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SUTTER BAY HOSPITALS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SUTTER BAY HOSPITALS (EIN 94-0562680)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-31
IRS object ID
201313049349301106
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-31T12:07:00-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14370 LA JOLLA VILLAGE DR SUITE 500AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code92122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN940562680EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUTTER WEST BAY HOSPITALSBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% HENRY YUInCareOfName
Name ControlSUTTNameControl
Phone9162866665Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameDAVID BRADLEYName
TitleCFOTitle
Phone9162866665Phone
Date Signed2013-10-17DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8585357200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA PACIFIC MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL COHILLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 7999AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1658257156GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SUTTERHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1854YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body36NbrVotingMembersGoverningBody
Nbr Independent Voting Members23NbrIndependentVotingMembers
Total Nbr Employees8564TotalNbrEmployees
Total Nbr Volunteers1264TotalNbrVolunteers
Total Gross UBI1927169TotalGrossUBI
Net Unrelated Business Txbl Income42591NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year34573903ContributionsGrantsPriorYear
Contributions Grants Current Year27848587ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1534702744ProgramServiceRevenuePriorYear
Program Service Revenue CY1569977771ProgramServiceRevenueCY
Investment Income Prior Year14775202InvestmentIncomePriorYear
Investment Income Current Year8289745InvestmentIncomeCurrentYear
Other Revenue Prior Year3480969OtherRevenuePriorYear
Other Revenue Current Year4323474OtherRevenueCurrentYear
Total Revenue Prior Year1587532818TotalRevenuePriorYear
Total Revenue Current Year1610439577TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1671113GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1654996GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year762546152SalariesEtcPriorYear
Salaries Etc Current Year788424176SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year586470TotalFundrsngExpCurrentYear
Other Expense Prior Year605287270OtherExpensePriorYear
Other Expenses Current Year605287903OtherExpensesCurrentYear
Total Expenses Prior Year1369504535TotalExpensesPriorYear
Total Expenses Current Year1395367075TotalExpensesCurrentYear
Revenues Less Expenses Prior Year218028283RevenuesLessExpensesPriorYear
Revenues Less Expenses CY215072502RevenuesLessExpensesCY
Total Assets BOY1563746524TotalAssetsBOY
Total Assets EOY1655166060TotalAssetsEOY
Total Liabilities BOY561430605TotalLiabilitiesBOY
Total Liabilities EOY479935456TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1002315919NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1175230604NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1302685591Expense
Grants1654996Grants
Revenue1569977771Revenue
DescriptionSEE SCHEDULE ODescription
Activity2Activity2
Total Program Service Expense1302685591TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096897NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees8564NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members36NbrVotingGoverningBodyMembers
Number Independent Voting Members23NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonHENRY YUNamePerson
Telephone Number4156007310TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (46 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RT REV MARC H ANDRUS
TRUSTEE1.00.0X
DAMIAN AUGUSTYN MD
TRUSTEE1.00.0X1619400
MARTIN BROTMAN MD
REG PRESIDENT, WBR (PART YEAR)40.00.0X02765896546676X
WILLIAM L BRUNETTI
TRUSTEE1.00.0X000
MICHAEL COHILL
REGIONAL PRESIDENT, WEST BAY40.00.0X01769123676890X
DOROTHY COLEMAN-RIESE MD
TRUSTEE1.00.0X000
THEODORE DEIKEL
TRUSTEE1.00.0X000
THOMAS J DIETZ PHD
TRUSTEE1.00.0X000
ROY EISENHARDT
TRUSTEE1.00.0X000
PETER FULCHIRON
TRUSTEE, VICE CHAIR1.00.0X000X
PATRICK FRY
PRESIDENT & CEO, SUTTER HEALTH1.040.0X038627872531096
JORDAN HOROWITZ MD
TRUSTEE1.00.0X3532500
PETER JACOBI
TRUSTEE1.00.0X000
JOAN C KAHR PHD
TRUSTEE1.00.0X000
RONALD H KAUFMAN
TRUSTEE1.00.0X000
EDWARD KERSH MD
TRUSTEE1.0X000
SARAH KREVANS
COO SUTTER HEALTH1.040.0X01546710974314
STEVEN E LEVENBERG DO
TRUSTEE1.00.0X000
THOMAS E LINCOLN
TRUSTEE1.00.0X000
ALASTAIR A MACTAGGART
TRUSTEE1.00.0X000
ANTHONY W MILES
TRUSTEE1.00.0X000
SCOTT MINICK
TRUSTEE1.00.0X000
TIMOTHY MURPHY MD
TRUSTEE1.0X000
CYNTHIA NESTLE
TRUSTEE1.00.0X000
DENNIS J O'CONNELL
TRUSTEE1.00.0X000
STEVEN H OLIVER
TRUSTEE1.00.0X000
ROBERT W OSORIO MD
TRUSTEE1.00.0X000
MICHAEL ROKEACH MD
TRUSTEE1.00.0X8333300
ROBERT A ROSENFELD
TRUSTEE1.00.0X000
TERRI SLAGLE MD
TRUSTEE1.00.0X832500
LEO C H SOONG
TRUSTEE, CHAIR FIN & PLANNING1.00.0X000X
ROSS E STROMBERG
TRUSTEE1.00.0X000
ROBERT M TOMASELLO
TRUSTEE, CHAIR1.00.0X000X
MICHAEL N VALAN MD
TRUSTEE1.00.0X000
ANTHONY G WAGNER
TRUSTEE1.00.0X000
RICHARD C WATTS
TRUSTEE1.00.0X000
DEBORAH D WYATT MD
TRUSTEE1.00.0X000
MICHAEL DUNCHEON
VP, REGIONAL COUNSEL WEST BAY40.00.00462932262387X
JOHN GATES
REGION VP FINANCE, WEST BAY40.00.00800731315616X
WARREN BROWNER MD
CEO, SAN FRANCISCO HOSP, SWBH40.00.00828818622068X
GRANT DAVIES
CEO NORTH BAY HOSPITALS40.00.00774097398425X
TONI BRAYER MD
REGIONAL VP & CMO, WEST BAY40.00.00620658288606X
ALLAN PONT MD
VP MEDICAL AFFAIRS WEST BAY40.00.00556163230374X
MARK KIMBELL
CEO CPMCF40.00.00480166231407X
CRAIG VERCRUYSSE
COO WEST BAY REGION40.00.00388231207325X
MICHAEL PURVIS
CAO SMCSR40.00.00417151237869X
FieldValueIRS element (for citing)
Total Reportable Comp From Org143177TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs15273463TotalReportableCompFrmRltdOrgs
Total Other Compensation7523053TotalOtherCompensation
Number Individuals GT100 K2106NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ARAMARK
2500 WARRENVILLE ROADDOWNERS GROVEIL60515MANAGEMENT SERVICES21487461
PACIFIC INPATIENT MEDICAL GROUP INC
PO BOX 1230SUISUN CITYCA94585UTILIZATION SERVICES7785805
ANESTHESIA AND ANALGESIA MEDICAL GR
837 5TH STREET 2ND FLOORSANTA ROSACA95404ANESTHESIA SERVICES5077224
UNGER CONSTRUCTION
910 X STREETSACRAMENTOCA95818CONSTRUCTION4528661
HERRERO CONTRACTORS
2100 OAKDALE AVESAN FRANCISCOCA94124CONSTRUCTION4002346
FieldValueIRS element (for citing)
Number Of Contractors GT100 K181NumberOfContractorsGT100K
Fundraising Events23122FundraisingEvents
Related Organizations10371015RelatedOrganizations
Government Grants11378553GovernmentGrants
All Other Contributions6075897AllOtherContributions
Noncash Contributions2552NoncashContributions
Total Contributions27848587TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE62211015513896041551389604
CA PACIFIC ADVANCED IMAGING62151217187061718706
SAN FRAN ENDOSCOPY CENTER62149850439595043959
PRESIDIO SURGERY CENTER LLC62149371961827196182
RENTAL TO AFFILIATES90009946308594630859

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column-1539TotalRevenueColumn
Related Or Exempt Function Income-1539RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1569977771TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5566337TotalRevenueColumn
Exclusion$5,566,337ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column25382TotalRevenueColumn
Exclusion$25,382ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real10606687Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real11331247Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-724560Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-724560TotalRevenueColumn
Exclusion-$724,560ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities39167590Securities
Other18110Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities36385880Securities
Other76412Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2781710Securities
Other-58302Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2723408TotalRevenueColumn
Exclusion$2,723,408ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events31620GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events23122CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses21540FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column10080TotalRevenueColumn
Exclusion$10,080ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming3600GrossIncomeGaming
Gaming Direct Expenses2500GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column1100TotalRevenueColumn
Exclusion$1,100ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
UBI - LABORATORY6215008375883758
UBI - PARKING81293018434111843411
CAFETERIA9000993208421$3,208,421

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-124118TotalRevenueColumn
Exclusion-$124,118ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5011472TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1610439577TotalRevenueColumn
Related Or Exempt Function Income1569977771RelatedOrExemptFunctionIncome
Unrelated Business Revenue1927169UnrelatedBusinessRevenue
Exclusion$10,686,050ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1638618Total
Program Services1638618ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total16378Total
Program Services16378ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total7544774Total
Management And General7544774ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total227321Total
Program Services227321ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total504660753Total
Program Services490313029ProgramServices
Management And General14338764ManagementAndGeneral
Fundraising8960Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total64022938Total
Program Services61378605ProgramServices
Management And General2644333ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total170021162Total
Program Services162785204ProgramServices
Management And General7235958ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total41947228Total
Program Services40273137ProgramServices
Management And General1674091ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6646455Total
Program Services5351373ProgramServices
Management And General1213504ManagementAndGeneral
Fundraising81578Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2815895Total
Program Services202805ProgramServices
Management And General2613090ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total73969Total
Program Services10225ProgramServices
Management And General63744ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total646356Total
Management And General646356ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total17427039Total
Program Services16783775ProgramServices
Management And General643264ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1785961Total
Program Services1736031ProgramServices
Management And General49930ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total165958493Total
Program Services165605291ProgramServices
Management And General347647ManagementAndGeneral
Fundraising5555Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total17860035Total
Management And General17860035ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total15504651Total
Program Services15267656ProgramServices
Management And General236995ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1259389Total
Program Services940391ProgramServices
Management And General316747ManagementAndGeneral
Fundraising2251Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total611343Total
Program Services583470ProgramServices
Management And General27873ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7141448Total
Program Services7141448ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total70305411Total
Program Services70273657ProgramServices
Management And General31754ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6470640Total
Program Services6466550ProgramServices
Management And General4090ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
FEDERAL TAXES116000116000
PURCHASED SERVICES110621337978324901275504133806
PROFESSIONAL FEES-PHYSICIANS6972192669570497151429
SYSTEM ALLOCATION FEES1787564817507476368172

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total92445907Total
Program Services88171640ProgramServices
Management And General4188119ManagementAndGeneral
Fundraising86148Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1395367075Total
Program Services1302685591ProgramServices
Management And General92095014ManagementAndGeneral
Fundraising586470Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY70103047BOY
EOY41464225EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2333524BOY
EOY2716042EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY196199741BOY
EOY199945289EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY14314230BOY
EOY15593146EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4406229BOY
EOY5404842EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2006807009LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec864426126LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1026905922BOY
EOY1142380883EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY177768432BOY
EOY167689664EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY6745744BOY
EOY7032608EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2980359BOY
EOY2980359EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY61989296BOY
EOY69959002EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1563746524BOY
EOY1655166060EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY190124956BOY
EOY228492483EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY340300560BOY
EOY238014566EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY31005089BOY
EOY13428407EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY561430605BOY
EOY479935456EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY979818227BOY
EOY1150304030EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY22497692BOY
EOY24926574EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1002315919BOY
EOY1175230604EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1563746524BOY
EOY1655166060EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses215072502ReconcilationRevenueExpenses
Reconciliation Unrealized Invest11494432ReconciliationUnrealizedInvest
Reconcilation Other Changes-53652249ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis169219794OtherCostOrOtherBasis
Book Value169219794BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis741421666OtherCostOrOtherBasis
Depreciation461783588Depreciation
Book Value279638078BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis45516687OtherCostOrOtherBasis
Depreciation33159395Depreciation
Book Value12357292BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis472394428OtherCostOrOtherBasis
Depreciation366089882Depreciation
Book Value106304546BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis578254434OtherCostOrOtherBasis
Depreciation3393261Depreciation
Book Value574861173BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1142380883TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
INSURANCE LIABILITIES$5,062,770
3RD PARTY SETTLEMENTS$4,635,938
OTHER LIABILITIES$3,729,699
FieldValueIRS element (for citing)
Total Of Amounts13428407TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierASC 740 (FIN48) FOOTNOTE FROM AUDITIdentifier
Return ReferencePART X, LINE 2ReturnReference
ExplanationTHIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501 (C) (3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE COMBINED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2012 AND 2011, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event147007GrossReceiptsEvent1
Charitable Contributions Event123122CharitableContributionsEvent1
Gross Revenue Event123885GrossRevenueEvent1
Non Cash Prizes Event12200NonCashPrizesEvent1
Rent Facility Costs Event17660RentFacilityCostsEvent1
Food And Beverage Event16983FoodAndBeverageEvent1
Other Direct Expenses Event13503OtherDirectExpensesEvent1
Name Of Event2Tree of LightsNameOfEvent2
Gross Receipts Event27735GrossReceiptsEvent2
Gross Revenue Event27735GrossRevenueEvent2
Other Direct Expenses Event21194OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total54742GrossReceiptsTotal
Charitable Contributions Total23122CharitableContributionsTotal
Gross Revenue Total Events31620GrossRevenueTotalEvents
Non Cash Prizes Total Events2200NonCashPrizesTotalEvents
Rent Facility Costs Total Events7660RentFacilityCostsTotalEvents
Food And Beverage Total Events6983FoodAndBeverageTotalEvents
Other Direct Expenses Total Events4697OtherDirectExpensesTotalEvents
Direct Expense Summary Events21540DirectExpenseSummaryEvents
Net Income Summary10080NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage400.FreeOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense22020179TotalCommunityBenefitExpense
