SUTTER VALLEY HOSPITALS: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SUTTER VALLEY HOSPITALS (EIN 94-1156621)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-05
- IRS object ID
- 201403099349301260
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-05T11:12:05-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4370 LA JOLLA VILLAGE DR SUITE 500 | AddressLine1 |
| City | SAN DIEGO | City |
| State | CA | State |
| ZIP Code | 92122 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941156621 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUTTER HEALTH SACRAMENTO SIERRA REGION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CHRIS BOUDREAUX | InCareOfNm |
| Business Name Control | SUTT | BusinessNameControlTxt |
| Phone | 9162866665 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 160727 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | SACRAMENTO | City |
| State | CA | State |
| ZIP Code | 95816 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeff Sprague | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9162866665 | PhoneNum |
| Signature | 2014-10-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEBRA HEISKALA | PreparerPersonNm |
| PTIN | P00649485 | PTIN |
| Phone | 9162866665 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES CONFORTI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 160727 | AddressLine1 |
| City | SACRAMENTO | City |
| State | CA | State |
| ZIP Code | 95816 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,886,897,271 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SUTTERHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1935 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 9789 | TotalEmployeeCnt |
| Total Volunteers | 1150 | TotalVolunteersCnt |
| Total Gross UBI | $1,493,926 | TotalGrossUBIAmt |
| PY Contributions Grants | $9,454,040 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,201,030 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,847,267,442 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,873,497,794 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,932,380 | PYInvestmentIncomeAmt |
| CY Investment Income | $588,430 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,187,585 | PYOtherRevenueAmt |
| CY Other Revenue | $2,340,647 | CYOtherRevenueAmt |
| PY Total Revenue | $1,864,841,447 | PYTotalRevenueAmt |
| CY Total Revenue | $1,884,627,901 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,075,591 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,127,958 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $887,589,267 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $891,327,486 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $95,691 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $777,526,860 | PYOtherExpensesAmt |
| CY Other Expenses | $839,560,221 | CYOtherExpensesAmt |
| PY Total Expenses | $1,671,191,718 | PYTotalExpensesAmt |
| CY Total Expenses | $1,736,015,665 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $193,649,729 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $148,612,236 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,653,906,391 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,738,079,830 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,171,733,527 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,255,476,921 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $482,172,864 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $482,602,909 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,631,488,169 | ExpenseAmt |
| Grant | $5,127,958 | GrantAmt |
| Revenue | $1,873,497,794 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $1,631,488,169 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 896 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 9789 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRIS BOUDREAUX | PersonNm |
| Phone | 9162978007 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9100 FOOTHILLS BLVD | AddressLine1 |
| City | ROSEVILLE | City |
| State | CA | State |
| ZIP Code | 95747 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| James Conforti | |||||||||
| Regional President, SHSSR | 40.0 | 0.0 | Yes (X) | Yes (X) | $0 | $1,122,894 | $209,404 | ||
| Andrew DeMar MD | |||||||||
| Trustee, Chief of Staff | 2.0 | 0.0 | Yes (X) | Yes (X) | $145,250 | $0 | $0 | ||
| Mike Dourgarian | |||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Patrick Fry | |||||||||
| President & CEO, Sutter Health | 2.0 | 40.0 | Yes (X) | $0 | $3,989,362 | $2,020,826 | |||
| Gary Hooper | |||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Scott Howell | |||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Peter Hull MD | |||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $22,731 | $0 | $0 | |||
| Christopher Johnson | |||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Richard Kramer | |||||||||
| Trustee, Chair | 4.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Sarah Krevans | |||||||||
| COO, Sutter Health | 2.0 | 40.0 | Yes (X) | $0 | $2,264,199 | $372,873 | |||
| Pat Fong Kushida | |||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Marion Leff MD | |||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Jerry May PHD | |||||||||
| Trustee, Vice-Chair | 4.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Joseph Mendez | |||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Mike Newell | |||||||||
| Trustee, Chair Finance & Plan. | 4.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Pat Pathipati | |||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Helen Thomson | |||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Robert Wolfe | |||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Jeffrey Sprague | |||||||||
| CFO, Sac Sierra Region | 40.0 | 0.0 | Yes (X) | $0 | $750,274 | $123,686 | |||
| Penny Westfall | |||||||||
| VP & Reg Counsel, SSR | 40.0 | 0.0 | Yes (X) | $0 | $444,941 | $66,325 | |||
| Pat Brady | |||||||||
| CEO, Sutter Roseville Med. Ctr | 40.0 | 0.0 | $0 | $868,373 | $144,198 | Yes (X) | |||
| Terry Glubka | |||||||||
| CEO, Sutter Solano Medical Ctr | 40.0 | 0.0 | $0 | $625,443 | $87,558 | Yes (X) | |||
| Mitch Hanna | |||||||||
| CAO, SAFH | 40.0 | 0.0 | $0 | $556,022 | $89,377 | Yes (X) | |||
| Carrie Owen-Plietz | |||||||||
| CEO, Sutter Med Ctr Sacramento | 40.0 | 0.0 | $0 | $766,323 | $125,298 | Yes (X) | |||
| Anne Platt | |||||||||
| CEO, SUTTER AMADOR HOSPITAL | 40.0 | 0.0 | $0 | $469,589 | $77,579 | Yes (X) | |||
| Thomas Ream II | |||||||||
| Reg CIO, Sac Sierra Region | 40.0 | 0.0 | $0 | $341,052 | $57,804 | Yes (X) | |||
| Randall Ross | |||||||||
| Admin. Ancillary Svcs. SHSSR | 40.0 | 0.0 | $0 | $397,817 | $44,667 | Yes (X) | |||
| Janet Wagner | |||||||||
| CAO, Sutter Davis Hospital | 40.0 | 0.0 | $0 | $555,334 | $80,027 | Yes (X) | |||
| Cecilia Hernandez | |||||||||
| Dir Med Affairs, Med Ctr Sac | 40.0 | 0.0 | $0 | $494,378 | $38,185 | Yes (X) | |||
| Daryn Kumar | |||||||||
| CEO, Memorial Med. Ctr. | 40.0 | 0.0 | $0 | $582,884 | $75,804 | Yes (X) | |||
| John Mesic MD | |||||||||
| CMO, Sac Sierra Region | 40.0 | 0.0 | $0 | $788,705 | $93,375 | Yes (X) | |||
| Jeffrey Szczesny | |||||||||
| Reg VP HR, Sac Sierra Region | 40.0 | 0.0 | $0 | $525,317 | $74,818 | Yes (X) | |||
| Paige Terra | |||||||||
| Controller, Sac Sierra Region | 40.0 | 0.0 | $0 | $491,737 | $62,519 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $167,981 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $16,034,644 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,844,323 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2590 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PULMONARY MEDICINE ASSOCIATES | |||||
| 3637 MISSION AVENUE SUITE 7 | CARMICHAEL | CA | 95816 | MEDICAL SERVICES | $9,494,299 |
| DIAGNOSTIC PATHOLOGY MEDICAL GROUP | |||||
| 3301 C ST STE 200E | SACRAMENTO | CA | 95816 | MEDICAL SERVICES | $7,702,136 |
| CENTRAL ANESTHESIA SERVICE | |||||
| PO BOX 660910 | SACRAMENTO | CA | 95866 | MEDICAL SERVICES | $4,106,079 |
| TOTAL RENAL CARE INC | |||||
| PO BOX 2076 | TACOMA | WA | 98401 | MEDICAL SERVICES | $3,378,183 |
| SODEXO LAUNDRY SERVICE | |||||
| DEPARMENT 880328 | LOS ANGELES | CA | 90088 | LAUNDRY SERVICES | $2,607,134 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 186 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $38,496 | FundraisingAmt |
| Related Organizations | $6,718,416 | RelatedOrganizationsAmt |
| Government Grants | $1,057,676 | GovernmentGrantsAmt |
| All Other Contributions | $386,442 | AllOtherContributionsAmt |
| Noncash Contributions | $8,627 | NoncashContributionsAmt |
| Total Contributions | $8,201,030 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $1,866,341,341 | $1,866,341,341 |
| RENTAL TO AFFILIATES | 622110 | $6,681,429 | $6,681,429 |
| ROSEVILLE ENDOSCOPY | 622110 | $480,180 | $480,180 |
| SUTTER AMADOR SURGERY | 622110 | -$5,156 | -$5,156 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,873,497,794 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $543,910 | TotalRevenueColumnAmt |
| Exclusion | $543,910 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,086,081 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,245,850 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $840,231 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $840,231 | TotalRevenueColumnAmt |
| Exclusion | $840,231 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $44,520 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $44,520 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,520 | TotalRevenueColumnAmt |
| Exclusion | $44,520 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $25,200 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $38,496 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $23,520 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,680 | TotalRevenueColumnAmt |
| Exclusion | $1,680 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $4,810 | GamingGrossIncomeAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,810 | TotalRevenueColumnAmt |
| Exclusion | $4,810 | ExclusionAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|
| UBI - LABORATORY | 621500 | $1,398,595 | $1,398,595 |
| UBI - PARKING | 812930 | $94,841 | $94,841 |
| UBI - PHARMACY | 446110 | $490 | $490 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,493,926 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,884,627,901 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,873,497,794 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,493,926 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,435,151 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,127,958 | TotalAmt |
| Program Services | $5,127,958 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,197,670 | TotalAmt |
| Management And General | $6,197,670 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,264 | TotalAmt |
| Program Services | $99,264 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $583,505,999 | TotalAmt |
| Program Services | $563,954,140 | ProgramServicesAmt |
| Management And General | $19,514,617 | ManagementAndGeneralAmt |
| Fundraising | $37,242 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,565,685 | TotalAmt |
| Program Services | $31,149,114 | ProgramServicesAmt |
| Management And General | $1,414,522 | ManagementAndGeneralAmt |
| Fundraising | $2,049 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,697,090 | TotalAmt |
| Program Services | $209,147,609 | ProgramServicesAmt |
| Management And General | $9,539,206 | ManagementAndGeneralAmt |
| Fundraising | $10,275 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,261,778 | TotalAmt |
| Program Services | $48,067,456 | ProgramServicesAmt |
| Management And General | $2,191,148 | ManagementAndGeneralAmt |
| Fundraising | $3,174 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,947,085 | TotalAmt |
| Management And General | $4,947,085 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,837,937 | TotalAmt |
| Management And General | $1,837,937 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,956 | TotalAmt |
| Management And General | $165,956 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,111 | TotalAmt |
| Management And General | $235,958 | ManagementAndGeneralAmt |
| Fundraising | $1,153 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,385,439 | TotalAmt |
| Program Services | $75,385,439 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,105,775 | TotalAmt |
| Program Services | $2,104,627 | ProgramServicesAmt |
| Fundraising | $1,148 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,807,814 | TotalAmt |
| Program Services | $9,325,454 | ProgramServicesAmt |
| Management And General | $10,479,360 | ManagementAndGeneralAmt |
| Fundraising | $3,000 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,492,982 | TotalAmt |
| Program Services | $32,290,145 | ProgramServicesAmt |
| Management And General | $3,202,837 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,977,396 | TotalAmt |
| Program Services | $24,977,396 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,347,714 | TotalAmt |
| Program Services | $1,128,892 | ProgramServicesAmt |
| Management And General | $218,531 | ManagementAndGeneralAmt |
| Fundraising | $291 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $920,185 | TotalAmt |
| Program Services | $823,912 | ProgramServicesAmt |
| Management And General | $93,807 | ManagementAndGeneralAmt |
| Fundraising | $2,466 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,344,580 | TotalAmt |
| Program Services | $13,343,316 | ProgramServicesAmt |
| Management And General | $1,264 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,748,134 | TotalAmt |
| Program Services | $74,248,198 | ProgramServicesAmt |
| Management And General | $499,936 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,843,622 | TotalAmt |
| Program Services | $13,732,611 | ProgramServicesAmt |
| Management And General | $111,011 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $252,183,872 | $252,183,872 | |
| PURCHASED SERVICES | $159,384,464 | $146,292,879 | $13,091,585 |
| HOSPITAL PROVIDER FEES | $84,001,298 | $84,001,298 | |
| REPAIRS & MAINTENANCE | $28,763,961 | $18,378,960 | $10,385,001 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,064,896 | TotalAmt |
| Program Services | $25,725,629 | ProgramServicesAmt |
| Management And General | $20,304,374 | ManagementAndGeneralAmt |
| Fundraising | $34,893 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,736,015,665 | TotalAmt |
| Program Services | $1,631,488,169 | ProgramServicesAmt |
| Management And General | $104,431,805 | ManagementAndGeneralAmt |
| Fundraising | $95,691 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,348,266 | BOYAmt |
| EOY | $69,889,638 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,343 | BOYAmt |
| EOY | $141,201 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,089,829 | BOYAmt |
| EOY | $277,199,156 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,540,792 | BOYAmt |
| EOY | $25,513,499 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,966,081 | BOYAmt |
| EOY | $4,388,831 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,082,768,266 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $835,467,326 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,148,481,829 | BOYAmt |
| EOY | $1,247,300,940 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,023,799 | BOYAmt |
| EOY | $62,341,837 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,068,446 | BOYAmt |
| EOY | $1,057,297 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,298,006 | BOYAmt |
| EOY | $50,247,431 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,653,906,391 | BOYAmt |
| EOY | $1,738,079,830 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $241,529,253 | BOYAmt |
| EOY | $291,568,856 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $909,439,517 | BOYAmt |
| EOY | $939,590,161 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,627,048 | BOYAmt |
| EOY | $4,660,681 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,137,709 | BOYAmt |
| EOY | $19,657,223 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,171,733,527 | BOYAmt |
| EOY | $1,255,476,921 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $480,907,888 | BOYAmt |
| EOY | $480,508,141 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,264,976 | BOYAmt |
| EOY | $2,094,768 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $482,172,864 | BOYAmt |
| EOY | $482,602,909 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,653,906,391 | BOYAmt |
| EOY | $1,738,079,830 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $148,612,236 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,826,430 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$1,745,248 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$144,610,513 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,651,842 | BeginningYearBalanceAmt |
| Contributions | $151,996 | ContributionsAmt |
| Investment Earnings Or Losses | $1,678,960 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $335,757 | OtherExpendituresAmt |
| End Year Balance | $19,147,041 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,233,588 | BeginningYearBalanceAmt |
| Contributions | $1,009 | ContributionsAmt |
| Investment Earnings Or Losses | $1,935,574 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $518,329 | OtherExpendituresAmt |
| End Year Balance | $17,651,842 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,264,360 | BeginningYearBalanceAmt |
| Contributions | $1,279 | ContributionsAmt |
| Investment Earnings Or Losses | -$456,995 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $575,056 | OtherExpendituresAmt |
| End Year Balance | $16,233,588 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,654,225 | BeginningYearBalanceAmt |
| Contributions | $1,668 | ContributionsAmt |
| Investment Earnings Or Losses | $2,004,352 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $395,885 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $17,264,360 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,421,867 | BeginningYearBalanceAmt |
| Contributions | $17,176 | ContributionsAmt |
| Investment Earnings Or Losses | $3,223,622 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $8,350 | OtherExpendituresAmt |
| Administrative Expenses | $90 | AdministrativeExpensesAmt |
| End Year Balance | $15,654,225 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.66000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.13000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.21000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $45,638,905 | OtherCostOrOtherBasisAmt |
| Book Value | $45,638,905 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,018,145,435 | OtherCostOrOtherBasisAmt |
| Depreciation | $463,114,084 | DepreciationAmt |
| Book Value | $555,031,351 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $13,823,154 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,934,709 | DepreciationAmt |
| Book Value | $5,888,445 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $428,833,172 | OtherCostOrOtherBasisAmt |
| Depreciation | $338,127,500 | DepreciationAmt |
| Book Value | $90,705,672 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $576,327,600 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,291,033 | DepreciationAmt |
| Book Value | $550,036,567 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,247,300,940 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| INSURANCE LIABILITIES | $5,075,923 |
| THIRD PARTY SETTLEMENTS | $5,736,319 |
| OTHER LIABILITIES | $8,844,981 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,657,223 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4 | ENDOWMENTS HELD BY RELATED FUNDRAISING ORGANIZATIONS FOR THE EXCLUSIVE PURPOSE OF VARIOUS PROGRAMS OF SUTTER HEALTH SACRAMENTO SIERRA REGION. |
| PART X, LINE 2 | THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE 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. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Theme Ball | NameOfEvent1Amt |
| Gross Receipts Event1 | $63,696 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $38,496 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $25,200 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $36 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $775 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $11,085 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $11,124 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $63,696 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $38,496 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $25,200 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $36 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $775 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $11,085 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $11,124 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $23,520 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $1,680 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,275,609 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $50,275,609 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02900 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $402,245,908 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $330,983,342 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $71,262,566 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04100 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $76,373,471 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,065,547 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,307,924 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02670 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $528,894,988 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $361,048,889 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $167,846,099 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09670 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,568,969 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,568,969 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,955,054 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,415,082 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,539,972 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $361,808 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $361,808 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $8,312,789 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,312,789 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 51 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $15,198,620 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,415,082 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,783,538 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 51 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $544,093,608 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $363,463,971 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $180,629,637 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10410 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,440 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,440 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,440 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,440 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,153,627 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $398,677,093 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $427,835,032 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$29,157,939 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUTTER AMADOR SURG C | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.73000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.27000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 8 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (8 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|
| SUTTER GENERAL HOSPITAL | ||||||||||
| 1 | 2801 L STREET | SACRAMENTO | CA | 95816 | WWW.SUTTERHEALTH.ORG | 030000102 | Yes (X) | Yes (X) | Yes (X) | A |
| SUTTER ROSEVILLE MEDICAL CENTER | ||||||||||
| 2 | ONE MEDICAL PLAZA | ROSEVILLE | CA | 95661 | WWW.SUTTERHEALTH.ORG | 030000083 | Yes (X) | Yes (X) | Yes (X) | A |
| SUTTER MEMORIAL HOSPITAL | ||||||||||
| 3 | 5151 F STREET | SACRAMENTO | CA | 95819 | WWW.SUTTERHEALTH.ORG | 030000102 | Yes (X) | Yes (X) | Yes (X) | A |
| SUTTER SOLANO MEDICAL CENTER | ||||||||||
| 4 | 300 HOSPITAL DRIVE | VALLEJO | CA | 94589 | WWW.SUTTERHEALTH.ORG | 110000082 | Yes (X) | Yes (X) | Yes (X) | A |
| SUTTER AUBURN FAITH HOSPITAL | ||||||||||
| 5 | 11815 EDUCATION STREET | AUBURN | CA | 95602 | WWW.SUTTERHEALTH.ORG | 030000012 | Yes (X) | Yes (X) | Yes (X) | A |
| SUTTER CENTER FOR PSYCHIATRY | ||||||||||
| 6 | 7700 FOLSOM STREET | SACRAMENTO | CA | 95826 | WWW.SUTTERHEALTH.ORG | 030000347 | Yes (X) | A | ||
| SUTTER AMADOR HOSPITAL | ||||||||||
| 7 | 200 MISSION BLVD | JACKSON | CA | 95642 | WWW.SUTTERHEALTH.ORG | 030000008 | Yes (X) | Yes (X) | Yes (X) | A |
| SUTTER DAVIS HOSPITAL | ||||||||||
| 8 | 2000 SUTTER PLACE | DAVIS | CA | 95616 | WWW.SUTTERHEALTH.ORG | 030000124 | Yes (X) | Yes (X) | Yes (X) | A |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SECTION C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE SECTION C | OtherWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Residency | Yes (X) | ResidencyInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 27 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| INFUSION THERAPY CENTER | ||||
