE. THE PACIFIC CAMPUS WAS FOUNDED IN 1857 AND WAS THE FIRST MEDICAL SCHOOL IN THE AMERICAN WEST. THE CALIFORNIA CAMPUS WAS FOUNDED IN 1875 AS THE PACIFIC DISPENSARY FOR WOMEN AND CHILDREN, A HOSPITAL RUN BY WOMEN, FOR WOMEN. FINALLY, THE ST. LUKE'S CAMPUS HAS BEEN PROVIDING QUALITY HEALTH SERVICES TO ALL SAN FRANCISCANS FOR OVER 130 YEARS. TOGETHER THE DAVIES, CALIFORNIA, PACIFIC AND ST. LUKE'S CAMPUSES COMPRISE CPMC'S 1,258 LICENSED ACUTE CARE BEDS AND 25 RESIDENTIAL BEDS. NOVATO COMMUNITY HOSPITAL (NOVATO) HAS SERVED THE NORTHERN MARIN AND SOUTHERN SONOMA COMMUNITIES SINCE 1961. IN 1985, THE HOSPITAL BECAME AN AFFILIATE OF SUTTER. THE NOVATO FACILITY IS LOCATED AT 180 ROWLAND WAY AND IS A 47-BED ACUTE CARE HOSPITAL NOTED FOR ITS ORTHOPEDIC SURGERY PROGRAM. SUTTER MEDICAL CENTER OF SANTA ROSA (SMCSR) HAS A LONG HISTORY IN SONOMA COUNTY DATING BACK TO 1866 WHEN THE FIRST HOSPITAL OPENED. IN 1996, SMCSR BECAME AN AFFILIATE OF SUTTER HEALTH. A NEW STATE-OF-THE ART MEDICAL FACILITY WILL OPEN 5 MILES NORTH OF THE CURRENT HOSPITAL IN OCTOBER 2014 WITH A FULL RANGE OF FIVE-STAR PERSONALIZED CARE SERVICES. SUTTER LAKESIDE HOSPITAL (LAKESIDE) IS A 25-BED CRITICAL ACCESS HOSPITAL AND IS ONE OF ONLY TWO HOSPITALS THAT SERVE THE 64,000 RESIDENTS OF LAKE COUNTY. IN 1992, THE HOSPITAL AFFILIATED WITH SUTTER HEALTH. LAKESIDE PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; SURGICAL SERVICES; PREVENTIVE CARE; AND HEALTH EDUCATION. 2013 PATIENT ACTIVITY EMERGENCY ROOM IP (ADMITTED) 16,689 EMERGENCY ROOM OP (NOT ADMITTED) 122,463 TOTAL ER VISITS 139,152 ACUTE DISCHARGES (INCL. PSYCH, REHAB) 38,019 SNF DISCHARGES 1,606 ALZHEIMER DISCHARGES 6 SUB ACUTE DISCHARGES 54 TOTAL DISCHARGES 39,685 DELIVERIES 7,921 TRANSPLANTS 274 SUTTER WEST BAY HOSPITALS MISSION STATEMENT WE ENHANCE THE WELL BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO COMPASSION, EXCELLENCE, INNOVATION AND A FULL CONTINUUM OF HEALTH CARE SERVICES. CLINICAL PROGRAMS INCLUDE: - ASTHMA EDUCATION PROGRAM - BREAST FEEDING CENTERS - BREAST HEALTH CENTERS - CALIFORNIA PACIFIC MEDICAL CENTER RESEARCH INSTITUTE - CANCER RECOVERY PROGRAMS - COMING HOME HOSPICE - COMMUNITY BENEFITS PROGRAMS (DETAILED BELOW) - COMMUNITY HEALTH RESOURCE CENTER - COMPREHENSIVE STROKE CENTER - DIABETES EDUCATION PROGRAM - END-STAGE ORGAN FAILURE/TRANSPLANTATION PROGRAMS (HEART, KIDNEY, LIVER, PANCREAS) - FORBES NORRIS MDA/ALDS CENTER - HAND CLINIC - HOSPITALIST PROGRAM - INSTITUTE FOR HEALTH AND HEALING - IRENE SWINDELLS ALZHEIMER'S RESIDENTIAL CARE CENTER - LION'S EYE CLINIC - LOW VISION REHABILITATION CENTER - MUSCULAR DYSTROPHY ASSOCIATION NEUROMUSCULAR CLINIC - PACIFIC VISION FOUNDATION - PALLIATIVE CARE PROGRAM - PEDIATRIC SPECIALTY SERVICES - REHABILITATION SERVICES (ACUTE AND OUTPATIENT) - SIBLING CENTER - SMITH KETTLEWELL EYE RESEARCH INSTITUTE (THEY ARE INDEPENDENT OF CPMC.) - SUB-ACUTE CARE PROGRAM - TELEMEDICINE