SUTTER VALLEY MEDICAL FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: SUTTER VALLEY MEDICAL FOUNDATION (EIN 68-0273974)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-05
IRS object ID: 201443099349301259
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-05T11:12:04-06:00	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 DRIVE STE 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	680273974	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTER MEDICAL FOUNDATION	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	2800 L STREET 7TH FLOOR	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	2014-10-31	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	2800 L STREET 7TH FLOOR	AddressLine1
City	SACRAMENTO	City
State	CA	State
ZIP Code	95816	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$766,718,405	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	1992	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	3038	TotalEmployeeCnt
Total Volunteers	34	TotalVolunteersCnt
Total Gross UBI	$248,969	TotalGrossUBIAmt
PY Contributions Grants	$727,970	PYContributionsGrantsAmt
CY Contributions Grants	$938,651	CYContributionsGrantsAmt
PY Program Service Revenue	$734,396,613	PYProgramServiceRevenueAmt
CY Program Service Revenue	$765,084,058	CYProgramServiceRevenueAmt
PY Investment Income	$392,151	PYInvestmentIncomeAmt
CY Investment Income	$332,187	CYInvestmentIncomeAmt
PY Other Revenue	$252,204	PYOtherRevenueAmt
CY Other Revenue	$249,098	CYOtherRevenueAmt
PY Total Revenue	$735,768,938	PYTotalRevenueAmt
CY Total Revenue	$766,603,994	CYTotalRevenueAmt
PY Grants And Similar Paid	$150,501	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$51,212	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$185,051,409	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$194,564,978	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$46,200	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$292,688	CYTotalFundraisingExpenseAmt
PY Other Expenses	$557,405,147	PYOtherExpensesAmt
CY Other Expenses	$571,525,154	CYOtherExpensesAmt
PY Total Expenses	$742,653,257	PYTotalExpensesAmt
CY Total Expenses	$766,141,344	CYTotalExpensesAmt
PY Revenues Less Expenses	-$6,884,319	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$462,650	CYRevenuesLessExpensesAmt
Total Assets BOY	$346,424,436	TotalAssetsBOYAmt
Total Assets EOY	$345,208,495	TotalAssetsEOYAmt
Total Liabilities BOY	$102,618,122	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$123,238,524	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$243,806,314	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$221,969,971	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	$695,916,223	ExpenseAmt
Grant	$51,212	GrantAmt
Revenue	$765,084,058	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$695,916,223	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	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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	false	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	229	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3038	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	9	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 BOULEVARD	AddressLine1
City	ROSEVILLE	City
State	CA	State
ZIP Code	95747	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (38 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAMES CONFORTI
REGIONAL PRESIDENT, SAC SIERRA	2.0	40.0	Yes (X)	Yes (X)	$0	$1,122,894	$209,404
ANDREW DEMAR MD
TRUSTEE	2.0	2.0	Yes (X)		$0	$145,250	$0
MIKE DOURGARIAN
TRUSTEE	2.0	2.0	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	2.0	Yes (X)		$0	$0	$0
SCOTT HOWELL
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
PETER HULL MD
TRUSTEE	2.0	2.0	Yes (X)		$0	$22,731	$0
CHRISTOPHER JOHNSON
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
RICHARD KRAMER
TRUSTEE, CHAIR	4.0	4.0	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	2.0	Yes (X)		$0	$0	$0
MARION LEFF MD
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
JERRY MAY PHD
VICE CHAIR/TRUSTEE	4.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH MENDEZ
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
MIKE NEWELL
CHAIR FIN & PLANNING/TRUSTEE	4.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
PAT PATHIPATI
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
HELEN THOMSON
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
ROBERT WOLFE
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
JEFFREY SPRAGUE
CFO, SAC SIERRA REGION	2.0	40.0		Yes (X)	$0	$750,274	$123,686
PENNY WESTFALL
VP & REG. COUNSEL SAC SIERRA	2.0	40.0		Yes (X)	$0	$444,940	$66,325
TOM BLINN
CEO, SUTTER MEDICAL FOUNDATION	40.0	0.0			$0	$1,045,156	$129,238	Yes (X)
THERESA FREI
COO, SUTTER MED FOUNDATION	40.0	0.0			$0	$326,286	$38,258	Yes (X)
SUSAN GOWER
CFO, SMF CENTRAL	40.0	0.0			$0	$297,506	$30,538	Yes (X)
GLEN GROVES
FINANCE EXECUTIVE SMF WEST	40.0	0.0			$0	$222,992	$19,531	Yes (X)
SUHEIR HADDAD
FINANCE ADMIN SMF CENTRAL	40.0	0.0			$0	$279,128	$44,186	Yes (X)
ERIC RASMUSSEN
DIRECTOR GROWTH & DEVELOPMENT	40.0	0.0			$220,867	$0	$31,396	Yes (X)
JOHN RAY
EXECUTIVE, SMF WEST DIVISION	40.0	0.0			$0	$486,564	$45,626	Yes (X)
THERESA RUIZ
FINANCE EXECUTIVE, SMF NORTH	40.0	0.0			$0	$245,668	$33,772	Yes (X)
TERESA WILSON
SENIOR DIRECTOR MANAGED CARE	40.0	0.0			$194,113	$0	$24,730	Yes (X)
DAVID YAMAMOTO
CEO, SMF NORTH	40.0	0.0			$0	$467,801	$48,541	Yes (X)
GARY ZUFELT
COO, SMF CENTRAL	40.0	0.0			$0	$558,479	$97,788	Yes (X)
PAMELA ADDY
REGIONAL OPERATIONS DIRECTOR	40.0	0.0			$172,119	$0	$28,183		Yes (X)
LISA BYNUM
DIRECTOR, CONTRACTS	40.0	0.0			$164,853	$0	$28,379		Yes (X)
ROSETTA LI
REGIONAL FINANCE DIRECTOR	40.0	0.0			$186,408	$0	$29,516		Yes (X)
PATRICIA MOLLOY
DIRECTOR REGIONAL IQS ADMIN	40.0	0.0			$157,939	$0	$15,256		Yes (X)
LESLIE PRATT
DIRECTOR CLINICAL OPERATIONS	40.0	0.0			$179,884	$0	$23,807		Yes (X)
MICHAEL D MARINO
DIRECTOR HR, SMF	40.0	0.0			$0	$270,055	$35,361			Yes (X)
KEVIN ENGLE
SERVICE LINE MANAGER	0.0	40.0				$143,036	$19,915			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,276,183	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,082,321	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,517,135	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	202	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
SUTTER MEDICAL GROUP
2800 L STREET SUITE 630	SACRAMENTO	CA	95816	MEDICAL SERVICES	$205,237,020
SUTTER CONNECT
PO BOX 255448	SACRAMENTO	CA	95865	MANAGEMENT SERVICES	$36,511,674
SUTTER NORTH MEDICAL GROUP
969 PLUMAS ST STE 203	YUBA CITY	CA	95991	MEDICAL SERVICES	$32,741,346
TOWERS WATSON DELAWARE INC
PO BOX 741881	ATLANTA	GA	303741881	CONSULTING SERVICES	$4,489,535
QUEST DIAGNOSTICS INC
3924 COLLECTION CTR	CHICAGO	IL	606930039	LABRATORY SERVICES	$2,256,362

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	42	CntrctRcvdGreaterThan100KCnt
Fundraising	$85,677	FundraisingAmt
Related Organizations	$68,548	RelatedOrganizationsAmt
Government Grants	$12,508	GovernmentGrantsAmt
All Other Contributions	$771,918	AllOtherContributionsAmt
Total Contributions	$938,651	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$748,960,794	$748,960,794
ROSEVILLE ENDOSCOPY	622110	$1,746,111	$1,746,111
SUTTER FAIRFIELD SURGERY CENTER	622110	$2,947,753	$2,947,753
TWIN CITIES SURGICAL HOSPITAL	622110	$1,219,444	$1,219,444
ASC OPERATORS LLC	622110	$5,569,228	$5,569,228

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,640,728	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,640,728	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$765,084,058	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$350,983	TotalRevenueColumnAmt
Exclusion	$350,983	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	$71,228	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$71,228	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$18,796	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$18,796	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$18,796	TotalRevenueColumnAmt
Exclusion	-$18,796	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$22,556	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$85,677	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$24,367	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,811	TotalRevenueColumnAmt
Exclusion	-$1,811	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$1,960	GamingGrossIncomeAmt