| 11710 EDUCATION STREET | AUBURN | CA | 95602 | OUTPATIENT SERVICES |
| INFUSIONOSTOMY DEPARTMENT | ||||
| 11710 EDUCATION STREET | AUUBURN | CA | 95602 | OUTPATIENT SERVICES |
| WOUND CAREOSTOMY DEPARTMENT | ||||
| 11710 EDUCATION STREET | AUBURN | CA | 95602 | OUTPATIENT SERVICES |
| CARDIOPULMONARY REHAB SERVICES | ||||
| 11795 EDUCATION STREET 205 | AUBURN | CA | 95603 | OUTPATIENT SERVICES |
| INFUSION SERVICES | ||||
| 2020 SUTTER PLACE | DAVIS | CA | 95616 | OUTPATIENT SERVICES |
| CARDIAC REHABILITATION | ||||
| 2030 SUTTER PLACE | DAVIS | CA | 95616 | OUTPATIENT SERVICES |
| NUCLEAR MEDICINE | ||||
| 100 MISSION BLVD | JACKSON | CA | 95642 | OUTPATIENT SERVICES |
| PEDIATRIC AND CARDIAC CENTER | ||||
| 100 MISSION BLVD | JACKSON | CA | 95642 | OUTPATIENT SERVICES |
| DIABETES EDUCATION CLINIC | ||||
| 200 MISSION BLVD | JACKSON | CA | 95642 | OUTPATIENT SERVICES |
| JACKSON FAMILY PRACTICE | ||||
| 255 NEW YORK RANCH ROAD STE C | JACKSON | CA | 95642 | OUTPATIENT SERVICES |
| SUTTER SLEEP DISORDERS CENTER | ||||
| 1411 SECRET RAVINE PARKWAY STE 150 | ROSEVILLE | CA | 95661 | OUTPATIENT SERVICES |
| OUTPATIENT SURGERY DEPARTMENT | ||||
| FOUR MEDICAL PLAZA | ROSEVILLE | CA | 95661 | OUTPATIENT SERVICES |
| ANTEPARTUM TESTING UNIT | ||||
| ONE MEDICAL PLAZA | ROSEVILLE | CA | 95661 | OUTPATIENT SERVICES |
| WOUND CARE CENTER | ||||
| ONE MEDICAL PLAZA | ROSEVILLE | CA | 95661 | OUTPATIENT SERVICES |
| RADIOLOGY SERVICE | ||||
| THREE MEDICAL PLAZA | ROSEVILLE | CA | 95661 | OUTPATIENT SERVICES |
| CHILDREN'S OUTPATIENT SERVICE CENTER | ||||
| 1625 STOCKTON BLVD | SACRAMENTO | CA | 95819 | OUTPATIENT SERVICES |
| AMBULATORY SURGERY CENTER | ||||
| 2725 CAPITOL AVENUE | SACRAMENTO | CA | 95816 | OUTPATIENT SERVICES |
| INFUSION CENTER | ||||
| 1020 29TH STREET STE 690 | SACRAMENTO | CA | 95816 | OUTPATIENT SERVICES |
| SUTTER OAKS NURSING CENTER-MIDTOWN | ||||
| 2600 L STREET | SACRAMENTO | CA | 95816 | OUTPATIENT SERVICES |
| OUTPATIENT SERVICE CENTER | ||||
| 2800 L STREET | SACRAMENTO | CA | 95816 | OUTPATIENT SERVICES |
| NEURO SCIENCE CLINIC | ||||
| 2801 K STREET | SACRAMENTO | CA | 95816 | OUTPATIENT SERVICES |
| AUDIOLOGY AND ADULT DIABETES CLINICS | ||||
| 5151 F STREET BUILDING E | SACRAMENTO | CA | 95819 | OUTPATIENT SERVICES |
| SUTTER SLEEP DISORDERS CENTER | ||||
| 650 HOWE AVENUE | SACRAMENTO | CA | 95825 | OUTPATIENT SERVICES |
| SUTTER CENTER FOR PSYCHIATRY | ||||
| 855 HOWE AVENUE | SACRAMENTO | CA | 95826 | OUTPATIENT SERVICES |
| SUTTER SOLANO CANCER CENTER | ||||
| 100 HOSPITAL DRIVE | VALLEJO | CA | 94589 | OUTPATIENT SERVICES |
| AMADOR SURGERY CENTER | ||||
| 223 CLINTON RD | JACKSON | CA | 95642 | OUTPATIENT SERVICES |
| ROSEVILLE ENDOSCOPY CENTER | ||||
| 4 MEDICAL PLAZA | ROSEVILLE | CA | 95661 | ENDOSCOPY |
Supplemental Information Detail SupplementalInformationDetail (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C | TO BE ELIGIBLE FOR FREE CARE THE FILING ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 200% OF FPG. PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES APPLIES TO UNINSURED PATIENTS THAT WHOSE FAMILY INCOMES ARE BETWEEN 201% AND 400%. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: * SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. * CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 30% OF THEIR FAMILY INCOME. * HIGH MEDICAL COST CHARITY CARE (FOR INSURED PATIENTS): PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 400% OF FPG, MEDICAL EXPENSES EXCEED 10% OF THE PATIENT'S FAMILY INCOME, AND THE PATIENT'S INSURE HAS NOT PROVIDED A DISCOUNT. * UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAT THE CURRENT AVERAGE COMMERCIAL FEE-FOR-SERVICE DISCOUNT WITH MANAGED CARE PAYERS FOR PATIENTS WHOSE BENEFITS UNDER INSURANCE OR A GOVERNMENT PROGRAM HAVE BEEN EXHAUSTED PRIOR TO ADMISSION. * PROMPT PAYMENT DISCOUNT: PARTIAL WRITE-OFF AVAILABLE TO UNINSURED PATIENTS WHO PAY PROMPTLY, CONSISTING OF AT LEAST A 20% DISCOUNT FOR THOSE WHO PAY WITHIN 30 DAYS OF FINAL BILLING, OR A 20% DISCOUNT IF 50% OF THE ESTIMATED BILL IS PAID PRIOR TO DISCHARGE. |
| PART I, LINE 7 | COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. PART II COMMUNITY BUILDING ACTIVITIES: SUTTER HEALTH DAVIS DONATED STAFF TIME TO YOLO COUNTY FOSTER CARE, COORDINATING AND TEACHING A FOSTER CARE EDUCATION PROGRAM. |
| PART III, LINE 2 | METHODOLOGY FOR CALCULATING BAD DEBT (AT COST): THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. |
| PART III, LINE 3 | METHODOLOGY FOR DETERMINING THE AMOUNT OF BAD DEBT LIKELY ATTRIBUTABLE TO CHARITY CARE: AMOUNTS MAY BE INCLUDED IN BAD DEBT PENDING A CHARITY CARE DETERMINATION. UPON ELIGIBILITY THESE AMOUNTS WOULD BE RECLASSIFIED AS CHARITY CARE. |
| PART III, LINE 4 | 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 CHANGE IN NET ASSETS. SUTTER'S SELF-PAY WRITE-OFFS WERE $375 MILLION AND $370 MILLION FOR 2013 AND 2012, RESPECTIVELY. |
| PART III, LINE 7 | MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. |
| PART III, LINE 8 | COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT. |
| PART III, LINE 9B | 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 2 | SUTTER MEDICAL CENTER SACRAMENTO BEGINNING IN EARLY 2012 THROUGH FEBRUARY 2013, VALLEY VISION, INC. CONDUCTED AN ASSESSMENT OF THE HEALTH NEEDS OF RESIDENTS LIVING IN THE SERVICE AREA OF SUTTER MEDICAL CENTER, SACRAMENTO (SMCS). FOR THE PURPOSES OF THE ASSESSMENT, A HEALTH NEED WAS DEFINED AS: "A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER." A HEALTH DRIVER WAS DEFINED AS: "A BEHAVIORAL, ENVIRONMENTAL, AND/OR CLINICAL FACTOR, AS WELL AS MORE UPSTREAM SOCIAL ECONOMIC FACTORS, THAT IMPACT HEALTH." A COMMUNITY-BASED PARTICIPATORY RESEARCH ORIENTATION WAS USED TO CONDUCT THE ASSESSMENT THAT INCLUDED BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA COLLECTION INCLUDED INPUT FROM THE HEALTHY SACRAMENTO COALITION (FOCUSED ON SACRAMENTO COUNTY ONLY), EXPERT INTERVIEWS WITH 41 KEY INFORMANTS AND 10 FOCUS GROUP INTERVIEWS COMPRISED OF 129 COMMUNITY MEMBERS. IN ADDITION, A COMMUNITY HEALTH ASSETS ASSESSMENT COLLECTED DATA ON MORE THAN 200 HEALTH RELATED ASSETS IN ALL OF THE COUNTIES IN WHICH THE SMCS HOSPITAL SERVICE AREA (HSA) EXTENDED. SECONDARY DATA USED INCLUDED HEALTH OUTCOME DATA, SOCIO-DEMOGRAPHIC DATA, AND BEHAVIORAL AND ENVIRONMENTAL DATA AT THE ZIP CODE OR CENSUS TRACT LEVEL. HEALTH OUTCOME DATA INCLUDED EMERGENCY DEPARTMENT (ED) VISITS, HOSPITALIZATION, AND MORTALITY RATES RELATED TO HEART DISEASE, DIABETES, STROKE, HYPERTENSION, COPD, ASTHMA, AND SAFETY AND MENTAL HEALTH CONDITIONS. SOCIO-DEMOGRAPHIC DATA INCLUDED DATA ON RACE AND ETHNICITY, POVERTY (FEMALE-HEADED HOUSEHOLDS, FAMILIES WITH CHILDREN, PEOPLE OVER 65 YEARS OF AGE), EDUCATIONAL ATTAINMENT, INSURANCE STATUS, AND HOUSING ARRANGEMENT (RENT OR OWN). BEHAVIORAL AND ENVIRONMENTAL DATA HELPED DESCRIBE GENERAL LIVING CONDITIONS OF THE HOSPITAL SERVICE AREA (HSA) SUCH AS CRIME RATES, ACCESS TO PARKS, AVAILABILITY OF HEALTHY FOOD, AND LEADING CAUSES OF DEATH. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED SIX SPECIFIC ZIP CODE COMMUNITIES OF CONCERN WITHIN THE HSA THAT WERE LIVING WITH A HIGH BURDEN OF DISEASE. THESE SIX COMMUNITIES HAD CONSISTENTLY HIGH RATES OF NEGATIVE HEALTH OUTCOMES THAT FREQUENTLY EXCEEDED COUNTY, STATE, AND HEALTHY PEOPLE 2020 BENCHMARKS. THEY WERE CONFIRMED BY EXPERTS AS AREAS PRONE TO EXPERIENCE POORER HEALTH OUTCOMES RELATIVE TO OTHER COMMUNITIES IN THE HSA. AGE-ADJUSTED RATES OF ED VISITS AND HOSPITALIZATION DUE TO HEART DISEASE, DIABETES, STROKE, AND HYPERTENSION WERE NOTABLY HIGHER IN THESE ZIP CODES COMPARED TO OTHERS WITHIN THE HSA. WITH A FEW EXCEPTIONS, BLACKS AND WHITES HAD THE HIGHEST RATES FOR THESE CONDITIONS COMPARED TO OTHER RACIAL AND ETHNIC GROUPS. MORTALITY DATA FOR THESE CONDITIONS SHOWED HIGH RATES AS WELL. ANALYSIS OF ENVIRONMENTAL INDICATORS SHOWED THAT MANY OF THESE COMMUNITIES HAD CONDITIONS THAT WERE BARRIERS TO ACTIVE LIFESTYLES, SUCH AS ELEVATED CRIME RATES AND A TRAFFIC CLIMATE THAT IS UNFRIENDLY TO BICYCLISTS AND PEDESTRIANS. FURTHERMORE, THESE COMMUNITIES FREQUENTLY HAD HIGHER PERCENTAGES OF RESIDENTS THAT WERE OBESE OR OVERWEIGHT. ACCESS TO HEALTHY FOOD OUTLETS WAS LIMITED, WHILE THE CONCENTRATION OF FAST FOOD OUTLETS AND CONVENIENCE STORES WERE HIGH. ANALYSIS OF THE HEALTH BEHAVIORS OF THESE RESIDENTS ALSO SHOWED MANY BEHAVIORS THAT CORRELATE TO POOR HEALTH, SUCH AS HAVING A DIET THAT IS LIMITED IN FRUIT AND VEGETABLE CONSUMPTION. WHEN EXAMINING THESE FINDINGS WITH THOSE OF THE QUALITATIVE DATA (KEY INFORMANT INTERVIEW AND FOCUS GROUPS), A CONSOLIDATED LIST OF PRIORITY HEALTH NEEDS OF THESE COMMUNITIES WAS COMPILED. THESE PRIORITIZED HEALTH NEEDS ARE: 1. LACK OF ACCESS TO PRIMARY AND PREVENTATIVE SERVICES 2. LACK OF ACCESS TO MENTAL HEALTH SERVICES 3. LIVING IN AN UNHEALTHY FOOD ENVIRONMENT 4. PERCEIVED OR REAL FEAR FOR PERSONAL SAFETY 5. INABILITY TO EXERCISE AND BE ACTIVE 6. LACK OF ACCESS TO DENTAL CARE 7. LACK OF ACCESS TO SPECIALTY CARE 8. LACK OF COORDINATION OF CARE AMONG PROVIDERS 9. ACCULTURATION/LIMITED CULTURAL COMPETENCE IN HEALTH AND RELATED SYSTEMS 10. LACK OF HEALTH LITERACY 11. LACK OF HOUSING, BASIC SHELTER THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER MEDICAL CENTER, SACRAMENTO IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. SUTTER ROSEVILLE MEDICAL CENTER BEGINNING IN EARLY 2012 THROUGH FEBRUARY 2013, VALLEY VISION, INC. CONDUCTED AN ASSESSMENT OF THE HEALTH NEEDS OF RESIDENTS LIVING IN THE SUTTER ROSEVILLE MEDICAL CENTER (SRMC) SERVICE AREA. FOR THE PURPOSES OF THE ASSESSMENT, A HEALTH NEED WAS DEFINED AS, "A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER." A HEALTH DRIVER WAS DEFINED AS, "A BEHAVIORAL, ENVIRONMENTAL, AND/OR CLINIC FACTOR, AS WELL AS MORE UPSTREAM SOCIAL ECONOMIC FACTORS, THAT IMPACT HEALTH." A COMMUNITY-BASED PARTICIPATORY RESEARCH ORIENTATION WAS USED TO CONDUCT THE ASSESSMENT THAT INCLUDED BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA COLLECTION INCLUDED INPUT FROM THE HEALTHY SACRAMENTO COALITION (FOCUSED ON SACRAMENTO COUNTY ONLY), EXPERT INTERVIEWS WITH 22 KEY INFORMANTS, AND 12 FOCUS GROUP INTERVIEWS COMPRISED OF 148 COMMUNITY MEMBERS. IN ADDITION, A COMMUNITY HEALTH ASSETS ASSESSMENT COLLECTED DATA ON MORE THAN 260 HEALTH-RELATED ASSETS THROUGHOUT THE SRMC HOSPITAL SERVICE AREA (HSA) IN SACRAMENTO COUNTY AND PLACER COUNTY. SECONDARY DATA USED INCLUDED HEALTH OUTCOME DATA, SOCIO-DEMOGRAPHIC DATA, AND BEHAVIORAL AND ENVIRONMENTAL DATA AT THE ZIP CODE OR CENSUS TRACT LEVEL. HEALTH OUTCOME DATA INCLUDED EMERGENCY DEPARTMENT (ED) VISITS, HOSPITALIZATION, AND MORTALITY RATES RELATED TO HEART DISEASE, DIABETES, STROKE, HYPERTENSION, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, AND SAFETY AND MENTAL HEALTH CONDITIONS. SOCIO-DEMOGRAPHIC DATA INCLUDED DATA ON RACE AND ETHNICITY, POVERTY (FEMALE-HEADED HOUSEHOLDS, FAMILIES WITH CHILDREN, PEOPLE OVER 65 YEARS OF AGE), EDUCATIONAL ATTAINMENT, INSURANCE STATUS, AND HOUSING ARRANGEMENT (OWN OR RENT). FURTHER, HEALTH BEHAVIORAL AND ENVIRONMENTAL DATA HELPED DESCRIBE GENERAL LIVING CONDITIONS OF THE HSA, SUCH AS CRIME RATES, ACCESS TO PARKS, HEALTHY FOOD AVAILABILITY, AND LEADING CAUSES OF DEATH. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED SEVEN SPECIFIC ZIP CODE COMMUNITIES OF CONCERN THAT WERE LIVING WITH A HIGH BURDEN OF DISEASE. THESE SEVEN COMMUNITIES HAD CONSISTENTLY HIGH RATES OF NEGATIVE HEALTH OUTCOMES THAT FREQUENTLY EXCEEDED COUNTY, STATE, AND HEALTHY PEOPLE 2020 BENCHMARKS. THEY WERE CONFIRMED BY EXPERTS AS AREAS PRONE TO EXPERIENCE POORER HEALTH OUTCOMES RELATIVE TO OTHER COMMUNITIES IN THE HSA. AGE-ADJUSTED RATES OF ED VISITS AND HOSPITALIZATION DUE TO HEART DISEASE, DIABETES, STROKE, AND HYPERTENSION WERE NOTABLY HIGHER IN THESE ZIP CODES COMPARED TO OTHER ZIP CODES IN THE HSA. IN GENERAL, BLACKS AND WHITES HAD THE HIGHEST RATES FOR THESE CONDITIONS COMPARED TO OTHER RACIAL AND ETHNIC GROUPS WITH A FEW EXCEPTIONS. MORTALITY DATA FOR THESE CONDITIONS SHOWED HIGH RATES AS WELL. ANALYSIS OF ENVIRONMENTAL INDICATORS SHOWED THAT MANY OF THESE COMMUNITIES HAD CONDITIONS THAT WERE BARRIERS TO ACTIVE LIFESTYLES, SUCH AS ELEVATED RATES OF CRIME AND A TRAFFIC CLIMATE THAT WAS UNFRIENDLY TO BICYCLISTS AND PEDESTRIANS. FURTHERMORE, THESE COMMUNITIES FREQUENTLY HAD HIGHER PERCENTAGES OF RESIDENTS THAT WERE OBESE OR OVERWEIGHT. ACCESS TO HEALTHY FOOD OUTLETS WAS LIMITED, WHILE THE CONCENTRATION OF FAST FOOD AND CONVENIENCE STORES WAS HIGH. ANALYSIS OF THE HEALTH BEHAVIORS OF THESE RESIDENTS SHOWED MANY BEHAVIORS THAT CORRELATE TO POOR HEALTH, SUCH AS HAVING A DIET THAT IS LIMITED IN FRUIT AND VEGETABLE CONSUMPTION. WHEN EXAMINING THESE FINDINGS WITH THOSE OF THE QUALITATIVE DATA (KEY INFORMANT INTERVIEW AND FOCUS GROUPS), A CONSOLIDATED LIST OF PRIORITY HEALTH NEEDS OF THESE COMMUNITIES WAS COMPILED. THESE PRIORITIZED HEALTH NEEDS ARE: 1. LACK OF ACCESS TO PRIMARY AND PREVENTATIVE SERVICES 2. LACK OF ACCESS TO MENTAL HEALTH SERVICES 3. LIVING IN AN UNHEALTHY FOOD ENVIRONMENT 4. PERCEIVED OR REAL FEAR FOR PERSONAL SAFETY 5. INABILITY TO EXERCISE AND BE ACTIVE 6. LACK OF ACCESS TO DENTAL CARE 7. LACK OF ACCESS TO SPECIALTY CARE 8. LACK OF COORDINATION OF CARE AMONG PROVIDERS 9. ACCULTURATION/LIMITED CULTURAL COMPETENCE IN HEALTH AND RELATED SYSTEMS 10. LACK OF HEALTH LITERACY THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER ROSEVILLE MEDICAL CENTER IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. |
| PART VI, LINE 2 (CONTINUED) | SUTTER SOLANO MEDICAL CENTER BEGINNING IN EARLY 2012 THROUGH FEBRUARY 2013, VALLEY VISION, INC. COMPLETED AN ASSESSMENT OF THE HEALTH NEEDS OF RESIDENTS LIVING IN THE SOLANO COUNTY HEALTH SERVICE AREA (HSA). FOR THE PURPOSES OF THE ASSESSMENT, A HEALTH NEED WAS DEFINED AS: "A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER." A HEALTH DRIVER WAS DEFINED AS: "A BEHAVIORAL, ENVIRONMENTAL, AND/OR CLINICAL FACTOR, AS WELL AS MORE UPSTREAM SOCIAL ECONOMIC FACTORS, THAT IMPACT HEALTH." A COMMUNITY-BASED PARTICIPATORY RESEARCH ORIENTATION WAS USED TO CONDUCT THE ASSESSMENT, WHICH INCLUDED BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA COLLECTION INCLUDED INPUT FROM MEMBERS OF THE HOSPITALS, SOLANO COUNTY, THE SOLANO COALITION FOR BETTER HEALTH, AND OTHER COMMUNITY-BASED ORGANIZATIONS WITHIN THE HSA, EXPERT INTERVIEWS WITH 17 KEY INFORMANTS AND FIVE FOCUS GROUP INTERVIEWS WITH 89 COMMUNITY MEMBERS. IN ADDITION, A COMMUNITY HEALTH ASSETS ASSESSMENT COLLECTED DATA ON NEARLY 60 ASSETS IN SOLANO COUNTY. SECONDARY DATA USED INCLUDED HEALTH OUTCOME DATA, SOCIO-DEMOGRAPHIC DATA, AND BEHAVIORAL AND ENVIRONMENTAL DATA AT THE ZIP CODE OR CENSUS TRACT LEVEL. HEALTH OUTCOME DATA INCLUDED EMERGENCY DEPARTMENT (ED) VISITS, HOSPITALIZATION, AND MORTALITY RATES RELATED TO HEART DISEASE, DIABETES, STROKE, HYPERTENSION, COPD, ASTHMA, AND SAFETY AND MENTAL HEALTH CONDITIONS. SOCIO-DEMOGRAPHIC DATA INCLUDED DATA ON RACE AND ETHNICITY, POVERTY (FEMALE-HEADED HOUSEHOLDS, FAMILIES WITH CHILDREN, PEOPLE OVER 65 YEARS OF AGE), EDUCATIONAL ATTAINMENT, HEALTH INSURANCE STATUS, AND HOUSING ARRANGEMENT (OWN OR RENT). FURTHER, BEHAVIORAL AND ENVIRONMENTAL DATA HELPED DESCRIBE GENERAL LIVING CONDITIONS OF THE HSA SUCH AS CRIME RATES, ACCESS TO PARKS, AVAILABILITY OF HEALTHY FOOD, AND LEADING CAUSES OF DEATH. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED SIX SPECIFIC COMMUNITIES OF CONCERN LIVING WITH A HIGH BURDEN OF DISEASE IN SOLANO COUNTY. THESE SIX COMMUNITIES HAD CONSISTENTLY HIGH RATES OF NEGATIVE HEALTH OUTCOMES THAT FREQUENTLY EXCEEDED COUNTY, STATE, AND HEALTHY PEOPLE 2020 BENCHMARKS. THEY WERE CONFIRMED BY EXPERTS AS AREAS PRONE TO EXPERIENCING POORER HEALTH OUTCOMES RELATIVE TO OTHER COMMUNITIES IN THE HSA. AGE-ADJUSTED RATES OF ED VISITS AND HOSPITALIZATION DUE TO HEART DISEASE, DIABETES, STROKE AND HYPERTENSION WERE DRASTICALLY HIGHER IN THESE ZIP CODES COMPARED TO OTHER ZIP CODES IN THE HSA. IN GENERAL, BLACKS AND WHITES HAD THE HIGHEST RATES FOR THESE CONDITIONS COMPARED TO OTHER RACIAL AND ETHNIC GROUPS. ANALYSIS OF ENVIRONMENTAL INDICATORS SHOWED THAT MANY OF THESE COMMUNITIES HAD CONDITIONS THAT ACT AS BARRIERS TO ACTIVE LIFESTYLES, SUCH AS ELEVATED CRIME RATES AND A TRAFFIC CLIMATE THAT IS UNFRIENDLY TO BICYCLISTS AND PEDESTRIANS. FURTHERMORE, THESE COMMUNITIES FREQUENTLY HAD HIGHER PERCENTAGES OF RESIDENTS THAT WERE OBESE OR OVERWEIGHT. ACCESS TO HEALTHY FOOD OUTLETS WAS LIMITED, WHILE THE CONCENTRATION OF FAST FOOD AND CONVENIENCE STORES WERE HIGH. ANALYSIS OF THE HEALTH BEHAVIORS OF THESE RESIDENTS ALSO SHOW MANY BEHAVIORS THAT CORRELATE TO POOR HEALTH, SUCH AS HAVING A DIET THAT IS LIMITED IN FRUIT AND VEGETABLE CONSUMPTION. AFTER EXAMINING THESE FINDINGS WITH THOSE OF THE QUALITATIVE DATA (KEY INFORMANT INTERVIEWS AND FOCUS GROUPS), A CONSOLIDATED LIST OF HEALTH NEEDS OF THESE COMMUNITIES WAS COMPILED. THE PRIORITY HEALTH NEEDS ARE: 1. LIMITED ACCESS TO HEALTHY FOODS 2. PERSONAL SAFETY 3. LACK OF OR LIMITED ACCESS TO HEALTH EDUCATION 4. LIMITED ACCESS TO FOLLOW-UP TREATMENT AND SPECIALTY CARE 5. TRANSPORTATION 6. LACK OF OR LIMITED ACCESS TO DENTAL CARE 7. LIMITED ACCESS TO MEDICATIONS AND PRESCRIPTION DRUGS 8. LIMITED PLACES TO WALK, BIKE, EXERCISE, OR PLAY 9. LIMITED PLACES AND SOCIAL SPACE FOR CIVIC ENGAGEMENT 10. LACK OF PREVENTIVE SERVICES AND COMMUNITY PROGRAMS THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER SOLANO MEDICAL CENTER IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. SUTTER AUBURN FAITH HOSPITAL BEGINNING IN EARLY 2012 THROUGH FEBRUARY 2013, AN ASSESSMENT OF THE HEALTH NEEDS OF RESIDENTS LIVING IN THE SUTTER AUBURN FAITH HOSPITAL (SAFH) SERVICE AREA WAS COMPLETED BY VALLEY VISION, INC. FOR THE PURPOSES OF THE ASSESSMENT, A HEALTH NEED WAS DEFINED AS, "A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER." A HEALTH DRIVER WAS DEFINED AS, "A BEHAVIORAL, ENVIRONMENTAL, AND/OR CLINIC FACTOR, AS WELL AS MORE UPSTREAM SOCIAL ECONOMIC FACTORS, THAT IMPACT HEALTH." A COMMUNITY-BASED PARTICIPATORY RESEARCH ORIENTATION WAS USED TO CONDUCT THE ASSESSMENT THAT INCLUDED BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA COLLECTION INCLUDED EXPERT INTERVIEWS WITH SIX KEY INFORMANTS AND THREE FOCUS GROUP INTERVIEWS WITH COMMUNITY MEMBERS. IN ADDITION, A COMMUNITY HEALTH ASSETS ASSESSMENT COLLECTED DATA ON NEARLY 40 ASSETS IN THE SUTTER AUBURN FAITH HOSPITAL (SAFH) SERVICE AREA. SECONDARY DATA USED INCLUDED HEALTH OUTCOME DATA, SOCIO-DEMOGRAPHIC DATA, AND BEHAVIORAL AND ENVIRONMENTAL DATA AT THE ZIP CODE OR CENSUS TRACT LEVEL. HEALTH OUTCOME DATA INCLUDED EMERGENCY DEPARTMENT (ED) VISITS, HOSPITALIZATION, AND MORTALITY RATES RELATED TO HEART DISEASE, DIABETES, STROKE, HYPERTENSION, COPD, ASTHMA, AND SAFETY AND MENTAL HEALTH CONDITIONS. SOCIO-DEMOGRAPHIC DATA INCLUDED DATA ON RACE AND ETHNICITY, POVERTY (FEMALE-HEADED HOUSEHOLDS, FAMILIES WITH CHILDREN, PEOPLE OVER 65 YEARS OF AGE), EDUCATIONAL ATTAINMENT, INSURANCE STATUS, AND HOUSING ARRANGEMENT (OWN OR RENT). FURTHER, BEHAVIORAL AND ENVIRONMENTAL DATA HELPED DESCRIBE GENERAL LIVING CONDITIONS OF THE HOSPITAL SERVICE AREA (HSA), SUCH AS CRIME RATES, ACCESS TO PARKS, AVAILABILITY OF HEALTHY FOOD, AND LEADING CAUSES OF DEATH. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED FOUR SPECIFIC COMMUNITIES OF CONCERN WITHIN THE HSA. THESE FOUR COMMUNITIES OFTEN HAD HIGH RATES OF NEGATIVE HEALTH OUTCOMES THAT FREQUENTLY EXCEEDED COUNTY, STATE, AND HEALTHY PEOPLE 2020 BENCHMARKS AND WERE CONFIRMED BY AREA EXPERTS AS AREAS PRONE TO EXPERIENCE POORER HEALTH OUTCOMES RELATIVE TO OTHER COMMUNITIES IN THE HSA. AGE-ADJUSTED RATES OF ED VISITS AND HOSPITALIZATION DUE TO HEART DISEASE AND DIABETES WERE OFTEN HIGHER IN THESE ZIP CODES COMPARED TO OTHERS IN THE HSA. MORTALITY DATA FOR DIABETES, HEART DISEASE, AND STROKE SHOWED HIGH RATES AS WELL. RATES OF ED VISITS AND HOSPITALIZATION FOR MENTAL HEALTH AND SUBSTANCE ABUSE WERE HIGH AND THESE ISSUES WERE FREQUENTLY MENTIONED DURING KEY INFORMANT AND FOCUS GROUP INTERVIEWS. THESE AREAS HAD CONSISTENTLY HIGH RATES OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND ASTHMA COMPARED TO COUNTY AND STATE BENCHMARKS. ANALYSIS OF ENVIRONMENTAL INDICATORS SHOWED THAT MANY OF THESE COMMUNITIES HAD CONDITIONS THAT WERE BARRIERS TO ACTIVE LIFESTYLES, SUCH AS ELEVATED CRIME RATES AND A TRAFFIC CLIMATE THAT IS UNFRIENDLY TO BICYCLISTS AND PEDESTRIANS. FURTHERMORE, THESE COMMUNITIES FREQUENTLY HAD HIGHER PERCENTAGES OF RESIDENTS THAT WERE OBESE OR OVERWEIGHT. ACCESS TO HEALTHY FOOD OUTLETS WAS LIMITED, WHILE THE CONCENTRATION OF FAST FOOD AND CONVENIENCE STORES WERE HIGH. ANALYSIS OF THE HEALTH BEHAVIORS OF THESE RESIDENTS ALSO SHOW MANY BEHAVIORS THAT CORRELATE TO POOR HEALTH, SUCH AS HAVING A DIET THAT IS LIMITED IN FRUIT AND VEGETABLE CONSUMPTION. WHEN EXAMINING THESE FINDINGS WITH THOSE OF THE QUALITATIVE DATA (KEY INFORMANT INTERVIEW AND FOCUS GROUPS), A CONSOLIDATED LIST OF IDENTIFIED HEALTH NEEDS WITHIN THESE COMMUNITIES WAS COMPILED. THESE PRIORITY HEALTH NEEDS ARE: 1. LACK OF HEALTH CARE PROVIDERS (PRIMARY CARE AND PHYSICIANS THAT TAKE MEDI-CAL) 2. LACK OF AFFORDABLE HEALTH CARE AND PREVENTIVE SERVICES 3. LACK OF HEALTH CARE COVERAGE 4. LACK OF DENTAL CARE 5. DIFFICULTY QUALIFYING FOR MEDI-CAL 6. TRANSPORTATION ISSUES 7. LACK OF ACCESS TO MEDICATIONS 8. LACK OF CULTURALLY COMPETENT CARE 9. LACK OF NUTRITION AND HEALTH FOOD CLASSES 10. LACK OF ACTIVE LIVING OPPORTUNITIES THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER AUBURN FAITH HOSPITAL IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. |
| PART VI, LINE 2 (CONTINUED) | SUTTER AMADOR HOSPITAL BETWEEN EARLY 2012 AND FEBRUARY 2013, VALLEY VISION, INC., CONDUCTED AN ASSESSMENT OF THE HEALTH NEEDS OF RESIDENTS LIVING IN THE SUTTER AMADOR HOSPITAL SERVICE AREA (HSA). FOR THE PURPOSES OF THE ASSESSMENT, A HEALTH NEED WAS DEFINED AS: "A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER." A HEALTH DRIVER WAS DEFINED AS: "A BEHAVIORAL, ENVIRONMENTAL, AND/OR CLINICAL FACTOR, AS WELL AS MORE UPSTREAM SOCIAL ECONOMIC FACTORS, THAT IMPACT HEALTH." A COMMUNITY-BASED PARTICIPATORY RESEARCH ORIENTATION WAS USED TO CONDUCT THE ASSESSMENT, WHICH INCLUDED BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA COLLECTION INCLUDED INPUT FROM MORE THAN 50 MEMBERS OF THE HSA, EXPERT INTERVIEWS WITH 14 KEY INFORMANTS, FOCUS GROUP INTERVIEWS WITH 39 COMMUNITY MEMBERS, AND INPUT GATHERED AT MEETINGS OF THE SUTTER AMADOR HOSPITAL COMMUNITY ADVISORY BOARD. IN ADDITION, A COMMUNITY HEALTH ASSESSMENT COLLECTED DATA ON MORE THAN 40 ASSETS IN THE GREATER AMADOR COUNTY AREA. SECONDARY DATA INCLUDED HEALTH OUTCOME DATA, SOCIO-DEMOGRAPHIC DATA, AND BEHAVIORAL AND ENVIRONMENTAL DATA AT THE ZIP CODE OR CENSUS TRACT LEVEL. HEALTH OUTCOME DATA INCLUDED EMERGENCY DEPARTMENT (ED) VISITS, HOSPITALIZATION, AND MORTALITY RATES RELATED TO HEART DISEASE, DIABETES, STROKE, HYPERTENSION, COPD, ASTHMA, AND SAFETY AND MENTAL HEALTH CONDITIONS. SOCIO-DEMOGRAPHIC DATA INCLUDED DATA ON RACE AND ETHNICITY, POVERTY (FEMALE-HEADED HOUSEHOLDS, FAMILIES WITH CHILDREN, PEOPLE OVER 65 YEARS OF AGE), EDUCATIONAL ATTAINMENT, HEALTH INSURANCE STATUS, AND HOUSING ARRANGEMENT (OWN OR RENT). FURTHER, BEHAVIORAL AND ENVIRONMENTAL DATA HELPED DESCRIBE GENERAL LIVING CONDITIONS OF THE HSA SUCH AS CRIME RATES, ACCESS TO PARKS, AVAILABILITY OF HEALTHY FOOD, AND LEADING CAUSES OF DEATH. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED FIVE SPECIFIC COMMUNITIES OF CONCERN LIVING WITH A HIGH BURDEN OF DISEASE IN AMADOR COUNTY. THESE FIVE COMMUNITIES OF CONCERN HAD CONSISTENTLY HIGH RATES OF NEGATIVE HEALTH OUTCOMES THAT FREQUENTLY EXCEEDED COUNTY, STATE, AND HEALTHY PEOPLE 2020 BENCHMARKS, AND WERE CONFIRMED BY EXPERTS AS AREAS PRONE TO EXPERIENCING POORER HEALTH OUTCOMES RELATIVE TO OTHER COMMUNITIES IN THE HSA. AGE-ADJUSTED RATES OF ED VISITS AND HOSPITALIZATIONS DUE TO HEART DISEASE, DIABETES, STROKE, AND HYPERTENSION WERE DRASTICALLY HIGHER IN THESE ZIP CODES COMPARED TO OTHERS IN THE HSA. IN GENERAL, WHITES HAD THE HIGHEST RATES FOR THESE CONDITIONS COMPARED TO OTHER RACIAL AND ETHNIC GROUPS. MORTALITY DATA FOR THESE CONDITIONS SHOWED HIGH RATES AS WELL. ANALYSIS OF ENVIRONMENTAL INDICATORS SHOWED THAT MANY OF THESE COMMUNITIES HAD CONDITIONS THAT WERE BARRIERS TO ACTIVE LIFESTYLES, SUCH AS ELEVATED CRIME RATES AND A TRAFFIC CLIMATE UNFRIENDLY TO BICYCLISTS AND PEDESTRIANS. FURTHERMORE, THESE COMMUNITIES FREQUENTLY HAD HIGHER PERCENTAGES OF RESIDENTS WHO WERE OBESE OR OVERWEIGHT. ACCESS TO HEALTHY FOOD OUTLETS WAS LIMITED, WHILE THE CONCENTRATION OF FAST FOOD AND CONVENIENCE STORES WAS HIGH. AN ANALYSIS OF THE HEALTH BEHAVIORS OF THESE RESIDENTS ALSO SHOWED MANY BEHAVIORS THAT CORRELATE TO POOR HEALTH, SUCH AS A DIET THAT IS LIMITED IN FRUIT AND VEGETABLE CONSUMPTION. WHEN EXAMINING THESE FINDINGS WITH THOSE OF THE QUALITATIVE DATA (KEY INFORMANT INTERVIEW AND FOCUS GROUPS), A CONSOLIDATED LIST OF PRIORITY HEALTH NEEDS OF THESE COMMUNITIES WAS COMPILED. THE PRIORITY HEALTH NEEDS FOR THE SUTTER AMADOR HOSPITAL SERVICE AREA ARE: 1. LACK OF OR LIMITED ACCESS TO PRIMARY AND PREVENTATIVE SERVICES 2. LACK OF OR LIMITED ACCESS TO SPECIALTY CARE 3. LIMITED TRANSPORTATION OPTIONS 4. LIMITED MENTAL HEALTH SERVICES; LACK OF ACCESS TO MENTAL HEALTH SERVICES 5. LACK OF SUBSTANCE ABUSE TREATMENT AND REHABILITATION, BOTH INPATIENT AND OUTPATIENT 6. LIMITED ACCESS TO DENTAL CARE 7. LIMITED ACCESS TO PRESCRIPTION MEDICATIONS AND MEDICAL EQUIPMENT 8. LACK OF OR LIMITED ACCESS TO HEALTH EDUCATION 9. LACK OF OPPORTUNITIES FOR PHYSICAL ACTIVITY 10. LACK OF OR LIMITED ACCESS TO HEALTHY FOOD THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER AMADOR HOSPITAL IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. SUTTER DAVIS HOSPITAL BEGINNING IN EARLY 2012 THROUGH FEBRUARY 2013, VALLEY VISION, INC. CONDUCTED AN ASSESSMENT OF THE HEALTH NEEDS OF RESIDENTS LIVING IN THE SERVICE AREA OF SUTTER DAVIS HOSPITAL. FOR THE PURPOSES OF THE ASSESSMENT, A HEALTH NEED WAS DEFINED AS: "A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER." A HEALTH DRIVER WAS DEFINED AS: "A BEHAVIORAL, ENVIRONMENTAL, AND/OR CLINICAL FACTOR, AS WELL AS MORE UPSTREAM SOCIAL ECONOMIC FACTORS, THAT IMPACT HEALTH." A COMMUNITY-BASED PARTICIPATORY RESEARCH ORIENTATION WAS USED TO CONDUCT THE ASSESSMENT WHICH INCLUDED BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA COLLECTION INCLUDED EXPERT INTERVIEWS WITH 12 KEY INFORMANTS AND FOCUS GROUP INTERVIEWS WITH 45 COMMUNITY MEMBERS. IN ADDITION, A COMMUNITY HEALTH ASSETS ASSESSMENT COLLECTED DATA ON MORE THAN 90 ASSETS IN THE AREA. SECONDARY DATA USED INCLUDED HEALTH OUTCOME DATA, SOCIO-DEMOGRAPHIC DATA, AND BEHAVIORAL AND ENVIRONMENTAL DATA AT THE ZIP CODE OR CENSUS TRACT LEVEL. HEALTH OUTCOME DATA INCLUDED EMERGENCY DEPARTMENT (ED) VISITS, HOSPITALIZATION, AND MORTALITY RATES RELATED TO HEART DISEASE, DIABETES, STROKE, HYPERTENSION, COPD, ASTHMA, AND SAFETY AND MENTAL HEALTH CONDITIONS. SOCIO-DEMOGRAPHIC DATA INCLUDED DATA ON RACE AND ETHNICITY, POVERTY (FEMALE-HEADED HOUSEHOLDS, FAMILIES WITH CHILDREN, PEOPLE OVER 65 YEARS OF AGE), EDUCATIONAL ATTAINMENT, HEALTH INSURANCE STATUS, AND HOUSING ARRANGEMENT (OWN OR RENT). BEHAVIORAL AND ENVIRONMENTAL DATA HELPED DESCRIBE GENERAL LIVING CONDITIONS OF THE HOSPITAL SERVICE AREA (HSA) SUCH AS CRIME RATES, ACCESS TO PARKS, AVAILABILITY OF HEALTHY FOOD, AND LEADING CAUSES OF DEATH. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED FOUR SPECIFIC COMMUNITIES OF CONCERN IN YOLO COUNTY THAT WERE LIVING WITH A HIGH BURDEN OF DISEASE. THESE FOUR COMMUNITIES HAD CONSISTENTLY HIGH RATES OF HEALTH OUTCOMES THAT FREQUENTLY COUNTY, STATE, AND HEALTHY PEOPLE 2020 BENCHMARKS. THEY WERE CONFIRMED BY AREA EXPERTS AS AREAS PRONE TO EXPERIENCE POORER HEALTH OUTCOMES RELATIVE TO OTHER COMMUNITIES IN THE HSA. AGE-ADJUSTED RATES OF ED VISITS AND HOSPITALIZATION DUE TO HEART DISEASE, DIABETES, STROKE AND HYPERTENSION WERE DRASTICALLY HIGHER IN THESE ZIP CODES COMPARED TO OTHER ZIP CODES IN THE HSA. IN GENERAL, BLACKS AND WHITES HAD THE HIGHEST RATES FOR THESE CONDITIONS COMPARED TO OTHER RACIAL AND ETHNIC GROUPS. MORTALITY DATA FOR THESE CONDITIONS SHOWED HIGH RATES AS WELL. ANALYSIS OF ENVIRONMENTAL INDICATORS SHOWED THAT MANY OF THESE COMMUNITIES HAD CONDITIONS THAT WERE BARRIERS TO ACTIVE LIFESTYLES, SUCH AS ELEVATED RATES OF CRIME AND UNSAFE TRAFFIC CLIMATE THAT WAS UNFRIENDLY TO BICYCLISTS AND PEDESTRIANS. FURTHERMORE, THESE COMMUNITIES FREQUENTLY HAD HIGHER PERCENTAGES OF RESIDENTS THAT WERE OBESE OR OVERWEIGHT. ACCESS TO HEALTHY FOOD OUTLETS WAS LIMITED, WHILE THE CONCENTRATIONS OF FAST FOOD AND CONVENIENCE STORES WERE HIGH. ANALYSIS OF THE HEALTH BEHAVIORS OF THESE RESIDENTS ALSO SHOW MANY BEHAVIORS THAT CORRELATE TO POOR HEALTH, SUCH AS HAVING A DIET THAT IS LIMITED IN FRUIT AND VEGETABLE CONSUMPTION. WHEN EXAMINING THESE FINDINGS WITH THOSE OF THE QUALITATIVE DATA (KEY INFORMANT INTERVIEW AND FOCUS GROUPS), A CONSOLIDATED LIST OF PRIORITY HEALTH NEEDS OF THESE COMMUNITIES WAS COMPILED. THE HEALTH NEEDS ARE: 1. ACCESS TO PRIMARY CARE AND PREVENTATIVE SERVICES 2. ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES 3. ACCESS TO SPECIALTY CARE 4. ACCESS TO AFFORDABLE HEALTHY FOODS 5. IMPROVED TRANSPORTATION SERVICES 6. EDUCATION ON HEALTH AND CHRONIC DISEASE MANAGEMENT 7. NUTRITION EDUCATION 8. ACCESS TO DENTAL CARE 9. ACCESS TO AFFORDABLE MEDICAL CARE AND MEDICATIONS FOR ALL 10. SAFE PLACES TO BE ACTIVE THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER DAVIS HOSPITAL IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. |
| PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SACRAMENTO SIERRA REGION FOLLOWS A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. FOR A MORE DETAILED LOOK AT OUR CHARITY CARE POLICIES BY REGION, PLEASE VISIT THE OFFICE OF STATEWIDE AND HEALTH PLANNING'S WEBSITE AT HTTP://SYFPHR.OSHPD.CA.GOV. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY A. INFORMATION PROVIDED TO PATIENTS: 1. PREADMISSION OR REGISTRATION: DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITAL AFFILIATES SHALL PROVIDE: A. ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES (IMPORTANT BILLING INFORMATION FOR UNINSURED PATIENTS) B. PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED WITH A FINANCIAL ASSISTANCE APPLICATION SUBSTANTIALLY SIMILAR TO THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION, "STATEMENT OF FINANCIAL CONDITION" 2. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION". B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS: 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY (FINANCE POLICY 14-227). C. APPLICATIONS PROVIDED AT DISCHARGE: IF NOT PREVIOUSLY PROVIDED, HOSPITAL AFFILIATES SHALL PROVIDE UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL, HEALTHY FAMILIES, CALIFORNIA CHILDREN'S SERVICES, OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM AT THE TIME OF DISCHARGE. D. LANGUAGES: ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE AFFILIATE'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. E. NOTIFICATIONS TO UNINSURED PATIENTS OF ESTIMATED FINANCIAL RESPONSIBILITY: BY LAW, UNINSURED PATIENTS ARE ENTITLED TO RECEIVE AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES. EXCEPT IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL NOTIFY PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED PATIENTS THAT THEY MAY OBTAIN AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES, AND PROVIDE ESTIMATES TO THOSE PATIENTS UPON REQUEST. ESTIMATES SHALL BE WRITTEN, AND BE PROVIDED DURING NORMAL BUSINESS HOURS. ESTIMATES SHALL PROVIDE THE PATIENT WITH AN ESTIMATE OF THE AMOUNT THE HOSPITAL AFFILIATE WILL REQUIRE THE PATIENT TO PAY FOR THE HEALTH CARE SERVICES, PROCEDURES, AND SUPPLIES THAT ARE REASONABLY EXPECTED TO BE PROVIDED TO THE PATIENT BY THE HOSPITAL, BASED UPON THE AVERAGE LENGTH OF STAY AND SERVICES PROVIDED FOR THE PATIENT'S DIAGNOSIS. |
| PART VI, LINE 4 | SUTTER MEDICAL CENTER SACRAMENTO THE ASSESSMENT STUDY AREA INCLUDED THE SMCS HOSPITAL SERVICE AREA (HSA). A KEY FOCUS WAS TO SHOW SPECIFIC COMMUNITIES (DEFINED GEOGRAPHICALLY) EXPERIENCING DISPARITIES AS THEY RELATED TO CHRONIC DISEASE AND MENTAL HEALTH. TO THIS END, ZIP CODE BOUNDARIES WERE SELECTED AS THE UNIT-OF-ANALYSIS FOR MOST INDICATORS. THIS LEVEL OF ANALYSIS ALLOWED FOR EXAMINATION OF HEALTH OUTCOMES AT THE COMMUNITY LEVEL THAT ARE OFTEN HIDDEN WHEN DATA ARE AGGREGATED AT THE COUNTY LEVEL. SOME INDICATORS (DEMOGRAPHIC, BEHAVIORAL, AND ENVIRONMENTAL IN NATURE) WERE INCLUDED IN THE ASSESSMENT AT THE CENSUS TRACT, CENSUS BLOCK, OR POINT PREVALENCE LEVEL, WHICH ALLOWED FOR DEEPER COMMUNITY LEVEL EXAMINATION. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. THE HSA WAS DETERMINED BY ANALYZING PATIENT DISCHARGE DATA FROM TWO OF THE THREE FACILITIES THAT MAKE UP SMCS. COLLECTION AND ANALYSIS OF THE ZIP CODES OF PATIENTS DISCHARGED FROM THE HOSPITALS OVER A SIX-MONTH PERIOD ALLOWED THE PRIMARY GEOGRAPHIC AREA SERVED BY THE HOSPITALS TO BE IDENTIFIED. THE HSA IDENTIFIED AS THE FOCUS OF THE NEEDS ASSESSMENT IS DEPICTED IN FIGURE 2 IN THE FINAL CHNA. BECAUSE THE HOSPITALS REPRESENTED IN SMCS (SUTTER GENERAL HOSPITAL, SUTTER MEMORIAL HOSPITAL, AND SUTTER CENTER FOR PSYCHIATRY) ARE CLOSE IN PROXIMITY, ANALYSIS REVEALED THAT THE HOSPITALS SERVED THE SAME GEOGRAPHIC AREAS. TO IDENTIFY COMMUNITIES OF CONCERN, INPUT FROM THE CHNA TEAM, PRIMARY DATA FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, ALONG WITH DETAILED ANALYSIS OF SECONDARY DATA, HEALTH OUTCOME INDICATORS, AND SOCIO-DEMOGRAPHICS WERE EXAMINED. ZIP CODE COMMUNITIES WITH RATES THAT CONSISTENTLY EXCEEDED COUNTY, STATE, OR HEALTHY PEOPLE 2020 BENCHMARKS FOR ED UTILIZATION, HOSPITALIZATION, AND MORTALITY WERE CONSIDERED. ZIP CODES WITH RATES THAT CONSISTENTLY FELL IN THE TOP 20% WERE NOTED AND THEN TRIANGULATED WITH PRIMARY DATA INPUT AND SOCIO-DEMOGRAPHIC DATA TO IDENTIFY SPECIFIC COMMUNITIES OF CONCERN. DATA ON SOCIO-DEMOGRAPHICS OF RESIDENTS IN THESE COMMUNITIES, WHICH INCLUDED SOCIO-ECONOMIC STATUS, RACE AND ETHNICITY, EDUCATIONAL ATTAINMENT, HOUSING ARRANGEMENT, EMPLOYMENT STATUS, AND HEALTH INSURANCE STATUS, WERE EXAMINED. AREA HEALTH NEEDS WERE DETERMINED VIA IN-DEPTH ANALYSIS OF QUALITATIVE AND QUANTITATIVE DATA, AND THEN CONFIRMED WITH SOCIO-DEMOGRAPHIC DATA. AS NOTED EARLIER, A HEALTH NEED WAS DEFINED AS A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER. A HEALTH NEED WAS INCLUDED AS A PRIORITY IF IT WAS REPRESENTED BY RATES WORSE THAN THE ESTABLISHED QUANTITATIVE BENCHMARKS OR WAS CONSISTENTLY MENTIONED IN THE QUALITATIVE DATA. THE COMMUNITIES OF CONCERN ARE HOME TO MORE THAN 200,000 RESIDENTS. THE AREAS CONSIST OF ZIP CODE COMMUNITIES OCCUPYING THE NORTHERN, DOWNTOWN, AND SOUTHERN PORTIONS OF THE SACRAMENTO COUNTY AREA. ALL OF THE ZIP CODE COMMUNITIES ARE DENSELY POPULATED, WITH THE SOUTH SACRAMENTO AREA HAVING THE HIGHEST POPULATION AND THE DOWNTOWN AREA HAVING THE LOWEST POPULATION. THE COMMUNITIES OF CONCERN ARE ZIP CODES 95660, 95814, 95815, 95823, 95824 AND 95838. SOCIO-DEMOGRAPHIC CONDITIONS, OR SOCIAL DETERMINANTS OF HEALTH, HELP PREDICT WHICH COMMUNITIES IN A BROAD GEOGRAPHIC AREA ARE MOST SUSCEPTIBLE TO POOR HEALTH OUTCOMES. IN GENERAL, THE VAST MAJORITY OF RESIDENTS LIVING IN THE COMMUNITIES OF CONCERN FELL INTO MULTIPLE CATEGORIES OF SOCIAL DETERMINANTS OFTEN ASSOCIATED WITH POOR HEALTH OUTCOMES. FOR EXAMPLE, ALL ZIP CODE COMMUNITIES FAR EXCEEDED THE NATIONAL BENCHMARKS FOR THE PERCENT OF FAMILIES IN A LIVING IN POVERTY WITH CHILDREN AND SINGLE-FEMALE HEADED HOUSEHOLDS WITH CHILDREN LIVING IN POVERTY. ALL COMMUNITIES HAD HIGH PERCENTAGES OF NON-WHITE OR HISPANIC RESIDENTS, WITH 84% IN 95823 AND 83% IN 95824 FALLING INTO THIS CATEGORY. FURTHER, ALL COMMUNITIES OF CONCERN HAD HIGH PERCENTAGES OF RESIDENTS WITHOUT HEALTH INSURANCE COMPARED TO STATE AND NATIONAL BENCHMARKS. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MEDICAL CENTER CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. SUTTER ROSEVILLE MEDICAL CENTER THE HOSPITAL SERVICE AREA (HSA) WAS DETERMINED BY ANALYZING PATIENT DISCHARGE DATA. COLLECTING AND ANALYZING THE ZIP CODES OF PATIENTS DISCHARGED FROM THE HOSPITAL OVER A SIX-MONTH PERIOD ALLOWED THE PRIMARY GEOGRAPHIC AREA SERVED BY THE HOSPITAL TO BE IDENTIFIED. THE HSA DETERMINED TO BE THE FOCUS OF THE NEEDS ASSESSMENT IS DEPICTED IN FIGURE 2 IN THE FULL REPORT. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. THE FIRST STEP IN IDENTIFYING VULNERABLE COMMUNITIES WAS TO EXAMINE SOCIO-DEMOGRAPHICS IN ORDER TO IDENTIFY AREAS OF THE HSA WITH HIGH VULNERABILITY TO CHRONIC DISEASE DISPARITIES AND POOR MENTAL HEALTH OUTCOMES. RACE/ETHNICITY, HOUSEHOLD MAKE-UP, INCOME, AND AGE VARIABLES WERE COMBINED INTO A VULNERABILITY INDEX THAT DESCRIBED THE LEVEL OF VULNERABILITY OF EACH CENSUS TRACT. THIS INDEX WAS THEN MAPPED FOR THE ENTIRE HSA. A TRACT WAS CONSIDERED MORE VULNERABLE, OR MORE LIKELY TO HAVE HIGHER UNWANTED HEALTH OUTCOMES THAN OTHERS IN THE HSA, IF IT HAD HIGHER: 1) PERCENT NON-WHITE OR HISPANIC POPULATION; 2) PERCENT SINGLE PARENT HEADED HOUSEHOLDS; 3) PERCENT BELOW 125% OF THE POVERTY LEVEL; 4) PERCENT UNDER FIVE YEARS OLD; AND 5) PERCENT 65 YEARS OF AGE OR OLDER LIVING IN THE CENSUS TRACT. THIS INFORMATION WAS USED IN COMBINATION WITH INPUT FROM THE CHNA WORKGROUP TO IDENTIFY PRIORITIZED AREAS FOR WHICH KEY INFORMANTS WOULD BE SOUGHT. TO IDENTIFY COMMUNITIES OF CONCERN, INPUT FROM THE CHNA TEAM, PRIMARY DATA FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, AND DETAILED ANALYSIS OF SECONDARY DATA, HEALTH OUTCOME INDICATORS, AND SOCIO-DEMOGRAPHICS WERE EXAMINED. ZIP CODE COMMUNITIES WITH RATES THAT CONSISTENTLY EXCEEDED COUNTY, STATE, OR HEALTHY PEOPLE 2020 BENCHMARKS FOR ED UTILIZATION, HOSPITALIZATION, AND MORTALITY WERE CONSIDERED. ZIP CODES THAT CONSISTENTLY FELL IN THE TOP 20% WERE NOTED AND THEN TRIANGULATED WITH PRIMARY DATA INPUT AND SOCIO-DEMOGRAPHIC DATA TO IDENTIFY SPECIFIC COMMUNITIES OF CONCERN. THE SRMC COMMUNITIES OF CONCERN ARE HOME TO MORE THAN 220,000 SACRAMENTO COUNTY RESIDENTS. THE AREAS CONSIST OF ZIP CODES ALL IN THE NORTHEASTERN PART OF THE SACRAMENTO METROPOLITAN AREA, EXCEPT THE ZIP CODE 95670 (RANCHO CORDOVA), WHICH IS LOCATED ALONG THE HIGHWAY 50 CORRIDOR IN EASTERN SACRAMENTO COUNTY. SEVERAL ZIP CODES SIT ALONG THE INTERSTATE 80 CORRIDOR AND ALL ZIP CODE COMMUNITIES OF CONCERN ARE CONTIGUOUS, EXCEPT 95670 (RANCHO CORDOVA). ALL COMMUNITIES OF CONCERN ARE URBAN AREAS OF RELATIVELY HIGH POPULATION DENSITY. THE COMMUNITIES OF CONCERN ARE ZIP CODES 95621, 95660, 95670, 95673, 95821, 95841 AND 95842. MANY COMMUNITIES EXCEEDED STATE AND NATIONAL BENCHMARKS FOR A NUMBER OF SOCIO-DEMOGRAPHIC CONDITIONS, WITH 95660 (NORTH HIGHLANDS) LEADING IN ALMOST ALL CATEGORIES. OTHER NOTABLE POPULATION CHARACTERISTICS INCLUDED UNEMPLOYMENT AND UNINSURED RATES THAT EXCEEDED BOTH NATIONAL AND STATE BENCHMARKS IN ALL COMMUNITIES OF CONCERN. NEARLY THREE OF EVERY TEN RESIDENTS IN ZIP CODE 95821 (NORTH WATT AREA) WERE UNINSURED, A RATE THAT WAS ALMOST DOUBLE THE NATIONAL BENCHMARK. FURTHER, IN 95660 (NORTH HIGHLANDS), OVER FOUR OF EVERY TEN SINGLE FEMALE HEADED-HOUSEHOLDS LIVED IN POVERTY, A STRONG PREDICTOR OF POOR HEALTH OUTCOMES FOR THIS VULNERABLE POPULATION. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER ROSEVILLE MEDICAL CENTER CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. |
| PART VI, LINE 4 (CONTINUED) | SUTTER SOLANO MEDICAL CENTER THE STUDY AREA OF THE ASSESSMENT WAS SOLANO COUNTY. A KEY FOCUS WAS TO SHOW SPECIFIC COMMUNITIES (DEFINED GEOGRAPHICALLY) EXPERIENCING DISPARITIES AS THEY RELATE TO CHRONIC DISEASE AND MENTAL HEALTH. TO THIS END, ZIP CODE BOUNDARIES WERE SELECTED AS THE UNIT-OF-ANALYSIS FOR MOST INDICATORS. THIS LEVEL OF ANALYSIS ALLOWED FOR EXAMINATION OF HEALTH OUTCOMES AT THE COMMUNITY LEVEL THAT ARE OFTEN HIDDEN WHEN DATA ARE AGGREGATED AT THE COUNTY LEVEL. SOME INDICATORS (DEMOGRAPHIC, BEHAVIORAL, AND ENVIRONMENTAL IN NATURE) WERE INCLUDED IN THE ASSESSMENT AT THE CENSUS TRACT LEVEL, THE CENSUS BLOCK, OR POINT PREVALENCE, WHICH ALLOWED FOR DEEPER COMMUNITY LEVEL EXAMINATION. THERE ARE THREE HOSPITALS THAT SERVE THE COMMUNITY. THE HOSPITAL SERVICE AREA (HSA) WAS DESIGNATED AS ALL OF SOLANO COUNTY BECAUSE ALL THREE HEALTHCARE SYSTEMS SERVE COMMUNITIES WITHIN THE COUNTY AND, AS A KEY PARTNER IN THIS ASSESSMENT AND EVENTUAL IMPLEMENTATION, THE SOLANO COALITION FOR BETTER HEALTH MAINTAINS CLOSE RELATIONSHIPS WITH THE HEALTHCARE SYSTEMS INVOLVED. THE FIRST STEP IN THE PROCESS OF IDENTIFYING VULNERABLE COMMUNITIES WAS TO EXAMINE SOCIO-DEMOGRAPHICS IN ORDER TO IDENTIFY AREAS OF THE HSA WITH HIGH VULNERABILITY TO CHRONIC DISEASE DISPARITIES AND POOR MENTAL HEALTH OUTCOMES. RACE AND ETHNICITY, HOUSEHOLD MAKEUP, INCOME, AND AGE VARIABLES WERE COMBINED INTO A VULNERABILITY INDEX THAT DESCRIBED THE LEVEL OF VULNERABILITY OF EACH CENSUS TRACT. THIS INDEX WAS THEN MAPPED FOR THE ENTIRE HSA. A TRACT WAS CONSIDERED MORE VULNERABLE, OR MORE LIKELY TO HAVE HIGHER NEGATIVE OR UNWANTED HEALTH OUTCOMES THAN OTHERS IN THE HSA, IF IT HAD HIGHER: 1) PERCENT HISPANIC OR NON-WHITE POPULATION; 2) PERCENT SINGLE PARENT HEADED HOUSEHOLDS; 3) PERCENT POPULATION BELOW 125% OF THE POVERTY LEVEL; 4) PERCENT POPULATION UNDER FIVE YEARS OLD; AND 5) PERCENT POPULATION OVER 65 YEARS OF AGE LIVING IN THE CENSUS TRACT. THIS INFORMATION WAS USED IN COMBINATION WITH INPUT FROM THE CHNA WORKGROUP TO IDENTIFY PRIORITIZED AREAS FOR WHICH KEY INFORMANTS WOULD BE SOUGHT. TO IDENTIFY COMMUNITIES OF CONCERN, INPUT FROM THE CHNA TEAM AND PRIMARY DATA FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, ALONG WITH DETAILED ANALYSIS OF SECONDARY DATA, HEALTH OUTCOME INDICATORS, AND SOCIO-DEMOGRAPHICS WERE EXAMINED. ZIP CODES WITH RATES THAT CONSISTENTLY EXCEEDED COUNTY, STATE, OR HEALTHY PEOPLE 2020 BENCHMARKS FOR ED UTILIZATION, HOSPITALIZATION, AND MORTALITY WERE CONSIDERED. ZIP CODES THAT CONSISTENTLY FELL IN THE TOP 20% HIGHEST RATES WERE NOTED AND THEN TRIANGULATED WITH PRIMARY AND SOCIO-DEMOGRAPHIC DATA TO IDENTIFY SPECIFIC COMMUNITIES OF CONCERN. THE COMMUNITIES OF CONCERN ARE CLUSTERED IN THE VALLEJO, FAIRFIELD, AND VACAVILLE AREAS ALONG THE I-80 CORRIDOR. IN TERMS OF POPULATION DENSITY, THESE REPRESENT THE MAJOR POPULATION CENTERS OF THE SOLANO COUNTY HSA. THE RIO VISTA AREA COMMUNITIES OF CONCERN ARE LOCATED IN THE SOUTHEASTERN PORTION OF THE COUNTY ADJACENT TO THE DELTA AREA AND ARE CONSIDERED MORE RURAL. THE COMMUNITIES OF CONCERN ARE 94533, 94571, 94589, 94590, 94591 AND 95688. SOCIO-DEMOGRAPHIC CONDITIONS, COMMONLY REFERRED TO AS SOCIAL DETERMINANTS OF HEALTH, HELP PREDICT WHICH COMMUNITIES IN A BROAD GEOGRAPHIC AREA ARE MOST SUSCEPTIBLE TO POOR HEALTH OUTCOMES. THE SIX ZIP CODES IDENTIFIED ARE HOME TO NEARLY ONE-QUARTER MILLION RESIDENTS. DATA INDICATED THAT THESE AREAS OF THE HSA WERE HIGHLY DIVERSE AND DEMONSTRATED A LARGE NUMBER OF AREAS WITH HIGH RATES OF POVERTY, LOW EDUCATIONAL ATTAINMENT, HIGH UNEMPLOYMENT, HIGH UNINSURED RATES, AND A HIGH NUMBER OF RESIDENTS RENTING VERSUS OWNING THEIR HOMES. IN ALL SIX ZIP CODES, AT LEAST 29.4% OF RESIDENTS REPORTED AS EITHER HISPANIC OR NON-WHITE. IN ZIP CODES WITHIN VALLEJO AND FAIRFIELD, 66.4% OR MORE REPORTED AS HISPANIC OR NON-WHITE. THE PERCENT OF RESIDENTS OVER THE AGE OF FIVE WITH LIMITED ENGLISH PROFICIENCY (LEP) WAS RELATIVELY LOW, RANGING FROM 3.7% TO 6.4%. ZIP CODES 94571, 94589, AND 94590 DISPLAYED HIGH PERCENTAGES OF POVERTY IN SPECIFIC AREAS. IN RIO VISTA, 94571, 53.8% OF SINGLE FEMALE-HEADED HOUSEHOLDS WERE LIVING IN POVERTY, WHICH EXCEEDED THE NATIONAL AVERAGE OF 31.2%. TWO ZIP CODES IN VALLEJO, 94589 AND 94590, HAD A HIGHER PERCENT OF RESIDENTS OVER AGE 65 LIVING IN POVERTY COMPARED TO THE NATIONAL BENCHMARK. THE PERCENT OF FAMILIES WITH CHILDREN LIVING IN POVERTY IN 94590 WAS 19.5%, WHICH EXCEEDED THE NATIONAL BENCHMARK OF 15.1%. FIVE OUT OF THE SIX AREA ZIP CODES HAD A HIGHER PERCENT OF RESIDENTS OVER THE AGE OF 25 WHO DID NOT POSSESS A HIGH SCHOOL DIPLOMA COMPARED TO THE NATIONAL BENCHMARK. ALL BUT ONE OF THE ZIP CODES HAD A HIGHER RATE OF UNEMPLOYMENT COMPARED TO THE NATIONAL RATE, WHILE TWO HAD A HIGHER PERCENT UNINSURED COMPARED TO THE NATIONAL RATE AT 16.3%. LOOKING AT THE PERCENTAGE OF INDIVIDUALS WITHIN A ZIP CODE WHO RENT VERSUS OWN THEIR PLACE OF RESIDENCE PROVIDES A PEEK INTO A COMMUNITY'S HEALTH AND FINANCIAL STABILITY. THE PERCENT OF RESIDENTS WHO RENT IN THE SIX ZIP CODES IDENTIFIED AS COMMUNITIES OF CONCERN RANGED FROM 27.0% TO 54.6%. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MEDICAL CENTER CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. SUTTER AUBURN FAITH HOSPITAL THE STUDY AREA OF THE ASSESSMENT INCLUDED THE SUTTER AUBURN FAITH HOSPITAL HSA. A KEY FOCUS WAS TO SHOW SPECIFIC COMMUNITIES (DEFINED GEOGRAPHICALLY) EXPERIENCING DISPARITIES AS THEY RELATE TO CHRONIC DISEASE AND MENTAL HEALTH. TO THIS END, ZIP CODE BOUNDARIES WERE SELECTED AS THE UNIT OF ANALYSIS FOR MOST INDICATORS. THIS LEVEL OF ANALYSIS ALLOWED FOR EXAMINATION OF HEALTH OUTCOMES AT THE COMMUNITY LEVEL THAT ARE OFTEN HIDDEN WHEN AGGREGATED AT THE COUNTY LEVEL. SOME INDICATORS (DEMOGRAPHIC, BEHAVIORAL, AND ENVIRONMENTAL IN NATURE) WERE INCLUDED IN THE ASSESSMENT AT THE CENSUS TRACT, CENSUS BLOCK, OR POINT PREVALENCE LEVEL, WHICH ALLOWED FOR DEEPER COMMUNITY LEVEL EXAMINATION. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. SUTTER AUBURN FAITH'S HSA WAS DETERMINED BY ANALYSIS OF PATIENT DISCHARGE DATA. COLLECTION AND ANALYSIS OF THE ZIP CODES OF PATIENTS DISCHARGED FROM THE HOSPITAL OVER A SIX-MONTH PERIOD ALLOWED FOR IDENTIFICATION OF THE PRIMARY GEOGRAPHIC AREA SERVED BY THE HOSPITAL. THE HSA IDENTIFIED AS THE FOCUS OF THE NEEDS ASSESSMENT IS DEPICTED IN FIGURE 2 IN THE FULL CHNA. THE SUTTER AUBURN FAITH HOSPITAL HSA COMMUNITIES OF CONCERN ARE HOME TO JUST OVER 90,000 RESIDENTS. THE ZIP CODE COMMUNITIES CONSIST OF THE SUBURBAN CITY OF LINCOLN, THE FOOTHILL TOWN OF AUBURN, AND THE SMALL, UNINCORPORATED COMMUNITY OF APPLEGATE. EACH ZIP CODE, EXCEPT FOR THE TWO IN AUBURN, IS UNIQUE FROM OTHERS. APPLEGATE IS A SMALL COMMUNITY TUCKED INTO THE FOOTHILLS AND IS HOME TO LESS THAN 1,000 RESIDENTS, WHILE LINCOLN HAS REALIZED MAJOR GROWTH OVER THE PAST DECADE AND NOW BOASTS A POPULATION OF OVER 45,000. QUANTITATIVE DATA AT THE ZIP CODE LEVEL DOES NOT NECESSARILY POINT TO DEEP DISPARITIES IN REGARDS TO POVERTY, UNEMPLOYMENT, OR EDUCATIONAL ATTAINMENT. HOWEVER, A CLOSER LOOK AT CENSUS TRACT LEVEL DATA COUPLED WITH ANALYSIS OF QUALITATIVE DATA REVEALED AREAS WITHIN THESE ZIP CODES WITH LARGE POPULATIONS OF HISPANICS, INDIVIDUALS LIVING UNDER THE FEDERAL POVERTY LEVEL, AND FEMALE-HEADED HOUSEHOLDS. FOR EXAMPLE, A CENSUS TRACT WITHIN 95602 HAD HISPANICS AS 22% OF ITS POPULATION AND 23% OF ITS RESIDENTS LIVING 200% BELOW THE FEDERAL POVERTY LEVEL. IN CONTRAST, AN ADJACENT CENSUS TRACT WITHIN THE 95602 ZIP CODE HAD ONLY 6% HISPANICS AND HAD ONLY 6% LIVING 200% BELOW FPL. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN SUTTER AUBURN FAITH HOSPITAL'S CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. |
| PART VI, LINE 4 (CONTINUED) | SUTTER AMADOR HOSPITAL A COMMUNITY-BASED PARTICIPATORY RESEARCH ORIENTATION WAS USED TO CONDUCT THE ASSESSMENT, WHICH INCLUDED BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA COLLECTION INCLUDED INPUT FROM MORE THAN 50 MEMBERS OF THE HOSPITAL SERVICE AREA (HSA), EXPERT INTERVIEWS WITH 14 KEY INFORMANTS, FOCUS GROUP INTERVIEWS WITH 39 COMMUNITY MEMBERS, AND INPUT GATHERED AT MEETINGS OF THE SUTTER AMADOR HOSPITAL COMMUNITY ADVISORY BOARD. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. IN ADDITION, A COMMUNITY HEALTH ASSESSMENT COLLECTED DATA ON MORE THAN 40 ASSETS IN THE GREATER AMADOR COUNTY AREA. SECONDARY DATA INCLUDED HEALTH OUTCOME DATA, SOCIO-DEMOGRAPHIC DATA, AND BEHAVIORAL AND ENVIRONMENTAL DATA AT THE ZIP CODE OR CENSUS TRACT LEVEL. HEALTH OUTCOME DATA INCLUDED EMERGENCY DEPARTMENT (ED) VISITS, HOSPITALIZATION, AND MORTALITY RATES RELATED TO HEART DISEASE, DIABETES, STROKE, HYPERTENSION, COPD, ASTHMA, AND SAFETY AND MENTAL HEALTH CONDITIONS. SOCIO-DEMOGRAPHIC DATA INCLUDED DATA ON RACE AND ETHNICITY, POVERTY (FEMALE-HEADED HOUSEHOLDS, FAMILIES WITH CHILDREN, PEOPLE OVER 65 YEARS OF AGE), EDUCATIONAL ATTAINMENT, HEALTH INSURANCE STATUS, AND HOUSING ARRANGEMENT (OWN OR RENT). FURTHER, BEHAVIORAL AND ENVIRONMENTAL DATA HELPED DESCRIBE GENERAL LIVING CONDITIONS OF THE HSA SUCH AS CRIME RATES, ACCESS TO PARKS, AVAILABILITY OF HEALTHY FOOD, AND LEADING CAUSES OF DEATH. THE STUDY AREA OF THE ASSESSMENT INCLUDED THE GREATER AMADOR COUNTY REGION. A KEY FOCUS WAS TO SHOW SPECIFIC COMMUNITIES (DEFINED GEOGRAPHICALLY) EXPERIENCING DISPARITIES AS THEY RELATE TO CHRONIC DISEASE AND MENTAL HEALTH. TO THIS END, ZIP CODE BOUNDARIES WERE SELECTED AS THE UNIT OF ANALYSIS FOR MOST INDICATORS. THIS LEVEL OF ANALYSIS ALLOWED FOR EXAMINATION OF HEALTH OUTCOMES AT THE COMMUNITY LEVEL THAT ARE OFTEN HIDDEN WHEN DATA ARE AGGREGATED AT THE COUNTY LEVEL. SOME INDICATORS (DEMOGRAPHIC, BEHAVIORAL, AND ENVIRONMENTAL IN NATURE) WERE INCLUDED IN THE ASSESSMENT AT THE CENSUS TRACT, CENSUS BLOCK, OR POINT PREVALENCE LEVEL, WHICH ALLOWED FOR DEEPER COMMUNITY LEVEL EXAMINATION. HSAS WERE DETERMINED BY ANALYZING PATIENT DISCHARGE DATA. THE PRIMARY GEOGRAPHIC AREA SERVED BY THE HOSPITAL WAS IDENTIFIED THROUGH THE COLLECTION AND ANALYSIS OF ZIP CODES ASSOCIATED WITH PATIENTS DISCHARGED FROM THE HOSPITAL OVER A SIX-MONTH PERIOD. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED FIVE SPECIFIC COMMUNITIES OF CONCERN LIVING WITH A HIGH BURDEN OF DISEASE IN AMADOR COUNTY. THESE FIVE COMMUNITIES OF CONCERN HAD CONSISTENTLY HIGH RATES OF NEGATIVE HEALTH OUTCOMES THAT FREQUENTLY EXCEEDED COUNTY, STATE, AND HEALTHY PEOPLE 2020 BENCHMARKS, AND WERE CONFIRMED BY EXPERTS AS AREAS PRONE TO EXPERIENCING POORER HEALTH OUTCOMES RELATIVE TO OTHER COMMUNITIES IN THE HSA. THE SUTTER AMADOR HSA FIVE COMMUNITIES OF CONCERN ARE HOME TO NEARLY 20,000 COUNTY RESIDENTS. THE AREAS CONSIST OF ZIP CODE COMMUNITIES OCCUPYING THE NORTH, CENTRAL, AND WESTERN PORTIONS OF THE AMADOR COUNTY AREA. IONE AND JACKSON ARE THE MOST DENSELY POPULATED ZIP CODES AND INCLUDE BOTH URBAN AND RURAL AREAS. THE RURAL COMMUNITIES OF FIDDLETOWN, RIVER PINES, AND AMADOR CITY HAVE SIGNIFICANTLY LOWER POPULATIONS. JACKSON (95642) IS THE LARGEST CITY IN AMADOR COUNTY AND THE LOCATION OF THE MAJORITY OF THE REGION'S RETAIL CENTERS, GOVERNMENT AND SOCIAL SERVICE AGENCIES, AND HEALTH CARE PROVIDERS. SUTTER AMADOR HOSPITAL IS LOCATED IN JACKSON. AMADOR CITY (95601) IS A SMALL, RURAL COMMUNITY IN THE CENTRAL PART OF AMADOR COUNTY, 6.5 MILES NORTH OF JACKSON (95642). THIS COMMUNITY IS APPROXIMATELY EIGHT MILES OR 15 MINUTES AWAY FROM SUTTER AMADOR HOSPITAL. FIDDLETOWN (95629) AND RIVER PINES (95675) ARE RURAL COMMUNITIES LOCATED IN THE NORTHEASTERN PART OF AMADOR COUNTY. SUTTER PLYMOUTH HEALTH CENTER IS APPROXIMATELY EIGHT MILES FROM FIDDLETOWN AND 12 MILES FROM RIVER PINES. DRIVE TIME TO SUTTER AMADOR HOSPITAL FROM FIDDLETOWN IS APPROXIMATELY 30 MINUTES. IONE (95640) IS LOCATED IN A LARGE ZIP CODE IN WESTERN AMADOR COUNTY. THE ZIP CODE INCLUDES THE TOWN OF IONE AND ADJACENT RURAL AREAS. THIS COMMUNITY IS APPROXIMATELY 11 MILES OR 20 MINUTES AWAY FROM SUTTER AMADOR HOSPITAL. AN IN-DEPTH VIEW OF THE HOSPITAL'S SERVICE AREA IS AVAILABLE IN SUTTER AMADOR HOSPITAL'S CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML. SUTTER DAVIS HOSPITAL THE ASSESSMENT STUDY AREA INCLUDED THE SUTTER DAVIS HOSPITAL SERVICE AREA (HSA). A KEY FOCUS WAS TO SHOW SPECIFIC COMMUNITIES (DEFINED GEOGRAPHICALLY) EXPERIENCING DISPARITIES AS RELATED TO CHRONIC DISEASE AND MENTAL HEALTH. TO THIS END, ZIP CODE BOUNDARIES WERE SELECTED AS THE UNIT OF ANALYSIS FOR MOST INDICATORS. THIS LEVEL OF ANALYSIS ALLOWED FOR EXAMINATION OF HEALTH OUTCOMES AT THE COMMUNITY LEVEL THAT ARE OFTEN HIDDEN WHEN DATA ARE AGGREGATED AT THE COUNTY LEVEL. SOME INDICATORS (DEMOGRAPHIC, BEHAVIORAL AND ENVIRONMENTAL IN NATURE) WERE INCLUDED IN THE ASSESSMENT AT THE CENSUS TRACT LEVEL, CENSUS BLOCK, OR POINT PREVALENCE, WHICH ALLOWED FOR DEEPER COMMUNITY LEVEL EXAMINATION. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. THE HSA WAS DETERMINED BY ANALYZING PATIENT DISCHARGE DATA. COLLECTING AND ANALYZING THE ZIP CODES OF PATIENTS DISCHARGED FROM THE HOSPITAL OVER A SIX-MONTH PERIOD ALLOWED THE PRIMARY GEOGRAPHIC AREA SERVED BY THE HOSPITAL TO BE IDENTIFIED. THE HSA DETERMINED TO BE THE FOCUS OF THE NEEDS ASSESSMENT IS DEPICTED IN FIGURE 2 IN THE FULL CHNA REPORT. TO IDENTIFY VULNERABLE COMMUNITIES, THE FIRST STEP WAS TO EXAMINE SOCIO-DEMOGRAPHICS IN ORDER TO IDENTIFY AREAS OF THE HSA WITH HIGH VULNERABILITY TO CHRONIC DISEASE DISPARITIES AND POOR MENTAL HEALTH OUTCOMES. RACE AND ETHNICITY, HOUSEHOLD MAKEUP, INCOME, AND AGE VARIABLES WERE COMBINED INTO A VULNERABILITY INDEX THAT DESCRIBED THE LEVEL OF VULNERABILITY OF EACH CENSUS TRACT. THIS INDEX WAS THEN MAPPED FOR THE ENTIRE HSA. A TRACT WAS CONSIDERED MORE VULNERABLE, OR MORE LIKELY TO HAVE NEGATIVE OR UNWANTED HEALTH OUTCOMES, IF IT HAD HIGHER: 1) PERCENT HISPANIC OR NON-WHITE POPULATION; 2) PERCENT SINGLE PARENT HEADED HOUSEHOLDS; 3) PERCENT POPULATION BELOW 125% OF THE POVERTY LEVEL; 4) PERCENT POPULATION UNDER FIVE YEARS OLD AND 5) PERCENT POPULATION OVER 65 YEARS OF AGE LIVING IN THE CENSUS TRACT. THIS INFORMATION WAS USED IN COMBINATION WITH INPUT FROM THE CHNA WORKGROUP TO IDENTIFY PRIORITIZED AREAS FROM WHICH KEY INFORMANTS WOULD BE SOUGHT. TO IDENTIFY COMMUNITIES OF CONCERN, INPUT FROM THE CHNA TEAM, PRIMARY DATA FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, ALONG WITH DETAILED ANALYSIS OF SECONDARY DATA, HEALTH OUTCOME INDICATORS, AND SOCIO-DEMOGRAPHICS WERE EXAMINED. ZIP CODES WITH RATES THAT CONSISTENTLY EXCEEDED COUNTY, STATE, OR HEALTHY PEOPLE 2020 BENCHMARKS FOR ED UTILIZATION, HOSPITALIZATION, AND MORTALITY WERE CONSIDERED. ZIP CODES WITH RATES THAT FELL IN THE TOP 20% WERE NOTED AND THEN TRIANGULATED WITH PRIMARY AND SOCIO-DEMOGRAPHIC DATA TO IDENTIFY SPECIFIC COMMUNITIES OF CONCERN. THE SUTTER DAVIS HSA FOUR COMMUNITIES OF CONCERN ARE HOME TO MORE THAN 108,000 RESIDENTS. THE COMMUNITIES OF CONCERN CONSIST OF ZIP CODES THAT INCLUDE THE CITIES OF WEST SACRAMENTO AND WOODLAND AND THEIR OUTLYING AREAS. THE FOUR COMMUNITIES OF CONCERN ARE ZIP CODES 95605, 95691, 95695 AND 95776. THESE FOUR ZIP CODES ARE HOME TO OVER 108,000 RESIDENTS. DATA INDICATED THAT THESE AREAS OF THE HSA INCLUDED AREAS WITH HIGH RATES OF POVERTY, LOW EDUCATIONAL ATTAINMENT, HIGH UNEMPLOYMENT, HIGH UNINSURED RATES, AND A HIGH NUMBER OF RESIDENTS RENTING THEIR HOMES. ALL FOUR ZIP CODES HAD RATES OF AT LEAST 41% OF RESIDENTS REPORTING TO BE EITHER NON-WHITE OR HISPANIC, AND IN THREE OF THE FOUR ZIP CODES AT LEAST 50% OF RESIDENTS WERE NON-WHITE OR HISPANIC. THE PERCENT OF RESIDENTS OVER THE AGE OF FIVE WITH LIMITED ENGLISH PROFICIENCY RANGED FROM 7.7% IN ZIP CODE 95691 TO 21.3% IN 95605. TWO OF THE FOUR ZIP CODES HAD A HIGHER PERCENT OF SINGLE FEMALE-HEADED HOUSEHOLDS LIVING IN POVERTY THAN THE NATIONAL AVERAGE OF 31.2%. THREE OF THE FOUR COMMUNITIES OF CONCERN HAD A HIGHER PERCENT OF RESIDENTS OVER AGE 65 YEARS LIVING IN POVERTY COMPARED TO THE NATIONAL BENCHMARK OF 9%. TWO OF THE ZIP CODES HAD A PERCENT OF FAMILIES WITH CHILDREN LIVING IN POVERTY HIGHER THAN THE NATIONAL BENCHMARK OF 15.1%. ALL BUT ONE ZIP CODE HAD A HIGHER PERCENT OF RESIDENTS OVER THE AGE OF 25 WITHOUT A HIGH SCHOOL DIPLOMA COMPARED TO THE NATIONAL AVERAGE, WITH THE HIGHEST BEING 34.4% IN ZIP CODE 95605. ALL FOUR OF THE ZIP CODES HAD A HIGHER PERCENT UNEMPLOYED COMPARED TO THE NATIONAL RATE OF 7.9%. ALL BUT ONE OF THE ZIP CODES HAD A HIGHER PERCENT UNINSURED COMPARED TO THE NATIONAL RATE OF 16.3%, WITH 42.8% OF RESIDENTS IN 95605 BEING UNINSURED. LOOKING AT THE PERCENTAGE OF RESIDENTS IN A ZIP CODE WHO RENT VERSUS OWN THEIR PLACE OF RESIDENCE PROVIDES A PEEK INTO A COMMUNITY'S HEALTH AND FINANCIAL STABILITY. THE PERCENT OF RESIDENTS WHO RENT IN THE FOUR HSA COMMUNITIES OF CONCERN RANGED FROM 30% IN 95776 TO 57% IN 95605. AN IN-DEP |
| PART VI, LINE 5 | SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: * BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; * SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND * PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. THE 2013 - 2015 IMPLEMENTATION STRATEGIES FOR SUTTER HEALTH SACRAMENTO SIERRA REGION HOSPITALS DEFINE A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW. SUTTER MEDICAL CENTER SACRAMENTO THE INTERIM CARE PROGRAM (ICP) AND ICP PLUS HELPS SUTTER MEDICAL CENTER, SACRAMENTO FULFILL ITS MISSION TO PROVIDE ACCESS TO CARE FOR VULNERABLE AND TRADITIONALLY UNDERSERVED RESIDENTS. A COLLABORATIVE OF THE FOUR HEALTH CARE SYSTEMS, COMMUNITY BASED ORGANIZATIONS AND THE COUNTY GOVERNMENT CAME TOGETHER IN SACRAMENTO TO CREATE A RESPITE CARE SHELTER FOR HOMELESS PATIENTS DISCHARGED FROM HOSPITALS, ESTABLISHING AN 18-BED SHELTER FOR HOMELESS MEN AND WOMEN TO RECUPERATE FROM MEDICAL CONDITIONS. STARTED IN 2004, THE INTERIM CARE PROGRAM LINKS PEOPLE IN NEED TO VITAL COMMUNITY SERVICES WHILE GIVING THEM A PLACE TO HEAL. THE CLIENTS WHO ARE ENROLLED IN THE ICP ARE HOMELESS ADULT INDIVIDUALS WHO OTHERWISE WOULD BE DISCHARGED TO THE STREET OR CARED FOR IN AN INPATIENT SETTING ONLY. THE PROGRAM IS DESIGNED TO OFFER CLIENTS UP TO SIX WEEKS DURING WHICH THEY CAN FOCUS ON RECOVERY AND DEVELOPING A PLAN FOR THEIR HOUSING AND CARE UPON DISCHARGE. THIS INNOVATIVE COMMUNITY PARTNERSHIP PROVIDES TEMPORARY RESPITE HOUSING IN SACRAMENTO THAT OFFER HOMELESS MEN AND WOMEN A PLACE TO RECUPERATE FROM THEIR MEDICAL CONDITIONS, LINK THEM TO VITAL COMMUNITY SERVICES, AND PROVIDE THEM A PLACE TO HEAL. ICP PLUS IS A PROGRAM DESIGNED FOR HOMELESS PATIENTS DISCHARGING FROM SMCS, AND IS AN ENHANCED VERSION OF THE ICP, WITH PATIENTS NEEDING A GREATER LEVEL OF SUPPORT AND SPECIAL RESOURCES. SMCS AND THE OTHER HEALTH SYSTEMS PROVIDE FINANCIAL SUPPORT FOR THIS PROGRAM. WELLSPACE HEALTH, SACRAMENTO'S FEDERALLY QUALIFIED HEALTH CENTER, PROVIDES ON-SITE NURSING AND SOCIAL SERVICES TO SUPPORT CLIENTS IN THEIR RECUPERATION AND HELP THEM MOVE OUT OF HOMELESSNESS. THE WELLSPACE CASE MANAGER LINKS CLIENTS WITH MENTAL HEALTH SERVICES, SUBSTANCE ABUSE RECOVERY, HOUSING WORKSHOPS AND PROVIDES DISABILITY APPLICATION ASSISTANCE. THE SALVATION ARMY PROVIDES 18 BEDS IN A DESIGNATED WING OF THE SHELTER WHERE CLIENTS HAVE THREE MEALS A DAY AND A SAFE, CLEAN PLACE TO RECOVER FROM THEIR HOSPITALIZATIONS. SUTTER MEDICAL CENTER, SACRAMENTO IS A FOUNDING PARTNER OF T3, A PROGRAM LAUNCHED IN 2006 THAT PROVIDES SERVICES TO PATIENTS WHO SEEK EMERGENCY DEPARTMENT CARE FOR NEEDS THAT ARE BEST ADDRESSED THROUGH PREVENTIVE MEASURES AND BY PRIMARY CARE PROVIDERS. THIS PROGRAM IS A MODEL FOR THE KIND OF CHANGE BEING CALLED FOR IN VARIOUS HEALTH CARE REFORM PLANS. A HUGE OBSTACLE FOR HEALTHCARE PROVIDERS, INCLUDING SUTTER MEDICAL CENTER, SACRAMENTO, IS THE INAPPROPRIATE USE OF THE EMERGENCY DEPARTMENT. THIS ISSUE IS NOT ONLY PROBLEMATIC FOR THE HEALTHCARE PROVIDER, BUT ALSO FOR THE PATIENTS WHO ARE NOT RECEIVING THE APPROPRIATE CARE IN THE APPROPRIATE PLACE, AT THE APPROPRIATE TIME. PROGRAMS LIKE T3 SEEK TO CONNECT PEOPLE WHO FREQUENTLY AND INAPPROPRIATELY USE THE EMERGENCY DEPARTMENT TO THE CORRECT RESOURCES, INCLUDING HOUSING AND MENTAL HEALTH SERVICES, WHICH IS KEY TO THE POPULATION WHO UTILIZES T3. MOVING THESE PATIENTS FROM THE EMERGENCY DEPARTMENT IMPROVES THE PATIENTS' HEALTH BY PROVIDING THEM WITH THE APPROPRIATE CARE IN THE RIGHT SETTING, WHILE REDUCING THE WAIT FOR THOSE SEEKING CARE FOR REAL MEDICAL EMERGENCIES, AND DRAMATICALLY REDUCING COSTS TO OUR HEALTH CARE SYSTEM. SMCS PARTNERS WITH AND PROVIDES FUNDING TO WELLSPACE HEALTH, THE SACRAMENTO REGION'S LARGEST FEDERALLY QUALIFIED HEALTH CLINIC, TO OFFER THIS PROGRAM TO SOME OF THE MOST VULNERABLE PATIENTS IN OUR SERVICE AREA. ED NAVIGATORS ATTEND TO PATIENTS IN THE EMERGENCY DEPARTMENT (UPON REFERRAL FROM A SMCS EMPLOYEE AND AFTER PATIENT AGREEMENT) TO PROVIDE ASSISTANCE IN IDENTIFYING PRIMARY CARE PROVIDERS AND TO DETERMINE OTHER CLIENT NEEDS. SMCS PROVIDES FUNDING TO WELLSPACE TO OFFER THIS IMPORTANT PROGRAM TO THE UNDERSERVED IN OUR COMMUNITY. THE ED NAVIGATOR IS AN EMPLOYEE OF WELLSPACE HEALTH AND SERVES AS A VISIBLE ED BASED STAFF MEMBER WHO IS ABLE TO PROVIDE REFERRALS TO TREATMENT FOR THOSE WHO ARE SEEKING CARE IN THE ED FOR NON-URGENT MATTERS. THE ED NAVIGATOR WILL CONNECT WITH PATIENTS AND PROVIDE REFERRALS TO PRIMARY CARE APPOINTMENTS, THE T3 PROGRAM FOR PERSONS WHO ARE FREQUENT NON-URGENT USERS, WELLSPACE AND OTHER CLINICS FOR THOSE WHO NEED A MEDICAL HOME AND OTHER IMPORTANT COMMUNITY RESOURCES, SUCH AS INSURANCE AND HOUSING. THE ED NAVIGATORS ARE CRITICAL IN DIRECTING THOSE WHO NEED MEDICAL HOMES OR ACCESS TO SERVICES, TO THE RIGHT CARE IN THE RIGHT PLACE AT THE RIGHT TIME. THE ED NAVIGATOR PROGRAM IS ANOTHER EXAMPLE OF THE COLLABORATIVE AND INNOVATIVE RELATIONSHIP SHARED BETWEEN SMCS AND WELLSPACE HEALTH. HEALTHY ACCESS IS A GRASSROOTS, COMMUNITY ENGAGEMENT EFFORT INTENDED TO INFLUENCE INDIVIDUAL BEHAVIORS TO ENSURE PEOPLE HAVE BETTER ACCESS TO PRIMARY CARE SERVICES. WE'VE BEEN ACTIVELY WORKING TO IDENTIFY AND ENGAGE COMMUNITY MEMBERS AND ORGANIZATIONS THAT FIT THE GENERAL PROFILE OF NON-URGENT ED USERS. ENGAGEMENT HAS FOCUSED ON TWO GENERAL POPULATIONS MOVING FORWARD: THE FAITH AND COMMUNITY BASED ORGANIZATIONS (FCBO'S) SERVING THE INDIVIDUAL PROFILE WE SEEK TO ENGAGE. ORGANIZATIONS AGREED TO PARTICIPATE BY PROVIDING ACCESS TO THEIR STAKEHOLDERS AND COLLECTING DATA FROM THEM TO INFORM OUR EDUCATION AND OUTREACH. HEALTHY ACCESS, A PROGRAM SUPPORTED BY FUNDING FROM SMCS, HAS CONNECTED WITH VARIOUS FAITH AND COMMUNITY BASED ORGANIZATIONS AND ASSOCIATIONS TO HELP INCREASE AND STRENGTHEN THEIR OUTREACH THE GREATER COMMUNITY AROUND HEALTH CARE RELATED ISSUES. THIS LINKAGE ALLOWS US TO UTILIZE OUR COMMUNITY PARTNERS TO ENCOURAGE AND DIRECT THEIR PATIENTS TO APPROPRIATE CLINICS, SUCH AS WELLSPACE AND ELICA HEALTH CENTER, FOR PRIMARY CARE NEEDS, RATHER THAN LOCAL EMERGENCY DEPARTMENTS. IN 2013, HEALTHY ACCESS FOCUSED ON SUPPORTING HEALTH MINISTRIES IN LOCAL AFRICAN AMERICAN CHURCHES. AT ST. JOHN MISSIONARY BAPTIST CHURCH, HEALTHY ACCESS PROVIDED SUPPORT TO THEIR FOOD PANTRY WHERE THEY SERVE ABOUT 200 PEOPLE EACH WEEK. INFORMATION WAS ALSO PROVIDED ABOUT HEALTHY EATING, EXERCISE, DIABETIC SCREENINGS AND REFERRALS TO LOCAL HEALTH CLINICS. ALSO, NEEDED RESOURCES WERE IDENTIFIED AND SHARED WITH THEIR CLIENTS. THE NORTHERN DISTRICT BAPTIST ASSOCIATION DISSEMINATED INFORMATION AMONG THEIR 26 SACRAMENTO COUNTY CONGREGATIONS IN SUPPORT OF HEALTH MINISTRIES OR, WHERE THEY DIDN'T EXIST, THEIR WOMEN'S, YOUNG MEN'S AND YOUTH PROGRAMS. THE PRIMARY TARGET AUDIENCE HAS BEEN ADULTS AND SENIORS, PROMOTING HEALTH COVERAGE, ACCESS TO PRIMARY CARE AVAILABLE TO THEM VS EMERGENCY DEPARTMENT VISITS AND HEALTHIER LIFESTYLE ACTIVITIES SUCH AS FOOD CHOICES, EXERCISE AND HEALTH SCREENINGS. HEALTHY ACCESS ALSO HELD A LARGE HEALTH FAIR WITH A "BACK TO SCHOOL" THEME, AIMED TO SUPPORT SCHOOL READINESS FOR CHILDREN GRADES K-12. NEARLY 40 DIFFERENT COMMUNITY RESOURCES WERE ON SITE, INCLUDING FREE DENTAL SCREENINGS, COUNSELING, PRIMARY CARE CONNECTIONS, SUICIDE PREVENTION, CALFRESH INFORMATION, A FOOD BANK, JOB DEVELOPMENT, SUPPORT SERVICES AND FUN EVENTS FOR KIDS, LIKE BIKE GIVEAWAYS. IN ADDITION TO ADDRESSING THE LACK OF ACCESS TO PRIMARY AND PREVENTATIVE SERVICES, HEALTHY ACCESS ALSO TACKLES ACCESS TO MENTAL HEALTH, ACCESS TO DENTAL AND IMPROVED HEALTH LITERACY. |
| PART VI, LINE 5 (CONTINUED) | IN 1994 A COLLABORATIVE BETWEEN MERCY HEALTHCARE OF SACRAMENTO, SUTTER COMMUNITY HOSPITALS OF SACRAMENTO, UC DAVIS SCHOOL OF MEDICINE, KAISER PERMANENTE MEDICAL GROUP, THE SACRAMENTO COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE SIERRA SACRAMENTO VALLEY MEDICAL SOCIETY WAS ESTABLISHED TO INCREASE AND ENHANCE PHYSICIAN RESPONSE TO THE MEDICAL NEEDS OF THE TARGETED POPULATION THROUGH VOLUNTEERISM. THE COLLABORATORS NAMED THE PROJECT THE SACRAMENTO PHYSICIANS' INITIATIVE TO REACH OUT, INNOVATE AND TEACH (SPIRIT). SPIRIT CURRENTLY PROVIDES DONATED SERVICES TO OVER 1,400 PATIENTS PER YEAR, INCLUDING 60+ FREE OUTPATIENT SURGERIES. TO DATE SPIRIT VOLUNTEERS HAVE DONATED $8.4 MILLION IN CARE TO NEARLY 40,000 PATIENTS. SPIRIT, THE ORGANIZATION THAT PROVIDES ALL OF THE CASE MANAGEMENT SERVICES, WORKS CLOSELY WITH SMCS AND THE SUTTER AMBULATORY SURGERY CENTERS TO PROVIDE CHARITY SURGICAL AND SPECIALTY CARE AT SUTTER AFFILIATED AMBULATORY SURGERY CENTERS FOR ELIGIBLE, LOW-INCOME PATIENTS. REFERRALS ARE GENERATED BY A LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) AND BY PARTICIPATING SURGEONS. ELIGIBLE PATIENTS HAVE NO INSURANCE, BELOW 250% OF THE FEDERAL POVERTY LEVEL, AND CAN BE TREATED AS A SURGICAL OUTPATIENT. SOME OF THE SURGERIES PROVIDED ARE CATARACT, OTHER OPHTHALMOLOGIC SURGERIES, OB-GYN, ENT, ORTHOPEDICS AND GENERAL SURGERY. THE SERIAL INEBRIATE PROGRAM (SIP) IS A RESULT OF A PARTNERSHIP BETWEEN SUTTER MEDICAL CENTER, SACRAMENTO AND THE DOWNTOWN SACRAMENTO PARTNERSHIP (DSP) NAVIGATORS. USING A MODEL WITH GREAT SUCCESS, THE DSP NAVIGATORS REACH OUT AND BUILD A ONE-ON-ONE RAPPORT WITH HOMELESS ADULTS LIVING ON DOWNTOWN STREETS. THE NAVIGATORS GRADUALLY DEVELOP RELATIONSHIPS AND EVENTUALLY CONNECT INDIVIDUALS WITH LOCAL COMMUNITY SERVICE PROGRAMS. THE NAVIGATORS DON'T MOVE ON AT THAT POINT; THEY CONTINUE WORKING CLOSELY WITH EACH INDIVIDUAL, FACILITATING ACCESS TO CARE AND FINDING WAYS TO IMPROVE THEIR LIVING CONDITIONS. ANOTHER SIP PARTNER IS THE SACRAMENTO DISTRICT ATTORNEY'S OFFICE AND THE DOWNTOWN COMMUNITY PROSECUTOR, WHICH BOTH WORK WITH SIP PATIENTS AND HOMELESS ADULTS WHO HAVE BEEN ARRESTED REPEATEDLY FOR PUBLIC INTOXICATION. THOUGH OTHER CITIES ARE BEGINNING TO OFFER SIMILAR PROGRAMS, THE SACRAMENTO PROGRAMS OFFER A UNIQUE TWIST. THE SIP UNITES DOWNTOWN AND MIDTOWN SACRAMENTO BUSINESSES, NONPROFIT ORGANIZATIONS, GOVERNMENT, ENFORCEMENT AGENCIES AND SUTTER MEDICAL CENTER, SACRAMENTO IN A TRULY COLLABORATIVE EFFORT. FOR MANY YEARS, HOMELESSNESS SEEMED TO BE AN ETERNAL, INCURABLE EPIDEMIC. IN RECENT YEARS, HOWEVER, THE CONNECTION BETWEEN HOMELESS AND HOPELESS HAS BEGUN TO GIVE WAY. THE SHIFT HAS COME ABOUT THROUGH AN INNOVATIVE IDEA THAT IS APPEARING IN A GROWING NUMBER OF CITIES, INCLUDING SACRAMENTO. THE APPROACH OFFERS CHRONICALLY HOMELESS ADULTS AN IMPORTANT INGREDIENT MISSING IN PAST PROGRAMS-THE OPPORTUNITY TO MOVE INTO PERMANENT HOUSING AND MEDICAL HOMES. TO QUALIFY, INDIVIDUALS HAVE BEEN ARRESTED, TAKEN TO DETOX CENTERS OR EMERGENCY DEPARTMENTS MORE THAN 25 TIMES IN A 12-MONTH PERIOD. THE PROGRAM CONSISTS OF A PARTNERSHIP BETWEEN SUTTER MEDICAL CENTER, SACRAMENTO, SACRAMENTO'S NAVIGATOR PROGRAM (SPONSORED BY THE DOWNTOWN PARTNERSHIP, AN ORGANIZATION THAT SUPPORTS THE BUSINESS COMMUNITY), AND SACRAMENTO SELF HELP HOUSING. THE GOAL OF THE SIP IS TO MOVE HOMELESS MEN AND WOMEN OFF THE STREETS, AND CONNECT THEM WITH THE MEDICAL SERVICES AND HOUSING RESOURCES THEY WOULDN'T OTHERWISE HAVE ACCESS TO. THE SIP PROGRAM PROVIDES EARLY INTERVENTION AND A LASTING SOLUTION, BY LINKING THE HOMELESS TO HOUSING, PRIMARY CARE, SUBSTANCE ABUSE RESOURCES AND MENTAL HEALTH SERVICES. INSTEAD OF RELYING ON POLICE OR OTHER NON-PROFIT AGENCIES THAT WORK TO ALLEVIATE HOMELESSNESS AND THE PROBLEMS ASSOCIATED WITH IT, THE SIP IS A PARTNERSHIP THAT HELPS BREAK THE CYCLE AND HELP THESE MEN AND WOMEN MOVE OFF THE STREETS AND ON WITH THEIR LIVES. IN ADDITION TO ADDRESSING THE LACK OF HOUSING/BASIC SHELTER, THE SIP PROVIDES ACCESS TO PRIMARY AND PREVENTATIVE SERVICES, LACK OF ACCESS TO MENTAL HEALTH SERVICES, LACK OF ACCESS TO DENTAL CARE AND LACK OF HEALTH LITERACY BY TEACHING THE SIP CLIENTS HOW TO COOK, ABOUT NUTRITION, GOING TO DOCTORS APPOINTMENTS AND LIVING AN OVERALL HEALTHIER LIFE. SUTTER ROSEVILLE MEDICAL CENTER T3 (TRIAGE, TRANSPORT AND TREATMENT) CONNECTS PATIENTS TO THE SERVICES THEY NEED AT THE EASIEST LEVEL OF CARE AND RIGHT INTENSITY OF SUPPORT. T3 PROVIDES SERVICES TO PATIENTS WHO SEEK EMERGENCY DEPARTMENT CARE FOR NEEDS THAT ARE BEST ADDRESSED THROUGH PREVENTIVE MEASURES AND BY PRIMARY CARE PROVIDERS. THIS PROGRAM IS A MODEL FOR THE KIND OF CHANGE BEING CALLED FOR IN VARIOUS HEALTH CARE REFORM PLANS. A HUGE OBSTACLE FOR HEALTHCARE PROVIDERS, INCLUDING SUTTER ROSEVILLE MEDICAL CENTER, IS THE INAPPROPRIATE USE OF THE EMERGENCY DEPARTMENT. THIS ISSUE IS NOT ONLY PROBLEMATIC FOR THE HEALTHCARE PROVIDER, BUT ALSO FOR THE PATIENTS WHO ARE NOT RECEIVING THE APPROPRIATE CARE IN THE APPROPRIATE PLACE, AT THE APPROPRIATE TIME. PROGRAMS LIKE T3 SEEK TO CONNECT PEOPLE WHO FREQUENTLY AND INAPPROPRIATELY USE THE EMERGENCY DEPARTMENT TO THE CORRECT RESOURCES, INCLUDING HOUSING AND MENTAL HEALTH SERVICES, WHICH IS VITAL TO THE POPULATION WHO UTILIZES T3. MOVING THESE PATIENTS FROM THE EMERGENCY DEPARTMENT IMPROVES THE PATIENTS' HEALTH BY PROVIDING THEM WITH THE APPROPRIATE CARE IN THE RIGHT SETTING, WHILE REDUCING THE WAIT FOR THOSE SEEKING CARE FOR REAL MEDICAL EMERGENCIES, AND DRAMATICALLY REDUCING COSTS TO OUR HEALTH CARE SYSTEM. SRMC PARTNERS WITH AND PROVIDES FUNDING TO WELLSPACE HEALTH, THE GREATER SACRAMENTO REGION'S LARGEST FEDERALLY QUALIFIED HEALTH CLINIC, TO OFFER THIS PROGRAM TO SOME OF THE MOST VULNERABLE PATIENTS IN OUR SERVICE AREA. IN PARTNERSHIP WITH THE GATHERING INN, KAISER PERMANENTE, SUTTER ROSEVILLE MEDICAL CENTER AND SUTTER AUBURN FAITH HOSPITAL PROVIDE THE INTERIM CARE PROGRAM (ICP), A TEMPORARY RESPITE PROGRAM FOR HOMELESS PATIENTS WHO ARE DISCHARGED FROM ONE OF THE PARTICIPATING HOSPITALS. WHEN A PATIENT IS READY FOR APPROPRIATE DISCHARGE, BUT DOES NOT HAVE A PLACE TO OTHERWISE HEAL, THEY CAN BE REFERRED TO THE INTERIM CARE PROGRAM. UPON DISCHARGE, THE GATHERING INN PROVIDES ON-SITE NURSING AND SOCIAL SERVICES TO SUPPORT CLIENTS IN THEIR RECUPERATION AND HELP THEM MOVE OUT OF HOMELESSNESS. A WELLSPACE CASE MANAGER LINKS CLIENTS WITH SERVICES, LIKE MENTAL HEALTH SERVICES, SUBSTANCE ABUSE RECOVERY, HOUSING WORKSHOPS AND PROVIDES DISABILITY APPLICATION ASSISTANCE. THE GATHERING INN WORKS WITH ADVOCATES FOR MENTALLY ILL (AMI) TO PROVIDE BEDS WHERE CLIENTS HAVE THREE MEALS A DAY AND A SAFE, CLEAN PLACE TO RECOVER FROM THEIR HOSPITALIZATIONS. THE PROGRAM IS DESIGNED TO GIVE PATIENTS WITHOUT HOUSING ALTERNATIVES, A CLEAN AND SAFE PLACE TO HEAL FOR UP TO SIX WEEKS AND COMPREHENSIVE "WRAPAROUND" SERVICES LIKE SUBSTANCE ABUSE TREATMENT, PERMANENT HOUSING AND MEDICAL CARE. ED NAVIGATORS ATTEND TO PATIENTS IN THE EMERGENCY DEPARTMENT (UPON REFERRAL FROM A SRMC EMPLOYEE AND AFTER PATIENT AGREEMENT) TO PROVIDE ASSISTANCE IN IDENTIFYING PRIMARY CARE PROVIDERS AND TO DETERMINE OTHER CLIENT NEEDS. SRMC PROVIDES FUNDING TO WELLSPACE TO OFFER THIS IMPORTANT PROGRAM TO THE UNDERSERVED IN OUR COMMUNITY. THE ED NAVIGATOR IS AN EMPLOYEE OF WELLSPACE HEALTH AND SERVES AS A VISIBLE EDBASED STAFF MEMBER WHO IS ABLE TO PROVIDE REFERRALS TO TREATMENT FOR THOSE WHO ARE SEEKING CARE IN THE ED FOR NON-URGENT MATTERS. THE ED NAVIGATOR WILL CONNECT WITH PATIENTS AND PROVIDE REFERRALS TO PRIMARY CARE APPOINTMENTS, THE T3 PROGRAM FOR PERSONS WHO ARE FREQUENT NON-URGENT USERS, WELLSPACE AND OTHER CLINICS FOR THOSE WHO NEED A MEDICAL HOME AND OTHER IMPORTANT COMMUNITY RESOURCES, SUCH AS INSURANCE AND HOUSING. THE ED NAVIGATORS ARE CRITICAL IN DIRECTING THOSE WHO NEED MEDICAL HOMES OR ACCESS TO SERVICES, TO THE RIGHT CARE IN THE RIGHT PLACE AT THE RIGHT TIME. THE ED NAVIGATOR PROGRAM IS ANOTHER EXAMPLE OF THE COLLABORATIVE AND INNOVATIVE RELATIONSHIP SHARED BETWEEN SRMC AND WELLSPACE HEALTH. HEALTH EXPRESS SEEKS TO PROVIDE TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS FOR PLACER COUNTY'S MOST VULNERABLE POPULATIONS, INCLUDING SENIOR RESIDENTS. ONE OF THE KEY ISSUES OFTEN IDENTIFIED DURING COMMUNITY HEALTH NEEDS ASSESSMENTS ARE GAPS IN BASIC TRANSPORTATION SERVICES FOR SENIORS AND THE UNDERSERVED POPULATION, WHO OFTEN SITE LACK OF TRANSPORTATION AS A KEY BARRIER TO ACCESSING APPROPRIATE PRIMARY CARE AND HEALTH-RELATED APPOINTMENTS. HEALTH EXPRESS SEEKS TO BRIDGE THIS GAP, TO ENSURE THAT THE PLACER COUNTY CITIZENS WHO WOULD OTHERWISE NOT HAVE ACCESS TO TRANSPORTATION ARE PROVIDED THE NECESSARY MEANS TO OBTAIN APPROPRIATE MEDICAL CARE. SRMC PROVIDES FUNDING TO HEALTH EXPRESS AND PARTNERS WITH SENIORS FIRST, PLACER COUNTY TRANSPORTATION PLANNING AGENCY AND KAISER PERMANENTE. |
| PART VI, LINE 5 (CONTINUED) | THE HEALTH EXPRESS PARTNERSHIP PROVIDES TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS FOR PLACER COUNTY'S UNDERSERVED, VULNERABLE AND ELDERLY POPULATION, WHO ARE UNABLE TO ACCESS NECESSARY MEDICAL CARE, DUE TO TRANSPORTATION CONSTRAINTS. THIS PROGRAM IS PUBLICIZED THROUGHOUT PLACER COUNTY TO ENCOURAGE USE. IN ORDER TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR PLACER COUNTY SENIORS, DISABLED, AND UNDERSERVED POPULATIONS, THE HEALTH EXPRESS WAS EXPANDED IN 2007 TO INCLUDE A LARGER POPULATION AND PROVIDE LAST RESORT MEDICALLY RELATED TRANSPORTATION SERVICES WITHIN MOST OF PLACER COUNTY. SENIOR RECREATION AND RESPITE PROGRAM (R & R) CONNECTS THE SENIOR POPULATION IN PLACER COUNTY, WHO MIGHT OTHERWISE BE ISOLATED, WITH IMPORTANT SOCIAL AND EDUCATIONAL ACTIVITIES. THE SENIOR RECREATION AND RESPITE PROGRAM (R & R) IS DESIGNED TO MEET THE NEEDS OF OLDER ADULTS WITH MEMORY OR PHYSICAL IMPAIRMENT. THE PROGRAM PROVIDES RECREATIONAL, SOCIAL AND EDUCATIONAL ACTIVITIES FOR THE PARTICIPANTS AND RESPITE FOR CAREGIVERS TO ENJOY SOME FREE TIME TO THEMSELVES. THE STAFF IS SUPPORTED BY ITS VALUABLE TEAM OF VOLUNTEERS AND COMPLETED BY PERSONAL CARE AIDES. R & R MEETS IN VARIOUS LOCATIONS THROUGHOUT ROSEVILLE, AUBURN AND LINCOLN TO REACH THE MAXIMUM AMOUNT OF SENIORS IN NEED. IN 2010, THE R&R PROGRAM EXPANDED AND TRANSPORTATION IS NOW OFFERED THROUGH HEALTH EXPRESS TO ENSURE THOSE WHO BENEFIT THE MOST FROM THE PROGRAM WILL CONTINUE TO ACCESS. SUTTER SOLANO MEDICAL CENTER THE TRANSITIONAL CARE PROGRAM (TCP) PROVIDES A PLACE TO DISCHARGE AND CONNECT HOMELESS PATIENTS, WHO ARE TRADITIONALLY UNDERSERVED RESIDENTS, WITH RESOURCES AND SUPPORT. SSMC, ALONG WITH OTHER LOCAL HEALTH PROVIDERS, OFFER FUNDING AND SUPPORT TO THE SOLANO COALITION FOR BETTER HEALTH AND THE BENICIA COMMUNITY ACTION COALITION, TO PROVIDE THIS PROGRAM TO SOME OF SOLANO COUNTY'S MOST VULNERABLE RESIDENTS. THIS PROGRAM LINKS HOMELESS ADULTS TO VITAL COMMUNITY SERVICES WHILE GIVING THEM A PLACE TO HEAL, AS WELL AS MEDICAL FOLLOW UP AND CASE MANAGEMENT. THE CLIENTS WHO ARE ENROLLED IN THE TCP ARE INDIVIDUALS WHO OTHERWISE WOULD BE DISCHARGED TO THE STREET OR CARED FOR IN AN INPATIENT SETTING ONLY. IN ADDITION, THE TCP ALLOWS PATIENTS TO FOCUS ON RECOVERY AND DEVELOPING A LONG-TERM PLAN TO GET OFF THE STREETS, ALL WHILE BEING LINKED TO VITAL COMMUNITY AND MEDICAL SERVICES. THE TCP HAS PRODUCED IMPRESSIVE CLIENT OUTCOMES BY PROVIDING "WRAPAROUND" SERVICES INCLUDING CONNECTION TO A MEDICAL HOME, ENROLLMENT IN ELIGIBLE PROGRAMS AND SUPPORT SERVICES FOR CLIENTS. THE EMERGENCY DEPARTMENT NAVIGATOR PROGRAM SEEKS TO CONNECT WITH PATIENTS WHO ARE INAPPROPRIATELY ACCESSING CARE AT THE SUTTER SOLANO MEDICAL CENTER EMERGENCY DEPARTMENT AND LINKS ALL NON-URGENT USERS OF THE ED TO IMMEDIATE COMMUNITY RESOURCES AND MEDICAL CARE. MORE SPECIFICALLY, ED NAVIGATORS REACH OUT TO PATIENTS WHO DO NOT HAVE A PRIMARY CARE PROVIDER AND PROVIDE EXTERNAL MANAGEMENT, CONNECTION TO SERVICES (E.G. INSURANCE ENROLLMENT, SUBSTANCE ABUSE TREATMENT, ETC.) AND FOLLOW UP TO ENSURE A PRIMARY CARE PROVIDER IS BEING UTILIZED. ED NAVIGATORS ARE EMPLOYEES OF LA CLINICA, BUT ARE SUPPORTED THROUGH FUNDING FROM SSMC AND RESIDE IN THE SUTTER SOLANO MEDICAL CENTER EMERGENCY DEPARTMENT. ADDITIONALLY, WE RECENTLY EXPANDED THIS PROGRAM TO INCLUDE A CERTIFIED APPLICATION ASSISTANT, WHO WORKS ALONGSIDE THE ED NAVIGATOR IN THE EMERGENCY ROOM AND PROVIDES EDUCATION, OUTREACH AND INSURANCE ENROLLMENT SERVICES FOR THE PATIENTS WHO NEED IT. INVESTMENT IN FEDERALLY QUALIFIED HEALTH CENTERS (FQHC'S) THROUGHOUT THE SUTTER HEALTH SACRAMENTO SIERRA REGION IS IMPERATIVE TO THE HEALTH AND WELLBEING OF OUR COMMUNITIES AS WE PREPARE FOR AFFORDABLE CARE ACT IMPLEMENTATION IN 2014. AS A RESULT, SSMC HAS PROVIDED STRATEGIC INVESTMENTS IN LA CLINICA, VALLEJO NORTH, TO INCREASE THEIR CAPACITY TO SERVE THE UNDERINSURED. LA CLINICA SERVES A KEY PARTNER IN SOLANO COUNTY, AS THEY PROVIDE CARE TO SOME OF THE MOST VULNERABLE POPULATIONS IN OUR REGION. BY CONTINUING TO INVEST IN THIS IMPORTANT HEALTH CENTER, WE ARE ENSURING THE UNDERSERVED HAVE ACCESS TO CARE AND A MEDICAL HOME. LA CLNICA NORTH VALLEJO IS LOCATED ACROSS THE PARKING LOT FROM SUTTER SOLANO MEDICAL CENTER AND OFFERS PRIMARY MEDICAL CARE, HEALTH EDUCATION, SOCIAL SERVICES AND BEHAVIORAL HEALTH SERVICES TO RESIDENTS OF SOLANO COUNTY AND SURROUNDING AREAS. LA CLINICA IS A FULL SERVICE URGENT CARE HEALTH CENTER THAT SERVES DIVERSE PATIENTS FROM THE SUTTER SOLANO EMERGENCY DEPARTMENT AND PROVIDES MEDICAL PROCEDURES BEYOND TRADITIONAL PRIMARY CARE INCLUDING SUTURING, INCISION AND DRAINAGE, CASTING, AND MUCH MORE. THEIR GOAL IS TO PROVIDE QUALITY, PATIENT-CENTERED HEALTH INFORMATION, EDUCATION AND CLINICAL CARE TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF ECONOMIC, INSURANCE, OR CULTURAL BARRIERS. LA CLINICA ACCOMPLISHES THIS THROUGH COLLABORATIVE, INNOVATIVE PROGRAMS, SERVICES AND REFERRAL RESOURCES TO MEET THE ECONOMIC NEEDS OF THE ENTIRE COMMUNITY. IN ADDITION TO PRIMARY AND MENTAL HEALTH CARE SERVICES, LA CLINICA OFFERS, PHYSICAL EXAMS, IMMUNIZATIONS, PAP SMEARS, NUTRITION AND FITNESS PROMOTION, MANAGEMENT OF CHRONIC ILLNESSES, LABORATORY TESTING, SMOKING CESSATION AND PRESCRIPTIONS AND PHARMACY ASSISTANCE PROGRAM. LA CLINICA NORTH VALLEJO ALSO PROVIDES URGENT CARE, FAMILY PLANNING SERVICES (INCLUDING, PREGNANCY TESTING AND REFERRALS, BIRTH CONTROL AND SAFE SEX EDUCATION, DIAGNOSIS AND TREATMENT OF SEXUALLY-TRANSMITTED AND OTHER INFECTIONS AND HIV TESTING) BEHAVIORAL HEALTH CARE SERVICES (INCLUDING GRIEF COUNSELING, CRISIS INTERVENTION, CASE MANAGEMENT LINKAGE & REFERRALS, COUNSELING SUPPORT/EDUCATION GROUPS) AND SPECIALTY CARE SERVICES. LA CLINICA DENTAL ALSO OFFERS DENTAL EXAMS FOR CHILDREN, CLEANING AND POLISHING, CROWN AND BRIDGE, FULL AND PARTIAL DENTURES, EMERGENCY TREATMENT (INCLUDING EXTRACTIONS, RESTORATIONS AMALGAM, COMPOSITE) FLUORIDE AND SEALANT TREATMENT AND GENERAL DENTISTRY. BY INVESTING IN LA CLINICA AND SUPPORTING THIS TREMENDOUS ORGANIZATION'S GROWTH AND INNOVATIVE EFFORTS, WE ARE ABLE TO ADDRESS MULTIPLE PRIORITY NEEDS IN EFFECTIVE AND IMPACTFUL WAYS. IN ADDITION TO ADDRESSING THE LACK OF ACCESS TO PREVENTATIVE SERVICES AND COMMUNITY PROGRAMS, AS WELL AS LIMITED ACCESS TO FOLLOW-UP TREATMENT AND SPECIALTY CARE, SSMCS INVESTMENT IN LA CLINICA ALSO HELPS TACKLE THE COMMUNITY'S NEED FOR ACCESS TO HEALTH EDUCATION, LACK OF PREVENTIVE SERVICES AND COMMUNITY PROGRAMS, AND LIMITED ACCESS TO MEDICATIONS AND PRESCRIPTION DRUGS. SUTTER AUBURN FAITH HOSPITAL T3 (TRIAGE, TRANSPORT AND TREATMENT) CONNECTS PATIENTS TO THE SERVICES THEY NEED AT THE EASIEST LEVEL OF CARE AND RIGHT INTENSITY OF SUPPORT. T3 PROVIDES SERVICES TO PATIENTS WHO SEEK EMERGENCY DEPARTMENT CARE FOR NEEDS THAT ARE BEST ADDRESSED THROUGH PREVENTIVE MEASURES AND BY PRIMARY CARE PROVIDERS. THIS PROGRAM IS A MODEL FOR THE KIND OF CHANGE BEING CALLED FOR IN VARIOUS HEALTH CARE REFORM PLANS. A HUGE OBSTACLE FOR HEALTHCARE PROVIDERS, INCLUDING SUTTER AUBURN FAITH HOSPITAL, IS THE INAPPROPRIATE USE OF THE EMERGENCY DEPARTMENT. THIS ISSUE IS NOT ONLY PROBLEMATIC FOR THE HEALTHCARE PROVIDER, BUT ALSO FOR THE PATIENTS WHO ARE NOT RECEIVING THE APPROPRIATE CARE IN THE APPROPRIATE PLACE, AT THE APPROPRIATE TIME. PROGRAMS LIKE T3 SEEK TO CONNECT PEOPLE WHO FREQUENTLY AND INAPPROPRIATELY USE THE EMERGENCY DEPARTMENT TO THE CORRECT RESOURCES, INCLUDING PRIMARY CARE, INSURANCE, HOUSING AND MENTAL HEALTH SERVICES, WHICH IS VITAL TO THE POPULATION WHO UTILIZES T3. |