SERVICE (STROKE) - VISITING NURSES AND HOSPICE OF SAN FRANCISCO - WHITNEY NEWBORN ICU FOLLOW-UP CLINIC - WOMEN'S HEALTH RESOURCE CENTER - WOMEN'S SERVICES CLINICAL SERVICE OFFERINGS INCLUDE: - AIDS & HIV SERVICES - ALZHEIMER'S - ARTHRITIS - BARIATRIC SURGERY SERVICES - CANCER SERVICES - CARDIOVASCULAR SERVICES - CLINICAL LABORATORY - COMPLEMENTARY MEDICINE - COMPREHENSIVE STROKE SERVICES - CRITICAL CARE SERVICES - DIABETES SERVICES (ADULT & PEDIATRIC) - DIAGNOSTIC SERVICES/LABORATORIES - DIALYSIS SERVICES - EMERGENCY SERVICES - EPILEPSY - GASTROENTEROLOGY DISEASE SERVICES - HOME HEALTH & HOSPICE - INTERVENTIONAL ENDOSCOPY SERVICES - KALMONOVITZ CHILD DEVELOPMENT CENTERS - MEDICAL TRANSPORT SERVICES - MICROSURGERY AND LIMB SALVAGE SERVICES - NEONATAL INTENSIVE CARE - NEUROLOGY - NEURO-ONCOLOGY SURGERY - NUCLEAR MEDICINE - NUTRITION AND WEIGHT MANAGEMENT - OBSTETRICS & GYNECOLOGY - OCCUPATIONAL HEALTH - OPHTHALMOLOGY - ORGAN TRANSPLANTATION - ORTHOPEDICS - OTOLARYNGOLOGY - OUTPATIENT CLINICS & SERVICES - PATHOLOGY - PEDIATRIC EMERGENCY DEPARTMENT - PEDIATRIC SERVICES/PROGRAMS - PERIOPERATIVE SERVICES (OR AND POST-ANESTHESIA RECOVERY UNIT) - PHARMACY - PHYSICAL MEDICINE & REHABILITATION SERVICES - PSYCHIATRY - RADIOLOGY & DIAGNOSTIC IMAGING - RESPIRATORY CARE - RESIDENCY TRAINING AND FELLOWSHIP PROGRAMS - SURGICAL SERVICES/ AMBULATORY SURGERY - URGENT CARE CENTER - VENTRICULAR ASSIST DEVICE (VAD) PROGRAM - WOMEN'S HEALTH PROGRAMS - WOUND CARE NON-CLINICAL SERVICES INCLUDE: - ADMINISTRATIVE SERVICES - CHAPLAINCY SERVICES - CHARITY CARE PROGRAM - COMMUNITY HEALTH RESOURCE CENTER - CONTINUING MEDICAL EDUCATION - INTERPRETER SERVICES - PATIENT SERVICES - RESEARCH INSTITUTE - SURGICAL TRAINING CENTER - VOLUNTEER SERVICES - WEB NURSERY - CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION - NOVATO COMMUNITY HOSPITAL DEVELOPMENT OFFICE - SUTTER LAKESIDE FOUNDATION
FORM 990, PART III, LINE 4AEXEMPT PURPOSE ACHIEVEMENTS CONTINUED COMMUNITY BENEFITS THE FOUR MEDICAL CENTERS IN SUTTER WEST BAY HOSPITALS (SWBH) PLAY INTEGRAL ROLES IN PROVIDING DIRECT HEALTH CARE SERVICES AS WELL AS MONETARY GRANTS OR SPONSORSHIPS TO NON-PROFIT ORGANIZATIONS TO ADDRESS THE COMMUNITY HEALTH NEEDS OF VULNERABLE, UNDERINSURED, AND UNINSURED POPULATIONS IN THEIR COMMUNITIES. THE HOSPITALS' COMMUNITY BENEFIT REPRESENTATIVES WORK COLLABORATIVELY AND IN PARTNERSHIPS WITH A BROAD AND DIVERSE NETWORK OF COMMUNITY-BASED NON-PROFITS, CITY AND COUNTY AGENCIES, PHYSICIANS, AND NEIGHBORHOOD GROUPS TO IDENTIFY LOCAL NEEDS, FORMULATE COMMUNITY BENEFIT PLANS, AND TAKE APPROPRIATE FUNDING ACTIONS. WHILE SUTTER WEST BAY REGIONAL MANAGEMENT SETS OVERALL GOALS FOR COMMUNITY BENEFITS, EACH OF THE AFFILIATES MEDICAL CENTER ADMINISTRATORS ARE RESPONSIBLE FOR IDENTIFYING HOW LOCAL NEEDS ARE TO BE ADDRESSED. IN FISCAL YEAR 2013, SUTTER WEST BAY HOSPITALS PROVIDED A REGIONAL TOTAL OF $135.2 MILLION