Gaming Direct Expenses	$20	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,940	TotalRevenueColumnAmt
Exclusion	$1,940	ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
UBI - SFSC ADMIN FEE	541610	$23,516	$23,516
UBI - TWIN CITIES MANAGEMENT FEE	541900	$225,453	$225,453

Field	Value	IRS element (for citing)
Other Revenue Total	$248,969	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$766,603,994	TotalRevenueColumnAmt
Related Or Exempt Func Income	$765,084,058	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$248,969	UnrelatedBusinessRevenueAmt
Exclusion	$332,316	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$51,212	TotalAmt
Program Services	$51,212	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	$4,344,560	TotalAmt
Management And General	$4,344,560	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$34,279	TotalAmt
Program Services	$34,279	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$117,177,784	TotalAmt
Program Services	$106,351,411	ProgramServicesAmt
Management And General	$10,735,302	ManagementAndGeneralAmt
Fundraising	$91,071	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,193,000	TotalAmt
Program Services	$5,455,087	ProgramServicesAmt
Management And General	$733,243	ManagementAndGeneralAmt
Fundraising	$4,670	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$55,799,366	TotalAmt
Program Services	$48,101,847	ProgramServicesAmt
Management And General	$7,665,233	ManagementAndGeneralAmt
Fundraising	$32,286	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,015,989	TotalAmt
Program Services	$9,641,133	ProgramServicesAmt
Management And General	$1,366,603	ManagementAndGeneralAmt
Fundraising	$8,253	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$585,822	TotalAmt
Management And General	$585,822	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,057,462	TotalAmt
Program Services	$15,254	ProgramServicesAmt
Management And General	$1,042,208	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$20,369	TotalAmt
Management And General	$20,369	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	$171,750	TotalAmt
Management And General	$171,750	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,832,763	TotalAmt
Program Services	$5,506,617	ProgramServicesAmt
Management And General	$326,146	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$349,890	TotalAmt
Program Services	$343,546	ProgramServicesAmt
Management And General	$6,251	ManagementAndGeneralAmt
Fundraising	$93	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,776,274	TotalAmt
Program Services	$5,695,023	ProgramServicesAmt
Management And General	$1,080,678	ManagementAndGeneralAmt
Fundraising	$573	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$17,055,877	TotalAmt
Program Services	$17,032,261	ProgramServicesAmt
Management And General	$23,194	ManagementAndGeneralAmt
Fundraising	$422	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$25,272,565	TotalAmt
Program Services	$24,052,079	ProgramServicesAmt
Management And General	$1,217,030	ManagementAndGeneralAmt
Fundraising	$3,456	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,367,686	TotalAmt
Program Services	$1,058,804	ProgramServicesAmt
Management And General	$306,039	ManagementAndGeneralAmt
Fundraising	$2,843	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	$216,742	TotalAmt
Program Services	$151,045	ProgramServicesAmt
Management And General	$65,697	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,287,026	TotalAmt
Program Services	$6,285,842	ProgramServicesAmt
Management And General	$1,184	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$30,440,931	TotalAmt
Program Services	$28,275,871	ProgramServicesAmt
Management And General	$2,165,060	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,134,750	TotalAmt
Program Services	$7,919,098	ProgramServicesAmt
Management And General	$215,652	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL GROUP COMPENSATION	$270,891,176	$270,891,176
PURCHASED SERVICES	$70,968,143	$36,451,741	$34,516,402
CAPITATED SERVICES	$70,710,540	$70,710,540
MEDICAL SUPPLIES	$30,222,954	$29,783,066	$439,888

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$25,162,434	TotalAmt
Program Services	$22,109,291	ProgramServicesAmt
Management And General	$2,904,122	ManagementAndGeneralAmt
Fundraising	$149,021	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$766,141,344	TotalAmt
Program Services	$695,916,223	ProgramServicesAmt
Management And General	$69,932,433	ManagementAndGeneralAmt
Fundraising	$292,688	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	$31,892,439	BOYAmt
EOY	$30,867,283	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$150,512	BOYAmt
EOY	$309,085	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$60,500,624	BOYAmt
EOY	$59,261,118	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	$4,329,541	BOYAmt
EOY	$4,774,229	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,056,215	BOYAmt
EOY	$1,334,245	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$394,924,946	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$193,117,510	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$209,806,240	BOYAmt
EOY	$201,807,436	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,411,345	BOYAmt
EOY	$2,562,549	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	$20,787,957	BOYAmt
EOY	$19,927,549	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,225,876	BOYAmt
EOY	$2,225,876	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,263,687	BOYAmt
EOY	$22,139,125	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$346,424,436	BOYAmt
EOY	$345,208,495	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$59,041,912	BOYAmt
EOY	$77,338,486	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	$37,668,551	BOYAmt
EOY	$39,935,348	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$199,909	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,907,659	BOYAmt
EOY	$5,764,781	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$102,618,122	BOYAmt
EOY	$123,238,524	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$242,989,592	BOYAmt
EOY	$220,607,771	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$816,722	BOYAmt
EOY	$1,362,200	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	$243,806,314	BOYAmt
EOY	$221,969,971	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$346,424,436	BOYAmt
EOY	$345,208,495	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$462,650	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$940,931	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$21,358,062	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)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Certification	Yes (X)	CertificationInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTER HEALTH SACRAMENTO SIERRA REGION	BusinessNameLine1

Field	Value	IRS element (for citing)
EIN	941156621	EIN
Organization Type	03	OrganizationTypeDesc
Governing Document Listed	Yes (true)	GoverningDocumentListedInd
Supported Org Notified	Yes (true)	SupportedOrgNotifiedInd
US Organized	Yes (true)	USOrganizedInd
Support	$32,707,151	SupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	1	SupportedOrganizationsTotalCnt
Support Sum	$32,707,151	SupportSumAmt

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 Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,351,671	OtherCostOrOtherBasisAmt
Book Value	$17,351,671	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$180,395,214	OtherCostOrOtherBasisAmt
Depreciation	$59,002,721	DepreciationAmt
Book Value	$121,392,493	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$42,156,134	OtherCostOrOtherBasisAmt
Depreciation	$23,323,061	DepreciationAmt
Book Value	$18,833,073	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$135,026,665	OtherCostOrOtherBasisAmt
Depreciation	$104,475,890	DepreciationAmt
Book Value	$30,550,775	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,995,262	OtherCostOrOtherBasisAmt
Depreciation	$6,315,838	DepreciationAmt
Book Value	$13,679,424	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$201,807,436	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN HEALTH CARE JVS	Desc
Book Value	$19,927,549	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$19,927,549	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLES	$12,912,095
CAPITATION RECEIVABLES	$1,195,289
OTHER RECEIVABLES	$7,286,046