| PART VI, LINE 5 (CONTINUED) | MOVING THESE PATIENTS FROM THE EMERGENCY DEPARTMENT IMPROVES THE PATIENTS' HEALTH BY PROVIDING THEM WITH THE APPROPRIATE CARE IN THE RIGHT SETTING, WHILE REDUCING THE WAIT FOR THOSE SEEKING CARE FOR REAL MEDICAL EMERGENCIES, AND DRAMATICALLY REDUCING COSTS TO OUR HEALTH CARE SYSTEM. SAFH AND SRMC PARTNERS WITH AND PROVIDES FUNDING TO WELLSPACE HEALTH, THE GREATER SACRAMENTO REGION'S LARGEST FEDERALLY QUALIFIED HEALTH CLINIC, TO OFFER THIS PROGRAM TO SOME OF THE MOST VULNERABLE PATIENTS IN OUR SERVICE AREA. IN PARTNERSHIP WITH THE GATHERING INN, KAISER PERMANENTE, SUTTER ROSEVILLE MEDICAL CENTER AND SUTTER AUBURN FAITH HOSPITAL PROVIDE THE INTERIM CARE PROGRAM (ICP), A TEMPORARY RESPITE PROGRAM FOR HOMELESS PATIENTS WHO ARE DISCHARGED FROM ONE OF THE PARTICIPATING HOSPITALS. WHEN A PATIENT IS READY FOR APPROPRIATE DISCHARGE, BUT DOES NOT HAVE A PLACE TO OTHERWISE HEAL, THEY CAN BE REFERRED TO THE INTERIM CARE PROGRAM. UPON DISCHARGE, THE GATHERING INN PROVIDES ON-SITE NURSING AND SOCIAL SERVICES TO SUPPORT CLIENTS IN THEIR RECUPERATION AND HELP THEM MOVE OUT OF HOMELESSNESS. A WELLSPACE CASE MANAGER LINKS CLIENTS WITH SERVICES, LIKE MENTAL HEALTH SERVICES, SUBSTANCE ABUSE RECOVERY, HOUSING WORKSHOPS AND PROVIDES DISABILITY APPLICATION ASSISTANCE. THE GATHERING INN WORKS WITH ADVOCATES FOR MENTALLY ILL (AMI) TO PROVIDE BEDS WHERE CLIENTS HAVE THREE MEALS A DAY AND A SAFE, CLEAN PLACE TO RECOVER FROM THEIR HOSPITALIZATIONS. THE PROGRAM IS DESIGNED TO GIVE PATIENTS WITHOUT HOUSING ALTERNATIVES, A CLEAN AND SAFE PLACE TO HEAL FOR UP TO SIX WEEKS AND COMPREHENSIVE "WRAPAROUND" SERVICES LIKE SUBSTANCE ABUSE TREATMENT, PERMANENT HOUSING AND MEDICAL CARE. ED NAVIGATORS ATTEND TO PATIENTS IN THE EMERGENCY DEPARTMENT (UPON REFERRAL FROM A SUTTER EMPLOYEE AND AFTER PATIENT AGREEMENT) TO PROVIDE ASSISTANCE IN IDENTIFYING PRIMARY CARE PROVIDERS AND TO DETERMINE OTHER CLIENT NEEDS. SHSSR AFFILIATES PROVIDE FUNDING TO WELLSPACE TO OFFER THIS IMPORTANT PROGRAM TO THE UNDERSERVED IN OUR COMMUNITY. ED NAVIGATOR IS AN EMPLOYEE OF WELLSPACE HEALTH AND SERVES AS A VISIBLE ED BASED STAFF MEMBER WHO IS ABLE TO PROVIDE REFERRALS TO TREATMENT FOR THOSE WHO ARE SEEKING CARE IN THE ED FOR NON-URGENT MATTERS. THE ED NAVIGATOR WILL CONNECT WITH PATIENTS AND PROVIDE REFERRALS TO PRIMARY CARE APPOINTMENTS, THE T3 PROGRAM FOR PERSONS WHO ARE FREQUENT NON-URGENT USERS, WELLSPACE AND OTHER CLINICS FOR THOSE WHO NEED A MEDICAL HOME AND OTHER IMPORTANT COMMUNITY RESOURCES, SUCH AS INSURANCE AND HOUSING. THE ED NAVIGATORS ARE CRITICAL IN DIRECTING THOSE WHO NEED MEDICAL HOMES OR ACCESS TO SERVICES, TO THE RIGHT CARE IN THE RIGHT PLACE AT THE RIGHT TIME. THE ED NAVIGATOR PROGRAM IS ANOTHER EXAMPLE OF THE COLLABORATIVE AND INNOVATIVE RELATIONSHIP SHARED BETWEEN SAFH AND WELLSPACE HEALTH; HOWEVER, IN AUBURN, WE PLAN TO USE CHAPA DE AS THE PRIMARY HEALTH CENTER FOR REFERRALS. SENIOR RECREATION AND RESPITE PROGRAM (R & R) CONNECTS THE SENIOR POPULATION IN PLACER COUNTY, WHO MIGHT OTHERWISE BE ISOLATED, WITH IMPORTANT SOCIAL AND EDUCATIONAL ACTIVITIES. THE SENIOR RECREATION AND RESPITE PROGRAM (R & R) IS DESIGNED TO MEET THE NEEDS OF OLDER ADULTS WITH MEMORY OR PHYSICAL IMPAIRMENT. THE PROGRAM PROVIDES RECREATIONAL, SOCIAL AND EDUCATIONAL ACTIVITIES FOR THE PARTICIPANTS AND RESPITE FOR CAREGIVERS TO ENJOY SOME FREE TIME TO THEMSELVES. THE STAFF IS SUPPORTED BY ITS VALUABLE TEAM OF VOLUNTEERS AND COMPLETED BY PERSONAL CARE AIDES. R & R MEETS IN VARIOUS LOCATIONS THROUGHOUT ROSEVILLE, AUBURN AND LINCOLN TO REACH THE MAXIMUM AMOUNT OF SENIORS IN NEED. IN 2010, THE R&R PROGRAM EXPANDED AND TRANSPORTATION IS NOW OFFERED THROUGH HEALTH EXPRESS TO ENSURE THOSE WHO BENEFIT THE MOST FROM THE PROGRAM WILL CONTINUE TO HAVE ACCESS. THE PROMOTORA PROGRAM IS THE RESULT OF A PARTNERSHIP BETWEEN SUTTER AUBURN FAITH HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER AND THE LATINO LEADERSHIP COUNCIL. AS THE BRIDGE BETWEEN THE HOSPITAL AND THE PATIENTS, PROMOTORAS SERVE THE DUAL ROLE OF ADVOCATING FOR THE PATIENT WHILE AT THE SAME TIME ENSURING THAT THE PATIENT FULLY UNDERSTANDS AND COMPLIES WITH THE HEALTH CARE PROVIDER'S RECOMMENDATIONS. PROMOTORAS HELP BRIDGE THE CULTURAL AND LINGUISTIC GAP BETWEEN THE HEALTH CARE PROVIDER AND THE PATIENT. AS THE BRIDGE, THEY SERVE THE DUAL ROLE OF ADVOCATING FOR THE PATIENT WHILE AT THE SAME TIME ENSURING THAT THE PATIENT FULLY UNDERSTANDS AND COMPLIES WITH THE HEALTH CARE PROVIDER'S RECOMMENDATIONS. THEY ASK THE QUESTIONS THAT THE PATIENTS AREN'T AWARE THEY SHOULD BE ASKING OR ARE CULTURALLY DISSUADED FROM ASKING, SINCE IT IS CULTURALLY INAPPROPRIATE TO QUESTION AUTHORITY FIGURES SUCH AS PHYSICIANS OR NURSES. PROMOTORAS HELP ENSURE THAT PATIENTS TRULY UNDERSTAND WHAT IS AT STAKE AND WHAT IS BEING ASKED OF THEM, AND CAN PROVIDE FOLLOW UP SERVICES TO HELP ENSURE THAT PATIENTS RECEIVE THE RESOURCES THEY NEED. SUTTER NURSES AND OTHER MEDICAL STAFF ARE TRAINED TO PROVIDE SPANISH SPEAKING PATIENTS WITH INFORMATION ON THE PROMOTORA PROGRAM, AS WELL AS PROVIDE REFERRALS FOR PATIENTS WHO MIGHT BENEFIT FROM MAKING A CONNECTION OF THIS NATURE. PROMOTORAS ARE EXPERTS IN THE CULTURE, LANGUAGE AND COMMUNITY OF LATINO PATIENTS IN THAT AREA AS WELL AS A CONNECTOR TO COMMUNITY RESOURCES AND PROGRAMS THAT CAN HELP PATIENTS CONTINUE THEIR PATH TO WELLNESS. THEY ALSO UNDERSTAND CULTURAL NUANCES, PARTICULARLY AS THEY RELATE TO HEALTH CARE. WHEN A PATIENT IS IN NEED OF CARE, IT IS A TIME OF CRISIS FOR THEM AND THOSE CULTURAL NUANCES BECOME VERY IMPORTANT. PROMOTORAS ARE QUICKLY BECOMING A MUCH-NEEDED RESOURCE AND PARTNER IN OUR EFFORTS TO PROVIDE THE BEST MEDICAL CARE POSSIBLE TO PATIENTS, AS THEY HELP TO EXTEND A CONTINUUM OF CARE BEYOND THE FOUR WALLS OF THE HOSPITAL. HEALTH EXPRESS SEEKS TO PROVIDE TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS FOR PLACER COUNTY'S MOST VULNERABLE POPULATIONS, INCLUDING SENIOR RESIDENTS. ONE OF THE KEY ISSUES OFTEN IDENTIFIED DURING COMMUNITY HEALTH NEEDS ASSESSMENTS ARE GAPS IN BASIC TRANSPORTATION SERVICES FOR SENIORS AND THE UNDERSERVED POPULATION, WHO OFTEN CITE LACK OF TRANSPORTATION AS A KEY BARRIER TO ACCESSING APPROPRIATE PRIMARY CARE AND HEALTH-RELATED APPOINTMENTS. HEALTH EXPRESS SEEKS TO BRIDGE THIS GAP, TO ENSURE THAT THE PLACER COUNTY CITIZENS WHO WOULD OTHERWISE NOT HAVE ACCESS TO TRANSPORTATION, ARE PROVIDED THE NECESSARY MEANS TO OBTAIN APPROPRIATE MEDICAL CARE. SAFH PROVIDES FUNDING TO HEALTH EXPRESS AND PARTNERS WITH SENIORS FIRST, PLACER COUNTY TRANSPORTATION PLANNING AGENCY AND KAISER PERMANENTE. THE HEALTH EXPRESS PARTNERSHIP PROVIDES TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS FOR PLACER COUNTY'S UNDERSERVED, VULNERABLE AND ELDERLY POPULATION, WHO ARE UNABLE TO ACCESS NECESSARY MEDICAL CARE, DUE TO TRANSPORTATION CONSTRAINTS. THIS PROGRAM IS PUBLICIZED THROUGHOUT PLACER COUNTY TO ENCOURAGE USE. IN ORDER TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR PLACER COUNTY SENIORS, DISABLED, AND UNDERSERVED POPULATIONS, THE HEALTH EXPRESS WAS EXPANDED IN 2007 TO INCLUDE A LARGER POPULATION AND PROVIDE LAST RESORT MEDICALLY RELATED TRANSPORTATION SERVICES WITHIN MOST OF PLACER COUNTY. SUTTER AMADOR HOSPITAL THROUGHOUT THE MONTH OF OCTOBER, SUTTER DIAGNOSTIC IMAGING CENTERS ACROSS THE SHSSR REGION PROVIDE FREE DIGITAL SCREENING MAMMOGRAMS TO UNINSURED WOMEN IN HONOR OF NATIONAL BREAST CANCER AWARENESS MONTH. THE GOAL OF THIS OUTREACH EFFORT WAS TO NOT ONLY PROVIDE FREE SCREENINGS TO UNDERINSURED WOMEN IN OUR COMMUNITIES, BUT IT ALSO SERVES AS AN OPPORTUNITY TO PROVIDE WOMEN WITH INFORMATION ON HEALTH AND INSURANCE RESOURCES. FREE MAMMOGRAMS ARE OFFERED IN VARIOUS LOCATIONS, AT VARIOUS TIMES, INCLUDING IN AMADOR COUNTY, TO ENSURE AS MANY WOMEN AS POSSIBLE WERE ABLE TO TAKE ADVANTAGE OF THIS EFFORT. IN ADDITION, A PACKET OF FOLLOW UP RESOURCES WAS CREATED IN THE EVENT THAT A PARTICIPANT HAD AN ABNORMAL SCREENING, AS WELL AS INSURANCE ENROLLMENT SERVICES. SUTTER DIAGNOSTIC STAFF WAS ALSO GIVEN RESOURCES TO PROVIDE TO WOMEN WHO NEEDED DIAGNOSTIC FOLLOW UP AND/OR TREATMENT. THE GOAL IS NOT ONLY TO SCREEN UNINSURED WOMEN, BUT ALSO USE THESE EVENTS AS A CONNECTION POINT FOR THE UNDERSERVED MEMBERS OF OUR COMMUNITY, TO LINK THEM WITH A PRIMARY CARE PROVIDER AND FOLLOW UP RESOURCES IF NEEDED, AS WELL AS INSURANCE ENROLLMENT INFORMATION. SAH WILL HAVE TO EXAMINE THE CURRENT MODEL OF THIS PROGRAM IN 2014, AS UNDER THE AFFORDABLE CARE ACT, ALL WOMEN (WITH THE EXCEPTION OF UNDOCUMENTED IMMIGRANTS) WILL HAVE INSURANCE; THEREFORE, WE WILL REASSESS OUR PROCESS MOVING FORWARD, AS THESE EVENTS HAVE TYPICALLY TARGETED THE UNINSURED ONLY. SUTTER AMADOR HOSPITAL IS WORKING WITH THE AMADOR-TUOLUMNE COMMUNITY ACTION AGENCY (ATCCA) TO PROVIDE INSURANCE OUTREACH AND EDUCATION TO THE UNDERSERVED POPULATION IN AMADOR COUNTY. WITH THE SUPPORT OF SUTTER AMADOR HOSPITAL AND THE HELP OF A SMALL FEDERAL GRANT, THE ATCCA WILL BE DOING MAJOR OUTREACH TO CONNECT WITH THE UNDERSERVED POPULATION IN AMADOR COUNTY TO EDUCATE THEM ABOUT INSURANCE COVERAGE THROUGH COVERED |
| PART VI, LINE 5 (CONTINUED) | OVER THE LONG-TERM, SAH PLANS TO EXPLORE THE POSSIBILITY OF EXPANDING PARTNERSHIPS WITH RURAL HEALTH CLINICS AND FQHCS. WE WOULD LOOK AT CREATIVE WAYS TO STRENGTHEN THE RELATIONSHIP BETWEEN SAH AND FQHC'S LIKE WELLSPACE HEALTH, AS BUILDING BOTH THE CAPACITY AND SUSTAINABILITY OF FQHC'S CONTINUES TO BE OF CRITICAL IMPORTANCE NOT ONLY TO SUTTER, BUT IS VITAL TO THE OVERALL HEALTH AND WELLBEING OF THE COMMUNITY. THE 2013 CHNA SHOWS THAT LACK OF ACCESS TO CARE IS ONE OF THE MOST DIRE HEALTH RELATED CHALLENGES FACING OUR REGION. IT IS OUR GOAL TO TIGHTEN THE PARTNERSHIP WITH THESE IMPORTANT HEALTH CLINICS, TO PROVIDE A LINKAGE TO PRIMARY AND MENTAL HEALTH SERVICES TO THOSE WHO NEED IT THE MOST. IN ADDITION TO ADDRESSING THE LACK OF ACCESS TO PRIMARY AND PREVENTATIVE SERVICES, EXPANDED PARTNERSHIPS WITH RURAL HEALTH CLINICS AND FQHCS WOULD ALSO TACKLE LACK OF ACCESS TO MENTAL HEALTH SERVICES. LED BY A NATIONALLY RECOGNIZED DIABETES EDUCATOR AND SPECIALLY TRAINED STAFF OF NUTRITIONISTS, SUTTER AMADOR HOSPITAL'S (SAH) OUTPATIENT DIABETES EDUCATION AND CLINICAL NUTRITION CENTER HELPS PEOPLE WITH DIABETES AND THEIR FAMILIES UNDERSTAND AND MANAGE THIS LIFE-THREATENING DISEASE. SERVICES INCLUDE TRAINING IN THE USE OF BLOOD SUGAR TESTING EQUIPMENT, DIET AND EXERCISE, FOOD SHOPPING AND SYMPTOM CONTROL. THE PROGRAM ALSO OFFERS SWEET SUCCESS, A PROGRAM WITH SPECIAL EDUCATION AND COUNSELING FOR PREGNANT WOMEN. THE OUTPATIENT DIABETES EDUCATION AND CLINICAL NUTRITION CENTER ALSO HOSTS A DIABETES FAIR THAT OFFERS FREE BLOOD-GLUCOSE AND HEMOGLOBIN AIC TESTING FOR MORE THAN 200 PARTICIPANTS EACH YEAR. THE FAIR PROVIDES AN OPPORTUNITY FOR LOCAL RESIDENTS TO TALK TO VENDORS ABOUT PERSONAL BLOOD SUGAR TESTING EQUIPMENT, INSULIN PUMPS, DIETARY SUPPLEMENTS AND OTHER PRODUCTS. IN ADDITION, THE DIABETIC YOUTH SUMMER CAMP PROGRAM IS FUNDED BY VENDORS OF THE DIABETES FAIR AND GIFTS FROM THE COMMUNITY. THIS PROGRAM PAYS FOR YOUNG PEOPLE WITH DIABETES TO ATTEND SUMMER CAMPS DESIGNED FOR THEIR SPECIAL NEEDS AND PROVIDES AN OPPORTUNITY FOR THEM TO MEET OTHERS DEALING WITH THE CHALLENGES OF LIVING WITH DIABETES. SUTTER AMADOR HOSPITAL PARTNERED WITH THE AMADOR ORAL HEALTH TASK FORCE TO HELP ADDRESS ONE OF THE PRIORITY AREAS OF FOCUS IN AMADOR: PROVIDING UNDERINSURED CHILDREN WITH DENTAL CARE. THIS PARTNERSHIP ALLOWED THE ORAL HEALTH TASK FORCE TO OFFER TWICE-YEARLY DENTAL SCREENINGS, DENTAL EDUCATION AND FLUORIDE VARNISH TO UNINSURED/UNDERINSURED CHILDREN IN AMADOR COUNTY. LACK OF ADEQUATE DENTAL CARE WAS IDENTIFIED AS A MAJOR NEED IN AMADOR COUNTY; THEREFORE, SUPPORT OF THE AMADOR ORAL HEALTH TASK FORCE AND OTHER DENTAL RELATED EFFORTS, IS VITAL IN THE QUEST TO SPREAD ORAL HEALTH THROUGHOUT THE COMMUNITY. IN ADDITION TO PAST EFFORTS THAT ADDRESS THE LACK OF ACCESS TO DENTAL CARE, SAH WILL CONTINUE TO LOOK FOR NEW OPPORTUNITIES TO ENGAGE VARIOUS ORGANIZATIONS THROUGHOUT THE SAH'S HOSPITAL SERVICE AREA TO PROVIDE PREVENTATIVE DENTAL CARE TO THE CHILDREN AND ADULTS IN THE COMMUNITY. IN PARTNERSHIP WITH PUBLIC HEALTH AND OTHER COMMUNITY ORGANIZATIONS, SUTTER AMADOR HEALTH PLANS TO TAKE PART IN THE "LET'S GET HEALTHY AMADOR" CAMPAIGN. THIS IMPORTANT PUBLIC/PRIVATE PARTNERSHIP WILL ACTIVELY WORK TO ENCOURAGE PEOPLE THROUGHOUT AMADOR COUNTY TO EXERCISE AND STRESS THE IMPORTANCE OF HEALTHY LIVING. ADDITIONALLY, WALKING GROUPS AND OTHER GROUP FITNESS ACTIVITIES WILL BE CREATED AND PROMOTED TO THE GREATER AMADOR COMMUNITY AS A PART OF THIS EFFORT. IN ADDITION SERVING ON THE "LET'S GET HEALTHY AMADOR" BOARD AND PROVIDING OTHER RESOURCES, SUTTER AMADOR HOSPITAL HAS A BEAUTIFUL WALKING TRAIL ON THE CAMPUS OF THE HOSPITAL, WHICH IS OPEN TO NOT ONLY PATIENTS, BUT THE ENTIRE COMMUNITY. BETWEEN THE WALKING TRAIL AND EXPANDED EFFORT TO PROMOTE EXERCISE THROUGH THE HEALTHY LIVING CAMPAIGN, PROVIDING ENCOURAGEMENT AND OPPORTUNITY FOR PHYSICAL ACTIVITY IS GOING TO BE A MAJOR FOCUS IN 2014. SUTTER DAVIS HOSPITAL AS WE PREPARE FOR THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, WE UNDERSTAND THAT NOTHING IS MORE IMPORTANT THAN EXPANDING ACCESS TO CARE AND BUILDING CAPACITY FOR THE UNDERSERVED. CURRENTLY, LIMITED ACCESS TO CARE REMAINS THE TOP PRIORITY IN THE GREATER SACRAMENTO REGION, AND WHILE SUTTER DAVIS HOSPITAL FUNDS AND SUPPORTS MANY INITIATIVES AND ORGANIZATIONS THAT DO AMAZING WORK IN OUR COMMUNITY, THE INVESTMENTS WE PROVIDE TO COMMUNICARE TO EXPAND CAPACITY AND ACCESS TO CARE REMAIN PARAMOUNT. SDH HAS BEEN A LONGTIME PARTNER WITH COMMUNICARE AND WILL CONTINUE TO MAKE STRATEGIC INVESTMENTS AND PROVIDE SUPPORT TO THIS CRITICALLY IMPORTANT NETWORK, AS COMMUNICARE MEETS THE NEEDS OF MORE AND MORE PEOPLE THROUGHOUT YOLO COUNTY AND THE SDH HOSPITAL SERVICE AREA (HSA). COMMUNICARE PROVIDES CARE TO SOME OF THE MOST VULNERABLE POPULATIONS IN OUR REGION. BY CONTINUING TO MAKE STRATEGIC INVESTMENTS IN THIS IMPORTANT HEALTH CENTER, WE ARE ENSURING THE UNDERSERVED HAVE ACCESS TO CARE AND A MEDICAL HOME. THIS FEDERALLY QUALIFIED HEALTH CENTER (FQHC) HAS BEEN PROVIDING HEALTH CARE TO THOSE IN NEED SINCE 1972. COMMUNICARE OFFERS COMPREHENSIVE PRIMARY MEDICAL AND DENTAL SERVICES, SUBSTANCE ABUSE TREATMENT, BEHAVIORAL HEALTH SERVICES, HEALTH EDUCATION AND SUPPORT SERVICES IN YOLO COUNTY AND THE SURROUNDING COMMUNITIES THROUGH FIVE COMMUNITY CLINIC SITES AND OUTREACH PROGRAMS. COMMUNICARE PROVIDES MORE THAN 20,000 BEHAVIORAL HEALTH VISITS EACH YEAR. THE BEHAVIORAL HEALTH DEPARTMENT IS COMPRISED OF FOUR SERVICE CATEGORIES; ADULT SERVICES, ADOLESCENT SERVICES, FAMILY SERVICES AND INTEGRATED BEHAVIORAL HEALTH SERVICES. ADDITIONALLY, COMMUNICARE HEALTH CENTERS ARE DEDICATED TO PROVIDING A PATIENT CENTERED HEALTH HOME FOR ANY INDIVIDUAL WE SERVE REGARDLESS OF THEIR POINT OF ENTRY INTO OUR SYSTEM. THE BEHAVIORAL HEALTH TEAM WORKS CLOSELY WITH OUR MEDICAL, DENTAL AND PERINATAL PROVIDERS TO ENSURE THAT WE ARE TREATING THE ENTIRE INDIVIDUAL. PHYSICAL EXAMINATIONS ARE PROVIDED TO ALL CLIENTS ENTERING OUR BEHAVIORAL HEALTH PROGRAMS. IN ADDITION, MEDICALLY SUPERVISED DETOXIFICATION SERVICES ARE OFFERED FOR OPIATE AND STIMULANT WITHDRAWAL. ONE OF THE BEST AND MOST COST-EFFECTIVE WAYS TO PREVENT DISEASE AND PROMOTE HEALTHY COMMUNITIES IS TO TEACH PEOPLE HOW TO TAKE GOOD CARE OF THEMSELVES AND THEIR FAMILIES. COMMUNICARE HEALTH CENTERS PROVIDES COMPREHENSIVE HEALTH EDUCATION AND OUTREACH SERVICES THROUGHOUT THE COUNTY. COMMUNICARE HEALTH CENTERS REMAINS COMMITTED TO ITS FOUNDING PURPOSE, WHICH IS TO ENSURE THAT HIGH QUALITY HEALTH CARE IS AVAILABLE TO EVERYONE WHO NEEDS IT, AND TO PROVIDE A FULL RANGE OF SERVICES FROM ANNUAL EXAMS TO PEDIATRIC IMMUNIZATIONS TO TREATMENT FOR CHRONIC DISEASES. OVER THE YEARS, COMMUNICARE HAS BEEN ABLE TO EXPAND SERVICES TO INCLUDE DENTAL, EYE CARE AND PERINATAL PROGRAMS THAT MEET THE NEEDS OF OUR COMMUNITY. BY INVESTING IN COMMUNICARE AND SUPPORTING THIS TREMENDOUS ORGANIZATION'S GROWTH AND INNOVATIVE EFFORTS, WE ARE ABLE TO ADDRESS MULTIPLE PRIORITY NEEDS IN EFFECTIVE AND IMPACTFUL WAYS. IN ADDITION TO ADDRESSING THE LACK OF ACCESS TO PRIMARY AND PREVENTATIVE SERVICES, SDH'S PARTNERSHIP WITH COMMUNICARE HELPS EXPAND ACCESS TO AFFORDABLE MEDICAL CARE AND MEDICATIONS FOR ALL, ACCESS TO DENTAL CARE, ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, ACCESS TO SPECIALTY CARE AND EDUCATION ON HEALTH AND CHRONIC DISEASE MANAGEMENT. WORKING WITH SUTTER DIAGNOSTIC IMAGING CENTERS THROUGHOUT THE SUTTER HEALTH SACRAMENTO SIERRA REGION, SUTTER DAVIS HOSPITAL OFFERS THE OPPORTUNITY FOR UNINSURED WOMEN TO RECEIVE FREE DIGITAL MAMMOGRAMS. IN 2012, AS A RESULT OF ALL OF THE COLLABORATIVE EVENTS THROUGHOUT THE REGION, WE WERE ABLE TO PROVIDE A TOTAL OF 670 FREE AND LOW-COST MAMMOGRAMS. AT MANY OF OUR MAMMOGRAPHY EVENTS, WE HAVE WAITING LISTS AND LONG LINES, DEMONSTRATING THAT ACCESS TO PRIMARY AND PREVENTATIVE CARE CONTINUES TO BE A MAJOR ISSUE IN OUR REGION. OUR GOAL IS NOT ONLY TO SCREEN UNINSURED WOMEN, BUT WE ALSO USE THESE EVENTS AS A CONNECTION POINT FOR THE UNDERSERVED MEMBERS OF OUR COMMUNITY, TO LINK THEM WITH A PRIMARY CARE PROVIDER, FOLLOW UP RESOURCES IF NEEDED, INSURANCE ENROLLMENT INFORMATION AND OTHER KEY SERVICES. NEW IN 2013, WE ARE INTEGRATING OUR ED NAVIGATORS INTO SOME OF THE SCREENING EVENTS, AS A PILOT PROJECT, TO PROVIDE ONSITE PRIMARY CARE REFERRALS AND OTHER COMMUNITY RESOURCES TO THE WOMEN. ALSO, WE INTEGRATED INSURANCE ENROLLMENT SPECIALISTS FROM COVERED CALIFORNIA TO PROVIDE INSURANCE EDUCATION, OUTREACH AND ENROLLMENT TO THE WOMEN WHO NEED IT MOST. |
| PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM SUTTER SACRAMENTO SIERRA REGION IS 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 7 | CALIFORNIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (52 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| WELLSPACE HEALTH | |||||||
| 1820 J ST | SACRAMENTO | CA | 95814 | 941713704 | 501(C)(3) | $2,369,726 | GENERAL SUPPORT |
| LOS RIOS COMMUNITY COLLEGE | |||||||
| 3835 FREEPORT BLVD | SACRAMENTO | CA | 95822 | 941576340 | 501(C)(3) | $455,367 | GENERAL SUPPORT |
| COMMUNICARE HEALTH CENTERS | |||||||
| PO BOX 1260 | DAVIS | CA | 956171260 | 942188574 | 501(C)(3) | $333,421 | GENERAL SUPPORT |
| LA CLINICA DE LA RAZA | |||||||
| 1515 FRUITVALE AVE | OAKLAND | CA | 94601 | 941744108 | 501(C)(3) | $240,457 | GENERAL SUPPORT |
| SENIORS FIRST | |||||||
| 11566 D AVE | AUBURN | CA | 95603 | 680430154 | 501(C)(3) | $216,500 | GENERAL SUPPORT |
| AMERICAN HEART ASSOCIATION | |||||||
| PO BOX 160126 | SACRAMENTO | CA | 95816 | 941219116 | 501(C)(3) | $150,000 | GENERAL SUPPORT |
| DOWNTOWN SACTO PARTNERSHIP | |||||||
| 980 NINTH ST STE 400 | SACRAMENTO | CA | 95814 | 680270320 | 501(c)(3) | $80,000 | GENERAL SUPPORT |
| FIRST RESPONDER SACRAMENTO | |||||||
| PO BOX 24 | CHICO | CA | 95927 | 680414838 | 501(C)(3) | $75,999 | GENERAL SUPPORT |
| METROPOLITAN CHAMBER OF SACRAMENTO | |||||||
| ONE CAPITOL MALL STE 300 | SACRAMENTO | CA | 95814 | 940824600 | 501(C)(6) | $62,400 | GENERAL SUPPORT |
| GIFTS TO SHARE INC | |||||||
| 1231 I ST 400 | SACRAMENTO | CA | 95814 | 942985546 | 501(C)(3) | $54,000 | GENERAL SUPPORT |
| SOLANO COALITION FOR BETTER HEALTH | |||||||
| 1 HARBOR DR STE 270 | SUISUN CITY | CA | 94585 | 943189914 | 501(C)(3) | $41,334 | GENERAL SUPPORT |
| SACRAMENTO DISTRICT DENTAL SOCIETY | |||||||
| 915 28TH ST | SACRAMENTO | CA | 95816 | 941543470 | 501(C)(3) | $40,000 | GENERAL SUPPORT |
| ARDEN FAIR ASSOCIATES | |||||||
| 1689 ARDEN WY STE 1167 | SACRAMENTO | CA | 95815 | 363584120 | 501(C)(3) | $31,620 | GENERAL SUPPORT |
| LATINO LEADERSHIP COUNCIL INC | |||||||
| 2945 BELL RD STE 274 | AUBURN | CA | 95603 | 270970476 | 501(C)(3) | $30,000 | GENERAL SUPPORT |
| LIGHTHOUSE COUNSELING & FAMILY RESOURCE CTR | |||||||
| 427 A ST STE 400 | LINCOLN | CA | 95648 | 352252834 | 501(C)(3) | $30,000 | GENERAL SUPPORT |
| GATHERING INN | |||||||
| PO BOX 297 | ROSEVILLE | CA | 95678 | 841657746 | 501(c)(3) | $25,000 | GENERAL SUPPORT |
| SACRAMENTO AREA EMERGENCY HOUSING CTR | |||||||
| 2988 35TH ST | SACRAMENTO | CA | 95817 | 942172933 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| SACRAMENTO SELF HELP HOUSING | |||||||
| PO BOX 188445 | SACRAMENTO | CA | 95818 | 680217383 | 501(C)(3) | $50,000 | GENERAL SUPPORT |
| SALVATION ARMY | |||||||
| PO BOX 340699 | SACRAMENTO | CA | 95834 | 941170408 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| STANFORD SETTLEMENT INC | |||||||
| 450 W EL CAMINO AVE | SACRAMENTO | CA | 95833 | 941550842 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| WOMENS EMPOWERMENT | |||||||
| 1400 NO C ST | SACRAMENTO | CA | 95814 | 030520643 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| AMERICAN CANCER SOCIETY INC | |||||||
| 1301 NORTHCREST DR | CRESCENT CITY | CA | 95531 | 131788491 | 501(C)(3) | $21,000 | GENERAL SUPPORT |
| SACRAMENTO REGION TRANSIT DISTRICT | |||||||
| PO BOX 688 | SACRAMENTO | CA | 95812 | 941338218 | 501(C)(3) | $20,775 | GENERAL SUPPORT |
| DAVIS FARMERS MARKET ASSOCIATION | |||||||
| PO BOX 1813 | DAVIS | CA | 95617 | 680001588 | 501(C)(3) | $40,000 | GENERAL SUPPORT |
| FRANCIS HOUSE OF SACRAMENTO | |||||||
| 1422 C ST | SACRAMENTO | CA | 95814 | 942437147 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| KIDS FIRST | |||||||
| 124 MAIN ST | ROSEVILLE | CA | 95678 | 680195225 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| ROSEVILLE CHAMBER OF COMMERCE | |||||||
| 650 DOUGLAS BLVD | ROSEVILLE | CA | 95678 | 941079379 | 501(C)(6) | $20,000 | GENERAL SUPPORT |
| SACRAMENTO COTTAGE HOUSING INC | |||||||
| 1217 DEL PASO BLVD STE F1 | SACRAMENTO | CA | 95815 | 680322086 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| SIERRA COLLEGE FOUNDATION | |||||||
| 5000 ROCKLIN RD | ROCKLIN | CA | 95677 | 237241877 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| AMERICAN DIABETES ASSOCIATION | |||||||
| PO BOX 930850 | ATLANTA | GA | 31193 | 131623888 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| LEUKEMIA AND LYMPHOMA SOCIETY OF THE SOUTH BAY | |||||||
| 675 NO FIRST ST STE 1100 | SAN JOSE | CA | 95112 | 135644916 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| LEED SACRAMENTO DBA CAREER YOUTH CONFERENCE | |||||||
| ONE CAPITOL MALL STE 300 | SACRAMENTO | CA | 95814 | 680287387 | 501(C)(3) | $14,540 | GENERAL SUPPORT |
| SAINT JOHNS SHELTER FOR WOMEN & CHILDREN | |||||||
| 2443 FAIR OAKS BLVD STE 369 | SACRAMENTO | CA | 95825 | 680132934 | 501(C)(3) | $13,935 | GENERAL SUPPORT |
| FAIRYTALE TOWN INC | |||||||
| 3901 LAND PARK DR | SACRAMENTO | CA | 95822 | 941669088 | 501(C)(3) | $12,500 | GENERAL SUPPORT |