IN COST OF SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED: $29.9 MILLION IN TRADITIONAL CHARITY CARE, $86.6 MILLION IN THE UNPAID COSTS OF MEDICAID, $6.8 MILLION IN COSTS FOR OTHER MEANS-TESTED PROGRAMS, AND $11.9 MILLION IN OTHER BENEFITS FOR THE POOR AND UNDERSERVED. IN ADDITION, SUTTER WEST BAY HOSPITALS PROVIDED AN ADDITIONAL $54.1 MILLION IN BENEFITS TO THE BROADER COMMUNITY, FOR A TOTAL OF $189.3 MILLION IN QUANTIFIABLE COMMUNITY BENEFIT. IN ADDITION, THE FOLLOWING ARE HIGHLIGHTS BY HOSPITAL OF QUANTIFIABLE COMMUNITY BENEFITS. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) IN 2013, CPMC PROVIDED $124.1 MILLION IN COST OF SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED AND $43.3 MILLION IN BENEFITS TO THE BROADER COMMUNITY, FOR A TOTAL OF $167.4 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS. CPMC SUSTAINS ROBUST MEDICAL, NURSING, AND ALLIED HEALTH PROFESSIONS RESIDENCY PROGRAMS AS WELL AS A RESEARCH INSTITUTE THAT PROVIDES SIGNIFICANT COMMUNITY BENEFIT. CPMC IS A MEMBER OF THE SAN FRANCISCO CHARITY CARE PARTNERSHIP AND SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP) CONSORTIUMS LED BY THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH. THESE CONSORTIUMS CONSIST OF REPRESENTATIVES FROM ALL OF THE CITY'S HOSPITALS AND OTHER HEALTHCARE-RELATED NON-PROFIT STAKEHOLDERS. CONSORTIUM MEMBERS CONDUCT A TRI-ANNUAL COMMUNITY NEEDS ASSESSMENT, AS REQUIRED BY THE STATE AND FEDERAL GOVERNMENTS, AND COORDINATE EFFORTS TO ADDRESS THE CITY'S HEALTH DISPARITIES IN SPECIFIC AT-RISK NEIGHBORHOODS OR VULNERABLE POPULATIONS. THE 2013-2015 COMMUNITY NEEDS ASSESSMENT IDENTIFIED THREE COMMUNITY HEALTH PRIORITIES; THESE PRIORITIES GUIDE CPMC'S COMMUNITY BENEFITS STRATEGY: 1. INCREASE ACCESS TO HIGH-QUALITY HEALTH CARE AND SERVICES - CPMC MANAGES OR FUNDS MANY PROGRAMS FOCUSED ON IMPROVING ACCESS TO CARE, INCLUDING THE FOLLOWING: - ST. LUKE'S HEALTH CARE CENTER (ADULT, PEDIATRIC, AND WOMEN'S CLINICS) - KALMANOVITZ CHILD DEVELOPMENT CENTER (COMPREHENSIVE DEVELOPMENTAL ASSESSMENT AND TREATMENT PROGRAMS FOR INFANTS, PRESCHOOLERS, SCHOOL-AGE CHILDREN, AND FAMILIES) - BAYVIEW CHILD HEALTH CENTER (PRIMARY CARE FOR LOW-INCOME CHILDREN) - AFRICAN AMERICAN AND SISTER TO SISTER BREAST HEALTH PROGRAMS, AND ST. LUKE'S BREAST HEALTH PARTNERSHIPS (CANCER SCREENING AND PREVENTION) - COMING HOME HOSPICE (24-HOUR CARE FOR TERMINALLY ILL CLIENTS AND THEIR FAMILIES REGARDLESS OF ABILITY TO PAY) - MANAGED MEDI-CAL PARTNERSHIP WITH NORTH EAST MEDICAL SERVICES (PROVIDE AND TAKE RISK FOR INPATIENT AND SELECT OUTPATIENT SERVICES FOR ALMOST 18,000 MEDI-CAL AND HEALTHY KIDS MEMBERS) - HEALTHY SAN FRANCISCO (PROVIDE FREE HOSPITALIZATION AND SELECT SPECIALTY CARE TO HSF PARTICIPANTS WHO ARE ENROLLED IN NORTH EAST MEDICAL SERVICES OR BROWN & TOLAND AS THEIR MEDICAL HOME) - LIONS EYE CLINIC (OUTPATIENT COMPLEX EYE SERVICES FOR LOW-INCOME