Net Community Benefit Expense22020179NetCommunityBenefitExpense
Percent Of Total Expense0.01580PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense238073865TotalCommunityBenefitExpense
Direct Offsetting Revenue183472590DirectOffsettingRevenue
Net Community Benefit Expense54601275NetCommunityBenefitExpense
Percent Of Total Expense0.03910PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense12239776TotalCommunityBenefitExpense
Direct Offsetting Revenue7176796DirectOffsettingRevenue
Net Community Benefit Expense5062980NetCommunityBenefitExpense
Percent Of Total Expense0.00360PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense272333820TotalCommunityBenefitExpense
Direct Offsetting Revenue190649386DirectOffsettingRevenue
Net Community Benefit Expense81684434NetCommunityBenefitExpense
Percent Of Total Expense0.05850PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs65NumberOfActivitiesOrPrograms
Persons Served145461PersonsServed
Total Community Benefit Expense3762560TotalCommunityBenefitExpense
Direct Offsetting Revenue13223DirectOffsettingRevenue
Net Community Benefit Expense3749337NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served494PersonsServed
Total Community Benefit Expense37942165TotalCommunityBenefitExpense
Direct Offsetting Revenue5396115DirectOffsettingRevenue
Net Community Benefit Expense32546050NetCommunityBenefitExpense
Percent Of Total Expense0.02330PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs15NumberOfActivitiesOrPrograms
Persons Served11884PersonsServed
Total Community Benefit Expense31353308TotalCommunityBenefitExpense
Direct Offsetting Revenue28063448DirectOffsettingRevenue
Net Community Benefit Expense3289860NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served648PersonsServed
Total Community Benefit Expense16677721TotalCommunityBenefitExpense
Net Community Benefit Expense16677721NetCommunityBenefitExpense
Percent Of Total Expense0.01200PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs41NumberOfActivitiesOrPrograms
Persons Served3346PersonsServed
Total Community Benefit Expense3801480TotalCommunityBenefitExpense
Direct Offsetting Revenue1250DirectOffsettingRevenue
Net Community Benefit Expense3800230NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs146NumberOfActivitiesOrPrograms
Persons Served161833PersonsServed
Total Community Benefit Expense93537234TotalCommunityBenefitExpense
Direct Offsetting Revenue33474036DirectOffsettingRevenue
Net Community Benefit Expense60063198NetCommunityBenefitExpense
Percent Of Total Expense0.04310PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs146NumberOfActivitiesOrPrograms
Persons Served161833PersonsServed
Total Community Benefit Expense365871054TotalCommunityBenefitExpense
Direct Offsetting Revenue224123422DirectOffsettingRevenue
Net Community Benefit Expense141747632NetCommunityBenefitExpense
Percent Of Total Expense0.10160PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served182PersonsServed
Total Community Building Expense8675TotalCommunityBuildingExpense
Net Community Building Expense8675NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served20PersonsServed
Total Community Building Expense950TotalCommunityBuildingExpense
Net Community Building Expense950NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served200PersonsServed
Total Community Building Expense45763TotalCommunityBuildingExpense
Net Community Building Expense45763NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Total Community Building Expense36929TotalCommunityBuildingExpense
Net Community Building Expense36929NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served183PersonsServed
Total Community Building Expense447087TotalCommunityBuildingExpense
Net Community Building Expense447087NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs27NumberOfActivitiesOrPrograms
Persons Served585PersonsServed
Total Community Building Expense539404TotalCommunityBuildingExpense
Net Community Building Expense539404NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$14,359,335BadDebtExpenseAmount
Amount Reimbursed By Medicare315412248AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare369615350CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-54203102MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities5NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursFacility Reporting GroupFacilityReportingGroupCritical Access HospitalCriticalAccessHospital
CALIFORNIA PACIFIC MEDICAL CENTER
145 CASTRO STREETSAN FRANCISCOCA94114WWW.SUTTERHEALTH.ORGXXXA
CPMC-ST LUKE'S CAMPUS
23555 CESAR CHAVEZ STREETSAN FRANCISCOCA94110WWW.SUTTERHEALTH.ORGXXXA
NOVATO COMMUNITY HOSPITAL
3180 ROWLAND WAYNOVATOCA94945WWW.SUTTERHEALTH.ORGXXXA
SUTTER LAKESIDE HOSPITAL
45176 HILL ROADLAKEPORTCA95463WWW.SUTTERHEALTH.ORGXXXAX
SUTTER MEDICAL CENTER SANTA ROSA
53325 CHANATE ROADSANTA ROSACA95404WWW.SUTTERHEALTH.ORGXXXA

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1
FieldValueIRS element (for citing)
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent400.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities23NumberOfOtherFacilities

Other Facilities OtherFacilities (23 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET SUITE 100SAN FRANCISCOCA94115OUTPATIENT SERVICES-MRI
CALIFORNIA PACIFIC MEDICAL CENTER
2323 SACRAMENTO STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES-PSYCHIATRY
CALIFORNIA PACIFIC MEDICAL CENTER
1625 VAN NESS AVENUESAN FRANCISCOCA94115OUTPATIENT SERVICES - CHILD DEVELOPMENT
CALIFORNIA PACIFIC MEDICAL CENTER
1580 VALENCIA STREET SUITE 440SAN FRANCISCOCA94115OUTPATIENT SERVICES - CHILD DEVELOPMENT
CALIFORNIA PACIFIC MEDICAL CENTER
3838 CALIFORNIA STREET SUITE 106SAN FRANCISCOCA94115OUTPATIENT SERVICES - LABORATORY/IMAGING
CALIFORNIA PACIFIC MEDICAL CENTER
101 NORTH EL CAMINO SUITE 1SAN MATEOCA94402OUTPATIENT SERVICES - HAND THERAPY
SUTTER MED CTR SANTA ROSA-PERINATAL CTR
3327 CHANATE ROADSANTA ROSACA95404OUTPATIENT SERVICES
SMC SANTA ROSA-SPORTS & ORTHOPEDIC REHAB
4729 HORN AVENUE SUITE ASANTA ROSACA95405OUTPATIENT SERVICES
TERRA LINDA HEALTH PLAZA
4000 CIVIC CENTER DRIVESAN RAFAELCA94903OUTPATIENT SERVICES
PHYSICAL THERAPY & SPORT FITNESS
180 ROWLAND WAY 310NOVATOCA94945OUTPATIENT SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET 4TH FLOORSAN FRANCISCOCA94115CHRONIC DIALYSIS
CALIFORNIA PACIFIC MEDICAL CENTER
2323 SACRAMENTO STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2340 CLAY STREET SUITE 114ASAN FRANCISCOCA94115OUTPATIENT SERVICES - HEART TRANSPLANT CLINIC
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET SUITE 600SAN FRANCISCOCA94115OUTPATIENT SERVICES-IES
CALIFORNIA PACIFIC MEDICAL CENTER
2340 CLAY STREET 4TH FLOORSAN FRANCISCOCA94115OUTPATIENT SERVICES - LIVER, PANCREAS & KIDNEY TRANSPLANT CLINIC
CALIFORNIA PACIFIC MEDICAL CENTER
2340 CLAY STREET 5TH FLOORSAN FRANCISCOCA94115OUTPATIENT SERVICES - OPHTHAMOLOGY CLINIC
CALIFORNIA PACIFIC MEDICAL CENTER
2360 CLAY STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES - PT, OT & CARDIAC REHAB
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET SUITE 502SAN FRANCISCOCA94115OUTPATIENT SERVICES - PULMONARY
CALIFORNIA PACIFIC MEDICAL CENTER
2100 WEBSTER STREET SUITE 103SAN FRANCISCOCA94115RAD/LAB/ULTRASOUND SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET SUITE 150SAN FRANCISCOCA94115OUTPATIENT SERVICES-ALS
SUTTER LAKESIDE FAMILY MEDICAL CLINIC
5176 HILL ROAD EASTLAKEPORTCA95453RURAL HEALTH CLINIC
SUTTER LAKESIDE OUTPATIENT DRAW STATION
5132 HILL ROAD EASTLAKEPORTCA95453OUTPATIENT SERVICES
SUTTER LAKESIDE UPPER LAKE COMM CLINIC
750 OLD LUCERNE ROADUPPER LAKECA95485RURAL HEALTH CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, QUESTION 3CTO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: - SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. - CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 30% OF THEIR FAMILY INCOME. - HIGH MEDICAL COST CHARITY CARE (FOR INSURED PATIENTS): PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 350% OF FPG, MEDICAL EXPENSES EXCEED 10% OF THE PATIENT'S FAMILY INCOME, AND THE PATIENT'S INSURER HAS NOT PROVIDED A DISCOUNT. - UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAN THE CURRENT AVERAGE COMMERCIAL FEE-FOR-SERVICE DISCOUNT WITH MANAGED CARE PAYERS FOR PATIENTS WHOSE BENEFITS UNDER INSURANCE OR A GOVERNMENT PROGRAM HAVE BEEN EXHAUSTED PRIOR TO ADMISSION. - PROMPT PAYMENT DISCOUNT: PARTIAL WRITE-OFF AVAILABLE TO UNINSURED PATIENTS WHO PAY PROMPTLY, CONSISTING OF AT LEAST A 10% DISCOUNT FOR THOSE WHO PAY WITHIN 30 DAYS OF FINAL BILLING, OR A 20% DISCOUNT IF 50% OF THE ESTIMATED BILL IS PAID PRIOR TO DISCHARGE.
PART I, QUESTION 7COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.
PART I, QUESTION 7GTHE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $10,374,807.
PART IICALIFORNIA PACIFIC MEDICAL CENTER CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) FUNDED THE FOLLOWING PROGRAMS THAT HELPED ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELPED SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. ENABLING PATIENTS TO VOTE: THIS PROGRAM PROVIDES PATIENTS WITH THE OPPORTUNITY TO VOTE IN THE ELECTIONS. VOLUNTEERS ASSIST IN PROMOTING THIS PROGRAM THROUGHOUT CPMC OVER THE COURSE OF SEVERAL DAYS. VOLUNTEERS ALSO FAX BALLOT REQUESTS TO CITY HALL, PICK-UP ABSENTEE BALLOTS, DISTRIBUTE BALLOTS TO PATIENTS, COLLECTING BALLOTS AT THE END OF THE DAY, AND DROPPING OFF BALLOTS AT POLLING SITES, AND CITY HALL, FOR TABULATION IN A TIMELY MANNER. IN 2012, THIS PROGRAM SERVED 12 PEOPLE. MIRA SCHOLARS FOUNDATION: THIS PROGRAM PROVIDES A DONATION OF BOOKS FROM THE CHILD DEVELOPMENT CENTER TO THE MIRA SCHOLARS FOUNDATION. THE MIRA SCHOLARS FOUNDATION PROVIDES EDUCATIONAL OPPORTUNITIES TO UNDERSERVED AND EXPLOITED CHILDREN AROUND THE WORLD. THE CDC DONATES AN ARRAY OF RESOURCE INFORMATION INCLUDING TRAINING AND MEDICAL MANUALS ABOUT YOUTHS WITH DISABILITIES. IN 2012, THIS PROGRAM DONATED A TOTAL OF 28 REFERENCE BOOKS WITH TRAINING MANUALS, PARENTAL SUPPORT AND CHILDREN'S BOOKS. SF INTERAGENCY TEEN SUICIDE PREVENTION TASK FORCE: THIS TASK FORCE ENCOURAGES ACCESS TO MENTAL HEALTH ADVOCATES, IMPROVES ACCESS TO MENTAL HEALTH SERVICES FOR TEENS CONTEMPLATING SUICIDE AND IMPROVES SYSTEMS FOR INTERVENTION AND PREVENTION OF TEEN SUICIDES. PROJECT HOMELESS CONNECT: PROJECT HOMELESS CONNECT IS SAN FRANCISCO'S SIGNATURE PROGRAM TO PROVIDE SERVICES TO ITS HOMELESS POPULATION. THE MISSION OF PROJECT HOMELESS CONNECT IS TO PROVIDE A SINGLE LOCATION WHERE NONPROFIT MEDICAL AND SOCIAL SERVICES PROVIDERS COLLABORATE TO SERVE THE HOMELESS OF SAN FRANCISCO WITH COMPREHENSIVE, HOLISTIC SERVICES. CPMC VOLUNTEERS HELP PROJECT HOMELESS CONNECT PROVIDE MEDICAL AND SOCIAL SERVICES TO SAN FRANCISCO'S MOST IMPOVERISHED RESIDENTS, INCLUDING PRIMARY MEDICAL CARE, EYE EXAMS, WHEELCHAIR REPAIR, DENTAL TREATMENT, SUBSTANCE ABUSE CONNECTIONS, AND EVEN ACUPUNCTURE AND MASSAGE. FIRST 5 COMMISSION: CPMC'S CHILD DEVELOPMENT CENTER IS PART OF THE FIRST 5 CALIFORNIA COALITIONS. FIRST 5 CALIFORNIA REPRESENTS AN IMPORTANT PART OF OUR STATE'S EFFORT TO NURTURE AND PROTECT OUR MOST PRECIOUS RESOURCE - OUR CHILDREN. FIRST 5 CALIFORNIA'S SERVICES AND SUPPORT ARE DESIGNED TO ENSURE THAT MORE CHILDREN ARE BORN HEALTHY AND REACH THEIR FULL POTENTIAL. UNIVERSITY OF SAN FRANCISCO, BOARD OF TRUSTEES: SUZANNE GIRAUDO, DIRECTOR OF THE KALMANOVITZ CHILD DEVELOPMENT CENTER, SERVES ON THE BOARD OF TRUSTEES OF USF. AT RISK YOUTH INTERNSHIP: CPMC'S VOLUNTEER DEPARTMENT PARTNERS WITH COMMUNITY AGENCIES TO PROVIDE INTERNSHIPS FOR AT-RISK YOUTH. IN 2012, CPMC PARTNERED WITH JEWISH VOCATIONAL SERVICES HEALTH CARE BRIDGE, SAN FRANCISCO UNIFIED SCHOOL DISTRICT WORKABILITY PROGRAM, LIFE LEARNING ACADEMY AND CITY ARTS AND TECH HIGH SCHOOL. GALILEO HEALTH ACADEMY'S CITY WITHIN SPEAKER SERIES: THE GALILEO HEALTH ACADEMY OFFERS A 12-WEEK SPEAKER SERIES CALLED "THE CITY WITHIN." TWICE A WEEK DURING THE SERIES, EMPLOYEES OF CPMC PROVIDE LECTURES, DEMONSTRATIONS, TOURS AND ACTIVITIES TO ENHANCE STUDENTS' UNDERSTANDING OF THE COMPLEXITIES AND EMPLOYMENT OPPORTUNTIES IN AN ACUTE MEDICAL CENTER. JVS FOSTER YOUTH HEALTHCARE CAREER EXPLORATION PROGRAM: A CPMC EMPLOYEE SPENDS TIME PREPARING AND GIVING TOURS OF OUR ST. LUKE'S CAMPUS TO PROGRAM PARTICIPANTS. THE PROGRAM IS FOR 17 - 21 YEAR OLDS WHO ARE CONSIDERING A FUTURE HEALTH CARE CAREER, OFFERING 1) 3 UNITS OF CREDIT AT CITY COLLEGE OF SF WITH OVERVIEW OF HEALTH CARE CAREERS AND MEDICAL TERMINOLOGY; 2) WEEKLY WORKSHOPS AT JVS TO BUILD COMPUTER, ACADEMIC, AND JOB READINESS SKILLS; 3) A PAID INTERNSHIP IN A HEALTH CARE SETTING; 4) CONNECTIONS WITH EMPLOYERS WHO CAN GET PARTICIPANTS STARTED IN A NEW CAREER. LIFE LEARNING ACADEMY: THIS PROGRAM MENTORS A LIFE LEARNING ACADEMY HIGH SCHOOL STUDENT ON-HALF HOUR PER WEEK FOR 12 WEEKS. MAYOR'S OFFICE OF YOUTH EMPLOYMENT AND EDUCATION (MYEEP): CPMC PARTICPATES IN THIS PROGRAM BY ATTENDING AN ORIENTATION FOR SUPERVISORS AND MENTORING A HIGH SCHOOL STUDENT PLACED IN THE ST. LUKE'S LABORATORY DRAW STATION FOR ONE HOUR A WEEK FOR 12 WEEKS. THE NATIONAL COUNCIL ON AGING SENIOR COMMUNITY SERVICE PROGRAM: CREATED IN 1965, SCSEP IS THE NATION'S OLDEST PROGRAM TO HELP LOW-INCOME, UNEMPLOYED INDIVIDUALS AGED 55+ FIND WORK. A CPMC EMPLOYEE SPENDS TIME SUPPORTING TWO PROGRAM PARTICIPANTS. YEAR UP INTERNS: YEAR UP IS AN INTENSIVE TRAINING PROGRAM THAT PROVIDES URBAN YOUNG ADULTS, AGES 18 - 24 WITH TECHNICAL AND PROFESSIONAL SKILLS, AS WELL AS A CORPORATE INTERNSHIP. THE IT DEPARTMENT OF CPMC SPONSORS FOUR INTERNS EVERY 6 MONTHS THROUGH THIS PROGRAM. NOVATO COMMUNITY HOSPITAL NOVATO COMMUNITY HOSPITAL (NCH) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. A) COUNTY OF MARIN EMERGENCY SERVICES: NOVATO COMMUNITY HOSPITAL PARTICIPATES IN THE MEDICAL DISASTER PREPAREDNESS SECTION OF THE MARIN COUNTY DISASTER & CORPS COUNCIL, PER COUNTY REGULATIONS. B) HEALTHY MARIN PARTNERSHIP: IN 1995, THE HEALTHY MARIN PARTNERSHIP WAS FORMED IN RESPONSE TO CALIFORNIA SENATE BILL 697, A LEGISLATIVE MANDATE REQUIRING NOT-FOR-PROFIT HOSPITALS TO COMPLETE A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS. NCH PARTICIPATES IN THIS PARTNERSHIP, ALONG WITH OTHER KEY STAKEHOLDERS, TO PRODUCE THE COMMUNITY NEED HEALTH ASSESSMENT. C) NOVATO CHAMBER OF COMMERCE: NOVATO COMMUNITY HOSPITAL SUPPORTS AND ORGANIZES TRAINING SESSIONS IN COMMUNITY LEADERSHIP FOR NEW CHAMBER MEMBERS. SUTTER LAKESIDE HOSPITAL SUTTER LAKESIDE HOSPITAL (SLH) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. A) COMMUNITY HEALTH FAIRS: SUTTER LAKESIDE HOSPITAL SUPPORTS THEIR LOCAL COMMUNITY HEALTH FAIRS WITH MONETARY DONATIONS WHICH INCLUDES A SKILLS FAIR BENEFITING FAMILY SHELTERS/DOMESTIC VIOLENCE. B) SUTTER LAKESIDE HOSPITAL STAFF MEMBERS ARE ASSIGNED TO COMMUNITY BOARDS, PANELS, COMMITTEES, AND GROUPS. IN 2012, DIANE PEGE, M.D. WAS PART OF THE LAKE COUNTY HOSPICE BOARD. C) SUTTER LAKESIDE HOSPITAL DONATES FUNDS IN ADDITION TO STAFF MEMBERS' TIME TO LAKE COUNTY RESOURCE CENTER FOR WOMEN'S PROGRAMS, FAMILY RESOURCE CENTER, PARK STUDY CLUB AND EARLY HEAD START. SUTTER MEDICAL CENTER OF SANTA ROSA SUTTER MEDICAL CENTER OF SANTA ROSA (SMCSR) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. A) HEALTHY KIDS: HEALTHY KIDS WAS ESTABLISHED WITH TWO MAJOR GOALS: TO PROVIDE EXPANDED ENROLLMENT ASSISTANCE AND CASE MANAGEMENT TO UNFUNDED AND UNDERFUNDED CHILDREN AND FAMILIES AND TO FUND AND MANAGE AN INSURANCE PROGRAM FOR CHILDREN WHO DO NOT QUALIFY FOR EXISTING PUBLIC HEALTH COVERAGE. HEALTHY KIDS IS A COLLABORATION OF LOCAL HEALTH CARE PROVIDERS, SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES, SONOMA COUNTY OFFICE OF EDUCATION AND KID'S NET. OVER THE PAST FEW YEARS, THE STEERING COMMITTEE OF THIS DYNAMIC COLLABORATIVE WAS CHARGED WITH MITIGATING THE DEVASTATING IMPACT OF STATE BUDGET CUTS AND ENSURING THAT CHILDREN DID NOT LOSE HEALTH COVERAGE OR ACCESS TO MEDICAL HOMES. B) HEALTHCARE WORKFORCE DEVELOPMENT ROUNDTABLE: THIS GROUP WAS FORMED TO PROMOTE INTEREST IN HEALTH PROFESSIONS AND CREATE OPPORTUNITIES TO PURSUE HEALTH CAREERS FOR DIVERSE POPULATIONS IN SONOMA COUNTY. THIS PROGRAM IS A PARTNERSHIP WITH SANTA ROSA JUNIOR COLLEGE AND HAS BEEN AWARDED MULTIPLE GRANTS OVER THE YEARS TO CONTINUE ITS IMPORTANT OUTREACH, RECRUITMENT AND SUPPORT EFFORTS. SMCSR CONTINUES TO PROVIDE LEADERS TO THIS EFFORT, BOTH IN STRATEGIC PLANNING AND PROVIDING OPPORTUNITIES FOR STUDENTS TO SHADOW STAFF IN A VARIETY OF HEALTH PROFESSIONS WITH THE HOSPITAL SETTING. TODAY, THIS PARTNERSHIP HAS GROWN INTO A ROBUST CONTINUUM OF PROGRAMS AND SERVICES TARGETING HIGH SCHOOL AND COLLEGE STUDENTS OF COLOR. C) SANTA ROSA JUNIOR COLLEGE PHARMACY TECH PROGRAM ADVISORY COMMITTEE: PHARMACY TECHNICIAN IS ONE OF THE MOST HIGH-DEMAND JOBS. SMCSR'S PARTICIPATION IN THIS PROGRAM HELPS TO ENSURE A PIPELINE OF SKILLED PHARMACY TECHS TO MEET THE NEEDS OF OUR COMMUNITY PRESENTLY AND IN THE FUTURE. THE COMMITTEE ADVISES FACULTY IN THE DEVELOPMENT OF CURRICULUM ANCOMMUNITY BUILDING ACTIVITIES
PART III, QUESTION 2METHODOLOGY FOR CALCULATING BAD DEBT (AT COST) THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.