| GENERAL CONFERENCE OF SEVENTH DAY ADVENT | |||||||
| 12225 ROCK CREEK RD | AUBURN | CA | 95603 | 680260677 | 501(C)(3) | $12,500 | GENERAL SUPPORT |
| SACRAMENTO ASIANPACIFIC CHAMBER OF COMMERCE | |||||||
| 2012 H ST STE 202 | SACRAMENTO | CA | 95814 | 680306606 | 501(C)(6) | $11,000 | GENERAL SUPPORT |
| PROTRANSPORT 1 LLC | |||||||
| PO BOX 7260 | COTATI | CA | 94931 | 680461114 | 501(C)(3) | $10,746 | GENERAL SUPPORT |
| BOYS AND GIRLS CLUBS OF GREATER SACRAMENTO | |||||||
| 5212 LEMON HILL AVE | SACRAMENTO | CA | 95824 | 680338324 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| CCHAT CENTER SACTO | |||||||
| 11100 COLOMA RD | RANCHO CORDOVA | CA | 95670 | 941706320 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| KVIE INC DBA KVIE CHANNEL 6 | |||||||
| 2030 W EL CAMINO AVE | SACRAMENTO | CA | 95833 | 941421463 | 501(c)(3) | $10,000 | GENERAL SUPPORT |
| MIDTOWN BUSINESS ASSOCIATION | |||||||
| 1722 J ST STE 19 | SACRAMENTO | CA | 95811 | 680413426 | 501(c)(6) | $10,000 | GENERAL SUPPORT |
| SOCIETY FOR THE BLIND INC LOW VISION CLINIC | |||||||
| 1238 S ST | SACRAMENTO | CA | 95811 | 941384666 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| JONQUIL HOLDINGS LLC DBA DAVIS HEALTHCARE CTR | |||||||
| 715 POLE LINE RD | DAVIS | CA | 95616 | 275419895 | 501(C)(3) | $9,000 | GENERAL SUPPORT |
| ROSEVILLE JOINT UNION HIGH SCHOOL | |||||||
| 1750 CIRBY WY | ROSEVILLE | CA | 95661 | 946002478 | GOVT | $8,500 | GENERAL SUPPORT |
| SAC ASIAN PACIFIC CHAMBER OF COMMERCE FOUNDATION | |||||||
| 2012 H ST STE 202 | SACRAMENTO | CA | 95814 | 680423644 | 501(C)(3) | $8,000 | GENERAL SUPPORT |
| ELK GROVE CHAMBER OF COMMERCE | |||||||
| 9401 E STOCKTON BLVD STE 125 | ELK GROVE | CA | 95624 | 941483392 | 501(C)(6) | $7,500 | GENERAL SUPPORT |
| NEHEMIAH COMMUNITY FOUNDATION | |||||||
| 640 BERCUT DR STE A | SACRAMENTO | CA | 95811 | 680449972 | 501(C)(3) | $7,500 | GENERAL SUPPORT |
| SIERRA FOREVER FAMILIES | |||||||
| 138 NEW MOHAWK RD STE 200 | NEVADA CITY | CA | 95959 | 680002878 | 501(C)(3) | $7,500 | GENERAL SUPPORT |
| YOLO COUNTY OF CHILDREN'S ALLIANCE | |||||||
| 600 A ST STE Y | DAVIS | CA | 95616 | 680526185 | 501(C)(3) | $7,500 | GENERAL SUPPORT |
| KINETIC CONCEPTS USA INC | |||||||
| PO BOX 301557 | DALLAS | TX | 753031557 | 742152396 | 501(C)(3) | $6,524 | GENERAL SUPPORT |
| LINCOLN CHAMBER OF COMMERCE | |||||||
| 511 FIFTH ST | LINCOLN | CA | 95648 | 941506195 | 501(C)(6) | $6,100 | GENERAL SUPPORT |
| MARCH OF DIMES | |||||||
| PO BOX 1657 | WILKESBARRE | PA | 187031657 | 131846366 | 501(C)(3) | $5,950 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 48 | Total501c3OrgCnt |
| Total Other Org | 5 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | GRANTS AND ASSISTANCE REQUESTS ARE REVIEWED BY FACILITY ADMINISTRATIVE MANAGEMENT FOR PROPRIETY ON A CASE BY CASE BASIS. ADDITIONAL REQUESTS ARE CONSIDERED AFTER REVIEW OF PREVIOUS FUNDING LEVELS IN ACCORDANCE WITH THE FACILITIES GRANT AND ASSISTANCE POLICIES. RECORDS ARE MAINTAINED THAT DOCUMENT MANAGEMENT'S REVIEW AND APPROVAL FOR ALL GRANTS, CONTRIBUTIONS AND/OR ASSISTANCE PROVIDED THROUGHOUT THE YEAR. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Pat Brady | ||||||||||||||
| CEO, Sutter Roseville Med. Ctr | $0 | $486,045 | $0 | $303,879 | $0 | $78,449 | $0 | $123,680 | $0 | $20,518 | $0 | $1,012,571 | $0 | $370,986 |
| James Conforti | ||||||||||||||
| Regional President, SHSSR | $0 | $586,008 | $0 | $472,842 | $0 | $64,044 | $0 | $187,180 | $0 | $22,224 | $0 | $1,332,298 | $0 | $470,876 |
| Patrick Fry | ||||||||||||||
| President & CEO, Sutter Health | $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 |
| Terry Glubka | ||||||||||||||
| CEO, Sutter Solano Medical Ctr | $0 | $349,097 | $0 | $235,124 | $0 | $41,222 | $0 | $77,183 | $0 | $10,375 | $0 | $713,001 | $0 | $262,016 |
| Mitch Hanna | ||||||||||||||
| CAO, SAFH | $0 | $298,558 | $0 | $219,022 | $0 | $38,442 | $0 | $69,579 | $0 | $19,798 | $0 | $645,399 | $0 | $246,117 |
| Cecilia Hernandez | ||||||||||||||
| Dir Med Affairs, Med Ctr Sac | $0 | $234,912 | $0 | $139,585 | $0 | $119,881 | $0 | $28,182 | $0 | $10,003 | $0 | $532,563 | $0 | $165,766 |
| 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 |
| Daryn Kumar | ||||||||||||||
| CEO, Memorial Med. Ctr. | $0 | $415,427 | $0 | $137,391 | $0 | $30,066 | $0 | $56,094 | $0 | $19,710 | $0 | $658,688 | $0 | $151,251 |
| John Mesic MD | ||||||||||||||
| CMO, Sac Sierra Region | $0 | $494,110 | $0 | $214,925 | $0 | $79,670 | $0 | $82,996 | $0 | $10,379 | $0 | $882,080 | $0 | $256,411 |
| Carrie Owen-Plietz | ||||||||||||||
| CEO, Sutter Med Ctr Sacramento | $0 | $473,954 | $0 | $257,888 | $0 | $34,481 | $0 | $104,880 | $0 | $20,418 | $0 | $891,621 | $0 | $257,888 |
| Anne Platt | ||||||||||||||
| CEO, SUTTER AMADOR HOSPITAL | $0 | $268,159 | $0 | $162,727 | $0 | $38,703 | $0 | $56,586 | $0 | $20,993 | $0 | $547,168 | $0 | $178,985 |
| Thomas Ream II | ||||||||||||||
| Reg CIO, Sac Sierra Region | $0 | $228,050 | $0 | $84,965 | $0 | $28,037 | $0 | $45,526 | $0 | $12,278 | $0 | $398,856 | $0 | $96,102 |
| Randall Ross | ||||||||||||||
| Admin. Ancillary Svcs. SHSSR | $0 | $267,716 | $0 | $90,085 | $0 | $40,016 | $0 | $25,867 | $0 | $18,800 | $0 | $442,484 | $0 | $129,170 |
| Jeffrey Sprague | ||||||||||||||
| CFO, Sac Sierra Region | $0 | $490,313 | $0 | $178,670 | $0 | $81,291 | $0 | $102,180 | $0 | $21,506 | $0 | $873,960 | $0 | $224,450 |
| Jeffrey Szczesny | ||||||||||||||
| Reg VP HR, Sac Sierra Region | $0 | $341,626 | $0 | $143,533 | $0 | $40,158 | $0 | $55,986 | $0 | $18,832 | $0 | $600,135 | $0 | $143,533 |
| Paige Terra | ||||||||||||||
| Controller, Sac Sierra Region | $0 | $325,967 | $0 | $131,030 | $0 | $34,740 | $0 | $43,659 | $0 | $18,860 | $0 | $554,256 | $0 | $141,630 |
| Janet Wagner | ||||||||||||||
| CAO, Sutter Davis Hospital | $0 | $308,374 | $0 | $199,092 | $0 | $47,868 | $0 | $64,086 | $0 | $15,941 | $0 | $635,361 | $0 | $226,393 |
| Penny Westfall | ||||||||||||||
| VP & Reg Counsel, SSR | $0 | $280,365 | $0 | $141,088 | $0 | $23,488 | $0 | $59,062 | $0 | $7,263 | $0 | $511,266 | $0 | $163,188 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | TAX INDEMNIFICATION: STANDARD POLICY FOR ALL SUTTER HEALTH EMPLOYEES IS THAT NON-CASH GIFTS AND AWARDS ARE GROSSED-UP FOR TAX PURPOSES. THE AMOUNT OF THE GROSS-UP IS ADDED TO THE EMPLOYEE'S WAGES AND TAXED ACCORDINGLY. |
| PART I, LINE 3 | THE CEO OF THE ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. SEE SCHEDULE O NARRATIVE PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH. |
| PART I, LINE 4B | 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 7 | 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CSCDA 2003AB | ||||||||
| A | 680164610 | 130911NE6 | 2007-05-01 | $101,118,867 | CONSTRUCTION & REFUNDING - 1/30/03 | false | false | false |
| CSCDA 2004CD | ||||||||
| B | 680164610 | 130795TE7 | 2008-05-06 | $87,750,717 | CONSTRUCTION & REFUNDING - 2/17/04 | false | false | false |
| CSCDA 2005A | ||||||||
| C | 680164610 | 130911U24 | 2005-10-19 | $276,217,522 | CONSTRUCTION & REFUNDING - 1995 CO | false | false | false |
| CSCDA 2005BC | ||||||||
| D | 680164610 | 130795EG8 | 2007-05-01 | $49,994,066 | CONSTRUCTION & REFUNDING - 10/19/0 | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $105,350,172 | $8,916,461 | $0 | $0 | $0 | $0 | $0 | $0 | $96,433,711 | $0 | Yes (true) | false | Yes (true) | Yes (true) | |
| B | $15,340,000 | $0 | $88,741,371 | $8,482,181 | $0 | $0 | $0 | $0 | $0 | $0 | $80,259,190 | $0 | Yes (true) | false | Yes (true) | Yes (true) | |
| C | $0 | $0 | $286,119,410 | $20,579,128 | $0 | $0 | $0 | $0 | $0 | $189,282,478 | $76,257,804 | $0 | Yes (true) | false | Yes (true) | Yes (true) | 2008 |
| D | $0 | $0 | $52,440,606 | $3,436,269 | $0 | $0 | $0 | $0 | $0 | $0 | $49,004,337 | $0 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00230 | 0.00010 | 0.00240 | false | false | false | Yes (true) |
| B | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00960 | 0.00960 | false | false | false | Yes (true) | |
| C | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00220 | 0.00220 | false | false | false | Yes (true) | |
| D | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00220 | 0.00220 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|
| 0 | |||||||||
| A | Yes (true) | false | false | false | 0 | false | Yes (true) | ||
| 0 | |||||||||
| B | false | false | false | false | 0 | false | Yes (true) | Yes (true) | |
| 0 | |||||||||
| C | false | false | false | false | 0 | false | Yes (true) | Yes (true) | |
| 0 | |||||||||
| D | Yes (true) | false | false | false | 0 | false | Yes (true) | ||
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Global Disclosure | PART 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. |
| Sutter Health Sacramento Sierra Region Specific | PART I, COLUMN (E): (1) THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $73,535,053 FROM THE 2003AB ISSUE; $27,083,893 FROM THE 2004CD ISSUE; $54,143,730 FROM THE 2005A ISSUE AND $11,634,720 FROM THE 2005BC ISSUE. (2) THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $94,562,588 FROM THE 2007A ISSUE; $155,359,968 FROM THE 2008A BOND ISSUE; $121,940,351 FROM THE 2008BC ISSUE AND $271,589,951 FROM THE 2011A ISSUE. (3) THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF $25,715,036 FROM THE 2011C ISSUE; $60,474,453 FROM THE 2011D ISSUE AND $79,418,843 FROM THE 2012A ISSUE. PART I-1, LINE A, COLUMN (F): THE INITIAL BONDS ISSUED IN 2003 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. PART I-1, LINE B, COLUMN (F): THE INITIAL BONDS ISSUED IN 2004 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 6, 2008. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. PART I-1, LINE D, COLUMN (F): THE INITIAL BONDS ISSUED IN 2005 REFUNDED 1995 CERTIFICATES AND WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL REFUNDING BONDS. PART I-2, 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, 2004 AND 2002 ISSUES. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1991 AND 1995. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION. THE REFUNDED BONDS ISSUED IN 2002 WERE USED TO REFUND BONDS ISSUED IN 1922, WHICH WERE USED TO REFUND BONDS ISSUED IN 1985, 1986 AND 1987. PART III-3: THE CHFFA 2011D BONDS ARE "NEW MONEY" BONDS FOR CONSTRUCTION NOT YET COMPLETED. PART IV, QUESTION 2C, COLUMN (A): REBATE COMPUTATION WAS CALCULATED BY BLX GROUP ON 10/19/10. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CHFFA 2007A | ||||||||
| A | 521643828 | 13033FQ37 | 2007-05-01 | $790,998,316 | CONSTRUCT & EQUIP FACILITY | false | false | false |
| CHFFA 2008A | ||||||||
| B | 521643828 | 13033F2L3 | 2008-05-14 | $329,041,638 | REFUND - 5/21/02, 2/17/04, 5/01/07 | false | false | false |
| CSCDA 2008BC | ||||||||
| C | 680164610 | 130795TD9 | 2008-05-14 | $291,999,417 | CONSTRUCT & EQUIP FACILITY | false | false | false |
| CSCDA 2011A | ||||||||
| D | 680164610 | 1307952Q9 | 2011-02-10 | $271,589,951 | CONSTRUCT & EQUIP FACILITY | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $858,547,387 | $0 | $55,398,317 | $0 | $0 | $0 | $0 | $783,091,871 | $20,057,199 | $0 | 2011 | false | false | Yes (true) | Yes (true) |
| B | $92,525,000 | $0 | $329,041,638 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $329,041,638 | $0 | Yes (true) | false | Yes (true) | Yes (true) | |
| C | $0 | $0 | $307,344,038 | $0 | $31,655,776 | $0 | $0 | $0 | $0 | $262,891,121 | $12,797,141 | $0 | false | false | Yes (true) | Yes (true) | |
| D | $0 | $0 | $276,088,361 | $0 | $0 | $0 | $0 | $0 | $0 | $242,934,602 | $0 | $33,153,759 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Concerning UBIPrivateBusConcerningUBIPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00790 | 0.00790 | false | false | false | Yes (true) | |
| B | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.01830 | 0.01860 | false | false | false | Yes (true) | 0.00030 |
| C | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00370 | 0.00390 | false | false | false | Yes (true) | 0.00020 |
| D | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00370 | 0.00410 | false | false | false | Yes (true) | 0.00040 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd |
|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||
| A | Yes (true) | false | false | false | 0 | false | Yes (true) | |
| 0 | ||||||||
| B | false | false | false | false | 0 | false | Yes (true) | Yes (true) |
| 0 | ||||||||
| C | false | false | false | false | 0 | false | Yes (true) | Yes (true) |
| 0 | ||||||||
| D | false | false | false | false | 0 | false | Yes (true) | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | |
| D | Yes (true) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CSCDA 2011C | ||||||||
| A | 680164610 | 1307954U8 | 2011-12-22 | $38,777,964 | REFUNDING - 1999 | false | false | false |
| CHFFA 2011D | ||||||||
| B | 521643828 | 13033LVW4 | 2011-12-22 | $331,759,643 | CONSTRUCTION & REFUNDING - 1998 AN | false | false | false |
| CSCDA 2012A | ||||||||
| C | 680164610 | 1307956K8 | 2012-07-11 | $132,681,869 | REFUNDING - 2002 | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $38,777,964 | $0 | $0 | $38,777,964 | $0 | $0 | $0 | $0 | $0 | $0 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $334,386,501 | $0 | $0 | $65,070,000 | $0 | $0 | $0 | $0 | $124,025,000 | $145,291,501 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $0 | $0 | $132,681,869 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $132,681,869 | $0 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Private Bus Use By OthersPrivateBusUseByOthersPct | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | |||||||||||
| B | 0 | false | false | false | false | false | false | false | false | false | Yes (true) | |
| C | 0.00540 | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00540 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||
| A | false | Yes (true) | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||
| B | false | Yes (true) | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||
| C | false | Yes (true) | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CALIFORNIA EMERGENCY PHYSICIANS | |||
| SEE PART V | $1,639,767 | SEE PART V | false |
| LIONAKIS INC | |||
| SEE PART V | $224,913 | SEE PART V | false |
| JENNIFER P NEWELL | |||
| SEE PART V | $79,448 | SEE PART V | false |
| TEICHERT INC | |||
| SEE PART V | $817,101 | SEE PART V | false |
| MORAG M THOMSON | |||
| SEE PART V | $19,816 | SEE PART V | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF BUSINESS TRANSACTIONS WITH INTERESTED PERSONS: PETER HULL, MD, TRUSTEE OF SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR) IS EMPLOYED BY AND RETAINS OWNERSHIP/PROFIT SHARING IN CALIFORNIA EMERGENCY PHYSICIANS (CEP). DURING THE YEAR, CEP PROVIDED SERVICES TO SHSSR VIA AN ARMS LENGTH AGREEMENT. PATRICK FRY IS A TRUSTEE OF SHSSR. HIS BROTHER IS AN OWNER OF LIONAKIS INC, AN ARCHITECTURAL FIRM. DURING THE YEAR, THE FIRM PROVIDED SERVICES TO SHSSR VIA AN ARMS LENGTH AGREEMENT. MICHAEL NEWELL IS A TRUSTEE OF SHSSR. HIS SPOUSE IS AN RN AT SUTTER DAVIS HOSPITAL WHICH IS PART OF SHSSR. PAT PATHIPATI, TRUSTEE OF SHSSR, IS AN OFFICER OF TEICHERT INC. HELEN THOMSON IS A TRUSTEE OF SUTTER HEALTH SACRAMENTO REGION (SHSSR). HER SISTER IN LAW WORKS AS A PART TIME RN FOR SUTTER DAVIS HOSPITAL, WHICH IS PART OF SHSSR. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 AND PART III, LINE 1 | MISSION - WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. VISION - SUTTER HEALTH LEADS THE TRANSFORMATION OF HEALTH CARE TO ACHIEVE THE HIGHEST LEVELS OF QUALITY, ACCESS AND AFFORDABILITY. VALUES - EXCELLENCE AND QUALITY, CARING AND COMPASSION, HONESTY AND INTEGRITY, TEAMWORK, COMMUNITY AND AFFORDABILITY. |
| FORM 990, PART III, LINE 4A | SUTTER HEALTH SACRAMENTO SIERRA REGION SUTTER HEALTH SACRAMENTO SIERRA REGION SERVES SACRAMENTO, PLACER, YOLO, SOLANO, YUBA, AND SUTTER COUNTIES WITH COMPREHENSIVE HEALTH CARE. WE STRIVE TO PROVIDE ACCESS TO PRIMARY CARE PHYSICIANS AND SPECIALTY SERVICES IN EACH OF OUR COMMUNITIES, AND HAVE A NETWORK OF OVER 1,000 PHYSICIANS LOCALLY AND OVER 3,500 THROUGHOUT THE SUTTER HEALTH SYSTEM. DURING 2013 THE NUMBER OF PATIENT DAYS WAS 312,936. SUTTER AUBURN FAITH HOSPITAL SUTTER AUBURN FAITH HOSPITAL IS CURRENTLY LICENSED FOR 72 ACUTE BEDS. SUTTER AUBURN FAITH HOSPITAL PROVIDES THE FOLLOWING SERVICES: CARDIAC CARE UNIT, CARDIAC CATHETERIZATION/VASCULAR LAB, CARDIOPULMONARY SERVICES, DIAGNOSTIC IMAGING, EMERGENCY DEPARTMENT, ENDOSCOPY SERVICES, FULL LABORATORY, HOME HEALTH/HOSPICE, INFUSION CENTER, INTENSIVE CARE UNIT, NUCLEAR MEDICINE, OUTPATIENT/INPATIENT SURGERY, PHYSICAL THERAPY, RADIOLOGY, SENIOR SERVICES, TELEMETRY AND WOUND CARE. SUTTER AUBURN FAITH HOSPITAL SERVES THE COMMUNITY THROUGH A VARIETY OF MEDICAL AND SURGICAL SPECIALTIES, INCLUDING: ANESTHESIOLOGY BARIATRIC SERVICES CARDIOLOGY CARDIAC CATH LAB DENTISTRY DERMATOLOGY DIAGNOSTIC IMAGING ENDOSCOPY EMERGENCY MEDICINE GASTROENTEROLOGY INFUSION THERAPY INTERNAL MEDICINE LABORATORY NEPHROLOGY NEUROLOGY NUCLEAR MEDICINE OUTPATIENT SURGERY OCCUPATIONAL MEDICINE ONCOLOGY OPHTHALMOLOGY ORAL SURGERY OTOLARYNGOLOGY PALLIATIVE CARE PATHOLOGY PEDIATRICS PLASTIC SURGERY PODIATRY PRIMARY CARE/FAMILY PRACTICE RADIATION ONCOLOGY RADIOLOGY RESPIRATORY THERAPY SOCIAL SERVICES SURGERY TRANSFUSION MEDICINE TELEMETRY UROLOGY WOMEN'S IMAGING CENTER WOUND CARE SUTTER AUBURN FAITH HOSPITAL'S MISSION IS: TO SERVE THE HEALTH CARE NEEDS OF AUBURN AND SURROUNDING FOOTHILL COMMUNITIES. THROUGH PARTNERSHIPS WITH PHYSICIANS, PAYORS, OTHER HEALTH AND HUMAN SERVICES AGENCIES AND WITH OUR EMPLOYEES AND VOLUNTEER LEADERSHIP, SUTTER AUBURN FAITH HOSPITAL SEEKS TO PROVIDE A CONTINUUM OF HEALTH AND WELLNESS SERVICES TO ASSURE A HIGH QUALITY OF LIFE FOR THE PEOPLE LIVING IN OUR SERVICE AREA IN 2013. COMMUNITY BENEFIT PROGRAMS AS THE ONLY HOSPITAL IN ITS SERVICE AREA, SUTTER AUBURN FAITH HOSPITAL HAS BOTH A SIGNIFICANT RESPONSIBILITY TO AND IMPACT ON, THE SIERRA FOOTHILL COMMUNITIES. IN ADDITION TO PROVIDING A BROAD RANGE OF MEDICAL AND PREVENTIVE CARE TO A DIVERSE REGION-RANGING FROM SMALL CITIES TO RUGGED, SPARSELY POPULATED WILDERNESS AREAS-THE HOSPITAL IS THE SECOND LARGEST EMPLOYER IN THE AUBURN AREA. THE HOSPITAL, IN COLLABORATION WITH SUTTER ROSEVILLE MEDICAL CENTER, CREATED A COMMUNITY ADVISORY BOARD AND COMMUNITY PARTNERSHIPS COUNCIL (A SUB-COMMITTEE OF THE ADVISORY GROUP) IN ORDER TO IDENTIFY AND ADDRESS THE NEEDS IN PLACER COUNTY. NOTABLE SERVICE ELEMENTS INCLUDE: * SUTTER AUBURN FAITH HOSPITAL IS FOUNDING PARTNER OF THE NOW COLLABORATIVELY OPERATED HEALTH EXPRESS. HEALTH EXPRESS EXPANDED IN 2007 TO PROVIDE LAST RESORT MEDICALLY-RELATED TRANSPORTATION TO ALL UNDERSERVED POPULATIONS IN SOUTH PLACER COUNTY. WE PARTNER WITH PLACER COUNTY TRANSPORTATION PLANNING AGENCY (PCTPA), KAISER AND SENIORS FIRST, PROVIDING 700 RIDES A MONTH. * THE INTERIM CARE PROGRAM (ICP) PROVIDES A TEMPORARY RESPITE PROGRAM FOR HOMELESS PATIENTS WHO ARE DISCHARGED FROM SUTTER AUBURN FAITH HOSPITAL. THE PROGRAM IS DESIGNED TO GIVE PATIENTS WITHOUT HOUSING ALTERNATIVES, A CLEAN AND SAFE PLACE TO HEAL FOR UP TO SIX WEEKS AND COMPREHENSIVE "WRAPAROUND" SERVICES LIKE SUBSTANCE ABUSE TREATMENT, PERMANENT HOUSING AND MEDICAL CARE IN 2013 * PROMOTORAS: THROUGH A PARTNERSHIP WITH THE LATINO LEADERSHIP COUNCIL, SUTTER ROSEVILLE MEDICAL CENTER OFFERS PROMOTORAS TO SPANISH SPEAKING PATIENTS WHO NEED TRANSLATION AND OTHER CULTURALLY SENSITIVE COMMUNITY SERVICES. * THE T-3 (TRIAGE, TRANSPORT AND TREATMENT) IS A PIONEERING PROGRAM THAT PROVIDES SERVICES TO PATIENTS WHO SEEK EMERGENCY ROOM CARE FOR NEEDS THAT ARE BEST ADDRESSED THROUGH PREVENTIVE MEASURES. THIS PROGRAM COULD BE A MODEL FOR THE KIND OF CHANGE BEING CALLED FOR IN VARIOUS HEALTH CARE REFORM PLANS. THE PROGRAM SEEKS TO PROVIDE THOSE WHO CHRONICALLY USE THE EMERGENCY ROOM FOR NON-EMERGENCY CARE WITH A WAY TO GET THE SERVICES THEY NEED FROM A PRIMARY CARE PROVIDER. MOVING THESE PATIENTS FROM THE EMERGENCY ROOM IMPROVES THE PATIENTS' HEALTH BY GETTING THEM THE APPROPRIATE CARE IN THE RIGHT SETTING, REDUCES THE WAIT FOR THOSE SEEKING CARE FOR REAL MEDICAL EMERGENCIES, AND DRAMATICALLY REDUCES COSTS TO OUR HEALTH CARE SYSTEM. * THE FAMILY SUPPORT PROGRAM LINKS PLACER COUNTY RESIDENTS WITH COMMUNITY SUPPORT GROUPS AND SERVICES. SUTTER AUBURN FAITH HOSPITAL AND SUTTER ROSEVILLE MEDICAL CENTER CONTRACT WITH THE PLACER COUNTY DEPARTMENT OF HEALTH TO PROVIDE A PUBLIC HEALTH NURSE IN THE HOSPITAL TO CONNECT WITH PATIENTS AND PROVIDE EDUCATION AND REFERRALS. * THE SENIOR RECREATION AND RESPITE PROGRAM (R & R) IS DESIGNED TO MEET THE NEEDS OF OLDER ADULTS WITH MEMORY OR PHYSICAL IMPAIRMENT. THE PROGRAM PROVIDES RECREATIONAL, SOCIAL AND EDUCATIONAL ACTIVITIES FOR THE PARTICIPANTS, AND RESPITE FOR CAREGIVERS TO ENJOY SOME FREE TIME TO THEMSELVES. THE STAFF IS SUPPORTED BY ITS VALUABLE TEAM OF VOLUNTEERS AND COMPLETED BY PERSONAL CARE AIDS. R & R MEETS ONCE A WEEK IN AUBURN, AND FOUR DAYS A WEEK IN LINCOLN. HEALTH EXPRESS PROVIDES TRANSPORTATION FOR PATIENTS WHO NEED TRANSPORT TO AND FROM R & R. * THE SENIOR RESOURCE GUIDE IS A BOOKLET, FREE TO THE PUBLIC, WITH INFORMATION ON A MULTITUDE OF SENIOR SERVICES AVAILABLE IN PLACER COUNTY. THE GUIDE IS UPDATED AND DISTRIBUTED SEMI-ANNUALLY VIA PHYSICIAN OFFICES, SENIOR APARTMENT COMPLEXES, SENIOR CENTERS, SKILLED NURSING FACILITIES, LIBRARIES, MOBILE HOME COMMUNITIES, SENIOR SERVICE PROVIDERS, HOME HEALTH AND HOSPICE AGENCIES AND MANY OTHER SERVICE ORGANIZATIONS AND PUBLIC PLACES. WE ARE ABLE TO PRODUCE THIS GUIDE IN PARTNERSHIP WITH SENIORS FIRST, THE SUTTER AUBURN FAITH HOSPITAL FOUNDATION, SUTTER ROSEVILLE MEDICAL CENTER AND THE SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION. ADDITIONAL COMMUNITY SERVICES * SUTTER AUBURN FAITH HOSPITAL RESPONDS TO MORE THAN 56,000 INPATIENT AND OUTPATIENT VISITS PER YEAR. ITS EMERGENCY DEPARTMENT, WHICH IS STAFFED 24 HOURS A DAY AND IS LINKED TO THE TRAUMA CENTER AT SUTTER ROSEVILLE MEDICAL CENTER. * SUTTER AUBURN FAITH PROVIDES A FULL RANGE OF HOME HEALTH CARE THROUGH ITS AFFILIATED VISITING NURSE ASSOCIATION (VNA), WHICH CONTINUES TO EXPAND ITS PREVENTIVE HEALTH PROGRAMMING THROUGH SUCH OUTREACH EFFORTS AS FLU AND PNEUMONIA CLINICS FOR SENIORS AND PEOPLE WITH CHRONIC HEALTH PROBLEMS. * SUTTER AUBURN FAITH HOSPITAL HAS A 24-HOUR PER DAY OUTPATIENT HOSPICE PROGRAM (MEDICARE CERTIFIED) WHICH USES A TEAM OF MEDICAL PROFESSIONALS AND VOLUNTEERS TO PROVIDE IN-HOME AND CAREGIVER SUPPORT, PAIN MITIGATION, BEREAVEMENT SUPPORT GROUPS (INCLUDING A CHILDREN'S BEREAVEMENT ART PROGRAM) AND CHAPLAINCY ASSISTANCE. INSPIRED BY A GROUP OF LOCAL CITIZENS IN 1981, AND ASSISTED TODAY BY AN ACTIVE COMMUNITY ADVISORY BOARD, HOSPICE SERVICES ARE PROVIDED FREE OF CHARGE REGARDLESS OF INSURANCE COVERAGE OR ABILITY TO PAY. * THE SUTTER AUBURN FAITH HOSPITAL GUILD IS COMPRISED OF 120 VOLUNTEERS WHO PROVIDE HIGHLY SPECIALIZED SKILLS AND EXPERIENCE-BOTH WITHIN THE HOSPITAL AND VIA OUTREACH EFFORTS TO THE COMMUNITY-WHICH WOULD NOT OTHERWISE BE AFFORDABLE. SUTTER AUBURN FAITH HOSPITAL HAS A STRONG TRADITION OF PROVIDING CHARITY AND UNCOMPENSATED CARE TO ITS COMMUNITIES. ADDITIONALLY, OVER THE YEARS, THE HOSPITAL HAS INITIATED AND PROVIDED SUPPORT TO A WIDE RANGE OF HEALTH EDUCATION CLASSES, HEALTH MAINTENANCE PROGRAMS, SPECIALIZED SUPPORT GROUPS, HEALTH FAIRS, AND COOPERATIVE PROGRAMS FOR VULNERABLE POPULATIONS AND COMMUNITY EFFORTS TO IMPROVE THE OVERALL QUALITY OF LIFE FOR LOCAL RESIDENTS. SUTTER AMADOR HOSPITAL SUTTER AMADOR HOSPITAL IS A 52-BED ACUTE CARE HOSPITAL LOCATED IN JACKSON, CALIFORNIA APPROXIMATELY 55 MILES SOUTHEAST OF SACRAMENTO IN AMADOR COUNTY. THE HOSPITAL WAS ESTABLISHED IN THE MID-1800S AND BECAME AFFILIATED WITH SUTTER HEALTH IN 1993. AS ONE OF AMADOR COUNTY'S LARGEST EMPLOYER, SUTTER AMADOR HOSPITAL EMPLOYS OVER 386 INDIVIDUALS. THE PATIENTS ARE SERVED BY MORE THAN 125 ACTIVE MEDICAL STAFF PHYSICIANS AND AN ACTIVE AUXILIARY OF MORE THAN 100 VOLUNTEERS. IN ADDITION, SUTTER AMADOR HOSPITAL IS A UC DAVIS RURAL PRIME SITE FOR MEDICAL STUDENTS AND PARTICIPATES IN THE AMADOR AND CALAVERAS COUNTIES HIGH SCHOOL ROP PROGRAM. SUTTER AMADOR HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. IT IS MEDICARE CERTIFIED AND ACCEPTS MOST PRIVATE INSURANCE PLANS. AS A NOT-FOR-PROFIT HOSPITAL, SUTTER AMADOR HOSPITAL ALSO DONATES MANY COMMUNITY SERVICES AND HAS A STRONG TRADITION OF PROVIDING CHARITY AND UNCOMPENSATED CARE TO ITS COMMUNITIES. ADDITIONALLY, OVER THE YEARS, THE HOSPITAL HAS INITIATED AND PROVIDED SUPPORT TO A WIDE RANGE OF HEALTH EDUCATION CLASSES, HEALTH MAINTENANCE PROGRAMS, SPECIALIZED SUPPORT GROUPS, HEALTH FAIRS, AND COOPERATIVE PROGRAMS FOR VULNERABLE POPULATIONS AND COMMUNITY EFFORT |