INDIVIDUALS) - OPERATION ACCESS (FREE DIAGNOSTIC SCREENINGS, SPECIALTY PROCEDURES, AND SURGICAL CARE TO LOW-INCOME UNINSURED) - PROJECT HOMELESS CONNECT (MEDICAL AND SOCIAL SERVICES TO THE HOMELESS) 2. INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY - CPMC MANAGES OR FUNDS PROGRAMS THAT AIM TO INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG LOW-INCOME POPULATIONS, INCLUDING THE FOLLOWING: - HEALTHFIRST: A CENTER FOR PREVENTION AND EDUCATION (MANAGEMENT OF CHRONIC DISEASES SUCH AS DIABETES THROUGH NUTRITION EDUCATION AND LIFESTYLE CHANGES) - COMMUNITY-BASED SERVICES FOR YOUTH THAT FOCUS ON HEALTHY LIFESTYLES, SUCH AS BAYVIEW CHILD HEALTH CENTER'S NUTRITION SERVICES, WILLIAM MCKINLEY ELEMENTARY SCHOOL'S NOON HOUR WELLNESS PROGRAM, AND DE MARILLAC ACADEMY'S HEALTH CHAMPIONS PROGRAM 3. ENSURE SAFE AND HEALTHY LIVING ENVIRONMENTS - CPMC'S COMMUNITY HEALTH GRANTS AND SPONSORSHIPS PROGRAM SUPPORT ORGANIZATIONS THAT PROMOTE SAFE AND HEALTHY LIVING ENVIRONMENTS, INCLUDING THE FOLLOWING: - APA FAMILY SUPPORT SERVICES (IN-HOME SUPPORT SERVICES TO ASIAN/PACIFIC ISLANDER CHILDREN AND FAMILIES) - THE CENTER FOR YOUTH WELLNESS (TRAUMA-INFORMED PEDIATRIC CARE THAT ADDRESSES THE ROOT CAUSES OF POOR HEALTH OUTCOMES FOR CHILDREN AND YOUTH IN HIGH-RISK COMMUNITIES) - CHINATOWN COMMUNITY DEVELOPMENT CENTER (NEIGHBORHOOD ADVOCATES, COMMUNITY ORGANIZERS, PLANNERS, DEVELOPERS, AND MANAGERS OF AFFORDABLE HOUSING) - SAN FRANCISCO CHILD ABUSE PREVENTION CENTER AND THE CHILD ADVOCACY CENTER (SUPPORTIVE SERVICES TO CHILDREN AND FAMILIES; EDUCATION FOR CHILDREN, CAREGIVERS AND SERVICE PROVIDERS; AND ADVOCACY FOR SYSTEMS IMPROVEMENT AND COORDINATION) - KIMOCHI (CULTURALLY SENSITIVE, JAPANESE LANGUAGE-BASED PROGRAMS AND SERVICES TO SENIORS AND THEIR FAMILIES, INCLUDING TRANSPORTATION, REFERRAL AND OUTREACH, HEALTH AND CONSUMER EDUCATION SEMINARS, HEALTHY AGING AND SENIOR CENTER ACTIVITIES, SOCIAL SERVICES, CONGREGATE AND HOME-DELIVERED MEALS, IN-HOME SUPPORT SERVICES, ADULT SOCIAL DAY CARE, AND 24-HOUR RESIDENTIAL AND RESPITE CARE) SUTTER MEDICAL CENTER OF SANTA ROSA (SMCSR) SMCSR SERVES SONOMA COUNTY, AS WELL AS OTHER COUNTIES IN THE NORTH BAY. IN 2013, SMCSR PROVIDED A TOTAL OF NEARLY $9.7 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS AND CASH TO THE BROADER COMMUNITY WITH ACTIVITIES INCLUDING: 1. MEDICAL EDUCATION -SMCSR OPERATES THE FAMILY MEDICINE RESIDENCY PROGRAM WHICH TRAINS PRIMARY CARE PHYSICIANS. NEARLY 50% OF LOCAL FAMILY PHYSICIANS ARE GRADUATES OF THIS RESIDENCY PROGRAM, INCLUDING PHYSICIANS WHO STAFF COMMUNITY HEALTH CENTERS CARING FOR LOW-INCOME AND UNDERSERVED FAMILIES. 2. CHILDREN'S HEALTH - SMCSR PROVIDES FINANCIAL SUPPORT TO THE HEALTHY KIDS OF SONOMA COUNTY, WHICH IS A COLLABORATIVE THAT PROVIDES 2,300 LOW-INCOME CHILDREN WITH COMPREHENSIVE HEALTH INSURANCE. 