UNAMORTIZED FINANCING COSTS	$319,141
OTHER ASSETS	$426,554

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$22,139,125	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
INSURANCE LIABILITIES	$478,755
OTHER LIABILITIES	$5,286,026

Field	Value	IRS element (for citing)
Total Liability	$5,764,781	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2	FormAndLineReferenceDesc
Explanation	ASC 740 (FIN48) AUDIT FOOTNOTE THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501 (C) (3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE COMBINED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2013 AND 2012, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	SWING INTO	NameOfEvent1Amt
Gross Receipts Event1	$81,440	GrossReceiptsEvent1Amt
Charitable Contri Event1	$65,952	CharitableContriEvent1Amt
Gross Revenue Event1	$15,488	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$5,282	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$3,700	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$8,488	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$2,654	OtherDirectExpensesEvent1Amt
Name Of Event2	HORSES AND HATS	NameOfEvent2Amt
Gross Receipts Event2	$26,793	GrossReceiptsEvent2Amt
Charitable Contri Event2	$19,725	CharitableContriEvent2Amt
Gross Revenue Event2	$7,068	GrossRevenueEvent2Amt
Food And Beverage Event2	$2,176	FoodAndBeverageEvent2Amt
Entertainment Event2	$2,067	EntertainmentEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$108,233	GrossReceiptsTotalAmt
Charitable Contributions Tot	$85,677	CharitableContributionsTotAmt
Gross Revenue Total Events	$22,556	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$5,282	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$3,700	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$10,664	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$2,067	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$2,654	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$24,367	DirectExpenseSummaryEventsAmt
Net Income Summary	-$1,811	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	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,403,139	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,403,139	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,440,507	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,295,963	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,144,544	NetCommunityBenefitExpnsAmt
Total Expense	0.04460	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,136	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,385	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,751	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,930,782	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,367,348	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,563,434	NetCommunityBenefitExpnsAmt
Total Expense	0.04760	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$83,642	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$83,642	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$420,690	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$243,552	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$177,138	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,391,493	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,690,731	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,700,762	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$87,308	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$87,308	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	110	PersonsServedCnt
Total Community Benefit Expns	$135,406	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$135,406	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	110	PersonsServedCnt
Total Community Benefit Expns	$7,118,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,934,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,184,256	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	110	PersonsServedCnt
Total Community Benefit Expns	$59,049,321	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,301,631	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,747,690	NetCommunityBenefitExpnsAmt
Total Expense	0.05040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$12,551,320	BadDebtExpenseAmt
Reimbursed By Medicare	$3,024,437	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,223,513	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,199,076	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	MEDICAL SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.32000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.27000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTER SURGICAL HOSPITAL-NORTH VALLEY	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	455 PLUMAS BLVD	AddressLine1
City	YUBA CITY	City
State	CA	State
ZIP Code	959915074	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.SUTTERHEALTH.ORG	WebsiteAddressTxt
State License	550000989	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Other	OUTPATIENT SERVICES	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTER SURGICAL HOSPITAL NORTH VALLEY	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	false	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
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	70	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (70 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
MEDICAL OFFICE BUILDING
2702 LOW COURT	FAIRFIELD	CA	94534	OUTPATIENT SERVICES
MEDICAL OFFICE BUILDING
480 PLUMAS	YUBA CITY	CA	95991	OUTPATIENT SERVICES
SUTTER FAIRFIELD SURGERY CENTER
2700 LOW COURT 2ND FLOOR	FAIRFIELD	CA	94534	SUTTER FAIRFIELD SURGERY CENTER
AUBURN AMC FAMILY PRACTICE & ORTHOPEDICS
3133 PROFESSIONAL DRIVE	AUBURN	CA	95603	FAMILY PRACTICE AND ORTHOPEDICS
URGENT CARELABRADIOLOGYCARDIOLOGY
440 PLUMAS	YUBA CITY	CA	95991	URGENT CARE, LAB, RADIOLOGY AND CARDIOLOGY
MEDICAL OFFICE BLDG-AMBULATORY SURG CTR
460 PLUMAS	YUBA CITY	CA	95991	OUTPATIENT SERVICES AND SURGERY CENTER
CARE CENTER AND CALL CENTER
2450 MARTIN ROAD	FAIRFIELD	CA	94533	OUTPATIENT SERVICES AND CALL CENTER
AMADOR CARDIO INVASIVE AND LAB
815 COURT STREET	JACKSON	CA	95642	CARDIOLOGY
AUBURN GASTROENTEROLOGY & NEUROLOGY
11795 EDUCATION STREET	AUBURN	CA	95602	GASTROENTEROLOGY AND NEUROLOGY
CLINICAL LAB
2715 K STREET	SACRAMENTO	CA	95816	LAB SERVICES
ROSEVILLE FAMILY PRACTICE & PHYS THERAPY
568 N SUNRISE AVE	ROSEVILLE	CA	95661	OUTPATIENT SERVICES AND PHYSICAL THERAPY
ELK GROVE - PHYSICAL THERAPY
9280 W STOCKTON BLVD	ELK GROVE	CA	95758	PHYSICAL THERAPY
GRASS VLY FAMILY PRACTICE & PHYS THERAPY
10058 WOLF ROAD	GRASS VALLEY	CA	95949	OUTPATIENT SERVICES AND PHYSICAL THERAPY
AUBURN PHYSICAL THERAPY
11930 HERITAGE OAKS PLACE	AUBURN	CA	95603	PHYSICAL THERAPY
DAVIS - PHYSICAL THERAPY
1340 LAKE BLVD	DAVIS	CA	95616	PHYSICAL THERAPY
LINCOLN PHYSICAL THERAPY
965 ORCHARD CREEK LANE	LINCOLN	CA	95648	PHYSICAL THERAPY
PHYSICAL THERAPY
420 B ST	YUBA CITY	CA	95991	PHYSICAL THERAPY
AUBURN OCCUPATIONAL MEDICINE
1330 AIRPORT BLVD	AUBURN	CA	95602	OCCUPATIONAL MEDICINE
OCCUPATIONAL HEALTH
1014 NORTH MARKET BLVD	SACRAMENTO	CA	95834	OCCUPATIONAL HEALTH
SUTTER FAIRFIELD DIAGNOSTIC IMAGING CTR
2700 LOW COURT 1ST FLOOR	FAIRFIELD	CA	94534	DIAGNOSTIC IMAGING CENTER
ROSEVILLE PATIENT SERVICE CENTERS
MEDICAL PLAZA DRIVE	ROSEVILLE	CA	95661	OUTPATIENT SERVICES
DAVIS MEDICAL OFFICE BLDG ANESTHESIOLOGY
1801 HANOVER DR	DAVIS	CA	95616	OUTPATIENT SERVICES AND ANESTHESIOLOGY
DAVIS PATIENT SERVICE CENTERS
2020 SUTTER PLACE	DAVIS	CA	95616	OUTPATIENT SERVICES
SACRAMENTO AREA PATIENT SERVICE CENTERS
5301 F ST	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
FORT SUTTER PATIENT SERVICE CENTERS
1020 29TH STREET	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
FOLSOM PATIENT SERVICE CENTERS
2575 E BIDWELL ST	FOLSOM	CA	95630	OUTPATIENT SERVICES
SACRAMENTO AREA PATIENT SERVICE CENTERS
1625 STOCKTON BLVD	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
FORT SUTTER PATIENT SERVICE CENTERS
2801 K ST	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
NORTHEAST SAC PATIENT SERVICE CENTERS
3100 DOUGLAS BLVD	ROSEVILLE	CA	95661	OUTPATIENT SERVICES
NORTHEAST SAC PATIENT SERVICE CENTERS
83 SCRIPPS DR	SACRAMENTO	CA	95825	OUTPATIENT SERVICES
SACRAMENTO AREA PATIENT SERVICE CENTERS
1201 ALHAMBRA BLVD	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
SACRAMENTO AREA PATIENT SERVICE CENTERS