| FORM 990, PART III, LINE 4A CONTINUED | SUTTER AMADOR HOSPITAL SUTTER AMADOR HOSPITAL SERVES THE COMMUNITY THROUGH A VARIETY OF COMPREHENSIVE PROGRAMS AND SERVICES, INCLUDING: 24-HOUR EMERGENCY DEPARTMENT WITH FAST TRACK SUTTER MEDICAL FOUNDATION PEDIATRIC CENTER SUTTER MEDICAL FOUNDATION WOMEN'S SERVICES FAMILY BIRTH CENTER INPATIENT AND OUTPATIENT SURGICAL AND MEDICAL CARE CRITICAL CARE WITH EICU CARDIOLOGY CARDIOPULMONARY SERVICES DIAGNOSTIC IMAGING INPATIENT REHABILITATION SERVICES ENDOSCOPY AND INFUSION SUITE GASTROENTEROLOGY SUTTER MEDICAL FOUNDATION LAB PATIENT SERVICE CENTER NEUROLOGY - A CERTIFIED STROKE CENTER NUCLEAR MEDICINE OPHTHALMOLOGY ORTHOPEDICS INPATIENT AND OUTPATIENT HAND AND SPEECH THERAPY OUTPATIENT DIABETES EDUCATION PROGRAM SUTTER MEDICAL FOUNDATION FAMILY PRACTICE OFFICES LOCATED IN JACKSON, PIONEER, PLYMOUTH SLEEP DISORDERS CENTER SURGERY SUTTER AMADOR HOSPITAL'S MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF THE RESIDENTS IN THE COMMUNITIES WE SERVE BY PROVIDING COORDINATED, EFFECTIVE, AFFORDABLE AND ACCESSIBLE HEALTH AND WELLNESS SERVICES. SUTTER AMADOR HOSPITAL CONTINUOUSLY STRIVES TO IDENTIFY THE HEALTH CARE NEEDS OF THESE COMMUNITIES AND RESPOND BY PROVIDING HEALTH AND WELLNESS SERVICES CONSISTENT WITH THE STATED VALUES AND VISION OF THE HOSPITAL. COMMUNITY BENEFIT SUTTER AMADOR HOSPITAL PARTNERED WITH THE AMADOR COUNTY PUBLIC HEALTH DEPT'S TOBACCO REDUCTION OF AMADOR COUNTY (TRAC) PROGRAM TO PROVIDE FREE SMOKING CESSATION CLASSES TO THE PUBLIC ON A QUARTERLY BASIS. SUTTER AMADOR PROVIDED THE ADVERTISING, ROOM SPACE, REFRESHMENTS, INCENTIVE AWARDS AND OTHER NEEDS, WHILE TRAC PROVIDED THE CLASS INSTRUCTOR. THE TOBACCO REDUCTION PROGRAM PROVIDED SMOKING CESSATION COURSES AND RESOURCES TO HELP PEOPLE STOP SMOKING. THE GOALS AND OBJECTIVES OF THIS PROGRAM ARE TO SPREAD TOBACCO AWARENESS, PROMOTE HEALTH AND ENCOURAGE AMADOR COUNTY RESIDENTS TO QUIT SMOKING. THE STRATEGY IS TO OFFER THIS PROGRAM TO AS MANY PEOPLE AS POSSIBLE, TO SPREAD THE HEALTH BENEFITS OF LIVING A TOBACCO FREE LIFE. THE COST OF THIS PROGRAM INCLUDED DONATING CONFERENCE ROOM SPACE, EDUCATOR TIME, REFRESHMENTS AND GIFT CARDS TO PARTICIPANTS WHO COMPLETED THE CLASS. OUTCOMES: 10 - 15 CLASSES ARE COMPLETED EACH QUARTER. SUTTER AMADOR HOSPITAL PARTNERED WITH THE AMADOR ORAL HEALTH TASK FORCE TO HELP ADDRESS ONE OF THE PRIORITY AREAS OF FOCUS IN AMADOR: PROVIDING UNDERINSURED CHILDREN WITH DENTAL CARE. THIS PARTNERSHIP ALLOWED THE ORAL HEALTH TASK FORCE TO OFFER TWICE-YEARLY DENTAL SCREENINGS, DENTAL EDUCATION AND FLUORIDE VARNISH TO UNINSURED/UNDERINSURED CHILDREN IN AMADOR COUNTY. AS A RESULT OF THIS EFFORT, 260 UNDERINSURED AND UNINSURED KINDERGARTENERS RECEIVED DENTAL SCREENINGS. LACK OF ADEQUATE DENTAL CARE WAS IDENTIFIED AS A MAJOR NEED IN AMADOR COUNTY; THEREFORE, SUPPORT OF THE AMADOR ORAL HEALTH TASK FORCE AND OTHER DENTAL RELATED EFFORTS, IS VITAL IN THE QUEST TO SPREAD ORAL HEALTH THROUGHOUT THE COMMUNITY. SAH IS WORKING WITH THE AMADOR-TUOLUMNE COMMUNITY ACTION AGENCY (ATCCA) TO PROVIDE INSURANCE OUTREACH AND EDUCATION TO THE UNDERSERVED POPULATION IN AMADOR COUNTY. WITH THE SUPPORT OF SUTTER AUBURN HOSPITAL AND THE HELP OF A SMALL FEDERAL GRANT, THE ATCCA WILL BE DOING MAJOR OUTREACH TO CONNECT WITH THE UNDERSERVED POPULATION IN AMADOR COUNTY TO EDUCATE THEM ABOUT INSURANCE COVERAGE THROUGH COVERED CALIFORNIA. SUTTER AMADOR HOSPITAL SUPPORTS AMADOR LIFELINE BY FUNDING IN-HOME COMMUNICATOR EQUIPMENT FOR MEDICAL EMERGENCY RESPONSE. FOR 33 YEARS, AMADOR LIFELINE HAS HELPED SENIORS AND OTHERS WITH DISABILITIES, CHRONIC ILLNESSES, IN REHABILITATION OR ON HOSPICE LIVE INDEPENDENTLY IN THEIR HOMES BY OFFERING MEDICAL EMERGENCY RESPONSE AT THE TOUCH OF A BUTTON. THE NOT-FOR-PROFIT PROGRAM RECENTLY RECEIVES FUNDING FROM SUTTER AMADOR HOSPITAL TO FUND THE UPGRADE OF COMMUNICATOR EQUIPMENT THAT IS USED IN CLIENTS' HOMES. THE LIFELINE SYSTEM USES A TWO-WAY VOICE COMMUNICATOR AND WATERPROOF PERSONAL HELP BUTTON THAT CAN BE WORN AS A NECKLACE OR WRISTBAND. IN THE EVENT OF AN EMERGENCY AT HOME, THE WEARER PRESSES THE BUTTON, SENDING A SIGNAL TO THE LIFELINE RESPONSE CENTER DISPATCHER. THE DISPATCHER EVALUATES THE URGENCY OF THE SITUATION AND CALLS EITHER A RESPONDER LISTED ON THE INDIVIDUAL'S CARE PLAN OR EMERGENCY MEDICAL PERSONNEL WHEN NEEDED. SUTTER AMADOR HOSPITAL'S COMMUNITY PARTNERSHIP AND SUPPORT WILL FUND THE PURCHASE OF FIVE TWO-WAY COMMUNICATOR UNITS, WHICH WILL REPLACE AGING UNITS THAT CAN NO LONGER BE REPAIRED. IN ADDITION, LIFELINE HAS INTRODUCED A NEW WIRELESS SOLUTION CALLED HOMESAFE FOR THOSE WHO DO NOT HAVE A HOME PHONE LINE. THE DONATION WILL ALSO SUPPORT THE PURCHASE OF ONE HOMESAFE WIRELESS COMMUNICATOR. AMADOR LIFELINE SERVES BETWEEN 235 - 240 CLIENTS A MONTH, MOST OF WHOM ARE SENIORS. MANNER SAYS THE MAJORITY OF CALLS TO LIFELINE ARE RELATED TO FALLS IN THE HOME. WITHOUT IMMEDIATE HELP AFTER A FALL, ELDERLY INDIVIDUALS MAY SUFFER PAIN, EMOTIONAL DISTRESS, OR SECONDARY MEDICAL PROBLEMS LIKE DEHYDRATION, PNEUMONIA, RENAL FAILURE AND PRESSURE ULCERS. THE PROGRAM IS INVALUABLE IN HELPING COMMUNITY MEMBERS LIVE SAFELY AT HOME AND PREVENTING HOSPITALIZATIONS. LIFELINE REGULARLY PARTNERS WITH SUTTER AMADOR HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS TO LET SENIORS KNOW ABOUT THE SERVICE. MEDICAL ALERT SCAMS ARE AT AN EPIDEMIC LEVEL NATIONALLY, AND LOCALLY, MANY HAVE ALSO FALLEN PREY TO THESE SCAMS. STAFFED BY TWO PROFESSIONALS AND 25 VOLUNTEERS, AMADOR LIFELINE IS THE ONLY LOCAL, NOT-FOR-PROFIT PROGRAM PROVIDING SERVICE EACH DAY TO KEEP THE COMMUNITY'S MOST VULNERABLE RESIDENTS LIVING SAFE AND SECURE IN THEIR OWN HOMES. |
| FORM 990, PART III, LINE 4A CONTINUED | SUTTER DAVIS HOSPITAL SUTTER DAVIS HOSPITAL IS A TWO-STORY 90,000 SQUARE FOOT ACUTE CARE HOSPITAL LICENSED FOR 48 BEDS THAT SERVES THE HEALTH CARE NEEDS OF RESIDENTS LIVING IN DAVIS, DIXON, WOODLAND AND WINTERS. THE FACILITY IS LOCATED IN THE WESTERN-MOST SECTION OF THE CITY OF DAVIS AT THE CORNER OF HIGHWAY 113 AND COVELL BOULEVARD. AS DAVIS' THIRD LARGEST EMPLOYER, SUTTER DAVIS EMPLOYS APPROXIMATELY 400 INDIVIDUALS WHO PROVIDE ROUND-THE-CLOCK CARE TO THE SICK, THE INJURED AND THOSE RECUPERATING FROM SURGERY PERFORMED IN THE HOSPITAL'S THREE FULLY EQUIPPED OPERATING SUITES. THE PATIENTS ARE SERVED BY A MEDICAL STAFF OF MORE THAN 160; AN ACTIVE AUXILIARY OF MORE THAN 150 PEOPLE AND A GROUP OF APPROXIMATELY 60 STUDENTS SERVE THE HOSPITAL AS VOLUNTEERS. SUTTER DAVIS IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. IT IS MEDICARE CERTIFIED AND ACCEPTS MOST PRIVATE INSURANCE PLANS. AS A NOT-FOR-PROFIT HOSPITAL, SUTTER DAVIS ALSO DONATES MANY COMMUNITY SERVICES. SUTTER DAVIS HOSPITAL SEEKS TO PROVIDE A CONTINUUM OF HEALTH AND WELLNESS SERVICES TO ASSURE A HIGH QUALITY OF LIFE FOR THE PEOPLE LIVING IN OUR SERVICE AREA. SUTTER DAVIS HOSPITAL SERVES THE COMMUNITY THROUGH A VARIETY OF MEDICAL AND SURGICAL SERVICES, INCLUDING: CANCER CARE CARDIAC REHABILITATION DIGITAL MAMMOGRAPHY DIAGNOSTIC IMAGING EMERGENCY SERVICES HEART AND VASCULAR INSTITUTE INFUSION CENTER INTENSIVE CARE NUCLEAR MEDICINE FAMILY BIRTH CENTER COMMUNITY BENEFIT PROGRAMS COMMUNICARE: AS WE PREPARE FOR THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, WE UNDERSTAND THAT NOTHING IS MORE IMPORTANT THAN EXPANDING ACCESS TO CARE AND BUILDING CAPACITY FOR THE UNDERSERVED. CURRENTLY, LIMITED ACCESS TO CARE REMAINS THE TOP PRIORITY IN THE GREATER SACRAMENTO REGION, AND WHILE SUTTER DAVIS HOSPITAL FUNDS AND SUPPORTS MANY INITIATIVES AND ORGANIZATIONS THAT DO AMAZING WORK IN OUR COMMUNITY, THE INVESTMENTS WE PROVIDE TO COMMUNICARE TO EXPAND CAPACITY AND ACCESS TO CARE REMAIN PARAMOUNT. SUTTER DAVIS HOSPITAL HAS BEEN A LONGTIME PARTNER WITH COMMUNICARE AND WILL CONTINUE TO MAKE STRATEGIC INVESTMENTS AND PROVIDE SUPPORT TO THIS CRITICALLY IMPORTANT NETWORK, AS COMMUNICARE MEETS THE NEEDS OF MORE AND MORE PEOPLE THROUGHOUT YOLO COUNTY AND THE SUTTER DAVIS HOSPITAL HSA. COMMUNICARE PROVIDES CARE TO SOME OF THE MOST VULNERABLE POPULATIONS IN OUR REGION. BY CONTINUING TO MAKE STRATEGIC INVESTMENTS IN THIS IMPORTANT HEALTH CENTER, WE ARE ENSURING THE UNDERSERVED HAVE ACCESS TO CARE AND A MEDICAL HOME. THIS FEDERALLY QUALIFIED HEALTH CENTER (FQHC) HAS BEEN PROVIDING HEALTH CARE TO THOSE INDIVIDUALS IN NEED SINCE 1972. COMMUNICARE OFFERS COMPREHENSIVE PRIMARY MEDICAL AND DENTAL SERVICES, SUBSTANCE ABUSE TREATMENT, BEHAVIORAL HEALTH SERVICES, HEALTH EDUCATION AND SUPPORT SERVICES IN YOLO COUNTY AND THE SURROUNDING COMMUNITIES THROUGH FIVE COMMUNITY CLINIC SITES AND OUTREACH PROGRAMS. COMMUNICARE PROVIDES MORE THAN 20,000 BEHAVIORAL HEALTH VISITS EACH YEAR. THE BEHAVIORAL HEALTH DEPARTMENT IS COMPRISED OF FOUR SERVICE CATEGORIES; ADULT SERVICES, ADOLESCENT SERVICES, FAMILY SERVICES AND INTEGRATED BEHAVIORAL HEALTH SERVICES. ADDITIONALLY, COMMUNICARE HEALTH CENTERS ARE DEDICATED TO PROVIDING A PATIENT CENTERED HEALTH HOME FOR ANY INDIVIDUAL WE SERVE REGARDLESS OF THEIR POINT OF ENTRY INTO OUR SYSTEM. THE BEHAVIORAL HEALTH TEAM WORKS CLOSELY WITH OUR MEDICAL, DENTAL AND PERINATAL PROVIDERS TO ENSURE THAT WE ARE TREATING THE ENTIRE INDIVIDUAL. PHYSICAL EXAMINATIONS ARE PROVIDED TO ALL CLIENTS ENTERING OUR BEHAVIORAL HEALTH PROGRAMS. IN ADDITION, MEDICALLY SUPERVISED DETOXIFICATION SERVICES ARE OFFERED FOR OPIATE AND STIMULANT WITHDRAWAL. ONE OF THE BEST AND MOST COST-EFFECTIVE WAYS TO PREVENT DISEASE AND PROMOTE HEALTHY COMMUNITIES IS TO TEACH PEOPLE HOW TO TAKE GOOD CARE OF THEMSELVES AND THEIR FAMILIES. COMMUNICARE HEALTH CENTERS PROVIDES COMPREHENSIVE HEALTH EDUCATION AND OUTREACH SERVICES THROUGHOUT THE COUNTY. COMMUNICARE HEALTH CENTERS REMAINS COMMITTED TO ITS FOUNDING PURPOSE, WHICH IS TO ENSURE THAT HIGH QUALITY HEALTH CARE IS AVAILABLE TO EVERYONE WHO NEEDS IT, AND TO PROVIDE A FULL RANGE OF SERVICES FROM ANNUAL EXAMS TO PEDIATRIC IMMUNIZATIONS TO TREATMENT FOR CHRONIC DISEASES. OVER THE YEARS, COMMUNICARE HAS BEEN ABLE TO EXPAND SERVICES TO INCLUDE DENTAL, EYE CARE AND PERINATAL PROGRAMS THAT MEET THE NEEDS OF OUR COMMUNITY. BY INVESTING IN COMMUNICARE AND SUPPORTING THIS TREMENDOUS ORGANIZATION'S GROWTH AND INNOVATIVE EFFORTS, WE ARE ABLE TO ADDRESS MULTIPLE PRIORITY NEEDS IN EFFECTIVE AND IMPACTFUL WAYS. DAVIS FARMER'S MARKET: SUTTER DAVIS HOSPITAL BECAME THE MAJOR SPONSOR FOR THE DAVIS FARMERS MARKET WITH THE GOAL OF BUILDING PUBLIC AWARENESS ABOUT THE RELATIONSHIP BETWEEN EATING FARM-FRESH, LOCAL FOODS AND GOOD HEALTH. IN ADDITION, SUTTER DAVIS HOSPITAL ALSO SUPPORTS THE FARM TO SCHOOL PROGRAM, WHICH BRINGS LOCALLY GROWN FARM-FRESH FOODS INTO THE LOCAL SCHOOLS. ADDITIONAL COMMUNITY SERVICES * 24-HOUR EMERGENCY SERVICES - OUR EMERGENCY DEPARTMENT IS STAFFED AND EQUIPPED TO CARE FOR MOST EMERGENCY NEEDS AROUND THE CLOCK. * BIRTHING CENTER- THE SELF-CONTAINED BIRTHING CENTER HAS SIX LABOR AND DELIVERY ROOMS AND 12 POSTPARTUM ROOMS, AS WELL AS ITS OWN DIAGNOSTIC CAPABILITIES AND OPERATING SUITE. ALTERNATIVE BIRTHING METHODS ARE ALSO AVAILABLE SUCH AS WATER BIRTHS, MIDWIVES AS WELL AS A VOLUNTEER DOULA PROGRAM. * INTENSIVE CARE UNIT - AN INTENSIVE CARE UNIT IS STAFFED BY SPECIALLY TRAINED NURSES AND DIRECTED BY A BOARD-CERTIFIED CRITICAL CARE INTERNIST FOR AROUND-THE-CLOCK MONITORING OF THE EXTREMELY ILL. * THE HEART AND VASCULAR INSTITUTE AT SUTTER DAVIS HOSPITAL PROVIDES OUR PATIENTS WITH COMPREHENSIVE CARDIAC DIAGNOSTIC, REHABILITATION AND PREVENTION SERVICES. OUR RECENTLY RENOVATED CARDIAC REHABILITATION DEPARTMENT BOOSTS A 12 CHANNEL TELEMETRY SYSTEM AND A GYM WITH CARDIORESPIRATORY EMPHASIS - INCLUDING TREADMILLS, ELLIPTICAL WALKERS, NEUTEPS, BIKES, STRENGTH AND STRETCH TRAINING, AND BALANCE SYSTEM. USING THE LATEST TECHNOLOGY AND RESEARCH AVAILABLE, OUR CARING STAFF PROVIDES PATIENTS WITH AN INDIVIDUALIZED PROGRAM TO ENHANCE THEIR HEALTH AND WELL-BEING THROUGH EXERCISE AND PREVENTION. * CANCER CARE - AS A SATELLITE CARE CENTER OF SUTTER CANCER CENTER IN SACRAMENTO, SUTTER DAVIS HOSPITAL GIVES LOCAL PATIENTS THE ABILITY TO RECEIVE QUALITY CARE, CLOSE TO HOME. OUR RECENTLY EXPANDED INFUSION CENTER PROVIDES INFUSION THERAPY, INCLUDING CHEMOTHERAPY, BLOOD TRANSFUSIONS, INTRAVENOUS INFUSIONS, INJECTIONS AND PATIENT EDUCATION. WE COORDINATE SERVICES WITH OUR LOCAL ONCOLOGISTS AND CANCER SURGEONS TO MAKE SURE PATIENTS WITH CANCER DON'T HAVE TO TRAVEL TO RECEIVE GOOD CARE. * VAUGHN RESOURCE CENTER/CRONAN MEDICAL LIBRARY - PROVIDER AND COMMUNITY-BASED VIDEOTAPES, BROCHURES AND HANDOUTS ARE AVAILABLE IN THIS INFORMATION CENTER. COMPUTER WORKSTATIONS PROVIDE LOCAL RESOURCES FOR SUPPORT GROUPS AND SERVICES; A DATABASE UPDATED MONTHLY WITH FOUR YEARS OF HARD-TO-FIND MEDICAL INFORMATION FROM PERIODICALS, PAMPHLETS AND REFERENCE BOOKS; AND ACCESS TO PROVIDER AND PATIENT EDUCATION INCLUDING BIBLIOMED REFERENCE LIBRARY, MEDICAL HOUSE CALLS AND CLINICAL REFERENCE SYSTEM - ADULT HEALTH ADVISOR. THE RESOURCE CENTER IS STAFFED WEEKDAYS BY VOLUNTEERS. PHONE AND MAILING SERVICE IS AVAILABLE. * SUTTER DAVIS HOSPITAL AUXILIARY - VOLUNTEERS CONTRIBUTE MANY HOURS OF SERVICE TO THE HOSPITAL EACH YEAR THROUGH DIRECT PATIENT CONTACT SERVICES TO THE MORE TRADITIONAL VOLUNTEER ROLES SUCH AS WORKING AT THE INFORMATION DESK AND GIFT SHOP. |
| FORM 990, PART III, LINE 4A CONTINUED | SUTTER MEDICAL CENTER OF SACRAMENTO (HOSPITAL ORGANIZATION) GENERAL DESCRIPTION SUTTER MEDICAL CENTER, SACRAMENTO (SMCS) HAS TWO ACUTE CARE HOSPITAL CAMPUSES, SUTTER GENERAL AND SUTTER MEMORIAL, AND HAS PROVIDED HEALTH CARE TO RESIDENTS OF SACRAMENTO SINCE 1923. SUTTER MEDICAL CENTER, SACRAMENTO ALSO INCLUDES SUTTER CENTER FOR PSYCHIATRY, PROVIDING PSYCHIATRIC, MENTAL HEALTH AND CHEMICAL DEPENDENCY SERVICES SINCE 1958. WITH 723 LICENSED BEDS, SMCS IS NOT-FOR-PROFIT AND FULLY ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. PATIENT SERVICES SERVICES AT BOTH SUTTER GENERAL AND SUTTER MEMORIAL CAMPUSES INCLUDE: 24-HOUR EMERGENCY SERVICES, SURGERY, RESPIRATORY THERAPY, INTENSIVE CARE, DIAGNOSTIC IMAGING, REHABILITATION, CARDIOPULMONARY, OCCUPATIONAL HEALTH, LABORATORY, PHYSICAL THERAPY, HOME HEALTH AND HOSPICE SERVICES. IMPROVING FACILITIES AND ACCESS SUTTER MEDICAL CENTER SACRAMENTO'S MISSION STATEMENT IS: TO EXIST TO PROVIDE PRIMARY, TERTIARY AND A CONTINUUM OF SERVICES TO MEET THE HEALTH CARE NEEDS OF PEOPLE LIVING IN THE GREATER SACRAMENTO AREA AND THROUGHOUT NORTHERN CALIFORNIA, AND TO BE THE PROVIDER OF CHOICE TO OUR PATIENTS, PARTNER OF CHOICE TO PHYSICIANS AND PAYORS, AND THE EMPLOYER OF CHOICE TO OUR STAFF. THE SUTTER HEALTH NETWORK OF PHYSICIANS AND NOT-FOR-PROFIT HOSPITALS WILL INVEST BILLIONS OF DOLLARS OVER TEN YEARS TO REBUILD, REPLACE AND EXPAND MUCH OF NORTHERN CALIFORNIA'S HEALTH CARE INFRASTRUCTURE. LOCALLY, PLANS (OR COMPLETED PROJECTS) INCLUDE: * CONSTRUCTION OF A 10-STORY WOMEN'S AND CHILDREN'S HOSPITAL CAMPUS AT OUR MIDTOWN CAMPUS. OPENING IN 2015, IT WILL FEATURE NEONATAL AND PEDIATRIC INTENSIVE CARE UNITS, THE LATEST LABOR AND DELIVERY SERVICES AND A HELISTOP. A THREE-STORY SPANNING STRUCTURE WILL SEAMLESSLY LINK THE NEW WOMEN'S AND CHILDREN'S CENTER TO SUTTER GENERAL HOSPITAL. * TOTAL REMODELING OF THE SUTTER GENERAL HOSPITAL CAMPUS INCLUDING SPECIALIZED OPERATING ROOMS AND CATH LABS FOR CARDIOVASCULAR AND TRANSPLANT SERVICES. EXPANDED EMERGENCY DEPARTMENT WILL HAVE DEDICATED SERVICES FOR PEDIATRIC PATIENTS. * SUTTER CAPITOL PAVILION, A NEW MEDICAL OFFICE BUILDING FOR SPECIALTY PHYSICIANS AND OUTPATIENT SERVICES CENTER, OPENED IN 2010. THE NEW BUILDING IS CONNECTED TO THE ENTIRE SUTTER MEDICAL CENTER, SACRAMENTO CAMPUS BY A PEDESTRIAN BRIDGE OVER 28TH STREET. * A MULTI-LEVEL PARKING GARAGE, THE SUTTER COMMUNITY GARAGE, OPENED IN 2008 AND PROVIDES 1,100 PARKING SPACES. |
| FORM 990, PART III, LINE 4A CONTINUED | FACILITIES WITHIN SUTTER MEDICAL CENTER, SACRAMENTO SUTTER GENERAL HOSPITAL IS AN ACUTE CARE FACILITY LICENSED AS A COMMUNITY HOSPITAL. A MAJOR TERTIARY REFERRAL CENTER, IT HOUSES 306 BEDS. SUTTER GENERAL HOSPITAL PROVIDES GENERAL ACUTE MEDICAL CARE AND SURGICAL SERVICES, SUB ACUTE CARE, AND SPECIALTY SERVICES IN NEUROLOGY, NEUROSURGERY, ORTHOPEDIC, SPINE, DIABETES AND ONCOLOGY CARE. OTHER AREAS OF CARE INCLUDE LAPAROSCOPIC SURGERY, DIAGNOSTIC IMAGING, UROLOGY, TELEMETRY, RESPIRATORY, DIALYSIS AND 24-HOUR EMERGENCY SERVICES. IN ADDITION, SUTTER CANCER CENTER, ADJACENT TO SUTTER GENERAL HOSPITAL, IS ONE OF THE LARGEST AND MOST COMPREHENSIVE CENTERS IN CALIFORNIA. SUTTER GENERAL'S SUB ACUTE UNIT PROVIDES SHORT TERM, STEP-DOWN ACUTE CARE WITH PHYSICAL, OCCUPATIONAL, SPEECH AND RESPIRATORY REHABILITATION, IV THERAPY AND WOUND CARE. SUTTER GENERAL HOSPITAL OFFERS SEVERAL EDUCATIONAL AND SUPPORT GROUPS AS PART OF ITS HEALTH CARE SERVICES. HIGHLIGHTS OF NEW PROGRAMS AND SERVICES AT SUTTER GENERAL INCLUDE: COMPUTER-ASSISTED TOTAL JOINT REPLACEMENT; DA VINCI ROBOTIC SURGICAL PROCEDURE; EICU; EXPANDED EPILEPSY PROGRAM; GLIASITE; PROCEDURE TO TREAT BRAIN CANCER; TELEMETRY UNIT; NEW LANGUAGE INTERPRETATION AND TRANSLATION SERVICE; BARIATRIC SURGERY; DEEP BRAIN STIMULATION; ENHANCED NUCLEAR MEDICINE CAPABILITIES; EXPANDED EMERGENCY DEPARTMENT; GAMMA KNIFE RADIOSURGERY; AND 3-DIMENSIONAL ANGIOGRAPHY. SUTTER MEMORIAL HOSPITAL IS A 348-BED ACUTE CARE FACILITY LICENSED AS A COMMUNITY HOSPITAL. ANOTHER MAJOR TERTIARY REFERRAL CENTER, IT PROVIDES GENERAL ACUTE MEDICAL CARE AND SURGICAL SERVICES, WITH SPECIALTY SERVICES IN CARDIAC CARE, MATERNITY, NEONATAL PEDIATRICS, AND ORGAN TRANSPLANTATION. HIGHLIGHTS OF NEW PROGRAMS AND SERVICES AT SUTTER MEMORIAL INCLUDE: LASER ABLATION SURGERY FOR EPILEPSY AND BRAIN LESIONS; OUTPATIENT CONGESTIVE HEART FAILURE CLINIC; ELECTROPHYSIOLOGY LAB; PEDIATRIC LIFESTYLES PROGRAM; INTERVENTIONAL OBSERVATIONAL UNIT; BRACHYTHERAPY TREATMENT FOR CARDIAC PATIENTS; AND VENTRICULAR ASSIST DEVICE PROGRAM. SUTTER CENTER FOR PSYCHIATRY IS A 69-BED ACUTE BEHAVIORAL MEDICINE SPECIALTY HOSPITAL THAT TREATS ADULTS, ADOLESCENTS AND CHILDREN. IT ALSO OFFERS A CRITICAL INCIDENT DEBRIEFING TEAM TO HELP EMPLOYEES OF BUSINESSES COPE AFTER A TRAUMATIC OR VIOLENT EPISODE. SUTTER HEALTH EAP RESOURCES OFFERS CONFIDENTIAL ASSESSMENT, COUNSELING AND REFERRAL SERVICES TO EMPLOYEES OF LARGE AND SMALL BUSINESSES. SUTTER CENTER FOR PSYCHIATRY OFFERS THE ONLY INPATIENT EATING DISORDER PROGRAM IN NORTHERN CALIFORNIA. THIS NEW PROGRAM IS A SIX-BED SPECIALIZED TREATMENT PROGRAM FOR EATING DISORDER PATIENTS. SUTTER INSTITUTE FOR MEDICAL RESEARCH (SIMR): CLINICAL INVESTIGATION IS AN INCREASINGLY IMPORTANT LINK IN COORDINATING THE LATEST ADVANCES IN SCIENCE AND TECHNOLOGY WITH DIAGNOSIS AND TREATMENT. IN ORDER TO BENEFIT FROM THESE ADVANCES AND REMAIN AT THE FOREFRONT OF INNOVATION AND QUALITY IN HEALTHCARE SERVICES, IT IS ESSENTIAL THAT WE PROVIDE A CLINICAL SETTING FOR OUR PHYSICIANS AND HEALTHCARE PROFESSIONALS WHICH ARE COMPLEMENTED BY A COMPREHENSIVE RESEARCH AND DEVELOPMENT PROGRAM. SUTTER HEALTH SACRAMENTO SIERRA REGION SERVICE AREA IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE TO ITS PATIENTS, AND THE SUTTER INSTITUTE FOR MEDICAL RESEARCH SUPPORTS THIS COMMITMENT BY PROVIDING RESEARCH SUPPORT AND EDUCATION PROGRAMS. SIMR HAS A HISTORY OF OVER FIVE DECADES OF COMMITMENT TO MEDICAL RESEARCH. SIMR HAS GAINED RECOGNITION FOR ITS INVESTIGATIVE STUDIES IN THE AREAS OF HEART, CANCER, ORTHOPEDICS, RESPIRATORY, NEUROLOGY, GI/GU AND MANY OTHER AREAS OF MEDICINE. SIMR'S PRIMARY OBJECTIVE IS TO HELP HEALTH PROFESSIONALS CONDUCT RESEARCH IN A CLINICAL SETTING BY PROVIDING MANAGEMENT AND ADMINISTRATIVE RESOURCES OTHERWISE UNAVAILABLE TO THE PRIVATE PRACTITIONER. AT SIMR, SUTTER INVESTIGATORS RECEIVE SUPPORT IN FIVE AREAS. RESEARCH ADMINISTRATIVE SERVICES: SIMR IS THE REGIONAL OVERSIGHT FOR ALL RESEARCH CONDUCTED IN THE SUTTER HEALTH SACRAMENTO SIERRA REGION. SINCE 1996 SIMR'S OFFICE OF RESEARCH ADMINISTRATION (ORA) HAS BEEN CHARGED WITH ASSISTING, GUIDING AND FACILITATING THIS RESEARCH. THE ORA SERVES AS A CLEARINGHOUSE FOR THE REVIEW, ADMINISTRATION, REPORTING AND MONITORING OF ALL RESEARCH ACTIVITY CONDUCTED AT SUTTER AFFILIATES WITHIN THE REGION WHICH INCLUDE SUTTER MEDICAL CENTER (SUTTER GENERAL AND MEMORIAL HOSPITALS, AND SUTTER CENTER FOR PSYCHIATRY), SUTTER DAVIS HOSPITAL, SUTTER AUBURN FAITH HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO, SUTTER YUBA CITY AND SUTTER MEDICAL FOUNDATION. RESEARCH SUPPORT SERVICES: SIMR PROVIDES A VARIETY OF SUPPORT SERVICES TO SUTTER CLINICAL INVESTIGATORS. THE SUPPORT SERVICES INCLUDE A GRANTS PROGRAM THAT FUNDS MERITORIOUS RESEARCH PROJECTS INITIATED BY THEM. THE FUNDS TO FINANCE THESE GRANTS COME FROM DONATIONS AND OTHER PHILANTHROPIC GIFTS MADE TO SUTTER MEDICAL CENTER FOUNDATION. SINCE 1989, SUTTER MEDICAL CENTER FOUNDATION AND SIMR HAVE FUNDED 40 RESEARCH PROJECTS TOTALING APPROXIMATELY $1 MILLION. OTHER SERVICES INCLUDE STATISTICAL ANALYSIS AND CONSULTATION FOR CLINICAL RESEARCH PROJECTS, QUALITY INDICATOR STUDIES, CLINICAL EFFECTIVENESS AND CLINICAL OUTCOMES STUDIES. CLINICAL TRIALS PROGRAM: THE SIMR CLINICAL TRIALS PROGRAM PROVIDES AN ENVIRONMENT FOR BRINGING HEALTH PROFESSIONALS AT SUTTER HEALTH AND CLINICAL TRIAL SPONSORS TOGETHER TO PARTICIPATE IN INNOVATIVE CLINICAL RESEARCH PROGRAMS. OUR PROGRAM OFFERS A STRONG INFRASTRUCTURE FOR CLINICAL INVESTIGATORS WHO WISH TO OFFER THEIR PATIENTS THE LATEST INVESTIGATIVE TREATMENT MODALITIES. WE OFFER A COMPREHENSIVE MANAGEMENT AND CLINICAL SUPPORT SERVICES FOR THE CONDUCT OF CLINICAL RESEARCH AT SUTTER SITES INCLUDING SERVICES SUCH AS EXPERIENCED CLINICAL RESEARCH COORDINATORS, REGULATORY PREPARATION, CONTRACT PREPARATION, STUDY FINANCIAL MANAGEMENT, BILLING COMPLIANCE OVERSIGHT AND QUALITY ASSURANCE AUDITING. THROUGH PARTICIPATION IN CLINICAL TRIALS OF NEW TREATMENT MODALITIES, THE COMMUNITY IS PROVIDED ACCESS TO THE LATEST INNOVATIONS AND DISCOVERIES IN PATIENT CARE AND TREATMENT. SINCE ITS INCEPTION IN 1991, THOUSANDS OF SUTTER PATIENTS HAVE HAD ACCESS TO INVESTIGATIONAL TREATMENT MODALITIES OTHERWISE UNAVAILABLE TO THE PUBLIC. LABORATORY RESEARCH AND TRAINING: THE SIMR RESEARCH AND TRAINING LABORATORY PROVIDE FULLY EQUIPPED AND STAFFED SURGICAL RESEARCH AND TRAINING FACILITIES. THE LABORATORY PROGRAM SUPPORTS RESEARCH AND TRAINING IN AREAS THAT INCLUDE CARDIOLOGY, CARDIOVASCULAR SURGERY, GENERAL SURGERY, NEONATOLOGY, PULMONARY MEDICINE, THORACIC SURGERY AND UROLOGY. EVERY YEAR, DOZENS OF MEDICAL DEVICE COMPANIES UTILIZE THE LABORATORY TO CONDUCT RESEARCH AND DEVELOPMENT, AND HUNDREDS OF HEALTHCARE PROFESSIONALS PARTICIPATE IN RESEARCH AND TRAINING INVOLVING THE LATEST TECHNOLOGY. THE SIMR LABORATORY CONTINUES TO EXPAND ITS AREAS OF SUPPORT AND BROADEN THE SPECTRUM OF SERVICES PROVIDED THE LABORATORY IS HIGHLY ACCREDITED AND HAS A NATIONAL REPUTATION FOR EXCELLENCE. SUTTER HEALTH CENTRAL AREA INSTITUTIONAL REVIEW COMMITTEE (IRC): SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR) IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE TO ITS PATIENTS. THE IRC SUPPORTS THIS COMMITMENT BY PROVIDING RESEARCH REGULATORY COMPLIANCE OVERSIGHT AND EDUCATION PROGRAMS TO SUTTER-ALIGNED RESEARCHERS THROUGHOUT THE REGION. THE IRC IS THE ADMINISTRATIVE BODY MANDATED BY FEDERAL LAW TO PROTECT THE RIGHTS AND WELFARE OF HUMAN SUBJECTS PARTICIPATING IN RESEARCH ACTIVITIES CONDUCTED WITHIN INSTITUTIONS AND ORGANIZATIONS AFFILIATED WITH SHSSR. THE IRC'S PRIMARY RESPONSIBILITY IS THE PROTECTION OF SUBJECTS FROM UNDUE RISK AND FROM DEPRIVATION OF PERSONAL RIGHTS AND DIGNITY. AS SUCH THE IRC CONDUCTS REVIEW FOR RESEARCHERS AND ALL RESEARCH ACTIVITY CONDUCTED AT SUTTER AFFILIATES WITHIN THE SHSSR SERVICE AREA AND EDEN MEDICAL CENTER, A SUTTER AFFILIATE. OVER THE YEARS, THE IRC HAS REVIEWED AND APPROVED HUNDREDS OF NEW RESEARCH PROTOCOLS COVERING A WIDE SPECTRUM OF DISEASE AND HEALTHCARE ISSUES. CANCER CONTINUES TO BE A MAJOR AREA OF RESEARCH WITH NUMEROUS ADULT STUDIES, MOST FUNDED BY THE NATIONAL CANCER INSTITUTE THROUGH ITS COOPERATIVE PROJECTS RESEARCH PROGRAM. |
| FORM 990, PART III, LINE 4A CONTINUED | COMMUNITY PARTNERSHIPS IN 2013, SUTTER MEDICAL CENTER, SACRAMENTO(SMCS) PROVIDED $3 MILLION IN SUPPORT OF CHARITY CARE AND VARIOUS COMMUNITY PROGRAMS. A COMMUNITY BENEFIT COMMITTEE COMPRISED OF LOCAL COMMUNITY LEADERS, HOSPITAL ADMINISTRATORS AND STAFF, AND MEMBERS OF THE SUTTER MEDICAL CENTER FOUNDATION BOARD WORK TO IDENTIFY COMMUNITY NEEDS AND ALLOCATE SMCS COMMUNITY BENEFIT DOLLARS VIA A COMMUNITY GRANTS PROGRAM. BELOW ARE A FEW ORGANIZATIONS THAT SUTTER MEDICAL CENTER, SACRAMENTO HAS PARTNERED WITH OVER THE YEARS: * INTERIM CARE PROGRAM/ICP+ * T-3 PROGRAM (TRIAGE, TRANSPORT, TREATMENT) * T3+ * ED NAVIGATOR PROGRAM * SERIAL INEBRIATE PROGRAM ONE EXAMPLE OF A COLLABORATIVE PROGRAM EXPANDING ACCESS TO HEALTH CARE, MENTAL HEALTH, AND OTHER COMMUNITY SERVICES AND PROGRAMS IS THE INTERIM CARE PROGRAM (ICP). THE ICP IS A COLLABORATIVE OF THE HOSPITAL SYSTEMS, COMMUNITY BASED ORGANIZATIONS AND THE COUNTY GOVERNMENT AND IS A RESPITE CARE SHELTER FOR HOMELESS PATIENTS DISCHARGED FROM HOSPITALS. THE FOUR LOCAL HOSPITALS AND THE COUNTY OF SACRAMENTO PROVIDE ON-GOING FUNDING FOR THE PROGRAM. THE SALVATION ARMY PROVIDES 18 BEDS IN A DESIGNATED WING OF THE SHELTER WHERE CLIENTS HAVE THREE MEALS A DAY AND A SAFE, CLEAN PLACE TO RECOVER FROM THEIR HOSPITALIZATIONS. THE WING IS WHEELCHAIR ACCESSIBLE, HAS SIX ROOMS - EACH WITH THREE HOSPITAL BEDS, AND A PLACE FOR RESIDENTS TO STORE THEIR MEDICATIONS AND WOUND CARE SUPPLIES. ANOTHER COMMUNITY-BASED ORGANIZATION, WELLSPACE HEALTH, FORMERLY THE EFFORT, PROVIDES ON-SITE NURSING AND SOCIAL SERVICES TO SUPPORT CLIENTS IN THEIR RECUPERATION AND HELP THEM MOVE OUT OF HOMELESSNESS. THE WELLSPACE CASE MANAGER LINKS CLIENTS WITH ENTAL HEALTH SERVICES, SUBSTANCE ABUSE RECOVERY, HOUSING WORKSHOPS AND PROVIDES DISABILITY APPLICATION ASSISTANCE. PATIENTS ARE REFERRED FROM THE HOSPITALS TO THE INTERIM CARE PROGRAM WHEN THEY ARE WELL ENOUGH TO GO HOME, BUT NEED ON-GOING REST AND FOLLOW-UP TREATMENT. PATIENTS COME FOR VARIOUS REASONS INCLUDING A WOUND THAT NEEDS TO HEAL, RECOVERY AFTER SURGERY, OR INJURY FROM AN ACCIDENT. CLIENTS CAN STAY IN THE PROGRAM UP TO SIX WEEKS, DEPENDING ON THEIR MEDICAL CONDITION. SUTTER MEDICAL CENTER, SACRAMENTO IS ALSO A PROUD, FOUNDING PARTNER OF T3 (TRIAGE, TRANSPORT AND TREATMENT), A PIONEERING PROGRAM THAT PROVIDES SERVICES TO PATIENTS WHO SEEK EMERGENCY ROOM CARE FOR NEEDS THAT ARE BEST ADDRESSED THROUGH PREVENTIVE MEASURES. THIS PROGRAM COULD BE A MODEL FOR THE KIND OF CHANGE BEING CALLED FOR IN VARIOUS HEALTH CARE REFORM PLANS. THE PROGRAM SEEKS TO PROVIDE THOSE WHO CHRONICALLY USE THE EMERGENCY ROOM FOR NON-EMERGENCY CARE WITH A WAY TO GET THE SERVICES THEY NEED FROM A PRIMARY CARE PROVIDER. MOVING THESE PATIENTS FROM THE EMERGENCY ROOM IMPROVES THE PATIENTS' HEALTH BY GETTING THEM THE APPROPRIATE CARE IN THE RIGHT SETTING, REDUCES THE WAIT FOR THOSE SEEKING CARE FOR REAL MEDICAL EMERGENCIES, AND DRAMATICALLY REDUCES COSTS TO OUR HEALTH CARE SYSTEM. IN LATE 2013, SMCS IMPLEMENTED T3+, WHICH IS A PROGRAM THAT PROVIDES INTENSE CASE MANAGEMENT FOR PATIENTS WHO ARE IDENTIFIED FROM AN INPATIENT SETTING. SUTTER MEDICAL CENTER, SACRAMENTO PROVIDES THE SERIAL INEBRIATE PROGRAM. THIS PROGRAM ADDRESSES HEALTH, SAFETY AND HOUSING NEEDS OF CHRONIC HOMELESS ADULTS LIVING ON THE STREETS OF SACRAMENTO. SUTTER MEDICAL CENTER SACRAMENTO'S NAVIGATOR PROGRAM PARTNERED WITH SACRAMENTO SELF HELP HOUSING TO PROVIDE HOUSING AND TREATMENT AND RECOVERY SERVICES TO ENABLE SELF-SUFFICIENCY. MANY GRADUATES HAVE REGAINED HOUSING AND EMPLOYMENT. IN ORDER TO QUALIFY FOR THE SIP PROGRAM, INDIVIDUALS HAVE BEEN ARRESTED, TAKEN TO DETOX CENTERS OR EMERGENCY DEPARTMENTS MORE THAN 25 TIMES IN A 12-MONTH TIME-FRAME. |