3. WORKFORCE DEVELOPMENT -THE HEALTHCARE WORKFORCE DEVELOPMENT PROGRAM IS DESIGNED TO ENHANCE FUTURE WORKFORCE DIVERSITY BY PROVIDING INTERNSHIP OPPORTUNITIES FOR HIGH SCHOOL AND COLLEGE STUDENTS THROUGH COLLABORATION WITH LOCAL HEALTHCARE AND EDUCATION PARTNERS. THE SUMMER HEALTH CAREER INSTITUTE IS LOCATED AT SANTA ROSA JUNIOR COLLEGE. 4. WOMEN'S HEALTH - ONE OF THE PRIORITIES IS WOMEN'S HEALTH; THESE COMMUNITY BENEFIT ACTIVITIES ARE REPORTED BY SUTTER PACIFIC MEDICAL FOUNDATION, ANOTHER SUTTER WEST BAY HOSPITALS AFFILIATE, IN A DIFFERENT FORM 990. SMCSR JUST COMPLETED AN IMPLEMENTATION PLAN BASED ON THE TRI-ANNUAL NEEDS ASSESSMENT DONE IN COLLABORATION WITH KEY STAKEHOLDERS IN THE LOCAL COMMUNITY. THIS WAS THE FIRST NEEDS ASSESSMENT AND IMPLEMENTATION PROCESS COMPLETED UNDER THE NEW ACA GUIDELINES. COMMUNITY BENEFIT PROGRAMS INVOLVE COLLABORATION WITH A NETWORK OF COMMUNITY ORGANIZATIONS, COUNTY AGENCIES SUCH AS THE SONOMA DEPARTMENT OF HEALTH SERVICES, AND OTHER HOSPITALS IN THE AREA. NOVATO COMMUNITY HOSPITAL (NOVATO) NOVATO COMMUNITY HOSPITAL SERVES MARIN COUNTY, AS WELL AS PORTIONS OF SOUTHERN SONOMA COUNTY. IN 2013, NOVATO PROVIDED A TOTAL OF $267 THOUSAND IN QUANTIFIABLE COMMUNITY BENEFITS AND CASH TO THE BROADER COMMUNITY. NOVATO IS A MEMBER OF THE HEALTHY MARIN PARTNERSHIP A COLLABORATION OF THE THREE MARIN HOSPITALS - KAISER PERMANENTE SAN RAFAEL, MARIN GENERAL HOSPITAL, AND NOVATO COMMUNITY HOSPITAL. THE GROUP WAS INITIALLY FORMED 15 YEARS AGO TO RESPOND TO CALIFORNIA SB697, WHICH REQUIRES ALL NOT-FOR-PROFIT HOSPITALS TO CONDUCT A TRI-ANNUAL COMMUNITY NEEDS ASSESSMENT. 2012 WAS THE FIRST YEAR OF AN ACCOUNTABLE CARE ACT FEDERAL MANDATE THAT 501(C)3 HOSPITALS CONDUCT A TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT. NCH AGAIN WORKED WITH ITS HOSPITAL PARTNERS AND HMP TO COMPLETE THIS MORE PRESCRIPTIVE FEDERAL REQUIREMENT. THIS REPORT AND AN IMPLEMENTATION PLAN ARE FILED WITH THE IRS IN TAX YEAR 2014. THE HOSPITALS HAVE AGREED TO CONTINUE THIS RELATIONSHIP TO MAKE THE BEST USE OF THEIR COMMUNITY BENEFIT RESOURCES. NCH WILL FILE ANNUAL PROGRESS REPORTS ON THE 2014 PLAN IN 2015 AND 2016.
FORM 990, PART III, LINE 4AEXEMPT PURPOSE ACHIEVEMENTS CONTINUED SUTTER LAKESIDE HOSPITAL (LAKESIDE) IN 2013, LAKESIDE PROVIDED A TOTAL OF OVER $2.2 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS AND CASH TO THE BROADER COMMUNITY. THE POPULATION SERVED INCLUDES A HIGH PERCENTAGE OF FAMILIES WHOSE LOW INCOME AFFECTS THEIR ACCESS TO HEALTHCARE. SUTTER LAKESIDE'S COMMUNITY BENEFITS STRATEGY INCLUDES PREVENTIVE CARE, CLINICAL EDUCATION, AND SUBSIDIZING HEALTH SERVICES. LAKESIDE PREVENTIVE CARE INCLUDES THE SPONSORING AND FUNDING OF PROGRAMS THAT PROVIDE FREE OR LOW-COST PREVENTIVE CARE SCREENINGS AND TESTS, SUCH AS MAMMOGRAMS AND SEASONAL FLU VACCINATIONS. LAKESIDE'S ROLE IN CLINICAL EDUCATION IS TO PROVIDE OPPORTUNITIES FOR STUDENTS FROM MULTIPLE CLINICAL PROGRAMS TO APPLY THEIR LEARNING UNDER THE GUIDANCE AND SUPERVISION OF