2725 CAPITOL AVE	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
YOLO AREA PATIENT SERVICE CENTERS
635 ANDERSON RD	DAVIS	CA	95616	OUTPATIENT SERVICES
SACRAMENTO AREA PATIENT SERVICE CENTERS
8170 LAGUNA BLVD	ELK GROVE	CA	95758	OUTPATIENT SERVICES
YOLO AREA PATIENT SERVICE CENTERS
2210 DEL PASO RD	SACRAMENTO	CA	95831	OUTPATIENT SERVICES
PLACER AREA PATIENT SERVICE CENTERS
1160 SUNSET BLVD	ROCKLIN	CA	95765	OUTPATIENT SERVICES
PLACER AREA PATIENT SERVICE CENTERS
685 TWELVE BRIDGES DR	LINCOLN	CA	95648	OUTPATIENT SERVICES
RANCHO CORDOVA - PATIENT SERVICE CENTERS
11121 SUN CENTER DR	RANCHO CORDOVA	CA	95670	OUTPATIENT SERVICES
WOODLAND PATIENT SERVICES CENTER
475 PIONEER AVE	WOODLAND	CA	95776	OUTPATIENT SERVICES
YOLO AREA PATIENT SERVICE CENTERS
125 N LINCOLN ST	DIXON	CA	95620	OUTPATIENT SERVICES
PLACER AREA PATIENT SERVICE CENTERS
3288 BELL RD	AUBURN	CA	95603	OUTPATIENT SERVICES
NORTHEAST SAC PATIENT SERVICE CENTERS
5767 GREENBACK LANE	SACRAMENTO	CA	95814	OUTPATIENT SERVICES
YOLO AREA PATIENT SERVICE CENTERS
7420 GREENHAVEN DR	SACRAMENTO	CA	95831	OUTPATIENT SERVICES
ROCKLIN - FAMILY PRACTICE
1160 SUNSET BLVD	ROCKLIN	CA	95765	OUTPATIENT SERVICES
AUBURN PARKHILL FAMILY PRACTICE
404 AUBURN-FOLSOM ROAD	AUBURN	CA	95603	FAMILY PRACTICE
VACAVILLE CARE CENTER
770 MASON STREET	VACAVILLE	CA	95687	OUTPATIENT SERVICES
RIO VISTA CARE CENTER
690 MAIN STREET	RIO VISTA	CA	94571	OUTPATIENT SERVICES
VALLEJO CARE CENTER
100 HOSPITAL DRIVE 2ND FLOOR	VALLEJO	CA	94589	OUTPATIENT SERVICES
SACRAMENTO CARDIO-INVASIVE
2575 E BIDWELL ST	FOLSOM	CA	95630	CARDIO-INVASIVE
SACRAMENTO PATIENT SERVICE CENTERS
2800 L ST	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
SMUD OCCUPATIONAL HEALTH
1708 59TH ST	SACRAMENTO	CA	95816	OCCUPATIONAL HEALTH
WINTERS - FAMILY PRACTICE
111 EAST GRANT AVE	WINTERS	CA	95694	OUTPATIENT SERVICES
PROCEDURE CENTER
550 B ST	YUBA CITY	CA	95991	PROCEDURE CENTER
HOME HEALTHHOSPICE
400 PLUMAS	YUBA CITY	CA	95991	HOME HEALTH/HOSPICE
DAVIS INTERNAL MEDICINE GASTROENTEROLOGY
2068 JOHN JOES WAY	DAVIS	CA	95616	INTERNAL MEDICINE AND GASTROENTEROLOGY
L STREET MEDICAL NEUROLOGY
5275 F ST	SACRAMENTO	CA	95819	NEUROLOGY
ROSEVILLE EXPRESS CLINIC
4004 FOOTHILLS BLVD	ROSEVILLE	CA	95747	OUTPATIENT SERVICES
EXPRESS CLINIC - PLACERVILLE ROAD
10470 OLD PLACERVILLE RD	SACRAMENTO	CA	95827	OUTPATIENT SERVICES
EXPRESS CLINIC - GREENHAVEN
980 FLORIN RD	SACRAMENTO	CA	95831	OUTPATIENT SERVICES
EXPRESS CLINIC - NATOMAS
2751 DEL PASO RD	SACRAMENTO	CA	95835	OUTPATIENT SERVICES
ORTHOPEDICS
470 PLUMAS	YUBA CITY	CA	95991	ORTHOPEDICS
OBSTETRICS
924 CHESTNUT	YUBA CITY	CA	95991	OBSTETRICS
OBSTETRICS
969 PLUMAS	YUBA CITY	CA	95991	OBSTETRICS
AUBURN MRI
11815 EDUCATION STREET	AUBURN	CA	95602	MRI
DAVIS ALLERGY CENTER
1970 LAKE BLVD	DAVIS	CA	95616	ALLERGY TESTING
DERMATOLOGY
350 DEL NORTE	YUBA CITY	CA	95991	DERMATOLOGY
ROSEVILLE ENDOSCOPY CENTER
4 MEDICAL PLAZA	ROSEVILLE	CA	95661	OUTPATIENT SERVICES
SUTTER AMADOR SURGERY CENTER
223 CLINTON ROAD	JACKSON	CA	95642	OUTPATIENT SERVICES
SUTTER FAIRFIELD SURGERY CENTER
2700 LOWER COURT	FAIRFIELD	CA	94533	OUTPATIENT SERVICES
SUTTER SURGICAL HOSPITAL NORTH VALLEY
455 PLUMAS BLVD	YUBA CITY	CA	95991	OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	FREE CARE ELIGIBILITY: TO BE ELIGIBLE FOR FREE CARE THE FILING ORGANIZATION USES THE FEDERALPOVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 200% OFFPG. PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES APPLIES TOUNINSURED PATIENTS THAT WHOSE FAMILY INCOMES ARE BETWEEN 200% AND 400%.IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: - SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. - CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIALRESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. PATIENTS THATMEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGESTHAT EXCEED 30% OF THEIR FAMILY INCOME. - HIGH MEDICAL COST CHARITY CARE (FOR INSURED PATIENTS): PARTIALWRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR PATIENTS WHOSEFAMILY INCOME IS LESS THAN 400% OF FPG, MEDICAL EXPENSES EXCEED 10% OFTHE PATIENT'S FAMILY INCOME, AND THE PATIENT'S INSURE HAS NOT PROVIDED ADISCOUNT. - UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVEREDSERVICES NO GREATER THAT THE CURRENT AVERAGE COMMERCIAL FEE-FOR-SERVICEDISCOUNT WITH MANAGED CARE PAYERS FOR PATIENTS WHOSE BENEFITS UNDERINSURANCE OR A GOVERNMENT PROGRAM HAVE BEEN EXHAUSTED PRIOR TOADMISSION. - PROMPT PAYMENT DISCOUNT: PARTIAL WRITE-OFF AVAILABLE TO UNINSUREDPATIENTS WHO PAY PROMPTLY, CONSISTING OF AT LEAST A 20% DISCOUNT FORTHOSE 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 I, LINE 7G	FINANCIAL ASSISTANCE/OTHER COMMUNITY BENEFITS AT COST RELATED TO SUBSIDZED HEALTH SERVICES: THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $3,831,522.
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	BAD DEBT AUDITED FINANCIALS FOOTNOTE: THE ORGANIZATION MAKES EVERY EFFORT TO QUALIFY THOSE ELIGIBLE FOR CHARITY CARE. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS. AUDIT FOOTNOTE THE ORGANIZATION IS AN AFFILIATE OF SUTTER HEALTH WHICH UNDERWENT A SYSTEM-WIDE AUDIT. THE AUDIT REPORT DOES NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. PROVISION FOR BAD DEBTS IS LISTED ON A SEPARATE LINE ITEM IN THE FINANCIAL STATEMENTS. THE AUDIT DOES INCLUDE FOOTNOTES FOR PATIENT ACCOUNTS RECEIVABLE AND PATIENT SERVICE REVENUES LISTED BELOW. PATIENT ACCOUNTS RECEIVABLE AUDIT FOOTNOTE: SUTTER'S PRIMARY CONCENTRATION OF CREDIT RISK IS PATIENT ACCOUNTS RECEIVABLE, WHICH CONSIST OF AMOUNTS OWED BY VARIOUS GOVERNMENTAL AGENCIES, INSURANCE COMPANIES AND PRIVATE PATIENTS. SUTTER MANAGES THE RECEIVABLES BY REGULARLY REVIEWING ITS PATIENT ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE AMOUNTS. THESE ALLOWANCES ARE ESTIMATED BASED UPON AN EVALUATION OF HISTORICAL PAYMENTS, NEGOTIATED CONTRACTS AND GOVERNMENTAL REIMBURSEMENTS. SUTTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 90% 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 CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. PATIENT SERVICE REVENUES FOOTNOTE: PATIENT SERVICE REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT PROGRAMS WITH THIRD-PARTY PAYERS. ESTIMATED SETTLEMENTS UNDER THIRD-PARTY REIMBURSEMENT PROGRAMS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, PRIMARILY AS A RESULT OF FINAL COST REPORT SETTLEMENTS WITH GOVERNMENTAL AGENCIES. PATIENT SERVICE REVENUES LESS PROVISION FOR BAD DEBTS ARE REPORTED NET OF THE PROVISION FOR BAD DEBTS ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. SUTTER'S SELF-PAY WRITE-OFFS WERE $375 MILLION AND $370 MILLION FOR 2013 AND 2012, RESPECTIVELY.
PART III, LINE 7	MEDICARE SURPLUS/SHORTFALL: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. THEREFORE THE AMOUNT REFLECTED ON THE COST REPORT WILL LIKELY DIFFER FROM ACTUAL COSTS WHICH MAY BE REFLECTED IN THE COMMUNITY BENEFIT REPORT AND ON THIS FORM.
PART III, LINE 8	MEDICARE SHORTFALL COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT.
PART III, LINE 9B	DEBT COLLECTION PRACTICE: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 30 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS.
PART VI, LINE 2	NEEDS ASSESSMENT: SUTTER SURGICAL HOSPITAL NORTH VALLEY (SSHNV) OF YUBA CITY, CALIFORNIA CONDUCTED A CHNA OF THE HOSPITAL SERVICE AREA (HSA). VALLEY VISION, INC. CONDUCTED THE CHNA OVER A PERIOD OF MONTHS. VALLEY VISION (WWW.VALLEYVISION.ORG) IS A NONPROFIT 501(C)(3) CONSULTING FIRM SERVING A BROAD RANGE OF COMMUNITIES ACROSS NORTHERN CALIFORNIA. THE ORGANIZATION'S MISSION IS TO IMPROVE QUALITY OF LIFE THROUGH THE DELIVERY RESEARCH ON IMPORTANT TOPICS SUCH AS HEALTHCARE, ECONOMIC DEVELOPMENT, AND SUSTAINABLE ENVIRONMENTAL PRACTICES. VALLEY VISION HAS CONDUCTED MULTIPLE CHNAS ACROSS AN ARRAY OF COMMUNITIES FOR OVER SEVEN YEARS. AS THE LEAD CONSULTANT, VALLEY VISION ASSEMBLED A TEAM OF EXPERTS FROM MULTIPLE SECTORS TO CONDUCT THE ASSESSMENT THAT INCLUDED: 1) A PUBLIC HEALTH EXPERT WITH OVER A DECADE OF EXPERIENCE IN CONDUCTING CHNAS, 2) A GEOGRAPHER WITH EXPERTISE IN USING GIS TECHNOLOGY TO MAP HEALTH-RELATED CHARACTERISTICS OF POPULATIONS ACROSS LARGE GEOGRAPHIC AREAS, AND 3) ADDITIONAL PUBLIC HEALTH PRACTITIONERS AND CONSULTANTS TO COLLECT AND ANALYZE DATA. THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER SURGICAL HOSPITAL NORTH VALLEY IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML.
PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER SURGICAL HOSPITAL NORTH VALLEY FOLLOWS A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. FOR A MORE DETAILED LOOK AT OUR CHARITY CARE POLICIES BY REGION, PLEASE VISIT THE OFFICE OF STATEWIDE AND HEALTH PLANNING'S WEBSITE AT HTTP://SYFPHR.OSHPD.CA.GOV. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY A. INFORMATION PROVIDED TO PATIENTS: 1. PREADMISSION OR REGISTRATION: DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITAL AFFILIATES SHALL PROVIDE: A. ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES (IMPORTANT BILLING INFORMATION FOR UNINSURED PATIENTS) B. PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED WITH A FINANCIAL ASSISTANCE APPLICATION SUBSTANTIALLY SIMILAR TO THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION, "STATEMENT OF FINANCIAL CONDITION". 2. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION". B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS: 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY (FINANCE POLICY 14-227). C. APPLICATIONS PROVIDED AT DISCHARGE: IF NOT PREVIOUSLY PROVIDED, HOSPITAL AFFILIATES SHALL PROVIDE UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL, HEALTHY FAMILIES, CALIFORNIA CHILDREN'S SERVICES, OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM AT THE TIME OF DISCHARGE. D. LANGUAGES: ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE AFFILIATE'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. E. NOTIFICATIONS TO UNINSURED PATIENTS OF ESTIMATED FINANCIAL RESPONSIBILITY: BY LAW, UNINSURED PATIENTS ARE ENTITLED TO RECEIVE AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES. EXCEPT IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL NOTIFY PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED PATIENTS THAT THEY MAY OBTAIN AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES, AND PROVIDE ESTIMATES TO THOSE PATIENTS UPON REQUEST. ESTIMATES SHALL BE WRITTEN, AND BE PROVIDED DURING NORMAL BUSINESS HOURS. ESTIMATES SHALL PROVIDE THE PATIENT WITH AN ESTIMATE OF THE AMOUNT THE HOSPITAL AFFILIATE WILL REQUIRE THE PATIENT TO PAY FOR THE HEALTH CARE SERVICES, PROCEDURES, AND SUPPLIES THAT ARE REASONABLY EXPECTED TO BE PROVIDED TO THE PATIENT BY THE HOSPITAL, BASED UPON THE AVERAGE LENGTH OF STAY AND SERVICES PROVIDED FOR THE PATIENT'S DIAGNOSIS.
PART VI, LINE 4	COMMUNITY INFORMATION: THE HSA WAS DETERMINED BY ANALYZING PATIENT DISCHARGE DATA WHERE IT WAS DETERMINED THAT APPROXIMATELY 74% OF ALL PATIENTS RESIDED IN FOUR ZIP CODES THAT WERE LOCATED IN TWO COUNTIES. ZIP CODES 95901 (MARYSVILLE AND LINDA AREAS) AND 95961 (OLIVEHURST AREA) ARE BOTH LOCATED IN YUBA COUNTY. ZIP CODES 95991 (SOUTH CENTRAL YUBA CITY AREA) AND 95933 (WESTERN YUBA CITY AREA) ARE BOTH LOCATED IN SUTTER COUNTY. A MAP OF THE SERVICE AREA IS SHOWN IN FIGURE 1. ZIP CODE BOUNDARIES IN RURAL COMMUNITIES ARE SOMETIMES NOT REPRESENTATIVE OF POPULATION DISTRIBUTIONS ACROSS A ZIP CODE. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. A KEY TO UNDERSTANDING COMMUNITY HEALTH IS UNDERSTANDING COMMUNITY VULNERABILITY TO POOR OR UNWANTED HEALTH OUTCOMES. THIS IS ACCOMPLISHED BY EXAMINING CERTAIN SOCIO-DEMOGRAPHICS, OFTEN REFERRED TO AS THE SOCIAL DETERMINANTS OF HEALTH, IN ORDER TO IDENTIFY AREAS OF THE HSA WITH HIGH VULNERABILITY TO UNWANTED HEALTH OUTCOMES. TO ACCOMPLISH THIS, RACE AND ETHNICITY, HOUSEHOLD MAKEUP, INCOME, AND AGE VARIABLES WERE COMBINED INTO A VULNERABILITY INDEX THAT DESCRIBED THE LEVEL OF VULNERABILITY OF EACH CENSUS TRACT. THIS INDEX WAS THEN MAPPED FOR THE ENTIRE HSA. A TRACT WAS CONSIDERED MORE VULNERABLE, OR MORE LIKELY TO HAVE HIGHER UNWANTED HEALTH OUTCOMES THAN OTHERS IN THE HSA, IF IT HAD HIGHER: 1) PERCENT NON-WHITE OR HISPANIC POPULATION; 2) PERCENT SINGLE FEMALE PARENT HEADED HOUSEHOLDS; 3) PERCENT BELOW 125% OF THE POVERTY LEVEL; 4) PERCENT UNDER FIVE YEARS OLD; AND 5) PERCENT 65 YEARS OF AGE OR OLDER LIVING IN THE CENSUS TRACT. FIGURE 2 SHOWS THE VULNERABILITY INDEX FOR EACH CENSUS TRACT LOCATED ALL OR IN PART OF THE SSHNV HSA. IN THE MAP, DARKER GRADIENT COLORS INDICATE HIGHER VULNERABILITY. THE HSA IS HOME TO APPROXIMATELY 135,000 RESIDENTS. THE RACIAL AND ETHNIC MAKEUP OF THE COMMUNITY IS SHOW IN TABLE 3 IN THE FULL REPORT. WHITES ACCOUNTED FOR OVER HALF OF THE HSA'S RESIDENTS (52.5% COMPARED TO ALL OF CA 40.7%). OTHER GROUPS THAT COMPRISED THE BULK OF THE HSA'S POPULATION INCLUDED HISPANICS (27.1%), ASIANS (12.3%), MULTI-RACE (2.4%), BLACKS (2.3%), AND AMERICAN INDIANS (1.0%). A KEY TO UNDERSTANDING COMMUNITY HEALTH IS UNDERSTANDING COMMUNITY VULNERABILITY TO POOR OR UNWANTED HEALTH OUTCOMES. THIS IS ACCOMPLISHED BY EXAMINING CERTAIN SOCIO-DEMOGRAPHICS, OFTEN REFERRED TO AS THE SOCIAL DETERMINANTS OF HEALTH, IN ORDER TO IDENTIFY AREAS OF THE HSA WITH HIGH VULNERABILITY TO UNWANTED HEALTH OUTCOMES. TO ACCOMPLISH THIS, RACE AND ETHNICITY, HOUSEHOLD MAKEUP, INCOME, AND AGE VARIABLES WERE COMBINED INTO A VULNERABILITY INDEX THAT DESCRIBED THE LEVEL OF VULNERABILITY OF EACH CENSUS TRACT. THIS INDEX WAS THEN MAPPED FOR THE ENTIRE HSA. A TRACT WAS CONSIDERED MORE VULNERABLE, OR MORE LIKELY TO HAVE HIGHER UNWANTED HEALTH OUTCOMES THAN OTHERS IN THE HSA, IF IT HAD HIGHER: 1) PERCENT NON-WHITE OR HISPANIC POPULATION; 2) PERCENT SINGLE FEMALE PARENT HEADED HOUSEHOLDS; 3) PERCENT BELOW 125% OF THE POVERTY LEVEL; 4) PERCENT UNDER FIVE YEARS OLD; AND 5) PERCENT 65 YEARS OF AGE OR OLDER LIVING IN THE CENSUS TRACT. FIGURE 2 IN THE FULL REPORT SHOWS THE VULNERABILITY INDEX FOR EACH CENSUS TRACT LOCATED ALL OR IN PART OF THE SSHNV HSA. IN THE MAP, DARKER GRADIENT COLORS INDICATE HIGHER VULNERABILITY. CENTRAL YUBA CITY, THE LINDA AREA, AND PORTIONS OF OLIVEHURST WERE AREAS IDENTIFIED WITH THE HIGHEST VULNERABILITY IN THE HSA. THE 2013 COUNTY HEALTH RANKINGS INDICATED THAT YUBA COUNTY RANKED 50 OUT OF 57 COUNTIES IN CALIFORNIA FOR OVERALL HEALTH. SUTTER COUNTY RANKED 33. MORTALITY RANKINGS SHOWED YUBA COUNTY RANKED 48 OF 57, WHILE SUTTER COUNTY RANKED 36. AS TO OVERALL MORBIDITY, YUBA RANKED 46 OF 57, WHILE SUTTER RANKED 30. DATA INDICATED THAT 22% AND 23% OF YUBA AND SUTTER COUNTY RESIDENTS, RESPECTIVELY, SELF-REPORTED THEIR HEALTH AS "POOR OR FAIR," COMPARED TO A CALIFORNIA BENCHMARK OF 19%, AND NATIONAL BENCHMARK OF 10%. FURTHER, YUBA AND SUTTER COUNTY RESIDENTS REPORTED THAT THAT ON AVERAGE THEY EXPERIENCED 4.1 AND 4.3 DAYS, RESPECTIVELY, OVER A 30-DAY PERIOD THAT THEIR PHYSICAL HEALTH WAS "NOT GOOD." THIS COMPARES TO THE STATE BENCHMARK OF 3.7 AND NATIONAL BENCHMARK OF 2.6 DAYS.