PART III, QUESTION 3METHODOLOGY FOR DETERMINING THE AMOUNT OF BAD DEBT LIKELY ATTRIBUTABLE TO CHARITY CARE AMOUNTS MAY BE INCLUDED IN BAD DEBT PENDING A CHARITY CARE DETERMINATION. UPON ELIGIBILITY THESE AMOUNTS WOULD BE RECLASSIFIED AS CHARITY CARE.
PART III, QUESTION 4THE 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 89% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. 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 27% AS OF 12/31/11 28% AS OF 12/31/12 MEDI-CAL 21% AS OF 12/31/11 20% AS OF 12/31/12 DURING 2011 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 RECORDED ESTIMATES WILL 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. SUTTER HAD NO CHANGES IN ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES IN 2012.
PART III, QUESTION 7MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS.
PART III, QUESTION 8COSTING METHODOLOGY MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT.
PART III, QUESTION 9BCOLLECTION 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.
NEEDS ASSESSMENTCALIFORNIA PACIFIC MEDICAL CENTER (CPMC) CPMC IS A FOUNDING MEMBER OF BUILDING A HEALTHIER SAN FRANCISCO (BHSF), A CITY-WIDE COLLABORATIVE OF SAN FRANCISCO NON-PROFIT HOSPITALS, THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, HEALTH PLANS, AND COMMUNITY-BASED HEALTH ORGANIZATIONS. BHSF CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS TO DETERMINE WHERE THE MEMBERS OF THE COLLABORATIVE SHOULD FOCUS EFFORTS TO IMPROVE THE HEALTH OF SAN FRANCISCO RESIDENTS. BASED ON THE 2010 COMMUNITY NEEDS ASSESSMENT, BHSF DEFINED THE FOLLOWING FOUR HEALTH IMPROVEMENT GOALS: 1. IMPROVE ACCESS TO CARE 2. PREVENT CHRONIC DISEASE AND INCREASE WELLNESS 3. REDUCE THE INCIDENCE OF COMMUNICABLE DISEASE 4. ENGAGE IN VIOLENCE PREVENTION AS A MEMBER OF THE BHSF COLLABORATIVE, CPMC IS COMMITTED TO FORWARDING THESE GOALS THROUGH ITS COMMUNITY BENEFIT PROGRAMS. FOR MORE INFORMATION ABOUT THE 2010 COMMUNITY NEEDS ASSESSMENT, INCLUDING QUANTITATIVE AND QUALITATIVE DATA, PLEASE VISIT OUR WEBSITE AT WWW.HEALTHMATTERSINSF.ORG. NOVATO COMMUNITY HOSPITAL (NCH) DURING 2011, NOVATO COMMUNITY HOSPITAL REVIEWED ITS COMMUNITY BENEFIT PROGRAMS TO ALIGN ACTIVITIES WITH HEALTH CARE NEEDS IDENTIFIED IN THE 2011 COMMUNITY HEALTH NEEDS ASSESSMENT. SINCE 1995 NOVATO COMMUNITY HOSPITAL HAS PARTICIPATED IN A COALITION CALLED HEALTHY MARIN PARTNERSHIP THAT INCLUDES THE THREE HOSPITALS IN MARIN COUNTY AND OTHER COMMUNITY LEADERS TO CONDUCT THE TRI-ANNUAL NEEDS ASSESSMENT REQUIRED BY SB697. THE COALITION ALSO IDENTIFIES PRIORITY HEALTH NEEDS AND A PLAN FOR MEETING THEM. NCH PARTICIPATES FULLY IN THE PROCESS AND USES THIS DATA TO DEVELOP ITS COMMUNITY BENEFIT APPROACH. AS A RESULT, NCH IS FOCUSING ON THE FOLLOWING COMMUNITY BENEFIT PRIORITIES: - HEALTH CARE SERVICES FOR UNDER-INSURED AND UNINSURED MEMBERS OF OUR COMMUNITY. - UPSTREAM STRATEGIES TO PREVENT ILLNESSES THAT ARE THE LEADING CONTRIBUTORS TO ILLNESS AND DEATH IN MARIN COUNTY - HEART DISEASE, STROKE, AND OTHER CHRONIC CONDITIONS SUCH AS DIABETES: - OBESITY - TOBACCO USE - ALCOHOL USE/BINGE DRINKING - INTERVENTION INTO THE LIVES OF YOUTH AT RISK OF DEVELOPING CHILDHOOD DIABETES. - INFLUENCE POLICIES AND PRACTICES THAT SUPPORT CHANGES AT LOCAL, STATE, AND FEDERAL LEVELS TO FOSTER HEALTHY COMMUNITIES - ECONOMIC, HOUSING, LAND USE, RETAIL, AND HEALTH PLANNING ACTIVITIES THAT SUPPORT CONDITIONS CONDUCIVE TO GOOD HEALTH. A COPY OF THIS REPORT IS AVAILABLE FOR DOWNLOAD AT WWW.HEALTHYMARINPARTNERSHIP.ORG. SUTTER LAKESIDE HOSPITAL (SLH) IN 2009-2010, SUTTER LAKESIDE HOSPITAL, ST. HELENA CLEARLAKE, LAKE COUNTY PUBLIC HEALTH AND OTHER ORGANIZATIONS FORMED A COLLABORATIVE TO PLAN FOR A COMMUNITY NEEDS HEALTH ASSESSMENT (CHNA). THE CHNA ASSISTS THESE ORGANIZATIONS IN DEVELOPING THEIR COMMUNITY BENEFIT PLANS THAT HELP IMPROVE COMMUNITY HEALTH. TWO PRIMARY DATA SOURCES WERE USED IN THE CHNA PROCESS, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH INDICATORS (QUANTITATIVE) AND DATA FROM A COMMUNITY INPUT PROCESS (QUALITATIVE). THE HEALTHY LAKE COUNTY SURVEY WAS DISTRIBUTED ONLINE AND IN VARIOUS LOCATIONS THROUGHOUT LAKE COUNTY IN AN ATTEMPT TO GAIN A BETTER UNDERSTANDING OF THE HEALTH NEEDS OF THOSE WHO LIVE IN COMMUNITY. THESE LOCATIONS INCLUDED PUBLIC LIBRARY BRANCHES, YUBA COLLEGE COFFEE SHOP, SENIOR CENTERS IN MIDDLETOWN AND CLEARLAKE OAKS, LAKEPORT MOVIE THEATERS, CASINOS AND A RESTAURANT. ADDITIONALLY, SURVEYS WERE DISTRIBUTED AT SERVICE SITES FOR HEALTH, MENTAL HEALTH, AND ALCOHOL AND DRUG CLIENTS. OVERALL 869 SURVEYS WERE COMPLETED, 37% ONLINE AND 63% ON PAPER. COMMUNITY FOCUS GROUPS WERE HELD AT THREE LOCATIONS: CLEARLAKE, LAKEPORT AND KELSEYVILLE. THESE LOCATIONS WERE CHOSEN STRATEGICALLY TO ENSURE GEOGRAPHIC REPRESENTATION. KEY COMMUNITY-BASED ORGANIZATIONS WERE IDENTIFIED BY THE COLLABORATIVE AND ASKED TO HOST A FOCUS GROUP. FOCUS GROUPS WERE CO-SCHEDULED AT THE SITES AMONG PARTICIPANTS WHO WERE ALREADY MEETING FOR OTHER PURPOSES (FOR EXAMPLE, YOUNG MOTHERS AT PARENTING CLASS). THIS HELPED TO IMPROVE ACCESS AND ENSURE MAXIMUM ATTENDANCE. ALTHOUGH THE PARTICIPANTS CONSTITUTED A CONVENIENCE SAMPLE, THERE WAS THE EXPECTATION THAT IN THE AGGREGATE THE GROUPS WOULD BE DIVERSE AND INCLUDE POPULATIONS OF HIGHEST INTEREST. THE FOUR PRIORITY AREAS IDENTIFIED BY THE COLLABORATIVE IN THE CHNA ARE SENIOR SUPPORT SERVICES, SUBSTANCE ABUSE, PREVENTATIVE HEALTH AND MENTAL AND EMOTIONAL HEALTH. FOR MORE DETAILS ABOUT THE CHNA, PLEASE VISIT: HTTP://HEALTH.LAKECOUNTYCA.GOV/ASSETS/HEALTH/PUBLIC+HEALTH+DIVISION/HEALTH +NEEDS+ASSESSMENT+DEC+2010.PDF SUTTER MEDICAL CENTER OF SANTA ROSA (SMCSR) SUTTER MEDICAL CENTER OF SANTA ROSA IS COMMITTED TO COLLABORATING WITH PARTNERS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. EVERY THREE YEARS, SMCSR PARTNERS WITH OTHER LOCAL HEALTH CARE ORGANIZATIONS TO CONDUCT A COMPREHENSIVE HEALTH NEEDS ASSESSMENT FROM WHICH COMMUNITY NEEDS AND PRIORITIES ARE IDENTIFIED. THESE PRIORITIES DRIVE THE COMMUNITY BENEFIT PLANNING SO THAT PREVIOUS HEALTH CARE RESOURCES AND DOLLARS ARE ALLOCATED IN WAYS THAT WILL BE MOST MEANINGFUL TO THE PEOPLE WE SERVE. THIS REPORT CONTINUES TO DRAW ATTENTION TO CHILDREN'S HEALTH ISSUES, ESPECIALLY DENTAL HEALTH, WHICH HAS BEEN IDENTIFIED AS A COMMUNITY HEALTH PRIORITY. TO ACCESS THE COMMUNITY HEALTH NEEDS ASSESSMENT, VISIT WWW.HEALTHYSONOMA.ORG.PART VI, QUESTION 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCECALIFORNIA PACIFIC MEDICAL CENTER, NOVATO COMMUNITY HOSPITAL, SUTTER LAKESIDE HOSPITAL AND SUTTER MEDICAL CENTER OF SANTA ROSA FOLLOW A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATIONS INFORM AND EDUCATE 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, QUESTION 3
COMMUNITY INFORMATIONCALIFORNIA PACIFIC MEDICAL CENTER - SAN FRANCISCO COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU THE POPULATION OF SAN FRANCISCO WAS 805,235 AND CONSISTED OF 50.7% MEN AND 49.3% WOMEN WITH A MEDIAN AGE OF 36.5 YEARS. THE POPULATION DENSITY WAS 17,179.1 PEOPLE PER SQUARE MILE IN 2010 WHICH IS OVER SEVENTY-ONE TIMES THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SAN FRANCISCO'S POPULATION CONSISTS OF 48.5% WHITE RESIDENTS, 33.3% ASIAN AND 15.1% HISPANIC OR LATINO. HALF OF THE RESIDENTS (54.3%) SPEAK ENGLISH AT HOME WHILE 12% SPEAK SPANISH. THE MEDIAN HOUSEHOLD SIZE IS 2.31 PEOPLE WITH A 2010 AVERAGE INCOME OF $71,304 AND A MEDIAN HOUSE VALUE OF $785,200. A HIGH PERCENTAGE (85.7%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE OVER HALF (51.2%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SAN FRANCISCO THE POVERTY LEVEL IN 2010 WAS AT 11.9% OF RESIDENTS, RIGHT BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 10.6% IN APRIL 2010 WHICH WAS BELOW THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 311 GROCERY STORES, 65 CONVENIENCE STORES (WITH GAS) AND 1,580 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 10.5% OF ADULTS BEING OBESE, 3.7% OF ADULTS WITH DIABETES AND 20.8% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 5,808 DEATHS IN SAN FRANCISCO COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 9,129 BIRTHS AS WELL AS 38 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 85 YEARS WHICH WAS ABOVE THE CALIFORNIA LIFE EXPECTANCY. IN 2010 17.2% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS BELOW THE STATE LEVEL OF 18.5% YET ABOVE THE FEDERAL LEVEL OF 15.5%. IN SAN FRANCISCO COUNTY 62.9% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 10.1% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. NOVATO COMMUNITY HOSPITAL - MARIN COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU, MARIN COUNTY HAS A POPULATION OF 252,409 CONSISTING OF 49.2% MEN AND 50.8% WOMEN WITH A MEDIAN AGE OF 41.3 YEARS. THE POPULATION DENSITY WAS 485.1 PEOPLE PER SQUARE MILE IN 2010 WHICH IS TWICE THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. MARIN'S POPULATION IS PRIMARILY WHITE (80%) WITH 15.5% HISPANIC OR LATINO AND 5.5% ASIAN. A LARGE PORTION OF RESIDENTS (80.5%) SPEAK ENGLISH AT HOME WHILE 9.5% SPEAK SPANISH AT HOME (11% OF WHICH DO NOT SPEAK ENGLISH AT ALL). THE MEDIAN HOUSEHOLD SIZE IS 2.33 PEOPLE WITH A 2010 AVERAGE INCOME OF $89,268 AND A MEDIAN HOUSE VALUE OF $868,000. NEARLY ALL (91.8%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE OVER HALF (54.1%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN MARIN THE POVERTY LEVEL IN 2010 WAS AT 7% OF RESIDENTS, BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 8.2% IN APRIL 2010 WHICH WAS BELOW BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 64 GROCERY STORES, 32 CONVENIENCE STORES (WITH GAS) AND 295 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 9.9% OF ADULTS BEING OBESE, 2.8% OF ADULTS WITH DIABETES AND 23% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 1,803 DEATHS IN MARIN COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 2,820 BIRTHS AS WELL AS 8 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 81.1 YEARS WHICH IS NEARLY THE SAME AS THE CALIFORNIA LIFE EXPECTANCY. IN 2010 16.3% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS BELOW THE STATE LEVEL OF 18.5% YET RIGHT ABOUT THE FEDERAL LEVEL OF 15.5%. IN MARIN COUNTY 56.9% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 8.6% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. SUTTER LAKESIDE HOSPITAL - LAKE COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU LAKE COUNTY HAD A POPULATION OF 64,665 AND CONSISTED OF 50.2% MEN AND 49.8% WOMEN WITH A MEDIAN AGE OF 42.7 YEARS. THE POPULATION DENSITY WAS 51.5 PEOPLE PER SQUARE MILE IN 2010 WHICH IS FAR BELOW THAT OF THE CALIFORNIA STATE DENSITY OF 239.1. LAKE COUNTY'S POPULATION CONSISTS OF 80.5% WHITE RESIDENTS, 17.1% HISPANIC OR LATINO AND 3.2% AMERICAN INDIAN. A LARGE PORTION OF RESIDENTS (89.8%) SPEAK ENGLISH AT HOME WHILE 7.7% SPEAK SPANISH AT HOME (10% OF WHICH DO NOT SPEAK ENGLISH AT ALL). THE MEDIAN HOUSEHOLD SIZE IS 2.53 PEOPLE WITH A 2010 AVERAGE INCOME OF $39,491 AND A MEDIAN HOUSE VALUE OF $265,400. THE GREATER PART (86.3%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 16.4% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN LAKE COUNTY THE POVERTY LEVEL IN 2010 WAS AT 19.1% OF RESIDENTS, ABOVE BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 18.4% IN APRIL 2010 WHICH WAS ABOVE BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 24 GROCERY STORES, 21 CONVENIENCE STORES (WITH GAS) AND 40 FULL SERVICE RESTAURANTS. IN 2007, HEALTH ISSUES IN THIS COUNTY INCLUDED 23.7% OF ADULTS BEING OBESE AND 8.3% OF ADULTS WITH DIABETES. IN 2007 THERE WERE 813 DEATHS AND OF THOSE THE THREE LEADING CAUSES WERE HEART DISEASE, DEMENTIA (INCLUDING ALZHEIMER) AND STROKE. IN 2007 THERE WERE 742 BIRTHS WITH ONLY 2 INFANT DEATHS OCCURRING THAT YEAR. THE LIFE EXPECTANCY AT BIRTH IS 79.3 YEARS WHICH IS NEARLY THE SAME AS THE CALIFORNIA LIFE EXPECTANCY. IN 2009 26.7% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS ABOVE BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN LAKE COUNTY 39.1% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 23.8% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. SUTTER MEDICAL CENTER OF SANTA ROSA - SONOMA COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU, SONOMA COUNTY HAS A POPULATION OF 483,878 CONSISTING OF 49.2% MEN AND 50.8% WOMEN WITH A MEDIAN AGE OF 37.5 YEARS. THE POPULATION DENSITY WAS 307.1 PEOPLE PER SQUARE MILE IN 2010 WHICH IS OVER THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SONOMA'S POPULATION CONSISTS OF 76.8% WHITE RESIDENTS, 24.9% HISPANIC OR LATINO, AND 3.8% ASIAN. A LARGE MAJORITY OF RESIDENTS (80.2%) SPEAK ENGLISH AT HOME WHILE 13.8% SPEAK SPANISH. THE MEDIAN HOUSEHOLD SIZE IS 2.52 PEOPLE WITH A 2010 AVERAGE INCOME OF $63,274 AND A MEDIAN HOUSE VALUE OF $524,400. A HIGH PERCENTAGE (86.2%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 31.5% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SONOMA THE POVERTY LEVEL IN 2010 WAS AT 10.3% OF RESIDENTS, BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%. THE UNEMPLOYMENT RATE WAS AT 10.5% IN APRIL 2010 WHICH WAS BELOW THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 130 GROCERY STORES, 92 CONVENIENCE STORES (WITH GAS) AND 468 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 20.7% OF ADULTS BEING OBESE, 6.3% OF ADULTS WITH DIABETES AND 17.1% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 3,781 DEATHS IN SONOMA COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 5,742 BIRTHS AS WELL AS 28 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 80 YEARS WHICH WAS RIGHT AT THE CALIFORNIA LIFE EXPECTANCY. IN 2010 18.2% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS JUST BELOW BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN SONOMA COUNTY 55.2% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 11.1% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE.PART VI, QUESTION 4
PROMOTION OF COMMUNITY HEALTHSUTTER 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 HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. CALIFORNIA PACIFIC MEDICAL CENTER CPMC COLLABORATES WITH MANY COMMUNITY-BASED PARTNERS AND PUBLIC PROGRAMS TO HELP IMPROVE ACCESS TO CARE: - ST. LUKE'S HEALTH CARE CENTER AND HEALTHFIRST, AN AFFILIATED CENTER FOR DISEASE PREVENTION AND HEALTH EDUCATION, MAKE SERVICES MORE READILY AVAILABLE TO PUBLICLY INSURED AND UNINSURED PATIENTS IN COMMUNITIES SOUTH OF MARKET STREET. IN 2012, OVER 14,000 UNIQUE PATIENTS WERE SEEN AT ST. LUKE'S HEALTH CARE CENTER WITH OVER 46,000 PATIENT VISITS. HEALTHFIRST HAD ALMOST 1,600 PATIENT VISITS. - KALMANOVITZ CHILD DEVELOPMENT CENTER OFFERS MULTIDISCIPLINARY ASSESSMENT AND TREATMENT AT MULTIPLE LOCATIONS FOR CHILDREN WITH DIFFICULTIES IN LEARNING, SOCIAL INTERACTION, SPEECH SKILLS, MOTOR SKILLS AND EATING. - BAYVIEW CHILD HEALTH CENTER OFFERS ROUTINE, PREVENTIVE AND URGENT PEDIATRIC CARE IN ONE OF SAN FRANCISCO'S MOST MEDICALLY UNDERSERVED NEIGHBORHOODS. IN 2012, THE BAYVIEW CHILD HEALTH CENTER HAD ALMOST 3,400 VISITS. - THE AFRICAN AMERICAN BREAST HEALTH PROGRAM, SISTER TO SISTER BREAST HEALTH PROGRAM AND ST. LUKE'S BREAST HEALTH PARTNERSHIPS OFFER EDUCATION AND SCREENING, AS WELL AS ACCESS TO MAMMOGRAMS, DIAGNOSTIC TESTING AND OTHER TREATMENT AT NO COST TO UNINSURED AND UNDERINSURED WOMEN. OVER 400 BREAST EXAMS, DIAGNOSTIC SCREENING TESTS, AND SERVICES WERE PROVIDED TO UNDERSERVED WOMEN THROUGH THE AFRICAN AMERICAN BREAST HEALTH AND SISTER TO SISTER PROGRAMS. - THE LIONS EYE FOUNDATION AND CPMC PARTNER TOGETHER TO PROVIDE COMPLEX EYE PROCEDURES AND SURGERIES TO THOSE WITHOUT HEALTH INSURANCE. IN 2012, WE PERFORMED OVER 400 SURGICAL PROCEDURES, INCLUDING LASER SURGERIES. - OPERATION ACCESS ENGAGES CPMC PHYSICIANS AND STAFF TO PROVIDE SPECIALTY PROCEDURES AND SURGICAL CARE TO PATIENTS WITH LIMITED FINANCIAL MEANS. IN 2012, NEARLY 100 PROCEDURES AND EVALUATIONS WERE PERFORMED BY CPMC STAFF IN PARTNERSHIP WITH OPERATION ACCESS. - COMING HOME HOSPICE PROVIDES 24-HOUR CARE FOR TERMINALLY ILL CLIENTS AND THEIR FAMILIES IN A CARING, HOMELIKE SETTING. CPMC ENSURES THAT HIGH-QUALITY RESIDENTIAL HOSPICE CARE IS ACCESSIBLE TO TERMINALLY ILL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, BY COVERING THE DIFFERENCE BETWEEN THE FULL COST OF PROVIDING THESE SERVICES AND GOVERNMENT REIMBURSEMENT RATES. IN 2012, COMING HOME HOSPICE SERVED NEARLY 150 PATIENTS. - CPMC VOLUNTEERS HELP PROJECT HOMELESS CONNECT PROVIDE MEDICAL AND SOCIAL SERVICES TO SAN FRANCISCO'S MOST IMPOVERISHED RESIDENTS, INCLUDING PRIMARY MEDICAL CARE, EYE EXAMS, WHEELCHAIR REPAIR, DENTAL TREATMENT, SUBSTANCE ABUSE CONNECTIONS, AND EVEN ACUPUNCTURE AND MASSAGE. IN 2012, CPMC STAFF DONATED AN ESTIMATED 600 VOLUNTEER HOURS TO PROJECT HOMELESS CONNECT. - CPMC PARTICIPATES IN HEALTHY SAN FRANCISCO (HSF), A CITYWIDE PROGRAM THAT MAKES HEALTH CARE SERVICES ACCESSIBLE AND AFFORDABLE FOR UNINSURED SAN FRANCISCO RESIDENTS. THROUGH PARTNERSHIPS WITH NORTH EAST MEDICAL SERVICES (NEMS) COMMUNITY CLINIC AND BROWN & TOLAND MEDICAL GROUP, CPMC PROVIDES FREE HOSPITALIZATION AND SELECT SPECIALTY CARE TO HSF PARTICIPANTS WHO ARE ENROLLED WITH NEMS OR BROWN & TOLAND AS THEIR MEDICAL HOME. - A KEY PART OF CPMC'S MEDI-CAL PROGRAM IS THE MEDI-CAL MANAGED CARE PARTNERSHIP WITH NEMS AND SAN FRANCISCO HEALTH PLAN (SFHP), A LICENSED COMMUNITY HEALTH PLAN THAT PROVIDES AFFORDABLE HEALTH CARE COVERAGE TO OVER 70,000 LOW AND MODERATE-INCOME FAMILIES. WORKING TOGETHER WITH NEMS, CPMC SERVED AS THE HOSPITAL PARTNER FOR 16,000 OF THESE MEDI-CAL BENEFICIARIES IN 2012, WHICH WAS 22% OF SFHP'S TOTAL MEMBERSHIP. CPMC WORKS TO UTILIZE COMMUNITY CLINICS, HEALTH PLANS AND NON-PROFIT PROVIDERS AND ADVOCACY GROUPS TO IMPROVE THE HEALTH STATUS OF SAN FRANCISCO RESIDENTS (PREVENT CHRONIC DISEASE AND INCREASE WELLNESS): - ST. LUKE'S HEALTH CARE CENTER (SLHCC) AND HEALTHFIRST TOGETHER FORM ONE OF THE CITY'S LARGEST PRIVATE COMMUNITY HEALTH CENTERS. SLHCC'S CLINICIANS AND STAFF ARE BILINGUAL IN ENGLISH AND SPANISH, ASSURING CULTURALLY COMPETENT AND SENSITIVE CARE, INCLUDING A FULL RANGE OF OBSTETRIC AND GYNECOLOGICAL CARE AT ITS WOMEN'S CENTER; WELL-BABY CARE, WELL-CHILD CARE, AND CARE FOR ILL OR INJURED CHILDREN AT ITS PEDIATRIC CLINIC; AND PRIMARY, ACUTE, AND CHRONIC CARE AT ITS ADULT INTERNAL MEDICINE CLINIC FOR TEENAGERS AND ADULTS. - HEALTHFIRST, AN AFFILIATED CENTER FOR HEALTH EDUCATION AND PREVENTION, OFFERS THE COMMUNITY ACCESS TO PREVENTION, OUTREACH AND EDUCATION SERVICES. OVER THE PAST FIVE YEARS, HEALTHFIRST HAS CONCENTRATED ON BEST PRACTICES IN CHRONIC DISEASE MANAGEMENT, AND PARTICULARLY ON INTEGRATING COMMUNITY HEALTH WORKERS (CHWS) INTO THE MULTIDISCIPLINARY HEALTH CARE TEAM. CHWS PROVIDE HEALTH EDUCATION, ASSIST PATIENTS TO IMPROVE THEIR SELF-MANAGEMENT SKILLS, AN ENCOURAGE THEM TO RECEIVE TIMELY AND COMPREHENSIVE CARE. IN ADDITION TO WORKING CLOSELY WITH SLHCC PATIENTS, CHWS CONDUCT SELF-MANAGEMENT SESSIONS FOR ADULT PATIENTS WITH CHRONIC ILLNESSES. A THREE-YEAR EVALUATION OF HEALTHFIRST'S APPROACH TO MANAGING CHRONIC ADULT DIABETES SHOWED SIGNIFICANT IMPROVEMENT IN THE HEALTH OF THOSE ADULTS ENROLLED IN THE PROGRAM. - CPMC ALSO PARTICIPATES IN COMMUNITY HEALTH FAIRS THROUGHOUT SAN FRANCISCO, INCLUDING IN THE WESTERN ADDITION, TENDERLOIN, CHINATOWN AND BAYVIEW-HUNTERS PONT COMMUNITIES. ALMOST 400 FLU SHOTS AND GLUCOSE/CHOLESTEROL TESTS WERE GIVEN AT HEALTH FAIRS IN 2012. CPMC STRIVES TO REDUCE THE INCIDENCE OF COMMUNICABLE DISEASES THROUGH THE HEP B FREE CAMPAIGN AND HIV/AIDS CASE MANAGEMENT PROGRAMS: - THE SAN FRANCISCO HEP B FREE IS A CITYWIDE CAMPAIGN THAT BRINGS COMMUNITY EDUCATION AND FREE, CONFIDENTIAL TESTING AND VACCINATIONS TO CITY LOCATIONS, WORKPLACES, AND EVENTS WITH HIGH-DENSITY ASIAN AND PACIFIC ISLANDER (API) POPULATIONS. TO SUPPORT THIS EFFORT, SAN FRANCISCO PHYSICIANS ARE ASKED TO JOIN THE HEP B FREE HONOR ROLL BY AGREEING TO SCREEN ALL THEIR API PATIENTS FOR HEPATITIS B. CPMC PHYSICIANS STEWART COOPER, M.D., AND ROBERT GISH, M.D., JOINED WITH CITYWIDE PARTNERS TO BRING THEIR EXPERTISE TO DESIGNING AND IMPLEMENTING THE HEP B FREE CAMPAIGN. THE CPMC TEAM OF CLINICAL AND NONCLINICAL VOLUNTEERS DEVELOPED A MOBILE PROGRAM THAT BRINGS COMMUNITY EDUCATION AND FREE, CONFIDENTIAL TESTING TO CITY LOCATIONS, WORKPLACES, AND EVENTS WITH HIGH-DENSITY API POPULATIONS. THE TEAM ALSO PROVIDES FREE VACCINATIONS AND FOLLOW-UP CARE BASED ON TEST RESULTS. CPMC FUNDS A PORTION OF THE PROGRAM COORDINATOR'S SALARY. IN 2012, CPMC VOLUNTEERS MADE HEPATITIS B TESTING AVAILABLE AT VARIOUS LOCATIONS AND EVENTS THAT ATTRACT THE API COMMUNITY, INCLUDING THE ANNUAL ASIAN HERITAGE FESTIVAL, AND PARTNERED WITH THE SAN FRANCISCO PREMIER LIONS CLUB AND KNIGHTS OF COLUMBUS TO PROVIDE SCREENINGS TO THEIR CHURCH MEMBERS THROUGH SAN FRANCISCO. IN 2012, OVER 360 INDIVIDUAL WERE SCREENED. THE SF HEP B FREE PROGRAM HAS SCREENED OVER 4,000 PATIENTS SINCE ITS INCEPTION IN 2008. - CPMC'S HIV/AIDS CASE MANAGEMENT PROGRAM WAS ESTABLISHED IN THE 1980S IN RESPONSE TO THE ONSET OF THE HIV/AIDS EPIDEMIC. WHEN STATE FUNDING OF THE PROGRAM WAS ELIMINATED IN 2009, CPMC CONTINUED TO PROVIDE GRANT FUNDING, THEREBY ENSURING THAT HIGH-QUALITY CASE MANAGEMENT SERVICES CONTINUE TO BE AVAILABLE TO CPMC PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SERVICES OFFERED INCLUDE ENROLLMENT OF PATIENTS IN THE AIDS DRUG ASSISTANCE PROGRAM (ADAP) AND COORDINATION OF CARE TO INCREASE QUALITY OF LIFE. CPMC SUPPLIES A REGISTERED NURSE CASE MANAGER AND A LICENSED CLINICAL SOCIAL WORKER, BOTH OF WHOM SERVE AS RESOURCES FOR MEDICAL, FINANCIAL AND EMOTIONAL ISSUES. IN 2012, 700 HIV/AIDS PATIENTS WERE SERVED. CPMC ENGAGES IN PROGRAMS THAT SUPPORT THE PREVENTION OF CHILD ABUSE, DOMESTIC AND OTHER FORMS OF VIOLENCE: - CPMC'S BAYVIEW CHILD HEALTH CENTER IS PARTICULARLY ATTUNED TO THE IMPACT OF COMMUNITY VIOLENCE, POVERTY AND CHILDHOOD TRAUMA ON CHILDREN'S MENTAL AND PHYSICAL HEALTH, OFFERING ONSITE PSYCHOLOGICAL AND CASE MANAGEMENT SERVICES TO CLIENT FAMILIES. 42% OF THE PATIENTS AT BCHC HAVE BEEN VICTIMS OF TRAUMA. - CPMC PARTNERS WITH APA FAMILY SUPPORT SERVICES PROMOTES HEALTHY ASIAN/PACIFIC ISLANDER CHILDREN AND FAMILIES BY PROVIDING FAMILY SUPPORT SERVICES TO PREVENT CHILD ABUSE AND DOMESTIC VIOLENCE THROUGH PPART VI, QUESTION 5