LAKESIDE'S STAFF. FINALLY, LAKESIDE SUBSIDIZES THE OPERATING COSTS OF HEALTH SERVICES THAT ARE CRUCIAL TO THE HEALTH AND WELLBEING OF THE COMMUNITY, INCLUDING; EMERGENCY DEPARTMENT, RURAL HEALTH CLINIC, MOBILE HEALTH CLINIC, AND BIRTH CENTER. CPMC RESEARCH INSTITUTE THE CALIFORNIA PACIFIC MEDICAL CENTER AND ITS RESEARCH INSTITUTE (CPMCRI) HAVE MADE A MAJOR COMMITMENT OF SPACE AND FUNDING TO ENHANCE ITS RESEARCH PROGRAMS IN CLINICAL TRIALS, EPIDEMIOLOGY, BEHAVIORAL MEDICINE, PHARMACOKINETICS AND LABORATORY-BASED RESEARCH PROGRAMS. APPROXIMATELY 80 INVESTIGATORS, BOTH LABORATORY AND CLINICAL RESEARCHERS, INCLUDING MOLECULAR BIOLOGISTS, IMMUNOLOGISTS, PHARMACOLOGISTS, BIOCHEMISTS, PHYSICISTS, EPIDEMIOLOGISTS, BEHAVIORAL SCIENTISTS, BIOSTATISTICIANS, AND COMPUTER SCIENTISTS WORK WITHIN THE RESEARCH INSTITUTE AND THE MEDICAL CENTER. INNOVATIVE BIOMEDICAL RESEARCH IS CONDUCTED IN SUCH DIVERSE AREAS AS AGING, ARTHRITIS, EPILEPSY, DIABETES, NEUROBIOLOGY OF PAIN, CARDIOVASCULAR DISEASE, OSTEOPOROSIS, ORGAN TRANSPLANTATION, MECHANISMS OF DRUG ADDICTION, NEURODEGENERATIVE DISEASES (E.G. AMYOTROPHIC LATERAL SCLEROSIS), CANCER, AIDS, HEPATITIS AND OTHER INFECTIOUS DISEASES. SOME OF THESE SCIENTISTS ARE ENGAGED IN RESEARCH THAT WILL HELP US UNDERSTAND THE FUNCTION OF CERTAIN HUMAN CELLS, GENES, PROTEINS AND OTHER FUNDAMENTAL STRUCTURES WITHIN OUR BODIES. LARGE MULTI-CENTER STUDIES-IN WOMEN'S HEALTH, AGING, COGNITIVE FUNCTION, CARDIOVASCULAR DISEASE, BREAST CANCER PREVENTION, OSTEOPOROSIS, AND ARTHRITIS- INITIATED AT CPMCRI IN PARTNERSHIP WITH THE SAN FRANCISCO COORDINATING CENTER HAVE SIGNIFICANTLY ADVANCED RESEARCH INTO COMMON, CHRONIC ILLNESSES. OUR STUDIES ON LONGEVITY HAVE ACCUMULATED THE LARGEST, RICHEST DATASETS ABOUT AGING IN THE U.S. LARGE-COHORT STUDIES IN OSTEOPOROSIS AND BREAST CANCER HAVE YIELDED SOME OF THE MOST POWERFUL DATASETS IN THE U.S. TO HELP IMPROVE THE TREATMENT OF THESE ILLNESSES. OVER 350 CLINICAL TRIALS, SPONSORED BY PHARMACEUTICAL, BIOTECHNOLOGY AND THE NATIONAL CANCER INSTITUTE, ARE CURRENTLY CONDUCTED AT THE MEDICAL CENTER THROUGH THE CPMCRI OFFICE OF CLINICAL RESEARCH. OUR SCIENTISTS RECEIVED MORE THAN $18 MILLION IN RESEARCH FUNDING IN 2013. CPMCRI PROMOTES ACTIVE PARTNERSHIPS BETWEEN CLINICIANS AND RESEARCHERS, MERGING RESEARCH INSTITUTE INTERESTS WITH THE NEEDS OF THE MEDICAL CENTER AND THE COMMUNITY OF PATIENTS THAT WE SERVE MAKING RESEARCH AN INTEGRAL FOUNDATION FOR IMPROVED PATIENT CARE AND ACCESS FOR OUR PATIENTS TO CUTTING EDGE THERAPIES THROUGH AN EXTENSIVE CLINICAL TRIAL PROGRAM. WHEN ASSOCIATED WITH A RESEARCH PROGRAM, PHYSICIANS HAVE KNOWLEDGE AND ACCESS TO MORE EFFECTIVE TREATMENTS AND DIAGNOSTIC TECHNOLOGIES. BECAUSE OF THIS EXPERTISE, PEER INSTITUTES ARE LEARNING FROM AND PARTNERING WITH OUR INVESTIGATORS IN NATIONAL AND INTERNATIONAL STUDIES AND PROGRAMS. HEALTH EDUCATION AND TRAINING TWO OF THE FOUR SUTTER WEST BAY