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. THE 2013 - 2015 IMPLEMENTATION STRATEGY FOR SUTTER SURGICAL HOSPITAL NORTH VALLEY DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: SSHNV PARTNERS WITH AMPLA AND PEACH TRESS, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), TO OFFER THE FOLLOWING SERVICES TO THEIR PATIENTS: OB/GYN, PEDS/ADULT CARDIO AND RADIOLOGY, ENT, SURGERY, UROLOGY, PODIATRY, OPHTHALMOLOGY, GASTRO, AND ORTHO. SSHNV ALSO COLLABORATES AND PARTNERS WITH PEACH TREE HEALTH FOR THE ANNUAL WOMEN'S HEALTH SCREENING EVENT. WE ARE CONSISTENTLY LOOKING AT CREATIVE WAYS TO STRENGTHEN THE RELATIONSHIP BETWEEN SSHNV AND PEACH TREE AND AMPLA HEALTH CLINICS, AS BUILDING BOTH THE CAPACITY AND SUSTAINABILITY OF FQHCS CONTINUES TO BE OF CRITICAL IMPORTANCE NOT ONLY TO SUTTER, BUT IS VITAL TO THE OVERALL HEALTH AND WELLBEING OF THE COMMUNITY. OUR 2013 CHNA REPORTS SHOW THAT LACK OF ACCESS TO CARE IS ONE OF THE MOST DIRE HEALTH RELATED CHALLENGES FACING OUR REGION. IF WE DON'T MAKE STRATEGIC INVESTMENTS IN OUR FQHCS, WE ARE GOING TO BE LEFT WITH THOUSANDS OF NEWLY INSURED MEDI-CAL PATIENTS IN 2014, WITH NO MEDICAL HOME. THEREFORE, IT IS OUR GOAL TO TIGHTEN THE PARTNERSHIP WITH THESE IMPORTANT HEALTH CLINICS, AND MAKE SURE THAT BOTH ARE INVOLVED WITH OUR WHS, PROSTATE SCREENING AND PINK OCTOBER EFFORTS, TO PROVIDE A LINKAGE TO PRIMARY AND MENTAL HEALTH SERVICES TO THOSE WHO NEED IT THE MOST. THE ANNUAL PROSTATE SCREENING EVENT TAKES PLACE IN SEPTEMBER, IN HONOR OF PROSTATE AWARENESS MONTH. THIS EVENT TARGETS UNDERINSURED MEN, AND PROVIDES A PHYSICAL EXAM AND A BLOOD TEST CALLED PSA (PROSTATE SPECIFIC ANTIGEN) FOR $15. OUR GOAL IS NOT ONLY TO SCREEN THE UN AND UNDERINSURED MEN, BUT WE ALSO USE THESE EVENTS AS A CONNECTION POINT FOR THE UNDERSERVED MEMBERS OF OUR COMMUNITY, TO LINK THEM WITH A PRIMARY CARE PROVIDER AND FOLLOW UP RESOURCES IF NEEDED, AS WELL AS INSURANCE ENROLLMENT INFORMATION. NEW IN 2013, WE INTEGRATED INSURANCE ENROLLMENT SPECIALISTS FROM COVERED CALIFORNIA TO PROVIDE INSURANCE EDUCATION, OUTREACH AND ENROLLMENT TO THE WOMEN WHO NEED IT MOST. IN EARLY 2013, SSHNV RE-LAUNCHED BE STRONG (FORMERLY KNOWN AS KIDSHAPE) IN THE SSHNV SERVICE AREA. BE STRONG IS A SIX-WEEK PROGRAM FOR ANY CHILD AGES 6-14 AND THEIR FAMILIES THAT TEACHES EASY WAYS TO INCORPORATE HEALTHY CHOICES INTO DAILY LIVING. EACH CLASS IS INSTRUCTED BY A REGISTERED DIETICIAN, MENTAL HEALTH PROFESSIONAL, PHYSICAL ACTIVITY INSTRUCTOR, AND PROGRAM COORDINATOR WHO CRAFT LESSONS DESIGNED TO IMPROVE OVERALL HEALTH IN A FUN AND MEANINGFUL WAY. THROUGH INCREASING ACCESSIBILITY TO THE "BE STRONG" PROGRAM, FOCUSING ON WHOLE HEALTH STABILITY, AND INCORPORATING FEEDBACK FROM PARENTS, THIS PROGRAM IS EXPERIENCING TREMENDOUS GROWTH AND SUCCESS.
PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: SUTTER SURGICAL HOSPITAL NORTH VALLEY 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	STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
YUBA CITY UNIFIED SCHOOL DISTRICT
750 PALORA AVE	YUBA CITY	CA	95991	946002768	GOVERNMENT	$36,212	PROGRAM SERVICES
SHADY CREEK OUTDOOR EDUCATION FOUNDATION
970 KLAMATH LANE	YUBA CITY	CA	95993	680239809	501(C)(3)	$10,000	PROGRAM SERVICES

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: 1. VARIOUS DEPARTMENTS OF THE HOSPITAL REQUEST FUNDING FROM THE FOUNDATION. 2. THE BOARD OF TRUSTEES AND THE EXECUTIVE DIRECTOR APPROVES THE HOSPITALS REQUEST. 3. THE APPROVAL IS SENT TO THE REQUESTING DEPARTMENT. 4. THE REQUESTING DEPARTMENT PROVIDES THE FOUNDATION A COPY OF THE INVOICE SUBSTANTIATING THE COSTS INCURRED. 5. THE FOUNDATION FORWARDS THE REQUEST FROM THE HOSPITAL, THE BOARD OF TRUSTEES MINUTES APPROVING THE FUNDING AND THE COPY OF THE INVOICE TO THE ACCOUNTANTS TO RELEASE THE FUNDS.	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 (23 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
PAMELA ADDY
REGIONAL OPERATIONS DIRECTOR	$149,098	$0	$9,150	$0	$13,871	$0	$7,745	$0	$20,438	$0	$200,302	$0	$0	$0
TOM BLINN
CEO, SUTTER MEDICAL FOUNDATION	$0	$486,393	$0	$475,570	$0	$83,193	$0	$109,980	$0	$19,258	$0	$1,174,394	$0	$304,592
LISA BYNUM
DIRECTOR, CONTRACTS	$154,876	$0	$9,475	$0	$502	$0	$7,418	$0	$20,961	$0	$193,232	$0	$0	$0
JAMES CONFORTI
REGIONAL PRESIDENT, SAC SIERRA	$0	$586,008	$0	$472,842	$0	$64,044	$0	$187,180	$0	$22,224	$0	$1,332,298	$0	$470,876
THERESA FREI
COO, SUTTER MED FOUNDATION	$0	$285,451	$0	$40,326	$0	$509	$0	$25,467	$0	$12,791	$0	$364,544	$0	$40,326
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
SUSAN GOWER
CFO, SMF CENTRAL	$0	$161,851	$0	$89,887	$0	$45,768	$0	$21,387	$0	$9,151	$0	$328,044	$0	$102,887
GLEN GROVES
FINANCE EXECUTIVE SMF WEST	$0	-$39,978	$0	$83,944	$0	$179,026	$0	$13,457	$0	$6,074	$0	$242,523	$0	$224,845
SUHEIR HADDAD
FINANCE ADMIN SMF CENTRAL	$0	$203,828	$0	$71,647	$0	$3,653	$0	$26,468	$0	$17,718	$0	$323,314	$0	$71,647
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
ROSETTA LI
REGIONAL FINANCE DIRECTOR	$164,549	$0	$10,150	$0	$11,709	$0	$8,388	$0	$21,128	$0	$215,924	$0	$0	$0
MICHAEL D MARINO
DIRECTOR HR, SMF	$0	$197,786	$0	$61,989	$0	$10,280	$0	$23,235	$0	$12,126	$0	$305,416	$0	$61,989
PATRICIA MOLLOY
DIRECTOR REGIONAL IQS ADMIN	$148,362	$0	$9,075	$0	$502	$0	$7,107	$0	$8,149	$0	$173,195	$0	$0	$0
LESLIE PRATT
DIRECTOR CLINICAL OPERATIONS	$167,433	$0	$10,275	$0	$2,176	$0	$8,095	$0	$15,712	$0	$203,691	$0	$0	$0
ERIC RASMUSSEN
DIRECTOR GROWTH & DEVELOPMENT	$189,195	$0	$21,029	$0	$10,643	$0	$9,939	$0	$21,457	$0	$252,263	$0	$0	$0
JOHN RAY
EXECUTIVE, SMF WEST DIVISION	$0	$296,079	$0	$161,621	$0	$28,864	$0	$30,467	$0	$15,159	$0	$532,190	$0	$157,292
THERESA RUIZ
FINANCE EXECUTIVE, SMF NORTH	$0	$169,535	$0	$60,913	$0	$15,220	$0	$21,657	$0	$12,115	$0	$279,440	$0	$67,631
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
PENNY WESTFALL
VP & REG. COUNSEL SAC SIERRA	$0	$280,365	$0	$141,088	$0	$23,487	$0	$59,062	$0	$7,263	$0	$511,265	$0	$163,288
TERESA WILSON
SENIOR DIRECTOR MANAGED CARE	$173,117	$0	$10,950	$0	$10,046	$0	$8,735	$0	$15,995	$0	$218,843	$0	$0	$0
DAVID YAMAMOTO
CEO, SMF NORTH	$0	$282,976	$0	$155,227	$0	$29,598	$0	$29,767	$0	$18,774	$0	$516,342	$0	$155,227
GARY ZUFELT
COO, SMF CENTRAL	$0	$355,764	$0	$161,417	$0	$41,298	$0	$78,283	$0	$19,505	$0	$656,267	$0	$177,461
KEVIN ENGLE
SERVICE LINE MANAGER		$130,757		$11,729		$550		$6,437		$13,478		$162,951		$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	RELEVANT INFORMATION REGARDING COMPENSATION ITEMS: TAX INDEMNIFICATION: STANDARD POLICY FOR ALL SUTTER HEALTH EMPLOYEES IS THAT NON-CASH GIFTS AND AWARDS ARE GROSSED-UP FOR TAX PURPOSES. THE AMOUNT OF THE GROSS-UP IS ADDED TO THE EMPLOYEE'S WAGES AND TAXED ACCORDINGLY.