| FORM 990, PART III, LINE 4A CONTINUED | SUTTER ROSEVILLE MEDICAL CENTER SUTTER ROSEVILLE MEDICAL CENTER (SRMC) WAS ESTABLISHED IN 1952 AND AFFILIATED WITH SUTTER HEALTH IN MAY 1993. IN THE MID-90S, SUTTER HEALTH CONSTRUCTED A 315,000-SQUARE-FOOT, 172-BED FACILITY IN THE NORTHEAST AREA OF ROSEVILLE, APPROXIMATELY 20 MILES FROM DOWNTOWN SACRAMENTO. THE HOSPITAL, WHICH HAS EXPANDED TO 328 BEDS, PROVIDES RESIDENTS OF SOUTHERN PLACER AND NORTHEASTERN SACRAMENTO COUNTIES WITH COMPREHENSIVE COMMUNITY HEALTH CARE. THE FACILITY HAS AN EXPANDED HELIPAD ONSITE FOR QUICK ACCESS TO THE HOSPITAL'S LEVEL II TRAUMA CENTER. OTHER SERVICES AVAILABLE AT SUTTER ROSEVILLE MEDICAL CENTER INCLUDE: INPATIENT AND OUTPATIENT SURGERY OBSTETRICS AND PERINATAL CARE NEO NATAL INTENSIVE CARE PEDIATRICS ONCOLOGY FAMILY BIRTH CENTER RESPIRATORY THERAPY SUTTER REHABILITATION INSTITUTE LABORATORY CARDIOPULMONARY SERVICES ACUTE REHABILITATION MEDICAL LIBRARY ACCESS SUTTER CANCER CENTER HOME HEALTH AND HOSPICE CARE CARDIAC CATHETERIZATION LABORATORY NUTRITIONAL SUPPORT SERVICES TELEMETRY PASTORAL CARE LEVEL II TRAUMA CENTER PATIENT AND COMMUNITY EDUCATION CARDIAC REHABILITATION SENIOR SERVICES DIAGNOSTIC IMAGING HOME INFUSION THERAPY IV THERAPY CRITICAL CARE SUB-ACUTE UNIT SOCIAL SERVICES TRAUMA NEURO INTENSIVE CARE UNIT 24-HOUR EMERGENCY TREATMENT NUCLEAR MEDICINE (NATIONALLY RECOGNIZED) BARIATRIC SERVICES WOUND CARE CENTER SUTTER ROSEVILLE MEDICAL CENTER'S MISSION IS: TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE LIVING IN THE COMMUNITIES IT SERVES. SUTTER ROSEVILLE MEDICAL CENTER STRIVES CONTINUOUSLY TO IDENTIFY THE HEALTH CARE NEEDS OF THESE COMMUNITIES AND RESPOND BY PROVIDING WELLNESS, PREVENTIVE, CURATIVE AND RESTORATIVE PROGRAMS AND SERVICES CONSISTENT WITH THE STATED VALUES AND VISION OF THE HOSPITAL. COMMUNITY BENEFIT PROGRAMS SUTTER ROSEVILLE MEDICAL CENTER HAS A HISTORY OF SUPPORTING PROGRAMS AND SERVICES ADDRESSING THE NEEDS OF THE RESIDENTS IN SOUTH PLACER COUNTY. THE HOSPITAL IN COLLABORATION WITH SUTTER AUBURN FAITH HOSPITAL, HAS CREATED A COMMUNITY ADVISORY BOARD AND COMMUNITY PARTNERSHIPS COMMITTEE (A SUB- COMMITTEE OF THE ADVISORY GROUP) IN ORDER TO IDENTIFY AND ADDRESS THE NEEDS IN PLACER COUNTY. SOME OF THE PROGRAMS SUPPORTED BY SRMC INCLUDE: * SUTTER ROSEVILLE MEDICAL CENTER IS PARTNER OF THE NOW COLLABORATIVELY OPERATED HEALTH EXPRESS. HEALTH EXPRESS EXPANDED IN 2007 TO PROVIDE LAST RESORT MEDICALLY-RELATED TRANSPORTATION TO ALL UNDERSERVED POPULATIONS IN SOUTH PLACER COUNTY. * THE INTERIM CARE PROGRAM (ICP) PROVIDES A TEMPORARY RESPITE PROGRAM FOR HOMELESS PATIENTS WHO ARE DISCHARGED FROM SUTTER AUBURN FAITH HOSPITAL. THE PROGRAM IS DESIGNED TO GIVE PATIENTS WITHOUT HOUSING ALTERNATIVES, A CLEAN AND SAFE PLACE TO HEAL FOR UP TO SIX WEEKS AND COMPREHENSIVE "WRAPAROUND" SERVICES LIKE SUBSTANCE ABUSE TREATMENT, PERMANENT HOUSING AND MEDICAL CARE. * PROMOTORAS: THROUGH A PARTNERSHIP WITH THE LATINO LEADERSHIP COUNCIL, SRMC OFFERS PROMOTORAS TO SPANISH SPEAKING PATIENTS WHO NEED TRANSLATION AND OTHER CULTURALLY SENSITIVE COMMUNITY SERVICES. * THE FAMILY SUPPORT PROGRAM LINKS PLACER COUNTY RESIDENTS WITH COMMUNITY SUPPORT GROUPS AND SERVICES. SUTTER ROSEVILLE MEDICAL CENTER AND SUTTER AUBURN FAITH HOSPITAL CONTRACT WITH THE PLACER COUNTY DEPARTMENT OF HEALTH TO PROVIDE A PUBLIC HEALTH NURSE IN THE HOSPITAL TO CONNECT WITH PATIENTS AND PROVIDE EDUCATION AND REFERRALS. * THE T-3 (TRIAGE, TRANSPORT AND TREATMENT) IS A PIONEERING PROGRAM THAT PROVIDES SERVICES TO PATIENTS WHO SEEK EMERGENCY ROOM CARE FOR NEEDS THAT ARE BEST ADDRESSED THROUGH PREVENTIVE MEASURES. THIS PROGRAM COULD BE A MODEL FOR THE KIND OF CHANGE BEING CALLED FOR IN VARIOUS HEALTH CARE REFORM PLANS. THE PROGRAM SEEKS TO PROVIDE THOSE WHO CHRONICALLY USE THE EMERGENCY ROOM FOR NON-EMERGENCY CARE WITH A WAY TO GET THE SERVICES THEY NEED FROM A PRIMARY CARE PROVIDER. MOVING THESE PATIENTS FROM THE EMERGENCY ROOM IMPROVES THE PATIENTS' HEALTH BY GETTING THEM THE APPROPRIATE CARE IN THE RIGHT SETTING, REDUCES THE WAIT FOR THOSE SEEKING CARE FOR REAL MEDICAL EMERGENCIES, AND DRAMATICALLY REDUCES COSTS TO OUR HEALTH CARE SYSTEM. * WELLSPACE HEALTH, FORMERLY THE EFFORT, IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDES COMPREHENSIVE MEDICAL CARE INCLUDING PREVENTIVE CARE, TREATMENT FOR MINOR ILLNESSES OR INJURIES, AND MANAGEMENT OF CHRONIC MEDICAL CONDITIONS FOR THOSE WHO ARE PLACER COUNTY MCE MEMBERS, UNINSURED OR MEDI-CAL. THE WELLSPACE HEALTH MEDICAL TEAM INCLUDES FAMILY PHYSICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS. THANKS TO INVESTMENTS FROM SRMC, A WELLSPACE HEALTH CLINIC IS NOW LOCATED ON THE CAMPUS OF SRMC AT MOB 5. * THE ED NAVIGATOR PROGRAM AT SUTTER ROSEVILLE MEDICAL CENTER CONNECTS INDIVIDUALS WITH PRIMARY CARE AND OTHER NECESSARY HEALTH AND WELLNESS SERVICES. * THE SENIOR RECREATION AND RESPITE PROGRAM (R & R) IS DESIGNED TO MEET THE NEEDS OF OLDER ADULTS WITH MEMORY OR PHYSICAL IMPAIRMENT. THE PROGRAM PROVIDES RECREATIONAL, SOCIAL AND EDUCATIONAL ACTIVITIES FOR THE PARTICIPANTS, AND RESPITE FOR CAREGIVERS TO ENJOY SOME FREE TIME TO THEMSELVES. THE STAFF IS SUPPORTED BY ITS VALUABLE TEAM OF VOLUNTEERS AND COMPLETED BY PERSONAL CARE AIDS. R & R MEETS ONCE A WEEK IN AUBURN, AND FOUR DAYS A WEEK IN LINCOLN. * THE SENIOR RESOURCE GUIDE IS A BOOKLET, FREE TO THE PUBLIC, WITH INFORMATION ON A MULTITUDE OF SENIOR SERVICES AVAILABLE IN PLACER COUNTY. THE GUIDE IS UPDATED AND DISTRIBUTED SEMI-ANNUALLY VIA PHYSICIAN OFFICES, SENIOR APARTMENT COMPLEXES, SENIOR CENTERS, SKILLED NURSING FACILITIES, LIBRARIES, MOBILE HOME COMMUNITIES, SENIOR SERVICE PROVIDERS, HOME HEALTH AND HOSPICE AGENCIES AND MANY OTHER SERVICE ORGANIZATIONS AND PUBLIC PLACES. WE ARE ABLE TO PRODUCE THIS GUIDE IN PARTNERSHIP WITH SENIORS FIRST, SUTTER ROSEVILLE MEDICAL CENTER, THE SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION, SUTTER AUBURN FAITH HOSPITAL AND THE SUTTER AUBURN FAITH HOSPITAL FOUNDATION. * SUTTER ROSEVILLE MEDICAL CENTER PARTNERS WITH OAKMONT HIGH SCHOOL ON THE OAKMONT HEALTH CAREERS ACADEMY, A THREE-YEAR HIGH SCHOOL PROGRAM, FOR STUDENTS INTERESTED IN EXPLORING AND PREPARING FOR CAREERS IN HEALTH CARE. STUDENTS IN THEIR JUNIOR YEAR EXPERIENCE CAREER OPTIONS THROUGH JOB-SHADOWING PROFESSIONALS AT SUTTER ROSEVILLE MEDICAL CENTER IN MANY AREAS OF HEALTH CARE, FOLLOWED BY A MONTH OFF A HANDS-ON CLINICAL EXPERIENCE ROTATION. STUDENTS IN THEIR SENIOR YEAR PARTICIPATE IN A 100-HOUR INTERNSHIP IN THE HOSPITAL SETTING. OTHER COMMUNITY SERVICES THE HOSPICE PROGRAM WAS ESTABLISHED IN 1984 TO PROVIDE MEDICAL, SOCIAL, EMOTIONAL AND SPIRITUAL SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES AT NO COST BEYOND WHAT INSURANCE, MEDICARE OR OTHER PROVIDERS PAY. THE CHILDREN'S BEREAVEMENT ART GROUP GREW OUT OF HOSPICE IN 1993 TO EXTEND EXISTING BEREAVEMENT SERVICES FOR ADULTS TO MEET THE SPECIAL NEEDS OF CHILDREN. IN 1987, THE HOSPITAL OPENED ITS PASTORAL CARE DEPARTMENT WITH A FULL-TIME CHAPLAIN TO WORK IN COORDINATION WITH THE HOSPITAL'S SOCIAL SERVICE PROGRAM. SUTTER ROSEVILLE MEDICAL CENTER IS AN ACTIVE PARTNER WITH THE SAFE KIDS COALITION OF PLACER COUNTY, WHICH IS COMPRISED OF REPRESENTATIVES FROM LOCAL HEALTH CARE AGENCIES, GOVERNMENT AND PRIVATE AGENCIES IN PLACER COUNTY. ITS GOAL IS TO REDUCE THE INCIDENCE OF INJURY RELATED TO MORBIDITY AND MORTALITY AND ADDRESSES THESE ISSUES THROUGH EDUCATION, TRAINING, ORGANIZATIONAL POLICY, NETWORKING, LEGISLATIVE ADVOCACY AND EVALUATION. |
| FORM 990, PART III, LINE 4A CONTINUED | SUTTER SOLANO MEDICAL CENTER SUTTER SOLANO MEDICAL CENTER (SSMC) IS A 102 LICENSED BED ACUTE CARE HOSPITAL IN VALLEJO, CALIFORNIA, BETWEEN SACRAMENTO AND SAN FRANCISCO. THE NOT-FOR-PROFIT, COMMUNITY-BASED FACILITY IS FULLY ACCREDITED BY THE JOINT COMMISSION AND PROVIDES A FULL-RANGE OF GENERAL, EMERGENCY AND MEDICAL/SURGICAL SPECIALTIES. THE CARE TEAM AT SSMC INCLUDES 290 STAFF MEMBERS, 690 EMPLOYEES AND 100 VOLUNTEERS. SSMC AFFILIATED WITH SUTTER HEALTH IN 1984 ENSURING THE ABILITY TO CONTINUE PROVIDING AND IMPROVING HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITY. MISSION STATEMENT WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. HOSPITAL SERVICES SSMC'S EMERGENCY DEPARTMENT IS STAFFED 24-HOURS A DAY, 7 DAYS A WEEK BY BOARD-CERTIFIED EMERGENCY MEDICAL PHYSICIANS AND NURSES WHO SPECIALIZE IN EMERGENCY MEDICINE - ADULT AND PEDIATRIC. SSMC IS ONE OF THE ONLY FACILITIES IN THE AREA WITH A HELICOPTER LANDING ZONE FOR ACCESS TO TRANSFER PATIENTS TO A HIGHER LEVEL OF CARE WHEN REQUIRED. ON AVERAGE, SSMC DELIVERS NEARLY 700 BABIES EACH YEAR AND SUPPORTS NEW FAMILIES THROUGH ITS FAMILY BIRTHING CENTER, PRIVATE LABOR/DELIVER/RECOVERY (LDR) SUITES AND A VARIETY OF PRENATAL CLASSES. IN ADDITION TO THE ACUTE CARE FACILITY, SSMC OPERATES A CANCER CENTER, FULLY ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS (ACOS). COMPREHENSIVE CANCER SERVICES INCLUDE CHEMOTHERAPY, INFUSION THERAPY, LABORATORY AND PATHOLOGY, GENETIC TESTING, PAIN MANAGEMENT AND RADIATION THERAPY. PROGRAM SERVICE ACCOMPLISHMENTS SSMC'S SOCIAL WORK SERVICE AND CARE COORDINATORS PLAY KEY ROLES IN HELPING PATIENTS LOCATE THE NECESSARY SERVICES AND EQUIPMENT FOR CARE AFTER HOSPITALIZATION. SSMC'S SURGICAL SERVICES ARE PERFORMED ON BOTH AN INPATIENT AND OUTPATIENT BASIS AND INCLUDE THE LATEST TECHNIQUES IN SUCH AREAS AS CARDIAC, ORTHOPEDIC, GENERAL VASCULAR, ENDOSCOPIC AND OPHTHALMIC SURGERY. OTHER HOSPITAL SERVICES INCLUDE: INPATIENT REHABILITATION SERVICES, DIAGNOSTIC IMAGING SERVICES, RADIATION ONCOLOGY, LABORATORY, DIETARY AND INFUSION THERAPY. CANCER SERVICES AVAILABLE INCLUDE PREVENTION, SCREENING, EDUCATION, LECTURES, THE CANCER RESOURCE LIBRARY, AND TREATMENT INCLUDING PROGRAMS SUCH AS RADIATION THERAPY, INTENSITY MODULATED RADIATION THERAPY, RESPIRATORY GAITING, CHEMOTHERAPY, INFUSION AND THE PATIENT NAVIGATOR PROGRAM WHICH PROVIDES A NURSE NAVIGATOR TO GUIDE CANCER PATIENTS THROUGH THEIR TREATMENT AND HEALING PROCESS. COMMUNITY BENEFIT PROGRAMS SSMC PARTNERS WITH LA CLINICA DE LA RAZA'S NORTH VALLEJO CLINIC TO IMPROVE ACCESS TO PRIMARY CARE IN VALLEJO FOR OUR MOST VULNERABLE POPULATION-THE LOW-INCOME, UNDERINSURED AND UNINSURED. PRIMARY CARE ACCESS LOWERS THE COST OF HEALTH CARE FOR ALL AS NON-URGENT CONDITIONS CAN NOW BE TREATED EARLY, BEFORE THEY ESCALATE INTO MORE SERIOUS ILLNESSES. SSMC IS AN ACTIVE PARTICIPANT AND FOUNDING MEMBER OF THE SOLANO COALITION FOR BETTER HEALTH. THE COALITION IS COMPRISED OF MAJOR HEALTH ORGANIZATIONS ALONG WITH REPRESENTATIVES FROM BUSINESS, GOVERNMENT, SERVICE PROVIDERS, ETC. FOR THE PURPOSES OF CREATING HEALTHIER COMMUNITIES IN SOLANO COUNTY. SSMC SUPPORTS COALITION EFFORTS TO PROVIDE A COMMUNITY HEALTH OUTREACH SYSTEM. THIS OUTREACH SYSTEM PROVIDES OUTREACH WORKERS AND PUBLIC HEALTH NURSES WHO HELP THE COMMUNITY ACCESS HEALTH SERVICES AND ASSIST RESIDENTS IN LEADING HEALTHIER LIVES. THE TRANSITIONAL CARE PROGRAM (TCP): THE TCP PROVIDES A PLACE TO DISCHARGE AND CONNECT HOMELESS PATIENTS, WHO ARE TRADITIONALLY UNDERSERVED RESIDENTS, WITH RESOURCES AND SUPPORT. SSMC, ALONG WITH OTHER LOCAL HEALTH PROVIDERS, OFFER FUNDING AND SUPPORT TO THE SOLANO COALITION FOR BETTER HEALTH AND THE BENICIA COMMUNITY ACTION COALITION, TO PROVIDE THIS PROGRAM TO SOME OF SOLANO COUNTY'S MOST VULNERABLE RESIDENTS. THIS PROGRAM LINKS HOMELESS ADULTS TO VITAL COMMUNITY SERVICES WHILE GIVING THEM A PLACE TO HEAL, AS WELL AS MEDICAL FOLLOW UP AND CASE MANAGEMENT. THE CLIENTS WHO ARE ENROLLED IN THE TCP ARE INDIVIDUALS WHO OTHERWISE WOULD BE DISCHARGED TO THE STREET OR CARED FOR IN AN INPATIENT SETTING ONLY. IN ADDITION, THE TCP ALLOWS PATIENTS TO FOCUS ON RECOVERY AND DEVELOPING A LONG-TERM PLAN TO GET OFF THE STREETS, ALL WHILE BEING LINKED TO VITAL COMMUNITY AND MEDICAL SERVICES. THE TCP HAS PRODUCED IMPRESSIVE CLIENT OUTCOMES BY PROVIDING "WRAPAROUND" SERVICES INCLUDING CONNECTION TO A MEDICAL HOME, ENROLLMENT IN ELIGIBLE PROGRAMS AND SUPPORT SERVICES FOR CLIENTS. ED NAVIGATOR/CERTIFIED APPLICATION ASSISTANT: THE EMERGENCY DEPARTMENT NAVIGATOR PROGRAM SEEKS TO CONNECT WITH PATIENTS WHO ARE INAPPROPRIATELY ACCESSING CARE AT THE SUTTER SOLANO MEDICAL CENTER EMERGENCY DEPARTMENT AND LINKS ALL NON-URGENT USERS OF THE ED TO IMMEDIATE COMMUNITY RESOURCES AND MEDICAL CARE. MORE SPECIFICALLY, ED NAVIGATORS REACH OUT TO PATIENTS WHO DO NOT HAVE A PRIMARY CARE PROVIDER AND PROVIDE EXTERNAL MANAGEMENT, CONNECTION TO SERVICES (E.G. INSURANCE ENROLLMENT, SUBSTANCE ABUSE TREATMENT, ETC.) AND FOLLOW UP TO ENSURE A PRIMARY CARE PROVIDER IS BEING UTILIZED. ED NAVIGATORS ARE EMPLOYEES OF LA CLINCIA, BUT ARE SUPPORTED THROUGH FUNDING FROM SSMC AND RESIDE IN THE SUTTER SOLANO MEDICAL CENTER EMERGENCY DEPARTMENT. ADDITIONALLY, WE RECENTLY EXPANDED THIS PROGRAM TO INCLUDE A CERTIFIED APPLICATION ASSISTANT, WHO WORKS ALONGSIDE THE ED NAVIGATOR IN THE EMERGENCY ROOM AND PROVIDES EDUCATION, OUTREACH AND INSURANCE ENROLLMENT SERVICES FOR THE PATIENTS WHO NEED IT. SUTTER SOLANO'S COMMUNITY BENEFIT GOALS ARE: * COLLABORATING WITH OTHER COMMUNITY PARTNERS IN RESPONDING TO IDENTIFIED NEEDS TO IMPROVE ACCESS TO HEALTH CARE SERVICES, ESPECIALLY FOR VULNERABLE POPULATIONS, INCLUDING THE UNINSURED, UNDERINSURED AND AT-RISK MOTHERS. * CONTINUE TO PROVIDE SERVICES AND WORK COLLABORATIVELY WITH OTHER SOLANO COUNTY AGENCIES TO ADDRESS PREVENTION, DETECTION AND TREATMENT OF CANCER, A MAJOR RECURRING HEALTH ISSUE IDENTIFIED IN THE COMMUNITY. * COLLABORATE WITH OTHER SOLANO COUNTY AGENCIES TO EXPAND SERVICES TO INCLUDE PRIMARY CARE. OTHER COMMUNITY OFFERINGS INCLUDE NUMEROUS INFORMATIONAL LECTURES, SCREENING AND HEALTH EVENTS, SUPPORT GROUPS, WALK-A-THONS AND FOOD AND CLOTHING DRIVES. |
| FORM 990, PART III, LINE 4A CONTINUED | SUTTER HEALTH SACRAMENTO SIERRA REGION FREE MAMMOGRAM SCREENING PROGRAM IS OFFERED AT: SUTTER AMADOR HOSPITAL, SUTTER AUBURN FAITH HOSPITAL, SUTTER DAVIS HOSPITAL, SUTTER MEDICAL CENTER SACRAMENTO, SUTTER ROSEVILLE MEDICAL CENTER AND SUTTER SOLANO MEDICAL CENTER. WORKING WITH SUTTER DIAGNOSTIC IMAGING CENTERS THROUGHOUT THE SUTTER HEALTH SACRAMENTO SIERRA REGION, WE OFFER THE OPPORTUNITY FOR UNINSURED WOMEN TO RECEIVE FREE DIGITAL MAMMOGRAMS. IN 2013, AS A RESULT OF ALL OF THE COLLABORATIVE EVENTS THROUGHOUT THE REGION, WE WERE ABLE TO PROVIDE A TOTAL OF 670 FREE AND LOW-COST MAMMOGRAMS. AT MANY OF OUR MAMMOGRAPHY EVENTS, WE HAVE WAITING LISTS AND LONG LINES, DEMONSTRATING THAT ACCESS TO PRIMARY AND PREVENTATIVE CARE CONTINUES TO BE A MAJOR ISSUE IN OUR REGION. OUR GOAL IS NOT ONLY TO SCREEN UNINSURED WOMEN, BUT WE ALSO USE THESE EVENTS AS A CONNECTION POINT FOR THE UNDERSERVED MEMBERS OF OUR COMMUNITY, TO LINK THEM WITH A PRIMARY CARE PROVIDER, FOLLOW UP RESOURCES IF NEEDED, INSURANCE ENROLLMENT INFORMATION AND OTHER KEY SERVICES. WE WILL HAVE TO EXAMINE THE CURRENT MODEL OF THIS PROGRAM IN 2014, AS UNDER THE AFFORDABLE CARE ACT, ALL WOMEN (WITH THE EXCEPTION OF UNDOCUMENTED IMMIGRANTS) WILL HAVE INSURANCE; THEREFORE, WE WILL REASSESS OUR PROCESS MOVING FORWARD, AS THESE EVENTS HAVE TYPICALLY TARGETED THE UNINSURED ONLY. NEW IN 2013, WE ARE INTEGRATING OUR ED NAVIGATORS INTO SOME OF THE SCREENING EVENTS, AS A PILOT PROJECT, TO PROVIDE ONSITE PRIMARY CARE REFERRALS AND OTHER COMMUNITY RESOURCES TO THE WOMEN. ALSO, WE INTEGRATED INSURANCE ENROLLMENT SPECIALISTS FROM COVERED CALIFORNIA TO PROVIDE INSURANCE EDUCATION, OUTREACH AND ENROLLMENT TO THE WOMEN WHO NEED IT MOST. |
| FORM 990, PART VI, LINES 6 & 7A | THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, LINE 7B | SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL. |
| FORM 990, PART VI, LINE 11B | SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM. |
| FORM 990, PART VI, LINE 12 | EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS AND OFFICERS THAT INCLUDES AN ACKNOWLEDGEMENT THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR WILL REVIEW THE STATEMENTS AND MONITOR SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION. |
| FORM 990, PART VI, LINE 15 | THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. |
| FORM 990, PART VI, LINE 19 | THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
| FORM 990, PART XI, LINE 9 | K-1 ORDINARY INCOME $ (475,025) PARTNERSHIP LOSS ON BOOKS 494,231 EQUITY TRANSFERS (NET) (145,676,077) SHARED SERVICE ACCOUNT ADJUSTMENT 1,046,358 ------------- TOTAL (144,610,513) ============= |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ADOLESCENT TREATMENT CENTERS INC | ||||||||||
| 390 40TH STREET | OAKLAND | CA | 94609 | 680088443 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER EBH | Yes (true) |
| ALTA BATES SUMMIT FOUNDATION | ||||||||||
| 3012 SUMMIT STREET 3RD FLOOR | OAKLAND | CA | 94609 | 510160184 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER EBH | Yes (true) |
| CALIFORNIA PACIFIC MEDICAL CTR FOUND | ||||||||||
| 2015 STEINER STREET 2ND FLOOR | SAN FRANCISCO | CA | 94115 | 942728423 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER WBH | Yes (true) |
| DELTA MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 3901 LONE TREE WAY | ANTIOCH | CA | 94509 | 942417022 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER EBH | Yes (true) |
| EAST BAY PERINATAL CENTER | ||||||||||
| 3012 SUMMIT STREET 3RD FLOOR | OAKLAND | CA | 94609 | 510172285 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER EBH | Yes (true) |
| EDEN MEDICAL CENTER | ||||||||||
| 20103 LAKE CHABOT ROAD | CASTRO VALLEY | CA | 94546 | 942948100 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | Yes (true) |
| MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 1800 COFFEE ROAD SUITE 76 | MODESTO | CA | 95355 | 942290244 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER CVH | Yes (true) |
| MILLS-PENINSULA HEALTH SERVICES | ||||||||||
| 1501 TROUSDALE DRIVE | BURLINGAME | CA | 94010 | 941156265 | HOSPITAL | CA | 501(C)(3) | 3 | PAMF | Yes (true) |
| MILLS-PENINSULA HOSPITAL FOUNDATION | ||||||||||
| 1501 TROUSDALE DRIVE | BURLINGAME | CA | 94010 | 237288765 | FUNDRAISING | CA | 501(C)(3) | 7 | MPHS | Yes (true) |
| PALO ALTO MEDICAL FOUNDATION | ||||||||||
| 2350 EL CAMINO REAL | MOUNTAIN VIEW | CA | 94040 | 941156581 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER HLTH | Yes (true) |
| SAMUEL MERRITT UNIVERSITY | ||||||||||
| 450 30TH STREET 2840 | OAKLAND | CA | 94609 | 942992642 | UNIVERSITY | CA | 501(C)(3) | 2 | SUTTER EBH | Yes (true) |
| SUTTER AUBURN FAITH HOSPITAL FOUNDATION | ||||||||||
| 11815 EDUCATION ST | AUBURN | CA | 95602 | 942594966 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR | Yes (true) |
| SUTTER CENTRAL VALLEY HOSPITALS | ||||||||||
| 1800 COFFEE ROAD SUITE 76 | MODESTO | CA | 95355 | 941080917 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | Yes (true) |
| SUTTER COAST HOSPITAL | ||||||||||
| 800 E WASHINGTON BLVD | CRESCENT CITY | CA | 95531 | 942988520 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | Yes (true) |
| SUTTER DAVIS HOSPITAL FOUNDATION | ||||||||||
| PO BOX 1617 | DAVIS | CA | 95617 | 680217870 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR | Yes (true) |
| SUTTER EAST BAY HOSPITALS | ||||||||||
| 3012 SUMMIT STREET 3RD FLOOR | OAKLAND | CA | 94609 | 941196176 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | Yes (true) |
| SUTTER EAST BAY MEDICAL FOUNDATION | ||||||||||
| 3687 MT DIABLO BLVD 200 | LAFAYETTE | CA | 94549 | 942690415 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER HLTH | Yes (true) |
| SUTTER GOULD MEDICAL FOUNDATION | ||||||||||
| 600 COFFEE ROAD | MODESTO | CA | 95355 | 941682256 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER HLTH | Yes (true) |
| SUTTER HEALTH | ||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 942788907 | SUPPORTING OR | CA | 501(C)(3) | 11c III-FI | NA | false |
| SUTTER HEALTH PACIFIC | ||||||||||
| 91-2301 FT WEAVER RD | EWA BEACH | HI | 96706 | 990298651 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | Yes (true) |
| SUTTER HEALTH PLAN | ||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 461183948 | HEALTH PLAN | CA | PENDING | PENDING | SUTTER HLTH | Yes (true) |
| SUTTER INSURANCE SERVICES CORPORATION | ||||||||||
| 745 FORT STREET SUITE 800 | HONOLULU | HI | 96813 | 990289310 | INSURANCE SER | HI | 501(C)(3) | 11b - II | SUTTER HLTH | Yes (true) |
| SUTTER MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 160727 | SACRAMENTO | CA | 95816 | 942788906 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR | Yes (true) |
| SUTTER MEDICAL CENTER CASTRO VALLEY | ||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 770146047 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | Yes (true) |
| SUTTER MEDICAL FOUNDATION | ||||||||||
| 2800 L STREET 7TH FLOOR | SACRAMENTO | CA | 95816 | 680273974 | HEALTHCARE | CA | 501(C)(3) | 11b - II | SUTTER HLTH | Yes (true) |
| SUTTER ROSEVILLE MEDICAL CTR FOUNDATION | ||||||||||
| ONE MEDICAL PLAZA | ROSEVILLE | CA | 95661 | 680040113 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR | Yes (true) |
| SUTTER SOLANO CHARITABLE FOUNDATION | ||||||||||
| 300 HOSPITAL DRIVE | VALLEJO | CA | 94589 | 942668262 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR | Yes (true) |
| SUTTER VISITING NURSE ASSOC AND HOSPICE | ||||||||||
| 1900 POWELL ST 300 | EMERYVILLE | CA | 94608 | 946068843 | HEALTHCARE | CA | 501(C)(3) | 9 | SUTTER HLTH | Yes (true) |
| SUTTER WEST BAY HOSPITALS | ||||||||||
| 2333 BUCHANAN STREET | SAN FRANCISCO | CA | 94115 | 940562680 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | Yes (true) |
| SUTTER WEST BAY MEDICAL FOUNDATION | ||||||||||
| 2015 STEINER STREET 1ST FLOOR | SAN FRANCISCO | CA | 94115 | 942948131 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER HLTH | Yes (true) |
| TRACY HOSPITAL FOUNDATION | ||||||||||
| 1420 N TRACY BLVD | TRACY | CA | 95376 | 680318845 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER CVH | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| MAGNETIC IMAGING AF | ||||||||
| 175 LENNON | WLN CK | CA | 94598 | 942953833 | PATIENT CARE | CA | NA | N/A |
| SURG CTR OF ABSMC | ||||||||
| 3875 TELEGRAPH | OAKLAND | CA | 94609 | 470946086 | OUTPATIENT SURG | CA | NA | N/A |
| ALTA CT SERVICES LP | ||||||||
| 175 LENNON | WLN CK | CA | 94598 | 943083464 | PATIENT CARE | CA | NA | N/A |
| CALIFORNIA PACIFIC ADV IMAGING LLC | ||||||||
| PO BOX 6102 | NOVATO | CA | 94948 | 562311840 | MRI JOINT VENTURE | CA | NA | N/A |
| SAN FRANCISCO ENDOSCOPY CENTER LLC | ||||||||
| 3000 RIVERCHASE | BIRMINGHAM | AL | 35244 | 912160588 | ENDOSCOPY JV | CA | NA | N/A |
| PRESIDIO SURGERY CENTER LLC | ||||||||
| 1635 DIVISADERO | SF | CA | 94115 | 320144060 | AMBULATORY SURG | CA | NA | N/A |
| SUTTER FAIRFIELD SURGERY CTR | ||||||||
| 2700 LOW CT | FAIRFIELD | CA | 94533 | 300233892 | SURGERY | CA | NA | N/A |
| TWIN CITIES SURGICAL HOSPITAL LLC | ||||||||
| 250 S WACKER | CHICAGO | IL | 60606 | 352182617 | SURGERY | CA | NA | N/A |
| SUTTER AMADOR SURGERY CENTER LLC | ||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 461398093 | SURGERY | CA | NA | N/A |
| ROSEVILLE ENDOSCOPY CENTER LLC | ||||||||
| 4 MEDICAL PLAZA SUITE 210 | ROSEVILLE | CA | 95661 | 870710513 | ENDOSCOPY JV | CA | NA | N/A |
| MEMORIAL MEDICAL OFFICE BUILDING PRTNR I | ||||||||
| 1800 COFFEE RD SUITE 76 | MODESTO | CA | 95355 | 770287288 | OFFICE BUILDING | CA | NA | N/A |
| MEMORIAL MEDICAL OFFICE BUILDING PRTNR 2 | ||||||||
| 1800 COFFEE RD SUITE 76 | MODESTO | CA | 95355 | 770287288 | OFFICE BUILDING | CA | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH VENTURES INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 HAWTHORNE ST | AddressLine1 |
| City | OAKLAND | City |
| State | CA | State |
| ZIP Code | 94609 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942918780 | EIN |
| Primary Activities | HEALTH SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SUTTER CENTRAL VALLEY HOSPITALS | ||
| L | $2,178,468 | FMV |
| SUTTER MEDICAL FOUNDATION | ||
| Q | $32,707,151 | FMV |
| SUTTER COAST HOSPITAL | ||
| L | $364,512 | FMV |
| SUTTER VISITING NURSES ASSOCIATION | ||
| M | $160,996 | FMV |
| SUTTER VISITING NURSES ASSOCIATION | ||
| P | $8,482,021 | FMV |
| SUTTER VISITING NURSES ASSOCIATION | ||
| Q | $8,369,626 | FMV |
| SUTTER INSURANCES SERVICES CORPORATION | ||
| P | $13,865,388 | FMV |
| SUTTER DAVIS HOSPITAL FOUNDATION | ||
| C | $113,030 | FMV |
| SUTTER MEDICAL CENTER FOUNDATION | ||
| C | $3,897,259 | FMV |
| SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION | ||
| C | $107,382 | FMV |
| SUTTER AUBURN FAITH HOSPITAL FOUNDATION | ||
| C | $162,002 | FMV |
| SUTTER HEALTH (MOORE GRANT) | ||
| C | $2,000,000 | FMV |
| SUTTER EAST BAY HOSPITALS | ||
| M | $455,763 | FMV |