HOSPITALS HAVE FORMAL HEALTH EDUCATION AND TRAINING PROGRAMS. SUTTER MEDICAL CENTER AT SANTA ROSA ESTABLISHED ITS FAMILY MEDICINE TRAINING PROGRAM IN 1938. THE SANTA ROSA FAMILY MEDICINE RESIDENCY IS A CRITICAL STRATEGIC HEALTHCARE ASSET THAT ADDRESSES THE GROWING PHYSICIAN SHORTAGE IN SONOMA COUNTY. THE RESIDENCY HAS BEEN THE LARGEST SINGLE SOURCE OF FAMILY PHYSICIANS TO SONOMA COUNTY FOR OVER 80 YEARS; RESIDENCY GRADUATES COMPRISE NEARLY HALF OF FAMILY PHYSICIANS IN SONOMA COUNTY. RESIDENCY GRADUATES FILL POSITIONS IN PRIVATE PRACTICES, COMMUNITY CLINICS, AND LARGE MEDICAL GROUPS SUCH AS SUTTER MEDICAL GROUP OF THE REDWOODS, THE PERMANENTE MEDICAL GROUP, LOCAL COMMUNITY HEALTH CENTERS, AND SONOMA COUNTY HEALTH SERVICES AND LEADERSHIP POSITIONS THROUGHOUT THE MEDICAL COMMUNITY. THE THREE YEAR PROGRAM IS AFFILIATED WITH THE UCSF DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE. CALIFORNIA PACIFIC MEDICAL CENTER PROVIDES A MODEL OF SPECIALTY CARE BY BLENDING EXCELLENCE IN ACADEMICS AND RESEARCH WITH A FOCUS ON PATIENT-CENTERED CARE. CPMC IS A MAJOR TEACHING AFFILIATE OF DARTMOUTH MEDICAL SCHOOL, PROVIDING CLERKSHIPS IN MEDICINE, PSYCHIATRY, NEUROLOGY, PEDIATRICS AND OBSTETRICS-GYNECOLOGY. ADDITIONAL CLERKSHIPS (IN SURGERY AND OBSTETRICS-GYNECOLOGY) ARE PROVIDED FOR STUDENTS FROM UCSF. MEDICAL STUDENTS FROM OTHER PRESTIGIOUS SCHOOLS ON OCCASION ARE GRANTED CLERKSHIPS IN DEPARTMENTS WHICH SPONSOR RESIDENCIES HERE. THE GRADUATE MEDICAL RESIDENCY TRAINING PROGRAMS OFFERED AT CPMC ARE OF THE HIGHEST CALIBER WITH CPMC'S PHYSICIANS EMBRACING THE ROLE OF EDUCATORS AS WELL AS CLINICIANS. RESIDENCIES EDUCATE PHYSICIANS IN SPECIFIC SPECIALTIES. CPMC HAS INDEPENDENT RESIDENCY AND FELLOWSHIP PROGRAMS IN INTERNAL MEDICINE, PSYCHIATRY, RADIATION ONCOLOGY, OPHTHALMOLOGY, CARDIOVASCULAR DISEASES, GASTROENTEROLOGY, PULMONARY/CRITICAL CARE MEDICINE, HEPATOLOGY/TRANSPLANT, ENDOCRINOLOGY, HAND SURGERY, KIDNEY TRANSPLANT, NEUROCRITICAL CARE, MRL, RETINA, OCULOPLASTIC SURGERY, MELANOMA SURGERY, AND SHOULDER SURGERY. CPMC ALSO OFFERS TRAINING IN SURGERY, ORTHOPEDIC SURGERY, AND PLASTIC SURGERY TO UCSF RESIDENTS. IN ADDITION, CPMC IS A TRAINING SITE FOR OPERATING ROOM NURSING STUDENTS, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS AND SURGICAL TECHNOLOGISTS. IN ADDITION TO THE AFOREMENTIONED EDUCATIONAL PROGRAMS FOR MEDICAL STUDENTS (UNDERGRADUATE MEDICAL EDUCATION) AND RESIDENTS/FELLOWS (GRADUATE MEDICAL EDUCATION), CPMC PROVIDES AN EXTENSIVE SELECTION OF CONTINUING MEDICAL EDUCATION THROUGH ITS NUMEROUS CONFERENCES FOR PHYSICIANS IN PRACTICE. CPMC'S PHYSICIANS ALSO PROVIDE OUTREACH PROGRAMS IN CONTINUING MEDICAL EDUCATION LOCALLY, REGIONALLY, AND NATIONALLY.
FORM 990, PART VI, LINES 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 7BDESCRIPTION OF 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.
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.