PART I, LINE 3	SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF THE ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. SEE SCHEDULE O NARRATIVE PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH.
PART I, LINE 4B	NONQUALIFIED RETIREMENT PLAN: THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403B EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PLAN BENEFITS CAPS HAVE THE EFFECT OF SUBSTANTIALLY REDUCING RETIREMENT BENEFITS THAT ARE OTHERWISE PROVIDED TO ALL EMPLOYEES. THE EFFECT IS THAT EXECUTIVES OFTEN DO NOT RECEIVE THE SAME LEVEL OF RETIREMENT BENEFIT ON AN INCOME REPLACEMENT BASIS AS OTHER EMPLOYEES. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT AND TO ADDRESS THE SHORTFALLS DESCRIBED ABOVE, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA HAS TWO PARTS: (1) 4% TO 7% OF BASE SALARY (COMMENSURATE WITH MANAGEMENT LEVEL), PLUS (2) A CONTRIBUTION STARTING AT 5% (BASED UPON TENURE) FOR EARNINGS BEYOND THE PENSION PAY CAP. THE LATTER OF WHICH IS DESIGNED TO HELP RESTORE LOST PENSION BENEFITS FORFEITED UNDER THE QUALIFIED PLAN FOR EARNINGS OVER THE PENSION PAY CAP LIMIT. CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457F) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65. TARGET BENEFIT LEVELS VARY BY YEARS OF SERVICE. UNLIKE SUTTER HEALTH'S QUALIFIED PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT.
PART I, LINE 7	NON-FIXED PAYMENTS: SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% OF GROSS PAY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD +/- 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTH'S OVERALL MISSION, VISION, AND VALUES, SUTTER'S LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond 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	CONSTRUCT & REFUNDING - 1/30/2003	false	false	false
CSCDA 2004CD
B	680164610	130795TE7	2008-05-06	$87,750,717	CONSTRUCT & REFUNDING - 2/17/2004	false	false	false
CHFFA 2008A
C	521643828	13033F2L3	2008-05-14	$329,041,638	CONSTRUCT & REFUNDING - 2/17/2004	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	$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	$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)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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	0.00000	0.00960	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.01830	0.00030	0.01860	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	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 FROM PROCEEDS: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS.

SMF SPECIFIC

PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $16,846,004 FROM THE 2003AB ISSUE; $11,483,497 FROM THE 2004CD ISSUE AND $15,965,405 FROM THE 2008A ISSUE. PART I, 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, 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, LINE C, 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 2004 ISSUE. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	VICKY LUCAS	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$34,279	TransactionAmt
Transaction	SEE PART V	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: THERESA RUIZ, KEY EMPLOYEE OF SUTTER MEDICAL FOUNDATION, HAS A FAMILY MEMBER WHO WORKS AS A MEDICAL ASSISTANT FOR SMF-NORTH.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1	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.
FORM 990, PART III, LINE 4A	EXEMPT PURPOSE ACHIEVEMENTS: SUTTER MEDICAL FOUNDATION (SMF) IS A COMMUNITY BASED, NOT-FOR-PROFIT MEDICAL ORGANIZATION SERVING NORTHERN CALIFORNIA COMMUNITIES AND SUPPORTING THE FOLLOWING CHARITABLE ORGANIZATIONS: SUTTER MEDICAL CENTER OF SACRAMENTO, SUTTER AUBURN FAITH HOSPITAL, SUTTER DAVIS HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO HOSPITAL AND SUTTER AMADOR HOSPITAL. WITH CARE CENTERS LOCATED IN SACRAMENTO, YOLO, SUTTER, YUBA, SOLANO PLACER AND AMADOR COUNTIES WE DO OUR PART TO ENSURE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. OUR MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH NOT FOR PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE. WE VALUE EXCELLENCE AND QUALITY, CARING AND COMPASSION, HONESTY AND INTEGRITY, TEAMWORK AND COMMUNITY. SUTTER MEDICAL FOUNDATION IS ALIGNED WITH PHYSICIAN AND MID-LEVEL PROVIDERS OF SUTTER MEDICAL GROUP AND SUTTER NORTH MEDICAL GROUP OFFERING PRIMARY CARE AND SPECIALTY CARE TO OUR PATIENTS. OFFERING A FULL RANGE OF MEDICAL SERVICES, SUTTER MEDICAL FOUNDATION PROVIDES AMBULATORY SURGERY, URGENT CARE CLINICS, HOME HEALTH, HOSPICE AND STATE OF THE ART IMAGING AND CARDIOLOGY TECHNOLOGY. IN ADDITION WE OPERATE A RURAL HEALTH CLINIC IN THE COMMUNITY OF BROWNSVILLE, YUBA COUNTY. THE FOUNDATION PROVIDED MORE THAN $41.2 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT PROGRAMMING. THE FOUNDATION SERVED 3,399,228 PATIENTS IN 2013. FOCUS ON CHILDHOOD OBESITY AND HEALTH EDUCATION SUTTER MEDICAL FOUNDATION HAS PARTNERED WITH YUBA CITY UNIFIED SCHOOL DISTRICT TO ENHANCE THE PHYSICAL EDUCATION PROGRAMS FOR STUDENTS K-5. THE PARTNERSHIP INCLUDES DEDICATED TEACHING STAFF FOR PHYSICAL EDUCATION AND FAMILY EDUCATION PROGRAMS TO ASSIST PARENTS AND GUARDIANS IN MAKING HEALTHY CHOICES FOR THEIR FAMILIES. SMF ALSO PROVIDES PHYSICALS FOR THE FOOTBALL PLAYERS AT MARYSVILLE HIGH SCHOOL. IN ADDITION, SMF RUNS THE KID SHAPE PROGRAM, WHICH EVOLVED INTO THE BESTRONG PROGRAM IN 2012. BESTRONG IS A PROGRAM DESIGNED FOR THE ENTIRE FAMILY AND TARGETS CHILDREN WHO CAN BENEFIT FROM EATING MORE NUTRITIOUSLY, INCREASING PHYSICAL ACTIVITY AND ENHANCING MENTAL WELLNESS. CLASS PARTICIPANTS LEARN ABOUT ADOPTING A HEALTHIER LIFESTYLE THROUGH INTERACTIVE GAMES, PHYSICAL ACTIVITIES, COOKING DEMONSTRATIONS AND DISCUSSIONS ABOUT FOOD CHOICES AND BEHAVIORS. SMF ANNOUNCED ITS PARTNERSHIP WITH FIT QUEST, WHICH HAS EXPANDED ITS NUTRITION AND FITNESS PROGRAM FOR YOUTH IN YUBA CITY AND MARYSVILLE SCHOOL DISTRICTS BEGINNING IN JANUARY 2014. THE MERGER OF THE BESTRONG PROGRAM WITH FIT QUEST ALLOWS SMF TO BRING ONE COMPREHENSIVE CHILDREN WELLNESS PROGRAM TO THE YUBA-SUTTER COMMUNITY AND REACH OVER 1,100 STUDENTS. SUPPORT GROUPS SUTTER MEDICAL FOUNDATION PROVIDES A VARIETY OF FREE SUPPORT GROUPS TO OUR PATIENTS AND THE COMMUNITIES WE SERVE. PATIENTS CAN RECEIVE SUPPORT FOR DIABETES, CHILDBIRTH EDUCATION, AUTISM AND PARKINSON'S. LOOK GOOD, FEEL BETTER THE "LOOK GOOD FEEL BETTER" IS A NATIONWIDE PROGRAM THAT IS DESIGNED FOR WOMEN WHO ARE GOING THROUGH CANCER TREATMENT. THE PROGRAM SHOWS SURVIVORS HOW TO