PROMOTION OF COMMUNITY HEALTH (CONTINUED)IN 2012, NOVATO COMMUNITY HOSPITAL ALSO PARTNERED WITH AND SUPPORTED SEVERAL NOT-FOR-PROFIT ORGANIZATIONS WITHIN THEIR COMMUNITY INCLUDING THE FOLLOWING: - AN $8,488 IN-KIND DONATION TO THE MARIN COUNTY FOOD BANK WHICH PROVIDES FOOD TO THE UNDERSERVED POPULATION. - A $5,000 GRANT TO THE MARCH OF DIMES IN SPONSORSHIP OF THE NORTH BAY WALK FOR BABIES WHICH SUPPORTS RESEARCH AND SERVICES FOR PREMATURE BABIES, INTERVENTIONS FOR AT-RISK BABIES, ETC. - THE BLOOD CENTERS OF THE PACIFIC VOLUNTEER DONATION BLOOD MOBILE IS ON THE NOVATO COMMUNITY HOSPITAL PARKING LOT TO SERVE AS A WEEKLY BLOOD BANK. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. SUTTER LAKESIDE HOSPITAL A FEW HIGHLIGHTS OF SLH'S COMMUNITY BENEFIT ACTIVITIES IN 2012: SUTTER LAKESIDE HOSPITAL PROVIDES CASH AND IN-KIND DONATIONS TO SEVERAL COMMUNITY GROUPS, INDIVIDUALS AND ORGANIZATIONS IN SUPPORT OF THE PROGRAMS AND SERVICES THEY PROVIDE. ORGANIZATIONS THAT SLH SUPPORTS INCLUDE LAKE COUNTY RESOURCE CENTER, THE LAKE COUNTY DEPARTMENT OF EDUCATION AND THE MENDOCINO COLLEGE FOUNDATION. SUTTER LAKESIDE HOSPITAL SUPPORTS THE MARCH OF DIMES TO FURTHER THEIR RESEARCH, EDUCATION AND PROGRAMS WITH A YEARLY MONETARY DONATION. IN ADDITION TO PROVIDING FUNDS, SLH STAFF RAISE MONEY TO SUPPORT LOCAL FUNDRAISING EFFORTS FOR THE MARCH OF DIMES. THE FAMILY MEDICINE CLINIC IS A PRIMARY AND PREVENTATIVE CARE CLINIC SERVING ALL POPULATIONS. SUTTER LAKESIDE HOSPITAL OFFERS THE ONLY CLINIC IN THE AREA THAT PROVIDES SERVICES TO MEDI-CAL, WORKERS COMP AND MEDICARE PATIENTS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. SUTTER MEDICAL CENTER OF SANTA ROSA A FEW HIGHLIGHTS FROM SMCSR'S COMMUNITY BENEFIT ACTIVITIES IN 2012: SMC SANTA ROSA SUPPORTS HEALTHY KIDS SONOMA COUNTY, A LOCALLY DEVELOPED PROGRAM THAT PROVIDES COMPREHENSIVE HEALTH INSURANCE FOR CHILDREN OF LOW-INCOME FAMILIES. COUNTYWIDE OUTREACH EFFORTS CONNECT FAMILY TO HEALTHY KIDS SERVICES THROUGH A CENTRALIZED REFERRAL LINE. CERTIFIED APPLICATION ASSISTORS HELP FAMILIES ENROLL THEIR CHILDREN INTO AN AFFORDABLE HEALTH INSURANCE PROGRAM. THE NUMBER OF COMPLETELY UNFUNDED CHILDREN HAS DECREASED SIGNIFICANTLY AS A RESULT OF THESE EFFORTS. IN 2012: - 21% INCREASE CAA CAPACITY (FROM 24 TO 29). - 41,203 MANAGED MEDI-CAL ENROLLEES (CHILDREN AND ADULTS) RECEIVED RENEWAL POST CARDS AND AUTOMATED PHONE CALL REMINDERS FROM HEALTHY KIDS. - 13% INCREASE IN THE RETENTION RATE FOR MANAGED MEDI-CAL ENROLLEES FROM 2011 BASELINE. - 21,408 LOW-INCOME CHILDREN RECEIVED APPLICATION ASSISTANCE OR CASE MANAGEMENT SERVICES. - 4,326 LOW-INCOME PREGNANT WOMEN RECEIVED APPLICATION ASSISTANCE AND/OR CASE MANAGEMENT SERVICES. - 13,753 HOUSEHOLDS WERE SCREENED FOR CALFRESH ELIGIBILITY. - 2,485 HOUSEHOLDS WERE ASSISTED IN APPLYING FOR CALFRESH. - ORAL HEALTH TASK FORCE RELEASED A REPORT WHICH IDENTIFIED GAPS AND STRATEGIES TO INCREASE ACCESS TO ORAL HEALTH THAT CAN BE IMPLEMENTED WITHIN 3 YEARS, WHICH HAS RESULTED IN OVER $4.5 MILLION FROM FUNDERS TO IMPROVE ORAL HEALTH SERVICES IN OUR COMMUNITY IN THE FIRST YEAR. SMC SANTA ROSA PROVIDED MORE THAN $298,000 IN WAIVED HOSPITAL CHARGES FOR OPERATION ACCESS (OA), AN ORGANIZATION THAT HELPS TO PROVIDE ACCESS TO SURGICAL AND SPECIALTY CARE FOR UNINSURED AND UNDERINSURED PATIENTS. SINCE 1993, OA HAS SERVED MORE THAN 7,500 LOW-INCOME PEOPLE, UNINSURED WORKERS AND SELF-EMPLOYED PERSONS IN SIX NORTHERN CALIFORNIA COUNTIES. THE STAFF AT OA RECRUITS THE MEDICAL PROVIDERS AND HOSPITALS, SCREEN REFERRED PATIENTS AND PROVIDE CASE MANAGEMENT FROM REFERRAL THROUGH POST-OPERATIVE RECOVERY. IN 2012, 371 SONOMA COUNTY RESIDENTS WERE REFERRED TO OA THAT NEEDED SURGICAL OR SPECIALTY MEDICAL CARE, A 16% INCREASE OVER THE PREVIOUS YEAR. SMC SANTA ROSA PROVIDED 15 SURGICAL PROCEDURES, 5 GASTROENTEROLOGY PROCEDURES AND 2 RADIOLOGY PROCEDURES IN 2012. SMC SANTA ROSA HAS SPONSORED THE SANTA ROSA FAMILY MEDICINE RESIDENCY PROGRAM FOR MORE THAN 40 YEARS. IN A REGION WHERE THE COST OF LIVING OUTPACES THE COMPENSATION FOR PRIMARY CARE PROVIDERS, RECRUITING FAMILY PHYSICIANS FROM OUTSIDE THE AREA IS EXTREMELY CHALLENGING. EACH YEAR, SMC SANTA ROSA GRADUATES 12 FAMILY PHYSICIANS, MANY OF WHOM STAY AND PRACTICE IN SONOMA COUNTY AT COMMUNITY HEALTH CLINICS THAT PRIMARILY SERVE THE POOR AND UNINSURED. CURRENTLY, ABOUT 50% OF THE PRACTICING FAMILY MEDICINE PHYSICIANS IN SONOMA COUNTY ARE GRADUATES OF THIS PROGRAM AND ABOUT 75% OF THE DOCTORS WHO STAFF OUR FQHC CLINICS ARE GRADUATES. THIS PROGRAM IS A CRUCIAL ELEMENT IN BUILDING CAPACITY TO MEET THE INCREASING DEMAND FOR PRIMARY CARE DOCTORS, WHICH WILL INCREASE SIGNIFICANTLY AS HEALTH CARE REFORM APPROACHES IN 2014. THE COST TO ADMINISTER THIS PROGRAM IN 2012 WAS $8.9 MILLION FOR SMC SANTA ROSA. SMC SANTA ROSA PARTICIPATES IN THE ORAL HEALTH TASK FORCE, A GROUP OF LEADERS FROM THE MEDICAL, DENTAL AND PUBLIC HEALTH COMMUNITIES WHO ADVOCATE FOR CHILDREN, SENIORS AND PEOPLE WITH DISABILITIES TO CREATE A ROAD MAP FOR ORAL HEALTH IMPROVEMENT IN SONOMA COUNTY, AN IDENTIFIED HEALTH NEED IN THE COMMUNITY. SUTTER MEDICAL CENTER, SANTA ROSA SUPPORTS SEVERAL NOT-FOR-PROFIT ORGANIZATIONS THROUGHOUT THEIR COMMUNITIES INCLUDING, AMERICAN RED CROSS, AMERICAN HEART ASSOCIATION, CENTER FOR WELL BEING, SONOMA COUNTY AND YWCA. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD.PART VI, QUESTION 5
AFFILIATED HEALTH CARE SYSTEMCALIFORNIA PACIFIC MEDICAL CENTER, NOVATO COMMUNITY HOSPITAL, SUTTER LAKESIDE HOSPITAL AND SUTTER MEDICAL CENTER OF SANTA ROSA ARE AFFILIATED WITH SUTTER HEALTH, A NOT-FOR-PROFIT NETWORK OF 48,000 PHYSICIANS, EMPLOYEES, AND VOLUNTEERS WHO CARE FOR MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, WE'RE CREATING FOR 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. IN MANY OF 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 $2.9 MILLION IN CHARITY CARE PER WEEK. IN 2012, OUR NETWORK OF PHYSICIAN ORGANIZATIONS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS INVESTED $795 MILLION IN HEALTH CARE PROGRAMS, SERVICES, AND BENEFITS FOR THE POOR AND UNDERSERVED* AND THE BROADER COMMUNITY**. THIS INCLUDES: - THE COST OF PROVIDING CHARITY CARE - THE UNPAID COSTS OF PARTICIPATING IN MEDI-CAL - 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 $153 MILLION IN 2012 - OR AN AVERAGE OF NEARLY $3 MILLION PER WEEK. * SERVICES FOR THE POOR AND UNDERSERVED INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED, AS WELL AS THE COSTS OF PUBLIC PROGRAMS TREATING MEDI-CAL AND INDIGENT BENEFICIARIES. COSTS ARE COMPUTED BASED ON A RELATIONSHIP OF COSTS TO CHARGES. SERVICES FOR THE POOR AND UNDERSERVED ALSO INCLUDE THE COST OF OTHER SERVICES FOR INDIGENT POPULATIONS, AND CASH DONATIONS ON BEHALF OF THE POOR AND NEEDY. ** BENEFITS FOR THE BROADER COMMUNITY INCLUDE COSTS OF PROVIDING THE FOLLOWING SERVICES: HEALTH SCREENINGS AND OTHER HEALTH-RELATED SERVICES, TRAINING HEALTH PROFESSIONALS, EDUCATING THE COMMUNITY WITH VARIOUS SEMINARS AND CLASSES, THE COST OF PERFORMING MEDICAL RESEARCH AND THE COSTS ASSOCIATED WITH PROVIDING FREE CLINICS AND COMMUNITY SERVICES. BENEFITS FOR THE BROADER COMMUNITY ALSO INCLUDE CONTRIBUTIONS SUTTER HEALTH MAKES TO COMMUNITY AGENCIES TO FUND CHARITABLE ACTIVITIES.PART VI, QUESTION 6
STATE FILING OF COMMUNITY BENEFIT REPORTCALIFORNIAPART VI, QUESTION 7
FACILITY REPORTING GROUPA SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) CALIFORNIA PACIFIC MEDICAL CENTER (2) CPMC-ST. LUKE'S CAMPUS (3) NOVATO COMMUNITY HOSPITAL (4) SUTTER LAKESIDE HOSPITAL (5) SUTTER MEDICAL CENTER SANTA ROSA THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 12(H) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: ADDITIONAL FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDES HOUSEHOLD SIZE, WHICH IS PART OF THE FEDERAL POVERTY GUIDELINES. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 14(G) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WAS POSTED ON THE HOSPITAL'S FACILITY'S WEBSITE, WAS ATTACHED TO BILLING INVOICES, WAS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY/WAITING ROOM, WAS POSTED IN THE HOSPITAL'S ADMISSIONS OFFICE, WAS PROVIDED IN WRITING ON ADMISSION TO THE HOSPITAL, AND WAS AVAILABLE ON REQUEST. PATIENTS ELIGIBLE FOR CHARITY CARE ARE TRACKED IN THE HOSPITAL'S LEGACY SYSTEM AND ARE REMINDED 30 DAYS AFTER CHARITY CARE PACKET IS RECEIVED IF PAPERWORK HAS NOT BEEN SUBMITTED. ORGANIZATION USES AN INCOME VALIDATION TOOL TO ALERT PATIENTS THAT THEY MAY BE ELIGIBLE FOR CHARITY CARE. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 18(E) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE ORGANIZATION MADE NO SUCH EFFORTS. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 20(D) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR DIFFERENT LEVELS OF ASSISTANCE FOR PATIENTS BASED ON VARIOUS ELIGIBILITY REQUIREMENTS INCLUDING, BUT NOT LIMITED TO (1) FULL CHARITY CARE, (2) PARTIAL CHARITY CARE, (3) SPECIAL CIRCUMSTANCES CHARITY CARE, (4) CATASTROPHIC CHARITY CARE, (5) HIGH COST MEDICAL CHARITY CARE, (6) UNINSURED PATIENT DISCOUNT, AND (7) PROMPT PAYMENT DISCOUNT. THE MAXIMUM AMOUNT BILLED TO THE PATIENT IS CALCULATED DIFFERENTLY DEPENDING ON THE CATEGORY OF FINANCIAL ASSISTANCE FOR WHICH THEY ARE ELIGIBLE.PART VI, LINE 8

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (51 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
PATIENT ASSISTANCE FOUNDATION
2100 WEBSTER STSAN FRANCISCOCA94115942944137501(C)(3)500000GENERAL SUPPORT
ASIANWEEK FOUNDATION
564 MARKET STSAN FRANCISCOCA94104201719535501(C)(3)58500GENERAL SUPPORT
HOSPITAL COUNCIL OF NORTHERN & CENTRAL CA
1625 E SHAW AVEFRESNOCA93710861174825501(C)(3)54384GENERAL SUPPORT
AMBULATORY SURGERY ACCESS COALITION
115 SANSOMESAN FRANCISCOCA94104943180356501(C)(3)51000GENERAL SUPPORT
NORTHERN CALIFORNIA CENTER FOR WELL-BEING
365 TESCONI CIRSANTA ROSACA95401931144835501(C)(3)50000GENERAL SUPPORT
APA FAMILY SUPPORT SERVICES
10 NOTTINGHAM PLSAN FRANCISCOCA94133943164091501(C)(3)50000GENERAL SUPPORT101 Montgomery 300
SAN FRANCISCO LGBT COMMUNITY CENTER
1800 MARKET STSAN FRANCISCOCA94102943236718501(C)(3)50000GENERAL SUPPORT
MAITRI
401 DUBOCE AVESAN FRANCISCOCA94177943189198501(C)(3)45000GENERAL SUPPORT
MARCH OF DIMES
101 MONTGOMERY STSAN FRANCISCOCA94104131846366501(C)(3)39100GENERAL SUPPORT
LATINA BREAST CANCER AGENCY
4271 MISSION STSAN FRANCISCOCA94122010628124501(C)(3)35000GENERAL SUPPORT
CHINESE COMMUNITY HEALTH (CHINESE HOSPITAL)
845 JACKSON STSAN FRANCISCOCA94133940382780501(C)(3)35000GENERAL SUPPORT
SELF-HELP FOR THE ELDERLY
407 SANSOME STSAN FRANCISCOCA94111941750717501(C)(3)35000GENERAL SUPPORT
NOVATO HEALTH PARTNERSHIP PROGRAM OF NOVATO
1015 SEVENTH STNOVATOCA94945680112169501(C)(3)27947GENERAL SUPPORT
YMCA OF SAN FRANCISCO (SHIH YU-LANG)
631 HOWARD STSAN FRANCISCOCA94105940997140501(C)(3)27500GENERAL SUPPORT
SAN FRANCISCO INTERFAITH COUNCIL
PO BOX 29005SAN FRANCISCOCA94129943152098501(C)(3)25500GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
1400 N DUTTON AVESANTA ROSACA95401135613797501(C)(3)25000GENERAL SUPPORT
KIMOCHI INC
1715 BUCHANAN STSAN FRANCISCOCA94115237117402501(C)(3)25000GENERAL SUPPORT
MISSION NEIGHBORHOOD CENTERS
362 CAPP STSAN FRANCISCOCA94110942284365501(C)(3)25000GENERAL SUPPORT
INSTITUTE ON AGING
3575 GEARY BLVDSAN FRANCISCOCA94118942978977501(C)(3)25000GENERAL SUPPORT
EPISCOPAL CHARITIES
1055 TAYLOR STSAN FRANCISCOCA94108943345498501(C)(3)25000GENERAL SUPPORT