FORM 990, PART VI, LINE 19AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN 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 EQUITY TRANSFERS (NET) (8,724,735) PARTNERSHIP INCOME BOOKED ON RETURN 14,418,431 K-1 ORDINARY INCOME (14,362,953) K-1 INTEREST INCOME (107,087) K-1 ORDINARY DIVIDENDS (1,538,679) K-1 SHORT TERM CAPITAL GAIN 79,347 K-1 LONG TERM CAPITAL GAIN (1,466,074) K-1 RENTAL INCOME (125,436) K-1 OTHER INCOME 709,220 K-1 ROYALTY INCOME (23,631) K-1 1231 GAIN (277) ROUNDING (2) ------------ (11,141,876) ============

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CATHEDRAL HEIGHTS LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7999AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94120ZIPCode
FieldValueIRS element (for citing)
EIN200511266EIN
Primary ActivitiesRENTAL PROP.PrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
End Of Year Assets$303,174EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SWBHBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
ADOLESCENT TREATMENT CENTERS INC
390 40TH STREETOAKLANDCA94609680088443HEALTHCARECA501(C)(3)3SUTTER EBHYes (true)
ALTA BATES SUMMIT 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)
DELTA MEMORIAL HOSPITAL FOUNDATION
3901 LONE TREE WAYANTIOCHCA94509942417022FUNDRAISINGCA501(C)(3)11a - ISUTTER EBHYes (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)3SUTTER 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)11b - IISUTTER 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 MEDICAL FOUNDATION
2800 L STREET 7TH FLOORSACRAMENTOCA95816680273974HEALTHCARECA501(C)(3)11b - IISUTTER 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 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 (13 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
MAGNETIC IMAGING AF
175 LENNONWLN CKCA94598942953833PATIENT CARECANAN/A
SURG CTR OF ABSMC
3875 TELEGRAPHOAKLANDCA94609470946086OUTPATIENT SURGCANAN/A
ALTA CT SERVICES LP
175 LENNONWLN CKCA94598943083464PATIENT CARECANAN/A
CALIFORNIA PACIFIC ADV IMAGING LLC
PO BOX 6102NOVATOCA94948562311840MRI JOINT VENTURECASWBHRELATED$1,887,636$994,892false$0Yes (true)0.51000
SAN FRANCISCO ENDOSCOPY CENTER LLC
3000 RIVERCHASEBIRMINGHAMAL35244912160588ENDOSCOPY JVCASWBHRELATED$5,297,868$132,766false$0Yes (true)0.51000
PRESIDIO SURGERY CENTER LLC
1635 DIVISADEROSFCA94115320144060AMBULATORY SURGCASWBHRELATED$7,170,388$4,425,530false$0Yes (true)0.51000
SUTTER FAIRFIELD SURGERY CTR
2700 LOW CTFAIRFIELDCA94533300233892SURGERYCANAN/A
TWIN CITIES SURGICAL HOSPITAL LLC
250 S WACKERCHICAGOIL60606352182617SURGERYCANAN/A
SUTTER AMADOR SURGERY CENTER LLC
2200 RIVER PLAZA DRIVESACRAMENTOCA95833461398093SURGERYCANAN/A
ROSEVILLE ENDOSCOPY CENTER LLC
4 MEDICAL PLAZA SUITE 210ROSEVILLECA95661870710513ENDOSCOPY JVCANAN/A
MEMORIAL MEDICAL OFFICE BUILDING PRTNR I
1800 COFFEE RD SUITE 76MODESTOCA95355770287288OFFICE RENTALCANAN/A
MEMORIAL MEDICAL OFFICE BUILDING PRTNR I
1800 COFFEE RD SUITE 76MODESTOCA95355770287288OFFICE RENTALCANAN/A
SAN FRANCISCO PEDIATRIC VENTURE LLC
2200 RIVER PLAZA DRIVESACRAMENTOCA95833454474910PATIENT CARECASWBHRELATED-$400$452,900false$0Yes (true)0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
HEALTH VENTURES INC
350 HAWTHORNE STOAKLANDCA94609942918780HEALTH SERVICESCANAC CORPYes (true)
CHARITABLE REMAINDER TRUSTS (5)
CRTCATRUSTYes (true)N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
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 OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SUTTER VISITING NURSE ASSOCIATION
J$182,165FMV
SUTTER VISITING NURSE ASSOCIATION
K$358,428FMV
SUTTER VISITING NURES ASSOCIATION
Q$25,283FMV
EDEN MEDICAL CENTER
L$1,581,133FMV
EDEN MEDICAL CENTER
M$262,966FMV
MILLS-PENINSULA HEALTH SERVICES
M$766,942FMV
SUTTER EAST BAY HOSPITALS
L$1,806,485FMV
SUTTER EAST BAY HOSPITALS
M$2,150,311FMV
SUTTER EAST BAY HOSPITALS
P$106,934FMV
SUTTER EAST BAY HOSPITALS
Q$327,341FMV
SUTTER MEDICAL CENTER CASTRO VALLEY
M$1,318,167FMV
SUTTER VISITING NURES ASSOCIATION
J$358,428FMV
SUTTER VISITING NURES ASSOCIATION
K$182,165FMV
SUTTER VISITING NURES ASSOCIATION
P$25,283FMV
CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION
C$11,061,931FMV
SUTTER INSURANCE SERVICES CORPORATION
P$9,673,596FMV