USE MAKE-UP, SCARVES AND WIGS THAT WILL HELP THEM LOOK MORE LIKE THEIR PRE-TREATMENT SELVES. PINK OCTOBER, WOMEN'S HEALTH SCREENING DAY & FREE MAMMO SCREENINGS SUTTER MEDICAL FOUNDATION HOSTS WOMEN'S HEALTH SCREENING DAY ANNUALLY AND JOINS FORCES WITH THE YUBA-SUTTER PINK OCTOBER COMMITTEE TO INCREASE AWARENESS OF EARLY DETECTION OF BREAST CANCER. WOMEN'S HEALTH SCREENING DAY PROVIDES RECTAL, CLINICAL BREAST, PAP AND BONE DENSITY SCREENINGS AT A FREE OR MINIMAL COST TO WOMEN WHO EITHER ARE UNDER OR NOT INSURED. PROVIDERS FROM SUTTER NORTH MEDICAL GROUP, IN YUBA CITY AND THE RURAL COMMUNITY OF BROWNSVILLE, DONATE THEIR TIME TO THE WOMEN'S HEALTH SCREENING DAY. ADDITIONALLY, THROUGHOUT THE MONTH OF OCTOBER, SUTTER DIAGNOSTIC IMAGING CENTERS ACROSS THE REGION PROVIDED UNINSURED/UNDERINSURED WOMEN THE OPPORTUNITY TO RECEIVE FREE DIGITAL MAMMOGRAMS. AS A RESULT OF THESE COLLABORATIVE EVENTS, WE WERE ABLE TO SCREEN 388 UNINSURED WOMEN. IN YUBA CITY, THE ANNUAL PINK OCTOBER EFFORT WAS ANOTHER RESOUNDING SUCCESS, WITH 327 UNINSURED WOMEN RECEIVING LOW-COST MAMMOGRAMS AT OUR SUTTER FACILITIES IN THE YUBA-SUTTER SERVICE AREA. BETWEEN THESE TWO CRUCIAL BREAST CANCER AWARENESS EFFORTS, SHSSR PROVIDED A TOTAL OF 715 FREE AND LOW-COST MAMMOGRAMS - 45 MORE THAN LAST YEAR! NEW THIS YEAR, WE HAD INSURANCE ENROLLMENT SPECIALISTS FROM COVERED CALIFORNIA ATTEND SOME OF THE SCREENING EVENTS TO EDUCATE, CONNECT AND ENROLL PATIENTS WHO NEED IT, IN HEALTH INSURANCE. AS A RESULT, THE COVERED CA TEAM MADE MANY GREAT CONNECTIONS WITH HUNDREDS OF WOMEN AND WILL BE FOLLOWING UP WITH MANY OF THE WOMEN TO HELP ENROLL THEM IN INSURANCE. IN ADDITION, WE INTEGRATED OUR ED NAVIGATORS INTO SOME OF THE SCREENING EVENTS, AS A PILOT PROJECT, TO PROVIDE ONSITE PRIMARY AND MENTAL HEALTH CARE REFERRALS AND OTHER COMMUNITY RESOURCES TO THE WOMEN. CONNECTING THE UN- AND UNDERINSURED POPULATION TO INSURANCE AND A MEDICAL HOME IS MORE CRITICAL THAN EVER, AS WE ADAPT TO THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT. PROSTATE SCREENING SUTTER MEDICAL FOUNDATION BROUGHT BACK THE PROSTATE SCREENING EVENT IN 2013, WHERE 68 MEN RECEIVED LOW COST SCREENINGS. MUCH LIKE THE WOMEN'S HEALTH AND MAMMO SCREENINGS, WE HAD INSURANCE ENROLLMENT SPECIALISTS FROM COVERED CALIFORNIA ATTEND THE PROSTATE SCREENING TO EDUCATE, CONNECT AND ENROLL PATIENTS WHO NEED IT, IN HEALTH INSURANCE. THE COVERED CA TEAM MADE MANY GREAT CONNECTIONS WITH MANY PATIENTS AND FOLLOWED UP WITH MANY OF THE MEN THEY MET AT THE PROSTATE SCREENING. ENROLLING THE UN- AND UNDERINSURED POPULATION WILL BE A MAJOR COMPONENT OF OUR CHNA IMPLEMENTATION PLANNING, AS THIS IS THE FIRST STEP TO CONNECTING PATIENTS WITH PRIMARY CARE. 2013 COMMUNITY SPONSORED EVENTS IN 2013, SUTTER MEDICAL FOUNDATION DONATED TO SEVERAL VARIOUS COMMUNITY EVENTS. WE MAKE IT OUR POLICY TO SUPPORT LOCAL AND NATIONAL NOT-FOR-PROFIT ORGANIZATIONS AND PUBLIC INSTITUTIONS IN NEED OF ASSISTANCE. MOREOVER, OUR EMPLOYEES MAKE EVERY EFFORT TO DONATE THEIR TIME TO LOCAL CAUSES AND YOU WILL FIND MANAGEMENT, PROVIDERS AND STAFF VOLUNTEERING WITH THE AMERICAN CANCER SOCIETY, UNITED WAY, MARCH OF DIMES, NATIONAL DIABETES SOCIETY, AMERICAN HEART ASSOCIATION, KIWANIS, ROTARY, SOROPTIMIST, GIRLS ON THE RUN, CHAMBER OF COMMERCE AND IN COMMUNITY SCHOOLS AND RELIGIOUS ORGANIZATIONS. TATTOO REMOVAL PROGRAM THE TATTOO REMOVAL PROGRAM (TATS OFF) REMOVES VISIBLE GANG TATTOOS FROM THE FACE, NECK, HANDS OR WRISTS (AND ANKLES FOR WOMEN), ELIMINATING THE STIGMA OF A PAST LIFESTYLE. IT NORMALLY TAKES FROM THREE TO TEN LASER TREATMENTS TO COMPLETE THE REMOVAL OF EACH DESIGN. THESE SESSIONS ARE SCHEDULED ONE MONTH APART TO FACILITATE PROPER HEALING BEFORE THE NEXT TREATMENT. THE OBJECTIVE IS TO MAKE IT EASIER FOR PEOPLE TO BEGIN A NEW LIFE, OBTAIN EMPLOYMENT AND ESCAPE BEING NEGATIVELY AND INACCURATELY STEREOTYPED.
FORM 990, PART VI, LINES 6 & 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 7B	DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL.
FORM 990, PART VI, LINE 11B	DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM.
FORM 990, PART VI, LINE 12	DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS AND OFFICERS THAT INCLUDES AN ACKNOWLEDGEMENT THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR WILL REVIEW THE STATEMENTS AND MONITOR SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION.
FORM 990, PART VI, LINE 15	PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY LEADERS OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES.
FORM 990, PART VI, LINE 19	AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC: THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN FUND BALANCE: GAIN/(LOSS) ON HEALTH CARE INVESTMENTS $ 11,113,039 K-1 ORDINARY INCOME (9,596,890) K-1 RENTAL INCOME (1,746,111) K-1 GUARANTEED PAYMENTS (134,379) K-1 INTEREST INCOME (17,732) K-1 SECTION 1231 18,796 EQUITY TRANSFERS (NET) (21,837,749) STOCK PAID IN SURPLUS 818,642 OTHER CHANGES IN FUND BALANCE 24,322 TOTAL ------------- (21,358,062) =============

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 HEALTH SACRAMENTO SIERRA REGION
PO BOX 160727	SACRAMENTO	CA	95816	941156621	HOSPITAL	CA	501(C)(3)	3	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 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 (13 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
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	SUTTER MED FDN	RELATED	$2,933,193	$1,973,003	false	false	0.82500
TWIN CITIES SURGICAL HOSPITAL LLC
250 S WACKER	CHICAGO	IL	60606	352182617	SURGERY	CA	SUTTER MED FDN	RELATED	$1,237,153	$5,689,047	false	false	0.51470
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 RENTAL	CA	NA	N/A
MEMORIAL MEDICAL OFFICE BUILDING PRTNR I
1800 COFFEE RD SUITE 76	MODESTO	CA	95355	770287288	OFFICE RENTAL	CA	NA	N/A
TWIN CITIES HOSP PROPERTIES LP
30 S WACKER	CHICAGO	IL	60606		NO ACTIVITY	CA	SUTTER MED FDN	N/A					0.99900

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 SERVICE	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	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	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	Yes (true)	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 (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
EDEN MEDICAL CENTER
L	$89,950	FMV
SUTTER HEALTH SACRAMENTO SIERRA REGION
P	$32,707,151	FMV
SUTTER VISITING NURSES ASSOCIATION
L	$374,938	FMV
SUTTER VISITING NURSES ASSOCIATION
M	$249,388	FMV
SUTTER INSURANCE SERVICES CORPORATION
P	$947,760	FMV