SAN FRANCISCO CHAMBER OF COMMERCE
235 MONTGOMERY STSAN FRANCISCOCA94104940834950501(C)(6)21350GENERAL SUPPORT
NAACP DBA SAN FRANCISCO NAACP
1290 FILLMORESAN FRANCISCOCA94115237177411501(C)(3)20000GENERAL SUPPORT
CONARD HOUSE INC
1385 MISSION STSAN FRANCISCOCA94103941489356501(C)(3)20000GENERAL SUPPORT
REGENTS OF THE UNIV OF CALIFORNIA BERKELEY
417-L UNIVERSITY HALLBERKELEYCA94720946002123501(C)(3)20000GENERAL SUPPORT
HOMEWARD BOUND OF MARIN
1385 HAMILTON PKYNOVATOCA94949680011405501(C)(3)18000GENERAL SUPPORT
ON LOK INC
1333 BUSH STSAN FRANCISCOCA94109942162549501(C)(3)17500GENERAL SUPPORT
CONNECT
PO BOX 420404SAN FRANCISCOCA94142204331462501(C)(3)15000GENERAL SUPPORT
INSTITUTO LABORAL DE IA RAZA
2947 16TH STSAN FRANCISCOCA94103942890401501(C)(3)15000GENERAL SUPPORT
DE MARILLAC ACADEMY
175 GOLDEN GATE AVESAN FRANCISCOCA94102943390330501(C)(3)15000GENERAL SUPPORT
NORTHLAKE MEDICAL PHARMACY
5136 HILL ROAD EASTLAKEPORTCA95453942643776501(C)(3)13216GENERAL SUPPORT
COMMUNITY CHAPLAINCY INC DBA US CRISIS CARE
PO BOX 38631SACRAMENTOCA95838200241444501(C)(3)10000GENERAL SUPPORT
CURRY SENIOR CENTER
333 TURK STSAN FRANCISCOCA94102237362588501(C)(3)10000GENERAL SUPPORT
SF ALLIANCE FOR JOB AND SUSTAINABLE GROWTH
3217 18TH STSAN FRANCISCOCA94110452300645501(C)(4)10000GENERAL SUPPORT
ROTOCARE
PO BOX 6461SAN RAFAELCA94903770328720501(C)(3)10000GENERAL SUPPORT
PILIPINO SENIOR RESOURCE CENTER
953 MISSION STSAN FRANCISCOCA94103830445376501(C)(3)10000GENERAL SUPPORT
GLIDE FOUNDATION
330 ELLIS STSAN FRANCISCOCA94102941156481501(C)(3)10000GENERAL SUPPORT
JEWISH FAMILY AND CHILDREN'S SERVICES
2150 POSTSAN FRANCISCOCA94115941156528501(C)(3)10000GENERAL SUPPORT
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRSANTA ROSACA95405941231005501(C)(3)10000GENERAL SUPPORT
SPUR
654 MISSION STSAN FRANCISCOCA94105941498232501(C)(3)10000GENERAL SUPPORT
HORIZONS FOUNDATION
550 MONTGOMERYSAN FRANCISCOCA94111942686530501(C)(3)10000GENERAL SUPPORT
CPMC FOUNDATION FOR ST LUKE'S AUXILIARY
301 DOLORES STSAN FRANCISCOCA94110942728423501(C)(3)10000GENERAL SUPPORT
SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM
1550 BRYANT STSAN FRANCISCOCA94103942897258501(C)(3)10000GENERAL SUPPORT
AMERICAN RED CROSS
85 SECOND STSAN FRANCISCOCA94105943045430501(C)(3)10000GENERAL SUPPORT
TIDES CENTERBODY POSITIVE
1833 FILLMORE STSAN FRANCISCOCA94115943213100501(C)(3)10000GENERAL SUPPORT
SAN FRANCISCO CHILD ABUSE PREVENTION CTR
1757 WALTER STSAN FRANCISCOCA94117942455072501(C)(3)9500GENERAL SUPPORT
AMERICAN RED CROSS
5207 AERO DRSANTA ROSACA95403530196605501(C)(3)8000GENERAL SUPPORT
PORTOLA FAMILY CONNECTIONS
2565 SAN BRUNO AVESAN FRANCISCOCA94134943213689501(C)(3)7500GENERAL SUPPORT
SAN FRANCISCO JUNETEENTH COMMITTEE
762 FULTON STSAN FRANCISCOCA94102261268674501(C)(3)7000GENERAL SUPPORT
SAN FRANCISCO CULTURAL ARTS TRADITIONS
1380 VALENCIA STSAN FRANCISCOCA94110264599908501(C)(3)7000GENERAL SUPPORT
SF BLDG & CONST TRADES COUNCIL
1188 FRANKLIN STSAN FRANCISCOCA94109940348191501(C)(5)5500GENERAL SUPPORT
KINETIC CONCEPTS USA
PO BOX 203086HOUSTONTX772167421523965121GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants47TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations4TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
MARIN APOTHOCARIES647896
YELLOW CAB VOUCHERS823447
CAFETERIA MEALS246FREE CAFETERIA MEALS
VARIOUS COMMUNITY BENEFIT ASSISTANCE4789

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARTIN BROTMAN MD
REG PRESIDENT, WBR (PART YEAR)0218549205665200138840528283018393033125720715680
WARREN BROWNER MD
CEO, SAN FRANCISCO HOSP, SWBH059088302266220113130602792019276014508860280096
MICHAEL COHILL
REGIONAL PRESIDENT, WEST BAY0134475003592960650770656898019992024460130438873
GRANT DAVIES
CEO NORTH BAY HOSPITALS054005002201740138730378546019879011725220220174
MICHAEL DUNCHEON
VP, REGIONAL COUNSEL WEST BAY036900408626307665024379701859007253190108863
PATRICK FRY
PRESIDENT & CEO, SUTTER HEALTH0238797501457150017662024983280327680639388302250657
JOHN GATES
REGION VP FINANCE, WEST BAY057350202036620235670298717016899011163470188989
SARAH KREVANS
COO SUTTER HEALTH0100664005275460125240951242023072025210240652265
TONI BRAYER MD
REGIONAL VP & CMO, WEST BAY0463668015497202018026986601874009092640185304
ALLAN PONT MD
VP MEDICAL AFFAIRS WEST BAY04838620636810862002234600691407865370107700
MARK KIMBELL
CEO CPMCF035787308713403515902136530177540711573087134
CRAIG VERCRUYSSE
COO WEST BAY REGION03185340647760492101927560145690595556064776
MICHAEL PURVIS
CAO SMCSR0333545077087065190228214096550655020077087

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELEVANT INFORMATION REGARDING COMPENSATION ITEMSPART I, QUESTION 1ATAX 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.
SUPPLEMENTAL COMPENSATION INFORMATIONPART I, QUESTION 3THE 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.
NONQUALIFIED RETIREMENT PLANPART I, QUESTION 4BTHE 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.
NON-FIXED PAYMENTSPART I, QUESTION 7SPOT 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

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CHFFA 2007A
A52164382813033FQ372007-05-01790998316CONSTRUCT & EQUIP FACILITYfalsefalsefalse
CHFFA 2008A
B52164382813033F2L32008-05-14329041638CONSTRUCT & REFUNDING - 5/1/07falsefalsefalse
CHFFA 2011D
C52164382813033LVW42011-12-22331759643CONSTRUCT & REFUNDING 1998 AND 199falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A008583474600553983170000771593452584502307711892011falsefalsetruetrue
B81315000032904163800000003290416380truefalsetruetrue
C0033602278000650700000000124025000146927780truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI
Afalsetruetruetruetruetrue0.007200.00720falsefalsefalsetrue
Bfalsetruetruetruetruetrue0.018300.01830falsefalsefalsetrue
Cfalsefalsetruetruetruetrue0.010000.01080falsefalsefalsetrue0.00080

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYet
0
Atruefalsefalsefalse0falsetrue
0
Bfalsefalsefalsefalse0falsetruetrue
0
Cfalsefalsefalsefalse0falsetruetrue

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GLOBAL DISCLOSURE0PART 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. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THIS ORGANIZATION IS REPORTED ON FORM 990, PART X, BALANCE SHEET. WITH THE EXCEPTION OF PART I, COLUMN (F), THE SCHEDULE K FOR THIS ORGANIZATION IS REPORTING INFORMATION FOR THE ENTIRE BOND ISSUE. PART II, LINE 7: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS.
SWBH SPECIFIC0PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $165,813,667 FROM THE 2007A ISSUE, $55,943,275 FROM THE 2008A ISSUE AND $47,567,042 FROM THE 2011D ISSUE. PART I, LINE B, COLUMN (F): THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2007 ISSUE. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1996 THAT WERE USED TO REFUND BONDS ISSUED IN 1985, 1989, 1990 AND 1991.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PANMED PROPERTIES LLP
SEE PART V482477SEE PART Vfalse
BROWN TOLLAND MEDICAL GROUP
SEE PART V226732SEE PART Vfalse
SWIG GROUP LLC
SEE PART V6779228SEE PART Vfalse
PEDIATRIX MEDICAL GROUP
SEE PART V803287SEE PART Vfalse
SAN FRANCISCO ENDOSCOPY LLC
SEE PART V5543700SEE PART Vfalse
ANDRE HEST
SEE PART V227321SEE PART Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationDAMIAN AUGUSTYN, MD, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH), IS ALSO GENERAL PARTNER AND BOARD MEMBER OF PANMED PROPERTIES, LLP. DURING THE YEAR, SWBH OWNED 5.48% IN PANMED WHO PROVIDED RENTAL SERVICES TO SWBH. DAMIAN AUGUSTYN, MD, TERRI SLAGLE, MD AND JORDAN HOROWITZ, MD, DIRECTORS OF SUTTER WEST BAY HOSPITALS (SWBH), ARE ALSO SHAREHOLDERS OF BROWN & TOLLAND MEDICAL GROUP (BTMG). DURING THE YEAR, BTMG PROVIDED SERVICES TO SWBH VIA AN ARMS-LENGTH AGREEMENT. ROY EISENHARDT, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH), IS A PARTIAL OWNER OF PROPERTY THAT IS RENTED TO SWBH VIA SWIG GROUP LLC AS COLLECTION AGENT. TERRI SLAGLE, MD, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH), IS ALSO A SHAREHOLDER PHYSICIAN OF PEDIATRIX MEDICAL GROUP. DURING THE YEAR, PEDIATRIX MEDICAL GROUP PROVIDED SERVICES TO SWBH VIA AN ARMS-LENGTH AGREEMENT. DAMIAN AUGUSTYN, MD, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH), HAS A PARTIAL INVESTMENT IN SAN FRANCISCO ENDOSCOPY, LLC, OF WHICH SWBH HAS A 51% INTEREST. DEBORAH WYATT, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH), IS RELATED TO ANDRE HEST WHO WORKS FOR SUTTER WEST BAY HOSPITALS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MISSION STATEMENTFORM 990, PART I, LINE 1 AND PART III, LINE 1WE ENHANCE THE WELL BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO COMPASSION, EXCELLENCE, INNOVATION AND A FULL CONTINUUM OF HEALTH CARE SERVICES.
EXEMPT PURPOSE ACHIEVEMENTSFORM 990, PART III, LINE 4AGENERAL DESCRIPTION SUTTER WEST BAY HOSPITALS WAS FORMED JANUARY 1, 2010. IT CONSISTS OF FOUR HOSPITALS: CALIFORNIA PACIFIC MEDICAL CENTER, NOVATO COMMUNITY HOSPITAL, SUTTER MEDICAL CENTER SANTA ROSA, AND LAKESIDE HOSPITAL. THERE WERE A TOTAL OF 233,894 PATIENT DAYS FOR 2012. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) IS ONE OF THE LARGEST PRIVATE, COMMUNITY BASED, NOT-FOR-PROFIT, TEACHING MEDICAL CENTERS IN CALIFORNIA. CPMC IS A TERTIARY REFERRAL CENTER PROVIDING ACCESS TO LEADING EDGE MEDICINE WHILE DELIVERING THE BEST POSSIBLE PERSONALIZED CARE. IT PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; HOSPICE SERVICES; PREVENTIVE AND COMPLEMENTARY CARE; AND HEALTH EDUCATION. CPMC IS COMPRISED OF THE FOUR OLDEST HOSPITALS IN SAN FRANCISCO. THE DAVIES CAMPUS, FORMERLY DAVIES MEDICAL CENTER, WAS FOUNDED IN 1854 TO HELP SAN FRANCISCO'S GERMAN-SPEAKING IMMIGRANTS FIND WORK, SHELTER, FOOD, CLOTHING AND HEALTH CARE. THE PACIFIC CAMPUS WAS FOUNDED IN 1857 AND WAS THE FIRST MEDICAL SCHOOL IN THE AMERICAN WEST. THE CALIFORNIA CAMPUS WAS FOUNDED IN 1875 AS THE PACIFIC DISPENSARY FOR WOMEN AND CHILDREN, A HOSPITAL RUN BY WOMEN, FOR WOMEN. FINALLY, THE ST. LUKE'S CAMPUS HAS BEEN PROVIDING QUALITY HEALTH SERVICES TO ALL SAN FRANCISCANS FOR OVER 130 YEARS. TOGETHER THE DAVIES, CALIFORNIA, PACIFIC AND ST. LUKE'S CAMPUSES COMPRISE CPMC'S 1,258 LICENSED ACUTE CARE BEDS AND 25 RESIDENTIAL BEDS. NOVATO COMMUNITY HOSPITAL (NOVATO) HAS SERVED THE NORTHERN MARIN AND SOUTHERN SONOMA COMMUNITIES SINCE 1961. IN 1985, THE HOSPITAL BECAME AN AFFILIATE OF SUTTER. THE NOVATO FACILITY IS LOCATED AT 180 ROWLAND WAY AND IS A 47-BED ACUTE CARE HOSPITAL NOTED FOR ITS ORTHOPEDIC SURGERY PROGRAM. SUTTER MEDICAL CENTER OF SANTA ROSA (SMCSR) HAS A LONG HISTORY IN SONOMA COUNTY DATING BACK TO 1866 WHEN THE FIRST HOSPITAL OPENED. IN 1996, SMCSR BECAME AN AFFILIATE OF SUTTER HEALTH. SMCSR IS LICENSED TO OPERATE 135 BEDS. SUTTER LAKESIDE HOSPITAL (LAKESIDE) IS A 25-BED CRITICAL ACCESS HOSPITAL AND IS ONE OF ONLY TWO HOSPITALS THAT SERVE THE 64,000 RESIDENTS OF LAKE COUNTY. IN 1992, THE HOSPITAL AFFILIATED WITH SUTTER HEALTH. LAKESIDE PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; SURGICAL SERVICES; PREVENTIVE CARE; AND HEALTH EDUCATION. 2012 PATIENT ACTIVITY TOTAL EMERGENCY ROOM IP (ADMITTED) 16,265 EMERGENCY ROOM OP (NOT ADMITTED) 124,885 TOTAL ER VISITS 141,150 ACUTE DISCHARGES (INCL. PSYCH, REHAB) 38,058 SNF DISCHARGES 1,755 ALZHEIMER DISCHARGES 7 SUB ACUTE DISCHARGES 65 TOTAL DISCHARGES 39,885 DELIVERIES 8,212 TRANSPLANTS 323 SUTTER WEST BAY HOSPITALS MISSION STATEMENT WE ENHANCE THE WELL BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO COMPASSION, EXCELLENCE, INNOVATION AND A FULL CONTINUUM OF HEALTH CARE SERVICES. CLINICAL PROGRAMS INCLUDE: - ASTHMA EDUCATION PROGRAM - BREAST FEEDING CENTERS - BREAST HEALTH CENTERS - CALIFORNIA PACIFIC MEDICAL CENTER RESEARCH INSTITUTE - CANCER RECOVERY PROGRAMS - COMING HOME HOSPICE - COMMUNITY BENEFITS PROGRAMS (DETAILED BELOW) - COMMUNITY HEALTH RESOURCE CENTER - COMPREHENSIVE STROKE CENTER - DIABETES EDUCATION PROGRAM - END-STAGE ORGAN FAILURE/TRANSPLANTATION PROGRAMS (HEART, KIDNEY, LIVER, PANCREAS) - FORBES NORRIS MDA/ALDS CENTER - HAND CLINIC - HOSPITALIST PROGRAM - INSTITUTE FOR HEALTH AND HEALING - IRENE SWINDELLS ALZHEIMER'S RESIDENTIAL CARE CENTER - LION'S EYE CLINIC - MUSCULAR DYSTROPHY ASSOCIATION NEUROMUSCULAR CLINIC - PACIFIC VISION FOUNDATION - PALLIATIVE CARE PROGRAM - PEDIATRIC SPECIALTY SERVICES - REHABILITATION SERVICES (ACUTE AND OUTPATIENT) - SIBLING CENTER - SMITH KETTLEWELL EYE RESEARCH INSTITUTE (THEY ARE INDEPENDENT OF CPMC.) - SUB-ACUTE CARE PROGRAM - TELEMEDICINE SERVICE (STROKE) - VISITING NURSES AND HOSPICE OF SAN FRANCISCO - WHITNEY NEWBORN ICU FOLLOW-UP CLINIC - WOMEN'S HEALTH RESOURCE CENTER - WOMEN'S SERVICES CLINICAL SERVICE OFFERINGS INCLUDE: - AIDS & HIV SERVICES - ALZHEIMER'S - ARTHRITIS - BARIATRIC SURGERY SERVICES - CANCER SERVICES - CARDIOVASCULAR SERVICES - CLINICAL LABORATORY - COMPLEMENTARY MEDICINE - COMPREHENSIVE STROKE SERVICES - CRITICAL CARE SERVICES - DIABETES SERVICES (ADULT & PEDIATRIC) - DIAGNOSTIC SERVICES/LABORATORIES - DIALYSIS SERVICES - EMERGENCY SERVICES - EPILEPSY - GASTROENTEROLOGY DISEASE SERVICES - HOME HEALTH & HOSPICE - INTERVENTIONAL ENDOSCOPY SERVICES - KALMONOVITZ CHILD DEVELOPMENT CENTERS - MEDICAL TRANSPORT SERVICES - MICROSURGERY AND LIMB SALVAGE SERVICES - NEONATAL INTENSIVE CARE - NEUROLOGY - NEURO-ONCOLOGY SURGERY - NUCLEAR MEDICINE - NUTRITION AND WEIGHT MANAGEMENT - OBSTETRICS & GYNECOLOGY - OCCUPATIONAL HEALTH - OPHTHALMOLOGY - ORGAN TRANSPLANTATION - ORTHOPEDICS - OTOLARYNGOLOGY - OUTPATIENT CLINICS & SERVICES - PATHOLOGY - PEDIATRIC EMERGENCY DEPARTMENT - PEDIATRIC SERVICES/PROGRAMS - PERIOPERATIVE SERVICES (OR AND POST-ANESTHESIA RECOVERY UNIT) - PHARMACY - PHYSICAL MEDICINE & REHABILITATION SERVICES - PSYCHIATRY - RADIOLOGY & DIAGNOSTIC IMAGING - RESPIRATORY CARE - RESIDENCY TRAINING AND FELLOWSHIP PROGRAMS - SURGICAL SERVICES/ AMBULATORY SURGERY - URGENT CARE CENTER - VENTRICULAR ASSIST DEVICE (VAD) PROGRAM - WOMEN'S HEALTH PROGRAMS - WOUND CARE NON-CLINICAL SERVICES INCLUDE: - ADMINISTRATIVE SERVICES - CHAPLAINCY SERVICES - CHARITY CARE PROGRAM - COMMUNITY HEALTH RESOURCE CENTER - CONTINUING MEDICAL EDUCATION - INTERPRETER SERVICES - PATIENT SERVICES - RESEARCH INSTITUTE - SURGICAL TRAINING CENTER - VOLUNTEER SERVICES - WEB NURSERY - CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION - NOVATO COMMUNITY HOSPITAL DEVELOPMENT OFFICE - SUTTER LAKESIDE FOUNDATION
EXEMPT PURPOSE ACHIEVEMENTSFORM 990, PART III, LINE 4ACOMMUNITY BENEFITS THE FOUR MEDICAL CENTERS IN SUTTER WEST BAY HOSPITALS (SWBH) PLAY INTEGRAL ROLES IN PROVIDING DIRECT HEALTH CARE SERVICES AS WELL AS MONETARY GRANTS OR SPONSORSHIPS TO NON-PROFIT ORGANIZATIONS TO ADDRESS THE COMMUNITY HEALTH NEEDS OF VULNERABLE, UNDERINSURED, AND UNINSURED POPULATIONS IN THEIR COMMUNITIES. THE HOSPITALS' COMMUNITY BENEFIT REPRESENTATIVES WORK COLLABORATIVELY AND IN PARTNERSHIPS WITH A BROAD AND DIVERSE NETWORK OF COMMUNITY-BASED NON-PROFITS, CITY AND COUNTY AGENCIES, PHYSICIANS, AND NEIGHBORHOOD GROUPS TO IDENTIFY LOCAL NEEDS, FORMULATE COMMUNITY BENEFIT PLANS, AND TAKE APPROPRIATE FUNDING ACTIONS. WHILE SUTTER WEST BAY REGIONAL MANAGEMENT SETS OVERALL GOALS FOR COMMUNITY BENEFITS, EACH OF THE AFFILIATES MEDICAL CENTER ADMINISTRATORS ARE RESPONSIBLE FOR IDENTIFYING HOW LOCAL NEEDS ARE TO BE ADDRESSED. IN FISCAL YEAR 2012, SUTTER WEST BAY HOSPITALS PROVIDED A REGIONAL TOTAL OF $92.2 MILLION IN COST OF SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED: $22.1 MILLION IN TRADITIONAL CHARITY CARE, $55.6 MILLION IN THE UNPAID COSTS OF MEDICAID, $5.1 MILLION IN COSTS FOR OTHER MEANS-TESTED PROGRAMS, AND $9.3 MILLION IN OTHER BENEFITS FOR THE POOR AND UNDERSERVED. IN ADDITION, SUTTER WEST BAY HOSPITALS PROVIDED AN ADDITIONAL $50.2 MILLION IN BENEFITS TO THE BROADER COMMUNITY, FOR A TOTAL OF $142.4 MILLION IN QUANTIFIABLE COMMUNITY BENEFIT. IN ADDITION, THE FOLLOWING ARE HIGHLIGHTS BY HOSPITAL OF QUANTIFIABLE COMMUNITY BENEFITS. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) IN 2012, CPMC PROVIDED $135 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS TO THE POOR AND UNDERSERVED ($89M) AND BROADER COMMUNITY ($46M). CPMC SUSTAINS ROBUST MEDICAL, NURSING, AND ALLIED HEALTH PROFESSIONS RESIDENCY PROGRAMS AS WELL AS A RESEARCH INSTITUTE THAT PROVIDE SIGNIFICANT COMMUNITY BENEFIT. CPMC IS A MEMBER OF THE SAN FRANCISCO CHARITY CARE PARTNERSHIP AND BUILDING A HEALTHY SAN FRANCISCO CONSORTIUMS LED BY THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH. THE CONSORTIUM CONSISTS OF REPRESENTATIVES FROM ALL OF THE CITY'S HOSPITALS AND OTHER HEALTHCARE-RELATED NON-PROFIT STAKEHOLDERS. CONSORTIUM MEMBERS CONDUCT A TRI-ANNUAL COMMUNITY NEEDS ASSESSMENT, AS REQUIRED BY THE STATE AND FEDERAL GOVERNMENTS, AND COORDINATE EFFORTS TO ADDRESS THE CITY'S HEALTH DISPARITIES IN SPECIFIC AT-RISK NEIGHBORHOODS OR VULNERABLE POPULATIONS. THE CONSORTIUM IDENTIFIED FOUR PRIORITIES OF COMMUNITY HEALTH NEEDS; THESE PRIORITIES GUIDED CPMC'S COMMUNITY BENEFITS STRATEGY: 1. ACCESS CPMC MANAGES OR FUNDS MANY PROGRAMS FOCUSED ON IMPROVING ACCESS TO CARE, INCLUDING THE FOLLOWING: - MANAGED MEDI-CAL PARTNERSHIP WITH NORTH EAST MEDICAL SERVICES (PROVIDE AND TAKE RISK FOR INPATIENT AND SELECT OUTPATIENT SERVICES FOR 16,000 MEDI-CAL AND HEALTHY KIDS MEMBERS) - ST. LUKE'S HEALTH CARE CENTER (ADULT, PEDIATRIC, AND WOMEN'S CLINICS) - KALMANOVITZ CHILD DEVELOPMENT CENTER (COMPREHENSIVE DEVELOPMENTAL ASSESSMENT AND TREATMENT PROGRAMS FOR INFANTS, PRESCHOOLERS, SCHOOL-AGE CHILDREN, AND FAMILIES) - AFRICAN AMERICAN AND SISTER TO SISTER BREAST HEALTH PROGRAMS (CANCER SCREENING & PREVENTION) - BAYVIEW CHILD HEALTH CENTER (PRIMARY CARE FOR LOW-INCOME CHILDREN) - LIONS EYE CLINIC (OUTPATIENT COMPLEX EYE SERVICES FOR LOW-INCOME INDIVIDUALS) 2. CHRONIC DISEASES CPMC FUNDS CHRONIC DISEASE AND HEALTHY LIVING PROGRAMS FOR LOW INCOME POPULATIONS, INCLUDING THE FOLLOWING: - HEALTH CHAMPIONS AT DEMARILLAC ACADEMY (HEALTHY LIFESTYLES) - HEALTHFIRST: A CENTER FOR PREVENTION AND EDUCATION (CHRONIC DISEASE MANAGEMENT) 3. COMMUNICABLE DISEASES CPMC ADMINISTERS OR FUNDS PROGRAMS FOCUSED ON SCREENING AND TREATING COMMUNICABLE DISEASES, INCLUDING THE FOLLOWING: - HEPATITIS B FREE PROGRAM (NO-COST SCREENING & TREATMENT) - HIV/AIDS CASE MANAGEMENT (NO-COST CASE MANAGEMENT TO CPMC PATIENTS WITH HIV/AIDS) - VARIOUS HEALTH FAIRS (NO-COST FLU SHOTS) 4. VIOLENCE AND INJURY PREVENTION CPMC'S PEDIATRICS CLINIC, THE BAYVIEW CHILD HEALTH CENTER, IN THE BAYVIEW DISTRICT OF SAN FRANCISCO OFFERS VIOLENCE & CHILDHOOD TRAUMA SERVICES FOR AT-RISK CHILDREN. SUTTER MEDICAL CENTER OF SANTA ROSA (SMCSR) SMCSR SERVES SONOMA COUNTY, AS WELL AS OTHER COUNTIES IN THE NORTH BAY. IN 2012, SMCSR PROVIDED A TOTAL OF NEARLY $9.8 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS AND CASH TO THE BROADER COMMUNITY WITH ACTIVITIES INCLUDING: 1. MEDICAL EDUCATION SMCSR OPERATES THE FAMILY MEDICINE RESIDENCY PROGRAM WHICH TRAINS PRIMARY CARE PHYSICIANS. NEARLY 50% OF LOCAL FAMILY PHYSICIANS ARE GRADUATES OF THIS RESIDENCY PROGRAM, INCLUDING PHYSICIANS WHO STAFF COMMUNITY HEALTH CENTERS CARING FOR LOW-INCOME AND UNDERSERVED FAMILIES. 2. CHILDREN'S HEALTH SMCSR PROVIDES FINANCIAL SUPPORT TO THE HEALTHY KIDS OF SONOMA COUNTY, WHICH IS A COLLABORATIVE THAT PROVIDES 2,300 LOW-INCOME CHILDREN WITH COMPREHENSIVE HEALTH INSURANCE. 3. WORKFORCE DEVELOPMENT THE HEALTHCARE WORKFORCE DEVELOPMENT PROGRAM IS DESIGNED TO ENHANCE FUTURE WORKFORCE DIVERSITY BY PROVIDING INTERNSHIP OPPORTUNITIES FOR HIGH SCHOOL AND COLLEGE STUDENTS THROUGH COLLABORATION WITH LOCAL HEALTHCARE AND EDUCATION PARTNERS. THE SUMMER HEALTH CAREER INSTITUTE IS LOCATED AT SANTA ROSA JUNIOR COLLEGE. 4. WOMEN'S HEALTH ONE OF THE PRIORITIES IS WOMEN'S HEALTH; THESE COMMUNITY BENEFIT ACTIVITIES ARE REPORTED BY SUTTER PACIFIC MEDICAL FOUNDATION, ANOTHER SUTTER WEST BAY HOSPITALS AFFILIATE, IN A DIFFERENT FORM 990. SMCSR JUST COMPLETED A TRI-ANNUAL NEEDS ASSESSMENT IN COLLABORATION WITH KEY STAKEHOLDERS IN THE LOCAL COMMUNITY. COMMUNITY BENEFIT PROGRAMS INVOLVE COLLABORATION WITH A NETWORK OF COMMUNITY ORGANIZATIONS, COUNTY AGENCIES SUCH AS THE SONOMA DEPARTMENT OF HEALTH SERVICES, AND OTHER HOSPITALS IN THE AREA. A COMPREHENSIVE THREE-YEAR PLAN ADDRESSING THE PRIORITIES IDENTIFIED THROUGH THIS PROCESS WILL BE DEVELOPED IN 2013. NOVATO COMMUNITY HOSPITAL (NOVATO) NOVATO COMMUNITY HOSPITAL SERVES MARIN COUNTY, AS WELL AS PORTIONS OF SOUTHERN SONOMA COUNTY. IN 2012, NOVATO PROVIDED A TOTAL OF $350 THOUSAND IN QUANTIFIABLE COMMUNITY BENEFITS AND CASH TO THE BROADER COMMUNITY. NOVATO IS A MEMBER OF THE HEALTHY MARIN PARTNERSHIP A COLLABORATION OF THE THREE MARIN HOSPITALS - KAISER PERMANENTE SAN RAFAEL, MARIN GENERAL HOSPITAL, AND NOVATO COMMUNITY HOSPITAL. THE GROUP WAS INITIALLY FORMED 15 YEARS AGO TO RESPOND TO CALIFORNIA SB697, WHICH REQUIRES ALL NOT-FOR-PROFIT HOSPITALS TO CONDUCT A TRI-ANNUAL COMMUNITY NEEDS ASSESSMENT. 2012 WAS THE FIRST YEAR OF AN ACCOUNTABLE CARE ACT FEDERAL MANDATE THAT 501(C)(3) HOSPITALS CONDUCT A TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT. NCH AGAIN WORKED WITH ITS HOSPITAL PARTNERS AND HMP TO COMPLETE THIS MORE PRESCRIPTIVE FEDERAL REQUIREMENT. THIS REPORT AND AN IMPLEMENTATION PLAN WILL BE FILED WITH THE IRS IN TAX YEAR 2014. THE HOSPITALS HAVE AGREED TO CONTINUE THIS RELATIONSHIP TO MAKE THE BEST USE OF THEIR COMMUNITY BENEFIT RESOURCES. NCH WILL FILE ANNUAL PROGRESS REPORTS ON THE 2014 PLAN IN 2015 AND 2016. SUTTER LAKESIDE HOSPITAL (LAKESIDE) IN 2012, LAKESIDE PROVIDED A TOTAL OF OVER $2.5 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS AND CASH TO THE BROADER COMMUNITY. THE POPULATION SERVED INCLUDES A HIGH PERCENTAGE OF FAMILIES WHOSE LOW INCOME AFFECTS THEIR ACCESS TO HEALTHCARE. SUTTER LAKESIDE'S COMMUNITY BENEFITS STRATEGY INCLUDES PREVENTIVE CARE, CLINICAL EDUCATION, AND SUBSIDIZING HEALTH SERVICES. LAKESIDE PREVENTIVE CARE INCLUDES THE SPONSORING AND FUNDING OF PROGRAMS THAT PROVIDE FREE OR LOW-COST PREVENTIVE CARE SCREENINGS AND TESTS, SUCH AS MAMMOGRAMS AND SEASONAL FLU VACCINATIONS. LAKESIDE'S ROLE IN CLINICAL EDUCATION IS TO PROVIDE OPPORTUNITIES FOR STUDENTS FROM MULTIPLE CLINICAL PROGRAMS TO APPLY THEIR LEARNING UNDER THE GUIDANCE AND SUPERVISION OF LAKESIDE'S STAFF. FINALLY, LAKESIDE SUBSIDIZES THE OPERATING COSTS OF HEALTH SERVICES THAT ARE CRUCIAL TO THE HEALTH AND WELLBEING OF THE COMMUNITY, INCLUDING; EMERGENCY DEPARTMENT, RURAL HEALTH CLINIC, MOBILE HEALTH CLINIC, AND BIRTH CENTER.
EXEMPT PURPOSE ACHIEVEMENTSFORM 990, PART III, LINE 4ACPMC RESEARCH INSTITUTE THE CALIFORNIA PACIFIC MEDICAL CENTER AND ITS RESEARCH INSTITUTE (CPMCRI) HAVE MADE A MAJOR COMMITMENT OF SPACE AND FUNDING TO ENHANCE ITS RESEARCH PROGRAMS. IN ADDITION TO BUILDING PROGRAMS IN CLINICAL RESEARCH, EPIDEMIOLOGY, BEHAVIORAL MEDICINE, AND PHARMACOKINETICS, CPMCRI HAS GREATLY STRENGTHENED ITS LABORATORY-BASED RESEARCH PROGRAMS. APPROXIMATELY 60 PRINCIPAL INVESTIGATORS, BOTH LABORATORY AND CLINICAL RESEARCHERS, INCLUDING MOLECULAR BIOLOGISTS, IMMUNOLOGISTS, PHARMACOLOGISTS, BIOCHEMISTS, PHYSICISTS, EPIDEMIOLOGISTS, BEHAVIORAL SCIENTISTS, BIOSTATISTICIANS, AND COMPUTER SCIENTISTS WORK WITHIN THE RESEARCH INSTITUTE AND THE MEDICAL CENTER. BIOMEDICAL RESEARCH IS CONDUCTED IN SUCH DIVERSE AREAS AS AGING, ARTHRITIS, EPILEPSY, DIABETES, NEUROBIOLOGY OF PAIN, CARDIOVASCULAR DISEASE, OSTEOPOROSIS, ORGAN TRANSPLANTATION, MECHANISMS OF DRUG ADDICTION, NEURODEGENERATIVE DISEASES (E.G. AMYOTROPHIC LATERAL SCLEROSIS), CANCER, AIDS, HEPATITIS AND OTHER INFECTIOUS DISEASES. SOME OF THESE SCIENTISTS ARE ENGAGED IN RESEARCH THAT WILL HELP US UNDERSTAND THE FUNCTION OF CERTAIN HUMAN CELLS, GENES, PROTEINS AND OTHER FUNDAMENTAL STRUCTURES WITHIN OUR BODIES. OVER 200 CLINICAL TRIALS, PRIMARILY FUNDED BY PHARMACEUTICAL AND BIOTECHNOLOGY COMPANIES, ARE CURRENTLY CONDUCTED AT THE MEDICAL CENTER THROUGH THE CPMCRI OFFICE OF CLINICAL RESEARCH. IN 2005 CPMCRI MOVED INTO A 42,000 SQUARE FOOT LAB FACILITY IN THE CHINA BASIN AREA OF SAN FRANCISCO, AND IN 2009 ADDED AN ADDITIONAL 19,000 SQUARE FEET AT THAT FACILITY TO PROVIDE SPACE TO RECRUIT ADDITIONAL SCIENTISTS AND TO HOLD ADVANCED MEDICAL AND SURGICAL SIMULATION AT THE SIMSURG TRAINING FACILITY. CPMCRI PROMOTES ACTIVE PARTNERSHIPS BETWEEN CLINICIANS AND RESEARCHERS, MERGING RESEARCH INSTITUTE INTERESTS WITH THE NEEDS OF THE MEDICAL CENTER AND THE COMMUNITY OF PATIENTS THAT WE SERVE. THIS COMBINED EFFORT IMPROVES HEALTH CARE DELIVERY AND PATIENTS BENEFIT DIRECTLY BY INCREASED ACCESS TO CUTTING EDGE THERAPIES THROUGH AN EXTENSIVE CLINICAL TRIAL PROGRAM. WHEN ASSOCIATED WITH A RESEARCH PROGRAM, PHYSICIANS HAVE KNOWLEDGE AND ACCESS TO MORE EFFECTIVE TREATMENTS AND DIAGNOSTIC TECHNOLOGIES. HEALTH EDUCATION AND TRAINING TWO OF THE FOUR SUTTER WEST BAY HOSPITALS HAVE FORMAL HEALTH EDUCATION AND TRAINING PROGRAMS. SUTTER MEDICAL CENTER AT SANTA ROSA ESTABLISHED ITS FAMILY MEDICINE TRAINING PROGRAM IN 1938. THE SANTA ROSA FAMILY MEDICINE RESIDENCY IS A CRITICAL STRATEGIC HEALTHCARE ASSET THAT ADDRESSES THE GROWING PHYSICIAN SHORTAGE IN SONOMA COUNTY. THE RESIDENCY HAS BEEN THE LARGEST SINGLE SOURCE OF FAMILY PHYSICIANS TO SONOMA COUNTY FOR OVER 70 YEARS; RESIDENCY GRADUATES COMPRISE NEARLY HALF OF FAMILY PHYSICIANS IN SONOMA COUNTY. RESIDENCY GRADUATES FILL POSITIONS IN PRIVATE PRACTICES, COMMUNITY CLINICS, LARGE MEDICAL GROUPS SUCH AS SUTTER MEDICAL GROUP OF THE REDWOODS, THE PERMANENTE MEDICAL GROUP, LOCAL COMMUNITY HEALTH CENTERS, SONOMA COUNTY HEALTH SERVICES AND LEADERSHIP POSITIONS THROUGHOUT THE MEDICAL COMMUNITY. THE THREE YEAR PROGRAM IS AFFILIATED WITH THE UCSF DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE. CALIFORNIA PACIFIC MEDICAL CENTER PROVIDES A MODEL OF SPECIALTY CARE BY BLENDING EXCELLENCE IN ACADEMICS AND RESEARCH WITH A FOCUS ON PATIENT-CENTERED CARE. CPMC IS A MAJOR TEACHING AFFILIATE OF DARTMOUTH MEDICAL SCHOOL, PROVIDING CLERKSHIPS IN MEDICINE, PSYCHIATRY, NEUROLOGY, PEDIATRICS AND OBSTETRICS-GYNECOLOGY. ADDITIONAL CLERKSHIPS (IN SURGERY AND OBSTETRICSGYNECOLOGY) ARE PROVIDED FOR STUDENTS FROM UCSF. THE GRADUATE MEDICAL RESIDENCY TRAINING PROGRAMS OFFERED AT CPMC ARE OF THE HIGHEST CALIBER WITH CPMC'S PHYSICIANS EMBRACING THE ROLE OF EDUCATORS AS WELL AS CLINICIANS. CPMC HAS INDEPENDENT RESIDENCY AND FELLOWSHIP PROGRAMS IN INTERNAL MEDICINE, PSYCHIATRY, RADIATION ONCOLOGY, OPHTHALMOLOGY, CARDIOVASCULAR DISEASES, GASTROENTEROLOGY, PULMONARY/CRITICAL CARE MEDICINE, HEPATOLOGY/TRANSPLANT, ENDOCRINOLOGY, HAND SURGERY, KIDNEY TRANSPLANT, NEUROCRITICAL CARE, MRI, RETINA, OCULOPLASTIC SURGERY, MELANOMA SURGERY, AND SHOULDER SURGERY. CPMC ALSO OFFERS TRAINING IN SURGERY, ORTHOPEDIC SURGERY, AND PLASTIC SURGERY TO UCSF RESIDENTS. IN ADDITION, CPMC IS A TRAINING SITE FOR OPERATING ROOM NURSING STUDENTS, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS AND SURGICAL TECHNOLOGISTS. IN ADDITION TO THE AFOREMENTIONED EDUCATIONAL PROGRAMS FOR MEDICAL STUDENTS (UNDERGRADUATE MEDICAL EDUCATION) AND RESIDENTS/FELLOWS (GRADUATE MEDICAL EDUCATION), CPMC PROVIDES AN EXTENSIVE SELECTION OF CONTINUING MEDICAL EDUCATION THROUGH ITS NUMEROUS CONFERENCES FOR PHYSICIANS IN PRACTICE. CPMC'S PHYSICIANS ALSO PROVIDE OUTREACH PROGRAMS IN CONTINUING MEDICAL EDUCATION LOCALLY, REGIONALLY, AND NATIONALLY.
RELATED PARTY TRANSACTIONSFORM 990, PART VI, QUESTION 2DAMIAN AUGUSTYN, MD, TERRI SLAGLE, MD AND JORDAN HOROWITZ, MD HAVE A BUSINESS RELATIONSHIP. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTIONS 6 & 7A THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.
DESC CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, QUESTION 7BSUTTER 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.
DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW FORM 990FORM 990, PART VI, QUESTION 11BSUTTER 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.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, QUESTION 12EMPLOYEES 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.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, QUESTION 15THE 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.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLICFORM 990, PART VI, QUESTION 19THE 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.
OTHER CHANGES IN FUND BALANCEFORM 990, PART XI, LINE 9EQUITY TRANSFERS (NET) $(51,514,761) PARTNERSHIP INCOME BOOKED ON RETURN 14,636,999 K-1 ORDINARY INCOME (13,957,308) K-1 INTEREST INCOME (228,629) K-1 ORDINARY DIVIDENDS (1,394,175) K-1 SHORT-TERM CAPITAL GAIN (812,826) K-1 LONG-TERM CAPITAL GAIN (351,395) K-1 SECTION 1231 GAIN (6) K-1 RENTAL INCOME (130,357) K-1 ROYALTY INCOME (25,382) K-1 OTHER INCOME 124,118 CHANGE IN SPLIT INTEREST 1,473 ------------ TOTAL $(53,652,249) ============

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CATHEDRAL HEIGHTS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 7999AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94120ZIPCode
FieldValueIRS element (for citing)
EIN200511266EIN
Primary ActivitiesRENTAL PROP.PrimaryActivities
Legal Domicile StateCALegalDomicileState
Total Income0TotalIncome
EOY Assets130152EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SWBHBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ADOLESCENT TREATMENT CENTERS INC
390 40TH STREETOAKLANDCA94609680088443HEALTHCARECA501(C)(3)3SUTTER EBHtrue
ALTA BATES SUMMIT FOUNDATION
3012 SUMMIT STREET 3RD FLOOROAKLANDCA94609510160184FUNDRAISINGCA501(C)(3)7SUTTER EBHtrue
CALIFORNIA PACIFIC MEDICAL CTR FOUND
2015 STEINER STREET 2ND FLOORSAN FRANCISCOCA94115942728423FUNDRAISINGCA501(C)(3)7SUTTER WBHtrue
DELTA MEMORIAL HOSPITAL FOUNDATION
3901 LONE TREE WAYANTIOCHCA94509942417022FUNDRAISINGCA501(C)(3)11a - ISUTTER EBHtrue
EAST BAY PERINATAL CENTER
3012 SUMMIT STREET 3RD FLOOROAKLANDCA94609510172285HEALTHCARECA501(C)(3)3SUTTER EBHtrue
EDEN MEDICAL CENTER
20103 LAKE CHABOT ROADCASTRO VALLEYCA94546942948100HOSPITALCA501(C)(3)3SUTTER HLTHtrue
MARIN COMMUNITY HEALTH
250 BON AIRE ROADGREENBRAECA94904942994751SUPPORTING ORCA501(C)(3)11b - IISUTTER HLTHtrue
MEMORIAL HOSPITAL FOUNDATION
1800 COFFEE ROAD SUITE 76MODESTOCA95355942290244FUNDRAISINGCA501(C)(3)11a - ISUTTER CVHtrue
MILLS-PENINSULA HEALTH SERVICES
1501 TROUSDALE DRIVEBURLINGAMECA94010941156265HOSPITALCA501(C)(3)3PAMFtrue
MILLS-PENINSULA HOSPITAL FOUNDATION
1501 TROUSDALE DRIVEBURLINGAMECA94010237288765FUNDRAISINGCA501(C)(3)7MPHStrue
PALO ALTO MEDICAL FOUNDATION
2350 EL CAMINO REALMOUNTAIN VIEWCA94040941156581HEALTHCARECA501(C)(3)3SUTTER HLTHtrue
SAMUEL MERRITT UNIVERSITY
450 30TH STREET 2840OAKLANDCA94609942992642UNIVERSITYCA501(C)(3)2SUTTER EBHtrue
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
11815 EDUCATION STAUBURNCA95602942594966FUNDRAISINGCA501(C)(3)7SUTTER SSRtrue
SUTTER CENTRAL VALLEY HOSPITALS
1800 COFFEE ROAD SUITE 76MODESTOCA95355941080917HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER COAST HOSPITAL
800 E WASHINGTON BLVDCRESCENT CITYCA95531942988520HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER DAVIS HOSPITAL FOUNDATION
PO BOX 1617DAVISCA95617680217870FUNDRAISINGCA501(C)(3)7SUTTER SSRtrue
SUTTER EAST BAY HOSPITALS
3012 SUMMIT STREET 3RD FLOOROAKLANDCA94609941196176HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER EAST BAY MEDICAL FOUNDATION
3687 MT DIABLO BLVD 200LAFAYETTECA94549942690415HEALTHCARECA501(C)(3)3SUTTER HLTHtrue
SUTTER GOULD MEDICAL FOUNDATION
600 COFFEE ROADMODESTOCA95355941682256HEALTHCARECA501(C)(3)3SUTTER HLTHtrue
SUTTER HEALTH
2200 RIVER PLAZA DRIVESACRAMENTOCA95833942788907SUPPORTING ORCA501(C)(3)11c III-FINAfalse
SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RDEWA BEACHHI96706990298651HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER HEALTH PLAN
2200 RIVER PLAZA DRIVESACRAMENTOCA95833461183948HEALTH PLANCAPENDINGPENDINGSUTTER HLTHtrue
SUTTER HEALTH SACRAMENTO SIERRA REGION
PO BOX 160727SACRAMENTOCA95816941156621HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 800HONOLULUHI96813990289310INSURANCE SERHI501(C)(3)11b - IISUTTER HLTHtrue
SUTTER MEDICAL CENTER FOUNDATION
PO BOX 160727SACRAMENTOCA95816942788906FUNDRAISINGCA501(C)(3)7SUTTER SSRtrue
SUTTER MEDICAL CENTER CASTRO VALLEY
2200 RIVER PLAZA DRIVESACRAMENTOCA95833770146047HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER MEDICAL FOUNDATION
2800 L STREET 7TH FLOORSACRAMENTOCA95816680273974HEALTHCARECA501(C)(3)11b - IISUTTER HLTHtrue
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
ONE MEDICAL PLAZAROSEVILLECA95661680040113FUNDRAISINGCA501(C)(3)7SUTTER SSRtrue
SUTTER SOLANO CHARITABLE FOUNDATION
300 HOSPITAL DRIVEVALLEJOCA94589942668262FUNDRAISINGCA501(C)(3)7SUTTER SSRtrue
SUTTER VISITING NURSE ASSOC AND HOSPICE
1900 POWELL ST 300EMERYVILLECA94608946068843HEALTHCARECA501(C)(3)9SUTTER HLTHtrue
SUTTER WEST BAY MEDICAL FOUNDATION
2015 STEINER STREET 1ST FLOORSAN FRANCISCOCA94115942948131HEALTHCARECA501(C)(3)3SUTTER HLTHtrue
TRACY HOSPITAL FOUNDATION
1420 N TRACY BLVDTRACYCA95376680318845FUNDRAISINGCA501(C)(3)11a - ISUTTER CVHtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
MAGNETIC IMAGING AF
175 LENNONWLN CKCA94598942953833PATIENT CARECANAN/A
SURG CTR OF ABSMC
3875 TELEGRAPHOAKLANDCA94609470946086OUTPATIENT SURGCANAN/A
ALTA CT SERVICES LP
175 LENNONWLN CKCA94598943083464PATIENT CARECANAN/A
CALIFORNIA PACIFIC ADV IMAGING LLC
PO BOX 6102NOVATOCA94948562311840MRI JOINT VENTURECASWBHRELATED1718706850416false$0true0.51000
SAN FRANCISCO ENDOSCOPY CENTER LLC
3000 RIVERCHASEBIRMINGHAMAL35244912160588ENDOSCOPY JVCASWBHRELATED50447641580646false$0true0.51000
PRESIDIO SURGERY CENTER LLC
1635 DIVISADEROSFCA94115320144060AMBULATORY SURGCASWBHRELATED71961824828841false$0true0.51000
SUTTER FAIRFIELD SURGERY CTR
2700 LOW CTFAIRFIELDCA94533300233892SURGERYCANAN/A
TWIN CITIES SURGICAL HOSPITAL LLC
250 S WACKERCHICAGOIL60606352182617SURGERYCANAN/A
SUTTER AMADOR SURGERY CENTER LLC
2200 RIVER PLAZA DRIVESACRAMENTOCA95833461398093SURGERYCANAN/A
ROSEVILLE ENDOPSCOPY CENTER LLC
4 MEDICAL PLAZA SUITE 210ROSEVILLECA95661870710513ENDOSCOPY JVCANAN/A
MEMORIAL MEDICAL OFFICE BUILDING PRTNR I
1800 COFFEE RD SUITE 76MODESTOCA95355770287288OFFICE RENTALCANAN/A
MEMORIAL MEDICAL OFFICE BUILDING PRTNR I
1800 COFFEE RD SUITE 76MODESTOCA95355770287288OFFICE RENTALCANAN/A
SAN FRANCISCO PEDIATRIC VENTURE LLC
2200 RIVER PLAZA DRIVESACRAMENTOCA95833454474910PATIENT CARECASWBHRELATED-1650451750falsetrue0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
HEALTH VENTURES INC
350 HAWTHORNE STOAKLANDCA94609942918780HEALTH SERVICECANAC CORPtrue
CHARITABLE REMAINDER TRUSTS (5)
CRTCATRUSTtrueN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (17 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION
C15487206FMV
MILLS-PENINSULA HEALTH SERVICES
J56070FMV
SAMUEL MERRITT UNIVERSITY
J198513FMV
SUTTER VISITING NURSE ASSOCIATION
J574121FMV
SAMUEL MERRITT UNIVERSITY
K208339FMV
SUTTER VISITING NURSE ASSOCIATION
K454707FMV
EDEN MEDICAL CENTER
L1749620FMV
MILLS-PENINSULA HEALTH SERVICES
L770797FMV
SUTTER EAST BAY HOSPITALS
L888857FMV
SUTTER HEALTH SACRAMENTO SIERRA REGION
L413315FMV
EDEN MEDICAL CENTER
M1645676FMV
MILLS-PENINSULA HEALTH SERVICES
M770797FMV
SUTTER EAST BAY HOSPITALS
M2363421FMV
SUTTER MEDICAL CENTER CASTRO VALLEY
M103943FMV
PALO ALTO MEDICAL FOUNDATION
P182096FMV
PALO ALTO MEDICAL FOUNDATION
Q544989FMV
SUTTER WEST BAY MEDICAL FOUNDATION
Q854215FMV